sample_id,patient_id,study_id,image_num,Section,Report,Sentence,Pathology,Position,Label,image_paths,previous_images
s50010466_2,p19061282,s50010466,2,Findings,"PA and lateral views of the chest are compared to previous exam from ___. Compared to prior, there has been no significant interval change. There is no evidence of focal consolidation. Increased interstitial markings on one of the lateral views resolves on the second lateral view, likely due to improved inspiratory effort. Cardiomediastinal silhouette is unchanged, as are the osseous and soft tissue structures. Calcific densities projecting over the neck and left upper quadrant are unchanged, as are the vascular stents.","Calcific densities projecting over the neck and left upper quadrant are unchanged, as are the vascular stents.",Calcific densities,neck and left upper quadrant,Stable,"['files/p19/p19061282/s50010466/144f46e1-630ba5e3-82d84674-9f0575c5-6017bdd1.jpg', 'files/p19/p19061282/s50010466/9a5952bb-e2e11f6a-5a352c9d-2b4ef5e8-d6455df3.jpg', 'files/p19/p19061282/s50010466/e0ae297e-45d00189-fe4c699e-4a3c2545-f0fda819.jpg']",
s50010466_2,p19061282,s50010466,2,Findings,"PA and lateral views of the chest are compared to previous exam from ___. Compared to prior, there has been no significant interval change. There is no evidence of focal consolidation. Increased interstitial markings on one of the lateral views resolves on the second lateral view, likely due to improved inspiratory effort. Cardiomediastinal silhouette is unchanged, as are the osseous and soft tissue structures. Calcific densities projecting over the neck and left upper quadrant are unchanged, as are the vascular stents.","Cardiomediastinal silhouette is unchanged, as are the osseous and soft tissue structures.","Cardiomediastinal silhouette, osseous and soft tissue structures",,Stable,"['files/p19/p19061282/s50010466/144f46e1-630ba5e3-82d84674-9f0575c5-6017bdd1.jpg', 'files/p19/p19061282/s50010466/9a5952bb-e2e11f6a-5a352c9d-2b4ef5e8-d6455df3.jpg', 'files/p19/p19061282/s50010466/e0ae297e-45d00189-fe4c699e-4a3c2545-f0fda819.jpg']",
s50010466_2,p19061282,s50010466,2,Findings,"PA and lateral views of the chest are compared to previous exam from ___. Compared to prior, there has been no significant interval change. There is no evidence of focal consolidation. Increased interstitial markings on one of the lateral views resolves on the second lateral view, likely due to improved inspiratory effort. Cardiomediastinal silhouette is unchanged, as are the osseous and soft tissue structures. Calcific densities projecting over the neck and left upper quadrant are unchanged, as are the vascular stents.","Increased interstitial markings on one of the lateral views resolves on the second lateral view, likely due to improved inspiratory effort.",Increased interstitial markings,one of the lateral views,Resolve,"['files/p19/p19061282/s50010466/144f46e1-630ba5e3-82d84674-9f0575c5-6017bdd1.jpg', 'files/p19/p19061282/s50010466/9a5952bb-e2e11f6a-5a352c9d-2b4ef5e8-d6455df3.jpg', 'files/p19/p19061282/s50010466/e0ae297e-45d00189-fe4c699e-4a3c2545-f0fda819.jpg']",
s50010466_2,p19061282,s50010466,2,Findings,"PA and lateral views of the chest are compared to previous exam from ___. Compared to prior, there has been no significant interval change. There is no evidence of focal consolidation. Increased interstitial markings on one of the lateral views resolves on the second lateral view, likely due to improved inspiratory effort. Cardiomediastinal silhouette is unchanged, as are the osseous and soft tissue structures. Calcific densities projecting over the neck and left upper quadrant are unchanged, as are the vascular stents.","PA and lateral views of the chest are compared to previous exam from ___. Compared to prior, there has been no significant interval change.",,,Stable,"['files/p19/p19061282/s50010466/144f46e1-630ba5e3-82d84674-9f0575c5-6017bdd1.jpg', 'files/p19/p19061282/s50010466/9a5952bb-e2e11f6a-5a352c9d-2b4ef5e8-d6455df3.jpg', 'files/p19/p19061282/s50010466/e0ae297e-45d00189-fe4c699e-4a3c2545-f0fda819.jpg']",
s50010466_2,p19061282,s50010466,2,Findings,"PA and lateral views of the chest are compared to previous exam from ___. Compared to prior, there has been no significant interval change. There is no evidence of focal consolidation. Increased interstitial markings on one of the lateral views resolves on the second lateral view, likely due to improved inspiratory effort. Cardiomediastinal silhouette is unchanged, as are the osseous and soft tissue structures. Calcific densities projecting over the neck and left upper quadrant are unchanged, as are the vascular stents.","Calcific densities projecting over the neck and left upper quadrant are unchanged, as are the vascular stents.",vascular stents,,Stable,"['files/p19/p19061282/s50010466/144f46e1-630ba5e3-82d84674-9f0575c5-6017bdd1.jpg', 'files/p19/p19061282/s50010466/9a5952bb-e2e11f6a-5a352c9d-2b4ef5e8-d6455df3.jpg', 'files/p19/p19061282/s50010466/e0ae297e-45d00189-fe4c699e-4a3c2545-f0fda819.jpg']",
s50010747_23,p13896515,s50010747,23,Impression,"In comparison with the study of ___, there again is enlarged of the cardiac silhouette in a patient with intact midline sternal wires and pacemaker device in place. Engorged and indistinct pulmonary vessels are consistent with increasing pulmonary venous congestion. .",Engorged and indistinct pulmonary vessels are consistent with increasing pulmonary venous congestion.,pulmonary venous congestion,,Worse,['files/p13/p13896515/s50010747/77e614cb-6c987153-793f83ce-20c1f507-f6a49f49.jpg'],
s50010747_23,p13896515,s50010747,23,Impression,"In comparison with the study of ___, there again is enlarged of the cardiac silhouette in a patient with intact midline sternal wires and pacemaker device in place. Engorged and indistinct pulmonary vessels are consistent with increasing pulmonary venous congestion. .","In comparison with the study of ___, there again is enlarged of the cardiac silhouette in a patient with intact midline sternal wires and pacemaker device in place.",cardiac silhouette,,Worse,['files/p13/p13896515/s50010747/77e614cb-6c987153-793f83ce-20c1f507-f6a49f49.jpg'],
s50016413_13,p18487334,s50016413,13,Impression,Pacemaker leads terminate in right atrium and ventricle. Right PICC line tip is at the level of mid SVC. Heart size and mediastinum are unchanged. No interval progression of minimal left basal opacity demonstrated. There is no pleural effusion. There is no pneumothorax.,Heart size and mediastinum are unchanged.,Heart size and mediastinum,,Stable,['files/p18/p18487334/s50016413/edf64680-6038da78-f6693f72-535ac2bb-feee4c8b.jpg'],
s50017760_13,p11474065,s50017760,13,Impression,"AP chest compared to ___: A region of consolidation in the right lower lung has been abnormal since at least mid ___, and has improved but not cleared. Moderate cardiomegaly is chronic. Pulmonary vascular congestion, also longstanding. There is no pulmonary edema. Pleural effusion is minimal if any. No pneumothorax.","AP chest compared to ___: A region of consolidation in the right lower lung has been abnormal since at least mid ___, and has improved but not cleared.",consolidation,right lower lung,Better,['files/p11/p11474065/s50017760/645dd223-bb4a40c3-d6a19aeb-fcd36a22-ca6478a3.jpg'],
s50019396_16,p13881772,s50019396,16,Impression,1. Interval development of small bilateral pleural effusions. Underlying consolidation not excluded. 2. Dilated fluid-filled esophagus. Comment: Discussed with Dr. ___ by Dr. ___ at 10:40 am on ___.,1. Interval development of small bilateral pleural effusions. Underlying consolidation not excluded.,pleural effusions,bilateral,New,"['files/p13/p13881772/s50019396/1908e913-d3051cf7-34f98451-4ed66f58-15582c1d.jpg', 'files/p13/p13881772/s50019396/1b61de01-88814d7b-77532377-b7782fd0-9660b576.jpg']",
s50019396_16,p13881772,s50019396,16,Findings,"PA and lateral views of the chest demonstrate well-expanded lungs. In comparison to the prior study, there is interval obscuration of the right heart border and the medial right hemidiaphragm. Correlation with the lateral view suggests that this is likely due to interval development of small bilateral pleural effusions. Underlying consolidation is not excluded. No pneumothorax. Cardiomediastinal silhouette is otherwise stable. Of note, an air fluid level in a tubular structure posterior to the trachea on the lateral view is consistent with a dilated fluid-filled esophagus.",Cardiomediastinal silhouette is otherwise stable.,Cardiomediastinal silhouette,,Stable,"['files/p13/p13881772/s50019396/1908e913-d3051cf7-34f98451-4ed66f58-15582c1d.jpg', 'files/p13/p13881772/s50019396/1b61de01-88814d7b-77532377-b7782fd0-9660b576.jpg']",
s50019396_16,p13881772,s50019396,16,Findings,"PA and lateral views of the chest demonstrate well-expanded lungs. In comparison to the prior study, there is interval obscuration of the right heart border and the medial right hemidiaphragm. Correlation with the lateral view suggests that this is likely due to interval development of small bilateral pleural effusions. Underlying consolidation is not excluded. No pneumothorax. Cardiomediastinal silhouette is otherwise stable. Of note, an air fluid level in a tubular structure posterior to the trachea on the lateral view is consistent with a dilated fluid-filled esophagus.",Correlation with the lateral view suggests that this is likely due to interval development of small bilateral pleural effusions.,pleural effusions,bilateral,New,"['files/p13/p13881772/s50019396/1908e913-d3051cf7-34f98451-4ed66f58-15582c1d.jpg', 'files/p13/p13881772/s50019396/1b61de01-88814d7b-77532377-b7782fd0-9660b576.jpg']",
s50019396_16,p13881772,s50019396,16,Findings,"PA and lateral views of the chest demonstrate well-expanded lungs. In comparison to the prior study, there is interval obscuration of the right heart border and the medial right hemidiaphragm. Correlation with the lateral view suggests that this is likely due to interval development of small bilateral pleural effusions. Underlying consolidation is not excluded. No pneumothorax. Cardiomediastinal silhouette is otherwise stable. Of note, an air fluid level in a tubular structure posterior to the trachea on the lateral view is consistent with a dilated fluid-filled esophagus.","In comparison to the prior study, there is interval obscuration of the right heart border and the medial right hemidiaphragm.",obscuration,right heart border and medial right hemidiaphragm,New,"['files/p13/p13881772/s50019396/1908e913-d3051cf7-34f98451-4ed66f58-15582c1d.jpg', 'files/p13/p13881772/s50019396/1b61de01-88814d7b-77532377-b7782fd0-9660b576.jpg']",
s50020371_0,p15758946,s50020371,0,Findings,"Frontal and lateral views of the chest are obtained. Left-sided Port-A-Cath is again seen, terminating at the distal SVC/cavoatrial junction. Persistent blunting of the right costophrenic angle is seen. Chain sutures are again noted in the right mid lung. No new focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable, as are hilar contours. Old right rib deformity is again seen involving posterior right eighth rib. Known lesion in the right scapula is better assessed on CT.","Cardiac and mediastinal silhouettes are stable, as are hilar contours.",contours,hilar,Stable,"['files/p15/p15758946/s50020371/5e861703-66367757-f8a458b6-39741594-3ab89d41.jpg', 'files/p15/p15758946/s50020371/a767b7c0-6bdaee42-8ca0cd60-7b89ffb1-3bbbba27.jpg']",
s50020371_0,p15758946,s50020371,0,Findings,"Frontal and lateral views of the chest are obtained. Left-sided Port-A-Cath is again seen, terminating at the distal SVC/cavoatrial junction. Persistent blunting of the right costophrenic angle is seen. Chain sutures are again noted in the right mid lung. No new focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable, as are hilar contours. Old right rib deformity is again seen involving posterior right eighth rib. Known lesion in the right scapula is better assessed on CT.","Cardiac and mediastinal silhouettes are stable, as are hilar contours.",silhouettes,Cardiac and mediastinal,Stable,"['files/p15/p15758946/s50020371/5e861703-66367757-f8a458b6-39741594-3ab89d41.jpg', 'files/p15/p15758946/s50020371/a767b7c0-6bdaee42-8ca0cd60-7b89ffb1-3bbbba27.jpg']",
s50020371_0,p15758946,s50020371,0,Findings,"Frontal and lateral views of the chest are obtained. Left-sided Port-A-Cath is again seen, terminating at the distal SVC/cavoatrial junction. Persistent blunting of the right costophrenic angle is seen. Chain sutures are again noted in the right mid lung. No new focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable, as are hilar contours. Old right rib deformity is again seen involving posterior right eighth rib. Known lesion in the right scapula is better assessed on CT.",Chain sutures are again noted in the right mid lung.,Chain sutures,right mid lung,Stable,"['files/p15/p15758946/s50020371/5e861703-66367757-f8a458b6-39741594-3ab89d41.jpg', 'files/p15/p15758946/s50020371/a767b7c0-6bdaee42-8ca0cd60-7b89ffb1-3bbbba27.jpg']",
s50020371_0,p15758946,s50020371,0,Findings,"Frontal and lateral views of the chest are obtained. Left-sided Port-A-Cath is again seen, terminating at the distal SVC/cavoatrial junction. Persistent blunting of the right costophrenic angle is seen. Chain sutures are again noted in the right mid lung. No new focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable, as are hilar contours. Old right rib deformity is again seen involving posterior right eighth rib. Known lesion in the right scapula is better assessed on CT.",Persistent blunting of the right costophrenic angle is seen.,blunting,right costophrenic angle,Stable,"['files/p15/p15758946/s50020371/5e861703-66367757-f8a458b6-39741594-3ab89d41.jpg', 'files/p15/p15758946/s50020371/a767b7c0-6bdaee42-8ca0cd60-7b89ffb1-3bbbba27.jpg']",
s50020371_0,p15758946,s50020371,0,Findings,"Frontal and lateral views of the chest are obtained. Left-sided Port-A-Cath is again seen, terminating at the distal SVC/cavoatrial junction. Persistent blunting of the right costophrenic angle is seen. Chain sutures are again noted in the right mid lung. No new focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable, as are hilar contours. Old right rib deformity is again seen involving posterior right eighth rib. Known lesion in the right scapula is better assessed on CT.",Known lesion in the right scapula is better assessed on CT.,lesion,right scapula,Better,"['files/p15/p15758946/s50020371/5e861703-66367757-f8a458b6-39741594-3ab89d41.jpg', 'files/p15/p15758946/s50020371/a767b7c0-6bdaee42-8ca0cd60-7b89ffb1-3bbbba27.jpg']",
s50020371_0,p15758946,s50020371,0,Findings,"Frontal and lateral views of the chest are obtained. Left-sided Port-A-Cath is again seen, terminating at the distal SVC/cavoatrial junction. Persistent blunting of the right costophrenic angle is seen. Chain sutures are again noted in the right mid lung. No new focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable, as are hilar contours. Old right rib deformity is again seen involving posterior right eighth rib. Known lesion in the right scapula is better assessed on CT.","Left-sided Port-A-Cath is again seen, terminating at the distal SVC/cavoatrial junction.",Left-sided Port-A-Cath,distal SVC/cavoatrial junction,Stable,"['files/p15/p15758946/s50020371/5e861703-66367757-f8a458b6-39741594-3ab89d41.jpg', 'files/p15/p15758946/s50020371/a767b7c0-6bdaee42-8ca0cd60-7b89ffb1-3bbbba27.jpg']",
s50020371_0,p15758946,s50020371,0,Findings,"Frontal and lateral views of the chest are obtained. Left-sided Port-A-Cath is again seen, terminating at the distal SVC/cavoatrial junction. Persistent blunting of the right costophrenic angle is seen. Chain sutures are again noted in the right mid lung. No new focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable, as are hilar contours. Old right rib deformity is again seen involving posterior right eighth rib. Known lesion in the right scapula is better assessed on CT.",Old right rib deformity is again seen involving posterior right eighth rib.,right rib deformity,posterior right eighth rib,Stable,"['files/p15/p15758946/s50020371/5e861703-66367757-f8a458b6-39741594-3ab89d41.jpg', 'files/p15/p15758946/s50020371/a767b7c0-6bdaee42-8ca0cd60-7b89ffb1-3bbbba27.jpg']",
s50022945_5,p16875792,s50022945,5,Impression,"PA and lateral chest compared to ___: The already improved post-operative widening of the cardiomediastinal silhouette is stable. Moderate right pleural effusion and moderately severe right basal atelectasis are unchanged, but previous left lower lobe atelectasis and left pleural effusion are improved. There is no pulmonary edema or pneumothorax.","Moderate right pleural effusion and moderately severe right basal atelectasis are unchanged, but previous left lower lobe atelectasis and left pleural effusion are improved.",atelectasis,left lower lobe,Better,"['files/p16/p16875792/s50022945/4331c9eb-f6e0c046-8c50bffc-6f363a16-02f0f87f.jpg', 'files/p16/p16875792/s50022945/58e18e8d-d3328bef-ffb23510-09ee6d7a-3a0d7e9b.jpg']",
s50022945_5,p16875792,s50022945,5,Impression,"PA and lateral chest compared to ___: The already improved post-operative widening of the cardiomediastinal silhouette is stable. Moderate right pleural effusion and moderately severe right basal atelectasis are unchanged, but previous left lower lobe atelectasis and left pleural effusion are improved. There is no pulmonary edema or pneumothorax.","Moderate right pleural effusion and moderately severe right basal atelectasis are unchanged, but previous left lower lobe atelectasis and left pleural effusion are improved.",atelectasis,right basal,Stable,"['files/p16/p16875792/s50022945/4331c9eb-f6e0c046-8c50bffc-6f363a16-02f0f87f.jpg', 'files/p16/p16875792/s50022945/58e18e8d-d3328bef-ffb23510-09ee6d7a-3a0d7e9b.jpg']",
s50022945_5,p16875792,s50022945,5,Impression,"PA and lateral chest compared to ___: The already improved post-operative widening of the cardiomediastinal silhouette is stable. Moderate right pleural effusion and moderately severe right basal atelectasis are unchanged, but previous left lower lobe atelectasis and left pleural effusion are improved. There is no pulmonary edema or pneumothorax.",PA and lateral chest compared to ___: The already improved post-operative widening of the cardiomediastinal silhouette is stable.,widening,cardiomediastinal,Stable,"['files/p16/p16875792/s50022945/4331c9eb-f6e0c046-8c50bffc-6f363a16-02f0f87f.jpg', 'files/p16/p16875792/s50022945/58e18e8d-d3328bef-ffb23510-09ee6d7a-3a0d7e9b.jpg']",
s50022945_5,p16875792,s50022945,5,Impression,"PA and lateral chest compared to ___: The already improved post-operative widening of the cardiomediastinal silhouette is stable. Moderate right pleural effusion and moderately severe right basal atelectasis are unchanged, but previous left lower lobe atelectasis and left pleural effusion are improved. There is no pulmonary edema or pneumothorax.","Moderate right pleural effusion and moderately severe right basal atelectasis are unchanged, but previous left lower lobe atelectasis and left pleural effusion are improved.",pleural effusion,left,Better,"['files/p16/p16875792/s50022945/4331c9eb-f6e0c046-8c50bffc-6f363a16-02f0f87f.jpg', 'files/p16/p16875792/s50022945/58e18e8d-d3328bef-ffb23510-09ee6d7a-3a0d7e9b.jpg']",
s50022945_5,p16875792,s50022945,5,Impression,"PA and lateral chest compared to ___: The already improved post-operative widening of the cardiomediastinal silhouette is stable. Moderate right pleural effusion and moderately severe right basal atelectasis are unchanged, but previous left lower lobe atelectasis and left pleural effusion are improved. There is no pulmonary edema or pneumothorax.","Moderate right pleural effusion and moderately severe right basal atelectasis are unchanged, but previous left lower lobe atelectasis and left pleural effusion are improved.",pleural effusion,right,Stable,"['files/p16/p16875792/s50022945/4331c9eb-f6e0c046-8c50bffc-6f363a16-02f0f87f.jpg', 'files/p16/p16875792/s50022945/58e18e8d-d3328bef-ffb23510-09ee6d7a-3a0d7e9b.jpg']",
s50024272_14,p18615099,s50024272,14,Findings,"As compared to the previous radiograph, there is no relevant change. There is increasing left pleural effusion. In addition, there is increasing parenchymal opacity at the left lung base, potentially reflecting developing pneumonia. The pre-existing signs of mild pulmonary edema are constant in appearance. Unchanged position of the sternal wires and the postoperative clips. Unchanged left pectoral pacemaker. At the time of dictation and observation, 9:01 a.m., on the ___, the referring physician, ___. ___ was paged for notification. Findings were discussed 10 minutes later over the telephone.","In addition, there is increasing parenchymal opacity at the left lung base, potentially reflecting developing pneumonia.",parenchymal opacity,left lung base,Worse,['files/p18/p18615099/s50024272/fa9c8854-7c936fd0-4432d579-5cc2dc60-c78d9525.jpg'],
s50024272_14,p18615099,s50024272,14,Findings,"As compared to the previous radiograph, there is no relevant change. There is increasing left pleural effusion. In addition, there is increasing parenchymal opacity at the left lung base, potentially reflecting developing pneumonia. The pre-existing signs of mild pulmonary edema are constant in appearance. Unchanged position of the sternal wires and the postoperative clips. Unchanged left pectoral pacemaker. At the time of dictation and observation, 9:01 a.m., on the ___, the referring physician, ___. ___ was paged for notification. Findings were discussed 10 minutes later over the telephone.",Unchanged left pectoral pacemaker.,pacemaker,left pectoral,Stable,['files/p18/p18615099/s50024272/fa9c8854-7c936fd0-4432d579-5cc2dc60-c78d9525.jpg'],
s50024272_14,p18615099,s50024272,14,Findings,"As compared to the previous radiograph, there is no relevant change. There is increasing left pleural effusion. In addition, there is increasing parenchymal opacity at the left lung base, potentially reflecting developing pneumonia. The pre-existing signs of mild pulmonary edema are constant in appearance. Unchanged position of the sternal wires and the postoperative clips. Unchanged left pectoral pacemaker. At the time of dictation and observation, 9:01 a.m., on the ___, the referring physician, ___. ___ was paged for notification. Findings were discussed 10 minutes later over the telephone.",Unchanged position of the sternal wires and the postoperative clips.,sternal wires and postoperative clips position,,Stable,['files/p18/p18615099/s50024272/fa9c8854-7c936fd0-4432d579-5cc2dc60-c78d9525.jpg'],
s50024272_14,p18615099,s50024272,14,Findings,"As compared to the previous radiograph, there is no relevant change. There is increasing left pleural effusion. In addition, there is increasing parenchymal opacity at the left lung base, potentially reflecting developing pneumonia. The pre-existing signs of mild pulmonary edema are constant in appearance. Unchanged position of the sternal wires and the postoperative clips. Unchanged left pectoral pacemaker. At the time of dictation and observation, 9:01 a.m., on the ___, the referring physician, ___. ___ was paged for notification. Findings were discussed 10 minutes later over the telephone.",The pre-existing signs of mild pulmonary edema are constant in appearance.,mild pulmonary edema,,Stable,['files/p18/p18615099/s50024272/fa9c8854-7c936fd0-4432d579-5cc2dc60-c78d9525.jpg'],
s50024272_14,p18615099,s50024272,14,Findings,"As compared to the previous radiograph, there is no relevant change. There is increasing left pleural effusion. In addition, there is increasing parenchymal opacity at the left lung base, potentially reflecting developing pneumonia. The pre-existing signs of mild pulmonary edema are constant in appearance. Unchanged position of the sternal wires and the postoperative clips. Unchanged left pectoral pacemaker. At the time of dictation and observation, 9:01 a.m., on the ___, the referring physician, ___. ___ was paged for notification. Findings were discussed 10 minutes later over the telephone.",There is increasing left pleural effusion.,pleural effusion,left,Worse,['files/p18/p18615099/s50024272/fa9c8854-7c936fd0-4432d579-5cc2dc60-c78d9525.jpg'],
s50027153_18,p15114531,s50027153,18,Impression,"AP chest compared to ___: Dense consolidation in all the basal segments of the left lower lobe has progressed since ___. This could be either chronic collapse, or less likely chronic collapse with a component of pneumonia. Right lung is clear. Left pleural effusion, small if any, is a function of the persistent basal atelectasis. Heart size is normal.","Left pleural effusion, small if any, is a function of the persistent basal atelectasis.",pleural effusion,left,Stable,"['files/p15/p15114531/s50027153/4347b81b-2a702858-6a330ca4-e115c0ac-f1017427.jpg', 'files/p15/p15114531/s50027153/a7d67b35-718b5b5e-9bf046ea-18c54b0d-4b153123.jpg']",
s50027153_18,p15114531,s50027153,18,Impression,"AP chest compared to ___: Dense consolidation in all the basal segments of the left lower lobe has progressed since ___. This could be either chronic collapse, or less likely chronic collapse with a component of pneumonia. Right lung is clear. Left pleural effusion, small if any, is a function of the persistent basal atelectasis. Heart size is normal.","AP chest compared to ___: Dense consolidation in all the basal segments of the left lower lobe has progressed since ___. This could be either chronic collapse, or less likely chronic collapse with a component of pneumonia.",dense consolidation,basal segments of the left lower lobe,Worse,"['files/p15/p15114531/s50027153/4347b81b-2a702858-6a330ca4-e115c0ac-f1017427.jpg', 'files/p15/p15114531/s50027153/a7d67b35-718b5b5e-9bf046ea-18c54b0d-4b153123.jpg']",
s50031776_2,p15840907,s50031776,2,Findings,"The central venous catheter from a right IJ approach tip is at the cavoatrial junction. The heart size is at the upper limits of normal. The mediastinal contours are within normal limits. Mild pulmonary vascular congestion is seen. The lungs demonstrate improving consolidation of the retrocardiac space, either representing improving atelectasis or pneumonia. Additionally, a new left upper lobe opacity is seen, concerning for a developing pneumonia. There is no large pleural effusion or pneumothorax. Degenerative changes are seen in the spine.","Additionally, a new left upper lobe opacity is seen, concerning for a developing pneumonia.",opacity,left upper lobe,New,"['files/p15/p15840907/s50031776/3309c1ea-ab3bd4ee-d7677769-da248132-c26d7c02.jpg', 'files/p15/p15840907/s50031776/6751916a-85cc83ce-8024460f-6330011b-248ae148.jpg']",
s50031776_2,p15840907,s50031776,2,Findings,"The central venous catheter from a right IJ approach tip is at the cavoatrial junction. The heart size is at the upper limits of normal. The mediastinal contours are within normal limits. Mild pulmonary vascular congestion is seen. The lungs demonstrate improving consolidation of the retrocardiac space, either representing improving atelectasis or pneumonia. Additionally, a new left upper lobe opacity is seen, concerning for a developing pneumonia. There is no large pleural effusion or pneumothorax. Degenerative changes are seen in the spine.","The lungs demonstrate improving consolidation of the retrocardiac space, either representing improving atelectasis or pneumonia.",consolidation,retrocardiac space,Better,"['files/p15/p15840907/s50031776/3309c1ea-ab3bd4ee-d7677769-da248132-c26d7c02.jpg', 'files/p15/p15840907/s50031776/6751916a-85cc83ce-8024460f-6330011b-248ae148.jpg']",
s50031776_2,p15840907,s50031776,2,Impression,New left upper lobe opacity which may represent a developing pneumonia in the appropriate clinical setting. Improving retrocardiac consolidation may represent improving atelectasis or pneumonia.,New left upper lobe opacity which may represent a developing pneumonia in the appropriate clinical setting.,opacity,left upper lobe,New,"['files/p15/p15840907/s50031776/3309c1ea-ab3bd4ee-d7677769-da248132-c26d7c02.jpg', 'files/p15/p15840907/s50031776/6751916a-85cc83ce-8024460f-6330011b-248ae148.jpg']",
s50031776_2,p15840907,s50031776,2,Impression,New left upper lobe opacity which may represent a developing pneumonia in the appropriate clinical setting. Improving retrocardiac consolidation may represent improving atelectasis or pneumonia.,Improving retrocardiac consolidation may represent improving atelectasis or pneumonia.,consolidation,retrocardiac space,Better,"['files/p15/p15840907/s50031776/3309c1ea-ab3bd4ee-d7677769-da248132-c26d7c02.jpg', 'files/p15/p15840907/s50031776/6751916a-85cc83ce-8024460f-6330011b-248ae148.jpg']",
s50034238_11,p19028690,s50034238,11,Findings,"Low lung volumes are present. The heart size is mildly enlarged. Mediastinal and hilar contours are unchanged with similar fullness of the superior mediastinum attributable to mediastinal fat. There is no pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is identified. There are multilevel degenerative changes in the thoracic spine.",Mediastinal and hilar contours are unchanged with similar fullness of the superior mediastinum attributable to mediastinal fat.,fullness due to mediastinal fat,superior mediastinum,Stable,"['files/p19/p19028690/s50034238/11768b21-cec7175e-576769c4-ac9ed6f8-4e40be69.jpg', 'files/p19/p19028690/s50034238/96ea3d09-e928fb3b-dc086815-e0a3d015-45d3b08a.jpg', 'files/p19/p19028690/s50034238/f2c778ba-f563bd84-a1ecabe9-6fe0c5c5-c98661d8.jpg']",
s50035498_6,p18309149,s50035498,6,Impression,"Stable chest findings, no evidence of pneumothorax following chest tube removals.","Stable chest findings, no evidence of pneumothorax following chest tube removals.",chest findings,,Stable,"['files/p18/p18309149/s50035498/2d669c63-3ec31080-3ee62b8b-7002f5b5-bf8e73b6.jpg', 'files/p18/p18309149/s50035498/cb581d96-edd1855f-79bc7a49-e942ded5-fb83c971.jpg']",
s50035498_6,p18309149,s50035498,6,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 ___. During the examination interval, the two right-sided chest tubes have been removed. No pneumothorax has developed. Pleural thickenings and blunting of lateral pleural sinus in right hemithorax persist rather unchanged. No new abnormalities.",Pleural thickenings and blunting of lateral pleural sinus in right hemithorax persist rather unchanged.,Pleural thickenings,right hemithorax,Stable,"['files/p18/p18309149/s50035498/2d669c63-3ec31080-3ee62b8b-7002f5b5-bf8e73b6.jpg', 'files/p18/p18309149/s50035498/cb581d96-edd1855f-79bc7a49-e942ded5-fb83c971.jpg']",
s50035498_6,p18309149,s50035498,6,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 ___. During the examination interval, the two right-sided chest tubes have been removed. No pneumothorax has developed. Pleural thickenings and blunting of lateral pleural sinus in right hemithorax persist rather unchanged. No new abnormalities.",Pleural thickenings and blunting of lateral pleural sinus in right hemithorax persist rather unchanged.,blunting of lateral pleural sinus,right hemithorax,Stable,"['files/p18/p18309149/s50035498/2d669c63-3ec31080-3ee62b8b-7002f5b5-bf8e73b6.jpg', 'files/p18/p18309149/s50035498/cb581d96-edd1855f-79bc7a49-e942ded5-fb83c971.jpg']",
s50035498_6,p18309149,s50035498,6,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 ___. During the examination interval, the two right-sided chest tubes have been removed. No pneumothorax has developed. Pleural thickenings and blunting of lateral pleural sinus in right hemithorax persist rather unchanged. No new abnormalities.","During the examination interval, the two right-sided chest tubes have been removed.",chest tubes,right-sided,Resolve,"['files/p18/p18309149/s50035498/2d669c63-3ec31080-3ee62b8b-7002f5b5-bf8e73b6.jpg', 'files/p18/p18309149/s50035498/cb581d96-edd1855f-79bc7a49-e942ded5-fb83c971.jpg']",
s50036264_6,p15131736,s50036264,6,Findings,AP and lateral views of the chest are compared to previous exam from ___. There is engorgement of the central pulmonary vasculature with indistinct pulmonary vascular markings seen peripherally. There is no large confluent consolidation or effusion. Cardiac silhouette is enlarged but stable. Osseous and soft tissue structures are unchanged.,Cardiac silhouette is enlarged but stable.,cardiac silhouette enlargement,,Stable,"['files/p15/p15131736/s50036264/24272d21-fb03bffa-30313063-dcf3be4e-abd43ff2.jpg', 'files/p15/p15131736/s50036264/4ef84da8-ff83a551-31f0aa42-d17ba6a2-c6561835.jpg', 'files/p15/p15131736/s50036264/fcbd8e6c-3d25351e-a80195ec-58b15ef8-9c07f9a2.jpg']",['files/p15/p15131736/s50016102/b57face8-df2c3c57-2a99e6b1-4919f774-c8c3e93c.jpg\n']
s50036264_6,p15131736,s50036264,6,Findings,AP and lateral views of the chest are compared to previous exam from ___. There is engorgement of the central pulmonary vasculature with indistinct pulmonary vascular markings seen peripherally. There is no large confluent consolidation or effusion. Cardiac silhouette is enlarged but stable. Osseous and soft tissue structures are unchanged.,Osseous and soft tissue structures are unchanged.,osseous and soft tissue structures,,Stable,"['files/p15/p15131736/s50036264/24272d21-fb03bffa-30313063-dcf3be4e-abd43ff2.jpg', 'files/p15/p15131736/s50036264/4ef84da8-ff83a551-31f0aa42-d17ba6a2-c6561835.jpg', 'files/p15/p15131736/s50036264/fcbd8e6c-3d25351e-a80195ec-58b15ef8-9c07f9a2.jpg']",['files/p15/p15131736/s50016102/b57face8-df2c3c57-2a99e6b1-4919f774-c8c3e93c.jpg\n']
s50037292_0,p18828251,s50037292,0,Findings,"The patient is status post median sternotomy and CABG. The heart remains moderate to severely enlarged. The mediastinal contours are stable with aortic knob calcifications visualized. There is consolidative opacity within the right lung, most pronounced within the right upper lobe. Additionally, ill-defined hazy opacity is noted within the left perihilar region. There is no pleural effusion or pneumothorax visualized. Mild degenerative changes are seen within the thoracic spine.",The mediastinal contours are stable with aortic knob calcifications visualized.,Mediastinal contours,,Stable,"['files/p18/p18828251/s50037292/10a6246b-f2e3ec72-8c956609-ee81d40f-4a962883.jpg', 'files/p18/p18828251/s50037292/56632a48-cce6f015-6436c85a-42883cbd-7a1c5f22.jpg', 'files/p18/p18828251/s50037292/73a65ade-633f4da5-1c37b0a5-6a589b9c-bccae96f.jpg']",
s50037292_0,p18828251,s50037292,0,Findings,"The patient is status post median sternotomy and CABG. The heart remains moderate to severely enlarged. The mediastinal contours are stable with aortic knob calcifications visualized. There is consolidative opacity within the right lung, most pronounced within the right upper lobe. Additionally, ill-defined hazy opacity is noted within the left perihilar region. There is no pleural effusion or pneumothorax visualized. Mild degenerative changes are seen within the thoracic spine.",The heart remains moderate to severely enlarged.,Enlarged heart,,Stable,"['files/p18/p18828251/s50037292/10a6246b-f2e3ec72-8c956609-ee81d40f-4a962883.jpg', 'files/p18/p18828251/s50037292/56632a48-cce6f015-6436c85a-42883cbd-7a1c5f22.jpg', 'files/p18/p18828251/s50037292/73a65ade-633f4da5-1c37b0a5-6a589b9c-bccae96f.jpg']",
s50037760_10,p17838301,s50037760,10,Impression,Stable cardiomegaly without radiographic evidence for acute change.,Stable cardiomegaly without radiographic evidence for acute change.,Cardiomegaly,,Stable,['files/p17/p17838301/s50037760/0788829b-5419d8e4-5ce8eb81-87a77c03-98c15a1a.jpg'],
s50037760_10,p17838301,s50037760,10,Findings,"The patient's chin obscures visualization of the lung apices. Stable linear opacification in the left mid lung likely represents atelectasis or scarring. Calcified bilateral pleural plaques are again seen. No new focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Cardiomegaly persists. The aorta is tortuous with calcification.",Stable linear opacification in the left mid lung likely represents atelectasis or scarring.,scarring,left mid lung,Stable,['files/p17/p17838301/s50037760/0788829b-5419d8e4-5ce8eb81-87a77c03-98c15a1a.jpg'],
s50037760_10,p17838301,s50037760,10,Findings,"The patient's chin obscures visualization of the lung apices. Stable linear opacification in the left mid lung likely represents atelectasis or scarring. Calcified bilateral pleural plaques are again seen. No new focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Cardiomegaly persists. The aorta is tortuous with calcification.",Stable linear opacification in the left mid lung likely represents atelectasis or scarring.,atelectasis,left mid lung,Stable,['files/p17/p17838301/s50037760/0788829b-5419d8e4-5ce8eb81-87a77c03-98c15a1a.jpg'],
s50037760_10,p17838301,s50037760,10,Findings,"The patient's chin obscures visualization of the lung apices. Stable linear opacification in the left mid lung likely represents atelectasis or scarring. Calcified bilateral pleural plaques are again seen. No new focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Cardiomegaly persists. The aorta is tortuous with calcification.",Cardiomegaly persists.,Cardiomegaly,,Stable,['files/p17/p17838301/s50037760/0788829b-5419d8e4-5ce8eb81-87a77c03-98c15a1a.jpg'],
s50042142_2,p10268877,s50042142,2,Findings,"The ET tube is 3.5 cm above the carina. The NG tube tip is off the film, at least in the stomach. Right IJ Cordis tip is in the proximal SVC. The heart size is moderately enlarged. There is ill-defined vasculature and alveolar infiltrate, right greater than left. This is markedly increased compared to the film from two hours prior and likely represents fluid overload.",This is markedly increased compared to the film from two hours prior and likely represents fluid overload.,alveolar infiltrate,right greater than left,Worse,['files/p10/p10268877/s50042142/4c3c1335-0fce9b11-027c582b-a0ed8d89-ca614d90.jpg'],
s50043351_5,p19720782,s50043351,5,Findings,"There is a right pleural effusion which is unchanged since prior exam. Again seen is a right hilar opacity consistent with fibrosis, better assessed on recent CT. A subtle left lower lobe opacity is seen, which may represent atelectasis, but pneumonia cannot be excluded. The lungs are otherwise clear. The cardiomediastinal silhouette is unchanged from prior exam. Visualized osseus structures are unremarkable.",The cardiomediastinal silhouette is unchanged from prior exam.,cardiomediastinal silhouette,,Stable,['files/p19/p19720782/s50043351/f4a818e5-89d51e2d-9f478ecb-8774a1bf-739673b3.jpg'],
s50043351_5,p19720782,s50043351,5,Findings,"There is a right pleural effusion which is unchanged since prior exam. Again seen is a right hilar opacity consistent with fibrosis, better assessed on recent CT. A subtle left lower lobe opacity is seen, which may represent atelectasis, but pneumonia cannot be excluded. The lungs are otherwise clear. The cardiomediastinal silhouette is unchanged from prior exam. Visualized osseus structures are unremarkable.",There is a right pleural effusion which is unchanged since prior exam.,pleural effusion,right,Stable,['files/p19/p19720782/s50043351/f4a818e5-89d51e2d-9f478ecb-8774a1bf-739673b3.jpg'],
s50043351_5,p19720782,s50043351,5,Impression,"1. Subtle left lower lobe opacity, which may represent atelectasis, but pneumonia cannot be excluded. PA and lateral radiographs could allow for better assessment of this opacity. 2. Stable right pulmonary effusion.",Stable right pulmonary effusion.,pulmonary effusion,right,Stable,['files/p19/p19720782/s50043351/f4a818e5-89d51e2d-9f478ecb-8774a1bf-739673b3.jpg'],
s50043446_33,p16826047,s50043446,33,Findings,"In comparison with the study of ___, the multiple areas of increased opacification in the right hemithorax are again seen, with the apparent loculated pleural collection in the upper zone laterally appearing somewhat more prominent. The left lung remains clear.",The left lung remains clear.,clear,left lung,Stable,"['files/p16/p16826047/s50043446/2155d1bd-3cd88831-6b690bee-e3ac34ae-4b25fa8a.jpg', 'files/p16/p16826047/s50043446/7f6657e8-53cbad66-408c44bd-be99b9af-fbb557c9.jpg']",
s50043446_33,p16826047,s50043446,33,Findings,"In comparison with the study of ___, the multiple areas of increased opacification in the right hemithorax are again seen, with the apparent loculated pleural collection in the upper zone laterally appearing somewhat more prominent. The left lung remains clear.","In comparison with the study of ___, the multiple areas of increased opacification in the right hemithorax are again seen, with the apparent loculated pleural collection in the upper zone laterally appearing somewhat more prominent.","opacification, loculated pleural collection","right hemithorax, upper zone laterally",Worse,"['files/p16/p16826047/s50043446/2155d1bd-3cd88831-6b690bee-e3ac34ae-4b25fa8a.jpg', 'files/p16/p16826047/s50043446/7f6657e8-53cbad66-408c44bd-be99b9af-fbb557c9.jpg']",
s50049540_1,p12810135,s50049540,1,Impression,"1. Interval extubation, removal of the nasogastric tube, removal of mediastinal drains and removal of left basilar chest tube. Right internal jugular central line has its tip in the distal superior vena cava, unchanged. 2. Persistent low lung volumes with patchy bibasilar opacities and a probable layering left effusion. These findings likely reflect compressive atelectasis. No pneumothorax is seen. Status post median sternotomy with stable postoperative cardiac and mediastinal contours.","Interval extubation, removal of the nasogastric tube, removal of mediastinal drains and removal of left basilar chest tube.",Medical devices,,Resolve,['files/p12/p12810135/s50049540/e973d1f1-67f0309d-c6f961a4-02eda522-e311557e.jpg'],
s50049540_1,p12810135,s50049540,1,Impression,"1. Interval extubation, removal of the nasogastric tube, removal of mediastinal drains and removal of left basilar chest tube. Right internal jugular central line has its tip in the distal superior vena cava, unchanged. 2. Persistent low lung volumes with patchy bibasilar opacities and a probable layering left effusion. These findings likely reflect compressive atelectasis. No pneumothorax is seen. Status post median sternotomy with stable postoperative cardiac and mediastinal contours.","Right internal jugular central line has its tip in the distal superior vena cava, unchanged.",Right internal jugular central line,distal superior vena cava,Stable,['files/p12/p12810135/s50049540/e973d1f1-67f0309d-c6f961a4-02eda522-e311557e.jpg'],
s50049540_1,p12810135,s50049540,1,Impression,"1. Interval extubation, removal of the nasogastric tube, removal of mediastinal drains and removal of left basilar chest tube. Right internal jugular central line has its tip in the distal superior vena cava, unchanged. 2. Persistent low lung volumes with patchy bibasilar opacities and a probable layering left effusion. These findings likely reflect compressive atelectasis. No pneumothorax is seen. 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/p12/p12810135/s50049540/e973d1f1-67f0309d-c6f961a4-02eda522-e311557e.jpg'],
s50049540_1,p12810135,s50049540,1,Impression,"1. Interval extubation, removal of the nasogastric tube, removal of mediastinal drains and removal of left basilar chest tube. Right internal jugular central line has its tip in the distal superior vena cava, unchanged. 2. Persistent low lung volumes with patchy bibasilar opacities and a probable layering left effusion. These findings likely reflect compressive atelectasis. No pneumothorax is seen. Status post median sternotomy with stable postoperative cardiac and mediastinal contours.",Persistent low lung volumes with patchy bibasilar opacities and a probable layering left effusion.,opacities,bibasilar,Stable,['files/p12/p12810135/s50049540/e973d1f1-67f0309d-c6f961a4-02eda522-e311557e.jpg'],
s50051329_5,p10046166,s50051329,5,Findings,Lateral view somewhat limited due to overlying motion artifact. The lungs are low in volume. There is no focal airspace consolidation to suggest pneumonia. A 1.2-cm calcified granuloma just below the medial aspect of the right hemidiaphragm is unchanged from prior study. No pleural effusions or pulmonary edema. There is no pneumothorax. The inferior sternotomy wire is fractured but unchanged. Surgical clips and vascular markers in the thorax are related to prior CABG surgery.,A 1.2-cm calcified granuloma just below the medial aspect of the right hemidiaphragm is unchanged from prior study.,calcified granuloma,below the medial aspect of the right hemidiaphragm,Stable,"['files/p10/p10046166/s50051329/427446c1-881f5cce-85191ce1-91a58ba9-0a57d3f5.jpg', 'files/p10/p10046166/s50051329/abea5eb9-b7c32823-3a14c5ca-77868030-69c83139.jpg']",
s50051329_5,p10046166,s50051329,5,Findings,Lateral view somewhat limited due to overlying motion artifact. The lungs are low in volume. There is no focal airspace consolidation to suggest pneumonia. A 1.2-cm calcified granuloma just below the medial aspect of the right hemidiaphragm is unchanged from prior study. No pleural effusions or pulmonary edema. There is no pneumothorax. The inferior sternotomy wire is fractured but unchanged. Surgical clips and vascular markers in the thorax are related to prior CABG surgery.,The inferior sternotomy wire is fractured but unchanged.,sternotomy wire fracture,inferior,Stable,"['files/p10/p10046166/s50051329/427446c1-881f5cce-85191ce1-91a58ba9-0a57d3f5.jpg', 'files/p10/p10046166/s50051329/abea5eb9-b7c32823-3a14c5ca-77868030-69c83139.jpg']",
s50063962_11,p16043637,s50063962,11,Findings,"In comparison with the study of ___, there is little change. Cardiac silhouette remains mildly enlarged with dual-channel pacer and prosthetic aortic valve in a patient with intact midline sternal wires. No evidence of pulmonary vascular congestion, acute pneumonia, or pleural effusion at this time.",Cardiac silhouette remains mildly enlarged with dual-channel pacer and prosthetic aortic valve in a patient with intact midline sternal wires.,Cardiac silhouette,,Stable,"['files/p16/p16043637/s50063962/90e7de93-7268a4dd-a36fe8e3-1e1f27e8-323287bd.jpg', 'files/p16/p16043637/s50063962/bc34419f-ff9f5a7d-e909fa2f-7f6b33c4-80d138b8.jpg']",
s50065267_2,p17163861,s50065267,2,Impression,Improving left basilar atelectasis.,Improving left basilar atelectasis.,atelectasis,left basilar,Better,"['files/p17/p17163861/s50065267/1f13c4be-a6bc48a6-5675f256-e95b8a28-c017e780.jpg', 'files/p17/p17163861/s50065267/3d93e17d-7634fb78-ec7abdcd-a745490f-6eb6cc24.jpg', 'files/p17/p17163861/s50065267/83502e58-5ada1fba-450984b0-07c9ec9e-2b5b91b4.jpg', 'files/p17/p17163861/s50065267/bd3dc01c-c67b8f05-580c3880-de7352aa-4118828e.jpg']",
s50065267_2,p17163861,s50065267,2,Findings,"The patient is status post sternotomy. A dual-lead pacemaker/ICD device appears unchanged with leads again terminating in the right atrium and ventricle, respectively. There is patchy left basilar opacity, also obscuring the left lateral costophrenic sulcus, but somewhat decreased. Elsewhere, the lungs remain clear. There are no pleural effusions or pneumothorax. Small osteophytes are present throughout the visualized thoracic spine.","Elsewhere, the lungs remain clear.",lungs,elsewhere,Stable,"['files/p17/p17163861/s50065267/1f13c4be-a6bc48a6-5675f256-e95b8a28-c017e780.jpg', 'files/p17/p17163861/s50065267/3d93e17d-7634fb78-ec7abdcd-a745490f-6eb6cc24.jpg', 'files/p17/p17163861/s50065267/83502e58-5ada1fba-450984b0-07c9ec9e-2b5b91b4.jpg', 'files/p17/p17163861/s50065267/bd3dc01c-c67b8f05-580c3880-de7352aa-4118828e.jpg']",
s50065267_2,p17163861,s50065267,2,Findings,"The patient is status post sternotomy. A dual-lead pacemaker/ICD device appears unchanged with leads again terminating in the right atrium and ventricle, respectively. There is patchy left basilar opacity, also obscuring the left lateral costophrenic sulcus, but somewhat decreased. Elsewhere, the lungs remain clear. There are no pleural effusions or pneumothorax. Small osteophytes are present throughout the visualized thoracic spine.","There is patchy left basilar opacity, also obscuring the left lateral costophrenic sulcus, but somewhat decreased.",opacity,left basilar,Better,"['files/p17/p17163861/s50065267/1f13c4be-a6bc48a6-5675f256-e95b8a28-c017e780.jpg', 'files/p17/p17163861/s50065267/3d93e17d-7634fb78-ec7abdcd-a745490f-6eb6cc24.jpg', 'files/p17/p17163861/s50065267/83502e58-5ada1fba-450984b0-07c9ec9e-2b5b91b4.jpg', 'files/p17/p17163861/s50065267/bd3dc01c-c67b8f05-580c3880-de7352aa-4118828e.jpg']",
s50065267_2,p17163861,s50065267,2,Findings,"The patient is status post sternotomy. A dual-lead pacemaker/ICD device appears unchanged with leads again terminating in the right atrium and ventricle, respectively. There is patchy left basilar opacity, also obscuring the left lateral costophrenic sulcus, but somewhat decreased. Elsewhere, the lungs remain clear. There are no pleural effusions or pneumothorax. Small osteophytes are present throughout the visualized thoracic spine.","A dual-lead pacemaker/ICD device appears unchanged with leads again terminating in the right atrium and ventricle, respectively.",pacemaker/ICD device,right atrium and ventricle,Stable,"['files/p17/p17163861/s50065267/1f13c4be-a6bc48a6-5675f256-e95b8a28-c017e780.jpg', 'files/p17/p17163861/s50065267/3d93e17d-7634fb78-ec7abdcd-a745490f-6eb6cc24.jpg', 'files/p17/p17163861/s50065267/83502e58-5ada1fba-450984b0-07c9ec9e-2b5b91b4.jpg', 'files/p17/p17163861/s50065267/bd3dc01c-c67b8f05-580c3880-de7352aa-4118828e.jpg']",
s50065890_34,p16043637,s50065890,34,Impression,Cardiomediastinal contours are stable. Lungs are clear except for linear bibasilar areas of atelectasis. No pleural effusion or pneumothorax.,Cardiomediastinal contours are stable.,contours,Cardiomediastinal,Stable,['files/p16/p16043637/s50065890/fb45550c-b18bc286-c44ccc22-7ef82df9-02181d75.jpg'],"['files/p16/p16043637/s50063962/90e7de93-7268a4dd-a36fe8e3-1e1f27e8-323287bd.jpg\n', 'files/p16/p16043637/s50063962/bc34419f-ff9f5a7d-e909fa2f-7f6b33c4-80d138b8.jpg\n']"
s50071311_10,p14295224,s50071311,10,Findings,"The patient is status post esophagectomy and gastric pull through. The lungs are hyperinflated. There are new patchy airspace opacities in the bilateral lung bases, concerning for aspiration. Chronic medial right apex pleural thickening and triangular peripheral interstital opacities in the right mid lung field are again seen. A hazy opacity consistent with chronic scarring related to radiation treatment is again seen in the medial right upper lobe. An 8 mm nodular opacity is again seen within the right lower lobe, unchanged from prior exam. There is atelectasis at the left lung base. A chronic right pleural effusion is again noted. There is no left pleural effusion. Cardiomediastinal silhouette is stable. There is no pneumothorax. Visualized osseous structures are unremarkable.","An 8 mm nodular opacity is again seen within the right lower lobe, unchanged from prior exam.",8 mm nodular opacity,right lower lobe,Stable,"['files/p14/p14295224/s50071311/16384581-f188d696-944e2d78-10472ce0-ba2e73b9.jpg', 'files/p14/p14295224/s50071311/9d610a3e-d49aa652-74dee660-f60d66e8-8cb3cee5.jpg']",
s50071311_10,p14295224,s50071311,10,Findings,"The patient is status post esophagectomy and gastric pull through. The lungs are hyperinflated. There are new patchy airspace opacities in the bilateral lung bases, concerning for aspiration. Chronic medial right apex pleural thickening and triangular peripheral interstital opacities in the right mid lung field are again seen. A hazy opacity consistent with chronic scarring related to radiation treatment is again seen in the medial right upper lobe. An 8 mm nodular opacity is again seen within the right lower lobe, unchanged from prior exam. There is atelectasis at the left lung base. A chronic right pleural effusion is again noted. There is no left pleural effusion. Cardiomediastinal silhouette is stable. There is no pneumothorax. Visualized osseous structures are unremarkable.",A hazy opacity consistent with chronic scarring related to radiation treatment is again seen in the medial right upper lobe.,hazy opacity consistent with chronic scarring related to radiation treatment,medial right upper lobe,Stable,"['files/p14/p14295224/s50071311/16384581-f188d696-944e2d78-10472ce0-ba2e73b9.jpg', 'files/p14/p14295224/s50071311/9d610a3e-d49aa652-74dee660-f60d66e8-8cb3cee5.jpg']",
s50071311_10,p14295224,s50071311,10,Findings,"The patient is status post esophagectomy and gastric pull through. The lungs are hyperinflated. There are new patchy airspace opacities in the bilateral lung bases, concerning for aspiration. Chronic medial right apex pleural thickening and triangular peripheral interstital opacities in the right mid lung field are again seen. A hazy opacity consistent with chronic scarring related to radiation treatment is again seen in the medial right upper lobe. An 8 mm nodular opacity is again seen within the right lower lobe, unchanged from prior exam. There is atelectasis at the left lung base. A chronic right pleural effusion is again noted. There is no left pleural effusion. Cardiomediastinal silhouette is stable. There is no pneumothorax. Visualized osseous structures are unremarkable.",Chronic medial right apex pleural thickening and triangular peripheral interstital opacities in the right mid lung field are again seen.,triangular peripheral interstitial opacities,right mid lung field,Stable,"['files/p14/p14295224/s50071311/16384581-f188d696-944e2d78-10472ce0-ba2e73b9.jpg', 'files/p14/p14295224/s50071311/9d610a3e-d49aa652-74dee660-f60d66e8-8cb3cee5.jpg']",
s50071311_10,p14295224,s50071311,10,Findings,"The patient is status post esophagectomy and gastric pull through. The lungs are hyperinflated. There are new patchy airspace opacities in the bilateral lung bases, concerning for aspiration. Chronic medial right apex pleural thickening and triangular peripheral interstital opacities in the right mid lung field are again seen. A hazy opacity consistent with chronic scarring related to radiation treatment is again seen in the medial right upper lobe. An 8 mm nodular opacity is again seen within the right lower lobe, unchanged from prior exam. There is atelectasis at the left lung base. A chronic right pleural effusion is again noted. There is no left pleural effusion. Cardiomediastinal silhouette is stable. There is no pneumothorax. Visualized osseous structures are unremarkable.","There are new patchy airspace opacities in the bilateral lung bases, concerning for aspiration.",patchy airspace opacities,bilateral lung bases,New,"['files/p14/p14295224/s50071311/16384581-f188d696-944e2d78-10472ce0-ba2e73b9.jpg', 'files/p14/p14295224/s50071311/9d610a3e-d49aa652-74dee660-f60d66e8-8cb3cee5.jpg']",
s50071311_10,p14295224,s50071311,10,Findings,"The patient is status post esophagectomy and gastric pull through. The lungs are hyperinflated. There are new patchy airspace opacities in the bilateral lung bases, concerning for aspiration. Chronic medial right apex pleural thickening and triangular peripheral interstital opacities in the right mid lung field are again seen. A hazy opacity consistent with chronic scarring related to radiation treatment is again seen in the medial right upper lobe. An 8 mm nodular opacity is again seen within the right lower lobe, unchanged from prior exam. There is atelectasis at the left lung base. A chronic right pleural effusion is again noted. There is no left pleural effusion. Cardiomediastinal silhouette is stable. There is no pneumothorax. Visualized osseous structures are unremarkable.",A chronic right pleural effusion is again noted.,pleural effusion,right,Stable,"['files/p14/p14295224/s50071311/16384581-f188d696-944e2d78-10472ce0-ba2e73b9.jpg', 'files/p14/p14295224/s50071311/9d610a3e-d49aa652-74dee660-f60d66e8-8cb3cee5.jpg']",
s50071311_10,p14295224,s50071311,10,Impression,"1. New bibasilar patchy airspace opacities, concerning for aspiration pneumonia. 2. Stable right upper lobe radiation treatment related changes and stable right lower lobe pulmonary nodule. 3. Unchanged small right pleural effusion.",3. Unchanged small right pleural effusion.,small pleural effusion,right,Stable,"['files/p14/p14295224/s50071311/16384581-f188d696-944e2d78-10472ce0-ba2e73b9.jpg', 'files/p14/p14295224/s50071311/9d610a3e-d49aa652-74dee660-f60d66e8-8cb3cee5.jpg']",
s50071311_10,p14295224,s50071311,10,Findings,"The patient is status post esophagectomy and gastric pull through. The lungs are hyperinflated. There are new patchy airspace opacities in the bilateral lung bases, concerning for aspiration. Chronic medial right apex pleural thickening and triangular peripheral interstital opacities in the right mid lung field are again seen. A hazy opacity consistent with chronic scarring related to radiation treatment is again seen in the medial right upper lobe. An 8 mm nodular opacity is again seen within the right lower lobe, unchanged from prior exam. There is atelectasis at the left lung base. A chronic right pleural effusion is again noted. There is no left pleural effusion. Cardiomediastinal silhouette is stable. There is no pneumothorax. Visualized osseous structures are unremarkable.",Cardiomediastinal silhouette is stable.,silhouette,Cardiomediastinal,Stable,"['files/p14/p14295224/s50071311/16384581-f188d696-944e2d78-10472ce0-ba2e73b9.jpg', 'files/p14/p14295224/s50071311/9d610a3e-d49aa652-74dee660-f60d66e8-8cb3cee5.jpg']",
s50071311_10,p14295224,s50071311,10,Impression,"1. New bibasilar patchy airspace opacities, concerning for aspiration pneumonia. 2. Stable right upper lobe radiation treatment related changes and stable right lower lobe pulmonary nodule. 3. Unchanged small right pleural effusion.",2. Stable right upper lobe radiation treatment related changes and stable right lower lobe pulmonary nodule.,radiation treatment related changes,right upper lobe,Stable,"['files/p14/p14295224/s50071311/16384581-f188d696-944e2d78-10472ce0-ba2e73b9.jpg', 'files/p14/p14295224/s50071311/9d610a3e-d49aa652-74dee660-f60d66e8-8cb3cee5.jpg']",
s50071311_10,p14295224,s50071311,10,Impression,"1. New bibasilar patchy airspace opacities, concerning for aspiration pneumonia. 2. Stable right upper lobe radiation treatment related changes and stable right lower lobe pulmonary nodule. 3. Unchanged small right pleural effusion.","1. New bibasilar patchy airspace opacities, concerning for aspiration pneumonia.",patchy airspace opacities,bibasilar,New,"['files/p14/p14295224/s50071311/16384581-f188d696-944e2d78-10472ce0-ba2e73b9.jpg', 'files/p14/p14295224/s50071311/9d610a3e-d49aa652-74dee660-f60d66e8-8cb3cee5.jpg']",
s50071311_10,p14295224,s50071311,10,Impression,"1. New bibasilar patchy airspace opacities, concerning for aspiration pneumonia. 2. Stable right upper lobe radiation treatment related changes and stable right lower lobe pulmonary nodule. 3. Unchanged small right pleural effusion.",2. Stable right upper lobe radiation treatment related changes and stable right lower lobe pulmonary nodule.,pulmonary nodule,right lower lobe,Stable,"['files/p14/p14295224/s50071311/16384581-f188d696-944e2d78-10472ce0-ba2e73b9.jpg', 'files/p14/p14295224/s50071311/9d610a3e-d49aa652-74dee660-f60d66e8-8cb3cee5.jpg']",
s50071311_10,p14295224,s50071311,10,Findings,"The patient is status post esophagectomy and gastric pull through. The lungs are hyperinflated. There are new patchy airspace opacities in the bilateral lung bases, concerning for aspiration. Chronic medial right apex pleural thickening and triangular peripheral interstital opacities in the right mid lung field are again seen. A hazy opacity consistent with chronic scarring related to radiation treatment is again seen in the medial right upper lobe. An 8 mm nodular opacity is again seen within the right lower lobe, unchanged from prior exam. There is atelectasis at the left lung base. A chronic right pleural effusion is again noted. There is no left pleural effusion. Cardiomediastinal silhouette is stable. There is no pneumothorax. Visualized osseous structures are unremarkable.",Chronic medial right apex pleural thickening and triangular peripheral interstital opacities in the right mid lung field are again seen.,pleural thickening,medial right apex,Stable,"['files/p14/p14295224/s50071311/16384581-f188d696-944e2d78-10472ce0-ba2e73b9.jpg', 'files/p14/p14295224/s50071311/9d610a3e-d49aa652-74dee660-f60d66e8-8cb3cee5.jpg']",
s50083620_12,p15131736,s50083620,12,Findings,"A single, frontal, PA radiograph of the chest was taken with the patient in upright position. There is mild interstitial edema and pulmonary vascular engorgement. No focal airspace consolidation is seen. Moderate cardiomegaly is unchanged. There is no pneumothorax or large pleural effusion.",Moderate cardiomegaly is unchanged.,cardiomegaly,,Stable,"['files/p15/p15131736/s50083620/08081db5-6ca04a17-57f800a3-d1d7d84c-a40861b4.jpg', 'files/p15/p15131736/s50083620/72ce954d-bba45304-05275f9e-44609e77-47dcf40c.jpg', 'files/p15/p15131736/s50083620/a652c914-9dee6fe8-96a798f8-8450007c-69a5592a.jpg']","['files/p15/p15131736/s50036264/24272d21-fb03bffa-30313063-dcf3be4e-abd43ff2.jpg\n', 'files/p15/p15131736/s50036264/4ef84da8-ff83a551-31f0aa42-d17ba6a2-c6561835.jpg\n', 'files/p15/p15131736/s50036264/fcbd8e6c-3d25351e-a80195ec-58b15ef8-9c07f9a2.jpg\n']"
s50084331_21,p14387068,s50084331,21,Impression,"AP chest compared to ___: There may be slightly less fluid in an air and fluid collection at the base of the right hemithorax lying just superior to a pigtail drain. With conventional radiographs, much less a single frontal view, it is impossible to say how the position of the tube relates to pleural collections. Right middle lobe is probably still collapsed. Left lung shows mild pulmonary vascular congestion as before, and a small left pleural effusion is stable. Heart size is normal. Right PIC line ends low in the SVC.",AP chest compared to ___: There may be slightly less fluid in an air and fluid collection at the base of the right hemithorax lying just superior to a pigtail drain.,fluid collection,base of the right hemithorax,Better,['files/p14/p14387068/s50084331/5d8d15d2-dc99cbe5-5c910973-385d5e29-82320f37.jpg'],
s50084331_21,p14387068,s50084331,21,Impression,"AP chest compared to ___: There may be slightly less fluid in an air and fluid collection at the base of the right hemithorax lying just superior to a pigtail drain. With conventional radiographs, much less a single frontal view, it is impossible to say how the position of the tube relates to pleural collections. Right middle lobe is probably still collapsed. Left lung shows mild pulmonary vascular congestion as before, and a small left pleural effusion is stable. Heart size is normal. Right PIC line ends low in the SVC.","Left lung shows mild pulmonary vascular congestion as before, and a small left pleural effusion is stable.",pleural effusion,left,Stable,['files/p14/p14387068/s50084331/5d8d15d2-dc99cbe5-5c910973-385d5e29-82320f37.jpg'],
s50084331_21,p14387068,s50084331,21,Impression,"AP chest compared to ___: There may be slightly less fluid in an air and fluid collection at the base of the right hemithorax lying just superior to a pigtail drain. With conventional radiographs, much less a single frontal view, it is impossible to say how the position of the tube relates to pleural collections. Right middle lobe is probably still collapsed. Left lung shows mild pulmonary vascular congestion as before, and a small left pleural effusion is stable. Heart size is normal. Right PIC line ends low in the SVC.","Left lung shows mild pulmonary vascular congestion as before, and a small left pleural effusion is stable.",pulmonary vascular congestion,left lung,Stable,['files/p14/p14387068/s50084331/5d8d15d2-dc99cbe5-5c910973-385d5e29-82320f37.jpg'],
s50084331_21,p14387068,s50084331,21,Impression,"AP chest compared to ___: There may be slightly less fluid in an air and fluid collection at the base of the right hemithorax lying just superior to a pigtail drain. With conventional radiographs, much less a single frontal view, it is impossible to say how the position of the tube relates to pleural collections. Right middle lobe is probably still collapsed. Left lung shows mild pulmonary vascular congestion as before, and a small left pleural effusion is stable. Heart size is normal. Right PIC line ends low in the SVC.",Right middle lobe is probably still collapsed.,collapse,right middle lobe,Stable,['files/p14/p14387068/s50084331/5d8d15d2-dc99cbe5-5c910973-385d5e29-82320f37.jpg'],
s50090559_26,p16751749,s50090559,26,Findings,"Compared to the prior exam, there is no significant interval change.","Compared to the prior exam, there is no significant interval change.",,,Stable,['files/p16/p16751749/s50090559/9756bc1b-1827e912-16df6958-c6ddb9e7-17098cf1.jpg'],
s50093179_15,p13475033,s50093179,15,Impression,No acute cardiopulmonary process. Stable cardiomegaly. Stable thoracic compression fractures.,Stable cardiomegaly.,cardiomegaly,,Stable,"['files/p13/p13475033/s50093179/103e2c45-c0d49e36-40eee1f9-e44f2e38-49d8050b.jpg', 'files/p13/p13475033/s50093179/218001d1-0344f63d-bc2640b9-21fb85a1-28dbceda.jpg', 'files/p13/p13475033/s50093179/4a021054-bbc5de8b-8b37348e-b2c5feec-9767dc05.jpg']",
s50093179_15,p13475033,s50093179,15,Impression,No acute cardiopulmonary process. Stable cardiomegaly. Stable thoracic compression fractures.,Stable thoracic compression fractures.,compression fractures,thoracic,Stable,"['files/p13/p13475033/s50093179/103e2c45-c0d49e36-40eee1f9-e44f2e38-49d8050b.jpg', 'files/p13/p13475033/s50093179/218001d1-0344f63d-bc2640b9-21fb85a1-28dbceda.jpg', 'files/p13/p13475033/s50093179/4a021054-bbc5de8b-8b37348e-b2c5feec-9767dc05.jpg']",
s50093179_15,p13475033,s50093179,15,Findings,Frontal and lateral chest radiographs demonstrate stable cardiomegaly and tortuous aorta. No focal opacification concerning for pneumonia identified. No pleural effusion or pneumothorax identified. Multiple thoracic compression deformities are unchanged since ___. Dense calcifications are noted within the right coronary artery as well as the aorta.,Multiple thoracic compression deformities are unchanged since ___.,compression deformities,thoracic,Stable,"['files/p13/p13475033/s50093179/103e2c45-c0d49e36-40eee1f9-e44f2e38-49d8050b.jpg', 'files/p13/p13475033/s50093179/218001d1-0344f63d-bc2640b9-21fb85a1-28dbceda.jpg', 'files/p13/p13475033/s50093179/4a021054-bbc5de8b-8b37348e-b2c5feec-9767dc05.jpg']",
s50093179_15,p13475033,s50093179,15,Findings,Frontal and lateral chest radiographs demonstrate stable cardiomegaly and tortuous aorta. No focal opacification concerning for pneumonia identified. No pleural effusion or pneumothorax identified. Multiple thoracic compression deformities are unchanged since ___. Dense calcifications are noted within the right coronary artery as well as the aorta.,Frontal and lateral chest radiographs demonstrate stable cardiomegaly and tortuous aorta.,cardiomegaly,,Stable,"['files/p13/p13475033/s50093179/103e2c45-c0d49e36-40eee1f9-e44f2e38-49d8050b.jpg', 'files/p13/p13475033/s50093179/218001d1-0344f63d-bc2640b9-21fb85a1-28dbceda.jpg', 'files/p13/p13475033/s50093179/4a021054-bbc5de8b-8b37348e-b2c5feec-9767dc05.jpg']",
s50093776_5,p15612622,s50093776,5,Findings,"Frontal and lateral views of the chest were obtained. Lungs are hyperinflated, flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. 7-mm calcific focus in the left mid chest is stable. Cardiac silhouette top normal to mildly enlarged. The aorta is tortuous. Minimal lingular atelectasis is seen. There is also mild biapical pleural thickening. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The mediastinal contours are stable and do not appear widened. There is diffuse osteopenia.",The mediastinal contours are stable and do not appear widened.,contours,mediastinal,Stable,"['files/p15/p15612622/s50093776/28737f0b-1389eccb-3debcb12-da4fbf04-3401a0a4.jpg', 'files/p15/p15612622/s50093776/b68832f5-cb74ec26-125ffe9e-4e092765-e97f8be0.jpg', 'files/p15/p15612622/s50093776/d3ecfa7f-1a24312c-7a107e83-9ee0345c-edfe5bc0.jpg']",
s50093776_5,p15612622,s50093776,5,Impression,Stable mediastinal contour which is not widened.,Stable mediastinal contour which is not widened.,contour,mediastinal,Stable,"['files/p15/p15612622/s50093776/28737f0b-1389eccb-3debcb12-da4fbf04-3401a0a4.jpg', 'files/p15/p15612622/s50093776/b68832f5-cb74ec26-125ffe9e-4e092765-e97f8be0.jpg', 'files/p15/p15612622/s50093776/d3ecfa7f-1a24312c-7a107e83-9ee0345c-edfe5bc0.jpg']",
s50093776_5,p15612622,s50093776,5,Findings,"Frontal and lateral views of the chest were obtained. Lungs are hyperinflated, flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. 7-mm calcific focus in the left mid chest is stable. Cardiac silhouette top normal to mildly enlarged. The aorta is tortuous. Minimal lingular atelectasis is seen. There is also mild biapical pleural thickening. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The mediastinal contours are stable and do not appear widened. There is diffuse osteopenia.",7-mm calcific focus in the left mid chest is stable.,7-mm calcific focus,left mid chest,Stable,"['files/p15/p15612622/s50093776/28737f0b-1389eccb-3debcb12-da4fbf04-3401a0a4.jpg', 'files/p15/p15612622/s50093776/b68832f5-cb74ec26-125ffe9e-4e092765-e97f8be0.jpg', 'files/p15/p15612622/s50093776/d3ecfa7f-1a24312c-7a107e83-9ee0345c-edfe5bc0.jpg']",
s50094334_0,p18338007,s50094334,0,Findings,"AP and lateral chest radiographs demonstrate stable bilateral low lung volumes with persistent elevation of the left hemidiaphragm with air distended bowel beneath. Mediastinal contours are stable. The cardiac contour is not well evaluated due to elevation of the diaphragm. Compared to prior study, there is increased pulmonary vascular congestion. No focal opacification concerning for pneumonia identified. No pleural effusion or pneumothorax evident.",Mediastinal contours are stable.,Mediastinal contours,,Stable,"['files/p18/p18338007/s50094334/0d3ff5e0-5202a70f-86af9d84-eec64254-845e87d4.jpg', 'files/p18/p18338007/s50094334/48d2fd47-8df6a41f-106df2c8-bda4ee13-ab4eaa22.jpg', 'files/p18/p18338007/s50094334/ad2d9faa-b8c9c2ee-833f7217-e4abe541-ffbe0f8f.jpg']",
s50094334_0,p18338007,s50094334,0,Findings,"AP and lateral chest radiographs demonstrate stable bilateral low lung volumes with persistent elevation of the left hemidiaphragm with air distended bowel beneath. Mediastinal contours are stable. The cardiac contour is not well evaluated due to elevation of the diaphragm. Compared to prior study, there is increased pulmonary vascular congestion. No focal opacification concerning for pneumonia identified. No pleural effusion or pneumothorax evident.","Compared to prior study, there is increased pulmonary vascular congestion.",pulmonary vascular congestion,,Worse,"['files/p18/p18338007/s50094334/0d3ff5e0-5202a70f-86af9d84-eec64254-845e87d4.jpg', 'files/p18/p18338007/s50094334/48d2fd47-8df6a41f-106df2c8-bda4ee13-ab4eaa22.jpg', 'files/p18/p18338007/s50094334/ad2d9faa-b8c9c2ee-833f7217-e4abe541-ffbe0f8f.jpg']",
s50094334_0,p18338007,s50094334,0,Findings,"AP and lateral chest radiographs demonstrate stable bilateral low lung volumes with persistent elevation of the left hemidiaphragm with air distended bowel beneath. Mediastinal contours are stable. The cardiac contour is not well evaluated due to elevation of the diaphragm. Compared to prior study, there is increased pulmonary vascular congestion. No focal opacification concerning for pneumonia identified. No pleural effusion or pneumothorax evident.",AP and lateral chest radiographs demonstrate stable bilateral low lung volumes with persistent elevation of the left hemidiaphragm with air distended bowel beneath.,low lung volumes,bilateral,Stable,"['files/p18/p18338007/s50094334/0d3ff5e0-5202a70f-86af9d84-eec64254-845e87d4.jpg', 'files/p18/p18338007/s50094334/48d2fd47-8df6a41f-106df2c8-bda4ee13-ab4eaa22.jpg', 'files/p18/p18338007/s50094334/ad2d9faa-b8c9c2ee-833f7217-e4abe541-ffbe0f8f.jpg']",
s50110450_3,p18906643,s50110450,3,Findings,"As compared to the previous radiograph, the endotracheal tube, nasogastric tube and right internal jugular vein catheter are unchanged. The pre-existing pulmonary edema might have mildly improved, there is increased retrocardiac and right basal atelectasis. No pleural effusions. No major atelectasis.","As compared to the previous radiograph, the endotracheal tube, nasogastric tube and right internal jugular vein catheter are unchanged.",Position,Right internal jugular vein catheter,Stable,"['files/p18/p18906643/s50110450/d6c44a1e-bc7bfb79-5bb6413e-56e90974-d687482a.jpg', 'files/p18/p18906643/s50110450/de63ae30-040537e7-cda1fd69-c64661bd-ab9be172.jpg']",
s50110450_3,p18906643,s50110450,3,Findings,"As compared to the previous radiograph, the endotracheal tube, nasogastric tube and right internal jugular vein catheter are unchanged. The pre-existing pulmonary edema might have mildly improved, there is increased retrocardiac and right basal atelectasis. No pleural effusions. No major atelectasis.","As compared to the previous radiograph, the endotracheal tube, nasogastric tube and right internal jugular vein catheter are unchanged.",Position,Endotracheal tube,Stable,"['files/p18/p18906643/s50110450/d6c44a1e-bc7bfb79-5bb6413e-56e90974-d687482a.jpg', 'files/p18/p18906643/s50110450/de63ae30-040537e7-cda1fd69-c64661bd-ab9be172.jpg']",
s50110450_3,p18906643,s50110450,3,Findings,"As compared to the previous radiograph, the endotracheal tube, nasogastric tube and right internal jugular vein catheter are unchanged. The pre-existing pulmonary edema might have mildly improved, there is increased retrocardiac and right basal atelectasis. No pleural effusions. No major atelectasis.","As compared to the previous radiograph, the endotracheal tube, nasogastric tube and right internal jugular vein catheter are unchanged.",Position,Nasogastric tube,Stable,"['files/p18/p18906643/s50110450/d6c44a1e-bc7bfb79-5bb6413e-56e90974-d687482a.jpg', 'files/p18/p18906643/s50110450/de63ae30-040537e7-cda1fd69-c64661bd-ab9be172.jpg']",
s50110450_3,p18906643,s50110450,3,Findings,"As compared to the previous radiograph, the endotracheal tube, nasogastric tube and right internal jugular vein catheter are unchanged. The pre-existing pulmonary edema might have mildly improved, there is increased retrocardiac and right basal atelectasis. No pleural effusions. No major atelectasis.","The pre-existing pulmonary edema might have mildly improved, there is increased retrocardiac and right basal atelectasis.",,Pulmonary edema,Better,"['files/p18/p18906643/s50110450/d6c44a1e-bc7bfb79-5bb6413e-56e90974-d687482a.jpg', 'files/p18/p18906643/s50110450/de63ae30-040537e7-cda1fd69-c64661bd-ab9be172.jpg']",
s50110450_3,p18906643,s50110450,3,Findings,"As compared to the previous radiograph, the endotracheal tube, nasogastric tube and right internal jugular vein catheter are unchanged. The pre-existing pulmonary edema might have mildly improved, there is increased retrocardiac and right basal atelectasis. No pleural effusions. No major atelectasis.","The pre-existing pulmonary edema might have mildly improved, there is increased retrocardiac and right basal atelectasis.",Atelectasis,Retrocardiac and right basal,Worse,"['files/p18/p18906643/s50110450/d6c44a1e-bc7bfb79-5bb6413e-56e90974-d687482a.jpg', 'files/p18/p18906643/s50110450/de63ae30-040537e7-cda1fd69-c64661bd-ab9be172.jpg']",
s50112134_11,p16553329,s50112134,11,Findings,There has been interval placement of a right central dialysis catheter. Bilateral hilar vascular prominence is re- demonstrated with subtle nodularity in the left upper lung likely representing confluence of vasculature though a true nodule difficult to exclude. There is no convincing sign of pneumonia or overt edema. Small left effusion is present with basilar atelectasis. The cardiomediastinal silhouette is unchanged.,There has been interval placement of a right central dialysis catheter,dialysis catheter,right central,New,"['files/p16/p16553329/s50112134/277f62f5-617ece32-531a87ea-d1f6b703-578157ce.jpg', 'files/p16/p16553329/s50112134/7ddd8e36-8b7ad07a-2157c5f0-e30755e5-e0a8ad3f.jpg']",
s50112134_11,p16553329,s50112134,11,Impression,New HD catheter in place. Prominent perihilar vascular markings with subtle nodularity in the left upper lobe requiring CT on a nonemergent basis to further assess. Small left pleural effusion with basal atelectasis.,New HD catheter in place,HD catheter,,New,"['files/p16/p16553329/s50112134/277f62f5-617ece32-531a87ea-d1f6b703-578157ce.jpg', 'files/p16/p16553329/s50112134/7ddd8e36-8b7ad07a-2157c5f0-e30755e5-e0a8ad3f.jpg']",
s50112134_11,p16553329,s50112134,11,Findings,There has been interval placement of a right central dialysis catheter. Bilateral hilar vascular prominence is re- demonstrated with subtle nodularity in the left upper lung likely representing confluence of vasculature though a true nodule difficult to exclude. There is no convincing sign of pneumonia or overt edema. Small left effusion is present with basilar atelectasis. The cardiomediastinal silhouette is unchanged.,The cardiomediastinal silhouette is unchanged,cardiomediastinal silhouette,,Stable,"['files/p16/p16553329/s50112134/277f62f5-617ece32-531a87ea-d1f6b703-578157ce.jpg', 'files/p16/p16553329/s50112134/7ddd8e36-8b7ad07a-2157c5f0-e30755e5-e0a8ad3f.jpg']",
s50121027_3,p16334516,s50121027,3,Findings,"Two frontal images of the chest demonstrate improved atelectasis in the right upper lung and left lower lung from previous imaging. A hazy opacity over the left lung base suggests a layering pleural effusion. A small area of hazy opacity at the right costophrenic angle may represent a small layering pleural effusion. Bilateral pulmonary vascular congestion is again seen, essentially unchanged. Cardiomediastinal silhouette is unchanged.",Cardiomediastinal silhouette is unchanged.,silhouette,Cardiomediastinal,Stable,['files/p16/p16334516/s50121027/2687e47d-96929b39-f0f102b3-d5e17213-31865ec4.jpg'],['files/p16/p16334516/s50030496/569f5628-f5c36d3e-40a91b60-1fe58583-1f997220.jpg\n']
s50121027_3,p16334516,s50121027,3,Findings,"Two frontal images of the chest demonstrate improved atelectasis in the right upper lung and left lower lung from previous imaging. A hazy opacity over the left lung base suggests a layering pleural effusion. A small area of hazy opacity at the right costophrenic angle may represent a small layering pleural effusion. Bilateral pulmonary vascular congestion is again seen, essentially unchanged. Cardiomediastinal silhouette is unchanged.","Bilateral pulmonary vascular congestion is again seen, essentially unchanged.",pulmonary vascular congestion,Bilateral,Stable,['files/p16/p16334516/s50121027/2687e47d-96929b39-f0f102b3-d5e17213-31865ec4.jpg'],['files/p16/p16334516/s50030496/569f5628-f5c36d3e-40a91b60-1fe58583-1f997220.jpg\n']
s50121027_3,p16334516,s50121027,3,Findings,"Two frontal images of the chest demonstrate improved atelectasis in the right upper lung and left lower lung from previous imaging. A hazy opacity over the left lung base suggests a layering pleural effusion. A small area of hazy opacity at the right costophrenic angle may represent a small layering pleural effusion. Bilateral pulmonary vascular congestion is again seen, essentially unchanged. Cardiomediastinal silhouette is unchanged.",Two frontal images of the chest demonstrate improved atelectasis in the right upper lung and left lower lung from previous imaging.,atelectasis,left lower lung,Better,['files/p16/p16334516/s50121027/2687e47d-96929b39-f0f102b3-d5e17213-31865ec4.jpg'],['files/p16/p16334516/s50030496/569f5628-f5c36d3e-40a91b60-1fe58583-1f997220.jpg\n']
s50121027_3,p16334516,s50121027,3,Findings,"Two frontal images of the chest demonstrate improved atelectasis in the right upper lung and left lower lung from previous imaging. A hazy opacity over the left lung base suggests a layering pleural effusion. A small area of hazy opacity at the right costophrenic angle may represent a small layering pleural effusion. Bilateral pulmonary vascular congestion is again seen, essentially unchanged. Cardiomediastinal silhouette is unchanged.",Two frontal images of the chest demonstrate improved atelectasis in the right upper lung and left lower lung from previous imaging.,atelectasis,right upper lung,Better,['files/p16/p16334516/s50121027/2687e47d-96929b39-f0f102b3-d5e17213-31865ec4.jpg'],['files/p16/p16334516/s50030496/569f5628-f5c36d3e-40a91b60-1fe58583-1f997220.jpg\n']
s50121027_3,p16334516,s50121027,3,Impression,"Interval improvement in atelectasis. Persistent vascular congestion and bilateral pleural effusions, left greater than right.","Interval improvement in atelectasis. Persistent vascular congestion and bilateral pleural effusions, left greater than right.",vascular congestion,Bilateral,Stable,['files/p16/p16334516/s50121027/2687e47d-96929b39-f0f102b3-d5e17213-31865ec4.jpg'],['files/p16/p16334516/s50030496/569f5628-f5c36d3e-40a91b60-1fe58583-1f997220.jpg\n']
s50121027_3,p16334516,s50121027,3,Impression,"Interval improvement in atelectasis. Persistent vascular congestion and bilateral pleural effusions, left greater than right.","Interval improvement in atelectasis. Persistent vascular congestion and bilateral pleural effusions, left greater than right.",pleural effusions,Bilateral,Stable,['files/p16/p16334516/s50121027/2687e47d-96929b39-f0f102b3-d5e17213-31865ec4.jpg'],['files/p16/p16334516/s50030496/569f5628-f5c36d3e-40a91b60-1fe58583-1f997220.jpg\n']
s50121027_3,p16334516,s50121027,3,Impression,"Interval improvement in atelectasis. Persistent vascular congestion and bilateral pleural effusions, left greater than right.","Interval improvement in atelectasis. Persistent vascular congestion and bilateral pleural effusions, left greater than right.",atelectasis,Interval,Better,['files/p16/p16334516/s50121027/2687e47d-96929b39-f0f102b3-d5e17213-31865ec4.jpg'],['files/p16/p16334516/s50030496/569f5628-f5c36d3e-40a91b60-1fe58583-1f997220.jpg\n']
s50124332_2,p10650001,s50124332,2,Findings,"Portable upright view of the chest demonstrates low lung volumes. There is no pleural effusion or pneumothorax. Heart size is top normal. Hilar and mediastinal silhouettes are unchanged. There is perihilar vascular congestion. Interstitial markings are prominent, suggest possible mild interstitial pulmonary edema. Right-sided Port-A-Cath is stable position projecting over cavoatrial junction.",Right-sided Port-A-Cath is stable position projecting over cavoatrial junction.,Port-A-Cath,right-sided,Stable,['files/p10/p10650001/s50124332/3878f00f-4b737c96-dff939c5-2f24a10d-23db2293.jpg'],
s50124332_2,p10650001,s50124332,2,Findings,"Portable upright view of the chest demonstrates low lung volumes. There is no pleural effusion or pneumothorax. Heart size is top normal. Hilar and mediastinal silhouettes are unchanged. There is perihilar vascular congestion. Interstitial markings are prominent, suggest possible mild interstitial pulmonary edema. Right-sided Port-A-Cath is stable position projecting over cavoatrial junction.",Hilar and mediastinal silhouettes are unchanged.,hilar and mediastinal silhouettes,,Stable,['files/p10/p10650001/s50124332/3878f00f-4b737c96-dff939c5-2f24a10d-23db2293.jpg'],
s50126222_13,p11022245,s50126222,13,Findings,"Right-sided Port-A-Cath tip terminates at the junction of the SVC and right atrium. Patient is status post median sternotomy and aortic valve replacement. Lung volumes are low with mild enlargement of the cardiac silhouette, unchanged. Mediastinal and hilar contours are similar. There is mild pulmonary edema, slightly improved in the interval. Patchy opacities in the lung bases may reflect areas of atelectasis, but infection particularly in the left lung base cannot be completely excluded. No pleural effusion or pneumothorax is demonstrated. Elevation of the left hemidiaphragm is again noted. No acute osseous abnormality is visualized.","Lung volumes are low with mild enlargement of the cardiac silhouette, unchanged.",cardiac silhouette,,Stable,['files/p11/p11022245/s50126222/0ae07ada-41d03c2a-ec74ae48-d0c17cec-343ae6fa.jpg'],"['files/p11/p11022245/s50078440/70ee568a-e2a70b5f-9f73d45e-c3015d3a-2a6bf3c0.jpg\n', 'files/p11/p11022245/s50078440/816f21ae-13fa33ff-7a4ea5d9-e246fa18-f09a32ff.jpg\n']"
s50126222_13,p11022245,s50126222,13,Findings,"Right-sided Port-A-Cath tip terminates at the junction of the SVC and right atrium. Patient is status post median sternotomy and aortic valve replacement. Lung volumes are low with mild enlargement of the cardiac silhouette, unchanged. Mediastinal and hilar contours are similar. There is mild pulmonary edema, slightly improved in the interval. Patchy opacities in the lung bases may reflect areas of atelectasis, but infection particularly in the left lung base cannot be completely excluded. No pleural effusion or pneumothorax is demonstrated. Elevation of the left hemidiaphragm is again noted. No acute osseous abnormality is visualized.",Mediastinal and hilar contours are similar.,mediastinal and hilar contours,,Stable,['files/p11/p11022245/s50126222/0ae07ada-41d03c2a-ec74ae48-d0c17cec-343ae6fa.jpg'],"['files/p11/p11022245/s50078440/70ee568a-e2a70b5f-9f73d45e-c3015d3a-2a6bf3c0.jpg\n', 'files/p11/p11022245/s50078440/816f21ae-13fa33ff-7a4ea5d9-e246fa18-f09a32ff.jpg\n']"
s50126222_13,p11022245,s50126222,13,Findings,"Right-sided Port-A-Cath tip terminates at the junction of the SVC and right atrium. Patient is status post median sternotomy and aortic valve replacement. Lung volumes are low with mild enlargement of the cardiac silhouette, unchanged. Mediastinal and hilar contours are similar. There is mild pulmonary edema, slightly improved in the interval. Patchy opacities in the lung bases may reflect areas of atelectasis, but infection particularly in the left lung base cannot be completely excluded. No pleural effusion or pneumothorax is demonstrated. Elevation of the left hemidiaphragm is again noted. No acute osseous abnormality is visualized.","There is mild pulmonary edema, slightly improved in the interval.",pulmonary edema,,Better,['files/p11/p11022245/s50126222/0ae07ada-41d03c2a-ec74ae48-d0c17cec-343ae6fa.jpg'],"['files/p11/p11022245/s50078440/70ee568a-e2a70b5f-9f73d45e-c3015d3a-2a6bf3c0.jpg\n', 'files/p11/p11022245/s50078440/816f21ae-13fa33ff-7a4ea5d9-e246fa18-f09a32ff.jpg\n']"
s50126222_13,p11022245,s50126222,13,Findings,"Right-sided Port-A-Cath tip terminates at the junction of the SVC and right atrium. Patient is status post median sternotomy and aortic valve replacement. Lung volumes are low with mild enlargement of the cardiac silhouette, unchanged. Mediastinal and hilar contours are similar. There is mild pulmonary edema, slightly improved in the interval. Patchy opacities in the lung bases may reflect areas of atelectasis, but infection particularly in the left lung base cannot be completely excluded. No pleural effusion or pneumothorax is demonstrated. Elevation of the left hemidiaphragm is again noted. No acute osseous abnormality is visualized.",Elevation of the left hemidiaphragm is again noted.,hemidiaphragm,left,Stable,['files/p11/p11022245/s50126222/0ae07ada-41d03c2a-ec74ae48-d0c17cec-343ae6fa.jpg'],"['files/p11/p11022245/s50078440/70ee568a-e2a70b5f-9f73d45e-c3015d3a-2a6bf3c0.jpg\n', 'files/p11/p11022245/s50078440/816f21ae-13fa33ff-7a4ea5d9-e246fa18-f09a32ff.jpg\n']"
s50126222_13,p11022245,s50126222,13,Impression,"Slight improvement in mild pulmonary edema. Patchy opacities in the lung bases may reflect atelectasis, but infection particularly in the left lung base cannot be completely excluded.",Slight improvement in mild pulmonary edema.,pulmonary edema,,Better,['files/p11/p11022245/s50126222/0ae07ada-41d03c2a-ec74ae48-d0c17cec-343ae6fa.jpg'],"['files/p11/p11022245/s50078440/70ee568a-e2a70b5f-9f73d45e-c3015d3a-2a6bf3c0.jpg\n', 'files/p11/p11022245/s50078440/816f21ae-13fa33ff-7a4ea5d9-e246fa18-f09a32ff.jpg\n']"
s50127750_19,p12185775,s50127750,19,Impression,AP chest compared to ___: Small-to-moderate left pleural effusion has increased slightly over the past several days. Moderate enlargement of the cardiac silhouette accompanied by mediastinal vascular engorgement is also slightly more pronounced. Pulmonary vasculature is engorged but there is no edema. Consolidation has been present without appreciable change in the left lower lobe since at least ___. Mediastinum widened at the thoracic inlet by a combination of tortuous vessels and mediastinal fat deposition. Right jugular introducer ends just above the junction with left brachiocephalic vein.,AP chest compared to ___: Small-to-moderate left pleural effusion has increased slightly over the past several days.,pleural effusion,left,Worse,['files/p12/p12185775/s50127750/23f0b24d-61c1f12c-eb2434aa-f6d2c69e-86a2cd20.jpg'],
s50127750_19,p12185775,s50127750,19,Impression,AP chest compared to ___: Small-to-moderate left pleural effusion has increased slightly over the past several days. Moderate enlargement of the cardiac silhouette accompanied by mediastinal vascular engorgement is also slightly more pronounced. Pulmonary vasculature is engorged but there is no edema. Consolidation has been present without appreciable change in the left lower lobe since at least ___. Mediastinum widened at the thoracic inlet by a combination of tortuous vessels and mediastinal fat deposition. Right jugular introducer ends just above the junction with left brachiocephalic vein.,Moderate enlargement of the cardiac silhouette accompanied by mediastinal vascular engorgement is also slightly more pronounced.,cardiac silhouette and mediastinal vascular engorgement,,Worse,['files/p12/p12185775/s50127750/23f0b24d-61c1f12c-eb2434aa-f6d2c69e-86a2cd20.jpg'],
s50127750_19,p12185775,s50127750,19,Impression,AP chest compared to ___: Small-to-moderate left pleural effusion has increased slightly over the past several days. Moderate enlargement of the cardiac silhouette accompanied by mediastinal vascular engorgement is also slightly more pronounced. Pulmonary vasculature is engorged but there is no edema. Consolidation has been present without appreciable change in the left lower lobe since at least ___. Mediastinum widened at the thoracic inlet by a combination of tortuous vessels and mediastinal fat deposition. Right jugular introducer ends just above the junction with left brachiocephalic vein.,Consolidation has been present without appreciable change in the left lower lobe since at least ___.,consolidation,left lower lobe,Stable,['files/p12/p12185775/s50127750/23f0b24d-61c1f12c-eb2434aa-f6d2c69e-86a2cd20.jpg'],
s50128467_1,p10959054,s50128467,1,Findings,Since the prior examination there is little change. There is no evidence of pneumothorax. There is a moderate subpulmonic pleural effusion as better demonstrated on the prior lateral radiograph. There is a new small left layering pleural effusion. There are no new focal opacities concerning for pneumonia. Cardiomediastinal and hilar contours are stable demonstrating mild tortuosity of the thoracic aorta. Heart size is within normal limits. Pulmonary vascularity is normal.,There is a new small left layering pleural effusion.,small layering pleural effusion,left,New,['files/p10/p10959054/s50128467/ca220440-2b8510e6-fd0298b7-ab4fc422-434e558f.jpg'],
s50128467_1,p10959054,s50128467,1,Findings,Since the prior examination there is little change. There is no evidence of pneumothorax. There is a moderate subpulmonic pleural effusion as better demonstrated on the prior lateral radiograph. There is a new small left layering pleural effusion. There are no new focal opacities concerning for pneumonia. Cardiomediastinal and hilar contours are stable demonstrating mild tortuosity of the thoracic aorta. Heart size is within normal limits. Pulmonary vascularity is normal.,There is a moderate subpulmonic pleural effusion as better demonstrated on the prior lateral radiograph.,moderate pleural effusion,subpulmonic,Stable,['files/p10/p10959054/s50128467/ca220440-2b8510e6-fd0298b7-ab4fc422-434e558f.jpg'],
s50128467_1,p10959054,s50128467,1,Findings,Since the prior examination there is little change. There is no evidence of pneumothorax. There is a moderate subpulmonic pleural effusion as better demonstrated on the prior lateral radiograph. There is a new small left layering pleural effusion. There are no new focal opacities concerning for pneumonia. Cardiomediastinal and hilar contours are stable demonstrating mild tortuosity of the thoracic aorta. Heart size is within normal limits. Pulmonary vascularity is normal.,Cardiomediastinal and hilar contours are stable demonstrating mild tortuosity of the thoracic aorta.,mild tortuosity of the thoracic aorta,,Stable,['files/p10/p10959054/s50128467/ca220440-2b8510e6-fd0298b7-ab4fc422-434e558f.jpg'],
s50133146_5,p14841168,s50133146,5,Findings,"Endotracheal tube terminates 3 cm above the carina. The nasogastric tube passes into the stomach, and off the inferior margin of the film. There is a new right PICC, which can be followed into the upper SVC. The heart remains moderately enlarged, while vascular congestion, edema, and bilateral pleural effusions are little changed. There is no new opacity to suggest pneumonia. There is no pneumothorax. Persistent calcification of the aortic knob.","The heart remains moderately enlarged, while vascular congestion, edema, and bilateral pleural effusions are little changed.",pleural effusions,bilateral,Stable,"['files/p14/p14841168/s50133146/41cfa032-e7c35e17-a92c9124-a0135eb4-d4da198b.jpg', 'files/p14/p14841168/s50133146/badff6d2-5cf4b0e2-87a2fc81-ec99b751-425d490a.jpg']",
s50133146_5,p14841168,s50133146,5,Findings,"Endotracheal tube terminates 3 cm above the carina. The nasogastric tube passes into the stomach, and off the inferior margin of the film. There is a new right PICC, which can be followed into the upper SVC. The heart remains moderately enlarged, while vascular congestion, edema, and bilateral pleural effusions are little changed. There is no new opacity to suggest pneumonia. There is no pneumothorax. Persistent calcification of the aortic knob.",Persistent calcification of the aortic knob.,calcification of the aortic knob,,Stable,"['files/p14/p14841168/s50133146/41cfa032-e7c35e17-a92c9124-a0135eb4-d4da198b.jpg', 'files/p14/p14841168/s50133146/badff6d2-5cf4b0e2-87a2fc81-ec99b751-425d490a.jpg']",
s50133146_5,p14841168,s50133146,5,Findings,"Endotracheal tube terminates 3 cm above the carina. The nasogastric tube passes into the stomach, and off the inferior margin of the film. There is a new right PICC, which can be followed into the upper SVC. The heart remains moderately enlarged, while vascular congestion, edema, and bilateral pleural effusions are little changed. There is no new opacity to suggest pneumonia. There is no pneumothorax. Persistent calcification of the aortic knob.","The heart remains moderately enlarged, while vascular congestion, edema, and bilateral pleural effusions are little changed.",edema,,Stable,"['files/p14/p14841168/s50133146/41cfa032-e7c35e17-a92c9124-a0135eb4-d4da198b.jpg', 'files/p14/p14841168/s50133146/badff6d2-5cf4b0e2-87a2fc81-ec99b751-425d490a.jpg']",
s50133146_5,p14841168,s50133146,5,Findings,"Endotracheal tube terminates 3 cm above the carina. The nasogastric tube passes into the stomach, and off the inferior margin of the film. There is a new right PICC, which can be followed into the upper SVC. The heart remains moderately enlarged, while vascular congestion, edema, and bilateral pleural effusions are little changed. There is no new opacity to suggest pneumonia. There is no pneumothorax. Persistent calcification of the aortic knob.","The heart remains moderately enlarged, while vascular congestion, edema, and bilateral pleural effusions are little changed.",vascular congestion,,Stable,"['files/p14/p14841168/s50133146/41cfa032-e7c35e17-a92c9124-a0135eb4-d4da198b.jpg', 'files/p14/p14841168/s50133146/badff6d2-5cf4b0e2-87a2fc81-ec99b751-425d490a.jpg']",
s50133146_5,p14841168,s50133146,5,Findings,"Endotracheal tube terminates 3 cm above the carina. The nasogastric tube passes into the stomach, and off the inferior margin of the film. There is a new right PICC, which can be followed into the upper SVC. The heart remains moderately enlarged, while vascular congestion, edema, and bilateral pleural effusions are little changed. There is no new opacity to suggest pneumonia. There is no pneumothorax. Persistent calcification of the aortic knob.","The heart remains moderately enlarged, while vascular congestion, edema, and bilateral pleural effusions are little changed.",moderately enlarged heart,,Stable,"['files/p14/p14841168/s50133146/41cfa032-e7c35e17-a92c9124-a0135eb4-d4da198b.jpg', 'files/p14/p14841168/s50133146/badff6d2-5cf4b0e2-87a2fc81-ec99b751-425d490a.jpg']",
s50133146_5,p14841168,s50133146,5,Findings,"Endotracheal tube terminates 3 cm above the carina. The nasogastric tube passes into the stomach, and off the inferior margin of the film. There is a new right PICC, which can be followed into the upper SVC. The heart remains moderately enlarged, while vascular congestion, edema, and bilateral pleural effusions are little changed. There is no new opacity to suggest pneumonia. There is no pneumothorax. Persistent calcification of the aortic knob.","There is a new right PICC, which can be followed into the upper SVC.",PICC,right,New,"['files/p14/p14841168/s50133146/41cfa032-e7c35e17-a92c9124-a0135eb4-d4da198b.jpg', 'files/p14/p14841168/s50133146/badff6d2-5cf4b0e2-87a2fc81-ec99b751-425d490a.jpg']",
s50139124_8,p18079481,s50139124,8,Findings,"As compared to the previous radiograph, the Dobbhoff catheter was advanced. The tip now projects over the proximal parts of the stomach, there is no evidence of complication, notably no pneumothorax. Otherwise, the radiograph is unchanged.","Otherwise, the radiograph is unchanged.",General condition,Radiograph,Stable,['files/p18/p18079481/s50139124/64c4f3ac-5b12f9d8-de62c4d5-1980be49-28cd96f9.jpg'],
s50139124_8,p18079481,s50139124,8,Findings,"As compared to the previous radiograph, the Dobbhoff catheter was advanced. The tip now projects over the proximal parts of the stomach, there is no evidence of complication, notably no pneumothorax. Otherwise, the radiograph is unchanged.","As compared to the previous radiograph, the Dobbhoff catheter was advanced.",Advanced position,Dobbhoff catheter,New,['files/p18/p18079481/s50139124/64c4f3ac-5b12f9d8-de62c4d5-1980be49-28cd96f9.jpg'],
s50141921_12,p12736592,s50141921,12,Findings,"Portable AP upright chest radiograph obtained. Midline sternotomy wires and mediastinal clips are again noted. There has been interval placement of a right IJ central venous catheter with its tip located in the distal SVC or cavoatrial junction. No pneumothorax. Otherwise, no change.",There has been interval placement of a right IJ central venous catheter with its tip located in the distal SVC or cavoatrial junction.,central venous catheter,right IJ,New,['files/p12/p12736592/s50141921/d50452d1-8652542d-f45133ab-196c1ef0-7bb886e0.jpg'],
s50142753_9,p15131736,s50142753,9,Findings,"Compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects 3.5 cm above the carina. The pre-existing cardiomegaly with signs of moderate fluid overload is unchanged. The patient has also received a nasogastric tube. The tube shows a normal course. The tip is not included in the image, but likely positioned in the stomach.",The pre-existing cardiomegaly with signs of moderate fluid overload is unchanged.,cardiomegaly with signs of moderate fluid overload,,Stable,"['files/p15/p15131736/s50142753/2b32ba29-3ca9c490-8c578ab7-2545ee1c-8cb9c74b.jpg', 'files/p15/p15131736/s50142753/8bd29787-5b4afe07-79a4efa4-193d9424-42eea377.jpg']","['files/p15/p15131736/s50083620/08081db5-6ca04a17-57f800a3-d1d7d84c-a40861b4.jpg\n', 'files/p15/p15131736/s50083620/72ce954d-bba45304-05275f9e-44609e77-47dcf40c.jpg\n', 'files/p15/p15131736/s50083620/a652c914-9dee6fe8-96a798f8-8450007c-69a5592a.jpg\n']"
s50162885_3,p15207316,s50162885,3,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 dated ___. Status post sternotomy and bypass surgery with marked cardiomegaly remains unchanged. Unchanged position of permanent pacer in left anterior axillary position, ICD device electrode terminating in right ventricle and additional dual right atrial and right ventricular endovascular eletrodes as before. Additional thin wire electrode reaching obtuse marginal vein via coronary sinus for LV facing. Pulmonary congestive pattern observed on multiple portable chest examinations during the last weeks persist. In comparison with the next preceding image of ___ no significant interval change is identified. No pneumothorax is present.",Pulmonary congestive pattern observed on multiple portable chest examinations during the last weeks persist.,Pulmonary congestive pattern,,Stable,['files/p15/p15207316/s50162885/ffe15776-720f5fb1-efcda596-e36276d8-5e97941e.jpg'],
s50162885_3,p15207316,s50162885,3,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 dated ___. Status post sternotomy and bypass surgery with marked cardiomegaly remains unchanged. Unchanged position of permanent pacer in left anterior axillary position, ICD device electrode terminating in right ventricle and additional dual right atrial and right ventricular endovascular eletrodes as before. Additional thin wire electrode reaching obtuse marginal vein via coronary sinus for LV facing. Pulmonary congestive pattern observed on multiple portable chest examinations during the last weeks persist. In comparison with the next preceding image of ___ no significant interval change is identified. No pneumothorax is present.","Unchanged position of permanent pacer in left anterior axillary position, ICD device electrode terminating in right ventricle and additional dual right atrial and right ventricular endovascular eletrodes as before.",endovascular electrodes,Dual right atrial and right ventricular,Stable,['files/p15/p15207316/s50162885/ffe15776-720f5fb1-efcda596-e36276d8-5e97941e.jpg'],
s50162885_3,p15207316,s50162885,3,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 dated ___. Status post sternotomy and bypass surgery with marked cardiomegaly remains unchanged. Unchanged position of permanent pacer in left anterior axillary position, ICD device electrode terminating in right ventricle and additional dual right atrial and right ventricular endovascular eletrodes as before. Additional thin wire electrode reaching obtuse marginal vein via coronary sinus for LV facing. Pulmonary congestive pattern observed on multiple portable chest examinations during the last weeks persist. In comparison with the next preceding image of ___ no significant interval change is identified. No pneumothorax is present.","Unchanged position of permanent pacer in left anterior axillary position, ICD device electrode terminating in right ventricle and additional dual right atrial and right ventricular endovascular eletrodes as before.",permanent pacer,Left anterior axillary,Stable,['files/p15/p15207316/s50162885/ffe15776-720f5fb1-efcda596-e36276d8-5e97941e.jpg'],
s50162885_3,p15207316,s50162885,3,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 dated ___. Status post sternotomy and bypass surgery with marked cardiomegaly remains unchanged. Unchanged position of permanent pacer in left anterior axillary position, ICD device electrode terminating in right ventricle and additional dual right atrial and right ventricular endovascular eletrodes as before. Additional thin wire electrode reaching obtuse marginal vein via coronary sinus for LV facing. Pulmonary congestive pattern observed on multiple portable chest examinations during the last weeks persist. In comparison with the next preceding image of ___ no significant interval change is identified. No pneumothorax is present.","Unchanged position of permanent pacer in left anterior axillary position, ICD device electrode terminating in right ventricle and additional dual right atrial and right ventricular endovascular eletrodes as before.",ICD device electrode,Right ventricle,Stable,['files/p15/p15207316/s50162885/ffe15776-720f5fb1-efcda596-e36276d8-5e97941e.jpg'],
s50162885_3,p15207316,s50162885,3,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 dated ___. Status post sternotomy and bypass surgery with marked cardiomegaly remains unchanged. Unchanged position of permanent pacer in left anterior axillary position, ICD device electrode terminating in right ventricle and additional dual right atrial and right ventricular endovascular eletrodes as before. Additional thin wire electrode reaching obtuse marginal vein via coronary sinus for LV facing. Pulmonary congestive pattern observed on multiple portable chest examinations during the last weeks persist. In comparison with the next preceding image of ___ no significant interval change is identified. No pneumothorax is present.",Status post sternotomy and bypass surgery with marked cardiomegaly remains unchanged.,cardiomegaly,,Stable,['files/p15/p15207316/s50162885/ffe15776-720f5fb1-efcda596-e36276d8-5e97941e.jpg'],
s50165831_24,p15131736,s50165831,24,Findings,There is persistent prominence of the hila suggesting vascular engorgement with possible mild increase in vascular congestion as compared to the prior study. No new focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.,The cardiac and mediastinal silhouettes are stable.,Cardiac and mediastinal silhouettes,,Stable,"['files/p15/p15131736/s50165831/2a166b16-c5106df5-cf2e822c-23c915b4-983161ad.jpg', 'files/p15/p15131736/s50165831/467886fc-bdd148bc-96415ce2-3ea24428-0ee1d9a1.jpg']","['files/p15/p15131736/s50142753/2b32ba29-3ca9c490-8c578ab7-2545ee1c-8cb9c74b.jpg\n', 'files/p15/p15131736/s50142753/8bd29787-5b4afe07-79a4efa4-193d9424-42eea377.jpg\n']"
s50165831_24,p15131736,s50165831,24,Findings,There is persistent prominence of the hila suggesting vascular engorgement with possible mild increase in vascular congestion as compared to the prior study. No new focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.,There is persistent prominence of the hila suggesting vascular engorgement with possible mild increase in vascular congestion as compared to the prior study.,Vascular engorgement,hila,Worse,"['files/p15/p15131736/s50165831/2a166b16-c5106df5-cf2e822c-23c915b4-983161ad.jpg', 'files/p15/p15131736/s50165831/467886fc-bdd148bc-96415ce2-3ea24428-0ee1d9a1.jpg']","['files/p15/p15131736/s50142753/2b32ba29-3ca9c490-8c578ab7-2545ee1c-8cb9c74b.jpg\n', 'files/p15/p15131736/s50142753/8bd29787-5b4afe07-79a4efa4-193d9424-42eea377.jpg\n']"
s50165831_24,p15131736,s50165831,24,Impression,"Persistent prominence of the hila suggesting pulmonary vascular engorgement/enlargement of the central pulmonary arteries, similar to prior, with possible mild increase in vascular congestion as compared to prior study.","Persistent prominence of the hila suggesting pulmonary vascular engorgement/enlargement of the central pulmonary arteries, similar to prior, with possible mild increase in vascular congestion as compared to prior study.",Pulmonary vascular engorgement,hila,Worse,"['files/p15/p15131736/s50165831/2a166b16-c5106df5-cf2e822c-23c915b4-983161ad.jpg', 'files/p15/p15131736/s50165831/467886fc-bdd148bc-96415ce2-3ea24428-0ee1d9a1.jpg']","['files/p15/p15131736/s50142753/2b32ba29-3ca9c490-8c578ab7-2545ee1c-8cb9c74b.jpg\n', 'files/p15/p15131736/s50142753/8bd29787-5b4afe07-79a4efa4-193d9424-42eea377.jpg\n']"
s50170341_16,p17770657,s50170341,16,Findings,"Dobhoff tube has been repositioned and now passes below the diaphragm and crosses the midline, likely within the second portion of the duodenum. The wire is still in place. Exam is otherwise unchanged.",The wire is still in place.,Wire,,Stable,['files/p17/p17770657/s50170341/0e3f8459-2b944097-bffb91c8-6578b8ac-e143b9a2.jpg'],
s50171741_42,p19182863,s50171741,42,Findings,"In comparison with the earlier study of this date, there has been a right thoracentesis with removal of a substantial amount of fluid from the pleural space. No evidence of pneumothorax. Mild atelectatic changes at the right base. Otherwise, little change.","In comparison with the earlier study of this date, there has been a right thoracentesis with removal of a substantial amount of fluid from the pleural space.",Pleural fluid,Right,Resolve,['files/p19/p19182863/s50171741/27975aed-15b0a97c-df48c48f-85f941bc-eef08eea.jpg'],
s50171741_42,p19182863,s50171741,42,Findings,"In comparison with the earlier study of this date, there has been a right thoracentesis with removal of a substantial amount of fluid from the pleural space. No evidence of pneumothorax. Mild atelectatic changes at the right base. Otherwise, little change.","Otherwise, little change.",General condition,Unspecified,Stable,['files/p19/p19182863/s50171741/27975aed-15b0a97c-df48c48f-85f941bc-eef08eea.jpg'],
s50174434_32,p19075045,s50174434,32,Impression,Compared to chest radiographs ___ through ___. Mild pulmonary edema is clearing. Mild cardiomegaly stable. Pleural effusions small if any. No pneumothorax. Swan-Ganz catheter still ends in the right pulmonary artery. Left jugular line tip in the region of the superior cavoatrial junction. Transvenous right atrial right ventricular pacer leads follow their expected courses from the left pectoral generator.,Swan-Ganz catheter still ends in the right pulmonary artery.,Swan-Ganz catheter,right pulmonary artery,Stable,['files/p19/p19075045/s50174434/a84bccbe-728dfb05-43811a78-46904061-d629b3bb.jpg'],
s50174434_32,p19075045,s50174434,32,Impression,Compared to chest radiographs ___ through ___. Mild pulmonary edema is clearing. Mild cardiomegaly stable. Pleural effusions small if any. No pneumothorax. Swan-Ganz catheter still ends in the right pulmonary artery. Left jugular line tip in the region of the superior cavoatrial junction. Transvenous right atrial right ventricular pacer leads follow their expected courses from the left pectoral generator.,Mild cardiomegaly stable.,Mild cardiomegaly,,Stable,['files/p19/p19075045/s50174434/a84bccbe-728dfb05-43811a78-46904061-d629b3bb.jpg'],
s50174434_32,p19075045,s50174434,32,Impression,Compared to chest radiographs ___ through ___. Mild pulmonary edema is clearing. Mild cardiomegaly stable. Pleural effusions small if any. No pneumothorax. Swan-Ganz catheter still ends in the right pulmonary artery. Left jugular line tip in the region of the superior cavoatrial junction. Transvenous right atrial right ventricular pacer leads follow their expected courses from the left pectoral generator.,Mild pulmonary edema is clearing.,Mild pulmonary edema,,Resolve,['files/p19/p19075045/s50174434/a84bccbe-728dfb05-43811a78-46904061-d629b3bb.jpg'],
s50178679_1,p12369221,s50178679,1,Findings,"Single portable view of the chest is compared to previous exam from ___. As on prior, low lung volumes are seen. Within this limitation, the lungs are grossly clear. Linear opacity at the right lung base is suggestive of subsegmental atelectasis. Cardiomediastinal silhouette is stable. Dual-lead pacing device is again seen. Degenerative changes seen at the right glenohumeral joint. Surgical clips seen in the right upper quadrant.","As on prior, low lung volumes are seen.",low lung volumes,lungs,Stable,"['files/p12/p12369221/s50178679/3821a16d-3dd0338c-8485c8e1-c3cfcd50-05762b8b.jpg', 'files/p12/p12369221/s50178679/861f9946-68cebd2f-e11dbfba-aaad1909-7ccc759e.jpg']",
s50178679_1,p12369221,s50178679,1,Findings,"Single portable view of the chest is compared to previous exam from ___. As on prior, low lung volumes are seen. Within this limitation, the lungs are grossly clear. Linear opacity at the right lung base is suggestive of subsegmental atelectasis. Cardiomediastinal silhouette is stable. Dual-lead pacing device is again seen. Degenerative changes seen at the right glenohumeral joint. Surgical clips seen in the right upper quadrant.",Cardiomediastinal silhouette is stable.,,Cardiomediastinal,Stable,"['files/p12/p12369221/s50178679/3821a16d-3dd0338c-8485c8e1-c3cfcd50-05762b8b.jpg', 'files/p12/p12369221/s50178679/861f9946-68cebd2f-e11dbfba-aaad1909-7ccc759e.jpg']",
s50183767_2,p13896515,s50183767,2,Impression,Increased pulmonary edema compared to ___. These findings were discussed with Dr. ___ at 2:15 p.m. on ___ by telephone.,Increased pulmonary edema compared to ___.,Pulmonary Edema,,Worse,['files/p13/p13896515/s50183767/c85e209c-a1fec74b-431277e7-6032eb3a-95fe7881.jpg'],['files/p13/p13896515/s50010747/77e614cb-6c987153-793f83ce-20c1f507-f6a49f49.jpg\n']
s50183767_2,p13896515,s50183767,2,Findings,"One portable AP view of the chest. Compared to prior study on ___, there is increased pulmonary edema. There is borderline cardiomegaly. No pneumothorax or focal consolidation. No pleural effusion.","Compared to prior study on ___, there is increased pulmonary edema.",Pulmonary Edema,,Worse,['files/p13/p13896515/s50183767/c85e209c-a1fec74b-431277e7-6032eb3a-95fe7881.jpg'],['files/p13/p13896515/s50010747/77e614cb-6c987153-793f83ce-20c1f507-f6a49f49.jpg\n']
s50184397_2,p14081759,s50184397,2,Findings,The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. Hyperinflation is noted with persistent reticular opacities projecting over the left lower lung but markedly improved since the prior radiographs. Thin flowing anterior syndesmophytes are present throughout the thoracic spine. This appearance has an association with spondyloarthropathies.,The mediastinal and hilar contours appear unchanged.,,mediastinal and hilar contours,Stable,"['files/p14/p14081759/s50184397/6631d848-2c0cb2c2-f85d6490-f5df355f-11011cb8.jpg', 'files/p14/p14081759/s50184397/89d3e1e1-ba4a0822-50e768c0-bbb29675-c5d05684.jpg', 'files/p14/p14081759/s50184397/bd537505-f8ac7ed0-ba0e15df-386c3f65-90c4f4f1.jpg']",
s50184397_2,p14081759,s50184397,2,Findings,The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. Hyperinflation is noted with persistent reticular opacities projecting over the left lower lung but markedly improved since the prior radiographs. Thin flowing anterior syndesmophytes are present throughout the thoracic spine. This appearance has an association with spondyloarthropathies.,Hyperinflation is noted with persistent reticular opacities projecting over the left lower lung but markedly improved since the prior radiographs.,reticular opacities,left lower lung,Better,"['files/p14/p14081759/s50184397/6631d848-2c0cb2c2-f85d6490-f5df355f-11011cb8.jpg', 'files/p14/p14081759/s50184397/89d3e1e1-ba4a0822-50e768c0-bbb29675-c5d05684.jpg', 'files/p14/p14081759/s50184397/bd537505-f8ac7ed0-ba0e15df-386c3f65-90c4f4f1.jpg']",
s50184397_2,p14081759,s50184397,2,Impression,1. Improving pneumonia. 2. Thin spinal syndesmophytes suggesting the possibility of an inflammatory arthropathy such as could be seen with ankylosing spondylitis; clinical correlation is suggested.,1. Improving pneumonia.,pneumonia,,Better,"['files/p14/p14081759/s50184397/6631d848-2c0cb2c2-f85d6490-f5df355f-11011cb8.jpg', 'files/p14/p14081759/s50184397/89d3e1e1-ba4a0822-50e768c0-bbb29675-c5d05684.jpg', 'files/p14/p14081759/s50184397/bd537505-f8ac7ed0-ba0e15df-386c3f65-90c4f4f1.jpg']",
s50194541_0,p15518538,s50194541,0,Findings,"In comparison with study of ___, the width of the mediastinum has decreased. The cardiac silhouette is within normal limits. Minimal atelectasis at the left base but no vascular congestion or acute focal pneumonia.","In comparison with study of ___, the width of the mediastinum has decreased.",width,mediastinum,Better,['files/p15/p15518538/s50194541/88f5aab2-59d65dc0-384b49ce-d7a62771-3c098482.jpg'],
s50195073_16,p16751749,s50195073,16,Impression,AP chest compared to ___: Very severe subcutaneous emphysema of the entire torso has not improved. The overlying subcutaneous gas makes it difficult to detect pneumothorax but I see no good evidence of any nor is there any appreciable pleural effusion. The hematoma around the pulmonary laceration of the right pleural tube is slightly smaller today than it was on ___ but stable since ___. A region of hemorrhage in the axillary region in the left mid lung has been stable for the past several days. Edema or pneumonia in the right lower lung is stable. Emphysema is severe. Tracheostomy tube and left subclavian line are in standard placements. The heart is normal size.,AP chest compared to ___: Very severe subcutaneous emphysema of the entire torso has not improved.,subcutaneous emphysema,entire torso,Worse,['files/p16/p16751749/s50195073/a94afe1d-af9219e1-0a7b8d8c-96262c1c-2f5b9d27.jpg'],['files/p16/p16751749/s50090559/9756bc1b-1827e912-16df6958-c6ddb9e7-17098cf1.jpg\n']
s50195073_16,p16751749,s50195073,16,Impression,AP chest compared to ___: Very severe subcutaneous emphysema of the entire torso has not improved. The overlying subcutaneous gas makes it difficult to detect pneumothorax but I see no good evidence of any nor is there any appreciable pleural effusion. The hematoma around the pulmonary laceration of the right pleural tube is slightly smaller today than it was on ___ but stable since ___. A region of hemorrhage in the axillary region in the left mid lung has been stable for the past several days. Edema or pneumonia in the right lower lung is stable. Emphysema is severe. Tracheostomy tube and left subclavian line are in standard placements. The heart is normal size.,The hematoma around the pulmonary laceration of the right pleural tube is slightly smaller today than it was on ___ but stable since ___.,hematoma,right pleural,Stable,['files/p16/p16751749/s50195073/a94afe1d-af9219e1-0a7b8d8c-96262c1c-2f5b9d27.jpg'],['files/p16/p16751749/s50090559/9756bc1b-1827e912-16df6958-c6ddb9e7-17098cf1.jpg\n']
s50195073_16,p16751749,s50195073,16,Impression,AP chest compared to ___: Very severe subcutaneous emphysema of the entire torso has not improved. The overlying subcutaneous gas makes it difficult to detect pneumothorax but I see no good evidence of any nor is there any appreciable pleural effusion. The hematoma around the pulmonary laceration of the right pleural tube is slightly smaller today than it was on ___ but stable since ___. A region of hemorrhage in the axillary region in the left mid lung has been stable for the past several days. Edema or pneumonia in the right lower lung is stable. Emphysema is severe. Tracheostomy tube and left subclavian line are in standard placements. The heart is normal size.,A region of hemorrhage in the axillary region in the left mid lung has been stable for the past several days.,hemorrhage,left mid lung,Stable,['files/p16/p16751749/s50195073/a94afe1d-af9219e1-0a7b8d8c-96262c1c-2f5b9d27.jpg'],['files/p16/p16751749/s50090559/9756bc1b-1827e912-16df6958-c6ddb9e7-17098cf1.jpg\n']
s50195073_16,p16751749,s50195073,16,Impression,AP chest compared to ___: Very severe subcutaneous emphysema of the entire torso has not improved. The overlying subcutaneous gas makes it difficult to detect pneumothorax but I see no good evidence of any nor is there any appreciable pleural effusion. The hematoma around the pulmonary laceration of the right pleural tube is slightly smaller today than it was on ___ but stable since ___. A region of hemorrhage in the axillary region in the left mid lung has been stable for the past several days. Edema or pneumonia in the right lower lung is stable. Emphysema is severe. Tracheostomy tube and left subclavian line are in standard placements. The heart is normal size.,Edema or pneumonia in the right lower lung is stable.,edema or pneumonia,right lower lung,Stable,['files/p16/p16751749/s50195073/a94afe1d-af9219e1-0a7b8d8c-96262c1c-2f5b9d27.jpg'],['files/p16/p16751749/s50090559/9756bc1b-1827e912-16df6958-c6ddb9e7-17098cf1.jpg\n']
s50205123_31,p10933609,s50205123,31,Findings,"Interval placement of right internal jugular central venous catheter, with tip terminating in the body of the right atrium, with no visible pneumothorax. Low lung volumes accentuate the cardiac silhouette and bronchovascular structures. Even allowing for this factor, there are apparent new perihilar opacities, particularly in the right infrahilar region. This is concerning for acute aspiration given rapidity of development. Bilateral upper lobe fibrosis is again demonstrated and may be due to sarcoid or other granulomatous process.",Bilateral upper lobe fibrosis is again demonstrated and may be due to sarcoid or other granulomatous process.,fibrosis,Bilateral upper lobe,Stable,['files/p10/p10933609/s50205123/5df8c586-2f6adf15-722e6f13-ffa8a117-acd92b9a.jpg'],
s50205123_31,p10933609,s50205123,31,Findings,"Interval placement of right internal jugular central venous catheter, with tip terminating in the body of the right atrium, with no visible pneumothorax. Low lung volumes accentuate the cardiac silhouette and bronchovascular structures. Even allowing for this factor, there are apparent new perihilar opacities, particularly in the right infrahilar region. This is concerning for acute aspiration given rapidity of development. Bilateral upper lobe fibrosis is again demonstrated and may be due to sarcoid or other granulomatous process.","Even allowing for this factor, there are apparent new perihilar opacities, particularly in the right infrahilar region.",perihilar opacities,right infrahilar region,New,['files/p10/p10933609/s50205123/5df8c586-2f6adf15-722e6f13-ffa8a117-acd92b9a.jpg'],
s50211839_19,p13881772,s50211839,19,Findings,The lungs are hyperinflated but clear of consolidation. Nodular opacities at the lung bases are compatible with nipple shadows as opposed to pulmonary nodules. Cardiac silhouette is unchanged. Mitral annular calcifications are again noted. Old healed left lower rib fractures are again noted,Mitral annular calcifications are again noted.,mitral annular calcifications,,Stable,"['files/p13/p13881772/s50211839/711d6472-5ff3166e-7741ea62-00213982-c3a8a67b.jpg', 'files/p13/p13881772/s50211839/e16c6579-54ecb6ea-36f5604a-17768f0e-38552f87.jpg']","['files/p13/p13881772/s50019396/1908e913-d3051cf7-34f98451-4ed66f58-15582c1d.jpg\n', 'files/p13/p13881772/s50019396/1b61de01-88814d7b-77532377-b7782fd0-9660b576.jpg\n']"
s50211839_19,p13881772,s50211839,19,Findings,The lungs are hyperinflated but clear of consolidation. Nodular opacities at the lung bases are compatible with nipple shadows as opposed to pulmonary nodules. Cardiac silhouette is unchanged. Mitral annular calcifications are again noted. Old healed left lower rib fractures are again noted,Old healed left lower rib fractures are again noted,rib fractures,left lower,Stable,"['files/p13/p13881772/s50211839/711d6472-5ff3166e-7741ea62-00213982-c3a8a67b.jpg', 'files/p13/p13881772/s50211839/e16c6579-54ecb6ea-36f5604a-17768f0e-38552f87.jpg']","['files/p13/p13881772/s50019396/1908e913-d3051cf7-34f98451-4ed66f58-15582c1d.jpg\n', 'files/p13/p13881772/s50019396/1b61de01-88814d7b-77532377-b7782fd0-9660b576.jpg\n']"
s50211839_19,p13881772,s50211839,19,Findings,The lungs are hyperinflated but clear of consolidation. Nodular opacities at the lung bases are compatible with nipple shadows as opposed to pulmonary nodules. Cardiac silhouette is unchanged. Mitral annular calcifications are again noted. Old healed left lower rib fractures are again noted,Cardiac silhouette is unchanged.,cardiac silhouette,,Stable,"['files/p13/p13881772/s50211839/711d6472-5ff3166e-7741ea62-00213982-c3a8a67b.jpg', 'files/p13/p13881772/s50211839/e16c6579-54ecb6ea-36f5604a-17768f0e-38552f87.jpg']","['files/p13/p13881772/s50019396/1908e913-d3051cf7-34f98451-4ed66f58-15582c1d.jpg\n', 'files/p13/p13881772/s50019396/1b61de01-88814d7b-77532377-b7782fd0-9660b576.jpg\n']"
s50225181_7,p15840907,s50225181,7,Impression,"1. Severe cardiomegaly, unchanged from four hours prior and worrisome for underlying pericardial effusion. 2. Interval development of mild pulmonary edema from ___.","1. Severe cardiomegaly, unchanged from four hours prior and worrisome for underlying pericardial effusion.",cardiomegaly,,Stable,['files/p15/p15840907/s50225181/2fba7496-4ddb5c26-026164b8-c3e4e111-e43f94f9.jpg'],"['files/p15/p15840907/s50031776/3309c1ea-ab3bd4ee-d7677769-da248132-c26d7c02.jpg\n', 'files/p15/p15840907/s50031776/6751916a-85cc83ce-8024460f-6330011b-248ae148.jpg\n']"
s50225181_7,p15840907,s50225181,7,Findings,"The cardiac silhouette is again noted to be markedly enlarged but unchanged from approximately four hours prior. Again, this is consistent with an underlying pericardial effusion. Further obscuration of the pulmonary vascularity indicates development of mild pulmonary edema. Small bilateral pleural effusions are presumed. No pneumothorax. Retrocardiac opacification is likely atelectasis, although pneumonia cannot be excluded.",The cardiac silhouette is again noted to be markedly enlarged but unchanged from approximately four hours prior.,cardiac silhouette enlargement,,Stable,['files/p15/p15840907/s50225181/2fba7496-4ddb5c26-026164b8-c3e4e111-e43f94f9.jpg'],"['files/p15/p15840907/s50031776/3309c1ea-ab3bd4ee-d7677769-da248132-c26d7c02.jpg\n', 'files/p15/p15840907/s50031776/6751916a-85cc83ce-8024460f-6330011b-248ae148.jpg\n']"
s50226423_6,p18487334,s50226423,6,Impression,"Comparison to ___. No relevant change is noted. Stable alignment of the sternal wires. Left pectoral Port-A-Cath in stable position. No pleural effusions. No pneumonia, no pulmonary edema.",Left pectoral Port-A-Cath in stable position.,Port-A-Cath,Left pectoral,Stable,['files/p18/p18487334/s50226423/e20fecce-83e539b8-cb06143a-49ca3124-35dd992d.jpg'],['files/p18/p18487334/s50016413/edf64680-6038da78-f6693f72-535ac2bb-feee4c8b.jpg\n']
s50226423_6,p18487334,s50226423,6,Impression,"Comparison to ___. No relevant change is noted. Stable alignment of the sternal wires. Left pectoral Port-A-Cath in stable position. No pleural effusions. No pneumonia, no pulmonary edema.",Stable alignment of the sternal wires.,wires,sternal,Stable,['files/p18/p18487334/s50226423/e20fecce-83e539b8-cb06143a-49ca3124-35dd992d.jpg'],['files/p18/p18487334/s50016413/edf64680-6038da78-f6693f72-535ac2bb-feee4c8b.jpg\n']
s50227249_6,p18767957,s50227249,6,Findings,"Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Mediastinal contours are stable. The hila are less prominent likely due to decrease in previous mild fluid overload. The heart is top normal to mildly enlarged.",The hila are less prominent likely due to decrease in previous mild fluid overload.,hila prominence,,Better,"['files/p18/p18767957/s50227249/1b6d925a-664fef76-ced5cc25-d1a46648-b32130e4.jpg', 'files/p18/p18767957/s50227249/7618afaf-76046145-f7086e54-e915e61e-1241a1fa.jpg', 'files/p18/p18767957/s50227249/c462d814-c520caef-649ccd0c-e754aafa-4e59889d.jpg']",
s50227249_6,p18767957,s50227249,6,Findings,"Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Mediastinal contours are stable. The hila are less prominent likely due to decrease in previous mild fluid overload. The heart is top normal to mildly enlarged.",Mediastinal contours are stable.,Mediastinal contours,,Stable,"['files/p18/p18767957/s50227249/1b6d925a-664fef76-ced5cc25-d1a46648-b32130e4.jpg', 'files/p18/p18767957/s50227249/7618afaf-76046145-f7086e54-e915e61e-1241a1fa.jpg', 'files/p18/p18767957/s50227249/c462d814-c520caef-649ccd0c-e754aafa-4e59889d.jpg']",
s50239281_23,p10268877,s50239281,23,Impression,1. Left PICC tip appears to terminate in the distal left brachiocephalic vein. 2. Mild pulmonary vascular congestion. 3. Interval improvement in aeration of the lung bases with residual streaky opacity likely reflective of atelectasis. Interval resolution of the left pleural effusion.,3. Interval improvement in aeration of the lung bases with residual streaky opacity likely reflective of atelectasis. Interval resolution of the left pleural effusion.,Pleural effusion,Left,Resolve,['files/p10/p10268877/s50239281/0c69d156-6f5f3a89-7d361367-57f8c979-583ef198.jpg'],['files/p10/p10268877/s50214117/0ae61039-a3a12c67-9f740931-e24e8c00-776d83f0.jpg\n']
s50239281_23,p10268877,s50239281,23,Impression,1. Left PICC tip appears to terminate in the distal left brachiocephalic vein. 2. Mild pulmonary vascular congestion. 3. Interval improvement in aeration of the lung bases with residual streaky opacity likely reflective of atelectasis. Interval resolution of the left pleural effusion.,3. Interval improvement in aeration of the lung bases with residual streaky opacity likely reflective of atelectasis. Interval resolution of the left pleural effusion.,Aeration,Lung bases,Better,['files/p10/p10268877/s50239281/0c69d156-6f5f3a89-7d361367-57f8c979-583ef198.jpg'],['files/p10/p10268877/s50214117/0ae61039-a3a12c67-9f740931-e24e8c00-776d83f0.jpg\n']
s50239281_23,p10268877,s50239281,23,Findings,Left PICC tip is seen terminating in the region of the distal left brachiocephalic vein. Tracheostomy tube is in unchanged standard position. The heart is moderately enlarged. Marked calcification of the aortic knob is again present. Mild pulmonary vascular congestion is similar. Bibasilar streaky airspace opacities are minimally improved. Previously noted left pleural effusion appears to have resolved. No pneumothorax is identified. Percutaneous gastrostomy tube is seen in the left upper quadrant.,Tracheostomy tube is in unchanged standard position.,Tracheostomy tube,Standard position,Stable,['files/p10/p10268877/s50239281/0c69d156-6f5f3a89-7d361367-57f8c979-583ef198.jpg'],['files/p10/p10268877/s50214117/0ae61039-a3a12c67-9f740931-e24e8c00-776d83f0.jpg\n']
s50239281_23,p10268877,s50239281,23,Findings,Left PICC tip is seen terminating in the region of the distal left brachiocephalic vein. Tracheostomy tube is in unchanged standard position. The heart is moderately enlarged. Marked calcification of the aortic knob is again present. Mild pulmonary vascular congestion is similar. Bibasilar streaky airspace opacities are minimally improved. Previously noted left pleural effusion appears to have resolved. No pneumothorax is identified. Percutaneous gastrostomy tube is seen in the left upper quadrant.,Bibasilar streaky airspace opacities are minimally improved.,Streaky airspace opacities,Bibasilar,Better,['files/p10/p10268877/s50239281/0c69d156-6f5f3a89-7d361367-57f8c979-583ef198.jpg'],['files/p10/p10268877/s50214117/0ae61039-a3a12c67-9f740931-e24e8c00-776d83f0.jpg\n']
s50239281_23,p10268877,s50239281,23,Findings,Left PICC tip is seen terminating in the region of the distal left brachiocephalic vein. Tracheostomy tube is in unchanged standard position. The heart is moderately enlarged. Marked calcification of the aortic knob is again present. Mild pulmonary vascular congestion is similar. Bibasilar streaky airspace opacities are minimally improved. Previously noted left pleural effusion appears to have resolved. No pneumothorax is identified. Percutaneous gastrostomy tube is seen in the left upper quadrant.,Mild pulmonary vascular congestion is similar.,Mild pulmonary vascular congestion,,Stable,['files/p10/p10268877/s50239281/0c69d156-6f5f3a89-7d361367-57f8c979-583ef198.jpg'],['files/p10/p10268877/s50214117/0ae61039-a3a12c67-9f740931-e24e8c00-776d83f0.jpg\n']
s50239281_23,p10268877,s50239281,23,Findings,Left PICC tip is seen terminating in the region of the distal left brachiocephalic vein. Tracheostomy tube is in unchanged standard position. The heart is moderately enlarged. Marked calcification of the aortic knob is again present. Mild pulmonary vascular congestion is similar. Bibasilar streaky airspace opacities are minimally improved. Previously noted left pleural effusion appears to have resolved. No pneumothorax is identified. Percutaneous gastrostomy tube is seen in the left upper quadrant.,Marked calcification of the aortic knob is again present.,Calcification,Aortic knob,Stable,['files/p10/p10268877/s50239281/0c69d156-6f5f3a89-7d361367-57f8c979-583ef198.jpg'],['files/p10/p10268877/s50214117/0ae61039-a3a12c67-9f740931-e24e8c00-776d83f0.jpg\n']
s50239281_23,p10268877,s50239281,23,Findings,Left PICC tip is seen terminating in the region of the distal left brachiocephalic vein. Tracheostomy tube is in unchanged standard position. The heart is moderately enlarged. Marked calcification of the aortic knob is again present. Mild pulmonary vascular congestion is similar. Bibasilar streaky airspace opacities are minimally improved. Previously noted left pleural effusion appears to have resolved. No pneumothorax is identified. Percutaneous gastrostomy tube is seen in the left upper quadrant.,Previously noted left pleural effusion appears to have resolved.,Pleural effusion,Left,Resolve,['files/p10/p10268877/s50239281/0c69d156-6f5f3a89-7d361367-57f8c979-583ef198.jpg'],['files/p10/p10268877/s50214117/0ae61039-a3a12c67-9f740931-e24e8c00-776d83f0.jpg\n']
s50240427_2,p19844485,s50240427,2,Impression,PA and lateral chest compared to ___ and ___: Mild pulmonary edema is less severe today than it was on ___. Small pleural effusions and moderate cardiomegaly are comparable. There is no pneumonia. Very small right upper lobe lung nodule may be present projected over the intersection of the right first anterior and fifth posterior ribs. Findings were discussed by Dr. ___ with Dr. ___ by telephone at the time of this dictation.,Small pleural effusions and moderate cardiomegaly are comparable.,Moderate cardiomegaly,,Stable,"['files/p19/p19844485/s50240427/1d2b1963-056c7113-a6f6942d-e611f5a1-49a38136.jpg', 'files/p19/p19844485/s50240427/8830e4fd-71e68c81-f6292cf4-2a931e58-be84168d.jpg']",
s50240427_2,p19844485,s50240427,2,Impression,PA and lateral chest compared to ___ and ___: Mild pulmonary edema is less severe today than it was on ___. Small pleural effusions and moderate cardiomegaly are comparable. There is no pneumonia. Very small right upper lobe lung nodule may be present projected over the intersection of the right first anterior and fifth posterior ribs. Findings were discussed by Dr. ___ with Dr. ___ by telephone at the time of this dictation.,Small pleural effusions and moderate cardiomegaly are comparable.,Small pleural effusions,,Stable,"['files/p19/p19844485/s50240427/1d2b1963-056c7113-a6f6942d-e611f5a1-49a38136.jpg', 'files/p19/p19844485/s50240427/8830e4fd-71e68c81-f6292cf4-2a931e58-be84168d.jpg']",
s50240427_2,p19844485,s50240427,2,Impression,PA and lateral chest compared to ___ and ___: Mild pulmonary edema is less severe today than it was on ___. Small pleural effusions and moderate cardiomegaly are comparable. There is no pneumonia. Very small right upper lobe lung nodule may be present projected over the intersection of the right first anterior and fifth posterior ribs. Findings were discussed by Dr. ___ with Dr. ___ by telephone at the time of this dictation.,PA and lateral chest compared to ___ and ___: Mild pulmonary edema is less severe today than it was on ___.,Mild pulmonary edema,,Better,"['files/p19/p19844485/s50240427/1d2b1963-056c7113-a6f6942d-e611f5a1-49a38136.jpg', 'files/p19/p19844485/s50240427/8830e4fd-71e68c81-f6292cf4-2a931e58-be84168d.jpg']",
s50242373_5,p17147859,s50242373,5,Findings,"Stable cardiomegaly. Normal mediastinal and hilar contours. Stable, subsegmental atelectasis in the right middle lobe. Otherwise, the lungs are clear. Pleural surfaces are normal.",Stable cardiomegaly.,cardiomegaly,,Stable,"['files/p17/p17147859/s50242373/3ceaa65b-850c135e-da080f5d-e28c2bc7-a9dea924.jpg', 'files/p17/p17147859/s50242373/60df340a-31a5266d-2f3912a7-3758a59c-9a5baa79.jpg']",
s50242373_5,p17147859,s50242373,5,Findings,"Stable cardiomegaly. Normal mediastinal and hilar contours. Stable, subsegmental atelectasis in the right middle lobe. Otherwise, the lungs are clear. Pleural surfaces are normal.","Stable, subsegmental atelectasis in the right middle lobe.",subsegmental atelectasis,right middle lobe,Stable,"['files/p17/p17147859/s50242373/3ceaa65b-850c135e-da080f5d-e28c2bc7-a9dea924.jpg', 'files/p17/p17147859/s50242373/60df340a-31a5266d-2f3912a7-3758a59c-9a5baa79.jpg']",
s50243114_4,p18110020,s50243114,4,Findings,"In comparison with the study of ___, there is little change in the appearance of heart and lungs. Nasogastric tube coils within the fundus of the stomach with the tip in the upper to mid body of this organ.","In comparison with the study of ___, there is little change in the appearance of heart and lungs.",,Heart and lungs,Stable,['files/p18/p18110020/s50243114/cde578b4-835fd6d8-52f31743-1cefcefc-0fa3157d.jpg'],
s50243155_2,p15259244,s50243155,2,Findings,Removal of dialysis catheter with no evidence of pneumothorax. Heart is mildly enlarged and is accompanied by vascular engorgement and new septal lines consistent with interstitial edema. Small pleural effusions have increased in size in the interval.,Removal of dialysis catheter with no evidence of pneumothorax.,dialysis catheter,,Resolve,['files/p15/p15259244/s50243155/3920cf42-8cd1362b-cbe6eaee-518b1fa6-a7358a5b.jpg'],
s50243155_2,p15259244,s50243155,2,Findings,Removal of dialysis catheter with no evidence of pneumothorax. Heart is mildly enlarged and is accompanied by vascular engorgement and new septal lines consistent with interstitial edema. Small pleural effusions have increased in size in the interval.,Small pleural effusions have increased in size in the interval.,small pleural effusions,,Worse,['files/p15/p15259244/s50243155/3920cf42-8cd1362b-cbe6eaee-518b1fa6-a7358a5b.jpg'],
s50246988_3,p13896515,s50246988,3,Findings,"The heart size is at the upper limits of normal os slightly enlarged, increase in size compared to prior exam. The mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob, similar to prior exam. Perihilar opacities are present as well as an engorged appearance of the pulmonary vasculature and interstitial edema. No definite large pleural effusion is present, and there is no pneumothorax.","The mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob, similar to prior exam.",Atherosclerotic Disease,Mediastinal,Stable,['files/p13/p13896515/s50246988/8f98b8f6-592203f8-128d7f76-bf2331d4-78b1c4af.jpg'],['files/p13/p13896515/s50183767/c85e209c-a1fec74b-431277e7-6032eb3a-95fe7881.jpg\n']
s50246988_3,p13896515,s50246988,3,Findings,"The heart size is at the upper limits of normal os slightly enlarged, increase in size compared to prior exam. The mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob, similar to prior exam. Perihilar opacities are present as well as an engorged appearance of the pulmonary vasculature and interstitial edema. No definite large pleural effusion is present, and there is no pneumothorax.","The heart size is at the upper limits of normal os slightly enlarged, increase in size compared to prior exam.",Cardiomegaly,,Worse,['files/p13/p13896515/s50246988/8f98b8f6-592203f8-128d7f76-bf2331d4-78b1c4af.jpg'],['files/p13/p13896515/s50183767/c85e209c-a1fec74b-431277e7-6032eb3a-95fe7881.jpg\n']
s50247294_1,p12433541,s50247294,1,Findings,"Right hilar and perihilar opacification appears unchanged and suggests a site of treated malignancy. The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear otherwise clear. There are no pleural effusions or pneumothorax.",Right hilar and perihilar opacification appears unchanged and suggests a site of treated malignancy.,opacification,right hilar and perihilar,Stable,['files/p12/p12433541/s50247294/7e530d0e-05f64408-24c921b8-1929b8f8-29ec99fd.jpg'],
s50247294_1,p12433541,s50247294,1,Findings,"Right hilar and perihilar opacification appears unchanged and suggests a site of treated malignancy. The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear otherwise clear. There are no pleural effusions or pneumothorax.","The cardiac, mediastinal and hilar contours appear unchanged.",contours,"cardiac, mediastinal and hilar",Stable,['files/p12/p12433541/s50247294/7e530d0e-05f64408-24c921b8-1929b8f8-29ec99fd.jpg'],
s50247294_1,p12433541,s50247294,1,Impression,Stable appearance of the chest; no evidence of a superimposed acute process.,Stable appearance of the chest; no evidence of a superimposed acute process.,appearance,chest,Stable,['files/p12/p12433541/s50247294/7e530d0e-05f64408-24c921b8-1929b8f8-29ec99fd.jpg'],
s50255843_0,p17270742,s50255843,0,Findings,"Again seen are two cavitary lesions in the right lung, with the largest in the right perihilar region, now measuring at least 14 cm in craniocaudal ___. This lesion is slightly larger since the prior study where it measured 11 cm. An airfluid level is seen in this lesion. The smaller cavitary lesion in the right upper lobe is stable. No new cavitary lesion is seen. Multiple areas of ground glass opacities, with more confluent consolidation in the left upper lobe are similar to the prior CT. No pleural effusions or pneumothorax is seen.","Again seen are two cavitary lesions in the right lung, with the largest in the right perihilar region, now measuring at least 14 cm in craniocaudal ___",cavitary lesion,right perihilar region,Worse,"['files/p17/p17270742/s50255843/8aa4f925-9b6e30c1-526619f6-79135e41-713c105c.jpg', 'files/p17/p17270742/s50255843/a14d938c-b4edf238-b00dca2d-348b1732-ab6959a5.jpg']",
s50255843_0,p17270742,s50255843,0,Findings,"Again seen are two cavitary lesions in the right lung, with the largest in the right perihilar region, now measuring at least 14 cm in craniocaudal ___. This lesion is slightly larger since the prior study where it measured 11 cm. An airfluid level is seen in this lesion. The smaller cavitary lesion in the right upper lobe is stable. No new cavitary lesion is seen. Multiple areas of ground glass opacities, with more confluent consolidation in the left upper lobe are similar to the prior CT. No pleural effusions or pneumothorax is seen.",This lesion is slightly larger since the prior study where it measured 11 cm,cavitary lesion,right perihilar region,Worse,"['files/p17/p17270742/s50255843/8aa4f925-9b6e30c1-526619f6-79135e41-713c105c.jpg', 'files/p17/p17270742/s50255843/a14d938c-b4edf238-b00dca2d-348b1732-ab6959a5.jpg']",
s50255843_0,p17270742,s50255843,0,Findings,"Again seen are two cavitary lesions in the right lung, with the largest in the right perihilar region, now measuring at least 14 cm in craniocaudal ___. This lesion is slightly larger since the prior study where it measured 11 cm. An airfluid level is seen in this lesion. The smaller cavitary lesion in the right upper lobe is stable. No new cavitary lesion is seen. Multiple areas of ground glass opacities, with more confluent consolidation in the left upper lobe are similar to the prior CT. No pleural effusions or pneumothorax is seen.",The smaller cavitary lesion in the right upper lobe is stable,cavitary lesion,right upper lobe,Stable,"['files/p17/p17270742/s50255843/8aa4f925-9b6e30c1-526619f6-79135e41-713c105c.jpg', 'files/p17/p17270742/s50255843/a14d938c-b4edf238-b00dca2d-348b1732-ab6959a5.jpg']",
s50255843_0,p17270742,s50255843,0,Findings,"Again seen are two cavitary lesions in the right lung, with the largest in the right perihilar region, now measuring at least 14 cm in craniocaudal ___. This lesion is slightly larger since the prior study where it measured 11 cm. An airfluid level is seen in this lesion. The smaller cavitary lesion in the right upper lobe is stable. No new cavitary lesion is seen. Multiple areas of ground glass opacities, with more confluent consolidation in the left upper lobe are similar to the prior CT. No pleural effusions or pneumothorax is seen.","Multiple areas of ground glass opacities, with more confluent consolidation in the left upper lobe are similar to the prior CT",ground glass opacities and confluent consolidation,left upper lobe,Stable,"['files/p17/p17270742/s50255843/8aa4f925-9b6e30c1-526619f6-79135e41-713c105c.jpg', 'files/p17/p17270742/s50255843/a14d938c-b4edf238-b00dca2d-348b1732-ab6959a5.jpg']",
s50255843_0,p17270742,s50255843,0,Impression,"1. Cavitary lesions in the right lung, consistent with known aspergillosis, with interval increase in the size of the largest lesion since ___. 2. Stable multifocal ground glass opacities, with more confluent consolidation in the left upper lobe.","1. Cavitary lesions in the right lung, consistent with known aspergillosis, with interval increase in the size of the largest lesion since ___",cavitary lesions,right lung,Worse,"['files/p17/p17270742/s50255843/8aa4f925-9b6e30c1-526619f6-79135e41-713c105c.jpg', 'files/p17/p17270742/s50255843/a14d938c-b4edf238-b00dca2d-348b1732-ab6959a5.jpg']",
s50255843_0,p17270742,s50255843,0,Impression,"1. Cavitary lesions in the right lung, consistent with known aspergillosis, with interval increase in the size of the largest lesion since ___. 2. Stable multifocal ground glass opacities, with more confluent consolidation in the left upper lobe.","2. Stable multifocal ground glass opacities, with more confluent consolidation in the left upper lobe",ground glass opacities and confluent consolidation,left upper lobe,Stable,"['files/p17/p17270742/s50255843/8aa4f925-9b6e30c1-526619f6-79135e41-713c105c.jpg', 'files/p17/p17270742/s50255843/a14d938c-b4edf238-b00dca2d-348b1732-ab6959a5.jpg']",
s50256977_5,p18835687,s50256977,5,Impression,New right subclavian line with tip in the lower SVC. No pneumothorax.,New right subclavian line with tip in the lower SVC.,subclavian line,right,New,['files/p18/p18835687/s50256977/00de6142-4e8c886c-86883a2b-ead5cc20-23399659.jpg'],['files/p18/p18835687/s50014127/73da0836-553a87de-58ef0562-f9c31de6-c47927ac.jpg\n']
s50256977_5,p18835687,s50256977,5,Findings,Single portable view of the chest compared to previous exam from ___. Right subclavian line is seen with catheter tip in the lower SVC. There is no visualized pneumothorax. Previously seen right PICC and left subclavian lines are no longer seen. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.,Previously seen right PICC and left subclavian lines are no longer seen.,PICC line,right,Resolve,['files/p18/p18835687/s50256977/00de6142-4e8c886c-86883a2b-ead5cc20-23399659.jpg'],['files/p18/p18835687/s50014127/73da0836-553a87de-58ef0562-f9c31de6-c47927ac.jpg\n']
s50256977_5,p18835687,s50256977,5,Findings,Single portable view of the chest compared to previous exam from ___. Right subclavian line is seen with catheter tip in the lower SVC. There is no visualized pneumothorax. Previously seen right PICC and left subclavian lines are no longer seen. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.,Previously seen right PICC and left subclavian lines are no longer seen.,subclavian line,left,Resolve,['files/p18/p18835687/s50256977/00de6142-4e8c886c-86883a2b-ead5cc20-23399659.jpg'],['files/p18/p18835687/s50014127/73da0836-553a87de-58ef0562-f9c31de6-c47927ac.jpg\n']
s50259315_2,p13921768,s50259315,2,Impression,"Pacer leads, median sternotomy wires, mediastinal clips unchanged from same day radiograph. Cardiac silhouette stably enlarged. Mild increased interstitial markings, primarily on the right, compatible with worsening interstitial edema. There are small bilateral pleural effusions, with bibasilar atelectasis.","Pacer leads, median sternotomy wires, mediastinal clips unchanged from same day radiograph.",Mediastinal clips,,Stable,['files/p13/p13921768/s50259315/40e0dc90-fdd63c47-3a4502b4-c7dd49d6-b903b2b9.jpg'],
s50259315_2,p13921768,s50259315,2,Impression,"Pacer leads, median sternotomy wires, mediastinal clips unchanged from same day radiograph. Cardiac silhouette stably enlarged. Mild increased interstitial markings, primarily on the right, compatible with worsening interstitial edema. There are small bilateral pleural effusions, with bibasilar atelectasis.","Pacer leads, median sternotomy wires, mediastinal clips unchanged from same day radiograph.",Median sternotomy wires,,Stable,['files/p13/p13921768/s50259315/40e0dc90-fdd63c47-3a4502b4-c7dd49d6-b903b2b9.jpg'],
s50259315_2,p13921768,s50259315,2,Impression,"Pacer leads, median sternotomy wires, mediastinal clips unchanged from same day radiograph. Cardiac silhouette stably enlarged. Mild increased interstitial markings, primarily on the right, compatible with worsening interstitial edema. There are small bilateral pleural effusions, with bibasilar atelectasis.",Cardiac silhouette stably enlarged.,Cardiac silhouette enlargement,,Stable,['files/p13/p13921768/s50259315/40e0dc90-fdd63c47-3a4502b4-c7dd49d6-b903b2b9.jpg'],
s50259315_2,p13921768,s50259315,2,Impression,"Pacer leads, median sternotomy wires, mediastinal clips unchanged from same day radiograph. Cardiac silhouette stably enlarged. Mild increased interstitial markings, primarily on the right, compatible with worsening interstitial edema. There are small bilateral pleural effusions, with bibasilar atelectasis.","Pacer leads, median sternotomy wires, mediastinal clips unchanged from same day radiograph.",Pacer leads,,Stable,['files/p13/p13921768/s50259315/40e0dc90-fdd63c47-3a4502b4-c7dd49d6-b903b2b9.jpg'],
s50259315_2,p13921768,s50259315,2,Impression,"Pacer leads, median sternotomy wires, mediastinal clips unchanged from same day radiograph. Cardiac silhouette stably enlarged. Mild increased interstitial markings, primarily on the right, compatible with worsening interstitial edema. There are small bilateral pleural effusions, with bibasilar atelectasis.","Mild increased interstitial markings, primarily on the right, compatible with worsening interstitial edema.",Interstitial edema,right,Worse,['files/p13/p13921768/s50259315/40e0dc90-fdd63c47-3a4502b4-c7dd49d6-b903b2b9.jpg'],
s50268484_0,p14727722,s50268484,0,Findings,"In comparison with study of ___, there is little change and no evidence of acute cardiopulmonary disease. Cardiac silhouette is mildly prominent, but there is no vascular congestion, pleural effusion, or acute focal pneumonia.","In comparison with study of ___, there is little change and no evidence of acute cardiopulmonary disease.",acute cardiopulmonary disease,,Stable,"['files/p14/p14727722/s50268484/b41c2311-0eb8b5c8-4235ebb9-70881fa9-d40cc1d6.jpg', 'files/p14/p14727722/s50268484/b74575dc-72fdefcf-956cda70-9feec40f-0ad80c33.jpg']",
s50269116_8,p19759491,s50269116,8,Findings,"Cardiac silhouette remains enlarged, and is accompanied by pulmonary vascular congestion and a mild interstitial edema. Left retrocardiac opacity has slightly improved, could reflect improving atelectasis or a resolving pneumonia in the appropriate clinical setting. Adjacent small left pleural effusion is also slightly smaller. No visible pneumothorax.",Adjacent small left pleural effusion is also slightly smaller.,pleural effusion,left,Better,['files/p19/p19759491/s50269116/d21a9727-19732ca3-04b1e396-f706bb33-063c90b8.jpg'],['files/p19/p19759491/s50152324/ae135fa3-eb593692-9f19fe95-cdc9b703-28b87ac4.jpg\n']
s50269116_8,p19759491,s50269116,8,Findings,"Cardiac silhouette remains enlarged, and is accompanied by pulmonary vascular congestion and a mild interstitial edema. Left retrocardiac opacity has slightly improved, could reflect improving atelectasis or a resolving pneumonia in the appropriate clinical setting. Adjacent small left pleural effusion is also slightly smaller. No visible pneumothorax.","Left retrocardiac opacity has slightly improved, could reflect improving atelectasis or a resolving pneumonia in the appropriate clinical setting.",retrocardiac opacity,left,Better,['files/p19/p19759491/s50269116/d21a9727-19732ca3-04b1e396-f706bb33-063c90b8.jpg'],['files/p19/p19759491/s50152324/ae135fa3-eb593692-9f19fe95-cdc9b703-28b87ac4.jpg\n']
s50269116_8,p19759491,s50269116,8,Findings,"Cardiac silhouette remains enlarged, and is accompanied by pulmonary vascular congestion and a mild interstitial edema. Left retrocardiac opacity has slightly improved, could reflect improving atelectasis or a resolving pneumonia in the appropriate clinical setting. Adjacent small left pleural effusion is also slightly smaller. No visible pneumothorax.","Cardiac silhouette remains enlarged, and is accompanied by pulmonary vascular congestion and a mild interstitial edema.","cardiac silhouette, pulmonary vascular congestion, and mild interstitial edema",,Stable,['files/p19/p19759491/s50269116/d21a9727-19732ca3-04b1e396-f706bb33-063c90b8.jpg'],['files/p19/p19759491/s50152324/ae135fa3-eb593692-9f19fe95-cdc9b703-28b87ac4.jpg\n']
s50270173_3,p13586204,s50270173,3,Findings,"In comparison with the study of ___, there has been substantial improvement in the degree of pulmonary edema with only mild residual elevation of pulmonary venous pressure. Persistent opacification at the bases is consistent with pleural effusion and volume loss, especially in the retrocardiac region.","Persistent opacification at the bases is consistent with pleural effusion and volume loss, especially in the retrocardiac region.",opacification,bases,Stable,['files/p13/p13586204/s50270173/8dbd2003-7d7887eb-6d6e4bad-7b02ceed-acdeda24.jpg'],
s50270173_3,p13586204,s50270173,3,Findings,"In comparison with the study of ___, there has been substantial improvement in the degree of pulmonary edema with only mild residual elevation of pulmonary venous pressure. Persistent opacification at the bases is consistent with pleural effusion and volume loss, especially in the retrocardiac region.","In comparison with the study of ___, there has been substantial improvement in the degree of pulmonary edema with only mild residual elevation of pulmonary venous pressure.",edema,pulmonary,Better,['files/p13/p13586204/s50270173/8dbd2003-7d7887eb-6d6e4bad-7b02ceed-acdeda24.jpg'],
s50273882_4,p14353044,s50273882,4,Findings,The cardiomediastinal contours are within normal limits and without change. Interval decrease in size of right pleural effusion with residual small effusion remaining. Adjacent atelectasis in the right mid and lower lung has improved with residual linear atelectasis remaining. Minimal linear atelectasis is also present in the left lower lobe. No focal areas of consolidation are identified to suggest the presence of pneumonia.,The cardiomediastinal contours are within normal limits and without change.,contours,cardiomediastinal,Stable,['files/p14/p14353044/s50273882/ae80e1b1-1e1e539f-5e6839cf-76c7451a-19b7e2a2.jpg'],
s50273882_4,p14353044,s50273882,4,Findings,The cardiomediastinal contours are within normal limits and without change. Interval decrease in size of right pleural effusion with residual small effusion remaining. Adjacent atelectasis in the right mid and lower lung has improved with residual linear atelectasis remaining. Minimal linear atelectasis is also present in the left lower lobe. No focal areas of consolidation are identified to suggest the presence of pneumonia.,Interval decrease in size of right pleural effusion with residual small effusion remaining.,pleural effusion,right,Better,['files/p14/p14353044/s50273882/ae80e1b1-1e1e539f-5e6839cf-76c7451a-19b7e2a2.jpg'],
s50273882_4,p14353044,s50273882,4,Findings,The cardiomediastinal contours are within normal limits and without change. Interval decrease in size of right pleural effusion with residual small effusion remaining. Adjacent atelectasis in the right mid and lower lung has improved with residual linear atelectasis remaining. Minimal linear atelectasis is also present in the left lower lobe. No focal areas of consolidation are identified to suggest the presence of pneumonia.,Adjacent atelectasis in the right mid and lower lung has improved with residual linear atelectasis remaining.,atelectasis,right mid and lower lung,Better,['files/p14/p14353044/s50273882/ae80e1b1-1e1e539f-5e6839cf-76c7451a-19b7e2a2.jpg'],
s50277921_15,p10439781,s50277921,15,Impression,"AP chest compared to ___ through ___: Feeding tube with a wire stylet in place passes into the stomach and out of view. Comparing today's examination with many chest radiographs since ___, it looks like there is a mild degree of pulmonary edema superimposed on chronic interstitial lung disease. Specifically, on ___ the interstitial abnormality is comparable to that on ___, whereas at other times there has been at least a component of acute pulmonary edema. Today, the findings are very similar to ___. Severe cardiomegaly and pulmonary vascular plethora are chronic. Left subclavian infusion port ends in the mid-to-low SVC. Pleural effusion, if any, is minimal and there is no pneumothorax.","Comparing today's examination with many chest radiographs since ___, it looks like there is a mild degree of pulmonary edema superimposed on chronic interstitial lung disease.",pulmonary edema,,Worse,['files/p10/p10439781/s50277921/397252c6-f7b6111e-367341df-b8fc523c-599cfcbd.jpg'],
s50277921_15,p10439781,s50277921,15,Impression,"AP chest compared to ___ through ___: Feeding tube with a wire stylet in place passes into the stomach and out of view. Comparing today's examination with many chest radiographs since ___, it looks like there is a mild degree of pulmonary edema superimposed on chronic interstitial lung disease. Specifically, on ___ the interstitial abnormality is comparable to that on ___, whereas at other times there has been at least a component of acute pulmonary edema. Today, the findings are very similar to ___. Severe cardiomegaly and pulmonary vascular plethora are chronic. Left subclavian infusion port ends in the mid-to-low SVC. Pleural effusion, if any, is minimal and there is no pneumothorax.","Specifically, on ___ the interstitial abnormality is comparable to that on ___, whereas at other times there has been at least a component of acute pulmonary edema.",interstitial abnormality,,Stable,['files/p10/p10439781/s50277921/397252c6-f7b6111e-367341df-b8fc523c-599cfcbd.jpg'],
s50282926_28,p15259244,s50282926,28,Findings,"The cardiomediastinal and hilar contours are stable, with moderate cardiomegaly. Multiple intact sternotomy wires, mediastinal surgical clips, and prosthetic aortic valve are noted. There is minimal improvement in a chronic moderate-sized left pleural effusion. No pneumothorax is seen. Faint opacity right base laterally appears to represent residua from ___ xray. Bibasal opacities, left greater than right, likely represents atelectasis. Ppossible background chronic lung disease. Faint opacity over left upper quadrant of abdomen may represent residual contrast in te stomach. No free air seen beneath the diaphragm. No obvious displaced rib fractures are seen. If there is a high clinical concern for a nondisplaced rib fracture, dedicated rib series scan be performed with a marker placed at the site of maximum tenderness.","The cardiomediastinal and hilar contours are stable, with moderate cardiomegaly",Cardiomediastinal and hilar contours,,Stable,"['files/p15/p15259244/s50282926/bba69ee7-df213de0-6bcebedd-77472984-0840a418.jpg', 'files/p15/p15259244/s50282926/ede252ee-83066d8a-376961c0-b07de3b1-0dfeb1e0.jpg']",['files/p15/p15259244/s50243155/3920cf42-8cd1362b-cbe6eaee-518b1fa6-a7358a5b.jpg\n']
s50282926_28,p15259244,s50282926,28,Impression,Stable chronic cardiomegaly. Mild improvement in the chronic moderate-sized left pleural effusion and left basal atelectasis.,Stable chronic cardiomegaly,Chronic cardiomegaly,,Stable,"['files/p15/p15259244/s50282926/bba69ee7-df213de0-6bcebedd-77472984-0840a418.jpg', 'files/p15/p15259244/s50282926/ede252ee-83066d8a-376961c0-b07de3b1-0dfeb1e0.jpg']",['files/p15/p15259244/s50243155/3920cf42-8cd1362b-cbe6eaee-518b1fa6-a7358a5b.jpg\n']
s50282926_28,p15259244,s50282926,28,Findings,"The cardiomediastinal and hilar contours are stable, with moderate cardiomegaly. Multiple intact sternotomy wires, mediastinal surgical clips, and prosthetic aortic valve are noted. There is minimal improvement in a chronic moderate-sized left pleural effusion. No pneumothorax is seen. Faint opacity right base laterally appears to represent residua from ___ xray. Bibasal opacities, left greater than right, likely represents atelectasis. Ppossible background chronic lung disease. Faint opacity over left upper quadrant of abdomen may represent residual contrast in te stomach. No free air seen beneath the diaphragm. No obvious displaced rib fractures are seen. If there is a high clinical concern for a nondisplaced rib fracture, dedicated rib series scan be performed with a marker placed at the site of maximum tenderness.","The cardiomediastinal and hilar contours are stable, with moderate cardiomegaly",Moderate cardiomegaly,,Stable,"['files/p15/p15259244/s50282926/bba69ee7-df213de0-6bcebedd-77472984-0840a418.jpg', 'files/p15/p15259244/s50282926/ede252ee-83066d8a-376961c0-b07de3b1-0dfeb1e0.jpg']",['files/p15/p15259244/s50243155/3920cf42-8cd1362b-cbe6eaee-518b1fa6-a7358a5b.jpg\n']
s50282926_28,p15259244,s50282926,28,Findings,"The cardiomediastinal and hilar contours are stable, with moderate cardiomegaly. Multiple intact sternotomy wires, mediastinal surgical clips, and prosthetic aortic valve are noted. There is minimal improvement in a chronic moderate-sized left pleural effusion. No pneumothorax is seen. Faint opacity right base laterally appears to represent residua from ___ xray. Bibasal opacities, left greater than right, likely represents atelectasis. Ppossible background chronic lung disease. Faint opacity over left upper quadrant of abdomen may represent residual contrast in te stomach. No free air seen beneath the diaphragm. No obvious displaced rib fractures are seen. If there is a high clinical concern for a nondisplaced rib fracture, dedicated rib series scan be performed with a marker placed at the site of maximum tenderness.",There is minimal improvement in a chronic moderate-sized left pleural effusion,Pleural effusion,Left,Better,"['files/p15/p15259244/s50282926/bba69ee7-df213de0-6bcebedd-77472984-0840a418.jpg', 'files/p15/p15259244/s50282926/ede252ee-83066d8a-376961c0-b07de3b1-0dfeb1e0.jpg']",['files/p15/p15259244/s50243155/3920cf42-8cd1362b-cbe6eaee-518b1fa6-a7358a5b.jpg\n']
s50282926_28,p15259244,s50282926,28,Impression,Stable chronic cardiomegaly. Mild improvement in the chronic moderate-sized left pleural effusion and left basal atelectasis.,Mild improvement in the chronic moderate-sized left pleural effusion and left basal atelectasis,Basal atelectasis,Left,Better,"['files/p15/p15259244/s50282926/bba69ee7-df213de0-6bcebedd-77472984-0840a418.jpg', 'files/p15/p15259244/s50282926/ede252ee-83066d8a-376961c0-b07de3b1-0dfeb1e0.jpg']",['files/p15/p15259244/s50243155/3920cf42-8cd1362b-cbe6eaee-518b1fa6-a7358a5b.jpg\n']
s50282926_28,p15259244,s50282926,28,Impression,Stable chronic cardiomegaly. Mild improvement in the chronic moderate-sized left pleural effusion and left basal atelectasis.,Mild improvement in the chronic moderate-sized left pleural effusion and left basal atelectasis,Pleural effusion,Left,Better,"['files/p15/p15259244/s50282926/bba69ee7-df213de0-6bcebedd-77472984-0840a418.jpg', 'files/p15/p15259244/s50282926/ede252ee-83066d8a-376961c0-b07de3b1-0dfeb1e0.jpg']",['files/p15/p15259244/s50243155/3920cf42-8cd1362b-cbe6eaee-518b1fa6-a7358a5b.jpg\n']
s50286241_11,p19991135,s50286241,11,Findings,"PA and lateral chest views have been obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. Heart size and mediastinal structures are unchanged. The previously described remaining pleural densities along the upper right lateral chest wall in the shoulder area show diminished thickness of the pleural density surrounding the operative area. Postoperative localized apical pneumothorax has diminished further and is now barely 1 cm wide, also showing increasing pleural scar formation. No new abnormalities are seen. The left hemithorax is unchanged, though no evidence of new pulmonary abnormalities.",Heart size and mediastinal structures are unchanged.,Heart size and mediastinal structures,,Stable,"['files/p19/p19991135/s50286241/2864e838-3b910802-5564865b-5c6e8d90-7c64b392.jpg', 'files/p19/p19991135/s50286241/a8c08cbf-15ac0dac-b76a40a0-dab826c7-18015767.jpg']",
s50286241_11,p19991135,s50286241,11,Findings,"PA and lateral chest views have been obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. Heart size and mediastinal structures are unchanged. The previously described remaining pleural densities along the upper right lateral chest wall in the shoulder area show diminished thickness of the pleural density surrounding the operative area. Postoperative localized apical pneumothorax has diminished further and is now barely 1 cm wide, also showing increasing pleural scar formation. No new abnormalities are seen. The left hemithorax is unchanged, though no evidence of new pulmonary abnormalities.","The left hemithorax is unchanged, though no evidence of new pulmonary abnormalities.",,left hemithorax,Stable,"['files/p19/p19991135/s50286241/2864e838-3b910802-5564865b-5c6e8d90-7c64b392.jpg', 'files/p19/p19991135/s50286241/a8c08cbf-15ac0dac-b76a40a0-dab826c7-18015767.jpg']",
s50286241_11,p19991135,s50286241,11,Findings,"PA and lateral chest views have been obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. Heart size and mediastinal structures are unchanged. The previously described remaining pleural densities along the upper right lateral chest wall in the shoulder area show diminished thickness of the pleural density surrounding the operative area. Postoperative localized apical pneumothorax has diminished further and is now barely 1 cm wide, also showing increasing pleural scar formation. No new abnormalities are seen. The left hemithorax is unchanged, though no evidence of new pulmonary abnormalities.",The previously described remaining pleural densities along the upper right lateral chest wall in the shoulder area show diminished thickness of the pleural density surrounding the operative area.,pleural densities,upper right lateral chest wall in the shoulder area,Better,"['files/p19/p19991135/s50286241/2864e838-3b910802-5564865b-5c6e8d90-7c64b392.jpg', 'files/p19/p19991135/s50286241/a8c08cbf-15ac0dac-b76a40a0-dab826c7-18015767.jpg']",
s50286241_11,p19991135,s50286241,11,Findings,"PA and lateral chest views have been obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. Heart size and mediastinal structures are unchanged. The previously described remaining pleural densities along the upper right lateral chest wall in the shoulder area show diminished thickness of the pleural density surrounding the operative area. Postoperative localized apical pneumothorax has diminished further and is now barely 1 cm wide, also showing increasing pleural scar formation. No new abnormalities are seen. The left hemithorax is unchanged, though no evidence of new pulmonary abnormalities.","Postoperative localized apical pneumothorax has diminished further and is now barely 1 cm wide, also showing increasing pleural scar formation.",pneumothorax,apical,Better,"['files/p19/p19991135/s50286241/2864e838-3b910802-5564865b-5c6e8d90-7c64b392.jpg', 'files/p19/p19991135/s50286241/a8c08cbf-15ac0dac-b76a40a0-dab826c7-18015767.jpg']",
s50289849_8,p10933609,s50289849,8,Findings,"Frontal and lateral views of the chest were obtained. There is interval increase in bilateral upper lobe opacities, right greater than left. Evidence of scarring is again seen with retraction of the hila bilaterally. No large pleural effusion or pneumothorax is seen. Evidence of a left-sided rib fracture is again seen, although not well evaluated. Cardiac and mediastinal silhouettes are stable.",Evidence of scarring is again seen with retraction of the hila bilaterally.,scarring with retraction of the hila,bilaterally,Stable,"['files/p10/p10933609/s50289849/57c03361-059aa6a2-9f7028da-423292f4-3b134303.jpg', 'files/p10/p10933609/s50289849/add88ac4-2338dc16-a58a1ae9-57b1ecae-0a8f018a.jpg', 'files/p10/p10933609/s50289849/ed54d9af-c03fa3e8-2c18f99d-c0c65bc5-98bf2656.jpg']",['files/p10/p10933609/s50205123/5df8c586-2f6adf15-722e6f13-ffa8a117-acd92b9a.jpg\n']
s50289849_8,p10933609,s50289849,8,Findings,"Frontal and lateral views of the chest were obtained. There is interval increase in bilateral upper lobe opacities, right greater than left. Evidence of scarring is again seen with retraction of the hila bilaterally. No large pleural effusion or pneumothorax is seen. Evidence of a left-sided rib fracture is again seen, although not well evaluated. Cardiac and mediastinal silhouettes are stable.","Evidence of a left-sided rib fracture is again seen, although not well evaluated.",rib fracture,left-sided,Stable,"['files/p10/p10933609/s50289849/57c03361-059aa6a2-9f7028da-423292f4-3b134303.jpg', 'files/p10/p10933609/s50289849/add88ac4-2338dc16-a58a1ae9-57b1ecae-0a8f018a.jpg', 'files/p10/p10933609/s50289849/ed54d9af-c03fa3e8-2c18f99d-c0c65bc5-98bf2656.jpg']",['files/p10/p10933609/s50205123/5df8c586-2f6adf15-722e6f13-ffa8a117-acd92b9a.jpg\n']
s50289849_8,p10933609,s50289849,8,Findings,"Frontal and lateral views of the chest were obtained. There is interval increase in bilateral upper lobe opacities, right greater than left. Evidence of scarring is again seen with retraction of the hila bilaterally. No large pleural effusion or pneumothorax is seen. Evidence of a left-sided rib fracture is again seen, although not well evaluated. Cardiac and mediastinal silhouettes are stable.",Cardiac and mediastinal silhouettes are stable.,cardiac and mediastinal silhouettes,,Stable,"['files/p10/p10933609/s50289849/57c03361-059aa6a2-9f7028da-423292f4-3b134303.jpg', 'files/p10/p10933609/s50289849/add88ac4-2338dc16-a58a1ae9-57b1ecae-0a8f018a.jpg', 'files/p10/p10933609/s50289849/ed54d9af-c03fa3e8-2c18f99d-c0c65bc5-98bf2656.jpg']",['files/p10/p10933609/s50205123/5df8c586-2f6adf15-722e6f13-ffa8a117-acd92b9a.jpg\n']
s50289849_8,p10933609,s50289849,8,Impression,"Interval increase in bilateral upper lobe, right greater than left opacities raises concern for infectious process superimposed on chronic changes.","Interval increase in bilateral upper lobe, right greater than left opacities raises concern for infectious process superimposed on chronic changes.",opacities,"bilateral upper lobe, right greater than left",Worse,"['files/p10/p10933609/s50289849/57c03361-059aa6a2-9f7028da-423292f4-3b134303.jpg', 'files/p10/p10933609/s50289849/add88ac4-2338dc16-a58a1ae9-57b1ecae-0a8f018a.jpg', 'files/p10/p10933609/s50289849/ed54d9af-c03fa3e8-2c18f99d-c0c65bc5-98bf2656.jpg']",['files/p10/p10933609/s50205123/5df8c586-2f6adf15-722e6f13-ffa8a117-acd92b9a.jpg\n']
s50289849_8,p10933609,s50289849,8,Findings,"Frontal and lateral views of the chest were obtained. There is interval increase in bilateral upper lobe opacities, right greater than left. Evidence of scarring is again seen with retraction of the hila bilaterally. No large pleural effusion or pneumothorax is seen. Evidence of a left-sided rib fracture is again seen, although not well evaluated. Cardiac and mediastinal silhouettes are stable.","There is interval increase in bilateral upper lobe opacities, right greater than left.",opacities,bilateral upper lobe,Worse,"['files/p10/p10933609/s50289849/57c03361-059aa6a2-9f7028da-423292f4-3b134303.jpg', 'files/p10/p10933609/s50289849/add88ac4-2338dc16-a58a1ae9-57b1ecae-0a8f018a.jpg', 'files/p10/p10933609/s50289849/ed54d9af-c03fa3e8-2c18f99d-c0c65bc5-98bf2656.jpg']",['files/p10/p10933609/s50205123/5df8c586-2f6adf15-722e6f13-ffa8a117-acd92b9a.jpg\n']
s50290463_26,p10933609,s50290463,26,Findings,"AP and lateral views of the chest were provided. Lung volumes are low, similar to the prior study. The previously noted dense consolidation of the right upper lobe has improved with diffuse streaky opacities remaining. There are findings consistent with chronic lung disease such as sarcoidosis. Prominence of the pulmonary interstitial markings is due to mild heart failure. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is notable for a tortuous aorta. Bones are slightly osteopenic.",The previously noted dense consolidation of the right upper lobe has improved with diffuse streaky opacities remaining.,dense consolidation,right upper lobe,Better,"['files/p10/p10933609/s50290463/000ffbff-3d93bcef-da8b17cd-fbcede53-51728df9.jpg', 'files/p10/p10933609/s50290463/f576c221-e516f6b2-ee125faa-a1af8c31-ed2991b8.jpg']","['files/p10/p10933609/s50289849/57c03361-059aa6a2-9f7028da-423292f4-3b134303.jpg\n', 'files/p10/p10933609/s50289849/add88ac4-2338dc16-a58a1ae9-57b1ecae-0a8f018a.jpg\n', 'files/p10/p10933609/s50289849/ed54d9af-c03fa3e8-2c18f99d-c0c65bc5-98bf2656.jpg\n']"
s50290463_26,p10933609,s50290463,26,Impression,"1. Improving right upper lobe consolidation. 2. Mild heart failure. 3. Findings of chronic lung disease, most likely sarcoidosis.",Improving right upper lobe consolidation.,consolidation,right upper lobe,Better,"['files/p10/p10933609/s50290463/000ffbff-3d93bcef-da8b17cd-fbcede53-51728df9.jpg', 'files/p10/p10933609/s50290463/f576c221-e516f6b2-ee125faa-a1af8c31-ed2991b8.jpg']","['files/p10/p10933609/s50289849/57c03361-059aa6a2-9f7028da-423292f4-3b134303.jpg\n', 'files/p10/p10933609/s50289849/add88ac4-2338dc16-a58a1ae9-57b1ecae-0a8f018a.jpg\n', 'files/p10/p10933609/s50289849/ed54d9af-c03fa3e8-2c18f99d-c0c65bc5-98bf2656.jpg\n']"
s50290463_26,p10933609,s50290463,26,Findings,"AP and lateral views of the chest were provided. Lung volumes are low, similar to the prior study. The previously noted dense consolidation of the right upper lobe has improved with diffuse streaky opacities remaining. There are findings consistent with chronic lung disease such as sarcoidosis. Prominence of the pulmonary interstitial markings is due to mild heart failure. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is notable for a tortuous aorta. Bones are slightly osteopenic.","Lung volumes are low, similar to the prior study.",Low lung volumes,,Stable,"['files/p10/p10933609/s50290463/000ffbff-3d93bcef-da8b17cd-fbcede53-51728df9.jpg', 'files/p10/p10933609/s50290463/f576c221-e516f6b2-ee125faa-a1af8c31-ed2991b8.jpg']","['files/p10/p10933609/s50289849/57c03361-059aa6a2-9f7028da-423292f4-3b134303.jpg\n', 'files/p10/p10933609/s50289849/add88ac4-2338dc16-a58a1ae9-57b1ecae-0a8f018a.jpg\n', 'files/p10/p10933609/s50289849/ed54d9af-c03fa3e8-2c18f99d-c0c65bc5-98bf2656.jpg\n']"
s50291999_3,p12595991,s50291999,3,Impression,Moderate cardiomegaly with AICD in unchanged position. No evidence of congestive heart failure or pneumonia.,Moderate cardiomegaly with AICD in unchanged position.,AICD,left chest wall,Stable,"['files/p12/p12595991/s50291999/09a7bc78-861b7d8a-bf31a633-67e32681-cec68e43.jpg', 'files/p12/p12595991/s50291999/449aaf0d-39419c16-a79e10d0-a6d3b8b1-1076c60f.jpg']",
s50296389_10,p14387068,s50296389,10,Findings,"There is a decreased though persistent right-sided hydropneumothorax with interval incomplete reexpansion of the right lung. No significant mediastinal shift identified with unremarkable mediastinal, hilar, and cardiac contours. Right lower lung opacifications may reflect combination of reexpansion edema and atelectasis. Minimal left lung atelectasis noted.",There is a decreased though persistent right-sided hydropneumothorax with interval incomplete reexpansion of the right lung.,hydropneumothorax,right-sided,Worse,"['files/p14/p14387068/s50296389/20cbc0cc-b3c8cc7c-20ac42e1-24561590-cdc9f748.jpg', 'files/p14/p14387068/s50296389/36309315-d8541009-0bd1a6c7-61a61b57-a33c1b81.jpg']",['files/p14/p14387068/s50084331/5d8d15d2-dc99cbe5-5c910973-385d5e29-82320f37.jpg\n']
s50296389_10,p14387068,s50296389,10,Impression,"Improving right hydropneumothorax with right lower lung opacifications, atelectasis versus edema are likely.","Improving right hydropneumothorax with right lower lung opacifications, atelectasis versus edema are likely.",hydropneumothorax,right,Better,"['files/p14/p14387068/s50296389/20cbc0cc-b3c8cc7c-20ac42e1-24561590-cdc9f748.jpg', 'files/p14/p14387068/s50296389/36309315-d8541009-0bd1a6c7-61a61b57-a33c1b81.jpg']",['files/p14/p14387068/s50084331/5d8d15d2-dc99cbe5-5c910973-385d5e29-82320f37.jpg\n']
s50297024_11,p19454978,s50297024,11,Findings,Single portable view of the chest. Prior right PICC is no longer visualized. Lower lung volumes are seen on the current exam. The lungs remain clear of besides mild retrocardiac opacity. The cardiomediastinal silhouette is stable. Degenerative changes are seen at the shoulders.,Prior right PICC is no longer visualized.,PICC,right,Resolve,['files/p19/p19454978/s50297024/674352c6-0c0645c1-b23ec675-6af58553-7af149b1.jpg'],['files/p19/p19454978/s50082220/9ea9d7ed-af25b8f5-d58509f4-3b363917-c3e443af.jpg\n']
s50297024_11,p19454978,s50297024,11,Findings,Single portable view of the chest. Prior right PICC is no longer visualized. Lower lung volumes are seen on the current exam. The lungs remain clear of besides mild retrocardiac opacity. The cardiomediastinal silhouette is stable. Degenerative changes are seen at the shoulders.,The lungs remain clear of besides mild retrocardiac opacity.,opacity,retrocardiac,Stable,['files/p19/p19454978/s50297024/674352c6-0c0645c1-b23ec675-6af58553-7af149b1.jpg'],['files/p19/p19454978/s50082220/9ea9d7ed-af25b8f5-d58509f4-3b363917-c3e443af.jpg\n']
s50297024_11,p19454978,s50297024,11,Findings,Single portable view of the chest. Prior right PICC is no longer visualized. Lower lung volumes are seen on the current exam. The lungs remain clear of besides mild retrocardiac opacity. The cardiomediastinal silhouette is stable. Degenerative changes are seen at the shoulders.,The cardiomediastinal silhouette is stable.,cardiomediastinal silhouette,,Stable,['files/p19/p19454978/s50297024/674352c6-0c0645c1-b23ec675-6af58553-7af149b1.jpg'],['files/p19/p19454978/s50082220/9ea9d7ed-af25b8f5-d58509f4-3b363917-c3e443af.jpg\n']
s50305989_14,p14841168,s50305989,14,Impression,AP chest compared to ___: Lung volumes have improved and pulmonary and mediastinal vascular engorgement have decreased since ___. There is no good evidence for pneumonia and pleural effusions are small if any. Mild-to-moderate cardiomegaly unchanged. Right PIC line ends just before the junction of the brachiocephalic veins. No pneumothorax.,AP chest compared to ___: Lung volumes have improved and pulmonary and mediastinal vascular engorgement have decreased since ___.,lung volumes,,Better,"['files/p14/p14841168/s50305989/28aa3e49-8e7893ad-3231b746-f00018b0-7d9eadd4.jpg', 'files/p14/p14841168/s50305989/2f10769e-95f1782e-58bcd178-a4cd46d2-cd832272.jpg']","['files/p14/p14841168/s50133146/41cfa032-e7c35e17-a92c9124-a0135eb4-d4da198b.jpg\n', 'files/p14/p14841168/s50133146/badff6d2-5cf4b0e2-87a2fc81-ec99b751-425d490a.jpg\n']"
s50305989_14,p14841168,s50305989,14,Impression,AP chest compared to ___: Lung volumes have improved and pulmonary and mediastinal vascular engorgement have decreased since ___. There is no good evidence for pneumonia and pleural effusions are small if any. Mild-to-moderate cardiomegaly unchanged. Right PIC line ends just before the junction of the brachiocephalic veins. No pneumothorax.,AP chest compared to ___: Lung volumes have improved and pulmonary and mediastinal vascular engorgement have decreased since ___.,pulmonary and mediastinal vascular engorgement,,Better,"['files/p14/p14841168/s50305989/28aa3e49-8e7893ad-3231b746-f00018b0-7d9eadd4.jpg', 'files/p14/p14841168/s50305989/2f10769e-95f1782e-58bcd178-a4cd46d2-cd832272.jpg']","['files/p14/p14841168/s50133146/41cfa032-e7c35e17-a92c9124-a0135eb4-d4da198b.jpg\n', 'files/p14/p14841168/s50133146/badff6d2-5cf4b0e2-87a2fc81-ec99b751-425d490a.jpg\n']"
s50305989_14,p14841168,s50305989,14,Impression,AP chest compared to ___: Lung volumes have improved and pulmonary and mediastinal vascular engorgement have decreased since ___. There is no good evidence for pneumonia and pleural effusions are small if any. Mild-to-moderate cardiomegaly unchanged. Right PIC line ends just before the junction of the brachiocephalic veins. No pneumothorax.,Mild-to-moderate cardiomegaly unchanged.,mild-to-moderate cardiomegaly,,Stable,"['files/p14/p14841168/s50305989/28aa3e49-8e7893ad-3231b746-f00018b0-7d9eadd4.jpg', 'files/p14/p14841168/s50305989/2f10769e-95f1782e-58bcd178-a4cd46d2-cd832272.jpg']","['files/p14/p14841168/s50133146/41cfa032-e7c35e17-a92c9124-a0135eb4-d4da198b.jpg\n', 'files/p14/p14841168/s50133146/badff6d2-5cf4b0e2-87a2fc81-ec99b751-425d490a.jpg\n']"
s50307780_1,p16043240,s50307780,1,Impression,"AP chest compared to ___ through ___, 11:02 a.m.: Small biapical pneumothorax unchanged since earlier in the day. Pleural tubes removed. Moderate left lower lobe atelectasis and small accompanying pleural effusion also stable. Heart size top normal. Normal postoperative cardiomediastinal silhouette. Right jugular line ends in the upper right atrium, unchanged.","AP chest compared to ___ through ___, 11:02 a.m.: Small biapical pneumothorax unchanged since earlier in the day.",pneumothorax,biapical,Stable,['files/p16/p16043240/s50307780/05422169-24d04e58-5084d62b-7d1d9ce1-16bfe2af.jpg'],
s50307780_1,p16043240,s50307780,1,Impression,"AP chest compared to ___ through ___, 11:02 a.m.: Small biapical pneumothorax unchanged since earlier in the day. Pleural tubes removed. Moderate left lower lobe atelectasis and small accompanying pleural effusion also stable. Heart size top normal. Normal postoperative cardiomediastinal silhouette. Right jugular line ends in the upper right atrium, unchanged.",Pleural tubes removed.,Pleural tubes,,Resolve,['files/p16/p16043240/s50307780/05422169-24d04e58-5084d62b-7d1d9ce1-16bfe2af.jpg'],
s50307780_1,p16043240,s50307780,1,Impression,"AP chest compared to ___ through ___, 11:02 a.m.: Small biapical pneumothorax unchanged since earlier in the day. Pleural tubes removed. Moderate left lower lobe atelectasis and small accompanying pleural effusion also stable. Heart size top normal. Normal postoperative cardiomediastinal silhouette. Right jugular line ends in the upper right atrium, unchanged.",Moderate left lower lobe atelectasis and small accompanying pleural effusion also stable.,atelectasis,left lower lobe,Stable,['files/p16/p16043240/s50307780/05422169-24d04e58-5084d62b-7d1d9ce1-16bfe2af.jpg'],
s50307780_1,p16043240,s50307780,1,Impression,"AP chest compared to ___ through ___, 11:02 a.m.: Small biapical pneumothorax unchanged since earlier in the day. Pleural tubes removed. Moderate left lower lobe atelectasis and small accompanying pleural effusion also stable. Heart size top normal. Normal postoperative cardiomediastinal silhouette. Right jugular line ends in the upper right atrium, unchanged.",Moderate left lower lobe atelectasis and small accompanying pleural effusion also stable.,pleural effusion,left lower lobe,Stable,['files/p16/p16043240/s50307780/05422169-24d04e58-5084d62b-7d1d9ce1-16bfe2af.jpg'],
s50307780_1,p16043240,s50307780,1,Impression,"AP chest compared to ___ through ___, 11:02 a.m.: Small biapical pneumothorax unchanged since earlier in the day. Pleural tubes removed. Moderate left lower lobe atelectasis and small accompanying pleural effusion also stable. Heart size top normal. Normal postoperative cardiomediastinal silhouette. Right jugular line ends in the upper right atrium, unchanged.","Right jugular line ends in the upper right atrium, unchanged.",line,right jugular,Stable,['files/p16/p16043240/s50307780/05422169-24d04e58-5084d62b-7d1d9ce1-16bfe2af.jpg'],
s50308220_2,p16562430,s50308220,2,Impression,"AP chest compared to ___ through ___: Comparing today's study with ___, the low lung volumes are unchanged but there is greater opacification throughout both lungs, most readily attributed to worsening pulmonary edema in the setting of pre-existing severe pulmonary fibrosis. Given the severity of the acute and chronic pulmonary abnormalities, concurrent pneumonia would be difficult to exclude radiographically but there is no asymmetry to suggest it. The heart is mildly enlarged, but generally obscured by adjacent parenchymal pulmonary abnormalities. There is no appreciable pleural effusion or pneumothorax.","AP chest compared to ___ through ___: Comparing today's study with ___, the low lung volumes are unchanged but there is greater opacification throughout both lungs, most readily attributed to worsening pulmonary edema in the setting of pre-existing severe pulmonary fibrosis.",Opacification,,Worse,['files/p16/p16562430/s50308220/83469f17-940d9bb0-be3fdd29-f87627c3-eeb3d334.jpg'],
s50308220_2,p16562430,s50308220,2,Impression,"AP chest compared to ___ through ___: Comparing today's study with ___, the low lung volumes are unchanged but there is greater opacification throughout both lungs, most readily attributed to worsening pulmonary edema in the setting of pre-existing severe pulmonary fibrosis. Given the severity of the acute and chronic pulmonary abnormalities, concurrent pneumonia would be difficult to exclude radiographically but there is no asymmetry to suggest it. The heart is mildly enlarged, but generally obscured by adjacent parenchymal pulmonary abnormalities. There is no appreciable pleural effusion or pneumothorax.","AP chest compared to ___ through ___: Comparing today's study with ___, the low lung volumes are unchanged but there is greater opacification throughout both lungs, most readily attributed to worsening pulmonary edema in the setting of pre-existing severe pulmonary fibrosis.",Low lung volumes,,Stable,['files/p16/p16562430/s50308220/83469f17-940d9bb0-be3fdd29-f87627c3-eeb3d334.jpg'],
s50319774_19,p13473495,s50319774,19,Impression,"Pulmonary vascular congestion, slightly worse in the interval.","Pulmonary vascular congestion, slightly worse in the interval.",pulmonary vascular congestion,,Worse,"['files/p13/p13473495/s50319774/2626edcd-3f9f9f05-089bb9fa-c8ba4148-efad5e91.jpg', 'files/p13/p13473495/s50319774/6a7b2a39-053c4f09-18c1d7a0-c5fa96df-88fca8c8.jpg', 'files/p13/p13473495/s50319774/ac2bc5fb-c181f807-907ef393-692441ee-057ffb40.jpg']",
s50319774_19,p13473495,s50319774,19,Findings,"Severe cardiomegaly persists. A left subclavian vascular stent is re- demonstrated. Mediastinal contours are unchanged. There is pulmonary vascular congestion,slightly worse in the interval. A small amount of fluid is noted within the minor fissure. No focal consolidation, pleural effusion or pneumothorax is demonstrated.",Mediastinal contours are unchanged.,Mediastinal contours,,Stable,"['files/p13/p13473495/s50319774/2626edcd-3f9f9f05-089bb9fa-c8ba4148-efad5e91.jpg', 'files/p13/p13473495/s50319774/6a7b2a39-053c4f09-18c1d7a0-c5fa96df-88fca8c8.jpg', 'files/p13/p13473495/s50319774/ac2bc5fb-c181f807-907ef393-692441ee-057ffb40.jpg']",
s50319774_19,p13473495,s50319774,19,Findings,"Severe cardiomegaly persists. A left subclavian vascular stent is re- demonstrated. Mediastinal contours are unchanged. There is pulmonary vascular congestion,slightly worse in the interval. A small amount of fluid is noted within the minor fissure. No focal consolidation, pleural effusion or pneumothorax is demonstrated.",Severe cardiomegaly persists.,Cardiomegaly,,Stable,"['files/p13/p13473495/s50319774/2626edcd-3f9f9f05-089bb9fa-c8ba4148-efad5e91.jpg', 'files/p13/p13473495/s50319774/6a7b2a39-053c4f09-18c1d7a0-c5fa96df-88fca8c8.jpg', 'files/p13/p13473495/s50319774/ac2bc5fb-c181f807-907ef393-692441ee-057ffb40.jpg']",
s50319774_19,p13473495,s50319774,19,Findings,"Severe cardiomegaly persists. A left subclavian vascular stent is re- demonstrated. Mediastinal contours are unchanged. There is pulmonary vascular congestion,slightly worse in the interval. A small amount of fluid is noted within the minor fissure. No focal consolidation, pleural effusion or pneumothorax is demonstrated.","There is pulmonary vascular congestion, slightly worse in the interval.",pulmonary vascular congestion,,Worse,"['files/p13/p13473495/s50319774/2626edcd-3f9f9f05-089bb9fa-c8ba4148-efad5e91.jpg', 'files/p13/p13473495/s50319774/6a7b2a39-053c4f09-18c1d7a0-c5fa96df-88fca8c8.jpg', 'files/p13/p13473495/s50319774/ac2bc5fb-c181f807-907ef393-692441ee-057ffb40.jpg']",
s50323020_1,p12136799,s50323020,1,Findings,"Single portable AP view of the chest is compared to previous exam from ___. The lungs are clear of focal consolidation. There is, however, persistent blunting of the right costophrenic angle, potentially due to pleural thickening especially in the setting of multiple prior healed right rib fractures. Cardiomediastinal silhouette is stable. No visualized free air below the diaphragm.",Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,['files/p12/p12136799/s50323020/234b22c4-55fb91a9-44f7a42f-b764d462-018d3bb9.jpg'],
s50323020_1,p12136799,s50323020,1,Findings,"Single portable AP view of the chest is compared to previous exam from ___. The lungs are clear of focal consolidation. There is, however, persistent blunting of the right costophrenic angle, potentially due to pleural thickening especially in the setting of multiple prior healed right rib fractures. Cardiomediastinal silhouette is stable. No visualized free air below the diaphragm.","There is, however, persistent blunting of the right costophrenic angle, potentially due to pleural thickening especially in the setting of multiple prior healed right rib fractures.",blunting,right costophrenic angle,Stable,['files/p12/p12136799/s50323020/234b22c4-55fb91a9-44f7a42f-b764d462-018d3bb9.jpg'],
s50323961_2,p15776774,s50323961,2,Impression,"In comparison with the study of ___, the patient has taken a much better inspiration. Again there and is evidence of multiple old healed rib fractures on the right. Calcified hilar and mediastinal lymph nodes again are consistent with known sarcoidosis. No evidence of acute focal pneumonia or vascular congestion or pleural effusion.",Calcified hilar and mediastinal lymph nodes again are consistent with known sarcoidosis.,Calcified lymph nodes,hilar and mediastinal,Stable,"['files/p15/p15776774/s50323961/a28bd89f-1372d070-4c8f4c86-4edded96-a063343a.jpg', 'files/p15/p15776774/s50323961/a582694c-9ecb47ce-40948acb-e0ef8797-d08a41a6.jpg']",
s50323961_2,p15776774,s50323961,2,Impression,"In comparison with the study of ___, the patient has taken a much better inspiration. Again there and is evidence of multiple old healed rib fractures on the right. Calcified hilar and mediastinal lymph nodes again are consistent with known sarcoidosis. No evidence of acute focal pneumonia or vascular congestion or pleural effusion.",Again there and is evidence of multiple old healed rib fractures on the right.,Healed rib fractures,right,Stable,"['files/p15/p15776774/s50323961/a28bd89f-1372d070-4c8f4c86-4edded96-a063343a.jpg', 'files/p15/p15776774/s50323961/a582694c-9ecb47ce-40948acb-e0ef8797-d08a41a6.jpg']",
s50323961_2,p15776774,s50323961,2,Impression,"In comparison with the study of ___, the patient has taken a much better inspiration. Again there and is evidence of multiple old healed rib fractures on the right. Calcified hilar and mediastinal lymph nodes again are consistent with known sarcoidosis. No evidence of acute focal pneumonia or vascular congestion or pleural effusion.","In comparison with the study of ___, the patient has taken a much better inspiration.",Inspiration,,Better,"['files/p15/p15776774/s50323961/a28bd89f-1372d070-4c8f4c86-4edded96-a063343a.jpg', 'files/p15/p15776774/s50323961/a582694c-9ecb47ce-40948acb-e0ef8797-d08a41a6.jpg']",
s50324889_18,p14744884,s50324889,18,Impression,"Mild to moderate pulmonary edema, slightly worse in the interval with trace right pleural effusion and bibasilar atelectasis.","Mild to moderate pulmonary edema, slightly worse in the interval with trace right pleural effusion and bibasilar atelectasis.",Atelectasis,Lung bases,New,"['files/p14/p14744884/s50324889/2c704935-5d71f27f-9a16f96b-c07c47ac-c20f9b2f.jpg', 'files/p14/p14744884/s50324889/d6326d09-908b90e7-7f3c10fc-620713fc-4e490c4a.jpg']",
s50324889_18,p14744884,s50324889,18,Impression,"Mild to moderate pulmonary edema, slightly worse in the interval with trace right pleural effusion and bibasilar atelectasis.","Mild to moderate pulmonary edema, slightly worse in the interval with trace right pleural effusion and bibasilar atelectasis.",Pulmonary edema,Lungs,Worse,"['files/p14/p14744884/s50324889/2c704935-5d71f27f-9a16f96b-c07c47ac-c20f9b2f.jpg', 'files/p14/p14744884/s50324889/d6326d09-908b90e7-7f3c10fc-620713fc-4e490c4a.jpg']",
s50324889_18,p14744884,s50324889,18,Findings,Heart size remains mild to moderately enlarged. The mediastinal contour is unchanged. A a right subclavian vein stent appears unchanged. Mild to moderate pulmonary edema is worse in the interval. Patchy opacities in the lung bases likely reflect areas of atelectasis. Minimal right pleural effusion is noted. No pneumothorax is identified. Nodes osseous abnormalities detected.,Mild to moderate pulmonary edema is worse in the interval.,Pulmonary edema,Lungs,Worse,"['files/p14/p14744884/s50324889/2c704935-5d71f27f-9a16f96b-c07c47ac-c20f9b2f.jpg', 'files/p14/p14744884/s50324889/d6326d09-908b90e7-7f3c10fc-620713fc-4e490c4a.jpg']",
s50324889_18,p14744884,s50324889,18,Findings,Heart size remains mild to moderately enlarged. The mediastinal contour is unchanged. A a right subclavian vein stent appears unchanged. Mild to moderate pulmonary edema is worse in the interval. Patchy opacities in the lung bases likely reflect areas of atelectasis. Minimal right pleural effusion is noted. No pneumothorax is identified. Nodes osseous abnormalities detected.,A right subclavian vein stent appears unchanged.,Stent,Right subclavian vein,Stable,"['files/p14/p14744884/s50324889/2c704935-5d71f27f-9a16f96b-c07c47ac-c20f9b2f.jpg', 'files/p14/p14744884/s50324889/d6326d09-908b90e7-7f3c10fc-620713fc-4e490c4a.jpg']",
s50324889_18,p14744884,s50324889,18,Findings,Heart size remains mild to moderately enlarged. The mediastinal contour is unchanged. A a right subclavian vein stent appears unchanged. Mild to moderate pulmonary edema is worse in the interval. Patchy opacities in the lung bases likely reflect areas of atelectasis. Minimal right pleural effusion is noted. No pneumothorax is identified. Nodes osseous abnormalities detected.,The mediastinal contour is unchanged.,Contour,Mediastinal,Stable,"['files/p14/p14744884/s50324889/2c704935-5d71f27f-9a16f96b-c07c47ac-c20f9b2f.jpg', 'files/p14/p14744884/s50324889/d6326d09-908b90e7-7f3c10fc-620713fc-4e490c4a.jpg']",
s50324889_18,p14744884,s50324889,18,Findings,Heart size remains mild to moderately enlarged. The mediastinal contour is unchanged. A a right subclavian vein stent appears unchanged. Mild to moderate pulmonary edema is worse in the interval. Patchy opacities in the lung bases likely reflect areas of atelectasis. Minimal right pleural effusion is noted. No pneumothorax is identified. Nodes osseous abnormalities detected.,Heart size remains mild to moderately enlarged.,Heart size,Cardiac,Stable,"['files/p14/p14744884/s50324889/2c704935-5d71f27f-9a16f96b-c07c47ac-c20f9b2f.jpg', 'files/p14/p14744884/s50324889/d6326d09-908b90e7-7f3c10fc-620713fc-4e490c4a.jpg']",
s50324889_18,p14744884,s50324889,18,Impression,"Mild to moderate pulmonary edema, slightly worse in the interval with trace right pleural effusion and bibasilar atelectasis.","Mild to moderate pulmonary edema, slightly worse in the interval with trace right pleural effusion and bibasilar atelectasis.",Pleural effusion,Right pleura,New,"['files/p14/p14744884/s50324889/2c704935-5d71f27f-9a16f96b-c07c47ac-c20f9b2f.jpg', 'files/p14/p14744884/s50324889/d6326d09-908b90e7-7f3c10fc-620713fc-4e490c4a.jpg']",
s50325727_6,p12699874,s50325727,6,Impression,Significantly increased partly subpulmonic right pleural effusion since prior exam. These findings were discussed with Dr. ___ by Dr. ___ ___ telephone on ___ at 12:10 p.m.,Significantly increased partly subpulmonic right pleural effusion since prior exam.,Pleural effusion,Right,Worse,"['files/p12/p12699874/s50325727/1bca4361-bd43f47d-37accd9e-6212bed0-cb0f9f01.jpg', 'files/p12/p12699874/s50325727/62d2a95f-ce787ba1-fb0a191e-96bd2c85-97614863.jpg', 'files/p12/p12699874/s50325727/d10a7e10-a21722ae-fedb8a44-fd3747d1-8052e74c.jpg']",
s50325727_6,p12699874,s50325727,6,Findings,"Since the prior radiograph, there has been substantial increase in the right pleural effusion that is partly subpulmonic. The lungs are otherwise clear. There is no focal consolidation or pneumothorax. Heart size is top normal. Mediastinal silhouette is unremarkable.","Since the prior radiograph, there has been substantial increase in the right pleural effusion that is partly subpulmonic.",Pleural effusion,Right,Worse,"['files/p12/p12699874/s50325727/1bca4361-bd43f47d-37accd9e-6212bed0-cb0f9f01.jpg', 'files/p12/p12699874/s50325727/62d2a95f-ce787ba1-fb0a191e-96bd2c85-97614863.jpg', 'files/p12/p12699874/s50325727/d10a7e10-a21722ae-fedb8a44-fd3747d1-8052e74c.jpg']",
s50336741_1,p18309149,s50336741,1,Findings,"As compared to the previous radiograph, the patient has received a right pigtail catheter inserted in the pleural cavity. Extent of the previously present right pleural effusion has decreased. However, substantial portion of effusion remains. No complications, notably no pneumothorax. Unchanged appearance of the left lung and the cardiac silhouette.",Unchanged appearance of the left lung and the cardiac silhouette.,cardiac silhouette,,Stable,['files/p18/p18309149/s50336741/928e66f1-87ef1b9e-0ce33e37-760d835a-a539e8b9.jpg'],"['files/p18/p18309149/s50035498/2d669c63-3ec31080-3ee62b8b-7002f5b5-bf8e73b6.jpg\n', 'files/p18/p18309149/s50035498/cb581d96-edd1855f-79bc7a49-e942ded5-fb83c971.jpg\n']"
s50336741_1,p18309149,s50336741,1,Findings,"As compared to the previous radiograph, the patient has received a right pigtail catheter inserted in the pleural cavity. Extent of the previously present right pleural effusion has decreased. However, substantial portion of effusion remains. No complications, notably no pneumothorax. Unchanged appearance of the left lung and the cardiac silhouette.",Extent of the previously present right pleural effusion has decreased.,pleural effusion,right,Better,['files/p18/p18309149/s50336741/928e66f1-87ef1b9e-0ce33e37-760d835a-a539e8b9.jpg'],"['files/p18/p18309149/s50035498/2d669c63-3ec31080-3ee62b8b-7002f5b5-bf8e73b6.jpg\n', 'files/p18/p18309149/s50035498/cb581d96-edd1855f-79bc7a49-e942ded5-fb83c971.jpg\n']"
s50336741_1,p18309149,s50336741,1,Findings,"As compared to the previous radiograph, the patient has received a right pigtail catheter inserted in the pleural cavity. Extent of the previously present right pleural effusion has decreased. However, substantial portion of effusion remains. No complications, notably no pneumothorax. Unchanged appearance of the left lung and the cardiac silhouette.",Unchanged appearance of the left lung and the cardiac silhouette.,lung,left,Stable,['files/p18/p18309149/s50336741/928e66f1-87ef1b9e-0ce33e37-760d835a-a539e8b9.jpg'],"['files/p18/p18309149/s50035498/2d669c63-3ec31080-3ee62b8b-7002f5b5-bf8e73b6.jpg\n', 'files/p18/p18309149/s50035498/cb581d96-edd1855f-79bc7a49-e942ded5-fb83c971.jpg\n']"
s50336741_1,p18309149,s50336741,1,Findings,"As compared to the previous radiograph, the patient has received a right pigtail catheter inserted in the pleural cavity. Extent of the previously present right pleural effusion has decreased. However, substantial portion of effusion remains. No complications, notably no pneumothorax. Unchanged appearance of the left lung and the cardiac silhouette.","However, substantial portion of effusion remains.",pleural effusion,right,Stable,['files/p18/p18309149/s50336741/928e66f1-87ef1b9e-0ce33e37-760d835a-a539e8b9.jpg'],"['files/p18/p18309149/s50035498/2d669c63-3ec31080-3ee62b8b-7002f5b5-bf8e73b6.jpg\n', 'files/p18/p18309149/s50035498/cb581d96-edd1855f-79bc7a49-e942ded5-fb83c971.jpg\n']"
s50344973_8,p13352405,s50344973,8,Findings,"As compared to the previous radiograph, the new right basal pneumothorax, located at the site of the tube insertions, is no longer visible. The pleural space appears to be filled with a small amount of fluid. The position of the three right chest tubes is constant. Markedly increasing is the cervical and right pleural soft tissue air collection. Unchanged appearance of the left lung and of the cardiac silhouette.","As compared to the previous radiograph, the new right basal pneumothorax, located at the site of the tube insertions, is no longer visible.",pneumothorax,right basal,Resolve,['files/p13/p13352405/s50344973/ce1985cc-a6c42ebf-5ff6ebaa-52ca117e-11ae0c1c.jpg'],
s50344973_8,p13352405,s50344973,8,Findings,"As compared to the previous radiograph, the new right basal pneumothorax, located at the site of the tube insertions, is no longer visible. The pleural space appears to be filled with a small amount of fluid. The position of the three right chest tubes is constant. Markedly increasing is the cervical and right pleural soft tissue air collection. Unchanged appearance of the left lung and of the cardiac silhouette.",Unchanged appearance of the left lung and of the cardiac silhouette.,silhouette,cardiac,Stable,['files/p13/p13352405/s50344973/ce1985cc-a6c42ebf-5ff6ebaa-52ca117e-11ae0c1c.jpg'],
s50344973_8,p13352405,s50344973,8,Findings,"As compared to the previous radiograph, the new right basal pneumothorax, located at the site of the tube insertions, is no longer visible. The pleural space appears to be filled with a small amount of fluid. The position of the three right chest tubes is constant. Markedly increasing is the cervical and right pleural soft tissue air collection. Unchanged appearance of the left lung and of the cardiac silhouette.",Unchanged appearance of the left lung and of the cardiac silhouette.,lung,left,Stable,['files/p13/p13352405/s50344973/ce1985cc-a6c42ebf-5ff6ebaa-52ca117e-11ae0c1c.jpg'],
s50344973_8,p13352405,s50344973,8,Findings,"As compared to the previous radiograph, the new right basal pneumothorax, located at the site of the tube insertions, is no longer visible. The pleural space appears to be filled with a small amount of fluid. The position of the three right chest tubes is constant. Markedly increasing is the cervical and right pleural soft tissue air collection. Unchanged appearance of the left lung and of the cardiac silhouette.",Markedly increasing is the cervical and right pleural soft tissue air collection.,soft tissue air collection,cervical and right pleural,Worse,['files/p13/p13352405/s50344973/ce1985cc-a6c42ebf-5ff6ebaa-52ca117e-11ae0c1c.jpg'],
s50348450_1,p16855430,s50348450,1,Impression,"PA and lateral chest compared to ___ through ___: Pulmonary edema on ___ has almost entirely cleared, with a small perihilar residual and persistence of small bilateral pleural effusions. Moderate-to-severe cardiomegaly is longstanding.","PA and lateral chest compared to ___ through ___: Pulmonary edema on ___ has almost entirely cleared, with a small perihilar residual and persistence of small bilateral pleural effusions.",pulmonary edema,perihilar,Resolve,"['files/p16/p16855430/s50348450/0a5ed50a-9dafb43c-21a679db-8d7758f8-197b2eb4.jpg', 'files/p16/p16855430/s50348450/449420e9-bd45dc1c-91a5471c-ef301a2d-f5734a2d.jpg']",
s50354419_45,p13475033,s50354419,45,Findings,"Mild cardiomegaly has been stable compared to exams dated back to at least ___. There is increased mild pulmonary vascular congestion, otherwise the hilar and mediastinal contours are unremarkable. There has been an interval increase in diffuse interstitial markings throughout the lungs bilaterally, as well as new small bilateral pleural effusions. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable.",Mild cardiomegaly has been stable compared to exams dated back to at least ___,Mild cardiomegaly,,Stable,"['files/p13/p13475033/s50354419/473b3723-2a628ba8-ee2c35cc-2e8cd7b0-166f5104.jpg', 'files/p13/p13475033/s50354419/6fc552ce-e4e7859d-9cb49434-ba52639c-c274c6b4.jpg']","['files/p13/p13475033/s50093179/103e2c45-c0d49e36-40eee1f9-e44f2e38-49d8050b.jpg\n', 'files/p13/p13475033/s50093179/218001d1-0344f63d-bc2640b9-21fb85a1-28dbceda.jpg\n', 'files/p13/p13475033/s50093179/4a021054-bbc5de8b-8b37348e-b2c5feec-9767dc05.jpg\n']"
s50354419_45,p13475033,s50354419,45,Findings,"Mild cardiomegaly has been stable compared to exams dated back to at least ___. There is increased mild pulmonary vascular congestion, otherwise the hilar and mediastinal contours are unremarkable. There has been an interval increase in diffuse interstitial markings throughout the lungs bilaterally, as well as new small bilateral pleural effusions. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable.","There is increased mild pulmonary vascular congestion, otherwise the hilar and mediastinal contours are unremarkable",Mild pulmonary vascular congestion,,Worse,"['files/p13/p13475033/s50354419/473b3723-2a628ba8-ee2c35cc-2e8cd7b0-166f5104.jpg', 'files/p13/p13475033/s50354419/6fc552ce-e4e7859d-9cb49434-ba52639c-c274c6b4.jpg']","['files/p13/p13475033/s50093179/103e2c45-c0d49e36-40eee1f9-e44f2e38-49d8050b.jpg\n', 'files/p13/p13475033/s50093179/218001d1-0344f63d-bc2640b9-21fb85a1-28dbceda.jpg\n', 'files/p13/p13475033/s50093179/4a021054-bbc5de8b-8b37348e-b2c5feec-9767dc05.jpg\n']"
s50354419_45,p13475033,s50354419,45,Findings,"Mild cardiomegaly has been stable compared to exams dated back to at least ___. There is increased mild pulmonary vascular congestion, otherwise the hilar and mediastinal contours are unremarkable. There has been an interval increase in diffuse interstitial markings throughout the lungs bilaterally, as well as new small bilateral pleural effusions. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable.","There has been an interval increase in diffuse interstitial markings throughout the lungs bilaterally, as well as new small bilateral pleural effusions",Small pleural effusions,bilaterally,New,"['files/p13/p13475033/s50354419/473b3723-2a628ba8-ee2c35cc-2e8cd7b0-166f5104.jpg', 'files/p13/p13475033/s50354419/6fc552ce-e4e7859d-9cb49434-ba52639c-c274c6b4.jpg']","['files/p13/p13475033/s50093179/103e2c45-c0d49e36-40eee1f9-e44f2e38-49d8050b.jpg\n', 'files/p13/p13475033/s50093179/218001d1-0344f63d-bc2640b9-21fb85a1-28dbceda.jpg\n', 'files/p13/p13475033/s50093179/4a021054-bbc5de8b-8b37348e-b2c5feec-9767dc05.jpg\n']"
s50354419_45,p13475033,s50354419,45,Findings,"Mild cardiomegaly has been stable compared to exams dated back to at least ___. There is increased mild pulmonary vascular congestion, otherwise the hilar and mediastinal contours are unremarkable. There has been an interval increase in diffuse interstitial markings throughout the lungs bilaterally, as well as new small bilateral pleural effusions. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable.","There has been an interval increase in diffuse interstitial markings throughout the lungs bilaterally, as well as new small bilateral pleural effusions",Diffuse interstitial markings,bilaterally,Worse,"['files/p13/p13475033/s50354419/473b3723-2a628ba8-ee2c35cc-2e8cd7b0-166f5104.jpg', 'files/p13/p13475033/s50354419/6fc552ce-e4e7859d-9cb49434-ba52639c-c274c6b4.jpg']","['files/p13/p13475033/s50093179/103e2c45-c0d49e36-40eee1f9-e44f2e38-49d8050b.jpg\n', 'files/p13/p13475033/s50093179/218001d1-0344f63d-bc2640b9-21fb85a1-28dbceda.jpg\n', 'files/p13/p13475033/s50093179/4a021054-bbc5de8b-8b37348e-b2c5feec-9767dc05.jpg\n']"
s50365719_4,p17340686,s50365719,4,Impression,"AP chest compared to ___ through ___: Moderately severe pulmonary edema has changed in distribution but not in overall severity since ___. A small concurrent pneumonia would not be appreciated. Small bilateral pleural effusions are presumed. Moderate cardiomegaly and mediastinal vascular engorgement are unchanged, and recurrent.","Moderate cardiomegaly and mediastinal vascular engorgement are unchanged, and recurrent.",cardiomegaly and mediastinal vascular engorgement,,Stable,['files/p17/p17340686/s50365719/46501b98-e0a88786-27dbb719-b9a7468c-376d9f6a.jpg'],
s50365719_4,p17340686,s50365719,4,Impression,"AP chest compared to ___ through ___: Moderately severe pulmonary edema has changed in distribution but not in overall severity since ___. A small concurrent pneumonia would not be appreciated. Small bilateral pleural effusions are presumed. Moderate cardiomegaly and mediastinal vascular engorgement are unchanged, and recurrent.",AP chest compared to ___ through ___: Moderately severe pulmonary edema has changed in distribution but not in overall severity since ___.,pulmonary edema,,Stable,['files/p17/p17340686/s50365719/46501b98-e0a88786-27dbb719-b9a7468c-376d9f6a.jpg'],
s50367895_4,p11052935,s50367895,4,Findings,There is ill-defined opacity in the left upper lobe. There has been interval resolution of the left lower lobe consolidation. Heart and mediastinal contours are within normal limits. No pneumothorax is seen. Biapical pleural thickening is present. Underlying emphysematous changes are noted.,There has been interval resolution of the left lower lobe consolidation.,consolidation,left lower lobe,Resolve,"['files/p11/p11052935/s50367895/2876892c-9a38069a-e2cf1491-82ef0d5f-a4935ae3.jpg', 'files/p11/p11052935/s50367895/43b6f8f9-f0d77b57-b2603100-48f5611a-a7405f03.jpg']",
s50371697_2,p19720782,s50371697,2,Findings,"Portable AP upright chest radiograph obtained. In this patient with known small cell lung cancer, there is stable soft tissue density/prominence of the right pulmonary hilum which is unchanged from prior exams. There is a small right pleural effusion which appears stable from prior exam and is somewhat loculated, tracking along the right lung apex. There is no overt evidence of pneumonia. There are subtle nodular opacities within the periphery of both lungs which are of unknown etiology or significance. Overall heart size appears stable. Bony structures are intact.","There is a small right pleural effusion which appears stable from prior exam and is somewhat loculated, tracking along the right lung apex.",pleural effusion,right lung apex,Stable,['files/p19/p19720782/s50371697/65275408-6db6d9a9-13c023c8-a6a96579-434dee3d.jpg'],['files/p19/p19720782/s50043351/f4a818e5-89d51e2d-9f478ecb-8774a1bf-739673b3.jpg\n']
s50371697_2,p19720782,s50371697,2,Impression,Stable right hilar prominence and right pleural effusion. Subtle nodular opacities in the periphery of the lungs are indeterminant. Nonemergent CT may be performed to further assess.,Stable right hilar prominence and right pleural effusion.,pleural effusion,right,Stable,['files/p19/p19720782/s50371697/65275408-6db6d9a9-13c023c8-a6a96579-434dee3d.jpg'],['files/p19/p19720782/s50043351/f4a818e5-89d51e2d-9f478ecb-8774a1bf-739673b3.jpg\n']
s50371697_2,p19720782,s50371697,2,Impression,Stable right hilar prominence and right pleural effusion. Subtle nodular opacities in the periphery of the lungs are indeterminant. Nonemergent CT may be performed to further assess.,Stable right hilar prominence and right pleural effusion.,prominence,right hilar,Stable,['files/p19/p19720782/s50371697/65275408-6db6d9a9-13c023c8-a6a96579-434dee3d.jpg'],['files/p19/p19720782/s50043351/f4a818e5-89d51e2d-9f478ecb-8774a1bf-739673b3.jpg\n']
s50371697_2,p19720782,s50371697,2,Findings,"Portable AP upright chest radiograph obtained. In this patient with known small cell lung cancer, there is stable soft tissue density/prominence of the right pulmonary hilum which is unchanged from prior exams. There is a small right pleural effusion which appears stable from prior exam and is somewhat loculated, tracking along the right lung apex. There is no overt evidence of pneumonia. There are subtle nodular opacities within the periphery of both lungs which are of unknown etiology or significance. Overall heart size appears stable. Bony structures are intact.","In this patient with known small cell lung cancer, there is stable soft tissue density/prominence of the right pulmonary hilum which is unchanged from prior exams.",soft tissue density/prominence,right pulmonary hilum,Stable,['files/p19/p19720782/s50371697/65275408-6db6d9a9-13c023c8-a6a96579-434dee3d.jpg'],['files/p19/p19720782/s50043351/f4a818e5-89d51e2d-9f478ecb-8774a1bf-739673b3.jpg\n']
s50371697_2,p19720782,s50371697,2,Findings,"Portable AP upright chest radiograph obtained. In this patient with known small cell lung cancer, there is stable soft tissue density/prominence of the right pulmonary hilum which is unchanged from prior exams. There is a small right pleural effusion which appears stable from prior exam and is somewhat loculated, tracking along the right lung apex. There is no overt evidence of pneumonia. There are subtle nodular opacities within the periphery of both lungs which are of unknown etiology or significance. Overall heart size appears stable. Bony structures are intact.",Overall heart size appears stable.,heart size,,Stable,['files/p19/p19720782/s50371697/65275408-6db6d9a9-13c023c8-a6a96579-434dee3d.jpg'],['files/p19/p19720782/s50043351/f4a818e5-89d51e2d-9f478ecb-8774a1bf-739673b3.jpg\n']
s50380203_6,p12952223,s50380203,6,Findings,"The patient is status post median sternotomy and coronary bypass surgery. Heart remains enlarged, and is accompanied by pulmonary vascular congestion. Interval improved aeration at both lung bases with improving atelectasis and decreasing pleural effusions. No new areas of consolidation within either lung.",Interval improved aeration at both lung bases with improving atelectasis and decreasing pleural effusions.,pleural effusions,,Better,['files/p12/p12952223/s50380203/ca3df6c0-8ce90248-b3cecb87-71db5654-312cdcf6.jpg'],
s50380203_6,p12952223,s50380203,6,Findings,"The patient is status post median sternotomy and coronary bypass surgery. Heart remains enlarged, and is accompanied by pulmonary vascular congestion. Interval improved aeration at both lung bases with improving atelectasis and decreasing pleural effusions. No new areas of consolidation within either lung.",Interval improved aeration at both lung bases with improving atelectasis and decreasing pleural effusions.,atelectasis,,Better,['files/p12/p12952223/s50380203/ca3df6c0-8ce90248-b3cecb87-71db5654-312cdcf6.jpg'],
s50380203_6,p12952223,s50380203,6,Findings,"The patient is status post median sternotomy and coronary bypass surgery. Heart remains enlarged, and is accompanied by pulmonary vascular congestion. Interval improved aeration at both lung bases with improving atelectasis and decreasing pleural effusions. No new areas of consolidation within either lung.","Heart remains enlarged, and is accompanied by pulmonary vascular congestion.",pulmonary vascular congestion,,Stable,['files/p12/p12952223/s50380203/ca3df6c0-8ce90248-b3cecb87-71db5654-312cdcf6.jpg'],
s50380203_6,p12952223,s50380203,6,Findings,"The patient is status post median sternotomy and coronary bypass surgery. Heart remains enlarged, and is accompanied by pulmonary vascular congestion. Interval improved aeration at both lung bases with improving atelectasis and decreasing pleural effusions. No new areas of consolidation within either lung.","Heart remains enlarged, and is accompanied by pulmonary vascular congestion.",enlarged heart,,Stable,['files/p12/p12952223/s50380203/ca3df6c0-8ce90248-b3cecb87-71db5654-312cdcf6.jpg'],
s50380203_6,p12952223,s50380203,6,Findings,"The patient is status post median sternotomy and coronary bypass surgery. Heart remains enlarged, and is accompanied by pulmonary vascular congestion. Interval improved aeration at both lung bases with improving atelectasis and decreasing pleural effusions. No new areas of consolidation within either lung.",Interval improved aeration at both lung bases with improving atelectasis and decreasing pleural effusions.,aeration,both lung bases,Better,['files/p12/p12952223/s50380203/ca3df6c0-8ce90248-b3cecb87-71db5654-312cdcf6.jpg'],
s50380704_19,p10933609,s50380704,19,Impression,Stable exam with no acute intrathoracic process. Unchanged linear densities in the upper lungs likely reflective of scarring.,Unchanged linear densities in the upper lungs likely reflective of scarring.,linear densities,upper lungs,Stable,"['files/p10/p10933609/s50380704/0f7b9130-cdf81a79-d3e0a0cc-4e06df3c-dfc97cab.jpg', 'files/p10/p10933609/s50380704/2b34055b-5ae8bcf1-5a188ee8-135d064b-19c2f6ce.jpg', 'files/p10/p10933609/s50380704/ccc0c158-17216b52-657aee65-021bde6c-6932d2a9.jpg']","['files/p10/p10933609/s50290463/000ffbff-3d93bcef-da8b17cd-fbcede53-51728df9.jpg\n', 'files/p10/p10933609/s50290463/f576c221-e516f6b2-ee125faa-a1af8c31-ed2991b8.jpg\n']"
s50382515_27,p16508811,s50382515,27,Findings,"In comparison with the most recent examination, lung volumes slightly lower. The cardiac silhouette is stably enlarged. Again noted is a mild indistinctness of the pulmonary vasculature with superimposed opacities bilaterally, more confluent on the left than previously noted, consistent with superimposed pneumonia.",The cardiac silhouette is stably enlarged.,cardiac silhouette,,Stable,['files/p16/p16508811/s50382515/29a9ca2f-50292418-e78e2999-12755e18-3103a476.jpg'],
s50382515_27,p16508811,s50382515,27,Findings,"In comparison with the most recent examination, lung volumes slightly lower. The cardiac silhouette is stably enlarged. Again noted is a mild indistinctness of the pulmonary vasculature with superimposed opacities bilaterally, more confluent on the left than previously noted, consistent with superimposed pneumonia.","In comparison with the most recent examination, lung volumes slightly lower.",lung volumes,,Worse,['files/p16/p16508811/s50382515/29a9ca2f-50292418-e78e2999-12755e18-3103a476.jpg'],
s50382515_27,p16508811,s50382515,27,Findings,"In comparison with the most recent examination, lung volumes slightly lower. The cardiac silhouette is stably enlarged. Again noted is a mild indistinctness of the pulmonary vasculature with superimposed opacities bilaterally, more confluent on the left than previously noted, consistent with superimposed pneumonia.","Again noted is a mild indistinctness of the pulmonary vasculature with superimposed opacities bilaterally, more confluent on the left than previously noted, consistent with superimposed pneumonia.",indistinctness of the pulmonary vasculature with superimposed opacities,bilaterally,Worse,['files/p16/p16508811/s50382515/29a9ca2f-50292418-e78e2999-12755e18-3103a476.jpg'],
s50382908_32,p14841168,s50382908,32,Impression,ET tube tip is 3.5 cm above the carinal. NG tube tip passes below the diaphragm terminating in the stomach. Cardiomediastinal silhouette is unchanged. Left the area hilar opacity is slightly more conspicuous and might be consistent with progressing infectious process. Left lower lobe atelectasis is unchanged.,Left the area hilar opacity is slightly more conspicuous and might be consistent with progressing infectious process.,opacity,left hilar area,Worse,['files/p14/p14841168/s50382908/661a83d2-e84a4cd7-d05d7218-a81de999-15a66bea.jpg'],"['files/p14/p14841168/s50305989/28aa3e49-8e7893ad-3231b746-f00018b0-7d9eadd4.jpg\n', 'files/p14/p14841168/s50305989/2f10769e-95f1782e-58bcd178-a4cd46d2-cd832272.jpg\n']"
s50382908_32,p14841168,s50382908,32,Impression,ET tube tip is 3.5 cm above the carinal. NG tube tip passes below the diaphragm terminating in the stomach. Cardiomediastinal silhouette is unchanged. Left the area hilar opacity is slightly more conspicuous and might be consistent with progressing infectious process. Left lower lobe atelectasis is unchanged.,Left lower lobe atelectasis is unchanged.,atelectasis,left lower lobe,Stable,['files/p14/p14841168/s50382908/661a83d2-e84a4cd7-d05d7218-a81de999-15a66bea.jpg'],"['files/p14/p14841168/s50305989/28aa3e49-8e7893ad-3231b746-f00018b0-7d9eadd4.jpg\n', 'files/p14/p14841168/s50305989/2f10769e-95f1782e-58bcd178-a4cd46d2-cd832272.jpg\n']"
s50382908_32,p14841168,s50382908,32,Impression,ET tube tip is 3.5 cm above the carinal. NG tube tip passes below the diaphragm terminating in the stomach. Cardiomediastinal silhouette is unchanged. Left the area hilar opacity is slightly more conspicuous and might be consistent with progressing infectious process. Left lower lobe atelectasis is unchanged.,Cardiomediastinal silhouette is unchanged.,Cardiomediastinal silhouette,,Stable,['files/p14/p14841168/s50382908/661a83d2-e84a4cd7-d05d7218-a81de999-15a66bea.jpg'],"['files/p14/p14841168/s50305989/28aa3e49-8e7893ad-3231b746-f00018b0-7d9eadd4.jpg\n', 'files/p14/p14841168/s50305989/2f10769e-95f1782e-58bcd178-a4cd46d2-cd832272.jpg\n']"
s50383259_40,p15131736,s50383259,40,Impression,"As compared to the previous radiograph, the lung volumes have decreased. The relatively extensive bilateral parenchymal opacities, mainly caused by pulmonary edema, are slightly progressive. Moderate cardiomegaly and retrocardiac atelectasis persists. The monitoring and support devices continue to be correctly positioned.","As compared to the previous radiograph, the lung volumes have decreased.",lung volumes,,Worse,['files/p15/p15131736/s50383259/7dea99ce-f65ab6a2-cd11e9ee-34a5071f-c8877a75.jpg'],"['files/p15/p15131736/s50165831/2a166b16-c5106df5-cf2e822c-23c915b4-983161ad.jpg\n', 'files/p15/p15131736/s50165831/467886fc-bdd148bc-96415ce2-3ea24428-0ee1d9a1.jpg\n']"
s50383259_40,p15131736,s50383259,40,Impression,"As compared to the previous radiograph, the lung volumes have decreased. The relatively extensive bilateral parenchymal opacities, mainly caused by pulmonary edema, are slightly progressive. Moderate cardiomegaly and retrocardiac atelectasis persists. The monitoring and support devices continue to be correctly positioned.","The relatively extensive bilateral parenchymal opacities, mainly caused by pulmonary edema, are slightly progressive.",parenchymal opacities,bilateral,Worse,['files/p15/p15131736/s50383259/7dea99ce-f65ab6a2-cd11e9ee-34a5071f-c8877a75.jpg'],"['files/p15/p15131736/s50165831/2a166b16-c5106df5-cf2e822c-23c915b4-983161ad.jpg\n', 'files/p15/p15131736/s50165831/467886fc-bdd148bc-96415ce2-3ea24428-0ee1d9a1.jpg\n']"
s50383259_40,p15131736,s50383259,40,Impression,"As compared to the previous radiograph, the lung volumes have decreased. The relatively extensive bilateral parenchymal opacities, mainly caused by pulmonary edema, are slightly progressive. Moderate cardiomegaly and retrocardiac atelectasis persists. The monitoring and support devices continue to be correctly positioned.",Moderate cardiomegaly and retrocardiac atelectasis persists.,moderate cardiomegaly,,Stable,['files/p15/p15131736/s50383259/7dea99ce-f65ab6a2-cd11e9ee-34a5071f-c8877a75.jpg'],"['files/p15/p15131736/s50165831/2a166b16-c5106df5-cf2e822c-23c915b4-983161ad.jpg\n', 'files/p15/p15131736/s50165831/467886fc-bdd148bc-96415ce2-3ea24428-0ee1d9a1.jpg\n']"
s50383259_40,p15131736,s50383259,40,Impression,"As compared to the previous radiograph, the lung volumes have decreased. The relatively extensive bilateral parenchymal opacities, mainly caused by pulmonary edema, are slightly progressive. Moderate cardiomegaly and retrocardiac atelectasis persists. The monitoring and support devices continue to be correctly positioned.",Moderate cardiomegaly and retrocardiac atelectasis persists.,atelectasis,retrocardiac,Stable,['files/p15/p15131736/s50383259/7dea99ce-f65ab6a2-cd11e9ee-34a5071f-c8877a75.jpg'],"['files/p15/p15131736/s50165831/2a166b16-c5106df5-cf2e822c-23c915b4-983161ad.jpg\n', 'files/p15/p15131736/s50165831/467886fc-bdd148bc-96415ce2-3ea24428-0ee1d9a1.jpg\n']"
s50394941_0,p17838301,s50394941,0,Findings,"The endotracheal tube ends approximately 2.5 cm above the carina. Moderate cardiomegaly, is unchanged since the prior study. Patchy consolidation of the right upper lobe along the mediastinal border is seen. Pleural effusions, if any, are small. Bilateral calcified pleural plaques are present. Moderate pulmonary edema is noted. The gastric tube courses through the stomach, and out of view.","Moderate cardiomegaly, is unchanged since the prior study.",cardiomegaly,,Stable,"['files/p17/p17838301/s50394941/033b5311-bd309afe-0b070613-65e6e2f1-0481fd48.jpg', 'files/p17/p17838301/s50394941/bf2bacd5-b94c49e9-68a69f71-b5d6c169-1078cd4b.jpg']",['files/p17/p17838301/s50037760/0788829b-5419d8e4-5ce8eb81-87a77c03-98c15a1a.jpg\n']
s50399800_1,p15185305,s50399800,1,Findings,"As compared to the previous radiograph, the pre-existing mild interstitial fluid overload has decreased. Unchanged are the retrocardiac areas of atelectasis, the large perihilar right-sided opacity as well as the likely presence of bilateral small pleural effusions. The monitoring and support devices are constant. The known rib fractures are better appreciated on the CT examination from ___. No evidence of pneumothorax.","Unchanged are the retrocardiac areas of atelectasis, the large perihilar right-sided opacity as well as the likely presence of bilateral small pleural effusions.",Small pleural effusions,Bilateral,Stable,['files/p15/p15185305/s50399800/ddf73353-2bd13067-b8238f63-0ee1fa88-b917f360.jpg'],['files/p15/p15185305/s50281752/97766a6d-6ee96b98-90cacba0-3eb50d93-77416ad1.jpg\n']
s50399800_1,p15185305,s50399800,1,Findings,"As compared to the previous radiograph, the pre-existing mild interstitial fluid overload has decreased. Unchanged are the retrocardiac areas of atelectasis, the large perihilar right-sided opacity as well as the likely presence of bilateral small pleural effusions. The monitoring and support devices are constant. The known rib fractures are better appreciated on the CT examination from ___. No evidence of pneumothorax.","As compared to the previous radiograph, the pre-existing mild interstitial fluid overload has decreased.",Fluid Overload,Interstitial,Better,['files/p15/p15185305/s50399800/ddf73353-2bd13067-b8238f63-0ee1fa88-b917f360.jpg'],['files/p15/p15185305/s50281752/97766a6d-6ee96b98-90cacba0-3eb50d93-77416ad1.jpg\n']
s50399800_1,p15185305,s50399800,1,Findings,"As compared to the previous radiograph, the pre-existing mild interstitial fluid overload has decreased. Unchanged are the retrocardiac areas of atelectasis, the large perihilar right-sided opacity as well as the likely presence of bilateral small pleural effusions. The monitoring and support devices are constant. The known rib fractures are better appreciated on the CT examination from ___. No evidence of pneumothorax.","Unchanged are the retrocardiac areas of atelectasis, the large perihilar right-sided opacity as well as the likely presence of bilateral small pleural effusions.",Opacity,Perihilar right-sided,Stable,['files/p15/p15185305/s50399800/ddf73353-2bd13067-b8238f63-0ee1fa88-b917f360.jpg'],['files/p15/p15185305/s50281752/97766a6d-6ee96b98-90cacba0-3eb50d93-77416ad1.jpg\n']
s50399800_1,p15185305,s50399800,1,Findings,"As compared to the previous radiograph, the pre-existing mild interstitial fluid overload has decreased. Unchanged are the retrocardiac areas of atelectasis, the large perihilar right-sided opacity as well as the likely presence of bilateral small pleural effusions. The monitoring and support devices are constant. The known rib fractures are better appreciated on the CT examination from ___. No evidence of pneumothorax.","Unchanged are the retrocardiac areas of atelectasis, the large perihilar right-sided opacity as well as the likely presence of bilateral small pleural effusions.",Atelectasis,Retrocardiac,Stable,['files/p15/p15185305/s50399800/ddf73353-2bd13067-b8238f63-0ee1fa88-b917f360.jpg'],['files/p15/p15185305/s50281752/97766a6d-6ee96b98-90cacba0-3eb50d93-77416ad1.jpg\n']
s50405776_26,p16826047,s50405776,26,Findings,"As compared to the previous radiograph, there has been drainage of pleural fluid. The pleural effusion on the right has mildly decreased. There is no evidence of pneumothorax. The extent of the remaining pleural effusion is still substantial. No change in appearance of the left lung and of the cardiac silhouette.",The pleural effusion on the right has mildly decreased.,pleural effusion,right,Better,"['files/p16/p16826047/s50405776/79b2273d-eb59519b-a4f45fe3-cf98a087-3cb1b840.jpg', 'files/p16/p16826047/s50405776/bd268e85-ff8116fd-55309751-989af5bd-af1836a9.jpg']","['files/p16/p16826047/s50043446/2155d1bd-3cd88831-6b690bee-e3ac34ae-4b25fa8a.jpg\n', 'files/p16/p16826047/s50043446/7f6657e8-53cbad66-408c44bd-be99b9af-fbb557c9.jpg\n']"
s50405776_26,p16826047,s50405776,26,Findings,"As compared to the previous radiograph, there has been drainage of pleural fluid. The pleural effusion on the right has mildly decreased. There is no evidence of pneumothorax. The extent of the remaining pleural effusion is still substantial. No change in appearance of the left lung and of the cardiac silhouette.",No change in appearance of the left lung and of the cardiac silhouette.,cardiac silhouette,,Stable,"['files/p16/p16826047/s50405776/79b2273d-eb59519b-a4f45fe3-cf98a087-3cb1b840.jpg', 'files/p16/p16826047/s50405776/bd268e85-ff8116fd-55309751-989af5bd-af1836a9.jpg']","['files/p16/p16826047/s50043446/2155d1bd-3cd88831-6b690bee-e3ac34ae-4b25fa8a.jpg\n', 'files/p16/p16826047/s50043446/7f6657e8-53cbad66-408c44bd-be99b9af-fbb557c9.jpg\n']"
s50405776_26,p16826047,s50405776,26,Findings,"As compared to the previous radiograph, there has been drainage of pleural fluid. The pleural effusion on the right has mildly decreased. There is no evidence of pneumothorax. The extent of the remaining pleural effusion is still substantial. No change in appearance of the left lung and of the cardiac silhouette.",No change in appearance of the left lung and of the cardiac silhouette.,lung,left,Stable,"['files/p16/p16826047/s50405776/79b2273d-eb59519b-a4f45fe3-cf98a087-3cb1b840.jpg', 'files/p16/p16826047/s50405776/bd268e85-ff8116fd-55309751-989af5bd-af1836a9.jpg']","['files/p16/p16826047/s50043446/2155d1bd-3cd88831-6b690bee-e3ac34ae-4b25fa8a.jpg\n', 'files/p16/p16826047/s50043446/7f6657e8-53cbad66-408c44bd-be99b9af-fbb557c9.jpg\n']"
s50406925_11,p13078497,s50406925,11,Findings,"There has been an increase in the bilateral pulmonary edema status post extubation as evidenced by increased dense opacification, which is now nearly confluent consistent with severe pulmonary edema. The cardiomediastinal silhouette is difficult to evaluate given intervening pulmonary edema opacity, however appears unchanged. There is no pneumothorax. There has been complete obscuration of the costophrenic angles suggestive of bilateral pleural effusions. Right IJ catheter is unchanged in position and ends in the upper SVC. Sternotomy wires are unchanged in position, aligned along the midline with no evidence of sternal dehiscence.",There has been complete obscuration of the costophrenic angles suggestive of bilateral pleural effusions.,pleural effusions,bilateral,New,['files/p13/p13078497/s50406925/c9fec029-7cff7a68-c85274cf-7a560cce-becdcb7e.jpg'],
s50406925_11,p13078497,s50406925,11,Impression,"Worsening, now severe, bilateral pulmonary edema. Supervening pneumonia can certainly not be excluded in the appropriate clinical setting. Interval removal of endotracheal tube. Cardiomediastinal silhouette stable.","Worsening, now severe, bilateral pulmonary edema.",pulmonary edema,bilateral,Worse,['files/p13/p13078497/s50406925/c9fec029-7cff7a68-c85274cf-7a560cce-becdcb7e.jpg'],
s50406925_11,p13078497,s50406925,11,Findings,"There has been an increase in the bilateral pulmonary edema status post extubation as evidenced by increased dense opacification, which is now nearly confluent consistent with severe pulmonary edema. The cardiomediastinal silhouette is difficult to evaluate given intervening pulmonary edema opacity, however appears unchanged. There is no pneumothorax. There has been complete obscuration of the costophrenic angles suggestive of bilateral pleural effusions. Right IJ catheter is unchanged in position and ends in the upper SVC. Sternotomy wires are unchanged in position, aligned along the midline with no evidence of sternal dehiscence.","Sternotomy wires are unchanged in position, aligned along the midline with no evidence of sternal dehiscence.",sternotomy wires,midline,Stable,['files/p13/p13078497/s50406925/c9fec029-7cff7a68-c85274cf-7a560cce-becdcb7e.jpg'],
s50406925_11,p13078497,s50406925,11,Findings,"There has been an increase in the bilateral pulmonary edema status post extubation as evidenced by increased dense opacification, which is now nearly confluent consistent with severe pulmonary edema. The cardiomediastinal silhouette is difficult to evaluate given intervening pulmonary edema opacity, however appears unchanged. There is no pneumothorax. There has been complete obscuration of the costophrenic angles suggestive of bilateral pleural effusions. Right IJ catheter is unchanged in position and ends in the upper SVC. Sternotomy wires are unchanged in position, aligned along the midline with no evidence of sternal dehiscence.","There has been an increase in the bilateral pulmonary edema status post extubation as evidenced by increased dense opacification, which is now nearly confluent consistent with severe pulmonary edema.",pulmonary edema,bilateral,Worse,['files/p13/p13078497/s50406925/c9fec029-7cff7a68-c85274cf-7a560cce-becdcb7e.jpg'],
s50406925_11,p13078497,s50406925,11,Findings,"There has been an increase in the bilateral pulmonary edema status post extubation as evidenced by increased dense opacification, which is now nearly confluent consistent with severe pulmonary edema. The cardiomediastinal silhouette is difficult to evaluate given intervening pulmonary edema opacity, however appears unchanged. There is no pneumothorax. There has been complete obscuration of the costophrenic angles suggestive of bilateral pleural effusions. Right IJ catheter is unchanged in position and ends in the upper SVC. Sternotomy wires are unchanged in position, aligned along the midline with no evidence of sternal dehiscence.","The cardiomediastinal silhouette is difficult to evaluate given intervening pulmonary edema opacity, however appears unchanged.",cardiomediastinal silhouette,,Stable,['files/p13/p13078497/s50406925/c9fec029-7cff7a68-c85274cf-7a560cce-becdcb7e.jpg'],
s50406925_11,p13078497,s50406925,11,Impression,"Worsening, now severe, bilateral pulmonary edema. Supervening pneumonia can certainly not be excluded in the appropriate clinical setting. Interval removal of endotracheal tube. Cardiomediastinal silhouette stable.",Interval removal of endotracheal tube.,endotracheal tube,,Resolve,['files/p13/p13078497/s50406925/c9fec029-7cff7a68-c85274cf-7a560cce-becdcb7e.jpg'],
s50406925_11,p13078497,s50406925,11,Impression,"Worsening, now severe, bilateral pulmonary edema. Supervening pneumonia can certainly not be excluded in the appropriate clinical setting. Interval removal of endotracheal tube. Cardiomediastinal silhouette stable.",Cardiomediastinal silhouette stable.,cardiomediastinal silhouette,,Stable,['files/p13/p13078497/s50406925/c9fec029-7cff7a68-c85274cf-7a560cce-becdcb7e.jpg'],
s50406925_11,p13078497,s50406925,11,Impression,"Worsening, now severe, bilateral pulmonary edema. Supervening pneumonia can certainly not be excluded in the appropriate clinical setting. Interval removal of endotracheal tube. Cardiomediastinal silhouette stable.",Supervening pneumonia can certainly not be excluded in the appropriate clinical setting.,pneumonia,,New,['files/p13/p13078497/s50406925/c9fec029-7cff7a68-c85274cf-7a560cce-becdcb7e.jpg'],
s50406925_11,p13078497,s50406925,11,Findings,"There has been an increase in the bilateral pulmonary edema status post extubation as evidenced by increased dense opacification, which is now nearly confluent consistent with severe pulmonary edema. The cardiomediastinal silhouette is difficult to evaluate given intervening pulmonary edema opacity, however appears unchanged. There is no pneumothorax. There has been complete obscuration of the costophrenic angles suggestive of bilateral pleural effusions. Right IJ catheter is unchanged in position and ends in the upper SVC. Sternotomy wires are unchanged in position, aligned along the midline with no evidence of sternal dehiscence.",Right IJ catheter is unchanged in position and ends in the upper SVC.,IJ catheter,right,Stable,['files/p13/p13078497/s50406925/c9fec029-7cff7a68-c85274cf-7a560cce-becdcb7e.jpg'],
s50407173_3,p17112432,s50407173,3,Impression,"1. Left-sided nerve stimulating device remains in place. There has been interval removal of the right chest tube, where there is a stable small right apical pneumothorax. Patchy opacities in the retrocardiac region as well as in the right upper and lower lung are likely unchanged given differences in technique. No pleural effusions are seen. Overall, cardiac and mediastinal contours are stable. No evidence of pulmonary edema.",Left-sided nerve stimulating device remains in place.,nerve stimulating device,left-sided,Stable,"['files/p17/p17112432/s50407173/2a0ce644-defed4a1-f1d778d7-8da5ba60-b5d8e243.jpg', 'files/p17/p17112432/s50407173/ebbcd473-0c218cdd-1a652c92-c84c739f-cc9f23f3.jpg']",
s50407173_3,p17112432,s50407173,3,Impression,"1. Left-sided nerve stimulating device remains in place. There has been interval removal of the right chest tube, where there is a stable small right apical pneumothorax. Patchy opacities in the retrocardiac region as well as in the right upper and lower lung are likely unchanged given differences in technique. No pleural effusions are seen. Overall, cardiac and mediastinal contours are stable. No evidence of pulmonary edema.","There has been interval removal of the right chest tube, where there is a stable small right apical pneumothorax.",chest tube,right,Resolve,"['files/p17/p17112432/s50407173/2a0ce644-defed4a1-f1d778d7-8da5ba60-b5d8e243.jpg', 'files/p17/p17112432/s50407173/ebbcd473-0c218cdd-1a652c92-c84c739f-cc9f23f3.jpg']",
s50407173_3,p17112432,s50407173,3,Impression,"1. Left-sided nerve stimulating device remains in place. There has been interval removal of the right chest tube, where there is a stable small right apical pneumothorax. Patchy opacities in the retrocardiac region as well as in the right upper and lower lung are likely unchanged given differences in technique. No pleural effusions are seen. 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/p17/p17112432/s50407173/2a0ce644-defed4a1-f1d778d7-8da5ba60-b5d8e243.jpg', 'files/p17/p17112432/s50407173/ebbcd473-0c218cdd-1a652c92-c84c739f-cc9f23f3.jpg']",
s50407173_3,p17112432,s50407173,3,Impression,"1. Left-sided nerve stimulating device remains in place. There has been interval removal of the right chest tube, where there is a stable small right apical pneumothorax. Patchy opacities in the retrocardiac region as well as in the right upper and lower lung are likely unchanged given differences in technique. No pleural effusions are seen. Overall, cardiac and mediastinal contours are stable. No evidence of pulmonary edema.",Patchy opacities in the retrocardiac region as well as in the right upper and lower lung are likely unchanged given differences in technique.,Patchy opacities,"retrocardiac region, right upper and lower lung",Stable,"['files/p17/p17112432/s50407173/2a0ce644-defed4a1-f1d778d7-8da5ba60-b5d8e243.jpg', 'files/p17/p17112432/s50407173/ebbcd473-0c218cdd-1a652c92-c84c739f-cc9f23f3.jpg']",
s50410691_2,p15338518,s50410691,2,Findings,"The newly placed Dobhoff tube reaches till the lower esophagus and loops back all the way up to the cervical esophagus. Consider repositioning the Dobhoff tube. Since ___, there are no relevant changes in the lungs. Minimal left lower lung atelectasis has improved. No new lung opacities concerning for pneumonia. Top normal heart size, mediastinal and hilar contours are stable in appearance. No pleural effusion. Findings were discussed with Dr. ___ on ___ at 5:23 p.m.",Minimal left lower lung atelectasis has improved.,Atelectasis,Left lower lung,Better,['files/p15/p15338518/s50410691/a69bfb99-6db10b12-ba4c0c04-51f5d6ea-ecddb834.jpg'],
s50410691_2,p15338518,s50410691,2,Findings,"The newly placed Dobhoff tube reaches till the lower esophagus and loops back all the way up to the cervical esophagus. Consider repositioning the Dobhoff tube. Since ___, there are no relevant changes in the lungs. Minimal left lower lung atelectasis has improved. No new lung opacities concerning for pneumonia. Top normal heart size, mediastinal and hilar contours are stable in appearance. No pleural effusion. Findings were discussed with Dr. ___ on ___ at 5:23 p.m.","Top normal heart size, mediastinal and hilar contours are stable in appearance.",,"Heart size, mediastinal and hilar contours",Stable,['files/p15/p15338518/s50410691/a69bfb99-6db10b12-ba4c0c04-51f5d6ea-ecddb834.jpg'],
s50410691_2,p15338518,s50410691,2,Findings,"The newly placed Dobhoff tube reaches till the lower esophagus and loops back all the way up to the cervical esophagus. Consider repositioning the Dobhoff tube. Since ___, there are no relevant changes in the lungs. Minimal left lower lung atelectasis has improved. No new lung opacities concerning for pneumonia. Top normal heart size, mediastinal and hilar contours are stable in appearance. No pleural effusion. Findings were discussed with Dr. ___ on ___ at 5:23 p.m.","Since ___, there are no relevant changes in the lungs.",,Lungs,Stable,['files/p15/p15338518/s50410691/a69bfb99-6db10b12-ba4c0c04-51f5d6ea-ecddb834.jpg'],
s50416709_15,p16848073,s50416709,15,Findings,Lung volumes are mildly decreased. Blunting of the bilateral costophrenic angles has not changed since at least ___. Cardiac and mediastinal contours are normal. There is no evidence of pneumothorax or pneumomediastinum.,Blunting of the bilateral costophrenic angles has not changed since at least ___.,Blunting,bilateral costophrenic angles,Stable,['files/p16/p16848073/s50416709/33afaafe-a1605f54-f33616de-424605bf-7c961442.jpg'],
s50421764_0,p19894745,s50421764,0,Impression,"Apparent increase in layering right effusion. There are multiple bilateral nodular opacities which likely reflect metastatic disease in this patient with a recent diagnosis of breast cancer. Overall, cardiac and mediastinal contours are unchanged. No evidence of pulmonary edema. No definite evolving airspace disease to suggest pneumonia is visualized. Probable layering right effusion. No pneumothorax.","Overall, cardiac and mediastinal contours are unchanged.",cardiac and mediastinal contours,,Stable,['files/p19/p19894745/s50421764/26393ff4-c9d02afc-434bf477-b067a8a6-c0e534c8.jpg'],
s50421764_0,p19894745,s50421764,0,Impression,"Apparent increase in layering right effusion. There are multiple bilateral nodular opacities which likely reflect metastatic disease in this patient with a recent diagnosis of breast cancer. Overall, cardiac and mediastinal contours are unchanged. No evidence of pulmonary edema. No definite evolving airspace disease to suggest pneumonia is visualized. Probable layering right effusion. No pneumothorax.",Apparent increase in layering right effusion.,effusion,right,Worse,['files/p19/p19894745/s50421764/26393ff4-c9d02afc-434bf477-b067a8a6-c0e534c8.jpg'],
s50423865_2,p15204620,s50423865,2,Impression,"1. Persistent consolidation in the right middle and lower lung consistent with post obstructive pneumonia. More focal linear opacity at the left base likely reflects subsegmental atelectasis. No evidence of pulmonary edema or pleural effusions. No pneumothorax. Overall, cardiac and mediastinal contours are likely stable. Soft tissue opacity in the right paratracheal region most likely represents lymphadenopathy when correlated with a recent CT scan.",1. Persistent consolidation in the right middle and lower lung consistent with post obstructive pneumonia.,consolidation,right middle and lower lung,Stable,['files/p15/p15204620/s50423865/f961f806-615b33d3-168639c0-b14af1da-ce8962b2.jpg'],
s50423865_2,p15204620,s50423865,2,Impression,"1. Persistent consolidation in the right middle and lower lung consistent with post obstructive pneumonia. More focal linear opacity at the left base likely reflects subsegmental atelectasis. No evidence of pulmonary edema or pleural effusions. No pneumothorax. Overall, cardiac and mediastinal contours are likely stable. Soft tissue opacity in the right paratracheal region most likely represents lymphadenopathy when correlated with a recent CT scan.","Overall, cardiac and mediastinal contours are likely stable.",,cardiac and mediastinal contours,Stable,['files/p15/p15204620/s50423865/f961f806-615b33d3-168639c0-b14af1da-ce8962b2.jpg'],
s50425233_2,p14992360,s50425233,2,Findings,"There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac silhouette is mildly enlarged. The aorta is tortuous and calcified. The pulmonary vascularity is normal. A linear opacity in the left mid lung is probably scarring from prior pneumonia demonstrated in this region. Parenchymal distortion and apical bullous changes are consistent with underlying emphysema. Bilateral pleural thickening is redemonstrated, most pronounced at the apices and right upper hemithorax laterally. No new areas of parenchymal consolidation are noted. A left-sided pacemaker is present with wires terminating in the right atrium and right ventricle. Degenerative changes are seen in the thoracic spine.","Bilateral pleural thickening is redemonstrated, most pronounced at the apices and right upper hemithorax laterally.",pleural thickening,bilateral apices and right upper hemithorax laterally,Stable,"['files/p14/p14992360/s50425233/43526336-ec395adc-91956491-ee7f2e9f-5ea5ac83.jpg', 'files/p14/p14992360/s50425233/d131f617-7810bf73-047f6e2e-16347ff4-e18183e6.jpg', 'files/p14/p14992360/s50425233/f95e2c77-d318c10b-c5113c5d-455b870e-eb3878e8.jpg']",
s50425233_2,p14992360,s50425233,2,Findings,"There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac silhouette is mildly enlarged. The aorta is tortuous and calcified. The pulmonary vascularity is normal. A linear opacity in the left mid lung is probably scarring from prior pneumonia demonstrated in this region. Parenchymal distortion and apical bullous changes are consistent with underlying emphysema. Bilateral pleural thickening is redemonstrated, most pronounced at the apices and right upper hemithorax laterally. No new areas of parenchymal consolidation are noted. A left-sided pacemaker is present with wires terminating in the right atrium and right ventricle. Degenerative changes are seen in the thoracic spine.",A linear opacity in the left mid lung is probably scarring from prior pneumonia demonstrated in this region.,scarring,left mid lung,Stable,"['files/p14/p14992360/s50425233/43526336-ec395adc-91956491-ee7f2e9f-5ea5ac83.jpg', 'files/p14/p14992360/s50425233/d131f617-7810bf73-047f6e2e-16347ff4-e18183e6.jpg', 'files/p14/p14992360/s50425233/f95e2c77-d318c10b-c5113c5d-455b870e-eb3878e8.jpg']",
s50425819_11,p18224196,s50425819,11,Impression,"AP chest compared to ___: Previous mild pulmonary edema has cleared, moderate left and small-to-moderate right pleural effusion and substantial bibasilar atelectasis are still present and moderate enlargement of the postoperative cardiac silhouette which decreased from ___ through ___ is stable. No pneumothorax. Right internal jugular sheath ends at the origin of the SVC and a feeding tube passes into the stomach and out of view. No pneumothorax.","AP chest compared to ___: Previous mild pulmonary edema has cleared, moderate left and small-to-moderate right pleural effusion and substantial bibasilar atelectasis are still present and moderate enlargement of the postoperative cardiac silhouette which decreased from ___ through ___ is stable.",mild pulmonary edema,,Resolve,['files/p18/p18224196/s50425819/845cab57-7175f1f2-caf520b2-83bdf74a-434a7206.jpg'],
s50428004_6,p16848073,s50428004,6,Impression,Slight decrease in bilateral pleural effusions with otherwise stable post-changes in comparison to prior study from yesterday.,Slight decrease in bilateral pleural effusions with otherwise stable post-changes in comparison to prior study from yesterday.,pleural effusions,Bilateral,Better,"['files/p16/p16848073/s50428004/3631cd18-4b7c7e37-ff9be7af-3800f4bd-ce422f9e.jpg', 'files/p16/p16848073/s50428004/9fc99576-0fb8a306-e51be584-113ca1f6-dd9e9cd7.jpg']",['files/p16/p16848073/s50416709/33afaafe-a1605f54-f33616de-424605bf-7c961442.jpg\n']
s50428004_6,p16848073,s50428004,6,Findings,"Post-surgical changes are again noted within the esophagus. Bilateral pleural effusions are noted, right greater than left, and appear slightly decreased in comparison to prior study from yesterday. Cardiomediastinal silhouette remains stable. The lungs are without any focal consolidations or pneumothoraces.",Cardiomediastinal silhouette remains stable.,Cardiomediastinal silhouette,,Stable,"['files/p16/p16848073/s50428004/3631cd18-4b7c7e37-ff9be7af-3800f4bd-ce422f9e.jpg', 'files/p16/p16848073/s50428004/9fc99576-0fb8a306-e51be584-113ca1f6-dd9e9cd7.jpg']",['files/p16/p16848073/s50416709/33afaafe-a1605f54-f33616de-424605bf-7c961442.jpg\n']
s50428004_6,p16848073,s50428004,6,Findings,"Post-surgical changes are again noted within the esophagus. Bilateral pleural effusions are noted, right greater than left, and appear slightly decreased in comparison to prior study from yesterday. Cardiomediastinal silhouette remains stable. The lungs are without any focal consolidations or pneumothoraces.","Bilateral pleural effusions are noted, right greater than left, and appear slightly decreased in comparison to prior study from yesterday.",pleural effusions,Bilateral,Better,"['files/p16/p16848073/s50428004/3631cd18-4b7c7e37-ff9be7af-3800f4bd-ce422f9e.jpg', 'files/p16/p16848073/s50428004/9fc99576-0fb8a306-e51be584-113ca1f6-dd9e9cd7.jpg']",['files/p16/p16848073/s50416709/33afaafe-a1605f54-f33616de-424605bf-7c961442.jpg\n']
s50431066_4,p18067737,s50431066,4,Impression,"Interval improved aeration of the left upper lobe compared to previous exam from two weeks ago. Otherwise, no acute change, noting left hilar mass compatible with patient's known history of recurrent lung cancer.",Interval improved aeration of the left upper lobe compared to previous exam from two weeks ago.,aeration,left upper lobe,Better,"['files/p18/p18067737/s50431066/404dfc42-ee2b7f16-1f8535c6-eddf267e-b9f928e0.jpg', 'files/p18/p18067737/s50431066/94f5ba63-5b0649c0-63f21058-2429a6c1-291139cc.jpg', 'files/p18/p18067737/s50431066/a6dc99c7-6d793ce2-188bd506-b751deab-79f8ebbb.jpg', 'files/p18/p18067737/s50431066/f90437b8-3b33ff29-c06a7caf-299995e5-2da5c2ba.jpg']",
s50431066_4,p18067737,s50431066,4,Findings,"PA and lateral views of the chest were compared to previous exam from ___. When compared to prior exam, there has been interval improved aeration of the left upper lung. Left perihilar mass compatible with patient's history of recurrent small cell carcinoma is again seen. Persistent elevation of the left hemidiaphragm. Right lung remains clear of focal consolidation. There is no right-sided pleural effusion. There is, however, probable small left pleural effusion. Cardiomediastinal silhouette is otherwise unchanged. Osseous and soft tissue structures are unremarkable. Dual-lead pacing device again seen.",Left perihilar mass compatible with patient's history of recurrent small cell carcinoma is again seen.,mass,left perihilar,Stable,"['files/p18/p18067737/s50431066/404dfc42-ee2b7f16-1f8535c6-eddf267e-b9f928e0.jpg', 'files/p18/p18067737/s50431066/94f5ba63-5b0649c0-63f21058-2429a6c1-291139cc.jpg', 'files/p18/p18067737/s50431066/a6dc99c7-6d793ce2-188bd506-b751deab-79f8ebbb.jpg', 'files/p18/p18067737/s50431066/f90437b8-3b33ff29-c06a7caf-299995e5-2da5c2ba.jpg']",
s50431066_4,p18067737,s50431066,4,Findings,"PA and lateral views of the chest were compared to previous exam from ___. When compared to prior exam, there has been interval improved aeration of the left upper lung. Left perihilar mass compatible with patient's history of recurrent small cell carcinoma is again seen. Persistent elevation of the left hemidiaphragm. Right lung remains clear of focal consolidation. There is no right-sided pleural effusion. There is, however, probable small left pleural effusion. Cardiomediastinal silhouette is otherwise unchanged. Osseous and soft tissue structures are unremarkable. Dual-lead pacing device again seen.","When compared to prior exam, there has been interval improved aeration of the left upper lung.",aeration,left upper lung,Better,"['files/p18/p18067737/s50431066/404dfc42-ee2b7f16-1f8535c6-eddf267e-b9f928e0.jpg', 'files/p18/p18067737/s50431066/94f5ba63-5b0649c0-63f21058-2429a6c1-291139cc.jpg', 'files/p18/p18067737/s50431066/a6dc99c7-6d793ce2-188bd506-b751deab-79f8ebbb.jpg', 'files/p18/p18067737/s50431066/f90437b8-3b33ff29-c06a7caf-299995e5-2da5c2ba.jpg']",
s50431066_4,p18067737,s50431066,4,Findings,"PA and lateral views of the chest were compared to previous exam from ___. When compared to prior exam, there has been interval improved aeration of the left upper lung. Left perihilar mass compatible with patient's history of recurrent small cell carcinoma is again seen. Persistent elevation of the left hemidiaphragm. Right lung remains clear of focal consolidation. There is no right-sided pleural effusion. There is, however, probable small left pleural effusion. Cardiomediastinal silhouette is otherwise unchanged. Osseous and soft tissue structures are unremarkable. Dual-lead pacing device again seen.",Persistent elevation of the left hemidiaphragm.,hemidiaphragm elevation,left,Stable,"['files/p18/p18067737/s50431066/404dfc42-ee2b7f16-1f8535c6-eddf267e-b9f928e0.jpg', 'files/p18/p18067737/s50431066/94f5ba63-5b0649c0-63f21058-2429a6c1-291139cc.jpg', 'files/p18/p18067737/s50431066/a6dc99c7-6d793ce2-188bd506-b751deab-79f8ebbb.jpg', 'files/p18/p18067737/s50431066/f90437b8-3b33ff29-c06a7caf-299995e5-2da5c2ba.jpg']",
s50433627_34,p13896515,s50433627,34,Impression,"Comparison to ___. The patient has received a left chest tube, the left pleural effusion has minimally decreased but is still present. Subsequent atelectasis on the left is unchanged. Moderate pulmonary edema persist in almost unchanged manner. Stable borderline size of the cardiac silhouette.","The patient has received a left chest tube, the left pleural effusion has minimally decreased but is still present.",pleural effusion,left,Better,"['files/p13/p13896515/s50433627/29ff0e1c-7e5b828a-aac0047a-4d0b4fda-567ffbe9.jpg', 'files/p13/p13896515/s50433627/9ffd35db-e8513d0b-320dab7d-17429141-c3c6f7d3.jpg', 'files/p13/p13896515/s50433627/cb2a378c-87d38056-9a3e81d1-f26a36d9-175473db.jpg']",['files/p13/p13896515/s50246988/8f98b8f6-592203f8-128d7f76-bf2331d4-78b1c4af.jpg\n']
s50433627_34,p13896515,s50433627,34,Impression,"Comparison to ___. The patient has received a left chest tube, the left pleural effusion has minimally decreased but is still present. Subsequent atelectasis on the left is unchanged. Moderate pulmonary edema persist in almost unchanged manner. Stable borderline size of the cardiac silhouette.",Subsequent atelectasis on the left is unchanged.,atelectasis,left,Stable,"['files/p13/p13896515/s50433627/29ff0e1c-7e5b828a-aac0047a-4d0b4fda-567ffbe9.jpg', 'files/p13/p13896515/s50433627/9ffd35db-e8513d0b-320dab7d-17429141-c3c6f7d3.jpg', 'files/p13/p13896515/s50433627/cb2a378c-87d38056-9a3e81d1-f26a36d9-175473db.jpg']",['files/p13/p13896515/s50246988/8f98b8f6-592203f8-128d7f76-bf2331d4-78b1c4af.jpg\n']
s50433627_34,p13896515,s50433627,34,Impression,"Comparison to ___. The patient has received a left chest tube, the left pleural effusion has minimally decreased but is still present. Subsequent atelectasis on the left is unchanged. Moderate pulmonary edema persist in almost unchanged manner. Stable borderline size of the cardiac silhouette.",Moderate pulmonary edema persist in almost unchanged manner.,pulmonary edema,,Stable,"['files/p13/p13896515/s50433627/29ff0e1c-7e5b828a-aac0047a-4d0b4fda-567ffbe9.jpg', 'files/p13/p13896515/s50433627/9ffd35db-e8513d0b-320dab7d-17429141-c3c6f7d3.jpg', 'files/p13/p13896515/s50433627/cb2a378c-87d38056-9a3e81d1-f26a36d9-175473db.jpg']",['files/p13/p13896515/s50246988/8f98b8f6-592203f8-128d7f76-bf2331d4-78b1c4af.jpg\n']
s50433627_34,p13896515,s50433627,34,Impression,"Comparison to ___. The patient has received a left chest tube, the left pleural effusion has minimally decreased but is still present. Subsequent atelectasis on the left is unchanged. Moderate pulmonary edema persist in almost unchanged manner. Stable borderline size of the cardiac silhouette.",Stable borderline size of the cardiac silhouette.,cardiac silhouette,,Stable,"['files/p13/p13896515/s50433627/29ff0e1c-7e5b828a-aac0047a-4d0b4fda-567ffbe9.jpg', 'files/p13/p13896515/s50433627/9ffd35db-e8513d0b-320dab7d-17429141-c3c6f7d3.jpg', 'files/p13/p13896515/s50433627/cb2a378c-87d38056-9a3e81d1-f26a36d9-175473db.jpg']",['files/p13/p13896515/s50246988/8f98b8f6-592203f8-128d7f76-bf2331d4-78b1c4af.jpg\n']
s50438261_9,p19623993,s50438261,9,Findings,"The nasogastric tube is at the level of the pylorus. Nasoenteric tube is in place, the tip is out of the image but appears to be post-pyloric. The endotracheal tube has been removed. A new left central venous access line projects over the confluence of the brachiocephalic veins. Minimal loss in lung transparency, potentially caused by fluid overload. No evidence of pneumothorax.",The endotracheal tube has been removed.,endotracheal tube,,Resolve,['files/p19/p19623993/s50438261/d4d5dc4c-6021744f-fa9497e5-157fa69b-f68ddb75.jpg'],"['files/p19/p19623993/s50373067/66607c54-01766ee9-0296b1fd-b642145d-24ea1577.jpg\n', 'files/p19/p19623993/s50373067/925c7815-b98af60d-65bf143d-402d7df3-91f83561.jpg\n']"
s50442960_4,p18929056,s50442960,4,Impression,"Comparisons ___. Unchanged minimal retrocardiac atelectasis, seen on the lateral radiograph only. No evidence of pneumonia or other pathologic lung parenchymal process. Minimal millimetric nodular opacity projecting over the right upper lung, between the posterior aspect of the sixth and seventh rib, is only seen on the frontal radiograph and likely reflect a structure in the soft tissues. Unchanged moderate cardiomegaly without pulmonary edema, elongation of the descending aorta.","Unchanged moderate cardiomegaly without pulmonary edema, elongation of the descending aorta.",moderate cardiomegaly,cardiac silhouette,Stable,"['files/p18/p18929056/s50442960/ef02f416-70219126-6c3d8fbf-807c73fc-d7bd31a6.jpg', 'files/p18/p18929056/s50442960/fd73ca27-fa455e40-09f7266f-4c65fadf-ab34350d.jpg']",
s50442960_4,p18929056,s50442960,4,Impression,"Comparisons ___. Unchanged minimal retrocardiac atelectasis, seen on the lateral radiograph only. No evidence of pneumonia or other pathologic lung parenchymal process. Minimal millimetric nodular opacity projecting over the right upper lung, between the posterior aspect of the sixth and seventh rib, is only seen on the frontal radiograph and likely reflect a structure in the soft tissues. Unchanged moderate cardiomegaly without pulmonary edema, elongation of the descending aorta.","Unchanged minimal retrocardiac atelectasis, seen on the lateral radiograph only.",atelectasis,retrocardiac,Stable,"['files/p18/p18929056/s50442960/ef02f416-70219126-6c3d8fbf-807c73fc-d7bd31a6.jpg', 'files/p18/p18929056/s50442960/fd73ca27-fa455e40-09f7266f-4c65fadf-ab34350d.jpg']",
s50447060_14,p13606683,s50447060,14,Findings,"Again seen, is enlargement of the cardiac silhouette. The hilar and mediastinal contours are stable. There has been interval improvement of the previously noted pulmonary edema. No new focal consolidation concerning for infection is identified. There are chronic areas of scarring in the left lower lobe, as well as a stable nodular opacity at the left heart border. Post-sternotomy wires are seen intact. The pacemaker defibrillator leads are unchanged in position. There is no pleural effusion or pneumothorax.",The pacemaker defibrillator leads are unchanged in position.,pacemaker defibrillator leads,,Stable,"['files/p13/p13606683/s50447060/8fae5cf0-56ff3f10-aaf708d2-32730e5b-65a55769.jpg', 'files/p13/p13606683/s50447060/b6b7600a-e5ca1f26-680bcae0-11a322fb-90a0aaff.jpg', 'files/p13/p13606683/s50447060/b849e290-2a7cce04-71ba4fd8-ef1d13ad-15cdd04a.jpg']",
s50447060_14,p13606683,s50447060,14,Findings,"Again seen, is enlargement of the cardiac silhouette. The hilar and mediastinal contours are stable. There has been interval improvement of the previously noted pulmonary edema. No new focal consolidation concerning for infection is identified. There are chronic areas of scarring in the left lower lobe, as well as a stable nodular opacity at the left heart border. Post-sternotomy wires are seen intact. The pacemaker defibrillator leads are unchanged in position. There is no pleural effusion or pneumothorax.",There has been interval improvement of the previously noted pulmonary edema.,pulmonary edema,,Better,"['files/p13/p13606683/s50447060/8fae5cf0-56ff3f10-aaf708d2-32730e5b-65a55769.jpg', 'files/p13/p13606683/s50447060/b6b7600a-e5ca1f26-680bcae0-11a322fb-90a0aaff.jpg', 'files/p13/p13606683/s50447060/b849e290-2a7cce04-71ba4fd8-ef1d13ad-15cdd04a.jpg']",
s50447060_14,p13606683,s50447060,14,Findings,"Again seen, is enlargement of the cardiac silhouette. The hilar and mediastinal contours are stable. There has been interval improvement of the previously noted pulmonary edema. No new focal consolidation concerning for infection is identified. There are chronic areas of scarring in the left lower lobe, as well as a stable nodular opacity at the left heart border. Post-sternotomy wires are seen intact. The pacemaker defibrillator leads are unchanged in position. There is no pleural effusion or pneumothorax.","There are chronic areas of scarring in the left lower lobe, as well as a stable nodular opacity at the left heart border.",nodular opacity,left heart border,Stable,"['files/p13/p13606683/s50447060/8fae5cf0-56ff3f10-aaf708d2-32730e5b-65a55769.jpg', 'files/p13/p13606683/s50447060/b6b7600a-e5ca1f26-680bcae0-11a322fb-90a0aaff.jpg', 'files/p13/p13606683/s50447060/b849e290-2a7cce04-71ba4fd8-ef1d13ad-15cdd04a.jpg']",
s50447060_14,p13606683,s50447060,14,Findings,"Again seen, is enlargement of the cardiac silhouette. The hilar and mediastinal contours are stable. There has been interval improvement of the previously noted pulmonary edema. No new focal consolidation concerning for infection is identified. There are chronic areas of scarring in the left lower lobe, as well as a stable nodular opacity at the left heart border. Post-sternotomy wires are seen intact. The pacemaker defibrillator leads are unchanged in position. There is no pleural effusion or pneumothorax.","There are chronic areas of scarring in the left lower lobe, as well as a stable nodular opacity at the left heart border.",scarring,left lower lobe,Stable,"['files/p13/p13606683/s50447060/8fae5cf0-56ff3f10-aaf708d2-32730e5b-65a55769.jpg', 'files/p13/p13606683/s50447060/b6b7600a-e5ca1f26-680bcae0-11a322fb-90a0aaff.jpg', 'files/p13/p13606683/s50447060/b849e290-2a7cce04-71ba4fd8-ef1d13ad-15cdd04a.jpg']",
s50447060_14,p13606683,s50447060,14,Findings,"Again seen, is enlargement of the cardiac silhouette. The hilar and mediastinal contours are stable. There has been interval improvement of the previously noted pulmonary edema. No new focal consolidation concerning for infection is identified. There are chronic areas of scarring in the left lower lobe, as well as a stable nodular opacity at the left heart border. Post-sternotomy wires are seen intact. The pacemaker defibrillator leads are unchanged in position. There is no pleural effusion or pneumothorax.",No new focal consolidation concerning for infection is identified.,focal consolidation concerning for infection,,New,"['files/p13/p13606683/s50447060/8fae5cf0-56ff3f10-aaf708d2-32730e5b-65a55769.jpg', 'files/p13/p13606683/s50447060/b6b7600a-e5ca1f26-680bcae0-11a322fb-90a0aaff.jpg', 'files/p13/p13606683/s50447060/b849e290-2a7cce04-71ba4fd8-ef1d13ad-15cdd04a.jpg']",
s50447060_14,p13606683,s50447060,14,Findings,"Again seen, is enlargement of the cardiac silhouette. The hilar and mediastinal contours are stable. There has been interval improvement of the previously noted pulmonary edema. No new focal consolidation concerning for infection is identified. There are chronic areas of scarring in the left lower lobe, as well as a stable nodular opacity at the left heart border. Post-sternotomy wires are seen intact. The pacemaker defibrillator leads are unchanged in position. There is no pleural effusion or pneumothorax.","Again seen, is enlargement of the cardiac silhouette.",enlargement of the cardiac silhouette,,Worse,"['files/p13/p13606683/s50447060/8fae5cf0-56ff3f10-aaf708d2-32730e5b-65a55769.jpg', 'files/p13/p13606683/s50447060/b6b7600a-e5ca1f26-680bcae0-11a322fb-90a0aaff.jpg', 'files/p13/p13606683/s50447060/b849e290-2a7cce04-71ba4fd8-ef1d13ad-15cdd04a.jpg']",
s50447060_14,p13606683,s50447060,14,Findings,"Again seen, is enlargement of the cardiac silhouette. The hilar and mediastinal contours are stable. There has been interval improvement of the previously noted pulmonary edema. No new focal consolidation concerning for infection is identified. There are chronic areas of scarring in the left lower lobe, as well as a stable nodular opacity at the left heart border. Post-sternotomy wires are seen intact. The pacemaker defibrillator leads are unchanged in position. There is no pleural effusion or pneumothorax.",The hilar and mediastinal contours are stable.,contours,hilar and mediastinal,Stable,"['files/p13/p13606683/s50447060/8fae5cf0-56ff3f10-aaf708d2-32730e5b-65a55769.jpg', 'files/p13/p13606683/s50447060/b6b7600a-e5ca1f26-680bcae0-11a322fb-90a0aaff.jpg', 'files/p13/p13606683/s50447060/b849e290-2a7cce04-71ba4fd8-ef1d13ad-15cdd04a.jpg']",
s50447060_14,p13606683,s50447060,14,Impression,Overall interval improvement of the previous noted pulmonary edema. No pneumonia.,Overall interval improvement of the previous noted pulmonary edema.,pulmonary edema,,Better,"['files/p13/p13606683/s50447060/8fae5cf0-56ff3f10-aaf708d2-32730e5b-65a55769.jpg', 'files/p13/p13606683/s50447060/b6b7600a-e5ca1f26-680bcae0-11a322fb-90a0aaff.jpg', 'files/p13/p13606683/s50447060/b849e290-2a7cce04-71ba4fd8-ef1d13ad-15cdd04a.jpg']",
s50448867_30,p16826047,s50448867,30,Findings,"Previous multiple loculated right pleural effusions have not changed, and the intrafissural right pleural drainage catheter is stable in position. The cardiac silhouette continues to be mildly enlarged without pulmonary edema. Tiny linear and nodular opacities have appeared in the left upper lobe since ___.","Previous multiple loculated right pleural effusions have not changed, and the intrafissural right pleural drainage catheter is stable in position.",loculated pleural effusions,right,Stable,"['files/p16/p16826047/s50448867/7e6b2f67-75c969ed-bbc30375-abddcfdb-1f16d824.jpg', 'files/p16/p16826047/s50448867/b0fc3c88-772bc99b-87d98a66-29286aad-dfa69fa3.jpg']","['files/p16/p16826047/s50405776/79b2273d-eb59519b-a4f45fe3-cf98a087-3cb1b840.jpg\n', 'files/p16/p16826047/s50405776/bd268e85-ff8116fd-55309751-989af5bd-af1836a9.jpg\n']"
s50448867_30,p16826047,s50448867,30,Findings,"Previous multiple loculated right pleural effusions have not changed, and the intrafissural right pleural drainage catheter is stable in position. The cardiac silhouette continues to be mildly enlarged without pulmonary edema. Tiny linear and nodular opacities have appeared in the left upper lobe since ___.","Previous multiple loculated right pleural effusions have not changed, and the intrafissural right pleural drainage catheter is stable in position.",pleural drainage catheter,intrafissural right,Stable,"['files/p16/p16826047/s50448867/7e6b2f67-75c969ed-bbc30375-abddcfdb-1f16d824.jpg', 'files/p16/p16826047/s50448867/b0fc3c88-772bc99b-87d98a66-29286aad-dfa69fa3.jpg']","['files/p16/p16826047/s50405776/79b2273d-eb59519b-a4f45fe3-cf98a087-3cb1b840.jpg\n', 'files/p16/p16826047/s50405776/bd268e85-ff8116fd-55309751-989af5bd-af1836a9.jpg\n']"
s50448867_30,p16826047,s50448867,30,Findings,"Previous multiple loculated right pleural effusions have not changed, and the intrafissural right pleural drainage catheter is stable in position. The cardiac silhouette continues to be mildly enlarged without pulmonary edema. Tiny linear and nodular opacities have appeared in the left upper lobe since ___.",Tiny linear and nodular opacities have appeared in the left upper lobe since ___.,tiny linear and nodular opacities,left upper lobe,New,"['files/p16/p16826047/s50448867/7e6b2f67-75c969ed-bbc30375-abddcfdb-1f16d824.jpg', 'files/p16/p16826047/s50448867/b0fc3c88-772bc99b-87d98a66-29286aad-dfa69fa3.jpg']","['files/p16/p16826047/s50405776/79b2273d-eb59519b-a4f45fe3-cf98a087-3cb1b840.jpg\n', 'files/p16/p16826047/s50405776/bd268e85-ff8116fd-55309751-989af5bd-af1836a9.jpg\n']"
s50448867_30,p16826047,s50448867,30,Impression,Multiloculated right pleural effusion unchanged since ___. New linear and nodular opacities in the left upper lobe may represent carcinomatosis. Findings were relayed to Dr. ___ by Dr. ___ ___ following review on ___ at approximiately 11:00 via telephone.,Multiloculated right pleural effusion unchanged since ___.,multiloculated pleural effusion,right,Stable,"['files/p16/p16826047/s50448867/7e6b2f67-75c969ed-bbc30375-abddcfdb-1f16d824.jpg', 'files/p16/p16826047/s50448867/b0fc3c88-772bc99b-87d98a66-29286aad-dfa69fa3.jpg']","['files/p16/p16826047/s50405776/79b2273d-eb59519b-a4f45fe3-cf98a087-3cb1b840.jpg\n', 'files/p16/p16826047/s50405776/bd268e85-ff8116fd-55309751-989af5bd-af1836a9.jpg\n']"
s50448867_30,p16826047,s50448867,30,Impression,Multiloculated right pleural effusion unchanged since ___. New linear and nodular opacities in the left upper lobe may represent carcinomatosis. Findings were relayed to Dr. ___ by Dr. ___ ___ following review on ___ at approximiately 11:00 via telephone.,New linear and nodular opacities in the left upper lobe may represent carcinomatosis.,linear and nodular opacities,left upper lobe,New,"['files/p16/p16826047/s50448867/7e6b2f67-75c969ed-bbc30375-abddcfdb-1f16d824.jpg', 'files/p16/p16826047/s50448867/b0fc3c88-772bc99b-87d98a66-29286aad-dfa69fa3.jpg']","['files/p16/p16826047/s50405776/79b2273d-eb59519b-a4f45fe3-cf98a087-3cb1b840.jpg\n', 'files/p16/p16826047/s50405776/bd268e85-ff8116fd-55309751-989af5bd-af1836a9.jpg\n']"
s50449690_28,p13896515,s50449690,28,Impression,Moderately severe interstitial pulmonary edema has worsened accompanied by new or increased small left pleural effusion. Moderate cardiomegaly is chronic. There has been no change in the course or location of transvenous right atrial and left ventricular pacer leads and right ventricular pacer defibrillator leads originating from the left axillary generator.,There has been no change in the course or location of transvenous right atrial and left ventricular pacer leads and right ventricular pacer defibrillator leads originating from the left axillary generator.,,transvenous right atrial and left ventricular pacer leads,Stable,"['files/p13/p13896515/s50449690/7e135dcc-fabe82cf-8882ac2a-678f45c4-a5f9e727.jpg', 'files/p13/p13896515/s50449690/985f40a6-13022580-845b32b1-fccaba5a-60bffb12.jpg']","['files/p13/p13896515/s50433627/29ff0e1c-7e5b828a-aac0047a-4d0b4fda-567ffbe9.jpg\n', 'files/p13/p13896515/s50433627/9ffd35db-e8513d0b-320dab7d-17429141-c3c6f7d3.jpg\n', 'files/p13/p13896515/s50433627/cb2a378c-87d38056-9a3e81d1-f26a36d9-175473db.jpg\n']"
s50449690_28,p13896515,s50449690,28,Impression,Moderately severe interstitial pulmonary edema has worsened accompanied by new or increased small left pleural effusion. Moderate cardiomegaly is chronic. There has been no change in the course or location of transvenous right atrial and left ventricular pacer leads and right ventricular pacer defibrillator leads originating from the left axillary generator.,Moderately severe interstitial pulmonary edema has worsened accompanied by new or increased small left pleural effusion.,Moderately severe interstitial pulmonary edema,,Worse,"['files/p13/p13896515/s50449690/7e135dcc-fabe82cf-8882ac2a-678f45c4-a5f9e727.jpg', 'files/p13/p13896515/s50449690/985f40a6-13022580-845b32b1-fccaba5a-60bffb12.jpg']","['files/p13/p13896515/s50433627/29ff0e1c-7e5b828a-aac0047a-4d0b4fda-567ffbe9.jpg\n', 'files/p13/p13896515/s50433627/9ffd35db-e8513d0b-320dab7d-17429141-c3c6f7d3.jpg\n', 'files/p13/p13896515/s50433627/cb2a378c-87d38056-9a3e81d1-f26a36d9-175473db.jpg\n']"
s50449690_28,p13896515,s50449690,28,Impression,Moderately severe interstitial pulmonary edema has worsened accompanied by new or increased small left pleural effusion. Moderate cardiomegaly is chronic. There has been no change in the course or location of transvenous right atrial and left ventricular pacer leads and right ventricular pacer defibrillator leads originating from the left axillary generator.,There has been no change in the course or location of transvenous right atrial and left ventricular pacer leads and right ventricular pacer defibrillator leads originating from the left axillary generator.,,right ventricular pacer defibrillator leads,Stable,"['files/p13/p13896515/s50449690/7e135dcc-fabe82cf-8882ac2a-678f45c4-a5f9e727.jpg', 'files/p13/p13896515/s50449690/985f40a6-13022580-845b32b1-fccaba5a-60bffb12.jpg']","['files/p13/p13896515/s50433627/29ff0e1c-7e5b828a-aac0047a-4d0b4fda-567ffbe9.jpg\n', 'files/p13/p13896515/s50433627/9ffd35db-e8513d0b-320dab7d-17429141-c3c6f7d3.jpg\n', 'files/p13/p13896515/s50433627/cb2a378c-87d38056-9a3e81d1-f26a36d9-175473db.jpg\n']"
s50449690_28,p13896515,s50449690,28,Impression,Moderately severe interstitial pulmonary edema has worsened accompanied by new or increased small left pleural effusion. Moderate cardiomegaly is chronic. There has been no change in the course or location of transvenous right atrial and left ventricular pacer leads and right ventricular pacer defibrillator leads originating from the left axillary generator.,Moderately severe interstitial pulmonary edema has worsened accompanied by new or increased small left pleural effusion.,Small pleural effusion,left,New,"['files/p13/p13896515/s50449690/7e135dcc-fabe82cf-8882ac2a-678f45c4-a5f9e727.jpg', 'files/p13/p13896515/s50449690/985f40a6-13022580-845b32b1-fccaba5a-60bffb12.jpg']","['files/p13/p13896515/s50433627/29ff0e1c-7e5b828a-aac0047a-4d0b4fda-567ffbe9.jpg\n', 'files/p13/p13896515/s50433627/9ffd35db-e8513d0b-320dab7d-17429141-c3c6f7d3.jpg\n', 'files/p13/p13896515/s50433627/cb2a378c-87d38056-9a3e81d1-f26a36d9-175473db.jpg\n']"
s50452688_5,p12595991,s50452688,5,Findings,"A left pectoral pacemaker is unchanged with three leads in the right atrium, right ventricle, and coronary sinus, as before. There has been interval removal of the endotracheal tube from ___. The cardiac silhouette remains severely enlarged. Partial calcification of the aortic knob is redemonstrated. The mediastinal contours are unchanged. There is no pulmonary vascular congestion or interstitial edema. A moderate right pleural effusion is appreciated on the lateral view with mild right basilar atelectasis. There is no left pleural effusion. No pneumothorax is seen. Diffuse dense calcification of the abdominal aorta is noted.","A left pectoral pacemaker is unchanged with three leads in the right atrium, right ventricle, and coronary sinus, as before.",pacemaker,left pectoral,Stable,"['files/p12/p12595991/s50452688/252da14d-35e528cc-fd8defb9-1ba9e403-6b8cd31c.jpg', 'files/p12/p12595991/s50452688/fd5b9e84-06d9a995-0dd4904b-a46b13dd-37b8e1f1.jpg']","['files/p12/p12595991/s50291999/09a7bc78-861b7d8a-bf31a633-67e32681-cec68e43.jpg\n', 'files/p12/p12595991/s50291999/449aaf0d-39419c16-a79e10d0-a6d3b8b1-1076c60f.jpg\n']"
s50452688_5,p12595991,s50452688,5,Findings,"A left pectoral pacemaker is unchanged with three leads in the right atrium, right ventricle, and coronary sinus, as before. There has been interval removal of the endotracheal tube from ___. The cardiac silhouette remains severely enlarged. Partial calcification of the aortic knob is redemonstrated. The mediastinal contours are unchanged. There is no pulmonary vascular congestion or interstitial edema. A moderate right pleural effusion is appreciated on the lateral view with mild right basilar atelectasis. There is no left pleural effusion. No pneumothorax is seen. Diffuse dense calcification of the abdominal aorta is noted.",There has been interval removal of the endotracheal tube from ___.,endotracheal tube,,Resolve,"['files/p12/p12595991/s50452688/252da14d-35e528cc-fd8defb9-1ba9e403-6b8cd31c.jpg', 'files/p12/p12595991/s50452688/fd5b9e84-06d9a995-0dd4904b-a46b13dd-37b8e1f1.jpg']","['files/p12/p12595991/s50291999/09a7bc78-861b7d8a-bf31a633-67e32681-cec68e43.jpg\n', 'files/p12/p12595991/s50291999/449aaf0d-39419c16-a79e10d0-a6d3b8b1-1076c60f.jpg\n']"
s50452688_5,p12595991,s50452688,5,Findings,"A left pectoral pacemaker is unchanged with three leads in the right atrium, right ventricle, and coronary sinus, as before. There has been interval removal of the endotracheal tube from ___. The cardiac silhouette remains severely enlarged. Partial calcification of the aortic knob is redemonstrated. The mediastinal contours are unchanged. There is no pulmonary vascular congestion or interstitial edema. A moderate right pleural effusion is appreciated on the lateral view with mild right basilar atelectasis. There is no left pleural effusion. No pneumothorax is seen. Diffuse dense calcification of the abdominal aorta is noted.",The mediastinal contours are unchanged.,contours,mediastinal,Stable,"['files/p12/p12595991/s50452688/252da14d-35e528cc-fd8defb9-1ba9e403-6b8cd31c.jpg', 'files/p12/p12595991/s50452688/fd5b9e84-06d9a995-0dd4904b-a46b13dd-37b8e1f1.jpg']","['files/p12/p12595991/s50291999/09a7bc78-861b7d8a-bf31a633-67e32681-cec68e43.jpg\n', 'files/p12/p12595991/s50291999/449aaf0d-39419c16-a79e10d0-a6d3b8b1-1076c60f.jpg\n']"
s50452688_5,p12595991,s50452688,5,Findings,"A left pectoral pacemaker is unchanged with three leads in the right atrium, right ventricle, and coronary sinus, as before. There has been interval removal of the endotracheal tube from ___. The cardiac silhouette remains severely enlarged. Partial calcification of the aortic knob is redemonstrated. The mediastinal contours are unchanged. There is no pulmonary vascular congestion or interstitial edema. A moderate right pleural effusion is appreciated on the lateral view with mild right basilar atelectasis. There is no left pleural effusion. No pneumothorax is seen. Diffuse dense calcification of the abdominal aorta is noted.",Partial calcification of the aortic knob is redemonstrated.,calcification,aortic knob,Stable,"['files/p12/p12595991/s50452688/252da14d-35e528cc-fd8defb9-1ba9e403-6b8cd31c.jpg', 'files/p12/p12595991/s50452688/fd5b9e84-06d9a995-0dd4904b-a46b13dd-37b8e1f1.jpg']","['files/p12/p12595991/s50291999/09a7bc78-861b7d8a-bf31a633-67e32681-cec68e43.jpg\n', 'files/p12/p12595991/s50291999/449aaf0d-39419c16-a79e10d0-a6d3b8b1-1076c60f.jpg\n']"
s50452688_5,p12595991,s50452688,5,Findings,"A left pectoral pacemaker is unchanged with three leads in the right atrium, right ventricle, and coronary sinus, as before. There has been interval removal of the endotracheal tube from ___. The cardiac silhouette remains severely enlarged. Partial calcification of the aortic knob is redemonstrated. The mediastinal contours are unchanged. There is no pulmonary vascular congestion or interstitial edema. A moderate right pleural effusion is appreciated on the lateral view with mild right basilar atelectasis. There is no left pleural effusion. No pneumothorax is seen. Diffuse dense calcification of the abdominal aorta is noted.",The cardiac silhouette remains severely enlarged.,cardiac silhouette,,Stable,"['files/p12/p12595991/s50452688/252da14d-35e528cc-fd8defb9-1ba9e403-6b8cd31c.jpg', 'files/p12/p12595991/s50452688/fd5b9e84-06d9a995-0dd4904b-a46b13dd-37b8e1f1.jpg']","['files/p12/p12595991/s50291999/09a7bc78-861b7d8a-bf31a633-67e32681-cec68e43.jpg\n', 'files/p12/p12595991/s50291999/449aaf0d-39419c16-a79e10d0-a6d3b8b1-1076c60f.jpg\n']"
s50453286_3,p13473781,s50453286,3,Findings,Single AP upright image of the chest was obtained. There is a left basilar opacity. No right sided pleural effusion. No pulmonary edema. Unchanged markedly dilated cardiac silhouette. No pneumothorax. No bony abnormality. No free air below the hemidiaphragm.,Unchanged markedly dilated cardiac silhouette.,markedly dilated cardiac silhouette,,Stable,['files/p13/p13473781/s50453286/ae4c4185-418ae838-935a5921-92daeeca-f8194630.jpg'],
s50453286_3,p13473781,s50453286,3,Impression,"Left basilar opacity possibly due to pneumonia, effusion, atelectasis or a combination of the above. Stable severe cardiomegaly.",Stable severe cardiomegaly.,severe cardiomegaly,,Stable,['files/p13/p13473781/s50453286/ae4c4185-418ae838-935a5921-92daeeca-f8194630.jpg'],
s50456365_7,p16360107,s50456365,7,Findings,Frontal and lateral radiographs of the chest demonstrate stable mild enlargement of the cardiac silhouette. There is stable appearance of fragmentation and misalignment of the sternal wires. The chronic loculated pleural effusions are unchanged with persistent bibasilar opacification. There is slight increase in pulmonary vascular congestion compared to the prior study. No pneumothorax is detected.,The chronic loculated pleural effusions are unchanged with persistent bibasilar opacification.,opacification,bibasilar,Stable,"['files/p16/p16360107/s50456365/5d4e8798-538c8cb8-095c11a2-e34b3a85-0f96f1b3.jpg', 'files/p16/p16360107/s50456365/7cd9b3ba-edb2b391-8e12d2ad-8303e23b-bbb3a640.jpg']",
s50456365_7,p16360107,s50456365,7,Findings,Frontal and lateral radiographs of the chest demonstrate stable mild enlargement of the cardiac silhouette. There is stable appearance of fragmentation and misalignment of the sternal wires. The chronic loculated pleural effusions are unchanged with persistent bibasilar opacification. There is slight increase in pulmonary vascular congestion compared to the prior study. No pneumothorax is detected.,The chronic loculated pleural effusions are unchanged with persistent bibasilar opacification.,pleural effusions,bibasilar,Stable,"['files/p16/p16360107/s50456365/5d4e8798-538c8cb8-095c11a2-e34b3a85-0f96f1b3.jpg', 'files/p16/p16360107/s50456365/7cd9b3ba-edb2b391-8e12d2ad-8303e23b-bbb3a640.jpg']",
s50456365_7,p16360107,s50456365,7,Findings,Frontal and lateral radiographs of the chest demonstrate stable mild enlargement of the cardiac silhouette. There is stable appearance of fragmentation and misalignment of the sternal wires. The chronic loculated pleural effusions are unchanged with persistent bibasilar opacification. There is slight increase in pulmonary vascular congestion compared to the prior study. No pneumothorax is detected.,Frontal and lateral radiographs of the chest demonstrate stable mild enlargement of the cardiac silhouette.,cardiac silhouette,,Stable,"['files/p16/p16360107/s50456365/5d4e8798-538c8cb8-095c11a2-e34b3a85-0f96f1b3.jpg', 'files/p16/p16360107/s50456365/7cd9b3ba-edb2b391-8e12d2ad-8303e23b-bbb3a640.jpg']",
s50456365_7,p16360107,s50456365,7,Findings,Frontal and lateral radiographs of the chest demonstrate stable mild enlargement of the cardiac silhouette. There is stable appearance of fragmentation and misalignment of the sternal wires. The chronic loculated pleural effusions are unchanged with persistent bibasilar opacification. There is slight increase in pulmonary vascular congestion compared to the prior study. No pneumothorax is detected.,There is stable appearance of fragmentation and misalignment of the sternal wires.,sternal wires,,Stable,"['files/p16/p16360107/s50456365/5d4e8798-538c8cb8-095c11a2-e34b3a85-0f96f1b3.jpg', 'files/p16/p16360107/s50456365/7cd9b3ba-edb2b391-8e12d2ad-8303e23b-bbb3a640.jpg']",
s50456365_7,p16360107,s50456365,7,Findings,Frontal and lateral radiographs of the chest demonstrate stable mild enlargement of the cardiac silhouette. There is stable appearance of fragmentation and misalignment of the sternal wires. The chronic loculated pleural effusions are unchanged with persistent bibasilar opacification. There is slight increase in pulmonary vascular congestion compared to the prior study. No pneumothorax is detected.,There is slight increase in pulmonary vascular congestion compared to the prior study.,pulmonary vascular congestion,,Worse,"['files/p16/p16360107/s50456365/5d4e8798-538c8cb8-095c11a2-e34b3a85-0f96f1b3.jpg', 'files/p16/p16360107/s50456365/7cd9b3ba-edb2b391-8e12d2ad-8303e23b-bbb3a640.jpg']",
s50457087_12,p11052935,s50457087,12,Findings,"A new area of consolidation has developed in the left lower lobe, and is concerning for developing pneumonia considering the clinical suspicion for this entity. Additional nonspecific patchy opacity at the periphery of the right lung base could reflect focal atelectasis, or an additional site of infection. Severe upper lobe predominant emphysema is again demonstrated. Cardiomediastinal contours are normal. No pleural effusion or pneumothorax is evident.",Severe upper lobe predominant emphysema is again demonstrated.,emphysema,upper lobe,Stable,"['files/p11/p11052935/s50457087/523db987-d0978a19-c8725d72-5e091b8d-9564d8d9.jpg', 'files/p11/p11052935/s50457087/f3686ece-bb54acba-7f3b1ce4-b9166b5f-cd9b52c2.jpg']","['files/p11/p11052935/s50367895/2876892c-9a38069a-e2cf1491-82ef0d5f-a4935ae3.jpg\n', 'files/p11/p11052935/s50367895/43b6f8f9-f0d77b57-b2603100-48f5611a-a7405f03.jpg\n']"
s50457087_12,p11052935,s50457087,12,Findings,"A new area of consolidation has developed in the left lower lobe, and is concerning for developing pneumonia considering the clinical suspicion for this entity. Additional nonspecific patchy opacity at the periphery of the right lung base could reflect focal atelectasis, or an additional site of infection. Severe upper lobe predominant emphysema is again demonstrated. Cardiomediastinal contours are normal. No pleural effusion or pneumothorax is evident.","A new area of consolidation has developed in the left lower lobe, and is concerning for developing pneumonia considering the clinical suspicion for this entity.",consolidation,left lower lobe,New,"['files/p11/p11052935/s50457087/523db987-d0978a19-c8725d72-5e091b8d-9564d8d9.jpg', 'files/p11/p11052935/s50457087/f3686ece-bb54acba-7f3b1ce4-b9166b5f-cd9b52c2.jpg']","['files/p11/p11052935/s50367895/2876892c-9a38069a-e2cf1491-82ef0d5f-a4935ae3.jpg\n', 'files/p11/p11052935/s50367895/43b6f8f9-f0d77b57-b2603100-48f5611a-a7405f03.jpg\n']"
s50476602_1,p16875792,s50476602,1,Findings,"AP single view of the chest has been obtained with patient in supine position. The patient is now intubated, the ETT terminating in the trachea some 3 cm above the level of the carina. A right internal jugular approach sheath has been placed carrying a Swan-Ganz catheter, tip of which reaches the central portion of the pulmonary artery. An NG tube reaches well into the stomach. Mediastinal drainage tubes from below are seen. There is a left-sided pneumothorax measuring up to 3 cm in width in the apical area but extending along the chest lateral wall as well. When comparison is made with the next preceding PA and lateral chest examination of ___, considerable degree of mediastinal shift towards the right is identified. Also noted is that the sternotomy wires have a somewhat different appearance indicating that the patient has since then undergone new cardiac operation and new sternotomy wire placement. The presently described findings show an acute pneumothorax with tension component. A telephone call was placed to extension ___. Contact with the responsible cardiac surgeon was established. The described findings were communicated verbally and the surgeon assured that the situation would be attended immediately. Telephone call was given at 1:50 p.m. of ___",Also noted is that the sternotomy wires have a somewhat different appearance indicating that the patient has since then undergone new cardiac operation and new sternotomy wire placement.,sternotomy wires,,New,['files/p16/p16875792/s50476602/b00146a8-daf7d7b9-b5b42300-46be81dc-b7c723c0.jpg'],"['files/p16/p16875792/s50022945/4331c9eb-f6e0c046-8c50bffc-6f363a16-02f0f87f.jpg\n', 'files/p16/p16875792/s50022945/58e18e8d-d3328bef-ffb23510-09ee6d7a-3a0d7e9b.jpg\n']"
s50476602_1,p16875792,s50476602,1,Findings,"AP single view of the chest has been obtained with patient in supine position. The patient is now intubated, the ETT terminating in the trachea some 3 cm above the level of the carina. A right internal jugular approach sheath has been placed carrying a Swan-Ganz catheter, tip of which reaches the central portion of the pulmonary artery. An NG tube reaches well into the stomach. Mediastinal drainage tubes from below are seen. There is a left-sided pneumothorax measuring up to 3 cm in width in the apical area but extending along the chest lateral wall as well. When comparison is made with the next preceding PA and lateral chest examination of ___, considerable degree of mediastinal shift towards the right is identified. Also noted is that the sternotomy wires have a somewhat different appearance indicating that the patient has since then undergone new cardiac operation and new sternotomy wire placement. The presently described findings show an acute pneumothorax with tension component. A telephone call was placed to extension ___. Contact with the responsible cardiac surgeon was established. The described findings were communicated verbally and the surgeon assured that the situation would be attended immediately. Telephone call was given at 1:50 p.m. of ___","When comparison is made with the next preceding PA and lateral chest examination of ___, considerable degree of mediastinal shift towards the right is identified.",mediastinal shift,right,Worse,['files/p16/p16875792/s50476602/b00146a8-daf7d7b9-b5b42300-46be81dc-b7c723c0.jpg'],"['files/p16/p16875792/s50022945/4331c9eb-f6e0c046-8c50bffc-6f363a16-02f0f87f.jpg\n', 'files/p16/p16875792/s50022945/58e18e8d-d3328bef-ffb23510-09ee6d7a-3a0d7e9b.jpg\n']"
s50482541_12,p16957952,s50482541,12,Findings,"A portable erect frontal chest radiograph again demonstrates multiple sternal wires, which are intact. Heart size remains mildly enlarged. The lungs are fairly well-aerated, without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.",Heart size remains mildly enlarged.,Mildly enlarged heart,,Stable,"['files/p16/p16957952/s50482541/63f854b9-c24c2a15-3c4ee54e-72c08c57-5b8bcf18.jpg', 'files/p16/p16957952/s50482541/9370636b-c15ba900-6d4fa453-e8725bf7-124cf815.jpg']",
s50482798_8,p10867202,s50482798,8,Impression,Relatively similar appearance of diffuse chronic chronic lung disease. No new gross focal consolidation identified.,Relatively similar appearance of diffuse chronic chronic lung disease.,chronic lung disease,Lungs,Stable,['files/p10/p10867202/s50482798/13b3f835-9d35e2fb-bef55a2d-4bf1a470-21b7626c.jpg'],
s50482798_8,p10867202,s50482798,8,Findings,"Lung volumes remain low. Heart size is mildly enlarged but unchanged. The aortic knob is calcified. Diffuse parenchymal opacities with architectural distortion and bronchiectasis is re- demonstrate compatible with known chronic fibrotic lung disease, overall similar compared to the prior exam. No new areas of focal consolidation, pleural effusion or pneumothorax is seen. No pulmonary edema is demonstrated.",Lung volumes remain low.,low lung volumes,Lungs,Stable,['files/p10/p10867202/s50482798/13b3f835-9d35e2fb-bef55a2d-4bf1a470-21b7626c.jpg'],
s50482798_8,p10867202,s50482798,8,Findings,"Lung volumes remain low. Heart size is mildly enlarged but unchanged. The aortic knob is calcified. Diffuse parenchymal opacities with architectural distortion and bronchiectasis is re- demonstrate compatible with known chronic fibrotic lung disease, overall similar compared to the prior exam. No new areas of focal consolidation, pleural effusion or pneumothorax is seen. No pulmonary edema is demonstrated.","Diffuse parenchymal opacities with architectural distortion and bronchiectasis is re- demonstrate compatible with known chronic fibrotic lung disease, overall similar compared to the prior exam.",diffuse parenchymal opacities with architectural distortion and bronchiectasis,Lungs,Stable,['files/p10/p10867202/s50482798/13b3f835-9d35e2fb-bef55a2d-4bf1a470-21b7626c.jpg'],
s50482798_8,p10867202,s50482798,8,Findings,"Lung volumes remain low. Heart size is mildly enlarged but unchanged. The aortic knob is calcified. Diffuse parenchymal opacities with architectural distortion and bronchiectasis is re- demonstrate compatible with known chronic fibrotic lung disease, overall similar compared to the prior exam. No new areas of focal consolidation, pleural effusion or pneumothorax is seen. No pulmonary edema is demonstrated.",Heart size is mildly enlarged but unchanged.,mildly enlarged size,Heart,Stable,['files/p10/p10867202/s50482798/13b3f835-9d35e2fb-bef55a2d-4bf1a470-21b7626c.jpg'],
s50491354_15,p12185775,s50491354,15,Impression,"1. Right internal jugular Swan-Ganz catheter with its tip in the right pulmonary artery, unchanged. Endotracheal tube has its tip at the thoracic inlet in satisfactory position. Nasogastric tube is seen coursing below the diaphragm. There is blunting of left costophrenic angle with some retrocardiac opacity likely reflecting a small effusion with patchy compressive atelectasis. Pneumonia cannot be entirely excluded. Improving with residual minimal interstitial edema. Left upper and mid calcified nodules likely reflect granulomata. No pneumothorax. Overall, cardiac and mediastinal contours are stable.","1. Right internal jugular Swan-Ganz catheter with its tip in the right pulmonary artery, unchanged.",Swan-Ganz catheter,right pulmonary artery,Stable,['files/p12/p12185775/s50491354/11b1705d-30db94a7-a7782a30-f6fbb83d-d63373de.jpg'],['files/p12/p12185775/s50127750/23f0b24d-61c1f12c-eb2434aa-f6d2c69e-86a2cd20.jpg\n']
s50491354_15,p12185775,s50491354,15,Impression,"1. Right internal jugular Swan-Ganz catheter with its tip in the right pulmonary artery, unchanged. Endotracheal tube has its tip at the thoracic inlet in satisfactory position. Nasogastric tube is seen coursing below the diaphragm. There is blunting of left costophrenic angle with some retrocardiac opacity likely reflecting a small effusion with patchy compressive atelectasis. Pneumonia cannot be entirely excluded. Improving with residual minimal interstitial edema. Left upper and mid calcified nodules likely reflect granulomata. No pneumothorax. Overall, cardiac and mediastinal contours are stable.",Improving with residual minimal interstitial edema.,interstitial edema,,Better,['files/p12/p12185775/s50491354/11b1705d-30db94a7-a7782a30-f6fbb83d-d63373de.jpg'],['files/p12/p12185775/s50127750/23f0b24d-61c1f12c-eb2434aa-f6d2c69e-86a2cd20.jpg\n']
s50491354_15,p12185775,s50491354,15,Impression,"1. Right internal jugular Swan-Ganz catheter with its tip in the right pulmonary artery, unchanged. Endotracheal tube has its tip at the thoracic inlet in satisfactory position. Nasogastric tube is seen coursing below the diaphragm. There is blunting of left costophrenic angle with some retrocardiac opacity likely reflecting a small effusion with patchy compressive atelectasis. Pneumonia cannot be entirely excluded. Improving with residual minimal interstitial edema. Left upper and mid calcified nodules likely reflect granulomata. No pneumothorax. Overall, cardiac and mediastinal contours are stable.","Overall, cardiac and mediastinal contours are stable.",cardiac and mediastinal contours,,Stable,['files/p12/p12185775/s50491354/11b1705d-30db94a7-a7782a30-f6fbb83d-d63373de.jpg'],['files/p12/p12185775/s50127750/23f0b24d-61c1f12c-eb2434aa-f6d2c69e-86a2cd20.jpg\n']
s50492868_14,p18487334,s50492868,14,Findings,"The feeding tube extends below the level of the diaphragms but beyond the field of view of this radiograph, likely within the distal stomach. A left chest wall dual lead pacemaker is present. The tip of the right PICC line extends to the level of the mid SVC. No focal consolidation, pleural effusion or pneumothorax identified. The size and appearance of the cardiomediastinal silhouette is unchanged.",The size and appearance of the cardiomediastinal silhouette is unchanged.,cardiomediastinal silhouette,,Stable,['files/p18/p18487334/s50492868/f3c65ae4-81c03654-c3fe857f-dec24a17-a5a118b9.jpg'],['files/p18/p18487334/s50226423/e20fecce-83e539b8-cb06143a-49ca3124-35dd992d.jpg\n']
s50494220_7,p11413236,s50494220,7,Findings,"Lung volumes are low, limiting evaluation of the lung bases, with perihilar atelectasis. Within this limitation, no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The aorta is tortuous. Heart size is difficult to evaluate in the setting of markedly low lung volumes. A right-sided Port-A-Cath tip projects at the level of the cavoatrial junction, as seen previously. Density in the aortopulmonary window appears similar compared to prior and likely corresponds to calcified nodes, as seen on prior CT. Sternal wires appear intact.","A right-sided Port-A-Cath tip projects at the level of the cavoatrial junction, as seen previously.",Port-A-Cath tip,Right-sided,Stable,['files/p11/p11413236/s50494220/741811fe-d3a0f32c-0f5c16f2-5ab6eace-f84f5233.jpg'],
s50494220_7,p11413236,s50494220,7,Findings,"Lung volumes are low, limiting evaluation of the lung bases, with perihilar atelectasis. Within this limitation, no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The aorta is tortuous. Heart size is difficult to evaluate in the setting of markedly low lung volumes. A right-sided Port-A-Cath tip projects at the level of the cavoatrial junction, as seen previously. Density in the aortopulmonary window appears similar compared to prior and likely corresponds to calcified nodes, as seen on prior CT. Sternal wires appear intact.","Density in the aortopulmonary window appears similar compared to prior and likely corresponds to calcified nodes, as seen on prior CT.",calcified nodes,Aortopulmonary window,Stable,['files/p11/p11413236/s50494220/741811fe-d3a0f32c-0f5c16f2-5ab6eace-f84f5233.jpg'],
s50494700_41,p15131736,s50494700,41,Impression,"Previous moderately severe pulmonary edema has improved. Severe cardiomegaly and pulmonary artery dilatation are chronic. Poor aeration at the base of the left lung is persistent, either atelectasis or pneumonia. Pleural effusion is presumed, but not large.",Previous moderately severe pulmonary edema has improved.,moderately severe pulmonary edema,,Better,['files/p15/p15131736/s50494700/36147048-4907c6d9-99ef69b7-c4b50592-a5f2a9cd.jpg'],['files/p15/p15131736/s50383259/7dea99ce-f65ab6a2-cd11e9ee-34a5071f-c8877a75.jpg\n']
s50494700_41,p15131736,s50494700,41,Impression,"Previous moderately severe pulmonary edema has improved. Severe cardiomegaly and pulmonary artery dilatation are chronic. Poor aeration at the base of the left lung is persistent, either atelectasis or pneumonia. Pleural effusion is presumed, but not large.","Poor aeration at the base of the left lung is persistent, either atelectasis or pneumonia.",poor aeration,base of the left lung,Stable,['files/p15/p15131736/s50494700/36147048-4907c6d9-99ef69b7-c4b50592-a5f2a9cd.jpg'],['files/p15/p15131736/s50383259/7dea99ce-f65ab6a2-cd11e9ee-34a5071f-c8877a75.jpg\n']
s50498379_15,p13896515,s50498379,15,Impression,1. Interval biventricular ICD placement. No evidence of pneumothorax. 2. Slight improvement in pulmonary edema.,Slight improvement in pulmonary edema.,pulmonary edema,,Better,"['files/p13/p13896515/s50498379/207cd14f-964e1d6c-6bda26f6-acb1591c-5a335c13.jpg', 'files/p13/p13896515/s50498379/2e6fe51f-e9238ed4-fd5fbac1-85ba7185-da7f3084.jpg', 'files/p13/p13896515/s50498379/6a7ae1e7-25818d8d-e2aaca48-19d5034e-df932bae.jpg']",['files/p13/p13896515/s50464024/bacfc58a-88a0d80f-0f80cf67-aaf650c5-90e661d7.jpg\n']
s50498379_15,p13896515,s50498379,15,Findings,"Appearance of the median sternotomy wires are unchanged. Again noted is the biventricular ICD implant; one lead is seen in the right atrium, a second lead within the right ventricle but the tip of the third lead is not well visualized. There is slight improvement of underlying pulmonary edema compared to ___. Again noted is a small left pleural effusion. The heart is enlarged. No evidence of pneumothorax.",Appearance of the median sternotomy wires are unchanged.,sternotomy wires,median,Stable,"['files/p13/p13896515/s50498379/207cd14f-964e1d6c-6bda26f6-acb1591c-5a335c13.jpg', 'files/p13/p13896515/s50498379/2e6fe51f-e9238ed4-fd5fbac1-85ba7185-da7f3084.jpg', 'files/p13/p13896515/s50498379/6a7ae1e7-25818d8d-e2aaca48-19d5034e-df932bae.jpg']",['files/p13/p13896515/s50464024/bacfc58a-88a0d80f-0f80cf67-aaf650c5-90e661d7.jpg\n']
s50498379_15,p13896515,s50498379,15,Findings,"Appearance of the median sternotomy wires are unchanged. Again noted is the biventricular ICD implant; one lead is seen in the right atrium, a second lead within the right ventricle but the tip of the third lead is not well visualized. There is slight improvement of underlying pulmonary edema compared to ___. Again noted is a small left pleural effusion. The heart is enlarged. No evidence of pneumothorax.",There is slight improvement of underlying pulmonary edema compared to ___.,pulmonary edema,underlying,Better,"['files/p13/p13896515/s50498379/207cd14f-964e1d6c-6bda26f6-acb1591c-5a335c13.jpg', 'files/p13/p13896515/s50498379/2e6fe51f-e9238ed4-fd5fbac1-85ba7185-da7f3084.jpg', 'files/p13/p13896515/s50498379/6a7ae1e7-25818d8d-e2aaca48-19d5034e-df932bae.jpg']",['files/p13/p13896515/s50464024/bacfc58a-88a0d80f-0f80cf67-aaf650c5-90e661d7.jpg\n']
s50501667_5,p15204620,s50501667,5,Impression,"AP chest compared to ___, 6:33 p.m.: There is no pneumothorax. Small-to-moderate right pleural effusion is stable. There is more consolidation in the right lung outside the entirely consolidated right middle lobe, and suggestion of new consolidation at the base of the left lung which might be due to spillover pneumonia originating in the obstructed right middle lobe. Extensive mediastinal and right hilar adenopathy unchanged. No left pleural effusion. No cardiomegaly.",Extensive mediastinal and right hilar adenopathy unchanged.,adenopathy,mediastinal and right hilar,Stable,['files/p15/p15204620/s50501667/174bc762-69cee932-214e862b-e75fe715-f1300a15.jpg'],['files/p15/p15204620/s50423865/f961f806-615b33d3-168639c0-b14af1da-ce8962b2.jpg\n']
s50501667_5,p15204620,s50501667,5,Impression,"AP chest compared to ___, 6:33 p.m.: There is no pneumothorax. Small-to-moderate right pleural effusion is stable. There is more consolidation in the right lung outside the entirely consolidated right middle lobe, and suggestion of new consolidation at the base of the left lung which might be due to spillover pneumonia originating in the obstructed right middle lobe. Extensive mediastinal and right hilar adenopathy unchanged. No left pleural effusion. No cardiomegaly.","There is more consolidation in the right lung outside the entirely consolidated right middle lobe, and suggestion of new consolidation at the base of the left lung which might be due to spillover pneumonia originating in the obstructed right middle lobe.",consolidation,base of the left lung,New,['files/p15/p15204620/s50501667/174bc762-69cee932-214e862b-e75fe715-f1300a15.jpg'],['files/p15/p15204620/s50423865/f961f806-615b33d3-168639c0-b14af1da-ce8962b2.jpg\n']
s50501667_5,p15204620,s50501667,5,Impression,"AP chest compared to ___, 6:33 p.m.: There is no pneumothorax. Small-to-moderate right pleural effusion is stable. There is more consolidation in the right lung outside the entirely consolidated right middle lobe, and suggestion of new consolidation at the base of the left lung which might be due to spillover pneumonia originating in the obstructed right middle lobe. Extensive mediastinal and right hilar adenopathy unchanged. No left pleural effusion. No cardiomegaly.","There is more consolidation in the right lung outside the entirely consolidated right middle lobe, and suggestion of new consolidation at the base of the left lung which might be due to spillover pneumonia originating in the obstructed right middle lobe.",consolidation,right lung,Worse,['files/p15/p15204620/s50501667/174bc762-69cee932-214e862b-e75fe715-f1300a15.jpg'],['files/p15/p15204620/s50423865/f961f806-615b33d3-168639c0-b14af1da-ce8962b2.jpg\n']
s50501667_5,p15204620,s50501667,5,Impression,"AP chest compared to ___, 6:33 p.m.: There is no pneumothorax. Small-to-moderate right pleural effusion is stable. There is more consolidation in the right lung outside the entirely consolidated right middle lobe, and suggestion of new consolidation at the base of the left lung which might be due to spillover pneumonia originating in the obstructed right middle lobe. Extensive mediastinal and right hilar adenopathy unchanged. No left pleural effusion. No cardiomegaly.",Small-to-moderate right pleural effusion is stable.,pleural effusion,right,Stable,['files/p15/p15204620/s50501667/174bc762-69cee932-214e862b-e75fe715-f1300a15.jpg'],['files/p15/p15204620/s50423865/f961f806-615b33d3-168639c0-b14af1da-ce8962b2.jpg\n']
s50501762_14,p10439781,s50501762,14,Findings,"AP upright and lateral chest radiographs were obtained. Known interstitial lung disease contributes to a bilateral perihilar interstitial abnormality. In addition to the chronic findings there is bilateral ground-glass opacity and interstitial thickening, predominantly radiating from the hila. Cardiomegaly remains moderate. Aortic arch calcifications are unchanged. A right-sided PICC line terminates in the low SVC. A left chest Port-A-Cath terminates in the right atrium. Vertebroplasty changes are stable.",Vertebroplasty changes are stable.,Vertebroplasty changes,,Stable,"['files/p10/p10439781/s50501762/58c735ba-cc7d2492-f290f622-154bc6f2-5fdc853c.jpg', 'files/p10/p10439781/s50501762/91623d3d-e82bd37b-a89a94ab-6a69e4ac-8e679081.jpg']",['files/p10/p10439781/s50277921/397252c6-f7b6111e-367341df-b8fc523c-599cfcbd.jpg\n']
s50501762_14,p10439781,s50501762,14,Findings,"AP upright and lateral chest radiographs were obtained. Known interstitial lung disease contributes to a bilateral perihilar interstitial abnormality. In addition to the chronic findings there is bilateral ground-glass opacity and interstitial thickening, predominantly radiating from the hila. Cardiomegaly remains moderate. Aortic arch calcifications are unchanged. A right-sided PICC line terminates in the low SVC. A left chest Port-A-Cath terminates in the right atrium. Vertebroplasty changes are stable.",Aortic arch calcifications are unchanged.,calcifications,aortic arch,Stable,"['files/p10/p10439781/s50501762/58c735ba-cc7d2492-f290f622-154bc6f2-5fdc853c.jpg', 'files/p10/p10439781/s50501762/91623d3d-e82bd37b-a89a94ab-6a69e4ac-8e679081.jpg']",['files/p10/p10439781/s50277921/397252c6-f7b6111e-367341df-b8fc523c-599cfcbd.jpg\n']
s50501762_14,p10439781,s50501762,14,Findings,"AP upright and lateral chest radiographs were obtained. Known interstitial lung disease contributes to a bilateral perihilar interstitial abnormality. In addition to the chronic findings there is bilateral ground-glass opacity and interstitial thickening, predominantly radiating from the hila. Cardiomegaly remains moderate. Aortic arch calcifications are unchanged. A right-sided PICC line terminates in the low SVC. A left chest Port-A-Cath terminates in the right atrium. Vertebroplasty changes are stable.",Cardiomegaly remains moderate.,Cardiomegaly,,Stable,"['files/p10/p10439781/s50501762/58c735ba-cc7d2492-f290f622-154bc6f2-5fdc853c.jpg', 'files/p10/p10439781/s50501762/91623d3d-e82bd37b-a89a94ab-6a69e4ac-8e679081.jpg']",['files/p10/p10439781/s50277921/397252c6-f7b6111e-367341df-b8fc523c-599cfcbd.jpg\n']
s50510286_12,p13031876,s50510286,12,Impression,"PA and lateral chest compared to ___: New endotracheal tube is in standard placement. Feeding tube passes into the stomach and out of view as before. Right PIC line ends in the mid-to-low SVC. Bibasilar atelectasis moderate-to-severe on the left, mild on the right, unchanged. Previous mild pulmonary edema has resolved over the past three hours, but there has been an increase in the small-to-moderate left pleural effusion. Heart size is normal. Mediastinal vasculature is not dilated.",PA and lateral chest compared to ___: New endotracheal tube is in standard placement.,endotracheal tube,standard,New,['files/p13/p13031876/s50510286/ff2efa2a-247e7e02-2a1deddd-82479afe-136446a9.jpg'],
s50510286_12,p13031876,s50510286,12,Impression,"PA and lateral chest compared to ___: New endotracheal tube is in standard placement. Feeding tube passes into the stomach and out of view as before. Right PIC line ends in the mid-to-low SVC. Bibasilar atelectasis moderate-to-severe on the left, mild on the right, unchanged. Previous mild pulmonary edema has resolved over the past three hours, but there has been an increase in the small-to-moderate left pleural effusion. Heart size is normal. Mediastinal vasculature is not dilated.",Feeding tube passes into the stomach and out of view as before.,Feeding tube,into the stomach,Stable,['files/p13/p13031876/s50510286/ff2efa2a-247e7e02-2a1deddd-82479afe-136446a9.jpg'],
s50510286_12,p13031876,s50510286,12,Impression,"PA and lateral chest compared to ___: New endotracheal tube is in standard placement. Feeding tube passes into the stomach and out of view as before. Right PIC line ends in the mid-to-low SVC. Bibasilar atelectasis moderate-to-severe on the left, mild on the right, unchanged. Previous mild pulmonary edema has resolved over the past three hours, but there has been an increase in the small-to-moderate left pleural effusion. Heart size is normal. Mediastinal vasculature is not dilated.","Bibasilar atelectasis moderate-to-severe on the left, mild on the right, unchanged.",atelectasis,Bibasilar,Stable,['files/p13/p13031876/s50510286/ff2efa2a-247e7e02-2a1deddd-82479afe-136446a9.jpg'],
s50510286_12,p13031876,s50510286,12,Impression,"PA and lateral chest compared to ___: New endotracheal tube is in standard placement. Feeding tube passes into the stomach and out of view as before. Right PIC line ends in the mid-to-low SVC. Bibasilar atelectasis moderate-to-severe on the left, mild on the right, unchanged. Previous mild pulmonary edema has resolved over the past three hours, but there has been an increase in the small-to-moderate left pleural effusion. Heart size is normal. Mediastinal vasculature is not dilated.","Previous mild pulmonary edema has resolved over the past three hours, but there has been an increase in the small-to-moderate left pleural effusion.",mild pulmonary edema,,Resolve,['files/p13/p13031876/s50510286/ff2efa2a-247e7e02-2a1deddd-82479afe-136446a9.jpg'],
s50515450_12,p16435402,s50515450,12,Impression,"In comparison with the study of ___, the cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. The vague opacification in the left lower zone is unchanged and probably represents pleural plaquing.",The vague opacification in the left lower zone is unchanged and probably represents pleural plaquing.,opacification,left lower zone,Stable,"['files/p16/p16435402/s50515450/0dae5e48-1ab8a953-2fdd8014-5d852e03-0f8fa35e.jpg', 'files/p16/p16435402/s50515450/221d35b8-df2b99dc-be23b128-b7f8e7e7-4e76e5ae.jpg']",
s50516010_10,p13979643,s50516010,10,Findings,"In comparison with the study of ___, there has been placement of a long intestinal tube that appears to extend well into the body of the stomach, then curl back on itself into the fundus with the tip pointed distally. Persistent opacification at the left base consistent with atelectasis and effusion. Engorgement of the pulmonary vessels is consistent with elevated pulmonary venous pressure. Left central catheter again extends to the lower portion of the SVC.",Persistent opacification at the left base consistent with atelectasis and effusion.,opacification,left base,Stable,['files/p13/p13979643/s50516010/7fd87264-5aad0a8e-dd249580-11d2cec0-4c595a17.jpg'],"['files/p13/p13979643/s50000708/37d44011-a13c14cc-192d79e1-15858712-b4c468e6.jpg\n', 'files/p13/p13979643/s50000708/541c9d66-7525d9cf-90e766f7-fd80dc83-37b380d6.jpg\n']"
s50519818_0,p13291370,s50519818,0,Findings,"Both lungs are well expanded with mild flattening of the bilateral hemidiaphragm and increased AP diameter of the chest consistent with chronic pulmonary disease. Bilateral prominent pulmonary arteries raise the concern for pulmonary artery hypertension. An ill-defined opacity is seen in posterior lower lung in the retrocardiac region overlying the lower spine and is concerning for pneumonia. This opacity is not very well defined on the frontal view except for a faint opacity in the right lower paracardiac region. A single pacemaker lead from left pectoral pacemaker device terminates into the right ventricle. Top normal heart size, mediastinal and hilar contours are unchanged since ___. Mild atherosclerotic calcification of the aortic arch is stable.","Top normal heart size, mediastinal and hilar contours are unchanged since ___.",contours,mediastinal and hilar,Stable,"['files/p13/p13291370/s50519818/ce3a9dd6-9affc487-1b6847b3-9f555332-e0baea73.jpg', 'files/p13/p13291370/s50519818/ef9e6f59-22103c28-5c2c7bc8-a2d07454-4c824d0e.jpg']",
s50519818_0,p13291370,s50519818,0,Impression,"1. Ill-defined opacity appreciated only on the lateral view in the posterior inferior lower lung overlying the spine shadow is concerning for pneumonia and since it is not clearly defined on the frontal view, it suggests lower lobe pneumonia either involving the right or left side. 2. COPD. 3. Pulmonary artery hypertension, unchanged since ___. Findings were discussed with Dr. ___ on ___ at 5:55 p.m.","Pulmonary artery hypertension, unchanged since ___.",hypertension,Pulmonary artery,Stable,"['files/p13/p13291370/s50519818/ce3a9dd6-9affc487-1b6847b3-9f555332-e0baea73.jpg', 'files/p13/p13291370/s50519818/ef9e6f59-22103c28-5c2c7bc8-a2d07454-4c824d0e.jpg']",
s50519818_0,p13291370,s50519818,0,Findings,"Both lungs are well expanded with mild flattening of the bilateral hemidiaphragm and increased AP diameter of the chest consistent with chronic pulmonary disease. Bilateral prominent pulmonary arteries raise the concern for pulmonary artery hypertension. An ill-defined opacity is seen in posterior lower lung in the retrocardiac region overlying the lower spine and is concerning for pneumonia. This opacity is not very well defined on the frontal view except for a faint opacity in the right lower paracardiac region. A single pacemaker lead from left pectoral pacemaker device terminates into the right ventricle. Top normal heart size, mediastinal and hilar contours are unchanged since ___. Mild atherosclerotic calcification of the aortic arch is stable.",Mild atherosclerotic calcification of the aortic arch is stable.,Mild atherosclerotic calcification,aortic arch,Stable,"['files/p13/p13291370/s50519818/ce3a9dd6-9affc487-1b6847b3-9f555332-e0baea73.jpg', 'files/p13/p13291370/s50519818/ef9e6f59-22103c28-5c2c7bc8-a2d07454-4c824d0e.jpg']",
s50520166_2,p19454978,s50520166,2,Findings,"Endotracheal tube terminates 4.6 cm above the carina and right internal jugular line ending at mid SVC are appropriate. No interval changes in the lungs since ___. Bibasal atelectasis, left side more than right side, is unchanged. Top normal heart size, mediastinal and hilar contours are stable in appearance. No new lung opacities of concern. Pleural effusion, if any, is mild on the left side and similar.","Pleural effusion, if any, is mild on the left side and similar.",pleural effusion,left side,Stable,['files/p19/p19454978/s50520166/7a61d475-697617d7-8f7bacca-80d56a97-5a83bbd7.jpg'],['files/p19/p19454978/s50297024/674352c6-0c0645c1-b23ec675-6af58553-7af149b1.jpg\n']
s50520166_2,p19454978,s50520166,2,Findings,"Endotracheal tube terminates 4.6 cm above the carina and right internal jugular line ending at mid SVC are appropriate. No interval changes in the lungs since ___. Bibasal atelectasis, left side more than right side, is unchanged. Top normal heart size, mediastinal and hilar contours are stable in appearance. No new lung opacities of concern. Pleural effusion, if any, is mild on the left side and similar.","Bibasal atelectasis, left side more than right side, is unchanged.",atelectasis,bibasal,Stable,['files/p19/p19454978/s50520166/7a61d475-697617d7-8f7bacca-80d56a97-5a83bbd7.jpg'],['files/p19/p19454978/s50297024/674352c6-0c0645c1-b23ec675-6af58553-7af149b1.jpg\n']
s50520166_2,p19454978,s50520166,2,Findings,"Endotracheal tube terminates 4.6 cm above the carina and right internal jugular line ending at mid SVC are appropriate. No interval changes in the lungs since ___. Bibasal atelectasis, left side more than right side, is unchanged. Top normal heart size, mediastinal and hilar contours are stable in appearance. No new lung opacities of concern. Pleural effusion, if any, is mild on the left side and similar.","Top normal heart size, mediastinal and hilar contours are stable in appearance.","heart size, mediastinal and hilar contours",,Stable,['files/p19/p19454978/s50520166/7a61d475-697617d7-8f7bacca-80d56a97-5a83bbd7.jpg'],['files/p19/p19454978/s50297024/674352c6-0c0645c1-b23ec675-6af58553-7af149b1.jpg\n']
s50529099_1,p19061282,s50529099,1,Findings,"In comparison with the study of ___, the right lower lobe consolidation has cleared. No evidence of acute focal pneumonia, vascular congestion, or pleural effusion. Vascular shunts are again seen, as are the multiple rounded calcifications projecting over the spleen.","In comparison with the study of ___, the right lower lobe consolidation has cleared.",consolidation,right lower lobe,Resolve,"['files/p19/p19061282/s50529099/5dfc2e74-8fb4a113-58f8cc12-1e62c2dc-36e95e11.jpg', 'files/p19/p19061282/s50529099/e544cec6-ae472b46-7bd4e8f8-70145a76-6d51a0de.jpg', 'files/p19/p19061282/s50529099/e56aa514-47bbf828-9caeef29-26cbcace-d4f3c1cc.jpg']","['files/p19/p19061282/s50010466/144f46e1-630ba5e3-82d84674-9f0575c5-6017bdd1.jpg\n', 'files/p19/p19061282/s50010466/9a5952bb-e2e11f6a-5a352c9d-2b4ef5e8-d6455df3.jpg\n', 'files/p19/p19061282/s50010466/e0ae297e-45d00189-fe4c699e-4a3c2545-f0fda819.jpg\n']"
s50535279_1,p16773796,s50535279,1,Findings,Sternotomy wires and mediastinal clips are unchanged. The cardiomediastinal contours are unchanged. There is increased consolidation of the left lower lung as well as in the upper lung. There is no large pleural effusion or pneumothorax. The right lung is clear.,The cardiomediastinal contours are unchanged.,contours,cardiomediastinal,Stable,['files/p16/p16773796/s50535279/8ecf5181-09dec4e6-27b43fca-3b8999bf-6d25f591.jpg'],"['files/p16/p16773796/s50471313/4ea8c6ca-29153a1c-c729645b-1df333f8-bd3e3874.jpg\n', 'files/p16/p16773796/s50471313/578647f3-d342067e-7191625c-86464c45-87eeaa13.jpg\n']"
s50535279_1,p16773796,s50535279,1,Findings,Sternotomy wires and mediastinal clips are unchanged. The cardiomediastinal contours are unchanged. There is increased consolidation of the left lower lung as well as in the upper lung. There is no large pleural effusion or pneumothorax. The right lung is clear.,There is increased consolidation of the left lower lung as well as in the upper lung.,consolidation,upper lung,Worse,['files/p16/p16773796/s50535279/8ecf5181-09dec4e6-27b43fca-3b8999bf-6d25f591.jpg'],"['files/p16/p16773796/s50471313/4ea8c6ca-29153a1c-c729645b-1df333f8-bd3e3874.jpg\n', 'files/p16/p16773796/s50471313/578647f3-d342067e-7191625c-86464c45-87eeaa13.jpg\n']"
s50535279_1,p16773796,s50535279,1,Findings,Sternotomy wires and mediastinal clips are unchanged. The cardiomediastinal contours are unchanged. There is increased consolidation of the left lower lung as well as in the upper lung. There is no large pleural effusion or pneumothorax. The right lung is clear.,There is increased consolidation of the left lower lung as well as in the upper lung.,consolidation,left lower lung,Worse,['files/p16/p16773796/s50535279/8ecf5181-09dec4e6-27b43fca-3b8999bf-6d25f591.jpg'],"['files/p16/p16773796/s50471313/4ea8c6ca-29153a1c-c729645b-1df333f8-bd3e3874.jpg\n', 'files/p16/p16773796/s50471313/578647f3-d342067e-7191625c-86464c45-87eeaa13.jpg\n']"
s50535279_1,p16773796,s50535279,1,Findings,Sternotomy wires and mediastinal clips are unchanged. The cardiomediastinal contours are unchanged. There is increased consolidation of the left lower lung as well as in the upper lung. There is no large pleural effusion or pneumothorax. The right lung is clear.,Sternotomy wires and mediastinal clips are unchanged.,,Sternotomy wires and mediastinal clips,Stable,['files/p16/p16773796/s50535279/8ecf5181-09dec4e6-27b43fca-3b8999bf-6d25f591.jpg'],"['files/p16/p16773796/s50471313/4ea8c6ca-29153a1c-c729645b-1df333f8-bd3e3874.jpg\n', 'files/p16/p16773796/s50471313/578647f3-d342067e-7191625c-86464c45-87eeaa13.jpg\n']"
s50545797_4,p17962324,s50545797,4,Findings,"The lungs are hyperinflated but clear of focal consolidation. There is relative increased lucency in the right upper lung which is similar compared to prior. Elsewhere, interstitial markings are somewhat more prominent when compared to prior suggesting pulmonary vascular congestion. There is no focal consolidation suspicious for pneumonia nor pleural effusion. Cardiac silhouette is moderately enlarged. Median sternotomy wires and mediastinal clips are noted. No acute osseous abnormalities.","Elsewhere, interstitial markings are somewhat more prominent when compared to prior suggesting pulmonary vascular congestion.",Interstitial markings,Elsewhere,Worse,"['files/p17/p17962324/s50545797/3a95996c-94c41329-d656550a-90424b30-ec861fcc.jpg', 'files/p17/p17962324/s50545797/5ace239b-61b2f2f3-103b0d93-d3803c39-ef06ca44.jpg', 'files/p17/p17962324/s50545797/c768ecd2-dec91075-b6e6d204-6a9d0da8-e1ce939a.jpg']",
s50545797_4,p17962324,s50545797,4,Findings,"The lungs are hyperinflated but clear of focal consolidation. There is relative increased lucency in the right upper lung which is similar compared to prior. Elsewhere, interstitial markings are somewhat more prominent when compared to prior suggesting pulmonary vascular congestion. There is no focal consolidation suspicious for pneumonia nor pleural effusion. Cardiac silhouette is moderately enlarged. Median sternotomy wires and mediastinal clips are noted. No acute osseous abnormalities.",There is relative increased lucency in the right upper lung which is similar compared to prior.,Increased lucency,right upper lung,Stable,"['files/p17/p17962324/s50545797/3a95996c-94c41329-d656550a-90424b30-ec861fcc.jpg', 'files/p17/p17962324/s50545797/5ace239b-61b2f2f3-103b0d93-d3803c39-ef06ca44.jpg', 'files/p17/p17962324/s50545797/c768ecd2-dec91075-b6e6d204-6a9d0da8-e1ce939a.jpg']",
s50546279_7,p18309149,s50546279,7,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar examination of ___. The previously identified residual local pleural thickenings and scar formations as well as mild elevation of the right-sided diaphragm again noted following the previously performed decortication procedure. Comparison between the two examinations demonstrates further marked reduction of the postoperative scar formations. Mild blunting of the lateral and posterior pleural sinus on the right side persists, but there is no evidence of any remaining free fluid. No new abnormalities are seen. Left-sided hemithorax is unremarkable.","Mild blunting of the lateral and posterior pleural sinus on the right side persists, but there is no evidence of any remaining free fluid.",Mild blunting of the lateral and posterior pleural sinus,right side,Stable,"['files/p18/p18309149/s50546279/89fbc7f3-542fde0d-c914db57-f46e285f-22e70ae1.jpg', 'files/p18/p18309149/s50546279/8f578d66-1a95b16a-8fce51d0-76b09aea-4f1980ca.jpg']",['files/p18/p18309149/s50336741/928e66f1-87ef1b9e-0ce33e37-760d835a-a539e8b9.jpg\n']
s50546279_7,p18309149,s50546279,7,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar examination of ___. The previously identified residual local pleural thickenings and scar formations as well as mild elevation of the right-sided diaphragm again noted following the previously performed decortication procedure. Comparison between the two examinations demonstrates further marked reduction of the postoperative scar formations. Mild blunting of the lateral and posterior pleural sinus on the right side persists, but there is no evidence of any remaining free fluid. No new abnormalities are seen. Left-sided hemithorax is unremarkable.",The previously identified residual local pleural thickenings and scar formations as well as mild elevation of the right-sided diaphragm again noted following the previously performed decortication procedure.,scar formations,right-sided,Stable,"['files/p18/p18309149/s50546279/89fbc7f3-542fde0d-c914db57-f46e285f-22e70ae1.jpg', 'files/p18/p18309149/s50546279/8f578d66-1a95b16a-8fce51d0-76b09aea-4f1980ca.jpg']",['files/p18/p18309149/s50336741/928e66f1-87ef1b9e-0ce33e37-760d835a-a539e8b9.jpg\n']
s50546279_7,p18309149,s50546279,7,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar examination of ___. The previously identified residual local pleural thickenings and scar formations as well as mild elevation of the right-sided diaphragm again noted following the previously performed decortication procedure. Comparison between the two examinations demonstrates further marked reduction of the postoperative scar formations. Mild blunting of the lateral and posterior pleural sinus on the right side persists, but there is no evidence of any remaining free fluid. No new abnormalities are seen. Left-sided hemithorax is unremarkable.",Comparison between the two examinations demonstrates further marked reduction of the postoperative scar formations.,postoperative scar formations,,Better,"['files/p18/p18309149/s50546279/89fbc7f3-542fde0d-c914db57-f46e285f-22e70ae1.jpg', 'files/p18/p18309149/s50546279/8f578d66-1a95b16a-8fce51d0-76b09aea-4f1980ca.jpg']",['files/p18/p18309149/s50336741/928e66f1-87ef1b9e-0ce33e37-760d835a-a539e8b9.jpg\n']
s50546279_7,p18309149,s50546279,7,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar examination of ___. The previously identified residual local pleural thickenings and scar formations as well as mild elevation of the right-sided diaphragm again noted following the previously performed decortication procedure. Comparison between the two examinations demonstrates further marked reduction of the postoperative scar formations. Mild blunting of the lateral and posterior pleural sinus on the right side persists, but there is no evidence of any remaining free fluid. No new abnormalities are seen. Left-sided hemithorax is unremarkable.",The previously identified residual local pleural thickenings and scar formations as well as mild elevation of the right-sided diaphragm again noted following the previously performed decortication procedure.,mild elevation of the diaphragm,right-sided,Stable,"['files/p18/p18309149/s50546279/89fbc7f3-542fde0d-c914db57-f46e285f-22e70ae1.jpg', 'files/p18/p18309149/s50546279/8f578d66-1a95b16a-8fce51d0-76b09aea-4f1980ca.jpg']",['files/p18/p18309149/s50336741/928e66f1-87ef1b9e-0ce33e37-760d835a-a539e8b9.jpg\n']
s50546279_7,p18309149,s50546279,7,Impression,Further postoperative improvement. Followup at somewhat greater time interval may show final resolution.,Further postoperative improvement. Followup at somewhat greater time interval may show final resolution.,postoperative conditions,,Better,"['files/p18/p18309149/s50546279/89fbc7f3-542fde0d-c914db57-f46e285f-22e70ae1.jpg', 'files/p18/p18309149/s50546279/8f578d66-1a95b16a-8fce51d0-76b09aea-4f1980ca.jpg']",['files/p18/p18309149/s50336741/928e66f1-87ef1b9e-0ce33e37-760d835a-a539e8b9.jpg\n']
s50546279_7,p18309149,s50546279,7,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar examination of ___. The previously identified residual local pleural thickenings and scar formations as well as mild elevation of the right-sided diaphragm again noted following the previously performed decortication procedure. Comparison between the two examinations demonstrates further marked reduction of the postoperative scar formations. Mild blunting of the lateral and posterior pleural sinus on the right side persists, but there is no evidence of any remaining free fluid. No new abnormalities are seen. Left-sided hemithorax is unremarkable.",The previously identified residual local pleural thickenings and scar formations as well as mild elevation of the right-sided diaphragm again noted following the previously performed decortication procedure.,pleural thickenings,right-sided,Stable,"['files/p18/p18309149/s50546279/89fbc7f3-542fde0d-c914db57-f46e285f-22e70ae1.jpg', 'files/p18/p18309149/s50546279/8f578d66-1a95b16a-8fce51d0-76b09aea-4f1980ca.jpg']",['files/p18/p18309149/s50336741/928e66f1-87ef1b9e-0ce33e37-760d835a-a539e8b9.jpg\n']
s50551136_25,p12952223,s50551136,25,Findings,"Cardiac silhouette is enlarged and accompanied by pulmonary vascular congestion. Persistent moderate right and small left pleural effusions with adjacent basilar lung opacities, which probably reflect atelectasis, although coexisting pneumonia is possible in the appropriate clinical setting.","Persistent moderate right and small left pleural effusions with adjacent basilar lung opacities, which probably reflect atelectasis, although coexisting pneumonia is possible in the appropriate clinical setting.",pleural effusions,right and left,Stable,['files/p12/p12952223/s50551136/2ff42829-e2419fdc-267d447a-f0ece038-e2161c61.jpg'],['files/p12/p12952223/s50380203/ca3df6c0-8ce90248-b3cecb87-71db5654-312cdcf6.jpg\n']
s50555779_1,p17168993,s50555779,1,Findings,"Rotated positioning. Compared with ___, allowing for technical differences, there has been improvement in the vascular and CHF findings. Lungs are hyperinflated and the diaphragms are flattened, consistent with COPD. There is mild-to-moderate cardiomegaly. There is aneurysmal dilatation of the aortic arch, measuring up to 6.1 cm on the lateral view. There is increased density in the left lower lobe which may represent a combination of atelectasis and changes in opacity related to the vascular findings.",There is increased density in the left lower lobe which may represent a combination of atelectasis and changes in opacity related to the vascular findings.,changes in opacity,left lower lobe,Worse,"['files/p17/p17168993/s50555779/49219783-9d403555-ff694f12-b2693e65-a4c63e44.jpg', 'files/p17/p17168993/s50555779/92d587c3-dd9aef6e-c855611f-e7bf4afc-06528a0e.jpg']",
s50555779_1,p17168993,s50555779,1,Findings,"Rotated positioning. Compared with ___, allowing for technical differences, there has been improvement in the vascular and CHF findings. Lungs are hyperinflated and the diaphragms are flattened, consistent with COPD. There is mild-to-moderate cardiomegaly. There is aneurysmal dilatation of the aortic arch, measuring up to 6.1 cm on the lateral view. There is increased density in the left lower lobe which may represent a combination of atelectasis and changes in opacity related to the vascular findings.",There is increased density in the left lower lobe which may represent a combination of atelectasis and changes in opacity related to the vascular findings.,atelectasis,left lower lobe,Worse,"['files/p17/p17168993/s50555779/49219783-9d403555-ff694f12-b2693e65-a4c63e44.jpg', 'files/p17/p17168993/s50555779/92d587c3-dd9aef6e-c855611f-e7bf4afc-06528a0e.jpg']",
s50555779_1,p17168993,s50555779,1,Findings,"Rotated positioning. Compared with ___, allowing for technical differences, there has been improvement in the vascular and CHF findings. Lungs are hyperinflated and the diaphragms are flattened, consistent with COPD. There is mild-to-moderate cardiomegaly. There is aneurysmal dilatation of the aortic arch, measuring up to 6.1 cm on the lateral view. There is increased density in the left lower lobe which may represent a combination of atelectasis and changes in opacity related to the vascular findings.","Compared with ___, allowing for technical differences, there has been improvement in the vascular and CHF findings.",CHF findings,,Better,"['files/p17/p17168993/s50555779/49219783-9d403555-ff694f12-b2693e65-a4c63e44.jpg', 'files/p17/p17168993/s50555779/92d587c3-dd9aef6e-c855611f-e7bf4afc-06528a0e.jpg']",
s50555779_1,p17168993,s50555779,1,Findings,"Rotated positioning. Compared with ___, allowing for technical differences, there has been improvement in the vascular and CHF findings. Lungs are hyperinflated and the diaphragms are flattened, consistent with COPD. There is mild-to-moderate cardiomegaly. There is aneurysmal dilatation of the aortic arch, measuring up to 6.1 cm on the lateral view. There is increased density in the left lower lobe which may represent a combination of atelectasis and changes in opacity related to the vascular findings.","Compared with ___, allowing for technical differences, there has been improvement in the vascular and CHF findings.",vascular congestion,,Better,"['files/p17/p17168993/s50555779/49219783-9d403555-ff694f12-b2693e65-a4c63e44.jpg', 'files/p17/p17168993/s50555779/92d587c3-dd9aef6e-c855611f-e7bf4afc-06528a0e.jpg']",
s50563564_6,p10715477,s50563564,6,Findings,"In comparison with the study of ___, there is little change in the substantial enlargement of the cardiomediastinal silhouette and moderate pulmonary edema with bilateral pleural effusions. Monitoring and support devices remain in place.",Monitoring and support devices remain in place.,Monitoring and Support Devices,,Stable,['files/p10/p10715477/s50563564/8671643b-f06c27c8-91a43c5d-85161fe5-a1eb95b0.jpg'],
s50563564_6,p10715477,s50563564,6,Findings,"In comparison with the study of ___, there is little change in the substantial enlargement of the cardiomediastinal silhouette and moderate pulmonary edema with bilateral pleural effusions. Monitoring and support devices remain in place.","In comparison with the study of ___, there is little change in the substantial enlargement of the cardiomediastinal silhouette and moderate pulmonary edema with bilateral pleural effusions.",Pleural Effusions,Bilateral,Stable,['files/p10/p10715477/s50563564/8671643b-f06c27c8-91a43c5d-85161fe5-a1eb95b0.jpg'],
s50563564_6,p10715477,s50563564,6,Findings,"In comparison with the study of ___, there is little change in the substantial enlargement of the cardiomediastinal silhouette and moderate pulmonary edema with bilateral pleural effusions. Monitoring and support devices remain in place.","In comparison with the study of ___, there is little change in the substantial enlargement of the cardiomediastinal silhouette and moderate pulmonary edema with bilateral pleural effusions.",Silhouette,Cardiomediastinal,Stable,['files/p10/p10715477/s50563564/8671643b-f06c27c8-91a43c5d-85161fe5-a1eb95b0.jpg'],
s50566099_7,p18906643,s50566099,7,Findings,"Indwelling support and monitoring devices remain in standard position. Cardiac silhouette remains enlarged, and is accompanied by pulmonary vascular congestion and mild edema. Improving opacities at both lung bases may reflect improving atelectasis in the setting of interval decrease in size of adjacent pleural effusions.",Indwelling support and monitoring devices remain in standard position.,Indwelling support and monitoring devices,,Stable,['files/p18/p18906643/s50566099/155bc756-c4c5c4a9-5db23266-7de1babe-65b89b7b.jpg'],"['files/p18/p18906643/s50110450/d6c44a1e-bc7bfb79-5bb6413e-56e90974-d687482a.jpg\n', 'files/p18/p18906643/s50110450/de63ae30-040537e7-cda1fd69-c64661bd-ab9be172.jpg\n']"
s50566099_7,p18906643,s50566099,7,Findings,"Indwelling support and monitoring devices remain in standard position. Cardiac silhouette remains enlarged, and is accompanied by pulmonary vascular congestion and mild edema. Improving opacities at both lung bases may reflect improving atelectasis in the setting of interval decrease in size of adjacent pleural effusions.",Improving opacities at both lung bases may reflect improving atelectasis in the setting of interval decrease in size of adjacent pleural effusions.,Opacities,Both lung bases,Better,['files/p18/p18906643/s50566099/155bc756-c4c5c4a9-5db23266-7de1babe-65b89b7b.jpg'],"['files/p18/p18906643/s50110450/d6c44a1e-bc7bfb79-5bb6413e-56e90974-d687482a.jpg\n', 'files/p18/p18906643/s50110450/de63ae30-040537e7-cda1fd69-c64661bd-ab9be172.jpg\n']"
s50566099_7,p18906643,s50566099,7,Findings,"Indwelling support and monitoring devices remain in standard position. Cardiac silhouette remains enlarged, and is accompanied by pulmonary vascular congestion and mild edema. Improving opacities at both lung bases may reflect improving atelectasis in the setting of interval decrease in size of adjacent pleural effusions.","Cardiac silhouette remains enlarged, and is accompanied by pulmonary vascular congestion and mild edema.",Enlarged cardiac silhouette,,Stable,['files/p18/p18906643/s50566099/155bc756-c4c5c4a9-5db23266-7de1babe-65b89b7b.jpg'],"['files/p18/p18906643/s50110450/d6c44a1e-bc7bfb79-5bb6413e-56e90974-d687482a.jpg\n', 'files/p18/p18906643/s50110450/de63ae30-040537e7-cda1fd69-c64661bd-ab9be172.jpg\n']"
s50567642_0,p11213613,s50567642,0,Impression,"Improving pneumonia in the left lower lobe. Worsening opacity in the right lower lobe which could be due to increasing atelectasis, but developing pneumonia cannot be excluded and followup is recommended.",Improving pneumonia in the left lower lobe.,pneumonia,left lower lobe,Better,"['files/p11/p11213613/s50567642/2ae448b2-53515c0d-312135f4-a7a50238-20ffa8b0.jpg', 'files/p11/p11213613/s50567642/daf87032-2b0e38da-25b00583-9645e9cf-b2beb530.jpg']",
s50567642_0,p11213613,s50567642,0,Impression,"Improving pneumonia in the left lower lobe. Worsening opacity in the right lower lobe which could be due to increasing atelectasis, but developing pneumonia cannot be excluded and followup is recommended.","Worsening opacity in the right lower lobe which could be due to increasing atelectasis, but developing pneumonia cannot be excluded and followup is recommended.",opacity,right lower lobe,Worse,"['files/p11/p11213613/s50567642/2ae448b2-53515c0d-312135f4-a7a50238-20ffa8b0.jpg', 'files/p11/p11213613/s50567642/daf87032-2b0e38da-25b00583-9645e9cf-b2beb530.jpg']",
s50572011_1,p10975446,s50572011,1,Findings,"Cardiac silhouette is mildly enlarged, and accompanied by pulmonary vascular congestion and mild interstitial edema. Patchy opacities persist at the bases, and likely reflect atelectasis. Followup radiographs may be helpful to exclude pneumonia in the appropriate clinical setting.","Patchy opacities persist at the bases, and likely reflect atelectasis.",Patchy opacities,bases,Stable,['files/p10/p10975446/s50572011/d25f054a-e8199cdc-c669cb2e-ebcfb082-54c205b7.jpg'],
s50580104_5,p13450581,s50580104,5,Findings,"A known mass in the left upper lobe is not clearly identified. No new opacity pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.","No new opacity pulmonary edema, pleural effusion or pneumothorax.",pulmonary edema,,New,"['files/p13/p13450581/s50580104/92a1d719-e7404cd8-e6e9d5c1-fce29388-120afc34.jpg', 'files/p13/p13450581/s50580104/bf732fa8-e739d288-c19041d7-eb81cf9c-de266f79.jpg']",
s50580104_5,p13450581,s50580104,5,Findings,"A known mass in the left upper lobe is not clearly identified. No new opacity pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.","No new opacity pulmonary edema, pleural effusion or pneumothorax.",pneumothorax,,New,"['files/p13/p13450581/s50580104/92a1d719-e7404cd8-e6e9d5c1-fce29388-120afc34.jpg', 'files/p13/p13450581/s50580104/bf732fa8-e739d288-c19041d7-eb81cf9c-de266f79.jpg']",
s50580104_5,p13450581,s50580104,5,Findings,"A known mass in the left upper lobe is not clearly identified. No new opacity pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.",The cardiac and mediastinal contours are stable.,mediastinal contours,,Stable,"['files/p13/p13450581/s50580104/92a1d719-e7404cd8-e6e9d5c1-fce29388-120afc34.jpg', 'files/p13/p13450581/s50580104/bf732fa8-e739d288-c19041d7-eb81cf9c-de266f79.jpg']",
s50580104_5,p13450581,s50580104,5,Findings,"A known mass in the left upper lobe is not clearly identified. No new opacity pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.","No new opacity pulmonary edema, pleural effusion or pneumothorax.",pleural effusion,,New,"['files/p13/p13450581/s50580104/92a1d719-e7404cd8-e6e9d5c1-fce29388-120afc34.jpg', 'files/p13/p13450581/s50580104/bf732fa8-e739d288-c19041d7-eb81cf9c-de266f79.jpg']",
s50580104_5,p13450581,s50580104,5,Impression,No new opacity concerning for infection.,No new opacity concerning for infection.,opacity concerning for infection,,New,"['files/p13/p13450581/s50580104/92a1d719-e7404cd8-e6e9d5c1-fce29388-120afc34.jpg', 'files/p13/p13450581/s50580104/bf732fa8-e739d288-c19041d7-eb81cf9c-de266f79.jpg']",
s50580104_5,p13450581,s50580104,5,Findings,"A known mass in the left upper lobe is not clearly identified. No new opacity pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.",The cardiac and mediastinal contours are stable.,cardiac contours,,Stable,"['files/p13/p13450581/s50580104/92a1d719-e7404cd8-e6e9d5c1-fce29388-120afc34.jpg', 'files/p13/p13450581/s50580104/bf732fa8-e739d288-c19041d7-eb81cf9c-de266f79.jpg']",
s50581506_3,p15338518,s50581506,3,Findings,"As compared to the previous radiograph, the Dobbhoff tube shows now normal course. The tip projects over the middle parts of the stomach. No complications, notably no pneumothorax. Otherwise, the image is unchanged.","Otherwise, the image is unchanged.",,Image,Stable,"['files/p15/p15338518/s50581506/22a3477a-665567e4-137b590b-c2a27bb8-d03b7d01.jpg', 'files/p15/p15338518/s50581506/37f7e3ca-93ef1bc3-81e615c8-a061addd-3a3b6dbf.jpg']",['files/p15/p15338518/s50410691/a69bfb99-6db10b12-ba4c0c04-51f5d6ea-ecddb834.jpg\n']
s50581506_3,p15338518,s50581506,3,Findings,"As compared to the previous radiograph, the Dobbhoff tube shows now normal course. The tip projects over the middle parts of the stomach. No complications, notably no pneumothorax. Otherwise, the image is unchanged.","As compared to the previous radiograph, the Dobbhoff tube shows now normal course.",,Dobbhoff tube,Stable,"['files/p15/p15338518/s50581506/22a3477a-665567e4-137b590b-c2a27bb8-d03b7d01.jpg', 'files/p15/p15338518/s50581506/37f7e3ca-93ef1bc3-81e615c8-a061addd-3a3b6dbf.jpg']",['files/p15/p15338518/s50410691/a69bfb99-6db10b12-ba4c0c04-51f5d6ea-ecddb834.jpg\n']
s50598243_6,p16508811,s50598243,6,Findings,"As compared to the previous radiograph, the pre-existing opacity in the right lung apex has completely resolved. However, opacities at both lung bases are still present. The opacities appear less dense than on the previous image. Currently, no evidence of pulmonary edema is present. The size of the cardiac silhouette is at the upper range of normal. There is no evidence of pleural effusions on the frontal and lateral images.","As compared to the previous radiograph, the pre-existing opacity in the right lung apex has completely resolved.",opacity,right lung apex,Resolve,"['files/p16/p16508811/s50598243/2e619f64-89aad18a-fa15db10-86ed910e-e1d9fb82.jpg', 'files/p16/p16508811/s50598243/67a20282-74cc43b9-69dd3914-1cb897d2-cb2f6018.jpg']",['files/p16/p16508811/s50382515/29a9ca2f-50292418-e78e2999-12755e18-3103a476.jpg\n']
s50598243_6,p16508811,s50598243,6,Findings,"As compared to the previous radiograph, the pre-existing opacity in the right lung apex has completely resolved. However, opacities at both lung bases are still present. The opacities appear less dense than on the previous image. Currently, no evidence of pulmonary edema is present. The size of the cardiac silhouette is at the upper range of normal. There is no evidence of pleural effusions on the frontal and lateral images.",The opacities appear less dense than on the previous image.,opacities,both lung bases,Better,"['files/p16/p16508811/s50598243/2e619f64-89aad18a-fa15db10-86ed910e-e1d9fb82.jpg', 'files/p16/p16508811/s50598243/67a20282-74cc43b9-69dd3914-1cb897d2-cb2f6018.jpg']",['files/p16/p16508811/s50382515/29a9ca2f-50292418-e78e2999-12755e18-3103a476.jpg\n']
s50602713_17,p17340686,s50602713,17,Findings,"The cardiomediastinal silhouette is prominent but stable. The cardiac silhouette is enlarged with prior coronary stenting noted. Calcification at the aortic knob is unchanged. A large bore left-sided central venous catheter is unchanged in position with the tip terminating in the right atrium. The pulmonary vasculature is prominent with mild interstitial pulmonary edema, slightly improved from ___. There is increased right perihilar opacification from the most recent prior study also likely due to pulmonary edema. Streaky opacities at the bilateral lung bases most likely reflect atelectasis; however, superimposed infection is not excluded in the appropriate clinical context. There is a small right pleural effusion. No pneumothorax detected. Radiopaque densities projecting over the left lateral lung base are likely external to the patient. There is no evidence of free air beneath the right hemidiaphragm.",Calcification at the aortic knob is unchanged.,Calcification,aortic knob,Stable,['files/p17/p17340686/s50602713/09248f93-7275a552-c55b735a-29981340-e0b66153.jpg'],['files/p17/p17340686/s50365719/46501b98-e0a88786-27dbb719-b9a7468c-376d9f6a.jpg\n']
s50602713_17,p17340686,s50602713,17,Findings,"The cardiomediastinal silhouette is prominent but stable. The cardiac silhouette is enlarged with prior coronary stenting noted. Calcification at the aortic knob is unchanged. A large bore left-sided central venous catheter is unchanged in position with the tip terminating in the right atrium. The pulmonary vasculature is prominent with mild interstitial pulmonary edema, slightly improved from ___. There is increased right perihilar opacification from the most recent prior study also likely due to pulmonary edema. Streaky opacities at the bilateral lung bases most likely reflect atelectasis; however, superimposed infection is not excluded in the appropriate clinical context. There is a small right pleural effusion. No pneumothorax detected. Radiopaque densities projecting over the left lateral lung base are likely external to the patient. There is no evidence of free air beneath the right hemidiaphragm.",A large bore left-sided central venous catheter is unchanged in position with the tip terminating in the right atrium.,central venous catheter,right atrium,Stable,['files/p17/p17340686/s50602713/09248f93-7275a552-c55b735a-29981340-e0b66153.jpg'],['files/p17/p17340686/s50365719/46501b98-e0a88786-27dbb719-b9a7468c-376d9f6a.jpg\n']
s50602713_17,p17340686,s50602713,17,Findings,"The cardiomediastinal silhouette is prominent but stable. The cardiac silhouette is enlarged with prior coronary stenting noted. Calcification at the aortic knob is unchanged. A large bore left-sided central venous catheter is unchanged in position with the tip terminating in the right atrium. The pulmonary vasculature is prominent with mild interstitial pulmonary edema, slightly improved from ___. There is increased right perihilar opacification from the most recent prior study also likely due to pulmonary edema. Streaky opacities at the bilateral lung bases most likely reflect atelectasis; however, superimposed infection is not excluded in the appropriate clinical context. There is a small right pleural effusion. No pneumothorax detected. Radiopaque densities projecting over the left lateral lung base are likely external to the patient. There is no evidence of free air beneath the right hemidiaphragm.",There is increased right perihilar opacification from the most recent prior study also likely due to pulmonary edema.,opacification,right perihilar,Worse,['files/p17/p17340686/s50602713/09248f93-7275a552-c55b735a-29981340-e0b66153.jpg'],['files/p17/p17340686/s50365719/46501b98-e0a88786-27dbb719-b9a7468c-376d9f6a.jpg\n']
s50602713_17,p17340686,s50602713,17,Impression,1. Mild pulmonary edema. Increased opacification at the bilateral lung bases may be related in part to dependent pulmonary edema and atelectasis. 2. No widening of the mediastinum. Stable cardiomegaly.,2. No widening of the mediastinum. Stable cardiomegaly.,cardiomegaly,,Stable,['files/p17/p17340686/s50602713/09248f93-7275a552-c55b735a-29981340-e0b66153.jpg'],['files/p17/p17340686/s50365719/46501b98-e0a88786-27dbb719-b9a7468c-376d9f6a.jpg\n']
s50602713_17,p17340686,s50602713,17,Findings,"The cardiomediastinal silhouette is prominent but stable. The cardiac silhouette is enlarged with prior coronary stenting noted. Calcification at the aortic knob is unchanged. A large bore left-sided central venous catheter is unchanged in position with the tip terminating in the right atrium. The pulmonary vasculature is prominent with mild interstitial pulmonary edema, slightly improved from ___. There is increased right perihilar opacification from the most recent prior study also likely due to pulmonary edema. Streaky opacities at the bilateral lung bases most likely reflect atelectasis; however, superimposed infection is not excluded in the appropriate clinical context. There is a small right pleural effusion. No pneumothorax detected. Radiopaque densities projecting over the left lateral lung base are likely external to the patient. There is no evidence of free air beneath the right hemidiaphragm.","The pulmonary vasculature is prominent with mild interstitial pulmonary edema, slightly improved from ___.",mild interstitial pulmonary edema,,Better,['files/p17/p17340686/s50602713/09248f93-7275a552-c55b735a-29981340-e0b66153.jpg'],['files/p17/p17340686/s50365719/46501b98-e0a88786-27dbb719-b9a7468c-376d9f6a.jpg\n']
s50602713_17,p17340686,s50602713,17,Findings,"The cardiomediastinal silhouette is prominent but stable. The cardiac silhouette is enlarged with prior coronary stenting noted. Calcification at the aortic knob is unchanged. A large bore left-sided central venous catheter is unchanged in position with the tip terminating in the right atrium. The pulmonary vasculature is prominent with mild interstitial pulmonary edema, slightly improved from ___. There is increased right perihilar opacification from the most recent prior study also likely due to pulmonary edema. Streaky opacities at the bilateral lung bases most likely reflect atelectasis; however, superimposed infection is not excluded in the appropriate clinical context. There is a small right pleural effusion. No pneumothorax detected. Radiopaque densities projecting over the left lateral lung base are likely external to the patient. There is no evidence of free air beneath the right hemidiaphragm.",The cardiomediastinal silhouette is prominent but stable.,cardiomediastinal silhouette,,Stable,['files/p17/p17340686/s50602713/09248f93-7275a552-c55b735a-29981340-e0b66153.jpg'],['files/p17/p17340686/s50365719/46501b98-e0a88786-27dbb719-b9a7468c-376d9f6a.jpg\n']
s50610932_23,p15259244,s50610932,23,Findings,A nasogastric tube terminates within the stomach. A right-sided hemodialysis catheter terminates at the right atrium. A left-sided PICC terminates at the cavoatrial junction. Bilateral pleural catheters have been removed. The patient is post median sternotomy and mitral valve repair. An enlarged cardiac contour is unchanged since the prior exam. There is no pneumothorax or focal consolidation. Small bilateral pleural effusions are unchanged since the most recent exam.,Bilateral pleural catheters have been removed.,catheters,bilateral pleural,Resolve,['files/p15/p15259244/s50610932/9ae19357-ed8ab74b-7c794e86-235ab6b4-b0b98b54.jpg'],"['files/p15/p15259244/s50282926/bba69ee7-df213de0-6bcebedd-77472984-0840a418.jpg\n', 'files/p15/p15259244/s50282926/ede252ee-83066d8a-376961c0-b07de3b1-0dfeb1e0.jpg\n']"
s50610932_23,p15259244,s50610932,23,Findings,A nasogastric tube terminates within the stomach. A right-sided hemodialysis catheter terminates at the right atrium. A left-sided PICC terminates at the cavoatrial junction. Bilateral pleural catheters have been removed. The patient is post median sternotomy and mitral valve repair. An enlarged cardiac contour is unchanged since the prior exam. There is no pneumothorax or focal consolidation. Small bilateral pleural effusions are unchanged since the most recent exam.,Small bilateral pleural effusions are unchanged since the most recent exam.,pleural effusions,bilateral,Stable,['files/p15/p15259244/s50610932/9ae19357-ed8ab74b-7c794e86-235ab6b4-b0b98b54.jpg'],"['files/p15/p15259244/s50282926/bba69ee7-df213de0-6bcebedd-77472984-0840a418.jpg\n', 'files/p15/p15259244/s50282926/ede252ee-83066d8a-376961c0-b07de3b1-0dfeb1e0.jpg\n']"
s50610932_23,p15259244,s50610932,23,Impression,1. Stable small pleural effusions. 2. Interval removal of bilateral thoracostomy tubes.,Interval removal of bilateral thoracostomy tubes.,thoracostomy tubes,bilateral,Resolve,['files/p15/p15259244/s50610932/9ae19357-ed8ab74b-7c794e86-235ab6b4-b0b98b54.jpg'],"['files/p15/p15259244/s50282926/bba69ee7-df213de0-6bcebedd-77472984-0840a418.jpg\n', 'files/p15/p15259244/s50282926/ede252ee-83066d8a-376961c0-b07de3b1-0dfeb1e0.jpg\n']"
s50610932_23,p15259244,s50610932,23,Findings,A nasogastric tube terminates within the stomach. A right-sided hemodialysis catheter terminates at the right atrium. A left-sided PICC terminates at the cavoatrial junction. Bilateral pleural catheters have been removed. The patient is post median sternotomy and mitral valve repair. An enlarged cardiac contour is unchanged since the prior exam. There is no pneumothorax or focal consolidation. Small bilateral pleural effusions are unchanged since the most recent exam.,An enlarged cardiac contour is unchanged since the prior exam.,enlarged cardiac contour,,Stable,['files/p15/p15259244/s50610932/9ae19357-ed8ab74b-7c794e86-235ab6b4-b0b98b54.jpg'],"['files/p15/p15259244/s50282926/bba69ee7-df213de0-6bcebedd-77472984-0840a418.jpg\n', 'files/p15/p15259244/s50282926/ede252ee-83066d8a-376961c0-b07de3b1-0dfeb1e0.jpg\n']"
s50610932_23,p15259244,s50610932,23,Impression,1. Stable small pleural effusions. 2. Interval removal of bilateral thoracostomy tubes.,Stable small pleural effusions.,small pleural effusions,,Stable,['files/p15/p15259244/s50610932/9ae19357-ed8ab74b-7c794e86-235ab6b4-b0b98b54.jpg'],"['files/p15/p15259244/s50282926/bba69ee7-df213de0-6bcebedd-77472984-0840a418.jpg\n', 'files/p15/p15259244/s50282926/ede252ee-83066d8a-376961c0-b07de3b1-0dfeb1e0.jpg\n']"
s50617748_4,p14312560,s50617748,4,Impression,"Mild cardiomegaly has worsened since ___:14 accompanied by increasing pulmonary vascular engorgement, indicating greater intravascular volume or mild biventricular heart failure is developing. Right infrahilar consolidation consistent with pneumonia is unchanged. ET tube in standard placement. Swan-Ganz catheter ends in the main pulmonary artery, right jugular introducer ends in the upper SVC, and a nasogastric tube ending in the upper stomach would need to be advanced at least 8 cm to move all the side ports below the diaphragm.","Mild cardiomegaly has worsened since ___:14 accompanied by increasing pulmonary vascular engorgement, indicating greater intravascular volume or mild biventricular heart failure is developing.",pulmonary vascular engorgement,,New,['files/p14/p14312560/s50617748/513c2a6c-c081efd7-5d2b0a10-5ae31d2c-1664a879.jpg'],
s50617748_4,p14312560,s50617748,4,Impression,"Mild cardiomegaly has worsened since ___:14 accompanied by increasing pulmonary vascular engorgement, indicating greater intravascular volume or mild biventricular heart failure is developing. Right infrahilar consolidation consistent with pneumonia is unchanged. ET tube in standard placement. Swan-Ganz catheter ends in the main pulmonary artery, right jugular introducer ends in the upper SVC, and a nasogastric tube ending in the upper stomach would need to be advanced at least 8 cm to move all the side ports below the diaphragm.","Mild cardiomegaly has worsened since ___:14 accompanied by increasing pulmonary vascular engorgement, indicating greater intravascular volume or mild biventricular heart failure is developing.",cardiomegaly,,Worse,['files/p14/p14312560/s50617748/513c2a6c-c081efd7-5d2b0a10-5ae31d2c-1664a879.jpg'],
s50617748_4,p14312560,s50617748,4,Impression,"Mild cardiomegaly has worsened since ___:14 accompanied by increasing pulmonary vascular engorgement, indicating greater intravascular volume or mild biventricular heart failure is developing. Right infrahilar consolidation consistent with pneumonia is unchanged. ET tube in standard placement. Swan-Ganz catheter ends in the main pulmonary artery, right jugular introducer ends in the upper SVC, and a nasogastric tube ending in the upper stomach would need to be advanced at least 8 cm to move all the side ports below the diaphragm.",Right infrahilar consolidation consistent with pneumonia is unchanged.,consolidation,right infrahilar,Stable,['files/p14/p14312560/s50617748/513c2a6c-c081efd7-5d2b0a10-5ae31d2c-1664a879.jpg'],
s50620952_8,p12475198,s50620952,8,Impression,"Severe infiltrative pulmonary abnormality, stable on the left, more coalescent on the right. This is probably diffuse pneumonia or pulmonary hemorrhage in a patient with emphysema. Heart size is large but indeterminate because heart borders are obscured by lung abnormality. Transvenous right atrial and right ventricular pacer defibrillator leads follow their expected courses. Small if not moderate bilateral pleural effusion is presumed. There is no pneumothorax.","Severe infiltrative pulmonary abnormality, stable on the left, more coalescent on the right.",infiltrative pulmonary abnormality,left,Stable,['files/p12/p12475198/s50620952/dca8209b-bd3fa52c-e5ca606b-9a0cfd8f-006336b3.jpg'],
s50620952_8,p12475198,s50620952,8,Impression,"Severe infiltrative pulmonary abnormality, stable on the left, more coalescent on the right. This is probably diffuse pneumonia or pulmonary hemorrhage in a patient with emphysema. Heart size is large but indeterminate because heart borders are obscured by lung abnormality. Transvenous right atrial and right ventricular pacer defibrillator leads follow their expected courses. Small if not moderate bilateral pleural effusion is presumed. There is no pneumothorax.","Severe infiltrative pulmonary abnormality, stable on the left, more coalescent on the right.",infiltrative pulmonary abnormality,right,Worse,['files/p12/p12475198/s50620952/dca8209b-bd3fa52c-e5ca606b-9a0cfd8f-006336b3.jpg'],
s50625218_6,p14851532,s50625218,6,Findings,"As compared to the previous radiograph, the bilateral areas of atelectasis at the lung bases, left more than right, are present in unchanged manner. Minimal postoperative opacity at the left lung base that should receive attention on further followups. The right internal jugular vein catheter is unchanged. No overt pulmonary edema. No evidence of pneumothorax. Borderline size of the cardiac silhouette.","As compared to the previous radiograph, the bilateral areas of atelectasis at the lung bases, left more than right, are present in unchanged manner.",atelectasis,bilateral lung bases,Stable,['files/p14/p14851532/s50625218/52d136b0-5d17c0a3-0a234b7d-4bd4ad14-707309d5.jpg'],
s50625218_6,p14851532,s50625218,6,Findings,"As compared to the previous radiograph, the bilateral areas of atelectasis at the lung bases, left more than right, are present in unchanged manner. Minimal postoperative opacity at the left lung base that should receive attention on further followups. The right internal jugular vein catheter is unchanged. No overt pulmonary edema. No evidence of pneumothorax. Borderline size of the cardiac silhouette.",The right internal jugular vein catheter is unchanged.,catheter,right internal jugular vein,Stable,['files/p14/p14851532/s50625218/52d136b0-5d17c0a3-0a234b7d-4bd4ad14-707309d5.jpg'],
s50630947_6,p12185775,s50630947,6,Findings,"As compared to the previous radiograph, the pre-existing opacities at the right lung base have improved. The left lung base is unchanged. Overall, the signs indicative of pulmonary edema have slightly decreased in severity but they are still clearly present. Unchanged moderate cardiomegaly and left calcified lung granulomas.",Unchanged moderate cardiomegaly and left calcified lung granulomas.,calcified lung granulomas,left,Stable,['files/p12/p12185775/s50630947/ce406dad-094f4f88-1aa935f8-6d57f41b-219a6543.jpg'],['files/p12/p12185775/s50491354/11b1705d-30db94a7-a7782a30-f6fbb83d-d63373de.jpg\n']
s50630947_6,p12185775,s50630947,6,Findings,"As compared to the previous radiograph, the pre-existing opacities at the right lung base have improved. The left lung base is unchanged. Overall, the signs indicative of pulmonary edema have slightly decreased in severity but they are still clearly present. Unchanged moderate cardiomegaly and left calcified lung granulomas.",Unchanged moderate cardiomegaly and left calcified lung granulomas.,moderate cardiomegaly,,Stable,['files/p12/p12185775/s50630947/ce406dad-094f4f88-1aa935f8-6d57f41b-219a6543.jpg'],['files/p12/p12185775/s50491354/11b1705d-30db94a7-a7782a30-f6fbb83d-d63373de.jpg\n']
s50630947_6,p12185775,s50630947,6,Findings,"As compared to the previous radiograph, the pre-existing opacities at the right lung base have improved. The left lung base is unchanged. Overall, the signs indicative of pulmonary edema have slightly decreased in severity but they are still clearly present. Unchanged moderate cardiomegaly and left calcified lung granulomas.","Overall, the signs indicative of pulmonary edema have slightly decreased in severity but they are still clearly present.",pulmonary edema,,Worse,['files/p12/p12185775/s50630947/ce406dad-094f4f88-1aa935f8-6d57f41b-219a6543.jpg'],['files/p12/p12185775/s50491354/11b1705d-30db94a7-a7782a30-f6fbb83d-d63373de.jpg\n']
s50630947_6,p12185775,s50630947,6,Findings,"As compared to the previous radiograph, the pre-existing opacities at the right lung base have improved. The left lung base is unchanged. Overall, the signs indicative of pulmonary edema have slightly decreased in severity but they are still clearly present. Unchanged moderate cardiomegaly and left calcified lung granulomas.",The left lung base is unchanged.,,left lung base,Stable,['files/p12/p12185775/s50630947/ce406dad-094f4f88-1aa935f8-6d57f41b-219a6543.jpg'],['files/p12/p12185775/s50491354/11b1705d-30db94a7-a7782a30-f6fbb83d-d63373de.jpg\n']
s50630947_6,p12185775,s50630947,6,Findings,"As compared to the previous radiograph, the pre-existing opacities at the right lung base have improved. The left lung base is unchanged. Overall, the signs indicative of pulmonary edema have slightly decreased in severity but they are still clearly present. Unchanged moderate cardiomegaly and left calcified lung granulomas.","As compared to the previous radiograph, the pre-existing opacities at the right lung base have improved.",opacities,right lung base,Better,['files/p12/p12185775/s50630947/ce406dad-094f4f88-1aa935f8-6d57f41b-219a6543.jpg'],['files/p12/p12185775/s50491354/11b1705d-30db94a7-a7782a30-f6fbb83d-d63373de.jpg\n']
s50633646_16,p18224196,s50633646,16,Findings,"Frontal and lateral views of the chest were obtained. The heart is of top normal size with stable cardiomediastinal contours. The lungs are hyperinflated with flattened diaphragms. Streaky left lung base opacity is similar to prior and compatible with atelectasis. A trace right pleural effusion is similar to prior. No pneumothorax. Sternotomy wires, mediastinal clips, and two valvular prostheses are similar to prior.","Sternotomy wires, mediastinal clips, and two valvular prostheses are similar to prior.",mediastinal clips,,Stable,"['files/p18/p18224196/s50633646/23a461cb-eb3f1804-b272899e-c6e30098-39682b9c.jpg', 'files/p18/p18224196/s50633646/8c2fce76-c091c053-ef8d7d20-227a5611-f281c15c.jpg', 'files/p18/p18224196/s50633646/a9991719-341a4cd1-b3b0c49c-17109b1c-238517f4.jpg']",['files/p18/p18224196/s50425819/845cab57-7175f1f2-caf520b2-83bdf74a-434a7206.jpg\n']
s50633646_16,p18224196,s50633646,16,Impression,"Trace right pleural effusion and left base atelectasis, similar to ___.","Trace right pleural effusion and left base atelectasis, similar to ___.",atelectasis,left base,Stable,"['files/p18/p18224196/s50633646/23a461cb-eb3f1804-b272899e-c6e30098-39682b9c.jpg', 'files/p18/p18224196/s50633646/8c2fce76-c091c053-ef8d7d20-227a5611-f281c15c.jpg', 'files/p18/p18224196/s50633646/a9991719-341a4cd1-b3b0c49c-17109b1c-238517f4.jpg']",['files/p18/p18224196/s50425819/845cab57-7175f1f2-caf520b2-83bdf74a-434a7206.jpg\n']
s50633646_16,p18224196,s50633646,16,Findings,"Frontal and lateral views of the chest were obtained. The heart is of top normal size with stable cardiomediastinal contours. The lungs are hyperinflated with flattened diaphragms. Streaky left lung base opacity is similar to prior and compatible with atelectasis. A trace right pleural effusion is similar to prior. No pneumothorax. Sternotomy wires, mediastinal clips, and two valvular prostheses are similar to prior.","Sternotomy wires, mediastinal clips, and two valvular prostheses are similar to prior.",Sternotomy wires,,Stable,"['files/p18/p18224196/s50633646/23a461cb-eb3f1804-b272899e-c6e30098-39682b9c.jpg', 'files/p18/p18224196/s50633646/8c2fce76-c091c053-ef8d7d20-227a5611-f281c15c.jpg', 'files/p18/p18224196/s50633646/a9991719-341a4cd1-b3b0c49c-17109b1c-238517f4.jpg']",['files/p18/p18224196/s50425819/845cab57-7175f1f2-caf520b2-83bdf74a-434a7206.jpg\n']
s50633646_16,p18224196,s50633646,16,Findings,"Frontal and lateral views of the chest were obtained. The heart is of top normal size with stable cardiomediastinal contours. The lungs are hyperinflated with flattened diaphragms. Streaky left lung base opacity is similar to prior and compatible with atelectasis. A trace right pleural effusion is similar to prior. No pneumothorax. Sternotomy wires, mediastinal clips, and two valvular prostheses are similar to prior.",A trace right pleural effusion is similar to prior.,pleural effusion,right,Stable,"['files/p18/p18224196/s50633646/23a461cb-eb3f1804-b272899e-c6e30098-39682b9c.jpg', 'files/p18/p18224196/s50633646/8c2fce76-c091c053-ef8d7d20-227a5611-f281c15c.jpg', 'files/p18/p18224196/s50633646/a9991719-341a4cd1-b3b0c49c-17109b1c-238517f4.jpg']",['files/p18/p18224196/s50425819/845cab57-7175f1f2-caf520b2-83bdf74a-434a7206.jpg\n']
s50633646_16,p18224196,s50633646,16,Findings,"Frontal and lateral views of the chest were obtained. The heart is of top normal size with stable cardiomediastinal contours. The lungs are hyperinflated with flattened diaphragms. Streaky left lung base opacity is similar to prior and compatible with atelectasis. A trace right pleural effusion is similar to prior. No pneumothorax. Sternotomy wires, mediastinal clips, and two valvular prostheses are similar to prior.",The heart is of top normal size with stable cardiomediastinal contours.,contours,cardiomediastinal,Stable,"['files/p18/p18224196/s50633646/23a461cb-eb3f1804-b272899e-c6e30098-39682b9c.jpg', 'files/p18/p18224196/s50633646/8c2fce76-c091c053-ef8d7d20-227a5611-f281c15c.jpg', 'files/p18/p18224196/s50633646/a9991719-341a4cd1-b3b0c49c-17109b1c-238517f4.jpg']",['files/p18/p18224196/s50425819/845cab57-7175f1f2-caf520b2-83bdf74a-434a7206.jpg\n']
s50633646_16,p18224196,s50633646,16,Impression,"Trace right pleural effusion and left base atelectasis, similar to ___.","Trace right pleural effusion and left base atelectasis, similar to ___.",pleural effusion,right,Stable,"['files/p18/p18224196/s50633646/23a461cb-eb3f1804-b272899e-c6e30098-39682b9c.jpg', 'files/p18/p18224196/s50633646/8c2fce76-c091c053-ef8d7d20-227a5611-f281c15c.jpg', 'files/p18/p18224196/s50633646/a9991719-341a4cd1-b3b0c49c-17109b1c-238517f4.jpg']",['files/p18/p18224196/s50425819/845cab57-7175f1f2-caf520b2-83bdf74a-434a7206.jpg\n']
s50633646_16,p18224196,s50633646,16,Findings,"Frontal and lateral views of the chest were obtained. The heart is of top normal size with stable cardiomediastinal contours. The lungs are hyperinflated with flattened diaphragms. Streaky left lung base opacity is similar to prior and compatible with atelectasis. A trace right pleural effusion is similar to prior. No pneumothorax. Sternotomy wires, mediastinal clips, and two valvular prostheses are similar to prior.","Sternotomy wires, mediastinal clips, and two valvular prostheses are similar to prior.",valvular prostheses,,Stable,"['files/p18/p18224196/s50633646/23a461cb-eb3f1804-b272899e-c6e30098-39682b9c.jpg', 'files/p18/p18224196/s50633646/8c2fce76-c091c053-ef8d7d20-227a5611-f281c15c.jpg', 'files/p18/p18224196/s50633646/a9991719-341a4cd1-b3b0c49c-17109b1c-238517f4.jpg']",['files/p18/p18224196/s50425819/845cab57-7175f1f2-caf520b2-83bdf74a-434a7206.jpg\n']
s50633646_16,p18224196,s50633646,16,Findings,"Frontal and lateral views of the chest were obtained. The heart is of top normal size with stable cardiomediastinal contours. The lungs are hyperinflated with flattened diaphragms. Streaky left lung base opacity is similar to prior and compatible with atelectasis. A trace right pleural effusion is similar to prior. No pneumothorax. Sternotomy wires, mediastinal clips, and two valvular prostheses are similar to prior.",Streaky left lung base opacity is similar to prior and compatible with atelectasis.,opacity,left lung base,Stable,"['files/p18/p18224196/s50633646/23a461cb-eb3f1804-b272899e-c6e30098-39682b9c.jpg', 'files/p18/p18224196/s50633646/8c2fce76-c091c053-ef8d7d20-227a5611-f281c15c.jpg', 'files/p18/p18224196/s50633646/a9991719-341a4cd1-b3b0c49c-17109b1c-238517f4.jpg']",['files/p18/p18224196/s50425819/845cab57-7175f1f2-caf520b2-83bdf74a-434a7206.jpg\n']
s50637233_8,p12702423,s50637233,8,Findings,"Again seen is a left PICC in the upper to mid SVC. Innumerable metastatic pulmonary nodules are present. There are continued multifocal hazy opacities, with confluent consolidation in the left lower lobe. Right upper lobe collapse is unchanged. Moderate left and small right pleural effusions, moderate cardiomegaly, and central venous congestion persist. No pneumothorax.","There are continued multifocal hazy opacities, with confluent consolidation in the left lower lobe.",multifocal hazy opacities,left lower lobe,Stable,"['files/p12/p12702423/s50637233/43a707e7-f762b3ea-4b033501-64409bec-21b98cef.jpg', 'files/p12/p12702423/s50637233/90b4c51e-988eaab5-73361a58-408449bf-f3dfd10f.jpg']",
s50637233_8,p12702423,s50637233,8,Impression,"Stable appearance of pulmonary metastases, multifocal pneumonia, pulmonary edema, and right upper lobe collapse.","Stable appearance of pulmonary metastases, multifocal pneumonia, pulmonary edema, and right upper lobe collapse.",pneumonia,,Stable,"['files/p12/p12702423/s50637233/43a707e7-f762b3ea-4b033501-64409bec-21b98cef.jpg', 'files/p12/p12702423/s50637233/90b4c51e-988eaab5-73361a58-408449bf-f3dfd10f.jpg']",
s50637233_8,p12702423,s50637233,8,Findings,"Again seen is a left PICC in the upper to mid SVC. Innumerable metastatic pulmonary nodules are present. There are continued multifocal hazy opacities, with confluent consolidation in the left lower lobe. Right upper lobe collapse is unchanged. Moderate left and small right pleural effusions, moderate cardiomegaly, and central venous congestion persist. No pneumothorax.","Moderate left and small right pleural effusions, moderate cardiomegaly, and central venous congestion persist.",pleural effusions,left and right,Stable,"['files/p12/p12702423/s50637233/43a707e7-f762b3ea-4b033501-64409bec-21b98cef.jpg', 'files/p12/p12702423/s50637233/90b4c51e-988eaab5-73361a58-408449bf-f3dfd10f.jpg']",
s50637233_8,p12702423,s50637233,8,Impression,"Stable appearance of pulmonary metastases, multifocal pneumonia, pulmonary edema, and right upper lobe collapse.","Stable appearance of pulmonary metastases, multifocal pneumonia, pulmonary edema, and right upper lobe collapse.",pulmonary edema,,Stable,"['files/p12/p12702423/s50637233/43a707e7-f762b3ea-4b033501-64409bec-21b98cef.jpg', 'files/p12/p12702423/s50637233/90b4c51e-988eaab5-73361a58-408449bf-f3dfd10f.jpg']",
s50637233_8,p12702423,s50637233,8,Impression,"Stable appearance of pulmonary metastases, multifocal pneumonia, pulmonary edema, and right upper lobe collapse.","Stable appearance of pulmonary metastases, multifocal pneumonia, pulmonary edema, and right upper lobe collapse.",collapse,right upper lobe,Stable,"['files/p12/p12702423/s50637233/43a707e7-f762b3ea-4b033501-64409bec-21b98cef.jpg', 'files/p12/p12702423/s50637233/90b4c51e-988eaab5-73361a58-408449bf-f3dfd10f.jpg']",
s50637233_8,p12702423,s50637233,8,Impression,"Stable appearance of pulmonary metastases, multifocal pneumonia, pulmonary edema, and right upper lobe collapse.","Stable appearance of pulmonary metastases, multifocal pneumonia, pulmonary edema, and right upper lobe collapse.",metastases,pulmonary,Stable,"['files/p12/p12702423/s50637233/43a707e7-f762b3ea-4b033501-64409bec-21b98cef.jpg', 'files/p12/p12702423/s50637233/90b4c51e-988eaab5-73361a58-408449bf-f3dfd10f.jpg']",
s50637233_8,p12702423,s50637233,8,Findings,"Again seen is a left PICC in the upper to mid SVC. Innumerable metastatic pulmonary nodules are present. There are continued multifocal hazy opacities, with confluent consolidation in the left lower lobe. Right upper lobe collapse is unchanged. Moderate left and small right pleural effusions, moderate cardiomegaly, and central venous congestion persist. No pneumothorax.","Moderate left and small right pleural effusions, moderate cardiomegaly, and central venous congestion persist.",venous congestion,central,Stable,"['files/p12/p12702423/s50637233/43a707e7-f762b3ea-4b033501-64409bec-21b98cef.jpg', 'files/p12/p12702423/s50637233/90b4c51e-988eaab5-73361a58-408449bf-f3dfd10f.jpg']",
s50637233_8,p12702423,s50637233,8,Findings,"Again seen is a left PICC in the upper to mid SVC. Innumerable metastatic pulmonary nodules are present. There are continued multifocal hazy opacities, with confluent consolidation in the left lower lobe. Right upper lobe collapse is unchanged. Moderate left and small right pleural effusions, moderate cardiomegaly, and central venous congestion persist. No pneumothorax.","Moderate left and small right pleural effusions, moderate cardiomegaly, and central venous congestion persist.",cardiomegaly,,Stable,"['files/p12/p12702423/s50637233/43a707e7-f762b3ea-4b033501-64409bec-21b98cef.jpg', 'files/p12/p12702423/s50637233/90b4c51e-988eaab5-73361a58-408449bf-f3dfd10f.jpg']",
s50637233_8,p12702423,s50637233,8,Findings,"Again seen is a left PICC in the upper to mid SVC. Innumerable metastatic pulmonary nodules are present. There are continued multifocal hazy opacities, with confluent consolidation in the left lower lobe. Right upper lobe collapse is unchanged. Moderate left and small right pleural effusions, moderate cardiomegaly, and central venous congestion persist. No pneumothorax.",Right upper lobe collapse is unchanged.,collapse,right upper lobe,Stable,"['files/p12/p12702423/s50637233/43a707e7-f762b3ea-4b033501-64409bec-21b98cef.jpg', 'files/p12/p12702423/s50637233/90b4c51e-988eaab5-73361a58-408449bf-f3dfd10f.jpg']",
s50639335_3,p12475198,s50639335,3,Findings,"A single portable frontal upright view of the chest is provided. External pacing wires and electronics partially obscure the view. Moderate cardiomegaly is unchanged. Lung volumes have slightly increased. Mild pulmonary edema persists. There is no focal consolidation, large pleural effusion or pneumothorax. Sternotomy wires are noted.",Lung volumes have slightly increased.,lung volumes,,Worse,['files/p12/p12475198/s50639335/e4cb9fd1-a291ed0a-a3be1461-78de463c-57194e49.jpg'],['files/p12/p12475198/s50620952/dca8209b-bd3fa52c-e5ca606b-9a0cfd8f-006336b3.jpg\n']
s50639335_3,p12475198,s50639335,3,Findings,"A single portable frontal upright view of the chest is provided. External pacing wires and electronics partially obscure the view. Moderate cardiomegaly is unchanged. Lung volumes have slightly increased. Mild pulmonary edema persists. There is no focal consolidation, large pleural effusion or pneumothorax. Sternotomy wires are noted.",Mild pulmonary edema persists.,pulmonary edema,,Stable,['files/p12/p12475198/s50639335/e4cb9fd1-a291ed0a-a3be1461-78de463c-57194e49.jpg'],['files/p12/p12475198/s50620952/dca8209b-bd3fa52c-e5ca606b-9a0cfd8f-006336b3.jpg\n']
s50639335_3,p12475198,s50639335,3,Findings,"A single portable frontal upright view of the chest is provided. External pacing wires and electronics partially obscure the view. Moderate cardiomegaly is unchanged. Lung volumes have slightly increased. Mild pulmonary edema persists. There is no focal consolidation, large pleural effusion or pneumothorax. Sternotomy wires are noted.",Moderate cardiomegaly is unchanged.,cardiomegaly,,Stable,['files/p12/p12475198/s50639335/e4cb9fd1-a291ed0a-a3be1461-78de463c-57194e49.jpg'],['files/p12/p12475198/s50620952/dca8209b-bd3fa52c-e5ca606b-9a0cfd8f-006336b3.jpg\n']
s50639964_14,p16662264,s50639964,14,Impression,New lingular pneumonia.,New lingular pneumonia.,pneumonia,lingular,New,"['files/p16/p16662264/s50639964/0211e30b-241ba3f8-9258eace-8ee95a4b-ecac4b96.jpg', 'files/p16/p16662264/s50639964/ac277596-5c3b9719-41671839-4aedfd51-6e90e579.jpg']",['files/p16/p16662264/s50111035/432f5b8d-dbf9d5f6-b2ae5422-ee46f656-00caa39c.jpg\n']
s50640370_3,p18417750,s50640370,3,Findings,"A dual lead pacemaker/ICD device with two leads appears unchanged. The patient is status post endovascular aortic valve replacement. Mitral annular calcifications are present. The heart is moderately enlarged. The mediastinal and hilar contours appear unchanged. A mild new interstitial abnormality suggests vascular congestion, but no focal opacities are identified. There is no pleural effusion or pneumothorax. The patient is again status post vertebroplasty of the T10 vertebral body which demonstrates a fragmented moderate compression deformity with slight retropulsion of the dominant posterior fragment, but not significantly changed. Prior posterior fusion involving T10 and T11 also appears unchanged. A moderate biconcave L1 compression deformity appears unchanged.","A mild new interstitial abnormality suggests vascular congestion, but no focal opacities are identified.",Abnormality suggesting vascular congestion,Interstitial,New,"['files/p18/p18417750/s50640370/c6d30763-f0410801-1fbc901e-31d0633e-b345afbd.jpg', 'files/p18/p18417750/s50640370/e8f40dc1-eb1d35c9-581a0b09-a78294c8-1a9ab9f1.jpg']",
s50640370_3,p18417750,s50640370,3,Findings,"A dual lead pacemaker/ICD device with two leads appears unchanged. The patient is status post endovascular aortic valve replacement. Mitral annular calcifications are present. The heart is moderately enlarged. The mediastinal and hilar contours appear unchanged. A mild new interstitial abnormality suggests vascular congestion, but no focal opacities are identified. There is no pleural effusion or pneumothorax. The patient is again status post vertebroplasty of the T10 vertebral body which demonstrates a fragmented moderate compression deformity with slight retropulsion of the dominant posterior fragment, but not significantly changed. Prior posterior fusion involving T10 and T11 also appears unchanged. A moderate biconcave L1 compression deformity appears unchanged.",The mediastinal and hilar contours appear unchanged.,Mediastinal and hilar contours,,Stable,"['files/p18/p18417750/s50640370/c6d30763-f0410801-1fbc901e-31d0633e-b345afbd.jpg', 'files/p18/p18417750/s50640370/e8f40dc1-eb1d35c9-581a0b09-a78294c8-1a9ab9f1.jpg']",
s50640370_3,p18417750,s50640370,3,Findings,"A dual lead pacemaker/ICD device with two leads appears unchanged. The patient is status post endovascular aortic valve replacement. Mitral annular calcifications are present. The heart is moderately enlarged. The mediastinal and hilar contours appear unchanged. A mild new interstitial abnormality suggests vascular congestion, but no focal opacities are identified. There is no pleural effusion or pneumothorax. The patient is again status post vertebroplasty of the T10 vertebral body which demonstrates a fragmented moderate compression deformity with slight retropulsion of the dominant posterior fragment, but not significantly changed. Prior posterior fusion involving T10 and T11 also appears unchanged. A moderate biconcave L1 compression deformity appears unchanged.",Prior posterior fusion involving T10 and T11 also appears unchanged.,Posterior fusion,T10 and T11,Stable,"['files/p18/p18417750/s50640370/c6d30763-f0410801-1fbc901e-31d0633e-b345afbd.jpg', 'files/p18/p18417750/s50640370/e8f40dc1-eb1d35c9-581a0b09-a78294c8-1a9ab9f1.jpg']",
s50640370_3,p18417750,s50640370,3,Findings,"A dual lead pacemaker/ICD device with two leads appears unchanged. The patient is status post endovascular aortic valve replacement. Mitral annular calcifications are present. The heart is moderately enlarged. The mediastinal and hilar contours appear unchanged. A mild new interstitial abnormality suggests vascular congestion, but no focal opacities are identified. There is no pleural effusion or pneumothorax. The patient is again status post vertebroplasty of the T10 vertebral body which demonstrates a fragmented moderate compression deformity with slight retropulsion of the dominant posterior fragment, but not significantly changed. Prior posterior fusion involving T10 and T11 also appears unchanged. A moderate biconcave L1 compression deformity appears unchanged.","The patient is again status post vertebroplasty of the T10 vertebral body which demonstrates a fragmented moderate compression deformity with slight retropulsion of the dominant posterior fragment, but not significantly changed.",Vertebroplasty with fragmented moderate compression deformity and slight retropulsion of the dominant posterior fragment,T10 vertebral body,Stable,"['files/p18/p18417750/s50640370/c6d30763-f0410801-1fbc901e-31d0633e-b345afbd.jpg', 'files/p18/p18417750/s50640370/e8f40dc1-eb1d35c9-581a0b09-a78294c8-1a9ab9f1.jpg']",
s50640370_3,p18417750,s50640370,3,Findings,"A dual lead pacemaker/ICD device with two leads appears unchanged. The patient is status post endovascular aortic valve replacement. Mitral annular calcifications are present. The heart is moderately enlarged. The mediastinal and hilar contours appear unchanged. A mild new interstitial abnormality suggests vascular congestion, but no focal opacities are identified. There is no pleural effusion or pneumothorax. The patient is again status post vertebroplasty of the T10 vertebral body which demonstrates a fragmented moderate compression deformity with slight retropulsion of the dominant posterior fragment, but not significantly changed. Prior posterior fusion involving T10 and T11 also appears unchanged. A moderate biconcave L1 compression deformity appears unchanged.",A dual lead pacemaker/ICD device with two leads appears unchanged.,Dual lead pacemaker/ICD device with two leads,,Stable,"['files/p18/p18417750/s50640370/c6d30763-f0410801-1fbc901e-31d0633e-b345afbd.jpg', 'files/p18/p18417750/s50640370/e8f40dc1-eb1d35c9-581a0b09-a78294c8-1a9ab9f1.jpg']",
s50640370_3,p18417750,s50640370,3,Findings,"A dual lead pacemaker/ICD device with two leads appears unchanged. The patient is status post endovascular aortic valve replacement. Mitral annular calcifications are present. The heart is moderately enlarged. The mediastinal and hilar contours appear unchanged. A mild new interstitial abnormality suggests vascular congestion, but no focal opacities are identified. There is no pleural effusion or pneumothorax. The patient is again status post vertebroplasty of the T10 vertebral body which demonstrates a fragmented moderate compression deformity with slight retropulsion of the dominant posterior fragment, but not significantly changed. Prior posterior fusion involving T10 and T11 also appears unchanged. A moderate biconcave L1 compression deformity appears unchanged.",A moderate biconcave L1 compression deformity appears unchanged.,Biconcave compression deformity,L1,Stable,"['files/p18/p18417750/s50640370/c6d30763-f0410801-1fbc901e-31d0633e-b345afbd.jpg', 'files/p18/p18417750/s50640370/e8f40dc1-eb1d35c9-581a0b09-a78294c8-1a9ab9f1.jpg']",
s50640881_2,p15612622,s50640881,2,Findings,"PA and lateral radiographs of the chest were acquired. As before, the lungs are hyperinflated, with flattening of the hemidiaphragms and enlargement of the retrosternal airspace, consistent with asthma and/or COPD. Very subtle hazy opacities in the right lower lobe are new compared to the prior study from ___, possibly atelectasis or a very early pneumonia. A calcified left lung granuloma is unchanged. The lungs are otherwise clear. Enlargement of the cardiac silhouette is not significantly changed. The mediastinal contours are normal aside from unchanged mild tortuosity of the descending thoracic aorta. There are no pleural effusions. No pneumothorax is seen.",The mediastinal contours are normal aside from unchanged mild tortuosity of the descending thoracic aorta.,mild tortuosity,descending thoracic aorta,Stable,"['files/p15/p15612622/s50640881/970d5ff8-d0f488b2-37ca618a-69482663-8f926491.jpg', 'files/p15/p15612622/s50640881/98267606-76ec973b-5884e28c-692b590a-093841f0.jpg']","['files/p15/p15612622/s50093776/28737f0b-1389eccb-3debcb12-da4fbf04-3401a0a4.jpg\n', 'files/p15/p15612622/s50093776/b68832f5-cb74ec26-125ffe9e-4e092765-e97f8be0.jpg\n', 'files/p15/p15612622/s50093776/d3ecfa7f-1a24312c-7a107e83-9ee0345c-edfe5bc0.jpg\n']"
s50640881_2,p15612622,s50640881,2,Findings,"PA and lateral radiographs of the chest were acquired. As before, the lungs are hyperinflated, with flattening of the hemidiaphragms and enlargement of the retrosternal airspace, consistent with asthma and/or COPD. Very subtle hazy opacities in the right lower lobe are new compared to the prior study from ___, possibly atelectasis or a very early pneumonia. A calcified left lung granuloma is unchanged. The lungs are otherwise clear. Enlargement of the cardiac silhouette is not significantly changed. The mediastinal contours are normal aside from unchanged mild tortuosity of the descending thoracic aorta. There are no pleural effusions. No pneumothorax is seen.",Enlargement of the cardiac silhouette is not significantly changed.,enlargement,cardiac silhouette,Stable,"['files/p15/p15612622/s50640881/970d5ff8-d0f488b2-37ca618a-69482663-8f926491.jpg', 'files/p15/p15612622/s50640881/98267606-76ec973b-5884e28c-692b590a-093841f0.jpg']","['files/p15/p15612622/s50093776/28737f0b-1389eccb-3debcb12-da4fbf04-3401a0a4.jpg\n', 'files/p15/p15612622/s50093776/b68832f5-cb74ec26-125ffe9e-4e092765-e97f8be0.jpg\n', 'files/p15/p15612622/s50093776/d3ecfa7f-1a24312c-7a107e83-9ee0345c-edfe5bc0.jpg\n']"
s50640881_2,p15612622,s50640881,2,Findings,"PA and lateral radiographs of the chest were acquired. As before, the lungs are hyperinflated, with flattening of the hemidiaphragms and enlargement of the retrosternal airspace, consistent with asthma and/or COPD. Very subtle hazy opacities in the right lower lobe are new compared to the prior study from ___, possibly atelectasis or a very early pneumonia. A calcified left lung granuloma is unchanged. The lungs are otherwise clear. Enlargement of the cardiac silhouette is not significantly changed. The mediastinal contours are normal aside from unchanged mild tortuosity of the descending thoracic aorta. There are no pleural effusions. No pneumothorax is seen.",A calcified left lung granuloma is unchanged.,calcified granuloma,left lung,Stable,"['files/p15/p15612622/s50640881/970d5ff8-d0f488b2-37ca618a-69482663-8f926491.jpg', 'files/p15/p15612622/s50640881/98267606-76ec973b-5884e28c-692b590a-093841f0.jpg']","['files/p15/p15612622/s50093776/28737f0b-1389eccb-3debcb12-da4fbf04-3401a0a4.jpg\n', 'files/p15/p15612622/s50093776/b68832f5-cb74ec26-125ffe9e-4e092765-e97f8be0.jpg\n', 'files/p15/p15612622/s50093776/d3ecfa7f-1a24312c-7a107e83-9ee0345c-edfe5bc0.jpg\n']"
s50640881_2,p15612622,s50640881,2,Findings,"PA and lateral radiographs of the chest were acquired. As before, the lungs are hyperinflated, with flattening of the hemidiaphragms and enlargement of the retrosternal airspace, consistent with asthma and/or COPD. Very subtle hazy opacities in the right lower lobe are new compared to the prior study from ___, possibly atelectasis or a very early pneumonia. A calcified left lung granuloma is unchanged. The lungs are otherwise clear. Enlargement of the cardiac silhouette is not significantly changed. The mediastinal contours are normal aside from unchanged mild tortuosity of the descending thoracic aorta. There are no pleural effusions. No pneumothorax is seen.","Very subtle hazy opacities in the right lower lobe are new compared to the prior study from ___, possibly atelectasis or a very early pneumonia.",hazy opacities,right lower lobe,New,"['files/p15/p15612622/s50640881/970d5ff8-d0f488b2-37ca618a-69482663-8f926491.jpg', 'files/p15/p15612622/s50640881/98267606-76ec973b-5884e28c-692b590a-093841f0.jpg']","['files/p15/p15612622/s50093776/28737f0b-1389eccb-3debcb12-da4fbf04-3401a0a4.jpg\n', 'files/p15/p15612622/s50093776/b68832f5-cb74ec26-125ffe9e-4e092765-e97f8be0.jpg\n', 'files/p15/p15612622/s50093776/d3ecfa7f-1a24312c-7a107e83-9ee0345c-edfe5bc0.jpg\n']"
s50640881_2,p15612622,s50640881,2,Findings,"PA and lateral radiographs of the chest were acquired. As before, the lungs are hyperinflated, with flattening of the hemidiaphragms and enlargement of the retrosternal airspace, consistent with asthma and/or COPD. Very subtle hazy opacities in the right lower lobe are new compared to the prior study from ___, possibly atelectasis or a very early pneumonia. A calcified left lung granuloma is unchanged. The lungs are otherwise clear. Enlargement of the cardiac silhouette is not significantly changed. The mediastinal contours are normal aside from unchanged mild tortuosity of the descending thoracic aorta. There are no pleural effusions. No pneumothorax is seen.","As before, the lungs are hyperinflated, with flattening of the hemidiaphragms and enlargement of the retrosternal airspace, consistent with asthma and/or COPD.",flattening and enlargement,hemidiaphragms and retrosternal airspace,Stable,"['files/p15/p15612622/s50640881/970d5ff8-d0f488b2-37ca618a-69482663-8f926491.jpg', 'files/p15/p15612622/s50640881/98267606-76ec973b-5884e28c-692b590a-093841f0.jpg']","['files/p15/p15612622/s50093776/28737f0b-1389eccb-3debcb12-da4fbf04-3401a0a4.jpg\n', 'files/p15/p15612622/s50093776/b68832f5-cb74ec26-125ffe9e-4e092765-e97f8be0.jpg\n', 'files/p15/p15612622/s50093776/d3ecfa7f-1a24312c-7a107e83-9ee0345c-edfe5bc0.jpg\n']"
s50641273_32,p13475033,s50641273,32,Impression,Slight increase in interstitial markings in the left mid lung zone which may in part relate to peribronchial thickening although atypical infection not excluded. The remainder of the study is unchanged.,Slight increase in interstitial markings in the left mid lung zone which may in part relate to peribronchial thickening although atypical infection not excluded.,peribronchial thickening,left mid lung zone,New,"['files/p13/p13475033/s50641273/58c59df1-b41b6ec4-e05fe16c-68059901-7ff1b2b3.jpg', 'files/p13/p13475033/s50641273/68bd5521-ca187f93-ae93cbe6-8bb8f491-3fb2dd0f.jpg']","['files/p13/p13475033/s50354419/473b3723-2a628ba8-ee2c35cc-2e8cd7b0-166f5104.jpg\n', 'files/p13/p13475033/s50354419/6fc552ce-e4e7859d-9cb49434-ba52639c-c274c6b4.jpg\n']"
s50641273_32,p13475033,s50641273,32,Findings,"The cardiac and mediastinal silhouettes are stable. No lobar consolidation is seen. There is subtle increased interstitial markings in the left mid lung zone, with possible mild peribronchial thickening. No pleural effusion or pneumothorax is seen. There is persistent compression of a mid thoracic vertebral body.",There is persistent compression of a mid thoracic vertebral body.,vertebral body compression,mid thoracic,Stable,"['files/p13/p13475033/s50641273/58c59df1-b41b6ec4-e05fe16c-68059901-7ff1b2b3.jpg', 'files/p13/p13475033/s50641273/68bd5521-ca187f93-ae93cbe6-8bb8f491-3fb2dd0f.jpg']","['files/p13/p13475033/s50354419/473b3723-2a628ba8-ee2c35cc-2e8cd7b0-166f5104.jpg\n', 'files/p13/p13475033/s50354419/6fc552ce-e4e7859d-9cb49434-ba52639c-c274c6b4.jpg\n']"
s50641273_32,p13475033,s50641273,32,Findings,"The cardiac and mediastinal silhouettes are stable. No lobar consolidation is seen. There is subtle increased interstitial markings in the left mid lung zone, with possible mild peribronchial thickening. No pleural effusion or pneumothorax is seen. There is persistent compression of a mid thoracic vertebral body.","There is subtle increased interstitial markings in the left mid lung zone, with possible mild peribronchial thickening.",interstitial markings,left mid lung zone,Worse,"['files/p13/p13475033/s50641273/58c59df1-b41b6ec4-e05fe16c-68059901-7ff1b2b3.jpg', 'files/p13/p13475033/s50641273/68bd5521-ca187f93-ae93cbe6-8bb8f491-3fb2dd0f.jpg']","['files/p13/p13475033/s50354419/473b3723-2a628ba8-ee2c35cc-2e8cd7b0-166f5104.jpg\n', 'files/p13/p13475033/s50354419/6fc552ce-e4e7859d-9cb49434-ba52639c-c274c6b4.jpg\n']"
s50641273_32,p13475033,s50641273,32,Findings,"The cardiac and mediastinal silhouettes are stable. No lobar consolidation is seen. There is subtle increased interstitial markings in the left mid lung zone, with possible mild peribronchial thickening. No pleural effusion or pneumothorax is seen. There is persistent compression of a mid thoracic vertebral body.",The cardiac and mediastinal silhouettes are stable.,cardiac and mediastinal silhouettes,,Stable,"['files/p13/p13475033/s50641273/58c59df1-b41b6ec4-e05fe16c-68059901-7ff1b2b3.jpg', 'files/p13/p13475033/s50641273/68bd5521-ca187f93-ae93cbe6-8bb8f491-3fb2dd0f.jpg']","['files/p13/p13475033/s50354419/473b3723-2a628ba8-ee2c35cc-2e8cd7b0-166f5104.jpg\n', 'files/p13/p13475033/s50354419/6fc552ce-e4e7859d-9cb49434-ba52639c-c274c6b4.jpg\n']"
s50641273_32,p13475033,s50641273,32,Findings,"The cardiac and mediastinal silhouettes are stable. No lobar consolidation is seen. There is subtle increased interstitial markings in the left mid lung zone, with possible mild peribronchial thickening. No pleural effusion or pneumothorax is seen. There is persistent compression of a mid thoracic vertebral body.","There is subtle increased interstitial markings in the left mid lung zone, with possible mild peribronchial thickening.",mild peribronchial thickening,left mid lung zone,New,"['files/p13/p13475033/s50641273/58c59df1-b41b6ec4-e05fe16c-68059901-7ff1b2b3.jpg', 'files/p13/p13475033/s50641273/68bd5521-ca187f93-ae93cbe6-8bb8f491-3fb2dd0f.jpg']","['files/p13/p13475033/s50354419/473b3723-2a628ba8-ee2c35cc-2e8cd7b0-166f5104.jpg\n', 'files/p13/p13475033/s50354419/6fc552ce-e4e7859d-9cb49434-ba52639c-c274c6b4.jpg\n']"
s50641273_32,p13475033,s50641273,32,Impression,Slight increase in interstitial markings in the left mid lung zone which may in part relate to peribronchial thickening although atypical infection not excluded. The remainder of the study is unchanged.,The remainder of the study is unchanged.,remainder of the study,,Stable,"['files/p13/p13475033/s50641273/58c59df1-b41b6ec4-e05fe16c-68059901-7ff1b2b3.jpg', 'files/p13/p13475033/s50641273/68bd5521-ca187f93-ae93cbe6-8bb8f491-3fb2dd0f.jpg']","['files/p13/p13475033/s50354419/473b3723-2a628ba8-ee2c35cc-2e8cd7b0-166f5104.jpg\n', 'files/p13/p13475033/s50354419/6fc552ce-e4e7859d-9cb49434-ba52639c-c274c6b4.jpg\n']"
s50641273_32,p13475033,s50641273,32,Impression,Slight increase in interstitial markings in the left mid lung zone which may in part relate to peribronchial thickening although atypical infection not excluded. The remainder of the study is unchanged.,Slight increase in interstitial markings in the left mid lung zone which may in part relate to peribronchial thickening although atypical infection not excluded.,interstitial markings,left mid lung zone,Worse,"['files/p13/p13475033/s50641273/58c59df1-b41b6ec4-e05fe16c-68059901-7ff1b2b3.jpg', 'files/p13/p13475033/s50641273/68bd5521-ca187f93-ae93cbe6-8bb8f491-3fb2dd0f.jpg']","['files/p13/p13475033/s50354419/473b3723-2a628ba8-ee2c35cc-2e8cd7b0-166f5104.jpg\n', 'files/p13/p13475033/s50354419/6fc552ce-e4e7859d-9cb49434-ba52639c-c274c6b4.jpg\n']"
s50643762_2,p16553329,s50643762,2,Impression,Heart is upper limits of normal size given AP technique. Mediastinal contours are stable. There are scattered radiopaque nodular opacities within both lungs suggestive of prior granulomatous infection. The perihilar vasculature is somewhat prominent. Small layering bilateral effusions suggestive of mild vascular congestion. No overt pulmonary edema. No pleural effusions or pneumothorax. No evidence of focal pneumonia. Degenerative changes in the thoracic spine with no acute bony abnormality identified.,Mediastinal contours are stable.,Mediastinal contours,,Stable,"['files/p16/p16553329/s50643762/63248a16-4137ecaa-c5389614-0f2cfa59-6b8aff45.jpg', 'files/p16/p16553329/s50643762/d021c1f9-134fd8f8-e73a3e87-387d59f4-ea4ea7a6.jpg']","['files/p16/p16553329/s50112134/277f62f5-617ece32-531a87ea-d1f6b703-578157ce.jpg\n', 'files/p16/p16553329/s50112134/7ddd8e36-8b7ad07a-2157c5f0-e30755e5-e0a8ad3f.jpg\n']"
s50645297_29,p19075045,s50645297,29,Findings,,Bibasilar opacities have minimally improved.,opacities,bibasilar,Better,['files/p19/p19075045/s50645297/c3271fa5-173bb62f-8507daf0-46005d57-ba663779.jpg'],['files/p19/p19075045/s50174434/a84bccbe-728dfb05-43811a78-46904061-d629b3bb.jpg\n']
s50645297_29,p19075045,s50645297,29,Findings,,Right perihilar opacity has almost completely resolved.,opacity,right perihilar,Resolve,['files/p19/p19075045/s50645297/c3271fa5-173bb62f-8507daf0-46005d57-ba663779.jpg'],['files/p19/p19075045/s50174434/a84bccbe-728dfb05-43811a78-46904061-d629b3bb.jpg\n']
s50645830_7,p16334516,s50645830,7,Findings,"As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation or increased ventilatory pressure. A pre-existing opacity in the right lung has almost completely resolved. On the left, atelectasis in the retrocardiac lung regions, a small perihilar opacity and a mild-to-moderate left pleural effusion, persist. No new parenchymal opacities. Unchanged size of the cardiac silhouette.","On the left, atelectasis in the retrocardiac lung regions, a small perihilar opacity and a mild-to-moderate left pleural effusion, persist.",mild-to-moderate pleural effusion,left,Stable,['files/p16/p16334516/s50645830/0336687b-390c6d13-fe15ecd8-f66d495e-b90db625.jpg'],['files/p16/p16334516/s50121027/2687e47d-96929b39-f0f102b3-d5e17213-31865ec4.jpg\n']
s50645830_7,p16334516,s50645830,7,Findings,"As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation or increased ventilatory pressure. A pre-existing opacity in the right lung has almost completely resolved. On the left, atelectasis in the retrocardiac lung regions, a small perihilar opacity and a mild-to-moderate left pleural effusion, persist. No new parenchymal opacities. Unchanged size of the cardiac silhouette.","On the left, atelectasis in the retrocardiac lung regions, a small perihilar opacity and a mild-to-moderate left pleural effusion, persist.",small opacity,perihilar,Stable,['files/p16/p16334516/s50645830/0336687b-390c6d13-fe15ecd8-f66d495e-b90db625.jpg'],['files/p16/p16334516/s50121027/2687e47d-96929b39-f0f102b3-d5e17213-31865ec4.jpg\n']
s50645830_7,p16334516,s50645830,7,Findings,"As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation or increased ventilatory pressure. A pre-existing opacity in the right lung has almost completely resolved. On the left, atelectasis in the retrocardiac lung regions, a small perihilar opacity and a mild-to-moderate left pleural effusion, persist. No new parenchymal opacities. Unchanged size of the cardiac silhouette.",Unchanged size of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p16/p16334516/s50645830/0336687b-390c6d13-fe15ecd8-f66d495e-b90db625.jpg'],['files/p16/p16334516/s50121027/2687e47d-96929b39-f0f102b3-d5e17213-31865ec4.jpg\n']
s50645830_7,p16334516,s50645830,7,Findings,"As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation or increased ventilatory pressure. A pre-existing opacity in the right lung has almost completely resolved. On the left, atelectasis in the retrocardiac lung regions, a small perihilar opacity and a mild-to-moderate left pleural effusion, persist. No new parenchymal opacities. Unchanged size of the cardiac silhouette.","On the left, atelectasis in the retrocardiac lung regions, a small perihilar opacity and a mild-to-moderate left pleural effusion, persist.",atelectasis,retrocardiac lung regions,Stable,['files/p16/p16334516/s50645830/0336687b-390c6d13-fe15ecd8-f66d495e-b90db625.jpg'],['files/p16/p16334516/s50121027/2687e47d-96929b39-f0f102b3-d5e17213-31865ec4.jpg\n']
s50645830_7,p16334516,s50645830,7,Findings,"As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation or increased ventilatory pressure. A pre-existing opacity in the right lung has almost completely resolved. On the left, atelectasis in the retrocardiac lung regions, a small perihilar opacity and a mild-to-moderate left pleural effusion, persist. No new parenchymal opacities. Unchanged size of the cardiac silhouette.",A pre-existing opacity in the right lung has almost completely resolved.,opacity,right lung,Resolve,['files/p16/p16334516/s50645830/0336687b-390c6d13-fe15ecd8-f66d495e-b90db625.jpg'],['files/p16/p16334516/s50121027/2687e47d-96929b39-f0f102b3-d5e17213-31865ec4.jpg\n']
s50645830_7,p16334516,s50645830,7,Findings,"As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation or increased ventilatory pressure. A pre-existing opacity in the right lung has almost completely resolved. On the left, atelectasis in the retrocardiac lung regions, a small perihilar opacity and a mild-to-moderate left pleural effusion, persist. No new parenchymal opacities. Unchanged size of the cardiac silhouette.","As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation or increased ventilatory pressure.",lung volumes,,Better,['files/p16/p16334516/s50645830/0336687b-390c6d13-fe15ecd8-f66d495e-b90db625.jpg'],['files/p16/p16334516/s50121027/2687e47d-96929b39-f0f102b3-d5e17213-31865ec4.jpg\n']
s50646741_4,p13881772,s50646741,4,Findings,"As compared to the previous radiograph, the lung volumes have decreased. There is no evidence of mild-to-moderate pulmonary edema, associated with a likely small pleural effusion on the right. Newly occurred atelectasis at the right lung base. No other focal parenchymal opacities. At the time of dictation and observation, the referring physician, ___. ___ was paged for notification on ___, 11:49 a.m. (covered by Dr. ___).","As compared to the previous radiograph, the lung volumes have decreased.",volumes,Lung,Worse,['files/p13/p13881772/s50646741/9d1a91d8-eb3582a2-bb42cc96-d27dd42d-b5592d9f.jpg'],"['files/p13/p13881772/s50211839/711d6472-5ff3166e-7741ea62-00213982-c3a8a67b.jpg\n', 'files/p13/p13881772/s50211839/e16c6579-54ecb6ea-36f5604a-17768f0e-38552f87.jpg\n']"
s50650921_60,p15131736,s50650921,60,Impression,"Compared to chest radiographs ___ through ___. Mild pulmonary edema is clearing, but severe cardiomegaly and severe bibasilar atelectasis are not. Pleural effusions are presumed but not large. No pneumothorax.","Compared to chest radiographs ___ through ___. Mild pulmonary edema is clearing, but severe cardiomegaly and severe bibasilar atelectasis are not.",Severe cardiomegaly,,Stable,['files/p15/p15131736/s50650921/54b04013-9b1c7ca0-452a3623-7e225698-0696e372.jpg'],['files/p15/p15131736/s50494700/36147048-4907c6d9-99ef69b7-c4b50592-a5f2a9cd.jpg\n']
s50650921_60,p15131736,s50650921,60,Impression,"Compared to chest radiographs ___ through ___. Mild pulmonary edema is clearing, but severe cardiomegaly and severe bibasilar atelectasis are not. Pleural effusions are presumed but not large. No pneumothorax.","Compared to chest radiographs ___ through ___. Mild pulmonary edema is clearing, but severe cardiomegaly and severe bibasilar atelectasis are not.",Mild pulmonary edema,,Better,['files/p15/p15131736/s50650921/54b04013-9b1c7ca0-452a3623-7e225698-0696e372.jpg'],['files/p15/p15131736/s50494700/36147048-4907c6d9-99ef69b7-c4b50592-a5f2a9cd.jpg\n']
s50650921_60,p15131736,s50650921,60,Impression,"Compared to chest radiographs ___ through ___. Mild pulmonary edema is clearing, but severe cardiomegaly and severe bibasilar atelectasis are not. Pleural effusions are presumed but not large. No pneumothorax.","Compared to chest radiographs ___ through ___. Mild pulmonary edema is clearing, but severe cardiomegaly and severe bibasilar atelectasis are not.",Severe bibasilar atelectasis,,Stable,['files/p15/p15131736/s50650921/54b04013-9b1c7ca0-452a3623-7e225698-0696e372.jpg'],['files/p15/p15131736/s50494700/36147048-4907c6d9-99ef69b7-c4b50592-a5f2a9cd.jpg\n']
s50654010_21,p16043637,s50654010,21,Impression,1. Right upper extremity PICC line terminates at the superior cavoatrial junction. 2. Stable cardiomegaly. 3. No definite evidence of pneumonia.,Stable cardiomegaly.,Cardiomegaly,,Stable,"['files/p16/p16043637/s50654010/1e7e7b71-9afe22dc-51aaf15b-79809a2a-bd5d192d.jpg', 'files/p16/p16043637/s50654010/59a1c5a9-add53af5-92d508dc-a3090850-83abe863.jpg', 'files/p16/p16043637/s50654010/be4aa5f6-99ccaf97-2b5e3e91-41ef9449-536d6ae5.jpg']",['files/p16/p16043637/s50065890/fb45550c-b18bc286-c44ccc22-7ef82df9-02181d75.jpg\n']
s50654010_21,p16043637,s50654010,21,Findings,"Dual-chamber pacemaker and aortic valve are in stable position. Sternal wires are intact. Right upper extremity PICC line terminates at the superior cavoatrial junction. There is slight elevation of the right hemidiaphragm, and seen on prior studies. No definite parenchymal consolidation. No pleural effusion or pneumothorax. Heart size is mildly enlarged.","There is slight elevation of the right hemidiaphragm, and seen on prior studies.",Elevation,Right hemidiaphragm,Stable,"['files/p16/p16043637/s50654010/1e7e7b71-9afe22dc-51aaf15b-79809a2a-bd5d192d.jpg', 'files/p16/p16043637/s50654010/59a1c5a9-add53af5-92d508dc-a3090850-83abe863.jpg', 'files/p16/p16043637/s50654010/be4aa5f6-99ccaf97-2b5e3e91-41ef9449-536d6ae5.jpg']",['files/p16/p16043637/s50065890/fb45550c-b18bc286-c44ccc22-7ef82df9-02181d75.jpg\n']
s50654010_21,p16043637,s50654010,21,Findings,"Dual-chamber pacemaker and aortic valve are in stable position. Sternal wires are intact. Right upper extremity PICC line terminates at the superior cavoatrial junction. There is slight elevation of the right hemidiaphragm, and seen on prior studies. No definite parenchymal consolidation. No pleural effusion or pneumothorax. Heart size is mildly enlarged.",Dual-chamber pacemaker and aortic valve are in stable position.,Dual-chamber pacemaker,,Stable,"['files/p16/p16043637/s50654010/1e7e7b71-9afe22dc-51aaf15b-79809a2a-bd5d192d.jpg', 'files/p16/p16043637/s50654010/59a1c5a9-add53af5-92d508dc-a3090850-83abe863.jpg', 'files/p16/p16043637/s50654010/be4aa5f6-99ccaf97-2b5e3e91-41ef9449-536d6ae5.jpg']",['files/p16/p16043637/s50065890/fb45550c-b18bc286-c44ccc22-7ef82df9-02181d75.jpg\n']
s50654010_21,p16043637,s50654010,21,Findings,"Dual-chamber pacemaker and aortic valve are in stable position. Sternal wires are intact. Right upper extremity PICC line terminates at the superior cavoatrial junction. There is slight elevation of the right hemidiaphragm, and seen on prior studies. No definite parenchymal consolidation. No pleural effusion or pneumothorax. Heart size is mildly enlarged.",Dual-chamber pacemaker and aortic valve are in stable position.,Aortic valve,,Stable,"['files/p16/p16043637/s50654010/1e7e7b71-9afe22dc-51aaf15b-79809a2a-bd5d192d.jpg', 'files/p16/p16043637/s50654010/59a1c5a9-add53af5-92d508dc-a3090850-83abe863.jpg', 'files/p16/p16043637/s50654010/be4aa5f6-99ccaf97-2b5e3e91-41ef9449-536d6ae5.jpg']",['files/p16/p16043637/s50065890/fb45550c-b18bc286-c44ccc22-7ef82df9-02181d75.jpg\n']
s50657342_15,p19016834,s50657342,15,Findings,"Comparison is made to previous study from ___. There is a stent seen within the esophagus which is unchanged in position. There is again seen consolidation at the right lower lobe, stable. Right-sided pleural effusion is also unchanged.","There is again seen consolidation at the right lower lobe, stable.",consolidation,right lower lobe,Stable,['files/p19/p19016834/s50657342/7f51e1cc-fc9208cc-470c70a3-9528d87c-9f33be5b.jpg'],['files/p19/p19016834/s50600020/5bf49704-2e8accc0-671e467c-ff02da5d-9245891c.jpg\n']
s50657342_15,p19016834,s50657342,15,Findings,"Comparison is made to previous study from ___. There is a stent seen within the esophagus which is unchanged in position. There is again seen consolidation at the right lower lobe, stable. Right-sided pleural effusion is also unchanged.",Right-sided pleural effusion is also unchanged.,pleural effusion,Right-sided,Stable,['files/p19/p19016834/s50657342/7f51e1cc-fc9208cc-470c70a3-9528d87c-9f33be5b.jpg'],['files/p19/p19016834/s50600020/5bf49704-2e8accc0-671e467c-ff02da5d-9245891c.jpg\n']
s50657342_15,p19016834,s50657342,15,Findings,"Comparison is made to previous study from ___. There is a stent seen within the esophagus which is unchanged in position. There is again seen consolidation at the right lower lobe, stable. Right-sided pleural effusion is also unchanged.",There is a stent seen within the esophagus which is unchanged in position.,stent,within the esophagus,Stable,['files/p19/p19016834/s50657342/7f51e1cc-fc9208cc-470c70a3-9528d87c-9f33be5b.jpg'],['files/p19/p19016834/s50600020/5bf49704-2e8accc0-671e467c-ff02da5d-9245891c.jpg\n']
s50660013_4,p19765968,s50660013,4,Impression,"PA and lateral chest compared to ___: Top normal heart size and mild pulmonary vascular congestion have not changed appreciably. Probably no pulmonary edema nor substantial pleural effusion, no evidence of intrathoracic infection. Non-healed fracture noted in the anterior left fourth rib.",PA and lateral chest compared to ___: Top normal heart size and mild pulmonary vascular congestion have not changed appreciably.,heart size and mild pulmonary vascular congestion,,Stable,"['files/p19/p19765968/s50660013/18c6d1c6-5a175b28-0ae9ed53-4ebd2486-22b5d00a.jpg', 'files/p19/p19765968/s50660013/52f0b961-a412d366-ca2a0a68-974520dc-8b534af4.jpg', 'files/p19/p19765968/s50660013/7a0b1a93-9a5295c9-3c92d2fa-4d39cdc3-78eddd8c.jpg', 'files/p19/p19765968/s50660013/bc589c1d-1abbef0a-78f9c190-81bdf6e8-e1429133.jpg']",
s50664785_0,p13762730,s50664785,0,Findings,"The heart is markedly enlarged, as seen on prior radiographs from ___. There is haziness of the hila with diffuse, but predominantly mid and lower lung heterogeneous opacities, consistent with moderate pulmonary edema, likely with both interstitial and alveolar components. The descending thoracic aorta is slightly tortuous, as before. There may be small bilateral pleural effusions. No pneumothorax.","The heart is markedly enlarged, as seen on prior radiographs from ___.",Cardiomegaly,,Worse,['files/p13/p13762730/s50664785/db39cf32-d22fb990-e46ba7c8-c73f9b0b-c77db2a1.jpg'],
s50664785_0,p13762730,s50664785,0,Findings,"The heart is markedly enlarged, as seen on prior radiographs from ___. There is haziness of the hila with diffuse, but predominantly mid and lower lung heterogeneous opacities, consistent with moderate pulmonary edema, likely with both interstitial and alveolar components. The descending thoracic aorta is slightly tortuous, as before. There may be small bilateral pleural effusions. No pneumothorax.","The descending thoracic aorta is slightly tortuous, as before.",Aortic tortuosity,,Stable,['files/p13/p13762730/s50664785/db39cf32-d22fb990-e46ba7c8-c73f9b0b-c77db2a1.jpg'],
s50674735_3,p18487334,s50674735,3,Impression,"As compared to the previous radiograph, no relevant change is seen. Mild overinflation. Old healed right-sided rib fractures. Borderline size of the cardiac silhouette. Left pectoral pacemaker. No pulmonary edema. No pneumonia, no pleural effusions. Sternal wires of the CABG are in correct alignment.",Old healed right-sided rib fractures.,rib fractures,right-sided,Stable,"['files/p18/p18487334/s50674735/34385126-4e8184f2-e9ac8e38-eb0d5a59-31d37002.jpg', 'files/p18/p18487334/s50674735/4913b433-92aff6ce-813d647b-e068ebfa-58ce7426.jpg', 'files/p18/p18487334/s50674735/cf6d711d-4ed1bbca-7013760b-7cc2b8ef-925ff493.jpg']",['files/p18/p18487334/s50492868/f3c65ae4-81c03654-c3fe857f-dec24a17-a5a118b9.jpg\n']
s50674735_3,p18487334,s50674735,3,Impression,"As compared to the previous radiograph, no relevant change is seen. Mild overinflation. Old healed right-sided rib fractures. Borderline size of the cardiac silhouette. Left pectoral pacemaker. No pulmonary edema. No pneumonia, no pleural effusions. Sternal wires of the CABG are in correct alignment.","As compared to the previous radiograph, no relevant change is seen.",,,Stable,"['files/p18/p18487334/s50674735/34385126-4e8184f2-e9ac8e38-eb0d5a59-31d37002.jpg', 'files/p18/p18487334/s50674735/4913b433-92aff6ce-813d647b-e068ebfa-58ce7426.jpg', 'files/p18/p18487334/s50674735/cf6d711d-4ed1bbca-7013760b-7cc2b8ef-925ff493.jpg']",['files/p18/p18487334/s50492868/f3c65ae4-81c03654-c3fe857f-dec24a17-a5a118b9.jpg\n']
s50677639_30,p15131736,s50677639,30,Findings,"Endotracheal tube is seen with tip approximately 4 cm from the carina. Otherwise, there has been no significant interval change. Bilateral parenchymal opacities suggestive of edema are seen noting that infection cannot be excluded.",Bilateral parenchymal opacities suggestive of edema are seen noting that infection cannot be excluded.,parenchymal opacities suggestive of edema,Bilateral,New,['files/p15/p15131736/s50677639/2f1dce28-88730e39-d63f2655-c6d7afd5-b3868e09.jpg'],['files/p15/p15131736/s50650921/54b04013-9b1c7ca0-452a3623-7e225698-0696e372.jpg\n']
s50682888_1,p19404187,s50682888,1,Findings,The left upper lung mass is not visualized on today's study. There is diffuse increase in lung markings on the left compared to the right but no definite infiltrate.,The left upper lung mass is not visualized on today's study.,mass,left upper lung,Resolve,"['files/p19/p19404187/s50682888/08da513d-5325ee2d-d57746d8-762cf929-bf1c0fa4.jpg', 'files/p19/p19404187/s50682888/847237ae-40229169-b1a8c3fd-04d45b62-fc0cee14.jpg']",
s50686747_20,p14851532,s50686747,20,Impression,"Since the prior study, there is substantial interval progression of pulmonary edema. The apical opacity on the left is unchanged.","Since the prior study, there is substantial interval progression of pulmonary edema.",pulmonary edema,,Worse,['files/p14/p14851532/s50686747/6da80776-b8a61cbe-7898eaa5-29b7ca8f-c0ea57e5.jpg'],['files/p14/p14851532/s50625218/52d136b0-5d17c0a3-0a234b7d-4bd4ad14-707309d5.jpg\n']
s50686747_20,p14851532,s50686747,20,Impression,"Since the prior study, there is substantial interval progression of pulmonary edema. The apical opacity on the left is unchanged.",The apical opacity on the left is unchanged.,opacity,left apical,Stable,['files/p14/p14851532/s50686747/6da80776-b8a61cbe-7898eaa5-29b7ca8f-c0ea57e5.jpg'],['files/p14/p14851532/s50625218/52d136b0-5d17c0a3-0a234b7d-4bd4ad14-707309d5.jpg\n']
s50697229_3,p15758946,s50697229,3,Impression,"AP chest compared to ___, 8:25 p.m.: Mild pulmonary edema has improved and mediastinal vascular engorgement has decreased substantially. Heart is normal size, unchanged. Moderate left and small right pleural effusion have both improved, reflecting previous hemodynamic decompensation. Right internal jugular, left subclavian infusion port are in standard placements. Nasogastric tube ends in the stomach. No pneumothorax.","Heart is normal size, unchanged.",Heart size,,Stable,['files/p15/p15758946/s50697229/be78e28d-1c76d439-9b5e832e-b0935ea9-62e6cf91.jpg'],"['files/p15/p15758946/s50020371/5e861703-66367757-f8a458b6-39741594-3ab89d41.jpg\n', 'files/p15/p15758946/s50020371/a767b7c0-6bdaee42-8ca0cd60-7b89ffb1-3bbbba27.jpg\n']"
s50697229_3,p15758946,s50697229,3,Impression,"AP chest compared to ___, 8:25 p.m.: Mild pulmonary edema has improved and mediastinal vascular engorgement has decreased substantially. Heart is normal size, unchanged. Moderate left and small right pleural effusion have both improved, reflecting previous hemodynamic decompensation. Right internal jugular, left subclavian infusion port are in standard placements. Nasogastric tube ends in the stomach. No pneumothorax.","Moderate left and small right pleural effusion have both improved, reflecting previous hemodynamic decompensation.",pleural effusion,left,Better,['files/p15/p15758946/s50697229/be78e28d-1c76d439-9b5e832e-b0935ea9-62e6cf91.jpg'],"['files/p15/p15758946/s50020371/5e861703-66367757-f8a458b6-39741594-3ab89d41.jpg\n', 'files/p15/p15758946/s50020371/a767b7c0-6bdaee42-8ca0cd60-7b89ffb1-3bbbba27.jpg\n']"
s50697229_3,p15758946,s50697229,3,Impression,"AP chest compared to ___, 8:25 p.m.: Mild pulmonary edema has improved and mediastinal vascular engorgement has decreased substantially. Heart is normal size, unchanged. Moderate left and small right pleural effusion have both improved, reflecting previous hemodynamic decompensation. Right internal jugular, left subclavian infusion port are in standard placements. Nasogastric tube ends in the stomach. No pneumothorax.","AP chest compared to ___, 8:25 p.m.: Mild pulmonary edema has improved and mediastinal vascular engorgement has decreased substantially.",Mild pulmonary edema,,Better,['files/p15/p15758946/s50697229/be78e28d-1c76d439-9b5e832e-b0935ea9-62e6cf91.jpg'],"['files/p15/p15758946/s50020371/5e861703-66367757-f8a458b6-39741594-3ab89d41.jpg\n', 'files/p15/p15758946/s50020371/a767b7c0-6bdaee42-8ca0cd60-7b89ffb1-3bbbba27.jpg\n']"
s50697229_3,p15758946,s50697229,3,Impression,"AP chest compared to ___, 8:25 p.m.: Mild pulmonary edema has improved and mediastinal vascular engorgement has decreased substantially. Heart is normal size, unchanged. Moderate left and small right pleural effusion have both improved, reflecting previous hemodynamic decompensation. Right internal jugular, left subclavian infusion port are in standard placements. Nasogastric tube ends in the stomach. No pneumothorax.","AP chest compared to ___, 8:25 p.m.: Mild pulmonary edema has improved and mediastinal vascular engorgement has decreased substantially.",mediastinal vascular engorgement,,Better,['files/p15/p15758946/s50697229/be78e28d-1c76d439-9b5e832e-b0935ea9-62e6cf91.jpg'],"['files/p15/p15758946/s50020371/5e861703-66367757-f8a458b6-39741594-3ab89d41.jpg\n', 'files/p15/p15758946/s50020371/a767b7c0-6bdaee42-8ca0cd60-7b89ffb1-3bbbba27.jpg\n']"
s50697229_3,p15758946,s50697229,3,Impression,"AP chest compared to ___, 8:25 p.m.: Mild pulmonary edema has improved and mediastinal vascular engorgement has decreased substantially. Heart is normal size, unchanged. Moderate left and small right pleural effusion have both improved, reflecting previous hemodynamic decompensation. Right internal jugular, left subclavian infusion port are in standard placements. Nasogastric tube ends in the stomach. No pneumothorax.","Moderate left and small right pleural effusion have both improved, reflecting previous hemodynamic decompensation.",pleural effusion,right,Better,['files/p15/p15758946/s50697229/be78e28d-1c76d439-9b5e832e-b0935ea9-62e6cf91.jpg'],"['files/p15/p15758946/s50020371/5e861703-66367757-f8a458b6-39741594-3ab89d41.jpg\n', 'files/p15/p15758946/s50020371/a767b7c0-6bdaee42-8ca0cd60-7b89ffb1-3bbbba27.jpg\n']"
s50701063_11,p18487334,s50701063,11,Findings,"No significant change in comparison to ___. No pulmonary edema. Mild retrocardiac opacity unchanged, likely atelectasis. Stable severe cardiomegaly. There is no pneumothorax or pleural effusion. ETT measures 5.4 cm above the carina. Right atrial and right ventricular pacer leads in standard positions and contiguous with the left pectoral generator. NG tube tip terminates in the stomach. Right IJ catheter tip in the mid SVC.",Stable severe cardiomegaly.,cardiomegaly,,Stable,['files/p18/p18487334/s50701063/8421105f-75a36b56-fb945313-e4f6d3a0-e2876c01.jpg'],"['files/p18/p18487334/s50674735/34385126-4e8184f2-e9ac8e38-eb0d5a59-31d37002.jpg\n', 'files/p18/p18487334/s50674735/4913b433-92aff6ce-813d647b-e068ebfa-58ce7426.jpg\n', 'files/p18/p18487334/s50674735/cf6d711d-4ed1bbca-7013760b-7cc2b8ef-925ff493.jpg\n']"
s50701063_11,p18487334,s50701063,11,Findings,"No significant change in comparison to ___. No pulmonary edema. Mild retrocardiac opacity unchanged, likely atelectasis. Stable severe cardiomegaly. There is no pneumothorax or pleural effusion. ETT measures 5.4 cm above the carina. Right atrial and right ventricular pacer leads in standard positions and contiguous with the left pectoral generator. NG tube tip terminates in the stomach. Right IJ catheter tip in the mid SVC.","Mild retrocardiac opacity unchanged, likely atelectasis.","opacity, likely atelectasis",retrocardiac,Stable,['files/p18/p18487334/s50701063/8421105f-75a36b56-fb945313-e4f6d3a0-e2876c01.jpg'],"['files/p18/p18487334/s50674735/34385126-4e8184f2-e9ac8e38-eb0d5a59-31d37002.jpg\n', 'files/p18/p18487334/s50674735/4913b433-92aff6ce-813d647b-e068ebfa-58ce7426.jpg\n', 'files/p18/p18487334/s50674735/cf6d711d-4ed1bbca-7013760b-7cc2b8ef-925ff493.jpg\n']"
s50701107_4,p15659181,s50701107,4,Findings,Right basilar opacity without any corresponding opacity seen on the lateral view likely represents atelectasis. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouette is within normal limits.,Right basilar opacity without any corresponding opacity seen on the lateral view likely represents atelectasis.,opacity,right basilar,New,"['files/p15/p15659181/s50701107/08b3a2f5-6a4527a8-cea348a9-b559b9e1-42a62261.jpg', 'files/p15/p15659181/s50701107/2c87ed37-9ea15e9b-216843bf-c06c0554-220563a4.jpg']",
s50706776_32,p16508811,s50706776,32,Findings,"Large-bore right-sided central venous catheter is stable in position, terminating and the proximal right atrium. The cardiac and mediastinal silhouettes are stable. There is moderate pulmonary vascular congestion. Bibasilar opacities are felt to more likely relate to vascular congestion rather than consolidation, however in the appropriate clinical setting, underlying pneumonia is difficult to exclude. No pleural effusion or pneumothorax is seen.","Large-bore right-sided central venous catheter is stable in position, terminating and the proximal right atrium.",central venous catheter,right-sided,Stable,"['files/p16/p16508811/s50706776/55075506-31f28698-900b686f-bf4d78e8-3c2a322e.jpg', 'files/p16/p16508811/s50706776/77ab84c4-ba890f3a-4d161cb1-8516d2ff-ba5e1842.jpg', 'files/p16/p16508811/s50706776/7a448024-34b46da3-0662ce39-3a69ebb7-30625b25.jpg']","['files/p16/p16508811/s50598243/2e619f64-89aad18a-fa15db10-86ed910e-e1d9fb82.jpg\n', 'files/p16/p16508811/s50598243/67a20282-74cc43b9-69dd3914-1cb897d2-cb2f6018.jpg\n']"
s50706776_32,p16508811,s50706776,32,Findings,"Large-bore right-sided central venous catheter is stable in position, terminating and the proximal right atrium. The cardiac and mediastinal silhouettes are stable. There is moderate pulmonary vascular congestion. Bibasilar opacities are felt to more likely relate to vascular congestion rather than consolidation, however in the appropriate clinical setting, underlying pneumonia is difficult to exclude. No pleural effusion or pneumothorax is seen.",The cardiac and mediastinal silhouettes are stable.,cardiac and mediastinal silhouettes,,Stable,"['files/p16/p16508811/s50706776/55075506-31f28698-900b686f-bf4d78e8-3c2a322e.jpg', 'files/p16/p16508811/s50706776/77ab84c4-ba890f3a-4d161cb1-8516d2ff-ba5e1842.jpg', 'files/p16/p16508811/s50706776/7a448024-34b46da3-0662ce39-3a69ebb7-30625b25.jpg']","['files/p16/p16508811/s50598243/2e619f64-89aad18a-fa15db10-86ed910e-e1d9fb82.jpg\n', 'files/p16/p16508811/s50598243/67a20282-74cc43b9-69dd3914-1cb897d2-cb2f6018.jpg\n']"
s50710771_11,p14353044,s50710771,11,Findings,"Heart size is normal. The mediastinal and hilar contours are unchanged. Dense atherosclerotic calcifications are noted at the aortic knob. Atelectasis is noted in the lung bases without focal consolidation. Mild elevation of the right hemidiaphragm is chronic with lateralization of the diaphragmatic apex, likely attributable to the presence of a small subpulmonic effusion. No pneumothorax is present. There is no pulmonary vascular congestion. Diffuse gaseous distention of bowel loops are seen in the upper abdomen. Posterior fixation hardware is noted within the thoracic spine with re- demonstration of diffuse osteopenia and multiple compression deformities.",Posterior fixation hardware is noted within the thoracic spine with re- demonstration of diffuse osteopenia and multiple compression deformities.,posterior fixation hardware,thoracic spine,Worse,"['files/p14/p14353044/s50710771/15c6aab8-93137ad4-74b0808c-dcbcb4d6-580194d3.jpg', 'files/p14/p14353044/s50710771/5ca79a92-b19db7e4-7a8243cf-f5fdab81-3b8e4206.jpg', 'files/p14/p14353044/s50710771/746e9051-aea1fe10-f765dc71-17daa29f-ae4a658d.jpg']",['files/p14/p14353044/s50620677/0b9184ba-a570a2c0-10adfa1b-8c804f0a-280b0de1.jpg\n']
s50710771_11,p14353044,s50710771,11,Findings,"Heart size is normal. The mediastinal and hilar contours are unchanged. Dense atherosclerotic calcifications are noted at the aortic knob. Atelectasis is noted in the lung bases without focal consolidation. Mild elevation of the right hemidiaphragm is chronic with lateralization of the diaphragmatic apex, likely attributable to the presence of a small subpulmonic effusion. No pneumothorax is present. There is no pulmonary vascular congestion. Diffuse gaseous distention of bowel loops are seen in the upper abdomen. Posterior fixation hardware is noted within the thoracic spine with re- demonstration of diffuse osteopenia and multiple compression deformities.",The mediastinal and hilar contours are unchanged.,Normal appearance,mediastinal and hilar contours,Stable,"['files/p14/p14353044/s50710771/15c6aab8-93137ad4-74b0808c-dcbcb4d6-580194d3.jpg', 'files/p14/p14353044/s50710771/5ca79a92-b19db7e4-7a8243cf-f5fdab81-3b8e4206.jpg', 'files/p14/p14353044/s50710771/746e9051-aea1fe10-f765dc71-17daa29f-ae4a658d.jpg']",['files/p14/p14353044/s50620677/0b9184ba-a570a2c0-10adfa1b-8c804f0a-280b0de1.jpg\n']
s50714348_3,p15446959,s50714348,3,Findings,The heart size remains mildly enlarged. The aorta is tortuous. The patient is status post left lower lobectomy with elevation of the left hemidiaphragm. The left mid posterior chest wall deformity is again demonstrated with associated right basilar opacity compatible with changes from chest wall reconstruction. There is persistent left basilar atelectasis. Right lung is clear. No pleural effusion or pneumothorax is definitely visualized. There is no pulmonary vascular congestion. Mild degenerative changes are noted in the thoracic spine.,There is persistent left basilar atelectasis.,atelectasis,left basilar,Stable,"['files/p15/p15446959/s50714348/01994677-4cf1e7e3-d8b77337-b9e6e43d-e2b0bf7d.jpg', 'files/p15/p15446959/s50714348/1404cb7d-9f235a77-48962ba3-bbce9034-07178c1b.jpg', 'files/p15/p15446959/s50714348/e5a35d58-daafa26b-836bd682-17f54c3c-a3f33527.jpg']",
s50714348_3,p15446959,s50714348,3,Impression,Similar postoperative appearance of the left chest compared to the recent chest CT without acute cardiopulmonary abnormality.,Similar postoperative appearance of the left chest compared to the recent chest CT without acute cardiopulmonary abnormality.,postoperative appearance,left chest,Stable,"['files/p15/p15446959/s50714348/01994677-4cf1e7e3-d8b77337-b9e6e43d-e2b0bf7d.jpg', 'files/p15/p15446959/s50714348/1404cb7d-9f235a77-48962ba3-bbce9034-07178c1b.jpg', 'files/p15/p15446959/s50714348/e5a35d58-daafa26b-836bd682-17f54c3c-a3f33527.jpg']",
s50714348_3,p15446959,s50714348,3,Findings,The heart size remains mildly enlarged. The aorta is tortuous. The patient is status post left lower lobectomy with elevation of the left hemidiaphragm. The left mid posterior chest wall deformity is again demonstrated with associated right basilar opacity compatible with changes from chest wall reconstruction. There is persistent left basilar atelectasis. Right lung is clear. No pleural effusion or pneumothorax is definitely visualized. There is no pulmonary vascular congestion. Mild degenerative changes are noted in the thoracic spine.,The heart size remains mildly enlarged.,heart size,,Stable,"['files/p15/p15446959/s50714348/01994677-4cf1e7e3-d8b77337-b9e6e43d-e2b0bf7d.jpg', 'files/p15/p15446959/s50714348/1404cb7d-9f235a77-48962ba3-bbce9034-07178c1b.jpg', 'files/p15/p15446959/s50714348/e5a35d58-daafa26b-836bd682-17f54c3c-a3f33527.jpg']",
s50717913_12,p14236258,s50717913,12,Findings,"Left-sided dual lumen subclavian central venous catheter tip terminates within the proximal right atrium, coursing through a vascular stent within the left brachiocephalic vein and superior vena cava. Cardiac silhouette size is normal. Mild rightward deviation of the trachea with left superior mediastinal mass compatible with a known thyroid goiter is unchanged. Hilar contours are unchanged. Pulmonary vasculature is not engorged. Subsegmental atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is demonstrated. Marked degenerative changes of the left glenohumeral joints and remote right posterior rib are re- demonstrated.",Marked degenerative changes of the left glenohumeral joints and remote right posterior rib are re- demonstrated.,Degenerative changes,Left glenohumeral joints and right posterior rib,Stable,"['files/p14/p14236258/s50717913/3cc05f00-8fba02b7-e911f543-5d48de64-b69bda76.jpg', 'files/p14/p14236258/s50717913/7420f572-8714f401-625ceeb1-4ebcd911-20fe42f1.jpg', 'files/p14/p14236258/s50717913/b046c8c0-a7b3367e-546b4f8c-222c475c-98dbe5b7.jpg']",
s50717913_12,p14236258,s50717913,12,Findings,"Left-sided dual lumen subclavian central venous catheter tip terminates within the proximal right atrium, coursing through a vascular stent within the left brachiocephalic vein and superior vena cava. Cardiac silhouette size is normal. Mild rightward deviation of the trachea with left superior mediastinal mass compatible with a known thyroid goiter is unchanged. Hilar contours are unchanged. Pulmonary vasculature is not engorged. Subsegmental atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is demonstrated. Marked degenerative changes of the left glenohumeral joints and remote right posterior rib are re- demonstrated.",Hilar contours are unchanged.,Hilar contours,,Stable,"['files/p14/p14236258/s50717913/3cc05f00-8fba02b7-e911f543-5d48de64-b69bda76.jpg', 'files/p14/p14236258/s50717913/7420f572-8714f401-625ceeb1-4ebcd911-20fe42f1.jpg', 'files/p14/p14236258/s50717913/b046c8c0-a7b3367e-546b4f8c-222c475c-98dbe5b7.jpg']",
s50717913_12,p14236258,s50717913,12,Findings,"Left-sided dual lumen subclavian central venous catheter tip terminates within the proximal right atrium, coursing through a vascular stent within the left brachiocephalic vein and superior vena cava. Cardiac silhouette size is normal. Mild rightward deviation of the trachea with left superior mediastinal mass compatible with a known thyroid goiter is unchanged. Hilar contours are unchanged. Pulmonary vasculature is not engorged. Subsegmental atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is demonstrated. Marked degenerative changes of the left glenohumeral joints and remote right posterior rib are re- demonstrated.",Mild rightward deviation of the trachea with left superior mediastinal mass compatible with a known thyroid goiter is unchanged.,Thyroid goiter,Left superior mediastinal,Stable,"['files/p14/p14236258/s50717913/3cc05f00-8fba02b7-e911f543-5d48de64-b69bda76.jpg', 'files/p14/p14236258/s50717913/7420f572-8714f401-625ceeb1-4ebcd911-20fe42f1.jpg', 'files/p14/p14236258/s50717913/b046c8c0-a7b3367e-546b4f8c-222c475c-98dbe5b7.jpg']",
s50718199_10,p16855430,s50718199,10,Impression,1. No evidence of pneumonia. 2. Possible trace left pleural effusion. 3. Stable left mid lung nodule is likely prior granulomatous disease.,Stable left mid lung nodule is likely prior granulomatous disease.,nodule,left mid lung,Stable,"['files/p16/p16855430/s50718199/a77d2e8f-c6ecaa1e-c2b76bec-23469463-3e9de1f1.jpg', 'files/p16/p16855430/s50718199/a8b55585-2e9aa2ae-9a9a0e78-eec5ec08-c35ee4c3.jpg']","['files/p16/p16855430/s50348450/0a5ed50a-9dafb43c-21a679db-8d7758f8-197b2eb4.jpg\n', 'files/p16/p16855430/s50348450/449420e9-bd45dc1c-91a5471c-ef301a2d-f5734a2d.jpg\n']"
s50718199_10,p16855430,s50718199,10,Findings,"AP and lateral views of the chest show no consolidation, pulmonary edema, or pneumothorax. There is a possible trace left pleural effusion. A small nodule in the left mid lung zone is stable measuring 4 mm and likely due to prior granulomatous disease, as also seen on chest CT from ___. Cardiac size is at the upper limits of normal. The mediastinal contours are normal.","A small nodule in the left mid lung zone is stable measuring 4 mm and likely due to prior granulomatous disease, as also seen on chest CT from ___.",nodule,left mid lung zone,Stable,"['files/p16/p16855430/s50718199/a77d2e8f-c6ecaa1e-c2b76bec-23469463-3e9de1f1.jpg', 'files/p16/p16855430/s50718199/a8b55585-2e9aa2ae-9a9a0e78-eec5ec08-c35ee4c3.jpg']","['files/p16/p16855430/s50348450/0a5ed50a-9dafb43c-21a679db-8d7758f8-197b2eb4.jpg\n', 'files/p16/p16855430/s50348450/449420e9-bd45dc1c-91a5471c-ef301a2d-f5734a2d.jpg\n']"
s50720959_17,p11880923,s50720959,17,Findings,"In comparison with the study of ___, there is slightly better inspiration. The left hemidiaphragm is not sharply seen and there is hazy opacification at the left base. This suggests a possible atelectasis and effusion. Monitoring and support devices are unchanged.","In comparison with the study of ___, there is slightly better inspiration.",inspiration,,Better,['files/p11/p11880923/s50720959/6aff92fc-a55af9c9-b11a0394-d2d62191-122cdf01.jpg'],['files/p11/p11880923/s50164479/e3e38420-1d7a57bd-dd17b115-35334f4f-c3d1695b.jpg\n']
s50725635_44,p15131736,s50725635,44,Impression,"In comparison with the study of ___, there is continued enlargement of the cardiac silhouette with increasing pulmonary edema. Retrocardiac opacification again is consistent with volume loss in the left lower lobe with probable pleural effusion.","In comparison with the study of ___, there is continued enlargement of the cardiac silhouette with increasing pulmonary edema.",pulmonary edema,,Worse,['files/p15/p15131736/s50725635/734c67d2-b59dd146-cf5a3db9-59c50b7d-f735c758.jpg'],['files/p15/p15131736/s50677639/2f1dce28-88730e39-d63f2655-c6d7afd5-b3868e09.jpg\n']
s50725635_44,p15131736,s50725635,44,Impression,"In comparison with the study of ___, there is continued enlargement of the cardiac silhouette with increasing pulmonary edema. Retrocardiac opacification again is consistent with volume loss in the left lower lobe with probable pleural effusion.","In comparison with the study of ___, there is continued enlargement of the cardiac silhouette with increasing pulmonary edema.",cardiac silhouette enlargement,,Worse,['files/p15/p15131736/s50725635/734c67d2-b59dd146-cf5a3db9-59c50b7d-f735c758.jpg'],['files/p15/p15131736/s50677639/2f1dce28-88730e39-d63f2655-c6d7afd5-b3868e09.jpg\n']
s50729749_37,p12185775,s50729749,37,Impression,ET tube tip is 4.8 cm above the Carina. NG tube tip is in the stomach. Left central venous line tip is at the level of mid SVC. Heart size and mediastinum are enlarged. Pulmonary edema has substantially improved since the prior study.,Pulmonary edema has substantially improved since the prior study.,pulmonary edema,,Better,['files/p12/p12185775/s50729749/42ca390f-5819f578-c74fd59e-a7561a1a-0040b454.jpg'],['files/p12/p12185775/s50630947/ce406dad-094f4f88-1aa935f8-6d57f41b-219a6543.jpg\n']
s50740166_22,p15131736,s50740166,22,Findings,Degree of cardiomegaly is similar. Atherosclerotic calcifications are again noted at the aortic arch. Engorged central pulmonary vessels are again seen without evidence of overt pulmonary edema. Retrocardiac region is likely obscured due to overlying soft tissues.,Atherosclerotic calcifications are again noted at the aortic arch.,Atherosclerotic calcifications,aortic arch,Stable,['files/p15/p15131736/s50740166/96039f47-3e02e23d-f1c42efb-ed41fb27-4376aa85.jpg'],['files/p15/p15131736/s50725635/734c67d2-b59dd146-cf5a3db9-59c50b7d-f735c758.jpg\n']
s50740166_22,p15131736,s50740166,22,Findings,Degree of cardiomegaly is similar. Atherosclerotic calcifications are again noted at the aortic arch. Engorged central pulmonary vessels are again seen without evidence of overt pulmonary edema. Retrocardiac region is likely obscured due to overlying soft tissues.,Degree of cardiomegaly is similar.,Cardiomegaly,,Stable,['files/p15/p15131736/s50740166/96039f47-3e02e23d-f1c42efb-ed41fb27-4376aa85.jpg'],['files/p15/p15131736/s50725635/734c67d2-b59dd146-cf5a3db9-59c50b7d-f735c758.jpg\n']
s50740166_22,p15131736,s50740166,22,Findings,Degree of cardiomegaly is similar. Atherosclerotic calcifications are again noted at the aortic arch. Engorged central pulmonary vessels are again seen without evidence of overt pulmonary edema. Retrocardiac region is likely obscured due to overlying soft tissues.,Engorged central pulmonary vessels are again seen without evidence of overt pulmonary edema.,Engorged pulmonary vessels,central,Stable,['files/p15/p15131736/s50740166/96039f47-3e02e23d-f1c42efb-ed41fb27-4376aa85.jpg'],['files/p15/p15131736/s50725635/734c67d2-b59dd146-cf5a3db9-59c50b7d-f735c758.jpg\n']
s50744319_7,p18338007,s50744319,7,Findings,"The patient is rotated with respect to the film. Lung volumes are low and the left hemidiaphragm is markedly elevated, similar to prior. Cardiomediastinal contours appear stable. Indistinct appearance of the pulmonary vascular markings is compatible with mild interstitial edema. No focal consolidation, substantial pleural effusion, or pneumothorax. No radiopaque foreign body.",Cardiomediastinal contours appear stable.,contours,Cardiomediastinal,Stable,['files/p18/p18338007/s50744319/36f6dd1e-fefeef89-03c80035-d373c61b-1a4e895b.jpg'],"['files/p18/p18338007/s50094334/0d3ff5e0-5202a70f-86af9d84-eec64254-845e87d4.jpg\n', 'files/p18/p18338007/s50094334/48d2fd47-8df6a41f-106df2c8-bda4ee13-ab4eaa22.jpg\n', 'files/p18/p18338007/s50094334/ad2d9faa-b8c9c2ee-833f7217-e4abe541-ffbe0f8f.jpg\n']"
s50744319_7,p18338007,s50744319,7,Findings,"The patient is rotated with respect to the film. Lung volumes are low and the left hemidiaphragm is markedly elevated, similar to prior. Cardiomediastinal contours appear stable. Indistinct appearance of the pulmonary vascular markings is compatible with mild interstitial edema. No focal consolidation, substantial pleural effusion, or pneumothorax. No radiopaque foreign body.","Lung volumes are low and the left hemidiaphragm is markedly elevated, similar to prior.",elevation,left hemidiaphragm,Stable,['files/p18/p18338007/s50744319/36f6dd1e-fefeef89-03c80035-d373c61b-1a4e895b.jpg'],"['files/p18/p18338007/s50094334/0d3ff5e0-5202a70f-86af9d84-eec64254-845e87d4.jpg\n', 'files/p18/p18338007/s50094334/48d2fd47-8df6a41f-106df2c8-bda4ee13-ab4eaa22.jpg\n', 'files/p18/p18338007/s50094334/ad2d9faa-b8c9c2ee-833f7217-e4abe541-ffbe0f8f.jpg\n']"
s50744964_11,p18767957,s50744964,11,Findings,"A portable frontal chest radiograph demonstrate an unchanged cardiomediastinal silhouette, which is top-normal in size. Bilateral opacities are consistent with moderate pulmonary edema. No definite focal consolidation or pneumothorax is identified. There are likely trace bilateral pleural effusions.","A portable frontal chest radiograph demonstrate an unchanged cardiomediastinal silhouette, which is top-normal in size.",silhouette,cardiomediastinal,Stable,['files/p18/p18767957/s50744964/1ef64d55-b80da23e-67810283-ad56b0ab-22c83b5b.jpg'],"['files/p18/p18767957/s50227249/1b6d925a-664fef76-ced5cc25-d1a46648-b32130e4.jpg\n', 'files/p18/p18767957/s50227249/7618afaf-76046145-f7086e54-e915e61e-1241a1fa.jpg\n', 'files/p18/p18767957/s50227249/c462d814-c520caef-649ccd0c-e754aafa-4e59889d.jpg\n']"
s50749866_17,p12595991,s50749866,17,Findings,Moderate to severe cardiomegaly is stable. Pacer leads are in standard position. ET tube is in standard position. Left IJ catheter tip is in the mid SVC . Right PICC is in unchanged position. NG tube tip is out of view below the diaphragm. Vascular congestion has improved. Bibasilar atelectasis have improved. Bilateral effusions right greater than left are unchanged,Bibasilar atelectasis have improved.,atelectasis,bibasilar,Better,['files/p12/p12595991/s50749866/9df33cee-a5533c4d-56048d41-edb2923b-6b01ac1f.jpg'],"['files/p12/p12595991/s50452688/252da14d-35e528cc-fd8defb9-1ba9e403-6b8cd31c.jpg\n', 'files/p12/p12595991/s50452688/fd5b9e84-06d9a995-0dd4904b-a46b13dd-37b8e1f1.jpg\n']"
s50749866_17,p12595991,s50749866,17,Findings,Moderate to severe cardiomegaly is stable. Pacer leads are in standard position. ET tube is in standard position. Left IJ catheter tip is in the mid SVC . Right PICC is in unchanged position. NG tube tip is out of view below the diaphragm. Vascular congestion has improved. Bibasilar atelectasis have improved. Bilateral effusions right greater than left are unchanged,Moderate to severe cardiomegaly is stable.,cardiomegaly,,Stable,['files/p12/p12595991/s50749866/9df33cee-a5533c4d-56048d41-edb2923b-6b01ac1f.jpg'],"['files/p12/p12595991/s50452688/252da14d-35e528cc-fd8defb9-1ba9e403-6b8cd31c.jpg\n', 'files/p12/p12595991/s50452688/fd5b9e84-06d9a995-0dd4904b-a46b13dd-37b8e1f1.jpg\n']"
s50749866_17,p12595991,s50749866,17,Findings,Moderate to severe cardiomegaly is stable. Pacer leads are in standard position. ET tube is in standard position. Left IJ catheter tip is in the mid SVC . Right PICC is in unchanged position. NG tube tip is out of view below the diaphragm. Vascular congestion has improved. Bibasilar atelectasis have improved. Bilateral effusions right greater than left are unchanged,Right PICC is in unchanged position.,PICC,right,Stable,['files/p12/p12595991/s50749866/9df33cee-a5533c4d-56048d41-edb2923b-6b01ac1f.jpg'],"['files/p12/p12595991/s50452688/252da14d-35e528cc-fd8defb9-1ba9e403-6b8cd31c.jpg\n', 'files/p12/p12595991/s50452688/fd5b9e84-06d9a995-0dd4904b-a46b13dd-37b8e1f1.jpg\n']"
s50749866_17,p12595991,s50749866,17,Findings,Moderate to severe cardiomegaly is stable. Pacer leads are in standard position. ET tube is in standard position. Left IJ catheter tip is in the mid SVC . Right PICC is in unchanged position. NG tube tip is out of view below the diaphragm. Vascular congestion has improved. Bibasilar atelectasis have improved. Bilateral effusions right greater than left are unchanged,Vascular congestion has improved.,vascular congestion,,Better,['files/p12/p12595991/s50749866/9df33cee-a5533c4d-56048d41-edb2923b-6b01ac1f.jpg'],"['files/p12/p12595991/s50452688/252da14d-35e528cc-fd8defb9-1ba9e403-6b8cd31c.jpg\n', 'files/p12/p12595991/s50452688/fd5b9e84-06d9a995-0dd4904b-a46b13dd-37b8e1f1.jpg\n']"
s50749866_17,p12595991,s50749866,17,Impression,Improved pulmonary edema.,Improved pulmonary edema.,pulmonary edema,,Better,['files/p12/p12595991/s50749866/9df33cee-a5533c4d-56048d41-edb2923b-6b01ac1f.jpg'],"['files/p12/p12595991/s50452688/252da14d-35e528cc-fd8defb9-1ba9e403-6b8cd31c.jpg\n', 'files/p12/p12595991/s50452688/fd5b9e84-06d9a995-0dd4904b-a46b13dd-37b8e1f1.jpg\n']"
s50749866_17,p12595991,s50749866,17,Findings,Moderate to severe cardiomegaly is stable. Pacer leads are in standard position. ET tube is in standard position. Left IJ catheter tip is in the mid SVC . Right PICC is in unchanged position. NG tube tip is out of view below the diaphragm. Vascular congestion has improved. Bibasilar atelectasis have improved. Bilateral effusions right greater than left are unchanged,Bilateral effusions right greater than left are unchanged,effusions,bilateral,Stable,['files/p12/p12595991/s50749866/9df33cee-a5533c4d-56048d41-edb2923b-6b01ac1f.jpg'],"['files/p12/p12595991/s50452688/252da14d-35e528cc-fd8defb9-1ba9e403-6b8cd31c.jpg\n', 'files/p12/p12595991/s50452688/fd5b9e84-06d9a995-0dd4904b-a46b13dd-37b8e1f1.jpg\n']"
s50752207_26,p16662264,s50752207,26,Findings,"Heart size remains enlarged. Hilar contours are unchanged. Endotracheal tube, upper enteric tube and left PICC remain in unchanged position. Widespread multifocal parenchymal opacities remain unchanged from immediate prior study. Subtle lobulated lucencies in the right mid lung are suggestive of pneumatoceles. Left-sided pleural effusion is improved. There is no pneumothorax.",Widespread multifocal parenchymal opacities remain unchanged from immediate prior study.,Parenchymal opacities,Widespread multifocal,Stable,['files/p16/p16662264/s50752207/3fee0682-231a4968-00593ef2-652c36ae-98495700.jpg'],"['files/p16/p16662264/s50639964/0211e30b-241ba3f8-9258eace-8ee95a4b-ecac4b96.jpg\n', 'files/p16/p16662264/s50639964/ac277596-5c3b9719-41671839-4aedfd51-6e90e579.jpg\n']"
s50752207_26,p16662264,s50752207,26,Findings,"Heart size remains enlarged. Hilar contours are unchanged. Endotracheal tube, upper enteric tube and left PICC remain in unchanged position. Widespread multifocal parenchymal opacities remain unchanged from immediate prior study. Subtle lobulated lucencies in the right mid lung are suggestive of pneumatoceles. Left-sided pleural effusion is improved. There is no pneumothorax.",Heart size remains enlarged.,Enlarged heart size,,Stable,['files/p16/p16662264/s50752207/3fee0682-231a4968-00593ef2-652c36ae-98495700.jpg'],"['files/p16/p16662264/s50639964/0211e30b-241ba3f8-9258eace-8ee95a4b-ecac4b96.jpg\n', 'files/p16/p16662264/s50639964/ac277596-5c3b9719-41671839-4aedfd51-6e90e579.jpg\n']"
s50752207_26,p16662264,s50752207,26,Findings,"Heart size remains enlarged. Hilar contours are unchanged. Endotracheal tube, upper enteric tube and left PICC remain in unchanged position. Widespread multifocal parenchymal opacities remain unchanged from immediate prior study. Subtle lobulated lucencies in the right mid lung are suggestive of pneumatoceles. Left-sided pleural effusion is improved. There is no pneumothorax.",Hilar contours are unchanged.,Hilar contours,,Stable,['files/p16/p16662264/s50752207/3fee0682-231a4968-00593ef2-652c36ae-98495700.jpg'],"['files/p16/p16662264/s50639964/0211e30b-241ba3f8-9258eace-8ee95a4b-ecac4b96.jpg\n', 'files/p16/p16662264/s50639964/ac277596-5c3b9719-41671839-4aedfd51-6e90e579.jpg\n']"
s50752207_26,p16662264,s50752207,26,Findings,"Heart size remains enlarged. Hilar contours are unchanged. Endotracheal tube, upper enteric tube and left PICC remain in unchanged position. Widespread multifocal parenchymal opacities remain unchanged from immediate prior study. Subtle lobulated lucencies in the right mid lung are suggestive of pneumatoceles. Left-sided pleural effusion is improved. There is no pneumothorax.","Endotracheal tube, upper enteric tube and left PICC remain in unchanged position.",Endotracheal tube,,Stable,['files/p16/p16662264/s50752207/3fee0682-231a4968-00593ef2-652c36ae-98495700.jpg'],"['files/p16/p16662264/s50639964/0211e30b-241ba3f8-9258eace-8ee95a4b-ecac4b96.jpg\n', 'files/p16/p16662264/s50639964/ac277596-5c3b9719-41671839-4aedfd51-6e90e579.jpg\n']"
s50752207_26,p16662264,s50752207,26,Findings,"Heart size remains enlarged. Hilar contours are unchanged. Endotracheal tube, upper enteric tube and left PICC remain in unchanged position. Widespread multifocal parenchymal opacities remain unchanged from immediate prior study. Subtle lobulated lucencies in the right mid lung are suggestive of pneumatoceles. Left-sided pleural effusion is improved. There is no pneumothorax.","Endotracheal tube, upper enteric tube and left PICC remain in unchanged position.",Upper enteric tube,,Stable,['files/p16/p16662264/s50752207/3fee0682-231a4968-00593ef2-652c36ae-98495700.jpg'],"['files/p16/p16662264/s50639964/0211e30b-241ba3f8-9258eace-8ee95a4b-ecac4b96.jpg\n', 'files/p16/p16662264/s50639964/ac277596-5c3b9719-41671839-4aedfd51-6e90e579.jpg\n']"
s50752207_26,p16662264,s50752207,26,Findings,"Heart size remains enlarged. Hilar contours are unchanged. Endotracheal tube, upper enteric tube and left PICC remain in unchanged position. Widespread multifocal parenchymal opacities remain unchanged from immediate prior study. Subtle lobulated lucencies in the right mid lung are suggestive of pneumatoceles. Left-sided pleural effusion is improved. There is no pneumothorax.","Endotracheal tube, upper enteric tube and left PICC remain in unchanged position.",Left PICC,,Stable,['files/p16/p16662264/s50752207/3fee0682-231a4968-00593ef2-652c36ae-98495700.jpg'],"['files/p16/p16662264/s50639964/0211e30b-241ba3f8-9258eace-8ee95a4b-ecac4b96.jpg\n', 'files/p16/p16662264/s50639964/ac277596-5c3b9719-41671839-4aedfd51-6e90e579.jpg\n']"
s50752207_26,p16662264,s50752207,26,Findings,"Heart size remains enlarged. Hilar contours are unchanged. Endotracheal tube, upper enteric tube and left PICC remain in unchanged position. Widespread multifocal parenchymal opacities remain unchanged from immediate prior study. Subtle lobulated lucencies in the right mid lung are suggestive of pneumatoceles. Left-sided pleural effusion is improved. There is no pneumothorax.",Left-sided pleural effusion is improved.,Pleural effusion,Left-sided,Better,['files/p16/p16662264/s50752207/3fee0682-231a4968-00593ef2-652c36ae-98495700.jpg'],"['files/p16/p16662264/s50639964/0211e30b-241ba3f8-9258eace-8ee95a4b-ecac4b96.jpg\n', 'files/p16/p16662264/s50639964/ac277596-5c3b9719-41671839-4aedfd51-6e90e579.jpg\n']"
s50752207_26,p16662264,s50752207,26,Impression,"Multifocal lung infection persists, with possible pneumatoceles, but with some improvement of left pleural effusion. If clinical improvement is uncertain, CT may be helpful to document changes.","Multifocal lung infection persists, with possible pneumatoceles, but with some improvement of left pleural effusion.",Lung infection,Multifocal,Stable,['files/p16/p16662264/s50752207/3fee0682-231a4968-00593ef2-652c36ae-98495700.jpg'],"['files/p16/p16662264/s50639964/0211e30b-241ba3f8-9258eace-8ee95a4b-ecac4b96.jpg\n', 'files/p16/p16662264/s50639964/ac277596-5c3b9719-41671839-4aedfd51-6e90e579.jpg\n']"
s50752207_26,p16662264,s50752207,26,Impression,"Multifocal lung infection persists, with possible pneumatoceles, but with some improvement of left pleural effusion. If clinical improvement is uncertain, CT may be helpful to document changes.","Multifocal lung infection persists, with possible pneumatoceles, but with some improvement of left pleural effusion.",Pleural effusion,Left-sided,Better,['files/p16/p16662264/s50752207/3fee0682-231a4968-00593ef2-652c36ae-98495700.jpg'],"['files/p16/p16662264/s50639964/0211e30b-241ba3f8-9258eace-8ee95a4b-ecac4b96.jpg\n', 'files/p16/p16662264/s50639964/ac277596-5c3b9719-41671839-4aedfd51-6e90e579.jpg\n']"
s50758061_10,p15259244,s50758061,10,Findings,"Since consolidation has largely cleared from the right lung base since ___, this was presumably either dependent edema alone or dependent edema and atelectasis. Minimal interstitial edema remains, but the left lower lobe is much better aerated today. The heart is mildly to moderately enlarged. No pneumothorax. Dual-channel dialysis line ends in the right atrium.","Since consolidation has largely cleared from the right lung base since ___, this was presumably either dependent edema alone or dependent edema and atelectasis.",consolidation,right lung base,Resolve,['files/p15/p15259244/s50758061/43042279-0b8f5bb0-a45d17b6-f8d3b29f-0c787952.jpg'],['files/p15/p15259244/s50610932/9ae19357-ed8ab74b-7c794e86-235ab6b4-b0b98b54.jpg\n']
s50758061_10,p15259244,s50758061,10,Findings,"Since consolidation has largely cleared from the right lung base since ___, this was presumably either dependent edema alone or dependent edema and atelectasis. Minimal interstitial edema remains, but the left lower lobe is much better aerated today. The heart is mildly to moderately enlarged. No pneumothorax. Dual-channel dialysis line ends in the right atrium.","Minimal interstitial edema remains, but the left lower lobe is much better aerated today.",aeration,left lower lobe,Stable,['files/p15/p15259244/s50758061/43042279-0b8f5bb0-a45d17b6-f8d3b29f-0c787952.jpg'],['files/p15/p15259244/s50610932/9ae19357-ed8ab74b-7c794e86-235ab6b4-b0b98b54.jpg\n']
s50762309_6,p19844485,s50762309,6,Findings,There is stable moderate cardiomegaly. The mediastinal contour is stable. There is a persistent right pleural effusion with associated atelectasis. There is also some mild left base atelectasis as well as mild interstitial edema.,There is stable moderate cardiomegaly. The mediastinal contour is stable. There is a persistent right pleural effusion with associated atelectasis. There is also some mild left base atelectasis as well as mild interstitial edema.,cardiomegaly,,Stable,['files/p19/p19844485/s50762309/28d71c5a-7f16c42f-ec973545-72a7a3e9-3d2193e6.jpg'],"['files/p19/p19844485/s50240427/1d2b1963-056c7113-a6f6942d-e611f5a1-49a38136.jpg\n', 'files/p19/p19844485/s50240427/8830e4fd-71e68c81-f6292cf4-2a931e58-be84168d.jpg\n']"
s50762309_6,p19844485,s50762309,6,Findings,There is stable moderate cardiomegaly. The mediastinal contour is stable. There is a persistent right pleural effusion with associated atelectasis. There is also some mild left base atelectasis as well as mild interstitial edema.,There is stable moderate cardiomegaly. The mediastinal contour is stable. There is a persistent right pleural effusion with associated atelectasis. There is also some mild left base atelectasis as well as mild interstitial edema.,mediastinal contour,,Stable,['files/p19/p19844485/s50762309/28d71c5a-7f16c42f-ec973545-72a7a3e9-3d2193e6.jpg'],"['files/p19/p19844485/s50240427/1d2b1963-056c7113-a6f6942d-e611f5a1-49a38136.jpg\n', 'files/p19/p19844485/s50240427/8830e4fd-71e68c81-f6292cf4-2a931e58-be84168d.jpg\n']"
s50767671_2,p18906643,s50767671,2,Impression,"AP chest compared to ___ at 9:19 p.m.: Tip of the newly positioned endotracheal tube is in standard placement roughly 4 cm above the carina. Overlying apparatus obscures the upper lungs, but pulmonary vascular engorgement in the apices has worsened appreciably, accompanied by increase in moderate cardiomegaly, all suggesting cardiac decompensation, perhaps in the setting of hypotension. There is no florid pulmonary edema, large pleural effusion or any indication of pneumothorax. Upper enteric tube passes into the stomach and out of view.",AP chest compared to ___ at 9:19 p.m.: Tip of the newly positioned endotracheal tube is in standard placement roughly 4 cm above the carina.,Position,Endotracheal tube,New,['files/p18/p18906643/s50767671/f60e6301-358d7f2f-b52c2c0c-ffea6e75-c35bdbe2.jpg'],['files/p18/p18906643/s50566099/155bc756-c4c5c4a9-5db23266-7de1babe-65b89b7b.jpg\n']
s50767671_2,p18906643,s50767671,2,Impression,"AP chest compared to ___ at 9:19 p.m.: Tip of the newly positioned endotracheal tube is in standard placement roughly 4 cm above the carina. Overlying apparatus obscures the upper lungs, but pulmonary vascular engorgement in the apices has worsened appreciably, accompanied by increase in moderate cardiomegaly, all suggesting cardiac decompensation, perhaps in the setting of hypotension. There is no florid pulmonary edema, large pleural effusion or any indication of pneumothorax. Upper enteric tube passes into the stomach and out of view.","Overlying apparatus obscures the upper lungs, but pulmonary vascular engorgement in the apices has worsened appreciably, accompanied by increase in moderate cardiomegaly, all suggesting cardiac decompensation, perhaps in the setting of hypotension.",Cardiomegaly,Heart,Worse,['files/p18/p18906643/s50767671/f60e6301-358d7f2f-b52c2c0c-ffea6e75-c35bdbe2.jpg'],['files/p18/p18906643/s50566099/155bc756-c4c5c4a9-5db23266-7de1babe-65b89b7b.jpg\n']
s50767671_2,p18906643,s50767671,2,Impression,"AP chest compared to ___ at 9:19 p.m.: Tip of the newly positioned endotracheal tube is in standard placement roughly 4 cm above the carina. Overlying apparatus obscures the upper lungs, but pulmonary vascular engorgement in the apices has worsened appreciably, accompanied by increase in moderate cardiomegaly, all suggesting cardiac decompensation, perhaps in the setting of hypotension. There is no florid pulmonary edema, large pleural effusion or any indication of pneumothorax. Upper enteric tube passes into the stomach and out of view.","Overlying apparatus obscures the upper lungs, but pulmonary vascular engorgement in the apices has worsened appreciably, accompanied by increase in moderate cardiomegaly, all suggesting cardiac decompensation, perhaps in the setting of hypotension.",Engorgement,Pulmonary vasculature in the apices,Worse,['files/p18/p18906643/s50767671/f60e6301-358d7f2f-b52c2c0c-ffea6e75-c35bdbe2.jpg'],['files/p18/p18906643/s50566099/155bc756-c4c5c4a9-5db23266-7de1babe-65b89b7b.jpg\n']
s50770541_1,p12189285,s50770541,1,Impression,Loculated fluid right base and chronic fluid in left base. There is probably a small amount of increased fluid over the prior radiograph. There is cardiomegaly and unusually orientated sternal wires probably reflecting sternal dehiscence.,There is probably a small amount of increased fluid over the prior radiograph.,fluid,,Worse,"['files/p12/p12189285/s50770541/b08c3092-a335c766-fe0ea6f9-111d9321-653bbdf3.jpg', 'files/p12/p12189285/s50770541/f65bb572-2af0f780-91ab57cd-38f9c60e-6f908c45.jpg']",
s50773892_10,p15204620,s50773892,10,Findings,"A right middle lobe consolidation persists and is consistent with the patient's known post-obstructive pneumonia. There is no new consolidation. A small right pleural effusion is unchanged. There is no pneumothorax. Mild enlargement of the right hilum is consistent with the patient's known lymphadenopathy, although it is better evaluated on recent CT scan. The cardiac silhouette is normal.",A right middle lobe consolidation persists and is consistent with the patient's known post-obstructive pneumonia.,consolidation,right middle lobe,Stable,['files/p15/p15204620/s50773892/30105040-38b1165a-cdffbc34-0acc1b2b-1a69a7b9.jpg'],['files/p15/p15204620/s50501667/174bc762-69cee932-214e862b-e75fe715-f1300a15.jpg\n']
s50773892_10,p15204620,s50773892,10,Impression,1. Stable right middle lobe pneumonia and small right pleural effusion. 2. No significant change from prior radiograph.,1. Stable right middle lobe pneumonia and small right pleural effusion.,pneumonia,right middle lobe,Stable,['files/p15/p15204620/s50773892/30105040-38b1165a-cdffbc34-0acc1b2b-1a69a7b9.jpg'],['files/p15/p15204620/s50501667/174bc762-69cee932-214e862b-e75fe715-f1300a15.jpg\n']
s50773892_10,p15204620,s50773892,10,Findings,"A right middle lobe consolidation persists and is consistent with the patient's known post-obstructive pneumonia. There is no new consolidation. A small right pleural effusion is unchanged. There is no pneumothorax. Mild enlargement of the right hilum is consistent with the patient's known lymphadenopathy, although it is better evaluated on recent CT scan. The cardiac silhouette is normal.",A small right pleural effusion is unchanged.,pleural effusion,right,Stable,['files/p15/p15204620/s50773892/30105040-38b1165a-cdffbc34-0acc1b2b-1a69a7b9.jpg'],['files/p15/p15204620/s50501667/174bc762-69cee932-214e862b-e75fe715-f1300a15.jpg\n']
s50773892_10,p15204620,s50773892,10,Impression,1. Stable right middle lobe pneumonia and small right pleural effusion. 2. No significant change from prior radiograph.,1. Stable right middle lobe pneumonia and small right pleural effusion.,pleural effusion,right,Stable,['files/p15/p15204620/s50773892/30105040-38b1165a-cdffbc34-0acc1b2b-1a69a7b9.jpg'],['files/p15/p15204620/s50501667/174bc762-69cee932-214e862b-e75fe715-f1300a15.jpg\n']
s50775929_3,p19765968,s50775929,3,Findings,"As compared to the previous radiograph, there is no relevant change. No definite proof of pneumonia. Unchanged borderline size of the cardiac silhouette without evidence of overt pulmonary edema. Minimal atelectasis at the left lung base and minimal bilateral pleural effusions restricted to the dorsal costophrenic sinuses, better appreciated on the lateral than on the frontal radiograph. Known skeletal changes.","As compared to the previous radiograph, there is no relevant change.",,,Stable,"['files/p19/p19765968/s50775929/49e89dc3-0e95e45b-179db5f6-6e61bad2-902512d4.jpg', 'files/p19/p19765968/s50775929/b4e5e6d9-372dda3f-636a7faa-cac88b07-a21496fe.jpg', 'files/p19/p19765968/s50775929/f1ca05c4-09fee68b-47910c46-b68fbcc0-dc070cab.jpg']","['files/p19/p19765968/s50660013/18c6d1c6-5a175b28-0ae9ed53-4ebd2486-22b5d00a.jpg\n', 'files/p19/p19765968/s50660013/52f0b961-a412d366-ca2a0a68-974520dc-8b534af4.jpg\n', 'files/p19/p19765968/s50660013/7a0b1a93-9a5295c9-3c92d2fa-4d39cdc3-78eddd8c.jpg\n', 'files/p19/p19765968/s50660013/bc589c1d-1abbef0a-78f9c190-81bdf6e8-e1429133.jpg\n']"
s50775929_3,p19765968,s50775929,3,Findings,"As compared to the previous radiograph, there is no relevant change. No definite proof of pneumonia. Unchanged borderline size of the cardiac silhouette without evidence of overt pulmonary edema. Minimal atelectasis at the left lung base and minimal bilateral pleural effusions restricted to the dorsal costophrenic sinuses, better appreciated on the lateral than on the frontal radiograph. Known skeletal changes.",Unchanged borderline size of the cardiac silhouette without evidence of overt pulmonary edema.,cardiac silhouette size,,Stable,"['files/p19/p19765968/s50775929/49e89dc3-0e95e45b-179db5f6-6e61bad2-902512d4.jpg', 'files/p19/p19765968/s50775929/b4e5e6d9-372dda3f-636a7faa-cac88b07-a21496fe.jpg', 'files/p19/p19765968/s50775929/f1ca05c4-09fee68b-47910c46-b68fbcc0-dc070cab.jpg']","['files/p19/p19765968/s50660013/18c6d1c6-5a175b28-0ae9ed53-4ebd2486-22b5d00a.jpg\n', 'files/p19/p19765968/s50660013/52f0b961-a412d366-ca2a0a68-974520dc-8b534af4.jpg\n', 'files/p19/p19765968/s50660013/7a0b1a93-9a5295c9-3c92d2fa-4d39cdc3-78eddd8c.jpg\n', 'files/p19/p19765968/s50660013/bc589c1d-1abbef0a-78f9c190-81bdf6e8-e1429133.jpg\n']"
s50776901_7,p16050730,s50776901,7,Findings,There has been interval removal of a right internal jugular central venous catheter. Cardiac and mediastinal silhouettes are grossly stable given differences in patient position. Mild prominence of the hila suggest central pulmonary vascular engorgement with mild peribronchial cuffing. No definite focal consolidation is seen. No large pleural effusion or pneumothorax is seen.,There has been interval removal of a right internal jugular central venous catheter.,central venous catheter,right internal jugular,Resolve,['files/p16/p16050730/s50776901/b57f6693-0b6cfcff-9a77d958-c0a4c1f5-fab766d2.jpg'],
s50776901_7,p16050730,s50776901,7,Findings,There has been interval removal of a right internal jugular central venous catheter. Cardiac and mediastinal silhouettes are grossly stable given differences in patient position. Mild prominence of the hila suggest central pulmonary vascular engorgement with mild peribronchial cuffing. No definite focal consolidation is seen. No large pleural effusion or pneumothorax is seen.,Cardiac and mediastinal silhouettes are grossly stable given differences in patient position.,Cardiac and mediastinal silhouettes,,Stable,['files/p16/p16050730/s50776901/b57f6693-0b6cfcff-9a77d958-c0a4c1f5-fab766d2.jpg'],
s50780353_23,p18224196,s50780353,23,Impression,No significant change in appearance of small bilateral pleural effusions and left base atelectasis since ___.,No significant change in appearance of small bilateral pleural effusions and left base atelectasis since ___.,pleural effusions,bilateral,Stable,['files/p18/p18224196/s50780353/90e79548-fcbab121-6100c047-b413fab9-912f13a5.jpg'],"['files/p18/p18224196/s50633646/23a461cb-eb3f1804-b272899e-c6e30098-39682b9c.jpg\n', 'files/p18/p18224196/s50633646/8c2fce76-c091c053-ef8d7d20-227a5611-f281c15c.jpg\n', 'files/p18/p18224196/s50633646/a9991719-341a4cd1-b3b0c49c-17109b1c-238517f4.jpg\n']"
s50780353_23,p18224196,s50780353,23,Findings,"Again seen is the bilateral small pleural effusions and left base atelectasis. Cardiac silhouette is unchanged. There is no pneumothorax. Again noted is the median sternotomy wires, valve replacements, and Dobhoff tube in expected positions. Changes in the right proximal humerus consistent with previous fracture better seen on shoulder radiographs from ___.",Cardiac silhouette is unchanged.,Cardiac silhouette,,Stable,['files/p18/p18224196/s50780353/90e79548-fcbab121-6100c047-b413fab9-912f13a5.jpg'],"['files/p18/p18224196/s50633646/23a461cb-eb3f1804-b272899e-c6e30098-39682b9c.jpg\n', 'files/p18/p18224196/s50633646/8c2fce76-c091c053-ef8d7d20-227a5611-f281c15c.jpg\n', 'files/p18/p18224196/s50633646/a9991719-341a4cd1-b3b0c49c-17109b1c-238517f4.jpg\n']"
s50780353_23,p18224196,s50780353,23,Impression,No significant change in appearance of small bilateral pleural effusions and left base atelectasis since ___.,No significant change in appearance of small bilateral pleural effusions and left base atelectasis since ___.,atelectasis,left base,Stable,['files/p18/p18224196/s50780353/90e79548-fcbab121-6100c047-b413fab9-912f13a5.jpg'],"['files/p18/p18224196/s50633646/23a461cb-eb3f1804-b272899e-c6e30098-39682b9c.jpg\n', 'files/p18/p18224196/s50633646/8c2fce76-c091c053-ef8d7d20-227a5611-f281c15c.jpg\n', 'files/p18/p18224196/s50633646/a9991719-341a4cd1-b3b0c49c-17109b1c-238517f4.jpg\n']"
s50790949_2,p11607628,s50790949,2,Findings,"Comparison is made to prior study of ___. The endotracheal tube, feeding tube, and right IJ central venous catheter are stable in position. There is again seen cardiomegaly and left retrocardiac opacity, which is unchanged. There are no pneumothoraces or signs for overt pulmonary edema. A small right-sided pleural effusion is also present.","The endotracheal tube, feeding tube, and right IJ central venous catheter are stable in position.",tube,feeding,Stable,['files/p11/p11607628/s50790949/eaa862a2-6c57e3ea-bad4024a-564f7f14-d963c808.jpg'],
s50790949_2,p11607628,s50790949,2,Findings,"Comparison is made to prior study of ___. The endotracheal tube, feeding tube, and right IJ central venous catheter are stable in position. There is again seen cardiomegaly and left retrocardiac opacity, which is unchanged. There are no pneumothoraces or signs for overt pulmonary edema. A small right-sided pleural effusion is also present.","There is again seen cardiomegaly and left retrocardiac opacity, which is unchanged.",opacity,left retrocardiac,Stable,['files/p11/p11607628/s50790949/eaa862a2-6c57e3ea-bad4024a-564f7f14-d963c808.jpg'],
s50790949_2,p11607628,s50790949,2,Findings,"Comparison is made to prior study of ___. The endotracheal tube, feeding tube, and right IJ central venous catheter are stable in position. There is again seen cardiomegaly and left retrocardiac opacity, which is unchanged. There are no pneumothoraces or signs for overt pulmonary edema. A small right-sided pleural effusion is also present.","The endotracheal tube, feeding tube, and right IJ central venous catheter are stable in position.",central venous catheter,right IJ,Stable,['files/p11/p11607628/s50790949/eaa862a2-6c57e3ea-bad4024a-564f7f14-d963c808.jpg'],
s50790949_2,p11607628,s50790949,2,Findings,"Comparison is made to prior study of ___. The endotracheal tube, feeding tube, and right IJ central venous catheter are stable in position. There is again seen cardiomegaly and left retrocardiac opacity, which is unchanged. There are no pneumothoraces or signs for overt pulmonary edema. A small right-sided pleural effusion is also present.","There is again seen cardiomegaly and left retrocardiac opacity, which is unchanged.",cardiomegaly,,Stable,['files/p11/p11607628/s50790949/eaa862a2-6c57e3ea-bad4024a-564f7f14-d963c808.jpg'],
s50790949_2,p11607628,s50790949,2,Findings,"Comparison is made to prior study of ___. The endotracheal tube, feeding tube, and right IJ central venous catheter are stable in position. There is again seen cardiomegaly and left retrocardiac opacity, which is unchanged. There are no pneumothoraces or signs for overt pulmonary edema. A small right-sided pleural effusion is also present.","The endotracheal tube, feeding tube, and right IJ central venous catheter are stable in position.",tube,endotracheal,Stable,['files/p11/p11607628/s50790949/eaa862a2-6c57e3ea-bad4024a-564f7f14-d963c808.jpg'],
s50792961_27,p14841168,s50792961,27,Findings,"Compared to the prior radiograph, lung volumes remain low. Streaky opacity in the left lung base is likely atelectasis, and similar to the prior radiograph. No focal opacity identified at the left lung base on concurrent CT. Moderate cardiomegaly is unchanged. The mediastinal and hilar contours are stable. No pneumothorax is identified.","Compared to the prior radiograph, lung volumes remain low.",Volumes,Lung,Stable,"['files/p14/p14841168/s50792961/573facce-127da328-97902cbc-3447051c-a4dbdcaa.jpg', 'files/p14/p14841168/s50792961/786239e7-5c2c7f97-0c5c6b36-f8e00af3-91804ffc.jpg', 'files/p14/p14841168/s50792961/f2795cb8-461db7d5-3a023168-8b1300eb-d418d99f.jpg']",['files/p14/p14841168/s50382908/661a83d2-e84a4cd7-d05d7218-a81de999-15a66bea.jpg\n']
s50792961_27,p14841168,s50792961,27,Findings,"Compared to the prior radiograph, lung volumes remain low. Streaky opacity in the left lung base is likely atelectasis, and similar to the prior radiograph. No focal opacity identified at the left lung base on concurrent CT. Moderate cardiomegaly is unchanged. The mediastinal and hilar contours are stable. No pneumothorax is identified.","Streaky opacity in the left lung base is likely atelectasis, and similar to the prior radiograph.",Streaky opacity,Left lung base,Stable,"['files/p14/p14841168/s50792961/573facce-127da328-97902cbc-3447051c-a4dbdcaa.jpg', 'files/p14/p14841168/s50792961/786239e7-5c2c7f97-0c5c6b36-f8e00af3-91804ffc.jpg', 'files/p14/p14841168/s50792961/f2795cb8-461db7d5-3a023168-8b1300eb-d418d99f.jpg']",['files/p14/p14841168/s50382908/661a83d2-e84a4cd7-d05d7218-a81de999-15a66bea.jpg\n']
s50792961_27,p14841168,s50792961,27,Findings,"Compared to the prior radiograph, lung volumes remain low. Streaky opacity in the left lung base is likely atelectasis, and similar to the prior radiograph. No focal opacity identified at the left lung base on concurrent CT. Moderate cardiomegaly is unchanged. The mediastinal and hilar contours are stable. No pneumothorax is identified.",Moderate cardiomegaly is unchanged.,Cardiomegaly,Cardiac,Stable,"['files/p14/p14841168/s50792961/573facce-127da328-97902cbc-3447051c-a4dbdcaa.jpg', 'files/p14/p14841168/s50792961/786239e7-5c2c7f97-0c5c6b36-f8e00af3-91804ffc.jpg', 'files/p14/p14841168/s50792961/f2795cb8-461db7d5-3a023168-8b1300eb-d418d99f.jpg']",['files/p14/p14841168/s50382908/661a83d2-e84a4cd7-d05d7218-a81de999-15a66bea.jpg\n']
s50792961_27,p14841168,s50792961,27,Findings,"Compared to the prior radiograph, lung volumes remain low. Streaky opacity in the left lung base is likely atelectasis, and similar to the prior radiograph. No focal opacity identified at the left lung base on concurrent CT. Moderate cardiomegaly is unchanged. The mediastinal and hilar contours are stable. No pneumothorax is identified.",The mediastinal and hilar contours are stable.,Contours,Mediastinal and hilar,Stable,"['files/p14/p14841168/s50792961/573facce-127da328-97902cbc-3447051c-a4dbdcaa.jpg', 'files/p14/p14841168/s50792961/786239e7-5c2c7f97-0c5c6b36-f8e00af3-91804ffc.jpg', 'files/p14/p14841168/s50792961/f2795cb8-461db7d5-3a023168-8b1300eb-d418d99f.jpg']",['files/p14/p14841168/s50382908/661a83d2-e84a4cd7-d05d7218-a81de999-15a66bea.jpg\n']
s50796456_36,p14841168,s50796456,36,Impression,"Comparison to ___. No relevant change. The position of the endotracheal tube, of the left central venous access line and of the feeding tube is stable. Moderate trach intracardiac atelectasis. Mild cardiomegaly. Mild pulmonary edema. A pre-existing right lower lung atelectasis has resolved.","The position of the endotracheal tube, of the left central venous access line and of the feeding tube is stable.",endotracheal tube,,Stable,['files/p14/p14841168/s50796456/32857e2f-0b7d1d34-77083bdf-dc8f1be8-d456e85c.jpg'],"['files/p14/p14841168/s50792961/573facce-127da328-97902cbc-3447051c-a4dbdcaa.jpg\n', 'files/p14/p14841168/s50792961/786239e7-5c2c7f97-0c5c6b36-f8e00af3-91804ffc.jpg\n', 'files/p14/p14841168/s50792961/f2795cb8-461db7d5-3a023168-8b1300eb-d418d99f.jpg\n']"
s50796456_36,p14841168,s50796456,36,Impression,"Comparison to ___. No relevant change. The position of the endotracheal tube, of the left central venous access line and of the feeding tube is stable. Moderate trach intracardiac atelectasis. Mild cardiomegaly. Mild pulmonary edema. A pre-existing right lower lung atelectasis has resolved.","The position of the endotracheal tube, of the left central venous access line and of the feeding tube is stable.",left central venous access line,,Stable,['files/p14/p14841168/s50796456/32857e2f-0b7d1d34-77083bdf-dc8f1be8-d456e85c.jpg'],"['files/p14/p14841168/s50792961/573facce-127da328-97902cbc-3447051c-a4dbdcaa.jpg\n', 'files/p14/p14841168/s50792961/786239e7-5c2c7f97-0c5c6b36-f8e00af3-91804ffc.jpg\n', 'files/p14/p14841168/s50792961/f2795cb8-461db7d5-3a023168-8b1300eb-d418d99f.jpg\n']"
s50796456_36,p14841168,s50796456,36,Impression,"Comparison to ___. No relevant change. The position of the endotracheal tube, of the left central venous access line and of the feeding tube is stable. Moderate trach intracardiac atelectasis. Mild cardiomegaly. Mild pulmonary edema. A pre-existing right lower lung atelectasis has resolved.","The position of the endotracheal tube, of the left central venous access line and of the feeding tube is stable.",feeding tube,,Stable,['files/p14/p14841168/s50796456/32857e2f-0b7d1d34-77083bdf-dc8f1be8-d456e85c.jpg'],"['files/p14/p14841168/s50792961/573facce-127da328-97902cbc-3447051c-a4dbdcaa.jpg\n', 'files/p14/p14841168/s50792961/786239e7-5c2c7f97-0c5c6b36-f8e00af3-91804ffc.jpg\n', 'files/p14/p14841168/s50792961/f2795cb8-461db7d5-3a023168-8b1300eb-d418d99f.jpg\n']"
s50796456_36,p14841168,s50796456,36,Impression,"Comparison to ___. No relevant change. The position of the endotracheal tube, of the left central venous access line and of the feeding tube is stable. Moderate trach intracardiac atelectasis. Mild cardiomegaly. Mild pulmonary edema. A pre-existing right lower lung atelectasis has resolved.",A pre-existing right lower lung atelectasis has resolved.,atelectasis,right lower lung,Resolve,['files/p14/p14841168/s50796456/32857e2f-0b7d1d34-77083bdf-dc8f1be8-d456e85c.jpg'],"['files/p14/p14841168/s50792961/573facce-127da328-97902cbc-3447051c-a4dbdcaa.jpg\n', 'files/p14/p14841168/s50792961/786239e7-5c2c7f97-0c5c6b36-f8e00af3-91804ffc.jpg\n', 'files/p14/p14841168/s50792961/f2795cb8-461db7d5-3a023168-8b1300eb-d418d99f.jpg\n']"
s50799000_15,p19720782,s50799000,15,Impression,"Right PIC line has been pulled back to the low right axilla since ___. Moderate right pleural effusion and large right hilar mass unchanged. New opacification at the base the left lung could be early edema or incipient pneumonia, particularly due to aspiration. Heart size is normal.",Moderate right pleural effusion and large right hilar mass unchanged,pleural effusion,right,Stable,"['files/p19/p19720782/s50799000/128b344f-88f10d4b-0735a3f3-e1e0a2d0-f9c38e84.jpg', 'files/p19/p19720782/s50799000/c0a270fd-e635e760-25105a1f-25fde453-b521148c.jpg']",['files/p19/p19720782/s50371697/65275408-6db6d9a9-13c023c8-a6a96579-434dee3d.jpg\n']
s50799000_15,p19720782,s50799000,15,Impression,"Right PIC line has been pulled back to the low right axilla since ___. Moderate right pleural effusion and large right hilar mass unchanged. New opacification at the base the left lung could be early edema or incipient pneumonia, particularly due to aspiration. Heart size is normal.",Moderate right pleural effusion and large right hilar mass unchanged,hilar mass,right,Stable,"['files/p19/p19720782/s50799000/128b344f-88f10d4b-0735a3f3-e1e0a2d0-f9c38e84.jpg', 'files/p19/p19720782/s50799000/c0a270fd-e635e760-25105a1f-25fde453-b521148c.jpg']",['files/p19/p19720782/s50371697/65275408-6db6d9a9-13c023c8-a6a96579-434dee3d.jpg\n']
s50799000_15,p19720782,s50799000,15,Impression,"Right PIC line has been pulled back to the low right axilla since ___. Moderate right pleural effusion and large right hilar mass unchanged. New opacification at the base the left lung could be early edema or incipient pneumonia, particularly due to aspiration. Heart size is normal.","New opacification at the base the left lung could be early edema or incipient pneumonia, particularly due to aspiration",opacification,base of the left lung,New,"['files/p19/p19720782/s50799000/128b344f-88f10d4b-0735a3f3-e1e0a2d0-f9c38e84.jpg', 'files/p19/p19720782/s50799000/c0a270fd-e635e760-25105a1f-25fde453-b521148c.jpg']",['files/p19/p19720782/s50371697/65275408-6db6d9a9-13c023c8-a6a96579-434dee3d.jpg\n']
s50801992_5,p16672854,s50801992,5,Findings,moderate cardiomegaly persists. There are new diffuse bilateral hazy opacities suggestive of moderate increase in pulmonary central venous pressure. Mid sternotomy wires appear intact. Lungs are without focal consolidation. Bilateral small pleural effusions may be present. No acute fracture is identified.,moderate cardiomegaly persists.,cardiomegaly,,Stable,"['files/p16/p16672854/s50801992/8ce5b932-2d8ffc38-cb498d1d-80d458cd-cec8ac86.jpg', 'files/p16/p16672854/s50801992/e75af3b7-a3b4f881-b1f68642-609d0775-916ece62.jpg']",
s50801992_5,p16672854,s50801992,5,Findings,moderate cardiomegaly persists. There are new diffuse bilateral hazy opacities suggestive of moderate increase in pulmonary central venous pressure. Mid sternotomy wires appear intact. Lungs are without focal consolidation. Bilateral small pleural effusions may be present. No acute fracture is identified.,There are new diffuse bilateral hazy opacities suggestive of moderate increase in pulmonary central venous pressure.,hazy opacities,bilateral,New,"['files/p16/p16672854/s50801992/8ce5b932-2d8ffc38-cb498d1d-80d458cd-cec8ac86.jpg', 'files/p16/p16672854/s50801992/e75af3b7-a3b4f881-b1f68642-609d0775-916ece62.jpg']",
s50801992_5,p16672854,s50801992,5,Impression,New bilateral hazy opacities with persistent moderate cardiomegaly. These findings are likely representative of moderate pulmonary edema due to congestive heart failure.,New bilateral hazy opacities with persistent moderate cardiomegaly.,hazy opacities,bilateral,New,"['files/p16/p16672854/s50801992/8ce5b932-2d8ffc38-cb498d1d-80d458cd-cec8ac86.jpg', 'files/p16/p16672854/s50801992/e75af3b7-a3b4f881-b1f68642-609d0775-916ece62.jpg']",
s50801992_5,p16672854,s50801992,5,Impression,New bilateral hazy opacities with persistent moderate cardiomegaly. These findings are likely representative of moderate pulmonary edema due to congestive heart failure.,New bilateral hazy opacities with persistent moderate cardiomegaly.,cardiomegaly,,Stable,"['files/p16/p16672854/s50801992/8ce5b932-2d8ffc38-cb498d1d-80d458cd-cec8ac86.jpg', 'files/p16/p16672854/s50801992/e75af3b7-a3b4f881-b1f68642-609d0775-916ece62.jpg']",
s50802157_11,p12952223,s50802157,11,Findings,"Comparison is made to previous study from five hours earlier. Bilateral pleural effusions are again seen, right side worse than left. There is cardiomegaly. There is mild-to-moderate pulmonary edema with prominence of pulmonary interstitial markings. There is a right IJ catheter with distal lead tip in the right atrium. This could be pulled back 4 cm for more optimal placement. There is calcification adjacent to the soft tissues of the right shoulder which can be seen with calcific tendinitis or tumoral calcinosis.","Bilateral pleural effusions are again seen, right side worse than left.",pleural effusions,bilateral,Worse,['files/p12/p12952223/s50802157/ceeb934a-c305e7cc-8fb84dc9-13a7b24c-ef709a44.jpg'],"['files/p12/p12952223/s50702561/8e700e7f-b752c821-263c6c31-3eea5efb-66e355ea.jpg\n', 'files/p12/p12952223/s50702561/b7fbe6c5-f2486f77-e2ba42aa-5ad58645-6f620be5.jpg\n']"
s50810335_5,p19454978,s50810335,5,Findings,"AP and lateral views of the chest. Bibasilar atelectasis is mild. No pleural effusion or pneumothorax. Moderate cardiomegaly, severe pulmonary artery dilatation and moderate pulmonary vascular congestion are similar.","Moderate cardiomegaly, severe pulmonary artery dilatation and moderate pulmonary vascular congestion are similar.",cardiomegaly,,Stable,"['files/p19/p19454978/s50810335/1cd8224d-c54f75c5-40100521-82169222-61354765.jpg', 'files/p19/p19454978/s50810335/b52282c3-1c808e3a-7ffee928-83083ac2-8cff0c2d.jpg']",['files/p19/p19454978/s50520166/7a61d475-697617d7-8f7bacca-80d56a97-5a83bbd7.jpg\n']
s50810335_5,p19454978,s50810335,5,Findings,"AP and lateral views of the chest. Bibasilar atelectasis is mild. No pleural effusion or pneumothorax. Moderate cardiomegaly, severe pulmonary artery dilatation and moderate pulmonary vascular congestion are similar.","Moderate cardiomegaly, severe pulmonary artery dilatation and moderate pulmonary vascular congestion are similar.",pulmonary artery dilatation,,Stable,"['files/p19/p19454978/s50810335/1cd8224d-c54f75c5-40100521-82169222-61354765.jpg', 'files/p19/p19454978/s50810335/b52282c3-1c808e3a-7ffee928-83083ac2-8cff0c2d.jpg']",['files/p19/p19454978/s50520166/7a61d475-697617d7-8f7bacca-80d56a97-5a83bbd7.jpg\n']
s50810335_5,p19454978,s50810335,5,Findings,"AP and lateral views of the chest. Bibasilar atelectasis is mild. No pleural effusion or pneumothorax. Moderate cardiomegaly, severe pulmonary artery dilatation and moderate pulmonary vascular congestion are similar.","Moderate cardiomegaly, severe pulmonary artery dilatation and moderate pulmonary vascular congestion are similar.",pulmonary vascular congestion,,Stable,"['files/p19/p19454978/s50810335/1cd8224d-c54f75c5-40100521-82169222-61354765.jpg', 'files/p19/p19454978/s50810335/b52282c3-1c808e3a-7ffee928-83083ac2-8cff0c2d.jpg']",['files/p19/p19454978/s50520166/7a61d475-697617d7-8f7bacca-80d56a97-5a83bbd7.jpg\n']
s50818829_16,p16508811,s50818829,16,Findings,A left-sided internal jugular catheter is stable in position. A right-sided internal jugular dialysis catheter is also stable. There is no pneumothorax. Bibasilar pulmonary opacities are increasing from the prior examination done yesterday and are likely related to increasing pulmonary edema and atelectasis.,A right-sided internal jugular dialysis catheter is also stable.,dialysis catheter,right-sided internal jugular,Stable,['files/p16/p16508811/s50818829/c2f49f11-42bbe227-0e97f6b4-10ea93f4-e05ef9fb.jpg'],"['files/p16/p16508811/s50706776/55075506-31f28698-900b686f-bf4d78e8-3c2a322e.jpg\n', 'files/p16/p16508811/s50706776/77ab84c4-ba890f3a-4d161cb1-8516d2ff-ba5e1842.jpg\n', 'files/p16/p16508811/s50706776/7a448024-34b46da3-0662ce39-3a69ebb7-30625b25.jpg\n']"
s50818829_16,p16508811,s50818829,16,Impression,Bibasilar airspace opacities are increasing and are likely related to worsening pulmonary edema and atelectasis.,Bibasilar airspace opacities are increasing and are likely related to worsening pulmonary edema and atelectasis.,airspace opacities,bibasilar,Worse,['files/p16/p16508811/s50818829/c2f49f11-42bbe227-0e97f6b4-10ea93f4-e05ef9fb.jpg'],"['files/p16/p16508811/s50706776/55075506-31f28698-900b686f-bf4d78e8-3c2a322e.jpg\n', 'files/p16/p16508811/s50706776/77ab84c4-ba890f3a-4d161cb1-8516d2ff-ba5e1842.jpg\n', 'files/p16/p16508811/s50706776/7a448024-34b46da3-0662ce39-3a69ebb7-30625b25.jpg\n']"
s50818829_16,p16508811,s50818829,16,Findings,A left-sided internal jugular catheter is stable in position. A right-sided internal jugular dialysis catheter is also stable. There is no pneumothorax. Bibasilar pulmonary opacities are increasing from the prior examination done yesterday and are likely related to increasing pulmonary edema and atelectasis.,Bibasilar pulmonary opacities are increasing from the prior examination done yesterday and are likely related to increasing pulmonary edema and atelectasis.,pulmonary opacities,bibasilar,Worse,['files/p16/p16508811/s50818829/c2f49f11-42bbe227-0e97f6b4-10ea93f4-e05ef9fb.jpg'],"['files/p16/p16508811/s50706776/55075506-31f28698-900b686f-bf4d78e8-3c2a322e.jpg\n', 'files/p16/p16508811/s50706776/77ab84c4-ba890f3a-4d161cb1-8516d2ff-ba5e1842.jpg\n', 'files/p16/p16508811/s50706776/7a448024-34b46da3-0662ce39-3a69ebb7-30625b25.jpg\n']"
s50818829_16,p16508811,s50818829,16,Findings,A left-sided internal jugular catheter is stable in position. A right-sided internal jugular dialysis catheter is also stable. There is no pneumothorax. Bibasilar pulmonary opacities are increasing from the prior examination done yesterday and are likely related to increasing pulmonary edema and atelectasis.,A left-sided internal jugular catheter is stable in position.,catheter,left-sided internal jugular,Stable,['files/p16/p16508811/s50818829/c2f49f11-42bbe227-0e97f6b4-10ea93f4-e05ef9fb.jpg'],"['files/p16/p16508811/s50706776/55075506-31f28698-900b686f-bf4d78e8-3c2a322e.jpg\n', 'files/p16/p16508811/s50706776/77ab84c4-ba890f3a-4d161cb1-8516d2ff-ba5e1842.jpg\n', 'files/p16/p16508811/s50706776/7a448024-34b46da3-0662ce39-3a69ebb7-30625b25.jpg\n']"
s50821093_32,p14851532,s50821093,32,Findings,"The heart is again mildly enlarged. The mediastinal and hilar contours appear unchanged. Pleural effusions have more fully resolved. There is persistent patchy opacification of the right mid upper and left upper lungs, which are background findings. Streaky left basilar opacity also has improved. Pulmonary edema has more fully resolved. A PICC line again terminates in the superior vena cava.",Streaky left basilar opacity also has improved.,opacity,left basilar,Better,"['files/p14/p14851532/s50821093/ed99367d-40622c55-5e8aa563-da1eedd8-50f5284f.jpg', 'files/p14/p14851532/s50821093/f0c7fed9-f0dd13bd-29757304-7d67a895-423549b2.jpg']",['files/p14/p14851532/s50686747/6da80776-b8a61cbe-7898eaa5-29b7ca8f-c0ea57e5.jpg\n']
s50821093_32,p14851532,s50821093,32,Findings,"The heart is again mildly enlarged. The mediastinal and hilar contours appear unchanged. Pleural effusions have more fully resolved. There is persistent patchy opacification of the right mid upper and left upper lungs, which are background findings. Streaky left basilar opacity also has improved. Pulmonary edema has more fully resolved. A PICC line again terminates in the superior vena cava.",The mediastinal and hilar contours appear unchanged.,contours,mediastinal and hilar,Stable,"['files/p14/p14851532/s50821093/ed99367d-40622c55-5e8aa563-da1eedd8-50f5284f.jpg', 'files/p14/p14851532/s50821093/f0c7fed9-f0dd13bd-29757304-7d67a895-423549b2.jpg']",['files/p14/p14851532/s50686747/6da80776-b8a61cbe-7898eaa5-29b7ca8f-c0ea57e5.jpg\n']
s50821093_32,p14851532,s50821093,32,Findings,"The heart is again mildly enlarged. The mediastinal and hilar contours appear unchanged. Pleural effusions have more fully resolved. There is persistent patchy opacification of the right mid upper and left upper lungs, which are background findings. Streaky left basilar opacity also has improved. Pulmonary edema has more fully resolved. A PICC line again terminates in the superior vena cava.",Pleural effusions have more fully resolved.,Pleural effusions,,Resolve,"['files/p14/p14851532/s50821093/ed99367d-40622c55-5e8aa563-da1eedd8-50f5284f.jpg', 'files/p14/p14851532/s50821093/f0c7fed9-f0dd13bd-29757304-7d67a895-423549b2.jpg']",['files/p14/p14851532/s50686747/6da80776-b8a61cbe-7898eaa5-29b7ca8f-c0ea57e5.jpg\n']
s50821093_32,p14851532,s50821093,32,Findings,"The heart is again mildly enlarged. The mediastinal and hilar contours appear unchanged. Pleural effusions have more fully resolved. There is persistent patchy opacification of the right mid upper and left upper lungs, which are background findings. Streaky left basilar opacity also has improved. Pulmonary edema has more fully resolved. A PICC line again terminates in the superior vena cava.","There is persistent patchy opacification of the right mid upper and left upper lungs, which are background findings.",patchy opacification,right mid upper and left upper lungs,Stable,"['files/p14/p14851532/s50821093/ed99367d-40622c55-5e8aa563-da1eedd8-50f5284f.jpg', 'files/p14/p14851532/s50821093/f0c7fed9-f0dd13bd-29757304-7d67a895-423549b2.jpg']",['files/p14/p14851532/s50686747/6da80776-b8a61cbe-7898eaa5-29b7ca8f-c0ea57e5.jpg\n']
s50821093_32,p14851532,s50821093,32,Findings,"The heart is again mildly enlarged. The mediastinal and hilar contours appear unchanged. Pleural effusions have more fully resolved. There is persistent patchy opacification of the right mid upper and left upper lungs, which are background findings. Streaky left basilar opacity also has improved. Pulmonary edema has more fully resolved. A PICC line again terminates in the superior vena cava.",Pulmonary edema has more fully resolved.,Pulmonary edema,,Resolve,"['files/p14/p14851532/s50821093/ed99367d-40622c55-5e8aa563-da1eedd8-50f5284f.jpg', 'files/p14/p14851532/s50821093/f0c7fed9-f0dd13bd-29757304-7d67a895-423549b2.jpg']",['files/p14/p14851532/s50686747/6da80776-b8a61cbe-7898eaa5-29b7ca8f-c0ea57e5.jpg\n']
s50822353_2,p18835687,s50822353,2,Findings,"PA and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The aorta is mildly tortuous, unchanged.","The aorta is mildly tortuous, unchanged.",mildly tortuous aorta,,Stable,"['files/p18/p18835687/s50822353/42cb7646-ac2acc5b-504f6247-07366b48-3d2bd573.jpg', 'files/p18/p18835687/s50822353/622257bb-496a36b2-e8d31897-1bcc260d-c1d607d2.jpg']",['files/p18/p18835687/s50547182/423fc237-2b2e1394-e5255f87-97ae0a26-96fd38d9.jpg\n']
s50827294_5,p12963531,s50827294,5,Impression,"Severe enlargement of the cardiac siillouhette, unchanged, likely cardiomegaly.","Severe enlargement of the cardiac siillouhette, unchanged, likely cardiomegaly.",severe enlargement,cardiac silhouette,Stable,"['files/p12/p12963531/s50827294/2f367971-fd362569-13656215-c6b98024-ea2cf207.jpg', 'files/p12/p12963531/s50827294/ddd9741c-9e15a25a-d4b08e32-9ee083c4-b7671def.jpg']",
s50827294_5,p12963531,s50827294,5,Findings,"PA and lateral views of the chest. Again seen is severe enlargement of the cardiac sillouhette. There is no focal consolidation, pleural effusion, or pneumothorax. The mediastinal and hilar contours are unchanged. A right central venous catheter has been removed.",A right central venous catheter has been removed.,venous catheter,right central,Resolve,"['files/p12/p12963531/s50827294/2f367971-fd362569-13656215-c6b98024-ea2cf207.jpg', 'files/p12/p12963531/s50827294/ddd9741c-9e15a25a-d4b08e32-9ee083c4-b7671def.jpg']",
s50827294_5,p12963531,s50827294,5,Findings,"PA and lateral views of the chest. Again seen is severe enlargement of the cardiac sillouhette. There is no focal consolidation, pleural effusion, or pneumothorax. The mediastinal and hilar contours are unchanged. A right central venous catheter has been removed.",The mediastinal and hilar contours are unchanged.,,mediastinal and hilar contours,Stable,"['files/p12/p12963531/s50827294/2f367971-fd362569-13656215-c6b98024-ea2cf207.jpg', 'files/p12/p12963531/s50827294/ddd9741c-9e15a25a-d4b08e32-9ee083c4-b7671def.jpg']",
s50827294_5,p12963531,s50827294,5,Findings,"PA and lateral views of the chest. Again seen is severe enlargement of the cardiac sillouhette. There is no focal consolidation, pleural effusion, or pneumothorax. The mediastinal and hilar contours are unchanged. A right central venous catheter has been removed.",Again seen is severe enlargement of the cardiac sillouhette.,severe enlargement,cardiac silhouette,Stable,"['files/p12/p12963531/s50827294/2f367971-fd362569-13656215-c6b98024-ea2cf207.jpg', 'files/p12/p12963531/s50827294/ddd9741c-9e15a25a-d4b08e32-9ee083c4-b7671def.jpg']",
s50829485_4,p17032538,s50829485,4,Impression,"AP chest compared to ___: Minimal edema persists in the left lung. Large region of consolidation inferior to the central lungs and pleural scarring has not cleared. Heart size is normal. ET tube is in standard placement. Feeding tube ends in the upper stomach. Denser right pleural thickening is chronic, but more pronounced today than in ___. No pneumothorax.",AP chest compared to ___: Minimal edema persists in the left lung.,edema,left,Stable,['files/p17/p17032538/s50829485/b8f743d0-49b92246-83708dd6-caec53a5-fa07d8f5.jpg'],
s50829485_4,p17032538,s50829485,4,Impression,"AP chest compared to ___: Minimal edema persists in the left lung. Large region of consolidation inferior to the central lungs and pleural scarring has not cleared. Heart size is normal. ET tube is in standard placement. Feeding tube ends in the upper stomach. Denser right pleural thickening is chronic, but more pronounced today than in ___. No pneumothorax.",Large region of consolidation inferior to the central lungs and pleural scarring has not cleared.,consolidation and pleural scarring,inferior to the central lungs,Stable,['files/p17/p17032538/s50829485/b8f743d0-49b92246-83708dd6-caec53a5-fa07d8f5.jpg'],
s50829485_4,p17032538,s50829485,4,Impression,"AP chest compared to ___: Minimal edema persists in the left lung. Large region of consolidation inferior to the central lungs and pleural scarring has not cleared. Heart size is normal. ET tube is in standard placement. Feeding tube ends in the upper stomach. Denser right pleural thickening is chronic, but more pronounced today than in ___. No pneumothorax.","Denser right pleural thickening is chronic, but more pronounced today than in ___.",pleural thickening,right,Worse,['files/p17/p17032538/s50829485/b8f743d0-49b92246-83708dd6-caec53a5-fa07d8f5.jpg'],
s50830952_1,p13586204,s50830952,1,Findings,"In comparison with the study of ___, there is slightly less opacification at the left base. This is most consistent with atelectasis and effusion, though in the appropriate clinical setting, supervening pneumonia would have to be considered. Specifically, no evidence of pneumothorax. No acute focal pneumonia.","In comparison with the study of ___, there is slightly less opacification at the left base. This is most consistent with atelectasis and effusion, though in the appropriate clinical setting, supervening pneumonia would have to be considered.",opacification,left base,Better,['files/p13/p13586204/s50830952/68e78cda-4586bb4f-29822ae6-fbe7ad84-af842685.jpg'],['files/p13/p13586204/s50270173/8dbd2003-7d7887eb-6d6e4bad-7b02ceed-acdeda24.jpg\n']
s50833716_15,p16751749,s50833716,15,Findings,"AP single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of ___. The patient remains intubated, the EGD in unchanged position. The same holds for a previously described left subclavian central venous line terminating overlying the SVC at the level 2 cm above the carina. Right-sided chest tube remains in place, also in unchanged position. Extensive bilateral chest wall emphysema as before. No new local parenchymal infiltrates are seen, and the heart is not enlarged.",Extensive bilateral chest wall emphysema as before.,chest wall emphysema,bilateral,Stable,['files/p16/p16751749/s50833716/a591be11-255de340-3ac24e9b-fd6f9e96-878103e2.jpg'],['files/p16/p16751749/s50795677/aaf8a24a-aa94d1ac-0c8bf9e2-7a786f52-61f413f3.jpg\n']
s50833716_15,p16751749,s50833716,15,Impression,Stable chest findings with extensive bilateral chest wall emphysema.,Stable chest findings with extensive bilateral chest wall emphysema.,chest wall emphysema,bilateral,Stable,['files/p16/p16751749/s50833716/a591be11-255de340-3ac24e9b-fd6f9e96-878103e2.jpg'],['files/p16/p16751749/s50795677/aaf8a24a-aa94d1ac-0c8bf9e2-7a786f52-61f413f3.jpg\n']
s50833716_15,p16751749,s50833716,15,Findings,"AP single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of ___. The patient remains intubated, the EGD in unchanged position. The same holds for a previously described left subclavian central venous line terminating overlying the SVC at the level 2 cm above the carina. Right-sided chest tube remains in place, also in unchanged position. Extensive bilateral chest wall emphysema as before. No new local parenchymal infiltrates are seen, and the heart is not enlarged.","Right-sided chest tube remains in place, also in unchanged position.",chest tube,Right-sided,Stable,['files/p16/p16751749/s50833716/a591be11-255de340-3ac24e9b-fd6f9e96-878103e2.jpg'],['files/p16/p16751749/s50795677/aaf8a24a-aa94d1ac-0c8bf9e2-7a786f52-61f413f3.jpg\n']
s50833716_15,p16751749,s50833716,15,Findings,"AP single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of ___. The patient remains intubated, the EGD in unchanged position. The same holds for a previously described left subclavian central venous line terminating overlying the SVC at the level 2 cm above the carina. Right-sided chest tube remains in place, also in unchanged position. Extensive bilateral chest wall emphysema as before. No new local parenchymal infiltrates are seen, and the heart is not enlarged.",The same holds for a previously described left subclavian central venous line terminating overlying the SVC at the level 2 cm above the carina.,central venous line,left subclavian,Stable,['files/p16/p16751749/s50833716/a591be11-255de340-3ac24e9b-fd6f9e96-878103e2.jpg'],['files/p16/p16751749/s50795677/aaf8a24a-aa94d1ac-0c8bf9e2-7a786f52-61f413f3.jpg\n']
s50833716_15,p16751749,s50833716,15,Findings,"AP single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of ___. The patient remains intubated, the EGD in unchanged position. The same holds for a previously described left subclavian central venous line terminating overlying the SVC at the level 2 cm above the carina. Right-sided chest tube remains in place, also in unchanged position. Extensive bilateral chest wall emphysema as before. No new local parenchymal infiltrates are seen, and the heart is not enlarged.","The patient remains intubated, the EGD in unchanged position.",Intubation,,Stable,['files/p16/p16751749/s50833716/a591be11-255de340-3ac24e9b-fd6f9e96-878103e2.jpg'],['files/p16/p16751749/s50795677/aaf8a24a-aa94d1ac-0c8bf9e2-7a786f52-61f413f3.jpg\n']
s50841626_1,p16672854,s50841626,1,Findings,"Bilateral lung volumes are low. Since ___, mild pulmonary vascular congestion and pulmonary edema has worsened. Small bilateral pleural effusions are unchanged. Mildly enlarged heart size and some mediastinal widening is worse than before. Status post median sternotomy with intact sternal sutures.",Mildly enlarged heart size and some mediastinal widening is worse than before.,heart size and mediastinal widening,,Worse,['files/p16/p16672854/s50841626/e8ee2b4d-8ea54f5a-fbbd13ae-b0322e55-8d89e12b.jpg'],"['files/p16/p16672854/s50801992/8ce5b932-2d8ffc38-cb498d1d-80d458cd-cec8ac86.jpg\n', 'files/p16/p16672854/s50801992/e75af3b7-a3b4f881-b1f68642-609d0775-916ece62.jpg\n']"
s50841626_1,p16672854,s50841626,1,Findings,"Bilateral lung volumes are low. Since ___, mild pulmonary vascular congestion and pulmonary edema has worsened. Small bilateral pleural effusions are unchanged. Mildly enlarged heart size and some mediastinal widening is worse than before. Status post median sternotomy with intact sternal sutures.",Small bilateral pleural effusions are unchanged.,pleural effusions,bilateral,Stable,['files/p16/p16672854/s50841626/e8ee2b4d-8ea54f5a-fbbd13ae-b0322e55-8d89e12b.jpg'],"['files/p16/p16672854/s50801992/8ce5b932-2d8ffc38-cb498d1d-80d458cd-cec8ac86.jpg\n', 'files/p16/p16672854/s50801992/e75af3b7-a3b4f881-b1f68642-609d0775-916ece62.jpg\n']"
s50841626_1,p16672854,s50841626,1,Impression,"Mild pulmonary edema, mild pulmonary edema and mild-to-moderate cardiomegaly with some mediastinal widening is worsened since ___.","Mild pulmonary edema, mild pulmonary edema and mild-to-moderate cardiomegaly with some mediastinal widening is worsened since ___.",pulmonary edema and cardiomegaly with mediastinal widening,,Worse,['files/p16/p16672854/s50841626/e8ee2b4d-8ea54f5a-fbbd13ae-b0322e55-8d89e12b.jpg'],"['files/p16/p16672854/s50801992/8ce5b932-2d8ffc38-cb498d1d-80d458cd-cec8ac86.jpg\n', 'files/p16/p16672854/s50801992/e75af3b7-a3b4f881-b1f68642-609d0775-916ece62.jpg\n']"
s50841626_1,p16672854,s50841626,1,Findings,"Bilateral lung volumes are low. Since ___, mild pulmonary vascular congestion and pulmonary edema has worsened. Small bilateral pleural effusions are unchanged. Mildly enlarged heart size and some mediastinal widening is worse than before. Status post median sternotomy with intact sternal sutures.","Since ___, mild pulmonary vascular congestion and pulmonary edema has worsened.",pulmonary vascular congestion and pulmonary edema,bilateral,Worse,['files/p16/p16672854/s50841626/e8ee2b4d-8ea54f5a-fbbd13ae-b0322e55-8d89e12b.jpg'],"['files/p16/p16672854/s50801992/8ce5b932-2d8ffc38-cb498d1d-80d458cd-cec8ac86.jpg\n', 'files/p16/p16672854/s50801992/e75af3b7-a3b4f881-b1f68642-609d0775-916ece62.jpg\n']"
s50844750_27,p13263843,s50844750,27,Impression,"AP chest compared to ___: Since ___, following insertion of a new right basal pleural tube, substantial volume of pleural effusion has been evacuated and a small pneumothorax has developed at the base and at the apex of the postoperative right lung. Mild edema at the base of the left lung has increased. Small left pleural effusion is unchanged. Heart is mildly enlarged as before. Apparent widening of the mediastinum is due to combination of chronic atelectasis and juxtamediastinal pleural fluid. It has not changed over several days. Right PIC line ends in the upper SVC.","AP chest compared to ___: Since ___, following insertion of a new right basal pleural tube, substantial volume of pleural effusion has been evacuated and a small pneumothorax has developed at the base and at the apex of the postoperative right lung.",pleural effusion,right basal,Resolve,['files/p13/p13263843/s50844750/e76f5f9e-dbd482e9-9bf04876-ac6e1cae-a59d9637.jpg'],
s50844750_27,p13263843,s50844750,27,Impression,"AP chest compared to ___: Since ___, following insertion of a new right basal pleural tube, substantial volume of pleural effusion has been evacuated and a small pneumothorax has developed at the base and at the apex of the postoperative right lung. Mild edema at the base of the left lung has increased. Small left pleural effusion is unchanged. Heart is mildly enlarged as before. Apparent widening of the mediastinum is due to combination of chronic atelectasis and juxtamediastinal pleural fluid. It has not changed over several days. Right PIC line ends in the upper SVC.","AP chest compared to ___: Since ___, following insertion of a new right basal pleural tube, substantial volume of pleural effusion has been evacuated and a small pneumothorax has developed at the base and at the apex of the postoperative right lung.",pneumothorax,base and apex of the postoperative right lung,New,['files/p13/p13263843/s50844750/e76f5f9e-dbd482e9-9bf04876-ac6e1cae-a59d9637.jpg'],
s50844750_27,p13263843,s50844750,27,Impression,"AP chest compared to ___: Since ___, following insertion of a new right basal pleural tube, substantial volume of pleural effusion has been evacuated and a small pneumothorax has developed at the base and at the apex of the postoperative right lung. Mild edema at the base of the left lung has increased. Small left pleural effusion is unchanged. Heart is mildly enlarged as before. Apparent widening of the mediastinum is due to combination of chronic atelectasis and juxtamediastinal pleural fluid. It has not changed over several days. Right PIC line ends in the upper SVC.",Small left pleural effusion is unchanged.,pleural effusion,left,Stable,['files/p13/p13263843/s50844750/e76f5f9e-dbd482e9-9bf04876-ac6e1cae-a59d9637.jpg'],
s50844750_27,p13263843,s50844750,27,Impression,"AP chest compared to ___: Since ___, following insertion of a new right basal pleural tube, substantial volume of pleural effusion has been evacuated and a small pneumothorax has developed at the base and at the apex of the postoperative right lung. Mild edema at the base of the left lung has increased. Small left pleural effusion is unchanged. Heart is mildly enlarged as before. Apparent widening of the mediastinum is due to combination of chronic atelectasis and juxtamediastinal pleural fluid. It has not changed over several days. Right PIC line ends in the upper SVC.",Heart is mildly enlarged as before.,mildly enlarged heart,,Stable,['files/p13/p13263843/s50844750/e76f5f9e-dbd482e9-9bf04876-ac6e1cae-a59d9637.jpg'],
s50844750_27,p13263843,s50844750,27,Impression,"AP chest compared to ___: Since ___, following insertion of a new right basal pleural tube, substantial volume of pleural effusion has been evacuated and a small pneumothorax has developed at the base and at the apex of the postoperative right lung. Mild edema at the base of the left lung has increased. Small left pleural effusion is unchanged. Heart is mildly enlarged as before. Apparent widening of the mediastinum is due to combination of chronic atelectasis and juxtamediastinal pleural fluid. It has not changed over several days. Right PIC line ends in the upper SVC.",Apparent widening of the mediastinum is due to combination of chronic atelectasis and juxtamediastinal pleural fluid. It has not changed over several days.,widening of the mediastinum,,Stable,['files/p13/p13263843/s50844750/e76f5f9e-dbd482e9-9bf04876-ac6e1cae-a59d9637.jpg'],
s50844750_27,p13263843,s50844750,27,Impression,"AP chest compared to ___: Since ___, following insertion of a new right basal pleural tube, substantial volume of pleural effusion has been evacuated and a small pneumothorax has developed at the base and at the apex of the postoperative right lung. Mild edema at the base of the left lung has increased. Small left pleural effusion is unchanged. Heart is mildly enlarged as before. Apparent widening of the mediastinum is due to combination of chronic atelectasis and juxtamediastinal pleural fluid. It has not changed over several days. Right PIC line ends in the upper SVC.",Mild edema at the base of the left lung has increased.,edema,base of the left lung,Worse,['files/p13/p13263843/s50844750/e76f5f9e-dbd482e9-9bf04876-ac6e1cae-a59d9637.jpg'],
s50845269_8,p11293517,s50845269,8,Findings,"AP upright and lateral views of the chest were provided. Left chest wall pacer pack is again seen with leads extending into the right heart. Abandoned pacing leads are also noted in the right chest wall extending into the right heart. The heart remains moderately enlarged. Lung volumes are low, with equivocal ground-glass opacity on the frontal view, which appears less conspicuous on the lateral view most likely attributable to underpenetrated technique. No gross evidence for pneumonia or pulmonary edema. No large effusions are seen. There is no pneumothorax. Bony structures are intact.",The heart remains moderately enlarged.,moderately enlarged heart,,Stable,"['files/p11/p11293517/s50845269/37355a7b-cd57395e-8accb623-52bbdd41-53976f76.jpg', 'files/p11/p11293517/s50845269/7a1a7ec8-c865adb3-011681d5-d61e27b1-6d31ab75.jpg', 'files/p11/p11293517/s50845269/f24dcfb8-8d336748-8d0d5686-a52f7cc9-2aefd3a6.jpg']",
s50848467_27,p16043637,s50848467,27,Findings,"There are slightly increased hazy opacities at the right lung base. The cardiomediastinal silhouette and hilar contours are unchanged. There is no pleural effusion or pneumothorax. Median sternotomy wires, left chest pacemaker, as well as cardiac valve replacement are unchanged.",There are slightly increased hazy opacities at the right lung base.,hazy opacities,right lung base,Worse,"['files/p16/p16043637/s50848467/096b32ec-f7a979c1-df4bc2e0-589ac982-da947b3f.jpg', 'files/p16/p16043637/s50848467/d4e70647-9bed282e-fd4e5b2f-d659e2f5-2b751fc4.jpg']","['files/p16/p16043637/s50775862/0396bbb8-89af3082-08140a7c-6f9e487e-44400561.jpg\n', 'files/p16/p16043637/s50775862/17669675-757030a5-d9c0edc0-a7e3f747-c39b50cd.jpg\n']"
s50848467_27,p16043637,s50848467,27,Impression,Slight increased hazy opacities at the right lung base which may reflect developing consolidation in the appropriate clinical setting.,Slight increased hazy opacities at the right lung base which may reflect developing consolidation in the appropriate clinical setting.,hazy opacities,right lung base,Worse,"['files/p16/p16043637/s50848467/096b32ec-f7a979c1-df4bc2e0-589ac982-da947b3f.jpg', 'files/p16/p16043637/s50848467/d4e70647-9bed282e-fd4e5b2f-d659e2f5-2b751fc4.jpg']","['files/p16/p16043637/s50775862/0396bbb8-89af3082-08140a7c-6f9e487e-44400561.jpg\n', 'files/p16/p16043637/s50775862/17669675-757030a5-d9c0edc0-a7e3f747-c39b50cd.jpg\n']"
s50853840_4,p18309149,s50853840,4,Impression,"AP chest compared to ___: Three right pleural tubes, two apical, one basal, are unchanged in their respective positions since ___, ___:24 p.m. Nevertheless, moderate right pleural effusion is increasing and severe atelectasis or consolidation persists at the base of the right lung. Borderline cardiomegaly is stable. Left lung is grossly clear. Right apical pneumothorax is miniscule.","Nevertheless, moderate right pleural effusion is increasing and severe atelectasis or consolidation persists at the base of the right lung.",pleural effusion,right,Worse,['files/p18/p18309149/s50853840/c1379178-96a24a21-fe62e710-94cf9946-111ded9a.jpg'],"['files/p18/p18309149/s50546279/89fbc7f3-542fde0d-c914db57-f46e285f-22e70ae1.jpg\n', 'files/p18/p18309149/s50546279/8f578d66-1a95b16a-8fce51d0-76b09aea-4f1980ca.jpg\n']"
s50853840_4,p18309149,s50853840,4,Impression,"AP chest compared to ___: Three right pleural tubes, two apical, one basal, are unchanged in their respective positions since ___, ___:24 p.m. Nevertheless, moderate right pleural effusion is increasing and severe atelectasis or consolidation persists at the base of the right lung. Borderline cardiomegaly is stable. Left lung is grossly clear. Right apical pneumothorax is miniscule.","AP chest compared to ___: Three right pleural tubes, two apical, one basal, are unchanged in their respective positions since ___, ___:24 p.m.",pleural tubes,right,Stable,['files/p18/p18309149/s50853840/c1379178-96a24a21-fe62e710-94cf9946-111ded9a.jpg'],"['files/p18/p18309149/s50546279/89fbc7f3-542fde0d-c914db57-f46e285f-22e70ae1.jpg\n', 'files/p18/p18309149/s50546279/8f578d66-1a95b16a-8fce51d0-76b09aea-4f1980ca.jpg\n']"
s50853840_4,p18309149,s50853840,4,Impression,"AP chest compared to ___: Three right pleural tubes, two apical, one basal, are unchanged in their respective positions since ___, ___:24 p.m. Nevertheless, moderate right pleural effusion is increasing and severe atelectasis or consolidation persists at the base of the right lung. Borderline cardiomegaly is stable. Left lung is grossly clear. Right apical pneumothorax is miniscule.",Borderline cardiomegaly is stable.,cardiomegaly,,Stable,['files/p18/p18309149/s50853840/c1379178-96a24a21-fe62e710-94cf9946-111ded9a.jpg'],"['files/p18/p18309149/s50546279/89fbc7f3-542fde0d-c914db57-f46e285f-22e70ae1.jpg\n', 'files/p18/p18309149/s50546279/8f578d66-1a95b16a-8fce51d0-76b09aea-4f1980ca.jpg\n']"
s50853840_4,p18309149,s50853840,4,Impression,"AP chest compared to ___: Three right pleural tubes, two apical, one basal, are unchanged in their respective positions since ___, ___:24 p.m. Nevertheless, moderate right pleural effusion is increasing and severe atelectasis or consolidation persists at the base of the right lung. Borderline cardiomegaly is stable. Left lung is grossly clear. Right apical pneumothorax is miniscule.","Nevertheless, moderate right pleural effusion is increasing and severe atelectasis or consolidation persists at the base of the right lung.",atelectasis or consolidation,right,Stable,['files/p18/p18309149/s50853840/c1379178-96a24a21-fe62e710-94cf9946-111ded9a.jpg'],"['files/p18/p18309149/s50546279/89fbc7f3-542fde0d-c914db57-f46e285f-22e70ae1.jpg\n', 'files/p18/p18309149/s50546279/8f578d66-1a95b16a-8fce51d0-76b09aea-4f1980ca.jpg\n']"
s50857625_0,p14992360,s50857625,0,Findings,"In comparison with the study of ___, there is increase in the left upper lobe consolidation accompanied by increased prominence of pulmonary vessels consistent with elevated pulmonary venous pressure. There is a possible small pleural line that could be reflection of a small apical pneumothorax on the right, there is suggestion of a vessel running beyond this line in the far apical region, raising the possibility that this could represent merely a skinfold.","In comparison with the study of ___, there is increase in the left upper lobe consolidation accompanied by increased prominence of pulmonary vessels consistent with elevated pulmonary venous pressure.",consolidation,left upper lobe,Worse,"['files/p14/p14992360/s50857625/8c50fc43-5d35a129-85112298-d3630da6-c38d6a1b.jpg', 'files/p14/p14992360/s50857625/c644ef55-2c1480c0-fa4e0e08-a92b5aa0-5b7ceb6c.jpg']","['files/p14/p14992360/s50425233/43526336-ec395adc-91956491-ee7f2e9f-5ea5ac83.jpg\n', 'files/p14/p14992360/s50425233/d131f617-7810bf73-047f6e2e-16347ff4-e18183e6.jpg\n', 'files/p14/p14992360/s50425233/f95e2c77-d318c10b-c5113c5d-455b870e-eb3878e8.jpg\n']"
s50875682_46,p14851532,s50875682,46,Impression,"Heart size is enlarged. Mediastinum is stable. Multifocal opacities are present, overall similar to previous study but potentially minimally improved. No appreciable pneumothorax. Old rib fractures, unchanged.","Multifocal opacities are present, overall similar to previous study but potentially minimally improved",opacities,multifocal,Stable,['files/p14/p14851532/s50875682/264b88e4-6c089e5c-86f6e75e-aba9afc2-5effc446.jpg'],"['files/p14/p14851532/s50821093/ed99367d-40622c55-5e8aa563-da1eedd8-50f5284f.jpg\n', 'files/p14/p14851532/s50821093/f0c7fed9-f0dd13bd-29757304-7d67a895-423549b2.jpg\n']"
s50875682_46,p14851532,s50875682,46,Impression,"Heart size is enlarged. Mediastinum is stable. Multifocal opacities are present, overall similar to previous study but potentially minimally improved. No appreciable pneumothorax. Old rib fractures, unchanged.","Old rib fractures, unchanged",rib fractures,,Stable,['files/p14/p14851532/s50875682/264b88e4-6c089e5c-86f6e75e-aba9afc2-5effc446.jpg'],"['files/p14/p14851532/s50821093/ed99367d-40622c55-5e8aa563-da1eedd8-50f5284f.jpg\n', 'files/p14/p14851532/s50821093/f0c7fed9-f0dd13bd-29757304-7d67a895-423549b2.jpg\n']"
s50875682_46,p14851532,s50875682,46,Impression,"Heart size is enlarged. Mediastinum is stable. Multifocal opacities are present, overall similar to previous study but potentially minimally improved. No appreciable pneumothorax. Old rib fractures, unchanged.",Mediastinum is stable,mediastinum,,Stable,['files/p14/p14851532/s50875682/264b88e4-6c089e5c-86f6e75e-aba9afc2-5effc446.jpg'],"['files/p14/p14851532/s50821093/ed99367d-40622c55-5e8aa563-da1eedd8-50f5284f.jpg\n', 'files/p14/p14851532/s50821093/f0c7fed9-f0dd13bd-29757304-7d67a895-423549b2.jpg\n']"
s50877377_6,p13921768,s50877377,6,Impression,"Cardiomegaly is stable. Pacer leads are in standard position. Mild vascular congestion is stable, asymmetric worse on the right. Small bilateral effusions are unchanged. Sternal wires are aligned. Patient is status post CABG",Small bilateral effusions are unchanged.,Effusions,Bilateral,Stable,['files/p13/p13921768/s50877377/bc930c3b-03f10f77-32ff77d5-13f5f708-5a1ce695.jpg'],['files/p13/p13921768/s50259315/40e0dc90-fdd63c47-3a4502b4-c7dd49d6-b903b2b9.jpg\n']
s50877377_6,p13921768,s50877377,6,Impression,"Cardiomegaly is stable. Pacer leads are in standard position. Mild vascular congestion is stable, asymmetric worse on the right. Small bilateral effusions are unchanged. Sternal wires are aligned. Patient is status post CABG",Cardiomegaly is stable.,Cardiomegaly,,Stable,['files/p13/p13921768/s50877377/bc930c3b-03f10f77-32ff77d5-13f5f708-5a1ce695.jpg'],['files/p13/p13921768/s50259315/40e0dc90-fdd63c47-3a4502b4-c7dd49d6-b903b2b9.jpg\n']
s50877377_6,p13921768,s50877377,6,Impression,"Cardiomegaly is stable. Pacer leads are in standard position. Mild vascular congestion is stable, asymmetric worse on the right. Small bilateral effusions are unchanged. Sternal wires are aligned. Patient is status post CABG","Mild vascular congestion is stable, asymmetric worse on the right.",Vascular congestion,Right,Stable,['files/p13/p13921768/s50877377/bc930c3b-03f10f77-32ff77d5-13f5f708-5a1ce695.jpg'],['files/p13/p13921768/s50259315/40e0dc90-fdd63c47-3a4502b4-c7dd49d6-b903b2b9.jpg\n']
s50878394_30,p19182863,s50878394,30,Impression,1. Slight interval improvement in the large right pleural effusion. 2. Improvement in the previously noted bilateral pulmonary edema. 3. Stable left lower lung opacities compared to the prior exam.,Stable left lower lung opacities compared to the prior exam.,opacities,left lower,Stable,['files/p19/p19182863/s50878394/be5e433f-dac94987-b9ea5176-f3dc3125-517fe63d.jpg'],['files/p19/p19182863/s50171741/27975aed-15b0a97c-df48c48f-85f941bc-eef08eea.jpg\n']
s50878394_30,p19182863,s50878394,30,Impression,1. Slight interval improvement in the large right pleural effusion. 2. Improvement in the previously noted bilateral pulmonary edema. 3. Stable left lower lung opacities compared to the prior exam.,Improvement in the previously noted bilateral pulmonary edema.,pulmonary edema,bilateral,Better,['files/p19/p19182863/s50878394/be5e433f-dac94987-b9ea5176-f3dc3125-517fe63d.jpg'],['files/p19/p19182863/s50171741/27975aed-15b0a97c-df48c48f-85f941bc-eef08eea.jpg\n']
s50878394_30,p19182863,s50878394,30,Impression,1. Slight interval improvement in the large right pleural effusion. 2. Improvement in the previously noted bilateral pulmonary edema. 3. Stable left lower lung opacities compared to the prior exam.,Slight interval improvement in the large right pleural effusion.,pleural effusion,right,Better,['files/p19/p19182863/s50878394/be5e433f-dac94987-b9ea5176-f3dc3125-517fe63d.jpg'],['files/p19/p19182863/s50171741/27975aed-15b0a97c-df48c48f-85f941bc-eef08eea.jpg\n']
s50878394_30,p19182863,s50878394,30,Findings,The left PIC line is unchanged in position compared to the prior radiograph. It enters a left-sided approach and makes a descent at the level of the aortic arch in keeping with known left-sided superior vena cava. There is stable mild cardiomegaly. The hilar and mediastinal contours are unremarkable. There has been slight interval improvement of the large right pleural effusion associated with atelectasis/consolidation. There is no pneumothorax. The replaced valves tricuspid and aortic are redemonstrated. There has been mild improvement of the previously noted interstitial edema. There has been interval improvement in the opacities in the left mid and lower lungs.,There is stable mild cardiomegaly.,mild cardiomegaly,,Stable,['files/p19/p19182863/s50878394/be5e433f-dac94987-b9ea5176-f3dc3125-517fe63d.jpg'],['files/p19/p19182863/s50171741/27975aed-15b0a97c-df48c48f-85f941bc-eef08eea.jpg\n']
s50878394_30,p19182863,s50878394,30,Findings,The left PIC line is unchanged in position compared to the prior radiograph. It enters a left-sided approach and makes a descent at the level of the aortic arch in keeping with known left-sided superior vena cava. There is stable mild cardiomegaly. The hilar and mediastinal contours are unremarkable. There has been slight interval improvement of the large right pleural effusion associated with atelectasis/consolidation. There is no pneumothorax. The replaced valves tricuspid and aortic are redemonstrated. There has been mild improvement of the previously noted interstitial edema. There has been interval improvement in the opacities in the left mid and lower lungs.,There has been slight interval improvement of the large right pleural effusion associated with atelectasis/consolidation.,atelectasis/consolidation,right,Better,['files/p19/p19182863/s50878394/be5e433f-dac94987-b9ea5176-f3dc3125-517fe63d.jpg'],['files/p19/p19182863/s50171741/27975aed-15b0a97c-df48c48f-85f941bc-eef08eea.jpg\n']
s50878394_30,p19182863,s50878394,30,Findings,The left PIC line is unchanged in position compared to the prior radiograph. It enters a left-sided approach and makes a descent at the level of the aortic arch in keeping with known left-sided superior vena cava. There is stable mild cardiomegaly. The hilar and mediastinal contours are unremarkable. There has been slight interval improvement of the large right pleural effusion associated with atelectasis/consolidation. There is no pneumothorax. The replaced valves tricuspid and aortic are redemonstrated. There has been mild improvement of the previously noted interstitial edema. There has been interval improvement in the opacities in the left mid and lower lungs.,There has been interval improvement in the opacities in the left mid and lower lungs.,opacities,left mid and lower,Better,['files/p19/p19182863/s50878394/be5e433f-dac94987-b9ea5176-f3dc3125-517fe63d.jpg'],['files/p19/p19182863/s50171741/27975aed-15b0a97c-df48c48f-85f941bc-eef08eea.jpg\n']
s50878394_30,p19182863,s50878394,30,Findings,The left PIC line is unchanged in position compared to the prior radiograph. It enters a left-sided approach and makes a descent at the level of the aortic arch in keeping with known left-sided superior vena cava. There is stable mild cardiomegaly. The hilar and mediastinal contours are unremarkable. There has been slight interval improvement of the large right pleural effusion associated with atelectasis/consolidation. There is no pneumothorax. The replaced valves tricuspid and aortic are redemonstrated. There has been mild improvement of the previously noted interstitial edema. There has been interval improvement in the opacities in the left mid and lower lungs.,The left PIC line is unchanged in position compared to the prior radiograph.,PIC line,left,Stable,['files/p19/p19182863/s50878394/be5e433f-dac94987-b9ea5176-f3dc3125-517fe63d.jpg'],['files/p19/p19182863/s50171741/27975aed-15b0a97c-df48c48f-85f941bc-eef08eea.jpg\n']
s50878394_30,p19182863,s50878394,30,Findings,The left PIC line is unchanged in position compared to the prior radiograph. It enters a left-sided approach and makes a descent at the level of the aortic arch in keeping with known left-sided superior vena cava. There is stable mild cardiomegaly. The hilar and mediastinal contours are unremarkable. There has been slight interval improvement of the large right pleural effusion associated with atelectasis/consolidation. There is no pneumothorax. The replaced valves tricuspid and aortic are redemonstrated. There has been mild improvement of the previously noted interstitial edema. There has been interval improvement in the opacities in the left mid and lower lungs.,There has been slight interval improvement of the large right pleural effusion associated with atelectasis/consolidation.,pleural effusion,right,Better,['files/p19/p19182863/s50878394/be5e433f-dac94987-b9ea5176-f3dc3125-517fe63d.jpg'],['files/p19/p19182863/s50171741/27975aed-15b0a97c-df48c48f-85f941bc-eef08eea.jpg\n']
s50878394_30,p19182863,s50878394,30,Findings,The left PIC line is unchanged in position compared to the prior radiograph. It enters a left-sided approach and makes a descent at the level of the aortic arch in keeping with known left-sided superior vena cava. There is stable mild cardiomegaly. The hilar and mediastinal contours are unremarkable. There has been slight interval improvement of the large right pleural effusion associated with atelectasis/consolidation. There is no pneumothorax. The replaced valves tricuspid and aortic are redemonstrated. There has been mild improvement of the previously noted interstitial edema. There has been interval improvement in the opacities in the left mid and lower lungs.,There has been mild improvement of the previously noted interstitial edema.,interstitial edema,,Better,['files/p19/p19182863/s50878394/be5e433f-dac94987-b9ea5176-f3dc3125-517fe63d.jpg'],['files/p19/p19182863/s50171741/27975aed-15b0a97c-df48c48f-85f941bc-eef08eea.jpg\n']
s50882471_17,p19759491,s50882471,17,Findings,"A pacemaker defibrillator with right atrial and biventricular leads is again noted in unchanged position. A right internal jugular approach dialysis catheter present with tip in the right atrium. An aortic valve replacement is also noted. The patient is status post CABG. There is moderate cardiomegaly. The mediastinal and hilar contours are stable with aortic calcifications There is no pleural effusion or pneumothorax. The lungs are well-expanded with increased interstitial markings, consistent with mild edema. There is no focal consolidation concerning for pneumonia.",The mediastinal and hilar contours are stable with aortic calcifications,Mediastinal and hilar contours,,Stable,"['files/p19/p19759491/s50882471/283df983-fd666130-de72e26e-a2fb9b59-88a371f7.jpg', 'files/p19/p19759491/s50882471/fa974cf9-6dfdfadf-834c74f3-3f7eee96-2d7d23a6.jpg']","['files/p19/p19759491/s50570852/6deead5a-e53ba577-f796933d-84845404-2ba297f9.jpg\n', 'files/p19/p19759491/s50570852/d38829e5-de299cae-0949b857-f5286934-49f3fde5.jpg\n']"
s50882471_17,p19759491,s50882471,17,Findings,"A pacemaker defibrillator with right atrial and biventricular leads is again noted in unchanged position. A right internal jugular approach dialysis catheter present with tip in the right atrium. An aortic valve replacement is also noted. The patient is status post CABG. There is moderate cardiomegaly. The mediastinal and hilar contours are stable with aortic calcifications There is no pleural effusion or pneumothorax. The lungs are well-expanded with increased interstitial markings, consistent with mild edema. There is no focal consolidation concerning for pneumonia.",The mediastinal and hilar contours are stable with aortic calcifications,Aortic calcifications,,Stable,"['files/p19/p19759491/s50882471/283df983-fd666130-de72e26e-a2fb9b59-88a371f7.jpg', 'files/p19/p19759491/s50882471/fa974cf9-6dfdfadf-834c74f3-3f7eee96-2d7d23a6.jpg']","['files/p19/p19759491/s50570852/6deead5a-e53ba577-f796933d-84845404-2ba297f9.jpg\n', 'files/p19/p19759491/s50570852/d38829e5-de299cae-0949b857-f5286934-49f3fde5.jpg\n']"
s50882471_17,p19759491,s50882471,17,Findings,"A pacemaker defibrillator with right atrial and biventricular leads is again noted in unchanged position. A right internal jugular approach dialysis catheter present with tip in the right atrium. An aortic valve replacement is also noted. The patient is status post CABG. There is moderate cardiomegaly. The mediastinal and hilar contours are stable with aortic calcifications There is no pleural effusion or pneumothorax. The lungs are well-expanded with increased interstitial markings, consistent with mild edema. There is no focal consolidation concerning for pneumonia.",A pacemaker defibrillator with right atrial and biventricular leads is again noted in unchanged position.,Pacemaker defibrillator with right atrial and biventricular leads,,Stable,"['files/p19/p19759491/s50882471/283df983-fd666130-de72e26e-a2fb9b59-88a371f7.jpg', 'files/p19/p19759491/s50882471/fa974cf9-6dfdfadf-834c74f3-3f7eee96-2d7d23a6.jpg']","['files/p19/p19759491/s50570852/6deead5a-e53ba577-f796933d-84845404-2ba297f9.jpg\n', 'files/p19/p19759491/s50570852/d38829e5-de299cae-0949b857-f5286934-49f3fde5.jpg\n']"
s50891752_8,p16319601,s50891752,8,Impression,1. Dobbhoff tube coiled in esophagus with tip in pharynx. Recommend withdrawal. 2. No evidence of pneumothorax. 3. Stable right pleural effusion and basilar atelectasis. ___ communicated these findings to Dr ___ at 12:00 on ___ via telephone.,3. Stable right pleural effusion and basilar atelectasis.,pleural effusion,right,Stable,['files/p16/p16319601/s50891752/e3462cbd-2ad9049e-4bc04cbf-4f3005ab-3c4c0678.jpg'],['files/p16/p16319601/s50623490/2cf87e9a-4f6ad24d-c073cac1-4fb3f677-79f26de4.jpg\n']
s50891752_8,p16319601,s50891752,8,Findings,"There has been interval placement of a Dobbhoff tube, which is coiled within the pharynx. There is a left-sided PICC line with tip terminating at the cavoatrial junction. There is interval removal of the right-sided central venous sheath. No pneumothorax evident. There is stable small right pleural effusion. Right lower lung opacification likely represents combination of atelectasis and layering pleural effusion. Stable calcified granuloma projects over right mid lung. A nodular opacity projecting over left upper lung corresponds with nipple evident on the ___, chest CT.",Stable calcified granuloma projects over right mid lung.,calcified granuloma,right mid lung,Stable,['files/p16/p16319601/s50891752/e3462cbd-2ad9049e-4bc04cbf-4f3005ab-3c4c0678.jpg'],['files/p16/p16319601/s50623490/2cf87e9a-4f6ad24d-c073cac1-4fb3f677-79f26de4.jpg\n']
s50891752_8,p16319601,s50891752,8,Findings,"There has been interval placement of a Dobbhoff tube, which is coiled within the pharynx. There is a left-sided PICC line with tip terminating at the cavoatrial junction. There is interval removal of the right-sided central venous sheath. No pneumothorax evident. There is stable small right pleural effusion. Right lower lung opacification likely represents combination of atelectasis and layering pleural effusion. Stable calcified granuloma projects over right mid lung. A nodular opacity projecting over left upper lung corresponds with nipple evident on the ___, chest CT.",There is stable small right pleural effusion.,small pleural effusion,right,Stable,['files/p16/p16319601/s50891752/e3462cbd-2ad9049e-4bc04cbf-4f3005ab-3c4c0678.jpg'],['files/p16/p16319601/s50623490/2cf87e9a-4f6ad24d-c073cac1-4fb3f677-79f26de4.jpg\n']
s50891752_8,p16319601,s50891752,8,Findings,"There has been interval placement of a Dobbhoff tube, which is coiled within the pharynx. There is a left-sided PICC line with tip terminating at the cavoatrial junction. There is interval removal of the right-sided central venous sheath. No pneumothorax evident. There is stable small right pleural effusion. Right lower lung opacification likely represents combination of atelectasis and layering pleural effusion. Stable calcified granuloma projects over right mid lung. A nodular opacity projecting over left upper lung corresponds with nipple evident on the ___, chest CT.","There has been interval placement of a Dobbhoff tube, which is coiled within the pharynx.",Dobbhoff tube,pharynx,New,['files/p16/p16319601/s50891752/e3462cbd-2ad9049e-4bc04cbf-4f3005ab-3c4c0678.jpg'],['files/p16/p16319601/s50623490/2cf87e9a-4f6ad24d-c073cac1-4fb3f677-79f26de4.jpg\n']
s50891752_8,p16319601,s50891752,8,Findings,"There has been interval placement of a Dobbhoff tube, which is coiled within the pharynx. There is a left-sided PICC line with tip terminating at the cavoatrial junction. There is interval removal of the right-sided central venous sheath. No pneumothorax evident. There is stable small right pleural effusion. Right lower lung opacification likely represents combination of atelectasis and layering pleural effusion. Stable calcified granuloma projects over right mid lung. A nodular opacity projecting over left upper lung corresponds with nipple evident on the ___, chest CT.",There is interval removal of the right-sided central venous sheath.,central venous sheath,right-sided,Resolve,['files/p16/p16319601/s50891752/e3462cbd-2ad9049e-4bc04cbf-4f3005ab-3c4c0678.jpg'],['files/p16/p16319601/s50623490/2cf87e9a-4f6ad24d-c073cac1-4fb3f677-79f26de4.jpg\n']
s50891752_8,p16319601,s50891752,8,Impression,1. Dobbhoff tube coiled in esophagus with tip in pharynx. Recommend withdrawal. 2. No evidence of pneumothorax. 3. Stable right pleural effusion and basilar atelectasis. ___ communicated these findings to Dr ___ at 12:00 on ___ via telephone.,3. Stable right pleural effusion and basilar atelectasis.,atelectasis,basilar,Stable,['files/p16/p16319601/s50891752/e3462cbd-2ad9049e-4bc04cbf-4f3005ab-3c4c0678.jpg'],['files/p16/p16319601/s50623490/2cf87e9a-4f6ad24d-c073cac1-4fb3f677-79f26de4.jpg\n']
s50894711_0,p15186992,s50894711,0,Findings,"ONE AP PORTABLE UPRIGHT VIEW OF THE CHEST. A previously seen cavity in the left lung is no longer present. In that location, there are linear interstitial opacities likely from fibrosis from scarring in that area or may represent pneumonia. Mild bibasilar atelectasis. The mediastinal and hilar contours are normal. There is no pneumothorax. There are low lung volumes.",A previously seen cavity in the left lung is no longer present.,cavity,left lung,Resolve,['files/p15/p15186992/s50894711/adbfc9ce-b82d1181-fce57c7d-f71a436a-708693b0.jpg'],
s50894711_0,p15186992,s50894711,0,Impression,1. Linear opacities in the left mid lung may represent residual scarring from prior cavitary lesion or could represent new pneumonia. 2. Right basilar atelectasis.,Linear opacities in the left mid lung may represent residual scarring from prior cavitary lesion or could represent new pneumonia.,pneumonia,left mid lung,New,['files/p15/p15186992/s50894711/adbfc9ce-b82d1181-fce57c7d-f71a436a-708693b0.jpg'],
s50901361_5,p11893091,s50901361,5,Findings,"As compared to the previous image, the patient has received an external pacemaker. The tip of the pacemaker is in expected correct position, as documented on the previous fluoroscopy. Unchanged position of the other monitoring and support devices. Moderate cardiomegaly with signs of mild pulmonary edema. No pleural effusions. No pneumothorax. Left apical pleural calcification. Mild atelectasis at the left lung bases. No evidence of pneumonia.",Unchanged position of the other monitoring and support devices.,Monitoring and support devices,,Stable,['files/p11/p11893091/s50901361/1d2eae56-aca1446e-78e09b18-02818224-5f58634a.jpg'],
s50901361_5,p11893091,s50901361,5,Findings,"As compared to the previous image, the patient has received an external pacemaker. The tip of the pacemaker is in expected correct position, as documented on the previous fluoroscopy. Unchanged position of the other monitoring and support devices. Moderate cardiomegaly with signs of mild pulmonary edema. No pleural effusions. No pneumothorax. Left apical pleural calcification. Mild atelectasis at the left lung bases. No evidence of pneumonia.","As compared to the previous image, the patient has received an external pacemaker.",Pacemaker,External,New,['files/p11/p11893091/s50901361/1d2eae56-aca1446e-78e09b18-02818224-5f58634a.jpg'],
s50903359_18,p15259244,s50903359,18,Findings,"In comparison with the study of ___, there is continued enlargement of the cardiac silhouette with vascular congestion and large pleural effusions, more prominent on the left with underlying substantial compressive atelectasis. Dual-channel dialysis catheter remains in place. There has been insertion of a left subclavian catheter. The tip of this is difficult to evaluate because it is superimposed on the dialysis catheter. It definitely extends at least to the lower portion of the SVC. To more precisely demonstrate the tip of this catheter, oblique views would be necessary.","In comparison with the study of ___, there is continued enlargement of the cardiac silhouette with vascular congestion and large pleural effusions, more prominent on the left with underlying substantial compressive atelectasis.",cardiac silhouette,,Worse,"['files/p15/p15259244/s50903359/25caadda-50ddd24f-cf51cc5a-25c4f090-e4d32c64.jpg', 'files/p15/p15259244/s50903359/382f361b-7412dee4-3a5c243f-b3c792e4-d7f75a6f.jpg', 'files/p15/p15259244/s50903359/4a9977bd-7c6765ff-7951cc3c-36666101-51dfc3fa.jpg']",['files/p15/p15259244/s50758061/43042279-0b8f5bb0-a45d17b6-f8d3b29f-0c787952.jpg\n']
s50903359_18,p15259244,s50903359,18,Findings,"In comparison with the study of ___, there is continued enlargement of the cardiac silhouette with vascular congestion and large pleural effusions, more prominent on the left with underlying substantial compressive atelectasis. Dual-channel dialysis catheter remains in place. There has been insertion of a left subclavian catheter. The tip of this is difficult to evaluate because it is superimposed on the dialysis catheter. It definitely extends at least to the lower portion of the SVC. To more precisely demonstrate the tip of this catheter, oblique views would be necessary.","In comparison with the study of ___, there is continued enlargement of the cardiac silhouette with vascular congestion and large pleural effusions, more prominent on the left with underlying substantial compressive atelectasis.",pleural effusions,left,Worse,"['files/p15/p15259244/s50903359/25caadda-50ddd24f-cf51cc5a-25c4f090-e4d32c64.jpg', 'files/p15/p15259244/s50903359/382f361b-7412dee4-3a5c243f-b3c792e4-d7f75a6f.jpg', 'files/p15/p15259244/s50903359/4a9977bd-7c6765ff-7951cc3c-36666101-51dfc3fa.jpg']",['files/p15/p15259244/s50758061/43042279-0b8f5bb0-a45d17b6-f8d3b29f-0c787952.jpg\n']
s50903359_18,p15259244,s50903359,18,Findings,"In comparison with the study of ___, there is continued enlargement of the cardiac silhouette with vascular congestion and large pleural effusions, more prominent on the left with underlying substantial compressive atelectasis. Dual-channel dialysis catheter remains in place. There has been insertion of a left subclavian catheter. The tip of this is difficult to evaluate because it is superimposed on the dialysis catheter. It definitely extends at least to the lower portion of the SVC. To more precisely demonstrate the tip of this catheter, oblique views would be necessary.","In comparison with the study of ___, there is continued enlargement of the cardiac silhouette with vascular congestion and large pleural effusions, more prominent on the left with underlying substantial compressive atelectasis.",compressive atelectasis,left,Worse,"['files/p15/p15259244/s50903359/25caadda-50ddd24f-cf51cc5a-25c4f090-e4d32c64.jpg', 'files/p15/p15259244/s50903359/382f361b-7412dee4-3a5c243f-b3c792e4-d7f75a6f.jpg', 'files/p15/p15259244/s50903359/4a9977bd-7c6765ff-7951cc3c-36666101-51dfc3fa.jpg']",['files/p15/p15259244/s50758061/43042279-0b8f5bb0-a45d17b6-f8d3b29f-0c787952.jpg\n']
s50903359_18,p15259244,s50903359,18,Findings,"In comparison with the study of ___, there is continued enlargement of the cardiac silhouette with vascular congestion and large pleural effusions, more prominent on the left with underlying substantial compressive atelectasis. Dual-channel dialysis catheter remains in place. There has been insertion of a left subclavian catheter. The tip of this is difficult to evaluate because it is superimposed on the dialysis catheter. It definitely extends at least to the lower portion of the SVC. To more precisely demonstrate the tip of this catheter, oblique views would be necessary.",Dual-channel dialysis catheter remains in place.,Dual-channel dialysis catheter,,Stable,"['files/p15/p15259244/s50903359/25caadda-50ddd24f-cf51cc5a-25c4f090-e4d32c64.jpg', 'files/p15/p15259244/s50903359/382f361b-7412dee4-3a5c243f-b3c792e4-d7f75a6f.jpg', 'files/p15/p15259244/s50903359/4a9977bd-7c6765ff-7951cc3c-36666101-51dfc3fa.jpg']",['files/p15/p15259244/s50758061/43042279-0b8f5bb0-a45d17b6-f8d3b29f-0c787952.jpg\n']
s50903895_38,p19182863,s50903895,38,Findings,The patient is status post median sternotomy and aortic and tricuspid valve surgery. Stable appearance of cardiomediastinal contours. Persistent interstitial edema. Patchy and linear bibasilar atelectasis is also demonstrated as well as a small right pleural effusion. Left internal jugular catheter remains in place within the left superior vena cava.,Left internal jugular catheter remains in place within the left superior vena cava.,internal jugular catheter,left,Stable,"['files/p19/p19182863/s50903895/658ef774-35bbcbca-076591cf-e4bb58ca-243724d2.jpg', 'files/p19/p19182863/s50903895/b8d216b3-7f16e10d-72147640-2fd8511c-7da23725.jpg']",['files/p19/p19182863/s50878394/be5e433f-dac94987-b9ea5176-f3dc3125-517fe63d.jpg\n']
s50903895_38,p19182863,s50903895,38,Findings,The patient is status post median sternotomy and aortic and tricuspid valve surgery. Stable appearance of cardiomediastinal contours. Persistent interstitial edema. Patchy and linear bibasilar atelectasis is also demonstrated as well as a small right pleural effusion. Left internal jugular catheter remains in place within the left superior vena cava.,Persistent interstitial edema.,interstitial edema,,Stable,"['files/p19/p19182863/s50903895/658ef774-35bbcbca-076591cf-e4bb58ca-243724d2.jpg', 'files/p19/p19182863/s50903895/b8d216b3-7f16e10d-72147640-2fd8511c-7da23725.jpg']",['files/p19/p19182863/s50878394/be5e433f-dac94987-b9ea5176-f3dc3125-517fe63d.jpg\n']
s50903895_38,p19182863,s50903895,38,Findings,The patient is status post median sternotomy and aortic and tricuspid valve surgery. Stable appearance of cardiomediastinal contours. Persistent interstitial edema. Patchy and linear bibasilar atelectasis is also demonstrated as well as a small right pleural effusion. Left internal jugular catheter remains in place within the left superior vena cava.,Stable appearance of cardiomediastinal contours.,cardiomediastinal contours,,Stable,"['files/p19/p19182863/s50903895/658ef774-35bbcbca-076591cf-e4bb58ca-243724d2.jpg', 'files/p19/p19182863/s50903895/b8d216b3-7f16e10d-72147640-2fd8511c-7da23725.jpg']",['files/p19/p19182863/s50878394/be5e433f-dac94987-b9ea5176-f3dc3125-517fe63d.jpg\n']
s50906117_8,p14744884,s50906117,8,Findings,"The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. A vascular stent, presumably within the right brachiocephalic vein, again projects over the medial right lung apex.","A vascular stent, presumably within the right brachiocephalic vein, again projects over the medial right lung apex.",vascular stent,Medial right lung apex,Stable,['files/p14/p14744884/s50906117/3f80bbda-1c82f45d-788d2535-2c56bc02-94651d15.jpg'],"['files/p14/p14744884/s50324889/2c704935-5d71f27f-9a16f96b-c07c47ac-c20f9b2f.jpg\n', 'files/p14/p14744884/s50324889/d6326d09-908b90e7-7f3c10fc-620713fc-4e490c4a.jpg\n']"
s50906117_8,p14744884,s50906117,8,Findings,"The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. A vascular stent, presumably within the right brachiocephalic vein, again projects over the medial right lung apex.","The cardiac, mediastinal and hilar contours appear unchanged.",,"Cardiac, mediastinal and hilar contours",Stable,['files/p14/p14744884/s50906117/3f80bbda-1c82f45d-788d2535-2c56bc02-94651d15.jpg'],"['files/p14/p14744884/s50324889/2c704935-5d71f27f-9a16f96b-c07c47ac-c20f9b2f.jpg\n', 'files/p14/p14744884/s50324889/d6326d09-908b90e7-7f3c10fc-620713fc-4e490c4a.jpg\n']"
s50908995_4,p15131736,s50908995,4,Impression,"AP chest compared to ___: Pulmonary edema that was present on ___ has nearly resolved. Severe cardiomegaly, mediastinal vascular engorgement and a very large pulmonary arteries indicating pulmonary arterial hypertension is all stable. Consolidation persists in the left lower lung, and may well be pneumonia. Small bilateral pleural effusions are presumed. No pneumothorax. Tip of the ET tube is at the upper margin of the clavicles, no less than 55mm from the carina and could be advanced 2 cm for more secured seating. Right jugular line ends in the mid to low SVC and a nasogastric tube passes into the stomach and out of view. No pneumothorax.",AP chest compared to ___: Pulmonary edema that was present on ___ has nearly resolved.,pulmonary edema,,Resolve,['files/p15/p15131736/s50908995/4e0d67fd-8d58f83e-cf09219c-27ea6f95-f4b09d70.jpg'],['files/p15/p15131736/s50740166/96039f47-3e02e23d-f1c42efb-ed41fb27-4376aa85.jpg\n']
s50908995_4,p15131736,s50908995,4,Impression,"AP chest compared to ___: Pulmonary edema that was present on ___ has nearly resolved. Severe cardiomegaly, mediastinal vascular engorgement and a very large pulmonary arteries indicating pulmonary arterial hypertension is all stable. Consolidation persists in the left lower lung, and may well be pneumonia. Small bilateral pleural effusions are presumed. No pneumothorax. Tip of the ET tube is at the upper margin of the clavicles, no less than 55mm from the carina and could be advanced 2 cm for more secured seating. Right jugular line ends in the mid to low SVC and a nasogastric tube passes into the stomach and out of view. No pneumothorax.","Severe cardiomegaly, mediastinal vascular engorgement and a very large pulmonary arteries indicating pulmonary arterial hypertension is all stable.",pulmonary arterial hypertension,,Stable,['files/p15/p15131736/s50908995/4e0d67fd-8d58f83e-cf09219c-27ea6f95-f4b09d70.jpg'],['files/p15/p15131736/s50740166/96039f47-3e02e23d-f1c42efb-ed41fb27-4376aa85.jpg\n']
s50908995_4,p15131736,s50908995,4,Impression,"AP chest compared to ___: Pulmonary edema that was present on ___ has nearly resolved. Severe cardiomegaly, mediastinal vascular engorgement and a very large pulmonary arteries indicating pulmonary arterial hypertension is all stable. Consolidation persists in the left lower lung, and may well be pneumonia. Small bilateral pleural effusions are presumed. No pneumothorax. Tip of the ET tube is at the upper margin of the clavicles, no less than 55mm from the carina and could be advanced 2 cm for more secured seating. Right jugular line ends in the mid to low SVC and a nasogastric tube passes into the stomach and out of view. No pneumothorax.","Consolidation persists in the left lower lung, and may well be pneumonia.",consolidation,left lower lung,Stable,['files/p15/p15131736/s50908995/4e0d67fd-8d58f83e-cf09219c-27ea6f95-f4b09d70.jpg'],['files/p15/p15131736/s50740166/96039f47-3e02e23d-f1c42efb-ed41fb27-4376aa85.jpg\n']
s50908995_4,p15131736,s50908995,4,Impression,"AP chest compared to ___: Pulmonary edema that was present on ___ has nearly resolved. Severe cardiomegaly, mediastinal vascular engorgement and a very large pulmonary arteries indicating pulmonary arterial hypertension is all stable. Consolidation persists in the left lower lung, and may well be pneumonia. Small bilateral pleural effusions are presumed. No pneumothorax. Tip of the ET tube is at the upper margin of the clavicles, no less than 55mm from the carina and could be advanced 2 cm for more secured seating. Right jugular line ends in the mid to low SVC and a nasogastric tube passes into the stomach and out of view. No pneumothorax.","Severe cardiomegaly, mediastinal vascular engorgement and a very large pulmonary arteries indicating pulmonary arterial hypertension is all stable.",mediastinal vascular engorgement,,Stable,['files/p15/p15131736/s50908995/4e0d67fd-8d58f83e-cf09219c-27ea6f95-f4b09d70.jpg'],['files/p15/p15131736/s50740166/96039f47-3e02e23d-f1c42efb-ed41fb27-4376aa85.jpg\n']
s50908995_4,p15131736,s50908995,4,Impression,"AP chest compared to ___: Pulmonary edema that was present on ___ has nearly resolved. Severe cardiomegaly, mediastinal vascular engorgement and a very large pulmonary arteries indicating pulmonary arterial hypertension is all stable. Consolidation persists in the left lower lung, and may well be pneumonia. Small bilateral pleural effusions are presumed. No pneumothorax. Tip of the ET tube is at the upper margin of the clavicles, no less than 55mm from the carina and could be advanced 2 cm for more secured seating. Right jugular line ends in the mid to low SVC and a nasogastric tube passes into the stomach and out of view. No pneumothorax.","Severe cardiomegaly, mediastinal vascular engorgement and a very large pulmonary arteries indicating pulmonary arterial hypertension is all stable.",severe cardiomegaly,,Stable,['files/p15/p15131736/s50908995/4e0d67fd-8d58f83e-cf09219c-27ea6f95-f4b09d70.jpg'],['files/p15/p15131736/s50740166/96039f47-3e02e23d-f1c42efb-ed41fb27-4376aa85.jpg\n']
s50909414_10,p13964474,s50909414,10,Findings,"In comparison with the study of ___, there is little overall change in the appearance of the monitoring and support devices and the diffuse bilateral pulmonary opacifications, again worse on the right.","In comparison with the study of ___, there is little overall change in the appearance of the monitoring and support devices and the diffuse bilateral pulmonary opacifications, again worse on the right.",monitoring and support devices,,Stable,['files/p13/p13964474/s50909414/22f15611-56e81b77-6ec98f91-5d740640-14d8260c.jpg'],['files/p13/p13964474/s50634232/509fd9e1-43b8892b-e1fc8e15-f4cb2ac1-b2e65974.jpg\n']
s50909414_10,p13964474,s50909414,10,Findings,"In comparison with the study of ___, there is little overall change in the appearance of the monitoring and support devices and the diffuse bilateral pulmonary opacifications, again worse on the right.","In comparison with the study of ___, there is little overall change in the appearance of the monitoring and support devices and the diffuse bilateral pulmonary opacifications, again worse on the right.",diffuse bilateral pulmonary opacifications,right,Worse,['files/p13/p13964474/s50909414/22f15611-56e81b77-6ec98f91-5d740640-14d8260c.jpg'],['files/p13/p13964474/s50634232/509fd9e1-43b8892b-e1fc8e15-f4cb2ac1-b2e65974.jpg\n']
s50910303_12,p19759491,s50910303,12,Findings,"No consolidation, pleural effusion or pulmonary edema is seen, and the cardiac silhouette continues to be mildly enlarged. Right-sided cardiac device is stable in position with appropriate lead placement unchanged. Median sternotomy wires are intact.","No consolidation, pleural effusion or pulmonary edema is seen, and the cardiac silhouette continues to be mildly enlarged.",Mild enlargement of cardiac silhouette,,Stable,"['files/p19/p19759491/s50910303/7b2ae5d6-29ba59ad-3452638d-8877d19c-db599f29.jpg', 'files/p19/p19759491/s50910303/de862699-c552320b-11e6f6c8-5087a74f-98f0b80d.jpg']","['files/p19/p19759491/s50882471/283df983-fd666130-de72e26e-a2fb9b59-88a371f7.jpg\n', 'files/p19/p19759491/s50882471/fa974cf9-6dfdfadf-834c74f3-3f7eee96-2d7d23a6.jpg\n']"
s50910303_12,p19759491,s50910303,12,Impression,Resolution of previously seen pneumonia.,Resolution of previously seen pneumonia.,Pneumonia,,Resolve,"['files/p19/p19759491/s50910303/7b2ae5d6-29ba59ad-3452638d-8877d19c-db599f29.jpg', 'files/p19/p19759491/s50910303/de862699-c552320b-11e6f6c8-5087a74f-98f0b80d.jpg']","['files/p19/p19759491/s50882471/283df983-fd666130-de72e26e-a2fb9b59-88a371f7.jpg\n', 'files/p19/p19759491/s50882471/fa974cf9-6dfdfadf-834c74f3-3f7eee96-2d7d23a6.jpg\n']"
s50910303_12,p19759491,s50910303,12,Findings,"No consolidation, pleural effusion or pulmonary edema is seen, and the cardiac silhouette continues to be mildly enlarged. Right-sided cardiac device is stable in position with appropriate lead placement unchanged. Median sternotomy wires are intact.",Right-sided cardiac device is stable in position with appropriate lead placement unchanged.,Cardiac device,Right-sided,Stable,"['files/p19/p19759491/s50910303/7b2ae5d6-29ba59ad-3452638d-8877d19c-db599f29.jpg', 'files/p19/p19759491/s50910303/de862699-c552320b-11e6f6c8-5087a74f-98f0b80d.jpg']","['files/p19/p19759491/s50882471/283df983-fd666130-de72e26e-a2fb9b59-88a371f7.jpg\n', 'files/p19/p19759491/s50882471/fa974cf9-6dfdfadf-834c74f3-3f7eee96-2d7d23a6.jpg\n']"
s50913309_6,p16334516,s50913309,6,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. Lung volumes have decreased. A pre-existing small left pleural effusion has increased in extent. The low lung volumes contribute to crowding of the vascular and bronchial structures at the lung bases. Slight patient rotation to the left also emphasizes the extent of the pre-existing left parenchymal opacity. The sternal wires are of unchanged alignment.",Lung volumes have decreased.,lung volumes,,Worse,['files/p16/p16334516/s50913309/f1939ee3-c5f53319-6a12cc79-3a32f440-2cec4540.jpg'],['files/p16/p16334516/s50645830/0336687b-390c6d13-fe15ecd8-f66d495e-b90db625.jpg\n']
s50913309_6,p16334516,s50913309,6,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. Lung volumes have decreased. A pre-existing small left pleural effusion has increased in extent. The low lung volumes contribute to crowding of the vascular and bronchial structures at the lung bases. Slight patient rotation to the left also emphasizes the extent of the pre-existing left parenchymal opacity. The sternal wires are of unchanged alignment.",The sternal wires are of unchanged alignment.,sternal wires,,Stable,['files/p16/p16334516/s50913309/f1939ee3-c5f53319-6a12cc79-3a32f440-2cec4540.jpg'],['files/p16/p16334516/s50645830/0336687b-390c6d13-fe15ecd8-f66d495e-b90db625.jpg\n']
s50913309_6,p16334516,s50913309,6,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. Lung volumes have decreased. A pre-existing small left pleural effusion has increased in extent. The low lung volumes contribute to crowding of the vascular and bronchial structures at the lung bases. Slight patient rotation to the left also emphasizes the extent of the pre-existing left parenchymal opacity. The sternal wires are of unchanged alignment.",A pre-existing small left pleural effusion has increased in extent.,small pleural effusion,left,Worse,['files/p16/p16334516/s50913309/f1939ee3-c5f53319-6a12cc79-3a32f440-2cec4540.jpg'],['files/p16/p16334516/s50645830/0336687b-390c6d13-fe15ecd8-f66d495e-b90db625.jpg\n']
s50913309_6,p16334516,s50913309,6,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. Lung volumes have decreased. A pre-existing small left pleural effusion has increased in extent. The low lung volumes contribute to crowding of the vascular and bronchial structures at the lung bases. Slight patient rotation to the left also emphasizes the extent of the pre-existing left parenchymal opacity. The sternal wires are of unchanged alignment.","As compared to the previous radiograph, the monitoring and support devices are unchanged.",monitoring and support devices,,Stable,['files/p16/p16334516/s50913309/f1939ee3-c5f53319-6a12cc79-3a32f440-2cec4540.jpg'],['files/p16/p16334516/s50645830/0336687b-390c6d13-fe15ecd8-f66d495e-b90db625.jpg\n']
s50916783_1,p19454978,s50916783,1,Impression,"AP chest compared to ___, 9:29 p.m.: New endotracheal tube ends less than 2 cm above the carina and should be withdrawn 2.5 cm for optimal placement. Moderate cardiomegaly is stable. Lung volumes are lower and greater opacification in the left lower lobe is attributable to new atelectasis. No pneumothorax or appreciable pleural effusion. Right internal jugular line ends just below the superior cavoatrial junction, as before.",Lung volumes are lower and greater opacification in the left lower lobe is attributable to new atelectasis.,atelectasis,left lower lobe,New,['files/p19/p19454978/s50916783/a83a9a0b-f3f4d97f-3a796f51-aca87088-8244d6b5.jpg'],"['files/p19/p19454978/s50810335/1cd8224d-c54f75c5-40100521-82169222-61354765.jpg\n', 'files/p19/p19454978/s50810335/b52282c3-1c808e3a-7ffee928-83083ac2-8cff0c2d.jpg\n']"
s50916783_1,p19454978,s50916783,1,Impression,"AP chest compared to ___, 9:29 p.m.: New endotracheal tube ends less than 2 cm above the carina and should be withdrawn 2.5 cm for optimal placement. Moderate cardiomegaly is stable. Lung volumes are lower and greater opacification in the left lower lobe is attributable to new atelectasis. No pneumothorax or appreciable pleural effusion. Right internal jugular line ends just below the superior cavoatrial junction, as before.","Right internal jugular line ends just below the superior cavoatrial junction, as before.",internal jugular line,superior cavoatrial junction,Stable,['files/p19/p19454978/s50916783/a83a9a0b-f3f4d97f-3a796f51-aca87088-8244d6b5.jpg'],"['files/p19/p19454978/s50810335/1cd8224d-c54f75c5-40100521-82169222-61354765.jpg\n', 'files/p19/p19454978/s50810335/b52282c3-1c808e3a-7ffee928-83083ac2-8cff0c2d.jpg\n']"
s50916783_1,p19454978,s50916783,1,Impression,"AP chest compared to ___, 9:29 p.m.: New endotracheal tube ends less than 2 cm above the carina and should be withdrawn 2.5 cm for optimal placement. Moderate cardiomegaly is stable. Lung volumes are lower and greater opacification in the left lower lobe is attributable to new atelectasis. No pneumothorax or appreciable pleural effusion. Right internal jugular line ends just below the superior cavoatrial junction, as before.",Moderate cardiomegaly is stable.,cardiomegaly,,Stable,['files/p19/p19454978/s50916783/a83a9a0b-f3f4d97f-3a796f51-aca87088-8244d6b5.jpg'],"['files/p19/p19454978/s50810335/1cd8224d-c54f75c5-40100521-82169222-61354765.jpg\n', 'files/p19/p19454978/s50810335/b52282c3-1c808e3a-7ffee928-83083ac2-8cff0c2d.jpg\n']"
s50918206_2,p18978682,s50918206,2,Findings,"As compared to the previous radiograph, there is no relevant change. The lung volumes remain low. There is increased opacity in the right medial lung apex that is unchanged as compared to the prior exam. No other lung parenchymal alterations, in particular no evidence of pneumonia or pulmonary edema. No pleural effusions. Left axillary clips in constant position.",The lung volumes remain low.,low,lung volumes,Stable,"['files/p18/p18978682/s50918206/0ec61261-98a2ef54-8f507688-ac74f4d3-f371ace2.jpg', 'files/p18/p18978682/s50918206/9168e746-fd2a040c-9f5380de-40f8d0ff-5f51b5df.jpg']",
s50918206_2,p18978682,s50918206,2,Findings,"As compared to the previous radiograph, there is no relevant change. The lung volumes remain low. There is increased opacity in the right medial lung apex that is unchanged as compared to the prior exam. No other lung parenchymal alterations, in particular no evidence of pneumonia or pulmonary edema. No pleural effusions. Left axillary clips in constant position.",Left axillary clips in constant position.,clips,left axillary,Stable,"['files/p18/p18978682/s50918206/0ec61261-98a2ef54-8f507688-ac74f4d3-f371ace2.jpg', 'files/p18/p18978682/s50918206/9168e746-fd2a040c-9f5380de-40f8d0ff-5f51b5df.jpg']",
s50918206_2,p18978682,s50918206,2,Findings,"As compared to the previous radiograph, there is no relevant change. The lung volumes remain low. There is increased opacity in the right medial lung apex that is unchanged as compared to the prior exam. No other lung parenchymal alterations, in particular no evidence of pneumonia or pulmonary edema. No pleural effusions. Left axillary clips in constant position.",There is increased opacity in the right medial lung apex that is unchanged as compared to the prior exam.,opacity,right medial lung apex,Stable,"['files/p18/p18978682/s50918206/0ec61261-98a2ef54-8f507688-ac74f4d3-f371ace2.jpg', 'files/p18/p18978682/s50918206/9168e746-fd2a040c-9f5380de-40f8d0ff-5f51b5df.jpg']",
s50918803_0,p17398573,s50918803,0,Impression,PA and lateral chest compared to ___ and ___: Moderate cardiomegaly has improved. Combination of mediastinal fat and possible middle lobe atelectasis should not be mistaken for pneumonia. Lungs are otherwise clear. There may be a very small new right pleural effusion. Thoracic aorta is generally large and tortuous but not focally aneurysmal. No evidence of tuberculosis.,There may be a very small new right pleural effusion.,pleural effusion,right,New,"['files/p17/p17398573/s50918803/31c1ff27-efe0b34c-f8b81088-73df6e0c-836198d5.jpg', 'files/p17/p17398573/s50918803/809123a3-3a8ec764-0d6f069f-d1b0935b-161bfff4.jpg']",
s50918803_0,p17398573,s50918803,0,Impression,PA and lateral chest compared to ___ and ___: Moderate cardiomegaly has improved. Combination of mediastinal fat and possible middle lobe atelectasis should not be mistaken for pneumonia. Lungs are otherwise clear. There may be a very small new right pleural effusion. Thoracic aorta is generally large and tortuous but not focally aneurysmal. No evidence of tuberculosis.,PA and lateral chest compared to ___ and ___: Moderate cardiomegaly has improved.,Moderate cardiomegaly,,Better,"['files/p17/p17398573/s50918803/31c1ff27-efe0b34c-f8b81088-73df6e0c-836198d5.jpg', 'files/p17/p17398573/s50918803/809123a3-3a8ec764-0d6f069f-d1b0935b-161bfff4.jpg']",
s50920770_33,p13475033,s50920770,33,Findings,"Prominent bilateral interstitial lung markings are on changed. There is no focal consolidation, pleural effusion or pneumothorax. The heart and mediastinum are magnified by the projection, but stable dating back to ___. Regional bones and soft tissues are unremarkable.","The heart and mediastinum are magnified by the projection, but stable dating back to ___.",heart and mediastinum,,Stable,['files/p13/p13475033/s50920770/288e9b61-c5cfce3d-38a26f8f-2f3f97f6-fdf08c07.jpg'],"['files/p13/p13475033/s50641273/58c59df1-b41b6ec4-e05fe16c-68059901-7ff1b2b3.jpg\n', 'files/p13/p13475033/s50641273/68bd5521-ca187f93-ae93cbe6-8bb8f491-3fb2dd0f.jpg\n']"
s50921864_6,p11934114,s50921864,6,Impression,"PA and lateral chest compared to ___ at 11:03 a.m.: New feeding tube, without a wire stylet, ends in the mid esophagus just below the level of the carina. Moderate-to-large right pleural effusion is probably increased in volume, but comparison is difficult because patient is supine on this study, erect on the earlier study today. Consolidation at both lung bases is probably due to worsening atelectasis but of course pneumonia and large scale aspiration are not excluded. Patient is rotated to her left which distorts the cardiac silhouette, probably mildly enlarged but unchanged. The left rib fractures are in various stages of healing. Thoracic aorta is tortuous and heavily calcified. No pneumothorax. Dr. ___ ___ I discussed these findings by telephone at the time of dictation.","Moderate-to-large right pleural effusion is probably increased in volume, but comparison is difficult because patient is supine on this study, erect on the earlier study today.",pleural effusion,right,Worse,['files/p11/p11934114/s50921864/07b49600-045da45b-0a9a9c85-40312bf9-29eb90ba.jpg'],
s50921864_6,p11934114,s50921864,6,Impression,"PA and lateral chest compared to ___ at 11:03 a.m.: New feeding tube, without a wire stylet, ends in the mid esophagus just below the level of the carina. Moderate-to-large right pleural effusion is probably increased in volume, but comparison is difficult because patient is supine on this study, erect on the earlier study today. Consolidation at both lung bases is probably due to worsening atelectasis but of course pneumonia and large scale aspiration are not excluded. Patient is rotated to her left which distorts the cardiac silhouette, probably mildly enlarged but unchanged. The left rib fractures are in various stages of healing. Thoracic aorta is tortuous and heavily calcified. No pneumothorax. Dr. ___ ___ I discussed these findings by telephone at the time of dictation.",Consolidation at both lung bases is probably due to worsening atelectasis but of course pneumonia and large scale aspiration are not excluded.,atelectasis,both lung bases,Worse,['files/p11/p11934114/s50921864/07b49600-045da45b-0a9a9c85-40312bf9-29eb90ba.jpg'],
s50921864_6,p11934114,s50921864,6,Impression,"PA and lateral chest compared to ___ at 11:03 a.m.: New feeding tube, without a wire stylet, ends in the mid esophagus just below the level of the carina. Moderate-to-large right pleural effusion is probably increased in volume, but comparison is difficult because patient is supine on this study, erect on the earlier study today. Consolidation at both lung bases is probably due to worsening atelectasis but of course pneumonia and large scale aspiration are not excluded. Patient is rotated to her left which distorts the cardiac silhouette, probably mildly enlarged but unchanged. The left rib fractures are in various stages of healing. Thoracic aorta is tortuous and heavily calcified. No pneumothorax. Dr. ___ ___ I discussed these findings by telephone at the time of dictation.","Patient is rotated to her left which distorts the cardiac silhouette, probably mildly enlarged but unchanged.",cardiac silhouette,,Stable,['files/p11/p11934114/s50921864/07b49600-045da45b-0a9a9c85-40312bf9-29eb90ba.jpg'],
s50924449_12,p18322589,s50924449,12,Impression,"AP chest compared to ___: Bedside frontal radiograph centered at the diaphragm shows nasogastric tube ending in the proximal duodenum, and the distal portions of a transvenous right ventricular pacer defibrillator and left ventricular pacer leads, as well as a right PICC lead that ends in the upper right atrium and retained epicardial leads. Previous mild pulmonary edema has improved, but there is still substantial consolidation at the right lung base probably largely atelectasis. There is no appreciable pleural effusion in the imaged portion of the chest. The apices of the lungs are not included in this image. Mild-to-moderate cardiomegaly is unchanged. Intestinal gas pattern is unremarkable.","Previous mild pulmonary edema has improved, but there is still substantial consolidation at the right lung base probably largely atelectasis.",pulmonary edema,Right lung base,Better,"['files/p18/p18322589/s50924449/4b2e0e56-c92f64a6-040f8d1f-05d28ea4-b7a14044.jpg', 'files/p18/p18322589/s50924449/d1cd470b-709eb217-69977228-14bf4f2f-c0457196.jpg']",
s50924449_12,p18322589,s50924449,12,Impression,"AP chest compared to ___: Bedside frontal radiograph centered at the diaphragm shows nasogastric tube ending in the proximal duodenum, and the distal portions of a transvenous right ventricular pacer defibrillator and left ventricular pacer leads, as well as a right PICC lead that ends in the upper right atrium and retained epicardial leads. Previous mild pulmonary edema has improved, but there is still substantial consolidation at the right lung base probably largely atelectasis. There is no appreciable pleural effusion in the imaged portion of the chest. The apices of the lungs are not included in this image. Mild-to-moderate cardiomegaly is unchanged. Intestinal gas pattern is unremarkable.",Mild-to-moderate cardiomegaly is unchanged.,cardiomegaly,,Stable,"['files/p18/p18322589/s50924449/4b2e0e56-c92f64a6-040f8d1f-05d28ea4-b7a14044.jpg', 'files/p18/p18322589/s50924449/d1cd470b-709eb217-69977228-14bf4f2f-c0457196.jpg']",
s50924449_12,p18322589,s50924449,12,Impression,"AP chest compared to ___: Bedside frontal radiograph centered at the diaphragm shows nasogastric tube ending in the proximal duodenum, and the distal portions of a transvenous right ventricular pacer defibrillator and left ventricular pacer leads, as well as a right PICC lead that ends in the upper right atrium and retained epicardial leads. Previous mild pulmonary edema has improved, but there is still substantial consolidation at the right lung base probably largely atelectasis. There is no appreciable pleural effusion in the imaged portion of the chest. The apices of the lungs are not included in this image. Mild-to-moderate cardiomegaly is unchanged. Intestinal gas pattern is unremarkable.",There is no appreciable pleural effusion in the imaged portion of the chest.,pleural effusion,,Resolve,"['files/p18/p18322589/s50924449/4b2e0e56-c92f64a6-040f8d1f-05d28ea4-b7a14044.jpg', 'files/p18/p18322589/s50924449/d1cd470b-709eb217-69977228-14bf4f2f-c0457196.jpg']",
s50924449_12,p18322589,s50924449,12,Impression,"AP chest compared to ___: Bedside frontal radiograph centered at the diaphragm shows nasogastric tube ending in the proximal duodenum, and the distal portions of a transvenous right ventricular pacer defibrillator and left ventricular pacer leads, as well as a right PICC lead that ends in the upper right atrium and retained epicardial leads. Previous mild pulmonary edema has improved, but there is still substantial consolidation at the right lung base probably largely atelectasis. There is no appreciable pleural effusion in the imaged portion of the chest. The apices of the lungs are not included in this image. Mild-to-moderate cardiomegaly is unchanged. Intestinal gas pattern is unremarkable.","Previous mild pulmonary edema has improved, but there is still substantial consolidation at the right lung base probably largely atelectasis.",consolidation,Right lung base,Stable,"['files/p18/p18322589/s50924449/4b2e0e56-c92f64a6-040f8d1f-05d28ea4-b7a14044.jpg', 'files/p18/p18322589/s50924449/d1cd470b-709eb217-69977228-14bf4f2f-c0457196.jpg']",
s50926698_6,p17669276,s50926698,6,Impression,"Mild pulmonary edema and small bilateral pleural effusions, similar compared to the prior exam. Persistent bibasilar airspace opacities could reflect compressive atelectasis but infection or aspiration cannot be excluded.","Mild pulmonary edema and small bilateral pleural effusions, similar compared to the prior exam.",mild pulmonary edema,,Stable,"['files/p17/p17669276/s50926698/48610074-8aa6ab8c-7c20f23a-7e26d775-88ee88e4.jpg', 'files/p17/p17669276/s50926698/b7d77fd6-bf863ed1-0d7c7510-dde731ba-1e25abec.jpg']",
s50926698_6,p17669276,s50926698,6,Impression,"Mild pulmonary edema and small bilateral pleural effusions, similar compared to the prior exam. Persistent bibasilar airspace opacities could reflect compressive atelectasis but infection or aspiration cannot be excluded.","Mild pulmonary edema and small bilateral pleural effusions, similar compared to the prior exam.",small bilateral pleural effusions,,Stable,"['files/p17/p17669276/s50926698/48610074-8aa6ab8c-7c20f23a-7e26d775-88ee88e4.jpg', 'files/p17/p17669276/s50926698/b7d77fd6-bf863ed1-0d7c7510-dde731ba-1e25abec.jpg']",
s50926698_6,p17669276,s50926698,6,Findings,"The patient is rotated which somewhat limits evaluation. The patient is status post median sternotomy and aortic valve replacement. Heart size is moderately enlarged but unchanged. The aorta is tortuous and calcified. There is mild interstitial pulmonary edema, relatively unchanged. At least small bilateral pleural effusions are present. Bibasilar airspace opacities may reflect compressive atelectasis. There is no pneumothorax. Degenerative changes are noted in both glenohumeral and acromioclavicular joints with narrowed acromial humeral intervals suggestive of underlying rotator cuff disease. There is evidence of prior vertebroplasty at the thoracolumbar junction.","There is mild interstitial pulmonary edema, relatively unchanged.",mild interstitial pulmonary edema,,Stable,"['files/p17/p17669276/s50926698/48610074-8aa6ab8c-7c20f23a-7e26d775-88ee88e4.jpg', 'files/p17/p17669276/s50926698/b7d77fd6-bf863ed1-0d7c7510-dde731ba-1e25abec.jpg']",
s50926698_6,p17669276,s50926698,6,Findings,"The patient is rotated which somewhat limits evaluation. The patient is status post median sternotomy and aortic valve replacement. Heart size is moderately enlarged but unchanged. The aorta is tortuous and calcified. There is mild interstitial pulmonary edema, relatively unchanged. At least small bilateral pleural effusions are present. Bibasilar airspace opacities may reflect compressive atelectasis. There is no pneumothorax. Degenerative changes are noted in both glenohumeral and acromioclavicular joints with narrowed acromial humeral intervals suggestive of underlying rotator cuff disease. There is evidence of prior vertebroplasty at the thoracolumbar junction.",Heart size is moderately enlarged but unchanged.,moderately enlarged heart,,Stable,"['files/p17/p17669276/s50926698/48610074-8aa6ab8c-7c20f23a-7e26d775-88ee88e4.jpg', 'files/p17/p17669276/s50926698/b7d77fd6-bf863ed1-0d7c7510-dde731ba-1e25abec.jpg']",
s50926698_6,p17669276,s50926698,6,Impression,"Mild pulmonary edema and small bilateral pleural effusions, similar compared to the prior exam. Persistent bibasilar airspace opacities could reflect compressive atelectasis but infection or aspiration cannot be excluded.",Persistent bibasilar airspace opacities could reflect compressive atelectasis but infection or aspiration cannot be excluded.,airspace opacities,bibasilar,Stable,"['files/p17/p17669276/s50926698/48610074-8aa6ab8c-7c20f23a-7e26d775-88ee88e4.jpg', 'files/p17/p17669276/s50926698/b7d77fd6-bf863ed1-0d7c7510-dde731ba-1e25abec.jpg']",
s50926698_6,p17669276,s50926698,6,Findings,"The patient is rotated which somewhat limits evaluation. The patient is status post median sternotomy and aortic valve replacement. Heart size is moderately enlarged but unchanged. The aorta is tortuous and calcified. There is mild interstitial pulmonary edema, relatively unchanged. At least small bilateral pleural effusions are present. Bibasilar airspace opacities may reflect compressive atelectasis. There is no pneumothorax. Degenerative changes are noted in both glenohumeral and acromioclavicular joints with narrowed acromial humeral intervals suggestive of underlying rotator cuff disease. There is evidence of prior vertebroplasty at the thoracolumbar junction.",There is evidence of prior vertebroplasty at the thoracolumbar junction.,vertebroplasty,thoracolumbar junction,Stable,"['files/p17/p17669276/s50926698/48610074-8aa6ab8c-7c20f23a-7e26d775-88ee88e4.jpg', 'files/p17/p17669276/s50926698/b7d77fd6-bf863ed1-0d7c7510-dde731ba-1e25abec.jpg']",
s50927676_59,p15131736,s50927676,59,Impression,"Cardiomegaly is severe and unchanged. Mediastinal silhouette is enlarged, unchanged as well. Vascular congestion is severe. There is potentially mild interstitial edema overall similar to previous examination. No appreciable pleural effusion demonstrated. No focal consolidations that would explain suspected aspiration demonstrated.","Mediastinal silhouette is enlarged, unchanged as well.",silhouette enlargement,Mediastinal,Stable,['files/p15/p15131736/s50927676/0e980298-0aa23b64-1ce41467-47d7e2a2-f9ed5194.jpg'],['files/p15/p15131736/s50908995/4e0d67fd-8d58f83e-cf09219c-27ea6f95-f4b09d70.jpg\n']
s50927676_59,p15131736,s50927676,59,Impression,"Cardiomegaly is severe and unchanged. Mediastinal silhouette is enlarged, unchanged as well. Vascular congestion is severe. There is potentially mild interstitial edema overall similar to previous examination. No appreciable pleural effusion demonstrated. No focal consolidations that would explain suspected aspiration demonstrated.",Cardiomegaly is severe and unchanged.,cardiomegaly,Cardiac,Stable,['files/p15/p15131736/s50927676/0e980298-0aa23b64-1ce41467-47d7e2a2-f9ed5194.jpg'],['files/p15/p15131736/s50908995/4e0d67fd-8d58f83e-cf09219c-27ea6f95-f4b09d70.jpg\n']
s50927676_59,p15131736,s50927676,59,Impression,"Cardiomegaly is severe and unchanged. Mediastinal silhouette is enlarged, unchanged as well. Vascular congestion is severe. There is potentially mild interstitial edema overall similar to previous examination. No appreciable pleural effusion demonstrated. No focal consolidations that would explain suspected aspiration demonstrated.",There is potentially mild interstitial edema overall similar to previous examination.,edema,Interstitial,Stable,['files/p15/p15131736/s50927676/0e980298-0aa23b64-1ce41467-47d7e2a2-f9ed5194.jpg'],['files/p15/p15131736/s50908995/4e0d67fd-8d58f83e-cf09219c-27ea6f95-f4b09d70.jpg\n']
s50929836_15,p18224196,s50929836,15,Findings,"As compared to the previous radiograph, there is no relevant change. There is no right pneumothorax after failed internal jugular vein catheter placement. No evidence of mediastinal widening. No other changes. The previously placed left internal jugular vein catheter has been removed.",The previously placed left internal jugular vein catheter has been removed.,catheter,left internal jugular vein,Resolve,['files/p18/p18224196/s50929836/f3b42407-6b2326f3-2497e880-ce2defbd-96071f1d.jpg'],['files/p18/p18224196/s50780353/90e79548-fcbab121-6100c047-b413fab9-912f13a5.jpg\n']
s50935375_3,p17962324,s50935375,3,Findings,Patient status post coronary artery bypass graft. Median sternotomy wires are intact. Numerous surgical clips project over the mediastinum and around the heart. The heart is not enlarged. Mediastinal hilar contours are normal. Calcification and tortuosity of the thoracic aorta is re- demonstrated. There is no pleural effusion or pneumothorax. There is no pulmonary edema. The lungs are hyperexpanded with flattening of the hemidiaphragms as before.,Calcification and tortuosity of the thoracic aorta is re- demonstrated.,Calcification and tortuosity,thoracic aorta,Stable,"['files/p17/p17962324/s50935375/41df0913-e1804610-248fbdd1-6c00cbe1-01bebf5e.jpg', 'files/p17/p17962324/s50935375/e7c283a2-7103747a-f58558d4-48c8259f-aeb043ac.jpg']","['files/p17/p17962324/s50545797/3a95996c-94c41329-d656550a-90424b30-ec861fcc.jpg\n', 'files/p17/p17962324/s50545797/5ace239b-61b2f2f3-103b0d93-d3803c39-ef06ca44.jpg\n', 'files/p17/p17962324/s50545797/c768ecd2-dec91075-b6e6d204-6a9d0da8-e1ce939a.jpg\n']"
s50935375_3,p17962324,s50935375,3,Findings,Patient status post coronary artery bypass graft. Median sternotomy wires are intact. Numerous surgical clips project over the mediastinum and around the heart. The heart is not enlarged. Mediastinal hilar contours are normal. Calcification and tortuosity of the thoracic aorta is re- demonstrated. There is no pleural effusion or pneumothorax. There is no pulmonary edema. The lungs are hyperexpanded with flattening of the hemidiaphragms as before.,The lungs are hyperexpanded with flattening of the hemidiaphragms as before.,Hyperexpanded lungs with flattening of the hemidiaphragms,,Stable,"['files/p17/p17962324/s50935375/41df0913-e1804610-248fbdd1-6c00cbe1-01bebf5e.jpg', 'files/p17/p17962324/s50935375/e7c283a2-7103747a-f58558d4-48c8259f-aeb043ac.jpg']","['files/p17/p17962324/s50545797/3a95996c-94c41329-d656550a-90424b30-ec861fcc.jpg\n', 'files/p17/p17962324/s50545797/5ace239b-61b2f2f3-103b0d93-d3803c39-ef06ca44.jpg\n', 'files/p17/p17962324/s50545797/c768ecd2-dec91075-b6e6d204-6a9d0da8-e1ce939a.jpg\n']"
s50935375_3,p17962324,s50935375,3,Impression,1. Left basilar opacity is resolved. 2. COPD.,Left basilar opacity is resolved.,Opacity,Left basilar,Resolve,"['files/p17/p17962324/s50935375/41df0913-e1804610-248fbdd1-6c00cbe1-01bebf5e.jpg', 'files/p17/p17962324/s50935375/e7c283a2-7103747a-f58558d4-48c8259f-aeb043ac.jpg']","['files/p17/p17962324/s50545797/3a95996c-94c41329-d656550a-90424b30-ec861fcc.jpg\n', 'files/p17/p17962324/s50545797/5ace239b-61b2f2f3-103b0d93-d3803c39-ef06ca44.jpg\n', 'files/p17/p17962324/s50545797/c768ecd2-dec91075-b6e6d204-6a9d0da8-e1ce939a.jpg\n']"
s50936626_22,p16508811,s50936626,22,Impression,"In comparison with the study of ___, the patient has taken a better inspiration. Hemodialysis catheter is unchanged. The cardiac silhouette remains at the upper limits of normal in size, although at this time there is no definite pulmonary vascular congestion. The left hemidiaphragm is not well seen, which could reflect small pleural effusion and atelectasis, though also could be related to overlying soft tissues. No evidence of acute focal pneumonia.",Hemodialysis catheter is unchanged.,Hemodialysis catheter,,Stable,['files/p16/p16508811/s50936626/a25b5ac3-3b72b7c3-74275421-5dc344b8-b3a2cd7c.jpg'],['files/p16/p16508811/s50818829/c2f49f11-42bbe227-0e97f6b4-10ea93f4-e05ef9fb.jpg\n']
s50936626_22,p16508811,s50936626,22,Impression,"In comparison with the study of ___, the patient has taken a better inspiration. Hemodialysis catheter is unchanged. The cardiac silhouette remains at the upper limits of normal in size, although at this time there is no definite pulmonary vascular congestion. The left hemidiaphragm is not well seen, which could reflect small pleural effusion and atelectasis, though also could be related to overlying soft tissues. No evidence of acute focal pneumonia.","The cardiac silhouette remains at the upper limits of normal in size, although at this time there is no definite pulmonary vascular congestion.",Cardiac silhouette,,Stable,['files/p16/p16508811/s50936626/a25b5ac3-3b72b7c3-74275421-5dc344b8-b3a2cd7c.jpg'],['files/p16/p16508811/s50818829/c2f49f11-42bbe227-0e97f6b4-10ea93f4-e05ef9fb.jpg\n']
s50936626_22,p16508811,s50936626,22,Impression,"In comparison with the study of ___, the patient has taken a better inspiration. Hemodialysis catheter is unchanged. The cardiac silhouette remains at the upper limits of normal in size, although at this time there is no definite pulmonary vascular congestion. The left hemidiaphragm is not well seen, which could reflect small pleural effusion and atelectasis, though also could be related to overlying soft tissues. No evidence of acute focal pneumonia.","In comparison with the study of ___, the patient has taken a better inspiration.",Inspiration,,Better,['files/p16/p16508811/s50936626/a25b5ac3-3b72b7c3-74275421-5dc344b8-b3a2cd7c.jpg'],['files/p16/p16508811/s50818829/c2f49f11-42bbe227-0e97f6b4-10ea93f4-e05ef9fb.jpg\n']
s50940921_6,p11880923,s50940921,6,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. The lung volumes have increased, likely reflecting increased ventilatory pressure. The pre-existing combination of a right parenchymal opacity and diffusion has decreased in extent and severity. The retrocardiac lung parenchyma has also slightly increased in transparency. No evidence of new parenchymal opacities. A left pleural effusion is not present. In the left perihilar areas, there is minimal peribronchial cuffing and an increase in diameter of the vascular structures, so that mild pulmonary edema cannot be excluded.",A left pleural effusion is not present.,pleural effusion,left,Resolve,['files/p11/p11880923/s50940921/6ccb4ace-96b61a6d-da4ac48b-808f3b8e-7d4547a8.jpg'],['files/p11/p11880923/s50889423/5fe74fb9-978c6718-4181ec01-234b0987-85e6ce3b.jpg\n']
s50940921_6,p11880923,s50940921,6,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. The lung volumes have increased, likely reflecting increased ventilatory pressure. The pre-existing combination of a right parenchymal opacity and diffusion has decreased in extent and severity. The retrocardiac lung parenchyma has also slightly increased in transparency. No evidence of new parenchymal opacities. A left pleural effusion is not present. In the left perihilar areas, there is minimal peribronchial cuffing and an increase in diameter of the vascular structures, so that mild pulmonary edema cannot be excluded.","As compared to the previous radiograph, the monitoring and support devices are unchanged.",monitoring and support devices,,Stable,['files/p11/p11880923/s50940921/6ccb4ace-96b61a6d-da4ac48b-808f3b8e-7d4547a8.jpg'],['files/p11/p11880923/s50889423/5fe74fb9-978c6718-4181ec01-234b0987-85e6ce3b.jpg\n']
s50940921_6,p11880923,s50940921,6,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. The lung volumes have increased, likely reflecting increased ventilatory pressure. The pre-existing combination of a right parenchymal opacity and diffusion has decreased in extent and severity. The retrocardiac lung parenchyma has also slightly increased in transparency. No evidence of new parenchymal opacities. A left pleural effusion is not present. In the left perihilar areas, there is minimal peribronchial cuffing and an increase in diameter of the vascular structures, so that mild pulmonary edema cannot be excluded.",The pre-existing combination of a right parenchymal opacity and diffusion has decreased in extent and severity.,parenchymal opacity and diffusion,right,Better,['files/p11/p11880923/s50940921/6ccb4ace-96b61a6d-da4ac48b-808f3b8e-7d4547a8.jpg'],['files/p11/p11880923/s50889423/5fe74fb9-978c6718-4181ec01-234b0987-85e6ce3b.jpg\n']
s50940921_6,p11880923,s50940921,6,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. The lung volumes have increased, likely reflecting increased ventilatory pressure. The pre-existing combination of a right parenchymal opacity and diffusion has decreased in extent and severity. The retrocardiac lung parenchyma has also slightly increased in transparency. No evidence of new parenchymal opacities. A left pleural effusion is not present. In the left perihilar areas, there is minimal peribronchial cuffing and an increase in diameter of the vascular structures, so that mild pulmonary edema cannot be excluded.","The lung volumes have increased, likely reflecting increased ventilatory pressure.",lung volumes,,Worse,['files/p11/p11880923/s50940921/6ccb4ace-96b61a6d-da4ac48b-808f3b8e-7d4547a8.jpg'],['files/p11/p11880923/s50889423/5fe74fb9-978c6718-4181ec01-234b0987-85e6ce3b.jpg\n']
s50940921_6,p11880923,s50940921,6,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. The lung volumes have increased, likely reflecting increased ventilatory pressure. The pre-existing combination of a right parenchymal opacity and diffusion has decreased in extent and severity. The retrocardiac lung parenchyma has also slightly increased in transparency. No evidence of new parenchymal opacities. A left pleural effusion is not present. In the left perihilar areas, there is minimal peribronchial cuffing and an increase in diameter of the vascular structures, so that mild pulmonary edema cannot be excluded.",The retrocardiac lung parenchyma has also slightly increased in transparency.,lung parenchyma,retrocardiac,Worse,['files/p11/p11880923/s50940921/6ccb4ace-96b61a6d-da4ac48b-808f3b8e-7d4547a8.jpg'],['files/p11/p11880923/s50889423/5fe74fb9-978c6718-4181ec01-234b0987-85e6ce3b.jpg\n']
s50943671_22,p16848073,s50943671,22,Findings,"A dual-lead pacemaker/ICD appears unchanged with leads terminating in the right atrium and ventricle, respectively. The heart is normal in size. There is increase in right infrahilar opacity probably correlating with focal right lower lobe opacity. This is superimposed on a probably more chronic interstitial abnormality at the lung bases, which is greater on the right than left. There is no definite pleural effusion or pneumothorax.",There is increase in right infrahilar opacity probably correlating with focal right lower lobe opacity.,opacity,right infrahilar,Worse,"['files/p16/p16848073/s50943671/763d782b-5a51908c-3e57e293-836df343-de966853.jpg', 'files/p16/p16848073/s50943671/9c4e6c30-f517fbdf-d045185b-4f7d3c4b-5cb54b42.jpg']","['files/p16/p16848073/s50428004/3631cd18-4b7c7e37-ff9be7af-3800f4bd-ce422f9e.jpg\n', 'files/p16/p16848073/s50428004/9fc99576-0fb8a306-e51be584-113ca1f6-dd9e9cd7.jpg\n']"
s50943671_22,p16848073,s50943671,22,Findings,"A dual-lead pacemaker/ICD appears unchanged with leads terminating in the right atrium and ventricle, respectively. The heart is normal in size. There is increase in right infrahilar opacity probably correlating with focal right lower lobe opacity. This is superimposed on a probably more chronic interstitial abnormality at the lung bases, which is greater on the right than left. There is no definite pleural effusion or pneumothorax.","A dual-lead pacemaker/ICD appears unchanged with leads terminating in the right atrium and ventricle, respectively.",dual-lead pacemaker/ICD,right atrium and ventricle,Stable,"['files/p16/p16848073/s50943671/763d782b-5a51908c-3e57e293-836df343-de966853.jpg', 'files/p16/p16848073/s50943671/9c4e6c30-f517fbdf-d045185b-4f7d3c4b-5cb54b42.jpg']","['files/p16/p16848073/s50428004/3631cd18-4b7c7e37-ff9be7af-3800f4bd-ce422f9e.jpg\n', 'files/p16/p16848073/s50428004/9fc99576-0fb8a306-e51be584-113ca1f6-dd9e9cd7.jpg\n']"
s50947201_13,p15857729,s50947201,13,Impression,"As compared to the previous radiograph, the pre-existing right lower lobe pneumonia has substantially increased in extent and severity. The opacity now extends up to the level of the right hilus. In addition, a left upper lobe predominant similar opacity has developed, showing air bronchograms and an alveolar pattern of radiodensity. Finally, there is evidence of left retrocardiac atelectasis. Moderate cardiomegaly persists. Unchanged course and position of the right internal jugular vein catheter. At the time of dictation and observation, 11:06, on the ___, the referring physician ___. ___ was paged for notification.","As compared to the previous radiograph, the pre-existing right lower lobe pneumonia has substantially increased in extent and severity.",pneumonia,right lower lobe,Worse,['files/p15/p15857729/s50947201/e05c237c-fb8a0000-33d30826-2a3cf122-3e58c1f4.jpg'],
s50947201_13,p15857729,s50947201,13,Impression,"As compared to the previous radiograph, the pre-existing right lower lobe pneumonia has substantially increased in extent and severity. The opacity now extends up to the level of the right hilus. In addition, a left upper lobe predominant similar opacity has developed, showing air bronchograms and an alveolar pattern of radiodensity. Finally, there is evidence of left retrocardiac atelectasis. Moderate cardiomegaly persists. Unchanged course and position of the right internal jugular vein catheter. At the time of dictation and observation, 11:06, on the ___, the referring physician ___. ___ was paged for notification.",Moderate cardiomegaly persists.,cardiomegaly,heart,Stable,['files/p15/p15857729/s50947201/e05c237c-fb8a0000-33d30826-2a3cf122-3e58c1f4.jpg'],
s50947201_13,p15857729,s50947201,13,Impression,"As compared to the previous radiograph, the pre-existing right lower lobe pneumonia has substantially increased in extent and severity. The opacity now extends up to the level of the right hilus. In addition, a left upper lobe predominant similar opacity has developed, showing air bronchograms and an alveolar pattern of radiodensity. Finally, there is evidence of left retrocardiac atelectasis. Moderate cardiomegaly persists. Unchanged course and position of the right internal jugular vein catheter. At the time of dictation and observation, 11:06, on the ___, the referring physician ___. ___ was paged for notification.",Unchanged course and position of the right internal jugular vein catheter.,catheter,right internal jugular vein,Stable,['files/p15/p15857729/s50947201/e05c237c-fb8a0000-33d30826-2a3cf122-3e58c1f4.jpg'],
s50950402_3,p14969719,s50950402,3,Impression,"Since ___, there are no relevant changes in the lungs. Mild to moderate right-sided pleural effusion is unchanged. Mild mediastinal shift on the right side and cardiomediastinal silhouetteare similar. Mild atelectasis in right lower lung is unchanged. No new relevant findings. Right Port-A-Cath ends at lower SVC and a right chest tube drain ends at right lung base.",Mild to moderate right-sided pleural effusion is unchanged.,pleural effusion,right-sided,Stable,['files/p14/p14969719/s50950402/9b81caad-45950b63-68fae78a-caa9bc51-74483a78.jpg'],
s50950402_3,p14969719,s50950402,3,Impression,"Since ___, there are no relevant changes in the lungs. Mild to moderate right-sided pleural effusion is unchanged. Mild mediastinal shift on the right side and cardiomediastinal silhouetteare similar. Mild atelectasis in right lower lung is unchanged. No new relevant findings. Right Port-A-Cath ends at lower SVC and a right chest tube drain ends at right lung base.",Mild mediastinal shift on the right side and cardiomediastinal silhouetteare similar.,mediastinal shift,right side,Stable,['files/p14/p14969719/s50950402/9b81caad-45950b63-68fae78a-caa9bc51-74483a78.jpg'],
s50950402_3,p14969719,s50950402,3,Impression,"Since ___, there are no relevant changes in the lungs. Mild to moderate right-sided pleural effusion is unchanged. Mild mediastinal shift on the right side and cardiomediastinal silhouetteare similar. Mild atelectasis in right lower lung is unchanged. No new relevant findings. Right Port-A-Cath ends at lower SVC and a right chest tube drain ends at right lung base.",Mild atelectasis in right lower lung is unchanged.,atelectasis,right lower lung,Stable,['files/p14/p14969719/s50950402/9b81caad-45950b63-68fae78a-caa9bc51-74483a78.jpg'],
s50952862_17,p14744884,s50952862,17,Findings,AP upright and lateral views of the chest provided. Vascular stent is seen in the region of the right brachiocephalic vein. The heart is moderately enlarged. There is mild interstitial pulmonary edema. Previously noted ET and NG tubes have been removed. No large pleural effusion. Mediastinal contour is stable. Bony structures are sclerotic which could reflect renal osteodystrophy.,Mediastinal contour is stable.,Contour,Mediastinal,Stable,"['files/p14/p14744884/s50952862/2343dc55-38e48c6b-7156e38e-160821ce-be18c5a3.jpg', 'files/p14/p14744884/s50952862/53a27018-b8c0b2a6-f17c28fb-36c7d96a-9f40c15f.jpg', 'files/p14/p14744884/s50952862/fee424dc-5eb9208a-f33819ea-2202c264-75ac8893.jpg']",['files/p14/p14744884/s50906117/3f80bbda-1c82f45d-788d2535-2c56bc02-94651d15.jpg\n']
s50952862_17,p14744884,s50952862,17,Findings,AP upright and lateral views of the chest provided. Vascular stent is seen in the region of the right brachiocephalic vein. The heart is moderately enlarged. There is mild interstitial pulmonary edema. Previously noted ET and NG tubes have been removed. No large pleural effusion. Mediastinal contour is stable. Bony structures are sclerotic which could reflect renal osteodystrophy.,Previously noted ET and NG tubes have been removed.,ET and NG tubes,Various,Resolve,"['files/p14/p14744884/s50952862/2343dc55-38e48c6b-7156e38e-160821ce-be18c5a3.jpg', 'files/p14/p14744884/s50952862/53a27018-b8c0b2a6-f17c28fb-36c7d96a-9f40c15f.jpg', 'files/p14/p14744884/s50952862/fee424dc-5eb9208a-f33819ea-2202c264-75ac8893.jpg']",['files/p14/p14744884/s50906117/3f80bbda-1c82f45d-788d2535-2c56bc02-94651d15.jpg\n']
s50953777_3,p12185775,s50953777,3,Findings,PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding portable chest examination of ___. Heart size is unchanged. Previously described moderate pulmonary congestive pattern with some upper zone re-distribution has normalized. Presently no evidence of pulmonary interstitial alveolar edema and the lateral as well as posterior pleural sinuses are free from any fluid accumulation. No pneumothorax in the apical area. No acute infiltrates. Lateral and posterior pleural sinuses are free. A previously described old calcified granuloma in the left upper lobe area is unchanged.,Heart size is unchanged.,Heart size,,Stable,"['files/p12/p12185775/s50953777/c9bd6dd6-c8328950-4f61c412-81766efb-2d9c193f.jpg', 'files/p12/p12185775/s50953777/dcd6fbb9-e2ec404a-8b19713d-5379757a-105c3803.jpg']",['files/p12/p12185775/s50729749/42ca390f-5819f578-c74fd59e-a7561a1a-0040b454.jpg\n']
s50953777_3,p12185775,s50953777,3,Findings,PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding portable chest examination of ___. Heart size is unchanged. Previously described moderate pulmonary congestive pattern with some upper zone re-distribution has normalized. Presently no evidence of pulmonary interstitial alveolar edema and the lateral as well as posterior pleural sinuses are free from any fluid accumulation. No pneumothorax in the apical area. No acute infiltrates. Lateral and posterior pleural sinuses are free. A previously described old calcified granuloma in the left upper lobe area is unchanged.,Previously described moderate pulmonary congestive pattern with some upper zone re-distribution has normalized.,pulmonary congestive pattern,upper zone,Better,"['files/p12/p12185775/s50953777/c9bd6dd6-c8328950-4f61c412-81766efb-2d9c193f.jpg', 'files/p12/p12185775/s50953777/dcd6fbb9-e2ec404a-8b19713d-5379757a-105c3803.jpg']",['files/p12/p12185775/s50729749/42ca390f-5819f578-c74fd59e-a7561a1a-0040b454.jpg\n']
s50953777_3,p12185775,s50953777,3,Findings,PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding portable chest examination of ___. Heart size is unchanged. Previously described moderate pulmonary congestive pattern with some upper zone re-distribution has normalized. Presently no evidence of pulmonary interstitial alveolar edema and the lateral as well as posterior pleural sinuses are free from any fluid accumulation. No pneumothorax in the apical area. No acute infiltrates. Lateral and posterior pleural sinuses are free. A previously described old calcified granuloma in the left upper lobe area is unchanged.,A previously described old calcified granuloma in the left upper lobe area is unchanged.,calcified granuloma,left upper lobe,Stable,"['files/p12/p12185775/s50953777/c9bd6dd6-c8328950-4f61c412-81766efb-2d9c193f.jpg', 'files/p12/p12185775/s50953777/dcd6fbb9-e2ec404a-8b19713d-5379757a-105c3803.jpg']",['files/p12/p12185775/s50729749/42ca390f-5819f578-c74fd59e-a7561a1a-0040b454.jpg\n']
s50955371_26,p11474065,s50955371,26,Impression,Persistence of right middle lobe opacities since ___ is concerning for pneumonia.,Persistence of right middle lobe opacities since ___ is concerning for pneumonia.,opacities,right middle lobe,Stable,['files/p11/p11474065/s50955371/835047f2-adf49b86-e80c6954-330c111c-da7aeea9.jpg'],['files/p11/p11474065/s50017760/645dd223-bb4a40c3-d6a19aeb-fcd36a22-ca6478a3.jpg\n']
s50955371_26,p11474065,s50955371,26,Findings,Persistence of right middle lobe opacities obscuring the right heart border since ___ is concerning for pneumonia. The rest of the lungs appear unchanged since ___. Moderate bibasilar atelectasis is slightly improved. The heart size is exaggerated by compressive atelectasis. No pneumothorax. Note is made of partial resection of the ___ posterior rib.,Persistence of right middle lobe opacities obscuring the right heart border since ___ is concerning for pneumonia.,opacities,right middle lobe,Stable,['files/p11/p11474065/s50955371/835047f2-adf49b86-e80c6954-330c111c-da7aeea9.jpg'],['files/p11/p11474065/s50017760/645dd223-bb4a40c3-d6a19aeb-fcd36a22-ca6478a3.jpg\n']
s50955371_26,p11474065,s50955371,26,Findings,Persistence of right middle lobe opacities obscuring the right heart border since ___ is concerning for pneumonia. The rest of the lungs appear unchanged since ___. Moderate bibasilar atelectasis is slightly improved. The heart size is exaggerated by compressive atelectasis. No pneumothorax. Note is made of partial resection of the ___ posterior rib.,Moderate bibasilar atelectasis is slightly improved.,atelectasis,bibasilar,Better,['files/p11/p11474065/s50955371/835047f2-adf49b86-e80c6954-330c111c-da7aeea9.jpg'],['files/p11/p11474065/s50017760/645dd223-bb4a40c3-d6a19aeb-fcd36a22-ca6478a3.jpg\n']
s50955589_5,p16848073,s50955589,5,Findings,"In comparison with the study of ___, the pulmonary vascular congestion has decreased. Opacification at the right base is again consistent with effusion and volume loss. Less prominent effusion and atelectasis is seen at the left base. Right chest tube remains in place without pneumothorax. Extensive opacification in the right paratracheal region is consistent with the known invasive esophageal tumor.","In comparison with the study of ___, the pulmonary vascular congestion has decreased.",pulmonary vascular congestion,,Better,['files/p16/p16848073/s50955589/0c931dce-4d5b295c-0a68da5e-9d5c6169-3d3ef2da.jpg'],"['files/p16/p16848073/s50943671/763d782b-5a51908c-3e57e293-836df343-de966853.jpg\n', 'files/p16/p16848073/s50943671/9c4e6c30-f517fbdf-d045185b-4f7d3c4b-5cb54b42.jpg\n']"
s50955589_5,p16848073,s50955589,5,Findings,"In comparison with the study of ___, the pulmonary vascular congestion has decreased. Opacification at the right base is again consistent with effusion and volume loss. Less prominent effusion and atelectasis is seen at the left base. Right chest tube remains in place without pneumothorax. Extensive opacification in the right paratracheal region is consistent with the known invasive esophageal tumor.",Right chest tube remains in place without pneumothorax.,chest tube,Right,Stable,['files/p16/p16848073/s50955589/0c931dce-4d5b295c-0a68da5e-9d5c6169-3d3ef2da.jpg'],"['files/p16/p16848073/s50943671/763d782b-5a51908c-3e57e293-836df343-de966853.jpg\n', 'files/p16/p16848073/s50943671/9c4e6c30-f517fbdf-d045185b-4f7d3c4b-5cb54b42.jpg\n']"
s50956811_44,p13475033,s50956811,44,Findings,"There has been no significant interval change. Re- demonstrated is diffuse increase and interstitial markings bilaterally consistent with chronic lung disease, grossly stable. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.","Re- demonstrated is diffuse increase and interstitial markings bilaterally consistent with chronic lung disease, grossly stable.",increase and interstitial markings,Diffuse bilateral,Stable,"['files/p13/p13475033/s50956811/34c46b78-c751bfe6-f38375be-f360ffe3-d6a24fda.jpg', 'files/p13/p13475033/s50956811/f1c5fd56-97830cd3-47bda383-38c447b7-6ed2d3d2.jpg']",['files/p13/p13475033/s50920770/288e9b61-c5cfce3d-38a26f8f-2f3f97f6-fdf08c07.jpg\n']
s50956811_44,p13475033,s50956811,44,Findings,"There has been no significant interval change. Re- demonstrated is diffuse increase and interstitial markings bilaterally consistent with chronic lung disease, grossly stable. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.",The cardiac and mediastinal silhouettes are stable.,silhouettes,Cardiac and mediastinal,Stable,"['files/p13/p13475033/s50956811/34c46b78-c751bfe6-f38375be-f360ffe3-d6a24fda.jpg', 'files/p13/p13475033/s50956811/f1c5fd56-97830cd3-47bda383-38c447b7-6ed2d3d2.jpg']",['files/p13/p13475033/s50920770/288e9b61-c5cfce3d-38a26f8f-2f3f97f6-fdf08c07.jpg\n']
s50957430_1,p12736592,s50957430,1,Findings,"Single portable view of the chest at 4:57 p.m. is compared to previous exam from earlier the same day at 4:10 p.m. Left-sided chest tube is seen with tip projecting over the left lung apex. Although there is increased lucency in the left hemithorax, no discrete pleural line is identified based on this supine film. There is left chest wall subcutaneous gas seen. Otherwise, there has been no change.","Although there is increased lucency in the left hemithorax, no discrete pleural line is identified based on this supine film.",lucency,left hemithorax,Worse,['files/p12/p12736592/s50957430/3056f052-ff3c284f-0d46f60a-7d4ee6af-498142fb.jpg'],['files/p12/p12736592/s50820057/d0abd39a-1f812f05-b0d99e71-5f3d984a-c46b559f.jpg\n']
s50961878_7,p19623993,s50961878,7,Impression,"AP chest compared to ___ through ___ at 10:42 a.m.: Tip of the endotracheal tube is at the upper margin of the clavicles. With the chin in neutral or slight flexion the distance to the carina no less than 58 mm is 1-2 cm above optimal placement. Right internal jugular line ends in the upper SVC. Swan-Ganz catheter traverses a left jugular introducer and ends in the right pulmonary artery. Although the nasogastric tube passes into the stomach, a loop projecting over the midline at the upper margin of the film could be in the hypopharynx and should be evaluated clinically. Mild pulmonary edema has improved. Small bilateral pleural effusions are presumed. Heart size is normal and the mediastinal veins are no longer engorged. No pneumothorax. Dr. ___ was paged.",Mild pulmonary edema has improved.,Mild pulmonary edema,,Better,['files/p19/p19623993/s50961878/8b0cada7-ecc1d1e7-0910b65f-cf44db21-afca8926.jpg'],['files/p19/p19623993/s50438261/d4d5dc4c-6021744f-fa9497e5-157fa69b-f68ddb75.jpg\n']
s50964400_9,p10410641,s50964400,9,Findings,Bilateral pigtail catheters are present at the lung bases. Moderate right apical pneumothorax has minimally decreased since yesterday. The maximum width at the apex measures 2.4 cm as compared to yesterday measuring 2.7 cm. Opacity at the right lung base which appeared on the yesterdays radiograph is more denser and is likely from an aspiration or atelectasis. Small right pleural effusion is unchanged.,Small right pleural effusion is unchanged.,pleural effusion,right,Stable,['files/p10/p10410641/s50964400/827ee5d1-edb520dd-ec2cf0f6-5f7c165d-453421fb.jpg'],
s50964400_9,p10410641,s50964400,9,Impression,"1. Moderate right apical pneumothorax has very minimally decreased since yesterday. 2. Right lower lung opacity concerning for aspiration/atelectasis is more denser than before, though not increased in size. Small right pleural effusion is unchanged. No new left pleural effusion.",Small right pleural effusion is unchanged.,pleural effusion,right,Stable,['files/p10/p10410641/s50964400/827ee5d1-edb520dd-ec2cf0f6-5f7c165d-453421fb.jpg'],
s50964400_9,p10410641,s50964400,9,Impression,"1. Moderate right apical pneumothorax has very minimally decreased since yesterday. 2. Right lower lung opacity concerning for aspiration/atelectasis is more denser than before, though not increased in size. Small right pleural effusion is unchanged. No new left pleural effusion.","2. Right lower lung opacity concerning for aspiration/atelectasis is more denser than before, though not increased in size.",opacity,right,Worse,['files/p10/p10410641/s50964400/827ee5d1-edb520dd-ec2cf0f6-5f7c165d-453421fb.jpg'],
s50964400_9,p10410641,s50964400,9,Impression,"1. Moderate right apical pneumothorax has very minimally decreased since yesterday. 2. Right lower lung opacity concerning for aspiration/atelectasis is more denser than before, though not increased in size. Small right pleural effusion is unchanged. No new left pleural effusion.",1. Moderate right apical pneumothorax has very minimally decreased since yesterday.,apical pneumothorax,right,Better,['files/p10/p10410641/s50964400/827ee5d1-edb520dd-ec2cf0f6-5f7c165d-453421fb.jpg'],
s50964400_9,p10410641,s50964400,9,Findings,Bilateral pigtail catheters are present at the lung bases. Moderate right apical pneumothorax has minimally decreased since yesterday. The maximum width at the apex measures 2.4 cm as compared to yesterday measuring 2.7 cm. Opacity at the right lung base which appeared on the yesterdays radiograph is more denser and is likely from an aspiration or atelectasis. Small right pleural effusion is unchanged.,Moderate right apical pneumothorax has minimally decreased since yesterday.,apical pneumothorax,right,Better,['files/p10/p10410641/s50964400/827ee5d1-edb520dd-ec2cf0f6-5f7c165d-453421fb.jpg'],
s50964400_9,p10410641,s50964400,9,Findings,Bilateral pigtail catheters are present at the lung bases. Moderate right apical pneumothorax has minimally decreased since yesterday. The maximum width at the apex measures 2.4 cm as compared to yesterday measuring 2.7 cm. Opacity at the right lung base which appeared on the yesterdays radiograph is more denser and is likely from an aspiration or atelectasis. Small right pleural effusion is unchanged.,Opacity at the right lung base which appeared on the yesterdays radiograph is more denser and is likely from an aspiration or atelectasis.,opacity,right,Worse,['files/p10/p10410641/s50964400/827ee5d1-edb520dd-ec2cf0f6-5f7c165d-453421fb.jpg'],
s50966773_1,p13921768,s50966773,1,Findings,"Single AP view of the chest provided. A right atrioventricular pacemaker appears unchanged. The right lung is hypoinflated in relation to the left lung. There is mild vascular congestion consistent with fluid overload. No pneumothorax. Small, bilateral pleural effusions are seen with associated bibasilar atelectasis. Hilar contours are normal. The aorta is tortuous. Severe S-shaped is unchanged.",A right atrioventricular pacemaker appears unchanged.,Pacemaker,right atrioventricular,Stable,"['files/p13/p13921768/s50966773/2a262a8c-c8739dde-30e57c4d-800f4b3a-51d54c14.jpg', 'files/p13/p13921768/s50966773/794214ee-e57ac38e-8e01e79b-648f4673-7b7f3e7c.jpg']",['files/p13/p13921768/s50877377/bc930c3b-03f10f77-32ff77d5-13f5f708-5a1ce695.jpg\n']
s50966773_1,p13921768,s50966773,1,Findings,"Single AP view of the chest provided. A right atrioventricular pacemaker appears unchanged. The right lung is hypoinflated in relation to the left lung. There is mild vascular congestion consistent with fluid overload. No pneumothorax. Small, bilateral pleural effusions are seen with associated bibasilar atelectasis. Hilar contours are normal. The aorta is tortuous. Severe S-shaped is unchanged.",Severe S-shaped is unchanged.,Severe S-shaped,,Stable,"['files/p13/p13921768/s50966773/2a262a8c-c8739dde-30e57c4d-800f4b3a-51d54c14.jpg', 'files/p13/p13921768/s50966773/794214ee-e57ac38e-8e01e79b-648f4673-7b7f3e7c.jpg']",['files/p13/p13921768/s50877377/bc930c3b-03f10f77-32ff77d5-13f5f708-5a1ce695.jpg\n']
s50969842_4,p11880923,s50969842,4,Impression,Progressive right sided volume loss since intubation could be due to mucous plugging iwith unchanged right effusion and vascular congestion. Findings discussed with Dr. ___ by Dr. ___ at ___ on ___ by phone.,Progressive right sided volume loss since intubation could be due to mucous plugging with unchanged right effusion and vascular congestion.,volume loss,right,Worse,['files/p11/p11880923/s50969842/4db2b802-44d922f7-c712342d-b8af15be-7ac7a0ed.jpg'],['files/p11/p11880923/s50940921/6ccb4ace-96b61a6d-da4ac48b-808f3b8e-7d4547a8.jpg\n']
s50969842_4,p11880923,s50969842,4,Findings,"Endotracheal tube, nasogastric tube, right hemodialysis catheter and right-sided surgical drain are in unchanged position with interval removal of left-sided Swan with sheath still within the left internal jugular vein. Asymmetric right greater than left pulmonary edema and moderate pleural effusion are unchanged with progressive right sided volume loss and rightward shift of the mediastinum over the past ___ films. The heart size is top normal in size with normal cardiomediastinal contours.",Asymmetric right greater than left pulmonary edema and moderate pleural effusion are unchanged with progressive right sided volume loss and rightward shift of the mediastinum over the past ___ films.,moderate pleural effusion,,Stable,['files/p11/p11880923/s50969842/4db2b802-44d922f7-c712342d-b8af15be-7ac7a0ed.jpg'],['files/p11/p11880923/s50940921/6ccb4ace-96b61a6d-da4ac48b-808f3b8e-7d4547a8.jpg\n']
s50969842_4,p11880923,s50969842,4,Findings,"Endotracheal tube, nasogastric tube, right hemodialysis catheter and right-sided surgical drain are in unchanged position with interval removal of left-sided Swan with sheath still within the left internal jugular vein. Asymmetric right greater than left pulmonary edema and moderate pleural effusion are unchanged with progressive right sided volume loss and rightward shift of the mediastinum over the past ___ films. The heart size is top normal in size with normal cardiomediastinal contours.",Asymmetric right greater than left pulmonary edema and moderate pleural effusion are unchanged with progressive right sided volume loss and rightward shift of the mediastinum over the past ___ films.,pulmonary edema,right greater than left,Stable,['files/p11/p11880923/s50969842/4db2b802-44d922f7-c712342d-b8af15be-7ac7a0ed.jpg'],['files/p11/p11880923/s50940921/6ccb4ace-96b61a6d-da4ac48b-808f3b8e-7d4547a8.jpg\n']
s50969842_4,p11880923,s50969842,4,Impression,Progressive right sided volume loss since intubation could be due to mucous plugging iwith unchanged right effusion and vascular congestion. Findings discussed with Dr. ___ by Dr. ___ at ___ on ___ by phone.,Progressive right sided volume loss since intubation could be due to mucous plugging with unchanged right effusion and vascular congestion.,effusion,right,Stable,['files/p11/p11880923/s50969842/4db2b802-44d922f7-c712342d-b8af15be-7ac7a0ed.jpg'],['files/p11/p11880923/s50940921/6ccb4ace-96b61a6d-da4ac48b-808f3b8e-7d4547a8.jpg\n']
s50969842_4,p11880923,s50969842,4,Impression,Progressive right sided volume loss since intubation could be due to mucous plugging iwith unchanged right effusion and vascular congestion. Findings discussed with Dr. ___ by Dr. ___ at ___ on ___ by phone.,Progressive right sided volume loss since intubation could be due to mucous plugging with unchanged right effusion and vascular congestion.,vascular congestion,,Stable,['files/p11/p11880923/s50969842/4db2b802-44d922f7-c712342d-b8af15be-7ac7a0ed.jpg'],['files/p11/p11880923/s50940921/6ccb4ace-96b61a6d-da4ac48b-808f3b8e-7d4547a8.jpg\n']
s50969842_4,p11880923,s50969842,4,Findings,"Endotracheal tube, nasogastric tube, right hemodialysis catheter and right-sided surgical drain are in unchanged position with interval removal of left-sided Swan with sheath still within the left internal jugular vein. Asymmetric right greater than left pulmonary edema and moderate pleural effusion are unchanged with progressive right sided volume loss and rightward shift of the mediastinum over the past ___ films. The heart size is top normal in size with normal cardiomediastinal contours.","Endotracheal tube, nasogastric tube, right hemodialysis catheter and right-sided surgical drain are in unchanged position with interval removal of left-sided Swan with sheath still within the left internal jugular vein.",Swan with sheath,left internal jugular vein,Resolve,['files/p11/p11880923/s50969842/4db2b802-44d922f7-c712342d-b8af15be-7ac7a0ed.jpg'],['files/p11/p11880923/s50940921/6ccb4ace-96b61a6d-da4ac48b-808f3b8e-7d4547a8.jpg\n']
s50969842_4,p11880923,s50969842,4,Findings,"Endotracheal tube, nasogastric tube, right hemodialysis catheter and right-sided surgical drain are in unchanged position with interval removal of left-sided Swan with sheath still within the left internal jugular vein. Asymmetric right greater than left pulmonary edema and moderate pleural effusion are unchanged with progressive right sided volume loss and rightward shift of the mediastinum over the past ___ films. The heart size is top normal in size with normal cardiomediastinal contours.","Endotracheal tube, nasogastric tube, right hemodialysis catheter and right-sided surgical drain are in unchanged position with interval removal of left-sided Swan with sheath still within the left internal jugular vein.",right-sided surgical drain,,Stable,['files/p11/p11880923/s50969842/4db2b802-44d922f7-c712342d-b8af15be-7ac7a0ed.jpg'],['files/p11/p11880923/s50940921/6ccb4ace-96b61a6d-da4ac48b-808f3b8e-7d4547a8.jpg\n']
s50969842_4,p11880923,s50969842,4,Findings,"Endotracheal tube, nasogastric tube, right hemodialysis catheter and right-sided surgical drain are in unchanged position with interval removal of left-sided Swan with sheath still within the left internal jugular vein. Asymmetric right greater than left pulmonary edema and moderate pleural effusion are unchanged with progressive right sided volume loss and rightward shift of the mediastinum over the past ___ films. The heart size is top normal in size with normal cardiomediastinal contours.",Asymmetric right greater than left pulmonary edema and moderate pleural effusion are unchanged with progressive right sided volume loss and rightward shift of the mediastinum over the past ___ films.,volume loss,right,Worse,['files/p11/p11880923/s50969842/4db2b802-44d922f7-c712342d-b8af15be-7ac7a0ed.jpg'],['files/p11/p11880923/s50940921/6ccb4ace-96b61a6d-da4ac48b-808f3b8e-7d4547a8.jpg\n']
s50969842_4,p11880923,s50969842,4,Findings,"Endotracheal tube, nasogastric tube, right hemodialysis catheter and right-sided surgical drain are in unchanged position with interval removal of left-sided Swan with sheath still within the left internal jugular vein. Asymmetric right greater than left pulmonary edema and moderate pleural effusion are unchanged with progressive right sided volume loss and rightward shift of the mediastinum over the past ___ films. The heart size is top normal in size with normal cardiomediastinal contours.","Endotracheal tube, nasogastric tube, right hemodialysis catheter and right-sided surgical drain are in unchanged position with interval removal of left-sided Swan with sheath still within the left internal jugular vein.",right hemodialysis catheter,,Stable,['files/p11/p11880923/s50969842/4db2b802-44d922f7-c712342d-b8af15be-7ac7a0ed.jpg'],['files/p11/p11880923/s50940921/6ccb4ace-96b61a6d-da4ac48b-808f3b8e-7d4547a8.jpg\n']
s50969842_4,p11880923,s50969842,4,Findings,"Endotracheal tube, nasogastric tube, right hemodialysis catheter and right-sided surgical drain are in unchanged position with interval removal of left-sided Swan with sheath still within the left internal jugular vein. Asymmetric right greater than left pulmonary edema and moderate pleural effusion are unchanged with progressive right sided volume loss and rightward shift of the mediastinum over the past ___ films. The heart size is top normal in size with normal cardiomediastinal contours.","Endotracheal tube, nasogastric tube, right hemodialysis catheter and right-sided surgical drain are in unchanged position with interval removal of left-sided Swan with sheath still within the left internal jugular vein.",nasogastric tube,,Stable,['files/p11/p11880923/s50969842/4db2b802-44d922f7-c712342d-b8af15be-7ac7a0ed.jpg'],['files/p11/p11880923/s50940921/6ccb4ace-96b61a6d-da4ac48b-808f3b8e-7d4547a8.jpg\n']
s50969842_4,p11880923,s50969842,4,Findings,"Endotracheal tube, nasogastric tube, right hemodialysis catheter and right-sided surgical drain are in unchanged position with interval removal of left-sided Swan with sheath still within the left internal jugular vein. Asymmetric right greater than left pulmonary edema and moderate pleural effusion are unchanged with progressive right sided volume loss and rightward shift of the mediastinum over the past ___ films. The heart size is top normal in size with normal cardiomediastinal contours.","Endotracheal tube, nasogastric tube, right hemodialysis catheter and right-sided surgical drain are in unchanged position with interval removal of left-sided Swan with sheath still within the left internal jugular vein.",Endotracheal tube,,Stable,['files/p11/p11880923/s50969842/4db2b802-44d922f7-c712342d-b8af15be-7ac7a0ed.jpg'],['files/p11/p11880923/s50940921/6ccb4ace-96b61a6d-da4ac48b-808f3b8e-7d4547a8.jpg\n']
s50971332_13,p18110020,s50971332,13,Impression,AP chest compared to ___ through ___ at 2:01 p.m.: Previous pulmonary edema is not recurred. There is no pneumothorax or pleural effusion. Heart is not enlarged. Right PIC line ends in the upper SVC.,AP chest compared to ___ through ___ at 2:01 p.m.: Previous pulmonary edema is not recurred.,pulmonary edema,,Resolve,['files/p18/p18110020/s50971332/5ffb8e9f-1dc93608-ff50a406-6235935c-ab05fa59.jpg'],['files/p18/p18110020/s50243114/cde578b4-835fd6d8-52f31743-1cefcefc-0fa3157d.jpg\n']
s50971742_3,p13291370,s50971742,3,Findings,The left lower lobe pneumonia has resolved. Median sternotomy wires and pacer are noted. Moderate cardiomegaly is unchanged.,The left lower lobe pneumonia has resolved.,pneumonia,left lower lobe,Resolve,"['files/p13/p13291370/s50971742/3c984a21-5a881f57-e820aa5e-d952daa1-132c0976.jpg', 'files/p13/p13291370/s50971742/c2e3e4cd-fd889116-52b37c72-db4f46df-52939006.jpg']","['files/p13/p13291370/s50519818/ce3a9dd6-9affc487-1b6847b3-9f555332-e0baea73.jpg\n', 'files/p13/p13291370/s50519818/ef9e6f59-22103c28-5c2c7bc8-a2d07454-4c824d0e.jpg\n']"
s50971742_3,p13291370,s50971742,3,Findings,The left lower lobe pneumonia has resolved. Median sternotomy wires and pacer are noted. Moderate cardiomegaly is unchanged.,Moderate cardiomegaly is unchanged.,Moderate cardiomegaly,cardiac silhouette,Stable,"['files/p13/p13291370/s50971742/3c984a21-5a881f57-e820aa5e-d952daa1-132c0976.jpg', 'files/p13/p13291370/s50971742/c2e3e4cd-fd889116-52b37c72-db4f46df-52939006.jpg']","['files/p13/p13291370/s50519818/ce3a9dd6-9affc487-1b6847b3-9f555332-e0baea73.jpg\n', 'files/p13/p13291370/s50519818/ef9e6f59-22103c28-5c2c7bc8-a2d07454-4c824d0e.jpg\n']"
s50971742_3,p13291370,s50971742,3,Impression,Resolved left lower lobe pneumonia.,Resolved left lower lobe pneumonia.,pneumonia,left lower lobe,Resolve,"['files/p13/p13291370/s50971742/3c984a21-5a881f57-e820aa5e-d952daa1-132c0976.jpg', 'files/p13/p13291370/s50971742/c2e3e4cd-fd889116-52b37c72-db4f46df-52939006.jpg']","['files/p13/p13291370/s50519818/ce3a9dd6-9affc487-1b6847b3-9f555332-e0baea73.jpg\n', 'files/p13/p13291370/s50519818/ef9e6f59-22103c28-5c2c7bc8-a2d07454-4c824d0e.jpg\n']"
s50975397_7,p19016834,s50975397,7,Findings,"There is a new dense right central opacity approximately 7 cm x 3 cm on frontal view. Given the rapid onset of this finding, the differential is limited to airspace consolidation ___ atelectasis. Given previous radiographic evidence of slow neo-esophageal/gastric emptying, it is possible that patient had aspirated contrast material. This would also explain the dense opacity seen on lateral projection. However, other radiopaque fluid, such as fluid, pus, ___ ___, ___ be filling the airspace in this region. Adjacent to this dense opacity are ill-defined peripheral opacities which is not matched on the contralateral side. The left lung is unremarkable. There is no pleural effusion ___ pneumothorax. There is pronounced flattening of the hemidiaphragms. The cardiomediastinal silhouette is unchanged and within normal limits. The pleural surfaces are unremarkable.",The cardiomediastinal silhouette is unchanged and within normal limits.,silhouette,cardiomediastinal,Stable,"['files/p19/p19016834/s50975397/6ba63140-f35853ba-1c3f30d6-79e8a6d9-972b8b3a.jpg', 'files/p19/p19016834/s50975397/e7085e3b-822cf4b9-b27bfe82-c20f0dd0-af0b8894.jpg']",['files/p19/p19016834/s50657342/7f51e1cc-fc9208cc-470c70a3-9528d87c-9f33be5b.jpg\n']
s50975397_7,p19016834,s50975397,7,Findings,"There is a new dense right central opacity approximately 7 cm x 3 cm on frontal view. Given the rapid onset of this finding, the differential is limited to airspace consolidation ___ atelectasis. Given previous radiographic evidence of slow neo-esophageal/gastric emptying, it is possible that patient had aspirated contrast material. This would also explain the dense opacity seen on lateral projection. However, other radiopaque fluid, such as fluid, pus, ___ ___, ___ be filling the airspace in this region. Adjacent to this dense opacity are ill-defined peripheral opacities which is not matched on the contralateral side. The left lung is unremarkable. There is no pleural effusion ___ pneumothorax. There is pronounced flattening of the hemidiaphragms. The cardiomediastinal silhouette is unchanged and within normal limits. The pleural surfaces are unremarkable.",There is a new dense right central opacity approximately 7 cm x 3 cm on frontal view.,opacity,right central,New,"['files/p19/p19016834/s50975397/6ba63140-f35853ba-1c3f30d6-79e8a6d9-972b8b3a.jpg', 'files/p19/p19016834/s50975397/e7085e3b-822cf4b9-b27bfe82-c20f0dd0-af0b8894.jpg']",['files/p19/p19016834/s50657342/7f51e1cc-fc9208cc-470c70a3-9528d87c-9f33be5b.jpg\n']
s50979785_2,p11378150,s50979785,2,Findings,"In comparison with the study of ___, post-operative changes are again seen in the left hemithorax with shift of the mediastinum to this side. Chest tube remains in place and there is no evidence of pneumothorax. The right lung is essentially clear except for some residual atelectatic change at the base. The gas along the upper chest border on the left and subcutaneous tissues is decreasing. There appears to be some increase in the extensive opacification in the left hemithorax. This could reflect additional pleural fluid, though in the appropriate clinical setting, the possibility of supervening pneumonia would have to be considered.",There appears to be some increase in the extensive opacification in the left hemithorax.,opacification,left hemithorax,Worse,['files/p11/p11378150/s50979785/7d987f2a-f684bbcb-c1e27bf0-0cb90406-cf56be90.jpg'],
s50979785_2,p11378150,s50979785,2,Findings,"In comparison with the study of ___, post-operative changes are again seen in the left hemithorax with shift of the mediastinum to this side. Chest tube remains in place and there is no evidence of pneumothorax. The right lung is essentially clear except for some residual atelectatic change at the base. The gas along the upper chest border on the left and subcutaneous tissues is decreasing. There appears to be some increase in the extensive opacification in the left hemithorax. This could reflect additional pleural fluid, though in the appropriate clinical setting, the possibility of supervening pneumonia would have to be considered.",The gas along the upper chest border on the left and subcutaneous tissues is decreasing.,gas,upper chest border on the left,Better,['files/p11/p11378150/s50979785/7d987f2a-f684bbcb-c1e27bf0-0cb90406-cf56be90.jpg'],
s50989504_6,p15338518,s50989504,6,Findings,"In comparison with the study of ___, there is little change. Monitoring and support devices remain in place. Continued prominence of the cardiac silhouette with evidence of some elevated pulmonary venous pressure. Retrocardiac opacification persists, as does some mild atelectatic changes on the right.",Monitoring and support devices remain in place.,Monitoring and support devices,,Stable,['files/p15/p15338518/s50989504/a3b5f140-09ecc379-5729bd0f-98abe246-f9eea2ed.jpg'],"['files/p15/p15338518/s50581506/22a3477a-665567e4-137b590b-c2a27bb8-d03b7d01.jpg\n', 'files/p15/p15338518/s50581506/37f7e3ca-93ef1bc3-81e615c8-a061addd-3a3b6dbf.jpg\n']"
s50989504_6,p15338518,s50989504,6,Findings,"In comparison with the study of ___, there is little change. Monitoring and support devices remain in place. Continued prominence of the cardiac silhouette with evidence of some elevated pulmonary venous pressure. Retrocardiac opacification persists, as does some mild atelectatic changes on the right.","Retrocardiac opacification persists, as does some mild atelectatic changes on the right.",opacification,Retrocardiac,Stable,['files/p15/p15338518/s50989504/a3b5f140-09ecc379-5729bd0f-98abe246-f9eea2ed.jpg'],"['files/p15/p15338518/s50581506/22a3477a-665567e4-137b590b-c2a27bb8-d03b7d01.jpg\n', 'files/p15/p15338518/s50581506/37f7e3ca-93ef1bc3-81e615c8-a061addd-3a3b6dbf.jpg\n']"
s50989504_6,p15338518,s50989504,6,Findings,"In comparison with the study of ___, there is little change. Monitoring and support devices remain in place. Continued prominence of the cardiac silhouette with evidence of some elevated pulmonary venous pressure. Retrocardiac opacification persists, as does some mild atelectatic changes on the right.","Retrocardiac opacification persists, as does some mild atelectatic changes on the right.",atelectatic changes,right,Stable,['files/p15/p15338518/s50989504/a3b5f140-09ecc379-5729bd0f-98abe246-f9eea2ed.jpg'],"['files/p15/p15338518/s50581506/22a3477a-665567e4-137b590b-c2a27bb8-d03b7d01.jpg\n', 'files/p15/p15338518/s50581506/37f7e3ca-93ef1bc3-81e615c8-a061addd-3a3b6dbf.jpg\n']"
s50989704_2,p17270742,s50989704,2,Impression,Stable cavitary lesions but worsening peribronchial opacities concerning for worsening airways-related infection.,Stable cavitary lesions but worsening peribronchial opacities concerning for worsening airways-related infection,opacities,peribronchial,Worse,['files/p17/p17270742/s50989704/8de65847-743ba591-16ca4044-0b5f1002-f1545e14.jpg'],"['files/p17/p17270742/s50255843/8aa4f925-9b6e30c1-526619f6-79135e41-713c105c.jpg\n', 'files/p17/p17270742/s50255843/a14d938c-b4edf238-b00dca2d-348b1732-ab6959a5.jpg\n']"
s50989704_2,p17270742,s50989704,2,Findings,Dominant central cavitary lesions are similar in appearance. Widespread preibronchial abnormality is worsened concerning for worsening infection. No pneumothorax or pleural effusion seen. Heart is normal in size.,Dominant central cavitary lesions are similar in appearance,cavitary lesions,central,Stable,['files/p17/p17270742/s50989704/8de65847-743ba591-16ca4044-0b5f1002-f1545e14.jpg'],"['files/p17/p17270742/s50255843/8aa4f925-9b6e30c1-526619f6-79135e41-713c105c.jpg\n', 'files/p17/p17270742/s50255843/a14d938c-b4edf238-b00dca2d-348b1732-ab6959a5.jpg\n']"
s50989704_2,p17270742,s50989704,2,Impression,Stable cavitary lesions but worsening peribronchial opacities concerning for worsening airways-related infection.,Stable cavitary lesions but worsening peribronchial opacities concerning for worsening airways-related infection,cavitary lesions,cavitary lesions,Stable,['files/p17/p17270742/s50989704/8de65847-743ba591-16ca4044-0b5f1002-f1545e14.jpg'],"['files/p17/p17270742/s50255843/8aa4f925-9b6e30c1-526619f6-79135e41-713c105c.jpg\n', 'files/p17/p17270742/s50255843/a14d938c-b4edf238-b00dca2d-348b1732-ab6959a5.jpg\n']"
s50989704_2,p17270742,s50989704,2,Findings,Dominant central cavitary lesions are similar in appearance. Widespread preibronchial abnormality is worsened concerning for worsening infection. No pneumothorax or pleural effusion seen. Heart is normal in size.,Widespread preibronchial abnormality is worsened concerning for worsening infection,abnormality,preibronchial,Worse,['files/p17/p17270742/s50989704/8de65847-743ba591-16ca4044-0b5f1002-f1545e14.jpg'],"['files/p17/p17270742/s50255843/8aa4f925-9b6e30c1-526619f6-79135e41-713c105c.jpg\n', 'files/p17/p17270742/s50255843/a14d938c-b4edf238-b00dca2d-348b1732-ab6959a5.jpg\n']"
s50991057_20,p16662264,s50991057,20,Findings,"Since prior exam, the patient has undergone a right thoracentesis. The right pleural effusion has nearly completely resolved. Patchy interstitial opacity at the right base likely represents some reexpansion edema and residual atelectasis. There is no evidence of pneumothorax. A small left pleural effusion appears slightly larger than on the prior exam from earlier this morning. Left basilar consolidation is likely atelectasis. Other patchy bilateral opacities are unchanged, and consistent with the known pneumonia. The cardiomediastinal silhouette is normal.",A small left pleural effusion appears slightly larger than on the prior exam from earlier this morning.,pleural effusion,left,Worse,['files/p16/p16662264/s50991057/73c41d4f-3d37dadd-90729029-8999920d-77f956eb.jpg'],['files/p16/p16662264/s50752207/3fee0682-231a4968-00593ef2-652c36ae-98495700.jpg\n']
s50991057_20,p16662264,s50991057,20,Impression,1. Significant interval decrease in size of the right pleural effusion. No evidence of pneumothorax. 2. New right basilar consolidation is likely some reexpansion pulmonary edema. 3. Slight interval enlargement of small left pleural effusion with associated atelectasis.,Slight interval enlargement of small left pleural effusion with associated atelectasis.,pleural effusion,left,Worse,['files/p16/p16662264/s50991057/73c41d4f-3d37dadd-90729029-8999920d-77f956eb.jpg'],['files/p16/p16662264/s50752207/3fee0682-231a4968-00593ef2-652c36ae-98495700.jpg\n']
s50991057_20,p16662264,s50991057,20,Impression,1. Significant interval decrease in size of the right pleural effusion. No evidence of pneumothorax. 2. New right basilar consolidation is likely some reexpansion pulmonary edema. 3. Slight interval enlargement of small left pleural effusion with associated atelectasis.,New right basilar consolidation is likely some reexpansion pulmonary edema.,consolidation,right basilar,New,['files/p16/p16662264/s50991057/73c41d4f-3d37dadd-90729029-8999920d-77f956eb.jpg'],['files/p16/p16662264/s50752207/3fee0682-231a4968-00593ef2-652c36ae-98495700.jpg\n']
s50991057_20,p16662264,s50991057,20,Impression,1. Significant interval decrease in size of the right pleural effusion. No evidence of pneumothorax. 2. New right basilar consolidation is likely some reexpansion pulmonary edema. 3. Slight interval enlargement of small left pleural effusion with associated atelectasis.,Significant interval decrease in size of the right pleural effusion. No evidence of pneumothorax.,pleural effusion,right,Better,['files/p16/p16662264/s50991057/73c41d4f-3d37dadd-90729029-8999920d-77f956eb.jpg'],['files/p16/p16662264/s50752207/3fee0682-231a4968-00593ef2-652c36ae-98495700.jpg\n']
s50991057_20,p16662264,s50991057,20,Findings,"Since prior exam, the patient has undergone a right thoracentesis. The right pleural effusion has nearly completely resolved. Patchy interstitial opacity at the right base likely represents some reexpansion edema and residual atelectasis. There is no evidence of pneumothorax. A small left pleural effusion appears slightly larger than on the prior exam from earlier this morning. Left basilar consolidation is likely atelectasis. Other patchy bilateral opacities are unchanged, and consistent with the known pneumonia. The cardiomediastinal silhouette is normal.",The right pleural effusion has nearly completely resolved.,pleural effusion,right,Resolve,['files/p16/p16662264/s50991057/73c41d4f-3d37dadd-90729029-8999920d-77f956eb.jpg'],['files/p16/p16662264/s50752207/3fee0682-231a4968-00593ef2-652c36ae-98495700.jpg\n']
s50991057_20,p16662264,s50991057,20,Findings,"Since prior exam, the patient has undergone a right thoracentesis. The right pleural effusion has nearly completely resolved. Patchy interstitial opacity at the right base likely represents some reexpansion edema and residual atelectasis. There is no evidence of pneumothorax. A small left pleural effusion appears slightly larger than on the prior exam from earlier this morning. Left basilar consolidation is likely atelectasis. Other patchy bilateral opacities are unchanged, and consistent with the known pneumonia. The cardiomediastinal silhouette is normal.","Other patchy bilateral opacities are unchanged, and consistent with the known pneumonia.",opacities,bilateral,Stable,['files/p16/p16662264/s50991057/73c41d4f-3d37dadd-90729029-8999920d-77f956eb.jpg'],['files/p16/p16662264/s50752207/3fee0682-231a4968-00593ef2-652c36ae-98495700.jpg\n']
s50994417_1,p15438386,s50994417,1,Findings,"AP and lateral chest radiographs demonstrate very low lung volumes and probable bibasilar opacities, likely atelectasis, though consolidation cannot be excluded. Bilateral small pleural effusions are also present. The cardiomediastinal silhouette appears widened due to low lung volumes. There is no pneumothorax. Old right mid clavicular fracture is noted.",Old right mid clavicular fracture is noted.,fracture,right mid clavicular,Stable,"['files/p15/p15438386/s50994417/081b6db8-da3b5047-573fbc16-9aa955fa-d35d3cc2.jpg', 'files/p15/p15438386/s50994417/88452747-3f314c21-22193cd6-21965317-a568535d.jpg', 'files/p15/p15438386/s50994417/dd7b0ab6-fd3ea03d-b2a70c10-5eca94a7-a74d42be.jpg']",
s50996108_11,p16848073,s50996108,11,Findings,"In comparison with study of ___, there is little change in the appearance of the heart and lungs. Specifically, following esophagoscopy there is no evidence of mediastinal gas or acute pneumonia.","In comparison with study of ___, there is little change in the appearance of the heart and lungs.",Heart and lungs,,Stable,['files/p16/p16848073/s50996108/f67d7028-171364e2-05112546-2528cbd1-52c791fe.jpg'],['files/p16/p16848073/s50955589/0c931dce-4d5b295c-0a68da5e-9d5c6169-3d3ef2da.jpg\n']
s50999536_6,p13067703,s50999536,6,Impression,"Stable, treated right lung malignancy. No evidence of congestive heart failure or other acute abnormality.","Stable, treated right lung malignancy.",malignancy,right lung,Stable,"['files/p13/p13067703/s50999536/801a2fdc-d6547406-8a55cbab-04e06115-09d810c6.jpg', 'files/p13/p13067703/s50999536/c1875b25-77500901-b90303e0-9b5c3aac-2b57b80c.jpg']",
s50999536_6,p13067703,s50999536,6,Findings,"Right suprahilar opacity with its fiducial marker is stable for at least two months. Small bilateral pleural abnormalities and a large region of rounded atelectasis in the left lower lobe are also unchanged. Heart size, and mediastinal and pulmonary vascularity are normal and there is no edema. Pacemaker leads are in unchanged positions, intact.","Pacemaker leads are in unchanged positions, intact.",pacemaker leads,,Stable,"['files/p13/p13067703/s50999536/801a2fdc-d6547406-8a55cbab-04e06115-09d810c6.jpg', 'files/p13/p13067703/s50999536/c1875b25-77500901-b90303e0-9b5c3aac-2b57b80c.jpg']",
s50999536_6,p13067703,s50999536,6,Findings,"Right suprahilar opacity with its fiducial marker is stable for at least two months. Small bilateral pleural abnormalities and a large region of rounded atelectasis in the left lower lobe are also unchanged. Heart size, and mediastinal and pulmonary vascularity are normal and there is no edema. Pacemaker leads are in unchanged positions, intact.",Small bilateral pleural abnormalities and a large region of rounded atelectasis in the left lower lobe are also unchanged.,pleural abnormalities,bilateral,Stable,"['files/p13/p13067703/s50999536/801a2fdc-d6547406-8a55cbab-04e06115-09d810c6.jpg', 'files/p13/p13067703/s50999536/c1875b25-77500901-b90303e0-9b5c3aac-2b57b80c.jpg']",
s50999536_6,p13067703,s50999536,6,Findings,"Right suprahilar opacity with its fiducial marker is stable for at least two months. Small bilateral pleural abnormalities and a large region of rounded atelectasis in the left lower lobe are also unchanged. Heart size, and mediastinal and pulmonary vascularity are normal and there is no edema. Pacemaker leads are in unchanged positions, intact.",Right suprahilar opacity with its fiducial marker is stable for at least two months.,opacity,right suprahilar,Stable,"['files/p13/p13067703/s50999536/801a2fdc-d6547406-8a55cbab-04e06115-09d810c6.jpg', 'files/p13/p13067703/s50999536/c1875b25-77500901-b90303e0-9b5c3aac-2b57b80c.jpg']",
s50999536_6,p13067703,s50999536,6,Findings,"Right suprahilar opacity with its fiducial marker is stable for at least two months. Small bilateral pleural abnormalities and a large region of rounded atelectasis in the left lower lobe are also unchanged. Heart size, and mediastinal and pulmonary vascularity are normal and there is no edema. Pacemaker leads are in unchanged positions, intact.",Small bilateral pleural abnormalities and a large region of rounded atelectasis in the left lower lobe are also unchanged.,rounded atelectasis,left lower lobe,Stable,"['files/p13/p13067703/s50999536/801a2fdc-d6547406-8a55cbab-04e06115-09d810c6.jpg', 'files/p13/p13067703/s50999536/c1875b25-77500901-b90303e0-9b5c3aac-2b57b80c.jpg']",
s51002383_21,p10933609,s51002383,21,Findings,PA and lateral views of the chest. Bilateral upper lobe scarring is seen with superior retraction of the hila. The lung volumes are relatively low. There is no evidence of superimposed acute process. Cardiomediastinal silhouette is stable. Surgical clips in the upper abdomen again noted. Osseous structures are essentially unremarkable noting probable right glenoid orthopedic hardware.,Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p10/p10933609/s51002383/5668d9ef-e5b61aae-8a38e823-b668e8ba-837392e7.jpg', 'files/p10/p10933609/s51002383/c9cd6c49-2bebaea2-82c0c5dc-c3d2e9a7-560599b0.jpg']",['files/p10/p10933609/s50636786/8452bd2c-ba775d23-e46872fa-f0e9c5bd-63897743.jpg\n']
s51002383_21,p10933609,s51002383,21,Impression,Bilateral upper lobe scarring unchanged without evidence of superimposed acute process.,Bilateral upper lobe scarring unchanged without evidence of superimposed acute process.,scarring,Bilateral upper lobe,Stable,"['files/p10/p10933609/s51002383/5668d9ef-e5b61aae-8a38e823-b668e8ba-837392e7.jpg', 'files/p10/p10933609/s51002383/c9cd6c49-2bebaea2-82c0c5dc-c3d2e9a7-560599b0.jpg']",['files/p10/p10933609/s50636786/8452bd2c-ba775d23-e46872fa-f0e9c5bd-63897743.jpg\n']
s51006959_0,p19565653,s51006959,0,Findings,"Previously identified linear opacities in the left lung base have improved compared to recent prior examination from ___. However, a new confluent opacity in the right lung base is concerning for recurrent pneumonia, likely due to aspiration. The upper lungs are clear. There is no pneumothorax. There is no vascular congestion or large pleural effusion. Cardiomediastinal and hilar contours are within normal limits.",Previously identified linear opacities in the left lung base have improved compared to recent prior examination from ___.,linear opacities,left lung base,Better,['files/p19/p19565653/s51006959/b5599aff-71fe317d-6e792fbc-d586d408-3b18b394.jpg'],
s51006959_0,p19565653,s51006959,0,Impression,New right basilar consolidation concerning for recurrent aspiration pneumonia.,New right basilar consolidation concerning for recurrent aspiration pneumonia.,consolidation,right basilar,New,['files/p19/p19565653/s51006959/b5599aff-71fe317d-6e792fbc-d586d408-3b18b394.jpg'],
s51006959_0,p19565653,s51006959,0,Findings,"Previously identified linear opacities in the left lung base have improved compared to recent prior examination from ___. However, a new confluent opacity in the right lung base is concerning for recurrent pneumonia, likely due to aspiration. The upper lungs are clear. There is no pneumothorax. There is no vascular congestion or large pleural effusion. Cardiomediastinal and hilar contours are within normal limits.","However, a new confluent opacity in the right lung base is concerning for recurrent pneumonia, likely due to aspiration.",confluent opacity,right lung base,New,['files/p19/p19565653/s51006959/b5599aff-71fe317d-6e792fbc-d586d408-3b18b394.jpg'],
s51009376_1,p13484161,s51009376,1,Findings,"Since the prior examination, interstitial pulmonary edema is resolved. There are no focal opacities concerning for pneumonia. There is a trace left pleural effusion. There is no right effusion. There is no evidence of pneumothorax. The cardiomediastinal and hilar contours are stable demonstrating mild tortuosity of thoracic aorta and cardiomegaly. Pulmonary vascularity is within normal limits.","Since the prior examination, interstitial pulmonary edema is resolved.",interstitial pulmonary edema,,Resolve,['files/p13/p13484161/s51009376/e120ed69-a974706b-30acf181-38be212f-48eb872d.jpg'],
s51009376_1,p13484161,s51009376,1,Findings,"Since the prior examination, interstitial pulmonary edema is resolved. There are no focal opacities concerning for pneumonia. There is a trace left pleural effusion. There is no right effusion. There is no evidence of pneumothorax. The cardiomediastinal and hilar contours are stable demonstrating mild tortuosity of thoracic aorta and cardiomegaly. Pulmonary vascularity is within normal limits.",The cardiomediastinal and hilar contours are stable demonstrating mild tortuosity of thoracic aorta and cardiomegaly.,cardiomediastinal and hilar contours,,Stable,['files/p13/p13484161/s51009376/e120ed69-a974706b-30acf181-38be212f-48eb872d.jpg'],
s51009376_1,p13484161,s51009376,1,Impression,1. No evidence of focal pneumonia. 2. Interval resolution of interstitial pulmonary edema.,2. Interval resolution of interstitial pulmonary edema.,interstitial pulmonary edema,,Resolve,['files/p13/p13484161/s51009376/e120ed69-a974706b-30acf181-38be212f-48eb872d.jpg'],
s51017703_20,p16043637,s51017703,20,Findings,"Right PICC terminates in mid SVC. Left pectoral pacemaker has its leads terminating in right atrium and right ventricle. Cardiac silhouette is mildly enlarged. Prosthetic heart valve and median sternotomy wires are in unchanged position. There is no consolidation, pleural effusion, or pneumothorax.",Prosthetic heart valve and median sternotomy wires are in unchanged position.,Median sternotomy wires,,Stable,['files/p16/p16043637/s51017703/5764a70f-234a5a0d-42ae4b8f-b130f5c4-63dac3a1.jpg'],"['files/p16/p16043637/s50848467/096b32ec-f7a979c1-df4bc2e0-589ac982-da947b3f.jpg\n', 'files/p16/p16043637/s50848467/d4e70647-9bed282e-fd4e5b2f-d659e2f5-2b751fc4.jpg\n']"
s51017703_20,p16043637,s51017703,20,Findings,"Right PICC terminates in mid SVC. Left pectoral pacemaker has its leads terminating in right atrium and right ventricle. Cardiac silhouette is mildly enlarged. Prosthetic heart valve and median sternotomy wires are in unchanged position. There is no consolidation, pleural effusion, or pneumothorax.",Prosthetic heart valve and median sternotomy wires are in unchanged position.,Prosthetic heart valve,,Stable,['files/p16/p16043637/s51017703/5764a70f-234a5a0d-42ae4b8f-b130f5c4-63dac3a1.jpg'],"['files/p16/p16043637/s50848467/096b32ec-f7a979c1-df4bc2e0-589ac982-da947b3f.jpg\n', 'files/p16/p16043637/s50848467/d4e70647-9bed282e-fd4e5b2f-d659e2f5-2b751fc4.jpg\n']"
s51021074_6,p13078497,s51021074,6,Findings,"Compared to the film from earlier the same day, the appearance of the lungs with the patchy nodular infiltrates bilaterally is unchanged. The ET tube is 7 cm above the carina.","Compared to the film from earlier the same day, the appearance of the lungs with the patchy nodular infiltrates bilaterally is unchanged.",patchy nodular infiltrates,bilateral,Stable,['files/p13/p13078497/s51021074/956ec432-03e9c40c-ff58e74d-db0b9443-71042da1.jpg'],['files/p13/p13078497/s50736883/7818c621-96de3398-2d9b9d86-9c6dd223-0513fab7.jpg\n']
s51030152_17,p19061282,s51030152,17,Impression,New bilateral lower lobe volume loss./infiltrate. Infection is of concern,New bilateral lower lobe volume loss./infiltrate. Infection is of concern,Volume loss/infiltrate,Bilateral lower lobes,New,['files/p19/p19061282/s51030152/9bb1fe4e-c234466a-72525367-a54b28d3-b91d05fe.jpg'],"['files/p19/p19061282/s50529099/5dfc2e74-8fb4a113-58f8cc12-1e62c2dc-36e95e11.jpg\n', 'files/p19/p19061282/s50529099/e544cec6-ae472b46-7bd4e8f8-70145a76-6d51a0de.jpg\n', 'files/p19/p19061282/s50529099/e56aa514-47bbf828-9caeef29-26cbcace-d4f3c1cc.jpg\n']"
s51030152_17,p19061282,s51030152,17,Findings,"Sclerotic bones, splenic granulomas, vascular stents, and moderate cardiomegaly are again visualized. There is dense retrocardiac opacification compatible with volume loss/ infiltrate/effusion. There is also an infiltrate of right lower lobe partially obscuring the right hemidiaphragm. Other patchy alveolar infiltrates are seen in the right upper lobe and left mid lung. Overall the appearance is worsened compared to prior",Overall the appearance is worsened compared to prior,Appearance,Overall,Worse,['files/p19/p19061282/s51030152/9bb1fe4e-c234466a-72525367-a54b28d3-b91d05fe.jpg'],"['files/p19/p19061282/s50529099/5dfc2e74-8fb4a113-58f8cc12-1e62c2dc-36e95e11.jpg\n', 'files/p19/p19061282/s50529099/e544cec6-ae472b46-7bd4e8f8-70145a76-6d51a0de.jpg\n', 'files/p19/p19061282/s50529099/e56aa514-47bbf828-9caeef29-26cbcace-d4f3c1cc.jpg\n']"
s51031461_4,p16409152,s51031461,4,Findings,ONE PORTABLE SUPINE AP VIEW OF THE CHEST. Right internal jugular catheter ends near the cavoatrial junction. NG tube is seen in the stomach with last side port below the GE junction. The lung findings are unchanged compared to study done two hours prior.,The lung findings are unchanged compared to study done two hours prior.,Lung findings,,Stable,['files/p16/p16409152/s51031461/20106d63-2c479e81-0d61595c-25ef9723-cba07432.jpg'],
s51034232_2,p11880923,s51034232,2,Findings,"In comparison with study of ___, there has been placement of an endotracheal tube with the tip approximately 3.5 cm above the carina. The left Swan-Ganz catheter tip is in the proximal pulmonary artery. Hemodialysis catheter tip remains in the right atrium. Left IJ catheter is in the region of the juncture with the left subclavian vein. Abdominal drains are seen bilaterally. Nasogastric tube extends only to the lower thoracic esophagus. It could be advanced ___-25 cm, which was conveyed to Dr. ___ by the resident on-call. Mild indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure.","In comparison with study of ___, there has been placement of an endotracheal tube with the tip approximately 3.5 cm above the carina.",endotracheal tube,3.5 cm above the carina,New,"['files/p11/p11880923/s51034232/023dcd40-03e11030-4c6944a1-00790e19-a79c5844.jpg', 'files/p11/p11880923/s51034232/9a09516b-ceca3649-56487727-bbd3b10c-a0cbd7b8.jpg']",['files/p11/p11880923/s50993278/0e77afe7-43ac6d41-4086ded7-baee7795-75274784.jpg\n']
s51034232_2,p11880923,s51034232,2,Findings,"In comparison with study of ___, there has been placement of an endotracheal tube with the tip approximately 3.5 cm above the carina. The left Swan-Ganz catheter tip is in the proximal pulmonary artery. Hemodialysis catheter tip remains in the right atrium. Left IJ catheter is in the region of the juncture with the left subclavian vein. Abdominal drains are seen bilaterally. Nasogastric tube extends only to the lower thoracic esophagus. It could be advanced ___-25 cm, which was conveyed to Dr. ___ by the resident on-call. Mild indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure.",Left IJ catheter is in the region of the juncture with the left subclavian vein.,IJ catheter,region of the juncture with the left subclavian vein,New,"['files/p11/p11880923/s51034232/023dcd40-03e11030-4c6944a1-00790e19-a79c5844.jpg', 'files/p11/p11880923/s51034232/9a09516b-ceca3649-56487727-bbd3b10c-a0cbd7b8.jpg']",['files/p11/p11880923/s50993278/0e77afe7-43ac6d41-4086ded7-baee7795-75274784.jpg\n']
s51034232_2,p11880923,s51034232,2,Findings,"In comparison with study of ___, there has been placement of an endotracheal tube with the tip approximately 3.5 cm above the carina. The left Swan-Ganz catheter tip is in the proximal pulmonary artery. Hemodialysis catheter tip remains in the right atrium. Left IJ catheter is in the region of the juncture with the left subclavian vein. Abdominal drains are seen bilaterally. Nasogastric tube extends only to the lower thoracic esophagus. It could be advanced ___-25 cm, which was conveyed to Dr. ___ by the resident on-call. Mild indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure.",Abdominal drains are seen bilaterally.,abdominal drains,bilaterally,New,"['files/p11/p11880923/s51034232/023dcd40-03e11030-4c6944a1-00790e19-a79c5844.jpg', 'files/p11/p11880923/s51034232/9a09516b-ceca3649-56487727-bbd3b10c-a0cbd7b8.jpg']",['files/p11/p11880923/s50993278/0e77afe7-43ac6d41-4086ded7-baee7795-75274784.jpg\n']
s51034232_2,p11880923,s51034232,2,Findings,"In comparison with study of ___, there has been placement of an endotracheal tube with the tip approximately 3.5 cm above the carina. The left Swan-Ganz catheter tip is in the proximal pulmonary artery. Hemodialysis catheter tip remains in the right atrium. Left IJ catheter is in the region of the juncture with the left subclavian vein. Abdominal drains are seen bilaterally. Nasogastric tube extends only to the lower thoracic esophagus. It could be advanced ___-25 cm, which was conveyed to Dr. ___ by the resident on-call. Mild indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure.",The left Swan-Ganz catheter tip is in the proximal pulmonary artery.,Swan-Ganz catheter,proximal pulmonary artery,New,"['files/p11/p11880923/s51034232/023dcd40-03e11030-4c6944a1-00790e19-a79c5844.jpg', 'files/p11/p11880923/s51034232/9a09516b-ceca3649-56487727-bbd3b10c-a0cbd7b8.jpg']",['files/p11/p11880923/s50993278/0e77afe7-43ac6d41-4086ded7-baee7795-75274784.jpg\n']
s51034232_2,p11880923,s51034232,2,Findings,"In comparison with study of ___, there has been placement of an endotracheal tube with the tip approximately 3.5 cm above the carina. The left Swan-Ganz catheter tip is in the proximal pulmonary artery. Hemodialysis catheter tip remains in the right atrium. Left IJ catheter is in the region of the juncture with the left subclavian vein. Abdominal drains are seen bilaterally. Nasogastric tube extends only to the lower thoracic esophagus. It could be advanced ___-25 cm, which was conveyed to Dr. ___ by the resident on-call. Mild indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure.",Hemodialysis catheter tip remains in the right atrium.,hemodialysis catheter,right atrium,Stable,"['files/p11/p11880923/s51034232/023dcd40-03e11030-4c6944a1-00790e19-a79c5844.jpg', 'files/p11/p11880923/s51034232/9a09516b-ceca3649-56487727-bbd3b10c-a0cbd7b8.jpg']",['files/p11/p11880923/s50993278/0e77afe7-43ac6d41-4086ded7-baee7795-75274784.jpg\n']
s51034232_2,p11880923,s51034232,2,Findings,"In comparison with study of ___, there has been placement of an endotracheal tube with the tip approximately 3.5 cm above the carina. The left Swan-Ganz catheter tip is in the proximal pulmonary artery. Hemodialysis catheter tip remains in the right atrium. Left IJ catheter is in the region of the juncture with the left subclavian vein. Abdominal drains are seen bilaterally. Nasogastric tube extends only to the lower thoracic esophagus. It could be advanced ___-25 cm, which was conveyed to Dr. ___ by the resident on-call. Mild indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure.",Mild indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure.,elevated pulmonary venous pressure,,New,"['files/p11/p11880923/s51034232/023dcd40-03e11030-4c6944a1-00790e19-a79c5844.jpg', 'files/p11/p11880923/s51034232/9a09516b-ceca3649-56487727-bbd3b10c-a0cbd7b8.jpg']",['files/p11/p11880923/s50993278/0e77afe7-43ac6d41-4086ded7-baee7795-75274784.jpg\n']
s51034232_2,p11880923,s51034232,2,Findings,"In comparison with study of ___, there has been placement of an endotracheal tube with the tip approximately 3.5 cm above the carina. The left Swan-Ganz catheter tip is in the proximal pulmonary artery. Hemodialysis catheter tip remains in the right atrium. Left IJ catheter is in the region of the juncture with the left subclavian vein. Abdominal drains are seen bilaterally. Nasogastric tube extends only to the lower thoracic esophagus. It could be advanced ___-25 cm, which was conveyed to Dr. ___ by the resident on-call. Mild indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure.",Nasogastric tube extends only to the lower thoracic esophagus.,nasogastric tube,lower thoracic esophagus,New,"['files/p11/p11880923/s51034232/023dcd40-03e11030-4c6944a1-00790e19-a79c5844.jpg', 'files/p11/p11880923/s51034232/9a09516b-ceca3649-56487727-bbd3b10c-a0cbd7b8.jpg']",['files/p11/p11880923/s50993278/0e77afe7-43ac6d41-4086ded7-baee7795-75274784.jpg\n']
s51034858_4,p19757720,s51034858,4,Impression,Stable chest findings.,Stable chest findings.,chest findings,,Stable,['files/p19/p19757720/s51034858/3e2089f9-a5133cb9-a2ccafcd-956a95d1-c2af1f26.jpg'],"['files/p19/p19757720/s50149345/c7bb0e40-1f6e7506-544a2f87-79320653-743f3351.jpg\n', 'files/p19/p19757720/s50149345/dd0edd5f-bbfc870a-23c7b603-2ee5bd53-caedb97b.jpg\n']"
s51040656_2,p13031876,s51040656,2,Findings,"As compared to the previous radiograph, the patient has received a nasogastric tube. The course of the tube is unremarkable, the tip of the tube projects over the middle parts of the stomach, the side port is at the level of the gastroesophageal junction. The tube could be advanced by approximately 5 cm. No evidence of complications. The Radiograph is otherwise unchanged.",The Radiograph is otherwise unchanged.,,,Stable,['files/p13/p13031876/s51040656/8ed93a6c-a257c9c3-b7011ef7-9fd0fc17-8b045b94.jpg'],['files/p13/p13031876/s50882034/cbd0493a-45581768-2a4a0cdc-ed7b4ccf-20000354.jpg\n']
s51040656_2,p13031876,s51040656,2,Findings,"As compared to the previous radiograph, the patient has received a nasogastric tube. The course of the tube is unremarkable, the tip of the tube projects over the middle parts of the stomach, the side port is at the level of the gastroesophageal junction. The tube could be advanced by approximately 5 cm. No evidence of complications. The Radiograph is otherwise unchanged.","As compared to the previous radiograph, the patient has received a nasogastric tube.",nasogastric tube,,New,['files/p13/p13031876/s51040656/8ed93a6c-a257c9c3-b7011ef7-9fd0fc17-8b045b94.jpg'],['files/p13/p13031876/s50882034/cbd0493a-45581768-2a4a0cdc-ed7b4ccf-20000354.jpg\n']
s51044625_4,p18322589,s51044625,4,Findings,The pacer unit leads are unchanged in position. The endotracheal tube tip sits 3 cm above the carina. The endogastric tube side port sits just below the GE junction. A prosthetic mitral valve is noted. The heart size is stable. There has been minimal improvement in the diffuse ground-glass opacities. Blunting of both costophrenic angles suggests small pleural effusions along with predominantly retrocardiac atelectasis. There is no pneumothorax.,The heart size is stable.,heart size,,Stable,['files/p18/p18322589/s51044625/0d930f0a-46f813a9-db3b137b-05142eef-eca3c5a7.jpg'],"['files/p18/p18322589/s50924449/4b2e0e56-c92f64a6-040f8d1f-05d28ea4-b7a14044.jpg\n', 'files/p18/p18322589/s50924449/d1cd470b-709eb217-69977228-14bf4f2f-c0457196.jpg\n']"
s51044625_4,p18322589,s51044625,4,Findings,The pacer unit leads are unchanged in position. The endotracheal tube tip sits 3 cm above the carina. The endogastric tube side port sits just below the GE junction. A prosthetic mitral valve is noted. The heart size is stable. There has been minimal improvement in the diffuse ground-glass opacities. Blunting of both costophrenic angles suggests small pleural effusions along with predominantly retrocardiac atelectasis. There is no pneumothorax.,The pacer unit leads are unchanged in position.,pacer unit leads,,Stable,['files/p18/p18322589/s51044625/0d930f0a-46f813a9-db3b137b-05142eef-eca3c5a7.jpg'],"['files/p18/p18322589/s50924449/4b2e0e56-c92f64a6-040f8d1f-05d28ea4-b7a14044.jpg\n', 'files/p18/p18322589/s50924449/d1cd470b-709eb217-69977228-14bf4f2f-c0457196.jpg\n']"
s51044625_4,p18322589,s51044625,4,Findings,The pacer unit leads are unchanged in position. The endotracheal tube tip sits 3 cm above the carina. The endogastric tube side port sits just below the GE junction. A prosthetic mitral valve is noted. The heart size is stable. There has been minimal improvement in the diffuse ground-glass opacities. Blunting of both costophrenic angles suggests small pleural effusions along with predominantly retrocardiac atelectasis. There is no pneumothorax.,There has been minimal improvement in the diffuse ground-glass opacities.,diffuse ground-glass opacities,,Better,['files/p18/p18322589/s51044625/0d930f0a-46f813a9-db3b137b-05142eef-eca3c5a7.jpg'],"['files/p18/p18322589/s50924449/4b2e0e56-c92f64a6-040f8d1f-05d28ea4-b7a14044.jpg\n', 'files/p18/p18322589/s50924449/d1cd470b-709eb217-69977228-14bf4f2f-c0457196.jpg\n']"
s51044625_4,p18322589,s51044625,4,Impression,Slightly improved pulmonary opacities compatible with moderate pulmonary edema versus pulmonary hemorrhage.,Slightly improved pulmonary opacities compatible with moderate pulmonary edema versus pulmonary hemorrhage.,pulmonary opacities,,Better,['files/p18/p18322589/s51044625/0d930f0a-46f813a9-db3b137b-05142eef-eca3c5a7.jpg'],"['files/p18/p18322589/s50924449/4b2e0e56-c92f64a6-040f8d1f-05d28ea4-b7a14044.jpg\n', 'files/p18/p18322589/s50924449/d1cd470b-709eb217-69977228-14bf4f2f-c0457196.jpg\n']"
s51050206_19,p13896515,s51050206,19,Impression,"As compared to the previous image, the patient is now in moderate pulmonary edema. No pleural effusions. Unchanged cardiomegaly and low lung volumes. Unchanged left pectoral pacemaker position. No pneumonia.","As compared to the previous image, the patient is now in moderate pulmonary edema.",pulmonary edema,,Worse,['files/p13/p13896515/s51050206/3eb5d0cd-b53603ab-1055c1ab-0136cead-bd105e22.jpg'],"['files/p13/p13896515/s50498379/207cd14f-964e1d6c-6bda26f6-acb1591c-5a335c13.jpg\n', 'files/p13/p13896515/s50498379/2e6fe51f-e9238ed4-fd5fbac1-85ba7185-da7f3084.jpg\n', 'files/p13/p13896515/s50498379/6a7ae1e7-25818d8d-e2aaca48-19d5034e-df932bae.jpg\n']"
s51050206_19,p13896515,s51050206,19,Impression,"As compared to the previous image, the patient is now in moderate pulmonary edema. No pleural effusions. Unchanged cardiomegaly and low lung volumes. Unchanged left pectoral pacemaker position. No pneumonia.",Unchanged cardiomegaly and low lung volumes.,low lung volumes,,Stable,['files/p13/p13896515/s51050206/3eb5d0cd-b53603ab-1055c1ab-0136cead-bd105e22.jpg'],"['files/p13/p13896515/s50498379/207cd14f-964e1d6c-6bda26f6-acb1591c-5a335c13.jpg\n', 'files/p13/p13896515/s50498379/2e6fe51f-e9238ed4-fd5fbac1-85ba7185-da7f3084.jpg\n', 'files/p13/p13896515/s50498379/6a7ae1e7-25818d8d-e2aaca48-19d5034e-df932bae.jpg\n']"
s51050206_19,p13896515,s51050206,19,Impression,"As compared to the previous image, the patient is now in moderate pulmonary edema. No pleural effusions. Unchanged cardiomegaly and low lung volumes. Unchanged left pectoral pacemaker position. No pneumonia.",Unchanged left pectoral pacemaker position.,pacemaker position,left pectoral,Stable,['files/p13/p13896515/s51050206/3eb5d0cd-b53603ab-1055c1ab-0136cead-bd105e22.jpg'],"['files/p13/p13896515/s50498379/207cd14f-964e1d6c-6bda26f6-acb1591c-5a335c13.jpg\n', 'files/p13/p13896515/s50498379/2e6fe51f-e9238ed4-fd5fbac1-85ba7185-da7f3084.jpg\n', 'files/p13/p13896515/s50498379/6a7ae1e7-25818d8d-e2aaca48-19d5034e-df932bae.jpg\n']"
s51050206_19,p13896515,s51050206,19,Impression,"As compared to the previous image, the patient is now in moderate pulmonary edema. No pleural effusions. Unchanged cardiomegaly and low lung volumes. Unchanged left pectoral pacemaker position. No pneumonia.",Unchanged cardiomegaly and low lung volumes.,cardiomegaly,,Stable,['files/p13/p13896515/s51050206/3eb5d0cd-b53603ab-1055c1ab-0136cead-bd105e22.jpg'],"['files/p13/p13896515/s50498379/207cd14f-964e1d6c-6bda26f6-acb1591c-5a335c13.jpg\n', 'files/p13/p13896515/s50498379/2e6fe51f-e9238ed4-fd5fbac1-85ba7185-da7f3084.jpg\n', 'files/p13/p13896515/s50498379/6a7ae1e7-25818d8d-e2aaca48-19d5034e-df932bae.jpg\n']"
s51051449_11,p10268877,s51051449,11,Impression,AP chest compared to ___: ET tube in standard placement. Nasogastric tube passes into the stomach and out of view. No pneumothorax. Leftward mediastinal shift suggests a new opacification at the base of the left lung is atelectasis. The right lung is clear. Left jugular line ends at the origin of the SVC.,Leftward mediastinal shift suggests a new opacification at the base of the left lung is atelectasis.,atelectasis,base of the left lung,New,"['files/p10/p10268877/s51051449/aeb77932-e37cc2ed-c6a8425e-955a35be-387a1d3e.jpg', 'files/p10/p10268877/s51051449/c32a83d9-d6134d67-b859a63c-c8d7c7a5-588358e3.jpg']",['files/p10/p10268877/s50239281/0c69d156-6f5f3a89-7d361367-57f8c979-583ef198.jpg\n']
s51051449_11,p10268877,s51051449,11,Impression,AP chest compared to ___: ET tube in standard placement. Nasogastric tube passes into the stomach and out of view. No pneumothorax. Leftward mediastinal shift suggests a new opacification at the base of the left lung is atelectasis. The right lung is clear. Left jugular line ends at the origin of the SVC.,Leftward mediastinal shift suggests a new opacification at the base of the left lung is atelectasis.,opacification,base of the left lung,New,"['files/p10/p10268877/s51051449/aeb77932-e37cc2ed-c6a8425e-955a35be-387a1d3e.jpg', 'files/p10/p10268877/s51051449/c32a83d9-d6134d67-b859a63c-c8d7c7a5-588358e3.jpg']",['files/p10/p10268877/s50239281/0c69d156-6f5f3a89-7d361367-57f8c979-583ef198.jpg\n']
s51054780_26,p14841168,s51054780,26,Findings,"Frontal and lateral chest radiographs were obtained. Lung volumes remain low. The previous noted left lower lung opacity is less conspicuous on this repeat study, and was likely artifactual due to rightward rotation. On the lateral view, there is now a retrocardiac opacity without clear correlate on the frontal view, which was also present on prior radiographs. The cardiomediastinal silhouette and hilar contours are unchanged. There is no pleural effusion or pneumothorax.","The previous noted left lower lung opacity is less conspicuous on this repeat study, and was likely artifactual due to rightward rotation.",Opacity,Left lower lung,Better,"['files/p14/p14841168/s51054780/185ab14e-f83a847e-3a796c51-6388baaa-a5a1ddf6.jpg', 'files/p14/p14841168/s51054780/88687ba9-534e2c29-05f6794b-40aa3d96-4ba80b70.jpg', 'files/p14/p14841168/s51054780/e48e959d-10d7b785-3ba7d6d0-87d614c1-19ed06cc.jpg']",['files/p14/p14841168/s50796456/32857e2f-0b7d1d34-77083bdf-dc8f1be8-d456e85c.jpg\n']
s51054780_26,p14841168,s51054780,26,Findings,"Frontal and lateral chest radiographs were obtained. Lung volumes remain low. The previous noted left lower lung opacity is less conspicuous on this repeat study, and was likely artifactual due to rightward rotation. On the lateral view, there is now a retrocardiac opacity without clear correlate on the frontal view, which was also present on prior radiographs. The cardiomediastinal silhouette and hilar contours are unchanged. There is no pleural effusion or pneumothorax.","On the lateral view, there is now a retrocardiac opacity without clear correlate on the frontal view, which was also present on prior radiographs.",Opacity,Retrocardiac,Stable,"['files/p14/p14841168/s51054780/185ab14e-f83a847e-3a796c51-6388baaa-a5a1ddf6.jpg', 'files/p14/p14841168/s51054780/88687ba9-534e2c29-05f6794b-40aa3d96-4ba80b70.jpg', 'files/p14/p14841168/s51054780/e48e959d-10d7b785-3ba7d6d0-87d614c1-19ed06cc.jpg']",['files/p14/p14841168/s50796456/32857e2f-0b7d1d34-77083bdf-dc8f1be8-d456e85c.jpg\n']
s51054780_26,p14841168,s51054780,26,Findings,"Frontal and lateral chest radiographs were obtained. Lung volumes remain low. The previous noted left lower lung opacity is less conspicuous on this repeat study, and was likely artifactual due to rightward rotation. On the lateral view, there is now a retrocardiac opacity without clear correlate on the frontal view, which was also present on prior radiographs. The cardiomediastinal silhouette and hilar contours are unchanged. There is no pleural effusion or pneumothorax.",Lung volumes remain low.,Volumes,Lung,Stable,"['files/p14/p14841168/s51054780/185ab14e-f83a847e-3a796c51-6388baaa-a5a1ddf6.jpg', 'files/p14/p14841168/s51054780/88687ba9-534e2c29-05f6794b-40aa3d96-4ba80b70.jpg', 'files/p14/p14841168/s51054780/e48e959d-10d7b785-3ba7d6d0-87d614c1-19ed06cc.jpg']",['files/p14/p14841168/s50796456/32857e2f-0b7d1d34-77083bdf-dc8f1be8-d456e85c.jpg\n']
s51054780_26,p14841168,s51054780,26,Findings,"Frontal and lateral chest radiographs were obtained. Lung volumes remain low. The previous noted left lower lung opacity is less conspicuous on this repeat study, and was likely artifactual due to rightward rotation. On the lateral view, there is now a retrocardiac opacity without clear correlate on the frontal view, which was also present on prior radiographs. The cardiomediastinal silhouette and hilar contours are unchanged. There is no pleural effusion or pneumothorax.",The cardiomediastinal silhouette and hilar contours are unchanged.,Contours,Cardiomediastinal and hilar,Stable,"['files/p14/p14841168/s51054780/185ab14e-f83a847e-3a796c51-6388baaa-a5a1ddf6.jpg', 'files/p14/p14841168/s51054780/88687ba9-534e2c29-05f6794b-40aa3d96-4ba80b70.jpg', 'files/p14/p14841168/s51054780/e48e959d-10d7b785-3ba7d6d0-87d614c1-19ed06cc.jpg']",['files/p14/p14841168/s50796456/32857e2f-0b7d1d34-77083bdf-dc8f1be8-d456e85c.jpg\n']
s51067581_17,p19720782,s51067581,17,Findings,"Since the prior study the pseudotumor (fluid in the major fissure) on the right has resolved. Post treatment changes including elevation of the right hilus and coarse interstitial changes indicative of radiation fibrosis are again noted, a chronic finding. Obscuration of the right hemidiaphragm is likely a function of atelectasis and a small pleural effusion. The left lung is largely clear. Heart size and mediastinal contours are stable. Heavily calcified aortic arch is again noted.",Since the prior study the pseudotumor (fluid in the major fissure) on the right has resolved,pseudotumor,right major fissure,Resolve,['files/p19/p19720782/s51067581/0bfb85a2-fe62f571-fb0c092b-b592a4d6-60a8b4ff.jpg'],"['files/p19/p19720782/s50799000/128b344f-88f10d4b-0735a3f3-e1e0a2d0-f9c38e84.jpg\n', 'files/p19/p19720782/s50799000/c0a270fd-e635e760-25105a1f-25fde453-b521148c.jpg\n']"
s51067581_17,p19720782,s51067581,17,Findings,"Since the prior study the pseudotumor (fluid in the major fissure) on the right has resolved. Post treatment changes including elevation of the right hilus and coarse interstitial changes indicative of radiation fibrosis are again noted, a chronic finding. Obscuration of the right hemidiaphragm is likely a function of atelectasis and a small pleural effusion. The left lung is largely clear. Heart size and mediastinal contours are stable. Heavily calcified aortic arch is again noted.",Heart size and mediastinal contours are stable,mediastinal contours,,Stable,['files/p19/p19720782/s51067581/0bfb85a2-fe62f571-fb0c092b-b592a4d6-60a8b4ff.jpg'],"['files/p19/p19720782/s50799000/128b344f-88f10d4b-0735a3f3-e1e0a2d0-f9c38e84.jpg\n', 'files/p19/p19720782/s50799000/c0a270fd-e635e760-25105a1f-25fde453-b521148c.jpg\n']"
s51067581_17,p19720782,s51067581,17,Findings,"Since the prior study the pseudotumor (fluid in the major fissure) on the right has resolved. Post treatment changes including elevation of the right hilus and coarse interstitial changes indicative of radiation fibrosis are again noted, a chronic finding. Obscuration of the right hemidiaphragm is likely a function of atelectasis and a small pleural effusion. The left lung is largely clear. Heart size and mediastinal contours are stable. Heavily calcified aortic arch is again noted.",Heart size and mediastinal contours are stable,heart size,,Stable,['files/p19/p19720782/s51067581/0bfb85a2-fe62f571-fb0c092b-b592a4d6-60a8b4ff.jpg'],"['files/p19/p19720782/s50799000/128b344f-88f10d4b-0735a3f3-e1e0a2d0-f9c38e84.jpg\n', 'files/p19/p19720782/s50799000/c0a270fd-e635e760-25105a1f-25fde453-b521148c.jpg\n']"
s51067581_17,p19720782,s51067581,17,Findings,"Since the prior study the pseudotumor (fluid in the major fissure) on the right has resolved. Post treatment changes including elevation of the right hilus and coarse interstitial changes indicative of radiation fibrosis are again noted, a chronic finding. Obscuration of the right hemidiaphragm is likely a function of atelectasis and a small pleural effusion. The left lung is largely clear. Heart size and mediastinal contours are stable. Heavily calcified aortic arch is again noted.",Heavily calcified aortic arch is again noted,aortic arch calcification,,Stable,['files/p19/p19720782/s51067581/0bfb85a2-fe62f571-fb0c092b-b592a4d6-60a8b4ff.jpg'],"['files/p19/p19720782/s50799000/128b344f-88f10d4b-0735a3f3-e1e0a2d0-f9c38e84.jpg\n', 'files/p19/p19720782/s50799000/c0a270fd-e635e760-25105a1f-25fde453-b521148c.jpg\n']"
s51067581_17,p19720782,s51067581,17,Impression,1. Resolution of fluid in the right major fissure. 2. Small right pleural effusion and right basilar atelectasis. 3. Chronic treatment-related changes in the right lung.,1. Resolution of fluid in the right major fissure,fluid,right major fissure,Resolve,['files/p19/p19720782/s51067581/0bfb85a2-fe62f571-fb0c092b-b592a4d6-60a8b4ff.jpg'],"['files/p19/p19720782/s50799000/128b344f-88f10d4b-0735a3f3-e1e0a2d0-f9c38e84.jpg\n', 'files/p19/p19720782/s50799000/c0a270fd-e635e760-25105a1f-25fde453-b521148c.jpg\n']"
s51067581_17,p19720782,s51067581,17,Findings,"Since the prior study the pseudotumor (fluid in the major fissure) on the right has resolved. Post treatment changes including elevation of the right hilus and coarse interstitial changes indicative of radiation fibrosis are again noted, a chronic finding. Obscuration of the right hemidiaphragm is likely a function of atelectasis and a small pleural effusion. The left lung is largely clear. Heart size and mediastinal contours are stable. Heavily calcified aortic arch is again noted.","Post treatment changes including elevation of the right hilus and coarse interstitial changes indicative of radiation fibrosis are again noted, a chronic finding",coarse interstitial changes,right,Stable,['files/p19/p19720782/s51067581/0bfb85a2-fe62f571-fb0c092b-b592a4d6-60a8b4ff.jpg'],"['files/p19/p19720782/s50799000/128b344f-88f10d4b-0735a3f3-e1e0a2d0-f9c38e84.jpg\n', 'files/p19/p19720782/s50799000/c0a270fd-e635e760-25105a1f-25fde453-b521148c.jpg\n']"
s51067581_17,p19720782,s51067581,17,Findings,"Since the prior study the pseudotumor (fluid in the major fissure) on the right has resolved. Post treatment changes including elevation of the right hilus and coarse interstitial changes indicative of radiation fibrosis are again noted, a chronic finding. Obscuration of the right hemidiaphragm is likely a function of atelectasis and a small pleural effusion. The left lung is largely clear. Heart size and mediastinal contours are stable. Heavily calcified aortic arch is again noted.","Post treatment changes including elevation of the right hilus and coarse interstitial changes indicative of radiation fibrosis are again noted, a chronic finding",post treatment changes,right hilus,Stable,['files/p19/p19720782/s51067581/0bfb85a2-fe62f571-fb0c092b-b592a4d6-60a8b4ff.jpg'],"['files/p19/p19720782/s50799000/128b344f-88f10d4b-0735a3f3-e1e0a2d0-f9c38e84.jpg\n', 'files/p19/p19720782/s50799000/c0a270fd-e635e760-25105a1f-25fde453-b521148c.jpg\n']"
s51069079_6,p16055653,s51069079,6,Impression,"AP chest compared to ___: Hilar and mediastinal vascular engorgements have improved, mild-to-moderate cardiomegaly has not. Substantial bibasilar opacification can be explained by atelectasis. Pleural effusions are presumed but not appreciable. Tip of the endotracheal tube at the thoracic inlet is no less than 5.8 cm from the carina and should be advanced 2 cm for more secured seating. Right internal jugular line ends in the mid-to-low SVC, and a nasogastric tube passes far into the stomach. No pneumothorax.",No pneumothorax.,pneumothorax,,Resolve,"['files/p16/p16055653/s51069079/8e149da2-2dbbcfe5-fbd731aa-9f1582b8-4c08fb8b.jpg', 'files/p16/p16055653/s51069079/de44206d-3a107422-191fdf32-35511457-92f6967c.jpg']",
s51069079_6,p16055653,s51069079,6,Impression,"AP chest compared to ___: Hilar and mediastinal vascular engorgements have improved, mild-to-moderate cardiomegaly has not. Substantial bibasilar opacification can be explained by atelectasis. Pleural effusions are presumed but not appreciable. Tip of the endotracheal tube at the thoracic inlet is no less than 5.8 cm from the carina and should be advanced 2 cm for more secured seating. Right internal jugular line ends in the mid-to-low SVC, and a nasogastric tube passes far into the stomach. No pneumothorax.","AP chest compared to ___: Hilar and mediastinal vascular engorgements have improved, mild-to-moderate cardiomegaly has not.",Hilar and mediastinal vascular engorgements,,Better,"['files/p16/p16055653/s51069079/8e149da2-2dbbcfe5-fbd731aa-9f1582b8-4c08fb8b.jpg', 'files/p16/p16055653/s51069079/de44206d-3a107422-191fdf32-35511457-92f6967c.jpg']",
s51069079_6,p16055653,s51069079,6,Impression,"AP chest compared to ___: Hilar and mediastinal vascular engorgements have improved, mild-to-moderate cardiomegaly has not. Substantial bibasilar opacification can be explained by atelectasis. Pleural effusions are presumed but not appreciable. Tip of the endotracheal tube at the thoracic inlet is no less than 5.8 cm from the carina and should be advanced 2 cm for more secured seating. Right internal jugular line ends in the mid-to-low SVC, and a nasogastric tube passes far into the stomach. No pneumothorax.","AP chest compared to ___: Hilar and mediastinal vascular engorgements have improved, mild-to-moderate cardiomegaly has not.",mild-to-moderate cardiomegaly,,Stable,"['files/p16/p16055653/s51069079/8e149da2-2dbbcfe5-fbd731aa-9f1582b8-4c08fb8b.jpg', 'files/p16/p16055653/s51069079/de44206d-3a107422-191fdf32-35511457-92f6967c.jpg']",
s51070813_4,p14177219,s51070813,4,Findings,"Interval decrease in the size of the cardiac silhouette which is now normal. Stable enlargement of the bilateral hila. Relative lucency of the left lower lobe is likely related to overlying soft tissue. No focal consolidation, pleural effusion or pneumothorax.",Interval decrease in the size of the cardiac silhouette which is now normal.,cardiac silhouette,,Better,"['files/p14/p14177219/s51070813/3066a927-be47610c-a0348792-a8178259-d9cc2fa5.jpg', 'files/p14/p14177219/s51070813/8aeadf93-9670a6fd-2e65b3ce-0719a2c7-d178e34c.jpg']",
s51070813_4,p14177219,s51070813,4,Findings,"Interval decrease in the size of the cardiac silhouette which is now normal. Stable enlargement of the bilateral hila. Relative lucency of the left lower lobe is likely related to overlying soft tissue. No focal consolidation, pleural effusion or pneumothorax.",Stable enlargement of the bilateral hila.,hila enlargement,bilateral,Stable,"['files/p14/p14177219/s51070813/3066a927-be47610c-a0348792-a8178259-d9cc2fa5.jpg', 'files/p14/p14177219/s51070813/8aeadf93-9670a6fd-2e65b3ce-0719a2c7-d178e34c.jpg']",
s51074951_1,p17337033,s51074951,1,Findings,"The heart is of normal size with stable cardiomediastinal contours. Prominence of the superior mediastinum is compatible with mediastinal lipomatosis seen on ___ chest CT. Lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No displaced rib fracture is visualized. No radiopaque foreign body.",The heart is of normal size with stable cardiomediastinal contours.,size,heart,Stable,['files/p17/p17337033/s51074951/5b3a073e-8c070064-383e87bc-900d5646-a15c9576.jpg'],
s51078371_48,p14851532,s51078371,48,Impression,"Cart focal is substantial. Mediastinal silhouette is stable. Pulmonary edema has developed in the interim, extensive. It obscures previously seen asymmetric left suprahilar opacity that might reflect infectious process.","Pulmonary edema has developed in the interim, extensive",pulmonary edema,,New,['files/p14/p14851532/s51078371/66e86adc-70548bf4-9981e744-42d0da07-838b4d2a.jpg'],['files/p14/p14851532/s50875682/264b88e4-6c089e5c-86f6e75e-aba9afc2-5effc446.jpg\n']
s51078371_48,p14851532,s51078371,48,Impression,"Cart focal is substantial. Mediastinal silhouette is stable. Pulmonary edema has developed in the interim, extensive. It obscures previously seen asymmetric left suprahilar opacity that might reflect infectious process.",Mediastinal silhouette is stable,mediastinal silhouette,,Stable,['files/p14/p14851532/s51078371/66e86adc-70548bf4-9981e744-42d0da07-838b4d2a.jpg'],['files/p14/p14851532/s50875682/264b88e4-6c089e5c-86f6e75e-aba9afc2-5effc446.jpg\n']
s51080537_21,p12952223,s51080537,21,Findings,"Comparison is made to prior study from ___ at 11:51 a.m. There is a Dobhoff tube whose distal tip is below the gastroesophageal junction. There is endotracheal tube whose tip is 3 cm above the carina. There is a right-sided central venous catheter with the distal lead tip in the mid SVC. There are bilateral pleural effusions and left retrocardiac opacity, which is stable. There is also some pulmonary vascular congestion which is unchanged.",There is also some pulmonary vascular congestion which is unchanged.,vascular congestion,pulmonary,Stable,['files/p12/p12952223/s51080537/352d3cd6-62973415-eb038984-1a3b871f-3d226e60.jpg'],['files/p12/p12952223/s50802157/ceeb934a-c305e7cc-8fb84dc9-13a7b24c-ef709a44.jpg\n']
s51080537_21,p12952223,s51080537,21,Findings,"Comparison is made to prior study from ___ at 11:51 a.m. There is a Dobhoff tube whose distal tip is below the gastroesophageal junction. There is endotracheal tube whose tip is 3 cm above the carina. There is a right-sided central venous catheter with the distal lead tip in the mid SVC. There are bilateral pleural effusions and left retrocardiac opacity, which is stable. There is also some pulmonary vascular congestion which is unchanged.","There are bilateral pleural effusions and left retrocardiac opacity, which is stable.",opacity,left retrocardiac,Stable,['files/p12/p12952223/s51080537/352d3cd6-62973415-eb038984-1a3b871f-3d226e60.jpg'],['files/p12/p12952223/s50802157/ceeb934a-c305e7cc-8fb84dc9-13a7b24c-ef709a44.jpg\n']
s51096107_1,p19623993,s51096107,1,Findings,The Dobbhoff tube has been advanced distally from its position on prior abdominal radiograph. The tip of the Dobhoff tube terminates in the region of the second portion of the duodenum. The heart remains mildly enlarged with bilateral hilar opacification. A right supraclavicular central venous catheter is noted terminating in the SVC. There is no pneumothorax. There is no abdominal free air.,The heart remains mildly enlarged with bilateral hilar opacification.,mildly enlarged heart,,Stable,"['files/p19/p19623993/s51096107/07223e64-694168bd-99cb6d9e-44dd80fc-6f182991.jpg', 'files/p19/p19623993/s51096107/5142f79d-ca2bee0e-d70061cd-e31c5917-98f78f0e.jpg']","['files/p19/p19623993/s51014967/afa46108-e06269ce-05deb812-e12dad4d-ef863113.jpg\n', 'files/p19/p19623993/s51014967/f544d94c-f76c0138-27642df3-203d7374-4acb7c32.jpg\n']"
s51096107_1,p19623993,s51096107,1,Findings,The Dobbhoff tube has been advanced distally from its position on prior abdominal radiograph. The tip of the Dobhoff tube terminates in the region of the second portion of the duodenum. The heart remains mildly enlarged with bilateral hilar opacification. A right supraclavicular central venous catheter is noted terminating in the SVC. There is no pneumothorax. There is no abdominal free air.,The Dobbhoff tube has been advanced distally from its position on prior abdominal radiograph.,Dobbhoff tube,distally,Worse,"['files/p19/p19623993/s51096107/07223e64-694168bd-99cb6d9e-44dd80fc-6f182991.jpg', 'files/p19/p19623993/s51096107/5142f79d-ca2bee0e-d70061cd-e31c5917-98f78f0e.jpg']","['files/p19/p19623993/s51014967/afa46108-e06269ce-05deb812-e12dad4d-ef863113.jpg\n', 'files/p19/p19623993/s51014967/f544d94c-f76c0138-27642df3-203d7374-4acb7c32.jpg\n']"
s51099690_1,p13755940,s51099690,1,Impression,"1. Right internal jugular central line has its tip in the superior vena cava. A right basilar pigtail catheter has been placed and is incompletely visualized on the current examination. 2. Interval decrease in size of a right pleural effusion with residual patchy basilar opacity, which could reflect residual compressive atelectasis, reexpansion pulmonary edema, contusion, and less likely pneumonia. Persistent left pleural effusion with retrocardiac opacity, which most likely reflects partial lower lobe compressive atelectasis, although pneumonia cannot be excluded. No evidence of pulmonary edema. No pneumothorax. Heart remains enlarged. Cervical fusion hardware is seen projecting over the mid cervical spine.","Interval decrease in size of a right pleural effusion with residual patchy basilar opacity, which could reflect residual compressive atelectasis, reexpansion pulmonary edema, contusion, and less likely pneumonia.",pleural effusion,right,Better,['files/p13/p13755940/s51099690/e53aee72-582b01ea-a370ca39-62ce5b25-e0eed2b3.jpg'],
s51099690_1,p13755940,s51099690,1,Impression,"1. Right internal jugular central line has its tip in the superior vena cava. A right basilar pigtail catheter has been placed and is incompletely visualized on the current examination. 2. Interval decrease in size of a right pleural effusion with residual patchy basilar opacity, which could reflect residual compressive atelectasis, reexpansion pulmonary edema, contusion, and less likely pneumonia. Persistent left pleural effusion with retrocardiac opacity, which most likely reflects partial lower lobe compressive atelectasis, although pneumonia cannot be excluded. No evidence of pulmonary edema. No pneumothorax. Heart remains enlarged. Cervical fusion hardware is seen projecting over the mid cervical spine.",Heart remains enlarged.,enlarged heart,,Stable,['files/p13/p13755940/s51099690/e53aee72-582b01ea-a370ca39-62ce5b25-e0eed2b3.jpg'],
s51099690_1,p13755940,s51099690,1,Impression,"1. Right internal jugular central line has its tip in the superior vena cava. A right basilar pigtail catheter has been placed and is incompletely visualized on the current examination. 2. Interval decrease in size of a right pleural effusion with residual patchy basilar opacity, which could reflect residual compressive atelectasis, reexpansion pulmonary edema, contusion, and less likely pneumonia. Persistent left pleural effusion with retrocardiac opacity, which most likely reflects partial lower lobe compressive atelectasis, although pneumonia cannot be excluded. No evidence of pulmonary edema. No pneumothorax. Heart remains enlarged. Cervical fusion hardware is seen projecting over the mid cervical spine.","Persistent left pleural effusion with retrocardiac opacity, which most likely reflects partial lower lobe compressive atelectasis, although pneumonia cannot be excluded.",pleural effusion,left,Stable,['files/p13/p13755940/s51099690/e53aee72-582b01ea-a370ca39-62ce5b25-e0eed2b3.jpg'],
s51102601_3,p13964474,s51102601,3,Findings,"As compared to the previous radiograph, the patient has received a new orogastric tube. The course of the tube is unremarkable, the tip of the tube projects over the middle parts of the stomach. There is no evidence of complications. The other monitoring and support devices are in unchanged position. The massive bilateral lung abnormalities are constant in appearance.",The massive bilateral lung abnormalities are constant in appearance.,massive abnormalities,bilateral lungs,Stable,['files/p13/p13964474/s51102601/01eaece3-70d48ee8-709d04c6-967fa1f4-a486c1fb.jpg'],['files/p13/p13964474/s50909414/22f15611-56e81b77-6ec98f91-5d740640-14d8260c.jpg\n']
s51102601_3,p13964474,s51102601,3,Findings,"As compared to the previous radiograph, the patient has received a new orogastric tube. The course of the tube is unremarkable, the tip of the tube projects over the middle parts of the stomach. There is no evidence of complications. The other monitoring and support devices are in unchanged position. The massive bilateral lung abnormalities are constant in appearance.",The other monitoring and support devices are in unchanged position.,monitoring and support devices,,Stable,['files/p13/p13964474/s51102601/01eaece3-70d48ee8-709d04c6-967fa1f4-a486c1fb.jpg'],['files/p13/p13964474/s50909414/22f15611-56e81b77-6ec98f91-5d740640-14d8260c.jpg\n']
s51102601_3,p13964474,s51102601,3,Findings,"As compared to the previous radiograph, the patient has received a new orogastric tube. The course of the tube is unremarkable, the tip of the tube projects over the middle parts of the stomach. There is no evidence of complications. The other monitoring and support devices are in unchanged position. The massive bilateral lung abnormalities are constant in appearance.","As compared to the previous radiograph, the patient has received a new orogastric tube.",orogastric tube,,New,['files/p13/p13964474/s51102601/01eaece3-70d48ee8-709d04c6-967fa1f4-a486c1fb.jpg'],['files/p13/p13964474/s50909414/22f15611-56e81b77-6ec98f91-5d740640-14d8260c.jpg\n']
s51102831_4,p19800337,s51102831,4,Findings,"As compared to the previous radiograph, there is no relevant change. The lung volumes have increased, likely reflecting improved ventilation. No focal parenchymal opacities suggesting pneumonia. Normal size of the cardiac silhouette. Normal appearance of the hilar and mediastinal structures. No lung nodules or masses. Dating back to previous exams from ___, the left hilus has always been slightly rounder and denser than on the right. However, no pathologic contours are seen and the appearance of the hilus is unchanged with respect to size.","However, no pathologic contours are seen and the appearance of the hilus is unchanged with respect to size.",size,hilus,Stable,"['files/p19/p19800337/s51102831/19254d2e-12f84a8a-3d9be406-77b33fc9-ff7ed852.jpg', 'files/p19/p19800337/s51102831/66b7c679-c157c1f3-e9474f67-86d8cfd8-d63dd1f2.jpg']","['files/p19/p19800337/s50788655/0a5e513b-7a7ee423-b8c4a49e-66eb48ce-2ad0011a.jpg\n', 'files/p19/p19800337/s50788655/cf876f12-d68e18a7-4fd1eac7-d916c3ff-4350687a.jpg\n']"
s51102831_4,p19800337,s51102831,4,Findings,"As compared to the previous radiograph, there is no relevant change. The lung volumes have increased, likely reflecting improved ventilation. No focal parenchymal opacities suggesting pneumonia. Normal size of the cardiac silhouette. Normal appearance of the hilar and mediastinal structures. No lung nodules or masses. Dating back to previous exams from ___, the left hilus has always been slightly rounder and denser than on the right. However, no pathologic contours are seen and the appearance of the hilus is unchanged with respect to size.","Dating back to previous exams from ___, the left hilus has always been slightly rounder and denser than on the right.",roundness and density,left hilus,Stable,"['files/p19/p19800337/s51102831/19254d2e-12f84a8a-3d9be406-77b33fc9-ff7ed852.jpg', 'files/p19/p19800337/s51102831/66b7c679-c157c1f3-e9474f67-86d8cfd8-d63dd1f2.jpg']","['files/p19/p19800337/s50788655/0a5e513b-7a7ee423-b8c4a49e-66eb48ce-2ad0011a.jpg\n', 'files/p19/p19800337/s50788655/cf876f12-d68e18a7-4fd1eac7-d916c3ff-4350687a.jpg\n']"
s51102831_4,p19800337,s51102831,4,Findings,"As compared to the previous radiograph, there is no relevant change. The lung volumes have increased, likely reflecting improved ventilation. No focal parenchymal opacities suggesting pneumonia. Normal size of the cardiac silhouette. Normal appearance of the hilar and mediastinal structures. No lung nodules or masses. Dating back to previous exams from ___, the left hilus has always been slightly rounder and denser than on the right. However, no pathologic contours are seen and the appearance of the hilus is unchanged with respect to size.","The lung volumes have increased, likely reflecting improved ventilation.",ventilation,lung volumes,Better,"['files/p19/p19800337/s51102831/19254d2e-12f84a8a-3d9be406-77b33fc9-ff7ed852.jpg', 'files/p19/p19800337/s51102831/66b7c679-c157c1f3-e9474f67-86d8cfd8-d63dd1f2.jpg']","['files/p19/p19800337/s50788655/0a5e513b-7a7ee423-b8c4a49e-66eb48ce-2ad0011a.jpg\n', 'files/p19/p19800337/s50788655/cf876f12-d68e18a7-4fd1eac7-d916c3ff-4350687a.jpg\n']"
s51115148_6,p14236258,s51115148,6,Findings,"A vascular stent is again noted in the left brachiocephalic vein and SVC, in unchanged position. Compared to the most recent prior study of ___, the lung volumes have decreased. There is no new opacity concerning for pneumonia. Linear scarring or atelectasis in the right mid lung field is similar. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable. There are degenerative changes within the left glenohumeral joint. Old healed right rib fractures are again noted.",Linear scarring or atelectasis in the right mid lung field is similar.,Linear scarring or atelectasis,right mid lung field,Stable,['files/p14/p14236258/s51115148/8a8519a4-3254cb1a-775d799a-d0d1bd38-8b776ba6.jpg'],"['files/p14/p14236258/s50717913/3cc05f00-8fba02b7-e911f543-5d48de64-b69bda76.jpg\n', 'files/p14/p14236258/s50717913/7420f572-8714f401-625ceeb1-4ebcd911-20fe42f1.jpg\n', 'files/p14/p14236258/s50717913/b046c8c0-a7b3367e-546b4f8c-222c475c-98dbe5b7.jpg\n']"
s51115148_6,p14236258,s51115148,6,Findings,"A vascular stent is again noted in the left brachiocephalic vein and SVC, in unchanged position. Compared to the most recent prior study of ___, the lung volumes have decreased. There is no new opacity concerning for pneumonia. Linear scarring or atelectasis in the right mid lung field is similar. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable. There are degenerative changes within the left glenohumeral joint. Old healed right rib fractures are again noted.",There is no new opacity concerning for pneumonia.,opacity concerning for pneumonia,,New,['files/p14/p14236258/s51115148/8a8519a4-3254cb1a-775d799a-d0d1bd38-8b776ba6.jpg'],"['files/p14/p14236258/s50717913/3cc05f00-8fba02b7-e911f543-5d48de64-b69bda76.jpg\n', 'files/p14/p14236258/s50717913/7420f572-8714f401-625ceeb1-4ebcd911-20fe42f1.jpg\n', 'files/p14/p14236258/s50717913/b046c8c0-a7b3367e-546b4f8c-222c475c-98dbe5b7.jpg\n']"
s51115148_6,p14236258,s51115148,6,Findings,"A vascular stent is again noted in the left brachiocephalic vein and SVC, in unchanged position. Compared to the most recent prior study of ___, the lung volumes have decreased. There is no new opacity concerning for pneumonia. Linear scarring or atelectasis in the right mid lung field is similar. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable. There are degenerative changes within the left glenohumeral joint. Old healed right rib fractures are again noted.","A vascular stent is again noted in the left brachiocephalic vein and SVC, in unchanged position.",vascular stent,left brachiocephalic vein and SVC,Stable,['files/p14/p14236258/s51115148/8a8519a4-3254cb1a-775d799a-d0d1bd38-8b776ba6.jpg'],"['files/p14/p14236258/s50717913/3cc05f00-8fba02b7-e911f543-5d48de64-b69bda76.jpg\n', 'files/p14/p14236258/s50717913/7420f572-8714f401-625ceeb1-4ebcd911-20fe42f1.jpg\n', 'files/p14/p14236258/s50717913/b046c8c0-a7b3367e-546b4f8c-222c475c-98dbe5b7.jpg\n']"
s51115148_6,p14236258,s51115148,6,Findings,"A vascular stent is again noted in the left brachiocephalic vein and SVC, in unchanged position. Compared to the most recent prior study of ___, the lung volumes have decreased. There is no new opacity concerning for pneumonia. Linear scarring or atelectasis in the right mid lung field is similar. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable. There are degenerative changes within the left glenohumeral joint. Old healed right rib fractures are again noted.","Compared to the most recent prior study of ___, the lung volumes have decreased.",lung volumes,,Worse,['files/p14/p14236258/s51115148/8a8519a4-3254cb1a-775d799a-d0d1bd38-8b776ba6.jpg'],"['files/p14/p14236258/s50717913/3cc05f00-8fba02b7-e911f543-5d48de64-b69bda76.jpg\n', 'files/p14/p14236258/s50717913/7420f572-8714f401-625ceeb1-4ebcd911-20fe42f1.jpg\n', 'files/p14/p14236258/s50717913/b046c8c0-a7b3367e-546b4f8c-222c475c-98dbe5b7.jpg\n']"
s51115148_6,p14236258,s51115148,6,Findings,"A vascular stent is again noted in the left brachiocephalic vein and SVC, in unchanged position. Compared to the most recent prior study of ___, the lung volumes have decreased. There is no new opacity concerning for pneumonia. Linear scarring or atelectasis in the right mid lung field is similar. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable. There are degenerative changes within the left glenohumeral joint. Old healed right rib fractures are again noted.",Old healed right rib fractures are again noted.,healed fractures,right rib,Stable,['files/p14/p14236258/s51115148/8a8519a4-3254cb1a-775d799a-d0d1bd38-8b776ba6.jpg'],"['files/p14/p14236258/s50717913/3cc05f00-8fba02b7-e911f543-5d48de64-b69bda76.jpg\n', 'files/p14/p14236258/s50717913/7420f572-8714f401-625ceeb1-4ebcd911-20fe42f1.jpg\n', 'files/p14/p14236258/s50717913/b046c8c0-a7b3367e-546b4f8c-222c475c-98dbe5b7.jpg\n']"
s51115148_6,p14236258,s51115148,6,Findings,"A vascular stent is again noted in the left brachiocephalic vein and SVC, in unchanged position. Compared to the most recent prior study of ___, the lung volumes have decreased. There is no new opacity concerning for pneumonia. Linear scarring or atelectasis in the right mid lung field is similar. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable. There are degenerative changes within the left glenohumeral joint. Old healed right rib fractures are again noted.",The cardiac and mediastinal contours are stable.,cardiac and mediastinal contours,,Stable,['files/p14/p14236258/s51115148/8a8519a4-3254cb1a-775d799a-d0d1bd38-8b776ba6.jpg'],"['files/p14/p14236258/s50717913/3cc05f00-8fba02b7-e911f543-5d48de64-b69bda76.jpg\n', 'files/p14/p14236258/s50717913/7420f572-8714f401-625ceeb1-4ebcd911-20fe42f1.jpg\n', 'files/p14/p14236258/s50717913/b046c8c0-a7b3367e-546b4f8c-222c475c-98dbe5b7.jpg\n']"
s51115198_29,p10933609,s51115198,29,Findings,"There is increase in moderate left loculated pleural effusion. The left lung opacification has also increased, concerning for worsening infection. Right upper lobe scarring is unchanged. There is no pneumothorax. The mediastinal and cardiac contours are normal. By reviewing the initial chest x-ray of ___, there was scarring in bilateral upper lobes which could either reflect scarring from previous aspiration, but sarcoid could also be a possibility.",There is increase in moderate left loculated pleural effusion.,loculated pleural effusion,left,Worse,['files/p10/p10933609/s51115198/16cf598d-2b1a30e2-627a4c64-25720237-cab9c186.jpg'],"['files/p10/p10933609/s51002383/5668d9ef-e5b61aae-8a38e823-b668e8ba-837392e7.jpg\n', 'files/p10/p10933609/s51002383/c9cd6c49-2bebaea2-82c0c5dc-c3d2e9a7-560599b0.jpg\n']"
s51115198_29,p10933609,s51115198,29,Findings,"There is increase in moderate left loculated pleural effusion. The left lung opacification has also increased, concerning for worsening infection. Right upper lobe scarring is unchanged. There is no pneumothorax. The mediastinal and cardiac contours are normal. By reviewing the initial chest x-ray of ___, there was scarring in bilateral upper lobes which could either reflect scarring from previous aspiration, but sarcoid could also be a possibility.","The left lung opacification has also increased, concerning for worsening infection.",opacification,left lung,Worse,['files/p10/p10933609/s51115198/16cf598d-2b1a30e2-627a4c64-25720237-cab9c186.jpg'],"['files/p10/p10933609/s51002383/5668d9ef-e5b61aae-8a38e823-b668e8ba-837392e7.jpg\n', 'files/p10/p10933609/s51002383/c9cd6c49-2bebaea2-82c0c5dc-c3d2e9a7-560599b0.jpg\n']"
s51115198_29,p10933609,s51115198,29,Findings,"There is increase in moderate left loculated pleural effusion. The left lung opacification has also increased, concerning for worsening infection. Right upper lobe scarring is unchanged. There is no pneumothorax. The mediastinal and cardiac contours are normal. By reviewing the initial chest x-ray of ___, there was scarring in bilateral upper lobes which could either reflect scarring from previous aspiration, but sarcoid could also be a possibility.",Right upper lobe scarring is unchanged.,scarring,right upper lobe,Stable,['files/p10/p10933609/s51115198/16cf598d-2b1a30e2-627a4c64-25720237-cab9c186.jpg'],"['files/p10/p10933609/s51002383/5668d9ef-e5b61aae-8a38e823-b668e8ba-837392e7.jpg\n', 'files/p10/p10933609/s51002383/c9cd6c49-2bebaea2-82c0c5dc-c3d2e9a7-560599b0.jpg\n']"
s51115198_29,p10933609,s51115198,29,Impression,"1. Increase in moderate left loculated pleural effusion. 2. Worsening of left lung pneumonia. Wet read was done by Dr. ___ at 6:14 p.m., ___.",Increase in moderate left loculated pleural effusion.,loculated pleural effusion,left,Worse,['files/p10/p10933609/s51115198/16cf598d-2b1a30e2-627a4c64-25720237-cab9c186.jpg'],"['files/p10/p10933609/s51002383/5668d9ef-e5b61aae-8a38e823-b668e8ba-837392e7.jpg\n', 'files/p10/p10933609/s51002383/c9cd6c49-2bebaea2-82c0c5dc-c3d2e9a7-560599b0.jpg\n']"
s51115198_29,p10933609,s51115198,29,Impression,"1. Increase in moderate left loculated pleural effusion. 2. Worsening of left lung pneumonia. Wet read was done by Dr. ___ at 6:14 p.m., ___.",Worsening of left lung pneumonia.,pneumonia,left lung,Worse,['files/p10/p10933609/s51115198/16cf598d-2b1a30e2-627a4c64-25720237-cab9c186.jpg'],"['files/p10/p10933609/s51002383/5668d9ef-e5b61aae-8a38e823-b668e8ba-837392e7.jpg\n', 'files/p10/p10933609/s51002383/c9cd6c49-2bebaea2-82c0c5dc-c3d2e9a7-560599b0.jpg\n']"
s51115444_21,p14841168,s51115444,21,Findings,Mild pulmonary edema has slightly increased. There is no significant pleural effusion. There is no pneumothorax. Mediastinal and cardiac contours with moderate enlargement and stable.,Mediastinal and cardiac contours with moderate enlargement and stable.,Moderate enlargement,Mediastinal and cardiac contours,Stable,"['files/p14/p14841168/s51115444/59f27b42-493502db-176f0ee7-90ba0f84-30b55b8b.jpg', 'files/p14/p14841168/s51115444/da9e3e67-02622466-3838d301-ca677b26-64a2bee0.jpg']","['files/p14/p14841168/s51054780/185ab14e-f83a847e-3a796c51-6388baaa-a5a1ddf6.jpg\n', 'files/p14/p14841168/s51054780/88687ba9-534e2c29-05f6794b-40aa3d96-4ba80b70.jpg\n', 'files/p14/p14841168/s51054780/e48e959d-10d7b785-3ba7d6d0-87d614c1-19ed06cc.jpg\n']"
s51115444_21,p14841168,s51115444,21,Impression,Mild pulmonary edema has increased.,Mild pulmonary edema has increased.,Mild pulmonary edema,,Worse,"['files/p14/p14841168/s51115444/59f27b42-493502db-176f0ee7-90ba0f84-30b55b8b.jpg', 'files/p14/p14841168/s51115444/da9e3e67-02622466-3838d301-ca677b26-64a2bee0.jpg']","['files/p14/p14841168/s51054780/185ab14e-f83a847e-3a796c51-6388baaa-a5a1ddf6.jpg\n', 'files/p14/p14841168/s51054780/88687ba9-534e2c29-05f6794b-40aa3d96-4ba80b70.jpg\n', 'files/p14/p14841168/s51054780/e48e959d-10d7b785-3ba7d6d0-87d614c1-19ed06cc.jpg\n']"
s51115444_21,p14841168,s51115444,21,Findings,Mild pulmonary edema has slightly increased. There is no significant pleural effusion. There is no pneumothorax. Mediastinal and cardiac contours with moderate enlargement and stable.,Mild pulmonary edema has slightly increased.,Mild pulmonary edema,,Worse,"['files/p14/p14841168/s51115444/59f27b42-493502db-176f0ee7-90ba0f84-30b55b8b.jpg', 'files/p14/p14841168/s51115444/da9e3e67-02622466-3838d301-ca677b26-64a2bee0.jpg']","['files/p14/p14841168/s51054780/185ab14e-f83a847e-3a796c51-6388baaa-a5a1ddf6.jpg\n', 'files/p14/p14841168/s51054780/88687ba9-534e2c29-05f6794b-40aa3d96-4ba80b70.jpg\n', 'files/p14/p14841168/s51054780/e48e959d-10d7b785-3ba7d6d0-87d614c1-19ed06cc.jpg\n']"
s51121202_8,p16853729,s51121202,8,Findings,"Comparison is made to previous study from ___. The Dobbhoff tube has been removed. There has been placement of nasogastric tube whose tip and side port are well below the gastroesophageal junction in the distal body of the stomach. However, there is a loop in the distal nasogastric tube. The cardiac silhouette and mediastinum is prominent but stable. There is improvement of the atelectasis at the lung bases. There remains low lung volumes. There are no pneumothoraces.",There remains low lung volumes.,low lung volumes,,Stable,['files/p16/p16853729/s51121202/d0b136c5-f0844e8c-66112b7b-2c23ee98-5d07fb5c.jpg'],['files/p16/p16853729/s50336040/be9ef580-3556eb15-d35c2bfb-f8249147-9fa04f25.jpg\n']
s51121202_8,p16853729,s51121202,8,Findings,"Comparison is made to previous study from ___. The Dobbhoff tube has been removed. There has been placement of nasogastric tube whose tip and side port are well below the gastroesophageal junction in the distal body of the stomach. However, there is a loop in the distal nasogastric tube. The cardiac silhouette and mediastinum is prominent but stable. There is improvement of the atelectasis at the lung bases. There remains low lung volumes. There are no pneumothoraces.",There is improvement of the atelectasis at the lung bases.,atelectasis,lung bases,Better,['files/p16/p16853729/s51121202/d0b136c5-f0844e8c-66112b7b-2c23ee98-5d07fb5c.jpg'],['files/p16/p16853729/s50336040/be9ef580-3556eb15-d35c2bfb-f8249147-9fa04f25.jpg\n']
s51121202_8,p16853729,s51121202,8,Findings,"Comparison is made to previous study from ___. The Dobbhoff tube has been removed. There has been placement of nasogastric tube whose tip and side port are well below the gastroesophageal junction in the distal body of the stomach. However, there is a loop in the distal nasogastric tube. The cardiac silhouette and mediastinum is prominent but stable. There is improvement of the atelectasis at the lung bases. There remains low lung volumes. There are no pneumothoraces.",The cardiac silhouette and mediastinum is prominent but stable.,cardiac silhouette and mediastinum,,Stable,['files/p16/p16853729/s51121202/d0b136c5-f0844e8c-66112b7b-2c23ee98-5d07fb5c.jpg'],['files/p16/p16853729/s50336040/be9ef580-3556eb15-d35c2bfb-f8249147-9fa04f25.jpg\n']
s51121202_8,p16853729,s51121202,8,Findings,"Comparison is made to previous study from ___. The Dobbhoff tube has been removed. There has been placement of nasogastric tube whose tip and side port are well below the gastroesophageal junction in the distal body of the stomach. However, there is a loop in the distal nasogastric tube. The cardiac silhouette and mediastinum is prominent but stable. There is improvement of the atelectasis at the lung bases. There remains low lung volumes. There are no pneumothoraces.",The Dobbhoff tube has been removed.,Dobbhoff tube,,Resolve,['files/p16/p16853729/s51121202/d0b136c5-f0844e8c-66112b7b-2c23ee98-5d07fb5c.jpg'],['files/p16/p16853729/s50336040/be9ef580-3556eb15-d35c2bfb-f8249147-9fa04f25.jpg\n']
s51128200_16,p19075045,s51128200,16,Findings,"Lung volume has increased, with reduced opacification of the right lung base, probably for reduced atelectasis. There are no consolidations suspicious for pneumonia. Heart size is still enlarged with mild enlargement of vascular pedicle, normal post-cardiac surgery findings. There is mild vascular congestion. Metallic clips are inline and intact. Right pectoral pacemaker has two leads following their expected courses and ending in the right atrium and right ventricle. There is no pneumothorax or pleural effusion. Patient has had AVR.","Lung volume has increased, with reduced opacification of the right lung base, probably for reduced atelectasis.",atelectasis,right lung base,Better,"['files/p19/p19075045/s51128200/2c6e86c8-921ec7a5-47be827f-42cce8dc-26b68598.jpg', 'files/p19/p19075045/s51128200/3d369d5e-63a6e5b5-2da13aad-a02c9aa2-42d8e9fd.jpg', 'files/p19/p19075045/s51128200/7f25428d-f40f45d8-63084d3a-45dfb5a4-07d850c3.jpg']",['files/p19/p19075045/s50645297/c3271fa5-173bb62f-8507daf0-46005d57-ba663779.jpg\n']
s51129150_12,p10439781,s51129150,12,Findings,"A left Port-A-Cath terminates in the right atrium, unchanged from prior. Lung volumes are extremely low resulting in bronchovascular crowding and limited evaluation of the lung bases. Diffuse interstitial opacities have increased, and despite the low lung volumes, findings are consistent with superimposed pulmonary edema on a background of pulmonary fibrosis. No large pleural effusion is evident. There is no pneumothorax. Cardiomediastinal and hilar contours are within normal limits. High density material within multiple mid thoracic vertebral bodies is likely related to prior kyphoplasty, unchanged from prior.","Diffuse interstitial opacities have increased, and despite the low lung volumes, findings are consistent with superimposed pulmonary edema on a background of pulmonary fibrosis.",Diffuse interstitial opacities,,Worse,['files/p10/p10439781/s51129150/1d74ca1d-12ac2785-bd84a322-376f04bc-b9fdaa99.jpg'],"['files/p10/p10439781/s50501762/58c735ba-cc7d2492-f290f622-154bc6f2-5fdc853c.jpg\n', 'files/p10/p10439781/s50501762/91623d3d-e82bd37b-a89a94ab-6a69e4ac-8e679081.jpg\n']"
s51129150_12,p10439781,s51129150,12,Findings,"A left Port-A-Cath terminates in the right atrium, unchanged from prior. Lung volumes are extremely low resulting in bronchovascular crowding and limited evaluation of the lung bases. Diffuse interstitial opacities have increased, and despite the low lung volumes, findings are consistent with superimposed pulmonary edema on a background of pulmonary fibrosis. No large pleural effusion is evident. There is no pneumothorax. Cardiomediastinal and hilar contours are within normal limits. High density material within multiple mid thoracic vertebral bodies is likely related to prior kyphoplasty, unchanged from prior.","High density material within multiple mid thoracic vertebral bodies is likely related to prior kyphoplasty, unchanged from prior.",High density material,multiple mid thoracic vertebral bodies,Stable,['files/p10/p10439781/s51129150/1d74ca1d-12ac2785-bd84a322-376f04bc-b9fdaa99.jpg'],"['files/p10/p10439781/s50501762/58c735ba-cc7d2492-f290f622-154bc6f2-5fdc853c.jpg\n', 'files/p10/p10439781/s50501762/91623d3d-e82bd37b-a89a94ab-6a69e4ac-8e679081.jpg\n']"
s51129150_12,p10439781,s51129150,12,Findings,"A left Port-A-Cath terminates in the right atrium, unchanged from prior. Lung volumes are extremely low resulting in bronchovascular crowding and limited evaluation of the lung bases. Diffuse interstitial opacities have increased, and despite the low lung volumes, findings are consistent with superimposed pulmonary edema on a background of pulmonary fibrosis. No large pleural effusion is evident. There is no pneumothorax. Cardiomediastinal and hilar contours are within normal limits. High density material within multiple mid thoracic vertebral bodies is likely related to prior kyphoplasty, unchanged from prior.","A left Port-A-Cath terminates in the right atrium, unchanged from prior.",Port-A-Cath,left,Stable,['files/p10/p10439781/s51129150/1d74ca1d-12ac2785-bd84a322-376f04bc-b9fdaa99.jpg'],"['files/p10/p10439781/s50501762/58c735ba-cc7d2492-f290f622-154bc6f2-5fdc853c.jpg\n', 'files/p10/p10439781/s50501762/91623d3d-e82bd37b-a89a94ab-6a69e4ac-8e679081.jpg\n']"
s51130329_40,p15259244,s51130329,40,Findings,"There is little overall change. Again there is moderate pulmonary edema with probable bilateral effusions and substantial volume loss in the left lower lobe. In the appropriate clinical setting, superimposed pneumonia would have to be considered.",Again there is moderate pulmonary edema with probable bilateral effusions and substantial volume loss in the left lower lobe.,effusions,bilateral,Stable,"['files/p15/p15259244/s51130329/adf296d0-4fd5ce49-a34b75c5-450e6912-f2fba814.jpg', 'files/p15/p15259244/s51130329/b3a59eff-ce2b4a69-c5090087-1a2a391b-2605a57c.jpg']","['files/p15/p15259244/s50903359/25caadda-50ddd24f-cf51cc5a-25c4f090-e4d32c64.jpg\n', 'files/p15/p15259244/s50903359/382f361b-7412dee4-3a5c243f-b3c792e4-d7f75a6f.jpg\n', 'files/p15/p15259244/s50903359/4a9977bd-7c6765ff-7951cc3c-36666101-51dfc3fa.jpg\n']"
s51130329_40,p15259244,s51130329,40,Findings,"There is little overall change. Again there is moderate pulmonary edema with probable bilateral effusions and substantial volume loss in the left lower lobe. In the appropriate clinical setting, superimposed pneumonia would have to be considered.",Again there is moderate pulmonary edema with probable bilateral effusions and substantial volume loss in the left lower lobe.,volume loss,left lower lobe,Stable,"['files/p15/p15259244/s51130329/adf296d0-4fd5ce49-a34b75c5-450e6912-f2fba814.jpg', 'files/p15/p15259244/s51130329/b3a59eff-ce2b4a69-c5090087-1a2a391b-2605a57c.jpg']","['files/p15/p15259244/s50903359/25caadda-50ddd24f-cf51cc5a-25c4f090-e4d32c64.jpg\n', 'files/p15/p15259244/s50903359/382f361b-7412dee4-3a5c243f-b3c792e4-d7f75a6f.jpg\n', 'files/p15/p15259244/s50903359/4a9977bd-7c6765ff-7951cc3c-36666101-51dfc3fa.jpg\n']"
s51130329_40,p15259244,s51130329,40,Findings,"There is little overall change. Again there is moderate pulmonary edema with probable bilateral effusions and substantial volume loss in the left lower lobe. In the appropriate clinical setting, superimposed pneumonia would have to be considered.",Again there is moderate pulmonary edema with probable bilateral effusions and substantial volume loss in the left lower lobe.,pulmonary edema,bilateral,Stable,"['files/p15/p15259244/s51130329/adf296d0-4fd5ce49-a34b75c5-450e6912-f2fba814.jpg', 'files/p15/p15259244/s51130329/b3a59eff-ce2b4a69-c5090087-1a2a391b-2605a57c.jpg']","['files/p15/p15259244/s50903359/25caadda-50ddd24f-cf51cc5a-25c4f090-e4d32c64.jpg\n', 'files/p15/p15259244/s50903359/382f361b-7412dee4-3a5c243f-b3c792e4-d7f75a6f.jpg\n', 'files/p15/p15259244/s50903359/4a9977bd-7c6765ff-7951cc3c-36666101-51dfc3fa.jpg\n']"
s51131475_5,p18338007,s51131475,5,Findings,"As compared to the previous radiograph, there is unchanged elevation of the left hemidiaphragm with subsequent decrease in volume of the left hemithorax. Otherwise, the lungs are more transparent than on the previous examination, likely to reflect improved ventilation. Unchanged mild subpleural scarring bilaterally, but no evidence of acute lung changes. No evidence of larger pleural effusions. No pneumothorax.","Unchanged mild subpleural scarring bilaterally, but no evidence of acute lung changes.",subpleural scarring,bilaterally,Stable,"['files/p18/p18338007/s51131475/1942d8aa-bc12ddf0-57ea2c73-ec049fab-e766a8bd.jpg', 'files/p18/p18338007/s51131475/52a90633-9e1c7301-df020424-ea6324fd-64b0c5f6.jpg']",['files/p18/p18338007/s50744319/36f6dd1e-fefeef89-03c80035-d373c61b-1a4e895b.jpg\n']
s51131475_5,p18338007,s51131475,5,Findings,"As compared to the previous radiograph, there is unchanged elevation of the left hemidiaphragm with subsequent decrease in volume of the left hemithorax. Otherwise, the lungs are more transparent than on the previous examination, likely to reflect improved ventilation. Unchanged mild subpleural scarring bilaterally, but no evidence of acute lung changes. No evidence of larger pleural effusions. No pneumothorax.","As compared to the previous radiograph, there is unchanged elevation of the left hemidiaphragm with subsequent decrease in volume of the left hemithorax.",elevation,left hemidiaphragm,Stable,"['files/p18/p18338007/s51131475/1942d8aa-bc12ddf0-57ea2c73-ec049fab-e766a8bd.jpg', 'files/p18/p18338007/s51131475/52a90633-9e1c7301-df020424-ea6324fd-64b0c5f6.jpg']",['files/p18/p18338007/s50744319/36f6dd1e-fefeef89-03c80035-d373c61b-1a4e895b.jpg\n']
s51131475_5,p18338007,s51131475,5,Findings,"As compared to the previous radiograph, there is unchanged elevation of the left hemidiaphragm with subsequent decrease in volume of the left hemithorax. Otherwise, the lungs are more transparent than on the previous examination, likely to reflect improved ventilation. Unchanged mild subpleural scarring bilaterally, but no evidence of acute lung changes. No evidence of larger pleural effusions. No pneumothorax.","Otherwise, the lungs are more transparent than on the previous examination, likely to reflect improved ventilation.",transparency,lungs,Better,"['files/p18/p18338007/s51131475/1942d8aa-bc12ddf0-57ea2c73-ec049fab-e766a8bd.jpg', 'files/p18/p18338007/s51131475/52a90633-9e1c7301-df020424-ea6324fd-64b0c5f6.jpg']",['files/p18/p18338007/s50744319/36f6dd1e-fefeef89-03c80035-d373c61b-1a4e895b.jpg\n']
s51137224_7,p11052935,s51137224,7,Impression,"Bibasilar dependent atelectasis. Persistent probable left lower lobe posterior opacity which could represent atelectasis or a component of residual infection, to be clinically correlated. Followup after treatment recommending to document resolution.","Persistent probable left lower lobe posterior opacity which could represent atelectasis or a component of residual infection, to be clinically correlated.",opacity,left lower lobe posterior,Stable,"['files/p11/p11052935/s51137224/4349ed2f-1f67b94b-ea3230e8-7aa7e2a9-e04dd888.jpg', 'files/p11/p11052935/s51137224/c8913af9-734e331d-173b2e64-3bd029ab-fb2771ae.jpg']","['files/p11/p11052935/s50457087/523db987-d0978a19-c8725d72-5e091b8d-9564d8d9.jpg\n', 'files/p11/p11052935/s50457087/f3686ece-bb54acba-7f3b1ce4-b9166b5f-cd9b52c2.jpg\n']"
s51137224_7,p11052935,s51137224,7,Findings,"Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs appear hyperexpanded, in keeping with known emphysema. Previously seen left lower lobe opacity has resolved on the frontal view but may persist on lateral view obscuring the posterior costophrenic angle, which could represent a component of residual infection and/or atelectasis. There is trace basilar atelectasis on the right. There is no large effusion. Eventration is seen on the right, unchanged.","Eventration is seen on the right, unchanged.",eventration,right,Stable,"['files/p11/p11052935/s51137224/4349ed2f-1f67b94b-ea3230e8-7aa7e2a9-e04dd888.jpg', 'files/p11/p11052935/s51137224/c8913af9-734e331d-173b2e64-3bd029ab-fb2771ae.jpg']","['files/p11/p11052935/s50457087/523db987-d0978a19-c8725d72-5e091b8d-9564d8d9.jpg\n', 'files/p11/p11052935/s50457087/f3686ece-bb54acba-7f3b1ce4-b9166b5f-cd9b52c2.jpg\n']"
s51137224_7,p11052935,s51137224,7,Findings,"Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs appear hyperexpanded, in keeping with known emphysema. Previously seen left lower lobe opacity has resolved on the frontal view but may persist on lateral view obscuring the posterior costophrenic angle, which could represent a component of residual infection and/or atelectasis. There is trace basilar atelectasis on the right. There is no large effusion. Eventration is seen on the right, unchanged.","Previously seen left lower lobe opacity has resolved on the frontal view but may persist on lateral view obscuring the posterior costophrenic angle, which could represent a component of residual infection and/or atelectasis.",opacity,left lower lobe,Resolve,"['files/p11/p11052935/s51137224/4349ed2f-1f67b94b-ea3230e8-7aa7e2a9-e04dd888.jpg', 'files/p11/p11052935/s51137224/c8913af9-734e331d-173b2e64-3bd029ab-fb2771ae.jpg']","['files/p11/p11052935/s50457087/523db987-d0978a19-c8725d72-5e091b8d-9564d8d9.jpg\n', 'files/p11/p11052935/s50457087/f3686ece-bb54acba-7f3b1ce4-b9166b5f-cd9b52c2.jpg\n']"
s51139077_8,p11934114,s51139077,8,Findings,"As compared to the previous radiograph, the bilateral pleural effusions are unchanged in extent and distribution. Also unchanged is the moderate cardiomegaly as well as the signs indicative of mild fluid overload. No focal parenchymal opacities have newly occurred in the lung parenchyma. The old healed left rib fractures are unchanged. The nasogastric tube has been removed in the interval. The right PICC line is in unchanged position.",The old healed left rib fractures are unchanged.,rib fractures,left,Stable,['files/p11/p11934114/s51139077/4fc6f280-2eae00ca-b8720682-3d0a8eee-b2dbb3c6.jpg'],['files/p11/p11934114/s50921864/07b49600-045da45b-0a9a9c85-40312bf9-29eb90ba.jpg\n']
s51139077_8,p11934114,s51139077,8,Findings,"As compared to the previous radiograph, the bilateral pleural effusions are unchanged in extent and distribution. Also unchanged is the moderate cardiomegaly as well as the signs indicative of mild fluid overload. No focal parenchymal opacities have newly occurred in the lung parenchyma. The old healed left rib fractures are unchanged. The nasogastric tube has been removed in the interval. The right PICC line is in unchanged position.",The nasogastric tube has been removed in the interval.,nasogastric tube,,Resolve,['files/p11/p11934114/s51139077/4fc6f280-2eae00ca-b8720682-3d0a8eee-b2dbb3c6.jpg'],['files/p11/p11934114/s50921864/07b49600-045da45b-0a9a9c85-40312bf9-29eb90ba.jpg\n']
s51139077_8,p11934114,s51139077,8,Findings,"As compared to the previous radiograph, the bilateral pleural effusions are unchanged in extent and distribution. Also unchanged is the moderate cardiomegaly as well as the signs indicative of mild fluid overload. No focal parenchymal opacities have newly occurred in the lung parenchyma. The old healed left rib fractures are unchanged. The nasogastric tube has been removed in the interval. The right PICC line is in unchanged position.",The right PICC line is in unchanged position.,PICC line,right,Stable,['files/p11/p11934114/s51139077/4fc6f280-2eae00ca-b8720682-3d0a8eee-b2dbb3c6.jpg'],['files/p11/p11934114/s50921864/07b49600-045da45b-0a9a9c85-40312bf9-29eb90ba.jpg\n']
s51139077_8,p11934114,s51139077,8,Findings,"As compared to the previous radiograph, the bilateral pleural effusions are unchanged in extent and distribution. Also unchanged is the moderate cardiomegaly as well as the signs indicative of mild fluid overload. No focal parenchymal opacities have newly occurred in the lung parenchyma. The old healed left rib fractures are unchanged. The nasogastric tube has been removed in the interval. The right PICC line is in unchanged position.",Also unchanged is the moderate cardiomegaly as well as the signs indicative of mild fluid overload.,cardiomegaly,,Stable,['files/p11/p11934114/s51139077/4fc6f280-2eae00ca-b8720682-3d0a8eee-b2dbb3c6.jpg'],['files/p11/p11934114/s50921864/07b49600-045da45b-0a9a9c85-40312bf9-29eb90ba.jpg\n']
s51139077_8,p11934114,s51139077,8,Findings,"As compared to the previous radiograph, the bilateral pleural effusions are unchanged in extent and distribution. Also unchanged is the moderate cardiomegaly as well as the signs indicative of mild fluid overload. No focal parenchymal opacities have newly occurred in the lung parenchyma. The old healed left rib fractures are unchanged. The nasogastric tube has been removed in the interval. The right PICC line is in unchanged position.",Also unchanged is the moderate cardiomegaly as well as the signs indicative of mild fluid overload.,fluid overload,,Stable,['files/p11/p11934114/s51139077/4fc6f280-2eae00ca-b8720682-3d0a8eee-b2dbb3c6.jpg'],['files/p11/p11934114/s50921864/07b49600-045da45b-0a9a9c85-40312bf9-29eb90ba.jpg\n']
s51139077_8,p11934114,s51139077,8,Findings,"As compared to the previous radiograph, the bilateral pleural effusions are unchanged in extent and distribution. Also unchanged is the moderate cardiomegaly as well as the signs indicative of mild fluid overload. No focal parenchymal opacities have newly occurred in the lung parenchyma. The old healed left rib fractures are unchanged. The nasogastric tube has been removed in the interval. The right PICC line is in unchanged position.","As compared to the previous radiograph, the bilateral pleural effusions are unchanged in extent and distribution.",pleural effusions,bilateral,Stable,['files/p11/p11934114/s51139077/4fc6f280-2eae00ca-b8720682-3d0a8eee-b2dbb3c6.jpg'],['files/p11/p11934114/s50921864/07b49600-045da45b-0a9a9c85-40312bf9-29eb90ba.jpg\n']
s51140141_62,p19182863,s51140141,62,Impression,"As compared to prior study of 1 day earlier, a moderate right pleural effusion appears slightly larger, but positional differences may contribute to this apparent change. Partially loculated moderate left effusion is unchanged, and cardiomediastinal contours are stable. Mild gastric distension in the upper abdomen is new. No other relevant changes. .","Partially loculated moderate left effusion is unchanged, and cardiomediastinal contours are stable.",partially loculated moderate effusion,left,Stable,['files/p19/p19182863/s51140141/a08fd798-d0a9076f-264c3f63-acc21aa0-d648d9d2.jpg'],"['files/p19/p19182863/s50903895/658ef774-35bbcbca-076591cf-e4bb58ca-243724d2.jpg\n', 'files/p19/p19182863/s50903895/b8d216b3-7f16e10d-72147640-2fd8511c-7da23725.jpg\n']"
s51140141_62,p19182863,s51140141,62,Impression,"As compared to prior study of 1 day earlier, a moderate right pleural effusion appears slightly larger, but positional differences may contribute to this apparent change. Partially loculated moderate left effusion is unchanged, and cardiomediastinal contours are stable. Mild gastric distension in the upper abdomen is new. No other relevant changes. .","Partially loculated moderate left effusion is unchanged, and cardiomediastinal contours are stable.",cardiomediastinal contours,,Stable,['files/p19/p19182863/s51140141/a08fd798-d0a9076f-264c3f63-acc21aa0-d648d9d2.jpg'],"['files/p19/p19182863/s50903895/658ef774-35bbcbca-076591cf-e4bb58ca-243724d2.jpg\n', 'files/p19/p19182863/s50903895/b8d216b3-7f16e10d-72147640-2fd8511c-7da23725.jpg\n']"
s51140141_62,p19182863,s51140141,62,Impression,"As compared to prior study of 1 day earlier, a moderate right pleural effusion appears slightly larger, but positional differences may contribute to this apparent change. Partially loculated moderate left effusion is unchanged, and cardiomediastinal contours are stable. Mild gastric distension in the upper abdomen is new. No other relevant changes. .",Mild gastric distension in the upper abdomen is new.,mild gastric distension,upper abdomen,New,['files/p19/p19182863/s51140141/a08fd798-d0a9076f-264c3f63-acc21aa0-d648d9d2.jpg'],"['files/p19/p19182863/s50903895/658ef774-35bbcbca-076591cf-e4bb58ca-243724d2.jpg\n', 'files/p19/p19182863/s50903895/b8d216b3-7f16e10d-72147640-2fd8511c-7da23725.jpg\n']"
s51140141_62,p19182863,s51140141,62,Impression,"As compared to prior study of 1 day earlier, a moderate right pleural effusion appears slightly larger, but positional differences may contribute to this apparent change. Partially loculated moderate left effusion is unchanged, and cardiomediastinal contours are stable. Mild gastric distension in the upper abdomen is new. No other relevant changes. .","As compared to prior study of 1 day earlier, a moderate right pleural effusion appears slightly larger, but positional differences may contribute to this apparent change.",pleural effusion,right,Worse,['files/p19/p19182863/s51140141/a08fd798-d0a9076f-264c3f63-acc21aa0-d648d9d2.jpg'],"['files/p19/p19182863/s50903895/658ef774-35bbcbca-076591cf-e4bb58ca-243724d2.jpg\n', 'files/p19/p19182863/s50903895/b8d216b3-7f16e10d-72147640-2fd8511c-7da23725.jpg\n']"
s51140249_0,p13975291,s51140249,0,Findings,"Frontal and lateral views of the chest are obtained. There has been interval removal of a previously seen right central venous catheter. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal to mildly enlarged. The aortic knob is calcified. No overt pulmonary edema is seen.",There has been interval removal of a previously seen right central venous catheter.,venous catheter,right central,Resolve,"['files/p13/p13975291/s51140249/0b573d4b-fece5236-ea941b33-c752a0ab-b5cfdd68.jpg', 'files/p13/p13975291/s51140249/95bc54f7-4eb1cd0d-b8f2819b-e99ffbc6-f88f04e9.jpg', 'files/p13/p13975291/s51140249/9b8de5d5-5d6c4148-82f0a118-467303e6-090f6b84.jpg']",
s51140369_9,p13067703,s51140369,9,Findings,Comparison is made to prior examination of ___. The lung volumes are low. The heart size is therefore likely adequate. There is some widening of the mediastinum although again this is likely due to poor inspiratory effort. There is hazy opacity and vascular haziness in both lungs consistent with interstitial edema. An ET tube is identified 3.2 cm from the carina in correct position. A pacemaker lead in the right ventricle and a second lead in the right atrium. There is a subclavian line with its tip in the distal SVC. An NG tube is noted coursing through the esophagus into the stomach. The tip of the NG tube is not identified on this film.,There is some widening of the mediastinum although again this is likely due to poor inspiratory effort.,widening,mediastinum,Worse,['files/p13/p13067703/s51140369/a9fa9dcf-791d8328-1f38b677-e6d7a2aa-56b111e5.jpg'],"['files/p13/p13067703/s50999536/801a2fdc-d6547406-8a55cbab-04e06115-09d810c6.jpg\n', 'files/p13/p13067703/s50999536/c1875b25-77500901-b90303e0-9b5c3aac-2b57b80c.jpg\n']"
s51140617_65,p15131736,s51140617,65,Impression,Mild pulmonary edema is improved from ___.,Mild pulmonary edema is improved from ___.,mild pulmonary edema,,Better,"['files/p15/p15131736/s51140617/ec9b16ae-795abbc9-93aaebcc-d1ffbf96-86cc910a.jpg', 'files/p15/p15131736/s51140617/fbc1d1b7-2217f22b-74904fff-5061c77a-930f05c8.jpg']","['files/p15/p15131736/s51125097/4729b000-d6aaa9bd-d083ba92-2e9be9b9-072f2bfb.jpg\n', 'files/p15/p15131736/s51125097/65b85d44-6bcf71a2-508b0589-a48d95ed-d4997747.jpg\n']"
s51140617_65,p15131736,s51140617,65,Findings,"Mild pulmonary vascular congestion is present, and previously present mild pulmonary edema has resolved. There is no new focal opacity, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.","Mild pulmonary vascular congestion is present, and previously present mild pulmonary edema has resolved.",mild pulmonary edema,,Resolve,"['files/p15/p15131736/s51140617/ec9b16ae-795abbc9-93aaebcc-d1ffbf96-86cc910a.jpg', 'files/p15/p15131736/s51140617/fbc1d1b7-2217f22b-74904fff-5061c77a-930f05c8.jpg']","['files/p15/p15131736/s51125097/4729b000-d6aaa9bd-d083ba92-2e9be9b9-072f2bfb.jpg\n', 'files/p15/p15131736/s51125097/65b85d44-6bcf71a2-508b0589-a48d95ed-d4997747.jpg\n']"
s51140617_65,p15131736,s51140617,65,Findings,"Mild pulmonary vascular congestion is present, and previously present mild pulmonary edema has resolved. There is no new focal opacity, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.",The cardiac and mediastinal contours are stable.,cardiac and mediastinal contours,,Stable,"['files/p15/p15131736/s51140617/ec9b16ae-795abbc9-93aaebcc-d1ffbf96-86cc910a.jpg', 'files/p15/p15131736/s51140617/fbc1d1b7-2217f22b-74904fff-5061c77a-930f05c8.jpg']","['files/p15/p15131736/s51125097/4729b000-d6aaa9bd-d083ba92-2e9be9b9-072f2bfb.jpg\n', 'files/p15/p15131736/s51125097/65b85d44-6bcf71a2-508b0589-a48d95ed-d4997747.jpg\n']"
s51144460_2,p12410066,s51144460,2,Findings,The patient is status post left pneumonectomy procedure with expected leftward shift of cardiomediastinal contours. Left chest tube has been removed. Pneumonectomy space remains predominantly air-filled with a small amount of fluid in the lower left hemithorax. Right lung is overexpanded and demonstrates linear atelectasis at the base. Subcutaneous emphysema in the left chest wall has slightly decreased from the prior study.,Left chest tube has been removed.,Chest tube,Left,Resolve,['files/p12/p12410066/s51144460/4076e969-56f5b8aa-66ad39cc-833e7f03-cd0854e9.jpg'],['files/p12/p12410066/s50100756/a6a7fb04-b48fccde-ae205333-f958732f-5ef1f1ee.jpg\n']
s51144460_2,p12410066,s51144460,2,Findings,The patient is status post left pneumonectomy procedure with expected leftward shift of cardiomediastinal contours. Left chest tube has been removed. Pneumonectomy space remains predominantly air-filled with a small amount of fluid in the lower left hemithorax. Right lung is overexpanded and demonstrates linear atelectasis at the base. Subcutaneous emphysema in the left chest wall has slightly decreased from the prior study.,Subcutaneous emphysema in the left chest wall has slightly decreased from the prior study.,Subcutaneous emphysema,Left chest wall,Better,['files/p12/p12410066/s51144460/4076e969-56f5b8aa-66ad39cc-833e7f03-cd0854e9.jpg'],['files/p12/p12410066/s50100756/a6a7fb04-b48fccde-ae205333-f958732f-5ef1f1ee.jpg\n']
s51144460_2,p12410066,s51144460,2,Findings,The patient is status post left pneumonectomy procedure with expected leftward shift of cardiomediastinal contours. Left chest tube has been removed. Pneumonectomy space remains predominantly air-filled with a small amount of fluid in the lower left hemithorax. Right lung is overexpanded and demonstrates linear atelectasis at the base. Subcutaneous emphysema in the left chest wall has slightly decreased from the prior study.,Pneumonectomy space remains predominantly air-filled with a small amount of fluid in the lower left hemithorax.,Pneumonectomy space,Lower left hemithorax,Stable,['files/p12/p12410066/s51144460/4076e969-56f5b8aa-66ad39cc-833e7f03-cd0854e9.jpg'],['files/p12/p12410066/s50100756/a6a7fb04-b48fccde-ae205333-f958732f-5ef1f1ee.jpg\n']
s51148398_18,p19182863,s51148398,18,Findings,"As compared to the previous radiograph, there is unchanged alignment of the sternal wires. The valvular replacement is unchanged. Unchanged lung volumes with, however, improved transparency at the lung bases and reduction in extent of the pre-existing interstitial opacities. In the lung apices however, signs of minimal basal apical blood flow redistribution remain present. Unchanged borderline size of the cardiac silhouette. Minimal dorsal pleural effusions, seen on the lateral radiograph only.","Minimal dorsal pleural effusions, seen on the lateral radiograph only.",pleural effusions,dorsal,New,"['files/p19/p19182863/s51148398/02b1b4da-2bcf091c-b126afb0-da48d861-8ffa17a3.jpg', 'files/p19/p19182863/s51148398/0346b4e3-a2e79a1e-8ec8970d-712bb522-84ed88dc.jpg']",['files/p19/p19182863/s51140141/a08fd798-d0a9076f-264c3f63-acc21aa0-d648d9d2.jpg\n']
s51148398_18,p19182863,s51148398,18,Findings,"As compared to the previous radiograph, there is unchanged alignment of the sternal wires. The valvular replacement is unchanged. Unchanged lung volumes with, however, improved transparency at the lung bases and reduction in extent of the pre-existing interstitial opacities. In the lung apices however, signs of minimal basal apical blood flow redistribution remain present. Unchanged borderline size of the cardiac silhouette. Minimal dorsal pleural effusions, seen on the lateral radiograph only.",Unchanged borderline size of the cardiac silhouette.,cardiac silhouette,,Stable,"['files/p19/p19182863/s51148398/02b1b4da-2bcf091c-b126afb0-da48d861-8ffa17a3.jpg', 'files/p19/p19182863/s51148398/0346b4e3-a2e79a1e-8ec8970d-712bb522-84ed88dc.jpg']",['files/p19/p19182863/s51140141/a08fd798-d0a9076f-264c3f63-acc21aa0-d648d9d2.jpg\n']
s51148398_18,p19182863,s51148398,18,Findings,"As compared to the previous radiograph, there is unchanged alignment of the sternal wires. The valvular replacement is unchanged. Unchanged lung volumes with, however, improved transparency at the lung bases and reduction in extent of the pre-existing interstitial opacities. In the lung apices however, signs of minimal basal apical blood flow redistribution remain present. Unchanged borderline size of the cardiac silhouette. Minimal dorsal pleural effusions, seen on the lateral radiograph only.","In the lung apices however, signs of minimal basal apical blood flow redistribution remain present.",minimal basal apical blood flow redistribution,lung apices,Stable,"['files/p19/p19182863/s51148398/02b1b4da-2bcf091c-b126afb0-da48d861-8ffa17a3.jpg', 'files/p19/p19182863/s51148398/0346b4e3-a2e79a1e-8ec8970d-712bb522-84ed88dc.jpg']",['files/p19/p19182863/s51140141/a08fd798-d0a9076f-264c3f63-acc21aa0-d648d9d2.jpg\n']
s51148398_18,p19182863,s51148398,18,Findings,"As compared to the previous radiograph, there is unchanged alignment of the sternal wires. The valvular replacement is unchanged. Unchanged lung volumes with, however, improved transparency at the lung bases and reduction in extent of the pre-existing interstitial opacities. In the lung apices however, signs of minimal basal apical blood flow redistribution remain present. Unchanged borderline size of the cardiac silhouette. Minimal dorsal pleural effusions, seen on the lateral radiograph only.","Unchanged lung volumes with, however, improved transparency at the lung bases and reduction in extent of the pre-existing interstitial opacities.",interstitial opacities,,Better,"['files/p19/p19182863/s51148398/02b1b4da-2bcf091c-b126afb0-da48d861-8ffa17a3.jpg', 'files/p19/p19182863/s51148398/0346b4e3-a2e79a1e-8ec8970d-712bb522-84ed88dc.jpg']",['files/p19/p19182863/s51140141/a08fd798-d0a9076f-264c3f63-acc21aa0-d648d9d2.jpg\n']
s51148398_18,p19182863,s51148398,18,Findings,"As compared to the previous radiograph, there is unchanged alignment of the sternal wires. The valvular replacement is unchanged. Unchanged lung volumes with, however, improved transparency at the lung bases and reduction in extent of the pre-existing interstitial opacities. In the lung apices however, signs of minimal basal apical blood flow redistribution remain present. Unchanged borderline size of the cardiac silhouette. Minimal dorsal pleural effusions, seen on the lateral radiograph only.","Unchanged lung volumes with, however, improved transparency at the lung bases and reduction in extent of the pre-existing interstitial opacities.",transparency,lung bases,Better,"['files/p19/p19182863/s51148398/02b1b4da-2bcf091c-b126afb0-da48d861-8ffa17a3.jpg', 'files/p19/p19182863/s51148398/0346b4e3-a2e79a1e-8ec8970d-712bb522-84ed88dc.jpg']",['files/p19/p19182863/s51140141/a08fd798-d0a9076f-264c3f63-acc21aa0-d648d9d2.jpg\n']
s51148398_18,p19182863,s51148398,18,Findings,"As compared to the previous radiograph, there is unchanged alignment of the sternal wires. The valvular replacement is unchanged. Unchanged lung volumes with, however, improved transparency at the lung bases and reduction in extent of the pre-existing interstitial opacities. In the lung apices however, signs of minimal basal apical blood flow redistribution remain present. Unchanged borderline size of the cardiac silhouette. Minimal dorsal pleural effusions, seen on the lateral radiograph only.","Unchanged lung volumes with, however, improved transparency at the lung bases and reduction in extent of the pre-existing interstitial opacities.",lung volumes,,Stable,"['files/p19/p19182863/s51148398/02b1b4da-2bcf091c-b126afb0-da48d861-8ffa17a3.jpg', 'files/p19/p19182863/s51148398/0346b4e3-a2e79a1e-8ec8970d-712bb522-84ed88dc.jpg']",['files/p19/p19182863/s51140141/a08fd798-d0a9076f-264c3f63-acc21aa0-d648d9d2.jpg\n']
s51148398_18,p19182863,s51148398,18,Findings,"As compared to the previous radiograph, there is unchanged alignment of the sternal wires. The valvular replacement is unchanged. Unchanged lung volumes with, however, improved transparency at the lung bases and reduction in extent of the pre-existing interstitial opacities. In the lung apices however, signs of minimal basal apical blood flow redistribution remain present. Unchanged borderline size of the cardiac silhouette. Minimal dorsal pleural effusions, seen on the lateral radiograph only.",The valvular replacement is unchanged.,valvular replacement,,Stable,"['files/p19/p19182863/s51148398/02b1b4da-2bcf091c-b126afb0-da48d861-8ffa17a3.jpg', 'files/p19/p19182863/s51148398/0346b4e3-a2e79a1e-8ec8970d-712bb522-84ed88dc.jpg']",['files/p19/p19182863/s51140141/a08fd798-d0a9076f-264c3f63-acc21aa0-d648d9d2.jpg\n']
s51148398_18,p19182863,s51148398,18,Findings,"As compared to the previous radiograph, there is unchanged alignment of the sternal wires. The valvular replacement is unchanged. Unchanged lung volumes with, however, improved transparency at the lung bases and reduction in extent of the pre-existing interstitial opacities. In the lung apices however, signs of minimal basal apical blood flow redistribution remain present. Unchanged borderline size of the cardiac silhouette. Minimal dorsal pleural effusions, seen on the lateral radiograph only.","As compared to the previous radiograph, there is unchanged alignment of the sternal wires.",alignment of the sternal wires,,Stable,"['files/p19/p19182863/s51148398/02b1b4da-2bcf091c-b126afb0-da48d861-8ffa17a3.jpg', 'files/p19/p19182863/s51148398/0346b4e3-a2e79a1e-8ec8970d-712bb522-84ed88dc.jpg']",['files/p19/p19182863/s51140141/a08fd798-d0a9076f-264c3f63-acc21aa0-d648d9d2.jpg\n']
s51153135_3,p13450581,s51153135,3,Findings,"Heart size remains mildly enlarged. Aortic knob is calcified. Mediastinal and hilar contours are unchanged. Previously noted left upper lobe mass appears more vague with surrounding ill-defined opacity, possibly related to infection. There is a lingular opacity which is new compared to the prior study, and could reflect an area of infection. The right lung is grossly clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.",Mediastinal and hilar contours are unchanged,Mediastinal and hilar contours,,Stable,"['files/p13/p13450581/s51153135/842c80c2-40a8d117-9d30e18e-4548b4b6-99f871ed.jpg', 'files/p13/p13450581/s51153135/a27d6353-c65e4d61-f0312644-18f75864-525a1543.jpg']","['files/p13/p13450581/s50580104/92a1d719-e7404cd8-e6e9d5c1-fce29388-120afc34.jpg\n', 'files/p13/p13450581/s50580104/bf732fa8-e739d288-c19041d7-eb81cf9c-de266f79.jpg\n']"
s51153135_3,p13450581,s51153135,3,Findings,"Heart size remains mildly enlarged. Aortic knob is calcified. Mediastinal and hilar contours are unchanged. Previously noted left upper lobe mass appears more vague with surrounding ill-defined opacity, possibly related to infection. There is a lingular opacity which is new compared to the prior study, and could reflect an area of infection. The right lung is grossly clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.","Previously noted left upper lobe mass appears more vague with surrounding ill-defined opacity, possibly related to infection",mass,left upper lobe,Worse,"['files/p13/p13450581/s51153135/842c80c2-40a8d117-9d30e18e-4548b4b6-99f871ed.jpg', 'files/p13/p13450581/s51153135/a27d6353-c65e4d61-f0312644-18f75864-525a1543.jpg']","['files/p13/p13450581/s50580104/92a1d719-e7404cd8-e6e9d5c1-fce29388-120afc34.jpg\n', 'files/p13/p13450581/s50580104/bf732fa8-e739d288-c19041d7-eb81cf9c-de266f79.jpg\n']"
s51153135_3,p13450581,s51153135,3,Impression,1. Lingular opacity is concerning for infection in the correct clinical setting. 2. Previously seen left upper lobe mass appears more vague with adjacent ill-defined opacity which could reflect post-treatment changes.,Previously seen left upper lobe mass appears more vague with adjacent ill-defined opacity which could reflect post-treatment changes,mass,left upper lobe,Worse,"['files/p13/p13450581/s51153135/842c80c2-40a8d117-9d30e18e-4548b4b6-99f871ed.jpg', 'files/p13/p13450581/s51153135/a27d6353-c65e4d61-f0312644-18f75864-525a1543.jpg']","['files/p13/p13450581/s50580104/92a1d719-e7404cd8-e6e9d5c1-fce29388-120afc34.jpg\n', 'files/p13/p13450581/s50580104/bf732fa8-e739d288-c19041d7-eb81cf9c-de266f79.jpg\n']"
s51153135_3,p13450581,s51153135,3,Findings,"Heart size remains mildly enlarged. Aortic knob is calcified. Mediastinal and hilar contours are unchanged. Previously noted left upper lobe mass appears more vague with surrounding ill-defined opacity, possibly related to infection. There is a lingular opacity which is new compared to the prior study, and could reflect an area of infection. The right lung is grossly clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.","There is a lingular opacity which is new compared to the prior study, and could reflect an area of infection",opacity,lingular,New,"['files/p13/p13450581/s51153135/842c80c2-40a8d117-9d30e18e-4548b4b6-99f871ed.jpg', 'files/p13/p13450581/s51153135/a27d6353-c65e4d61-f0312644-18f75864-525a1543.jpg']","['files/p13/p13450581/s50580104/92a1d719-e7404cd8-e6e9d5c1-fce29388-120afc34.jpg\n', 'files/p13/p13450581/s50580104/bf732fa8-e739d288-c19041d7-eb81cf9c-de266f79.jpg\n']"
s51153135_3,p13450581,s51153135,3,Findings,"Heart size remains mildly enlarged. Aortic knob is calcified. Mediastinal and hilar contours are unchanged. Previously noted left upper lobe mass appears more vague with surrounding ill-defined opacity, possibly related to infection. There is a lingular opacity which is new compared to the prior study, and could reflect an area of infection. The right lung is grossly clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.",Heart size remains mildly enlarged,Heart size,,Stable,"['files/p13/p13450581/s51153135/842c80c2-40a8d117-9d30e18e-4548b4b6-99f871ed.jpg', 'files/p13/p13450581/s51153135/a27d6353-c65e4d61-f0312644-18f75864-525a1543.jpg']","['files/p13/p13450581/s50580104/92a1d719-e7404cd8-e6e9d5c1-fce29388-120afc34.jpg\n', 'files/p13/p13450581/s50580104/bf732fa8-e739d288-c19041d7-eb81cf9c-de266f79.jpg\n']"
s51161513_1,p11413236,s51161513,1,Findings,"The right Port-A-Cath reservoir projects over the right chest and is currently accessed; the catheter tip ends in the lower SVC. There has been interval placement of sternotomy wires, which are intact. The heart size is within normal limits and the mediastinal hilar contours do not appear widened. Calcified AP window node again seen. The lungs demonstrate left bailar opacity which is more linear in configuration on the lateral view. There is no pleural effusion or pneumothorax.",Calcified AP window node again seen.,Calcified node,AP window,Stable,"['files/p11/p11413236/s51161513/2e0c4b42-d1ef618d-2b25304c-1b6ef8a5-29e7671d.jpg', 'files/p11/p11413236/s51161513/4477b363-d135c994-0b74a62f-f481eccb-898a7db6.jpg']",['files/p11/p11413236/s50855550/a94ddbc2-40a2c88a-c00a1b50-4a09d704-8ebb8115.jpg\n']
s51161513_1,p11413236,s51161513,1,Findings,"The right Port-A-Cath reservoir projects over the right chest and is currently accessed; the catheter tip ends in the lower SVC. There has been interval placement of sternotomy wires, which are intact. The heart size is within normal limits and the mediastinal hilar contours do not appear widened. Calcified AP window node again seen. The lungs demonstrate left bailar opacity which is more linear in configuration on the lateral view. There is no pleural effusion or pneumothorax.","There has been interval placement of sternotomy wires, which are intact.",sternotomy wires,,New,"['files/p11/p11413236/s51161513/2e0c4b42-d1ef618d-2b25304c-1b6ef8a5-29e7671d.jpg', 'files/p11/p11413236/s51161513/4477b363-d135c994-0b74a62f-f481eccb-898a7db6.jpg']",['files/p11/p11413236/s50855550/a94ddbc2-40a2c88a-c00a1b50-4a09d704-8ebb8115.jpg\n']
s51168408_20,p13473495,s51168408,20,Findings,"There is similar moderate-to-severe cardiomegaly. The cardiac, mediastinal and hilar contours appear stable. The pulmonary vasculature is engorged and indistinct including upper zone redistribution. Fissures are thickened. A linear opacity in the left mid lung appears unchanged and suggests minor scarring or atelectasis. A left subclavian venous stent is again demonstrated. There has been no significant change.",There is similar moderate-to-severe cardiomegaly.,Cardiomegaly,,Stable,"['files/p13/p13473495/s51168408/a274e07c-68b358c4-454f3eab-c28f2256-061b00e2.jpg', 'files/p13/p13473495/s51168408/a3bd1cb3-d4402e84-fb9c190f-657107d5-0c6f2237.jpg']",['files/p13/p13473495/s50904351/7fd5a9f9-eb754381-b51f8e5c-136df0a1-c34d6fc8.jpg\n']
s51168408_20,p13473495,s51168408,20,Impression,Findings suggesting mild pulmonary edema. Similar cardiomegaly. Stable mediastinal contours.,Similar cardiomegaly.,Cardiomegaly,,Stable,"['files/p13/p13473495/s51168408/a274e07c-68b358c4-454f3eab-c28f2256-061b00e2.jpg', 'files/p13/p13473495/s51168408/a3bd1cb3-d4402e84-fb9c190f-657107d5-0c6f2237.jpg']",['files/p13/p13473495/s50904351/7fd5a9f9-eb754381-b51f8e5c-136df0a1-c34d6fc8.jpg\n']
s51168408_20,p13473495,s51168408,20,Findings,"There is similar moderate-to-severe cardiomegaly. The cardiac, mediastinal and hilar contours appear stable. The pulmonary vasculature is engorged and indistinct including upper zone redistribution. Fissures are thickened. A linear opacity in the left mid lung appears unchanged and suggests minor scarring or atelectasis. A left subclavian venous stent is again demonstrated. There has been no significant change.",There has been no significant change.,,,Stable,"['files/p13/p13473495/s51168408/a274e07c-68b358c4-454f3eab-c28f2256-061b00e2.jpg', 'files/p13/p13473495/s51168408/a3bd1cb3-d4402e84-fb9c190f-657107d5-0c6f2237.jpg']",['files/p13/p13473495/s50904351/7fd5a9f9-eb754381-b51f8e5c-136df0a1-c34d6fc8.jpg\n']
s51168408_20,p13473495,s51168408,20,Findings,"There is similar moderate-to-severe cardiomegaly. The cardiac, mediastinal and hilar contours appear stable. The pulmonary vasculature is engorged and indistinct including upper zone redistribution. Fissures are thickened. A linear opacity in the left mid lung appears unchanged and suggests minor scarring or atelectasis. A left subclavian venous stent is again demonstrated. There has been no significant change.",A linear opacity in the left mid lung appears unchanged and suggests minor scarring or atelectasis.,linear opacity,left mid lung,Stable,"['files/p13/p13473495/s51168408/a274e07c-68b358c4-454f3eab-c28f2256-061b00e2.jpg', 'files/p13/p13473495/s51168408/a3bd1cb3-d4402e84-fb9c190f-657107d5-0c6f2237.jpg']",['files/p13/p13473495/s50904351/7fd5a9f9-eb754381-b51f8e5c-136df0a1-c34d6fc8.jpg\n']
s51168408_20,p13473495,s51168408,20,Findings,"There is similar moderate-to-severe cardiomegaly. The cardiac, mediastinal and hilar contours appear stable. The pulmonary vasculature is engorged and indistinct including upper zone redistribution. Fissures are thickened. A linear opacity in the left mid lung appears unchanged and suggests minor scarring or atelectasis. A left subclavian venous stent is again demonstrated. There has been no significant change.","The cardiac, mediastinal and hilar contours appear stable.","Cardiac, mediastinal and hilar contours",,Stable,"['files/p13/p13473495/s51168408/a274e07c-68b358c4-454f3eab-c28f2256-061b00e2.jpg', 'files/p13/p13473495/s51168408/a3bd1cb3-d4402e84-fb9c190f-657107d5-0c6f2237.jpg']",['files/p13/p13473495/s50904351/7fd5a9f9-eb754381-b51f8e5c-136df0a1-c34d6fc8.jpg\n']
s51168408_20,p13473495,s51168408,20,Impression,Findings suggesting mild pulmonary edema. Similar cardiomegaly. Stable mediastinal contours.,Stable mediastinal contours.,Mediastinal contours,,Stable,"['files/p13/p13473495/s51168408/a274e07c-68b358c4-454f3eab-c28f2256-061b00e2.jpg', 'files/p13/p13473495/s51168408/a3bd1cb3-d4402e84-fb9c190f-657107d5-0c6f2237.jpg']",['files/p13/p13473495/s50904351/7fd5a9f9-eb754381-b51f8e5c-136df0a1-c34d6fc8.jpg\n']
s51177209_8,p16043637,s51177209,8,Findings,"As compared to the prior examination, there has been minimal interval change. Redemonstrated is a pacemaker seen with leads extending to the right atrium and right ventricle. The patient is status post aortic valve replacement with sternotomy wires noted to be well aligned. There is minimal right-sided basilar atelectasis. Unchanged from prior examination is a diffuse haziness seen overlying both lung fields, likely secondary to the patient's body habitus. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary identified. Stable, moderate cardiomegaly is noted. Mediastinal contours are normal.","Stable, moderate cardiomegaly is noted.",cardiomegaly,,Stable,"['files/p16/p16043637/s51177209/0240c2bd-1a2d54ea-8ccdf075-26529d30-cc00fd94.jpg', 'files/p16/p16043637/s51177209/1d56c03c-9a44b66d-4d418b85-94c243d6-acd00b8a.jpg']",['files/p16/p16043637/s51017703/5764a70f-234a5a0d-42ae4b8f-b130f5c4-63dac3a1.jpg\n']
s51177209_8,p16043637,s51177209,8,Findings,"As compared to the prior examination, there has been minimal interval change. Redemonstrated is a pacemaker seen with leads extending to the right atrium and right ventricle. The patient is status post aortic valve replacement with sternotomy wires noted to be well aligned. There is minimal right-sided basilar atelectasis. Unchanged from prior examination is a diffuse haziness seen overlying both lung fields, likely secondary to the patient's body habitus. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary identified. Stable, moderate cardiomegaly is noted. Mediastinal contours are normal.","Unchanged from prior examination is a diffuse haziness seen overlying both lung fields, likely secondary to the patient's body habitus.",diffuse haziness,both lung fields,Stable,"['files/p16/p16043637/s51177209/0240c2bd-1a2d54ea-8ccdf075-26529d30-cc00fd94.jpg', 'files/p16/p16043637/s51177209/1d56c03c-9a44b66d-4d418b85-94c243d6-acd00b8a.jpg']",['files/p16/p16043637/s51017703/5764a70f-234a5a0d-42ae4b8f-b130f5c4-63dac3a1.jpg\n']
s51177209_8,p16043637,s51177209,8,Findings,"As compared to the prior examination, there has been minimal interval change. Redemonstrated is a pacemaker seen with leads extending to the right atrium and right ventricle. The patient is status post aortic valve replacement with sternotomy wires noted to be well aligned. There is minimal right-sided basilar atelectasis. Unchanged from prior examination is a diffuse haziness seen overlying both lung fields, likely secondary to the patient's body habitus. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary identified. Stable, moderate cardiomegaly is noted. Mediastinal contours are normal.","As compared to the prior examination, there has been minimal interval change.",,,Stable,"['files/p16/p16043637/s51177209/0240c2bd-1a2d54ea-8ccdf075-26529d30-cc00fd94.jpg', 'files/p16/p16043637/s51177209/1d56c03c-9a44b66d-4d418b85-94c243d6-acd00b8a.jpg']",['files/p16/p16043637/s51017703/5764a70f-234a5a0d-42ae4b8f-b130f5c4-63dac3a1.jpg\n']
s51183691_5,p13649937,s51183691,5,Impression,"AP chest compared to ___. Right PIC line can be traced as far as the junction of the right subclavian and jugular veins. Transvenous right atrial and right ventricular pacer leads are unchanged in their respective positions. Extensive consolidation in the left lower lobe and accompanying small-to-moderate pleural effusion have varied in size, no larger today than on ___. Mild-to-moderate cardiomegaly and a generally enlarged thoracic aorta are also stable. Borderline edema persists in the right lung. Nasogastric tube ends in the upper stomach. No pneumothorax.","Extensive consolidation in the left lower lobe and accompanying small-to-moderate pleural effusion have varied in size, no larger today than on ___",pleural effusion,left lower lobe,Stable,['files/p13/p13649937/s51183691/2d35647b-697aa705-d56cc89e-da6818b0-3ebe0b23.jpg'],
s51183691_5,p13649937,s51183691,5,Impression,"AP chest compared to ___. Right PIC line can be traced as far as the junction of the right subclavian and jugular veins. Transvenous right atrial and right ventricular pacer leads are unchanged in their respective positions. Extensive consolidation in the left lower lobe and accompanying small-to-moderate pleural effusion have varied in size, no larger today than on ___. Mild-to-moderate cardiomegaly and a generally enlarged thoracic aorta are also stable. Borderline edema persists in the right lung. Nasogastric tube ends in the upper stomach. No pneumothorax.",Transvenous right atrial and right ventricular pacer leads are unchanged in their respective positions,pacer leads,right atrial and right ventricular,Stable,['files/p13/p13649937/s51183691/2d35647b-697aa705-d56cc89e-da6818b0-3ebe0b23.jpg'],
s51183691_5,p13649937,s51183691,5,Impression,"AP chest compared to ___. Right PIC line can be traced as far as the junction of the right subclavian and jugular veins. Transvenous right atrial and right ventricular pacer leads are unchanged in their respective positions. Extensive consolidation in the left lower lobe and accompanying small-to-moderate pleural effusion have varied in size, no larger today than on ___. Mild-to-moderate cardiomegaly and a generally enlarged thoracic aorta are also stable. Borderline edema persists in the right lung. Nasogastric tube ends in the upper stomach. No pneumothorax.",Borderline edema persists in the right lung,edema,right lung,Stable,['files/p13/p13649937/s51183691/2d35647b-697aa705-d56cc89e-da6818b0-3ebe0b23.jpg'],
s51183691_5,p13649937,s51183691,5,Impression,"AP chest compared to ___. Right PIC line can be traced as far as the junction of the right subclavian and jugular veins. Transvenous right atrial and right ventricular pacer leads are unchanged in their respective positions. Extensive consolidation in the left lower lobe and accompanying small-to-moderate pleural effusion have varied in size, no larger today than on ___. Mild-to-moderate cardiomegaly and a generally enlarged thoracic aorta are also stable. Borderline edema persists in the right lung. Nasogastric tube ends in the upper stomach. No pneumothorax.",Mild-to-moderate cardiomegaly and a generally enlarged thoracic aorta are also stable,enlarged thoracic aorta,,Stable,['files/p13/p13649937/s51183691/2d35647b-697aa705-d56cc89e-da6818b0-3ebe0b23.jpg'],
s51183691_5,p13649937,s51183691,5,Impression,"AP chest compared to ___. Right PIC line can be traced as far as the junction of the right subclavian and jugular veins. Transvenous right atrial and right ventricular pacer leads are unchanged in their respective positions. Extensive consolidation in the left lower lobe and accompanying small-to-moderate pleural effusion have varied in size, no larger today than on ___. Mild-to-moderate cardiomegaly and a generally enlarged thoracic aorta are also stable. Borderline edema persists in the right lung. Nasogastric tube ends in the upper stomach. No pneumothorax.",Mild-to-moderate cardiomegaly and a generally enlarged thoracic aorta are also stable,cardiomegaly,,Stable,['files/p13/p13649937/s51183691/2d35647b-697aa705-d56cc89e-da6818b0-3ebe0b23.jpg'],
s51183691_5,p13649937,s51183691,5,Impression,"AP chest compared to ___. Right PIC line can be traced as far as the junction of the right subclavian and jugular veins. Transvenous right atrial and right ventricular pacer leads are unchanged in their respective positions. Extensive consolidation in the left lower lobe and accompanying small-to-moderate pleural effusion have varied in size, no larger today than on ___. Mild-to-moderate cardiomegaly and a generally enlarged thoracic aorta are also stable. Borderline edema persists in the right lung. Nasogastric tube ends in the upper stomach. No pneumothorax.","Extensive consolidation in the left lower lobe and accompanying small-to-moderate pleural effusion have varied in size, no larger today than on ___",consolidation,left lower lobe,Stable,['files/p13/p13649937/s51183691/2d35647b-697aa705-d56cc89e-da6818b0-3ebe0b23.jpg'],
s51183783_16,p12952223,s51183783,16,Findings,"As compared to the previous radiograph, the right hemothorax that pre-existed has slightly decreased in extent but is still visible. The pneumothorax is limited to the apicolateral parts of the right hemithorax. There is no evidence of tension. Unchanged moderate cardiomegaly with bilateral pleural effusions and areas of atelectasis. Mild fluid overload. Status post CABG.","As compared to the previous radiograph, the right hemothorax that pre-existed has slightly decreased in extent but is still visible.",Hemothorax,Right,Better,['files/p12/p12952223/s51183783/8753dd62-80681aa9-11dcf353-7d254056-7c7675c7.jpg'],['files/p12/p12952223/s51080537/352d3cd6-62973415-eb038984-1a3b871f-3d226e60.jpg\n']
s51183783_16,p12952223,s51183783,16,Findings,"As compared to the previous radiograph, the right hemothorax that pre-existed has slightly decreased in extent but is still visible. The pneumothorax is limited to the apicolateral parts of the right hemithorax. There is no evidence of tension. Unchanged moderate cardiomegaly with bilateral pleural effusions and areas of atelectasis. Mild fluid overload. Status post CABG.",Unchanged moderate cardiomegaly with bilateral pleural effusions and areas of atelectasis.,"Cardiomegaly, Pleural Effusions, Atelectasis",Bilateral,Stable,['files/p12/p12952223/s51183783/8753dd62-80681aa9-11dcf353-7d254056-7c7675c7.jpg'],['files/p12/p12952223/s51080537/352d3cd6-62973415-eb038984-1a3b871f-3d226e60.jpg\n']
s51184012_8,p14295224,s51184012,8,Findings,"The lungs are hyperinflated and diaphragms are flattened. An ill-defined opacity in the right upper lobe is persists compared to ___, and has changed configuration slightly. An 8 mm right lower lobe pulmonary nodule is stable. A small right effusion or pleural thickening is unchanged. There is no pneumothorax. Cardiac and mediastinal contours are unchanged, and the patient is status post esophagectomy and gastric pull-through.","Cardiac and mediastinal contours are unchanged, and the patient is status post esophagectomy and gastric pull-through.",Contours,Cardiac and mediastinal,Stable,"['files/p14/p14295224/s51184012/598e45ce-e1207880-a1ec58ba-40195e6f-fc66ef76.jpg', 'files/p14/p14295224/s51184012/7c90c07b-1bc26a56-953fb718-22a14ecc-13cba6ed.jpg']","['files/p14/p14295224/s50071311/16384581-f188d696-944e2d78-10472ce0-ba2e73b9.jpg\n', 'files/p14/p14295224/s50071311/9d610a3e-d49aa652-74dee660-f60d66e8-8cb3cee5.jpg\n']"
s51184012_8,p14295224,s51184012,8,Findings,"The lungs are hyperinflated and diaphragms are flattened. An ill-defined opacity in the right upper lobe is persists compared to ___, and has changed configuration slightly. An 8 mm right lower lobe pulmonary nodule is stable. A small right effusion or pleural thickening is unchanged. There is no pneumothorax. Cardiac and mediastinal contours are unchanged, and the patient is status post esophagectomy and gastric pull-through.",A small right effusion or pleural thickening is unchanged.,Effusion or pleural thickening,Right,Stable,"['files/p14/p14295224/s51184012/598e45ce-e1207880-a1ec58ba-40195e6f-fc66ef76.jpg', 'files/p14/p14295224/s51184012/7c90c07b-1bc26a56-953fb718-22a14ecc-13cba6ed.jpg']","['files/p14/p14295224/s50071311/16384581-f188d696-944e2d78-10472ce0-ba2e73b9.jpg\n', 'files/p14/p14295224/s50071311/9d610a3e-d49aa652-74dee660-f60d66e8-8cb3cee5.jpg\n']"
s51184012_8,p14295224,s51184012,8,Findings,"The lungs are hyperinflated and diaphragms are flattened. An ill-defined opacity in the right upper lobe is persists compared to ___, and has changed configuration slightly. An 8 mm right lower lobe pulmonary nodule is stable. A small right effusion or pleural thickening is unchanged. There is no pneumothorax. Cardiac and mediastinal contours are unchanged, and the patient is status post esophagectomy and gastric pull-through.",An 8 mm right lower lobe pulmonary nodule is stable.,Pulmonary nodule,Right lower lobe,Stable,"['files/p14/p14295224/s51184012/598e45ce-e1207880-a1ec58ba-40195e6f-fc66ef76.jpg', 'files/p14/p14295224/s51184012/7c90c07b-1bc26a56-953fb718-22a14ecc-13cba6ed.jpg']","['files/p14/p14295224/s50071311/16384581-f188d696-944e2d78-10472ce0-ba2e73b9.jpg\n', 'files/p14/p14295224/s50071311/9d610a3e-d49aa652-74dee660-f60d66e8-8cb3cee5.jpg\n']"
s51184012_8,p14295224,s51184012,8,Impression,Persistent right upper lobe ill-defined opacity has changed configuration compared to the prior study and may be reflective of recurrent pneumonia or aspiration. Change in interpretation from the preliminary to final report was communicated with Dr ___ ___ phone at ___ on ___ by ___,Persistent right upper lobe ill-defined opacity has changed configuration compared to the prior study and may be reflective of recurrent pneumonia or aspiration.,Ill-defined opacity,Right upper lobe,Worse,"['files/p14/p14295224/s51184012/598e45ce-e1207880-a1ec58ba-40195e6f-fc66ef76.jpg', 'files/p14/p14295224/s51184012/7c90c07b-1bc26a56-953fb718-22a14ecc-13cba6ed.jpg']","['files/p14/p14295224/s50071311/16384581-f188d696-944e2d78-10472ce0-ba2e73b9.jpg\n', 'files/p14/p14295224/s50071311/9d610a3e-d49aa652-74dee660-f60d66e8-8cb3cee5.jpg\n']"
s51184012_8,p14295224,s51184012,8,Findings,"The lungs are hyperinflated and diaphragms are flattened. An ill-defined opacity in the right upper lobe is persists compared to ___, and has changed configuration slightly. An 8 mm right lower lobe pulmonary nodule is stable. A small right effusion or pleural thickening is unchanged. There is no pneumothorax. Cardiac and mediastinal contours are unchanged, and the patient is status post esophagectomy and gastric pull-through.","An ill-defined opacity in the right upper lobe is persists compared to ___, and has changed configuration slightly.",Ill-defined opacity,Right upper lobe,Worse,"['files/p14/p14295224/s51184012/598e45ce-e1207880-a1ec58ba-40195e6f-fc66ef76.jpg', 'files/p14/p14295224/s51184012/7c90c07b-1bc26a56-953fb718-22a14ecc-13cba6ed.jpg']","['files/p14/p14295224/s50071311/16384581-f188d696-944e2d78-10472ce0-ba2e73b9.jpg\n', 'files/p14/p14295224/s50071311/9d610a3e-d49aa652-74dee660-f60d66e8-8cb3cee5.jpg\n']"
s51185902_0,p10715477,s51185902,0,Findings,"Right internal jugular sheath ends at upper SVC. A single mediastinal drain tube is present on the right side. The appearance of the post operative widened mediastinum is unchanged since ___. Bilateral, confluent, lung opacities suggesting moderate pulmonary edema has improved asymmetrically on the left side, but unchanged on the right. Pleural effusions, if any, is mild bilaterally.","Bilateral, confluent, lung opacities suggesting moderate pulmonary edema has improved asymmetrically on the left side, but unchanged on the right.",moderate pulmonary edema,left side,Better,['files/p10/p10715477/s51185902/b079d6bd-55655ce2-25867c4e-0deba6a1-8a159d08.jpg'],['files/p10/p10715477/s50563564/8671643b-f06c27c8-91a43c5d-85161fe5-a1eb95b0.jpg\n']
s51185902_0,p10715477,s51185902,0,Findings,"Right internal jugular sheath ends at upper SVC. A single mediastinal drain tube is present on the right side. The appearance of the post operative widened mediastinum is unchanged since ___. Bilateral, confluent, lung opacities suggesting moderate pulmonary edema has improved asymmetrically on the left side, but unchanged on the right. Pleural effusions, if any, is mild bilaterally.","Bilateral, confluent, lung opacities suggesting moderate pulmonary edema has improved asymmetrically on the left side, but unchanged on the right.",moderate pulmonary edema,right side,Stable,['files/p10/p10715477/s51185902/b079d6bd-55655ce2-25867c4e-0deba6a1-8a159d08.jpg'],['files/p10/p10715477/s50563564/8671643b-f06c27c8-91a43c5d-85161fe5-a1eb95b0.jpg\n']
s51185902_0,p10715477,s51185902,0,Findings,"Right internal jugular sheath ends at upper SVC. A single mediastinal drain tube is present on the right side. The appearance of the post operative widened mediastinum is unchanged since ___. Bilateral, confluent, lung opacities suggesting moderate pulmonary edema has improved asymmetrically on the left side, but unchanged on the right. Pleural effusions, if any, is mild bilaterally.",The appearance of the post operative widened mediastinum is unchanged since ___.,widened mediastinum,post operative,Stable,['files/p10/p10715477/s51185902/b079d6bd-55655ce2-25867c4e-0deba6a1-8a159d08.jpg'],['files/p10/p10715477/s50563564/8671643b-f06c27c8-91a43c5d-85161fe5-a1eb95b0.jpg\n']
s51189125_2,p13586204,s51189125,2,Findings,"In comparison with the study of ___, there has been development of diffuse bilateral pulmonary opacifications with widening of the vascular pedicle. In view of the injury to the manubrium, this most likely represents congestive failure, possibly exacerbated by large amounts of fluid replacement. Bilateral pleural effusions are seen with compressive atelectasis at the bases. In view of the multiple traumas, the possibility of fat embolism syndrome would have to be considered if diuretic therapy is insufficient to cause clearing of the radiographic findings.","In comparison with the study of ___, there has been development of diffuse bilateral pulmonary opacifications with widening of the vascular pedicle.",pulmonary opacifications,bilateral,New,['files/p13/p13586204/s51189125/7394806d-330706a4-f0e6ba1f-7d857d57-2492e480.jpg'],['files/p13/p13586204/s50830952/68e78cda-4586bb4f-29822ae6-fbe7ad84-af842685.jpg\n']
s51191114_2,p15380734,s51191114,2,Findings,"In comparison with the study of ___, there is again enlargement of the cardiac silhouette with extensive bilateral pleural effusions and compressive atelectasis combined with pulmonary vascular congestion.","In comparison with the study of ___, there is again enlargement of the cardiac silhouette with extensive bilateral pleural effusions and compressive atelectasis combined with pulmonary vascular congestion.",pulmonary vascular congestion,,Worse,['files/p15/p15380734/s51191114/1fcd995b-1ec680c3-bba45110-e0430c14-bc44fbde.jpg'],
s51191114_2,p15380734,s51191114,2,Findings,"In comparison with the study of ___, there is again enlargement of the cardiac silhouette with extensive bilateral pleural effusions and compressive atelectasis combined with pulmonary vascular congestion.","In comparison with the study of ___, there is again enlargement of the cardiac silhouette with extensive bilateral pleural effusions and compressive atelectasis combined with pulmonary vascular congestion.",compressive atelectasis,,Worse,['files/p15/p15380734/s51191114/1fcd995b-1ec680c3-bba45110-e0430c14-bc44fbde.jpg'],
s51191114_2,p15380734,s51191114,2,Findings,"In comparison with the study of ___, there is again enlargement of the cardiac silhouette with extensive bilateral pleural effusions and compressive atelectasis combined with pulmonary vascular congestion.","In comparison with the study of ___, there is again enlargement of the cardiac silhouette with extensive bilateral pleural effusions and compressive atelectasis combined with pulmonary vascular congestion.",pleural effusions,bilateral,Worse,['files/p15/p15380734/s51191114/1fcd995b-1ec680c3-bba45110-e0430c14-bc44fbde.jpg'],
s51191114_2,p15380734,s51191114,2,Findings,"In comparison with the study of ___, there is again enlargement of the cardiac silhouette with extensive bilateral pleural effusions and compressive atelectasis combined with pulmonary vascular congestion.","In comparison with the study of ___, there is again enlargement of the cardiac silhouette with extensive bilateral pleural effusions and compressive atelectasis combined with pulmonary vascular congestion.",silhouette enlargement,cardiac,Worse,['files/p15/p15380734/s51191114/1fcd995b-1ec680c3-bba45110-e0430c14-bc44fbde.jpg'],
s51192088_1,p12340737,s51192088,1,Findings,"The lungs are low in volume but otehrwise clear. Left hemidiaphragm is somewhat obscured in its lateral-most component, though this could be projectional. The left lung base is poorly imaged. There is no definite pleural effusion or pneumothorax. Stable marked cardiomegaly is noted.",Stable marked cardiomegaly is noted.,Cardiomegaly,,Stable,['files/p12/p12340737/s51192088/eae9b998-2b29a12b-6d6fd4c2-8227ce7b-7f1c4262.jpg'],
s51196890_1,p14236258,s51196890,1,Findings,There is mild cephalization of the pulmonary vasculature which is suggestive of increased pulmonary venous pressures. The lungs are clear. Rightward deviation of the trachea in the superior mediastinum is unchanged and due to the patient's known history of thyromegaly. There is no pleural effusion or pneumothorax. The heart is not enlarged. A hemodialysis catheter terminates at the cavoatrial junction. Again noted are multiple old left rib fractures as well as degenerative changes of the bilateral glenohumeral joints.,Again noted are multiple old left rib fractures as well as degenerative changes of the bilateral glenohumeral joints.,degenerative changes of the glenohumeral joints,bilateral,Stable,['files/p14/p14236258/s51196890/0e94f694-f43b9926-aae6e13a-c3d97e2d-3a975b5b.jpg'],['files/p14/p14236258/s51115148/8a8519a4-3254cb1a-775d799a-d0d1bd38-8b776ba6.jpg\n']
s51196890_1,p14236258,s51196890,1,Findings,There is mild cephalization of the pulmonary vasculature which is suggestive of increased pulmonary venous pressures. The lungs are clear. Rightward deviation of the trachea in the superior mediastinum is unchanged and due to the patient's known history of thyromegaly. There is no pleural effusion or pneumothorax. The heart is not enlarged. A hemodialysis catheter terminates at the cavoatrial junction. Again noted are multiple old left rib fractures as well as degenerative changes of the bilateral glenohumeral joints.,Again noted are multiple old left rib fractures as well as degenerative changes of the bilateral glenohumeral joints.,rib fractures,left,Stable,['files/p14/p14236258/s51196890/0e94f694-f43b9926-aae6e13a-c3d97e2d-3a975b5b.jpg'],['files/p14/p14236258/s51115148/8a8519a4-3254cb1a-775d799a-d0d1bd38-8b776ba6.jpg\n']
s51196890_1,p14236258,s51196890,1,Findings,There is mild cephalization of the pulmonary vasculature which is suggestive of increased pulmonary venous pressures. The lungs are clear. Rightward deviation of the trachea in the superior mediastinum is unchanged and due to the patient's known history of thyromegaly. There is no pleural effusion or pneumothorax. The heart is not enlarged. A hemodialysis catheter terminates at the cavoatrial junction. Again noted are multiple old left rib fractures as well as degenerative changes of the bilateral glenohumeral joints.,Rightward deviation of the trachea in the superior mediastinum is unchanged and due to the patient's known history of thyromegaly.,Rightward deviation of the trachea,superior mediastinum,Stable,['files/p14/p14236258/s51196890/0e94f694-f43b9926-aae6e13a-c3d97e2d-3a975b5b.jpg'],['files/p14/p14236258/s51115148/8a8519a4-3254cb1a-775d799a-d0d1bd38-8b776ba6.jpg\n']
s51199892_3,p14794396,s51199892,3,Impression,1. No acute cardiopulmonary process. 2. Improved biapical opacities as compared to prior radiograph in early ___. Small pulmonary nodules are better assessed on prior chest CT from ___.,Improved biapical opacities as compared to prior radiograph in early ___. Small pulmonary nodules are better assessed on prior chest CT from ___.,opacities,biapical,Better,"['files/p14/p14794396/s51199892/2e11d19f-7fd45c8b-fd747233-8ee0a18d-191447d3.jpg', 'files/p14/p14794396/s51199892/3b4729dd-0500c5d0-6b19652c-b8718761-f7ddbbc3.jpg']",
s51199892_3,p14794396,s51199892,3,Findings,"Since the prior study, the previously described right upper lobe nodularity has improved, with residual left upper lobe opacities, possibly repesenting postinflammatory scarring. There is no large pleural effusion, focal pneumonia, or pneumothorax. Left apical clips are unchanged in position. The cardiomediastinal silhouette is stable. Postsurgical changes in the upper abdomen are related to prior left nephrectomy.","Since the prior study, the previously described right upper lobe nodularity has improved, with residual left upper lobe opacities, possibly representing postinflammatory scarring.",opacities,left upper lobe,Stable,"['files/p14/p14794396/s51199892/2e11d19f-7fd45c8b-fd747233-8ee0a18d-191447d3.jpg', 'files/p14/p14794396/s51199892/3b4729dd-0500c5d0-6b19652c-b8718761-f7ddbbc3.jpg']",
s51199892_3,p14794396,s51199892,3,Findings,"Since the prior study, the previously described right upper lobe nodularity has improved, with residual left upper lobe opacities, possibly repesenting postinflammatory scarring. There is no large pleural effusion, focal pneumonia, or pneumothorax. Left apical clips are unchanged in position. The cardiomediastinal silhouette is stable. Postsurgical changes in the upper abdomen are related to prior left nephrectomy.","Since the prior study, the previously described right upper lobe nodularity has improved, with residual left upper lobe opacities, possibly representing postinflammatory scarring.",nodularity,right upper lobe,Better,"['files/p14/p14794396/s51199892/2e11d19f-7fd45c8b-fd747233-8ee0a18d-191447d3.jpg', 'files/p14/p14794396/s51199892/3b4729dd-0500c5d0-6b19652c-b8718761-f7ddbbc3.jpg']",
s51199892_3,p14794396,s51199892,3,Findings,"Since the prior study, the previously described right upper lobe nodularity has improved, with residual left upper lobe opacities, possibly repesenting postinflammatory scarring. There is no large pleural effusion, focal pneumonia, or pneumothorax. Left apical clips are unchanged in position. The cardiomediastinal silhouette is stable. Postsurgical changes in the upper abdomen are related to prior left nephrectomy.",The cardiomediastinal silhouette is stable.,silhouette,cardiomediastinal,Stable,"['files/p14/p14794396/s51199892/2e11d19f-7fd45c8b-fd747233-8ee0a18d-191447d3.jpg', 'files/p14/p14794396/s51199892/3b4729dd-0500c5d0-6b19652c-b8718761-f7ddbbc3.jpg']",
s51199892_3,p14794396,s51199892,3,Findings,"Since the prior study, the previously described right upper lobe nodularity has improved, with residual left upper lobe opacities, possibly repesenting postinflammatory scarring. There is no large pleural effusion, focal pneumonia, or pneumothorax. Left apical clips are unchanged in position. The cardiomediastinal silhouette is stable. Postsurgical changes in the upper abdomen are related to prior left nephrectomy.",Left apical clips are unchanged in position.,clips,left apical,Stable,"['files/p14/p14794396/s51199892/2e11d19f-7fd45c8b-fd747233-8ee0a18d-191447d3.jpg', 'files/p14/p14794396/s51199892/3b4729dd-0500c5d0-6b19652c-b8718761-f7ddbbc3.jpg']",
s51202805_2,p12303667,s51202805,2,Findings,"The heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. Diffuse increased interstitial markings are similar when compared to the prior study and compatible with the patient's known history of lymphangiomyomatosis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized. Partially imaged is fusion hardware within the lumbar spine. Widening of the right acromioclavicular interval likely reflects remote trauma.",Diffuse increased interstitial markings are similar when compared to the prior study and compatible with the patient's known history of lymphangiomyomatosis,increased interstitial markings,Diffuse,Stable,"['files/p12/p12303667/s51202805/8c86917f-0d8be3f4-f464a18e-3638f3a1-343d29c4.jpg', 'files/p12/p12303667/s51202805/f13c668b-a7cbd8c4-3de552f9-4c0921fe-7c8b4a12.jpg']",
s51203739_14,p17340686,s51203739,14,Findings,A dual lumen left subclavian central venous catheter terminates in the right atrium unchanged from prior exam. The heart size is stably enlarged. Vascular calcifications are seen along the aortic arch. There is perihilar and basilar prominence of the pulmonary vasculature compatible with fluid overload. Mild interstitial abnormalities are unchanged from prior exam. There is blunting of the bilateral posterior costovertebral angles likely representing a very small effusions. Patchy consolidations in the right middle lobe may represent pneumonia in the right clinical circumstances.,Mild interstitial abnormalities are unchanged from prior exam.,Mild interstitial abnormalities,,Stable,"['files/p17/p17340686/s51203739/76e5c84a-6fc4083b-55704f3a-0af624ed-5f4c9970.jpg', 'files/p17/p17340686/s51203739/e023c3e4-39101fc9-0c1d4cb4-1566e997-0080096e.jpg']",['files/p17/p17340686/s50602713/09248f93-7275a552-c55b735a-29981340-e0b66153.jpg\n']
s51203739_14,p17340686,s51203739,14,Findings,A dual lumen left subclavian central venous catheter terminates in the right atrium unchanged from prior exam. The heart size is stably enlarged. Vascular calcifications are seen along the aortic arch. There is perihilar and basilar prominence of the pulmonary vasculature compatible with fluid overload. Mild interstitial abnormalities are unchanged from prior exam. There is blunting of the bilateral posterior costovertebral angles likely representing a very small effusions. Patchy consolidations in the right middle lobe may represent pneumonia in the right clinical circumstances.,A dual lumen left subclavian central venous catheter terminates in the right atrium unchanged from prior exam.,Dual lumen left subclavian central venous catheter,right atrium,Stable,"['files/p17/p17340686/s51203739/76e5c84a-6fc4083b-55704f3a-0af624ed-5f4c9970.jpg', 'files/p17/p17340686/s51203739/e023c3e4-39101fc9-0c1d4cb4-1566e997-0080096e.jpg']",['files/p17/p17340686/s50602713/09248f93-7275a552-c55b735a-29981340-e0b66153.jpg\n']
s51203739_14,p17340686,s51203739,14,Findings,A dual lumen left subclavian central venous catheter terminates in the right atrium unchanged from prior exam. The heart size is stably enlarged. Vascular calcifications are seen along the aortic arch. There is perihilar and basilar prominence of the pulmonary vasculature compatible with fluid overload. Mild interstitial abnormalities are unchanged from prior exam. There is blunting of the bilateral posterior costovertebral angles likely representing a very small effusions. Patchy consolidations in the right middle lobe may represent pneumonia in the right clinical circumstances.,The heart size is stably enlarged.,Enlarged heart,,Stable,"['files/p17/p17340686/s51203739/76e5c84a-6fc4083b-55704f3a-0af624ed-5f4c9970.jpg', 'files/p17/p17340686/s51203739/e023c3e4-39101fc9-0c1d4cb4-1566e997-0080096e.jpg']",['files/p17/p17340686/s50602713/09248f93-7275a552-c55b735a-29981340-e0b66153.jpg\n']
s51210366_0,p14449498,s51210366,0,Impression,1. Moderate pericardial effusion. 2. Metastatic pulmonary nodules. 3. Fractured superior sternal wire.,Fractured superior sternal wire.,fracture,superior most wire,New,['files/p14/p14449498/s51210366/dd3a86eb-069878c6-f4880473-9cc83b95-17983197.jpg'],
s51210366_0,p14449498,s51210366,0,Impression,1. Moderate pericardial effusion. 2. Metastatic pulmonary nodules. 3. Fractured superior sternal wire.,Metastatic pulmonary nodules.,metastatic pulmonary nodules,lower lobes,New,['files/p14/p14449498/s51210366/dd3a86eb-069878c6-f4880473-9cc83b95-17983197.jpg'],
s51210366_0,p14449498,s51210366,0,Findings,"Moderately enlarged cardiac silhouette has developed, compatible with pericardial effusion. There are numerous metastatic pulmonary nodules in the lower lobes, left greater than right, better evaluated on recent PET-CT. Median sternotomy wires are noted, with fracture of the superior most wire. There are no significant pleural effusions or pneumothorax.","Median sternotomy wires are noted, with fracture of the superior most wire.",fracture,superior most wire,New,['files/p14/p14449498/s51210366/dd3a86eb-069878c6-f4880473-9cc83b95-17983197.jpg'],
s51210366_0,p14449498,s51210366,0,Impression,1. Moderate pericardial effusion. 2. Metastatic pulmonary nodules. 3. Fractured superior sternal wire.,Moderate pericardial effusion.,pericardial effusion,cardiac silhouette,New,['files/p14/p14449498/s51210366/dd3a86eb-069878c6-f4880473-9cc83b95-17983197.jpg'],
s51210366_0,p14449498,s51210366,0,Findings,"Moderately enlarged cardiac silhouette has developed, compatible with pericardial effusion. There are numerous metastatic pulmonary nodules in the lower lobes, left greater than right, better evaluated on recent PET-CT. Median sternotomy wires are noted, with fracture of the superior most wire. There are no significant pleural effusions or pneumothorax.","There are numerous metastatic pulmonary nodules in the lower lobes, left greater than right, better evaluated on recent PET-CT.",metastatic pulmonary nodules,lower lobes,New,['files/p14/p14449498/s51210366/dd3a86eb-069878c6-f4880473-9cc83b95-17983197.jpg'],
s51210366_0,p14449498,s51210366,0,Findings,"Moderately enlarged cardiac silhouette has developed, compatible with pericardial effusion. There are numerous metastatic pulmonary nodules in the lower lobes, left greater than right, better evaluated on recent PET-CT. Median sternotomy wires are noted, with fracture of the superior most wire. There are no significant pleural effusions or pneumothorax.","Moderately enlarged cardiac silhouette has developed, compatible with pericardial effusion.",pericardial effusion,cardiac silhouette,New,['files/p14/p14449498/s51210366/dd3a86eb-069878c6-f4880473-9cc83b95-17983197.jpg'],
s51214350_4,p16773796,s51214350,4,Impression,"AP chest compared to ___ and ___: The patient has had median sternotomy and mitral valve replacement. Heart size is normal. Multiple lung nodules are almost certainly widespread pulmonary metastases developed between ___ and ___. There is no pneumonia, pulmonary edema, pleural effusion, or pneumothorax. Interval increase in caliber of the right paratracheal stripe is probably due to venous engorgement.","AP chest compared to ___ and ___: The patient has had median sternotomy and mitral valve replacement. Heart size is normal. Multiple lung nodules are almost certainly widespread pulmonary metastases developed between ___ and ___. There is no pneumonia, pulmonary edema, pleural effusion, or pneumothorax. Interval increase in caliber of the right paratracheal stripe is probably due to venous engorgement.",caliber,right paratracheal stripe,Worse,['files/p16/p16773796/s51214350/88569944-e427b76f-c9db3157-972a1ec1-4d0f7523.jpg'],['files/p16/p16773796/s50535279/8ecf5181-09dec4e6-27b43fca-3b8999bf-6d25f591.jpg\n']
s51214818_25,p19182863,s51214818,25,Findings,Right lower lobe opacities are present although compared to ___ there has significantly improved. The time course of improvement does not fit well for pneumonia and more likely represented atelectasis superimposed with edema. The left lung is clear. Cardiac size is stable. The patient is status post median sternotomy and valvular replacements.,Cardiac size is stable.,Cardiac size,,Stable,"['files/p19/p19182863/s51214818/181aa53a-d204d3a4-e3e99340-92bb8c76-0f690e54.jpg', 'files/p19/p19182863/s51214818/e89bf755-a151eaaf-d5b84136-f67c1572-bc4b8424.jpg']","['files/p19/p19182863/s51148398/02b1b4da-2bcf091c-b126afb0-da48d861-8ffa17a3.jpg\n', 'files/p19/p19182863/s51148398/0346b4e3-a2e79a1e-8ec8970d-712bb522-84ed88dc.jpg\n']"
s51214818_25,p19182863,s51214818,25,Findings,Right lower lobe opacities are present although compared to ___ there has significantly improved. The time course of improvement does not fit well for pneumonia and more likely represented atelectasis superimposed with edema. The left lung is clear. Cardiac size is stable. The patient is status post median sternotomy and valvular replacements.,Right lower lobe opacities are present although compared to ___ there has significantly improved.,opacities,Right lower lobe,Better,"['files/p19/p19182863/s51214818/181aa53a-d204d3a4-e3e99340-92bb8c76-0f690e54.jpg', 'files/p19/p19182863/s51214818/e89bf755-a151eaaf-d5b84136-f67c1572-bc4b8424.jpg']","['files/p19/p19182863/s51148398/02b1b4da-2bcf091c-b126afb0-da48d861-8ffa17a3.jpg\n', 'files/p19/p19182863/s51148398/0346b4e3-a2e79a1e-8ec8970d-712bb522-84ed88dc.jpg\n']"
s51215308_0,p19757720,s51215308,0,Findings,"As compared to the previous radiograph, there is a new parenchymal opacity at the right lung base. The opacity is strongly suggestive of pneumonia, given that the asymmetric location, the alveolar pattern, and the evidence of air bronchograms. The referring physician, ___. ___ was paged for notification at the time of dictation, 1:38 p.m., ___. Unchanged moderate cardiomegaly with minimal fluid overload. Unchanged presence of bilateral small pleural effusions restricted to the costophrenic sinuses, better visible on the lateral than on the frontal radiograph. Minimal left basal atelectasis.","As compared to the previous radiograph, there is a new parenchymal opacity at the right lung base.",parenchymal opacity,right lung base,New,"['files/p19/p19757720/s51215308/5051c3c7-e3c4e3f2-169fb49b-98d06fc5-662b3471.jpg', 'files/p19/p19757720/s51215308/a40681cf-5ae02ca8-00157e4a-2a48e28a-831224eb.jpg', 'files/p19/p19757720/s51215308/f429f4ba-4905c997-5dc76af4-ce97e3f6-8df8fe4c.jpg']",['files/p19/p19757720/s51034858/3e2089f9-a5133cb9-a2ccafcd-956a95d1-c2af1f26.jpg\n']
s51215308_0,p19757720,s51215308,0,Findings,"As compared to the previous radiograph, there is a new parenchymal opacity at the right lung base. The opacity is strongly suggestive of pneumonia, given that the asymmetric location, the alveolar pattern, and the evidence of air bronchograms. The referring physician, ___. ___ was paged for notification at the time of dictation, 1:38 p.m., ___. Unchanged moderate cardiomegaly with minimal fluid overload. Unchanged presence of bilateral small pleural effusions restricted to the costophrenic sinuses, better visible on the lateral than on the frontal radiograph. Minimal left basal atelectasis.","Unchanged presence of bilateral small pleural effusions restricted to the costophrenic sinuses, better visible on the lateral than on the frontal radiograph.",small pleural effusions,bilateral costophrenic sinuses,Stable,"['files/p19/p19757720/s51215308/5051c3c7-e3c4e3f2-169fb49b-98d06fc5-662b3471.jpg', 'files/p19/p19757720/s51215308/a40681cf-5ae02ca8-00157e4a-2a48e28a-831224eb.jpg', 'files/p19/p19757720/s51215308/f429f4ba-4905c997-5dc76af4-ce97e3f6-8df8fe4c.jpg']",['files/p19/p19757720/s51034858/3e2089f9-a5133cb9-a2ccafcd-956a95d1-c2af1f26.jpg\n']
s51215308_0,p19757720,s51215308,0,Findings,"As compared to the previous radiograph, there is a new parenchymal opacity at the right lung base. The opacity is strongly suggestive of pneumonia, given that the asymmetric location, the alveolar pattern, and the evidence of air bronchograms. The referring physician, ___. ___ was paged for notification at the time of dictation, 1:38 p.m., ___. Unchanged moderate cardiomegaly with minimal fluid overload. Unchanged presence of bilateral small pleural effusions restricted to the costophrenic sinuses, better visible on the lateral than on the frontal radiograph. Minimal left basal atelectasis.",Unchanged moderate cardiomegaly with minimal fluid overload.,moderate cardiomegaly with minimal fluid overload,,Stable,"['files/p19/p19757720/s51215308/5051c3c7-e3c4e3f2-169fb49b-98d06fc5-662b3471.jpg', 'files/p19/p19757720/s51215308/a40681cf-5ae02ca8-00157e4a-2a48e28a-831224eb.jpg', 'files/p19/p19757720/s51215308/f429f4ba-4905c997-5dc76af4-ce97e3f6-8df8fe4c.jpg']",['files/p19/p19757720/s51034858/3e2089f9-a5133cb9-a2ccafcd-956a95d1-c2af1f26.jpg\n']
s51229730_0,p16553329,s51229730,0,Findings,"Frontal and lateral views of the chest are obtained. Multiple calcified granulomas are noted throughout the lungs bilaterally and, unchanged since the prior study. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Degenerative changes are again seen along the spine.","Multiple calcified granulomas are noted throughout the lungs bilaterally and, unchanged since the prior study.",calcified granulomas,throughout the lungs bilaterally,Stable,"['files/p16/p16553329/s51229730/646e6ad9-a96531b8-9c145524-8d9eee31-45c942db.jpg', 'files/p16/p16553329/s51229730/d642ad26-82bef23a-5b41c13c-5f34e5e1-f45e10aa.jpg']","['files/p16/p16553329/s50643762/63248a16-4137ecaa-c5389614-0f2cfa59-6b8aff45.jpg\n', 'files/p16/p16553329/s50643762/d021c1f9-134fd8f8-e73a3e87-387d59f4-ea4ea7a6.jpg\n']"
s51229730_0,p16553329,s51229730,0,Findings,"Frontal and lateral views of the chest are obtained. Multiple calcified granulomas are noted throughout the lungs bilaterally and, unchanged since the prior study. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Degenerative changes are again seen along the spine.",The cardiac and mediastinal silhouettes are stable and unremarkable.,cardiac and mediastinal silhouettes,,Stable,"['files/p16/p16553329/s51229730/646e6ad9-a96531b8-9c145524-8d9eee31-45c942db.jpg', 'files/p16/p16553329/s51229730/d642ad26-82bef23a-5b41c13c-5f34e5e1-f45e10aa.jpg']","['files/p16/p16553329/s50643762/63248a16-4137ecaa-c5389614-0f2cfa59-6b8aff45.jpg\n', 'files/p16/p16553329/s50643762/d021c1f9-134fd8f8-e73a3e87-387d59f4-ea4ea7a6.jpg\n']"
s51229730_0,p16553329,s51229730,0,Findings,"Frontal and lateral views of the chest are obtained. Multiple calcified granulomas are noted throughout the lungs bilaterally and, unchanged since the prior study. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Degenerative changes are again seen along the spine.",Degenerative changes are again seen along the spine.,Degenerative changes,along the spine,Worse,"['files/p16/p16553329/s51229730/646e6ad9-a96531b8-9c145524-8d9eee31-45c942db.jpg', 'files/p16/p16553329/s51229730/d642ad26-82bef23a-5b41c13c-5f34e5e1-f45e10aa.jpg']","['files/p16/p16553329/s50643762/63248a16-4137ecaa-c5389614-0f2cfa59-6b8aff45.jpg\n', 'files/p16/p16553329/s50643762/d021c1f9-134fd8f8-e73a3e87-387d59f4-ea4ea7a6.jpg\n']"
s51229977_0,p15131736,s51229977,0,Findings,"Single AP upright portable view of the chest was obtained. There are relatively low lung volumes. Mild elevation of the right hemidiaphragm is unchanged. There has been interval removal of endotracheal and nasogastric tubes. There is pulmonary vascular congestion. No large pleural effusions are seen, although a trace effusion on the left would be difficult to exclude. No pneumothorax is seen. The cardiac silhouette remains enlarged.",Mild elevation of the right hemidiaphragm is unchanged.,hemidiaphragm elevation,right,Stable,['files/p15/p15131736/s51229977/4ffa9df0-24b7231c-3f67bde1-d9698406-f27658a3.jpg'],"['files/p15/p15131736/s51140617/ec9b16ae-795abbc9-93aaebcc-d1ffbf96-86cc910a.jpg\n', 'files/p15/p15131736/s51140617/fbc1d1b7-2217f22b-74904fff-5061c77a-930f05c8.jpg\n']"
s51229977_0,p15131736,s51229977,0,Impression,"Pulmonary vascular congestion with persistent enlargement of the cardiac silhouette. No large pleural effusion is seen, although a small left pleural effusion would be difficult to exclude.",Pulmonary vascular congestion with persistent enlargement of the cardiac silhouette.,cardiac silhouette enlargement,,Stable,['files/p15/p15131736/s51229977/4ffa9df0-24b7231c-3f67bde1-d9698406-f27658a3.jpg'],"['files/p15/p15131736/s51140617/ec9b16ae-795abbc9-93aaebcc-d1ffbf96-86cc910a.jpg\n', 'files/p15/p15131736/s51140617/fbc1d1b7-2217f22b-74904fff-5061c77a-930f05c8.jpg\n']"
s51229977_0,p15131736,s51229977,0,Findings,"Single AP upright portable view of the chest was obtained. There are relatively low lung volumes. Mild elevation of the right hemidiaphragm is unchanged. There has been interval removal of endotracheal and nasogastric tubes. There is pulmonary vascular congestion. No large pleural effusions are seen, although a trace effusion on the left would be difficult to exclude. No pneumothorax is seen. The cardiac silhouette remains enlarged.",There has been interval removal of endotracheal and nasogastric tubes.,endotracheal and nasogastric tubes,,Resolve,['files/p15/p15131736/s51229977/4ffa9df0-24b7231c-3f67bde1-d9698406-f27658a3.jpg'],"['files/p15/p15131736/s51140617/ec9b16ae-795abbc9-93aaebcc-d1ffbf96-86cc910a.jpg\n', 'files/p15/p15131736/s51140617/fbc1d1b7-2217f22b-74904fff-5061c77a-930f05c8.jpg\n']"
s51229977_0,p15131736,s51229977,0,Findings,"Single AP upright portable view of the chest was obtained. There are relatively low lung volumes. Mild elevation of the right hemidiaphragm is unchanged. There has been interval removal of endotracheal and nasogastric tubes. There is pulmonary vascular congestion. No large pleural effusions are seen, although a trace effusion on the left would be difficult to exclude. No pneumothorax is seen. The cardiac silhouette remains enlarged.",The cardiac silhouette remains enlarged.,cardiac silhouette enlargement,,Stable,['files/p15/p15131736/s51229977/4ffa9df0-24b7231c-3f67bde1-d9698406-f27658a3.jpg'],"['files/p15/p15131736/s51140617/ec9b16ae-795abbc9-93aaebcc-d1ffbf96-86cc910a.jpg\n', 'files/p15/p15131736/s51140617/fbc1d1b7-2217f22b-74904fff-5061c77a-930f05c8.jpg\n']"
s51230608_0,p11540283,s51230608,0,Impression,A new AICD device with lead positioned through the left transvenous approach end into the right ventricle and is appropriate. No focal lung opacities concerning for pneumonia. Heart is top normal size. Mediastinal and hilar contours are normal. No evidence of pneumothorax.,A new AICD device with lead positioned through the left transvenous approach end into the right ventricle and is appropriate.,AICD device,left transvenous approach end into the right ventricle,New,"['files/p11/p11540283/s51230608/21f4d559-0dfff001-b12a1cc5-64419048-1301fa93.jpg', 'files/p11/p11540283/s51230608/e68bb7df-05039df8-44346b6b-c34ca52e-a92432c7.jpg']",['files/p11/p11540283/s51114398/ff4180bc-fa800289-1e6a39c6-4c38b356-ad513e6a.jpg\n']
s51231499_1,p18322589,s51231499,1,Findings,"As compared to the previous radiograph, there is a severe increase in extent of the bilateral parenchymal opacities. These are strongly suggestive for severely increasing pulmonary edema. In addition, a small right pleural effusion has newly occurred. There is unchanged evidence of cardiomegaly. No pneumonia, retrocardiac atelectasis is present. At the time of dictation, ___, 8:27 a.m., referring physician, ___. ___, was paged for notification.",These are strongly suggestive for severely increasing pulmonary edema.,pulmonary edema,,Worse,['files/p18/p18322589/s51231499/aedfcdd8-6438b27a-5d6b20d6-08c03afc-b40c0830.jpg'],['files/p18/p18322589/s51044625/0d930f0a-46f813a9-db3b137b-05142eef-eca3c5a7.jpg\n']
s51231499_1,p18322589,s51231499,1,Findings,"As compared to the previous radiograph, there is a severe increase in extent of the bilateral parenchymal opacities. These are strongly suggestive for severely increasing pulmonary edema. In addition, a small right pleural effusion has newly occurred. There is unchanged evidence of cardiomegaly. No pneumonia, retrocardiac atelectasis is present. At the time of dictation, ___, 8:27 a.m., referring physician, ___. ___, was paged for notification.","In addition, a small right pleural effusion has newly occurred.",pleural effusion,right,New,['files/p18/p18322589/s51231499/aedfcdd8-6438b27a-5d6b20d6-08c03afc-b40c0830.jpg'],['files/p18/p18322589/s51044625/0d930f0a-46f813a9-db3b137b-05142eef-eca3c5a7.jpg\n']
s51231499_1,p18322589,s51231499,1,Findings,"As compared to the previous radiograph, there is a severe increase in extent of the bilateral parenchymal opacities. These are strongly suggestive for severely increasing pulmonary edema. In addition, a small right pleural effusion has newly occurred. There is unchanged evidence of cardiomegaly. No pneumonia, retrocardiac atelectasis is present. At the time of dictation, ___, 8:27 a.m., referring physician, ___. ___, was paged for notification.","As compared to the previous radiograph, there is a severe increase in extent of the bilateral parenchymal opacities.",parenchymal opacities,bilateral,Worse,['files/p18/p18322589/s51231499/aedfcdd8-6438b27a-5d6b20d6-08c03afc-b40c0830.jpg'],['files/p18/p18322589/s51044625/0d930f0a-46f813a9-db3b137b-05142eef-eca3c5a7.jpg\n']
s51231499_1,p18322589,s51231499,1,Findings,"As compared to the previous radiograph, there is a severe increase in extent of the bilateral parenchymal opacities. These are strongly suggestive for severely increasing pulmonary edema. In addition, a small right pleural effusion has newly occurred. There is unchanged evidence of cardiomegaly. No pneumonia, retrocardiac atelectasis is present. At the time of dictation, ___, 8:27 a.m., referring physician, ___. ___, was paged for notification.",There is unchanged evidence of cardiomegaly.,cardiomegaly,,Stable,['files/p18/p18322589/s51231499/aedfcdd8-6438b27a-5d6b20d6-08c03afc-b40c0830.jpg'],['files/p18/p18322589/s51044625/0d930f0a-46f813a9-db3b137b-05142eef-eca3c5a7.jpg\n']
s51233388_18,p13352405,s51233388,18,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. Moderate elevation of right-sided hemidiaphragm as before. Two chest tubes entered from the lower lateral chest wall terminate in unchanged position, draining the area of the previous empyema. The lowermost of the two tubes is in unchanged position, whereas the higher ending tube has been withdrawn by a few centimeters, but still remains in place. The size of the pleural density that forms a triangular thickening of the right lateral and posterior pleural space has decreased slightly in comparison with the next previous study. There is no evidence of any new cavitation, loculated pneumothorax or other new parenchymal abnormalities. The left-sided hemithorax remains completely unchanged and within normal limits.","The lowermost of the two tubes is in unchanged position, whereas the higher ending tube has been withdrawn by a few centimeters, but still remains in place.",tube position,lowermost,Stable,"['files/p13/p13352405/s51233388/65fcdabb-eb6130b5-693a34c1-7e1580a1-16cee3cd.jpg', 'files/p13/p13352405/s51233388/c2d94ada-21f141cb-17d5c7a3-f5807bbe-e83b679a.jpg', 'files/p13/p13352405/s51233388/c95ac9a4-70c1c602-421eacbd-bb29c3f1-7ab0862c.jpg']",['files/p13/p13352405/s50344973/ce1985cc-a6c42ebf-5ff6ebaa-52ca117e-11ae0c1c.jpg\n']
s51233388_18,p13352405,s51233388,18,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. Moderate elevation of right-sided hemidiaphragm as before. Two chest tubes entered from the lower lateral chest wall terminate in unchanged position, draining the area of the previous empyema. The lowermost of the two tubes is in unchanged position, whereas the higher ending tube has been withdrawn by a few centimeters, but still remains in place. The size of the pleural density that forms a triangular thickening of the right lateral and posterior pleural space has decreased slightly in comparison with the next previous study. There is no evidence of any new cavitation, loculated pneumothorax or other new parenchymal abnormalities. The left-sided hemithorax remains completely unchanged and within normal limits.",The size of the pleural density that forms a triangular thickening of the right lateral and posterior pleural space has decreased slightly in comparison with the next previous study.,pleural density,right lateral and posterior pleural space,Better,"['files/p13/p13352405/s51233388/65fcdabb-eb6130b5-693a34c1-7e1580a1-16cee3cd.jpg', 'files/p13/p13352405/s51233388/c2d94ada-21f141cb-17d5c7a3-f5807bbe-e83b679a.jpg', 'files/p13/p13352405/s51233388/c95ac9a4-70c1c602-421eacbd-bb29c3f1-7ab0862c.jpg']",['files/p13/p13352405/s50344973/ce1985cc-a6c42ebf-5ff6ebaa-52ca117e-11ae0c1c.jpg\n']
s51233388_18,p13352405,s51233388,18,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. Moderate elevation of right-sided hemidiaphragm as before. Two chest tubes entered from the lower lateral chest wall terminate in unchanged position, draining the area of the previous empyema. The lowermost of the two tubes is in unchanged position, whereas the higher ending tube has been withdrawn by a few centimeters, but still remains in place. The size of the pleural density that forms a triangular thickening of the right lateral and posterior pleural space has decreased slightly in comparison with the next previous study. There is no evidence of any new cavitation, loculated pneumothorax or other new parenchymal abnormalities. The left-sided hemithorax remains completely unchanged and within normal limits.","Two chest tubes entered from the lower lateral chest wall terminate in unchanged position, draining the area of the previous empyema.",chest tubes,lower lateral chest wall,Stable,"['files/p13/p13352405/s51233388/65fcdabb-eb6130b5-693a34c1-7e1580a1-16cee3cd.jpg', 'files/p13/p13352405/s51233388/c2d94ada-21f141cb-17d5c7a3-f5807bbe-e83b679a.jpg', 'files/p13/p13352405/s51233388/c95ac9a4-70c1c602-421eacbd-bb29c3f1-7ab0862c.jpg']",['files/p13/p13352405/s50344973/ce1985cc-a6c42ebf-5ff6ebaa-52ca117e-11ae0c1c.jpg\n']
s51233388_18,p13352405,s51233388,18,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. Moderate elevation of right-sided hemidiaphragm as before. Two chest tubes entered from the lower lateral chest wall terminate in unchanged position, draining the area of the previous empyema. The lowermost of the two tubes is in unchanged position, whereas the higher ending tube has been withdrawn by a few centimeters, but still remains in place. The size of the pleural density that forms a triangular thickening of the right lateral and posterior pleural space has decreased slightly in comparison with the next previous study. There is no evidence of any new cavitation, loculated pneumothorax or other new parenchymal abnormalities. The left-sided hemithorax remains completely unchanged and within normal limits.",Moderate elevation of right-sided hemidiaphragm as before.,hemidiaphragm elevation,right-sided,Stable,"['files/p13/p13352405/s51233388/65fcdabb-eb6130b5-693a34c1-7e1580a1-16cee3cd.jpg', 'files/p13/p13352405/s51233388/c2d94ada-21f141cb-17d5c7a3-f5807bbe-e83b679a.jpg', 'files/p13/p13352405/s51233388/c95ac9a4-70c1c602-421eacbd-bb29c3f1-7ab0862c.jpg']",['files/p13/p13352405/s50344973/ce1985cc-a6c42ebf-5ff6ebaa-52ca117e-11ae0c1c.jpg\n']
s51233388_18,p13352405,s51233388,18,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. Moderate elevation of right-sided hemidiaphragm as before. Two chest tubes entered from the lower lateral chest wall terminate in unchanged position, draining the area of the previous empyema. The lowermost of the two tubes is in unchanged position, whereas the higher ending tube has been withdrawn by a few centimeters, but still remains in place. The size of the pleural density that forms a triangular thickening of the right lateral and posterior pleural space has decreased slightly in comparison with the next previous study. There is no evidence of any new cavitation, loculated pneumothorax or other new parenchymal abnormalities. The left-sided hemithorax remains completely unchanged and within normal limits.",The left-sided hemithorax remains completely unchanged and within normal limits.,hemithorax,left-sided,Stable,"['files/p13/p13352405/s51233388/65fcdabb-eb6130b5-693a34c1-7e1580a1-16cee3cd.jpg', 'files/p13/p13352405/s51233388/c2d94ada-21f141cb-17d5c7a3-f5807bbe-e83b679a.jpg', 'files/p13/p13352405/s51233388/c95ac9a4-70c1c602-421eacbd-bb29c3f1-7ab0862c.jpg']",['files/p13/p13352405/s50344973/ce1985cc-a6c42ebf-5ff6ebaa-52ca117e-11ae0c1c.jpg\n']
s51233560_1,p19640059,s51233560,1,Impression,"1. Stable findings of chronic interstitial lung disease without definite evidence for superimposed process. 2. Air-fluid level in the esophagus which could be seen with known CREST syndrome. In addition, there is a cluster of small densities, possibly pill fragments, three altogether, projecting near the expected site of the gastroesophageal junction. Clinical correlation regarding any potential aspiration risk is recommended.",Stable findings of chronic interstitial lung disease without definite evidence for superimposed process.,chronic interstitial lung disease,,Stable,"['files/p19/p19640059/s51233560/03b170ab-561ffd21-6697ecf9-665767b0-674413ae.jpg', 'files/p19/p19640059/s51233560/6fed948b-d28771fb-fb7296de-9ee66094-e9a38c0c.jpg', 'files/p19/p19640059/s51233560/fcf2656a-1407b4d0-e029e995-c324e158-e2b9ce15.jpg']",
s51233560_1,p19640059,s51233560,1,Findings,"The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged, including calcification and unfolding along the aorta. There is similar moderate relative elevation of the right hemidiaphragm compared to the left. The mediastinal and hilar contours appear unchanged. There is again a coarse reticular abnormality favoring the bases and peripheral aspects of the lung, most consistent with pulmonary fibrosis. Parenchymal findings appear stable allowing for small differences in technique. There is no pleural effusion or pneumothorax. The lateral view depicts air-fluid level in the mediastinum suggesting esophageal fluid which could be seen with esophageal dysmotility that may accompany CREST syndrome. In addition, there is a cluster of small densities, possibly pill fragments, three altogether projecting near the expected site of the gastroesophageal junction. The bones appear demineralized.","There is again a coarse reticular abnormality favoring the bases and peripheral aspects of the lung, most consistent with pulmonary fibrosis.",coarse reticular abnormality,bases and peripheral aspects of the lung,Stable,"['files/p19/p19640059/s51233560/03b170ab-561ffd21-6697ecf9-665767b0-674413ae.jpg', 'files/p19/p19640059/s51233560/6fed948b-d28771fb-fb7296de-9ee66094-e9a38c0c.jpg', 'files/p19/p19640059/s51233560/fcf2656a-1407b4d0-e029e995-c324e158-e2b9ce15.jpg']",
s51233560_1,p19640059,s51233560,1,Findings,"The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged, including calcification and unfolding along the aorta. There is similar moderate relative elevation of the right hemidiaphragm compared to the left. The mediastinal and hilar contours appear unchanged. There is again a coarse reticular abnormality favoring the bases and peripheral aspects of the lung, most consistent with pulmonary fibrosis. Parenchymal findings appear stable allowing for small differences in technique. There is no pleural effusion or pneumothorax. The lateral view depicts air-fluid level in the mediastinum suggesting esophageal fluid which could be seen with esophageal dysmotility that may accompany CREST syndrome. In addition, there is a cluster of small densities, possibly pill fragments, three altogether projecting near the expected site of the gastroesophageal junction. The bones appear demineralized.",The mediastinal and hilar contours appear unchanged.,mediastinal and hilar contours,,Stable,"['files/p19/p19640059/s51233560/03b170ab-561ffd21-6697ecf9-665767b0-674413ae.jpg', 'files/p19/p19640059/s51233560/6fed948b-d28771fb-fb7296de-9ee66094-e9a38c0c.jpg', 'files/p19/p19640059/s51233560/fcf2656a-1407b4d0-e029e995-c324e158-e2b9ce15.jpg']",
s51233560_1,p19640059,s51233560,1,Findings,"The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged, including calcification and unfolding along the aorta. There is similar moderate relative elevation of the right hemidiaphragm compared to the left. The mediastinal and hilar contours appear unchanged. There is again a coarse reticular abnormality favoring the bases and peripheral aspects of the lung, most consistent with pulmonary fibrosis. Parenchymal findings appear stable allowing for small differences in technique. There is no pleural effusion or pneumothorax. The lateral view depicts air-fluid level in the mediastinum suggesting esophageal fluid which could be seen with esophageal dysmotility that may accompany CREST syndrome. In addition, there is a cluster of small densities, possibly pill fragments, three altogether projecting near the expected site of the gastroesophageal junction. The bones appear demineralized.",There is similar moderate relative elevation of the right hemidiaphragm compared to the left.,moderate relative elevation,right hemidiaphragm,Stable,"['files/p19/p19640059/s51233560/03b170ab-561ffd21-6697ecf9-665767b0-674413ae.jpg', 'files/p19/p19640059/s51233560/6fed948b-d28771fb-fb7296de-9ee66094-e9a38c0c.jpg', 'files/p19/p19640059/s51233560/fcf2656a-1407b4d0-e029e995-c324e158-e2b9ce15.jpg']",
s51233560_1,p19640059,s51233560,1,Findings,"The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged, including calcification and unfolding along the aorta. There is similar moderate relative elevation of the right hemidiaphragm compared to the left. The mediastinal and hilar contours appear unchanged. There is again a coarse reticular abnormality favoring the bases and peripheral aspects of the lung, most consistent with pulmonary fibrosis. Parenchymal findings appear stable allowing for small differences in technique. There is no pleural effusion or pneumothorax. The lateral view depicts air-fluid level in the mediastinum suggesting esophageal fluid which could be seen with esophageal dysmotility that may accompany CREST syndrome. In addition, there is a cluster of small densities, possibly pill fragments, three altogether projecting near the expected site of the gastroesophageal junction. The bones appear demineralized.","The mediastinal and hilar contours appear unchanged, including calcification and unfolding along the aorta.",mediastinal and hilar contours,,Stable,"['files/p19/p19640059/s51233560/03b170ab-561ffd21-6697ecf9-665767b0-674413ae.jpg', 'files/p19/p19640059/s51233560/6fed948b-d28771fb-fb7296de-9ee66094-e9a38c0c.jpg', 'files/p19/p19640059/s51233560/fcf2656a-1407b4d0-e029e995-c324e158-e2b9ce15.jpg']",
s51233560_1,p19640059,s51233560,1,Findings,"The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged, including calcification and unfolding along the aorta. There is similar moderate relative elevation of the right hemidiaphragm compared to the left. The mediastinal and hilar contours appear unchanged. There is again a coarse reticular abnormality favoring the bases and peripheral aspects of the lung, most consistent with pulmonary fibrosis. Parenchymal findings appear stable allowing for small differences in technique. There is no pleural effusion or pneumothorax. The lateral view depicts air-fluid level in the mediastinum suggesting esophageal fluid which could be seen with esophageal dysmotility that may accompany CREST syndrome. In addition, there is a cluster of small densities, possibly pill fragments, three altogether projecting near the expected site of the gastroesophageal junction. The bones appear demineralized.",Parenchymal findings appear stable allowing for small differences in technique.,Parenchymal findings,,Stable,"['files/p19/p19640059/s51233560/03b170ab-561ffd21-6697ecf9-665767b0-674413ae.jpg', 'files/p19/p19640059/s51233560/6fed948b-d28771fb-fb7296de-9ee66094-e9a38c0c.jpg', 'files/p19/p19640059/s51233560/fcf2656a-1407b4d0-e029e995-c324e158-e2b9ce15.jpg']",
s51233868_2,p12699874,s51233868,2,Findings,"Endotracheal tube and nasogastric tube remain well positioned. There is a new right IJ line, extending to the mid SVC. No pneumothorax. Stable diffuse opacity in the right hemithorax, compatible with layering effusion as seen on neck CT. No left effusion. Bibasilar opacities are not significantly changed. Stable hilar and cardiomediastinal contours.","Stable diffuse opacity in the right hemithorax, compatible with layering effusion as seen on neck CT.",opacity,right hemithorax,Stable,['files/p12/p12699874/s51233868/5e44766b-fb081bc1-02952485-11552e37-ed98a6d3.jpg'],"['files/p12/p12699874/s50325727/1bca4361-bd43f47d-37accd9e-6212bed0-cb0f9f01.jpg\n', 'files/p12/p12699874/s50325727/62d2a95f-ce787ba1-fb0a191e-96bd2c85-97614863.jpg\n', 'files/p12/p12699874/s50325727/d10a7e10-a21722ae-fedb8a44-fd3747d1-8052e74c.jpg\n']"
s51233868_2,p12699874,s51233868,2,Findings,"Endotracheal tube and nasogastric tube remain well positioned. There is a new right IJ line, extending to the mid SVC. No pneumothorax. Stable diffuse opacity in the right hemithorax, compatible with layering effusion as seen on neck CT. No left effusion. Bibasilar opacities are not significantly changed. Stable hilar and cardiomediastinal contours.","There is a new right IJ line, extending to the mid SVC.",line,right IJ line,New,['files/p12/p12699874/s51233868/5e44766b-fb081bc1-02952485-11552e37-ed98a6d3.jpg'],"['files/p12/p12699874/s50325727/1bca4361-bd43f47d-37accd9e-6212bed0-cb0f9f01.jpg\n', 'files/p12/p12699874/s50325727/62d2a95f-ce787ba1-fb0a191e-96bd2c85-97614863.jpg\n', 'files/p12/p12699874/s50325727/d10a7e10-a21722ae-fedb8a44-fd3747d1-8052e74c.jpg\n']"
s51233868_2,p12699874,s51233868,2,Findings,"Endotracheal tube and nasogastric tube remain well positioned. There is a new right IJ line, extending to the mid SVC. No pneumothorax. Stable diffuse opacity in the right hemithorax, compatible with layering effusion as seen on neck CT. No left effusion. Bibasilar opacities are not significantly changed. Stable hilar and cardiomediastinal contours.",Endotracheal tube and nasogastric tube remain well positioned.,position,Endotracheal tube and nasogastric tube,Stable,['files/p12/p12699874/s51233868/5e44766b-fb081bc1-02952485-11552e37-ed98a6d3.jpg'],"['files/p12/p12699874/s50325727/1bca4361-bd43f47d-37accd9e-6212bed0-cb0f9f01.jpg\n', 'files/p12/p12699874/s50325727/62d2a95f-ce787ba1-fb0a191e-96bd2c85-97614863.jpg\n', 'files/p12/p12699874/s50325727/d10a7e10-a21722ae-fedb8a44-fd3747d1-8052e74c.jpg\n']"
s51233868_2,p12699874,s51233868,2,Findings,"Endotracheal tube and nasogastric tube remain well positioned. There is a new right IJ line, extending to the mid SVC. No pneumothorax. Stable diffuse opacity in the right hemithorax, compatible with layering effusion as seen on neck CT. No left effusion. Bibasilar opacities are not significantly changed. Stable hilar and cardiomediastinal contours.",Bibasilar opacities are not significantly changed.,opacities,bibasilar,Stable,['files/p12/p12699874/s51233868/5e44766b-fb081bc1-02952485-11552e37-ed98a6d3.jpg'],"['files/p12/p12699874/s50325727/1bca4361-bd43f47d-37accd9e-6212bed0-cb0f9f01.jpg\n', 'files/p12/p12699874/s50325727/62d2a95f-ce787ba1-fb0a191e-96bd2c85-97614863.jpg\n', 'files/p12/p12699874/s50325727/d10a7e10-a21722ae-fedb8a44-fd3747d1-8052e74c.jpg\n']"
s51233868_2,p12699874,s51233868,2,Findings,"Endotracheal tube and nasogastric tube remain well positioned. There is a new right IJ line, extending to the mid SVC. No pneumothorax. Stable diffuse opacity in the right hemithorax, compatible with layering effusion as seen on neck CT. No left effusion. Bibasilar opacities are not significantly changed. Stable hilar and cardiomediastinal contours.",Stable hilar and cardiomediastinal contours.,contours,hilar and cardiomediastinal,Stable,['files/p12/p12699874/s51233868/5e44766b-fb081bc1-02952485-11552e37-ed98a6d3.jpg'],"['files/p12/p12699874/s50325727/1bca4361-bd43f47d-37accd9e-6212bed0-cb0f9f01.jpg\n', 'files/p12/p12699874/s50325727/62d2a95f-ce787ba1-fb0a191e-96bd2c85-97614863.jpg\n', 'files/p12/p12699874/s50325727/d10a7e10-a21722ae-fedb8a44-fd3747d1-8052e74c.jpg\n']"
s51235553_5,p12433421,s51235553,5,Findings,"As compared to the previous radiograph, the pre-existing left pleural effusion has massively increased in extent. The effusion occupies approximately half of the left hemithorax and causes substantial basal atelectasis. On the right, a small-to-moderate pleural effusion has newly occurred. In the ventilated parts of the lung parenchyma, there is no evidence of pneumonia. No pneumothorax.","On the right, a small-to-moderate pleural effusion has newly occurred.",pleural effusion,right,New,['files/p12/p12433421/s51235553/222087fc-b3297c5c-72502065-cf9f3e90-6839efc7.jpg'],
s51235553_5,p12433421,s51235553,5,Findings,"As compared to the previous radiograph, the pre-existing left pleural effusion has massively increased in extent. The effusion occupies approximately half of the left hemithorax and causes substantial basal atelectasis. On the right, a small-to-moderate pleural effusion has newly occurred. In the ventilated parts of the lung parenchyma, there is no evidence of pneumonia. No pneumothorax.","As compared to the previous radiograph, the pre-existing left pleural effusion has massively increased in extent.",pleural effusion,left,Worse,['files/p12/p12433421/s51235553/222087fc-b3297c5c-72502065-cf9f3e90-6839efc7.jpg'],
s51236160_6,p16319601,s51236160,6,Findings,"As compared to the previous radiograph, there is no relevant change. Extensive right pleural effusion with areas of atelectasis and an unchanged left PICC line. Small nodular opacity, projecting over the border of the ventral aspect of the left fourth rib is unchanged since several examinations.",Extensive right pleural effusion with areas of atelectasis and an unchanged left PICC line.,PICC line,left,Stable,['files/p16/p16319601/s51236160/d021e279-fc2a15cf-aa08b3db-9b75b05d-324ffb18.jpg'],['files/p16/p16319601/s51150576/bb664e62-f26a58fb-f3f6515a-0cb91fa0-2638766f.jpg\n']
s51236160_6,p16319601,s51236160,6,Findings,"As compared to the previous radiograph, there is no relevant change. Extensive right pleural effusion with areas of atelectasis and an unchanged left PICC line. Small nodular opacity, projecting over the border of the ventral aspect of the left fourth rib is unchanged since several examinations.","Small nodular opacity, projecting over the border of the ventral aspect of the left fourth rib is unchanged since several examinations.",small nodular opacity,ventral aspect of the left fourth rib,Stable,['files/p16/p16319601/s51236160/d021e279-fc2a15cf-aa08b3db-9b75b05d-324ffb18.jpg'],['files/p16/p16319601/s51150576/bb664e62-f26a58fb-f3f6515a-0cb91fa0-2638766f.jpg\n']
s51236160_6,p16319601,s51236160,6,Findings,"As compared to the previous radiograph, there is no relevant change. Extensive right pleural effusion with areas of atelectasis and an unchanged left PICC line. Small nodular opacity, projecting over the border of the ventral aspect of the left fourth rib is unchanged since several examinations.",Extensive right pleural effusion with areas of atelectasis and an unchanged left PICC line.,pleural effusion,right,Stable,['files/p16/p16319601/s51236160/d021e279-fc2a15cf-aa08b3db-9b75b05d-324ffb18.jpg'],['files/p16/p16319601/s51150576/bb664e62-f26a58fb-f3f6515a-0cb91fa0-2638766f.jpg\n']
s51244125_1,p11512104,s51244125,1,Impression,"1. Mild interstitial pulmonary edema. No focal consolidation. 2. Moderate cardiomegaly, not significantly changed. 3. Unchanged small left pleural effusion.",3. Unchanged small left pleural effusion.,Pleural effusion,left,Stable,"['files/p11/p11512104/s51244125/0ba61f42-36b75725-d59c3425-259c54a6-7dd192bf.jpg', 'files/p11/p11512104/s51244125/501f88ca-6cf4e937-ea4584a1-eea40cc3-3333047d.jpg', 'files/p11/p11512104/s51244125/d72a1a8e-82ff68d3-b7f92ce9-a36fbe0c-1fd32274.jpg', 'files/p11/p11512104/s51244125/fc2119d4-3818479e-d3d0ace5-6704f713-0a4fd7c0.jpg']",
s51244125_1,p11512104,s51244125,1,Findings,"Frontal and lateral radiographs of the chest were acquired. There is a diffuse interstitial abnormality, with a perihilar predominance, suggestive of mild interstitial pulmonary edema. Moderate enlargement of the cardiac silhouette is not significantly changed. A small left pleural effusion is not significantly changed. There is no definite right pleural effusion. The mediastinal contours are unchanged. There is a small hiatal hernia, not significantly changed. There is no pneumothorax. Surgical clips project over the upper abdomen on the lateral radiograph. Multilevel degenerative changes of the thoracolumbar spine are noted. Anterior wedging of a lower thoracic vertebral body is not significantly changed.",Anterior wedging of a lower thoracic vertebral body is not significantly changed.,Anterior wedging of vertebral body,lower thoracic,Stable,"['files/p11/p11512104/s51244125/0ba61f42-36b75725-d59c3425-259c54a6-7dd192bf.jpg', 'files/p11/p11512104/s51244125/501f88ca-6cf4e937-ea4584a1-eea40cc3-3333047d.jpg', 'files/p11/p11512104/s51244125/d72a1a8e-82ff68d3-b7f92ce9-a36fbe0c-1fd32274.jpg', 'files/p11/p11512104/s51244125/fc2119d4-3818479e-d3d0ace5-6704f713-0a4fd7c0.jpg']",
s51244125_1,p11512104,s51244125,1,Findings,"Frontal and lateral radiographs of the chest were acquired. There is a diffuse interstitial abnormality, with a perihilar predominance, suggestive of mild interstitial pulmonary edema. Moderate enlargement of the cardiac silhouette is not significantly changed. A small left pleural effusion is not significantly changed. There is no definite right pleural effusion. The mediastinal contours are unchanged. There is a small hiatal hernia, not significantly changed. There is no pneumothorax. Surgical clips project over the upper abdomen on the lateral radiograph. Multilevel degenerative changes of the thoracolumbar spine are noted. Anterior wedging of a lower thoracic vertebral body is not significantly changed.","There is a small hiatal hernia, not significantly changed.",Hiatal hernia,,Stable,"['files/p11/p11512104/s51244125/0ba61f42-36b75725-d59c3425-259c54a6-7dd192bf.jpg', 'files/p11/p11512104/s51244125/501f88ca-6cf4e937-ea4584a1-eea40cc3-3333047d.jpg', 'files/p11/p11512104/s51244125/d72a1a8e-82ff68d3-b7f92ce9-a36fbe0c-1fd32274.jpg', 'files/p11/p11512104/s51244125/fc2119d4-3818479e-d3d0ace5-6704f713-0a4fd7c0.jpg']",
s51244125_1,p11512104,s51244125,1,Findings,"Frontal and lateral radiographs of the chest were acquired. There is a diffuse interstitial abnormality, with a perihilar predominance, suggestive of mild interstitial pulmonary edema. Moderate enlargement of the cardiac silhouette is not significantly changed. A small left pleural effusion is not significantly changed. There is no definite right pleural effusion. The mediastinal contours are unchanged. There is a small hiatal hernia, not significantly changed. There is no pneumothorax. Surgical clips project over the upper abdomen on the lateral radiograph. Multilevel degenerative changes of the thoracolumbar spine are noted. Anterior wedging of a lower thoracic vertebral body is not significantly changed.",The mediastinal contours are unchanged.,Mediastinal contours,,Stable,"['files/p11/p11512104/s51244125/0ba61f42-36b75725-d59c3425-259c54a6-7dd192bf.jpg', 'files/p11/p11512104/s51244125/501f88ca-6cf4e937-ea4584a1-eea40cc3-3333047d.jpg', 'files/p11/p11512104/s51244125/d72a1a8e-82ff68d3-b7f92ce9-a36fbe0c-1fd32274.jpg', 'files/p11/p11512104/s51244125/fc2119d4-3818479e-d3d0ace5-6704f713-0a4fd7c0.jpg']",
s51244125_1,p11512104,s51244125,1,Findings,"Frontal and lateral radiographs of the chest were acquired. There is a diffuse interstitial abnormality, with a perihilar predominance, suggestive of mild interstitial pulmonary edema. Moderate enlargement of the cardiac silhouette is not significantly changed. A small left pleural effusion is not significantly changed. There is no definite right pleural effusion. The mediastinal contours are unchanged. There is a small hiatal hernia, not significantly changed. There is no pneumothorax. Surgical clips project over the upper abdomen on the lateral radiograph. Multilevel degenerative changes of the thoracolumbar spine are noted. Anterior wedging of a lower thoracic vertebral body is not significantly changed.",A small left pleural effusion is not significantly changed.,Pleural effusion,left,Stable,"['files/p11/p11512104/s51244125/0ba61f42-36b75725-d59c3425-259c54a6-7dd192bf.jpg', 'files/p11/p11512104/s51244125/501f88ca-6cf4e937-ea4584a1-eea40cc3-3333047d.jpg', 'files/p11/p11512104/s51244125/d72a1a8e-82ff68d3-b7f92ce9-a36fbe0c-1fd32274.jpg', 'files/p11/p11512104/s51244125/fc2119d4-3818479e-d3d0ace5-6704f713-0a4fd7c0.jpg']",
s51244125_1,p11512104,s51244125,1,Impression,"1. Mild interstitial pulmonary edema. No focal consolidation. 2. Moderate cardiomegaly, not significantly changed. 3. Unchanged small left pleural effusion.","2. Moderate cardiomegaly, not significantly changed.",Cardiomegaly,,Stable,"['files/p11/p11512104/s51244125/0ba61f42-36b75725-d59c3425-259c54a6-7dd192bf.jpg', 'files/p11/p11512104/s51244125/501f88ca-6cf4e937-ea4584a1-eea40cc3-3333047d.jpg', 'files/p11/p11512104/s51244125/d72a1a8e-82ff68d3-b7f92ce9-a36fbe0c-1fd32274.jpg', 'files/p11/p11512104/s51244125/fc2119d4-3818479e-d3d0ace5-6704f713-0a4fd7c0.jpg']",
s51244125_1,p11512104,s51244125,1,Findings,"Frontal and lateral radiographs of the chest were acquired. There is a diffuse interstitial abnormality, with a perihilar predominance, suggestive of mild interstitial pulmonary edema. Moderate enlargement of the cardiac silhouette is not significantly changed. A small left pleural effusion is not significantly changed. There is no definite right pleural effusion. The mediastinal contours are unchanged. There is a small hiatal hernia, not significantly changed. There is no pneumothorax. Surgical clips project over the upper abdomen on the lateral radiograph. Multilevel degenerative changes of the thoracolumbar spine are noted. Anterior wedging of a lower thoracic vertebral body is not significantly changed.",Moderate enlargement of the cardiac silhouette is not significantly changed.,Cardiac silhouette enlargement,,Stable,"['files/p11/p11512104/s51244125/0ba61f42-36b75725-d59c3425-259c54a6-7dd192bf.jpg', 'files/p11/p11512104/s51244125/501f88ca-6cf4e937-ea4584a1-eea40cc3-3333047d.jpg', 'files/p11/p11512104/s51244125/d72a1a8e-82ff68d3-b7f92ce9-a36fbe0c-1fd32274.jpg', 'files/p11/p11512104/s51244125/fc2119d4-3818479e-d3d0ace5-6704f713-0a4fd7c0.jpg']",
s51244261_1,p12702423,s51244261,1,Findings,"Portable AP upright chest radiograph was obtained. Compared to the scout radiograph from a torso CT from ___, there is increased opacity in the left lower lung, concerning for worsening effusion and consolidation. Extensive nodularity in the lungs is compatible with known metastatic disease. Heart size cannot be assessed. Bony structures appear unchanged.","Compared to the scout radiograph from a torso CT from ___, there is increased opacity in the left lower lung, concerning for worsening effusion and consolidation.",effusion and consolidation,left lower lung,Worse,"['files/p12/p12702423/s51244261/17ff7369-20912497-3b539b61-9c4ace20-7dc7fa12.jpg', 'files/p12/p12702423/s51244261/bceb45d9-799ac7a7-effd7ba0-71a61a33-92e4f08a.jpg']","['files/p12/p12702423/s50637233/43a707e7-f762b3ea-4b033501-64409bec-21b98cef.jpg\n', 'files/p12/p12702423/s50637233/90b4c51e-988eaab5-73361a58-408449bf-f3dfd10f.jpg\n']"
s51244261_1,p12702423,s51244261,1,Impression,"Increasing opacity in the left lower lung, concerning for worsening consolidation and effusion. Extensive metastatic disease within the chest. Refer to subsequent CT for further details.","Increasing opacity in the left lower lung, concerning for worsening consolidation and effusion.",consolidation and effusion,left lower lung,Worse,"['files/p12/p12702423/s51244261/17ff7369-20912497-3b539b61-9c4ace20-7dc7fa12.jpg', 'files/p12/p12702423/s51244261/bceb45d9-799ac7a7-effd7ba0-71a61a33-92e4f08a.jpg']","['files/p12/p12702423/s50637233/43a707e7-f762b3ea-4b033501-64409bec-21b98cef.jpg\n', 'files/p12/p12702423/s50637233/90b4c51e-988eaab5-73361a58-408449bf-f3dfd10f.jpg\n']"
s51244261_1,p12702423,s51244261,1,Findings,"Portable AP upright chest radiograph was obtained. Compared to the scout radiograph from a torso CT from ___, there is increased opacity in the left lower lung, concerning for worsening effusion and consolidation. Extensive nodularity in the lungs is compatible with known metastatic disease. Heart size cannot be assessed. Bony structures appear unchanged.",Bony structures appear unchanged.,bony structures,,Stable,"['files/p12/p12702423/s51244261/17ff7369-20912497-3b539b61-9c4ace20-7dc7fa12.jpg', 'files/p12/p12702423/s51244261/bceb45d9-799ac7a7-effd7ba0-71a61a33-92e4f08a.jpg']","['files/p12/p12702423/s50637233/43a707e7-f762b3ea-4b033501-64409bec-21b98cef.jpg\n', 'files/p12/p12702423/s50637233/90b4c51e-988eaab5-73361a58-408449bf-f3dfd10f.jpg\n']"
s51244891_5,p15144601,s51244891,5,Findings,"The heart continues to be moderately enlarged, and a left cardiac device is again seen with its leads in appropriate position. The mediastinal contours are stable, and the patient is status post median sternotomy. There is no focal consolidation, pleural effusion or overt pulmonary edema.","The mediastinal contours are stable, and the patient is status post median sternotomy.",,Mediastinal contours,Stable,"['files/p15/p15144601/s51244891/ce4d53fc-3f17c875-c053c0b1-43ce1358-096e6002.jpg', 'files/p15/p15144601/s51244891/eaa77bd0-1de464b1-00ee6e99-fe2883d8-36fa9c50.jpg', 'files/p15/p15144601/s51244891/ee323413-0365848a-a3fe5e41-5d435287-c9393303.jpg']",
s51246566_2,p18828251,s51246566,2,Findings,"As compared to the previous radiograph, the pre-existing right upper lobe pneumonia is completely resolved. The pre-existing signs of mild fluid overload, however, are still present. The pre-existing cardiomegaly is unchanged. Several calcified lung nodules are also unchanged. Unchanged alignment of the sternal wires. No acute pneumonia, no pleural effusions.","As compared to the previous radiograph, the pre-existing right upper lobe pneumonia is completely resolved.",pneumonia,right upper lobe,Resolve,['files/p18/p18828251/s51246566/fe5ade20-832e5f10-2fcedcb6-4c3c8557-e8bfb513.jpg'],"['files/p18/p18828251/s50037292/10a6246b-f2e3ec72-8c956609-ee81d40f-4a962883.jpg\n', 'files/p18/p18828251/s50037292/56632a48-cce6f015-6436c85a-42883cbd-7a1c5f22.jpg\n', 'files/p18/p18828251/s50037292/73a65ade-633f4da5-1c37b0a5-6a589b9c-bccae96f.jpg\n']"
s51246566_2,p18828251,s51246566,2,Findings,"As compared to the previous radiograph, the pre-existing right upper lobe pneumonia is completely resolved. The pre-existing signs of mild fluid overload, however, are still present. The pre-existing cardiomegaly is unchanged. Several calcified lung nodules are also unchanged. Unchanged alignment of the sternal wires. No acute pneumonia, no pleural effusions.","The pre-existing signs of mild fluid overload, however, are still present.",mild fluid overload,,Stable,['files/p18/p18828251/s51246566/fe5ade20-832e5f10-2fcedcb6-4c3c8557-e8bfb513.jpg'],"['files/p18/p18828251/s50037292/10a6246b-f2e3ec72-8c956609-ee81d40f-4a962883.jpg\n', 'files/p18/p18828251/s50037292/56632a48-cce6f015-6436c85a-42883cbd-7a1c5f22.jpg\n', 'files/p18/p18828251/s50037292/73a65ade-633f4da5-1c37b0a5-6a589b9c-bccae96f.jpg\n']"
s51246566_2,p18828251,s51246566,2,Findings,"As compared to the previous radiograph, the pre-existing right upper lobe pneumonia is completely resolved. The pre-existing signs of mild fluid overload, however, are still present. The pre-existing cardiomegaly is unchanged. Several calcified lung nodules are also unchanged. Unchanged alignment of the sternal wires. No acute pneumonia, no pleural effusions.",The pre-existing cardiomegaly is unchanged.,cardiomegaly,,Stable,['files/p18/p18828251/s51246566/fe5ade20-832e5f10-2fcedcb6-4c3c8557-e8bfb513.jpg'],"['files/p18/p18828251/s50037292/10a6246b-f2e3ec72-8c956609-ee81d40f-4a962883.jpg\n', 'files/p18/p18828251/s50037292/56632a48-cce6f015-6436c85a-42883cbd-7a1c5f22.jpg\n', 'files/p18/p18828251/s50037292/73a65ade-633f4da5-1c37b0a5-6a589b9c-bccae96f.jpg\n']"
s51246566_2,p18828251,s51246566,2,Findings,"As compared to the previous radiograph, the pre-existing right upper lobe pneumonia is completely resolved. The pre-existing signs of mild fluid overload, however, are still present. The pre-existing cardiomegaly is unchanged. Several calcified lung nodules are also unchanged. Unchanged alignment of the sternal wires. No acute pneumonia, no pleural effusions.",Several calcified lung nodules are also unchanged.,calcified lung nodules,,Stable,['files/p18/p18828251/s51246566/fe5ade20-832e5f10-2fcedcb6-4c3c8557-e8bfb513.jpg'],"['files/p18/p18828251/s50037292/10a6246b-f2e3ec72-8c956609-ee81d40f-4a962883.jpg\n', 'files/p18/p18828251/s50037292/56632a48-cce6f015-6436c85a-42883cbd-7a1c5f22.jpg\n', 'files/p18/p18828251/s50037292/73a65ade-633f4da5-1c37b0a5-6a589b9c-bccae96f.jpg\n']"
s51246566_2,p18828251,s51246566,2,Findings,"As compared to the previous radiograph, the pre-existing right upper lobe pneumonia is completely resolved. The pre-existing signs of mild fluid overload, however, are still present. The pre-existing cardiomegaly is unchanged. Several calcified lung nodules are also unchanged. Unchanged alignment of the sternal wires. No acute pneumonia, no pleural effusions.",Unchanged alignment of the sternal wires.,sternal wires,,Stable,['files/p18/p18828251/s51246566/fe5ade20-832e5f10-2fcedcb6-4c3c8557-e8bfb513.jpg'],"['files/p18/p18828251/s50037292/10a6246b-f2e3ec72-8c956609-ee81d40f-4a962883.jpg\n', 'files/p18/p18828251/s50037292/56632a48-cce6f015-6436c85a-42883cbd-7a1c5f22.jpg\n', 'files/p18/p18828251/s50037292/73a65ade-633f4da5-1c37b0a5-6a589b9c-bccae96f.jpg\n']"
s51248899_3,p13023326,s51248899,3,Impression,No evidence of pneumothorax. Persistent bilateral layering pleural effusions. A right lateral pleural thickening which may represent fluid or possibly involvement to the patient's known metastatic melanoma. Right hilar mass obscures the cardiac and mediastinal contours and limits evaluation of the right mid and lower lung. Right peripheral mid lung opacity most likely represents fluid loculated within the horizontal fissure. No evidence of pulmonary edema. Patchy opacity at the left base most likely represents compressive atelectasis. No pneumothorax.,Persistent bilateral layering pleural effusions.,pleural effusions,bilateral,Stable,['files/p13/p13023326/s51248899/dace8d97-bff4cdf8-b6025d03-54255fb2-666c6a31.jpg'],
s51259731_8,p13475033,s51259731,8,Findings,"The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. There is mild interstitial abnormality suggestive of slight fluid overload, but no focal consolidation. The lungs are hyperinflated. There is no pleural effusion or pneumothorax. A moderate anterior wedge compression deformity situated along the lower thoracic spine appears unchanged since the prior studies.",The mediastinal and hilar contours appear unchanged.,contours,mediastinal and hilar,Stable,"['files/p13/p13475033/s51259731/a3c40907-043e8021-0482ce61-34670856-7cd45fdf.jpg', 'files/p13/p13475033/s51259731/fd442341-955b6521-e3b355ba-788f7de5-d75d5471.jpg']","['files/p13/p13475033/s50956811/34c46b78-c751bfe6-f38375be-f360ffe3-d6a24fda.jpg\n', 'files/p13/p13475033/s50956811/f1c5fd56-97830cd3-47bda383-38c447b7-6ed2d3d2.jpg\n']"
s51259731_8,p13475033,s51259731,8,Findings,"The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. There is mild interstitial abnormality suggestive of slight fluid overload, but no focal consolidation. The lungs are hyperinflated. There is no pleural effusion or pneumothorax. A moderate anterior wedge compression deformity situated along the lower thoracic spine appears unchanged since the prior studies.",A moderate anterior wedge compression deformity situated along the lower thoracic spine appears unchanged since the prior studies.,moderate anterior wedge compression deformity,lower thoracic spine,Stable,"['files/p13/p13475033/s51259731/a3c40907-043e8021-0482ce61-34670856-7cd45fdf.jpg', 'files/p13/p13475033/s51259731/fd442341-955b6521-e3b355ba-788f7de5-d75d5471.jpg']","['files/p13/p13475033/s50956811/34c46b78-c751bfe6-f38375be-f360ffe3-d6a24fda.jpg\n', 'files/p13/p13475033/s50956811/f1c5fd56-97830cd3-47bda383-38c447b7-6ed2d3d2.jpg\n']"
s51259731_8,p13475033,s51259731,8,Impression,Similar mild interstitial abnormality which could be seen with slight fluid overload.,Similar mild interstitial abnormality which could be seen with slight fluid overload.,mild interstitial abnormality,,Stable,"['files/p13/p13475033/s51259731/a3c40907-043e8021-0482ce61-34670856-7cd45fdf.jpg', 'files/p13/p13475033/s51259731/fd442341-955b6521-e3b355ba-788f7de5-d75d5471.jpg']","['files/p13/p13475033/s50956811/34c46b78-c751bfe6-f38375be-f360ffe3-d6a24fda.jpg\n', 'files/p13/p13475033/s50956811/f1c5fd56-97830cd3-47bda383-38c447b7-6ed2d3d2.jpg\n']"
s51264956_0,p18309149,s51264956,0,Impression,"Moderate cardiomegaly, new since ___, with large right and small left pleural effusions, central vascular congestion, and mild interstitial edema, concerning for cardiac decompensation.","Moderate cardiomegaly, new since ___, with large right and small left pleural effusions, central vascular congestion, and mild interstitial edema, concerning for cardiac decompensation.",cardiomegaly,,New,['files/p18/p18309149/s51264956/0172482f-ff4eeb46-e6e40eaa-2659ae08-97fb1158.jpg'],['files/p18/p18309149/s50853840/c1379178-96a24a21-fe62e710-94cf9946-111ded9a.jpg\n']
s51264956_0,p18309149,s51264956,0,Findings,"There is moderate cardiomegaly which is new since ___. Central pulmonary vessels are engorged, and there is mild interstitial edema with a large right pleural effusion. A trace left pleural effusion is also present. There is no pneumothorax.",There is moderate cardiomegaly which is new since ___.,cardiomegaly,,New,['files/p18/p18309149/s51264956/0172482f-ff4eeb46-e6e40eaa-2659ae08-97fb1158.jpg'],['files/p18/p18309149/s50853840/c1379178-96a24a21-fe62e710-94cf9946-111ded9a.jpg\n']
s51265253_13,p14387068,s51265253,13,Findings,"Following thoracocentesis and pigtail catheter placement positioned at the right lung base, a large right pleural effusion has decreased but still at least moderate amount of right pleural fluid accompanying complete collapse of the right lower lobe and possibly at least partial collapse of the right upper lobe is persisting. An ill-defined opacity in the left suprahilar region which was new on ___ radiograph is likely an aspiration pneumonia. Left lower lung is clear. Mild mediastinal shift to the left side owing to the right pleural effusion still persists, but better since yesterday. There is no demonstrable pneumothorax.","Mild mediastinal shift to the left side owing to the right pleural effusion still persists, but better since yesterday.",shift,mediastinal,Better,"['files/p14/p14387068/s51265253/09392690-a0fa7fc5-6e064f84-fe8edde1-dc1b88d0.jpg', 'files/p14/p14387068/s51265253/7f2e0501-621b2ad0-0969b247-d16c6c18-12077b6d.jpg']",['files/p14/p14387068/s51227270/2001d733-0290af9c-11d2f658-a475b597-45f1095a.jpg\n']
s51265253_13,p14387068,s51265253,13,Findings,"Following thoracocentesis and pigtail catheter placement positioned at the right lung base, a large right pleural effusion has decreased but still at least moderate amount of right pleural fluid accompanying complete collapse of the right lower lobe and possibly at least partial collapse of the right upper lobe is persisting. An ill-defined opacity in the left suprahilar region which was new on ___ radiograph is likely an aspiration pneumonia. Left lower lung is clear. Mild mediastinal shift to the left side owing to the right pleural effusion still persists, but better since yesterday. There is no demonstrable pneumothorax.","Following thoracocentesis and pigtail catheter placement positioned at the right lung base, a large right pleural effusion has decreased but still at least moderate amount of right pleural fluid accompanying complete collapse of the right lower lobe and possibly at least partial collapse of the right upper lobe is persisting.",pleural effusion,right,Better,"['files/p14/p14387068/s51265253/09392690-a0fa7fc5-6e064f84-fe8edde1-dc1b88d0.jpg', 'files/p14/p14387068/s51265253/7f2e0501-621b2ad0-0969b247-d16c6c18-12077b6d.jpg']",['files/p14/p14387068/s51227270/2001d733-0290af9c-11d2f658-a475b597-45f1095a.jpg\n']
s51265253_13,p14387068,s51265253,13,Impression,"Following thoracocentesis and right pigtail catheter placement, large right pleural effusion has decreased, but still at least moderate pleural effusion persists and accompanies complete collapse of the right lower lobe and possibly a partial collapse of the right upper lobe. Ill-defined left suprahilar opacity which was new on ___ is likely aspiration pneumonia.","Following thoracocentesis and right pigtail catheter placement, large right pleural effusion has decreased, but still at least moderate pleural effusion persists and accompanies complete collapse of the right lower lobe and possibly a partial collapse of the right upper lobe.",pleural effusion,right,Better,"['files/p14/p14387068/s51265253/09392690-a0fa7fc5-6e064f84-fe8edde1-dc1b88d0.jpg', 'files/p14/p14387068/s51265253/7f2e0501-621b2ad0-0969b247-d16c6c18-12077b6d.jpg']",['files/p14/p14387068/s51227270/2001d733-0290af9c-11d2f658-a475b597-45f1095a.jpg\n']
s51265253_13,p14387068,s51265253,13,Impression,"Following thoracocentesis and right pigtail catheter placement, large right pleural effusion has decreased, but still at least moderate pleural effusion persists and accompanies complete collapse of the right lower lobe and possibly a partial collapse of the right upper lobe. Ill-defined left suprahilar opacity which was new on ___ is likely aspiration pneumonia.","Following thoracocentesis and right pigtail catheter placement, large right pleural effusion has decreased, but still at least moderate pleural effusion persists and accompanies complete collapse of the right lower lobe and possibly a partial collapse of the right upper lobe.",collapse,right lower lobe,Stable,"['files/p14/p14387068/s51265253/09392690-a0fa7fc5-6e064f84-fe8edde1-dc1b88d0.jpg', 'files/p14/p14387068/s51265253/7f2e0501-621b2ad0-0969b247-d16c6c18-12077b6d.jpg']",['files/p14/p14387068/s51227270/2001d733-0290af9c-11d2f658-a475b597-45f1095a.jpg\n']
s51265253_13,p14387068,s51265253,13,Impression,"Following thoracocentesis and right pigtail catheter placement, large right pleural effusion has decreased, but still at least moderate pleural effusion persists and accompanies complete collapse of the right lower lobe and possibly a partial collapse of the right upper lobe. Ill-defined left suprahilar opacity which was new on ___ is likely aspiration pneumonia.",Ill-defined left suprahilar opacity which was new on ___ is likely aspiration pneumonia.,opacity,left suprahilar region,New,"['files/p14/p14387068/s51265253/09392690-a0fa7fc5-6e064f84-fe8edde1-dc1b88d0.jpg', 'files/p14/p14387068/s51265253/7f2e0501-621b2ad0-0969b247-d16c6c18-12077b6d.jpg']",['files/p14/p14387068/s51227270/2001d733-0290af9c-11d2f658-a475b597-45f1095a.jpg\n']
s51265253_13,p14387068,s51265253,13,Findings,"Following thoracocentesis and pigtail catheter placement positioned at the right lung base, a large right pleural effusion has decreased but still at least moderate amount of right pleural fluid accompanying complete collapse of the right lower lobe and possibly at least partial collapse of the right upper lobe is persisting. An ill-defined opacity in the left suprahilar region which was new on ___ radiograph is likely an aspiration pneumonia. Left lower lung is clear. Mild mediastinal shift to the left side owing to the right pleural effusion still persists, but better since yesterday. There is no demonstrable pneumothorax.","Following thoracocentesis and pigtail catheter placement positioned at the right lung base, a large right pleural effusion has decreased but still at least moderate amount of right pleural fluid accompanying complete collapse of the right lower lobe and possibly at least partial collapse of the right upper lobe is persisting.",collapse,right lower lobe,Stable,"['files/p14/p14387068/s51265253/09392690-a0fa7fc5-6e064f84-fe8edde1-dc1b88d0.jpg', 'files/p14/p14387068/s51265253/7f2e0501-621b2ad0-0969b247-d16c6c18-12077b6d.jpg']",['files/p14/p14387068/s51227270/2001d733-0290af9c-11d2f658-a475b597-45f1095a.jpg\n']
s51265253_13,p14387068,s51265253,13,Findings,"Following thoracocentesis and pigtail catheter placement positioned at the right lung base, a large right pleural effusion has decreased but still at least moderate amount of right pleural fluid accompanying complete collapse of the right lower lobe and possibly at least partial collapse of the right upper lobe is persisting. An ill-defined opacity in the left suprahilar region which was new on ___ radiograph is likely an aspiration pneumonia. Left lower lung is clear. Mild mediastinal shift to the left side owing to the right pleural effusion still persists, but better since yesterday. There is no demonstrable pneumothorax.","Following thoracocentesis and pigtail catheter placement positioned at the right lung base, a large right pleural effusion has decreased but still at least moderate amount of right pleural fluid accompanying complete collapse of the right lower lobe and possibly at least partial collapse of the right upper lobe is persisting.",partial collapse,right upper lobe,Stable,"['files/p14/p14387068/s51265253/09392690-a0fa7fc5-6e064f84-fe8edde1-dc1b88d0.jpg', 'files/p14/p14387068/s51265253/7f2e0501-621b2ad0-0969b247-d16c6c18-12077b6d.jpg']",['files/p14/p14387068/s51227270/2001d733-0290af9c-11d2f658-a475b597-45f1095a.jpg\n']
s51265253_13,p14387068,s51265253,13,Findings,"Following thoracocentesis and pigtail catheter placement positioned at the right lung base, a large right pleural effusion has decreased but still at least moderate amount of right pleural fluid accompanying complete collapse of the right lower lobe and possibly at least partial collapse of the right upper lobe is persisting. An ill-defined opacity in the left suprahilar region which was new on ___ radiograph is likely an aspiration pneumonia. Left lower lung is clear. Mild mediastinal shift to the left side owing to the right pleural effusion still persists, but better since yesterday. There is no demonstrable pneumothorax.",An ill-defined opacity in the left suprahilar region which was new on ___ radiograph is likely an aspiration pneumonia.,opacity,left suprahilar region,New,"['files/p14/p14387068/s51265253/09392690-a0fa7fc5-6e064f84-fe8edde1-dc1b88d0.jpg', 'files/p14/p14387068/s51265253/7f2e0501-621b2ad0-0969b247-d16c6c18-12077b6d.jpg']",['files/p14/p14387068/s51227270/2001d733-0290af9c-11d2f658-a475b597-45f1095a.jpg\n']
s51265253_13,p14387068,s51265253,13,Impression,"Following thoracocentesis and right pigtail catheter placement, large right pleural effusion has decreased, but still at least moderate pleural effusion persists and accompanies complete collapse of the right lower lobe and possibly a partial collapse of the right upper lobe. Ill-defined left suprahilar opacity which was new on ___ is likely aspiration pneumonia.","Following thoracocentesis and right pigtail catheter placement, large right pleural effusion has decreased, but still at least moderate pleural effusion persists and accompanies complete collapse of the right lower lobe and possibly a partial collapse of the right upper lobe.",partial collapse,right upper lobe,Stable,"['files/p14/p14387068/s51265253/09392690-a0fa7fc5-6e064f84-fe8edde1-dc1b88d0.jpg', 'files/p14/p14387068/s51265253/7f2e0501-621b2ad0-0969b247-d16c6c18-12077b6d.jpg']",['files/p14/p14387068/s51227270/2001d733-0290af9c-11d2f658-a475b597-45f1095a.jpg\n']
s51265278_1,p13202100,s51265278,1,Findings,The lung volumes are low. There is similar mild relative elevation of the right hemidiaphragm. The heart is at the upper limits of normal size. The lungs appear clear. There are no pleural effusions or pneumothorax. There has been little if any change.,There is similar mild relative elevation of the right hemidiaphragm.,hemidiaphragm elevation,right,Stable,['files/p13/p13202100/s51265278/0d5def63-8ca29ddc-bf6bde42-fab8887f-19a6e96c.jpg'],"['files/p13/p13202100/s50109176/4f83231e-ae6e7b91-bf1ea6b3-6053e3f6-55fc3e1f.jpg\n', 'files/p13/p13202100/s50109176/52e4bfec-0c5b972b-cbcd589e-3cd83f95-12d14023.jpg\n', 'files/p13/p13202100/s50109176/89b0ebca-d32862e8-5268f3d8-5b946fe8-a2876759.jpg\n', 'files/p13/p13202100/s50109176/cb5f3772-130f7aca-79e132d0-9724feeb-6f07f744.jpg\n']"
s51265355_3,p12847817,s51265355,3,Findings,"In comparison with study of ___, there are again bilateral pleural effusions, which may be increasing on the right. Continued enlargement of the cardiac silhouette, possibly with mild elevation of pulmonary venous pressure.","In comparison with study of ___, there are again bilateral pleural effusions, which may be increasing on the right.",pleural effusions,right,Worse,['files/p12/p12847817/s51265355/98799e4e-1081c047-ad705716-d7734aa8-600d7924.jpg'],
s51265927_6,p13881772,s51265927,6,Findings,"As compared to the previous radiograph, the endotracheal tube has been pulled back. The tip of the tube now projects 4 cm above the carina. There is increasing diffuse opacity at the left lung base, likely caused by a small pleural effusion. No other relevant changes. No pneumothorax. Unchanged aspect of the cardiac silhouette.",Unchanged aspect of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p13/p13881772/s51265927/4d91911d-7ed6ea7f-18ae148c-fb6fdc45-798771a7.jpg'],['files/p13/p13881772/s50949626/1e457cbb-b441fc85-d8d29551-0cb1fed9-15dee5bd.jpg\n']
s51265927_6,p13881772,s51265927,6,Findings,"As compared to the previous radiograph, the endotracheal tube has been pulled back. The tip of the tube now projects 4 cm above the carina. There is increasing diffuse opacity at the left lung base, likely caused by a small pleural effusion. No other relevant changes. No pneumothorax. Unchanged aspect of the cardiac silhouette.","There is increasing diffuse opacity at the left lung base, likely caused by a small pleural effusion.",diffuse opacity,left lung base,Worse,['files/p13/p13881772/s51265927/4d91911d-7ed6ea7f-18ae148c-fb6fdc45-798771a7.jpg'],['files/p13/p13881772/s50949626/1e457cbb-b441fc85-d8d29551-0cb1fed9-15dee5bd.jpg\n']
s51266767_9,p17838301,s51266767,9,Findings,The heart is moderately enlarged. The aortic arch is calcified. The mediastinal and hilar contours appear unchanged. The lung volumes are low. Calcified pleural plaques are present. There is no definite pleural effusion or pneumothorax. Band-like opacity in the left mid lung suggests minor atelectasis or scarring. Pulmonary vessels are somewhat engorged centrally suggesting pulmonary venous hypertension if not frank pulmonary edema. There is a confluent right basilar opacity worrisome for pneumonia.,The mediastinal and hilar contours appear unchanged.,,mediastinal and hilar contours,Stable,['files/p17/p17838301/s51266767/474c4fbb-14f486fd-a3c9e647-da14a57d-dcf9e39a.jpg'],"['files/p17/p17838301/s50394941/033b5311-bd309afe-0b070613-65e6e2f1-0481fd48.jpg\n', 'files/p17/p17838301/s50394941/bf2bacd5-b94c49e9-68a69f71-b5d6c169-1078cd4b.jpg\n']"
s51271572_4,p17270742,s51271572,4,Findings,"As compared to the previous radiograph, the size of the large right parahilar air-fluid level is slightly decreased. Overall, the massive and predominantly central bilateral parenchymal opacities of mixed morphology are stable in extent and severity. Unchanged normal size of the cardiac silhouette. Unchanged absence of pleural effusions. Unchanged mild elevation of the left hemidiaphragm.",Unchanged mild elevation of the left hemidiaphragm,elevation,left hemidiaphragm,Stable,"['files/p17/p17270742/s51271572/67c9c5c6-f729ea08-a8ff4f27-2c8591bb-09775150.jpg', 'files/p17/p17270742/s51271572/fa46f7c1-2f7b2152-3371f918-8971f374-e6405bae.jpg']",['files/p17/p17270742/s50989704/8de65847-743ba591-16ca4044-0b5f1002-f1545e14.jpg\n']
s51271572_4,p17270742,s51271572,4,Findings,"As compared to the previous radiograph, the size of the large right parahilar air-fluid level is slightly decreased. Overall, the massive and predominantly central bilateral parenchymal opacities of mixed morphology are stable in extent and severity. Unchanged normal size of the cardiac silhouette. Unchanged absence of pleural effusions. Unchanged mild elevation of the left hemidiaphragm.",Unchanged absence of pleural effusions,effusions,pleural,Stable,"['files/p17/p17270742/s51271572/67c9c5c6-f729ea08-a8ff4f27-2c8591bb-09775150.jpg', 'files/p17/p17270742/s51271572/fa46f7c1-2f7b2152-3371f918-8971f374-e6405bae.jpg']",['files/p17/p17270742/s50989704/8de65847-743ba591-16ca4044-0b5f1002-f1545e14.jpg\n']
s51271572_4,p17270742,s51271572,4,Findings,"As compared to the previous radiograph, the size of the large right parahilar air-fluid level is slightly decreased. Overall, the massive and predominantly central bilateral parenchymal opacities of mixed morphology are stable in extent and severity. Unchanged normal size of the cardiac silhouette. Unchanged absence of pleural effusions. Unchanged mild elevation of the left hemidiaphragm.","As compared to the previous radiograph, the size of the large right parahilar air-fluid level is slightly decreased",air-fluid level,right parahilar,Better,"['files/p17/p17270742/s51271572/67c9c5c6-f729ea08-a8ff4f27-2c8591bb-09775150.jpg', 'files/p17/p17270742/s51271572/fa46f7c1-2f7b2152-3371f918-8971f374-e6405bae.jpg']",['files/p17/p17270742/s50989704/8de65847-743ba591-16ca4044-0b5f1002-f1545e14.jpg\n']
s51271572_4,p17270742,s51271572,4,Findings,"As compared to the previous radiograph, the size of the large right parahilar air-fluid level is slightly decreased. Overall, the massive and predominantly central bilateral parenchymal opacities of mixed morphology are stable in extent and severity. Unchanged normal size of the cardiac silhouette. Unchanged absence of pleural effusions. Unchanged mild elevation of the left hemidiaphragm.","Overall, the massive and predominantly central bilateral parenchymal opacities of mixed morphology are stable in extent and severity",parenchymal opacities,central bilateral,Stable,"['files/p17/p17270742/s51271572/67c9c5c6-f729ea08-a8ff4f27-2c8591bb-09775150.jpg', 'files/p17/p17270742/s51271572/fa46f7c1-2f7b2152-3371f918-8971f374-e6405bae.jpg']",['files/p17/p17270742/s50989704/8de65847-743ba591-16ca4044-0b5f1002-f1545e14.jpg\n']
s51271572_4,p17270742,s51271572,4,Findings,"As compared to the previous radiograph, the size of the large right parahilar air-fluid level is slightly decreased. Overall, the massive and predominantly central bilateral parenchymal opacities of mixed morphology are stable in extent and severity. Unchanged normal size of the cardiac silhouette. Unchanged absence of pleural effusions. Unchanged mild elevation of the left hemidiaphragm.",Unchanged normal size of the cardiac silhouette,size,cardiac silhouette,Stable,"['files/p17/p17270742/s51271572/67c9c5c6-f729ea08-a8ff4f27-2c8591bb-09775150.jpg', 'files/p17/p17270742/s51271572/fa46f7c1-2f7b2152-3371f918-8971f374-e6405bae.jpg']",['files/p17/p17270742/s50989704/8de65847-743ba591-16ca4044-0b5f1002-f1545e14.jpg\n']
s51273136_6,p14841168,s51273136,6,Impression,"AP chest compared to ___: Severe cardiomegaly and mediastinal vascular engorgement are stable. Pulmonary edema is mild, but small bilateral pleural effusions have increased. No pneumothorax. ET tube is in standard placement. Right central venous line ends just proximal to the origin of the SVC. No pneumothorax.",Severe cardiomegaly and mediastinal vascular engorgement are stable.,severe cardiomegaly,,Stable,['files/p14/p14841168/s51273136/184a9e7a-6c077522-edb3c396-b40dbd57-ffb02b71.jpg'],"['files/p14/p14841168/s51131705/4f8a1691-89998d68-1647d35a-65f86204-16385ae8.jpg\n', 'files/p14/p14841168/s51131705/7ab14399-04914a4f-ecbeb632-86169815-b8874a50.jpg\n']"
s51273136_6,p14841168,s51273136,6,Impression,"AP chest compared to ___: Severe cardiomegaly and mediastinal vascular engorgement are stable. Pulmonary edema is mild, but small bilateral pleural effusions have increased. No pneumothorax. ET tube is in standard placement. Right central venous line ends just proximal to the origin of the SVC. No pneumothorax.","Pulmonary edema is mild, but small bilateral pleural effusions have increased.",pleural effusions,bilateral,Worse,['files/p14/p14841168/s51273136/184a9e7a-6c077522-edb3c396-b40dbd57-ffb02b71.jpg'],"['files/p14/p14841168/s51131705/4f8a1691-89998d68-1647d35a-65f86204-16385ae8.jpg\n', 'files/p14/p14841168/s51131705/7ab14399-04914a4f-ecbeb632-86169815-b8874a50.jpg\n']"
s51273136_6,p14841168,s51273136,6,Impression,"AP chest compared to ___: Severe cardiomegaly and mediastinal vascular engorgement are stable. Pulmonary edema is mild, but small bilateral pleural effusions have increased. No pneumothorax. ET tube is in standard placement. Right central venous line ends just proximal to the origin of the SVC. No pneumothorax.",Severe cardiomegaly and mediastinal vascular engorgement are stable.,mediastinal vascular engorgement,,Stable,['files/p14/p14841168/s51273136/184a9e7a-6c077522-edb3c396-b40dbd57-ffb02b71.jpg'],"['files/p14/p14841168/s51131705/4f8a1691-89998d68-1647d35a-65f86204-16385ae8.jpg\n', 'files/p14/p14841168/s51131705/7ab14399-04914a4f-ecbeb632-86169815-b8874a50.jpg\n']"
s51274564_15,p16508811,s51274564,15,Findings,"A new central venous catheter terminates in the left brachiocephalic vein. There is no pneumothorax. Otherwise, there has been no significant short-term change.",A new central venous catheter terminates in the left brachiocephalic vein.,central venous catheter,left brachiocephalic vein,New,['files/p16/p16508811/s51274564/ee20ed6a-2dc0af0c-24d33cf6-5386e01a-c281e8c5.jpg'],"['files/p16/p16508811/s51162875/637ffdbf-4427b427-47f9c4dd-fb6aed19-218a92c2.jpg\n', 'files/p16/p16508811/s51162875/cd5bb1b2-3fb23145-b033324b-a7cb4c43-c1641cc9.jpg\n']"
s51274564_15,p16508811,s51274564,15,Impression,Status post placement of new left internal jugular central venous catheter; no pneumothorax identified.,Status post placement of new left internal jugular central venous catheter; no pneumothorax identified.,central venous catheter,left internal jugular,New,['files/p16/p16508811/s51274564/ee20ed6a-2dc0af0c-24d33cf6-5386e01a-c281e8c5.jpg'],"['files/p16/p16508811/s51162875/637ffdbf-4427b427-47f9c4dd-fb6aed19-218a92c2.jpg\n', 'files/p16/p16508811/s51162875/cd5bb1b2-3fb23145-b033324b-a7cb4c43-c1641cc9.jpg\n']"
s51280998_8,p12699874,s51280998,8,Findings,"There is a large right hydropneumothorax with a moderate amount of fluid. It is difficult to compare size; however, copared to the prior CT chest, it appears mostly unchanged. There is no evidence of tension as is supported by the fact that the trachea, the aortic knob, and the left heart border appear in similar position as radiograph prior to the pneumothorax on ___. Hazy opacities are seen involving the right middle and lower lobes. The localized nature of this process more likely represents hemorrhage or infectious process rather than reexpansion edema. The left lung is clear. The cardiomediastinal silhouette is stable. There are no acute bony abnormalities.","It is difficult to compare size; however, compared to the prior CT chest, it appears mostly unchanged.",Hydropneumothorax,Right,Stable,"['files/p12/p12699874/s51280998/115a50e2-b668b74b-81a73b76-9d53579f-12ea7431.jpg', 'files/p12/p12699874/s51280998/c2d43b6f-493ba743-28ddc8f7-1259dbaa-11647445.jpg', 'files/p12/p12699874/s51280998/f46ebce4-270dbbd9-24602b65-695b054c-bcd8093c.jpg']",['files/p12/p12699874/s51233868/5e44766b-fb081bc1-02952485-11552e37-ed98a6d3.jpg\n']
s51280998_8,p12699874,s51280998,8,Impression,"1. Large right hydropneumothorax, most likely unchanged in size from recent CT. No evidence of tension. 2. Hazy opacities involving the right middle and lower lobes most likely represents hemorrhage or infectious process. These findings were discussed with Dr. ___ by Dr. ___ ___ telephone at 10:45am.","1. Large right hydropneumothorax, most likely unchanged in size from recent CT.",Hydropneumothorax,Right,Stable,"['files/p12/p12699874/s51280998/115a50e2-b668b74b-81a73b76-9d53579f-12ea7431.jpg', 'files/p12/p12699874/s51280998/c2d43b6f-493ba743-28ddc8f7-1259dbaa-11647445.jpg', 'files/p12/p12699874/s51280998/f46ebce4-270dbbd9-24602b65-695b054c-bcd8093c.jpg']",['files/p12/p12699874/s51233868/5e44766b-fb081bc1-02952485-11552e37-ed98a6d3.jpg\n']
s51288835_1,p15419510,s51288835,1,Findings,"As compared to the previous radiograph, the lung parenchyma is diffusely increased in density. This is mainly caused by an increase in interstitial structures and subtle alveolar opacities. There are ___ B lines and small effusions are still present. In combination with the obvious cardiomegaly, moderate-to-severe interstitial pulmonary edema is to be suspected. Referring physician ___. ___ was paged for notification at the time of dictation, 8:58 a.m., on ___.",There are ___ B lines and small effusions are still present.,Small effusions,,Stable,['files/p15/p15419510/s51288835/5ae25c72-34cb9d49-a4da40d2-b675e012-73e45602.jpg'],
s51288835_1,p15419510,s51288835,1,Findings,"As compared to the previous radiograph, the lung parenchyma is diffusely increased in density. This is mainly caused by an increase in interstitial structures and subtle alveolar opacities. There are ___ B lines and small effusions are still present. In combination with the obvious cardiomegaly, moderate-to-severe interstitial pulmonary edema is to be suspected. Referring physician ___. ___ was paged for notification at the time of dictation, 8:58 a.m., on ___.","As compared to the previous radiograph, the lung parenchyma is diffusely increased in density.",Increased lung parenchyma density,,Worse,['files/p15/p15419510/s51288835/5ae25c72-34cb9d49-a4da40d2-b675e012-73e45602.jpg'],
s51293673_3,p16435402,s51293673,3,Findings,"Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. Nodular area of opacification in the left mid lung field was not clearly demonstrated on the prior radiograph. No other areas of focal consolidation, pleural effusion or pneumothorax are demonstrated. Healed fracture of the left 8th rib is seen, superior to the left nipple shadow. Numerous radiopaque circular ovoid structures are seen within the upper abdomen, likely reflecting ingested pills within the bowel. Clips are noted in the upper abdomen related to prior cholecystectomy.",Nodular area of opacification in the left mid lung field was not clearly demonstrated on the prior radiograph.,Nodular area of opacification,left mid lung field,New,"['files/p16/p16435402/s51293673/4b64a5b1-add48a29-703a757c-e888cd6b-4684205e.jpg', 'files/p16/p16435402/s51293673/cc171ec3-fc9a6d36-795ec494-82541af9-087011d7.jpg']","['files/p16/p16435402/s51143879/14bc2280-1d27b09e-a19b7d63-157c1de5-fa6f8d15.jpg\n', 'files/p16/p16435402/s51143879/4a11826b-f6d01af0-18890057-960c5a8c-f24fc5f0.jpg\n']"
s51299369_15,p15259244,s51299369,15,Impression,1) Bilateral pleural effusion with stable cardiomediastinal silhouette. 2) Low lung volumes bilaterally with increased left mid and lower lung atelectasis.,1) Bilateral pleural effusion with stable cardiomediastinal silhouette.,cardiomediastinal silhouette,,Stable,['files/p15/p15259244/s51299369/bd1321c9-fbaf9718-c06fef48-a5c3ccaa-5d48ccd1.jpg'],"['files/p15/p15259244/s51130329/adf296d0-4fd5ce49-a34b75c5-450e6912-f2fba814.jpg\n', 'files/p15/p15259244/s51130329/b3a59eff-ce2b4a69-c5090087-1a2a391b-2605a57c.jpg\n']"
s51299369_15,p15259244,s51299369,15,Findings,There are moderately low lung volumes bilaterally with an increase in left lower lobe atelectasis. Bilateral pleural effusions are seen. There is a stable enlarged cardiomediastinal silhouette. A right IJ catheter sheath is seen terminating in the mid SVC. A right subclavian double-lumen catheter is seen to terminate within the right atrium. An NG tube is again seen entering the stomach and then out of the field of view. There is no pneumothorax.,An NG tube is again seen entering the stomach and then out of the field of view.,NG tube,,Stable,['files/p15/p15259244/s51299369/bd1321c9-fbaf9718-c06fef48-a5c3ccaa-5d48ccd1.jpg'],"['files/p15/p15259244/s51130329/adf296d0-4fd5ce49-a34b75c5-450e6912-f2fba814.jpg\n', 'files/p15/p15259244/s51130329/b3a59eff-ce2b4a69-c5090087-1a2a391b-2605a57c.jpg\n']"
s51299369_15,p15259244,s51299369,15,Impression,1) Bilateral pleural effusion with stable cardiomediastinal silhouette. 2) Low lung volumes bilaterally with increased left mid and lower lung atelectasis.,2) Low lung volumes bilaterally with increased left mid and lower lung atelectasis.,atelectasis,left mid and lower lung,Worse,['files/p15/p15259244/s51299369/bd1321c9-fbaf9718-c06fef48-a5c3ccaa-5d48ccd1.jpg'],"['files/p15/p15259244/s51130329/adf296d0-4fd5ce49-a34b75c5-450e6912-f2fba814.jpg\n', 'files/p15/p15259244/s51130329/b3a59eff-ce2b4a69-c5090087-1a2a391b-2605a57c.jpg\n']"
s51299369_15,p15259244,s51299369,15,Findings,There are moderately low lung volumes bilaterally with an increase in left lower lobe atelectasis. Bilateral pleural effusions are seen. There is a stable enlarged cardiomediastinal silhouette. A right IJ catheter sheath is seen terminating in the mid SVC. A right subclavian double-lumen catheter is seen to terminate within the right atrium. An NG tube is again seen entering the stomach and then out of the field of view. There is no pneumothorax.,There is a stable enlarged cardiomediastinal silhouette.,enlarged cardiomediastinal silhouette,,Stable,['files/p15/p15259244/s51299369/bd1321c9-fbaf9718-c06fef48-a5c3ccaa-5d48ccd1.jpg'],"['files/p15/p15259244/s51130329/adf296d0-4fd5ce49-a34b75c5-450e6912-f2fba814.jpg\n', 'files/p15/p15259244/s51130329/b3a59eff-ce2b4a69-c5090087-1a2a391b-2605a57c.jpg\n']"
s51299369_15,p15259244,s51299369,15,Findings,There are moderately low lung volumes bilaterally with an increase in left lower lobe atelectasis. Bilateral pleural effusions are seen. There is a stable enlarged cardiomediastinal silhouette. A right IJ catheter sheath is seen terminating in the mid SVC. A right subclavian double-lumen catheter is seen to terminate within the right atrium. An NG tube is again seen entering the stomach and then out of the field of view. There is no pneumothorax.,There are moderately low lung volumes bilaterally with an increase in left lower lobe atelectasis.,atelectasis,left lower lobe,Worse,['files/p15/p15259244/s51299369/bd1321c9-fbaf9718-c06fef48-a5c3ccaa-5d48ccd1.jpg'],"['files/p15/p15259244/s51130329/adf296d0-4fd5ce49-a34b75c5-450e6912-f2fba814.jpg\n', 'files/p15/p15259244/s51130329/b3a59eff-ce2b4a69-c5090087-1a2a391b-2605a57c.jpg\n']"
s51300469_24,p13473495,s51300469,24,Findings,Lateral views are limited due to motion despite repeat image. Relatively low lung volumes are seen with secondary crowding of the bronchovascular markings. There is superimposed interstitial edema. There is no large effusion or definite consolidation. Linear atelectasis seen in the mid lungs bilaterally. The cardiac silhouette is enlarged but not significantly changed. Right-sided central venous catheter tip seen within the right atrium. Left subclavian vascular stent is noted.,The cardiac silhouette is enlarged but not significantly changed.,Cardiac silhouette,,Stable,"['files/p13/p13473495/s51300469/1797dbf9-b550d2a9-90d63c09-7f326fe9-70160201.jpg', 'files/p13/p13473495/s51300469/6cb983aa-64b252ae-99834c29-3233ef10-ba21f892.jpg', 'files/p13/p13473495/s51300469/d1d917cf-c84d3a9f-bd50b4ee-43f27a8e-79449ae8.jpg']","['files/p13/p13473495/s51168408/a274e07c-68b358c4-454f3eab-c28f2256-061b00e2.jpg\n', 'files/p13/p13473495/s51168408/a3bd1cb3-d4402e84-fb9c190f-657107d5-0c6f2237.jpg\n']"
s51301343_7,p12433421,s51301343,7,Impression,"An AP chest compared to ___ through ___: Left lower lobe collapse has improved. Moderate bilateral pleural effusion is present, stable on the left, increased on the right and there is a suggestion of new consolidation in the right lower lobe that could be a large pneumonia. Confirmation with conventional radiographs recommended when feasible. Dr. ___ was paged.","Moderate bilateral pleural effusion is present, stable on the left, increased on the right",pleural effusion,right,Worse,['files/p12/p12433421/s51301343/c84df635-43b1c5bd-cbd8fd29-e41b2428-dae6a1b9.jpg'],['files/p12/p12433421/s51235553/222087fc-b3297c5c-72502065-cf9f3e90-6839efc7.jpg\n']
s51301343_7,p12433421,s51301343,7,Impression,"An AP chest compared to ___ through ___: Left lower lobe collapse has improved. Moderate bilateral pleural effusion is present, stable on the left, increased on the right and there is a suggestion of new consolidation in the right lower lobe that could be a large pneumonia. Confirmation with conventional radiographs recommended when feasible. Dr. ___ was paged.",and there is a suggestion of new consolidation in the right lower lobe that could be a large pneumonia.,consolidation,right lower lobe,New,['files/p12/p12433421/s51301343/c84df635-43b1c5bd-cbd8fd29-e41b2428-dae6a1b9.jpg'],['files/p12/p12433421/s51235553/222087fc-b3297c5c-72502065-cf9f3e90-6839efc7.jpg\n']
s51301343_7,p12433421,s51301343,7,Impression,"An AP chest compared to ___ through ___: Left lower lobe collapse has improved. Moderate bilateral pleural effusion is present, stable on the left, increased on the right and there is a suggestion of new consolidation in the right lower lobe that could be a large pneumonia. Confirmation with conventional radiographs recommended when feasible. Dr. ___ was paged.","Moderate bilateral pleural effusion is present, stable on the left, increased on the right",pleural effusion,left,Stable,['files/p12/p12433421/s51301343/c84df635-43b1c5bd-cbd8fd29-e41b2428-dae6a1b9.jpg'],['files/p12/p12433421/s51235553/222087fc-b3297c5c-72502065-cf9f3e90-6839efc7.jpg\n']
s51301343_7,p12433421,s51301343,7,Impression,"An AP chest compared to ___ through ___: Left lower lobe collapse has improved. Moderate bilateral pleural effusion is present, stable on the left, increased on the right and there is a suggestion of new consolidation in the right lower lobe that could be a large pneumonia. Confirmation with conventional radiographs recommended when feasible. Dr. ___ was paged.",An AP chest compared to ___ through ___: Left lower lobe collapse has improved.,collapse,left lower lobe,Better,['files/p12/p12433421/s51301343/c84df635-43b1c5bd-cbd8fd29-e41b2428-dae6a1b9.jpg'],['files/p12/p12433421/s51235553/222087fc-b3297c5c-72502065-cf9f3e90-6839efc7.jpg\n']
s51309585_10,p12185775,s51309585,10,Impression,"AP chest compared to ___ through ___: Moderately severe pulmonary edema has worsened again. The relatively greater opacification at the right lung base seen previously was due to a combination of edema, atelectasis and right pleural effusion, so it is not necessary to invoke possible pneumonia to explain the current radiographic findings. Moderate-to-severe cardiomegaly is chronic. Pulmonary vascular engorgement and distention of mediastinal veins have worsened. No pneumothorax. Large calcified granulomas longstanding in the upper lungs.",AP chest compared to ___ through ___: Moderately severe pulmonary edema has worsened again.,pulmonary edema,,Worse,['files/p12/p12185775/s51309585/42a56014-a47bf1c7-ea0611ef-536278b4-881a4f91.jpg'],"['files/p12/p12185775/s50953777/c9bd6dd6-c8328950-4f61c412-81766efb-2d9c193f.jpg\n', 'files/p12/p12185775/s50953777/dcd6fbb9-e2ec404a-8b19713d-5379757a-105c3803.jpg\n']"
s51309585_10,p12185775,s51309585,10,Impression,"AP chest compared to ___ through ___: Moderately severe pulmonary edema has worsened again. The relatively greater opacification at the right lung base seen previously was due to a combination of edema, atelectasis and right pleural effusion, so it is not necessary to invoke possible pneumonia to explain the current radiographic findings. Moderate-to-severe cardiomegaly is chronic. Pulmonary vascular engorgement and distention of mediastinal veins have worsened. No pneumothorax. Large calcified granulomas longstanding in the upper lungs.",Pulmonary vascular engorgement and distention of mediastinal veins have worsened.,Pulmonary vascular engorgement,,Worse,['files/p12/p12185775/s51309585/42a56014-a47bf1c7-ea0611ef-536278b4-881a4f91.jpg'],"['files/p12/p12185775/s50953777/c9bd6dd6-c8328950-4f61c412-81766efb-2d9c193f.jpg\n', 'files/p12/p12185775/s50953777/dcd6fbb9-e2ec404a-8b19713d-5379757a-105c3803.jpg\n']"
s51309585_10,p12185775,s51309585,10,Impression,"AP chest compared to ___ through ___: Moderately severe pulmonary edema has worsened again. The relatively greater opacification at the right lung base seen previously was due to a combination of edema, atelectasis and right pleural effusion, so it is not necessary to invoke possible pneumonia to explain the current radiographic findings. Moderate-to-severe cardiomegaly is chronic. Pulmonary vascular engorgement and distention of mediastinal veins have worsened. No pneumothorax. Large calcified granulomas longstanding in the upper lungs.",Pulmonary vascular engorgement and distention of mediastinal veins have worsened.,distention of mediastinal veins,,Worse,['files/p12/p12185775/s51309585/42a56014-a47bf1c7-ea0611ef-536278b4-881a4f91.jpg'],"['files/p12/p12185775/s50953777/c9bd6dd6-c8328950-4f61c412-81766efb-2d9c193f.jpg\n', 'files/p12/p12185775/s50953777/dcd6fbb9-e2ec404a-8b19713d-5379757a-105c3803.jpg\n']"
s51318409_4,p17669276,s51318409,4,Findings,"Comparison is made to prior study from ___. There is extensive cardiomegaly which is stable since the previous studies. There is mild pulmonary interstitial edema. There are bilateral pleural effusions, right side worse than left. The right-sided effusion is a layering component along the more medial aspect. There are no pneumothoraces identified. There are extensive degenerative changes of the thoracolumbar spine with loss of vertebral body height and areas of vertebroplasty.",There is extensive cardiomegaly which is stable since the previous studies.,extensive cardiomegaly,,Stable,['files/p17/p17669276/s51318409/4669639e-0eb499f7-605cb393-d4ef9323-7f6c47df.jpg'],"['files/p17/p17669276/s50926698/48610074-8aa6ab8c-7c20f23a-7e26d775-88ee88e4.jpg\n', 'files/p17/p17669276/s50926698/b7d77fd6-bf863ed1-0d7c7510-dde731ba-1e25abec.jpg\n']"
s51322756_18,p12530259,s51322756,18,Findings,"In comparison with a series of images from ___ and ___, there has been progressive decrease in the pleural fluid in the left hemithorax, though some persists. Elevation of the hemidiaphragm with mild shift of the mediastinum to the left is consistent with previous surgery. The right lung is clear and there is no vascular congestion.","In comparison with a series of images from ___ and ___, there has been progressive decrease in the pleural fluid in the left hemithorax, though some persists.",pleural fluid,left hemithorax,Better,"['files/p12/p12530259/s51322756/35b23c83-dd3843f8-b3df9c7a-694fec14-2972fec9.jpg', 'files/p12/p12530259/s51322756/933e9d9c-77191c22-3fb042fe-3f825087-fa80fffa.jpg']",
s51323886_20,p19759491,s51323886,20,Findings,There is no significant interval change since the prior radiograph performed yesterday evening. A biventricular pacer defibrillator is visualized. The hemodialysis catheter is unchanged in position and terminates in the right atrium. There is persistent mild pulmonary vascular congestion accompanied by interstitial pulmonary edema. No new areas of focal consolidation are identified. Left lung base opacity is probably due to a combination of a small pleural effusion and adjacent atelectasis. A small right pleural effusion is also noted. Stable cardiomegaly.,Stable cardiomegaly.,cardiomegaly,,Stable,"['files/p19/p19759491/s51323886/7f90be03-f64f2d0b-36350e78-668756f9-417c5b45.jpg', 'files/p19/p19759491/s51323886/856ccba6-265c59c6-d6f7dcf6-78eea3ea-b33762d5.jpg']","['files/p19/p19759491/s50910303/7b2ae5d6-29ba59ad-3452638d-8877d19c-db599f29.jpg\n', 'files/p19/p19759491/s50910303/de862699-c552320b-11e6f6c8-5087a74f-98f0b80d.jpg\n']"
s51323886_20,p19759491,s51323886,20,Findings,There is no significant interval change since the prior radiograph performed yesterday evening. A biventricular pacer defibrillator is visualized. The hemodialysis catheter is unchanged in position and terminates in the right atrium. There is persistent mild pulmonary vascular congestion accompanied by interstitial pulmonary edema. No new areas of focal consolidation are identified. Left lung base opacity is probably due to a combination of a small pleural effusion and adjacent atelectasis. A small right pleural effusion is also noted. Stable cardiomegaly.,There is persistent mild pulmonary vascular congestion accompanied by interstitial pulmonary edema.,interstitial pulmonary edema,,Stable,"['files/p19/p19759491/s51323886/7f90be03-f64f2d0b-36350e78-668756f9-417c5b45.jpg', 'files/p19/p19759491/s51323886/856ccba6-265c59c6-d6f7dcf6-78eea3ea-b33762d5.jpg']","['files/p19/p19759491/s50910303/7b2ae5d6-29ba59ad-3452638d-8877d19c-db599f29.jpg\n', 'files/p19/p19759491/s50910303/de862699-c552320b-11e6f6c8-5087a74f-98f0b80d.jpg\n']"
s51323886_20,p19759491,s51323886,20,Findings,There is no significant interval change since the prior radiograph performed yesterday evening. A biventricular pacer defibrillator is visualized. The hemodialysis catheter is unchanged in position and terminates in the right atrium. There is persistent mild pulmonary vascular congestion accompanied by interstitial pulmonary edema. No new areas of focal consolidation are identified. Left lung base opacity is probably due to a combination of a small pleural effusion and adjacent atelectasis. A small right pleural effusion is also noted. Stable cardiomegaly.,There is persistent mild pulmonary vascular congestion accompanied by interstitial pulmonary edema.,pulmonary vascular congestion,,Stable,"['files/p19/p19759491/s51323886/7f90be03-f64f2d0b-36350e78-668756f9-417c5b45.jpg', 'files/p19/p19759491/s51323886/856ccba6-265c59c6-d6f7dcf6-78eea3ea-b33762d5.jpg']","['files/p19/p19759491/s50910303/7b2ae5d6-29ba59ad-3452638d-8877d19c-db599f29.jpg\n', 'files/p19/p19759491/s50910303/de862699-c552320b-11e6f6c8-5087a74f-98f0b80d.jpg\n']"
s51323886_20,p19759491,s51323886,20,Findings,There is no significant interval change since the prior radiograph performed yesterday evening. A biventricular pacer defibrillator is visualized. The hemodialysis catheter is unchanged in position and terminates in the right atrium. There is persistent mild pulmonary vascular congestion accompanied by interstitial pulmonary edema. No new areas of focal consolidation are identified. Left lung base opacity is probably due to a combination of a small pleural effusion and adjacent atelectasis. A small right pleural effusion is also noted. Stable cardiomegaly.,The hemodialysis catheter is unchanged in position and terminates in the right atrium.,hemodialysis catheter,right atrium,Stable,"['files/p19/p19759491/s51323886/7f90be03-f64f2d0b-36350e78-668756f9-417c5b45.jpg', 'files/p19/p19759491/s51323886/856ccba6-265c59c6-d6f7dcf6-78eea3ea-b33762d5.jpg']","['files/p19/p19759491/s50910303/7b2ae5d6-29ba59ad-3452638d-8877d19c-db599f29.jpg\n', 'files/p19/p19759491/s50910303/de862699-c552320b-11e6f6c8-5087a74f-98f0b80d.jpg\n']"
s51323886_20,p19759491,s51323886,20,Impression,1. Stable pulmonary vascular congestion and interstitial edema. 2. Left lung base opacity is probably due to a combination of small left pleural effusion and adjacent atelectasis.,1. Stable pulmonary vascular congestion and interstitial edema.,pulmonary vascular congestion,,Stable,"['files/p19/p19759491/s51323886/7f90be03-f64f2d0b-36350e78-668756f9-417c5b45.jpg', 'files/p19/p19759491/s51323886/856ccba6-265c59c6-d6f7dcf6-78eea3ea-b33762d5.jpg']","['files/p19/p19759491/s50910303/7b2ae5d6-29ba59ad-3452638d-8877d19c-db599f29.jpg\n', 'files/p19/p19759491/s50910303/de862699-c552320b-11e6f6c8-5087a74f-98f0b80d.jpg\n']"
s51323886_20,p19759491,s51323886,20,Impression,1. Stable pulmonary vascular congestion and interstitial edema. 2. Left lung base opacity is probably due to a combination of small left pleural effusion and adjacent atelectasis.,1. Stable pulmonary vascular congestion and interstitial edema.,interstitial edema,,Stable,"['files/p19/p19759491/s51323886/7f90be03-f64f2d0b-36350e78-668756f9-417c5b45.jpg', 'files/p19/p19759491/s51323886/856ccba6-265c59c6-d6f7dcf6-78eea3ea-b33762d5.jpg']","['files/p19/p19759491/s50910303/7b2ae5d6-29ba59ad-3452638d-8877d19c-db599f29.jpg\n', 'files/p19/p19759491/s50910303/de862699-c552320b-11e6f6c8-5087a74f-98f0b80d.jpg\n']"
s51325572_6,p17032538,s51325572,6,Findings,"As compared to the previous radiograph, there is no relevant change. Right apical parenchymal opacity is unchanged in extent. The right basal parenchymal scarring is also unchanged. Minimal left parenchymal scarring. Normal size of the cardiac silhouette. No evidence of pulmonary edema, a linear lucency at the left lung apex, mimicking a pneumothorax, is in fact outside of the patient. Unchanged course and position of the monitoring and support devices.",Right apical parenchymal opacity is unchanged in extent.,parenchymal opacity,right apical,Stable,['files/p17/p17032538/s51325572/8a8201f1-257d3a16-561099bb-c8e95167-e3b3b8e1.jpg'],['files/p17/p17032538/s50829485/b8f743d0-49b92246-83708dd6-caec53a5-fa07d8f5.jpg\n']
s51325572_6,p17032538,s51325572,6,Findings,"As compared to the previous radiograph, there is no relevant change. Right apical parenchymal opacity is unchanged in extent. The right basal parenchymal scarring is also unchanged. Minimal left parenchymal scarring. Normal size of the cardiac silhouette. No evidence of pulmonary edema, a linear lucency at the left lung apex, mimicking a pneumothorax, is in fact outside of the patient. Unchanged course and position of the monitoring and support devices.",The right basal parenchymal scarring is also unchanged.,parenchymal scarring,right basal,Stable,['files/p17/p17032538/s51325572/8a8201f1-257d3a16-561099bb-c8e95167-e3b3b8e1.jpg'],['files/p17/p17032538/s50829485/b8f743d0-49b92246-83708dd6-caec53a5-fa07d8f5.jpg\n']
s51326934_1,p19907884,s51326934,1,Findings,"In comparison with the study of ___, the monitoring and support devices have been removed. Continued low lung volumes but no definite evidence of pneumonia, pleural effusion, or vascular congestion. As on the prior study, there is some poor definition of the right heart border that could well represent crowding of vessels.","In comparison with the study of ___, the monitoring and support devices have been removed.",monitoring and support devices,,Resolve,"['files/p19/p19907884/s51326934/189bfd48-459e602e-189009ad-8e87fda4-4badf1bc.jpg', 'files/p19/p19907884/s51326934/af1457be-7507046a-550303e6-7079a0d3-56b7ab55.jpg']",
s51326934_1,p19907884,s51326934,1,Findings,"In comparison with the study of ___, the monitoring and support devices have been removed. Continued low lung volumes but no definite evidence of pneumonia, pleural effusion, or vascular congestion. As on the prior study, there is some poor definition of the right heart border that could well represent crowding of vessels.","As on the prior study, there is some poor definition of the right heart border that could well represent crowding of vessels.",poor definition,right heart border,Stable,"['files/p19/p19907884/s51326934/189bfd48-459e602e-189009ad-8e87fda4-4badf1bc.jpg', 'files/p19/p19907884/s51326934/af1457be-7507046a-550303e6-7079a0d3-56b7ab55.jpg']",
s51328698_1,p11934114,s51328698,1,Findings,"Single semi-erect portable view of the chest was obtained. Opacity projecting over the right mid to lower lung is likely due to pleural effusion with overlying atelectasis, underlying consolidation cannot be excluded. If want to know full extent of pleural effusion, consider decubitus views. There is a nodular opacity projecting over the lateral right lower hemithorax, most likely representing nipple shadow, although attention at followup once pleural effusion resolved is suggested. There is a small left pleural effusion. The cardiac silhouette is top normal to mildly enlarged. The aortic knob is calcified.","There is a nodular opacity projecting over the lateral right lower hemithorax, most likely representing nipple shadow, although attention at followup once pleural effusion resolved is suggested.",pleural effusion,lateral right lower hemithorax,Resolve,['files/p11/p11934114/s51328698/f9a68aca-c5a51654-80b6c990-e35e78ae-63dcc3b2.jpg'],['files/p11/p11934114/s51139077/4fc6f280-2eae00ca-b8720682-3d0a8eee-b2dbb3c6.jpg\n']
s51345585_38,p13475033,s51345585,38,Findings,"The lungs are mildly hyperinflated, as evidenced by flattening of the diaphragms on the lateral view. Diffuse interstitial markings, compatible with known chronic interstitial lung disease, are unchanged. There is no pleural effusion or evidence of pulmonary edema. There is no focal airspace consolidation worrisome for pneumonia. Mild to moderate cardiomegaly is unchanged. The mediastinal and hilar contours are unremarkable. A coronary artery stent is noted. There is a levoscoliosis of the thoracic spine.","Diffuse interstitial markings, compatible with known chronic interstitial lung disease, are unchanged.",interstitial markings,diffuse,Stable,"['files/p13/p13475033/s51345585/198c7689-cf66d2db-f4a5561e-c458a391-6861bad8.jpg', 'files/p13/p13475033/s51345585/b7ae7112-d3ab965d-c43adc90-30533667-3b307ee3.jpg']","['files/p13/p13475033/s51259731/a3c40907-043e8021-0482ce61-34670856-7cd45fdf.jpg\n', 'files/p13/p13475033/s51259731/fd442341-955b6521-e3b355ba-788f7de5-d75d5471.jpg\n']"
s51345585_38,p13475033,s51345585,38,Findings,"The lungs are mildly hyperinflated, as evidenced by flattening of the diaphragms on the lateral view. Diffuse interstitial markings, compatible with known chronic interstitial lung disease, are unchanged. There is no pleural effusion or evidence of pulmonary edema. There is no focal airspace consolidation worrisome for pneumonia. Mild to moderate cardiomegaly is unchanged. The mediastinal and hilar contours are unremarkable. A coronary artery stent is noted. There is a levoscoliosis of the thoracic spine.",Mild to moderate cardiomegaly is unchanged.,mild to moderate cardiomegaly,,Stable,"['files/p13/p13475033/s51345585/198c7689-cf66d2db-f4a5561e-c458a391-6861bad8.jpg', 'files/p13/p13475033/s51345585/b7ae7112-d3ab965d-c43adc90-30533667-3b307ee3.jpg']","['files/p13/p13475033/s51259731/a3c40907-043e8021-0482ce61-34670856-7cd45fdf.jpg\n', 'files/p13/p13475033/s51259731/fd442341-955b6521-e3b355ba-788f7de5-d75d5471.jpg\n']"
s51345585_38,p13475033,s51345585,38,Impression,Stable changes of chronic interstitial lung disease without evidence of a superimposed acute cardiopulmonary process.,Stable changes of chronic interstitial lung disease without evidence of a superimposed acute cardiopulmonary process.,chronic interstitial lung disease,,Stable,"['files/p13/p13475033/s51345585/198c7689-cf66d2db-f4a5561e-c458a391-6861bad8.jpg', 'files/p13/p13475033/s51345585/b7ae7112-d3ab965d-c43adc90-30533667-3b307ee3.jpg']","['files/p13/p13475033/s51259731/a3c40907-043e8021-0482ce61-34670856-7cd45fdf.jpg\n', 'files/p13/p13475033/s51259731/fd442341-955b6521-e3b355ba-788f7de5-d75d5471.jpg\n']"
s51347031_3,p15378103,s51347031,3,Findings,"The patient is status post median sternotomy and CABG. Left-sided dual-chamber pacemaker is noted with leads terminating in the right atrium and right ventricle. There is mild enlargement of the cardiac silhouette which is stable. The aorta remains tortuous. There is mild pulmonary edema and a small right pleural effusion. Previously noted left pleural effusion is not clearly seen on the current study. Patchy ill-defined opacity in the right base persists and is likely due to atelectasis, though infection cannot be excluded. There is no pneumothorax. No acute osseous abnormalities are present.",The aorta remains tortuous.,Tortuous,Aorta,Stable,"['files/p15/p15378103/s51347031/13ff8a8c-4278aaf8-04c02c8e-0a45b72a-3f9dd86d.jpg', 'files/p15/p15378103/s51347031/4a04164c-bf7a47b2-39273bf3-6f841e34-278431eb.jpg']",
s51347031_3,p15378103,s51347031,3,Findings,"The patient is status post median sternotomy and CABG. Left-sided dual-chamber pacemaker is noted with leads terminating in the right atrium and right ventricle. There is mild enlargement of the cardiac silhouette which is stable. The aorta remains tortuous. There is mild pulmonary edema and a small right pleural effusion. Previously noted left pleural effusion is not clearly seen on the current study. Patchy ill-defined opacity in the right base persists and is likely due to atelectasis, though infection cannot be excluded. There is no pneumothorax. No acute osseous abnormalities are present.",Previously noted left pleural effusion is not clearly seen on the current study.,Effusion,Left pleural,Resolve,"['files/p15/p15378103/s51347031/13ff8a8c-4278aaf8-04c02c8e-0a45b72a-3f9dd86d.jpg', 'files/p15/p15378103/s51347031/4a04164c-bf7a47b2-39273bf3-6f841e34-278431eb.jpg']",
s51347031_3,p15378103,s51347031,3,Findings,"The patient is status post median sternotomy and CABG. Left-sided dual-chamber pacemaker is noted with leads terminating in the right atrium and right ventricle. There is mild enlargement of the cardiac silhouette which is stable. The aorta remains tortuous. There is mild pulmonary edema and a small right pleural effusion. Previously noted left pleural effusion is not clearly seen on the current study. Patchy ill-defined opacity in the right base persists and is likely due to atelectasis, though infection cannot be excluded. There is no pneumothorax. No acute osseous abnormalities are present.","Patchy ill-defined opacity in the right base persists and is likely due to atelectasis, though infection cannot be excluded.",Patchy ill-defined opacity,Right base,Stable,"['files/p15/p15378103/s51347031/13ff8a8c-4278aaf8-04c02c8e-0a45b72a-3f9dd86d.jpg', 'files/p15/p15378103/s51347031/4a04164c-bf7a47b2-39273bf3-6f841e34-278431eb.jpg']",
s51347031_3,p15378103,s51347031,3,Findings,"The patient is status post median sternotomy and CABG. Left-sided dual-chamber pacemaker is noted with leads terminating in the right atrium and right ventricle. There is mild enlargement of the cardiac silhouette which is stable. The aorta remains tortuous. There is mild pulmonary edema and a small right pleural effusion. Previously noted left pleural effusion is not clearly seen on the current study. Patchy ill-defined opacity in the right base persists and is likely due to atelectasis, though infection cannot be excluded. There is no pneumothorax. No acute osseous abnormalities are present.",There is mild enlargement of the cardiac silhouette which is stable.,Mild enlargement,Cardiac silhouette,Stable,"['files/p15/p15378103/s51347031/13ff8a8c-4278aaf8-04c02c8e-0a45b72a-3f9dd86d.jpg', 'files/p15/p15378103/s51347031/4a04164c-bf7a47b2-39273bf3-6f841e34-278431eb.jpg']",
s51347031_3,p15378103,s51347031,3,Impression,"Mild pulmonary edema with small right pleural effusion and right basilar opacification, possibly reflecting atelectasis, though infection is not excluded. Previously noted small left pleural effusion appears resolved.",Previously noted small left pleural effusion appears resolved.,Small effusion,Left pleural,Resolve,"['files/p15/p15378103/s51347031/13ff8a8c-4278aaf8-04c02c8e-0a45b72a-3f9dd86d.jpg', 'files/p15/p15378103/s51347031/4a04164c-bf7a47b2-39273bf3-6f841e34-278431eb.jpg']",
s51351077_48,p13475033,s51351077,48,Findings,PA and lateral views of the chest provided. Coronary stent projects over the heart. A stent projects over the right upper arm. There is again noted to be coarsened prominent interstitial markings throughout both lungs which could reflect underlying fibrosis versus interstitial pulmonary edema. No large effusion or pneumothorax. No convincing evidence for pneumonia. Cardiomediastinal silhouette is stable. Bony structures are intact. A chronic left clavicular midshaft deformity is noted.,Cardiomediastinal silhouette is stable,Cardiomediastinal silhouette,,Stable,"['files/p13/p13475033/s51351077/762d904e-6d16b5e3-99ff54e0-002a0d8e-c7ab5157.jpg', 'files/p13/p13475033/s51351077/c8d8a6ba-39f605e7-31f65aff-3edf85bf-f9e26e9b.jpg']","['files/p13/p13475033/s51347202/893e71a8-87c6c1ff-1e2204e9-40f4c0c5-973e72c1.jpg\n', 'files/p13/p13475033/s51347202/b812a07e-581a2204-546dc6aa-3e981bb4-34d5c539.jpg\n']"
s51351077_48,p13475033,s51351077,48,Findings,PA and lateral views of the chest provided. Coronary stent projects over the heart. A stent projects over the right upper arm. There is again noted to be coarsened prominent interstitial markings throughout both lungs which could reflect underlying fibrosis versus interstitial pulmonary edema. No large effusion or pneumothorax. No convincing evidence for pneumonia. Cardiomediastinal silhouette is stable. Bony structures are intact. A chronic left clavicular midshaft deformity is noted.,There is again noted to be coarsened prominent interstitial markings throughout both lungs which could reflect underlying fibrosis versus interstitial pulmonary edema,Coarsened prominent interstitial markings,throughout both lungs,Stable,"['files/p13/p13475033/s51351077/762d904e-6d16b5e3-99ff54e0-002a0d8e-c7ab5157.jpg', 'files/p13/p13475033/s51351077/c8d8a6ba-39f605e7-31f65aff-3edf85bf-f9e26e9b.jpg']","['files/p13/p13475033/s51347202/893e71a8-87c6c1ff-1e2204e9-40f4c0c5-973e72c1.jpg\n', 'files/p13/p13475033/s51347202/b812a07e-581a2204-546dc6aa-3e981bb4-34d5c539.jpg\n']"
s51354646_7,p15204620,s51354646,7,Findings,"As compared to the previous radiograph, there is no relevant change. Extensive mediastinal right-sided adenopathy with potential volume loss in the right upper lobe. Extensive consolidation at the right lung base. No newly appeared focal parenchymal opacities. No change in size and aspect of the cardiac silhouette. No pleural effusions.",No change in size and aspect of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p15/p15204620/s51354646/4774ead7-71b48825-eef17477-bde904ec-11a19e52.jpg'],['files/p15/p15204620/s50773892/30105040-38b1165a-cdffbc34-0acc1b2b-1a69a7b9.jpg\n']
s51357526_2,p18309149,s51357526,2,Findings,"As compared to the previous radiograph, there is no relevant change. Unchanged extensive right pleural effusion with right pleural pigtail catheter. No evidence of right pneumothorax. Unchanged normal appearance of the left lung and the left heart border.",Unchanged extensive right pleural effusion with right pleural pigtail catheter.,pleural effusion,right,Stable,['files/p18/p18309149/s51357526/243970e9-b0a7958c-31bb275a-b862a345-294f46b1.jpg'],['files/p18/p18309149/s51264956/0172482f-ff4eeb46-e6e40eaa-2659ae08-97fb1158.jpg\n']
s51357526_2,p18309149,s51357526,2,Findings,"As compared to the previous radiograph, there is no relevant change. Unchanged extensive right pleural effusion with right pleural pigtail catheter. No evidence of right pneumothorax. Unchanged normal appearance of the left lung and the left heart border.",Unchanged normal appearance of the left lung and the left heart border.,heart border,left,Stable,['files/p18/p18309149/s51357526/243970e9-b0a7958c-31bb275a-b862a345-294f46b1.jpg'],['files/p18/p18309149/s51264956/0172482f-ff4eeb46-e6e40eaa-2659ae08-97fb1158.jpg\n']
s51357526_2,p18309149,s51357526,2,Findings,"As compared to the previous radiograph, there is no relevant change. Unchanged extensive right pleural effusion with right pleural pigtail catheter. No evidence of right pneumothorax. Unchanged normal appearance of the left lung and the left heart border.",Unchanged normal appearance of the left lung and the left heart border.,lung,left,Stable,['files/p18/p18309149/s51357526/243970e9-b0a7958c-31bb275a-b862a345-294f46b1.jpg'],['files/p18/p18309149/s51264956/0172482f-ff4eeb46-e6e40eaa-2659ae08-97fb1158.jpg\n']
s51370405_35,p16662264,s51370405,35,Impression,"As compared to the previous radiograph, the patient has developed multifocal bilateral for pneumonia is, with accompanying bilateral small pleural effusions. The effusions are better visualized on the lateral and on the frontal film. Normal lung volumes. Borderline size of the cardiac silhouette without pulmonary edema. No pneumothorax. Normal hilar and mediastinal contours.","As compared to the previous radiograph, the patient has developed multifocal bilateral for pneumonia is, with accompanying bilateral small pleural effusions.",small pleural effusions,bilateral,New,"['files/p16/p16662264/s51370405/03549470-b3b9bbfa-9829200c-9e8fbdda-228a6817.jpg', 'files/p16/p16662264/s51370405/10ebbcc4-5d18cbaf-604321c0-6a5a461c-ed5a7558.jpg', 'files/p16/p16662264/s51370405/1d6e8cad-ddd10be6-16acf8b1-e2199015-4c70546e.jpg']",['files/p16/p16662264/s50991057/73c41d4f-3d37dadd-90729029-8999920d-77f956eb.jpg\n']
s51370405_35,p16662264,s51370405,35,Impression,"As compared to the previous radiograph, the patient has developed multifocal bilateral for pneumonia is, with accompanying bilateral small pleural effusions. The effusions are better visualized on the lateral and on the frontal film. Normal lung volumes. Borderline size of the cardiac silhouette without pulmonary edema. No pneumothorax. Normal hilar and mediastinal contours.","As compared to the previous radiograph, the patient has developed multifocal bilateral for pneumonia is, with accompanying bilateral small pleural effusions.",pneumonia,bilateral,New,"['files/p16/p16662264/s51370405/03549470-b3b9bbfa-9829200c-9e8fbdda-228a6817.jpg', 'files/p16/p16662264/s51370405/10ebbcc4-5d18cbaf-604321c0-6a5a461c-ed5a7558.jpg', 'files/p16/p16662264/s51370405/1d6e8cad-ddd10be6-16acf8b1-e2199015-4c70546e.jpg']",['files/p16/p16662264/s50991057/73c41d4f-3d37dadd-90729029-8999920d-77f956eb.jpg\n']
s51373840_21,p14851532,s51373840,21,Findings,"Interval placement of feeding tube, which coils in the stomach, and subsequently courses cephalad with distal tip directed cephalad above the level of the clavicles within the proximal thoracic esophagus. Exam is otherwise remarkable for improving pulmonary edema and slight decrease in mass-like opacity at left apex which has been more fully evaluated by prior CT. Left retrocardiac opacity and bilateral pleural effusions appear similar. Nurse ___ was informed of the malposition of the feeding tube at 8:10 p.m. on ___ by telephone at the time of discovery.",Left retrocardiac opacity and bilateral pleural effusions appear similar.,opacity,left retrocardiac,Stable,['files/p14/p14851532/s51373840/9bff71ab-e64fa16c-fb22884b-26584905-9f6b4cb7.jpg'],"['files/p14/p14851532/s51210610/2004f81f-c16fed11-b77c5bad-b1bbed9b-deb7a14a.jpg\n', 'files/p14/p14851532/s51210610/741c0b91-5309a6f3-55319d4d-f0eb48ce-cb249515.jpg\n', 'files/p14/p14851532/s51210610/9428e731-163d993c-618d497c-871a84b1-39a4138e.jpg\n']"
s51373840_21,p14851532,s51373840,21,Findings,"Interval placement of feeding tube, which coils in the stomach, and subsequently courses cephalad with distal tip directed cephalad above the level of the clavicles within the proximal thoracic esophagus. Exam is otherwise remarkable for improving pulmonary edema and slight decrease in mass-like opacity at left apex which has been more fully evaluated by prior CT. Left retrocardiac opacity and bilateral pleural effusions appear similar. Nurse ___ was informed of the malposition of the feeding tube at 8:10 p.m. on ___ by telephone at the time of discovery.",Left retrocardiac opacity and bilateral pleural effusions appear similar.,pleural effusions,bilateral,Stable,['files/p14/p14851532/s51373840/9bff71ab-e64fa16c-fb22884b-26584905-9f6b4cb7.jpg'],"['files/p14/p14851532/s51210610/2004f81f-c16fed11-b77c5bad-b1bbed9b-deb7a14a.jpg\n', 'files/p14/p14851532/s51210610/741c0b91-5309a6f3-55319d4d-f0eb48ce-cb249515.jpg\n', 'files/p14/p14851532/s51210610/9428e731-163d993c-618d497c-871a84b1-39a4138e.jpg\n']"
s51373840_21,p14851532,s51373840,21,Findings,"Interval placement of feeding tube, which coils in the stomach, and subsequently courses cephalad with distal tip directed cephalad above the level of the clavicles within the proximal thoracic esophagus. Exam is otherwise remarkable for improving pulmonary edema and slight decrease in mass-like opacity at left apex which has been more fully evaluated by prior CT. Left retrocardiac opacity and bilateral pleural effusions appear similar. Nurse ___ was informed of the malposition of the feeding tube at 8:10 p.m. on ___ by telephone at the time of discovery.",Exam is otherwise remarkable for improving pulmonary edema and slight decrease in mass-like opacity at left apex which has been more fully evaluated by prior CT.,mass-like opacity,left apex,Better,['files/p14/p14851532/s51373840/9bff71ab-e64fa16c-fb22884b-26584905-9f6b4cb7.jpg'],"['files/p14/p14851532/s51210610/2004f81f-c16fed11-b77c5bad-b1bbed9b-deb7a14a.jpg\n', 'files/p14/p14851532/s51210610/741c0b91-5309a6f3-55319d4d-f0eb48ce-cb249515.jpg\n', 'files/p14/p14851532/s51210610/9428e731-163d993c-618d497c-871a84b1-39a4138e.jpg\n']"
s51373840_21,p14851532,s51373840,21,Findings,"Interval placement of feeding tube, which coils in the stomach, and subsequently courses cephalad with distal tip directed cephalad above the level of the clavicles within the proximal thoracic esophagus. Exam is otherwise remarkable for improving pulmonary edema and slight decrease in mass-like opacity at left apex which has been more fully evaluated by prior CT. Left retrocardiac opacity and bilateral pleural effusions appear similar. Nurse ___ was informed of the malposition of the feeding tube at 8:10 p.m. on ___ by telephone at the time of discovery.",Exam is otherwise remarkable for improving pulmonary edema and slight decrease in mass-like opacity at left apex which has been more fully evaluated by prior CT.,pulmonary edema,,Better,['files/p14/p14851532/s51373840/9bff71ab-e64fa16c-fb22884b-26584905-9f6b4cb7.jpg'],"['files/p14/p14851532/s51210610/2004f81f-c16fed11-b77c5bad-b1bbed9b-deb7a14a.jpg\n', 'files/p14/p14851532/s51210610/741c0b91-5309a6f3-55319d4d-f0eb48ce-cb249515.jpg\n', 'files/p14/p14851532/s51210610/9428e731-163d993c-618d497c-871a84b1-39a4138e.jpg\n']"
s51374401_8,p12736592,s51374401,8,Findings,"Compared to the most recent prior radiograph, there has been no significant change. There is no evidence of pneumothorax. Again seen is minimal bibasilar atelectasis. There is no pleural effusion or focal consolidation. The cardiac silhouette is stable, and there is mild tortuosity of the aorta. Median sternotomy wires and clips are unchanged. Subcutaneous air in the left soft tissues is again seen.",Again seen is minimal bibasilar atelectasis.,atelectasis,bibasilar,Stable,['files/p12/p12736592/s51374401/8069ee50-f6767717-3fd52486-9653f799-3d94d99b.jpg'],['files/p12/p12736592/s51043428/4acde369-1065a3cb-52a94a1e-fdc234c2-b18a2846.jpg\n']
s51374401_8,p12736592,s51374401,8,Findings,"Compared to the most recent prior radiograph, there has been no significant change. There is no evidence of pneumothorax. Again seen is minimal bibasilar atelectasis. There is no pleural effusion or focal consolidation. The cardiac silhouette is stable, and there is mild tortuosity of the aorta. Median sternotomy wires and clips are unchanged. Subcutaneous air in the left soft tissues is again seen.",Subcutaneous air in the left soft tissues is again seen.,subcutaneous air,left,Stable,['files/p12/p12736592/s51374401/8069ee50-f6767717-3fd52486-9653f799-3d94d99b.jpg'],['files/p12/p12736592/s51043428/4acde369-1065a3cb-52a94a1e-fdc234c2-b18a2846.jpg\n']
s51374401_8,p12736592,s51374401,8,Findings,"Compared to the most recent prior radiograph, there has been no significant change. There is no evidence of pneumothorax. Again seen is minimal bibasilar atelectasis. There is no pleural effusion or focal consolidation. The cardiac silhouette is stable, and there is mild tortuosity of the aorta. Median sternotomy wires and clips are unchanged. Subcutaneous air in the left soft tissues is again seen.",Median sternotomy wires and clips are unchanged.,median sternotomy wires and clips,,Stable,['files/p12/p12736592/s51374401/8069ee50-f6767717-3fd52486-9653f799-3d94d99b.jpg'],['files/p12/p12736592/s51043428/4acde369-1065a3cb-52a94a1e-fdc234c2-b18a2846.jpg\n']
s51374401_8,p12736592,s51374401,8,Findings,"Compared to the most recent prior radiograph, there has been no significant change. There is no evidence of pneumothorax. Again seen is minimal bibasilar atelectasis. There is no pleural effusion or focal consolidation. The cardiac silhouette is stable, and there is mild tortuosity of the aorta. Median sternotomy wires and clips are unchanged. Subcutaneous air in the left soft tissues is again seen.","The cardiac silhouette is stable, and there is mild tortuosity of the aorta.",tortuosity of the aorta,,Stable,['files/p12/p12736592/s51374401/8069ee50-f6767717-3fd52486-9653f799-3d94d99b.jpg'],['files/p12/p12736592/s51043428/4acde369-1065a3cb-52a94a1e-fdc234c2-b18a2846.jpg\n']
s51374401_8,p12736592,s51374401,8,Findings,"Compared to the most recent prior radiograph, there has been no significant change. There is no evidence of pneumothorax. Again seen is minimal bibasilar atelectasis. There is no pleural effusion or focal consolidation. The cardiac silhouette is stable, and there is mild tortuosity of the aorta. Median sternotomy wires and clips are unchanged. Subcutaneous air in the left soft tissues is again seen.","The cardiac silhouette is stable, and there is mild tortuosity of the aorta.",cardiac silhouette,,Stable,['files/p12/p12736592/s51374401/8069ee50-f6767717-3fd52486-9653f799-3d94d99b.jpg'],['files/p12/p12736592/s51043428/4acde369-1065a3cb-52a94a1e-fdc234c2-b18a2846.jpg\n']
s51375357_21,p19623993,s51375357,21,Findings,Minimal biapical scarring is unchanged. The lungs are otherwise clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.,Minimal biapical scarring is unchanged.,Scarring,Biapical,Stable,"['files/p19/p19623993/s51375357/81783298-03c9ce8a-e5c41662-1e81cfbd-fe393439.jpg', 'files/p19/p19623993/s51375357/8ce5c1e8-5314070b-aed98ebb-f5135400-c6c11c2f.jpg', 'files/p19/p19623993/s51375357/d8388085-8bcae4b0-0ecdcc02-28afaff9-221f4d72.jpg']","['files/p19/p19623993/s51096107/07223e64-694168bd-99cb6d9e-44dd80fc-6f182991.jpg\n', 'files/p19/p19623993/s51096107/5142f79d-ca2bee0e-d70061cd-e31c5917-98f78f0e.jpg\n']"
s51378502_10,p19028690,s51378502,10,Findings,"In comparison with the study of ___, there is little interval change and no evidence of acute cardiopulmonary disease. No vascular congestion, pleural effusion, or acute focal pneumonia. Of incidental note is an azygous fissure, of no clinical significance.","In comparison with the study of ___, there is little interval change and no evidence of acute cardiopulmonary disease.",acute cardiopulmonary disease,,Stable,"['files/p19/p19028690/s51378502/0a788d46-a00044c9-e0df1484-22595fd9-1b836a06.jpg', 'files/p19/p19028690/s51378502/e9bde0fb-7802062b-cec3c952-270203d9-0dd777ef.jpg']","['files/p19/p19028690/s50034238/11768b21-cec7175e-576769c4-ac9ed6f8-4e40be69.jpg\n', 'files/p19/p19028690/s50034238/96ea3d09-e928fb3b-dc086815-e0a3d015-45d3b08a.jpg\n', 'files/p19/p19028690/s50034238/f2c778ba-f563bd84-a1ecabe9-6fe0c5c5-c98661d8.jpg\n']"
s51380921_3,p15114531,s51380921,3,Findings,"In comparison with the study of ___, there is no change or evidence of acute cardiopulmonary disease. The lungs are clear and there is no vascular congestion or pleural effusion. Of incidental note is dilatation of the trachea consistent with the patient's known tracheomalacia. The esophageal capsule is no longer present and there are surgical clips in the upper abdomen.","In comparison with the study of ___, there is no change or evidence of acute cardiopulmonary disease.",acute cardiopulmonary disease,,Stable,"['files/p15/p15114531/s51380921/0d36ddb1-6fc61579-9d388097-85a29b72-2b1223b9.jpg', 'files/p15/p15114531/s51380921/a628980c-8235948c-af0bf50a-9aec5850-fcd593fc.jpg']","['files/p15/p15114531/s51118326/9f940d3e-d1174f8b-3c498fc6-91b43ca9-e9c4d278.jpg\n', 'files/p15/p15114531/s51118326/d36468b8-28879f9b-60f283a2-3c470f80-1d2c2b39.jpg\n']"
s51380921_3,p15114531,s51380921,3,Findings,"In comparison with the study of ___, there is no change or evidence of acute cardiopulmonary disease. The lungs are clear and there is no vascular congestion or pleural effusion. Of incidental note is dilatation of the trachea consistent with the patient's known tracheomalacia. The esophageal capsule is no longer present and there are surgical clips in the upper abdomen.",The esophageal capsule is no longer present and there are surgical clips in the upper abdomen.,esophageal capsule,esophagus,Resolve,"['files/p15/p15114531/s51380921/0d36ddb1-6fc61579-9d388097-85a29b72-2b1223b9.jpg', 'files/p15/p15114531/s51380921/a628980c-8235948c-af0bf50a-9aec5850-fcd593fc.jpg']","['files/p15/p15114531/s51118326/9f940d3e-d1174f8b-3c498fc6-91b43ca9-e9c4d278.jpg\n', 'files/p15/p15114531/s51118326/d36468b8-28879f9b-60f283a2-3c470f80-1d2c2b39.jpg\n']"
s51384021_8,p10410641,s51384021,8,Findings,"As compared to the previous radiograph, the patient has developed a right pneumothorax, the gap of the pneumothorax is about 3 cm large. There currently are no signs of tension. Right-sided pigtail catheter. On the left, a second pigtail catheter has been inserted. The catheter insertion caused a substantial decrease of the pre-existing extensive left pleural effusion. There is no evidence of left pneumothorax. The rightward mediastinal shift has completely reversed. Areas of atelectasis are seen at both lung bases. Normal size of the cardiac silhouette.",The rightward mediastinal shift has completely reversed.,mediastinal shift,right,Resolve,['files/p10/p10410641/s51384021/387c76dd-5c98b144-ff773e04-8401a69c-e93e16d0.jpg'],['files/p10/p10410641/s50964400/827ee5d1-edb520dd-ec2cf0f6-5f7c165d-453421fb.jpg\n']
s51384021_8,p10410641,s51384021,8,Findings,"As compared to the previous radiograph, the patient has developed a right pneumothorax, the gap of the pneumothorax is about 3 cm large. There currently are no signs of tension. Right-sided pigtail catheter. On the left, a second pigtail catheter has been inserted. The catheter insertion caused a substantial decrease of the pre-existing extensive left pleural effusion. There is no evidence of left pneumothorax. The rightward mediastinal shift has completely reversed. Areas of atelectasis are seen at both lung bases. Normal size of the cardiac silhouette.","As compared to the previous radiograph, the patient has developed a right pneumothorax, the gap of the pneumothorax is about 3 cm large.",pneumothorax,right,New,['files/p10/p10410641/s51384021/387c76dd-5c98b144-ff773e04-8401a69c-e93e16d0.jpg'],['files/p10/p10410641/s50964400/827ee5d1-edb520dd-ec2cf0f6-5f7c165d-453421fb.jpg\n']
s51384021_8,p10410641,s51384021,8,Findings,"As compared to the previous radiograph, the patient has developed a right pneumothorax, the gap of the pneumothorax is about 3 cm large. There currently are no signs of tension. Right-sided pigtail catheter. On the left, a second pigtail catheter has been inserted. The catheter insertion caused a substantial decrease of the pre-existing extensive left pleural effusion. There is no evidence of left pneumothorax. The rightward mediastinal shift has completely reversed. Areas of atelectasis are seen at both lung bases. Normal size of the cardiac silhouette.",The catheter insertion caused a substantial decrease of the pre-existing extensive left pleural effusion.,pleural effusion,left,Better,['files/p10/p10410641/s51384021/387c76dd-5c98b144-ff773e04-8401a69c-e93e16d0.jpg'],['files/p10/p10410641/s50964400/827ee5d1-edb520dd-ec2cf0f6-5f7c165d-453421fb.jpg\n']
s51391219_2,p19748558,s51391219,2,Findings,"Frontal and lateral views of the chest were obtained. The heart size is normal with normal cardiomediastinal contours. There is residual opacity in the left lower lobe, decreased in size since ___, when it was seen to correspond to a cavitary lesion. There is a persistent vague opacity in the right upper lobe, seen on the previous chest CT, which may represent sequelae of prior infection or persistent inflammation. There is new opacity at the right cardiophrenic angle, which may be atelectasis but could also represent pneumonia in the appropriate clinical setting. The pulmonary vasculature is unremarkable. No pneumothorax or pleural effusion. The osseous structures are normal. There has been interval removal of a PICC. No radiopaque foreign bodies are present.","There is new opacity at the right cardiophrenic angle, which may be atelectasis but could also represent pneumonia in the appropriate clinical setting.",opacity,right cardiophrenic angle,New,"['files/p19/p19748558/s51391219/ac638c9f-e5d8c3ae-fe914812-72a8fa82-e38477e7.jpg', 'files/p19/p19748558/s51391219/e585ac0f-fc079ecc-ae54b1f8-1121c4b0-52a0b7f0.jpg']",['files/p19/p19748558/s51371355/de6f3d70-eadfcea2-4074743a-28118cf6-707e9cfd.jpg\n']
s51391219_2,p19748558,s51391219,2,Findings,"Frontal and lateral views of the chest were obtained. The heart size is normal with normal cardiomediastinal contours. There is residual opacity in the left lower lobe, decreased in size since ___, when it was seen to correspond to a cavitary lesion. There is a persistent vague opacity in the right upper lobe, seen on the previous chest CT, which may represent sequelae of prior infection or persistent inflammation. There is new opacity at the right cardiophrenic angle, which may be atelectasis but could also represent pneumonia in the appropriate clinical setting. The pulmonary vasculature is unremarkable. No pneumothorax or pleural effusion. The osseous structures are normal. There has been interval removal of a PICC. No radiopaque foreign bodies are present.",There has been interval removal of a PICC.,PICC,,Resolve,"['files/p19/p19748558/s51391219/ac638c9f-e5d8c3ae-fe914812-72a8fa82-e38477e7.jpg', 'files/p19/p19748558/s51391219/e585ac0f-fc079ecc-ae54b1f8-1121c4b0-52a0b7f0.jpg']",['files/p19/p19748558/s51371355/de6f3d70-eadfcea2-4074743a-28118cf6-707e9cfd.jpg\n']
s51391219_2,p19748558,s51391219,2,Findings,"Frontal and lateral views of the chest were obtained. The heart size is normal with normal cardiomediastinal contours. There is residual opacity in the left lower lobe, decreased in size since ___, when it was seen to correspond to a cavitary lesion. There is a persistent vague opacity in the right upper lobe, seen on the previous chest CT, which may represent sequelae of prior infection or persistent inflammation. There is new opacity at the right cardiophrenic angle, which may be atelectasis but could also represent pneumonia in the appropriate clinical setting. The pulmonary vasculature is unremarkable. No pneumothorax or pleural effusion. The osseous structures are normal. There has been interval removal of a PICC. No radiopaque foreign bodies are present.","There is a persistent vague opacity in the right upper lobe, seen on the previous chest CT, which may represent sequelae of prior infection or persistent inflammation.",vague opacity,right upper lobe,Stable,"['files/p19/p19748558/s51391219/ac638c9f-e5d8c3ae-fe914812-72a8fa82-e38477e7.jpg', 'files/p19/p19748558/s51391219/e585ac0f-fc079ecc-ae54b1f8-1121c4b0-52a0b7f0.jpg']",['files/p19/p19748558/s51371355/de6f3d70-eadfcea2-4074743a-28118cf6-707e9cfd.jpg\n']
s51391219_2,p19748558,s51391219,2,Findings,"Frontal and lateral views of the chest were obtained. The heart size is normal with normal cardiomediastinal contours. There is residual opacity in the left lower lobe, decreased in size since ___, when it was seen to correspond to a cavitary lesion. There is a persistent vague opacity in the right upper lobe, seen on the previous chest CT, which may represent sequelae of prior infection or persistent inflammation. There is new opacity at the right cardiophrenic angle, which may be atelectasis but could also represent pneumonia in the appropriate clinical setting. The pulmonary vasculature is unremarkable. No pneumothorax or pleural effusion. The osseous structures are normal. There has been interval removal of a PICC. No radiopaque foreign bodies are present.","There is residual opacity in the left lower lobe, decreased in size since ___, when it was seen to correspond to a cavitary lesion.",cavitary lesion,left lower lobe,Better,"['files/p19/p19748558/s51391219/ac638c9f-e5d8c3ae-fe914812-72a8fa82-e38477e7.jpg', 'files/p19/p19748558/s51391219/e585ac0f-fc079ecc-ae54b1f8-1121c4b0-52a0b7f0.jpg']",['files/p19/p19748558/s51371355/de6f3d70-eadfcea2-4074743a-28118cf6-707e9cfd.jpg\n']
s51391219_2,p19748558,s51391219,2,Impression,"1. New right cardiophrenic angle opacity, which may represent pneumonia in the appropriate clinical setting. 2. Persistent right upper lobe and improved left lower lobe opacities.",2. Persistent right upper lobe and improved left lower lobe opacities.,opacity,left lower lobe,Better,"['files/p19/p19748558/s51391219/ac638c9f-e5d8c3ae-fe914812-72a8fa82-e38477e7.jpg', 'files/p19/p19748558/s51391219/e585ac0f-fc079ecc-ae54b1f8-1121c4b0-52a0b7f0.jpg']",['files/p19/p19748558/s51371355/de6f3d70-eadfcea2-4074743a-28118cf6-707e9cfd.jpg\n']
s51391219_2,p19748558,s51391219,2,Impression,"1. New right cardiophrenic angle opacity, which may represent pneumonia in the appropriate clinical setting. 2. Persistent right upper lobe and improved left lower lobe opacities.","1. New right cardiophrenic angle opacity, which may represent pneumonia in the appropriate clinical setting.",opacity,right cardiophrenic angle,New,"['files/p19/p19748558/s51391219/ac638c9f-e5d8c3ae-fe914812-72a8fa82-e38477e7.jpg', 'files/p19/p19748558/s51391219/e585ac0f-fc079ecc-ae54b1f8-1121c4b0-52a0b7f0.jpg']",['files/p19/p19748558/s51371355/de6f3d70-eadfcea2-4074743a-28118cf6-707e9cfd.jpg\n']
s51391219_2,p19748558,s51391219,2,Impression,"1. New right cardiophrenic angle opacity, which may represent pneumonia in the appropriate clinical setting. 2. Persistent right upper lobe and improved left lower lobe opacities.",2. Persistent right upper lobe and improved left lower lobe opacities.,opacity,right upper lobe,Stable,"['files/p19/p19748558/s51391219/ac638c9f-e5d8c3ae-fe914812-72a8fa82-e38477e7.jpg', 'files/p19/p19748558/s51391219/e585ac0f-fc079ecc-ae54b1f8-1121c4b0-52a0b7f0.jpg']",['files/p19/p19748558/s51371355/de6f3d70-eadfcea2-4074743a-28118cf6-707e9cfd.jpg\n']
s51392471_5,p16043637,s51392471,5,Findings,The patient is status post median sternotomy as well as pacemaker placement with leads terminating in right atrium and ventricle. There is also a aortic valve prosthesis. The heart size remains normal. There are no focal opacities concerning for an infectious process. No pleural effusion and no pneumothorax.,The heart size remains normal.,Heart size,,Stable,"['files/p16/p16043637/s51392471/368e1359-16b72e82-b25bf830-5ec680de-693466a0.jpg', 'files/p16/p16043637/s51392471/c02bdcc0-549bf4f3-5f78b267-f547a2ea-ad315318.jpg']","['files/p16/p16043637/s51177209/0240c2bd-1a2d54ea-8ccdf075-26529d30-cc00fd94.jpg\n', 'files/p16/p16043637/s51177209/1d56c03c-9a44b66d-4d418b85-94c243d6-acd00b8a.jpg\n']"
s51398188_21,p19075045,s51398188,21,Findings,"The patient is status post prior median sternotomy and CABG. A left chest wall dual lead pacemaker is present. A right central venous catheter is unchanged, the tip extending to the superior cavoatrial junction. No focal consolidation, pleural effusion or pneumothorax identified. Mild unchanged central pulmonary vascular congestion. The size and appearance of the cardiomediastinal silhouette is unchanged. Partially evaluated bilateral shoulder prostheses.",The size and appearance of the cardiomediastinal silhouette is unchanged.,cardiomediastinal silhouette,,Stable,['files/p19/p19075045/s51398188/406ff57a-8c66ca32-af21faa2-a53b08d6-7b5a0bdf.jpg'],"['files/p19/p19075045/s51128200/2c6e86c8-921ec7a5-47be827f-42cce8dc-26b68598.jpg\n', 'files/p19/p19075045/s51128200/3d369d5e-63a6e5b5-2da13aad-a02c9aa2-42d8e9fd.jpg\n', 'files/p19/p19075045/s51128200/7f25428d-f40f45d8-63084d3a-45dfb5a4-07d850c3.jpg\n']"
s51398188_21,p19075045,s51398188,21,Impression,Unchanged central pulmonary vascular congestion without evidence for pulmonary edema.,Unchanged central pulmonary vascular congestion without evidence for pulmonary edema.,pulmonary vascular congestion,central,Stable,['files/p19/p19075045/s51398188/406ff57a-8c66ca32-af21faa2-a53b08d6-7b5a0bdf.jpg'],"['files/p19/p19075045/s51128200/2c6e86c8-921ec7a5-47be827f-42cce8dc-26b68598.jpg\n', 'files/p19/p19075045/s51128200/3d369d5e-63a6e5b5-2da13aad-a02c9aa2-42d8e9fd.jpg\n', 'files/p19/p19075045/s51128200/7f25428d-f40f45d8-63084d3a-45dfb5a4-07d850c3.jpg\n']"
s51398188_21,p19075045,s51398188,21,Findings,"The patient is status post prior median sternotomy and CABG. A left chest wall dual lead pacemaker is present. A right central venous catheter is unchanged, the tip extending to the superior cavoatrial junction. No focal consolidation, pleural effusion or pneumothorax identified. Mild unchanged central pulmonary vascular congestion. The size and appearance of the cardiomediastinal silhouette is unchanged. Partially evaluated bilateral shoulder prostheses.",Mild unchanged central pulmonary vascular congestion.,pulmonary vascular congestion,central,Stable,['files/p19/p19075045/s51398188/406ff57a-8c66ca32-af21faa2-a53b08d6-7b5a0bdf.jpg'],"['files/p19/p19075045/s51128200/2c6e86c8-921ec7a5-47be827f-42cce8dc-26b68598.jpg\n', 'files/p19/p19075045/s51128200/3d369d5e-63a6e5b5-2da13aad-a02c9aa2-42d8e9fd.jpg\n', 'files/p19/p19075045/s51128200/7f25428d-f40f45d8-63084d3a-45dfb5a4-07d850c3.jpg\n']"
s51398188_21,p19075045,s51398188,21,Findings,"The patient is status post prior median sternotomy and CABG. A left chest wall dual lead pacemaker is present. A right central venous catheter is unchanged, the tip extending to the superior cavoatrial junction. No focal consolidation, pleural effusion or pneumothorax identified. Mild unchanged central pulmonary vascular congestion. The size and appearance of the cardiomediastinal silhouette is unchanged. Partially evaluated bilateral shoulder prostheses.","A right central venous catheter is unchanged, the tip extending to the superior cavoatrial junction.",central venous catheter,right,Stable,['files/p19/p19075045/s51398188/406ff57a-8c66ca32-af21faa2-a53b08d6-7b5a0bdf.jpg'],"['files/p19/p19075045/s51128200/2c6e86c8-921ec7a5-47be827f-42cce8dc-26b68598.jpg\n', 'files/p19/p19075045/s51128200/3d369d5e-63a6e5b5-2da13aad-a02c9aa2-42d8e9fd.jpg\n', 'files/p19/p19075045/s51128200/7f25428d-f40f45d8-63084d3a-45dfb5a4-07d850c3.jpg\n']"
s51401250_1,p10933609,s51401250,1,Findings,"In comparison with the study of ___, the Dobbhoff tube now extends to the distal stomach. The tube takes an unusual course, raising the possibility of previous gastric surgery. When compared to the study of ___, the extensive bilateral opacification has substantially decreased. Some of the residual may merely reflect fibrotic healing.",The Dobbhoff tube now extends to the distal stomach.,Dobbhoff tube,distal stomach,New,['files/p10/p10933609/s51401250/ba43f637-2b72b2f5-ad1e7041-96ea8d84-32e18e7e.jpg'],['files/p10/p10933609/s51115198/16cf598d-2b1a30e2-627a4c64-25720237-cab9c186.jpg\n']
s51401250_1,p10933609,s51401250,1,Findings,"In comparison with the study of ___, the Dobbhoff tube now extends to the distal stomach. The tube takes an unusual course, raising the possibility of previous gastric surgery. When compared to the study of ___, the extensive bilateral opacification has substantially decreased. Some of the residual may merely reflect fibrotic healing.",The extensive bilateral opacification has substantially decreased.,opacification,bilateral,Better,['files/p10/p10933609/s51401250/ba43f637-2b72b2f5-ad1e7041-96ea8d84-32e18e7e.jpg'],['files/p10/p10933609/s51115198/16cf598d-2b1a30e2-627a4c64-25720237-cab9c186.jpg\n']
s51406657_2,p19623993,s51406657,2,Findings,"A right internal jugular venous catheter tip projects within the mid SVC. An enteric feeding tube tip is demonstrated in the region of the pylorus. Since the prior examination there has been interval worsening of now moderate interstitial pulmonary edema. There are small bilateral pleural effusions. There is left retrocardiac atelectasis. There is no evidence of pneumothorax. The cardiomediastinal and hilar contours are stable, demonstrating moderate cardiomegaly.",Since the prior examination there has been interval worsening of now moderate interstitial pulmonary edema.,interstitial pulmonary edema,,Worse,"['files/p19/p19623993/s51406657/1077b9f0-48d911e6-a4858b45-dbcaf675-655280d9.jpg', 'files/p19/p19623993/s51406657/8213e26d-d00f0c0f-5125e457-8602815c-1ccc2765.jpg']","['files/p19/p19623993/s51375357/81783298-03c9ce8a-e5c41662-1e81cfbd-fe393439.jpg\n', 'files/p19/p19623993/s51375357/8ce5c1e8-5314070b-aed98ebb-f5135400-c6c11c2f.jpg\n', 'files/p19/p19623993/s51375357/d8388085-8bcae4b0-0ecdcc02-28afaff9-221f4d72.jpg\n']"
s51406657_2,p19623993,s51406657,2,Findings,"A right internal jugular venous catheter tip projects within the mid SVC. An enteric feeding tube tip is demonstrated in the region of the pylorus. Since the prior examination there has been interval worsening of now moderate interstitial pulmonary edema. There are small bilateral pleural effusions. There is left retrocardiac atelectasis. There is no evidence of pneumothorax. The cardiomediastinal and hilar contours are stable, demonstrating moderate cardiomegaly.","The cardiomediastinal and hilar contours are stable, demonstrating moderate cardiomegaly.",moderate cardiomegaly,,Stable,"['files/p19/p19623993/s51406657/1077b9f0-48d911e6-a4858b45-dbcaf675-655280d9.jpg', 'files/p19/p19623993/s51406657/8213e26d-d00f0c0f-5125e457-8602815c-1ccc2765.jpg']","['files/p19/p19623993/s51375357/81783298-03c9ce8a-e5c41662-1e81cfbd-fe393439.jpg\n', 'files/p19/p19623993/s51375357/8ce5c1e8-5314070b-aed98ebb-f5135400-c6c11c2f.jpg\n', 'files/p19/p19623993/s51375357/d8388085-8bcae4b0-0ecdcc02-28afaff9-221f4d72.jpg\n']"
s51406657_2,p19623993,s51406657,2,Impression,1. Interval worsening of now moderate interstitial pulmonary edema. 2. Dobbhoff tube tip is demonstrated in the region of the pylorus and a post-pyloric position cannot be confirmed.,1. Interval worsening of now moderate interstitial pulmonary edema.,interstitial pulmonary edema,,Worse,"['files/p19/p19623993/s51406657/1077b9f0-48d911e6-a4858b45-dbcaf675-655280d9.jpg', 'files/p19/p19623993/s51406657/8213e26d-d00f0c0f-5125e457-8602815c-1ccc2765.jpg']","['files/p19/p19623993/s51375357/81783298-03c9ce8a-e5c41662-1e81cfbd-fe393439.jpg\n', 'files/p19/p19623993/s51375357/8ce5c1e8-5314070b-aed98ebb-f5135400-c6c11c2f.jpg\n', 'files/p19/p19623993/s51375357/d8388085-8bcae4b0-0ecdcc02-28afaff9-221f4d72.jpg\n']"
s51407808_5,p12702423,s51407808,5,Findings,PA and lateral views of the chest were obtained. Patient is known to have extensive metastatic disease within the chest with loculated left pleural effusion. Overall appearance of the chest appears essentially stable compared with multiple prior exams. Please note evaluation for subtle differences would be limited due to extensive underlying metastatic burden. Heart size cannot be readily assessed. Mediastinal contour appears grossly stable. No pneumothorax is seen. Imaged osseous structures appear grossly intact.,Overall appearance of the chest appears essentially stable compared with multiple prior exams.,appearance,chest,Stable,"['files/p12/p12702423/s51407808/005f2399-b87f52cf-d010c801-5426064b-05e4afd4.jpg', 'files/p12/p12702423/s51407808/21608a5e-d7bf1745-cecdd40b-19f5d201-40cab845.jpg', 'files/p12/p12702423/s51407808/457215eb-af990b58-e7e16c7d-3a3ed2f9-654dadf1.jpg']","['files/p12/p12702423/s51244261/17ff7369-20912497-3b539b61-9c4ace20-7dc7fa12.jpg\n', 'files/p12/p12702423/s51244261/bceb45d9-799ac7a7-effd7ba0-71a61a33-92e4f08a.jpg\n']"
s51407808_5,p12702423,s51407808,5,Findings,PA and lateral views of the chest were obtained. Patient is known to have extensive metastatic disease within the chest with loculated left pleural effusion. Overall appearance of the chest appears essentially stable compared with multiple prior exams. Please note evaluation for subtle differences would be limited due to extensive underlying metastatic burden. Heart size cannot be readily assessed. Mediastinal contour appears grossly stable. No pneumothorax is seen. Imaged osseous structures appear grossly intact.,Mediastinal contour appears grossly stable.,contour,Mediastinal,Stable,"['files/p12/p12702423/s51407808/005f2399-b87f52cf-d010c801-5426064b-05e4afd4.jpg', 'files/p12/p12702423/s51407808/21608a5e-d7bf1745-cecdd40b-19f5d201-40cab845.jpg', 'files/p12/p12702423/s51407808/457215eb-af990b58-e7e16c7d-3a3ed2f9-654dadf1.jpg']","['files/p12/p12702423/s51244261/17ff7369-20912497-3b539b61-9c4ace20-7dc7fa12.jpg\n', 'files/p12/p12702423/s51244261/bceb45d9-799ac7a7-effd7ba0-71a61a33-92e4f08a.jpg\n']"
s51407808_5,p12702423,s51407808,5,Impression,"Extensive metastatic disease in the chest, which appears grossly stable compared with prior exams.","Extensive metastatic disease in the chest, which appears grossly stable compared with prior exams.",metastatic disease,chest,Stable,"['files/p12/p12702423/s51407808/005f2399-b87f52cf-d010c801-5426064b-05e4afd4.jpg', 'files/p12/p12702423/s51407808/21608a5e-d7bf1745-cecdd40b-19f5d201-40cab845.jpg', 'files/p12/p12702423/s51407808/457215eb-af990b58-e7e16c7d-3a3ed2f9-654dadf1.jpg']","['files/p12/p12702423/s51244261/17ff7369-20912497-3b539b61-9c4ace20-7dc7fa12.jpg\n', 'files/p12/p12702423/s51244261/bceb45d9-799ac7a7-effd7ba0-71a61a33-92e4f08a.jpg\n']"
s51426470_15,p16826047,s51426470,15,Findings,"On the previous radiograph, extent of the known right pleural effusion has increased. The right pleural drain seems to be in unchanged position. The effusion now occupies a little bit more than ___% of the right hemithorax. Unchanged appearance of the cardiac silhouette. Unchanged normal appearance of the left lung.",Unchanged appearance of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p16/p16826047/s51426470/f277a782-19eae246-7886e1cf-23cb06bd-7b9d64ff.jpg'],"['files/p16/p16826047/s50453673/0ebfea17-388d6e3e-19b4850d-4da084f8-0088c1c3.jpg\n', 'files/p16/p16826047/s50453673/76c350ea-1a3f5c17-77dc0d18-f3ac57a7-27bd14f8.jpg\n']"
s51426470_15,p16826047,s51426470,15,Findings,"On the previous radiograph, extent of the known right pleural effusion has increased. The right pleural drain seems to be in unchanged position. The effusion now occupies a little bit more than ___% of the right hemithorax. Unchanged appearance of the cardiac silhouette. Unchanged normal appearance of the left lung.",Unchanged normal appearance of the left lung.,lung,left,Stable,['files/p16/p16826047/s51426470/f277a782-19eae246-7886e1cf-23cb06bd-7b9d64ff.jpg'],"['files/p16/p16826047/s50453673/0ebfea17-388d6e3e-19b4850d-4da084f8-0088c1c3.jpg\n', 'files/p16/p16826047/s50453673/76c350ea-1a3f5c17-77dc0d18-f3ac57a7-27bd14f8.jpg\n']"
s51426470_15,p16826047,s51426470,15,Findings,"On the previous radiograph, extent of the known right pleural effusion has increased. The right pleural drain seems to be in unchanged position. The effusion now occupies a little bit more than ___% of the right hemithorax. Unchanged appearance of the cardiac silhouette. Unchanged normal appearance of the left lung.","On the previous radiograph, extent of the known right pleural effusion has increased.",pleural effusion,right,Worse,['files/p16/p16826047/s51426470/f277a782-19eae246-7886e1cf-23cb06bd-7b9d64ff.jpg'],"['files/p16/p16826047/s50453673/0ebfea17-388d6e3e-19b4850d-4da084f8-0088c1c3.jpg\n', 'files/p16/p16826047/s50453673/76c350ea-1a3f5c17-77dc0d18-f3ac57a7-27bd14f8.jpg\n']"
s51426470_15,p16826047,s51426470,15,Findings,"On the previous radiograph, extent of the known right pleural effusion has increased. The right pleural drain seems to be in unchanged position. The effusion now occupies a little bit more than ___% of the right hemithorax. Unchanged appearance of the cardiac silhouette. Unchanged normal appearance of the left lung.",The right pleural drain seems to be in unchanged position.,pleural drain,right,Stable,['files/p16/p16826047/s51426470/f277a782-19eae246-7886e1cf-23cb06bd-7b9d64ff.jpg'],"['files/p16/p16826047/s50453673/0ebfea17-388d6e3e-19b4850d-4da084f8-0088c1c3.jpg\n', 'files/p16/p16826047/s50453673/76c350ea-1a3f5c17-77dc0d18-f3ac57a7-27bd14f8.jpg\n']"
s51427095_1,p14969719,s51427095,1,Impression,"Moderate-to-large right pleural effusion, increased when compared to prior radiograph from ___. No pneumothorax.","Moderate-to-large right pleural effusion, increased when compared to prior radiograph from ___.",pleural effusion,right,Worse,"['files/p14/p14969719/s51427095/2c6f2019-d5ae3df4-d1020c68-54c72daf-f541b4b3.jpg', 'files/p14/p14969719/s51427095/95e57a26-a6de4499-4dddba72-f21f0627-c864e681.jpg']",['files/p14/p14969719/s50950402/9b81caad-45950b63-68fae78a-caa9bc51-74483a78.jpg\n']
s51427095_1,p14969719,s51427095,1,Findings,"Right-sided Port-A-Cath tip terminates within the SVC. Calcified prevascular lymph node is redemonstrated. A moderate-to-large right pleural effusion appears similar when compared to the prior reference chest radiograph, and has increased when compared to the prior chest radiograph of ___. Previously noted right upper lobe consolidation persists, and may be slightly improved when compared to the prior study. No pneumothorax is demonstrated. Left basilar atelectatic changes are present. The mediastinal contours appear unchanged, and assessment of the cardiac silhouette size is difficult given the presence of the moderate-to-large right pleural effusion. No acute osseous abnormality is seen.","The mediastinal contours appear unchanged, and assessment of the cardiac silhouette size is difficult given the presence of the moderate-to-large right pleural effusion.",contours,mediastinal,Stable,"['files/p14/p14969719/s51427095/2c6f2019-d5ae3df4-d1020c68-54c72daf-f541b4b3.jpg', 'files/p14/p14969719/s51427095/95e57a26-a6de4499-4dddba72-f21f0627-c864e681.jpg']",['files/p14/p14969719/s50950402/9b81caad-45950b63-68fae78a-caa9bc51-74483a78.jpg\n']
s51427095_1,p14969719,s51427095,1,Findings,"Right-sided Port-A-Cath tip terminates within the SVC. Calcified prevascular lymph node is redemonstrated. A moderate-to-large right pleural effusion appears similar when compared to the prior reference chest radiograph, and has increased when compared to the prior chest radiograph of ___. Previously noted right upper lobe consolidation persists, and may be slightly improved when compared to the prior study. No pneumothorax is demonstrated. Left basilar atelectatic changes are present. The mediastinal contours appear unchanged, and assessment of the cardiac silhouette size is difficult given the presence of the moderate-to-large right pleural effusion. No acute osseous abnormality is seen.","Previously noted right upper lobe consolidation persists, and may be slightly improved when compared to the prior study.",consolidation,right upper lobe,Stable,"['files/p14/p14969719/s51427095/2c6f2019-d5ae3df4-d1020c68-54c72daf-f541b4b3.jpg', 'files/p14/p14969719/s51427095/95e57a26-a6de4499-4dddba72-f21f0627-c864e681.jpg']",['files/p14/p14969719/s50950402/9b81caad-45950b63-68fae78a-caa9bc51-74483a78.jpg\n']
s51427095_1,p14969719,s51427095,1,Findings,"Right-sided Port-A-Cath tip terminates within the SVC. Calcified prevascular lymph node is redemonstrated. A moderate-to-large right pleural effusion appears similar when compared to the prior reference chest radiograph, and has increased when compared to the prior chest radiograph of ___. Previously noted right upper lobe consolidation persists, and may be slightly improved when compared to the prior study. No pneumothorax is demonstrated. Left basilar atelectatic changes are present. The mediastinal contours appear unchanged, and assessment of the cardiac silhouette size is difficult given the presence of the moderate-to-large right pleural effusion. No acute osseous abnormality is seen.","A moderate-to-large right pleural effusion appears similar when compared to the prior reference chest radiograph, and has increased when compared to the prior chest radiograph of ___.",pleural effusion,right,Worse,"['files/p14/p14969719/s51427095/2c6f2019-d5ae3df4-d1020c68-54c72daf-f541b4b3.jpg', 'files/p14/p14969719/s51427095/95e57a26-a6de4499-4dddba72-f21f0627-c864e681.jpg']",['files/p14/p14969719/s50950402/9b81caad-45950b63-68fae78a-caa9bc51-74483a78.jpg\n']
s51427095_1,p14969719,s51427095,1,Findings,"Right-sided Port-A-Cath tip terminates within the SVC. Calcified prevascular lymph node is redemonstrated. A moderate-to-large right pleural effusion appears similar when compared to the prior reference chest radiograph, and has increased when compared to the prior chest radiograph of ___. Previously noted right upper lobe consolidation persists, and may be slightly improved when compared to the prior study. No pneumothorax is demonstrated. Left basilar atelectatic changes are present. The mediastinal contours appear unchanged, and assessment of the cardiac silhouette size is difficult given the presence of the moderate-to-large right pleural effusion. No acute osseous abnormality is seen.",Calcified prevascular lymph node is redemonstrated.,lymph node,prevascular,Stable,"['files/p14/p14969719/s51427095/2c6f2019-d5ae3df4-d1020c68-54c72daf-f541b4b3.jpg', 'files/p14/p14969719/s51427095/95e57a26-a6de4499-4dddba72-f21f0627-c864e681.jpg']",['files/p14/p14969719/s50950402/9b81caad-45950b63-68fae78a-caa9bc51-74483a78.jpg\n']
s51431810_6,p14147787,s51431810,6,Findings,"As compared to the previous radiograph, the bilateral scars in the upper lobes are of unchanged extent and severity. On the lateral radiograph, there is improved ventilation of the lungs, notably at the bases of the lower lobes. No evidence for progression of disease. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures.","As compared to the previous radiograph, the bilateral scars in the upper lobes are of unchanged extent and severity.",scars,bilateral upper lobes,Stable,"['files/p14/p14147787/s51431810/2164992c-f4abb30a-7aaaf4f4-383cab47-4e3eb1c8.jpg', 'files/p14/p14147787/s51431810/5e6881e2-ff4254e0-b99f0c2f-8964482a-031364db.jpg', 'files/p14/p14147787/s51431810/fcdf7a30-3236b74e-65b97587-cdd4cfde-63cd1de0.jpg']","['files/p14/p14147787/s51143208/8262f308-02a47750-2bb9a31e-35cf7aad-6c5121f4.jpg\n', 'files/p14/p14147787/s51143208/84bda4d0-5f9d3ab4-fe155b80-2e70766a-60672585.jpg\n', 'files/p14/p14147787/s51143208/cd07db17-9e662fdb-84a7a802-661d6b7a-6538641e.jpg\n']"
s51431810_6,p14147787,s51431810,6,Findings,"As compared to the previous radiograph, the bilateral scars in the upper lobes are of unchanged extent and severity. On the lateral radiograph, there is improved ventilation of the lungs, notably at the bases of the lower lobes. No evidence for progression of disease. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures.","On the lateral radiograph, there is improved ventilation of the lungs, notably at the bases of the lower lobes.",ventilation,bases of the lower lobes,Better,"['files/p14/p14147787/s51431810/2164992c-f4abb30a-7aaaf4f4-383cab47-4e3eb1c8.jpg', 'files/p14/p14147787/s51431810/5e6881e2-ff4254e0-b99f0c2f-8964482a-031364db.jpg', 'files/p14/p14147787/s51431810/fcdf7a30-3236b74e-65b97587-cdd4cfde-63cd1de0.jpg']","['files/p14/p14147787/s51143208/8262f308-02a47750-2bb9a31e-35cf7aad-6c5121f4.jpg\n', 'files/p14/p14147787/s51143208/84bda4d0-5f9d3ab4-fe155b80-2e70766a-60672585.jpg\n', 'files/p14/p14147787/s51143208/cd07db17-9e662fdb-84a7a802-661d6b7a-6538641e.jpg\n']"
s51435896_1,p14387068,s51435896,1,Findings,"In the interim since the most recent prior chest radiograph of ___ obtained at 13:06, there has been placement of a pigtail catheter. There is resolution of the right-sided pleural effusion. The moderate-to-large right pneumothorax is more visible. The right lung appears collapsed. There is no significant shift of mediastinum. Portions of the left costophrenic angle are not included in field-of-view. Within this limitation, the left lung shows no focal consolidation, pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contours are normal.","In the interim since the most recent prior chest radiograph of ___ obtained at 13:06, there has been placement of a pigtail catheter.",pigtail catheter,,New,['files/p14/p14387068/s51435896/dba61a64-de733cca-c91730b7-7870dfef-c173ffd9.jpg'],['files/p14/p14387068/s51346944/f376a6b6-0447ef09-f99ba585-ac93baaf-321b89a9.jpg\n']
s51435896_1,p14387068,s51435896,1,Findings,"In the interim since the most recent prior chest radiograph of ___ obtained at 13:06, there has been placement of a pigtail catheter. There is resolution of the right-sided pleural effusion. The moderate-to-large right pneumothorax is more visible. The right lung appears collapsed. There is no significant shift of mediastinum. Portions of the left costophrenic angle are not included in field-of-view. Within this limitation, the left lung shows no focal consolidation, pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contours are normal.",The moderate-to-large right pneumothorax is more visible.,pneumothorax,right,Worse,['files/p14/p14387068/s51435896/dba61a64-de733cca-c91730b7-7870dfef-c173ffd9.jpg'],['files/p14/p14387068/s51346944/f376a6b6-0447ef09-f99ba585-ac93baaf-321b89a9.jpg\n']
s51435896_1,p14387068,s51435896,1,Impression,Interval placement of pigtail catheter with resolution of right-sided pleural effusion with a moderate-to-large right pneumothorax with no significant shift of mediastinum and collapsed right lung. Findings discussed with ___ at 16:36 on ___ via telephone.,Interval placement of pigtail catheter with resolution of right-sided pleural effusion with a moderate-to-large right pneumothorax with no significant shift of mediastinum and collapsed right lung.,pneumothorax,right,Worse,['files/p14/p14387068/s51435896/dba61a64-de733cca-c91730b7-7870dfef-c173ffd9.jpg'],['files/p14/p14387068/s51346944/f376a6b6-0447ef09-f99ba585-ac93baaf-321b89a9.jpg\n']
s51435896_1,p14387068,s51435896,1,Impression,Interval placement of pigtail catheter with resolution of right-sided pleural effusion with a moderate-to-large right pneumothorax with no significant shift of mediastinum and collapsed right lung. Findings discussed with ___ at 16:36 on ___ via telephone.,Interval placement of pigtail catheter with resolution of right-sided pleural effusion with a moderate-to-large right pneumothorax with no significant shift of mediastinum and collapsed right lung.,pigtail catheter,,New,['files/p14/p14387068/s51435896/dba61a64-de733cca-c91730b7-7870dfef-c173ffd9.jpg'],['files/p14/p14387068/s51346944/f376a6b6-0447ef09-f99ba585-ac93baaf-321b89a9.jpg\n']
s51435896_1,p14387068,s51435896,1,Impression,Interval placement of pigtail catheter with resolution of right-sided pleural effusion with a moderate-to-large right pneumothorax with no significant shift of mediastinum and collapsed right lung. Findings discussed with ___ at 16:36 on ___ via telephone.,Interval placement of pigtail catheter with resolution of right-sided pleural effusion with a moderate-to-large right pneumothorax with no significant shift of mediastinum and collapsed right lung.,pleural effusion,right-sided,Resolve,['files/p14/p14387068/s51435896/dba61a64-de733cca-c91730b7-7870dfef-c173ffd9.jpg'],['files/p14/p14387068/s51346944/f376a6b6-0447ef09-f99ba585-ac93baaf-321b89a9.jpg\n']
s51435896_1,p14387068,s51435896,1,Findings,"In the interim since the most recent prior chest radiograph of ___ obtained at 13:06, there has been placement of a pigtail catheter. There is resolution of the right-sided pleural effusion. The moderate-to-large right pneumothorax is more visible. The right lung appears collapsed. There is no significant shift of mediastinum. Portions of the left costophrenic angle are not included in field-of-view. Within this limitation, the left lung shows no focal consolidation, pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contours are normal.",There is resolution of the right-sided pleural effusion.,pleural effusion,right-sided,Resolve,['files/p14/p14387068/s51435896/dba61a64-de733cca-c91730b7-7870dfef-c173ffd9.jpg'],['files/p14/p14387068/s51346944/f376a6b6-0447ef09-f99ba585-ac93baaf-321b89a9.jpg\n']
s51441976_3,p10439781,s51441976,3,Findings,"In comparison with study of ___, there is little overall change. Substantial cardiomegaly with bilateral opacifications most likely reflecting pulmonary edema. The possibility of supervening pneumonia would have to be raised in the appropriate clinical setting. Central catheter remains in place. Slight impression on the lower cervical trachea on the right could possibly represent a small thyroid mass.","In comparison with study of ___, there is little overall change. Substantial cardiomegaly with bilateral opacifications most likely reflecting pulmonary edema. The possibility of supervening pneumonia would have to be raised in the appropriate clinical setting. Central catheter remains in place. Slight impression on the lower cervical trachea on the right could possibly represent a small thyroid mass.",opacifications,bilateral,Stable,['files/p10/p10439781/s51441976/3d0754cf-6b313d54-5c41bc32-9f042b6f-4f2f7051.jpg'],['files/p10/p10439781/s51129150/1d74ca1d-12ac2785-bd84a322-376f04bc-b9fdaa99.jpg\n']
s51441976_3,p10439781,s51441976,3,Findings,"In comparison with study of ___, there is little overall change. Substantial cardiomegaly with bilateral opacifications most likely reflecting pulmonary edema. The possibility of supervening pneumonia would have to be raised in the appropriate clinical setting. Central catheter remains in place. Slight impression on the lower cervical trachea on the right could possibly represent a small thyroid mass.","In comparison with study of ___, there is little overall change. Substantial cardiomegaly with bilateral opacifications most likely reflecting pulmonary edema. The possibility of supervening pneumonia would have to be raised in the appropriate clinical setting. Central catheter remains in place. Slight impression on the lower cervical trachea on the right could possibly represent a small thyroid mass.",cardiomegaly,bilateral,Stable,['files/p10/p10439781/s51441976/3d0754cf-6b313d54-5c41bc32-9f042b6f-4f2f7051.jpg'],['files/p10/p10439781/s51129150/1d74ca1d-12ac2785-bd84a322-376f04bc-b9fdaa99.jpg\n']
s51455625_14,p12952223,s51455625,14,Findings,"Since most recent prior radiograph a Swan-Ganz catheter, feeding tube, right IJ central line have been removed and ET tube hav been removed. Lung volumes are low. There are now new bilateral large bibasilar opacities consistent with atelectasis. There are unchanged bilateral pleural effusions. There is new mild pulmonary edema. A right chest tube is in place. There are median sternotomy wires and stable moderate cardiomegaly.",There are now new bilateral large bibasilar opacities consistent with atelectasis.,large bibasilar opacities,bilateral,New,['files/p12/p12952223/s51455625/77f8b16c-dc92cae8-c7cbef7d-dd25244a-9176e253.jpg'],['files/p12/p12952223/s51183783/8753dd62-80681aa9-11dcf353-7d254056-7c7675c7.jpg\n']
s51455625_14,p12952223,s51455625,14,Findings,"Since most recent prior radiograph a Swan-Ganz catheter, feeding tube, right IJ central line have been removed and ET tube hav been removed. Lung volumes are low. There are now new bilateral large bibasilar opacities consistent with atelectasis. There are unchanged bilateral pleural effusions. There is new mild pulmonary edema. A right chest tube is in place. There are median sternotomy wires and stable moderate cardiomegaly.",There is new mild pulmonary edema.,mild pulmonary edema,,New,['files/p12/p12952223/s51455625/77f8b16c-dc92cae8-c7cbef7d-dd25244a-9176e253.jpg'],['files/p12/p12952223/s51183783/8753dd62-80681aa9-11dcf353-7d254056-7c7675c7.jpg\n']
s51455625_14,p12952223,s51455625,14,Findings,"Since most recent prior radiograph a Swan-Ganz catheter, feeding tube, right IJ central line have been removed and ET tube hav been removed. Lung volumes are low. There are now new bilateral large bibasilar opacities consistent with atelectasis. There are unchanged bilateral pleural effusions. There is new mild pulmonary edema. A right chest tube is in place. There are median sternotomy wires and stable moderate cardiomegaly.",There are median sternotomy wires and stable moderate cardiomegaly.,moderate cardiomegaly,,Stable,['files/p12/p12952223/s51455625/77f8b16c-dc92cae8-c7cbef7d-dd25244a-9176e253.jpg'],['files/p12/p12952223/s51183783/8753dd62-80681aa9-11dcf353-7d254056-7c7675c7.jpg\n']
s51455625_14,p12952223,s51455625,14,Findings,"Since most recent prior radiograph a Swan-Ganz catheter, feeding tube, right IJ central line have been removed and ET tube hav been removed. Lung volumes are low. There are now new bilateral large bibasilar opacities consistent with atelectasis. There are unchanged bilateral pleural effusions. There is new mild pulmonary edema. A right chest tube is in place. There are median sternotomy wires and stable moderate cardiomegaly.","Since most recent prior radiograph a Swan-Ganz catheter, feeding tube, right IJ central line have been removed and ET tube hav been removed.",ET tube,,Resolve,['files/p12/p12952223/s51455625/77f8b16c-dc92cae8-c7cbef7d-dd25244a-9176e253.jpg'],['files/p12/p12952223/s51183783/8753dd62-80681aa9-11dcf353-7d254056-7c7675c7.jpg\n']
s51455625_14,p12952223,s51455625,14,Findings,"Since most recent prior radiograph a Swan-Ganz catheter, feeding tube, right IJ central line have been removed and ET tube hav been removed. Lung volumes are low. There are now new bilateral large bibasilar opacities consistent with atelectasis. There are unchanged bilateral pleural effusions. There is new mild pulmonary edema. A right chest tube is in place. There are median sternotomy wires and stable moderate cardiomegaly.","Since most recent prior radiograph a Swan-Ganz catheter, feeding tube, right IJ central line have been removed and ET tube hav been removed.",right IJ central line,,Resolve,['files/p12/p12952223/s51455625/77f8b16c-dc92cae8-c7cbef7d-dd25244a-9176e253.jpg'],['files/p12/p12952223/s51183783/8753dd62-80681aa9-11dcf353-7d254056-7c7675c7.jpg\n']
s51455625_14,p12952223,s51455625,14,Findings,"Since most recent prior radiograph a Swan-Ganz catheter, feeding tube, right IJ central line have been removed and ET tube hav been removed. Lung volumes are low. There are now new bilateral large bibasilar opacities consistent with atelectasis. There are unchanged bilateral pleural effusions. There is new mild pulmonary edema. A right chest tube is in place. There are median sternotomy wires and stable moderate cardiomegaly.","Since most recent prior radiograph a Swan-Ganz catheter, feeding tube, right IJ central line have been removed and ET tube hav been removed.",feeding tube,,Resolve,['files/p12/p12952223/s51455625/77f8b16c-dc92cae8-c7cbef7d-dd25244a-9176e253.jpg'],['files/p12/p12952223/s51183783/8753dd62-80681aa9-11dcf353-7d254056-7c7675c7.jpg\n']
s51455625_14,p12952223,s51455625,14,Findings,"Since most recent prior radiograph a Swan-Ganz catheter, feeding tube, right IJ central line have been removed and ET tube hav been removed. Lung volumes are low. There are now new bilateral large bibasilar opacities consistent with atelectasis. There are unchanged bilateral pleural effusions. There is new mild pulmonary edema. A right chest tube is in place. There are median sternotomy wires and stable moderate cardiomegaly.","Since most recent prior radiograph a Swan-Ganz catheter, feeding tube, right IJ central line have been removed and ET tube hav been removed.",Swan-Ganz catheter,,Resolve,['files/p12/p12952223/s51455625/77f8b16c-dc92cae8-c7cbef7d-dd25244a-9176e253.jpg'],['files/p12/p12952223/s51183783/8753dd62-80681aa9-11dcf353-7d254056-7c7675c7.jpg\n']
s51455625_14,p12952223,s51455625,14,Impression,1. Removal of multiple monitoring and support devices. 2. New mild pulmonary edema.,2. New mild pulmonary edema.,mild pulmonary edema,,New,['files/p12/p12952223/s51455625/77f8b16c-dc92cae8-c7cbef7d-dd25244a-9176e253.jpg'],['files/p12/p12952223/s51183783/8753dd62-80681aa9-11dcf353-7d254056-7c7675c7.jpg\n']
s51455625_14,p12952223,s51455625,14,Impression,1. Removal of multiple monitoring and support devices. 2. New mild pulmonary edema.,1. Removal of multiple monitoring and support devices.,multiple monitoring and support devices,,Resolve,['files/p12/p12952223/s51455625/77f8b16c-dc92cae8-c7cbef7d-dd25244a-9176e253.jpg'],['files/p12/p12952223/s51183783/8753dd62-80681aa9-11dcf353-7d254056-7c7675c7.jpg\n']
s51455625_14,p12952223,s51455625,14,Findings,"Since most recent prior radiograph a Swan-Ganz catheter, feeding tube, right IJ central line have been removed and ET tube hav been removed. Lung volumes are low. There are now new bilateral large bibasilar opacities consistent with atelectasis. There are unchanged bilateral pleural effusions. There is new mild pulmonary edema. A right chest tube is in place. There are median sternotomy wires and stable moderate cardiomegaly.",There are unchanged bilateral pleural effusions.,pleural effusions,bilateral,Stable,['files/p12/p12952223/s51455625/77f8b16c-dc92cae8-c7cbef7d-dd25244a-9176e253.jpg'],['files/p12/p12952223/s51183783/8753dd62-80681aa9-11dcf353-7d254056-7c7675c7.jpg\n']
s51463307_12,p18224196,s51463307,12,Findings,"In comparison with the study of ___, the intestinal catheter has been removed. The right PICC line again extends to the lower portion of the SVC. Continued bilateral basilar opacification is consistent with substantial effusions, more prominent on the left, and underlying compressive atelectasis. Moderate cardiomegaly persists. No definite vascular congestion.","In comparison with the study of ___, the intestinal catheter has been removed.",intestinal catheter,,Resolve,['files/p18/p18224196/s51463307/0bef8ba1-43fc24e0-70fdb6e1-979af2ea-5243f4b6.jpg'],['files/p18/p18224196/s50929836/f3b42407-6b2326f3-2497e880-ce2defbd-96071f1d.jpg\n']
s51463307_12,p18224196,s51463307,12,Findings,"In comparison with the study of ___, the intestinal catheter has been removed. The right PICC line again extends to the lower portion of the SVC. Continued bilateral basilar opacification is consistent with substantial effusions, more prominent on the left, and underlying compressive atelectasis. Moderate cardiomegaly persists. No definite vascular congestion.",Moderate cardiomegaly persists.,moderate cardiomegaly,,Stable,['files/p18/p18224196/s51463307/0bef8ba1-43fc24e0-70fdb6e1-979af2ea-5243f4b6.jpg'],['files/p18/p18224196/s50929836/f3b42407-6b2326f3-2497e880-ce2defbd-96071f1d.jpg\n']
s51465438_6,p18067737,s51465438,6,Findings,"AP single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding portable chest examination of ___. During the examination interval, successful and uncomplicated left-sided thoracocentesis was performed. The lung fields have cleared up and the left diaphragmatic contour is now visible. The left lateral pleural sinus is free from any blunting pleural effusion. Volume of left hemithorax still remains reduced in comparison to the more normal appearing right-sided hemithorax. This most likely is related to the earlier described paramediastinal mass in the left hilar area. Previously described permanent pacer in left anterior axillary position with dual intracavitary electrode system is unchanged. No pneumothorax has developed on either side.",Volume of left hemithorax still remains reduced in comparison to the more normal appearing right-sided hemithorax.,reduced volume,left hemithorax,Stable,['files/p18/p18067737/s51465438/63ee3ff5-d84abed7-10208fcd-96b68026-bb55b8ff.jpg'],"['files/p18/p18067737/s50431066/404dfc42-ee2b7f16-1f8535c6-eddf267e-b9f928e0.jpg\n', 'files/p18/p18067737/s50431066/94f5ba63-5b0649c0-63f21058-2429a6c1-291139cc.jpg\n', 'files/p18/p18067737/s50431066/a6dc99c7-6d793ce2-188bd506-b751deab-79f8ebbb.jpg\n', 'files/p18/p18067737/s50431066/f90437b8-3b33ff29-c06a7caf-299995e5-2da5c2ba.jpg\n']"
s51465438_6,p18067737,s51465438,6,Findings,"AP single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding portable chest examination of ___. During the examination interval, successful and uncomplicated left-sided thoracocentesis was performed. The lung fields have cleared up and the left diaphragmatic contour is now visible. The left lateral pleural sinus is free from any blunting pleural effusion. Volume of left hemithorax still remains reduced in comparison to the more normal appearing right-sided hemithorax. This most likely is related to the earlier described paramediastinal mass in the left hilar area. Previously described permanent pacer in left anterior axillary position with dual intracavitary electrode system is unchanged. No pneumothorax has developed on either side.",Previously described permanent pacer in left anterior axillary position with dual intracavitary electrode system is unchanged.,permanent pacer,left anterior axillary,Stable,['files/p18/p18067737/s51465438/63ee3ff5-d84abed7-10208fcd-96b68026-bb55b8ff.jpg'],"['files/p18/p18067737/s50431066/404dfc42-ee2b7f16-1f8535c6-eddf267e-b9f928e0.jpg\n', 'files/p18/p18067737/s50431066/94f5ba63-5b0649c0-63f21058-2429a6c1-291139cc.jpg\n', 'files/p18/p18067737/s50431066/a6dc99c7-6d793ce2-188bd506-b751deab-79f8ebbb.jpg\n', 'files/p18/p18067737/s50431066/f90437b8-3b33ff29-c06a7caf-299995e5-2da5c2ba.jpg\n']"
s51466579_5,p12433541,s51466579,5,Findings,,No new lung opacities.,Lung opacities,,New,['files/p12/p12433541/s51466579/dd006e88-448a1c0b-b26a6a12-d597b660-cb8279f5.jpg'],['files/p12/p12433541/s50247294/7e530d0e-05f64408-24c921b8-1929b8f8-29ec99fd.jpg\n']
s51466579_5,p12433541,s51466579,5,Findings,,The heart size is stable.,Heart size,,Stable,['files/p12/p12433541/s51466579/dd006e88-448a1c0b-b26a6a12-d597b660-cb8279f5.jpg'],['files/p12/p12433541/s50247294/7e530d0e-05f64408-24c921b8-1929b8f8-29ec99fd.jpg\n']
s51466579_5,p12433541,s51466579,5,Findings,,The mediastinal contours are unchanged.,Mediastinal contours,,Stable,['files/p12/p12433541/s51466579/dd006e88-448a1c0b-b26a6a12-d597b660-cb8279f5.jpg'],['files/p12/p12433541/s50247294/7e530d0e-05f64408-24c921b8-1929b8f8-29ec99fd.jpg\n']
s51467319_0,p19389041,s51467319,0,Findings,"AP single view of the chest has been obtained with patient in upright position. There is no evidence of pneumothorax in the apical area on either left or right side. In comparison with the next preceding chest examination of ___, at that time described pulmonary abnormalities including a left lower lobe mass persists.","In comparison with the next preceding chest examination of ___, at that time described pulmonary abnormalities including a left lower lobe mass persists.",mass,left lower lobe,Stable,['files/p19/p19389041/s51467319/7701efe6-56cfaf62-917ec157-bf142818-4a6993ee.jpg'],
s51468636_76,p15131736,s51468636,76,Impression,"Cardiomegaly and pulmonary edema which may have progressed since prior although some changes may be accounted for by lower lung volumes on the current exam. Left basilar opacity, potentially atelectasis noting that infection would also be possible.",Cardiomegaly and pulmonary edema which may have progressed since prior although some changes may be accounted for by lower lung volumes on the current exam.,edema,pulmonary,Worse,"['files/p15/p15131736/s51468636/05f9a070-a4116dd6-f7ba75fb-5e8dea94-59328a7f.jpg', 'files/p15/p15131736/s51468636/0fa068b9-b7c538a0-4a745c5f-061c6c55-8c8236ce.jpg', 'files/p15/p15131736/s51468636/73d09a2f-e8077206-2a03b426-badcd185-81f46a4f.jpg']",['files/p15/p15131736/s51229977/4ffa9df0-24b7231c-3f67bde1-d9698406-f27658a3.jpg\n']
s51468636_76,p15131736,s51468636,76,Impression,"Cardiomegaly and pulmonary edema which may have progressed since prior although some changes may be accounted for by lower lung volumes on the current exam. Left basilar opacity, potentially atelectasis noting that infection would also be possible.",Cardiomegaly and pulmonary edema which may have progressed since prior although some changes may be accounted for by lower lung volumes on the current exam.,cardiomegaly,cardiac,Worse,"['files/p15/p15131736/s51468636/05f9a070-a4116dd6-f7ba75fb-5e8dea94-59328a7f.jpg', 'files/p15/p15131736/s51468636/0fa068b9-b7c538a0-4a745c5f-061c6c55-8c8236ce.jpg', 'files/p15/p15131736/s51468636/73d09a2f-e8077206-2a03b426-badcd185-81f46a4f.jpg']",['files/p15/p15131736/s51229977/4ffa9df0-24b7231c-3f67bde1-d9698406-f27658a3.jpg\n']
s51468636_76,p15131736,s51468636,76,Findings,"Lung volumes are low with secondary crowding of the bronchovascular markings. There is however superimposed pulmonary edema which may have progressed since prior although changes could in part be to lower lung volumes. Enlargement of the cardiac silhouette is also noted, again not significantly changed. More dense left basilar opacity, particularly on the frontal view could be combination of atelectasis noting that infection is difficult to exclude. .","Enlargement of the cardiac silhouette is also noted, again not significantly changed.",silhouette enlargement,cardiac,Stable,"['files/p15/p15131736/s51468636/05f9a070-a4116dd6-f7ba75fb-5e8dea94-59328a7f.jpg', 'files/p15/p15131736/s51468636/0fa068b9-b7c538a0-4a745c5f-061c6c55-8c8236ce.jpg', 'files/p15/p15131736/s51468636/73d09a2f-e8077206-2a03b426-badcd185-81f46a4f.jpg']",['files/p15/p15131736/s51229977/4ffa9df0-24b7231c-3f67bde1-d9698406-f27658a3.jpg\n']
s51468636_76,p15131736,s51468636,76,Findings,"Lung volumes are low with secondary crowding of the bronchovascular markings. There is however superimposed pulmonary edema which may have progressed since prior although changes could in part be to lower lung volumes. Enlargement of the cardiac silhouette is also noted, again not significantly changed. More dense left basilar opacity, particularly on the frontal view could be combination of atelectasis noting that infection is difficult to exclude. .",There is however superimposed pulmonary edema which may have progressed since prior although changes could in part be to lower lung volumes.,edema,pulmonary,Worse,"['files/p15/p15131736/s51468636/05f9a070-a4116dd6-f7ba75fb-5e8dea94-59328a7f.jpg', 'files/p15/p15131736/s51468636/0fa068b9-b7c538a0-4a745c5f-061c6c55-8c8236ce.jpg', 'files/p15/p15131736/s51468636/73d09a2f-e8077206-2a03b426-badcd185-81f46a4f.jpg']",['files/p15/p15131736/s51229977/4ffa9df0-24b7231c-3f67bde1-d9698406-f27658a3.jpg\n']
s51473674_3,p10975446,s51473674,3,Findings,"There is mild cardiomegaly. The aorta is tortuous and calcified. The mediastinal and hilar contours appear unchanged. There is a similar mild interstitial abnormality with prominence of central pulmonary vascularity, suggesting mild vascular congestion. In addition, patchy streaky opacities in the right mid and lower lung suggest a background of minor scarring or atelectasis. Although evaluation is limited, there is no definite pleural effusion. No pneumothorax is demonstrated, although it is noted that the left lung apex is obscured by a flexed chin.","There is a similar mild interstitial abnormality with prominence of central pulmonary vascularity, suggesting mild vascular congestion.",Mild interstitial abnormality,central,Stable,['files/p10/p10975446/s51473674/e0f5b52f-7723f470-e1b422a4-73ef70cb-2a76d9c3.jpg'],['files/p10/p10975446/s50572011/d25f054a-e8199cdc-c669cb2e-ebcfb082-54c205b7.jpg\n']
s51473674_3,p10975446,s51473674,3,Findings,"There is mild cardiomegaly. The aorta is tortuous and calcified. The mediastinal and hilar contours appear unchanged. There is a similar mild interstitial abnormality with prominence of central pulmonary vascularity, suggesting mild vascular congestion. In addition, patchy streaky opacities in the right mid and lower lung suggest a background of minor scarring or atelectasis. Although evaluation is limited, there is no definite pleural effusion. No pneumothorax is demonstrated, although it is noted that the left lung apex is obscured by a flexed chin.",The mediastinal and hilar contours appear unchanged.,Mediastinal and hilar contours,,Stable,['files/p10/p10975446/s51473674/e0f5b52f-7723f470-e1b422a4-73ef70cb-2a76d9c3.jpg'],['files/p10/p10975446/s50572011/d25f054a-e8199cdc-c669cb2e-ebcfb082-54c205b7.jpg\n']
s51473674_3,p10975446,s51473674,3,Impression,Essentially stable findings suggesting mild pulmonary vascular congestion.,Essentially stable findings suggesting mild pulmonary vascular congestion.,Mild pulmonary vascular congestion,,Stable,['files/p10/p10975446/s51473674/e0f5b52f-7723f470-e1b422a4-73ef70cb-2a76d9c3.jpg'],['files/p10/p10975446/s50572011/d25f054a-e8199cdc-c669cb2e-ebcfb082-54c205b7.jpg\n']
s51474707_11,p12595991,s51474707,11,Impression,"As compared to the previous radiograph, the previously malpositioned PICC line in the left jugular vein has been pulled back. However, on today's examination, the PICC line appears to project over the right axillary region. The line should be completely withdrawn and repositioned. The previous right internal jugular vein catheter was removed. There is unchanged mild cardiomegaly at lower lung volumes. These low lung volumes are essentially caused by an elevation of the right hemidiaphragm, better appreciated on the lateral than on the frontal radiograph. No current evidence of larger pleural effusions, pulmonary edema, or pneumonia. Unchanged pacemaker leads and left pectoral pacemaker generator.",The previous right internal jugular vein catheter was removed.,catheter,right internal jugular vein,Resolve,"['files/p12/p12595991/s51474707/2fe309ca-e58c4d80-6f0002e9-cd535709-1c3f5890.jpg', 'files/p12/p12595991/s51474707/f2baee8f-ab9bb3f0-cd412d19-fa6f5014-d0388839.jpg']",['files/p12/p12595991/s50749866/9df33cee-a5533c4d-56048d41-edb2923b-6b01ac1f.jpg\n']
s51474707_11,p12595991,s51474707,11,Impression,"As compared to the previous radiograph, the previously malpositioned PICC line in the left jugular vein has been pulled back. However, on today's examination, the PICC line appears to project over the right axillary region. The line should be completely withdrawn and repositioned. The previous right internal jugular vein catheter was removed. There is unchanged mild cardiomegaly at lower lung volumes. These low lung volumes are essentially caused by an elevation of the right hemidiaphragm, better appreciated on the lateral than on the frontal radiograph. No current evidence of larger pleural effusions, pulmonary edema, or pneumonia. Unchanged pacemaker leads and left pectoral pacemaker generator.",There is unchanged mild cardiomegaly at lower lung volumes.,mild cardiomegaly,,Stable,"['files/p12/p12595991/s51474707/2fe309ca-e58c4d80-6f0002e9-cd535709-1c3f5890.jpg', 'files/p12/p12595991/s51474707/f2baee8f-ab9bb3f0-cd412d19-fa6f5014-d0388839.jpg']",['files/p12/p12595991/s50749866/9df33cee-a5533c4d-56048d41-edb2923b-6b01ac1f.jpg\n']
s51474707_11,p12595991,s51474707,11,Impression,"As compared to the previous radiograph, the previously malpositioned PICC line in the left jugular vein has been pulled back. However, on today's examination, the PICC line appears to project over the right axillary region. The line should be completely withdrawn and repositioned. The previous right internal jugular vein catheter was removed. There is unchanged mild cardiomegaly at lower lung volumes. These low lung volumes are essentially caused by an elevation of the right hemidiaphragm, better appreciated on the lateral than on the frontal radiograph. No current evidence of larger pleural effusions, pulmonary edema, or pneumonia. Unchanged pacemaker leads and left pectoral pacemaker generator.","As compared to the previous radiograph, the previously malpositioned PICC line in the left jugular vein has been pulled back.",PICC line,left jugular vein,Better,"['files/p12/p12595991/s51474707/2fe309ca-e58c4d80-6f0002e9-cd535709-1c3f5890.jpg', 'files/p12/p12595991/s51474707/f2baee8f-ab9bb3f0-cd412d19-fa6f5014-d0388839.jpg']",['files/p12/p12595991/s50749866/9df33cee-a5533c4d-56048d41-edb2923b-6b01ac1f.jpg\n']
s51474707_11,p12595991,s51474707,11,Impression,"As compared to the previous radiograph, the previously malpositioned PICC line in the left jugular vein has been pulled back. However, on today's examination, the PICC line appears to project over the right axillary region. The line should be completely withdrawn and repositioned. The previous right internal jugular vein catheter was removed. There is unchanged mild cardiomegaly at lower lung volumes. These low lung volumes are essentially caused by an elevation of the right hemidiaphragm, better appreciated on the lateral than on the frontal radiograph. No current evidence of larger pleural effusions, pulmonary edema, or pneumonia. Unchanged pacemaker leads and left pectoral pacemaker generator.",Unchanged pacemaker leads and left pectoral pacemaker generator.,pacemaker leads and generator,left pectoral,Stable,"['files/p12/p12595991/s51474707/2fe309ca-e58c4d80-6f0002e9-cd535709-1c3f5890.jpg', 'files/p12/p12595991/s51474707/f2baee8f-ab9bb3f0-cd412d19-fa6f5014-d0388839.jpg']",['files/p12/p12595991/s50749866/9df33cee-a5533c4d-56048d41-edb2923b-6b01ac1f.jpg\n']
s51477948_11,p13263843,s51477948,11,Findings,"Frontal and lateral views of the chest were obtained. The patient is status post right upper chest wall resection, right upper lobectomy with right apical scarring and upward traction of the right hilum from radiation fibrosis, all unchanged. There is no pleural effusion or pneumothorax. The left lung is clear. Heart size is normal.","The patient is status post right upper chest wall resection, right upper lobectomy with right apical scarring and upward traction of the right hilum from radiation fibrosis, all unchanged.",hilum traction from radiation fibrosis,right,Stable,['files/p13/p13263843/s51477948/62ead2ae-e6300763-500bb324-bc688f11-0083ba24.jpg'],['files/p13/p13263843/s50844750/e76f5f9e-dbd482e9-9bf04876-ac6e1cae-a59d9637.jpg\n']
s51477948_11,p13263843,s51477948,11,Findings,"Frontal and lateral views of the chest were obtained. The patient is status post right upper chest wall resection, right upper lobectomy with right apical scarring and upward traction of the right hilum from radiation fibrosis, all unchanged. There is no pleural effusion or pneumothorax. The left lung is clear. Heart size is normal.","The patient is status post right upper chest wall resection, right upper lobectomy with right apical scarring and upward traction of the right hilum from radiation fibrosis, all unchanged.",chest wall resection,right upper,Stable,['files/p13/p13263843/s51477948/62ead2ae-e6300763-500bb324-bc688f11-0083ba24.jpg'],['files/p13/p13263843/s50844750/e76f5f9e-dbd482e9-9bf04876-ac6e1cae-a59d9637.jpg\n']
s51477948_11,p13263843,s51477948,11,Findings,"Frontal and lateral views of the chest were obtained. The patient is status post right upper chest wall resection, right upper lobectomy with right apical scarring and upward traction of the right hilum from radiation fibrosis, all unchanged. There is no pleural effusion or pneumothorax. The left lung is clear. Heart size is normal.","The patient is status post right upper chest wall resection, right upper lobectomy with right apical scarring and upward traction of the right hilum from radiation fibrosis, all unchanged.",apical scarring,right,Stable,['files/p13/p13263843/s51477948/62ead2ae-e6300763-500bb324-bc688f11-0083ba24.jpg'],['files/p13/p13263843/s50844750/e76f5f9e-dbd482e9-9bf04876-ac6e1cae-a59d9637.jpg\n']
s51477948_11,p13263843,s51477948,11,Findings,"Frontal and lateral views of the chest were obtained. The patient is status post right upper chest wall resection, right upper lobectomy with right apical scarring and upward traction of the right hilum from radiation fibrosis, all unchanged. There is no pleural effusion or pneumothorax. The left lung is clear. Heart size is normal.","The patient is status post right upper chest wall resection, right upper lobectomy with right apical scarring and upward traction of the right hilum from radiation fibrosis, all unchanged.",lobectomy,right upper,Stable,['files/p13/p13263843/s51477948/62ead2ae-e6300763-500bb324-bc688f11-0083ba24.jpg'],['files/p13/p13263843/s50844750/e76f5f9e-dbd482e9-9bf04876-ac6e1cae-a59d9637.jpg\n']
s51477948_11,p13263843,s51477948,11,Impression,Interval resolution of right pleural effusion.,Interval resolution of right pleural effusion.,pleural effusion,right,Resolve,['files/p13/p13263843/s51477948/62ead2ae-e6300763-500bb324-bc688f11-0083ba24.jpg'],['files/p13/p13263843/s50844750/e76f5f9e-dbd482e9-9bf04876-ac6e1cae-a59d9637.jpg\n']
s51478737_2,p19991135,s51478737,2,Findings,"In comparison with the study of ___, the monitoring and support devices remain in place without definite pneumothorax. The left lung remains essentially clear except for some atelectatic changes at the base. Extensive subcutaneous emphysema again persists along the right lateral chest wall. Opacification along the mediastinal border on the right again could reflect collection of pleural fluid. The development of hematoma cannot be excluded in the appropriate clinical setting.",Extensive subcutaneous emphysema again persists along the right lateral chest wall.,subcutaneous emphysema,right lateral chest wall,Stable,['files/p19/p19991135/s51478737/e9fed58f-81080573-29e7c963-c3bae1ff-a15dab90.jpg'],"['files/p19/p19991135/s50634986/28b8e2eb-4677f55e-ab2ad21f-48976445-b019a13d.jpg\n', 'files/p19/p19991135/s50634986/d8f5555c-d8bcf97c-3a9d5596-17b9f854-6e15d081.jpg\n']"
s51478737_2,p19991135,s51478737,2,Findings,"In comparison with the study of ___, the monitoring and support devices remain in place without definite pneumothorax. The left lung remains essentially clear except for some atelectatic changes at the base. Extensive subcutaneous emphysema again persists along the right lateral chest wall. Opacification along the mediastinal border on the right again could reflect collection of pleural fluid. The development of hematoma cannot be excluded in the appropriate clinical setting.",The left lung remains essentially clear except for some atelectatic changes at the base.,atelectatic changes,left lung base,Stable,['files/p19/p19991135/s51478737/e9fed58f-81080573-29e7c963-c3bae1ff-a15dab90.jpg'],"['files/p19/p19991135/s50634986/28b8e2eb-4677f55e-ab2ad21f-48976445-b019a13d.jpg\n', 'files/p19/p19991135/s50634986/d8f5555c-d8bcf97c-3a9d5596-17b9f854-6e15d081.jpg\n']"
s51478737_2,p19991135,s51478737,2,Findings,"In comparison with the study of ___, the monitoring and support devices remain in place without definite pneumothorax. The left lung remains essentially clear except for some atelectatic changes at the base. Extensive subcutaneous emphysema again persists along the right lateral chest wall. Opacification along the mediastinal border on the right again could reflect collection of pleural fluid. The development of hematoma cannot be excluded in the appropriate clinical setting.","In comparison with the study of ___, the monitoring and support devices remain in place without definite pneumothorax.",monitoring and support devices,chest,Stable,['files/p19/p19991135/s51478737/e9fed58f-81080573-29e7c963-c3bae1ff-a15dab90.jpg'],"['files/p19/p19991135/s50634986/28b8e2eb-4677f55e-ab2ad21f-48976445-b019a13d.jpg\n', 'files/p19/p19991135/s50634986/d8f5555c-d8bcf97c-3a9d5596-17b9f854-6e15d081.jpg\n']"
s51478737_2,p19991135,s51478737,2,Findings,"In comparison with the study of ___, the monitoring and support devices remain in place without definite pneumothorax. The left lung remains essentially clear except for some atelectatic changes at the base. Extensive subcutaneous emphysema again persists along the right lateral chest wall. Opacification along the mediastinal border on the right again could reflect collection of pleural fluid. The development of hematoma cannot be excluded in the appropriate clinical setting.",Opacification along the mediastinal border on the right again could reflect collection of pleural fluid.,pleural fluid,right mediastinal border,Stable,['files/p19/p19991135/s51478737/e9fed58f-81080573-29e7c963-c3bae1ff-a15dab90.jpg'],"['files/p19/p19991135/s50634986/28b8e2eb-4677f55e-ab2ad21f-48976445-b019a13d.jpg\n', 'files/p19/p19991135/s50634986/d8f5555c-d8bcf97c-3a9d5596-17b9f854-6e15d081.jpg\n']"
s51479309_67,p15131736,s51479309,67,Impression,"Compared to chest radiographs ___ through ___. The lung volumes have improved. Cardiomegaly is severe, pulmonary vasculature is engorged, and left infrahilar consolidation is likely. Pleural effusions are presumed, but not large. No pneumothorax. Right internal jugular introducer ends at the origin of the SVC. ET tube in standard placement. Esophageal drainage tube passes into the stomach and out of view.",Compared to chest radiographs ___ through ___. The lung volumes have improved.,lung volumes,,Better,['files/p15/p15131736/s51479309/879a6090-bc908584-faa34013-2ab152cc-c80f9feb.jpg'],"['files/p15/p15131736/s51468636/05f9a070-a4116dd6-f7ba75fb-5e8dea94-59328a7f.jpg\n', 'files/p15/p15131736/s51468636/0fa068b9-b7c538a0-4a745c5f-061c6c55-8c8236ce.jpg\n', 'files/p15/p15131736/s51468636/73d09a2f-e8077206-2a03b426-badcd185-81f46a4f.jpg\n']"
s51493934_14,p18855147,s51493934,14,Findings,"AP single view of the chest has been obtained with patient in semi-upright position. Comparison is made to the next preceding portable chest examinations of ___. The patient remains intubated, the ETT in unchanged position. Same holds for the right internal jugular approach double-lumen catheter terminating in the mid portion of the SVC. Heart size is enlarged as before. The most significant interval change in comparison with the preceding studies is a markedly increased perivascular haze, peripheral Kerley B lines on the bases, and beginning central edema around the hilar areas. No significant amount of pleural effusion can be identified in the lateral pleural sinuses, nor is there any pneumothorax in the apical area.","The most significant interval change in comparison with the preceding studies is a markedly increased perivascular haze, peripheral Kerley B lines on the bases, and beginning central edema around the hilar areas.",Edema,Central hilar areas,Worse,['files/p18/p18855147/s51493934/82fb374b-501cd085-de6db06c-337de2f5-3f5d1157.jpg'],
s51493934_14,p18855147,s51493934,14,Findings,"AP single view of the chest has been obtained with patient in semi-upright position. Comparison is made to the next preceding portable chest examinations of ___. The patient remains intubated, the ETT in unchanged position. Same holds for the right internal jugular approach double-lumen catheter terminating in the mid portion of the SVC. Heart size is enlarged as before. The most significant interval change in comparison with the preceding studies is a markedly increased perivascular haze, peripheral Kerley B lines on the bases, and beginning central edema around the hilar areas. No significant amount of pleural effusion can be identified in the lateral pleural sinuses, nor is there any pneumothorax in the apical area.","The most significant interval change in comparison with the preceding studies is a markedly increased perivascular haze, peripheral Kerley B lines on the bases, and beginning central edema around the hilar areas.",Kerley B lines,Peripheral bases,Worse,['files/p18/p18855147/s51493934/82fb374b-501cd085-de6db06c-337de2f5-3f5d1157.jpg'],
s51493934_14,p18855147,s51493934,14,Findings,"AP single view of the chest has been obtained with patient in semi-upright position. Comparison is made to the next preceding portable chest examinations of ___. The patient remains intubated, the ETT in unchanged position. Same holds for the right internal jugular approach double-lumen catheter terminating in the mid portion of the SVC. Heart size is enlarged as before. The most significant interval change in comparison with the preceding studies is a markedly increased perivascular haze, peripheral Kerley B lines on the bases, and beginning central edema around the hilar areas. No significant amount of pleural effusion can be identified in the lateral pleural sinuses, nor is there any pneumothorax in the apical area.","The most significant interval change in comparison with the preceding studies is a markedly increased perivascular haze, peripheral Kerley B lines on the bases, and beginning central edema around the hilar areas.",Haze,Perivascular,Worse,['files/p18/p18855147/s51493934/82fb374b-501cd085-de6db06c-337de2f5-3f5d1157.jpg'],
s51493934_14,p18855147,s51493934,14,Findings,"AP single view of the chest has been obtained with patient in semi-upright position. Comparison is made to the next preceding portable chest examinations of ___. The patient remains intubated, the ETT in unchanged position. Same holds for the right internal jugular approach double-lumen catheter terminating in the mid portion of the SVC. Heart size is enlarged as before. The most significant interval change in comparison with the preceding studies is a markedly increased perivascular haze, peripheral Kerley B lines on the bases, and beginning central edema around the hilar areas. No significant amount of pleural effusion can be identified in the lateral pleural sinuses, nor is there any pneumothorax in the apical area.",Heart size is enlarged as before.,Size,Heart,Stable,['files/p18/p18855147/s51493934/82fb374b-501cd085-de6db06c-337de2f5-3f5d1157.jpg'],
s51493934_14,p18855147,s51493934,14,Impression,"Increasing marked pulmonary congestion compatible with pulmonary edema. Page was placed to referring physician, ___ at 2:10 p.m.",Increasing marked pulmonary congestion compatible with pulmonary edema.,Congestion,Pulmonary,Worse,['files/p18/p18855147/s51493934/82fb374b-501cd085-de6db06c-337de2f5-3f5d1157.jpg'],
s51493934_14,p18855147,s51493934,14,Findings,"AP single view of the chest has been obtained with patient in semi-upright position. Comparison is made to the next preceding portable chest examinations of ___. The patient remains intubated, the ETT in unchanged position. Same holds for the right internal jugular approach double-lumen catheter terminating in the mid portion of the SVC. Heart size is enlarged as before. The most significant interval change in comparison with the preceding studies is a markedly increased perivascular haze, peripheral Kerley B lines on the bases, and beginning central edema around the hilar areas. No significant amount of pleural effusion can be identified in the lateral pleural sinuses, nor is there any pneumothorax in the apical area.","The patient remains intubated, the ETT in unchanged position.",Position,ETT,Stable,['files/p18/p18855147/s51493934/82fb374b-501cd085-de6db06c-337de2f5-3f5d1157.jpg'],
s51499550_23,p11413236,s51499550,23,Findings,AP portable upright view of the chest. Midline sternotomy wires and mediastinal clips are again noted. There is a right chest wall Port-A-Cath with its tip in the mid SVC. A calcific density in the region of the AP window corresponds with a calcified lymph node on prior CT. Lung volumes are low limiting evaluation. There is bibasilar atelectasis with bronchovascular crowding. No convincing signs of pneumonia though evaluation is limited. No large effusion or pneumothorax. Heart size is difficult to assess. Mediastinal contour is stable. Bony structures are intact.,Mediastinal contour is stable.,,mediastinal contour,Stable,['files/p11/p11413236/s51499550/d40ff923-1ae1c675-0bf6d047-42ce5585-8d8da7bb.jpg'],"['files/p11/p11413236/s51161513/2e0c4b42-d1ef618d-2b25304c-1b6ef8a5-29e7671d.jpg\n', 'files/p11/p11413236/s51161513/4477b363-d135c994-0b74a62f-f481eccb-898a7db6.jpg\n']"
s51499550_23,p11413236,s51499550,23,Findings,AP portable upright view of the chest. Midline sternotomy wires and mediastinal clips are again noted. There is a right chest wall Port-A-Cath with its tip in the mid SVC. A calcific density in the region of the AP window corresponds with a calcified lymph node on prior CT. Lung volumes are low limiting evaluation. There is bibasilar atelectasis with bronchovascular crowding. No convincing signs of pneumonia though evaluation is limited. No large effusion or pneumothorax. Heart size is difficult to assess. Mediastinal contour is stable. Bony structures are intact.,A calcific density in the region of the AP window corresponds with a calcified lymph node on prior CT.,calcific density,AP window,Stable,['files/p11/p11413236/s51499550/d40ff923-1ae1c675-0bf6d047-42ce5585-8d8da7bb.jpg'],"['files/p11/p11413236/s51161513/2e0c4b42-d1ef618d-2b25304c-1b6ef8a5-29e7671d.jpg\n', 'files/p11/p11413236/s51161513/4477b363-d135c994-0b74a62f-f481eccb-898a7db6.jpg\n']"
s51499550_23,p11413236,s51499550,23,Findings,AP portable upright view of the chest. Midline sternotomy wires and mediastinal clips are again noted. There is a right chest wall Port-A-Cath with its tip in the mid SVC. A calcific density in the region of the AP window corresponds with a calcified lymph node on prior CT. Lung volumes are low limiting evaluation. There is bibasilar atelectasis with bronchovascular crowding. No convincing signs of pneumonia though evaluation is limited. No large effusion or pneumothorax. Heart size is difficult to assess. Mediastinal contour is stable. Bony structures are intact.,Midline sternotomy wires and mediastinal clips are again noted.,sternotomy wires and mediastinal clips,midline,Stable,['files/p11/p11413236/s51499550/d40ff923-1ae1c675-0bf6d047-42ce5585-8d8da7bb.jpg'],"['files/p11/p11413236/s51161513/2e0c4b42-d1ef618d-2b25304c-1b6ef8a5-29e7671d.jpg\n', 'files/p11/p11413236/s51161513/4477b363-d135c994-0b74a62f-f481eccb-898a7db6.jpg\n']"
s51511674_6,p19150427,s51511674,6,Findings,"Lungs are clear without focal consolidation, effusion, or edema. Mild cardiomegaly is similar compared to prior. Coronary artery stents and median sternotomy wires are noted. No acute osseous abnormalities.",Mild cardiomegaly is similar compared to prior.,cardiomegaly,,Stable,"['files/p19/p19150427/s51511674/bf73d8b0-3e093d0f-dd91f13c-0d6e276b-53136b54.jpg', 'files/p19/p19150427/s51511674/dec32ede-aaf40bbe-0fce59bb-15629b05-e23aff4c.jpg']",
s51514260_44,p19182863,s51514260,44,Impression,AP chest compared to ___ through ___: Large right pleural effusion is increasing. Concurrent increase in caliber of the cardiac silhouette could be due to worsening cardiomegaly or the development of pericardial effusion since mid ___. Pleural fluid has exacted substantial atelectasis from the right middle and lower lobes to explain the failure of the mediastinum to have shifted appreciably into the left chest. Previous mild pulmonary edema in the left lung has improved. No pneumothorax.,AP chest compared to ___ through ___: Large right pleural effusion is increasing.,Pleural effusion,Right,Worse,['files/p19/p19182863/s51514260/9b185b4a-ebb47e2f-e969fede-cab4dc44-38b3d84b.jpg'],"['files/p19/p19182863/s51214818/181aa53a-d204d3a4-e3e99340-92bb8c76-0f690e54.jpg\n', 'files/p19/p19182863/s51214818/e89bf755-a151eaaf-d5b84136-f67c1572-bc4b8424.jpg\n']"
s51514260_44,p19182863,s51514260,44,Impression,AP chest compared to ___ through ___: Large right pleural effusion is increasing. Concurrent increase in caliber of the cardiac silhouette could be due to worsening cardiomegaly or the development of pericardial effusion since mid ___. Pleural fluid has exacted substantial atelectasis from the right middle and lower lobes to explain the failure of the mediastinum to have shifted appreciably into the left chest. Previous mild pulmonary edema in the left lung has improved. No pneumothorax.,Concurrent increase in caliber of the cardiac silhouette could be due to worsening cardiomegaly or the development of pericardial effusion since mid ___.,Silhouette,Cardiac,Worse,['files/p19/p19182863/s51514260/9b185b4a-ebb47e2f-e969fede-cab4dc44-38b3d84b.jpg'],"['files/p19/p19182863/s51214818/181aa53a-d204d3a4-e3e99340-92bb8c76-0f690e54.jpg\n', 'files/p19/p19182863/s51214818/e89bf755-a151eaaf-d5b84136-f67c1572-bc4b8424.jpg\n']"
s51514260_44,p19182863,s51514260,44,Impression,AP chest compared to ___ through ___: Large right pleural effusion is increasing. Concurrent increase in caliber of the cardiac silhouette could be due to worsening cardiomegaly or the development of pericardial effusion since mid ___. Pleural fluid has exacted substantial atelectasis from the right middle and lower lobes to explain the failure of the mediastinum to have shifted appreciably into the left chest. Previous mild pulmonary edema in the left lung has improved. No pneumothorax.,Previous mild pulmonary edema in the left lung has improved.,Pulmonary edema,Left lung,Better,['files/p19/p19182863/s51514260/9b185b4a-ebb47e2f-e969fede-cab4dc44-38b3d84b.jpg'],"['files/p19/p19182863/s51214818/181aa53a-d204d3a4-e3e99340-92bb8c76-0f690e54.jpg\n', 'files/p19/p19182863/s51214818/e89bf755-a151eaaf-d5b84136-f67c1572-bc4b8424.jpg\n']"
s51522722_4,p17398573,s51522722,4,Findings,The lungs are clear without focal consolidation. There is a prominent right mediastinal fat pad. No pleural effusion or pneumothorax is seen. Cardiomegaly is stable.,Cardiomegaly is stable.,Cardiomegaly,,Stable,"['files/p17/p17398573/s51522722/4a102c0d-0f7d000d-98e8aac0-7509e4c8-b9d60545.jpg', 'files/p17/p17398573/s51522722/f9ce0a6c-67455c98-67d8a2c9-c6e73fd9-9753b4aa.jpg']","['files/p17/p17398573/s50918803/31c1ff27-efe0b34c-f8b81088-73df6e0c-836198d5.jpg\n', 'files/p17/p17398573/s50918803/809123a3-3a8ec764-0d6f069f-d1b0935b-161bfff4.jpg\n']"
s51526655_0,p17704774,s51526655,0,Findings,"Consistent with the given history, a chest tube is noted and is directed medially in the upper mediastinum with a location that is highly suggestive of intrafissural placement. There is increased lucency at the lung base, particularly outlining the right hemidiaphragm, which likely indicates a residual component of the pneumothorax. Diffuse bilateral pulmonary nodules consistent with widespread metastatic disease are again present. There is air noted around a ray cage device in the lower thoracic spine, surrounded by posterior spinal stabilization rods. Extensive surgical clips are noted within the medial left upper quadrant. It is difficult to discern the left hemidiaphragm. There is increased retrocardiac opacity, although similar to the prior exam. A Port-A-Cath is evident in stable and standard course and position. The osseous structures are difficult to assess, but are grossly stable.","The osseous structures are difficult to assess, but are grossly stable.",,osseous structures,Stable,['files/p17/p17704774/s51526655/78ecaf71-9fdb0b43-b0134402-8c5e739f-2c6c0ea2.jpg'],
s51526655_0,p17704774,s51526655,0,Findings,"Consistent with the given history, a chest tube is noted and is directed medially in the upper mediastinum with a location that is highly suggestive of intrafissural placement. There is increased lucency at the lung base, particularly outlining the right hemidiaphragm, which likely indicates a residual component of the pneumothorax. Diffuse bilateral pulmonary nodules consistent with widespread metastatic disease are again present. There is air noted around a ray cage device in the lower thoracic spine, surrounded by posterior spinal stabilization rods. Extensive surgical clips are noted within the medial left upper quadrant. It is difficult to discern the left hemidiaphragm. There is increased retrocardiac opacity, although similar to the prior exam. A Port-A-Cath is evident in stable and standard course and position. The osseous structures are difficult to assess, but are grossly stable.",Diffuse bilateral pulmonary nodules consistent with widespread metastatic disease are again present.,pulmonary nodules,bilateral,Stable,['files/p17/p17704774/s51526655/78ecaf71-9fdb0b43-b0134402-8c5e739f-2c6c0ea2.jpg'],
s51526655_0,p17704774,s51526655,0,Impression,"The course of the chest tube projecting over the right chest suggests an intrafissural position, which may limit the ability to evacuate the pneumothorax. A visceral pleural line remains evident and most apparent at the lung base with an extension of the air to the spinal hardware as noted on the CT earlier today. Widespread metastatic disease of the lungs is again seen. There is no radiographic evidence currently of tension physiology.",A visceral pleural line remains evident and most apparent at the lung base with an extension of the air to the spinal hardware as noted on the CT earlier today.,visceral pleural line,lung base,Stable,['files/p17/p17704774/s51526655/78ecaf71-9fdb0b43-b0134402-8c5e739f-2c6c0ea2.jpg'],
s51526655_0,p17704774,s51526655,0,Impression,"The course of the chest tube projecting over the right chest suggests an intrafissural position, which may limit the ability to evacuate the pneumothorax. A visceral pleural line remains evident and most apparent at the lung base with an extension of the air to the spinal hardware as noted on the CT earlier today. Widespread metastatic disease of the lungs is again seen. There is no radiographic evidence currently of tension physiology.",Widespread metastatic disease of the lungs is again seen.,metastatic disease,lungs,Stable,['files/p17/p17704774/s51526655/78ecaf71-9fdb0b43-b0134402-8c5e739f-2c6c0ea2.jpg'],
s51526655_0,p17704774,s51526655,0,Findings,"Consistent with the given history, a chest tube is noted and is directed medially in the upper mediastinum with a location that is highly suggestive of intrafissural placement. There is increased lucency at the lung base, particularly outlining the right hemidiaphragm, which likely indicates a residual component of the pneumothorax. Diffuse bilateral pulmonary nodules consistent with widespread metastatic disease are again present. There is air noted around a ray cage device in the lower thoracic spine, surrounded by posterior spinal stabilization rods. Extensive surgical clips are noted within the medial left upper quadrant. It is difficult to discern the left hemidiaphragm. There is increased retrocardiac opacity, although similar to the prior exam. A Port-A-Cath is evident in stable and standard course and position. The osseous structures are difficult to assess, but are grossly stable.",A Port-A-Cath is evident in stable and standard course and position.,Port-A-Cath,standard,Stable,['files/p17/p17704774/s51526655/78ecaf71-9fdb0b43-b0134402-8c5e739f-2c6c0ea2.jpg'],
s51526655_0,p17704774,s51526655,0,Findings,"Consistent with the given history, a chest tube is noted and is directed medially in the upper mediastinum with a location that is highly suggestive of intrafissural placement. There is increased lucency at the lung base, particularly outlining the right hemidiaphragm, which likely indicates a residual component of the pneumothorax. Diffuse bilateral pulmonary nodules consistent with widespread metastatic disease are again present. There is air noted around a ray cage device in the lower thoracic spine, surrounded by posterior spinal stabilization rods. Extensive surgical clips are noted within the medial left upper quadrant. It is difficult to discern the left hemidiaphragm. There is increased retrocardiac opacity, although similar to the prior exam. A Port-A-Cath is evident in stable and standard course and position. The osseous structures are difficult to assess, but are grossly stable.","There is increased retrocardiac opacity, although similar to the prior exam.",opacity,retrocardiac,Stable,['files/p17/p17704774/s51526655/78ecaf71-9fdb0b43-b0134402-8c5e739f-2c6c0ea2.jpg'],
s51527425_8,p19499595,s51527425,8,Findings,Pain status post median sternotomy and CABG. Several fractured wires are again seen. The cardiac silhouette remains top-normal to mildly enlarged. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen.,Several fractured wires are again seen,fractured wires,,Worse,"['files/p19/p19499595/s51527425/83c03ab3-cb2d1377-2e09bc4f-26e7f47e-67901270.jpg', 'files/p19/p19499595/s51527425/84dac834-d9f40739-755532a0-1ddab50a-cae07005.jpg']",
s51527425_8,p19499595,s51527425,8,Findings,Pain status post median sternotomy and CABG. Several fractured wires are again seen. The cardiac silhouette remains top-normal to mildly enlarged. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen.,The cardiac silhouette remains top-normal to mildly enlarged,cardiac silhouette,,Stable,"['files/p19/p19499595/s51527425/83c03ab3-cb2d1377-2e09bc4f-26e7f47e-67901270.jpg', 'files/p19/p19499595/s51527425/84dac834-d9f40739-755532a0-1ddab50a-cae07005.jpg']",
s51530024_3,p18615099,s51530024,3,Findings,"Portable view of the chest is compared to previous exam from ___. Dual-lead pacing device again seen. Faint bibasilar opacities are seen, particularly in the retrocardiac region which are nonspecific and given low lung volumes could represent atelectasis. There is no definite large pleural effusion. Cardiac silhouette is stable as are the osseous and soft tissue structures.",Dual-lead pacing device again seen.,dual-lead pacing device,,Stable,"['files/p18/p18615099/s51530024/d82f85b0-1ec12fec-a2d4f803-2b9544e5-0b2d3fa0.jpg', 'files/p18/p18615099/s51530024/ea7e8fb0-24d1c400-b3cb8a6a-4b435d57-455f8e5b.jpg']",['files/p18/p18615099/s50024272/fa9c8854-7c936fd0-4432d579-5cc2dc60-c78d9525.jpg\n']
s51530024_3,p18615099,s51530024,3,Findings,"Portable view of the chest is compared to previous exam from ___. Dual-lead pacing device again seen. Faint bibasilar opacities are seen, particularly in the retrocardiac region which are nonspecific and given low lung volumes could represent atelectasis. There is no definite large pleural effusion. Cardiac silhouette is stable as are the osseous and soft tissue structures.",Cardiac silhouette is stable as are the osseous and soft tissue structures.,cardiac silhouette,,Stable,"['files/p18/p18615099/s51530024/d82f85b0-1ec12fec-a2d4f803-2b9544e5-0b2d3fa0.jpg', 'files/p18/p18615099/s51530024/ea7e8fb0-24d1c400-b3cb8a6a-4b435d57-455f8e5b.jpg']",['files/p18/p18615099/s50024272/fa9c8854-7c936fd0-4432d579-5cc2dc60-c78d9525.jpg\n']
s51530024_3,p18615099,s51530024,3,Findings,"Portable view of the chest is compared to previous exam from ___. Dual-lead pacing device again seen. Faint bibasilar opacities are seen, particularly in the retrocardiac region which are nonspecific and given low lung volumes could represent atelectasis. There is no definite large pleural effusion. Cardiac silhouette is stable as are the osseous and soft tissue structures.",Cardiac silhouette is stable as are the osseous and soft tissue structures.,osseous and soft tissue structures,,Stable,"['files/p18/p18615099/s51530024/d82f85b0-1ec12fec-a2d4f803-2b9544e5-0b2d3fa0.jpg', 'files/p18/p18615099/s51530024/ea7e8fb0-24d1c400-b3cb8a6a-4b435d57-455f8e5b.jpg']",['files/p18/p18615099/s50024272/fa9c8854-7c936fd0-4432d579-5cc2dc60-c78d9525.jpg\n']
s51540424_20,p13881772,s51540424,20,Findings,"The heart appears at least mildly enlarged. The mediastinal and hilar contours appear unchanged. There is a new mild interstitial abnormality suggesting congestive heart failure ,and in addition, a small to moderate pleural effusion on the right and a small effusion on the left. Fissures appear thickened.","There is a new mild interstitial abnormality suggesting congestive heart failure, and in addition, a small to moderate pleural effusion on the right and a small effusion on the left.",abnormality suggesting congestive heart failure,interstitial,New,"['files/p13/p13881772/s51540424/3c6607cb-2b24a862-ba454139-42d40dec-a4aed625.jpg', 'files/p13/p13881772/s51540424/8dcda970-15727210-dfdd3c30-8acb73c6-d5a218be.jpg', 'files/p13/p13881772/s51540424/b5f30eeb-2bf8217a-f702c192-11c059fb-42e31505.jpg']",['files/p13/p13881772/s51265927/4d91911d-7ed6ea7f-18ae148c-fb6fdc45-798771a7.jpg\n']
s51540424_20,p13881772,s51540424,20,Findings,"The heart appears at least mildly enlarged. The mediastinal and hilar contours appear unchanged. There is a new mild interstitial abnormality suggesting congestive heart failure ,and in addition, a small to moderate pleural effusion on the right and a small effusion on the left. Fissures appear thickened.","There is a new mild interstitial abnormality suggesting congestive heart failure, and in addition, a small to moderate pleural effusion on the right and a small effusion on the left.",small effusion,left,New,"['files/p13/p13881772/s51540424/3c6607cb-2b24a862-ba454139-42d40dec-a4aed625.jpg', 'files/p13/p13881772/s51540424/8dcda970-15727210-dfdd3c30-8acb73c6-d5a218be.jpg', 'files/p13/p13881772/s51540424/b5f30eeb-2bf8217a-f702c192-11c059fb-42e31505.jpg']",['files/p13/p13881772/s51265927/4d91911d-7ed6ea7f-18ae148c-fb6fdc45-798771a7.jpg\n']
s51540424_20,p13881772,s51540424,20,Findings,"The heart appears at least mildly enlarged. The mediastinal and hilar contours appear unchanged. There is a new mild interstitial abnormality suggesting congestive heart failure ,and in addition, a small to moderate pleural effusion on the right and a small effusion on the left. Fissures appear thickened.","There is a new mild interstitial abnormality suggesting congestive heart failure, and in addition, a small to moderate pleural effusion on the right and a small effusion on the left.",small to moderate pleural effusion,right,New,"['files/p13/p13881772/s51540424/3c6607cb-2b24a862-ba454139-42d40dec-a4aed625.jpg', 'files/p13/p13881772/s51540424/8dcda970-15727210-dfdd3c30-8acb73c6-d5a218be.jpg', 'files/p13/p13881772/s51540424/b5f30eeb-2bf8217a-f702c192-11c059fb-42e31505.jpg']",['files/p13/p13881772/s51265927/4d91911d-7ed6ea7f-18ae148c-fb6fdc45-798771a7.jpg\n']
s51540424_20,p13881772,s51540424,20,Findings,"The heart appears at least mildly enlarged. The mediastinal and hilar contours appear unchanged. There is a new mild interstitial abnormality suggesting congestive heart failure ,and in addition, a small to moderate pleural effusion on the right and a small effusion on the left. Fissures appear thickened.",The mediastinal and hilar contours appear unchanged.,,mediastinal and hilar contours,Stable,"['files/p13/p13881772/s51540424/3c6607cb-2b24a862-ba454139-42d40dec-a4aed625.jpg', 'files/p13/p13881772/s51540424/8dcda970-15727210-dfdd3c30-8acb73c6-d5a218be.jpg', 'files/p13/p13881772/s51540424/b5f30eeb-2bf8217a-f702c192-11c059fb-42e31505.jpg']",['files/p13/p13881772/s51265927/4d91911d-7ed6ea7f-18ae148c-fb6fdc45-798771a7.jpg\n']
s51544976_3,p17340686,s51544976,3,Findings,"An opacity in the right infrahilar region on the PA image and overlying the spine on the lateral image is consistent with pneumonia. The previously seen opacity on the left has improved suggesting it was likely due to edema. A pulmonary edema is improved from the prior radiograph, although a small amount of edema remains. The cardiac silhouette is stably enlarged. There is no pleural effusion or pneumothorax. A right internal jugular double-lumen hemodialysis catheter ends in the atrium.",The previously seen opacity on the left has improved suggesting it was likely due to edema.,opacity,left,Better,"['files/p17/p17340686/s51544976/74a8518e-540825ef-5348424e-50918195-a06fc105.jpg', 'files/p17/p17340686/s51544976/d8716bfb-b0b2d6fc-44ff5f4b-ab0a9bba-8b1a5390.jpg']","['files/p17/p17340686/s51203739/76e5c84a-6fc4083b-55704f3a-0af624ed-5f4c9970.jpg\n', 'files/p17/p17340686/s51203739/e023c3e4-39101fc9-0c1d4cb4-1566e997-0080096e.jpg\n']"
s51544976_3,p17340686,s51544976,3,Findings,"An opacity in the right infrahilar region on the PA image and overlying the spine on the lateral image is consistent with pneumonia. The previously seen opacity on the left has improved suggesting it was likely due to edema. A pulmonary edema is improved from the prior radiograph, although a small amount of edema remains. The cardiac silhouette is stably enlarged. There is no pleural effusion or pneumothorax. A right internal jugular double-lumen hemodialysis catheter ends in the atrium.","A pulmonary edema is improved from the prior radiograph, although a small amount of edema remains.",pulmonary edema,,Better,"['files/p17/p17340686/s51544976/74a8518e-540825ef-5348424e-50918195-a06fc105.jpg', 'files/p17/p17340686/s51544976/d8716bfb-b0b2d6fc-44ff5f4b-ab0a9bba-8b1a5390.jpg']","['files/p17/p17340686/s51203739/76e5c84a-6fc4083b-55704f3a-0af624ed-5f4c9970.jpg\n', 'files/p17/p17340686/s51203739/e023c3e4-39101fc9-0c1d4cb4-1566e997-0080096e.jpg\n']"
s51544976_3,p17340686,s51544976,3,Impression,1. Right infrahilar opacity is most likely pneumonia. 2. Improving pulmonary edema.,2. Improving pulmonary edema.,pulmonary edema,,Better,"['files/p17/p17340686/s51544976/74a8518e-540825ef-5348424e-50918195-a06fc105.jpg', 'files/p17/p17340686/s51544976/d8716bfb-b0b2d6fc-44ff5f4b-ab0a9bba-8b1a5390.jpg']","['files/p17/p17340686/s51203739/76e5c84a-6fc4083b-55704f3a-0af624ed-5f4c9970.jpg\n', 'files/p17/p17340686/s51203739/e023c3e4-39101fc9-0c1d4cb4-1566e997-0080096e.jpg\n']"
s51544976_3,p17340686,s51544976,3,Findings,"An opacity in the right infrahilar region on the PA image and overlying the spine on the lateral image is consistent with pneumonia. The previously seen opacity on the left has improved suggesting it was likely due to edema. A pulmonary edema is improved from the prior radiograph, although a small amount of edema remains. The cardiac silhouette is stably enlarged. There is no pleural effusion or pneumothorax. A right internal jugular double-lumen hemodialysis catheter ends in the atrium.",The cardiac silhouette is stably enlarged.,cardiac silhouette,,Stable,"['files/p17/p17340686/s51544976/74a8518e-540825ef-5348424e-50918195-a06fc105.jpg', 'files/p17/p17340686/s51544976/d8716bfb-b0b2d6fc-44ff5f4b-ab0a9bba-8b1a5390.jpg']","['files/p17/p17340686/s51203739/76e5c84a-6fc4083b-55704f3a-0af624ed-5f4c9970.jpg\n', 'files/p17/p17340686/s51203739/e023c3e4-39101fc9-0c1d4cb4-1566e997-0080096e.jpg\n']"
s51545557_1,p10885696,s51545557,1,Impression,"AP chest compared to ___ through ___: Moderate right pleural effusion is new, obscuring some of the right lower lung, but changing the contour of the lung base substantially since ___. Postoperative left hemithorax is unchanged following left upper lobectomy. Heart is partially obscured by postoperative contour changes. Right middle lobe collapse seen on lateral chest films, ___ and ___ and on chest CT, ___, presumably unchanged.","AP chest compared to ___ through ___: Moderate right pleural effusion is new, obscuring some of the right lower lung, but changing the contour of the lung base substantially since ___.",,right pleural effusion,New,['files/p10/p10885696/s51545557/b83a98a1-69ae5692-5fc5b2eb-140a525a-abf289ab.jpg'],
s51545557_1,p10885696,s51545557,1,Impression,"AP chest compared to ___ through ___: Moderate right pleural effusion is new, obscuring some of the right lower lung, but changing the contour of the lung base substantially since ___. Postoperative left hemithorax is unchanged following left upper lobectomy. Heart is partially obscured by postoperative contour changes. Right middle lobe collapse seen on lateral chest films, ___ and ___ and on chest CT, ___, presumably unchanged.",Postoperative left hemithorax is unchanged following left upper lobectomy.,,left hemithorax,Stable,['files/p10/p10885696/s51545557/b83a98a1-69ae5692-5fc5b2eb-140a525a-abf289ab.jpg'],
s51545557_1,p10885696,s51545557,1,Impression,"AP chest compared to ___ through ___: Moderate right pleural effusion is new, obscuring some of the right lower lung, but changing the contour of the lung base substantially since ___. Postoperative left hemithorax is unchanged following left upper lobectomy. Heart is partially obscured by postoperative contour changes. Right middle lobe collapse seen on lateral chest films, ___ and ___ and on chest CT, ___, presumably unchanged.","Right middle lobe collapse seen on lateral chest films, ___ and ___ and on chest CT, ___, presumably unchanged.",collapse,right middle lobe,Stable,['files/p10/p10885696/s51545557/b83a98a1-69ae5692-5fc5b2eb-140a525a-abf289ab.jpg'],
s51548785_3,p14722763,s51548785,3,Impression,1. Worsening asymmetric pulmonary edema superimposed on chronic centrilobular emphysema and peripheral pulmonary fibrosis seen on the prior CT. A diffuse infectious process involving the right lung cannot be excluded. 2. Persistent mild congestive heart failure. 3. Bibasilar atelectasis or pneumonia.,Worsening asymmetric pulmonary edema superimposed on chronic centrilobular emphysema and peripheral pulmonary fibrosis seen on the prior CT.,"asymmetric pulmonary edema, chronic centrilobular emphysema, peripheral pulmonary fibrosis",,Worse,['files/p14/p14722763/s51548785/8f5a986b-ec1dddaa-36845b94-ecca2b99-b3731cca.jpg'],
s51548785_3,p14722763,s51548785,3,Impression,1. Worsening asymmetric pulmonary edema superimposed on chronic centrilobular emphysema and peripheral pulmonary fibrosis seen on the prior CT. A diffuse infectious process involving the right lung cannot be excluded. 2. Persistent mild congestive heart failure. 3. Bibasilar atelectasis or pneumonia.,Persistent mild congestive heart failure.,mild congestive heart failure,,Stable,['files/p14/p14722763/s51548785/8f5a986b-ec1dddaa-36845b94-ecca2b99-b3731cca.jpg'],
s51548785_3,p14722763,s51548785,3,Findings,"The diffuse heterogeneous opacity involving the entire right lung is worse. In addition, there is denser bibasilar consolidation which is largely unchanged. Mild cardiomegaly as well as pulmonary and mediastinal vascular congestion persists. There is no pneumothorax.",Mild cardiomegaly as well as pulmonary and mediastinal vascular congestion persists.,"Mild cardiomegaly, pulmonary and mediastinal vascular congestion",,Stable,['files/p14/p14722763/s51548785/8f5a986b-ec1dddaa-36845b94-ecca2b99-b3731cca.jpg'],
s51548785_3,p14722763,s51548785,3,Findings,"The diffuse heterogeneous opacity involving the entire right lung is worse. In addition, there is denser bibasilar consolidation which is largely unchanged. Mild cardiomegaly as well as pulmonary and mediastinal vascular congestion persists. There is no pneumothorax.","In addition, there is denser bibasilar consolidation which is largely unchanged.",consolidation,bibasilar,Stable,['files/p14/p14722763/s51548785/8f5a986b-ec1dddaa-36845b94-ecca2b99-b3731cca.jpg'],
s51548785_3,p14722763,s51548785,3,Findings,"The diffuse heterogeneous opacity involving the entire right lung is worse. In addition, there is denser bibasilar consolidation which is largely unchanged. Mild cardiomegaly as well as pulmonary and mediastinal vascular congestion persists. There is no pneumothorax.",The diffuse heterogeneous opacity involving the entire right lung is worse.,heterogeneous opacity,entire right lung,Worse,['files/p14/p14722763/s51548785/8f5a986b-ec1dddaa-36845b94-ecca2b99-b3731cca.jpg'],
s51551069_2,p11879886,s51551069,2,Findings,"Sternotomy wires are midline and intact. Bilateral interstitial edema has decreased since the most recent prior examination. Cardiomegaly is stable. Surgical clips in the mediastinum, unchanged. Opacification at the left lung base is resolved. Minimal opacification right lung base concerning likely related to infection or edema is improved compared to the prior examination.",Minimal opacification right lung base concerning likely related to infection or edema is improved compared to the prior examination.,opacification,right lung base,Better,"['files/p11/p11879886/s51551069/1d47e5bb-33d97afb-bbb7fbb7-d59ed197-da8a12f7.jpg', 'files/p11/p11879886/s51551069/58fedcf0-3247be4c-33428852-1d9d9fed-c613aa80.jpg', 'files/p11/p11879886/s51551069/e1c69c1e-96a9aa50-c3ed62f9-f424f43e-99fa854d.jpg']",
s51551069_2,p11879886,s51551069,2,Findings,"Sternotomy wires are midline and intact. Bilateral interstitial edema has decreased since the most recent prior examination. Cardiomegaly is stable. Surgical clips in the mediastinum, unchanged. Opacification at the left lung base is resolved. Minimal opacification right lung base concerning likely related to infection or edema is improved compared to the prior examination.",Opacification at the left lung base is resolved.,Opacification,left lung base,Resolve,"['files/p11/p11879886/s51551069/1d47e5bb-33d97afb-bbb7fbb7-d59ed197-da8a12f7.jpg', 'files/p11/p11879886/s51551069/58fedcf0-3247be4c-33428852-1d9d9fed-c613aa80.jpg', 'files/p11/p11879886/s51551069/e1c69c1e-96a9aa50-c3ed62f9-f424f43e-99fa854d.jpg']",
s51551069_2,p11879886,s51551069,2,Findings,"Sternotomy wires are midline and intact. Bilateral interstitial edema has decreased since the most recent prior examination. Cardiomegaly is stable. Surgical clips in the mediastinum, unchanged. Opacification at the left lung base is resolved. Minimal opacification right lung base concerning likely related to infection or edema is improved compared to the prior examination.","Surgical clips in the mediastinum, unchanged.",Surgical clips,mediastinum,Stable,"['files/p11/p11879886/s51551069/1d47e5bb-33d97afb-bbb7fbb7-d59ed197-da8a12f7.jpg', 'files/p11/p11879886/s51551069/58fedcf0-3247be4c-33428852-1d9d9fed-c613aa80.jpg', 'files/p11/p11879886/s51551069/e1c69c1e-96a9aa50-c3ed62f9-f424f43e-99fa854d.jpg']",
s51551069_2,p11879886,s51551069,2,Findings,"Sternotomy wires are midline and intact. Bilateral interstitial edema has decreased since the most recent prior examination. Cardiomegaly is stable. Surgical clips in the mediastinum, unchanged. Opacification at the left lung base is resolved. Minimal opacification right lung base concerning likely related to infection or edema is improved compared to the prior examination.",Cardiomegaly is stable.,Cardiomegaly,,Stable,"['files/p11/p11879886/s51551069/1d47e5bb-33d97afb-bbb7fbb7-d59ed197-da8a12f7.jpg', 'files/p11/p11879886/s51551069/58fedcf0-3247be4c-33428852-1d9d9fed-c613aa80.jpg', 'files/p11/p11879886/s51551069/e1c69c1e-96a9aa50-c3ed62f9-f424f43e-99fa854d.jpg']",
s51551069_2,p11879886,s51551069,2,Findings,"Sternotomy wires are midline and intact. Bilateral interstitial edema has decreased since the most recent prior examination. Cardiomegaly is stable. Surgical clips in the mediastinum, unchanged. Opacification at the left lung base is resolved. Minimal opacification right lung base concerning likely related to infection or edema is improved compared to the prior examination.",Bilateral interstitial edema has decreased since the most recent prior examination.,interstitial edema,bilateral,Better,"['files/p11/p11879886/s51551069/1d47e5bb-33d97afb-bbb7fbb7-d59ed197-da8a12f7.jpg', 'files/p11/p11879886/s51551069/58fedcf0-3247be4c-33428852-1d9d9fed-c613aa80.jpg', 'files/p11/p11879886/s51551069/e1c69c1e-96a9aa50-c3ed62f9-f424f43e-99fa854d.jpg']",
s51551684_12,p15857729,s51551684,12,Findings,AP portable upright view of the chest. Right IJ central venous catheter is seen with its tip in the expected location of the mid SVC. There is airspace consolidation in the right lower lung concerning for pneumonia. The left lung is mostly clear. No large effusion is seen. No pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact.,Cardiomediastinal silhouette is stable.,,cardiomediastinal silhouette,Stable,"['files/p15/p15857729/s51551684/5cfc2922-68cd176a-e182b4c8-e74dd44c-0ea44344.jpg', 'files/p15/p15857729/s51551684/8dc7bad7-d7cdbfe7-7231abb5-65e3168d-12e734c2.jpg']",['files/p15/p15857729/s50947201/e05c237c-fb8a0000-33d30826-2a3cf122-3e58c1f4.jpg\n']
s51566590_0,p12736592,s51566590,0,Impression,Interval placement of a left-sided chest tube projecting over the left hemithorax.,Interval placement of a left-sided chest tube projecting over the left hemithorax.,chest tube,left hemithorax,New,['files/p12/p12736592/s51566590/9fd949c5-ac707f23-cce74dc3-069335d6-c3d02d66.jpg'],['files/p12/p12736592/s51374401/8069ee50-f6767717-3fd52486-9653f799-3d94d99b.jpg\n']
s51566590_0,p12736592,s51566590,0,Findings,"Single portable view of the chest is compared to previous exam from earlier the same day at 2:38 p.m. There has been interval placement of a left-sided chest tube projecting over the left lower hemithorax. There is overlying subcutaneous gas. Lucency still persists adjacent to the mediastinum on the left. Otherwise, there has been no change. Multiple right-sided rib fractures are better seen on the prior exam.",There has been interval placement of a left-sided chest tube projecting over the left lower hemithorax.,chest tube,left lower hemithorax,New,['files/p12/p12736592/s51566590/9fd949c5-ac707f23-cce74dc3-069335d6-c3d02d66.jpg'],['files/p12/p12736592/s51374401/8069ee50-f6767717-3fd52486-9653f799-3d94d99b.jpg\n']
s51566590_0,p12736592,s51566590,0,Findings,"Single portable view of the chest is compared to previous exam from earlier the same day at 2:38 p.m. There has been interval placement of a left-sided chest tube projecting over the left lower hemithorax. There is overlying subcutaneous gas. Lucency still persists adjacent to the mediastinum on the left. Otherwise, there has been no change. Multiple right-sided rib fractures are better seen on the prior exam.",Lucency still persists adjacent to the mediastinum on the left.,Lucency,adjacent to the mediastinum on the left,Stable,['files/p12/p12736592/s51566590/9fd949c5-ac707f23-cce74dc3-069335d6-c3d02d66.jpg'],['files/p12/p12736592/s51374401/8069ee50-f6767717-3fd52486-9653f799-3d94d99b.jpg\n']
s51566590_0,p12736592,s51566590,0,Findings,"Single portable view of the chest is compared to previous exam from earlier the same day at 2:38 p.m. There has been interval placement of a left-sided chest tube projecting over the left lower hemithorax. There is overlying subcutaneous gas. Lucency still persists adjacent to the mediastinum on the left. Otherwise, there has been no change. Multiple right-sided rib fractures are better seen on the prior exam.",Multiple right-sided rib fractures are better seen on the prior exam.,rib fractures,right-sided,Worse,['files/p12/p12736592/s51566590/9fd949c5-ac707f23-cce74dc3-069335d6-c3d02d66.jpg'],['files/p12/p12736592/s51374401/8069ee50-f6767717-3fd52486-9653f799-3d94d99b.jpg\n']
s51579601_18,p13896515,s51579601,18,Impression,"As compared to the previous radiograph, there is a marked improvement the lung volumes have increased, reflecting improved ventilation. The signs indicative of fluid overload have overall decreased. A potentially pre-existing small left pleural effusion combined to an area of retrocardiac atelectasis has completely resolved. The size and border of the cardiac silhouette can be better determined than previously. No new opacities. Unchanged course and position of the pacemaker leads. The sternal wires are constant.",A potentially pre-existing small left pleural effusion combined to an area of retrocardiac atelectasis has completely resolved.,atelectasis,retrocardiac,Resolve,"['files/p13/p13896515/s51579601/a0515f0c-c19071ab-16f20abd-4732f05d-bbf91504.jpg', 'files/p13/p13896515/s51579601/b167d670-80677557-58798475-0162b2a1-8f47f832.jpg']",['files/p13/p13896515/s51236861/2cddaebd-e35f201c-ce55aa88-db2ae4c5-ead064b4.jpg\n']
s51579601_18,p13896515,s51579601,18,Impression,"As compared to the previous radiograph, there is a marked improvement the lung volumes have increased, reflecting improved ventilation. The signs indicative of fluid overload have overall decreased. A potentially pre-existing small left pleural effusion combined to an area of retrocardiac atelectasis has completely resolved. The size and border of the cardiac silhouette can be better determined than previously. No new opacities. Unchanged course and position of the pacemaker leads. The sternal wires are constant.",Unchanged course and position of the pacemaker leads.,pacemaker leads,,Stable,"['files/p13/p13896515/s51579601/a0515f0c-c19071ab-16f20abd-4732f05d-bbf91504.jpg', 'files/p13/p13896515/s51579601/b167d670-80677557-58798475-0162b2a1-8f47f832.jpg']",['files/p13/p13896515/s51236861/2cddaebd-e35f201c-ce55aa88-db2ae4c5-ead064b4.jpg\n']
s51579601_18,p13896515,s51579601,18,Impression,"As compared to the previous radiograph, there is a marked improvement the lung volumes have increased, reflecting improved ventilation. The signs indicative of fluid overload have overall decreased. A potentially pre-existing small left pleural effusion combined to an area of retrocardiac atelectasis has completely resolved. The size and border of the cardiac silhouette can be better determined than previously. No new opacities. Unchanged course and position of the pacemaker leads. The sternal wires are constant.","As compared to the previous radiograph, there is a marked improvement the lung volumes have increased, reflecting improved ventilation.",lung volumes,,Better,"['files/p13/p13896515/s51579601/a0515f0c-c19071ab-16f20abd-4732f05d-bbf91504.jpg', 'files/p13/p13896515/s51579601/b167d670-80677557-58798475-0162b2a1-8f47f832.jpg']",['files/p13/p13896515/s51236861/2cddaebd-e35f201c-ce55aa88-db2ae4c5-ead064b4.jpg\n']
s51579601_18,p13896515,s51579601,18,Impression,"As compared to the previous radiograph, there is a marked improvement the lung volumes have increased, reflecting improved ventilation. The signs indicative of fluid overload have overall decreased. A potentially pre-existing small left pleural effusion combined to an area of retrocardiac atelectasis has completely resolved. The size and border of the cardiac silhouette can be better determined than previously. No new opacities. Unchanged course and position of the pacemaker leads. The sternal wires are constant.",The signs indicative of fluid overload have overall decreased.,signs of fluid overload,,Better,"['files/p13/p13896515/s51579601/a0515f0c-c19071ab-16f20abd-4732f05d-bbf91504.jpg', 'files/p13/p13896515/s51579601/b167d670-80677557-58798475-0162b2a1-8f47f832.jpg']",['files/p13/p13896515/s51236861/2cddaebd-e35f201c-ce55aa88-db2ae4c5-ead064b4.jpg\n']
s51579601_18,p13896515,s51579601,18,Impression,"As compared to the previous radiograph, there is a marked improvement the lung volumes have increased, reflecting improved ventilation. The signs indicative of fluid overload have overall decreased. A potentially pre-existing small left pleural effusion combined to an area of retrocardiac atelectasis has completely resolved. The size and border of the cardiac silhouette can be better determined than previously. No new opacities. Unchanged course and position of the pacemaker leads. The sternal wires are constant.",The size and border of the cardiac silhouette can be better determined than previously.,cardiac silhouette,,Better,"['files/p13/p13896515/s51579601/a0515f0c-c19071ab-16f20abd-4732f05d-bbf91504.jpg', 'files/p13/p13896515/s51579601/b167d670-80677557-58798475-0162b2a1-8f47f832.jpg']",['files/p13/p13896515/s51236861/2cddaebd-e35f201c-ce55aa88-db2ae4c5-ead064b4.jpg\n']
s51579601_18,p13896515,s51579601,18,Impression,"As compared to the previous radiograph, there is a marked improvement the lung volumes have increased, reflecting improved ventilation. The signs indicative of fluid overload have overall decreased. A potentially pre-existing small left pleural effusion combined to an area of retrocardiac atelectasis has completely resolved. The size and border of the cardiac silhouette can be better determined than previously. No new opacities. Unchanged course and position of the pacemaker leads. The sternal wires are constant.",The sternal wires are constant.,sternal wires,,Stable,"['files/p13/p13896515/s51579601/a0515f0c-c19071ab-16f20abd-4732f05d-bbf91504.jpg', 'files/p13/p13896515/s51579601/b167d670-80677557-58798475-0162b2a1-8f47f832.jpg']",['files/p13/p13896515/s51236861/2cddaebd-e35f201c-ce55aa88-db2ae4c5-ead064b4.jpg\n']
s51579601_18,p13896515,s51579601,18,Impression,"As compared to the previous radiograph, there is a marked improvement the lung volumes have increased, reflecting improved ventilation. The signs indicative of fluid overload have overall decreased. A potentially pre-existing small left pleural effusion combined to an area of retrocardiac atelectasis has completely resolved. The size and border of the cardiac silhouette can be better determined than previously. No new opacities. Unchanged course and position of the pacemaker leads. The sternal wires are constant.",A potentially pre-existing small left pleural effusion combined to an area of retrocardiac atelectasis has completely resolved.,pleural effusion,left,Resolve,"['files/p13/p13896515/s51579601/a0515f0c-c19071ab-16f20abd-4732f05d-bbf91504.jpg', 'files/p13/p13896515/s51579601/b167d670-80677557-58798475-0162b2a1-8f47f832.jpg']",['files/p13/p13896515/s51236861/2cddaebd-e35f201c-ce55aa88-db2ae4c5-ead064b4.jpg\n']
s51580913_5,p16553329,s51580913,5,Findings,"There is mild enlargement of cardiac silhouette. The mediastinal contours are unchanged. There is mild pulmonary vascular engorgement and small bilateral pleural effusions which have decreased in size compared to the previous exam. Patchy bibasilar airspace opacities likely reflect atelectasis, but infection is not fully excluded. No pneumothorax is demonstrated. Multilevel degenerative changes are noted in the thoracic spine.",There is mild pulmonary vascular engorgement and small bilateral pleural effusions which have decreased in size compared to the previous exam.,Pleural Effusions,Bilateral,Worse,"['files/p16/p16553329/s51580913/376dd083-0c554a9f-3a0b2392-b89e6681-8215c52b.jpg', 'files/p16/p16553329/s51580913/5033a612-cecd8c09-fda1ffcf-89bbc30e-147ecb44.jpg']","['files/p16/p16553329/s51229730/646e6ad9-a96531b8-9c145524-8d9eee31-45c942db.jpg\n', 'files/p16/p16553329/s51229730/d642ad26-82bef23a-5b41c13c-5f34e5e1-f45e10aa.jpg\n']"
s51580913_5,p16553329,s51580913,5,Findings,"There is mild enlargement of cardiac silhouette. The mediastinal contours are unchanged. There is mild pulmonary vascular engorgement and small bilateral pleural effusions which have decreased in size compared to the previous exam. Patchy bibasilar airspace opacities likely reflect atelectasis, but infection is not fully excluded. No pneumothorax is demonstrated. Multilevel degenerative changes are noted in the thoracic spine.",The mediastinal contours are unchanged.,Contours,Mediastinal,Stable,"['files/p16/p16553329/s51580913/376dd083-0c554a9f-3a0b2392-b89e6681-8215c52b.jpg', 'files/p16/p16553329/s51580913/5033a612-cecd8c09-fda1ffcf-89bbc30e-147ecb44.jpg']","['files/p16/p16553329/s51229730/646e6ad9-a96531b8-9c145524-8d9eee31-45c942db.jpg\n', 'files/p16/p16553329/s51229730/d642ad26-82bef23a-5b41c13c-5f34e5e1-f45e10aa.jpg\n']"
s51584806_1,p19800337,s51584806,1,Findings,PA and lateral views of the chest are compared to previous exam from ___. The lungs are now clear without focal consolidation or effusion. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.,The lungs are now clear without focal consolidation or effusion.,focal consolidation or effusion,lungs,Better,"['files/p19/p19800337/s51584806/7a238738-8c621632-91033197-65bce15b-74461a6c.jpg', 'files/p19/p19800337/s51584806/b800c916-3b94102e-b30f93af-af52c677-167e5233.jpg']","['files/p19/p19800337/s51102831/19254d2e-12f84a8a-3d9be406-77b33fc9-ff7ed852.jpg\n', 'files/p19/p19800337/s51102831/66b7c679-c157c1f3-e9474f67-86d8cfd8-d63dd1f2.jpg\n']"
s51592807_22,p12952223,s51592807,22,Findings,"Lung volumes are lower than on the prior study with volume loss in both lower lobes and bilateral pleural effusions, right greater than left. Underlying infectious infiltrate in the lower lobes cannot be excluded. Compared to the prior study, the pulmonary appearance in the lower lobes is worsened. Right-sided PICC line tip is in the SVC. There is no pneumothorax.","Lung volumes are lower than on the prior study with volume loss in both lower lobes and bilateral pleural effusions, right greater than left.",lung volumes,both lower lobes,Worse,['files/p12/p12952223/s51592807/d7e9f055-751c8d65-66226fcf-da86917c-6f5082a5.jpg'],['files/p12/p12952223/s51455625/77f8b16c-dc92cae8-c7cbef7d-dd25244a-9176e253.jpg\n']
s51592807_22,p12952223,s51592807,22,Findings,"Lung volumes are lower than on the prior study with volume loss in both lower lobes and bilateral pleural effusions, right greater than left. Underlying infectious infiltrate in the lower lobes cannot be excluded. Compared to the prior study, the pulmonary appearance in the lower lobes is worsened. Right-sided PICC line tip is in the SVC. There is no pneumothorax.","Compared to the prior study, the pulmonary appearance in the lower lobes is worsened.",pulmonary appearance,lower lobes,Worse,['files/p12/p12952223/s51592807/d7e9f055-751c8d65-66226fcf-da86917c-6f5082a5.jpg'],['files/p12/p12952223/s51455625/77f8b16c-dc92cae8-c7cbef7d-dd25244a-9176e253.jpg\n']
s51599732_5,p17163861,s51599732,5,Impression,"As compared to the previous radiograph, the patient has received a nasogastric tube. The tip projects over the middle parts of the stomach. No complications, notably no pneumothorax. The apical lung regions are not included on the image.","As compared to the previous radiograph, the patient has received a nasogastric tube.",nasogastric tube,middle parts of the stomach,New,"['files/p17/p17163861/s51599732/7af50fb4-7220f1e6-2f232aa7-bdbbc51c-18f1c512.jpg', 'files/p17/p17163861/s51599732/c2d5f938-8ac36872-dfac1b06-126c490e-6f63e582.jpg']","['files/p17/p17163861/s50065267/1f13c4be-a6bc48a6-5675f256-e95b8a28-c017e780.jpg\n', 'files/p17/p17163861/s50065267/3d93e17d-7634fb78-ec7abdcd-a745490f-6eb6cc24.jpg\n', 'files/p17/p17163861/s50065267/83502e58-5ada1fba-450984b0-07c9ec9e-2b5b91b4.jpg\n', 'files/p17/p17163861/s50065267/bd3dc01c-c67b8f05-580c3880-de7352aa-4118828e.jpg\n']"
s51612287_9,p19907884,s51612287,9,Findings,"A supine portable frontal chest radiograph demonstrates low lung volumes with increased prominence of the cardiac silhouette and bronchovascular crowding. There is been interval placement of a right internal jugular catheter, with the tip likely within the proximal right atrium. There is persistent elevation of the right hemidiaphragm. No definite focal consolidation, pleural effusion, or pneumothorax is identified. The visualized upper abdomen is unremarkable.",A supine portable frontal chest radiograph demonstrates low lung volumes with increased prominence of the cardiac silhouette and bronchovascular crowding.,Prominence,Cardiac silhouette,Worse,['files/p19/p19907884/s51612287/32c5499f-c7a8f116-bc3516cf-55127c10-d77b160c.jpg'],"['files/p19/p19907884/s51326934/189bfd48-459e602e-189009ad-8e87fda4-4badf1bc.jpg\n', 'files/p19/p19907884/s51326934/af1457be-7507046a-550303e6-7079a0d3-56b7ab55.jpg\n']"
s51612287_9,p19907884,s51612287,9,Findings,"A supine portable frontal chest radiograph demonstrates low lung volumes with increased prominence of the cardiac silhouette and bronchovascular crowding. There is been interval placement of a right internal jugular catheter, with the tip likely within the proximal right atrium. There is persistent elevation of the right hemidiaphragm. No definite focal consolidation, pleural effusion, or pneumothorax is identified. The visualized upper abdomen is unremarkable.",There is persistent elevation of the right hemidiaphragm.,Elevation,Right hemidiaphragm,Worse,['files/p19/p19907884/s51612287/32c5499f-c7a8f116-bc3516cf-55127c10-d77b160c.jpg'],"['files/p19/p19907884/s51326934/189bfd48-459e602e-189009ad-8e87fda4-4badf1bc.jpg\n', 'files/p19/p19907884/s51326934/af1457be-7507046a-550303e6-7079a0d3-56b7ab55.jpg\n']"
s51612379_12,p18767957,s51612379,12,Impression,Heart size is upper limits of normal. There has been improvement of the pulmonary edema. There remains vague opacities at the lung bases. This may be due to resolving pulmonary edema versus atelectasis versus residual infiltrate. There are no pneumothoraces.,There has been improvement of the pulmonary edema.,pulmonary edema,,Better,"['files/p18/p18767957/s51612379/1f39a0e5-eb257452-7629c4fc-d3d059e7-17bf34f5.jpg', 'files/p18/p18767957/s51612379/fb8ee6e9-59868cbd-7ad11448-f8dbb718-932a7b43.jpg']","['files/p18/p18767957/s50753069/35e71750-ddfd8ab7-6727d134-ce5dcbad-b91eb45b.jpg\n', 'files/p18/p18767957/s50753069/5c8c0263-8d94687e-2a7896c8-5682bae9-6aeefbc4.jpg\n']"
s51612379_12,p18767957,s51612379,12,Impression,Heart size is upper limits of normal. There has been improvement of the pulmonary edema. There remains vague opacities at the lung bases. This may be due to resolving pulmonary edema versus atelectasis versus residual infiltrate. There are no pneumothoraces.,There remains vague opacities at the lung bases.,vague opacities,lung bases,Stable,"['files/p18/p18767957/s51612379/1f39a0e5-eb257452-7629c4fc-d3d059e7-17bf34f5.jpg', 'files/p18/p18767957/s51612379/fb8ee6e9-59868cbd-7ad11448-f8dbb718-932a7b43.jpg']","['files/p18/p18767957/s50753069/35e71750-ddfd8ab7-6727d134-ce5dcbad-b91eb45b.jpg\n', 'files/p18/p18767957/s50753069/5c8c0263-8d94687e-2a7896c8-5682bae9-6aeefbc4.jpg\n']"
s51613553_17,p14841168,s51613553,17,Findings,"Single supine portable view of the chest was obtained. The patient is rotated to the right. Cardiac and mediastinal silhouettes are stable. There is mild elevation of the right hemidiaphragm. No definite focal consolidation is seen. Mild pulmonary vascular congestion is improved. Patchy opacity at the left lung base is seen; nonspecific, but could be due to infection or aspiration. Dedicated PA and lateral views if and when patient able, would be helpful for further evaluation. No large pleural effusion or pneumothorax.",Mild pulmonary vascular congestion is improved.,Mild pulmonary vascular congestion,,Better,['files/p14/p14841168/s51613553/41ac266f-165c8df4-32f6976e-54066ffd-f078337c.jpg'],['files/p14/p14841168/s51351495/5636d20b-bf2bc860-a877f98d-84cf4456-7d982baa.jpg\n']
s51613553_17,p14841168,s51613553,17,Impression,1. Patchy left base opacity could be due to aspiration or infection. 2. Mild pulmonary vascular congestion has improved in the interval. Stable cardiomediastinal silhouette.,Mild pulmonary vascular congestion has improved in the interval.,Mild pulmonary vascular congestion,,Better,['files/p14/p14841168/s51613553/41ac266f-165c8df4-32f6976e-54066ffd-f078337c.jpg'],['files/p14/p14841168/s51351495/5636d20b-bf2bc860-a877f98d-84cf4456-7d982baa.jpg\n']
s51613553_17,p14841168,s51613553,17,Findings,"Single supine portable view of the chest was obtained. The patient is rotated to the right. Cardiac and mediastinal silhouettes are stable. There is mild elevation of the right hemidiaphragm. No definite focal consolidation is seen. Mild pulmonary vascular congestion is improved. Patchy opacity at the left lung base is seen; nonspecific, but could be due to infection or aspiration. Dedicated PA and lateral views if and when patient able, would be helpful for further evaluation. No large pleural effusion or pneumothorax.",Cardiac and mediastinal silhouettes are stable.,Cardiac and mediastinal silhouettes,,Stable,['files/p14/p14841168/s51613553/41ac266f-165c8df4-32f6976e-54066ffd-f078337c.jpg'],['files/p14/p14841168/s51351495/5636d20b-bf2bc860-a877f98d-84cf4456-7d982baa.jpg\n']
s51613553_17,p14841168,s51613553,17,Impression,1. Patchy left base opacity could be due to aspiration or infection. 2. Mild pulmonary vascular congestion has improved in the interval. Stable cardiomediastinal silhouette.,Stable cardiomediastinal silhouette.,Cardiomediastinal silhouette,,Stable,['files/p14/p14841168/s51613553/41ac266f-165c8df4-32f6976e-54066ffd-f078337c.jpg'],['files/p14/p14841168/s51351495/5636d20b-bf2bc860-a877f98d-84cf4456-7d982baa.jpg\n']
s51615087_0,p12595991,s51615087,0,Findings,"Left-sided pacemaker device is noted with leads terminating in the right atrium, right ventricle, and coronary sinus. The heart size is mildly enlarged. The aortic knob is calcified. There is mild pulmonary edema with perihilar haziness and vascular indistinctness, new from the prior study. Focal opacities at lung bases may reflect areas of atelectasis though infection cannot be excluded. Small bilateral pleural effusions may be present. No pneumothorax is identified.","There is mild pulmonary edema with perihilar haziness and vascular indistinctness, new from the prior study.",pulmonary edema,perihilar,New,['files/p12/p12595991/s51615087/29f643b7-e5408002-2f731ee3-cb5b8634-0d438145.jpg'],"['files/p12/p12595991/s51474707/2fe309ca-e58c4d80-6f0002e9-cd535709-1c3f5890.jpg\n', 'files/p12/p12595991/s51474707/f2baee8f-ab9bb3f0-cd412d19-fa6f5014-d0388839.jpg\n']"
s51618570_12,p10410641,s51618570,12,Findings,The bilateral pleural pigtail catheters are in unchanged position. The right pneumothorax has an unchanged dimension of approximately 1 cm. There is no evidence of tension. No other changes.,The bilateral pleural pigtail catheters are in unchanged position.,pigtail catheters,bilateral,Stable,['files/p10/p10410641/s51618570/bcfa89ae-4f7e4307-6bb629ee-15495f05-7e31cca0.jpg'],['files/p10/p10410641/s51384021/387c76dd-5c98b144-ff773e04-8401a69c-e93e16d0.jpg\n']
s51618570_12,p10410641,s51618570,12,Findings,The bilateral pleural pigtail catheters are in unchanged position. The right pneumothorax has an unchanged dimension of approximately 1 cm. There is no evidence of tension. No other changes.,The right pneumothorax has an unchanged dimension of approximately 1 cm.,pneumothorax,right,Stable,['files/p10/p10410641/s51618570/bcfa89ae-4f7e4307-6bb629ee-15495f05-7e31cca0.jpg'],['files/p10/p10410641/s51384021/387c76dd-5c98b144-ff773e04-8401a69c-e93e16d0.jpg\n']
s51621137_0,p12538508,s51621137,0,Findings,"The patient is status post median sternotomy and CABG. Evaluation of the cardiac silhouette size is difficult due to the presence of a chronic, moderate-to-large left pleural effusion, which appears slightly increased in size when compared to prior study. There is persistent left basilar opacification, likely reflecting compressive atelectasis. The right lung demonstrates mild atelectasis at the lung base, but is otherwise clear. No pneumothorax is identified. There is no pulmonary vascular congestion. The aorta remains tortuous and calcified.","Evaluation of the cardiac silhouette size is difficult due to the presence of a chronic, moderate-to-large left pleural effusion, which appears slightly increased in size when compared to prior study.",pleural effusion,left,Worse,['files/p12/p12538508/s51621137/0beab5cd-dd1bb454-0df993cf-f3c0ae3d-8f0e0c27.jpg'],
s51621137_0,p12538508,s51621137,0,Findings,"The patient is status post median sternotomy and CABG. Evaluation of the cardiac silhouette size is difficult due to the presence of a chronic, moderate-to-large left pleural effusion, which appears slightly increased in size when compared to prior study. There is persistent left basilar opacification, likely reflecting compressive atelectasis. The right lung demonstrates mild atelectasis at the lung base, but is otherwise clear. No pneumothorax is identified. There is no pulmonary vascular congestion. The aorta remains tortuous and calcified.",The aorta remains tortuous and calcified.,aorta tortuous and calcified,,Stable,['files/p12/p12538508/s51621137/0beab5cd-dd1bb454-0df993cf-f3c0ae3d-8f0e0c27.jpg'],
s51621137_0,p12538508,s51621137,0,Impression,"Moderate-to-large chronic left pleural effusion, slightly increased compared to the prior study with persistent left basilar opacification, likely reflecting compressive atelectasis, though infection cannot be completely excluded.","Moderate-to-large chronic left pleural effusion, slightly increased compared to the prior study with persistent left basilar opacification, likely reflecting compressive atelectasis, though infection cannot be completely excluded.",pleural effusion,left,Worse,['files/p12/p12538508/s51621137/0beab5cd-dd1bb454-0df993cf-f3c0ae3d-8f0e0c27.jpg'],
s51621137_0,p12538508,s51621137,0,Findings,"The patient is status post median sternotomy and CABG. Evaluation of the cardiac silhouette size is difficult due to the presence of a chronic, moderate-to-large left pleural effusion, which appears slightly increased in size when compared to prior study. There is persistent left basilar opacification, likely reflecting compressive atelectasis. The right lung demonstrates mild atelectasis at the lung base, but is otherwise clear. No pneumothorax is identified. There is no pulmonary vascular congestion. The aorta remains tortuous and calcified.","There is persistent left basilar opacification, likely reflecting compressive atelectasis.",opacification,left basilar,Stable,['files/p12/p12538508/s51621137/0beab5cd-dd1bb454-0df993cf-f3c0ae3d-8f0e0c27.jpg'],
s51621424_17,p19182863,s51621424,17,Findings,"Since the prior radiograph two days prior, there has been worsening mild pulmonary edema. There is no consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged with a normal postoperative appearance. Sternal wires and the prosthetic cardiac valve are unchanged in appearance.","There is no consolidation, pleural effusion, or pneumothorax.",no pneumothorax,,New,['files/p19/p19182863/s51621424/d85667b8-c62dec2e-998b6abd-7f553ce3-75954004.jpg'],['files/p19/p19182863/s51514260/9b185b4a-ebb47e2f-e969fede-cab4dc44-38b3d84b.jpg\n']
s51621424_17,p19182863,s51621424,17,Findings,"Since the prior radiograph two days prior, there has been worsening mild pulmonary edema. There is no consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged with a normal postoperative appearance. Sternal wires and the prosthetic cardiac valve are unchanged in appearance.","Since the prior radiograph two days prior, there has been worsening mild pulmonary edema.",mild pulmonary edema,,Worse,['files/p19/p19182863/s51621424/d85667b8-c62dec2e-998b6abd-7f553ce3-75954004.jpg'],['files/p19/p19182863/s51514260/9b185b4a-ebb47e2f-e969fede-cab4dc44-38b3d84b.jpg\n']
s51621424_17,p19182863,s51621424,17,Findings,"Since the prior radiograph two days prior, there has been worsening mild pulmonary edema. There is no consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged with a normal postoperative appearance. Sternal wires and the prosthetic cardiac valve are unchanged in appearance.","There is no consolidation, pleural effusion, or pneumothorax.",no consolidation,,New,['files/p19/p19182863/s51621424/d85667b8-c62dec2e-998b6abd-7f553ce3-75954004.jpg'],['files/p19/p19182863/s51514260/9b185b4a-ebb47e2f-e969fede-cab4dc44-38b3d84b.jpg\n']
s51621424_17,p19182863,s51621424,17,Findings,"Since the prior radiograph two days prior, there has been worsening mild pulmonary edema. There is no consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged with a normal postoperative appearance. Sternal wires and the prosthetic cardiac valve are unchanged in appearance.",Sternal wires and the prosthetic cardiac valve are unchanged in appearance.,sternal wires,,Stable,['files/p19/p19182863/s51621424/d85667b8-c62dec2e-998b6abd-7f553ce3-75954004.jpg'],['files/p19/p19182863/s51514260/9b185b4a-ebb47e2f-e969fede-cab4dc44-38b3d84b.jpg\n']
s51621424_17,p19182863,s51621424,17,Findings,"Since the prior radiograph two days prior, there has been worsening mild pulmonary edema. There is no consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged with a normal postoperative appearance. Sternal wires and the prosthetic cardiac valve are unchanged in appearance.",The cardiomediastinal silhouette is unchanged with a normal postoperative appearance.,cardiomediastinal silhouette,,Stable,['files/p19/p19182863/s51621424/d85667b8-c62dec2e-998b6abd-7f553ce3-75954004.jpg'],['files/p19/p19182863/s51514260/9b185b4a-ebb47e2f-e969fede-cab4dc44-38b3d84b.jpg\n']
s51621424_17,p19182863,s51621424,17,Findings,"Since the prior radiograph two days prior, there has been worsening mild pulmonary edema. There is no consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged with a normal postoperative appearance. Sternal wires and the prosthetic cardiac valve are unchanged in appearance.",Sternal wires and the prosthetic cardiac valve are unchanged in appearance.,prosthetic cardiac valve,,Stable,['files/p19/p19182863/s51621424/d85667b8-c62dec2e-998b6abd-7f553ce3-75954004.jpg'],['files/p19/p19182863/s51514260/9b185b4a-ebb47e2f-e969fede-cab4dc44-38b3d84b.jpg\n']
s51621424_17,p19182863,s51621424,17,Impression,1. Worsening mild pulmonary edema. 2. No pneumothorax. Results were discussed with Dr. ___ at 12:15 on ___ via telephone by Dr. ___ ___ minutes after the findings were discovered.,1. Worsening mild pulmonary edema. 2. No pneumothorax. Results were discussed with Dr. ___ at 12:15 on ___ via telephone by Dr. ___ ___ minutes after the findings were discovered.,mild pulmonary edema,,Worse,['files/p19/p19182863/s51621424/d85667b8-c62dec2e-998b6abd-7f553ce3-75954004.jpg'],['files/p19/p19182863/s51514260/9b185b4a-ebb47e2f-e969fede-cab4dc44-38b3d84b.jpg\n']
s51621424_17,p19182863,s51621424,17,Impression,1. Worsening mild pulmonary edema. 2. No pneumothorax. Results were discussed with Dr. ___ at 12:15 on ___ via telephone by Dr. ___ ___ minutes after the findings were discovered.,1. Worsening mild pulmonary edema. 2. No pneumothorax. Results were discussed with Dr. ___ at 12:15 on ___ via telephone by Dr. ___ ___ minutes after the findings were discovered.,no pneumothorax,,New,['files/p19/p19182863/s51621424/d85667b8-c62dec2e-998b6abd-7f553ce3-75954004.jpg'],['files/p19/p19182863/s51514260/9b185b4a-ebb47e2f-e969fede-cab4dc44-38b3d84b.jpg\n']
s51621424_17,p19182863,s51621424,17,Findings,"Since the prior radiograph two days prior, there has been worsening mild pulmonary edema. There is no consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged with a normal postoperative appearance. Sternal wires and the prosthetic cardiac valve are unchanged in appearance.","There is no consolidation, pleural effusion, or pneumothorax.",no pleural effusion,,New,['files/p19/p19182863/s51621424/d85667b8-c62dec2e-998b6abd-7f553ce3-75954004.jpg'],['files/p19/p19182863/s51514260/9b185b4a-ebb47e2f-e969fede-cab4dc44-38b3d84b.jpg\n']
s51623828_10,p10268877,s51623828,10,Impression,Increased mild pulmonary edema and left basal atelectasis.,Increased mild pulmonary edema and left basal atelectasis.,atelectasis,left basal,New,['files/p10/p10268877/s51623828/9dcbd7ac-9d6ca173-f7e669fd-bb419597-97f58083.jpg'],['files/p10/p10268877/s51513702/053e0fdd-17dbee89-17885e49-08249a30-7f829c9c.jpg\n']
s51623828_10,p10268877,s51623828,10,Impression,Increased mild pulmonary edema and left basal atelectasis.,Increased mild pulmonary edema and left basal atelectasis.,pulmonary edema,,Worse,['files/p10/p10268877/s51623828/9dcbd7ac-9d6ca173-f7e669fd-bb419597-97f58083.jpg'],['files/p10/p10268877/s51513702/053e0fdd-17dbee89-17885e49-08249a30-7f829c9c.jpg\n']
s51631521_3,p13031876,s51631521,3,Findings,"In comparison with the study of ___, there are substantially lower lung volumes. The tip of the nasogastric tube is in the upper stomach with the side hole probably just above the gastroesophageal junction. The tube could easily be pushed forward about 5 cm. Low lung volumes may account for much of the prominence of the transverse diameter of the heart and fullness of pulmonary vessels, though some elevation of pulmonary venous pressure could well be present. Some atelectatic changes are seen in the retrocardiac region. No change in the appearance of the cervical fusion. Metallic anchors are seen about the right shoulder.",No change in the appearance of the cervical fusion.,fusion,cervical,Stable,['files/p13/p13031876/s51631521/e16a3994-29f6fa7c-062b1eb7-a8c902f3-83a49faa.jpg'],['files/p13/p13031876/s51083465/50ce474f-a6c1b7fd-18d97f9e-98effe01-c29ad3be.jpg\n']
s51631521_3,p13031876,s51631521,3,Findings,"In comparison with the study of ___, there are substantially lower lung volumes. The tip of the nasogastric tube is in the upper stomach with the side hole probably just above the gastroesophageal junction. The tube could easily be pushed forward about 5 cm. Low lung volumes may account for much of the prominence of the transverse diameter of the heart and fullness of pulmonary vessels, though some elevation of pulmonary venous pressure could well be present. Some atelectatic changes are seen in the retrocardiac region. No change in the appearance of the cervical fusion. Metallic anchors are seen about the right shoulder.","In comparison with the study of ___, there are substantially lower lung volumes.",lung volumes,,Worse,['files/p13/p13031876/s51631521/e16a3994-29f6fa7c-062b1eb7-a8c902f3-83a49faa.jpg'],['files/p13/p13031876/s51083465/50ce474f-a6c1b7fd-18d97f9e-98effe01-c29ad3be.jpg\n']
s51634830_4,p16853729,s51634830,4,Impression,"1. Given patient rotation, the overall cardiac and mediastinal contours are likely stable. The heart remains moderately enlarged and the aorta remains unfolded and tortuous. There is no evidence of pulmonary edema. The lungs appear grossly clear. There is some blunting of the left costophrenic angle, which may reflect pleural thickening and/or a small pleural effusion. No pneumothorax is seen. No focal airspace consolidation is seen to suggest pneumonia. Prominent opacity in the right paratracheal region is felt to likely be vascular in etiology.",The heart remains moderately enlarged and the aorta remains unfolded and tortuous.,aorta,,Stable,['files/p16/p16853729/s51634830/9ef32bb6-e50747e2-dcc3e2c5-8eb088ab-1299485a.jpg'],['files/p16/p16853729/s51121202/d0b136c5-f0844e8c-66112b7b-2c23ee98-5d07fb5c.jpg\n']
s51634830_4,p16853729,s51634830,4,Impression,"1. Given patient rotation, the overall cardiac and mediastinal contours are likely stable. The heart remains moderately enlarged and the aorta remains unfolded and tortuous. There is no evidence of pulmonary edema. The lungs appear grossly clear. There is some blunting of the left costophrenic angle, which may reflect pleural thickening and/or a small pleural effusion. No pneumothorax is seen. No focal airspace consolidation is seen to suggest pneumonia. Prominent opacity in the right paratracheal region is felt to likely be vascular in etiology.",The heart remains moderately enlarged and the aorta remains unfolded and tortuous.,heart size,,Stable,['files/p16/p16853729/s51634830/9ef32bb6-e50747e2-dcc3e2c5-8eb088ab-1299485a.jpg'],['files/p16/p16853729/s51121202/d0b136c5-f0844e8c-66112b7b-2c23ee98-5d07fb5c.jpg\n']
s51634830_4,p16853729,s51634830,4,Impression,"1. Given patient rotation, the overall cardiac and mediastinal contours are likely stable. The heart remains moderately enlarged and the aorta remains unfolded and tortuous. There is no evidence of pulmonary edema. The lungs appear grossly clear. There is some blunting of the left costophrenic angle, which may reflect pleural thickening and/or a small pleural effusion. No pneumothorax is seen. No focal airspace consolidation is seen to suggest pneumonia. Prominent opacity in the right paratracheal region is felt to likely be vascular in etiology.","Given patient rotation, the overall cardiac and mediastinal contours are likely stable.",contours,cardiac and mediastinal,Stable,['files/p16/p16853729/s51634830/9ef32bb6-e50747e2-dcc3e2c5-8eb088ab-1299485a.jpg'],['files/p16/p16853729/s51121202/d0b136c5-f0844e8c-66112b7b-2c23ee98-5d07fb5c.jpg\n']
s51640383_4,p16043240,s51640383,4,Findings,"Note is made again of midline sternotomy wires and mediastinal clips, which are stable. Cardiac silhouette is normal. The mediastinal and hilar silhouettes are normal. Lungs are clear with no pleural effusion, pulmonary edema, or pneumothorax.","Note is made again of midline sternotomy wires and mediastinal clips, which are stable.",clips,mediastinal,Stable,"['files/p16/p16043240/s51640383/46f5be5f-70e3e741-542f6fde-edbbdbfe-a4ed00d6.jpg', 'files/p16/p16043240/s51640383/603ec26c-efd8dad7-d9c3a4d2-f402b7a8-8b3ac5e7.jpg']",['files/p16/p16043240/s50307780/05422169-24d04e58-5084d62b-7d1d9ce1-16bfe2af.jpg\n']
s51640383_4,p16043240,s51640383,4,Findings,"Note is made again of midline sternotomy wires and mediastinal clips, which are stable. Cardiac silhouette is normal. The mediastinal and hilar silhouettes are normal. Lungs are clear with no pleural effusion, pulmonary edema, or pneumothorax.","Note is made again of midline sternotomy wires and mediastinal clips, which are stable.",sternotomy wires,midline,Stable,"['files/p16/p16043240/s51640383/46f5be5f-70e3e741-542f6fde-edbbdbfe-a4ed00d6.jpg', 'files/p16/p16043240/s51640383/603ec26c-efd8dad7-d9c3a4d2-f402b7a8-8b3ac5e7.jpg']",['files/p16/p16043240/s50307780/05422169-24d04e58-5084d62b-7d1d9ce1-16bfe2af.jpg\n']
s51644170_26,p11413236,s51644170,26,Impression,Persistently low lung volumes with streaky right basilar atelectasis.,Persistently low lung volumes with streaky right basilar atelectasis.,Low lung volumes with streaky atelectasis,right basilar,Stable,"['files/p11/p11413236/s51644170/68fca727-3938158e-eb97e5dc-141e63e2-53d66c78.jpg', 'files/p11/p11413236/s51644170/c9968397-d379cb18-8d6f80d9-6ede0af5-f8c4d52e.jpg']",['files/p11/p11413236/s51568216/4ffe5eff-a5a604c2-4da5dcda-0801d405-88939c8f.jpg\n']
s51644170_26,p11413236,s51644170,26,Findings,"Patient is status post median sternotomy. Right-sided Port-A-Cath tip terminates in the upper SVC, unchanged. Cardiac silhouette remains moderately enlarged but unchanged. Multiple calcified mediastinal lymph nodes are again demonstrated suggestive prior granulomatous disease. The mediastinal and hilar contours are otherwise unremarkable. Lung volumes are persistently low with streaky atelectasis seen in the right lung base. No focal consolidation, pleural effusion or pneumothorax is seen. The pulmonary vasculature is not engorged.",Cardiac silhouette remains moderately enlarged but unchanged.,Moderately enlarged cardiac silhouette,,Stable,"['files/p11/p11413236/s51644170/68fca727-3938158e-eb97e5dc-141e63e2-53d66c78.jpg', 'files/p11/p11413236/s51644170/c9968397-d379cb18-8d6f80d9-6ede0af5-f8c4d52e.jpg']",['files/p11/p11413236/s51568216/4ffe5eff-a5a604c2-4da5dcda-0801d405-88939c8f.jpg\n']
s51644170_26,p11413236,s51644170,26,Findings,"Patient is status post median sternotomy. Right-sided Port-A-Cath tip terminates in the upper SVC, unchanged. Cardiac silhouette remains moderately enlarged but unchanged. Multiple calcified mediastinal lymph nodes are again demonstrated suggestive prior granulomatous disease. The mediastinal and hilar contours are otherwise unremarkable. Lung volumes are persistently low with streaky atelectasis seen in the right lung base. No focal consolidation, pleural effusion or pneumothorax is seen. The pulmonary vasculature is not engorged.",Lung volumes are persistently low with streaky atelectasis seen in the right lung base.,Low lung volumes with streaky atelectasis,right lung base,Stable,"['files/p11/p11413236/s51644170/68fca727-3938158e-eb97e5dc-141e63e2-53d66c78.jpg', 'files/p11/p11413236/s51644170/c9968397-d379cb18-8d6f80d9-6ede0af5-f8c4d52e.jpg']",['files/p11/p11413236/s51568216/4ffe5eff-a5a604c2-4da5dcda-0801d405-88939c8f.jpg\n']
s51644170_26,p11413236,s51644170,26,Findings,"Patient is status post median sternotomy. Right-sided Port-A-Cath tip terminates in the upper SVC, unchanged. Cardiac silhouette remains moderately enlarged but unchanged. Multiple calcified mediastinal lymph nodes are again demonstrated suggestive prior granulomatous disease. The mediastinal and hilar contours are otherwise unremarkable. Lung volumes are persistently low with streaky atelectasis seen in the right lung base. No focal consolidation, pleural effusion or pneumothorax is seen. The pulmonary vasculature is not engorged.","Right-sided Port-A-Cath tip terminates in the upper SVC, unchanged.",Right-sided Port-A-Cath tip,upper SVC,Stable,"['files/p11/p11413236/s51644170/68fca727-3938158e-eb97e5dc-141e63e2-53d66c78.jpg', 'files/p11/p11413236/s51644170/c9968397-d379cb18-8d6f80d9-6ede0af5-f8c4d52e.jpg']",['files/p11/p11413236/s51568216/4ffe5eff-a5a604c2-4da5dcda-0801d405-88939c8f.jpg\n']
s51648837_1,p13964474,s51648837,1,Findings,"A new endotracheal tube terminates 3.4 cm above the carina. There is a new orogastric tube terminating within the stomach. Again seen is a confluent right mid lower zone opacity with a central rounded lucency, which may reflect cavitary lesion or abscess. No underlying consolidations are present. There is no pneumothorax.",There is a new orogastric tube terminating within the stomach.,orogastric tube,within the stomach,New,['files/p13/p13964474/s51648837/4460b78c-d6c33b0d-eb6264df-74386a2b-371f79ec.jpg'],['files/p13/p13964474/s51102601/01eaece3-70d48ee8-709d04c6-967fa1f4-a486c1fb.jpg\n']
s51648837_1,p13964474,s51648837,1,Impression,1. ET tube terminating 3.4 cm above the carina. Orogastric tube terminating within the stomach. 2. Unchanged appearance of middle and lower lobe opacities with central lucency suggestive of cavitation or abscess.,2. Unchanged appearance of middle and lower lobe opacities with central lucency suggestive of cavitation or abscess.,opacities with central lucency,middle and lower lobe,Stable,['files/p13/p13964474/s51648837/4460b78c-d6c33b0d-eb6264df-74386a2b-371f79ec.jpg'],['files/p13/p13964474/s51102601/01eaece3-70d48ee8-709d04c6-967fa1f4-a486c1fb.jpg\n']
s51648837_1,p13964474,s51648837,1,Findings,"A new endotracheal tube terminates 3.4 cm above the carina. There is a new orogastric tube terminating within the stomach. Again seen is a confluent right mid lower zone opacity with a central rounded lucency, which may reflect cavitary lesion or abscess. No underlying consolidations are present. There is no pneumothorax.","Again seen is a confluent right mid lower zone opacity with a central rounded lucency, which may reflect cavitary lesion or abscess.",confluent opacity with central rounded lucency,right mid lower zone,Stable,['files/p13/p13964474/s51648837/4460b78c-d6c33b0d-eb6264df-74386a2b-371f79ec.jpg'],['files/p13/p13964474/s51102601/01eaece3-70d48ee8-709d04c6-967fa1f4-a486c1fb.jpg\n']
s51648837_1,p13964474,s51648837,1,Findings,"A new endotracheal tube terminates 3.4 cm above the carina. There is a new orogastric tube terminating within the stomach. Again seen is a confluent right mid lower zone opacity with a central rounded lucency, which may reflect cavitary lesion or abscess. No underlying consolidations are present. There is no pneumothorax.",A new endotracheal tube terminates 3.4 cm above the carina.,endotracheal tube,3.4 cm above the carina,New,['files/p13/p13964474/s51648837/4460b78c-d6c33b0d-eb6264df-74386a2b-371f79ec.jpg'],['files/p13/p13964474/s51102601/01eaece3-70d48ee8-709d04c6-967fa1f4-a486c1fb.jpg\n']
s51654271_4,p17318449,s51654271,4,Findings,"The patient is status post coronary artery bypass graft surgery. The heart is at the upper limits of normal size. The aortic arch is partly calcified. The pulmonary vasculature is minimally prominent suggesting pulmonary venous hypertension or slight congestion without frank congestive heart failure. There is also a patchy right infrahilar opacity, suspected to represent minor streaky atelectasis. A linear opacity seen posteriorly on the lateral view probably is due to stable scarring in the left lower lobe. There are no pleural effusions or pneumothorax. Thin anterior flowing syndesmophytes are present along the lateral and anterior aspects of the visualized thoracic spine, which could be seen with idiopathic skeletal hyperostosis.",A linear opacity seen posteriorly on the lateral view probably is due to stable scarring in the left lower lobe.,scarring,left lower lobe,Stable,"['files/p17/p17318449/s51654271/0e02f05c-dfa11803-7fd610f9-7011086c-eeeeb1fb.jpg', 'files/p17/p17318449/s51654271/3ad494b4-6c39cc5d-18af4458-ca534fa5-36427e1e.jpg']",
s51654271_4,p17318449,s51654271,4,Impression,"1. Findings suggesting minimal congestion or pulmonary venous hypertension, new on this study. 2. Patchy right basilar opacity suspected to represent minor atelectasis.","1. Findings suggesting minimal congestion or pulmonary venous hypertension, new on this study.",minimal congestion or pulmonary venous hypertension,,New,"['files/p17/p17318449/s51654271/0e02f05c-dfa11803-7fd610f9-7011086c-eeeeb1fb.jpg', 'files/p17/p17318449/s51654271/3ad494b4-6c39cc5d-18af4458-ca534fa5-36427e1e.jpg']",
s51664027_3,p17206933,s51664027,3,Findings,Heterogeneous opacities in the right upper lung and left lower lung are new compared to radiographs from ___ and concerning for infection. A small to moderate left pleural effusion is substantially increased. There is no definite right pleural effusion. Heart size is top normal. Unfolding of the thoracic aorta is unchanged. Aortic calcifications are again noted. Segmental left rib fractures are unchanged.,Heterogeneous opacities in the right upper lung and left lower lung are new compared to radiographs from ___ and concerning for infection,heterogeneous opacities,"right upper lung, left lower lung",New,['files/p17/p17206933/s51664027/ff6e7a7d-9a6dcd6f-295e7a94-b49fbcc3-502bd3ab.jpg'],
s51664027_3,p17206933,s51664027,3,Findings,Heterogeneous opacities in the right upper lung and left lower lung are new compared to radiographs from ___ and concerning for infection. A small to moderate left pleural effusion is substantially increased. There is no definite right pleural effusion. Heart size is top normal. Unfolding of the thoracic aorta is unchanged. Aortic calcifications are again noted. Segmental left rib fractures are unchanged.,Segmental left rib fractures are unchanged,Segmental rib fractures,left,Stable,['files/p17/p17206933/s51664027/ff6e7a7d-9a6dcd6f-295e7a94-b49fbcc3-502bd3ab.jpg'],
s51664027_3,p17206933,s51664027,3,Impression,1. New right upper and left lower lung heterogeneous opacities are concerning for pneumonia. 3. Increased small to moderate left pleural effusion. Findings were discussed with Dr. ___ by Dr. ___ at 2:46 a.m. via telephone on ___.,Increased small to moderate left pleural effusion,pleural effusion,left,Worse,['files/p17/p17206933/s51664027/ff6e7a7d-9a6dcd6f-295e7a94-b49fbcc3-502bd3ab.jpg'],
s51664027_3,p17206933,s51664027,3,Findings,Heterogeneous opacities in the right upper lung and left lower lung are new compared to radiographs from ___ and concerning for infection. A small to moderate left pleural effusion is substantially increased. There is no definite right pleural effusion. Heart size is top normal. Unfolding of the thoracic aorta is unchanged. Aortic calcifications are again noted. Segmental left rib fractures are unchanged.,Unfolding of the thoracic aorta is unchanged,Unfolding of the thoracic aorta,,Stable,['files/p17/p17206933/s51664027/ff6e7a7d-9a6dcd6f-295e7a94-b49fbcc3-502bd3ab.jpg'],
s51664027_3,p17206933,s51664027,3,Findings,Heterogeneous opacities in the right upper lung and left lower lung are new compared to radiographs from ___ and concerning for infection. A small to moderate left pleural effusion is substantially increased. There is no definite right pleural effusion. Heart size is top normal. Unfolding of the thoracic aorta is unchanged. Aortic calcifications are again noted. Segmental left rib fractures are unchanged.,A small to moderate left pleural effusion is substantially increased,pleural effusion,left,Worse,['files/p17/p17206933/s51664027/ff6e7a7d-9a6dcd6f-295e7a94-b49fbcc3-502bd3ab.jpg'],
s51664027_3,p17206933,s51664027,3,Impression,1. New right upper and left lower lung heterogeneous opacities are concerning for pneumonia. 3. Increased small to moderate left pleural effusion. Findings were discussed with Dr. ___ by Dr. ___ at 2:46 a.m. via telephone on ___.,New right upper and left lower lung heterogeneous opacities are concerning for pneumonia,heterogeneous opacities,"right upper lung, left lower lung",New,['files/p17/p17206933/s51664027/ff6e7a7d-9a6dcd6f-295e7a94-b49fbcc3-502bd3ab.jpg'],
s51664945_18,p14387068,s51664945,18,Findings,"A single portable upright view of the chest is provided. Dobbhoff tube is seen curling within the stomach. Right-sided PICC terminates at the cavoatrial junction. Right basilar loculated hydropneumothorax is again present with no change. Right-sided pigtail catheter is in unchanged position. Left lung is incompletely imaged, but appears clear.",Right basilar loculated hydropneumothorax is again present with no change.,loculated hydropneumothorax,right basilar,Stable,['files/p14/p14387068/s51664945/9196cf10-d7be030b-9eb57d37-e9f760c5-b583cca5.jpg'],['files/p14/p14387068/s51435896/dba61a64-de733cca-c91730b7-7870dfef-c173ffd9.jpg\n']
s51664945_18,p14387068,s51664945,18,Findings,"A single portable upright view of the chest is provided. Dobbhoff tube is seen curling within the stomach. Right-sided PICC terminates at the cavoatrial junction. Right basilar loculated hydropneumothorax is again present with no change. Right-sided pigtail catheter is in unchanged position. Left lung is incompletely imaged, but appears clear.",Right-sided pigtail catheter is in unchanged position.,pigtail catheter,right-sided,Stable,['files/p14/p14387068/s51664945/9196cf10-d7be030b-9eb57d37-e9f760c5-b583cca5.jpg'],['files/p14/p14387068/s51435896/dba61a64-de733cca-c91730b7-7870dfef-c173ffd9.jpg\n']
s51674154_7,p10715477,s51674154,7,Findings,"Moderately enlarged heart size is smaller than it was on ___. Both lung volumes have improved. Bilateral pleural effusions, if any, are minimal and unchanged. Bilateral lower lung atelectasis are present but significantly improved since ___. Mediastinal and hilar contours are normal. Patient is status post median sternotomy with intact sternal sutures. Mild-to-moderate atherosclerotic calcification is present in the aortic arch. Internal jugular line through left-sided approach terminates at lower SVC. No discrete lung opacities concerning for pneumonia.","Bilateral pleural effusions, if any, are minimal and unchanged.",Pleural Effusions,Bilateral,Stable,['files/p10/p10715477/s51674154/79edb832-7fe769b7-54cdefca-41c39583-d11ca0dd.jpg'],['files/p10/p10715477/s51185902/b079d6bd-55655ce2-25867c4e-0deba6a1-8a159d08.jpg\n']
s51674154_7,p10715477,s51674154,7,Impression,"Since ___, moderately enlarged heart, mild bilateral pleural effusions and lung aeration have improved","Since ___, moderately enlarged heart, mild bilateral pleural effusions and lung aeration have improved",Pleural Effusions,Bilateral,Better,['files/p10/p10715477/s51674154/79edb832-7fe769b7-54cdefca-41c39583-d11ca0dd.jpg'],['files/p10/p10715477/s51185902/b079d6bd-55655ce2-25867c4e-0deba6a1-8a159d08.jpg\n']
s51674154_7,p10715477,s51674154,7,Findings,"Moderately enlarged heart size is smaller than it was on ___. Both lung volumes have improved. Bilateral pleural effusions, if any, are minimal and unchanged. Bilateral lower lung atelectasis are present but significantly improved since ___. Mediastinal and hilar contours are normal. Patient is status post median sternotomy with intact sternal sutures. Mild-to-moderate atherosclerotic calcification is present in the aortic arch. Internal jugular line through left-sided approach terminates at lower SVC. No discrete lung opacities concerning for pneumonia.",Both lung volumes have improved.,Lung Volumes,Bilateral,Better,['files/p10/p10715477/s51674154/79edb832-7fe769b7-54cdefca-41c39583-d11ca0dd.jpg'],['files/p10/p10715477/s51185902/b079d6bd-55655ce2-25867c4e-0deba6a1-8a159d08.jpg\n']
s51674154_7,p10715477,s51674154,7,Impression,"Since ___, moderately enlarged heart, mild bilateral pleural effusions and lung aeration have improved","Since ___, moderately enlarged heart, mild bilateral pleural effusions and lung aeration have improved",Aeration,Lung,Better,['files/p10/p10715477/s51674154/79edb832-7fe769b7-54cdefca-41c39583-d11ca0dd.jpg'],['files/p10/p10715477/s51185902/b079d6bd-55655ce2-25867c4e-0deba6a1-8a159d08.jpg\n']
s51674154_7,p10715477,s51674154,7,Impression,"Since ___, moderately enlarged heart, mild bilateral pleural effusions and lung aeration have improved","Since ___, moderately enlarged heart, mild bilateral pleural effusions and lung aeration have improved",Heart,Cardiac,Better,['files/p10/p10715477/s51674154/79edb832-7fe769b7-54cdefca-41c39583-d11ca0dd.jpg'],['files/p10/p10715477/s51185902/b079d6bd-55655ce2-25867c4e-0deba6a1-8a159d08.jpg\n']
s51674154_7,p10715477,s51674154,7,Findings,"Moderately enlarged heart size is smaller than it was on ___. Both lung volumes have improved. Bilateral pleural effusions, if any, are minimal and unchanged. Bilateral lower lung atelectasis are present but significantly improved since ___. Mediastinal and hilar contours are normal. Patient is status post median sternotomy with intact sternal sutures. Mild-to-moderate atherosclerotic calcification is present in the aortic arch. Internal jugular line through left-sided approach terminates at lower SVC. No discrete lung opacities concerning for pneumonia.",Moderately enlarged heart size is smaller than it was on ___.,Heart Size,Cardiac,Better,['files/p10/p10715477/s51674154/79edb832-7fe769b7-54cdefca-41c39583-d11ca0dd.jpg'],['files/p10/p10715477/s51185902/b079d6bd-55655ce2-25867c4e-0deba6a1-8a159d08.jpg\n']
s51674154_7,p10715477,s51674154,7,Findings,"Moderately enlarged heart size is smaller than it was on ___. Both lung volumes have improved. Bilateral pleural effusions, if any, are minimal and unchanged. Bilateral lower lung atelectasis are present but significantly improved since ___. Mediastinal and hilar contours are normal. Patient is status post median sternotomy with intact sternal sutures. Mild-to-moderate atherosclerotic calcification is present in the aortic arch. Internal jugular line through left-sided approach terminates at lower SVC. No discrete lung opacities concerning for pneumonia.",Bilateral lower lung atelectasis are present but significantly improved since ___.,Lung Atelectasis,Bilateral Lower,Better,['files/p10/p10715477/s51674154/79edb832-7fe769b7-54cdefca-41c39583-d11ca0dd.jpg'],['files/p10/p10715477/s51185902/b079d6bd-55655ce2-25867c4e-0deba6a1-8a159d08.jpg\n']
s51682896_21,p12185775,s51682896,21,Findings,"Cardiac silhouette remains enlarged, accompanied by pulmonary vascular congestion. Interstitial edema has improved in the interval. Bibasilar atelectasis is again demonstrated, with improvement on the left. Bilateral small pleural effusions are also evident as well as multiple calcified granulomas in the left lung.","Bibasilar atelectasis is again demonstrated, with improvement on the left.",atelectasis,left,Better,"['files/p12/p12185775/s51682896/996aed23-e2ca70b1-ece8d46f-47a6d9f9-dbb95bfe.jpg', 'files/p12/p12185775/s51682896/f81d607d-d297abbb-83eb3c46-290321ba-aaa66ba9.jpg']",['files/p12/p12185775/s51309585/42a56014-a47bf1c7-ea0611ef-536278b4-881a4f91.jpg\n']
s51682896_21,p12185775,s51682896,21,Findings,"Cardiac silhouette remains enlarged, accompanied by pulmonary vascular congestion. Interstitial edema has improved in the interval. Bibasilar atelectasis is again demonstrated, with improvement on the left. Bilateral small pleural effusions are also evident as well as multiple calcified granulomas in the left lung.","Bibasilar atelectasis is again demonstrated, with improvement on the left.",atelectasis,bibasilar,Stable,"['files/p12/p12185775/s51682896/996aed23-e2ca70b1-ece8d46f-47a6d9f9-dbb95bfe.jpg', 'files/p12/p12185775/s51682896/f81d607d-d297abbb-83eb3c46-290321ba-aaa66ba9.jpg']",['files/p12/p12185775/s51309585/42a56014-a47bf1c7-ea0611ef-536278b4-881a4f91.jpg\n']
s51682896_21,p12185775,s51682896,21,Findings,"Cardiac silhouette remains enlarged, accompanied by pulmonary vascular congestion. Interstitial edema has improved in the interval. Bibasilar atelectasis is again demonstrated, with improvement on the left. Bilateral small pleural effusions are also evident as well as multiple calcified granulomas in the left lung.","Cardiac silhouette remains enlarged, accompanied by pulmonary vascular congestion.",Cardiac silhouette enlargement,,Stable,"['files/p12/p12185775/s51682896/996aed23-e2ca70b1-ece8d46f-47a6d9f9-dbb95bfe.jpg', 'files/p12/p12185775/s51682896/f81d607d-d297abbb-83eb3c46-290321ba-aaa66ba9.jpg']",['files/p12/p12185775/s51309585/42a56014-a47bf1c7-ea0611ef-536278b4-881a4f91.jpg\n']
s51682896_21,p12185775,s51682896,21,Findings,"Cardiac silhouette remains enlarged, accompanied by pulmonary vascular congestion. Interstitial edema has improved in the interval. Bibasilar atelectasis is again demonstrated, with improvement on the left. Bilateral small pleural effusions are also evident as well as multiple calcified granulomas in the left lung.",Interstitial edema has improved in the interval.,Interstitial edema,,Better,"['files/p12/p12185775/s51682896/996aed23-e2ca70b1-ece8d46f-47a6d9f9-dbb95bfe.jpg', 'files/p12/p12185775/s51682896/f81d607d-d297abbb-83eb3c46-290321ba-aaa66ba9.jpg']",['files/p12/p12185775/s51309585/42a56014-a47bf1c7-ea0611ef-536278b4-881a4f91.jpg\n']
s51683155_1,p11016935,s51683155,1,Findings,"PA and lateral views of the chest provided. Patient is status post CABG with median sternotomy and aortic valve replacement. Moderate-to-severe emphysema with apical predominance. 7 mm nodular opacity in the right upper lobe has not changed. Heart is top-normal in size. No focal consolidation, pleural effusion or pneumothorax. Vertebroplasty changes are seen in the mid-thoracic spine.",7 mm nodular opacity in the right upper lobe has not changed.,nodular opacity,right upper lobe,Stable,"['files/p11/p11016935/s51683155/62fefce3-f6ecb665-461a4358-37a5af91-dec27897.jpg', 'files/p11/p11016935/s51683155/7e26f6a7-ec126822-1bcdc587-a3f5d439-b4715eae.jpg']",
s51689739_13,p14295224,s51689739,13,Findings,"As compared to the previous radiograph, the pre-existing and pre-described right lower lobe pneumonia has substantially increased in extent and severity. There now is a large area of parenchymal consolidation at the right lung bases, potentially associated with a small right pleural effusion. The size of the cardiac silhouette is minimally enlarged. The retrocardiac atelectasis has newly occurred. Unchanged tortuosity of the thoracic aorta. No pneumothorax.",The retrocardiac atelectasis has newly occurred.,atelectasis,retrocardiac,New,['files/p14/p14295224/s51689739/0096fc1d-7c100751-e1c8cb03-c461efb4-1c6b0f8e.jpg'],"['files/p14/p14295224/s51184012/598e45ce-e1207880-a1ec58ba-40195e6f-fc66ef76.jpg\n', 'files/p14/p14295224/s51184012/7c90c07b-1bc26a56-953fb718-22a14ecc-13cba6ed.jpg\n']"
s51689739_13,p14295224,s51689739,13,Findings,"As compared to the previous radiograph, the pre-existing and pre-described right lower lobe pneumonia has substantially increased in extent and severity. There now is a large area of parenchymal consolidation at the right lung bases, potentially associated with a small right pleural effusion. The size of the cardiac silhouette is minimally enlarged. The retrocardiac atelectasis has newly occurred. Unchanged tortuosity of the thoracic aorta. No pneumothorax.",Unchanged tortuosity of the thoracic aorta.,aorta tortuosity,thoracic,Stable,['files/p14/p14295224/s51689739/0096fc1d-7c100751-e1c8cb03-c461efb4-1c6b0f8e.jpg'],"['files/p14/p14295224/s51184012/598e45ce-e1207880-a1ec58ba-40195e6f-fc66ef76.jpg\n', 'files/p14/p14295224/s51184012/7c90c07b-1bc26a56-953fb718-22a14ecc-13cba6ed.jpg\n']"
s51689739_13,p14295224,s51689739,13,Findings,"As compared to the previous radiograph, the pre-existing and pre-described right lower lobe pneumonia has substantially increased in extent and severity. There now is a large area of parenchymal consolidation at the right lung bases, potentially associated with a small right pleural effusion. The size of the cardiac silhouette is minimally enlarged. The retrocardiac atelectasis has newly occurred. Unchanged tortuosity of the thoracic aorta. No pneumothorax.","As compared to the previous radiograph, the pre-existing and pre-described right lower lobe pneumonia has substantially increased in extent and severity.",pneumonia,right lower lobe,Worse,['files/p14/p14295224/s51689739/0096fc1d-7c100751-e1c8cb03-c461efb4-1c6b0f8e.jpg'],"['files/p14/p14295224/s51184012/598e45ce-e1207880-a1ec58ba-40195e6f-fc66ef76.jpg\n', 'files/p14/p14295224/s51184012/7c90c07b-1bc26a56-953fb718-22a14ecc-13cba6ed.jpg\n']"
s51691897_27,p13896515,s51691897,27,Impression,"Interstitial pulmonary edema is noted, moderate, minimally worse than on the prior study. Cardiomediastinal silhouette and pacemaker leads are unchanged. Right PICC line tip is at the level of the cavoatrial junction.",Cardiomediastinal silhouette and pacemaker leads are unchanged.,,pacemaker leads,Stable,"['files/p13/p13896515/s51691897/8299e317-24e5e571-aa56b0ec-951c4e02-5419806c.jpg', 'files/p13/p13896515/s51691897/d901a9f6-27dda78a-1ff8e05e-69f9de4f-38ccb2a1.jpg']","['files/p13/p13896515/s51579601/a0515f0c-c19071ab-16f20abd-4732f05d-bbf91504.jpg\n', 'files/p13/p13896515/s51579601/b167d670-80677557-58798475-0162b2a1-8f47f832.jpg\n']"
s51691897_27,p13896515,s51691897,27,Impression,"Interstitial pulmonary edema is noted, moderate, minimally worse than on the prior study. Cardiomediastinal silhouette and pacemaker leads are unchanged. Right PICC line tip is at the level of the cavoatrial junction.","Interstitial pulmonary edema is noted, moderate, minimally worse than on the prior study.",Moderate interstitial pulmonary edema,,Worse,"['files/p13/p13896515/s51691897/8299e317-24e5e571-aa56b0ec-951c4e02-5419806c.jpg', 'files/p13/p13896515/s51691897/d901a9f6-27dda78a-1ff8e05e-69f9de4f-38ccb2a1.jpg']","['files/p13/p13896515/s51579601/a0515f0c-c19071ab-16f20abd-4732f05d-bbf91504.jpg\n', 'files/p13/p13896515/s51579601/b167d670-80677557-58798475-0162b2a1-8f47f832.jpg\n']"
s51691897_27,p13896515,s51691897,27,Impression,"Interstitial pulmonary edema is noted, moderate, minimally worse than on the prior study. Cardiomediastinal silhouette and pacemaker leads are unchanged. Right PICC line tip is at the level of the cavoatrial junction.",Cardiomediastinal silhouette and pacemaker leads are unchanged.,Cardiomediastinal silhouette,,Stable,"['files/p13/p13896515/s51691897/8299e317-24e5e571-aa56b0ec-951c4e02-5419806c.jpg', 'files/p13/p13896515/s51691897/d901a9f6-27dda78a-1ff8e05e-69f9de4f-38ccb2a1.jpg']","['files/p13/p13896515/s51579601/a0515f0c-c19071ab-16f20abd-4732f05d-bbf91504.jpg\n', 'files/p13/p13896515/s51579601/b167d670-80677557-58798475-0162b2a1-8f47f832.jpg\n']"
s51707133_5,p10867202,s51707133,5,Findings,"AP and lateral views of the chest. Low lung volumes are seen compatible with patient's history of fibrosis. Diffusely increased interstitial markings are seen throughout the lungs, but these appear overall slightly worse when compared to prior. Cardiomediastinal silhouette is grossly unchanged. No acute osseous abnormality is detected.","Diffusely increased interstitial markings are seen throughout the lungs, but these appear overall slightly worse when compared to prior.",interstitial markings,throughout the lungs,Worse,"['files/p10/p10867202/s51707133/15941772-4cd5498f-ccdb2ccb-80f7a7f0-af9b87e9.jpg', 'files/p10/p10867202/s51707133/bb795051-0e639ffa-dbded494-287ec2f7-1a213bd1.jpg']",['files/p10/p10867202/s50482798/13b3f835-9d35e2fb-bef55a2d-4bf1a470-21b7626c.jpg\n']
s51707133_5,p10867202,s51707133,5,Findings,"AP and lateral views of the chest. Low lung volumes are seen compatible with patient's history of fibrosis. Diffusely increased interstitial markings are seen throughout the lungs, but these appear overall slightly worse when compared to prior. Cardiomediastinal silhouette is grossly unchanged. No acute osseous abnormality is detected.",Cardiomediastinal silhouette is grossly unchanged.,silhouette,Cardiomediastinal,Stable,"['files/p10/p10867202/s51707133/15941772-4cd5498f-ccdb2ccb-80f7a7f0-af9b87e9.jpg', 'files/p10/p10867202/s51707133/bb795051-0e639ffa-dbded494-287ec2f7-1a213bd1.jpg']",['files/p10/p10867202/s50482798/13b3f835-9d35e2fb-bef55a2d-4bf1a470-21b7626c.jpg\n']
s51711520_4,p15612622,s51711520,4,Findings,"Frontal and lateral views of the chest are compared to previous exam from ___. The lungs are clear of confluent consolidation, effusion, or pneumothorax. Calcified granuloma again seen in the left mid lung. Cardiomediastinal silhouette is stable in configuration. Osseous and soft tissue structures are unremarkable.",Calcified granuloma again seen in the left mid lung.,calcified granuloma,left mid lung,Stable,"['files/p15/p15612622/s51711520/3457e40c-876244f2-a9b678c4-5af63665-49377d02.jpg', 'files/p15/p15612622/s51711520/9fc531b0-1d7cf4cc-5d546ca8-622147cf-ea7ac035.jpg']","['files/p15/p15612622/s50640881/970d5ff8-d0f488b2-37ca618a-69482663-8f926491.jpg\n', 'files/p15/p15612622/s50640881/98267606-76ec973b-5884e28c-692b590a-093841f0.jpg\n']"
s51711520_4,p15612622,s51711520,4,Findings,"Frontal and lateral views of the chest are compared to previous exam from ___. The lungs are clear of confluent consolidation, effusion, or pneumothorax. Calcified granuloma again seen in the left mid lung. Cardiomediastinal silhouette is stable in configuration. Osseous and soft tissue structures are unremarkable.",Cardiomediastinal silhouette is stable in configuration.,configuration,cardiomediastinal silhouette,Stable,"['files/p15/p15612622/s51711520/3457e40c-876244f2-a9b678c4-5af63665-49377d02.jpg', 'files/p15/p15612622/s51711520/9fc531b0-1d7cf4cc-5d546ca8-622147cf-ea7ac035.jpg']","['files/p15/p15612622/s50640881/970d5ff8-d0f488b2-37ca618a-69482663-8f926491.jpg\n', 'files/p15/p15612622/s50640881/98267606-76ec973b-5884e28c-692b590a-093841f0.jpg\n']"
s51712579_6,p19499595,s51712579,6,Findings,"Patient is status post median sternotomy and CABG with multiple fractured sternotomy wires again demonstrated, better seen on the prior CT. Heart size remains mildly enlarged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is identified. Biliary stent is seen within the upper abdomen on the lateral view. No acute osseous abnormalities present.",Heart size remains mildly enlarged,heart size,,Stable,"['files/p19/p19499595/s51712579/7ddbb51e-55d7dd8d-8627c186-c5bc068b-ddb034e8.jpg', 'files/p19/p19499595/s51712579/cbcc7f2d-85037ab8-b4a6295b-36cbbacc-09003a12.jpg']","['files/p19/p19499595/s51527425/83c03ab3-cb2d1377-2e09bc4f-26e7f47e-67901270.jpg\n', 'files/p19/p19499595/s51527425/84dac834-d9f40739-755532a0-1ddab50a-cae07005.jpg\n']"
s51712579_6,p19499595,s51712579,6,Findings,"Patient is status post median sternotomy and CABG with multiple fractured sternotomy wires again demonstrated, better seen on the prior CT. Heart size remains mildly enlarged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is identified. Biliary stent is seen within the upper abdomen on the lateral view. No acute osseous abnormalities present.","Patient is status post median sternotomy and CABG with multiple fractured sternotomy wires again demonstrated, better seen on the prior CT",fractured wires,sternotomy,Worse,"['files/p19/p19499595/s51712579/7ddbb51e-55d7dd8d-8627c186-c5bc068b-ddb034e8.jpg', 'files/p19/p19499595/s51712579/cbcc7f2d-85037ab8-b4a6295b-36cbbacc-09003a12.jpg']","['files/p19/p19499595/s51527425/83c03ab3-cb2d1377-2e09bc4f-26e7f47e-67901270.jpg\n', 'files/p19/p19499595/s51527425/84dac834-d9f40739-755532a0-1ddab50a-cae07005.jpg\n']"
s51715383_45,p14841168,s51715383,45,Impression,"Compared to prior chest radiographs, ___ through ___. Right lung is low in volume but clear, although the pulmonary vessels are engorged. Severe cardiomegaly and mediastinal venous distension are stable. Hilar enlargement reflects pulmonary arterial hypertension. Most of the left lower lung is obscured by the large part but there is at least atelectasis. Left pleural effusion is small. No pneumothorax. ET tube is in standard placement, feeding tube passes below the diaphragm and out of view. Right PIC line ends in the mid SVC.",Severe cardiomegaly and mediastinal venous distension are stable.,Severe cardiomegaly,,Stable,['files/p14/p14841168/s51715383/3e8684a6-648033ea-79431638-c694d922-dadb2370.jpg'],['files/p14/p14841168/s51613553/41ac266f-165c8df4-32f6976e-54066ffd-f078337c.jpg\n']
s51715383_45,p14841168,s51715383,45,Impression,"Compared to prior chest radiographs, ___ through ___. Right lung is low in volume but clear, although the pulmonary vessels are engorged. Severe cardiomegaly and mediastinal venous distension are stable. Hilar enlargement reflects pulmonary arterial hypertension. Most of the left lower lung is obscured by the large part but there is at least atelectasis. Left pleural effusion is small. No pneumothorax. ET tube is in standard placement, feeding tube passes below the diaphragm and out of view. Right PIC line ends in the mid SVC.",Severe cardiomegaly and mediastinal venous distension are stable.,Mediastinal venous distension,,Stable,['files/p14/p14841168/s51715383/3e8684a6-648033ea-79431638-c694d922-dadb2370.jpg'],['files/p14/p14841168/s51613553/41ac266f-165c8df4-32f6976e-54066ffd-f078337c.jpg\n']
s51715673_10,p19061282,s51715673,10,Impression,Doubt significant interval change compared with the film from one day earlier.,Doubt significant interval change compared with the film from one day earlier.,,,Stable,['files/p19/p19061282/s51715673/2e2e7a5d-da7ea8dc-7b5aae28-24978ba4-346238f9.jpg'],['files/p19/p19061282/s51030152/9bb1fe4e-c234466a-72525367-a54b28d3-b91d05fe.jpg\n']
s51715880_3,p10268877,s51715880,3,Findings,"As compared to the previous radiograph, there is marked improvement in extent and severity of the pre-existing parenchymal opacities. Unchanged borderline size of the cardiac silhouette. No pleural effusions. The nasogastric tube has been removed. Endotracheal tube and the right internal jugular vein introduction sheath are in constant position.",Endotracheal tube and the right internal jugular vein introduction sheath are in constant position.,right internal jugular vein introduction sheath,,Stable,['files/p10/p10268877/s51715880/1b966ed7-06a3bfa3-fee1b692-81c9a0b7-7678b5ec.jpg'],['files/p10/p10268877/s51623828/9dcbd7ac-9d6ca173-f7e669fd-bb419597-97f58083.jpg\n']
s51715880_3,p10268877,s51715880,3,Findings,"As compared to the previous radiograph, there is marked improvement in extent and severity of the pre-existing parenchymal opacities. Unchanged borderline size of the cardiac silhouette. No pleural effusions. The nasogastric tube has been removed. Endotracheal tube and the right internal jugular vein introduction sheath are in constant position.",Endotracheal tube and the right internal jugular vein introduction sheath are in constant position.,Endotracheal tube,,Stable,['files/p10/p10268877/s51715880/1b966ed7-06a3bfa3-fee1b692-81c9a0b7-7678b5ec.jpg'],['files/p10/p10268877/s51623828/9dcbd7ac-9d6ca173-f7e669fd-bb419597-97f58083.jpg\n']
s51715880_3,p10268877,s51715880,3,Findings,"As compared to the previous radiograph, there is marked improvement in extent and severity of the pre-existing parenchymal opacities. Unchanged borderline size of the cardiac silhouette. No pleural effusions. The nasogastric tube has been removed. Endotracheal tube and the right internal jugular vein introduction sheath are in constant position.","As compared to the previous radiograph, there is marked improvement in extent and severity of the pre-existing parenchymal opacities.",parenchymal opacities,,Better,['files/p10/p10268877/s51715880/1b966ed7-06a3bfa3-fee1b692-81c9a0b7-7678b5ec.jpg'],['files/p10/p10268877/s51623828/9dcbd7ac-9d6ca173-f7e669fd-bb419597-97f58083.jpg\n']
s51715880_3,p10268877,s51715880,3,Findings,"As compared to the previous radiograph, there is marked improvement in extent and severity of the pre-existing parenchymal opacities. Unchanged borderline size of the cardiac silhouette. No pleural effusions. The nasogastric tube has been removed. Endotracheal tube and the right internal jugular vein introduction sheath are in constant position.",The nasogastric tube has been removed.,nasogastric tube,,Resolve,['files/p10/p10268877/s51715880/1b966ed7-06a3bfa3-fee1b692-81c9a0b7-7678b5ec.jpg'],['files/p10/p10268877/s51623828/9dcbd7ac-9d6ca173-f7e669fd-bb419597-97f58083.jpg\n']
s51715880_3,p10268877,s51715880,3,Findings,"As compared to the previous radiograph, there is marked improvement in extent and severity of the pre-existing parenchymal opacities. Unchanged borderline size of the cardiac silhouette. No pleural effusions. The nasogastric tube has been removed. Endotracheal tube and the right internal jugular vein introduction sheath are in constant position.",Unchanged borderline size of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p10/p10268877/s51715880/1b966ed7-06a3bfa3-fee1b692-81c9a0b7-7678b5ec.jpg'],['files/p10/p10268877/s51623828/9dcbd7ac-9d6ca173-f7e669fd-bb419597-97f58083.jpg\n']
s51718410_17,p13263843,s51718410,17,Impression,There is no pneumothorax after pigtail placement. Right subpulmonic pleural effusion has significantly improved.,Right subpulmonic pleural effusion has significantly improved.,pleural effusion,right subpulmonic,Better,"['files/p13/p13263843/s51718410/0844862c-b31ad664-cb39e0fe-f457cc37-02e1b4ae.jpg', 'files/p13/p13263843/s51718410/feeef719-f6a236d0-bd85a338-4d4729c9-d91fdf3d.jpg']",['files/p13/p13263843/s51477948/62ead2ae-e6300763-500bb324-bc688f11-0083ba24.jpg\n']
s51718410_17,p13263843,s51718410,17,Findings,"New pigtail is in right lower hemithorax with significant improvement of subpulmonic effusion. Left lower lung pneumonia with small pleural effusion is slightly worse than ___ but improved since ___. Patient had right upper lobe lobectomy and radiation therapy for cancer, this was better assessed in recent CT scan.",Left lower lung pneumonia with small pleural effusion is slightly worse than ___ but improved since ___.,pneumonia,left lower lung,Worse,"['files/p13/p13263843/s51718410/0844862c-b31ad664-cb39e0fe-f457cc37-02e1b4ae.jpg', 'files/p13/p13263843/s51718410/feeef719-f6a236d0-bd85a338-4d4729c9-d91fdf3d.jpg']",['files/p13/p13263843/s51477948/62ead2ae-e6300763-500bb324-bc688f11-0083ba24.jpg\n']
s51718410_17,p13263843,s51718410,17,Findings,"New pigtail is in right lower hemithorax with significant improvement of subpulmonic effusion. Left lower lung pneumonia with small pleural effusion is slightly worse than ___ but improved since ___. Patient had right upper lobe lobectomy and radiation therapy for cancer, this was better assessed in recent CT scan.",New pigtail is in right lower hemithorax with significant improvement of subpulmonic effusion.,pigtail,right lower hemithorax,New,"['files/p13/p13263843/s51718410/0844862c-b31ad664-cb39e0fe-f457cc37-02e1b4ae.jpg', 'files/p13/p13263843/s51718410/feeef719-f6a236d0-bd85a338-4d4729c9-d91fdf3d.jpg']",['files/p13/p13263843/s51477948/62ead2ae-e6300763-500bb324-bc688f11-0083ba24.jpg\n']
s51718410_17,p13263843,s51718410,17,Findings,"New pigtail is in right lower hemithorax with significant improvement of subpulmonic effusion. Left lower lung pneumonia with small pleural effusion is slightly worse than ___ but improved since ___. Patient had right upper lobe lobectomy and radiation therapy for cancer, this was better assessed in recent CT scan.",New pigtail is in right lower hemithorax with significant improvement of subpulmonic effusion.,effusion,subpulmonic,Better,"['files/p13/p13263843/s51718410/0844862c-b31ad664-cb39e0fe-f457cc37-02e1b4ae.jpg', 'files/p13/p13263843/s51718410/feeef719-f6a236d0-bd85a338-4d4729c9-d91fdf3d.jpg']",['files/p13/p13263843/s51477948/62ead2ae-e6300763-500bb324-bc688f11-0083ba24.jpg\n']
s51718410_17,p13263843,s51718410,17,Findings,"New pigtail is in right lower hemithorax with significant improvement of subpulmonic effusion. Left lower lung pneumonia with small pleural effusion is slightly worse than ___ but improved since ___. Patient had right upper lobe lobectomy and radiation therapy for cancer, this was better assessed in recent CT scan.",Left lower lung pneumonia with small pleural effusion is slightly worse than ___ but improved since ___.,small pleural effusion,left lower lung,Worse,"['files/p13/p13263843/s51718410/0844862c-b31ad664-cb39e0fe-f457cc37-02e1b4ae.jpg', 'files/p13/p13263843/s51718410/feeef719-f6a236d0-bd85a338-4d4729c9-d91fdf3d.jpg']",['files/p13/p13263843/s51477948/62ead2ae-e6300763-500bb324-bc688f11-0083ba24.jpg\n']
s51719198_1,p18835687,s51719198,1,Findings,The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The previously seen pneumonia from ___ has resolved.,The previously seen pneumonia from ___ has resolved.,pneumonia,,Resolve,"['files/p18/p18835687/s51719198/7574674d-a958763c-1c48667a-18e60f35-dfd1f3d3.jpg', 'files/p18/p18835687/s51719198/91bd4888-7f1222f4-5b4fe46d-db77d37b-077c6f19.jpg', 'files/p18/p18835687/s51719198/92633e53-79ea5fb7-67adcc81-8c6f443e-7c201666.jpg', 'files/p18/p18835687/s51719198/fbecb95d-55942985-c9904dd9-66049a82-cd83c3a2.jpg']","['files/p18/p18835687/s50822353/42cb7646-ac2acc5b-504f6247-07366b48-3d2bd573.jpg\n', 'files/p18/p18835687/s50822353/622257bb-496a36b2-e8d31897-1bcc260d-c1d607d2.jpg\n']"
s51719671_18,p19016834,s51719671,18,Findings,"Patient is status post esophagectomy and gastric pull-through procedure with a stent redemonstrated within the neoesophagus. Cardiac silhouette size is normal. The mediastinal contour is similar. There is persistent opacification of the right lung base with a small right pleural effusion, not significantly changed in size. Left lung is clear. There is no pneumothorax. No pulmonary vascular congestion is present.","There is persistent opacification of the right lung base with a small right pleural effusion, not significantly changed in size.",opacification,right lung base,Stable,['files/p19/p19016834/s51719671/7d45bb0a-531ab42d-d3820493-112d47e5-6eafa5a1.jpg'],"['files/p19/p19016834/s51549323/a7e20922-395cba4b-3ad8e0c4-bc3ced97-34e5a9a8.jpg\n', 'files/p19/p19016834/s51549323/d1d3f29c-29490dfe-67ee738d-f029c586-6e269d50.jpg\n']"
s51719671_18,p19016834,s51719671,18,Findings,"Patient is status post esophagectomy and gastric pull-through procedure with a stent redemonstrated within the neoesophagus. Cardiac silhouette size is normal. The mediastinal contour is similar. There is persistent opacification of the right lung base with a small right pleural effusion, not significantly changed in size. Left lung is clear. There is no pneumothorax. No pulmonary vascular congestion is present.",The mediastinal contour is similar.,mediastinal contour,,Stable,['files/p19/p19016834/s51719671/7d45bb0a-531ab42d-d3820493-112d47e5-6eafa5a1.jpg'],"['files/p19/p19016834/s51549323/a7e20922-395cba4b-3ad8e0c4-bc3ced97-34e5a9a8.jpg\n', 'files/p19/p19016834/s51549323/d1d3f29c-29490dfe-67ee738d-f029c586-6e269d50.jpg\n']"
s51719671_18,p19016834,s51719671,18,Findings,"Patient is status post esophagectomy and gastric pull-through procedure with a stent redemonstrated within the neoesophagus. Cardiac silhouette size is normal. The mediastinal contour is similar. There is persistent opacification of the right lung base with a small right pleural effusion, not significantly changed in size. Left lung is clear. There is no pneumothorax. No pulmonary vascular congestion is present.","There is persistent opacification of the right lung base with a small right pleural effusion, not significantly changed in size.",small pleural effusion,right,Stable,['files/p19/p19016834/s51719671/7d45bb0a-531ab42d-d3820493-112d47e5-6eafa5a1.jpg'],"['files/p19/p19016834/s51549323/a7e20922-395cba4b-3ad8e0c4-bc3ced97-34e5a9a8.jpg\n', 'files/p19/p19016834/s51549323/d1d3f29c-29490dfe-67ee738d-f029c586-6e269d50.jpg\n']"
s51719671_18,p19016834,s51719671,18,Impression,"There is continued opacification of the right lung base, possibly reflecting a combination of pleural effusion with atelectasis, though infection cannot be excluded. Small right pleural effusion is unchanged.",Small right pleural effusion is unchanged.,small pleural effusion,right,Stable,['files/p19/p19016834/s51719671/7d45bb0a-531ab42d-d3820493-112d47e5-6eafa5a1.jpg'],"['files/p19/p19016834/s51549323/a7e20922-395cba4b-3ad8e0c4-bc3ced97-34e5a9a8.jpg\n', 'files/p19/p19016834/s51549323/d1d3f29c-29490dfe-67ee738d-f029c586-6e269d50.jpg\n']"
s51723789_10,p10867202,s51723789,10,Findings,"Lung volumes are low. Extensive bilateral opacities are unchanged from the prior examination and likely reflect the patient underlying severe interstitial lung disease. There is possibly increased opacification of the right lower lung, which may represent mild edema. Hilar and cardiomediastinal contours are unchanged. Calcification of the aortic arch is noted. There is no pneumothorax. There is no pleural effusion.",Hilar and cardiomediastinal contours are unchanged.,contours,hilar and cardiomediastinal,Stable,['files/p10/p10867202/s51723789/bcb5e90b-c7d3f928-7bd202ee-4e772a8f-e2240e90.jpg'],"['files/p10/p10867202/s51707133/15941772-4cd5498f-ccdb2ccb-80f7a7f0-af9b87e9.jpg\n', 'files/p10/p10867202/s51707133/bb795051-0e639ffa-dbded494-287ec2f7-1a213bd1.jpg\n']"
s51723789_10,p10867202,s51723789,10,Impression,Minimally increased opacification of the right lower lung may reflect mild edema superimposed on chronic severe interstitial lung disease.,Minimally increased opacification of the right lower lung may reflect mild edema superimposed on chronic severe interstitial lung disease.,opacification,right lower lung,Worse,['files/p10/p10867202/s51723789/bcb5e90b-c7d3f928-7bd202ee-4e772a8f-e2240e90.jpg'],"['files/p10/p10867202/s51707133/15941772-4cd5498f-ccdb2ccb-80f7a7f0-af9b87e9.jpg\n', 'files/p10/p10867202/s51707133/bb795051-0e639ffa-dbded494-287ec2f7-1a213bd1.jpg\n']"
s51723789_10,p10867202,s51723789,10,Findings,"Lung volumes are low. Extensive bilateral opacities are unchanged from the prior examination and likely reflect the patient underlying severe interstitial lung disease. There is possibly increased opacification of the right lower lung, which may represent mild edema. Hilar and cardiomediastinal contours are unchanged. Calcification of the aortic arch is noted. There is no pneumothorax. There is no pleural effusion.",Extensive bilateral opacities are unchanged from the prior examination and likely reflect the patient underlying severe interstitial lung disease.,opacities,bilateral,Stable,['files/p10/p10867202/s51723789/bcb5e90b-c7d3f928-7bd202ee-4e772a8f-e2240e90.jpg'],"['files/p10/p10867202/s51707133/15941772-4cd5498f-ccdb2ccb-80f7a7f0-af9b87e9.jpg\n', 'files/p10/p10867202/s51707133/bb795051-0e639ffa-dbded494-287ec2f7-1a213bd1.jpg\n']"
s51723789_10,p10867202,s51723789,10,Findings,"Lung volumes are low. Extensive bilateral opacities are unchanged from the prior examination and likely reflect the patient underlying severe interstitial lung disease. There is possibly increased opacification of the right lower lung, which may represent mild edema. Hilar and cardiomediastinal contours are unchanged. Calcification of the aortic arch is noted. There is no pneumothorax. There is no pleural effusion.","There is possibly increased opacification of the right lower lung, which may represent mild edema.",opacification,right lower lung,Worse,['files/p10/p10867202/s51723789/bcb5e90b-c7d3f928-7bd202ee-4e772a8f-e2240e90.jpg'],"['files/p10/p10867202/s51707133/15941772-4cd5498f-ccdb2ccb-80f7a7f0-af9b87e9.jpg\n', 'files/p10/p10867202/s51707133/bb795051-0e639ffa-dbded494-287ec2f7-1a213bd1.jpg\n']"
s51725523_10,p16957952,s51725523,10,Findings,Median sternotomy wires are intact. Moderate cardiomegaly is stable. Tortuous aorta with minimal calcifications again noted. No airspace consolidation. Mild bilateral pulmonary vascular congestion and interstitial edema. No pleural effusion or pneumothorax.,Moderate cardiomegaly is stable.,Moderate cardiomegaly,,Stable,"['files/p16/p16957952/s51725523/4ada6367-cb70c4dd-8f2b5739-ef9da5fa-f1c91813.jpg', 'files/p16/p16957952/s51725523/cec20d25-582dd382-7387d033-b47f0a48-fb349447.jpg']","['files/p16/p16957952/s50482541/63f854b9-c24c2a15-3c4ee54e-72c08c57-5b8bcf18.jpg\n', 'files/p16/p16957952/s50482541/9370636b-c15ba900-6d4fa453-e8725bf7-124cf815.jpg\n']"
s51727838_5,p12410066,s51727838,5,Findings,"The patient is status post left pneumonectomy procedure. There is expected leftward shift of the cardiomediastinal contours. Slight increase in amount of fluid in the lower left hemithorax, but majority of the pneumonectomy space remains gas-filled. Right lung is overexpanded, and note is made of linear atelectasis at the right base. Subcutaneous emphysema persists in the left chest wall.","Slight increase in amount of fluid in the lower left hemithorax, but majority of the pneumonectomy space remains gas-filled.",fluid,lower left hemithorax,Worse,['files/p12/p12410066/s51727838/9d674775-c0b3be98-7ed72cdd-47852026-4ca978b4.jpg'],['files/p12/p12410066/s51144460/4076e969-56f5b8aa-66ad39cc-833e7f03-cd0854e9.jpg\n']
s51727838_5,p12410066,s51727838,5,Findings,"The patient is status post left pneumonectomy procedure. There is expected leftward shift of the cardiomediastinal contours. Slight increase in amount of fluid in the lower left hemithorax, but majority of the pneumonectomy space remains gas-filled. Right lung is overexpanded, and note is made of linear atelectasis at the right base. Subcutaneous emphysema persists in the left chest wall.",Subcutaneous emphysema persists in the left chest wall.,subcutaneous emphysema,left chest wall,Stable,['files/p12/p12410066/s51727838/9d674775-c0b3be98-7ed72cdd-47852026-4ca978b4.jpg'],['files/p12/p12410066/s51144460/4076e969-56f5b8aa-66ad39cc-833e7f03-cd0854e9.jpg\n']
s51742525_3,p10532326,s51742525,3,Findings,The nasogastric tube is in adequate position and there is a resolution of the gastric distention. There is still mild bibasilar atelectasis. There are no pneumothorax no pleural effusion. The cardiac and mediastinal contour are unchanged.,The cardiac and mediastinal contour are unchanged.,Cardiac and mediastinal contour,,Stable,['files/p10/p10532326/s51742525/ef191125-3db31590-77881dc9-a6302910-7a35821f.jpg'],
s51742525_3,p10532326,s51742525,3,Findings,The nasogastric tube is in adequate position and there is a resolution of the gastric distention. There is still mild bibasilar atelectasis. There are no pneumothorax no pleural effusion. The cardiac and mediastinal contour are unchanged.,The nasogastric tube is in adequate position and there is a resolution of the gastric distention.,Gastric distention,,Resolve,['files/p10/p10532326/s51742525/ef191125-3db31590-77881dc9-a6302910-7a35821f.jpg'],
s51742525_3,p10532326,s51742525,3,Impression,The nasogastric tube is in adequate position and there is resolution of the gastric distention.,The nasogastric tube is in adequate position and there is resolution of the gastric distention.,Gastric distention,,Resolve,['files/p10/p10532326/s51742525/ef191125-3db31590-77881dc9-a6302910-7a35821f.jpg'],
s51749906_0,p12379369,s51749906,0,Impression,"1. Right internal jugular central line with its tip in the distal superior vena cava. Persistent low lung volumes with worsening opacities at both bases with associated indistinctness of the pulmonary vascularity. Therefore, I would favor the presence of pulmonary edema rather than an infectious process. Clinical correlation, however is advised. No pneumothorax is appreciated. Overall, cardiac and mediastinal contours are difficult to assess given low lung volumes and patient rotation on the current examination. Clips within the left upper quadrant are again seen.",Clips within the left upper quadrant are again seen.,clips,left upper quadrant,Stable,['files/p12/p12379369/s51749906/3609ba5b-c6aace8b-4557ed37-bf396c15-50b6ba75.jpg'],
s51749906_0,p12379369,s51749906,0,Impression,"1. Right internal jugular central line with its tip in the distal superior vena cava. Persistent low lung volumes with worsening opacities at both bases with associated indistinctness of the pulmonary vascularity. Therefore, I would favor the presence of pulmonary edema rather than an infectious process. Clinical correlation, however is advised. No pneumothorax is appreciated. Overall, cardiac and mediastinal contours are difficult to assess given low lung volumes and patient rotation on the current examination. Clips within the left upper quadrant are again seen.",No pneumothorax is appreciated.,pneumothorax,,Resolve,['files/p12/p12379369/s51749906/3609ba5b-c6aace8b-4557ed37-bf396c15-50b6ba75.jpg'],
s51749906_0,p12379369,s51749906,0,Impression,"1. Right internal jugular central line with its tip in the distal superior vena cava. Persistent low lung volumes with worsening opacities at both bases with associated indistinctness of the pulmonary vascularity. Therefore, I would favor the presence of pulmonary edema rather than an infectious process. Clinical correlation, however is advised. No pneumothorax is appreciated. Overall, cardiac and mediastinal contours are difficult to assess given low lung volumes and patient rotation on the current examination. Clips within the left upper quadrant are again seen.",Persistent low lung volumes with worsening opacities at both bases with associated indistinctness of the pulmonary vascularity.,opacities,both bases,Worse,['files/p12/p12379369/s51749906/3609ba5b-c6aace8b-4557ed37-bf396c15-50b6ba75.jpg'],
s51751626_4,p14722763,s51751626,4,Impression,"AP chest compared to ___: Moderate cardiomegaly is stable, but mediastinal venous engorgement has improved. Nevertheless pulmonary edema is worsening in the left lung. Diffuse infiltrative abnormality in the right lung, which could have been asymmetric pulmonary edema, has not changed. Moderate right pleural effusion and left lower lobe atelectasis are stable. No pneumothorax.",Nevertheless pulmonary edema is worsening in the left lung.,pulmonary edema,left lung,Worse,['files/p14/p14722763/s51751626/951b8a76-9ad92cfa-c2b49c2d-9e519d6c-2b8b9dd7.jpg'],['files/p14/p14722763/s51548785/8f5a986b-ec1dddaa-36845b94-ecca2b99-b3731cca.jpg\n']
s51751626_4,p14722763,s51751626,4,Impression,"AP chest compared to ___: Moderate cardiomegaly is stable, but mediastinal venous engorgement has improved. Nevertheless pulmonary edema is worsening in the left lung. Diffuse infiltrative abnormality in the right lung, which could have been asymmetric pulmonary edema, has not changed. Moderate right pleural effusion and left lower lobe atelectasis are stable. No pneumothorax.","Diffuse infiltrative abnormality in the right lung, which could have been asymmetric pulmonary edema, has not changed.",diffuse infiltrative abnormality,right lung,Stable,['files/p14/p14722763/s51751626/951b8a76-9ad92cfa-c2b49c2d-9e519d6c-2b8b9dd7.jpg'],['files/p14/p14722763/s51548785/8f5a986b-ec1dddaa-36845b94-ecca2b99-b3731cca.jpg\n']
s51751626_4,p14722763,s51751626,4,Impression,"AP chest compared to ___: Moderate cardiomegaly is stable, but mediastinal venous engorgement has improved. Nevertheless pulmonary edema is worsening in the left lung. Diffuse infiltrative abnormality in the right lung, which could have been asymmetric pulmonary edema, has not changed. Moderate right pleural effusion and left lower lobe atelectasis are stable. No pneumothorax.",Moderate right pleural effusion and left lower lobe atelectasis are stable.,pleural effusion,right,Stable,['files/p14/p14722763/s51751626/951b8a76-9ad92cfa-c2b49c2d-9e519d6c-2b8b9dd7.jpg'],['files/p14/p14722763/s51548785/8f5a986b-ec1dddaa-36845b94-ecca2b99-b3731cca.jpg\n']
s51751626_4,p14722763,s51751626,4,Impression,"AP chest compared to ___: Moderate cardiomegaly is stable, but mediastinal venous engorgement has improved. Nevertheless pulmonary edema is worsening in the left lung. Diffuse infiltrative abnormality in the right lung, which could have been asymmetric pulmonary edema, has not changed. Moderate right pleural effusion and left lower lobe atelectasis are stable. No pneumothorax.","AP chest compared to ___: Moderate cardiomegaly is stable, but mediastinal venous engorgement has improved.",venous engorgement,mediastinal,Better,['files/p14/p14722763/s51751626/951b8a76-9ad92cfa-c2b49c2d-9e519d6c-2b8b9dd7.jpg'],['files/p14/p14722763/s51548785/8f5a986b-ec1dddaa-36845b94-ecca2b99-b3731cca.jpg\n']
s51751626_4,p14722763,s51751626,4,Impression,"AP chest compared to ___: Moderate cardiomegaly is stable, but mediastinal venous engorgement has improved. Nevertheless pulmonary edema is worsening in the left lung. Diffuse infiltrative abnormality in the right lung, which could have been asymmetric pulmonary edema, has not changed. Moderate right pleural effusion and left lower lobe atelectasis are stable. No pneumothorax.",Moderate right pleural effusion and left lower lobe atelectasis are stable.,atelectasis,left lower lobe,Stable,['files/p14/p14722763/s51751626/951b8a76-9ad92cfa-c2b49c2d-9e519d6c-2b8b9dd7.jpg'],['files/p14/p14722763/s51548785/8f5a986b-ec1dddaa-36845b94-ecca2b99-b3731cca.jpg\n']
s51751626_4,p14722763,s51751626,4,Impression,"AP chest compared to ___: Moderate cardiomegaly is stable, but mediastinal venous engorgement has improved. Nevertheless pulmonary edema is worsening in the left lung. Diffuse infiltrative abnormality in the right lung, which could have been asymmetric pulmonary edema, has not changed. Moderate right pleural effusion and left lower lobe atelectasis are stable. No pneumothorax.","AP chest compared to ___: Moderate cardiomegaly is stable, but mediastinal venous engorgement has improved.",Moderate cardiomegaly,,Stable,['files/p14/p14722763/s51751626/951b8a76-9ad92cfa-c2b49c2d-9e519d6c-2b8b9dd7.jpg'],['files/p14/p14722763/s51548785/8f5a986b-ec1dddaa-36845b94-ecca2b99-b3731cca.jpg\n']
s51759935_8,p10715477,s51759935,8,Impression,Stable cardiomegaly without signs of pneumonia or CHF.,Stable cardiomegaly without signs of pneumonia or CHF.,Cardiomegaly,Cardiac,Stable,"['files/p10/p10715477/s51759935/59d23a34-823a7104-45271e4a-39555147-92da6698.jpg', 'files/p10/p10715477/s51759935/9529ad06-bd4c030d-c2fd3c79-bd22fe59-93792d9d.jpg']",['files/p10/p10715477/s51674154/79edb832-7fe769b7-54cdefca-41c39583-d11ca0dd.jpg\n']
s51759935_8,p10715477,s51759935,8,Findings,"PA and lateral views of the chest were obtained. Midline sternotomy wires are again noted. The left IJ central venous catheter has been removed. There is improved aeration in the lung bases as compared with the prior exam. The heart is markedly enlarged, which appears grossly stable compared with prior exam. There is no sign of pneumonia or overt CHF. Bony structures are intact. Aortic calcifications noted.",Midline sternotomy wires are again noted.,Sternotomy Wires,Midline,Stable,"['files/p10/p10715477/s51759935/59d23a34-823a7104-45271e4a-39555147-92da6698.jpg', 'files/p10/p10715477/s51759935/9529ad06-bd4c030d-c2fd3c79-bd22fe59-93792d9d.jpg']",['files/p10/p10715477/s51674154/79edb832-7fe769b7-54cdefca-41c39583-d11ca0dd.jpg\n']
s51759935_8,p10715477,s51759935,8,Findings,"PA and lateral views of the chest were obtained. Midline sternotomy wires are again noted. The left IJ central venous catheter has been removed. There is improved aeration in the lung bases as compared with the prior exam. The heart is markedly enlarged, which appears grossly stable compared with prior exam. There is no sign of pneumonia or overt CHF. Bony structures are intact. Aortic calcifications noted.",The left IJ central venous catheter has been removed.,IJ Central Venous Catheter,Left,Resolve,"['files/p10/p10715477/s51759935/59d23a34-823a7104-45271e4a-39555147-92da6698.jpg', 'files/p10/p10715477/s51759935/9529ad06-bd4c030d-c2fd3c79-bd22fe59-93792d9d.jpg']",['files/p10/p10715477/s51674154/79edb832-7fe769b7-54cdefca-41c39583-d11ca0dd.jpg\n']
s51759935_8,p10715477,s51759935,8,Findings,"PA and lateral views of the chest were obtained. Midline sternotomy wires are again noted. The left IJ central venous catheter has been removed. There is improved aeration in the lung bases as compared with the prior exam. The heart is markedly enlarged, which appears grossly stable compared with prior exam. There is no sign of pneumonia or overt CHF. Bony structures are intact. Aortic calcifications noted.","The heart is markedly enlarged, which appears grossly stable compared with prior exam.",Heart Enlargement,Cardiac,Stable,"['files/p10/p10715477/s51759935/59d23a34-823a7104-45271e4a-39555147-92da6698.jpg', 'files/p10/p10715477/s51759935/9529ad06-bd4c030d-c2fd3c79-bd22fe59-93792d9d.jpg']",['files/p10/p10715477/s51674154/79edb832-7fe769b7-54cdefca-41c39583-d11ca0dd.jpg\n']
s51759935_8,p10715477,s51759935,8,Findings,"PA and lateral views of the chest were obtained. Midline sternotomy wires are again noted. The left IJ central venous catheter has been removed. There is improved aeration in the lung bases as compared with the prior exam. The heart is markedly enlarged, which appears grossly stable compared with prior exam. There is no sign of pneumonia or overt CHF. Bony structures are intact. Aortic calcifications noted.",There is improved aeration in the lung bases as compared with the prior exam.,Aeration,Lung Bases,Better,"['files/p10/p10715477/s51759935/59d23a34-823a7104-45271e4a-39555147-92da6698.jpg', 'files/p10/p10715477/s51759935/9529ad06-bd4c030d-c2fd3c79-bd22fe59-93792d9d.jpg']",['files/p10/p10715477/s51674154/79edb832-7fe769b7-54cdefca-41c39583-d11ca0dd.jpg\n']
s51760501_5,p12185775,s51760501,5,Impression,1. Stable small to moderal right pleural effusion. 2. Improved asymmetric edema is noted on the left.,2. Improved asymmetric edema is noted on the left.,asymmetric edema,left,Better,['files/p12/p12185775/s51760501/a14afef8-c2d8e65e-bef0d58f-e5cc0cf9-ce597a39.jpg'],"['files/p12/p12185775/s51682896/996aed23-e2ca70b1-ece8d46f-47a6d9f9-dbb95bfe.jpg\n', 'files/p12/p12185775/s51682896/f81d607d-d297abbb-83eb3c46-290321ba-aaa66ba9.jpg\n']"
s51760501_5,p12185775,s51760501,5,Impression,1. Stable small to moderal right pleural effusion. 2. Improved asymmetric edema is noted on the left.,1. Stable small to moderate right pleural effusion.,pleural effusion,right,Stable,['files/p12/p12185775/s51760501/a14afef8-c2d8e65e-bef0d58f-e5cc0cf9-ce597a39.jpg'],"['files/p12/p12185775/s51682896/996aed23-e2ca70b1-ece8d46f-47a6d9f9-dbb95bfe.jpg\n', 'files/p12/p12185775/s51682896/f81d607d-d297abbb-83eb3c46-290321ba-aaa66ba9.jpg\n']"
s51760501_5,p12185775,s51760501,5,Findings,Again visualized is a stable right lower lobe opacity consistent with small to moderate right pleural effusion. Improved asymmetric edema is noted on the left. There is no evidence of new consolidation or pneumothorax. Cardiomediastinal silhouette remains stable. Osseous structures remain normal.,Osseous structures remain normal.,Osseous structures,,Stable,['files/p12/p12185775/s51760501/a14afef8-c2d8e65e-bef0d58f-e5cc0cf9-ce597a39.jpg'],"['files/p12/p12185775/s51682896/996aed23-e2ca70b1-ece8d46f-47a6d9f9-dbb95bfe.jpg\n', 'files/p12/p12185775/s51682896/f81d607d-d297abbb-83eb3c46-290321ba-aaa66ba9.jpg\n']"
s51760501_5,p12185775,s51760501,5,Findings,Again visualized is a stable right lower lobe opacity consistent with small to moderate right pleural effusion. Improved asymmetric edema is noted on the left. There is no evidence of new consolidation or pneumothorax. Cardiomediastinal silhouette remains stable. Osseous structures remain normal.,Cardiomediastinal silhouette remains stable.,Cardiomediastinal silhouette,,Stable,['files/p12/p12185775/s51760501/a14afef8-c2d8e65e-bef0d58f-e5cc0cf9-ce597a39.jpg'],"['files/p12/p12185775/s51682896/996aed23-e2ca70b1-ece8d46f-47a6d9f9-dbb95bfe.jpg\n', 'files/p12/p12185775/s51682896/f81d607d-d297abbb-83eb3c46-290321ba-aaa66ba9.jpg\n']"
s51760501_5,p12185775,s51760501,5,Findings,Again visualized is a stable right lower lobe opacity consistent with small to moderate right pleural effusion. Improved asymmetric edema is noted on the left. There is no evidence of new consolidation or pneumothorax. Cardiomediastinal silhouette remains stable. Osseous structures remain normal.,Improved asymmetric edema is noted on the left.,asymmetric edema,left,Better,['files/p12/p12185775/s51760501/a14afef8-c2d8e65e-bef0d58f-e5cc0cf9-ce597a39.jpg'],"['files/p12/p12185775/s51682896/996aed23-e2ca70b1-ece8d46f-47a6d9f9-dbb95bfe.jpg\n', 'files/p12/p12185775/s51682896/f81d607d-d297abbb-83eb3c46-290321ba-aaa66ba9.jpg\n']"
s51760501_5,p12185775,s51760501,5,Findings,Again visualized is a stable right lower lobe opacity consistent with small to moderate right pleural effusion. Improved asymmetric edema is noted on the left. There is no evidence of new consolidation or pneumothorax. Cardiomediastinal silhouette remains stable. Osseous structures remain normal.,Again visualized is a stable right lower lobe opacity consistent with small to moderate right pleural effusion.,pleural effusion,right lower lobe,Stable,['files/p12/p12185775/s51760501/a14afef8-c2d8e65e-bef0d58f-e5cc0cf9-ce597a39.jpg'],"['files/p12/p12185775/s51682896/996aed23-e2ca70b1-ece8d46f-47a6d9f9-dbb95bfe.jpg\n', 'files/p12/p12185775/s51682896/f81d607d-d297abbb-83eb3c46-290321ba-aaa66ba9.jpg\n']"
s51765454_6,p12410066,s51765454,6,Findings,PA and lateral chest radiographs were obtained. There is no change in the left pneumonectomy space which remains ___ full of fluid. More superior posterior appciyt may represent debris or clot. There is stable shift of mediastinal structures to the left. The right lung is clear and hyperexpanded. Mediastinal clips and left subcutaneous emphysema are unchanged.,Mediastinal clips and left subcutaneous emphysema are unchanged.,subcutaneous emphysema,left chest wall,Stable,"['files/p12/p12410066/s51765454/24729e9a-70f3dbe4-ff2aa448-3fa2f455-b65af924.jpg', 'files/p12/p12410066/s51765454/a0c35504-9ebe220e-79ceacca-24a64a06-522087b7.jpg', 'files/p12/p12410066/s51765454/c29fbf77-80a0a173-85f3cdfd-37459ee3-341a72e3.jpg']",['files/p12/p12410066/s51727838/9d674775-c0b3be98-7ed72cdd-47852026-4ca978b4.jpg\n']
s51765454_6,p12410066,s51765454,6,Findings,PA and lateral chest radiographs were obtained. There is no change in the left pneumonectomy space which remains ___ full of fluid. More superior posterior appciyt may represent debris or clot. There is stable shift of mediastinal structures to the left. The right lung is clear and hyperexpanded. Mediastinal clips and left subcutaneous emphysema are unchanged.,Mediastinal clips and left subcutaneous emphysema are unchanged.,clips,mediastinal,Stable,"['files/p12/p12410066/s51765454/24729e9a-70f3dbe4-ff2aa448-3fa2f455-b65af924.jpg', 'files/p12/p12410066/s51765454/a0c35504-9ebe220e-79ceacca-24a64a06-522087b7.jpg', 'files/p12/p12410066/s51765454/c29fbf77-80a0a173-85f3cdfd-37459ee3-341a72e3.jpg']",['files/p12/p12410066/s51727838/9d674775-c0b3be98-7ed72cdd-47852026-4ca978b4.jpg\n']
s51765454_6,p12410066,s51765454,6,Findings,PA and lateral chest radiographs were obtained. There is no change in the left pneumonectomy space which remains ___ full of fluid. More superior posterior appciyt may represent debris or clot. There is stable shift of mediastinal structures to the left. The right lung is clear and hyperexpanded. Mediastinal clips and left subcutaneous emphysema are unchanged.,There is stable shift of mediastinal structures to the left.,shift,mediastinal structures,Stable,"['files/p12/p12410066/s51765454/24729e9a-70f3dbe4-ff2aa448-3fa2f455-b65af924.jpg', 'files/p12/p12410066/s51765454/a0c35504-9ebe220e-79ceacca-24a64a06-522087b7.jpg', 'files/p12/p12410066/s51765454/c29fbf77-80a0a173-85f3cdfd-37459ee3-341a72e3.jpg']",['files/p12/p12410066/s51727838/9d674775-c0b3be98-7ed72cdd-47852026-4ca978b4.jpg\n']
s51765454_6,p12410066,s51765454,6,Findings,PA and lateral chest radiographs were obtained. There is no change in the left pneumonectomy space which remains ___ full of fluid. More superior posterior appciyt may represent debris or clot. There is stable shift of mediastinal structures to the left. The right lung is clear and hyperexpanded. Mediastinal clips and left subcutaneous emphysema are unchanged.,There is no change in the left pneumonectomy space which remains ___ full of fluid.,fluid,left pneumonectomy space,Stable,"['files/p12/p12410066/s51765454/24729e9a-70f3dbe4-ff2aa448-3fa2f455-b65af924.jpg', 'files/p12/p12410066/s51765454/a0c35504-9ebe220e-79ceacca-24a64a06-522087b7.jpg', 'files/p12/p12410066/s51765454/c29fbf77-80a0a173-85f3cdfd-37459ee3-341a72e3.jpg']",['files/p12/p12410066/s51727838/9d674775-c0b3be98-7ed72cdd-47852026-4ca978b4.jpg\n']
s51766355_0,p14722763,s51766355,0,Findings,"Diffuse interstitial opacities, predominantly in the right lung base and probably very mild in the left lung base are present. When compared to the prior chest CT from ___, these interstitial opacities appear new, and given the clinical history, likely represent lung infection (atypical viral) or asymmetric pulmonary edema. In view of history, a possibility of lymphangitic carcinomatosis also needs to be ruled out. Compared with prior radiograph from ___, a dense opacity in the left perihilar region, likely radiation fibrosis has significantly improved over ___ to ___, as demonstrated on series of chest CT's . Heart size is mildly larger and unchanged. Irregularity of the hilar and mediastinal border is likely postradiation. Ill-defined opacity in the left mid lung corresponds to scarring and atelectasis, as suggested on review of chest CT from ___. Pleural effusion, if any, is minimal bilaterally. Bilateral lower lung bases are remarkable for mild atelectasis.","When compared to the prior chest CT from ___, these interstitial opacities appear new, and given the clinical history, likely represent lung infection (atypical viral) or asymmetric pulmonary edema.",interstitial opacities,"right lung base, left lung base",New,"['files/p14/p14722763/s51766355/1a20d32d-56fcb21b-80514db1-d78aa7eb-c60c9bb1.jpg', 'files/p14/p14722763/s51766355/8d2b343d-5f569dbe-d6ced9ab-01862237-a2d8520c.jpg', 'files/p14/p14722763/s51766355/9e51895a-9f186f5a-4b0a5de3-44c03a40-204d048b.jpg']",['files/p14/p14722763/s51751626/951b8a76-9ad92cfa-c2b49c2d-9e519d6c-2b8b9dd7.jpg\n']
s51766355_0,p14722763,s51766355,0,Findings,"Diffuse interstitial opacities, predominantly in the right lung base and probably very mild in the left lung base are present. When compared to the prior chest CT from ___, these interstitial opacities appear new, and given the clinical history, likely represent lung infection (atypical viral) or asymmetric pulmonary edema. In view of history, a possibility of lymphangitic carcinomatosis also needs to be ruled out. Compared with prior radiograph from ___, a dense opacity in the left perihilar region, likely radiation fibrosis has significantly improved over ___ to ___, as demonstrated on series of chest CT's . Heart size is mildly larger and unchanged. Irregularity of the hilar and mediastinal border is likely postradiation. Ill-defined opacity in the left mid lung corresponds to scarring and atelectasis, as suggested on review of chest CT from ___. Pleural effusion, if any, is minimal bilaterally. Bilateral lower lung bases are remarkable for mild atelectasis.","Compared with prior radiograph from ___, a dense opacity in the left perihilar region, likely radiation fibrosis has significantly improved over ___ to ___, as demonstrated on series of chest CT's .",dense opacity,left perihilar region,Better,"['files/p14/p14722763/s51766355/1a20d32d-56fcb21b-80514db1-d78aa7eb-c60c9bb1.jpg', 'files/p14/p14722763/s51766355/8d2b343d-5f569dbe-d6ced9ab-01862237-a2d8520c.jpg', 'files/p14/p14722763/s51766355/9e51895a-9f186f5a-4b0a5de3-44c03a40-204d048b.jpg']",['files/p14/p14722763/s51751626/951b8a76-9ad92cfa-c2b49c2d-9e519d6c-2b8b9dd7.jpg\n']
s51766355_0,p14722763,s51766355,0,Findings,"Diffuse interstitial opacities, predominantly in the right lung base and probably very mild in the left lung base are present. When compared to the prior chest CT from ___, these interstitial opacities appear new, and given the clinical history, likely represent lung infection (atypical viral) or asymmetric pulmonary edema. In view of history, a possibility of lymphangitic carcinomatosis also needs to be ruled out. Compared with prior radiograph from ___, a dense opacity in the left perihilar region, likely radiation fibrosis has significantly improved over ___ to ___, as demonstrated on series of chest CT's . Heart size is mildly larger and unchanged. Irregularity of the hilar and mediastinal border is likely postradiation. Ill-defined opacity in the left mid lung corresponds to scarring and atelectasis, as suggested on review of chest CT from ___. Pleural effusion, if any, is minimal bilaterally. Bilateral lower lung bases are remarkable for mild atelectasis.",Heart size is mildly larger and unchanged.,Heart size,,Stable,"['files/p14/p14722763/s51766355/1a20d32d-56fcb21b-80514db1-d78aa7eb-c60c9bb1.jpg', 'files/p14/p14722763/s51766355/8d2b343d-5f569dbe-d6ced9ab-01862237-a2d8520c.jpg', 'files/p14/p14722763/s51766355/9e51895a-9f186f5a-4b0a5de3-44c03a40-204d048b.jpg']",['files/p14/p14722763/s51751626/951b8a76-9ad92cfa-c2b49c2d-9e519d6c-2b8b9dd7.jpg\n']
s51770967_0,p12530259,s51770967,0,Impression,Left perihilar pneumonia. Recommend followup radiographs after treatment to ensure resolution.,Left perihilar pneumonia. Recommend followup radiographs after treatment to ensure resolution.,pneumonia,left perihilar,New,"['files/p12/p12530259/s51770967/9f97161d-4f4e1c49-31cdfb38-db08c1d7-26e0b833.jpg', 'files/p12/p12530259/s51770967/dd9cfc23-b05701f2-26215d83-46297578-48e163ea.jpg']","['files/p12/p12530259/s51322756/35b23c83-dd3843f8-b3df9c7a-694fec14-2972fec9.jpg\n', 'files/p12/p12530259/s51322756/933e9d9c-77191c22-3fb042fe-3f825087-fa80fffa.jpg\n']"
s51770967_0,p12530259,s51770967,0,Findings,"In the left perihilar region, there is a hazy opacification consistent with pneumonia. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There is elevation of the left hemidiaphragm, which is stable from the prior exam.","There is elevation of the left hemidiaphragm, which is stable from the prior exam.",elevation,left hemidiaphragm,Stable,"['files/p12/p12530259/s51770967/9f97161d-4f4e1c49-31cdfb38-db08c1d7-26e0b833.jpg', 'files/p12/p12530259/s51770967/dd9cfc23-b05701f2-26215d83-46297578-48e163ea.jpg']","['files/p12/p12530259/s51322756/35b23c83-dd3843f8-b3df9c7a-694fec14-2972fec9.jpg\n', 'files/p12/p12530259/s51322756/933e9d9c-77191c22-3fb042fe-3f825087-fa80fffa.jpg\n']"
s51770967_0,p12530259,s51770967,0,Findings,"In the left perihilar region, there is a hazy opacification consistent with pneumonia. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There is elevation of the left hemidiaphragm, which is stable from the prior exam.","In the left perihilar region, there is a hazy opacification consistent with pneumonia.",pneumonia,left perihilar region,New,"['files/p12/p12530259/s51770967/9f97161d-4f4e1c49-31cdfb38-db08c1d7-26e0b833.jpg', 'files/p12/p12530259/s51770967/dd9cfc23-b05701f2-26215d83-46297578-48e163ea.jpg']","['files/p12/p12530259/s51322756/35b23c83-dd3843f8-b3df9c7a-694fec14-2972fec9.jpg\n', 'files/p12/p12530259/s51322756/933e9d9c-77191c22-3fb042fe-3f825087-fa80fffa.jpg\n']"
s51777321_8,p16826047,s51777321,8,Impression,1. The chest tube is appropriately positioned and there is no pneumothorax. 2. Interval clearance of large right pleural effusion with re-expansion atelectasis of the right middle and lower lobes. 3. New small left pleural effusion not present on the prior study. 4. Findings suggestive of mild hypervolemia.,3. New small left pleural effusion not present on the prior study.,pleural effusion,left,New,['files/p16/p16826047/s51777321/8b71881c-c896b1ec-9e6c08d8-6f61075a-c98e7454.jpg'],"['files/p16/p16826047/s51707663/00c62f03-afbd0562-f8fc16b3-3a4ae1d8-73b67c6b.jpg\n', 'files/p16/p16826047/s51707663/7bc6a484-606eb095-e1f6f658-ef47cd8f-5c1d2c86.jpg\n']"
s51777321_8,p16826047,s51777321,8,Impression,1. The chest tube is appropriately positioned and there is no pneumothorax. 2. Interval clearance of large right pleural effusion with re-expansion atelectasis of the right middle and lower lobes. 3. New small left pleural effusion not present on the prior study. 4. Findings suggestive of mild hypervolemia.,2. Interval clearance of large right pleural effusion with re-expansion atelectasis of the right middle and lower lobes.,pleural effusion,right,Resolve,['files/p16/p16826047/s51777321/8b71881c-c896b1ec-9e6c08d8-6f61075a-c98e7454.jpg'],"['files/p16/p16826047/s51707663/00c62f03-afbd0562-f8fc16b3-3a4ae1d8-73b67c6b.jpg\n', 'files/p16/p16826047/s51707663/7bc6a484-606eb095-e1f6f658-ef47cd8f-5c1d2c86.jpg\n']"
s51777321_8,p16826047,s51777321,8,Findings,"A bedside AP radiograph of the chest demonstrates interval clearance of the large right pleural effusion with diffuse opacification of the right middle and lower lobes, likely secondary to re-expansion atelectasis. There is now a new small left pleural effusion which was not present four days ago. There is no pneumothorax. Cardiomegaly is stable. Interval widening of the upper mediastinal silhouette secondary to central venous engorgement is suggestive of hypervolemia. There is no pulmonary edema. A right chest wall central venous catheter is appropriately positioned in the lower SVC. The right chest tube is also appropriately positioned, in the right lower pleural space, including the side port.","A bedside AP radiograph of the chest demonstrates interval clearance of the large right pleural effusion with diffuse opacification of the right middle and lower lobes, likely secondary to re-expansion atelectasis.",pleural effusion,right,Resolve,['files/p16/p16826047/s51777321/8b71881c-c896b1ec-9e6c08d8-6f61075a-c98e7454.jpg'],"['files/p16/p16826047/s51707663/00c62f03-afbd0562-f8fc16b3-3a4ae1d8-73b67c6b.jpg\n', 'files/p16/p16826047/s51707663/7bc6a484-606eb095-e1f6f658-ef47cd8f-5c1d2c86.jpg\n']"
s51777321_8,p16826047,s51777321,8,Findings,"A bedside AP radiograph of the chest demonstrates interval clearance of the large right pleural effusion with diffuse opacification of the right middle and lower lobes, likely secondary to re-expansion atelectasis. There is now a new small left pleural effusion which was not present four days ago. There is no pneumothorax. Cardiomegaly is stable. Interval widening of the upper mediastinal silhouette secondary to central venous engorgement is suggestive of hypervolemia. There is no pulmonary edema. A right chest wall central venous catheter is appropriately positioned in the lower SVC. The right chest tube is also appropriately positioned, in the right lower pleural space, including the side port.",There is now a new small left pleural effusion which was not present four days ago.,pleural effusion,left,New,['files/p16/p16826047/s51777321/8b71881c-c896b1ec-9e6c08d8-6f61075a-c98e7454.jpg'],"['files/p16/p16826047/s51707663/00c62f03-afbd0562-f8fc16b3-3a4ae1d8-73b67c6b.jpg\n', 'files/p16/p16826047/s51707663/7bc6a484-606eb095-e1f6f658-ef47cd8f-5c1d2c86.jpg\n']"
s51777321_8,p16826047,s51777321,8,Findings,"A bedside AP radiograph of the chest demonstrates interval clearance of the large right pleural effusion with diffuse opacification of the right middle and lower lobes, likely secondary to re-expansion atelectasis. There is now a new small left pleural effusion which was not present four days ago. There is no pneumothorax. Cardiomegaly is stable. Interval widening of the upper mediastinal silhouette secondary to central venous engorgement is suggestive of hypervolemia. There is no pulmonary edema. A right chest wall central venous catheter is appropriately positioned in the lower SVC. The right chest tube is also appropriately positioned, in the right lower pleural space, including the side port.",Cardiomegaly is stable.,Cardiomegaly,,Stable,['files/p16/p16826047/s51777321/8b71881c-c896b1ec-9e6c08d8-6f61075a-c98e7454.jpg'],"['files/p16/p16826047/s51707663/00c62f03-afbd0562-f8fc16b3-3a4ae1d8-73b67c6b.jpg\n', 'files/p16/p16826047/s51707663/7bc6a484-606eb095-e1f6f658-ef47cd8f-5c1d2c86.jpg\n']"
s51777681_12,p19991135,s51777681,12,Findings,"PA and lateral radiographs of the chest were acquired. There is volume loss on the right with associated elevation of the right hemidiaphragm, consistent with the provided history of prior right upper lobectomy. Pleural densities along the right upper lateral chest wall are not significantly changed. Similarly, opacity at the right apex along the superior mediastinum is not significantly changed, possibly loculated fluid in the pleural space. There is no focal consolidation concerning for pneumonia. There is no left pleural effusion. No definite pneumothorax is seen. There is evidence of prior right thoracotomy, involving the right posterior sixth rib. Cervical fusion hardware is incompletely assessed.",Pleural densities along the right upper lateral chest wall are not significantly changed.,Pleural densities,right upper lateral chest wall,Stable,"['files/p19/p19991135/s51777681/3272470c-530109a6-4ffe7fca-c776dbb3-224eda66.jpg', 'files/p19/p19991135/s51777681/7cdd0c6e-d0263417-262f1fce-bd3d2712-99409e00.jpg']",['files/p19/p19991135/s51478737/e9fed58f-81080573-29e7c963-c3bae1ff-a15dab90.jpg\n']
s51777681_12,p19991135,s51777681,12,Findings,"PA and lateral radiographs of the chest were acquired. There is volume loss on the right with associated elevation of the right hemidiaphragm, consistent with the provided history of prior right upper lobectomy. Pleural densities along the right upper lateral chest wall are not significantly changed. Similarly, opacity at the right apex along the superior mediastinum is not significantly changed, possibly loculated fluid in the pleural space. There is no focal consolidation concerning for pneumonia. There is no left pleural effusion. No definite pneumothorax is seen. There is evidence of prior right thoracotomy, involving the right posterior sixth rib. Cervical fusion hardware is incompletely assessed.","Similarly, opacity at the right apex along the superior mediastinum is not significantly changed, possibly loculated fluid in the pleural space.",opacity,right apex along the superior mediastinum,Stable,"['files/p19/p19991135/s51777681/3272470c-530109a6-4ffe7fca-c776dbb3-224eda66.jpg', 'files/p19/p19991135/s51777681/7cdd0c6e-d0263417-262f1fce-bd3d2712-99409e00.jpg']",['files/p19/p19991135/s51478737/e9fed58f-81080573-29e7c963-c3bae1ff-a15dab90.jpg\n']
s51780323_14,p16508811,s51780323,14,Findings,"The cardiac and mediastinal contours appear stable. Although less striking than on the last study, there is perihilar congestive change above that of an earlier baseline study from ___. There are also patchy opacities at both lung bases, more prominent in the retrocardiac area than at the right lung base, decreased from ___ but retrocardiac opacity was not present in ___ so is not necessarily chronic.","There are also patchy opacities at both lung bases, more prominent in the retrocardiac area than at the right lung base, decreased from ___ but retrocardiac opacity was not present in ___ so is not necessarily chronic.",opacity,retrocardiac area,New,['files/p16/p16508811/s51780323/93f1cff6-36f3e02f-d36cdf6d-ee6f284b-c618d6fd.jpg'],['files/p16/p16508811/s51274564/ee20ed6a-2dc0af0c-24d33cf6-5386e01a-c281e8c5.jpg\n']
s51780323_14,p16508811,s51780323,14,Findings,"The cardiac and mediastinal contours appear stable. Although less striking than on the last study, there is perihilar congestive change above that of an earlier baseline study from ___. There are also patchy opacities at both lung bases, more prominent in the retrocardiac area than at the right lung base, decreased from ___ but retrocardiac opacity was not present in ___ so is not necessarily chronic.","There are also patchy opacities at both lung bases, more prominent in the retrocardiac area than at the right lung base, decreased from ___ but retrocardiac opacity was not present in ___ so is not necessarily chronic.",patchy opacities,both lung bases,Worse,['files/p16/p16508811/s51780323/93f1cff6-36f3e02f-d36cdf6d-ee6f284b-c618d6fd.jpg'],['files/p16/p16508811/s51274564/ee20ed6a-2dc0af0c-24d33cf6-5386e01a-c281e8c5.jpg\n']
s51780323_14,p16508811,s51780323,14,Findings,"The cardiac and mediastinal contours appear stable. Although less striking than on the last study, there is perihilar congestive change above that of an earlier baseline study from ___. There are also patchy opacities at both lung bases, more prominent in the retrocardiac area than at the right lung base, decreased from ___ but retrocardiac opacity was not present in ___ so is not necessarily chronic.",The cardiac and mediastinal contours appear stable.,cardiac and mediastinal contours,,Stable,['files/p16/p16508811/s51780323/93f1cff6-36f3e02f-d36cdf6d-ee6f284b-c618d6fd.jpg'],['files/p16/p16508811/s51274564/ee20ed6a-2dc0af0c-24d33cf6-5386e01a-c281e8c5.jpg\n']
s51780323_14,p16508811,s51780323,14,Findings,"The cardiac and mediastinal contours appear stable. Although less striking than on the last study, there is perihilar congestive change above that of an earlier baseline study from ___. There are also patchy opacities at both lung bases, more prominent in the retrocardiac area than at the right lung base, decreased from ___ but retrocardiac opacity was not present in ___ so is not necessarily chronic.","Although less striking than on the last study, there is perihilar congestive change above that of an earlier baseline study from ___.",congestive change,perihilar,Worse,['files/p16/p16508811/s51780323/93f1cff6-36f3e02f-d36cdf6d-ee6f284b-c618d6fd.jpg'],['files/p16/p16508811/s51274564/ee20ed6a-2dc0af0c-24d33cf6-5386e01a-c281e8c5.jpg\n']
s51782829_9,p17340686,s51782829,9,Findings,Mild cardiomegaly is similar to prior. Cardiomediastinal contours are stable. Indistinct appearance of the pulmonary vasculature is compatible with pulmonary edema. Nodular opacity projecting over the right mid lung is similar to ___. Blunting of the right costophrenic angle and indistinctness of the left costophrenic angle are compatible with small bilateral pleural effusions. Retrocardiac opacity may represent atelectasis though pneumonia is not excluded. No pneumothorax. Dialysis catheter terminates in the right atrium. The right humeral head is chronically deformed and an adjacent calcified loose body is again seen.,Nodular opacity projecting over the right mid lung is similar to ___.,nodular opacity,right mid lung,Stable,"['files/p17/p17340686/s51782829/6b0e83ab-6cdfeb29-98310cca-4b6aa8f5-8455fe63.jpg', 'files/p17/p17340686/s51782829/9a64df47-d0610142-8f6232fb-b9e742e6-c06baf1f.jpg']","['files/p17/p17340686/s51544976/74a8518e-540825ef-5348424e-50918195-a06fc105.jpg\n', 'files/p17/p17340686/s51544976/d8716bfb-b0b2d6fc-44ff5f4b-ab0a9bba-8b1a5390.jpg\n']"
s51782829_9,p17340686,s51782829,9,Findings,Mild cardiomegaly is similar to prior. Cardiomediastinal contours are stable. Indistinct appearance of the pulmonary vasculature is compatible with pulmonary edema. Nodular opacity projecting over the right mid lung is similar to ___. Blunting of the right costophrenic angle and indistinctness of the left costophrenic angle are compatible with small bilateral pleural effusions. Retrocardiac opacity may represent atelectasis though pneumonia is not excluded. No pneumothorax. Dialysis catheter terminates in the right atrium. The right humeral head is chronically deformed and an adjacent calcified loose body is again seen.,The right humeral head is chronically deformed and an adjacent calcified loose body is again seen.,deformation,right humeral head,Stable,"['files/p17/p17340686/s51782829/6b0e83ab-6cdfeb29-98310cca-4b6aa8f5-8455fe63.jpg', 'files/p17/p17340686/s51782829/9a64df47-d0610142-8f6232fb-b9e742e6-c06baf1f.jpg']","['files/p17/p17340686/s51544976/74a8518e-540825ef-5348424e-50918195-a06fc105.jpg\n', 'files/p17/p17340686/s51544976/d8716bfb-b0b2d6fc-44ff5f4b-ab0a9bba-8b1a5390.jpg\n']"
s51782829_9,p17340686,s51782829,9,Impression,"Mild pulmonary edema, similar to ___, with small bilateral pleural effusion and retrocardiac opacity compatible with atelectasis, although pneumonia may be considered in the appropriate clinical setting.","Mild pulmonary edema, similar to ___, with small bilateral pleural effusion and retrocardiac opacity compatible with atelectasis, although pneumonia may be considered in the appropriate clinical setting.",pleural effusion,,Stable,"['files/p17/p17340686/s51782829/6b0e83ab-6cdfeb29-98310cca-4b6aa8f5-8455fe63.jpg', 'files/p17/p17340686/s51782829/9a64df47-d0610142-8f6232fb-b9e742e6-c06baf1f.jpg']","['files/p17/p17340686/s51544976/74a8518e-540825ef-5348424e-50918195-a06fc105.jpg\n', 'files/p17/p17340686/s51544976/d8716bfb-b0b2d6fc-44ff5f4b-ab0a9bba-8b1a5390.jpg\n']"
s51782829_9,p17340686,s51782829,9,Findings,Mild cardiomegaly is similar to prior. Cardiomediastinal contours are stable. Indistinct appearance of the pulmonary vasculature is compatible with pulmonary edema. Nodular opacity projecting over the right mid lung is similar to ___. Blunting of the right costophrenic angle and indistinctness of the left costophrenic angle are compatible with small bilateral pleural effusions. Retrocardiac opacity may represent atelectasis though pneumonia is not excluded. No pneumothorax. Dialysis catheter terminates in the right atrium. The right humeral head is chronically deformed and an adjacent calcified loose body is again seen.,Cardiomediastinal contours are stable.,cardiomediastinal contours,,Stable,"['files/p17/p17340686/s51782829/6b0e83ab-6cdfeb29-98310cca-4b6aa8f5-8455fe63.jpg', 'files/p17/p17340686/s51782829/9a64df47-d0610142-8f6232fb-b9e742e6-c06baf1f.jpg']","['files/p17/p17340686/s51544976/74a8518e-540825ef-5348424e-50918195-a06fc105.jpg\n', 'files/p17/p17340686/s51544976/d8716bfb-b0b2d6fc-44ff5f4b-ab0a9bba-8b1a5390.jpg\n']"
s51782829_9,p17340686,s51782829,9,Impression,"Mild pulmonary edema, similar to ___, with small bilateral pleural effusion and retrocardiac opacity compatible with atelectasis, although pneumonia may be considered in the appropriate clinical setting.","Mild pulmonary edema, similar to ___, with small bilateral pleural effusion and retrocardiac opacity compatible with atelectasis, although pneumonia may be considered in the appropriate clinical setting.",pulmonary edema,,Stable,"['files/p17/p17340686/s51782829/6b0e83ab-6cdfeb29-98310cca-4b6aa8f5-8455fe63.jpg', 'files/p17/p17340686/s51782829/9a64df47-d0610142-8f6232fb-b9e742e6-c06baf1f.jpg']","['files/p17/p17340686/s51544976/74a8518e-540825ef-5348424e-50918195-a06fc105.jpg\n', 'files/p17/p17340686/s51544976/d8716bfb-b0b2d6fc-44ff5f4b-ab0a9bba-8b1a5390.jpg\n']"
s51782829_9,p17340686,s51782829,9,Impression,"Mild pulmonary edema, similar to ___, with small bilateral pleural effusion and retrocardiac opacity compatible with atelectasis, although pneumonia may be considered in the appropriate clinical setting.","Mild pulmonary edema, similar to ___, with small bilateral pleural effusion and retrocardiac opacity compatible with atelectasis, although pneumonia may be considered in the appropriate clinical setting.",retrocardiac opacity,,Stable,"['files/p17/p17340686/s51782829/6b0e83ab-6cdfeb29-98310cca-4b6aa8f5-8455fe63.jpg', 'files/p17/p17340686/s51782829/9a64df47-d0610142-8f6232fb-b9e742e6-c06baf1f.jpg']","['files/p17/p17340686/s51544976/74a8518e-540825ef-5348424e-50918195-a06fc105.jpg\n', 'files/p17/p17340686/s51544976/d8716bfb-b0b2d6fc-44ff5f4b-ab0a9bba-8b1a5390.jpg\n']"
s51782829_9,p17340686,s51782829,9,Findings,Mild cardiomegaly is similar to prior. Cardiomediastinal contours are stable. Indistinct appearance of the pulmonary vasculature is compatible with pulmonary edema. Nodular opacity projecting over the right mid lung is similar to ___. Blunting of the right costophrenic angle and indistinctness of the left costophrenic angle are compatible with small bilateral pleural effusions. Retrocardiac opacity may represent atelectasis though pneumonia is not excluded. No pneumothorax. Dialysis catheter terminates in the right atrium. The right humeral head is chronically deformed and an adjacent calcified loose body is again seen.,Mild cardiomegaly is similar to prior.,cardiomegaly,,Stable,"['files/p17/p17340686/s51782829/6b0e83ab-6cdfeb29-98310cca-4b6aa8f5-8455fe63.jpg', 'files/p17/p17340686/s51782829/9a64df47-d0610142-8f6232fb-b9e742e6-c06baf1f.jpg']","['files/p17/p17340686/s51544976/74a8518e-540825ef-5348424e-50918195-a06fc105.jpg\n', 'files/p17/p17340686/s51544976/d8716bfb-b0b2d6fc-44ff5f4b-ab0a9bba-8b1a5390.jpg\n']"
s51782829_9,p17340686,s51782829,9,Findings,Mild cardiomegaly is similar to prior. Cardiomediastinal contours are stable. Indistinct appearance of the pulmonary vasculature is compatible with pulmonary edema. Nodular opacity projecting over the right mid lung is similar to ___. Blunting of the right costophrenic angle and indistinctness of the left costophrenic angle are compatible with small bilateral pleural effusions. Retrocardiac opacity may represent atelectasis though pneumonia is not excluded. No pneumothorax. Dialysis catheter terminates in the right atrium. The right humeral head is chronically deformed and an adjacent calcified loose body is again seen.,The right humeral head is chronically deformed and an adjacent calcified loose body is again seen.,calcified loose body,adjacent,Stable,"['files/p17/p17340686/s51782829/6b0e83ab-6cdfeb29-98310cca-4b6aa8f5-8455fe63.jpg', 'files/p17/p17340686/s51782829/9a64df47-d0610142-8f6232fb-b9e742e6-c06baf1f.jpg']","['files/p17/p17340686/s51544976/74a8518e-540825ef-5348424e-50918195-a06fc105.jpg\n', 'files/p17/p17340686/s51544976/d8716bfb-b0b2d6fc-44ff5f4b-ab0a9bba-8b1a5390.jpg\n']"
s51788121_35,p13475033,s51788121,35,Findings,"When compared to prior, there are persistent but potentially slightly less conspicuous bilateral increased interstitial markings throughout the lungs. There is no new consolidation or effusion. The cardiomediastinal silhouette is enlarged but stable. No acute osseous abnormalities identified, compression deformities in the thoracic spine were better seen on prior exam. Old mid left clavicular fracture is again noted.",Old mid left clavicular fracture is again noted.,clavicular fracture,mid left,Stable,"['files/p13/p13475033/s51788121/598a87a7-0c33ee5b-7a11cdc4-ad0d69cf-a5ca8524.jpg', 'files/p13/p13475033/s51788121/79c58559-700225dc-530fa0db-a2765310-d9d722e9.jpg', 'files/p13/p13475033/s51788121/84b1a767-dade04c3-67f7a7d0-c2cbbae5-82262539.jpg']","['files/p13/p13475033/s51351077/762d904e-6d16b5e3-99ff54e0-002a0d8e-c7ab5157.jpg\n', 'files/p13/p13475033/s51351077/c8d8a6ba-39f605e7-31f65aff-3edf85bf-f9e26e9b.jpg\n']"
s51788121_35,p13475033,s51788121,35,Impression,Perhaps mild interval improvement in the appearance of the increased interstitial markings throughout the lungs which persist. No new consolidation.,Perhaps mild interval improvement in the appearance of the increased interstitial markings throughout the lungs which persist.,increased interstitial markings,bilateral,Stable,"['files/p13/p13475033/s51788121/598a87a7-0c33ee5b-7a11cdc4-ad0d69cf-a5ca8524.jpg', 'files/p13/p13475033/s51788121/79c58559-700225dc-530fa0db-a2765310-d9d722e9.jpg', 'files/p13/p13475033/s51788121/84b1a767-dade04c3-67f7a7d0-c2cbbae5-82262539.jpg']","['files/p13/p13475033/s51351077/762d904e-6d16b5e3-99ff54e0-002a0d8e-c7ab5157.jpg\n', 'files/p13/p13475033/s51351077/c8d8a6ba-39f605e7-31f65aff-3edf85bf-f9e26e9b.jpg\n']"
s51788121_35,p13475033,s51788121,35,Findings,"When compared to prior, there are persistent but potentially slightly less conspicuous bilateral increased interstitial markings throughout the lungs. There is no new consolidation or effusion. The cardiomediastinal silhouette is enlarged but stable. No acute osseous abnormalities identified, compression deformities in the thoracic spine were better seen on prior exam. Old mid left clavicular fracture is again noted.","When compared to prior, there are persistent but potentially slightly less conspicuous bilateral increased interstitial markings throughout the lungs.",increased interstitial markings,bilateral,Stable,"['files/p13/p13475033/s51788121/598a87a7-0c33ee5b-7a11cdc4-ad0d69cf-a5ca8524.jpg', 'files/p13/p13475033/s51788121/79c58559-700225dc-530fa0db-a2765310-d9d722e9.jpg', 'files/p13/p13475033/s51788121/84b1a767-dade04c3-67f7a7d0-c2cbbae5-82262539.jpg']","['files/p13/p13475033/s51351077/762d904e-6d16b5e3-99ff54e0-002a0d8e-c7ab5157.jpg\n', 'files/p13/p13475033/s51351077/c8d8a6ba-39f605e7-31f65aff-3edf85bf-f9e26e9b.jpg\n']"
s51788121_35,p13475033,s51788121,35,Findings,"When compared to prior, there are persistent but potentially slightly less conspicuous bilateral increased interstitial markings throughout the lungs. There is no new consolidation or effusion. The cardiomediastinal silhouette is enlarged but stable. No acute osseous abnormalities identified, compression deformities in the thoracic spine were better seen on prior exam. Old mid left clavicular fracture is again noted.",The cardiomediastinal silhouette is enlarged but stable.,enlarged cardiomediastinal silhouette,,Stable,"['files/p13/p13475033/s51788121/598a87a7-0c33ee5b-7a11cdc4-ad0d69cf-a5ca8524.jpg', 'files/p13/p13475033/s51788121/79c58559-700225dc-530fa0db-a2765310-d9d722e9.jpg', 'files/p13/p13475033/s51788121/84b1a767-dade04c3-67f7a7d0-c2cbbae5-82262539.jpg']","['files/p13/p13475033/s51351077/762d904e-6d16b5e3-99ff54e0-002a0d8e-c7ab5157.jpg\n', 'files/p13/p13475033/s51351077/c8d8a6ba-39f605e7-31f65aff-3edf85bf-f9e26e9b.jpg\n']"
s51788928_3,p11293517,s51788928,3,Impression,Resolution of cardiogenic pulmonary edema and right lower lobe consolidation.,Resolution of cardiogenic pulmonary edema and right lower lobe consolidation.,consolidation,right lower lobe,Resolve,"['files/p11/p11293517/s51788928/4f69d69a-0a777d03-41d5250c-ecbbd9a2-72febcb8.jpg', 'files/p11/p11293517/s51788928/59f06e1a-879fbbf1-4152f12d-76118d0d-5477e420.jpg', 'files/p11/p11293517/s51788928/d488ce83-528fa722-abe67b2b-ef58f254-0d7db9b2.jpg']","['files/p11/p11293517/s50845269/37355a7b-cd57395e-8accb623-52bbdd41-53976f76.jpg\n', 'files/p11/p11293517/s50845269/7a1a7ec8-c865adb3-011681d5-d61e27b1-6d31ab75.jpg\n', 'files/p11/p11293517/s50845269/f24dcfb8-8d336748-8d0d5686-a52f7cc9-2aefd3a6.jpg\n']"
s51788928_3,p11293517,s51788928,3,Findings,"PA and lateral radiographs of the chest demonstrate interval resolution of pulmonary edema as well as the possible right lower lobe consolidation. Mild cardiomegaly is chronic. The upper mediastinum is now less widened, consistent with resolution of central vascular engorgement. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. The atrial, biventricular ICD are unchanged.","The upper mediastinum is now less widened, consistent with resolution of central vascular engorgement.",widening,upper mediastinum,Resolve,"['files/p11/p11293517/s51788928/4f69d69a-0a777d03-41d5250c-ecbbd9a2-72febcb8.jpg', 'files/p11/p11293517/s51788928/59f06e1a-879fbbf1-4152f12d-76118d0d-5477e420.jpg', 'files/p11/p11293517/s51788928/d488ce83-528fa722-abe67b2b-ef58f254-0d7db9b2.jpg']","['files/p11/p11293517/s50845269/37355a7b-cd57395e-8accb623-52bbdd41-53976f76.jpg\n', 'files/p11/p11293517/s50845269/7a1a7ec8-c865adb3-011681d5-d61e27b1-6d31ab75.jpg\n', 'files/p11/p11293517/s50845269/f24dcfb8-8d336748-8d0d5686-a52f7cc9-2aefd3a6.jpg\n']"
s51788928_3,p11293517,s51788928,3,Findings,"PA and lateral radiographs of the chest demonstrate interval resolution of pulmonary edema as well as the possible right lower lobe consolidation. Mild cardiomegaly is chronic. The upper mediastinum is now less widened, consistent with resolution of central vascular engorgement. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. The atrial, biventricular ICD are unchanged.",PA and lateral radiographs of the chest demonstrate interval resolution of pulmonary edema as well as the possible right lower lobe consolidation.,consolidation,right lower lobe,Resolve,"['files/p11/p11293517/s51788928/4f69d69a-0a777d03-41d5250c-ecbbd9a2-72febcb8.jpg', 'files/p11/p11293517/s51788928/59f06e1a-879fbbf1-4152f12d-76118d0d-5477e420.jpg', 'files/p11/p11293517/s51788928/d488ce83-528fa722-abe67b2b-ef58f254-0d7db9b2.jpg']","['files/p11/p11293517/s50845269/37355a7b-cd57395e-8accb623-52bbdd41-53976f76.jpg\n', 'files/p11/p11293517/s50845269/7a1a7ec8-c865adb3-011681d5-d61e27b1-6d31ab75.jpg\n', 'files/p11/p11293517/s50845269/f24dcfb8-8d336748-8d0d5686-a52f7cc9-2aefd3a6.jpg\n']"
s51788928_3,p11293517,s51788928,3,Findings,"PA and lateral radiographs of the chest demonstrate interval resolution of pulmonary edema as well as the possible right lower lobe consolidation. Mild cardiomegaly is chronic. The upper mediastinum is now less widened, consistent with resolution of central vascular engorgement. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. The atrial, biventricular ICD are unchanged.","The atrial, biventricular ICD are unchanged.",ICD,"atrial, biventricular",Stable,"['files/p11/p11293517/s51788928/4f69d69a-0a777d03-41d5250c-ecbbd9a2-72febcb8.jpg', 'files/p11/p11293517/s51788928/59f06e1a-879fbbf1-4152f12d-76118d0d-5477e420.jpg', 'files/p11/p11293517/s51788928/d488ce83-528fa722-abe67b2b-ef58f254-0d7db9b2.jpg']","['files/p11/p11293517/s50845269/37355a7b-cd57395e-8accb623-52bbdd41-53976f76.jpg\n', 'files/p11/p11293517/s50845269/7a1a7ec8-c865adb3-011681d5-d61e27b1-6d31ab75.jpg\n', 'files/p11/p11293517/s50845269/f24dcfb8-8d336748-8d0d5686-a52f7cc9-2aefd3a6.jpg\n']"
s51788928_3,p11293517,s51788928,3,Findings,"PA and lateral radiographs of the chest demonstrate interval resolution of pulmonary edema as well as the possible right lower lobe consolidation. Mild cardiomegaly is chronic. The upper mediastinum is now less widened, consistent with resolution of central vascular engorgement. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. The atrial, biventricular ICD are unchanged.",PA and lateral radiographs of the chest demonstrate interval resolution of pulmonary edema as well as the possible right lower lobe consolidation.,pulmonary edema,,Resolve,"['files/p11/p11293517/s51788928/4f69d69a-0a777d03-41d5250c-ecbbd9a2-72febcb8.jpg', 'files/p11/p11293517/s51788928/59f06e1a-879fbbf1-4152f12d-76118d0d-5477e420.jpg', 'files/p11/p11293517/s51788928/d488ce83-528fa722-abe67b2b-ef58f254-0d7db9b2.jpg']","['files/p11/p11293517/s50845269/37355a7b-cd57395e-8accb623-52bbdd41-53976f76.jpg\n', 'files/p11/p11293517/s50845269/7a1a7ec8-c865adb3-011681d5-d61e27b1-6d31ab75.jpg\n', 'files/p11/p11293517/s50845269/f24dcfb8-8d336748-8d0d5686-a52f7cc9-2aefd3a6.jpg\n']"
s51788928_3,p11293517,s51788928,3,Impression,Resolution of cardiogenic pulmonary edema and right lower lobe consolidation.,Resolution of cardiogenic pulmonary edema and right lower lobe consolidation.,cardiogenic pulmonary edema,,Resolve,"['files/p11/p11293517/s51788928/4f69d69a-0a777d03-41d5250c-ecbbd9a2-72febcb8.jpg', 'files/p11/p11293517/s51788928/59f06e1a-879fbbf1-4152f12d-76118d0d-5477e420.jpg', 'files/p11/p11293517/s51788928/d488ce83-528fa722-abe67b2b-ef58f254-0d7db9b2.jpg']","['files/p11/p11293517/s50845269/37355a7b-cd57395e-8accb623-52bbdd41-53976f76.jpg\n', 'files/p11/p11293517/s50845269/7a1a7ec8-c865adb3-011681d5-d61e27b1-6d31ab75.jpg\n', 'files/p11/p11293517/s50845269/f24dcfb8-8d336748-8d0d5686-a52f7cc9-2aefd3a6.jpg\n']"
s51795923_31,p16826047,s51795923,31,Findings,"As compared to the previous radiograph, there is no relevant change. The extensive right pleural effusion is constant in distribution and extent. Also constant are the relatively massive subsequent parenchymal opacities in the right hemithorax. On the left, there is no visible change, the appearance of the left heart border, the left costophrenic sinus and the structure of the lung parenchyma is constant. No pneumothorax. No pleural effusions.","On the left, there is no visible change, the appearance of the left heart border, the left costophrenic sinus and the structure of the lung parenchyma is constant.","heart border, costophrenic sinus, lung parenchyma",left,Stable,['files/p16/p16826047/s51795923/25ee6ef1-1e086650-4b388d67-99cae82c-8b65717e.jpg'],['files/p16/p16826047/s51777321/8b71881c-c896b1ec-9e6c08d8-6f61075a-c98e7454.jpg\n']
s51795923_31,p16826047,s51795923,31,Findings,"As compared to the previous radiograph, there is no relevant change. The extensive right pleural effusion is constant in distribution and extent. Also constant are the relatively massive subsequent parenchymal opacities in the right hemithorax. On the left, there is no visible change, the appearance of the left heart border, the left costophrenic sinus and the structure of the lung parenchyma is constant. No pneumothorax. No pleural effusions.",Also constant are the relatively massive subsequent parenchymal opacities in the right hemithorax.,parenchymal opacities,right hemithorax,Stable,['files/p16/p16826047/s51795923/25ee6ef1-1e086650-4b388d67-99cae82c-8b65717e.jpg'],['files/p16/p16826047/s51777321/8b71881c-c896b1ec-9e6c08d8-6f61075a-c98e7454.jpg\n']
s51795923_31,p16826047,s51795923,31,Findings,"As compared to the previous radiograph, there is no relevant change. The extensive right pleural effusion is constant in distribution and extent. Also constant are the relatively massive subsequent parenchymal opacities in the right hemithorax. On the left, there is no visible change, the appearance of the left heart border, the left costophrenic sinus and the structure of the lung parenchyma is constant. No pneumothorax. No pleural effusions.",The extensive right pleural effusion is constant in distribution and extent.,pleural effusion,right,Stable,['files/p16/p16826047/s51795923/25ee6ef1-1e086650-4b388d67-99cae82c-8b65717e.jpg'],['files/p16/p16826047/s51777321/8b71881c-c896b1ec-9e6c08d8-6f61075a-c98e7454.jpg\n']
s51807337_10,p11204646,s51807337,10,Impression,"AP chest compared to ___: Severe cardiomegaly is chronic and mediastinal veins are generally dilated. Moderate right pleural effusion increased in ___ compared to ___, moderate in size and subsequently unchanged. Left lung is grossly clear. ET tube in standard placement. Nasogastric tube passes below the diaphragm and out of view. A right subclavian PICC line can be traced into the right atrium, but the tip is quite indistinct. No pneumothorax.","Moderate right pleural effusion increased in ___ compared to ___, moderate in size and subsequently unchanged.",pleural effusion,right,Stable,['files/p11/p11204646/s51807337/53f16e4e-347b6971-9312cbfa-d05f1ca8-6046ec2f.jpg'],['files/p11/p11204646/s50533006/d6fbe6a9-57f6ae9d-07f24e69-1c032794-76d80d8f.jpg\n']
s51808820_11,p15758946,s51808820,11,Findings,"There has been interval removal of the right-sided central venous catheter. A Port-A-Cath visible on the left has its tip terminating in the cavoatrial junction. An ovoid lucency projects over the right tracheobronchial angle and a crescentic lucency is seen along the junction of the left heart border and aortic lumen and a small subdiaphragmatic crescentic lucency is also seen beneath the right hemidiaphragm. Subcutaneous emphysema is seen along the right chest wall. Overall, the lungs are clear. There is no large pleural effusion or pneumothorax. An old healed rib fracture is seen in the eighth posterolateral rib on the right. Clips are seen in the epigastric region of the abdomen.",There has been interval removal of the right-sided central venous catheter.,central venous catheter,right-sided,Resolve,['files/p15/p15758946/s51808820/35d6d97a-9cbb9f6a-78b7bf1d-f7a49df3-fa17a2b5.jpg'],['files/p15/p15758946/s50697229/be78e28d-1c76d439-9b5e832e-b0935ea9-62e6cf91.jpg\n']
s51808820_11,p15758946,s51808820,11,Impression,"Mediastinal lucencies concerning for pneumomediastinum; subcutaneous emphysema; subdiaphragmatic free air, all new compared to prior study, and in the setting of recent surgery may reflect air dissecting along the fascial planes. Correlate with other history of instrumentation or trauma. An initial report of these findings was given by Dr. ___ to Dr. ___ at 7:00 a.m. in person on ___.","Mediastinal lucencies concerning for pneumomediastinum; subcutaneous emphysema; subdiaphragmatic free air, all new compared to prior study, and in the setting of recent surgery may reflect air dissecting along the fascial planes.",subdiaphragmatic free air,,New,['files/p15/p15758946/s51808820/35d6d97a-9cbb9f6a-78b7bf1d-f7a49df3-fa17a2b5.jpg'],['files/p15/p15758946/s50697229/be78e28d-1c76d439-9b5e832e-b0935ea9-62e6cf91.jpg\n']
s51808820_11,p15758946,s51808820,11,Impression,"Mediastinal lucencies concerning for pneumomediastinum; subcutaneous emphysema; subdiaphragmatic free air, all new compared to prior study, and in the setting of recent surgery may reflect air dissecting along the fascial planes. Correlate with other history of instrumentation or trauma. An initial report of these findings was given by Dr. ___ to Dr. ___ at 7:00 a.m. in person on ___.","Mediastinal lucencies concerning for pneumomediastinum; subcutaneous emphysema; subdiaphragmatic free air, all new compared to prior study, and in the setting of recent surgery may reflect air dissecting along the fascial planes.",pneumomediastinum,,New,['files/p15/p15758946/s51808820/35d6d97a-9cbb9f6a-78b7bf1d-f7a49df3-fa17a2b5.jpg'],['files/p15/p15758946/s50697229/be78e28d-1c76d439-9b5e832e-b0935ea9-62e6cf91.jpg\n']
s51808820_11,p15758946,s51808820,11,Impression,"Mediastinal lucencies concerning for pneumomediastinum; subcutaneous emphysema; subdiaphragmatic free air, all new compared to prior study, and in the setting of recent surgery may reflect air dissecting along the fascial planes. Correlate with other history of instrumentation or trauma. An initial report of these findings was given by Dr. ___ to Dr. ___ at 7:00 a.m. in person on ___.","Mediastinal lucencies concerning for pneumomediastinum; subcutaneous emphysema; subdiaphragmatic free air, all new compared to prior study, and in the setting of recent surgery may reflect air dissecting along the fascial planes.",subcutaneous emphysema,,New,['files/p15/p15758946/s51808820/35d6d97a-9cbb9f6a-78b7bf1d-f7a49df3-fa17a2b5.jpg'],['files/p15/p15758946/s50697229/be78e28d-1c76d439-9b5e832e-b0935ea9-62e6cf91.jpg\n']
s51811172_34,p15259244,s51811172,34,Impression,Improved moderate cardiomegaly. No evidence of cardiac decompensation.,Improved moderate cardiomegaly.,moderate,cardiomegaly,Better,['files/p15/p15259244/s51811172/178a003a-0d5784da-664f8272-6c14ae7b-135dfadb.jpg'],['files/p15/p15259244/s51427308/cd20a77e-2332eb46-6c09f2d2-e0e8d1d9-8f18baf1.jpg\n']
s51811172_34,p15259244,s51811172,34,Findings,The lungs are well expanded. Moderate cardiomegaly has improved since ___. The mediastinal silhouette and hilar contours are normal. Sternal wires are intact. Mitral valve ring is noted. No definite pleural effusion is present.,Moderate cardiomegaly has improved since ___.,moderate,cardiomegaly,Better,['files/p15/p15259244/s51811172/178a003a-0d5784da-664f8272-6c14ae7b-135dfadb.jpg'],['files/p15/p15259244/s51427308/cd20a77e-2332eb46-6c09f2d2-e0e8d1d9-8f18baf1.jpg\n']
s51811901_11,p16319601,s51811901,11,Findings,"Portable chest radiograph demonstrates unremarkable mediastinal, hilar, and cardiac contours. Minimal stable atelectasis noted in the bilateral lower lungs, right greater than left. Bilateral chest tubes projecting over lung bases with no reaccumulation of pleural effusions or pneumothorax. Other lines and tubes in appropriate position.","Minimal stable atelectasis noted in the bilateral lower lungs, right greater than left.",atelectasis,bilateral lower lungs,Stable,['files/p16/p16319601/s51811901/e294dffe-151d42b4-1956add7-1160c620-1eac45cb.jpg'],['files/p16/p16319601/s51236160/d021e279-fc2a15cf-aa08b3db-9b75b05d-324ffb18.jpg\n']
s51816597_32,p10933609,s51816597,32,Findings,"Frontal and lateral views of the chest are compared to previous exam from ___. Again seen is biapical fibrotic changes. Previously seen perihilar and right basilar opacities, have resolved. There is no effusion or new consolidation. The cardiomediastinal silhouette is stable. Orthopedic hardware projects over the right glenoid fossa.",Again seen is biapical fibrotic changes.,fibrotic changes,Biapical,Stable,['files/p10/p10933609/s51816597/b6958192-e9ba61f7-b0d3e5ab-5562c733-a0ad2714.jpg'],['files/p10/p10933609/s51401250/ba43f637-2b72b2f5-ad1e7041-96ea8d84-32e18e7e.jpg\n']
s51816597_32,p10933609,s51816597,32,Findings,"Frontal and lateral views of the chest are compared to previous exam from ___. Again seen is biapical fibrotic changes. Previously seen perihilar and right basilar opacities, have resolved. There is no effusion or new consolidation. The cardiomediastinal silhouette is stable. Orthopedic hardware projects over the right glenoid fossa.","Previously seen perihilar and right basilar opacities, have resolved.",opacities,perihilar and right basilar,Resolve,['files/p10/p10933609/s51816597/b6958192-e9ba61f7-b0d3e5ab-5562c733-a0ad2714.jpg'],['files/p10/p10933609/s51401250/ba43f637-2b72b2f5-ad1e7041-96ea8d84-32e18e7e.jpg\n']
s51816597_32,p10933609,s51816597,32,Findings,"Frontal and lateral views of the chest are compared to previous exam from ___. Again seen is biapical fibrotic changes. Previously seen perihilar and right basilar opacities, have resolved. There is no effusion or new consolidation. The cardiomediastinal silhouette is stable. Orthopedic hardware projects over the right glenoid fossa.",The cardiomediastinal silhouette is stable.,silhouette,cardiomediastinal,Stable,['files/p10/p10933609/s51816597/b6958192-e9ba61f7-b0d3e5ab-5562c733-a0ad2714.jpg'],['files/p10/p10933609/s51401250/ba43f637-2b72b2f5-ad1e7041-96ea8d84-32e18e7e.jpg\n']
s51816597_32,p10933609,s51816597,32,Impression,Persistent biapical fibrosis without superimposed acute consolidation.,Persistent biapical fibrosis without superimposed acute consolidation.,fibrosis,Biapical,Stable,['files/p10/p10933609/s51816597/b6958192-e9ba61f7-b0d3e5ab-5562c733-a0ad2714.jpg'],['files/p10/p10933609/s51401250/ba43f637-2b72b2f5-ad1e7041-96ea8d84-32e18e7e.jpg\n']
s51818744_45,p14851532,s51818744,45,Impression,Mild asymmetric pulmonary edema has improved slightly since ___. There may be a region of consolidation at the right base which has developed over the past 24 hr. Conventional radiographs would be helpful to see if there is right lower lobe pneumonia. Region of chronic abnormality in the left upper lobe is highlighted by the edema. Mild cardiomegaly stable. Pleural effusions small if any. Right jugular line ends in the mid SVC. No pneumothorax.,Mild asymmetric pulmonary edema has improved slightly since ___,pulmonary edema,asymmetric,Better,['files/p14/p14851532/s51818744/60b550de-e91988cd-eb265e25-8c98e078-fc12db16.jpg'],['files/p14/p14851532/s51478052/f9a786b3-b5473ac8-3f0d1596-bc19198f-2a6ccc1c.jpg\n']
s51818744_45,p14851532,s51818744,45,Impression,Mild asymmetric pulmonary edema has improved slightly since ___. There may be a region of consolidation at the right base which has developed over the past 24 hr. Conventional radiographs would be helpful to see if there is right lower lobe pneumonia. Region of chronic abnormality in the left upper lobe is highlighted by the edema. Mild cardiomegaly stable. Pleural effusions small if any. Right jugular line ends in the mid SVC. No pneumothorax.,There may be a region of consolidation at the right base which has developed over the past 24 hr,consolidation,right base,New,['files/p14/p14851532/s51818744/60b550de-e91988cd-eb265e25-8c98e078-fc12db16.jpg'],['files/p14/p14851532/s51478052/f9a786b3-b5473ac8-3f0d1596-bc19198f-2a6ccc1c.jpg\n']
s51818744_45,p14851532,s51818744,45,Impression,Mild asymmetric pulmonary edema has improved slightly since ___. There may be a region of consolidation at the right base which has developed over the past 24 hr. Conventional radiographs would be helpful to see if there is right lower lobe pneumonia. Region of chronic abnormality in the left upper lobe is highlighted by the edema. Mild cardiomegaly stable. Pleural effusions small if any. Right jugular line ends in the mid SVC. No pneumothorax.,Mild cardiomegaly stable,cardiomegaly,,Stable,['files/p14/p14851532/s51818744/60b550de-e91988cd-eb265e25-8c98e078-fc12db16.jpg'],['files/p14/p14851532/s51478052/f9a786b3-b5473ac8-3f0d1596-bc19198f-2a6ccc1c.jpg\n']
s51819517_1,p13700088,s51819517,1,Findings,"Endotracheal tube tip terminates approximately 5 cm from the carina. A nasogastric tube is seen, with the tip at least to the level of the gastroesophageal junction, and off the inferior borders of the film. Cardiac, mediastinal and hilar contours are unchanged, with evidence of mild pulmonary edema and small bilateral layering pleural effusions. No pneumothorax is identified.","Cardiac, mediastinal and hilar contours are unchanged, with evidence of mild pulmonary edema and small bilateral layering pleural effusions.",mild pulmonary edema and small bilateral layering pleural effusions,"Cardiac, mediastinal and hilar contours",Stable,['files/p13/p13700088/s51819517/2b48fff3-ec94225d-0c7dc92c-383e271f-ff7c44bd.jpg'],
s51820068_27,p13475033,s51820068,27,Findings,"PA and lateral views of the chest were provided. As seen on multiple prior exams, there is generalized chronic interstitial fibrosis manifested by coarsened interstitial markings which is compatible with provided clinical history of ILD. There is no superimposed consolidation to suggest pneumonia. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable. No free air below the right hemidiaphragm. An old left mid shaft clavicle deformity is again noted. No acute bony abnormalities.",An old left mid shaft clavicle deformity is again noted.,Clavicle deformity,left mid shaft,Stable,"['files/p13/p13475033/s51820068/10a3cd75-c86d7f2a-f350e7bc-b872fc06-79271f33.jpg', 'files/p13/p13475033/s51820068/912421cc-d2cda254-906086d0-0d60c455-278327a0.jpg', 'files/p13/p13475033/s51820068/bcb16c2e-a3fd8bb8-db51721c-dc9a8f74-f61344e4.jpg']","['files/p13/p13475033/s51788121/598a87a7-0c33ee5b-7a11cdc4-ad0d69cf-a5ca8524.jpg\n', 'files/p13/p13475033/s51788121/79c58559-700225dc-530fa0db-a2765310-d9d722e9.jpg\n', 'files/p13/p13475033/s51788121/84b1a767-dade04c3-67f7a7d0-c2cbbae5-82262539.jpg\n']"
s51820068_27,p13475033,s51820068,27,Findings,"PA and lateral views of the chest were provided. As seen on multiple prior exams, there is generalized chronic interstitial fibrosis manifested by coarsened interstitial markings which is compatible with provided clinical history of ILD. There is no superimposed consolidation to suggest pneumonia. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable. No free air below the right hemidiaphragm. An old left mid shaft clavicle deformity is again noted. No acute bony abnormalities.",The cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p13/p13475033/s51820068/10a3cd75-c86d7f2a-f350e7bc-b872fc06-79271f33.jpg', 'files/p13/p13475033/s51820068/912421cc-d2cda254-906086d0-0d60c455-278327a0.jpg', 'files/p13/p13475033/s51820068/bcb16c2e-a3fd8bb8-db51721c-dc9a8f74-f61344e4.jpg']","['files/p13/p13475033/s51788121/598a87a7-0c33ee5b-7a11cdc4-ad0d69cf-a5ca8524.jpg\n', 'files/p13/p13475033/s51788121/79c58559-700225dc-530fa0db-a2765310-d9d722e9.jpg\n', 'files/p13/p13475033/s51788121/84b1a767-dade04c3-67f7a7d0-c2cbbae5-82262539.jpg\n']"
s51835810_0,p12136799,s51835810,0,Impression,Stable deformity along the right lateral rib cage. No acute findings.,Stable deformity along the right lateral rib cage.,deformity,right lateral rib cage,Stable,"['files/p12/p12136799/s51835810/03da26e7-8b50eef0-1b7ebc08-6a620d75-b320cbc4.jpg', 'files/p12/p12136799/s51835810/22828c64-011878e3-cbd88035-2965e173-693deab2.jpg']",['files/p12/p12136799/s50323020/234b22c4-55fb91a9-44f7a42f-b764d462-018d3bb9.jpg\n']
s51835810_0,p12136799,s51835810,0,Findings,"PA and lateral views of the chest were obtained. Multiple right rib deformities are noted along the right lateral rib cage. Areas of pleuroparenchymal scarring are noted in the underlying lung. Otherwise, the lungs appear clear bilaterally without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures appear stable without definite signs of an acute fracture. No free air below the right hemidiaphragm is seen.",Bony structures appear stable without definite signs of an acute fracture.,Bony structures,,Stable,"['files/p12/p12136799/s51835810/03da26e7-8b50eef0-1b7ebc08-6a620d75-b320cbc4.jpg', 'files/p12/p12136799/s51835810/22828c64-011878e3-cbd88035-2965e173-693deab2.jpg']",['files/p12/p12136799/s50323020/234b22c4-55fb91a9-44f7a42f-b764d462-018d3bb9.jpg\n']
s51835823_5,p19061282,s51835823,5,Findings,There are diffusely increased interstitial markings throughout the lungs which are hyperinflated. There is no effusion or pneumothorax. Cardiac silhouette is enlarged but unchanged. Multiple vascular stents are again identified. Numerous punctate calcifications in the left upper quadrant are compatible with splenic granulomas. No acute osseous abnormalities identified.,Cardiac silhouette is enlarged but unchanged.,Cardiac silhouette enlargement,,Stable,"['files/p19/p19061282/s51835823/1a8e4202-579a0128-3c8ffb22-1a60c491-85c789b7.jpg', 'files/p19/p19061282/s51835823/6b316ff1-09afc29c-706a4def-20612025-cb976104.jpg']",['files/p19/p19061282/s51715673/2e2e7a5d-da7ea8dc-7b5aae28-24978ba4-346238f9.jpg\n']
s51837636_1,p10754184,s51837636,1,Impression,"Right basal nodules as a whole minimally decreased since the prior study. Differential for these lesions includes amiodarone toxicity and cryptogenic organizing pneumonia. While chest radiographs are likely suitable for monitoring for change over time, a baseline CT examination can be obtained to allow for better characterization.",Right basal nodules as a whole minimally decreased since the prior study.,nodules,right basal,Better,"['files/p10/p10754184/s51837636/2eb05c0b-30b37945-71fb6374-45cab675-82128ecc.jpg', 'files/p10/p10754184/s51837636/47860d0e-7714c59f-fbe13df2-5e581eb8-60b60826.jpg']",
s51837713_2,p14471276,s51837713,2,Impression,"AP chest compared to ___: Right lung is entirely airless, function of worsening pleural effusion and atelectasis. Severe opacification of the left lung has a distinctly nodular quality which could be due to collections of fluid in bullae, or multiple septic emboli. Heart is enlarged but hard to assess because the right border is obscured by pleural and parenchymal abnormalities in the right chest. Right jugular line ends over the region of the low SVC. No pneumothorax. Findings were discussed by telephone with the house officer caring for this patient at the time of dictation.","AP chest compared to ___: Right lung is entirely airless, function of worsening pleural effusion and atelectasis.",pleural effusion,right,Worse,['files/p14/p14471276/s51837713/7fcfad8c-62cf43c4-53d85ee1-2c8bb890-c7773830.jpg'],
s51837713_2,p14471276,s51837713,2,Impression,"AP chest compared to ___: Right lung is entirely airless, function of worsening pleural effusion and atelectasis. Severe opacification of the left lung has a distinctly nodular quality which could be due to collections of fluid in bullae, or multiple septic emboli. Heart is enlarged but hard to assess because the right border is obscured by pleural and parenchymal abnormalities in the right chest. Right jugular line ends over the region of the low SVC. No pneumothorax. Findings were discussed by telephone with the house officer caring for this patient at the time of dictation.","AP chest compared to ___: Right lung is entirely airless, function of worsening pleural effusion and atelectasis.",atelectasis,right,Worse,['files/p14/p14471276/s51837713/7fcfad8c-62cf43c4-53d85ee1-2c8bb890-c7773830.jpg'],
s51842805_28,p13475033,s51842805,28,Findings,Generalized chronic interstitial fibrosis and coarse interstitial markings compatible with interstitial lung disease is unchanged. There is no superimposed consolidation suggestive of pneumonia. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. There is no free air beneath the right hemidiaphragm.,Generalized chronic interstitial fibrosis and coarse interstitial markings compatible with interstitial lung disease is unchanged.,Generalized chronic interstitial fibrosis,,Stable,"['files/p13/p13475033/s51842805/2a7d1a72-a5d0998d-16782dd1-477d445b-d4604768.jpg', 'files/p13/p13475033/s51842805/70e841c4-5db69600-a5ae730e-bd97e1d0-49246a22.jpg']",['files/p13/p13475033/s51830719/cfdc6369-be819fb3-b05a78fa-9695a910-82883c69.jpg\n']
s51844819_25,p14851532,s51844819,25,Findings,"The lungs appear hyperexpanded. There is mild increased pulmonary vascular congestion from ___. A small right pleural effusion is likely present with mild right basilar atelectasis. Right base consolidation is not entirely excluded. No significant left pleural effusion or pneumothorax is detected. Suture chain material and scarring in the left upper-to-mid lung zone is not significantly changed. Multiple mediastinal surgical clips are compatible with history of CABG surgery. The cardiac silhouette is top normal in size but unchanged. The mediastinal and hilar contours are within normal limits with moderate tortuosity of the descending thoracic aorta. Lobulation at the apex of the left hemi thorax along the mediastinal border is stable, residual of slowly resolving hematoma.",Suture chain material and scarring in the left upper-to-mid lung zone is not significantly changed.,suture chain material and scarring,left upper-to-mid lung zone,Stable,['files/p14/p14851532/s51844819/5dfffffd-68cbd012-f3428c65-ebd2ffd8-57793a0c.jpg'],['files/p14/p14851532/s51818744/60b550de-e91988cd-eb265e25-8c98e078-fc12db16.jpg\n']
s51844819_25,p14851532,s51844819,25,Findings,"The lungs appear hyperexpanded. There is mild increased pulmonary vascular congestion from ___. A small right pleural effusion is likely present with mild right basilar atelectasis. Right base consolidation is not entirely excluded. No significant left pleural effusion or pneumothorax is detected. Suture chain material and scarring in the left upper-to-mid lung zone is not significantly changed. Multiple mediastinal surgical clips are compatible with history of CABG surgery. The cardiac silhouette is top normal in size but unchanged. The mediastinal and hilar contours are within normal limits with moderate tortuosity of the descending thoracic aorta. Lobulation at the apex of the left hemi thorax along the mediastinal border is stable, residual of slowly resolving hematoma.",The cardiac silhouette is top normal in size but unchanged.,size,cardiac silhouette,Stable,['files/p14/p14851532/s51844819/5dfffffd-68cbd012-f3428c65-ebd2ffd8-57793a0c.jpg'],['files/p14/p14851532/s51818744/60b550de-e91988cd-eb265e25-8c98e078-fc12db16.jpg\n']
s51844819_25,p14851532,s51844819,25,Findings,"The lungs appear hyperexpanded. There is mild increased pulmonary vascular congestion from ___. A small right pleural effusion is likely present with mild right basilar atelectasis. Right base consolidation is not entirely excluded. No significant left pleural effusion or pneumothorax is detected. Suture chain material and scarring in the left upper-to-mid lung zone is not significantly changed. Multiple mediastinal surgical clips are compatible with history of CABG surgery. The cardiac silhouette is top normal in size but unchanged. The mediastinal and hilar contours are within normal limits with moderate tortuosity of the descending thoracic aorta. Lobulation at the apex of the left hemi thorax along the mediastinal border is stable, residual of slowly resolving hematoma.","Lobulation at the apex of the left hemi thorax along the mediastinal border is stable, residual of slowly resolving hematoma.",lobulation,apex of the left hemi thorax along the mediastinal border,Stable,['files/p14/p14851532/s51844819/5dfffffd-68cbd012-f3428c65-ebd2ffd8-57793a0c.jpg'],['files/p14/p14851532/s51818744/60b550de-e91988cd-eb265e25-8c98e078-fc12db16.jpg\n']
s51850726_5,p15758946,s51850726,5,Impression,"AP chest compared to ___: Previous pulmonary edema and pulmonary vascular engorgement have resolved. Small right and small-to-moderate left pleural effusion are also decreasing. Heart size normal. ET tube, right internal jugular line, and a left subclavian infusion port are in standard placements. Nasogastric tube passes into the stomach and out of view. No pneumothorax.",AP chest compared to ___: Previous pulmonary edema and pulmonary vascular engorgement have resolved.,pulmonary edema,,Resolve,['files/p15/p15758946/s51850726/bb2896e3-7eeb9cba-9b026443-c0ee46b8-694ab8ed.jpg'],['files/p15/p15758946/s51808820/35d6d97a-9cbb9f6a-78b7bf1d-f7a49df3-fa17a2b5.jpg\n']
s51850726_5,p15758946,s51850726,5,Impression,"AP chest compared to ___: Previous pulmonary edema and pulmonary vascular engorgement have resolved. Small right and small-to-moderate left pleural effusion are also decreasing. Heart size normal. ET tube, right internal jugular line, and a left subclavian infusion port are in standard placements. Nasogastric tube passes into the stomach and out of view. No pneumothorax.",AP chest compared to ___: Previous pulmonary edema and pulmonary vascular engorgement have resolved.,pulmonary vascular engorgement,,Resolve,['files/p15/p15758946/s51850726/bb2896e3-7eeb9cba-9b026443-c0ee46b8-694ab8ed.jpg'],['files/p15/p15758946/s51808820/35d6d97a-9cbb9f6a-78b7bf1d-f7a49df3-fa17a2b5.jpg\n']
s51850726_5,p15758946,s51850726,5,Impression,"AP chest compared to ___: Previous pulmonary edema and pulmonary vascular engorgement have resolved. Small right and small-to-moderate left pleural effusion are also decreasing. Heart size normal. ET tube, right internal jugular line, and a left subclavian infusion port are in standard placements. Nasogastric tube passes into the stomach and out of view. No pneumothorax.",Small right and small-to-moderate left pleural effusion are also decreasing.,pleural effusion,left,Better,['files/p15/p15758946/s51850726/bb2896e3-7eeb9cba-9b026443-c0ee46b8-694ab8ed.jpg'],['files/p15/p15758946/s51808820/35d6d97a-9cbb9f6a-78b7bf1d-f7a49df3-fa17a2b5.jpg\n']
s51850726_5,p15758946,s51850726,5,Impression,"AP chest compared to ___: Previous pulmonary edema and pulmonary vascular engorgement have resolved. Small right and small-to-moderate left pleural effusion are also decreasing. Heart size normal. ET tube, right internal jugular line, and a left subclavian infusion port are in standard placements. Nasogastric tube passes into the stomach and out of view. No pneumothorax.",Small right and small-to-moderate left pleural effusion are also decreasing.,pleural effusion,right,Better,['files/p15/p15758946/s51850726/bb2896e3-7eeb9cba-9b026443-c0ee46b8-694ab8ed.jpg'],['files/p15/p15758946/s51808820/35d6d97a-9cbb9f6a-78b7bf1d-f7a49df3-fa17a2b5.jpg\n']
s51858688_2,p18079481,s51858688,2,Findings,"The lungs remain underinflated, resulting in bronchovascular crowding. Again seen is mild pulmonary vascular congestion and interstitial edema. Multiple rib fractures are again seen. An endotracheal tube terminates 1 cm above the carina, and the ET tube cuff is hyperinflated. An orogastric tube terminates within the stomach. There is no pneumothorax. Small pleural effusions are present.",Again seen is mild pulmonary vascular congestion and interstitial edema.,mild pulmonary vascular congestion and interstitial edema,,Stable,"['files/p18/p18079481/s51858688/24a1e121-f2e8a2ee-fd9ceefb-fcd921af-d278d679.jpg', 'files/p18/p18079481/s51858688/c405b126-03d888ca-314564ad-3797a458-30e53586.jpg']","['files/p18/p18079481/s50683984/36f17201-9c9552c8-0c097b1f-05f8146a-99661110.jpg\n', 'files/p18/p18079481/s50683984/6f5ad7b4-5e6497b9-1e50930a-cda9e2cf-52a9524b.jpg\n', 'files/p18/p18079481/s50683984/e879a54e-7828601c-1bb4483c-39b8dd60-b49d41c7.jpg\n']"
s51858688_2,p18079481,s51858688,2,Impression,"1. ET tube terminating 1 cm above the carina. The endotracheal tube cuff is hyperinflated. 2. Unchanged appearance of low lung volumes with superimposed mild interstitial edema and central vascular congestion. 3. Orogastric tube terminating within the stomach. The initial findings were discussed by Dr. ___ with the ICU nurse, ___ ___ via telephone at the time of interpretation, 2:25 p.m. on ___,",Unchanged appearance of low lung volumes with superimposed mild interstitial edema and central vascular congestion.,low lung volumes with mild interstitial edema and central vascular congestion,,Stable,"['files/p18/p18079481/s51858688/24a1e121-f2e8a2ee-fd9ceefb-fcd921af-d278d679.jpg', 'files/p18/p18079481/s51858688/c405b126-03d888ca-314564ad-3797a458-30e53586.jpg']","['files/p18/p18079481/s50683984/36f17201-9c9552c8-0c097b1f-05f8146a-99661110.jpg\n', 'files/p18/p18079481/s50683984/6f5ad7b4-5e6497b9-1e50930a-cda9e2cf-52a9524b.jpg\n', 'files/p18/p18079481/s50683984/e879a54e-7828601c-1bb4483c-39b8dd60-b49d41c7.jpg\n']"
s51858688_2,p18079481,s51858688,2,Findings,"The lungs remain underinflated, resulting in bronchovascular crowding. Again seen is mild pulmonary vascular congestion and interstitial edema. Multiple rib fractures are again seen. An endotracheal tube terminates 1 cm above the carina, and the ET tube cuff is hyperinflated. An orogastric tube terminates within the stomach. There is no pneumothorax. Small pleural effusions are present.",Multiple rib fractures are again seen.,multiple rib fractures,,Stable,"['files/p18/p18079481/s51858688/24a1e121-f2e8a2ee-fd9ceefb-fcd921af-d278d679.jpg', 'files/p18/p18079481/s51858688/c405b126-03d888ca-314564ad-3797a458-30e53586.jpg']","['files/p18/p18079481/s50683984/36f17201-9c9552c8-0c097b1f-05f8146a-99661110.jpg\n', 'files/p18/p18079481/s50683984/6f5ad7b4-5e6497b9-1e50930a-cda9e2cf-52a9524b.jpg\n', 'files/p18/p18079481/s50683984/e879a54e-7828601c-1bb4483c-39b8dd60-b49d41c7.jpg\n']"
s51858688_2,p18079481,s51858688,2,Findings,"The lungs remain underinflated, resulting in bronchovascular crowding. Again seen is mild pulmonary vascular congestion and interstitial edema. Multiple rib fractures are again seen. An endotracheal tube terminates 1 cm above the carina, and the ET tube cuff is hyperinflated. An orogastric tube terminates within the stomach. There is no pneumothorax. Small pleural effusions are present.","The lungs remain underinflated, resulting in bronchovascular crowding.",underinflated lungs,,Stable,"['files/p18/p18079481/s51858688/24a1e121-f2e8a2ee-fd9ceefb-fcd921af-d278d679.jpg', 'files/p18/p18079481/s51858688/c405b126-03d888ca-314564ad-3797a458-30e53586.jpg']","['files/p18/p18079481/s50683984/36f17201-9c9552c8-0c097b1f-05f8146a-99661110.jpg\n', 'files/p18/p18079481/s50683984/6f5ad7b4-5e6497b9-1e50930a-cda9e2cf-52a9524b.jpg\n', 'files/p18/p18079481/s50683984/e879a54e-7828601c-1bb4483c-39b8dd60-b49d41c7.jpg\n']"
s51863042_20,p19061282,s51863042,20,Findings,"The patient is rotated with his neck turned to the right. The tip of the tracheostomy tube appears appropriately positioned and unchanged. The configuration of the right subclavian vein and brachiocephalic vein stent appears similar to the prior chest CT with kinking of the stent at the level of the clavicle. The configuration of the left brachiocephalic vein stent is also similar to the prior CT. Bilateral right worse than left parenchymal opacities have progressed from the prior radiograph as well as CT, again concerning for multifocal infection and/or metastases. A right pleural effusion may be trace. The left pleural effusion may have resolved in the interim. No pneumothorax. The heart is normal in size. Mild prominence of the right mediastinum may correspond to the known mild ascending thoracic aortic aneurysm on prior CT. The size of the mediastinum is similar to the prior exam. Calcified right mediastinal lymph node is unchanged. Catheter projecting over the lower portion of the SVC is unchanged. Coils projecting over the left upper abdomen are also unchanged. Coarse calcifications projecting over the left upper abdomen are unchanged from the prior radiograph in correspond to splenic calcifications on the prior CT. Coarse calcifications in the soft tissue of the neck are unchanged from prior CT neck.","Bilateral right worse than left parenchymal opacities have progressed from the prior radiograph as well as CT, again concerning for multifocal infection and/or metastases.",parenchymal opacities,bilateral right worse than left,Worse,['files/p19/p19061282/s51863042/1c038d27-c6193e6a-d4588595-a78608bd-565e11fa.jpg'],"['files/p19/p19061282/s51835823/1a8e4202-579a0128-3c8ffb22-1a60c491-85c789b7.jpg\n', 'files/p19/p19061282/s51835823/6b316ff1-09afc29c-706a4def-20612025-cb976104.jpg\n']"
s51863042_20,p19061282,s51863042,20,Impression,"1. Interval progression of bilateral, right worse than left parenchymal opacities again concerning for multifocal infection and/or metastases. 2. Similar appearance of the mediastinum. 3. Probable small right pleural effusion, new from the prior exam. 4. Position of vascular stents with kinking of the right brachiocephalic/axillary vein stent is similar to the prior chest CT.",Similar appearance of the mediastinum.,appearance,mediastinum,Stable,['files/p19/p19061282/s51863042/1c038d27-c6193e6a-d4588595-a78608bd-565e11fa.jpg'],"['files/p19/p19061282/s51835823/1a8e4202-579a0128-3c8ffb22-1a60c491-85c789b7.jpg\n', 'files/p19/p19061282/s51835823/6b316ff1-09afc29c-706a4def-20612025-cb976104.jpg\n']"
s51863042_20,p19061282,s51863042,20,Findings,"The patient is rotated with his neck turned to the right. The tip of the tracheostomy tube appears appropriately positioned and unchanged. The configuration of the right subclavian vein and brachiocephalic vein stent appears similar to the prior chest CT with kinking of the stent at the level of the clavicle. The configuration of the left brachiocephalic vein stent is also similar to the prior CT. Bilateral right worse than left parenchymal opacities have progressed from the prior radiograph as well as CT, again concerning for multifocal infection and/or metastases. A right pleural effusion may be trace. The left pleural effusion may have resolved in the interim. No pneumothorax. The heart is normal in size. Mild prominence of the right mediastinum may correspond to the known mild ascending thoracic aortic aneurysm on prior CT. The size of the mediastinum is similar to the prior exam. Calcified right mediastinal lymph node is unchanged. Catheter projecting over the lower portion of the SVC is unchanged. Coils projecting over the left upper abdomen are also unchanged. Coarse calcifications projecting over the left upper abdomen are unchanged from the prior radiograph in correspond to splenic calcifications on the prior CT. Coarse calcifications in the soft tissue of the neck are unchanged from prior CT neck.",The tip of the tracheostomy tube appears appropriately positioned and unchanged.,tracheostomy tube,tip,Stable,['files/p19/p19061282/s51863042/1c038d27-c6193e6a-d4588595-a78608bd-565e11fa.jpg'],"['files/p19/p19061282/s51835823/1a8e4202-579a0128-3c8ffb22-1a60c491-85c789b7.jpg\n', 'files/p19/p19061282/s51835823/6b316ff1-09afc29c-706a4def-20612025-cb976104.jpg\n']"
s51863042_20,p19061282,s51863042,20,Impression,"1. Interval progression of bilateral, right worse than left parenchymal opacities again concerning for multifocal infection and/or metastases. 2. Similar appearance of the mediastinum. 3. Probable small right pleural effusion, new from the prior exam. 4. Position of vascular stents with kinking of the right brachiocephalic/axillary vein stent is similar to the prior chest CT.","Interval progression of bilateral, right worse than left parenchymal opacities again concerning for multifocal infection and/or metastases.",parenchymal opacities,bilateral right worse than left,Worse,['files/p19/p19061282/s51863042/1c038d27-c6193e6a-d4588595-a78608bd-565e11fa.jpg'],"['files/p19/p19061282/s51835823/1a8e4202-579a0128-3c8ffb22-1a60c491-85c789b7.jpg\n', 'files/p19/p19061282/s51835823/6b316ff1-09afc29c-706a4def-20612025-cb976104.jpg\n']"
s51863042_20,p19061282,s51863042,20,Findings,"The patient is rotated with his neck turned to the right. The tip of the tracheostomy tube appears appropriately positioned and unchanged. The configuration of the right subclavian vein and brachiocephalic vein stent appears similar to the prior chest CT with kinking of the stent at the level of the clavicle. The configuration of the left brachiocephalic vein stent is also similar to the prior CT. Bilateral right worse than left parenchymal opacities have progressed from the prior radiograph as well as CT, again concerning for multifocal infection and/or metastases. A right pleural effusion may be trace. The left pleural effusion may have resolved in the interim. No pneumothorax. The heart is normal in size. Mild prominence of the right mediastinum may correspond to the known mild ascending thoracic aortic aneurysm on prior CT. The size of the mediastinum is similar to the prior exam. Calcified right mediastinal lymph node is unchanged. Catheter projecting over the lower portion of the SVC is unchanged. Coils projecting over the left upper abdomen are also unchanged. Coarse calcifications projecting over the left upper abdomen are unchanged from the prior radiograph in correspond to splenic calcifications on the prior CT. Coarse calcifications in the soft tissue of the neck are unchanged from prior CT neck.",Coarse calcifications in the soft tissue of the neck are unchanged from prior CT neck.,coarse calcifications,soft tissue of the neck,Stable,['files/p19/p19061282/s51863042/1c038d27-c6193e6a-d4588595-a78608bd-565e11fa.jpg'],"['files/p19/p19061282/s51835823/1a8e4202-579a0128-3c8ffb22-1a60c491-85c789b7.jpg\n', 'files/p19/p19061282/s51835823/6b316ff1-09afc29c-706a4def-20612025-cb976104.jpg\n']"
s51863042_20,p19061282,s51863042,20,Findings,"The patient is rotated with his neck turned to the right. The tip of the tracheostomy tube appears appropriately positioned and unchanged. The configuration of the right subclavian vein and brachiocephalic vein stent appears similar to the prior chest CT with kinking of the stent at the level of the clavicle. The configuration of the left brachiocephalic vein stent is also similar to the prior CT. Bilateral right worse than left parenchymal opacities have progressed from the prior radiograph as well as CT, again concerning for multifocal infection and/or metastases. A right pleural effusion may be trace. The left pleural effusion may have resolved in the interim. No pneumothorax. The heart is normal in size. Mild prominence of the right mediastinum may correspond to the known mild ascending thoracic aortic aneurysm on prior CT. The size of the mediastinum is similar to the prior exam. Calcified right mediastinal lymph node is unchanged. Catheter projecting over the lower portion of the SVC is unchanged. Coils projecting over the left upper abdomen are also unchanged. Coarse calcifications projecting over the left upper abdomen are unchanged from the prior radiograph in correspond to splenic calcifications on the prior CT. Coarse calcifications in the soft tissue of the neck are unchanged from prior CT neck.",Coarse calcifications projecting over the left upper abdomen are unchanged from the prior radiograph in correspond to splenic calcifications on the prior CT.,coarse calcifications,left upper abdomen,Stable,['files/p19/p19061282/s51863042/1c038d27-c6193e6a-d4588595-a78608bd-565e11fa.jpg'],"['files/p19/p19061282/s51835823/1a8e4202-579a0128-3c8ffb22-1a60c491-85c789b7.jpg\n', 'files/p19/p19061282/s51835823/6b316ff1-09afc29c-706a4def-20612025-cb976104.jpg\n']"
s51863042_20,p19061282,s51863042,20,Findings,"The patient is rotated with his neck turned to the right. The tip of the tracheostomy tube appears appropriately positioned and unchanged. The configuration of the right subclavian vein and brachiocephalic vein stent appears similar to the prior chest CT with kinking of the stent at the level of the clavicle. The configuration of the left brachiocephalic vein stent is also similar to the prior CT. Bilateral right worse than left parenchymal opacities have progressed from the prior radiograph as well as CT, again concerning for multifocal infection and/or metastases. A right pleural effusion may be trace. The left pleural effusion may have resolved in the interim. No pneumothorax. The heart is normal in size. Mild prominence of the right mediastinum may correspond to the known mild ascending thoracic aortic aneurysm on prior CT. The size of the mediastinum is similar to the prior exam. Calcified right mediastinal lymph node is unchanged. Catheter projecting over the lower portion of the SVC is unchanged. Coils projecting over the left upper abdomen are also unchanged. Coarse calcifications projecting over the left upper abdomen are unchanged from the prior radiograph in correspond to splenic calcifications on the prior CT. Coarse calcifications in the soft tissue of the neck are unchanged from prior CT neck.",The configuration of the left brachiocephalic vein stent is also similar to the prior CT.,stent,left brachiocephalic vein,Stable,['files/p19/p19061282/s51863042/1c038d27-c6193e6a-d4588595-a78608bd-565e11fa.jpg'],"['files/p19/p19061282/s51835823/1a8e4202-579a0128-3c8ffb22-1a60c491-85c789b7.jpg\n', 'files/p19/p19061282/s51835823/6b316ff1-09afc29c-706a4def-20612025-cb976104.jpg\n']"
s51863042_20,p19061282,s51863042,20,Findings,"The patient is rotated with his neck turned to the right. The tip of the tracheostomy tube appears appropriately positioned and unchanged. The configuration of the right subclavian vein and brachiocephalic vein stent appears similar to the prior chest CT with kinking of the stent at the level of the clavicle. The configuration of the left brachiocephalic vein stent is also similar to the prior CT. Bilateral right worse than left parenchymal opacities have progressed from the prior radiograph as well as CT, again concerning for multifocal infection and/or metastases. A right pleural effusion may be trace. The left pleural effusion may have resolved in the interim. No pneumothorax. The heart is normal in size. Mild prominence of the right mediastinum may correspond to the known mild ascending thoracic aortic aneurysm on prior CT. The size of the mediastinum is similar to the prior exam. Calcified right mediastinal lymph node is unchanged. Catheter projecting over the lower portion of the SVC is unchanged. Coils projecting over the left upper abdomen are also unchanged. Coarse calcifications projecting over the left upper abdomen are unchanged from the prior radiograph in correspond to splenic calcifications on the prior CT. Coarse calcifications in the soft tissue of the neck are unchanged from prior CT neck.",Coils projecting over the left upper abdomen are also unchanged.,coils,left upper abdomen,Stable,['files/p19/p19061282/s51863042/1c038d27-c6193e6a-d4588595-a78608bd-565e11fa.jpg'],"['files/p19/p19061282/s51835823/1a8e4202-579a0128-3c8ffb22-1a60c491-85c789b7.jpg\n', 'files/p19/p19061282/s51835823/6b316ff1-09afc29c-706a4def-20612025-cb976104.jpg\n']"
s51863042_20,p19061282,s51863042,20,Findings,"The patient is rotated with his neck turned to the right. The tip of the tracheostomy tube appears appropriately positioned and unchanged. The configuration of the right subclavian vein and brachiocephalic vein stent appears similar to the prior chest CT with kinking of the stent at the level of the clavicle. The configuration of the left brachiocephalic vein stent is also similar to the prior CT. Bilateral right worse than left parenchymal opacities have progressed from the prior radiograph as well as CT, again concerning for multifocal infection and/or metastases. A right pleural effusion may be trace. The left pleural effusion may have resolved in the interim. No pneumothorax. The heart is normal in size. Mild prominence of the right mediastinum may correspond to the known mild ascending thoracic aortic aneurysm on prior CT. The size of the mediastinum is similar to the prior exam. Calcified right mediastinal lymph node is unchanged. Catheter projecting over the lower portion of the SVC is unchanged. Coils projecting over the left upper abdomen are also unchanged. Coarse calcifications projecting over the left upper abdomen are unchanged from the prior radiograph in correspond to splenic calcifications on the prior CT. Coarse calcifications in the soft tissue of the neck are unchanged from prior CT neck.",The left pleural effusion may have resolved in the interim.,pleural effusion,left,Resolve,['files/p19/p19061282/s51863042/1c038d27-c6193e6a-d4588595-a78608bd-565e11fa.jpg'],"['files/p19/p19061282/s51835823/1a8e4202-579a0128-3c8ffb22-1a60c491-85c789b7.jpg\n', 'files/p19/p19061282/s51835823/6b316ff1-09afc29c-706a4def-20612025-cb976104.jpg\n']"
s51863042_20,p19061282,s51863042,20,Findings,"The patient is rotated with his neck turned to the right. The tip of the tracheostomy tube appears appropriately positioned and unchanged. The configuration of the right subclavian vein and brachiocephalic vein stent appears similar to the prior chest CT with kinking of the stent at the level of the clavicle. The configuration of the left brachiocephalic vein stent is also similar to the prior CT. Bilateral right worse than left parenchymal opacities have progressed from the prior radiograph as well as CT, again concerning for multifocal infection and/or metastases. A right pleural effusion may be trace. The left pleural effusion may have resolved in the interim. No pneumothorax. The heart is normal in size. Mild prominence of the right mediastinum may correspond to the known mild ascending thoracic aortic aneurysm on prior CT. The size of the mediastinum is similar to the prior exam. Calcified right mediastinal lymph node is unchanged. Catheter projecting over the lower portion of the SVC is unchanged. Coils projecting over the left upper abdomen are also unchanged. Coarse calcifications projecting over the left upper abdomen are unchanged from the prior radiograph in correspond to splenic calcifications on the prior CT. Coarse calcifications in the soft tissue of the neck are unchanged from prior CT neck.",The configuration of the right subclavian vein and brachiocephalic vein stent appears similar to the prior chest CT with kinking of the stent at the level of the clavicle.,stent with kinking,right subclavian vein and brachiocephalic vein,Stable,['files/p19/p19061282/s51863042/1c038d27-c6193e6a-d4588595-a78608bd-565e11fa.jpg'],"['files/p19/p19061282/s51835823/1a8e4202-579a0128-3c8ffb22-1a60c491-85c789b7.jpg\n', 'files/p19/p19061282/s51835823/6b316ff1-09afc29c-706a4def-20612025-cb976104.jpg\n']"
s51863042_20,p19061282,s51863042,20,Impression,"1. Interval progression of bilateral, right worse than left parenchymal opacities again concerning for multifocal infection and/or metastases. 2. Similar appearance of the mediastinum. 3. Probable small right pleural effusion, new from the prior exam. 4. Position of vascular stents with kinking of the right brachiocephalic/axillary vein stent is similar to the prior chest CT.",Position of vascular stents with kinking of the right brachiocephalic/axillary vein stent is similar to the prior chest CT.,stent with kinking,right brachiocephalic/axillary vein,Stable,['files/p19/p19061282/s51863042/1c038d27-c6193e6a-d4588595-a78608bd-565e11fa.jpg'],"['files/p19/p19061282/s51835823/1a8e4202-579a0128-3c8ffb22-1a60c491-85c789b7.jpg\n', 'files/p19/p19061282/s51835823/6b316ff1-09afc29c-706a4def-20612025-cb976104.jpg\n']"
s51863042_20,p19061282,s51863042,20,Findings,"The patient is rotated with his neck turned to the right. The tip of the tracheostomy tube appears appropriately positioned and unchanged. The configuration of the right subclavian vein and brachiocephalic vein stent appears similar to the prior chest CT with kinking of the stent at the level of the clavicle. The configuration of the left brachiocephalic vein stent is also similar to the prior CT. Bilateral right worse than left parenchymal opacities have progressed from the prior radiograph as well as CT, again concerning for multifocal infection and/or metastases. A right pleural effusion may be trace. The left pleural effusion may have resolved in the interim. No pneumothorax. The heart is normal in size. Mild prominence of the right mediastinum may correspond to the known mild ascending thoracic aortic aneurysm on prior CT. The size of the mediastinum is similar to the prior exam. Calcified right mediastinal lymph node is unchanged. Catheter projecting over the lower portion of the SVC is unchanged. Coils projecting over the left upper abdomen are also unchanged. Coarse calcifications projecting over the left upper abdomen are unchanged from the prior radiograph in correspond to splenic calcifications on the prior CT. Coarse calcifications in the soft tissue of the neck are unchanged from prior CT neck.",Calcified right mediastinal lymph node is unchanged.,calcified lymph node,right mediastinal,Stable,['files/p19/p19061282/s51863042/1c038d27-c6193e6a-d4588595-a78608bd-565e11fa.jpg'],"['files/p19/p19061282/s51835823/1a8e4202-579a0128-3c8ffb22-1a60c491-85c789b7.jpg\n', 'files/p19/p19061282/s51835823/6b316ff1-09afc29c-706a4def-20612025-cb976104.jpg\n']"
s51863042_20,p19061282,s51863042,20,Findings,"The patient is rotated with his neck turned to the right. The tip of the tracheostomy tube appears appropriately positioned and unchanged. The configuration of the right subclavian vein and brachiocephalic vein stent appears similar to the prior chest CT with kinking of the stent at the level of the clavicle. The configuration of the left brachiocephalic vein stent is also similar to the prior CT. Bilateral right worse than left parenchymal opacities have progressed from the prior radiograph as well as CT, again concerning for multifocal infection and/or metastases. A right pleural effusion may be trace. The left pleural effusion may have resolved in the interim. No pneumothorax. The heart is normal in size. Mild prominence of the right mediastinum may correspond to the known mild ascending thoracic aortic aneurysm on prior CT. The size of the mediastinum is similar to the prior exam. Calcified right mediastinal lymph node is unchanged. Catheter projecting over the lower portion of the SVC is unchanged. Coils projecting over the left upper abdomen are also unchanged. Coarse calcifications projecting over the left upper abdomen are unchanged from the prior radiograph in correspond to splenic calcifications on the prior CT. Coarse calcifications in the soft tissue of the neck are unchanged from prior CT neck.",The size of the mediastinum is similar to the prior exam.,size,mediastinum,Stable,['files/p19/p19061282/s51863042/1c038d27-c6193e6a-d4588595-a78608bd-565e11fa.jpg'],"['files/p19/p19061282/s51835823/1a8e4202-579a0128-3c8ffb22-1a60c491-85c789b7.jpg\n', 'files/p19/p19061282/s51835823/6b316ff1-09afc29c-706a4def-20612025-cb976104.jpg\n']"
s51863042_20,p19061282,s51863042,20,Impression,"1. Interval progression of bilateral, right worse than left parenchymal opacities again concerning for multifocal infection and/or metastases. 2. Similar appearance of the mediastinum. 3. Probable small right pleural effusion, new from the prior exam. 4. Position of vascular stents with kinking of the right brachiocephalic/axillary vein stent is similar to the prior chest CT.","Probable small right pleural effusion, new from the prior exam.",small pleural effusion,right,New,['files/p19/p19061282/s51863042/1c038d27-c6193e6a-d4588595-a78608bd-565e11fa.jpg'],"['files/p19/p19061282/s51835823/1a8e4202-579a0128-3c8ffb22-1a60c491-85c789b7.jpg\n', 'files/p19/p19061282/s51835823/6b316ff1-09afc29c-706a4def-20612025-cb976104.jpg\n']"
s51863042_20,p19061282,s51863042,20,Findings,"The patient is rotated with his neck turned to the right. The tip of the tracheostomy tube appears appropriately positioned and unchanged. The configuration of the right subclavian vein and brachiocephalic vein stent appears similar to the prior chest CT with kinking of the stent at the level of the clavicle. The configuration of the left brachiocephalic vein stent is also similar to the prior CT. Bilateral right worse than left parenchymal opacities have progressed from the prior radiograph as well as CT, again concerning for multifocal infection and/or metastases. A right pleural effusion may be trace. The left pleural effusion may have resolved in the interim. No pneumothorax. The heart is normal in size. Mild prominence of the right mediastinum may correspond to the known mild ascending thoracic aortic aneurysm on prior CT. The size of the mediastinum is similar to the prior exam. Calcified right mediastinal lymph node is unchanged. Catheter projecting over the lower portion of the SVC is unchanged. Coils projecting over the left upper abdomen are also unchanged. Coarse calcifications projecting over the left upper abdomen are unchanged from the prior radiograph in correspond to splenic calcifications on the prior CT. Coarse calcifications in the soft tissue of the neck are unchanged from prior CT neck.",Catheter projecting over the lower portion of the SVC is unchanged.,catheter,lower portion of the SVC,Stable,['files/p19/p19061282/s51863042/1c038d27-c6193e6a-d4588595-a78608bd-565e11fa.jpg'],"['files/p19/p19061282/s51835823/1a8e4202-579a0128-3c8ffb22-1a60c491-85c789b7.jpg\n', 'files/p19/p19061282/s51835823/6b316ff1-09afc29c-706a4def-20612025-cb976104.jpg\n']"
s51863226_2,p19075045,s51863226,2,Findings,Dual lead left-sided pacemaker is again seen extending to the expected positions of the right atrium and right ventricle. No focal consolidation is seen. There is slight blunting of the posterior costophrenic angles which may be due to very trace pleural effusions. There is slight prominence of the interstitium which may be due to minimal interstitial edema. The cardiac and mediastinal silhouettes are stable. Right proximal humerus hardware is seen but not well evaluated.,The cardiac and mediastinal silhouettes are stable.,cardiac and mediastinal silhouettes,,Stable,['files/p19/p19075045/s51863226/afdc6101-9180ad47-d33f6956-0417a220-bd8284be.jpg'],['files/p19/p19075045/s51398188/406ff57a-8c66ca32-af21faa2-a53b08d6-7b5a0bdf.jpg\n']
s51863226_2,p19075045,s51863226,2,Findings,Dual lead left-sided pacemaker is again seen extending to the expected positions of the right atrium and right ventricle. No focal consolidation is seen. There is slight blunting of the posterior costophrenic angles which may be due to very trace pleural effusions. There is slight prominence of the interstitium which may be due to minimal interstitial edema. The cardiac and mediastinal silhouettes are stable. Right proximal humerus hardware is seen but not well evaluated.,Dual lead left-sided pacemaker is again seen extending to the expected positions of the right atrium and right ventricle.,Dual lead left-sided pacemaker,right atrium and right ventricle,Stable,['files/p19/p19075045/s51863226/afdc6101-9180ad47-d33f6956-0417a220-bd8284be.jpg'],['files/p19/p19075045/s51398188/406ff57a-8c66ca32-af21faa2-a53b08d6-7b5a0bdf.jpg\n']
s51871239_22,p13606683,s51871239,22,Findings,"Tip of intra-aortic balloon pump terminates about 5 cm below the superior aspect of the aortic knob, and a Swan-Ganz catheter continues to terminate in the region of the distal right interlobar pulmonary artery. Other indwelling devices are in standard and unchanged position. Persistent cardiomegaly accompanied by pulmonary vascular congestion and improving asymmetrical pulmonary edema. Bilateral pleural effusions have also decreased in size. Apparent moderate elevation of left hemidiaphragm could potentially represent a subpulmonic component of left pleural effusion. Consider a left lateral decubitus radiograph if warranted clinically.",Persistent cardiomegaly accompanied by pulmonary vascular congestion and improving asymmetrical pulmonary edema.,Cardiomegaly,,Stable,['files/p13/p13606683/s51871239/b9ebeb06-2f7bc1bd-93527eb7-36325430-6bd74fce.jpg'],"['files/p13/p13606683/s50447060/8fae5cf0-56ff3f10-aaf708d2-32730e5b-65a55769.jpg\n', 'files/p13/p13606683/s50447060/b6b7600a-e5ca1f26-680bcae0-11a322fb-90a0aaff.jpg\n', 'files/p13/p13606683/s50447060/b849e290-2a7cce04-71ba4fd8-ef1d13ad-15cdd04a.jpg\n']"
s51871239_22,p13606683,s51871239,22,Findings,"Tip of intra-aortic balloon pump terminates about 5 cm below the superior aspect of the aortic knob, and a Swan-Ganz catheter continues to terminate in the region of the distal right interlobar pulmonary artery. Other indwelling devices are in standard and unchanged position. Persistent cardiomegaly accompanied by pulmonary vascular congestion and improving asymmetrical pulmonary edema. Bilateral pleural effusions have also decreased in size. Apparent moderate elevation of left hemidiaphragm could potentially represent a subpulmonic component of left pleural effusion. Consider a left lateral decubitus radiograph if warranted clinically.",Bilateral pleural effusions have also decreased in size.,Pleural effusions,Bilateral,Better,['files/p13/p13606683/s51871239/b9ebeb06-2f7bc1bd-93527eb7-36325430-6bd74fce.jpg'],"['files/p13/p13606683/s50447060/8fae5cf0-56ff3f10-aaf708d2-32730e5b-65a55769.jpg\n', 'files/p13/p13606683/s50447060/b6b7600a-e5ca1f26-680bcae0-11a322fb-90a0aaff.jpg\n', 'files/p13/p13606683/s50447060/b849e290-2a7cce04-71ba4fd8-ef1d13ad-15cdd04a.jpg\n']"
s51876627_7,p11880923,s51876627,7,Findings,"The tip of the endotracheal tube is 3 cm above the carina. This could be pulled back 1 cm for more optimal placement. The right-sided central line has the distal lead tip in the cavoatrial junction, stable. The right IJ central line has the distal lead tip in the mid SVC. It is pulled back slightly; it is now oblique to the SVC wall. There are again seen bilateral pleural effusions and left retrocardiac opacity. There is likely an unchanged element of mild fluid overload, stable. The nasogastric tube side port is again at the GE junction.",The nasogastric tube side port is again at the GE junction.,nasogastric tube side port,,Stable,['files/p11/p11880923/s51876627/237483cb-a677cdd0-002483d2-76d60cbd-57b82bb8.jpg'],['files/p11/p11880923/s51225417/b17b746f-83d45733-2eb4936d-2f91288c-413fe50f.jpg\n']
s51876627_7,p11880923,s51876627,7,Findings,"The tip of the endotracheal tube is 3 cm above the carina. This could be pulled back 1 cm for more optimal placement. The right-sided central line has the distal lead tip in the cavoatrial junction, stable. The right IJ central line has the distal lead tip in the mid SVC. It is pulled back slightly; it is now oblique to the SVC wall. There are again seen bilateral pleural effusions and left retrocardiac opacity. There is likely an unchanged element of mild fluid overload, stable. The nasogastric tube side port is again at the GE junction.",There are again seen bilateral pleural effusions and left retrocardiac opacity.,opacity,left retrocardiac,Stable,['files/p11/p11880923/s51876627/237483cb-a677cdd0-002483d2-76d60cbd-57b82bb8.jpg'],['files/p11/p11880923/s51225417/b17b746f-83d45733-2eb4936d-2f91288c-413fe50f.jpg\n']
s51876627_7,p11880923,s51876627,7,Findings,"The tip of the endotracheal tube is 3 cm above the carina. This could be pulled back 1 cm for more optimal placement. The right-sided central line has the distal lead tip in the cavoatrial junction, stable. The right IJ central line has the distal lead tip in the mid SVC. It is pulled back slightly; it is now oblique to the SVC wall. There are again seen bilateral pleural effusions and left retrocardiac opacity. There is likely an unchanged element of mild fluid overload, stable. The nasogastric tube side port is again at the GE junction.",There are again seen bilateral pleural effusions and left retrocardiac opacity.,pleural effusions,bilateral,Stable,['files/p11/p11880923/s51876627/237483cb-a677cdd0-002483d2-76d60cbd-57b82bb8.jpg'],['files/p11/p11880923/s51225417/b17b746f-83d45733-2eb4936d-2f91288c-413fe50f.jpg\n']
s51876627_7,p11880923,s51876627,7,Findings,"The tip of the endotracheal tube is 3 cm above the carina. This could be pulled back 1 cm for more optimal placement. The right-sided central line has the distal lead tip in the cavoatrial junction, stable. The right IJ central line has the distal lead tip in the mid SVC. It is pulled back slightly; it is now oblique to the SVC wall. There are again seen bilateral pleural effusions and left retrocardiac opacity. There is likely an unchanged element of mild fluid overload, stable. The nasogastric tube side port is again at the GE junction.","The right-sided central line has the distal lead tip in the cavoatrial junction, stable.",central line,right-sided,Stable,['files/p11/p11880923/s51876627/237483cb-a677cdd0-002483d2-76d60cbd-57b82bb8.jpg'],['files/p11/p11880923/s51225417/b17b746f-83d45733-2eb4936d-2f91288c-413fe50f.jpg\n']
s51876627_7,p11880923,s51876627,7,Findings,"The tip of the endotracheal tube is 3 cm above the carina. This could be pulled back 1 cm for more optimal placement. The right-sided central line has the distal lead tip in the cavoatrial junction, stable. The right IJ central line has the distal lead tip in the mid SVC. It is pulled back slightly; it is now oblique to the SVC wall. There are again seen bilateral pleural effusions and left retrocardiac opacity. There is likely an unchanged element of mild fluid overload, stable. The nasogastric tube side port is again at the GE junction.","There is likely an unchanged element of mild fluid overload, stable.",mild fluid overload,,Stable,['files/p11/p11880923/s51876627/237483cb-a677cdd0-002483d2-76d60cbd-57b82bb8.jpg'],['files/p11/p11880923/s51225417/b17b746f-83d45733-2eb4936d-2f91288c-413fe50f.jpg\n']
s51877138_33,p15259244,s51877138,33,Findings,The patient is status post mitral valve replacement and probably coronary artery bypass graft surgery. The heart is mildly enlarged. There is patchy basilar opacification suggesting a combination of atelectasis and pleural effusion. Streaky left upper lobe opacity suggests minor atelectasis or scarring which is unchanged. There is no pneumothorax. No free air is demonstrated.,Streaky left upper lobe opacity suggests minor atelectasis or scarring which is unchanged.,opacity,left upper lobe,Stable,['files/p15/p15259244/s51877138/bbfadd26-26a1370d-69d5f8f9-5b210fd9-a89a0589.jpg'],['files/p15/p15259244/s51811172/178a003a-0d5784da-664f8272-6c14ae7b-135dfadb.jpg\n']
s51878257_3,p19759491,s51878257,3,Findings,"As compared to the previous radiograph, the patient has received a pectoral pacemaker. The course of the pacemaker leads is unremarkable, there is no evidence of fracture or displacement. The signs indicative of mild pulmonary edema, present on the previous examination, have decreased. No evidence of pneumothorax. Unchanged mild retrocardiac atelectasis and moderate cardiomegaly. Status post sternotomy.",Unchanged mild retrocardiac atelectasis and moderate cardiomegaly.,cardiomegaly,cardiac,Stable,"['files/p19/p19759491/s51878257/c91e9a5a-31b9ea3e-ec8615ca-48493c7e-d9e9b82e.jpg', 'files/p19/p19759491/s51878257/ef1c70d5-7f1b6050-30b00146-5d001171-a1f96748.jpg']","['files/p19/p19759491/s51323886/7f90be03-f64f2d0b-36350e78-668756f9-417c5b45.jpg\n', 'files/p19/p19759491/s51323886/856ccba6-265c59c6-d6f7dcf6-78eea3ea-b33762d5.jpg\n']"
s51878257_3,p19759491,s51878257,3,Findings,"As compared to the previous radiograph, the patient has received a pectoral pacemaker. The course of the pacemaker leads is unremarkable, there is no evidence of fracture or displacement. The signs indicative of mild pulmonary edema, present on the previous examination, have decreased. No evidence of pneumothorax. Unchanged mild retrocardiac atelectasis and moderate cardiomegaly. Status post sternotomy.",Unchanged mild retrocardiac atelectasis and moderate cardiomegaly.,atelectasis,retrocardiac,Stable,"['files/p19/p19759491/s51878257/c91e9a5a-31b9ea3e-ec8615ca-48493c7e-d9e9b82e.jpg', 'files/p19/p19759491/s51878257/ef1c70d5-7f1b6050-30b00146-5d001171-a1f96748.jpg']","['files/p19/p19759491/s51323886/7f90be03-f64f2d0b-36350e78-668756f9-417c5b45.jpg\n', 'files/p19/p19759491/s51323886/856ccba6-265c59c6-d6f7dcf6-78eea3ea-b33762d5.jpg\n']"
s51878257_3,p19759491,s51878257,3,Findings,"As compared to the previous radiograph, the patient has received a pectoral pacemaker. The course of the pacemaker leads is unremarkable, there is no evidence of fracture or displacement. The signs indicative of mild pulmonary edema, present on the previous examination, have decreased. No evidence of pneumothorax. Unchanged mild retrocardiac atelectasis and moderate cardiomegaly. Status post sternotomy.","The signs indicative of mild pulmonary edema, present on the previous examination, have decreased.",edema,pulmonary,Better,"['files/p19/p19759491/s51878257/c91e9a5a-31b9ea3e-ec8615ca-48493c7e-d9e9b82e.jpg', 'files/p19/p19759491/s51878257/ef1c70d5-7f1b6050-30b00146-5d001171-a1f96748.jpg']","['files/p19/p19759491/s51323886/7f90be03-f64f2d0b-36350e78-668756f9-417c5b45.jpg\n', 'files/p19/p19759491/s51323886/856ccba6-265c59c6-d6f7dcf6-78eea3ea-b33762d5.jpg\n']"
s51878257_3,p19759491,s51878257,3,Findings,"As compared to the previous radiograph, the patient has received a pectoral pacemaker. The course of the pacemaker leads is unremarkable, there is no evidence of fracture or displacement. The signs indicative of mild pulmonary edema, present on the previous examination, have decreased. No evidence of pneumothorax. Unchanged mild retrocardiac atelectasis and moderate cardiomegaly. Status post sternotomy.","As compared to the previous radiograph, the patient has received a pectoral pacemaker.",pacemaker,pectoral,New,"['files/p19/p19759491/s51878257/c91e9a5a-31b9ea3e-ec8615ca-48493c7e-d9e9b82e.jpg', 'files/p19/p19759491/s51878257/ef1c70d5-7f1b6050-30b00146-5d001171-a1f96748.jpg']","['files/p19/p19759491/s51323886/7f90be03-f64f2d0b-36350e78-668756f9-417c5b45.jpg\n', 'files/p19/p19759491/s51323886/856ccba6-265c59c6-d6f7dcf6-78eea3ea-b33762d5.jpg\n']"
s51882937_0,p11052935,s51882937,0,Findings,"PA and lateral chest radiographs were provided. There is a subtle opacity in the right lower lobe that is concerning for early pneumonia. There is linear scarring in the left upper lobe from area of prior pneumonia that has resolved. The lungs are hyperinflated and the diaphragms are flattened, consistent with COPD. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. There is no free air under the right hemidiaphragm. There are no acute osseous lesions.",There is linear scarring in the left upper lobe from area of prior pneumonia that has resolved.,linear scarring,left upper lobe,Resolve,"['files/p11/p11052935/s51882937/60ac55ad-b8bf8c04-356991fb-91f18417-83b359fa.jpg', 'files/p11/p11052935/s51882937/727f555b-ca31baa2-5a5d16fd-ca9b8960-5a9ce4e0.jpg', 'files/p11/p11052935/s51882937/caee7879-57603f46-bf627642-eb48edf5-e9315a55.jpg']","['files/p11/p11052935/s51137224/4349ed2f-1f67b94b-ea3230e8-7aa7e2a9-e04dd888.jpg\n', 'files/p11/p11052935/s51137224/c8913af9-734e331d-173b2e64-3bd029ab-fb2771ae.jpg\n']"
s51887095_4,p11569093,s51887095,4,Findings,"There is persistent opacification of the right lower lung field, likely due to known pleural effusion and atelectasis. Small left pleural effusion is again noted. Overall, there has been no significant interval change. Endotracheal tube, left internal jugular catheter, and esophageal catheter are again seen in similar positions with esophageal catheter tip out of view. No pneumothorax is detected.","There is persistent opacification of the right lower lung field, likely due to known pleural effusion and atelectasis.",opacification due to pleural effusion and atelectasis,right lower lung field,Stable,['files/p11/p11569093/s51887095/7482f461-69260c1c-6d80e1ef-de9d3167-e122de4e.jpg'],"['files/p11/p11569093/s50008596/2f108c10-c8669b9a-f7f02e0f-272d2904-dd0b345e.jpg\n', 'files/p11/p11569093/s50008596/5d7c1542-0e986689-16b380fc-7640a95a-8ef99ac8.jpg\n']"
s51887095_4,p11569093,s51887095,4,Impression,Stable chest radiograph.,Stable chest radiograph.,radiograph,chest,Stable,['files/p11/p11569093/s51887095/7482f461-69260c1c-6d80e1ef-de9d3167-e122de4e.jpg'],"['files/p11/p11569093/s50008596/2f108c10-c8669b9a-f7f02e0f-272d2904-dd0b345e.jpg\n', 'files/p11/p11569093/s50008596/5d7c1542-0e986689-16b380fc-7640a95a-8ef99ac8.jpg\n']"
s51887095_4,p11569093,s51887095,4,Findings,"There is persistent opacification of the right lower lung field, likely due to known pleural effusion and atelectasis. Small left pleural effusion is again noted. Overall, there has been no significant interval change. Endotracheal tube, left internal jugular catheter, and esophageal catheter are again seen in similar positions with esophageal catheter tip out of view. No pneumothorax is detected.","Overall, there has been no significant interval change.",condition,Overall,Stable,['files/p11/p11569093/s51887095/7482f461-69260c1c-6d80e1ef-de9d3167-e122de4e.jpg'],"['files/p11/p11569093/s50008596/2f108c10-c8669b9a-f7f02e0f-272d2904-dd0b345e.jpg\n', 'files/p11/p11569093/s50008596/5d7c1542-0e986689-16b380fc-7640a95a-8ef99ac8.jpg\n']"
s51887095_4,p11569093,s51887095,4,Findings,"There is persistent opacification of the right lower lung field, likely due to known pleural effusion and atelectasis. Small left pleural effusion is again noted. Overall, there has been no significant interval change. Endotracheal tube, left internal jugular catheter, and esophageal catheter are again seen in similar positions with esophageal catheter tip out of view. No pneumothorax is detected.",Small left pleural effusion is again noted.,pleural effusion,left,Stable,['files/p11/p11569093/s51887095/7482f461-69260c1c-6d80e1ef-de9d3167-e122de4e.jpg'],"['files/p11/p11569093/s50008596/2f108c10-c8669b9a-f7f02e0f-272d2904-dd0b345e.jpg\n', 'files/p11/p11569093/s50008596/5d7c1542-0e986689-16b380fc-7640a95a-8ef99ac8.jpg\n']"
s51887095_4,p11569093,s51887095,4,Findings,"There is persistent opacification of the right lower lung field, likely due to known pleural effusion and atelectasis. Small left pleural effusion is again noted. Overall, there has been no significant interval change. Endotracheal tube, left internal jugular catheter, and esophageal catheter are again seen in similar positions with esophageal catheter tip out of view. No pneumothorax is detected.","Endotracheal tube, left internal jugular catheter, and esophageal catheter are again seen in similar positions with esophageal catheter tip out of view.",position,"Endotracheal tube, left internal jugular catheter, and esophageal catheter",Stable,['files/p11/p11569093/s51887095/7482f461-69260c1c-6d80e1ef-de9d3167-e122de4e.jpg'],"['files/p11/p11569093/s50008596/2f108c10-c8669b9a-f7f02e0f-272d2904-dd0b345e.jpg\n', 'files/p11/p11569093/s50008596/5d7c1542-0e986689-16b380fc-7640a95a-8ef99ac8.jpg\n']"
s51895071_3,p14851532,s51895071,3,Findings,"Frontal and lateral radiographs of the chest were acquired. Scattered parenchymal opacities within both lungs are not significantly changed compared to the most recent chest radiograph from ___, correlating to areas of post-treatment change and known neoplastic disease. There is no focal consolidation. The heart size is normal. The mediastinal contours are normal. There are no definite pleural effusions. No pneumothorax is seen. Left-sided rib deformities are redemonstrated. Suture chain is seen within the left upper lung, as before.","Suture chain is seen within the left upper lung, as before.",suture chain,left upper lung,Stable,"['files/p14/p14851532/s51895071/4c8cfdf2-2ceef04b-440ed4a3-a43a738c-f031c582.jpg', 'files/p14/p14851532/s51895071/53c61f6b-13463b44-509c8ec2-1dc260ad-9136011d.jpg']",['files/p14/p14851532/s51844819/5dfffffd-68cbd012-f3428c65-ebd2ffd8-57793a0c.jpg\n']
s51895071_3,p14851532,s51895071,3,Findings,"Frontal and lateral radiographs of the chest were acquired. Scattered parenchymal opacities within both lungs are not significantly changed compared to the most recent chest radiograph from ___, correlating to areas of post-treatment change and known neoplastic disease. There is no focal consolidation. The heart size is normal. The mediastinal contours are normal. There are no definite pleural effusions. No pneumothorax is seen. Left-sided rib deformities are redemonstrated. Suture chain is seen within the left upper lung, as before.","Scattered parenchymal opacities within both lungs are not significantly changed compared to the most recent chest radiograph from ___, correlating to areas of post-treatment change and known neoplastic disease.",parenchymal opacities,both lungs,Stable,"['files/p14/p14851532/s51895071/4c8cfdf2-2ceef04b-440ed4a3-a43a738c-f031c582.jpg', 'files/p14/p14851532/s51895071/53c61f6b-13463b44-509c8ec2-1dc260ad-9136011d.jpg']",['files/p14/p14851532/s51844819/5dfffffd-68cbd012-f3428c65-ebd2ffd8-57793a0c.jpg\n']
s51895071_3,p14851532,s51895071,3,Findings,"Frontal and lateral radiographs of the chest were acquired. Scattered parenchymal opacities within both lungs are not significantly changed compared to the most recent chest radiograph from ___, correlating to areas of post-treatment change and known neoplastic disease. There is no focal consolidation. The heart size is normal. The mediastinal contours are normal. There are no definite pleural effusions. No pneumothorax is seen. Left-sided rib deformities are redemonstrated. Suture chain is seen within the left upper lung, as before.",Left-sided rib deformities are redemonstrated.,rib deformities,left-sided,Stable,"['files/p14/p14851532/s51895071/4c8cfdf2-2ceef04b-440ed4a3-a43a738c-f031c582.jpg', 'files/p14/p14851532/s51895071/53c61f6b-13463b44-509c8ec2-1dc260ad-9136011d.jpg']",['files/p14/p14851532/s51844819/5dfffffd-68cbd012-f3428c65-ebd2ffd8-57793a0c.jpg\n']
s51900597_6,p14794396,s51900597,6,Impression,"As compared to the previous radiograph, all pre-existing parenchymal opacities have completely resolved. The lung volumes are low. Borderline size of the cardiac silhouette with no evidence of overt pulmonary edema. No pleural effusions. No pneumothorax.","As compared to the previous radiograph, all pre-existing parenchymal opacities have completely resolved.",opacities,parenchymal,Resolve,"['files/p14/p14794396/s51900597/b8f3266c-fd5e2262-10ddcd8f-b4a513bc-dd07a145.jpg', 'files/p14/p14794396/s51900597/b94eec73-cb649388-7099d440-7f1bbf0c-f1a3b98d.jpg']","['files/p14/p14794396/s51199892/2e11d19f-7fd45c8b-fd747233-8ee0a18d-191447d3.jpg\n', 'files/p14/p14794396/s51199892/3b4729dd-0500c5d0-6b19652c-b8718761-f7ddbbc3.jpg\n']"
s51904170_2,p17288844,s51904170,2,Impression,Asymmetric mild right pulmonary edema has improved over last 24 hours. Intraaortic balloon pump lies approximately 2.6 cm from the apex of aortic arch.,Asymmetric mild right pulmonary edema has improved over last 24 hours.,Pulmonary edema,Right,Better,['files/p17/p17288844/s51904170/cf6229c4-0dbb5dd3-64610954-17ed414a-c7d2837d.jpg'],
s51904170_2,p17288844,s51904170,2,Findings,"Endotracheal tube ends approximately 4.8 cm above the carina and is appropriate in position. Intraaortic balloon pump lies approximately 2.6 cm from the apex of the aortic arch. The patient is status post median sternotomy with intact sternal sutures. Gastric tube courses below the diaphragm into the stomach; however, its distal end is beyond the field of view. Asymmetric, mild, right pulmonary edema has improved over last 24 hours. Normal heart size. The mediastinal and hilar contours are unchanged. There is no pleural effusion.","Asymmetric, mild, right pulmonary edema has improved over last 24 hours.",Pulmonary edema,Right,Better,['files/p17/p17288844/s51904170/cf6229c4-0dbb5dd3-64610954-17ed414a-c7d2837d.jpg'],
s51904170_2,p17288844,s51904170,2,Findings,"Endotracheal tube ends approximately 4.8 cm above the carina and is appropriate in position. Intraaortic balloon pump lies approximately 2.6 cm from the apex of the aortic arch. The patient is status post median sternotomy with intact sternal sutures. Gastric tube courses below the diaphragm into the stomach; however, its distal end is beyond the field of view. Asymmetric, mild, right pulmonary edema has improved over last 24 hours. Normal heart size. The mediastinal and hilar contours are unchanged. There is no pleural effusion.",The mediastinal and hilar contours are unchanged.,Contours,Mediastinal and hilar,Stable,['files/p17/p17288844/s51904170/cf6229c4-0dbb5dd3-64610954-17ed414a-c7d2837d.jpg'],
s51907814_13,p18309149,s51907814,13,Findings,"The left lung is clear. There is stable elevation of the right hemidiaphragm. Mild atelectasis is noted in the right lung base along with basilar scarring, causing patchy opacity in the right lung base, better assessed on prior CT torso from ___. The heart size is normal. No pulmonary edema, pleural effusion, or pneumothorax.",There is stable elevation of the right hemidiaphragm.,hemidiaphragm elevation,right,Stable,"['files/p18/p18309149/s51907814/2b9d6438-d4549d50-64eabcc2-0159f860-4702ea69.jpg', 'files/p18/p18309149/s51907814/cb451dc8-9467ee59-467b472e-f073a381-46f219c5.jpg']",['files/p18/p18309149/s51357526/243970e9-b0a7958c-31bb275a-b862a345-294f46b1.jpg\n']
s51909516_10,p18338007,s51909516,10,Findings,"Lung volumes remain low, accentuating the cardiac silhouette and bronchovascular structures. With this limitation in mind, cardiomediastinal contours are stable in appearance. Persistent elevation of left hemidiaphragm with adjacent atelectasis at the left lower lobe. Right retrocardiac atelectasis is also similar to the prior study.",Right retrocardiac atelectasis is also similar to the prior study.,Atelectasis,right retrocardiac,Stable,['files/p18/p18338007/s51909516/f0de6eac-d8d4cc43-59d26e49-46200472-34fa5de1.jpg'],"['files/p18/p18338007/s51131475/1942d8aa-bc12ddf0-57ea2c73-ec049fab-e766a8bd.jpg\n', 'files/p18/p18338007/s51131475/52a90633-9e1c7301-df020424-ea6324fd-64b0c5f6.jpg\n']"
s51909516_10,p18338007,s51909516,10,Findings,"Lung volumes remain low, accentuating the cardiac silhouette and bronchovascular structures. With this limitation in mind, cardiomediastinal contours are stable in appearance. Persistent elevation of left hemidiaphragm with adjacent atelectasis at the left lower lobe. Right retrocardiac atelectasis is also similar to the prior study.","Lung volumes remain low, accentuating the cardiac silhouette and bronchovascular structures.",Lung volumes,,Stable,['files/p18/p18338007/s51909516/f0de6eac-d8d4cc43-59d26e49-46200472-34fa5de1.jpg'],"['files/p18/p18338007/s51131475/1942d8aa-bc12ddf0-57ea2c73-ec049fab-e766a8bd.jpg\n', 'files/p18/p18338007/s51131475/52a90633-9e1c7301-df020424-ea6324fd-64b0c5f6.jpg\n']"
s51909516_10,p18338007,s51909516,10,Findings,"Lung volumes remain low, accentuating the cardiac silhouette and bronchovascular structures. With this limitation in mind, cardiomediastinal contours are stable in appearance. Persistent elevation of left hemidiaphragm with adjacent atelectasis at the left lower lobe. Right retrocardiac atelectasis is also similar to the prior study.",Persistent elevation of left hemidiaphragm with adjacent atelectasis at the left lower lobe.,Hemidiaphragm elevation,left,Stable,['files/p18/p18338007/s51909516/f0de6eac-d8d4cc43-59d26e49-46200472-34fa5de1.jpg'],"['files/p18/p18338007/s51131475/1942d8aa-bc12ddf0-57ea2c73-ec049fab-e766a8bd.jpg\n', 'files/p18/p18338007/s51131475/52a90633-9e1c7301-df020424-ea6324fd-64b0c5f6.jpg\n']"
s51909516_10,p18338007,s51909516,10,Findings,"Lung volumes remain low, accentuating the cardiac silhouette and bronchovascular structures. With this limitation in mind, cardiomediastinal contours are stable in appearance. Persistent elevation of left hemidiaphragm with adjacent atelectasis at the left lower lobe. Right retrocardiac atelectasis is also similar to the prior study.",Persistent elevation of left hemidiaphragm with adjacent atelectasis at the left lower lobe.,Atelectasis,left lower lobe,Stable,['files/p18/p18338007/s51909516/f0de6eac-d8d4cc43-59d26e49-46200472-34fa5de1.jpg'],"['files/p18/p18338007/s51131475/1942d8aa-bc12ddf0-57ea2c73-ec049fab-e766a8bd.jpg\n', 'files/p18/p18338007/s51131475/52a90633-9e1c7301-df020424-ea6324fd-64b0c5f6.jpg\n']"
s51909516_10,p18338007,s51909516,10,Findings,"Lung volumes remain low, accentuating the cardiac silhouette and bronchovascular structures. With this limitation in mind, cardiomediastinal contours are stable in appearance. Persistent elevation of left hemidiaphragm with adjacent atelectasis at the left lower lobe. Right retrocardiac atelectasis is also similar to the prior study.","With this limitation in mind, cardiomediastinal contours are stable in appearance.",Cardiomediastinal contours,,Stable,['files/p18/p18338007/s51909516/f0de6eac-d8d4cc43-59d26e49-46200472-34fa5de1.jpg'],"['files/p18/p18338007/s51131475/1942d8aa-bc12ddf0-57ea2c73-ec049fab-e766a8bd.jpg\n', 'files/p18/p18338007/s51131475/52a90633-9e1c7301-df020424-ea6324fd-64b0c5f6.jpg\n']"
s51909919_2,p17398573,s51909919,2,Findings,"Moderate cardiomegaly is re- demonstrated. The aorta is tortuous. Pulmonary vasculature is not engorged. Patchy opacities are seen in the left lung base, potentially atelectasis but infection or aspiration cannot be excluded. Streaky atelectasis is also demonstrated in the left lung base. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.",Moderate cardiomegaly is re- demonstrated.,Moderate cardiomegaly,,Stable,['files/p17/p17398573/s51909919/cc9633ee-0f1c87c6-d3eab33a-ac1eccd5-1bd7608f.jpg'],"['files/p17/p17398573/s51522722/4a102c0d-0f7d000d-98e8aac0-7509e4c8-b9d60545.jpg\n', 'files/p17/p17398573/s51522722/f9ce0a6c-67455c98-67d8a2c9-c6e73fd9-9753b4aa.jpg\n']"
s51912167_13,p13979643,s51912167,13,Findings,"Compared to the study from the prior evening, there is no significant interval change.","Compared to the study from the prior evening, there is no significant interval change.",,,Stable,['files/p13/p13979643/s51912167/72495859-c12db810-4238b6ac-b6d8ab2d-76505b30.jpg'],['files/p13/p13979643/s50516010/7fd87264-5aad0a8e-dd249580-11d2cec0-4c595a17.jpg\n']
s51917429_3,p12530259,s51917429,3,Impression,"1) Small left apical ptx is unchanged, but ?small medial ptx vs pneumomediastinum along upper left lung medially. Subcutaneous emphysema has likely also progressed. 2) Interval improvement in left base opacity. Findings paged to the ordering house officer at approximately 4:10 p.m. on the day of exam. At approximately 7 pm, findings were discussed with covering house officer (___, phone).","1) Small left apical ptx is unchanged, but ?small medial ptx vs pneumomediastinum along upper left lung medially.",ptx,left apical,Stable,['files/p12/p12530259/s51917429/617522b0-48f733b6-4112032c-69d6ff78-b2d433e8.jpg'],"['files/p12/p12530259/s51770967/9f97161d-4f4e1c49-31cdfb38-db08c1d7-26e0b833.jpg\n', 'files/p12/p12530259/s51770967/dd9cfc23-b05701f2-26215d83-46297578-48e163ea.jpg\n']"
s51917429_3,p12530259,s51917429,3,Impression,"1) Small left apical ptx is unchanged, but ?small medial ptx vs pneumomediastinum along upper left lung medially. Subcutaneous emphysema has likely also progressed. 2) Interval improvement in left base opacity. Findings paged to the ordering house officer at approximately 4:10 p.m. on the day of exam. At approximately 7 pm, findings were discussed with covering house officer (___, phone).",Subcutaneous emphysema has likely also progressed.,Subcutaneous emphysema,,Worse,['files/p12/p12530259/s51917429/617522b0-48f733b6-4112032c-69d6ff78-b2d433e8.jpg'],"['files/p12/p12530259/s51770967/9f97161d-4f4e1c49-31cdfb38-db08c1d7-26e0b833.jpg\n', 'files/p12/p12530259/s51770967/dd9cfc23-b05701f2-26215d83-46297578-48e163ea.jpg\n']"
s51917429_3,p12530259,s51917429,3,Impression,"1) Small left apical ptx is unchanged, but ?small medial ptx vs pneumomediastinum along upper left lung medially. Subcutaneous emphysema has likely also progressed. 2) Interval improvement in left base opacity. Findings paged to the ordering house officer at approximately 4:10 p.m. on the day of exam. At approximately 7 pm, findings were discussed with covering house officer (___, phone).",2) Interval improvement in left base opacity.,opacity,left base,Better,['files/p12/p12530259/s51917429/617522b0-48f733b6-4112032c-69d6ff78-b2d433e8.jpg'],"['files/p12/p12530259/s51770967/9f97161d-4f4e1c49-31cdfb38-db08c1d7-26e0b833.jpg\n', 'files/p12/p12530259/s51770967/dd9cfc23-b05701f2-26215d83-46297578-48e163ea.jpg\n']"
s51924292_0,p13135946,s51924292,0,Impression,"AP chest compared to ___: Mild interstitial pulmonary abnormality is new, and there is hazy opacification in the juxtahilar left mid and lower lung zones which could be due to pneumonia. Heart size is normal. There is no appreciable pleural effusion. Dr. ___ was paged.","AP chest compared to ___: Mild interstitial pulmonary abnormality is new, and there is hazy opacification in the juxtahilar left mid and lower lung zones which could be due to pneumonia. Heart size is normal. There is no appreciable pleural effusion. Dr. ___ was paged.",Mild interstitial pulmonary abnormality,juxtahilar left mid and lower lung zones,New,['files/p13/p13135946/s51924292/849c8a62-044aeedd-d82807e1-77d0a8f3-b9d0e893.jpg'],['files/p13/p13135946/s51657622/cbac2f9e-cc7b29cb-4abb137c-1d89c1ea-a6c56689.jpg\n']
s51924292_0,p13135946,s51924292,0,Impression,"AP chest compared to ___: Mild interstitial pulmonary abnormality is new, and there is hazy opacification in the juxtahilar left mid and lower lung zones which could be due to pneumonia. Heart size is normal. There is no appreciable pleural effusion. Dr. ___ was paged.","AP chest compared to ___: Mild interstitial pulmonary abnormality is new, and there is hazy opacification in the juxtahilar left mid and lower lung zones which could be due to pneumonia. Heart size is normal. There is no appreciable pleural effusion. Dr. ___ was paged.",hazy opacification,juxtahilar left mid and lower lung zones,New,['files/p13/p13135946/s51924292/849c8a62-044aeedd-d82807e1-77d0a8f3-b9d0e893.jpg'],['files/p13/p13135946/s51657622/cbac2f9e-cc7b29cb-4abb137c-1d89c1ea-a6c56689.jpg\n']
s51924942_2,p17838301,s51924942,2,Findings,"As compared to the previous radiograph, the evidence of pulmonary edema, of moderate severity, is unchanged. The patient has been extubated and the nasogastric tube has been removed. Only the right internal jugular vein catheter persists. The ventilation at the left and right lung base is improved. There is unchanged evidence of scarring in the left mid lung and evidence of right basal pleural calcifications. No newly appeared focal parenchymal opacity suggesting pneumonia.",The ventilation at the left and right lung base is improved.,ventilation,left and right lung base,Better,['files/p17/p17838301/s51924942/ce5b980a-39d861d4-c9184dee-08626cce-313eb439.jpg'],['files/p17/p17838301/s51266767/474c4fbb-14f486fd-a3c9e647-da14a57d-dcf9e39a.jpg\n']
s51924942_2,p17838301,s51924942,2,Findings,"As compared to the previous radiograph, the evidence of pulmonary edema, of moderate severity, is unchanged. The patient has been extubated and the nasogastric tube has been removed. Only the right internal jugular vein catheter persists. The ventilation at the left and right lung base is improved. There is unchanged evidence of scarring in the left mid lung and evidence of right basal pleural calcifications. No newly appeared focal parenchymal opacity suggesting pneumonia.","As compared to the previous radiograph, the evidence of pulmonary edema, of moderate severity, is unchanged.",pulmonary edema,,Stable,['files/p17/p17838301/s51924942/ce5b980a-39d861d4-c9184dee-08626cce-313eb439.jpg'],['files/p17/p17838301/s51266767/474c4fbb-14f486fd-a3c9e647-da14a57d-dcf9e39a.jpg\n']
s51924942_2,p17838301,s51924942,2,Findings,"As compared to the previous radiograph, the evidence of pulmonary edema, of moderate severity, is unchanged. The patient has been extubated and the nasogastric tube has been removed. Only the right internal jugular vein catheter persists. The ventilation at the left and right lung base is improved. There is unchanged evidence of scarring in the left mid lung and evidence of right basal pleural calcifications. No newly appeared focal parenchymal opacity suggesting pneumonia.",The patient has been extubated and the nasogastric tube has been removed.,nasogastric tube,,Resolve,['files/p17/p17838301/s51924942/ce5b980a-39d861d4-c9184dee-08626cce-313eb439.jpg'],['files/p17/p17838301/s51266767/474c4fbb-14f486fd-a3c9e647-da14a57d-dcf9e39a.jpg\n']
s51924942_2,p17838301,s51924942,2,Findings,"As compared to the previous radiograph, the evidence of pulmonary edema, of moderate severity, is unchanged. The patient has been extubated and the nasogastric tube has been removed. Only the right internal jugular vein catheter persists. The ventilation at the left and right lung base is improved. There is unchanged evidence of scarring in the left mid lung and evidence of right basal pleural calcifications. No newly appeared focal parenchymal opacity suggesting pneumonia.",Only the right internal jugular vein catheter persists.,catheter,right internal jugular vein,Stable,['files/p17/p17838301/s51924942/ce5b980a-39d861d4-c9184dee-08626cce-313eb439.jpg'],['files/p17/p17838301/s51266767/474c4fbb-14f486fd-a3c9e647-da14a57d-dcf9e39a.jpg\n']
s51924942_2,p17838301,s51924942,2,Findings,"As compared to the previous radiograph, the evidence of pulmonary edema, of moderate severity, is unchanged. The patient has been extubated and the nasogastric tube has been removed. Only the right internal jugular vein catheter persists. The ventilation at the left and right lung base is improved. There is unchanged evidence of scarring in the left mid lung and evidence of right basal pleural calcifications. No newly appeared focal parenchymal opacity suggesting pneumonia.",There is unchanged evidence of scarring in the left mid lung and evidence of right basal pleural calcifications.,pleural calcifications,right basal,Stable,['files/p17/p17838301/s51924942/ce5b980a-39d861d4-c9184dee-08626cce-313eb439.jpg'],['files/p17/p17838301/s51266767/474c4fbb-14f486fd-a3c9e647-da14a57d-dcf9e39a.jpg\n']
s51924942_2,p17838301,s51924942,2,Findings,"As compared to the previous radiograph, the evidence of pulmonary edema, of moderate severity, is unchanged. The patient has been extubated and the nasogastric tube has been removed. Only the right internal jugular vein catheter persists. The ventilation at the left and right lung base is improved. There is unchanged evidence of scarring in the left mid lung and evidence of right basal pleural calcifications. No newly appeared focal parenchymal opacity suggesting pneumonia.",There is unchanged evidence of scarring in the left mid lung and evidence of right basal pleural calcifications.,scarring,left mid lung,Stable,['files/p17/p17838301/s51924942/ce5b980a-39d861d4-c9184dee-08626cce-313eb439.jpg'],['files/p17/p17838301/s51266767/474c4fbb-14f486fd-a3c9e647-da14a57d-dcf9e39a.jpg\n']
s51927179_3,p13606683,s51927179,3,Findings,"AP and lateral views of the chest are compared to previous exam from ___. The lungs are hyperinflated. Linear opacity in the left lung base is suggestive of scarring. There is no evidence of consolidation or effusion. Cardiac silhouette is enlarged, but stable. Median sternotomy wires are again noted. Osseous and soft tissue structures are unremarkable.","Cardiac silhouette is enlarged, but stable.",Cardiac silhouette enlargement,,Stable,"['files/p13/p13606683/s51927179/3413b4c9-e7447f62-2f6619a0-bbe0438e-8bb7d995.jpg', 'files/p13/p13606683/s51927179/dcedeaaa-d89ce34d-55379511-12e54131-ec50354b.jpg', 'files/p13/p13606683/s51927179/ec2a3c71-3c6943bf-1e4be2be-21077cf2-5f0a9978.jpg']",['files/p13/p13606683/s51871239/b9ebeb06-2f7bc1bd-93527eb7-36325430-6bd74fce.jpg\n']
s51936398_6,p10410641,s51936398,6,Findings,"As compared to previous radiograph, the right pleural effusion has slightly decreased. On the left, however, a relatively extensive pleural effusion, occupying approximately one-third of the left hemithorax, has newly appeared. Subsequent areas of atelectasis. No pneumothorax or pneumonia. No evidence of pulmonary edema.","On the left, however, a relatively extensive pleural effusion, occupying approximately one-third of the left hemithorax, has newly appeared.",pleural effusion,left,New,['files/p10/p10410641/s51936398/4a290ca1-4a62a5d5-96249a76-55141456-be7b08f4.jpg'],['files/p10/p10410641/s51618570/bcfa89ae-4f7e4307-6bb629ee-15495f05-7e31cca0.jpg\n']
s51936398_6,p10410641,s51936398,6,Findings,"As compared to previous radiograph, the right pleural effusion has slightly decreased. On the left, however, a relatively extensive pleural effusion, occupying approximately one-third of the left hemithorax, has newly appeared. Subsequent areas of atelectasis. No pneumothorax or pneumonia. No evidence of pulmonary edema.","As compared to previous radiograph, the right pleural effusion has slightly decreased.",pleural effusion,right,Better,['files/p10/p10410641/s51936398/4a290ca1-4a62a5d5-96249a76-55141456-be7b08f4.jpg'],['files/p10/p10410641/s51618570/bcfa89ae-4f7e4307-6bb629ee-15495f05-7e31cca0.jpg\n']
s51943302_42,p15131736,s51943302,42,Impression,Previous pulmonary edema has cleared. Severe cardiomegaly and dilatation of the hilar and peripheral pulmonary vasculature have improved. Pleural effusions are small if any. No pneumothorax. Right PIC line ends at the origin of the SVC.,Previous pulmonary edema has cleared.,pulmonary edema,,Resolve,"['files/p15/p15131736/s51943302/1ea0d122-9ef34e51-ee2bbb71-1cb23417-70894090.jpg', 'files/p15/p15131736/s51943302/312fff58-774c36da-dcef46b3-9256ea6d-7f4495b3.jpg']","['files/p15/p15131736/s51485773/058583a0-0bce5f49-7945dac0-9f3ce745-bf10fb05.jpg\n', 'files/p15/p15131736/s51485773/474f9207-e0279fb3-96a3641e-438ab1d1-01b657e9.jpg\n', 'files/p15/p15131736/s51485773/f05f5fa7-25de6b8e-3071fe6a-b159cdf2-16828b91.jpg\n']"
s51943302_42,p15131736,s51943302,42,Impression,Previous pulmonary edema has cleared. Severe cardiomegaly and dilatation of the hilar and peripheral pulmonary vasculature have improved. Pleural effusions are small if any. No pneumothorax. Right PIC line ends at the origin of the SVC.,Severe cardiomegaly and dilatation of the hilar and peripheral pulmonary vasculature have improved.,severe cardiomegaly,,Better,"['files/p15/p15131736/s51943302/1ea0d122-9ef34e51-ee2bbb71-1cb23417-70894090.jpg', 'files/p15/p15131736/s51943302/312fff58-774c36da-dcef46b3-9256ea6d-7f4495b3.jpg']","['files/p15/p15131736/s51485773/058583a0-0bce5f49-7945dac0-9f3ce745-bf10fb05.jpg\n', 'files/p15/p15131736/s51485773/474f9207-e0279fb3-96a3641e-438ab1d1-01b657e9.jpg\n', 'files/p15/p15131736/s51485773/f05f5fa7-25de6b8e-3071fe6a-b159cdf2-16828b91.jpg\n']"
s51943302_42,p15131736,s51943302,42,Impression,Previous pulmonary edema has cleared. Severe cardiomegaly and dilatation of the hilar and peripheral pulmonary vasculature have improved. Pleural effusions are small if any. No pneumothorax. Right PIC line ends at the origin of the SVC.,Severe cardiomegaly and dilatation of the hilar and peripheral pulmonary vasculature have improved.,pulmonary vasculature dilatation,hilar and peripheral,Better,"['files/p15/p15131736/s51943302/1ea0d122-9ef34e51-ee2bbb71-1cb23417-70894090.jpg', 'files/p15/p15131736/s51943302/312fff58-774c36da-dcef46b3-9256ea6d-7f4495b3.jpg']","['files/p15/p15131736/s51485773/058583a0-0bce5f49-7945dac0-9f3ce745-bf10fb05.jpg\n', 'files/p15/p15131736/s51485773/474f9207-e0279fb3-96a3641e-438ab1d1-01b657e9.jpg\n', 'files/p15/p15131736/s51485773/f05f5fa7-25de6b8e-3071fe6a-b159cdf2-16828b91.jpg\n']"
s51943964_31,p11413236,s51943964,31,Findings,"Right chest wall Port-A-Cath terminates in the upper SVC. Postoperative mediastinum, including calcified left suprahilar lymph node, and cardiomegaly are unchanged from ___. Bibasilar atelectasis is mild.","Postoperative mediastinum, including calcified left suprahilar lymph node, and cardiomegaly are unchanged from ___.",cardiomegaly,Mediastinum,Stable,"['files/p11/p11413236/s51943964/2f1eba54-06686151-156f45ff-76e953f6-03665181.jpg', 'files/p11/p11413236/s51943964/96f6b655-cb517472-567ebf62-3c6395e0-01936fb3.jpg']","['files/p11/p11413236/s51644170/68fca727-3938158e-eb97e5dc-141e63e2-53d66c78.jpg\n', 'files/p11/p11413236/s51644170/c9968397-d379cb18-8d6f80d9-6ede0af5-f8c4d52e.jpg\n']"
s51943964_31,p11413236,s51943964,31,Findings,"Right chest wall Port-A-Cath terminates in the upper SVC. Postoperative mediastinum, including calcified left suprahilar lymph node, and cardiomegaly are unchanged from ___. Bibasilar atelectasis is mild.","Postoperative mediastinum, including calcified left suprahilar lymph node, and cardiomegaly are unchanged from ___.",calcified left suprahilar lymph node,Mediastinum,Stable,"['files/p11/p11413236/s51943964/2f1eba54-06686151-156f45ff-76e953f6-03665181.jpg', 'files/p11/p11413236/s51943964/96f6b655-cb517472-567ebf62-3c6395e0-01936fb3.jpg']","['files/p11/p11413236/s51644170/68fca727-3938158e-eb97e5dc-141e63e2-53d66c78.jpg\n', 'files/p11/p11413236/s51644170/c9968397-d379cb18-8d6f80d9-6ede0af5-f8c4d52e.jpg\n']"
s51947296_10,p13263843,s51947296,10,Findings,"In comparison with the study of ___, there is substantial decrease in the right pleural effusion. Although no clinical evidence is presented, this could be a reflection of interval thoracentesis. No evidence of pneumothorax. The remainder of the study is essentially unchanged.","In comparison with the study of ___, there is substantial decrease in the right pleural effusion.",pleural effusion,right,Better,"['files/p13/p13263843/s51947296/92d470e7-32490114-834a55ac-2baa551a-40bfb365.jpg', 'files/p13/p13263843/s51947296/db88eb68-e1d41137-79817ffd-807dc26a-b8170dc4.jpg']","['files/p13/p13263843/s51718410/0844862c-b31ad664-cb39e0fe-f457cc37-02e1b4ae.jpg\n', 'files/p13/p13263843/s51718410/feeef719-f6a236d0-bd85a338-4d4729c9-d91fdf3d.jpg\n']"
s51947909_6,p13849733,s51947909,6,Impression,"1) COPD with extensive pleural/parenchymal scarring, right effusion with underlying collapse and/or consolidation, and right ___/infrahilar opacity are unchanged compared with ___. 2) The right-sided changes should be followed to conclusion to exclude underlying mass. The left apical scarring should also be followed over time to exclude an underlying neoplasm.","COPD with extensive pleural/parenchymal scarring, right effusion with underlying collapse and/or consolidation, and right ___/infrahilar opacity are unchanged compared with ___.","effusion, collapse, consolidation, infrahilar opacity",right,Stable,"['files/p13/p13849733/s51947909/bc8db468-b178d3ba-03bdb07d-16e95e5f-775875b8.jpg', 'files/p13/p13849733/s51947909/c377c06a-52310ae1-f8b3cf01-0777c2ad-766f15e1.jpg']","['files/p13/p13849733/s51332489/3c19051a-9046eae7-bb9aac81-c4b4981c-c5281b13.jpg\n', 'files/p13/p13849733/s51332489/6060ae56-99a2e711-2c686d45-24f7adcb-e3ea3454.jpg\n']"
s51951386_0,p16116557,s51951386,0,Findings,"The lung fields are clear without focal consolidation, pleural effusion, or pneumothorax. Heart and mediastinal contours are within normal limits. Sternal wires and mitral valve replacement hardware are again seen.",Sternal wires and mitral valve replacement hardware are again seen.,wires,sternal,Stable,"['files/p16/p16116557/s51951386/06aeac02-b53537f5-fc5cd426-d1528a0c-0b563e39.jpg', 'files/p16/p16116557/s51951386/0bb60711-8098a084-5f12d2bb-e8739a70-870e72a1.jpg', 'files/p16/p16116557/s51951386/eac51eb0-1de39331-93d4cd9e-2ea34983-47a728bc.jpg']",
s51951386_0,p16116557,s51951386,0,Findings,"The lung fields are clear without focal consolidation, pleural effusion, or pneumothorax. Heart and mediastinal contours are within normal limits. Sternal wires and mitral valve replacement hardware are again seen.",Sternal wires and mitral valve replacement hardware are again seen.,replacement hardware,mitral valve,Stable,"['files/p16/p16116557/s51951386/06aeac02-b53537f5-fc5cd426-d1528a0c-0b563e39.jpg', 'files/p16/p16116557/s51951386/0bb60711-8098a084-5f12d2bb-e8739a70-870e72a1.jpg', 'files/p16/p16116557/s51951386/eac51eb0-1de39331-93d4cd9e-2ea34983-47a728bc.jpg']",
s51954230_1,p14295224,s51954230,1,Findings,"The lungs are clear, the cardiomediastinal silhouette and hila are normal. A gastric pull up is again seen. There is no pleural effusion and no pneumothorax. A bony coalition is seen at the posterior ___ and 7th ribs, unchanged from the prior study. No acute displaced rib fractures are seen. Rib detail views with pain markers might be considered for further workup.","A bony coalition is seen at the posterior ___ and 7th ribs, unchanged from the prior study.",bony coalition,posterior ___ and 7th ribs,Stable,"['files/p14/p14295224/s51954230/65dcdea0-f39be5c6-c97cef2b-387508f2-173ba1cf.jpg', 'files/p14/p14295224/s51954230/d162120b-8bfaf7bf-a5c9e4c5-ab6b8617-14987b73.jpg']",['files/p14/p14295224/s51689739/0096fc1d-7c100751-e1c8cb03-c461efb4-1c6b0f8e.jpg\n']
s51954230_1,p14295224,s51954230,1,Findings,"The lungs are clear, the cardiomediastinal silhouette and hila are normal. A gastric pull up is again seen. There is no pleural effusion and no pneumothorax. A bony coalition is seen at the posterior ___ and 7th ribs, unchanged from the prior study. No acute displaced rib fractures are seen. Rib detail views with pain markers might be considered for further workup.",A gastric pull up is again seen.,gastric pull-up,,Stable,"['files/p14/p14295224/s51954230/65dcdea0-f39be5c6-c97cef2b-387508f2-173ba1cf.jpg', 'files/p14/p14295224/s51954230/d162120b-8bfaf7bf-a5c9e4c5-ab6b8617-14987b73.jpg']",['files/p14/p14295224/s51689739/0096fc1d-7c100751-e1c8cb03-c461efb4-1c6b0f8e.jpg\n']
s51966612_0,p10402372,s51966612,0,Impression,"No acute cardiopulmonary process. No significant interval change. Please note that peribronchovascular ground-glass opacities at the left greater than right lung bases seen on the prior chest CT of ___ were not appreciated on prior chest radiography on the same date and may still be present. Additionally, several pulmonary nodules measuring up to 3 mm are not not well appreciated on the current study-CT is more sensitive.",Please note that peribronchovascular ground-glass opacities at the left greater than right lung bases seen on the prior chest CT of ___ were not appreciated on prior chest radiography on the same date and may still be present.,peribronchovascular ground-glass opacities,left greater than right lung bases,Stable,"['files/p10/p10402372/s51966612/8797515b-595dfac0-77013a06-226b52bd-65681bf2.jpg', 'files/p10/p10402372/s51966612/b5da9d38-5e0c570b-e88b17c1-029654a9-a4f8a0b3.jpg', 'files/p10/p10402372/s51966612/beee7706-2c364242-556f9ecf-0c075776-01c10230.jpg']",['files/p10/p10402372/s50879902/09bcae55-47d8afaa-5cd21ca4-2cc83c46-d432bd6d.jpg\n']
s51966612_0,p10402372,s51966612,0,Findings,"Frontal and lateral views of the chest are obtained. The lungs remain hyperinflated, suggesting chronic obstructive pulmonary disease. No focal consolidation, pleural effusion, or evidence of 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/p10402372/s51966612/8797515b-595dfac0-77013a06-226b52bd-65681bf2.jpg', 'files/p10/p10402372/s51966612/b5da9d38-5e0c570b-e88b17c1-029654a9-a4f8a0b3.jpg', 'files/p10/p10402372/s51966612/beee7706-2c364242-556f9ecf-0c075776-01c10230.jpg']",['files/p10/p10402372/s50879902/09bcae55-47d8afaa-5cd21ca4-2cc83c46-d432bd6d.jpg\n']
s51966612_0,p10402372,s51966612,0,Findings,"Frontal and lateral views of the chest are obtained. The lungs remain hyperinflated, suggesting chronic obstructive pulmonary disease. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Hilar contours are also stable.","The lungs remain hyperinflated, suggesting chronic obstructive pulmonary disease.",hyperinflated lungs,,Stable,"['files/p10/p10402372/s51966612/8797515b-595dfac0-77013a06-226b52bd-65681bf2.jpg', 'files/p10/p10402372/s51966612/b5da9d38-5e0c570b-e88b17c1-029654a9-a4f8a0b3.jpg', 'files/p10/p10402372/s51966612/beee7706-2c364242-556f9ecf-0c075776-01c10230.jpg']",['files/p10/p10402372/s50879902/09bcae55-47d8afaa-5cd21ca4-2cc83c46-d432bd6d.jpg\n']
s51966612_0,p10402372,s51966612,0,Findings,"Frontal and lateral views of the chest are obtained. The lungs remain hyperinflated, suggesting chronic obstructive pulmonary disease. No focal consolidation, pleural effusion, or evidence of 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/p10402372/s51966612/8797515b-595dfac0-77013a06-226b52bd-65681bf2.jpg', 'files/p10/p10402372/s51966612/b5da9d38-5e0c570b-e88b17c1-029654a9-a4f8a0b3.jpg', 'files/p10/p10402372/s51966612/beee7706-2c364242-556f9ecf-0c075776-01c10230.jpg']",['files/p10/p10402372/s50879902/09bcae55-47d8afaa-5cd21ca4-2cc83c46-d432bd6d.jpg\n']
s51972257_0,p16562430,s51972257,0,Findings,"Single, AP, upright, portable view of the chest was obtained. There are increased interstitial marking. Given history of pulmonary fibrosis on prior CT, although increased interstitial markings have significantly increased since the prior and there may be superimposed pulmonary edema. The cardiac and mediastinal silhouettes are stable. There is slight blunting of both costophrenic angles, felt most likely be due to overlying soft tissues, but a trace pleural effusions be difficult to exclude. No right pleural effusion is seen. There is no pneumothorax.","Given history of pulmonary fibrosis on prior CT, although increased interstitial markings have significantly increased since the prior and there may be superimposed pulmonary edema.",Interstitial markings,,Worse,['files/p16/p16562430/s51972257/03e4f490-80c314d6-8e4e9cee-cfdf8702-faac4644.jpg'],['files/p16/p16562430/s50308220/83469f17-940d9bb0-be3fdd29-f87627c3-eeb3d334.jpg\n']
s51972257_0,p16562430,s51972257,0,Findings,"Single, AP, upright, portable view of the chest was obtained. There are increased interstitial marking. Given history of pulmonary fibrosis on prior CT, although increased interstitial markings have significantly increased since the prior and there may be superimposed pulmonary edema. The cardiac and mediastinal silhouettes are stable. There is slight blunting of both costophrenic angles, felt most likely be due to overlying soft tissues, but a trace pleural effusions be difficult to exclude. No right pleural effusion is seen. There is no pneumothorax.","Given history of pulmonary fibrosis on prior CT, although increased interstitial markings have significantly increased since the prior and there may be superimposed pulmonary edema.",Pulmonary edema,,New,['files/p16/p16562430/s51972257/03e4f490-80c314d6-8e4e9cee-cfdf8702-faac4644.jpg'],['files/p16/p16562430/s50308220/83469f17-940d9bb0-be3fdd29-f87627c3-eeb3d334.jpg\n']
s51972257_0,p16562430,s51972257,0,Findings,"Single, AP, upright, portable view of the chest was obtained. There are increased interstitial marking. Given history of pulmonary fibrosis on prior CT, although increased interstitial markings have significantly increased since the prior and there may be superimposed pulmonary edema. The cardiac and mediastinal silhouettes are stable. There is slight blunting of both costophrenic angles, felt most likely be due to overlying soft tissues, but a trace pleural effusions be difficult to exclude. No right pleural effusion is seen. There is no pneumothorax.",The cardiac and mediastinal silhouettes are stable.,Cardiac and mediastinal silhouettes,,Stable,['files/p16/p16562430/s51972257/03e4f490-80c314d6-8e4e9cee-cfdf8702-faac4644.jpg'],['files/p16/p16562430/s50308220/83469f17-940d9bb0-be3fdd29-f87627c3-eeb3d334.jpg\n']
s51972716_16,p12530259,s51972716,16,Impression,"Interval increase in the opacification of left hemithorax, likely consistent with large left pleural effusion. Right lung is clear.","Interval increase in the opacification of left hemithorax, likely consistent with large left pleural effusion.",opacification,left hemithorax,Worse,"['files/p12/p12530259/s51972716/02cab5e2-32c693a1-f28fc960-a42cc4a2-4d8d7c44.jpg', 'files/p12/p12530259/s51972716/3222a2cf-6873ed9e-fc3e4ac3-823db405-0dca9ce6.jpg']",['files/p12/p12530259/s51917429/617522b0-48f733b6-4112032c-69d6ff78-b2d433e8.jpg\n']
s51972716_16,p12530259,s51972716,16,Findings,PA and lateral images of the chest demonstrate interval worsening of left lung opacity. The entire left hemithorax is now again opacified. Opacification is likely due to a large left pleural fluid collection in the setting of lobectomy versus less likely left lung collapse. There is persistent significant elevation of the left hemidiaphragm. The right lung is clear. There is no right pleural effusion. Cardiac size cannot be assessed due to obscuration by the left hemithorax opacification. The mediastinum is not shifted.,PA and lateral images of the chest demonstrate interval worsening of left lung opacity.,lung opacity,left,Worse,"['files/p12/p12530259/s51972716/02cab5e2-32c693a1-f28fc960-a42cc4a2-4d8d7c44.jpg', 'files/p12/p12530259/s51972716/3222a2cf-6873ed9e-fc3e4ac3-823db405-0dca9ce6.jpg']",['files/p12/p12530259/s51917429/617522b0-48f733b6-4112032c-69d6ff78-b2d433e8.jpg\n']
s51972716_16,p12530259,s51972716,16,Findings,PA and lateral images of the chest demonstrate interval worsening of left lung opacity. The entire left hemithorax is now again opacified. Opacification is likely due to a large left pleural fluid collection in the setting of lobectomy versus less likely left lung collapse. There is persistent significant elevation of the left hemidiaphragm. The right lung is clear. There is no right pleural effusion. Cardiac size cannot be assessed due to obscuration by the left hemithorax opacification. The mediastinum is not shifted.,The entire left hemithorax is now again opacified.,opacification,left hemithorax,Worse,"['files/p12/p12530259/s51972716/02cab5e2-32c693a1-f28fc960-a42cc4a2-4d8d7c44.jpg', 'files/p12/p12530259/s51972716/3222a2cf-6873ed9e-fc3e4ac3-823db405-0dca9ce6.jpg']",['files/p12/p12530259/s51917429/617522b0-48f733b6-4112032c-69d6ff78-b2d433e8.jpg\n']
s51972716_16,p12530259,s51972716,16,Findings,PA and lateral images of the chest demonstrate interval worsening of left lung opacity. The entire left hemithorax is now again opacified. Opacification is likely due to a large left pleural fluid collection in the setting of lobectomy versus less likely left lung collapse. There is persistent significant elevation of the left hemidiaphragm. The right lung is clear. There is no right pleural effusion. Cardiac size cannot be assessed due to obscuration by the left hemithorax opacification. The mediastinum is not shifted.,There is persistent significant elevation of the left hemidiaphragm.,hemidiaphragm elevation,left,Stable,"['files/p12/p12530259/s51972716/02cab5e2-32c693a1-f28fc960-a42cc4a2-4d8d7c44.jpg', 'files/p12/p12530259/s51972716/3222a2cf-6873ed9e-fc3e4ac3-823db405-0dca9ce6.jpg']",['files/p12/p12530259/s51917429/617522b0-48f733b6-4112032c-69d6ff78-b2d433e8.jpg\n']
s51979149_19,p12530259,s51979149,19,Findings,"There is continued elevation of the left hemidiaphragm with left pleural abnormality, unchanged since the prior exam. There is no evidence of pneumonia, pneumothorax or pulmonary edema. The heart is top normal in size.","There is continued elevation of the left hemidiaphragm with left pleural abnormality, unchanged since the prior exam.",hemidiaphragm elevation and pleural abnormality,left,Stable,"['files/p12/p12530259/s51979149/19c665a6-5b2ac8ce-afabbb92-17bfdb7d-3db41a78.jpg', 'files/p12/p12530259/s51979149/35f03094-59ac4913-db051de3-831383ad-860440fa.jpg']","['files/p12/p12530259/s51972716/02cab5e2-32c693a1-f28fc960-a42cc4a2-4d8d7c44.jpg\n', 'files/p12/p12530259/s51972716/3222a2cf-6873ed9e-fc3e4ac3-823db405-0dca9ce6.jpg\n']"
s51979149_19,p12530259,s51979149,19,Impression,"No acute cardiopulmonary disease. Elevation of the left hemidiaphragm and left pleural abnormality which may represent either a loculated effusion or pleural thickening, is unchanged since prior exam.","Elevation of the left hemidiaphragm and left pleural abnormality which may represent either a loculated effusion or pleural thickening, is unchanged since prior exam.",hemidiaphragm elevation and pleural abnormality,left,Stable,"['files/p12/p12530259/s51979149/19c665a6-5b2ac8ce-afabbb92-17bfdb7d-3db41a78.jpg', 'files/p12/p12530259/s51979149/35f03094-59ac4913-db051de3-831383ad-860440fa.jpg']","['files/p12/p12530259/s51972716/02cab5e2-32c693a1-f28fc960-a42cc4a2-4d8d7c44.jpg\n', 'files/p12/p12530259/s51972716/3222a2cf-6873ed9e-fc3e4ac3-823db405-0dca9ce6.jpg\n']"
s51985577_17,p16508811,s51985577,17,Impression,"In comparison with the study of ___, there is decrease in the diffuse bilateral pulmonary opacifications. This most likely represents improving pulmonary vascular status. Monitoring and support devices are unchanged.","In comparison with the study of ___, there is decrease in the diffuse bilateral pulmonary opacifications. This most likely represents improving pulmonary vascular status.",pulmonary opacifications,bilateral,Better,['files/p16/p16508811/s51985577/92104a74-78d6ae95-2b62a235-6f522a7c-13202ce0.jpg'],['files/p16/p16508811/s51780323/93f1cff6-36f3e02f-d36cdf6d-ee6f284b-c618d6fd.jpg\n']
s51986565_36,p15114531,s51986565,36,Impression,Persistent subtle peribronchial opacity in left lung is worrisome for early pneumonia in the appropriate clinical setting.,Persistent subtle peribronchial opacity in left lung is worrisome for early pneumonia in the appropriate clinical setting.,peribronchial opacity,left lung,Stable,"['files/p15/p15114531/s51986565/232aed3a-74900285-3fa279f4-43c5af2a-e8406c03.jpg', 'files/p15/p15114531/s51986565/cfc5e042-6a1ddb0b-cce9c058-196b90bb-66e5851f.jpg']",['files/p15/p15114531/s51865597/ea89b622-63cd1a03-7338ee75-9ccef395-57d58bdc.jpg\n']
s51986565_36,p15114531,s51986565,36,Findings,"Lungs are well inflated. Mild bilateral apical scarring noted. Subtle peribronchial opacity only seen on frontal view in the left lung superior and lateral to the left hilus is unchanged since prior examination. The lungs are otherwise clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Visualized osseous structures are notable for anterior cervical spine fusion device. Mediastinal clips are again seen within the left upper quadrant.",Subtle peribronchial opacity only seen on frontal view in the left lung superior and lateral to the left hilus is unchanged since prior examination.,peribronchial opacity,left lung superior and lateral to the left hilus,Stable,"['files/p15/p15114531/s51986565/232aed3a-74900285-3fa279f4-43c5af2a-e8406c03.jpg', 'files/p15/p15114531/s51986565/cfc5e042-6a1ddb0b-cce9c058-196b90bb-66e5851f.jpg']",['files/p15/p15114531/s51865597/ea89b622-63cd1a03-7338ee75-9ccef395-57d58bdc.jpg\n']
s51987558_21,p16751749,s51987558,21,Impression,"On initial radiograph, a line near the right apex is seen. This was further evaluated by repositioning and repeat radiograph demonstrating the absence of this line which most likely represented a skin fold. No pneumothorax is identified. The examination overall is unchanged with known severe emphysema and multifocal opacities. Extensive subcutaneous emphysema is also not significantly changed. Right-sided chest tube, right-sided central venous line and tracheostomy tube are unchanged.",This was further evaluated by repositioning and repeat radiograph demonstrating the absence of this line which most likely represented a skin fold.,line,right apex,Resolve,"['files/p16/p16751749/s51987558/c03a2997-80360638-ff758347-c676024c-e71aca82.jpg', 'files/p16/p16751749/s51987558/d622fcb9-5380b27e-01c6e7c6-8589676c-329625f6.jpg', 'files/p16/p16751749/s51987558/eafdbeaa-59012e3f-a57953ad-06e738fb-b38b3f1d.jpg']",['files/p16/p16751749/s51100533/76a5e5ee-2113aefe-e8d472a9-dff5f008-b1263281.jpg\n']
s51987558_21,p16751749,s51987558,21,Impression,"On initial radiograph, a line near the right apex is seen. This was further evaluated by repositioning and repeat radiograph demonstrating the absence of this line which most likely represented a skin fold. No pneumothorax is identified. The examination overall is unchanged with known severe emphysema and multifocal opacities. Extensive subcutaneous emphysema is also not significantly changed. Right-sided chest tube, right-sided central venous line and tracheostomy tube are unchanged.","Right-sided chest tube, right-sided central venous line and tracheostomy tube are unchanged.","chest tube, central venous line and tracheostomy tube",Right-sided,Stable,"['files/p16/p16751749/s51987558/c03a2997-80360638-ff758347-c676024c-e71aca82.jpg', 'files/p16/p16751749/s51987558/d622fcb9-5380b27e-01c6e7c6-8589676c-329625f6.jpg', 'files/p16/p16751749/s51987558/eafdbeaa-59012e3f-a57953ad-06e738fb-b38b3f1d.jpg']",['files/p16/p16751749/s51100533/76a5e5ee-2113aefe-e8d472a9-dff5f008-b1263281.jpg\n']
s51987558_21,p16751749,s51987558,21,Impression,"On initial radiograph, a line near the right apex is seen. This was further evaluated by repositioning and repeat radiograph demonstrating the absence of this line which most likely represented a skin fold. No pneumothorax is identified. The examination overall is unchanged with known severe emphysema and multifocal opacities. Extensive subcutaneous emphysema is also not significantly changed. Right-sided chest tube, right-sided central venous line and tracheostomy tube are unchanged.",The examination overall is unchanged with known severe emphysema and multifocal opacities.,severe emphysema and multifocal opacities,,Stable,"['files/p16/p16751749/s51987558/c03a2997-80360638-ff758347-c676024c-e71aca82.jpg', 'files/p16/p16751749/s51987558/d622fcb9-5380b27e-01c6e7c6-8589676c-329625f6.jpg', 'files/p16/p16751749/s51987558/eafdbeaa-59012e3f-a57953ad-06e738fb-b38b3f1d.jpg']",['files/p16/p16751749/s51100533/76a5e5ee-2113aefe-e8d472a9-dff5f008-b1263281.jpg\n']
s51987558_21,p16751749,s51987558,21,Impression,"On initial radiograph, a line near the right apex is seen. This was further evaluated by repositioning and repeat radiograph demonstrating the absence of this line which most likely represented a skin fold. No pneumothorax is identified. The examination overall is unchanged with known severe emphysema and multifocal opacities. Extensive subcutaneous emphysema is also not significantly changed. Right-sided chest tube, right-sided central venous line and tracheostomy tube are unchanged.",Extensive subcutaneous emphysema is also not significantly changed.,subcutaneous emphysema,Extensive,Stable,"['files/p16/p16751749/s51987558/c03a2997-80360638-ff758347-c676024c-e71aca82.jpg', 'files/p16/p16751749/s51987558/d622fcb9-5380b27e-01c6e7c6-8589676c-329625f6.jpg', 'files/p16/p16751749/s51987558/eafdbeaa-59012e3f-a57953ad-06e738fb-b38b3f1d.jpg']",['files/p16/p16751749/s51100533/76a5e5ee-2113aefe-e8d472a9-dff5f008-b1263281.jpg\n']
s51994168_25,p13964474,s51994168,25,Findings,"In comparison with the study of ___, the right subclavian PICC line extends to the mid-to-lower portion of the SVC. Bibasilar opacification has slightly decreased and the costophrenic angles are more sharply seen. Tracheostomy tube remains in place, though the esophageal stent is no longer appreciated. Of incidental note is residual contrast material within the colon.",Bibasilar opacification has slightly decreased and the costophrenic angles are more sharply seen.,opacification,Bibasilar,Better,['files/p13/p13964474/s51994168/6417dbb4-5d20a66b-bc8a091b-85f4b83f-4543f0a8.jpg'],['files/p13/p13964474/s51648837/4460b78c-d6c33b0d-eb6264df-74386a2b-371f79ec.jpg\n']
s51994168_25,p13964474,s51994168,25,Findings,"In comparison with the study of ___, the right subclavian PICC line extends to the mid-to-lower portion of the SVC. Bibasilar opacification has slightly decreased and the costophrenic angles are more sharply seen. Tracheostomy tube remains in place, though the esophageal stent is no longer appreciated. Of incidental note is residual contrast material within the colon.","Tracheostomy tube remains in place, though the esophageal stent is no longer appreciated.",tube,Tracheostomy,Stable,['files/p13/p13964474/s51994168/6417dbb4-5d20a66b-bc8a091b-85f4b83f-4543f0a8.jpg'],['files/p13/p13964474/s51648837/4460b78c-d6c33b0d-eb6264df-74386a2b-371f79ec.jpg\n']
s52008677_4,p11906222,s52008677,4,Findings,"No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. Aortic calcifications are again noted. A shunt catheter courses along the right neck, right medial chest, and right abdomen, incompletely imaged. Mid-thoracic vertebral body compression deformity is again noted. Old right rib fractures are noted. Hardware projecting over the lumbar spine at the inferior margin of the image is incompletely evaluated.",Aortic calcifications are again noted.,aortic calcifications,,Stable,"['files/p11/p11906222/s52008677/59a291bb-a5b73755-8efc4039-1a4e13f2-887e46d2.jpg', 'files/p11/p11906222/s52008677/b6a2b75a-2f7feeff-1e47f4d0-1d86b2ff-c5d8d6c1.jpg']",
s52008677_4,p11906222,s52008677,4,Findings,"No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. Aortic calcifications are again noted. A shunt catheter courses along the right neck, right medial chest, and right abdomen, incompletely imaged. Mid-thoracic vertebral body compression deformity is again noted. Old right rib fractures are noted. Hardware projecting over the lumbar spine at the inferior margin of the image is incompletely evaluated.",Old right rib fractures are noted.,rib fractures,right,Stable,"['files/p11/p11906222/s52008677/59a291bb-a5b73755-8efc4039-1a4e13f2-887e46d2.jpg', 'files/p11/p11906222/s52008677/b6a2b75a-2f7feeff-1e47f4d0-1d86b2ff-c5d8d6c1.jpg']",
s52008677_4,p11906222,s52008677,4,Findings,"No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. Aortic calcifications are again noted. A shunt catheter courses along the right neck, right medial chest, and right abdomen, incompletely imaged. Mid-thoracic vertebral body compression deformity is again noted. Old right rib fractures are noted. Hardware projecting over the lumbar spine at the inferior margin of the image is incompletely evaluated.",Mid-thoracic vertebral body compression deformity is again noted.,vertebral body compression deformity,mid-thoracic,Stable,"['files/p11/p11906222/s52008677/59a291bb-a5b73755-8efc4039-1a4e13f2-887e46d2.jpg', 'files/p11/p11906222/s52008677/b6a2b75a-2f7feeff-1e47f4d0-1d86b2ff-c5d8d6c1.jpg']",
s52008677_4,p11906222,s52008677,4,Impression,Stable chest radiographs without evidence for acute process.,Stable chest radiographs without evidence for acute process.,chest radiographs,,Stable,"['files/p11/p11906222/s52008677/59a291bb-a5b73755-8efc4039-1a4e13f2-887e46d2.jpg', 'files/p11/p11906222/s52008677/b6a2b75a-2f7feeff-1e47f4d0-1d86b2ff-c5d8d6c1.jpg']",
s52009754_2,p13989850,s52009754,2,Findings,"As compared to the previous radiograph, there is no relevant change. Minimal positional increase in density at the left lung bases. No evidence of pneumonia. Borderline size of the cardiac silhouette without pulmonary edema. No pleural effusions.","As compared to the previous radiograph, there is no relevant change.",,,Stable,['files/p13/p13989850/s52009754/ea461ed9-98d6fcdc-bcffddd8-6b2f85a7-07d19d2e.jpg'],
s52009754_2,p13989850,s52009754,2,Findings,"As compared to the previous radiograph, there is no relevant change. Minimal positional increase in density at the left lung bases. No evidence of pneumonia. Borderline size of the cardiac silhouette without pulmonary edema. No pleural effusions.",Minimal positional increase in density at the left lung bases.,density,left lung bases,Worse,['files/p13/p13989850/s52009754/ea461ed9-98d6fcdc-bcffddd8-6b2f85a7-07d19d2e.jpg'],
s52011372_12,p11569093,s52011372,12,Findings,"As compared to the previous radiograph, a pigtail was introduced into the right pleural cavity. The major part of the pre-existing right pleural effusion appears to be drained. However, a new air inclusion in the right basal pleural space. This pleural air does not manifest as an apical pneumothorax. In fact, in the apical and lateral parts of the right hemithorax, there is still abundant fluid visualized. The volume of the right hemithorax, overall, has not increased. However, a short-term followup is required to assess for potential developing tension. Normally appearing lung parenchyma on the left. Unchanged left heart border and tortuosity of the thoracic aorta.",Unchanged left heart border and tortuosity of the thoracic aorta.,tortuosity of the thoracic aorta,left heart border,Stable,['files/p11/p11569093/s52011372/5f961326-0ccce927-f726948a-19e43255-88306b58.jpg'],"['files/p11/p11569093/s51983905/8f7116c2-c8a7adfb-d814bed2-2a427fde-6478fe3a.jpg\n', 'files/p11/p11569093/s51983905/ab1e1361-80eb18db-60ce9d49-0c7e8e71-477b3559.jpg\n']"
s52011718_19,p16855430,s52011718,19,Findings,A left PICC has been re-positioned with the tip now terminating in the left brachiocephalic vein. Replacement is recommended. There are persistent low lung volumes and increased opacification of the right lung base reflecting increased small bilateral pleural effusions and worsening atelectasis. Left basilar atelectasis is also increased. There is no pneumothorax. The pulmonary vasculature is mildly engorged without overt pulmonary edema. The cardiomediastinal silhouette remains mildly enlarged but stable. Tortuosity of the thoracic aorta and calcification of the aortic knob is again seen.,There are persistent low lung volumes and increased opacification of the right lung base reflecting increased small bilateral pleural effusions and worsening atelectasis.,Opacification,right lung base,Worse,['files/p16/p16855430/s52011718/9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9.jpg'],"['files/p16/p16855430/s50722926/16255d83-eb6bdfbf-29a7eead-2839d5b6-64580182.jpg\n', 'files/p16/p16855430/s50722926/993a79bc-949ed2da-d3a17e2a-9b3d065c-45e0f0bd.jpg\n']"
s52011718_19,p16855430,s52011718,19,Findings,A left PICC has been re-positioned with the tip now terminating in the left brachiocephalic vein. Replacement is recommended. There are persistent low lung volumes and increased opacification of the right lung base reflecting increased small bilateral pleural effusions and worsening atelectasis. Left basilar atelectasis is also increased. There is no pneumothorax. The pulmonary vasculature is mildly engorged without overt pulmonary edema. The cardiomediastinal silhouette remains mildly enlarged but stable. Tortuosity of the thoracic aorta and calcification of the aortic knob is again seen.,There are persistent low lung volumes and increased opacification of the right lung base reflecting increased small bilateral pleural effusions and worsening atelectasis.,Pleural effusions,bilateral,Worse,['files/p16/p16855430/s52011718/9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9.jpg'],"['files/p16/p16855430/s50722926/16255d83-eb6bdfbf-29a7eead-2839d5b6-64580182.jpg\n', 'files/p16/p16855430/s50722926/993a79bc-949ed2da-d3a17e2a-9b3d065c-45e0f0bd.jpg\n']"
s52011718_19,p16855430,s52011718,19,Findings,A left PICC has been re-positioned with the tip now terminating in the left brachiocephalic vein. Replacement is recommended. There are persistent low lung volumes and increased opacification of the right lung base reflecting increased small bilateral pleural effusions and worsening atelectasis. Left basilar atelectasis is also increased. There is no pneumothorax. The pulmonary vasculature is mildly engorged without overt pulmonary edema. The cardiomediastinal silhouette remains mildly enlarged but stable. Tortuosity of the thoracic aorta and calcification of the aortic knob is again seen.,There are persistent low lung volumes and increased opacification of the right lung base reflecting increased small bilateral pleural effusions and worsening atelectasis.,Atelectasis,bilateral,Worse,['files/p16/p16855430/s52011718/9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9.jpg'],"['files/p16/p16855430/s50722926/16255d83-eb6bdfbf-29a7eead-2839d5b6-64580182.jpg\n', 'files/p16/p16855430/s50722926/993a79bc-949ed2da-d3a17e2a-9b3d065c-45e0f0bd.jpg\n']"
s52011718_19,p16855430,s52011718,19,Impression,1. Retraction of the left PICC with tip terminating in the left brachiocephalic vein in comparison to ___. Replacement is recommended. 2. Increased small bilateral pleural effusions and bibasilar atelectasis with decreased lung volumes from ___. 3. Unchanged mild pulmonary vascular congestion. Findings were reported by Dr. ___ to Dr. ___ ___ telephone at 12:10 p.m. on ___.,2. Increased small bilateral pleural effusions and bibasilar atelectasis with decreased lung volumes from ___.,Atelectasis,bibasilar,Worse,['files/p16/p16855430/s52011718/9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9.jpg'],"['files/p16/p16855430/s50722926/16255d83-eb6bdfbf-29a7eead-2839d5b6-64580182.jpg\n', 'files/p16/p16855430/s50722926/993a79bc-949ed2da-d3a17e2a-9b3d065c-45e0f0bd.jpg\n']"
s52011718_19,p16855430,s52011718,19,Findings,A left PICC has been re-positioned with the tip now terminating in the left brachiocephalic vein. Replacement is recommended. There are persistent low lung volumes and increased opacification of the right lung base reflecting increased small bilateral pleural effusions and worsening atelectasis. Left basilar atelectasis is also increased. There is no pneumothorax. The pulmonary vasculature is mildly engorged without overt pulmonary edema. The cardiomediastinal silhouette remains mildly enlarged but stable. Tortuosity of the thoracic aorta and calcification of the aortic knob is again seen.,The cardiomediastinal silhouette remains mildly enlarged but stable.,Mildly enlarged cardiomediastinal silhouette,,Stable,['files/p16/p16855430/s52011718/9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9.jpg'],"['files/p16/p16855430/s50722926/16255d83-eb6bdfbf-29a7eead-2839d5b6-64580182.jpg\n', 'files/p16/p16855430/s50722926/993a79bc-949ed2da-d3a17e2a-9b3d065c-45e0f0bd.jpg\n']"
s52011718_19,p16855430,s52011718,19,Findings,A left PICC has been re-positioned with the tip now terminating in the left brachiocephalic vein. Replacement is recommended. There are persistent low lung volumes and increased opacification of the right lung base reflecting increased small bilateral pleural effusions and worsening atelectasis. Left basilar atelectasis is also increased. There is no pneumothorax. The pulmonary vasculature is mildly engorged without overt pulmonary edema. The cardiomediastinal silhouette remains mildly enlarged but stable. Tortuosity of the thoracic aorta and calcification of the aortic knob is again seen.,Tortuosity of the thoracic aorta and calcification of the aortic knob is again seen.,Tortuosity,thoracic aorta,Stable,['files/p16/p16855430/s52011718/9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9.jpg'],"['files/p16/p16855430/s50722926/16255d83-eb6bdfbf-29a7eead-2839d5b6-64580182.jpg\n', 'files/p16/p16855430/s50722926/993a79bc-949ed2da-d3a17e2a-9b3d065c-45e0f0bd.jpg\n']"
s52011718_19,p16855430,s52011718,19,Findings,A left PICC has been re-positioned with the tip now terminating in the left brachiocephalic vein. Replacement is recommended. There are persistent low lung volumes and increased opacification of the right lung base reflecting increased small bilateral pleural effusions and worsening atelectasis. Left basilar atelectasis is also increased. There is no pneumothorax. The pulmonary vasculature is mildly engorged without overt pulmonary edema. The cardiomediastinal silhouette remains mildly enlarged but stable. Tortuosity of the thoracic aorta and calcification of the aortic knob is again seen.,Tortuosity of the thoracic aorta and calcification of the aortic knob is again seen.,Calcification,aortic knob,Stable,['files/p16/p16855430/s52011718/9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9.jpg'],"['files/p16/p16855430/s50722926/16255d83-eb6bdfbf-29a7eead-2839d5b6-64580182.jpg\n', 'files/p16/p16855430/s50722926/993a79bc-949ed2da-d3a17e2a-9b3d065c-45e0f0bd.jpg\n']"
s52011718_19,p16855430,s52011718,19,Impression,1. Retraction of the left PICC with tip terminating in the left brachiocephalic vein in comparison to ___. Replacement is recommended. 2. Increased small bilateral pleural effusions and bibasilar atelectasis with decreased lung volumes from ___. 3. Unchanged mild pulmonary vascular congestion. Findings were reported by Dr. ___ to Dr. ___ ___ telephone at 12:10 p.m. on ___.,2. Increased small bilateral pleural effusions and bibasilar atelectasis with decreased lung volumes from ___.,Pleural effusions,bilateral,Worse,['files/p16/p16855430/s52011718/9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9.jpg'],"['files/p16/p16855430/s50722926/16255d83-eb6bdfbf-29a7eead-2839d5b6-64580182.jpg\n', 'files/p16/p16855430/s50722926/993a79bc-949ed2da-d3a17e2a-9b3d065c-45e0f0bd.jpg\n']"
s52011718_19,p16855430,s52011718,19,Impression,1. Retraction of the left PICC with tip terminating in the left brachiocephalic vein in comparison to ___. Replacement is recommended. 2. Increased small bilateral pleural effusions and bibasilar atelectasis with decreased lung volumes from ___. 3. Unchanged mild pulmonary vascular congestion. Findings were reported by Dr. ___ to Dr. ___ ___ telephone at 12:10 p.m. on ___.,3. Unchanged mild pulmonary vascular congestion.,Mild pulmonary vascular congestion,,Stable,['files/p16/p16855430/s52011718/9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9.jpg'],"['files/p16/p16855430/s50722926/16255d83-eb6bdfbf-29a7eead-2839d5b6-64580182.jpg\n', 'files/p16/p16855430/s50722926/993a79bc-949ed2da-d3a17e2a-9b3d065c-45e0f0bd.jpg\n']"
s52011718_19,p16855430,s52011718,19,Findings,A left PICC has been re-positioned with the tip now terminating in the left brachiocephalic vein. Replacement is recommended. There are persistent low lung volumes and increased opacification of the right lung base reflecting increased small bilateral pleural effusions and worsening atelectasis. Left basilar atelectasis is also increased. There is no pneumothorax. The pulmonary vasculature is mildly engorged without overt pulmonary edema. The cardiomediastinal silhouette remains mildly enlarged but stable. Tortuosity of the thoracic aorta and calcification of the aortic knob is again seen.,Left basilar atelectasis is also increased.,Atelectasis,left basilar,Worse,['files/p16/p16855430/s52011718/9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9.jpg'],"['files/p16/p16855430/s50722926/16255d83-eb6bdfbf-29a7eead-2839d5b6-64580182.jpg\n', 'files/p16/p16855430/s50722926/993a79bc-949ed2da-d3a17e2a-9b3d065c-45e0f0bd.jpg\n']"
s52020406_7,p19075045,s52020406,7,Findings,"Comparison is made to prior study from ___. The Swan-Ganz catheter, left-sided pacemaker, endotracheal tube, feeding tube and mediastinal wires are all unchanged in position. There is a confluent area of opacity in the left upper lobe which is stable. There is an increase in opacity at the right base, which may be due to developing infiltrate or atelectasis. There is an unchanged left retrocardiac area which may represent underlying infiltrate and/or pleural effusion. There is a left ventricular prominence. No pneumothoraces are present.","The Swan-Ganz catheter, left-sided pacemaker, endotracheal tube, feeding tube and mediastinal wires are all unchanged in position.","Swan-Ganz catheter, left-sided pacemaker, endotracheal tube, feeding tube, mediastinal wires",,Stable,['files/p19/p19075045/s52020406/7ab74669-cc831f4c-a2b5b2bd-b7212ec9-7b926c3d.jpg'],['files/p19/p19075045/s51863226/afdc6101-9180ad47-d33f6956-0417a220-bd8284be.jpg\n']
s52020406_7,p19075045,s52020406,7,Findings,"Comparison is made to prior study from ___. The Swan-Ganz catheter, left-sided pacemaker, endotracheal tube, feeding tube and mediastinal wires are all unchanged in position. There is a confluent area of opacity in the left upper lobe which is stable. There is an increase in opacity at the right base, which may be due to developing infiltrate or atelectasis. There is an unchanged left retrocardiac area which may represent underlying infiltrate and/or pleural effusion. There is a left ventricular prominence. No pneumothoraces are present.",There is a confluent area of opacity in the left upper lobe which is stable.,opacity,left upper lobe,Stable,['files/p19/p19075045/s52020406/7ab74669-cc831f4c-a2b5b2bd-b7212ec9-7b926c3d.jpg'],['files/p19/p19075045/s51863226/afdc6101-9180ad47-d33f6956-0417a220-bd8284be.jpg\n']
s52020406_7,p19075045,s52020406,7,Findings,"Comparison is made to prior study from ___. The Swan-Ganz catheter, left-sided pacemaker, endotracheal tube, feeding tube and mediastinal wires are all unchanged in position. There is a confluent area of opacity in the left upper lobe which is stable. There is an increase in opacity at the right base, which may be due to developing infiltrate or atelectasis. There is an unchanged left retrocardiac area which may represent underlying infiltrate and/or pleural effusion. There is a left ventricular prominence. No pneumothoraces are present.","There is an increase in opacity at the right base, which may be due to developing infiltrate or atelectasis.",opacity,right base,Worse,['files/p19/p19075045/s52020406/7ab74669-cc831f4c-a2b5b2bd-b7212ec9-7b926c3d.jpg'],['files/p19/p19075045/s51863226/afdc6101-9180ad47-d33f6956-0417a220-bd8284be.jpg\n']
s52020406_7,p19075045,s52020406,7,Findings,"Comparison is made to prior study from ___. The Swan-Ganz catheter, left-sided pacemaker, endotracheal tube, feeding tube and mediastinal wires are all unchanged in position. There is a confluent area of opacity in the left upper lobe which is stable. There is an increase in opacity at the right base, which may be due to developing infiltrate or atelectasis. There is an unchanged left retrocardiac area which may represent underlying infiltrate and/or pleural effusion. There is a left ventricular prominence. No pneumothoraces are present.",There is an unchanged left retrocardiac area which may represent underlying infiltrate and/or pleural effusion.,infiltrate and/or pleural effusion,left retrocardiac area,Stable,['files/p19/p19075045/s52020406/7ab74669-cc831f4c-a2b5b2bd-b7212ec9-7b926c3d.jpg'],['files/p19/p19075045/s51863226/afdc6101-9180ad47-d33f6956-0417a220-bd8284be.jpg\n']
s52020944_3,p11934114,s52020944,3,Findings,"Comparison is made to prior study from ___. There has been placement of nasogastric tube whose tip and side port are below the gastroesophageal junction appropriately sited. There are again seen large bilateral pleural effusions, right greater than left and a left retrocardiac opacity. These findings are stable.","There are again seen large bilateral pleural effusions, right greater than left and a left retrocardiac opacity.",pleural effusions,bilateral,Worse,['files/p11/p11934114/s52020944/df76c29b-3a305594-6510b7d9-7054ad7c-fb7278a0.jpg'],['files/p11/p11934114/s51328698/f9a68aca-c5a51654-80b6c990-e35e78ae-63dcc3b2.jpg\n']
s52020944_3,p11934114,s52020944,3,Findings,"Comparison is made to prior study from ___. There has been placement of nasogastric tube whose tip and side port are below the gastroesophageal junction appropriately sited. There are again seen large bilateral pleural effusions, right greater than left and a left retrocardiac opacity. These findings are stable.","There are again seen large bilateral pleural effusions, right greater than left and a left retrocardiac opacity.",retrocardiac opacity,left,Worse,['files/p11/p11934114/s52020944/df76c29b-3a305594-6510b7d9-7054ad7c-fb7278a0.jpg'],['files/p11/p11934114/s51328698/f9a68aca-c5a51654-80b6c990-e35e78ae-63dcc3b2.jpg\n']
s52020944_3,p11934114,s52020944,3,Findings,"Comparison is made to prior study from ___. There has been placement of nasogastric tube whose tip and side port are below the gastroesophageal junction appropriately sited. There are again seen large bilateral pleural effusions, right greater than left and a left retrocardiac opacity. These findings are stable.",These findings are stable.,findings,,Stable,['files/p11/p11934114/s52020944/df76c29b-3a305594-6510b7d9-7054ad7c-fb7278a0.jpg'],['files/p11/p11934114/s51328698/f9a68aca-c5a51654-80b6c990-e35e78ae-63dcc3b2.jpg\n']
s52022822_0,p13221453,s52022822,0,Findings,"Left transvenous pacemaker leads are in standard position. Top normal heart size, mediastinal and hilar contours are unchanged. New left internal jugular line ends at the mid SVC. Core- valve prosthesis is unchanged in position. Mild bibasilar atelectasis is unchanged. There are no new lung opacities which are concerning for pneumonia.","Top normal heart size, mediastinal and hilar contours are unchanged.",normal heart size,mediastinal and hilar contours,Stable,['files/p13/p13221453/s52022822/b9f6d23e-fa8de1ca-1144b6a0-d8b4fe4b-9c13592e.jpg'],
s52022822_0,p13221453,s52022822,0,Findings,"Left transvenous pacemaker leads are in standard position. Top normal heart size, mediastinal and hilar contours are unchanged. New left internal jugular line ends at the mid SVC. Core- valve prosthesis is unchanged in position. Mild bibasilar atelectasis is unchanged. There are no new lung opacities which are concerning for pneumonia.",New left internal jugular line ends at the mid SVC.,left internal jugular line,mid SVC,New,['files/p13/p13221453/s52022822/b9f6d23e-fa8de1ca-1144b6a0-d8b4fe4b-9c13592e.jpg'],
s52022822_0,p13221453,s52022822,0,Findings,"Left transvenous pacemaker leads are in standard position. Top normal heart size, mediastinal and hilar contours are unchanged. New left internal jugular line ends at the mid SVC. Core- valve prosthesis is unchanged in position. Mild bibasilar atelectasis is unchanged. There are no new lung opacities which are concerning for pneumonia.",Core-valve prosthesis is unchanged in position.,Core-valve prosthesis,position,Stable,['files/p13/p13221453/s52022822/b9f6d23e-fa8de1ca-1144b6a0-d8b4fe4b-9c13592e.jpg'],
s52022822_0,p13221453,s52022822,0,Findings,"Left transvenous pacemaker leads are in standard position. Top normal heart size, mediastinal and hilar contours are unchanged. New left internal jugular line ends at the mid SVC. Core- valve prosthesis is unchanged in position. Mild bibasilar atelectasis is unchanged. There are no new lung opacities which are concerning for pneumonia.",Mild bibasilar atelectasis is unchanged.,atelectasis,bibasilar,Stable,['files/p13/p13221453/s52022822/b9f6d23e-fa8de1ca-1144b6a0-d8b4fe4b-9c13592e.jpg'],
s52026509_6,p15612622,s52026509,6,Findings,"AP upright and lateral views of the chest were provided. There is a calcified nodule again seen projecting over the left mid lung as seen on prior CT. There is no focal consolidation, effusion or pneumothorax seen. The heart size is top normal. Mediastinal contour is stable. Tracheobronchial tree calcification is noted. Bony structures appear intact.",Mediastinal contour is stable.,contour,mediastinal,Stable,"['files/p15/p15612622/s52026509/8623cf71-596099ea-2245cb58-0c69238a-3a539886.jpg', 'files/p15/p15612622/s52026509/c84b7521-c75b5b52-ce5dc9c4-ec6fb779-a69ee6b1.jpg']","['files/p15/p15612622/s51711520/3457e40c-876244f2-a9b678c4-5af63665-49377d02.jpg\n', 'files/p15/p15612622/s51711520/9fc531b0-1d7cf4cc-5d546ca8-622147cf-ea7ac035.jpg\n']"
s52026509_6,p15612622,s52026509,6,Findings,"AP upright and lateral views of the chest were provided. There is a calcified nodule again seen projecting over the left mid lung as seen on prior CT. There is no focal consolidation, effusion or pneumothorax seen. The heart size is top normal. Mediastinal contour is stable. Tracheobronchial tree calcification is noted. Bony structures appear intact.",There is a calcified nodule again seen projecting over the left mid lung as seen on prior CT.,calcified nodule,left mid lung,Stable,"['files/p15/p15612622/s52026509/8623cf71-596099ea-2245cb58-0c69238a-3a539886.jpg', 'files/p15/p15612622/s52026509/c84b7521-c75b5b52-ce5dc9c4-ec6fb779-a69ee6b1.jpg']","['files/p15/p15612622/s51711520/3457e40c-876244f2-a9b678c4-5af63665-49377d02.jpg\n', 'files/p15/p15612622/s51711520/9fc531b0-1d7cf4cc-5d546ca8-622147cf-ea7ac035.jpg\n']"
s52030252_9,p15809646,s52030252,9,Findings,"As compared to the previous radiograph, the monitoring and support devices are in unchanged position. There are improved lung volumes, notably on the left, potentially reflecting increased ventilatory pressure. Currently, there is no overt pulmonary edema. Atelectatic changes are seen at both lung bases, right more than left, no new parenchymal opacities, unchanged moderate cardiomegaly with tortuosity of the thoracic aorta.","As compared to the previous radiograph, the monitoring and support devices are in unchanged position.",Monitoring and support devices,,Stable,"['files/p15/p15809646/s52030252/2921058d-a6fb076d-8bb4de0c-d43e5b8d-1e91708a.jpg', 'files/p15/p15809646/s52030252/bdbdde19-6dd4e8f3-1636aed1-04e54b76-0009a601.jpg']",
s52030252_9,p15809646,s52030252,9,Findings,"As compared to the previous radiograph, the monitoring and support devices are in unchanged position. There are improved lung volumes, notably on the left, potentially reflecting increased ventilatory pressure. Currently, there is no overt pulmonary edema. Atelectatic changes are seen at both lung bases, right more than left, no new parenchymal opacities, unchanged moderate cardiomegaly with tortuosity of the thoracic aorta.","There are improved lung volumes, notably on the left, potentially reflecting increased ventilatory pressure.",lung volumes,left,Better,"['files/p15/p15809646/s52030252/2921058d-a6fb076d-8bb4de0c-d43e5b8d-1e91708a.jpg', 'files/p15/p15809646/s52030252/bdbdde19-6dd4e8f3-1636aed1-04e54b76-0009a601.jpg']",
s52030252_9,p15809646,s52030252,9,Findings,"As compared to the previous radiograph, the monitoring and support devices are in unchanged position. There are improved lung volumes, notably on the left, potentially reflecting increased ventilatory pressure. Currently, there is no overt pulmonary edema. Atelectatic changes are seen at both lung bases, right more than left, no new parenchymal opacities, unchanged moderate cardiomegaly with tortuosity of the thoracic aorta.","Atelectatic changes are seen at both lung bases, right more than left, no new parenchymal opacities, unchanged moderate cardiomegaly with tortuosity of the thoracic aorta.",Atelectatic changes,both lung bases,Stable,"['files/p15/p15809646/s52030252/2921058d-a6fb076d-8bb4de0c-d43e5b8d-1e91708a.jpg', 'files/p15/p15809646/s52030252/bdbdde19-6dd4e8f3-1636aed1-04e54b76-0009a601.jpg']",
s52030252_9,p15809646,s52030252,9,Findings,"As compared to the previous radiograph, the monitoring and support devices are in unchanged position. There are improved lung volumes, notably on the left, potentially reflecting increased ventilatory pressure. Currently, there is no overt pulmonary edema. Atelectatic changes are seen at both lung bases, right more than left, no new parenchymal opacities, unchanged moderate cardiomegaly with tortuosity of the thoracic aorta.","Atelectatic changes are seen at both lung bases, right more than left, no new parenchymal opacities, unchanged moderate cardiomegaly with tortuosity of the thoracic aorta.",moderate cardiomegaly with tortuosity of the thoracic aorta,,Stable,"['files/p15/p15809646/s52030252/2921058d-a6fb076d-8bb4de0c-d43e5b8d-1e91708a.jpg', 'files/p15/p15809646/s52030252/bdbdde19-6dd4e8f3-1636aed1-04e54b76-0009a601.jpg']",
s52031993_1,p11607628,s52031993,1,Findings,"Comparison is made to the prior study from ___. The feeding tube, left IJ catheter and endotracheal tube are unchanged in position. There is persistent cardiomegaly. There is unchanged left retrocardiac opacity. There are no signs for overt pulmonary edema. There is a small right-sided pleural effusion as well. Overall, these findings are stable.",There is persistent cardiomegaly.,cardiomegaly,,Stable,['files/p11/p11607628/s52031993/c1016405-3f0dea97-b9f2b667-dcebc0d2-67732c57.jpg'],['files/p11/p11607628/s50790949/eaa862a2-6c57e3ea-bad4024a-564f7f14-d963c808.jpg\n']
s52031993_1,p11607628,s52031993,1,Findings,"Comparison is made to the prior study from ___. The feeding tube, left IJ catheter and endotracheal tube are unchanged in position. There is persistent cardiomegaly. There is unchanged left retrocardiac opacity. There are no signs for overt pulmonary edema. There is a small right-sided pleural effusion as well. Overall, these findings are stable.","The feeding tube, left IJ catheter and endotracheal tube are unchanged in position.",catheter,left IJ,Stable,['files/p11/p11607628/s52031993/c1016405-3f0dea97-b9f2b667-dcebc0d2-67732c57.jpg'],['files/p11/p11607628/s50790949/eaa862a2-6c57e3ea-bad4024a-564f7f14-d963c808.jpg\n']
s52031993_1,p11607628,s52031993,1,Findings,"Comparison is made to the prior study from ___. The feeding tube, left IJ catheter and endotracheal tube are unchanged in position. There is persistent cardiomegaly. There is unchanged left retrocardiac opacity. There are no signs for overt pulmonary edema. There is a small right-sided pleural effusion as well. Overall, these findings are stable.","The feeding tube, left IJ catheter and endotracheal tube are unchanged in position.",tube,feeding,Stable,['files/p11/p11607628/s52031993/c1016405-3f0dea97-b9f2b667-dcebc0d2-67732c57.jpg'],['files/p11/p11607628/s50790949/eaa862a2-6c57e3ea-bad4024a-564f7f14-d963c808.jpg\n']
s52031993_1,p11607628,s52031993,1,Findings,"Comparison is made to the prior study from ___. The feeding tube, left IJ catheter and endotracheal tube are unchanged in position. There is persistent cardiomegaly. There is unchanged left retrocardiac opacity. There are no signs for overt pulmonary edema. There is a small right-sided pleural effusion as well. Overall, these findings are stable.",There is unchanged left retrocardiac opacity.,opacity,left retrocardiac,Stable,['files/p11/p11607628/s52031993/c1016405-3f0dea97-b9f2b667-dcebc0d2-67732c57.jpg'],['files/p11/p11607628/s50790949/eaa862a2-6c57e3ea-bad4024a-564f7f14-d963c808.jpg\n']
s52031993_1,p11607628,s52031993,1,Findings,"Comparison is made to the prior study from ___. The feeding tube, left IJ catheter and endotracheal tube are unchanged in position. There is persistent cardiomegaly. There is unchanged left retrocardiac opacity. There are no signs for overt pulmonary edema. There is a small right-sided pleural effusion as well. Overall, these findings are stable.","The feeding tube, left IJ catheter and endotracheal tube are unchanged in position.",tube,endotracheal,Stable,['files/p11/p11607628/s52031993/c1016405-3f0dea97-b9f2b667-dcebc0d2-67732c57.jpg'],['files/p11/p11607628/s50790949/eaa862a2-6c57e3ea-bad4024a-564f7f14-d963c808.jpg\n']
s52033279_0,p19731864,s52033279,0,Findings,"Enlarged heart size is stable since ___. Mediastinal and hilar contours are unremarkable. Aorta is tortuous in course, unchanged in appearance. There are no lung opacities concerning for pulmonary edema/pneumonia. There is no pleural effusion.",Enlarged heart size is stable since ___,Enlarged heart size,,Stable,"['files/p19/p19731864/s52033279/43c2cead-8dce2aea-f81013c5-fc2fa446-d47bb9d1.jpg', 'files/p19/p19731864/s52033279/dc1a93ef-539208d4-97e94a0c-0081a869-6bf2996a.jpg']",
s52033279_0,p19731864,s52033279,0,Findings,"Enlarged heart size is stable since ___. Mediastinal and hilar contours are unremarkable. Aorta is tortuous in course, unchanged in appearance. There are no lung opacities concerning for pulmonary edema/pneumonia. There is no pleural effusion.","Aorta is tortuous in course, unchanged in appearance.",Tortuous aorta,,Stable,"['files/p19/p19731864/s52033279/43c2cead-8dce2aea-f81013c5-fc2fa446-d47bb9d1.jpg', 'files/p19/p19731864/s52033279/dc1a93ef-539208d4-97e94a0c-0081a869-6bf2996a.jpg']",
s52033279_0,p19731864,s52033279,0,Impression,"Moderately enlarged heart size, stable since ___. No findings concerning for pulmonary edema or pneumonia.","Moderately enlarged heart size, stable since ___",Moderately enlarged heart size,,Stable,"['files/p19/p19731864/s52033279/43c2cead-8dce2aea-f81013c5-fc2fa446-d47bb9d1.jpg', 'files/p19/p19731864/s52033279/dc1a93ef-539208d4-97e94a0c-0081a869-6bf2996a.jpg']",
s52034094_10,p14236258,s52034094,10,Findings,Frontal and lateral chest radiographs again demonstrate a vascular stent and surgical clips. Moderate to severe cardiomegaly is unchanged. There is no definite focal consolidation. Pleural and parenchymal scarring have been more fully evaluated by CTA of the chest of ___. A small right pleural effusion is seen. There is no appreciable pneumothorax. The visualized upper abdomen is unremarkable. Rightward deviation of the trachea is consistent with left lobe thyroid enlargement.,Moderate to severe cardiomegaly is unchanged.,Cardiomegaly,,Stable,"['files/p14/p14236258/s52034094/92c14d77-ecf00fa7-99e8dbe5-0a1591ae-be39eec7.jpg', 'files/p14/p14236258/s52034094/cb9dfd59-69a7a57f-254f4223-251e6a00-92e162bb.jpg']",['files/p14/p14236258/s51196890/0e94f694-f43b9926-aae6e13a-c3d97e2d-3a975b5b.jpg\n']
s52042427_10,p18855147,s52042427,10,Impression,"1. Right internal jugular dual-lumen catheter remains unchanged in position. The heart remains enlarged and the mediastinal contours are stable. There is coarsening of the interstitium. No evidence of pulmonary edema, focal airspace consolidation to suggest pneumonia. No large pneumothorax. There is deformity of the right lateral rib cage consistent with previous rib fractures. No acute bony abnormality is appreciated.",1. Right internal jugular dual-lumen catheter remains unchanged in position.,dual-lumen catheter,Right internal jugular,Stable,['files/p18/p18855147/s52042427/d8358039-56377194-16d2e4ae-7f54b999-53da73f7.jpg'],['files/p18/p18855147/s51493934/82fb374b-501cd085-de6db06c-337de2f5-3f5d1157.jpg\n']
s52042427_10,p18855147,s52042427,10,Impression,"1. Right internal jugular dual-lumen catheter remains unchanged in position. The heart remains enlarged and the mediastinal contours are stable. There is coarsening of the interstitium. No evidence of pulmonary edema, focal airspace consolidation to suggest pneumonia. No large pneumothorax. There is deformity of the right lateral rib cage consistent with previous rib fractures. No acute bony abnormality is appreciated.",The heart remains enlarged and the mediastinal contours are stable.,Enlargement,Heart,Stable,['files/p18/p18855147/s52042427/d8358039-56377194-16d2e4ae-7f54b999-53da73f7.jpg'],['files/p18/p18855147/s51493934/82fb374b-501cd085-de6db06c-337de2f5-3f5d1157.jpg\n']
s52042427_10,p18855147,s52042427,10,Impression,"1. Right internal jugular dual-lumen catheter remains unchanged in position. The heart remains enlarged and the mediastinal contours are stable. There is coarsening of the interstitium. No evidence of pulmonary edema, focal airspace consolidation to suggest pneumonia. No large pneumothorax. There is deformity of the right lateral rib cage consistent with previous rib fractures. No acute bony abnormality is appreciated.",The heart remains enlarged and the mediastinal contours are stable.,Stability,Mediastinal contours,Stable,['files/p18/p18855147/s52042427/d8358039-56377194-16d2e4ae-7f54b999-53da73f7.jpg'],['files/p18/p18855147/s51493934/82fb374b-501cd085-de6db06c-337de2f5-3f5d1157.jpg\n']
s52042427_10,p18855147,s52042427,10,Impression,"1. Right internal jugular dual-lumen catheter remains unchanged in position. The heart remains enlarged and the mediastinal contours are stable. There is coarsening of the interstitium. No evidence of pulmonary edema, focal airspace consolidation to suggest pneumonia. No large pneumothorax. There is deformity of the right lateral rib cage consistent with previous rib fractures. No acute bony abnormality is appreciated.",There is deformity of the right lateral rib cage consistent with previous rib fractures.,Deformity,Right lateral rib cage,Worse,['files/p18/p18855147/s52042427/d8358039-56377194-16d2e4ae-7f54b999-53da73f7.jpg'],['files/p18/p18855147/s51493934/82fb374b-501cd085-de6db06c-337de2f5-3f5d1157.jpg\n']
s52043785_3,p18517718,s52043785,3,Impression,1. Resolution of pulmonary edema. 2. Stable bibasilar atelectasis.,2. Stable bibasilar atelectasis.,atelectasis,bibasilar,Stable,"['files/p18/p18517718/s52043785/b466e0b4-a9b90f92-b156081c-9d20b8ce-f1b45f91.jpg', 'files/p18/p18517718/s52043785/cb101618-fcbfd3af-8a1c1df2-ed58ac80-04fe691d.jpg']",
s52043785_3,p18517718,s52043785,3,Findings,"The previously seen pulmonary edema has resolved. There is no edema, pneumonia, pleural effusion, or pneumothorax. Bibasilar atelectasis is unchanged, including atelectasis in the retrocardiac region. Elevation of the right hemidiaphragm is stable. The cardiomediastinal silhouette is normal. A feeding tube is seen in the stomach with the tip out of the field of view.",Elevation of the right hemidiaphragm is stable.,hemidiaphragm elevation,right,Stable,"['files/p18/p18517718/s52043785/b466e0b4-a9b90f92-b156081c-9d20b8ce-f1b45f91.jpg', 'files/p18/p18517718/s52043785/cb101618-fcbfd3af-8a1c1df2-ed58ac80-04fe691d.jpg']",
s52043785_3,p18517718,s52043785,3,Findings,"The previously seen pulmonary edema has resolved. There is no edema, pneumonia, pleural effusion, or pneumothorax. Bibasilar atelectasis is unchanged, including atelectasis in the retrocardiac region. Elevation of the right hemidiaphragm is stable. The cardiomediastinal silhouette is normal. A feeding tube is seen in the stomach with the tip out of the field of view.",The previously seen pulmonary edema has resolved.,pulmonary edema,,Resolve,"['files/p18/p18517718/s52043785/b466e0b4-a9b90f92-b156081c-9d20b8ce-f1b45f91.jpg', 'files/p18/p18517718/s52043785/cb101618-fcbfd3af-8a1c1df2-ed58ac80-04fe691d.jpg']",
s52043785_3,p18517718,s52043785,3,Findings,"The previously seen pulmonary edema has resolved. There is no edema, pneumonia, pleural effusion, or pneumothorax. Bibasilar atelectasis is unchanged, including atelectasis in the retrocardiac region. Elevation of the right hemidiaphragm is stable. The cardiomediastinal silhouette is normal. A feeding tube is seen in the stomach with the tip out of the field of view.","Bibasilar atelectasis is unchanged, including atelectasis in the retrocardiac region.",atelectasis,bibasilar and retrocardiac,Stable,"['files/p18/p18517718/s52043785/b466e0b4-a9b90f92-b156081c-9d20b8ce-f1b45f91.jpg', 'files/p18/p18517718/s52043785/cb101618-fcbfd3af-8a1c1df2-ed58ac80-04fe691d.jpg']",
s52043785_3,p18517718,s52043785,3,Impression,1. Resolution of pulmonary edema. 2. Stable bibasilar atelectasis.,1. Resolution of pulmonary edema.,pulmonary edema,,Resolve,"['files/p18/p18517718/s52043785/b466e0b4-a9b90f92-b156081c-9d20b8ce-f1b45f91.jpg', 'files/p18/p18517718/s52043785/cb101618-fcbfd3af-8a1c1df2-ed58ac80-04fe691d.jpg']",
s52056685_7,p11052273,s52056685,7,Impression,"In comparison with the study of ___, there is again some enlargement of the cardiac silhouette without definite vascular congestion, pleural effusion, or acute focal pneumonia.","In comparison with the study of ___, there is again some enlargement of the cardiac silhouette without definite vascular congestion, pleural effusion, or acute focal pneumonia.",Cardiac silhouette enlargement,,Worse,['files/p11/p11052273/s52056685/833353ab-ca676eba-dc9127a5-675bc9a1-79e5737d.jpg'],
s52056700_2,p18929056,s52056700,2,Findings,"As compared to the previous radiograph, the known right lower lobe pneumonia is minimally more extensive on today's image. There could be an associated minimal right pleural effusion. No abnormalities in the left lung. Persistent overinflation and resulting large lung volumes. Moderate cardiomegaly with tortuosity of the thoracic aorta. Unchanged left pectoral pacemaker.",Unchanged left pectoral pacemaker.,pacemaker,left pectoral,Stable,"['files/p18/p18929056/s52056700/c79cfde2-a2096710-1c80abd7-773c8658-b7393891.jpg', 'files/p18/p18929056/s52056700/de140675-ed4e6db5-111e6c9c-427ebbe7-7e83e354.jpg']","['files/p18/p18929056/s50442960/ef02f416-70219126-6c3d8fbf-807c73fc-d7bd31a6.jpg\n', 'files/p18/p18929056/s50442960/fd73ca27-fa455e40-09f7266f-4c65fadf-ab34350d.jpg\n']"
s52056700_2,p18929056,s52056700,2,Findings,"As compared to the previous radiograph, the known right lower lobe pneumonia is minimally more extensive on today's image. There could be an associated minimal right pleural effusion. No abnormalities in the left lung. Persistent overinflation and resulting large lung volumes. Moderate cardiomegaly with tortuosity of the thoracic aorta. Unchanged left pectoral pacemaker.",Persistent overinflation and resulting large lung volumes.,overinflation,lungs,Stable,"['files/p18/p18929056/s52056700/c79cfde2-a2096710-1c80abd7-773c8658-b7393891.jpg', 'files/p18/p18929056/s52056700/de140675-ed4e6db5-111e6c9c-427ebbe7-7e83e354.jpg']","['files/p18/p18929056/s50442960/ef02f416-70219126-6c3d8fbf-807c73fc-d7bd31a6.jpg\n', 'files/p18/p18929056/s50442960/fd73ca27-fa455e40-09f7266f-4c65fadf-ab34350d.jpg\n']"
s52056700_2,p18929056,s52056700,2,Findings,"As compared to the previous radiograph, the known right lower lobe pneumonia is minimally more extensive on today's image. There could be an associated minimal right pleural effusion. No abnormalities in the left lung. Persistent overinflation and resulting large lung volumes. Moderate cardiomegaly with tortuosity of the thoracic aorta. Unchanged left pectoral pacemaker.","As compared to the previous radiograph, the known right lower lobe pneumonia is minimally more extensive on today's image.",pneumonia,right lower lobe,Worse,"['files/p18/p18929056/s52056700/c79cfde2-a2096710-1c80abd7-773c8658-b7393891.jpg', 'files/p18/p18929056/s52056700/de140675-ed4e6db5-111e6c9c-427ebbe7-7e83e354.jpg']","['files/p18/p18929056/s50442960/ef02f416-70219126-6c3d8fbf-807c73fc-d7bd31a6.jpg\n', 'files/p18/p18929056/s50442960/fd73ca27-fa455e40-09f7266f-4c65fadf-ab34350d.jpg\n']"
s52057634_5,p15857729,s52057634,5,Findings,2 views of the chest. Right PICC has been removed. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal mediastinal contours.,Right PICC has been removed.,PICC,Right,Resolve,"['files/p15/p15857729/s52057634/0d200bb3-f8564775-b6f65f57-a21dd9b7-d25d90ff.jpg', 'files/p15/p15857729/s52057634/d01b1c8a-5e5fa2ea-a11bdb6b-851bbf73-ce6e2ce8.jpg']","['files/p15/p15857729/s51551684/5cfc2922-68cd176a-e182b4c8-e74dd44c-0ea44344.jpg\n', 'files/p15/p15857729/s51551684/8dc7bad7-d7cdbfe7-7231abb5-65e3168d-12e734c2.jpg\n']"
s52062711_6,p12433421,s52062711,6,Impression,"1) Small-to-moderate left effusion, less pronounced than on ___, with underlying volume loss. Underlying consolidation cannot be excluded. 2) Small-to-moderate right effusion. Convex appearance raises the question of loculated fluid. Please see comment.","1) Small-to-moderate left effusion, less pronounced than on ___, with underlying volume loss.",pleural effusion,left,Better,"['files/p12/p12433421/s52062711/5938dc8c-6914ab03-cb2b6ff3-957fb03f-04f24b21.jpg', 'files/p12/p12433421/s52062711/fa5c2c86-57b8cf58-5048f948-41c9b32d-4f1a00c1.jpg']",['files/p12/p12433421/s51301343/c84df635-43b1c5bd-cbd8fd29-e41b2428-dae6a1b9.jpg\n']
s52062769_0,p15272972,s52062769,0,Impression,"Persistent pleural effusions, with resolving pulmonary edema.","Persistent pleural effusions, with resolving pulmonary edema.",pleural effusions,,Stable,['files/p15/p15272972/s52062769/78de0f59-b436260e-9d46d449-56c7de3b-ff3655cd.jpg'],
s52062769_0,p15272972,s52062769,0,Findings,"Right IJ line extends into the mid SVC. Median sternotomy wires are in unchanged alignment. There are small bilateral pleural effusions, greater on the left, which are little changed. However, vascular congestion and pulmonary edema has decreased. Hilar and cardiomediastinal contours are unchanged. No pneumothorax or new opacity to suggest pneumonia.",Hilar and cardiomediastinal contours are unchanged.,Hilar and cardiomediastinal contours,,Stable,['files/p15/p15272972/s52062769/78de0f59-b436260e-9d46d449-56c7de3b-ff3655cd.jpg'],
s52062769_0,p15272972,s52062769,0,Findings,"Right IJ line extends into the mid SVC. Median sternotomy wires are in unchanged alignment. There are small bilateral pleural effusions, greater on the left, which are little changed. However, vascular congestion and pulmonary edema has decreased. Hilar and cardiomediastinal contours are unchanged. No pneumothorax or new opacity to suggest pneumonia.","However, vascular congestion and pulmonary edema has decreased.",vascular congestion and pulmonary edema,,Better,['files/p15/p15272972/s52062769/78de0f59-b436260e-9d46d449-56c7de3b-ff3655cd.jpg'],
s52062769_0,p15272972,s52062769,0,Impression,"Persistent pleural effusions, with resolving pulmonary edema.","Persistent pleural effusions, with resolving pulmonary edema.",pulmonary edema,,Better,['files/p15/p15272972/s52062769/78de0f59-b436260e-9d46d449-56c7de3b-ff3655cd.jpg'],
s52062769_0,p15272972,s52062769,0,Findings,"Right IJ line extends into the mid SVC. Median sternotomy wires are in unchanged alignment. There are small bilateral pleural effusions, greater on the left, which are little changed. However, vascular congestion and pulmonary edema has decreased. Hilar and cardiomediastinal contours are unchanged. No pneumothorax or new opacity to suggest pneumonia.","There are small bilateral pleural effusions, greater on the left, which are little changed.",pleural effusions,bilateral,Stable,['files/p15/p15272972/s52062769/78de0f59-b436260e-9d46d449-56c7de3b-ff3655cd.jpg'],
s52062769_0,p15272972,s52062769,0,Findings,"Right IJ line extends into the mid SVC. Median sternotomy wires are in unchanged alignment. There are small bilateral pleural effusions, greater on the left, which are little changed. However, vascular congestion and pulmonary edema has decreased. Hilar and cardiomediastinal contours are unchanged. No pneumothorax or new opacity to suggest pneumonia.",Median sternotomy wires are in unchanged alignment.,sternotomy wires,Median,Stable,['files/p15/p15272972/s52062769/78de0f59-b436260e-9d46d449-56c7de3b-ff3655cd.jpg'],
s52062934_37,p15131736,s52062934,37,Impression,"ET tube tip is 5.5 cm above the carinal. NG tube tip is in the stomach. Cardiomegaly is substantial. Vascular enlargement is severe with border lining interstitial pulmonary edema, unchanged. Bilateral pleural effusions are most likely present.","Vascular enlargement is severe with border lining interstitial pulmonary edema, unchanged.",pulmonary edema,border lining interstitial,Stable,"['files/p15/p15131736/s52062934/35e30660-e55a42f7-f970c995-78f9a85a-e257c8cc.jpg', 'files/p15/p15131736/s52062934/f014bbdd-d959187e-caba9ce3-18da1106-ed34d3bc.jpg']","['files/p15/p15131736/s51943302/1ea0d122-9ef34e51-ee2bbb71-1cb23417-70894090.jpg\n', 'files/p15/p15131736/s51943302/312fff58-774c36da-dcef46b3-9256ea6d-7f4495b3.jpg\n']"
s52063347_1,p13263843,s52063347,1,Findings,"Single AP portable frontal view of the chest was obtained. Again seen is asymmetry and volume loss and opacification of the right hemithorax. Postoperative changes of the right hemithorax are noted. Right hemithorax opacification again likely represents combination of radiation changes and volume loss. Given differences in patient position, there appears to be slight decrease in the opacification of the right lung. The left lung is clear aside from mild left base atelectasis. Cardiac silhouette is not enlarged. Mediastinal contours are similar to slightly less prominent as compared to the prior study. Hilar contours are similar in appearance.",Again seen is asymmetry and volume loss and opacification of the right hemithorax.,"asymmetry, volume loss, opacification",right hemithorax,Stable,"['files/p13/p13263843/s52063347/20172e51-d3a94675-99ca4ec6-310892fd-fa5de5b1.jpg', 'files/p13/p13263843/s52063347/5ccae337-76cb9270-b53361d2-c2b200e6-7d3b4079.jpg', 'files/p13/p13263843/s52063347/9aaaaf2a-75b77833-5da35513-6c289824-edd9e84c.jpg']","['files/p13/p13263843/s51947296/92d470e7-32490114-834a55ac-2baa551a-40bfb365.jpg\n', 'files/p13/p13263843/s51947296/db88eb68-e1d41137-79817ffd-807dc26a-b8170dc4.jpg\n']"
s52063347_1,p13263843,s52063347,1,Findings,"Single AP portable frontal view of the chest was obtained. Again seen is asymmetry and volume loss and opacification of the right hemithorax. Postoperative changes of the right hemithorax are noted. Right hemithorax opacification again likely represents combination of radiation changes and volume loss. Given differences in patient position, there appears to be slight decrease in the opacification of the right lung. The left lung is clear aside from mild left base atelectasis. Cardiac silhouette is not enlarged. Mediastinal contours are similar to slightly less prominent as compared to the prior study. Hilar contours are similar in appearance.",Right hemithorax opacification again likely represents combination of radiation changes and volume loss.,opacification,right hemithorax,Stable,"['files/p13/p13263843/s52063347/20172e51-d3a94675-99ca4ec6-310892fd-fa5de5b1.jpg', 'files/p13/p13263843/s52063347/5ccae337-76cb9270-b53361d2-c2b200e6-7d3b4079.jpg', 'files/p13/p13263843/s52063347/9aaaaf2a-75b77833-5da35513-6c289824-edd9e84c.jpg']","['files/p13/p13263843/s51947296/92d470e7-32490114-834a55ac-2baa551a-40bfb365.jpg\n', 'files/p13/p13263843/s51947296/db88eb68-e1d41137-79817ffd-807dc26a-b8170dc4.jpg\n']"
s52063347_1,p13263843,s52063347,1,Findings,"Single AP portable frontal view of the chest was obtained. Again seen is asymmetry and volume loss and opacification of the right hemithorax. Postoperative changes of the right hemithorax are noted. Right hemithorax opacification again likely represents combination of radiation changes and volume loss. Given differences in patient position, there appears to be slight decrease in the opacification of the right lung. The left lung is clear aside from mild left base atelectasis. Cardiac silhouette is not enlarged. Mediastinal contours are similar to slightly less prominent as compared to the prior study. Hilar contours are similar in appearance.","Given differences in patient position, there appears to be slight decrease in the opacification of the right lung.",opacification,right lung,Better,"['files/p13/p13263843/s52063347/20172e51-d3a94675-99ca4ec6-310892fd-fa5de5b1.jpg', 'files/p13/p13263843/s52063347/5ccae337-76cb9270-b53361d2-c2b200e6-7d3b4079.jpg', 'files/p13/p13263843/s52063347/9aaaaf2a-75b77833-5da35513-6c289824-edd9e84c.jpg']","['files/p13/p13263843/s51947296/92d470e7-32490114-834a55ac-2baa551a-40bfb365.jpg\n', 'files/p13/p13263843/s51947296/db88eb68-e1d41137-79817ffd-807dc26a-b8170dc4.jpg\n']"
s52063347_1,p13263843,s52063347,1,Findings,"Single AP portable frontal view of the chest was obtained. Again seen is asymmetry and volume loss and opacification of the right hemithorax. Postoperative changes of the right hemithorax are noted. Right hemithorax opacification again likely represents combination of radiation changes and volume loss. Given differences in patient position, there appears to be slight decrease in the opacification of the right lung. The left lung is clear aside from mild left base atelectasis. Cardiac silhouette is not enlarged. Mediastinal contours are similar to slightly less prominent as compared to the prior study. Hilar contours are similar in appearance.",Mediastinal contours are similar to slightly less prominent as compared to the prior study.,,mediastinal contours,Stable,"['files/p13/p13263843/s52063347/20172e51-d3a94675-99ca4ec6-310892fd-fa5de5b1.jpg', 'files/p13/p13263843/s52063347/5ccae337-76cb9270-b53361d2-c2b200e6-7d3b4079.jpg', 'files/p13/p13263843/s52063347/9aaaaf2a-75b77833-5da35513-6c289824-edd9e84c.jpg']","['files/p13/p13263843/s51947296/92d470e7-32490114-834a55ac-2baa551a-40bfb365.jpg\n', 'files/p13/p13263843/s51947296/db88eb68-e1d41137-79817ffd-807dc26a-b8170dc4.jpg\n']"
s52063347_1,p13263843,s52063347,1,Findings,"Single AP portable frontal view of the chest was obtained. Again seen is asymmetry and volume loss and opacification of the right hemithorax. Postoperative changes of the right hemithorax are noted. Right hemithorax opacification again likely represents combination of radiation changes and volume loss. Given differences in patient position, there appears to be slight decrease in the opacification of the right lung. The left lung is clear aside from mild left base atelectasis. Cardiac silhouette is not enlarged. Mediastinal contours are similar to slightly less prominent as compared to the prior study. Hilar contours are similar in appearance.",Hilar contours are similar in appearance.,,hilar contours,Stable,"['files/p13/p13263843/s52063347/20172e51-d3a94675-99ca4ec6-310892fd-fa5de5b1.jpg', 'files/p13/p13263843/s52063347/5ccae337-76cb9270-b53361d2-c2b200e6-7d3b4079.jpg', 'files/p13/p13263843/s52063347/9aaaaf2a-75b77833-5da35513-6c289824-edd9e84c.jpg']","['files/p13/p13263843/s51947296/92d470e7-32490114-834a55ac-2baa551a-40bfb365.jpg\n', 'files/p13/p13263843/s51947296/db88eb68-e1d41137-79817ffd-807dc26a-b8170dc4.jpg\n']"
s52064406_6,p19640059,s52064406,6,Findings,"Evaluation is limited by head positioning, which obscures the lung apices. Within this limitation, there is little change in left upper lung opacity. Low lung volumes and reticular opacities at the lung bases are unchanged and consistent with stated history of IPF. The cardiomediastinal silhouette is stable. There is no pneumothorax.",The cardiomediastinal silhouette is stable.,silhouette,cardiomediastinal,Stable,['files/p19/p19640059/s52064406/a5a826d6-195c67e7-9c1b8449-48bc396a-87fae5fc.jpg'],['files/p19/p19640059/s51405069/ea31a60a-8b3a6164-d9aa1d4e-40c5556a-d7aa68d9.jpg\n']
s52064406_6,p19640059,s52064406,6,Findings,"Evaluation is limited by head positioning, which obscures the lung apices. Within this limitation, there is little change in left upper lung opacity. Low lung volumes and reticular opacities at the lung bases are unchanged and consistent with stated history of IPF. The cardiomediastinal silhouette is stable. There is no pneumothorax.",Low lung volumes and reticular opacities at the lung bases are unchanged and consistent with stated history of IPF.,reticular opacities,lung bases,Stable,['files/p19/p19640059/s52064406/a5a826d6-195c67e7-9c1b8449-48bc396a-87fae5fc.jpg'],['files/p19/p19640059/s51405069/ea31a60a-8b3a6164-d9aa1d4e-40c5556a-d7aa68d9.jpg\n']
s52064406_6,p19640059,s52064406,6,Findings,"Evaluation is limited by head positioning, which obscures the lung apices. Within this limitation, there is little change in left upper lung opacity. Low lung volumes and reticular opacities at the lung bases are unchanged and consistent with stated history of IPF. The cardiomediastinal silhouette is stable. There is no pneumothorax.","Within this limitation, there is little change in left upper lung opacity.",opacity,left upper lung,Stable,['files/p19/p19640059/s52064406/a5a826d6-195c67e7-9c1b8449-48bc396a-87fae5fc.jpg'],['files/p19/p19640059/s51405069/ea31a60a-8b3a6164-d9aa1d4e-40c5556a-d7aa68d9.jpg\n']
s52064406_6,p19640059,s52064406,6,Impression,No change in left upper lung opacity or findings related to IPF.,No change in left upper lung opacity or findings related to IPF.,opacity,left upper lung,Stable,['files/p19/p19640059/s52064406/a5a826d6-195c67e7-9c1b8449-48bc396a-87fae5fc.jpg'],['files/p19/p19640059/s51405069/ea31a60a-8b3a6164-d9aa1d4e-40c5556a-d7aa68d9.jpg\n']
s52070116_33,p14841168,s52070116,33,Impression,"In comparison to prior radiograph of 1 day earlier, there has been improved aeration at both lung bases. No other relevant change since recent study.","In comparison to prior radiograph of 1 day earlier, there has been improved aeration at both lung bases.",aeration,both lung bases,Better,['files/p14/p14841168/s52070116/93545eeb-752a09e2-3a5afc63-bbdfdacf-0161e920.jpg'],"['files/p14/p14841168/s51958195/51e18346-5f7ff119-83d3df75-7e02b902-3044cf3d.jpg\n', 'files/p14/p14841168/s51958195/e098de1a-7399b454-7d99f39c-193c0665-82223533.jpg\n']"
s52073913_2,p13964474,s52073913,2,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. There is unchanged evidence of the known massive irritated right lung process. Slightly progressive opacifications in the periphery of the left lung. Unchanged size of the cardiac silhouette.",Unchanged size of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p13/p13964474/s52073913/0cffed1b-3516a67c-ea383eec-75212689-2620504f.jpg'],['files/p13/p13964474/s51994168/6417dbb4-5d20a66b-bc8a091b-85f4b83f-4543f0a8.jpg\n']
s52073913_2,p13964474,s52073913,2,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. There is unchanged evidence of the known massive irritated right lung process. Slightly progressive opacifications in the periphery of the left lung. Unchanged size of the cardiac silhouette.","As compared to the previous radiograph, the monitoring and support devices are unchanged.",monitoring and support devices,,Stable,['files/p13/p13964474/s52073913/0cffed1b-3516a67c-ea383eec-75212689-2620504f.jpg'],['files/p13/p13964474/s51994168/6417dbb4-5d20a66b-bc8a091b-85f4b83f-4543f0a8.jpg\n']
s52073913_2,p13964474,s52073913,2,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. There is unchanged evidence of the known massive irritated right lung process. Slightly progressive opacifications in the periphery of the left lung. Unchanged size of the cardiac silhouette.",Slightly progressive opacifications in the periphery of the left lung.,opacifications,periphery of the left lung,Worse,['files/p13/p13964474/s52073913/0cffed1b-3516a67c-ea383eec-75212689-2620504f.jpg'],['files/p13/p13964474/s51994168/6417dbb4-5d20a66b-bc8a091b-85f4b83f-4543f0a8.jpg\n']
s52073913_2,p13964474,s52073913,2,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. There is unchanged evidence of the known massive irritated right lung process. Slightly progressive opacifications in the periphery of the left lung. Unchanged size of the cardiac silhouette.",There is unchanged evidence of the known massive irritated right lung process.,massive irritated process,right lung,Stable,['files/p13/p13964474/s52073913/0cffed1b-3516a67c-ea383eec-75212689-2620504f.jpg'],['files/p13/p13964474/s51994168/6417dbb4-5d20a66b-bc8a091b-85f4b83f-4543f0a8.jpg\n']
s52076561_1,p12595991,s52076561,1,Findings,"Single frontal view of the chest demonstrates a left pectoral pacer/AICD with leads terminating in the right atrium, right ventricle, and coronary sinus. There has been interval removal of a right PICC. Prominent cardiac silhouette is unchanged. The mediastinal and hilar contours are unremarkable. Aortic arch calcifications are redemonstrated. The lungs are clear.",There has been interval removal of a right PICC.,PICC,right,Resolve,['files/p12/p12595991/s52076561/bd31fe67-ad4d5454-2cfd7c09-13c04383-d38297ac.jpg'],['files/p12/p12595991/s51615087/29f643b7-e5408002-2f731ee3-cb5b8634-0d438145.jpg\n']
s52076561_1,p12595991,s52076561,1,Findings,"Single frontal view of the chest demonstrates a left pectoral pacer/AICD with leads terminating in the right atrium, right ventricle, and coronary sinus. There has been interval removal of a right PICC. Prominent cardiac silhouette is unchanged. The mediastinal and hilar contours are unremarkable. Aortic arch calcifications are redemonstrated. The lungs are clear.",Aortic arch calcifications are redemonstrated.,calcifications,aortic arch,Stable,['files/p12/p12595991/s52076561/bd31fe67-ad4d5454-2cfd7c09-13c04383-d38297ac.jpg'],['files/p12/p12595991/s51615087/29f643b7-e5408002-2f731ee3-cb5b8634-0d438145.jpg\n']
s52076561_1,p12595991,s52076561,1,Findings,"Single frontal view of the chest demonstrates a left pectoral pacer/AICD with leads terminating in the right atrium, right ventricle, and coronary sinus. There has been interval removal of a right PICC. Prominent cardiac silhouette is unchanged. The mediastinal and hilar contours are unremarkable. Aortic arch calcifications are redemonstrated. The lungs are clear.",Prominent cardiac silhouette is unchanged.,cardiac silhouette,,Stable,['files/p12/p12595991/s52076561/bd31fe67-ad4d5454-2cfd7c09-13c04383-d38297ac.jpg'],['files/p12/p12595991/s51615087/29f643b7-e5408002-2f731ee3-cb5b8634-0d438145.jpg\n']
s52077543_3,p17147859,s52077543,3,Findings,There are relatively low lung volumes. No definite focal consolidation is seen. Mid lung atelectasis/scarring is again seen. Mild cardiomegaly is again seen. Mediastinal contours are unremarkable. No pleural effusion or pneumothorax is seen.,Mild cardiomegaly is again seen.,Mild cardiomegaly,,Stable,"['files/p17/p17147859/s52077543/b6ce62d8-12124de8-769cb0d0-07e96bef-ca38036d.jpg', 'files/p17/p17147859/s52077543/b763b37f-bcd8f18b-d2041837-3b2722d1-f6f3013a.jpg']","['files/p17/p17147859/s50242373/3ceaa65b-850c135e-da080f5d-e28c2bc7-a9dea924.jpg\n', 'files/p17/p17147859/s50242373/60df340a-31a5266d-2f3912a7-3758a59c-9a5baa79.jpg\n']"
s52077543_3,p17147859,s52077543,3,Findings,There are relatively low lung volumes. No definite focal consolidation is seen. Mid lung atelectasis/scarring is again seen. Mild cardiomegaly is again seen. Mediastinal contours are unremarkable. No pleural effusion or pneumothorax is seen.,Mid lung atelectasis/scarring is again seen.,atelectasis/scarring,mid lung,Stable,"['files/p17/p17147859/s52077543/b6ce62d8-12124de8-769cb0d0-07e96bef-ca38036d.jpg', 'files/p17/p17147859/s52077543/b763b37f-bcd8f18b-d2041837-3b2722d1-f6f3013a.jpg']","['files/p17/p17147859/s50242373/3ceaa65b-850c135e-da080f5d-e28c2bc7-a9dea924.jpg\n', 'files/p17/p17147859/s50242373/60df340a-31a5266d-2f3912a7-3758a59c-9a5baa79.jpg\n']"
s52078894_0,p14312560,s52078894,0,Findings,Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. Mild elevation of the right hemidiaphragm persists. There is persistent right base atelectasis. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.,Mild elevation of the right hemidiaphragm persists.,elevation,right hemidiaphragm,Stable,"['files/p14/p14312560/s52078894/cfc2ef1b-a194024a-6147d0d3-6d42379a-575c395f.jpg', 'files/p14/p14312560/s52078894/ef44cff6-c00bc7fa-7a405dea-28717c25-1b5e3ac6.jpg']",['files/p14/p14312560/s50617748/513c2a6c-c081efd7-5d2b0a10-5ae31d2c-1664a879.jpg\n']
s52078894_0,p14312560,s52078894,0,Findings,Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. Mild elevation of the right hemidiaphragm persists. There is persistent right base atelectasis. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.,There is persistent right base atelectasis.,atelectasis,right base,Stable,"['files/p14/p14312560/s52078894/cfc2ef1b-a194024a-6147d0d3-6d42379a-575c395f.jpg', 'files/p14/p14312560/s52078894/ef44cff6-c00bc7fa-7a405dea-28717c25-1b5e3ac6.jpg']",['files/p14/p14312560/s50617748/513c2a6c-c081efd7-5d2b0a10-5ae31d2c-1664a879.jpg\n']
s52079096_15,p11204646,s52079096,15,Findings,"As compared to the previous radiograph, there is no change in position of the monitoring and support devices. Unchanged volume loss at the right lung base. Unchanged disruption of the right bronchial air column, suggesting mucoid impaction. Unchanged borderline size of the cardiac silhouette. No pneumothorax. No pulmonary edema. No evidence of pneumonia.","Unchanged disruption of the right bronchial air column, suggesting mucoid impaction.",disruption,right bronchial air column,Stable,['files/p11/p11204646/s52079096/3ed3a641-a4156d57-ea055912-baebd6d1-30ae3af9.jpg'],"['files/p11/p11204646/s51866834/87c43c95-278ced86-fb0beb94-95ff11a9-8e8a8c3f.jpg\n', 'files/p11/p11204646/s51866834/ae0ca9f1-a6aa65c0-b8754692-be29d5b4-8ce0e6ff.jpg\n']"
s52079096_15,p11204646,s52079096,15,Findings,"As compared to the previous radiograph, there is no change in position of the monitoring and support devices. Unchanged volume loss at the right lung base. Unchanged disruption of the right bronchial air column, suggesting mucoid impaction. Unchanged borderline size of the cardiac silhouette. No pneumothorax. No pulmonary edema. No evidence of pneumonia.",Unchanged volume loss at the right lung base.,volume loss,right lung base,Stable,['files/p11/p11204646/s52079096/3ed3a641-a4156d57-ea055912-baebd6d1-30ae3af9.jpg'],"['files/p11/p11204646/s51866834/87c43c95-278ced86-fb0beb94-95ff11a9-8e8a8c3f.jpg\n', 'files/p11/p11204646/s51866834/ae0ca9f1-a6aa65c0-b8754692-be29d5b4-8ce0e6ff.jpg\n']"
s52079096_15,p11204646,s52079096,15,Findings,"As compared to the previous radiograph, there is no change in position of the monitoring and support devices. Unchanged volume loss at the right lung base. Unchanged disruption of the right bronchial air column, suggesting mucoid impaction. Unchanged borderline size of the cardiac silhouette. No pneumothorax. No pulmonary edema. No evidence of pneumonia.","As compared to the previous radiograph, there is no change in position of the monitoring and support devices.",position of the monitoring and support devices,,Stable,['files/p11/p11204646/s52079096/3ed3a641-a4156d57-ea055912-baebd6d1-30ae3af9.jpg'],"['files/p11/p11204646/s51866834/87c43c95-278ced86-fb0beb94-95ff11a9-8e8a8c3f.jpg\n', 'files/p11/p11204646/s51866834/ae0ca9f1-a6aa65c0-b8754692-be29d5b4-8ce0e6ff.jpg\n']"
s52079096_15,p11204646,s52079096,15,Findings,"As compared to the previous radiograph, there is no change in position of the monitoring and support devices. Unchanged volume loss at the right lung base. Unchanged disruption of the right bronchial air column, suggesting mucoid impaction. Unchanged borderline size of the cardiac silhouette. No pneumothorax. No pulmonary edema. No evidence of pneumonia.",Unchanged borderline size of the cardiac silhouette.,borderline size of the cardiac silhouette,,Stable,['files/p11/p11204646/s52079096/3ed3a641-a4156d57-ea055912-baebd6d1-30ae3af9.jpg'],"['files/p11/p11204646/s51866834/87c43c95-278ced86-fb0beb94-95ff11a9-8e8a8c3f.jpg\n', 'files/p11/p11204646/s51866834/ae0ca9f1-a6aa65c0-b8754692-be29d5b4-8ce0e6ff.jpg\n']"
s52085657_3,p12963531,s52085657,3,Impression,"AP chest compared to ___: Mild pulmonary edema has improved, severe cardiomegaly has not. Mediastinal veins are not particularly dilated. There is no large pleural effusion. Dialysis catheter ends in the right atrium. No pneumothorax.","AP chest compared to ___: Mild pulmonary edema has improved, severe cardiomegaly has not.",mild pulmonary edema,,Better,['files/p12/p12963531/s52085657/f983cdd1-c3d0de12-3db3f665-cdadb3af-3ffd4c47.jpg'],"['files/p12/p12963531/s50827294/2f367971-fd362569-13656215-c6b98024-ea2cf207.jpg\n', 'files/p12/p12963531/s50827294/ddd9741c-9e15a25a-d4b08e32-9ee083c4-b7671def.jpg\n']"
s52085657_3,p12963531,s52085657,3,Impression,"AP chest compared to ___: Mild pulmonary edema has improved, severe cardiomegaly has not. Mediastinal veins are not particularly dilated. There is no large pleural effusion. Dialysis catheter ends in the right atrium. No pneumothorax.","AP chest compared to ___: Mild pulmonary edema has improved, severe cardiomegaly has not.",severe cardiomegaly,,Stable,['files/p12/p12963531/s52085657/f983cdd1-c3d0de12-3db3f665-cdadb3af-3ffd4c47.jpg'],"['files/p12/p12963531/s50827294/2f367971-fd362569-13656215-c6b98024-ea2cf207.jpg\n', 'files/p12/p12963531/s50827294/ddd9741c-9e15a25a-d4b08e32-9ee083c4-b7671def.jpg\n']"
s52095390_5,p16622813,s52095390,5,Impression,"1. The right costophrenic angle is not entirely included on the study. The lungs appear hyperinflated suggesting underlying emphysema. There are multiple post-surgical changes on the right side, and there is prominent bilateral pulmonary arteries suggestive of pulmonary arterial hypertension. No focal airspace consolidation is appreciated to suggest pneumonia. No pneumothorax is seen. No pleural effusions. Overall, cardiac contour is stable and within normal limits. No pulmonary edema.","Overall, cardiac contour is stable and within normal limits.",cardiac contour,Overall,Stable,"['files/p16/p16622813/s52095390/099c25fb-f6a4a9b0-7ee9e6b8-3bf0eba9-4a09366d.jpg', 'files/p16/p16622813/s52095390/4b7e5ec9-570eaeb8-e3635770-7b17f75f-bb2a3e77.jpg', 'files/p16/p16622813/s52095390/5a90d178-7f241e16-96da79bd-735b668f-1f777ca8.jpg']",['files/p16/p16622813/s50921860/066a59e3-316782a3-2d4238bc-d5354678-1ec6dcd9.jpg\n']
s52110166_35,p16508811,s52110166,35,Findings,"AP upright and lateral views of the chest provided.There is diffuse pulmonary edema which is moderate in extent. Compare to prior, appearance is more compatible with pulmonary edema then a pneumonia. Cardiomediastinal silhouette is stably prominent. Hila remain congested. Trace pleural fluid outlines the fissures.",Hila remain congested.,Hila congestion,,Stable,"['files/p16/p16508811/s52110166/13ef3d0a-59bd5ec5-714aa150-ad2c6c44-c8e32115.jpg', 'files/p16/p16508811/s52110166/3c683456-9107fcf5-4722c784-358a526d-54f47984.jpg']",['files/p16/p16508811/s51985577/92104a74-78d6ae95-2b62a235-6f522a7c-13202ce0.jpg\n']
s52110166_35,p16508811,s52110166,35,Impression,"Moderate pulmonary edema, stable cardiomegaly, trace pleural fluid.","Moderate pulmonary edema, stable cardiomegaly, trace pleural fluid.",Cardiomegaly,,Stable,"['files/p16/p16508811/s52110166/13ef3d0a-59bd5ec5-714aa150-ad2c6c44-c8e32115.jpg', 'files/p16/p16508811/s52110166/3c683456-9107fcf5-4722c784-358a526d-54f47984.jpg']",['files/p16/p16508811/s51985577/92104a74-78d6ae95-2b62a235-6f522a7c-13202ce0.jpg\n']
s52110166_35,p16508811,s52110166,35,Findings,"AP upright and lateral views of the chest provided.There is diffuse pulmonary edema which is moderate in extent. Compare to prior, appearance is more compatible with pulmonary edema then a pneumonia. Cardiomediastinal silhouette is stably prominent. Hila remain congested. Trace pleural fluid outlines the fissures.",Cardiomediastinal silhouette is stably prominent.,Cardiomediastinal silhouette,,Stable,"['files/p16/p16508811/s52110166/13ef3d0a-59bd5ec5-714aa150-ad2c6c44-c8e32115.jpg', 'files/p16/p16508811/s52110166/3c683456-9107fcf5-4722c784-358a526d-54f47984.jpg']",['files/p16/p16508811/s51985577/92104a74-78d6ae95-2b62a235-6f522a7c-13202ce0.jpg\n']
s52110166_35,p16508811,s52110166,35,Findings,"AP upright and lateral views of the chest provided.There is diffuse pulmonary edema which is moderate in extent. Compare to prior, appearance is more compatible with pulmonary edema then a pneumonia. Cardiomediastinal silhouette is stably prominent. Hila remain congested. Trace pleural fluid outlines the fissures.","Compare to prior, appearance is more compatible with pulmonary edema then a pneumonia.",Pulmonary edema,,Worse,"['files/p16/p16508811/s52110166/13ef3d0a-59bd5ec5-714aa150-ad2c6c44-c8e32115.jpg', 'files/p16/p16508811/s52110166/3c683456-9107fcf5-4722c784-358a526d-54f47984.jpg']",['files/p16/p16508811/s51985577/92104a74-78d6ae95-2b62a235-6f522a7c-13202ce0.jpg\n']
s52110487_13,p16855430,s52110487,13,Findings,"PA and lateral views of the chest were obtained. As compared to the prior study performed ___, the lung volumes have increased which probably reflects better inspiration. There is unchanged moderate cardiomegaly with an unchanged left pleural effusion and left lower lobe atelectasis. The opacities on the right persist, and the vascular diameters have decreased but have still not returned to normal. There is no pneumothorax. The bones and soft tissues are unremarkable.","As compared to the prior study performed ___, the lung volumes have increased which probably reflects better inspiration.",lung volumes,,Better,"['files/p16/p16855430/s52110487/16d25586-c7ca5d57-d25ac386-16c24f70-adba1791.jpg', 'files/p16/p16855430/s52110487/a5deb13b-23c3db0d-1ad0a84a-91791d1e-05a8aaa7.jpg']",['files/p16/p16855430/s52011718/9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9.jpg\n']
s52110487_13,p16855430,s52110487,13,Impression,"Compared to the ___ study, there has been mild improvement but not complete resolution of the pre-existing pulmonary edema, left pleural effusion with atelectasis, and cardiomegaly.","Compared to the ___ study, there has been mild improvement but not complete resolution of the pre-existing pulmonary edema, left pleural effusion with atelectasis, and cardiomegaly.",pulmonary edema,,Better,"['files/p16/p16855430/s52110487/16d25586-c7ca5d57-d25ac386-16c24f70-adba1791.jpg', 'files/p16/p16855430/s52110487/a5deb13b-23c3db0d-1ad0a84a-91791d1e-05a8aaa7.jpg']",['files/p16/p16855430/s52011718/9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9.jpg\n']
s52110487_13,p16855430,s52110487,13,Impression,"Compared to the ___ study, there has been mild improvement but not complete resolution of the pre-existing pulmonary edema, left pleural effusion with atelectasis, and cardiomegaly.","Compared to the ___ study, there has been mild improvement but not complete resolution of the pre-existing pulmonary edema, left pleural effusion with atelectasis, and cardiomegaly.",pleural effusion,left,Better,"['files/p16/p16855430/s52110487/16d25586-c7ca5d57-d25ac386-16c24f70-adba1791.jpg', 'files/p16/p16855430/s52110487/a5deb13b-23c3db0d-1ad0a84a-91791d1e-05a8aaa7.jpg']",['files/p16/p16855430/s52011718/9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9.jpg\n']
s52110487_13,p16855430,s52110487,13,Impression,"Compared to the ___ study, there has been mild improvement but not complete resolution of the pre-existing pulmonary edema, left pleural effusion with atelectasis, and cardiomegaly.","Compared to the ___ study, there has been mild improvement but not complete resolution of the pre-existing pulmonary edema, left pleural effusion with atelectasis, and cardiomegaly.",atelectasis,left,Better,"['files/p16/p16855430/s52110487/16d25586-c7ca5d57-d25ac386-16c24f70-adba1791.jpg', 'files/p16/p16855430/s52110487/a5deb13b-23c3db0d-1ad0a84a-91791d1e-05a8aaa7.jpg']",['files/p16/p16855430/s52011718/9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9.jpg\n']
s52110487_13,p16855430,s52110487,13,Impression,"Compared to the ___ study, there has been mild improvement but not complete resolution of the pre-existing pulmonary edema, left pleural effusion with atelectasis, and cardiomegaly.","Compared to the ___ study, there has been mild improvement but not complete resolution of the pre-existing pulmonary edema, left pleural effusion with atelectasis, and cardiomegaly.",cardiomegaly,,Better,"['files/p16/p16855430/s52110487/16d25586-c7ca5d57-d25ac386-16c24f70-adba1791.jpg', 'files/p16/p16855430/s52110487/a5deb13b-23c3db0d-1ad0a84a-91791d1e-05a8aaa7.jpg']",['files/p16/p16855430/s52011718/9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9.jpg\n']
s52110487_13,p16855430,s52110487,13,Findings,"PA and lateral views of the chest were obtained. As compared to the prior study performed ___, the lung volumes have increased which probably reflects better inspiration. There is unchanged moderate cardiomegaly with an unchanged left pleural effusion and left lower lobe atelectasis. The opacities on the right persist, and the vascular diameters have decreased but have still not returned to normal. There is no pneumothorax. The bones and soft tissues are unremarkable.",There is unchanged moderate cardiomegaly with an unchanged left pleural effusion and left lower lobe atelectasis.,moderate cardiomegaly,,Stable,"['files/p16/p16855430/s52110487/16d25586-c7ca5d57-d25ac386-16c24f70-adba1791.jpg', 'files/p16/p16855430/s52110487/a5deb13b-23c3db0d-1ad0a84a-91791d1e-05a8aaa7.jpg']",['files/p16/p16855430/s52011718/9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9.jpg\n']
s52110487_13,p16855430,s52110487,13,Findings,"PA and lateral views of the chest were obtained. As compared to the prior study performed ___, the lung volumes have increased which probably reflects better inspiration. There is unchanged moderate cardiomegaly with an unchanged left pleural effusion and left lower lobe atelectasis. The opacities on the right persist, and the vascular diameters have decreased but have still not returned to normal. There is no pneumothorax. The bones and soft tissues are unremarkable.","The opacities on the right persist, and the vascular diameters have decreased but have still not returned to normal.",vascular diameters,,Better,"['files/p16/p16855430/s52110487/16d25586-c7ca5d57-d25ac386-16c24f70-adba1791.jpg', 'files/p16/p16855430/s52110487/a5deb13b-23c3db0d-1ad0a84a-91791d1e-05a8aaa7.jpg']",['files/p16/p16855430/s52011718/9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9.jpg\n']
s52110487_13,p16855430,s52110487,13,Findings,"PA and lateral views of the chest were obtained. As compared to the prior study performed ___, the lung volumes have increased which probably reflects better inspiration. There is unchanged moderate cardiomegaly with an unchanged left pleural effusion and left lower lobe atelectasis. The opacities on the right persist, and the vascular diameters have decreased but have still not returned to normal. There is no pneumothorax. The bones and soft tissues are unremarkable.",There is unchanged moderate cardiomegaly with an unchanged left pleural effusion and left lower lobe atelectasis.,pleural effusion,left,Stable,"['files/p16/p16855430/s52110487/16d25586-c7ca5d57-d25ac386-16c24f70-adba1791.jpg', 'files/p16/p16855430/s52110487/a5deb13b-23c3db0d-1ad0a84a-91791d1e-05a8aaa7.jpg']",['files/p16/p16855430/s52011718/9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9.jpg\n']
s52110487_13,p16855430,s52110487,13,Findings,"PA and lateral views of the chest were obtained. As compared to the prior study performed ___, the lung volumes have increased which probably reflects better inspiration. There is unchanged moderate cardiomegaly with an unchanged left pleural effusion and left lower lobe atelectasis. The opacities on the right persist, and the vascular diameters have decreased but have still not returned to normal. There is no pneumothorax. The bones and soft tissues are unremarkable.",There is unchanged moderate cardiomegaly with an unchanged left pleural effusion and left lower lobe atelectasis.,atelectasis,left lower lobe,Stable,"['files/p16/p16855430/s52110487/16d25586-c7ca5d57-d25ac386-16c24f70-adba1791.jpg', 'files/p16/p16855430/s52110487/a5deb13b-23c3db0d-1ad0a84a-91791d1e-05a8aaa7.jpg']",['files/p16/p16855430/s52011718/9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9.jpg\n']
s52110487_13,p16855430,s52110487,13,Findings,"PA and lateral views of the chest were obtained. As compared to the prior study performed ___, the lung volumes have increased which probably reflects better inspiration. There is unchanged moderate cardiomegaly with an unchanged left pleural effusion and left lower lobe atelectasis. The opacities on the right persist, and the vascular diameters have decreased but have still not returned to normal. There is no pneumothorax. The bones and soft tissues are unremarkable.","The opacities on the right persist, and the vascular diameters have decreased but have still not returned to normal.",opacities,right,Worse,"['files/p16/p16855430/s52110487/16d25586-c7ca5d57-d25ac386-16c24f70-adba1791.jpg', 'files/p16/p16855430/s52110487/a5deb13b-23c3db0d-1ad0a84a-91791d1e-05a8aaa7.jpg']",['files/p16/p16855430/s52011718/9a29ce3a-c06e22b5-44f5cc18-85e115b8-cbc710d9.jpg\n']
s52110747_2,p14556809,s52110747,2,Findings,"As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects 3 cm above the carina. A left pectoral pacemaker is in unchanged position. In the interval, lung volumes have substantially decreased, there are signs indicative of mild-to-moderate pulmonary edema and atelectasis at both lung bases. No evidence of pneumonia. Short-term followup with chest radiographs is required.","In the interval, lung volumes have substantially decreased, there are signs indicative of mild-to-moderate pulmonary edema and atelectasis at both lung bases.",atelectasis,both lung bases,New,['files/p14/p14556809/s52110747/2c2536da-bc7670f1-2bbb98a2-e03017cc-87c616ee.jpg'],"['files/p14/p14556809/s50432000/7a75be73-77ed1349-e974ef60-e017dcfa-5be7d3fa.jpg\n', 'files/p14/p14556809/s50432000/df15edc0-6b4fce10-50e4beb8-40b31531-05dc3b49.jpg\n']"
s52110747_2,p14556809,s52110747,2,Findings,"As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects 3 cm above the carina. A left pectoral pacemaker is in unchanged position. In the interval, lung volumes have substantially decreased, there are signs indicative of mild-to-moderate pulmonary edema and atelectasis at both lung bases. No evidence of pneumonia. Short-term followup with chest radiographs is required.",A left pectoral pacemaker is in unchanged position.,pacemaker,left pectoral,Stable,['files/p14/p14556809/s52110747/2c2536da-bc7670f1-2bbb98a2-e03017cc-87c616ee.jpg'],"['files/p14/p14556809/s50432000/7a75be73-77ed1349-e974ef60-e017dcfa-5be7d3fa.jpg\n', 'files/p14/p14556809/s50432000/df15edc0-6b4fce10-50e4beb8-40b31531-05dc3b49.jpg\n']"
s52110747_2,p14556809,s52110747,2,Findings,"As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects 3 cm above the carina. A left pectoral pacemaker is in unchanged position. In the interval, lung volumes have substantially decreased, there are signs indicative of mild-to-moderate pulmonary edema and atelectasis at both lung bases. No evidence of pneumonia. Short-term followup with chest radiographs is required.","In the interval, lung volumes have substantially decreased, there are signs indicative of mild-to-moderate pulmonary edema and atelectasis at both lung bases.",lung volumes,both lung bases,Worse,['files/p14/p14556809/s52110747/2c2536da-bc7670f1-2bbb98a2-e03017cc-87c616ee.jpg'],"['files/p14/p14556809/s50432000/7a75be73-77ed1349-e974ef60-e017dcfa-5be7d3fa.jpg\n', 'files/p14/p14556809/s50432000/df15edc0-6b4fce10-50e4beb8-40b31531-05dc3b49.jpg\n']"
s52110747_2,p14556809,s52110747,2,Findings,"As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects 3 cm above the carina. A left pectoral pacemaker is in unchanged position. In the interval, lung volumes have substantially decreased, there are signs indicative of mild-to-moderate pulmonary edema and atelectasis at both lung bases. No evidence of pneumonia. Short-term followup with chest radiographs is required.","In the interval, lung volumes have substantially decreased, there are signs indicative of mild-to-moderate pulmonary edema and atelectasis at both lung bases.",pulmonary edema,both lung bases,New,['files/p14/p14556809/s52110747/2c2536da-bc7670f1-2bbb98a2-e03017cc-87c616ee.jpg'],"['files/p14/p14556809/s50432000/7a75be73-77ed1349-e974ef60-e017dcfa-5be7d3fa.jpg\n', 'files/p14/p14556809/s50432000/df15edc0-6b4fce10-50e4beb8-40b31531-05dc3b49.jpg\n']"
s52117264_19,p15114531,s52117264,19,Findings,"Frontal and lateral views of the chest. Right PICC is seen with tip best delineated on the lateral view within the lower SVC. Retrocardiac opacity persists but is improved since exam ___ days prior. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Surgical clips project over the left upper quadrant. Cervical fixation hardware is identified.",Retrocardiac opacity persists but is improved since exam ___ days prior.,opacity,retrocardiac,Better,"['files/p15/p15114531/s52117264/18fa01c7-38307c4a-1dd8c7be-5e380391-098fa83f.jpg', 'files/p15/p15114531/s52117264/78abcbc7-6b5aa7c5-013f4e3b-2fd7d3b6-6a5986ee.jpg']","['files/p15/p15114531/s52114176/076a4be2-5c874ed2-8924ba25-a91078bf-433b46a2.jpg\n', 'files/p15/p15114531/s52114176/63b80213-438bb6c2-4d070fea-92d5e59e-87611ef8.jpg\n']"
s52117264_19,p15114531,s52117264,19,Impression,Resolving left lower lobe opacity compared to exam from four days prior. Right PICC tip in the distal SVC.,Resolving left lower lobe opacity compared to exam from four days prior.,opacity,left lower lobe,Resolve,"['files/p15/p15114531/s52117264/18fa01c7-38307c4a-1dd8c7be-5e380391-098fa83f.jpg', 'files/p15/p15114531/s52117264/78abcbc7-6b5aa7c5-013f4e3b-2fd7d3b6-6a5986ee.jpg']","['files/p15/p15114531/s52114176/076a4be2-5c874ed2-8924ba25-a91078bf-433b46a2.jpg\n', 'files/p15/p15114531/s52114176/63b80213-438bb6c2-4d070fea-92d5e59e-87611ef8.jpg\n']"
s52124829_21,p14295224,s52124829,21,Impression,"Previous pneumonia resolved since ___. No evidence of current infection. Emphysema. Small right pleural effusion or pleural scarring, clinically insignificant.",Previous pneumonia resolved since ___.,pneumonia,,Resolve,"['files/p14/p14295224/s52124829/8a6b0550-8fa3b54b-4703a676-db84baf7-e4fe2d48.jpg', 'files/p14/p14295224/s52124829/b5564bca-94e03bff-a5bd29e1-970f6aae-fc494e6a.jpg']","['files/p14/p14295224/s51954230/65dcdea0-f39be5c6-c97cef2b-387508f2-173ba1cf.jpg\n', 'files/p14/p14295224/s51954230/d162120b-8bfaf7bf-a5c9e4c5-ab6b8617-14987b73.jpg\n']"
s52124829_21,p14295224,s52124829,21,Findings,"SINCE ___, multifocal pneumonia has resolved and there is no new consolidation or other evidence of active intrathoracic infection. Persistent blunting of the right posterior pleural sulcus could be due to scarring or a small chronic pleural effusion. The heart is no longer mildly enlarged and the neo esophagus, after esophagectomy, is no longer distended. Mild pulmonary hyperinflation reflects emphysema. Healed fractures of the posterior right sixth and seventh ribs should not be mistaken for a lung or pleural lesion.","SINCE ___, multifocal pneumonia has resolved and there is no new consolidation or other evidence of active intrathoracic infection.",pneumonia,multifocal,Resolve,"['files/p14/p14295224/s52124829/8a6b0550-8fa3b54b-4703a676-db84baf7-e4fe2d48.jpg', 'files/p14/p14295224/s52124829/b5564bca-94e03bff-a5bd29e1-970f6aae-fc494e6a.jpg']","['files/p14/p14295224/s51954230/65dcdea0-f39be5c6-c97cef2b-387508f2-173ba1cf.jpg\n', 'files/p14/p14295224/s51954230/d162120b-8bfaf7bf-a5c9e4c5-ab6b8617-14987b73.jpg\n']"
s52124829_21,p14295224,s52124829,21,Findings,"SINCE ___, multifocal pneumonia has resolved and there is no new consolidation or other evidence of active intrathoracic infection. Persistent blunting of the right posterior pleural sulcus could be due to scarring or a small chronic pleural effusion. The heart is no longer mildly enlarged and the neo esophagus, after esophagectomy, is no longer distended. Mild pulmonary hyperinflation reflects emphysema. Healed fractures of the posterior right sixth and seventh ribs should not be mistaken for a lung or pleural lesion.",Persistent blunting of the right posterior pleural sulcus could be due to scarring or a small chronic pleural effusion.,small chronic pleural effusion or scarring,right posterior pleural sulcus,Stable,"['files/p14/p14295224/s52124829/8a6b0550-8fa3b54b-4703a676-db84baf7-e4fe2d48.jpg', 'files/p14/p14295224/s52124829/b5564bca-94e03bff-a5bd29e1-970f6aae-fc494e6a.jpg']","['files/p14/p14295224/s51954230/65dcdea0-f39be5c6-c97cef2b-387508f2-173ba1cf.jpg\n', 'files/p14/p14295224/s51954230/d162120b-8bfaf7bf-a5c9e4c5-ab6b8617-14987b73.jpg\n']"
s52129079_5,p19075045,s52129079,5,Findings,"There has been interval improved appearance of the lungs with more well- defined vasculature and decreased left effusion. However, there continues to be a dense left upper lobe infiltrate. It is unclear how much of this is due to volume loss/retained secretions or if there could be an underlying infectious infiltrate. There continue to be patchy areas of alveolar edema; however, the overall appearance of the lungs is markedly improved compared to the study from the prior day. The supporting devices, lines and tubes appear similar compared to prior.",There has been interval improved appearance of the lungs with more well-defined vasculature and decreased left effusion.,effusion,left,Better,['files/p19/p19075045/s52129079/cbb5ad98-f607de54-6bb0cb49-b19365ae-791d9d25.jpg'],"['files/p19/p19075045/s52124955/9bab7ab6-407741bf-d7d5d23f-a1cec867-27325400.jpg\n', 'files/p19/p19075045/s52124955/e4637e44-954f1e34-c192309a-8bd10df3-436e5570.jpg\n', 'files/p19/p19075045/s52124955/f2623666-d215e0db-d9e21905-b5e17801-8f754dd9.jpg\n']"
s52129079_5,p19075045,s52129079,5,Findings,"There has been interval improved appearance of the lungs with more well- defined vasculature and decreased left effusion. However, there continues to be a dense left upper lobe infiltrate. It is unclear how much of this is due to volume loss/retained secretions or if there could be an underlying infectious infiltrate. There continue to be patchy areas of alveolar edema; however, the overall appearance of the lungs is markedly improved compared to the study from the prior day. The supporting devices, lines and tubes appear similar compared to prior.","The supporting devices, lines and tubes appear similar compared to prior.","supporting devices, lines and tubes",,Stable,['files/p19/p19075045/s52129079/cbb5ad98-f607de54-6bb0cb49-b19365ae-791d9d25.jpg'],"['files/p19/p19075045/s52124955/9bab7ab6-407741bf-d7d5d23f-a1cec867-27325400.jpg\n', 'files/p19/p19075045/s52124955/e4637e44-954f1e34-c192309a-8bd10df3-436e5570.jpg\n', 'files/p19/p19075045/s52124955/f2623666-d215e0db-d9e21905-b5e17801-8f754dd9.jpg\n']"
s52129079_5,p19075045,s52129079,5,Findings,"There has been interval improved appearance of the lungs with more well- defined vasculature and decreased left effusion. However, there continues to be a dense left upper lobe infiltrate. It is unclear how much of this is due to volume loss/retained secretions or if there could be an underlying infectious infiltrate. There continue to be patchy areas of alveolar edema; however, the overall appearance of the lungs is markedly improved compared to the study from the prior day. The supporting devices, lines and tubes appear similar compared to prior.","There continue to be patchy areas of alveolar edema; however, the overall appearance of the lungs is markedly improved compared to the study from the prior day.",alveolar edema,general,Better,['files/p19/p19075045/s52129079/cbb5ad98-f607de54-6bb0cb49-b19365ae-791d9d25.jpg'],"['files/p19/p19075045/s52124955/9bab7ab6-407741bf-d7d5d23f-a1cec867-27325400.jpg\n', 'files/p19/p19075045/s52124955/e4637e44-954f1e34-c192309a-8bd10df3-436e5570.jpg\n', 'files/p19/p19075045/s52124955/f2623666-d215e0db-d9e21905-b5e17801-8f754dd9.jpg\n']"
s52130325_6,p13031876,s52130325,6,Findings,"As compared to the previous radiograph, the Dobbhoff tube was pulled back. The course of the tube is now unremarkable. The tip of the tube projects over the middle parts of the stomach. There is no evidence of complications, notably no pneumothorax. In the interval, the pre-existing PICC line malpositioned in the right axillary vein is still unchanged The signs indicative of fluid overload have minimally decreased, no newly appeared focal parenchymal opacities.","The signs indicative of fluid overload have minimally decreased, no newly appeared focal parenchymal opacities.",fluid overload,unknown,Better,['files/p13/p13031876/s52130325/aa2e2a96-6ab4170e-539eb20c-0b4b2fc8-ee2502ad.jpg'],['files/p13/p13031876/s52075994/13f765a9-102224ff-2f70f012-43cbb0b5-05acd962.jpg\n']
s52130325_6,p13031876,s52130325,6,Findings,"As compared to the previous radiograph, the Dobbhoff tube was pulled back. The course of the tube is now unremarkable. The tip of the tube projects over the middle parts of the stomach. There is no evidence of complications, notably no pneumothorax. In the interval, the pre-existing PICC line malpositioned in the right axillary vein is still unchanged The signs indicative of fluid overload have minimally decreased, no newly appeared focal parenchymal opacities.","In the interval, the pre-existing PICC line malpositioned in the right axillary vein is still unchanged",PICC line,right axillary vein,Stable,['files/p13/p13031876/s52130325/aa2e2a96-6ab4170e-539eb20c-0b4b2fc8-ee2502ad.jpg'],['files/p13/p13031876/s52075994/13f765a9-102224ff-2f70f012-43cbb0b5-05acd962.jpg\n']
s52130325_6,p13031876,s52130325,6,Findings,"As compared to the previous radiograph, the Dobbhoff tube was pulled back. The course of the tube is now unremarkable. The tip of the tube projects over the middle parts of the stomach. There is no evidence of complications, notably no pneumothorax. In the interval, the pre-existing PICC line malpositioned in the right axillary vein is still unchanged The signs indicative of fluid overload have minimally decreased, no newly appeared focal parenchymal opacities.","As compared to the previous radiograph, the Dobbhoff tube was pulled back.",Dobbhoff tube,unknown,Worse,['files/p13/p13031876/s52130325/aa2e2a96-6ab4170e-539eb20c-0b4b2fc8-ee2502ad.jpg'],['files/p13/p13031876/s52075994/13f765a9-102224ff-2f70f012-43cbb0b5-05acd962.jpg\n']
s52138943_18,p13263843,s52138943,18,Findings,AP single view of the chest has been obtained in this patient with semi-upright position. Analysis is performed in direct comparison with the next preceding portable chest examination of ___. Status post right upper lobectomy unchanged. Cardiac enlargement as before may have even increased slightly. On previous examination identified small caliber pigtail end catheter in the right lateral pleural sinus is still present. The amount of pleural fluid density has increased mildly. No pneumothorax has developed. Overall increased hazy appearance of the lung bases coinciding with perivascular haze in the pulmonary vessels is suggestive of increased CHF in this patient. No new discrete local parenchymal infiltrates suggestive of pneumonia are identified.,Overall increased hazy appearance of the lung bases coinciding with perivascular haze in the pulmonary vessels is suggestive of increased CHF in this patient.,hazy appearance,lung bases,Worse,['files/p13/p13263843/s52138943/de739d0b-2345495b-255f0e3b-00ccbf4c-ab4d3400.jpg'],"['files/p13/p13263843/s52063347/20172e51-d3a94675-99ca4ec6-310892fd-fa5de5b1.jpg\n', 'files/p13/p13263843/s52063347/5ccae337-76cb9270-b53361d2-c2b200e6-7d3b4079.jpg\n', 'files/p13/p13263843/s52063347/9aaaaf2a-75b77833-5da35513-6c289824-edd9e84c.jpg\n']"
s52138943_18,p13263843,s52138943,18,Findings,AP single view of the chest has been obtained in this patient with semi-upright position. Analysis is performed in direct comparison with the next preceding portable chest examination of ___. Status post right upper lobectomy unchanged. Cardiac enlargement as before may have even increased slightly. On previous examination identified small caliber pigtail end catheter in the right lateral pleural sinus is still present. The amount of pleural fluid density has increased mildly. No pneumothorax has developed. Overall increased hazy appearance of the lung bases coinciding with perivascular haze in the pulmonary vessels is suggestive of increased CHF in this patient. No new discrete local parenchymal infiltrates suggestive of pneumonia are identified.,Overall increased hazy appearance of the lung bases coinciding with perivascular haze in the pulmonary vessels is suggestive of increased CHF in this patient.,perivascular haze,pulmonary vessels,Worse,['files/p13/p13263843/s52138943/de739d0b-2345495b-255f0e3b-00ccbf4c-ab4d3400.jpg'],"['files/p13/p13263843/s52063347/20172e51-d3a94675-99ca4ec6-310892fd-fa5de5b1.jpg\n', 'files/p13/p13263843/s52063347/5ccae337-76cb9270-b53361d2-c2b200e6-7d3b4079.jpg\n', 'files/p13/p13263843/s52063347/9aaaaf2a-75b77833-5da35513-6c289824-edd9e84c.jpg\n']"
s52138943_18,p13263843,s52138943,18,Findings,AP single view of the chest has been obtained in this patient with semi-upright position. Analysis is performed in direct comparison with the next preceding portable chest examination of ___. Status post right upper lobectomy unchanged. Cardiac enlargement as before may have even increased slightly. On previous examination identified small caliber pigtail end catheter in the right lateral pleural sinus is still present. The amount of pleural fluid density has increased mildly. No pneumothorax has developed. Overall increased hazy appearance of the lung bases coinciding with perivascular haze in the pulmonary vessels is suggestive of increased CHF in this patient. No new discrete local parenchymal infiltrates suggestive of pneumonia are identified.,The amount of pleural fluid density has increased mildly.,fluid density,pleural,Worse,['files/p13/p13263843/s52138943/de739d0b-2345495b-255f0e3b-00ccbf4c-ab4d3400.jpg'],"['files/p13/p13263843/s52063347/20172e51-d3a94675-99ca4ec6-310892fd-fa5de5b1.jpg\n', 'files/p13/p13263843/s52063347/5ccae337-76cb9270-b53361d2-c2b200e6-7d3b4079.jpg\n', 'files/p13/p13263843/s52063347/9aaaaf2a-75b77833-5da35513-6c289824-edd9e84c.jpg\n']"
s52138943_18,p13263843,s52138943,18,Findings,AP single view of the chest has been obtained in this patient with semi-upright position. Analysis is performed in direct comparison with the next preceding portable chest examination of ___. Status post right upper lobectomy unchanged. Cardiac enlargement as before may have even increased slightly. On previous examination identified small caliber pigtail end catheter in the right lateral pleural sinus is still present. The amount of pleural fluid density has increased mildly. No pneumothorax has developed. Overall increased hazy appearance of the lung bases coinciding with perivascular haze in the pulmonary vessels is suggestive of increased CHF in this patient. No new discrete local parenchymal infiltrates suggestive of pneumonia are identified.,Cardiac enlargement as before may have even increased slightly.,enlargement,Cardiac,Worse,['files/p13/p13263843/s52138943/de739d0b-2345495b-255f0e3b-00ccbf4c-ab4d3400.jpg'],"['files/p13/p13263843/s52063347/20172e51-d3a94675-99ca4ec6-310892fd-fa5de5b1.jpg\n', 'files/p13/p13263843/s52063347/5ccae337-76cb9270-b53361d2-c2b200e6-7d3b4079.jpg\n', 'files/p13/p13263843/s52063347/9aaaaf2a-75b77833-5da35513-6c289824-edd9e84c.jpg\n']"
s52138943_18,p13263843,s52138943,18,Findings,AP single view of the chest has been obtained in this patient with semi-upright position. Analysis is performed in direct comparison with the next preceding portable chest examination of ___. Status post right upper lobectomy unchanged. Cardiac enlargement as before may have even increased slightly. On previous examination identified small caliber pigtail end catheter in the right lateral pleural sinus is still present. The amount of pleural fluid density has increased mildly. No pneumothorax has developed. Overall increased hazy appearance of the lung bases coinciding with perivascular haze in the pulmonary vessels is suggestive of increased CHF in this patient. No new discrete local parenchymal infiltrates suggestive of pneumonia are identified.,On previous examination identified small caliber pigtail end catheter in the right lateral pleural sinus is still present.,small caliber pigtail end catheter,right lateral pleural sinus,Stable,['files/p13/p13263843/s52138943/de739d0b-2345495b-255f0e3b-00ccbf4c-ab4d3400.jpg'],"['files/p13/p13263843/s52063347/20172e51-d3a94675-99ca4ec6-310892fd-fa5de5b1.jpg\n', 'files/p13/p13263843/s52063347/5ccae337-76cb9270-b53361d2-c2b200e6-7d3b4079.jpg\n', 'files/p13/p13263843/s52063347/9aaaaf2a-75b77833-5da35513-6c289824-edd9e84c.jpg\n']"
s52138943_18,p13263843,s52138943,18,Findings,AP single view of the chest has been obtained in this patient with semi-upright position. Analysis is performed in direct comparison with the next preceding portable chest examination of ___. Status post right upper lobectomy unchanged. Cardiac enlargement as before may have even increased slightly. On previous examination identified small caliber pigtail end catheter in the right lateral pleural sinus is still present. The amount of pleural fluid density has increased mildly. No pneumothorax has developed. Overall increased hazy appearance of the lung bases coinciding with perivascular haze in the pulmonary vessels is suggestive of increased CHF in this patient. No new discrete local parenchymal infiltrates suggestive of pneumonia are identified.,Status post right upper lobectomy unchanged.,lobectomy,right upper,Stable,['files/p13/p13263843/s52138943/de739d0b-2345495b-255f0e3b-00ccbf4c-ab4d3400.jpg'],"['files/p13/p13263843/s52063347/20172e51-d3a94675-99ca4ec6-310892fd-fa5de5b1.jpg\n', 'files/p13/p13263843/s52063347/5ccae337-76cb9270-b53361d2-c2b200e6-7d3b4079.jpg\n', 'files/p13/p13263843/s52063347/9aaaaf2a-75b77833-5da35513-6c289824-edd9e84c.jpg\n']"
s52145612_10,p18309149,s52145612,10,Findings,"There are diffuse predominantly perihilar airspace opacities with slightly nodular appearance, which are new from prior studies. Superimposed hilar adenopathy is difficult to exclude. No pleural effusion or pneumothorax is seen. The cardiomediastinal contours are within normal limits. No acute osseous abnormality is detected.","There are diffuse predominantly perihilar airspace opacities with slightly nodular appearance, which are new from prior studies.",airspace opacities with slightly nodular appearance,perihilar,New,"['files/p18/p18309149/s52145612/2f04b963-317903c2-c937a1b3-84194e4c-5ce01852.jpg', 'files/p18/p18309149/s52145612/c149c26e-5a990901-a0cf8313-6cfa1098-34b1fa4c.jpg']","['files/p18/p18309149/s51907814/2b9d6438-d4549d50-64eabcc2-0159f860-4702ea69.jpg\n', 'files/p18/p18309149/s51907814/cb451dc8-9467ee59-467b472e-f073a381-46f219c5.jpg\n']"
s52149367_8,p12952223,s52149367,8,Impression,"Over last 24 hours, mild pulmonary edema has significantly improved, moderate right and small left pleural effusion as well as bilateral lower lung atelectasis are unchanged.","Over last 24 hours, mild pulmonary edema has significantly improved, moderate right and small left pleural effusion as well as bilateral lower lung atelectasis are unchanged.",pulmonary edema,,Better,['files/p12/p12952223/s52149367/89af9a9c-8f769cde-04b1cfb3-5ad98100-9e25d3a6.jpg'],['files/p12/p12952223/s51592807/d7e9f055-751c8d65-66226fcf-da86917c-6f5082a5.jpg\n']
s52149367_8,p12952223,s52149367,8,Impression,"Over last 24 hours, mild pulmonary edema has significantly improved, moderate right and small left pleural effusion as well as bilateral lower lung atelectasis are unchanged.","Over last 24 hours, mild pulmonary edema has significantly improved, moderate right and small left pleural effusion as well as bilateral lower lung atelectasis are unchanged.",pleural effusion,left,Stable,['files/p12/p12952223/s52149367/89af9a9c-8f769cde-04b1cfb3-5ad98100-9e25d3a6.jpg'],['files/p12/p12952223/s51592807/d7e9f055-751c8d65-66226fcf-da86917c-6f5082a5.jpg\n']
s52149367_8,p12952223,s52149367,8,Impression,"Over last 24 hours, mild pulmonary edema has significantly improved, moderate right and small left pleural effusion as well as bilateral lower lung atelectasis are unchanged.","Over last 24 hours, mild pulmonary edema has significantly improved, moderate right and small left pleural effusion as well as bilateral lower lung atelectasis are unchanged.",pleural effusion,right,Stable,['files/p12/p12952223/s52149367/89af9a9c-8f769cde-04b1cfb3-5ad98100-9e25d3a6.jpg'],['files/p12/p12952223/s51592807/d7e9f055-751c8d65-66226fcf-da86917c-6f5082a5.jpg\n']
s52149367_8,p12952223,s52149367,8,Impression,"Over last 24 hours, mild pulmonary edema has significantly improved, moderate right and small left pleural effusion as well as bilateral lower lung atelectasis are unchanged.","Over last 24 hours, mild pulmonary edema has significantly improved, moderate right and small left pleural effusion as well as bilateral lower lung atelectasis are unchanged.",atelectasis,bilateral lower lung,Stable,['files/p12/p12952223/s52149367/89af9a9c-8f769cde-04b1cfb3-5ad98100-9e25d3a6.jpg'],['files/p12/p12952223/s51592807/d7e9f055-751c8d65-66226fcf-da86917c-6f5082a5.jpg\n']
s52149367_8,p12952223,s52149367,8,Findings,"Bilateral lung volumes are lower. Since yesterday, mild-to-moderately severe pulmonary edema has significantly improved. However, moderate right pleural effusion associated with right lower lung atelectasis and left lower lung atelectasis and small left pleural effusions are unchanged. The lung effusions and atelectasis obscuring the mediastinal border, thus assessment of the cardiomediastinum was limited.","Since yesterday, mild-to-moderately severe pulmonary edema has significantly improved.",pulmonary edema,,Better,['files/p12/p12952223/s52149367/89af9a9c-8f769cde-04b1cfb3-5ad98100-9e25d3a6.jpg'],['files/p12/p12952223/s51592807/d7e9f055-751c8d65-66226fcf-da86917c-6f5082a5.jpg\n']
s52149367_8,p12952223,s52149367,8,Findings,"Bilateral lung volumes are lower. Since yesterday, mild-to-moderately severe pulmonary edema has significantly improved. However, moderate right pleural effusion associated with right lower lung atelectasis and left lower lung atelectasis and small left pleural effusions are unchanged. The lung effusions and atelectasis obscuring the mediastinal border, thus assessment of the cardiomediastinum was limited.","However, moderate right pleural effusion associated with right lower lung atelectasis and left lower lung atelectasis and small left pleural effusions are unchanged.",atelectasis,right lower lung,Stable,['files/p12/p12952223/s52149367/89af9a9c-8f769cde-04b1cfb3-5ad98100-9e25d3a6.jpg'],['files/p12/p12952223/s51592807/d7e9f055-751c8d65-66226fcf-da86917c-6f5082a5.jpg\n']
s52149367_8,p12952223,s52149367,8,Findings,"Bilateral lung volumes are lower. Since yesterday, mild-to-moderately severe pulmonary edema has significantly improved. However, moderate right pleural effusion associated with right lower lung atelectasis and left lower lung atelectasis and small left pleural effusions are unchanged. The lung effusions and atelectasis obscuring the mediastinal border, thus assessment of the cardiomediastinum was limited.","However, moderate right pleural effusion associated with right lower lung atelectasis and left lower lung atelectasis and small left pleural effusions are unchanged.",pleural effusion,left,Stable,['files/p12/p12952223/s52149367/89af9a9c-8f769cde-04b1cfb3-5ad98100-9e25d3a6.jpg'],['files/p12/p12952223/s51592807/d7e9f055-751c8d65-66226fcf-da86917c-6f5082a5.jpg\n']
s52149367_8,p12952223,s52149367,8,Findings,"Bilateral lung volumes are lower. Since yesterday, mild-to-moderately severe pulmonary edema has significantly improved. However, moderate right pleural effusion associated with right lower lung atelectasis and left lower lung atelectasis and small left pleural effusions are unchanged. The lung effusions and atelectasis obscuring the mediastinal border, thus assessment of the cardiomediastinum was limited.","However, moderate right pleural effusion associated with right lower lung atelectasis and left lower lung atelectasis and small left pleural effusions are unchanged.",pleural effusion,right,Stable,['files/p12/p12952223/s52149367/89af9a9c-8f769cde-04b1cfb3-5ad98100-9e25d3a6.jpg'],['files/p12/p12952223/s51592807/d7e9f055-751c8d65-66226fcf-da86917c-6f5082a5.jpg\n']
s52149367_8,p12952223,s52149367,8,Findings,"Bilateral lung volumes are lower. Since yesterday, mild-to-moderately severe pulmonary edema has significantly improved. However, moderate right pleural effusion associated with right lower lung atelectasis and left lower lung atelectasis and small left pleural effusions are unchanged. The lung effusions and atelectasis obscuring the mediastinal border, thus assessment of the cardiomediastinum was limited.","However, moderate right pleural effusion associated with right lower lung atelectasis and left lower lung atelectasis and small left pleural effusions are unchanged.",atelectasis,left lower lung,Stable,['files/p12/p12952223/s52149367/89af9a9c-8f769cde-04b1cfb3-5ad98100-9e25d3a6.jpg'],['files/p12/p12952223/s51592807/d7e9f055-751c8d65-66226fcf-da86917c-6f5082a5.jpg\n']
s52152296_5,p11934114,s52152296,5,Findings,"Right PICC line ends at low SVC. Moderate right pleural effusion with adjacent lung atelectasis has decreased since ___. Minimal left pleural effusion is unchanged. There are no new lung opacities of concern for pneumonia. Heart size, mediastinal and hilar contours are stable.",Moderate right pleural effusion with adjacent lung atelectasis has decreased since ___.,pleural effusion,right,Worse,['files/p11/p11934114/s52152296/67653b61-d4cdc144-670c5d2f-1d19f3a2-480d85a1.jpg'],['files/p11/p11934114/s52020944/df76c29b-3a305594-6510b7d9-7054ad7c-fb7278a0.jpg\n']
s52152296_5,p11934114,s52152296,5,Findings,"Right PICC line ends at low SVC. Moderate right pleural effusion with adjacent lung atelectasis has decreased since ___. Minimal left pleural effusion is unchanged. There are no new lung opacities of concern for pneumonia. Heart size, mediastinal and hilar contours are stable.","Heart size, mediastinal and hilar contours are stable.",hilar contours,,Stable,['files/p11/p11934114/s52152296/67653b61-d4cdc144-670c5d2f-1d19f3a2-480d85a1.jpg'],['files/p11/p11934114/s52020944/df76c29b-3a305594-6510b7d9-7054ad7c-fb7278a0.jpg\n']
s52152296_5,p11934114,s52152296,5,Impression,Moderate right pleural effusion with adjacent lung atelectasis has improved since ___.,Moderate right pleural effusion with adjacent lung atelectasis has improved since ___.,lung atelectasis,right,Better,['files/p11/p11934114/s52152296/67653b61-d4cdc144-670c5d2f-1d19f3a2-480d85a1.jpg'],['files/p11/p11934114/s52020944/df76c29b-3a305594-6510b7d9-7054ad7c-fb7278a0.jpg\n']
s52152296_5,p11934114,s52152296,5,Findings,"Right PICC line ends at low SVC. Moderate right pleural effusion with adjacent lung atelectasis has decreased since ___. Minimal left pleural effusion is unchanged. There are no new lung opacities of concern for pneumonia. Heart size, mediastinal and hilar contours are stable.",Moderate right pleural effusion with adjacent lung atelectasis has decreased since ___.,lung atelectasis,right,Worse,['files/p11/p11934114/s52152296/67653b61-d4cdc144-670c5d2f-1d19f3a2-480d85a1.jpg'],['files/p11/p11934114/s52020944/df76c29b-3a305594-6510b7d9-7054ad7c-fb7278a0.jpg\n']
s52152296_5,p11934114,s52152296,5,Findings,"Right PICC line ends at low SVC. Moderate right pleural effusion with adjacent lung atelectasis has decreased since ___. Minimal left pleural effusion is unchanged. There are no new lung opacities of concern for pneumonia. Heart size, mediastinal and hilar contours are stable.",Minimal left pleural effusion is unchanged.,pleural effusion,left,Stable,['files/p11/p11934114/s52152296/67653b61-d4cdc144-670c5d2f-1d19f3a2-480d85a1.jpg'],['files/p11/p11934114/s52020944/df76c29b-3a305594-6510b7d9-7054ad7c-fb7278a0.jpg\n']
s52152296_5,p11934114,s52152296,5,Findings,"Right PICC line ends at low SVC. Moderate right pleural effusion with adjacent lung atelectasis has decreased since ___. Minimal left pleural effusion is unchanged. There are no new lung opacities of concern for pneumonia. Heart size, mediastinal and hilar contours are stable.","Heart size, mediastinal and hilar contours are stable.",heart size,,Stable,['files/p11/p11934114/s52152296/67653b61-d4cdc144-670c5d2f-1d19f3a2-480d85a1.jpg'],['files/p11/p11934114/s52020944/df76c29b-3a305594-6510b7d9-7054ad7c-fb7278a0.jpg\n']
s52152296_5,p11934114,s52152296,5,Impression,Moderate right pleural effusion with adjacent lung atelectasis has improved since ___.,Moderate right pleural effusion with adjacent lung atelectasis has improved since ___.,pleural effusion,right,Better,['files/p11/p11934114/s52152296/67653b61-d4cdc144-670c5d2f-1d19f3a2-480d85a1.jpg'],['files/p11/p11934114/s52020944/df76c29b-3a305594-6510b7d9-7054ad7c-fb7278a0.jpg\n']
s52152296_5,p11934114,s52152296,5,Findings,"Right PICC line ends at low SVC. Moderate right pleural effusion with adjacent lung atelectasis has decreased since ___. Minimal left pleural effusion is unchanged. There are no new lung opacities of concern for pneumonia. Heart size, mediastinal and hilar contours are stable.","Heart size, mediastinal and hilar contours are stable.",mediastinal contours,,Stable,['files/p11/p11934114/s52152296/67653b61-d4cdc144-670c5d2f-1d19f3a2-480d85a1.jpg'],['files/p11/p11934114/s52020944/df76c29b-3a305594-6510b7d9-7054ad7c-fb7278a0.jpg\n']
s52157373_5,p11204646,s52157373,5,Impression,"AP chest compared to ___: Tip of the endotracheal tube at the upper margin of the clavicles is no less than 5 cm from the carina, with the chin in neutral or elevation. It could be advanced safely 15 mm to achieve better seating. Moderate right pleural effusion stable. Moderate-to-severe cardiomegaly stable. Upper lobe pulmonary vasculature mildly engorged, but no appreciable pulmonary edema. Right PIC line tip ends in the right atrium. Right internal jugular dual-channel catheter ends in the upper SVC.",Moderate-to-severe cardiomegaly stable.,cardiomegaly,,Stable,['files/p11/p11204646/s52157373/9f006813-48c1cfef-f8053cc6-7cf6f90b-b38379a0.jpg'],['files/p11/p11204646/s52079096/3ed3a641-a4156d57-ea055912-baebd6d1-30ae3af9.jpg\n']
s52157373_5,p11204646,s52157373,5,Impression,"AP chest compared to ___: Tip of the endotracheal tube at the upper margin of the clavicles is no less than 5 cm from the carina, with the chin in neutral or elevation. It could be advanced safely 15 mm to achieve better seating. Moderate right pleural effusion stable. Moderate-to-severe cardiomegaly stable. Upper lobe pulmonary vasculature mildly engorged, but no appreciable pulmonary edema. Right PIC line tip ends in the right atrium. Right internal jugular dual-channel catheter ends in the upper SVC.",Moderate right pleural effusion stable.,pleural effusion,right,Stable,['files/p11/p11204646/s52157373/9f006813-48c1cfef-f8053cc6-7cf6f90b-b38379a0.jpg'],['files/p11/p11204646/s52079096/3ed3a641-a4156d57-ea055912-baebd6d1-30ae3af9.jpg\n']
s52162827_11,p18338007,s52162827,11,Impression,1. Slight improvement of left basal atelectasis. 2. Small bilateral pleural effusions.,1. Slight improvement of left basal atelectasis.,Atelectasis,left basal,Better,['files/p18/p18338007/s52162827/459cfba0-0e5fabcb-a6cd2ff8-887d8f8c-59a166aa.jpg'],['files/p18/p18338007/s51909516/f0de6eac-d8d4cc43-59d26e49-46200472-34fa5de1.jpg\n']
s52162827_11,p18338007,s52162827,11,Findings,"Lung volumes remain low, accentuating the cardiac silhouette and bronchovascular structures. There is persistent elevation of the left hemidiaphragm. Adjacent atelectasis of the left lower lobe has slightly improved. Right retrocardiac atelectasis remains unchanged. There are small bilateral pleural effusions.",Right retrocardiac atelectasis remains unchanged.,Atelectasis,right retrocardiac,Stable,['files/p18/p18338007/s52162827/459cfba0-0e5fabcb-a6cd2ff8-887d8f8c-59a166aa.jpg'],['files/p18/p18338007/s51909516/f0de6eac-d8d4cc43-59d26e49-46200472-34fa5de1.jpg\n']
s52162827_11,p18338007,s52162827,11,Findings,"Lung volumes remain low, accentuating the cardiac silhouette and bronchovascular structures. There is persistent elevation of the left hemidiaphragm. Adjacent atelectasis of the left lower lobe has slightly improved. Right retrocardiac atelectasis remains unchanged. There are small bilateral pleural effusions.",Adjacent atelectasis of the left lower lobe has slightly improved.,Atelectasis,left lower lobe,Better,['files/p18/p18338007/s52162827/459cfba0-0e5fabcb-a6cd2ff8-887d8f8c-59a166aa.jpg'],['files/p18/p18338007/s51909516/f0de6eac-d8d4cc43-59d26e49-46200472-34fa5de1.jpg\n']
s52162827_11,p18338007,s52162827,11,Findings,"Lung volumes remain low, accentuating the cardiac silhouette and bronchovascular structures. There is persistent elevation of the left hemidiaphragm. Adjacent atelectasis of the left lower lobe has slightly improved. Right retrocardiac atelectasis remains unchanged. There are small bilateral pleural effusions.",There is persistent elevation of the left hemidiaphragm.,Hemidiaphragm elevation,left,Stable,['files/p18/p18338007/s52162827/459cfba0-0e5fabcb-a6cd2ff8-887d8f8c-59a166aa.jpg'],['files/p18/p18338007/s51909516/f0de6eac-d8d4cc43-59d26e49-46200472-34fa5de1.jpg\n']
s52162827_11,p18338007,s52162827,11,Findings,"Lung volumes remain low, accentuating the cardiac silhouette and bronchovascular structures. There is persistent elevation of the left hemidiaphragm. Adjacent atelectasis of the left lower lobe has slightly improved. Right retrocardiac atelectasis remains unchanged. There are small bilateral pleural effusions.","Lung volumes remain low, accentuating the cardiac silhouette and bronchovascular structures.",Lung volumes,,Stable,['files/p18/p18338007/s52162827/459cfba0-0e5fabcb-a6cd2ff8-887d8f8c-59a166aa.jpg'],['files/p18/p18338007/s51909516/f0de6eac-d8d4cc43-59d26e49-46200472-34fa5de1.jpg\n']
s52163179_13,p18855147,s52163179,13,Findings,"In comparison with the previous study, the tip of the endotracheal tube lies approximately 4 cm above the carina. Little change in the appearance of heart and lungs.",Little change in the appearance of heart and lungs.,Appearance,Heart and lungs,Stable,['files/p18/p18855147/s52163179/e556173d-1f21a53c-e214118c-39d134bc-23638059.jpg'],['files/p18/p18855147/s52042427/d8358039-56377194-16d2e4ae-7f54b999-53da73f7.jpg\n']
s52170957_10,p12595991,s52170957,10,Impression,"A small region of new opacification has developed at the lateral aspect of the right middle lobe. This could be early pneumonia. Lung volumes remain severely low, particularly the right lung above the elevated right hemidiaphragm which obscures a substantially consolidated right lower lobe, suffering from collapse or pneumonia P the condition of the left lower lobe is similar and. All of the basal pulmonary abnormalities have developed since ___. Moderate cardiomegaly is stable. Pleural effusions are presumed, but not substantial. Right internal jugular line ends close to the inferior cavoatrial junction. Transvenous atrial biventricular pacer defibrillator leads are continuous from the left pectoral generator, and unchanged. There is no pneumothorax.",A small region of new opacification has developed at the lateral aspect of the right middle lobe. This could be early pneumonia.,opacification,lateral aspect of the right middle lobe,New,['files/p12/p12595991/s52170957/4d837b55-e381fd19-f31d9007-733a21e2-276bf002.jpg'],['files/p12/p12595991/s52076561/bd31fe67-ad4d5454-2cfd7c09-13c04383-d38297ac.jpg\n']
s52170957_10,p12595991,s52170957,10,Impression,"A small region of new opacification has developed at the lateral aspect of the right middle lobe. This could be early pneumonia. Lung volumes remain severely low, particularly the right lung above the elevated right hemidiaphragm which obscures a substantially consolidated right lower lobe, suffering from collapse or pneumonia P the condition of the left lower lobe is similar and. All of the basal pulmonary abnormalities have developed since ___. Moderate cardiomegaly is stable. Pleural effusions are presumed, but not substantial. Right internal jugular line ends close to the inferior cavoatrial junction. Transvenous atrial biventricular pacer defibrillator leads are continuous from the left pectoral generator, and unchanged. There is no pneumothorax.","Transvenous atrial biventricular pacer defibrillator leads are continuous from the left pectoral generator, and unchanged.",Transvenous atrial biventricular pacer defibrillator leads,from the left pectoral generator,Stable,['files/p12/p12595991/s52170957/4d837b55-e381fd19-f31d9007-733a21e2-276bf002.jpg'],['files/p12/p12595991/s52076561/bd31fe67-ad4d5454-2cfd7c09-13c04383-d38297ac.jpg\n']
s52170957_10,p12595991,s52170957,10,Impression,"A small region of new opacification has developed at the lateral aspect of the right middle lobe. This could be early pneumonia. Lung volumes remain severely low, particularly the right lung above the elevated right hemidiaphragm which obscures a substantially consolidated right lower lobe, suffering from collapse or pneumonia P the condition of the left lower lobe is similar and. All of the basal pulmonary abnormalities have developed since ___. Moderate cardiomegaly is stable. Pleural effusions are presumed, but not substantial. Right internal jugular line ends close to the inferior cavoatrial junction. Transvenous atrial biventricular pacer defibrillator leads are continuous from the left pectoral generator, and unchanged. There is no pneumothorax.",The condition of the left lower lobe is similar and.,condition,left lower lobe,Stable,['files/p12/p12595991/s52170957/4d837b55-e381fd19-f31d9007-733a21e2-276bf002.jpg'],['files/p12/p12595991/s52076561/bd31fe67-ad4d5454-2cfd7c09-13c04383-d38297ac.jpg\n']
s52170957_10,p12595991,s52170957,10,Impression,"A small region of new opacification has developed at the lateral aspect of the right middle lobe. This could be early pneumonia. Lung volumes remain severely low, particularly the right lung above the elevated right hemidiaphragm which obscures a substantially consolidated right lower lobe, suffering from collapse or pneumonia P the condition of the left lower lobe is similar and. All of the basal pulmonary abnormalities have developed since ___. Moderate cardiomegaly is stable. Pleural effusions are presumed, but not substantial. Right internal jugular line ends close to the inferior cavoatrial junction. Transvenous atrial biventricular pacer defibrillator leads are continuous from the left pectoral generator, and unchanged. There is no pneumothorax.",Moderate cardiomegaly is stable.,cardiomegaly,,Stable,['files/p12/p12595991/s52170957/4d837b55-e381fd19-f31d9007-733a21e2-276bf002.jpg'],['files/p12/p12595991/s52076561/bd31fe67-ad4d5454-2cfd7c09-13c04383-d38297ac.jpg\n']
s52170957_10,p12595991,s52170957,10,Impression,"A small region of new opacification has developed at the lateral aspect of the right middle lobe. This could be early pneumonia. Lung volumes remain severely low, particularly the right lung above the elevated right hemidiaphragm which obscures a substantially consolidated right lower lobe, suffering from collapse or pneumonia P the condition of the left lower lobe is similar and. All of the basal pulmonary abnormalities have developed since ___. Moderate cardiomegaly is stable. Pleural effusions are presumed, but not substantial. Right internal jugular line ends close to the inferior cavoatrial junction. Transvenous atrial biventricular pacer defibrillator leads are continuous from the left pectoral generator, and unchanged. There is no pneumothorax.","Lung volumes remain severely low, particularly the right lung above the elevated right hemidiaphragm which obscures a substantially consolidated right lower lobe, suffering from collapse or pneumonia.",low lung volumes,right lung,Stable,['files/p12/p12595991/s52170957/4d837b55-e381fd19-f31d9007-733a21e2-276bf002.jpg'],['files/p12/p12595991/s52076561/bd31fe67-ad4d5454-2cfd7c09-13c04383-d38297ac.jpg\n']
s52173177_9,p12595991,s52173177,9,Impression,"As compared to the previous radiograph, the nasogastric tube has been removed. The lung volumes remain extremely low and areas of friable extensive atelectasis are seen at both lung bases. There is no pulmonary edema and no larger pleural effusions are visualized. Mild cardiomegaly. Unchanged position of the left pectoral pacemaker.","As compared to the previous radiograph, the nasogastric tube has been removed.",nasogastric tube,,Resolve,['files/p12/p12595991/s52173177/465880ed-ec1f9352-286bce36-cb6b9286-50c2af29.jpg'],['files/p12/p12595991/s52170957/4d837b55-e381fd19-f31d9007-733a21e2-276bf002.jpg\n']
s52173177_9,p12595991,s52173177,9,Impression,"As compared to the previous radiograph, the nasogastric tube has been removed. The lung volumes remain extremely low and areas of friable extensive atelectasis are seen at both lung bases. There is no pulmonary edema and no larger pleural effusions are visualized. Mild cardiomegaly. Unchanged position of the left pectoral pacemaker.",Unchanged position of the left pectoral pacemaker.,pacemaker,left pectoral,Stable,['files/p12/p12595991/s52173177/465880ed-ec1f9352-286bce36-cb6b9286-50c2af29.jpg'],['files/p12/p12595991/s52170957/4d837b55-e381fd19-f31d9007-733a21e2-276bf002.jpg\n']
s52173177_9,p12595991,s52173177,9,Impression,"As compared to the previous radiograph, the nasogastric tube has been removed. The lung volumes remain extremely low and areas of friable extensive atelectasis are seen at both lung bases. There is no pulmonary edema and no larger pleural effusions are visualized. Mild cardiomegaly. Unchanged position of the left pectoral pacemaker.",The lung volumes remain extremely low and areas of friable extensive atelectasis are seen at both lung bases.,lung volumes,,Stable,['files/p12/p12595991/s52173177/465880ed-ec1f9352-286bce36-cb6b9286-50c2af29.jpg'],['files/p12/p12595991/s52170957/4d837b55-e381fd19-f31d9007-733a21e2-276bf002.jpg\n']
s52173177_9,p12595991,s52173177,9,Impression,"As compared to the previous radiograph, the nasogastric tube has been removed. The lung volumes remain extremely low and areas of friable extensive atelectasis are seen at both lung bases. There is no pulmonary edema and no larger pleural effusions are visualized. Mild cardiomegaly. Unchanged position of the left pectoral pacemaker.",The lung volumes remain extremely low and areas of friable extensive atelectasis are seen at both lung bases.,atelectasis,both lung bases,Stable,['files/p12/p12595991/s52173177/465880ed-ec1f9352-286bce36-cb6b9286-50c2af29.jpg'],['files/p12/p12595991/s52170957/4d837b55-e381fd19-f31d9007-733a21e2-276bf002.jpg\n']
s52175266_20,p17770657,s52175266,20,Findings,"In comparison with the study of ___, the PICC line appears to be in the mid to lower portion of the SVC. The overall appearance of the heart and lungs is essentially unchanged, though there is an artifact overlying a portion of the right lung. Continued hyperexpansion of the lungs consistent with emphysema. Atelectatic changes are seen at both bases. The possibility of supervening consolidation in the posterior aspect of one of the lower lobes would be difficult to unequivocally exclude in the appropriate clinical setting.","The overall appearance of the heart and lungs is essentially unchanged, though there is an artifact overlying a portion of the right lung.",Heart and lungs,Overall,Stable,"['files/p17/p17770657/s52175266/6e436657-6f0023be-60aed3c6-bdcf88c4-bb1c2ffc.jpg', 'files/p17/p17770657/s52175266/967de454-d4c2476c-b73d6db8-ec0ea754-a14f4631.jpg', 'files/p17/p17770657/s52175266/dc58c102-bad13ac3-47c05317-4b782618-24b81e59.jpg']",['files/p17/p17770657/s51024049/0fef51dc-8e713f62-0c7f23dc-fb145074-68b8ec4b.jpg\n']
s52177069_1,p14147380,s52177069,1,Findings,"A right-sided PICC is seen with tip projecting over the mid SVC. There is a tiny left pleural effusion, as seen on outside hospital abdominal CT dated ___. There is patchy opacity in the left lower lobe, improved compared with ___. No focal consolidation or pneumothorax is seen. Heart and mediastinal contours are stable. Pneumobilia and right upper quadrant drain are noted.","There is patchy opacity in the left lower lobe, improved compared with ___.",patchy opacity,left lower lobe,Better,"['files/p14/p14147380/s52177069/84935982-fad67bfc-5d9710eb-129f88db-8f8c8df3.jpg', 'files/p14/p14147380/s52177069/f6cdc51b-1af2e0c3-161713ed-feeb4791-297939fc.jpg']","['files/p14/p14147380/s51464763/4c2fb727-6b6a721b-befb2d0a-f87fb73f-ee302214.jpg\n', 'files/p14/p14147380/s51464763/50e94a17-5055c7d7-6d5ad603-3146fac9-dd017837.jpg\n']"
s52177069_1,p14147380,s52177069,1,Findings,"A right-sided PICC is seen with tip projecting over the mid SVC. There is a tiny left pleural effusion, as seen on outside hospital abdominal CT dated ___. There is patchy opacity in the left lower lobe, improved compared with ___. No focal consolidation or pneumothorax is seen. Heart and mediastinal contours are stable. Pneumobilia and right upper quadrant drain are noted.",Heart and mediastinal contours are stable.,Heart and mediastinal contours,,Stable,"['files/p14/p14147380/s52177069/84935982-fad67bfc-5d9710eb-129f88db-8f8c8df3.jpg', 'files/p14/p14147380/s52177069/f6cdc51b-1af2e0c3-161713ed-feeb4791-297939fc.jpg']","['files/p14/p14147380/s51464763/4c2fb727-6b6a721b-befb2d0a-f87fb73f-ee302214.jpg\n', 'files/p14/p14147380/s51464763/50e94a17-5055c7d7-6d5ad603-3146fac9-dd017837.jpg\n']"
s52177069_1,p14147380,s52177069,1,Impression,"1) Right PICC with tip projecting over the mid SVC. 2) Patchy opacity in left lower lobe, improved compared with ___. 3) Pneumobilia and right upper quadrant drain.","2) Patchy opacity in left lower lobe, improved compared with ___.",patchy opacity,left lower lobe,Better,"['files/p14/p14147380/s52177069/84935982-fad67bfc-5d9710eb-129f88db-8f8c8df3.jpg', 'files/p14/p14147380/s52177069/f6cdc51b-1af2e0c3-161713ed-feeb4791-297939fc.jpg']","['files/p14/p14147380/s51464763/4c2fb727-6b6a721b-befb2d0a-f87fb73f-ee302214.jpg\n', 'files/p14/p14147380/s51464763/50e94a17-5055c7d7-6d5ad603-3146fac9-dd017837.jpg\n']"
s52177303_24,p13964474,s52177303,24,Findings,"In comparison with study of ___, there is little overall change in the diffuse bilateral pulmonary opacifications, most prominent in the right mid and lower zones. Monitoring and support devices remain in place.","In comparison with study of ___, there is little overall change in the diffuse bilateral pulmonary opacifications, most prominent in the right mid and lower zones.",diffuse pulmonary opacifications,bilateral right mid and lower zones,Stable,"['files/p13/p13964474/s52177303/c6d3d701-ef841ef6-0a3e111f-cfcd126c-0ebca138.jpg', 'files/p13/p13964474/s52177303/cb020c62-235d3656-7939457a-45aec9ae-05c91e36.jpg']",['files/p13/p13964474/s52073913/0cffed1b-3516a67c-ea383eec-75212689-2620504f.jpg\n']
s52177303_24,p13964474,s52177303,24,Findings,"In comparison with study of ___, there is little overall change in the diffuse bilateral pulmonary opacifications, most prominent in the right mid and lower zones. Monitoring and support devices remain in place.",Monitoring and support devices remain in place.,monitoring and support devices,,Stable,"['files/p13/p13964474/s52177303/c6d3d701-ef841ef6-0a3e111f-cfcd126c-0ebca138.jpg', 'files/p13/p13964474/s52177303/cb020c62-235d3656-7939457a-45aec9ae-05c91e36.jpg']",['files/p13/p13964474/s52073913/0cffed1b-3516a67c-ea383eec-75212689-2620504f.jpg\n']
s52178503_1,p18855147,s52178503,1,Findings,"The patient has received a new nasogastric tube. The tube is coiled in the oropharynx and does not reach the esophagus. The stomach is moderately distended and filled with gas. Known left carotid stent. The pre-existing signs indicative of interstitial lung edema have decreased. No evidence of complications, notably no pneumothorax.",The pre-existing signs indicative of interstitial lung edema have decreased.,Interstitial lung edema,,Better,['files/p18/p18855147/s52178503/f79f9dd9-f65e43a2-492aec2c-5859d568-299fa79d.jpg'],['files/p18/p18855147/s52163179/e556173d-1f21a53c-e214118c-39d134bc-23638059.jpg\n']
s52185534_22,p17340686,s52185534,22,Findings,A left chest wall central line terminates in the right atrium. There is no pneumothorax. Lung volumes are extremely low. Prominence of the interstitial markings is likely due to mild pulmonary edema. The cardiac silhouette is enlarged as seen previously. There are no appreciable pleural effusions. Degenerative changes are noted within the right humeral head.,The cardiac silhouette is enlarged as seen previously.,cardiac silhouette enlargement,,Stable,['files/p17/p17340686/s52185534/b0777bfe-820d4a8b-e6e4ec7a-7aacd190-f85113cf.jpg'],"['files/p17/p17340686/s51782829/6b0e83ab-6cdfeb29-98310cca-4b6aa8f5-8455fe63.jpg\n', 'files/p17/p17340686/s51782829/9a64df47-d0610142-8f6232fb-b9e742e6-c06baf1f.jpg\n']"
s52186853_24,p13881772,s52186853,24,Impression,"As compared to ___, the cardiac silhouette appears slightly increased in size and is accompanied by pulmonary vascular congestion and minimal interstitial edema. A new more confluent opacity in the left lower lobe could reflect atelectasis, aspiration, or developing infectious pneumonia. Small left pleural effusion is also demonstrated.","As compared to ___, the cardiac silhouette appears slightly increased in size and is accompanied by pulmonary vascular congestion and minimal interstitial edema. A new more confluent opacity in the left lower lobe could reflect atelectasis, aspiration, or developing infectious pneumonia. Small left pleural effusion is also demonstrated.",confluent opacity,left lower lobe,New,['files/p13/p13881772/s52186853/b68a7d7b-d7e76417-af2376cd-215c9620-c3934be4.jpg'],"['files/p13/p13881772/s51540424/3c6607cb-2b24a862-ba454139-42d40dec-a4aed625.jpg\n', 'files/p13/p13881772/s51540424/8dcda970-15727210-dfdd3c30-8acb73c6-d5a218be.jpg\n', 'files/p13/p13881772/s51540424/b5f30eeb-2bf8217a-f702c192-11c059fb-42e31505.jpg\n']"
s52186853_24,p13881772,s52186853,24,Impression,"As compared to ___, the cardiac silhouette appears slightly increased in size and is accompanied by pulmonary vascular congestion and minimal interstitial edema. A new more confluent opacity in the left lower lobe could reflect atelectasis, aspiration, or developing infectious pneumonia. Small left pleural effusion is also demonstrated.","As compared to ___, the cardiac silhouette appears slightly increased in size and is accompanied by pulmonary vascular congestion and minimal interstitial edema. A new more confluent opacity in the left lower lobe could reflect atelectasis, aspiration, or developing infectious pneumonia. Small left pleural effusion is also demonstrated.",small pleural effusion,left,New,['files/p13/p13881772/s52186853/b68a7d7b-d7e76417-af2376cd-215c9620-c3934be4.jpg'],"['files/p13/p13881772/s51540424/3c6607cb-2b24a862-ba454139-42d40dec-a4aed625.jpg\n', 'files/p13/p13881772/s51540424/8dcda970-15727210-dfdd3c30-8acb73c6-d5a218be.jpg\n', 'files/p13/p13881772/s51540424/b5f30eeb-2bf8217a-f702c192-11c059fb-42e31505.jpg\n']"
s52186853_24,p13881772,s52186853,24,Impression,"As compared to ___, the cardiac silhouette appears slightly increased in size and is accompanied by pulmonary vascular congestion and minimal interstitial edema. A new more confluent opacity in the left lower lobe could reflect atelectasis, aspiration, or developing infectious pneumonia. Small left pleural effusion is also demonstrated.","As compared to ___, the cardiac silhouette appears slightly increased in size and is accompanied by pulmonary vascular congestion and minimal interstitial edema. A new more confluent opacity in the left lower lobe could reflect atelectasis, aspiration, or developing infectious pneumonia. Small left pleural effusion is also demonstrated.",size,cardiac silhouette,Worse,['files/p13/p13881772/s52186853/b68a7d7b-d7e76417-af2376cd-215c9620-c3934be4.jpg'],"['files/p13/p13881772/s51540424/3c6607cb-2b24a862-ba454139-42d40dec-a4aed625.jpg\n', 'files/p13/p13881772/s51540424/8dcda970-15727210-dfdd3c30-8acb73c6-d5a218be.jpg\n', 'files/p13/p13881772/s51540424/b5f30eeb-2bf8217a-f702c192-11c059fb-42e31505.jpg\n']"
s52188580_11,p10410641,s52188580,11,Findings,"As compared to the previous radiograph, there is a mild decrease in extent of the right pneumothorax. The pneumothorax has now a dimension of approximately 1 cm. No evidence of tension. Unchanged position of the bilateral pigtail catheters in the pleural space.",Unchanged position of the bilateral pigtail catheters in the pleural space.,pigtail catheters,bilateral,Stable,['files/p10/p10410641/s52188580/d0d4eac2-fe96ec0d-2ae1e81a-b604ed2b-3e55789f.jpg'],['files/p10/p10410641/s51936398/4a290ca1-4a62a5d5-96249a76-55141456-be7b08f4.jpg\n']
s52188580_11,p10410641,s52188580,11,Findings,"As compared to the previous radiograph, there is a mild decrease in extent of the right pneumothorax. The pneumothorax has now a dimension of approximately 1 cm. No evidence of tension. Unchanged position of the bilateral pigtail catheters in the pleural space.","As compared to the previous radiograph, there is a mild decrease in extent of the right pneumothorax.",pneumothorax,right,Worse,['files/p10/p10410641/s52188580/d0d4eac2-fe96ec0d-2ae1e81a-b604ed2b-3e55789f.jpg'],['files/p10/p10410641/s51936398/4a290ca1-4a62a5d5-96249a76-55141456-be7b08f4.jpg\n']
s52189004_0,p15419510,s52189004,0,Findings,"The patient is status post median sternotomy and aortic valve replacement. The heart size is moderately enlarged but unchanged. The aorta is diffusely calcified. There is mild pulmonary edema, new from the prior study. Small bilateral pleural effusions are present. There is no pneumothorax. Minimal atelectasis is seen at the lung bases. Degenerative changes of the right glenohumeral joint are present.",The heart size is moderately enlarged but unchanged.,Moderately enlarged heart,,Stable,['files/p15/p15419510/s52189004/1b6cfbee-901f801d-651c11f8-2c84bb31-91883814.jpg'],['files/p15/p15419510/s51288835/5ae25c72-34cb9d49-a4da40d2-b675e012-73e45602.jpg\n']
s52189004_0,p15419510,s52189004,0,Findings,"The patient is status post median sternotomy and aortic valve replacement. The heart size is moderately enlarged but unchanged. The aorta is diffusely calcified. There is mild pulmonary edema, new from the prior study. Small bilateral pleural effusions are present. There is no pneumothorax. Minimal atelectasis is seen at the lung bases. Degenerative changes of the right glenohumeral joint are present.","There is mild pulmonary edema, new from the prior study.",Mild pulmonary edema,,New,['files/p15/p15419510/s52189004/1b6cfbee-901f801d-651c11f8-2c84bb31-91883814.jpg'],['files/p15/p15419510/s51288835/5ae25c72-34cb9d49-a4da40d2-b675e012-73e45602.jpg\n']
s52190468_3,p11213613,s52190468,3,Impression,"In comparison with the study of ___, there are lower lung volumes. Engorgement and indistinctness of pulmonary vessels is consistent with worsening pulmonary vascular congestion. No definite acute focal pneumonia.","In comparison with the study of ___, there are lower lung volumes.",volumes,lungs,Worse,['files/p11/p11213613/s52190468/70cdba5b-2e0ec97d-779d4d58-23a484e4-02ec1b1c.jpg'],"['files/p11/p11213613/s50567642/2ae448b2-53515c0d-312135f4-a7a50238-20ffa8b0.jpg\n', 'files/p11/p11213613/s50567642/daf87032-2b0e38da-25b00583-9645e9cf-b2beb530.jpg\n']"
s52190468_3,p11213613,s52190468,3,Impression,"In comparison with the study of ___, there are lower lung volumes. Engorgement and indistinctness of pulmonary vessels is consistent with worsening pulmonary vascular congestion. No definite acute focal pneumonia.",Engorgement and indistinctness of pulmonary vessels is consistent with worsening pulmonary vascular congestion.,vascular congestion,pulmonary vessels,Worse,['files/p11/p11213613/s52190468/70cdba5b-2e0ec97d-779d4d58-23a484e4-02ec1b1c.jpg'],"['files/p11/p11213613/s50567642/2ae448b2-53515c0d-312135f4-a7a50238-20ffa8b0.jpg\n', 'files/p11/p11213613/s50567642/daf87032-2b0e38da-25b00583-9645e9cf-b2beb530.jpg\n']"
s52193168_0,p16050730,s52193168,0,Impression,"AP chest compared to ___ and ___: Moderately severe pulmonary edema has cleared from much of the lungs since ___ at 5:57 p.m. However, there is more severe consolidation involving much if not all of the left lower lobe and some on the right projecting over the lower pole of the right hilus consistent with bilateral pneumonia, presumably due to aspiration. Small left pleural effusion is presumed. Heart is top normal size, decreased since the preceding study. No pneumothorax.",AP chest compared to ___ and ___: Moderately severe pulmonary edema has cleared from much of the lungs since ___ at 5:57 p.m.,pulmonary edema,lungs,Resolve,"['files/p16/p16050730/s52193168/68ea5b12-f2ac3d86-d060cd88-4ac9fd95-7070a037.jpg', 'files/p16/p16050730/s52193168/a4f93da0-4d009b5c-20e08390-7fac8bcc-5ec0a4a7.jpg', 'files/p16/p16050730/s52193168/e711750a-b84f9920-2a0466c3-9243dfa4-6c72cfbd.jpg']","['files/p16/p16050730/s52052294/a453ca56-ce5491bc-0ebe830d-450665ec-f47c3053.jpg\n', 'files/p16/p16050730/s52052294/e6298e5b-366c6725-3be73135-100fb888-3168c3b2.jpg\n']"
s52193168_0,p16050730,s52193168,0,Impression,"AP chest compared to ___ and ___: Moderately severe pulmonary edema has cleared from much of the lungs since ___ at 5:57 p.m. However, there is more severe consolidation involving much if not all of the left lower lobe and some on the right projecting over the lower pole of the right hilus consistent with bilateral pneumonia, presumably due to aspiration. Small left pleural effusion is presumed. Heart is top normal size, decreased since the preceding study. No pneumothorax.","However, there is more severe consolidation involving much if not all of the left lower lobe and some on the right projecting over the lower pole of the right hilus consistent with bilateral pneumonia, presumably due to aspiration.",consolidation,"left lower lobe, right lower pole of hilus",Worse,"['files/p16/p16050730/s52193168/68ea5b12-f2ac3d86-d060cd88-4ac9fd95-7070a037.jpg', 'files/p16/p16050730/s52193168/a4f93da0-4d009b5c-20e08390-7fac8bcc-5ec0a4a7.jpg', 'files/p16/p16050730/s52193168/e711750a-b84f9920-2a0466c3-9243dfa4-6c72cfbd.jpg']","['files/p16/p16050730/s52052294/a453ca56-ce5491bc-0ebe830d-450665ec-f47c3053.jpg\n', 'files/p16/p16050730/s52052294/e6298e5b-366c6725-3be73135-100fb888-3168c3b2.jpg\n']"
s52193168_0,p16050730,s52193168,0,Impression,"AP chest compared to ___ and ___: Moderately severe pulmonary edema has cleared from much of the lungs since ___ at 5:57 p.m. However, there is more severe consolidation involving much if not all of the left lower lobe and some on the right projecting over the lower pole of the right hilus consistent with bilateral pneumonia, presumably due to aspiration. Small left pleural effusion is presumed. Heart is top normal size, decreased since the preceding study. No pneumothorax.","Heart is top normal size, decreased since the preceding study.",Heart size,,Better,"['files/p16/p16050730/s52193168/68ea5b12-f2ac3d86-d060cd88-4ac9fd95-7070a037.jpg', 'files/p16/p16050730/s52193168/a4f93da0-4d009b5c-20e08390-7fac8bcc-5ec0a4a7.jpg', 'files/p16/p16050730/s52193168/e711750a-b84f9920-2a0466c3-9243dfa4-6c72cfbd.jpg']","['files/p16/p16050730/s52052294/a453ca56-ce5491bc-0ebe830d-450665ec-f47c3053.jpg\n', 'files/p16/p16050730/s52052294/e6298e5b-366c6725-3be73135-100fb888-3168c3b2.jpg\n']"
s52195893_1,p10532326,s52195893,1,Findings,"Evaluation of the study is somewhat limited by patient rotation.There are low lung volumes. The cardiac silhouette size is enlarged, similar when compared to the prior study. There is mild pulmonary edema with perihilar haziness and vascular indistinctness, not significantly different when compared to prior study. A small to moderate right pleural effusion is increased when compared to the prior exam. Right basilar opacification may reflect atelectasis, though infection cannot be completely excluded. No pneumothorax is present. Gaseous distention of the stomach noted.",A small to moderate right pleural effusion is increased when compared to the prior exam.,Pleural effusion,Right,Worse,['files/p10/p10532326/s52195893/445fdcdb-f4896587-4f3f5bf8-e3a051ad-290f10ae.jpg'],['files/p10/p10532326/s51742525/ef191125-3db31590-77881dc9-a6302910-7a35821f.jpg\n']
s52195893_1,p10532326,s52195893,1,Findings,"Evaluation of the study is somewhat limited by patient rotation.There are low lung volumes. The cardiac silhouette size is enlarged, similar when compared to the prior study. There is mild pulmonary edema with perihilar haziness and vascular indistinctness, not significantly different when compared to prior study. A small to moderate right pleural effusion is increased when compared to the prior exam. Right basilar opacification may reflect atelectasis, though infection cannot be completely excluded. No pneumothorax is present. Gaseous distention of the stomach noted.","The cardiac silhouette size is enlarged, similar when compared to the prior study.",Cardiac silhouette size,,Stable,['files/p10/p10532326/s52195893/445fdcdb-f4896587-4f3f5bf8-e3a051ad-290f10ae.jpg'],['files/p10/p10532326/s51742525/ef191125-3db31590-77881dc9-a6302910-7a35821f.jpg\n']
s52195893_1,p10532326,s52195893,1,Findings,"Evaluation of the study is somewhat limited by patient rotation.There are low lung volumes. The cardiac silhouette size is enlarged, similar when compared to the prior study. There is mild pulmonary edema with perihilar haziness and vascular indistinctness, not significantly different when compared to prior study. A small to moderate right pleural effusion is increased when compared to the prior exam. Right basilar opacification may reflect atelectasis, though infection cannot be completely excluded. No pneumothorax is present. Gaseous distention of the stomach noted.","There is mild pulmonary edema with perihilar haziness and vascular indistinctness, not significantly different when compared to prior study.",Pulmonary edema,Perihilar,Stable,['files/p10/p10532326/s52195893/445fdcdb-f4896587-4f3f5bf8-e3a051ad-290f10ae.jpg'],['files/p10/p10532326/s51742525/ef191125-3db31590-77881dc9-a6302910-7a35821f.jpg\n']
s52198118_11,p17669276,s52198118,11,Findings,"Single AP upright portable view of the chest was obtained. There has been interval placement of left-sided PICC, which terminates in the low SVC. Previously seen right-sided PICC which is curled in the right axilla is no longer seen. There is also interval removal of previously seen right-sided internal jugular central venous catheter. The patient is status post median sternotomy. The cardiac silhouette remains moderately enlarged. Mediastinal contours are stable, with the aorta tortuous and unfolded. There appears to have been slight interval increase in bilateral pleural effusions which may in part relate to differences in patient position. There are increased perihilar opacities suggesting pulmonary edema. Left base retrocardiac opacity may be due to combination of pleural effusion and atelectasis; however, underlying consolidation is not excluded. No pneumothorax is seen.",There is also interval removal of previously seen right-sided internal jugular central venous catheter.,Internal jugular central venous catheter,Right-sided,Resolve,['files/p17/p17669276/s52198118/cefdaf4b-0a87c4c2-7ab7899a-6c885be5-80d5be19.jpg'],['files/p17/p17669276/s51318409/4669639e-0eb499f7-605cb393-d4ef9323-7f6c47df.jpg\n']
s52198118_11,p17669276,s52198118,11,Findings,"Single AP upright portable view of the chest was obtained. There has been interval placement of left-sided PICC, which terminates in the low SVC. Previously seen right-sided PICC which is curled in the right axilla is no longer seen. There is also interval removal of previously seen right-sided internal jugular central venous catheter. The patient is status post median sternotomy. The cardiac silhouette remains moderately enlarged. Mediastinal contours are stable, with the aorta tortuous and unfolded. There appears to have been slight interval increase in bilateral pleural effusions which may in part relate to differences in patient position. There are increased perihilar opacities suggesting pulmonary edema. Left base retrocardiac opacity may be due to combination of pleural effusion and atelectasis; however, underlying consolidation is not excluded. No pneumothorax is seen.",Previously seen right-sided PICC which is curled in the right axilla is no longer seen.,PICC,Right axilla,Resolve,['files/p17/p17669276/s52198118/cefdaf4b-0a87c4c2-7ab7899a-6c885be5-80d5be19.jpg'],['files/p17/p17669276/s51318409/4669639e-0eb499f7-605cb393-d4ef9323-7f6c47df.jpg\n']
s52198118_11,p17669276,s52198118,11,Impression,"Persistent moderate enlargement of the cardiac silhouette. Bilateral pleural effusions, likely slightly increased. Increased perihilar opacities most likely related to pulmonary edema; however, an atypical infection is not entirely excluded in appropriate clinical setting. Left basilar opacity may represent combination of pleural effusion and atelectasis; however, underlying consolidation is not excluded.","Bilateral pleural effusions, likely slightly increased.",Pleural effusions,Bilateral,Worse,['files/p17/p17669276/s52198118/cefdaf4b-0a87c4c2-7ab7899a-6c885be5-80d5be19.jpg'],['files/p17/p17669276/s51318409/4669639e-0eb499f7-605cb393-d4ef9323-7f6c47df.jpg\n']
s52198118_11,p17669276,s52198118,11,Impression,"Persistent moderate enlargement of the cardiac silhouette. Bilateral pleural effusions, likely slightly increased. Increased perihilar opacities most likely related to pulmonary edema; however, an atypical infection is not entirely excluded in appropriate clinical setting. Left basilar opacity may represent combination of pleural effusion and atelectasis; however, underlying consolidation is not excluded.",Persistent moderate enlargement of the cardiac silhouette.,Enlargement,Cardiac silhouette,Stable,['files/p17/p17669276/s52198118/cefdaf4b-0a87c4c2-7ab7899a-6c885be5-80d5be19.jpg'],['files/p17/p17669276/s51318409/4669639e-0eb499f7-605cb393-d4ef9323-7f6c47df.jpg\n']
s52198118_11,p17669276,s52198118,11,Findings,"Single AP upright portable view of the chest was obtained. There has been interval placement of left-sided PICC, which terminates in the low SVC. Previously seen right-sided PICC which is curled in the right axilla is no longer seen. There is also interval removal of previously seen right-sided internal jugular central venous catheter. The patient is status post median sternotomy. The cardiac silhouette remains moderately enlarged. Mediastinal contours are stable, with the aorta tortuous and unfolded. There appears to have been slight interval increase in bilateral pleural effusions which may in part relate to differences in patient position. There are increased perihilar opacities suggesting pulmonary edema. Left base retrocardiac opacity may be due to combination of pleural effusion and atelectasis; however, underlying consolidation is not excluded. No pneumothorax is seen.",There appears to have been slight interval increase in bilateral pleural effusions which may in part relate to differences in patient position.,Pleural effusions,Bilateral,Worse,['files/p17/p17669276/s52198118/cefdaf4b-0a87c4c2-7ab7899a-6c885be5-80d5be19.jpg'],['files/p17/p17669276/s51318409/4669639e-0eb499f7-605cb393-d4ef9323-7f6c47df.jpg\n']
s52198118_11,p17669276,s52198118,11,Findings,"Single AP upright portable view of the chest was obtained. There has been interval placement of left-sided PICC, which terminates in the low SVC. Previously seen right-sided PICC which is curled in the right axilla is no longer seen. There is also interval removal of previously seen right-sided internal jugular central venous catheter. The patient is status post median sternotomy. The cardiac silhouette remains moderately enlarged. Mediastinal contours are stable, with the aorta tortuous and unfolded. There appears to have been slight interval increase in bilateral pleural effusions which may in part relate to differences in patient position. There are increased perihilar opacities suggesting pulmonary edema. Left base retrocardiac opacity may be due to combination of pleural effusion and atelectasis; however, underlying consolidation is not excluded. No pneumothorax is seen.","Mediastinal contours are stable, with the aorta tortuous and unfolded.",State,Mediastinal contours,Stable,['files/p17/p17669276/s52198118/cefdaf4b-0a87c4c2-7ab7899a-6c885be5-80d5be19.jpg'],['files/p17/p17669276/s51318409/4669639e-0eb499f7-605cb393-d4ef9323-7f6c47df.jpg\n']
s52198118_11,p17669276,s52198118,11,Findings,"Single AP upright portable view of the chest was obtained. There has been interval placement of left-sided PICC, which terminates in the low SVC. Previously seen right-sided PICC which is curled in the right axilla is no longer seen. There is also interval removal of previously seen right-sided internal jugular central venous catheter. The patient is status post median sternotomy. The cardiac silhouette remains moderately enlarged. Mediastinal contours are stable, with the aorta tortuous and unfolded. There appears to have been slight interval increase in bilateral pleural effusions which may in part relate to differences in patient position. There are increased perihilar opacities suggesting pulmonary edema. Left base retrocardiac opacity may be due to combination of pleural effusion and atelectasis; however, underlying consolidation is not excluded. No pneumothorax is seen.",The cardiac silhouette remains moderately enlarged.,Enlargement,Cardiac silhouette,Stable,['files/p17/p17669276/s52198118/cefdaf4b-0a87c4c2-7ab7899a-6c885be5-80d5be19.jpg'],['files/p17/p17669276/s51318409/4669639e-0eb499f7-605cb393-d4ef9323-7f6c47df.jpg\n']
s52198118_11,p17669276,s52198118,11,Impression,"Persistent moderate enlargement of the cardiac silhouette. Bilateral pleural effusions, likely slightly increased. Increased perihilar opacities most likely related to pulmonary edema; however, an atypical infection is not entirely excluded in appropriate clinical setting. Left basilar opacity may represent combination of pleural effusion and atelectasis; however, underlying consolidation is not excluded.","Increased perihilar opacities most likely related to pulmonary edema; however, an atypical infection is not entirely excluded in appropriate clinical setting.",Opacities,Perihilar,Worse,['files/p17/p17669276/s52198118/cefdaf4b-0a87c4c2-7ab7899a-6c885be5-80d5be19.jpg'],['files/p17/p17669276/s51318409/4669639e-0eb499f7-605cb393-d4ef9323-7f6c47df.jpg\n']
s52198118_11,p17669276,s52198118,11,Findings,"Single AP upright portable view of the chest was obtained. There has been interval placement of left-sided PICC, which terminates in the low SVC. Previously seen right-sided PICC which is curled in the right axilla is no longer seen. There is also interval removal of previously seen right-sided internal jugular central venous catheter. The patient is status post median sternotomy. The cardiac silhouette remains moderately enlarged. Mediastinal contours are stable, with the aorta tortuous and unfolded. There appears to have been slight interval increase in bilateral pleural effusions which may in part relate to differences in patient position. There are increased perihilar opacities suggesting pulmonary edema. Left base retrocardiac opacity may be due to combination of pleural effusion and atelectasis; however, underlying consolidation is not excluded. No pneumothorax is seen.",There are increased perihilar opacities suggesting pulmonary edema.,Opacities,Perihilar,Worse,['files/p17/p17669276/s52198118/cefdaf4b-0a87c4c2-7ab7899a-6c885be5-80d5be19.jpg'],['files/p17/p17669276/s51318409/4669639e-0eb499f7-605cb393-d4ef9323-7f6c47df.jpg\n']
s52199665_21,p10268877,s52199665,21,Findings,"Indwelling support and monitoring devices are unchanged in position, and cardiomediastinal contours are stable allowing for positional differences. Left retrocardiac atelectasis has improved, but an area of confluent increased opacity in the right infrahilar region is new. The latter may reflect atelectasis, aspiration, or developing infection.","Left retrocardiac atelectasis has improved, but an area of confluent increased opacity in the right infrahilar region is new.",Increased opacity,Right infrahilar,New,['files/p10/p10268877/s52199665/f1b12ac7-37699f77-a605ccbb-0eee65fd-e2f0351d.jpg'],"['files/p10/p10268877/s51779078/a78a26be-6e2c656b-1b3d859a-328f098a-b7ce3716.jpg\n', 'files/p10/p10268877/s51779078/db9eeee7-1e5ceadf-dc9a6548-0f43c246-e7c97602.jpg\n']"
s52199665_21,p10268877,s52199665,21,Findings,"Indwelling support and monitoring devices are unchanged in position, and cardiomediastinal contours are stable allowing for positional differences. Left retrocardiac atelectasis has improved, but an area of confluent increased opacity in the right infrahilar region is new. The latter may reflect atelectasis, aspiration, or developing infection.","Indwelling support and monitoring devices are unchanged in position, and cardiomediastinal contours are stable allowing for positional differences.",Indwelling support and monitoring devices,,Stable,['files/p10/p10268877/s52199665/f1b12ac7-37699f77-a605ccbb-0eee65fd-e2f0351d.jpg'],"['files/p10/p10268877/s51779078/a78a26be-6e2c656b-1b3d859a-328f098a-b7ce3716.jpg\n', 'files/p10/p10268877/s51779078/db9eeee7-1e5ceadf-dc9a6548-0f43c246-e7c97602.jpg\n']"
s52199665_21,p10268877,s52199665,21,Findings,"Indwelling support and monitoring devices are unchanged in position, and cardiomediastinal contours are stable allowing for positional differences. Left retrocardiac atelectasis has improved, but an area of confluent increased opacity in the right infrahilar region is new. The latter may reflect atelectasis, aspiration, or developing infection.","Left retrocardiac atelectasis has improved, but an area of confluent increased opacity in the right infrahilar region is new.",Atelectasis,Left retrocardiac,Better,['files/p10/p10268877/s52199665/f1b12ac7-37699f77-a605ccbb-0eee65fd-e2f0351d.jpg'],"['files/p10/p10268877/s51779078/a78a26be-6e2c656b-1b3d859a-328f098a-b7ce3716.jpg\n', 'files/p10/p10268877/s51779078/db9eeee7-1e5ceadf-dc9a6548-0f43c246-e7c97602.jpg\n']"
s52199665_21,p10268877,s52199665,21,Findings,"Indwelling support and monitoring devices are unchanged in position, and cardiomediastinal contours are stable allowing for positional differences. Left retrocardiac atelectasis has improved, but an area of confluent increased opacity in the right infrahilar region is new. The latter may reflect atelectasis, aspiration, or developing infection.","Indwelling support and monitoring devices are unchanged in position, and cardiomediastinal contours are stable allowing for positional differences.",Cardiomediastinal contours,,Stable,['files/p10/p10268877/s52199665/f1b12ac7-37699f77-a605ccbb-0eee65fd-e2f0351d.jpg'],"['files/p10/p10268877/s51779078/a78a26be-6e2c656b-1b3d859a-328f098a-b7ce3716.jpg\n', 'files/p10/p10268877/s51779078/db9eeee7-1e5ceadf-dc9a6548-0f43c246-e7c97602.jpg\n']"
s52202145_1,p15370732,s52202145,1,Findings,"As compared to the previous radiograph, the patient has received a nasogastric tube. The course of the tube through the esophagus is unremarkable. The tip of the tube appears to project over the very proximal parts of the stomach, the tube should be advanced by approximately 5 cm. Otherwise, there is no relevant change. No complications such as pneumothorax.","Otherwise, there is no relevant change.",,,Stable,['files/p15/p15370732/s52202145/cfc3effc-853804f4-6aaf7cfd-374d7078-6e586d77.jpg'],
s52202145_1,p15370732,s52202145,1,Findings,"As compared to the previous radiograph, the patient has received a nasogastric tube. The course of the tube through the esophagus is unremarkable. The tip of the tube appears to project over the very proximal parts of the stomach, the tube should be advanced by approximately 5 cm. Otherwise, there is no relevant change. No complications such as pneumothorax.","As compared to the previous radiograph, the patient has received a nasogastric tube.",nasogastric tube,,New,['files/p15/p15370732/s52202145/cfc3effc-853804f4-6aaf7cfd-374d7078-6e586d77.jpg'],
s52206840_4,p14992360,s52206840,4,Findings,"PA and lateral views of the chest provided. Lung apices are excluded on the frontal view limiting assessment. Left chest wall pacemaker is again seen with intact appearance of 3 leads - 1 extending to the region of the right atrium and 2 extending to the region of the right ventricle, unchanged in position. Cardiomegaly is mild and stable. The aorta is mildly unfolded. Mildly increased prominence of the interstitial markings with minimal hilar engorgement raises potential concern for mild congestion/edema. No convincing signs of pneumonia. A nodular opacity in the left mid lung is stable from ___ radiograph. Right upper lobe scarring is also stable. No bony abnormalities are detected.",Right upper lobe scarring is also stable.,scarring,right upper lobe,Stable,"['files/p14/p14992360/s52206840/05e37d0a-c7818c2a-ac8b5b89-0daa39da-c75ec7c8.jpg', 'files/p14/p14992360/s52206840/4ca4512c-5c8f986c-2e3448c0-1b60be7a-6946424b.jpg', 'files/p14/p14992360/s52206840/5105ad53-1db1adf2-24a87016-dccf8db5-acfa42b3.jpg', 'files/p14/p14992360/s52206840/9b21566f-2fa02275-f08686bc-4b67b21b-5dc922fb.jpg']","['files/p14/p14992360/s50857625/8c50fc43-5d35a129-85112298-d3630da6-c38d6a1b.jpg\n', 'files/p14/p14992360/s50857625/c644ef55-2c1480c0-fa4e0e08-a92b5aa0-5b7ceb6c.jpg\n']"
s52206840_4,p14992360,s52206840,4,Findings,"PA and lateral views of the chest provided. Lung apices are excluded on the frontal view limiting assessment. Left chest wall pacemaker is again seen with intact appearance of 3 leads - 1 extending to the region of the right atrium and 2 extending to the region of the right ventricle, unchanged in position. Cardiomegaly is mild and stable. The aorta is mildly unfolded. Mildly increased prominence of the interstitial markings with minimal hilar engorgement raises potential concern for mild congestion/edema. No convincing signs of pneumonia. A nodular opacity in the left mid lung is stable from ___ radiograph. Right upper lobe scarring is also stable. No bony abnormalities are detected.",A nodular opacity in the left mid lung is stable from ___ radiograph.,nodular opacity,left mid lung,Stable,"['files/p14/p14992360/s52206840/05e37d0a-c7818c2a-ac8b5b89-0daa39da-c75ec7c8.jpg', 'files/p14/p14992360/s52206840/4ca4512c-5c8f986c-2e3448c0-1b60be7a-6946424b.jpg', 'files/p14/p14992360/s52206840/5105ad53-1db1adf2-24a87016-dccf8db5-acfa42b3.jpg', 'files/p14/p14992360/s52206840/9b21566f-2fa02275-f08686bc-4b67b21b-5dc922fb.jpg']","['files/p14/p14992360/s50857625/8c50fc43-5d35a129-85112298-d3630da6-c38d6a1b.jpg\n', 'files/p14/p14992360/s50857625/c644ef55-2c1480c0-fa4e0e08-a92b5aa0-5b7ceb6c.jpg\n']"
s52206840_4,p14992360,s52206840,4,Findings,"PA and lateral views of the chest provided. Lung apices are excluded on the frontal view limiting assessment. Left chest wall pacemaker is again seen with intact appearance of 3 leads - 1 extending to the region of the right atrium and 2 extending to the region of the right ventricle, unchanged in position. Cardiomegaly is mild and stable. The aorta is mildly unfolded. Mildly increased prominence of the interstitial markings with minimal hilar engorgement raises potential concern for mild congestion/edema. No convincing signs of pneumonia. A nodular opacity in the left mid lung is stable from ___ radiograph. Right upper lobe scarring is also stable. No bony abnormalities are detected.",Cardiomegaly is mild and stable.,cardiomegaly,heart,Stable,"['files/p14/p14992360/s52206840/05e37d0a-c7818c2a-ac8b5b89-0daa39da-c75ec7c8.jpg', 'files/p14/p14992360/s52206840/4ca4512c-5c8f986c-2e3448c0-1b60be7a-6946424b.jpg', 'files/p14/p14992360/s52206840/5105ad53-1db1adf2-24a87016-dccf8db5-acfa42b3.jpg', 'files/p14/p14992360/s52206840/9b21566f-2fa02275-f08686bc-4b67b21b-5dc922fb.jpg']","['files/p14/p14992360/s50857625/8c50fc43-5d35a129-85112298-d3630da6-c38d6a1b.jpg\n', 'files/p14/p14992360/s50857625/c644ef55-2c1480c0-fa4e0e08-a92b5aa0-5b7ceb6c.jpg\n']"
s52206840_4,p14992360,s52206840,4,Findings,"PA and lateral views of the chest provided. Lung apices are excluded on the frontal view limiting assessment. Left chest wall pacemaker is again seen with intact appearance of 3 leads - 1 extending to the region of the right atrium and 2 extending to the region of the right ventricle, unchanged in position. Cardiomegaly is mild and stable. The aorta is mildly unfolded. Mildly increased prominence of the interstitial markings with minimal hilar engorgement raises potential concern for mild congestion/edema. No convincing signs of pneumonia. A nodular opacity in the left mid lung is stable from ___ radiograph. Right upper lobe scarring is also stable. No bony abnormalities are detected.","Left chest wall pacemaker is again seen with intact appearance of 3 leads - 1 extending to the region of the right atrium and 2 extending to the region of the right ventricle, unchanged in position.",pacemaker,left chest wall,Stable,"['files/p14/p14992360/s52206840/05e37d0a-c7818c2a-ac8b5b89-0daa39da-c75ec7c8.jpg', 'files/p14/p14992360/s52206840/4ca4512c-5c8f986c-2e3448c0-1b60be7a-6946424b.jpg', 'files/p14/p14992360/s52206840/5105ad53-1db1adf2-24a87016-dccf8db5-acfa42b3.jpg', 'files/p14/p14992360/s52206840/9b21566f-2fa02275-f08686bc-4b67b21b-5dc922fb.jpg']","['files/p14/p14992360/s50857625/8c50fc43-5d35a129-85112298-d3630da6-c38d6a1b.jpg\n', 'files/p14/p14992360/s50857625/c644ef55-2c1480c0-fa4e0e08-a92b5aa0-5b7ceb6c.jpg\n']"
s52210830_15,p12530259,s52210830,15,Findings,"There continues to be elevation of the left hemidiaphragm with left effusion and an alveolar infiltrate in the left mid lung. However, overall the aeration on the left is much improved. The right lung is clear.","However, overall the aeration on the left is much improved.",aeration,left,Better,"['files/p12/p12530259/s52210830/827940e2-acbc328c-49961b5d-96769c94-d55af838.jpg', 'files/p12/p12530259/s52210830/da3efe68-9a328a1b-4d20e7f8-0152154a-e945badd.jpg']","['files/p12/p12530259/s51979149/19c665a6-5b2ac8ce-afabbb92-17bfdb7d-3db41a78.jpg\n', 'files/p12/p12530259/s51979149/35f03094-59ac4913-db051de3-831383ad-860440fa.jpg\n']"
s52215519_10,p16508811,s52215519,10,Impression,"As compared to the previous radiograph, bilateral perihilar and right basal parenchymal opacities have completely resolved. The lung parenchyma is now free of infectious changes or atelectasis. No pulmonary edema. No pleural effusions, valvular calcifications. No pulmonary nodules or other neoplastic or infectious lesions.","As compared to the previous radiograph, bilateral perihilar and right basal parenchymal opacities have completely resolved.",parenchymal opacities,bilateral perihilar,Resolve,"['files/p16/p16508811/s52215519/17d046c5-69810612-f024cac6-f18d9bd4-24767696.jpg', 'files/p16/p16508811/s52215519/31906fe2-67987de0-a8b0d659-dc6233b2-bf24da51.jpg', 'files/p16/p16508811/s52215519/9367b100-a7a0afff-943d155e-be050317-86dce692.jpg']","['files/p16/p16508811/s52110166/13ef3d0a-59bd5ec5-714aa150-ad2c6c44-c8e32115.jpg\n', 'files/p16/p16508811/s52110166/3c683456-9107fcf5-4722c784-358a526d-54f47984.jpg\n']"
s52215519_10,p16508811,s52215519,10,Impression,"As compared to the previous radiograph, bilateral perihilar and right basal parenchymal opacities have completely resolved. The lung parenchyma is now free of infectious changes or atelectasis. No pulmonary edema. No pleural effusions, valvular calcifications. No pulmonary nodules or other neoplastic or infectious lesions.","As compared to the previous radiograph, bilateral perihilar and right basal parenchymal opacities have completely resolved.",parenchymal opacities,right basal,Resolve,"['files/p16/p16508811/s52215519/17d046c5-69810612-f024cac6-f18d9bd4-24767696.jpg', 'files/p16/p16508811/s52215519/31906fe2-67987de0-a8b0d659-dc6233b2-bf24da51.jpg', 'files/p16/p16508811/s52215519/9367b100-a7a0afff-943d155e-be050317-86dce692.jpg']","['files/p16/p16508811/s52110166/13ef3d0a-59bd5ec5-714aa150-ad2c6c44-c8e32115.jpg\n', 'files/p16/p16508811/s52110166/3c683456-9107fcf5-4722c784-358a526d-54f47984.jpg\n']"
s52224512_10,p16334516,s52224512,10,Impression,"There are persistent and slightly worsening opacities in the left upper and mid lung and right lower lung which would be concerning either for worsening edema or pneumonia. Chain sutures are again identified abutting the minor fissure consistent with prior surgery. Bilateral effusions, left greater than right, are again seen. Persistent retrocardiac opacity may reflect compressive atelectasis, although infection in this region cannot be excluded. The patient is status post median sternotomy for CABG, but assessment of cardiac and mediastinal contours is difficult due to the patient's marked rotation on the current examination. Left internal jugular central line continues to have its tip in the mid SVC. Linear calcifications in the left upper hemithorax are felt to likely be pleural in etiology. A portion of the inferior vena caval filter is imaged at the edge of the study.","Persistent retrocardiac opacity may reflect compressive atelectasis, although infection in this region cannot be excluded.",opacity,retrocardiac,Stable,['files/p16/p16334516/s52224512/8a2e287f-a1d2adab-ab39ac3c-c8e1077c-c3811102.jpg'],['files/p16/p16334516/s50913309/f1939ee3-c5f53319-6a12cc79-3a32f440-2cec4540.jpg\n']
s52224512_10,p16334516,s52224512,10,Impression,"There are persistent and slightly worsening opacities in the left upper and mid lung and right lower lung which would be concerning either for worsening edema or pneumonia. Chain sutures are again identified abutting the minor fissure consistent with prior surgery. Bilateral effusions, left greater than right, are again seen. Persistent retrocardiac opacity may reflect compressive atelectasis, although infection in this region cannot be excluded. The patient is status post median sternotomy for CABG, but assessment of cardiac and mediastinal contours is difficult due to the patient's marked rotation on the current examination. Left internal jugular central line continues to have its tip in the mid SVC. Linear calcifications in the left upper hemithorax are felt to likely be pleural in etiology. A portion of the inferior vena caval filter is imaged at the edge of the study.",There are persistent and slightly worsening opacities in the left upper and mid lung and right lower lung which would be concerning either for worsening edema or pneumonia.,opacities,right lower lung,Worse,['files/p16/p16334516/s52224512/8a2e287f-a1d2adab-ab39ac3c-c8e1077c-c3811102.jpg'],['files/p16/p16334516/s50913309/f1939ee3-c5f53319-6a12cc79-3a32f440-2cec4540.jpg\n']
s52224512_10,p16334516,s52224512,10,Impression,"There are persistent and slightly worsening opacities in the left upper and mid lung and right lower lung which would be concerning either for worsening edema or pneumonia. Chain sutures are again identified abutting the minor fissure consistent with prior surgery. Bilateral effusions, left greater than right, are again seen. Persistent retrocardiac opacity may reflect compressive atelectasis, although infection in this region cannot be excluded. The patient is status post median sternotomy for CABG, but assessment of cardiac and mediastinal contours is difficult due to the patient's marked rotation on the current examination. Left internal jugular central line continues to have its tip in the mid SVC. Linear calcifications in the left upper hemithorax are felt to likely be pleural in etiology. A portion of the inferior vena caval filter is imaged at the edge of the study.",There are persistent and slightly worsening opacities in the left upper and mid lung and right lower lung which would be concerning either for worsening edema or pneumonia.,opacities,left upper and mid lung,Worse,['files/p16/p16334516/s52224512/8a2e287f-a1d2adab-ab39ac3c-c8e1077c-c3811102.jpg'],['files/p16/p16334516/s50913309/f1939ee3-c5f53319-6a12cc79-3a32f440-2cec4540.jpg\n']
s52225063_0,p15032623,s52225063,0,Findings,"In comparison with the study of ___, the cardiac silhouette is less prominent and the pulmonary vascularity is substantially improved. Mild atelectatic changes are seen at the bases.","In comparison with the study of ___, the cardiac silhouette is less prominent and the pulmonary vascularity is substantially improved.",vascularity,pulmonary vascularity,Better,"['files/p15/p15032623/s52225063/dbb7b30b-ca662a67-5d175671-812f5615-3201e73e.jpg', 'files/p15/p15032623/s52225063/ee2fe22f-087ea688-eacd294b-68409208-45f2430d.jpg']","['files/p15/p15032623/s52019812/c1ca2269-888c6d31-99903c19-c02256b7-390f38a1.jpg\n', 'files/p15/p15032623/s52019812/dae1f21b-39bf30ae-e438eeeb-ff8bfb80-1d3f7d87.jpg\n']"
s52225063_0,p15032623,s52225063,0,Findings,"In comparison with the study of ___, the cardiac silhouette is less prominent and the pulmonary vascularity is substantially improved. Mild atelectatic changes are seen at the bases.","In comparison with the study of ___, the cardiac silhouette is less prominent and the pulmonary vascularity is substantially improved.",prominence,cardiac silhouette,Better,"['files/p15/p15032623/s52225063/dbb7b30b-ca662a67-5d175671-812f5615-3201e73e.jpg', 'files/p15/p15032623/s52225063/ee2fe22f-087ea688-eacd294b-68409208-45f2430d.jpg']","['files/p15/p15032623/s52019812/c1ca2269-888c6d31-99903c19-c02256b7-390f38a1.jpg\n', 'files/p15/p15032623/s52019812/dae1f21b-39bf30ae-e438eeeb-ff8bfb80-1d3f7d87.jpg\n']"
s52227426_6,p18079481,s52227426,6,Findings,"Bilateral lung volumes remain low. Pulmonary vascular congestion has significantly decreased. Over the last 24 hours, the right lower lung opacity likely from atelectasis and effusion has significantly decreased. Left retrocardiac opacity due to a left lower lung volume loss and probably associated small effusion is unchanged. Mediastinal and hilar contours are stable. Orogastric tube is seen to course below the diaphragm into the stomach and is appropriate.","Over the last 24 hours, the right lower lung opacity likely from atelectasis and effusion has significantly decreased.",Opacity from atelectasis and effusion,Right lower lung,Better,['files/p18/p18079481/s52227426/18538733-4a1be639-4094697f-10affe45-2dcbc4f7.jpg'],"['files/p18/p18079481/s51858688/24a1e121-f2e8a2ee-fd9ceefb-fcd921af-d278d679.jpg\n', 'files/p18/p18079481/s51858688/c405b126-03d888ca-314564ad-3797a458-30e53586.jpg\n']"
s52227426_6,p18079481,s52227426,6,Findings,"Bilateral lung volumes remain low. Pulmonary vascular congestion has significantly decreased. Over the last 24 hours, the right lower lung opacity likely from atelectasis and effusion has significantly decreased. Left retrocardiac opacity due to a left lower lung volume loss and probably associated small effusion is unchanged. Mediastinal and hilar contours are stable. Orogastric tube is seen to course below the diaphragm into the stomach and is appropriate.",Left retrocardiac opacity due to a left lower lung volume loss and probably associated small effusion is unchanged.,Opacity due to volume loss and small effusion,Left retrocardiac,Stable,['files/p18/p18079481/s52227426/18538733-4a1be639-4094697f-10affe45-2dcbc4f7.jpg'],"['files/p18/p18079481/s51858688/24a1e121-f2e8a2ee-fd9ceefb-fcd921af-d278d679.jpg\n', 'files/p18/p18079481/s51858688/c405b126-03d888ca-314564ad-3797a458-30e53586.jpg\n']"
s52227426_6,p18079481,s52227426,6,Findings,"Bilateral lung volumes remain low. Pulmonary vascular congestion has significantly decreased. Over the last 24 hours, the right lower lung opacity likely from atelectasis and effusion has significantly decreased. Left retrocardiac opacity due to a left lower lung volume loss and probably associated small effusion is unchanged. Mediastinal and hilar contours are stable. Orogastric tube is seen to course below the diaphragm into the stomach and is appropriate.",Mediastinal and hilar contours are stable.,Contours,Mediastinal and hilar,Stable,['files/p18/p18079481/s52227426/18538733-4a1be639-4094697f-10affe45-2dcbc4f7.jpg'],"['files/p18/p18079481/s51858688/24a1e121-f2e8a2ee-fd9ceefb-fcd921af-d278d679.jpg\n', 'files/p18/p18079481/s51858688/c405b126-03d888ca-314564ad-3797a458-30e53586.jpg\n']"
s52227426_6,p18079481,s52227426,6,Findings,"Bilateral lung volumes remain low. Pulmonary vascular congestion has significantly decreased. Over the last 24 hours, the right lower lung opacity likely from atelectasis and effusion has significantly decreased. Left retrocardiac opacity due to a left lower lung volume loss and probably associated small effusion is unchanged. Mediastinal and hilar contours are stable. Orogastric tube is seen to course below the diaphragm into the stomach and is appropriate.",Pulmonary vascular congestion has significantly decreased.,Vascular congestion,Pulmonary,Better,['files/p18/p18079481/s52227426/18538733-4a1be639-4094697f-10affe45-2dcbc4f7.jpg'],"['files/p18/p18079481/s51858688/24a1e121-f2e8a2ee-fd9ceefb-fcd921af-d278d679.jpg\n', 'files/p18/p18079481/s51858688/c405b126-03d888ca-314564ad-3797a458-30e53586.jpg\n']"
s52227426_6,p18079481,s52227426,6,Findings,"Bilateral lung volumes remain low. Pulmonary vascular congestion has significantly decreased. Over the last 24 hours, the right lower lung opacity likely from atelectasis and effusion has significantly decreased. Left retrocardiac opacity due to a left lower lung volume loss and probably associated small effusion is unchanged. Mediastinal and hilar contours are stable. Orogastric tube is seen to course below the diaphragm into the stomach and is appropriate.",Bilateral lung volumes remain low.,Low volumes,Bilateral lung,Stable,['files/p18/p18079481/s52227426/18538733-4a1be639-4094697f-10affe45-2dcbc4f7.jpg'],"['files/p18/p18079481/s51858688/24a1e121-f2e8a2ee-fd9ceefb-fcd921af-d278d679.jpg\n', 'files/p18/p18079481/s51858688/c405b126-03d888ca-314564ad-3797a458-30e53586.jpg\n']"
s52241282_12,p10402372,s52241282,12,Findings,"As compared to the previous radiograph, there is no relevant change. Moderate-to-severe overinflation with known areas of bronchiectasis and perifocal parenchymal opacities. The opacities are unchanged in distribution and severity. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No newly appeared focal parenchymal changes.","As compared to the previous radiograph, there is no relevant change.",,,Stable,['files/p10/p10402372/s52241282/917859c3-e459ee3b-965451a4-1d4a3e3b-cdbac544.jpg'],"['files/p10/p10402372/s51966612/8797515b-595dfac0-77013a06-226b52bd-65681bf2.jpg\n', 'files/p10/p10402372/s51966612/b5da9d38-5e0c570b-e88b17c1-029654a9-a4f8a0b3.jpg\n', 'files/p10/p10402372/s51966612/beee7706-2c364242-556f9ecf-0c075776-01c10230.jpg\n']"
s52241282_12,p10402372,s52241282,12,Findings,"As compared to the previous radiograph, there is no relevant change. Moderate-to-severe overinflation with known areas of bronchiectasis and perifocal parenchymal opacities. The opacities are unchanged in distribution and severity. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No newly appeared focal parenchymal changes.",The opacities are unchanged in distribution and severity.,opacities,,Stable,['files/p10/p10402372/s52241282/917859c3-e459ee3b-965451a4-1d4a3e3b-cdbac544.jpg'],"['files/p10/p10402372/s51966612/8797515b-595dfac0-77013a06-226b52bd-65681bf2.jpg\n', 'files/p10/p10402372/s51966612/b5da9d38-5e0c570b-e88b17c1-029654a9-a4f8a0b3.jpg\n', 'files/p10/p10402372/s51966612/beee7706-2c364242-556f9ecf-0c075776-01c10230.jpg\n']"
s52246418_7,p11607628,s52246418,7,Impression,"PA and lateral chest compared to AP chest on ___ and prior PA and lateral ___: Pulmonary vascular congestion is mild, but persistent. Relative enlargement of the cardiac silhouette compared to ___ suggests some increase in moderate cardiomegaly and/or pericardial effusion. If there is pericardial effusion it is probably not hemodynamically significant but that determination would require echocardiography. Small right pleural effusion which increased between ___ and ___ is stable. A left pleural abnormality could be due to a combination of pleural thickening and small effusion, is unchanged since ___. Transvenous right ventricular pacer lead is unchanged in position, tip projecting over the floor of the right ventricle close to the anticipated location of the apex. No pneumothorax.",Small right pleural effusion which increased between ___ and ___ is stable.,pleural effusion,right,Stable,"['files/p11/p11607628/s52246418/658d8003-22d82a8a-eb4a7013-926c909a-737119a1.jpg', 'files/p11/p11607628/s52246418/c154b276-3e9ecb31-b2fe9540-94554c09-d541d5fa.jpg']",['files/p11/p11607628/s52031993/c1016405-3f0dea97-b9f2b667-dcebc0d2-67732c57.jpg\n']
s52246418_7,p11607628,s52246418,7,Impression,"PA and lateral chest compared to AP chest on ___ and prior PA and lateral ___: Pulmonary vascular congestion is mild, but persistent. Relative enlargement of the cardiac silhouette compared to ___ suggests some increase in moderate cardiomegaly and/or pericardial effusion. If there is pericardial effusion it is probably not hemodynamically significant but that determination would require echocardiography. Small right pleural effusion which increased between ___ and ___ is stable. A left pleural abnormality could be due to a combination of pleural thickening and small effusion, is unchanged since ___. Transvenous right ventricular pacer lead is unchanged in position, tip projecting over the floor of the right ventricle close to the anticipated location of the apex. No pneumothorax.",Relative enlargement of the cardiac silhouette compared to ___ suggests some increase in moderate cardiomegaly and/or pericardial effusion.,cardiomegaly and/or pericardial effusion,,Worse,"['files/p11/p11607628/s52246418/658d8003-22d82a8a-eb4a7013-926c909a-737119a1.jpg', 'files/p11/p11607628/s52246418/c154b276-3e9ecb31-b2fe9540-94554c09-d541d5fa.jpg']",['files/p11/p11607628/s52031993/c1016405-3f0dea97-b9f2b667-dcebc0d2-67732c57.jpg\n']
s52246418_7,p11607628,s52246418,7,Impression,"PA and lateral chest compared to AP chest on ___ and prior PA and lateral ___: Pulmonary vascular congestion is mild, but persistent. Relative enlargement of the cardiac silhouette compared to ___ suggests some increase in moderate cardiomegaly and/or pericardial effusion. If there is pericardial effusion it is probably not hemodynamically significant but that determination would require echocardiography. Small right pleural effusion which increased between ___ and ___ is stable. A left pleural abnormality could be due to a combination of pleural thickening and small effusion, is unchanged since ___. Transvenous right ventricular pacer lead is unchanged in position, tip projecting over the floor of the right ventricle close to the anticipated location of the apex. No pneumothorax.","PA and lateral chest compared to AP chest on ___ and prior PA and lateral ___: Pulmonary vascular congestion is mild, but persistent.",pulmonary vascular congestion,,Stable,"['files/p11/p11607628/s52246418/658d8003-22d82a8a-eb4a7013-926c909a-737119a1.jpg', 'files/p11/p11607628/s52246418/c154b276-3e9ecb31-b2fe9540-94554c09-d541d5fa.jpg']",['files/p11/p11607628/s52031993/c1016405-3f0dea97-b9f2b667-dcebc0d2-67732c57.jpg\n']
s52246418_7,p11607628,s52246418,7,Impression,"PA and lateral chest compared to AP chest on ___ and prior PA and lateral ___: Pulmonary vascular congestion is mild, but persistent. Relative enlargement of the cardiac silhouette compared to ___ suggests some increase in moderate cardiomegaly and/or pericardial effusion. If there is pericardial effusion it is probably not hemodynamically significant but that determination would require echocardiography. Small right pleural effusion which increased between ___ and ___ is stable. A left pleural abnormality could be due to a combination of pleural thickening and small effusion, is unchanged since ___. Transvenous right ventricular pacer lead is unchanged in position, tip projecting over the floor of the right ventricle close to the anticipated location of the apex. No pneumothorax.","A left pleural abnormality could be due to a combination of pleural thickening and small effusion, is unchanged since ___",pleural thickening and small effusion,left,Stable,"['files/p11/p11607628/s52246418/658d8003-22d82a8a-eb4a7013-926c909a-737119a1.jpg', 'files/p11/p11607628/s52246418/c154b276-3e9ecb31-b2fe9540-94554c09-d541d5fa.jpg']",['files/p11/p11607628/s52031993/c1016405-3f0dea97-b9f2b667-dcebc0d2-67732c57.jpg\n']
s52246418_7,p11607628,s52246418,7,Impression,"PA and lateral chest compared to AP chest on ___ and prior PA and lateral ___: Pulmonary vascular congestion is mild, but persistent. Relative enlargement of the cardiac silhouette compared to ___ suggests some increase in moderate cardiomegaly and/or pericardial effusion. If there is pericardial effusion it is probably not hemodynamically significant but that determination would require echocardiography. Small right pleural effusion which increased between ___ and ___ is stable. A left pleural abnormality could be due to a combination of pleural thickening and small effusion, is unchanged since ___. Transvenous right ventricular pacer lead is unchanged in position, tip projecting over the floor of the right ventricle close to the anticipated location of the apex. No pneumothorax.","Transvenous right ventricular pacer lead is unchanged in position, tip projecting over the floor of the right ventricle close to the anticipated location of the apex.",pacer lead,right ventricular,Stable,"['files/p11/p11607628/s52246418/658d8003-22d82a8a-eb4a7013-926c909a-737119a1.jpg', 'files/p11/p11607628/s52246418/c154b276-3e9ecb31-b2fe9540-94554c09-d541d5fa.jpg']",['files/p11/p11607628/s52031993/c1016405-3f0dea97-b9f2b667-dcebc0d2-67732c57.jpg\n']
s52247073_10,p10933609,s52247073,10,Findings,"Comparison is made to prior study from ___. Endotracheal tube has been removed. There remains a left IJ central venous line with the distal lead tip at the cavoatrial junction. Cardiac silhouette is enlarged. There are diffuse airspace opacities bilaterally, more confluent within the right lung. Findings are consistent with pulmonary edema, although multifocal pneumonia should also be considered.",There remains a left IJ central venous line with the distal lead tip at the cavoatrial junction.,central venous line,left IJ,Stable,['files/p10/p10933609/s52247073/3391a4a6-64cc1ac6-443cb01a-5a13d4c2-c6b2a84d.jpg'],['files/p10/p10933609/s51826402/1ccba7cb-19cab96d-3af214af-04c55ded-7842012a.jpg\n']
s52247073_10,p10933609,s52247073,10,Findings,"Comparison is made to prior study from ___. Endotracheal tube has been removed. There remains a left IJ central venous line with the distal lead tip at the cavoatrial junction. Cardiac silhouette is enlarged. There are diffuse airspace opacities bilaterally, more confluent within the right lung. Findings are consistent with pulmonary edema, although multifocal pneumonia should also be considered.",Endotracheal tube has been removed.,Endotracheal tube,,Resolve,['files/p10/p10933609/s52247073/3391a4a6-64cc1ac6-443cb01a-5a13d4c2-c6b2a84d.jpg'],['files/p10/p10933609/s51826402/1ccba7cb-19cab96d-3af214af-04c55ded-7842012a.jpg\n']
s52258598_7,p15393401,s52258598,7,Findings,"As compared to the previous radiograph, the patient is intubated. The tip of the endotracheal tube projects approximately 6 cm above the carina. The patient also has a nasogastric tube, the tube could be slightly advanced, given that the sidehole is at the level of the gastroesophageal junction. No evidence of complications, notably no pneumothorax. As compared to the previous image, the size of the cardiac silhouette remains moderately enlarged and signs of mild-to-moderate pulmonary edema are seen. A right and left pleural effusion with subsequent areas of atelectasis has newly developed. No other parenchymal changes.","As compared to the previous image, the size of the cardiac silhouette remains moderately enlarged and signs of mild-to-moderate pulmonary edema are seen.",Cardiac silhouette enlargement,,Stable,['files/p15/p15393401/s52258598/b50c5a50-2713d6bf-b6a084a7-d2b96375-54cc29d2.jpg'],
s52258598_7,p15393401,s52258598,7,Findings,"As compared to the previous radiograph, the patient is intubated. The tip of the endotracheal tube projects approximately 6 cm above the carina. The patient also has a nasogastric tube, the tube could be slightly advanced, given that the sidehole is at the level of the gastroesophageal junction. No evidence of complications, notably no pneumothorax. As compared to the previous image, the size of the cardiac silhouette remains moderately enlarged and signs of mild-to-moderate pulmonary edema are seen. A right and left pleural effusion with subsequent areas of atelectasis has newly developed. No other parenchymal changes.",A right and left pleural effusion with subsequent areas of atelectasis has newly developed.,Atelectasis,right and left,New,['files/p15/p15393401/s52258598/b50c5a50-2713d6bf-b6a084a7-d2b96375-54cc29d2.jpg'],
s52258598_7,p15393401,s52258598,7,Findings,"As compared to the previous radiograph, the patient is intubated. The tip of the endotracheal tube projects approximately 6 cm above the carina. The patient also has a nasogastric tube, the tube could be slightly advanced, given that the sidehole is at the level of the gastroesophageal junction. No evidence of complications, notably no pneumothorax. As compared to the previous image, the size of the cardiac silhouette remains moderately enlarged and signs of mild-to-moderate pulmonary edema are seen. A right and left pleural effusion with subsequent areas of atelectasis has newly developed. No other parenchymal changes.",A right and left pleural effusion with subsequent areas of atelectasis has newly developed.,Pleural effusion,right and left,New,['files/p15/p15393401/s52258598/b50c5a50-2713d6bf-b6a084a7-d2b96375-54cc29d2.jpg'],
s52258598_7,p15393401,s52258598,7,Findings,"As compared to the previous radiograph, the patient is intubated. The tip of the endotracheal tube projects approximately 6 cm above the carina. The patient also has a nasogastric tube, the tube could be slightly advanced, given that the sidehole is at the level of the gastroesophageal junction. No evidence of complications, notably no pneumothorax. As compared to the previous image, the size of the cardiac silhouette remains moderately enlarged and signs of mild-to-moderate pulmonary edema are seen. A right and left pleural effusion with subsequent areas of atelectasis has newly developed. No other parenchymal changes.","As compared to the previous radiograph, the patient is intubated.",Intubation,,New,['files/p15/p15393401/s52258598/b50c5a50-2713d6bf-b6a084a7-d2b96375-54cc29d2.jpg'],
s52259319_72,p15131736,s52259319,72,Impression,ET tube tip is 5 cm above the carinal. NG tube tip is in the stomach. Vascular congestion is mild to moderate. There is no appreciable pleural effusion. There is no pneumothorax.,There is no pneumothorax.,Pneumothorax,,Resolve,['files/p15/p15131736/s52259319/f3ef0ecb-ccfce0d5-19aa565a-74bee17a-411e1628.jpg'],"['files/p15/p15131736/s52062934/35e30660-e55a42f7-f970c995-78f9a85a-e257c8cc.jpg\n', 'files/p15/p15131736/s52062934/f014bbdd-d959187e-caba9ce3-18da1106-ed34d3bc.jpg\n']"
s52259319_72,p15131736,s52259319,72,Impression,ET tube tip is 5 cm above the carinal. NG tube tip is in the stomach. Vascular congestion is mild to moderate. There is no appreciable pleural effusion. There is no pneumothorax.,There is no appreciable pleural effusion.,Pleural effusion,,Resolve,['files/p15/p15131736/s52259319/f3ef0ecb-ccfce0d5-19aa565a-74bee17a-411e1628.jpg'],"['files/p15/p15131736/s52062934/35e30660-e55a42f7-f970c995-78f9a85a-e257c8cc.jpg\n', 'files/p15/p15131736/s52062934/f014bbdd-d959187e-caba9ce3-18da1106-ed34d3bc.jpg\n']"
s52268728_6,p12110863,s52268728,6,Impression,Cardiomegaly with stable area of scarring at the right lung base.,Cardiomegaly with stable area of scarring at the right lung base.,Cardiomegaly,,Stable,['files/p12/p12110863/s52268728/67412cf5-519f1711-72f5a403-2e6ec7fa-84dfa6b6.jpg'],['files/p12/p12110863/s50751429/7568a044-7f2b130e-9af97f69-17cda54e-cb366755.jpg\n']
s52268728_6,p12110863,s52268728,6,Findings,"AP portable upright chest radiograph was provided. Midline sternotomy wires and left chest wall pacer device again noted with pacer lead extending into the region of the right atrium and right ventricle. Multiple mediastinal clips are noted. As seen on prior high res CT, areas of scarring evidenced by subtle linear reticular opacity at the right lung base present. The heart is mildly enlarged. There is no definite effusion, though the left CP angle is excluded. No pneumothorax. No signs of CHF or discrete signs of pneumonia. Bony structures are intact.","As seen on prior high res CT, areas of scarring evidenced by subtle linear reticular opacity at the right lung base present.",Scarring,right lung base,Stable,['files/p12/p12110863/s52268728/67412cf5-519f1711-72f5a403-2e6ec7fa-84dfa6b6.jpg'],['files/p12/p12110863/s50751429/7568a044-7f2b130e-9af97f69-17cda54e-cb366755.jpg\n']
s52268728_6,p12110863,s52268728,6,Findings,"AP portable upright chest radiograph was provided. Midline sternotomy wires and left chest wall pacer device again noted with pacer lead extending into the region of the right atrium and right ventricle. Multiple mediastinal clips are noted. As seen on prior high res CT, areas of scarring evidenced by subtle linear reticular opacity at the right lung base present. The heart is mildly enlarged. There is no definite effusion, though the left CP angle is excluded. No pneumothorax. No signs of CHF or discrete signs of pneumonia. Bony structures are intact.",Midline sternotomy wires and left chest wall pacer device again noted with pacer lead extending into the region of the right atrium and right ventricle.,Midline sternotomy wires,,Stable,['files/p12/p12110863/s52268728/67412cf5-519f1711-72f5a403-2e6ec7fa-84dfa6b6.jpg'],['files/p12/p12110863/s50751429/7568a044-7f2b130e-9af97f69-17cda54e-cb366755.jpg\n']
s52268728_6,p12110863,s52268728,6,Findings,"AP portable upright chest radiograph was provided. Midline sternotomy wires and left chest wall pacer device again noted with pacer lead extending into the region of the right atrium and right ventricle. Multiple mediastinal clips are noted. As seen on prior high res CT, areas of scarring evidenced by subtle linear reticular opacity at the right lung base present. The heart is mildly enlarged. There is no definite effusion, though the left CP angle is excluded. No pneumothorax. No signs of CHF or discrete signs of pneumonia. Bony structures are intact.",Midline sternotomy wires and left chest wall pacer device again noted with pacer lead extending into the region of the right atrium and right ventricle.,Left chest wall pacer device,,Stable,['files/p12/p12110863/s52268728/67412cf5-519f1711-72f5a403-2e6ec7fa-84dfa6b6.jpg'],['files/p12/p12110863/s50751429/7568a044-7f2b130e-9af97f69-17cda54e-cb366755.jpg\n']
s52268728_6,p12110863,s52268728,6,Impression,Cardiomegaly with stable area of scarring at the right lung base.,Cardiomegaly with stable area of scarring at the right lung base.,Scarring,right lung base,Stable,['files/p12/p12110863/s52268728/67412cf5-519f1711-72f5a403-2e6ec7fa-84dfa6b6.jpg'],['files/p12/p12110863/s50751429/7568a044-7f2b130e-9af97f69-17cda54e-cb366755.jpg\n']
s52269494_5,p19907884,s52269494,5,Findings,"Frontal and lateral views of the chest were obtained. There are low lung volumes and bronchovascular crowding. There is prominence of the hila suggesting pulmonary vascular engorgement with possible mild pulmonary vascular congestion. No pleural effusion or pneumothorax is seen. Left infrahilar and left basilar opacity may relate to vascular crowding, although infectious process cannot be excluded in the appropriate clinical setting. There are right paramediastinal surgical clips. Cardiac and mediastinal silhouettes are stable.",Cardiac and mediastinal silhouettes are stable.,silhouettes,Cardiac and mediastinal,Stable,"['files/p19/p19907884/s52269494/25cd4b5b-538a92eb-96ad692e-1da96183-8577e43c.jpg', 'files/p19/p19907884/s52269494/be142141-0e637201-65d2ff88-43edd072-198d4dc7.jpg']",['files/p19/p19907884/s51612287/32c5499f-c7a8f116-bc3516cf-55127c10-d77b160c.jpg\n']
s52279876_0,p19765968,s52279876,0,Findings,"A mild diffuse interstitial abnormality persists, possibly reflecting known airways abnormalities previously imaged by CT. There are no new focal opacities. No effusion and no pneumothorax. The hilar and cardiomediastinal contours are unchanged. There is no pulmonary vascular congestion or pulmonary edema. Chronic deformity of the distal right clavicle is unchanged from prior studies. There is mild compression deformity of two mid-thoracic vertebral bodies, similarly stable. No new fractures are identified.",The hilar and cardiomediastinal contours are unchanged.,contours,hilar and cardiomediastinal,Stable,"['files/p19/p19765968/s52279876/3d5c9bad-c1fa71ed-adc295a3-b423edd6-afb265b0.jpg', 'files/p19/p19765968/s52279876/c43dfeba-cd886d20-ea025f7c-ec8661e4-34005602.jpg', 'files/p19/p19765968/s52279876/c5b9a963-19ad5c79-7e658aef-87d2cec2-8d00ddc7.jpg']","['files/p19/p19765968/s50775929/49e89dc3-0e95e45b-179db5f6-6e61bad2-902512d4.jpg\n', 'files/p19/p19765968/s50775929/b4e5e6d9-372dda3f-636a7faa-cac88b07-a21496fe.jpg\n', 'files/p19/p19765968/s50775929/f1ca05c4-09fee68b-47910c46-b68fbcc0-dc070cab.jpg\n']"
s52279876_0,p19765968,s52279876,0,Findings,"A mild diffuse interstitial abnormality persists, possibly reflecting known airways abnormalities previously imaged by CT. There are no new focal opacities. No effusion and no pneumothorax. The hilar and cardiomediastinal contours are unchanged. There is no pulmonary vascular congestion or pulmonary edema. Chronic deformity of the distal right clavicle is unchanged from prior studies. There is mild compression deformity of two mid-thoracic vertebral bodies, similarly stable. No new fractures are identified.","A mild diffuse interstitial abnormality persists, possibly reflecting known airways abnormalities previously imaged by CT.",interstitial abnormality,diffuse,Stable,"['files/p19/p19765968/s52279876/3d5c9bad-c1fa71ed-adc295a3-b423edd6-afb265b0.jpg', 'files/p19/p19765968/s52279876/c43dfeba-cd886d20-ea025f7c-ec8661e4-34005602.jpg', 'files/p19/p19765968/s52279876/c5b9a963-19ad5c79-7e658aef-87d2cec2-8d00ddc7.jpg']","['files/p19/p19765968/s50775929/49e89dc3-0e95e45b-179db5f6-6e61bad2-902512d4.jpg\n', 'files/p19/p19765968/s50775929/b4e5e6d9-372dda3f-636a7faa-cac88b07-a21496fe.jpg\n', 'files/p19/p19765968/s50775929/f1ca05c4-09fee68b-47910c46-b68fbcc0-dc070cab.jpg\n']"
s52279876_0,p19765968,s52279876,0,Findings,"A mild diffuse interstitial abnormality persists, possibly reflecting known airways abnormalities previously imaged by CT. There are no new focal opacities. No effusion and no pneumothorax. The hilar and cardiomediastinal contours are unchanged. There is no pulmonary vascular congestion or pulmonary edema. Chronic deformity of the distal right clavicle is unchanged from prior studies. There is mild compression deformity of two mid-thoracic vertebral bodies, similarly stable. No new fractures are identified.",Chronic deformity of the distal right clavicle is unchanged from prior studies.,clavicle deformity,distal right,Stable,"['files/p19/p19765968/s52279876/3d5c9bad-c1fa71ed-adc295a3-b423edd6-afb265b0.jpg', 'files/p19/p19765968/s52279876/c43dfeba-cd886d20-ea025f7c-ec8661e4-34005602.jpg', 'files/p19/p19765968/s52279876/c5b9a963-19ad5c79-7e658aef-87d2cec2-8d00ddc7.jpg']","['files/p19/p19765968/s50775929/49e89dc3-0e95e45b-179db5f6-6e61bad2-902512d4.jpg\n', 'files/p19/p19765968/s50775929/b4e5e6d9-372dda3f-636a7faa-cac88b07-a21496fe.jpg\n', 'files/p19/p19765968/s50775929/f1ca05c4-09fee68b-47910c46-b68fbcc0-dc070cab.jpg\n']"
s52279876_0,p19765968,s52279876,0,Impression,"Little change in diffuse interstitial prominence, without new focal parenchymal opacity. Chronic osseous changes involving the distal right clavicle and mid-thoracic vertebral bodies are again noted.",Chronic osseous changes involving the distal right clavicle and mid-thoracic vertebral bodies are again noted.,vertebral bodies osseous changes,mid-thoracic,Stable,"['files/p19/p19765968/s52279876/3d5c9bad-c1fa71ed-adc295a3-b423edd6-afb265b0.jpg', 'files/p19/p19765968/s52279876/c43dfeba-cd886d20-ea025f7c-ec8661e4-34005602.jpg', 'files/p19/p19765968/s52279876/c5b9a963-19ad5c79-7e658aef-87d2cec2-8d00ddc7.jpg']","['files/p19/p19765968/s50775929/49e89dc3-0e95e45b-179db5f6-6e61bad2-902512d4.jpg\n', 'files/p19/p19765968/s50775929/b4e5e6d9-372dda3f-636a7faa-cac88b07-a21496fe.jpg\n', 'files/p19/p19765968/s50775929/f1ca05c4-09fee68b-47910c46-b68fbcc0-dc070cab.jpg\n']"
s52279876_0,p19765968,s52279876,0,Impression,"Little change in diffuse interstitial prominence, without new focal parenchymal opacity. Chronic osseous changes involving the distal right clavicle and mid-thoracic vertebral bodies are again noted.","Little change in diffuse interstitial prominence, without new focal parenchymal opacity.",interstitial prominence,diffuse,Stable,"['files/p19/p19765968/s52279876/3d5c9bad-c1fa71ed-adc295a3-b423edd6-afb265b0.jpg', 'files/p19/p19765968/s52279876/c43dfeba-cd886d20-ea025f7c-ec8661e4-34005602.jpg', 'files/p19/p19765968/s52279876/c5b9a963-19ad5c79-7e658aef-87d2cec2-8d00ddc7.jpg']","['files/p19/p19765968/s50775929/49e89dc3-0e95e45b-179db5f6-6e61bad2-902512d4.jpg\n', 'files/p19/p19765968/s50775929/b4e5e6d9-372dda3f-636a7faa-cac88b07-a21496fe.jpg\n', 'files/p19/p19765968/s50775929/f1ca05c4-09fee68b-47910c46-b68fbcc0-dc070cab.jpg\n']"
s52279876_0,p19765968,s52279876,0,Findings,"A mild diffuse interstitial abnormality persists, possibly reflecting known airways abnormalities previously imaged by CT. There are no new focal opacities. No effusion and no pneumothorax. The hilar and cardiomediastinal contours are unchanged. There is no pulmonary vascular congestion or pulmonary edema. Chronic deformity of the distal right clavicle is unchanged from prior studies. There is mild compression deformity of two mid-thoracic vertebral bodies, similarly stable. No new fractures are identified.","There is mild compression deformity of two mid-thoracic vertebral bodies, similarly stable.",vertebral bodies compression deformity,mid-thoracic,Stable,"['files/p19/p19765968/s52279876/3d5c9bad-c1fa71ed-adc295a3-b423edd6-afb265b0.jpg', 'files/p19/p19765968/s52279876/c43dfeba-cd886d20-ea025f7c-ec8661e4-34005602.jpg', 'files/p19/p19765968/s52279876/c5b9a963-19ad5c79-7e658aef-87d2cec2-8d00ddc7.jpg']","['files/p19/p19765968/s50775929/49e89dc3-0e95e45b-179db5f6-6e61bad2-902512d4.jpg\n', 'files/p19/p19765968/s50775929/b4e5e6d9-372dda3f-636a7faa-cac88b07-a21496fe.jpg\n', 'files/p19/p19765968/s50775929/f1ca05c4-09fee68b-47910c46-b68fbcc0-dc070cab.jpg\n']"
s52279876_0,p19765968,s52279876,0,Impression,"Little change in diffuse interstitial prominence, without new focal parenchymal opacity. Chronic osseous changes involving the distal right clavicle and mid-thoracic vertebral bodies are again noted.",Chronic osseous changes involving the distal right clavicle and mid-thoracic vertebral bodies are again noted.,clavicle osseous changes,distal right,Stable,"['files/p19/p19765968/s52279876/3d5c9bad-c1fa71ed-adc295a3-b423edd6-afb265b0.jpg', 'files/p19/p19765968/s52279876/c43dfeba-cd886d20-ea025f7c-ec8661e4-34005602.jpg', 'files/p19/p19765968/s52279876/c5b9a963-19ad5c79-7e658aef-87d2cec2-8d00ddc7.jpg']","['files/p19/p19765968/s50775929/49e89dc3-0e95e45b-179db5f6-6e61bad2-902512d4.jpg\n', 'files/p19/p19765968/s50775929/b4e5e6d9-372dda3f-636a7faa-cac88b07-a21496fe.jpg\n', 'files/p19/p19765968/s50775929/f1ca05c4-09fee68b-47910c46-b68fbcc0-dc070cab.jpg\n']"
s52284383_2,p19150427,s52284383,2,Findings,"Relatively low lung volumes are seen. That said, there has been interval resolution of the previously seen right-sided pneumonia. The lungs are now clear. There is no effusion and no evidence of pulmonary edema. Median sternotomy wires and coronary artery stents are identified. Degree of cardiomegaly is unchanged. No acute osseous abnormalities.",Degree of cardiomegaly is unchanged.,cardiomegaly,,Stable,"['files/p19/p19150427/s52284383/4d33ac8f-8d9c4251-e9defb1a-a8f77096-4e2a228e.jpg', 'files/p19/p19150427/s52284383/58e73f4a-35cfb824-0e7a692a-8c4f5cea-22799505.jpg']","['files/p19/p19150427/s51511674/bf73d8b0-3e093d0f-dd91f13c-0d6e276b-53136b54.jpg\n', 'files/p19/p19150427/s51511674/dec32ede-aaf40bbe-0fce59bb-15629b05-e23aff4c.jpg\n']"
s52284383_2,p19150427,s52284383,2,Findings,"Relatively low lung volumes are seen. That said, there has been interval resolution of the previously seen right-sided pneumonia. The lungs are now clear. There is no effusion and no evidence of pulmonary edema. Median sternotomy wires and coronary artery stents are identified. Degree of cardiomegaly is unchanged. No acute osseous abnormalities.","That said, there has been interval resolution of the previously seen right-sided pneumonia.",pneumonia,right-sided,Resolve,"['files/p19/p19150427/s52284383/4d33ac8f-8d9c4251-e9defb1a-a8f77096-4e2a228e.jpg', 'files/p19/p19150427/s52284383/58e73f4a-35cfb824-0e7a692a-8c4f5cea-22799505.jpg']","['files/p19/p19150427/s51511674/bf73d8b0-3e093d0f-dd91f13c-0d6e276b-53136b54.jpg\n', 'files/p19/p19150427/s51511674/dec32ede-aaf40bbe-0fce59bb-15629b05-e23aff4c.jpg\n']"
s52284572_5,p19565388,s52284572,5,Findings,"ET tube is not visualized on this study. Temporary pacemaker is seen with lead in the right ventricle. Since prior radiographs, lung volumes are low. Opacity at the left base may represent atelectasis and small effusion. Opacity at the right upper lung is improved. No pneumothorax. The cardiomediastinal silhouette is unchanged.",The cardiomediastinal silhouette is unchanged.,cardiomediastinal silhouette,,Stable,['files/p19/p19565388/s52284572/d8b4f432-f9b2ab7a-8362727d-579d538a-00b1edd5.jpg'],
s52284572_5,p19565388,s52284572,5,Findings,"ET tube is not visualized on this study. Temporary pacemaker is seen with lead in the right ventricle. Since prior radiographs, lung volumes are low. Opacity at the left base may represent atelectasis and small effusion. Opacity at the right upper lung is improved. No pneumothorax. The cardiomediastinal silhouette is unchanged.",Opacity at the right upper lung is improved.,Opacity,right upper lung,Better,['files/p19/p19565388/s52284572/d8b4f432-f9b2ab7a-8362727d-579d538a-00b1edd5.jpg'],
s52284572_5,p19565388,s52284572,5,Findings,"ET tube is not visualized on this study. Temporary pacemaker is seen with lead in the right ventricle. Since prior radiographs, lung volumes are low. Opacity at the left base may represent atelectasis and small effusion. Opacity at the right upper lung is improved. No pneumothorax. The cardiomediastinal silhouette is unchanged.","Since prior radiographs, lung volumes are low.",low lung volumes,,Stable,['files/p19/p19565388/s52284572/d8b4f432-f9b2ab7a-8362727d-579d538a-00b1edd5.jpg'],
s52295860_8,p12847817,s52295860,8,Findings,Frontal radiographs of the chest demonstrate unchanged cardiomegaly. Lung volumes are low. There is pulmonary vascular congestion and moderate pulmonary edema increased from the prior. Bibasilar and retrocardiac opacities likely representing combination of pleural effusion and atelectasis with moderate to large pleural effusion on the right increased in size; underlying consolidation cannot be excluded. Left vascular stent is unchanged.,Bibasilar and retrocardiac opacities likely representing combination of pleural effusion and atelectasis with moderate to large pleural effusion on the right increased in size; underlying consolidation cannot be excluded.,pleural effusion,right,Worse,['files/p12/p12847817/s52295860/9e4ff803-49fb5448-9a9d7215-dda7fcf0-edfff263.jpg'],['files/p12/p12847817/s51265355/98799e4e-1081c047-ad705716-d7734aa8-600d7924.jpg\n']
s52295860_8,p12847817,s52295860,8,Findings,Frontal radiographs of the chest demonstrate unchanged cardiomegaly. Lung volumes are low. There is pulmonary vascular congestion and moderate pulmonary edema increased from the prior. Bibasilar and retrocardiac opacities likely representing combination of pleural effusion and atelectasis with moderate to large pleural effusion on the right increased in size; underlying consolidation cannot be excluded. Left vascular stent is unchanged.,There is pulmonary vascular congestion and moderate pulmonary edema increased from the prior.,"pulmonary vascular congestion, pulmonary edema",,Worse,['files/p12/p12847817/s52295860/9e4ff803-49fb5448-9a9d7215-dda7fcf0-edfff263.jpg'],['files/p12/p12847817/s51265355/98799e4e-1081c047-ad705716-d7734aa8-600d7924.jpg\n']
s52295860_8,p12847817,s52295860,8,Findings,Frontal radiographs of the chest demonstrate unchanged cardiomegaly. Lung volumes are low. There is pulmonary vascular congestion and moderate pulmonary edema increased from the prior. Bibasilar and retrocardiac opacities likely representing combination of pleural effusion and atelectasis with moderate to large pleural effusion on the right increased in size; underlying consolidation cannot be excluded. Left vascular stent is unchanged.,Frontal radiographs of the chest demonstrate unchanged cardiomegaly.,cardiomegaly,,Stable,['files/p12/p12847817/s52295860/9e4ff803-49fb5448-9a9d7215-dda7fcf0-edfff263.jpg'],['files/p12/p12847817/s51265355/98799e4e-1081c047-ad705716-d7734aa8-600d7924.jpg\n']
s52295860_8,p12847817,s52295860,8,Findings,Frontal radiographs of the chest demonstrate unchanged cardiomegaly. Lung volumes are low. There is pulmonary vascular congestion and moderate pulmonary edema increased from the prior. Bibasilar and retrocardiac opacities likely representing combination of pleural effusion and atelectasis with moderate to large pleural effusion on the right increased in size; underlying consolidation cannot be excluded. Left vascular stent is unchanged.,Left vascular stent is unchanged.,vascular stent,left,Stable,['files/p12/p12847817/s52295860/9e4ff803-49fb5448-9a9d7215-dda7fcf0-edfff263.jpg'],['files/p12/p12847817/s51265355/98799e4e-1081c047-ad705716-d7734aa8-600d7924.jpg\n']
s52296113_17,p18224196,s52296113,17,Impression,"Patient has had median sternotomy and mitral valve replacement and tricuspid valvular surgery. Lungs are hyperinflated but clear. Heart is not enlarged. Small bilateral pleural effusions are stable, probably not clinically significant. There no findings in the lungs to suggest amiodarone toxicity.","Small bilateral pleural effusions are stable, probably not clinically significant.",pleural effusions,bilateral,Stable,"['files/p18/p18224196/s52296113/74a703e3-bb6f3c08-792894b4-5a84020f-3f26dcd4.jpg', 'files/p18/p18224196/s52296113/e0112e51-895b5e80-732b15a1-fd8008b4-e8bf044d.jpg']",['files/p18/p18224196/s51463307/0bef8ba1-43fc24e0-70fdb6e1-979af2ea-5243f4b6.jpg\n']
s52296776_68,p14851532,s52296776,68,Impression,"The study of ___, the Swan-Ganz catheter has been removed and there is no evidence of pneumothorax. Continued substantial enlargement of the cardiac silhouette with pulmonary vascular congestion that appears to be decreasing. The hazy opacification at the right base has substantially cleared and the hemidiaphragm is more sharply seen. This could represent improved pleural effusion, though it could merely be a manifestation of a more erect position of the patient. Poor definition of the right heart border with basilar opacification is again consistent with substantial volume loss in the right middle and lower lobe.","The study of ___, the Swan-Ganz catheter has been removed and there is no evidence of pneumothorax.",Swan-Ganz catheter,,Resolve,['files/p14/p14851532/s52296776/8b5044a8-1b105a82-35dfd08e-befc2e5f-b2df474a.jpg'],"['files/p14/p14851532/s51895071/4c8cfdf2-2ceef04b-440ed4a3-a43a738c-f031c582.jpg\n', 'files/p14/p14851532/s51895071/53c61f6b-13463b44-509c8ec2-1dc260ad-9136011d.jpg\n']"
s52296776_68,p14851532,s52296776,68,Impression,"The study of ___, the Swan-Ganz catheter has been removed and there is no evidence of pneumothorax. Continued substantial enlargement of the cardiac silhouette with pulmonary vascular congestion that appears to be decreasing. The hazy opacification at the right base has substantially cleared and the hemidiaphragm is more sharply seen. This could represent improved pleural effusion, though it could merely be a manifestation of a more erect position of the patient. Poor definition of the right heart border with basilar opacification is again consistent with substantial volume loss in the right middle and lower lobe.",Continued substantial enlargement of the cardiac silhouette with pulmonary vascular congestion that appears to be decreasing.,Enlargement,Cardiac silhouette,Better,['files/p14/p14851532/s52296776/8b5044a8-1b105a82-35dfd08e-befc2e5f-b2df474a.jpg'],"['files/p14/p14851532/s51895071/4c8cfdf2-2ceef04b-440ed4a3-a43a738c-f031c582.jpg\n', 'files/p14/p14851532/s51895071/53c61f6b-13463b44-509c8ec2-1dc260ad-9136011d.jpg\n']"
s52296776_68,p14851532,s52296776,68,Impression,"The study of ___, the Swan-Ganz catheter has been removed and there is no evidence of pneumothorax. Continued substantial enlargement of the cardiac silhouette with pulmonary vascular congestion that appears to be decreasing. The hazy opacification at the right base has substantially cleared and the hemidiaphragm is more sharply seen. This could represent improved pleural effusion, though it could merely be a manifestation of a more erect position of the patient. Poor definition of the right heart border with basilar opacification is again consistent with substantial volume loss in the right middle and lower lobe.",The hazy opacification at the right base has substantially cleared and the hemidiaphragm is more sharply seen.,Hazy opacification,Right base,Better,['files/p14/p14851532/s52296776/8b5044a8-1b105a82-35dfd08e-befc2e5f-b2df474a.jpg'],"['files/p14/p14851532/s51895071/4c8cfdf2-2ceef04b-440ed4a3-a43a738c-f031c582.jpg\n', 'files/p14/p14851532/s51895071/53c61f6b-13463b44-509c8ec2-1dc260ad-9136011d.jpg\n']"
s52296776_68,p14851532,s52296776,68,Impression,"The study of ___, the Swan-Ganz catheter has been removed and there is no evidence of pneumothorax. Continued substantial enlargement of the cardiac silhouette with pulmonary vascular congestion that appears to be decreasing. The hazy opacification at the right base has substantially cleared and the hemidiaphragm is more sharply seen. This could represent improved pleural effusion, though it could merely be a manifestation of a more erect position of the patient. Poor definition of the right heart border with basilar opacification is again consistent with substantial volume loss in the right middle and lower lobe.",Poor definition of the right heart border with basilar opacification is again consistent with substantial volume loss in the right middle and lower lobe.,Poor definition with basilar opacification,"Right heart border, right middle and lower lobe",Stable,['files/p14/p14851532/s52296776/8b5044a8-1b105a82-35dfd08e-befc2e5f-b2df474a.jpg'],"['files/p14/p14851532/s51895071/4c8cfdf2-2ceef04b-440ed4a3-a43a738c-f031c582.jpg\n', 'files/p14/p14851532/s51895071/53c61f6b-13463b44-509c8ec2-1dc260ad-9136011d.jpg\n']"
s52299675_4,p13450581,s52299675,4,Findings,Single portable view of the chest. Low lung volumes seen on the current exam. There is secondary crowding of the bronchovascular markings. Vague opacity again seen in the left mid to upper lung in the region of patient's known underlying mass. Lingular opacity is most compatible with a prominent fat pad. Cardiomediastinal silhouette is stable. Atherosclerotic calcifications again seen at the aortic arch.,Atherosclerotic calcifications again seen at the aortic arch,Atherosclerotic calcifications,aortic arch,Stable,['files/p13/p13450581/s52299675/1f3770d8-292e129a-67319735-0573718a-8fcb1e31.jpg'],"['files/p13/p13450581/s51153135/842c80c2-40a8d117-9d30e18e-4548b4b6-99f871ed.jpg\n', 'files/p13/p13450581/s51153135/a27d6353-c65e4d61-f0312644-18f75864-525a1543.jpg\n']"
s52299675_4,p13450581,s52299675,4,Findings,Single portable view of the chest. Low lung volumes seen on the current exam. There is secondary crowding of the bronchovascular markings. Vague opacity again seen in the left mid to upper lung in the region of patient's known underlying mass. Lingular opacity is most compatible with a prominent fat pad. Cardiomediastinal silhouette is stable. Atherosclerotic calcifications again seen at the aortic arch.,Cardiomediastinal silhouette is stable,Cardiomediastinal silhouette,,Stable,['files/p13/p13450581/s52299675/1f3770d8-292e129a-67319735-0573718a-8fcb1e31.jpg'],"['files/p13/p13450581/s51153135/842c80c2-40a8d117-9d30e18e-4548b4b6-99f871ed.jpg\n', 'files/p13/p13450581/s51153135/a27d6353-c65e4d61-f0312644-18f75864-525a1543.jpg\n']"
s52299675_4,p13450581,s52299675,4,Findings,Single portable view of the chest. Low lung volumes seen on the current exam. There is secondary crowding of the bronchovascular markings. Vague opacity again seen in the left mid to upper lung in the region of patient's known underlying mass. Lingular opacity is most compatible with a prominent fat pad. Cardiomediastinal silhouette is stable. Atherosclerotic calcifications again seen at the aortic arch.,Vague opacity again seen in the left mid to upper lung in the region of patient's known underlying mass,opacity,left mid to upper lung,Stable,['files/p13/p13450581/s52299675/1f3770d8-292e129a-67319735-0573718a-8fcb1e31.jpg'],"['files/p13/p13450581/s51153135/842c80c2-40a8d117-9d30e18e-4548b4b6-99f871ed.jpg\n', 'files/p13/p13450581/s51153135/a27d6353-c65e4d61-f0312644-18f75864-525a1543.jpg\n']"
s52300884_3,p16313531,s52300884,3,Impression,"AP chest compared to ___: Heterogeneous opacification in the right lung, particularly the upper lobe has worsened. Left lower lobe remains airless. Overall findings are most consistent with spreading pneumonia and chronic left bronchial occlusion. Small left pleural effusion is presumed. Heart size top normal, decreased since ___. Tip of the new endotracheal tube is at the level of the lower margin of the clavicles, no less than 5 cm from the carina, standard placement. Nasogastric tube ends in the mid stomach. No pneumothorax.","AP chest compared to ___: Heterogeneous opacification in the right lung, particularly the upper lobe has worsened.",Heterogeneous opacification,"right lung, particularly the upper lobe",Worse,['files/p16/p16313531/s52300884/fe59a37b-153a2ffa-4552395e-09148941-f3badae1.jpg'],['files/p16/p16313531/s51111527/7d2c16b5-f6f795bc-48420b1a-415e3df8-8d442753.jpg\n']
s52300884_3,p16313531,s52300884,3,Impression,"AP chest compared to ___: Heterogeneous opacification in the right lung, particularly the upper lobe has worsened. Left lower lobe remains airless. Overall findings are most consistent with spreading pneumonia and chronic left bronchial occlusion. Small left pleural effusion is presumed. Heart size top normal, decreased since ___. Tip of the new endotracheal tube is at the level of the lower margin of the clavicles, no less than 5 cm from the carina, standard placement. Nasogastric tube ends in the mid stomach. No pneumothorax.","Heart size top normal, decreased since ___.",size,Heart,Better,['files/p16/p16313531/s52300884/fe59a37b-153a2ffa-4552395e-09148941-f3badae1.jpg'],['files/p16/p16313531/s51111527/7d2c16b5-f6f795bc-48420b1a-415e3df8-8d442753.jpg\n']
s52300884_3,p16313531,s52300884,3,Impression,"AP chest compared to ___: Heterogeneous opacification in the right lung, particularly the upper lobe has worsened. Left lower lobe remains airless. Overall findings are most consistent with spreading pneumonia and chronic left bronchial occlusion. Small left pleural effusion is presumed. Heart size top normal, decreased since ___. Tip of the new endotracheal tube is at the level of the lower margin of the clavicles, no less than 5 cm from the carina, standard placement. Nasogastric tube ends in the mid stomach. No pneumothorax.","Tip of the new endotracheal tube is at the level of the lower margin of the clavicles, no less than 5 cm from the carina, standard placement.",placement,Tip of the endotracheal tube,New,['files/p16/p16313531/s52300884/fe59a37b-153a2ffa-4552395e-09148941-f3badae1.jpg'],['files/p16/p16313531/s51111527/7d2c16b5-f6f795bc-48420b1a-415e3df8-8d442753.jpg\n']
s52300884_3,p16313531,s52300884,3,Impression,"AP chest compared to ___: Heterogeneous opacification in the right lung, particularly the upper lobe has worsened. Left lower lobe remains airless. Overall findings are most consistent with spreading pneumonia and chronic left bronchial occlusion. Small left pleural effusion is presumed. Heart size top normal, decreased since ___. Tip of the new endotracheal tube is at the level of the lower margin of the clavicles, no less than 5 cm from the carina, standard placement. Nasogastric tube ends in the mid stomach. No pneumothorax.",Left lower lobe remains airless.,airless,left lower lobe,Stable,['files/p16/p16313531/s52300884/fe59a37b-153a2ffa-4552395e-09148941-f3badae1.jpg'],['files/p16/p16313531/s51111527/7d2c16b5-f6f795bc-48420b1a-415e3df8-8d442753.jpg\n']
s52305481_9,p13606683,s52305481,9,Impression,"PA and lateral chest compared to ___: Atrio-biventricular ICD leads are in standard placements. There is no pneumothorax, mediastinal widening or attendant pleural effusion. Small left pleural effusion, moderate cardiomegaly and vascular congestion in the lower lungs are all unchanged.","Small left pleural effusion, moderate cardiomegaly and vascular congestion in the lower lungs are all unchanged.",small pleural effusion,left,Stable,"['files/p13/p13606683/s52305481/39c0aa47-d1bbe85e-ce60e6c7-48015716-b4e39643.jpg', 'files/p13/p13606683/s52305481/86901b89-cb958851-72472e41-3f1494c7-68926acc.jpg']","['files/p13/p13606683/s51927179/3413b4c9-e7447f62-2f6619a0-bbe0438e-8bb7d995.jpg\n', 'files/p13/p13606683/s51927179/dcedeaaa-d89ce34d-55379511-12e54131-ec50354b.jpg\n', 'files/p13/p13606683/s51927179/ec2a3c71-3c6943bf-1e4be2be-21077cf2-5f0a9978.jpg\n']"
s52305481_9,p13606683,s52305481,9,Impression,"PA and lateral chest compared to ___: Atrio-biventricular ICD leads are in standard placements. There is no pneumothorax, mediastinal widening or attendant pleural effusion. Small left pleural effusion, moderate cardiomegaly and vascular congestion in the lower lungs are all unchanged.","Small left pleural effusion, moderate cardiomegaly and vascular congestion in the lower lungs are all unchanged.",vascular congestion,lower lungs,Stable,"['files/p13/p13606683/s52305481/39c0aa47-d1bbe85e-ce60e6c7-48015716-b4e39643.jpg', 'files/p13/p13606683/s52305481/86901b89-cb958851-72472e41-3f1494c7-68926acc.jpg']","['files/p13/p13606683/s51927179/3413b4c9-e7447f62-2f6619a0-bbe0438e-8bb7d995.jpg\n', 'files/p13/p13606683/s51927179/dcedeaaa-d89ce34d-55379511-12e54131-ec50354b.jpg\n', 'files/p13/p13606683/s51927179/ec2a3c71-3c6943bf-1e4be2be-21077cf2-5f0a9978.jpg\n']"
s52305481_9,p13606683,s52305481,9,Impression,"PA and lateral chest compared to ___: Atrio-biventricular ICD leads are in standard placements. There is no pneumothorax, mediastinal widening or attendant pleural effusion. Small left pleural effusion, moderate cardiomegaly and vascular congestion in the lower lungs are all unchanged.","Small left pleural effusion, moderate cardiomegaly and vascular congestion in the lower lungs are all unchanged.",moderate cardiomegaly,,Stable,"['files/p13/p13606683/s52305481/39c0aa47-d1bbe85e-ce60e6c7-48015716-b4e39643.jpg', 'files/p13/p13606683/s52305481/86901b89-cb958851-72472e41-3f1494c7-68926acc.jpg']","['files/p13/p13606683/s51927179/3413b4c9-e7447f62-2f6619a0-bbe0438e-8bb7d995.jpg\n', 'files/p13/p13606683/s51927179/dcedeaaa-d89ce34d-55379511-12e54131-ec50354b.jpg\n', 'files/p13/p13606683/s51927179/ec2a3c71-3c6943bf-1e4be2be-21077cf2-5f0a9978.jpg\n']"
s52307593_11,p16957952,s52307593,11,Impression,As compared to previous studies there is no change in the cardiomediastinal silhouette including mild cardiomegaly. Mild interstitial pulmonary edema is unchanged. Compression fracture of the lower thoracic vertebral body is present. Aorta is extremely tortuous.,As compared to previous studies there is no change in the cardiomediastinal silhouette including mild cardiomegaly.,Mild cardiomegaly,,Stable,"['files/p16/p16957952/s52307593/a48bf7b6-c93b1844-01b1bec5-5155cdfa-b8313093.jpg', 'files/p16/p16957952/s52307593/f44cd0b1-41c1556c-8cb1b4db-632a0833-ed413255.jpg']","['files/p16/p16957952/s51725523/4ada6367-cb70c4dd-8f2b5739-ef9da5fa-f1c91813.jpg\n', 'files/p16/p16957952/s51725523/cec20d25-582dd382-7387d033-b47f0a48-fb349447.jpg\n']"
s52307593_11,p16957952,s52307593,11,Impression,As compared to previous studies there is no change in the cardiomediastinal silhouette including mild cardiomegaly. Mild interstitial pulmonary edema is unchanged. Compression fracture of the lower thoracic vertebral body is present. Aorta is extremely tortuous.,Mild interstitial pulmonary edema is unchanged.,Mild interstitial pulmonary edema,,Stable,"['files/p16/p16957952/s52307593/a48bf7b6-c93b1844-01b1bec5-5155cdfa-b8313093.jpg', 'files/p16/p16957952/s52307593/f44cd0b1-41c1556c-8cb1b4db-632a0833-ed413255.jpg']","['files/p16/p16957952/s51725523/4ada6367-cb70c4dd-8f2b5739-ef9da5fa-f1c91813.jpg\n', 'files/p16/p16957952/s51725523/cec20d25-582dd382-7387d033-b47f0a48-fb349447.jpg\n']"
s52312858_3,p19454978,s52312858,3,Findings,Comparison is made to the prior study from ___ at 4:16 a.m. There has been removal of the endotracheal tube. There is a right-sided IJ catheter with distal lead tip at the cavoatrial junction. There is again seen some volume loss on the left side. There are no pneumothoraces. There is likely a left-sided pleural effusion as well as atelectasis. This is stable from the prior study.,There is likely a left-sided pleural effusion as well as atelectasis. This is stable from the prior study.,"pleural effusion, atelectasis",left side,Stable,['files/p19/p19454978/s52312858/93681764-ec39480e-0518b12c-199850c2-f15118ab.jpg'],['files/p19/p19454978/s50916783/a83a9a0b-f3f4d97f-3a796f51-aca87088-8244d6b5.jpg\n']
s52312858_3,p19454978,s52312858,3,Findings,Comparison is made to the prior study from ___ at 4:16 a.m. There has been removal of the endotracheal tube. There is a right-sided IJ catheter with distal lead tip at the cavoatrial junction. There is again seen some volume loss on the left side. There are no pneumothoraces. There is likely a left-sided pleural effusion as well as atelectasis. This is stable from the prior study.,There has been removal of the endotracheal tube.,endotracheal tube,,Resolve,['files/p19/p19454978/s52312858/93681764-ec39480e-0518b12c-199850c2-f15118ab.jpg'],['files/p19/p19454978/s50916783/a83a9a0b-f3f4d97f-3a796f51-aca87088-8244d6b5.jpg\n']
s52312858_3,p19454978,s52312858,3,Findings,Comparison is made to the prior study from ___ at 4:16 a.m. There has been removal of the endotracheal tube. There is a right-sided IJ catheter with distal lead tip at the cavoatrial junction. There is again seen some volume loss on the left side. There are no pneumothoraces. There is likely a left-sided pleural effusion as well as atelectasis. This is stable from the prior study.,There is again seen some volume loss on the left side.,volume loss,left side,Worse,['files/p19/p19454978/s52312858/93681764-ec39480e-0518b12c-199850c2-f15118ab.jpg'],['files/p19/p19454978/s50916783/a83a9a0b-f3f4d97f-3a796f51-aca87088-8244d6b5.jpg\n']
s52314112_14,p16435402,s52314112,14,Findings,"Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. As seen on the previous chest radiograph are ill-defined opacities within the left upper lobe and left lung base. The right lung is clear apart from subsegmental atelectasis or scarring at the right lung base. No new focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Cholecystectomy clips are seen in the right upper quadrant of the abdomen.",As seen on the previous chest radiograph are ill-defined opacities within the left upper lobe and left lung base.,opacities,left upper lobe and left lung base,Stable,"['files/p16/p16435402/s52314112/2bb87f10-45aac793-86c9f27c-51c099e7-101f7d29.jpg', 'files/p16/p16435402/s52314112/7bd2406e-7c8114ad-31d1b818-28c7e563-6a1a6176.jpg']","['files/p16/p16435402/s51293673/4b64a5b1-add48a29-703a757c-e888cd6b-4684205e.jpg\n', 'files/p16/p16435402/s51293673/cc171ec3-fc9a6d36-795ec494-82541af9-087011d7.jpg\n']"
s52314112_14,p16435402,s52314112,14,Impression,"Ill-defined opacities within the left upper lobe and left lung base are unchanged from previous radiograph, and likely worse or new compared to the most recent chest CT. This could be due to an infectious etiology or cryptogenic organizing pneumonia, given that ground-glass opacities have been seen on prior chest CTs in a waxing and waning fashion.","Ill-defined opacities within the left upper lobe and left lung base are unchanged from previous radiograph, and likely worse or new compared to the most recent chest CT. This could be due to an infectious etiology or cryptogenic organizing pneumonia, given that ground-glass opacities have been seen on prior chest CTs in a waxing and waning fashion.",opacities,left upper lobe and left lung base,Stable,"['files/p16/p16435402/s52314112/2bb87f10-45aac793-86c9f27c-51c099e7-101f7d29.jpg', 'files/p16/p16435402/s52314112/7bd2406e-7c8114ad-31d1b818-28c7e563-6a1a6176.jpg']","['files/p16/p16435402/s51293673/4b64a5b1-add48a29-703a757c-e888cd6b-4684205e.jpg\n', 'files/p16/p16435402/s51293673/cc171ec3-fc9a6d36-795ec494-82541af9-087011d7.jpg\n']"
s52321096_4,p17147859,s52321096,4,Impression,"Compared to chest radiographs ___. Subsegmental atelectasis in the right middle lobe is new and could be due to bronchial narrowing from bronchitis. Severe cardiomegaly is chronic, but there is no pulmonary or mediastinal vascular congestion and no pleural effusion.","Compared to chest radiographs ___. Subsegmental atelectasis in the right middle lobe is new and could be due to bronchial narrowing from bronchitis. Severe cardiomegaly is chronic, but there is no pulmonary or mediastinal vascular congestion and no pleural effusion.",Subsegmental atelectasis,right middle lobe,New,"['files/p17/p17147859/s52321096/729e2a72-abdbd01c-884f4185-7fb1ac97-9dfe808c.jpg', 'files/p17/p17147859/s52321096/e8a8bd48-feafd477-16f9cfa0-575478d2-bc2c5cbb.jpg']","['files/p17/p17147859/s52077543/b6ce62d8-12124de8-769cb0d0-07e96bef-ca38036d.jpg\n', 'files/p17/p17147859/s52077543/b763b37f-bcd8f18b-d2041837-3b2722d1-f6f3013a.jpg\n']"
s52321575_5,p14295224,s52321575,5,Impression,PA and lateral chest compared to ___: Right upper lobe pneumonia continues to clear. Tiny right pleural effusion is smaller. Hyperinflation indicates COPD. Heart size normal. Right apical pleural scarring unchanged.,Right apical pleural scarring unchanged.,Pleural scarring,Right apical,Stable,"['files/p14/p14295224/s52321575/655fe8bc-af25268c-f206b4d3-5d5ed0cb-8d545266.jpg', 'files/p14/p14295224/s52321575/ec287abe-512e254e-ceb45b38-1ac39168-fab5d2d8.jpg']","['files/p14/p14295224/s52124829/8a6b0550-8fa3b54b-4703a676-db84baf7-e4fe2d48.jpg\n', 'files/p14/p14295224/s52124829/b5564bca-94e03bff-a5bd29e1-970f6aae-fc494e6a.jpg\n']"
s52321575_5,p14295224,s52321575,5,Impression,PA and lateral chest compared to ___: Right upper lobe pneumonia continues to clear. Tiny right pleural effusion is smaller. Hyperinflation indicates COPD. Heart size normal. Right apical pleural scarring unchanged.,PA and lateral chest compared to ___: Right upper lobe pneumonia continues to clear.,Pneumonia,Right upper lobe,Better,"['files/p14/p14295224/s52321575/655fe8bc-af25268c-f206b4d3-5d5ed0cb-8d545266.jpg', 'files/p14/p14295224/s52321575/ec287abe-512e254e-ceb45b38-1ac39168-fab5d2d8.jpg']","['files/p14/p14295224/s52124829/8a6b0550-8fa3b54b-4703a676-db84baf7-e4fe2d48.jpg\n', 'files/p14/p14295224/s52124829/b5564bca-94e03bff-a5bd29e1-970f6aae-fc494e6a.jpg\n']"
s52321575_5,p14295224,s52321575,5,Impression,PA and lateral chest compared to ___: Right upper lobe pneumonia continues to clear. Tiny right pleural effusion is smaller. Hyperinflation indicates COPD. Heart size normal. Right apical pleural scarring unchanged.,Tiny right pleural effusion is smaller.,Pleural effusion,Right,Better,"['files/p14/p14295224/s52321575/655fe8bc-af25268c-f206b4d3-5d5ed0cb-8d545266.jpg', 'files/p14/p14295224/s52321575/ec287abe-512e254e-ceb45b38-1ac39168-fab5d2d8.jpg']","['files/p14/p14295224/s52124829/8a6b0550-8fa3b54b-4703a676-db84baf7-e4fe2d48.jpg\n', 'files/p14/p14295224/s52124829/b5564bca-94e03bff-a5bd29e1-970f6aae-fc494e6a.jpg\n']"
s52329768_1,p12303667,s52329768,1,Impression,Stable chronic lung disease compatible with ___. No superimposed pneumonia.,Stable chronic lung disease compatible with ___,chronic lung disease,,Stable,"['files/p12/p12303667/s52329768/279895b7-16a23c5e-1aea2909-baa62b3f-884b6f9e.jpg', 'files/p12/p12303667/s52329768/ab5d8429-a48d1b05-af73d020-ef1f6e53-30f8ae8d.jpg']","['files/p12/p12303667/s51202805/8c86917f-0d8be3f4-f464a18e-3638f3a1-343d29c4.jpg\n', 'files/p12/p12303667/s51202805/f13c668b-a7cbd8c4-3de552f9-4c0921fe-7c8b4a12.jpg\n']"
s52332522_28,p13263843,s52332522,28,Impression,"AP chest compared to ___: Collapse has returned in the right lung, highlighting small-to-moderate air and fluid collection in the right lower hemithorax. Mild pulmonary edema has worsened in the left lung and a small left pleural effusion has increased. A Pleurx catheter projects over the right diaphragmatic region. Right PICC line ends in the upper SVC. No pneumothorax on the left.","AP chest compared to ___: Collapse has returned in the right lung, highlighting small-to-moderate air and fluid collection in the right lower hemithorax.",air and fluid collection,right lower hemithorax,New,['files/p13/p13263843/s52332522/2c6c22f3-33a5cbf1-a81aa482-24c67693-17d97e01.jpg'],['files/p13/p13263843/s52138943/de739d0b-2345495b-255f0e3b-00ccbf4c-ab4d3400.jpg\n']
s52332522_28,p13263843,s52332522,28,Impression,"AP chest compared to ___: Collapse has returned in the right lung, highlighting small-to-moderate air and fluid collection in the right lower hemithorax. Mild pulmonary edema has worsened in the left lung and a small left pleural effusion has increased. A Pleurx catheter projects over the right diaphragmatic region. Right PICC line ends in the upper SVC. No pneumothorax on the left.",Mild pulmonary edema has worsened in the left lung and a small left pleural effusion has increased.,pulmonary edema,left lung,Worse,['files/p13/p13263843/s52332522/2c6c22f3-33a5cbf1-a81aa482-24c67693-17d97e01.jpg'],['files/p13/p13263843/s52138943/de739d0b-2345495b-255f0e3b-00ccbf4c-ab4d3400.jpg\n']
s52332522_28,p13263843,s52332522,28,Impression,"AP chest compared to ___: Collapse has returned in the right lung, highlighting small-to-moderate air and fluid collection in the right lower hemithorax. Mild pulmonary edema has worsened in the left lung and a small left pleural effusion has increased. A Pleurx catheter projects over the right diaphragmatic region. Right PICC line ends in the upper SVC. No pneumothorax on the left.",Mild pulmonary edema has worsened in the left lung and a small left pleural effusion has increased.,pleural effusion,left,Worse,['files/p13/p13263843/s52332522/2c6c22f3-33a5cbf1-a81aa482-24c67693-17d97e01.jpg'],['files/p13/p13263843/s52138943/de739d0b-2345495b-255f0e3b-00ccbf4c-ab4d3400.jpg\n']
s52332522_28,p13263843,s52332522,28,Impression,"AP chest compared to ___: Collapse has returned in the right lung, highlighting small-to-moderate air and fluid collection in the right lower hemithorax. Mild pulmonary edema has worsened in the left lung and a small left pleural effusion has increased. A Pleurx catheter projects over the right diaphragmatic region. Right PICC line ends in the upper SVC. No pneumothorax on the left.","AP chest compared to ___: Collapse has returned in the right lung, highlighting small-to-moderate air and fluid collection in the right lower hemithorax.",collapse,right lung,Worse,['files/p13/p13263843/s52332522/2c6c22f3-33a5cbf1-a81aa482-24c67693-17d97e01.jpg'],['files/p13/p13263843/s52138943/de739d0b-2345495b-255f0e3b-00ccbf4c-ab4d3400.jpg\n']
s52336902_14,p19720782,s52336902,14,Impression,"As compared to the recent radiograph of earlier the same date, and endotracheal to tube has been placed with tip terminating 3.2 cm above the carinal. Bibasilar opacities have rapidly worsened, particularly at the left lung base. A rapidly of the evolving aspiration or infectious pneumonia should be considered. Moderate right and small left pleural effusions have slightly increased in size.","As compared to the recent radiograph of earlier the same date, and endotracheal to tube has been placed with tip terminating 3.2 cm above the carinal.",endotracheal tube,above the carinal,New,['files/p19/p19720782/s52336902/916efce3-8ded2d22-21ca5070-3c1635b7-84c51396.jpg'],['files/p19/p19720782/s51067581/0bfb85a2-fe62f571-fb0c092b-b592a4d6-60a8b4ff.jpg\n']
s52336902_14,p19720782,s52336902,14,Impression,"As compared to the recent radiograph of earlier the same date, and endotracheal to tube has been placed with tip terminating 3.2 cm above the carinal. Bibasilar opacities have rapidly worsened, particularly at the left lung base. A rapidly of the evolving aspiration or infectious pneumonia should be considered. Moderate right and small left pleural effusions have slightly increased in size.","Bibasilar opacities have rapidly worsened, particularly at the left lung base.",Bibasilar opacities,left lung base,Worse,['files/p19/p19720782/s52336902/916efce3-8ded2d22-21ca5070-3c1635b7-84c51396.jpg'],['files/p19/p19720782/s51067581/0bfb85a2-fe62f571-fb0c092b-b592a4d6-60a8b4ff.jpg\n']
s52336902_14,p19720782,s52336902,14,Impression,"As compared to the recent radiograph of earlier the same date, and endotracheal to tube has been placed with tip terminating 3.2 cm above the carinal. Bibasilar opacities have rapidly worsened, particularly at the left lung base. A rapidly of the evolving aspiration or infectious pneumonia should be considered. Moderate right and small left pleural effusions have slightly increased in size.",Moderate right and small left pleural effusions have slightly increased in size.,pleural effusions,right and left,Worse,['files/p19/p19720782/s52336902/916efce3-8ded2d22-21ca5070-3c1635b7-84c51396.jpg'],['files/p19/p19720782/s51067581/0bfb85a2-fe62f571-fb0c092b-b592a4d6-60a8b4ff.jpg\n']
s52349735_5,p17112432,s52349735,5,Impression,1. Interval resolution of right apical pneumothorax. 2. Right rib fractures as above.,Interval resolution of right apical pneumothorax.,pneumothorax,Right apical,Resolve,"['files/p17/p17112432/s52349735/7e7b19ac-d29aedbe-10d9f138-4037688a-57615f21.jpg', 'files/p17/p17112432/s52349735/fd2b67dc-f8167506-7c0667ac-33d49ad7-cc9fbde1.jpg']","['files/p17/p17112432/s50407173/2a0ce644-defed4a1-f1d778d7-8da5ba60-b5d8e243.jpg\n', 'files/p17/p17112432/s50407173/ebbcd473-0c218cdd-1a652c92-c84c739f-cc9f23f3.jpg\n']"
s52349735_5,p17112432,s52349735,5,Findings,"The lungs are well expanded. Right mid and lower lung opacities persist, but are much improved from ___. No pleural effusion or pneumothorax with interval resolution of the right apical pneumothorax. The heart size is normal. Mediastinal silhouette and hilar contours are normal. Fractures of the anterior first, and lateral right third and seventh ribs are seen on this study. A vagal nerve stimulator is in place.",No pleural effusion or pneumothorax with interval resolution of the right apical pneumothorax.,pneumothorax,Right apical,Resolve,"['files/p17/p17112432/s52349735/7e7b19ac-d29aedbe-10d9f138-4037688a-57615f21.jpg', 'files/p17/p17112432/s52349735/fd2b67dc-f8167506-7c0667ac-33d49ad7-cc9fbde1.jpg']","['files/p17/p17112432/s50407173/2a0ce644-defed4a1-f1d778d7-8da5ba60-b5d8e243.jpg\n', 'files/p17/p17112432/s50407173/ebbcd473-0c218cdd-1a652c92-c84c739f-cc9f23f3.jpg\n']"
s52349735_5,p17112432,s52349735,5,Findings,"The lungs are well expanded. Right mid and lower lung opacities persist, but are much improved from ___. No pleural effusion or pneumothorax with interval resolution of the right apical pneumothorax. The heart size is normal. Mediastinal silhouette and hilar contours are normal. Fractures of the anterior first, and lateral right third and seventh ribs are seen on this study. A vagal nerve stimulator is in place.","Right mid and lower lung opacities persist, but are much improved from ___.",opacities,Right mid and lower lung,Better,"['files/p17/p17112432/s52349735/7e7b19ac-d29aedbe-10d9f138-4037688a-57615f21.jpg', 'files/p17/p17112432/s52349735/fd2b67dc-f8167506-7c0667ac-33d49ad7-cc9fbde1.jpg']","['files/p17/p17112432/s50407173/2a0ce644-defed4a1-f1d778d7-8da5ba60-b5d8e243.jpg\n', 'files/p17/p17112432/s50407173/ebbcd473-0c218cdd-1a652c92-c84c739f-cc9f23f3.jpg\n']"
s52350132_5,p19640059,s52350132,5,Impression,New left upper zone opacity which may represent asymmetric edema or new consolidation.,New left upper zone opacity which may represent asymmetric edema or new consolidation.,opacity,left upper zone,New,['files/p19/p19640059/s52350132/3a15717b-35330afb-c621652c-6072ec95-cbce9765.jpg'],['files/p19/p19640059/s52064406/a5a826d6-195c67e7-9c1b8449-48bc396a-87fae5fc.jpg\n']
s52350132_5,p19640059,s52350132,5,Findings,"The heart size is top normal. The aorta is markedly tortuous. Reticular nodular opacities scattered at the lung bases are minimally changed since ___. There is increased opacity across the left upper lung zone, which may represent new edema or consolidation. There is no pneumothorax. The right costophrenic angle is obscured either by overlying fibrosis or small amount of fluid.","There is increased opacity across the left upper lung zone, which may represent new edema or consolidation.",opacity,left upper lung zone,New,['files/p19/p19640059/s52350132/3a15717b-35330afb-c621652c-6072ec95-cbce9765.jpg'],['files/p19/p19640059/s52064406/a5a826d6-195c67e7-9c1b8449-48bc396a-87fae5fc.jpg\n']
s52350132_5,p19640059,s52350132,5,Findings,"The heart size is top normal. The aorta is markedly tortuous. Reticular nodular opacities scattered at the lung bases are minimally changed since ___. There is increased opacity across the left upper lung zone, which may represent new edema or consolidation. There is no pneumothorax. The right costophrenic angle is obscured either by overlying fibrosis or small amount of fluid.",Reticular nodular opacities scattered at the lung bases are minimally changed since ___.,Reticular nodular opacities,lung bases,Stable,['files/p19/p19640059/s52350132/3a15717b-35330afb-c621652c-6072ec95-cbce9765.jpg'],['files/p19/p19640059/s52064406/a5a826d6-195c67e7-9c1b8449-48bc396a-87fae5fc.jpg\n']
s52353624_10,p16435402,s52353624,10,Impression,"Slight interval increase of lingular opacity, and new area of atelectasis at bilateral bases.","Slight interval increase of lingular opacity, and new area of atelectasis at bilateral bases.",atelectasis,bilateral bases,New,"['files/p16/p16435402/s52353624/77af0e2c-d7666b9b-34048bce-176b735b-4e6ee973.jpg', 'files/p16/p16435402/s52353624/b05e2bad-8b5b414e-de701c91-cd96ce95-3dd20d77.jpg']","['files/p16/p16435402/s52314112/2bb87f10-45aac793-86c9f27c-51c099e7-101f7d29.jpg\n', 'files/p16/p16435402/s52314112/7bd2406e-7c8114ad-31d1b818-28c7e563-6a1a6176.jpg\n']"
s52353624_10,p16435402,s52353624,10,Findings,"Frontal and lateral radiographs of the chest demonstrate slight interval increase in the opacity in the lingula. There is a new area of atelectasis at the left base. There is slight blunting of the right costophrenic angle, which likely represents atalectasis. The cardiomediastinal and hilar contours are unremarkable. No new or additional foci of consolidation are noted. There is no pneumothorax, pleural effusion, or pulmonary edema.",There is a new area of atelectasis at the left base.,atelectasis,left base,New,"['files/p16/p16435402/s52353624/77af0e2c-d7666b9b-34048bce-176b735b-4e6ee973.jpg', 'files/p16/p16435402/s52353624/b05e2bad-8b5b414e-de701c91-cd96ce95-3dd20d77.jpg']","['files/p16/p16435402/s52314112/2bb87f10-45aac793-86c9f27c-51c099e7-101f7d29.jpg\n', 'files/p16/p16435402/s52314112/7bd2406e-7c8114ad-31d1b818-28c7e563-6a1a6176.jpg\n']"
s52353624_10,p16435402,s52353624,10,Findings,"Frontal and lateral radiographs of the chest demonstrate slight interval increase in the opacity in the lingula. There is a new area of atelectasis at the left base. There is slight blunting of the right costophrenic angle, which likely represents atalectasis. The cardiomediastinal and hilar contours are unremarkable. No new or additional foci of consolidation are noted. There is no pneumothorax, pleural effusion, or pulmonary edema.",Frontal and lateral radiographs of the chest demonstrate slight interval increase in the opacity in the lingula.,opacity,lingula,Worse,"['files/p16/p16435402/s52353624/77af0e2c-d7666b9b-34048bce-176b735b-4e6ee973.jpg', 'files/p16/p16435402/s52353624/b05e2bad-8b5b414e-de701c91-cd96ce95-3dd20d77.jpg']","['files/p16/p16435402/s52314112/2bb87f10-45aac793-86c9f27c-51c099e7-101f7d29.jpg\n', 'files/p16/p16435402/s52314112/7bd2406e-7c8114ad-31d1b818-28c7e563-6a1a6176.jpg\n']"
s52353624_10,p16435402,s52353624,10,Impression,"Slight interval increase of lingular opacity, and new area of atelectasis at bilateral bases.","Slight interval increase of lingular opacity, and new area of atelectasis at bilateral bases.",opacity,lingula,Worse,"['files/p16/p16435402/s52353624/77af0e2c-d7666b9b-34048bce-176b735b-4e6ee973.jpg', 'files/p16/p16435402/s52353624/b05e2bad-8b5b414e-de701c91-cd96ce95-3dd20d77.jpg']","['files/p16/p16435402/s52314112/2bb87f10-45aac793-86c9f27c-51c099e7-101f7d29.jpg\n', 'files/p16/p16435402/s52314112/7bd2406e-7c8114ad-31d1b818-28c7e563-6a1a6176.jpg\n']"
s52356321_6,p11607628,s52356321,6,Findings,"Frontal and lateral views of the chest demonstrate left pectoral single lead AICD with stable position of lead terminating in the right ventricle. The heart appears globular and enlarged, more pronounced as compared to ___, morphology suggestive of pericardial effusion. There is plate-like atelectasis in the left base with associated pleural effusion, which is decreased since preceding exam. There is no pneumothorax or frank edema. Mild blunting of the right costophrenic angle is unchanged.","There is plate-like atelectasis in the left base with associated pleural effusion, which is decreased since preceding exam.",plate-like atelectasis with associated pleural effusion,left base,Better,"['files/p11/p11607628/s52356321/9c44b35d-68d09c0c-3cfbce66-0341de07-1c0346ee.jpg', 'files/p11/p11607628/s52356321/ae7fb131-28d05c98-90cbbc4c-f05c219a-1d0fed84.jpg']","['files/p11/p11607628/s52246418/658d8003-22d82a8a-eb4a7013-926c909a-737119a1.jpg\n', 'files/p11/p11607628/s52246418/c154b276-3e9ecb31-b2fe9540-94554c09-d541d5fa.jpg\n']"
s52356321_6,p11607628,s52356321,6,Findings,"Frontal and lateral views of the chest demonstrate left pectoral single lead AICD with stable position of lead terminating in the right ventricle. The heart appears globular and enlarged, more pronounced as compared to ___, morphology suggestive of pericardial effusion. There is plate-like atelectasis in the left base with associated pleural effusion, which is decreased since preceding exam. There is no pneumothorax or frank edema. Mild blunting of the right costophrenic angle is unchanged.",Frontal and lateral views of the chest demonstrate left pectoral single lead AICD with stable position of lead terminating in the right ventricle.,single lead AICD,left pectoral,Stable,"['files/p11/p11607628/s52356321/9c44b35d-68d09c0c-3cfbce66-0341de07-1c0346ee.jpg', 'files/p11/p11607628/s52356321/ae7fb131-28d05c98-90cbbc4c-f05c219a-1d0fed84.jpg']","['files/p11/p11607628/s52246418/658d8003-22d82a8a-eb4a7013-926c909a-737119a1.jpg\n', 'files/p11/p11607628/s52246418/c154b276-3e9ecb31-b2fe9540-94554c09-d541d5fa.jpg\n']"
s52356321_6,p11607628,s52356321,6,Findings,"Frontal and lateral views of the chest demonstrate left pectoral single lead AICD with stable position of lead terminating in the right ventricle. The heart appears globular and enlarged, more pronounced as compared to ___, morphology suggestive of pericardial effusion. There is plate-like atelectasis in the left base with associated pleural effusion, which is decreased since preceding exam. There is no pneumothorax or frank edema. Mild blunting of the right costophrenic angle is unchanged.",Mild blunting of the right costophrenic angle is unchanged.,blunting,right costophrenic angle,Stable,"['files/p11/p11607628/s52356321/9c44b35d-68d09c0c-3cfbce66-0341de07-1c0346ee.jpg', 'files/p11/p11607628/s52356321/ae7fb131-28d05c98-90cbbc4c-f05c219a-1d0fed84.jpg']","['files/p11/p11607628/s52246418/658d8003-22d82a8a-eb4a7013-926c909a-737119a1.jpg\n', 'files/p11/p11607628/s52246418/c154b276-3e9ecb31-b2fe9540-94554c09-d541d5fa.jpg\n']"
s52356321_6,p11607628,s52356321,6,Findings,"Frontal and lateral views of the chest demonstrate left pectoral single lead AICD with stable position of lead terminating in the right ventricle. The heart appears globular and enlarged, more pronounced as compared to ___, morphology suggestive of pericardial effusion. There is plate-like atelectasis in the left base with associated pleural effusion, which is decreased since preceding exam. There is no pneumothorax or frank edema. Mild blunting of the right costophrenic angle is unchanged.","The heart appears globular and enlarged, more pronounced as compared to ___",heart enlargement,,Worse,"['files/p11/p11607628/s52356321/9c44b35d-68d09c0c-3cfbce66-0341de07-1c0346ee.jpg', 'files/p11/p11607628/s52356321/ae7fb131-28d05c98-90cbbc4c-f05c219a-1d0fed84.jpg']","['files/p11/p11607628/s52246418/658d8003-22d82a8a-eb4a7013-926c909a-737119a1.jpg\n', 'files/p11/p11607628/s52246418/c154b276-3e9ecb31-b2fe9540-94554c09-d541d5fa.jpg\n']"
s52356321_6,p11607628,s52356321,6,Impression,"1. Short interval development of massive cardiomegaly with globular configuration, concerning for pericardial effusion. 2. Trace left effusion with plate-like atelectasis. Possible trace right effusion, unchanged. Findings reported to Dr. ___ by phone at 4 a.m. on ___.","2. Trace left effusion with plate-like atelectasis. Possible trace right effusion, unchanged.",trace effusion,right,Stable,"['files/p11/p11607628/s52356321/9c44b35d-68d09c0c-3cfbce66-0341de07-1c0346ee.jpg', 'files/p11/p11607628/s52356321/ae7fb131-28d05c98-90cbbc4c-f05c219a-1d0fed84.jpg']","['files/p11/p11607628/s52246418/658d8003-22d82a8a-eb4a7013-926c909a-737119a1.jpg\n', 'files/p11/p11607628/s52246418/c154b276-3e9ecb31-b2fe9540-94554c09-d541d5fa.jpg\n']"
s52356800_46,p19182863,s52356800,46,Findings,PA and lateral views of the chest show stability of the moderate right pleural effusion with complete collapse of right middle lobe and lower lobe. Right upper lobe and left lung are still clear. Median wires are related to sternotomy in patient with history of aortic valve replacement and are unchanged. Heart size is stable. There is no pneumothorax.,Heart size is stable.,heart size,,Stable,"['files/p19/p19182863/s52356800/4ac816f0-20d6f585-6b55a743-653f83da-3490fb22.jpg', 'files/p19/p19182863/s52356800/7d705bf2-0c6a9344-d86b9381-311c9eb2-e4b1ab6c.jpg']",['files/p19/p19182863/s51889790/404c92ca-507a2663-933cb795-d5538049-f6ed552e.jpg\n']
s52356800_46,p19182863,s52356800,46,Findings,PA and lateral views of the chest show stability of the moderate right pleural effusion with complete collapse of right middle lobe and lower lobe. Right upper lobe and left lung are still clear. Median wires are related to sternotomy in patient with history of aortic valve replacement and are unchanged. Heart size is stable. There is no pneumothorax.,PA and lateral views of the chest show stability of the moderate right pleural effusion with complete collapse of right middle lobe and lower lobe.,pleural effusion,right,Stable,"['files/p19/p19182863/s52356800/4ac816f0-20d6f585-6b55a743-653f83da-3490fb22.jpg', 'files/p19/p19182863/s52356800/7d705bf2-0c6a9344-d86b9381-311c9eb2-e4b1ab6c.jpg']",['files/p19/p19182863/s51889790/404c92ca-507a2663-933cb795-d5538049-f6ed552e.jpg\n']
s52356800_46,p19182863,s52356800,46,Findings,PA and lateral views of the chest show stability of the moderate right pleural effusion with complete collapse of right middle lobe and lower lobe. Right upper lobe and left lung are still clear. Median wires are related to sternotomy in patient with history of aortic valve replacement and are unchanged. Heart size is stable. There is no pneumothorax.,Median wires are related to sternotomy in patient with history of aortic valve replacement and are unchanged.,median wires,,Stable,"['files/p19/p19182863/s52356800/4ac816f0-20d6f585-6b55a743-653f83da-3490fb22.jpg', 'files/p19/p19182863/s52356800/7d705bf2-0c6a9344-d86b9381-311c9eb2-e4b1ab6c.jpg']",['files/p19/p19182863/s51889790/404c92ca-507a2663-933cb795-d5538049-f6ed552e.jpg\n']
s52356800_46,p19182863,s52356800,46,Findings,PA and lateral views of the chest show stability of the moderate right pleural effusion with complete collapse of right middle lobe and lower lobe. Right upper lobe and left lung are still clear. Median wires are related to sternotomy in patient with history of aortic valve replacement and are unchanged. Heart size is stable. There is no pneumothorax.,PA and lateral views of the chest show stability of the moderate right pleural effusion with complete collapse of right middle lobe and lower lobe.,complete collapse,right middle and lower lobes,Stable,"['files/p19/p19182863/s52356800/4ac816f0-20d6f585-6b55a743-653f83da-3490fb22.jpg', 'files/p19/p19182863/s52356800/7d705bf2-0c6a9344-d86b9381-311c9eb2-e4b1ab6c.jpg']",['files/p19/p19182863/s51889790/404c92ca-507a2663-933cb795-d5538049-f6ed552e.jpg\n']
s52361758_6,p13475033,s52361758,6,Findings,"In comparison with the study of ___, there is little overall change. Again, there is enlargement of the cardiac silhouette with diffuse prominence of interstitial markings. This could reflect chronic interstitial lung disease, possibly with superimposed elevation of pulmonary venous pressure. Central line remains in place.","Again, there is enlargement of the cardiac silhouette with diffuse prominence of interstitial markings.",interstitial markings,diffuse,Stable,['files/p13/p13475033/s52361758/08c5db2c-71dd02c9-c4a04334-3b52c7a9-afa08832.jpg'],"['files/p13/p13475033/s52240207/87515fe1-c81935db-3e08045b-57166269-f532d53c.jpg\n', 'files/p13/p13475033/s52240207/c5f6b48e-5ca7ae46-4fab692c-24718944-688b465f.jpg\n']"
s52361758_6,p13475033,s52361758,6,Findings,"In comparison with the study of ___, there is little overall change. Again, there is enlargement of the cardiac silhouette with diffuse prominence of interstitial markings. This could reflect chronic interstitial lung disease, possibly with superimposed elevation of pulmonary venous pressure. Central line remains in place.","Again, there is enlargement of the cardiac silhouette with diffuse prominence of interstitial markings.",silhouette,cardiac,Stable,['files/p13/p13475033/s52361758/08c5db2c-71dd02c9-c4a04334-3b52c7a9-afa08832.jpg'],"['files/p13/p13475033/s52240207/87515fe1-c81935db-3e08045b-57166269-f532d53c.jpg\n', 'files/p13/p13475033/s52240207/c5f6b48e-5ca7ae46-4fab692c-24718944-688b465f.jpg\n']"
s52361758_6,p13475033,s52361758,6,Findings,"In comparison with the study of ___, there is little overall change. Again, there is enlargement of the cardiac silhouette with diffuse prominence of interstitial markings. This could reflect chronic interstitial lung disease, possibly with superimposed elevation of pulmonary venous pressure. Central line remains in place.",Central line remains in place.,central line,,Stable,['files/p13/p13475033/s52361758/08c5db2c-71dd02c9-c4a04334-3b52c7a9-afa08832.jpg'],"['files/p13/p13475033/s52240207/87515fe1-c81935db-3e08045b-57166269-f532d53c.jpg\n', 'files/p13/p13475033/s52240207/c5f6b48e-5ca7ae46-4fab692c-24718944-688b465f.jpg\n']"
s52363927_2,p10715477,s52363927,2,Findings,"Indwelling support and monitoring devices are in standard position. Cardiac silhouette remains enlarged, and pulmonary edema continues to improve, with residual asymmetrical edema worse on the right than the left. Small pleural effusions are not substantially changed.","Cardiac silhouette remains enlarged, and pulmonary edema continues to improve, with residual asymmetrical edema worse on the right than the left.",pulmonary edema,asymmetrical,Better,['files/p10/p10715477/s52363927/701d2394-b800427d-91a53aa7-5fb33fd1-663b37c1.jpg'],['files/p10/p10715477/s52216394/1bc69954-e246a16b-68c73a00-41103f36-59e96b81.jpg\n']
s52363927_2,p10715477,s52363927,2,Findings,"Indwelling support and monitoring devices are in standard position. Cardiac silhouette remains enlarged, and pulmonary edema continues to improve, with residual asymmetrical edema worse on the right than the left. Small pleural effusions are not substantially changed.",Small pleural effusions are not substantially changed.,small pleural effusions,,Stable,['files/p10/p10715477/s52363927/701d2394-b800427d-91a53aa7-5fb33fd1-663b37c1.jpg'],['files/p10/p10715477/s52216394/1bc69954-e246a16b-68c73a00-41103f36-59e96b81.jpg\n']
s52363927_2,p10715477,s52363927,2,Findings,"Indwelling support and monitoring devices are in standard position. Cardiac silhouette remains enlarged, and pulmonary edema continues to improve, with residual asymmetrical edema worse on the right than the left. Small pleural effusions are not substantially changed.","Cardiac silhouette remains enlarged, and pulmonary edema continues to improve, with residual asymmetrical edema worse on the right than the left.",cardiac silhouette,,Stable,['files/p10/p10715477/s52363927/701d2394-b800427d-91a53aa7-5fb33fd1-663b37c1.jpg'],['files/p10/p10715477/s52216394/1bc69954-e246a16b-68c73a00-41103f36-59e96b81.jpg\n']
s52364562_6,p19061282,s52364562,6,Findings,"Cardiomediastinal contours are stable. Patchy and linear opacity has developed at the left lung base, and may reflect atelectasis although coexisting aspiration or infectious pneumonia is possible. Band-like linear atelectasis at the right base has worsened in the interval. Otherwise, no short-interval change since recent study.",Band-like linear atelectasis at the right base has worsened in the interval.,Band-like linear atelectasis,right base,Worse,['files/p19/p19061282/s52364562/4641a697-8f606459-f9c55881-5ef83f11-ea8af252.jpg'],['files/p19/p19061282/s51863042/1c038d27-c6193e6a-d4588595-a78608bd-565e11fa.jpg\n']
s52364562_6,p19061282,s52364562,6,Findings,"Cardiomediastinal contours are stable. Patchy and linear opacity has developed at the left lung base, and may reflect atelectasis although coexisting aspiration or infectious pneumonia is possible. Band-like linear atelectasis at the right base has worsened in the interval. Otherwise, no short-interval change since recent study.",Cardiomediastinal contours are stable.,Cardiomediastinal contours,,Stable,['files/p19/p19061282/s52364562/4641a697-8f606459-f9c55881-5ef83f11-ea8af252.jpg'],['files/p19/p19061282/s51863042/1c038d27-c6193e6a-d4588595-a78608bd-565e11fa.jpg\n']
s52365850_11,p14841168,s52365850,11,Findings,"As compared to the previous radiograph, there is no relevant change. Unchanged monitoring and support devices. Unchanged moderate cardiomegaly with signs of mild fluid overload. Left and right basal atelectasis. Potential small-to-moderate right pleural effusion. No left pleural effusion. No interval appearance of new parenchymal opacities.",Unchanged moderate cardiomegaly with signs of mild fluid overload.,moderate cardiomegaly with mild fluid overload,,Stable,['files/p14/p14841168/s52365850/ffd311aa-b1ad24f7-29b178ef-4423264a-d0298e46.jpg'],['files/p14/p14841168/s52070116/93545eeb-752a09e2-3a5afc63-bbdfdacf-0161e920.jpg\n']
s52365850_11,p14841168,s52365850,11,Findings,"As compared to the previous radiograph, there is no relevant change. Unchanged monitoring and support devices. Unchanged moderate cardiomegaly with signs of mild fluid overload. Left and right basal atelectasis. Potential small-to-moderate right pleural effusion. No left pleural effusion. No interval appearance of new parenchymal opacities.",Unchanged monitoring and support devices.,monitoring and support devices,,Stable,['files/p14/p14841168/s52365850/ffd311aa-b1ad24f7-29b178ef-4423264a-d0298e46.jpg'],['files/p14/p14841168/s52070116/93545eeb-752a09e2-3a5afc63-bbdfdacf-0161e920.jpg\n']
s52365850_11,p14841168,s52365850,11,Findings,"As compared to the previous radiograph, there is no relevant change. Unchanged monitoring and support devices. Unchanged moderate cardiomegaly with signs of mild fluid overload. Left and right basal atelectasis. Potential small-to-moderate right pleural effusion. No left pleural effusion. No interval appearance of new parenchymal opacities.","As compared to the previous radiograph, there is no relevant change.",,,Stable,['files/p14/p14841168/s52365850/ffd311aa-b1ad24f7-29b178ef-4423264a-d0298e46.jpg'],['files/p14/p14841168/s52070116/93545eeb-752a09e2-3a5afc63-bbdfdacf-0161e920.jpg\n']
s52368505_7,p12475198,s52368505,7,Findings,"Allowing for differences in technique and projection, there has been little change in the appearance of the chest since the recent study of one day earlier. Widespread heterogeneous areas of consolidation continue to affect the right lung more than the left. There has been slight worsening in the right lung base with otherwise no relevant changes.",There has been slight worsening in the right lung base with otherwise no relevant changes.,,right lung base,Worse,['files/p12/p12475198/s52368505/add53357-1e2c3208-14598e99-b52076d5-4f606b89.jpg'],['files/p12/p12475198/s50639335/e4cb9fd1-a291ed0a-a3be1461-78de463c-57194e49.jpg\n']
s52368505_7,p12475198,s52368505,7,Findings,"Allowing for differences in technique and projection, there has been little change in the appearance of the chest since the recent study of one day earlier. Widespread heterogeneous areas of consolidation continue to affect the right lung more than the left. There has been slight worsening in the right lung base with otherwise no relevant changes.",Widespread heterogeneous areas of consolidation continue to affect the right lung more than the left.,consolidation,right,Worse,['files/p12/p12475198/s52368505/add53357-1e2c3208-14598e99-b52076d5-4f606b89.jpg'],['files/p12/p12475198/s50639335/e4cb9fd1-a291ed0a-a3be1461-78de463c-57194e49.jpg\n']
s52374902_12,p19182863,s52374902,12,Findings,"Tiny left apical pneumothorax is stable or slightly improved. The rest of the exam is unchanged with mild pulmonary edema and left middle lung opacity related to recent BAL. Prior sternotomy was done for aortic, mitral and tricuspid valve repair. Moderate cardiomegaly is stable.",Moderate cardiomegaly is stable.,moderate cardiomegaly,,Stable,['files/p19/p19182863/s52374902/155e0867-6925a927-7f73fa2f-6e5438bb-dc6ae8fc.jpg'],"['files/p19/p19182863/s52356800/4ac816f0-20d6f585-6b55a743-653f83da-3490fb22.jpg\n', 'files/p19/p19182863/s52356800/7d705bf2-0c6a9344-d86b9381-311c9eb2-e4b1ab6c.jpg\n']"
s52374902_12,p19182863,s52374902,12,Impression,Left minimal apical pneumothorax is unchanged or slightly improved. The rest of the exam is stable.,The rest of the exam is stable.,,rest of the exam,Stable,['files/p19/p19182863/s52374902/155e0867-6925a927-7f73fa2f-6e5438bb-dc6ae8fc.jpg'],"['files/p19/p19182863/s52356800/4ac816f0-20d6f585-6b55a743-653f83da-3490fb22.jpg\n', 'files/p19/p19182863/s52356800/7d705bf2-0c6a9344-d86b9381-311c9eb2-e4b1ab6c.jpg\n']"
s52374902_12,p19182863,s52374902,12,Findings,"Tiny left apical pneumothorax is stable or slightly improved. The rest of the exam is unchanged with mild pulmonary edema and left middle lung opacity related to recent BAL. Prior sternotomy was done for aortic, mitral and tricuspid valve repair. Moderate cardiomegaly is stable.",The rest of the exam is unchanged with mild pulmonary edema and left middle lung opacity related to recent BAL.,mild pulmonary edema and left middle lung opacity,rest of the exam,Stable,['files/p19/p19182863/s52374902/155e0867-6925a927-7f73fa2f-6e5438bb-dc6ae8fc.jpg'],"['files/p19/p19182863/s52356800/4ac816f0-20d6f585-6b55a743-653f83da-3490fb22.jpg\n', 'files/p19/p19182863/s52356800/7d705bf2-0c6a9344-d86b9381-311c9eb2-e4b1ab6c.jpg\n']"
s52374902_12,p19182863,s52374902,12,Impression,Left minimal apical pneumothorax is unchanged or slightly improved. The rest of the exam is stable.,Left minimal apical pneumothorax is unchanged or slightly improved.,pneumothorax,left minimal apical,Better,['files/p19/p19182863/s52374902/155e0867-6925a927-7f73fa2f-6e5438bb-dc6ae8fc.jpg'],"['files/p19/p19182863/s52356800/4ac816f0-20d6f585-6b55a743-653f83da-3490fb22.jpg\n', 'files/p19/p19182863/s52356800/7d705bf2-0c6a9344-d86b9381-311c9eb2-e4b1ab6c.jpg\n']"
s52374902_12,p19182863,s52374902,12,Findings,"Tiny left apical pneumothorax is stable or slightly improved. The rest of the exam is unchanged with mild pulmonary edema and left middle lung opacity related to recent BAL. Prior sternotomy was done for aortic, mitral and tricuspid valve repair. Moderate cardiomegaly is stable.",Tiny left apical pneumothorax is stable or slightly improved.,pneumothorax,left apical,Better,['files/p19/p19182863/s52374902/155e0867-6925a927-7f73fa2f-6e5438bb-dc6ae8fc.jpg'],"['files/p19/p19182863/s52356800/4ac816f0-20d6f585-6b55a743-653f83da-3490fb22.jpg\n', 'files/p19/p19182863/s52356800/7d705bf2-0c6a9344-d86b9381-311c9eb2-e4b1ab6c.jpg\n']"
s52381425_10,p19759491,s52381425,10,Impression,No significant interval change since prior. Diffusely increased interstitial markings compatible with interstitial edema versus chronic changes. No superimposed acute process.,No significant interval change since prior.,,,Stable,"['files/p19/p19759491/s52381425/71167aec-a4ab9faa-769e24eb-94b4049b-19b632f9.jpg', 'files/p19/p19759491/s52381425/971bdcae-04538cff-c7a81ae5-3f843c01-5162ca39.jpg']","['files/p19/p19759491/s51878257/c91e9a5a-31b9ea3e-ec8615ca-48493c7e-d9e9b82e.jpg\n', 'files/p19/p19759491/s51878257/ef1c70d5-7f1b6050-30b00146-5d001171-a1f96748.jpg\n']"
s52381425_10,p19759491,s52381425,10,Findings,PA and lateral views of the chest. Diffuse interstitial opacities have not significantly changed from prior. Posterior costophrenic angles are sharp. Thickening along 1 of the major fissures may represent fluid or pleural thickening. Cardiac silhouette is enlarged but stable in configuration. Right chest wall dual lead pacing device is again seen. There is a new right chest wall tunneled dual lumen catheter with distal tip in the right atrium. There is no new confluent consolidation. No acute osseous abnormality detected.,There is a new right chest wall tunneled dual lumen catheter with distal tip in the right atrium.,tunneled dual lumen catheter,Right chest wall,New,"['files/p19/p19759491/s52381425/71167aec-a4ab9faa-769e24eb-94b4049b-19b632f9.jpg', 'files/p19/p19759491/s52381425/971bdcae-04538cff-c7a81ae5-3f843c01-5162ca39.jpg']","['files/p19/p19759491/s51878257/c91e9a5a-31b9ea3e-ec8615ca-48493c7e-d9e9b82e.jpg\n', 'files/p19/p19759491/s51878257/ef1c70d5-7f1b6050-30b00146-5d001171-a1f96748.jpg\n']"
s52381425_10,p19759491,s52381425,10,Findings,PA and lateral views of the chest. Diffuse interstitial opacities have not significantly changed from prior. Posterior costophrenic angles are sharp. Thickening along 1 of the major fissures may represent fluid or pleural thickening. Cardiac silhouette is enlarged but stable in configuration. Right chest wall dual lead pacing device is again seen. There is a new right chest wall tunneled dual lumen catheter with distal tip in the right atrium. There is no new confluent consolidation. No acute osseous abnormality detected.,Cardiac silhouette is enlarged but stable in configuration.,Cardiac silhouette enlargement,,Stable,"['files/p19/p19759491/s52381425/71167aec-a4ab9faa-769e24eb-94b4049b-19b632f9.jpg', 'files/p19/p19759491/s52381425/971bdcae-04538cff-c7a81ae5-3f843c01-5162ca39.jpg']","['files/p19/p19759491/s51878257/c91e9a5a-31b9ea3e-ec8615ca-48493c7e-d9e9b82e.jpg\n', 'files/p19/p19759491/s51878257/ef1c70d5-7f1b6050-30b00146-5d001171-a1f96748.jpg\n']"
s52381425_10,p19759491,s52381425,10,Findings,PA and lateral views of the chest. Diffuse interstitial opacities have not significantly changed from prior. Posterior costophrenic angles are sharp. Thickening along 1 of the major fissures may represent fluid or pleural thickening. Cardiac silhouette is enlarged but stable in configuration. Right chest wall dual lead pacing device is again seen. There is a new right chest wall tunneled dual lumen catheter with distal tip in the right atrium. There is no new confluent consolidation. No acute osseous abnormality detected.,Diffuse interstitial opacities have not significantly changed from prior.,interstitial opacities,Diffuse,Stable,"['files/p19/p19759491/s52381425/71167aec-a4ab9faa-769e24eb-94b4049b-19b632f9.jpg', 'files/p19/p19759491/s52381425/971bdcae-04538cff-c7a81ae5-3f843c01-5162ca39.jpg']","['files/p19/p19759491/s51878257/c91e9a5a-31b9ea3e-ec8615ca-48493c7e-d9e9b82e.jpg\n', 'files/p19/p19759491/s51878257/ef1c70d5-7f1b6050-30b00146-5d001171-a1f96748.jpg\n']"
s52381727_2,p15185305,s52381727,2,Findings,"A feeding tube is seen within the stomach. Accounting for the positional differences due to patient's rotation, there has been no change in the cardiomediastinal silhouette. Stable calcification of the aortic knob is noted. Since the prior radiograph, there has been a slight increase in size of the left pleural effusion. There is no effusion on the right. The left pulmonary mass is unchanged. There is no new consolidation. Stable right lower rib fractures are unchanged. There is no pneumothorax.","Since the prior radiograph, there has been a slight increase in size of the left pleural effusion.",Pleural effusion,Left,Worse,['files/p15/p15185305/s52381727/2b387f17-5b587878-eab57bc7-959a3a13-68001f85.jpg'],['files/p15/p15185305/s50399800/ddf73353-2bd13067-b8238f63-0ee1fa88-b917f360.jpg\n']
s52381727_2,p15185305,s52381727,2,Findings,"A feeding tube is seen within the stomach. Accounting for the positional differences due to patient's rotation, there has been no change in the cardiomediastinal silhouette. Stable calcification of the aortic knob is noted. Since the prior radiograph, there has been a slight increase in size of the left pleural effusion. There is no effusion on the right. The left pulmonary mass is unchanged. There is no new consolidation. Stable right lower rib fractures are unchanged. There is no pneumothorax.",The left pulmonary mass is unchanged.,Pulmonary mass,Left,Stable,['files/p15/p15185305/s52381727/2b387f17-5b587878-eab57bc7-959a3a13-68001f85.jpg'],['files/p15/p15185305/s50399800/ddf73353-2bd13067-b8238f63-0ee1fa88-b917f360.jpg\n']
s52381727_2,p15185305,s52381727,2,Findings,"A feeding tube is seen within the stomach. Accounting for the positional differences due to patient's rotation, there has been no change in the cardiomediastinal silhouette. Stable calcification of the aortic knob is noted. Since the prior radiograph, there has been a slight increase in size of the left pleural effusion. There is no effusion on the right. The left pulmonary mass is unchanged. There is no new consolidation. Stable right lower rib fractures are unchanged. There is no pneumothorax.",Stable right lower rib fractures are unchanged.,Rib fractures,Right lower,Stable,['files/p15/p15185305/s52381727/2b387f17-5b587878-eab57bc7-959a3a13-68001f85.jpg'],['files/p15/p15185305/s50399800/ddf73353-2bd13067-b8238f63-0ee1fa88-b917f360.jpg\n']
s52381727_2,p15185305,s52381727,2,Impression,1) Slight increase in size of small left pleural effusion. 2) No new opacities to suggest aspiration.,1) Slight increase in size of small left pleural effusion.,Pleural effusion,Left,Worse,['files/p15/p15185305/s52381727/2b387f17-5b587878-eab57bc7-959a3a13-68001f85.jpg'],['files/p15/p15185305/s50399800/ddf73353-2bd13067-b8238f63-0ee1fa88-b917f360.jpg\n']
s52381727_2,p15185305,s52381727,2,Findings,"A feeding tube is seen within the stomach. Accounting for the positional differences due to patient's rotation, there has been no change in the cardiomediastinal silhouette. Stable calcification of the aortic knob is noted. Since the prior radiograph, there has been a slight increase in size of the left pleural effusion. There is no effusion on the right. The left pulmonary mass is unchanged. There is no new consolidation. Stable right lower rib fractures are unchanged. There is no pneumothorax.","Accounting for the positional differences due to patient's rotation, there has been no change in the cardiomediastinal silhouette.",Cardiomediastinal silhouette,,Stable,['files/p15/p15185305/s52381727/2b387f17-5b587878-eab57bc7-959a3a13-68001f85.jpg'],['files/p15/p15185305/s50399800/ddf73353-2bd13067-b8238f63-0ee1fa88-b917f360.jpg\n']
s52381727_2,p15185305,s52381727,2,Findings,"A feeding tube is seen within the stomach. Accounting for the positional differences due to patient's rotation, there has been no change in the cardiomediastinal silhouette. Stable calcification of the aortic knob is noted. Since the prior radiograph, there has been a slight increase in size of the left pleural effusion. There is no effusion on the right. The left pulmonary mass is unchanged. There is no new consolidation. Stable right lower rib fractures are unchanged. There is no pneumothorax.",Stable calcification of the aortic knob is noted.,Calcification,Aortic knob,Stable,['files/p15/p15185305/s52381727/2b387f17-5b587878-eab57bc7-959a3a13-68001f85.jpg'],['files/p15/p15185305/s50399800/ddf73353-2bd13067-b8238f63-0ee1fa88-b917f360.jpg\n']
s52382860_30,p15114531,s52382860,30,Impression,"As compared to previous radiograph of ___, cardiomediastinal contours are stable in appearance. Lungs are clear, with no new areas of consolidation to suggest the presence of pneumonia. There is no pleural effusion or pneumothorax.","As compared to previous radiograph of ___, cardiomediastinal contours are stable in appearance.",Contours,Cardiomediastinal,Stable,['files/p15/p15114531/s52382860/bbe6ecaf-aac06564-603fea4c-3e3026e0-8a5cb7c8.jpg'],"['files/p15/p15114531/s52266880/117eb2b7-898e9ead-83d83cb1-c1bd5852-60ba72f4.jpg\n', 'files/p15/p15114531/s52266880/2d4ccede-25c8c78f-2cd4c037-4558ffea-2317badd.jpg\n']"
s52382860_30,p15114531,s52382860,30,Impression,"As compared to previous radiograph of ___, cardiomediastinal contours are stable in appearance. Lungs are clear, with no new areas of consolidation to suggest the presence of pneumonia. There is no pleural effusion or pneumothorax.","Lungs are clear, with no new areas of consolidation to suggest the presence of pneumonia.",Consolidation,Lungs,New,['files/p15/p15114531/s52382860/bbe6ecaf-aac06564-603fea4c-3e3026e0-8a5cb7c8.jpg'],"['files/p15/p15114531/s52266880/117eb2b7-898e9ead-83d83cb1-c1bd5852-60ba72f4.jpg\n', 'files/p15/p15114531/s52266880/2d4ccede-25c8c78f-2cd4c037-4558ffea-2317badd.jpg\n']"
s52385480_16,p16334516,s52385480,16,Findings,"Single portable view of the chest is compared to previous film from earlier the same day at 12:59. New right IJ line is seen with tip projecting over the mid SVC. There is no visualized pneumothorax. Endotracheal tube is approximately 1.5 cm from the carina and should be withdrawn several centimeters for optimal positioning. Enteric tube is also slightly withdrawn with side port just proximal to the GE junction and should be advanced. Right mid lung surgical chain sutures again seen. Streaky right mid lung and left lung base opacities may be due to atelectasis. Fullness of the soft tissues in the right hilar region are seen, the etiology of which is uncertain. Given prior surgery there could be scarring or post-treatment changes, although underlying mass is possible, and dedicated imaging should be performed when patient is amenable. Mediastinal clips with median sternotomy wires again noted. Filter projecting over the IVC.","Given prior surgery there could be scarring or post-treatment changes, although underlying mass is possible, and dedicated imaging should be performed when patient is amenable.",scarring or post-treatment changes,right hilar region,Stable,['files/p16/p16334516/s52385480/d2c67694-56bd35b7-4aad9a81-9c1ca076-546a019a.jpg'],['files/p16/p16334516/s52224512/8a2e287f-a1d2adab-ab39ac3c-c8e1077c-c3811102.jpg\n']
s52385480_16,p16334516,s52385480,16,Findings,"Single portable view of the chest is compared to previous film from earlier the same day at 12:59. New right IJ line is seen with tip projecting over the mid SVC. There is no visualized pneumothorax. Endotracheal tube is approximately 1.5 cm from the carina and should be withdrawn several centimeters for optimal positioning. Enteric tube is also slightly withdrawn with side port just proximal to the GE junction and should be advanced. Right mid lung surgical chain sutures again seen. Streaky right mid lung and left lung base opacities may be due to atelectasis. Fullness of the soft tissues in the right hilar region are seen, the etiology of which is uncertain. Given prior surgery there could be scarring or post-treatment changes, although underlying mass is possible, and dedicated imaging should be performed when patient is amenable. Mediastinal clips with median sternotomy wires again noted. Filter projecting over the IVC.",Right mid lung surgical chain sutures again seen.,surgical chain sutures,right mid lung,Stable,['files/p16/p16334516/s52385480/d2c67694-56bd35b7-4aad9a81-9c1ca076-546a019a.jpg'],['files/p16/p16334516/s52224512/8a2e287f-a1d2adab-ab39ac3c-c8e1077c-c3811102.jpg\n']
s52385480_16,p16334516,s52385480,16,Impression,New right IJ line with tip projecting over the mid SVC. No pneumothorax. Endotracheal tube tip 1.5 cm from the carina and should be withdrawn for optimal positioning. NG tube side port proximal to the GE junction and should be advanced for optimal positioning. ___ discussed by Dr. ___ with Dr. ___ ___ the phone at 2:50 p.m. on ___ at time of discovery.,New right IJ line with tip projecting over the mid SVC.,right IJ line,mid SVC,New,['files/p16/p16334516/s52385480/d2c67694-56bd35b7-4aad9a81-9c1ca076-546a019a.jpg'],['files/p16/p16334516/s52224512/8a2e287f-a1d2adab-ab39ac3c-c8e1077c-c3811102.jpg\n']
s52385480_16,p16334516,s52385480,16,Findings,"Single portable view of the chest is compared to previous film from earlier the same day at 12:59. New right IJ line is seen with tip projecting over the mid SVC. There is no visualized pneumothorax. Endotracheal tube is approximately 1.5 cm from the carina and should be withdrawn several centimeters for optimal positioning. Enteric tube is also slightly withdrawn with side port just proximal to the GE junction and should be advanced. Right mid lung surgical chain sutures again seen. Streaky right mid lung and left lung base opacities may be due to atelectasis. Fullness of the soft tissues in the right hilar region are seen, the etiology of which is uncertain. Given prior surgery there could be scarring or post-treatment changes, although underlying mass is possible, and dedicated imaging should be performed when patient is amenable. Mediastinal clips with median sternotomy wires again noted. Filter projecting over the IVC.",New right IJ line is seen with tip projecting over the mid SVC.,right IJ line,mid SVC,New,['files/p16/p16334516/s52385480/d2c67694-56bd35b7-4aad9a81-9c1ca076-546a019a.jpg'],['files/p16/p16334516/s52224512/8a2e287f-a1d2adab-ab39ac3c-c8e1077c-c3811102.jpg\n']
s52385480_16,p16334516,s52385480,16,Findings,"Single portable view of the chest is compared to previous film from earlier the same day at 12:59. New right IJ line is seen with tip projecting over the mid SVC. There is no visualized pneumothorax. Endotracheal tube is approximately 1.5 cm from the carina and should be withdrawn several centimeters for optimal positioning. Enteric tube is also slightly withdrawn with side port just proximal to the GE junction and should be advanced. Right mid lung surgical chain sutures again seen. Streaky right mid lung and left lung base opacities may be due to atelectasis. Fullness of the soft tissues in the right hilar region are seen, the etiology of which is uncertain. Given prior surgery there could be scarring or post-treatment changes, although underlying mass is possible, and dedicated imaging should be performed when patient is amenable. Mediastinal clips with median sternotomy wires again noted. Filter projecting over the IVC.",Mediastinal clips with median sternotomy wires again noted.,median sternotomy wires and mediastinal clips,mediastinum,Stable,['files/p16/p16334516/s52385480/d2c67694-56bd35b7-4aad9a81-9c1ca076-546a019a.jpg'],['files/p16/p16334516/s52224512/8a2e287f-a1d2adab-ab39ac3c-c8e1077c-c3811102.jpg\n']
s52391187_14,p11022245,s52391187,14,Impression,No change in the left midlung airspace opacity or in the airspace opacity at the right medial lung base,No change in the left midlung airspace opacity or in the airspace opacity at the right medial lung base,airspace opacity,left midlung,Stable,['files/p11/p11022245/s52391187/df81aa63-051ce829-f15a7ba0-391d8fb4-f81549e5.jpg'],"['files/p11/p11022245/s51656138/24754e52-7336ea34-603896e1-a86b2dd6-17909981.jpg\n', 'files/p11/p11022245/s51656138/64988a4a-7c2cfce5-4e93b5ca-d55602d6-94c83006.jpg\n']"
s52391187_14,p11022245,s52391187,14,Findings,"No significant change within the airspace opacity at the left mid lung zone. Again seen medial right base airspace opacity, unchanged Right IJ Port-A-Cath is unchanged in position. Sternotomy wires. Cardiac valve replacement is noted. Heart is enlarged, unchanged. Again seen prominent bilateral hilar in haziness the pulmonary vascular consistent pulmonary vascular congestion. This preliminary report was reviewed with Dr. ___, ___ radiologist.",No significant change within the airspace opacity at the left mid lung zone.,airspace opacity,left mid lung,Stable,['files/p11/p11022245/s52391187/df81aa63-051ce829-f15a7ba0-391d8fb4-f81549e5.jpg'],"['files/p11/p11022245/s51656138/24754e52-7336ea34-603896e1-a86b2dd6-17909981.jpg\n', 'files/p11/p11022245/s51656138/64988a4a-7c2cfce5-4e93b5ca-d55602d6-94c83006.jpg\n']"
s52391187_14,p11022245,s52391187,14,Findings,"No significant change within the airspace opacity at the left mid lung zone. Again seen medial right base airspace opacity, unchanged Right IJ Port-A-Cath is unchanged in position. Sternotomy wires. Cardiac valve replacement is noted. Heart is enlarged, unchanged. Again seen prominent bilateral hilar in haziness the pulmonary vascular consistent pulmonary vascular congestion. This preliminary report was reviewed with Dr. ___, ___ radiologist.","Again seen medial right base airspace opacity, unchanged",airspace opacity,medial right base,Stable,['files/p11/p11022245/s52391187/df81aa63-051ce829-f15a7ba0-391d8fb4-f81549e5.jpg'],"['files/p11/p11022245/s51656138/24754e52-7336ea34-603896e1-a86b2dd6-17909981.jpg\n', 'files/p11/p11022245/s51656138/64988a4a-7c2cfce5-4e93b5ca-d55602d6-94c83006.jpg\n']"
s52391187_14,p11022245,s52391187,14,Findings,"No significant change within the airspace opacity at the left mid lung zone. Again seen medial right base airspace opacity, unchanged Right IJ Port-A-Cath is unchanged in position. Sternotomy wires. Cardiac valve replacement is noted. Heart is enlarged, unchanged. Again seen prominent bilateral hilar in haziness the pulmonary vascular consistent pulmonary vascular congestion. This preliminary report was reviewed with Dr. ___, ___ radiologist.",Right IJ Port-A-Cath is unchanged in position.,Port-A-Cath,Right IJ,Stable,['files/p11/p11022245/s52391187/df81aa63-051ce829-f15a7ba0-391d8fb4-f81549e5.jpg'],"['files/p11/p11022245/s51656138/24754e52-7336ea34-603896e1-a86b2dd6-17909981.jpg\n', 'files/p11/p11022245/s51656138/64988a4a-7c2cfce5-4e93b5ca-d55602d6-94c83006.jpg\n']"
s52391187_14,p11022245,s52391187,14,Findings,"No significant change within the airspace opacity at the left mid lung zone. Again seen medial right base airspace opacity, unchanged Right IJ Port-A-Cath is unchanged in position. Sternotomy wires. Cardiac valve replacement is noted. Heart is enlarged, unchanged. Again seen prominent bilateral hilar in haziness the pulmonary vascular consistent pulmonary vascular congestion. This preliminary report was reviewed with Dr. ___, ___ radiologist.",Again seen prominent bilateral hilar in haziness the pulmonary vascular consistent pulmonary vascular congestion.,pulmonary vascular congestion,bilateral hilar,Stable,['files/p11/p11022245/s52391187/df81aa63-051ce829-f15a7ba0-391d8fb4-f81549e5.jpg'],"['files/p11/p11022245/s51656138/24754e52-7336ea34-603896e1-a86b2dd6-17909981.jpg\n', 'files/p11/p11022245/s51656138/64988a4a-7c2cfce5-4e93b5ca-d55602d6-94c83006.jpg\n']"
s52391187_14,p11022245,s52391187,14,Impression,No change in the left midlung airspace opacity or in the airspace opacity at the right medial lung base,No change in the left midlung airspace opacity or in the airspace opacity at the right medial lung base,airspace opacity,right medial lung base,Stable,['files/p11/p11022245/s52391187/df81aa63-051ce829-f15a7ba0-391d8fb4-f81549e5.jpg'],"['files/p11/p11022245/s51656138/24754e52-7336ea34-603896e1-a86b2dd6-17909981.jpg\n', 'files/p11/p11022245/s51656138/64988a4a-7c2cfce5-4e93b5ca-d55602d6-94c83006.jpg\n']"
s52391187_14,p11022245,s52391187,14,Findings,"No significant change within the airspace opacity at the left mid lung zone. Again seen medial right base airspace opacity, unchanged Right IJ Port-A-Cath is unchanged in position. Sternotomy wires. Cardiac valve replacement is noted. Heart is enlarged, unchanged. Again seen prominent bilateral hilar in haziness the pulmonary vascular consistent pulmonary vascular congestion. This preliminary report was reviewed with Dr. ___, ___ radiologist.","Heart is enlarged, unchanged.",heart,,Stable,['files/p11/p11022245/s52391187/df81aa63-051ce829-f15a7ba0-391d8fb4-f81549e5.jpg'],"['files/p11/p11022245/s51656138/24754e52-7336ea34-603896e1-a86b2dd6-17909981.jpg\n', 'files/p11/p11022245/s51656138/64988a4a-7c2cfce5-4e93b5ca-d55602d6-94c83006.jpg\n']"
s52398109_3,p11512104,s52398109,3,Findings,"Lung volumes are low. The heart remains mildly enlarged. Aortic knob is calcified. Mediastinal and hilar contours are unchanged, with a small hiatal hernia again noted. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion or pneumothorax is present. Multiple clips are seen in the right upper quadrant compatible with prior cholecystectomy. Degenerative changes of the left glenohumeral joint are incompletely assessed.",The heart remains mildly enlarged.,Heart enlargement,,Stable,['files/p11/p11512104/s52398109/5d4e5d0a-add681d2-faf8a518-e0062eff-6554d2d2.jpg'],"['files/p11/p11512104/s51244125/0ba61f42-36b75725-d59c3425-259c54a6-7dd192bf.jpg\n', 'files/p11/p11512104/s51244125/501f88ca-6cf4e937-ea4584a1-eea40cc3-3333047d.jpg\n', 'files/p11/p11512104/s51244125/d72a1a8e-82ff68d3-b7f92ce9-a36fbe0c-1fd32274.jpg\n', 'files/p11/p11512104/s51244125/fc2119d4-3818479e-d3d0ace5-6704f713-0a4fd7c0.jpg\n']"
s52398109_3,p11512104,s52398109,3,Findings,"Lung volumes are low. The heart remains mildly enlarged. Aortic knob is calcified. Mediastinal and hilar contours are unchanged, with a small hiatal hernia again noted. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion or pneumothorax is present. Multiple clips are seen in the right upper quadrant compatible with prior cholecystectomy. Degenerative changes of the left glenohumeral joint are incompletely assessed.","Mediastinal and hilar contours are unchanged, with a small hiatal hernia again noted.",Mediastinal and hilar contours,,Stable,['files/p11/p11512104/s52398109/5d4e5d0a-add681d2-faf8a518-e0062eff-6554d2d2.jpg'],"['files/p11/p11512104/s51244125/0ba61f42-36b75725-d59c3425-259c54a6-7dd192bf.jpg\n', 'files/p11/p11512104/s51244125/501f88ca-6cf4e937-ea4584a1-eea40cc3-3333047d.jpg\n', 'files/p11/p11512104/s51244125/d72a1a8e-82ff68d3-b7f92ce9-a36fbe0c-1fd32274.jpg\n', 'files/p11/p11512104/s51244125/fc2119d4-3818479e-d3d0ace5-6704f713-0a4fd7c0.jpg\n']"
s52398109_3,p11512104,s52398109,3,Findings,"Lung volumes are low. The heart remains mildly enlarged. Aortic knob is calcified. Mediastinal and hilar contours are unchanged, with a small hiatal hernia again noted. Pulmonary vascularity is within normal limits. No focal consolidation, pleural effusion or pneumothorax is present. Multiple clips are seen in the right upper quadrant compatible with prior cholecystectomy. Degenerative changes of the left glenohumeral joint are incompletely assessed.","Mediastinal and hilar contours are unchanged, with a small hiatal hernia again noted.",Hiatal hernia,,Stable,['files/p11/p11512104/s52398109/5d4e5d0a-add681d2-faf8a518-e0062eff-6554d2d2.jpg'],"['files/p11/p11512104/s51244125/0ba61f42-36b75725-d59c3425-259c54a6-7dd192bf.jpg\n', 'files/p11/p11512104/s51244125/501f88ca-6cf4e937-ea4584a1-eea40cc3-3333047d.jpg\n', 'files/p11/p11512104/s51244125/d72a1a8e-82ff68d3-b7f92ce9-a36fbe0c-1fd32274.jpg\n', 'files/p11/p11512104/s51244125/fc2119d4-3818479e-d3d0ace5-6704f713-0a4fd7c0.jpg\n']"
s52399735_8,p13263843,s52399735,8,Findings,"As compared to the previous radiograph, the lateral images show that the right pleural effusion does not layer, which would be consistent with loculation. Also, there is an increase in adjacent atelectasis.","Also, there is an increase in adjacent atelectasis.",atelectasis,adjacent,Worse,"['files/p13/p13263843/s52399735/05eecb1c-7ac28272-530e6870-c5d1d135-cab1ed67.jpg', 'files/p13/p13263843/s52399735/6b1b1903-9f343a6b-fe4ba346-dbe5a6fb-63338c26.jpg', 'files/p13/p13263843/s52399735/ca72c0af-97077c68-1cf042a0-d9128e34-f775403e.jpg', 'files/p13/p13263843/s52399735/d7a25de4-e2d563e2-93017e5e-4127bd89-0d081f33.jpg']",['files/p13/p13263843/s52332522/2c6c22f3-33a5cbf1-a81aa482-24c67693-17d97e01.jpg\n']
s52400146_4,p12185775,s52400146,4,Impression,"AP chest compared to ___ through ___: Previous pulmonary edema has not recurred. Mild-to-moderate cardiomegaly is stable, and there is no change in the configuration of the thoracic aorta to suggest dissection, although that diagnosis is not excluded by the stable appearance on conventional chest radiographs. No pneumothorax or pleural effusion is present.","Mild-to-moderate cardiomegaly is stable, and there is no change in the configuration of the thoracic aorta to suggest dissection, although that diagnosis is not excluded by the stable appearance on conventional chest radiographs.",configuration,thoracic aorta,Stable,['files/p12/p12185775/s52400146/4fe86d2a-a88e414b-d58dd0c1-51340b76-e7353509.jpg'],"['files/p12/p12185775/s51826366/2a9deecd-d9d8a426-f05473e7-fdb32742-09da1910.jpg\n', 'files/p12/p12185775/s51826366/f9b1c946-2770d2d6-e7a89dc5-0e3d42e2-77117240.jpg\n']"
s52400146_4,p12185775,s52400146,4,Impression,"AP chest compared to ___ through ___: Previous pulmonary edema has not recurred. Mild-to-moderate cardiomegaly is stable, and there is no change in the configuration of the thoracic aorta to suggest dissection, although that diagnosis is not excluded by the stable appearance on conventional chest radiographs. No pneumothorax or pleural effusion is present.","Mild-to-moderate cardiomegaly is stable, and there is no change in the configuration of the thoracic aorta to suggest dissection, although that diagnosis is not excluded by the stable appearance on conventional chest radiographs.",cardiomegaly,,Stable,['files/p12/p12185775/s52400146/4fe86d2a-a88e414b-d58dd0c1-51340b76-e7353509.jpg'],"['files/p12/p12185775/s51826366/2a9deecd-d9d8a426-f05473e7-fdb32742-09da1910.jpg\n', 'files/p12/p12185775/s51826366/f9b1c946-2770d2d6-e7a89dc5-0e3d42e2-77117240.jpg\n']"
s52400146_4,p12185775,s52400146,4,Impression,"AP chest compared to ___ through ___: Previous pulmonary edema has not recurred. Mild-to-moderate cardiomegaly is stable, and there is no change in the configuration of the thoracic aorta to suggest dissection, although that diagnosis is not excluded by the stable appearance on conventional chest radiographs. No pneumothorax or pleural effusion is present.",AP chest compared to ___ through ___: Previous pulmonary edema has not recurred.,pulmonary edema,,Resolve,['files/p12/p12185775/s52400146/4fe86d2a-a88e414b-d58dd0c1-51340b76-e7353509.jpg'],"['files/p12/p12185775/s51826366/2a9deecd-d9d8a426-f05473e7-fdb32742-09da1910.jpg\n', 'files/p12/p12185775/s51826366/f9b1c946-2770d2d6-e7a89dc5-0e3d42e2-77117240.jpg\n']"
s52400635_5,p13978244,s52400635,5,Findings,"As compared to the previous examination, the lung volumes have increased, potentially reflecting improved ventilation. There are still signs indicative of mild pulmonary edema. In addition, there is a small right medial basal atelectasis. Moderate cardiomegaly. No evidence of pleural effusions.","As compared to the previous examination, the lung volumes have increased, potentially reflecting improved ventilation.",Lung volumes,,Better,"['files/p13/p13978244/s52400635/4f4f91f0-b1149baa-3c8f6c73-17a8cc5c-35d6912a.jpg', 'files/p13/p13978244/s52400635/b4099aa9-794a51a6-50ff7979-a10ba3fb-0747eb19.jpg']",
s52402828_5,p10933609,s52402828,5,Findings,"There are low lung volumes. The heart size is within normal limits. Peribronchial opacities bilaterally are similar when compared to the prior study. Previously noted left lower lobe opacity appears improved when compared to the prior exam, suggestive of resolving pneumonia. No new focal consolidation, pleural effusion, or pneumothorax is seen. There are no acute osseous abnormalities. Radiopaque densities projecting over the right shoulder joint are unchanged as is a surgical clip within the left upper quadrant of the abdomen.",Radiopaque densities projecting over the right shoulder joint are unchanged as is a surgical clip within the left upper quadrant of the abdomen.,Radiopaque densities,right shoulder joint,Stable,"['files/p10/p10933609/s52402828/318975e1-0f1046f7-331e3d92-185e4805-d5ac3b65.jpg', 'files/p10/p10933609/s52402828/c0023bba-56efba28-c654ac42-24227b01-0157a8c2.jpg', 'files/p10/p10933609/s52402828/e19a6258-3792982e-db47dccd-c9961bb6-e0aeba69.jpg']",['files/p10/p10933609/s52247073/3391a4a6-64cc1ac6-443cb01a-5a13d4c2-c6b2a84d.jpg\n']
s52402828_5,p10933609,s52402828,5,Findings,"There are low lung volumes. The heart size is within normal limits. Peribronchial opacities bilaterally are similar when compared to the prior study. Previously noted left lower lobe opacity appears improved when compared to the prior exam, suggestive of resolving pneumonia. No new focal consolidation, pleural effusion, or pneumothorax is seen. There are no acute osseous abnormalities. Radiopaque densities projecting over the right shoulder joint are unchanged as is a surgical clip within the left upper quadrant of the abdomen.",Radiopaque densities projecting over the right shoulder joint are unchanged as is a surgical clip within the left upper quadrant of the abdomen.,surgical clip,left upper quadrant of the abdomen,Stable,"['files/p10/p10933609/s52402828/318975e1-0f1046f7-331e3d92-185e4805-d5ac3b65.jpg', 'files/p10/p10933609/s52402828/c0023bba-56efba28-c654ac42-24227b01-0157a8c2.jpg', 'files/p10/p10933609/s52402828/e19a6258-3792982e-db47dccd-c9961bb6-e0aeba69.jpg']",['files/p10/p10933609/s52247073/3391a4a6-64cc1ac6-443cb01a-5a13d4c2-c6b2a84d.jpg\n']
s52402828_5,p10933609,s52402828,5,Findings,"There are low lung volumes. The heart size is within normal limits. Peribronchial opacities bilaterally are similar when compared to the prior study. Previously noted left lower lobe opacity appears improved when compared to the prior exam, suggestive of resolving pneumonia. No new focal consolidation, pleural effusion, or pneumothorax is seen. There are no acute osseous abnormalities. Radiopaque densities projecting over the right shoulder joint are unchanged as is a surgical clip within the left upper quadrant of the abdomen.","Previously noted left lower lobe opacity appears improved when compared to the prior exam, suggestive of resolving pneumonia.",opacity,left lower lobe,Better,"['files/p10/p10933609/s52402828/318975e1-0f1046f7-331e3d92-185e4805-d5ac3b65.jpg', 'files/p10/p10933609/s52402828/c0023bba-56efba28-c654ac42-24227b01-0157a8c2.jpg', 'files/p10/p10933609/s52402828/e19a6258-3792982e-db47dccd-c9961bb6-e0aeba69.jpg']",['files/p10/p10933609/s52247073/3391a4a6-64cc1ac6-443cb01a-5a13d4c2-c6b2a84d.jpg\n']
s52402828_5,p10933609,s52402828,5,Impression,Improved aeration of the left lower lobe suggesting resolving pneumonia.,Improved aeration of the left lower lobe suggesting resolving pneumonia.,aeration,left lower lobe,Better,"['files/p10/p10933609/s52402828/318975e1-0f1046f7-331e3d92-185e4805-d5ac3b65.jpg', 'files/p10/p10933609/s52402828/c0023bba-56efba28-c654ac42-24227b01-0157a8c2.jpg', 'files/p10/p10933609/s52402828/e19a6258-3792982e-db47dccd-c9961bb6-e0aeba69.jpg']",['files/p10/p10933609/s52247073/3391a4a6-64cc1ac6-443cb01a-5a13d4c2-c6b2a84d.jpg\n']
s52402828_5,p10933609,s52402828,5,Findings,"There are low lung volumes. The heart size is within normal limits. Peribronchial opacities bilaterally are similar when compared to the prior study. Previously noted left lower lobe opacity appears improved when compared to the prior exam, suggestive of resolving pneumonia. No new focal consolidation, pleural effusion, or pneumothorax is seen. There are no acute osseous abnormalities. Radiopaque densities projecting over the right shoulder joint are unchanged as is a surgical clip within the left upper quadrant of the abdomen.",Peribronchial opacities bilaterally are similar when compared to the prior study.,Peribronchial opacities,bilaterally,Stable,"['files/p10/p10933609/s52402828/318975e1-0f1046f7-331e3d92-185e4805-d5ac3b65.jpg', 'files/p10/p10933609/s52402828/c0023bba-56efba28-c654ac42-24227b01-0157a8c2.jpg', 'files/p10/p10933609/s52402828/e19a6258-3792982e-db47dccd-c9961bb6-e0aeba69.jpg']",['files/p10/p10933609/s52247073/3391a4a6-64cc1ac6-443cb01a-5a13d4c2-c6b2a84d.jpg\n']
s52404879_1,p15131736,s52404879,1,Findings,"There has been interval placement of an endotracheal tube, which is low lying with tip approximately 1.6 cm above the carina. An esophageal tube is in place coursing inferior to the diaphragm; however, tip out of view of the radiograph. Lung volumes remain low with mild pulmonary edema. No significant pleural effusion or pneumothorax is identified. The cardiomediastinal silhouette is enlarged, however, unchanged.","There has been interval placement of an endotracheal tube, which is low lying with tip approximately 1.6 cm above the carina.",endotracheal tube,low lying,New,['files/p15/p15131736/s52404879/25bf2edc-f6ba2b7c-b60cce3d-7f3ba548-0606e88a.jpg'],['files/p15/p15131736/s52259319/f3ef0ecb-ccfce0d5-19aa565a-74bee17a-411e1628.jpg\n']
s52404879_1,p15131736,s52404879,1,Findings,"There has been interval placement of an endotracheal tube, which is low lying with tip approximately 1.6 cm above the carina. An esophageal tube is in place coursing inferior to the diaphragm; however, tip out of view of the radiograph. Lung volumes remain low with mild pulmonary edema. No significant pleural effusion or pneumothorax is identified. The cardiomediastinal silhouette is enlarged, however, unchanged.",Lung volumes remain low with mild pulmonary edema.,lung volumes,,Stable,['files/p15/p15131736/s52404879/25bf2edc-f6ba2b7c-b60cce3d-7f3ba548-0606e88a.jpg'],['files/p15/p15131736/s52259319/f3ef0ecb-ccfce0d5-19aa565a-74bee17a-411e1628.jpg\n']
s52404879_1,p15131736,s52404879,1,Impression,"Interval placement of endotracheal tube with tip low lying, approximately 1.6 cm above the carina. Mild pulmonary edema. Distal tip of esophageal tube not within the field of view of radiograph. Findings discussed with Dr. ___ at 5:10 p.m., ___.","Interval placement of endotracheal tube with tip low lying, approximately 1.6 cm above the carina.",endotracheal tube,low lying,New,['files/p15/p15131736/s52404879/25bf2edc-f6ba2b7c-b60cce3d-7f3ba548-0606e88a.jpg'],['files/p15/p15131736/s52259319/f3ef0ecb-ccfce0d5-19aa565a-74bee17a-411e1628.jpg\n']
s52404879_1,p15131736,s52404879,1,Findings,"There has been interval placement of an endotracheal tube, which is low lying with tip approximately 1.6 cm above the carina. An esophageal tube is in place coursing inferior to the diaphragm; however, tip out of view of the radiograph. Lung volumes remain low with mild pulmonary edema. No significant pleural effusion or pneumothorax is identified. The cardiomediastinal silhouette is enlarged, however, unchanged.","The cardiomediastinal silhouette is enlarged, however, unchanged.",cardiomediastinal silhouette enlargement,,Stable,['files/p15/p15131736/s52404879/25bf2edc-f6ba2b7c-b60cce3d-7f3ba548-0606e88a.jpg'],['files/p15/p15131736/s52259319/f3ef0ecb-ccfce0d5-19aa565a-74bee17a-411e1628.jpg\n']
s52412265_21,p13473495,s52412265,21,Findings,Redemonstration of moderate-to-severe cardiomegaly is noted. There is pulmonary vascular congestion consistent with edema. There is vague increased opacity at the left costophrenic angle which may reflect atelectasis versus a small pleural effusion. Redemonstration of a left subclavian venous stent is again noted. There is no evidence of pneumoperitoneum. Osseous structures are unchanged.,Osseous structures are unchanged.,Osseous structures,,Stable,"['files/p13/p13473495/s52412265/42ae0c6c-7b1098fb-961404c7-0f003264-354d885a.jpg', 'files/p13/p13473495/s52412265/67b79c5a-91178925-992cc76b-a0b66e0f-927a44a5.jpg', 'files/p13/p13473495/s52412265/a6aad5da-2b346586-e6b4b977-d71b3973-925a1eb1.jpg']","['files/p13/p13473495/s51300469/1797dbf9-b550d2a9-90d63c09-7f326fe9-70160201.jpg\n', 'files/p13/p13473495/s51300469/6cb983aa-64b252ae-99834c29-3233ef10-ba21f892.jpg\n', 'files/p13/p13473495/s51300469/d1d917cf-c84d3a9f-bd50b4ee-43f27a8e-79449ae8.jpg\n']"
s52415062_47,p19182863,s52415062,47,Findings,"There is a new single lead pacemaker with the lead extending in the expected location for a persistent left-sided SVC placement, with tip projecting over the expected location of the right ventricle. There is a moderate right pleural effusion that is slightly smaller than the prior exam. Right IJ Cordis tip projects over the mid SVC. The upper lungs are clear. The patient is status post sternotomy and valve replacement.","There is a new single lead pacemaker with the lead extending in the expected location for a persistent left-sided SVC placement, with tip projecting over the expected location of the right ventricle.",single lead pacemaker,left-sided SVC,New,"['files/p19/p19182863/s52415062/47c8159c-71388595-84bf105d-5a7e99e4-077fb801.jpg', 'files/p19/p19182863/s52415062/6c1671e0-25c063d0-6c5d5405-880b3eb4-af9a0789.jpg']",['files/p19/p19182863/s52374902/155e0867-6925a927-7f73fa2f-6e5438bb-dc6ae8fc.jpg\n']
s52415062_47,p19182863,s52415062,47,Findings,"There is a new single lead pacemaker with the lead extending in the expected location for a persistent left-sided SVC placement, with tip projecting over the expected location of the right ventricle. There is a moderate right pleural effusion that is slightly smaller than the prior exam. Right IJ Cordis tip projects over the mid SVC. The upper lungs are clear. The patient is status post sternotomy and valve replacement.",There is a moderate right pleural effusion that is slightly smaller than the prior exam.,pleural effusion,right,Better,"['files/p19/p19182863/s52415062/47c8159c-71388595-84bf105d-5a7e99e4-077fb801.jpg', 'files/p19/p19182863/s52415062/6c1671e0-25c063d0-6c5d5405-880b3eb4-af9a0789.jpg']",['files/p19/p19182863/s52374902/155e0867-6925a927-7f73fa2f-6e5438bb-dc6ae8fc.jpg\n']
s52424977_4,p19150427,s52424977,4,Findings,"As compared to the previous radiograph, the lung volumes have decreased. There are new bilateral small pleural effusions and areas of bilateral parenchymal opacities at the lung bases. These changes are suggestive of atelectasis rather than pneumonia, given the symmetry of the appearance. However, close monitoring with radiographs should be performed. An apparent enlargement of the aortic knob is caused by the change in the patient's head position. However, this change should also be received close attention on radiographic monitoring to be performed in the next ___ hours. At the time of dictation and observation, 9:28 a.m., on ___, the referring physician, ___. ___, was paged for notification.",There are new bilateral small pleural effusions and areas of bilateral parenchymal opacities at the lung bases.,small pleural effusions,bilateral,New,['files/p19/p19150427/s52424977/1788a491-dde38c10-84084270-8ac256d3-7f69a1f6.jpg'],"['files/p19/p19150427/s52284383/4d33ac8f-8d9c4251-e9defb1a-a8f77096-4e2a228e.jpg\n', 'files/p19/p19150427/s52284383/58e73f4a-35cfb824-0e7a692a-8c4f5cea-22799505.jpg\n']"
s52424977_4,p19150427,s52424977,4,Findings,"As compared to the previous radiograph, the lung volumes have decreased. There are new bilateral small pleural effusions and areas of bilateral parenchymal opacities at the lung bases. These changes are suggestive of atelectasis rather than pneumonia, given the symmetry of the appearance. However, close monitoring with radiographs should be performed. An apparent enlargement of the aortic knob is caused by the change in the patient's head position. However, this change should also be received close attention on radiographic monitoring to be performed in the next ___ hours. At the time of dictation and observation, 9:28 a.m., on ___, the referring physician, ___. ___, was paged for notification.","As compared to the previous radiograph, the lung volumes have decreased.",lung volumes,,Worse,['files/p19/p19150427/s52424977/1788a491-dde38c10-84084270-8ac256d3-7f69a1f6.jpg'],"['files/p19/p19150427/s52284383/4d33ac8f-8d9c4251-e9defb1a-a8f77096-4e2a228e.jpg\n', 'files/p19/p19150427/s52284383/58e73f4a-35cfb824-0e7a692a-8c4f5cea-22799505.jpg\n']"
s52424977_4,p19150427,s52424977,4,Findings,"As compared to the previous radiograph, the lung volumes have decreased. There are new bilateral small pleural effusions and areas of bilateral parenchymal opacities at the lung bases. These changes are suggestive of atelectasis rather than pneumonia, given the symmetry of the appearance. However, close monitoring with radiographs should be performed. An apparent enlargement of the aortic knob is caused by the change in the patient's head position. However, this change should also be received close attention on radiographic monitoring to be performed in the next ___ hours. At the time of dictation and observation, 9:28 a.m., on ___, the referring physician, ___. ___, was paged for notification.",There are new bilateral small pleural effusions and areas of bilateral parenchymal opacities at the lung bases.,parenchymal opacities,bilateral lung bases,New,['files/p19/p19150427/s52424977/1788a491-dde38c10-84084270-8ac256d3-7f69a1f6.jpg'],"['files/p19/p19150427/s52284383/4d33ac8f-8d9c4251-e9defb1a-a8f77096-4e2a228e.jpg\n', 'files/p19/p19150427/s52284383/58e73f4a-35cfb824-0e7a692a-8c4f5cea-22799505.jpg\n']"
s52426022_4,p13352405,s52426022,4,Impression,PA and lateral chest compared to ___: Large right pleural effusion persists following removal of the right pleural drain. There is no appreciable pneumothorax. Large fissural fluid collection should not be mistaken for right lung mass. Left lung is grossly clear. Heart size normal.,PA and lateral chest compared to ___: Large right pleural effusion persists following removal of the right pleural drain.,pleural effusion,right,Stable,"['files/p13/p13352405/s52426022/a0c54add-c7fe5fa1-bbe9625d-def58221-35226fb6.jpg', 'files/p13/p13352405/s52426022/dbc771b6-00a9d1dc-3d5f7a54-acb63200-cc010192.jpg']","['files/p13/p13352405/s51233388/65fcdabb-eb6130b5-693a34c1-7e1580a1-16cee3cd.jpg\n', 'files/p13/p13352405/s51233388/c2d94ada-21f141cb-17d5c7a3-f5807bbe-e83b679a.jpg\n', 'files/p13/p13352405/s51233388/c95ac9a4-70c1c602-421eacbd-bb29c3f1-7ab0862c.jpg\n']"
s52436795_3,p14556809,s52436795,3,Findings,Lung volumes are low compared to the previous study. Left-sided AICD device is noted with single lead terminating in unchanged position in the right ventricle. Heart size appears at least mildly enlarged. The mediastinal and hilar contours are unremarkable. There is crowding of the bronchovascular structures without overt pulmonary edema. Streaky opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.,Lung volumes are low compared to the previous study.,Lung volumes,,Worse,"['files/p14/p14556809/s52436795/37130de3-468e154c-e1a6e62c-86eb636b-7b038a9a.jpg', 'files/p14/p14556809/s52436795/90358b98-c82518b0-b607a82f-38c80761-0ca422aa.jpg']",['files/p14/p14556809/s52110747/2c2536da-bc7670f1-2bbb98a2-e03017cc-87c616ee.jpg\n']
s52436795_3,p14556809,s52436795,3,Findings,Lung volumes are low compared to the previous study. Left-sided AICD device is noted with single lead terminating in unchanged position in the right ventricle. Heart size appears at least mildly enlarged. The mediastinal and hilar contours are unremarkable. There is crowding of the bronchovascular structures without overt pulmonary edema. Streaky opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.,Left-sided AICD device is noted with single lead terminating in unchanged position in the right ventricle.,Left-sided AICD device with single lead,right ventricle,Stable,"['files/p14/p14556809/s52436795/37130de3-468e154c-e1a6e62c-86eb636b-7b038a9a.jpg', 'files/p14/p14556809/s52436795/90358b98-c82518b0-b607a82f-38c80761-0ca422aa.jpg']",['files/p14/p14556809/s52110747/2c2536da-bc7670f1-2bbb98a2-e03017cc-87c616ee.jpg\n']
s52437271_12,p16360107,s52437271,12,Impression,"As compared to ___, no relevant change is seen. Constant alignment of the sternal wires. Constant moderate cardiomegaly and clips of the CABG. The extent of the partly loculated bilateral pleural effusions is constant. The areas of atelectasis at the left and right base are constant. The mild pulmonary edema, pre-existing on the previous examination, is constant in severity.","The mild pulmonary edema, pre-existing on the previous examination, is constant in severity.",mild pulmonary edema,,Stable,['files/p16/p16360107/s52437271/9e80889a-f414a035-63eed5d0-37d21607-88a2a076.jpg'],"['files/p16/p16360107/s50456365/5d4e8798-538c8cb8-095c11a2-e34b3a85-0f96f1b3.jpg\n', 'files/p16/p16360107/s50456365/7cd9b3ba-edb2b391-8e12d2ad-8303e23b-bbb3a640.jpg\n']"
s52437271_12,p16360107,s52437271,12,Impression,"As compared to ___, no relevant change is seen. Constant alignment of the sternal wires. Constant moderate cardiomegaly and clips of the CABG. The extent of the partly loculated bilateral pleural effusions is constant. The areas of atelectasis at the left and right base are constant. The mild pulmonary edema, pre-existing on the previous examination, is constant in severity.",The areas of atelectasis at the left and right base are constant.,atelectasis,left and right base,Stable,['files/p16/p16360107/s52437271/9e80889a-f414a035-63eed5d0-37d21607-88a2a076.jpg'],"['files/p16/p16360107/s50456365/5d4e8798-538c8cb8-095c11a2-e34b3a85-0f96f1b3.jpg\n', 'files/p16/p16360107/s50456365/7cd9b3ba-edb2b391-8e12d2ad-8303e23b-bbb3a640.jpg\n']"
s52437271_12,p16360107,s52437271,12,Impression,"As compared to ___, no relevant change is seen. Constant alignment of the sternal wires. Constant moderate cardiomegaly and clips of the CABG. The extent of the partly loculated bilateral pleural effusions is constant. The areas of atelectasis at the left and right base are constant. The mild pulmonary edema, pre-existing on the previous examination, is constant in severity.",The extent of the partly loculated bilateral pleural effusions is constant.,partly loculated pleural effusions,bilateral,Stable,['files/p16/p16360107/s52437271/9e80889a-f414a035-63eed5d0-37d21607-88a2a076.jpg'],"['files/p16/p16360107/s50456365/5d4e8798-538c8cb8-095c11a2-e34b3a85-0f96f1b3.jpg\n', 'files/p16/p16360107/s50456365/7cd9b3ba-edb2b391-8e12d2ad-8303e23b-bbb3a640.jpg\n']"
s52440373_5,p13067703,s52440373,5,Impression,No evidence of pneumonia or decompensated congestive heart failure. Stable findings associated with the patient's known lung malignancy.,Stable findings associated with the patient's known lung malignancy.,lung malignancy,,Stable,"['files/p13/p13067703/s52440373/197bf9c8-df093f83-61f247e8-7511a327-df92e5be.jpg', 'files/p13/p13067703/s52440373/81bf3cb0-09d48269-7885405e-3da53d8d-13a3df47.jpg']","['files/p13/p13067703/s51807934/1a3a93cb-fcff8a20-d84a6c00-5a46ada4-2a5d437a.jpg\n', 'files/p13/p13067703/s51807934/d7f19d0e-f85e6043-96b8d9b9-fd64fd5b-7594b0ea.jpg\n']"
s52440373_5,p13067703,s52440373,5,Findings,"PA and lateral radiograph of the chest once again demonstrate a right upper lobe mass with a fiducial marker in place as well as a right perihilar mass. This is consistent with the patient's known malignancy. Once again seen are a small right and moderate left pleural effusion, with considerable left lower lobe atelectasis or consolidation, which is stable from both the prior radiographs and the cross-sectional imaging. The remainder of the lung fields are clear. The pacemaker/ICD device and its two leads are unchanged. There is no pneumothorax. Pulmonary vascularity is normal.",The pacemaker/ICD device and its two leads are unchanged.,pacemaker/ICD device and its two leads,,Stable,"['files/p13/p13067703/s52440373/197bf9c8-df093f83-61f247e8-7511a327-df92e5be.jpg', 'files/p13/p13067703/s52440373/81bf3cb0-09d48269-7885405e-3da53d8d-13a3df47.jpg']","['files/p13/p13067703/s51807934/1a3a93cb-fcff8a20-d84a6c00-5a46ada4-2a5d437a.jpg\n', 'files/p13/p13067703/s51807934/d7f19d0e-f85e6043-96b8d9b9-fd64fd5b-7594b0ea.jpg\n']"
s52440373_5,p13067703,s52440373,5,Findings,"PA and lateral radiograph of the chest once again demonstrate a right upper lobe mass with a fiducial marker in place as well as a right perihilar mass. This is consistent with the patient's known malignancy. Once again seen are a small right and moderate left pleural effusion, with considerable left lower lobe atelectasis or consolidation, which is stable from both the prior radiographs and the cross-sectional imaging. The remainder of the lung fields are clear. The pacemaker/ICD device and its two leads are unchanged. There is no pneumothorax. Pulmonary vascularity is normal.","Once again seen are a small right and moderate left pleural effusion, with considerable left lower lobe atelectasis or consolidation, which is stable from both the prior radiographs and the cross-sectional imaging.",atelectasis or consolidation,left lower lobe,Stable,"['files/p13/p13067703/s52440373/197bf9c8-df093f83-61f247e8-7511a327-df92e5be.jpg', 'files/p13/p13067703/s52440373/81bf3cb0-09d48269-7885405e-3da53d8d-13a3df47.jpg']","['files/p13/p13067703/s51807934/1a3a93cb-fcff8a20-d84a6c00-5a46ada4-2a5d437a.jpg\n', 'files/p13/p13067703/s51807934/d7f19d0e-f85e6043-96b8d9b9-fd64fd5b-7594b0ea.jpg\n']"
s52440373_5,p13067703,s52440373,5,Findings,"PA and lateral radiograph of the chest once again demonstrate a right upper lobe mass with a fiducial marker in place as well as a right perihilar mass. This is consistent with the patient's known malignancy. Once again seen are a small right and moderate left pleural effusion, with considerable left lower lobe atelectasis or consolidation, which is stable from both the prior radiographs and the cross-sectional imaging. The remainder of the lung fields are clear. The pacemaker/ICD device and its two leads are unchanged. There is no pneumothorax. Pulmonary vascularity is normal.","Once again seen are a small right and moderate left pleural effusion, with considerable left lower lobe atelectasis or consolidation, which is stable from both the prior radiographs and the cross-sectional imaging.",pleural effusion,left,Stable,"['files/p13/p13067703/s52440373/197bf9c8-df093f83-61f247e8-7511a327-df92e5be.jpg', 'files/p13/p13067703/s52440373/81bf3cb0-09d48269-7885405e-3da53d8d-13a3df47.jpg']","['files/p13/p13067703/s51807934/1a3a93cb-fcff8a20-d84a6c00-5a46ada4-2a5d437a.jpg\n', 'files/p13/p13067703/s51807934/d7f19d0e-f85e6043-96b8d9b9-fd64fd5b-7594b0ea.jpg\n']"
s52440373_5,p13067703,s52440373,5,Findings,"PA and lateral radiograph of the chest once again demonstrate a right upper lobe mass with a fiducial marker in place as well as a right perihilar mass. This is consistent with the patient's known malignancy. Once again seen are a small right and moderate left pleural effusion, with considerable left lower lobe atelectasis or consolidation, which is stable from both the prior radiographs and the cross-sectional imaging. The remainder of the lung fields are clear. The pacemaker/ICD device and its two leads are unchanged. There is no pneumothorax. Pulmonary vascularity is normal.","Once again seen are a small right and moderate left pleural effusion, with considerable left lower lobe atelectasis or consolidation, which is stable from both the prior radiographs and the cross-sectional imaging.",pleural effusion,right,Stable,"['files/p13/p13067703/s52440373/197bf9c8-df093f83-61f247e8-7511a327-df92e5be.jpg', 'files/p13/p13067703/s52440373/81bf3cb0-09d48269-7885405e-3da53d8d-13a3df47.jpg']","['files/p13/p13067703/s51807934/1a3a93cb-fcff8a20-d84a6c00-5a46ada4-2a5d437a.jpg\n', 'files/p13/p13067703/s51807934/d7f19d0e-f85e6043-96b8d9b9-fd64fd5b-7594b0ea.jpg\n']"
s52442135_6,p12736592,s52442135,6,Findings,"As compared to the previous radiograph, the right and left chest tubes have been removed. Lung volumes have increased, likely reflecting improved inspiration. The pre-existing miniscule right apical pneumothorax is no longer clearly visible. Unchanged mild air collections in the left and right perithoracic soft tissues. Minimal atelectasis at the right lung base. Borderline size of the cardiac silhouette, no pulmonary edema. Normal hilar and mediastinal structures. Unchanged proximal right clavicular fracture.",Unchanged proximal right clavicular fracture.,clavicular fracture,proximal right,Stable,['files/p12/p12736592/s52442135/ca418dad-d4092480-3bf56e1f-9b920db8-8b8361de.jpg'],['files/p12/p12736592/s51566590/9fd949c5-ac707f23-cce74dc3-069335d6-c3d02d66.jpg\n']
s52442135_6,p12736592,s52442135,6,Findings,"As compared to the previous radiograph, the right and left chest tubes have been removed. Lung volumes have increased, likely reflecting improved inspiration. The pre-existing miniscule right apical pneumothorax is no longer clearly visible. Unchanged mild air collections in the left and right perithoracic soft tissues. Minimal atelectasis at the right lung base. Borderline size of the cardiac silhouette, no pulmonary edema. Normal hilar and mediastinal structures. Unchanged proximal right clavicular fracture.",Unchanged mild air collections in the left and right perithoracic soft tissues.,air collections,left and right perithoracic,Stable,['files/p12/p12736592/s52442135/ca418dad-d4092480-3bf56e1f-9b920db8-8b8361de.jpg'],['files/p12/p12736592/s51566590/9fd949c5-ac707f23-cce74dc3-069335d6-c3d02d66.jpg\n']
s52442135_6,p12736592,s52442135,6,Findings,"As compared to the previous radiograph, the right and left chest tubes have been removed. Lung volumes have increased, likely reflecting improved inspiration. The pre-existing miniscule right apical pneumothorax is no longer clearly visible. Unchanged mild air collections in the left and right perithoracic soft tissues. Minimal atelectasis at the right lung base. Borderline size of the cardiac silhouette, no pulmonary edema. Normal hilar and mediastinal structures. Unchanged proximal right clavicular fracture.","As compared to the previous radiograph, the right and left chest tubes have been removed.",chest tubes,right and left,Resolve,['files/p12/p12736592/s52442135/ca418dad-d4092480-3bf56e1f-9b920db8-8b8361de.jpg'],['files/p12/p12736592/s51566590/9fd949c5-ac707f23-cce74dc3-069335d6-c3d02d66.jpg\n']
s52442135_6,p12736592,s52442135,6,Findings,"As compared to the previous radiograph, the right and left chest tubes have been removed. Lung volumes have increased, likely reflecting improved inspiration. The pre-existing miniscule right apical pneumothorax is no longer clearly visible. Unchanged mild air collections in the left and right perithoracic soft tissues. Minimal atelectasis at the right lung base. Borderline size of the cardiac silhouette, no pulmonary edema. Normal hilar and mediastinal structures. Unchanged proximal right clavicular fracture.",The pre-existing miniscule right apical pneumothorax is no longer clearly visible.,pneumothorax,right apical,Resolve,['files/p12/p12736592/s52442135/ca418dad-d4092480-3bf56e1f-9b920db8-8b8361de.jpg'],['files/p12/p12736592/s51566590/9fd949c5-ac707f23-cce74dc3-069335d6-c3d02d66.jpg\n']
s52444360_6,p13964474,s52444360,6,Findings,"As compared to the previous radiograph, there is unchanged evidence of free intra-abdominal air. The esophageal stent is placed. No visible PEG device on the current image. The monitoring and support devices are constant. Unchanged massive right parenchymal and moderate left parenchymal opacities.",No visible PEG device on the current image.,PEG device,,Resolve,['files/p13/p13964474/s52444360/e5d70de7-1db12ea3-95e5fb41-d5ac6e5d-a9c5b917.jpg'],['files/p13/p13964474/s52265716/7fae50dc-e842fd35-6c58a208-ebb5638e-085450e9.jpg\n']
s52444360_6,p13964474,s52444360,6,Findings,"As compared to the previous radiograph, there is unchanged evidence of free intra-abdominal air. The esophageal stent is placed. No visible PEG device on the current image. The monitoring and support devices are constant. Unchanged massive right parenchymal and moderate left parenchymal opacities.",Unchanged massive right parenchymal and moderate left parenchymal opacities.,moderate parenchymal opacities,left,Stable,['files/p13/p13964474/s52444360/e5d70de7-1db12ea3-95e5fb41-d5ac6e5d-a9c5b917.jpg'],['files/p13/p13964474/s52265716/7fae50dc-e842fd35-6c58a208-ebb5638e-085450e9.jpg\n']
s52444360_6,p13964474,s52444360,6,Findings,"As compared to the previous radiograph, there is unchanged evidence of free intra-abdominal air. The esophageal stent is placed. No visible PEG device on the current image. The monitoring and support devices are constant. Unchanged massive right parenchymal and moderate left parenchymal opacities.","As compared to the previous radiograph, there is unchanged evidence of free intra-abdominal air.",free intra-abdominal air,,Stable,['files/p13/p13964474/s52444360/e5d70de7-1db12ea3-95e5fb41-d5ac6e5d-a9c5b917.jpg'],['files/p13/p13964474/s52265716/7fae50dc-e842fd35-6c58a208-ebb5638e-085450e9.jpg\n']
s52444360_6,p13964474,s52444360,6,Findings,"As compared to the previous radiograph, there is unchanged evidence of free intra-abdominal air. The esophageal stent is placed. No visible PEG device on the current image. The monitoring and support devices are constant. Unchanged massive right parenchymal and moderate left parenchymal opacities.",Unchanged massive right parenchymal and moderate left parenchymal opacities.,massive parenchymal opacities,right,Stable,['files/p13/p13964474/s52444360/e5d70de7-1db12ea3-95e5fb41-d5ac6e5d-a9c5b917.jpg'],['files/p13/p13964474/s52265716/7fae50dc-e842fd35-6c58a208-ebb5638e-085450e9.jpg\n']
s52444360_6,p13964474,s52444360,6,Findings,"As compared to the previous radiograph, there is unchanged evidence of free intra-abdominal air. The esophageal stent is placed. No visible PEG device on the current image. The monitoring and support devices are constant. Unchanged massive right parenchymal and moderate left parenchymal opacities.",The monitoring and support devices are constant.,monitoring and support devices,,Stable,['files/p13/p13964474/s52444360/e5d70de7-1db12ea3-95e5fb41-d5ac6e5d-a9c5b917.jpg'],['files/p13/p13964474/s52265716/7fae50dc-e842fd35-6c58a208-ebb5638e-085450e9.jpg\n']
s52449022_51,p15131736,s52449022,51,Impression,Findings consistent with congestive heart failure. Appearances are grossly unchanged compared to the prior study.,Appearances are grossly unchanged compared to the prior study.,,,Stable,['files/p15/p15131736/s52449022/526dc590-f658c26e-49300669-427e7124-ac0f1350.jpg'],['files/p15/p15131736/s52404879/25bf2edc-f6ba2b7c-b60cce3d-7f3ba548-0606e88a.jpg\n']
s52449022_51,p15131736,s52449022,51,Findings,"Lung volumes are low, similar when compared to the prior study. Even allowing for the projection, the heart is enlarged. There is prominence of the pulmonary vasculature which appears hazy consistent with a degree of congestive heart failure. No overt pulmonary edema seen. Left lower lobe atelectasis, unchanged. No consolidation or pneumothorax seen.","Left lower lobe atelectasis, unchanged.",Atelectasis,Left lower lobe,Stable,['files/p15/p15131736/s52449022/526dc590-f658c26e-49300669-427e7124-ac0f1350.jpg'],['files/p15/p15131736/s52404879/25bf2edc-f6ba2b7c-b60cce3d-7f3ba548-0606e88a.jpg\n']
s52449022_51,p15131736,s52449022,51,Findings,"Lung volumes are low, similar when compared to the prior study. Even allowing for the projection, the heart is enlarged. There is prominence of the pulmonary vasculature which appears hazy consistent with a degree of congestive heart failure. No overt pulmonary edema seen. Left lower lobe atelectasis, unchanged. No consolidation or pneumothorax seen.","Lung volumes are low, similar when compared to the prior study.",Lung volumes,,Stable,['files/p15/p15131736/s52449022/526dc590-f658c26e-49300669-427e7124-ac0f1350.jpg'],['files/p15/p15131736/s52404879/25bf2edc-f6ba2b7c-b60cce3d-7f3ba548-0606e88a.jpg\n']
s52470229_10,p10402372,s52470229,10,Impression,"1. Dobbhoff feeding tube is seen coursing below the diaphragm with the tip not completely identified but positioned within the stomach proximally. It does not appear to be significantly changed. Bilateral lower lobe bronchiectasis is stable. No focal airspace consolidation is seen to suggest an acute pneumonia. No pleural effusions or pneumothoraces. Overall, cardiac and mediastinal contours are unchanged. Lungs remain hyperinflated.",1. Dobbhoff feeding tube is seen coursing below the diaphragm with the tip not completely identified but positioned within the stomach proximally. It does not appear to be significantly changed.,Dobbhoff feeding tube,below the diaphragm,Stable,['files/p10/p10402372/s52470229/91957a55-d594678a-9799fb94-c27276d6-17ecf65f.jpg'],"['files/p10/p10402372/s52316568/2cf6df45-dbf4f6f7-b1508828-662719b6-a96b318b.jpg\n', 'files/p10/p10402372/s52316568/34d6a1e6-c58e59d7-b03351e1-24e1191c-f74f6b2f.jpg\n', 'files/p10/p10402372/s52316568/e7179674-98666bd0-3463ad83-fb1cc95d-7a584b37.jpg\n']"
s52470229_10,p10402372,s52470229,10,Impression,"1. Dobbhoff feeding tube is seen coursing below the diaphragm with the tip not completely identified but positioned within the stomach proximally. It does not appear to be significantly changed. Bilateral lower lobe bronchiectasis is stable. No focal airspace consolidation is seen to suggest an acute pneumonia. No pleural effusions or pneumothoraces. Overall, cardiac and mediastinal contours are unchanged. Lungs remain hyperinflated.",Bilateral lower lobe bronchiectasis is stable.,bronchiectasis,bilateral lower lobe,Stable,['files/p10/p10402372/s52470229/91957a55-d594678a-9799fb94-c27276d6-17ecf65f.jpg'],"['files/p10/p10402372/s52316568/2cf6df45-dbf4f6f7-b1508828-662719b6-a96b318b.jpg\n', 'files/p10/p10402372/s52316568/34d6a1e6-c58e59d7-b03351e1-24e1191c-f74f6b2f.jpg\n', 'files/p10/p10402372/s52316568/e7179674-98666bd0-3463ad83-fb1cc95d-7a584b37.jpg\n']"
s52470229_10,p10402372,s52470229,10,Impression,"1. Dobbhoff feeding tube is seen coursing below the diaphragm with the tip not completely identified but positioned within the stomach proximally. It does not appear to be significantly changed. Bilateral lower lobe bronchiectasis is stable. No focal airspace consolidation is seen to suggest an acute pneumonia. No pleural effusions or pneumothoraces. Overall, cardiac and mediastinal contours are unchanged. Lungs remain hyperinflated.","Overall, cardiac and mediastinal contours are unchanged.",contours,cardiac and mediastinal,Stable,['files/p10/p10402372/s52470229/91957a55-d594678a-9799fb94-c27276d6-17ecf65f.jpg'],"['files/p10/p10402372/s52316568/2cf6df45-dbf4f6f7-b1508828-662719b6-a96b318b.jpg\n', 'files/p10/p10402372/s52316568/34d6a1e6-c58e59d7-b03351e1-24e1191c-f74f6b2f.jpg\n', 'files/p10/p10402372/s52316568/e7179674-98666bd0-3463ad83-fb1cc95d-7a584b37.jpg\n']"
s52470229_10,p10402372,s52470229,10,Impression,"1. Dobbhoff feeding tube is seen coursing below the diaphragm with the tip not completely identified but positioned within the stomach proximally. It does not appear to be significantly changed. Bilateral lower lobe bronchiectasis is stable. No focal airspace consolidation is seen to suggest an acute pneumonia. No pleural effusions or pneumothoraces. Overall, cardiac and mediastinal contours are unchanged. Lungs remain hyperinflated.",Lungs remain hyperinflated.,hyperinflated lungs,,Stable,['files/p10/p10402372/s52470229/91957a55-d594678a-9799fb94-c27276d6-17ecf65f.jpg'],"['files/p10/p10402372/s52316568/2cf6df45-dbf4f6f7-b1508828-662719b6-a96b318b.jpg\n', 'files/p10/p10402372/s52316568/34d6a1e6-c58e59d7-b03351e1-24e1191c-f74f6b2f.jpg\n', 'files/p10/p10402372/s52316568/e7179674-98666bd0-3463ad83-fb1cc95d-7a584b37.jpg\n']"
s52474242_3,p16772702,s52474242,3,Findings,"As compared to the previous radiograph, there is a further mild increase in the otherwise extensive, diffuse and bilateral interstitial opacities. These opacities are accompanied by small bilateral pleural effusions and mild increase in diameters of the pulmonary vasculature. Overall, despite the normal size of the cardiac silhouette, the findings are still strongly suggestive of interstitial lung edema. No additional newly appeared parenchymal opacities. No pneumothorax.","As compared to the previous radiograph, there is a further mild increase in the otherwise extensive, diffuse and bilateral interstitial opacities.",interstitial opacities,bilateral,Worse,['files/p16/p16772702/s52474242/8d88d859-5ae2eefd-3af51dce-25f4fd2d-15e047c7.jpg'],"['files/p16/p16772702/s50295031/8842c8de-2368b8c6-9d83207c-ccfaecfe-7ae284e6.jpg\n', 'files/p16/p16772702/s50295031/f10c42a9-95f6e16d-513be934-9efab952-da7cecbb.jpg\n']"
s52481248_2,p13979643,s52481248,2,Findings,"There are low lung volumes. The heart size is mildly enlarged. The aorta is unfolded. There is mild pulmonary vascular congestion, with small amount of fluid seen within the fissures. Additionally, patchy opacities in the lung bases likely reflect atelectasis. A small left pleural effusion is relatively unchanged compared to prior. No new areas of focal consolidation are present. There is no pneumothorax.",A small left pleural effusion is relatively unchanged compared to prior.,pleural effusion,Left,Stable,"['files/p13/p13979643/s52481248/23f6f17a-a4034a2b-950d4852-084a8630-5468ed52.jpg', 'files/p13/p13979643/s52481248/c6264595-96860b66-fd1dfa5b-4697f3ba-214d913a.jpg']",['files/p13/p13979643/s52325695/9bb9ac9f-5c0710a7-9ff3aaa6-12658f5a-ddbe2f3b.jpg\n']
s52488909_41,p15259244,s52488909,41,Findings,AP and lateral views of the chest. Moderate left and small right pleural effusions are again noted. Left basilar opacity could be due to pleural fluid noting that underlying consolidation cannot be completely excluded. Elsewhere the lungs are clear of consolidation. Cardiomediastinal silhouette is stable. Prosthetic valve and median sternotomy wires are noted. Osseous and soft tissue structures are unchanged.,Osseous and soft tissue structures are unchanged.,Osseous and soft tissue structures,,Stable,['files/p15/p15259244/s52488909/2501dbf9-714acd96-ca4fba08-e02967b8-23f99f37.jpg'],['files/p15/p15259244/s51877138/bbfadd26-26a1370d-69d5f8f9-5b210fd9-a89a0589.jpg\n']
s52488909_41,p15259244,s52488909,41,Findings,AP and lateral views of the chest. Moderate left and small right pleural effusions are again noted. Left basilar opacity could be due to pleural fluid noting that underlying consolidation cannot be completely excluded. Elsewhere the lungs are clear of consolidation. Cardiomediastinal silhouette is stable. Prosthetic valve and median sternotomy wires are noted. Osseous and soft tissue structures are unchanged.,Moderate left and small right pleural effusions are again noted.,pleural effusions,right,Stable,['files/p15/p15259244/s52488909/2501dbf9-714acd96-ca4fba08-e02967b8-23f99f37.jpg'],['files/p15/p15259244/s51877138/bbfadd26-26a1370d-69d5f8f9-5b210fd9-a89a0589.jpg\n']
s52488909_41,p15259244,s52488909,41,Findings,AP and lateral views of the chest. Moderate left and small right pleural effusions are again noted. Left basilar opacity could be due to pleural fluid noting that underlying consolidation cannot be completely excluded. Elsewhere the lungs are clear of consolidation. Cardiomediastinal silhouette is stable. Prosthetic valve and median sternotomy wires are noted. Osseous and soft tissue structures are unchanged.,Moderate left and small right pleural effusions are again noted.,pleural effusions,left,Stable,['files/p15/p15259244/s52488909/2501dbf9-714acd96-ca4fba08-e02967b8-23f99f37.jpg'],['files/p15/p15259244/s51877138/bbfadd26-26a1370d-69d5f8f9-5b210fd9-a89a0589.jpg\n']
s52488909_41,p15259244,s52488909,41,Findings,AP and lateral views of the chest. Moderate left and small right pleural effusions are again noted. Left basilar opacity could be due to pleural fluid noting that underlying consolidation cannot be completely excluded. Elsewhere the lungs are clear of consolidation. Cardiomediastinal silhouette is stable. Prosthetic valve and median sternotomy wires are noted. Osseous and soft tissue structures are unchanged.,Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,['files/p15/p15259244/s52488909/2501dbf9-714acd96-ca4fba08-e02967b8-23f99f37.jpg'],['files/p15/p15259244/s51877138/bbfadd26-26a1370d-69d5f8f9-5b210fd9-a89a0589.jpg\n']
s52489936_6,p16853729,s52489936,6,Findings,"As compared to the previous radiograph, the patient has received a Dobbhoff catheter. The tip of the catheter projects over the middle parts of the stomach, the course of the catheter is unremarkable, there is no evidence of complications, notably no pneumothorax. Borderline size of the cardiac silhouette. Mild areas of atelectasis at the left and right lung bases. No evidence of other parenchymal opacities, notably no evidence of pneumonia.","As compared to the previous radiograph, the patient has received a Dobbhoff catheter.",Dobbhoff catheter,,New,['files/p16/p16853729/s52489936/c9532e5b-e9cb7923-1d3cf2ef-05e252e8-dcf11149.jpg'],['files/p16/p16853729/s51634830/9ef32bb6-e50747e2-dcc3e2c5-8eb088ab-1299485a.jpg\n']
s52509761_21,p16855430,s52509761,21,Impression,"Improved aeration of upper lungs with stable if not slightly improved bibasilar opacifications, likely a combination of atelectasis and effusions, though pneumonia is not excluded.","Improved aeration of upper lungs with stable if not slightly improved bibasilar opacifications, likely a combination of atelectasis and effusions, though pneumonia is not excluded.",opacifications,bibasilar,Stable,['files/p16/p16855430/s52509761/27c8aa21-0a66ebf9-667f13ca-9695345c-caa66257.jpg'],"['files/p16/p16855430/s52110487/16d25586-c7ca5d57-d25ac386-16c24f70-adba1791.jpg\n', 'files/p16/p16855430/s52110487/a5deb13b-23c3db0d-1ad0a84a-91791d1e-05a8aaa7.jpg\n']"
s52509761_21,p16855430,s52509761,21,Findings,"Semi-upright portable chest radiograph demonstrates interval improved aeration of the bilateral upper lungs; however, there is persistent if not slightly improved bibasilar opacifications, possibly due to atelectasis and bilateral pleural effusions, though superimposed infectious process is not excluded.","Semi-upright portable chest radiograph demonstrates interval improved aeration of the bilateral upper lungs; however, there is persistent if not slightly improved bibasilar opacifications, possibly due to atelectasis and bilateral pleural effusions, though superimposed infectious process is not excluded.",aeration,bilateral upper lungs,Better,['files/p16/p16855430/s52509761/27c8aa21-0a66ebf9-667f13ca-9695345c-caa66257.jpg'],"['files/p16/p16855430/s52110487/16d25586-c7ca5d57-d25ac386-16c24f70-adba1791.jpg\n', 'files/p16/p16855430/s52110487/a5deb13b-23c3db0d-1ad0a84a-91791d1e-05a8aaa7.jpg\n']"
s52509761_21,p16855430,s52509761,21,Impression,"Improved aeration of upper lungs with stable if not slightly improved bibasilar opacifications, likely a combination of atelectasis and effusions, though pneumonia is not excluded.","Improved aeration of upper lungs with stable if not slightly improved bibasilar opacifications, likely a combination of atelectasis and effusions, though pneumonia is not excluded.",aeration,upper lungs,Better,['files/p16/p16855430/s52509761/27c8aa21-0a66ebf9-667f13ca-9695345c-caa66257.jpg'],"['files/p16/p16855430/s52110487/16d25586-c7ca5d57-d25ac386-16c24f70-adba1791.jpg\n', 'files/p16/p16855430/s52110487/a5deb13b-23c3db0d-1ad0a84a-91791d1e-05a8aaa7.jpg\n']"
s52509761_21,p16855430,s52509761,21,Findings,"Semi-upright portable chest radiograph demonstrates interval improved aeration of the bilateral upper lungs; however, there is persistent if not slightly improved bibasilar opacifications, possibly due to atelectasis and bilateral pleural effusions, though superimposed infectious process is not excluded.","Semi-upright portable chest radiograph demonstrates interval improved aeration of the bilateral upper lungs; however, there is persistent if not slightly improved bibasilar opacifications, possibly due to atelectasis and bilateral pleural effusions, though superimposed infectious process is not excluded.",opacifications,bibasilar,Stable,['files/p16/p16855430/s52509761/27c8aa21-0a66ebf9-667f13ca-9695345c-caa66257.jpg'],"['files/p16/p16855430/s52110487/16d25586-c7ca5d57-d25ac386-16c24f70-adba1791.jpg\n', 'files/p16/p16855430/s52110487/a5deb13b-23c3db0d-1ad0a84a-91791d1e-05a8aaa7.jpg\n']"
s52510673_26,p13964474,s52510673,26,Findings,PA and lateral chest radiographs were obtained. Moderate right basilar atelectasis is similar. The left lung is well inflated. Ground-glass opacification in the right lower and middle lobes has improved since prior exam of ___ and significantly improved since ___. No pneumothorax is present. Cardiac and mediastinal contours are normal.,Moderate right basilar atelectasis is similar.,atelectasis,Right basilar,Stable,['files/p13/p13964474/s52510673/4d85d642-5e8316ad-ceed42bd-9bd4615a-20c66bf0.jpg'],['files/p13/p13964474/s52444360/e5d70de7-1db12ea3-95e5fb41-d5ac6e5d-a9c5b917.jpg\n']
s52510673_26,p13964474,s52510673,26,Findings,PA and lateral chest radiographs were obtained. Moderate right basilar atelectasis is similar. The left lung is well inflated. Ground-glass opacification in the right lower and middle lobes has improved since prior exam of ___ and significantly improved since ___. No pneumothorax is present. Cardiac and mediastinal contours are normal.,Ground-glass opacification in the right lower and middle lobes has improved since prior exam of ___ and significantly improved since ___.,Ground-glass opacification,Right lower and middle lobes,Better,['files/p13/p13964474/s52510673/4d85d642-5e8316ad-ceed42bd-9bd4615a-20c66bf0.jpg'],['files/p13/p13964474/s52444360/e5d70de7-1db12ea3-95e5fb41-d5ac6e5d-a9c5b917.jpg\n']
s52510673_26,p13964474,s52510673,26,Impression,Improved aeration of the right lower and middle lobes with persistent ground-glass opacity. Suggest continued chest x-ray followup in one month to evaluate for continued evolution.,Improved aeration of the right lower and middle lobes with persistent ground-glass opacity.,aeration,Right lower and middle lobes,Better,['files/p13/p13964474/s52510673/4d85d642-5e8316ad-ceed42bd-9bd4615a-20c66bf0.jpg'],['files/p13/p13964474/s52444360/e5d70de7-1db12ea3-95e5fb41-d5ac6e5d-a9c5b917.jpg\n']
s52511628_22,p11474065,s52511628,22,Impression,"In comparison to the recent radiograph of 1 day earlier, subcutaneous emphysema has slightly decreased in extent, and pneumomediastinum also appears improved. Heterogeneous opacities in the right lung have slightly worsened in the right upper lobe and slightly improved at the right lung base. Left basilar opacities have nearly resolved, and a small left pleural effusion has decreased in size.","Left basilar opacities have nearly resolved, and a small left pleural effusion has decreased in size.",pleural effusion,left,Better,['files/p11/p11474065/s52511628/d77fc718-e1eacd2f-2fa45ea8-a06418df-85ae6300.jpg'],['files/p11/p11474065/s51394568/b0a2d047-4a01cf2e-c1d43e01-61ef7442-722d8f4e.jpg\n']
s52511628_22,p11474065,s52511628,22,Impression,"In comparison to the recent radiograph of 1 day earlier, subcutaneous emphysema has slightly decreased in extent, and pneumomediastinum also appears improved. Heterogeneous opacities in the right lung have slightly worsened in the right upper lobe and slightly improved at the right lung base. Left basilar opacities have nearly resolved, and a small left pleural effusion has decreased in size.","Left basilar opacities have nearly resolved, and a small left pleural effusion has decreased in size.",opacities,left basilar,Resolve,['files/p11/p11474065/s52511628/d77fc718-e1eacd2f-2fa45ea8-a06418df-85ae6300.jpg'],['files/p11/p11474065/s51394568/b0a2d047-4a01cf2e-c1d43e01-61ef7442-722d8f4e.jpg\n']
s52511628_22,p11474065,s52511628,22,Impression,"In comparison to the recent radiograph of 1 day earlier, subcutaneous emphysema has slightly decreased in extent, and pneumomediastinum also appears improved. Heterogeneous opacities in the right lung have slightly worsened in the right upper lobe and slightly improved at the right lung base. Left basilar opacities have nearly resolved, and a small left pleural effusion has decreased in size.",Heterogeneous opacities in the right lung have slightly worsened in the right upper lobe and slightly improved at the right lung base.,heterogeneous opacities,right lung base,Better,['files/p11/p11474065/s52511628/d77fc718-e1eacd2f-2fa45ea8-a06418df-85ae6300.jpg'],['files/p11/p11474065/s51394568/b0a2d047-4a01cf2e-c1d43e01-61ef7442-722d8f4e.jpg\n']
s52511628_22,p11474065,s52511628,22,Impression,"In comparison to the recent radiograph of 1 day earlier, subcutaneous emphysema has slightly decreased in extent, and pneumomediastinum also appears improved. Heterogeneous opacities in the right lung have slightly worsened in the right upper lobe and slightly improved at the right lung base. Left basilar opacities have nearly resolved, and a small left pleural effusion has decreased in size.",Heterogeneous opacities in the right lung have slightly worsened in the right upper lobe and slightly improved at the right lung base.,heterogeneous opacities,right upper lobe,Worse,['files/p11/p11474065/s52511628/d77fc718-e1eacd2f-2fa45ea8-a06418df-85ae6300.jpg'],['files/p11/p11474065/s51394568/b0a2d047-4a01cf2e-c1d43e01-61ef7442-722d8f4e.jpg\n']
s52511628_22,p11474065,s52511628,22,Impression,"In comparison to the recent radiograph of 1 day earlier, subcutaneous emphysema has slightly decreased in extent, and pneumomediastinum also appears improved. Heterogeneous opacities in the right lung have slightly worsened in the right upper lobe and slightly improved at the right lung base. Left basilar opacities have nearly resolved, and a small left pleural effusion has decreased in size.","In comparison to the recent radiograph of 1 day earlier, subcutaneous emphysema has slightly decreased in extent, and pneumomediastinum also appears improved.",pneumomediastinum,mediastinal,Better,['files/p11/p11474065/s52511628/d77fc718-e1eacd2f-2fa45ea8-a06418df-85ae6300.jpg'],['files/p11/p11474065/s51394568/b0a2d047-4a01cf2e-c1d43e01-61ef7442-722d8f4e.jpg\n']
s52511628_22,p11474065,s52511628,22,Impression,"In comparison to the recent radiograph of 1 day earlier, subcutaneous emphysema has slightly decreased in extent, and pneumomediastinum also appears improved. Heterogeneous opacities in the right lung have slightly worsened in the right upper lobe and slightly improved at the right lung base. Left basilar opacities have nearly resolved, and a small left pleural effusion has decreased in size.","In comparison to the recent radiograph of 1 day earlier, subcutaneous emphysema has slightly decreased in extent, and pneumomediastinum also appears improved.",emphysema,subcutaneous,Better,['files/p11/p11474065/s52511628/d77fc718-e1eacd2f-2fa45ea8-a06418df-85ae6300.jpg'],['files/p11/p11474065/s51394568/b0a2d047-4a01cf2e-c1d43e01-61ef7442-722d8f4e.jpg\n']
s52514701_2,p19159236,s52514701,2,Findings,"Cardiac silhouette size remains top normal. The mediastinal and hilar contours are unchanged, with calcification of the aortic knob. There continues to be minimal patchy opacities in the lung bases which may reflect atelectasis. No pulmonary vascular engorgement is definitively noted. Small bilateral pleural effusions may be present, but no pneumothorax is identified.","The mediastinal and hilar contours are unchanged, with calcification of the aortic knob.",appearance,mediastinal and hilar contours,Stable,['files/p19/p19159236/s52514701/1fa07d59-1b6609db-c7feef15-3888f71e-17d91291.jpg'],
s52514701_2,p19159236,s52514701,2,Findings,"Cardiac silhouette size remains top normal. The mediastinal and hilar contours are unchanged, with calcification of the aortic knob. There continues to be minimal patchy opacities in the lung bases which may reflect atelectasis. No pulmonary vascular engorgement is definitively noted. Small bilateral pleural effusions may be present, but no pneumothorax is identified.",Cardiac silhouette size remains top normal.,size,cardiac silhouette,Stable,['files/p19/p19159236/s52514701/1fa07d59-1b6609db-c7feef15-3888f71e-17d91291.jpg'],
s52514701_2,p19159236,s52514701,2,Findings,"Cardiac silhouette size remains top normal. The mediastinal and hilar contours are unchanged, with calcification of the aortic knob. There continues to be minimal patchy opacities in the lung bases which may reflect atelectasis. No pulmonary vascular engorgement is definitively noted. Small bilateral pleural effusions may be present, but no pneumothorax is identified.",There continues to be minimal patchy opacities in the lung bases which may reflect atelectasis.,patchy opacities,lung bases,Stable,['files/p19/p19159236/s52514701/1fa07d59-1b6609db-c7feef15-3888f71e-17d91291.jpg'],
s52519155_14,p13031876,s52519155,14,Impression,"Left lower lobe collapse and/or consolidation and CHF with possible small bilateral effusions, similar to ___ at 3:56 a.m.","Left lower lobe collapse and/or consolidation and CHF with possible small bilateral effusions, similar to ___ at 3:56 a.m.",collapse and/or consolidation,left lower lobe,Stable,['files/p13/p13031876/s52519155/b7d847bc-3c2c9b05-dcc55b53-b7bd2a6c-f8496f99.jpg'],['files/p13/p13031876/s52130325/aa2e2a96-6ab4170e-539eb20c-0b4b2fc8-ee2502ad.jpg\n']
s52520063_35,p16826047,s52520063,35,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 of ___. There is no evidence of pneumothorax on either side which can be identified with this portable single view examination. Comparison with the next previous study suggests that the right-sided massive pleural densities have changed in position slightly and as much, there is improved aeration of the right upper lobe area and the previously identified large pleural density in the right axillary area impressing on the aerated lung tissue has clearly decreased. On the other hand, it is impossible to assess whether the loculated pleural effusion has shifted more to the lower areas. Again, portable chest examination does not allow assessment of the right-sided subhilar and parenchymal abnormalities. No new abnormalities are identified in the left hemithorax as there was no repeat lateral view, one cannot comment on the amount of pleural effusion on the left side identified on the preceding study. The draining PleurX catheter remains in place.",The draining PleurX catheter remains in place.,PleurX catheter,,Stable,['files/p16/p16826047/s52520063/88c6c717-a8632896-fd029484-3dee5f36-331a78dc.jpg'],['files/p16/p16826047/s51795923/25ee6ef1-1e086650-4b388d67-99cae82c-8b65717e.jpg\n']
s52520063_35,p16826047,s52520063,35,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 of ___. There is no evidence of pneumothorax on either side which can be identified with this portable single view examination. Comparison with the next previous study suggests that the right-sided massive pleural densities have changed in position slightly and as much, there is improved aeration of the right upper lobe area and the previously identified large pleural density in the right axillary area impressing on the aerated lung tissue has clearly decreased. On the other hand, it is impossible to assess whether the loculated pleural effusion has shifted more to the lower areas. Again, portable chest examination does not allow assessment of the right-sided subhilar and parenchymal abnormalities. No new abnormalities are identified in the left hemithorax as there was no repeat lateral view, one cannot comment on the amount of pleural effusion on the left side identified on the preceding study. The draining PleurX catheter remains in place.","Comparison with the next previous study suggests that the right-sided massive pleural densities have changed in position slightly and as much, there is improved aeration of the right upper lobe area and the previously identified large pleural density in the right axillary area impressing on the aerated lung tissue has clearly decreased.",pleural density,right axillary area,Better,['files/p16/p16826047/s52520063/88c6c717-a8632896-fd029484-3dee5f36-331a78dc.jpg'],['files/p16/p16826047/s51795923/25ee6ef1-1e086650-4b388d67-99cae82c-8b65717e.jpg\n']
s52520063_35,p16826047,s52520063,35,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 of ___. There is no evidence of pneumothorax on either side which can be identified with this portable single view examination. Comparison with the next previous study suggests that the right-sided massive pleural densities have changed in position slightly and as much, there is improved aeration of the right upper lobe area and the previously identified large pleural density in the right axillary area impressing on the aerated lung tissue has clearly decreased. On the other hand, it is impossible to assess whether the loculated pleural effusion has shifted more to the lower areas. Again, portable chest examination does not allow assessment of the right-sided subhilar and parenchymal abnormalities. No new abnormalities are identified in the left hemithorax as there was no repeat lateral view, one cannot comment on the amount of pleural effusion on the left side identified on the preceding study. The draining PleurX catheter remains in place.","Comparison with the next previous study suggests that the right-sided massive pleural densities have changed in position slightly and as much, there is improved aeration of the right upper lobe area and the previously identified large pleural density in the right axillary area impressing on the aerated lung tissue has clearly decreased.",aeration,right upper lobe,Worse,['files/p16/p16826047/s52520063/88c6c717-a8632896-fd029484-3dee5f36-331a78dc.jpg'],['files/p16/p16826047/s51795923/25ee6ef1-1e086650-4b388d67-99cae82c-8b65717e.jpg\n']
s52521827_20,p19075045,s52521827,20,Findings,"The lungs are moderately well inflated. There is unchanged mild prominence of lung vasculature without frank pulmonary edema. Mild cardiomegaly. No pleural effusions. Left upper chest wall pacemaker and pacer wires, right-sided central venous catheter terminating at the cavoatrial junction, sternotomy sutures, bilateral humeral prosthesis, all remain unchanged compared to the prior radiograph.","Left upper chest wall pacemaker and pacer wires, right-sided central venous catheter terminating at the cavoatrial junction, sternotomy sutures, bilateral humeral prosthesis, all remain unchanged compared to the prior radiograph.",humeral prosthesis,bilateral,Stable,['files/p19/p19075045/s52521827/959366ef-34cddc43-1c3e238c-99503ed8-b5fc863c.jpg'],['files/p19/p19075045/s52513249/5f626d47-f0333190-ef348062-b306b136-d126da29.jpg\n']
s52521827_20,p19075045,s52521827,20,Findings,"The lungs are moderately well inflated. There is unchanged mild prominence of lung vasculature without frank pulmonary edema. Mild cardiomegaly. No pleural effusions. Left upper chest wall pacemaker and pacer wires, right-sided central venous catheter terminating at the cavoatrial junction, sternotomy sutures, bilateral humeral prosthesis, all remain unchanged compared to the prior radiograph.","Left upper chest wall pacemaker and pacer wires, right-sided central venous catheter terminating at the cavoatrial junction, sternotomy sutures, bilateral humeral prosthesis, all remain unchanged compared to the prior radiograph.",sternotomy sutures,,Stable,['files/p19/p19075045/s52521827/959366ef-34cddc43-1c3e238c-99503ed8-b5fc863c.jpg'],['files/p19/p19075045/s52513249/5f626d47-f0333190-ef348062-b306b136-d126da29.jpg\n']
s52521827_20,p19075045,s52521827,20,Findings,"The lungs are moderately well inflated. There is unchanged mild prominence of lung vasculature without frank pulmonary edema. Mild cardiomegaly. No pleural effusions. Left upper chest wall pacemaker and pacer wires, right-sided central venous catheter terminating at the cavoatrial junction, sternotomy sutures, bilateral humeral prosthesis, all remain unchanged compared to the prior radiograph.","Left upper chest wall pacemaker and pacer wires, right-sided central venous catheter terminating at the cavoatrial junction, sternotomy sutures, bilateral humeral prosthesis, all remain unchanged compared to the prior radiograph.",central venous catheter,right-sided,Stable,['files/p19/p19075045/s52521827/959366ef-34cddc43-1c3e238c-99503ed8-b5fc863c.jpg'],['files/p19/p19075045/s52513249/5f626d47-f0333190-ef348062-b306b136-d126da29.jpg\n']
s52521827_20,p19075045,s52521827,20,Findings,"The lungs are moderately well inflated. There is unchanged mild prominence of lung vasculature without frank pulmonary edema. Mild cardiomegaly. No pleural effusions. Left upper chest wall pacemaker and pacer wires, right-sided central venous catheter terminating at the cavoatrial junction, sternotomy sutures, bilateral humeral prosthesis, all remain unchanged compared to the prior radiograph.","Left upper chest wall pacemaker and pacer wires, right-sided central venous catheter terminating at the cavoatrial junction, sternotomy sutures, bilateral humeral prosthesis, all remain unchanged compared to the prior radiograph.",pacemaker and pacer wires,Left upper chest wall,Stable,['files/p19/p19075045/s52521827/959366ef-34cddc43-1c3e238c-99503ed8-b5fc863c.jpg'],['files/p19/p19075045/s52513249/5f626d47-f0333190-ef348062-b306b136-d126da29.jpg\n']
s52521827_20,p19075045,s52521827,20,Findings,"The lungs are moderately well inflated. There is unchanged mild prominence of lung vasculature without frank pulmonary edema. Mild cardiomegaly. No pleural effusions. Left upper chest wall pacemaker and pacer wires, right-sided central venous catheter terminating at the cavoatrial junction, sternotomy sutures, bilateral humeral prosthesis, all remain unchanged compared to the prior radiograph.",There is unchanged mild prominence of lung vasculature without frank pulmonary edema.,mild prominence of lung vasculature,,Stable,['files/p19/p19075045/s52521827/959366ef-34cddc43-1c3e238c-99503ed8-b5fc863c.jpg'],['files/p19/p19075045/s52513249/5f626d47-f0333190-ef348062-b306b136-d126da29.jpg\n']
s52522246_19,p11474065,s52522246,19,Findings,"As compared to recent radiograph from a few hr earlier, the patient has reportedly undergone a tracheobronchial stent placement. Extensive pneumomediastinum is new, and accompanied by subcutaneous emphysema in the supraclavicular, cervical and chest wall regions. Small bilateral pneumothoraces are also demonstrated. Cardiac silhouette demonstrates left ventricular configuration is accompanied by pulmonary vascular congestion. Asymmetrically distributed heterogeneous opacities in the right mid and lower lobe could reflect asymmetrical edema, aspiration, or hemorrhage in the post procedural setting.","Extensive pneumomediastinum is new, and accompanied by subcutaneous emphysema in the supraclavicular, cervical and chest wall regions.",subcutaneous emphysema,"supraclavicular, cervical and chest wall regions",New,['files/p11/p11474065/s52522246/dd86cc8c-ae1e2c39-3bc3e62b-b15de0ae-652648de.jpg'],['files/p11/p11474065/s52511628/d77fc718-e1eacd2f-2fa45ea8-a06418df-85ae6300.jpg\n']
s52523882_3,p14992360,s52523882,3,Impression,Heart size is top-normal opacities in the upper lungs and at the left mid lung field are similar to previous study consistent with chronic areas of scarring with no new consolidations to suggest infectious process. No pleural effusion or pneumothorax has been demonstrated,Heart size is top-normal opacities in the upper lungs and at the left mid lung field are similar to previous study consistent with chronic areas of scarring with no new consolidations to suggest infectious process.,opacities,upper lungs and left mid lung field,Stable,"['files/p14/p14992360/s52523882/690e5219-a0d2190e-2017488b-4a4feda7-4ef08c2d.jpg', 'files/p14/p14992360/s52523882/7c276a28-74265513-242b56ab-f7f75aee-b642742a.jpg']","['files/p14/p14992360/s52206840/05e37d0a-c7818c2a-ac8b5b89-0daa39da-c75ec7c8.jpg\n', 'files/p14/p14992360/s52206840/4ca4512c-5c8f986c-2e3448c0-1b60be7a-6946424b.jpg\n', 'files/p14/p14992360/s52206840/5105ad53-1db1adf2-24a87016-dccf8db5-acfa42b3.jpg\n', 'files/p14/p14992360/s52206840/9b21566f-2fa02275-f08686bc-4b67b21b-5dc922fb.jpg\n']"
s52529720_5,p16957952,s52529720,5,Impression,"Mild interstitial abnormality suggesting pulmonary vascular congestion, but little if at all changed from baseline.","Mild interstitial abnormality suggesting pulmonary vascular congestion, but little if at all changed from baseline.",interstitial abnormality,,Stable,"['files/p16/p16957952/s52529720/a7c1a219-d07eb7af-e89874a9-69a956b8-3f666a6d.jpg', 'files/p16/p16957952/s52529720/eaf0eb79-03580da7-ae1a0398-5fcef938-acdb31dd.jpg']","['files/p16/p16957952/s52307593/a48bf7b6-c93b1844-01b1bec5-5155cdfa-b8313093.jpg\n', 'files/p16/p16957952/s52307593/f44cd0b1-41c1556c-8cb1b4db-632a0833-ed413255.jpg\n']"
s52529720_5,p16957952,s52529720,5,Findings,"The patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Mild background interstitial abnormality appears unchanged without superposition of any discrete focal opacity. Findings are very similar to the prior examination.",Mild background interstitial abnormality appears unchanged without superposition of any discrete focal opacity.,interstitial abnormality,background,Stable,"['files/p16/p16957952/s52529720/a7c1a219-d07eb7af-e89874a9-69a956b8-3f666a6d.jpg', 'files/p16/p16957952/s52529720/eaf0eb79-03580da7-ae1a0398-5fcef938-acdb31dd.jpg']","['files/p16/p16957952/s52307593/a48bf7b6-c93b1844-01b1bec5-5155cdfa-b8313093.jpg\n', 'files/p16/p16957952/s52307593/f44cd0b1-41c1556c-8cb1b4db-632a0833-ed413255.jpg\n']"
s52529720_5,p16957952,s52529720,5,Findings,"The patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Mild background interstitial abnormality appears unchanged without superposition of any discrete focal opacity. Findings are very similar to the prior examination.",Findings are very similar to the prior examination.,,,Stable,"['files/p16/p16957952/s52529720/a7c1a219-d07eb7af-e89874a9-69a956b8-3f666a6d.jpg', 'files/p16/p16957952/s52529720/eaf0eb79-03580da7-ae1a0398-5fcef938-acdb31dd.jpg']","['files/p16/p16957952/s52307593/a48bf7b6-c93b1844-01b1bec5-5155cdfa-b8313093.jpg\n', 'files/p16/p16957952/s52307593/f44cd0b1-41c1556c-8cb1b4db-632a0833-ed413255.jpg\n']"
s52529720_5,p16957952,s52529720,5,Findings,"The patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Mild background interstitial abnormality appears unchanged without superposition of any discrete focal opacity. Findings are very similar to the prior examination.","The cardiac, mediastinal and hilar contours appear unchanged.",,"cardiac, mediastinal and hilar contours",Stable,"['files/p16/p16957952/s52529720/a7c1a219-d07eb7af-e89874a9-69a956b8-3f666a6d.jpg', 'files/p16/p16957952/s52529720/eaf0eb79-03580da7-ae1a0398-5fcef938-acdb31dd.jpg']","['files/p16/p16957952/s52307593/a48bf7b6-c93b1844-01b1bec5-5155cdfa-b8313093.jpg\n', 'files/p16/p16957952/s52307593/f44cd0b1-41c1556c-8cb1b4db-632a0833-ed413255.jpg\n']"
s52538997_0,p10439781,s52538997,0,Findings,New left-sided Port-A-Cath is seen entering the left subclavian and terminating within the right atrium and can be withdrawn 3 cm and still remains within the low SVC. There is stable mild-to-moderate pulmonary edema and stable small bilateral pleural effusions. Again seen are low lung volumes. Heart is stably enlarged. There is no pneumothorax. .,There is stable mild-to-moderate pulmonary edema and stable small bilateral pleural effusions.,pulmonary edema,bilateral,Stable,['files/p10/p10439781/s52538997/aa76851a-342b6f60-4e4b51be-3a80fe61-92b39e20.jpg'],['files/p10/p10439781/s52077644/5fb4fd93-f41ffe10-432dff5b-080386a2-de609585.jpg\n']
s52538997_0,p10439781,s52538997,0,Findings,New left-sided Port-A-Cath is seen entering the left subclavian and terminating within the right atrium and can be withdrawn 3 cm and still remains within the low SVC. There is stable mild-to-moderate pulmonary edema and stable small bilateral pleural effusions. Again seen are low lung volumes. Heart is stably enlarged. There is no pneumothorax. .,There is stable mild-to-moderate pulmonary edema and stable small bilateral pleural effusions.,pleural effusions,bilateral,Stable,['files/p10/p10439781/s52538997/aa76851a-342b6f60-4e4b51be-3a80fe61-92b39e20.jpg'],['files/p10/p10439781/s52077644/5fb4fd93-f41ffe10-432dff5b-080386a2-de609585.jpg\n']
s52538997_0,p10439781,s52538997,0,Findings,New left-sided Port-A-Cath is seen entering the left subclavian and terminating within the right atrium and can be withdrawn 3 cm and still remains within the low SVC. There is stable mild-to-moderate pulmonary edema and stable small bilateral pleural effusions. Again seen are low lung volumes. Heart is stably enlarged. There is no pneumothorax. .,Heart is stably enlarged.,enlarged heart,,Stable,['files/p10/p10439781/s52538997/aa76851a-342b6f60-4e4b51be-3a80fe61-92b39e20.jpg'],['files/p10/p10439781/s52077644/5fb4fd93-f41ffe10-432dff5b-080386a2-de609585.jpg\n']
s52541396_15,p11413236,s52541396,15,Findings,The patient is status post median sternotomy again with a top normal-sized cardiac silhouette and mildly tortuous thoracic aorta. Hilar contours are unremarkable. Lung volumes are low with right base atelectasis as well as increased focal retrocardiac opacity with lateral posterior lower lobe correlate. Right-sided Port-A-Cath is again demonstrated terminating at the cavoatrial junction. There is no pleural effusion or pneumothorax. There is no overt pulmonary edema. Calcified mediastinal lymph nodes are again noted.,Lung volumes are low with right base atelectasis as well as increased focal retrocardiac opacity with lateral posterior lower lobe correlate.,atelectasis,right base,Worse,"['files/p11/p11413236/s52541396/35a29873-f440b817-77e9b07e-ebd31997-8c62d96e.jpg', 'files/p11/p11413236/s52541396/46bdab14-1fa0233c-c0b0841d-4c0869de-6564ff0d.jpg']",['files/p11/p11413236/s52164077/a17a8e28-46038399-4f9764d7-2338ca4c-6234bf11.jpg\n']
s52541396_15,p11413236,s52541396,15,Findings,The patient is status post median sternotomy again with a top normal-sized cardiac silhouette and mildly tortuous thoracic aorta. Hilar contours are unremarkable. Lung volumes are low with right base atelectasis as well as increased focal retrocardiac opacity with lateral posterior lower lobe correlate. Right-sided Port-A-Cath is again demonstrated terminating at the cavoatrial junction. There is no pleural effusion or pneumothorax. There is no overt pulmonary edema. Calcified mediastinal lymph nodes are again noted.,Lung volumes are low with right base atelectasis as well as increased focal retrocardiac opacity with lateral posterior lower lobe correlate.,opacity,retrocardiac,New,"['files/p11/p11413236/s52541396/35a29873-f440b817-77e9b07e-ebd31997-8c62d96e.jpg', 'files/p11/p11413236/s52541396/46bdab14-1fa0233c-c0b0841d-4c0869de-6564ff0d.jpg']",['files/p11/p11413236/s52164077/a17a8e28-46038399-4f9764d7-2338ca4c-6234bf11.jpg\n']
s52543396_9,p16957952,s52543396,9,Findings,The patient is status post CABG with intact sternotomy wires. There is stable mild cardiomegaly. The aorta is tortuous and minimally calcified; there is minimal linear atelectasis at the left lung base. There is no airspace consolidation or edema. There is no pneumothorax or pleural effusion.,There is stable mild cardiomegaly.,cardiomegaly,,Stable,['files/p16/p16957952/s52543396/f6300671-0644a211-45639c11-c0ef0484-67a8c5c0.jpg'],"['files/p16/p16957952/s52529720/a7c1a219-d07eb7af-e89874a9-69a956b8-3f666a6d.jpg\n', 'files/p16/p16957952/s52529720/eaf0eb79-03580da7-ae1a0398-5fcef938-acdb31dd.jpg\n']"
s52546073_1,p13135946,s52546073,1,Findings,"PA and lateral views of the chest. A PICC line ends in the mid-to-low SVC. Small bilateral pleural effusions seen only on the lateral view have decreased since ___. Aside from minimal atelectasis at the posterior left lung base, the lungs are clear. The aorta is tortuous but not dilated. Heart size is normal.","PA and lateral views of the chest. A PICC line ends in the mid-to-low SVC. Small bilateral pleural effusions seen only on the lateral view have decreased since ___. Aside from minimal atelectasis at the posterior left lung base, the lungs are clear. The aorta is tortuous but not dilated. Heart size is normal.",pleural effusions,bilateral,Better,"['files/p13/p13135946/s52546073/1ec07497-ec6f4ace-baa95464-3ff6c941-6418e970.jpg', 'files/p13/p13135946/s52546073/86075489-1dafd76a-5ab65e27-a19fbe6c-5b4a61b1.jpg']",['files/p13/p13135946/s51924292/849c8a62-044aeedd-d82807e1-77d0a8f3-b9d0e893.jpg\n']
s52546073_1,p13135946,s52546073,1,Impression,"1. Minimal left basal atelectasis. 2. Small bilateral pleural effusions, decreased in size compared to ___. 3. No evidence of aspiration.","1. Minimal left basal atelectasis. 2. Small bilateral pleural effusions, decreased in size compared to ___. 3. No evidence of aspiration.",pleural effusions,bilateral,Better,"['files/p13/p13135946/s52546073/1ec07497-ec6f4ace-baa95464-3ff6c941-6418e970.jpg', 'files/p13/p13135946/s52546073/86075489-1dafd76a-5ab65e27-a19fbe6c-5b4a61b1.jpg']",['files/p13/p13135946/s51924292/849c8a62-044aeedd-d82807e1-77d0a8f3-b9d0e893.jpg\n']
s52546911_9,p18338007,s52546911,9,Findings,Single frontal view of the chest. Lung volumes are very low and marked elevation of the left greater than right hemidiaphragm is similar to prior. Bibasilar atelectasis is unchanged. Cardiomediastinal contours are stable. Pulmonary vascular markings appear normal. No focal consolidation or large pleural effusion.,Bibasilar atelectasis is unchanged.,atelectasis,bibasilar,Stable,['files/p18/p18338007/s52546911/65c9e42e-6093fd2c-66ffbba3-b6fa9d18-48594809.jpg'],['files/p18/p18338007/s52162827/459cfba0-0e5fabcb-a6cd2ff8-887d8f8c-59a166aa.jpg\n']
s52546911_9,p18338007,s52546911,9,Findings,Single frontal view of the chest. Lung volumes are very low and marked elevation of the left greater than right hemidiaphragm is similar to prior. Bibasilar atelectasis is unchanged. Cardiomediastinal contours are stable. Pulmonary vascular markings appear normal. No focal consolidation or large pleural effusion.,Cardiomediastinal contours are stable.,contours,Cardiomediastinal,Stable,['files/p18/p18338007/s52546911/65c9e42e-6093fd2c-66ffbba3-b6fa9d18-48594809.jpg'],['files/p18/p18338007/s52162827/459cfba0-0e5fabcb-a6cd2ff8-887d8f8c-59a166aa.jpg\n']
s52546911_9,p18338007,s52546911,9,Findings,Single frontal view of the chest. Lung volumes are very low and marked elevation of the left greater than right hemidiaphragm is similar to prior. Bibasilar atelectasis is unchanged. Cardiomediastinal contours are stable. Pulmonary vascular markings appear normal. No focal consolidation or large pleural effusion.,Lung volumes are very low and marked elevation of the left greater than right hemidiaphragm is similar to prior.,elevation,left greater than right hemidiaphragm,Stable,['files/p18/p18338007/s52546911/65c9e42e-6093fd2c-66ffbba3-b6fa9d18-48594809.jpg'],['files/p18/p18338007/s52162827/459cfba0-0e5fabcb-a6cd2ff8-887d8f8c-59a166aa.jpg\n']
s52547146_5,p13135946,s52547146,5,Impression,increase in moderate right pleural effusion.,increase in moderate right pleural effusion.,pleural effusion,right,Worse,['files/p13/p13135946/s52547146/d0ce0dbb-82f88ba2-6467498e-a4e23f78-c203cf06.jpg'],"['files/p13/p13135946/s52546073/1ec07497-ec6f4ace-baa95464-3ff6c941-6418e970.jpg\n', 'files/p13/p13135946/s52546073/86075489-1dafd76a-5ab65e27-a19fbe6c-5b4a61b1.jpg\n']"
s52548008_3,p19623993,s52548008,3,Findings,The right internal jugular approach venous catheter remains in the mid SVC. An enteric feeding cord tube courses through the stomach out of field of view. There are scattered areas of linear atelectasis. There is persistent moderate interstitial pulmonary edema. There are no new focal opacities concerning for pneumonia. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are stable demonstrating moderate cardiomegaly.,The right internal jugular approach venous catheter remains in the mid SVC.,right internal jugular approach venous catheter,mid SVC,Stable,['files/p19/p19623993/s52548008/69185846-837b415c-5aa118ec-802f32df-bdc6985a.jpg'],"['files/p19/p19623993/s51406657/1077b9f0-48d911e6-a4858b45-dbcaf675-655280d9.jpg\n', 'files/p19/p19623993/s51406657/8213e26d-d00f0c0f-5125e457-8602815c-1ccc2765.jpg\n']"
s52548008_3,p19623993,s52548008,3,Findings,The right internal jugular approach venous catheter remains in the mid SVC. An enteric feeding cord tube courses through the stomach out of field of view. There are scattered areas of linear atelectasis. There is persistent moderate interstitial pulmonary edema. There are no new focal opacities concerning for pneumonia. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are stable demonstrating moderate cardiomegaly.,There is persistent moderate interstitial pulmonary edema.,moderate interstitial pulmonary edema,,Stable,['files/p19/p19623993/s52548008/69185846-837b415c-5aa118ec-802f32df-bdc6985a.jpg'],"['files/p19/p19623993/s51406657/1077b9f0-48d911e6-a4858b45-dbcaf675-655280d9.jpg\n', 'files/p19/p19623993/s51406657/8213e26d-d00f0c0f-5125e457-8602815c-1ccc2765.jpg\n']"
s52548008_3,p19623993,s52548008,3,Impression,No significant interval change. Moderate interstitial pulmonary edema.,No significant interval change. Moderate interstitial pulmonary edema.,moderate interstitial pulmonary edema,,Stable,['files/p19/p19623993/s52548008/69185846-837b415c-5aa118ec-802f32df-bdc6985a.jpg'],"['files/p19/p19623993/s51406657/1077b9f0-48d911e6-a4858b45-dbcaf675-655280d9.jpg\n', 'files/p19/p19623993/s51406657/8213e26d-d00f0c0f-5125e457-8602815c-1ccc2765.jpg\n']"
s52548008_3,p19623993,s52548008,3,Findings,The right internal jugular approach venous catheter remains in the mid SVC. An enteric feeding cord tube courses through the stomach out of field of view. There are scattered areas of linear atelectasis. There is persistent moderate interstitial pulmonary edema. There are no new focal opacities concerning for pneumonia. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are stable demonstrating moderate cardiomegaly.,The cardiomediastinal and hilar contours are stable demonstrating moderate cardiomegaly.,moderate cardiomegaly,,Stable,['files/p19/p19623993/s52548008/69185846-837b415c-5aa118ec-802f32df-bdc6985a.jpg'],"['files/p19/p19623993/s51406657/1077b9f0-48d911e6-a4858b45-dbcaf675-655280d9.jpg\n', 'files/p19/p19623993/s51406657/8213e26d-d00f0c0f-5125e457-8602815c-1ccc2765.jpg\n']"
s52552967_8,p15857729,s52552967,8,Findings,"Portable supine radiograph of the chest. There is diffuse indistinctness of the pulmonary vasculature, suggestive of mild interstitial pulmonary edema. Although the heart size is likely exaggerated by the technique, there is moderate cardiomegaly which is stable from ___ but not present on ___. The lungs are clear. The there is no pneumothorax or pleural effusion. Chronic rightward tracheal deviation secondary to thyromegaly.","Although the heart size is likely exaggerated by the technique, there is moderate cardiomegaly which is stable from __ but not present on __.",Cardiomegaly,,Stable,['files/p15/p15857729/s52552967/9ce5a44f-66532667-66a23383-cbbb4b96-4a927036.jpg'],['files/p15/p15857729/s52428322/754c8b94-ddf3a484-279e5c47-973dad5c-3e52b57c.jpg\n']
s52552967_8,p15857729,s52552967,8,Impression,"1. Mild interstitial pulmonary edema. 2. Apparent moderate cardiomegaly, unchanged from ___ but new from ___, likely exaggarated by low lung volumes and techniqe but dilated cardiomyopathy or pericardial effusion should be considered.","2. Apparent moderate cardiomegaly, unchanged from ___ but new from ___, likely exaggerated by low lung volumes and technique but dilated cardiomyopathy or pericardial effusion should be considered.",Cardiomegaly,,Stable,['files/p15/p15857729/s52552967/9ce5a44f-66532667-66a23383-cbbb4b96-4a927036.jpg'],['files/p15/p15857729/s52428322/754c8b94-ddf3a484-279e5c47-973dad5c-3e52b57c.jpg\n']
s52555178_0,p10886362,s52555178,0,Findings,"Right atrial and biventricular pacemaker courses in expected position. No significant pleural effusions or pneumothorax. Moderate-to-severe cardiomegaly is unchanged. Mild central venous congestion and cephalization, but no frank edema. Tiny bilateral pleural effusions. There is no focal consolidation. Old healed rib fractures are present on the left.",Moderate-to-severe cardiomegaly is unchanged.,Cardiomegaly,,Stable,['files/p10/p10886362/s52555178/5fd6fa4a-2108246f-d9199b99-e14370ae-0eea894d.jpg'],['files/p10/p10886362/s51423353/9192ac1a-8d64bbf3-4b035831-96f59abc-903b2aaa.jpg\n']
s52555178_0,p10886362,s52555178,0,Findings,"Right atrial and biventricular pacemaker courses in expected position. No significant pleural effusions or pneumothorax. Moderate-to-severe cardiomegaly is unchanged. Mild central venous congestion and cephalization, but no frank edema. Tiny bilateral pleural effusions. There is no focal consolidation. Old healed rib fractures are present on the left.",Old healed rib fractures are present on the left.,Healed rib fractures,left,Stable,['files/p10/p10886362/s52555178/5fd6fa4a-2108246f-d9199b99-e14370ae-0eea894d.jpg'],['files/p10/p10886362/s51423353/9192ac1a-8d64bbf3-4b035831-96f59abc-903b2aaa.jpg\n']
s52556177_15,p18855147,s52556177,15,Findings,Portable AP radiograph of the chest is obtained with the patient in the upright position. Support and monitoring devices are unchanged. Diffuse parenchymal opacities are less dense and lungs are better aerated. Cardiomediastinal contours are unchanged. No pleural effusions and no pneumothorax.,Diffuse parenchymal opacities are less dense and lungs are better aerated.,parenchymal opacities,Diffuse,Better,"['files/p18/p18855147/s52556177/1319398f-f8e49347-72a5d7a0-1ccd8a53-85ba807c.jpg', 'files/p18/p18855147/s52556177/f7bf15c4-c1338417-c196f03f-0fd1e2df-055ce821.jpg']",['files/p18/p18855147/s52178503/f79f9dd9-f65e43a2-492aec2c-5859d568-299fa79d.jpg\n']
s52556177_15,p18855147,s52556177,15,Findings,Portable AP radiograph of the chest is obtained with the patient in the upright position. Support and monitoring devices are unchanged. Diffuse parenchymal opacities are less dense and lungs are better aerated. Cardiomediastinal contours are unchanged. No pleural effusions and no pneumothorax.,Cardiomediastinal contours are unchanged.,Cardiomediastinal contours,,Stable,"['files/p18/p18855147/s52556177/1319398f-f8e49347-72a5d7a0-1ccd8a53-85ba807c.jpg', 'files/p18/p18855147/s52556177/f7bf15c4-c1338417-c196f03f-0fd1e2df-055ce821.jpg']",['files/p18/p18855147/s52178503/f79f9dd9-f65e43a2-492aec2c-5859d568-299fa79d.jpg\n']
s52556177_15,p18855147,s52556177,15,Impression,Decreased pulmonary parenchymal opacities and better aeration bilaterally.,Decreased pulmonary parenchymal opacities and better aeration bilaterally.,pulmonary parenchymal opacities,Bilateral,Better,"['files/p18/p18855147/s52556177/1319398f-f8e49347-72a5d7a0-1ccd8a53-85ba807c.jpg', 'files/p18/p18855147/s52556177/f7bf15c4-c1338417-c196f03f-0fd1e2df-055ce821.jpg']",['files/p18/p18855147/s52178503/f79f9dd9-f65e43a2-492aec2c-5859d568-299fa79d.jpg\n']
s52556177_15,p18855147,s52556177,15,Impression,Decreased pulmonary parenchymal opacities and better aeration bilaterally.,Decreased pulmonary parenchymal opacities and better aeration bilaterally.,lung aeration,Bilateral,Better,"['files/p18/p18855147/s52556177/1319398f-f8e49347-72a5d7a0-1ccd8a53-85ba807c.jpg', 'files/p18/p18855147/s52556177/f7bf15c4-c1338417-c196f03f-0fd1e2df-055ce821.jpg']",['files/p18/p18855147/s52178503/f79f9dd9-f65e43a2-492aec2c-5859d568-299fa79d.jpg\n']
s52556177_15,p18855147,s52556177,15,Findings,Portable AP radiograph of the chest is obtained with the patient in the upright position. Support and monitoring devices are unchanged. Diffuse parenchymal opacities are less dense and lungs are better aerated. Cardiomediastinal contours are unchanged. No pleural effusions and no pneumothorax.,Diffuse parenchymal opacities are less dense and lungs are better aerated.,lung aeration,,Better,"['files/p18/p18855147/s52556177/1319398f-f8e49347-72a5d7a0-1ccd8a53-85ba807c.jpg', 'files/p18/p18855147/s52556177/f7bf15c4-c1338417-c196f03f-0fd1e2df-055ce821.jpg']",['files/p18/p18855147/s52178503/f79f9dd9-f65e43a2-492aec2c-5859d568-299fa79d.jpg\n']
s52556177_15,p18855147,s52556177,15,Findings,Portable AP radiograph of the chest is obtained with the patient in the upright position. Support and monitoring devices are unchanged. Diffuse parenchymal opacities are less dense and lungs are better aerated. Cardiomediastinal contours are unchanged. No pleural effusions and no pneumothorax.,Support and monitoring devices are unchanged.,Support and monitoring devices,,Stable,"['files/p18/p18855147/s52556177/1319398f-f8e49347-72a5d7a0-1ccd8a53-85ba807c.jpg', 'files/p18/p18855147/s52556177/f7bf15c4-c1338417-c196f03f-0fd1e2df-055ce821.jpg']",['files/p18/p18855147/s52178503/f79f9dd9-f65e43a2-492aec2c-5859d568-299fa79d.jpg\n']
s52573647_11,p15809646,s52573647,11,Impression,"AP chest compared to ___. Moderate cardiomegaly has increased in size over the past three days following extubation. Greater opacity in the left mid lung laterally could be new pleural effusion or early consolidation, even mild asymmetric edema given severe and extensive lung scarring and pleural thickening and chronic areas of atelectasis which would tend to distribute edema in idiosyncratic fashion. Chronic engorgement of the mediastinal veins is also more pronounced today. No pneumothorax or layering pleural effusion is present.",AP chest compared to ___. Moderate cardiomegaly has increased in size over the past three days following extubation.,cardiomegaly,,Worse,['files/p15/p15809646/s52573647/554fad67-08d3ea82-687b0b92-4825e624-b17ef914.jpg'],"['files/p15/p15809646/s52030252/2921058d-a6fb076d-8bb4de0c-d43e5b8d-1e91708a.jpg\n', 'files/p15/p15809646/s52030252/bdbdde19-6dd4e8f3-1636aed1-04e54b76-0009a601.jpg\n']"
s52573647_11,p15809646,s52573647,11,Impression,"AP chest compared to ___. Moderate cardiomegaly has increased in size over the past three days following extubation. Greater opacity in the left mid lung laterally could be new pleural effusion or early consolidation, even mild asymmetric edema given severe and extensive lung scarring and pleural thickening and chronic areas of atelectasis which would tend to distribute edema in idiosyncratic fashion. Chronic engorgement of the mediastinal veins is also more pronounced today. No pneumothorax or layering pleural effusion is present.","Greater opacity in the left mid lung laterally could be new pleural effusion or early consolidation, even mild asymmetric edema given severe and extensive lung scarring and pleural thickening and chronic areas of atelectasis which would tend to distribute edema in idiosyncratic fashion.",pleural effusion,left mid lung laterally,New,['files/p15/p15809646/s52573647/554fad67-08d3ea82-687b0b92-4825e624-b17ef914.jpg'],"['files/p15/p15809646/s52030252/2921058d-a6fb076d-8bb4de0c-d43e5b8d-1e91708a.jpg\n', 'files/p15/p15809646/s52030252/bdbdde19-6dd4e8f3-1636aed1-04e54b76-0009a601.jpg\n']"
s52573647_11,p15809646,s52573647,11,Impression,"AP chest compared to ___. Moderate cardiomegaly has increased in size over the past three days following extubation. Greater opacity in the left mid lung laterally could be new pleural effusion or early consolidation, even mild asymmetric edema given severe and extensive lung scarring and pleural thickening and chronic areas of atelectasis which would tend to distribute edema in idiosyncratic fashion. Chronic engorgement of the mediastinal veins is also more pronounced today. No pneumothorax or layering pleural effusion is present.","Greater opacity in the left mid lung laterally could be new pleural effusion or early consolidation, even mild asymmetric edema given severe and extensive lung scarring and pleural thickening and chronic areas of atelectasis which would tend to distribute edema in idiosyncratic fashion.",early consolidation,left mid lung laterally,New,['files/p15/p15809646/s52573647/554fad67-08d3ea82-687b0b92-4825e624-b17ef914.jpg'],"['files/p15/p15809646/s52030252/2921058d-a6fb076d-8bb4de0c-d43e5b8d-1e91708a.jpg\n', 'files/p15/p15809646/s52030252/bdbdde19-6dd4e8f3-1636aed1-04e54b76-0009a601.jpg\n']"
s52573647_11,p15809646,s52573647,11,Impression,"AP chest compared to ___. Moderate cardiomegaly has increased in size over the past three days following extubation. Greater opacity in the left mid lung laterally could be new pleural effusion or early consolidation, even mild asymmetric edema given severe and extensive lung scarring and pleural thickening and chronic areas of atelectasis which would tend to distribute edema in idiosyncratic fashion. Chronic engorgement of the mediastinal veins is also more pronounced today. No pneumothorax or layering pleural effusion is present.",Chronic engorgement of the mediastinal veins is also more pronounced today.,engorgement of the mediastinal veins,,Worse,['files/p15/p15809646/s52573647/554fad67-08d3ea82-687b0b92-4825e624-b17ef914.jpg'],"['files/p15/p15809646/s52030252/2921058d-a6fb076d-8bb4de0c-d43e5b8d-1e91708a.jpg\n', 'files/p15/p15809646/s52030252/bdbdde19-6dd4e8f3-1636aed1-04e54b76-0009a601.jpg\n']"
s52573831_2,p18517718,s52573831,2,Findings,"Cardiomediastinal contours are within normal limits and without change. Minimal bibasilar atelectasis is present, but there are no new areas of consolidation to suggest the presence of a new site of pneumonia. Nasogastric tube continues to terminate in the stomach, but side port is in close proximity to the gastroesophageal junction.",Cardiomediastinal contours are within normal limits and without change.,Cardiomediastinal contours,,Stable,['files/p18/p18517718/s52573831/c1b6f0b0-c201e15c-84aa8630-f1c9dba3-2c2a1773.jpg'],"['files/p18/p18517718/s52043785/b466e0b4-a9b90f92-b156081c-9d20b8ce-f1b45f91.jpg\n', 'files/p18/p18517718/s52043785/cb101618-fcbfd3af-8a1c1df2-ed58ac80-04fe691d.jpg\n']"
s52578479_12,p17340686,s52578479,12,Impression,"1. No acute cardiopulmonary process. 2. Stable diffuse interstitial abnormality, moderate cardiomegaly, vascular engorgement and secondary signs of pulmonary hypertension.","Stable diffuse interstitial abnormality, moderate cardiomegaly, vascular engorgement and secondary signs of pulmonary hypertension.",Vascular engorgement,,Stable,"['files/p17/p17340686/s52578479/04e9517d-42048357-acb498cb-3abdd733-bd007f09.jpg', 'files/p17/p17340686/s52578479/53f32ceb-f05afd4e-d67f0e46-129e6b89-26b170b5.jpg']",['files/p17/p17340686/s52185534/b0777bfe-820d4a8b-e6e4ec7a-7aacd190-f85113cf.jpg\n']
s52578479_12,p17340686,s52578479,12,Impression,"1. No acute cardiopulmonary process. 2. Stable diffuse interstitial abnormality, moderate cardiomegaly, vascular engorgement and secondary signs of pulmonary hypertension.","Stable diffuse interstitial abnormality, moderate cardiomegaly, vascular engorgement and secondary signs of pulmonary hypertension.",Diffuse interstitial abnormality,,Stable,"['files/p17/p17340686/s52578479/04e9517d-42048357-acb498cb-3abdd733-bd007f09.jpg', 'files/p17/p17340686/s52578479/53f32ceb-f05afd4e-d67f0e46-129e6b89-26b170b5.jpg']",['files/p17/p17340686/s52185534/b0777bfe-820d4a8b-e6e4ec7a-7aacd190-f85113cf.jpg\n']
s52578479_12,p17340686,s52578479,12,Findings,"There is a diffuse mild interstitial abnormality, unchanged from prior chest radiographs, and likely chronic. There is no evidence of consolidation or edema. There is no pleural effusion or pneumothorax. There is evidence of stable pulmonary hypertension and vascular engorgement. The aorta is calcified and tortuous. The mediastinal contours are otherwise normal. The heart is moderately enlarged. A left Port-A-Cath is present with the tip in the right atrium.",There is evidence of stable pulmonary hypertension and vascular engorgement.,Pulmonary hypertension and vascular engorgement,,Stable,"['files/p17/p17340686/s52578479/04e9517d-42048357-acb498cb-3abdd733-bd007f09.jpg', 'files/p17/p17340686/s52578479/53f32ceb-f05afd4e-d67f0e46-129e6b89-26b170b5.jpg']",['files/p17/p17340686/s52185534/b0777bfe-820d4a8b-e6e4ec7a-7aacd190-f85113cf.jpg\n']
s52578479_12,p17340686,s52578479,12,Findings,"There is a diffuse mild interstitial abnormality, unchanged from prior chest radiographs, and likely chronic. There is no evidence of consolidation or edema. There is no pleural effusion or pneumothorax. There is evidence of stable pulmonary hypertension and vascular engorgement. The aorta is calcified and tortuous. The mediastinal contours are otherwise normal. The heart is moderately enlarged. A left Port-A-Cath is present with the tip in the right atrium.","There is a diffuse mild interstitial abnormality, unchanged from prior chest radiographs, and likely chronic.",Diffuse mild interstitial abnormality,,Stable,"['files/p17/p17340686/s52578479/04e9517d-42048357-acb498cb-3abdd733-bd007f09.jpg', 'files/p17/p17340686/s52578479/53f32ceb-f05afd4e-d67f0e46-129e6b89-26b170b5.jpg']",['files/p17/p17340686/s52185534/b0777bfe-820d4a8b-e6e4ec7a-7aacd190-f85113cf.jpg\n']
s52578479_12,p17340686,s52578479,12,Impression,"1. No acute cardiopulmonary process. 2. Stable diffuse interstitial abnormality, moderate cardiomegaly, vascular engorgement and secondary signs of pulmonary hypertension.","Stable diffuse interstitial abnormality, moderate cardiomegaly, vascular engorgement and secondary signs of pulmonary hypertension.",Pulmonary hypertension,,Stable,"['files/p17/p17340686/s52578479/04e9517d-42048357-acb498cb-3abdd733-bd007f09.jpg', 'files/p17/p17340686/s52578479/53f32ceb-f05afd4e-d67f0e46-129e6b89-26b170b5.jpg']",['files/p17/p17340686/s52185534/b0777bfe-820d4a8b-e6e4ec7a-7aacd190-f85113cf.jpg\n']
s52578479_12,p17340686,s52578479,12,Impression,"1. No acute cardiopulmonary process. 2. Stable diffuse interstitial abnormality, moderate cardiomegaly, vascular engorgement and secondary signs of pulmonary hypertension.","Stable diffuse interstitial abnormality, moderate cardiomegaly, vascular engorgement and secondary signs of pulmonary hypertension.",Moderate cardiomegaly,,Stable,"['files/p17/p17340686/s52578479/04e9517d-42048357-acb498cb-3abdd733-bd007f09.jpg', 'files/p17/p17340686/s52578479/53f32ceb-f05afd4e-d67f0e46-129e6b89-26b170b5.jpg']",['files/p17/p17340686/s52185534/b0777bfe-820d4a8b-e6e4ec7a-7aacd190-f85113cf.jpg\n']
s52578881_5,p16360107,s52578881,5,Findings,"PA and lateral chest views have been obtained with patient in upright position. There is evidence of sternotomy and previous bypass surgery with moderate cardiac enlargement. The pulmonary vasculature demonstrates an upper zone redistribution pattern, but no conclusive evidence for interstitial or alveolar edema is present. Bilateral pleural space thickenings are seen along the lateral lower chest walls measuring up to 3 and 4 cm at the bases. The pleural densities extend into the posterior compartments as identified on the lateral view. There is no evidence of new acute pulmonary parenchymal infiltrates. No evidence of pneumothorax exists in the apical area. When comparison is made with the next preceding portable chest examination of ___, the described mostly basal located pleural thickenings were similar and appear rather stable. The pulmonary vasculature appears, however, now slightly more congested. Review of previous PA and lateral chest examinations from ___, ___ and ___ demonstrated that the pleural thickenings existed already at that time. Considering the rather stable pleural thickenings could consider that they are at least in part organized and represent scar formations in this patient with history of end-stage renal disease.",Considering the rather stable pleural thickenings could consider that they are at least in part organized and represent scar formations in this patient with history of end-stage renal disease.,pleural thickenings,,Stable,"['files/p16/p16360107/s52578881/535db340-f9e90089-14252bfc-a0e9b1d2-7b3b4baa.jpg', 'files/p16/p16360107/s52578881/99d55522-c421c3a3-4e043495-a4e139ff-69c8f48f.jpg']",['files/p16/p16360107/s52437271/9e80889a-f414a035-63eed5d0-37d21607-88a2a076.jpg\n']
s52578881_5,p16360107,s52578881,5,Findings,"PA and lateral chest views have been obtained with patient in upright position. There is evidence of sternotomy and previous bypass surgery with moderate cardiac enlargement. The pulmonary vasculature demonstrates an upper zone redistribution pattern, but no conclusive evidence for interstitial or alveolar edema is present. Bilateral pleural space thickenings are seen along the lateral lower chest walls measuring up to 3 and 4 cm at the bases. The pleural densities extend into the posterior compartments as identified on the lateral view. There is no evidence of new acute pulmonary parenchymal infiltrates. No evidence of pneumothorax exists in the apical area. When comparison is made with the next preceding portable chest examination of ___, the described mostly basal located pleural thickenings were similar and appear rather stable. The pulmonary vasculature appears, however, now slightly more congested. Review of previous PA and lateral chest examinations from ___, ___ and ___ demonstrated that the pleural thickenings existed already at that time. Considering the rather stable pleural thickenings could consider that they are at least in part organized and represent scar formations in this patient with history of end-stage renal disease.","When comparison is made with the next preceding portable chest examination of ___, the described mostly basal located pleural thickenings were similar and appear rather stable.",pleural thickenings,basal,Stable,"['files/p16/p16360107/s52578881/535db340-f9e90089-14252bfc-a0e9b1d2-7b3b4baa.jpg', 'files/p16/p16360107/s52578881/99d55522-c421c3a3-4e043495-a4e139ff-69c8f48f.jpg']",['files/p16/p16360107/s52437271/9e80889a-f414a035-63eed5d0-37d21607-88a2a076.jpg\n']
s52578881_5,p16360107,s52578881,5,Findings,"PA and lateral chest views have been obtained with patient in upright position. There is evidence of sternotomy and previous bypass surgery with moderate cardiac enlargement. The pulmonary vasculature demonstrates an upper zone redistribution pattern, but no conclusive evidence for interstitial or alveolar edema is present. Bilateral pleural space thickenings are seen along the lateral lower chest walls measuring up to 3 and 4 cm at the bases. The pleural densities extend into the posterior compartments as identified on the lateral view. There is no evidence of new acute pulmonary parenchymal infiltrates. No evidence of pneumothorax exists in the apical area. When comparison is made with the next preceding portable chest examination of ___, the described mostly basal located pleural thickenings were similar and appear rather stable. The pulmonary vasculature appears, however, now slightly more congested. Review of previous PA and lateral chest examinations from ___, ___ and ___ demonstrated that the pleural thickenings existed already at that time. Considering the rather stable pleural thickenings could consider that they are at least in part organized and represent scar formations in this patient with history of end-stage renal disease.","The pulmonary vasculature appears, however, now slightly more congested.",pulmonary vasculature congestion,,Worse,"['files/p16/p16360107/s52578881/535db340-f9e90089-14252bfc-a0e9b1d2-7b3b4baa.jpg', 'files/p16/p16360107/s52578881/99d55522-c421c3a3-4e043495-a4e139ff-69c8f48f.jpg']",['files/p16/p16360107/s52437271/9e80889a-f414a035-63eed5d0-37d21607-88a2a076.jpg\n']
s52583710_23,p12530259,s52583710,23,Impression,"Portable frontal chest radiograph shows no significant change in previously described left lung opacification and volume loss, compatible with collapse, with elevation of a probably paralyzed left hemidiaphragm. The right lung remains clear. Further evaluation with CT would provide a better evaluation of the airways to evaluate for cause of collapse.","Portable frontal chest radiograph shows no significant change in previously described left lung opacification and volume loss, compatible with collapse, with elevation of a probably paralyzed left hemidiaphragm",volume loss,left lung,Stable,['files/p12/p12530259/s52583710/c76fb4a5-73d1b805-ea3945ae-5f50ad50-145ab073.jpg'],"['files/p12/p12530259/s52210830/827940e2-acbc328c-49961b5d-96769c94-d55af838.jpg\n', 'files/p12/p12530259/s52210830/da3efe68-9a328a1b-4d20e7f8-0152154a-e945badd.jpg\n']"
s52583710_23,p12530259,s52583710,23,Impression,"Portable frontal chest radiograph shows no significant change in previously described left lung opacification and volume loss, compatible with collapse, with elevation of a probably paralyzed left hemidiaphragm. The right lung remains clear. Further evaluation with CT would provide a better evaluation of the airways to evaluate for cause of collapse.","Portable frontal chest radiograph shows no significant change in previously described left lung opacification and volume loss, compatible with collapse, with elevation of a probably paralyzed left hemidiaphragm",opacification,left lung,Stable,['files/p12/p12530259/s52583710/c76fb4a5-73d1b805-ea3945ae-5f50ad50-145ab073.jpg'],"['files/p12/p12530259/s52210830/827940e2-acbc328c-49961b5d-96769c94-d55af838.jpg\n', 'files/p12/p12530259/s52210830/da3efe68-9a328a1b-4d20e7f8-0152154a-e945badd.jpg\n']"
s52589781_2,p14177219,s52589781,2,Findings,PA and lateral views of the chest. There is stable mild pulmonary vascular engorgement. No evidence of pulmonary edema. There are no focal consolidations. No pneumothorax or pleural effusion. Heart size is top normal.,There is stable mild pulmonary vascular engorgement.,pulmonary vascular engorgement,,Stable,"['files/p14/p14177219/s52589781/027b4660-9fc20c6a-35de711b-876f0690-f2fcb5a3.jpg', 'files/p14/p14177219/s52589781/11f9c16d-c60a6b46-3ec2ba36-c76fcdca-0d9f54b0.jpg', 'files/p14/p14177219/s52589781/2583e77d-666ff867-9384b210-c059e9e6-31c7da01.jpg']","['files/p14/p14177219/s51070813/3066a927-be47610c-a0348792-a8178259-d9cc2fa5.jpg\n', 'files/p14/p14177219/s51070813/8aeadf93-9670a6fd-2e65b3ce-0719a2c7-d178e34c.jpg\n']"
s52589781_2,p14177219,s52589781,2,Impression,Stable mild pulmonary vascular engorgement. Heart size is top normal. No evidence of pneumonia.,Stable mild pulmonary vascular engorgement.,pulmonary vascular engorgement,,Stable,"['files/p14/p14177219/s52589781/027b4660-9fc20c6a-35de711b-876f0690-f2fcb5a3.jpg', 'files/p14/p14177219/s52589781/11f9c16d-c60a6b46-3ec2ba36-c76fcdca-0d9f54b0.jpg', 'files/p14/p14177219/s52589781/2583e77d-666ff867-9384b210-c059e9e6-31c7da01.jpg']","['files/p14/p14177219/s51070813/3066a927-be47610c-a0348792-a8178259-d9cc2fa5.jpg\n', 'files/p14/p14177219/s51070813/8aeadf93-9670a6fd-2e65b3ce-0719a2c7-d178e34c.jpg\n']"
s52598379_4,p16360107,s52598379,4,Findings,"Single AP upright portable view of the chest was obtained. Chronic bilateral pleural effusions are again seen, decreased on the left. There is bibasilar atelectasis. The cardiac silhouette is top normal to mildly enlarged. The aorta is mildly calcified. Patient is status post median sternotomy with the superior most wire again seen to be fractured. There is elevation of the right hemidiaphragm.","Chronic bilateral pleural effusions are again seen, decreased on the left.",pleural effusions,left,Better,['files/p16/p16360107/s52598379/4f4218c0-7e3de34f-abade5db-964b2d47-addcc964.jpg'],"['files/p16/p16360107/s52578881/535db340-f9e90089-14252bfc-a0e9b1d2-7b3b4baa.jpg\n', 'files/p16/p16360107/s52578881/99d55522-c421c3a3-4e043495-a4e139ff-69c8f48f.jpg\n']"
s52600197_2,p19389547,s52600197,2,Impression,1. Cardiac and mediastinal contours are stable given patient rotation on the current study. Lungs are well inflated. There are minimal residual linear opacities at the left base and interval improvement in patchy opacity at the medial right base consistent with resolving atelectasis. No pulmonary edema. No pneumothorax.,Cardiac and mediastinal contours are stable given patient rotation on the current study.,contours,cardiac and mediastinal,Stable,['files/p19/p19389547/s52600197/789709af-ab78dbbd-bd973f37-aa5edc4c-cb7f975a.jpg'],
s52600197_2,p19389547,s52600197,2,Impression,1. Cardiac and mediastinal contours are stable given patient rotation on the current study. Lungs are well inflated. There are minimal residual linear opacities at the left base and interval improvement in patchy opacity at the medial right base consistent with resolving atelectasis. No pulmonary edema. No pneumothorax.,There are minimal residual linear opacities at the left base and interval improvement in patchy opacity at the medial right base consistent with resolving atelectasis.,atelectasis,medial right base,Resolve,['files/p19/p19389547/s52600197/789709af-ab78dbbd-bd973f37-aa5edc4c-cb7f975a.jpg'],
s52602627_14,p16826047,s52602627,14,Findings,"As compared to the previous radiograph, a right Port-A-Cath and two right chest tubes are visible. The position of chest tubes are constant. The extent of the right pleural effusion is unchanged, the effusion is distributed in a slightly different manner. Unchanged right basal atelectasis. Unchanged moderate cardiomegaly. Unremarkable left lung. There is no evidence of pneumothorax.",Unchanged moderate cardiomegaly,cardiomegaly,,Stable,['files/p16/p16826047/s52602627/543b4069-deab8e00-eacd542d-26643f2e-557d2591.jpg'],['files/p16/p16826047/s52520063/88c6c717-a8632896-fd029484-3dee5f36-331a78dc.jpg\n']
s52602627_14,p16826047,s52602627,14,Findings,"As compared to the previous radiograph, a right Port-A-Cath and two right chest tubes are visible. The position of chest tubes are constant. The extent of the right pleural effusion is unchanged, the effusion is distributed in a slightly different manner. Unchanged right basal atelectasis. Unchanged moderate cardiomegaly. Unremarkable left lung. There is no evidence of pneumothorax.","The extent of the right pleural effusion is unchanged, the effusion is distributed in a slightly different manner",pleural effusion,right,Stable,['files/p16/p16826047/s52602627/543b4069-deab8e00-eacd542d-26643f2e-557d2591.jpg'],['files/p16/p16826047/s52520063/88c6c717-a8632896-fd029484-3dee5f36-331a78dc.jpg\n']
s52602627_14,p16826047,s52602627,14,Findings,"As compared to the previous radiograph, a right Port-A-Cath and two right chest tubes are visible. The position of chest tubes are constant. The extent of the right pleural effusion is unchanged, the effusion is distributed in a slightly different manner. Unchanged right basal atelectasis. Unchanged moderate cardiomegaly. Unremarkable left lung. There is no evidence of pneumothorax.",Unchanged right basal atelectasis,atelectasis,right basal,Stable,['files/p16/p16826047/s52602627/543b4069-deab8e00-eacd542d-26643f2e-557d2591.jpg'],['files/p16/p16826047/s52520063/88c6c717-a8632896-fd029484-3dee5f36-331a78dc.jpg\n']
s52603243_3,p13762730,s52603243,3,Impression,Interval development of interstitial pulmonary edema. These findings were discussed with Dr. ___ by Dr. ___ by telephone at 9:47 a.m. on ___.,Interval development of interstitial pulmonary edema.,Interstitial pulmonary edema,,New,"['files/p13/p13762730/s52603243/1122a7e9-32e0350f-1a87fedd-c85128f3-4e2d23f4.jpg', 'files/p13/p13762730/s52603243/41da5168-3827dda7-50545888-b2a593ef-1dd0934d.jpg', 'files/p13/p13762730/s52603243/ea8f47d3-a878270a-7a5e0d98-b1d62b7e-6061c574.jpg']",['files/p13/p13762730/s50664785/db39cf32-d22fb990-e46ba7c8-c73f9b0b-c77db2a1.jpg\n']
s52603243_3,p13762730,s52603243,3,Findings,"There is new mild interstitial edema. Lateral view is suboptimal, but no focal consolidation or pneumothorax is appreciated. There is possibly a small left-sided pleural effusion. Cardiomegaly and aortic tortuosity are again noted. Pacing hardware is in similar position.",There is new mild interstitial edema.,Interstitial edema,,New,"['files/p13/p13762730/s52603243/1122a7e9-32e0350f-1a87fedd-c85128f3-4e2d23f4.jpg', 'files/p13/p13762730/s52603243/41da5168-3827dda7-50545888-b2a593ef-1dd0934d.jpg', 'files/p13/p13762730/s52603243/ea8f47d3-a878270a-7a5e0d98-b1d62b7e-6061c574.jpg']",['files/p13/p13762730/s50664785/db39cf32-d22fb990-e46ba7c8-c73f9b0b-c77db2a1.jpg\n']
s52603243_3,p13762730,s52603243,3,Findings,"There is new mild interstitial edema. Lateral view is suboptimal, but no focal consolidation or pneumothorax is appreciated. There is possibly a small left-sided pleural effusion. Cardiomegaly and aortic tortuosity are again noted. Pacing hardware is in similar position.",Cardiomegaly and aortic tortuosity are again noted.,Cardiomegaly and aortic tortuosity,,Worse,"['files/p13/p13762730/s52603243/1122a7e9-32e0350f-1a87fedd-c85128f3-4e2d23f4.jpg', 'files/p13/p13762730/s52603243/41da5168-3827dda7-50545888-b2a593ef-1dd0934d.jpg', 'files/p13/p13762730/s52603243/ea8f47d3-a878270a-7a5e0d98-b1d62b7e-6061c574.jpg']",['files/p13/p13762730/s50664785/db39cf32-d22fb990-e46ba7c8-c73f9b0b-c77db2a1.jpg\n']
s52603243_3,p13762730,s52603243,3,Findings,"There is new mild interstitial edema. Lateral view is suboptimal, but no focal consolidation or pneumothorax is appreciated. There is possibly a small left-sided pleural effusion. Cardiomegaly and aortic tortuosity are again noted. Pacing hardware is in similar position.",Pacing hardware is in similar position.,Pacing hardware,,Stable,"['files/p13/p13762730/s52603243/1122a7e9-32e0350f-1a87fedd-c85128f3-4e2d23f4.jpg', 'files/p13/p13762730/s52603243/41da5168-3827dda7-50545888-b2a593ef-1dd0934d.jpg', 'files/p13/p13762730/s52603243/ea8f47d3-a878270a-7a5e0d98-b1d62b7e-6061c574.jpg']",['files/p13/p13762730/s50664785/db39cf32-d22fb990-e46ba7c8-c73f9b0b-c77db2a1.jpg\n']
s52604478_35,p15131736,s52604478,35,Impression,There is unchanged cardiomegaly. There is improvement of the pulmonary interstitial edema. There remains a left retrocardiac opacity. No pneumothoraces are seen.,There is unchanged cardiomegaly.,cardiomegaly,,Stable,['files/p15/p15131736/s52604478/687582eb-5fef8f7a-db199474-71f15674-1418c028.jpg'],['files/p15/p15131736/s52449022/526dc590-f658c26e-49300669-427e7124-ac0f1350.jpg\n']
s52604478_35,p15131736,s52604478,35,Impression,There is unchanged cardiomegaly. There is improvement of the pulmonary interstitial edema. There remains a left retrocardiac opacity. No pneumothoraces are seen.,There is improvement of the pulmonary interstitial edema.,edema,pulmonary interstitial,Better,['files/p15/p15131736/s52604478/687582eb-5fef8f7a-db199474-71f15674-1418c028.jpg'],['files/p15/p15131736/s52449022/526dc590-f658c26e-49300669-427e7124-ac0f1350.jpg\n']
s52604478_35,p15131736,s52604478,35,Impression,There is unchanged cardiomegaly. There is improvement of the pulmonary interstitial edema. There remains a left retrocardiac opacity. No pneumothoraces are seen.,There remains a left retrocardiac opacity.,opacity,left retrocardiac,Stable,['files/p15/p15131736/s52604478/687582eb-5fef8f7a-db199474-71f15674-1418c028.jpg'],['files/p15/p15131736/s52449022/526dc590-f658c26e-49300669-427e7124-ac0f1350.jpg\n']
s52606958_23,p13475033,s52606958,23,Impression,Moderate to severe interstitial pulmonary edema is worse compared with ___.,Moderate to severe interstitial pulmonary edema is worse compared with ___.,interstitial pulmonary edema,moderate to severe,Worse,"['files/p13/p13475033/s52606958/55339975-113cd016-3378dc51-976067bf-8b4e471f.jpg', 'files/p13/p13475033/s52606958/c9fff184-4c819069-e151edf5-6591caae-9a76e8f0.jpg']","['files/p13/p13475033/s52367439/d8b26443-22f41aab-1b372737-45d002d7-8bb1d226.jpg\n', 'files/p13/p13475033/s52367439/de1491ae-692b541a-1998e13d-f7720e3a-900dfed1.jpg\n']"
s52606958_23,p13475033,s52606958,23,Findings,PA and lateral chest radiographs were obtained. Diffuse interstitial opacities have progressed since ___. The hila are indistinct. There is a new small left pleural effusion. Moderate cardiomegaly is similar. Aortic arch calcifications are similar. There is a stable convex left thoracic scoliosis. Thoracic vertebral compression fractures and old left clavicle fracture are unchanged.,Moderate cardiomegaly is similar.,cardiomegaly,moderate,Stable,"['files/p13/p13475033/s52606958/55339975-113cd016-3378dc51-976067bf-8b4e471f.jpg', 'files/p13/p13475033/s52606958/c9fff184-4c819069-e151edf5-6591caae-9a76e8f0.jpg']","['files/p13/p13475033/s52367439/d8b26443-22f41aab-1b372737-45d002d7-8bb1d226.jpg\n', 'files/p13/p13475033/s52367439/de1491ae-692b541a-1998e13d-f7720e3a-900dfed1.jpg\n']"
s52606958_23,p13475033,s52606958,23,Findings,PA and lateral chest radiographs were obtained. Diffuse interstitial opacities have progressed since ___. The hila are indistinct. There is a new small left pleural effusion. Moderate cardiomegaly is similar. Aortic arch calcifications are similar. There is a stable convex left thoracic scoliosis. Thoracic vertebral compression fractures and old left clavicle fracture are unchanged.,Thoracic vertebral compression fractures and old left clavicle fracture are unchanged.,clavicle fracture,left,Stable,"['files/p13/p13475033/s52606958/55339975-113cd016-3378dc51-976067bf-8b4e471f.jpg', 'files/p13/p13475033/s52606958/c9fff184-4c819069-e151edf5-6591caae-9a76e8f0.jpg']","['files/p13/p13475033/s52367439/d8b26443-22f41aab-1b372737-45d002d7-8bb1d226.jpg\n', 'files/p13/p13475033/s52367439/de1491ae-692b541a-1998e13d-f7720e3a-900dfed1.jpg\n']"
s52606958_23,p13475033,s52606958,23,Findings,PA and lateral chest radiographs were obtained. Diffuse interstitial opacities have progressed since ___. The hila are indistinct. There is a new small left pleural effusion. Moderate cardiomegaly is similar. Aortic arch calcifications are similar. There is a stable convex left thoracic scoliosis. Thoracic vertebral compression fractures and old left clavicle fracture are unchanged.,There is a new small left pleural effusion.,pleural effusion,left,New,"['files/p13/p13475033/s52606958/55339975-113cd016-3378dc51-976067bf-8b4e471f.jpg', 'files/p13/p13475033/s52606958/c9fff184-4c819069-e151edf5-6591caae-9a76e8f0.jpg']","['files/p13/p13475033/s52367439/d8b26443-22f41aab-1b372737-45d002d7-8bb1d226.jpg\n', 'files/p13/p13475033/s52367439/de1491ae-692b541a-1998e13d-f7720e3a-900dfed1.jpg\n']"
s52606958_23,p13475033,s52606958,23,Findings,PA and lateral chest radiographs were obtained. Diffuse interstitial opacities have progressed since ___. The hila are indistinct. There is a new small left pleural effusion. Moderate cardiomegaly is similar. Aortic arch calcifications are similar. There is a stable convex left thoracic scoliosis. Thoracic vertebral compression fractures and old left clavicle fracture are unchanged.,Diffuse interstitial opacities have progressed since ___.,interstitial opacities,diffuse,Worse,"['files/p13/p13475033/s52606958/55339975-113cd016-3378dc51-976067bf-8b4e471f.jpg', 'files/p13/p13475033/s52606958/c9fff184-4c819069-e151edf5-6591caae-9a76e8f0.jpg']","['files/p13/p13475033/s52367439/d8b26443-22f41aab-1b372737-45d002d7-8bb1d226.jpg\n', 'files/p13/p13475033/s52367439/de1491ae-692b541a-1998e13d-f7720e3a-900dfed1.jpg\n']"
s52606958_23,p13475033,s52606958,23,Findings,PA and lateral chest radiographs were obtained. Diffuse interstitial opacities have progressed since ___. The hila are indistinct. There is a new small left pleural effusion. Moderate cardiomegaly is similar. Aortic arch calcifications are similar. There is a stable convex left thoracic scoliosis. Thoracic vertebral compression fractures and old left clavicle fracture are unchanged.,Thoracic vertebral compression fractures and old left clavicle fracture are unchanged.,compression fractures,thoracic vertebral,Stable,"['files/p13/p13475033/s52606958/55339975-113cd016-3378dc51-976067bf-8b4e471f.jpg', 'files/p13/p13475033/s52606958/c9fff184-4c819069-e151edf5-6591caae-9a76e8f0.jpg']","['files/p13/p13475033/s52367439/d8b26443-22f41aab-1b372737-45d002d7-8bb1d226.jpg\n', 'files/p13/p13475033/s52367439/de1491ae-692b541a-1998e13d-f7720e3a-900dfed1.jpg\n']"
s52606958_23,p13475033,s52606958,23,Findings,PA and lateral chest radiographs were obtained. Diffuse interstitial opacities have progressed since ___. The hila are indistinct. There is a new small left pleural effusion. Moderate cardiomegaly is similar. Aortic arch calcifications are similar. There is a stable convex left thoracic scoliosis. Thoracic vertebral compression fractures and old left clavicle fracture are unchanged.,There is a stable convex left thoracic scoliosis.,scoliosis,left thoracic,Stable,"['files/p13/p13475033/s52606958/55339975-113cd016-3378dc51-976067bf-8b4e471f.jpg', 'files/p13/p13475033/s52606958/c9fff184-4c819069-e151edf5-6591caae-9a76e8f0.jpg']","['files/p13/p13475033/s52367439/d8b26443-22f41aab-1b372737-45d002d7-8bb1d226.jpg\n', 'files/p13/p13475033/s52367439/de1491ae-692b541a-1998e13d-f7720e3a-900dfed1.jpg\n']"
s52606958_23,p13475033,s52606958,23,Findings,PA and lateral chest radiographs were obtained. Diffuse interstitial opacities have progressed since ___. The hila are indistinct. There is a new small left pleural effusion. Moderate cardiomegaly is similar. Aortic arch calcifications are similar. There is a stable convex left thoracic scoliosis. Thoracic vertebral compression fractures and old left clavicle fracture are unchanged.,Aortic arch calcifications are similar.,calcifications,aortic arch,Stable,"['files/p13/p13475033/s52606958/55339975-113cd016-3378dc51-976067bf-8b4e471f.jpg', 'files/p13/p13475033/s52606958/c9fff184-4c819069-e151edf5-6591caae-9a76e8f0.jpg']","['files/p13/p13475033/s52367439/d8b26443-22f41aab-1b372737-45d002d7-8bb1d226.jpg\n', 'files/p13/p13475033/s52367439/de1491ae-692b541a-1998e13d-f7720e3a-900dfed1.jpg\n']"
s52607379_22,p13896515,s52607379,22,Impression,"In comparison with the earlier study of this date, there again is enlargement of the cardiac silhouette with pulmonary edema, which appears to have slightly progressed. Continued low lung volumes. Pacer device remains in place.","In comparison with the earlier study of this date, there again is enlargement of the cardiac silhouette with pulmonary edema, which appears to have slightly progressed.",pulmonary edema,,Worse,['files/p13/p13896515/s52607379/3ae4f21a-20a3c90a-520e7d42-5f306168-85d0d88e.jpg'],['files/p13/p13896515/s52605645/6350bc28-5c2d7079-26abfdf4-fb25349a-5e8564d3.jpg\n']
s52607379_22,p13896515,s52607379,22,Impression,"In comparison with the earlier study of this date, there again is enlargement of the cardiac silhouette with pulmonary edema, which appears to have slightly progressed. Continued low lung volumes. Pacer device remains in place.",Continued low lung volumes.,lung volumes,,Stable,['files/p13/p13896515/s52607379/3ae4f21a-20a3c90a-520e7d42-5f306168-85d0d88e.jpg'],['files/p13/p13896515/s52605645/6350bc28-5c2d7079-26abfdf4-fb25349a-5e8564d3.jpg\n']
s52607379_22,p13896515,s52607379,22,Impression,"In comparison with the earlier study of this date, there again is enlargement of the cardiac silhouette with pulmonary edema, which appears to have slightly progressed. Continued low lung volumes. Pacer device remains in place.",Pacer device remains in place.,pacer device,,Stable,['files/p13/p13896515/s52607379/3ae4f21a-20a3c90a-520e7d42-5f306168-85d0d88e.jpg'],['files/p13/p13896515/s52605645/6350bc28-5c2d7079-26abfdf4-fb25349a-5e8564d3.jpg\n']
s52607379_22,p13896515,s52607379,22,Impression,"In comparison with the earlier study of this date, there again is enlargement of the cardiac silhouette with pulmonary edema, which appears to have slightly progressed. Continued low lung volumes. Pacer device remains in place.","In comparison with the earlier study of this date, there again is enlargement of the cardiac silhouette with pulmonary edema, which appears to have slightly progressed.",cardiac silhouette,,Worse,['files/p13/p13896515/s52607379/3ae4f21a-20a3c90a-520e7d42-5f306168-85d0d88e.jpg'],['files/p13/p13896515/s52605645/6350bc28-5c2d7079-26abfdf4-fb25349a-5e8564d3.jpg\n']
s52607450_1,p12699874,s52607450,1,Findings,A nasogastric tube passes into the stomach. Endotracheal tube terminates approximately 5 cm from the carina. There is increased right mid lung atelectasis. Bibasilar opacities were better demonstrated on prior radiographs. Diffuse right lung opacity is compatible with layering pleural effusion as seen on subsequest CT of the neck.,There is increased right mid lung atelectasis.,atelectasis,right mid lung,Worse,"['files/p12/p12699874/s52607450/d97d38b1-b60d1118-92f0b65d-f651460d-2f1abc76.jpg', 'files/p12/p12699874/s52607450/ef172e96-8c4e23a8-160f096f-b5c584b5-f33c4c0b.jpg']","['files/p12/p12699874/s51280998/115a50e2-b668b74b-81a73b76-9d53579f-12ea7431.jpg\n', 'files/p12/p12699874/s51280998/c2d43b6f-493ba743-28ddc8f7-1259dbaa-11647445.jpg\n', 'files/p12/p12699874/s51280998/f46ebce4-270dbbd9-24602b65-695b054c-bcd8093c.jpg\n']"
s52607450_1,p12699874,s52607450,1,Findings,A nasogastric tube passes into the stomach. Endotracheal tube terminates approximately 5 cm from the carina. There is increased right mid lung atelectasis. Bibasilar opacities were better demonstrated on prior radiographs. Diffuse right lung opacity is compatible with layering pleural effusion as seen on subsequest CT of the neck.,Bibasilar opacities were better demonstrated on prior radiographs.,opacities,bibasilar,Better,"['files/p12/p12699874/s52607450/d97d38b1-b60d1118-92f0b65d-f651460d-2f1abc76.jpg', 'files/p12/p12699874/s52607450/ef172e96-8c4e23a8-160f096f-b5c584b5-f33c4c0b.jpg']","['files/p12/p12699874/s51280998/115a50e2-b668b74b-81a73b76-9d53579f-12ea7431.jpg\n', 'files/p12/p12699874/s51280998/c2d43b6f-493ba743-28ddc8f7-1259dbaa-11647445.jpg\n', 'files/p12/p12699874/s51280998/f46ebce4-270dbbd9-24602b65-695b054c-bcd8093c.jpg\n']"
s52616494_4,p15446959,s52616494,4,Findings,"The cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly. There is similar elevation of the left hemidiaphragm with persistent unchanged vague left mid to lower lung opacity which may indicate some degree of chronic atelectasis and, particularly given lack of change, isnot suspicious for an acute superimposed process. The lungs appear otherwise clear. Old left-sided rib fractures are also unchanged. There has been no significant change.","The cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly.","cardiac, mediastinal and hilar contours",,Stable,['files/p15/p15446959/s52616494/647c3bd0-6e8ea0e4-e367edee-d6eefb00-174fcf42.jpg'],"['files/p15/p15446959/s51765753/532b41c5-aa84f4e3-0680a169-3354c664-82013589.jpg\n', 'files/p15/p15446959/s51765753/67521210-7de50506-706b3a67-39ab7d82-f96a75ad.jpg\n']"
s52616494_4,p15446959,s52616494,4,Findings,"The cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly. There is similar elevation of the left hemidiaphragm with persistent unchanged vague left mid to lower lung opacity which may indicate some degree of chronic atelectasis and, particularly given lack of change, isnot suspicious for an acute superimposed process. The lungs appear otherwise clear. Old left-sided rib fractures are also unchanged. There has been no significant change.",There has been no significant change.,,,Stable,['files/p15/p15446959/s52616494/647c3bd0-6e8ea0e4-e367edee-d6eefb00-174fcf42.jpg'],"['files/p15/p15446959/s51765753/532b41c5-aa84f4e3-0680a169-3354c664-82013589.jpg\n', 'files/p15/p15446959/s51765753/67521210-7de50506-706b3a67-39ab7d82-f96a75ad.jpg\n']"
s52616494_4,p15446959,s52616494,4,Findings,"The cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly. There is similar elevation of the left hemidiaphragm with persistent unchanged vague left mid to lower lung opacity which may indicate some degree of chronic atelectasis and, particularly given lack of change, isnot suspicious for an acute superimposed process. The lungs appear otherwise clear. Old left-sided rib fractures are also unchanged. There has been no significant change.",Old left-sided rib fractures are also unchanged.,rib fractures,left-sided,Stable,['files/p15/p15446959/s52616494/647c3bd0-6e8ea0e4-e367edee-d6eefb00-174fcf42.jpg'],"['files/p15/p15446959/s51765753/532b41c5-aa84f4e3-0680a169-3354c664-82013589.jpg\n', 'files/p15/p15446959/s51765753/67521210-7de50506-706b3a67-39ab7d82-f96a75ad.jpg\n']"
s52616494_4,p15446959,s52616494,4,Findings,"The cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly. There is similar elevation of the left hemidiaphragm with persistent unchanged vague left mid to lower lung opacity which may indicate some degree of chronic atelectasis and, particularly given lack of change, isnot suspicious for an acute superimposed process. The lungs appear otherwise clear. Old left-sided rib fractures are also unchanged. There has been no significant change.","There is similar elevation of the left hemidiaphragm with persistent unchanged vague left mid to lower lung opacity which may indicate some degree of chronic atelectasis and, particularly given lack of change, isnot suspicious for an acute superimposed process.",opacity,left mid to lower lung,Stable,['files/p15/p15446959/s52616494/647c3bd0-6e8ea0e4-e367edee-d6eefb00-174fcf42.jpg'],"['files/p15/p15446959/s51765753/532b41c5-aa84f4e3-0680a169-3354c664-82013589.jpg\n', 'files/p15/p15446959/s51765753/67521210-7de50506-706b3a67-39ab7d82-f96a75ad.jpg\n']"
s52618697_29,p17340686,s52618697,29,Findings,Right hemodialysis catheter again terminates in the right atrium. There is minimal increase in bilateral airspace opacities suggesting pulmonary edema. Moderate cardiomegaly is unchanged. The pulmonary artery is enlarged. The aortic arch is calcified. Previous rounded opacity at the right base is re-demonstrated. There is no large pleural effusion or pneumothorax.,Moderate cardiomegaly is unchanged.,Moderate cardiomegaly,,Stable,['files/p17/p17340686/s52618697/a336fc81-7ee080cf-fe8b1be1-38aa5c12-add53acc.jpg'],"['files/p17/p17340686/s52578479/04e9517d-42048357-acb498cb-3abdd733-bd007f09.jpg\n', 'files/p17/p17340686/s52578479/53f32ceb-f05afd4e-d67f0e46-129e6b89-26b170b5.jpg\n']"
s52618697_29,p17340686,s52618697,29,Impression,1. Moderate cardiomegaly and mild-to-moderate interstitial pulmonary edema. 2. Round lesion at the right lung base is unchanged,2. Round lesion at the right lung base is unchanged,Round lesion,Right lung base,Stable,['files/p17/p17340686/s52618697/a336fc81-7ee080cf-fe8b1be1-38aa5c12-add53acc.jpg'],"['files/p17/p17340686/s52578479/04e9517d-42048357-acb498cb-3abdd733-bd007f09.jpg\n', 'files/p17/p17340686/s52578479/53f32ceb-f05afd4e-d67f0e46-129e6b89-26b170b5.jpg\n']"
s52622865_6,p18417750,s52622865,6,Findings,"As compared to the previous radiograph, patient has been intubated. The tip of the endotracheal tube ends 4 cm above the carina. The nasogastric tube ends in the stomach. Right subclavian vein line tip projects over the mid-to-low SVC. Moderate-to-severe right pleural effusion. Atelectatic right basal lung. Moderate cardiomegaly and mild fluid overload. The left pectoral pacemaker is constant.",The left pectoral pacemaker is constant.,pacemaker,left pectoral,Stable,['files/p18/p18417750/s52622865/fe10d1ed-22968c1c-23c84bf4-ddc23640-bc64a3ed.jpg'],"['files/p18/p18417750/s50640370/c6d30763-f0410801-1fbc901e-31d0633e-b345afbd.jpg\n', 'files/p18/p18417750/s50640370/e8f40dc1-eb1d35c9-581a0b09-a78294c8-1a9ab9f1.jpg\n']"
s52622865_6,p18417750,s52622865,6,Findings,"As compared to the previous radiograph, patient has been intubated. The tip of the endotracheal tube ends 4 cm above the carina. The nasogastric tube ends in the stomach. Right subclavian vein line tip projects over the mid-to-low SVC. Moderate-to-severe right pleural effusion. Atelectatic right basal lung. Moderate cardiomegaly and mild fluid overload. The left pectoral pacemaker is constant.","As compared to the previous radiograph, patient has been intubated.",intubation,,New,['files/p18/p18417750/s52622865/fe10d1ed-22968c1c-23c84bf4-ddc23640-bc64a3ed.jpg'],"['files/p18/p18417750/s50640370/c6d30763-f0410801-1fbc901e-31d0633e-b345afbd.jpg\n', 'files/p18/p18417750/s50640370/e8f40dc1-eb1d35c9-581a0b09-a78294c8-1a9ab9f1.jpg\n']"
s52624179_39,p10933609,s52624179,39,Findings,"PA and lateral images of the chest. The lungs well expanded. Bilateral upper lobe opacities consistent with chronic fibrosis are again seen, unchanged from prior exam. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.","Bilateral upper lobe opacities consistent with chronic fibrosis are again seen, unchanged from prior exam.",opacities consistent with chronic fibrosis,bilateral upper lobes,Stable,"['files/p10/p10933609/s52624179/225164ad-9f7e5e4f-b9c9e387-2b07cdd5-10488e8b.jpg', 'files/p10/p10933609/s52624179/c89c7ca8-466643b7-e8480932-1b791a6f-4ae17f31.jpg']","['files/p10/p10933609/s52402828/318975e1-0f1046f7-331e3d92-185e4805-d5ac3b65.jpg\n', 'files/p10/p10933609/s52402828/c0023bba-56efba28-c654ac42-24227b01-0157a8c2.jpg\n', 'files/p10/p10933609/s52402828/e19a6258-3792982e-db47dccd-c9961bb6-e0aeba69.jpg\n']"
s52624179_39,p10933609,s52624179,39,Impression,No acute cardiopulmonary process. Stable fibrotic changes in the upper lungs.,Stable fibrotic changes in the upper lungs.,fibrotic changes,upper lungs,Stable,"['files/p10/p10933609/s52624179/225164ad-9f7e5e4f-b9c9e387-2b07cdd5-10488e8b.jpg', 'files/p10/p10933609/s52624179/c89c7ca8-466643b7-e8480932-1b791a6f-4ae17f31.jpg']","['files/p10/p10933609/s52402828/318975e1-0f1046f7-331e3d92-185e4805-d5ac3b65.jpg\n', 'files/p10/p10933609/s52402828/c0023bba-56efba28-c654ac42-24227b01-0157a8c2.jpg\n', 'files/p10/p10933609/s52402828/e19a6258-3792982e-db47dccd-c9961bb6-e0aeba69.jpg\n']"
s52625540_10,p11934114,s52625540,10,Findings,"In comparison with study of ___, there has been placement of a nasogastric tube with tip in the distal stomach. Otherwise, there is little overall change with large right and moderate left pleural effusion with enlargement of the cardiac silhouette and evidence of pulmonary vascular congestion.","Otherwise, there is little overall change with large right and moderate left pleural effusion with enlargement of the cardiac silhouette and evidence of pulmonary vascular congestion.",pleural effusion,left,Stable,"['files/p11/p11934114/s52625540/de3aab87-d8c3b45e-2312deb9-70e80ce0-17b557d2.jpg', 'files/p11/p11934114/s52625540/fee52ef3-e8e58680-e83b3d50-fa52077b-106381ff.jpg']",['files/p11/p11934114/s52152296/67653b61-d4cdc144-670c5d2f-1d19f3a2-480d85a1.jpg\n']
s52625540_10,p11934114,s52625540,10,Findings,"In comparison with study of ___, there has been placement of a nasogastric tube with tip in the distal stomach. Otherwise, there is little overall change with large right and moderate left pleural effusion with enlargement of the cardiac silhouette and evidence of pulmonary vascular congestion.","Otherwise, there is little overall change with large right and moderate left pleural effusion with enlargement of the cardiac silhouette and evidence of pulmonary vascular congestion.",enlargement,cardiac silhouette,Stable,"['files/p11/p11934114/s52625540/de3aab87-d8c3b45e-2312deb9-70e80ce0-17b557d2.jpg', 'files/p11/p11934114/s52625540/fee52ef3-e8e58680-e83b3d50-fa52077b-106381ff.jpg']",['files/p11/p11934114/s52152296/67653b61-d4cdc144-670c5d2f-1d19f3a2-480d85a1.jpg\n']
s52625540_10,p11934114,s52625540,10,Findings,"In comparison with study of ___, there has been placement of a nasogastric tube with tip in the distal stomach. Otherwise, there is little overall change with large right and moderate left pleural effusion with enlargement of the cardiac silhouette and evidence of pulmonary vascular congestion.","Otherwise, there is little overall change with large right and moderate left pleural effusion with enlargement of the cardiac silhouette and evidence of pulmonary vascular congestion.",pleural effusion,right,Stable,"['files/p11/p11934114/s52625540/de3aab87-d8c3b45e-2312deb9-70e80ce0-17b557d2.jpg', 'files/p11/p11934114/s52625540/fee52ef3-e8e58680-e83b3d50-fa52077b-106381ff.jpg']",['files/p11/p11934114/s52152296/67653b61-d4cdc144-670c5d2f-1d19f3a2-480d85a1.jpg\n']
s52625540_10,p11934114,s52625540,10,Findings,"In comparison with study of ___, there has been placement of a nasogastric tube with tip in the distal stomach. Otherwise, there is little overall change with large right and moderate left pleural effusion with enlargement of the cardiac silhouette and evidence of pulmonary vascular congestion.","Otherwise, there is little overall change with large right and moderate left pleural effusion with enlargement of the cardiac silhouette and evidence of pulmonary vascular congestion.",vascular congestion,pulmonary,Stable,"['files/p11/p11934114/s52625540/de3aab87-d8c3b45e-2312deb9-70e80ce0-17b557d2.jpg', 'files/p11/p11934114/s52625540/fee52ef3-e8e58680-e83b3d50-fa52077b-106381ff.jpg']",['files/p11/p11934114/s52152296/67653b61-d4cdc144-670c5d2f-1d19f3a2-480d85a1.jpg\n']
s52628998_4,p16334516,s52628998,4,Findings,"As compared to the previous radiograph, there is known scarring at the bases of the right upper lobe, associated with a minor degree of volume loss as well as scarring in the left lung, the level of the upper and lower hilus. Status post sternotomy and CABG. Lung volumes are low. There are no pleural effusions. Normal size of the cardiac silhouette. No pulmonary edema. No pneumonia.","As compared to the previous radiograph, there is known scarring at the bases of the right upper lobe, associated with a minor degree of volume loss as well as scarring in the left lung, the level of the upper and lower hilus.",scarring,right upper lobe,Worse,['files/p16/p16334516/s52628998/21291544-3a540481-114dd644-ac5c71c2-69673493.jpg'],['files/p16/p16334516/s52385480/d2c67694-56bd35b7-4aad9a81-9c1ca076-546a019a.jpg\n']
s52628998_4,p16334516,s52628998,4,Findings,"As compared to the previous radiograph, there is known scarring at the bases of the right upper lobe, associated with a minor degree of volume loss as well as scarring in the left lung, the level of the upper and lower hilus. Status post sternotomy and CABG. Lung volumes are low. There are no pleural effusions. Normal size of the cardiac silhouette. No pulmonary edema. No pneumonia.","As compared to the previous radiograph, there is known scarring at the bases of the right upper lobe, associated with a minor degree of volume loss as well as scarring in the left lung, the level of the upper and lower hilus.",scarring,left lung,Worse,['files/p16/p16334516/s52628998/21291544-3a540481-114dd644-ac5c71c2-69673493.jpg'],['files/p16/p16334516/s52385480/d2c67694-56bd35b7-4aad9a81-9c1ca076-546a019a.jpg\n']
s52630162_15,p14744884,s52630162,15,Impression,Tip tip of the endotracheal tube is at least 7 cm above the carina an should be advanced at least 3 cm. House staff paged. Esophageal drainage tube passes into the stomach and out of view. Right brachiocephalic vein stent unchanged in position or appearance including mild central narrowing. Lung volumes are improved substantially and any previous pulmonary edema has nearly resolved. Moderate cardiomegaly is stable. No pneumothorax.,Moderate cardiomegaly is stable.,Cardiomegaly,Cardiac,Stable,['files/p14/p14744884/s52630162/0619df15-9da411e1-9a47d1bf-973bbcf8-97f09ae0.jpg'],"['files/p14/p14744884/s51696222/191b0a76-523b5732-5e86b6da-9b402995-a1c02713.jpg\n', 'files/p14/p14744884/s51696222/5d9cf85d-134469a1-4ea8049e-fd8251d2-d8281018.jpg\n']"
s52630162_15,p14744884,s52630162,15,Impression,Tip tip of the endotracheal tube is at least 7 cm above the carina an should be advanced at least 3 cm. House staff paged. Esophageal drainage tube passes into the stomach and out of view. Right brachiocephalic vein stent unchanged in position or appearance including mild central narrowing. Lung volumes are improved substantially and any previous pulmonary edema has nearly resolved. Moderate cardiomegaly is stable. No pneumothorax.,Right brachiocephalic vein stent unchanged in position or appearance including mild central narrowing.,Stent with mild central narrowing,Right brachiocephalic vein,Stable,['files/p14/p14744884/s52630162/0619df15-9da411e1-9a47d1bf-973bbcf8-97f09ae0.jpg'],"['files/p14/p14744884/s51696222/191b0a76-523b5732-5e86b6da-9b402995-a1c02713.jpg\n', 'files/p14/p14744884/s51696222/5d9cf85d-134469a1-4ea8049e-fd8251d2-d8281018.jpg\n']"
s52630162_15,p14744884,s52630162,15,Impression,Tip tip of the endotracheal tube is at least 7 cm above the carina an should be advanced at least 3 cm. House staff paged. Esophageal drainage tube passes into the stomach and out of view. Right brachiocephalic vein stent unchanged in position or appearance including mild central narrowing. Lung volumes are improved substantially and any previous pulmonary edema has nearly resolved. Moderate cardiomegaly is stable. No pneumothorax.,Lung volumes are improved substantially and any previous pulmonary edema has nearly resolved.,Pulmonary edema,Lungs,Resolve,['files/p14/p14744884/s52630162/0619df15-9da411e1-9a47d1bf-973bbcf8-97f09ae0.jpg'],"['files/p14/p14744884/s51696222/191b0a76-523b5732-5e86b6da-9b402995-a1c02713.jpg\n', 'files/p14/p14744884/s51696222/5d9cf85d-134469a1-4ea8049e-fd8251d2-d8281018.jpg\n']"
s52630381_17,p12952223,s52630381,17,Impression,"1. The Dobbhoff feeding tube is seen coursing down into the stomach and then courses back up into the upper esophagus where the tip is positioned. Removal with an attempt at repositioning of the Dobbhoff feeding tube would be advised at this time. The endotracheal tube remains in place and the tip is difficult to identify as this is the location where the Dobbhoff feeding tube appears to be coiled within the esophagus. However, it is likely unchanged in position. There has been median sternotomy. Stable postoperative cardiac and mediastinal contours. There are layering effusions bilaterally with some associated patchy airspace disease, which most likely represents compressive atelectasis. Overall, there has been interval improvement in the pulmonary edema. No pneumothorax is seen. Results of this examination were conveyed directly to the patient's nurse, ___, on ___ at 11:55 a.m. The patient's nurse stated that the feeding tube has already been withdrawn and a new feeding tube has been put in place.","However, it is likely unchanged in position.",Endotracheal tube,Esophagus,Stable,['files/p12/p12952223/s52630381/81e8871e-6dcf3fbb-f5b0f14f-bc932fbe-4ea03e27.jpg'],['files/p12/p12952223/s52149367/89af9a9c-8f769cde-04b1cfb3-5ad98100-9e25d3a6.jpg\n']
s52630381_17,p12952223,s52630381,17,Impression,"1. The Dobbhoff feeding tube is seen coursing down into the stomach and then courses back up into the upper esophagus where the tip is positioned. Removal with an attempt at repositioning of the Dobbhoff feeding tube would be advised at this time. The endotracheal tube remains in place and the tip is difficult to identify as this is the location where the Dobbhoff feeding tube appears to be coiled within the esophagus. However, it is likely unchanged in position. There has been median sternotomy. Stable postoperative cardiac and mediastinal contours. There are layering effusions bilaterally with some associated patchy airspace disease, which most likely represents compressive atelectasis. Overall, there has been interval improvement in the pulmonary edema. No pneumothorax is seen. Results of this examination were conveyed directly to the patient's nurse, ___, on ___ at 11:55 a.m. The patient's nurse stated that the feeding tube has already been withdrawn and a new feeding tube has been put in place.",The endotracheal tube remains in place and the tip is difficult to identify as this is the location where the Dobbhoff feeding tube appears to be coiled within the esophagus.,Endotracheal tube,Esophagus,Stable,['files/p12/p12952223/s52630381/81e8871e-6dcf3fbb-f5b0f14f-bc932fbe-4ea03e27.jpg'],['files/p12/p12952223/s52149367/89af9a9c-8f769cde-04b1cfb3-5ad98100-9e25d3a6.jpg\n']
s52630381_17,p12952223,s52630381,17,Impression,"1. The Dobbhoff feeding tube is seen coursing down into the stomach and then courses back up into the upper esophagus where the tip is positioned. Removal with an attempt at repositioning of the Dobbhoff feeding tube would be advised at this time. The endotracheal tube remains in place and the tip is difficult to identify as this is the location where the Dobbhoff feeding tube appears to be coiled within the esophagus. However, it is likely unchanged in position. There has been median sternotomy. Stable postoperative cardiac and mediastinal contours. There are layering effusions bilaterally with some associated patchy airspace disease, which most likely represents compressive atelectasis. Overall, there has been interval improvement in the pulmonary edema. No pneumothorax is seen. Results of this examination were conveyed directly to the patient's nurse, ___, on ___ at 11:55 a.m. The patient's nurse stated that the feeding tube has already been withdrawn and a new feeding tube has been put in place.",Removal with an attempt at repositioning of the Dobbhoff feeding tube would be advised at this time.,Dobbhoff feeding tube,Upper esophagus,Resolve,['files/p12/p12952223/s52630381/81e8871e-6dcf3fbb-f5b0f14f-bc932fbe-4ea03e27.jpg'],['files/p12/p12952223/s52149367/89af9a9c-8f769cde-04b1cfb3-5ad98100-9e25d3a6.jpg\n']
s52630381_17,p12952223,s52630381,17,Impression,"1. The Dobbhoff feeding tube is seen coursing down into the stomach and then courses back up into the upper esophagus where the tip is positioned. Removal with an attempt at repositioning of the Dobbhoff feeding tube would be advised at this time. The endotracheal tube remains in place and the tip is difficult to identify as this is the location where the Dobbhoff feeding tube appears to be coiled within the esophagus. However, it is likely unchanged in position. There has been median sternotomy. Stable postoperative cardiac and mediastinal contours. There are layering effusions bilaterally with some associated patchy airspace disease, which most likely represents compressive atelectasis. Overall, there has been interval improvement in the pulmonary edema. No pneumothorax is seen. Results of this examination were conveyed directly to the patient's nurse, ___, on ___ at 11:55 a.m. The patient's nurse stated that the feeding tube has already been withdrawn and a new feeding tube has been put in place.","Overall, there has been interval improvement in the pulmonary edema.",Pulmonary edema,,Better,['files/p12/p12952223/s52630381/81e8871e-6dcf3fbb-f5b0f14f-bc932fbe-4ea03e27.jpg'],['files/p12/p12952223/s52149367/89af9a9c-8f769cde-04b1cfb3-5ad98100-9e25d3a6.jpg\n']
s52630381_17,p12952223,s52630381,17,Impression,"1. The Dobbhoff feeding tube is seen coursing down into the stomach and then courses back up into the upper esophagus where the tip is positioned. Removal with an attempt at repositioning of the Dobbhoff feeding tube would be advised at this time. The endotracheal tube remains in place and the tip is difficult to identify as this is the location where the Dobbhoff feeding tube appears to be coiled within the esophagus. However, it is likely unchanged in position. There has been median sternotomy. Stable postoperative cardiac and mediastinal contours. There are layering effusions bilaterally with some associated patchy airspace disease, which most likely represents compressive atelectasis. Overall, there has been interval improvement in the pulmonary edema. No pneumothorax is seen. Results of this examination were conveyed directly to the patient's nurse, ___, on ___ at 11:55 a.m. The patient's nurse stated that the feeding tube has already been withdrawn and a new feeding tube has been put in place.",Stable postoperative cardiac and mediastinal contours.,Contours,Cardiac and mediastinal,Stable,['files/p12/p12952223/s52630381/81e8871e-6dcf3fbb-f5b0f14f-bc932fbe-4ea03e27.jpg'],['files/p12/p12952223/s52149367/89af9a9c-8f769cde-04b1cfb3-5ad98100-9e25d3a6.jpg\n']
s52631051_2,p19565653,s52631051,2,Impression,"AP chest compared to ___ through ___: Right hemidiaphragm has always been elevated relative to the left but the differential has been much greater since ___ than it was previously and greater today than on ___. This could be due to varying degrees of atelectasis at the right lung base or a phrenic nerve palsy captured at different stages in the respiratory cycle. There could also be a space-occupying process in the right upper abdominal quadrant such as exacerbation of hepatomegaly or a growing liver mass. Heart is normal size and mediastinum is not shifted at all to the right. I would recommend evaluation of peridiaphragmatic pathology, either fluid or mass. Left lung is clear and there is no left pleural effusion. Healed fractures of the posterolateral and anterolateral portions of left middle ribs, the latter more recent and not completely healed are new since the end of ___, but with enough bony callus to indicate they did not occur in the past several weeks. No pneumothorax. Findings were discussed with the house officer caring for this patient at the time of dictation.","AP chest compared to ___ through ___: Right hemidiaphragm has always been elevated relative to the left but the differential has been much greater since ___ than it was previously and greater today than on ___. This could be due to varying degrees of atelectasis at the right lung base or a phrenic nerve palsy captured at different stages in the respiratory cycle. There could also be a space-occupying process in the right upper abdominal quadrant such as exacerbation of hepatomegaly or a growing liver mass. Heart is normal size and mediastinum is not shifted at all to the right. I would recommend evaluation of peridiaphragmatic pathology, either fluid or mass. Left lung is clear and there is no left pleural effusion. Healed fractures of the posterolateral and anterolateral portions of left middle ribs, the latter more recent and not completely healed are new since the end of ___, but with enough bony callus to indicate they did not occur in the past several weeks. No pneumothorax. Findings were discussed with the house officer caring for this patient at the time of dictation.",elevation,right hemidiaphragm,Worse,['files/p19/p19565653/s52631051/35ebe520-b4297eea-cf802191-670576d1-51ca727d.jpg'],['files/p19/p19565653/s51006959/b5599aff-71fe317d-6e792fbc-d586d408-3b18b394.jpg\n']
s52631051_2,p19565653,s52631051,2,Impression,"AP chest compared to ___ through ___: Right hemidiaphragm has always been elevated relative to the left but the differential has been much greater since ___ than it was previously and greater today than on ___. This could be due to varying degrees of atelectasis at the right lung base or a phrenic nerve palsy captured at different stages in the respiratory cycle. There could also be a space-occupying process in the right upper abdominal quadrant such as exacerbation of hepatomegaly or a growing liver mass. Heart is normal size and mediastinum is not shifted at all to the right. I would recommend evaluation of peridiaphragmatic pathology, either fluid or mass. Left lung is clear and there is no left pleural effusion. Healed fractures of the posterolateral and anterolateral portions of left middle ribs, the latter more recent and not completely healed are new since the end of ___, but with enough bony callus to indicate they did not occur in the past several weeks. No pneumothorax. Findings were discussed with the house officer caring for this patient at the time of dictation.","AP chest compared to ___ through ___: Right hemidiaphragm has always been elevated relative to the left but the differential has been much greater since ___ than it was previously and greater today than on ___. This could be due to varying degrees of atelectasis at the right lung base or a phrenic nerve palsy captured at different stages in the respiratory cycle. There could also be a space-occupying process in the right upper abdominal quadrant such as exacerbation of hepatomegaly or a growing liver mass. Heart is normal size and mediastinum is not shifted at all to the right. I would recommend evaluation of peridiaphragmatic pathology, either fluid or mass. Left lung is clear and there is no left pleural effusion. Healed fractures of the posterolateral and anterolateral portions of left middle ribs, the latter more recent and not completely healed are new since the end of ___, but with enough bony callus to indicate they did not occur in the past several weeks. No pneumothorax. Findings were discussed with the house officer caring for this patient at the time of dictation.",fractures,left middle ribs,New,['files/p19/p19565653/s52631051/35ebe520-b4297eea-cf802191-670576d1-51ca727d.jpg'],['files/p19/p19565653/s51006959/b5599aff-71fe317d-6e792fbc-d586d408-3b18b394.jpg\n']
s52640725_3,p17398573,s52640725,3,Findings,"Right internal jugular central venous catheter tip terminates in the mid SVC. No pneumothorax is present. Moderate cardiomegaly is again noted. The mediastinal and hilar contours are unchanged. There is mild pulmonary vascular congestion, new since the prior study. There continued bibasilar patchy airspace opacities, not substantially changed in the interval. No large pleural effusion is present.","There continued bibasilar patchy airspace opacities, not substantially changed in the interval.",patchy airspace opacities,bibasilar,Stable,['files/p17/p17398573/s52640725/6722c21a-9a65dc03-dbc8707e-83f326f7-09e1768c.jpg'],['files/p17/p17398573/s51909919/cc9633ee-0f1c87c6-d3eab33a-ac1eccd5-1bd7608f.jpg\n']
s52640725_3,p17398573,s52640725,3,Findings,"Right internal jugular central venous catheter tip terminates in the mid SVC. No pneumothorax is present. Moderate cardiomegaly is again noted. The mediastinal and hilar contours are unchanged. There is mild pulmonary vascular congestion, new since the prior study. There continued bibasilar patchy airspace opacities, not substantially changed in the interval. No large pleural effusion is present.","There is mild pulmonary vascular congestion, new since the prior study.",mild pulmonary vascular congestion,,New,['files/p17/p17398573/s52640725/6722c21a-9a65dc03-dbc8707e-83f326f7-09e1768c.jpg'],['files/p17/p17398573/s51909919/cc9633ee-0f1c87c6-d3eab33a-ac1eccd5-1bd7608f.jpg\n']
s52640725_3,p17398573,s52640725,3,Findings,"Right internal jugular central venous catheter tip terminates in the mid SVC. No pneumothorax is present. Moderate cardiomegaly is again noted. The mediastinal and hilar contours are unchanged. There is mild pulmonary vascular congestion, new since the prior study. There continued bibasilar patchy airspace opacities, not substantially changed in the interval. No large pleural effusion is present.",The mediastinal and hilar contours are unchanged.,mediastinal and hilar contours,,Stable,['files/p17/p17398573/s52640725/6722c21a-9a65dc03-dbc8707e-83f326f7-09e1768c.jpg'],['files/p17/p17398573/s51909919/cc9633ee-0f1c87c6-d3eab33a-ac1eccd5-1bd7608f.jpg\n']
s52640725_3,p17398573,s52640725,3,Findings,"Right internal jugular central venous catheter tip terminates in the mid SVC. No pneumothorax is present. Moderate cardiomegaly is again noted. The mediastinal and hilar contours are unchanged. There is mild pulmonary vascular congestion, new since the prior study. There continued bibasilar patchy airspace opacities, not substantially changed in the interval. No large pleural effusion is present.",Moderate cardiomegaly is again noted.,Moderate cardiomegaly,,Stable,['files/p17/p17398573/s52640725/6722c21a-9a65dc03-dbc8707e-83f326f7-09e1768c.jpg'],['files/p17/p17398573/s51909919/cc9633ee-0f1c87c6-d3eab33a-ac1eccd5-1bd7608f.jpg\n']
s52654095_6,p10885696,s52654095,6,Findings,"As compared to the previous radiograph, there is no relevant change. Unchanged appearance of the left postoperative lung with decrease in size of the hemithorax. Unchanged opacities at the right lung base, potentially caused by atelectasis or, possibly, aspiration. Short-term further radiographic followup should be performed. No larger pleural effusions.",Unchanged appearance of the left postoperative lung with decrease in size of the hemithorax.,postoperative lung,left,Stable,['files/p10/p10885696/s52654095/eee70ea1-a4bb5ad0-eb92e7e6-ac788ab6-922f880b.jpg'],['files/p10/p10885696/s51545557/b83a98a1-69ae5692-5fc5b2eb-140a525a-abf289ab.jpg\n']
s52654095_6,p10885696,s52654095,6,Findings,"As compared to the previous radiograph, there is no relevant change. Unchanged appearance of the left postoperative lung with decrease in size of the hemithorax. Unchanged opacities at the right lung base, potentially caused by atelectasis or, possibly, aspiration. Short-term further radiographic followup should be performed. No larger pleural effusions.","Unchanged opacities at the right lung base, potentially caused by atelectasis or, possibly, aspiration.",opacities,right lung base,Stable,['files/p10/p10885696/s52654095/eee70ea1-a4bb5ad0-eb92e7e6-ac788ab6-922f880b.jpg'],['files/p10/p10885696/s51545557/b83a98a1-69ae5692-5fc5b2eb-140a525a-abf289ab.jpg\n']
s52659811_21,p13352405,s52659811,21,Impression,PA and lateral chest compared to ___ through ___: The contour of the elevated right hemidiaphragm and adjacent pleural thickening are unchanged since ___ following removal of the short right pleural drainage catheter. Region of atelectasis at the right lung base is best appreciated on the lateral view. Lungs are otherwise clear. Heart size is normal. There is no pneumothorax or definite increase in right pleural fluid volume.,PA and lateral chest compared to ___ through ___: The contour of the elevated right hemidiaphragm and adjacent pleural thickening are unchanged since ___ following removal of the short right pleural drainage catheter.,right hemidiaphragm,elevated,Stable,"['files/p13/p13352405/s52659811/2b81abe7-9005157c-b9dd3946-421b8614-d299454d.jpg', 'files/p13/p13352405/s52659811/a2566d1b-00966175-0f4ab3bf-f1a2acbb-3061c18a.jpg']","['files/p13/p13352405/s52426022/a0c54add-c7fe5fa1-bbe9625d-def58221-35226fb6.jpg\n', 'files/p13/p13352405/s52426022/dbc771b6-00a9d1dc-3d5f7a54-acb63200-cc010192.jpg\n']"
s52661101_17,p13881772,s52661101,17,Findings,Frontal radiograph of the chest demonstrates stable mild enlargement of the cardiac silhouette. Normal mediastinal and hilar contours. Compared to the prior study of ___ the bilateral pleural effusions have resolved. No focal consolidation or pneumothorax present. No pulmonary edema. The lungs remain hyperinflated.,Frontal radiograph of the chest demonstrates stable mild enlargement of the cardiac silhouette.,mild enlargement of the cardiac silhouette,,Stable,['files/p13/p13881772/s52661101/693bd533-69dbe685-2d5a9d4a-dfb5e67b-2b70b394.jpg'],['files/p13/p13881772/s52186853/b68a7d7b-d7e76417-af2376cd-215c9620-c3934be4.jpg\n']
s52661101_17,p13881772,s52661101,17,Findings,Frontal radiograph of the chest demonstrates stable mild enlargement of the cardiac silhouette. Normal mediastinal and hilar contours. Compared to the prior study of ___ the bilateral pleural effusions have resolved. No focal consolidation or pneumothorax present. No pulmonary edema. The lungs remain hyperinflated.,Compared to the prior study of ___ the bilateral pleural effusions have resolved.,pleural effusions,bilateral,Resolve,['files/p13/p13881772/s52661101/693bd533-69dbe685-2d5a9d4a-dfb5e67b-2b70b394.jpg'],['files/p13/p13881772/s52186853/b68a7d7b-d7e76417-af2376cd-215c9620-c3934be4.jpg\n']
s52661101_17,p13881772,s52661101,17,Findings,Frontal radiograph of the chest demonstrates stable mild enlargement of the cardiac silhouette. Normal mediastinal and hilar contours. Compared to the prior study of ___ the bilateral pleural effusions have resolved. No focal consolidation or pneumothorax present. No pulmonary edema. The lungs remain hyperinflated.,The lungs remain hyperinflated.,hyperinflated lungs,,Stable,['files/p13/p13881772/s52661101/693bd533-69dbe685-2d5a9d4a-dfb5e67b-2b70b394.jpg'],['files/p13/p13881772/s52186853/b68a7d7b-d7e76417-af2376cd-215c9620-c3934be4.jpg\n']
s52664853_11,p19075045,s52664853,11,Impression,Overall similar to the most recent prior film. Pleural fluid at the left lung base may be slightly increased.,Overall similar to the most recent prior film,,,Stable,['files/p19/p19075045/s52664853/f90cf339-aa7d8134-75731035-a7d65403-efba5d83.jpg'],['files/p19/p19075045/s52521827/959366ef-34cddc43-1c3e238c-99503ed8-b5fc863c.jpg\n']
s52664853_11,p19075045,s52664853,11,Impression,Overall similar to the most recent prior film. Pleural fluid at the left lung base may be slightly increased.,Pleural fluid at the left lung base may be slightly increased,pleural fluid,left lung base,Worse,['files/p19/p19075045/s52664853/f90cf339-aa7d8134-75731035-a7d65403-efba5d83.jpg'],['files/p19/p19075045/s52521827/959366ef-34cddc43-1c3e238c-99503ed8-b5fc863c.jpg\n']
s52667466_19,p14744884,s52667466,19,Findings,"The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette mildly enlarged. . The right subclavian/ brachiocephalic stent appears grossly unchanged. The bones are noted to be somewhat sclerotic ; on prior imaging, thought to be related to renal osteodystrophy.","The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette mildly enlarged.",Silhouettes,Cardiac and mediastinal,Stable,"['files/p14/p14744884/s52667466/1d30f209-052f6707-00f69616-22a83b3b-4c38cc05.jpg', 'files/p14/p14744884/s52667466/fe314fbf-50e95159-d593c5dd-390f58f6-7a7cb04b.jpg']",['files/p14/p14744884/s52630162/0619df15-9da411e1-9a47d1bf-973bbcf8-97f09ae0.jpg\n']
s52667466_19,p14744884,s52667466,19,Findings,"The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette mildly enlarged. . The right subclavian/ brachiocephalic stent appears grossly unchanged. The bones are noted to be somewhat sclerotic ; on prior imaging, thought to be related to renal osteodystrophy.",The right subclavian/ brachiocephalic stent appears grossly unchanged.,Stent,Right subclavian/ brachiocephalic,Stable,"['files/p14/p14744884/s52667466/1d30f209-052f6707-00f69616-22a83b3b-4c38cc05.jpg', 'files/p14/p14744884/s52667466/fe314fbf-50e95159-d593c5dd-390f58f6-7a7cb04b.jpg']",['files/p14/p14744884/s52630162/0619df15-9da411e1-9a47d1bf-973bbcf8-97f09ae0.jpg\n']
s52670967_12,p16508811,s52670967,12,Impression,"As compared to ___, bilateral lower lobe predominant airspace opacities have worsened, and may reflect evolving infectious pneumonia. Peripheral interstitial opacities likely reflect coexisting interstitial edema. Small left pleural effusion has increased in size, and a small right pleural effusion is new.","As compared to ___, bilateral lower lobe predominant airspace opacities have worsened, and may reflect evolving infectious pneumonia.",airspace opacities,bilateral lower lobe,Worse,"['files/p16/p16508811/s52670967/2905a219-0044b483-8315fff6-2258fe9f-a288ed45.jpg', 'files/p16/p16508811/s52670967/97b4f97d-6308e02e-cc3b4fec-0fc8583e-69060973.jpg']","['files/p16/p16508811/s52215519/17d046c5-69810612-f024cac6-f18d9bd4-24767696.jpg\n', 'files/p16/p16508811/s52215519/31906fe2-67987de0-a8b0d659-dc6233b2-bf24da51.jpg\n', 'files/p16/p16508811/s52215519/9367b100-a7a0afff-943d155e-be050317-86dce692.jpg\n']"
s52670967_12,p16508811,s52670967,12,Impression,"As compared to ___, bilateral lower lobe predominant airspace opacities have worsened, and may reflect evolving infectious pneumonia. Peripheral interstitial opacities likely reflect coexisting interstitial edema. Small left pleural effusion has increased in size, and a small right pleural effusion is new.","Small left pleural effusion has increased in size, and a small right pleural effusion is new.",pleural effusion,left,Worse,"['files/p16/p16508811/s52670967/2905a219-0044b483-8315fff6-2258fe9f-a288ed45.jpg', 'files/p16/p16508811/s52670967/97b4f97d-6308e02e-cc3b4fec-0fc8583e-69060973.jpg']","['files/p16/p16508811/s52215519/17d046c5-69810612-f024cac6-f18d9bd4-24767696.jpg\n', 'files/p16/p16508811/s52215519/31906fe2-67987de0-a8b0d659-dc6233b2-bf24da51.jpg\n', 'files/p16/p16508811/s52215519/9367b100-a7a0afff-943d155e-be050317-86dce692.jpg\n']"
s52670967_12,p16508811,s52670967,12,Impression,"As compared to ___, bilateral lower lobe predominant airspace opacities have worsened, and may reflect evolving infectious pneumonia. Peripheral interstitial opacities likely reflect coexisting interstitial edema. Small left pleural effusion has increased in size, and a small right pleural effusion is new.","Small left pleural effusion has increased in size, and a small right pleural effusion is new.",pleural effusion,right,New,"['files/p16/p16508811/s52670967/2905a219-0044b483-8315fff6-2258fe9f-a288ed45.jpg', 'files/p16/p16508811/s52670967/97b4f97d-6308e02e-cc3b4fec-0fc8583e-69060973.jpg']","['files/p16/p16508811/s52215519/17d046c5-69810612-f024cac6-f18d9bd4-24767696.jpg\n', 'files/p16/p16508811/s52215519/31906fe2-67987de0-a8b0d659-dc6233b2-bf24da51.jpg\n', 'files/p16/p16508811/s52215519/9367b100-a7a0afff-943d155e-be050317-86dce692.jpg\n']"
s52673752_8,p15809646,s52673752,8,Findings,"As compared to prior chest radiograph from ___, there has been interval improvement of opacities along the right lower lung. There is bibasilar atelectasis. Mild cardiomegaly is unchanged. There are no pleural effusions or pneumothorax. An ET tube ends 3.9 cm above the carina. Right jugular line is unchanged in position.","As compared to prior chest radiograph from ___, there has been interval improvement of opacities along the right lower lung.",opacities,right lower lung,Better,['files/p15/p15809646/s52673752/2cdf54d6-df90d07a-cbaaa135-454278cd-ffe7eb4e.jpg'],"['files/p15/p15809646/s52660908/2f0868eb-1a137784-02208ca9-db04ed1a-dfd94665.jpg\n', 'files/p15/p15809646/s52660908/a2999df0-0ac91672-f73db8e8-82a07414-44b0a302.jpg\n']"
s52673752_8,p15809646,s52673752,8,Impression,Interval improvement of opacities along the right lower lung with bibasilar atelectasis.,Interval improvement of opacities along the right lower lung with bibasilar atelectasis.,opacities,right lower lung,Better,['files/p15/p15809646/s52673752/2cdf54d6-df90d07a-cbaaa135-454278cd-ffe7eb4e.jpg'],"['files/p15/p15809646/s52660908/2f0868eb-1a137784-02208ca9-db04ed1a-dfd94665.jpg\n', 'files/p15/p15809646/s52660908/a2999df0-0ac91672-f73db8e8-82a07414-44b0a302.jpg\n']"
s52673752_8,p15809646,s52673752,8,Findings,"As compared to prior chest radiograph from ___, there has been interval improvement of opacities along the right lower lung. There is bibasilar atelectasis. Mild cardiomegaly is unchanged. There are no pleural effusions or pneumothorax. An ET tube ends 3.9 cm above the carina. Right jugular line is unchanged in position.",Right jugular line is unchanged in position.,Right jugular line,,Stable,['files/p15/p15809646/s52673752/2cdf54d6-df90d07a-cbaaa135-454278cd-ffe7eb4e.jpg'],"['files/p15/p15809646/s52660908/2f0868eb-1a137784-02208ca9-db04ed1a-dfd94665.jpg\n', 'files/p15/p15809646/s52660908/a2999df0-0ac91672-f73db8e8-82a07414-44b0a302.jpg\n']"
s52673752_8,p15809646,s52673752,8,Findings,"As compared to prior chest radiograph from ___, there has been interval improvement of opacities along the right lower lung. There is bibasilar atelectasis. Mild cardiomegaly is unchanged. There are no pleural effusions or pneumothorax. An ET tube ends 3.9 cm above the carina. Right jugular line is unchanged in position.",Mild cardiomegaly is unchanged.,Mild cardiomegaly,,Stable,['files/p15/p15809646/s52673752/2cdf54d6-df90d07a-cbaaa135-454278cd-ffe7eb4e.jpg'],"['files/p15/p15809646/s52660908/2f0868eb-1a137784-02208ca9-db04ed1a-dfd94665.jpg\n', 'files/p15/p15809646/s52660908/a2999df0-0ac91672-f73db8e8-82a07414-44b0a302.jpg\n']"
s52676650_11,p12475198,s52676650,11,Impression,"As compared to the previous radiograph, there is a a mild increase in extent and severity of the pre-existing parenchymal opacities. Most likely, the opacities reflect a combination of pulmonary edema and pneumonia. Unchanged moderate cardiomegaly and normal alignment of the sternal wires as well as normal course of the pacemaker wires. There is unchanged blunting of the left costophrenic sinus, potentially resulting from a small left pleural effusion.","As compared to the previous radiograph, there is a a mild increase in extent and severity of the pre-existing parenchymal opacities.",opacities,parenchymal,Worse,['files/p12/p12475198/s52676650/fa8076ac-14c9330b-4614e083-9dad73d7-6d91e842.jpg'],['files/p12/p12475198/s52368505/add53357-1e2c3208-14598e99-b52076d5-4f606b89.jpg\n']
s52676650_11,p12475198,s52676650,11,Impression,"As compared to the previous radiograph, there is a a mild increase in extent and severity of the pre-existing parenchymal opacities. Most likely, the opacities reflect a combination of pulmonary edema and pneumonia. Unchanged moderate cardiomegaly and normal alignment of the sternal wires as well as normal course of the pacemaker wires. There is unchanged blunting of the left costophrenic sinus, potentially resulting from a small left pleural effusion.",Unchanged moderate cardiomegaly and normal alignment of the sternal wires as well as normal course of the pacemaker wires.,cardiomegaly,heart,Stable,['files/p12/p12475198/s52676650/fa8076ac-14c9330b-4614e083-9dad73d7-6d91e842.jpg'],['files/p12/p12475198/s52368505/add53357-1e2c3208-14598e99-b52076d5-4f606b89.jpg\n']
s52676650_11,p12475198,s52676650,11,Impression,"As compared to the previous radiograph, there is a a mild increase in extent and severity of the pre-existing parenchymal opacities. Most likely, the opacities reflect a combination of pulmonary edema and pneumonia. Unchanged moderate cardiomegaly and normal alignment of the sternal wires as well as normal course of the pacemaker wires. There is unchanged blunting of the left costophrenic sinus, potentially resulting from a small left pleural effusion.","There is unchanged blunting of the left costophrenic sinus, potentially resulting from a small left pleural effusion.",blunting,left costophrenic sinus,Stable,['files/p12/p12475198/s52676650/fa8076ac-14c9330b-4614e083-9dad73d7-6d91e842.jpg'],['files/p12/p12475198/s52368505/add53357-1e2c3208-14598e99-b52076d5-4f606b89.jpg\n']
s52680361_0,p12124741,s52680361,0,Impression,1. New Port-A-Cath terminating in the low SVC with no pneumothorax or other evidence of procedural complication. 2. Possible small left pleural effusion. 3. Possible mass effect on the trachea from a goiter. Correlation with physical exam and/or non-emergent thyroid ultrasound is recommended.,New Port-A-Cath terminating in the low SVC with no pneumothorax or other evidence of procedural complication.,Port-A-Cath,low SVC,New,['files/p12/p12124741/s52680361/415af9ca-d0b69fbe-b3b8dfa6-271f3f0f-5592cc53.jpg'],
s52680361_0,p12124741,s52680361,0,Findings,"The new right Port-A-Cath is seen with the tip terminating in the low SVC. There is no pneumothorax, mediastinal widening or other evidence of procedural complication. The lungs are otherwise clear. Heart size is top normal. There is a probable small left layering pleural effusion. There is slight rightward deviation of the superior trachea which may be the result of mass effect from a goiter.",The new right Port-A-Cath is seen with the tip terminating in the low SVC.,Port-A-Cath,right,New,['files/p12/p12124741/s52680361/415af9ca-d0b69fbe-b3b8dfa6-271f3f0f-5592cc53.jpg'],
s52680917_9,p19075045,s52680917,9,Impression,"Reduced left upper lobe opacification likely for reduced edema component. Reduced left base pleural effusion, but increase in the right base.",Reduced left upper lobe opacification likely for reduced edema component.,opacification,left upper lobe,Better,['files/p19/p19075045/s52680917/ff4c00a4-74c0b483-307446fe-e534b390-224db689.jpg'],['files/p19/p19075045/s52664853/f90cf339-aa7d8134-75731035-a7d65403-efba5d83.jpg\n']
s52680917_9,p19075045,s52680917,9,Findings,"All the monitoring and support devices are unchanged within standard position. Patient is after sternotomy for cardiac surgery. Lung volume is still low but the left upper lobe opacification is reduced, likely for reabsorption of edema component. Also, the left base pleural effusion is reduced. The right basilar opacification is slightly increased for increased pleural effusion. Heart is still mildly enlarged. There is no pneumothorax.","Lung volume is still low but the left upper lobe opacification is reduced, likely for reabsorption of edema component.",opacification,left upper lobe,Better,['files/p19/p19075045/s52680917/ff4c00a4-74c0b483-307446fe-e534b390-224db689.jpg'],['files/p19/p19075045/s52664853/f90cf339-aa7d8134-75731035-a7d65403-efba5d83.jpg\n']
s52680917_9,p19075045,s52680917,9,Findings,"All the monitoring and support devices are unchanged within standard position. Patient is after sternotomy for cardiac surgery. Lung volume is still low but the left upper lobe opacification is reduced, likely for reabsorption of edema component. Also, the left base pleural effusion is reduced. The right basilar opacification is slightly increased for increased pleural effusion. Heart is still mildly enlarged. There is no pneumothorax.","Also, the left base pleural effusion is reduced.",pleural effusion,left base,Better,['files/p19/p19075045/s52680917/ff4c00a4-74c0b483-307446fe-e534b390-224db689.jpg'],['files/p19/p19075045/s52664853/f90cf339-aa7d8134-75731035-a7d65403-efba5d83.jpg\n']
s52680917_9,p19075045,s52680917,9,Findings,"All the monitoring and support devices are unchanged within standard position. Patient is after sternotomy for cardiac surgery. Lung volume is still low but the left upper lobe opacification is reduced, likely for reabsorption of edema component. Also, the left base pleural effusion is reduced. The right basilar opacification is slightly increased for increased pleural effusion. Heart is still mildly enlarged. There is no pneumothorax.",The right basilar opacification is slightly increased for increased pleural effusion.,opacification,right basilar,Worse,['files/p19/p19075045/s52680917/ff4c00a4-74c0b483-307446fe-e534b390-224db689.jpg'],['files/p19/p19075045/s52664853/f90cf339-aa7d8134-75731035-a7d65403-efba5d83.jpg\n']
s52680917_9,p19075045,s52680917,9,Findings,"All the monitoring and support devices are unchanged within standard position. Patient is after sternotomy for cardiac surgery. Lung volume is still low but the left upper lobe opacification is reduced, likely for reabsorption of edema component. Also, the left base pleural effusion is reduced. The right basilar opacification is slightly increased for increased pleural effusion. Heart is still mildly enlarged. There is no pneumothorax.",All the monitoring and support devices are unchanged within standard position.,monitoring and support devices,,Stable,['files/p19/p19075045/s52680917/ff4c00a4-74c0b483-307446fe-e534b390-224db689.jpg'],['files/p19/p19075045/s52664853/f90cf339-aa7d8134-75731035-a7d65403-efba5d83.jpg\n']
s52680917_9,p19075045,s52680917,9,Impression,"Reduced left upper lobe opacification likely for reduced edema component. Reduced left base pleural effusion, but increase in the right base.","Reduced left base pleural effusion, but increase in the right base.",pleural effusion,left base,Better,['files/p19/p19075045/s52680917/ff4c00a4-74c0b483-307446fe-e534b390-224db689.jpg'],['files/p19/p19075045/s52664853/f90cf339-aa7d8134-75731035-a7d65403-efba5d83.jpg\n']
s52680917_9,p19075045,s52680917,9,Impression,"Reduced left upper lobe opacification likely for reduced edema component. Reduced left base pleural effusion, but increase in the right base.","Reduced left base pleural effusion, but increase in the right base.",pleural effusion,right base,Worse,['files/p19/p19075045/s52680917/ff4c00a4-74c0b483-307446fe-e534b390-224db689.jpg'],['files/p19/p19075045/s52664853/f90cf339-aa7d8134-75731035-a7d65403-efba5d83.jpg\n']
s52682048_0,p14434800,s52682048,0,Findings,Comparison is made to prior study from ___. There is mild pulmonary edema. There is atelectasis at the left lung which is stable. The heart size is enlarged but unchanged. There is also a more focal opacity at the right base which may represent atelectasis or developing infiltrate. The sternotomy wires and the spinal hardware is grossly intact.,The heart size is enlarged but unchanged.,enlarged size,heart,Stable,['files/p14/p14434800/s52682048/0d9ee316-000a9e0c-be78c74d-62923605-0315f8e4.jpg'],
s52682048_0,p14434800,s52682048,0,Findings,Comparison is made to prior study from ___. There is mild pulmonary edema. There is atelectasis at the left lung which is stable. The heart size is enlarged but unchanged. There is also a more focal opacity at the right base which may represent atelectasis or developing infiltrate. The sternotomy wires and the spinal hardware is grossly intact.,There is atelectasis at the left lung which is stable.,atelectasis,left lung,Stable,['files/p14/p14434800/s52682048/0d9ee316-000a9e0c-be78c74d-62923605-0315f8e4.jpg'],
s52684832_16,p13979643,s52684832,16,Impression,"AP chest compared to ___: Mild-to-moderate pulmonary edema has worsened. Nasogastric tube ends in the mid stomach. Left PIC line tip is in the mid SVC. There is no pneumothorax. Left pleural effusion is small on the left, if any. Greater opacification in the right lower lobe and elsewhere could be combination of dependent edema and atelectasis but could also be an early focus of pneumonia. Careful followup advised.",AP chest compared to ___: Mild-to-moderate pulmonary edema has worsened.,pulmonary edema,,Worse,['files/p13/p13979643/s52684832/a9757208-a33ffdfd-f85aa4b3-e2f7e4ba-8c77011e.jpg'],"['files/p13/p13979643/s52481248/23f6f17a-a4034a2b-950d4852-084a8630-5468ed52.jpg\n', 'files/p13/p13979643/s52481248/c6264595-96860b66-fd1dfa5b-4697f3ba-214d913a.jpg\n']"
s52686545_10,p19454978,s52686545,10,Findings,Frontal and lateral views of the chest. Prior right IJ line is no longer visualized. There are new bibasilar regions of consolidation. Indistinct pulmonary vascular markings seen more superiorly. The cardiac silhouette is enlarged but stable in configuration. There is vertebral body height loss of a mid thoracic vertebral body and severe height loss in a lumbar vertebral body which based on frontal projection were likely present on ___. No acute osseous abnormality identified.,There are new bibasilar regions of consolidation.,regions of consolidation,bibasilar,New,"['files/p19/p19454978/s52686545/3a0553aa-9c31867a-e614b9d9-628054fd-27e6053f.jpg', 'files/p19/p19454978/s52686545/781921a5-632c5cea-0698eed2-35e2056a-0dd0517a.jpg']",['files/p19/p19454978/s52312858/93681764-ec39480e-0518b12c-199850c2-f15118ab.jpg\n']
s52686545_10,p19454978,s52686545,10,Findings,Frontal and lateral views of the chest. Prior right IJ line is no longer visualized. There are new bibasilar regions of consolidation. Indistinct pulmonary vascular markings seen more superiorly. The cardiac silhouette is enlarged but stable in configuration. There is vertebral body height loss of a mid thoracic vertebral body and severe height loss in a lumbar vertebral body which based on frontal projection were likely present on ___. No acute osseous abnormality identified.,The cardiac silhouette is enlarged but stable in configuration.,cardiac silhouette,,Stable,"['files/p19/p19454978/s52686545/3a0553aa-9c31867a-e614b9d9-628054fd-27e6053f.jpg', 'files/p19/p19454978/s52686545/781921a5-632c5cea-0698eed2-35e2056a-0dd0517a.jpg']",['files/p19/p19454978/s52312858/93681764-ec39480e-0518b12c-199850c2-f15118ab.jpg\n']
s52686545_10,p19454978,s52686545,10,Findings,Frontal and lateral views of the chest. Prior right IJ line is no longer visualized. There are new bibasilar regions of consolidation. Indistinct pulmonary vascular markings seen more superiorly. The cardiac silhouette is enlarged but stable in configuration. There is vertebral body height loss of a mid thoracic vertebral body and severe height loss in a lumbar vertebral body which based on frontal projection were likely present on ___. No acute osseous abnormality identified.,Prior right IJ line is no longer visualized.,IJ line,right,Resolve,"['files/p19/p19454978/s52686545/3a0553aa-9c31867a-e614b9d9-628054fd-27e6053f.jpg', 'files/p19/p19454978/s52686545/781921a5-632c5cea-0698eed2-35e2056a-0dd0517a.jpg']",['files/p19/p19454978/s52312858/93681764-ec39480e-0518b12c-199850c2-f15118ab.jpg\n']
s52690612_17,p19075045,s52690612,17,Findings,"Left-sided pacer is re- demonstrated with leads terminating in the right atrium and right ventricle. The patient is status post median sternotomy, aortic valve replacement, and CABG. Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are similar. Mild upper zone pulmonary vascular redistribution is likely chronic without overt pulmonary edema. Lung volumes remain low with streaky opacities in the lung bases suggestive of atelectasis. No large pleural effusion or pneumothorax is present. Fusion hardware within the lumbar spine is partially imaged as well as hardware within the right humeral head.","Heart size is mildly enlarged, unchanged.",Heart size,,Stable,"['files/p19/p19075045/s52690612/0a5f74c9-1b33d618-67e197ce-2c245e88-51a4e37c.jpg', 'files/p19/p19075045/s52690612/b078a488-d4e59bf9-bdd410ac-f6f0a126-8d0fca7e.jpg', 'files/p19/p19075045/s52690612/d9804d7c-635ee55c-7df369a2-fad70e3c-4b5af3fb.jpg']",['files/p19/p19075045/s52680917/ff4c00a4-74c0b483-307446fe-e534b390-224db689.jpg\n']
s52690612_17,p19075045,s52690612,17,Findings,"Left-sided pacer is re- demonstrated with leads terminating in the right atrium and right ventricle. The patient is status post median sternotomy, aortic valve replacement, and CABG. Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are similar. Mild upper zone pulmonary vascular redistribution is likely chronic without overt pulmonary edema. Lung volumes remain low with streaky opacities in the lung bases suggestive of atelectasis. No large pleural effusion or pneumothorax is present. Fusion hardware within the lumbar spine is partially imaged as well as hardware within the right humeral head.",Mediastinal and hilar contours are similar.,Mediastinal and hilar contours,,Stable,"['files/p19/p19075045/s52690612/0a5f74c9-1b33d618-67e197ce-2c245e88-51a4e37c.jpg', 'files/p19/p19075045/s52690612/b078a488-d4e59bf9-bdd410ac-f6f0a126-8d0fca7e.jpg', 'files/p19/p19075045/s52690612/d9804d7c-635ee55c-7df369a2-fad70e3c-4b5af3fb.jpg']",['files/p19/p19075045/s52680917/ff4c00a4-74c0b483-307446fe-e534b390-224db689.jpg\n']
s52690612_17,p19075045,s52690612,17,Findings,"Left-sided pacer is re- demonstrated with leads terminating in the right atrium and right ventricle. The patient is status post median sternotomy, aortic valve replacement, and CABG. Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are similar. Mild upper zone pulmonary vascular redistribution is likely chronic without overt pulmonary edema. Lung volumes remain low with streaky opacities in the lung bases suggestive of atelectasis. No large pleural effusion or pneumothorax is present. Fusion hardware within the lumbar spine is partially imaged as well as hardware within the right humeral head.",Lung volumes remain low with streaky opacities in the lung bases suggestive of atelectasis.,atelectasis,lung bases,Stable,"['files/p19/p19075045/s52690612/0a5f74c9-1b33d618-67e197ce-2c245e88-51a4e37c.jpg', 'files/p19/p19075045/s52690612/b078a488-d4e59bf9-bdd410ac-f6f0a126-8d0fca7e.jpg', 'files/p19/p19075045/s52690612/d9804d7c-635ee55c-7df369a2-fad70e3c-4b5af3fb.jpg']",['files/p19/p19075045/s52680917/ff4c00a4-74c0b483-307446fe-e534b390-224db689.jpg\n']
s52692431_18,p14295224,s52692431,18,Findings,The patient has had prior esophagectomy with a gastric pull-through. A new right lower lobe airspace opacity is likely due to aspiration pneumonia. The left lung is clear. There is no pneumothorax. Cardiomediastinal silhouette is stable.,A new right lower lobe airspace opacity is likely due to aspiration pneumonia.,airspace opacity,right lower lobe,New,"['files/p14/p14295224/s52692431/a8e2d6ea-965ac36e-82736ccb-0acb7d58-32efb51c.jpg', 'files/p14/p14295224/s52692431/ac311552-a76f7711-c263444b-9819dc86-6fd39b27.jpg']","['files/p14/p14295224/s52321575/655fe8bc-af25268c-f206b4d3-5d5ed0cb-8d545266.jpg\n', 'files/p14/p14295224/s52321575/ec287abe-512e254e-ceb45b38-1ac39168-fab5d2d8.jpg\n']"
s52692431_18,p14295224,s52692431,18,Findings,The patient has had prior esophagectomy with a gastric pull-through. A new right lower lobe airspace opacity is likely due to aspiration pneumonia. The left lung is clear. There is no pneumothorax. Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p14/p14295224/s52692431/a8e2d6ea-965ac36e-82736ccb-0acb7d58-32efb51c.jpg', 'files/p14/p14295224/s52692431/ac311552-a76f7711-c263444b-9819dc86-6fd39b27.jpg']","['files/p14/p14295224/s52321575/655fe8bc-af25268c-f206b4d3-5d5ed0cb-8d545266.jpg\n', 'files/p14/p14295224/s52321575/ec287abe-512e254e-ceb45b38-1ac39168-fab5d2d8.jpg\n']"
s52692431_18,p14295224,s52692431,18,Impression,New right lower lobe aspiration pneumonia.,New right lower lobe aspiration pneumonia.,aspiration pneumonia,right lower lobe,New,"['files/p14/p14295224/s52692431/a8e2d6ea-965ac36e-82736ccb-0acb7d58-32efb51c.jpg', 'files/p14/p14295224/s52692431/ac311552-a76f7711-c263444b-9819dc86-6fd39b27.jpg']","['files/p14/p14295224/s52321575/655fe8bc-af25268c-f206b4d3-5d5ed0cb-8d545266.jpg\n', 'files/p14/p14295224/s52321575/ec287abe-512e254e-ceb45b38-1ac39168-fab5d2d8.jpg\n']"
s52695304_5,p13849733,s52695304,5,Impression,"1. Unchanged moderate loculated right pleural effusion, with new small left pleural effusion. 2. Bibasilar airspace opacities likely reflect atelectasis. 3. Evidence of prior granulomatous infection.","Unchanged moderate loculated right pleural effusion, with new small left pleural effusion.",pleural effusion,right,Stable,"['files/p13/p13849733/s52695304/6e30272b-f594f76c-137dac67-356978e8-c09e6aa7.jpg', 'files/p13/p13849733/s52695304/7c30e561-e7612bd3-08f7df70-092ce86a-12c0984f.jpg', 'files/p13/p13849733/s52695304/8da031ac-a6a0b018-0f1bc1ef-3f1b915f-feba9e7a.jpg']","['files/p13/p13849733/s51947909/bc8db468-b178d3ba-03bdb07d-16e95e5f-775875b8.jpg\n', 'files/p13/p13849733/s51947909/c377c06a-52310ae1-f8b3cf01-0777c2ad-766f15e1.jpg\n']"
s52695304_5,p13849733,s52695304,5,Impression,"1. Unchanged moderate loculated right pleural effusion, with new small left pleural effusion. 2. Bibasilar airspace opacities likely reflect atelectasis. 3. Evidence of prior granulomatous infection.","Unchanged moderate loculated right pleural effusion, with new small left pleural effusion.",pleural effusion,left,New,"['files/p13/p13849733/s52695304/6e30272b-f594f76c-137dac67-356978e8-c09e6aa7.jpg', 'files/p13/p13849733/s52695304/7c30e561-e7612bd3-08f7df70-092ce86a-12c0984f.jpg', 'files/p13/p13849733/s52695304/8da031ac-a6a0b018-0f1bc1ef-3f1b915f-feba9e7a.jpg']","['files/p13/p13849733/s51947909/bc8db468-b178d3ba-03bdb07d-16e95e5f-775875b8.jpg\n', 'files/p13/p13849733/s51947909/c377c06a-52310ae1-f8b3cf01-0777c2ad-766f15e1.jpg\n']"
s52695304_5,p13849733,s52695304,5,Findings,"A moderate-sized, loculated right pleural effusion is similar when compared to the prior study, though a small left pleural effusion appears to be new in the interval. Again demonstrated is volume loss in the left lung with leftward shift of mediastinal structures and unchanged architectural distortion, bronchiectasis, and pleural thickening involving the left upper lobe. Right basilar hazy opacity likely reflects compressive atelectasis. Streaky opacity within the left lung base may also reflect an area of atelectasis. There is no pneumothorax. No acute osseous abnormality is seen. There is no pulmonary vascular congestion, and the cardiomediastinal silhouette is stable.","Again demonstrated is volume loss in the left lung with leftward shift of mediastinal structures and unchanged architectural distortion, bronchiectasis, and pleural thickening involving the left upper lobe.","architectural distortion, bronchiectasis, pleural thickening",left upper lobe,Stable,"['files/p13/p13849733/s52695304/6e30272b-f594f76c-137dac67-356978e8-c09e6aa7.jpg', 'files/p13/p13849733/s52695304/7c30e561-e7612bd3-08f7df70-092ce86a-12c0984f.jpg', 'files/p13/p13849733/s52695304/8da031ac-a6a0b018-0f1bc1ef-3f1b915f-feba9e7a.jpg']","['files/p13/p13849733/s51947909/bc8db468-b178d3ba-03bdb07d-16e95e5f-775875b8.jpg\n', 'files/p13/p13849733/s51947909/c377c06a-52310ae1-f8b3cf01-0777c2ad-766f15e1.jpg\n']"
s52695304_5,p13849733,s52695304,5,Findings,"A moderate-sized, loculated right pleural effusion is similar when compared to the prior study, though a small left pleural effusion appears to be new in the interval. Again demonstrated is volume loss in the left lung with leftward shift of mediastinal structures and unchanged architectural distortion, bronchiectasis, and pleural thickening involving the left upper lobe. Right basilar hazy opacity likely reflects compressive atelectasis. Streaky opacity within the left lung base may also reflect an area of atelectasis. There is no pneumothorax. No acute osseous abnormality is seen. There is no pulmonary vascular congestion, and the cardiomediastinal silhouette is stable.","A moderate-sized, loculated right pleural effusion is similar when compared to the prior study, though a small left pleural effusion appears to be new in the interval.",pleural effusion,left,New,"['files/p13/p13849733/s52695304/6e30272b-f594f76c-137dac67-356978e8-c09e6aa7.jpg', 'files/p13/p13849733/s52695304/7c30e561-e7612bd3-08f7df70-092ce86a-12c0984f.jpg', 'files/p13/p13849733/s52695304/8da031ac-a6a0b018-0f1bc1ef-3f1b915f-feba9e7a.jpg']","['files/p13/p13849733/s51947909/bc8db468-b178d3ba-03bdb07d-16e95e5f-775875b8.jpg\n', 'files/p13/p13849733/s51947909/c377c06a-52310ae1-f8b3cf01-0777c2ad-766f15e1.jpg\n']"
s52695304_5,p13849733,s52695304,5,Findings,"A moderate-sized, loculated right pleural effusion is similar when compared to the prior study, though a small left pleural effusion appears to be new in the interval. Again demonstrated is volume loss in the left lung with leftward shift of mediastinal structures and unchanged architectural distortion, bronchiectasis, and pleural thickening involving the left upper lobe. Right basilar hazy opacity likely reflects compressive atelectasis. Streaky opacity within the left lung base may also reflect an area of atelectasis. There is no pneumothorax. No acute osseous abnormality is seen. There is no pulmonary vascular congestion, and the cardiomediastinal silhouette is stable.","There is no pulmonary vascular congestion, and the cardiomediastinal silhouette is stable.",silhouette,cardiomediastinal,Stable,"['files/p13/p13849733/s52695304/6e30272b-f594f76c-137dac67-356978e8-c09e6aa7.jpg', 'files/p13/p13849733/s52695304/7c30e561-e7612bd3-08f7df70-092ce86a-12c0984f.jpg', 'files/p13/p13849733/s52695304/8da031ac-a6a0b018-0f1bc1ef-3f1b915f-feba9e7a.jpg']","['files/p13/p13849733/s51947909/bc8db468-b178d3ba-03bdb07d-16e95e5f-775875b8.jpg\n', 'files/p13/p13849733/s51947909/c377c06a-52310ae1-f8b3cf01-0777c2ad-766f15e1.jpg\n']"
s52695304_5,p13849733,s52695304,5,Findings,"A moderate-sized, loculated right pleural effusion is similar when compared to the prior study, though a small left pleural effusion appears to be new in the interval. Again demonstrated is volume loss in the left lung with leftward shift of mediastinal structures and unchanged architectural distortion, bronchiectasis, and pleural thickening involving the left upper lobe. Right basilar hazy opacity likely reflects compressive atelectasis. Streaky opacity within the left lung base may also reflect an area of atelectasis. There is no pneumothorax. No acute osseous abnormality is seen. There is no pulmonary vascular congestion, and the cardiomediastinal silhouette is stable.","A moderate-sized, loculated right pleural effusion is similar when compared to the prior study, though a small left pleural effusion appears to be new in the interval.",pleural effusion,right,Stable,"['files/p13/p13849733/s52695304/6e30272b-f594f76c-137dac67-356978e8-c09e6aa7.jpg', 'files/p13/p13849733/s52695304/7c30e561-e7612bd3-08f7df70-092ce86a-12c0984f.jpg', 'files/p13/p13849733/s52695304/8da031ac-a6a0b018-0f1bc1ef-3f1b915f-feba9e7a.jpg']","['files/p13/p13849733/s51947909/bc8db468-b178d3ba-03bdb07d-16e95e5f-775875b8.jpg\n', 'files/p13/p13849733/s51947909/c377c06a-52310ae1-f8b3cf01-0777c2ad-766f15e1.jpg\n']"
s52697084_0,p19914761,s52697084,0,Findings,"In comparison with the study of ___, there is again biapical thickening and adjacent pulmonary parenchymal scarring with tortuosity of the aorta. Mild elevation of the right hemidiaphragm is again seen. No evidence of pulmonary vascular congestion or acute focal pneumonia.","In comparison with the study of ___, there is again biapical thickening and adjacent pulmonary parenchymal scarring with tortuosity of the aorta.",pulmonary parenchymal scarring,biapical,Stable,"['files/p19/p19914761/s52697084/2f9cc5fb-ee49a77d-61586888-9ea3d166-e27de7ba.jpg', 'files/p19/p19914761/s52697084/a4a72137-eea8a09f-a1ac8c72-4c948dd3-57236f6e.jpg']",
s52697084_0,p19914761,s52697084,0,Findings,"In comparison with the study of ___, there is again biapical thickening and adjacent pulmonary parenchymal scarring with tortuosity of the aorta. Mild elevation of the right hemidiaphragm is again seen. No evidence of pulmonary vascular congestion or acute focal pneumonia.","In comparison with the study of ___, there is again biapical thickening and adjacent pulmonary parenchymal scarring with tortuosity of the aorta.",tortuosity,aorta,Stable,"['files/p19/p19914761/s52697084/2f9cc5fb-ee49a77d-61586888-9ea3d166-e27de7ba.jpg', 'files/p19/p19914761/s52697084/a4a72137-eea8a09f-a1ac8c72-4c948dd3-57236f6e.jpg']",
s52697084_0,p19914761,s52697084,0,Findings,"In comparison with the study of ___, there is again biapical thickening and adjacent pulmonary parenchymal scarring with tortuosity of the aorta. Mild elevation of the right hemidiaphragm is again seen. No evidence of pulmonary vascular congestion or acute focal pneumonia.",Mild elevation of the right hemidiaphragm is again seen.,elevation,right hemidiaphragm,Stable,"['files/p19/p19914761/s52697084/2f9cc5fb-ee49a77d-61586888-9ea3d166-e27de7ba.jpg', 'files/p19/p19914761/s52697084/a4a72137-eea8a09f-a1ac8c72-4c948dd3-57236f6e.jpg']",
s52697084_0,p19914761,s52697084,0,Findings,"In comparison with the study of ___, there is again biapical thickening and adjacent pulmonary parenchymal scarring with tortuosity of the aorta. Mild elevation of the right hemidiaphragm is again seen. No evidence of pulmonary vascular congestion or acute focal pneumonia.","In comparison with the study of ___, there is again biapical thickening and adjacent pulmonary parenchymal scarring with tortuosity of the aorta.",thickening,biapical,Stable,"['files/p19/p19914761/s52697084/2f9cc5fb-ee49a77d-61586888-9ea3d166-e27de7ba.jpg', 'files/p19/p19914761/s52697084/a4a72137-eea8a09f-a1ac8c72-4c948dd3-57236f6e.jpg']",
s52697942_30,p15259244,s52697942,30,Impression,No significant interval change since ___ noting left basilar opacity due to combination of pleural effusion with underlying atelectasis and possible consolidation.,No significant interval change since ___ noting left basilar opacity due to combination of pleural effusion with underlying atelectasis and possible consolidation.,opacity,left basilar,Stable,['files/p15/p15259244/s52697942/928a3662-7a9bc2d9-1808833b-79fd5d7b-76aabf9d.jpg'],['files/p15/p15259244/s52488909/2501dbf9-714acd96-ca4fba08-e02967b8-23f99f37.jpg\n']
s52697942_30,p15259244,s52697942,30,Findings,"Single portable view of the chest is compared to previous exam from ___. Compared to prior, there has been no significant interval change. Dense retrocardiac opacity is again seen silhouetting of the hemidiaphragm. The right lung remains grossly clear. Mild pulmonary vascular congestion is unchanged. Cardiac silhouette is enlarged, but stable and notable for a prosthetic device.","Cardiac silhouette is enlarged, but stable and notable for a prosthetic device.",enlarged,cardiac silhouette,Stable,['files/p15/p15259244/s52697942/928a3662-7a9bc2d9-1808833b-79fd5d7b-76aabf9d.jpg'],['files/p15/p15259244/s52488909/2501dbf9-714acd96-ca4fba08-e02967b8-23f99f37.jpg\n']
s52697942_30,p15259244,s52697942,30,Findings,"Single portable view of the chest is compared to previous exam from ___. Compared to prior, there has been no significant interval change. Dense retrocardiac opacity is again seen silhouetting of the hemidiaphragm. The right lung remains grossly clear. Mild pulmonary vascular congestion is unchanged. Cardiac silhouette is enlarged, but stable and notable for a prosthetic device.",The right lung remains grossly clear.,clear,right lung,Stable,['files/p15/p15259244/s52697942/928a3662-7a9bc2d9-1808833b-79fd5d7b-76aabf9d.jpg'],['files/p15/p15259244/s52488909/2501dbf9-714acd96-ca4fba08-e02967b8-23f99f37.jpg\n']
s52697942_30,p15259244,s52697942,30,Findings,"Single portable view of the chest is compared to previous exam from ___. Compared to prior, there has been no significant interval change. Dense retrocardiac opacity is again seen silhouetting of the hemidiaphragm. The right lung remains grossly clear. Mild pulmonary vascular congestion is unchanged. Cardiac silhouette is enlarged, but stable and notable for a prosthetic device.",Dense retrocardiac opacity is again seen silhouetting of the hemidiaphragm.,opacity,retrocardiac,Stable,['files/p15/p15259244/s52697942/928a3662-7a9bc2d9-1808833b-79fd5d7b-76aabf9d.jpg'],['files/p15/p15259244/s52488909/2501dbf9-714acd96-ca4fba08-e02967b8-23f99f37.jpg\n']
s52697942_30,p15259244,s52697942,30,Findings,"Single portable view of the chest is compared to previous exam from ___. Compared to prior, there has been no significant interval change. Dense retrocardiac opacity is again seen silhouetting of the hemidiaphragm. The right lung remains grossly clear. Mild pulmonary vascular congestion is unchanged. Cardiac silhouette is enlarged, but stable and notable for a prosthetic device.",Mild pulmonary vascular congestion is unchanged.,vascular congestion,pulmonary,Stable,['files/p15/p15259244/s52697942/928a3662-7a9bc2d9-1808833b-79fd5d7b-76aabf9d.jpg'],['files/p15/p15259244/s52488909/2501dbf9-714acd96-ca4fba08-e02967b8-23f99f37.jpg\n']
s52702994_5,p14744884,s52702994,5,Findings,The lungs are clear. Cardiomediastinal and hilar contours are normal. Right subclavian/brachiocephalic venous stents unchanged in position. There are no pleural effusions or pneumothorax.,Right subclavian/brachiocephalic venous stents unchanged in position.,venous stents,Right subclavian/brachiocephalic,Stable,"['files/p14/p14744884/s52702994/4fe6df12-6ecc6b81-5dce29b5-8002ce3e-8a91378d.jpg', 'files/p14/p14744884/s52702994/dce92976-fb96a7c4-c9a1da62-474592a5-98203d87.jpg']","['files/p14/p14744884/s52667466/1d30f209-052f6707-00f69616-22a83b3b-4c38cc05.jpg\n', 'files/p14/p14744884/s52667466/fe314fbf-50e95159-d593c5dd-390f58f6-7a7cb04b.jpg\n']"
s52705433_6,p11378150,s52705433,6,Findings,"AP and lateral views of the chest are compared to previous exam from ___. Postoperative changes of left upper lobectomy are again seen with resection cavity completely opacified, without visualized pneumothorax. Slightly increased linear right basilar opacity is seen. Elsewhere, the lungs are hyperinflated but clear of confluent consolidation. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.",Slightly increased linear right basilar opacity is seen.,opacity,Right basilar,Worse,"['files/p11/p11378150/s52705433/70e31905-dd605e80-305f056b-4f88ec80-cbb4b3fb.jpg', 'files/p11/p11378150/s52705433/a03f6842-f6f68790-908cbde0-cdc1fde3-4f4ff90b.jpg', 'files/p11/p11378150/s52705433/be0380d4-65fb14db-ac13b4ef-3c7332b8-54c025c7.jpg']",['files/p11/p11378150/s50979785/7d987f2a-f684bbcb-c1e27bf0-0cb90406-cf56be90.jpg\n']
s52705433_6,p11378150,s52705433,6,Findings,"AP and lateral views of the chest are compared to previous exam from ___. Postoperative changes of left upper lobectomy are again seen with resection cavity completely opacified, without visualized pneumothorax. Slightly increased linear right basilar opacity is seen. Elsewhere, the lungs are hyperinflated but clear of confluent consolidation. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.",Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.,structures,Osseous and soft tissue,Stable,"['files/p11/p11378150/s52705433/70e31905-dd605e80-305f056b-4f88ec80-cbb4b3fb.jpg', 'files/p11/p11378150/s52705433/a03f6842-f6f68790-908cbde0-cdc1fde3-4f4ff90b.jpg', 'files/p11/p11378150/s52705433/be0380d4-65fb14db-ac13b4ef-3c7332b8-54c025c7.jpg']",['files/p11/p11378150/s50979785/7d987f2a-f684bbcb-c1e27bf0-0cb90406-cf56be90.jpg\n']
s52705433_6,p11378150,s52705433,6,Impression,"Right basilar opacity may be due to atelectasis; however, infection is not completely excluded. Stable postoperative changes of left upper lobectomy.",Stable postoperative changes of left upper lobectomy.,postoperative changes,Left upper lobectomy,Stable,"['files/p11/p11378150/s52705433/70e31905-dd605e80-305f056b-4f88ec80-cbb4b3fb.jpg', 'files/p11/p11378150/s52705433/a03f6842-f6f68790-908cbde0-cdc1fde3-4f4ff90b.jpg', 'files/p11/p11378150/s52705433/be0380d4-65fb14db-ac13b4ef-3c7332b8-54c025c7.jpg']",['files/p11/p11378150/s50979785/7d987f2a-f684bbcb-c1e27bf0-0cb90406-cf56be90.jpg\n']
s52705433_6,p11378150,s52705433,6,Findings,"AP and lateral views of the chest are compared to previous exam from ___. Postoperative changes of left upper lobectomy are again seen with resection cavity completely opacified, without visualized pneumothorax. Slightly increased linear right basilar opacity is seen. Elsewhere, the lungs are hyperinflated but clear of confluent consolidation. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.",Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.,silhouette,Cardiomediastinal,Stable,"['files/p11/p11378150/s52705433/70e31905-dd605e80-305f056b-4f88ec80-cbb4b3fb.jpg', 'files/p11/p11378150/s52705433/a03f6842-f6f68790-908cbde0-cdc1fde3-4f4ff90b.jpg', 'files/p11/p11378150/s52705433/be0380d4-65fb14db-ac13b4ef-3c7332b8-54c025c7.jpg']",['files/p11/p11378150/s50979785/7d987f2a-f684bbcb-c1e27bf0-0cb90406-cf56be90.jpg\n']
s52706130_7,p13978244,s52706130,7,Impression,"In comparison with the study of ___, there again are low lung volumes that accentuate the transverse diameter of the heart. There again are probably atelectatic changes at the bases. No definite acute focal pneumonia.","In comparison with the study of ___, there again are low lung volumes that accentuate the transverse diameter of the heart.",Low lung volumes,,Stable,['files/p13/p13978244/s52706130/0aca2329-7932adb6-984bd8e0-a597477e-92276d94.jpg'],"['files/p13/p13978244/s52400635/4f4f91f0-b1149baa-3c8f6c73-17a8cc5c-35d6912a.jpg\n', 'files/p13/p13978244/s52400635/b4099aa9-794a51a6-50ff7979-a10ba3fb-0747eb19.jpg\n']"
s52706130_7,p13978244,s52706130,7,Impression,"In comparison with the study of ___, there again are low lung volumes that accentuate the transverse diameter of the heart. There again are probably atelectatic changes at the bases. No definite acute focal pneumonia.",There again are probably atelectatic changes at the bases.,Atelectatic changes,Bases,Stable,['files/p13/p13978244/s52706130/0aca2329-7932adb6-984bd8e0-a597477e-92276d94.jpg'],"['files/p13/p13978244/s52400635/4f4f91f0-b1149baa-3c8f6c73-17a8cc5c-35d6912a.jpg\n', 'files/p13/p13978244/s52400635/b4099aa9-794a51a6-50ff7979-a10ba3fb-0747eb19.jpg\n']"
s52707748_3,p18309149,s52707748,3,Findings,"The patient has undergone VATS decortication. A total of three right-sided chest tubes are in situ. At the right lateral lung bases, at the site of chest tube insertion, there is evidence of a small basal pneumothorax. Mild basal atelectasis on the right. Mild right soft tissue air inclusions. The left lung is unchanged.",The left lung is unchanged.,lung,left,Stable,['files/p18/p18309149/s52707748/126d1e0c-613de8a4-7f1cfd82-86511457-4cc0543f.jpg'],"['files/p18/p18309149/s52145612/2f04b963-317903c2-c937a1b3-84194e4c-5ce01852.jpg\n', 'files/p18/p18309149/s52145612/c149c26e-5a990901-a0cf8313-6cfa1098-34b1fa4c.jpg\n']"
s52709220_12,p19623993,s52709220,12,Findings,"Compared to the previous radiograph, there is no relevant change. The left internal jugular vein catheter has been removed, the nasogastric tube remains in place. Unchanged borderline size of the cardiac silhouette with minimal fluid overload. An area of atelectasis at the left lung bases is constant. There is no evidence of interval appearance of pneumonia. No pneumothorax.",An area of atelectasis at the left lung bases is constant.,atelectasis,left lung bases,Stable,['files/p19/p19623993/s52709220/6105c9cd-e224ad35-761201b7-d737ed68-59c229d9.jpg'],['files/p19/p19623993/s52548008/69185846-837b415c-5aa118ec-802f32df-bdc6985a.jpg\n']
s52709220_12,p19623993,s52709220,12,Findings,"Compared to the previous radiograph, there is no relevant change. The left internal jugular vein catheter has been removed, the nasogastric tube remains in place. Unchanged borderline size of the cardiac silhouette with minimal fluid overload. An area of atelectasis at the left lung bases is constant. There is no evidence of interval appearance of pneumonia. No pneumothorax.",Unchanged borderline size of the cardiac silhouette with minimal fluid overload.,cardiac silhouette,,Stable,['files/p19/p19623993/s52709220/6105c9cd-e224ad35-761201b7-d737ed68-59c229d9.jpg'],['files/p19/p19623993/s52548008/69185846-837b415c-5aa118ec-802f32df-bdc6985a.jpg\n']
s52709220_12,p19623993,s52709220,12,Findings,"Compared to the previous radiograph, there is no relevant change. The left internal jugular vein catheter has been removed, the nasogastric tube remains in place. Unchanged borderline size of the cardiac silhouette with minimal fluid overload. An area of atelectasis at the left lung bases is constant. There is no evidence of interval appearance of pneumonia. No pneumothorax.","The left internal jugular vein catheter has been removed, the nasogastric tube remains in place.",catheter,left internal jugular,Resolve,['files/p19/p19623993/s52709220/6105c9cd-e224ad35-761201b7-d737ed68-59c229d9.jpg'],['files/p19/p19623993/s52548008/69185846-837b415c-5aa118ec-802f32df-bdc6985a.jpg\n']
s52715750_13,p12530259,s52715750,13,Findings,Left IJ line with tip just crossing midline is again seen. There continues to be near-complete opacification of the left hemithorax. An air-fluid level is now seen with some improved aeration of the left upper lobe. The right lung is clear.,An air-fluid level is now seen with some improved aeration of the left upper lobe.,aeration,left upper lobe,Better,['files/p12/p12530259/s52715750/968192ec-09ed8f86-65cb3129-91dbad60-4710e7fb.jpg'],['files/p12/p12530259/s52583710/c76fb4a5-73d1b805-ea3945ae-5f50ad50-145ab073.jpg\n']
s52715750_13,p12530259,s52715750,13,Findings,Left IJ line with tip just crossing midline is again seen. There continues to be near-complete opacification of the left hemithorax. An air-fluid level is now seen with some improved aeration of the left upper lobe. The right lung is clear.,Left IJ line with tip just crossing midline is again seen.,line with tip,Left IJ,Stable,['files/p12/p12530259/s52715750/968192ec-09ed8f86-65cb3129-91dbad60-4710e7fb.jpg'],['files/p12/p12530259/s52583710/c76fb4a5-73d1b805-ea3945ae-5f50ad50-145ab073.jpg\n']
s52715750_13,p12530259,s52715750,13,Findings,Left IJ line with tip just crossing midline is again seen. There continues to be near-complete opacification of the left hemithorax. An air-fluid level is now seen with some improved aeration of the left upper lobe. The right lung is clear.,There continues to be near-complete opacification of the left hemithorax.,opacification,left hemithorax,Stable,['files/p12/p12530259/s52715750/968192ec-09ed8f86-65cb3129-91dbad60-4710e7fb.jpg'],['files/p12/p12530259/s52583710/c76fb4a5-73d1b805-ea3945ae-5f50ad50-145ab073.jpg\n']
s52718973_77,p15131736,s52718973,77,Findings,Re- demonstrated is enlargement of the cardiomediastinal silhouette. There is elevation of the right hemidiaphragm. Evaluation of the left lung base is less than optimal due to underpenetration from overlying body habitus although no definite focal consolidation is seen. Pulmonary edema persists. No large pleural effusion seen.,Pulmonary edema persists.,edema,pulmonary,Stable,['files/p15/p15131736/s52718973/de92b434-5ef9d4ce-61d1d2b2-1b3efd95-949c6123.jpg'],['files/p15/p15131736/s52604478/687582eb-5fef8f7a-db199474-71f15674-1418c028.jpg\n']
s52718973_77,p15131736,s52718973,77,Findings,Re- demonstrated is enlargement of the cardiomediastinal silhouette. There is elevation of the right hemidiaphragm. Evaluation of the left lung base is less than optimal due to underpenetration from overlying body habitus although no definite focal consolidation is seen. Pulmonary edema persists. No large pleural effusion seen.,Re- demonstrated is enlargement of the cardiomediastinal silhouette.,silhouette enlargement,cardiomediastinal,Stable,['files/p15/p15131736/s52718973/de92b434-5ef9d4ce-61d1d2b2-1b3efd95-949c6123.jpg'],['files/p15/p15131736/s52604478/687582eb-5fef8f7a-db199474-71f15674-1418c028.jpg\n']
s52726134_9,p16319601,s52726134,9,Findings,"In comparison with the study of ___, the left subclavian catheter tip now lies probably within the right atrium. Long intestinal tube remains in place. There is increased opacification of the right hemithorax with preservation of pulmonary markings, consistent with substantial right layering pleural effusion. Underlying compressive atelectasis. The left lung is essentially clear.","There is increased opacification of the right hemithorax with preservation of pulmonary markings, consistent with substantial right layering pleural effusion.",opacification,right hemithorax,Worse,['files/p16/p16319601/s52726134/c20654e3-3f4f8322-d732af7e-f214d42f-c16264fc.jpg'],['files/p16/p16319601/s51811901/e294dffe-151d42b4-1956add7-1160c620-1eac45cb.jpg\n']
s52726134_9,p16319601,s52726134,9,Findings,"In comparison with the study of ___, the left subclavian catheter tip now lies probably within the right atrium. Long intestinal tube remains in place. There is increased opacification of the right hemithorax with preservation of pulmonary markings, consistent with substantial right layering pleural effusion. Underlying compressive atelectasis. The left lung is essentially clear.",Long intestinal tube remains in place.,long intestinal tube,,Stable,['files/p16/p16319601/s52726134/c20654e3-3f4f8322-d732af7e-f214d42f-c16264fc.jpg'],['files/p16/p16319601/s51811901/e294dffe-151d42b4-1956add7-1160c620-1eac45cb.jpg\n']
s52726134_9,p16319601,s52726134,9,Findings,"In comparison with the study of ___, the left subclavian catheter tip now lies probably within the right atrium. Long intestinal tube remains in place. There is increased opacification of the right hemithorax with preservation of pulmonary markings, consistent with substantial right layering pleural effusion. Underlying compressive atelectasis. The left lung is essentially clear.","In comparison with the study of ___, the left subclavian catheter tip now lies probably within the right atrium.",left subclavian catheter tip,right atrium,Worse,['files/p16/p16319601/s52726134/c20654e3-3f4f8322-d732af7e-f214d42f-c16264fc.jpg'],['files/p16/p16319601/s51811901/e294dffe-151d42b4-1956add7-1160c620-1eac45cb.jpg\n']
s52726859_3,p16043637,s52726859,3,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 prior day. During the examination interval, the patient has received a permanent pacer capsule now seen in left anterior axillary position being connected to two intravascular electrodes terminating in right atrial appendage and right ventricular apical portion position. The heart size is unchanged and remains within normal limits. The metallic structure of an aortic valve prosthesis is seen in place as before. Pulmonary vasculature is not congested, there are no new acute infiltrates and no pneumothorax is identified on either side.",The heart size is unchanged and remains within normal limits.,Heart size,,Stable,['files/p16/p16043637/s52726859/2c8df100-4309e350-7d82cb04-094d8978-ce88debf.jpg'],['files/p16/p16043637/s51946836/3084f617-e040a88c-2e4bb84f-d190e19b-fc86d543.jpg\n']
s52731689_29,p15114531,s52731689,29,Findings,"PA and lateral views of the chest provided. Cervical spinal hardware again noted. Clips noted in the upper abdomen. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.",Cervical spinal hardware again noted.,spinal hardware,Cervical spine,Stable,"['files/p15/p15114531/s52731689/4395551b-f2717eed-fcd629df-804bb762-a356218d.jpg', 'files/p15/p15114531/s52731689/b91c97ed-5177ed0b-fa1759b1-28b3e6ac-e518d525.jpg']","['files/p15/p15114531/s52411503/a5d43c71-b0543e47-518c2349-26b2fed4-a34fd3bc.jpg\n', 'files/p15/p15114531/s52411503/c5b2349b-993253c3-5e0604c4-cc708efd-796c13af.jpg\n']"
s52736624_1,p11474065,s52736624,1,Findings,"The patient is status post right thoracotomy. Apparent decrease in postoperative right pleural effusion and slight improvement in right basilar atelectasis. Otherwise, no relevant changes since recent study.",Apparent decrease in postoperative right pleural effusion and slight improvement in right basilar atelectasis.,atelectasis,right basilar,Better,['files/p11/p11474065/s52736624/e81bcf8f-2499df37-89d72ab3-6180b4ca-88ade891.jpg'],['files/p11/p11474065/s52522246/dd86cc8c-ae1e2c39-3bc3e62b-b15de0ae-652648de.jpg\n']
s52736624_1,p11474065,s52736624,1,Findings,"The patient is status post right thoracotomy. Apparent decrease in postoperative right pleural effusion and slight improvement in right basilar atelectasis. Otherwise, no relevant changes since recent study.",Apparent decrease in postoperative right pleural effusion and slight improvement in right basilar atelectasis.,pleural effusion,right,Better,['files/p11/p11474065/s52736624/e81bcf8f-2499df37-89d72ab3-6180b4ca-88ade891.jpg'],['files/p11/p11474065/s52522246/dd86cc8c-ae1e2c39-3bc3e62b-b15de0ae-652648de.jpg\n']
s52736852_6,p14556809,s52736852,6,Findings,"The lung volumes are low. Unchanged chronic elevation of right hemidiaphragm. No evidence of focal consolidation. No pulmonary edema. The cardiomediastinal and hilar contours are normal. Trace, if any, bilateral pleural effusions. No pneumothoraces. The single lead left ICD is intact without any lead terminating in the right ventricle.",Unchanged chronic elevation of right hemidiaphragm.,elevation,right hemidiaphragm,Stable,['files/p14/p14556809/s52736852/2dfbf7e0-85ed2f34-4c60e220-a5f1fa98-464b3ce2.jpg'],"['files/p14/p14556809/s52436795/37130de3-468e154c-e1a6e62c-86eb636b-7b038a9a.jpg\n', 'files/p14/p14556809/s52436795/90358b98-c82518b0-b607a82f-38c80761-0ca422aa.jpg\n']"
s52737025_13,p10410641,s52737025,13,Impression,1. New left pleural effusion and slight mediastinal shift. Recommend obtaining PA expiratory films to exclude a left pneumothorax. 2. Stable right pneumothorax. Findings were discussed by Dr. ___ with Dr. ___.,2. Stable right pneumothorax.,pneumothorax,right,Stable,['files/p10/p10410641/s52737025/ebe51e24-5dfa5fed-d1e73cba-a113404b-93ffae17.jpg'],['files/p10/p10410641/s52188580/d0d4eac2-fe96ec0d-2ae1e81a-b604ed2b-3e55789f.jpg\n']
s52737025_13,p10410641,s52737025,13,Impression,1. New left pleural effusion and slight mediastinal shift. Recommend obtaining PA expiratory films to exclude a left pneumothorax. 2. Stable right pneumothorax. Findings were discussed by Dr. ___ with Dr. ___.,1. New left pleural effusion and slight mediastinal shift. Recommend obtaining PA expiratory films to exclude a left pneumothorax.,pleural effusion,left,New,['files/p10/p10410641/s52737025/ebe51e24-5dfa5fed-d1e73cba-a113404b-93ffae17.jpg'],['files/p10/p10410641/s52188580/d0d4eac2-fe96ec0d-2ae1e81a-b604ed2b-3e55789f.jpg\n']
s52737025_13,p10410641,s52737025,13,Findings,Portable AP chest radiograph demonstrates a stable right pneumothorax. There are several radiodense lesions along the left hemithorax that may represent skin folds. There is no definite left pneumothorax. There is opacification of the left thorax consistent with a moderate left pleural effusion. There is also new engorgement of the pulmonary vasculature in the left lung. There is slight shift of the mediastinum to the right. Bilateral pigtail drains are noted at the costophrenic angles. The heart size is within normal limits.,There is also new engorgement of the pulmonary vasculature in the left lung.,engorgement of the pulmonary vasculature,left,New,['files/p10/p10410641/s52737025/ebe51e24-5dfa5fed-d1e73cba-a113404b-93ffae17.jpg'],['files/p10/p10410641/s52188580/d0d4eac2-fe96ec0d-2ae1e81a-b604ed2b-3e55789f.jpg\n']
s52737025_13,p10410641,s52737025,13,Findings,Portable AP chest radiograph demonstrates a stable right pneumothorax. There are several radiodense lesions along the left hemithorax that may represent skin folds. There is no definite left pneumothorax. There is opacification of the left thorax consistent with a moderate left pleural effusion. There is also new engorgement of the pulmonary vasculature in the left lung. There is slight shift of the mediastinum to the right. Bilateral pigtail drains are noted at the costophrenic angles. The heart size is within normal limits.,Portable AP chest radiograph demonstrates a stable right pneumothorax.,pneumothorax,right,Stable,['files/p10/p10410641/s52737025/ebe51e24-5dfa5fed-d1e73cba-a113404b-93ffae17.jpg'],['files/p10/p10410641/s52188580/d0d4eac2-fe96ec0d-2ae1e81a-b604ed2b-3e55789f.jpg\n']
s52737492_10,p10439781,s52737492,10,Impression,Moderate to severe pulmonary edema is increased from the prior examination. No focal consolidation to suggest pneumonia is seen. No significant pleural effusion or pneumothorax is present. There is moderate cardiomegaly. A left-sided port is unchanged. There are multiple vertebroplasties.,A left-sided port is unchanged.,port,left-sided,Stable,"['files/p10/p10439781/s52737492/d7aa2bc3-c5a89fbe-b2bb2639-e86d470f-036506f5.jpg', 'files/p10/p10439781/s52737492/da9141f6-6ff1eb67-eb4df992-68b342ae-4a15b62d.jpg', 'files/p10/p10439781/s52737492/eae4f18b-52b36d2b-1d522da3-36dfb123-0de8cd13.jpg']",['files/p10/p10439781/s52538997/aa76851a-342b6f60-4e4b51be-3a80fe61-92b39e20.jpg\n']
s52737492_10,p10439781,s52737492,10,Impression,Moderate to severe pulmonary edema is increased from the prior examination. No focal consolidation to suggest pneumonia is seen. No significant pleural effusion or pneumothorax is present. There is moderate cardiomegaly. A left-sided port is unchanged. There are multiple vertebroplasties.,Moderate to severe pulmonary edema is increased from the prior examination.,pulmonary edema,,Worse,"['files/p10/p10439781/s52737492/d7aa2bc3-c5a89fbe-b2bb2639-e86d470f-036506f5.jpg', 'files/p10/p10439781/s52737492/da9141f6-6ff1eb67-eb4df992-68b342ae-4a15b62d.jpg', 'files/p10/p10439781/s52737492/eae4f18b-52b36d2b-1d522da3-36dfb123-0de8cd13.jpg']",['files/p10/p10439781/s52538997/aa76851a-342b6f60-4e4b51be-3a80fe61-92b39e20.jpg\n']
s52743281_21,p17770657,s52743281,21,Findings,"As compared to the previous radiograph, there is no substantial change in the position of the pigtail catheter. No evidence of pneumothorax is present on the current image. Moderate overinflation, normal size of the cardiac silhouette, unchanged course and position of the left-sided PICC line.","As compared to the previous radiograph, there is no substantial change in the position of the pigtail catheter.",Pigtail catheter,Position,Stable,['files/p17/p17770657/s52743281/7d360199-6d44109c-6aa33603-caf75a5d-941bd6b2.jpg'],"['files/p17/p17770657/s52284173/6cf93674-8fe57ec0-cf9d01c8-a4e2f45a-ab599448.jpg\n', 'files/p17/p17770657/s52284173/f99f8714-5e5a416e-ab4d7b84-1c4f38b2-32864a70.jpg\n']"
s52743281_21,p17770657,s52743281,21,Findings,"As compared to the previous radiograph, there is no substantial change in the position of the pigtail catheter. No evidence of pneumothorax is present on the current image. Moderate overinflation, normal size of the cardiac silhouette, unchanged course and position of the left-sided PICC line.","Moderate overinflation, normal size of the cardiac silhouette, unchanged course and position of the left-sided PICC line.",Left-sided PICC line,Course and position,Stable,['files/p17/p17770657/s52743281/7d360199-6d44109c-6aa33603-caf75a5d-941bd6b2.jpg'],"['files/p17/p17770657/s52284173/6cf93674-8fe57ec0-cf9d01c8-a4e2f45a-ab599448.jpg\n', 'files/p17/p17770657/s52284173/f99f8714-5e5a416e-ab4d7b84-1c4f38b2-32864a70.jpg\n']"
s52749045_2,p19759491,s52749045,2,Findings,"Compared to the most recent prior study of ___, the appearance of the chest is unchanged. The patient is status post median sternotomy with multiple mediastinal surgical clips compatible with prior CABG. A mitral valve prosthesis is unchanged in position or appearance. The cardiac silhouette is mildly enlarged but stable. The mediastinal contours are within normal limits and stable with minimal calcification of the aortic knob. Mild pulmonary vascular congestion is unchanged. No significant pleural effusion is present. On the lateral radiograph, there is opacification along the fissure of the left lung corresponding to left basilar opacification on the frontal radiograph. This finding is unchanged from the prior study and may represent partial lobar collapse or fluid trapped within the fissure. No pneumothorax is detected.",A mitral valve prosthesis is unchanged in position or appearance.,prosthesis,mitral valve,Stable,"['files/p19/p19759491/s52749045/897059e3-92ae214b-1458e44d-75eb5510-5098e1f8.jpg', 'files/p19/p19759491/s52749045/c8fbdee0-da83ffe5-649d918a-6bb64062-4f454c6b.jpg']","['files/p19/p19759491/s52381425/71167aec-a4ab9faa-769e24eb-94b4049b-19b632f9.jpg\n', 'files/p19/p19759491/s52381425/971bdcae-04538cff-c7a81ae5-3f843c01-5162ca39.jpg\n']"
s52749045_2,p19759491,s52749045,2,Findings,"Compared to the most recent prior study of ___, the appearance of the chest is unchanged. The patient is status post median sternotomy with multiple mediastinal surgical clips compatible with prior CABG. A mitral valve prosthesis is unchanged in position or appearance. The cardiac silhouette is mildly enlarged but stable. The mediastinal contours are within normal limits and stable with minimal calcification of the aortic knob. Mild pulmonary vascular congestion is unchanged. No significant pleural effusion is present. On the lateral radiograph, there is opacification along the fissure of the left lung corresponding to left basilar opacification on the frontal radiograph. This finding is unchanged from the prior study and may represent partial lobar collapse or fluid trapped within the fissure. No pneumothorax is detected.","Compared to the most recent prior study of ___, the appearance of the chest is unchanged.",,chest,Stable,"['files/p19/p19759491/s52749045/897059e3-92ae214b-1458e44d-75eb5510-5098e1f8.jpg', 'files/p19/p19759491/s52749045/c8fbdee0-da83ffe5-649d918a-6bb64062-4f454c6b.jpg']","['files/p19/p19759491/s52381425/71167aec-a4ab9faa-769e24eb-94b4049b-19b632f9.jpg\n', 'files/p19/p19759491/s52381425/971bdcae-04538cff-c7a81ae5-3f843c01-5162ca39.jpg\n']"
s52749045_2,p19759491,s52749045,2,Findings,"Compared to the most recent prior study of ___, the appearance of the chest is unchanged. The patient is status post median sternotomy with multiple mediastinal surgical clips compatible with prior CABG. A mitral valve prosthesis is unchanged in position or appearance. The cardiac silhouette is mildly enlarged but stable. The mediastinal contours are within normal limits and stable with minimal calcification of the aortic knob. Mild pulmonary vascular congestion is unchanged. No significant pleural effusion is present. On the lateral radiograph, there is opacification along the fissure of the left lung corresponding to left basilar opacification on the frontal radiograph. This finding is unchanged from the prior study and may represent partial lobar collapse or fluid trapped within the fissure. No pneumothorax is detected.",Mild pulmonary vascular congestion is unchanged.,vascular congestion,pulmonary,Stable,"['files/p19/p19759491/s52749045/897059e3-92ae214b-1458e44d-75eb5510-5098e1f8.jpg', 'files/p19/p19759491/s52749045/c8fbdee0-da83ffe5-649d918a-6bb64062-4f454c6b.jpg']","['files/p19/p19759491/s52381425/71167aec-a4ab9faa-769e24eb-94b4049b-19b632f9.jpg\n', 'files/p19/p19759491/s52381425/971bdcae-04538cff-c7a81ae5-3f843c01-5162ca39.jpg\n']"
s52749045_2,p19759491,s52749045,2,Findings,"Compared to the most recent prior study of ___, the appearance of the chest is unchanged. The patient is status post median sternotomy with multiple mediastinal surgical clips compatible with prior CABG. A mitral valve prosthesis is unchanged in position or appearance. The cardiac silhouette is mildly enlarged but stable. The mediastinal contours are within normal limits and stable with minimal calcification of the aortic knob. Mild pulmonary vascular congestion is unchanged. No significant pleural effusion is present. On the lateral radiograph, there is opacification along the fissure of the left lung corresponding to left basilar opacification on the frontal radiograph. This finding is unchanged from the prior study and may represent partial lobar collapse or fluid trapped within the fissure. No pneumothorax is detected.",The mediastinal contours are within normal limits and stable with minimal calcification of the aortic knob.,minimal calcification of the aortic knob,mediastinal contours,Stable,"['files/p19/p19759491/s52749045/897059e3-92ae214b-1458e44d-75eb5510-5098e1f8.jpg', 'files/p19/p19759491/s52749045/c8fbdee0-da83ffe5-649d918a-6bb64062-4f454c6b.jpg']","['files/p19/p19759491/s52381425/71167aec-a4ab9faa-769e24eb-94b4049b-19b632f9.jpg\n', 'files/p19/p19759491/s52381425/971bdcae-04538cff-c7a81ae5-3f843c01-5162ca39.jpg\n']"
s52749045_2,p19759491,s52749045,2,Findings,"Compared to the most recent prior study of ___, the appearance of the chest is unchanged. The patient is status post median sternotomy with multiple mediastinal surgical clips compatible with prior CABG. A mitral valve prosthesis is unchanged in position or appearance. The cardiac silhouette is mildly enlarged but stable. The mediastinal contours are within normal limits and stable with minimal calcification of the aortic knob. Mild pulmonary vascular congestion is unchanged. No significant pleural effusion is present. On the lateral radiograph, there is opacification along the fissure of the left lung corresponding to left basilar opacification on the frontal radiograph. This finding is unchanged from the prior study and may represent partial lobar collapse or fluid trapped within the fissure. No pneumothorax is detected.",The cardiac silhouette is mildly enlarged but stable.,enlargement,cardiac silhouette,Stable,"['files/p19/p19759491/s52749045/897059e3-92ae214b-1458e44d-75eb5510-5098e1f8.jpg', 'files/p19/p19759491/s52749045/c8fbdee0-da83ffe5-649d918a-6bb64062-4f454c6b.jpg']","['files/p19/p19759491/s52381425/71167aec-a4ab9faa-769e24eb-94b4049b-19b632f9.jpg\n', 'files/p19/p19759491/s52381425/971bdcae-04538cff-c7a81ae5-3f843c01-5162ca39.jpg\n']"
s52749045_2,p19759491,s52749045,2,Findings,"Compared to the most recent prior study of ___, the appearance of the chest is unchanged. The patient is status post median sternotomy with multiple mediastinal surgical clips compatible with prior CABG. A mitral valve prosthesis is unchanged in position or appearance. The cardiac silhouette is mildly enlarged but stable. The mediastinal contours are within normal limits and stable with minimal calcification of the aortic knob. Mild pulmonary vascular congestion is unchanged. No significant pleural effusion is present. On the lateral radiograph, there is opacification along the fissure of the left lung corresponding to left basilar opacification on the frontal radiograph. This finding is unchanged from the prior study and may represent partial lobar collapse or fluid trapped within the fissure. No pneumothorax is detected.",This finding is unchanged from the prior study and may represent partial lobar collapse or fluid trapped within the fissure.,partial lobar collapse or fluid trapped within the fissure,left lung,Stable,"['files/p19/p19759491/s52749045/897059e3-92ae214b-1458e44d-75eb5510-5098e1f8.jpg', 'files/p19/p19759491/s52749045/c8fbdee0-da83ffe5-649d918a-6bb64062-4f454c6b.jpg']","['files/p19/p19759491/s52381425/71167aec-a4ab9faa-769e24eb-94b4049b-19b632f9.jpg\n', 'files/p19/p19759491/s52381425/971bdcae-04538cff-c7a81ae5-3f843c01-5162ca39.jpg\n']"
s52749045_2,p19759491,s52749045,2,Impression,Persistent mild edema and left lower lobe atelectasis vs fluid in the fissure. Unchanged from ___. Bronchial obstruction cannot be excluded.,Persistent mild edema and left lower lobe atelectasis vs fluid in the fissure.,atelectasis vs fluid in the fissure,left lower lobe,Stable,"['files/p19/p19759491/s52749045/897059e3-92ae214b-1458e44d-75eb5510-5098e1f8.jpg', 'files/p19/p19759491/s52749045/c8fbdee0-da83ffe5-649d918a-6bb64062-4f454c6b.jpg']","['files/p19/p19759491/s52381425/71167aec-a4ab9faa-769e24eb-94b4049b-19b632f9.jpg\n', 'files/p19/p19759491/s52381425/971bdcae-04538cff-c7a81ae5-3f843c01-5162ca39.jpg\n']"
s52755492_4,p11512104,s52755492,4,Impression,"1. The heart remains stably enlarged, which most likely reflects cardiomegaly, although pericardial effusion cannot be entirely excluded. Lungs appear grossly clear, though somewhat low in volume. No evidence of pulmonary edema or focal airspace consolidation to suggest pneumonia. No large effusions. No large pneumothorax is appreciated. Calcification of the aortic knob is consistent with atherosclerosis.","1. The heart remains stably enlarged, which most likely reflects cardiomegaly, although pericardial effusion cannot be entirely excluded.",Heart enlargement,,Stable,"['files/p11/p11512104/s52755492/879b56b3-4245dde9-c71d9c23-87bdd54b-6e81d2c5.jpg', 'files/p11/p11512104/s52755492/daadbbe5-bd29b8d3-fe366d5f-a0e138d8-df1c2298.jpg']",['files/p11/p11512104/s52398109/5d4e5d0a-add681d2-faf8a518-e0062eff-6554d2d2.jpg\n']
s52761853_11,p16508811,s52761853,11,Impression,"As compared to the previous radiograph, the patient has now received a right-sided PICC line. The course of the line is unremarkable, the tip of the line projects over the mid SVC. In the interval, the patient has developed a relatively widespread left middle and lower lung parenchymal opacity with air bronchograms, likely reflecting pneumonia. There is no evidence of complicating pleural effusions. At the time of dictation and observation, 17:05, ___, the referring physician ___. ___ was paged for notification. The referring physician was also sent an urgent email.","As compared to the previous radiograph, the patient has now received a right-sided PICC line.",PICC line,right-sided,New,"['files/p16/p16508811/s52761853/444dfa8e-bb3ce9c4-55126266-43629bc2-fce21515.jpg', 'files/p16/p16508811/s52761853/5d4cd173-11d4d427-75753b88-5ac94f6f-653d2cbe.jpg']","['files/p16/p16508811/s52670967/2905a219-0044b483-8315fff6-2258fe9f-a288ed45.jpg\n', 'files/p16/p16508811/s52670967/97b4f97d-6308e02e-cc3b4fec-0fc8583e-69060973.jpg\n']"
s52761853_11,p16508811,s52761853,11,Impression,"As compared to the previous radiograph, the patient has now received a right-sided PICC line. The course of the line is unremarkable, the tip of the line projects over the mid SVC. In the interval, the patient has developed a relatively widespread left middle and lower lung parenchymal opacity with air bronchograms, likely reflecting pneumonia. There is no evidence of complicating pleural effusions. At the time of dictation and observation, 17:05, ___, the referring physician ___. ___ was paged for notification. The referring physician was also sent an urgent email.","In the interval, the patient has developed a relatively widespread left middle and lower lung parenchymal opacity with air bronchograms, likely reflecting pneumonia.",parenchymal opacity with air bronchograms,left middle and lower lung,New,"['files/p16/p16508811/s52761853/444dfa8e-bb3ce9c4-55126266-43629bc2-fce21515.jpg', 'files/p16/p16508811/s52761853/5d4cd173-11d4d427-75753b88-5ac94f6f-653d2cbe.jpg']","['files/p16/p16508811/s52670967/2905a219-0044b483-8315fff6-2258fe9f-a288ed45.jpg\n', 'files/p16/p16508811/s52670967/97b4f97d-6308e02e-cc3b4fec-0fc8583e-69060973.jpg\n']"
s52764071_20,p14295224,s52764071,20,Impression,Multifocal ill-defined patchy opacities involving the right mid lung field and both lung bases concerning for aspiration pneumonia. New small bilateral pleural effusions.,New small bilateral pleural effusions.,small pleural effusions,bilateral,New,"['files/p14/p14295224/s52764071/3cc07937-2cb3dffb-6e6a2421-e9bdb84b-5ce5879d.jpg', 'files/p14/p14295224/s52764071/e3592dcd-ca0b0f88-415e34bf-6f5bb257-2502a74e.jpg']","['files/p14/p14295224/s52692431/a8e2d6ea-965ac36e-82736ccb-0acb7d58-32efb51c.jpg\n', 'files/p14/p14295224/s52692431/ac311552-a76f7711-c263444b-9819dc86-6fd39b27.jpg\n']"
s52764071_20,p14295224,s52764071,20,Findings,"Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged with evidence of prior esophagectomy and gastric pull-through. Atherosclerotic calcifications within the aortic arch are re- demonstrated. Ill-defined patchy opacities are noted involving the right mid and lower lung fields as well as to a lesser extent within the left lung base, findings which are suspicious for aspiration pneumonia. Blunting of the costophrenic angles posteriorly on the lateral view suggests small bilateral pleural effusions, new in the interval. No pneumothorax or pulmonary vascular congestion is present. There are no acute osseous abnormalities.",The mediastinal and hilar contours are unchanged with evidence of prior esophagectomy and gastric pull-through.,normal contours,mediastinal and hilar contours,Stable,"['files/p14/p14295224/s52764071/3cc07937-2cb3dffb-6e6a2421-e9bdb84b-5ce5879d.jpg', 'files/p14/p14295224/s52764071/e3592dcd-ca0b0f88-415e34bf-6f5bb257-2502a74e.jpg']","['files/p14/p14295224/s52692431/a8e2d6ea-965ac36e-82736ccb-0acb7d58-32efb51c.jpg\n', 'files/p14/p14295224/s52692431/ac311552-a76f7711-c263444b-9819dc86-6fd39b27.jpg\n']"
s52764071_20,p14295224,s52764071,20,Findings,"Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged with evidence of prior esophagectomy and gastric pull-through. Atherosclerotic calcifications within the aortic arch are re- demonstrated. Ill-defined patchy opacities are noted involving the right mid and lower lung fields as well as to a lesser extent within the left lung base, findings which are suspicious for aspiration pneumonia. Blunting of the costophrenic angles posteriorly on the lateral view suggests small bilateral pleural effusions, new in the interval. No pneumothorax or pulmonary vascular congestion is present. There are no acute osseous abnormalities.","Blunting of the costophrenic angles posteriorly on the lateral view suggests small bilateral pleural effusions, new in the interval.",small bilateral pleural effusions,costophrenic angles,New,"['files/p14/p14295224/s52764071/3cc07937-2cb3dffb-6e6a2421-e9bdb84b-5ce5879d.jpg', 'files/p14/p14295224/s52764071/e3592dcd-ca0b0f88-415e34bf-6f5bb257-2502a74e.jpg']","['files/p14/p14295224/s52692431/a8e2d6ea-965ac36e-82736ccb-0acb7d58-32efb51c.jpg\n', 'files/p14/p14295224/s52692431/ac311552-a76f7711-c263444b-9819dc86-6fd39b27.jpg\n']"
s52767831_0,p15207316,s52767831,0,Findings,"AP upright and lateral views of the chest are obtained. Midline sternotomy wires, mediastinal clips, and AICD device are unchanged. There is pulmonary vascular congestion and mild pulmonary edema. Small bilateral pleural effusions are also noted, new. Cardiomediastinal silhouette is stable. No pneumothorax. Bony structures are intact.",Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p15/p15207316/s52767831/425d59af-b3a07390-48699ce4-edd9cf7d-3b4faafe.jpg', 'files/p15/p15207316/s52767831/af3c9af6-5d5ec7c0-14e485a8-e4a15ee5-cda32e62.jpg']",['files/p15/p15207316/s50162885/ffe15776-720f5fb1-efcda596-e36276d8-5e97941e.jpg\n']
s52767831_0,p15207316,s52767831,0,Findings,"AP upright and lateral views of the chest are obtained. Midline sternotomy wires, mediastinal clips, and AICD device are unchanged. There is pulmonary vascular congestion and mild pulmonary edema. Small bilateral pleural effusions are also noted, new. Cardiomediastinal silhouette is stable. No pneumothorax. Bony structures are intact.","Small bilateral pleural effusions are also noted, new.",pleural effusions,Bilateral,New,"['files/p15/p15207316/s52767831/425d59af-b3a07390-48699ce4-edd9cf7d-3b4faafe.jpg', 'files/p15/p15207316/s52767831/af3c9af6-5d5ec7c0-14e485a8-e4a15ee5-cda32e62.jpg']",['files/p15/p15207316/s50162885/ffe15776-720f5fb1-efcda596-e36276d8-5e97941e.jpg\n']
s52767831_0,p15207316,s52767831,0,Findings,"AP upright and lateral views of the chest are obtained. Midline sternotomy wires, mediastinal clips, and AICD device are unchanged. There is pulmonary vascular congestion and mild pulmonary edema. Small bilateral pleural effusions are also noted, new. Cardiomediastinal silhouette is stable. No pneumothorax. Bony structures are intact.","Midline sternotomy wires, mediastinal clips, and AICD device are unchanged.",AICD device,,Stable,"['files/p15/p15207316/s52767831/425d59af-b3a07390-48699ce4-edd9cf7d-3b4faafe.jpg', 'files/p15/p15207316/s52767831/af3c9af6-5d5ec7c0-14e485a8-e4a15ee5-cda32e62.jpg']",['files/p15/p15207316/s50162885/ffe15776-720f5fb1-efcda596-e36276d8-5e97941e.jpg\n']
s52767831_0,p15207316,s52767831,0,Findings,"AP upright and lateral views of the chest are obtained. Midline sternotomy wires, mediastinal clips, and AICD device are unchanged. There is pulmonary vascular congestion and mild pulmonary edema. Small bilateral pleural effusions are also noted, new. Cardiomediastinal silhouette is stable. No pneumothorax. Bony structures are intact.","Midline sternotomy wires, mediastinal clips, and AICD device are unchanged.",clips,Mediastinal,Stable,"['files/p15/p15207316/s52767831/425d59af-b3a07390-48699ce4-edd9cf7d-3b4faafe.jpg', 'files/p15/p15207316/s52767831/af3c9af6-5d5ec7c0-14e485a8-e4a15ee5-cda32e62.jpg']",['files/p15/p15207316/s50162885/ffe15776-720f5fb1-efcda596-e36276d8-5e97941e.jpg\n']
s52767831_0,p15207316,s52767831,0,Findings,"AP upright and lateral views of the chest are obtained. Midline sternotomy wires, mediastinal clips, and AICD device are unchanged. There is pulmonary vascular congestion and mild pulmonary edema. Small bilateral pleural effusions are also noted, new. Cardiomediastinal silhouette is stable. No pneumothorax. Bony structures are intact.","Midline sternotomy wires, mediastinal clips, and AICD device are unchanged.",sternotomy wires,Midline,Stable,"['files/p15/p15207316/s52767831/425d59af-b3a07390-48699ce4-edd9cf7d-3b4faafe.jpg', 'files/p15/p15207316/s52767831/af3c9af6-5d5ec7c0-14e485a8-e4a15ee5-cda32e62.jpg']",['files/p15/p15207316/s50162885/ffe15776-720f5fb1-efcda596-e36276d8-5e97941e.jpg\n']
s52774948_7,p12952223,s52774948,7,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 ___. As before, the patient is status post sternotomy, aortic valve replacement and bypass surgery. Cardiomegaly as before. A right internal jugular approach central venous line remains in unchanged position and terminates in a location compatible with the upper portion of the right atrium. The diaphragmatic contours are bilaterally obscured and the lateral pleural sinuses are blunted. This is indicative of increasing pleural effusion in comparison with the previous portable postoperative chest examination. Pulmonary vasculature remains congested with considerable perivascular haze. No pneumothorax is seen. The comparison is extended to multiple previous postoperative examinations, signs of pleural effusion and pulmonary congestion existed already earlier. On the preoperative chest examination of ___, significant cardiomegaly existed already at that time. The pleural spaces are practically free.",Cardiomegaly as before.,cardiomegaly,,Stable,['files/p12/p12952223/s52774948/c383b852-eac5f445-af9853bb-aaadded6-9b28a98c.jpg'],['files/p12/p12952223/s52630381/81e8871e-6dcf3fbb-f5b0f14f-bc932fbe-4ea03e27.jpg\n']
s52774948_7,p12952223,s52774948,7,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 ___. As before, the patient is status post sternotomy, aortic valve replacement and bypass surgery. Cardiomegaly as before. A right internal jugular approach central venous line remains in unchanged position and terminates in a location compatible with the upper portion of the right atrium. The diaphragmatic contours are bilaterally obscured and the lateral pleural sinuses are blunted. This is indicative of increasing pleural effusion in comparison with the previous portable postoperative chest examination. Pulmonary vasculature remains congested with considerable perivascular haze. No pneumothorax is seen. The comparison is extended to multiple previous postoperative examinations, signs of pleural effusion and pulmonary congestion existed already earlier. On the preoperative chest examination of ___, significant cardiomegaly existed already at that time. The pleural spaces are practically free.",Pulmonary vasculature remains congested with considerable perivascular haze.,pulmonary vasculature congestion,,Stable,['files/p12/p12952223/s52774948/c383b852-eac5f445-af9853bb-aaadded6-9b28a98c.jpg'],['files/p12/p12952223/s52630381/81e8871e-6dcf3fbb-f5b0f14f-bc932fbe-4ea03e27.jpg\n']
s52774948_7,p12952223,s52774948,7,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 ___. As before, the patient is status post sternotomy, aortic valve replacement and bypass surgery. Cardiomegaly as before. A right internal jugular approach central venous line remains in unchanged position and terminates in a location compatible with the upper portion of the right atrium. The diaphragmatic contours are bilaterally obscured and the lateral pleural sinuses are blunted. This is indicative of increasing pleural effusion in comparison with the previous portable postoperative chest examination. Pulmonary vasculature remains congested with considerable perivascular haze. No pneumothorax is seen. The comparison is extended to multiple previous postoperative examinations, signs of pleural effusion and pulmonary congestion existed already earlier. On the preoperative chest examination of ___, significant cardiomegaly existed already at that time. The pleural spaces are practically free.",This is indicative of increasing pleural effusion in comparison with the previous portable postoperative chest examination.,pleural effusion,,Worse,['files/p12/p12952223/s52774948/c383b852-eac5f445-af9853bb-aaadded6-9b28a98c.jpg'],['files/p12/p12952223/s52630381/81e8871e-6dcf3fbb-f5b0f14f-bc932fbe-4ea03e27.jpg\n']
s52774948_7,p12952223,s52774948,7,Impression,Continuing postoperative CHF with bilateral pleural effusion apparently increasing slightly during latest examination interval. Dr. ___ ___ was informed via page.,Continuing postoperative CHF with bilateral pleural effusion apparently increasing slightly during latest examination interval.,pleural effusion,bilateral,Worse,['files/p12/p12952223/s52774948/c383b852-eac5f445-af9853bb-aaadded6-9b28a98c.jpg'],['files/p12/p12952223/s52630381/81e8871e-6dcf3fbb-f5b0f14f-bc932fbe-4ea03e27.jpg\n']
s52775752_0,p13866940,s52775752,0,Impression,No radiographic evidence for acute cardiopulmonary process. Old right posterior seventh rib fracture. Findings discussed with ___ by ___ by telephone at 3 p.m. on ___ at the time of discovery of these findings.,Old right posterior seventh rib fracture.,seventh rib fracture,right posterior,Stable,"['files/p13/p13866940/s52775752/680a920d-18ae6f28-666fa927-156ca7d4-f686156e.jpg', 'files/p13/p13866940/s52775752/91aa37d1-c2d7d819-bea91a37-602f27c2-ab6984ae.jpg']",
s52779908_9,p18487334,s52779908,9,Impression,"In comparison to ___ chest radiograph, support and monitoring devices are unchanged in position. Mild cardiomegaly is accompanied by pulmonary vascular congestion. Patchy bibasilar opacities likely reflect atelectasis, but aspiration and developing infectious pneumonia are additional considerations.","In comparison to ___ chest radiograph, support and monitoring devices are unchanged in position.",support and monitoring devices,various,Stable,['files/p18/p18487334/s52779908/501a71e8-c63c6501-4de1111d-c931b2b6-261814fe.jpg'],['files/p18/p18487334/s50701063/8421105f-75a36b56-fb945313-e4f6d3a0-e2876c01.jpg\n']
s52785638_13,p16508811,s52785638,13,Impression,"Progressive moderate pulmonary edema, best appreciated in the perihilar left lung, is accompanied by increased vascular caliber in the upper lobes and new small left pleural effusion. Bibasilar consolidation has also increased, due either to worsening pneumonia or edema deposited in the pneumonia. The possibility that this consolidation is due to dependent edema alone should not be discarded. Heart size top-normal unchanged. No pneumothorax.",Heart size top-normal unchanged.,Heart size,,Stable,"['files/p16/p16508811/s52785638/7bbe1cff-ed671a8a-c85e3d86-24870873-e6c6e150.jpg', 'files/p16/p16508811/s52785638/927bc2f0-02ccbb86-23fd266d-6890d7ff-8a0a2ce5.jpg']","['files/p16/p16508811/s52761853/444dfa8e-bb3ce9c4-55126266-43629bc2-fce21515.jpg\n', 'files/p16/p16508811/s52761853/5d4cd173-11d4d427-75753b88-5ac94f6f-653d2cbe.jpg\n']"
s52785638_13,p16508811,s52785638,13,Impression,"Progressive moderate pulmonary edema, best appreciated in the perihilar left lung, is accompanied by increased vascular caliber in the upper lobes and new small left pleural effusion. Bibasilar consolidation has also increased, due either to worsening pneumonia or edema deposited in the pneumonia. The possibility that this consolidation is due to dependent edema alone should not be discarded. Heart size top-normal unchanged. No pneumothorax.","Progressive moderate pulmonary edema, best appreciated in the perihilar left lung, is accompanied by increased vascular caliber in the upper lobes and new small left pleural effusion.",pleural effusion,left,New,"['files/p16/p16508811/s52785638/7bbe1cff-ed671a8a-c85e3d86-24870873-e6c6e150.jpg', 'files/p16/p16508811/s52785638/927bc2f0-02ccbb86-23fd266d-6890d7ff-8a0a2ce5.jpg']","['files/p16/p16508811/s52761853/444dfa8e-bb3ce9c4-55126266-43629bc2-fce21515.jpg\n', 'files/p16/p16508811/s52761853/5d4cd173-11d4d427-75753b88-5ac94f6f-653d2cbe.jpg\n']"
s52785638_13,p16508811,s52785638,13,Impression,"Progressive moderate pulmonary edema, best appreciated in the perihilar left lung, is accompanied by increased vascular caliber in the upper lobes and new small left pleural effusion. Bibasilar consolidation has also increased, due either to worsening pneumonia or edema deposited in the pneumonia. The possibility that this consolidation is due to dependent edema alone should not be discarded. Heart size top-normal unchanged. No pneumothorax.","Bibasilar consolidation has also increased, due either to worsening pneumonia or edema deposited in the pneumonia.",consolidation,bibasilar,Worse,"['files/p16/p16508811/s52785638/7bbe1cff-ed671a8a-c85e3d86-24870873-e6c6e150.jpg', 'files/p16/p16508811/s52785638/927bc2f0-02ccbb86-23fd266d-6890d7ff-8a0a2ce5.jpg']","['files/p16/p16508811/s52761853/444dfa8e-bb3ce9c4-55126266-43629bc2-fce21515.jpg\n', 'files/p16/p16508811/s52761853/5d4cd173-11d4d427-75753b88-5ac94f6f-653d2cbe.jpg\n']"
s52785638_13,p16508811,s52785638,13,Impression,"Progressive moderate pulmonary edema, best appreciated in the perihilar left lung, is accompanied by increased vascular caliber in the upper lobes and new small left pleural effusion. Bibasilar consolidation has also increased, due either to worsening pneumonia or edema deposited in the pneumonia. The possibility that this consolidation is due to dependent edema alone should not be discarded. Heart size top-normal unchanged. No pneumothorax.","Progressive moderate pulmonary edema, best appreciated in the perihilar left lung, is accompanied by increased vascular caliber in the upper lobes and new small left pleural effusion.",pulmonary edema,perihilar left lung,Worse,"['files/p16/p16508811/s52785638/7bbe1cff-ed671a8a-c85e3d86-24870873-e6c6e150.jpg', 'files/p16/p16508811/s52785638/927bc2f0-02ccbb86-23fd266d-6890d7ff-8a0a2ce5.jpg']","['files/p16/p16508811/s52761853/444dfa8e-bb3ce9c4-55126266-43629bc2-fce21515.jpg\n', 'files/p16/p16508811/s52761853/5d4cd173-11d4d427-75753b88-5ac94f6f-653d2cbe.jpg\n']"
s52786632_2,p19182863,s52786632,2,Findings,"The patient is status post sternotomy and both mitral and aortic valve replacements. Moderate cardiomegaly is unchanged. The mediastinal and hilar contours appear stable. There is new mild-to-moderate relative elevation of the right hemidiaphragm which suggests volume loss and a patchy opacity in the right lower lobe has increased and is worrisome for pneumonic consolidation. There is probably also some degree of new opacification in the right middle lobe. A vague opacity is also new in the right suprahilar region in the right upper lobe, potentially an early focus of pneumonia. There is no definite pleural effusion.",There is new mild-to-moderate relative elevation of the right hemidiaphragm which suggests volume loss and a patchy opacity in the right lower lobe has increased and is worrisome for pneumonic consolidation.,patchy opacity,right lower lobe,Worse,"['files/p19/p19182863/s52786632/36ab86c1-9e24116f-38745149-2b69406f-8aeabb2c.jpg', 'files/p19/p19182863/s52786632/6a7b83c9-7b7c6ba9-09d85de8-a76f1aa7-4fd0e047.jpg']","['files/p19/p19182863/s52415062/47c8159c-71388595-84bf105d-5a7e99e4-077fb801.jpg\n', 'files/p19/p19182863/s52415062/6c1671e0-25c063d0-6c5d5405-880b3eb4-af9a0789.jpg\n']"
s52786632_2,p19182863,s52786632,2,Findings,"The patient is status post sternotomy and both mitral and aortic valve replacements. Moderate cardiomegaly is unchanged. The mediastinal and hilar contours appear stable. There is new mild-to-moderate relative elevation of the right hemidiaphragm which suggests volume loss and a patchy opacity in the right lower lobe has increased and is worrisome for pneumonic consolidation. There is probably also some degree of new opacification in the right middle lobe. A vague opacity is also new in the right suprahilar region in the right upper lobe, potentially an early focus of pneumonia. There is no definite pleural effusion.",The mediastinal and hilar contours appear stable.,mediastinal and hilar contours,,Stable,"['files/p19/p19182863/s52786632/36ab86c1-9e24116f-38745149-2b69406f-8aeabb2c.jpg', 'files/p19/p19182863/s52786632/6a7b83c9-7b7c6ba9-09d85de8-a76f1aa7-4fd0e047.jpg']","['files/p19/p19182863/s52415062/47c8159c-71388595-84bf105d-5a7e99e4-077fb801.jpg\n', 'files/p19/p19182863/s52415062/6c1671e0-25c063d0-6c5d5405-880b3eb4-af9a0789.jpg\n']"
s52786632_2,p19182863,s52786632,2,Findings,"The patient is status post sternotomy and both mitral and aortic valve replacements. Moderate cardiomegaly is unchanged. The mediastinal and hilar contours appear stable. There is new mild-to-moderate relative elevation of the right hemidiaphragm which suggests volume loss and a patchy opacity in the right lower lobe has increased and is worrisome for pneumonic consolidation. There is probably also some degree of new opacification in the right middle lobe. A vague opacity is also new in the right suprahilar region in the right upper lobe, potentially an early focus of pneumonia. There is no definite pleural effusion.",There is new mild-to-moderate relative elevation of the right hemidiaphragm which suggests volume loss and a patchy opacity in the right lower lobe has increased and is worrisome for pneumonic consolidation.,elevation,right hemidiaphragm,New,"['files/p19/p19182863/s52786632/36ab86c1-9e24116f-38745149-2b69406f-8aeabb2c.jpg', 'files/p19/p19182863/s52786632/6a7b83c9-7b7c6ba9-09d85de8-a76f1aa7-4fd0e047.jpg']","['files/p19/p19182863/s52415062/47c8159c-71388595-84bf105d-5a7e99e4-077fb801.jpg\n', 'files/p19/p19182863/s52415062/6c1671e0-25c063d0-6c5d5405-880b3eb4-af9a0789.jpg\n']"
s52786632_2,p19182863,s52786632,2,Findings,"The patient is status post sternotomy and both mitral and aortic valve replacements. Moderate cardiomegaly is unchanged. The mediastinal and hilar contours appear stable. There is new mild-to-moderate relative elevation of the right hemidiaphragm which suggests volume loss and a patchy opacity in the right lower lobe has increased and is worrisome for pneumonic consolidation. There is probably also some degree of new opacification in the right middle lobe. A vague opacity is also new in the right suprahilar region in the right upper lobe, potentially an early focus of pneumonia. There is no definite pleural effusion.",Moderate cardiomegaly is unchanged.,cardiomegaly,,Stable,"['files/p19/p19182863/s52786632/36ab86c1-9e24116f-38745149-2b69406f-8aeabb2c.jpg', 'files/p19/p19182863/s52786632/6a7b83c9-7b7c6ba9-09d85de8-a76f1aa7-4fd0e047.jpg']","['files/p19/p19182863/s52415062/47c8159c-71388595-84bf105d-5a7e99e4-077fb801.jpg\n', 'files/p19/p19182863/s52415062/6c1671e0-25c063d0-6c5d5405-880b3eb4-af9a0789.jpg\n']"
s52786632_2,p19182863,s52786632,2,Findings,"The patient is status post sternotomy and both mitral and aortic valve replacements. Moderate cardiomegaly is unchanged. The mediastinal and hilar contours appear stable. There is new mild-to-moderate relative elevation of the right hemidiaphragm which suggests volume loss and a patchy opacity in the right lower lobe has increased and is worrisome for pneumonic consolidation. There is probably also some degree of new opacification in the right middle lobe. A vague opacity is also new in the right suprahilar region in the right upper lobe, potentially an early focus of pneumonia. There is no definite pleural effusion.",There is probably also some degree of new opacification in the right middle lobe.,opacification,right middle lobe,New,"['files/p19/p19182863/s52786632/36ab86c1-9e24116f-38745149-2b69406f-8aeabb2c.jpg', 'files/p19/p19182863/s52786632/6a7b83c9-7b7c6ba9-09d85de8-a76f1aa7-4fd0e047.jpg']","['files/p19/p19182863/s52415062/47c8159c-71388595-84bf105d-5a7e99e4-077fb801.jpg\n', 'files/p19/p19182863/s52415062/6c1671e0-25c063d0-6c5d5405-880b3eb4-af9a0789.jpg\n']"
s52786632_2,p19182863,s52786632,2,Findings,"The patient is status post sternotomy and both mitral and aortic valve replacements. Moderate cardiomegaly is unchanged. The mediastinal and hilar contours appear stable. There is new mild-to-moderate relative elevation of the right hemidiaphragm which suggests volume loss and a patchy opacity in the right lower lobe has increased and is worrisome for pneumonic consolidation. There is probably also some degree of new opacification in the right middle lobe. A vague opacity is also new in the right suprahilar region in the right upper lobe, potentially an early focus of pneumonia. There is no definite pleural effusion.","A vague opacity is also new in the right suprahilar region in the right upper lobe, potentially an early focus of pneumonia.",opacity,right suprahilar region in the right upper lobe,New,"['files/p19/p19182863/s52786632/36ab86c1-9e24116f-38745149-2b69406f-8aeabb2c.jpg', 'files/p19/p19182863/s52786632/6a7b83c9-7b7c6ba9-09d85de8-a76f1aa7-4fd0e047.jpg']","['files/p19/p19182863/s52415062/47c8159c-71388595-84bf105d-5a7e99e4-077fb801.jpg\n', 'files/p19/p19182863/s52415062/6c1671e0-25c063d0-6c5d5405-880b3eb4-af9a0789.jpg\n']"
s52793175_9,p16043637,s52793175,9,Findings,"PA and lateral views of the chest. A left-sided pacemaker is in appropriate position. Sternotomy wires again seen. An aortic valve replacement is again noted. Faint haziness over the lower lung fields bilaterally, likely from patient's body habitus. This is unchanged. There is no new focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are normal.",Sternotomy wires again seen.,Sternotomy wires,,Stable,"['files/p16/p16043637/s52793175/1b3d4f71-68977c5e-a070ff6b-29584c84-b70bf667.jpg', 'files/p16/p16043637/s52793175/b2dc9318-372908d7-5af538be-3b12eac5-7c995a7c.jpg']",['files/p16/p16043637/s52726859/2c8df100-4309e350-7d82cb04-094d8978-ce88debf.jpg\n']
s52793175_9,p16043637,s52793175,9,Findings,"PA and lateral views of the chest. A left-sided pacemaker is in appropriate position. Sternotomy wires again seen. An aortic valve replacement is again noted. Faint haziness over the lower lung fields bilaterally, likely from patient's body habitus. This is unchanged. There is no new focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are normal.",An aortic valve replacement is again noted.,aortic valve replacement,,Stable,"['files/p16/p16043637/s52793175/1b3d4f71-68977c5e-a070ff6b-29584c84-b70bf667.jpg', 'files/p16/p16043637/s52793175/b2dc9318-372908d7-5af538be-3b12eac5-7c995a7c.jpg']",['files/p16/p16043637/s52726859/2c8df100-4309e350-7d82cb04-094d8978-ce88debf.jpg\n']
s52793175_9,p16043637,s52793175,9,Findings,"PA and lateral views of the chest. A left-sided pacemaker is in appropriate position. Sternotomy wires again seen. An aortic valve replacement is again noted. Faint haziness over the lower lung fields bilaterally, likely from patient's body habitus. This is unchanged. There is no new focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are normal.","Faint haziness over the lower lung fields bilaterally, likely from patient's body habitus. This is unchanged.",Faint haziness,lower lung fields bilaterally,Stable,"['files/p16/p16043637/s52793175/1b3d4f71-68977c5e-a070ff6b-29584c84-b70bf667.jpg', 'files/p16/p16043637/s52793175/b2dc9318-372908d7-5af538be-3b12eac5-7c995a7c.jpg']",['files/p16/p16043637/s52726859/2c8df100-4309e350-7d82cb04-094d8978-ce88debf.jpg\n']
s52793175_9,p16043637,s52793175,9,Impression,"No acute cardiopulmonary process, unchanged compared to ___.","No acute cardiopulmonary process, unchanged compared to ___.",acute cardiopulmonary process,,Stable,"['files/p16/p16043637/s52793175/1b3d4f71-68977c5e-a070ff6b-29584c84-b70bf667.jpg', 'files/p16/p16043637/s52793175/b2dc9318-372908d7-5af538be-3b12eac5-7c995a7c.jpg']",['files/p16/p16043637/s52726859/2c8df100-4309e350-7d82cb04-094d8978-ce88debf.jpg\n']
s52796134_6,p16957952,s52796134,6,Findings,"AP and lateral views of the chest. There has been no significant interval change. Diffusely increased interstitial markings are again noted, potentially due to chronic disease. There is no confluent consolidation or effusion. Cardiomediastinal silhouette is stable. Compression deformities in the lumbar spine are again noted.","Diffusely increased interstitial markings are again noted, potentially due to chronic disease.",interstitial markings,,Stable,"['files/p16/p16957952/s52796134/34f9ce43-c6f3b51f-d12a71b8-003727fe-35c85318.jpg', 'files/p16/p16957952/s52796134/4732ed95-933b87bb-7e3ef418-22b2990f-9b0a9efa.jpg']",['files/p16/p16957952/s52543396/f6300671-0644a211-45639c11-c0ef0484-67a8c5c0.jpg\n']
s52796134_6,p16957952,s52796134,6,Findings,"AP and lateral views of the chest. There has been no significant interval change. Diffusely increased interstitial markings are again noted, potentially due to chronic disease. There is no confluent consolidation or effusion. Cardiomediastinal silhouette is stable. Compression deformities in the lumbar spine are again noted.",Compression deformities in the lumbar spine are again noted.,Compression deformities,lumbar spine,Stable,"['files/p16/p16957952/s52796134/34f9ce43-c6f3b51f-d12a71b8-003727fe-35c85318.jpg', 'files/p16/p16957952/s52796134/4732ed95-933b87bb-7e3ef418-22b2990f-9b0a9efa.jpg']",['files/p16/p16957952/s52543396/f6300671-0644a211-45639c11-c0ef0484-67a8c5c0.jpg\n']
s52796134_6,p16957952,s52796134,6,Findings,"AP and lateral views of the chest. There has been no significant interval change. Diffusely increased interstitial markings are again noted, potentially due to chronic disease. There is no confluent consolidation or effusion. Cardiomediastinal silhouette is stable. Compression deformities in the lumbar spine are again noted.",There has been no significant interval change.,,,Stable,"['files/p16/p16957952/s52796134/34f9ce43-c6f3b51f-d12a71b8-003727fe-35c85318.jpg', 'files/p16/p16957952/s52796134/4732ed95-933b87bb-7e3ef418-22b2990f-9b0a9efa.jpg']",['files/p16/p16957952/s52543396/f6300671-0644a211-45639c11-c0ef0484-67a8c5c0.jpg\n']
s52796134_6,p16957952,s52796134,6,Findings,"AP and lateral views of the chest. There has been no significant interval change. Diffusely increased interstitial markings are again noted, potentially due to chronic disease. There is no confluent consolidation or effusion. Cardiomediastinal silhouette is stable. Compression deformities in the lumbar spine are again noted.",Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p16/p16957952/s52796134/34f9ce43-c6f3b51f-d12a71b8-003727fe-35c85318.jpg', 'files/p16/p16957952/s52796134/4732ed95-933b87bb-7e3ef418-22b2990f-9b0a9efa.jpg']",['files/p16/p16957952/s52543396/f6300671-0644a211-45639c11-c0ef0484-67a8c5c0.jpg\n']
s52798218_36,p15259244,s52798218,36,Findings,Frontal images of the chest demonstrate well-expanded lungs which are clear. There is a left-sided pleural effusion. There is no effusion on the right. There is no pneumothorax. Cardiomediastinal silhouette is unremarkable. Sternotomy wires and mitral valve ring again noted. Visualized osseous structures are unremarkable.,Sternotomy wires and mitral valve ring again noted.,Sternotomy wires and mitral valve ring,,Stable,['files/p15/p15259244/s52798218/bc28ea67-0dc950d7-d5c81ea4-c8640ac1-e0a88e8d.jpg'],['files/p15/p15259244/s52794954/52e6e293-df5b1b69-a7d263ca-5400f4b2-f5c41027.jpg\n']
s52802608_0,p11607628,s52802608,0,Impression,1. Endotracheal tube appropriately retracted to 5 cm above the carina. 2. Resolution of pulmonary edema. 3. Stable moderate left greater than right bilateral pleural effusions. 4. Stable mild cardiomegaly.,Stable moderate left greater than right bilateral pleural effusions.,bilateral pleural effusions,left greater than right,Stable,['files/p11/p11607628/s52802608/4785f611-3df41361-06251ad6-a56655b1-6b5a088a.jpg'],"['files/p11/p11607628/s52356321/9c44b35d-68d09c0c-3cfbce66-0341de07-1c0346ee.jpg\n', 'files/p11/p11607628/s52356321/ae7fb131-28d05c98-90cbbc4c-f05c219a-1d0fed84.jpg\n']"
s52802608_0,p11607628,s52802608,0,Impression,1. Endotracheal tube appropriately retracted to 5 cm above the carina. 2. Resolution of pulmonary edema. 3. Stable moderate left greater than right bilateral pleural effusions. 4. Stable mild cardiomegaly.,Stable mild cardiomegaly.,cardiomegaly,,Stable,['files/p11/p11607628/s52802608/4785f611-3df41361-06251ad6-a56655b1-6b5a088a.jpg'],"['files/p11/p11607628/s52356321/9c44b35d-68d09c0c-3cfbce66-0341de07-1c0346ee.jpg\n', 'files/p11/p11607628/s52356321/ae7fb131-28d05c98-90cbbc4c-f05c219a-1d0fed84.jpg\n']"
s52802608_0,p11607628,s52802608,0,Findings,"The endotracheal tube has been retracted to appropriate position approximately 5 cm above the carina. The left IJ central venous line and nasogastric tube are in unchanged and appropriate position. The pulmonary edema has resolved. The moderate, left greater than right bilateral pleural effusions are unchanged. Minimal cardiomegaly also stable. There is no pneumothorax.","The moderate, left greater than right bilateral pleural effusions are unchanged.",bilateral pleural effusions,left greater than right,Stable,['files/p11/p11607628/s52802608/4785f611-3df41361-06251ad6-a56655b1-6b5a088a.jpg'],"['files/p11/p11607628/s52356321/9c44b35d-68d09c0c-3cfbce66-0341de07-1c0346ee.jpg\n', 'files/p11/p11607628/s52356321/ae7fb131-28d05c98-90cbbc4c-f05c219a-1d0fed84.jpg\n']"
s52802608_0,p11607628,s52802608,0,Findings,"The endotracheal tube has been retracted to appropriate position approximately 5 cm above the carina. The left IJ central venous line and nasogastric tube are in unchanged and appropriate position. The pulmonary edema has resolved. The moderate, left greater than right bilateral pleural effusions are unchanged. Minimal cardiomegaly also stable. There is no pneumothorax.",Minimal cardiomegaly also stable.,cardiomegaly,,Stable,['files/p11/p11607628/s52802608/4785f611-3df41361-06251ad6-a56655b1-6b5a088a.jpg'],"['files/p11/p11607628/s52356321/9c44b35d-68d09c0c-3cfbce66-0341de07-1c0346ee.jpg\n', 'files/p11/p11607628/s52356321/ae7fb131-28d05c98-90cbbc4c-f05c219a-1d0fed84.jpg\n']"
s52802608_0,p11607628,s52802608,0,Findings,"The endotracheal tube has been retracted to appropriate position approximately 5 cm above the carina. The left IJ central venous line and nasogastric tube are in unchanged and appropriate position. The pulmonary edema has resolved. The moderate, left greater than right bilateral pleural effusions are unchanged. Minimal cardiomegaly also stable. There is no pneumothorax.",The pulmonary edema has resolved.,pulmonary edema,,Resolve,['files/p11/p11607628/s52802608/4785f611-3df41361-06251ad6-a56655b1-6b5a088a.jpg'],"['files/p11/p11607628/s52356321/9c44b35d-68d09c0c-3cfbce66-0341de07-1c0346ee.jpg\n', 'files/p11/p11607628/s52356321/ae7fb131-28d05c98-90cbbc4c-f05c219a-1d0fed84.jpg\n']"
s52802608_0,p11607628,s52802608,0,Findings,"The endotracheal tube has been retracted to appropriate position approximately 5 cm above the carina. The left IJ central venous line and nasogastric tube are in unchanged and appropriate position. The pulmonary edema has resolved. The moderate, left greater than right bilateral pleural effusions are unchanged. Minimal cardiomegaly also stable. There is no pneumothorax.",The left IJ central venous line and nasogastric tube are in unchanged and appropriate position.,tube,nasogastric,Stable,['files/p11/p11607628/s52802608/4785f611-3df41361-06251ad6-a56655b1-6b5a088a.jpg'],"['files/p11/p11607628/s52356321/9c44b35d-68d09c0c-3cfbce66-0341de07-1c0346ee.jpg\n', 'files/p11/p11607628/s52356321/ae7fb131-28d05c98-90cbbc4c-f05c219a-1d0fed84.jpg\n']"
s52802608_0,p11607628,s52802608,0,Findings,"The endotracheal tube has been retracted to appropriate position approximately 5 cm above the carina. The left IJ central venous line and nasogastric tube are in unchanged and appropriate position. The pulmonary edema has resolved. The moderate, left greater than right bilateral pleural effusions are unchanged. Minimal cardiomegaly also stable. There is no pneumothorax.",The left IJ central venous line and nasogastric tube are in unchanged and appropriate position.,central venous line,left IJ,Stable,['files/p11/p11607628/s52802608/4785f611-3df41361-06251ad6-a56655b1-6b5a088a.jpg'],"['files/p11/p11607628/s52356321/9c44b35d-68d09c0c-3cfbce66-0341de07-1c0346ee.jpg\n', 'files/p11/p11607628/s52356321/ae7fb131-28d05c98-90cbbc4c-f05c219a-1d0fed84.jpg\n']"
s52802608_0,p11607628,s52802608,0,Impression,1. Endotracheal tube appropriately retracted to 5 cm above the carina. 2. Resolution of pulmonary edema. 3. Stable moderate left greater than right bilateral pleural effusions. 4. Stable mild cardiomegaly.,Resolution of pulmonary edema.,pulmonary edema,,Resolve,['files/p11/p11607628/s52802608/4785f611-3df41361-06251ad6-a56655b1-6b5a088a.jpg'],"['files/p11/p11607628/s52356321/9c44b35d-68d09c0c-3cfbce66-0341de07-1c0346ee.jpg\n', 'files/p11/p11607628/s52356321/ae7fb131-28d05c98-90cbbc4c-f05c219a-1d0fed84.jpg\n']"
s52805540_1,p11569093,s52805540,1,Findings,"In comparison with the study of earlier in this date, there is increasing indistinctness of engorged pulmonary vessels, consistent with worsening vascular congestion. Continued elevation of the right hemidiaphragmatic contour. It is unclear whether this represents a subpulmonic effusion or an intrinsic diaphragmatic abnormality or enlarged liver. Left lung is essentially unchanged except for worsening pulmonary vascular congestion.",Left lung is essentially unchanged except for worsening pulmonary vascular congestion.,pulmonary vascular congestion,Left lung,Worse,['files/p11/p11569093/s52805540/ac8eedd7-c5de2735-141b666d-540b2d92-243ec57d.jpg'],['files/p11/p11569093/s52011372/5f961326-0ccce927-f726948a-19e43255-88306b58.jpg\n']
s52805540_1,p11569093,s52805540,1,Findings,"In comparison with the study of earlier in this date, there is increasing indistinctness of engorged pulmonary vessels, consistent with worsening vascular congestion. Continued elevation of the right hemidiaphragmatic contour. It is unclear whether this represents a subpulmonic effusion or an intrinsic diaphragmatic abnormality or enlarged liver. Left lung is essentially unchanged except for worsening pulmonary vascular congestion.",Continued elevation of the right hemidiaphragmatic contour.,elevation,right hemidiaphragmatic contour,Stable,['files/p11/p11569093/s52805540/ac8eedd7-c5de2735-141b666d-540b2d92-243ec57d.jpg'],['files/p11/p11569093/s52011372/5f961326-0ccce927-f726948a-19e43255-88306b58.jpg\n']
s52805540_1,p11569093,s52805540,1,Findings,"In comparison with the study of earlier in this date, there is increasing indistinctness of engorged pulmonary vessels, consistent with worsening vascular congestion. Continued elevation of the right hemidiaphragmatic contour. It is unclear whether this represents a subpulmonic effusion or an intrinsic diaphragmatic abnormality or enlarged liver. Left lung is essentially unchanged except for worsening pulmonary vascular congestion.","In comparison with the study of earlier in this date, there is increasing indistinctness of engorged pulmonary vessels, consistent with worsening vascular congestion.",vascular congestion,pulmonary vessels,Worse,['files/p11/p11569093/s52805540/ac8eedd7-c5de2735-141b666d-540b2d92-243ec57d.jpg'],['files/p11/p11569093/s52011372/5f961326-0ccce927-f726948a-19e43255-88306b58.jpg\n']
s52810254_0,p14556809,s52810254,0,Findings,"Single lead pacing hardware is in similar position. Elevation of the right hemidiaphragm is again noted. Linear opacity projecting over the right mid lung likely represents atelectasis. No focal consolidation, pleural effusion, or pneumothorax is seen. The heart size is mildly enlarged.",Single lead pacing hardware is in similar position.,Single lead pacing hardware,,Stable,"['files/p14/p14556809/s52810254/3555a31b-7de6859b-3d2e1279-2c0be9b8-f1030977.jpg', 'files/p14/p14556809/s52810254/4ad53a55-132d3197-10100b09-48d1f2ba-43059e75.jpg']",['files/p14/p14556809/s52736852/2dfbf7e0-85ed2f34-4c60e220-a5f1fa98-464b3ce2.jpg\n']
s52816124_5,p17669276,s52816124,5,Findings,"Frontal and lateral views of the chest were provided. Midline sternotomy wires are again noted. The heart is poorly assessed, though remains enlarged. There are at least small bilateral pleural effusions. There may be mild interstitial edema. No pneumothorax. Bony structures are demineralized with kyphotic angulation in the lower T-spine again noted.","The heart is poorly assessed, though remains enlarged.",enlarged heart,,Stable,"['files/p17/p17669276/s52816124/107bf819-bd17b10b-9fa1cd26-692e07cc-b408328a.jpg', 'files/p17/p17669276/s52816124/a044ddbb-f45fc0ce-2f0a6955-8242603e-184c26b0.jpg']",['files/p17/p17669276/s52198118/cefdaf4b-0a87c4c2-7ab7899a-6c885be5-80d5be19.jpg\n']
s52816124_5,p17669276,s52816124,5,Findings,"Frontal and lateral views of the chest were provided. Midline sternotomy wires are again noted. The heart is poorly assessed, though remains enlarged. There are at least small bilateral pleural effusions. There may be mild interstitial edema. No pneumothorax. Bony structures are demineralized with kyphotic angulation in the lower T-spine again noted.",Midline sternotomy wires are again noted.,sternotomy wires,Midline,Stable,"['files/p17/p17669276/s52816124/107bf819-bd17b10b-9fa1cd26-692e07cc-b408328a.jpg', 'files/p17/p17669276/s52816124/a044ddbb-f45fc0ce-2f0a6955-8242603e-184c26b0.jpg']",['files/p17/p17669276/s52198118/cefdaf4b-0a87c4c2-7ab7899a-6c885be5-80d5be19.jpg\n']
s52816124_5,p17669276,s52816124,5,Findings,"Frontal and lateral views of the chest were provided. Midline sternotomy wires are again noted. The heart is poorly assessed, though remains enlarged. There are at least small bilateral pleural effusions. There may be mild interstitial edema. No pneumothorax. Bony structures are demineralized with kyphotic angulation in the lower T-spine again noted.",Bony structures are demineralized with kyphotic angulation in the lower T-spine again noted.,kyphotic angulation,lower T-spine,Stable,"['files/p17/p17669276/s52816124/107bf819-bd17b10b-9fa1cd26-692e07cc-b408328a.jpg', 'files/p17/p17669276/s52816124/a044ddbb-f45fc0ce-2f0a6955-8242603e-184c26b0.jpg']",['files/p17/p17669276/s52198118/cefdaf4b-0a87c4c2-7ab7899a-6c885be5-80d5be19.jpg\n']
s52818853_1,p11213613,s52818853,1,Impression,"Stable radiographic appearance of the chest with upper lobe predominant emphysema. No evidence of pneumonia. If symptoms persist, consider a chest CT for more complete evaluation if warranted clinically.",Stable radiographic appearance of the chest with upper lobe predominant emphysema.,radiographic appearance,chest,Stable,"['files/p11/p11213613/s52818853/60b7b7e2-29b9d91d-f3fd7cd8-8eca0ccf-2ac86d24.jpg', 'files/p11/p11213613/s52818853/d95a8c9f-246f76d3-79c2407e-36d90a8c-83724850.jpg']",['files/p11/p11213613/s52190468/70cdba5b-2e0ec97d-779d4d58-23a484e4-02ec1b1c.jpg\n']
s52818853_1,p11213613,s52818853,1,Findings,"Heart size is normal when allowances are made for prominent bilateral pericardial fat pads, shown to better detail on CT abdomen of ___. Mediastinal and hilar contours are within normal limits and without change. Lungs are remarkable for upper lobe predominant emphysema, more severe in the right upper lobe than the left. No new focal lung abnormalities were detected, and there are no pleural effusions. Mild compression deformity in the mid thoracic spine is unchanged.",Mild compression deformity in the mid thoracic spine is unchanged.,compression deformity,mid thoracic spine,Stable,"['files/p11/p11213613/s52818853/60b7b7e2-29b9d91d-f3fd7cd8-8eca0ccf-2ac86d24.jpg', 'files/p11/p11213613/s52818853/d95a8c9f-246f76d3-79c2407e-36d90a8c-83724850.jpg']",['files/p11/p11213613/s52190468/70cdba5b-2e0ec97d-779d4d58-23a484e4-02ec1b1c.jpg\n']
s52818853_1,p11213613,s52818853,1,Findings,"Heart size is normal when allowances are made for prominent bilateral pericardial fat pads, shown to better detail on CT abdomen of ___. Mediastinal and hilar contours are within normal limits and without change. Lungs are remarkable for upper lobe predominant emphysema, more severe in the right upper lobe than the left. No new focal lung abnormalities were detected, and there are no pleural effusions. Mild compression deformity in the mid thoracic spine is unchanged.",Mediastinal and hilar contours are within normal limits and without change.,,Mediastinal and hilar contours,Stable,"['files/p11/p11213613/s52818853/60b7b7e2-29b9d91d-f3fd7cd8-8eca0ccf-2ac86d24.jpg', 'files/p11/p11213613/s52818853/d95a8c9f-246f76d3-79c2407e-36d90a8c-83724850.jpg']",['files/p11/p11213613/s52190468/70cdba5b-2e0ec97d-779d4d58-23a484e4-02ec1b1c.jpg\n']
s52819811_11,p16826047,s52819811,11,Findings,A portable AP radiograph of the chest demonstrates resolution of the small right-sided pneumothorax. There is a small layering right-sided pleural effusion which is similar in size to the prior study. The chest tube is unchanged. A small amount of subcutaneous emphysema on the right is unchanged. There is no left-sided effusion or pneumothorax. Severe cardiomegaly is unchanged. The hilar and mediastinal contours are normal. There is very mild interstitial pulmonary edema which is slightly decreased from yesterday.,A portable AP radiograph of the chest demonstrates resolution of the small right-sided pneumothorax,pneumothorax,right-sided,Resolve,['files/p16/p16826047/s52819811/4f49b2cf-afac9d76-538a44c3-0d040070-15d0571b.jpg'],['files/p16/p16826047/s52602627/543b4069-deab8e00-eacd542d-26643f2e-557d2591.jpg\n']
s52819811_11,p16826047,s52819811,11,Impression,1. Small right pneumothorax has resolved. 2. Small right pleural effusion is stable. 3. Mild interstitial pulmonary edema has minimally improved.,3. Mild interstitial pulmonary edema has minimally improved,interstitial pulmonary edema,,Better,['files/p16/p16826047/s52819811/4f49b2cf-afac9d76-538a44c3-0d040070-15d0571b.jpg'],['files/p16/p16826047/s52602627/543b4069-deab8e00-eacd542d-26643f2e-557d2591.jpg\n']
s52819811_11,p16826047,s52819811,11,Impression,1. Small right pneumothorax has resolved. 2. Small right pleural effusion is stable. 3. Mild interstitial pulmonary edema has minimally improved.,1. Small right pneumothorax has resolved,pneumothorax,right,Resolve,['files/p16/p16826047/s52819811/4f49b2cf-afac9d76-538a44c3-0d040070-15d0571b.jpg'],['files/p16/p16826047/s52602627/543b4069-deab8e00-eacd542d-26643f2e-557d2591.jpg\n']
s52819811_11,p16826047,s52819811,11,Findings,A portable AP radiograph of the chest demonstrates resolution of the small right-sided pneumothorax. There is a small layering right-sided pleural effusion which is similar in size to the prior study. The chest tube is unchanged. A small amount of subcutaneous emphysema on the right is unchanged. There is no left-sided effusion or pneumothorax. Severe cardiomegaly is unchanged. The hilar and mediastinal contours are normal. There is very mild interstitial pulmonary edema which is slightly decreased from yesterday.,There is very mild interstitial pulmonary edema which is slightly decreased from yesterday,interstitial pulmonary edema,,Better,['files/p16/p16826047/s52819811/4f49b2cf-afac9d76-538a44c3-0d040070-15d0571b.jpg'],['files/p16/p16826047/s52602627/543b4069-deab8e00-eacd542d-26643f2e-557d2591.jpg\n']
s52819811_11,p16826047,s52819811,11,Findings,A portable AP radiograph of the chest demonstrates resolution of the small right-sided pneumothorax. There is a small layering right-sided pleural effusion which is similar in size to the prior study. The chest tube is unchanged. A small amount of subcutaneous emphysema on the right is unchanged. There is no left-sided effusion or pneumothorax. Severe cardiomegaly is unchanged. The hilar and mediastinal contours are normal. There is very mild interstitial pulmonary edema which is slightly decreased from yesterday.,Severe cardiomegaly is unchanged,cardiomegaly,,Stable,['files/p16/p16826047/s52819811/4f49b2cf-afac9d76-538a44c3-0d040070-15d0571b.jpg'],['files/p16/p16826047/s52602627/543b4069-deab8e00-eacd542d-26643f2e-557d2591.jpg\n']
s52819811_11,p16826047,s52819811,11,Findings,A portable AP radiograph of the chest demonstrates resolution of the small right-sided pneumothorax. There is a small layering right-sided pleural effusion which is similar in size to the prior study. The chest tube is unchanged. A small amount of subcutaneous emphysema on the right is unchanged. There is no left-sided effusion or pneumothorax. Severe cardiomegaly is unchanged. The hilar and mediastinal contours are normal. There is very mild interstitial pulmonary edema which is slightly decreased from yesterday.,A small amount of subcutaneous emphysema on the right is unchanged,subcutaneous emphysema,right,Stable,['files/p16/p16826047/s52819811/4f49b2cf-afac9d76-538a44c3-0d040070-15d0571b.jpg'],['files/p16/p16826047/s52602627/543b4069-deab8e00-eacd542d-26643f2e-557d2591.jpg\n']
s52819811_11,p16826047,s52819811,11,Findings,A portable AP radiograph of the chest demonstrates resolution of the small right-sided pneumothorax. There is a small layering right-sided pleural effusion which is similar in size to the prior study. The chest tube is unchanged. A small amount of subcutaneous emphysema on the right is unchanged. There is no left-sided effusion or pneumothorax. Severe cardiomegaly is unchanged. The hilar and mediastinal contours are normal. There is very mild interstitial pulmonary edema which is slightly decreased from yesterday.,The chest tube is unchanged,chest tube,,Stable,['files/p16/p16826047/s52819811/4f49b2cf-afac9d76-538a44c3-0d040070-15d0571b.jpg'],['files/p16/p16826047/s52602627/543b4069-deab8e00-eacd542d-26643f2e-557d2591.jpg\n']
s52819811_11,p16826047,s52819811,11,Findings,A portable AP radiograph of the chest demonstrates resolution of the small right-sided pneumothorax. There is a small layering right-sided pleural effusion which is similar in size to the prior study. The chest tube is unchanged. A small amount of subcutaneous emphysema on the right is unchanged. There is no left-sided effusion or pneumothorax. Severe cardiomegaly is unchanged. The hilar and mediastinal contours are normal. There is very mild interstitial pulmonary edema which is slightly decreased from yesterday.,There is a small layering right-sided pleural effusion which is similar in size to the prior study,pleural effusion,right-sided,Stable,['files/p16/p16826047/s52819811/4f49b2cf-afac9d76-538a44c3-0d040070-15d0571b.jpg'],['files/p16/p16826047/s52602627/543b4069-deab8e00-eacd542d-26643f2e-557d2591.jpg\n']
s52819811_11,p16826047,s52819811,11,Impression,1. Small right pneumothorax has resolved. 2. Small right pleural effusion is stable. 3. Mild interstitial pulmonary edema has minimally improved.,2. Small right pleural effusion is stable,pleural effusion,right,Stable,['files/p16/p16826047/s52819811/4f49b2cf-afac9d76-538a44c3-0d040070-15d0571b.jpg'],['files/p16/p16826047/s52602627/543b4069-deab8e00-eacd542d-26643f2e-557d2591.jpg\n']
s52824127_5,p15259244,s52824127,5,Impression,"AP chest compared to ___ through ___, 1:17 p.m.: Moderately severe pulmonary edema has not worsened since earlier in the day, though moderate right and small left pleural effusions have increased. Moderate cardiomegaly has remained stable over the past several days, but has progressed substantially since ___ and could be due to cardiomegaly and/or pericardial effusion. Dual-channel catheter, presumably for hemodialysis ends in the right atrium. No pneumothorax.","AP chest compared to ___ through ___, 1:17 p.m.: Moderately severe pulmonary edema has not worsened since earlier in the day, though moderate right and small left pleural effusions have increased.",small pleural effusion,left,Worse,['files/p15/p15259244/s52824127/8312c3a4-f0043050-3db9e48c-8b180ed0-faf4d335.jpg'],['files/p15/p15259244/s52798218/bc28ea67-0dc950d7-d5c81ea4-c8640ac1-e0a88e8d.jpg\n']
s52824127_5,p15259244,s52824127,5,Impression,"AP chest compared to ___ through ___, 1:17 p.m.: Moderately severe pulmonary edema has not worsened since earlier in the day, though moderate right and small left pleural effusions have increased. Moderate cardiomegaly has remained stable over the past several days, but has progressed substantially since ___ and could be due to cardiomegaly and/or pericardial effusion. Dual-channel catheter, presumably for hemodialysis ends in the right atrium. No pneumothorax.","AP chest compared to ___ through ___, 1:17 p.m.: Moderately severe pulmonary edema has not worsened since earlier in the day, though moderate right and small left pleural effusions have increased.",Moderately severe pulmonary edema,,Stable,['files/p15/p15259244/s52824127/8312c3a4-f0043050-3db9e48c-8b180ed0-faf4d335.jpg'],['files/p15/p15259244/s52798218/bc28ea67-0dc950d7-d5c81ea4-c8640ac1-e0a88e8d.jpg\n']
s52824127_5,p15259244,s52824127,5,Impression,"AP chest compared to ___ through ___, 1:17 p.m.: Moderately severe pulmonary edema has not worsened since earlier in the day, though moderate right and small left pleural effusions have increased. Moderate cardiomegaly has remained stable over the past several days, but has progressed substantially since ___ and could be due to cardiomegaly and/or pericardial effusion. Dual-channel catheter, presumably for hemodialysis ends in the right atrium. No pneumothorax.","Moderate cardiomegaly has remained stable over the past several days, but has progressed substantially since ___ and could be due to cardiomegaly and/or pericardial effusion.",Moderate cardiomegaly,,Stable,['files/p15/p15259244/s52824127/8312c3a4-f0043050-3db9e48c-8b180ed0-faf4d335.jpg'],['files/p15/p15259244/s52798218/bc28ea67-0dc950d7-d5c81ea4-c8640ac1-e0a88e8d.jpg\n']
s52824127_5,p15259244,s52824127,5,Impression,"AP chest compared to ___ through ___, 1:17 p.m.: Moderately severe pulmonary edema has not worsened since earlier in the day, though moderate right and small left pleural effusions have increased. Moderate cardiomegaly has remained stable over the past several days, but has progressed substantially since ___ and could be due to cardiomegaly and/or pericardial effusion. Dual-channel catheter, presumably for hemodialysis ends in the right atrium. No pneumothorax.","AP chest compared to ___ through ___, 1:17 p.m.: Moderately severe pulmonary edema has not worsened since earlier in the day, though moderate right and small left pleural effusions have increased.",moderate pleural effusion,right,Worse,['files/p15/p15259244/s52824127/8312c3a4-f0043050-3db9e48c-8b180ed0-faf4d335.jpg'],['files/p15/p15259244/s52798218/bc28ea67-0dc950d7-d5c81ea4-c8640ac1-e0a88e8d.jpg\n']
s52824884_11,p10402372,s52824884,11,Impression,"AP chest compared to ___: Bronchial wall thickening or peribronchial infiltration in the lower lungs where most pronounced bronchiectasis is have worsened since ___ consistent either with a flare of bronchiectasis or development of peribronchial pneumonia. Heart size is normal. There is no pleural effusion, no pneumothorax. Feeding tube ends in the upper stomach.",AP chest compared to ___: Bronchial wall thickening or peribronchial infiltration in the lower lungs where most pronounced bronchiectasis is have worsened since ___ consistent either with a flare of bronchiectasis or development of peribronchial pneumonia.,bronchial wall thickening or peribronchial infiltration,lower lungs,Worse,['files/p10/p10402372/s52824884/1bfd4f62-e1254bfb-54b0a6ac-29453546-2c0e7100.jpg'],['files/p10/p10402372/s52470229/91957a55-d594678a-9799fb94-c27276d6-17ecf65f.jpg\n']
s52831202_4,p10439781,s52831202,4,Findings,"In comparison with the study of ___, there is little overall change. Again there is substantial cardiomegaly with bilateral opacifications that most likely represent pulmonary edema. More focal opacification at the right base medially could represent a developing consolidation.","In comparison with the study of ___, there is little overall change. Again there is substantial cardiomegaly with bilateral opacifications that most likely represent pulmonary edema. More focal opacification at the right base medially could represent a developing consolidation.",cardiomegaly,bilateral,Stable,['files/p10/p10439781/s52831202/d43639b5-bec0c47c-8415bea0-3a2f74e5-627c89d4.jpg'],"['files/p10/p10439781/s52737492/d7aa2bc3-c5a89fbe-b2bb2639-e86d470f-036506f5.jpg\n', 'files/p10/p10439781/s52737492/da9141f6-6ff1eb67-eb4df992-68b342ae-4a15b62d.jpg\n', 'files/p10/p10439781/s52737492/eae4f18b-52b36d2b-1d522da3-36dfb123-0de8cd13.jpg\n']"
s52831202_4,p10439781,s52831202,4,Findings,"In comparison with the study of ___, there is little overall change. Again there is substantial cardiomegaly with bilateral opacifications that most likely represent pulmonary edema. More focal opacification at the right base medially could represent a developing consolidation.","In comparison with the study of ___, there is little overall change. Again there is substantial cardiomegaly with bilateral opacifications that most likely represent pulmonary edema. More focal opacification at the right base medially could represent a developing consolidation.",opacifications,bilateral,Stable,['files/p10/p10439781/s52831202/d43639b5-bec0c47c-8415bea0-3a2f74e5-627c89d4.jpg'],"['files/p10/p10439781/s52737492/d7aa2bc3-c5a89fbe-b2bb2639-e86d470f-036506f5.jpg\n', 'files/p10/p10439781/s52737492/da9141f6-6ff1eb67-eb4df992-68b342ae-4a15b62d.jpg\n', 'files/p10/p10439781/s52737492/eae4f18b-52b36d2b-1d522da3-36dfb123-0de8cd13.jpg\n']"
s52833948_11,p11293517,s52833948,11,Findings,"Frontal and lateral views of the chest were obtained. Lung volumes are slightly less as compared to the prior study. Again, there is enlargement of the cardiomediastinal silhouette which is slightly more prominent as compared to the prior study, which may be due to AP techique and lower lung volumes. Left-sided pacer device is stable. Right-sided abandoned leads are also unchanged. There is mild pulmonary vascular congestion. No definite focal consolidation is seen. There is no pleural effusion or evidence of pneumothorax.",Lung volumes are slightly less as compared to the prior study.,Lung volumes,,Worse,"['files/p11/p11293517/s52833948/6f5a78a6-606c4fec-8ff6aaa9-b8ebe20c-88539ae6.jpg', 'files/p11/p11293517/s52833948/9365d3c7-5515995a-9a60e2d0-7c14ad59-92f8c798.jpg', 'files/p11/p11293517/s52833948/dc73974f-cdb6bfcc-9fb5e92d-570aa4e7-1766c9ae.jpg']","['files/p11/p11293517/s51788928/4f69d69a-0a777d03-41d5250c-ecbbd9a2-72febcb8.jpg\n', 'files/p11/p11293517/s51788928/59f06e1a-879fbbf1-4152f12d-76118d0d-5477e420.jpg\n', 'files/p11/p11293517/s51788928/d488ce83-528fa722-abe67b2b-ef58f254-0d7db9b2.jpg\n']"
s52833948_11,p11293517,s52833948,11,Findings,"Frontal and lateral views of the chest were obtained. Lung volumes are slightly less as compared to the prior study. Again, there is enlargement of the cardiomediastinal silhouette which is slightly more prominent as compared to the prior study, which may be due to AP techique and lower lung volumes. Left-sided pacer device is stable. Right-sided abandoned leads are also unchanged. There is mild pulmonary vascular congestion. No definite focal consolidation is seen. There is no pleural effusion or evidence of pneumothorax.","Again, there is enlargement of the cardiomediastinal silhouette which is slightly more prominent as compared to the prior study, which may be due to AP techique and lower lung volumes.",enlargement,cardiomediastinal,Worse,"['files/p11/p11293517/s52833948/6f5a78a6-606c4fec-8ff6aaa9-b8ebe20c-88539ae6.jpg', 'files/p11/p11293517/s52833948/9365d3c7-5515995a-9a60e2d0-7c14ad59-92f8c798.jpg', 'files/p11/p11293517/s52833948/dc73974f-cdb6bfcc-9fb5e92d-570aa4e7-1766c9ae.jpg']","['files/p11/p11293517/s51788928/4f69d69a-0a777d03-41d5250c-ecbbd9a2-72febcb8.jpg\n', 'files/p11/p11293517/s51788928/59f06e1a-879fbbf1-4152f12d-76118d0d-5477e420.jpg\n', 'files/p11/p11293517/s51788928/d488ce83-528fa722-abe67b2b-ef58f254-0d7db9b2.jpg\n']"
s52833948_11,p11293517,s52833948,11,Findings,"Frontal and lateral views of the chest were obtained. Lung volumes are slightly less as compared to the prior study. Again, there is enlargement of the cardiomediastinal silhouette which is slightly more prominent as compared to the prior study, which may be due to AP techique and lower lung volumes. Left-sided pacer device is stable. Right-sided abandoned leads are also unchanged. There is mild pulmonary vascular congestion. No definite focal consolidation is seen. There is no pleural effusion or evidence of pneumothorax.",Left-sided pacer device is stable.,pacer device,left-sided,Stable,"['files/p11/p11293517/s52833948/6f5a78a6-606c4fec-8ff6aaa9-b8ebe20c-88539ae6.jpg', 'files/p11/p11293517/s52833948/9365d3c7-5515995a-9a60e2d0-7c14ad59-92f8c798.jpg', 'files/p11/p11293517/s52833948/dc73974f-cdb6bfcc-9fb5e92d-570aa4e7-1766c9ae.jpg']","['files/p11/p11293517/s51788928/4f69d69a-0a777d03-41d5250c-ecbbd9a2-72febcb8.jpg\n', 'files/p11/p11293517/s51788928/59f06e1a-879fbbf1-4152f12d-76118d0d-5477e420.jpg\n', 'files/p11/p11293517/s51788928/d488ce83-528fa722-abe67b2b-ef58f254-0d7db9b2.jpg\n']"
s52833948_11,p11293517,s52833948,11,Findings,"Frontal and lateral views of the chest were obtained. Lung volumes are slightly less as compared to the prior study. Again, there is enlargement of the cardiomediastinal silhouette which is slightly more prominent as compared to the prior study, which may be due to AP techique and lower lung volumes. Left-sided pacer device is stable. Right-sided abandoned leads are also unchanged. There is mild pulmonary vascular congestion. No definite focal consolidation is seen. There is no pleural effusion or evidence of pneumothorax.",Right-sided abandoned leads are also unchanged.,abandoned leads,right-sided,Stable,"['files/p11/p11293517/s52833948/6f5a78a6-606c4fec-8ff6aaa9-b8ebe20c-88539ae6.jpg', 'files/p11/p11293517/s52833948/9365d3c7-5515995a-9a60e2d0-7c14ad59-92f8c798.jpg', 'files/p11/p11293517/s52833948/dc73974f-cdb6bfcc-9fb5e92d-570aa4e7-1766c9ae.jpg']","['files/p11/p11293517/s51788928/4f69d69a-0a777d03-41d5250c-ecbbd9a2-72febcb8.jpg\n', 'files/p11/p11293517/s51788928/59f06e1a-879fbbf1-4152f12d-76118d0d-5477e420.jpg\n', 'files/p11/p11293517/s51788928/d488ce83-528fa722-abe67b2b-ef58f254-0d7db9b2.jpg\n']"
s52835225_0,p10183775,s52835225,0,Impression,"1. Status post median sternotomy for CABG with stable cardiac enlargement and calcification of the aorta consistent with atherosclerosis. Relatively lower lung volumes with no focal airspace consolidation appreciated. Crowding of the pulmonary vasculature with possible minimal perihilar edema, but no overt pulmonary edema. No pleural effusions or pneumothoraces.",1. Status post median sternotomy for CABG with stable cardiac enlargement and calcification of the aorta consistent with atherosclerosis.,enlargement,cardiac,Stable,['files/p10/p10183775/s52835225/7f6d7289-9941e757-2663be13-0dde50f8-5d2670aa.jpg'],
s52837403_1,p10449297,s52837403,1,Findings,"AP upright and lateral views of the chest were obtained. Elevated right hemidiaphragm is again noted. Mild cardiomegaly is also stable. There is no focal consolidation, effusion, or overt signs of CHF. Mediastinal contour is stable. Bony structures are intact. A mild scoliosis is again noted with a superior end plate compression deformity at the thoracolumbar junction.",Elevated right hemidiaphragm is again noted.,hemidiaphragm elevation,right,Worse,"['files/p10/p10449297/s52837403/609ca0e0-3dcbf65f-38322c64-03e4fea0-3faa3a90.jpg', 'files/p10/p10449297/s52837403/ca9c23fa-7ce50ff3-f17c9e8e-6e334bd7-76fea55e.jpg']",
s52837403_1,p10449297,s52837403,1,Findings,"AP upright and lateral views of the chest were obtained. Elevated right hemidiaphragm is again noted. Mild cardiomegaly is also stable. There is no focal consolidation, effusion, or overt signs of CHF. Mediastinal contour is stable. Bony structures are intact. A mild scoliosis is again noted with a superior end plate compression deformity at the thoracolumbar junction.",A mild scoliosis is again noted with a superior end plate compression deformity at the thoracolumbar junction.,mild scoliosis with superior end plate compression deformity,thoracolumbar junction,Worse,"['files/p10/p10449297/s52837403/609ca0e0-3dcbf65f-38322c64-03e4fea0-3faa3a90.jpg', 'files/p10/p10449297/s52837403/ca9c23fa-7ce50ff3-f17c9e8e-6e334bd7-76fea55e.jpg']",
s52837403_1,p10449297,s52837403,1,Findings,"AP upright and lateral views of the chest were obtained. Elevated right hemidiaphragm is again noted. Mild cardiomegaly is also stable. There is no focal consolidation, effusion, or overt signs of CHF. Mediastinal contour is stable. Bony structures are intact. A mild scoliosis is again noted with a superior end plate compression deformity at the thoracolumbar junction.",Mild cardiomegaly is also stable.,Mild cardiomegaly,,Stable,"['files/p10/p10449297/s52837403/609ca0e0-3dcbf65f-38322c64-03e4fea0-3faa3a90.jpg', 'files/p10/p10449297/s52837403/ca9c23fa-7ce50ff3-f17c9e8e-6e334bd7-76fea55e.jpg']",
s52837403_1,p10449297,s52837403,1,Findings,"AP upright and lateral views of the chest were obtained. Elevated right hemidiaphragm is again noted. Mild cardiomegaly is also stable. There is no focal consolidation, effusion, or overt signs of CHF. Mediastinal contour is stable. Bony structures are intact. A mild scoliosis is again noted with a superior end plate compression deformity at the thoracolumbar junction.",Mediastinal contour is stable.,Mediastinal contour,,Stable,"['files/p10/p10449297/s52837403/609ca0e0-3dcbf65f-38322c64-03e4fea0-3faa3a90.jpg', 'files/p10/p10449297/s52837403/ca9c23fa-7ce50ff3-f17c9e8e-6e334bd7-76fea55e.jpg']",
s52841174_9,p17669276,s52841174,9,Impression,"Mild interstitial edema, stable cardiomegaly with small bilateral effusions.","Mild interstitial edema, stable cardiomegaly with small bilateral effusions.",small bilateral effusions,,Stable,"['files/p17/p17669276/s52841174/4eab5702-5e51a961-a59e4e84-b5aa758f-4e367b89.jpg', 'files/p17/p17669276/s52841174/5498ebad-1de79102-660933b2-1ccb95d8-318211a8.jpg']","['files/p17/p17669276/s52816124/107bf819-bd17b10b-9fa1cd26-692e07cc-b408328a.jpg\n', 'files/p17/p17669276/s52816124/a044ddbb-f45fc0ce-2f0a6955-8242603e-184c26b0.jpg\n']"
s52841174_9,p17669276,s52841174,9,Findings,"AP upright and lateral views of the chest were provided. Midline sternotomy wires are again noted. Patient is rotated somewhat limiting the evaluation of the cardiomediastinal silhouette, though cardiomediastinal silhouette appears grossly stable. There are small layering bilateral effusions with mild interstitial edema. Overall, there has been no significant change from prior study. Bony structures are intact.",Midline sternotomy wires are again noted.,sternotomy wires,Midline,Stable,"['files/p17/p17669276/s52841174/4eab5702-5e51a961-a59e4e84-b5aa758f-4e367b89.jpg', 'files/p17/p17669276/s52841174/5498ebad-1de79102-660933b2-1ccb95d8-318211a8.jpg']","['files/p17/p17669276/s52816124/107bf819-bd17b10b-9fa1cd26-692e07cc-b408328a.jpg\n', 'files/p17/p17669276/s52816124/a044ddbb-f45fc0ce-2f0a6955-8242603e-184c26b0.jpg\n']"
s52841174_9,p17669276,s52841174,9,Impression,"Mild interstitial edema, stable cardiomegaly with small bilateral effusions.","Mild interstitial edema, stable cardiomegaly with small bilateral effusions.",mild interstitial edema,,Stable,"['files/p17/p17669276/s52841174/4eab5702-5e51a961-a59e4e84-b5aa758f-4e367b89.jpg', 'files/p17/p17669276/s52841174/5498ebad-1de79102-660933b2-1ccb95d8-318211a8.jpg']","['files/p17/p17669276/s52816124/107bf819-bd17b10b-9fa1cd26-692e07cc-b408328a.jpg\n', 'files/p17/p17669276/s52816124/a044ddbb-f45fc0ce-2f0a6955-8242603e-184c26b0.jpg\n']"
s52841174_9,p17669276,s52841174,9,Findings,"AP upright and lateral views of the chest were provided. Midline sternotomy wires are again noted. Patient is rotated somewhat limiting the evaluation of the cardiomediastinal silhouette, though cardiomediastinal silhouette appears grossly stable. There are small layering bilateral effusions with mild interstitial edema. Overall, there has been no significant change from prior study. Bony structures are intact.","Overall, there has been no significant change from prior study.",overall findings,,Stable,"['files/p17/p17669276/s52841174/4eab5702-5e51a961-a59e4e84-b5aa758f-4e367b89.jpg', 'files/p17/p17669276/s52841174/5498ebad-1de79102-660933b2-1ccb95d8-318211a8.jpg']","['files/p17/p17669276/s52816124/107bf819-bd17b10b-9fa1cd26-692e07cc-b408328a.jpg\n', 'files/p17/p17669276/s52816124/a044ddbb-f45fc0ce-2f0a6955-8242603e-184c26b0.jpg\n']"
s52841174_9,p17669276,s52841174,9,Impression,"Mild interstitial edema, stable cardiomegaly with small bilateral effusions.","Mild interstitial edema, stable cardiomegaly with small bilateral effusions.",cardiomegaly,,Stable,"['files/p17/p17669276/s52841174/4eab5702-5e51a961-a59e4e84-b5aa758f-4e367b89.jpg', 'files/p17/p17669276/s52841174/5498ebad-1de79102-660933b2-1ccb95d8-318211a8.jpg']","['files/p17/p17669276/s52816124/107bf819-bd17b10b-9fa1cd26-692e07cc-b408328a.jpg\n', 'files/p17/p17669276/s52816124/a044ddbb-f45fc0ce-2f0a6955-8242603e-184c26b0.jpg\n']"
s52841174_9,p17669276,s52841174,9,Findings,"AP upright and lateral views of the chest were provided. Midline sternotomy wires are again noted. Patient is rotated somewhat limiting the evaluation of the cardiomediastinal silhouette, though cardiomediastinal silhouette appears grossly stable. There are small layering bilateral effusions with mild interstitial edema. Overall, there has been no significant change from prior study. Bony structures are intact.","Patient is rotated somewhat limiting the evaluation of the cardiomediastinal silhouette, though cardiomediastinal silhouette appears grossly stable.",cardiomediastinal silhouette,,Stable,"['files/p17/p17669276/s52841174/4eab5702-5e51a961-a59e4e84-b5aa758f-4e367b89.jpg', 'files/p17/p17669276/s52841174/5498ebad-1de79102-660933b2-1ccb95d8-318211a8.jpg']","['files/p17/p17669276/s52816124/107bf819-bd17b10b-9fa1cd26-692e07cc-b408328a.jpg\n', 'files/p17/p17669276/s52816124/a044ddbb-f45fc0ce-2f0a6955-8242603e-184c26b0.jpg\n']"
s52842984_3,p11204646,s52842984,3,Findings,"Right internal jugular line ends at lower SVC whereas the dialysis catheter through the left subclavian approach ends at mid SVC. Moderate right pleural effusion and bilateral lower lung atelectasis are unchanged. Mild pulmonary vascular congestion is stable. Enlarged heart size, mediastinal and hilar contours are unchanged. No pneumothorax.",Mild pulmonary vascular congestion is stable.,mild pulmonary vascular congestion,,Stable,['files/p11/p11204646/s52842984/799b532b-5d5f4a41-fe352b84-83e78fa1-73e7b283.jpg'],['files/p11/p11204646/s52157373/9f006813-48c1cfef-f8053cc6-7cf6f90b-b38379a0.jpg\n']
s52842984_3,p11204646,s52842984,3,Findings,"Right internal jugular line ends at lower SVC whereas the dialysis catheter through the left subclavian approach ends at mid SVC. Moderate right pleural effusion and bilateral lower lung atelectasis are unchanged. Mild pulmonary vascular congestion is stable. Enlarged heart size, mediastinal and hilar contours are unchanged. No pneumothorax.",Moderate right pleural effusion and bilateral lower lung atelectasis are unchanged.,pleural effusion,right,Stable,['files/p11/p11204646/s52842984/799b532b-5d5f4a41-fe352b84-83e78fa1-73e7b283.jpg'],['files/p11/p11204646/s52157373/9f006813-48c1cfef-f8053cc6-7cf6f90b-b38379a0.jpg\n']
s52842984_3,p11204646,s52842984,3,Findings,"Right internal jugular line ends at lower SVC whereas the dialysis catheter through the left subclavian approach ends at mid SVC. Moderate right pleural effusion and bilateral lower lung atelectasis are unchanged. Mild pulmonary vascular congestion is stable. Enlarged heart size, mediastinal and hilar contours are unchanged. No pneumothorax.","Enlarged heart size, mediastinal and hilar contours are unchanged.",mediastinal and hilar contours,,Stable,['files/p11/p11204646/s52842984/799b532b-5d5f4a41-fe352b84-83e78fa1-73e7b283.jpg'],['files/p11/p11204646/s52157373/9f006813-48c1cfef-f8053cc6-7cf6f90b-b38379a0.jpg\n']
s52842984_3,p11204646,s52842984,3,Findings,"Right internal jugular line ends at lower SVC whereas the dialysis catheter through the left subclavian approach ends at mid SVC. Moderate right pleural effusion and bilateral lower lung atelectasis are unchanged. Mild pulmonary vascular congestion is stable. Enlarged heart size, mediastinal and hilar contours are unchanged. No pneumothorax.",Moderate right pleural effusion and bilateral lower lung atelectasis are unchanged.,atelectasis,bilateral lower lung,Stable,['files/p11/p11204646/s52842984/799b532b-5d5f4a41-fe352b84-83e78fa1-73e7b283.jpg'],['files/p11/p11204646/s52157373/9f006813-48c1cfef-f8053cc6-7cf6f90b-b38379a0.jpg\n']
s52842984_3,p11204646,s52842984,3,Findings,"Right internal jugular line ends at lower SVC whereas the dialysis catheter through the left subclavian approach ends at mid SVC. Moderate right pleural effusion and bilateral lower lung atelectasis are unchanged. Mild pulmonary vascular congestion is stable. Enlarged heart size, mediastinal and hilar contours are unchanged. No pneumothorax.","Enlarged heart size, mediastinal and hilar contours are unchanged.",enlarged heart size,,Stable,['files/p11/p11204646/s52842984/799b532b-5d5f4a41-fe352b84-83e78fa1-73e7b283.jpg'],['files/p11/p11204646/s52157373/9f006813-48c1cfef-f8053cc6-7cf6f90b-b38379a0.jpg\n']
s52864337_13,p13078497,s52864337,13,Findings,"There has been interval intubation, with endotracheal tube tip terminating about 5 cm above the carina. Exam is otherwise remarkable for very slight improvement in widespread bilateral alveolar opacities, particularly when compared to the chest radiograph of ___. Bilateral pleural effusions are unchanged.","There has been interval intubation, with endotracheal tube tip terminating about 5 cm above the carina.",endotracheal tube,5 cm above the carina,New,['files/p13/p13078497/s52864337/61767c51-5b13fe95-8ee32eb0-6dc19ea8-be684efc.jpg'],"['files/p13/p13078497/s51153042/61d8d4bd-81df68cc-68f32f05-71cfcd4c-7e4b06b1.jpg\n', 'files/p13/p13078497/s51153042/c8a6b25d-257241cf-19fa30f5-20bedbc5-b371e581.jpg\n', 'files/p13/p13078497/s51153042/fd3bd9f2-a6369422-700296fc-3ec78cc2-f5884010.jpg\n']"
s52864337_13,p13078497,s52864337,13,Findings,"There has been interval intubation, with endotracheal tube tip terminating about 5 cm above the carina. Exam is otherwise remarkable for very slight improvement in widespread bilateral alveolar opacities, particularly when compared to the chest radiograph of ___. Bilateral pleural effusions are unchanged.",Bilateral pleural effusions are unchanged.,pleural effusions,bilateral,Stable,['files/p13/p13078497/s52864337/61767c51-5b13fe95-8ee32eb0-6dc19ea8-be684efc.jpg'],"['files/p13/p13078497/s51153042/61d8d4bd-81df68cc-68f32f05-71cfcd4c-7e4b06b1.jpg\n', 'files/p13/p13078497/s51153042/c8a6b25d-257241cf-19fa30f5-20bedbc5-b371e581.jpg\n', 'files/p13/p13078497/s51153042/fd3bd9f2-a6369422-700296fc-3ec78cc2-f5884010.jpg\n']"
s52864337_13,p13078497,s52864337,13,Findings,"There has been interval intubation, with endotracheal tube tip terminating about 5 cm above the carina. Exam is otherwise remarkable for very slight improvement in widespread bilateral alveolar opacities, particularly when compared to the chest radiograph of ___. Bilateral pleural effusions are unchanged.","Exam is otherwise remarkable for very slight improvement in widespread bilateral alveolar opacities, particularly when compared to the chest radiograph of ___.",alveolar opacities,bilateral,Better,['files/p13/p13078497/s52864337/61767c51-5b13fe95-8ee32eb0-6dc19ea8-be684efc.jpg'],"['files/p13/p13078497/s51153042/61d8d4bd-81df68cc-68f32f05-71cfcd4c-7e4b06b1.jpg\n', 'files/p13/p13078497/s51153042/c8a6b25d-257241cf-19fa30f5-20bedbc5-b371e581.jpg\n', 'files/p13/p13078497/s51153042/fd3bd9f2-a6369422-700296fc-3ec78cc2-f5884010.jpg\n']"
s52866895_3,p10933609,s52866895,3,Findings,Basilar opacity seen on the lateral view best corresponds to a retrocardiac opacity suspicious for developing left lower lobe pneumonia or aspiration event in the setting of altered mental status. Chronic peribronchiolar opacities seen bilaterally are similar in distribution and slightly more apparent due to lower lung volumes and AP technique. There is no pleural effusion or pneumothorax. The heart size is normal with normal cardiomediastinal silhouette.,Chronic peribronchiolar opacities seen bilaterally are similar in distribution and slightly more apparent due to lower lung volumes and AP technique.,peribronchiolar opacities,bilaterally,Stable,"['files/p10/p10933609/s52866895/2584ab7b-dd93b49c-2783f1d8-ee64a307-80ff57b5.jpg', 'files/p10/p10933609/s52866895/d9e98604-eb7e8cc5-30faf2ad-8c5f7035-f7e13a76.jpg']","['files/p10/p10933609/s52624179/225164ad-9f7e5e4f-b9c9e387-2b07cdd5-10488e8b.jpg\n', 'files/p10/p10933609/s52624179/c89c7ca8-466643b7-e8480932-1b791a6f-4ae17f31.jpg\n']"
s52874049_2,p17327592,s52874049,2,Findings,Patient is status post median sternotomy and CABG. Heart size is normal. The mediastinal contours are unchanged. Right hemidiaphragm remains elevated with associated right basilar atelectasis. Pulmonary vasculature is not engorged. Left lung is grossly clear. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities. Mild to moderate multilevel degenerative changes are noted in the thoracic spine.,Right hemidiaphragm remains elevated with associated right basilar atelectasis.,hemidiaphragm elevation,right,Stable,"['files/p17/p17327592/s52874049/a67e2e2b-c5902ccf-adf291f3-51b417af-5b71eeaa.jpg', 'files/p17/p17327592/s52874049/c90d5371-a8f60243-4bba58f2-aa0936cb-17473f87.jpg']","['files/p17/p17327592/s51857131/0b7e50b5-e294c033-a6ba8608-9ef1d9cf-16a24354.jpg\n', 'files/p17/p17327592/s51857131/23f44245-c3dac2e5-2fe37a44-0f33bdee-fb440ccf.jpg\n']"
s52874049_2,p17327592,s52874049,2,Impression,Unchanged chronic elevation of the right hemidiaphragm with right basilar atelectasis. No new focal consolidation.,No new focal consolidation.,focal consolidation,,New,"['files/p17/p17327592/s52874049/a67e2e2b-c5902ccf-adf291f3-51b417af-5b71eeaa.jpg', 'files/p17/p17327592/s52874049/c90d5371-a8f60243-4bba58f2-aa0936cb-17473f87.jpg']","['files/p17/p17327592/s51857131/0b7e50b5-e294c033-a6ba8608-9ef1d9cf-16a24354.jpg\n', 'files/p17/p17327592/s51857131/23f44245-c3dac2e5-2fe37a44-0f33bdee-fb440ccf.jpg\n']"
s52874049_2,p17327592,s52874049,2,Findings,Patient is status post median sternotomy and CABG. Heart size is normal. The mediastinal contours are unchanged. Right hemidiaphragm remains elevated with associated right basilar atelectasis. Pulmonary vasculature is not engorged. Left lung is grossly clear. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities. Mild to moderate multilevel degenerative changes are noted in the thoracic spine.,The mediastinal contours are unchanged.,contours,mediastinal,Stable,"['files/p17/p17327592/s52874049/a67e2e2b-c5902ccf-adf291f3-51b417af-5b71eeaa.jpg', 'files/p17/p17327592/s52874049/c90d5371-a8f60243-4bba58f2-aa0936cb-17473f87.jpg']","['files/p17/p17327592/s51857131/0b7e50b5-e294c033-a6ba8608-9ef1d9cf-16a24354.jpg\n', 'files/p17/p17327592/s51857131/23f44245-c3dac2e5-2fe37a44-0f33bdee-fb440ccf.jpg\n']"
s52874049_2,p17327592,s52874049,2,Findings,Patient is status post median sternotomy and CABG. Heart size is normal. The mediastinal contours are unchanged. Right hemidiaphragm remains elevated with associated right basilar atelectasis. Pulmonary vasculature is not engorged. Left lung is grossly clear. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities. Mild to moderate multilevel degenerative changes are noted in the thoracic spine.,Right hemidiaphragm remains elevated with associated right basilar atelectasis.,atelectasis,right basilar,Stable,"['files/p17/p17327592/s52874049/a67e2e2b-c5902ccf-adf291f3-51b417af-5b71eeaa.jpg', 'files/p17/p17327592/s52874049/c90d5371-a8f60243-4bba58f2-aa0936cb-17473f87.jpg']","['files/p17/p17327592/s51857131/0b7e50b5-e294c033-a6ba8608-9ef1d9cf-16a24354.jpg\n', 'files/p17/p17327592/s51857131/23f44245-c3dac2e5-2fe37a44-0f33bdee-fb440ccf.jpg\n']"
s52874049_2,p17327592,s52874049,2,Impression,Unchanged chronic elevation of the right hemidiaphragm with right basilar atelectasis. No new focal consolidation.,Unchanged chronic elevation of the right hemidiaphragm with right basilar atelectasis.,atelectasis,right basilar,Stable,"['files/p17/p17327592/s52874049/a67e2e2b-c5902ccf-adf291f3-51b417af-5b71eeaa.jpg', 'files/p17/p17327592/s52874049/c90d5371-a8f60243-4bba58f2-aa0936cb-17473f87.jpg']","['files/p17/p17327592/s51857131/0b7e50b5-e294c033-a6ba8608-9ef1d9cf-16a24354.jpg\n', 'files/p17/p17327592/s51857131/23f44245-c3dac2e5-2fe37a44-0f33bdee-fb440ccf.jpg\n']"
s52874049_2,p17327592,s52874049,2,Impression,Unchanged chronic elevation of the right hemidiaphragm with right basilar atelectasis. No new focal consolidation.,Unchanged chronic elevation of the right hemidiaphragm with right basilar atelectasis.,hemidiaphragm elevation,right,Stable,"['files/p17/p17327592/s52874049/a67e2e2b-c5902ccf-adf291f3-51b417af-5b71eeaa.jpg', 'files/p17/p17327592/s52874049/c90d5371-a8f60243-4bba58f2-aa0936cb-17473f87.jpg']","['files/p17/p17327592/s51857131/0b7e50b5-e294c033-a6ba8608-9ef1d9cf-16a24354.jpg\n', 'files/p17/p17327592/s51857131/23f44245-c3dac2e5-2fe37a44-0f33bdee-fb440ccf.jpg\n']"
s52874646_1,p12074041,s52874646,1,Impression,New left basilar opacity worrisome for pneumonia.,New left basilar opacity worrisome for pneumonia.,opacity,left basilar,New,['files/p12/p12074041/s52874646/af39d55c-0622bc39-b9865798-29ff5a61-eb7cfb93.jpg'],"['files/p12/p12074041/s51988570/a2f93b13-6b7f3079-3610454c-347f5e93-ad8f103b.jpg\n', 'files/p12/p12074041/s51988570/c826aa5d-6ff5ee3a-11a18fb2-ab264bed-566e1edb.jpg\n']"
s52874646_1,p12074041,s52874646,1,Findings,"The cardiac, mediastinal, and hilar contours appear unchanged. The lung volumes are low. There is a patchy left basilar opacity obscuring the cardiac border and apex of the left hemidiaphragm, worrisome for pneumonia. Elsewhere, the lungs appear clear. There are no pleural effusions or pneumothorax.","The cardiac, mediastinal, and hilar contours appear unchanged.","cardiac, mediastinal, and hilar contours",,Stable,['files/p12/p12074041/s52874646/af39d55c-0622bc39-b9865798-29ff5a61-eb7cfb93.jpg'],"['files/p12/p12074041/s51988570/a2f93b13-6b7f3079-3610454c-347f5e93-ad8f103b.jpg\n', 'files/p12/p12074041/s51988570/c826aa5d-6ff5ee3a-11a18fb2-ab264bed-566e1edb.jpg\n']"
s52874765_11,p18906643,s52874765,11,Findings,The right dialysis catheter has been removed. The left IJ line with tip in the SVC is unchanged. NG tube has been removed. There continues to be moderate cardiomegaly and opacity projecting over the left mid lung that could represent loculated effusion. There is a small left effusion seen obscuring the left CP angle that is increased compared to prior and there is bibasilar volume loss.,The right dialysis catheter has been removed.,dialysis catheter,right,Resolve,['files/p18/p18906643/s52874765/2e8c5b5c-9271aa86-6e8f8585-b9dde222-7db00264.jpg'],['files/p18/p18906643/s50767671/f60e6301-358d7f2f-b52c2c0c-ffea6e75-c35bdbe2.jpg\n']
s52874765_11,p18906643,s52874765,11,Findings,The right dialysis catheter has been removed. The left IJ line with tip in the SVC is unchanged. NG tube has been removed. There continues to be moderate cardiomegaly and opacity projecting over the left mid lung that could represent loculated effusion. There is a small left effusion seen obscuring the left CP angle that is increased compared to prior and there is bibasilar volume loss.,The left IJ line with tip in the SVC is unchanged.,IJ line with tip in the SVC,left,Stable,['files/p18/p18906643/s52874765/2e8c5b5c-9271aa86-6e8f8585-b9dde222-7db00264.jpg'],['files/p18/p18906643/s50767671/f60e6301-358d7f2f-b52c2c0c-ffea6e75-c35bdbe2.jpg\n']
s52874765_11,p18906643,s52874765,11,Findings,The right dialysis catheter has been removed. The left IJ line with tip in the SVC is unchanged. NG tube has been removed. There continues to be moderate cardiomegaly and opacity projecting over the left mid lung that could represent loculated effusion. There is a small left effusion seen obscuring the left CP angle that is increased compared to prior and there is bibasilar volume loss.,NG tube has been removed.,NG tube,,Resolve,['files/p18/p18906643/s52874765/2e8c5b5c-9271aa86-6e8f8585-b9dde222-7db00264.jpg'],['files/p18/p18906643/s50767671/f60e6301-358d7f2f-b52c2c0c-ffea6e75-c35bdbe2.jpg\n']
s52874765_11,p18906643,s52874765,11,Findings,The right dialysis catheter has been removed. The left IJ line with tip in the SVC is unchanged. NG tube has been removed. There continues to be moderate cardiomegaly and opacity projecting over the left mid lung that could represent loculated effusion. There is a small left effusion seen obscuring the left CP angle that is increased compared to prior and there is bibasilar volume loss.,There is a small left effusion seen obscuring the left CP angle that is increased compared to prior and there is bibasilar volume loss.,effusion,left,Worse,['files/p18/p18906643/s52874765/2e8c5b5c-9271aa86-6e8f8585-b9dde222-7db00264.jpg'],['files/p18/p18906643/s50767671/f60e6301-358d7f2f-b52c2c0c-ffea6e75-c35bdbe2.jpg\n']
s52874765_11,p18906643,s52874765,11,Findings,The right dialysis catheter has been removed. The left IJ line with tip in the SVC is unchanged. NG tube has been removed. There continues to be moderate cardiomegaly and opacity projecting over the left mid lung that could represent loculated effusion. There is a small left effusion seen obscuring the left CP angle that is increased compared to prior and there is bibasilar volume loss.,There is a small left effusion seen obscuring the left CP angle that is increased compared to prior and there is bibasilar volume loss.,volume loss,bibasilar,Stable,['files/p18/p18906643/s52874765/2e8c5b5c-9271aa86-6e8f8585-b9dde222-7db00264.jpg'],['files/p18/p18906643/s50767671/f60e6301-358d7f2f-b52c2c0c-ffea6e75-c35bdbe2.jpg\n']
s52890842_0,p19844485,s52890842,0,Impression,1. Overall cardiac enlargement and stable cardiomediastinal contours. Interval decrease in lung volumes with probable perihilar and mild pulmonary edema. No definite pleural effusions. No evidence of pneumothorax. No acute bony abnormality.,Interval decrease in lung volumes with probable perihilar and mild pulmonary edema.,pulmonary edema,perihilar,Worse,"['files/p19/p19844485/s52890842/105b1651-dc8d64b8-82b33315-7503a045-defc0ad6.jpg', 'files/p19/p19844485/s52890842/a394c19b-0162826e-0284eb07-bdb3fa8c-6cdf1a8b.jpg']",['files/p19/p19844485/s50762309/28d71c5a-7f16c42f-ec973545-72a7a3e9-3d2193e6.jpg\n']
s52890842_0,p19844485,s52890842,0,Impression,1. Overall cardiac enlargement and stable cardiomediastinal contours. Interval decrease in lung volumes with probable perihilar and mild pulmonary edema. No definite pleural effusions. No evidence of pneumothorax. No acute bony abnormality.,1. Overall cardiac enlargement and stable cardiomediastinal contours.,contours,cardiomediastinal,Stable,"['files/p19/p19844485/s52890842/105b1651-dc8d64b8-82b33315-7503a045-defc0ad6.jpg', 'files/p19/p19844485/s52890842/a394c19b-0162826e-0284eb07-bdb3fa8c-6cdf1a8b.jpg']",['files/p19/p19844485/s50762309/28d71c5a-7f16c42f-ec973545-72a7a3e9-3d2193e6.jpg\n']
s52894975_2,p10885696,s52894975,2,Impression,"1. Postoperative appearance to left hemithorax is stable. There is a patchy opacity at the right base which could reflect a combination of a layering effusion with atelectasis, although an acute infectious process cannot be excluded. Overall, however, there is not significant interval change since ___. No pneumothorax. Cardiac and mediastinal contours is difficult to assess due to the postoperative state of the patient as well as patient positioning on the current examination. No evidence of pulmonary edema.","Overall, however, there is not significant interval change since ___.",,,Stable,['files/p10/p10885696/s52894975/91612855-728b71c5-52138016-9cb33506-c5fc594e.jpg'],['files/p10/p10885696/s52654095/eee70ea1-a4bb5ad0-eb92e7e6-ac788ab6-922f880b.jpg\n']
s52894975_2,p10885696,s52894975,2,Impression,"1. Postoperative appearance to left hemithorax is stable. There is a patchy opacity at the right base which could reflect a combination of a layering effusion with atelectasis, although an acute infectious process cannot be excluded. Overall, however, there is not significant interval change since ___. No pneumothorax. Cardiac and mediastinal contours is difficult to assess due to the postoperative state of the patient as well as patient positioning on the current examination. No evidence of pulmonary edema.",1. Postoperative appearance to left hemithorax is stable.,,left hemithorax,Stable,['files/p10/p10885696/s52894975/91612855-728b71c5-52138016-9cb33506-c5fc594e.jpg'],['files/p10/p10885696/s52654095/eee70ea1-a4bb5ad0-eb92e7e6-ac788ab6-922f880b.jpg\n']
s52901628_11,p18309149,s52901628,11,Impression,Decrease in extent and density of the perihilar opacities since ___. This likely represents a decrease in pulmonary edema with remaining residual opacities likely representing pneumonia.,Decrease in extent and density of the perihilar opacities since ___. This likely represents a decrease in pulmonary edema with remaining residual opacities likely representing pneumonia.,opacities,perihilar,Better,"['files/p18/p18309149/s52901628/02277520-0c2f2dfc-48595e9d-67e7b3d0-51eb5d78.jpg', 'files/p18/p18309149/s52901628/e03d6b55-39250a31-cf04e3c9-99bee8ed-77e6e3ae.jpg']",['files/p18/p18309149/s52707748/126d1e0c-613de8a4-7f1cfd82-86511457-4cc0543f.jpg\n']
s52901628_11,p18309149,s52901628,11,Findings,"PA and lateral views of the chest. There has been a decrease in density of the perihilar opacities, which may represent a combination of pulmonary edema and pneumonia. No pleural effusions or pneumothorax. The cardiomediastinal contours are stable.",The cardiomediastinal contours are stable.,cardiomediastinal contours,,Stable,"['files/p18/p18309149/s52901628/02277520-0c2f2dfc-48595e9d-67e7b3d0-51eb5d78.jpg', 'files/p18/p18309149/s52901628/e03d6b55-39250a31-cf04e3c9-99bee8ed-77e6e3ae.jpg']",['files/p18/p18309149/s52707748/126d1e0c-613de8a4-7f1cfd82-86511457-4cc0543f.jpg\n']
s52901628_11,p18309149,s52901628,11,Findings,"PA and lateral views of the chest. There has been a decrease in density of the perihilar opacities, which may represent a combination of pulmonary edema and pneumonia. No pleural effusions or pneumothorax. The cardiomediastinal contours are stable.","There has been a decrease in density of the perihilar opacities, which may represent a combination of pulmonary edema and pneumonia.",opacities,perihilar,Better,"['files/p18/p18309149/s52901628/02277520-0c2f2dfc-48595e9d-67e7b3d0-51eb5d78.jpg', 'files/p18/p18309149/s52901628/e03d6b55-39250a31-cf04e3c9-99bee8ed-77e6e3ae.jpg']",['files/p18/p18309149/s52707748/126d1e0c-613de8a4-7f1cfd82-86511457-4cc0543f.jpg\n']
s52917147_2,p15182529,s52917147,2,Findings,"The lungs are well expanded and clear. There is scarring in the left lung base, unchanged from prior exam. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.","There is scarring in the left lung base, unchanged from prior exam.",scarring,left lung base,Stable,"['files/p15/p15182529/s52917147/7095b09e-8fea76ab-f2c3c5aa-6c08e75a-0c451ac5.jpg', 'files/p15/p15182529/s52917147/af7cf015-dffc91c8-acbf1261-5199a5eb-a18d71cf.jpg', 'files/p15/p15182529/s52917147/c2402f4a-6c5552e7-e0b4749a-2b88ba69-f59a01a6.jpg']",
s52918822_18,p17340686,s52918822,18,Findings,"Mild pulmonary edema is improved from prior exam. Dilated main pulmonary artery is seen, compatible with pulmonary arterial hypertension. No large effusion is seen on this supine film. There is no pneumothorax. The cardiac silhouette is moderately enlarged but stable. Left-sided double lumen central venous catheter is seen with tip in the right atrium. Degenerative changes are seen in the right humeral head, better characterized on the dedicated exam. Surgical sutures are noted in the right upper quadrant.","Degenerative changes are seen in the right humeral head, better characterized on the dedicated exam.",Degenerative changes,right humeral head,Better,['files/p17/p17340686/s52918822/b9b1f6e8-15e667f7-ded64b1b-841d8028-ebf79954.jpg'],['files/p17/p17340686/s52618697/a336fc81-7ee080cf-fe8b1be1-38aa5c12-add53acc.jpg\n']
s52918822_18,p17340686,s52918822,18,Findings,"Mild pulmonary edema is improved from prior exam. Dilated main pulmonary artery is seen, compatible with pulmonary arterial hypertension. No large effusion is seen on this supine film. There is no pneumothorax. The cardiac silhouette is moderately enlarged but stable. Left-sided double lumen central venous catheter is seen with tip in the right atrium. Degenerative changes are seen in the right humeral head, better characterized on the dedicated exam. Surgical sutures are noted in the right upper quadrant.",The cardiac silhouette is moderately enlarged but stable.,cardiac silhouette,,Stable,['files/p17/p17340686/s52918822/b9b1f6e8-15e667f7-ded64b1b-841d8028-ebf79954.jpg'],['files/p17/p17340686/s52618697/a336fc81-7ee080cf-fe8b1be1-38aa5c12-add53acc.jpg\n']
s52918822_18,p17340686,s52918822,18,Impression,"1. Mild pulmonary edema, improved from the prior study. 2. Dilated main pulmonary artery, compatible with pulmonary arterial hypertension.","1. Mild pulmonary edema, improved from the prior study.",mild pulmonary edema,,Better,['files/p17/p17340686/s52918822/b9b1f6e8-15e667f7-ded64b1b-841d8028-ebf79954.jpg'],['files/p17/p17340686/s52618697/a336fc81-7ee080cf-fe8b1be1-38aa5c12-add53acc.jpg\n']
s52918822_18,p17340686,s52918822,18,Findings,"Mild pulmonary edema is improved from prior exam. Dilated main pulmonary artery is seen, compatible with pulmonary arterial hypertension. No large effusion is seen on this supine film. There is no pneumothorax. The cardiac silhouette is moderately enlarged but stable. Left-sided double lumen central venous catheter is seen with tip in the right atrium. Degenerative changes are seen in the right humeral head, better characterized on the dedicated exam. Surgical sutures are noted in the right upper quadrant.",Mild pulmonary edema is improved from prior exam.,mild pulmonary edema,,Better,['files/p17/p17340686/s52918822/b9b1f6e8-15e667f7-ded64b1b-841d8028-ebf79954.jpg'],['files/p17/p17340686/s52618697/a336fc81-7ee080cf-fe8b1be1-38aa5c12-add53acc.jpg\n']
s52921410_61,p19182863,s52921410,61,Impression,Large bilateral effusions with associated consolidations are unchanged. Cardiomediastinal contours are stable. The upper lungs are grossly clear. Stable position of right central catheter and pacer lead. Vascular congestion has improved.,Vascular congestion has improved.,Vascular congestion,,Better,['files/p19/p19182863/s52921410/270ee8d2-c6faa805-d42cb329-a3cd5951-c4b26875.jpg'],"['files/p19/p19182863/s52786632/36ab86c1-9e24116f-38745149-2b69406f-8aeabb2c.jpg\n', 'files/p19/p19182863/s52786632/6a7b83c9-7b7c6ba9-09d85de8-a76f1aa7-4fd0e047.jpg\n']"
s52921410_61,p19182863,s52921410,61,Impression,Large bilateral effusions with associated consolidations are unchanged. Cardiomediastinal contours are stable. The upper lungs are grossly clear. Stable position of right central catheter and pacer lead. Vascular congestion has improved.,Large bilateral effusions with associated consolidations are unchanged.,effusions with associated consolidations,bilateral,Stable,['files/p19/p19182863/s52921410/270ee8d2-c6faa805-d42cb329-a3cd5951-c4b26875.jpg'],"['files/p19/p19182863/s52786632/36ab86c1-9e24116f-38745149-2b69406f-8aeabb2c.jpg\n', 'files/p19/p19182863/s52786632/6a7b83c9-7b7c6ba9-09d85de8-a76f1aa7-4fd0e047.jpg\n']"
s52921410_61,p19182863,s52921410,61,Impression,Large bilateral effusions with associated consolidations are unchanged. Cardiomediastinal contours are stable. The upper lungs are grossly clear. Stable position of right central catheter and pacer lead. Vascular congestion has improved.,Cardiomediastinal contours are stable.,Cardiomediastinal contours,,Stable,['files/p19/p19182863/s52921410/270ee8d2-c6faa805-d42cb329-a3cd5951-c4b26875.jpg'],"['files/p19/p19182863/s52786632/36ab86c1-9e24116f-38745149-2b69406f-8aeabb2c.jpg\n', 'files/p19/p19182863/s52786632/6a7b83c9-7b7c6ba9-09d85de8-a76f1aa7-4fd0e047.jpg\n']"
s52921410_61,p19182863,s52921410,61,Impression,Large bilateral effusions with associated consolidations are unchanged. Cardiomediastinal contours are stable. The upper lungs are grossly clear. Stable position of right central catheter and pacer lead. Vascular congestion has improved.,Stable position of right central catheter and pacer lead.,central catheter and pacer lead,right,Stable,['files/p19/p19182863/s52921410/270ee8d2-c6faa805-d42cb329-a3cd5951-c4b26875.jpg'],"['files/p19/p19182863/s52786632/36ab86c1-9e24116f-38745149-2b69406f-8aeabb2c.jpg\n', 'files/p19/p19182863/s52786632/6a7b83c9-7b7c6ba9-09d85de8-a76f1aa7-4fd0e047.jpg\n']"
s52923540_8,p17340686,s52923540,8,Findings,PA and lateral views of the chest provided. There is a dialysis catheter in unchanged position with its tip extending into the right atrium. There is stable cardiomegaly with severe pulmonary edema. There are likely bilateral small effusions though these are poorly assessed. No pneumothorax. Bony structure is intact.,There is stable cardiomegaly with severe pulmonary edema.,cardiomegaly,,Stable,"['files/p17/p17340686/s52923540/26429055-6f36df1c-a048f115-c1f04dc8-d04f9b02.jpg', 'files/p17/p17340686/s52923540/57a0b97f-9fbdd0e8-f564bcee-b913d857-a57d9530.jpg']",['files/p17/p17340686/s52918822/b9b1f6e8-15e667f7-ded64b1b-841d8028-ebf79954.jpg\n']
s52923540_8,p17340686,s52923540,8,Findings,PA and lateral views of the chest provided. There is a dialysis catheter in unchanged position with its tip extending into the right atrium. There is stable cardiomegaly with severe pulmonary edema. There are likely bilateral small effusions though these are poorly assessed. No pneumothorax. Bony structure is intact.,There is stable cardiomegaly with severe pulmonary edema.,pulmonary edema,,Stable,"['files/p17/p17340686/s52923540/26429055-6f36df1c-a048f115-c1f04dc8-d04f9b02.jpg', 'files/p17/p17340686/s52923540/57a0b97f-9fbdd0e8-f564bcee-b913d857-a57d9530.jpg']",['files/p17/p17340686/s52918822/b9b1f6e8-15e667f7-ded64b1b-841d8028-ebf79954.jpg\n']
s52923540_8,p17340686,s52923540,8,Findings,PA and lateral views of the chest provided. There is a dialysis catheter in unchanged position with its tip extending into the right atrium. There is stable cardiomegaly with severe pulmonary edema. There are likely bilateral small effusions though these are poorly assessed. No pneumothorax. Bony structure is intact.,There is a dialysis catheter in unchanged position with its tip extending into the right atrium.,dialysis catheter,right atrium,Stable,"['files/p17/p17340686/s52923540/26429055-6f36df1c-a048f115-c1f04dc8-d04f9b02.jpg', 'files/p17/p17340686/s52923540/57a0b97f-9fbdd0e8-f564bcee-b913d857-a57d9530.jpg']",['files/p17/p17340686/s52918822/b9b1f6e8-15e667f7-ded64b1b-841d8028-ebf79954.jpg\n']
s52923540_8,p17340686,s52923540,8,Impression,Interval development of pulmonary edema.,Interval development of pulmonary edema.,pulmonary edema,,Worse,"['files/p17/p17340686/s52923540/26429055-6f36df1c-a048f115-c1f04dc8-d04f9b02.jpg', 'files/p17/p17340686/s52923540/57a0b97f-9fbdd0e8-f564bcee-b913d857-a57d9530.jpg']",['files/p17/p17340686/s52918822/b9b1f6e8-15e667f7-ded64b1b-841d8028-ebf79954.jpg\n']
s52924835_10,p19720782,s52924835,10,Findings,"Elevation of the right lung base is unchanged. A moderate right pleural effusion is not significantly changed. There is no focal consolidation or pneumothorax, although the lung apices are partially obscured by overlying soft tissues of the neck. Prominence of the right perihilar region is unchanged and compatible with radiation changes. The cardiomediastinal contours are stable. Pulmonary vascular congestion is unchanged.",Elevation of the right lung base is unchanged.,Elevation,right lung base,Stable,['files/p19/p19720782/s52924835/45aa1a09-ed50dffa-f91421ee-590a536a-9867ca96.jpg'],['files/p19/p19720782/s52336902/916efce3-8ded2d22-21ca5070-3c1635b7-84c51396.jpg\n']
s52924835_10,p19720782,s52924835,10,Findings,"Elevation of the right lung base is unchanged. A moderate right pleural effusion is not significantly changed. There is no focal consolidation or pneumothorax, although the lung apices are partially obscured by overlying soft tissues of the neck. Prominence of the right perihilar region is unchanged and compatible with radiation changes. The cardiomediastinal contours are stable. Pulmonary vascular congestion is unchanged.",Prominence of the right perihilar region is unchanged and compatible with radiation changes.,Prominence,right perihilar region,Stable,['files/p19/p19720782/s52924835/45aa1a09-ed50dffa-f91421ee-590a536a-9867ca96.jpg'],['files/p19/p19720782/s52336902/916efce3-8ded2d22-21ca5070-3c1635b7-84c51396.jpg\n']
s52924835_10,p19720782,s52924835,10,Findings,"Elevation of the right lung base is unchanged. A moderate right pleural effusion is not significantly changed. There is no focal consolidation or pneumothorax, although the lung apices are partially obscured by overlying soft tissues of the neck. Prominence of the right perihilar region is unchanged and compatible with radiation changes. The cardiomediastinal contours are stable. Pulmonary vascular congestion is unchanged.",A moderate right pleural effusion is not significantly changed.,pleural effusion,right,Stable,['files/p19/p19720782/s52924835/45aa1a09-ed50dffa-f91421ee-590a536a-9867ca96.jpg'],['files/p19/p19720782/s52336902/916efce3-8ded2d22-21ca5070-3c1635b7-84c51396.jpg\n']
s52924835_10,p19720782,s52924835,10,Findings,"Elevation of the right lung base is unchanged. A moderate right pleural effusion is not significantly changed. There is no focal consolidation or pneumothorax, although the lung apices are partially obscured by overlying soft tissues of the neck. Prominence of the right perihilar region is unchanged and compatible with radiation changes. The cardiomediastinal contours are stable. Pulmonary vascular congestion is unchanged.",Pulmonary vascular congestion is unchanged.,vascular congestion,Pulmonary,Stable,['files/p19/p19720782/s52924835/45aa1a09-ed50dffa-f91421ee-590a536a-9867ca96.jpg'],['files/p19/p19720782/s52336902/916efce3-8ded2d22-21ca5070-3c1635b7-84c51396.jpg\n']
s52924835_10,p19720782,s52924835,10,Findings,"Elevation of the right lung base is unchanged. A moderate right pleural effusion is not significantly changed. There is no focal consolidation or pneumothorax, although the lung apices are partially obscured by overlying soft tissues of the neck. Prominence of the right perihilar region is unchanged and compatible with radiation changes. The cardiomediastinal contours are stable. Pulmonary vascular congestion is unchanged.",The cardiomediastinal contours are stable.,contours,cardiomediastinal,Stable,['files/p19/p19720782/s52924835/45aa1a09-ed50dffa-f91421ee-590a536a-9867ca96.jpg'],['files/p19/p19720782/s52336902/916efce3-8ded2d22-21ca5070-3c1635b7-84c51396.jpg\n']
s52926904_15,p10410641,s52926904,15,Findings,"Bilateral pleural catheters remain in place, with persistent pneumothoraces, moderate left apical lateral pneumothorax on the left and small on the right. The left pneumothorax is unchanged, but right pneumothorax has minimally increased. Heart size remains normal. Persistent left basilar atelectasis and adjacent small left pleural effusion.",Persistent left basilar atelectasis and adjacent small left pleural effusion,atelectasis,left basilar,Stable,['files/p10/p10410641/s52926904/df2895c4-f22e3845-5f1d5bff-ccd63f42-bf5e30eb.jpg'],['files/p10/p10410641/s52737025/ebe51e24-5dfa5fed-d1e73cba-a113404b-93ffae17.jpg\n']
s52926904_15,p10410641,s52926904,15,Findings,"Bilateral pleural catheters remain in place, with persistent pneumothoraces, moderate left apical lateral pneumothorax on the left and small on the right. The left pneumothorax is unchanged, but right pneumothorax has minimally increased. Heart size remains normal. Persistent left basilar atelectasis and adjacent small left pleural effusion.",Bilateral pleural catheters remain in place,pleural catheters,Bilateral,Stable,['files/p10/p10410641/s52926904/df2895c4-f22e3845-5f1d5bff-ccd63f42-bf5e30eb.jpg'],['files/p10/p10410641/s52737025/ebe51e24-5dfa5fed-d1e73cba-a113404b-93ffae17.jpg\n']
s52926904_15,p10410641,s52926904,15,Findings,"Bilateral pleural catheters remain in place, with persistent pneumothoraces, moderate left apical lateral pneumothorax on the left and small on the right. The left pneumothorax is unchanged, but right pneumothorax has minimally increased. Heart size remains normal. Persistent left basilar atelectasis and adjacent small left pleural effusion.",Heart size remains normal,Heart size,,Stable,['files/p10/p10410641/s52926904/df2895c4-f22e3845-5f1d5bff-ccd63f42-bf5e30eb.jpg'],['files/p10/p10410641/s52737025/ebe51e24-5dfa5fed-d1e73cba-a113404b-93ffae17.jpg\n']
s52926904_15,p10410641,s52926904,15,Findings,"Bilateral pleural catheters remain in place, with persistent pneumothoraces, moderate left apical lateral pneumothorax on the left and small on the right. The left pneumothorax is unchanged, but right pneumothorax has minimally increased. Heart size remains normal. Persistent left basilar atelectasis and adjacent small left pleural effusion.","with persistent pneumothoraces, moderate left apical lateral pneumothorax on the left and small on the right",pneumothorax,left apical lateral,Stable,['files/p10/p10410641/s52926904/df2895c4-f22e3845-5f1d5bff-ccd63f42-bf5e30eb.jpg'],['files/p10/p10410641/s52737025/ebe51e24-5dfa5fed-d1e73cba-a113404b-93ffae17.jpg\n']
s52926904_15,p10410641,s52926904,15,Findings,"Bilateral pleural catheters remain in place, with persistent pneumothoraces, moderate left apical lateral pneumothorax on the left and small on the right. The left pneumothorax is unchanged, but right pneumothorax has minimally increased. Heart size remains normal. Persistent left basilar atelectasis and adjacent small left pleural effusion.","with persistent pneumothoraces, moderate left apical lateral pneumothorax on the left and small on the right",pneumothorax,right,Stable,['files/p10/p10410641/s52926904/df2895c4-f22e3845-5f1d5bff-ccd63f42-bf5e30eb.jpg'],['files/p10/p10410641/s52737025/ebe51e24-5dfa5fed-d1e73cba-a113404b-93ffae17.jpg\n']
s52926904_15,p10410641,s52926904,15,Findings,"Bilateral pleural catheters remain in place, with persistent pneumothoraces, moderate left apical lateral pneumothorax on the left and small on the right. The left pneumothorax is unchanged, but right pneumothorax has minimally increased. Heart size remains normal. Persistent left basilar atelectasis and adjacent small left pleural effusion.","The left pneumothorax is unchanged, but right pneumothorax has minimally increased",pneumothorax,left,Stable,['files/p10/p10410641/s52926904/df2895c4-f22e3845-5f1d5bff-ccd63f42-bf5e30eb.jpg'],['files/p10/p10410641/s52737025/ebe51e24-5dfa5fed-d1e73cba-a113404b-93ffae17.jpg\n']
s52926904_15,p10410641,s52926904,15,Findings,"Bilateral pleural catheters remain in place, with persistent pneumothoraces, moderate left apical lateral pneumothorax on the left and small on the right. The left pneumothorax is unchanged, but right pneumothorax has minimally increased. Heart size remains normal. Persistent left basilar atelectasis and adjacent small left pleural effusion.",Persistent left basilar atelectasis and adjacent small left pleural effusion,pleural effusion,left,Stable,['files/p10/p10410641/s52926904/df2895c4-f22e3845-5f1d5bff-ccd63f42-bf5e30eb.jpg'],['files/p10/p10410641/s52737025/ebe51e24-5dfa5fed-d1e73cba-a113404b-93ffae17.jpg\n']
s52926904_15,p10410641,s52926904,15,Findings,"Bilateral pleural catheters remain in place, with persistent pneumothoraces, moderate left apical lateral pneumothorax on the left and small on the right. The left pneumothorax is unchanged, but right pneumothorax has minimally increased. Heart size remains normal. Persistent left basilar atelectasis and adjacent small left pleural effusion.","The left pneumothorax is unchanged, but right pneumothorax has minimally increased",pneumothorax,right,Worse,['files/p10/p10410641/s52926904/df2895c4-f22e3845-5f1d5bff-ccd63f42-bf5e30eb.jpg'],['files/p10/p10410641/s52737025/ebe51e24-5dfa5fed-d1e73cba-a113404b-93ffae17.jpg\n']
s52929450_24,p19759491,s52929450,24,Impression,"Moderate cardiomegaly is stable. Pacer leads are in unchanged position. HD catheter is in standard position. There is no pneumothorax. Mild vascular congestion has minimally improved. Retrocardiac opacities are a combination of small effusion and adjacent atelectasis, stable. Sternal wires and valve replacement are again noted",Moderate cardiomegaly is stable.,cardiomegaly,,Stable,['files/p19/p19759491/s52929450/c5ba12eb-19b106cb-51fb3665-486c18e6-65a1a778.jpg'],"['files/p19/p19759491/s52749045/897059e3-92ae214b-1458e44d-75eb5510-5098e1f8.jpg\n', 'files/p19/p19759491/s52749045/c8fbdee0-da83ffe5-649d918a-6bb64062-4f454c6b.jpg\n']"
s52929450_24,p19759491,s52929450,24,Impression,"Moderate cardiomegaly is stable. Pacer leads are in unchanged position. HD catheter is in standard position. There is no pneumothorax. Mild vascular congestion has minimally improved. Retrocardiac opacities are a combination of small effusion and adjacent atelectasis, stable. Sternal wires and valve replacement are again noted",Pacer leads are in unchanged position.,pacer leads,,Stable,['files/p19/p19759491/s52929450/c5ba12eb-19b106cb-51fb3665-486c18e6-65a1a778.jpg'],"['files/p19/p19759491/s52749045/897059e3-92ae214b-1458e44d-75eb5510-5098e1f8.jpg\n', 'files/p19/p19759491/s52749045/c8fbdee0-da83ffe5-649d918a-6bb64062-4f454c6b.jpg\n']"
s52929450_24,p19759491,s52929450,24,Impression,"Moderate cardiomegaly is stable. Pacer leads are in unchanged position. HD catheter is in standard position. There is no pneumothorax. Mild vascular congestion has minimally improved. Retrocardiac opacities are a combination of small effusion and adjacent atelectasis, stable. Sternal wires and valve replacement are again noted",Mild vascular congestion has minimally improved.,vascular congestion,,Better,['files/p19/p19759491/s52929450/c5ba12eb-19b106cb-51fb3665-486c18e6-65a1a778.jpg'],"['files/p19/p19759491/s52749045/897059e3-92ae214b-1458e44d-75eb5510-5098e1f8.jpg\n', 'files/p19/p19759491/s52749045/c8fbdee0-da83ffe5-649d918a-6bb64062-4f454c6b.jpg\n']"
s52929450_24,p19759491,s52929450,24,Impression,"Moderate cardiomegaly is stable. Pacer leads are in unchanged position. HD catheter is in standard position. There is no pneumothorax. Mild vascular congestion has minimally improved. Retrocardiac opacities are a combination of small effusion and adjacent atelectasis, stable. Sternal wires and valve replacement are again noted","Retrocardiac opacities are a combination of small effusion and adjacent atelectasis, stable.",opacities,retrocardiac,Stable,['files/p19/p19759491/s52929450/c5ba12eb-19b106cb-51fb3665-486c18e6-65a1a778.jpg'],"['files/p19/p19759491/s52749045/897059e3-92ae214b-1458e44d-75eb5510-5098e1f8.jpg\n', 'files/p19/p19759491/s52749045/c8fbdee0-da83ffe5-649d918a-6bb64062-4f454c6b.jpg\n']"
s52929450_24,p19759491,s52929450,24,Impression,"Moderate cardiomegaly is stable. Pacer leads are in unchanged position. HD catheter is in standard position. There is no pneumothorax. Mild vascular congestion has minimally improved. Retrocardiac opacities are a combination of small effusion and adjacent atelectasis, stable. Sternal wires and valve replacement are again noted",Sternal wires and valve replacement are again noted,sternal wires,,Stable,['files/p19/p19759491/s52929450/c5ba12eb-19b106cb-51fb3665-486c18e6-65a1a778.jpg'],"['files/p19/p19759491/s52749045/897059e3-92ae214b-1458e44d-75eb5510-5098e1f8.jpg\n', 'files/p19/p19759491/s52749045/c8fbdee0-da83ffe5-649d918a-6bb64062-4f454c6b.jpg\n']"
s52929450_24,p19759491,s52929450,24,Impression,"Moderate cardiomegaly is stable. Pacer leads are in unchanged position. HD catheter is in standard position. There is no pneumothorax. Mild vascular congestion has minimally improved. Retrocardiac opacities are a combination of small effusion and adjacent atelectasis, stable. Sternal wires and valve replacement are again noted",Sternal wires and valve replacement are again noted,valve replacement,,Stable,['files/p19/p19759491/s52929450/c5ba12eb-19b106cb-51fb3665-486c18e6-65a1a778.jpg'],"['files/p19/p19759491/s52749045/897059e3-92ae214b-1458e44d-75eb5510-5098e1f8.jpg\n', 'files/p19/p19759491/s52749045/c8fbdee0-da83ffe5-649d918a-6bb64062-4f454c6b.jpg\n']"
s52930189_10,p17669276,s52930189,10,Findings,"Patient is rotated slightly to the right. The patient is status post median sternotomy. Enlargement of the cardiomediastinal silhouette is grossly stable as compared to the prior study. There are small bilateral pleural effusions. Interstitial prominence suggests interstitial edema. Left retrocardiac opacity is seen which may be due to combination of pleural effusion and atelectasis, although focal consolidation is not excluded.",Enlargement of the cardiomediastinal silhouette is grossly stable as compared to the prior study.,Enlargement,Cardiomediastinal,Stable,['files/p17/p17669276/s52930189/00f1a123-51de83f7-4d563a12-f705f4f0-4683b4eb.jpg'],"['files/p17/p17669276/s52841174/4eab5702-5e51a961-a59e4e84-b5aa758f-4e367b89.jpg\n', 'files/p17/p17669276/s52841174/5498ebad-1de79102-660933b2-1ccb95d8-318211a8.jpg\n']"
s52930375_5,p17770657,s52930375,5,Impression,PA and lateral chest compared to ___: Hyperinflation reflects COPD. Heart size is normal. There is no pulmonary edema or appreciable pleural effusion. Sternal augmentation and stabilization device unchanged in position. A small amount of retrosternal pneumomediastinum is to be expected. No evidence of bleeding.,Sternal augmentation and stabilization device unchanged in position.,augmentation and stabilization device,Sternal,Stable,"['files/p17/p17770657/s52930375/570fdf34-e5203b44-076dc97e-bf14e679-6e1bb0b2.jpg', 'files/p17/p17770657/s52930375/97bbae6e-3d8e3ff8-4be7f377-ce5fb58c-572b0bac.jpg', 'files/p17/p17770657/s52930375/bd81b3a0-ab250cf1-2b7f565e-d1b8500f-569c8925.jpg']",['files/p17/p17770657/s52743281/7d360199-6d44109c-6aa33603-caf75a5d-941bd6b2.jpg\n']
s52933806_30,p16508811,s52933806,30,Findings,"Right lower lung opacities are increased since ___, concerning for worsening or new pneumonia. The left lung is essentially clear. Mild bibasilar atelectasis is noted. The heart size is stable. The right hemodialysis catheter tip is seen in the right atrium. No pneumothorax or pulmonary edema.","Right lower lung opacities are increased since ___, concerning for worsening or new pneumonia.",opacities,Right lower lung,Worse,"['files/p16/p16508811/s52933806/7d75166a-47342cde-9303b619-7fff892c-486713f7.jpg', 'files/p16/p16508811/s52933806/dbaacc26-a0c84198-e2e7ec4e-89757108-dcf9f2f3.jpg']","['files/p16/p16508811/s52785638/7bbe1cff-ed671a8a-c85e3d86-24870873-e6c6e150.jpg\n', 'files/p16/p16508811/s52785638/927bc2f0-02ccbb86-23fd266d-6890d7ff-8a0a2ce5.jpg\n']"
s52933806_30,p16508811,s52933806,30,Impression,"Increased right lower lung pneumonia since ___, possibly involving the right lower lobe and right middle lobe. .","Increased right lower lung pneumonia since ___, possibly involving the right lower lobe and right middle lobe.",pneumonia,Right lower lobe and right middle lobe,Worse,"['files/p16/p16508811/s52933806/7d75166a-47342cde-9303b619-7fff892c-486713f7.jpg', 'files/p16/p16508811/s52933806/dbaacc26-a0c84198-e2e7ec4e-89757108-dcf9f2f3.jpg']","['files/p16/p16508811/s52785638/7bbe1cff-ed671a8a-c85e3d86-24870873-e6c6e150.jpg\n', 'files/p16/p16508811/s52785638/927bc2f0-02ccbb86-23fd266d-6890d7ff-8a0a2ce5.jpg\n']"
s52933806_30,p16508811,s52933806,30,Findings,"Right lower lung opacities are increased since ___, concerning for worsening or new pneumonia. The left lung is essentially clear. Mild bibasilar atelectasis is noted. The heart size is stable. The right hemodialysis catheter tip is seen in the right atrium. No pneumothorax or pulmonary edema.",The heart size is stable.,Heart size,,Stable,"['files/p16/p16508811/s52933806/7d75166a-47342cde-9303b619-7fff892c-486713f7.jpg', 'files/p16/p16508811/s52933806/dbaacc26-a0c84198-e2e7ec4e-89757108-dcf9f2f3.jpg']","['files/p16/p16508811/s52785638/7bbe1cff-ed671a8a-c85e3d86-24870873-e6c6e150.jpg\n', 'files/p16/p16508811/s52785638/927bc2f0-02ccbb86-23fd266d-6890d7ff-8a0a2ce5.jpg\n']"
s52935265_27,p10933609,s52935265,27,Impression,Resolving b/l upper lobe pneumonia.,Resolving b/l upper lobe pneumonia.,pneumonia,bilateral upper lobes,Resolve,"['files/p10/p10933609/s52935265/9587ec7a-e6b7082f-0b22b670-b924b608-674375e2.jpg', 'files/p10/p10933609/s52935265/fa29a6c8-729bdd50-764451b7-b92da9bc-daf265ee.jpg']","['files/p10/p10933609/s52866895/2584ab7b-dd93b49c-2783f1d8-ee64a307-80ff57b5.jpg\n', 'files/p10/p10933609/s52866895/d9e98604-eb7e8cc5-30faf2ad-8c5f7035-f7e13a76.jpg\n']"
s52935265_27,p10933609,s52935265,27,Findings,"PA and lateral views of the chest were provided. Areas of streaky opacity are again seen in the upper lobes, minimally changed from ___, likely reflects residua of recent pneumonia vs. scarring. Effusion is seen. No pneumothorax. No signs of pulmonary edema. The heart appears stable in size. The mediastinal contour is unchanged. Bony structures are intact. Anchors are partially imaged at the right glenoid.",The heart appears stable in size.,Heart size,,Stable,"['files/p10/p10933609/s52935265/9587ec7a-e6b7082f-0b22b670-b924b608-674375e2.jpg', 'files/p10/p10933609/s52935265/fa29a6c8-729bdd50-764451b7-b92da9bc-daf265ee.jpg']","['files/p10/p10933609/s52866895/2584ab7b-dd93b49c-2783f1d8-ee64a307-80ff57b5.jpg\n', 'files/p10/p10933609/s52866895/d9e98604-eb7e8cc5-30faf2ad-8c5f7035-f7e13a76.jpg\n']"
s52935265_27,p10933609,s52935265,27,Findings,"PA and lateral views of the chest were provided. Areas of streaky opacity are again seen in the upper lobes, minimally changed from ___, likely reflects residua of recent pneumonia vs. scarring. Effusion is seen. No pneumothorax. No signs of pulmonary edema. The heart appears stable in size. The mediastinal contour is unchanged. Bony structures are intact. Anchors are partially imaged at the right glenoid.","Areas of streaky opacity are again seen in the upper lobes, minimally changed from ___, likely reflects residua of recent pneumonia vs. scarring.",streaky opacity,upper lobes,Stable,"['files/p10/p10933609/s52935265/9587ec7a-e6b7082f-0b22b670-b924b608-674375e2.jpg', 'files/p10/p10933609/s52935265/fa29a6c8-729bdd50-764451b7-b92da9bc-daf265ee.jpg']","['files/p10/p10933609/s52866895/2584ab7b-dd93b49c-2783f1d8-ee64a307-80ff57b5.jpg\n', 'files/p10/p10933609/s52866895/d9e98604-eb7e8cc5-30faf2ad-8c5f7035-f7e13a76.jpg\n']"
s52935265_27,p10933609,s52935265,27,Findings,"PA and lateral views of the chest were provided. Areas of streaky opacity are again seen in the upper lobes, minimally changed from ___, likely reflects residua of recent pneumonia vs. scarring. Effusion is seen. No pneumothorax. No signs of pulmonary edema. The heart appears stable in size. The mediastinal contour is unchanged. Bony structures are intact. Anchors are partially imaged at the right glenoid.",The mediastinal contour is unchanged.,Mediastinal contour,,Stable,"['files/p10/p10933609/s52935265/9587ec7a-e6b7082f-0b22b670-b924b608-674375e2.jpg', 'files/p10/p10933609/s52935265/fa29a6c8-729bdd50-764451b7-b92da9bc-daf265ee.jpg']","['files/p10/p10933609/s52866895/2584ab7b-dd93b49c-2783f1d8-ee64a307-80ff57b5.jpg\n', 'files/p10/p10933609/s52866895/d9e98604-eb7e8cc5-30faf2ad-8c5f7035-f7e13a76.jpg\n']"
s52937462_7,p10885696,s52937462,7,Findings,"The cardiomediastinal and hilar contours are stable, with stable enlargement of the left pulmonary artery superimposed over the left upper lung. Streaky opacities and volume loss in the right lower lobe, likely atelectasis, have been stable since the prior studies. No new consolidation, pulmonary edema, pleural effusion or pneumothorax is seen. There is stable volume loss in the left lung secondary to prior lobectomy.","The cardiomediastinal and hilar contours are stable, with stable enlargement of the left pulmonary artery superimposed over the left upper lung.",enlargement of the left pulmonary artery,left upper lung,Stable,"['files/p10/p10885696/s52937462/e7842e08-9ac5d312-a9c14d39-62df9f23-c7a94a70.jpg', 'files/p10/p10885696/s52937462/f1e6712c-61dabae0-6691539a-039dcbb7-6c467216.jpg']",['files/p10/p10885696/s52894975/91612855-728b71c5-52138016-9cb33506-c5fc594e.jpg\n']
s52937462_7,p10885696,s52937462,7,Findings,"The cardiomediastinal and hilar contours are stable, with stable enlargement of the left pulmonary artery superimposed over the left upper lung. Streaky opacities and volume loss in the right lower lobe, likely atelectasis, have been stable since the prior studies. No new consolidation, pulmonary edema, pleural effusion or pneumothorax is seen. There is stable volume loss in the left lung secondary to prior lobectomy.",There is stable volume loss in the left lung secondary to prior lobectomy.,volume loss,left lung,Stable,"['files/p10/p10885696/s52937462/e7842e08-9ac5d312-a9c14d39-62df9f23-c7a94a70.jpg', 'files/p10/p10885696/s52937462/f1e6712c-61dabae0-6691539a-039dcbb7-6c467216.jpg']",['files/p10/p10885696/s52894975/91612855-728b71c5-52138016-9cb33506-c5fc594e.jpg\n']
s52937462_7,p10885696,s52937462,7,Impression,"Right lower lobe opacity with volume loss, likely atelectasis, unchanged since the earlier study of ___.","Right lower lobe opacity with volume loss, likely atelectasis, unchanged since the earlier study of ___.",opacity with volume loss,right lower lobe,Stable,"['files/p10/p10885696/s52937462/e7842e08-9ac5d312-a9c14d39-62df9f23-c7a94a70.jpg', 'files/p10/p10885696/s52937462/f1e6712c-61dabae0-6691539a-039dcbb7-6c467216.jpg']",['files/p10/p10885696/s52894975/91612855-728b71c5-52138016-9cb33506-c5fc594e.jpg\n']
s52937462_7,p10885696,s52937462,7,Findings,"The cardiomediastinal and hilar contours are stable, with stable enlargement of the left pulmonary artery superimposed over the left upper lung. Streaky opacities and volume loss in the right lower lobe, likely atelectasis, have been stable since the prior studies. No new consolidation, pulmonary edema, pleural effusion or pneumothorax is seen. There is stable volume loss in the left lung secondary to prior lobectomy.","Streaky opacities and volume loss in the right lower lobe, likely atelectasis, have been stable since the prior studies.",Streaky opacities and volume loss,right lower lobe,Stable,"['files/p10/p10885696/s52937462/e7842e08-9ac5d312-a9c14d39-62df9f23-c7a94a70.jpg', 'files/p10/p10885696/s52937462/f1e6712c-61dabae0-6691539a-039dcbb7-6c467216.jpg']",['files/p10/p10885696/s52894975/91612855-728b71c5-52138016-9cb33506-c5fc594e.jpg\n']
s52939447_5,p17704774,s52939447,5,Impression,"AP chest compared to ___ 5:02 a.m.: Small right apical pneumothorax is new or more readily apparent now than it was at 5:02 a.m. Small right pleural effusion unchanged. Lungs full of pulmonary nodules as before. No new collapse pneumonia or pulmonary edema. Small left pleural effusion stable. Right supraclavicular central venous line passes into the right atrium, tip is obscured by spinal hardware. Right pleural tube unchanged in position, crossing the mid chest superiorly.","Right pleural tube unchanged in position, crossing the mid chest superiorly.",pleural tube,right,Stable,['files/p17/p17704774/s52939447/f9e470de-c60bca39-abdf839e-6a6732b2-852ee038.jpg'],['files/p17/p17704774/s51526655/78ecaf71-9fdb0b43-b0134402-8c5e739f-2c6c0ea2.jpg\n']
s52939447_5,p17704774,s52939447,5,Impression,"AP chest compared to ___ 5:02 a.m.: Small right apical pneumothorax is new or more readily apparent now than it was at 5:02 a.m. Small right pleural effusion unchanged. Lungs full of pulmonary nodules as before. No new collapse pneumonia or pulmonary edema. Small left pleural effusion stable. Right supraclavicular central venous line passes into the right atrium, tip is obscured by spinal hardware. Right pleural tube unchanged in position, crossing the mid chest superiorly.",Small right apical pneumothorax is new or more readily apparent now than it was at 5:02 a.m.,pneumothorax,right apical,New,['files/p17/p17704774/s52939447/f9e470de-c60bca39-abdf839e-6a6732b2-852ee038.jpg'],['files/p17/p17704774/s51526655/78ecaf71-9fdb0b43-b0134402-8c5e739f-2c6c0ea2.jpg\n']
s52939447_5,p17704774,s52939447,5,Impression,"AP chest compared to ___ 5:02 a.m.: Small right apical pneumothorax is new or more readily apparent now than it was at 5:02 a.m. Small right pleural effusion unchanged. Lungs full of pulmonary nodules as before. No new collapse pneumonia or pulmonary edema. Small left pleural effusion stable. Right supraclavicular central venous line passes into the right atrium, tip is obscured by spinal hardware. Right pleural tube unchanged in position, crossing the mid chest superiorly.",Small left pleural effusion stable.,pleural effusion,left,Stable,['files/p17/p17704774/s52939447/f9e470de-c60bca39-abdf839e-6a6732b2-852ee038.jpg'],['files/p17/p17704774/s51526655/78ecaf71-9fdb0b43-b0134402-8c5e739f-2c6c0ea2.jpg\n']
s52939447_5,p17704774,s52939447,5,Impression,"AP chest compared to ___ 5:02 a.m.: Small right apical pneumothorax is new or more readily apparent now than it was at 5:02 a.m. Small right pleural effusion unchanged. Lungs full of pulmonary nodules as before. No new collapse pneumonia or pulmonary edema. Small left pleural effusion stable. Right supraclavicular central venous line passes into the right atrium, tip is obscured by spinal hardware. Right pleural tube unchanged in position, crossing the mid chest superiorly.",Small right pleural effusion unchanged.,pleural effusion,right,Stable,['files/p17/p17704774/s52939447/f9e470de-c60bca39-abdf839e-6a6732b2-852ee038.jpg'],['files/p17/p17704774/s51526655/78ecaf71-9fdb0b43-b0134402-8c5e739f-2c6c0ea2.jpg\n']
s52943383_1,p10523725,s52943383,1,Findings,"As compared to the previous radiograph, there is no relevant change. No new parenchymal opacity. Unchanged moderate cardiomegaly and unchanged position and course of the sternal wires and clips after CABG. The pre-existing platelike atelectasis in the left mid lung has resolved. Unchanged area of mild right lateral pleural thickening. No pulmonary edema. No pleural effusions. No lung nodules or masses.",Unchanged moderate cardiomegaly and unchanged position and course of the sternal wires and clips after CABG.,moderate cardiomegaly,,Stable,"['files/p10/p10523725/s52943383/150a4890-ad806dcc-cc602c78-0f644480-ea77a79e.jpg', 'files/p10/p10523725/s52943383/9f4bbb18-b5f3b163-4d6eeb13-986b9f71-ac88f08a.jpg', 'files/p10/p10523725/s52943383/d2738a71-3831deab-ac7d0164-16ff75a4-284704ff.jpg']","['files/p10/p10523725/s51145719/1cd30123-453acde8-4839d3eb-05c4281c-047bb5cc.jpg\n', 'files/p10/p10523725/s51145719/2e3230a0-9e2e678d-c8969b40-72d96974-0bd39181.jpg\n', 'files/p10/p10523725/s51145719/38b3bb62-d4c13cc2-c807c241-53b07d03-6e4b33f9.jpg\n']"
s52943383_1,p10523725,s52943383,1,Findings,"As compared to the previous radiograph, there is no relevant change. No new parenchymal opacity. Unchanged moderate cardiomegaly and unchanged position and course of the sternal wires and clips after CABG. The pre-existing platelike atelectasis in the left mid lung has resolved. Unchanged area of mild right lateral pleural thickening. No pulmonary edema. No pleural effusions. No lung nodules or masses.",Unchanged moderate cardiomegaly and unchanged position and course of the sternal wires and clips after CABG.,sternal wires and clips,,Stable,"['files/p10/p10523725/s52943383/150a4890-ad806dcc-cc602c78-0f644480-ea77a79e.jpg', 'files/p10/p10523725/s52943383/9f4bbb18-b5f3b163-4d6eeb13-986b9f71-ac88f08a.jpg', 'files/p10/p10523725/s52943383/d2738a71-3831deab-ac7d0164-16ff75a4-284704ff.jpg']","['files/p10/p10523725/s51145719/1cd30123-453acde8-4839d3eb-05c4281c-047bb5cc.jpg\n', 'files/p10/p10523725/s51145719/2e3230a0-9e2e678d-c8969b40-72d96974-0bd39181.jpg\n', 'files/p10/p10523725/s51145719/38b3bb62-d4c13cc2-c807c241-53b07d03-6e4b33f9.jpg\n']"
s52943383_1,p10523725,s52943383,1,Findings,"As compared to the previous radiograph, there is no relevant change. No new parenchymal opacity. Unchanged moderate cardiomegaly and unchanged position and course of the sternal wires and clips after CABG. The pre-existing platelike atelectasis in the left mid lung has resolved. Unchanged area of mild right lateral pleural thickening. No pulmonary edema. No pleural effusions. No lung nodules or masses.",Unchanged area of mild right lateral pleural thickening.,pleural thickening,right lateral,Stable,"['files/p10/p10523725/s52943383/150a4890-ad806dcc-cc602c78-0f644480-ea77a79e.jpg', 'files/p10/p10523725/s52943383/9f4bbb18-b5f3b163-4d6eeb13-986b9f71-ac88f08a.jpg', 'files/p10/p10523725/s52943383/d2738a71-3831deab-ac7d0164-16ff75a4-284704ff.jpg']","['files/p10/p10523725/s51145719/1cd30123-453acde8-4839d3eb-05c4281c-047bb5cc.jpg\n', 'files/p10/p10523725/s51145719/2e3230a0-9e2e678d-c8969b40-72d96974-0bd39181.jpg\n', 'files/p10/p10523725/s51145719/38b3bb62-d4c13cc2-c807c241-53b07d03-6e4b33f9.jpg\n']"
s52943383_1,p10523725,s52943383,1,Findings,"As compared to the previous radiograph, there is no relevant change. No new parenchymal opacity. Unchanged moderate cardiomegaly and unchanged position and course of the sternal wires and clips after CABG. The pre-existing platelike atelectasis in the left mid lung has resolved. Unchanged area of mild right lateral pleural thickening. No pulmonary edema. No pleural effusions. No lung nodules or masses.",The pre-existing platelike atelectasis in the left mid lung has resolved.,platelike atelectasis,left mid lung,Resolve,"['files/p10/p10523725/s52943383/150a4890-ad806dcc-cc602c78-0f644480-ea77a79e.jpg', 'files/p10/p10523725/s52943383/9f4bbb18-b5f3b163-4d6eeb13-986b9f71-ac88f08a.jpg', 'files/p10/p10523725/s52943383/d2738a71-3831deab-ac7d0164-16ff75a4-284704ff.jpg']","['files/p10/p10523725/s51145719/1cd30123-453acde8-4839d3eb-05c4281c-047bb5cc.jpg\n', 'files/p10/p10523725/s51145719/2e3230a0-9e2e678d-c8969b40-72d96974-0bd39181.jpg\n', 'files/p10/p10523725/s51145719/38b3bb62-d4c13cc2-c807c241-53b07d03-6e4b33f9.jpg\n']"
s52943383_1,p10523725,s52943383,1,Findings,"As compared to the previous radiograph, there is no relevant change. No new parenchymal opacity. Unchanged moderate cardiomegaly and unchanged position and course of the sternal wires and clips after CABG. The pre-existing platelike atelectasis in the left mid lung has resolved. Unchanged area of mild right lateral pleural thickening. No pulmonary edema. No pleural effusions. No lung nodules or masses.","As compared to the previous radiograph, there is no relevant change.",,,Stable,"['files/p10/p10523725/s52943383/150a4890-ad806dcc-cc602c78-0f644480-ea77a79e.jpg', 'files/p10/p10523725/s52943383/9f4bbb18-b5f3b163-4d6eeb13-986b9f71-ac88f08a.jpg', 'files/p10/p10523725/s52943383/d2738a71-3831deab-ac7d0164-16ff75a4-284704ff.jpg']","['files/p10/p10523725/s51145719/1cd30123-453acde8-4839d3eb-05c4281c-047bb5cc.jpg\n', 'files/p10/p10523725/s51145719/2e3230a0-9e2e678d-c8969b40-72d96974-0bd39181.jpg\n', 'files/p10/p10523725/s51145719/38b3bb62-d4c13cc2-c807c241-53b07d03-6e4b33f9.jpg\n']"
s52944435_1,p15338518,s52944435,1,Findings,"As compared to the preoperative radiograph, there is a minimal decrease in overall lung volumes. As a consequence, a small retrocardiac atelectasis is seen. However, there is no evidence of pneumonia. Borderline size of the cardiac silhouette. The presence of a minimal left pleural effusion cannot be excluded. Normal hilar and mediastinal contours.","As compared to the preoperative radiograph, there is a minimal decrease in overall lung volumes.",Lung volumes,Overall,Worse,"['files/p15/p15338518/s52944435/1ab129c3-79b49414-0d5287c9-5e9ab48a-b1cfae33.jpg', 'files/p15/p15338518/s52944435/51980c98-091b1da9-b7d824b9-3b407488-372f984c.jpg']",['files/p15/p15338518/s50989504/a3b5f140-09ecc379-5729bd0f-98abe246-f9eea2ed.jpg\n']
s52949410_8,p19565388,s52949410,8,Findings,"As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. Borderline size of the cardiac silhouette with signs of pulmonary edema in addition the parenchymal opacities, likely represent pneumonia. The retrocardiac atelectasis, the presence of a small left pleural effusion cannot be excluded.","As compared to the previous radiograph, there is no relevant change.",,,Stable,"['files/p19/p19565388/s52949410/963b7ee6-17a12a62-e4753005-0a58c128-038c9397.jpg', 'files/p19/p19565388/s52949410/a443aa83-1d05b68f-6c199039-85500391-ea4904a1.jpg']",['files/p19/p19565388/s52284572/d8b4f432-f9b2ab7a-8362727d-579d538a-00b1edd5.jpg\n']
s52949410_8,p19565388,s52949410,8,Findings,"As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. Borderline size of the cardiac silhouette with signs of pulmonary edema in addition the parenchymal opacities, likely represent pneumonia. The retrocardiac atelectasis, the presence of a small left pleural effusion cannot be excluded.",The monitoring and support devices are constant.,monitoring and support devices,,Stable,"['files/p19/p19565388/s52949410/963b7ee6-17a12a62-e4753005-0a58c128-038c9397.jpg', 'files/p19/p19565388/s52949410/a443aa83-1d05b68f-6c199039-85500391-ea4904a1.jpg']",['files/p19/p19565388/s52284572/d8b4f432-f9b2ab7a-8362727d-579d538a-00b1edd5.jpg\n']
s52969022_5,p15393401,s52969022,5,Impression,"1. The heart remains enlarged and there is unfolding and prominence to the aorta. There are subtle patchy opacities at both lung bases which may represent atelectasis in the setting of somewhat diminished lung volumes, although an early pneumonia cannot be entirely excluded. No pleural effusions. No pneumothorax. No evidence of pulmonary edema. Calcification at the aortic knob consistent with atherosclerosis.",The heart remains enlarged and there is unfolding and prominence to the aorta.,Enlarged heart,,Stable,"['files/p15/p15393401/s52969022/dbed4c5b-cc431b8c-e55ffb2b-374a1057-0ac25b9c.jpg', 'files/p15/p15393401/s52969022/fed84864-f68bc255-fce404b6-c38c836c-08a9985d.jpg']",['files/p15/p15393401/s52299108/4bb046fd-97a72e50-21955713-67e2c1c0-ee97bbc4.jpg\n']
s52971492_0,p13023326,s52971492,0,Impression,Successful thoracocentesis removing major portion of left-sided pleural effusion. No pneumothorax following thoracocentesis.,Successful thoracocentesis removing major portion of left-sided pleural effusion.,pleural effusion,left-sided,Resolve,"['files/p13/p13023326/s52971492/c1cfccd3-76f59c2c-fc9b8706-352dfc8d-3d435171.jpg', 'files/p13/p13023326/s52971492/c1f8ae0f-24d9f65f-2a25b45f-75887445-8974af9c.jpg', 'files/p13/p13023326/s52971492/ccb75760-a2c8e314-d3d63bc2-17217a91-123a376d.jpg']",['files/p13/p13023326/s51248899/dace8d97-bff4cdf8-b6025d03-54255fb2-666c6a31.jpg\n']
s52971492_0,p13023326,s52971492,0,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 ___. Whereas the described changes in the right hemithorax are stable, the left-sided basal pleural density has decreased markedly and the left-sided diaphragmatic contour is now identified both on frontal and lateral view. No evidence of pneumothorax in the apical areas on either side.","Whereas the described changes in the right hemithorax are stable, the left-sided basal pleural density has decreased markedly and the left-sided diaphragmatic contour is now identified both on frontal and lateral view.",changes,right hemithorax,Stable,"['files/p13/p13023326/s52971492/c1cfccd3-76f59c2c-fc9b8706-352dfc8d-3d435171.jpg', 'files/p13/p13023326/s52971492/c1f8ae0f-24d9f65f-2a25b45f-75887445-8974af9c.jpg', 'files/p13/p13023326/s52971492/ccb75760-a2c8e314-d3d63bc2-17217a91-123a376d.jpg']",['files/p13/p13023326/s51248899/dace8d97-bff4cdf8-b6025d03-54255fb2-666c6a31.jpg\n']
s52974031_2,p13263843,s52974031,2,Findings,Post-treatment asymmetric appearance of the right hemithorax is unchanged with upper right rib resection and volume loss with rightward mediastinal shift and right hemidiaphragm elevation. Suture chains project over the right hemithorax. The opacification at the right lung has decreased from ___. The left lung is clear. No pleural effusion or pneumothorax is present. The cardiac silhouette is normal in size. The thoracic aorta is slightly unfolded. Degenerative changes are again seen in the thoracic spine.,Degenerative changes are again seen in the thoracic spine.,degenerative changes,thoracic spine,Stable,['files/p13/p13263843/s52974031/d73fc335-ef582778-b33761ad-1003aef6-8129d67d.jpg'],"['files/p13/p13263843/s52399735/05eecb1c-7ac28272-530e6870-c5d1d135-cab1ed67.jpg\n', 'files/p13/p13263843/s52399735/6b1b1903-9f343a6b-fe4ba346-dbe5a6fb-63338c26.jpg\n', 'files/p13/p13263843/s52399735/ca72c0af-97077c68-1cf042a0-d9128e34-f775403e.jpg\n', 'files/p13/p13263843/s52399735/d7a25de4-e2d563e2-93017e5e-4127bd89-0d081f33.jpg\n']"
s52974031_2,p13263843,s52974031,2,Impression,1. No acute cardiopulmonary process. 2. Stable post-treatment appearance of the right hemithorax with slightly decreased opacification of the right lung from ___.,Stable post-treatment appearance of the right hemithorax with slightly decreased opacification of the right lung from ___.,appearance,right hemithorax,Stable,['files/p13/p13263843/s52974031/d73fc335-ef582778-b33761ad-1003aef6-8129d67d.jpg'],"['files/p13/p13263843/s52399735/05eecb1c-7ac28272-530e6870-c5d1d135-cab1ed67.jpg\n', 'files/p13/p13263843/s52399735/6b1b1903-9f343a6b-fe4ba346-dbe5a6fb-63338c26.jpg\n', 'files/p13/p13263843/s52399735/ca72c0af-97077c68-1cf042a0-d9128e34-f775403e.jpg\n', 'files/p13/p13263843/s52399735/d7a25de4-e2d563e2-93017e5e-4127bd89-0d081f33.jpg\n']"
s52974031_2,p13263843,s52974031,2,Findings,Post-treatment asymmetric appearance of the right hemithorax is unchanged with upper right rib resection and volume loss with rightward mediastinal shift and right hemidiaphragm elevation. Suture chains project over the right hemithorax. The opacification at the right lung has decreased from ___. The left lung is clear. No pleural effusion or pneumothorax is present. The cardiac silhouette is normal in size. The thoracic aorta is slightly unfolded. Degenerative changes are again seen in the thoracic spine.,The opacification at the right lung has decreased from ___.,opacification,right lung,Better,['files/p13/p13263843/s52974031/d73fc335-ef582778-b33761ad-1003aef6-8129d67d.jpg'],"['files/p13/p13263843/s52399735/05eecb1c-7ac28272-530e6870-c5d1d135-cab1ed67.jpg\n', 'files/p13/p13263843/s52399735/6b1b1903-9f343a6b-fe4ba346-dbe5a6fb-63338c26.jpg\n', 'files/p13/p13263843/s52399735/ca72c0af-97077c68-1cf042a0-d9128e34-f775403e.jpg\n', 'files/p13/p13263843/s52399735/d7a25de4-e2d563e2-93017e5e-4127bd89-0d081f33.jpg\n']"
s52974031_2,p13263843,s52974031,2,Findings,Post-treatment asymmetric appearance of the right hemithorax is unchanged with upper right rib resection and volume loss with rightward mediastinal shift and right hemidiaphragm elevation. Suture chains project over the right hemithorax. The opacification at the right lung has decreased from ___. The left lung is clear. No pleural effusion or pneumothorax is present. The cardiac silhouette is normal in size. The thoracic aorta is slightly unfolded. Degenerative changes are again seen in the thoracic spine.,Post-treatment asymmetric appearance of the right hemithorax is unchanged with upper right rib resection and volume loss with rightward mediastinal shift and right hemidiaphragm elevation.,"asymmetric appearance, volume loss, mediastinal shift, hemidiaphragm elevation",right hemithorax,Stable,['files/p13/p13263843/s52974031/d73fc335-ef582778-b33761ad-1003aef6-8129d67d.jpg'],"['files/p13/p13263843/s52399735/05eecb1c-7ac28272-530e6870-c5d1d135-cab1ed67.jpg\n', 'files/p13/p13263843/s52399735/6b1b1903-9f343a6b-fe4ba346-dbe5a6fb-63338c26.jpg\n', 'files/p13/p13263843/s52399735/ca72c0af-97077c68-1cf042a0-d9128e34-f775403e.jpg\n', 'files/p13/p13263843/s52399735/d7a25de4-e2d563e2-93017e5e-4127bd89-0d081f33.jpg\n']"
s52974031_2,p13263843,s52974031,2,Impression,1. No acute cardiopulmonary process. 2. Stable post-treatment appearance of the right hemithorax with slightly decreased opacification of the right lung from ___.,Stable post-treatment appearance of the right hemithorax with slightly decreased opacification of the right lung from ___.,opacification,right lung,Better,['files/p13/p13263843/s52974031/d73fc335-ef582778-b33761ad-1003aef6-8129d67d.jpg'],"['files/p13/p13263843/s52399735/05eecb1c-7ac28272-530e6870-c5d1d135-cab1ed67.jpg\n', 'files/p13/p13263843/s52399735/6b1b1903-9f343a6b-fe4ba346-dbe5a6fb-63338c26.jpg\n', 'files/p13/p13263843/s52399735/ca72c0af-97077c68-1cf042a0-d9128e34-f775403e.jpg\n', 'files/p13/p13263843/s52399735/d7a25de4-e2d563e2-93017e5e-4127bd89-0d081f33.jpg\n']"
s52978683_4,p17770657,s52978683,4,Findings,"As compared to the previous radiograph, there is no relevant change. No current evidence of pneumothorax. Unchanged aspect of the cardiac silhouette. Unchanged mild bilateral air inclusion in the soft tissues.",Unchanged mild bilateral air inclusion in the soft tissues.,air inclusion in the soft tissues,bilateral,Stable,['files/p17/p17770657/s52978683/79d6fa76-8cc30af0-1dba3386-66e2a784-e134a348.jpg'],['files/p17/p17770657/s52971146/486dfea4-dc27bc78-a4e9effa-c328c0ab-a8c3285e.jpg\n']
s52978683_4,p17770657,s52978683,4,Findings,"As compared to the previous radiograph, there is no relevant change. No current evidence of pneumothorax. Unchanged aspect of the cardiac silhouette. Unchanged mild bilateral air inclusion in the soft tissues.",Unchanged aspect of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p17/p17770657/s52978683/79d6fa76-8cc30af0-1dba3386-66e2a784-e134a348.jpg'],['files/p17/p17770657/s52971146/486dfea4-dc27bc78-a4e9effa-c328c0ab-a8c3285e.jpg\n']
s52978683_4,p17770657,s52978683,4,Findings,"As compared to the previous radiograph, there is no relevant change. No current evidence of pneumothorax. Unchanged aspect of the cardiac silhouette. Unchanged mild bilateral air inclusion in the soft tissues.","As compared to the previous radiograph, there is no relevant change.",,,Stable,['files/p17/p17770657/s52978683/79d6fa76-8cc30af0-1dba3386-66e2a784-e134a348.jpg'],['files/p17/p17770657/s52971146/486dfea4-dc27bc78-a4e9effa-c328c0ab-a8c3285e.jpg\n']
s52979134_1,p12124741,s52979134,1,Findings,Lungs are low in volume but clear. There is no pleural effusion or pneumothorax. A left subclavian Port-A-Cath is seen terminating in the superior cavoatrial junction. Heart is top normal in size and normal cardiomediastinal silhouette. Slight leftward deviation of the trachea is stable and perhaps due to thyroid enlargement.,Slight leftward deviation of the trachea is stable and perhaps due to thyroid enlargement.,trachea deviation,leftward,Stable,"['files/p12/p12124741/s52979134/0b53daa0-d9ca6166-9622edee-57037ea3-8a1bf264.jpg', 'files/p12/p12124741/s52979134/e53b12a2-325afb40-3283ac75-9f92dfc7-5e579ec0.jpg', 'files/p12/p12124741/s52979134/ebf694d1-74d14ed6-c1695437-a0c9b0f3-cb905ce8.jpg']",['files/p12/p12124741/s52680361/415af9ca-d0b69fbe-b3b8dfa6-271f3f0f-5592cc53.jpg\n']
s52981971_2,p15758946,s52981971,2,Impression,"AP chest compared to ___ at 12:55 p.m.: Mild pulmonary edema and mediastinal venous engorgement are new. Heart size is normal but increased, and moderate left pleural effusion is larger while small right pleural effusion is stable. ET tube is in standard placement. Nasogastric tube ends in the stomach. Right jugular line ends at the junction of brachiocephalic veins. Left central venous infusion port ends in the region of the superior cavoatrial junction. No pneumothorax.","Heart size is normal but increased, and moderate left pleural effusion is larger while small right pleural effusion is stable.",pleural effusion,right,Stable,['files/p15/p15758946/s52981971/b2f5bef1-dc067a8c-521f6348-16787841-eb270634.jpg'],['files/p15/p15758946/s51850726/bb2896e3-7eeb9cba-9b026443-c0ee46b8-694ab8ed.jpg\n']
s52981971_2,p15758946,s52981971,2,Impression,"AP chest compared to ___ at 12:55 p.m.: Mild pulmonary edema and mediastinal venous engorgement are new. Heart size is normal but increased, and moderate left pleural effusion is larger while small right pleural effusion is stable. ET tube is in standard placement. Nasogastric tube ends in the stomach. Right jugular line ends at the junction of brachiocephalic veins. Left central venous infusion port ends in the region of the superior cavoatrial junction. No pneumothorax.","Heart size is normal but increased, and moderate left pleural effusion is larger while small right pleural effusion is stable.",pleural effusion,left,Worse,['files/p15/p15758946/s52981971/b2f5bef1-dc067a8c-521f6348-16787841-eb270634.jpg'],['files/p15/p15758946/s51850726/bb2896e3-7eeb9cba-9b026443-c0ee46b8-694ab8ed.jpg\n']
s52981971_2,p15758946,s52981971,2,Impression,"AP chest compared to ___ at 12:55 p.m.: Mild pulmonary edema and mediastinal venous engorgement are new. Heart size is normal but increased, and moderate left pleural effusion is larger while small right pleural effusion is stable. ET tube is in standard placement. Nasogastric tube ends in the stomach. Right jugular line ends at the junction of brachiocephalic veins. Left central venous infusion port ends in the region of the superior cavoatrial junction. No pneumothorax.",AP chest compared to ___ at 12:55 p.m.: Mild pulmonary edema and mediastinal venous engorgement are new.,mediastinal venous engorgement,,New,['files/p15/p15758946/s52981971/b2f5bef1-dc067a8c-521f6348-16787841-eb270634.jpg'],['files/p15/p15758946/s51850726/bb2896e3-7eeb9cba-9b026443-c0ee46b8-694ab8ed.jpg\n']
s52981971_2,p15758946,s52981971,2,Impression,"AP chest compared to ___ at 12:55 p.m.: Mild pulmonary edema and mediastinal venous engorgement are new. Heart size is normal but increased, and moderate left pleural effusion is larger while small right pleural effusion is stable. ET tube is in standard placement. Nasogastric tube ends in the stomach. Right jugular line ends at the junction of brachiocephalic veins. Left central venous infusion port ends in the region of the superior cavoatrial junction. No pneumothorax.",AP chest compared to ___ at 12:55 p.m.: Mild pulmonary edema and mediastinal venous engorgement are new.,Mild pulmonary edema,,New,['files/p15/p15758946/s52981971/b2f5bef1-dc067a8c-521f6348-16787841-eb270634.jpg'],['files/p15/p15758946/s51850726/bb2896e3-7eeb9cba-9b026443-c0ee46b8-694ab8ed.jpg\n']
s52987117_14,p18767957,s52987117,14,Impression,Cardiomegaly is substantial. Right basal consolidation is new and concerning for infectious process. No pleural effusion or pneumothorax is seen.,Right basal consolidation is new and concerning for infectious process.,consolidation,right basal,New,['files/p18/p18767957/s52987117/33aac685-1abdf680-75cd5689-530f4138-195db35f.jpg'],"['files/p18/p18767957/s51612379/1f39a0e5-eb257452-7629c4fc-d3d059e7-17bf34f5.jpg\n', 'files/p18/p18767957/s51612379/fb8ee6e9-59868cbd-7ad11448-f8dbb718-932a7b43.jpg\n']"
s52989952_16,p11204646,s52989952,16,Findings,"As compared to the previous radiograph, the cardiac silhouette is unchanged. There is increasing opacity at the right lung base. As previously noted, there is volume loss. This volume loss could now be accompanied by a small right pleural effusion. The left hemidiaphragm is also less visible, suggesting the potential for a small left pleural effusion. The monitoring and support devices, in particular the position of the endotracheal tube is constant. At the time of observation and dictation, 8:41 a.m., on ___, the referring physician ___. ___ was paged for notification.",This volume loss could now be accompanied by a small right pleural effusion.,pleural effusion,right,New,['files/p11/p11204646/s52989952/d31b7429-f370f8c7-ceb83fb9-f7188520-153ffb88.jpg'],['files/p11/p11204646/s52842984/799b532b-5d5f4a41-fe352b84-83e78fa1-73e7b283.jpg\n']
s52989952_16,p11204646,s52989952,16,Findings,"As compared to the previous radiograph, the cardiac silhouette is unchanged. There is increasing opacity at the right lung base. As previously noted, there is volume loss. This volume loss could now be accompanied by a small right pleural effusion. The left hemidiaphragm is also less visible, suggesting the potential for a small left pleural effusion. The monitoring and support devices, in particular the position of the endotracheal tube is constant. At the time of observation and dictation, 8:41 a.m., on ___, the referring physician ___. ___ was paged for notification.","The left hemidiaphragm is also less visible, suggesting the potential for a small left pleural effusion.",pleural effusion,left,New,['files/p11/p11204646/s52989952/d31b7429-f370f8c7-ceb83fb9-f7188520-153ffb88.jpg'],['files/p11/p11204646/s52842984/799b532b-5d5f4a41-fe352b84-83e78fa1-73e7b283.jpg\n']
s52989952_16,p11204646,s52989952,16,Findings,"As compared to the previous radiograph, the cardiac silhouette is unchanged. There is increasing opacity at the right lung base. As previously noted, there is volume loss. This volume loss could now be accompanied by a small right pleural effusion. The left hemidiaphragm is also less visible, suggesting the potential for a small left pleural effusion. The monitoring and support devices, in particular the position of the endotracheal tube is constant. At the time of observation and dictation, 8:41 a.m., on ___, the referring physician ___. ___ was paged for notification.","As previously noted, there is volume loss.",volume loss,,Stable,['files/p11/p11204646/s52989952/d31b7429-f370f8c7-ceb83fb9-f7188520-153ffb88.jpg'],['files/p11/p11204646/s52842984/799b532b-5d5f4a41-fe352b84-83e78fa1-73e7b283.jpg\n']
s52989952_16,p11204646,s52989952,16,Findings,"As compared to the previous radiograph, the cardiac silhouette is unchanged. There is increasing opacity at the right lung base. As previously noted, there is volume loss. This volume loss could now be accompanied by a small right pleural effusion. The left hemidiaphragm is also less visible, suggesting the potential for a small left pleural effusion. The monitoring and support devices, in particular the position of the endotracheal tube is constant. At the time of observation and dictation, 8:41 a.m., on ___, the referring physician ___. ___ was paged for notification.",There is increasing opacity at the right lung base.,opacity,right lung base,Worse,['files/p11/p11204646/s52989952/d31b7429-f370f8c7-ceb83fb9-f7188520-153ffb88.jpg'],['files/p11/p11204646/s52842984/799b532b-5d5f4a41-fe352b84-83e78fa1-73e7b283.jpg\n']
s52989952_16,p11204646,s52989952,16,Findings,"As compared to the previous radiograph, the cardiac silhouette is unchanged. There is increasing opacity at the right lung base. As previously noted, there is volume loss. This volume loss could now be accompanied by a small right pleural effusion. The left hemidiaphragm is also less visible, suggesting the potential for a small left pleural effusion. The monitoring and support devices, in particular the position of the endotracheal tube is constant. At the time of observation and dictation, 8:41 a.m., on ___, the referring physician ___. ___ was paged for notification.","As compared to the previous radiograph, the cardiac silhouette is unchanged.",cardiac silhouette,,Stable,['files/p11/p11204646/s52989952/d31b7429-f370f8c7-ceb83fb9-f7188520-153ffb88.jpg'],['files/p11/p11204646/s52842984/799b532b-5d5f4a41-fe352b84-83e78fa1-73e7b283.jpg\n']
s52989952_16,p11204646,s52989952,16,Findings,"As compared to the previous radiograph, the cardiac silhouette is unchanged. There is increasing opacity at the right lung base. As previously noted, there is volume loss. This volume loss could now be accompanied by a small right pleural effusion. The left hemidiaphragm is also less visible, suggesting the potential for a small left pleural effusion. The monitoring and support devices, in particular the position of the endotracheal tube is constant. At the time of observation and dictation, 8:41 a.m., on ___, the referring physician ___. ___ was paged for notification.","The monitoring and support devices, in particular the position of the endotracheal tube is constant.",position of the endotracheal tube,,Stable,['files/p11/p11204646/s52989952/d31b7429-f370f8c7-ceb83fb9-f7188520-153ffb88.jpg'],['files/p11/p11204646/s52842984/799b532b-5d5f4a41-fe352b84-83e78fa1-73e7b283.jpg\n']
s52991108_0,p14471276,s52991108,0,Findings,"AP semi-upright portable chest x-ray was provided. Similar to the prior exam, there is a moderate-to-large right-sided pleural effusion with overlying atelectasis. Underlying consolidation cannot be excluded. There has been interval improvement in the left pulmonary opacities. Cardiomediastinal silhouette appears grossly stable from the prior study. There is no pneumothorax.","Similar to the prior exam, there is a moderate-to-large right-sided pleural effusion with overlying atelectasis.",pleural effusion,right-sided,Stable,['files/p14/p14471276/s52991108/d1136eed-65e29502-7df50d94-26d66f4a-513b4e1c.jpg'],['files/p14/p14471276/s51837713/7fcfad8c-62cf43c4-53d85ee1-2c8bb890-c7773830.jpg\n']
s52991108_0,p14471276,s52991108,0,Impression,Stable moderate-to-large right-sided pleural effusion. Underlying consolidation cannot be excluded. Improvement in the left pulmonary edema.,Improvement in the left pulmonary edema.,pulmonary edema,left,Better,['files/p14/p14471276/s52991108/d1136eed-65e29502-7df50d94-26d66f4a-513b4e1c.jpg'],['files/p14/p14471276/s51837713/7fcfad8c-62cf43c4-53d85ee1-2c8bb890-c7773830.jpg\n']
s52991108_0,p14471276,s52991108,0,Impression,Stable moderate-to-large right-sided pleural effusion. Underlying consolidation cannot be excluded. Improvement in the left pulmonary edema.,Stable moderate-to-large right-sided pleural effusion.,pleural effusion,right-sided,Stable,['files/p14/p14471276/s52991108/d1136eed-65e29502-7df50d94-26d66f4a-513b4e1c.jpg'],['files/p14/p14471276/s51837713/7fcfad8c-62cf43c4-53d85ee1-2c8bb890-c7773830.jpg\n']
s52991108_0,p14471276,s52991108,0,Findings,"AP semi-upright portable chest x-ray was provided. Similar to the prior exam, there is a moderate-to-large right-sided pleural effusion with overlying atelectasis. Underlying consolidation cannot be excluded. There has been interval improvement in the left pulmonary opacities. Cardiomediastinal silhouette appears grossly stable from the prior study. There is no pneumothorax.",Cardiomediastinal silhouette appears grossly stable from the prior study.,Cardiomediastinal silhouette,,Stable,['files/p14/p14471276/s52991108/d1136eed-65e29502-7df50d94-26d66f4a-513b4e1c.jpg'],['files/p14/p14471276/s51837713/7fcfad8c-62cf43c4-53d85ee1-2c8bb890-c7773830.jpg\n']
s52991108_0,p14471276,s52991108,0,Findings,"AP semi-upright portable chest x-ray was provided. Similar to the prior exam, there is a moderate-to-large right-sided pleural effusion with overlying atelectasis. Underlying consolidation cannot be excluded. There has been interval improvement in the left pulmonary opacities. Cardiomediastinal silhouette appears grossly stable from the prior study. There is no pneumothorax.",There has been interval improvement in the left pulmonary opacities.,pulmonary opacities,left,Better,['files/p14/p14471276/s52991108/d1136eed-65e29502-7df50d94-26d66f4a-513b4e1c.jpg'],['files/p14/p14471276/s51837713/7fcfad8c-62cf43c4-53d85ee1-2c8bb890-c7773830.jpg\n']
s52991108_0,p14471276,s52991108,0,Findings,"AP semi-upright portable chest x-ray was provided. Similar to the prior exam, there is a moderate-to-large right-sided pleural effusion with overlying atelectasis. Underlying consolidation cannot be excluded. There has been interval improvement in the left pulmonary opacities. Cardiomediastinal silhouette appears grossly stable from the prior study. There is no pneumothorax.","Similar to the prior exam, there is a moderate-to-large right-sided pleural effusion with overlying atelectasis.",atelectasis,right-sided,Stable,['files/p14/p14471276/s52991108/d1136eed-65e29502-7df50d94-26d66f4a-513b4e1c.jpg'],['files/p14/p14471276/s51837713/7fcfad8c-62cf43c4-53d85ee1-2c8bb890-c7773830.jpg\n']
s52994496_39,p13475033,s52994496,39,Impression,"As compared to the previous radiograph, no relevant change is seen. The generalized increase in interstitial structures is unchanged as compared to the previous image, there is a history of known interstitial lung disease. The lung volumes are low. Moderate cardiomegaly with elongation of the descending aorta. No pleural effusions. No pneumonia. No overt pulmonary edema.","The generalized increase in interstitial structures is unchanged as compared to the previous image, there is a history of known interstitial lung disease.",increase in interstitial structures,generalized,Stable,"['files/p13/p13475033/s52994496/34ed3875-0bb55be6-a905fd01-0597b4d6-e8b1e399.jpg', 'files/p13/p13475033/s52994496/6facf396-7379189e-2e080917-b29d6209-25eb040b.jpg']","['files/p13/p13475033/s52606958/55339975-113cd016-3378dc51-976067bf-8b4e471f.jpg\n', 'files/p13/p13475033/s52606958/c9fff184-4c819069-e151edf5-6591caae-9a76e8f0.jpg\n']"
s52998742_5,p14236258,s52998742,5,Findings,"AP upright and lateral views of the chest were provided. A vascular stent is again noted in the region of the SVC, left brachiocephalic vein. There is blunting of the right CP angle which could indicate a small effusion. No overt signs of edema or pneumonia. The cardiomediastinal silhouette is stable. Bony structures are intact. Degenerative changes again noted at the left glenohumeral joint.",The cardiomediastinal silhouette is stable.,cardiomediastinal silhouette,,Stable,"['files/p14/p14236258/s52998742/048b4d6a-b86b868c-e1fb6563-ee782a6c-74a96d44.jpg', 'files/p14/p14236258/s52998742/8ee276bc-f8413bb2-79639432-b58d2a14-2d9f78c0.jpg', 'files/p14/p14236258/s52998742/dde26f17-5771e037-b36eaf10-c25c13c0-84dee67a.jpg']","['files/p14/p14236258/s52034094/92c14d77-ecf00fa7-99e8dbe5-0a1591ae-be39eec7.jpg\n', 'files/p14/p14236258/s52034094/cb9dfd59-69a7a57f-254f4223-251e6a00-92e162bb.jpg\n']"
s52998742_5,p14236258,s52998742,5,Findings,"AP upright and lateral views of the chest were provided. A vascular stent is again noted in the region of the SVC, left brachiocephalic vein. There is blunting of the right CP angle which could indicate a small effusion. No overt signs of edema or pneumonia. The cardiomediastinal silhouette is stable. Bony structures are intact. Degenerative changes again noted at the left glenohumeral joint.",Degenerative changes again noted at the left glenohumeral joint.,Degenerative changes,left glenohumeral joint,Stable,"['files/p14/p14236258/s52998742/048b4d6a-b86b868c-e1fb6563-ee782a6c-74a96d44.jpg', 'files/p14/p14236258/s52998742/8ee276bc-f8413bb2-79639432-b58d2a14-2d9f78c0.jpg', 'files/p14/p14236258/s52998742/dde26f17-5771e037-b36eaf10-c25c13c0-84dee67a.jpg']","['files/p14/p14236258/s52034094/92c14d77-ecf00fa7-99e8dbe5-0a1591ae-be39eec7.jpg\n', 'files/p14/p14236258/s52034094/cb9dfd59-69a7a57f-254f4223-251e6a00-92e162bb.jpg\n']"
s52998742_5,p14236258,s52998742,5,Findings,"AP upright and lateral views of the chest were provided. A vascular stent is again noted in the region of the SVC, left brachiocephalic vein. There is blunting of the right CP angle which could indicate a small effusion. No overt signs of edema or pneumonia. The cardiomediastinal silhouette is stable. Bony structures are intact. Degenerative changes again noted at the left glenohumeral joint.","A vascular stent is again noted in the region of the SVC, left brachiocephalic vein.",vascular stent,"SVC, left brachiocephalic vein",Stable,"['files/p14/p14236258/s52998742/048b4d6a-b86b868c-e1fb6563-ee782a6c-74a96d44.jpg', 'files/p14/p14236258/s52998742/8ee276bc-f8413bb2-79639432-b58d2a14-2d9f78c0.jpg', 'files/p14/p14236258/s52998742/dde26f17-5771e037-b36eaf10-c25c13c0-84dee67a.jpg']","['files/p14/p14236258/s52034094/92c14d77-ecf00fa7-99e8dbe5-0a1591ae-be39eec7.jpg\n', 'files/p14/p14236258/s52034094/cb9dfd59-69a7a57f-254f4223-251e6a00-92e162bb.jpg\n']"
s52998783_0,p16875792,s52998783,0,Findings,The lungs are low in volume but clear. The cardiac silhouette is unchanged compared to the previous examination. The mediastinal silhouette and hilar contours are normal. No pleural effusion or pneumothorax is present.,The cardiac silhouette is unchanged compared to the previous examination.,cardiac silhouette,,Stable,['files/p16/p16875792/s52998783/66b2b4e8-470a1e57-77371a47-f3e6f263-0b7d1783.jpg'],['files/p16/p16875792/s50476602/b00146a8-daf7d7b9-b5b42300-46be81dc-b7c723c0.jpg\n']
s53000263_13,p13473495,s53000263,13,Findings,"In comparison with the study of ___, there is continued substantial enlargement of the cardiac silhouette with elevated pulmonary venous pressure. Probable bilateral layering pleural effusions with compressive atelectasis at the bases. In the appropriate clinical setting, supervening pneumonia would have to be seriously considered.","In comparison with the study of ___, there is continued substantial enlargement of the cardiac silhouette with elevated pulmonary venous pressure.",substantial enlargement of the cardiac silhouette with elevated pulmonary venous pressure,,Stable,['files/p13/p13473495/s53000263/021e1de7-890774b9-f2aa1f31-53b8b7b8-eb9c4fd2.jpg'],"['files/p13/p13473495/s52412265/42ae0c6c-7b1098fb-961404c7-0f003264-354d885a.jpg\n', 'files/p13/p13473495/s52412265/67b79c5a-91178925-992cc76b-a0b66e0f-927a44a5.jpg\n', 'files/p13/p13473495/s52412265/a6aad5da-2b346586-e6b4b977-d71b3973-925a1eb1.jpg\n']"
s53002522_0,p16622813,s53002522,0,Findings,"The heart is normal in size. The aorta is tortuous. Allowing for differences in technique, mediastinal and hilar contours are unremarkable. There is volume loss in the right hemithorax with scarring at the right apex that is presumably post-surgical. Mild chronic-appearing compression deformities are poorly visualized along the upper thoracic spine; although unlikely to represent acute fractures, there may be some increase in the degree of attenuated body heights at one or more levels since the prior CT from several years ago.","Mild chronic-appearing compression deformities are poorly visualized along the upper thoracic spine; although unlikely to represent acute fractures, there may be some increase in the degree of attenuated body heights at one or more levels since the prior CT from several years ago.",compression deformities,upper thoracic spine,Worse,"['files/p16/p16622813/s53002522/901ff9da-8c7918cf-2c1642f7-2db14f83-c386dfe5.jpg', 'files/p16/p16622813/s53002522/f54d71e9-cb078a0e-41326b2e-d8a5e132-77b9f33a.jpg']","['files/p16/p16622813/s52095390/099c25fb-f6a4a9b0-7ee9e6b8-3bf0eba9-4a09366d.jpg\n', 'files/p16/p16622813/s52095390/4b7e5ec9-570eaeb8-e3635770-7b17f75f-bb2a3e77.jpg\n', 'files/p16/p16622813/s52095390/5a90d178-7f241e16-96da79bd-735b668f-1f777ca8.jpg\n']"
s53002522_0,p16622813,s53002522,0,Impression,"Mild mid thoracic vertebral compression fractures, similar to slightly increased since the prior CT from ___; although not fully characterized, probably chronic. If symptoms refer to the thoracic spine, further imaging assessment could be given consideration.","Mild mid thoracic vertebral compression fractures, similar to slightly increased since the prior CT from ___; although not fully characterized, probably chronic.",vertebral compression fractures,mid thoracic,Stable,"['files/p16/p16622813/s53002522/901ff9da-8c7918cf-2c1642f7-2db14f83-c386dfe5.jpg', 'files/p16/p16622813/s53002522/f54d71e9-cb078a0e-41326b2e-d8a5e132-77b9f33a.jpg']","['files/p16/p16622813/s52095390/099c25fb-f6a4a9b0-7ee9e6b8-3bf0eba9-4a09366d.jpg\n', 'files/p16/p16622813/s52095390/4b7e5ec9-570eaeb8-e3635770-7b17f75f-bb2a3e77.jpg\n', 'files/p16/p16622813/s52095390/5a90d178-7f241e16-96da79bd-735b668f-1f777ca8.jpg\n']"
s53004850_5,p13921768,s53004850,5,Impression,"In comparison with the earlier study of this date, there is little change in the appearance of the heart and lungs and the pacer device.","In comparison with the earlier study of this date, there is little change in the appearance of the heart and lungs and the pacer device.",Pacer device,,Stable,"['files/p13/p13921768/s53004850/49a90eeb-a6ef81ee-eea03e22-6faffaab-e3cd0aed.jpg', 'files/p13/p13921768/s53004850/7d34108e-095b0f56-4294ee33-ad2ab915-5781d4e5.jpg', 'files/p13/p13921768/s53004850/c836e7ff-0f43d4ff-f91fabcf-b1522150-030daf2c.jpg']","['files/p13/p13921768/s50966773/2a262a8c-c8739dde-30e57c4d-800f4b3a-51d54c14.jpg\n', 'files/p13/p13921768/s50966773/794214ee-e57ac38e-8e01e79b-648f4673-7b7f3e7c.jpg\n']"
s53004850_5,p13921768,s53004850,5,Impression,"In comparison with the earlier study of this date, there is little change in the appearance of the heart and lungs and the pacer device.","In comparison with the earlier study of this date, there is little change in the appearance of the heart and lungs and the pacer device.",Lungs,,Stable,"['files/p13/p13921768/s53004850/49a90eeb-a6ef81ee-eea03e22-6faffaab-e3cd0aed.jpg', 'files/p13/p13921768/s53004850/7d34108e-095b0f56-4294ee33-ad2ab915-5781d4e5.jpg', 'files/p13/p13921768/s53004850/c836e7ff-0f43d4ff-f91fabcf-b1522150-030daf2c.jpg']","['files/p13/p13921768/s50966773/2a262a8c-c8739dde-30e57c4d-800f4b3a-51d54c14.jpg\n', 'files/p13/p13921768/s50966773/794214ee-e57ac38e-8e01e79b-648f4673-7b7f3e7c.jpg\n']"
s53004850_5,p13921768,s53004850,5,Impression,"In comparison with the earlier study of this date, there is little change in the appearance of the heart and lungs and the pacer device.","In comparison with the earlier study of this date, there is little change in the appearance of the heart and lungs and the pacer device.",Heart,,Stable,"['files/p13/p13921768/s53004850/49a90eeb-a6ef81ee-eea03e22-6faffaab-e3cd0aed.jpg', 'files/p13/p13921768/s53004850/7d34108e-095b0f56-4294ee33-ad2ab915-5781d4e5.jpg', 'files/p13/p13921768/s53004850/c836e7ff-0f43d4ff-f91fabcf-b1522150-030daf2c.jpg']","['files/p13/p13921768/s50966773/2a262a8c-c8739dde-30e57c4d-800f4b3a-51d54c14.jpg\n', 'files/p13/p13921768/s50966773/794214ee-e57ac38e-8e01e79b-648f4673-7b7f3e7c.jpg\n']"
s53010349_7,p16826047,s53010349,7,Findings,"PA and lateral radiographs of the chest demonstrate that the right pleural effusion, which had been drained on the ___ radiograph, has returned to the size it was on ___. In addition, there is right middle and lower lobe collapse. There is no shift of mediastinal structures. The visible lung fields are clear. There is no pneumothorax or left-sided effusion. Moderate cardiomegaly is unchanged. Pulmonary vascularity is normal. There is a right-sided chest wall port with the catheter terminating in the low SVC.",Moderate cardiomegaly is unchanged.,Moderate cardiomegaly,,Stable,"['files/p16/p16826047/s53010349/299e5b56-5569fb81-d1129251-b7cb6071-ab3dc20b.jpg', 'files/p16/p16826047/s53010349/fe7bd495-cd1ee433-25411a4e-13614d8b-00bb590c.jpg']",['files/p16/p16826047/s52819811/4f49b2cf-afac9d76-538a44c3-0d040070-15d0571b.jpg\n']
s53010349_7,p16826047,s53010349,7,Findings,"PA and lateral radiographs of the chest demonstrate that the right pleural effusion, which had been drained on the ___ radiograph, has returned to the size it was on ___. In addition, there is right middle and lower lobe collapse. There is no shift of mediastinal structures. The visible lung fields are clear. There is no pneumothorax or left-sided effusion. Moderate cardiomegaly is unchanged. Pulmonary vascularity is normal. There is a right-sided chest wall port with the catheter terminating in the low SVC.","PA and lateral radiographs of the chest demonstrate that the right pleural effusion, which had been drained on the ___ radiograph, has returned to the size it was on ___.",pleural effusion,right,Worse,"['files/p16/p16826047/s53010349/299e5b56-5569fb81-d1129251-b7cb6071-ab3dc20b.jpg', 'files/p16/p16826047/s53010349/fe7bd495-cd1ee433-25411a4e-13614d8b-00bb590c.jpg']",['files/p16/p16826047/s52819811/4f49b2cf-afac9d76-538a44c3-0d040070-15d0571b.jpg\n']
s53012323_2,p18343726,s53012323,2,Impression,Resolved left lower lobe pneumonia. No new acute cardiopulmonary process.,Resolved left lower lobe pneumonia.,pneumonia,Left lower lobe,Resolve,"['files/p18/p18343726/s53012323/ceb97930-fe5ec7d6-6ee4c8aa-56e46341-d0fbfd43.jpg', 'files/p18/p18343726/s53012323/cf70ca08-0d94fd1b-e54c0121-98ae7205-8f0f48e4.jpg']",
s53012323_2,p18343726,s53012323,2,Findings,"The previously seen left lower lobe opacity has resolved. There is no new focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There are no acute bony findings.",The previously seen left lower lobe opacity has resolved.,opacity,Left lower lobe,Resolve,"['files/p18/p18343726/s53012323/ceb97930-fe5ec7d6-6ee4c8aa-56e46341-d0fbfd43.jpg', 'files/p18/p18343726/s53012323/cf70ca08-0d94fd1b-e54c0121-98ae7205-8f0f48e4.jpg']",
s53018485_25,p13475033,s53018485,25,Impression,"AP chest compared to ___ and ___: Moderate cardiomegaly, mediastinal venous engorgement and mild interstitial edema have all worsened indicative of cardiac decompensation. No focal pulmonary abnormality is present to suggest pneumonia, nor is there is substantial pleural effusion or any indication of pneumothorax.","AP chest compared to ___ and ___: Moderate cardiomegaly, mediastinal venous engorgement and mild interstitial edema have all worsened indicative of cardiac decompensation. No focal pulmonary abnormality is present to suggest pneumonia, nor is there is substantial pleural effusion or any indication of pneumothorax.",Mild interstitial edema,,Worse,['files/p13/p13475033/s53018485/25fd1806-d10b52d5-9a3103c0-66e21a5f-36fb5086.jpg'],"['files/p13/p13475033/s52994496/34ed3875-0bb55be6-a905fd01-0597b4d6-e8b1e399.jpg\n', 'files/p13/p13475033/s52994496/6facf396-7379189e-2e080917-b29d6209-25eb040b.jpg\n']"
s53018485_25,p13475033,s53018485,25,Impression,"AP chest compared to ___ and ___: Moderate cardiomegaly, mediastinal venous engorgement and mild interstitial edema have all worsened indicative of cardiac decompensation. No focal pulmonary abnormality is present to suggest pneumonia, nor is there is substantial pleural effusion or any indication of pneumothorax.","AP chest compared to ___ and ___: Moderate cardiomegaly, mediastinal venous engorgement and mild interstitial edema have all worsened indicative of cardiac decompensation. No focal pulmonary abnormality is present to suggest pneumonia, nor is there is substantial pleural effusion or any indication of pneumothorax.",Mediastinal venous engorgement,,Worse,['files/p13/p13475033/s53018485/25fd1806-d10b52d5-9a3103c0-66e21a5f-36fb5086.jpg'],"['files/p13/p13475033/s52994496/34ed3875-0bb55be6-a905fd01-0597b4d6-e8b1e399.jpg\n', 'files/p13/p13475033/s52994496/6facf396-7379189e-2e080917-b29d6209-25eb040b.jpg\n']"
s53018485_25,p13475033,s53018485,25,Impression,"AP chest compared to ___ and ___: Moderate cardiomegaly, mediastinal venous engorgement and mild interstitial edema have all worsened indicative of cardiac decompensation. No focal pulmonary abnormality is present to suggest pneumonia, nor is there is substantial pleural effusion or any indication of pneumothorax.","AP chest compared to ___ and ___: Moderate cardiomegaly, mediastinal venous engorgement and mild interstitial edema have all worsened indicative of cardiac decompensation. No focal pulmonary abnormality is present to suggest pneumonia, nor is there is substantial pleural effusion or any indication of pneumothorax.",Moderate cardiomegaly,,Worse,['files/p13/p13475033/s53018485/25fd1806-d10b52d5-9a3103c0-66e21a5f-36fb5086.jpg'],"['files/p13/p13475033/s52994496/34ed3875-0bb55be6-a905fd01-0597b4d6-e8b1e399.jpg\n', 'files/p13/p13475033/s52994496/6facf396-7379189e-2e080917-b29d6209-25eb040b.jpg\n']"
s53021526_5,p11879886,s53021526,5,Findings,"A left hilar mass is noted, which appears new compared with prior exam of ___. There is also increased vascular markings in the remaining lung fields as well as a new left-sided pleural effusion. There is mild-to-moderate cardiomegaly which appears to be slightly worsened compared with prior exam. There is no pneumothorax. Sternotomy wires are intact. Multiple surgical clips are noted in the left hemithorax.","A left hilar mass is noted, which appears new compared with prior exam of ___.",mass,left hilar,New,"['files/p11/p11879886/s53021526/27a4f085-5eaad330-a1153870-3ec2cd19-20a604cd.jpg', 'files/p11/p11879886/s53021526/ea6b4ed1-85a1a289-da2233a9-5ff02b4c-e6290e00.jpg']","['files/p11/p11879886/s51551069/1d47e5bb-33d97afb-bbb7fbb7-d59ed197-da8a12f7.jpg\n', 'files/p11/p11879886/s51551069/58fedcf0-3247be4c-33428852-1d9d9fed-c613aa80.jpg\n', 'files/p11/p11879886/s51551069/e1c69c1e-96a9aa50-c3ed62f9-f424f43e-99fa854d.jpg\n']"
s53021526_5,p11879886,s53021526,5,Impression,1. New left hilar mass. A CT is recommended for further assessment. 2. Cardiomegaly associated to increased vascular markings and pleural effusion suggests pulmonary vascular congestion.,1. New left hilar mass. A CT is recommended for further assessment.,mass,left hilar,New,"['files/p11/p11879886/s53021526/27a4f085-5eaad330-a1153870-3ec2cd19-20a604cd.jpg', 'files/p11/p11879886/s53021526/ea6b4ed1-85a1a289-da2233a9-5ff02b4c-e6290e00.jpg']","['files/p11/p11879886/s51551069/1d47e5bb-33d97afb-bbb7fbb7-d59ed197-da8a12f7.jpg\n', 'files/p11/p11879886/s51551069/58fedcf0-3247be4c-33428852-1d9d9fed-c613aa80.jpg\n', 'files/p11/p11879886/s51551069/e1c69c1e-96a9aa50-c3ed62f9-f424f43e-99fa854d.jpg\n']"
s53021526_5,p11879886,s53021526,5,Findings,"A left hilar mass is noted, which appears new compared with prior exam of ___. There is also increased vascular markings in the remaining lung fields as well as a new left-sided pleural effusion. There is mild-to-moderate cardiomegaly which appears to be slightly worsened compared with prior exam. There is no pneumothorax. Sternotomy wires are intact. Multiple surgical clips are noted in the left hemithorax.",There is mild-to-moderate cardiomegaly which appears to be slightly worsened compared with prior exam.,cardiomegaly,,Worse,"['files/p11/p11879886/s53021526/27a4f085-5eaad330-a1153870-3ec2cd19-20a604cd.jpg', 'files/p11/p11879886/s53021526/ea6b4ed1-85a1a289-da2233a9-5ff02b4c-e6290e00.jpg']","['files/p11/p11879886/s51551069/1d47e5bb-33d97afb-bbb7fbb7-d59ed197-da8a12f7.jpg\n', 'files/p11/p11879886/s51551069/58fedcf0-3247be4c-33428852-1d9d9fed-c613aa80.jpg\n', 'files/p11/p11879886/s51551069/e1c69c1e-96a9aa50-c3ed62f9-f424f43e-99fa854d.jpg\n']"
s53021526_5,p11879886,s53021526,5,Findings,"A left hilar mass is noted, which appears new compared with prior exam of ___. There is also increased vascular markings in the remaining lung fields as well as a new left-sided pleural effusion. There is mild-to-moderate cardiomegaly which appears to be slightly worsened compared with prior exam. There is no pneumothorax. Sternotomy wires are intact. Multiple surgical clips are noted in the left hemithorax.",There is also increased vascular markings in the remaining lung fields as well as a new left-sided pleural effusion.,pleural effusion,left-sided,New,"['files/p11/p11879886/s53021526/27a4f085-5eaad330-a1153870-3ec2cd19-20a604cd.jpg', 'files/p11/p11879886/s53021526/ea6b4ed1-85a1a289-da2233a9-5ff02b4c-e6290e00.jpg']","['files/p11/p11879886/s51551069/1d47e5bb-33d97afb-bbb7fbb7-d59ed197-da8a12f7.jpg\n', 'files/p11/p11879886/s51551069/58fedcf0-3247be4c-33428852-1d9d9fed-c613aa80.jpg\n', 'files/p11/p11879886/s51551069/e1c69c1e-96a9aa50-c3ed62f9-f424f43e-99fa854d.jpg\n']"
s53021526_5,p11879886,s53021526,5,Findings,"A left hilar mass is noted, which appears new compared with prior exam of ___. There is also increased vascular markings in the remaining lung fields as well as a new left-sided pleural effusion. There is mild-to-moderate cardiomegaly which appears to be slightly worsened compared with prior exam. There is no pneumothorax. Sternotomy wires are intact. Multiple surgical clips are noted in the left hemithorax.",There is also increased vascular markings in the remaining lung fields as well as a new left-sided pleural effusion.,vascular markings,remaining lung fields,Worse,"['files/p11/p11879886/s53021526/27a4f085-5eaad330-a1153870-3ec2cd19-20a604cd.jpg', 'files/p11/p11879886/s53021526/ea6b4ed1-85a1a289-da2233a9-5ff02b4c-e6290e00.jpg']","['files/p11/p11879886/s51551069/1d47e5bb-33d97afb-bbb7fbb7-d59ed197-da8a12f7.jpg\n', 'files/p11/p11879886/s51551069/58fedcf0-3247be4c-33428852-1d9d9fed-c613aa80.jpg\n', 'files/p11/p11879886/s51551069/e1c69c1e-96a9aa50-c3ed62f9-f424f43e-99fa854d.jpg\n']"
s53021891_8,p10268877,s53021891,8,Impression,1. Decreased left basilar consolidation with mild pulmonary edema. 2. Possible pulmonary arterial hypertension.,1. Decreased left basilar consolidation with mild pulmonary edema.,consolidation,left basilar,Better,['files/p10/p10268877/s53021891/046bbbe6-823f11ab-c43a868b-b3342241-8cf3254b.jpg'],['files/p10/p10268877/s52199665/f1b12ac7-37699f77-a605ccbb-0eee65fd-e2f0351d.jpg\n']
s53024166_9,p11893091,s53024166,9,Findings,"The lungs are relatively hyperinflated. There is no focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette is top normal in size, as before. A left pectoral pacemaker is in place with dual leads terminating in the right atrium and right ventricle. The mediastinal and hilar contours are within normal limits.","The cardiac silhouette is top normal in size, as before.",Cardiac silhouette,,Stable,"['files/p11/p11893091/s53024166/035c1d74-0c421b37-8b41923e-ac21bff9-23176ff2.jpg', 'files/p11/p11893091/s53024166/8854ac17-02cbb55b-6797803e-0247f114-8e114394.jpg']",['files/p11/p11893091/s50901361/1d2eae56-aca1446e-78e09b18-02818224-5f58634a.jpg\n']
s53025898_5,p12847817,s53025898,5,Impression,Slightly increased moderate to large right-sided pleural effusion with collapse of much of the right middle lobe and right lower lobe. Superimposed pneumonia cannot be excluded given the appropriate clinical circumstance.,Slightly increased moderate to large right-sided pleural effusion with collapse of much of the right middle lobe and right lower lobe.,pleural effusion,right-sided,Worse,"['files/p12/p12847817/s53025898/6d864779-3ef443ae-59264dbd-d63f8a20-cf4aa1e5.jpg', 'files/p12/p12847817/s53025898/e1463bfe-02353b8a-fe58ada7-b6000ba2-b57da915.jpg']",['files/p12/p12847817/s52295860/9e4ff803-49fb5448-9a9d7215-dda7fcf0-edfff263.jpg\n']
s53025898_5,p12847817,s53025898,5,Findings,The heart size is moderately enlarged. The mediastinal silhouette and hilar contours are unchanged. A moderate to large right-sided pleural effusion is slightly increased in volume compared to prior examination with collapse of much of the right lower lobe and right middle lobe. There is also some consolidation at the base of the right upper lobe which could be due to compressive atelectasis. There is no left effusion. The upper lung zones appear clear. There is no pneumothorax.,A moderate to large right-sided pleural effusion is slightly increased in volume compared to prior examination with collapse of much of the right lower lobe and right middle lobe.,pleural effusion,right-sided,Worse,"['files/p12/p12847817/s53025898/6d864779-3ef443ae-59264dbd-d63f8a20-cf4aa1e5.jpg', 'files/p12/p12847817/s53025898/e1463bfe-02353b8a-fe58ada7-b6000ba2-b57da915.jpg']",['files/p12/p12847817/s52295860/9e4ff803-49fb5448-9a9d7215-dda7fcf0-edfff263.jpg\n']
s53025898_5,p12847817,s53025898,5,Findings,The heart size is moderately enlarged. The mediastinal silhouette and hilar contours are unchanged. A moderate to large right-sided pleural effusion is slightly increased in volume compared to prior examination with collapse of much of the right lower lobe and right middle lobe. There is also some consolidation at the base of the right upper lobe which could be due to compressive atelectasis. There is no left effusion. The upper lung zones appear clear. There is no pneumothorax.,The mediastinal silhouette and hilar contours are unchanged.,,mediastinal silhouette and hilar contours,Stable,"['files/p12/p12847817/s53025898/6d864779-3ef443ae-59264dbd-d63f8a20-cf4aa1e5.jpg', 'files/p12/p12847817/s53025898/e1463bfe-02353b8a-fe58ada7-b6000ba2-b57da915.jpg']",['files/p12/p12847817/s52295860/9e4ff803-49fb5448-9a9d7215-dda7fcf0-edfff263.jpg\n']
s53035658_6,p19720782,s53035658,6,Findings,"AP portable upright chest radiograph was provided. Loculated right pleural effusion is again seen, with compressive lower lobe atelectasis unchanged. There is right perihilar opacity which likely reflects known fibrosis as seen on prior CT. New consolidation is seen. No pneumothorax. Overall, cardiomediastinal silhouette is stable. Bony structures are intact.","Loculated right pleural effusion is again seen, with compressive lower lobe atelectasis unchanged.",atelectasis,lower lobe,Stable,['files/p19/p19720782/s53035658/5932603f-64abd8a2-713ef8b9-907f95b0-106004c5.jpg'],['files/p19/p19720782/s52924835/45aa1a09-ed50dffa-f91421ee-590a536a-9867ca96.jpg\n']
s53035658_6,p19720782,s53035658,6,Findings,"AP portable upright chest radiograph was provided. Loculated right pleural effusion is again seen, with compressive lower lobe atelectasis unchanged. There is right perihilar opacity which likely reflects known fibrosis as seen on prior CT. New consolidation is seen. No pneumothorax. Overall, cardiomediastinal silhouette is stable. Bony structures are intact.",New consolidation is seen.,consolidation,,New,['files/p19/p19720782/s53035658/5932603f-64abd8a2-713ef8b9-907f95b0-106004c5.jpg'],['files/p19/p19720782/s52924835/45aa1a09-ed50dffa-f91421ee-590a536a-9867ca96.jpg\n']
s53035658_6,p19720782,s53035658,6,Impression,"Unchanged appearance of the chest with findings of right pleural effusion, loculated and lower lobe atelectasis as well as right perihilar fibrosis is unchanged. Please refer to subsequent CTA chest for further details.","Unchanged appearance of the chest with findings of right pleural effusion, loculated and lower lobe atelectasis as well as right perihilar fibrosis is unchanged.",atelectasis,lower lobe,Stable,['files/p19/p19720782/s53035658/5932603f-64abd8a2-713ef8b9-907f95b0-106004c5.jpg'],['files/p19/p19720782/s52924835/45aa1a09-ed50dffa-f91421ee-590a536a-9867ca96.jpg\n']
s53035658_6,p19720782,s53035658,6,Findings,"AP portable upright chest radiograph was provided. Loculated right pleural effusion is again seen, with compressive lower lobe atelectasis unchanged. There is right perihilar opacity which likely reflects known fibrosis as seen on prior CT. New consolidation is seen. No pneumothorax. Overall, cardiomediastinal silhouette is stable. Bony structures are intact.","Loculated right pleural effusion is again seen, with compressive lower lobe atelectasis unchanged.",pleural effusion,right,Stable,['files/p19/p19720782/s53035658/5932603f-64abd8a2-713ef8b9-907f95b0-106004c5.jpg'],['files/p19/p19720782/s52924835/45aa1a09-ed50dffa-f91421ee-590a536a-9867ca96.jpg\n']
s53035658_6,p19720782,s53035658,6,Impression,"Unchanged appearance of the chest with findings of right pleural effusion, loculated and lower lobe atelectasis as well as right perihilar fibrosis is unchanged. Please refer to subsequent CTA chest for further details.","Unchanged appearance of the chest with findings of right pleural effusion, loculated and lower lobe atelectasis as well as right perihilar fibrosis is unchanged.",fibrosis,right perihilar,Stable,['files/p19/p19720782/s53035658/5932603f-64abd8a2-713ef8b9-907f95b0-106004c5.jpg'],['files/p19/p19720782/s52924835/45aa1a09-ed50dffa-f91421ee-590a536a-9867ca96.jpg\n']
s53035658_6,p19720782,s53035658,6,Findings,"AP portable upright chest radiograph was provided. Loculated right pleural effusion is again seen, with compressive lower lobe atelectasis unchanged. There is right perihilar opacity which likely reflects known fibrosis as seen on prior CT. New consolidation is seen. No pneumothorax. Overall, cardiomediastinal silhouette is stable. Bony structures are intact.","Overall, cardiomediastinal silhouette is stable.",cardiomediastinal silhouette,,Stable,['files/p19/p19720782/s53035658/5932603f-64abd8a2-713ef8b9-907f95b0-106004c5.jpg'],['files/p19/p19720782/s52924835/45aa1a09-ed50dffa-f91421ee-590a536a-9867ca96.jpg\n']
s53035658_6,p19720782,s53035658,6,Impression,"Unchanged appearance of the chest with findings of right pleural effusion, loculated and lower lobe atelectasis as well as right perihilar fibrosis is unchanged. Please refer to subsequent CTA chest for further details.","Unchanged appearance of the chest with findings of right pleural effusion, loculated and lower lobe atelectasis as well as right perihilar fibrosis is unchanged.",pleural effusion,right,Stable,['files/p19/p19720782/s53035658/5932603f-64abd8a2-713ef8b9-907f95b0-106004c5.jpg'],['files/p19/p19720782/s52924835/45aa1a09-ed50dffa-f91421ee-590a536a-9867ca96.jpg\n']
s53049033_6,p16553329,s53049033,6,Findings,"In comparison with the study of ___ from an outside institution, there is little change. Cardiac silhouette is within normal limits and there is no evidence of acute pneumonia, vascular congestion or pleural effusion. Probable dense calcification of the mitral annulus.","In comparison with the study of ___ from an outside institution, there is little change.",,,Stable,['files/p16/p16553329/s53049033/4765eb14-526b941e-eca533c4-4036ca47-964e3982.jpg'],"['files/p16/p16553329/s51580913/376dd083-0c554a9f-3a0b2392-b89e6681-8215c52b.jpg\n', 'files/p16/p16553329/s51580913/5033a612-cecd8c09-fda1ffcf-89bbc30e-147ecb44.jpg\n']"
s53051445_23,p14387068,s53051445,23,Findings,Comparison is made to the previous study from ___. There is a right-sided PICC line with distal lead tip in the mid SVC. Dobbhoff tube is seen. There is again seen hydropneumothorax in the right base. There is loculated fluid along the right apex as well as well as right-sided volume loss. A small left-sided pleural effusion is seen.,There is again seen hydropneumothorax in the right base.,hydropneumothorax,right base,Worse,['files/p14/p14387068/s53051445/c78782df-1b7c8dd3-106b9075-7374ae77-130d785a.jpg'],['files/p14/p14387068/s53036982/983753d4-6a60ce18-3858cac6-ba36bba0-942df8a1.jpg\n']
s53053588_4,p16319601,s53053588,4,Findings,"A right IJ and left PICC are unchanged in position. An NGT terminates within the stomach. The heart size is normal. The hilar and mediastinal contours are unchanged since the 1:02 p.m. examination. Again seen is a lucency across the right minor fissure, representing a small pneumothorax, unchanged in appearance since the prior study. However, there has been an interval increase of a moderate-sized right pleural effusion. The left lung remains clear. A pigtail catheter is positioned at the left lung base.",A right IJ and left PICC are unchanged in position.,IJ,right,Stable,"['files/p16/p16319601/s53053588/2e0bc848-368fe38c-4feca54c-89e93ae2-b2c7c2db.jpg', 'files/p16/p16319601/s53053588/8511e432-1707518d-687c14ac-488cb51f-b03fb332.jpg']",['files/p16/p16319601/s52726134/c20654e3-3f4f8322-d732af7e-f214d42f-c16264fc.jpg\n']
s53053588_4,p16319601,s53053588,4,Findings,"A right IJ and left PICC are unchanged in position. An NGT terminates within the stomach. The heart size is normal. The hilar and mediastinal contours are unchanged since the 1:02 p.m. examination. Again seen is a lucency across the right minor fissure, representing a small pneumothorax, unchanged in appearance since the prior study. However, there has been an interval increase of a moderate-sized right pleural effusion. The left lung remains clear. A pigtail catheter is positioned at the left lung base.","Again seen is a lucency across the right minor fissure, representing a small pneumothorax, unchanged in appearance since the prior study.",pneumothorax,right minor fissure,Stable,"['files/p16/p16319601/s53053588/2e0bc848-368fe38c-4feca54c-89e93ae2-b2c7c2db.jpg', 'files/p16/p16319601/s53053588/8511e432-1707518d-687c14ac-488cb51f-b03fb332.jpg']",['files/p16/p16319601/s52726134/c20654e3-3f4f8322-d732af7e-f214d42f-c16264fc.jpg\n']
s53053588_4,p16319601,s53053588,4,Findings,"A right IJ and left PICC are unchanged in position. An NGT terminates within the stomach. The heart size is normal. The hilar and mediastinal contours are unchanged since the 1:02 p.m. examination. Again seen is a lucency across the right minor fissure, representing a small pneumothorax, unchanged in appearance since the prior study. However, there has been an interval increase of a moderate-sized right pleural effusion. The left lung remains clear. A pigtail catheter is positioned at the left lung base.",The hilar and mediastinal contours are unchanged since the 1:02 p.m. examination.,hilar and mediastinal contours,,Stable,"['files/p16/p16319601/s53053588/2e0bc848-368fe38c-4feca54c-89e93ae2-b2c7c2db.jpg', 'files/p16/p16319601/s53053588/8511e432-1707518d-687c14ac-488cb51f-b03fb332.jpg']",['files/p16/p16319601/s52726134/c20654e3-3f4f8322-d732af7e-f214d42f-c16264fc.jpg\n']
s53053588_4,p16319601,s53053588,4,Findings,"A right IJ and left PICC are unchanged in position. An NGT terminates within the stomach. The heart size is normal. The hilar and mediastinal contours are unchanged since the 1:02 p.m. examination. Again seen is a lucency across the right minor fissure, representing a small pneumothorax, unchanged in appearance since the prior study. However, there has been an interval increase of a moderate-sized right pleural effusion. The left lung remains clear. A pigtail catheter is positioned at the left lung base.",A right IJ and left PICC are unchanged in position.,PICC,left,Stable,"['files/p16/p16319601/s53053588/2e0bc848-368fe38c-4feca54c-89e93ae2-b2c7c2db.jpg', 'files/p16/p16319601/s53053588/8511e432-1707518d-687c14ac-488cb51f-b03fb332.jpg']",['files/p16/p16319601/s52726134/c20654e3-3f4f8322-d732af7e-f214d42f-c16264fc.jpg\n']
s53053588_4,p16319601,s53053588,4,Impression,1. Unchanged small right pneumothorax tracking along the minor fissure. 2. Interval increase of a moderate-sized right pleural effusion since the 1:02 p.m. study. 3. No left pneumothorax. The initial findings were discussed by Dr. ___ with Dr. ___ ___ telephone at 5:21 p.m. on ___.,1. Unchanged small right pneumothorax tracking along the minor fissure.,pneumothorax,right minor fissure,Stable,"['files/p16/p16319601/s53053588/2e0bc848-368fe38c-4feca54c-89e93ae2-b2c7c2db.jpg', 'files/p16/p16319601/s53053588/8511e432-1707518d-687c14ac-488cb51f-b03fb332.jpg']",['files/p16/p16319601/s52726134/c20654e3-3f4f8322-d732af7e-f214d42f-c16264fc.jpg\n']
s53053588_4,p16319601,s53053588,4,Findings,"A right IJ and left PICC are unchanged in position. An NGT terminates within the stomach. The heart size is normal. The hilar and mediastinal contours are unchanged since the 1:02 p.m. examination. Again seen is a lucency across the right minor fissure, representing a small pneumothorax, unchanged in appearance since the prior study. However, there has been an interval increase of a moderate-sized right pleural effusion. The left lung remains clear. A pigtail catheter is positioned at the left lung base.","However, there has been an interval increase of a moderate-sized right pleural effusion.",pleural effusion,right,Worse,"['files/p16/p16319601/s53053588/2e0bc848-368fe38c-4feca54c-89e93ae2-b2c7c2db.jpg', 'files/p16/p16319601/s53053588/8511e432-1707518d-687c14ac-488cb51f-b03fb332.jpg']",['files/p16/p16319601/s52726134/c20654e3-3f4f8322-d732af7e-f214d42f-c16264fc.jpg\n']
s53053588_4,p16319601,s53053588,4,Impression,1. Unchanged small right pneumothorax tracking along the minor fissure. 2. Interval increase of a moderate-sized right pleural effusion since the 1:02 p.m. study. 3. No left pneumothorax. The initial findings were discussed by Dr. ___ with Dr. ___ ___ telephone at 5:21 p.m. on ___.,2. Interval increase of a moderate-sized right pleural effusion since the 1:02 p.m. study.,pleural effusion,right,Worse,"['files/p16/p16319601/s53053588/2e0bc848-368fe38c-4feca54c-89e93ae2-b2c7c2db.jpg', 'files/p16/p16319601/s53053588/8511e432-1707518d-687c14ac-488cb51f-b03fb332.jpg']",['files/p16/p16319601/s52726134/c20654e3-3f4f8322-d732af7e-f214d42f-c16264fc.jpg\n']
s53053945_4,p13606683,s53053945,4,Findings,"The lungs remain hyperinflated, with multiple areas of hyperlucency and scarring in the left lung base. No focal consolidation. Chronic pleural thickening with blunting of the left costophrenic angle. No pneumothorax. Heart size is borderline enlarged. Prosthetic aortic valve and median sternotomy wires. The stomach is newly distended, with internal air-fluid level, and closely abuts the anterior left hemidiaphragm. Mild acromioclavicular arthropathy.","The lungs remain hyperinflated, with multiple areas of hyperlucency and scarring in the left lung base.","hyperinflation, hyperlucency, scarring",left lung base,Stable,"['files/p13/p13606683/s53053945/95384df4-cbba1b36-7abeb19e-81e2e28c-65204251.jpg', 'files/p13/p13606683/s53053945/e667b137-83bbec7b-b70747b9-9ab0e43e-176a3441.jpg']","['files/p13/p13606683/s52305481/39c0aa47-d1bbe85e-ce60e6c7-48015716-b4e39643.jpg\n', 'files/p13/p13606683/s52305481/86901b89-cb958851-72472e41-3f1494c7-68926acc.jpg\n']"
s53053945_4,p13606683,s53053945,4,Findings,"The lungs remain hyperinflated, with multiple areas of hyperlucency and scarring in the left lung base. No focal consolidation. Chronic pleural thickening with blunting of the left costophrenic angle. No pneumothorax. Heart size is borderline enlarged. Prosthetic aortic valve and median sternotomy wires. The stomach is newly distended, with internal air-fluid level, and closely abuts the anterior left hemidiaphragm. Mild acromioclavicular arthropathy.","The stomach is newly distended, with internal air-fluid level, and closely abuts the anterior left hemidiaphragm.",stomach distension,anterior left hemidiaphragm,New,"['files/p13/p13606683/s53053945/95384df4-cbba1b36-7abeb19e-81e2e28c-65204251.jpg', 'files/p13/p13606683/s53053945/e667b137-83bbec7b-b70747b9-9ab0e43e-176a3441.jpg']","['files/p13/p13606683/s52305481/39c0aa47-d1bbe85e-ce60e6c7-48015716-b4e39643.jpg\n', 'files/p13/p13606683/s52305481/86901b89-cb958851-72472e41-3f1494c7-68926acc.jpg\n']"
s53059312_10,p19075045,s53059312,10,Impression,"AP chest compared to ___: Moderate left pleural effusion is considerably smaller than it was on ___, and mild interstitial pulmonary edema has improved. The postoperative enlargement of the cardiomediastinal silhouette has also improved. Tip of the ET tube at the thoracic inlet, is probably in standard placement. Upper enteric drainage tube passes into the stomach and out of view. Swan-Ganz catheter ends in the proximal pulmonary artery. Transvenous right atrial and right ventricular pacer leads in standard placements. No pneumothorax.",Moderate left pleural effusion is considerably smaller than it was on ___,pleural effusion,left,Better,['files/p19/p19075045/s53059312/7b21ad7a-37b07365-275b2da4-a938c9e4-5342d9d8.jpg'],"['files/p19/p19075045/s52690612/0a5f74c9-1b33d618-67e197ce-2c245e88-51a4e37c.jpg\n', 'files/p19/p19075045/s52690612/b078a488-d4e59bf9-bdd410ac-f6f0a126-8d0fca7e.jpg\n', 'files/p19/p19075045/s52690612/d9804d7c-635ee55c-7df369a2-fad70e3c-4b5af3fb.jpg\n']"
s53059312_10,p19075045,s53059312,10,Impression,"AP chest compared to ___: Moderate left pleural effusion is considerably smaller than it was on ___, and mild interstitial pulmonary edema has improved. The postoperative enlargement of the cardiomediastinal silhouette has also improved. Tip of the ET tube at the thoracic inlet, is probably in standard placement. Upper enteric drainage tube passes into the stomach and out of view. Swan-Ganz catheter ends in the proximal pulmonary artery. Transvenous right atrial and right ventricular pacer leads in standard placements. No pneumothorax.",mild interstitial pulmonary edema has improved,pulmonary edema,interstitial,Better,['files/p19/p19075045/s53059312/7b21ad7a-37b07365-275b2da4-a938c9e4-5342d9d8.jpg'],"['files/p19/p19075045/s52690612/0a5f74c9-1b33d618-67e197ce-2c245e88-51a4e37c.jpg\n', 'files/p19/p19075045/s52690612/b078a488-d4e59bf9-bdd410ac-f6f0a126-8d0fca7e.jpg\n', 'files/p19/p19075045/s52690612/d9804d7c-635ee55c-7df369a2-fad70e3c-4b5af3fb.jpg\n']"
s53059312_10,p19075045,s53059312,10,Impression,"AP chest compared to ___: Moderate left pleural effusion is considerably smaller than it was on ___, and mild interstitial pulmonary edema has improved. The postoperative enlargement of the cardiomediastinal silhouette has also improved. Tip of the ET tube at the thoracic inlet, is probably in standard placement. Upper enteric drainage tube passes into the stomach and out of view. Swan-Ganz catheter ends in the proximal pulmonary artery. Transvenous right atrial and right ventricular pacer leads in standard placements. No pneumothorax.",The postoperative enlargement of the cardiomediastinal silhouette has also improved,enlargement,cardiomediastinal,Better,['files/p19/p19075045/s53059312/7b21ad7a-37b07365-275b2da4-a938c9e4-5342d9d8.jpg'],"['files/p19/p19075045/s52690612/0a5f74c9-1b33d618-67e197ce-2c245e88-51a4e37c.jpg\n', 'files/p19/p19075045/s52690612/b078a488-d4e59bf9-bdd410ac-f6f0a126-8d0fca7e.jpg\n', 'files/p19/p19075045/s52690612/d9804d7c-635ee55c-7df369a2-fad70e3c-4b5af3fb.jpg\n']"
s53060219_10,p16772702,s53060219,10,Impression,"Moderate-to-severe pulmonary edema and bilateral mild-to-moderate pleural effusions, increased since ___.","Moderate-to-severe pulmonary edema and bilateral mild-to-moderate pleural effusions, increased since ___",pulmonary edema,,Worse,['files/p16/p16772702/s53060219/ede20c8a-3e1c0c67-30c5c122-dfcf20cc-b8acc6ae.jpg'],['files/p16/p16772702/s52474242/8d88d859-5ae2eefd-3af51dce-25f4fd2d-15e047c7.jpg\n']
s53060219_10,p16772702,s53060219,10,Findings,"Moderate pulmonary edema has worsened and mild-to-moderate bilateral pleural effusions have increased sincen ___. Bilateral lower lung opacities is combination of effusion, atelectasis and pulmonary edema. Heart size is normal. Bilateral hila are prominent due to an engorged pulmonary vasculature, however, mediastinum is unremarkable.",Moderate pulmonary edema has worsened and mild-to-moderate bilateral pleural effusions have increased since ___,pulmonary edema,,Worse,['files/p16/p16772702/s53060219/ede20c8a-3e1c0c67-30c5c122-dfcf20cc-b8acc6ae.jpg'],['files/p16/p16772702/s52474242/8d88d859-5ae2eefd-3af51dce-25f4fd2d-15e047c7.jpg\n']
s53060219_10,p16772702,s53060219,10,Findings,"Moderate pulmonary edema has worsened and mild-to-moderate bilateral pleural effusions have increased sincen ___. Bilateral lower lung opacities is combination of effusion, atelectasis and pulmonary edema. Heart size is normal. Bilateral hila are prominent due to an engorged pulmonary vasculature, however, mediastinum is unremarkable.",Moderate pulmonary edema has worsened and mild-to-moderate bilateral pleural effusions have increased since ___,pleural effusions,bilateral,Worse,['files/p16/p16772702/s53060219/ede20c8a-3e1c0c67-30c5c122-dfcf20cc-b8acc6ae.jpg'],['files/p16/p16772702/s52474242/8d88d859-5ae2eefd-3af51dce-25f4fd2d-15e047c7.jpg\n']
s53060219_10,p16772702,s53060219,10,Impression,"Moderate-to-severe pulmonary edema and bilateral mild-to-moderate pleural effusions, increased since ___.","Moderate-to-severe pulmonary edema and bilateral mild-to-moderate pleural effusions, increased since ___",pleural effusions,bilateral,Worse,['files/p16/p16772702/s53060219/ede20c8a-3e1c0c67-30c5c122-dfcf20cc-b8acc6ae.jpg'],['files/p16/p16772702/s52474242/8d88d859-5ae2eefd-3af51dce-25f4fd2d-15e047c7.jpg\n']
s53060440_8,p17318449,s53060440,8,Findings,"AP and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. Cardiac silhouette is mildly enlarged, similar to priors. Hypertrophic changes noted in the spine. Median sternotomy wires are again noted.","Cardiac silhouette is mildly enlarged, similar to priors.",mildly enlarged cardiac silhouette,,Stable,"['files/p17/p17318449/s53060440/5f6af615-3c2d172d-0e464b6c-3e9a034e-60e30bc6.jpg', 'files/p17/p17318449/s53060440/96041b33-c15cc055-c1ef5f96-e24f995c-ce351b23.jpg', 'files/p17/p17318449/s53060440/cf5f1f4f-b4d8bc5b-dccb823c-51fa4849-94f65859.jpg']","['files/p17/p17318449/s51654271/0e02f05c-dfa11803-7fd610f9-7011086c-eeeeb1fb.jpg\n', 'files/p17/p17318449/s51654271/3ad494b4-6c39cc5d-18af4458-ca534fa5-36427e1e.jpg\n']"
s53078046_16,p19016834,s53078046,16,Findings,"In comparison with the study of ___, the opacification at the right base has decreased. This could reflect improving effusion and atelectasis, or merely be a manifestation of a more upright position of the patient. Otherwise, little change.","In comparison with the study of ___, the opacification at the right base has decreased.",opacification,right base,Better,['files/p19/p19016834/s53078046/f0b2495b-1f5bba25-28b2aff5-41d9fd3a-a364895f.jpg'],"['files/p19/p19016834/s53015743/2e15d44b-391ff16c-0474e263-a0536b97-de75b719.jpg\n', 'files/p19/p19016834/s53015743/5f9111c1-6adeef26-c000646d-ea3d85ea-e542f4ae.jpg\n']"
s53078182_11,p16662264,s53078182,11,Findings,"Consolidations within the right middle lobe and lingula are again seen, improved since ___. A focal right upper lobe consolidation is also less conspicuous. No new consolidation, effusion, or pneumothorax is seen. There is associated right middle lobe volume loss with elevation of the right hemidiaphragm. A left-sided PICC terminates at the cavoatrial junction.","Consolidations within the right middle lobe and lingula are again seen, improved since ___.",Consolidations,right middle lobe and lingula,Better,"['files/p16/p16662264/s53078182/a86e243b-eb7c225e-ad44bbf8-9125ef98-3d02d669.jpg', 'files/p16/p16662264/s53078182/d41fb89f-8c1d50b1-450c4170-7068ca83-5ad87d23.jpg']",['files/p16/p16662264/s52307671/13b4969f-569b4e51-d63f9659-778309be-d1ef9815.jpg\n']
s53078182_11,p16662264,s53078182,11,Findings,"Consolidations within the right middle lobe and lingula are again seen, improved since ___. A focal right upper lobe consolidation is also less conspicuous. No new consolidation, effusion, or pneumothorax is seen. There is associated right middle lobe volume loss with elevation of the right hemidiaphragm. A left-sided PICC terminates at the cavoatrial junction.",A focal right upper lobe consolidation is also less conspicuous.,Consolidation,right upper lobe,Better,"['files/p16/p16662264/s53078182/a86e243b-eb7c225e-ad44bbf8-9125ef98-3d02d669.jpg', 'files/p16/p16662264/s53078182/d41fb89f-8c1d50b1-450c4170-7068ca83-5ad87d23.jpg']",['files/p16/p16662264/s52307671/13b4969f-569b4e51-d63f9659-778309be-d1ef9815.jpg\n']
s53078182_11,p16662264,s53078182,11,Impression,"Persistent but improving multifocal pneumonia in the right middle and upper lobes, and lingula.","Persistent but improving multifocal pneumonia in the right middle and upper lobes, and lingula.",multifocal pneumonia,"right middle and upper lobes, and lingula",Better,"['files/p16/p16662264/s53078182/a86e243b-eb7c225e-ad44bbf8-9125ef98-3d02d669.jpg', 'files/p16/p16662264/s53078182/d41fb89f-8c1d50b1-450c4170-7068ca83-5ad87d23.jpg']",['files/p16/p16662264/s52307671/13b4969f-569b4e51-d63f9659-778309be-d1ef9815.jpg\n']
s53078789_2,p15518538,s53078789,2,Findings,The lungs are clear. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are again noted with fractures of the superior most wires. No acute osseous abnormalities identified.,Median sternotomy wires are again noted with fractures of the superior most wires.,sternotomy wires fractures,superior most,Stable,"['files/p15/p15518538/s53078789/0c5f56c2-3d707105-b36af285-88d0ae60-48ef3fda.jpg', 'files/p15/p15518538/s53078789/d18abe57-80923646-8d3f05f6-dafedd8b-289ed541.jpg']",['files/p15/p15518538/s50194541/88f5aab2-59d65dc0-384b49ce-d7a62771-3c098482.jpg\n']
s53086061_6,p14353044,s53086061,6,Findings,"AP and lateral views of the chest. Posterior fixation hardware in the thoracic spine is several years old. Elevation of the right lung base has been increasing slowly over the past ___ years. Small right pleural effusion is comparable to ___, slightly larger than on ___. Left subclavian line ends in the distal SVC. Heart size is normal. Cardiomediastinal and hilar contours are normal. Right basilar linear atelectasis is unchanged. No consolidation or pulmonary edema is present.",Posterior fixation hardware in the thoracic spine is several years old.,Posterior fixation hardware,thoracic spine,Stable,"['files/p14/p14353044/s53086061/8c4ad17a-c6ec16dc-137e714a-10dc9541-499191a1.jpg', 'files/p14/p14353044/s53086061/b5339847-f5e8b983-e6dd50d7-690b7be4-662c8a7c.jpg', 'files/p14/p14353044/s53086061/d4cbdb29-3fb2610b-0db9646a-e3d99a30-e86e17bc.jpg']","['files/p14/p14353044/s50710771/15c6aab8-93137ad4-74b0808c-dcbcb4d6-580194d3.jpg\n', 'files/p14/p14353044/s50710771/5ca79a92-b19db7e4-7a8243cf-f5fdab81-3b8e4206.jpg\n', 'files/p14/p14353044/s50710771/746e9051-aea1fe10-f765dc71-17daa29f-ae4a658d.jpg\n']"
s53086061_6,p14353044,s53086061,6,Findings,"AP and lateral views of the chest. Posterior fixation hardware in the thoracic spine is several years old. Elevation of the right lung base has been increasing slowly over the past ___ years. Small right pleural effusion is comparable to ___, slightly larger than on ___. Left subclavian line ends in the distal SVC. Heart size is normal. Cardiomediastinal and hilar contours are normal. Right basilar linear atelectasis is unchanged. No consolidation or pulmonary edema is present.",Elevation of the right lung base has been increasing slowly over the past ___ years.,Elevation,right lung base,Worse,"['files/p14/p14353044/s53086061/8c4ad17a-c6ec16dc-137e714a-10dc9541-499191a1.jpg', 'files/p14/p14353044/s53086061/b5339847-f5e8b983-e6dd50d7-690b7be4-662c8a7c.jpg', 'files/p14/p14353044/s53086061/d4cbdb29-3fb2610b-0db9646a-e3d99a30-e86e17bc.jpg']","['files/p14/p14353044/s50710771/15c6aab8-93137ad4-74b0808c-dcbcb4d6-580194d3.jpg\n', 'files/p14/p14353044/s50710771/5ca79a92-b19db7e4-7a8243cf-f5fdab81-3b8e4206.jpg\n', 'files/p14/p14353044/s50710771/746e9051-aea1fe10-f765dc71-17daa29f-ae4a658d.jpg\n']"
s53086061_6,p14353044,s53086061,6,Findings,"AP and lateral views of the chest. Posterior fixation hardware in the thoracic spine is several years old. Elevation of the right lung base has been increasing slowly over the past ___ years. Small right pleural effusion is comparable to ___, slightly larger than on ___. Left subclavian line ends in the distal SVC. Heart size is normal. Cardiomediastinal and hilar contours are normal. Right basilar linear atelectasis is unchanged. No consolidation or pulmonary edema is present.",Right basilar linear atelectasis is unchanged.,linear atelectasis,right basilar,Stable,"['files/p14/p14353044/s53086061/8c4ad17a-c6ec16dc-137e714a-10dc9541-499191a1.jpg', 'files/p14/p14353044/s53086061/b5339847-f5e8b983-e6dd50d7-690b7be4-662c8a7c.jpg', 'files/p14/p14353044/s53086061/d4cbdb29-3fb2610b-0db9646a-e3d99a30-e86e17bc.jpg']","['files/p14/p14353044/s50710771/15c6aab8-93137ad4-74b0808c-dcbcb4d6-580194d3.jpg\n', 'files/p14/p14353044/s50710771/5ca79a92-b19db7e4-7a8243cf-f5fdab81-3b8e4206.jpg\n', 'files/p14/p14353044/s50710771/746e9051-aea1fe10-f765dc71-17daa29f-ae4a658d.jpg\n']"
s53086061_6,p14353044,s53086061,6,Findings,"AP and lateral views of the chest. Posterior fixation hardware in the thoracic spine is several years old. Elevation of the right lung base has been increasing slowly over the past ___ years. Small right pleural effusion is comparable to ___, slightly larger than on ___. Left subclavian line ends in the distal SVC. Heart size is normal. Cardiomediastinal and hilar contours are normal. Right basilar linear atelectasis is unchanged. No consolidation or pulmonary edema is present.","Small right pleural effusion is comparable to ___, slightly larger than on ___.",Small pleural effusion,right,Worse,"['files/p14/p14353044/s53086061/8c4ad17a-c6ec16dc-137e714a-10dc9541-499191a1.jpg', 'files/p14/p14353044/s53086061/b5339847-f5e8b983-e6dd50d7-690b7be4-662c8a7c.jpg', 'files/p14/p14353044/s53086061/d4cbdb29-3fb2610b-0db9646a-e3d99a30-e86e17bc.jpg']","['files/p14/p14353044/s50710771/15c6aab8-93137ad4-74b0808c-dcbcb4d6-580194d3.jpg\n', 'files/p14/p14353044/s50710771/5ca79a92-b19db7e4-7a8243cf-f5fdab81-3b8e4206.jpg\n', 'files/p14/p14353044/s50710771/746e9051-aea1fe10-f765dc71-17daa29f-ae4a658d.jpg\n']"
s53092956_4,p17288844,s53092956,4,Impression,"AP chest compared to ___: Minimal edema persists in the right lower lung, considerable improvement since ___. Mildly enlarged heart is unchanged. There is no appreciable pleural effusion and no pneumothorax or substantial atelectasis. ET tube is in standard placement. Nasogastric tube passes into the stomach and out of view. Depending on clinical circumstances, the markedly unilateral pulmonary edema on ___ could have been due to previous right decubitus positioning or concurrent pulmonary edema and a large pulmonary embolism preventing perfusion to the left lung. Dr. ___ and I discussed those findings and their clinical significance by telephone at the time of dictation.",Mildly enlarged heart is unchanged.,Enlargement,Heart,Stable,['files/p17/p17288844/s53092956/930dd047-b21f81bf-197ca30e-463d627b-aedbcdc3.jpg'],['files/p17/p17288844/s52481016/c57c824d-1eddb1d5-5933f11b-3da0b20b-0bd14eef.jpg\n']
s53092956_4,p17288844,s53092956,4,Impression,"AP chest compared to ___: Minimal edema persists in the right lower lung, considerable improvement since ___. Mildly enlarged heart is unchanged. There is no appreciable pleural effusion and no pneumothorax or substantial atelectasis. ET tube is in standard placement. Nasogastric tube passes into the stomach and out of view. Depending on clinical circumstances, the markedly unilateral pulmonary edema on ___ could have been due to previous right decubitus positioning or concurrent pulmonary edema and a large pulmonary embolism preventing perfusion to the left lung. Dr. ___ and I discussed those findings and their clinical significance by telephone at the time of dictation.","AP chest compared to ___: Minimal edema persists in the right lower lung, considerable improvement since ___.",Edema,Right lower lung,Better,['files/p17/p17288844/s53092956/930dd047-b21f81bf-197ca30e-463d627b-aedbcdc3.jpg'],['files/p17/p17288844/s52481016/c57c824d-1eddb1d5-5933f11b-3da0b20b-0bd14eef.jpg\n']
s53100359_2,p11934114,s53100359,2,Findings,"Since ___, moderate-to-large right pleural effusion with right lung atelectasis and left lower lung volume loss reflected as increased retrocardiac density are unchanged. Left upper lung is clear. Mildly enlarged heart, mediastinal and hilar contours are unchanged.","Since ___, moderate-to-large right pleural effusion with right lung atelectasis and left lower lung volume loss reflected as increased retrocardiac density are unchanged.",pleural effusion,right,Stable,['files/p11/p11934114/s53100359/dc63738e-e751f65e-82a68318-2d812b04-d30cf7f3.jpg'],"['files/p11/p11934114/s52625540/de3aab87-d8c3b45e-2312deb9-70e80ce0-17b557d2.jpg\n', 'files/p11/p11934114/s52625540/fee52ef3-e8e58680-e83b3d50-fa52077b-106381ff.jpg\n']"
s53100359_2,p11934114,s53100359,2,Findings,"Since ___, moderate-to-large right pleural effusion with right lung atelectasis and left lower lung volume loss reflected as increased retrocardiac density are unchanged. Left upper lung is clear. Mildly enlarged heart, mediastinal and hilar contours are unchanged.","Since ___, moderate-to-large right pleural effusion with right lung atelectasis and left lower lung volume loss reflected as increased retrocardiac density are unchanged.",lung atelectasis,right,Stable,['files/p11/p11934114/s53100359/dc63738e-e751f65e-82a68318-2d812b04-d30cf7f3.jpg'],"['files/p11/p11934114/s52625540/de3aab87-d8c3b45e-2312deb9-70e80ce0-17b557d2.jpg\n', 'files/p11/p11934114/s52625540/fee52ef3-e8e58680-e83b3d50-fa52077b-106381ff.jpg\n']"
s53100359_2,p11934114,s53100359,2,Findings,"Since ___, moderate-to-large right pleural effusion with right lung atelectasis and left lower lung volume loss reflected as increased retrocardiac density are unchanged. Left upper lung is clear. Mildly enlarged heart, mediastinal and hilar contours are unchanged.","Since ___, moderate-to-large right pleural effusion with right lung atelectasis and left lower lung volume loss reflected as increased retrocardiac density are unchanged.",volume loss,left lower lung,Stable,['files/p11/p11934114/s53100359/dc63738e-e751f65e-82a68318-2d812b04-d30cf7f3.jpg'],"['files/p11/p11934114/s52625540/de3aab87-d8c3b45e-2312deb9-70e80ce0-17b557d2.jpg\n', 'files/p11/p11934114/s52625540/fee52ef3-e8e58680-e83b3d50-fa52077b-106381ff.jpg\n']"
s53100359_2,p11934114,s53100359,2,Findings,"Since ___, moderate-to-large right pleural effusion with right lung atelectasis and left lower lung volume loss reflected as increased retrocardiac density are unchanged. Left upper lung is clear. Mildly enlarged heart, mediastinal and hilar contours are unchanged.","Mildly enlarged heart, mediastinal and hilar contours are unchanged.",heart enlargement,,Stable,['files/p11/p11934114/s53100359/dc63738e-e751f65e-82a68318-2d812b04-d30cf7f3.jpg'],"['files/p11/p11934114/s52625540/de3aab87-d8c3b45e-2312deb9-70e80ce0-17b557d2.jpg\n', 'files/p11/p11934114/s52625540/fee52ef3-e8e58680-e83b3d50-fa52077b-106381ff.jpg\n']"
s53100359_2,p11934114,s53100359,2,Findings,"Since ___, moderate-to-large right pleural effusion with right lung atelectasis and left lower lung volume loss reflected as increased retrocardiac density are unchanged. Left upper lung is clear. Mildly enlarged heart, mediastinal and hilar contours are unchanged.","Mildly enlarged heart, mediastinal and hilar contours are unchanged.",mediastinal and hilar contours,,Stable,['files/p11/p11934114/s53100359/dc63738e-e751f65e-82a68318-2d812b04-d30cf7f3.jpg'],"['files/p11/p11934114/s52625540/de3aab87-d8c3b45e-2312deb9-70e80ce0-17b557d2.jpg\n', 'files/p11/p11934114/s52625540/fee52ef3-e8e58680-e83b3d50-fa52077b-106381ff.jpg\n']"
s53102363_3,p13979643,s53102363,3,Findings,"There are low lung volumes. The heart size is normal. The aorta remains tortuous. There is crowding of the bronchovascular structures, but no overt pulmonary edema. Linear opacities at the lung bases likely reflect atelectasis. Possible trace left pleural effusion is present. No pneumothorax. No free air under the diaphragms. There is gaseous distention of the stomach.",The aorta remains tortuous.,tortuous aorta,,Stable,"['files/p13/p13979643/s53102363/bcddeef7-b39afe1b-a9149ef3-e8d88304-1afb1754.jpg', 'files/p13/p13979643/s53102363/c063f72d-3383a805-adfef1af-05414ba2-9eba728c.jpg']",['files/p13/p13979643/s52684832/a9757208-a33ffdfd-f85aa4b3-e2f7e4ba-8c77011e.jpg\n']
s53104217_13,p19075045,s53104217,13,Impression,"PA and lateral chest compared to ___: Aeration in the previously atelectatic or consolidated left upper lobe has improved, improvement in the left lung base is less pronounced. Both are presumably due to atelectasis but radiographically one could not exclude clearing pneumonia. Moderate left pleural effusion is still present. Moderate enlargement of the heart is unchanged. Right lung shows milder atelectasis but is otherwise clear. There is no pulmonary edema or pneumothorax. Transvenous right atrioventricular pacer leads are in standard placements.",Moderate enlargement of the heart is unchanged,enlargement,heart,Stable,['files/p19/p19075045/s53104217/62e9edcc-50892c5b-d1908c61-edfdb644-33f323c6.jpg'],['files/p19/p19075045/s53059312/7b21ad7a-37b07365-275b2da4-a938c9e4-5342d9d8.jpg\n']
s53104217_13,p19075045,s53104217,13,Impression,"PA and lateral chest compared to ___: Aeration in the previously atelectatic or consolidated left upper lobe has improved, improvement in the left lung base is less pronounced. Both are presumably due to atelectasis but radiographically one could not exclude clearing pneumonia. Moderate left pleural effusion is still present. Moderate enlargement of the heart is unchanged. Right lung shows milder atelectasis but is otherwise clear. There is no pulmonary edema or pneumothorax. Transvenous right atrioventricular pacer leads are in standard placements.",improvement in the left lung base is less pronounced,atelectasis,left lung base,Better,['files/p19/p19075045/s53104217/62e9edcc-50892c5b-d1908c61-edfdb644-33f323c6.jpg'],['files/p19/p19075045/s53059312/7b21ad7a-37b07365-275b2da4-a938c9e4-5342d9d8.jpg\n']
s53104217_13,p19075045,s53104217,13,Impression,"PA and lateral chest compared to ___: Aeration in the previously atelectatic or consolidated left upper lobe has improved, improvement in the left lung base is less pronounced. Both are presumably due to atelectasis but radiographically one could not exclude clearing pneumonia. Moderate left pleural effusion is still present. Moderate enlargement of the heart is unchanged. Right lung shows milder atelectasis but is otherwise clear. There is no pulmonary edema or pneumothorax. Transvenous right atrioventricular pacer leads are in standard placements.",Aeration in the previously atelectatic or consolidated left upper lobe has improved,atelectasis,left upper lobe,Better,['files/p19/p19075045/s53104217/62e9edcc-50892c5b-d1908c61-edfdb644-33f323c6.jpg'],['files/p19/p19075045/s53059312/7b21ad7a-37b07365-275b2da4-a938c9e4-5342d9d8.jpg\n']
s53115889_1,p17770657,s53115889,1,Findings,"In comparison with study of ___, there is little overall change in the appearance of the heart and lungs. Continued hyperexpansion without evidence of acute focal pneumonia, though there are atelectatic changes at the left base. There is subcutaneous gas along the chest walls bilaterally that was not appreciated on the prior study. This information was telephoned to the nurse in the ICU taking care of the patient on ___ at 950 upon noticing the abnormality.","In comparison with study of ___, there is little overall change in the appearance of the heart and lungs.",,heart and lungs,Stable,['files/p17/p17770657/s53115889/13a5d3b6-8cf4d79a-807319e4-1292cd55-39f57349.jpg'],['files/p17/p17770657/s52978683/79d6fa76-8cc30af0-1dba3386-66e2a784-e134a348.jpg\n']
s53115889_1,p17770657,s53115889,1,Findings,"In comparison with study of ___, there is little overall change in the appearance of the heart and lungs. Continued hyperexpansion without evidence of acute focal pneumonia, though there are atelectatic changes at the left base. There is subcutaneous gas along the chest walls bilaterally that was not appreciated on the prior study. This information was telephoned to the nurse in the ICU taking care of the patient on ___ at 950 upon noticing the abnormality.",There is subcutaneous gas along the chest walls bilaterally that was not appreciated on the prior study.,subcutaneous gas,chest walls bilaterally,New,['files/p17/p17770657/s53115889/13a5d3b6-8cf4d79a-807319e4-1292cd55-39f57349.jpg'],['files/p17/p17770657/s52978683/79d6fa76-8cc30af0-1dba3386-66e2a784-e134a348.jpg\n']
s53124891_17,p19016834,s53124891,17,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding AP chest examination of ___. Heart size remains normal. Unremarkable appearance of aortic contours. Similar as identified on the previous examination, there is a wide caliber (___-mm diameter) stent occupying the esophagus and reaching from the upper thorax clavicular level down into the hiatus (see also report on barium examination of neoesophagus of same day). There is a right-sided pleural effusion that blunts the right-sided lateral pleural sinus but extends into the posterior pleural spaces, occupying the area posterior to the stent prosthesis along the right posterior chest wall. The amount of pleural effusion has increased in comparison with the preceding AP single view chest examination of ___. The left-sided hemithorax demonstrates unchanged findings with regard to pulmonary vasculature and absence of any new acute infiltrates. No pneumothorax is identified in the apical area.","Similar as identified on the previous examination, there is a wide caliber (___-mm diameter) stent occupying the esophagus and reaching from the upper thorax clavicular level down into the hiatus (see also report on barium examination of neoesophagus of same day).",stent,occupying the esophagus from the upper thorax clavicular level down into the hiatus,Stable,"['files/p19/p19016834/s53124891/ca9c11da-3e9f5e3b-740ad552-71c90659-df5e1052.jpg', 'files/p19/p19016834/s53124891/cd63e875-f4edd5c0-6b3cb2eb-aa774713-24cec640.jpg']",['files/p19/p19016834/s53078046/f0b2495b-1f5bba25-28b2aff5-41d9fd3a-a364895f.jpg\n']
s53124891_17,p19016834,s53124891,17,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding AP chest examination of ___. Heart size remains normal. Unremarkable appearance of aortic contours. Similar as identified on the previous examination, there is a wide caliber (___-mm diameter) stent occupying the esophagus and reaching from the upper thorax clavicular level down into the hiatus (see also report on barium examination of neoesophagus of same day). There is a right-sided pleural effusion that blunts the right-sided lateral pleural sinus but extends into the posterior pleural spaces, occupying the area posterior to the stent prosthesis along the right posterior chest wall. The amount of pleural effusion has increased in comparison with the preceding AP single view chest examination of ___. The left-sided hemithorax demonstrates unchanged findings with regard to pulmonary vasculature and absence of any new acute infiltrates. No pneumothorax is identified in the apical area.",The amount of pleural effusion has increased in comparison with the preceding AP single view chest examination of ___.,pleural effusion,right-sided,Worse,"['files/p19/p19016834/s53124891/ca9c11da-3e9f5e3b-740ad552-71c90659-df5e1052.jpg', 'files/p19/p19016834/s53124891/cd63e875-f4edd5c0-6b3cb2eb-aa774713-24cec640.jpg']",['files/p19/p19016834/s53078046/f0b2495b-1f5bba25-28b2aff5-41d9fd3a-a364895f.jpg\n']
s53124891_17,p19016834,s53124891,17,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding AP chest examination of ___. Heart size remains normal. Unremarkable appearance of aortic contours. Similar as identified on the previous examination, there is a wide caliber (___-mm diameter) stent occupying the esophagus and reaching from the upper thorax clavicular level down into the hiatus (see also report on barium examination of neoesophagus of same day). There is a right-sided pleural effusion that blunts the right-sided lateral pleural sinus but extends into the posterior pleural spaces, occupying the area posterior to the stent prosthesis along the right posterior chest wall. The amount of pleural effusion has increased in comparison with the preceding AP single view chest examination of ___. The left-sided hemithorax demonstrates unchanged findings with regard to pulmonary vasculature and absence of any new acute infiltrates. No pneumothorax is identified in the apical area.",Heart size remains normal.,Heart size,,Stable,"['files/p19/p19016834/s53124891/ca9c11da-3e9f5e3b-740ad552-71c90659-df5e1052.jpg', 'files/p19/p19016834/s53124891/cd63e875-f4edd5c0-6b3cb2eb-aa774713-24cec640.jpg']",['files/p19/p19016834/s53078046/f0b2495b-1f5bba25-28b2aff5-41d9fd3a-a364895f.jpg\n']
s53124891_17,p19016834,s53124891,17,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding AP chest examination of ___. Heart size remains normal. Unremarkable appearance of aortic contours. Similar as identified on the previous examination, there is a wide caliber (___-mm diameter) stent occupying the esophagus and reaching from the upper thorax clavicular level down into the hiatus (see also report on barium examination of neoesophagus of same day). There is a right-sided pleural effusion that blunts the right-sided lateral pleural sinus but extends into the posterior pleural spaces, occupying the area posterior to the stent prosthesis along the right posterior chest wall. The amount of pleural effusion has increased in comparison with the preceding AP single view chest examination of ___. The left-sided hemithorax demonstrates unchanged findings with regard to pulmonary vasculature and absence of any new acute infiltrates. No pneumothorax is identified in the apical area.",The left-sided hemithorax demonstrates unchanged findings with regard to pulmonary vasculature and absence of any new acute infiltrates.,pulmonary vasculature,left-sided hemithorax,Stable,"['files/p19/p19016834/s53124891/ca9c11da-3e9f5e3b-740ad552-71c90659-df5e1052.jpg', 'files/p19/p19016834/s53124891/cd63e875-f4edd5c0-6b3cb2eb-aa774713-24cec640.jpg']",['files/p19/p19016834/s53078046/f0b2495b-1f5bba25-28b2aff5-41d9fd3a-a364895f.jpg\n']
s53128548_0,p15896572,s53128548,0,Findings,"Single AP upright portable view of the chest was obtained. The lungs remain hyperinflated, consistent with chronic obstructive pulmonary disease. The cardiac silhouette is enlarged. Evidence of hiatal hernia is again seen. The aorta is calcified and tortuous. There is mild pulmonary vascular congestion. There is blunting of the right costophrenic angle which may be due to overlying soft tissue, though a small pleural effusion cannot be excluded. Bibasilar atelectasis is seen without discrete focal consolidation.",Evidence of hiatal hernia is again seen.,hiatal hernia,,Stable,['files/p15/p15896572/s53128548/edbc95bb-75d52166-1e3ecf1b-24889c9f-9598b9a9.jpg'],"['files/p15/p15896572/s51237274/2cdb2a27-7c2b2d98-f15e16f6-14f179ab-c34735ea.jpg\n', 'files/p15/p15896572/s51237274/359b5a2d-13feb8b2-33f7d98c-771693be-aad617d9.jpg\n', 'files/p15/p15896572/s51237274/6d6cf1a3-a1f58e9b-9b4005b1-6443f439-7778a06e.jpg\n']"
s53128548_0,p15896572,s53128548,0,Findings,"Single AP upright portable view of the chest was obtained. The lungs remain hyperinflated, consistent with chronic obstructive pulmonary disease. The cardiac silhouette is enlarged. Evidence of hiatal hernia is again seen. The aorta is calcified and tortuous. There is mild pulmonary vascular congestion. There is blunting of the right costophrenic angle which may be due to overlying soft tissue, though a small pleural effusion cannot be excluded. Bibasilar atelectasis is seen without discrete focal consolidation.","The lungs remain hyperinflated, consistent with chronic obstructive pulmonary disease.",hyperinflated lungs,,Stable,['files/p15/p15896572/s53128548/edbc95bb-75d52166-1e3ecf1b-24889c9f-9598b9a9.jpg'],"['files/p15/p15896572/s51237274/2cdb2a27-7c2b2d98-f15e16f6-14f179ab-c34735ea.jpg\n', 'files/p15/p15896572/s51237274/359b5a2d-13feb8b2-33f7d98c-771693be-aad617d9.jpg\n', 'files/p15/p15896572/s51237274/6d6cf1a3-a1f58e9b-9b4005b1-6443f439-7778a06e.jpg\n']"
s53130454_7,p15659181,s53130454,7,Findings,"The Cardiac size is normal. New density in the retrosternal clear space suggests the presence of an anterior mediastinal lesion, of note in prior CT there were enlarge lymph nodes in this location. The pulmonary vasculature is normal. The lungs are clear. There is no pleural effusion or pneumothorax. Basilar atelectasis is noted. Several wedge shaped compression fractures are long standing","New density in the retrosternal clear space suggests the presence of an anterior mediastinal lesion, of note in prior CT there were enlarge lymph nodes in this location.",density,retrosternal clear space,New,"['files/p15/p15659181/s53130454/0bfd31e5-76a7abb7-f9651ef5-a73bef92-57c65fd2.jpg', 'files/p15/p15659181/s53130454/5508a85f-2f9f244d-d22cda11-0527ab51-a15d5058.jpg', 'files/p15/p15659181/s53130454/878ffc5b-fbc8c37b-45a5b548-6883c9d4-5fa06364.jpg']","['files/p15/p15659181/s51363438/4ce5f937-028fec9f-43461f2e-d08533d0-3ceee93a.jpg\n', 'files/p15/p15659181/s51363438/6bee882f-357d1846-ca771638-0a877fc8-6d19d615.jpg\n', 'files/p15/p15659181/s51363438/902a9e67-b9f6b648-6467300b-eeb19d52-3cde1ad9.jpg\n']"
s53130454_7,p15659181,s53130454,7,Findings,"The Cardiac size is normal. New density in the retrosternal clear space suggests the presence of an anterior mediastinal lesion, of note in prior CT there were enlarge lymph nodes in this location. The pulmonary vasculature is normal. The lungs are clear. There is no pleural effusion or pneumothorax. Basilar atelectasis is noted. Several wedge shaped compression fractures are long standing",Several wedge shaped compression fractures are long standing,wedge shaped compression fractures,,Stable,"['files/p15/p15659181/s53130454/0bfd31e5-76a7abb7-f9651ef5-a73bef92-57c65fd2.jpg', 'files/p15/p15659181/s53130454/5508a85f-2f9f244d-d22cda11-0527ab51-a15d5058.jpg', 'files/p15/p15659181/s53130454/878ffc5b-fbc8c37b-45a5b548-6883c9d4-5fa06364.jpg']","['files/p15/p15659181/s51363438/4ce5f937-028fec9f-43461f2e-d08533d0-3ceee93a.jpg\n', 'files/p15/p15659181/s51363438/6bee882f-357d1846-ca771638-0a877fc8-6d19d615.jpg\n', 'files/p15/p15659181/s51363438/902a9e67-b9f6b648-6467300b-eeb19d52-3cde1ad9.jpg\n']"
s53131726_9,p13473495,s53131726,9,Findings,"A single AP radiograph of the chest was acquired. There is redemonstration of a right tunneled internal jugular central venous catheter, ending in the mid-to-low SVC. There is a small quantity of fluid within the minor fissure. There is minimal linear left mid lung atelectasis. There is also subsegmental bilateral lower lung atelectasis. The heart is moderately enlarged, as seen on the prior radiograph from ___. There are no definite pleural effusions. No pneumothorax is seen.","The heart is moderately enlarged, as seen on the prior radiograph from ___.",Cardiomegaly,,Stable,['files/p13/p13473495/s53131726/1b09adcd-7bd70867-f05e7f34-ad26a085-cf236edb.jpg'],['files/p13/p13473495/s53000263/021e1de7-890774b9-f2aa1f31-53b8b7b8-eb9c4fd2.jpg\n']
s53131726_9,p13473495,s53131726,9,Impression,"1. Minimal left mid and bibasilar atelectasis. No focal consolidation. 2. Moderate cardiomegaly, as seen on the prior chest radiograph from ___.","2. Moderate cardiomegaly, as seen on the prior chest radiograph from ___.",Cardiomegaly,,Stable,['files/p13/p13473495/s53131726/1b09adcd-7bd70867-f05e7f34-ad26a085-cf236edb.jpg'],['files/p13/p13473495/s53000263/021e1de7-890774b9-f2aa1f31-53b8b7b8-eb9c4fd2.jpg\n']
s53131726_9,p13473495,s53131726,9,Findings,"A single AP radiograph of the chest was acquired. There is redemonstration of a right tunneled internal jugular central venous catheter, ending in the mid-to-low SVC. There is a small quantity of fluid within the minor fissure. There is minimal linear left mid lung atelectasis. There is also subsegmental bilateral lower lung atelectasis. The heart is moderately enlarged, as seen on the prior radiograph from ___. There are no definite pleural effusions. No pneumothorax is seen.","There is redemonstration of a right tunneled internal jugular central venous catheter, ending in the mid-to-low SVC.",Central venous catheter,Right tunneled internal jugular,Stable,['files/p13/p13473495/s53131726/1b09adcd-7bd70867-f05e7f34-ad26a085-cf236edb.jpg'],['files/p13/p13473495/s53000263/021e1de7-890774b9-f2aa1f31-53b8b7b8-eb9c4fd2.jpg\n']
s53142730_6,p19800337,s53142730,6,Impression,"In comparison with the study of ___, the right basilar opacity has cleared. No evidence of acute pneumonia, vascular congestion, or pleural effusion.","In comparison with the study of ___, the right basilar opacity has cleared.",Opacity,Right basilar,Resolve,"['files/p19/p19800337/s53142730/181d43c2-cde3b96e-33411986-ba61fdd2-46dc6d41.jpg', 'files/p19/p19800337/s53142730/fb3899fe-489d5b50-023c7d0e-22698903-db6b4dcd.jpg']","['files/p19/p19800337/s51584806/7a238738-8c621632-91033197-65bce15b-74461a6c.jpg\n', 'files/p19/p19800337/s51584806/b800c916-3b94102e-b30f93af-af52c677-167e5233.jpg\n']"
s53145122_6,p16773796,s53145122,6,Findings,"2 views were obtained of the chest. Innumerable pulmonary metastases are re-demonstrated and better assessed on the recent CT without intervally developed focal consolidation, pleural effusion or pneumothorax. The esophageal stents again project over the upper abdomen consistent migration into the stomach as depicted on the recent CT. The heart and mediastinal contours are unchanged with postsurgical changes noted in the mediastinum. Osseous abnormalities described in the recent CT are not well assessed on the current examination.",The esophageal stents again project over the upper abdomen consistent migration into the stomach as depicted on the recent CT.,stents,esophageal,Stable,"['files/p16/p16773796/s53145122/44978948-8c8435d1-84daabd1-1ae5d798-b120c70b.jpg', 'files/p16/p16773796/s53145122/49ca0fba-77f367ba-c777cc0f-ca6aa64d-327c39da.jpg', 'files/p16/p16773796/s53145122/a463b913-a54ea4ef-38bc3985-0d13db59-fa42b204.jpg']","['files/p16/p16773796/s52436523/17a44415-8008f173-1aab675f-662a1cbe-a4603308.jpg\n', 'files/p16/p16773796/s52436523/96cda79d-ce622999-1de435f1-addeda4d-cdc26979.jpg\n']"
s53145122_6,p16773796,s53145122,6,Findings,"2 views were obtained of the chest. Innumerable pulmonary metastases are re-demonstrated and better assessed on the recent CT without intervally developed focal consolidation, pleural effusion or pneumothorax. The esophageal stents again project over the upper abdomen consistent migration into the stomach as depicted on the recent CT. The heart and mediastinal contours are unchanged with postsurgical changes noted in the mediastinum. Osseous abnormalities described in the recent CT are not well assessed on the current examination.","Innumerable pulmonary metastases are re-demonstrated and better assessed on the recent CT without intervally developed focal consolidation, pleural effusion or pneumothorax.",metastases,pulmonary,Stable,"['files/p16/p16773796/s53145122/44978948-8c8435d1-84daabd1-1ae5d798-b120c70b.jpg', 'files/p16/p16773796/s53145122/49ca0fba-77f367ba-c777cc0f-ca6aa64d-327c39da.jpg', 'files/p16/p16773796/s53145122/a463b913-a54ea4ef-38bc3985-0d13db59-fa42b204.jpg']","['files/p16/p16773796/s52436523/17a44415-8008f173-1aab675f-662a1cbe-a4603308.jpg\n', 'files/p16/p16773796/s52436523/96cda79d-ce622999-1de435f1-addeda4d-cdc26979.jpg\n']"
s53145122_6,p16773796,s53145122,6,Findings,"2 views were obtained of the chest. Innumerable pulmonary metastases are re-demonstrated and better assessed on the recent CT without intervally developed focal consolidation, pleural effusion or pneumothorax. The esophageal stents again project over the upper abdomen consistent migration into the stomach as depicted on the recent CT. The heart and mediastinal contours are unchanged with postsurgical changes noted in the mediastinum. Osseous abnormalities described in the recent CT are not well assessed on the current examination.",The heart and mediastinal contours are unchanged with postsurgical changes noted in the mediastinum.,contours,heart and mediastinal,Stable,"['files/p16/p16773796/s53145122/44978948-8c8435d1-84daabd1-1ae5d798-b120c70b.jpg', 'files/p16/p16773796/s53145122/49ca0fba-77f367ba-c777cc0f-ca6aa64d-327c39da.jpg', 'files/p16/p16773796/s53145122/a463b913-a54ea4ef-38bc3985-0d13db59-fa42b204.jpg']","['files/p16/p16773796/s52436523/17a44415-8008f173-1aab675f-662a1cbe-a4603308.jpg\n', 'files/p16/p16773796/s52436523/96cda79d-ce622999-1de435f1-addeda4d-cdc26979.jpg\n']"
s53148581_6,p13473781,s53148581,6,Findings,"As compared to the previous radiograph, severe cardiomegaly persists and the presence of a left pleural effusion cannot be excluded. In addition to these findings, today's image shows mild pulmonary edema. Left retrocardiac atelectasis. No pneumothorax.","As compared to the previous radiograph, severe cardiomegaly persists and the presence of a left pleural effusion cannot be excluded.",pleural effusion,left,New,['files/p13/p13473781/s53148581/790aef7d-e4cf7dd2-82d3a1e4-111fdcc4-3d8cedd7.jpg'],['files/p13/p13473781/s50453286/ae4c4185-418ae838-935a5921-92daeeca-f8194630.jpg\n']
s53148581_6,p13473781,s53148581,6,Findings,"As compared to the previous radiograph, severe cardiomegaly persists and the presence of a left pleural effusion cannot be excluded. In addition to these findings, today's image shows mild pulmonary edema. Left retrocardiac atelectasis. No pneumothorax.","As compared to the previous radiograph, severe cardiomegaly persists and the presence of a left pleural effusion cannot be excluded.",severe cardiomegaly,,Stable,['files/p13/p13473781/s53148581/790aef7d-e4cf7dd2-82d3a1e4-111fdcc4-3d8cedd7.jpg'],['files/p13/p13473781/s50453286/ae4c4185-418ae838-935a5921-92daeeca-f8194630.jpg\n']
s53149599_6,p15204620,s53149599,6,Findings,"As compared to the previous radiograph, there is unchanged evidence of extensive right mediastinal adenopathy. The large right lower lung parenchymal opacity is unchanged in extent and severity. No newly appeared focal parenchymal opacities. Unchanged size of the left heart contour.",Unchanged size of the left heart contour.,heart contour,left,Stable,['files/p15/p15204620/s53149599/67114e5d-72eb1a60-88f0c190-25cf1c50-17753b04.jpg'],['files/p15/p15204620/s51354646/4774ead7-71b48825-eef17477-bde904ec-11a19e52.jpg\n']
s53149599_6,p15204620,s53149599,6,Findings,"As compared to the previous radiograph, there is unchanged evidence of extensive right mediastinal adenopathy. The large right lower lung parenchymal opacity is unchanged in extent and severity. No newly appeared focal parenchymal opacities. Unchanged size of the left heart contour.","As compared to the previous radiograph, there is unchanged evidence of extensive right mediastinal adenopathy.",adenopathy,right mediastinal,Stable,['files/p15/p15204620/s53149599/67114e5d-72eb1a60-88f0c190-25cf1c50-17753b04.jpg'],['files/p15/p15204620/s51354646/4774ead7-71b48825-eef17477-bde904ec-11a19e52.jpg\n']
s53149599_6,p15204620,s53149599,6,Findings,"As compared to the previous radiograph, there is unchanged evidence of extensive right mediastinal adenopathy. The large right lower lung parenchymal opacity is unchanged in extent and severity. No newly appeared focal parenchymal opacities. Unchanged size of the left heart contour.",The large right lower lung parenchymal opacity is unchanged in extent and severity.,parenchymal opacity,right lower lung,Stable,['files/p15/p15204620/s53149599/67114e5d-72eb1a60-88f0c190-25cf1c50-17753b04.jpg'],['files/p15/p15204620/s51354646/4774ead7-71b48825-eef17477-bde904ec-11a19e52.jpg\n']
s53154034_13,p16043637,s53154034,13,Findings,"The left pectoral pacer is unchanged in position, with leads terminating in the right atrium and right ventricle. Median sternotomy wires are intact. The prostatic aortic valve is re-demonstrated. No evidence of pneumonia, pulmonary edema or pleural effusions. Cardiomediastinal silhouette is within normal limits.","The left pectoral pacer is unchanged in position, with leads terminating in the right atrium and right ventricle.",pacer,left pectoral,Stable,"['files/p16/p16043637/s53154034/5cecf989-3c537ad2-d38c50a6-2ca6b9d1-743a7756.jpg', 'files/p16/p16043637/s53154034/8e1f514a-b9de86e8-aed555ee-edadacd9-83b66b39.jpg']","['files/p16/p16043637/s52793175/1b3d4f71-68977c5e-a070ff6b-29584c84-b70bf667.jpg\n', 'files/p16/p16043637/s52793175/b2dc9318-372908d7-5af538be-3b12eac5-7c995a7c.jpg\n']"
s53155287_25,p11413236,s53155287,25,Findings,"Lung volumes are low, leading to crowding of the bronchovascular structures. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The heart remains moderately enlarged, although this is accentuated by AP technique and low lung volumes. Calcified AP window node is again noted. A right-sided Port-A-Cath terminates within the upper-mid SVC, unchanged in position from the prior exam.","A right-sided Port-A-Cath terminates within the upper-mid SVC, unchanged in position from the prior exam.",Right-sided Port-A-Cath,upper-mid SVC,Stable,"['files/p11/p11413236/s53155287/85487fb8-4d1bb78d-357fad99-bd6075d5-8b2da39c.jpg', 'files/p11/p11413236/s53155287/edd0f3ed-1c73850b-834eb0a7-0bf47886-bce26021.jpg']","['files/p11/p11413236/s52541396/35a29873-f440b817-77e9b07e-ebd31997-8c62d96e.jpg\n', 'files/p11/p11413236/s52541396/46bdab14-1fa0233c-c0b0841d-4c0869de-6564ff0d.jpg\n']"
s53155287_25,p11413236,s53155287,25,Findings,"Lung volumes are low, leading to crowding of the bronchovascular structures. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The heart remains moderately enlarged, although this is accentuated by AP technique and low lung volumes. Calcified AP window node is again noted. A right-sided Port-A-Cath terminates within the upper-mid SVC, unchanged in position from the prior exam.","The heart remains moderately enlarged, although this is accentuated by AP technique and low lung volumes.",Moderately enlarged heart,,Stable,"['files/p11/p11413236/s53155287/85487fb8-4d1bb78d-357fad99-bd6075d5-8b2da39c.jpg', 'files/p11/p11413236/s53155287/edd0f3ed-1c73850b-834eb0a7-0bf47886-bce26021.jpg']","['files/p11/p11413236/s52541396/35a29873-f440b817-77e9b07e-ebd31997-8c62d96e.jpg\n', 'files/p11/p11413236/s52541396/46bdab14-1fa0233c-c0b0841d-4c0869de-6564ff0d.jpg\n']"
s53157312_14,p18906643,s53157312,14,Findings,"As compared to the previous radiograph, the patient has received a right internal jugular vein catheter. The course of the catheter is unremarkable, the tip of the catheter projects over the mid SVC. There is no evidence of pneumothorax or other complication. In the interval, mild pulmonary edema has developed. The known opacity at the lateral aspects of the left hemithorax is constant. Constant position of the nasogastric tube and of the sternal wires. At the time of observation and dictation, 8:54 a.m., the referring physician ___. ___ was paged for notification.","As compared to the previous radiograph, the patient has received a right internal jugular vein catheter.",internal jugular vein catheter,right,New,['files/p18/p18906643/s53157312/f461329d-d6c1fb63-1dbb6294-4837e58c-53a0b617.jpg'],['files/p18/p18906643/s52874765/2e8c5b5c-9271aa86-6e8f8585-b9dde222-7db00264.jpg\n']
s53157312_14,p18906643,s53157312,14,Findings,"As compared to the previous radiograph, the patient has received a right internal jugular vein catheter. The course of the catheter is unremarkable, the tip of the catheter projects over the mid SVC. There is no evidence of pneumothorax or other complication. In the interval, mild pulmonary edema has developed. The known opacity at the lateral aspects of the left hemithorax is constant. Constant position of the nasogastric tube and of the sternal wires. At the time of observation and dictation, 8:54 a.m., the referring physician ___. ___ was paged for notification.",Constant position of the nasogastric tube and of the sternal wires.,position of the nasogastric tube,,Stable,['files/p18/p18906643/s53157312/f461329d-d6c1fb63-1dbb6294-4837e58c-53a0b617.jpg'],['files/p18/p18906643/s52874765/2e8c5b5c-9271aa86-6e8f8585-b9dde222-7db00264.jpg\n']
s53157312_14,p18906643,s53157312,14,Findings,"As compared to the previous radiograph, the patient has received a right internal jugular vein catheter. The course of the catheter is unremarkable, the tip of the catheter projects over the mid SVC. There is no evidence of pneumothorax or other complication. In the interval, mild pulmonary edema has developed. The known opacity at the lateral aspects of the left hemithorax is constant. Constant position of the nasogastric tube and of the sternal wires. At the time of observation and dictation, 8:54 a.m., the referring physician ___. ___ was paged for notification.",Constant position of the nasogastric tube and of the sternal wires.,position of the sternal wires,,Stable,['files/p18/p18906643/s53157312/f461329d-d6c1fb63-1dbb6294-4837e58c-53a0b617.jpg'],['files/p18/p18906643/s52874765/2e8c5b5c-9271aa86-6e8f8585-b9dde222-7db00264.jpg\n']
s53157312_14,p18906643,s53157312,14,Findings,"As compared to the previous radiograph, the patient has received a right internal jugular vein catheter. The course of the catheter is unremarkable, the tip of the catheter projects over the mid SVC. There is no evidence of pneumothorax or other complication. In the interval, mild pulmonary edema has developed. The known opacity at the lateral aspects of the left hemithorax is constant. Constant position of the nasogastric tube and of the sternal wires. At the time of observation and dictation, 8:54 a.m., the referring physician ___. ___ was paged for notification.","In the interval, mild pulmonary edema has developed.",mild pulmonary edema,,New,['files/p18/p18906643/s53157312/f461329d-d6c1fb63-1dbb6294-4837e58c-53a0b617.jpg'],['files/p18/p18906643/s52874765/2e8c5b5c-9271aa86-6e8f8585-b9dde222-7db00264.jpg\n']
s53157312_14,p18906643,s53157312,14,Findings,"As compared to the previous radiograph, the patient has received a right internal jugular vein catheter. The course of the catheter is unremarkable, the tip of the catheter projects over the mid SVC. There is no evidence of pneumothorax or other complication. In the interval, mild pulmonary edema has developed. The known opacity at the lateral aspects of the left hemithorax is constant. Constant position of the nasogastric tube and of the sternal wires. At the time of observation and dictation, 8:54 a.m., the referring physician ___. ___ was paged for notification.",The known opacity at the lateral aspects of the left hemithorax is constant.,opacity,lateral aspects of the left hemithorax,Stable,['files/p18/p18906643/s53157312/f461329d-d6c1fb63-1dbb6294-4837e58c-53a0b617.jpg'],['files/p18/p18906643/s52874765/2e8c5b5c-9271aa86-6e8f8585-b9dde222-7db00264.jpg\n']
s53158366_6,p13450581,s53158366,6,Findings,"The previously described left upper lobe mass is not seen on this radiograph. Linear opacities in the left upper lobe can be and a sequelae of prior treatment lung carcinoma. No pulmonary edema, pleural effusion or pneumothorax. The cardiomediastinal contours are unchanged.",The cardiomediastinal contours are unchanged.,cardiomediastinal contours,,Stable,"['files/p13/p13450581/s53158366/0973f2e4-fd436409-ac1ae199-94dae0f7-7ed0d26a.jpg', 'files/p13/p13450581/s53158366/43a15b39-91e19d8c-aa4bf7b9-1f192be3-ad880dd8.jpg', 'files/p13/p13450581/s53158366/b774b7cb-d6e72a35-c85f2601-161e02e1-de195f8f.jpg', 'files/p13/p13450581/s53158366/dec8fc17-025db48c-c1db3442-ee663d79-8d57b392.jpg']",['files/p13/p13450581/s52299675/1f3770d8-292e129a-67319735-0573718a-8fcb1e31.jpg\n']
s53158366_6,p13450581,s53158366,6,Findings,"The previously described left upper lobe mass is not seen on this radiograph. Linear opacities in the left upper lobe can be and a sequelae of prior treatment lung carcinoma. No pulmonary edema, pleural effusion or pneumothorax. The cardiomediastinal contours are unchanged.",The previously described left upper lobe mass is not seen on this radiograph.,mass,left upper lobe,Resolve,"['files/p13/p13450581/s53158366/0973f2e4-fd436409-ac1ae199-94dae0f7-7ed0d26a.jpg', 'files/p13/p13450581/s53158366/43a15b39-91e19d8c-aa4bf7b9-1f192be3-ad880dd8.jpg', 'files/p13/p13450581/s53158366/b774b7cb-d6e72a35-c85f2601-161e02e1-de195f8f.jpg', 'files/p13/p13450581/s53158366/dec8fc17-025db48c-c1db3442-ee663d79-8d57b392.jpg']",['files/p13/p13450581/s52299675/1f3770d8-292e129a-67319735-0573718a-8fcb1e31.jpg\n']
s53164365_7,p12702423,s53164365,7,Findings,"There has been interval worsening of moderate interstitial and airspace pulmonary edema. There is new collapse of the right upper lobe with superior retraction of the major fissure, likely due to bronchial encasement by right hilar adenopathy as seen on CT. There are innumerable metastatic pulmonary nodules and multifocal hazy opacities, better characterized on CT. Moderate cardiomegaly and central vascular congestion persist. Small bilateral pleural effusions, multiloculated on the left.","There is new collapse of the right upper lobe with superior retraction of the major fissure, likely due to bronchial encasement by right hilar adenopathy as seen on CT.",collapse,right upper lobe,New,['files/p12/p12702423/s53164365/25449c50-88b4c67a-5aab7423-4c477c4b-843d4f4c.jpg'],"['files/p12/p12702423/s51407808/005f2399-b87f52cf-d010c801-5426064b-05e4afd4.jpg\n', 'files/p12/p12702423/s51407808/21608a5e-d7bf1745-cecdd40b-19f5d201-40cab845.jpg\n', 'files/p12/p12702423/s51407808/457215eb-af990b58-e7e16c7d-3a3ed2f9-654dadf1.jpg\n']"
s53164365_7,p12702423,s53164365,7,Findings,"There has been interval worsening of moderate interstitial and airspace pulmonary edema. There is new collapse of the right upper lobe with superior retraction of the major fissure, likely due to bronchial encasement by right hilar adenopathy as seen on CT. There are innumerable metastatic pulmonary nodules and multifocal hazy opacities, better characterized on CT. Moderate cardiomegaly and central vascular congestion persist. Small bilateral pleural effusions, multiloculated on the left.",There has been interval worsening of moderate interstitial and airspace pulmonary edema.,pulmonary edema,interstitial and airspace,Worse,['files/p12/p12702423/s53164365/25449c50-88b4c67a-5aab7423-4c477c4b-843d4f4c.jpg'],"['files/p12/p12702423/s51407808/005f2399-b87f52cf-d010c801-5426064b-05e4afd4.jpg\n', 'files/p12/p12702423/s51407808/21608a5e-d7bf1745-cecdd40b-19f5d201-40cab845.jpg\n', 'files/p12/p12702423/s51407808/457215eb-af990b58-e7e16c7d-3a3ed2f9-654dadf1.jpg\n']"
s53164365_7,p12702423,s53164365,7,Findings,"There has been interval worsening of moderate interstitial and airspace pulmonary edema. There is new collapse of the right upper lobe with superior retraction of the major fissure, likely due to bronchial encasement by right hilar adenopathy as seen on CT. There are innumerable metastatic pulmonary nodules and multifocal hazy opacities, better characterized on CT. Moderate cardiomegaly and central vascular congestion persist. Small bilateral pleural effusions, multiloculated on the left.",Moderate cardiomegaly and central vascular congestion persist.,cardiomegaly,,Stable,['files/p12/p12702423/s53164365/25449c50-88b4c67a-5aab7423-4c477c4b-843d4f4c.jpg'],"['files/p12/p12702423/s51407808/005f2399-b87f52cf-d010c801-5426064b-05e4afd4.jpg\n', 'files/p12/p12702423/s51407808/21608a5e-d7bf1745-cecdd40b-19f5d201-40cab845.jpg\n', 'files/p12/p12702423/s51407808/457215eb-af990b58-e7e16c7d-3a3ed2f9-654dadf1.jpg\n']"
s53164365_7,p12702423,s53164365,7,Impression,1. New right upper lobe collapse and worsening pulmonary edema. This was discovered and called to Dr. ___ on ___ at 11:27 a.m. 2. Multifocal pulmonary opacities may represent pneumonia or hemorrhage. 3. Innumerable metastatic pulmonary nodules.,1. New right upper lobe collapse and worsening pulmonary edema. This was discovered and called to Dr. ___ on ___ at 11:27 a.m.,collapse,right upper lobe,New,['files/p12/p12702423/s53164365/25449c50-88b4c67a-5aab7423-4c477c4b-843d4f4c.jpg'],"['files/p12/p12702423/s51407808/005f2399-b87f52cf-d010c801-5426064b-05e4afd4.jpg\n', 'files/p12/p12702423/s51407808/21608a5e-d7bf1745-cecdd40b-19f5d201-40cab845.jpg\n', 'files/p12/p12702423/s51407808/457215eb-af990b58-e7e16c7d-3a3ed2f9-654dadf1.jpg\n']"
s53164365_7,p12702423,s53164365,7,Impression,1. New right upper lobe collapse and worsening pulmonary edema. This was discovered and called to Dr. ___ on ___ at 11:27 a.m. 2. Multifocal pulmonary opacities may represent pneumonia or hemorrhage. 3. Innumerable metastatic pulmonary nodules.,1. New right upper lobe collapse and worsening pulmonary edema. This was discovered and called to Dr. ___ on ___ at 11:27 a.m.,pulmonary edema,,Worse,['files/p12/p12702423/s53164365/25449c50-88b4c67a-5aab7423-4c477c4b-843d4f4c.jpg'],"['files/p12/p12702423/s51407808/005f2399-b87f52cf-d010c801-5426064b-05e4afd4.jpg\n', 'files/p12/p12702423/s51407808/21608a5e-d7bf1745-cecdd40b-19f5d201-40cab845.jpg\n', 'files/p12/p12702423/s51407808/457215eb-af990b58-e7e16c7d-3a3ed2f9-654dadf1.jpg\n']"
s53164365_7,p12702423,s53164365,7,Findings,"There has been interval worsening of moderate interstitial and airspace pulmonary edema. There is new collapse of the right upper lobe with superior retraction of the major fissure, likely due to bronchial encasement by right hilar adenopathy as seen on CT. There are innumerable metastatic pulmonary nodules and multifocal hazy opacities, better characterized on CT. Moderate cardiomegaly and central vascular congestion persist. Small bilateral pleural effusions, multiloculated on the left.",Moderate cardiomegaly and central vascular congestion persist.,vascular congestion,central,Stable,['files/p12/p12702423/s53164365/25449c50-88b4c67a-5aab7423-4c477c4b-843d4f4c.jpg'],"['files/p12/p12702423/s51407808/005f2399-b87f52cf-d010c801-5426064b-05e4afd4.jpg\n', 'files/p12/p12702423/s51407808/21608a5e-d7bf1745-cecdd40b-19f5d201-40cab845.jpg\n', 'files/p12/p12702423/s51407808/457215eb-af990b58-e7e16c7d-3a3ed2f9-654dadf1.jpg\n']"
s53177649_0,p17763117,s53177649,0,Findings,"As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly, known left pectoral pacemaker. No pleural effusion. No current pulmonary edema. No pneumonia. Multiple dot-like calcifications that are unchanged.",Multiple dot-like calcifications that are unchanged.,dot-like calcifications,Multiple,Stable,"['files/p17/p17763117/s53177649/067df4f2-ba0ae770-919c7d21-9186536c-9c0f8174.jpg', 'files/p17/p17763117/s53177649/9b350f75-7f987b20-092a7bbf-84be3535-8bc72c1f.jpg']",
s53183707_1,p10274145,s53183707,1,Impression,No evidence of pneumonia. Stable cardiomegaly.,Stable cardiomegaly.,Cardiomegaly,,Stable,"['files/p10/p10274145/s53183707/d570aba7-45a558d7-52f77673-704bdc98-85e97946.jpg', 'files/p10/p10274145/s53183707/d6051124-a16053dc-2b4ecb89-8e1a17a9-252c1e8f.jpg']",
s53183707_1,p10274145,s53183707,1,Findings,The lungs are clear bilaterally with no areas of focal consolidation. There is no pleural effusion or pneumothorax. Patient is status post CABG. Cardiomegaly is stable. Mediastinal silhouette is within normal limits.,Cardiomegaly is stable.,Cardiomegaly,,Stable,"['files/p10/p10274145/s53183707/d570aba7-45a558d7-52f77673-704bdc98-85e97946.jpg', 'files/p10/p10274145/s53183707/d6051124-a16053dc-2b4ecb89-8e1a17a9-252c1e8f.jpg']",
s53183813_25,p16508811,s53183813,25,Findings,Left-sided consolidation involving the left upper lobes and possibly portions of the lingula and left lower lobe is seen. There is a trace left pleural effusion. Subtle opacity at the right lung base of is more likely due to atelectasis bone additional site of infection is not excluded. Prominence of the right hilum is stable. The cardiac and mediastinal silhouettes are stable. No pneumothorax is seen.,Prominence of the right hilum is stable.,Prominence,right hilum,Stable,"['files/p16/p16508811/s53183813/3e35e5c5-a1990b18-b3d03116-6599c881-27d172e8.jpg', 'files/p16/p16508811/s53183813/e07fa786-650ff653-81675db1-7d20a8f0-b4a5b8f3.jpg']","['files/p16/p16508811/s52933806/7d75166a-47342cde-9303b619-7fff892c-486713f7.jpg\n', 'files/p16/p16508811/s52933806/dbaacc26-a0c84198-e2e7ec4e-89757108-dcf9f2f3.jpg\n']"
s53183813_25,p16508811,s53183813,25,Findings,Left-sided consolidation involving the left upper lobes and possibly portions of the lingula and left lower lobe is seen. There is a trace left pleural effusion. Subtle opacity at the right lung base of is more likely due to atelectasis bone additional site of infection is not excluded. Prominence of the right hilum is stable. The cardiac and mediastinal silhouettes are stable. No pneumothorax is seen.,The cardiac and mediastinal silhouettes are stable.,silhouettes,cardiac and mediastinal,Stable,"['files/p16/p16508811/s53183813/3e35e5c5-a1990b18-b3d03116-6599c881-27d172e8.jpg', 'files/p16/p16508811/s53183813/e07fa786-650ff653-81675db1-7d20a8f0-b4a5b8f3.jpg']","['files/p16/p16508811/s52933806/7d75166a-47342cde-9303b619-7fff892c-486713f7.jpg\n', 'files/p16/p16508811/s52933806/dbaacc26-a0c84198-e2e7ec4e-89757108-dcf9f2f3.jpg\n']"
s53200737_5,p14387068,s53200737,5,Findings,"Comparison is made to prior study from ___. There is a very large hydropneumothorax on the right side. There is compression of the lung parenchyma. There is also some mediastinal shift to the left side. The left lung appears well aerated without focal consolidation, pleural effusions or pneumothoraces. The right base has increased in the size with pleural effusion, however, this may be secondary to patient positioning. There is a pleural-based catheter at the right base.",There is also some mediastinal shift to the left side.,mediastinal shift,left side,New,"['files/p14/p14387068/s53200737/477e1845-4fea80f3-5a8b2376-a88ecaee-4d234fa9.jpg', 'files/p14/p14387068/s53200737/904ed560-196507e7-79c10549-789f9b1e-f0ee6cf7.jpg']",['files/p14/p14387068/s53051445/c78782df-1b7c8dd3-106b9075-7374ae77-130d785a.jpg\n']
s53200737_5,p14387068,s53200737,5,Findings,"Comparison is made to prior study from ___. There is a very large hydropneumothorax on the right side. There is compression of the lung parenchyma. There is also some mediastinal shift to the left side. The left lung appears well aerated without focal consolidation, pleural effusions or pneumothoraces. The right base has increased in the size with pleural effusion, however, this may be secondary to patient positioning. There is a pleural-based catheter at the right base.","The right base has increased in the size with pleural effusion, however, this may be secondary to patient positioning.",pleural effusion,right base,Worse,"['files/p14/p14387068/s53200737/477e1845-4fea80f3-5a8b2376-a88ecaee-4d234fa9.jpg', 'files/p14/p14387068/s53200737/904ed560-196507e7-79c10549-789f9b1e-f0ee6cf7.jpg']",['files/p14/p14387068/s53051445/c78782df-1b7c8dd3-106b9075-7374ae77-130d785a.jpg\n']
s53200737_5,p14387068,s53200737,5,Findings,"Comparison is made to prior study from ___. There is a very large hydropneumothorax on the right side. There is compression of the lung parenchyma. There is also some mediastinal shift to the left side. The left lung appears well aerated without focal consolidation, pleural effusions or pneumothoraces. The right base has increased in the size with pleural effusion, however, this may be secondary to patient positioning. There is a pleural-based catheter at the right base.",There is a pleural-based catheter at the right base.,pleural-based catheter,right base,New,"['files/p14/p14387068/s53200737/477e1845-4fea80f3-5a8b2376-a88ecaee-4d234fa9.jpg', 'files/p14/p14387068/s53200737/904ed560-196507e7-79c10549-789f9b1e-f0ee6cf7.jpg']",['files/p14/p14387068/s53051445/c78782df-1b7c8dd3-106b9075-7374ae77-130d785a.jpg\n']
s53200737_5,p14387068,s53200737,5,Findings,"Comparison is made to prior study from ___. There is a very large hydropneumothorax on the right side. There is compression of the lung parenchyma. There is also some mediastinal shift to the left side. The left lung appears well aerated without focal consolidation, pleural effusions or pneumothoraces. The right base has increased in the size with pleural effusion, however, this may be secondary to patient positioning. There is a pleural-based catheter at the right base.",There is a very large hydropneumothorax on the right side.,hydropneumothorax,right side,New,"['files/p14/p14387068/s53200737/477e1845-4fea80f3-5a8b2376-a88ecaee-4d234fa9.jpg', 'files/p14/p14387068/s53200737/904ed560-196507e7-79c10549-789f9b1e-f0ee6cf7.jpg']",['files/p14/p14387068/s53051445/c78782df-1b7c8dd3-106b9075-7374ae77-130d785a.jpg\n']
s53200737_5,p14387068,s53200737,5,Findings,"Comparison is made to prior study from ___. There is a very large hydropneumothorax on the right side. There is compression of the lung parenchyma. There is also some mediastinal shift to the left side. The left lung appears well aerated without focal consolidation, pleural effusions or pneumothoraces. The right base has increased in the size with pleural effusion, however, this may be secondary to patient positioning. There is a pleural-based catheter at the right base.",There is compression of the lung parenchyma.,compression of the lung parenchyma,,New,"['files/p14/p14387068/s53200737/477e1845-4fea80f3-5a8b2376-a88ecaee-4d234fa9.jpg', 'files/p14/p14387068/s53200737/904ed560-196507e7-79c10549-789f9b1e-f0ee6cf7.jpg']",['files/p14/p14387068/s53051445/c78782df-1b7c8dd3-106b9075-7374ae77-130d785a.jpg\n']
s53202055_23,p19759491,s53202055,23,Impression,"Moderate to severe cardiomegaly is chronic. Compared to ___, pulmonary vascular congestion has improved and there is no pulmonary edema. Small left pleural effusion is likely, also improved. Patient has had median sternotomy and mitral valve replacement. Right supraclavicular dual channel catheter, commonly used for hemodialysis, ends in the right atrium. Transvenous left ventricular pacer and right ventricular pacer defibrillator leads are unchanged in their respective positions. The atrial lead cannot be traced. Lateral view recommended.",Transvenous left ventricular pacer and right ventricular pacer defibrillator leads are unchanged in their respective positions.,pacer defibrillator leads,right ventricular,Stable,['files/p19/p19759491/s53202055/c4d47932-145d1a89-7f6d200d-9b16a4d6-84c0d0f0.jpg'],['files/p19/p19759491/s52929450/c5ba12eb-19b106cb-51fb3665-486c18e6-65a1a778.jpg\n']
s53202055_23,p19759491,s53202055,23,Impression,"Moderate to severe cardiomegaly is chronic. Compared to ___, pulmonary vascular congestion has improved and there is no pulmonary edema. Small left pleural effusion is likely, also improved. Patient has had median sternotomy and mitral valve replacement. Right supraclavicular dual channel catheter, commonly used for hemodialysis, ends in the right atrium. Transvenous left ventricular pacer and right ventricular pacer defibrillator leads are unchanged in their respective positions. The atrial lead cannot be traced. Lateral view recommended.",Transvenous left ventricular pacer and right ventricular pacer defibrillator leads are unchanged in their respective positions.,pacer,left ventricular,Stable,['files/p19/p19759491/s53202055/c4d47932-145d1a89-7f6d200d-9b16a4d6-84c0d0f0.jpg'],['files/p19/p19759491/s52929450/c5ba12eb-19b106cb-51fb3665-486c18e6-65a1a778.jpg\n']
s53202055_23,p19759491,s53202055,23,Impression,"Moderate to severe cardiomegaly is chronic. Compared to ___, pulmonary vascular congestion has improved and there is no pulmonary edema. Small left pleural effusion is likely, also improved. Patient has had median sternotomy and mitral valve replacement. Right supraclavicular dual channel catheter, commonly used for hemodialysis, ends in the right atrium. Transvenous left ventricular pacer and right ventricular pacer defibrillator leads are unchanged in their respective positions. The atrial lead cannot be traced. Lateral view recommended.","Small left pleural effusion is likely, also improved.",pleural effusion,left,Better,['files/p19/p19759491/s53202055/c4d47932-145d1a89-7f6d200d-9b16a4d6-84c0d0f0.jpg'],['files/p19/p19759491/s52929450/c5ba12eb-19b106cb-51fb3665-486c18e6-65a1a778.jpg\n']
s53202055_23,p19759491,s53202055,23,Impression,"Moderate to severe cardiomegaly is chronic. Compared to ___, pulmonary vascular congestion has improved and there is no pulmonary edema. Small left pleural effusion is likely, also improved. Patient has had median sternotomy and mitral valve replacement. Right supraclavicular dual channel catheter, commonly used for hemodialysis, ends in the right atrium. Transvenous left ventricular pacer and right ventricular pacer defibrillator leads are unchanged in their respective positions. The atrial lead cannot be traced. Lateral view recommended.","Compared to ___, pulmonary vascular congestion has improved and there is no pulmonary edema.",pulmonary edema,,Resolve,['files/p19/p19759491/s53202055/c4d47932-145d1a89-7f6d200d-9b16a4d6-84c0d0f0.jpg'],['files/p19/p19759491/s52929450/c5ba12eb-19b106cb-51fb3665-486c18e6-65a1a778.jpg\n']
s53202055_23,p19759491,s53202055,23,Impression,"Moderate to severe cardiomegaly is chronic. Compared to ___, pulmonary vascular congestion has improved and there is no pulmonary edema. Small left pleural effusion is likely, also improved. Patient has had median sternotomy and mitral valve replacement. Right supraclavicular dual channel catheter, commonly used for hemodialysis, ends in the right atrium. Transvenous left ventricular pacer and right ventricular pacer defibrillator leads are unchanged in their respective positions. The atrial lead cannot be traced. Lateral view recommended.","Compared to ___, pulmonary vascular congestion has improved and there is no pulmonary edema.",pulmonary vascular congestion,,Better,['files/p19/p19759491/s53202055/c4d47932-145d1a89-7f6d200d-9b16a4d6-84c0d0f0.jpg'],['files/p19/p19759491/s52929450/c5ba12eb-19b106cb-51fb3665-486c18e6-65a1a778.jpg\n']
s53203970_35,p15259244,s53203970,35,Impression,Findings suggesting mild pulmonary congestion. Resolution of small left-side pleural effusion.,Resolution of small left-side pleural effusion.,pleural effusion,left-side,Resolve,"['files/p15/p15259244/s53203970/42fd3d74-fe3267e7-82ffa036-96225174-327660f6.jpg', 'files/p15/p15259244/s53203970/650a92b6-c884c405-4d8cdb97-6cf12826-c8542d57.jpg']",['files/p15/p15259244/s52824127/8312c3a4-f0043050-3db9e48c-8b180ed0-faf4d335.jpg\n']
s53203970_35,p15259244,s53203970,35,Findings,"The patient is status post coronary artery bypass graft surgery and apparently mitral valve replacement. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is a slight interstitial abnormality, suggestive of a state of very mild congestion, but no new focal opacity. A left-sided pleural effusion has resolved although mild scarring or atelectasis persists. Bones are probably demineralized.",The mediastinal and hilar contours appear unchanged.,contours,mediastinal and hilar,Stable,"['files/p15/p15259244/s53203970/42fd3d74-fe3267e7-82ffa036-96225174-327660f6.jpg', 'files/p15/p15259244/s53203970/650a92b6-c884c405-4d8cdb97-6cf12826-c8542d57.jpg']",['files/p15/p15259244/s52824127/8312c3a4-f0043050-3db9e48c-8b180ed0-faf4d335.jpg\n']
s53203970_35,p15259244,s53203970,35,Findings,"The patient is status post coronary artery bypass graft surgery and apparently mitral valve replacement. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is a slight interstitial abnormality, suggestive of a state of very mild congestion, but no new focal opacity. A left-sided pleural effusion has resolved although mild scarring or atelectasis persists. Bones are probably demineralized.",A left-sided pleural effusion has resolved although mild scarring or atelectasis persists.,pleural effusion,left-sided,Resolve,"['files/p15/p15259244/s53203970/42fd3d74-fe3267e7-82ffa036-96225174-327660f6.jpg', 'files/p15/p15259244/s53203970/650a92b6-c884c405-4d8cdb97-6cf12826-c8542d57.jpg']",['files/p15/p15259244/s52824127/8312c3a4-f0043050-3db9e48c-8b180ed0-faf4d335.jpg\n']
s53207240_10,p13352405,s53207240,10,Findings,"As compared to the previous radiograph, the three right-sided chest tubes are in unchanged position. There is no convincing evidence of right pneumothorax. Extensive soft tissue air collection in the cervical and thoracic right-sided soft tissues. Mild-to-moderate pleural effusions with areas of atelectasis at the right lung base. Mild elevation of the right hemidiaphragm. Borderline size of the cardiac silhouette, no left pleural effusion, normal-appearing left lung. The clips in the right chest wall are in unchanged position.",The clips in the right chest wall are in unchanged position.,clips,right chest wall,Stable,['files/p13/p13352405/s53207240/876608af-2d7efebf-d51bcb03-9b230997-e9f7797a.jpg'],"['files/p13/p13352405/s52659811/2b81abe7-9005157c-b9dd3946-421b8614-d299454d.jpg\n', 'files/p13/p13352405/s52659811/a2566d1b-00966175-0f4ab3bf-f1a2acbb-3061c18a.jpg\n']"
s53207240_10,p13352405,s53207240,10,Findings,"As compared to the previous radiograph, the three right-sided chest tubes are in unchanged position. There is no convincing evidence of right pneumothorax. Extensive soft tissue air collection in the cervical and thoracic right-sided soft tissues. Mild-to-moderate pleural effusions with areas of atelectasis at the right lung base. Mild elevation of the right hemidiaphragm. Borderline size of the cardiac silhouette, no left pleural effusion, normal-appearing left lung. The clips in the right chest wall are in unchanged position.","As compared to the previous radiograph, the three right-sided chest tubes are in unchanged position.",chest tubes,right-sided,Stable,['files/p13/p13352405/s53207240/876608af-2d7efebf-d51bcb03-9b230997-e9f7797a.jpg'],"['files/p13/p13352405/s52659811/2b81abe7-9005157c-b9dd3946-421b8614-d299454d.jpg\n', 'files/p13/p13352405/s52659811/a2566d1b-00966175-0f4ab3bf-f1a2acbb-3061c18a.jpg\n']"
s53218289_3,p12658295,s53218289,3,Impression,"Heart size is mildly enlarged, unchanged. Mediastinal silhouette is unchanged. Right lower lung linear opacities are most likely consistent with areas of atelectasis with no evidence of definitive infectious process demonstrated. Substantial kyphosis degrades the quality of the lateral view. Pleural thickening is suspected. If clinically warranted, correlation with chest CT might be considered",Mediastinal silhouette is unchanged.,mediastinal silhouette,,Stable,"['files/p12/p12658295/s53218289/76e43495-5184cc86-d65d1f6f-f8db85fd-87194262.jpg', 'files/p12/p12658295/s53218289/97a75129-d39c5832-904e9f3a-3f98ba5f-9f23cd4a.jpg']",
s53218289_3,p12658295,s53218289,3,Impression,"Heart size is mildly enlarged, unchanged. Mediastinal silhouette is unchanged. Right lower lung linear opacities are most likely consistent with areas of atelectasis with no evidence of definitive infectious process demonstrated. Substantial kyphosis degrades the quality of the lateral view. Pleural thickening is suspected. If clinically warranted, correlation with chest CT might be considered","Heart size is mildly enlarged, unchanged.",heart size,,Stable,"['files/p12/p12658295/s53218289/76e43495-5184cc86-d65d1f6f-f8db85fd-87194262.jpg', 'files/p12/p12658295/s53218289/97a75129-d39c5832-904e9f3a-3f98ba5f-9f23cd4a.jpg']",
s53222889_2,p11928692,s53222889,2,Findings,"Frontal and lateral radiographs of the chest is limited by underpenetration which is likely secondary to body habitus. The lungs appear clear, however it is not possible to exclude a consolidation in the lateral inferior costophrenic angles. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax.",The cardiomediastinal and hilar contours are unchanged.,Cardiomediastinal and hilar contours,,Stable,"['files/p11/p11928692/s53222889/21d9c2b2-5e94a363-aa3b9d61-a6858503-795b84ab.jpg', 'files/p11/p11928692/s53222889/2ea8f7b3-8e1fd4ff-87a29ebc-702190c4-45123977.jpg', 'files/p11/p11928692/s53222889/6bd4c046-822ab57b-56c2ade0-5990ad2d-449af809.jpg', 'files/p11/p11928692/s53222889/d1b9813f-08d920a6-85c9bb6f-c516c1ee-a56f9d38.jpg']",
s53225437_20,p12530259,s53225437,20,Impression,The exam is stable since ___ with expected changes after left lower lobe lobectomy.,The exam is stable since ___ with expected changes after left lower lobe lobectomy,post-surgical changes,left lung,Stable,"['files/p12/p12530259/s53225437/49f44b9d-4268c0c6-464ec5c0-373d8bb5-b69eaa33.jpg', 'files/p12/p12530259/s53225437/ed9e09e7-e22ee204-4a73ca03-dc121d89-5ca5a446.jpg']",['files/p12/p12530259/s52715750/968192ec-09ed8f86-65cb3129-91dbad60-4710e7fb.jpg\n']
s53225437_20,p12530259,s53225437,20,Findings,The patient had left lower lobe lobectomy in ___. Expected stable surgical changes are seen in the left lung with volume loss and mild pleural thickening. There is no pneumothorax. The right lung is unremarkable. Mediastinal and cardiac contours are not enlarged.,Expected stable surgical changes are seen in the left lung with volume loss and mild pleural thickening,volume loss,left lung,Stable,"['files/p12/p12530259/s53225437/49f44b9d-4268c0c6-464ec5c0-373d8bb5-b69eaa33.jpg', 'files/p12/p12530259/s53225437/ed9e09e7-e22ee204-4a73ca03-dc121d89-5ca5a446.jpg']",['files/p12/p12530259/s52715750/968192ec-09ed8f86-65cb3129-91dbad60-4710e7fb.jpg\n']
s53225437_20,p12530259,s53225437,20,Findings,The patient had left lower lobe lobectomy in ___. Expected stable surgical changes are seen in the left lung with volume loss and mild pleural thickening. There is no pneumothorax. The right lung is unremarkable. Mediastinal and cardiac contours are not enlarged.,Expected stable surgical changes are seen in the left lung with volume loss and mild pleural thickening,mild pleural thickening,left lung,Stable,"['files/p12/p12530259/s53225437/49f44b9d-4268c0c6-464ec5c0-373d8bb5-b69eaa33.jpg', 'files/p12/p12530259/s53225437/ed9e09e7-e22ee204-4a73ca03-dc121d89-5ca5a446.jpg']",['files/p12/p12530259/s52715750/968192ec-09ed8f86-65cb3129-91dbad60-4710e7fb.jpg\n']
s53225676_1,p18460230,s53225676,1,Findings,"In comparison with the study of ___, the monitoring and support devices are unchanged. There is again substantial enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions, more prominent on the right.","In comparison with the study of ___, the monitoring and support devices are unchanged.",monitoring and support devices,,Stable,['files/p18/p18460230/s53225676/250bb626-f805c9f6-d82488e1-019d8362-ddb9eae6.jpg'],
s53233378_22,p16662264,s53233378,22,Findings,"As compared to the previous radiograph, there is now no evidence of pneumothorax. Previous change could have been simulated by a skinfold. The extensive bilateral predominantly basal parenchymal opacities are constant in appearance and severity. Unchanged appearance of the cardiac silhouette.",Unchanged appearance of the cardiac silhouette.,silhouette,cardiac,Stable,"['files/p16/p16662264/s53233378/1d1b1649-61056b25-922ea810-d353c844-6a089756.jpg', 'files/p16/p16662264/s53233378/dcdd32f6-e80f7f1f-0c2448f5-0816540b-3b890ebf.jpg']","['files/p16/p16662264/s53078182/a86e243b-eb7c225e-ad44bbf8-9125ef98-3d02d669.jpg\n', 'files/p16/p16662264/s53078182/d41fb89f-8c1d50b1-450c4170-7068ca83-5ad87d23.jpg\n']"
s53233378_22,p16662264,s53233378,22,Findings,"As compared to the previous radiograph, there is now no evidence of pneumothorax. Previous change could have been simulated by a skinfold. The extensive bilateral predominantly basal parenchymal opacities are constant in appearance and severity. Unchanged appearance of the cardiac silhouette.",The extensive bilateral predominantly basal parenchymal opacities are constant in appearance and severity.,parenchymal opacities,bilateral basal,Stable,"['files/p16/p16662264/s53233378/1d1b1649-61056b25-922ea810-d353c844-6a089756.jpg', 'files/p16/p16662264/s53233378/dcdd32f6-e80f7f1f-0c2448f5-0816540b-3b890ebf.jpg']","['files/p16/p16662264/s53078182/a86e243b-eb7c225e-ad44bbf8-9125ef98-3d02d669.jpg\n', 'files/p16/p16662264/s53078182/d41fb89f-8c1d50b1-450c4170-7068ca83-5ad87d23.jpg\n']"
s53234157_2,p12847817,s53234157,2,Findings,"PA and lateral views of the chest were provided. There are bilateral pleural effusions, new from prior exam with subjacent consolidation which could represent compressive atelectasis. The possibility of pneumonia is not excluded. There is no pneumothorax. The heart is top-normal in size. A vascular stent is again noted in the left brachiocephalic vein. The imaged osseous structures are intact. No free air is seen below the right hemidiaphragm.","There are bilateral pleural effusions, new from prior exam with subjacent consolidation which could represent compressive atelectasis.",pleural effusions,bilateral,New,"['files/p12/p12847817/s53234157/294c1ae1-00cea6c8-99bd6a39-7bf5b955-e32bf184.jpg', 'files/p12/p12847817/s53234157/a235e413-ace39b4e-97962e04-aed60fc7-c71c87ed.jpg']","['files/p12/p12847817/s53025898/6d864779-3ef443ae-59264dbd-d63f8a20-cf4aa1e5.jpg\n', 'files/p12/p12847817/s53025898/e1463bfe-02353b8a-fe58ada7-b6000ba2-b57da915.jpg\n']"
s53234157_2,p12847817,s53234157,2,Impression,Bilateral pleural effusions with adjacent consolidation new from prior exam raises concern for fluid overload. Correlate with renal function.,Bilateral pleural effusions with adjacent consolidation new from prior exam raises concern for fluid overload.,pleural effusions,bilateral,New,"['files/p12/p12847817/s53234157/294c1ae1-00cea6c8-99bd6a39-7bf5b955-e32bf184.jpg', 'files/p12/p12847817/s53234157/a235e413-ace39b4e-97962e04-aed60fc7-c71c87ed.jpg']","['files/p12/p12847817/s53025898/6d864779-3ef443ae-59264dbd-d63f8a20-cf4aa1e5.jpg\n', 'files/p12/p12847817/s53025898/e1463bfe-02353b8a-fe58ada7-b6000ba2-b57da915.jpg\n']"
s53234157_2,p12847817,s53234157,2,Findings,"PA and lateral views of the chest were provided. There are bilateral pleural effusions, new from prior exam with subjacent consolidation which could represent compressive atelectasis. The possibility of pneumonia is not excluded. There is no pneumothorax. The heart is top-normal in size. A vascular stent is again noted in the left brachiocephalic vein. The imaged osseous structures are intact. No free air is seen below the right hemidiaphragm.","There are bilateral pleural effusions, new from prior exam with subjacent consolidation which could represent compressive atelectasis.",consolidation,subjacent,New,"['files/p12/p12847817/s53234157/294c1ae1-00cea6c8-99bd6a39-7bf5b955-e32bf184.jpg', 'files/p12/p12847817/s53234157/a235e413-ace39b4e-97962e04-aed60fc7-c71c87ed.jpg']","['files/p12/p12847817/s53025898/6d864779-3ef443ae-59264dbd-d63f8a20-cf4aa1e5.jpg\n', 'files/p12/p12847817/s53025898/e1463bfe-02353b8a-fe58ada7-b6000ba2-b57da915.jpg\n']"
s53234157_2,p12847817,s53234157,2,Findings,"PA and lateral views of the chest were provided. There are bilateral pleural effusions, new from prior exam with subjacent consolidation which could represent compressive atelectasis. The possibility of pneumonia is not excluded. There is no pneumothorax. The heart is top-normal in size. A vascular stent is again noted in the left brachiocephalic vein. The imaged osseous structures are intact. No free air is seen below the right hemidiaphragm.",A vascular stent is again noted in the left brachiocephalic vein.,vascular stent,left brachiocephalic vein,Stable,"['files/p12/p12847817/s53234157/294c1ae1-00cea6c8-99bd6a39-7bf5b955-e32bf184.jpg', 'files/p12/p12847817/s53234157/a235e413-ace39b4e-97962e04-aed60fc7-c71c87ed.jpg']","['files/p12/p12847817/s53025898/6d864779-3ef443ae-59264dbd-d63f8a20-cf4aa1e5.jpg\n', 'files/p12/p12847817/s53025898/e1463bfe-02353b8a-fe58ada7-b6000ba2-b57da915.jpg\n']"
s53234157_2,p12847817,s53234157,2,Impression,Bilateral pleural effusions with adjacent consolidation new from prior exam raises concern for fluid overload. Correlate with renal function.,Bilateral pleural effusions with adjacent consolidation new from prior exam raises concern for fluid overload.,consolidation,adjacent,New,"['files/p12/p12847817/s53234157/294c1ae1-00cea6c8-99bd6a39-7bf5b955-e32bf184.jpg', 'files/p12/p12847817/s53234157/a235e413-ace39b4e-97962e04-aed60fc7-c71c87ed.jpg']","['files/p12/p12847817/s53025898/6d864779-3ef443ae-59264dbd-d63f8a20-cf4aa1e5.jpg\n', 'files/p12/p12847817/s53025898/e1463bfe-02353b8a-fe58ada7-b6000ba2-b57da915.jpg\n']"
s53239683_23,p17340686,s53239683,23,Findings,"Single portable chest radiograph is provided. A left central line catheter tip terminates within the right atrium. Compared to the previous exam there is increased radiodensiy in the right lower lung zone and since the left lower lung is difficult to evaluate, it is unclear if this is a unilateral process. The heart remains severely enlarged. Multiple pulmonary nodules are better visualized in the prior CT. There is no pneumothorax or pleural effusion. Severe degenerative changes within the right shoulder are noted.","Compared to the previous exam there is increased radiodensiy in the right lower lung zone and since the left lower lung is difficult to evaluate, it is unclear if this is a unilateral process.",radiodensity,right lower lung zone,Worse,"['files/p17/p17340686/s53239683/202eeb12-617bacc6-b42cd0f1-1833bd07-b12aab41.jpg', 'files/p17/p17340686/s53239683/8d9be95b-acae4c91-b54b7471-ffba1791-2685235f.jpg']","['files/p17/p17340686/s52923540/26429055-6f36df1c-a048f115-c1f04dc8-d04f9b02.jpg\n', 'files/p17/p17340686/s52923540/57a0b97f-9fbdd0e8-f564bcee-b913d857-a57d9530.jpg\n']"
s53239683_23,p17340686,s53239683,23,Findings,"Single portable chest radiograph is provided. A left central line catheter tip terminates within the right atrium. Compared to the previous exam there is increased radiodensiy in the right lower lung zone and since the left lower lung is difficult to evaluate, it is unclear if this is a unilateral process. The heart remains severely enlarged. Multiple pulmonary nodules are better visualized in the prior CT. There is no pneumothorax or pleural effusion. Severe degenerative changes within the right shoulder are noted.",The heart remains severely enlarged.,severe cardiomegaly,,Stable,"['files/p17/p17340686/s53239683/202eeb12-617bacc6-b42cd0f1-1833bd07-b12aab41.jpg', 'files/p17/p17340686/s53239683/8d9be95b-acae4c91-b54b7471-ffba1791-2685235f.jpg']","['files/p17/p17340686/s52923540/26429055-6f36df1c-a048f115-c1f04dc8-d04f9b02.jpg\n', 'files/p17/p17340686/s52923540/57a0b97f-9fbdd0e8-f564bcee-b913d857-a57d9530.jpg\n']"
s53239683_23,p17340686,s53239683,23,Findings,"Single portable chest radiograph is provided. A left central line catheter tip terminates within the right atrium. Compared to the previous exam there is increased radiodensiy in the right lower lung zone and since the left lower lung is difficult to evaluate, it is unclear if this is a unilateral process. The heart remains severely enlarged. Multiple pulmonary nodules are better visualized in the prior CT. There is no pneumothorax or pleural effusion. Severe degenerative changes within the right shoulder are noted.",Multiple pulmonary nodules are better visualized in the prior CT.,multiple pulmonary nodules,,Stable,"['files/p17/p17340686/s53239683/202eeb12-617bacc6-b42cd0f1-1833bd07-b12aab41.jpg', 'files/p17/p17340686/s53239683/8d9be95b-acae4c91-b54b7471-ffba1791-2685235f.jpg']","['files/p17/p17340686/s52923540/26429055-6f36df1c-a048f115-c1f04dc8-d04f9b02.jpg\n', 'files/p17/p17340686/s52923540/57a0b97f-9fbdd0e8-f564bcee-b913d857-a57d9530.jpg\n']"
s53247313_2,p17340686,s53247313,2,Impression,"AP chest compared to ___: Lung volumes are lower exaggerating what is at least worsened moderate pulmonary edema. More focal areas of opacification in the lateral left mid lung and infrahilar right lung could be atelectasis and edema but pneumonia is of serious concern. The moderately enlarged cardiac silhouette and dilated pulmonary arteries are larger today, and there is more mediastinal vascular engorgement. Dual channel right supraclavicular central venous line ends in the upper right atrium as before. There is no appreciable pleural effusion and no pneumothorax.",Dual channel right supraclavicular central venous line ends in the upper right atrium as before.,central venous line,upper right atrium,Stable,['files/p17/p17340686/s53247313/54a9e5bc-2d3b9e9a-43c44b54-7c16e7b1-f923f86c.jpg'],"['files/p17/p17340686/s53239683/202eeb12-617bacc6-b42cd0f1-1833bd07-b12aab41.jpg\n', 'files/p17/p17340686/s53239683/8d9be95b-acae4c91-b54b7471-ffba1791-2685235f.jpg\n']"
s53247313_2,p17340686,s53247313,2,Impression,"AP chest compared to ___: Lung volumes are lower exaggerating what is at least worsened moderate pulmonary edema. More focal areas of opacification in the lateral left mid lung and infrahilar right lung could be atelectasis and edema but pneumonia is of serious concern. The moderately enlarged cardiac silhouette and dilated pulmonary arteries are larger today, and there is more mediastinal vascular engorgement. Dual channel right supraclavicular central venous line ends in the upper right atrium as before. There is no appreciable pleural effusion and no pneumothorax.",AP chest compared to ___: Lung volumes are lower exaggerating what is at least worsened moderate pulmonary edema.,pulmonary edema,,Worse,['files/p17/p17340686/s53247313/54a9e5bc-2d3b9e9a-43c44b54-7c16e7b1-f923f86c.jpg'],"['files/p17/p17340686/s53239683/202eeb12-617bacc6-b42cd0f1-1833bd07-b12aab41.jpg\n', 'files/p17/p17340686/s53239683/8d9be95b-acae4c91-b54b7471-ffba1791-2685235f.jpg\n']"
s53247313_2,p17340686,s53247313,2,Impression,"AP chest compared to ___: Lung volumes are lower exaggerating what is at least worsened moderate pulmonary edema. More focal areas of opacification in the lateral left mid lung and infrahilar right lung could be atelectasis and edema but pneumonia is of serious concern. The moderately enlarged cardiac silhouette and dilated pulmonary arteries are larger today, and there is more mediastinal vascular engorgement. Dual channel right supraclavicular central venous line ends in the upper right atrium as before. There is no appreciable pleural effusion and no pneumothorax.","The moderately enlarged cardiac silhouette and dilated pulmonary arteries are larger today, and there is more mediastinal vascular engorgement.",cardiac silhouette and pulmonary arteries,,Worse,['files/p17/p17340686/s53247313/54a9e5bc-2d3b9e9a-43c44b54-7c16e7b1-f923f86c.jpg'],"['files/p17/p17340686/s53239683/202eeb12-617bacc6-b42cd0f1-1833bd07-b12aab41.jpg\n', 'files/p17/p17340686/s53239683/8d9be95b-acae4c91-b54b7471-ffba1791-2685235f.jpg\n']"
s53259291_16,p10410641,s53259291,16,Findings,"Bilateral pleural catheters remain in place. Small residual apicolateral pneumothoraces are present, both decreased from the prior chest x-ray. Heart size remains normal. Bilateral pleural effusions and left basilar atelectasis are again demonstrated with slight improvement in aeration at the left lung base.",Bilateral pleural catheters remain in place,pleural catheters,Bilateral,Stable,['files/p10/p10410641/s53259291/3d8031cb-7f207914-fcd68ada-f9eb48e5-ec6ac11a.jpg'],['files/p10/p10410641/s52926904/df2895c4-f22e3845-5f1d5bff-ccd63f42-bf5e30eb.jpg\n']
s53259291_16,p10410641,s53259291,16,Findings,"Bilateral pleural catheters remain in place. Small residual apicolateral pneumothoraces are present, both decreased from the prior chest x-ray. Heart size remains normal. Bilateral pleural effusions and left basilar atelectasis are again demonstrated with slight improvement in aeration at the left lung base.",Bilateral pleural effusions and left basilar atelectasis are again demonstrated with slight improvement in aeration at the left lung base,pleural effusions,Bilateral,Stable,['files/p10/p10410641/s53259291/3d8031cb-7f207914-fcd68ada-f9eb48e5-ec6ac11a.jpg'],['files/p10/p10410641/s52926904/df2895c4-f22e3845-5f1d5bff-ccd63f42-bf5e30eb.jpg\n']
s53259291_16,p10410641,s53259291,16,Findings,"Bilateral pleural catheters remain in place. Small residual apicolateral pneumothoraces are present, both decreased from the prior chest x-ray. Heart size remains normal. Bilateral pleural effusions and left basilar atelectasis are again demonstrated with slight improvement in aeration at the left lung base.","Small residual apicolateral pneumothoraces are present, both decreased from the prior chest x-ray",pneumothoraces,apicolateral,Better,['files/p10/p10410641/s53259291/3d8031cb-7f207914-fcd68ada-f9eb48e5-ec6ac11a.jpg'],['files/p10/p10410641/s52926904/df2895c4-f22e3845-5f1d5bff-ccd63f42-bf5e30eb.jpg\n']
s53259291_16,p10410641,s53259291,16,Findings,"Bilateral pleural catheters remain in place. Small residual apicolateral pneumothoraces are present, both decreased from the prior chest x-ray. Heart size remains normal. Bilateral pleural effusions and left basilar atelectasis are again demonstrated with slight improvement in aeration at the left lung base.",Bilateral pleural effusions and left basilar atelectasis are again demonstrated with slight improvement in aeration at the left lung base,atelectasis,left basilar,Better,['files/p10/p10410641/s53259291/3d8031cb-7f207914-fcd68ada-f9eb48e5-ec6ac11a.jpg'],['files/p10/p10410641/s52926904/df2895c4-f22e3845-5f1d5bff-ccd63f42-bf5e30eb.jpg\n']
s53259291_16,p10410641,s53259291,16,Findings,"Bilateral pleural catheters remain in place. Small residual apicolateral pneumothoraces are present, both decreased from the prior chest x-ray. Heart size remains normal. Bilateral pleural effusions and left basilar atelectasis are again demonstrated with slight improvement in aeration at the left lung base.",Heart size remains normal,Heart size,,Stable,['files/p10/p10410641/s53259291/3d8031cb-7f207914-fcd68ada-f9eb48e5-ec6ac11a.jpg'],['files/p10/p10410641/s52926904/df2895c4-f22e3845-5f1d5bff-ccd63f42-bf5e30eb.jpg\n']
s53261956_1,p14471276,s53261956,1,Impression,"AP chest compared to ___ through ___: Large right pleural effusion has remained stable since ___. There is extensive new opacification in the left lung in a generally perihilar distribution, most readily explained by pulmonary edema though pulmonary hemorrhage and pneumonia could be contributory. Heart is enlarged, but hard to assess because of adjacent right pleural effusion. Right jugular line ends in the mid SVC. No pneumothorax.","There is extensive new opacification in the left lung in a generally perihilar distribution, most readily explained by pulmonary edema though pulmonary hemorrhage and pneumonia could be contributory.",opacification,"left, perihilar",New,['files/p14/p14471276/s53261956/1c46590a-4ab8d375-c539829a-8adff157-efdba049.jpg'],['files/p14/p14471276/s52991108/d1136eed-65e29502-7df50d94-26d66f4a-513b4e1c.jpg\n']
s53261956_1,p14471276,s53261956,1,Impression,"AP chest compared to ___ through ___: Large right pleural effusion has remained stable since ___. There is extensive new opacification in the left lung in a generally perihilar distribution, most readily explained by pulmonary edema though pulmonary hemorrhage and pneumonia could be contributory. Heart is enlarged, but hard to assess because of adjacent right pleural effusion. Right jugular line ends in the mid SVC. No pneumothorax.",AP chest compared to ___ through ___: Large right pleural effusion has remained stable since ___.,pleural effusion,right,Stable,['files/p14/p14471276/s53261956/1c46590a-4ab8d375-c539829a-8adff157-efdba049.jpg'],['files/p14/p14471276/s52991108/d1136eed-65e29502-7df50d94-26d66f4a-513b4e1c.jpg\n']
s53273158_15,p13352405,s53273158,15,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. Mediastinal and cardiac structures are unchanged. Thus, no evidence of cardiac enlargement. The pulmonary vasculature is not congested. Right-sided status post decortication procedure as before. Unchanged moderate degree of diaphragmatic elevation. The previously described two pleural drainage chest tubes remain in position. Comparison shows that both tubes have been withdrawn by up to 2 cm, but basically, the position is unaltered. No pneumothorax has developed. No remaining pneumothorax is seen in the apical areas.",Mediastinal and cardiac structures are unchanged.,Mediastinal and cardiac structures,,Stable,"['files/p13/p13352405/s53273158/1955b279-efe705ba-68f22a50-df04507e-dfed9525.jpg', 'files/p13/p13352405/s53273158/384b766e-a666fc50-5510a97f-c615a43c-1bfebe33.jpg']",['files/p13/p13352405/s53207240/876608af-2d7efebf-d51bcb03-9b230997-e9f7797a.jpg\n']
s53273158_15,p13352405,s53273158,15,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. Mediastinal and cardiac structures are unchanged. Thus, no evidence of cardiac enlargement. The pulmonary vasculature is not congested. Right-sided status post decortication procedure as before. Unchanged moderate degree of diaphragmatic elevation. The previously described two pleural drainage chest tubes remain in position. Comparison shows that both tubes have been withdrawn by up to 2 cm, but basically, the position is unaltered. No pneumothorax has developed. No remaining pneumothorax is seen in the apical areas.","Comparison shows that both tubes have been withdrawn by up to 2 cm, but basically, the position is unaltered.",position of both tubes,,Stable,"['files/p13/p13352405/s53273158/1955b279-efe705ba-68f22a50-df04507e-dfed9525.jpg', 'files/p13/p13352405/s53273158/384b766e-a666fc50-5510a97f-c615a43c-1bfebe33.jpg']",['files/p13/p13352405/s53207240/876608af-2d7efebf-d51bcb03-9b230997-e9f7797a.jpg\n']
s53273158_15,p13352405,s53273158,15,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. Mediastinal and cardiac structures are unchanged. Thus, no evidence of cardiac enlargement. The pulmonary vasculature is not congested. Right-sided status post decortication procedure as before. Unchanged moderate degree of diaphragmatic elevation. The previously described two pleural drainage chest tubes remain in position. Comparison shows that both tubes have been withdrawn by up to 2 cm, but basically, the position is unaltered. No pneumothorax has developed. No remaining pneumothorax is seen in the apical areas.",Right-sided status post decortication procedure as before.,status post decortication procedure,Right-sided,Stable,"['files/p13/p13352405/s53273158/1955b279-efe705ba-68f22a50-df04507e-dfed9525.jpg', 'files/p13/p13352405/s53273158/384b766e-a666fc50-5510a97f-c615a43c-1bfebe33.jpg']",['files/p13/p13352405/s53207240/876608af-2d7efebf-d51bcb03-9b230997-e9f7797a.jpg\n']
s53273158_15,p13352405,s53273158,15,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. Mediastinal and cardiac structures are unchanged. Thus, no evidence of cardiac enlargement. The pulmonary vasculature is not congested. Right-sided status post decortication procedure as before. Unchanged moderate degree of diaphragmatic elevation. The previously described two pleural drainage chest tubes remain in position. Comparison shows that both tubes have been withdrawn by up to 2 cm, but basically, the position is unaltered. No pneumothorax has developed. No remaining pneumothorax is seen in the apical areas.",The previously described two pleural drainage chest tubes remain in position.,two pleural drainage chest tubes,,Stable,"['files/p13/p13352405/s53273158/1955b279-efe705ba-68f22a50-df04507e-dfed9525.jpg', 'files/p13/p13352405/s53273158/384b766e-a666fc50-5510a97f-c615a43c-1bfebe33.jpg']",['files/p13/p13352405/s53207240/876608af-2d7efebf-d51bcb03-9b230997-e9f7797a.jpg\n']
s53273158_15,p13352405,s53273158,15,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. Mediastinal and cardiac structures are unchanged. Thus, no evidence of cardiac enlargement. The pulmonary vasculature is not congested. Right-sided status post decortication procedure as before. Unchanged moderate degree of diaphragmatic elevation. The previously described two pleural drainage chest tubes remain in position. Comparison shows that both tubes have been withdrawn by up to 2 cm, but basically, the position is unaltered. No pneumothorax has developed. No remaining pneumothorax is seen in the apical areas.",Unchanged moderate degree of diaphragmatic elevation.,moderate degree of diaphragmatic elevation,,Stable,"['files/p13/p13352405/s53273158/1955b279-efe705ba-68f22a50-df04507e-dfed9525.jpg', 'files/p13/p13352405/s53273158/384b766e-a666fc50-5510a97f-c615a43c-1bfebe33.jpg']",['files/p13/p13352405/s53207240/876608af-2d7efebf-d51bcb03-9b230997-e9f7797a.jpg\n']
s53273158_15,p13352405,s53273158,15,Impression,Satisfactory findings on followup examinations. Minor change in chest tube positions as expected.,Minor change in chest tube positions as expected.,chest tube positions,,Stable,"['files/p13/p13352405/s53273158/1955b279-efe705ba-68f22a50-df04507e-dfed9525.jpg', 'files/p13/p13352405/s53273158/384b766e-a666fc50-5510a97f-c615a43c-1bfebe33.jpg']",['files/p13/p13352405/s53207240/876608af-2d7efebf-d51bcb03-9b230997-e9f7797a.jpg\n']
s53276158_18,p16848073,s53276158,18,Findings,Frontal radiograph of the chest demonstrates no evidence of free mediastinal air. There is no widening of the mediastinum. The lungs are well expanded. There is no evidence of acute cardiopulmonary process. The cardiomediastinal silhouette is unchanged.,The cardiomediastinal silhouette is unchanged.,Appearance,cardiomediastinal silhouette,Stable,['files/p16/p16848073/s53276158/e5d1a79a-101a6822-e589102f-05d0d1c7-fe74e5e5.jpg'],['files/p16/p16848073/s51836430/1d1bc795-245a8bf2-267d7b91-209d78ab-a1e3f52f.jpg\n']
s53282269_4,p15338518,s53282269,4,Findings,"Endotracheal tube terminates approximately 5.6 cm above the carina and is adequately placed. Right internal jugular line ends at mid Svc. A feeding tube is seen to course below the diaphragm into the stomach; however, the distal end is beyond the radiographic view. Left lower lung opacities reflecting combination of atelectasis and mild pleural effusion is unchanged since ___. Mildly enlarged heart and mediastinal contours are stable.",Mildly enlarged heart and mediastinal contours are stable.,,Heart and mediastinal contours,Stable,['files/p15/p15338518/s53282269/6fef2911-a06fa6dd-c764a4a5-f0d84931-368a51c4.jpg'],"['files/p15/p15338518/s52944435/1ab129c3-79b49414-0d5287c9-5e9ab48a-b1cfae33.jpg\n', 'files/p15/p15338518/s52944435/51980c98-091b1da9-b7d824b9-3b407488-372f984c.jpg\n']"
s53282269_4,p15338518,s53282269,4,Findings,"Endotracheal tube terminates approximately 5.6 cm above the carina and is adequately placed. Right internal jugular line ends at mid Svc. A feeding tube is seen to course below the diaphragm into the stomach; however, the distal end is beyond the radiographic view. Left lower lung opacities reflecting combination of atelectasis and mild pleural effusion is unchanged since ___. Mildly enlarged heart and mediastinal contours are stable.",Left lower lung opacities reflecting combination of atelectasis and mild pleural effusion is unchanged since ___.,"Opacities, Atelectasis, Pleural effusion",Left lower lung,Stable,['files/p15/p15338518/s53282269/6fef2911-a06fa6dd-c764a4a5-f0d84931-368a51c4.jpg'],"['files/p15/p15338518/s52944435/1ab129c3-79b49414-0d5287c9-5e9ab48a-b1cfae33.jpg\n', 'files/p15/p15338518/s52944435/51980c98-091b1da9-b7d824b9-3b407488-372f984c.jpg\n']"
s53292802_1,p14556809,s53292802,1,Findings,"No focal consolidation, pleural effusion, or pneumothorax is detected. Heart and mediastinal contours are unchanged compared to prior with mild central pulmonary vascular engorgement. Elevation of the right hemidiaphragm is again noted. Single-lead pacer is seen in similar position.",Heart and mediastinal contours are unchanged compared to prior with mild central pulmonary vascular engorgement.,Heart and mediastinal contours,,Stable,"['files/p14/p14556809/s53292802/31fd8c2d-92304fd6-93dd126a-3ed4e346-c485de34.jpg', 'files/p14/p14556809/s53292802/5c6bee5b-5201ac36-cf58d846-9697b015-29bf9fb3.jpg', 'files/p14/p14556809/s53292802/f853039e-e541ff3f-875071bd-62705831-03bd8d9e.jpg']","['files/p14/p14556809/s52810254/3555a31b-7de6859b-3d2e1279-2c0be9b8-f1030977.jpg\n', 'files/p14/p14556809/s52810254/4ad53a55-132d3197-10100b09-48d1f2ba-43059e75.jpg\n']"
s53292802_1,p14556809,s53292802,1,Findings,"No focal consolidation, pleural effusion, or pneumothorax is detected. Heart and mediastinal contours are unchanged compared to prior with mild central pulmonary vascular engorgement. Elevation of the right hemidiaphragm is again noted. Single-lead pacer is seen in similar position.",Single-lead pacer is seen in similar position.,Single-lead pacer,,Stable,"['files/p14/p14556809/s53292802/31fd8c2d-92304fd6-93dd126a-3ed4e346-c485de34.jpg', 'files/p14/p14556809/s53292802/5c6bee5b-5201ac36-cf58d846-9697b015-29bf9fb3.jpg', 'files/p14/p14556809/s53292802/f853039e-e541ff3f-875071bd-62705831-03bd8d9e.jpg']","['files/p14/p14556809/s52810254/3555a31b-7de6859b-3d2e1279-2c0be9b8-f1030977.jpg\n', 'files/p14/p14556809/s52810254/4ad53a55-132d3197-10100b09-48d1f2ba-43059e75.jpg\n']"
s53295276_40,p12185775,s53295276,40,Findings,Cardiomediastinal contours are unchanged. Multiple calcified nodules throughout the lungs are unchanged. Otherwise The lungs are clear. The lungs are mildly hyperexpanded. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine.,Multiple calcified nodules throughout the lungs are unchanged.,calcified nodules,throughout the lungs,Stable,"['files/p12/p12185775/s53295276/31b151ec-75ddc4a9-e85ecaab-f72df771-c55ef3b5.jpg', 'files/p12/p12185775/s53295276/8c58ba80-5157991a-30a3a6c0-db670ba0-d1aee122.jpg']",['files/p12/p12185775/s53053450/9911ed32-2bf726d7-dfcdceb1-dc248f4e-b62bb269.jpg\n']
s53295276_40,p12185775,s53295276,40,Findings,Cardiomediastinal contours are unchanged. Multiple calcified nodules throughout the lungs are unchanged. Otherwise The lungs are clear. The lungs are mildly hyperexpanded. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine.,Cardiomediastinal contours are unchanged.,Cardiomediastinal contours,,Stable,"['files/p12/p12185775/s53295276/31b151ec-75ddc4a9-e85ecaab-f72df771-c55ef3b5.jpg', 'files/p12/p12185775/s53295276/8c58ba80-5157991a-30a3a6c0-db670ba0-d1aee122.jpg']",['files/p12/p12185775/s53053450/9911ed32-2bf726d7-dfcdceb1-dc248f4e-b62bb269.jpg\n']
s53297811_7,p13921768,s53297811,7,Findings,Postoperative mediastinum with median sternotomy wires in place and multiple surgical clips. Heart size is normal. Diffuse right greater than left opacities have progressed compared to prior study in the background of emphysema. No large pleural effusion or pneumothorax.,Diffuse right greater than left opacities have progressed compared to prior study in the background of emphysema.,Opacities,Right greater than left,Worse,['files/p13/p13921768/s53297811/1816d50c-d9282769-fd97cb8d-d105e548-27569b20.jpg'],"['files/p13/p13921768/s53004850/49a90eeb-a6ef81ee-eea03e22-6faffaab-e3cd0aed.jpg\n', 'files/p13/p13921768/s53004850/7d34108e-095b0f56-4294ee33-ad2ab915-5781d4e5.jpg\n', 'files/p13/p13921768/s53004850/c836e7ff-0f43d4ff-f91fabcf-b1522150-030daf2c.jpg\n']"
s53298293_1,p17288844,s53298293,1,Findings,"AP single view of the chest has been obtained with patient in semi-upright position. Analysis performed in direct comparison with the next preceding portable chest examination of ___, i.e. 11 hours earlier during the same day. The patient has now been intubated and ETT seen in the trachea to terminate some 4 cm above the level of the carina. No pneumothorax has developed. Identified is also an intra-aortic balloon pump device in the aorta with the metallic tip reaching just to the lower contour of the aortic arch. Thus, the position is appropriate. No pneumothorax has developed in comparison with the previous study. Remarkable finding is a diffuse haze over the right hemithorax, more marked than on the left side. This may be explained by a shift of the interstitial edema pattern seen already on previous examination as faintly detectable interstitial edema. An explanation could be that the patient during the latest examination interval was mostly located on the right side explaining gravitational forces. There is no evidence of overall deterioration of the pulmonary congestion nor is there evidence of any new parenchymal infiltrate. An OG tube passes well through the esophagus and reaches into the stomach.",This may be explained by a shift of the interstitial edema pattern seen already on previous examination as faintly detectable interstitial edema.,Interstitial edema,Right hemithorax,Stable,['files/p17/p17288844/s53298293/c6b71b77-d56881b6-ee8c63bc-6ee0be88-89856367.jpg'],['files/p17/p17288844/s53092956/930dd047-b21f81bf-197ca30e-463d627b-aedbcdc3.jpg\n']
s53302258_23,p19016834,s53302258,23,Findings,"The esophageal stent is again visualized and is more superiorly located than on the exam from five days prior. There is new increased opacity at both bases, right greater than left, with the right side being most suggestive of an infiltrate. The left could be due to volume loss. There is small right-sided effusion as well.",The esophageal stent is again visualized and is more superiorly located than on the exam from five days prior.,Esophageal stent,superior,Worse,['files/p19/p19016834/s53302258/cef9e892-8204779e-65d65050-2b6ef6e3-5ad4f6e6.jpg'],"['files/p19/p19016834/s53124891/ca9c11da-3e9f5e3b-740ad552-71c90659-df5e1052.jpg\n', 'files/p19/p19016834/s53124891/cd63e875-f4edd5c0-6b3cb2eb-aa774713-24cec640.jpg\n']"
s53302258_23,p19016834,s53302258,23,Findings,"The esophageal stent is again visualized and is more superiorly located than on the exam from five days prior. There is new increased opacity at both bases, right greater than left, with the right side being most suggestive of an infiltrate. The left could be due to volume loss. There is small right-sided effusion as well.","There is new increased opacity at both bases, right greater than left, with the right side being most suggestive of an infiltrate.",opacity,"both bases, right greater than left",New,['files/p19/p19016834/s53302258/cef9e892-8204779e-65d65050-2b6ef6e3-5ad4f6e6.jpg'],"['files/p19/p19016834/s53124891/ca9c11da-3e9f5e3b-740ad552-71c90659-df5e1052.jpg\n', 'files/p19/p19016834/s53124891/cd63e875-f4edd5c0-6b3cb2eb-aa774713-24cec640.jpg\n']"
s53305461_23,p19454978,s53305461,23,Impression,Stable cardiomegaly. Low lung volumes with bibasilar atelectasis.,Stable cardiomegaly.,cardiomegaly,cardiac,Stable,"['files/p19/p19454978/s53305461/bfa3c5fe-e3616a0b-f2cede25-46b58e40-679b44d1.jpg', 'files/p19/p19454978/s53305461/eca89888-595ca206-853c10b0-391e3f6a-e7f84ac3.jpg']","['files/p19/p19454978/s52686545/3a0553aa-9c31867a-e614b9d9-628054fd-27e6053f.jpg\n', 'files/p19/p19454978/s52686545/781921a5-632c5cea-0698eed2-35e2056a-0dd0517a.jpg\n']"
s53305461_23,p19454978,s53305461,23,Findings,"The heart is mild-to-moderately enlarged. Upper mediastinal contours are stable. Lung volumes are low and there is bibasilar atelectasis, but no focal consolidation, pleural effusion, or pneumothorax. Compression deformity in the mid thoracic spine is similar to prior. Pneumobilia in the right upper quadrant is incidentally noted.",Compression deformity in the mid thoracic spine is similar to prior.,compression deformity,mid thoracic spine,Stable,"['files/p19/p19454978/s53305461/bfa3c5fe-e3616a0b-f2cede25-46b58e40-679b44d1.jpg', 'files/p19/p19454978/s53305461/eca89888-595ca206-853c10b0-391e3f6a-e7f84ac3.jpg']","['files/p19/p19454978/s52686545/3a0553aa-9c31867a-e614b9d9-628054fd-27e6053f.jpg\n', 'files/p19/p19454978/s52686545/781921a5-632c5cea-0698eed2-35e2056a-0dd0517a.jpg\n']"
s53305461_23,p19454978,s53305461,23,Findings,"The heart is mild-to-moderately enlarged. Upper mediastinal contours are stable. Lung volumes are low and there is bibasilar atelectasis, but no focal consolidation, pleural effusion, or pneumothorax. Compression deformity in the mid thoracic spine is similar to prior. Pneumobilia in the right upper quadrant is incidentally noted.",Upper mediastinal contours are stable.,contours,Upper mediastinal,Stable,"['files/p19/p19454978/s53305461/bfa3c5fe-e3616a0b-f2cede25-46b58e40-679b44d1.jpg', 'files/p19/p19454978/s53305461/eca89888-595ca206-853c10b0-391e3f6a-e7f84ac3.jpg']","['files/p19/p19454978/s52686545/3a0553aa-9c31867a-e614b9d9-628054fd-27e6053f.jpg\n', 'files/p19/p19454978/s52686545/781921a5-632c5cea-0698eed2-35e2056a-0dd0517a.jpg\n']"
s53308168_20,p11474065,s53308168,20,Impression,"Interval worsening of subcutaneous emphysema accompanied by persistent pneumomediastinum and small bilateral pneumothoraces. Heterogeneous opacities in the right lung have worsened in the interval, and note is also made of a new small right pleural effusion and persistent small left pleural effusion.",Interval worsening of subcutaneous emphysema accompanied by persistent pneumomediastinum and small bilateral pneumothoraces.,pneumothoraces,bilateral,Stable,['files/p11/p11474065/s53308168/d6b1f3db-eed8e0db-3a5d58a2-bfb0290f-f04dd972.jpg'],['files/p11/p11474065/s52736624/e81bcf8f-2499df37-89d72ab3-6180b4ca-88ade891.jpg\n']
s53308168_20,p11474065,s53308168,20,Impression,"Interval worsening of subcutaneous emphysema accompanied by persistent pneumomediastinum and small bilateral pneumothoraces. Heterogeneous opacities in the right lung have worsened in the interval, and note is also made of a new small right pleural effusion and persistent small left pleural effusion.","Heterogeneous opacities in the right lung have worsened in the interval, and note is also made of a new small right pleural effusion and persistent small left pleural effusion.",heterogeneous opacities,right lung,Worse,['files/p11/p11474065/s53308168/d6b1f3db-eed8e0db-3a5d58a2-bfb0290f-f04dd972.jpg'],['files/p11/p11474065/s52736624/e81bcf8f-2499df37-89d72ab3-6180b4ca-88ade891.jpg\n']
s53308168_20,p11474065,s53308168,20,Impression,"Interval worsening of subcutaneous emphysema accompanied by persistent pneumomediastinum and small bilateral pneumothoraces. Heterogeneous opacities in the right lung have worsened in the interval, and note is also made of a new small right pleural effusion and persistent small left pleural effusion.",Interval worsening of subcutaneous emphysema accompanied by persistent pneumomediastinum and small bilateral pneumothoraces.,pneumomediastinum,mediastinal,Stable,['files/p11/p11474065/s53308168/d6b1f3db-eed8e0db-3a5d58a2-bfb0290f-f04dd972.jpg'],['files/p11/p11474065/s52736624/e81bcf8f-2499df37-89d72ab3-6180b4ca-88ade891.jpg\n']
s53308168_20,p11474065,s53308168,20,Impression,"Interval worsening of subcutaneous emphysema accompanied by persistent pneumomediastinum and small bilateral pneumothoraces. Heterogeneous opacities in the right lung have worsened in the interval, and note is also made of a new small right pleural effusion and persistent small left pleural effusion.",Interval worsening of subcutaneous emphysema accompanied by persistent pneumomediastinum and small bilateral pneumothoraces.,emphysema,subcutaneous,Worse,['files/p11/p11474065/s53308168/d6b1f3db-eed8e0db-3a5d58a2-bfb0290f-f04dd972.jpg'],['files/p11/p11474065/s52736624/e81bcf8f-2499df37-89d72ab3-6180b4ca-88ade891.jpg\n']
s53308168_20,p11474065,s53308168,20,Impression,"Interval worsening of subcutaneous emphysema accompanied by persistent pneumomediastinum and small bilateral pneumothoraces. Heterogeneous opacities in the right lung have worsened in the interval, and note is also made of a new small right pleural effusion and persistent small left pleural effusion.","Heterogeneous opacities in the right lung have worsened in the interval, and note is also made of a new small right pleural effusion and persistent small left pleural effusion.",pleural effusion,right,New,['files/p11/p11474065/s53308168/d6b1f3db-eed8e0db-3a5d58a2-bfb0290f-f04dd972.jpg'],['files/p11/p11474065/s52736624/e81bcf8f-2499df37-89d72ab3-6180b4ca-88ade891.jpg\n']
s53308168_20,p11474065,s53308168,20,Impression,"Interval worsening of subcutaneous emphysema accompanied by persistent pneumomediastinum and small bilateral pneumothoraces. Heterogeneous opacities in the right lung have worsened in the interval, and note is also made of a new small right pleural effusion and persistent small left pleural effusion.","Heterogeneous opacities in the right lung have worsened in the interval, and note is also made of a new small right pleural effusion and persistent small left pleural effusion.",pleural effusion,left,Stable,['files/p11/p11474065/s53308168/d6b1f3db-eed8e0db-3a5d58a2-bfb0290f-f04dd972.jpg'],['files/p11/p11474065/s52736624/e81bcf8f-2499df37-89d72ab3-6180b4ca-88ade891.jpg\n']
s53311302_2,p12433421,s53311302,2,Impression,Bibasilar atelectasis with decrease in left pleural effusion; no pneumothorax.,Bibasilar atelectasis with decrease in left pleural effusion; no pneumothorax.,pleural effusion,left,Better,['files/p12/p12433421/s53311302/241b6402-15f482d1-da524f5e-92653c29-84172d3d.jpg'],"['files/p12/p12433421/s52062711/5938dc8c-6914ab03-cb2b6ff3-957fb03f-04f24b21.jpg\n', 'files/p12/p12433421/s52062711/fa5c2c86-57b8cf58-5048f948-41c9b32d-4f1a00c1.jpg\n']"
s53311302_2,p12433421,s53311302,2,Impression,Bibasilar atelectasis with decrease in left pleural effusion; no pneumothorax.,Bibasilar atelectasis with decrease in left pleural effusion; no pneumothorax.,atelectasis,bibasilar,Stable,['files/p12/p12433421/s53311302/241b6402-15f482d1-da524f5e-92653c29-84172d3d.jpg'],"['files/p12/p12433421/s52062711/5938dc8c-6914ab03-cb2b6ff3-957fb03f-04f24b21.jpg\n', 'files/p12/p12433421/s52062711/fa5c2c86-57b8cf58-5048f948-41c9b32d-4f1a00c1.jpg\n']"
s53311302_2,p12433421,s53311302,2,Findings,The right central line tip sits in the mid SVC. The cardiomediastinal contours are unchanged. The lungs continue to demonstrate mild bibasilar atelectasis. The previously described left pleural effusion has decreased. There is no pneumothorax.,The previously described left pleural effusion has decreased.,pleural effusion,left,Better,['files/p12/p12433421/s53311302/241b6402-15f482d1-da524f5e-92653c29-84172d3d.jpg'],"['files/p12/p12433421/s52062711/5938dc8c-6914ab03-cb2b6ff3-957fb03f-04f24b21.jpg\n', 'files/p12/p12433421/s52062711/fa5c2c86-57b8cf58-5048f948-41c9b32d-4f1a00c1.jpg\n']"
s53311302_2,p12433421,s53311302,2,Findings,The right central line tip sits in the mid SVC. The cardiomediastinal contours are unchanged. The lungs continue to demonstrate mild bibasilar atelectasis. The previously described left pleural effusion has decreased. There is no pneumothorax.,The cardiomediastinal contours are unchanged.,cardiomediastinal contours,,Stable,['files/p12/p12433421/s53311302/241b6402-15f482d1-da524f5e-92653c29-84172d3d.jpg'],"['files/p12/p12433421/s52062711/5938dc8c-6914ab03-cb2b6ff3-957fb03f-04f24b21.jpg\n', 'files/p12/p12433421/s52062711/fa5c2c86-57b8cf58-5048f948-41c9b32d-4f1a00c1.jpg\n']"
s53313689_11,p14851532,s53313689,11,Findings,"As compared to the previous radiograph, the patient has undergone sternal rewiring. The patient is now extubated and the nasogastric tube and the Swan-Ganz catheter have been removed. The other monitoring and support devices are in unchanged position. Lung volumes have slightly decreased, and small bilateral pleural effusions as well as areas of atelectasis are still visible. No pneumothorax is visualized. The obviously postoperative opacity at the upper medial left aspects of the mediastinum is constant in appearance.",The other monitoring and support devices are in unchanged position.,monitoring and support devices,,Stable,"['files/p14/p14851532/s53313689/ad410c7a-46b0ae8f-b391fd24-21364d41-7b5b27f8.jpg', 'files/p14/p14851532/s53313689/b83f6019-238aa535-591efc94-e0670815-dc1ea130.jpg']",['files/p14/p14851532/s52296776/8b5044a8-1b105a82-35dfd08e-befc2e5f-b2df474a.jpg\n']
s53313689_11,p14851532,s53313689,11,Findings,"As compared to the previous radiograph, the patient has undergone sternal rewiring. The patient is now extubated and the nasogastric tube and the Swan-Ganz catheter have been removed. The other monitoring and support devices are in unchanged position. Lung volumes have slightly decreased, and small bilateral pleural effusions as well as areas of atelectasis are still visible. No pneumothorax is visualized. The obviously postoperative opacity at the upper medial left aspects of the mediastinum is constant in appearance.","Lung volumes have slightly decreased, and small bilateral pleural effusions as well as areas of atelectasis are still visible.",Lung volumes,,Worse,"['files/p14/p14851532/s53313689/ad410c7a-46b0ae8f-b391fd24-21364d41-7b5b27f8.jpg', 'files/p14/p14851532/s53313689/b83f6019-238aa535-591efc94-e0670815-dc1ea130.jpg']",['files/p14/p14851532/s52296776/8b5044a8-1b105a82-35dfd08e-befc2e5f-b2df474a.jpg\n']
s53313689_11,p14851532,s53313689,11,Findings,"As compared to the previous radiograph, the patient has undergone sternal rewiring. The patient is now extubated and the nasogastric tube and the Swan-Ganz catheter have been removed. The other monitoring and support devices are in unchanged position. Lung volumes have slightly decreased, and small bilateral pleural effusions as well as areas of atelectasis are still visible. No pneumothorax is visualized. The obviously postoperative opacity at the upper medial left aspects of the mediastinum is constant in appearance.","Lung volumes have slightly decreased, and small bilateral pleural effusions as well as areas of atelectasis are still visible.",pleural effusions,bilateral,Stable,"['files/p14/p14851532/s53313689/ad410c7a-46b0ae8f-b391fd24-21364d41-7b5b27f8.jpg', 'files/p14/p14851532/s53313689/b83f6019-238aa535-591efc94-e0670815-dc1ea130.jpg']",['files/p14/p14851532/s52296776/8b5044a8-1b105a82-35dfd08e-befc2e5f-b2df474a.jpg\n']
s53313689_11,p14851532,s53313689,11,Findings,"As compared to the previous radiograph, the patient has undergone sternal rewiring. The patient is now extubated and the nasogastric tube and the Swan-Ganz catheter have been removed. The other monitoring and support devices are in unchanged position. Lung volumes have slightly decreased, and small bilateral pleural effusions as well as areas of atelectasis are still visible. No pneumothorax is visualized. The obviously postoperative opacity at the upper medial left aspects of the mediastinum is constant in appearance.",The patient is now extubated and the nasogastric tube and the Swan-Ganz catheter have been removed.,Swan-Ganz catheter,,Resolve,"['files/p14/p14851532/s53313689/ad410c7a-46b0ae8f-b391fd24-21364d41-7b5b27f8.jpg', 'files/p14/p14851532/s53313689/b83f6019-238aa535-591efc94-e0670815-dc1ea130.jpg']",['files/p14/p14851532/s52296776/8b5044a8-1b105a82-35dfd08e-befc2e5f-b2df474a.jpg\n']
s53313689_11,p14851532,s53313689,11,Findings,"As compared to the previous radiograph, the patient has undergone sternal rewiring. The patient is now extubated and the nasogastric tube and the Swan-Ganz catheter have been removed. The other monitoring and support devices are in unchanged position. Lung volumes have slightly decreased, and small bilateral pleural effusions as well as areas of atelectasis are still visible. No pneumothorax is visualized. The obviously postoperative opacity at the upper medial left aspects of the mediastinum is constant in appearance.","Lung volumes have slightly decreased, and small bilateral pleural effusions as well as areas of atelectasis are still visible.",atelectasis,,Stable,"['files/p14/p14851532/s53313689/ad410c7a-46b0ae8f-b391fd24-21364d41-7b5b27f8.jpg', 'files/p14/p14851532/s53313689/b83f6019-238aa535-591efc94-e0670815-dc1ea130.jpg']",['files/p14/p14851532/s52296776/8b5044a8-1b105a82-35dfd08e-befc2e5f-b2df474a.jpg\n']
s53313689_11,p14851532,s53313689,11,Findings,"As compared to the previous radiograph, the patient has undergone sternal rewiring. The patient is now extubated and the nasogastric tube and the Swan-Ganz catheter have been removed. The other monitoring and support devices are in unchanged position. Lung volumes have slightly decreased, and small bilateral pleural effusions as well as areas of atelectasis are still visible. No pneumothorax is visualized. The obviously postoperative opacity at the upper medial left aspects of the mediastinum is constant in appearance.",The patient is now extubated and the nasogastric tube and the Swan-Ganz catheter have been removed.,nasogastric tube,,Resolve,"['files/p14/p14851532/s53313689/ad410c7a-46b0ae8f-b391fd24-21364d41-7b5b27f8.jpg', 'files/p14/p14851532/s53313689/b83f6019-238aa535-591efc94-e0670815-dc1ea130.jpg']",['files/p14/p14851532/s52296776/8b5044a8-1b105a82-35dfd08e-befc2e5f-b2df474a.jpg\n']
s53313689_11,p14851532,s53313689,11,Findings,"As compared to the previous radiograph, the patient has undergone sternal rewiring. The patient is now extubated and the nasogastric tube and the Swan-Ganz catheter have been removed. The other monitoring and support devices are in unchanged position. Lung volumes have slightly decreased, and small bilateral pleural effusions as well as areas of atelectasis are still visible. No pneumothorax is visualized. The obviously postoperative opacity at the upper medial left aspects of the mediastinum is constant in appearance.",The obviously postoperative opacity at the upper medial left aspects of the mediastinum is constant in appearance.,postoperative opacity,upper medial left aspects of the mediastinum,Stable,"['files/p14/p14851532/s53313689/ad410c7a-46b0ae8f-b391fd24-21364d41-7b5b27f8.jpg', 'files/p14/p14851532/s53313689/b83f6019-238aa535-591efc94-e0670815-dc1ea130.jpg']",['files/p14/p14851532/s52296776/8b5044a8-1b105a82-35dfd08e-befc2e5f-b2df474a.jpg\n']
s53318102_28,p15131736,s53318102,28,Impression,Moderate to severe cardiomegaly is stable. Mild pulmonary edema has improved. Retrocardiac opacities have improved consistent with improving atelectasis. There is no evident pneumothorax or increasing effusions.,Retrocardiac opacities have improved consistent with improving atelectasis.,opacities,retrocardiac,Better,['files/p15/p15131736/s53318102/5698b16b-b25ed251-4149b897-8f2393c0-1a6fed9b.jpg'],"['files/p15/p15131736/s53091531/290081ae-b14aaa96-b81a751e-22dc3c33-3be3cddc.jpg\n', 'files/p15/p15131736/s53091531/5cdfb771-109f66be-85ce962d-5d7f0653-ae3c1100.jpg\n']"
s53318102_28,p15131736,s53318102,28,Impression,Moderate to severe cardiomegaly is stable. Mild pulmonary edema has improved. Retrocardiac opacities have improved consistent with improving atelectasis. There is no evident pneumothorax or increasing effusions.,Mild pulmonary edema has improved.,mild pulmonary edema,,Better,['files/p15/p15131736/s53318102/5698b16b-b25ed251-4149b897-8f2393c0-1a6fed9b.jpg'],"['files/p15/p15131736/s53091531/290081ae-b14aaa96-b81a751e-22dc3c33-3be3cddc.jpg\n', 'files/p15/p15131736/s53091531/5cdfb771-109f66be-85ce962d-5d7f0653-ae3c1100.jpg\n']"
s53318102_28,p15131736,s53318102,28,Impression,Moderate to severe cardiomegaly is stable. Mild pulmonary edema has improved. Retrocardiac opacities have improved consistent with improving atelectasis. There is no evident pneumothorax or increasing effusions.,Moderate to severe cardiomegaly is stable.,moderate to severe cardiomegaly,,Stable,['files/p15/p15131736/s53318102/5698b16b-b25ed251-4149b897-8f2393c0-1a6fed9b.jpg'],"['files/p15/p15131736/s53091531/290081ae-b14aaa96-b81a751e-22dc3c33-3be3cddc.jpg\n', 'files/p15/p15131736/s53091531/5cdfb771-109f66be-85ce962d-5d7f0653-ae3c1100.jpg\n']"
s53325824_1,p17398573,s53325824,1,Findings,"Moderate enlargement of the cardiac silhouette with a left ventricular predominance is unchanged. The aorta remains tortuous, and the hilar contours are stable. Pulmonary vascularity is not engorged. There is minimal atelectasis within the lung bases, but no focal consolidation is present. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.","The aorta remains tortuous, and the hilar contours are stable.",tortuous aorta,,Stable,"['files/p17/p17398573/s53325824/06381bf5-e227679d-9f9965ef-dbbb229c-281230a2.jpg', 'files/p17/p17398573/s53325824/6a31f7f3-592b6144-a0b7e38c-d11761b4-bd2bf9e3.jpg']",['files/p17/p17398573/s52640725/6722c21a-9a65dc03-dbc8707e-83f326f7-09e1768c.jpg\n']
s53325824_1,p17398573,s53325824,1,Findings,"Moderate enlargement of the cardiac silhouette with a left ventricular predominance is unchanged. The aorta remains tortuous, and the hilar contours are stable. Pulmonary vascularity is not engorged. There is minimal atelectasis within the lung bases, but no focal consolidation is present. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.","The aorta remains tortuous, and the hilar contours are stable.",hilar contours,,Stable,"['files/p17/p17398573/s53325824/06381bf5-e227679d-9f9965ef-dbbb229c-281230a2.jpg', 'files/p17/p17398573/s53325824/6a31f7f3-592b6144-a0b7e38c-d11761b4-bd2bf9e3.jpg']",['files/p17/p17398573/s52640725/6722c21a-9a65dc03-dbc8707e-83f326f7-09e1768c.jpg\n']
s53325824_1,p17398573,s53325824,1,Findings,"Moderate enlargement of the cardiac silhouette with a left ventricular predominance is unchanged. The aorta remains tortuous, and the hilar contours are stable. Pulmonary vascularity is not engorged. There is minimal atelectasis within the lung bases, but no focal consolidation is present. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.",Moderate enlargement of the cardiac silhouette with a left ventricular predominance is unchanged.,Moderate enlargement of the cardiac silhouette with a left ventricular predominance,,Stable,"['files/p17/p17398573/s53325824/06381bf5-e227679d-9f9965ef-dbbb229c-281230a2.jpg', 'files/p17/p17398573/s53325824/6a31f7f3-592b6144-a0b7e38c-d11761b4-bd2bf9e3.jpg']",['files/p17/p17398573/s52640725/6722c21a-9a65dc03-dbc8707e-83f326f7-09e1768c.jpg\n']
s53330219_11,p16360107,s53330219,11,Findings,"Lung volumes continue to be low. Bilateral loculated pleural effusions are again seen and grossly unchanged. A right basilar opacity may be due to atelectasis, but there is persistent elevation of the right hemidiaphragm. Compared with the prior study, increased interstitial lung markings suggest the presence of mild interstitial pulmonary edema. Patient is post CABG with wondering median sternotomy wires, consistent with known chronic sternal dehiscence.","Compared with the prior study, increased interstitial lung markings suggest the presence of mild interstitial pulmonary edema.",interstitial lung markings,,Worse,"['files/p16/p16360107/s53330219/2fcba743-5df8901d-e0a0422a-de2d913b-9a3ca76e.jpg', 'files/p16/p16360107/s53330219/b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f.jpg']",['files/p16/p16360107/s52598379/4f4218c0-7e3de34f-abade5db-964b2d47-addcc964.jpg\n']
s53330219_11,p16360107,s53330219,11,Findings,"Lung volumes continue to be low. Bilateral loculated pleural effusions are again seen and grossly unchanged. A right basilar opacity may be due to atelectasis, but there is persistent elevation of the right hemidiaphragm. Compared with the prior study, increased interstitial lung markings suggest the presence of mild interstitial pulmonary edema. Patient is post CABG with wondering median sternotomy wires, consistent with known chronic sternal dehiscence.","A right basilar opacity may be due to atelectasis, but there is persistent elevation of the right hemidiaphragm.",opacity,right basilar,Stable,"['files/p16/p16360107/s53330219/2fcba743-5df8901d-e0a0422a-de2d913b-9a3ca76e.jpg', 'files/p16/p16360107/s53330219/b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f.jpg']",['files/p16/p16360107/s52598379/4f4218c0-7e3de34f-abade5db-964b2d47-addcc964.jpg\n']
s53330219_11,p16360107,s53330219,11,Findings,"Lung volumes continue to be low. Bilateral loculated pleural effusions are again seen and grossly unchanged. A right basilar opacity may be due to atelectasis, but there is persistent elevation of the right hemidiaphragm. Compared with the prior study, increased interstitial lung markings suggest the presence of mild interstitial pulmonary edema. Patient is post CABG with wondering median sternotomy wires, consistent with known chronic sternal dehiscence.",Bilateral loculated pleural effusions are again seen and grossly unchanged.,loculated pleural effusions,bilateral,Stable,"['files/p16/p16360107/s53330219/2fcba743-5df8901d-e0a0422a-de2d913b-9a3ca76e.jpg', 'files/p16/p16360107/s53330219/b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f.jpg']",['files/p16/p16360107/s52598379/4f4218c0-7e3de34f-abade5db-964b2d47-addcc964.jpg\n']
s53330219_11,p16360107,s53330219,11,Findings,"Lung volumes continue to be low. Bilateral loculated pleural effusions are again seen and grossly unchanged. A right basilar opacity may be due to atelectasis, but there is persistent elevation of the right hemidiaphragm. Compared with the prior study, increased interstitial lung markings suggest the presence of mild interstitial pulmonary edema. Patient is post CABG with wondering median sternotomy wires, consistent with known chronic sternal dehiscence.","A right basilar opacity may be due to atelectasis, but there is persistent elevation of the right hemidiaphragm.",elevation of the hemidiaphragm,right,Stable,"['files/p16/p16360107/s53330219/2fcba743-5df8901d-e0a0422a-de2d913b-9a3ca76e.jpg', 'files/p16/p16360107/s53330219/b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f.jpg']",['files/p16/p16360107/s52598379/4f4218c0-7e3de34f-abade5db-964b2d47-addcc964.jpg\n']
s53330219_11,p16360107,s53330219,11,Impression,"1. Compared with the prior study, there is worsened interstitial pulmonary edema. 2. Grossly unchanged bilateral loculated pleural effusions.","Compared with the prior study, there is worsened interstitial pulmonary edema.",interstitial pulmonary edema,,Worse,"['files/p16/p16360107/s53330219/2fcba743-5df8901d-e0a0422a-de2d913b-9a3ca76e.jpg', 'files/p16/p16360107/s53330219/b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f.jpg']",['files/p16/p16360107/s52598379/4f4218c0-7e3de34f-abade5db-964b2d47-addcc964.jpg\n']
s53330219_11,p16360107,s53330219,11,Impression,"1. Compared with the prior study, there is worsened interstitial pulmonary edema. 2. Grossly unchanged bilateral loculated pleural effusions.",Grossly unchanged bilateral loculated pleural effusions.,loculated pleural effusions,bilateral,Stable,"['files/p16/p16360107/s53330219/2fcba743-5df8901d-e0a0422a-de2d913b-9a3ca76e.jpg', 'files/p16/p16360107/s53330219/b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f.jpg']",['files/p16/p16360107/s52598379/4f4218c0-7e3de34f-abade5db-964b2d47-addcc964.jpg\n']
s53333931_10,p18487334,s53333931,10,Impression,Compared to chest radiographs ___ through ___. Previous mild pulmonary edema has resolved. Severe cardiomegaly stable. No appreciable pleural effusion or focal pulmonary abnormality. Cardiopulmonary support devices in standard locations unchanged.,Severe cardiomegaly stable.,cardiomegaly,,Stable,['files/p18/p18487334/s53333931/0f0038e8-aa61d68a-c46ef78e-4ee08f4b-d4a8e62d.jpg'],['files/p18/p18487334/s52779908/501a71e8-c63c6501-4de1111d-c931b2b6-261814fe.jpg\n']
s53333931_10,p18487334,s53333931,10,Impression,Compared to chest radiographs ___ through ___. Previous mild pulmonary edema has resolved. Severe cardiomegaly stable. No appreciable pleural effusion or focal pulmonary abnormality. Cardiopulmonary support devices in standard locations unchanged.,Previous mild pulmonary edema has resolved.,pulmonary edema,,Resolve,['files/p18/p18487334/s53333931/0f0038e8-aa61d68a-c46ef78e-4ee08f4b-d4a8e62d.jpg'],['files/p18/p18487334/s52779908/501a71e8-c63c6501-4de1111d-c931b2b6-261814fe.jpg\n']
s53333931_10,p18487334,s53333931,10,Impression,Compared to chest radiographs ___ through ___. Previous mild pulmonary edema has resolved. Severe cardiomegaly stable. No appreciable pleural effusion or focal pulmonary abnormality. Cardiopulmonary support devices in standard locations unchanged.,Cardiopulmonary support devices in standard locations unchanged.,Cardiopulmonary support devices,standard locations,Stable,['files/p18/p18487334/s53333931/0f0038e8-aa61d68a-c46ef78e-4ee08f4b-d4a8e62d.jpg'],['files/p18/p18487334/s52779908/501a71e8-c63c6501-4de1111d-c931b2b6-261814fe.jpg\n']
s53342490_13,p19720782,s53342490,13,Findings,"Heart size is normal. Again demonstrated within the right upper lobe and perihilar region is a chronic area of opacification compatible with radiation fibrosis. Streaky right lower lobe consolidative opacity is also chronic. Mediastinal contours are unchanged with atherosclerotic calcifications noted at the aortic arch. Mild pulmonary vascular engorgement is re- demonstrated. Small bilateral pleural effusions, right greater than left, are again noted. Streaky left basilar opacity may reflect atelectasis but infection is not excluded. Known spiculated nodule in the left upper lobe is better assessed on the previous CT. No pneumothorax is present. Multilevel degenerative changes are again seen in the thoracic spine. No radiopaque foreign body identified.",Multilevel degenerative changes are again seen in the thoracic spine.,degenerative changes,thoracic spine,Stable,"['files/p19/p19720782/s53342490/82c1c97a-b5708e95-baa8ec84-c1237993-93b67d8b.jpg', 'files/p19/p19720782/s53342490/d5471b25-e49ee2a7-5c4a33bf-3f216c05-2ab0696d.jpg']",['files/p19/p19720782/s53035658/5932603f-64abd8a2-713ef8b9-907f95b0-106004c5.jpg\n']
s53342490_13,p19720782,s53342490,13,Findings,"Heart size is normal. Again demonstrated within the right upper lobe and perihilar region is a chronic area of opacification compatible with radiation fibrosis. Streaky right lower lobe consolidative opacity is also chronic. Mediastinal contours are unchanged with atherosclerotic calcifications noted at the aortic arch. Mild pulmonary vascular engorgement is re- demonstrated. Small bilateral pleural effusions, right greater than left, are again noted. Streaky left basilar opacity may reflect atelectasis but infection is not excluded. Known spiculated nodule in the left upper lobe is better assessed on the previous CT. No pneumothorax is present. Multilevel degenerative changes are again seen in the thoracic spine. No radiopaque foreign body identified.",Again demonstrated within the right upper lobe and perihilar region is a chronic area of opacification compatible with radiation fibrosis.,opacification,right upper lobe and perihilar region,Stable,"['files/p19/p19720782/s53342490/82c1c97a-b5708e95-baa8ec84-c1237993-93b67d8b.jpg', 'files/p19/p19720782/s53342490/d5471b25-e49ee2a7-5c4a33bf-3f216c05-2ab0696d.jpg']",['files/p19/p19720782/s53035658/5932603f-64abd8a2-713ef8b9-907f95b0-106004c5.jpg\n']
s53342490_13,p19720782,s53342490,13,Findings,"Heart size is normal. Again demonstrated within the right upper lobe and perihilar region is a chronic area of opacification compatible with radiation fibrosis. Streaky right lower lobe consolidative opacity is also chronic. Mediastinal contours are unchanged with atherosclerotic calcifications noted at the aortic arch. Mild pulmonary vascular engorgement is re- demonstrated. Small bilateral pleural effusions, right greater than left, are again noted. Streaky left basilar opacity may reflect atelectasis but infection is not excluded. Known spiculated nodule in the left upper lobe is better assessed on the previous CT. No pneumothorax is present. Multilevel degenerative changes are again seen in the thoracic spine. No radiopaque foreign body identified.","Small bilateral pleural effusions, right greater than left, are again noted.",pleural effusions,bilateral,Stable,"['files/p19/p19720782/s53342490/82c1c97a-b5708e95-baa8ec84-c1237993-93b67d8b.jpg', 'files/p19/p19720782/s53342490/d5471b25-e49ee2a7-5c4a33bf-3f216c05-2ab0696d.jpg']",['files/p19/p19720782/s53035658/5932603f-64abd8a2-713ef8b9-907f95b0-106004c5.jpg\n']
s53342490_13,p19720782,s53342490,13,Findings,"Heart size is normal. Again demonstrated within the right upper lobe and perihilar region is a chronic area of opacification compatible with radiation fibrosis. Streaky right lower lobe consolidative opacity is also chronic. Mediastinal contours are unchanged with atherosclerotic calcifications noted at the aortic arch. Mild pulmonary vascular engorgement is re- demonstrated. Small bilateral pleural effusions, right greater than left, are again noted. Streaky left basilar opacity may reflect atelectasis but infection is not excluded. Known spiculated nodule in the left upper lobe is better assessed on the previous CT. No pneumothorax is present. Multilevel degenerative changes are again seen in the thoracic spine. No radiopaque foreign body identified.",Mild pulmonary vascular engorgement is re- demonstrated.,vascular engorgement,pulmonary,Stable,"['files/p19/p19720782/s53342490/82c1c97a-b5708e95-baa8ec84-c1237993-93b67d8b.jpg', 'files/p19/p19720782/s53342490/d5471b25-e49ee2a7-5c4a33bf-3f216c05-2ab0696d.jpg']",['files/p19/p19720782/s53035658/5932603f-64abd8a2-713ef8b9-907f95b0-106004c5.jpg\n']
s53342490_13,p19720782,s53342490,13,Findings,"Heart size is normal. Again demonstrated within the right upper lobe and perihilar region is a chronic area of opacification compatible with radiation fibrosis. Streaky right lower lobe consolidative opacity is also chronic. Mediastinal contours are unchanged with atherosclerotic calcifications noted at the aortic arch. Mild pulmonary vascular engorgement is re- demonstrated. Small bilateral pleural effusions, right greater than left, are again noted. Streaky left basilar opacity may reflect atelectasis but infection is not excluded. Known spiculated nodule in the left upper lobe is better assessed on the previous CT. No pneumothorax is present. Multilevel degenerative changes are again seen in the thoracic spine. No radiopaque foreign body identified.",Known spiculated nodule in the left upper lobe is better assessed on the previous CT.,spiculated nodule,left upper lobe,Stable,"['files/p19/p19720782/s53342490/82c1c97a-b5708e95-baa8ec84-c1237993-93b67d8b.jpg', 'files/p19/p19720782/s53342490/d5471b25-e49ee2a7-5c4a33bf-3f216c05-2ab0696d.jpg']",['files/p19/p19720782/s53035658/5932603f-64abd8a2-713ef8b9-907f95b0-106004c5.jpg\n']
s53342490_13,p19720782,s53342490,13,Findings,"Heart size is normal. Again demonstrated within the right upper lobe and perihilar region is a chronic area of opacification compatible with radiation fibrosis. Streaky right lower lobe consolidative opacity is also chronic. Mediastinal contours are unchanged with atherosclerotic calcifications noted at the aortic arch. Mild pulmonary vascular engorgement is re- demonstrated. Small bilateral pleural effusions, right greater than left, are again noted. Streaky left basilar opacity may reflect atelectasis but infection is not excluded. Known spiculated nodule in the left upper lobe is better assessed on the previous CT. No pneumothorax is present. Multilevel degenerative changes are again seen in the thoracic spine. No radiopaque foreign body identified.",Mediastinal contours are unchanged with atherosclerotic calcifications noted at the aortic arch.,contours,mediastinal,Stable,"['files/p19/p19720782/s53342490/82c1c97a-b5708e95-baa8ec84-c1237993-93b67d8b.jpg', 'files/p19/p19720782/s53342490/d5471b25-e49ee2a7-5c4a33bf-3f216c05-2ab0696d.jpg']",['files/p19/p19720782/s53035658/5932603f-64abd8a2-713ef8b9-907f95b0-106004c5.jpg\n']
s53346804_8,p13291370,s53346804,8,Impression,Perihilar and right upper lobe consolidation concerning for pneumonia.,Perihilar and right upper lobe consolidation concerning for pneumonia.,consolidation,right upper lobe,New,['files/p13/p13291370/s53346804/0dbe8ef1-802b094a-36fae3c2-0d15af98-7a5547ab.jpg'],"['files/p13/p13291370/s50971742/3c984a21-5a881f57-e820aa5e-d952daa1-132c0976.jpg\n', 'files/p13/p13291370/s50971742/c2e3e4cd-fd889116-52b37c72-db4f46df-52939006.jpg\n']"
s53346804_8,p13291370,s53346804,8,Impression,Perihilar and right upper lobe consolidation concerning for pneumonia.,Perihilar and right upper lobe consolidation concerning for pneumonia.,consolidation,perihilar,Worse,['files/p13/p13291370/s53346804/0dbe8ef1-802b094a-36fae3c2-0d15af98-7a5547ab.jpg'],"['files/p13/p13291370/s50971742/3c984a21-5a881f57-e820aa5e-d952daa1-132c0976.jpg\n', 'files/p13/p13291370/s50971742/c2e3e4cd-fd889116-52b37c72-db4f46df-52939006.jpg\n']"
s53346804_8,p13291370,s53346804,8,Findings,"Portable AP upright view of the chest was provided. Midline sternotomy wires are again noted. There is a left chest wall pacer with lead tip in the region of the right ventricle. The heart is top normal in size. The mediastinum is slightly prominent, stable, reflecting an unfolded thoracic aorta. Aortic calcifications are present. Increased perihilar opacity is noted as well as consolidation containing an air bronchogram within the right upper lobe. Findings are concerning for pneumonia. No effusion is seen. There is no pneumothorax. The bony structures appear intact.",Increased perihilar opacity is noted as well as consolidation containing an air bronchogram within the right upper lobe.,consolidation containing an air bronchogram,right upper lobe,New,['files/p13/p13291370/s53346804/0dbe8ef1-802b094a-36fae3c2-0d15af98-7a5547ab.jpg'],"['files/p13/p13291370/s50971742/3c984a21-5a881f57-e820aa5e-d952daa1-132c0976.jpg\n', 'files/p13/p13291370/s50971742/c2e3e4cd-fd889116-52b37c72-db4f46df-52939006.jpg\n']"
s53346804_8,p13291370,s53346804,8,Findings,"Portable AP upright view of the chest was provided. Midline sternotomy wires are again noted. There is a left chest wall pacer with lead tip in the region of the right ventricle. The heart is top normal in size. The mediastinum is slightly prominent, stable, reflecting an unfolded thoracic aorta. Aortic calcifications are present. Increased perihilar opacity is noted as well as consolidation containing an air bronchogram within the right upper lobe. Findings are concerning for pneumonia. No effusion is seen. There is no pneumothorax. The bony structures appear intact.",Increased perihilar opacity is noted as well as consolidation containing an air bronchogram within the right upper lobe.,opacity,perihilar,Worse,['files/p13/p13291370/s53346804/0dbe8ef1-802b094a-36fae3c2-0d15af98-7a5547ab.jpg'],"['files/p13/p13291370/s50971742/3c984a21-5a881f57-e820aa5e-d952daa1-132c0976.jpg\n', 'files/p13/p13291370/s50971742/c2e3e4cd-fd889116-52b37c72-db4f46df-52939006.jpg\n']"
s53346804_8,p13291370,s53346804,8,Findings,"Portable AP upright view of the chest was provided. Midline sternotomy wires are again noted. There is a left chest wall pacer with lead tip in the region of the right ventricle. The heart is top normal in size. The mediastinum is slightly prominent, stable, reflecting an unfolded thoracic aorta. Aortic calcifications are present. Increased perihilar opacity is noted as well as consolidation containing an air bronchogram within the right upper lobe. Findings are concerning for pneumonia. No effusion is seen. There is no pneumothorax. The bony structures appear intact.","The mediastinum is slightly prominent, stable, reflecting an unfolded thoracic aorta.",slightly prominent,mediastinum,Stable,['files/p13/p13291370/s53346804/0dbe8ef1-802b094a-36fae3c2-0d15af98-7a5547ab.jpg'],"['files/p13/p13291370/s50971742/3c984a21-5a881f57-e820aa5e-d952daa1-132c0976.jpg\n', 'files/p13/p13291370/s50971742/c2e3e4cd-fd889116-52b37c72-db4f46df-52939006.jpg\n']"
s53346804_8,p13291370,s53346804,8,Findings,"Portable AP upright view of the chest was provided. Midline sternotomy wires are again noted. There is a left chest wall pacer with lead tip in the region of the right ventricle. The heart is top normal in size. The mediastinum is slightly prominent, stable, reflecting an unfolded thoracic aorta. Aortic calcifications are present. Increased perihilar opacity is noted as well as consolidation containing an air bronchogram within the right upper lobe. Findings are concerning for pneumonia. No effusion is seen. There is no pneumothorax. The bony structures appear intact.",Midline sternotomy wires are again noted.,sternotomy wires,Midline,Stable,['files/p13/p13291370/s53346804/0dbe8ef1-802b094a-36fae3c2-0d15af98-7a5547ab.jpg'],"['files/p13/p13291370/s50971742/3c984a21-5a881f57-e820aa5e-d952daa1-132c0976.jpg\n', 'files/p13/p13291370/s50971742/c2e3e4cd-fd889116-52b37c72-db4f46df-52939006.jpg\n']"
s53348686_5,p18828251,s53348686,5,Findings,AP and lateral chest radiographs were obtained. The lungs are well expanded and the central pulmonary vasculature is more indistinct. Cephalization of the upper lobe pulmonary vasculature has progressed since ___. Small bilateral pleural effusions are new. Moderate cardiomegaly is unchanged. Sternotomy wires and vascular clips are in unchanged positions.,Sternotomy wires and vascular clips are in unchanged positions.,Sternotomy wires and vascular clips,,Stable,"['files/p18/p18828251/s53348686/35deb322-043ec12f-b33e7567-530c7a88-8b213991.jpg', 'files/p18/p18828251/s53348686/c5c69a84-407efe78-e075f90d-1d0fe345-df3f18b3.jpg']",['files/p18/p18828251/s51246566/fe5ade20-832e5f10-2fcedcb6-4c3c8557-e8bfb513.jpg\n']
s53348686_5,p18828251,s53348686,5,Findings,AP and lateral chest radiographs were obtained. The lungs are well expanded and the central pulmonary vasculature is more indistinct. Cephalization of the upper lobe pulmonary vasculature has progressed since ___. Small bilateral pleural effusions are new. Moderate cardiomegaly is unchanged. Sternotomy wires and vascular clips are in unchanged positions.,The lungs are well expanded and the central pulmonary vasculature is more indistinct.,pulmonary vasculature,central,Worse,"['files/p18/p18828251/s53348686/35deb322-043ec12f-b33e7567-530c7a88-8b213991.jpg', 'files/p18/p18828251/s53348686/c5c69a84-407efe78-e075f90d-1d0fe345-df3f18b3.jpg']",['files/p18/p18828251/s51246566/fe5ade20-832e5f10-2fcedcb6-4c3c8557-e8bfb513.jpg\n']
s53348686_5,p18828251,s53348686,5,Findings,AP and lateral chest radiographs were obtained. The lungs are well expanded and the central pulmonary vasculature is more indistinct. Cephalization of the upper lobe pulmonary vasculature has progressed since ___. Small bilateral pleural effusions are new. Moderate cardiomegaly is unchanged. Sternotomy wires and vascular clips are in unchanged positions.,Moderate cardiomegaly is unchanged.,cardiomegaly,,Stable,"['files/p18/p18828251/s53348686/35deb322-043ec12f-b33e7567-530c7a88-8b213991.jpg', 'files/p18/p18828251/s53348686/c5c69a84-407efe78-e075f90d-1d0fe345-df3f18b3.jpg']",['files/p18/p18828251/s51246566/fe5ade20-832e5f10-2fcedcb6-4c3c8557-e8bfb513.jpg\n']
s53348686_5,p18828251,s53348686,5,Findings,AP and lateral chest radiographs were obtained. The lungs are well expanded and the central pulmonary vasculature is more indistinct. Cephalization of the upper lobe pulmonary vasculature has progressed since ___. Small bilateral pleural effusions are new. Moderate cardiomegaly is unchanged. Sternotomy wires and vascular clips are in unchanged positions.,Small bilateral pleural effusions are new.,pleural effusions,bilateral,New,"['files/p18/p18828251/s53348686/35deb322-043ec12f-b33e7567-530c7a88-8b213991.jpg', 'files/p18/p18828251/s53348686/c5c69a84-407efe78-e075f90d-1d0fe345-df3f18b3.jpg']",['files/p18/p18828251/s51246566/fe5ade20-832e5f10-2fcedcb6-4c3c8557-e8bfb513.jpg\n']
s53348686_5,p18828251,s53348686,5,Findings,AP and lateral chest radiographs were obtained. The lungs are well expanded and the central pulmonary vasculature is more indistinct. Cephalization of the upper lobe pulmonary vasculature has progressed since ___. Small bilateral pleural effusions are new. Moderate cardiomegaly is unchanged. Sternotomy wires and vascular clips are in unchanged positions.,Cephalization of the upper lobe pulmonary vasculature has progressed since ___.,pulmonary vasculature,upper lobe,Worse,"['files/p18/p18828251/s53348686/35deb322-043ec12f-b33e7567-530c7a88-8b213991.jpg', 'files/p18/p18828251/s53348686/c5c69a84-407efe78-e075f90d-1d0fe345-df3f18b3.jpg']",['files/p18/p18828251/s51246566/fe5ade20-832e5f10-2fcedcb6-4c3c8557-e8bfb513.jpg\n']
s53348686_5,p18828251,s53348686,5,Impression,Indistinct pulmonary vasculature and small pleural effusions are consistent with worsening of mild CHF since ___.,Indistinct pulmonary vasculature and small pleural effusions are consistent with worsening of mild CHF since ___.,CHF,,Worse,"['files/p18/p18828251/s53348686/35deb322-043ec12f-b33e7567-530c7a88-8b213991.jpg', 'files/p18/p18828251/s53348686/c5c69a84-407efe78-e075f90d-1d0fe345-df3f18b3.jpg']",['files/p18/p18828251/s51246566/fe5ade20-832e5f10-2fcedcb6-4c3c8557-e8bfb513.jpg\n']
s53350789_13,p19759491,s53350789,13,Impression,"AP chest compared to ___: Severe cardiomegaly is probably stable, but mild pulmonary edema, more pronounced in the right lung is new, accompanied by at least small bilateral pleural effusion. Dual-channel right supraclavicular dialysis catheter set ends in the right atrium. Trans-subclavian atrial biventricular pacer defibrillator leads are continuous from the right axillary power pack. No pneumothorax.","AP chest compared to ___: Severe cardiomegaly is probably stable, but mild pulmonary edema, more pronounced in the right lung is new, accompanied by at least small bilateral pleural effusion.",Severe cardiomegaly,,Stable,['files/p19/p19759491/s53350789/3480ade8-6825b33b-dc07898d-97d83f8a-c743b07b.jpg'],['files/p19/p19759491/s53202055/c4d47932-145d1a89-7f6d200d-9b16a4d6-84c0d0f0.jpg\n']
s53350789_13,p19759491,s53350789,13,Impression,"AP chest compared to ___: Severe cardiomegaly is probably stable, but mild pulmonary edema, more pronounced in the right lung is new, accompanied by at least small bilateral pleural effusion. Dual-channel right supraclavicular dialysis catheter set ends in the right atrium. Trans-subclavian atrial biventricular pacer defibrillator leads are continuous from the right axillary power pack. No pneumothorax.","AP chest compared to ___: Severe cardiomegaly is probably stable, but mild pulmonary edema, more pronounced in the right lung is new, accompanied by at least small bilateral pleural effusion.",Mild pulmonary edema,Right lung,New,['files/p19/p19759491/s53350789/3480ade8-6825b33b-dc07898d-97d83f8a-c743b07b.jpg'],['files/p19/p19759491/s53202055/c4d47932-145d1a89-7f6d200d-9b16a4d6-84c0d0f0.jpg\n']
s53350789_13,p19759491,s53350789,13,Impression,"AP chest compared to ___: Severe cardiomegaly is probably stable, but mild pulmonary edema, more pronounced in the right lung is new, accompanied by at least small bilateral pleural effusion. Dual-channel right supraclavicular dialysis catheter set ends in the right atrium. Trans-subclavian atrial biventricular pacer defibrillator leads are continuous from the right axillary power pack. No pneumothorax.","AP chest compared to ___: Severe cardiomegaly is probably stable, but mild pulmonary edema, more pronounced in the right lung is new, accompanied by at least small bilateral pleural effusion.",Small pleural effusion,Bilateral,New,['files/p19/p19759491/s53350789/3480ade8-6825b33b-dc07898d-97d83f8a-c743b07b.jpg'],['files/p19/p19759491/s53202055/c4d47932-145d1a89-7f6d200d-9b16a4d6-84c0d0f0.jpg\n']
s53351384_15,p13473495,s53351384,15,Impression,"Slight interval worsening of atelectasis at the left lung base. Stable moderate bilateral pleural effusions, left greater than right.",Slight interval worsening of atelectasis at the left lung base.,atelectasis,left lung base,Worse,['files/p13/p13473495/s53351384/b740f79e-73da2f17-0d2dac03-2e639b9e-4e01c770.jpg'],['files/p13/p13473495/s53131726/1b09adcd-7bd70867-f05e7f34-ad26a085-cf236edb.jpg\n']
s53351384_15,p13473495,s53351384,15,Findings,"The ET tube terminates 3.9 cm above the carina. There is an enteric tube which extends well below the diaphragm. Again seen is severe cardiomegaly, stable since at least ___. The lung volumes continued to be low with evidence of elevated pulmonary venous pressure and moderate bilateral pleural effusions, left greater than right. There appears to be slight interval worsening of the bibasilar atelectasis. There is no evidence of a pneumothorax. Note is again made of stable elevation of the right hemidiaphragmatic contour.",Note is again made of stable elevation of the right hemidiaphragmatic contour.,elevation,right hemidiaphragmatic,Stable,['files/p13/p13473495/s53351384/b740f79e-73da2f17-0d2dac03-2e639b9e-4e01c770.jpg'],['files/p13/p13473495/s53131726/1b09adcd-7bd70867-f05e7f34-ad26a085-cf236edb.jpg\n']
s53351384_15,p13473495,s53351384,15,Findings,"The ET tube terminates 3.9 cm above the carina. There is an enteric tube which extends well below the diaphragm. Again seen is severe cardiomegaly, stable since at least ___. The lung volumes continued to be low with evidence of elevated pulmonary venous pressure and moderate bilateral pleural effusions, left greater than right. There appears to be slight interval worsening of the bibasilar atelectasis. There is no evidence of a pneumothorax. Note is again made of stable elevation of the right hemidiaphragmatic contour.","Again seen is severe cardiomegaly, stable since at least ___.",Cardiomegaly,,Stable,['files/p13/p13473495/s53351384/b740f79e-73da2f17-0d2dac03-2e639b9e-4e01c770.jpg'],['files/p13/p13473495/s53131726/1b09adcd-7bd70867-f05e7f34-ad26a085-cf236edb.jpg\n']
s53351384_15,p13473495,s53351384,15,Impression,"Slight interval worsening of atelectasis at the left lung base. Stable moderate bilateral pleural effusions, left greater than right.","Stable moderate bilateral pleural effusions, left greater than right.",pleural effusions,bilateral,Stable,['files/p13/p13473495/s53351384/b740f79e-73da2f17-0d2dac03-2e639b9e-4e01c770.jpg'],['files/p13/p13473495/s53131726/1b09adcd-7bd70867-f05e7f34-ad26a085-cf236edb.jpg\n']
s53351384_15,p13473495,s53351384,15,Findings,"The ET tube terminates 3.9 cm above the carina. There is an enteric tube which extends well below the diaphragm. Again seen is severe cardiomegaly, stable since at least ___. The lung volumes continued to be low with evidence of elevated pulmonary venous pressure and moderate bilateral pleural effusions, left greater than right. There appears to be slight interval worsening of the bibasilar atelectasis. There is no evidence of a pneumothorax. Note is again made of stable elevation of the right hemidiaphragmatic contour.",There appears to be slight interval worsening of the bibasilar atelectasis.,atelectasis,bibasilar,Worse,['files/p13/p13473495/s53351384/b740f79e-73da2f17-0d2dac03-2e639b9e-4e01c770.jpg'],['files/p13/p13473495/s53131726/1b09adcd-7bd70867-f05e7f34-ad26a085-cf236edb.jpg\n']
s53352013_6,p12124741,s53352013,6,Findings,"PA and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. The previously noted Port-A-Cath has been removed. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm is seen.",The previously noted Port-A-Cath has been removed.,Port-A-Cath,,Resolve,"['files/p12/p12124741/s53352013/783fc94d-12b747b1-600f2e10-c1c51d2a-97240f95.jpg', 'files/p12/p12124741/s53352013/ebd066f6-f32177f2-c211270d-aeb7bae8-f4b6d9a2.jpg']","['files/p12/p12124741/s52979134/0b53daa0-d9ca6166-9622edee-57037ea3-8a1bf264.jpg\n', 'files/p12/p12124741/s52979134/e53b12a2-325afb40-3283ac75-9f92dfc7-5e579ec0.jpg\n', 'files/p12/p12124741/s52979134/ebf694d1-74d14ed6-c1695437-a0c9b0f3-cb905ce8.jpg\n']"
s53352013_6,p12124741,s53352013,6,Findings,"PA and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. The previously noted Port-A-Cath has been removed. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm is seen.",Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p12/p12124741/s53352013/783fc94d-12b747b1-600f2e10-c1c51d2a-97240f95.jpg', 'files/p12/p12124741/s53352013/ebd066f6-f32177f2-c211270d-aeb7bae8-f4b6d9a2.jpg']","['files/p12/p12124741/s52979134/0b53daa0-d9ca6166-9622edee-57037ea3-8a1bf264.jpg\n', 'files/p12/p12124741/s52979134/e53b12a2-325afb40-3283ac75-9f92dfc7-5e579ec0.jpg\n', 'files/p12/p12124741/s52979134/ebf694d1-74d14ed6-c1695437-a0c9b0f3-cb905ce8.jpg\n']"
s53353190_5,p12074041,s53353190,5,Findings,"Portable AP chest radiograph is obtained with patient in the upright position. Cardiomediastinal contours are stable. On the left, there are unchanged areas of basal atelectasis and a moderate left pleural effusion that is unchanged. There is improvement in the pulmonary edema with persistence of mid right lung hazy opacification laterally, possibly suggesting consolidation in this region.","On the left, there are unchanged areas of basal atelectasis and a moderate left pleural effusion that is unchanged.",atelectasis,left basal,Stable,['files/p12/p12074041/s53353190/172a847d-d8c6570a-3cb0cff9-cb4ca0bd-3a8b93f1.jpg'],['files/p12/p12074041/s52969052/b4a1b5bb-c12e1164-ded8460a-ccc5b283-abc72a43.jpg\n']
s53353190_5,p12074041,s53353190,5,Impression,"As edema apperas to be improving, persistent right opacification is concerning for consolidation and pneumonia should be considered in the appropriate clinical context.","As edema appears to be improving, persistent right opacification is concerning for consolidation and pneumonia should be considered in the appropriate clinical context.",edema,pulmonary,Better,['files/p12/p12074041/s53353190/172a847d-d8c6570a-3cb0cff9-cb4ca0bd-3a8b93f1.jpg'],['files/p12/p12074041/s52969052/b4a1b5bb-c12e1164-ded8460a-ccc5b283-abc72a43.jpg\n']
s53353190_5,p12074041,s53353190,5,Impression,"As edema apperas to be improving, persistent right opacification is concerning for consolidation and pneumonia should be considered in the appropriate clinical context.","As edema appears to be improving, persistent right opacification is concerning for consolidation and pneumonia should be considered in the appropriate clinical context.",opacification,right,Stable,['files/p12/p12074041/s53353190/172a847d-d8c6570a-3cb0cff9-cb4ca0bd-3a8b93f1.jpg'],['files/p12/p12074041/s52969052/b4a1b5bb-c12e1164-ded8460a-ccc5b283-abc72a43.jpg\n']
s53353190_5,p12074041,s53353190,5,Findings,"Portable AP chest radiograph is obtained with patient in the upright position. Cardiomediastinal contours are stable. On the left, there are unchanged areas of basal atelectasis and a moderate left pleural effusion that is unchanged. There is improvement in the pulmonary edema with persistence of mid right lung hazy opacification laterally, possibly suggesting consolidation in this region.","There is improvement in the pulmonary edema with persistence of mid right lung hazy opacification laterally, possibly suggesting consolidation in this region.",hazy opacification,mid right lung laterally,Stable,['files/p12/p12074041/s53353190/172a847d-d8c6570a-3cb0cff9-cb4ca0bd-3a8b93f1.jpg'],['files/p12/p12074041/s52969052/b4a1b5bb-c12e1164-ded8460a-ccc5b283-abc72a43.jpg\n']
s53353190_5,p12074041,s53353190,5,Findings,"Portable AP chest radiograph is obtained with patient in the upright position. Cardiomediastinal contours are stable. On the left, there are unchanged areas of basal atelectasis and a moderate left pleural effusion that is unchanged. There is improvement in the pulmonary edema with persistence of mid right lung hazy opacification laterally, possibly suggesting consolidation in this region.","There is improvement in the pulmonary edema with persistence of mid right lung hazy opacification laterally, possibly suggesting consolidation in this region.",edema,pulmonary,Better,['files/p12/p12074041/s53353190/172a847d-d8c6570a-3cb0cff9-cb4ca0bd-3a8b93f1.jpg'],['files/p12/p12074041/s52969052/b4a1b5bb-c12e1164-ded8460a-ccc5b283-abc72a43.jpg\n']
s53353190_5,p12074041,s53353190,5,Findings,"Portable AP chest radiograph is obtained with patient in the upright position. Cardiomediastinal contours are stable. On the left, there are unchanged areas of basal atelectasis and a moderate left pleural effusion that is unchanged. There is improvement in the pulmonary edema with persistence of mid right lung hazy opacification laterally, possibly suggesting consolidation in this region.","On the left, there are unchanged areas of basal atelectasis and a moderate left pleural effusion that is unchanged.",pleural effusion,left,Stable,['files/p12/p12074041/s53353190/172a847d-d8c6570a-3cb0cff9-cb4ca0bd-3a8b93f1.jpg'],['files/p12/p12074041/s52969052/b4a1b5bb-c12e1164-ded8460a-ccc5b283-abc72a43.jpg\n']
s53353190_5,p12074041,s53353190,5,Findings,"Portable AP chest radiograph is obtained with patient in the upright position. Cardiomediastinal contours are stable. On the left, there are unchanged areas of basal atelectasis and a moderate left pleural effusion that is unchanged. There is improvement in the pulmonary edema with persistence of mid right lung hazy opacification laterally, possibly suggesting consolidation in this region.",Cardiomediastinal contours are stable.,contours,Cardiomediastinal,Stable,['files/p12/p12074041/s53353190/172a847d-d8c6570a-3cb0cff9-cb4ca0bd-3a8b93f1.jpg'],['files/p12/p12074041/s52969052/b4a1b5bb-c12e1164-ded8460a-ccc5b283-abc72a43.jpg\n']
s53353191_19,p13964474,s53353191,19,Impression,"An esophageal stent, right PICC line and tracheostomy tube are in standard position. Necrotizing pneumonia in right lower lung is unchanged. A pigtail catheter is present in the right lower chest. As compared to the prior radiograph from ___, the coiled tip of this catheter is more medially placed. Diffuse airspace opacities in the right upper lung are unchanged, whereas in the left lung, the airspace opacities and ill-defined mid lung consolidations have minimally decreased over last 24 hours.Cardiomediastinal silhouette is stable.","As compared to the prior radiograph from ___, the coiled tip of this catheter is more medially placed.",coiled tip of catheter,medially,Worse,['files/p13/p13964474/s53353191/67f96700-fa7ae0b7-52f52249-55e93d91-53fcc6c8.jpg'],['files/p13/p13964474/s52510673/4d85d642-5e8316ad-ceed42bd-9bd4615a-20c66bf0.jpg\n']
s53353191_19,p13964474,s53353191,19,Impression,"An esophageal stent, right PICC line and tracheostomy tube are in standard position. Necrotizing pneumonia in right lower lung is unchanged. A pigtail catheter is present in the right lower chest. As compared to the prior radiograph from ___, the coiled tip of this catheter is more medially placed. Diffuse airspace opacities in the right upper lung are unchanged, whereas in the left lung, the airspace opacities and ill-defined mid lung consolidations have minimally decreased over last 24 hours.Cardiomediastinal silhouette is stable.","Diffuse airspace opacities in the right upper lung are unchanged, whereas in the left lung, the airspace opacities and ill-defined mid lung consolidations have minimally decreased over last 24 hours.",airspace opacities and ill-defined mid lung consolidations,left lung,Better,['files/p13/p13964474/s53353191/67f96700-fa7ae0b7-52f52249-55e93d91-53fcc6c8.jpg'],['files/p13/p13964474/s52510673/4d85d642-5e8316ad-ceed42bd-9bd4615a-20c66bf0.jpg\n']
s53353191_19,p13964474,s53353191,19,Impression,"An esophageal stent, right PICC line and tracheostomy tube are in standard position. Necrotizing pneumonia in right lower lung is unchanged. A pigtail catheter is present in the right lower chest. As compared to the prior radiograph from ___, the coiled tip of this catheter is more medially placed. Diffuse airspace opacities in the right upper lung are unchanged, whereas in the left lung, the airspace opacities and ill-defined mid lung consolidations have minimally decreased over last 24 hours.Cardiomediastinal silhouette is stable.","Diffuse airspace opacities in the right upper lung are unchanged, whereas in the left lung, the airspace opacities and ill-defined mid lung consolidations have minimally decreased over last 24 hours.",airspace opacities,right upper lung,Stable,['files/p13/p13964474/s53353191/67f96700-fa7ae0b7-52f52249-55e93d91-53fcc6c8.jpg'],['files/p13/p13964474/s52510673/4d85d642-5e8316ad-ceed42bd-9bd4615a-20c66bf0.jpg\n']
s53353191_19,p13964474,s53353191,19,Impression,"An esophageal stent, right PICC line and tracheostomy tube are in standard position. Necrotizing pneumonia in right lower lung is unchanged. A pigtail catheter is present in the right lower chest. As compared to the prior radiograph from ___, the coiled tip of this catheter is more medially placed. Diffuse airspace opacities in the right upper lung are unchanged, whereas in the left lung, the airspace opacities and ill-defined mid lung consolidations have minimally decreased over last 24 hours.Cardiomediastinal silhouette is stable.",Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,['files/p13/p13964474/s53353191/67f96700-fa7ae0b7-52f52249-55e93d91-53fcc6c8.jpg'],['files/p13/p13964474/s52510673/4d85d642-5e8316ad-ceed42bd-9bd4615a-20c66bf0.jpg\n']
s53353191_19,p13964474,s53353191,19,Impression,"An esophageal stent, right PICC line and tracheostomy tube are in standard position. Necrotizing pneumonia in right lower lung is unchanged. A pigtail catheter is present in the right lower chest. As compared to the prior radiograph from ___, the coiled tip of this catheter is more medially placed. Diffuse airspace opacities in the right upper lung are unchanged, whereas in the left lung, the airspace opacities and ill-defined mid lung consolidations have minimally decreased over last 24 hours.Cardiomediastinal silhouette is stable.",Necrotizing pneumonia in right lower lung is unchanged.,Necrotizing pneumonia,right lower lung,Stable,['files/p13/p13964474/s53353191/67f96700-fa7ae0b7-52f52249-55e93d91-53fcc6c8.jpg'],['files/p13/p13964474/s52510673/4d85d642-5e8316ad-ceed42bd-9bd4615a-20c66bf0.jpg\n']
s53354417_51,p13475033,s53354417,51,Findings,"The heart continues to be enlarged, and there are chronic interstitial markings. No focal consolidation, pleural effusion or overt pulmonary edema is seen. There is leftward scoliosis of the thoracic spine.","The heart continues to be enlarged, and there are chronic interstitial markings.",Cardiomegaly,,Stable,"['files/p13/p13475033/s53354417/3851190a-af79fb41-4c2b3b1e-b4269325-f8a2fb78.jpg', 'files/p13/p13475033/s53354417/fea5a675-05c6e538-371b0eae-ae9be0e4-2b30ecb0.jpg']",['files/p13/p13475033/s53018485/25fd1806-d10b52d5-9a3103c0-66e21a5f-36fb5086.jpg\n']
s53354417_51,p13475033,s53354417,51,Findings,"The heart continues to be enlarged, and there are chronic interstitial markings. No focal consolidation, pleural effusion or overt pulmonary edema is seen. There is leftward scoliosis of the thoracic spine.","The heart continues to be enlarged, and there are chronic interstitial markings.",Interstitial markings,,Stable,"['files/p13/p13475033/s53354417/3851190a-af79fb41-4c2b3b1e-b4269325-f8a2fb78.jpg', 'files/p13/p13475033/s53354417/fea5a675-05c6e538-371b0eae-ae9be0e4-2b30ecb0.jpg']",['files/p13/p13475033/s53018485/25fd1806-d10b52d5-9a3103c0-66e21a5f-36fb5086.jpg\n']
s53356050_4,p10274145,s53356050,4,Impression,Faint increased opacification in left mid lung may indicate developing infectious process. Could further evaluate with right anterior oblique view to further evaluate lung.,Faint increased opacification in left mid lung may indicate developing infectious process.,opacification,left mid lung,Worse,"['files/p10/p10274145/s53356050/4a0397d2-1c7cac8d-bd1e1991-d3459191-3e510506.jpg', 'files/p10/p10274145/s53356050/4e60f3da-37ed157d-a469a568-0b2ee907-4b01c924.jpg', 'files/p10/p10274145/s53356050/8f25d878-fb6e48eb-adfc39cb-10da1ebd-3d14c369.jpg']","['files/p10/p10274145/s53183707/d570aba7-45a558d7-52f77673-704bdc98-85e97946.jpg\n', 'files/p10/p10274145/s53183707/d6051124-a16053dc-2b4ecb89-8e1a17a9-252c1e8f.jpg\n']"
s53356050_4,p10274145,s53356050,4,Findings,Chest PA and lateral radiograph demonstrates unchanged cardiomediastinal and hilar contours. No overt pulmonary edema is evident though chronic mild interstitial abnormalities are stable. Faint opacification projecting over the left mid lung may represent developing infectious process. There is no definitive correlate on the lateral radiograph. No pleural effusion or pneumothorax present. Mild separation of superior aspect of sternotomy line with intact sternotomy sutures.,Chest PA and lateral radiograph demonstrates unchanged cardiomediastinal and hilar contours.,cardiomediastinal and hilar contours,,Stable,"['files/p10/p10274145/s53356050/4a0397d2-1c7cac8d-bd1e1991-d3459191-3e510506.jpg', 'files/p10/p10274145/s53356050/4e60f3da-37ed157d-a469a568-0b2ee907-4b01c924.jpg', 'files/p10/p10274145/s53356050/8f25d878-fb6e48eb-adfc39cb-10da1ebd-3d14c369.jpg']","['files/p10/p10274145/s53183707/d570aba7-45a558d7-52f77673-704bdc98-85e97946.jpg\n', 'files/p10/p10274145/s53183707/d6051124-a16053dc-2b4ecb89-8e1a17a9-252c1e8f.jpg\n']"
s53356050_4,p10274145,s53356050,4,Findings,Chest PA and lateral radiograph demonstrates unchanged cardiomediastinal and hilar contours. No overt pulmonary edema is evident though chronic mild interstitial abnormalities are stable. Faint opacification projecting over the left mid lung may represent developing infectious process. There is no definitive correlate on the lateral radiograph. No pleural effusion or pneumothorax present. Mild separation of superior aspect of sternotomy line with intact sternotomy sutures.,No overt pulmonary edema is evident though chronic mild interstitial abnormalities are stable.,chronic mild interstitial abnormalities,,Stable,"['files/p10/p10274145/s53356050/4a0397d2-1c7cac8d-bd1e1991-d3459191-3e510506.jpg', 'files/p10/p10274145/s53356050/4e60f3da-37ed157d-a469a568-0b2ee907-4b01c924.jpg', 'files/p10/p10274145/s53356050/8f25d878-fb6e48eb-adfc39cb-10da1ebd-3d14c369.jpg']","['files/p10/p10274145/s53183707/d570aba7-45a558d7-52f77673-704bdc98-85e97946.jpg\n', 'files/p10/p10274145/s53183707/d6051124-a16053dc-2b4ecb89-8e1a17a9-252c1e8f.jpg\n']"
s53357801_5,p13606683,s53357801,5,Findings,AP portable view of the chest. The lungs are relatively hyperinflated. Linear opacities at the left lung base again suggestive of atelectasis versus scarring. Indistinct pulmonary vascular markings are seen particularly in the left upper and right lower lung. This could be due to asymmetric mild interstitial edema in the setting of the background of chronic lung disease noting that infection is also possible. The cardiac silhouette appears slightly enlarged. Median sternotomy wires again noted.,Median sternotomy wires again noted.,Median sternotomy wires,,Stable,['files/p13/p13606683/s53357801/d829d785-9cf108d0-cc72151c-457d3b95-b2d38263.jpg'],"['files/p13/p13606683/s53053945/95384df4-cbba1b36-7abeb19e-81e2e28c-65204251.jpg\n', 'files/p13/p13606683/s53053945/e667b137-83bbec7b-b70747b9-9ab0e43e-176a3441.jpg\n']"
s53357801_5,p13606683,s53357801,5,Findings,AP portable view of the chest. The lungs are relatively hyperinflated. Linear opacities at the left lung base again suggestive of atelectasis versus scarring. Indistinct pulmonary vascular markings are seen particularly in the left upper and right lower lung. This could be due to asymmetric mild interstitial edema in the setting of the background of chronic lung disease noting that infection is also possible. The cardiac silhouette appears slightly enlarged. Median sternotomy wires again noted.,Linear opacities at the left lung base again suggestive of atelectasis versus scarring.,linear opacities,left lung base,Stable,['files/p13/p13606683/s53357801/d829d785-9cf108d0-cc72151c-457d3b95-b2d38263.jpg'],"['files/p13/p13606683/s53053945/95384df4-cbba1b36-7abeb19e-81e2e28c-65204251.jpg\n', 'files/p13/p13606683/s53053945/e667b137-83bbec7b-b70747b9-9ab0e43e-176a3441.jpg\n']"
s53358228_21,p13475033,s53358228,21,Findings,The lungs are well expanded and clear. Coarsened interstitial markings are unchanged. Cardiomediastinal silhouette is slightly enlarged but unchanged from prior exam. There is no pneumothorax or pleural effusion. An old fracture of the left clavicle is noted.,Coarsened interstitial markings are unchanged.,markings,interstitial,Stable,"['files/p13/p13475033/s53358228/10c89fd8-d213373d-7803e8df-fe8a4a8d-2d9a9503.jpg', 'files/p13/p13475033/s53358228/9f25df0c-ef2fb7e9-f4d27df0-0117858f-b7ce8b90.jpg']","['files/p13/p13475033/s53354417/3851190a-af79fb41-4c2b3b1e-b4269325-f8a2fb78.jpg\n', 'files/p13/p13475033/s53354417/fea5a675-05c6e538-371b0eae-ae9be0e4-2b30ecb0.jpg\n']"
s53358228_21,p13475033,s53358228,21,Findings,The lungs are well expanded and clear. Coarsened interstitial markings are unchanged. Cardiomediastinal silhouette is slightly enlarged but unchanged from prior exam. There is no pneumothorax or pleural effusion. An old fracture of the left clavicle is noted.,Cardiomediastinal silhouette is slightly enlarged but unchanged from prior exam.,silhouette,cardiomediastinal,Stable,"['files/p13/p13475033/s53358228/10c89fd8-d213373d-7803e8df-fe8a4a8d-2d9a9503.jpg', 'files/p13/p13475033/s53358228/9f25df0c-ef2fb7e9-f4d27df0-0117858f-b7ce8b90.jpg']","['files/p13/p13475033/s53354417/3851190a-af79fb41-4c2b3b1e-b4269325-f8a2fb78.jpg\n', 'files/p13/p13475033/s53354417/fea5a675-05c6e538-371b0eae-ae9be0e4-2b30ecb0.jpg\n']"
s53358228_21,p13475033,s53358228,21,Impression,No acute cardiopulmonary process. Unchanged cardiomediastinal silhouette.,No acute cardiopulmonary process. Unchanged cardiomediastinal silhouette.,silhouette,cardiomediastinal,Stable,"['files/p13/p13475033/s53358228/10c89fd8-d213373d-7803e8df-fe8a4a8d-2d9a9503.jpg', 'files/p13/p13475033/s53358228/9f25df0c-ef2fb7e9-f4d27df0-0117858f-b7ce8b90.jpg']","['files/p13/p13475033/s53354417/3851190a-af79fb41-4c2b3b1e-b4269325-f8a2fb78.jpg\n', 'files/p13/p13475033/s53354417/fea5a675-05c6e538-371b0eae-ae9be0e4-2b30ecb0.jpg\n']"
s53366281_49,p14841168,s53366281,49,Findings,No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are grossly stable given differences in technique and inspiration. Pulmonary vascular congestion is seen. Slight prominence of the left hilum has been seen over several prior studies in likely relates to vascular structures.,Cardiac and mediastinal silhouettes are grossly stable given differences in technique and inspiration.,Cardiac and mediastinal silhouettes,,Stable,['files/p14/p14841168/s53366281/3ed3bb4b-239e165f-32a0305f-6e40b696-afdec18d.jpg'],['files/p14/p14841168/s52759314/9b89dbe0-e7cb624a-a28136ca-4e93fa28-46f66f22.jpg\n']
s53367019_1,p11880923,s53367019,1,Findings,"There has been interval placement of a right IJ approach tunneled HD catheter, the tip of which projects over the expected location of the right atrium. Lung volumes remain somewhat low, and there is interval increase in bibasilar airspace opacity, right greater than left, concerning for right lower lobe pneumonia. Small-moderate right greater than left pleural effusions are increased. There is no pneumothorax. The cardiac silhouette is top normal for size, and unchanged from prior. Mediastinal contours remain normal.","There has been interval placement of a right IJ approach tunneled HD catheter, the tip of which projects over the expected location of the right atrium.",IJ approach tunneled HD catheter,right atrium,New,"['files/p11/p11880923/s53367019/226379d0-ea16df78-cc85e54b-2f773a4c-8afb5ba2.jpg', 'files/p11/p11880923/s53367019/485bedf4-0bf798fc-68347feb-ab5ec81b-a7113818.jpg']",['files/p11/p11880923/s52804047/c115eec1-f2d94bdd-80412327-e5bc01c5-988b885e.jpg\n']
s53367019_1,p11880923,s53367019,1,Findings,"There has been interval placement of a right IJ approach tunneled HD catheter, the tip of which projects over the expected location of the right atrium. Lung volumes remain somewhat low, and there is interval increase in bibasilar airspace opacity, right greater than left, concerning for right lower lobe pneumonia. Small-moderate right greater than left pleural effusions are increased. There is no pneumothorax. The cardiac silhouette is top normal for size, and unchanged from prior. Mediastinal contours remain normal.",Mediastinal contours remain normal.,mediastinal contours,,Stable,"['files/p11/p11880923/s53367019/226379d0-ea16df78-cc85e54b-2f773a4c-8afb5ba2.jpg', 'files/p11/p11880923/s53367019/485bedf4-0bf798fc-68347feb-ab5ec81b-a7113818.jpg']",['files/p11/p11880923/s52804047/c115eec1-f2d94bdd-80412327-e5bc01c5-988b885e.jpg\n']
s53367019_1,p11880923,s53367019,1,Findings,"There has been interval placement of a right IJ approach tunneled HD catheter, the tip of which projects over the expected location of the right atrium. Lung volumes remain somewhat low, and there is interval increase in bibasilar airspace opacity, right greater than left, concerning for right lower lobe pneumonia. Small-moderate right greater than left pleural effusions are increased. There is no pneumothorax. The cardiac silhouette is top normal for size, and unchanged from prior. Mediastinal contours remain normal.","Lung volumes remain somewhat low, and there is interval increase in bibasilar airspace opacity, right greater than left, concerning for right lower lobe pneumonia.",bibasilar airspace opacity,right greater than left,Worse,"['files/p11/p11880923/s53367019/226379d0-ea16df78-cc85e54b-2f773a4c-8afb5ba2.jpg', 'files/p11/p11880923/s53367019/485bedf4-0bf798fc-68347feb-ab5ec81b-a7113818.jpg']",['files/p11/p11880923/s52804047/c115eec1-f2d94bdd-80412327-e5bc01c5-988b885e.jpg\n']
s53367019_1,p11880923,s53367019,1,Impression,"1. Interval hemodialysis catheter placement, the tip of which projects over the expected location of the right atrium. 2. New development of bilateral lower lobe atelectasis and/or pneumonia, with moderate right and small left pleural effusions.","2. New development of bilateral lower lobe atelectasis and/or pneumonia, with moderate right and small left pleural effusions.",atelectasis and/or pneumonia,bilateral lower lobe,New,"['files/p11/p11880923/s53367019/226379d0-ea16df78-cc85e54b-2f773a4c-8afb5ba2.jpg', 'files/p11/p11880923/s53367019/485bedf4-0bf798fc-68347feb-ab5ec81b-a7113818.jpg']",['files/p11/p11880923/s52804047/c115eec1-f2d94bdd-80412327-e5bc01c5-988b885e.jpg\n']
s53367019_1,p11880923,s53367019,1,Findings,"There has been interval placement of a right IJ approach tunneled HD catheter, the tip of which projects over the expected location of the right atrium. Lung volumes remain somewhat low, and there is interval increase in bibasilar airspace opacity, right greater than left, concerning for right lower lobe pneumonia. Small-moderate right greater than left pleural effusions are increased. There is no pneumothorax. The cardiac silhouette is top normal for size, and unchanged from prior. Mediastinal contours remain normal.","Lung volumes remain somewhat low, and there is interval increase in bibasilar airspace opacity, right greater than left, concerning for right lower lobe pneumonia.",lung volumes,,Stable,"['files/p11/p11880923/s53367019/226379d0-ea16df78-cc85e54b-2f773a4c-8afb5ba2.jpg', 'files/p11/p11880923/s53367019/485bedf4-0bf798fc-68347feb-ab5ec81b-a7113818.jpg']",['files/p11/p11880923/s52804047/c115eec1-f2d94bdd-80412327-e5bc01c5-988b885e.jpg\n']
s53367019_1,p11880923,s53367019,1,Findings,"There has been interval placement of a right IJ approach tunneled HD catheter, the tip of which projects over the expected location of the right atrium. Lung volumes remain somewhat low, and there is interval increase in bibasilar airspace opacity, right greater than left, concerning for right lower lobe pneumonia. Small-moderate right greater than left pleural effusions are increased. There is no pneumothorax. The cardiac silhouette is top normal for size, and unchanged from prior. Mediastinal contours remain normal.","The cardiac silhouette is top normal for size, and unchanged from prior.",cardiac silhouette,,Stable,"['files/p11/p11880923/s53367019/226379d0-ea16df78-cc85e54b-2f773a4c-8afb5ba2.jpg', 'files/p11/p11880923/s53367019/485bedf4-0bf798fc-68347feb-ab5ec81b-a7113818.jpg']",['files/p11/p11880923/s52804047/c115eec1-f2d94bdd-80412327-e5bc01c5-988b885e.jpg\n']
s53367019_1,p11880923,s53367019,1,Impression,"1. Interval hemodialysis catheter placement, the tip of which projects over the expected location of the right atrium. 2. New development of bilateral lower lobe atelectasis and/or pneumonia, with moderate right and small left pleural effusions.","2. New development of bilateral lower lobe atelectasis and/or pneumonia, with moderate right and small left pleural effusions.",pleural effusions,moderate right and small left,New,"['files/p11/p11880923/s53367019/226379d0-ea16df78-cc85e54b-2f773a4c-8afb5ba2.jpg', 'files/p11/p11880923/s53367019/485bedf4-0bf798fc-68347feb-ab5ec81b-a7113818.jpg']",['files/p11/p11880923/s52804047/c115eec1-f2d94bdd-80412327-e5bc01c5-988b885e.jpg\n']
s53367019_1,p11880923,s53367019,1,Impression,"1. Interval hemodialysis catheter placement, the tip of which projects over the expected location of the right atrium. 2. New development of bilateral lower lobe atelectasis and/or pneumonia, with moderate right and small left pleural effusions.","1. Interval hemodialysis catheter placement, the tip of which projects over the expected location of the right atrium.",hemodialysis catheter,right atrium,New,"['files/p11/p11880923/s53367019/226379d0-ea16df78-cc85e54b-2f773a4c-8afb5ba2.jpg', 'files/p11/p11880923/s53367019/485bedf4-0bf798fc-68347feb-ab5ec81b-a7113818.jpg']",['files/p11/p11880923/s52804047/c115eec1-f2d94bdd-80412327-e5bc01c5-988b885e.jpg\n']
s53367019_1,p11880923,s53367019,1,Findings,"There has been interval placement of a right IJ approach tunneled HD catheter, the tip of which projects over the expected location of the right atrium. Lung volumes remain somewhat low, and there is interval increase in bibasilar airspace opacity, right greater than left, concerning for right lower lobe pneumonia. Small-moderate right greater than left pleural effusions are increased. There is no pneumothorax. The cardiac silhouette is top normal for size, and unchanged from prior. Mediastinal contours remain normal.",Small-moderate right greater than left pleural effusions are increased.,pleural effusions,right greater than left,Worse,"['files/p11/p11880923/s53367019/226379d0-ea16df78-cc85e54b-2f773a4c-8afb5ba2.jpg', 'files/p11/p11880923/s53367019/485bedf4-0bf798fc-68347feb-ab5ec81b-a7113818.jpg']",['files/p11/p11880923/s52804047/c115eec1-f2d94bdd-80412327-e5bc01c5-988b885e.jpg\n']
s53368667_12,p10268877,s53368667,12,Findings,"In comparison with study of ___, the tip of the endotracheal tube now measures approximately 6.5 cm above the carina. Nasogastric tube again courses beyond the lower margin of the image in the distal stomach. The left hemidiaphragm is not as sharply seen and there is increased opacification in the retrocardiac region, consistent with volume loss in the left lower lobe and areas of plate-like atelectasis. Continued mild pulmonary vascular congestion.","The left hemidiaphragm is not as sharply seen and there is increased opacification in the retrocardiac region, consistent with volume loss in the left lower lobe and areas of plate-like atelectasis.",opacification,retrocardiac region,Worse,['files/p10/p10268877/s53368667/aebc8b32-83f9db36-e7859808-602b3b39-66bb2765.jpg'],['files/p10/p10268877/s53021891/046bbbe6-823f11ab-c43a868b-b3342241-8cf3254b.jpg\n']
s53368667_12,p10268877,s53368667,12,Findings,"In comparison with study of ___, the tip of the endotracheal tube now measures approximately 6.5 cm above the carina. Nasogastric tube again courses beyond the lower margin of the image in the distal stomach. The left hemidiaphragm is not as sharply seen and there is increased opacification in the retrocardiac region, consistent with volume loss in the left lower lobe and areas of plate-like atelectasis. Continued mild pulmonary vascular congestion.","The left hemidiaphragm is not as sharply seen and there is increased opacification in the retrocardiac region, consistent with volume loss in the left lower lobe and areas of plate-like atelectasis.",volume loss,left lower lobe,Worse,['files/p10/p10268877/s53368667/aebc8b32-83f9db36-e7859808-602b3b39-66bb2765.jpg'],['files/p10/p10268877/s53021891/046bbbe6-823f11ab-c43a868b-b3342241-8cf3254b.jpg\n']
s53368667_12,p10268877,s53368667,12,Findings,"In comparison with study of ___, the tip of the endotracheal tube now measures approximately 6.5 cm above the carina. Nasogastric tube again courses beyond the lower margin of the image in the distal stomach. The left hemidiaphragm is not as sharply seen and there is increased opacification in the retrocardiac region, consistent with volume loss in the left lower lobe and areas of plate-like atelectasis. Continued mild pulmonary vascular congestion.",Continued mild pulmonary vascular congestion.,pulmonary vascular congestion,,Stable,['files/p10/p10268877/s53368667/aebc8b32-83f9db36-e7859808-602b3b39-66bb2765.jpg'],['files/p10/p10268877/s53021891/046bbbe6-823f11ab-c43a868b-b3342241-8cf3254b.jpg\n']
s53368667_12,p10268877,s53368667,12,Findings,"In comparison with study of ___, the tip of the endotracheal tube now measures approximately 6.5 cm above the carina. Nasogastric tube again courses beyond the lower margin of the image in the distal stomach. The left hemidiaphragm is not as sharply seen and there is increased opacification in the retrocardiac region, consistent with volume loss in the left lower lobe and areas of plate-like atelectasis. Continued mild pulmonary vascular congestion.","The left hemidiaphragm is not as sharply seen and there is increased opacification in the retrocardiac region, consistent with volume loss in the left lower lobe and areas of plate-like atelectasis.",plate-like atelectasis,left lower lobe,Worse,['files/p10/p10268877/s53368667/aebc8b32-83f9db36-e7859808-602b3b39-66bb2765.jpg'],['files/p10/p10268877/s53021891/046bbbe6-823f11ab-c43a868b-b3342241-8cf3254b.jpg\n']
s53377112_0,p18487334,s53377112,0,Findings,"No focal consolidation, pleural effusion, or pneumothorax is seen. Heart size is top normal. Pacing leads appear to be similarly positioned compared to prior. There is no evidence for pulmonary edema. Multiple prior right rib fractures are seen; the 8th rib fracture demonstrates persist linear lucency, raising the possibility of incomplete healing. Sternal wires appear intact.",Pacing leads appear to be similarly positioned compared to prior.,Pacing leads position,,Stable,"['files/p18/p18487334/s53377112/1d5931ea-ae06916c-5082d79e-ce203e51-6581ddc9.jpg', 'files/p18/p18487334/s53377112/6f94d91b-92a0152e-bc6fb29c-649edaf8-b41da231.jpg']",['files/p18/p18487334/s53333931/0f0038e8-aa61d68a-c46ef78e-4ee08f4b-d4a8e62d.jpg\n']
s53377112_0,p18487334,s53377112,0,Findings,"No focal consolidation, pleural effusion, or pneumothorax is seen. Heart size is top normal. Pacing leads appear to be similarly positioned compared to prior. There is no evidence for pulmonary edema. Multiple prior right rib fractures are seen; the 8th rib fracture demonstrates persist linear lucency, raising the possibility of incomplete healing. Sternal wires appear intact.","Multiple prior right rib fractures are seen; the 8th rib fracture demonstrates persist linear lucency, raising the possibility of incomplete healing.",fracture,right 8th rib,Stable,"['files/p18/p18487334/s53377112/1d5931ea-ae06916c-5082d79e-ce203e51-6581ddc9.jpg', 'files/p18/p18487334/s53377112/6f94d91b-92a0152e-bc6fb29c-649edaf8-b41da231.jpg']",['files/p18/p18487334/s53333931/0f0038e8-aa61d68a-c46ef78e-4ee08f4b-d4a8e62d.jpg\n']
s53378145_10,p12475198,s53378145,10,Impression,"There is severe extremely irregular opacifications of both lungs, more severe on the right, has improved since ___ at 02:52,. The nodular appearance of the lungs is probably due to severe peribronchial infiltration in the setting of emphysema. The interval improvement is more likely due to resolution of a component of pulmonary edema. Small left pleural effusion is presumed, but not significant. There is no pneumothorax. Heart is partially obscured and its size is indeterminate. Transvenous right atrial and ventricular pacer defibrillator leads follow their expected courses. No pneumothorax.",The interval improvement is more likely due to resolution of a component of pulmonary edema.,pulmonary edema,component,Resolve,['files/p12/p12475198/s53378145/ba5b5b5f-13d50976-7e931ab9-b5cae769-76a2d17e.jpg'],['files/p12/p12475198/s52676650/fa8076ac-14c9330b-4614e083-9dad73d7-6d91e842.jpg\n']
s53378145_10,p12475198,s53378145,10,Impression,"There is severe extremely irregular opacifications of both lungs, more severe on the right, has improved since ___ at 02:52,. The nodular appearance of the lungs is probably due to severe peribronchial infiltration in the setting of emphysema. The interval improvement is more likely due to resolution of a component of pulmonary edema. Small left pleural effusion is presumed, but not significant. There is no pneumothorax. Heart is partially obscured and its size is indeterminate. Transvenous right atrial and ventricular pacer defibrillator leads follow their expected courses. No pneumothorax.","There is severe extremely irregular opacifications of both lungs, more severe on the right, has improved since ___ at 02:52,",irregular opacifications,both lungs,Better,['files/p12/p12475198/s53378145/ba5b5b5f-13d50976-7e931ab9-b5cae769-76a2d17e.jpg'],['files/p12/p12475198/s52676650/fa8076ac-14c9330b-4614e083-9dad73d7-6d91e842.jpg\n']
s53379869_2,p11512104,s53379869,2,Impression,Interval resolution in previous pattern of interstitial pulmonary edema. No radiographic evidence for pneumonia.,Interval resolution in previous pattern of interstitial pulmonary edema. No radiographic evidence for pneumonia.,Interstitial pulmonary edema,,Resolve,"['files/p11/p11512104/s53379869/294ebc2b-bda5301f-54062c24-9d36e9fe-0770d722.jpg', 'files/p11/p11512104/s53379869/b8b6f229-6e131a36-ab9233fe-6db5132b-596d3e5e.jpg']","['files/p11/p11512104/s52755492/879b56b3-4245dde9-c71d9c23-87bdd54b-6e81d2c5.jpg\n', 'files/p11/p11512104/s52755492/daadbbe5-bd29b8d3-fe366d5f-a0e138d8-df1c2298.jpg\n']"
s53379869_2,p11512104,s53379869,2,Findings,"Moderate enlargement of the cardiac silhouette is again noted, unchanged. The aorta is mildly tortuous and demonstrates mild atherosclerotic calcification. Hilar contours are within normal limits. Previous pattern of mild interstitial pulmonary edema has nearly completely resolved, with no focal consolidation, pleural effusion or pneumothorax identified. There are multilevel degenerative changes in the thoracic spine, with slight loss of height of a low thoracic/upper lumbar vertebral body, unchanged. Multiple clips in the upper abdomen are unchanged.","Moderate enlargement of the cardiac silhouette is again noted, unchanged.",Cardiac silhouette enlargement,,Stable,"['files/p11/p11512104/s53379869/294ebc2b-bda5301f-54062c24-9d36e9fe-0770d722.jpg', 'files/p11/p11512104/s53379869/b8b6f229-6e131a36-ab9233fe-6db5132b-596d3e5e.jpg']","['files/p11/p11512104/s52755492/879b56b3-4245dde9-c71d9c23-87bdd54b-6e81d2c5.jpg\n', 'files/p11/p11512104/s52755492/daadbbe5-bd29b8d3-fe366d5f-a0e138d8-df1c2298.jpg\n']"
s53379869_2,p11512104,s53379869,2,Findings,"Moderate enlargement of the cardiac silhouette is again noted, unchanged. The aorta is mildly tortuous and demonstrates mild atherosclerotic calcification. Hilar contours are within normal limits. Previous pattern of mild interstitial pulmonary edema has nearly completely resolved, with no focal consolidation, pleural effusion or pneumothorax identified. There are multilevel degenerative changes in the thoracic spine, with slight loss of height of a low thoracic/upper lumbar vertebral body, unchanged. Multiple clips in the upper abdomen are unchanged.",Multiple clips in the upper abdomen are unchanged.,Clips,upper abdomen,Stable,"['files/p11/p11512104/s53379869/294ebc2b-bda5301f-54062c24-9d36e9fe-0770d722.jpg', 'files/p11/p11512104/s53379869/b8b6f229-6e131a36-ab9233fe-6db5132b-596d3e5e.jpg']","['files/p11/p11512104/s52755492/879b56b3-4245dde9-c71d9c23-87bdd54b-6e81d2c5.jpg\n', 'files/p11/p11512104/s52755492/daadbbe5-bd29b8d3-fe366d5f-a0e138d8-df1c2298.jpg\n']"
s53379869_2,p11512104,s53379869,2,Findings,"Moderate enlargement of the cardiac silhouette is again noted, unchanged. The aorta is mildly tortuous and demonstrates mild atherosclerotic calcification. Hilar contours are within normal limits. Previous pattern of mild interstitial pulmonary edema has nearly completely resolved, with no focal consolidation, pleural effusion or pneumothorax identified. There are multilevel degenerative changes in the thoracic spine, with slight loss of height of a low thoracic/upper lumbar vertebral body, unchanged. Multiple clips in the upper abdomen are unchanged.","There are multilevel degenerative changes in the thoracic spine, with slight loss of height of a low thoracic/upper lumbar vertebral body, unchanged.",Degenerative changes and slight loss of height of vertebral body,low thoracic/upper lumbar,Stable,"['files/p11/p11512104/s53379869/294ebc2b-bda5301f-54062c24-9d36e9fe-0770d722.jpg', 'files/p11/p11512104/s53379869/b8b6f229-6e131a36-ab9233fe-6db5132b-596d3e5e.jpg']","['files/p11/p11512104/s52755492/879b56b3-4245dde9-c71d9c23-87bdd54b-6e81d2c5.jpg\n', 'files/p11/p11512104/s52755492/daadbbe5-bd29b8d3-fe366d5f-a0e138d8-df1c2298.jpg\n']"
s53379869_2,p11512104,s53379869,2,Findings,"Moderate enlargement of the cardiac silhouette is again noted, unchanged. The aorta is mildly tortuous and demonstrates mild atherosclerotic calcification. Hilar contours are within normal limits. Previous pattern of mild interstitial pulmonary edema has nearly completely resolved, with no focal consolidation, pleural effusion or pneumothorax identified. There are multilevel degenerative changes in the thoracic spine, with slight loss of height of a low thoracic/upper lumbar vertebral body, unchanged. Multiple clips in the upper abdomen are unchanged.","Previous pattern of mild interstitial pulmonary edema has nearly completely resolved, with no focal consolidation, pleural effusion or pneumothorax identified.",Mild interstitial pulmonary edema,,Resolve,"['files/p11/p11512104/s53379869/294ebc2b-bda5301f-54062c24-9d36e9fe-0770d722.jpg', 'files/p11/p11512104/s53379869/b8b6f229-6e131a36-ab9233fe-6db5132b-596d3e5e.jpg']","['files/p11/p11512104/s52755492/879b56b3-4245dde9-c71d9c23-87bdd54b-6e81d2c5.jpg\n', 'files/p11/p11512104/s52755492/daadbbe5-bd29b8d3-fe366d5f-a0e138d8-df1c2298.jpg\n']"
s53389484_20,p12952223,s53389484,20,Impression,"1. Endotracheal tube has its tip 3.6 cm above the carina. There has been interval repositioning of the Dobbhoff feeding tube which now has its tip projected over the stomach. In addition, there has been interval placement of right subclavian PICC line, which has its tip in the right atrium. Pullback of approximately 4 cm would be advised in order to position the tip in the mid to distal SVC. The patient is status post median sternotomy with stable postoperative cardiac and mediastinal contours. There continued to be patchy opacities at both bases with some layering pleural fluid, likely suggestive of compressive atelectasis rather than bilateral pneumonia. Clinical correlation is advised. No pneumothorax is seen. Calcification of the aorta is consistent with atherosclerosis. The IV nurse, ___, was notified of the need for repositioning on ___ by phone at 1:10 p.m.",The patient is status post median sternotomy with stable postoperative cardiac and mediastinal contours.,cardiac and mediastinal contours,post median sternotomy,Stable,"['files/p12/p12952223/s53389484/00fba0bb-9fa399fe-2d8f0ddb-5321579f-90df157e.jpg', 'files/p12/p12952223/s53389484/7b6c20ba-0e7929d3-490f9731-a935273d-1ba4d12f.jpg', 'files/p12/p12952223/s53389484/f0f2783b-afa3d964-f7b57c94-97500fd5-5b85adee.jpg']","['files/p12/p12952223/s53302552/255f4674-83241c13-0d166114-1542f2fc-016ce9ee.jpg\n', 'files/p12/p12952223/s53302552/ae696d3b-e707383b-1acd2e18-aa679965-61324b91.jpg\n', 'files/p12/p12952223/s53302552/f507fec9-1437c64b-eef29734-ee553115-fedc694c.jpg\n']"
s53389484_20,p12952223,s53389484,20,Impression,"1. Endotracheal tube has its tip 3.6 cm above the carina. There has been interval repositioning of the Dobbhoff feeding tube which now has its tip projected over the stomach. In addition, there has been interval placement of right subclavian PICC line, which has its tip in the right atrium. Pullback of approximately 4 cm would be advised in order to position the tip in the mid to distal SVC. The patient is status post median sternotomy with stable postoperative cardiac and mediastinal contours. There continued to be patchy opacities at both bases with some layering pleural fluid, likely suggestive of compressive atelectasis rather than bilateral pneumonia. Clinical correlation is advised. No pneumothorax is seen. Calcification of the aorta is consistent with atherosclerosis. The IV nurse, ___, was notified of the need for repositioning on ___ by phone at 1:10 p.m.","In addition, there has been interval placement of right subclavian PICC line, which has its tip in the right atrium.",right subclavian PICC line,in the right atrium,New,"['files/p12/p12952223/s53389484/00fba0bb-9fa399fe-2d8f0ddb-5321579f-90df157e.jpg', 'files/p12/p12952223/s53389484/7b6c20ba-0e7929d3-490f9731-a935273d-1ba4d12f.jpg', 'files/p12/p12952223/s53389484/f0f2783b-afa3d964-f7b57c94-97500fd5-5b85adee.jpg']","['files/p12/p12952223/s53302552/255f4674-83241c13-0d166114-1542f2fc-016ce9ee.jpg\n', 'files/p12/p12952223/s53302552/ae696d3b-e707383b-1acd2e18-aa679965-61324b91.jpg\n', 'files/p12/p12952223/s53302552/f507fec9-1437c64b-eef29734-ee553115-fedc694c.jpg\n']"
s53398424_0,p17669276,s53398424,0,Findings,Evaluation is limited due to significant patient rotation to the right. Median sternotomy wires appear intact. Moderately severe enlargement of the cardiac silhouette appears grossly unchanged. Evaluation of the mediastinum is limited due to the significant patient rotation. There is mild interstitial pulmonary edema. The appearance is similar to recent portable radiograph from ___. Blunting of the bilateral costophrenic angles is chronic and are compatible with persistent small pleural effusions. No confluent consolidation or pneumothorax is present. Evidence of prior vertebroplasty in the mid thoracic spine is unchanged from prior.,Evidence of prior vertebroplasty in the mid thoracic spine is unchanged from prior.,vertebroplasty,mid thoracic spine,Stable,"['files/p17/p17669276/s53398424/777338e3-04154e90-8effe703-6c2dd4dd-a358f687.jpg', 'files/p17/p17669276/s53398424/8011d9cb-8f3ea017-86ad36bd-5e7380ff-32005f00.jpg']",['files/p17/p17669276/s52930189/00f1a123-51de83f7-4d563a12-f705f4f0-4683b4eb.jpg\n']
s53398424_0,p17669276,s53398424,0,Findings,Evaluation is limited due to significant patient rotation to the right. Median sternotomy wires appear intact. Moderately severe enlargement of the cardiac silhouette appears grossly unchanged. Evaluation of the mediastinum is limited due to the significant patient rotation. There is mild interstitial pulmonary edema. The appearance is similar to recent portable radiograph from ___. Blunting of the bilateral costophrenic angles is chronic and are compatible with persistent small pleural effusions. No confluent consolidation or pneumothorax is present. Evidence of prior vertebroplasty in the mid thoracic spine is unchanged from prior.,Moderately severe enlargement of the cardiac silhouette appears grossly unchanged.,Moderately severe enlargement of the cardiac silhouette,,Stable,"['files/p17/p17669276/s53398424/777338e3-04154e90-8effe703-6c2dd4dd-a358f687.jpg', 'files/p17/p17669276/s53398424/8011d9cb-8f3ea017-86ad36bd-5e7380ff-32005f00.jpg']",['files/p17/p17669276/s52930189/00f1a123-51de83f7-4d563a12-f705f4f0-4683b4eb.jpg\n']
s53398424_0,p17669276,s53398424,0,Impression,1. Limited examination due to poor patient positioning. 2. Mild interstitial pulmonary edema is similar to recent prior examination with small bilateral pleural effusions. 3. Stable moderately severe cardiomegaly. 4. No confluent consolidation or pneumothorax.,Stable moderately severe cardiomegaly.,Moderately severe cardiomegaly,,Stable,"['files/p17/p17669276/s53398424/777338e3-04154e90-8effe703-6c2dd4dd-a358f687.jpg', 'files/p17/p17669276/s53398424/8011d9cb-8f3ea017-86ad36bd-5e7380ff-32005f00.jpg']",['files/p17/p17669276/s52930189/00f1a123-51de83f7-4d563a12-f705f4f0-4683b4eb.jpg\n']
s53398424_0,p17669276,s53398424,0,Findings,Evaluation is limited due to significant patient rotation to the right. Median sternotomy wires appear intact. Moderately severe enlargement of the cardiac silhouette appears grossly unchanged. Evaluation of the mediastinum is limited due to the significant patient rotation. There is mild interstitial pulmonary edema. The appearance is similar to recent portable radiograph from ___. Blunting of the bilateral costophrenic angles is chronic and are compatible with persistent small pleural effusions. No confluent consolidation or pneumothorax is present. Evidence of prior vertebroplasty in the mid thoracic spine is unchanged from prior.,The appearance is similar to recent portable radiograph from ___.,Appearance,,Stable,"['files/p17/p17669276/s53398424/777338e3-04154e90-8effe703-6c2dd4dd-a358f687.jpg', 'files/p17/p17669276/s53398424/8011d9cb-8f3ea017-86ad36bd-5e7380ff-32005f00.jpg']",['files/p17/p17669276/s52930189/00f1a123-51de83f7-4d563a12-f705f4f0-4683b4eb.jpg\n']
s53398424_0,p17669276,s53398424,0,Findings,Evaluation is limited due to significant patient rotation to the right. Median sternotomy wires appear intact. Moderately severe enlargement of the cardiac silhouette appears grossly unchanged. Evaluation of the mediastinum is limited due to the significant patient rotation. There is mild interstitial pulmonary edema. The appearance is similar to recent portable radiograph from ___. Blunting of the bilateral costophrenic angles is chronic and are compatible with persistent small pleural effusions. No confluent consolidation or pneumothorax is present. Evidence of prior vertebroplasty in the mid thoracic spine is unchanged from prior.,Blunting of the bilateral costophrenic angles is chronic and are compatible with persistent small pleural effusions.,Small pleural effusions,bilateral costophrenic angles,Stable,"['files/p17/p17669276/s53398424/777338e3-04154e90-8effe703-6c2dd4dd-a358f687.jpg', 'files/p17/p17669276/s53398424/8011d9cb-8f3ea017-86ad36bd-5e7380ff-32005f00.jpg']",['files/p17/p17669276/s52930189/00f1a123-51de83f7-4d563a12-f705f4f0-4683b4eb.jpg\n']
s53398424_0,p17669276,s53398424,0,Impression,1. Limited examination due to poor patient positioning. 2. Mild interstitial pulmonary edema is similar to recent prior examination with small bilateral pleural effusions. 3. Stable moderately severe cardiomegaly. 4. No confluent consolidation or pneumothorax.,Mild interstitial pulmonary edema is similar to recent prior examination with small bilateral pleural effusions.,Mild interstitial pulmonary edema,,Stable,"['files/p17/p17669276/s53398424/777338e3-04154e90-8effe703-6c2dd4dd-a358f687.jpg', 'files/p17/p17669276/s53398424/8011d9cb-8f3ea017-86ad36bd-5e7380ff-32005f00.jpg']",['files/p17/p17669276/s52930189/00f1a123-51de83f7-4d563a12-f705f4f0-4683b4eb.jpg\n']
s53400246_27,p13473495,s53400246,27,Impression,Mild to moderate vascular congestion has increased. Bibasilar atelectasis have increased. If any there is a small right effusion. No other interval change from prior study.,Mild to moderate vascular congestion has increased.,Vascular congestion,,Worse,['files/p13/p13473495/s53400246/3b45981c-22a218c1-895088c8-70cb300c-bb013a16.jpg'],['files/p13/p13473495/s53351384/b740f79e-73da2f17-0d2dac03-2e639b9e-4e01c770.jpg\n']
s53400246_27,p13473495,s53400246,27,Impression,Mild to moderate vascular congestion has increased. Bibasilar atelectasis have increased. If any there is a small right effusion. No other interval change from prior study.,Bibasilar atelectasis have increased.,Atelectasis,Bibasilar,Worse,['files/p13/p13473495/s53400246/3b45981c-22a218c1-895088c8-70cb300c-bb013a16.jpg'],['files/p13/p13473495/s53351384/b740f79e-73da2f17-0d2dac03-2e639b9e-4e01c770.jpg\n']
s53401540_0,p10305005,s53401540,0,Findings,Both lungs are well expanded and clear. There are no lung opacities concerning for pneumonia or pulmonary edema. Heart size is mildly enlarged and stable since ___. Mediastinal and hilar contours are unchanged. There is no pleural effusion or pneumothorax.,Heart size is mildly enlarged and stable since ___.,Mildly enlarged heart size,,Stable,"['files/p10/p10305005/s53401540/d170e96d-5241319c-af503f23-ebe1d998-b9396ee5.jpg', 'files/p10/p10305005/s53401540/ed842464-13c00e81-9df3129d-439db19a-7b5804f7.jpg', 'files/p10/p10305005/s53401540/ff260ed6-eff650ee-0d5d5964-3af89ad3-8152f5dd.jpg']",
s53401540_0,p10305005,s53401540,0,Findings,Both lungs are well expanded and clear. There are no lung opacities concerning for pneumonia or pulmonary edema. Heart size is mildly enlarged and stable since ___. Mediastinal and hilar contours are unchanged. There is no pleural effusion or pneumothorax.,Mediastinal and hilar contours are unchanged.,Mediastinal and hilar contours,,Stable,"['files/p10/p10305005/s53401540/d170e96d-5241319c-af503f23-ebe1d998-b9396ee5.jpg', 'files/p10/p10305005/s53401540/ed842464-13c00e81-9df3129d-439db19a-7b5804f7.jpg', 'files/p10/p10305005/s53401540/ff260ed6-eff650ee-0d5d5964-3af89ad3-8152f5dd.jpg']",
s53403421_13,p14236258,s53403421,13,Findings,"Left-sided dual lumen central venous catheter tip terminates in the low SVC in courses through a stent within the left brachiocephalic and superior vena cava. A vascular stent is also noted within the left upper extremity. Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged unchanged with similar rightward deviation of the trachea due to a known left thyroid goiter again noted. The pulmonary vasculature is not engorged. Minimal patchy opacities in the lung bases likely reflect areas of atelectasis. There may be trace bilateral pleural effusions, but no focal consolidation or pneumothorax is present. Clips are noted about the neck. Remote fractures of the right posterior ribs are again seen.",Mediastinal and hilar contours are unchanged unchanged with similar rightward deviation of the trachea due to a known left thyroid goiter again noted.,Contours,Mediastinal and hilar,Stable,['files/p14/p14236258/s53403421/209500b4-f8bc630b-f0a648c8-da518e7f-ab714f17.jpg'],"['files/p14/p14236258/s52998742/048b4d6a-b86b868c-e1fb6563-ee782a6c-74a96d44.jpg\n', 'files/p14/p14236258/s52998742/8ee276bc-f8413bb2-79639432-b58d2a14-2d9f78c0.jpg\n', 'files/p14/p14236258/s52998742/dde26f17-5771e037-b36eaf10-c25c13c0-84dee67a.jpg\n']"
s53403421_13,p14236258,s53403421,13,Findings,"Left-sided dual lumen central venous catheter tip terminates in the low SVC in courses through a stent within the left brachiocephalic and superior vena cava. A vascular stent is also noted within the left upper extremity. Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged unchanged with similar rightward deviation of the trachea due to a known left thyroid goiter again noted. The pulmonary vasculature is not engorged. Minimal patchy opacities in the lung bases likely reflect areas of atelectasis. There may be trace bilateral pleural effusions, but no focal consolidation or pneumothorax is present. Clips are noted about the neck. Remote fractures of the right posterior ribs are again seen.",Remote fractures of the right posterior ribs are again seen.,Rib fractures,Right posterior,Stable,['files/p14/p14236258/s53403421/209500b4-f8bc630b-f0a648c8-da518e7f-ab714f17.jpg'],"['files/p14/p14236258/s52998742/048b4d6a-b86b868c-e1fb6563-ee782a6c-74a96d44.jpg\n', 'files/p14/p14236258/s52998742/8ee276bc-f8413bb2-79639432-b58d2a14-2d9f78c0.jpg\n', 'files/p14/p14236258/s52998742/dde26f17-5771e037-b36eaf10-c25c13c0-84dee67a.jpg\n']"
s53404392_17,p18487334,s53404392,17,Impression,"In comparison with the earlier study of this date, the Dobhoff tube can be seen only to the level of the distal esophagus, were crosses the lower margin of the image, to evaluate the tip, a view of the upper abdomen must be obtained using abdominal technique. The area of increased opacification at the right base seen previously is not appreciated at this time.",The area of increased opacification at the right base seen previously is not appreciated at this time.,opacification,right base,Resolve,['files/p18/p18487334/s53404392/6814b280-d33103fb-57bac34d-4b2fe11e-850ad502.jpg'],"['files/p18/p18487334/s53377112/1d5931ea-ae06916c-5082d79e-ce203e51-6581ddc9.jpg\n', 'files/p18/p18487334/s53377112/6f94d91b-92a0152e-bc6fb29c-649edaf8-b41da231.jpg\n']"
s53405597_8,p16855430,s53405597,8,Findings,The heart size is stable and mildly enlarged. Mediastinal and hilar contours are within normal limits. The lungs show no consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The previously described right PICC tip has been removed.,The heart size is stable and mildly enlarged.,Heart size enlargement,,Stable,['files/p16/p16855430/s53405597/1b6de453-c29f3bea-062b74e0-18018703-0456f192.jpg'],['files/p16/p16855430/s52509761/27c8aa21-0a66ebf9-667f13ca-9695345c-caa66257.jpg\n']
s53405597_8,p16855430,s53405597,8,Findings,The heart size is stable and mildly enlarged. Mediastinal and hilar contours are within normal limits. The lungs show no consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The previously described right PICC tip has been removed.,The previously described right PICC tip has been removed.,PICC tip,right,Resolve,['files/p16/p16855430/s53405597/1b6de453-c29f3bea-062b74e0-18018703-0456f192.jpg'],['files/p16/p16855430/s52509761/27c8aa21-0a66ebf9-667f13ca-9695345c-caa66257.jpg\n']
s53407845_1,p11052273,s53407845,1,Impression,"Overall, cardiac and mediastinal contours are stable. Interval appearance of patchy opacity at the left base could represent early pneumonia, although aspiration or patchy atelectasis would also be in the differential. Clinical correlation is advised. No evidence of pulmonary edema, pneumothorax or pleural effusions. No acute bony abnormality.","Overall, cardiac and mediastinal contours are stable.",Cardiac and mediastinal contours,,Stable,"['files/p11/p11052273/s53407845/56cbf544-ffe796ce-3f5f9469-1f1ee569-402e42ff.jpg', 'files/p11/p11052273/s53407845/e8da4f53-f62c1459-cc4b5add-8a21431c-c2395de1.jpg']",['files/p11/p11052273/s52056685/833353ab-ca676eba-dc9127a5-675bc9a1-79e5737d.jpg\n']
s53409681_5,p16319601,s53409681,5,Findings,"In comparison with the earlier study of this date, the apparent small pneumothorax tracking along the minor fissure is not definitely appreciated. There is hazy opacification of the right hemithorax with poor definition of the hemidiaphragm, consistent with layering pleural effusion and compressive atelectasis at the base. Mild atelectatic changes are also seen on the left. The nasogastric tube has been removed. Right IJ catheter and left subclavian catheter remain in place.",Right IJ catheter and left subclavian catheter remain in place.,catheter,Right IJ,Stable,['files/p16/p16319601/s53409681/f5ffe72f-2177cc32-4bf7c5fa-c241b35c-447b2120.jpg'],"['files/p16/p16319601/s53053588/2e0bc848-368fe38c-4feca54c-89e93ae2-b2c7c2db.jpg\n', 'files/p16/p16319601/s53053588/8511e432-1707518d-687c14ac-488cb51f-b03fb332.jpg\n']"
s53409681_5,p16319601,s53409681,5,Findings,"In comparison with the earlier study of this date, the apparent small pneumothorax tracking along the minor fissure is not definitely appreciated. There is hazy opacification of the right hemithorax with poor definition of the hemidiaphragm, consistent with layering pleural effusion and compressive atelectasis at the base. Mild atelectatic changes are also seen on the left. The nasogastric tube has been removed. Right IJ catheter and left subclavian catheter remain in place.",The nasogastric tube has been removed.,nasogastric tube,,Resolve,['files/p16/p16319601/s53409681/f5ffe72f-2177cc32-4bf7c5fa-c241b35c-447b2120.jpg'],"['files/p16/p16319601/s53053588/2e0bc848-368fe38c-4feca54c-89e93ae2-b2c7c2db.jpg\n', 'files/p16/p16319601/s53053588/8511e432-1707518d-687c14ac-488cb51f-b03fb332.jpg\n']"
s53409681_5,p16319601,s53409681,5,Findings,"In comparison with the earlier study of this date, the apparent small pneumothorax tracking along the minor fissure is not definitely appreciated. There is hazy opacification of the right hemithorax with poor definition of the hemidiaphragm, consistent with layering pleural effusion and compressive atelectasis at the base. Mild atelectatic changes are also seen on the left. The nasogastric tube has been removed. Right IJ catheter and left subclavian catheter remain in place.","In comparison with the earlier study of this date, the apparent small pneumothorax tracking along the minor fissure is not definitely appreciated.",small pneumothorax,minor fissure,Resolve,['files/p16/p16319601/s53409681/f5ffe72f-2177cc32-4bf7c5fa-c241b35c-447b2120.jpg'],"['files/p16/p16319601/s53053588/2e0bc848-368fe38c-4feca54c-89e93ae2-b2c7c2db.jpg\n', 'files/p16/p16319601/s53053588/8511e432-1707518d-687c14ac-488cb51f-b03fb332.jpg\n']"
s53409681_5,p16319601,s53409681,5,Findings,"In comparison with the earlier study of this date, the apparent small pneumothorax tracking along the minor fissure is not definitely appreciated. There is hazy opacification of the right hemithorax with poor definition of the hemidiaphragm, consistent with layering pleural effusion and compressive atelectasis at the base. Mild atelectatic changes are also seen on the left. The nasogastric tube has been removed. Right IJ catheter and left subclavian catheter remain in place.",Right IJ catheter and left subclavian catheter remain in place.,catheter,left subclavian,Stable,['files/p16/p16319601/s53409681/f5ffe72f-2177cc32-4bf7c5fa-c241b35c-447b2120.jpg'],"['files/p16/p16319601/s53053588/2e0bc848-368fe38c-4feca54c-89e93ae2-b2c7c2db.jpg\n', 'files/p16/p16319601/s53053588/8511e432-1707518d-687c14ac-488cb51f-b03fb332.jpg\n']"
s53410264_24,p11413236,s53410264,24,Findings,"Right-sided Port-A-Cath terminates in the mid SVC as before. Heart is top-normal in size. Mediastinal and hilar contours are within normal limits. Lung volumes are low over the lungs are clear without focal consolidation, effusion or pneumothorax.",Right-sided Port-A-Cath terminates in the mid SVC as before.,Port-A-Cath,mid SVC,Stable,"['files/p11/p11413236/s53410264/01162a03-2f26a872-9c7a120b-f5ce80a2-46b2577b.jpg', 'files/p11/p11413236/s53410264/ed184d83-ae8d1e4b-471e594f-15e2ca32-860a8dbb.jpg']","['files/p11/p11413236/s53155287/85487fb8-4d1bb78d-357fad99-bd6075d5-8b2da39c.jpg\n', 'files/p11/p11413236/s53155287/edd0f3ed-1c73850b-834eb0a7-0bf47886-bce26021.jpg\n']"
s53412826_1,p19150427,s53412826,1,Findings,"The patient is status post median sternotomy, CABG, and vascular stenting. Heart is mildly enlarged but stable. The mediastinal and hilar contours are similar with mild unfolding of thoracic aorta. New consolidative process is noted within the right upper lobe compatible with pneumonia. There is mild pulmonary vascular congestion. Small pleural effusion on the right is present. No pneumothorax is identified. Degenerative changes involving the left glenohumeral and bilateral acromioclavicular joints are noted.",Heart is mildly enlarged but stable.,mildly enlarged heart,,Stable,"['files/p19/p19150427/s53412826/1cbba3f1-9473d496-6a09bade-908af686-5568c136.jpg', 'files/p19/p19150427/s53412826/ebcd934a-fe1838dd-2918f535-1a7560c9-be5e9ab2.jpg']",['files/p19/p19150427/s52424977/1788a491-dde38c10-84084270-8ac256d3-7f69a1f6.jpg\n']
s53412826_1,p19150427,s53412826,1,Findings,"The patient is status post median sternotomy, CABG, and vascular stenting. Heart is mildly enlarged but stable. The mediastinal and hilar contours are similar with mild unfolding of thoracic aorta. New consolidative process is noted within the right upper lobe compatible with pneumonia. There is mild pulmonary vascular congestion. Small pleural effusion on the right is present. No pneumothorax is identified. Degenerative changes involving the left glenohumeral and bilateral acromioclavicular joints are noted.",The mediastinal and hilar contours are similar with mild unfolding of thoracic aorta.,mediastinal and hilar contours,,Stable,"['files/p19/p19150427/s53412826/1cbba3f1-9473d496-6a09bade-908af686-5568c136.jpg', 'files/p19/p19150427/s53412826/ebcd934a-fe1838dd-2918f535-1a7560c9-be5e9ab2.jpg']",['files/p19/p19150427/s52424977/1788a491-dde38c10-84084270-8ac256d3-7f69a1f6.jpg\n']
s53412826_1,p19150427,s53412826,1,Findings,"The patient is status post median sternotomy, CABG, and vascular stenting. Heart is mildly enlarged but stable. The mediastinal and hilar contours are similar with mild unfolding of thoracic aorta. New consolidative process is noted within the right upper lobe compatible with pneumonia. There is mild pulmonary vascular congestion. Small pleural effusion on the right is present. No pneumothorax is identified. Degenerative changes involving the left glenohumeral and bilateral acromioclavicular joints are noted.",New consolidative process is noted within the right upper lobe compatible with pneumonia.,consolidative process,right upper lobe,New,"['files/p19/p19150427/s53412826/1cbba3f1-9473d496-6a09bade-908af686-5568c136.jpg', 'files/p19/p19150427/s53412826/ebcd934a-fe1838dd-2918f535-1a7560c9-be5e9ab2.jpg']",['files/p19/p19150427/s52424977/1788a491-dde38c10-84084270-8ac256d3-7f69a1f6.jpg\n']
s53412826_1,p19150427,s53412826,1,Impression,Right upper lobe 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.,pneumonia,right upper lobe,Resolve,"['files/p19/p19150427/s53412826/1cbba3f1-9473d496-6a09bade-908af686-5568c136.jpg', 'files/p19/p19150427/s53412826/ebcd934a-fe1838dd-2918f535-1a7560c9-be5e9ab2.jpg']",['files/p19/p19150427/s52424977/1788a491-dde38c10-84084270-8ac256d3-7f69a1f6.jpg\n']
s53414987_7,p19389547,s53414987,7,Findings,"As compared to the previous radiograph, the pre-existing partly pleural partly parenchymal opacities on the right have completely resolved. There is an obviously post-surgical rib defect on the right at the level of the fifth rib. Minimal scarring in the region of the middle lobe, but no acute changes. No pleural effusions. No pneumonia. Normal size of the cardiac silhouette.","As compared to the previous radiograph, the pre-existing partly pleural partly parenchymal opacities on the right have completely resolved.",partly pleural partly parenchymal opacities,right,Resolve,"['files/p19/p19389547/s53414987/79de3895-78f8039f-6010f064-7af8dd2e-e73deecb.jpg', 'files/p19/p19389547/s53414987/9e6505d9-f09c30b0-96a9586e-37f43bf5-f7e34dbc.jpg', 'files/p19/p19389547/s53414987/d7fd94c9-c495c1e6-cfc0ccec-60cc9251-6dfbb8ff.jpg']",['files/p19/p19389547/s52600197/789709af-ab78dbbd-bd973f37-aa5edc4c-cb7f975a.jpg\n']
s53417168_11,p13606683,s53417168,11,Impression,1. Stable moderate cardiomegaly 2. Stable chronic parenchymal changes. 3. No evidence of acute pulmonary edema.,1. Stable moderate cardiomegaly,moderate cardiomegaly,,Stable,['files/p13/p13606683/s53417168/63bc3ab0-da8f9dcb-006bcd2c-5af27843-de7a7597.jpg'],['files/p13/p13606683/s53357801/d829d785-9cf108d0-cc72151c-457d3b95-b2d38263.jpg\n']
s53417168_11,p13606683,s53417168,11,Findings,An AP upright radiograph of the chest is provided. There is no significant change from the prior examination. Moderate cardiomegaly is stable. Chronic parenchymal opacities which are better demonstrated on the prior chest CT are also unchanged. There is no evidence of superimposed airspace opacification or pulmonary edema. There is no pneumothorax or pleural effusion. Median sternotomy cerclage wires are intact. The right pectoral AICD and its leads are unchanged.,The right pectoral AICD and its leads are unchanged.,AICD and its leads,right pectoral,Stable,['files/p13/p13606683/s53417168/63bc3ab0-da8f9dcb-006bcd2c-5af27843-de7a7597.jpg'],['files/p13/p13606683/s53357801/d829d785-9cf108d0-cc72151c-457d3b95-b2d38263.jpg\n']
s53417168_11,p13606683,s53417168,11,Findings,An AP upright radiograph of the chest is provided. There is no significant change from the prior examination. Moderate cardiomegaly is stable. Chronic parenchymal opacities which are better demonstrated on the prior chest CT are also unchanged. There is no evidence of superimposed airspace opacification or pulmonary edema. There is no pneumothorax or pleural effusion. Median sternotomy cerclage wires are intact. The right pectoral AICD and its leads are unchanged.,Chronic parenchymal opacities which are better demonstrated on the prior chest CT are also unchanged.,chronic parenchymal opacities,,Stable,['files/p13/p13606683/s53417168/63bc3ab0-da8f9dcb-006bcd2c-5af27843-de7a7597.jpg'],['files/p13/p13606683/s53357801/d829d785-9cf108d0-cc72151c-457d3b95-b2d38263.jpg\n']
s53417168_11,p13606683,s53417168,11,Findings,An AP upright radiograph of the chest is provided. There is no significant change from the prior examination. Moderate cardiomegaly is stable. Chronic parenchymal opacities which are better demonstrated on the prior chest CT are also unchanged. There is no evidence of superimposed airspace opacification or pulmonary edema. There is no pneumothorax or pleural effusion. Median sternotomy cerclage wires are intact. The right pectoral AICD and its leads are unchanged.,Moderate cardiomegaly is stable.,moderate cardiomegaly,,Stable,['files/p13/p13606683/s53417168/63bc3ab0-da8f9dcb-006bcd2c-5af27843-de7a7597.jpg'],['files/p13/p13606683/s53357801/d829d785-9cf108d0-cc72151c-457d3b95-b2d38263.jpg\n']
s53417168_11,p13606683,s53417168,11,Impression,1. Stable moderate cardiomegaly 2. Stable chronic parenchymal changes. 3. No evidence of acute pulmonary edema.,2. Stable chronic parenchymal changes.,chronic parenchymal changes,,Stable,['files/p13/p13606683/s53417168/63bc3ab0-da8f9dcb-006bcd2c-5af27843-de7a7597.jpg'],['files/p13/p13606683/s53357801/d829d785-9cf108d0-cc72151c-457d3b95-b2d38263.jpg\n']
s53423060_9,p18309149,s53423060,9,Findings,"Since most recent prior radiograph, there has been resolution of opacity in the right mid lung. Again seen are chronic pleural changes on the right and thickening of the minor fissure. The cardiomediastinal silhouette is normal. Left hemithorax is unremarkable.","Since most recent prior radiograph, there has been resolution of opacity in the right mid lung.",opacity,right mid lung,Resolve,"['files/p18/p18309149/s53423060/39e30ffd-62d209bb-27422c59-4d36909a-855e11d8.jpg', 'files/p18/p18309149/s53423060/74e72ac6-d04d2e9a-135b0911-cce87e45-cdf6d625.jpg']","['files/p18/p18309149/s52901628/02277520-0c2f2dfc-48595e9d-67e7b3d0-51eb5d78.jpg\n', 'files/p18/p18309149/s52901628/e03d6b55-39250a31-cf04e3c9-99bee8ed-77e6e3ae.jpg\n']"
s53423060_9,p18309149,s53423060,9,Impression,1. Stable chronic pleural changes on the right. 2. Resolved opacity in the right mid lung zone.,2. Resolved opacity in the right mid lung zone.,opacity,right mid lung zone,Resolve,"['files/p18/p18309149/s53423060/39e30ffd-62d209bb-27422c59-4d36909a-855e11d8.jpg', 'files/p18/p18309149/s53423060/74e72ac6-d04d2e9a-135b0911-cce87e45-cdf6d625.jpg']","['files/p18/p18309149/s52901628/02277520-0c2f2dfc-48595e9d-67e7b3d0-51eb5d78.jpg\n', 'files/p18/p18309149/s52901628/e03d6b55-39250a31-cf04e3c9-99bee8ed-77e6e3ae.jpg\n']"
s53423060_9,p18309149,s53423060,9,Impression,1. Stable chronic pleural changes on the right. 2. Resolved opacity in the right mid lung zone.,1. Stable chronic pleural changes on the right.,chronic pleural changes,right,Stable,"['files/p18/p18309149/s53423060/39e30ffd-62d209bb-27422c59-4d36909a-855e11d8.jpg', 'files/p18/p18309149/s53423060/74e72ac6-d04d2e9a-135b0911-cce87e45-cdf6d625.jpg']","['files/p18/p18309149/s52901628/02277520-0c2f2dfc-48595e9d-67e7b3d0-51eb5d78.jpg\n', 'files/p18/p18309149/s52901628/e03d6b55-39250a31-cf04e3c9-99bee8ed-77e6e3ae.jpg\n']"
s53423060_9,p18309149,s53423060,9,Findings,"Since most recent prior radiograph, there has been resolution of opacity in the right mid lung. Again seen are chronic pleural changes on the right and thickening of the minor fissure. The cardiomediastinal silhouette is normal. Left hemithorax is unremarkable.",Again seen are chronic pleural changes on the right and thickening of the minor fissure.,thickening of the minor fissure,right,Stable,"['files/p18/p18309149/s53423060/39e30ffd-62d209bb-27422c59-4d36909a-855e11d8.jpg', 'files/p18/p18309149/s53423060/74e72ac6-d04d2e9a-135b0911-cce87e45-cdf6d625.jpg']","['files/p18/p18309149/s52901628/02277520-0c2f2dfc-48595e9d-67e7b3d0-51eb5d78.jpg\n', 'files/p18/p18309149/s52901628/e03d6b55-39250a31-cf04e3c9-99bee8ed-77e6e3ae.jpg\n']"
s53423060_9,p18309149,s53423060,9,Findings,"Since most recent prior radiograph, there has been resolution of opacity in the right mid lung. Again seen are chronic pleural changes on the right and thickening of the minor fissure. The cardiomediastinal silhouette is normal. Left hemithorax is unremarkable.",Again seen are chronic pleural changes on the right and thickening of the minor fissure.,chronic pleural changes,right,Stable,"['files/p18/p18309149/s53423060/39e30ffd-62d209bb-27422c59-4d36909a-855e11d8.jpg', 'files/p18/p18309149/s53423060/74e72ac6-d04d2e9a-135b0911-cce87e45-cdf6d625.jpg']","['files/p18/p18309149/s52901628/02277520-0c2f2dfc-48595e9d-67e7b3d0-51eb5d78.jpg\n', 'files/p18/p18309149/s52901628/e03d6b55-39250a31-cf04e3c9-99bee8ed-77e6e3ae.jpg\n']"
s53424979_10,p18615099,s53424979,10,Impression,"1. Low lung volumes. Mild interstitial pulmonary edema, improved from the previous exam. 2. Near-complete interval resolution of bilateral pleural effusions since ___. 3. Prominent mediastinal silhouette is most likely due to low lung volumes and patient's positioning. A repeat conventional PA and lateral radiographs will be helpful, when tolerated.","Low lung volumes. Mild interstitial pulmonary edema, improved from the previous exam.",mild interstitial pulmonary edema,,Better,['files/p18/p18615099/s53424979/469c319a-57c55551-e71b3f83-73849157-a180b0ee.jpg'],"['files/p18/p18615099/s51530024/d82f85b0-1ec12fec-a2d4f803-2b9544e5-0b2d3fa0.jpg\n', 'files/p18/p18615099/s51530024/ea7e8fb0-24d1c400-b3cb8a6a-4b435d57-455f8e5b.jpg\n']"
s53424979_10,p18615099,s53424979,10,Findings,"Portable upright view of the chest demonstrates low lung volumes, which accentuate bronchovascular markings. There is near-complete resolution of bilateral pleural effusions seen on ___ exam. There is no pneumothorax or focal consolidation. Streaky opacity in the left juxtahilar region along with mild prominence of the pulmonary vascularity likely reflects mild interstitial edema, which is improved compared to the prior study. Heart is mildly enlarged. Mediastinal contour is slightly widened, which is most likely due to low lung volumes and patient positioning. Post-surgical changes related to median sternotomy and CABG are again noted.","Streaky opacity in the left juxtahilar region along with mild prominence of the pulmonary vascularity likely reflects mild interstitial edema, which is improved compared to the prior study.",mild interstitial edema,left juxtahilar region,Better,['files/p18/p18615099/s53424979/469c319a-57c55551-e71b3f83-73849157-a180b0ee.jpg'],"['files/p18/p18615099/s51530024/d82f85b0-1ec12fec-a2d4f803-2b9544e5-0b2d3fa0.jpg\n', 'files/p18/p18615099/s51530024/ea7e8fb0-24d1c400-b3cb8a6a-4b435d57-455f8e5b.jpg\n']"
s53424979_10,p18615099,s53424979,10,Impression,"1. Low lung volumes. Mild interstitial pulmonary edema, improved from the previous exam. 2. Near-complete interval resolution of bilateral pleural effusions since ___. 3. Prominent mediastinal silhouette is most likely due to low lung volumes and patient's positioning. A repeat conventional PA and lateral radiographs will be helpful, when tolerated.",Near-complete interval resolution of bilateral pleural effusions since ___.,pleural effusions,bilateral,Resolve,['files/p18/p18615099/s53424979/469c319a-57c55551-e71b3f83-73849157-a180b0ee.jpg'],"['files/p18/p18615099/s51530024/d82f85b0-1ec12fec-a2d4f803-2b9544e5-0b2d3fa0.jpg\n', 'files/p18/p18615099/s51530024/ea7e8fb0-24d1c400-b3cb8a6a-4b435d57-455f8e5b.jpg\n']"
s53424979_10,p18615099,s53424979,10,Findings,"Portable upright view of the chest demonstrates low lung volumes, which accentuate bronchovascular markings. There is near-complete resolution of bilateral pleural effusions seen on ___ exam. There is no pneumothorax or focal consolidation. Streaky opacity in the left juxtahilar region along with mild prominence of the pulmonary vascularity likely reflects mild interstitial edema, which is improved compared to the prior study. Heart is mildly enlarged. Mediastinal contour is slightly widened, which is most likely due to low lung volumes and patient positioning. Post-surgical changes related to median sternotomy and CABG are again noted.",There is near-complete resolution of bilateral pleural effusions seen on ___ exam.,pleural effusions,bilateral,Resolve,['files/p18/p18615099/s53424979/469c319a-57c55551-e71b3f83-73849157-a180b0ee.jpg'],"['files/p18/p18615099/s51530024/d82f85b0-1ec12fec-a2d4f803-2b9544e5-0b2d3fa0.jpg\n', 'files/p18/p18615099/s51530024/ea7e8fb0-24d1c400-b3cb8a6a-4b435d57-455f8e5b.jpg\n']"
s53426027_5,p14992360,s53426027,5,Findings,"Left-sided chest wall pacemaker appears in unchanged position, with 2 leads terminating in the right ventricle and 1 lead terminating in the right atrium. There is mild cardiomegaly, stable as compared to prior examination. There is redemonstration of prominent interstitial markings and mild hilar engorgement, which could be secondary to mild pulmonary edema. No new focal consolidation concerning for pneumonia. There is no large pleural effusion or pneumothorax. There is redemonstration of right upper lobe scarring and upper zone lucency, reflecting known emphysema. A curvilinear lucency at posterior to the sternum on the lateral view may reflect a small pneumothorax. Nodular opacity in the left mid lung is stable since ___. No acute osseous injury.","Left-sided chest wall pacemaker appears in unchanged position, with 2 leads terminating in the right ventricle and 1 lead terminating in the right atrium.",pacemaker position,Left-sided chest wall,Stable,"['files/p14/p14992360/s53426027/2263652d-9febb548-c194ddde-3d609261-01889c9a.jpg', 'files/p14/p14992360/s53426027/75dba8a3-5f23d588-d3d4556c-daef69cf-8ed524b4.jpg', 'files/p14/p14992360/s53426027/9bc4f9f8-9a5cf680-f9889b51-30721129-c66aa757.jpg']","['files/p14/p14992360/s52523882/690e5219-a0d2190e-2017488b-4a4feda7-4ef08c2d.jpg\n', 'files/p14/p14992360/s52523882/7c276a28-74265513-242b56ab-f7f75aee-b642742a.jpg\n']"
s53426027_5,p14992360,s53426027,5,Impression,1. Equivocal small right pneumothorax. Short-term followup upright chest radiograph or CT recommended. 2. Unchanged mild pulmonary edema superimposed on a background of moderate emphysema. No focal consolidation.,2. Unchanged mild pulmonary edema superimposed on a background of moderate emphysema. No focal consolidation.,mild pulmonary edema,,Stable,"['files/p14/p14992360/s53426027/2263652d-9febb548-c194ddde-3d609261-01889c9a.jpg', 'files/p14/p14992360/s53426027/75dba8a3-5f23d588-d3d4556c-daef69cf-8ed524b4.jpg', 'files/p14/p14992360/s53426027/9bc4f9f8-9a5cf680-f9889b51-30721129-c66aa757.jpg']","['files/p14/p14992360/s52523882/690e5219-a0d2190e-2017488b-4a4feda7-4ef08c2d.jpg\n', 'files/p14/p14992360/s52523882/7c276a28-74265513-242b56ab-f7f75aee-b642742a.jpg\n']"
s53426027_5,p14992360,s53426027,5,Findings,"Left-sided chest wall pacemaker appears in unchanged position, with 2 leads terminating in the right ventricle and 1 lead terminating in the right atrium. There is mild cardiomegaly, stable as compared to prior examination. There is redemonstration of prominent interstitial markings and mild hilar engorgement, which could be secondary to mild pulmonary edema. No new focal consolidation concerning for pneumonia. There is no large pleural effusion or pneumothorax. There is redemonstration of right upper lobe scarring and upper zone lucency, reflecting known emphysema. A curvilinear lucency at posterior to the sternum on the lateral view may reflect a small pneumothorax. Nodular opacity in the left mid lung is stable since ___. No acute osseous injury.","There is mild cardiomegaly, stable as compared to prior examination.",mild cardiomegaly,,Stable,"['files/p14/p14992360/s53426027/2263652d-9febb548-c194ddde-3d609261-01889c9a.jpg', 'files/p14/p14992360/s53426027/75dba8a3-5f23d588-d3d4556c-daef69cf-8ed524b4.jpg', 'files/p14/p14992360/s53426027/9bc4f9f8-9a5cf680-f9889b51-30721129-c66aa757.jpg']","['files/p14/p14992360/s52523882/690e5219-a0d2190e-2017488b-4a4feda7-4ef08c2d.jpg\n', 'files/p14/p14992360/s52523882/7c276a28-74265513-242b56ab-f7f75aee-b642742a.jpg\n']"
s53426027_5,p14992360,s53426027,5,Findings,"Left-sided chest wall pacemaker appears in unchanged position, with 2 leads terminating in the right ventricle and 1 lead terminating in the right atrium. There is mild cardiomegaly, stable as compared to prior examination. There is redemonstration of prominent interstitial markings and mild hilar engorgement, which could be secondary to mild pulmonary edema. No new focal consolidation concerning for pneumonia. There is no large pleural effusion or pneumothorax. There is redemonstration of right upper lobe scarring and upper zone lucency, reflecting known emphysema. A curvilinear lucency at posterior to the sternum on the lateral view may reflect a small pneumothorax. Nodular opacity in the left mid lung is stable since ___. No acute osseous injury.",Nodular opacity in the left mid lung is stable since ___.,nodular opacity,left mid lung,Stable,"['files/p14/p14992360/s53426027/2263652d-9febb548-c194ddde-3d609261-01889c9a.jpg', 'files/p14/p14992360/s53426027/75dba8a3-5f23d588-d3d4556c-daef69cf-8ed524b4.jpg', 'files/p14/p14992360/s53426027/9bc4f9f8-9a5cf680-f9889b51-30721129-c66aa757.jpg']","['files/p14/p14992360/s52523882/690e5219-a0d2190e-2017488b-4a4feda7-4ef08c2d.jpg\n', 'files/p14/p14992360/s52523882/7c276a28-74265513-242b56ab-f7f75aee-b642742a.jpg\n']"
s53426458_44,p14841168,s53426458,44,Impression,"Compare to prior chest radiographs since ___, most recently ___. ET tube in standard placement. Right PIC line ends in the upper right atrium. Feeding tube passes into the stomach and out of view. Moderate enlargement cardiomediastinal silhouette is stable. Left hilar enlargement is probably due to chronic pulmonary arterial dilatation but pulmonary vascular engorgement has improved since ___ and there is no edema. Left lower lobe atelectasis is mild. Pleural effusions are small if any. No pneumothorax.",Left hilar enlargement is probably due to chronic pulmonary arterial dilatation but pulmonary vascular engorgement has improved since ___ and there is no edema.,pulmonary arterial dilatation,left hilar,Better,['files/p14/p14841168/s53426458/93cda90a-dff91783-8c5eaa57-5242ceca-f2ba281a.jpg'],['files/p14/p14841168/s53366281/3ed3bb4b-239e165f-32a0305f-6e40b696-afdec18d.jpg\n']
s53426458_44,p14841168,s53426458,44,Impression,"Compare to prior chest radiographs since ___, most recently ___. ET tube in standard placement. Right PIC line ends in the upper right atrium. Feeding tube passes into the stomach and out of view. Moderate enlargement cardiomediastinal silhouette is stable. Left hilar enlargement is probably due to chronic pulmonary arterial dilatation but pulmonary vascular engorgement has improved since ___ and there is no edema. Left lower lobe atelectasis is mild. Pleural effusions are small if any. No pneumothorax.",Moderate enlargement cardiomediastinal silhouette is stable.,cardiomediastinal silhouette,,Stable,['files/p14/p14841168/s53426458/93cda90a-dff91783-8c5eaa57-5242ceca-f2ba281a.jpg'],['files/p14/p14841168/s53366281/3ed3bb4b-239e165f-32a0305f-6e40b696-afdec18d.jpg\n']
s53426458_44,p14841168,s53426458,44,Impression,"Compare to prior chest radiographs since ___, most recently ___. ET tube in standard placement. Right PIC line ends in the upper right atrium. Feeding tube passes into the stomach and out of view. Moderate enlargement cardiomediastinal silhouette is stable. Left hilar enlargement is probably due to chronic pulmonary arterial dilatation but pulmonary vascular engorgement has improved since ___ and there is no edema. Left lower lobe atelectasis is mild. Pleural effusions are small if any. No pneumothorax.",Left hilar enlargement is probably due to chronic pulmonary arterial dilatation but pulmonary vascular engorgement has improved since ___ and there is no edema.,engorgement,pulmonary vascular,Better,['files/p14/p14841168/s53426458/93cda90a-dff91783-8c5eaa57-5242ceca-f2ba281a.jpg'],['files/p14/p14841168/s53366281/3ed3bb4b-239e165f-32a0305f-6e40b696-afdec18d.jpg\n']
s53430284_10,p11293517,s53430284,10,Findings,"In comparison with study of ___, there is again enlargement of the cardiac silhouette with a pacer device in place. No definite vascular congestion, raising the possibility of underlying cardiomyopathy or pericardial effusion. No acute focal pneumonia. The right PICC line has been removed.","In comparison with study of ___, there is again enlargement of the cardiac silhouette with a pacer device in place.",enlargement,cardiac silhouette,Worse,"['files/p11/p11293517/s53430284/6f09dfe3-4459d697-aed9e9be-f9f1b26e-d80bcd0e.jpg', 'files/p11/p11293517/s53430284/9abfcf21-da0840e6-626ec84f-027ee952-3bbbeffa.jpg', 'files/p11/p11293517/s53430284/ac50a7e7-7e116074-b42ad5c9-c2a852c3-3c61019d.jpg']","['files/p11/p11293517/s52833948/6f5a78a6-606c4fec-8ff6aaa9-b8ebe20c-88539ae6.jpg\n', 'files/p11/p11293517/s52833948/9365d3c7-5515995a-9a60e2d0-7c14ad59-92f8c798.jpg\n', 'files/p11/p11293517/s52833948/dc73974f-cdb6bfcc-9fb5e92d-570aa4e7-1766c9ae.jpg\n']"
s53430284_10,p11293517,s53430284,10,Findings,"In comparison with study of ___, there is again enlargement of the cardiac silhouette with a pacer device in place. No definite vascular congestion, raising the possibility of underlying cardiomyopathy or pericardial effusion. No acute focal pneumonia. The right PICC line has been removed.",The right PICC line has been removed.,PICC line,right,Resolve,"['files/p11/p11293517/s53430284/6f09dfe3-4459d697-aed9e9be-f9f1b26e-d80bcd0e.jpg', 'files/p11/p11293517/s53430284/9abfcf21-da0840e6-626ec84f-027ee952-3bbbeffa.jpg', 'files/p11/p11293517/s53430284/ac50a7e7-7e116074-b42ad5c9-c2a852c3-3c61019d.jpg']","['files/p11/p11293517/s52833948/6f5a78a6-606c4fec-8ff6aaa9-b8ebe20c-88539ae6.jpg\n', 'files/p11/p11293517/s52833948/9365d3c7-5515995a-9a60e2d0-7c14ad59-92f8c798.jpg\n', 'files/p11/p11293517/s52833948/dc73974f-cdb6bfcc-9fb5e92d-570aa4e7-1766c9ae.jpg\n']"
s53443143_0,p12963531,s53443143,0,Findings,"The lung volumes have decreased. Signs of chronic interstitial fluid overload. Marked increase of the cardiac silhouette that is now moderately to severely increased. A central venous access line for dialysis has been placed over the right, the tip of the line projects over the right atrium. Mild bilateral pleural effusions. No hilar or mediastinal lymphadenopathy. No pneumonia. No lung nodules or masses.",Marked increase of the cardiac silhouette that is now moderately to severely increased.,cardiac silhouette,,Worse,"['files/p12/p12963531/s53443143/41d91119-e4864968-f736d803-6295f4df-29c302ea.jpg', 'files/p12/p12963531/s53443143/fa323a43-287e7b67-e0efec9e-9db65ff2-f6180c57.jpg']",['files/p12/p12963531/s52085657/f983cdd1-c3d0de12-3db3f665-cdadb3af-3ffd4c47.jpg\n']
s53443143_0,p12963531,s53443143,0,Findings,"The lung volumes have decreased. Signs of chronic interstitial fluid overload. Marked increase of the cardiac silhouette that is now moderately to severely increased. A central venous access line for dialysis has been placed over the right, the tip of the line projects over the right atrium. Mild bilateral pleural effusions. No hilar or mediastinal lymphadenopathy. No pneumonia. No lung nodules or masses.",The lung volumes have decreased.,lung volumes,,Worse,"['files/p12/p12963531/s53443143/41d91119-e4864968-f736d803-6295f4df-29c302ea.jpg', 'files/p12/p12963531/s53443143/fa323a43-287e7b67-e0efec9e-9db65ff2-f6180c57.jpg']",['files/p12/p12963531/s52085657/f983cdd1-c3d0de12-3db3f665-cdadb3af-3ffd4c47.jpg\n']
s53452091_26,p10268877,s53452091,26,Findings,"A hazy opacity is present in the right lung which may represent aspiration, pleural effusion or hemorrhage. Retrocardiac opacity at the left base is unchanged. Moderate cardiomegaly is stable. Slight prominence of the pulmonary vasculature with cephalization and enlarged pulmonary arteries are consistent with mild pulmonary edema. Tracheostomy tube is in place. There are no displaced rib fractures.",Moderate cardiomegaly is stable.,cardiomegaly,,Stable,['files/p10/p10268877/s53452091/e35d7c70-3f278882-4f133ee9-184f4d7e-fa32a4d7.jpg'],['files/p10/p10268877/s53368667/aebc8b32-83f9db36-e7859808-602b3b39-66bb2765.jpg\n']
s53452091_26,p10268877,s53452091,26,Findings,"A hazy opacity is present in the right lung which may represent aspiration, pleural effusion or hemorrhage. Retrocardiac opacity at the left base is unchanged. Moderate cardiomegaly is stable. Slight prominence of the pulmonary vasculature with cephalization and enlarged pulmonary arteries are consistent with mild pulmonary edema. Tracheostomy tube is in place. There are no displaced rib fractures.",Retrocardiac opacity at the left base is unchanged.,retrocardiac opacity,left base,Stable,['files/p10/p10268877/s53452091/e35d7c70-3f278882-4f133ee9-184f4d7e-fa32a4d7.jpg'],['files/p10/p10268877/s53368667/aebc8b32-83f9db36-e7859808-602b3b39-66bb2765.jpg\n']
s53458025_20,p19016834,s53458025,20,Impression,Substantial clearing of the right lower lobe opacity. Mild residual opacity is likely scarring rather than new pneumonia. No new opacity.,Substantial clearing of the right lower lobe opacity.,opacity,right lower lobe,Better,"['files/p19/p19016834/s53458025/ee0d88e3-1c728e1b-8caed61e-514e2793-24b420e2.jpg', 'files/p19/p19016834/s53458025/f3baaf80-a55a5d5c-780ab97b-5fade2b1-80096e7e.jpg']",['files/p19/p19016834/s53302258/cef9e892-8204779e-65d65050-2b6ef6e3-5ad4f6e6.jpg\n']
s53458025_20,p19016834,s53458025,20,Findings,Frontal and lateral views of the chest were obtained. The lungs are hyperinflated. An esophageal stent is in place. A right basilar opacity is significantly improved from ___. Mild residual opacity may be scarring. No new opacity. Cardiac and mediastinal silhouettes and hilar contours are stable. Blunting of the right costophrenic sulcus is unchanged. No left effusion or pneumothorax. Loss of vertebral body height in the mid thoracic spine is unchanged.,Loss of vertebral body height in the mid thoracic spine is unchanged.,Loss of vertebral body height,mid thoracic spine,Stable,"['files/p19/p19016834/s53458025/ee0d88e3-1c728e1b-8caed61e-514e2793-24b420e2.jpg', 'files/p19/p19016834/s53458025/f3baaf80-a55a5d5c-780ab97b-5fade2b1-80096e7e.jpg']",['files/p19/p19016834/s53302258/cef9e892-8204779e-65d65050-2b6ef6e3-5ad4f6e6.jpg\n']
s53458025_20,p19016834,s53458025,20,Findings,Frontal and lateral views of the chest were obtained. The lungs are hyperinflated. An esophageal stent is in place. A right basilar opacity is significantly improved from ___. Mild residual opacity may be scarring. No new opacity. Cardiac and mediastinal silhouettes and hilar contours are stable. Blunting of the right costophrenic sulcus is unchanged. No left effusion or pneumothorax. Loss of vertebral body height in the mid thoracic spine is unchanged.,A right basilar opacity is significantly improved from ___.,opacity,right basilar,Better,"['files/p19/p19016834/s53458025/ee0d88e3-1c728e1b-8caed61e-514e2793-24b420e2.jpg', 'files/p19/p19016834/s53458025/f3baaf80-a55a5d5c-780ab97b-5fade2b1-80096e7e.jpg']",['files/p19/p19016834/s53302258/cef9e892-8204779e-65d65050-2b6ef6e3-5ad4f6e6.jpg\n']
s53458025_20,p19016834,s53458025,20,Findings,Frontal and lateral views of the chest were obtained. The lungs are hyperinflated. An esophageal stent is in place. A right basilar opacity is significantly improved from ___. Mild residual opacity may be scarring. No new opacity. Cardiac and mediastinal silhouettes and hilar contours are stable. Blunting of the right costophrenic sulcus is unchanged. No left effusion or pneumothorax. Loss of vertebral body height in the mid thoracic spine is unchanged.,Cardiac and mediastinal silhouettes and hilar contours are stable.,Cardiac and mediastinal silhouettes and hilar contours,,Stable,"['files/p19/p19016834/s53458025/ee0d88e3-1c728e1b-8caed61e-514e2793-24b420e2.jpg', 'files/p19/p19016834/s53458025/f3baaf80-a55a5d5c-780ab97b-5fade2b1-80096e7e.jpg']",['files/p19/p19016834/s53302258/cef9e892-8204779e-65d65050-2b6ef6e3-5ad4f6e6.jpg\n']
s53458025_20,p19016834,s53458025,20,Findings,Frontal and lateral views of the chest were obtained. The lungs are hyperinflated. An esophageal stent is in place. A right basilar opacity is significantly improved from ___. Mild residual opacity may be scarring. No new opacity. Cardiac and mediastinal silhouettes and hilar contours are stable. Blunting of the right costophrenic sulcus is unchanged. No left effusion or pneumothorax. Loss of vertebral body height in the mid thoracic spine is unchanged.,Blunting of the right costophrenic sulcus is unchanged.,Blunting,right costophrenic sulcus,Stable,"['files/p19/p19016834/s53458025/ee0d88e3-1c728e1b-8caed61e-514e2793-24b420e2.jpg', 'files/p19/p19016834/s53458025/f3baaf80-a55a5d5c-780ab97b-5fade2b1-80096e7e.jpg']",['files/p19/p19016834/s53302258/cef9e892-8204779e-65d65050-2b6ef6e3-5ad4f6e6.jpg\n']
s53458437_7,p14295224,s53458437,7,Findings,The patient has prior history of gastric pull-through with radiation therapy for esophageal cancer. Right upper lobe consolidation in posterior segment has slightly improved. The lungs are hyperinflated. 6 mm right lower lobe nodule is unchanged since ___. Small right pleural effusion is stable since ___. There is no pneumothorax. Mediastinal and cardiac contours are normal.,Small right pleural effusion is stable since ___.,Pleural effusion,Right,Stable,"['files/p14/p14295224/s53458437/17799b54-f6da063b-4b089f2b-c496ec31-de79a706.jpg', 'files/p14/p14295224/s53458437/78a4e7a2-9072e849-a90eb438-518cd14b-3ea197d4.jpg']","['files/p14/p14295224/s52764071/3cc07937-2cb3dffb-6e6a2421-e9bdb84b-5ce5879d.jpg\n', 'files/p14/p14295224/s52764071/e3592dcd-ca0b0f88-415e34bf-6f5bb257-2502a74e.jpg\n']"
s53458437_7,p14295224,s53458437,7,Impression,Right upper lobe infiltrate has improved since ___. There is no new lung consolidation.,Right upper lobe infiltrate has improved since ___.,Infiltrate,Right upper lobe,Better,"['files/p14/p14295224/s53458437/17799b54-f6da063b-4b089f2b-c496ec31-de79a706.jpg', 'files/p14/p14295224/s53458437/78a4e7a2-9072e849-a90eb438-518cd14b-3ea197d4.jpg']","['files/p14/p14295224/s52764071/3cc07937-2cb3dffb-6e6a2421-e9bdb84b-5ce5879d.jpg\n', 'files/p14/p14295224/s52764071/e3592dcd-ca0b0f88-415e34bf-6f5bb257-2502a74e.jpg\n']"
s53458437_7,p14295224,s53458437,7,Findings,The patient has prior history of gastric pull-through with radiation therapy for esophageal cancer. Right upper lobe consolidation in posterior segment has slightly improved. The lungs are hyperinflated. 6 mm right lower lobe nodule is unchanged since ___. Small right pleural effusion is stable since ___. There is no pneumothorax. Mediastinal and cardiac contours are normal.,6 mm right lower lobe nodule is unchanged since ___.,Nodule,Right lower lobe,Stable,"['files/p14/p14295224/s53458437/17799b54-f6da063b-4b089f2b-c496ec31-de79a706.jpg', 'files/p14/p14295224/s53458437/78a4e7a2-9072e849-a90eb438-518cd14b-3ea197d4.jpg']","['files/p14/p14295224/s52764071/3cc07937-2cb3dffb-6e6a2421-e9bdb84b-5ce5879d.jpg\n', 'files/p14/p14295224/s52764071/e3592dcd-ca0b0f88-415e34bf-6f5bb257-2502a74e.jpg\n']"
s53458437_7,p14295224,s53458437,7,Findings,The patient has prior history of gastric pull-through with radiation therapy for esophageal cancer. Right upper lobe consolidation in posterior segment has slightly improved. The lungs are hyperinflated. 6 mm right lower lobe nodule is unchanged since ___. Small right pleural effusion is stable since ___. There is no pneumothorax. Mediastinal and cardiac contours are normal.,Right upper lobe consolidation in posterior segment has slightly improved.,Consolidation,Right upper lobe posterior segment,Better,"['files/p14/p14295224/s53458437/17799b54-f6da063b-4b089f2b-c496ec31-de79a706.jpg', 'files/p14/p14295224/s53458437/78a4e7a2-9072e849-a90eb438-518cd14b-3ea197d4.jpg']","['files/p14/p14295224/s52764071/3cc07937-2cb3dffb-6e6a2421-e9bdb84b-5ce5879d.jpg\n', 'files/p14/p14295224/s52764071/e3592dcd-ca0b0f88-415e34bf-6f5bb257-2502a74e.jpg\n']"
s53459280_5,p19800337,s53459280,5,Findings,"PA and lateral views of the chest were provided. Vague nodular opacity projecting over the right lower lung represents atelectasis, less likely pneumonia. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette is stable. Imaged osseous structures appear intact. No free air is seen below the right hemidiaphragm.",The cardiomediastinal silhouette is stable.,Silhouette,Cardiomediastinal,Stable,"['files/p19/p19800337/s53459280/9b571cea-6eac4eb9-c9721fa5-37624c30-9d753aea.jpg', 'files/p19/p19800337/s53459280/be1ddefb-9327567f-aef38bd8-e918043d-91c40219.jpg']","['files/p19/p19800337/s53142730/181d43c2-cde3b96e-33411986-ba61fdd2-46dc6d41.jpg\n', 'files/p19/p19800337/s53142730/fb3899fe-489d5b50-023c7d0e-22698903-db6b4dcd.jpg\n']"
s53460154_4,p10886362,s53460154,4,Impression,AP chest compared to ___ at 9:59 a.m.: Mild pulmonary edema worsened slightly since earlier in the day. No pneumothorax. Small left pleural effusion and moderate left basal atelectasis are unchanged. Pulmonary artery catheter ends in the right pulmonary artery. Transvenous right atrial and right ventricular pacer leads are unchanged in longstanding locations including the more medial than usual positioning of the tip of the right atrial lead. Mild-to-moderate cardiomegaly comparable to the preoperative appearance.,Transvenous right atrial and right ventricular pacer leads are unchanged in longstanding locations including the more medial than usual positioning of the tip of the right atrial lead.,Pacer leads,right atrial and right ventricular,Stable,['files/p10/p10886362/s53460154/b4391db8-8076224b-e326c566-f0ee0cd4-94341441.jpg'],['files/p10/p10886362/s52555178/5fd6fa4a-2108246f-d9199b99-e14370ae-0eea894d.jpg\n']
s53460154_4,p10886362,s53460154,4,Impression,AP chest compared to ___ at 9:59 a.m.: Mild pulmonary edema worsened slightly since earlier in the day. No pneumothorax. Small left pleural effusion and moderate left basal atelectasis are unchanged. Pulmonary artery catheter ends in the right pulmonary artery. Transvenous right atrial and right ventricular pacer leads are unchanged in longstanding locations including the more medial than usual positioning of the tip of the right atrial lead. Mild-to-moderate cardiomegaly comparable to the preoperative appearance.,Small left pleural effusion and moderate left basal atelectasis are unchanged.,Atelectasis,left basal,Stable,['files/p10/p10886362/s53460154/b4391db8-8076224b-e326c566-f0ee0cd4-94341441.jpg'],['files/p10/p10886362/s52555178/5fd6fa4a-2108246f-d9199b99-e14370ae-0eea894d.jpg\n']
s53460154_4,p10886362,s53460154,4,Impression,AP chest compared to ___ at 9:59 a.m.: Mild pulmonary edema worsened slightly since earlier in the day. No pneumothorax. Small left pleural effusion and moderate left basal atelectasis are unchanged. Pulmonary artery catheter ends in the right pulmonary artery. Transvenous right atrial and right ventricular pacer leads are unchanged in longstanding locations including the more medial than usual positioning of the tip of the right atrial lead. Mild-to-moderate cardiomegaly comparable to the preoperative appearance.,Small left pleural effusion and moderate left basal atelectasis are unchanged.,Pleural effusion,left,Stable,['files/p10/p10886362/s53460154/b4391db8-8076224b-e326c566-f0ee0cd4-94341441.jpg'],['files/p10/p10886362/s52555178/5fd6fa4a-2108246f-d9199b99-e14370ae-0eea894d.jpg\n']
s53460154_4,p10886362,s53460154,4,Impression,AP chest compared to ___ at 9:59 a.m.: Mild pulmonary edema worsened slightly since earlier in the day. No pneumothorax. Small left pleural effusion and moderate left basal atelectasis are unchanged. Pulmonary artery catheter ends in the right pulmonary artery. Transvenous right atrial and right ventricular pacer leads are unchanged in longstanding locations including the more medial than usual positioning of the tip of the right atrial lead. Mild-to-moderate cardiomegaly comparable to the preoperative appearance.,Mild-to-moderate cardiomegaly comparable to the preoperative appearance.,Cardiomegaly,,Stable,['files/p10/p10886362/s53460154/b4391db8-8076224b-e326c566-f0ee0cd4-94341441.jpg'],['files/p10/p10886362/s52555178/5fd6fa4a-2108246f-d9199b99-e14370ae-0eea894d.jpg\n']
s53460154_4,p10886362,s53460154,4,Impression,AP chest compared to ___ at 9:59 a.m.: Mild pulmonary edema worsened slightly since earlier in the day. No pneumothorax. Small left pleural effusion and moderate left basal atelectasis are unchanged. Pulmonary artery catheter ends in the right pulmonary artery. Transvenous right atrial and right ventricular pacer leads are unchanged in longstanding locations including the more medial than usual positioning of the tip of the right atrial lead. Mild-to-moderate cardiomegaly comparable to the preoperative appearance.,AP chest compared to ___ at 9:59 a.m.: Mild pulmonary edema worsened slightly since earlier in the day.,Pulmonary edema,,Worse,['files/p10/p10886362/s53460154/b4391db8-8076224b-e326c566-f0ee0cd4-94341441.jpg'],['files/p10/p10886362/s52555178/5fd6fa4a-2108246f-d9199b99-e14370ae-0eea894d.jpg\n']
s53461201_7,p13291370,s53461201,7,Findings,PA and lateral views of the chest. Left-sided pacemaker is unchanged in position. Sternotomy wires and upper mediastinal clips are stable. Right mid to upper lung opacity have decreased significantly. No pleural effusion or pneumothorax. No new consolidations.,Right mid to upper lung opacity have decreased significantly.,opacity,right mid to upper lung,Better,"['files/p13/p13291370/s53461201/b683c297-030af2a3-59abdf94-e6a7b694-cc4b7e31.jpg', 'files/p13/p13291370/s53461201/c438aa58-0a039112-e4e8fe88-99a21dd7-1f22535d.jpg']",['files/p13/p13291370/s53346804/0dbe8ef1-802b094a-36fae3c2-0d15af98-7a5547ab.jpg\n']
s53461201_7,p13291370,s53461201,7,Findings,PA and lateral views of the chest. Left-sided pacemaker is unchanged in position. Sternotomy wires and upper mediastinal clips are stable. Right mid to upper lung opacity have decreased significantly. No pleural effusion or pneumothorax. No new consolidations.,Left-sided pacemaker is unchanged in position.,pacemaker,Left-sided,Stable,"['files/p13/p13291370/s53461201/b683c297-030af2a3-59abdf94-e6a7b694-cc4b7e31.jpg', 'files/p13/p13291370/s53461201/c438aa58-0a039112-e4e8fe88-99a21dd7-1f22535d.jpg']",['files/p13/p13291370/s53346804/0dbe8ef1-802b094a-36fae3c2-0d15af98-7a5547ab.jpg\n']
s53461201_7,p13291370,s53461201,7,Findings,PA and lateral views of the chest. Left-sided pacemaker is unchanged in position. Sternotomy wires and upper mediastinal clips are stable. Right mid to upper lung opacity have decreased significantly. No pleural effusion or pneumothorax. No new consolidations.,Sternotomy wires and upper mediastinal clips are stable.,Sternotomy wires and upper mediastinal clips,,Stable,"['files/p13/p13291370/s53461201/b683c297-030af2a3-59abdf94-e6a7b694-cc4b7e31.jpg', 'files/p13/p13291370/s53461201/c438aa58-0a039112-e4e8fe88-99a21dd7-1f22535d.jpg']",['files/p13/p13291370/s53346804/0dbe8ef1-802b094a-36fae3c2-0d15af98-7a5547ab.jpg\n']
s53461201_7,p13291370,s53461201,7,Impression,"No evidence of pulmonary edema. Resolving right upper lobe consolidation. If concern for central obstructing mass, follow up films can be obtained for further assessment.",Resolving right upper lobe consolidation.,consolidation,right upper lobe,Resolve,"['files/p13/p13291370/s53461201/b683c297-030af2a3-59abdf94-e6a7b694-cc4b7e31.jpg', 'files/p13/p13291370/s53461201/c438aa58-0a039112-e4e8fe88-99a21dd7-1f22535d.jpg']",['files/p13/p13291370/s53346804/0dbe8ef1-802b094a-36fae3c2-0d15af98-7a5547ab.jpg\n']
s53462705_30,p12185775,s53462705,30,Impression,1. Resolution of bilateral pleural effusions. 2. Heart size remains enlarged. This could be indicative of cardiomyopathy or a pericardial effusion.,Heart size remains enlarged. This could be indicative of cardiomyopathy or a pericardial effusion.,Heart size,,Stable,"['files/p12/p12185775/s53462705/a4bd2f3a-a3c90afb-3f7c121e-66e54970-cce28842.jpg', 'files/p12/p12185775/s53462705/d20291fc-8d626aa2-b3b2ef02-6f8b81ac-12f2432d.jpg']",['files/p12/p12185775/s53349756/f0d18848-8b3b0e31-92ab7c89-0a569510-bac46a4e.jpg\n']
s53462705_30,p12185775,s53462705,30,Impression,1. Resolution of bilateral pleural effusions. 2. Heart size remains enlarged. This could be indicative of cardiomyopathy or a pericardial effusion.,Resolution of bilateral pleural effusions.,pleural effusions,bilateral,Resolve,"['files/p12/p12185775/s53462705/a4bd2f3a-a3c90afb-3f7c121e-66e54970-cce28842.jpg', 'files/p12/p12185775/s53462705/d20291fc-8d626aa2-b3b2ef02-6f8b81ac-12f2432d.jpg']",['files/p12/p12185775/s53349756/f0d18848-8b3b0e31-92ab7c89-0a569510-bac46a4e.jpg\n']
s53462705_30,p12185775,s53462705,30,Findings,There has been interval removal of a right-sided PICC line. The cardiac silhouette remains enlarged. There has been resolution of bilateral pleural effusions. Again visualized are two calcified left upper lobe granulomas.,There has been interval removal of a right-sided PICC line.,PICC line,right-sided,Resolve,"['files/p12/p12185775/s53462705/a4bd2f3a-a3c90afb-3f7c121e-66e54970-cce28842.jpg', 'files/p12/p12185775/s53462705/d20291fc-8d626aa2-b3b2ef02-6f8b81ac-12f2432d.jpg']",['files/p12/p12185775/s53349756/f0d18848-8b3b0e31-92ab7c89-0a569510-bac46a4e.jpg\n']
s53462705_30,p12185775,s53462705,30,Findings,There has been interval removal of a right-sided PICC line. The cardiac silhouette remains enlarged. There has been resolution of bilateral pleural effusions. Again visualized are two calcified left upper lobe granulomas.,The cardiac silhouette remains enlarged.,cardiac silhouette,,Stable,"['files/p12/p12185775/s53462705/a4bd2f3a-a3c90afb-3f7c121e-66e54970-cce28842.jpg', 'files/p12/p12185775/s53462705/d20291fc-8d626aa2-b3b2ef02-6f8b81ac-12f2432d.jpg']",['files/p12/p12185775/s53349756/f0d18848-8b3b0e31-92ab7c89-0a569510-bac46a4e.jpg\n']
s53462705_30,p12185775,s53462705,30,Findings,There has been interval removal of a right-sided PICC line. The cardiac silhouette remains enlarged. There has been resolution of bilateral pleural effusions. Again visualized are two calcified left upper lobe granulomas.,There has been resolution of bilateral pleural effusions.,pleural effusions,bilateral,Resolve,"['files/p12/p12185775/s53462705/a4bd2f3a-a3c90afb-3f7c121e-66e54970-cce28842.jpg', 'files/p12/p12185775/s53462705/d20291fc-8d626aa2-b3b2ef02-6f8b81ac-12f2432d.jpg']",['files/p12/p12185775/s53349756/f0d18848-8b3b0e31-92ab7c89-0a569510-bac46a4e.jpg\n']
s53469163_7,p12847817,s53469163,7,Impression,1. Persistent bilateral pleural effusions. 2. Marked cardiomegaly and pulmonary vascular congestion.,1. Persistent bilateral pleural effusions.,pleural effusions,bilateral,Stable,"['files/p12/p12847817/s53469163/b0663db1-ba5dbce0-63cb3bda-a52f0def-7e5435d9.jpg', 'files/p12/p12847817/s53469163/fb3ef8ae-36255356-cb0d2269-7e268b4a-a253c3bf.jpg']","['files/p12/p12847817/s53234157/294c1ae1-00cea6c8-99bd6a39-7bf5b955-e32bf184.jpg\n', 'files/p12/p12847817/s53234157/a235e413-ace39b4e-97962e04-aed60fc7-c71c87ed.jpg\n']"
s53469163_7,p12847817,s53469163,7,Findings,Frontal and lateral chest radiographs were obtained. There are persistent bilateral small to moderate pleural effusions. There is marked cardiomegaly with mild to moderate pulmonary vascular congestion. No focal consolidation or pneumothorax is seen. Suture line in the right lower lobe and left-sided vascular stent are unchanged. No bony abnormality is identified.,Suture line in the right lower lobe and left-sided vascular stent are unchanged.,"suture line, vascular stent",right lower lobe and left-sided,Stable,"['files/p12/p12847817/s53469163/b0663db1-ba5dbce0-63cb3bda-a52f0def-7e5435d9.jpg', 'files/p12/p12847817/s53469163/fb3ef8ae-36255356-cb0d2269-7e268b4a-a253c3bf.jpg']","['files/p12/p12847817/s53234157/294c1ae1-00cea6c8-99bd6a39-7bf5b955-e32bf184.jpg\n', 'files/p12/p12847817/s53234157/a235e413-ace39b4e-97962e04-aed60fc7-c71c87ed.jpg\n']"
s53469163_7,p12847817,s53469163,7,Findings,Frontal and lateral chest radiographs were obtained. There are persistent bilateral small to moderate pleural effusions. There is marked cardiomegaly with mild to moderate pulmonary vascular congestion. No focal consolidation or pneumothorax is seen. Suture line in the right lower lobe and left-sided vascular stent are unchanged. No bony abnormality is identified.,There are persistent bilateral small to moderate pleural effusions.,pleural effusions,bilateral,Stable,"['files/p12/p12847817/s53469163/b0663db1-ba5dbce0-63cb3bda-a52f0def-7e5435d9.jpg', 'files/p12/p12847817/s53469163/fb3ef8ae-36255356-cb0d2269-7e268b4a-a253c3bf.jpg']","['files/p12/p12847817/s53234157/294c1ae1-00cea6c8-99bd6a39-7bf5b955-e32bf184.jpg\n', 'files/p12/p12847817/s53234157/a235e413-ace39b4e-97962e04-aed60fc7-c71c87ed.jpg\n']"
s53474620_32,p13263843,s53474620,32,Impression,"1. Persistent left basilar opacity, compared to ___. This could represent atelectasis although infection is not excluded. 2. Less aerated lung on the right when compared to prior, potentially due to collecting pleural fluid although developing parenchymal abnormalities are also possible.","2. Less aerated lung on the right when compared to prior, potentially due to collecting pleural fluid although developing parenchymal abnormalities are also possible.",aerated lung,right,Worse,['files/p13/p13263843/s53474620/5d12427f-41fd4e5e-6db33536-0d265b21-1b800caf.jpg'],"['files/p13/p13263843/s53450140/3ac9023f-200d4ad4-c53709af-43bd695c-383d66f7.jpg\n', 'files/p13/p13263843/s53450140/8d5ad6ce-5614528c-96b4dc9c-90955e74-7a3a722b.jpg\n']"
s53474620_32,p13263843,s53474620,32,Findings,"Single AP view of the chest. Postoperative changes again seen in the right thoracic cavity. Compared to prior, there appears to be less aerated lung on the right which could be due to enlarging effusion with possible underlying parenchymal abnormality. In addition, there is persistent left basilar opacity not significantly changed given differences in technique. Superiorly, the left lung remains clear. Right PICC and right pleural catheter are again noted.",Single AP view of the chest. Postoperative changes again seen in the right thoracic cavity.,Postoperative changes,right thoracic cavity,Stable,['files/p13/p13263843/s53474620/5d12427f-41fd4e5e-6db33536-0d265b21-1b800caf.jpg'],"['files/p13/p13263843/s53450140/3ac9023f-200d4ad4-c53709af-43bd695c-383d66f7.jpg\n', 'files/p13/p13263843/s53450140/8d5ad6ce-5614528c-96b4dc9c-90955e74-7a3a722b.jpg\n']"
s53474620_32,p13263843,s53474620,32,Impression,"1. Persistent left basilar opacity, compared to ___. This could represent atelectasis although infection is not excluded. 2. Less aerated lung on the right when compared to prior, potentially due to collecting pleural fluid although developing parenchymal abnormalities are also possible.","1. Persistent left basilar opacity, compared to ___. This could represent atelectasis although infection is not excluded.",opacity,left basilar,Stable,['files/p13/p13263843/s53474620/5d12427f-41fd4e5e-6db33536-0d265b21-1b800caf.jpg'],"['files/p13/p13263843/s53450140/3ac9023f-200d4ad4-c53709af-43bd695c-383d66f7.jpg\n', 'files/p13/p13263843/s53450140/8d5ad6ce-5614528c-96b4dc9c-90955e74-7a3a722b.jpg\n']"
s53474620_32,p13263843,s53474620,32,Findings,"Single AP view of the chest. Postoperative changes again seen in the right thoracic cavity. Compared to prior, there appears to be less aerated lung on the right which could be due to enlarging effusion with possible underlying parenchymal abnormality. In addition, there is persistent left basilar opacity not significantly changed given differences in technique. Superiorly, the left lung remains clear. Right PICC and right pleural catheter are again noted.","Compared to prior, there appears to be less aerated lung on the right which could be due to enlarging effusion with possible underlying parenchymal abnormality.",aerated lung,right,Worse,['files/p13/p13263843/s53474620/5d12427f-41fd4e5e-6db33536-0d265b21-1b800caf.jpg'],"['files/p13/p13263843/s53450140/3ac9023f-200d4ad4-c53709af-43bd695c-383d66f7.jpg\n', 'files/p13/p13263843/s53450140/8d5ad6ce-5614528c-96b4dc9c-90955e74-7a3a722b.jpg\n']"
s53474620_32,p13263843,s53474620,32,Findings,"Single AP view of the chest. Postoperative changes again seen in the right thoracic cavity. Compared to prior, there appears to be less aerated lung on the right which could be due to enlarging effusion with possible underlying parenchymal abnormality. In addition, there is persistent left basilar opacity not significantly changed given differences in technique. Superiorly, the left lung remains clear. Right PICC and right pleural catheter are again noted.","In addition, there is persistent left basilar opacity not significantly changed given differences in technique.",opacity,left basilar,Stable,['files/p13/p13263843/s53474620/5d12427f-41fd4e5e-6db33536-0d265b21-1b800caf.jpg'],"['files/p13/p13263843/s53450140/3ac9023f-200d4ad4-c53709af-43bd695c-383d66f7.jpg\n', 'files/p13/p13263843/s53450140/8d5ad6ce-5614528c-96b4dc9c-90955e74-7a3a722b.jpg\n']"
s53474620_32,p13263843,s53474620,32,Findings,"Single AP view of the chest. Postoperative changes again seen in the right thoracic cavity. Compared to prior, there appears to be less aerated lung on the right which could be due to enlarging effusion with possible underlying parenchymal abnormality. In addition, there is persistent left basilar opacity not significantly changed given differences in technique. Superiorly, the left lung remains clear. Right PICC and right pleural catheter are again noted.","Superiorly, the left lung remains clear.",clear,left lung,Stable,['files/p13/p13263843/s53474620/5d12427f-41fd4e5e-6db33536-0d265b21-1b800caf.jpg'],"['files/p13/p13263843/s53450140/3ac9023f-200d4ad4-c53709af-43bd695c-383d66f7.jpg\n', 'files/p13/p13263843/s53450140/8d5ad6ce-5614528c-96b4dc9c-90955e74-7a3a722b.jpg\n']"
s53474620_32,p13263843,s53474620,32,Findings,"Single AP view of the chest. Postoperative changes again seen in the right thoracic cavity. Compared to prior, there appears to be less aerated lung on the right which could be due to enlarging effusion with possible underlying parenchymal abnormality. In addition, there is persistent left basilar opacity not significantly changed given differences in technique. Superiorly, the left lung remains clear. Right PICC and right pleural catheter are again noted.",Right PICC and right pleural catheter are again noted.,PICC and pleural catheter,right,Stable,['files/p13/p13263843/s53474620/5d12427f-41fd4e5e-6db33536-0d265b21-1b800caf.jpg'],"['files/p13/p13263843/s53450140/3ac9023f-200d4ad4-c53709af-43bd695c-383d66f7.jpg\n', 'files/p13/p13263843/s53450140/8d5ad6ce-5614528c-96b4dc9c-90955e74-7a3a722b.jpg\n']"
s53475803_6,p13352405,s53475803,6,Findings,"The left lung is well expanded and clear. The right lung shows a persistent right lower lobe opacity with an associated effusion, mildly progressed from the preceding radiograph. The cardiomediastinal silhouette, and hilar contours are normal. No pneumothorax is present. Old bilateral rib fractures are noted.","The right lung shows a persistent right lower lobe opacity with an associated effusion, mildly progressed from the preceding radiograph.",effusion,right lower lobe,Worse,"['files/p13/p13352405/s53475803/42a1665f-156a0e70-1e362011-b18c23fd-d6fb2180.jpg', 'files/p13/p13352405/s53475803/fc9d24b9-ab585ce7-32abcbae-b223b872-d70b72cf.jpg']","['files/p13/p13352405/s53273158/1955b279-efe705ba-68f22a50-df04507e-dfed9525.jpg\n', 'files/p13/p13352405/s53273158/384b766e-a666fc50-5510a97f-c615a43c-1bfebe33.jpg\n']"
s53475803_6,p13352405,s53475803,6,Findings,"The left lung is well expanded and clear. The right lung shows a persistent right lower lobe opacity with an associated effusion, mildly progressed from the preceding radiograph. The cardiomediastinal silhouette, and hilar contours are normal. No pneumothorax is present. Old bilateral rib fractures are noted.","The right lung shows a persistent right lower lobe opacity with an associated effusion, mildly progressed from the preceding radiograph.",opacity,right lower lobe,Worse,"['files/p13/p13352405/s53475803/42a1665f-156a0e70-1e362011-b18c23fd-d6fb2180.jpg', 'files/p13/p13352405/s53475803/fc9d24b9-ab585ce7-32abcbae-b223b872-d70b72cf.jpg']","['files/p13/p13352405/s53273158/1955b279-efe705ba-68f22a50-df04507e-dfed9525.jpg\n', 'files/p13/p13352405/s53273158/384b766e-a666fc50-5510a97f-c615a43c-1bfebe33.jpg\n']"
s53479699_1,p10439781,s53479699,1,Impression,"PA and lateral chest compared to ___: Heterogeneous pulmonary opacification has worsened in both lungs. This is largely pulmonary edema, but more focal abnormalities in the axillary portion of the left lung and at the right lung base could be concurrent pneumonia. In addition, chest radiographs from ___ suggest concurrent substantial interstitial lung disease. Mild-to-moderate cardiomegaly is stable. Endotracheal tube is no less than 2 cm from the carina, with the chin in neutral position. Care must be taken that it not advance inadvertently. A left subclavian infusion port ends in the right atrium. Dr. ___ was paged at the time of dictation.","PA and lateral chest compared to ___: Heterogeneous pulmonary opacification has worsened in both lungs. This is largely pulmonary edema, but more focal abnormalities in the axillary portion of the left lung and at the right lung base could be concurrent pneumonia. In addition, chest radiographs from ___ suggest concurrent substantial interstitial lung disease. Mild-to-moderate cardiomegaly is stable. Endotracheal tube is no less than 2 cm from the carina, with the chin in neutral position. Care must be taken that it not advance inadvertently. A left subclavian infusion port ends in the right atrium. Dr. ___ was paged at the time of dictation.",pulmonary opacification,both lungs,Worse,"['files/p10/p10439781/s53479699/14e120dd-c09a8900-5ff950e9-0e2fe5bc-17cb2b3e.jpg', 'files/p10/p10439781/s53479699/86d7a0e2-a6e5e874-ed2fed4c-1c2ffbf1-4f1621e3.jpg']",['files/p10/p10439781/s52831202/d43639b5-bec0c47c-8415bea0-3a2f74e5-627c89d4.jpg\n']
s53481703_12,p16553329,s53481703,12,Findings,"There is no focal consolidation, PE pulmonary edema, or pneumothorax. The lateral view radiograph suggests small bilateral pleural effusions in the posterior costophrenic sulcus. The cardiomediastinal silhouette, including mild cardiomegaly, is unchanged. A vascular stent projects over the left axilla, new from prior studies.","A vascular stent projects over the left axilla, new from prior studies",vascular stent,left axilla,New,"['files/p16/p16553329/s53481703/129b160a-a04df689-fd8a2f39-c04a597d-736a0245.jpg', 'files/p16/p16553329/s53481703/62293417-c3edd9fd-c05a2646-8a63d21e-b182d247.jpg', 'files/p16/p16553329/s53481703/acd1cafb-900a2856-d5d8b7f6-9bf7f757-019ea214.jpg']","['files/p16/p16553329/s53158507/352f1f90-b49aaf35-a359c107-f209944e-a4814903.jpg\n', 'files/p16/p16553329/s53158507/eb00136d-bf3de8a4-e4b112fb-e086aa9e-97dc80ff.jpg\n']"
s53481703_12,p16553329,s53481703,12,Findings,"There is no focal consolidation, PE pulmonary edema, or pneumothorax. The lateral view radiograph suggests small bilateral pleural effusions in the posterior costophrenic sulcus. The cardiomediastinal silhouette, including mild cardiomegaly, is unchanged. A vascular stent projects over the left axilla, new from prior studies.","The cardiomediastinal silhouette, including mild cardiomegaly, is unchanged",cardiomediastinal silhouette,,Stable,"['files/p16/p16553329/s53481703/129b160a-a04df689-fd8a2f39-c04a597d-736a0245.jpg', 'files/p16/p16553329/s53481703/62293417-c3edd9fd-c05a2646-8a63d21e-b182d247.jpg', 'files/p16/p16553329/s53481703/acd1cafb-900a2856-d5d8b7f6-9bf7f757-019ea214.jpg']","['files/p16/p16553329/s53158507/352f1f90-b49aaf35-a359c107-f209944e-a4814903.jpg\n', 'files/p16/p16553329/s53158507/eb00136d-bf3de8a4-e4b112fb-e086aa9e-97dc80ff.jpg\n']"
s53481703_12,p16553329,s53481703,12,Findings,"There is no focal consolidation, PE pulmonary edema, or pneumothorax. The lateral view radiograph suggests small bilateral pleural effusions in the posterior costophrenic sulcus. The cardiomediastinal silhouette, including mild cardiomegaly, is unchanged. A vascular stent projects over the left axilla, new from prior studies.","The cardiomediastinal silhouette, including mild cardiomegaly, is unchanged",mild cardiomegaly,,Stable,"['files/p16/p16553329/s53481703/129b160a-a04df689-fd8a2f39-c04a597d-736a0245.jpg', 'files/p16/p16553329/s53481703/62293417-c3edd9fd-c05a2646-8a63d21e-b182d247.jpg', 'files/p16/p16553329/s53481703/acd1cafb-900a2856-d5d8b7f6-9bf7f757-019ea214.jpg']","['files/p16/p16553329/s53158507/352f1f90-b49aaf35-a359c107-f209944e-a4814903.jpg\n', 'files/p16/p16553329/s53158507/eb00136d-bf3de8a4-e4b112fb-e086aa9e-97dc80ff.jpg\n']"
s53492798_2,p10046166,s53492798,2,Findings,"Frontal and lateral views of the chest were obtained. Rounded calcified nodule in the region of the posterior right lung base is seen and represents calcified granuloma on CTs dating back to ___, likely secondary to prior granulomatous disease. Previously seen pretracheal lymph node conglomerate and right hilar lymph nodes are better seen/evaluated on CT. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable with possible slight decrease in right paratracheal prominence.",Cardiac and mediastinal silhouettes are stable with possible slight decrease in right paratracheal prominence.,,cardiac and mediastinal silhouettes,Stable,"['files/p10/p10046166/s53492798/18f0fd6d-f513afc9-e4aa8de2-bc5ac0d6-ea3daaff.jpg', 'files/p10/p10046166/s53492798/7d5ef12b-34d86e32-207566d6-d5ed6f02-cd868f2c.jpg', 'files/p10/p10046166/s53492798/eab11c59-32a5b9b8-b8d335fa-ce06c5fa-5bde0499.jpg']","['files/p10/p10046166/s51738740/3a8a17fc-3cd357d9-83466363-91dc5a06-a401e5ed.jpg\n', 'files/p10/p10046166/s51738740/6130440f-929f5fae-e4b47406-634aedcb-3dd112ec.jpg\n', 'files/p10/p10046166/s51738740/6fde5b65-a0efc54f-dbd690f2-5f9f941a-2b770631.jpg\n']"
s53492798_2,p10046166,s53492798,2,Findings,"Frontal and lateral views of the chest were obtained. Rounded calcified nodule in the region of the posterior right lung base is seen and represents calcified granuloma on CTs dating back to ___, likely secondary to prior granulomatous disease. Previously seen pretracheal lymph node conglomerate and right hilar lymph nodes are better seen/evaluated on CT. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable with possible slight decrease in right paratracheal prominence.",Previously seen pretracheal lymph node conglomerate and right hilar lymph nodes are better seen/evaluated on CT.,lymph nodes,pretracheal and right hilar,Better,"['files/p10/p10046166/s53492798/18f0fd6d-f513afc9-e4aa8de2-bc5ac0d6-ea3daaff.jpg', 'files/p10/p10046166/s53492798/7d5ef12b-34d86e32-207566d6-d5ed6f02-cd868f2c.jpg', 'files/p10/p10046166/s53492798/eab11c59-32a5b9b8-b8d335fa-ce06c5fa-5bde0499.jpg']","['files/p10/p10046166/s51738740/3a8a17fc-3cd357d9-83466363-91dc5a06-a401e5ed.jpg\n', 'files/p10/p10046166/s51738740/6130440f-929f5fae-e4b47406-634aedcb-3dd112ec.jpg\n', 'files/p10/p10046166/s51738740/6fde5b65-a0efc54f-dbd690f2-5f9f941a-2b770631.jpg\n']"
s53498293_13,p18615099,s53498293,13,Findings,"As compared to the previous radiograph, the pre-existing mild pulmonary edema has increased in severity and is now moderate. This is reflected by increased vascular diameters and left predominant perihilar haze. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. The areas of left basal atelectasis are constant in appearance.",The areas of left basal atelectasis are constant in appearance.,atelectasis,left basal,Stable,['files/p18/p18615099/s53498293/93f5ae76-d350d7b5-e47e23fd-d455db66-00627ccc.jpg'],['files/p18/p18615099/s53424979/469c319a-57c55551-e71b3f83-73849157-a180b0ee.jpg\n']
s53498293_13,p18615099,s53498293,13,Findings,"As compared to the previous radiograph, the pre-existing mild pulmonary edema has increased in severity and is now moderate. This is reflected by increased vascular diameters and left predominant perihilar haze. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. The areas of left basal atelectasis are constant in appearance.","As compared to the previous radiograph, the pre-existing mild pulmonary edema has increased in severity and is now moderate.",pulmonary edema,,Worse,['files/p18/p18615099/s53498293/93f5ae76-d350d7b5-e47e23fd-d455db66-00627ccc.jpg'],['files/p18/p18615099/s53424979/469c319a-57c55551-e71b3f83-73849157-a180b0ee.jpg\n']
s53499416_10,p12433421,s53499416,10,Impression,AP chest compared to ___ at 11:36 p.m. Examination centered at the diaphragm shows new nasogastric tube ending in the stomach. Lung bases show persistent small-to-moderate bilateral pleural effusion. Upper abdominal gas pattern is unremarkable.,AP chest compared to ___ at 11:36 p.m. Examination centered at the diaphragm shows new nasogastric tube ending in the stomach.,nasogastric tube,stomach,New,['files/p12/p12433421/s53499416/ea90382d-329c4f3b-73ff1b45-e7f3f9f7-63cd342d.jpg'],['files/p12/p12433421/s53311302/241b6402-15f482d1-da524f5e-92653c29-84172d3d.jpg\n']
s53499416_10,p12433421,s53499416,10,Impression,AP chest compared to ___ at 11:36 p.m. Examination centered at the diaphragm shows new nasogastric tube ending in the stomach. Lung bases show persistent small-to-moderate bilateral pleural effusion. Upper abdominal gas pattern is unremarkable.,Lung bases show persistent small-to-moderate bilateral pleural effusion.,pleural effusion,bilateral,Stable,['files/p12/p12433421/s53499416/ea90382d-329c4f3b-73ff1b45-e7f3f9f7-63cd342d.jpg'],['files/p12/p12433421/s53311302/241b6402-15f482d1-da524f5e-92653c29-84172d3d.jpg\n']
s53504804_4,p19844485,s53504804,4,Impression,"Increased opacity at the right lung base, likely a combination of effusion and atelectasis, though underlying pneumonia difficult to exclude.","Increased opacity at the right lung base, likely a combination of effusion and atelectasis, though underlying pneumonia difficult to exclude.",opacity,right lung base,Worse,"['files/p19/p19844485/s53504804/5b433593-d02544b5-225e12eb-2d963391-108a1692.jpg', 'files/p19/p19844485/s53504804/7cb2c039-853a9b5d-c0fb9c3c-d4782b37-a41cd692.jpg']","['files/p19/p19844485/s52890842/105b1651-dc8d64b8-82b33315-7503a045-defc0ad6.jpg\n', 'files/p19/p19844485/s52890842/a394c19b-0162826e-0284eb07-bdb3fa8c-6cdf1a8b.jpg\n']"
s53504804_4,p19844485,s53504804,4,Findings,"PA and lateral views of the chest were provided. Since the prior exam, there is increased opacity at the right lung base which could represent a combination of atelectasis and effusion, though underlying pneumonia is difficult to exclude in the correct clinical setting. Lung volumes and evaluation for mild pulmonary edema is limited. There is no overt edema. No pneumothorax is seen. Bony structures appear intact.","Since the prior exam, there is increased opacity at the right lung base which could represent a combination of atelectasis and effusion, though underlying pneumonia is difficult to exclude in the correct clinical setting.",opacity,right lung base,Worse,"['files/p19/p19844485/s53504804/5b433593-d02544b5-225e12eb-2d963391-108a1692.jpg', 'files/p19/p19844485/s53504804/7cb2c039-853a9b5d-c0fb9c3c-d4782b37-a41cd692.jpg']","['files/p19/p19844485/s52890842/105b1651-dc8d64b8-82b33315-7503a045-defc0ad6.jpg\n', 'files/p19/p19844485/s52890842/a394c19b-0162826e-0284eb07-bdb3fa8c-6cdf1a8b.jpg\n']"
s53512860_35,p10933609,s53512860,35,Impression,Some clearing of aspiration pneumonia.,Some clearing of aspiration pneumonia.,aspiration pneumonia,,Better,['files/p10/p10933609/s53512860/3e25d193-509147d7-b305908a-51e0da17-7cb23fda.jpg'],"['files/p10/p10933609/s52935265/9587ec7a-e6b7082f-0b22b670-b924b608-674375e2.jpg\n', 'files/p10/p10933609/s52935265/fa29a6c8-729bdd50-764451b7-b92da9bc-daf265ee.jpg\n']"
s53512860_35,p10933609,s53512860,35,Findings,There has been slight clearing of the aspiration pneumonia since the prior chest x-ray of ___. No new foci are present.,There has been slight clearing of the aspiration pneumonia since the prior chest x-ray of ___.,aspiration pneumonia,,Better,['files/p10/p10933609/s53512860/3e25d193-509147d7-b305908a-51e0da17-7cb23fda.jpg'],"['files/p10/p10933609/s52935265/9587ec7a-e6b7082f-0b22b670-b924b608-674375e2.jpg\n', 'files/p10/p10933609/s52935265/fa29a6c8-729bdd50-764451b7-b92da9bc-daf265ee.jpg\n']"
s53517180_8,p13921768,s53517180,8,Impression,"Mild pulmonary edema has worsened. Whether perihilar consolidation in the upper lungs increased increase since ___ is asymmetric pulmonary edema in a pattern patient has previously displayed or concurrent pneumonia is radiographically indeterminate. Moderate cardiomegaly is chronic. An earlier focus of consolidation in the right lung base has not cleared, and a small region in the lingula partially obscuring heart border is more pronounced today.","An earlier focus of consolidation in the right lung base has not cleared, and a small region in the lingula partially obscuring heart border is more pronounced today.",Consolidation,Right lung base,Stable,['files/p13/p13921768/s53517180/a680547a-378dc1fb-a9fa6a3d-6713949e-e0b69f0a.jpg'],['files/p13/p13921768/s53297811/1816d50c-d9282769-fd97cb8d-d105e548-27569b20.jpg\n']
s53517180_8,p13921768,s53517180,8,Impression,"Mild pulmonary edema has worsened. Whether perihilar consolidation in the upper lungs increased increase since ___ is asymmetric pulmonary edema in a pattern patient has previously displayed or concurrent pneumonia is radiographically indeterminate. Moderate cardiomegaly is chronic. An earlier focus of consolidation in the right lung base has not cleared, and a small region in the lingula partially obscuring heart border is more pronounced today.",Mild pulmonary edema has worsened.,Pulmonary edema,,Worse,['files/p13/p13921768/s53517180/a680547a-378dc1fb-a9fa6a3d-6713949e-e0b69f0a.jpg'],['files/p13/p13921768/s53297811/1816d50c-d9282769-fd97cb8d-d105e548-27569b20.jpg\n']
s53517180_8,p13921768,s53517180,8,Impression,"Mild pulmonary edema has worsened. Whether perihilar consolidation in the upper lungs increased increase since ___ is asymmetric pulmonary edema in a pattern patient has previously displayed or concurrent pneumonia is radiographically indeterminate. Moderate cardiomegaly is chronic. An earlier focus of consolidation in the right lung base has not cleared, and a small region in the lingula partially obscuring heart border is more pronounced today.","An earlier focus of consolidation in the right lung base has not cleared, and a small region in the lingula partially obscuring heart border is more pronounced today.",Region partially obscuring heart border,Lingula,Worse,['files/p13/p13921768/s53517180/a680547a-378dc1fb-a9fa6a3d-6713949e-e0b69f0a.jpg'],['files/p13/p13921768/s53297811/1816d50c-d9282769-fd97cb8d-d105e548-27569b20.jpg\n']
s53517180_8,p13921768,s53517180,8,Impression,"Mild pulmonary edema has worsened. Whether perihilar consolidation in the upper lungs increased increase since ___ is asymmetric pulmonary edema in a pattern patient has previously displayed or concurrent pneumonia is radiographically indeterminate. Moderate cardiomegaly is chronic. An earlier focus of consolidation in the right lung base has not cleared, and a small region in the lingula partially obscuring heart border is more pronounced today.",Whether perihilar consolidation in the upper lungs increased increase since ___ is asymmetric pulmonary edema in a pattern patient has previously displayed or concurrent pneumonia is radiographically indeterminate.,Consolidation,"Perihilar, upper lungs",Worse,['files/p13/p13921768/s53517180/a680547a-378dc1fb-a9fa6a3d-6713949e-e0b69f0a.jpg'],['files/p13/p13921768/s53297811/1816d50c-d9282769-fd97cb8d-d105e548-27569b20.jpg\n']
s53521887_17,p11474065,s53521887,17,Impression,Overall cardiac and mediastinal contours are stable. Calcified hilar lymph nodes are consistent with known sarcoidosis. Deformity of the right upper chest wall with some right lateral pleural thickening and scarring and volume loss in the right medial lung base are stable. The left hemidiaphragm is now better visualized and no developing airspace consolidation is appreciated. No pulmonary edema. No pneumothorax. Lower thoracic vertebroplasties best visualized on the lateral projection.,Overall cardiac and mediastinal contours are stable.,contours,cardiac and mediastinal contours,Stable,"['files/p11/p11474065/s53521887/97d2122b-eb626f1f-0d3ef34d-e81e2a4c-d4b1279f.jpg', 'files/p11/p11474065/s53521887/c1735f23-afbc50c0-23b33129-f274cfa7-737f29c2.jpg']",['files/p11/p11474065/s53308168/d6b1f3db-eed8e0db-3a5d58a2-bfb0290f-f04dd972.jpg\n']
s53521887_17,p11474065,s53521887,17,Impression,Overall cardiac and mediastinal contours are stable. Calcified hilar lymph nodes are consistent with known sarcoidosis. Deformity of the right upper chest wall with some right lateral pleural thickening and scarring and volume loss in the right medial lung base are stable. The left hemidiaphragm is now better visualized and no developing airspace consolidation is appreciated. No pulmonary edema. No pneumothorax. Lower thoracic vertebroplasties best visualized on the lateral projection.,The left hemidiaphragm is now better visualized and no developing airspace consolidation is appreciated.,visualization,left hemidiaphragm,Better,"['files/p11/p11474065/s53521887/97d2122b-eb626f1f-0d3ef34d-e81e2a4c-d4b1279f.jpg', 'files/p11/p11474065/s53521887/c1735f23-afbc50c0-23b33129-f274cfa7-737f29c2.jpg']",['files/p11/p11474065/s53308168/d6b1f3db-eed8e0db-3a5d58a2-bfb0290f-f04dd972.jpg\n']
s53521887_17,p11474065,s53521887,17,Impression,Overall cardiac and mediastinal contours are stable. Calcified hilar lymph nodes are consistent with known sarcoidosis. Deformity of the right upper chest wall with some right lateral pleural thickening and scarring and volume loss in the right medial lung base are stable. The left hemidiaphragm is now better visualized and no developing airspace consolidation is appreciated. No pulmonary edema. No pneumothorax. Lower thoracic vertebroplasties best visualized on the lateral projection.,Deformity of the right upper chest wall with some right lateral pleural thickening and scarring and volume loss in the right medial lung base are stable.,deformity,right upper chest wall,Stable,"['files/p11/p11474065/s53521887/97d2122b-eb626f1f-0d3ef34d-e81e2a4c-d4b1279f.jpg', 'files/p11/p11474065/s53521887/c1735f23-afbc50c0-23b33129-f274cfa7-737f29c2.jpg']",['files/p11/p11474065/s53308168/d6b1f3db-eed8e0db-3a5d58a2-bfb0290f-f04dd972.jpg\n']
s53521887_17,p11474065,s53521887,17,Impression,Overall cardiac and mediastinal contours are stable. Calcified hilar lymph nodes are consistent with known sarcoidosis. Deformity of the right upper chest wall with some right lateral pleural thickening and scarring and volume loss in the right medial lung base are stable. The left hemidiaphragm is now better visualized and no developing airspace consolidation is appreciated. No pulmonary edema. No pneumothorax. Lower thoracic vertebroplasties best visualized on the lateral projection.,Deformity of the right upper chest wall with some right lateral pleural thickening and scarring and volume loss in the right medial lung base are stable.,volume loss,right medial lung base,Stable,"['files/p11/p11474065/s53521887/97d2122b-eb626f1f-0d3ef34d-e81e2a4c-d4b1279f.jpg', 'files/p11/p11474065/s53521887/c1735f23-afbc50c0-23b33129-f274cfa7-737f29c2.jpg']",['files/p11/p11474065/s53308168/d6b1f3db-eed8e0db-3a5d58a2-bfb0290f-f04dd972.jpg\n']
s53527484_4,p18893199,s53527484,4,Findings,Single lead left-sided pacemaker is stable in position. Cardiac silhouette size is top-normal. Mediastinal contours are stable and unremarkable. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Degenerative changes are partially imaged along the spine.,Single lead left-sided pacemaker is stable in position.,pacemaker,left-sided,Stable,"['files/p18/p18893199/s53527484/711f27df-b3aacd5a-c3fb842d-dcadab6d-36569853.jpg', 'files/p18/p18893199/s53527484/f16b5e80-1c4e9616-8ce2becb-1d966e2e-c84a01d5.jpg']","['files/p18/p18893199/s53091268/0200b4be-b53b9401-7151c4aa-5b17173d-1df6302b.jpg\n', 'files/p18/p18893199/s53091268/0d8631a3-76f811f9-2cdcf377-22f2f8eb-4d5a97e4.jpg\n']"
s53527484_4,p18893199,s53527484,4,Findings,Single lead left-sided pacemaker is stable in position. Cardiac silhouette size is top-normal. Mediastinal contours are stable and unremarkable. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Degenerative changes are partially imaged along the spine.,Mediastinal contours are stable and unremarkable.,Mediastinal contours,,Stable,"['files/p18/p18893199/s53527484/711f27df-b3aacd5a-c3fb842d-dcadab6d-36569853.jpg', 'files/p18/p18893199/s53527484/f16b5e80-1c4e9616-8ce2becb-1d966e2e-c84a01d5.jpg']","['files/p18/p18893199/s53091268/0200b4be-b53b9401-7151c4aa-5b17173d-1df6302b.jpg\n', 'files/p18/p18893199/s53091268/0d8631a3-76f811f9-2cdcf377-22f2f8eb-4d5a97e4.jpg\n']"
s53528690_10,p15809646,s53528690,10,Findings,"In comparison with the study of ___, the endotracheal tube has been removed. The patient has taken a slightly better inspiration. Continued enlargement of the cardiac silhouette without definite pulmonary edema. Atelectatic changes are seen at the bases. Some coarseness of interstitial markings raises the possibility of underlying chronic pulmonary disease. Right IJ catheter tip is in the mid-to-lower SVC.","In comparison with the study of ___, the endotracheal tube has been removed.",endotracheal tube,,Resolve,['files/p15/p15809646/s53528690/bed7c512-ac375506-2b7022e0-a8e257bc-dfe0c8c2.jpg'],['files/p15/p15809646/s52673752/2cdf54d6-df90d07a-cbaaa135-454278cd-ffe7eb4e.jpg\n']
s53532692_9,p15259244,s53532692,9,Findings,"No focal consolidation, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are stable. There has been interval resolution of the previously seen pulmonary edema. A right subclavian hemodialysis catheter is seen with tip projecting over the expected location of the right atrium. There is a small right pleural effusion.",Heart and mediastinal contours are stable.,Heart and mediastinal contours,,Stable,"['files/p15/p15259244/s53532692/bb03b651-512952bc-0ea27cd3-c61b8255-0b80bbb5.jpg', 'files/p15/p15259244/s53532692/d1badba1-e01afe43-80c374ea-e81e55b3-ae48bd8a.jpg']",['files/p15/p15259244/s53282268/e71f51f3-72341a6f-e930d575-66d2c3ef-339886c5.jpg\n']
s53532692_9,p15259244,s53532692,9,Findings,"No focal consolidation, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are stable. There has been interval resolution of the previously seen pulmonary edema. A right subclavian hemodialysis catheter is seen with tip projecting over the expected location of the right atrium. There is a small right pleural effusion.",There has been interval resolution of the previously seen pulmonary edema.,pulmonary edema,,Resolve,"['files/p15/p15259244/s53532692/bb03b651-512952bc-0ea27cd3-c61b8255-0b80bbb5.jpg', 'files/p15/p15259244/s53532692/d1badba1-e01afe43-80c374ea-e81e55b3-ae48bd8a.jpg']",['files/p15/p15259244/s53282268/e71f51f3-72341a6f-e930d575-66d2c3ef-339886c5.jpg\n']
s53532692_9,p15259244,s53532692,9,Impression,Small right pleural effusion with interval resolution of pulmonary edema since ___.,Small right pleural effusion with interval resolution of pulmonary edema since ___.,pulmonary edema,,Resolve,"['files/p15/p15259244/s53532692/bb03b651-512952bc-0ea27cd3-c61b8255-0b80bbb5.jpg', 'files/p15/p15259244/s53532692/d1badba1-e01afe43-80c374ea-e81e55b3-ae48bd8a.jpg']",['files/p15/p15259244/s53282268/e71f51f3-72341a6f-e930d575-66d2c3ef-339886c5.jpg\n']
s53536595_21,p18224196,s53536595,21,Findings,"The lungs are hyperinflated. There is an increased opacity in the left upper lobe likely atelectasis, attention on follow-up studies needed There is no pneumothorax. Cardiac size is mildly enlarged. Lines and tubes in standard positions, no change. Again seen in the median sternotomy wires. Patient status post MVR and AVR.","Lines and tubes in standard positions, no change.",Lines and tubes,,Stable,['files/p18/p18224196/s53536595/a30e6be6-cdb72787-3efd0ffc-438f4522-1a95c8da.jpg'],"['files/p18/p18224196/s52946760/c2bb8990-9789045a-070071f0-a817d725-cfb2472c.jpg\n', 'files/p18/p18224196/s52946760/e89dd440-e3d6c3d1-32c7b486-3bf6241c-034f5ae9.jpg\n']"
s53536595_21,p18224196,s53536595,21,Findings,"The lungs are hyperinflated. There is an increased opacity in the left upper lobe likely atelectasis, attention on follow-up studies needed There is no pneumothorax. Cardiac size is mildly enlarged. Lines and tubes in standard positions, no change. Again seen in the median sternotomy wires. Patient status post MVR and AVR.","There is an increased opacity in the left upper lobe likely atelectasis, attention on follow-up studies needed",opacity,left upper lobe,Worse,['files/p18/p18224196/s53536595/a30e6be6-cdb72787-3efd0ffc-438f4522-1a95c8da.jpg'],"['files/p18/p18224196/s52946760/c2bb8990-9789045a-070071f0-a817d725-cfb2472c.jpg\n', 'files/p18/p18224196/s52946760/e89dd440-e3d6c3d1-32c7b486-3bf6241c-034f5ae9.jpg\n']"
s53536595_21,p18224196,s53536595,21,Impression,Increased opacity in the left upper lobe may be atelectasis but attention on follow-up studies is needed,Increased opacity in the left upper lobe may be atelectasis but attention on follow-up studies is needed,opacity,left upper lobe,Worse,['files/p18/p18224196/s53536595/a30e6be6-cdb72787-3efd0ffc-438f4522-1a95c8da.jpg'],"['files/p18/p18224196/s52946760/c2bb8990-9789045a-070071f0-a817d725-cfb2472c.jpg\n', 'files/p18/p18224196/s52946760/e89dd440-e3d6c3d1-32c7b486-3bf6241c-034f5ae9.jpg\n']"
s53537107_8,p19454978,s53537107,8,Findings,"As compared to the previous radiograph, the patient has received a new right internal jugular vein catheter. The course of the catheter is unremarkable, the tip of the catheter projects over the lower SVC. There is no evidence of complications, notably no pneumothorax. Otherwise unchanged radiographic appearance.","As compared to the previous radiograph, the patient has received a new right internal jugular vein catheter.",catheter,right internal jugular vein,New,['files/p19/p19454978/s53537107/854781b3-f371e22e-df201d6f-78f736e1-07330978.jpg'],"['files/p19/p19454978/s53305461/bfa3c5fe-e3616a0b-f2cede25-46b58e40-679b44d1.jpg\n', 'files/p19/p19454978/s53305461/eca89888-595ca206-853c10b0-391e3f6a-e7f84ac3.jpg\n']"
s53537165_0,p11052273,s53537165,0,Findings,"Mild cardiomegaly is unchanged compared to the prior study. Aortic knob calcifications are again noted. The mediastinal and hilar contours are stable. Previously noted pattern of mild pulmonary vascular congestion has essentially resolved. Streaky opacity in the right lung base likely reflects atelectasis. No pleural effusion, focal consolidation or pneumothorax is identified. No acute osseous abnormality is seen.",The mediastinal and hilar contours are stable.,Mediastinal and hilar contours,,Stable,"['files/p11/p11052273/s53537165/806524e4-d5ed7e9b-1ac2dada-ba9c4a48-68216237.jpg', 'files/p11/p11052273/s53537165/f9f7d4af-2d90cb81-2541b729-6aab0e3f-06acb455.jpg']","['files/p11/p11052273/s53407845/56cbf544-ffe796ce-3f5f9469-1f1ee569-402e42ff.jpg\n', 'files/p11/p11052273/s53407845/e8da4f53-f62c1459-cc4b5add-8a21431c-c2395de1.jpg\n']"
s53537165_0,p11052273,s53537165,0,Findings,"Mild cardiomegaly is unchanged compared to the prior study. Aortic knob calcifications are again noted. The mediastinal and hilar contours are stable. Previously noted pattern of mild pulmonary vascular congestion has essentially resolved. Streaky opacity in the right lung base likely reflects atelectasis. No pleural effusion, focal consolidation or pneumothorax is identified. No acute osseous abnormality is seen.",Mild cardiomegaly is unchanged compared to the prior study.,Mild cardiomegaly,,Stable,"['files/p11/p11052273/s53537165/806524e4-d5ed7e9b-1ac2dada-ba9c4a48-68216237.jpg', 'files/p11/p11052273/s53537165/f9f7d4af-2d90cb81-2541b729-6aab0e3f-06acb455.jpg']","['files/p11/p11052273/s53407845/56cbf544-ffe796ce-3f5f9469-1f1ee569-402e42ff.jpg\n', 'files/p11/p11052273/s53407845/e8da4f53-f62c1459-cc4b5add-8a21431c-c2395de1.jpg\n']"
s53537165_0,p11052273,s53537165,0,Findings,"Mild cardiomegaly is unchanged compared to the prior study. Aortic knob calcifications are again noted. The mediastinal and hilar contours are stable. Previously noted pattern of mild pulmonary vascular congestion has essentially resolved. Streaky opacity in the right lung base likely reflects atelectasis. No pleural effusion, focal consolidation or pneumothorax is identified. No acute osseous abnormality is seen.",Previously noted pattern of mild pulmonary vascular congestion has essentially resolved.,Mild pulmonary vascular congestion,,Resolve,"['files/p11/p11052273/s53537165/806524e4-d5ed7e9b-1ac2dada-ba9c4a48-68216237.jpg', 'files/p11/p11052273/s53537165/f9f7d4af-2d90cb81-2541b729-6aab0e3f-06acb455.jpg']","['files/p11/p11052273/s53407845/56cbf544-ffe796ce-3f5f9469-1f1ee569-402e42ff.jpg\n', 'files/p11/p11052273/s53407845/e8da4f53-f62c1459-cc4b5add-8a21431c-c2395de1.jpg\n']"
s53538935_4,p19028690,s53538935,4,Impression,"Two frontal views of the chest show new mild interstitial pulmonary edema. Interval increase in mediastinal caliber therefore is probably due to distention of mediastinal veins. Heart size is slightly larger but still within normal range. Pleural effusions are minimal, if any. No focal pulmonary abnormality. No pneumothorax. ET tube is in standard placement and a nasogastric tube passes below the diaphragm and out of view.",Interval increase in mediastinal caliber therefore is probably due to distention of mediastinal veins.,caliber,mediastinal,Worse,"['files/p19/p19028690/s53538935/09fd7280-e167baec-da92ec8e-8203309b-6dbcb6d1.jpg', 'files/p19/p19028690/s53538935/2d6b1758-4d435266-6ef48a91-dd03791b-703f57d6.jpg']","['files/p19/p19028690/s53266756/46b732fa-3e6e9bc7-4487868d-2db2ea7c-b27ecdd1.jpg\n', 'files/p19/p19028690/s53266756/616465d4-8d4a68f2-ebcfd91b-853ca6b3-b94d1d53.jpg\n']"
s53538935_4,p19028690,s53538935,4,Impression,"Two frontal views of the chest show new mild interstitial pulmonary edema. Interval increase in mediastinal caliber therefore is probably due to distention of mediastinal veins. Heart size is slightly larger but still within normal range. Pleural effusions are minimal, if any. No focal pulmonary abnormality. No pneumothorax. ET tube is in standard placement and a nasogastric tube passes below the diaphragm and out of view.",Two frontal views of the chest show new mild interstitial pulmonary edema.,pulmonary edema,interstitial,New,"['files/p19/p19028690/s53538935/09fd7280-e167baec-da92ec8e-8203309b-6dbcb6d1.jpg', 'files/p19/p19028690/s53538935/2d6b1758-4d435266-6ef48a91-dd03791b-703f57d6.jpg']","['files/p19/p19028690/s53266756/46b732fa-3e6e9bc7-4487868d-2db2ea7c-b27ecdd1.jpg\n', 'files/p19/p19028690/s53266756/616465d4-8d4a68f2-ebcfd91b-853ca6b3-b94d1d53.jpg\n']"
s53546263_17,p13606683,s53546263,17,Findings,"ICD with biventricular pacing lead remains in place. Stable cardiomegaly accompanied by pulmonary vascular congestion and new interstitial edema, superimposed upon chronic areas of linear scar in the mid and lower lungs. Lungs are overinflated, suggestive of COPD. Small pleural effusions are present bilaterally. Bones are diffusely demineralized.",ICD with biventricular pacing lead remains in place.,ICD with biventricular pacing lead,,Stable,"['files/p13/p13606683/s53546263/1a329778-20bfaa24-80dfc02f-7f896fba-39d0dd88.jpg', 'files/p13/p13606683/s53546263/662edf02-f6f20a12-e88e5622-1d01bf6f-90f762e9.jpg']",['files/p13/p13606683/s53417168/63bc3ab0-da8f9dcb-006bcd2c-5af27843-de7a7597.jpg\n']
s53546263_17,p13606683,s53546263,17,Findings,"ICD with biventricular pacing lead remains in place. Stable cardiomegaly accompanied by pulmonary vascular congestion and new interstitial edema, superimposed upon chronic areas of linear scar in the mid and lower lungs. Lungs are overinflated, suggestive of COPD. Small pleural effusions are present bilaterally. Bones are diffusely demineralized.","Stable cardiomegaly accompanied by pulmonary vascular congestion and new interstitial edema, superimposed upon chronic areas of linear scar in the mid and lower lungs.",Cardiomegaly,,Stable,"['files/p13/p13606683/s53546263/1a329778-20bfaa24-80dfc02f-7f896fba-39d0dd88.jpg', 'files/p13/p13606683/s53546263/662edf02-f6f20a12-e88e5622-1d01bf6f-90f762e9.jpg']",['files/p13/p13606683/s53417168/63bc3ab0-da8f9dcb-006bcd2c-5af27843-de7a7597.jpg\n']
s53555445_10,p13031876,s53555445,10,Findings,"The right-sided PICC has been repositioned and now ends in the mid SVC. The NG tube courses to the stomach, although the tip is excluded from view. Lung volumes remain low. Retrocardiac opacity persists and is consistent with atelectasis and a small pleural effusion as seen on ___ abdomen/pelvis CT. Pulmonary edema has resolved.",Lung volumes remain low.,Lung volumes,,Stable,['files/p13/p13031876/s53555445/ab6185a7-10a51f83-2bb26ac5-db07531e-eb9d7b85.jpg'],"['files/p13/p13031876/s52544398/199b380c-930a33e7-db10995d-dffee4bf-e8ef6a94.jpg\n', 'files/p13/p13031876/s52544398/e710f16b-2b715eb0-92032ee6-259afceb-f365ac9a.jpg\n']"
s53555445_10,p13031876,s53555445,10,Findings,"The right-sided PICC has been repositioned and now ends in the mid SVC. The NG tube courses to the stomach, although the tip is excluded from view. Lung volumes remain low. Retrocardiac opacity persists and is consistent with atelectasis and a small pleural effusion as seen on ___ abdomen/pelvis CT. Pulmonary edema has resolved.",The right-sided PICC has been repositioned and now ends in the mid SVC.,PICC line,mid SVC,Stable,['files/p13/p13031876/s53555445/ab6185a7-10a51f83-2bb26ac5-db07531e-eb9d7b85.jpg'],"['files/p13/p13031876/s52544398/199b380c-930a33e7-db10995d-dffee4bf-e8ef6a94.jpg\n', 'files/p13/p13031876/s52544398/e710f16b-2b715eb0-92032ee6-259afceb-f365ac9a.jpg\n']"
s53555445_10,p13031876,s53555445,10,Findings,"The right-sided PICC has been repositioned and now ends in the mid SVC. The NG tube courses to the stomach, although the tip is excluded from view. Lung volumes remain low. Retrocardiac opacity persists and is consistent with atelectasis and a small pleural effusion as seen on ___ abdomen/pelvis CT. Pulmonary edema has resolved.",Retrocardiac opacity persists and is consistent with atelectasis and a small pleural effusion as seen on ___ abdomen/pelvis CT.,opacity,Retrocardiac,Stable,['files/p13/p13031876/s53555445/ab6185a7-10a51f83-2bb26ac5-db07531e-eb9d7b85.jpg'],"['files/p13/p13031876/s52544398/199b380c-930a33e7-db10995d-dffee4bf-e8ef6a94.jpg\n', 'files/p13/p13031876/s52544398/e710f16b-2b715eb0-92032ee6-259afceb-f365ac9a.jpg\n']"
s53555445_10,p13031876,s53555445,10,Findings,"The right-sided PICC has been repositioned and now ends in the mid SVC. The NG tube courses to the stomach, although the tip is excluded from view. Lung volumes remain low. Retrocardiac opacity persists and is consistent with atelectasis and a small pleural effusion as seen on ___ abdomen/pelvis CT. Pulmonary edema has resolved.",Pulmonary edema has resolved.,Pulmonary edema,,Resolve,['files/p13/p13031876/s53555445/ab6185a7-10a51f83-2bb26ac5-db07531e-eb9d7b85.jpg'],"['files/p13/p13031876/s52544398/199b380c-930a33e7-db10995d-dffee4bf-e8ef6a94.jpg\n', 'files/p13/p13031876/s52544398/e710f16b-2b715eb0-92032ee6-259afceb-f365ac9a.jpg\n']"
s53565622_8,p15192710,s53565622,8,Impression,"1. Slight interval improvement in aeration. Persistent patchy opacity of the left base and unchanged subcutaneous emphysema. However, there is no evidence of pneumothorax. Stable cardiac and mediastinal contours. No evidence of pulmonary edema.",Slight interval improvement in aeration.,Aeration,,Better,['files/p15/p15192710/s53565622/8cf47922-21ea9567-ee9bd67f-e77c69fc-88638572.jpg'],['files/p15/p15192710/s53472482/c68d41c4-59a19dc8-95fa2931-e190decd-3cf08b53.jpg\n']
s53565622_8,p15192710,s53565622,8,Impression,"1. Slight interval improvement in aeration. Persistent patchy opacity of the left base and unchanged subcutaneous emphysema. However, there is no evidence of pneumothorax. Stable cardiac and mediastinal contours. No evidence of pulmonary edema.",Stable cardiac and mediastinal contours.,,Cardiac and mediastinal contours,Stable,['files/p15/p15192710/s53565622/8cf47922-21ea9567-ee9bd67f-e77c69fc-88638572.jpg'],['files/p15/p15192710/s53472482/c68d41c4-59a19dc8-95fa2931-e190decd-3cf08b53.jpg\n']
s53565622_8,p15192710,s53565622,8,Impression,"1. Slight interval improvement in aeration. Persistent patchy opacity of the left base and unchanged subcutaneous emphysema. However, there is no evidence of pneumothorax. Stable cardiac and mediastinal contours. No evidence of pulmonary edema.",Persistent patchy opacity of the left base and unchanged subcutaneous emphysema.,Patchy opacity,Left base,Stable,['files/p15/p15192710/s53565622/8cf47922-21ea9567-ee9bd67f-e77c69fc-88638572.jpg'],['files/p15/p15192710/s53472482/c68d41c4-59a19dc8-95fa2931-e190decd-3cf08b53.jpg\n']
s53565622_8,p15192710,s53565622,8,Impression,"1. Slight interval improvement in aeration. Persistent patchy opacity of the left base and unchanged subcutaneous emphysema. However, there is no evidence of pneumothorax. Stable cardiac and mediastinal contours. No evidence of pulmonary edema.",Persistent patchy opacity of the left base and unchanged subcutaneous emphysema.,Emphysema,Subcutaneous,Stable,['files/p15/p15192710/s53565622/8cf47922-21ea9567-ee9bd67f-e77c69fc-88638572.jpg'],['files/p15/p15192710/s53472482/c68d41c4-59a19dc8-95fa2931-e190decd-3cf08b53.jpg\n']
s53567394_2,p10439781,s53567394,2,Findings,"As compared to previous radiograph, the patient has been extubated. Otherwise, there is no relevant change. The bilateral massive parenchymal opacities are constant, constant moderate cardiomegaly.","As compared to previous radiograph, the patient has been extubated. Otherwise, there is no relevant change. The bilateral massive parenchymal opacities are constant, constant moderate cardiomegaly.",intubation,,Resolve,['files/p10/p10439781/s53567394/5eae8395-ea7af71c-6d518498-6d193886-1c2d0853.jpg'],"['files/p10/p10439781/s53479699/14e120dd-c09a8900-5ff950e9-0e2fe5bc-17cb2b3e.jpg\n', 'files/p10/p10439781/s53479699/86d7a0e2-a6e5e874-ed2fed4c-1c2ffbf1-4f1621e3.jpg\n']"
s53567752_11,p14387068,s53567752,11,Findings,"AP and lateral views of the chest were compared to previous exam ___ ___. When compared to prior, previously seen right-sided pneumothorax is slightly smaller. There has, however, been interval enlargement of the right-sided pleural effusion. Slight leftward deviation of the mediastinum is unchanged. The left lung remains clear. The cardiomediastinal contours are stable. The osseous and soft tissue structures are unremarkable.","When compared to prior, previously seen right-sided pneumothorax is slightly smaller.",pneumothorax,right-sided,Better,"['files/p14/p14387068/s53567752/58081a4f-fb575b5b-d178ec1c-b8b6a415-24868cdf.jpg', 'files/p14/p14387068/s53567752/fa989e12-afbfd6cc-0b346ce6-44522671-dc1518df.jpg']","['files/p14/p14387068/s53200737/477e1845-4fea80f3-5a8b2376-a88ecaee-4d234fa9.jpg\n', 'files/p14/p14387068/s53200737/904ed560-196507e7-79c10549-789f9b1e-f0ee6cf7.jpg\n']"
s53567752_11,p14387068,s53567752,11,Findings,"AP and lateral views of the chest were compared to previous exam ___ ___. When compared to prior, previously seen right-sided pneumothorax is slightly smaller. There has, however, been interval enlargement of the right-sided pleural effusion. Slight leftward deviation of the mediastinum is unchanged. The left lung remains clear. The cardiomediastinal contours are stable. The osseous and soft tissue structures are unremarkable.","There has, however, been interval enlargement of the right-sided pleural effusion.",pleural effusion,right-sided,Worse,"['files/p14/p14387068/s53567752/58081a4f-fb575b5b-d178ec1c-b8b6a415-24868cdf.jpg', 'files/p14/p14387068/s53567752/fa989e12-afbfd6cc-0b346ce6-44522671-dc1518df.jpg']","['files/p14/p14387068/s53200737/477e1845-4fea80f3-5a8b2376-a88ecaee-4d234fa9.jpg\n', 'files/p14/p14387068/s53200737/904ed560-196507e7-79c10549-789f9b1e-f0ee6cf7.jpg\n']"
s53567752_11,p14387068,s53567752,11,Findings,"AP and lateral views of the chest were compared to previous exam ___ ___. When compared to prior, previously seen right-sided pneumothorax is slightly smaller. There has, however, been interval enlargement of the right-sided pleural effusion. Slight leftward deviation of the mediastinum is unchanged. The left lung remains clear. The cardiomediastinal contours are stable. The osseous and soft tissue structures are unremarkable.",Slight leftward deviation of the mediastinum is unchanged.,leftward deviation,mediastinum,Stable,"['files/p14/p14387068/s53567752/58081a4f-fb575b5b-d178ec1c-b8b6a415-24868cdf.jpg', 'files/p14/p14387068/s53567752/fa989e12-afbfd6cc-0b346ce6-44522671-dc1518df.jpg']","['files/p14/p14387068/s53200737/477e1845-4fea80f3-5a8b2376-a88ecaee-4d234fa9.jpg\n', 'files/p14/p14387068/s53200737/904ed560-196507e7-79c10549-789f9b1e-f0ee6cf7.jpg\n']"
s53567752_11,p14387068,s53567752,11,Findings,"AP and lateral views of the chest were compared to previous exam ___ ___. When compared to prior, previously seen right-sided pneumothorax is slightly smaller. There has, however, been interval enlargement of the right-sided pleural effusion. Slight leftward deviation of the mediastinum is unchanged. The left lung remains clear. The cardiomediastinal contours are stable. The osseous and soft tissue structures are unremarkable.",The left lung remains clear.,clear,left lung,Stable,"['files/p14/p14387068/s53567752/58081a4f-fb575b5b-d178ec1c-b8b6a415-24868cdf.jpg', 'files/p14/p14387068/s53567752/fa989e12-afbfd6cc-0b346ce6-44522671-dc1518df.jpg']","['files/p14/p14387068/s53200737/477e1845-4fea80f3-5a8b2376-a88ecaee-4d234fa9.jpg\n', 'files/p14/p14387068/s53200737/904ed560-196507e7-79c10549-789f9b1e-f0ee6cf7.jpg\n']"
s53567752_11,p14387068,s53567752,11,Findings,"AP and lateral views of the chest were compared to previous exam ___ ___. When compared to prior, previously seen right-sided pneumothorax is slightly smaller. There has, however, been interval enlargement of the right-sided pleural effusion. Slight leftward deviation of the mediastinum is unchanged. The left lung remains clear. The cardiomediastinal contours are stable. The osseous and soft tissue structures are unremarkable.",The cardiomediastinal contours are stable.,contours,cardiomediastinal,Stable,"['files/p14/p14387068/s53567752/58081a4f-fb575b5b-d178ec1c-b8b6a415-24868cdf.jpg', 'files/p14/p14387068/s53567752/fa989e12-afbfd6cc-0b346ce6-44522671-dc1518df.jpg']","['files/p14/p14387068/s53200737/477e1845-4fea80f3-5a8b2376-a88ecaee-4d234fa9.jpg\n', 'files/p14/p14387068/s53200737/904ed560-196507e7-79c10549-789f9b1e-f0ee6cf7.jpg\n']"
s53567752_11,p14387068,s53567752,11,Impression,"Slight interval decrease in size of right-sided pneumothorax; however, interval enlargement of the right-sided pleural effusion. Stable mild leftward deviation of the cardiomediastinal silhouette.","Slight interval decrease in size of right-sided pneumothorax; however, interval enlargement of the right-sided pleural effusion.",pneumothorax,right-sided,Better,"['files/p14/p14387068/s53567752/58081a4f-fb575b5b-d178ec1c-b8b6a415-24868cdf.jpg', 'files/p14/p14387068/s53567752/fa989e12-afbfd6cc-0b346ce6-44522671-dc1518df.jpg']","['files/p14/p14387068/s53200737/477e1845-4fea80f3-5a8b2376-a88ecaee-4d234fa9.jpg\n', 'files/p14/p14387068/s53200737/904ed560-196507e7-79c10549-789f9b1e-f0ee6cf7.jpg\n']"
s53567752_11,p14387068,s53567752,11,Impression,"Slight interval decrease in size of right-sided pneumothorax; however, interval enlargement of the right-sided pleural effusion. Stable mild leftward deviation of the cardiomediastinal silhouette.",Stable mild leftward deviation of the cardiomediastinal silhouette.,leftward deviation,cardiomediastinal,Stable,"['files/p14/p14387068/s53567752/58081a4f-fb575b5b-d178ec1c-b8b6a415-24868cdf.jpg', 'files/p14/p14387068/s53567752/fa989e12-afbfd6cc-0b346ce6-44522671-dc1518df.jpg']","['files/p14/p14387068/s53200737/477e1845-4fea80f3-5a8b2376-a88ecaee-4d234fa9.jpg\n', 'files/p14/p14387068/s53200737/904ed560-196507e7-79c10549-789f9b1e-f0ee6cf7.jpg\n']"
s53567752_11,p14387068,s53567752,11,Impression,"Slight interval decrease in size of right-sided pneumothorax; however, interval enlargement of the right-sided pleural effusion. Stable mild leftward deviation of the cardiomediastinal silhouette.","Slight interval decrease in size of right-sided pneumothorax; however, interval enlargement of the right-sided pleural effusion.",pleural effusion,right-sided,Worse,"['files/p14/p14387068/s53567752/58081a4f-fb575b5b-d178ec1c-b8b6a415-24868cdf.jpg', 'files/p14/p14387068/s53567752/fa989e12-afbfd6cc-0b346ce6-44522671-dc1518df.jpg']","['files/p14/p14387068/s53200737/477e1845-4fea80f3-5a8b2376-a88ecaee-4d234fa9.jpg\n', 'files/p14/p14387068/s53200737/904ed560-196507e7-79c10549-789f9b1e-f0ee6cf7.jpg\n']"
s53570653_5,p17032538,s53570653,5,Findings,"The endotracheal tube sits 4 cm above the carina. The endogastric tube tip sits within the stomach, although a portion of the weighted tip sits above the GE junction. The heart size is within normal limits. The mediastinal and hilar contours appear unremarkable. The lungs continue to demonstrate heterogeneous opacity in the right mid and lower portion, which may represent an area of scarring. Additionally, more scattered punctate densities throughout the right and left lung are compatible with calcified pleural plaques as confirmed by the visualized chest portion of the abdominal and pelvic CT from ___. Trace bilateral pleural effusions. There is no pneumothorax.","The lungs continue to demonstrate heterogeneous opacity in the right mid and lower portion, which may represent an area of scarring.",heterogeneous opacity,right mid and lower portion,Stable,['files/p17/p17032538/s53570653/39af0cd9-82745eb4-2fe05152-1dfd448e-8725c801.jpg'],['files/p17/p17032538/s51325572/8a8201f1-257d3a16-561099bb-c8e95167-e3b3b8e1.jpg\n']
s53572321_5,p18322589,s53572321,5,Findings,"The endotracheal tube tip sits 4 cm above the carina. A right-sided central venous catheter tip sits at the cavoatrial junction. An endogastric tube courses inferiorly below the GE junction. A pacer defibrillator unit projects over the left chest with leads in the right atrium, right ventricle, and coronary sinus. Sternotomy wires, prosthetic valve, and CABG material are unchanged. The heart size is at the upper limits of normal. The mediastinal contours are within normal limits. The lungs demonstrate stable appearance of interstitial edema, and small bilateral pleural effusions with associated atelectasis are present. There is no pneumothorax.","Sternotomy wires, prosthetic valve, and CABG material are unchanged.",CABG material,,Stable,['files/p18/p18322589/s53572321/2fb974ec-04c5bfca-85b4c5fb-85b767ee-9ccd38d2.jpg'],['files/p18/p18322589/s52428827/f4adee4b-4f00cc47-63f9ed2a-b4432064-a81ec91c.jpg\n']
s53572321_5,p18322589,s53572321,5,Findings,"The endotracheal tube tip sits 4 cm above the carina. A right-sided central venous catheter tip sits at the cavoatrial junction. An endogastric tube courses inferiorly below the GE junction. A pacer defibrillator unit projects over the left chest with leads in the right atrium, right ventricle, and coronary sinus. Sternotomy wires, prosthetic valve, and CABG material are unchanged. The heart size is at the upper limits of normal. The mediastinal contours are within normal limits. The lungs demonstrate stable appearance of interstitial edema, and small bilateral pleural effusions with associated atelectasis are present. There is no pneumothorax.","Sternotomy wires, prosthetic valve, and CABG material are unchanged.",Sternotomy wires,,Stable,['files/p18/p18322589/s53572321/2fb974ec-04c5bfca-85b4c5fb-85b767ee-9ccd38d2.jpg'],['files/p18/p18322589/s52428827/f4adee4b-4f00cc47-63f9ed2a-b4432064-a81ec91c.jpg\n']
s53572321_5,p18322589,s53572321,5,Findings,"The endotracheal tube tip sits 4 cm above the carina. A right-sided central venous catheter tip sits at the cavoatrial junction. An endogastric tube courses inferiorly below the GE junction. A pacer defibrillator unit projects over the left chest with leads in the right atrium, right ventricle, and coronary sinus. Sternotomy wires, prosthetic valve, and CABG material are unchanged. The heart size is at the upper limits of normal. The mediastinal contours are within normal limits. The lungs demonstrate stable appearance of interstitial edema, and small bilateral pleural effusions with associated atelectasis are present. There is no pneumothorax.","Sternotomy wires, prosthetic valve, and CABG material are unchanged.",prosthetic valve,,Stable,['files/p18/p18322589/s53572321/2fb974ec-04c5bfca-85b4c5fb-85b767ee-9ccd38d2.jpg'],['files/p18/p18322589/s52428827/f4adee4b-4f00cc47-63f9ed2a-b4432064-a81ec91c.jpg\n']
s53572321_5,p18322589,s53572321,5,Impression,Stable mild interstitial edema with small bilateral pleural effusions with associated atelectasis.,Stable mild interstitial edema with small bilateral pleural effusions with associated atelectasis.,pleural effusions with associated atelectasis,bilateral,Stable,['files/p18/p18322589/s53572321/2fb974ec-04c5bfca-85b4c5fb-85b767ee-9ccd38d2.jpg'],['files/p18/p18322589/s52428827/f4adee4b-4f00cc47-63f9ed2a-b4432064-a81ec91c.jpg\n']
s53572321_5,p18322589,s53572321,5,Impression,Stable mild interstitial edema with small bilateral pleural effusions with associated atelectasis.,Stable mild interstitial edema with small bilateral pleural effusions with associated atelectasis.,mild interstitial edema,,Stable,['files/p18/p18322589/s53572321/2fb974ec-04c5bfca-85b4c5fb-85b767ee-9ccd38d2.jpg'],['files/p18/p18322589/s52428827/f4adee4b-4f00cc47-63f9ed2a-b4432064-a81ec91c.jpg\n']
s53572321_5,p18322589,s53572321,5,Findings,"The endotracheal tube tip sits 4 cm above the carina. A right-sided central venous catheter tip sits at the cavoatrial junction. An endogastric tube courses inferiorly below the GE junction. A pacer defibrillator unit projects over the left chest with leads in the right atrium, right ventricle, and coronary sinus. Sternotomy wires, prosthetic valve, and CABG material are unchanged. The heart size is at the upper limits of normal. The mediastinal contours are within normal limits. The lungs demonstrate stable appearance of interstitial edema, and small bilateral pleural effusions with associated atelectasis are present. There is no pneumothorax.","The lungs demonstrate stable appearance of interstitial edema, and small bilateral pleural effusions with associated atelectasis are present.",interstitial edema,,Stable,['files/p18/p18322589/s53572321/2fb974ec-04c5bfca-85b4c5fb-85b767ee-9ccd38d2.jpg'],['files/p18/p18322589/s52428827/f4adee4b-4f00cc47-63f9ed2a-b4432064-a81ec91c.jpg\n']
s53574399_15,p17340686,s53574399,15,Impression,"Mild to moderate pulmonary edema, similar compared to the prior study, with more focal opacity in the right lung base concerning for an area of infection.","Mild to moderate pulmonary edema, similar compared to the prior study, with more focal opacity in the right lung base concerning for an area of infection.",pulmonary edema,,Stable,"['files/p17/p17340686/s53574399/03502481-6cda13ba-cb388ede-fbd7eb62-5b02b608.jpg', 'files/p17/p17340686/s53574399/fcacd1e7-993853b9-c2a8e32f-c4fff20c-7792291b.jpg']",['files/p17/p17340686/s53247313/54a9e5bc-2d3b9e9a-43c44b54-7c16e7b1-f923f86c.jpg\n']
s53574399_15,p17340686,s53574399,15,Findings,"Left-sided dual lumen dialysis catheter tip terminates in the proximal right atrium, unchanged. The heart is mild to moderately enlarged with left atrial prominence. Mediastinal contours are unchanged. There is mild to moderate moderate pulmonary edema, with more focal opacity seen in the right lung base, new from the prior study. Small bilateral pleural effusions are noted. There is no pneumothorax. No acute osseous abnormalities are visualized. Clips are seen within the upper abdomen.","There is mild to moderate pulmonary edema, with more focal opacity seen in the right lung base, new from the prior study.",focal opacity,right lung base,New,"['files/p17/p17340686/s53574399/03502481-6cda13ba-cb388ede-fbd7eb62-5b02b608.jpg', 'files/p17/p17340686/s53574399/fcacd1e7-993853b9-c2a8e32f-c4fff20c-7792291b.jpg']",['files/p17/p17340686/s53247313/54a9e5bc-2d3b9e9a-43c44b54-7c16e7b1-f923f86c.jpg\n']
s53574399_15,p17340686,s53574399,15,Findings,"Left-sided dual lumen dialysis catheter tip terminates in the proximal right atrium, unchanged. The heart is mild to moderately enlarged with left atrial prominence. Mediastinal contours are unchanged. There is mild to moderate moderate pulmonary edema, with more focal opacity seen in the right lung base, new from the prior study. Small bilateral pleural effusions are noted. There is no pneumothorax. No acute osseous abnormalities are visualized. Clips are seen within the upper abdomen.",Mediastinal contours are unchanged.,Mediastinal contours,,Stable,"['files/p17/p17340686/s53574399/03502481-6cda13ba-cb388ede-fbd7eb62-5b02b608.jpg', 'files/p17/p17340686/s53574399/fcacd1e7-993853b9-c2a8e32f-c4fff20c-7792291b.jpg']",['files/p17/p17340686/s53247313/54a9e5bc-2d3b9e9a-43c44b54-7c16e7b1-f923f86c.jpg\n']
s53574399_15,p17340686,s53574399,15,Findings,"Left-sided dual lumen dialysis catheter tip terminates in the proximal right atrium, unchanged. The heart is mild to moderately enlarged with left atrial prominence. Mediastinal contours are unchanged. There is mild to moderate moderate pulmonary edema, with more focal opacity seen in the right lung base, new from the prior study. Small bilateral pleural effusions are noted. There is no pneumothorax. No acute osseous abnormalities are visualized. Clips are seen within the upper abdomen.","Left-sided dual lumen dialysis catheter tip terminates in the proximal right atrium, unchanged.",dual lumen dialysis catheter tip,proximal right atrium,Stable,"['files/p17/p17340686/s53574399/03502481-6cda13ba-cb388ede-fbd7eb62-5b02b608.jpg', 'files/p17/p17340686/s53574399/fcacd1e7-993853b9-c2a8e32f-c4fff20c-7792291b.jpg']",['files/p17/p17340686/s53247313/54a9e5bc-2d3b9e9a-43c44b54-7c16e7b1-f923f86c.jpg\n']
s53576176_23,p14841168,s53576176,23,Impression,"1. Interval removal of a double-lumen right internal jugular large-bore catheter. The heart remains mildly enlarged. Overall mediastinal contours are likely stable given patient rotation on the current study. Lung volumes are somewhat low with no focal airspace consolidation to suggest pneumonia. Some crowding of the perihilar vasculature, but no overt pulmonary edema. No effusions. No large pneumothorax.",Overall mediastinal contours are likely stable given patient rotation on the current study.,Stability,Mediastinal contours,Stable,"['files/p14/p14841168/s53576176/93a674e7-7bde63bd-1ebe3a67-b6eddd64-f55473fe.jpg', 'files/p14/p14841168/s53576176/a916f2a6-990e0179-c6395681-9159f006-35377a30.jpg']",['files/p14/p14841168/s53426458/93cda90a-dff91783-8c5eaa57-5242ceca-f2ba281a.jpg\n']
s53576176_23,p14841168,s53576176,23,Impression,"1. Interval removal of a double-lumen right internal jugular large-bore catheter. The heart remains mildly enlarged. Overall mediastinal contours are likely stable given patient rotation on the current study. Lung volumes are somewhat low with no focal airspace consolidation to suggest pneumonia. Some crowding of the perihilar vasculature, but no overt pulmonary edema. No effusions. No large pneumothorax.",The heart remains mildly enlarged.,Mild enlargement,Heart,Stable,"['files/p14/p14841168/s53576176/93a674e7-7bde63bd-1ebe3a67-b6eddd64-f55473fe.jpg', 'files/p14/p14841168/s53576176/a916f2a6-990e0179-c6395681-9159f006-35377a30.jpg']",['files/p14/p14841168/s53426458/93cda90a-dff91783-8c5eaa57-5242ceca-f2ba281a.jpg\n']
s53576176_23,p14841168,s53576176,23,Impression,"1. Interval removal of a double-lumen right internal jugular large-bore catheter. The heart remains mildly enlarged. Overall mediastinal contours are likely stable given patient rotation on the current study. Lung volumes are somewhat low with no focal airspace consolidation to suggest pneumonia. Some crowding of the perihilar vasculature, but no overt pulmonary edema. No effusions. No large pneumothorax.",1. Interval removal of a double-lumen right internal jugular large-bore catheter.,Double-lumen large-bore catheter,Right internal jugular,Resolve,"['files/p14/p14841168/s53576176/93a674e7-7bde63bd-1ebe3a67-b6eddd64-f55473fe.jpg', 'files/p14/p14841168/s53576176/a916f2a6-990e0179-c6395681-9159f006-35377a30.jpg']",['files/p14/p14841168/s53426458/93cda90a-dff91783-8c5eaa57-5242ceca-f2ba281a.jpg\n']
s53583954_5,p18067737,s53583954,5,Impression,No significant interval change from the prior exam. No evidence of congestive heart failure. Persistent left pleural effusion and left basilar opacity likely reflective of atelectasis. Left upper lobe paramediastinal mass compatible with known malignancy.,No significant interval change from the prior exam.,,,Stable,['files/p18/p18067737/s53583954/0efbdb11-4a6e04cf-2acc8b02-8b0ee7b6-36a1e507.jpg'],['files/p18/p18067737/s51465438/63ee3ff5-d84abed7-10208fcd-96b68026-bb55b8ff.jpg\n']
s53583954_5,p18067737,s53583954,5,Findings,Study is limited as the left costophrenic angle is excluded from the field-of-view. Left-sided dual-chamber pacemaker with leads terminating in the right atrium and right ventricle is unchanged. Again noted is a left upper lobe paramediastinal mass. Opacification in the left lung base likely reflects a combination of a moderate-to-large pleural effusion and adjacent atelectasis. The right lung is grossly clear. There is no pulmonary vascular congestion.,Left-sided dual-chamber pacemaker with leads terminating in the right atrium and right ventricle is unchanged.,dual-chamber pacemaker,left-sided,Stable,['files/p18/p18067737/s53583954/0efbdb11-4a6e04cf-2acc8b02-8b0ee7b6-36a1e507.jpg'],['files/p18/p18067737/s51465438/63ee3ff5-d84abed7-10208fcd-96b68026-bb55b8ff.jpg\n']
s53583954_5,p18067737,s53583954,5,Impression,No significant interval change from the prior exam. No evidence of congestive heart failure. Persistent left pleural effusion and left basilar opacity likely reflective of atelectasis. Left upper lobe paramediastinal mass compatible with known malignancy.,Persistent left pleural effusion and left basilar opacity likely reflective of atelectasis.,pleural effusion,left,Stable,['files/p18/p18067737/s53583954/0efbdb11-4a6e04cf-2acc8b02-8b0ee7b6-36a1e507.jpg'],['files/p18/p18067737/s51465438/63ee3ff5-d84abed7-10208fcd-96b68026-bb55b8ff.jpg\n']
s53583954_5,p18067737,s53583954,5,Impression,No significant interval change from the prior exam. No evidence of congestive heart failure. Persistent left pleural effusion and left basilar opacity likely reflective of atelectasis. Left upper lobe paramediastinal mass compatible with known malignancy.,Persistent left pleural effusion and left basilar opacity likely reflective of atelectasis.,opacity,left basilar,Stable,['files/p18/p18067737/s53583954/0efbdb11-4a6e04cf-2acc8b02-8b0ee7b6-36a1e507.jpg'],['files/p18/p18067737/s51465438/63ee3ff5-d84abed7-10208fcd-96b68026-bb55b8ff.jpg\n']
s53591854_12,p17318449,s53591854,12,Findings,"AP and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pulmonary edema. The cardiomediastinal silhouette is stable. Median sternotomy wires again noted. Hypertrophic changes seen in the spine.",The cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p17/p17318449/s53591854/569088a8-74656732-c1598d15-be78951b-11ca6d73.jpg', 'files/p17/p17318449/s53591854/620749b0-65543474-81e34b55-e58aadc3-68e30cbf.jpg', 'files/p17/p17318449/s53591854/fd6e4f88-f10a601f-5ab99df7-15c792e7-3edf3e2c.jpg']","['files/p17/p17318449/s53060440/5f6af615-3c2d172d-0e464b6c-3e9a034e-60e30bc6.jpg\n', 'files/p17/p17318449/s53060440/96041b33-c15cc055-c1ef5f96-e24f995c-ce351b23.jpg\n', 'files/p17/p17318449/s53060440/cf5f1f4f-b4d8bc5b-dccb823c-51fa4849-94f65859.jpg\n']"
s53593299_0,p19720782,s53593299,0,Impression,"Stable chest findings, no evidence of new acute infiltrates.","Stable chest findings, no evidence of new acute infiltrates.",chest findings,,Stable,"['files/p19/p19720782/s53593299/28b82840-1d653ef1-b8ee81e1-10559868-33a9f406.jpg', 'files/p19/p19720782/s53593299/3e2248aa-fadcd991-d4227891-01a43de5-fd31834a.jpg']","['files/p19/p19720782/s53342490/82c1c97a-b5708e95-baa8ec84-c1237993-93b67d8b.jpg\n', 'files/p19/p19720782/s53342490/d5471b25-e49ee2a7-5c4a33bf-3f216c05-2ab0696d.jpg\n']"
s53595850_24,p15114531,s53595850,24,Findings,"Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs appear clear. The previously noted patchy opacity within the right lower lobe seen on CT is not well visualized on the current exam. No pleural effusion or pneumothorax is present. Cervical spinal fusion hardware is partially imaged. Several clips are noted within the left upper quadrant of the abdomen.",The previously noted patchy opacity within the right lower lobe seen on CT is not well visualized on the current exam.,patchy opacity,Right lower lobe,Better,"['files/p15/p15114531/s53595850/5d38b235-8992ecec-2b630078-d290f396-00fdf5db.jpg', 'files/p15/p15114531/s53595850/b43f1646-506a2bd6-50a28dbd-2d7d2162-eda74210.jpg']","['files/p15/p15114531/s53033654/3a432ca2-728bb41b-d1d64eb8-cbab2f76-a11945ef.jpg\n', 'files/p15/p15114531/s53033654/92d9fd50-81412806-b71e4d05-9ef38071-6b25204c.jpg\n']"
s53595850_24,p15114531,s53595850,24,Impression,"No acute cardiopulmonary abnormality. Of note, the patchy opacity within the right lower lobe seen on prior CT is not visualized on the current radiograph.","Of note, the patchy opacity within the right lower lobe seen on prior CT is not visualized on the current radiograph.",patchy opacity,Right lower lobe,Better,"['files/p15/p15114531/s53595850/5d38b235-8992ecec-2b630078-d290f396-00fdf5db.jpg', 'files/p15/p15114531/s53595850/b43f1646-506a2bd6-50a28dbd-2d7d2162-eda74210.jpg']","['files/p15/p15114531/s53033654/3a432ca2-728bb41b-d1d64eb8-cbab2f76-a11945ef.jpg\n', 'files/p15/p15114531/s53033654/92d9fd50-81412806-b71e4d05-9ef38071-6b25204c.jpg\n']"
s53597008_22,p19182863,s53597008,22,Findings,"In comparison with study of ___, there is little overall change. Again there is enlargement of the cardiac silhouette with pulmonary vascular congestion and hazy opacification of the right hemithorax suggesting layering pleural effusion. Right IJ catheter again extends to the mid-to-lower portion of the SVC. Mild atelectatic changes are seen at the bases.",Right IJ catheter again extends to the mid-to-lower portion of the SVC.,catheter,right IJ,Stable,['files/p19/p19182863/s53597008/0fbc52f8-e1f7ad4b-73a2039c-cb06f96e-e187e1f7.jpg'],['files/p19/p19182863/s52921410/270ee8d2-c6faa805-d42cb329-a3cd5951-c4b26875.jpg\n']
s53597008_22,p19182863,s53597008,22,Findings,"In comparison with study of ___, there is little overall change. Again there is enlargement of the cardiac silhouette with pulmonary vascular congestion and hazy opacification of the right hemithorax suggesting layering pleural effusion. Right IJ catheter again extends to the mid-to-lower portion of the SVC. Mild atelectatic changes are seen at the bases.",Again there is enlargement of the cardiac silhouette with pulmonary vascular congestion and hazy opacification of the right hemithorax suggesting layering pleural effusion.,"cardiac silhouette enlargement, pulmonary vascular congestion, hazy opacification",right hemithorax,Stable,['files/p19/p19182863/s53597008/0fbc52f8-e1f7ad4b-73a2039c-cb06f96e-e187e1f7.jpg'],['files/p19/p19182863/s52921410/270ee8d2-c6faa805-d42cb329-a3cd5951-c4b26875.jpg\n']
s53597008_22,p19182863,s53597008,22,Findings,"In comparison with study of ___, there is little overall change. Again there is enlargement of the cardiac silhouette with pulmonary vascular congestion and hazy opacification of the right hemithorax suggesting layering pleural effusion. Right IJ catheter again extends to the mid-to-lower portion of the SVC. Mild atelectatic changes are seen at the bases.","In comparison with study of ___, there is little overall change.",,,Stable,['files/p19/p19182863/s53597008/0fbc52f8-e1f7ad4b-73a2039c-cb06f96e-e187e1f7.jpg'],['files/p19/p19182863/s52921410/270ee8d2-c6faa805-d42cb329-a3cd5951-c4b26875.jpg\n']
s53598647_15,p13881772,s53598647,15,Findings,PA and lateral views of the chest were provided. Lungs are clear bilaterally. No effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable. Bony structures are intact.,Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p13/p13881772/s53598647/0ac370ca-d14e45b3-07c05241-b3a551b3-4cde1652.jpg', 'files/p13/p13881772/s53598647/9b9401ad-e590ff90-2ac696ba-9c7f78b2-661402b7.jpg']",['files/p13/p13881772/s53198721/b32da72c-ae689a0b-86c6297f-a34fb19e-fafd4351.jpg\n']
s53600674_6,p10523725,s53600674,6,Findings,The cardiomediastinal and hilar contours are stable. The aorta is again noted to be tortuous. The patient is status post CABG with median sternotomy wires in place. The second most superior median sternotomy wires again noted to be fractured. There is no pleural effusion or pneumothorax. The lungs are well-expanded with stable scarring at the right costophrenic angle. There is no new focal consolidation concerning for pneumonia. There is no overt pulmonary edema. The upper abdomen is unremarkable aside from surgical clips.,The cardiomediastinal and hilar contours are stable.,,cardiomediastinal and hilar contours,Stable,"['files/p10/p10523725/s53600674/139b2deb-4cbe9f56-ab409b53-eca8cf84-948944b3.jpg', 'files/p10/p10523725/s53600674/246bf56f-86895e3e-aaf9221d-84e307df-55daed75.jpg', 'files/p10/p10523725/s53600674/5ba813f9-7033915e-56868fad-30e017d8-8f69eeba.jpg', 'files/p10/p10523725/s53600674/ab41acce-48c02bd3-f4172b1a-f1eb4eee-8032c437.jpg']","['files/p10/p10523725/s52943383/150a4890-ad806dcc-cc602c78-0f644480-ea77a79e.jpg\n', 'files/p10/p10523725/s52943383/9f4bbb18-b5f3b163-4d6eeb13-986b9f71-ac88f08a.jpg\n', 'files/p10/p10523725/s52943383/d2738a71-3831deab-ac7d0164-16ff75a4-284704ff.jpg\n']"
s53600674_6,p10523725,s53600674,6,Findings,The cardiomediastinal and hilar contours are stable. The aorta is again noted to be tortuous. The patient is status post CABG with median sternotomy wires in place. The second most superior median sternotomy wires again noted to be fractured. There is no pleural effusion or pneumothorax. The lungs are well-expanded with stable scarring at the right costophrenic angle. There is no new focal consolidation concerning for pneumonia. There is no overt pulmonary edema. The upper abdomen is unremarkable aside from surgical clips.,The lungs are well-expanded with stable scarring at the right costophrenic angle.,scarring,right costophrenic angle,Stable,"['files/p10/p10523725/s53600674/139b2deb-4cbe9f56-ab409b53-eca8cf84-948944b3.jpg', 'files/p10/p10523725/s53600674/246bf56f-86895e3e-aaf9221d-84e307df-55daed75.jpg', 'files/p10/p10523725/s53600674/5ba813f9-7033915e-56868fad-30e017d8-8f69eeba.jpg', 'files/p10/p10523725/s53600674/ab41acce-48c02bd3-f4172b1a-f1eb4eee-8032c437.jpg']","['files/p10/p10523725/s52943383/150a4890-ad806dcc-cc602c78-0f644480-ea77a79e.jpg\n', 'files/p10/p10523725/s52943383/9f4bbb18-b5f3b163-4d6eeb13-986b9f71-ac88f08a.jpg\n', 'files/p10/p10523725/s52943383/d2738a71-3831deab-ac7d0164-16ff75a4-284704ff.jpg\n']"
s53602937_0,p16334516,s53602937,0,Impression,Stable appearance of left lung nodule better characterized on CT chest dated ___.,Stable appearance of left lung nodule better characterized on CT chest dated ___.,nodule,left lung,Stable,['files/p16/p16334516/s53602937/4e978740-b97d9a2c-f97c4610-4dd52d72-5cb121ef.jpg'],['files/p16/p16334516/s52628998/21291544-3a540481-114dd644-ac5c71c2-69673493.jpg\n']
s53602937_0,p16334516,s53602937,0,Findings,"No focal opacities are noted in the right lung. Chain sutures in the right upper lung region are from prior resection. There is a 1.5 x 1.3 cm nodule in the left mid lung is unchanged compared with prior exam. Otherwise, there are no new focal opacities. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The sternotomy wires are intact and multiple surgical clips are noted in the lower thorax. External monitoring devices are noted.",There is a 1.5 x 1.3 cm nodule in the left mid lung is unchanged compared with prior exam.,nodule,left mid lung,Stable,['files/p16/p16334516/s53602937/4e978740-b97d9a2c-f97c4610-4dd52d72-5cb121ef.jpg'],['files/p16/p16334516/s52628998/21291544-3a540481-114dd644-ac5c71c2-69673493.jpg\n']
s53605259_3,p14744884,s53605259,3,Findings,"The cardiac, mediastinal and hilar contours are unchanged, with the cardiac silhouette size at the upper limits of normal. Right subclavian vascular stent is unchanged. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.",Right subclavian vascular stent is unchanged.,vascular stent,right subclavian,Stable,"['files/p14/p14744884/s53605259/2213d9b8-a439ba1b-d3c83a34-dffbbd3d-bf4fe01e.jpg', 'files/p14/p14744884/s53605259/60565158-58324362-cca18ef0-bb2bc393-750737fd.jpg']","['files/p14/p14744884/s52702994/4fe6df12-6ecc6b81-5dce29b5-8002ce3e-8a91378d.jpg\n', 'files/p14/p14744884/s52702994/dce92976-fb96a7c4-c9a1da62-474592a5-98203d87.jpg\n']"
s53605259_3,p14744884,s53605259,3,Findings,"The cardiac, mediastinal and hilar contours are unchanged, with the cardiac silhouette size at the upper limits of normal. Right subclavian vascular stent is unchanged. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.","The cardiac, mediastinal and hilar contours are unchanged, with the cardiac silhouette size at the upper limits of normal.","cardiac, mediastinal and hilar contours",,Stable,"['files/p14/p14744884/s53605259/2213d9b8-a439ba1b-d3c83a34-dffbbd3d-bf4fe01e.jpg', 'files/p14/p14744884/s53605259/60565158-58324362-cca18ef0-bb2bc393-750737fd.jpg']","['files/p14/p14744884/s52702994/4fe6df12-6ecc6b81-5dce29b5-8002ce3e-8a91378d.jpg\n', 'files/p14/p14744884/s52702994/dce92976-fb96a7c4-c9a1da62-474592a5-98203d87.jpg\n']"
s53606038_4,p12847817,s53606038,4,Findings,"A left-sided PICC line passes through a left brachiocephalic stent and terminates at the distal superior vena cava. The cardiac, mediastinal and hilar contours are stable. A moderate-sized pleural effusion on the right freely layers. There is also a small left-sided layering pleural effusion. Substantial coinciding right basilar atelectasis seems to involve collapse of all or much of the right middle lobe and substantial elements of the right lower lobe. There is no shift of mediastinal structures.","The cardiac, mediastinal and hilar contours are stable.",contours,"cardiac, mediastinal and hilar",Stable,"['files/p12/p12847817/s53606038/399fb314-aac34ecd-b7b71a40-3b2ac5e3-9dcdaa7a.jpg', 'files/p12/p12847817/s53606038/8425d9d4-d45b1cc4-3ab58d94-a0781e72-631521c7.jpg', 'files/p12/p12847817/s53606038/e67be816-b2f1bd32-58040b96-1b4dcb86-1b81d22c.jpg']","['files/p12/p12847817/s53469163/b0663db1-ba5dbce0-63cb3bda-a52f0def-7e5435d9.jpg\n', 'files/p12/p12847817/s53469163/fb3ef8ae-36255356-cb0d2269-7e268b4a-a253c3bf.jpg\n']"
s53608414_2,p14722763,s53608414,2,Findings,"In comparison with the study of ___, there is continued diffuse opacification involving much of the right hemithorax. Again this could reflect asymmetric pulmonary edema, though pulmonary infection or hemorrhage is probably more likely. No change in the appearance of the retrocardiac opacification consistent with substantial volume loss or consolidation in the left lower lobe. Continued enlargement of the cardiac silhouette.",No change in the appearance of the retrocardiac opacification consistent with substantial volume loss or consolidation in the left lower lobe.,retrocardiac opacification,left lower lobe,Stable,['files/p14/p14722763/s53608414/327876be-d8f1de31-424ef286-e890c535-7403b6b8.jpg'],"['files/p14/p14722763/s51766355/1a20d32d-56fcb21b-80514db1-d78aa7eb-c60c9bb1.jpg\n', 'files/p14/p14722763/s51766355/8d2b343d-5f569dbe-d6ced9ab-01862237-a2d8520c.jpg\n', 'files/p14/p14722763/s51766355/9e51895a-9f186f5a-4b0a5de3-44c03a40-204d048b.jpg\n']"
s53608414_2,p14722763,s53608414,2,Findings,"In comparison with the study of ___, there is continued diffuse opacification involving much of the right hemithorax. Again this could reflect asymmetric pulmonary edema, though pulmonary infection or hemorrhage is probably more likely. No change in the appearance of the retrocardiac opacification consistent with substantial volume loss or consolidation in the left lower lobe. Continued enlargement of the cardiac silhouette.","In comparison with the study of ___, there is continued diffuse opacification involving much of the right hemithorax.",diffuse opacification,right hemithorax,Stable,['files/p14/p14722763/s53608414/327876be-d8f1de31-424ef286-e890c535-7403b6b8.jpg'],"['files/p14/p14722763/s51766355/1a20d32d-56fcb21b-80514db1-d78aa7eb-c60c9bb1.jpg\n', 'files/p14/p14722763/s51766355/8d2b343d-5f569dbe-d6ced9ab-01862237-a2d8520c.jpg\n', 'files/p14/p14722763/s51766355/9e51895a-9f186f5a-4b0a5de3-44c03a40-204d048b.jpg\n']"
s53608414_2,p14722763,s53608414,2,Findings,"In comparison with the study of ___, there is continued diffuse opacification involving much of the right hemithorax. Again this could reflect asymmetric pulmonary edema, though pulmonary infection or hemorrhage is probably more likely. No change in the appearance of the retrocardiac opacification consistent with substantial volume loss or consolidation in the left lower lobe. Continued enlargement of the cardiac silhouette.",Continued enlargement of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p14/p14722763/s53608414/327876be-d8f1de31-424ef286-e890c535-7403b6b8.jpg'],"['files/p14/p14722763/s51766355/1a20d32d-56fcb21b-80514db1-d78aa7eb-c60c9bb1.jpg\n', 'files/p14/p14722763/s51766355/8d2b343d-5f569dbe-d6ced9ab-01862237-a2d8520c.jpg\n', 'files/p14/p14722763/s51766355/9e51895a-9f186f5a-4b0a5de3-44c03a40-204d048b.jpg\n']"
s53608469_24,p19182863,s53608469,24,Findings,Cardiac silhouette remains moderately enlarged slightly increased from prior exam. There has been interval increase in central pulmonary vascular engorgement as well as interstitial edema. A focal right lower lung consolidation has increased in severity and is worrisome for pneumonia. There is no large pleural effusion or pneumothorax. A right internal jugular central venous catheter is unchanged in position.,A right internal jugular central venous catheter is unchanged in position.,central venous catheter,right internal jugular,Stable,['files/p19/p19182863/s53608469/1385f4a5-f1a65c0d-03e20ca7-6c7c7812-681c33fe.jpg'],['files/p19/p19182863/s53597008/0fbc52f8-e1f7ad4b-73a2039c-cb06f96e-e187e1f7.jpg\n']
s53608469_24,p19182863,s53608469,24,Impression,Worsening pulmonary congestion and edema as well as worsening right lower lung consolidation worrisome for pneumonia. Results were discussed over the telephone with Dr. ___ by ___ at 10:48 on ___ at time of initial review.,Worsening pulmonary congestion and edema as well as worsening right lower lung consolidation worrisome for pneumonia.,"pulmonary congestion, edema, consolidation",right lower lung,Worse,['files/p19/p19182863/s53608469/1385f4a5-f1a65c0d-03e20ca7-6c7c7812-681c33fe.jpg'],['files/p19/p19182863/s53597008/0fbc52f8-e1f7ad4b-73a2039c-cb06f96e-e187e1f7.jpg\n']
s53608469_24,p19182863,s53608469,24,Findings,Cardiac silhouette remains moderately enlarged slightly increased from prior exam. There has been interval increase in central pulmonary vascular engorgement as well as interstitial edema. A focal right lower lung consolidation has increased in severity and is worrisome for pneumonia. There is no large pleural effusion or pneumothorax. A right internal jugular central venous catheter is unchanged in position.,A focal right lower lung consolidation has increased in severity and is worrisome for pneumonia.,consolidation,right lower lung,Worse,['files/p19/p19182863/s53608469/1385f4a5-f1a65c0d-03e20ca7-6c7c7812-681c33fe.jpg'],['files/p19/p19182863/s53597008/0fbc52f8-e1f7ad4b-73a2039c-cb06f96e-e187e1f7.jpg\n']
s53608469_24,p19182863,s53608469,24,Findings,Cardiac silhouette remains moderately enlarged slightly increased from prior exam. There has been interval increase in central pulmonary vascular engorgement as well as interstitial edema. A focal right lower lung consolidation has increased in severity and is worrisome for pneumonia. There is no large pleural effusion or pneumothorax. A right internal jugular central venous catheter is unchanged in position.,Cardiac silhouette remains moderately enlarged slightly increased from prior exam.,cardiac silhouette enlargement,,Worse,['files/p19/p19182863/s53608469/1385f4a5-f1a65c0d-03e20ca7-6c7c7812-681c33fe.jpg'],['files/p19/p19182863/s53597008/0fbc52f8-e1f7ad4b-73a2039c-cb06f96e-e187e1f7.jpg\n']
s53608469_24,p19182863,s53608469,24,Findings,Cardiac silhouette remains moderately enlarged slightly increased from prior exam. There has been interval increase in central pulmonary vascular engorgement as well as interstitial edema. A focal right lower lung consolidation has increased in severity and is worrisome for pneumonia. There is no large pleural effusion or pneumothorax. A right internal jugular central venous catheter is unchanged in position.,There has been interval increase in central pulmonary vascular engorgement as well as interstitial edema.,central pulmonary vascular engorgement and interstitial edema,,Worse,['files/p19/p19182863/s53608469/1385f4a5-f1a65c0d-03e20ca7-6c7c7812-681c33fe.jpg'],['files/p19/p19182863/s53597008/0fbc52f8-e1f7ad4b-73a2039c-cb06f96e-e187e1f7.jpg\n']
s53619001_6,p15659181,s53619001,6,Impression,"Prominence of the left hilum appears slightly less confluent as compared to the prior study, but otherwise persists; again, underlying lymphadenopathy is not entirely excluded, and could be further assessed for on nonurgent chest CT. No focal consolidation.","Prominence of the left hilum appears slightly less confluent as compared to the prior study, but otherwise persists; again, underlying lymphadenopathy is not entirely excluded, and could be further assessed for on nonurgent chest CT.",prominence,left hilum,Stable,"['files/p15/p15659181/s53619001/976273c3-1fc9e5d3-58b68382-bc1ee192-ad4bcbce.jpg', 'files/p15/p15659181/s53619001/9f865621-5dd659d0-1258a722-ddb9a27f-f6188299.jpg', 'files/p15/p15659181/s53619001/a9a7d29d-d6bfc7f0-0cf3ce22-1a6a9dbc-1df52ce1.jpg']","['files/p15/p15659181/s53130454/0bfd31e5-76a7abb7-f9651ef5-a73bef92-57c65fd2.jpg\n', 'files/p15/p15659181/s53130454/5508a85f-2f9f244d-d22cda11-0527ab51-a15d5058.jpg\n', 'files/p15/p15659181/s53130454/878ffc5b-fbc8c37b-45a5b548-6883c9d4-5fa06364.jpg\n']"
s53619001_6,p15659181,s53619001,6,Findings,"There is persistent prominence of the left hilum which appears site less confluent as compared to ___, but more prominent as compared to chest radiograph from ___, underlying lymphadenopathy not excluded.No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.",The cardiac and mediastinal silhouettes are stable.,,cardiac and mediastinal silhouettes,Stable,"['files/p15/p15659181/s53619001/976273c3-1fc9e5d3-58b68382-bc1ee192-ad4bcbce.jpg', 'files/p15/p15659181/s53619001/9f865621-5dd659d0-1258a722-ddb9a27f-f6188299.jpg', 'files/p15/p15659181/s53619001/a9a7d29d-d6bfc7f0-0cf3ce22-1a6a9dbc-1df52ce1.jpg']","['files/p15/p15659181/s53130454/0bfd31e5-76a7abb7-f9651ef5-a73bef92-57c65fd2.jpg\n', 'files/p15/p15659181/s53130454/5508a85f-2f9f244d-d22cda11-0527ab51-a15d5058.jpg\n', 'files/p15/p15659181/s53130454/878ffc5b-fbc8c37b-45a5b548-6883c9d4-5fa06364.jpg\n']"
s53619001_6,p15659181,s53619001,6,Findings,"There is persistent prominence of the left hilum which appears site less confluent as compared to ___, but more prominent as compared to chest radiograph from ___, underlying lymphadenopathy not excluded.No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.","There is persistent prominence of the left hilum which appears site less confluent as compared to ___, but more prominent as compared to chest radiograph from ___, underlying lymphadenopathy not excluded.",prominence,left hilum,Stable,"['files/p15/p15659181/s53619001/976273c3-1fc9e5d3-58b68382-bc1ee192-ad4bcbce.jpg', 'files/p15/p15659181/s53619001/9f865621-5dd659d0-1258a722-ddb9a27f-f6188299.jpg', 'files/p15/p15659181/s53619001/a9a7d29d-d6bfc7f0-0cf3ce22-1a6a9dbc-1df52ce1.jpg']","['files/p15/p15659181/s53130454/0bfd31e5-76a7abb7-f9651ef5-a73bef92-57c65fd2.jpg\n', 'files/p15/p15659181/s53130454/5508a85f-2f9f244d-d22cda11-0527ab51-a15d5058.jpg\n', 'files/p15/p15659181/s53130454/878ffc5b-fbc8c37b-45a5b548-6883c9d4-5fa06364.jpg\n']"
s53631792_2,p18460230,s53631792,2,Findings,"In comparison with study of ___, the monitoring and support devices remain unchanged. There appears to be some increasing haziness of the right hemithorax, which would be consistent with some increasing pleural effusion. However, this is difficult to assess since it could reflect changes in patient position. The pulmonary vessels appear more engorged than on the previous study and there continues to be substantial enlargement of the cardiac silhouette.",The pulmonary vessels appear more engorged than on the previous study and there continues to be substantial enlargement of the cardiac silhouette.,cardiac silhouette enlargement,,Stable,['files/p18/p18460230/s53631792/369dc5bd-70bd89d0-2d90fa80-f319ec1d-fb2802aa.jpg'],['files/p18/p18460230/s53225676/250bb626-f805c9f6-d82488e1-019d8362-ddb9eae6.jpg\n']
s53631792_2,p18460230,s53631792,2,Findings,"In comparison with study of ___, the monitoring and support devices remain unchanged. There appears to be some increasing haziness of the right hemithorax, which would be consistent with some increasing pleural effusion. However, this is difficult to assess since it could reflect changes in patient position. The pulmonary vessels appear more engorged than on the previous study and there continues to be substantial enlargement of the cardiac silhouette.","There appears to be some increasing haziness of the right hemithorax, which would be consistent with some increasing pleural effusion.",haziness,right hemithorax,Worse,['files/p18/p18460230/s53631792/369dc5bd-70bd89d0-2d90fa80-f319ec1d-fb2802aa.jpg'],['files/p18/p18460230/s53225676/250bb626-f805c9f6-d82488e1-019d8362-ddb9eae6.jpg\n']
s53631792_2,p18460230,s53631792,2,Findings,"In comparison with study of ___, the monitoring and support devices remain unchanged. There appears to be some increasing haziness of the right hemithorax, which would be consistent with some increasing pleural effusion. However, this is difficult to assess since it could reflect changes in patient position. The pulmonary vessels appear more engorged than on the previous study and there continues to be substantial enlargement of the cardiac silhouette.",The pulmonary vessels appear more engorged than on the previous study and there continues to be substantial enlargement of the cardiac silhouette.,pulmonary vessels engorgement,,Worse,['files/p18/p18460230/s53631792/369dc5bd-70bd89d0-2d90fa80-f319ec1d-fb2802aa.jpg'],['files/p18/p18460230/s53225676/250bb626-f805c9f6-d82488e1-019d8362-ddb9eae6.jpg\n']
s53631792_2,p18460230,s53631792,2,Findings,"In comparison with study of ___, the monitoring and support devices remain unchanged. There appears to be some increasing haziness of the right hemithorax, which would be consistent with some increasing pleural effusion. However, this is difficult to assess since it could reflect changes in patient position. The pulmonary vessels appear more engorged than on the previous study and there continues to be substantial enlargement of the cardiac silhouette.","There appears to be some increasing haziness of the right hemithorax, which would be consistent with some increasing pleural effusion.",pleural effusion,right hemithorax,Worse,['files/p18/p18460230/s53631792/369dc5bd-70bd89d0-2d90fa80-f319ec1d-fb2802aa.jpg'],['files/p18/p18460230/s53225676/250bb626-f805c9f6-d82488e1-019d8362-ddb9eae6.jpg\n']
s53631792_2,p18460230,s53631792,2,Findings,"In comparison with study of ___, the monitoring and support devices remain unchanged. There appears to be some increasing haziness of the right hemithorax, which would be consistent with some increasing pleural effusion. However, this is difficult to assess since it could reflect changes in patient position. The pulmonary vessels appear more engorged than on the previous study and there continues to be substantial enlargement of the cardiac silhouette.","In comparison with study of ___, the monitoring and support devices remain unchanged.",monitoring and support devices,,Stable,['files/p18/p18460230/s53631792/369dc5bd-70bd89d0-2d90fa80-f319ec1d-fb2802aa.jpg'],['files/p18/p18460230/s53225676/250bb626-f805c9f6-d82488e1-019d8362-ddb9eae6.jpg\n']
s53632136_29,p16508811,s53632136,29,Impression,"In comparison with the study ___, there again are patchy areas of increased opacification at both bases, very worrisome for bilateral pneumonia. The remainder of the examination is unchanged.",The remainder of the examination is unchanged.,remainder of the examination,,Stable,"['files/p16/p16508811/s53632136/2bd47b99-16c5c75b-86da3b8e-93f76ede-b6983ea3.jpg', 'files/p16/p16508811/s53632136/6df1ead4-3f9088a1-4ed72df3-6380eb86-13a0b892.jpg', 'files/p16/p16508811/s53632136/cf4509de-e07c9ef6-ac4ef196-5d471150-97723ba4.jpg']","['files/p16/p16508811/s53183813/3e35e5c5-a1990b18-b3d03116-6599c881-27d172e8.jpg\n', 'files/p16/p16508811/s53183813/e07fa786-650ff653-81675db1-7d20a8f0-b4a5b8f3.jpg\n']"
s53632136_29,p16508811,s53632136,29,Impression,"In comparison with the study ___, there again are patchy areas of increased opacification at both bases, very worrisome for bilateral pneumonia. The remainder of the examination is unchanged.","In comparison with the study ___, there again are patchy areas of increased opacification at both bases, very worrisome for bilateral pneumonia.",opacification,both bases,Worse,"['files/p16/p16508811/s53632136/2bd47b99-16c5c75b-86da3b8e-93f76ede-b6983ea3.jpg', 'files/p16/p16508811/s53632136/6df1ead4-3f9088a1-4ed72df3-6380eb86-13a0b892.jpg', 'files/p16/p16508811/s53632136/cf4509de-e07c9ef6-ac4ef196-5d471150-97723ba4.jpg']","['files/p16/p16508811/s53183813/3e35e5c5-a1990b18-b3d03116-6599c881-27d172e8.jpg\n', 'files/p16/p16508811/s53183813/e07fa786-650ff653-81675db1-7d20a8f0-b4a5b8f3.jpg\n']"
s53641457_0,p17392550,s53641457,0,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 ___ ___. There is status post sternotomy and aortic valve replacement identifying the metallic components of a porcine aortic valve stenosis in place. These findings are rather unchanged. The heart size has increased slightly. No typical new configurational abnormality can be identified. The pulmonary vasculature is not congested, nor is there evidence. Marked left atrial enlargement when comparing the posterior cardiac wall in relation to the aortic valve prosthesis on the lateral view. The pulmonary vasculature is not congested. On the other hand, the pulmonary vasculature shows again the previously described marked irregular peripheral distribution that coincides with low positioned and flattened diaphragms. Marked increase of chest diameter in depth is noted on the lateral view and related to a markedly increased kyphotic curvature with multiple wedge compressed vertebral bodies in the mid portion of the thoracic spine. As before, one sees multiple peripheral small linear densities and areas of increased translucency rather typical for advanced COPD. Comparison with the next preceding study ___ ___ does not disclose any new discrete parenchymal infiltrate. Also, the lateral and posterior pleural sinuses remain free from any significant fluid accumulation. Bilateral apical pleural thickenings are again seen and have not undergone any significant interval change. Multiple rib deformities as before indicative of previously sustained local rib fractures. Comparison with the next preceding chest examination demonstrates on the frontal view increase of the heart shadow. This coincides also with a more prominent visibility of the azygos vein in the right tracheobronchial angulation. Thus, these findings could suggest a volume increase of the right ventricle and thereto related elevated right-sided filling pressure, a suggestion which matches information that the would recommend the performance of an echocardiogram to look for possible right ventricular strain, tricuspid incompetence and elevated right-sided filling pressure. patient has developed new pedal edema. To confirm this suspicion,an echocardiograM could be helpful. No acute new parenchymal infiltrates in these advanced findings of of COPD.No evidence of pulmonary venous congestion.",patient has developed new pedal edema.,Pedal edema,,New,"['files/p17/p17392550/s53641457/6029ba23-5d73e768-c1fe417b-73eb330f-9c507e77.jpg', 'files/p17/p17392550/s53641457/c08e8ebb-14a3a1f0-0da1ea4e-1b2412fb-f2d4da54.jpg']","['files/p17/p17392550/s51791247/9adf1edf-b9cd0878-60c0cc62-6a5125d2-d77223ee.jpg\n', 'files/p17/p17392550/s51791247/aa0846b4-d00f5edd-d3cfefd0-2318b977-1c035245.jpg\n', 'files/p17/p17392550/s51791247/b016415e-902049d0-94f8ea46-c19425cf-f3a5dfb6.jpg\n']"
s53641457_0,p17392550,s53641457,0,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 ___ ___. There is status post sternotomy and aortic valve replacement identifying the metallic components of a porcine aortic valve stenosis in place. These findings are rather unchanged. The heart size has increased slightly. No typical new configurational abnormality can be identified. The pulmonary vasculature is not congested, nor is there evidence. Marked left atrial enlargement when comparing the posterior cardiac wall in relation to the aortic valve prosthesis on the lateral view. The pulmonary vasculature is not congested. On the other hand, the pulmonary vasculature shows again the previously described marked irregular peripheral distribution that coincides with low positioned and flattened diaphragms. Marked increase of chest diameter in depth is noted on the lateral view and related to a markedly increased kyphotic curvature with multiple wedge compressed vertebral bodies in the mid portion of the thoracic spine. As before, one sees multiple peripheral small linear densities and areas of increased translucency rather typical for advanced COPD. Comparison with the next preceding study ___ ___ does not disclose any new discrete parenchymal infiltrate. Also, the lateral and posterior pleural sinuses remain free from any significant fluid accumulation. Bilateral apical pleural thickenings are again seen and have not undergone any significant interval change. Multiple rib deformities as before indicative of previously sustained local rib fractures. Comparison with the next preceding chest examination demonstrates on the frontal view increase of the heart shadow. This coincides also with a more prominent visibility of the azygos vein in the right tracheobronchial angulation. Thus, these findings could suggest a volume increase of the right ventricle and thereto related elevated right-sided filling pressure, a suggestion which matches information that the would recommend the performance of an echocardiogram to look for possible right ventricular strain, tricuspid incompetence and elevated right-sided filling pressure. patient has developed new pedal edema. To confirm this suspicion,an echocardiograM could be helpful. No acute new parenchymal infiltrates in these advanced findings of of COPD.No evidence of pulmonary venous congestion.",Multiple rib deformities as before indicative of previously sustained local rib fractures.,Rib deformities,Multiple,Stable,"['files/p17/p17392550/s53641457/6029ba23-5d73e768-c1fe417b-73eb330f-9c507e77.jpg', 'files/p17/p17392550/s53641457/c08e8ebb-14a3a1f0-0da1ea4e-1b2412fb-f2d4da54.jpg']","['files/p17/p17392550/s51791247/9adf1edf-b9cd0878-60c0cc62-6a5125d2-d77223ee.jpg\n', 'files/p17/p17392550/s51791247/aa0846b4-d00f5edd-d3cfefd0-2318b977-1c035245.jpg\n', 'files/p17/p17392550/s51791247/b016415e-902049d0-94f8ea46-c19425cf-f3a5dfb6.jpg\n']"
s53641457_0,p17392550,s53641457,0,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 ___ ___. There is status post sternotomy and aortic valve replacement identifying the metallic components of a porcine aortic valve stenosis in place. These findings are rather unchanged. The heart size has increased slightly. No typical new configurational abnormality can be identified. The pulmonary vasculature is not congested, nor is there evidence. Marked left atrial enlargement when comparing the posterior cardiac wall in relation to the aortic valve prosthesis on the lateral view. The pulmonary vasculature is not congested. On the other hand, the pulmonary vasculature shows again the previously described marked irregular peripheral distribution that coincides with low positioned and flattened diaphragms. Marked increase of chest diameter in depth is noted on the lateral view and related to a markedly increased kyphotic curvature with multiple wedge compressed vertebral bodies in the mid portion of the thoracic spine. As before, one sees multiple peripheral small linear densities and areas of increased translucency rather typical for advanced COPD. Comparison with the next preceding study ___ ___ does not disclose any new discrete parenchymal infiltrate. Also, the lateral and posterior pleural sinuses remain free from any significant fluid accumulation. Bilateral apical pleural thickenings are again seen and have not undergone any significant interval change. Multiple rib deformities as before indicative of previously sustained local rib fractures. Comparison with the next preceding chest examination demonstrates on the frontal view increase of the heart shadow. This coincides also with a more prominent visibility of the azygos vein in the right tracheobronchial angulation. Thus, these findings could suggest a volume increase of the right ventricle and thereto related elevated right-sided filling pressure, a suggestion which matches information that the would recommend the performance of an echocardiogram to look for possible right ventricular strain, tricuspid incompetence and elevated right-sided filling pressure. patient has developed new pedal edema. To confirm this suspicion,an echocardiograM could be helpful. No acute new parenchymal infiltrates in these advanced findings of of COPD.No evidence of pulmonary venous congestion.","On the other hand, the pulmonary vasculature shows again the previously described marked irregular peripheral distribution that coincides with low positioned and flattened diaphragms.",Pulmonary vasculature distribution,Peripheral,Stable,"['files/p17/p17392550/s53641457/6029ba23-5d73e768-c1fe417b-73eb330f-9c507e77.jpg', 'files/p17/p17392550/s53641457/c08e8ebb-14a3a1f0-0da1ea4e-1b2412fb-f2d4da54.jpg']","['files/p17/p17392550/s51791247/9adf1edf-b9cd0878-60c0cc62-6a5125d2-d77223ee.jpg\n', 'files/p17/p17392550/s51791247/aa0846b4-d00f5edd-d3cfefd0-2318b977-1c035245.jpg\n', 'files/p17/p17392550/s51791247/b016415e-902049d0-94f8ea46-c19425cf-f3a5dfb6.jpg\n']"
s53641457_0,p17392550,s53641457,0,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 ___ ___. There is status post sternotomy and aortic valve replacement identifying the metallic components of a porcine aortic valve stenosis in place. These findings are rather unchanged. The heart size has increased slightly. No typical new configurational abnormality can be identified. The pulmonary vasculature is not congested, nor is there evidence. Marked left atrial enlargement when comparing the posterior cardiac wall in relation to the aortic valve prosthesis on the lateral view. The pulmonary vasculature is not congested. On the other hand, the pulmonary vasculature shows again the previously described marked irregular peripheral distribution that coincides with low positioned and flattened diaphragms. Marked increase of chest diameter in depth is noted on the lateral view and related to a markedly increased kyphotic curvature with multiple wedge compressed vertebral bodies in the mid portion of the thoracic spine. As before, one sees multiple peripheral small linear densities and areas of increased translucency rather typical for advanced COPD. Comparison with the next preceding study ___ ___ does not disclose any new discrete parenchymal infiltrate. Also, the lateral and posterior pleural sinuses remain free from any significant fluid accumulation. Bilateral apical pleural thickenings are again seen and have not undergone any significant interval change. Multiple rib deformities as before indicative of previously sustained local rib fractures. Comparison with the next preceding chest examination demonstrates on the frontal view increase of the heart shadow. This coincides also with a more prominent visibility of the azygos vein in the right tracheobronchial angulation. Thus, these findings could suggest a volume increase of the right ventricle and thereto related elevated right-sided filling pressure, a suggestion which matches information that the would recommend the performance of an echocardiogram to look for possible right ventricular strain, tricuspid incompetence and elevated right-sided filling pressure. patient has developed new pedal edema. To confirm this suspicion,an echocardiograM could be helpful. No acute new parenchymal infiltrates in these advanced findings of of COPD.No evidence of pulmonary venous congestion.",These findings are rather unchanged.,,,Stable,"['files/p17/p17392550/s53641457/6029ba23-5d73e768-c1fe417b-73eb330f-9c507e77.jpg', 'files/p17/p17392550/s53641457/c08e8ebb-14a3a1f0-0da1ea4e-1b2412fb-f2d4da54.jpg']","['files/p17/p17392550/s51791247/9adf1edf-b9cd0878-60c0cc62-6a5125d2-d77223ee.jpg\n', 'files/p17/p17392550/s51791247/aa0846b4-d00f5edd-d3cfefd0-2318b977-1c035245.jpg\n', 'files/p17/p17392550/s51791247/b016415e-902049d0-94f8ea46-c19425cf-f3a5dfb6.jpg\n']"
s53641457_0,p17392550,s53641457,0,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 ___ ___. There is status post sternotomy and aortic valve replacement identifying the metallic components of a porcine aortic valve stenosis in place. These findings are rather unchanged. The heart size has increased slightly. No typical new configurational abnormality can be identified. The pulmonary vasculature is not congested, nor is there evidence. Marked left atrial enlargement when comparing the posterior cardiac wall in relation to the aortic valve prosthesis on the lateral view. The pulmonary vasculature is not congested. On the other hand, the pulmonary vasculature shows again the previously described marked irregular peripheral distribution that coincides with low positioned and flattened diaphragms. Marked increase of chest diameter in depth is noted on the lateral view and related to a markedly increased kyphotic curvature with multiple wedge compressed vertebral bodies in the mid portion of the thoracic spine. As before, one sees multiple peripheral small linear densities and areas of increased translucency rather typical for advanced COPD. Comparison with the next preceding study ___ ___ does not disclose any new discrete parenchymal infiltrate. Also, the lateral and posterior pleural sinuses remain free from any significant fluid accumulation. Bilateral apical pleural thickenings are again seen and have not undergone any significant interval change. Multiple rib deformities as before indicative of previously sustained local rib fractures. Comparison with the next preceding chest examination demonstrates on the frontal view increase of the heart shadow. This coincides also with a more prominent visibility of the azygos vein in the right tracheobronchial angulation. Thus, these findings could suggest a volume increase of the right ventricle and thereto related elevated right-sided filling pressure, a suggestion which matches information that the would recommend the performance of an echocardiogram to look for possible right ventricular strain, tricuspid incompetence and elevated right-sided filling pressure. patient has developed new pedal edema. To confirm this suspicion,an echocardiograM could be helpful. No acute new parenchymal infiltrates in these advanced findings of of COPD.No evidence of pulmonary venous congestion.","As before, one sees multiple peripheral small linear densities and areas of increased translucency rather typical for advanced COPD.",COPD changes,Peripheral,Stable,"['files/p17/p17392550/s53641457/6029ba23-5d73e768-c1fe417b-73eb330f-9c507e77.jpg', 'files/p17/p17392550/s53641457/c08e8ebb-14a3a1f0-0da1ea4e-1b2412fb-f2d4da54.jpg']","['files/p17/p17392550/s51791247/9adf1edf-b9cd0878-60c0cc62-6a5125d2-d77223ee.jpg\n', 'files/p17/p17392550/s51791247/aa0846b4-d00f5edd-d3cfefd0-2318b977-1c035245.jpg\n', 'files/p17/p17392550/s51791247/b016415e-902049d0-94f8ea46-c19425cf-f3a5dfb6.jpg\n']"
s53641457_0,p17392550,s53641457,0,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 ___ ___. There is status post sternotomy and aortic valve replacement identifying the metallic components of a porcine aortic valve stenosis in place. These findings are rather unchanged. The heart size has increased slightly. No typical new configurational abnormality can be identified. The pulmonary vasculature is not congested, nor is there evidence. Marked left atrial enlargement when comparing the posterior cardiac wall in relation to the aortic valve prosthesis on the lateral view. The pulmonary vasculature is not congested. On the other hand, the pulmonary vasculature shows again the previously described marked irregular peripheral distribution that coincides with low positioned and flattened diaphragms. Marked increase of chest diameter in depth is noted on the lateral view and related to a markedly increased kyphotic curvature with multiple wedge compressed vertebral bodies in the mid portion of the thoracic spine. As before, one sees multiple peripheral small linear densities and areas of increased translucency rather typical for advanced COPD. Comparison with the next preceding study ___ ___ does not disclose any new discrete parenchymal infiltrate. Also, the lateral and posterior pleural sinuses remain free from any significant fluid accumulation. Bilateral apical pleural thickenings are again seen and have not undergone any significant interval change. Multiple rib deformities as before indicative of previously sustained local rib fractures. Comparison with the next preceding chest examination demonstrates on the frontal view increase of the heart shadow. This coincides also with a more prominent visibility of the azygos vein in the right tracheobronchial angulation. Thus, these findings could suggest a volume increase of the right ventricle and thereto related elevated right-sided filling pressure, a suggestion which matches information that the would recommend the performance of an echocardiogram to look for possible right ventricular strain, tricuspid incompetence and elevated right-sided filling pressure. patient has developed new pedal edema. To confirm this suspicion,an echocardiograM could be helpful. No acute new parenchymal infiltrates in these advanced findings of of COPD.No evidence of pulmonary venous congestion.",The heart size has increased slightly.,Heart size,,Worse,"['files/p17/p17392550/s53641457/6029ba23-5d73e768-c1fe417b-73eb330f-9c507e77.jpg', 'files/p17/p17392550/s53641457/c08e8ebb-14a3a1f0-0da1ea4e-1b2412fb-f2d4da54.jpg']","['files/p17/p17392550/s51791247/9adf1edf-b9cd0878-60c0cc62-6a5125d2-d77223ee.jpg\n', 'files/p17/p17392550/s51791247/aa0846b4-d00f5edd-d3cfefd0-2318b977-1c035245.jpg\n', 'files/p17/p17392550/s51791247/b016415e-902049d0-94f8ea46-c19425cf-f3a5dfb6.jpg\n']"
s53641457_0,p17392550,s53641457,0,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 ___ ___. There is status post sternotomy and aortic valve replacement identifying the metallic components of a porcine aortic valve stenosis in place. These findings are rather unchanged. The heart size has increased slightly. No typical new configurational abnormality can be identified. The pulmonary vasculature is not congested, nor is there evidence. Marked left atrial enlargement when comparing the posterior cardiac wall in relation to the aortic valve prosthesis on the lateral view. The pulmonary vasculature is not congested. On the other hand, the pulmonary vasculature shows again the previously described marked irregular peripheral distribution that coincides with low positioned and flattened diaphragms. Marked increase of chest diameter in depth is noted on the lateral view and related to a markedly increased kyphotic curvature with multiple wedge compressed vertebral bodies in the mid portion of the thoracic spine. As before, one sees multiple peripheral small linear densities and areas of increased translucency rather typical for advanced COPD. Comparison with the next preceding study ___ ___ does not disclose any new discrete parenchymal infiltrate. Also, the lateral and posterior pleural sinuses remain free from any significant fluid accumulation. Bilateral apical pleural thickenings are again seen and have not undergone any significant interval change. Multiple rib deformities as before indicative of previously sustained local rib fractures. Comparison with the next preceding chest examination demonstrates on the frontal view increase of the heart shadow. This coincides also with a more prominent visibility of the azygos vein in the right tracheobronchial angulation. Thus, these findings could suggest a volume increase of the right ventricle and thereto related elevated right-sided filling pressure, a suggestion which matches information that the would recommend the performance of an echocardiogram to look for possible right ventricular strain, tricuspid incompetence and elevated right-sided filling pressure. patient has developed new pedal edema. To confirm this suspicion,an echocardiograM could be helpful. No acute new parenchymal infiltrates in these advanced findings of of COPD.No evidence of pulmonary venous congestion.",Bilateral apical pleural thickenings are again seen and have not undergone any significant interval change.,Pleural thickening,Bilateral apical,Stable,"['files/p17/p17392550/s53641457/6029ba23-5d73e768-c1fe417b-73eb330f-9c507e77.jpg', 'files/p17/p17392550/s53641457/c08e8ebb-14a3a1f0-0da1ea4e-1b2412fb-f2d4da54.jpg']","['files/p17/p17392550/s51791247/9adf1edf-b9cd0878-60c0cc62-6a5125d2-d77223ee.jpg\n', 'files/p17/p17392550/s51791247/aa0846b4-d00f5edd-d3cfefd0-2318b977-1c035245.jpg\n', 'files/p17/p17392550/s51791247/b016415e-902049d0-94f8ea46-c19425cf-f3a5dfb6.jpg\n']"
s53641457_0,p17392550,s53641457,0,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 ___ ___. There is status post sternotomy and aortic valve replacement identifying the metallic components of a porcine aortic valve stenosis in place. These findings are rather unchanged. The heart size has increased slightly. No typical new configurational abnormality can be identified. The pulmonary vasculature is not congested, nor is there evidence. Marked left atrial enlargement when comparing the posterior cardiac wall in relation to the aortic valve prosthesis on the lateral view. The pulmonary vasculature is not congested. On the other hand, the pulmonary vasculature shows again the previously described marked irregular peripheral distribution that coincides with low positioned and flattened diaphragms. Marked increase of chest diameter in depth is noted on the lateral view and related to a markedly increased kyphotic curvature with multiple wedge compressed vertebral bodies in the mid portion of the thoracic spine. As before, one sees multiple peripheral small linear densities and areas of increased translucency rather typical for advanced COPD. Comparison with the next preceding study ___ ___ does not disclose any new discrete parenchymal infiltrate. Also, the lateral and posterior pleural sinuses remain free from any significant fluid accumulation. Bilateral apical pleural thickenings are again seen and have not undergone any significant interval change. Multiple rib deformities as before indicative of previously sustained local rib fractures. Comparison with the next preceding chest examination demonstrates on the frontal view increase of the heart shadow. This coincides also with a more prominent visibility of the azygos vein in the right tracheobronchial angulation. Thus, these findings could suggest a volume increase of the right ventricle and thereto related elevated right-sided filling pressure, a suggestion which matches information that the would recommend the performance of an echocardiogram to look for possible right ventricular strain, tricuspid incompetence and elevated right-sided filling pressure. patient has developed new pedal edema. To confirm this suspicion,an echocardiograM could be helpful. No acute new parenchymal infiltrates in these advanced findings of of COPD.No evidence of pulmonary venous congestion.","Also, the lateral and posterior pleural sinuses remain free from any significant fluid accumulation.",Fluid accumulation,Lateral and posterior pleural sinuses,Stable,"['files/p17/p17392550/s53641457/6029ba23-5d73e768-c1fe417b-73eb330f-9c507e77.jpg', 'files/p17/p17392550/s53641457/c08e8ebb-14a3a1f0-0da1ea4e-1b2412fb-f2d4da54.jpg']","['files/p17/p17392550/s51791247/9adf1edf-b9cd0878-60c0cc62-6a5125d2-d77223ee.jpg\n', 'files/p17/p17392550/s51791247/aa0846b4-d00f5edd-d3cfefd0-2318b977-1c035245.jpg\n', 'files/p17/p17392550/s51791247/b016415e-902049d0-94f8ea46-c19425cf-f3a5dfb6.jpg\n']"
s53647250_0,p16751749,s53647250,0,Findings,"Single frontal view of the chest was obtained. The lungs remain hyperinflated. Again seen is biapical scarring and evidence of bullous disease. There is increased opacity at the lateral right lung base which could relate to underlying scarring and is likely similar in appearance to CT from ___ scout view. However, underlying infectious process cannot be entirely excluded in the appropriate clinical setting. Cardiac and mediastinal silhouettes are stable as compared to ___.",The lungs remain hyperinflated.,hyperinflation,,Stable,['files/p16/p16751749/s53647250/fccc3e79-097ee8e0-2e6dd2f2-272cc880-9a0ef87b.jpg'],['files/p16/p16751749/s53325992/4133d13c-b7509603-e76013d9-06a54774-fb044ffb.jpg\n']
s53647250_0,p16751749,s53647250,0,Findings,"Single frontal view of the chest was obtained. The lungs remain hyperinflated. Again seen is biapical scarring and evidence of bullous disease. There is increased opacity at the lateral right lung base which could relate to underlying scarring and is likely similar in appearance to CT from ___ scout view. However, underlying infectious process cannot be entirely excluded in the appropriate clinical setting. Cardiac and mediastinal silhouettes are stable as compared to ___.",There is increased opacity at the lateral right lung base which could relate to underlying scarring and is likely similar in appearance to CT from ___ scout view.,opacity,lateral right lung base,Worse,['files/p16/p16751749/s53647250/fccc3e79-097ee8e0-2e6dd2f2-272cc880-9a0ef87b.jpg'],['files/p16/p16751749/s53325992/4133d13c-b7509603-e76013d9-06a54774-fb044ffb.jpg\n']
s53647250_0,p16751749,s53647250,0,Findings,"Single frontal view of the chest was obtained. The lungs remain hyperinflated. Again seen is biapical scarring and evidence of bullous disease. There is increased opacity at the lateral right lung base which could relate to underlying scarring and is likely similar in appearance to CT from ___ scout view. However, underlying infectious process cannot be entirely excluded in the appropriate clinical setting. Cardiac and mediastinal silhouettes are stable as compared to ___.",Cardiac and mediastinal silhouettes are stable as compared to ___.,Cardiac and mediastinal silhouettes,,Stable,['files/p16/p16751749/s53647250/fccc3e79-097ee8e0-2e6dd2f2-272cc880-9a0ef87b.jpg'],['files/p16/p16751749/s53325992/4133d13c-b7509603-e76013d9-06a54774-fb044ffb.jpg\n']
s53651717_10,p19016834,s53651717,10,Impression,Persistent pleural densities mostly on the right base and pneumoperitoneum as before.,Persistent pleural densities mostly on the right base and pneumoperitoneum as before.,pneumoperitoneum,,Stable,['files/p19/p19016834/s53651717/2ca44c56-b3b82e54-003fcd78-a48535a0-12e2ed43.jpg'],['files/p19/p19016834/s53515169/af20fb83-3a400800-9bd658e7-a793f80f-3762604f.jpg\n']
s53651717_10,p19016834,s53651717,10,Impression,Persistent pleural densities mostly on the right base and pneumoperitoneum as before.,Persistent pleural densities mostly on the right base and pneumoperitoneum as before.,pleural densities,right base,Stable,['files/p19/p19016834/s53651717/2ca44c56-b3b82e54-003fcd78-a48535a0-12e2ed43.jpg'],['files/p19/p19016834/s53515169/af20fb83-3a400800-9bd658e7-a793f80f-3762604f.jpg\n']
s53652133_2,p10867202,s53652133,2,Findings,"Low lung volumes are again demonstrated. Chronic interstitial abnormality is again seen as well as more focal opacities within the left lung base, left perihilar region, and right upper lobe which are not significantly changed when compared to the prior exam. The cardiac, mediastinal and hilar contours are relatively unchanged with marked calcification of the aortic knob. No pneumothorax or large pleural effusion is demonstrated. The right PICC has been removed. Assessment of the pulmonary vascularity is limited.","The cardiac, mediastinal and hilar contours are relatively unchanged with marked calcification of the aortic knob.","Cardiac, mediastinal and hilar contours",,Stable,['files/p10/p10867202/s53652133/6a0e1f5d-e6e23298-495f2580-9ef21652-d843b243.jpg'],"['files/p10/p10867202/s53279314/6ac3ee2f-da765a37-b4ea9742-729f3ac0-4a4bdc9a.jpg\n', 'files/p10/p10867202/s53279314/fa5ac356-c118e121-f760d4fa-5722d831-1bc6e8ba.jpg\n']"
s53652133_2,p10867202,s53652133,2,Impression,"Relatively unchanged appearance of the chest compared to prior exam. Persistent opacities within the right upper lobe, left lung base and left perihilar region are redemonstrated on a background of chronic interstitial lung disease which on the prior chest CT was thought to reflect UIP or fibrosing NSIP. As before, these more focal opacities may reflect progression of chronic interstitial lung disease, acute exacerbation of interstitial lung disease, or possibly infection.","Persistent opacities within the right upper lobe, left lung base and left perihilar region are redemonstrated on a background of chronic interstitial lung disease which on the prior chest CT was thought to reflect UIP or fibrosing NSIP.",Persistent opacities,"right upper lobe, left lung base, left perihilar region",Stable,['files/p10/p10867202/s53652133/6a0e1f5d-e6e23298-495f2580-9ef21652-d843b243.jpg'],"['files/p10/p10867202/s53279314/6ac3ee2f-da765a37-b4ea9742-729f3ac0-4a4bdc9a.jpg\n', 'files/p10/p10867202/s53279314/fa5ac356-c118e121-f760d4fa-5722d831-1bc6e8ba.jpg\n']"
s53652133_2,p10867202,s53652133,2,Impression,"Relatively unchanged appearance of the chest compared to prior exam. Persistent opacities within the right upper lobe, left lung base and left perihilar region are redemonstrated on a background of chronic interstitial lung disease which on the prior chest CT was thought to reflect UIP or fibrosing NSIP. As before, these more focal opacities may reflect progression of chronic interstitial lung disease, acute exacerbation of interstitial lung disease, or possibly infection.",Relatively unchanged appearance of the chest compared to prior exam.,Chest appearance,,Stable,['files/p10/p10867202/s53652133/6a0e1f5d-e6e23298-495f2580-9ef21652-d843b243.jpg'],"['files/p10/p10867202/s53279314/6ac3ee2f-da765a37-b4ea9742-729f3ac0-4a4bdc9a.jpg\n', 'files/p10/p10867202/s53279314/fa5ac356-c118e121-f760d4fa-5722d831-1bc6e8ba.jpg\n']"
s53652133_2,p10867202,s53652133,2,Findings,"Low lung volumes are again demonstrated. Chronic interstitial abnormality is again seen as well as more focal opacities within the left lung base, left perihilar region, and right upper lobe which are not significantly changed when compared to the prior exam. The cardiac, mediastinal and hilar contours are relatively unchanged with marked calcification of the aortic knob. No pneumothorax or large pleural effusion is demonstrated. The right PICC has been removed. Assessment of the pulmonary vascularity is limited.",The right PICC has been removed.,PICC,right,Resolve,['files/p10/p10867202/s53652133/6a0e1f5d-e6e23298-495f2580-9ef21652-d843b243.jpg'],"['files/p10/p10867202/s53279314/6ac3ee2f-da765a37-b4ea9742-729f3ac0-4a4bdc9a.jpg\n', 'files/p10/p10867202/s53279314/fa5ac356-c118e121-f760d4fa-5722d831-1bc6e8ba.jpg\n']"
s53652133_2,p10867202,s53652133,2,Findings,"Low lung volumes are again demonstrated. Chronic interstitial abnormality is again seen as well as more focal opacities within the left lung base, left perihilar region, and right upper lobe which are not significantly changed when compared to the prior exam. The cardiac, mediastinal and hilar contours are relatively unchanged with marked calcification of the aortic knob. No pneumothorax or large pleural effusion is demonstrated. The right PICC has been removed. Assessment of the pulmonary vascularity is limited.","Chronic interstitial abnormality is again seen as well as more focal opacities within the left lung base, left perihilar region, and right upper lobe which are not significantly changed when compared to the prior exam.",Chronic interstitial abnormality and focal opacities,"left lung base, left perihilar region, and right upper lobe",Stable,['files/p10/p10867202/s53652133/6a0e1f5d-e6e23298-495f2580-9ef21652-d843b243.jpg'],"['files/p10/p10867202/s53279314/6ac3ee2f-da765a37-b4ea9742-729f3ac0-4a4bdc9a.jpg\n', 'files/p10/p10867202/s53279314/fa5ac356-c118e121-f760d4fa-5722d831-1bc6e8ba.jpg\n']"
s53652133_2,p10867202,s53652133,2,Findings,"Low lung volumes are again demonstrated. Chronic interstitial abnormality is again seen as well as more focal opacities within the left lung base, left perihilar region, and right upper lobe which are not significantly changed when compared to the prior exam. The cardiac, mediastinal and hilar contours are relatively unchanged with marked calcification of the aortic knob. No pneumothorax or large pleural effusion is demonstrated. The right PICC has been removed. Assessment of the pulmonary vascularity is limited.",Low lung volumes are again demonstrated.,Low lung volumes,,Stable,['files/p10/p10867202/s53652133/6a0e1f5d-e6e23298-495f2580-9ef21652-d843b243.jpg'],"['files/p10/p10867202/s53279314/6ac3ee2f-da765a37-b4ea9742-729f3ac0-4a4bdc9a.jpg\n', 'files/p10/p10867202/s53279314/fa5ac356-c118e121-f760d4fa-5722d831-1bc6e8ba.jpg\n']"
s53652977_19,p16662264,s53652977,19,Findings,"AP single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of ___. The previously identified bilateral basal parenchymal infiltrates have increased in extension and occupy also the periphery of the lungs mid field area. The lateral pleural sinuses remain free from any massive pleural effusion and no pneumothorax is seen in the apical area. Comparison also indicates that the heart shadow has increased in size. Remarkable is a more marked distention of the azygous vein, which would indicate increased right-sided cardiac filling pressure. NICU telephone ___ was used for communication at 2:48 p.m. No contact was established with referring physician, ___, was reached by telephone, findings were transmitted.",The previously identified bilateral basal parenchymal infiltrates have increased in extension and occupy also the periphery of the lungs mid field area.,parenchymal infiltrates,bilateral basal,Worse,['files/p16/p16662264/s53652977/b6259590-ac02402d-a7f53e0c-5ab10b89-b8c49017.jpg'],"['files/p16/p16662264/s53233378/1d1b1649-61056b25-922ea810-d353c844-6a089756.jpg\n', 'files/p16/p16662264/s53233378/dcdd32f6-e80f7f1f-0c2448f5-0816540b-3b890ebf.jpg\n']"
s53652977_19,p16662264,s53652977,19,Findings,"AP single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of ___. The previously identified bilateral basal parenchymal infiltrates have increased in extension and occupy also the periphery of the lungs mid field area. The lateral pleural sinuses remain free from any massive pleural effusion and no pneumothorax is seen in the apical area. Comparison also indicates that the heart shadow has increased in size. Remarkable is a more marked distention of the azygous vein, which would indicate increased right-sided cardiac filling pressure. NICU telephone ___ was used for communication at 2:48 p.m. No contact was established with referring physician, ___, was reached by telephone, findings were transmitted.",Comparison also indicates that the heart shadow has increased in size.,heart size,,Worse,['files/p16/p16662264/s53652977/b6259590-ac02402d-a7f53e0c-5ab10b89-b8c49017.jpg'],"['files/p16/p16662264/s53233378/1d1b1649-61056b25-922ea810-d353c844-6a089756.jpg\n', 'files/p16/p16662264/s53233378/dcdd32f6-e80f7f1f-0c2448f5-0816540b-3b890ebf.jpg\n']"
s53653168_5,p16334516,s53653168,5,Findings,"Enteric tube is seen coursing below the level of the diaphragm, coiling in the stomach. There has been interval placement of an endotracheal tube, terminating approximately 3 cm above the level of the carina. A left-sided internal jugular central venous catheter has also been placed in the interval, terminating in the proximal SVC. There has been interval development of left lower lobe atelectasis with possible effusion. There is also increase in perihilar opacity suggesting pulmonary edema. Scattered areas of linear opacity again seen due to scarring/atelectasis. The cardiac and mediastinal silhouettes are grossly stable. Again, the patient is status post median sternotomy and CABG.",Scattered areas of linear opacity again seen due to scarring/atelectasis.,linear opacity due to scarring/atelectasis,scattered areas,Stable,"['files/p16/p16334516/s53653168/a8f21394-f3845d92-545b522e-717fef30-fa50a684.jpg', 'files/p16/p16334516/s53653168/c9028d9d-b5be82c7-94f4e115-fcd0cbb2-bdc86018.jpg']",['files/p16/p16334516/s53602937/4e978740-b97d9a2c-f97c4610-4dd52d72-5cb121ef.jpg\n']
s53653168_5,p16334516,s53653168,5,Findings,"Enteric tube is seen coursing below the level of the diaphragm, coiling in the stomach. There has been interval placement of an endotracheal tube, terminating approximately 3 cm above the level of the carina. A left-sided internal jugular central venous catheter has also been placed in the interval, terminating in the proximal SVC. There has been interval development of left lower lobe atelectasis with possible effusion. There is also increase in perihilar opacity suggesting pulmonary edema. Scattered areas of linear opacity again seen due to scarring/atelectasis. The cardiac and mediastinal silhouettes are grossly stable. Again, the patient is status post median sternotomy and CABG.",There has been interval development of left lower lobe atelectasis with possible effusion.,atelectasis with possible effusion,left lower lobe,New,"['files/p16/p16334516/s53653168/a8f21394-f3845d92-545b522e-717fef30-fa50a684.jpg', 'files/p16/p16334516/s53653168/c9028d9d-b5be82c7-94f4e115-fcd0cbb2-bdc86018.jpg']",['files/p16/p16334516/s53602937/4e978740-b97d9a2c-f97c4610-4dd52d72-5cb121ef.jpg\n']
s53653168_5,p16334516,s53653168,5,Findings,"Enteric tube is seen coursing below the level of the diaphragm, coiling in the stomach. There has been interval placement of an endotracheal tube, terminating approximately 3 cm above the level of the carina. A left-sided internal jugular central venous catheter has also been placed in the interval, terminating in the proximal SVC. There has been interval development of left lower lobe atelectasis with possible effusion. There is also increase in perihilar opacity suggesting pulmonary edema. Scattered areas of linear opacity again seen due to scarring/atelectasis. The cardiac and mediastinal silhouettes are grossly stable. Again, the patient is status post median sternotomy and CABG.","There has been interval placement of an endotracheal tube, terminating approximately 3 cm above the level of the carina.",endotracheal tube,3 cm above the level of the carina,New,"['files/p16/p16334516/s53653168/a8f21394-f3845d92-545b522e-717fef30-fa50a684.jpg', 'files/p16/p16334516/s53653168/c9028d9d-b5be82c7-94f4e115-fcd0cbb2-bdc86018.jpg']",['files/p16/p16334516/s53602937/4e978740-b97d9a2c-f97c4610-4dd52d72-5cb121ef.jpg\n']
s53653168_5,p16334516,s53653168,5,Findings,"Enteric tube is seen coursing below the level of the diaphragm, coiling in the stomach. There has been interval placement of an endotracheal tube, terminating approximately 3 cm above the level of the carina. A left-sided internal jugular central venous catheter has also been placed in the interval, terminating in the proximal SVC. There has been interval development of left lower lobe atelectasis with possible effusion. There is also increase in perihilar opacity suggesting pulmonary edema. Scattered areas of linear opacity again seen due to scarring/atelectasis. The cardiac and mediastinal silhouettes are grossly stable. Again, the patient is status post median sternotomy and CABG.",There is also increase in perihilar opacity suggesting pulmonary edema.,opacity suggesting pulmonary edema,perihilar,Worse,"['files/p16/p16334516/s53653168/a8f21394-f3845d92-545b522e-717fef30-fa50a684.jpg', 'files/p16/p16334516/s53653168/c9028d9d-b5be82c7-94f4e115-fcd0cbb2-bdc86018.jpg']",['files/p16/p16334516/s53602937/4e978740-b97d9a2c-f97c4610-4dd52d72-5cb121ef.jpg\n']
s53653168_5,p16334516,s53653168,5,Findings,"Enteric tube is seen coursing below the level of the diaphragm, coiling in the stomach. There has been interval placement of an endotracheal tube, terminating approximately 3 cm above the level of the carina. A left-sided internal jugular central venous catheter has also been placed in the interval, terminating in the proximal SVC. There has been interval development of left lower lobe atelectasis with possible effusion. There is also increase in perihilar opacity suggesting pulmonary edema. Scattered areas of linear opacity again seen due to scarring/atelectasis. The cardiac and mediastinal silhouettes are grossly stable. Again, the patient is status post median sternotomy and CABG.",The cardiac and mediastinal silhouettes are grossly stable.,silhouettes,cardiac and mediastinal,Stable,"['files/p16/p16334516/s53653168/a8f21394-f3845d92-545b522e-717fef30-fa50a684.jpg', 'files/p16/p16334516/s53653168/c9028d9d-b5be82c7-94f4e115-fcd0cbb2-bdc86018.jpg']",['files/p16/p16334516/s53602937/4e978740-b97d9a2c-f97c4610-4dd52d72-5cb121ef.jpg\n']
s53653168_5,p16334516,s53653168,5,Impression,"1. Endotracheal and enteric tubes in appropriate position. 2. Interval placement of a left-sided IJ central venous catheter terminating in the proximal SVC without evidence of pneumothorax. 3. Interval development of left base opacity, likely combination of left lower lobe collapse and pleural effusion. Increased perihilar opacities suggest pulmonary edema.",2. Interval placement of a left-sided IJ central venous catheter terminating in the proximal SVC without evidence of pneumothorax.,left-sided IJ central venous catheter,proximal SVC,New,"['files/p16/p16334516/s53653168/a8f21394-f3845d92-545b522e-717fef30-fa50a684.jpg', 'files/p16/p16334516/s53653168/c9028d9d-b5be82c7-94f4e115-fcd0cbb2-bdc86018.jpg']",['files/p16/p16334516/s53602937/4e978740-b97d9a2c-f97c4610-4dd52d72-5cb121ef.jpg\n']
s53653168_5,p16334516,s53653168,5,Impression,"1. Endotracheal and enteric tubes in appropriate position. 2. Interval placement of a left-sided IJ central venous catheter terminating in the proximal SVC without evidence of pneumothorax. 3. Interval development of left base opacity, likely combination of left lower lobe collapse and pleural effusion. Increased perihilar opacities suggest pulmonary edema.","3. Interval development of left base opacity, likely combination of left lower lobe collapse and pleural effusion. Increased perihilar opacities suggest pulmonary edema.",opacities suggest pulmonary edema,perihilar,Worse,"['files/p16/p16334516/s53653168/a8f21394-f3845d92-545b522e-717fef30-fa50a684.jpg', 'files/p16/p16334516/s53653168/c9028d9d-b5be82c7-94f4e115-fcd0cbb2-bdc86018.jpg']",['files/p16/p16334516/s53602937/4e978740-b97d9a2c-f97c4610-4dd52d72-5cb121ef.jpg\n']
s53653168_5,p16334516,s53653168,5,Impression,"1. Endotracheal and enteric tubes in appropriate position. 2. Interval placement of a left-sided IJ central venous catheter terminating in the proximal SVC without evidence of pneumothorax. 3. Interval development of left base opacity, likely combination of left lower lobe collapse and pleural effusion. Increased perihilar opacities suggest pulmonary edema.","3. Interval development of left base opacity, likely combination of left lower lobe collapse and pleural effusion. Increased perihilar opacities suggest pulmonary edema.","opacity, likely combination of left lower lobe collapse and pleural effusion",left base,New,"['files/p16/p16334516/s53653168/a8f21394-f3845d92-545b522e-717fef30-fa50a684.jpg', 'files/p16/p16334516/s53653168/c9028d9d-b5be82c7-94f4e115-fcd0cbb2-bdc86018.jpg']",['files/p16/p16334516/s53602937/4e978740-b97d9a2c-f97c4610-4dd52d72-5cb121ef.jpg\n']
s53653168_5,p16334516,s53653168,5,Findings,"Enteric tube is seen coursing below the level of the diaphragm, coiling in the stomach. There has been interval placement of an endotracheal tube, terminating approximately 3 cm above the level of the carina. A left-sided internal jugular central venous catheter has also been placed in the interval, terminating in the proximal SVC. There has been interval development of left lower lobe atelectasis with possible effusion. There is also increase in perihilar opacity suggesting pulmonary edema. Scattered areas of linear opacity again seen due to scarring/atelectasis. The cardiac and mediastinal silhouettes are grossly stable. Again, the patient is status post median sternotomy and CABG.","A left-sided internal jugular central venous catheter has also been placed in the interval, terminating in the proximal SVC.",left-sided internal jugular central venous catheter,proximal SVC,New,"['files/p16/p16334516/s53653168/a8f21394-f3845d92-545b522e-717fef30-fa50a684.jpg', 'files/p16/p16334516/s53653168/c9028d9d-b5be82c7-94f4e115-fcd0cbb2-bdc86018.jpg']",['files/p16/p16334516/s53602937/4e978740-b97d9a2c-f97c4610-4dd52d72-5cb121ef.jpg\n']
s53656059_9,p15857729,s53656059,9,Findings,"As compared to prior chest radiograph from earlier today, there has been interval placement of an endotracheal tube, terminating 3.3 cm above the carina. The cardiac silhouette is enlarged. As before, there is mild pulmonary edema. Lungs are otherwise clear. There is no focal consolidation, pneumothorax or pleural effusion.","As compared to prior chest radiograph from earlier today, there has been interval placement of an endotracheal tube, terminating 3.3 cm above the carina.",Endotracheal tube,3.3 cm above the carina,New,['files/p15/p15857729/s53656059/f3627f06-7f8dc376-299731cc-3607780e-44c820e4.jpg'],['files/p15/p15857729/s52552967/9ce5a44f-66532667-66a23383-cbbb4b96-4a927036.jpg\n']
s53656059_9,p15857729,s53656059,9,Impression,1. Endotracheal tube terminates 3.3 cm above the carina. 2. Unchanged mild pulmonary edema. Findings discussed with ___ by ___ via telephone on ___ at 11:00 AM.,2. Unchanged mild pulmonary edema.,Pulmonary edema,,Stable,['files/p15/p15857729/s53656059/f3627f06-7f8dc376-299731cc-3607780e-44c820e4.jpg'],['files/p15/p15857729/s52552967/9ce5a44f-66532667-66a23383-cbbb4b96-4a927036.jpg\n']
s53656059_9,p15857729,s53656059,9,Findings,"As compared to prior chest radiograph from earlier today, there has been interval placement of an endotracheal tube, terminating 3.3 cm above the carina. The cardiac silhouette is enlarged. As before, there is mild pulmonary edema. Lungs are otherwise clear. There is no focal consolidation, pneumothorax or pleural effusion.","As before, there is mild pulmonary edema.",Pulmonary edema,,Stable,['files/p15/p15857729/s53656059/f3627f06-7f8dc376-299731cc-3607780e-44c820e4.jpg'],['files/p15/p15857729/s52552967/9ce5a44f-66532667-66a23383-cbbb4b96-4a927036.jpg\n']
s53663749_12,p18110020,s53663749,12,Findings,"The prior NG tube has been removed with a new NG tube placed which ends in the stomach. There has been interval placement of a G-tube. A right PICC ends in the lower SVC, stable. There are no new lung opacification to suggest pneumonia. There is no pneumothorax. The cardiomediastinal silhouette remains unchanged.",There are no new lung opacification to suggest pneumonia.,lung opacification,,New,['files/p18/p18110020/s53663749/083a3e76-48cf31d2-b2f088df-9c323345-ef72f46f.jpg'],['files/p18/p18110020/s53051689/98137eef-20e5fe78-d9065728-7b29c856-f6a77003.jpg\n']
s53663749_12,p18110020,s53663749,12,Findings,"The prior NG tube has been removed with a new NG tube placed which ends in the stomach. There has been interval placement of a G-tube. A right PICC ends in the lower SVC, stable. There are no new lung opacification to suggest pneumonia. There is no pneumothorax. The cardiomediastinal silhouette remains unchanged.","A right PICC ends in the lower SVC, stable.",right PICC,lower SVC,Stable,['files/p18/p18110020/s53663749/083a3e76-48cf31d2-b2f088df-9c323345-ef72f46f.jpg'],['files/p18/p18110020/s53051689/98137eef-20e5fe78-d9065728-7b29c856-f6a77003.jpg\n']
s53663749_12,p18110020,s53663749,12,Findings,"The prior NG tube has been removed with a new NG tube placed which ends in the stomach. There has been interval placement of a G-tube. A right PICC ends in the lower SVC, stable. There are no new lung opacification to suggest pneumonia. There is no pneumothorax. The cardiomediastinal silhouette remains unchanged.",The cardiomediastinal silhouette remains unchanged.,cardiomediastinal silhouette,,Stable,['files/p18/p18110020/s53663749/083a3e76-48cf31d2-b2f088df-9c323345-ef72f46f.jpg'],['files/p18/p18110020/s53051689/98137eef-20e5fe78-d9065728-7b29c856-f6a77003.jpg\n']
s53663749_12,p18110020,s53663749,12,Findings,"The prior NG tube has been removed with a new NG tube placed which ends in the stomach. There has been interval placement of a G-tube. A right PICC ends in the lower SVC, stable. There are no new lung opacification to suggest pneumonia. There is no pneumothorax. The cardiomediastinal silhouette remains unchanged.",The prior NG tube has been removed with a new NG tube placed which ends in the stomach.,NG tube,,Resolve,['files/p18/p18110020/s53663749/083a3e76-48cf31d2-b2f088df-9c323345-ef72f46f.jpg'],['files/p18/p18110020/s53051689/98137eef-20e5fe78-d9065728-7b29c856-f6a77003.jpg\n']
s53679398_31,p13896515,s53679398,31,Impression,"In comparison to ___ radiograph, there has been decrease in the severity of the pulmonary edema with residual mild edema remaining. Moderate left pleural effusion and adjacent left retrocardiac atelectasis and or consolidation have slightly worsened. No other relevant change.","In comparison to ___ radiograph, there has been decrease in the severity of the pulmonary edema with residual mild edema remaining.",pulmonary edema,,Better,['files/p13/p13896515/s53679398/4f32b256-67629057-efe5e52b-06323e27-46eeb15b.jpg'],['files/p13/p13896515/s53091413/1e758c6a-4edc885c-05366f8b-05549d3d-fa35c2cf.jpg\n']
s53679398_31,p13896515,s53679398,31,Impression,"In comparison to ___ radiograph, there has been decrease in the severity of the pulmonary edema with residual mild edema remaining. Moderate left pleural effusion and adjacent left retrocardiac atelectasis and or consolidation have slightly worsened. No other relevant change.",Moderate left pleural effusion and adjacent left retrocardiac atelectasis and or consolidation have slightly worsened.,pleural effusion,left,Worse,['files/p13/p13896515/s53679398/4f32b256-67629057-efe5e52b-06323e27-46eeb15b.jpg'],['files/p13/p13896515/s53091413/1e758c6a-4edc885c-05366f8b-05549d3d-fa35c2cf.jpg\n']
s53679398_31,p13896515,s53679398,31,Impression,"In comparison to ___ radiograph, there has been decrease in the severity of the pulmonary edema with residual mild edema remaining. Moderate left pleural effusion and adjacent left retrocardiac atelectasis and or consolidation have slightly worsened. No other relevant change.",Moderate left pleural effusion and adjacent left retrocardiac atelectasis and or consolidation have slightly worsened.,atelectasis/consolidation,left retrocardiac,Worse,['files/p13/p13896515/s53679398/4f32b256-67629057-efe5e52b-06323e27-46eeb15b.jpg'],['files/p13/p13896515/s53091413/1e758c6a-4edc885c-05366f8b-05549d3d-fa35c2cf.jpg\n']
s53685384_60,p14851532,s53685384,60,Impression,"NG tube tip is in the stomach. Right internal jugular line tip is at the level of lower SVC. Distended stomach bubble is present. Small to moderate right pleural effusion is present, unchanged. Mild interstitial pulmonary edema is unchanged the",Mild interstitial pulmonary edema is unchanged,pulmonary edema,interstitial,Stable,['files/p14/p14851532/s53685384/d3033719-9b507af8-6e6975ac-c32ea556-6f68613d.jpg'],['files/p14/p14851532/s53391606/cb0066e2-7af933a5-97947108-f34228af-7b0bf717.jpg\n']
s53685384_60,p14851532,s53685384,60,Impression,"NG tube tip is in the stomach. Right internal jugular line tip is at the level of lower SVC. Distended stomach bubble is present. Small to moderate right pleural effusion is present, unchanged. Mild interstitial pulmonary edema is unchanged the","Small to moderate right pleural effusion is present, unchanged.",pleural effusion,right,Stable,['files/p14/p14851532/s53685384/d3033719-9b507af8-6e6975ac-c32ea556-6f68613d.jpg'],['files/p14/p14851532/s53391606/cb0066e2-7af933a5-97947108-f34228af-7b0bf717.jpg\n']
s53687124_7,p17720924,s53687124,7,Findings,Supine portable AP view of the chest provided. There is mild opacity obscuring the left heart border which is most likely atelectasis and less likely attributable to pneumonia. No large effusion or pneumothorax. The heart and mediastinal contour is stable. No bony abnormalities.,The heart and mediastinal contour is stable.,heart and mediastinal contour,,Stable,['files/p17/p17720924/s53687124/41479840-5d9f3cf1-ac29c4be-7007cfb9-37e379f3.jpg'],
s53690114_14,p15131736,s53690114,14,Findings,Compared to prior study there is no significant interval change.,Compared to prior study there is no significant interval change.,,,Stable,['files/p15/p15131736/s53690114/a0cd68a8-1dc96fff-377965f8-4882b5d1-4563578d.jpg'],['files/p15/p15131736/s53481305/374a4a0d-c236bc19-25ea8b17-2f7f41cb-2b323110.jpg\n']
s53702175_2,p11052273,s53702175,2,Findings,"AP and lateral views of the chest. Thereis hyperinflation, consistent with background COPD. There is increased diffuse parenchymal opacities bilaterally, more prominent at the bases consistent with mild pulmonary edema. There are small bilateral pleural effusions layering posteriorly, left greater than right. There is fluid in the major fissure seen on the lateral view. There is moderate cardiomegaly. No pneumothorax. The left hemidiaphragm is elevated laterally.","There is increased diffuse parenchymal opacities bilaterally, more prominent at the bases consistent with mild pulmonary edema.",Diffuse parenchymal opacities,bilaterally,Worse,"['files/p11/p11052273/s53702175/23eb46d8-6ba45d7f-fa02d462-a31da493-b8b7e5af.jpg', 'files/p11/p11052273/s53702175/e35b1970-3dfc9412-ec657374-09990870-561ca892.jpg']","['files/p11/p11052273/s53537165/806524e4-d5ed7e9b-1ac2dada-ba9c4a48-68216237.jpg\n', 'files/p11/p11052273/s53537165/f9f7d4af-2d90cb81-2541b729-6aab0e3f-06acb455.jpg\n']"
s53708518_8,p16508811,s53708518,8,Findings,"PA and lateral views of the chest. There are new opacities in the superior segment of the left lower lobe and in the right lower lobe, most consistent with multifocal pneumonia. No pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are normal.","There are new opacities in the superior segment of the left lower lobe and in the right lower lobe, most consistent with multifocal pneumonia.",opacities,right lower lobe,New,"['files/p16/p16508811/s53708518/92afaf0a-1599ea5d-299de00c-663008be-231fd983.jpg', 'files/p16/p16508811/s53708518/b1cf33ff-6f744ea2-7779ec30-81842599-a4625e58.jpg']","['files/p16/p16508811/s53632136/2bd47b99-16c5c75b-86da3b8e-93f76ede-b6983ea3.jpg\n', 'files/p16/p16508811/s53632136/6df1ead4-3f9088a1-4ed72df3-6380eb86-13a0b892.jpg\n', 'files/p16/p16508811/s53632136/cf4509de-e07c9ef6-ac4ef196-5d471150-97723ba4.jpg\n']"
s53708518_8,p16508811,s53708518,8,Findings,"PA and lateral views of the chest. There are new opacities in the superior segment of the left lower lobe and in the right lower lobe, most consistent with multifocal pneumonia. No pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are normal.","There are new opacities in the superior segment of the left lower lobe and in the right lower lobe, most consistent with multifocal pneumonia.",opacities,superior segment of the left lower lobe,New,"['files/p16/p16508811/s53708518/92afaf0a-1599ea5d-299de00c-663008be-231fd983.jpg', 'files/p16/p16508811/s53708518/b1cf33ff-6f744ea2-7779ec30-81842599-a4625e58.jpg']","['files/p16/p16508811/s53632136/2bd47b99-16c5c75b-86da3b8e-93f76ede-b6983ea3.jpg\n', 'files/p16/p16508811/s53632136/6df1ead4-3f9088a1-4ed72df3-6380eb86-13a0b892.jpg\n', 'files/p16/p16508811/s53632136/cf4509de-e07c9ef6-ac4ef196-5d471150-97723ba4.jpg\n']"
s53708518_8,p16508811,s53708518,8,Impression,New multifocal pneumonia in the right and left lower lobes. These findings were discussed with Dr. ___ by Dr. ___ at 1:45 p.m. on ___ by telephone at the time of discovery.,New multifocal pneumonia in the right and left lower lobes.,multifocal pneumonia,right and left lower lobes,New,"['files/p16/p16508811/s53708518/92afaf0a-1599ea5d-299de00c-663008be-231fd983.jpg', 'files/p16/p16508811/s53708518/b1cf33ff-6f744ea2-7779ec30-81842599-a4625e58.jpg']","['files/p16/p16508811/s53632136/2bd47b99-16c5c75b-86da3b8e-93f76ede-b6983ea3.jpg\n', 'files/p16/p16508811/s53632136/6df1ead4-3f9088a1-4ed72df3-6380eb86-13a0b892.jpg\n', 'files/p16/p16508811/s53632136/cf4509de-e07c9ef6-ac4ef196-5d471150-97723ba4.jpg\n']"
s53712124_3,p10959054,s53712124,3,Findings,Cardiomediastinal contours are unchanged. The lungs are hyperinflated. There is no pneumothorax. Loculated right pleural effusion has increased. Small left effusion is stable. There are no evident thickening lung abnormality. Degenerative changes in the thoracic spine are again noted,Loculated right pleural effusion has increased.,loculated pleural effusion,right,Worse,"['files/p10/p10959054/s53712124/073c1a0f-4c9dc54a-1e0d53a2-7d9dc18d-24b214ac.jpg', 'files/p10/p10959054/s53712124/f15b8faa-b031a2a6-f4cc7130-baef2891-7654fc7d.jpg']",['files/p10/p10959054/s50128467/ca220440-2b8510e6-fd0298b7-ab4fc422-434e558f.jpg\n']
s53712124_3,p10959054,s53712124,3,Findings,Cardiomediastinal contours are unchanged. The lungs are hyperinflated. There is no pneumothorax. Loculated right pleural effusion has increased. Small left effusion is stable. There are no evident thickening lung abnormality. Degenerative changes in the thoracic spine are again noted,Cardiomediastinal contours are unchanged.,,,Stable,"['files/p10/p10959054/s53712124/073c1a0f-4c9dc54a-1e0d53a2-7d9dc18d-24b214ac.jpg', 'files/p10/p10959054/s53712124/f15b8faa-b031a2a6-f4cc7130-baef2891-7654fc7d.jpg']",['files/p10/p10959054/s50128467/ca220440-2b8510e6-fd0298b7-ab4fc422-434e558f.jpg\n']
s53712124_3,p10959054,s53712124,3,Findings,Cardiomediastinal contours are unchanged. The lungs are hyperinflated. There is no pneumothorax. Loculated right pleural effusion has increased. Small left effusion is stable. There are no evident thickening lung abnormality. Degenerative changes in the thoracic spine are again noted,Degenerative changes in the thoracic spine are again noted,degenerative changes,thoracic spine,Stable,"['files/p10/p10959054/s53712124/073c1a0f-4c9dc54a-1e0d53a2-7d9dc18d-24b214ac.jpg', 'files/p10/p10959054/s53712124/f15b8faa-b031a2a6-f4cc7130-baef2891-7654fc7d.jpg']",['files/p10/p10959054/s50128467/ca220440-2b8510e6-fd0298b7-ab4fc422-434e558f.jpg\n']
s53712124_3,p10959054,s53712124,3,Impression,Increase in size in loculated right pleural effusion,Increase in size in loculated right pleural effusion,loculated pleural effusion,right,Worse,"['files/p10/p10959054/s53712124/073c1a0f-4c9dc54a-1e0d53a2-7d9dc18d-24b214ac.jpg', 'files/p10/p10959054/s53712124/f15b8faa-b031a2a6-f4cc7130-baef2891-7654fc7d.jpg']",['files/p10/p10959054/s50128467/ca220440-2b8510e6-fd0298b7-ab4fc422-434e558f.jpg\n']
s53712124_3,p10959054,s53712124,3,Findings,Cardiomediastinal contours are unchanged. The lungs are hyperinflated. There is no pneumothorax. Loculated right pleural effusion has increased. Small left effusion is stable. There are no evident thickening lung abnormality. Degenerative changes in the thoracic spine are again noted,Small left effusion is stable.,small effusion,left,Stable,"['files/p10/p10959054/s53712124/073c1a0f-4c9dc54a-1e0d53a2-7d9dc18d-24b214ac.jpg', 'files/p10/p10959054/s53712124/f15b8faa-b031a2a6-f4cc7130-baef2891-7654fc7d.jpg']",['files/p10/p10959054/s50128467/ca220440-2b8510e6-fd0298b7-ab4fc422-434e558f.jpg\n']
s53713960_0,p13921768,s53713960,0,Findings,"In comparison with the study of ___, the patient has taken a better inspiration. There is enlargement of the cardiac silhouette with some evidence of elevated pulmonary venous pressure, though less prominent than on the previous study. Intact midline sternal wires are seen in a patient with previous CABG procedure and a dual-channel pacemaker in place. Axial clips are again seen. Some mild atelectatic changes and possible small effusions are seen at the bases, as on prior study.","Some mild atelectatic changes and possible small effusions are seen at the bases, as on prior study.",Small effusions,bases,Stable,"['files/p13/p13921768/s53713960/163a26f6-a4ac3d6b-621c4719-28355100-b2a1f663.jpg', 'files/p13/p13921768/s53713960/d8406953-e1473794-aadfa8d2-d7225820-6d7e558a.jpg']",['files/p13/p13921768/s53517180/a680547a-378dc1fb-a9fa6a3d-6713949e-e0b69f0a.jpg\n']
s53713960_0,p13921768,s53713960,0,Findings,"In comparison with the study of ___, the patient has taken a better inspiration. There is enlargement of the cardiac silhouette with some evidence of elevated pulmonary venous pressure, though less prominent than on the previous study. Intact midline sternal wires are seen in a patient with previous CABG procedure and a dual-channel pacemaker in place. Axial clips are again seen. Some mild atelectatic changes and possible small effusions are seen at the bases, as on prior study.","Some mild atelectatic changes and possible small effusions are seen at the bases, as on prior study.",Atelectatic changes,bases,Stable,"['files/p13/p13921768/s53713960/163a26f6-a4ac3d6b-621c4719-28355100-b2a1f663.jpg', 'files/p13/p13921768/s53713960/d8406953-e1473794-aadfa8d2-d7225820-6d7e558a.jpg']",['files/p13/p13921768/s53517180/a680547a-378dc1fb-a9fa6a3d-6713949e-e0b69f0a.jpg\n']
s53713960_0,p13921768,s53713960,0,Findings,"In comparison with the study of ___, the patient has taken a better inspiration. There is enlargement of the cardiac silhouette with some evidence of elevated pulmonary venous pressure, though less prominent than on the previous study. Intact midline sternal wires are seen in a patient with previous CABG procedure and a dual-channel pacemaker in place. Axial clips are again seen. Some mild atelectatic changes and possible small effusions are seen at the bases, as on prior study.",Axial clips are again seen.,Axial clips,,Stable,"['files/p13/p13921768/s53713960/163a26f6-a4ac3d6b-621c4719-28355100-b2a1f663.jpg', 'files/p13/p13921768/s53713960/d8406953-e1473794-aadfa8d2-d7225820-6d7e558a.jpg']",['files/p13/p13921768/s53517180/a680547a-378dc1fb-a9fa6a3d-6713949e-e0b69f0a.jpg\n']
s53713960_0,p13921768,s53713960,0,Findings,"In comparison with the study of ___, the patient has taken a better inspiration. There is enlargement of the cardiac silhouette with some evidence of elevated pulmonary venous pressure, though less prominent than on the previous study. Intact midline sternal wires are seen in a patient with previous CABG procedure and a dual-channel pacemaker in place. Axial clips are again seen. Some mild atelectatic changes and possible small effusions are seen at the bases, as on prior study.","There is enlargement of the cardiac silhouette with some evidence of elevated pulmonary venous pressure, though less prominent than on the previous study.",Elevated pulmonary venous pressure,,Stable,"['files/p13/p13921768/s53713960/163a26f6-a4ac3d6b-621c4719-28355100-b2a1f663.jpg', 'files/p13/p13921768/s53713960/d8406953-e1473794-aadfa8d2-d7225820-6d7e558a.jpg']",['files/p13/p13921768/s53517180/a680547a-378dc1fb-a9fa6a3d-6713949e-e0b69f0a.jpg\n']
s53713960_0,p13921768,s53713960,0,Findings,"In comparison with the study of ___, the patient has taken a better inspiration. There is enlargement of the cardiac silhouette with some evidence of elevated pulmonary venous pressure, though less prominent than on the previous study. Intact midline sternal wires are seen in a patient with previous CABG procedure and a dual-channel pacemaker in place. Axial clips are again seen. Some mild atelectatic changes and possible small effusions are seen at the bases, as on prior study.","There is enlargement of the cardiac silhouette with some evidence of elevated pulmonary venous pressure, though less prominent than on the previous study.",Cardiac silhouette enlargement,,Stable,"['files/p13/p13921768/s53713960/163a26f6-a4ac3d6b-621c4719-28355100-b2a1f663.jpg', 'files/p13/p13921768/s53713960/d8406953-e1473794-aadfa8d2-d7225820-6d7e558a.jpg']",['files/p13/p13921768/s53517180/a680547a-378dc1fb-a9fa6a3d-6713949e-e0b69f0a.jpg\n']
s53713960_0,p13921768,s53713960,0,Findings,"In comparison with the study of ___, the patient has taken a better inspiration. There is enlargement of the cardiac silhouette with some evidence of elevated pulmonary venous pressure, though less prominent than on the previous study. Intact midline sternal wires are seen in a patient with previous CABG procedure and a dual-channel pacemaker in place. Axial clips are again seen. Some mild atelectatic changes and possible small effusions are seen at the bases, as on prior study.","In comparison with the study of ___, the patient has taken a better inspiration.",Inspiration,,Better,"['files/p13/p13921768/s53713960/163a26f6-a4ac3d6b-621c4719-28355100-b2a1f663.jpg', 'files/p13/p13921768/s53713960/d8406953-e1473794-aadfa8d2-d7225820-6d7e558a.jpg']",['files/p13/p13921768/s53517180/a680547a-378dc1fb-a9fa6a3d-6713949e-e0b69f0a.jpg\n']
s53716910_4,p12699874,s53716910,4,Impression,"AP chest compared to ___: No reaccumulation of right pleural effusion or pneumothorax following right thoracentesis, apical chest tube in place. Plate-like atelectasis persists on the left side. There may be a new small left pleural effusion. Upper lungs clear. Normal cardiomediastinal silhouette. ET tube in standard placement. Nasogastric tube passes into the stomach and out of view.","AP chest compared to ___: No reaccumulation of right pleural effusion or pneumothorax following right thoracentesis, apical chest tube in place.",effusion,right pleural,Resolve,['files/p12/p12699874/s53716910/15f548b3-d35c3f3c-1dd660a9-9f5dd882-d95e39c2.jpg'],['files/p12/p12699874/s53433801/565704ba-15b1f276-8b2cb4d4-45b87f43-ac9aae54.jpg\n']
s53716910_4,p12699874,s53716910,4,Impression,"AP chest compared to ___: No reaccumulation of right pleural effusion or pneumothorax following right thoracentesis, apical chest tube in place. Plate-like atelectasis persists on the left side. There may be a new small left pleural effusion. Upper lungs clear. Normal cardiomediastinal silhouette. ET tube in standard placement. Nasogastric tube passes into the stomach and out of view.","AP chest compared to ___: No reaccumulation of right pleural effusion or pneumothorax following right thoracentesis, apical chest tube in place.",pneumothorax,right,Resolve,['files/p12/p12699874/s53716910/15f548b3-d35c3f3c-1dd660a9-9f5dd882-d95e39c2.jpg'],['files/p12/p12699874/s53433801/565704ba-15b1f276-8b2cb4d4-45b87f43-ac9aae54.jpg\n']
s53716910_4,p12699874,s53716910,4,Impression,"AP chest compared to ___: No reaccumulation of right pleural effusion or pneumothorax following right thoracentesis, apical chest tube in place. Plate-like atelectasis persists on the left side. There may be a new small left pleural effusion. Upper lungs clear. Normal cardiomediastinal silhouette. ET tube in standard placement. Nasogastric tube passes into the stomach and out of view.",Plate-like atelectasis persists on the left side.,atelectasis,left side,Stable,['files/p12/p12699874/s53716910/15f548b3-d35c3f3c-1dd660a9-9f5dd882-d95e39c2.jpg'],['files/p12/p12699874/s53433801/565704ba-15b1f276-8b2cb4d4-45b87f43-ac9aae54.jpg\n']
s53716910_4,p12699874,s53716910,4,Impression,"AP chest compared to ___: No reaccumulation of right pleural effusion or pneumothorax following right thoracentesis, apical chest tube in place. Plate-like atelectasis persists on the left side. There may be a new small left pleural effusion. Upper lungs clear. Normal cardiomediastinal silhouette. ET tube in standard placement. Nasogastric tube passes into the stomach and out of view.",There may be a new small left pleural effusion.,pleural effusion,left,New,['files/p12/p12699874/s53716910/15f548b3-d35c3f3c-1dd660a9-9f5dd882-d95e39c2.jpg'],['files/p12/p12699874/s53433801/565704ba-15b1f276-8b2cb4d4-45b87f43-ac9aae54.jpg\n']
s53733833_43,p14841168,s53733833,43,Impression,Cardiomegaly is moderate and unchanged. Mediastinal silhouette is unchanged including mild mediastinal widening potentially reflecting known mediastinal lipomatosis. Left lung opacities are slightly more conspicuous as compared to the previous study and are concerning for infectious process. There is mild vascular enlargement but no overt pulmonary edema. Followup of the patient after antibiotic therapy is recommended for documentation of resolution.,Mediastinal silhouette is unchanged including mild mediastinal widening potentially reflecting known mediastinal lipomatosis.,mediastinal silhouette,,Stable,"['files/p14/p14841168/s53733833/34c33c6c-75ba0b40-50ca4043-7fe8e9be-b4528f9b.jpg', 'files/p14/p14841168/s53733833/d50e8844-70b979c1-018fdf07-8a21dee8-bea92072.jpg']","['files/p14/p14841168/s53576176/93a674e7-7bde63bd-1ebe3a67-b6eddd64-f55473fe.jpg\n', 'files/p14/p14841168/s53576176/a916f2a6-990e0179-c6395681-9159f006-35377a30.jpg\n']"
s53733833_43,p14841168,s53733833,43,Impression,Cardiomegaly is moderate and unchanged. Mediastinal silhouette is unchanged including mild mediastinal widening potentially reflecting known mediastinal lipomatosis. Left lung opacities are slightly more conspicuous as compared to the previous study and are concerning for infectious process. There is mild vascular enlargement but no overt pulmonary edema. Followup of the patient after antibiotic therapy is recommended for documentation of resolution.,Cardiomegaly is moderate and unchanged.,cardiomegaly,,Stable,"['files/p14/p14841168/s53733833/34c33c6c-75ba0b40-50ca4043-7fe8e9be-b4528f9b.jpg', 'files/p14/p14841168/s53733833/d50e8844-70b979c1-018fdf07-8a21dee8-bea92072.jpg']","['files/p14/p14841168/s53576176/93a674e7-7bde63bd-1ebe3a67-b6eddd64-f55473fe.jpg\n', 'files/p14/p14841168/s53576176/a916f2a6-990e0179-c6395681-9159f006-35377a30.jpg\n']"
s53733833_43,p14841168,s53733833,43,Impression,Cardiomegaly is moderate and unchanged. Mediastinal silhouette is unchanged including mild mediastinal widening potentially reflecting known mediastinal lipomatosis. Left lung opacities are slightly more conspicuous as compared to the previous study and are concerning for infectious process. There is mild vascular enlargement but no overt pulmonary edema. Followup of the patient after antibiotic therapy is recommended for documentation of resolution.,Left lung opacities are slightly more conspicuous as compared to the previous study and are concerning for infectious process.,lung opacities,left,Worse,"['files/p14/p14841168/s53733833/34c33c6c-75ba0b40-50ca4043-7fe8e9be-b4528f9b.jpg', 'files/p14/p14841168/s53733833/d50e8844-70b979c1-018fdf07-8a21dee8-bea92072.jpg']","['files/p14/p14841168/s53576176/93a674e7-7bde63bd-1ebe3a67-b6eddd64-f55473fe.jpg\n', 'files/p14/p14841168/s53576176/a916f2a6-990e0179-c6395681-9159f006-35377a30.jpg\n']"
s53733833_43,p14841168,s53733833,43,Impression,Cardiomegaly is moderate and unchanged. Mediastinal silhouette is unchanged including mild mediastinal widening potentially reflecting known mediastinal lipomatosis. Left lung opacities are slightly more conspicuous as compared to the previous study and are concerning for infectious process. There is mild vascular enlargement but no overt pulmonary edema. Followup of the patient after antibiotic therapy is recommended for documentation of resolution.,Mediastinal silhouette is unchanged including mild mediastinal widening potentially reflecting known mediastinal lipomatosis.,mediastinal widening,,Stable,"['files/p14/p14841168/s53733833/34c33c6c-75ba0b40-50ca4043-7fe8e9be-b4528f9b.jpg', 'files/p14/p14841168/s53733833/d50e8844-70b979c1-018fdf07-8a21dee8-bea92072.jpg']","['files/p14/p14841168/s53576176/93a674e7-7bde63bd-1ebe3a67-b6eddd64-f55473fe.jpg\n', 'files/p14/p14841168/s53576176/a916f2a6-990e0179-c6395681-9159f006-35377a30.jpg\n']"
s53734902_0,p17327592,s53734902,0,Findings,"In comparison with the study of ___, there is again substantial elevation of the right hemidiaphragmatic contour. Opacification above this could reflect atelectasis, though in the appropriate clinical setting supervening pneumonia would have to be considered. Some prominence of the cardiac silhouette persists in a patient with intact midline sternal wires. No evidence of vascular congestion and the left lung is essentially clear.",Some prominence of the cardiac silhouette persists in a patient with intact midline sternal wires.,prominence,cardiac silhouette,Stable,['files/p17/p17327592/s53734902/d43e3c28-8d1a4b0c-ef446460-413e4e0b-df3a80ef.jpg'],"['files/p17/p17327592/s52874049/a67e2e2b-c5902ccf-adf291f3-51b417af-5b71eeaa.jpg\n', 'files/p17/p17327592/s52874049/c90d5371-a8f60243-4bba58f2-aa0936cb-17473f87.jpg\n']"
s53734902_0,p17327592,s53734902,0,Findings,"In comparison with the study of ___, there is again substantial elevation of the right hemidiaphragmatic contour. Opacification above this could reflect atelectasis, though in the appropriate clinical setting supervening pneumonia would have to be considered. Some prominence of the cardiac silhouette persists in a patient with intact midline sternal wires. No evidence of vascular congestion and the left lung is essentially clear.","In comparison with the study of ___, there is again substantial elevation of the right hemidiaphragmatic contour.",hemidiaphragmatic contour elevation,right,Worse,['files/p17/p17327592/s53734902/d43e3c28-8d1a4b0c-ef446460-413e4e0b-df3a80ef.jpg'],"['files/p17/p17327592/s52874049/a67e2e2b-c5902ccf-adf291f3-51b417af-5b71eeaa.jpg\n', 'files/p17/p17327592/s52874049/c90d5371-a8f60243-4bba58f2-aa0936cb-17473f87.jpg\n']"
s53737003_13,p11204646,s53737003,13,Findings,A right internal jugular central venous catheter tip terminates in the mid SVC. No pneumothorax is identified. Moderate to severe cardiomegaly persists. Mediastinal and hilar contours are unchanged. A septal closure device is noted again. There is a small right pleural effusion with atelectatic changes in the right lung base. Left lung remains clear.,Mediastinal and hilar contours are unchanged.,mediastinal and hilar contours,,Stable,['files/p11/p11204646/s53737003/fc346a9c-a6343b2b-98bdb36b-5a813740-aa659cba.jpg'],['files/p11/p11204646/s52989952/d31b7429-f370f8c7-ceb83fb9-f7188520-153ffb88.jpg\n']
s53737003_13,p11204646,s53737003,13,Findings,A right internal jugular central venous catheter tip terminates in the mid SVC. No pneumothorax is identified. Moderate to severe cardiomegaly persists. Mediastinal and hilar contours are unchanged. A septal closure device is noted again. There is a small right pleural effusion with atelectatic changes in the right lung base. Left lung remains clear.,Moderate to severe cardiomegaly persists.,cardiomegaly,,Stable,['files/p11/p11204646/s53737003/fc346a9c-a6343b2b-98bdb36b-5a813740-aa659cba.jpg'],['files/p11/p11204646/s52989952/d31b7429-f370f8c7-ceb83fb9-f7188520-153ffb88.jpg\n']
s53737003_13,p11204646,s53737003,13,Findings,A right internal jugular central venous catheter tip terminates in the mid SVC. No pneumothorax is identified. Moderate to severe cardiomegaly persists. Mediastinal and hilar contours are unchanged. A septal closure device is noted again. There is a small right pleural effusion with atelectatic changes in the right lung base. Left lung remains clear.,Left lung remains clear.,lung clarity,left,Stable,['files/p11/p11204646/s53737003/fc346a9c-a6343b2b-98bdb36b-5a813740-aa659cba.jpg'],['files/p11/p11204646/s52989952/d31b7429-f370f8c7-ceb83fb9-f7188520-153ffb88.jpg\n']
s53737003_13,p11204646,s53737003,13,Findings,A right internal jugular central venous catheter tip terminates in the mid SVC. No pneumothorax is identified. Moderate to severe cardiomegaly persists. Mediastinal and hilar contours are unchanged. A septal closure device is noted again. There is a small right pleural effusion with atelectatic changes in the right lung base. Left lung remains clear.,A septal closure device is noted again.,septal closure device,,Stable,['files/p11/p11204646/s53737003/fc346a9c-a6343b2b-98bdb36b-5a813740-aa659cba.jpg'],['files/p11/p11204646/s52989952/d31b7429-f370f8c7-ceb83fb9-f7188520-153ffb88.jpg\n']
s53739758_31,p17340686,s53739758,31,Findings,Compared to the prior study there is interval increase in the cardiomegaly and pulmonary vascular redistribution. There are patchy areas of alveolar infiltrate bilaterally compatible with fluid overload. The ET tube is 5.7 cm above the carinal. Large bore catheter tip is in the right atrium. NG tube is unchanged. No pneumothorax,NG tube is unchanged.,,NG tube,Stable,['files/p17/p17340686/s53739758/cfe95f11-8443d7dd-4d3b5c96-d6c7892c-e037193e.jpg'],"['files/p17/p17340686/s53574399/03502481-6cda13ba-cb388ede-fbd7eb62-5b02b608.jpg\n', 'files/p17/p17340686/s53574399/fcacd1e7-993853b9-c2a8e32f-c4fff20c-7792291b.jpg\n']"
s53739758_31,p17340686,s53739758,31,Findings,Compared to the prior study there is interval increase in the cardiomegaly and pulmonary vascular redistribution. There are patchy areas of alveolar infiltrate bilaterally compatible with fluid overload. The ET tube is 5.7 cm above the carinal. Large bore catheter tip is in the right atrium. NG tube is unchanged. No pneumothorax,Compared to the prior study there is interval increase in the cardiomegaly and pulmonary vascular redistribution.,vascular redistribution,pulmonary vascular,Worse,['files/p17/p17340686/s53739758/cfe95f11-8443d7dd-4d3b5c96-d6c7892c-e037193e.jpg'],"['files/p17/p17340686/s53574399/03502481-6cda13ba-cb388ede-fbd7eb62-5b02b608.jpg\n', 'files/p17/p17340686/s53574399/fcacd1e7-993853b9-c2a8e32f-c4fff20c-7792291b.jpg\n']"
s53739758_31,p17340686,s53739758,31,Findings,Compared to the prior study there is interval increase in the cardiomegaly and pulmonary vascular redistribution. There are patchy areas of alveolar infiltrate bilaterally compatible with fluid overload. The ET tube is 5.7 cm above the carinal. Large bore catheter tip is in the right atrium. NG tube is unchanged. No pneumothorax,Compared to the prior study there is interval increase in the cardiomegaly and pulmonary vascular redistribution.,cardiomegaly,cardiomegaly,Worse,['files/p17/p17340686/s53739758/cfe95f11-8443d7dd-4d3b5c96-d6c7892c-e037193e.jpg'],"['files/p17/p17340686/s53574399/03502481-6cda13ba-cb388ede-fbd7eb62-5b02b608.jpg\n', 'files/p17/p17340686/s53574399/fcacd1e7-993853b9-c2a8e32f-c4fff20c-7792291b.jpg\n']"
s53742043_19,p13031876,s53742043,19,Findings,"In the interval, the patient has been extubated. The right PICC line persists. Also, persisting is a left basal opacity, combined to a left retrocardiac atelectasis. The opacity could have an inflammatory component but shows no progression. Unchanged size of the cardiac silhouette. Unchanged normal appearance of the right lung.","In the interval, the patient has been extubated.",endotracheal tube,,Resolve,['files/p13/p13031876/s53742043/3a3c2ff3-83520f66-952df228-3aa9936e-a98b9087.jpg'],['files/p13/p13031876/s53555445/ab6185a7-10a51f83-2bb26ac5-db07531e-eb9d7b85.jpg\n']
s53742043_19,p13031876,s53742043,19,Findings,"In the interval, the patient has been extubated. The right PICC line persists. Also, persisting is a left basal opacity, combined to a left retrocardiac atelectasis. The opacity could have an inflammatory component but shows no progression. Unchanged size of the cardiac silhouette. Unchanged normal appearance of the right lung.",Unchanged normal appearance of the right lung.,lung,right,Stable,['files/p13/p13031876/s53742043/3a3c2ff3-83520f66-952df228-3aa9936e-a98b9087.jpg'],['files/p13/p13031876/s53555445/ab6185a7-10a51f83-2bb26ac5-db07531e-eb9d7b85.jpg\n']
s53742043_19,p13031876,s53742043,19,Findings,"In the interval, the patient has been extubated. The right PICC line persists. Also, persisting is a left basal opacity, combined to a left retrocardiac atelectasis. The opacity could have an inflammatory component but shows no progression. Unchanged size of the cardiac silhouette. Unchanged normal appearance of the right lung.",Unchanged size of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p13/p13031876/s53742043/3a3c2ff3-83520f66-952df228-3aa9936e-a98b9087.jpg'],['files/p13/p13031876/s53555445/ab6185a7-10a51f83-2bb26ac5-db07531e-eb9d7b85.jpg\n']
s53742043_19,p13031876,s53742043,19,Findings,"In the interval, the patient has been extubated. The right PICC line persists. Also, persisting is a left basal opacity, combined to a left retrocardiac atelectasis. The opacity could have an inflammatory component but shows no progression. Unchanged size of the cardiac silhouette. Unchanged normal appearance of the right lung.","Also, persisting is a left basal opacity, combined to a left retrocardiac atelectasis.",atelectasis,left retrocardiac,Stable,['files/p13/p13031876/s53742043/3a3c2ff3-83520f66-952df228-3aa9936e-a98b9087.jpg'],['files/p13/p13031876/s53555445/ab6185a7-10a51f83-2bb26ac5-db07531e-eb9d7b85.jpg\n']
s53742043_19,p13031876,s53742043,19,Findings,"In the interval, the patient has been extubated. The right PICC line persists. Also, persisting is a left basal opacity, combined to a left retrocardiac atelectasis. The opacity could have an inflammatory component but shows no progression. Unchanged size of the cardiac silhouette. Unchanged normal appearance of the right lung.","Also, persisting is a left basal opacity, combined to a left retrocardiac atelectasis.",opacity,left basal,Stable,['files/p13/p13031876/s53742043/3a3c2ff3-83520f66-952df228-3aa9936e-a98b9087.jpg'],['files/p13/p13031876/s53555445/ab6185a7-10a51f83-2bb26ac5-db07531e-eb9d7b85.jpg\n']
s53742043_19,p13031876,s53742043,19,Findings,"In the interval, the patient has been extubated. The right PICC line persists. Also, persisting is a left basal opacity, combined to a left retrocardiac atelectasis. The opacity could have an inflammatory component but shows no progression. Unchanged size of the cardiac silhouette. Unchanged normal appearance of the right lung.",The right PICC line persists.,PICC line,right,Stable,['files/p13/p13031876/s53742043/3a3c2ff3-83520f66-952df228-3aa9936e-a98b9087.jpg'],['files/p13/p13031876/s53555445/ab6185a7-10a51f83-2bb26ac5-db07531e-eb9d7b85.jpg\n']
s53746608_11,p12185775,s53746608,11,Findings,"As compared to a previous radiograph, the tube is still relatively high and could be advanced by 1 to 2 cm. Unchanged bilateral pleural effusions, unchanged moderate pulmonary edema and mild cardiomegaly. The nasogastric tube shows normal course.","As compared to a previous radiograph, the tube is still relatively high and could be advanced by 1 to 2 cm.",tube,high,Stable,['files/p12/p12185775/s53746608/366fb478-ae411f4e-e18c46c8-5c2b8704-e2f26465.jpg'],"['files/p12/p12185775/s53462705/a4bd2f3a-a3c90afb-3f7c121e-66e54970-cce28842.jpg\n', 'files/p12/p12185775/s53462705/d20291fc-8d626aa2-b3b2ef02-6f8b81ac-12f2432d.jpg\n']"
s53746608_11,p12185775,s53746608,11,Findings,"As compared to a previous radiograph, the tube is still relatively high and could be advanced by 1 to 2 cm. Unchanged bilateral pleural effusions, unchanged moderate pulmonary edema and mild cardiomegaly. The nasogastric tube shows normal course.","Unchanged bilateral pleural effusions, unchanged moderate pulmonary edema and mild cardiomegaly.",pleural effusions,bilateral,Stable,['files/p12/p12185775/s53746608/366fb478-ae411f4e-e18c46c8-5c2b8704-e2f26465.jpg'],"['files/p12/p12185775/s53462705/a4bd2f3a-a3c90afb-3f7c121e-66e54970-cce28842.jpg\n', 'files/p12/p12185775/s53462705/d20291fc-8d626aa2-b3b2ef02-6f8b81ac-12f2432d.jpg\n']"
s53746608_11,p12185775,s53746608,11,Findings,"As compared to a previous radiograph, the tube is still relatively high and could be advanced by 1 to 2 cm. Unchanged bilateral pleural effusions, unchanged moderate pulmonary edema and mild cardiomegaly. The nasogastric tube shows normal course.","Unchanged bilateral pleural effusions, unchanged moderate pulmonary edema and mild cardiomegaly.",pulmonary edema,,Stable,['files/p12/p12185775/s53746608/366fb478-ae411f4e-e18c46c8-5c2b8704-e2f26465.jpg'],"['files/p12/p12185775/s53462705/a4bd2f3a-a3c90afb-3f7c121e-66e54970-cce28842.jpg\n', 'files/p12/p12185775/s53462705/d20291fc-8d626aa2-b3b2ef02-6f8b81ac-12f2432d.jpg\n']"
s53746608_11,p12185775,s53746608,11,Findings,"As compared to a previous radiograph, the tube is still relatively high and could be advanced by 1 to 2 cm. Unchanged bilateral pleural effusions, unchanged moderate pulmonary edema and mild cardiomegaly. The nasogastric tube shows normal course.","Unchanged bilateral pleural effusions, unchanged moderate pulmonary edema and mild cardiomegaly.",cardiomegaly,,Stable,['files/p12/p12185775/s53746608/366fb478-ae411f4e-e18c46c8-5c2b8704-e2f26465.jpg'],"['files/p12/p12185775/s53462705/a4bd2f3a-a3c90afb-3f7c121e-66e54970-cce28842.jpg\n', 'files/p12/p12185775/s53462705/d20291fc-8d626aa2-b3b2ef02-6f8b81ac-12f2432d.jpg\n']"
s53749286_61,p15131736,s53749286,61,Impression,"Improving lung volumes and bibasilar opacities since ___, may represent resolving infection or atelectasis.","Improving lung volumes and bibasilar opacities since ___, may represent resolving infection or atelectasis.",Opacities,Bibasilar,Better,['files/p15/p15131736/s53749286/a43142f0-504e9beb-f5710f72-fb264e8b-1a8d6b9c.jpg'],['files/p15/p15131736/s53690114/a0cd68a8-1dc96fff-377965f8-4882b5d1-4563578d.jpg\n']
s53749286_61,p15131736,s53749286,61,Findings,"Since the prior study performed on ___, lungs are now better aerated. Bibasilar opacities persist, although or less consolidated in appearance compared to the prior radiograph. There is no new consolidation. Mild pulmonary vascular congestion. No pneumothorax. Marked cardiomegaly is stable.","Since the prior study performed on ___, lungs are now better aerated.",Lung aeration,,Better,['files/p15/p15131736/s53749286/a43142f0-504e9beb-f5710f72-fb264e8b-1a8d6b9c.jpg'],['files/p15/p15131736/s53690114/a0cd68a8-1dc96fff-377965f8-4882b5d1-4563578d.jpg\n']
s53749286_61,p15131736,s53749286,61,Findings,"Since the prior study performed on ___, lungs are now better aerated. Bibasilar opacities persist, although or less consolidated in appearance compared to the prior radiograph. There is no new consolidation. Mild pulmonary vascular congestion. No pneumothorax. Marked cardiomegaly is stable.","Bibasilar opacities persist, although or less consolidated in appearance compared to the prior radiograph.",Opacities,Bibasilar,Stable,['files/p15/p15131736/s53749286/a43142f0-504e9beb-f5710f72-fb264e8b-1a8d6b9c.jpg'],['files/p15/p15131736/s53690114/a0cd68a8-1dc96fff-377965f8-4882b5d1-4563578d.jpg\n']
s53749286_61,p15131736,s53749286,61,Findings,"Since the prior study performed on ___, lungs are now better aerated. Bibasilar opacities persist, although or less consolidated in appearance compared to the prior radiograph. There is no new consolidation. Mild pulmonary vascular congestion. No pneumothorax. Marked cardiomegaly is stable.",Marked cardiomegaly is stable.,Marked cardiomegaly,,Stable,['files/p15/p15131736/s53749286/a43142f0-504e9beb-f5710f72-fb264e8b-1a8d6b9c.jpg'],['files/p15/p15131736/s53690114/a0cd68a8-1dc96fff-377965f8-4882b5d1-4563578d.jpg\n']
s53749286_61,p15131736,s53749286,61,Impression,"Improving lung volumes and bibasilar opacities since ___, may represent resolving infection or atelectasis.","Improving lung volumes and bibasilar opacities since ___, may represent resolving infection or atelectasis.",Lung volumes,,Better,['files/p15/p15131736/s53749286/a43142f0-504e9beb-f5710f72-fb264e8b-1a8d6b9c.jpg'],['files/p15/p15131736/s53690114/a0cd68a8-1dc96fff-377965f8-4882b5d1-4563578d.jpg\n']
s53757292_15,p12736592,s53757292,15,Findings,,The mediastinal contours are unchanged.,Mediastinal contours,,Stable,['files/p12/p12736592/s53757292/b8991dd1-b02017c1-0315cf5a-47b0351c-5dc44ccc.jpg'],['files/p12/p12736592/s52442135/ca418dad-d4092480-3bf56e1f-9b920db8-8b8361de.jpg\n']
s53757292_15,p12736592,s53757292,15,Findings,,The heart size is stable.,Heart size,,Stable,['files/p12/p12736592/s53757292/b8991dd1-b02017c1-0315cf5a-47b0351c-5dc44ccc.jpg'],['files/p12/p12736592/s52442135/ca418dad-d4092480-3bf56e1f-9b920db8-8b8361de.jpg\n']
s53757292_15,p12736592,s53757292,15,Findings,,No new lung opacities.,Lung opacities,,New,['files/p12/p12736592/s53757292/b8991dd1-b02017c1-0315cf5a-47b0351c-5dc44ccc.jpg'],['files/p12/p12736592/s52442135/ca418dad-d4092480-3bf56e1f-9b920db8-8b8361de.jpg\n']
s53762508_0,p11212873,s53762508,0,Findings,"There are low lung volumes. This accentuates the size of the cardiac silhouette which is likely top normal. There is crowding of the bronchovascular structures but no evidence of pulmonary edema. The mediastinal and hilar contours are otherwise within normal limits. Previously described subpleural left lower lobe opacity seen on prior chest radiograph which corresponds to an area of pleural fat on CT appears more prominent on the current exam. Bilateral patchy opacities in the lung bases may reflect areas of infection or atelectasis. There are small bilateral pleural effusions. No pneumothorax is identified, and there are no acute osseous abnormalities.",Previously described subpleural left lower lobe opacity seen on prior chest radiograph which corresponds to an area of pleural fat on CT appears more prominent on the current exam.,opacity,subpleural left lower lobe,Worse,"['files/p11/p11212873/s53762508/52117609-b59d4ebd-52c7b52f-db36024d-ceb8cb10.jpg', 'files/p11/p11212873/s53762508/551bcedc-af6b269e-41826aa7-ff9d0f78-4825ae4f.jpg', 'files/p11/p11212873/s53762508/9e6e5d09-41e8a70c-7cd114e9-65dfb470-66d1c2b3.jpg']",['files/p11/p11212873/s51796690/51953a44-cce00b99-06369eea-4bc1bbcd-45ee7fd6.jpg\n']
s53762508_0,p11212873,s53762508,0,Impression,"1. Ill-defined patchy opacities in lung bases which may represent areas of infection or atelectasis. Small bilateral pleural effusions are present. 2. Subpleural opacity in the left lower lobe appears more prominent on the current exam, and corresponds to an area of pleural fat as noted on the prior chest CT.","Subpleural opacity in the left lower lobe appears more prominent on the current exam, and corresponds to an area of pleural fat as noted on the prior chest CT.",opacity,subpleural left lower lobe,Worse,"['files/p11/p11212873/s53762508/52117609-b59d4ebd-52c7b52f-db36024d-ceb8cb10.jpg', 'files/p11/p11212873/s53762508/551bcedc-af6b269e-41826aa7-ff9d0f78-4825ae4f.jpg', 'files/p11/p11212873/s53762508/9e6e5d09-41e8a70c-7cd114e9-65dfb470-66d1c2b3.jpg']",['files/p11/p11212873/s51796690/51953a44-cce00b99-06369eea-4bc1bbcd-45ee7fd6.jpg\n']
s53768980_35,p12185775,s53768980,35,Impression,Left subclavian catheter tip is in the upper SVC. Mild to moderate pulmonary edema has increased. No other interval change from prior study.,Mild to moderate pulmonary edema has increased.,pulmonary edema,,Worse,['files/p12/p12185775/s53768980/3398c38d-190a9992-bebb2e85-7ca0c527-214906cb.jpg'],['files/p12/p12185775/s53746608/366fb478-ae411f4e-e18c46c8-5c2b8704-e2f26465.jpg\n']
s53776243_1,p13448574,s53776243,1,Findings,The heart is normal in size. The mediastinal and hilar contours appear within normal limits and do not suggest substantial lymph node enlargement. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes are similar along the thoracic spine.,Mild degenerative changes are similar along the thoracic spine.,degenerative changes,thoracic spine,Stable,"['files/p13/p13448574/s53776243/52b95950-9baac352-83f0d8c5-1959eabc-a5a3ea0b.jpg', 'files/p13/p13448574/s53776243/c689d99c-d2fa5c84-6112de6e-adc7466b-c0209f29.jpg']",
s53779297_5,p14556809,s53779297,5,Findings,"The cardiac silhouette is unremarkable. The right hilum is prominent, but stable in comparison to multiple priors. No definite pleural effusions identified. There is no pneumothorax. Again seen is a left-sided AICD, with stable position of the single lead in the right ventricle.","The right hilum is prominent, but stable in comparison to multiple priors.",prominence,right hilum,Stable,"['files/p14/p14556809/s53779297/ba22c676-fe74f3b9-b6e53609-c7281450-9f52ce69.jpg', 'files/p14/p14556809/s53779297/e965dfde-aaa9927d-fd329e7e-4a8af64b-ed32a2d7.jpg']","['files/p14/p14556809/s53292802/31fd8c2d-92304fd6-93dd126a-3ed4e346-c485de34.jpg\n', 'files/p14/p14556809/s53292802/5c6bee5b-5201ac36-cf58d846-9697b015-29bf9fb3.jpg\n', 'files/p14/p14556809/s53292802/f853039e-e541ff3f-875071bd-62705831-03bd8d9e.jpg\n']"
s53779297_5,p14556809,s53779297,5,Findings,"The cardiac silhouette is unremarkable. The right hilum is prominent, but stable in comparison to multiple priors. No definite pleural effusions identified. There is no pneumothorax. Again seen is a left-sided AICD, with stable position of the single lead in the right ventricle.","Again seen is a left-sided AICD, with stable position of the single lead in the right ventricle.",AICD,left-sided,Stable,"['files/p14/p14556809/s53779297/ba22c676-fe74f3b9-b6e53609-c7281450-9f52ce69.jpg', 'files/p14/p14556809/s53779297/e965dfde-aaa9927d-fd329e7e-4a8af64b-ed32a2d7.jpg']","['files/p14/p14556809/s53292802/31fd8c2d-92304fd6-93dd126a-3ed4e346-c485de34.jpg\n', 'files/p14/p14556809/s53292802/5c6bee5b-5201ac36-cf58d846-9697b015-29bf9fb3.jpg\n', 'files/p14/p14556809/s53292802/f853039e-e541ff3f-875071bd-62705831-03bd8d9e.jpg\n']"
s53780576_23,p13352405,s53780576,23,Findings,"Chronic left-sided rib fractures are again noted. The cardiomediastinal and hilar contours are unchanged from ___. Pleural thickening and blunting at the right costophrenic angle is again demonstrated, and is stable from the prior exam in ___ and likely represents pleural scarring and a small pleural effusion. No focal consolidation or pneumothorax is identified.","Pleural thickening and blunting at the right costophrenic angle is again demonstrated, and is stable from the prior exam in ___ and likely represents pleural scarring and a small pleural effusion.",pleural thickening and blunting,right costophrenic angle,Stable,"['files/p13/p13352405/s53780576/45545203-d998ece7-e4d4aa77-caf1d527-204d3cad.jpg', 'files/p13/p13352405/s53780576/973f7776-683260ca-ddf5aa13-cf5e3cb1-e2828914.jpg', 'files/p13/p13352405/s53780576/bced25e3-835951a9-cb1436cd-d095e342-730a3489.jpg']","['files/p13/p13352405/s53475803/42a1665f-156a0e70-1e362011-b18c23fd-d6fb2180.jpg\n', 'files/p13/p13352405/s53475803/fc9d24b9-ab585ce7-32abcbae-b223b872-d70b72cf.jpg\n']"
s53780576_23,p13352405,s53780576,23,Impression,"Multiple chronic appearing left-sided rib fractures. No pneumothorax. Blunting of the costophrenic angle on the right likely represents pleural scarring and a small effusion, not significantly changed from ___.","Blunting of the costophrenic angle on the right likely represents pleural scarring and a small effusion, not significantly changed from ___.",pleural scarring and a small effusion,right costophrenic angle,Stable,"['files/p13/p13352405/s53780576/45545203-d998ece7-e4d4aa77-caf1d527-204d3cad.jpg', 'files/p13/p13352405/s53780576/973f7776-683260ca-ddf5aa13-cf5e3cb1-e2828914.jpg', 'files/p13/p13352405/s53780576/bced25e3-835951a9-cb1436cd-d095e342-730a3489.jpg']","['files/p13/p13352405/s53475803/42a1665f-156a0e70-1e362011-b18c23fd-d6fb2180.jpg\n', 'files/p13/p13352405/s53475803/fc9d24b9-ab585ce7-32abcbae-b223b872-d70b72cf.jpg\n']"
s53780576_23,p13352405,s53780576,23,Findings,"Chronic left-sided rib fractures are again noted. The cardiomediastinal and hilar contours are unchanged from ___. Pleural thickening and blunting at the right costophrenic angle is again demonstrated, and is stable from the prior exam in ___ and likely represents pleural scarring and a small pleural effusion. No focal consolidation or pneumothorax is identified.",The cardiomediastinal and hilar contours are unchanged from ___.,cardiomediastinal and hilar contours,,Stable,"['files/p13/p13352405/s53780576/45545203-d998ece7-e4d4aa77-caf1d527-204d3cad.jpg', 'files/p13/p13352405/s53780576/973f7776-683260ca-ddf5aa13-cf5e3cb1-e2828914.jpg', 'files/p13/p13352405/s53780576/bced25e3-835951a9-cb1436cd-d095e342-730a3489.jpg']","['files/p13/p13352405/s53475803/42a1665f-156a0e70-1e362011-b18c23fd-d6fb2180.jpg\n', 'files/p13/p13352405/s53475803/fc9d24b9-ab585ce7-32abcbae-b223b872-d70b72cf.jpg\n']"
s53788698_3,p19844485,s53788698,3,Impression,Mild pulmonary vascular congestion. Cardiomegaly. Pulmonary nodules documented on CT from ___ are better appreciated on that study.,Pulmonary nodules documented on CT from ___ are better appreciated on that study.,Pulmonary nodules,,Better,"['files/p19/p19844485/s53788698/e9f8beb8-4ee1436c-72c497d0-1bc5a42c-e9cfb483.jpg', 'files/p19/p19844485/s53788698/f2075bc9-3c92d658-0f36d71a-9df38119-d2fafe13.jpg']","['files/p19/p19844485/s53504804/5b433593-d02544b5-225e12eb-2d963391-108a1692.jpg\n', 'files/p19/p19844485/s53504804/7cb2c039-853a9b5d-c0fb9c3c-d4782b37-a41cd692.jpg\n']"
s53788698_3,p19844485,s53788698,3,Findings,Frontal and lateral views of the chest were obtained. Cardiac and mediastinal silhouettes are stable with the cardiac silhouette mild-to-moderately enlarged. There is mild pulmonary vascular congestion. No pleural effusion or pneumothorax is seen. Degenerative changes are seen along the spine.,Cardiac and mediastinal silhouettes are stable with the cardiac silhouette mild-to-moderately enlarged.,silhouettes,cardiac and mediastinal,Stable,"['files/p19/p19844485/s53788698/e9f8beb8-4ee1436c-72c497d0-1bc5a42c-e9cfb483.jpg', 'files/p19/p19844485/s53788698/f2075bc9-3c92d658-0f36d71a-9df38119-d2fafe13.jpg']","['files/p19/p19844485/s53504804/5b433593-d02544b5-225e12eb-2d963391-108a1692.jpg\n', 'files/p19/p19844485/s53504804/7cb2c039-853a9b5d-c0fb9c3c-d4782b37-a41cd692.jpg\n']"
s53789660_17,p13896515,s53789660,17,Impression,"In comparison with the study of ___, there has been placement of a pacer lead extending into the coronary sinus system. There is continued enlargement of the cardiac silhouette with increasing pulmonary vascular congestion. Retrocardiac opacification is consistent with volume loss in the left lower lobe and probable small pleural effusion.",There is continued enlargement of the cardiac silhouette with increasing pulmonary vascular congestion.,cardiac silhouette,,Worse,['files/p13/p13896515/s53789660/ebb4833f-b98cb523-ee32fa0a-90c24211-81d147e0.jpg'],['files/p13/p13896515/s53679398/4f32b256-67629057-efe5e52b-06323e27-46eeb15b.jpg\n']
s53789660_17,p13896515,s53789660,17,Impression,"In comparison with the study of ___, there has been placement of a pacer lead extending into the coronary sinus system. There is continued enlargement of the cardiac silhouette with increasing pulmonary vascular congestion. Retrocardiac opacification is consistent with volume loss in the left lower lobe and probable small pleural effusion.",There is continued enlargement of the cardiac silhouette with increasing pulmonary vascular congestion.,pulmonary vascular congestion,,Worse,['files/p13/p13896515/s53789660/ebb4833f-b98cb523-ee32fa0a-90c24211-81d147e0.jpg'],['files/p13/p13896515/s53679398/4f32b256-67629057-efe5e52b-06323e27-46eeb15b.jpg\n']
s53791685_3,p13989850,s53791685,3,Findings,"As compared to the previous radiograph, there is no relevant change. Low lung volumes, borderline size of the cardiac silhouette. No pneumonia. No pleural effusions. No pulmonary edema. Normal aspect of the hilar and mediastinal structures.","As compared to the previous radiograph, there is no relevant change.",,,Stable,"['files/p13/p13989850/s53791685/1cc0f31c-c26b32a8-56b4a45d-21173891-7f6b0a34.jpg', 'files/p13/p13989850/s53791685/dcdc908d-8f4a46cf-0dff1d17-7bf04375-a24a33a8.jpg']","['files/p13/p13989850/s53049402/135201b0-4fcaa92b-4ddb24bd-c100f251-566a7a5b.jpg\n', 'files/p13/p13989850/s53049402/e7e2db21-ec799df0-0b753ec0-18bd24b8-4dba3a00.jpg\n']"
s53792271_5,p11052935,s53792271,5,Findings,"Residual stellate left upper lobe opacity is most compatible with scarring. Left mid lung granuloma is unchanged. Otherwise, the lungs remain hyperexpanded compatible with chronic obstructive pulmonary disease without new opacity. There is no pleural effusion or pneumothorax. The heart is normal in size and cardiomediastinal contours.",Left mid lung granuloma is unchanged.,granuloma,left mid lung,Stable,"['files/p11/p11052935/s53792271/60c86bd2-2d345659-cd9290a9-1af9a11d-2e8af682.jpg', 'files/p11/p11052935/s53792271/f1af4079-d3abad02-2bdd2d45-9f43ee98-bb00dc90.jpg']","['files/p11/p11052935/s51882937/60ac55ad-b8bf8c04-356991fb-91f18417-83b359fa.jpg\n', 'files/p11/p11052935/s51882937/727f555b-ca31baa2-5a5d16fd-ca9b8960-5a9ce4e0.jpg\n', 'files/p11/p11052935/s51882937/caee7879-57603f46-bf627642-eb48edf5-e9315a55.jpg\n']"
s53792271_5,p11052935,s53792271,5,Findings,"Residual stellate left upper lobe opacity is most compatible with scarring. Left mid lung granuloma is unchanged. Otherwise, the lungs remain hyperexpanded compatible with chronic obstructive pulmonary disease without new opacity. There is no pleural effusion or pneumothorax. The heart is normal in size and cardiomediastinal contours.","Otherwise, the lungs remain hyperexpanded compatible with chronic obstructive pulmonary disease without new opacity.",hyperexpanded,lungs,Stable,"['files/p11/p11052935/s53792271/60c86bd2-2d345659-cd9290a9-1af9a11d-2e8af682.jpg', 'files/p11/p11052935/s53792271/f1af4079-d3abad02-2bdd2d45-9f43ee98-bb00dc90.jpg']","['files/p11/p11052935/s51882937/60ac55ad-b8bf8c04-356991fb-91f18417-83b359fa.jpg\n', 'files/p11/p11052935/s51882937/727f555b-ca31baa2-5a5d16fd-ca9b8960-5a9ce4e0.jpg\n', 'files/p11/p11052935/s51882937/caee7879-57603f46-bf627642-eb48edf5-e9315a55.jpg\n']"
s53794474_6,p11893091,s53794474,6,Findings,"As compared to the previous radiograph, the monitoring and support devices, including the temporal right pacemaker, have all been removed. The patient is in unchanged moderate pulmonary edema, with moderate cardiomegaly but without pleural effusions. No newly appeared parenchymal opacities. Unchanged mild atelectatic changes at the lung bases. No other relevant changes.","As compared to the previous radiograph, the monitoring and support devices, including the temporal right pacemaker, have all been removed.",Pacemaker,Temporal right,Resolve,"['files/p11/p11893091/s53794474/5b21b33c-9e45c0df-2d6b0f08-b7846556-f1e63e19.jpg', 'files/p11/p11893091/s53794474/f0e71e50-eb720bc4-ed412179-8b07b163-cd37195b.jpg']",['files/p11/p11893091/s53774431/79eee504-b1b60ab8-5e8dd843-b6ed87aa-670747b1.jpg\n']
s53794474_6,p11893091,s53794474,6,Findings,"As compared to the previous radiograph, the monitoring and support devices, including the temporal right pacemaker, have all been removed. The patient is in unchanged moderate pulmonary edema, with moderate cardiomegaly but without pleural effusions. No newly appeared parenchymal opacities. Unchanged mild atelectatic changes at the lung bases. No other relevant changes.",Unchanged mild atelectatic changes at the lung bases.,Mild atelectatic changes,Lung bases,Stable,"['files/p11/p11893091/s53794474/5b21b33c-9e45c0df-2d6b0f08-b7846556-f1e63e19.jpg', 'files/p11/p11893091/s53794474/f0e71e50-eb720bc4-ed412179-8b07b163-cd37195b.jpg']",['files/p11/p11893091/s53774431/79eee504-b1b60ab8-5e8dd843-b6ed87aa-670747b1.jpg\n']
s53794474_6,p11893091,s53794474,6,Findings,"As compared to the previous radiograph, the monitoring and support devices, including the temporal right pacemaker, have all been removed. The patient is in unchanged moderate pulmonary edema, with moderate cardiomegaly but without pleural effusions. No newly appeared parenchymal opacities. Unchanged mild atelectatic changes at the lung bases. No other relevant changes.","The patient is in unchanged moderate pulmonary edema, with moderate cardiomegaly but without pleural effusions.",Moderate pulmonary edema,,Stable,"['files/p11/p11893091/s53794474/5b21b33c-9e45c0df-2d6b0f08-b7846556-f1e63e19.jpg', 'files/p11/p11893091/s53794474/f0e71e50-eb720bc4-ed412179-8b07b163-cd37195b.jpg']",['files/p11/p11893091/s53774431/79eee504-b1b60ab8-5e8dd843-b6ed87aa-670747b1.jpg\n']
s53794474_6,p11893091,s53794474,6,Findings,"As compared to the previous radiograph, the monitoring and support devices, including the temporal right pacemaker, have all been removed. The patient is in unchanged moderate pulmonary edema, with moderate cardiomegaly but without pleural effusions. No newly appeared parenchymal opacities. Unchanged mild atelectatic changes at the lung bases. No other relevant changes.","The patient is in unchanged moderate pulmonary edema, with moderate cardiomegaly but without pleural effusions.",Moderate cardiomegaly,,Stable,"['files/p11/p11893091/s53794474/5b21b33c-9e45c0df-2d6b0f08-b7846556-f1e63e19.jpg', 'files/p11/p11893091/s53794474/f0e71e50-eb720bc4-ed412179-8b07b163-cd37195b.jpg']",['files/p11/p11893091/s53774431/79eee504-b1b60ab8-5e8dd843-b6ed87aa-670747b1.jpg\n']
s53795595_2,p12702423,s53795595,2,Impression,"Interval decrease in size of left pleural effusion, which is still moderate in severity.","Interval decrease in size of left pleural effusion, which is still moderate in severity.",effusion,left pleural,Better,['files/p12/p12702423/s53795595/def3b450-db2f7c7f-a082b686-800a5de0-6b74e997.jpg'],['files/p12/p12702423/s53164365/25449c50-88b4c67a-5aab7423-4c477c4b-843d4f4c.jpg\n']
s53795595_2,p12702423,s53795595,2,Findings,"There has been interval decrease in size of the left pleural effusion, which is now moderate in severity. Small right pleural effusion is present. Bilateral consolidations, more dense on the left, persist. No pneumothorax is seen. Extensive nodularity is consistent with known metastatic disease.","Bilateral consolidations, more dense on the left, persist.",consolidations,bilateral,Stable,['files/p12/p12702423/s53795595/def3b450-db2f7c7f-a082b686-800a5de0-6b74e997.jpg'],['files/p12/p12702423/s53164365/25449c50-88b4c67a-5aab7423-4c477c4b-843d4f4c.jpg\n']
s53795595_2,p12702423,s53795595,2,Findings,"There has been interval decrease in size of the left pleural effusion, which is now moderate in severity. Small right pleural effusion is present. Bilateral consolidations, more dense on the left, persist. No pneumothorax is seen. Extensive nodularity is consistent with known metastatic disease.","There has been interval decrease in size of the left pleural effusion, which is now moderate in severity.",effusion,left pleural,Better,['files/p12/p12702423/s53795595/def3b450-db2f7c7f-a082b686-800a5de0-6b74e997.jpg'],['files/p12/p12702423/s53164365/25449c50-88b4c67a-5aab7423-4c477c4b-843d4f4c.jpg\n']
s53809636_3,p12124741,s53809636,3,Impression,"1) Interval removal of left chest tube. No new pneumothorax or increase in left-sided effusion. 2) Equivocal slight increase in opacity at right base. Otherwise, I doubt significant interval change.",Interval removal of left chest tube. No new pneumothorax or increase in left-sided effusion.,tube,left chest,Resolve,['files/p12/p12124741/s53809636/1360763e-71ee973d-a29d16c9-9763397e-37844701.jpg'],"['files/p12/p12124741/s53352013/783fc94d-12b747b1-600f2e10-c1c51d2a-97240f95.jpg\n', 'files/p12/p12124741/s53352013/ebd066f6-f32177f2-c211270d-aeb7bae8-f4b6d9a2.jpg\n']"
s53809636_3,p12124741,s53809636,3,Impression,"1) Interval removal of left chest tube. No new pneumothorax or increase in left-sided effusion. 2) Equivocal slight increase in opacity at right base. Otherwise, I doubt significant interval change.","Equivocal slight increase in opacity at right base. Otherwise, I doubt significant interval change.",opacity,right base,Worse,['files/p12/p12124741/s53809636/1360763e-71ee973d-a29d16c9-9763397e-37844701.jpg'],"['files/p12/p12124741/s53352013/783fc94d-12b747b1-600f2e10-c1c51d2a-97240f95.jpg\n', 'files/p12/p12124741/s53352013/ebd066f6-f32177f2-c211270d-aeb7bae8-f4b6d9a2.jpg\n']"
s53815637_0,p18855147,s53815637,0,Findings,"Patient has received a new right dual-lumen dialysis catheter through the right internal jugular approach ending at mid SVC. Bilateral lung demonstrates increased interstitial marking and pulmonary vascular prominence likely from cardiac decompensation. Heart size is mildly enlarged, but unchanged to prior studies. Small pleural effusions seen on previous radiograph dated ___ have resolved. No pneumothorax. No discrete opacities concerning for pneumonia. Mediastinal silhouette is normal.","Heart size is mildly enlarged, but unchanged to prior studies.",Heart size,,Stable,['files/p18/p18855147/s53815637/482e79ef-a82c1a49-c033fcfb-5111777e-a1d59d81.jpg'],['files/p18/p18855147/s53707610/2dff1f81-10a9bf5a-27bc2fca-33511bd6-db94a774.jpg\n']
s53815637_0,p18855147,s53815637,0,Findings,"Patient has received a new right dual-lumen dialysis catheter through the right internal jugular approach ending at mid SVC. Bilateral lung demonstrates increased interstitial marking and pulmonary vascular prominence likely from cardiac decompensation. Heart size is mildly enlarged, but unchanged to prior studies. Small pleural effusions seen on previous radiograph dated ___ have resolved. No pneumothorax. No discrete opacities concerning for pneumonia. Mediastinal silhouette is normal.",Bilateral lung demonstrates increased interstitial marking and pulmonary vascular prominence likely from cardiac decompensation.,Pulmonary vascular prominence,Bilateral,Worse,['files/p18/p18855147/s53815637/482e79ef-a82c1a49-c033fcfb-5111777e-a1d59d81.jpg'],['files/p18/p18855147/s53707610/2dff1f81-10a9bf5a-27bc2fca-33511bd6-db94a774.jpg\n']
s53815637_0,p18855147,s53815637,0,Findings,"Patient has received a new right dual-lumen dialysis catheter through the right internal jugular approach ending at mid SVC. Bilateral lung demonstrates increased interstitial marking and pulmonary vascular prominence likely from cardiac decompensation. Heart size is mildly enlarged, but unchanged to prior studies. Small pleural effusions seen on previous radiograph dated ___ have resolved. No pneumothorax. No discrete opacities concerning for pneumonia. Mediastinal silhouette is normal.",Bilateral lung demonstrates increased interstitial marking and pulmonary vascular prominence likely from cardiac decompensation.,Interstitial marking,Bilateral,Worse,['files/p18/p18855147/s53815637/482e79ef-a82c1a49-c033fcfb-5111777e-a1d59d81.jpg'],['files/p18/p18855147/s53707610/2dff1f81-10a9bf5a-27bc2fca-33511bd6-db94a774.jpg\n']
s53815637_0,p18855147,s53815637,0,Findings,"Patient has received a new right dual-lumen dialysis catheter through the right internal jugular approach ending at mid SVC. Bilateral lung demonstrates increased interstitial marking and pulmonary vascular prominence likely from cardiac decompensation. Heart size is mildly enlarged, but unchanged to prior studies. Small pleural effusions seen on previous radiograph dated ___ have resolved. No pneumothorax. No discrete opacities concerning for pneumonia. Mediastinal silhouette is normal.",Small pleural effusions seen on previous radiograph dated ___ have resolved.,Small pleural effusions,,Resolve,['files/p18/p18855147/s53815637/482e79ef-a82c1a49-c033fcfb-5111777e-a1d59d81.jpg'],['files/p18/p18855147/s53707610/2dff1f81-10a9bf5a-27bc2fca-33511bd6-db94a774.jpg\n']
s53818026_1,p10715477,s53818026,1,Findings,"Since prior radiograph from ___, the mediastinal drain tube has been removed. There is no pneumothorax. Both lung volumes are very low. Bilateral, right side more than left side, moderate pulmonary edema has improved. Widened cardiomediastinal silhouette is more than it was on ___; however, this appearance could be exacerbation from low lung volumes. Patient is status post median sternotomy with intact sternal sutures.","Widened cardiomediastinal silhouette is more than it was on ___; however, this appearance could be exacerbation from low lung volumes.",widened cardiomediastinal silhouette,,Worse,['files/p10/p10715477/s53818026/264b773c-cd573e36-8b42c4fd-971c4302-1946ed5a.jpg'],"['files/p10/p10715477/s52467293/a4cc4fce-403bca64-3d69bd14-402f40af-28edbebd.jpg\n', 'files/p10/p10715477/s52467293/fbaf1e44-468cb5b9-2cd8fc25-a7f7e778-1dde8b89.jpg\n']"
s53818026_1,p10715477,s53818026,1,Findings,"Since prior radiograph from ___, the mediastinal drain tube has been removed. There is no pneumothorax. Both lung volumes are very low. Bilateral, right side more than left side, moderate pulmonary edema has improved. Widened cardiomediastinal silhouette is more than it was on ___; however, this appearance could be exacerbation from low lung volumes. Patient is status post median sternotomy with intact sternal sutures.","Since prior radiograph from ___, the mediastinal drain tube has been removed.",mediastinal drain tube,,Resolve,['files/p10/p10715477/s53818026/264b773c-cd573e36-8b42c4fd-971c4302-1946ed5a.jpg'],"['files/p10/p10715477/s52467293/a4cc4fce-403bca64-3d69bd14-402f40af-28edbebd.jpg\n', 'files/p10/p10715477/s52467293/fbaf1e44-468cb5b9-2cd8fc25-a7f7e778-1dde8b89.jpg\n']"
s53818026_1,p10715477,s53818026,1,Findings,"Since prior radiograph from ___, the mediastinal drain tube has been removed. There is no pneumothorax. Both lung volumes are very low. Bilateral, right side more than left side, moderate pulmonary edema has improved. Widened cardiomediastinal silhouette is more than it was on ___; however, this appearance could be exacerbation from low lung volumes. Patient is status post median sternotomy with intact sternal sutures.","Bilateral, right side more than left side, moderate pulmonary edema has improved.",moderate pulmonary edema,"bilateral, right side more than left side",Better,['files/p10/p10715477/s53818026/264b773c-cd573e36-8b42c4fd-971c4302-1946ed5a.jpg'],"['files/p10/p10715477/s52467293/a4cc4fce-403bca64-3d69bd14-402f40af-28edbebd.jpg\n', 'files/p10/p10715477/s52467293/fbaf1e44-468cb5b9-2cd8fc25-a7f7e778-1dde8b89.jpg\n']"
s53818162_4,p14727722,s53818162,4,Findings,"Frontal and lateral views of the chest were obtained. The cardiac silhouette is enlarged with somewhat globular configuration, which may be due to pericardial effusion or cardiomyopathy. There is mild bibasilar atelectasis. No definite focal consolidation is seen, although a small retrocardiac consolidation is difficult to exclude. No large pleural effusion or pneumothorax. The superior mediastinum remains prominent as it did on the prior study from ___. There is mid lung linear atelectasis/scarring, best seen on the lateral view. The posterior costophrenic angles are not well seen which may be due to overlying soft tissue, though trace pleural effusions are not excluded.",The superior mediastinum remains prominent as it did on the prior study from ___.,superior mediastinum,,Stable,"['files/p14/p14727722/s53818162/8c410469-6d0fe4ba-0b72128d-15095daa-3e1623e9.jpg', 'files/p14/p14727722/s53818162/8cfadf6b-471b5144-7c37275c-9fdbc51a-041a6f50.jpg']","['files/p14/p14727722/s50268484/b41c2311-0eb8b5c8-4235ebb9-70881fa9-d40cc1d6.jpg\n', 'files/p14/p14727722/s50268484/b74575dc-72fdefcf-956cda70-9feec40f-0ad80c33.jpg\n']"
s53822449_3,p19159236,s53822449,3,Findings,"Single portable view of the chest is compared to previous exam from ___. Lower lung volumes are seen on the current exam. There is, however, suggestion of diffuse increased interstitial markings with more confluent opacities at the lung bases. While these could be due to impart atelectasis, underlying edema or infection is also suspected. Cardiac silhouette is unchanged, as are the osseous and soft tissue structures.","Cardiac silhouette is unchanged, as are the osseous and soft tissue structures.",appearance,cardiac silhouette,Stable,['files/p19/p19159236/s53822449/85e6c011-1020a8b3-3145216e-1aed7acb-abe82459.jpg'],['files/p19/p19159236/s52514701/1fa07d59-1b6609db-c7feef15-3888f71e-17d91291.jpg\n']
s53822449_3,p19159236,s53822449,3,Impression,"Bilateral parenchymal opacities, worse at the bases, left greater than right, suggestive of underlying edema or bilateral infection superimposed on atelectasis. PA and lateral with better inspiratory effort may help further characterize.","Bilateral parenchymal opacities, worse at the bases, left greater than right, suggestive of underlying edema or bilateral infection superimposed on atelectasis.",parenchymal opacities,"bases, left greater than right",Worse,['files/p19/p19159236/s53822449/85e6c011-1020a8b3-3145216e-1aed7acb-abe82459.jpg'],['files/p19/p19159236/s52514701/1fa07d59-1b6609db-c7feef15-3888f71e-17d91291.jpg\n']
s53825501_14,p11569093,s53825501,14,Findings,Right-sided chest tube has been removed. There is a hydropneumothorax in the inferior right chest. The amount of fluid has increased compared to the study from two days prior. The thick irregular pleural disease around the right lung is again visualized. The left lung is clear. Cardiac and mediastinal silhouettes are unchanged.,Right-sided chest tube has been removed.,chest tube,right-sided,Resolve,"['files/p11/p11569093/s53825501/66a29579-968d1700-4071c06f-fde97b0f-8ca7ce9b.jpg', 'files/p11/p11569093/s53825501/aa48f5aa-bc33341a-d09fad73-1b881cf5-ec400de4.jpg']",['files/p11/p11569093/s52805540/ac8eedd7-c5de2735-141b666d-540b2d92-243ec57d.jpg\n']
s53825501_14,p11569093,s53825501,14,Findings,Right-sided chest tube has been removed. There is a hydropneumothorax in the inferior right chest. The amount of fluid has increased compared to the study from two days prior. The thick irregular pleural disease around the right lung is again visualized. The left lung is clear. Cardiac and mediastinal silhouettes are unchanged.,The amount of fluid has increased compared to the study from two days prior.,fluid,inferior right chest,Worse,"['files/p11/p11569093/s53825501/66a29579-968d1700-4071c06f-fde97b0f-8ca7ce9b.jpg', 'files/p11/p11569093/s53825501/aa48f5aa-bc33341a-d09fad73-1b881cf5-ec400de4.jpg']",['files/p11/p11569093/s52805540/ac8eedd7-c5de2735-141b666d-540b2d92-243ec57d.jpg\n']
s53825501_14,p11569093,s53825501,14,Findings,Right-sided chest tube has been removed. There is a hydropneumothorax in the inferior right chest. The amount of fluid has increased compared to the study from two days prior. The thick irregular pleural disease around the right lung is again visualized. The left lung is clear. Cardiac and mediastinal silhouettes are unchanged.,The thick irregular pleural disease around the right lung is again visualized.,pleural disease,around the right lung,Stable,"['files/p11/p11569093/s53825501/66a29579-968d1700-4071c06f-fde97b0f-8ca7ce9b.jpg', 'files/p11/p11569093/s53825501/aa48f5aa-bc33341a-d09fad73-1b881cf5-ec400de4.jpg']",['files/p11/p11569093/s52805540/ac8eedd7-c5de2735-141b666d-540b2d92-243ec57d.jpg\n']
s53825501_14,p11569093,s53825501,14,Findings,Right-sided chest tube has been removed. There is a hydropneumothorax in the inferior right chest. The amount of fluid has increased compared to the study from two days prior. The thick irregular pleural disease around the right lung is again visualized. The left lung is clear. Cardiac and mediastinal silhouettes are unchanged.,Cardiac and mediastinal silhouettes are unchanged.,silhouettes,cardiac and mediastinal,Stable,"['files/p11/p11569093/s53825501/66a29579-968d1700-4071c06f-fde97b0f-8ca7ce9b.jpg', 'files/p11/p11569093/s53825501/aa48f5aa-bc33341a-d09fad73-1b881cf5-ec400de4.jpg']",['files/p11/p11569093/s52805540/ac8eedd7-c5de2735-141b666d-540b2d92-243ec57d.jpg\n']
s53829822_18,p16855430,s53829822,18,Findings,"The heart is again mild to moderately enlarged. The cardiac, mediastinal, and hilar contours appear stable. There is no definite pleural effusion or pneumothorax. Although not nearly as striking is the prior study, the pulmonary vascularity is indistinct, and the appearance suggests mild vascular congestion, without definite focal opacity. Hemidiaphragms are flattened. Fissures are minimally thickened.",The heart is again mild to moderately enlarged.,Mild to moderately enlarged heart,,Stable,"['files/p16/p16855430/s53829822/6f9ca3bc-a0a9f3c7-afd9f2ca-a88637ba-52ab17cf.jpg', 'files/p16/p16855430/s53829822/8b38d41a-f5185160-d311d652-8d19e4c2-9f97688a.jpg']",['files/p16/p16855430/s53405597/1b6de453-c29f3bea-062b74e0-18018703-0456f192.jpg\n']
s53829822_18,p16855430,s53829822,18,Findings,"The heart is again mild to moderately enlarged. The cardiac, mediastinal, and hilar contours appear stable. There is no definite pleural effusion or pneumothorax. Although not nearly as striking is the prior study, the pulmonary vascularity is indistinct, and the appearance suggests mild vascular congestion, without definite focal opacity. Hemidiaphragms are flattened. Fissures are minimally thickened.","The cardiac, mediastinal, and hilar contours appear stable.","Cardiac, mediastinal, and hilar contours",,Stable,"['files/p16/p16855430/s53829822/6f9ca3bc-a0a9f3c7-afd9f2ca-a88637ba-52ab17cf.jpg', 'files/p16/p16855430/s53829822/8b38d41a-f5185160-d311d652-8d19e4c2-9f97688a.jpg']",['files/p16/p16855430/s53405597/1b6de453-c29f3bea-062b74e0-18018703-0456f192.jpg\n']
s53829822_18,p16855430,s53829822,18,Findings,"The heart is again mild to moderately enlarged. The cardiac, mediastinal, and hilar contours appear stable. There is no definite pleural effusion or pneumothorax. Although not nearly as striking is the prior study, the pulmonary vascularity is indistinct, and the appearance suggests mild vascular congestion, without definite focal opacity. Hemidiaphragms are flattened. Fissures are minimally thickened.","Although not nearly as striking is the prior study, the pulmonary vascularity is indistinct, and the appearance suggests mild vascular congestion, without definite focal opacity.",Pulmonary vascularity,,Stable,"['files/p16/p16855430/s53829822/6f9ca3bc-a0a9f3c7-afd9f2ca-a88637ba-52ab17cf.jpg', 'files/p16/p16855430/s53829822/8b38d41a-f5185160-d311d652-8d19e4c2-9f97688a.jpg']",['files/p16/p16855430/s53405597/1b6de453-c29f3bea-062b74e0-18018703-0456f192.jpg\n']
s53831546_16,p13031876,s53831546,16,Impression,Persistent left basilar atelectasis and small left pleural effusion.,Persistent left basilar atelectasis and small left pleural effusion.,pleural effusion,left,Stable,['files/p13/p13031876/s53831546/8e011dfc-c2e23780-6e926bd4-fdef5895-a403ee8f.jpg'],['files/p13/p13031876/s53742043/3a3c2ff3-83520f66-952df228-3aa9936e-a98b9087.jpg\n']
s53831546_16,p13031876,s53831546,16,Findings,The tip of an endotracheal tube is 4.7 cm from the carina. There is stable moderate enlargement of the cardiac silhouette. The mediastinum is normal. A small left pleural effusion is unchanged. An adjacent persistent hazy opacification at the left base likely represents atelectasis. The right lung is clear. There is no pneumothorax.,An adjacent persistent hazy opacification at the left base likely represents atelectasis.,hazy opacification,left base,New,['files/p13/p13031876/s53831546/8e011dfc-c2e23780-6e926bd4-fdef5895-a403ee8f.jpg'],['files/p13/p13031876/s53742043/3a3c2ff3-83520f66-952df228-3aa9936e-a98b9087.jpg\n']
s53831546_16,p13031876,s53831546,16,Findings,The tip of an endotracheal tube is 4.7 cm from the carina. There is stable moderate enlargement of the cardiac silhouette. The mediastinum is normal. A small left pleural effusion is unchanged. An adjacent persistent hazy opacification at the left base likely represents atelectasis. The right lung is clear. There is no pneumothorax.,A small left pleural effusion is unchanged.,pleural effusion,left,Stable,['files/p13/p13031876/s53831546/8e011dfc-c2e23780-6e926bd4-fdef5895-a403ee8f.jpg'],['files/p13/p13031876/s53742043/3a3c2ff3-83520f66-952df228-3aa9936e-a98b9087.jpg\n']
s53831546_16,p13031876,s53831546,16,Findings,The tip of an endotracheal tube is 4.7 cm from the carina. There is stable moderate enlargement of the cardiac silhouette. The mediastinum is normal. A small left pleural effusion is unchanged. An adjacent persistent hazy opacification at the left base likely represents atelectasis. The right lung is clear. There is no pneumothorax.,There is stable moderate enlargement of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p13/p13031876/s53831546/8e011dfc-c2e23780-6e926bd4-fdef5895-a403ee8f.jpg'],['files/p13/p13031876/s53742043/3a3c2ff3-83520f66-952df228-3aa9936e-a98b9087.jpg\n']
s53831546_16,p13031876,s53831546,16,Impression,Persistent left basilar atelectasis and small left pleural effusion.,Persistent left basilar atelectasis and small left pleural effusion.,atelectasis,left basilar,Stable,['files/p13/p13031876/s53831546/8e011dfc-c2e23780-6e926bd4-fdef5895-a403ee8f.jpg'],['files/p13/p13031876/s53742043/3a3c2ff3-83520f66-952df228-3aa9936e-a98b9087.jpg\n']
s53835190_12,p10975446,s53835190,12,Findings,"As compared to the previous radiograph, there is unchanged evidence of bilateral parenchymal opacities, constant on the right and minimally improving on the left. Unchanged cardiomegaly and small bilateral pleural effusions. Subsequent areas of basal atelectasis. Unchanged position of the endotracheal tube and right-sided central venous access line.",Unchanged cardiomegaly and small bilateral pleural effusions.,cardiomegaly,,Stable,['files/p10/p10975446/s53835190/32ddd325-e5d324e2-d240150b-5c00c3f0-fadd7c83.jpg'],['files/p10/p10975446/s53829371/d093e190-64d95289-7b99a592-ca302be2-6987d800.jpg\n']
s53835190_12,p10975446,s53835190,12,Findings,"As compared to the previous radiograph, there is unchanged evidence of bilateral parenchymal opacities, constant on the right and minimally improving on the left. Unchanged cardiomegaly and small bilateral pleural effusions. Subsequent areas of basal atelectasis. Unchanged position of the endotracheal tube and right-sided central venous access line.",Unchanged cardiomegaly and small bilateral pleural effusions.,pleural effusions,bilateral,Stable,['files/p10/p10975446/s53835190/32ddd325-e5d324e2-d240150b-5c00c3f0-fadd7c83.jpg'],['files/p10/p10975446/s53829371/d093e190-64d95289-7b99a592-ca302be2-6987d800.jpg\n']
s53835190_12,p10975446,s53835190,12,Findings,"As compared to the previous radiograph, there is unchanged evidence of bilateral parenchymal opacities, constant on the right and minimally improving on the left. Unchanged cardiomegaly and small bilateral pleural effusions. Subsequent areas of basal atelectasis. Unchanged position of the endotracheal tube and right-sided central venous access line.","As compared to the previous radiograph, there is unchanged evidence of bilateral parenchymal opacities, constant on the right and minimally improving on the left.",parenchymal opacities,right,Stable,['files/p10/p10975446/s53835190/32ddd325-e5d324e2-d240150b-5c00c3f0-fadd7c83.jpg'],['files/p10/p10975446/s53829371/d093e190-64d95289-7b99a592-ca302be2-6987d800.jpg\n']
s53835190_12,p10975446,s53835190,12,Findings,"As compared to the previous radiograph, there is unchanged evidence of bilateral parenchymal opacities, constant on the right and minimally improving on the left. Unchanged cardiomegaly and small bilateral pleural effusions. Subsequent areas of basal atelectasis. Unchanged position of the endotracheal tube and right-sided central venous access line.",Subsequent areas of basal atelectasis.,atelectasis,basal,Stable,['files/p10/p10975446/s53835190/32ddd325-e5d324e2-d240150b-5c00c3f0-fadd7c83.jpg'],['files/p10/p10975446/s53829371/d093e190-64d95289-7b99a592-ca302be2-6987d800.jpg\n']
s53835190_12,p10975446,s53835190,12,Findings,"As compared to the previous radiograph, there is unchanged evidence of bilateral parenchymal opacities, constant on the right and minimally improving on the left. Unchanged cardiomegaly and small bilateral pleural effusions. Subsequent areas of basal atelectasis. Unchanged position of the endotracheal tube and right-sided central venous access line.","As compared to the previous radiograph, there is unchanged evidence of bilateral parenchymal opacities, constant on the right and minimally improving on the left.",parenchymal opacities,left,Better,['files/p10/p10975446/s53835190/32ddd325-e5d324e2-d240150b-5c00c3f0-fadd7c83.jpg'],['files/p10/p10975446/s53829371/d093e190-64d95289-7b99a592-ca302be2-6987d800.jpg\n']
s53836642_10,p11413236,s53836642,10,Findings,The patient is status post sternotomy. A Port-A-Cath terminates in the right atrium. The heart is mildly enlarged. Calcified mediastinal lymph nodes are unchanged. The lung volumes are low. Streaky basilar opacities suggest minor atelectasis. There is no pleural effusion or pneumothorax. Cholecystectomy clips project over the right upper quadrant.,Calcified mediastinal lymph nodes are unchanged.,calcified lymph nodes,mediastinal,Stable,['files/p11/p11413236/s53836642/5a57f9ad-cca470ce-4338e8a1-bd61ba63-c40ce753.jpg'],"['files/p11/p11413236/s53410264/01162a03-2f26a872-9c7a120b-f5ce80a2-46b2577b.jpg\n', 'files/p11/p11413236/s53410264/ed184d83-ae8d1e4b-471e594f-15e2ca32-860a8dbb.jpg\n']"
s53840157_7,p12074041,s53840157,7,Findings,"Again seen is mild cardiomegaly, pulmonary vascular redistribution and patchy alveolar infiltrates. The lateral film is limited by the arm projecting over the lateral lungs. There is increased opacity at both bases and it is unclear if this is due to atelectasis or focal infiltrate. The overall impression is that of pulmonary edema which is similar compared to the study from earlier the same day.","Again seen is mild cardiomegaly, pulmonary vascular redistribution and patchy alveolar infiltrates.",infiltrates,alveolar,Stable,"['files/p12/p12074041/s53840157/807c53b9-9e9a06d2-201c5941-deae8153-ec887b70.jpg', 'files/p12/p12074041/s53840157/db66ef84-840a9cf7-58eb1d86-97e44130-e32682cb.jpg', 'files/p12/p12074041/s53840157/ebfa6753-3f0b7933-ca42ef98-0ce8ca94-b03f6676.jpg']",['files/p12/p12074041/s53353190/172a847d-d8c6570a-3cb0cff9-cb4ca0bd-3a8b93f1.jpg\n']
s53840157_7,p12074041,s53840157,7,Findings,"Again seen is mild cardiomegaly, pulmonary vascular redistribution and patchy alveolar infiltrates. The lateral film is limited by the arm projecting over the lateral lungs. There is increased opacity at both bases and it is unclear if this is due to atelectasis or focal infiltrate. The overall impression is that of pulmonary edema which is similar compared to the study from earlier the same day.",The overall impression is that of pulmonary edema which is similar compared to the study from earlier the same day.,edema,pulmonary,Stable,"['files/p12/p12074041/s53840157/807c53b9-9e9a06d2-201c5941-deae8153-ec887b70.jpg', 'files/p12/p12074041/s53840157/db66ef84-840a9cf7-58eb1d86-97e44130-e32682cb.jpg', 'files/p12/p12074041/s53840157/ebfa6753-3f0b7933-ca42ef98-0ce8ca94-b03f6676.jpg']",['files/p12/p12074041/s53353190/172a847d-d8c6570a-3cb0cff9-cb4ca0bd-3a8b93f1.jpg\n']
s53840157_7,p12074041,s53840157,7,Findings,"Again seen is mild cardiomegaly, pulmonary vascular redistribution and patchy alveolar infiltrates. The lateral film is limited by the arm projecting over the lateral lungs. There is increased opacity at both bases and it is unclear if this is due to atelectasis or focal infiltrate. The overall impression is that of pulmonary edema which is similar compared to the study from earlier the same day.","Again seen is mild cardiomegaly, pulmonary vascular redistribution and patchy alveolar infiltrates.",cardiomegaly,cardiac,Stable,"['files/p12/p12074041/s53840157/807c53b9-9e9a06d2-201c5941-deae8153-ec887b70.jpg', 'files/p12/p12074041/s53840157/db66ef84-840a9cf7-58eb1d86-97e44130-e32682cb.jpg', 'files/p12/p12074041/s53840157/ebfa6753-3f0b7933-ca42ef98-0ce8ca94-b03f6676.jpg']",['files/p12/p12074041/s53353190/172a847d-d8c6570a-3cb0cff9-cb4ca0bd-3a8b93f1.jpg\n']
s53840157_7,p12074041,s53840157,7,Findings,"Again seen is mild cardiomegaly, pulmonary vascular redistribution and patchy alveolar infiltrates. The lateral film is limited by the arm projecting over the lateral lungs. There is increased opacity at both bases and it is unclear if this is due to atelectasis or focal infiltrate. The overall impression is that of pulmonary edema which is similar compared to the study from earlier the same day.","Again seen is mild cardiomegaly, pulmonary vascular redistribution and patchy alveolar infiltrates.",vascular redistribution,pulmonary,Stable,"['files/p12/p12074041/s53840157/807c53b9-9e9a06d2-201c5941-deae8153-ec887b70.jpg', 'files/p12/p12074041/s53840157/db66ef84-840a9cf7-58eb1d86-97e44130-e32682cb.jpg', 'files/p12/p12074041/s53840157/ebfa6753-3f0b7933-ca42ef98-0ce8ca94-b03f6676.jpg']",['files/p12/p12074041/s53353190/172a847d-d8c6570a-3cb0cff9-cb4ca0bd-3a8b93f1.jpg\n']
s53840157_7,p12074041,s53840157,7,Findings,"Again seen is mild cardiomegaly, pulmonary vascular redistribution and patchy alveolar infiltrates. The lateral film is limited by the arm projecting over the lateral lungs. There is increased opacity at both bases and it is unclear if this is due to atelectasis or focal infiltrate. The overall impression is that of pulmonary edema which is similar compared to the study from earlier the same day.",There is increased opacity at both bases and it is unclear if this is due to atelectasis or focal infiltrate.,opacity,both bases,Worse,"['files/p12/p12074041/s53840157/807c53b9-9e9a06d2-201c5941-deae8153-ec887b70.jpg', 'files/p12/p12074041/s53840157/db66ef84-840a9cf7-58eb1d86-97e44130-e32682cb.jpg', 'files/p12/p12074041/s53840157/ebfa6753-3f0b7933-ca42ef98-0ce8ca94-b03f6676.jpg']",['files/p12/p12074041/s53353190/172a847d-d8c6570a-3cb0cff9-cb4ca0bd-3a8b93f1.jpg\n']
s53843466_6,p10975446,s53843466,6,Findings,"The ET tube is low, 1.5 cm above the carina. There are increased lung markings bilaterally in this patient with known bilateral basilar atelectasis/infiltrate/aspiration. An IJ line tip is at the cavoatrial junction.",There are increased lung markings bilaterally in this patient with known bilateral basilar atelectasis/infiltrate/aspiration.,basilar atelectasis/infiltrate/aspiration,bilaterally,Worse,['files/p10/p10975446/s53843466/f5694e30-74276190-ca787eed-b4262479-f73aec86.jpg'],['files/p10/p10975446/s53835190/32ddd325-e5d324e2-d240150b-5c00c3f0-fadd7c83.jpg\n']
s53845981_19,p16508811,s53845981,19,Findings,Lines and Tubes: Right IJ line terminates in the SVC. Lungs: Well inflated with unchanged bilateral lower zone linear and hazy opacities. Pleura: Small left pleural effusion. No pneumothorax. Mediastinum: Stable cardiomegaly and prominence of hilar vasculature. Bony thorax: No interval change,Mediastinum: Stable cardiomegaly and prominence of hilar vasculature.,cardiomegaly,,Stable,"['files/p16/p16508811/s53845981/0762369f-af8531f3-09fc45b2-f00d90c9-88e6ff7d.jpg', 'files/p16/p16508811/s53845981/888290a6-cb15d01c-e8f7eea0-2b69aa11-d34b333b.jpg']","['files/p16/p16508811/s53708518/92afaf0a-1599ea5d-299de00c-663008be-231fd983.jpg\n', 'files/p16/p16508811/s53708518/b1cf33ff-6f744ea2-7779ec30-81842599-a4625e58.jpg\n']"
s53845981_19,p16508811,s53845981,19,Impression,"Persistent, unchanged pulmonary edema.","Persistent, unchanged pulmonary edema.",pulmonary edema,,Stable,"['files/p16/p16508811/s53845981/0762369f-af8531f3-09fc45b2-f00d90c9-88e6ff7d.jpg', 'files/p16/p16508811/s53845981/888290a6-cb15d01c-e8f7eea0-2b69aa11-d34b333b.jpg']","['files/p16/p16508811/s53708518/92afaf0a-1599ea5d-299de00c-663008be-231fd983.jpg\n', 'files/p16/p16508811/s53708518/b1cf33ff-6f744ea2-7779ec30-81842599-a4625e58.jpg\n']"
s53845981_19,p16508811,s53845981,19,Findings,Lines and Tubes: Right IJ line terminates in the SVC. Lungs: Well inflated with unchanged bilateral lower zone linear and hazy opacities. Pleura: Small left pleural effusion. No pneumothorax. Mediastinum: Stable cardiomegaly and prominence of hilar vasculature. Bony thorax: No interval change,Lungs: Well inflated with unchanged bilateral lower zone linear and hazy opacities.,linear and hazy opacities,bilateral lower zone,Stable,"['files/p16/p16508811/s53845981/0762369f-af8531f3-09fc45b2-f00d90c9-88e6ff7d.jpg', 'files/p16/p16508811/s53845981/888290a6-cb15d01c-e8f7eea0-2b69aa11-d34b333b.jpg']","['files/p16/p16508811/s53708518/92afaf0a-1599ea5d-299de00c-663008be-231fd983.jpg\n', 'files/p16/p16508811/s53708518/b1cf33ff-6f744ea2-7779ec30-81842599-a4625e58.jpg\n']"
s53850317_0,p10410641,s53850317,0,Impression,New large right-sided pleural effusion with underlying atelectasis and possible consolidation in the middle and lower lobes. CT scan may offer additional detail of underlying parenchymal abnormalities. Small left-sided pleural effusion.,New large right-sided pleural effusion with underlying atelectasis and possible consolidation in the middle and lower lobes.,pleural effusion,right-sided,New,"['files/p10/p10410641/s53850317/20f54ecb-20a32ed8-5f27bfe6-e9d07de1-ce76357e.jpg', 'files/p10/p10410641/s53850317/271ab9c9-419a0db3-215b585b-1c874aad-7c04a49d.jpg']",['files/p10/p10410641/s53259291/3d8031cb-7f207914-fcd68ada-f9eb48e5-ec6ac11a.jpg\n']
s53850317_0,p10410641,s53850317,0,Impression,New large right-sided pleural effusion with underlying atelectasis and possible consolidation in the middle and lower lobes. CT scan may offer additional detail of underlying parenchymal abnormalities. Small left-sided pleural effusion.,New large right-sided pleural effusion with underlying atelectasis and possible consolidation in the middle and lower lobes.,atelectasis and possible consolidation,middle and lower lobes,New,"['files/p10/p10410641/s53850317/20f54ecb-20a32ed8-5f27bfe6-e9d07de1-ce76357e.jpg', 'files/p10/p10410641/s53850317/271ab9c9-419a0db3-215b585b-1c874aad-7c04a49d.jpg']",['files/p10/p10410641/s53259291/3d8031cb-7f207914-fcd68ada-f9eb48e5-ec6ac11a.jpg\n']
s53854854_0,p11906222,s53854854,0,Findings,"No previous images. There is mild hyperexpansion of the lungs, suggesting some underlying chronic pulmonary disease. However, no evidence of acute pneumonia, vascular congestion, or pleural effusion. Of incidental note is an old healed rib fracture on the right.",Of incidental note is an old healed rib fracture on the right.,healed rib fracture,right,Stable,['files/p11/p11906222/s53854854/567bcd19-6ab220b4-8f8eb57b-5f94b009-a4007fc7.jpg'],"['files/p11/p11906222/s52008677/59a291bb-a5b73755-8efc4039-1a4e13f2-887e46d2.jpg\n', 'files/p11/p11906222/s52008677/b6a2b75a-2f7feeff-1e47f4d0-1d86b2ff-c5d8d6c1.jpg\n']"
s53861171_0,p16043240,s53861171,0,Findings,"Right IJ line and bilateral chest tubes, sternal wires and mediastinal clips are unchanged. A tiny left apical lateral pneumothorax is visualized. The right pneumothorax is probably still present but is very difficult to see. Both of these are smaller than on the film from the prior day. Continues to be retrocardiac opacity and volume loss/infiltrate in both lower lungs.",Both of these are smaller than on the film from the prior day.,pneumothorax,right,Better,['files/p16/p16043240/s53861171/a0c83599-da2ea7b7-03944f49-45a6b253-31fa3b34.jpg'],"['files/p16/p16043240/s51640383/46f5be5f-70e3e741-542f6fde-edbbdbfe-a4ed00d6.jpg\n', 'files/p16/p16043240/s51640383/603ec26c-efd8dad7-d9c3a4d2-f402b7a8-8b3ac5e7.jpg\n']"
s53861171_0,p16043240,s53861171,0,Findings,"Right IJ line and bilateral chest tubes, sternal wires and mediastinal clips are unchanged. A tiny left apical lateral pneumothorax is visualized. The right pneumothorax is probably still present but is very difficult to see. Both of these are smaller than on the film from the prior day. Continues to be retrocardiac opacity and volume loss/infiltrate in both lower lungs.",Both of these are smaller than on the film from the prior day.,pneumothorax,left apical lateral,Better,['files/p16/p16043240/s53861171/a0c83599-da2ea7b7-03944f49-45a6b253-31fa3b34.jpg'],"['files/p16/p16043240/s51640383/46f5be5f-70e3e741-542f6fde-edbbdbfe-a4ed00d6.jpg\n', 'files/p16/p16043240/s51640383/603ec26c-efd8dad7-d9c3a4d2-f402b7a8-8b3ac5e7.jpg\n']"
s53861171_0,p16043240,s53861171,0,Findings,"Right IJ line and bilateral chest tubes, sternal wires and mediastinal clips are unchanged. A tiny left apical lateral pneumothorax is visualized. The right pneumothorax is probably still present but is very difficult to see. Both of these are smaller than on the film from the prior day. Continues to be retrocardiac opacity and volume loss/infiltrate in both lower lungs.","Right IJ line and bilateral chest tubes, sternal wires and mediastinal clips are unchanged.",line,Right IJ line,Stable,['files/p16/p16043240/s53861171/a0c83599-da2ea7b7-03944f49-45a6b253-31fa3b34.jpg'],"['files/p16/p16043240/s51640383/46f5be5f-70e3e741-542f6fde-edbbdbfe-a4ed00d6.jpg\n', 'files/p16/p16043240/s51640383/603ec26c-efd8dad7-d9c3a4d2-f402b7a8-8b3ac5e7.jpg\n']"
s53861171_0,p16043240,s53861171,0,Findings,"Right IJ line and bilateral chest tubes, sternal wires and mediastinal clips are unchanged. A tiny left apical lateral pneumothorax is visualized. The right pneumothorax is probably still present but is very difficult to see. Both of these are smaller than on the film from the prior day. Continues to be retrocardiac opacity and volume loss/infiltrate in both lower lungs.","Right IJ line and bilateral chest tubes, sternal wires and mediastinal clips are unchanged.",clips,mediastinal,Stable,['files/p16/p16043240/s53861171/a0c83599-da2ea7b7-03944f49-45a6b253-31fa3b34.jpg'],"['files/p16/p16043240/s51640383/46f5be5f-70e3e741-542f6fde-edbbdbfe-a4ed00d6.jpg\n', 'files/p16/p16043240/s51640383/603ec26c-efd8dad7-d9c3a4d2-f402b7a8-8b3ac5e7.jpg\n']"
s53861171_0,p16043240,s53861171,0,Findings,"Right IJ line and bilateral chest tubes, sternal wires and mediastinal clips are unchanged. A tiny left apical lateral pneumothorax is visualized. The right pneumothorax is probably still present but is very difficult to see. Both of these are smaller than on the film from the prior day. Continues to be retrocardiac opacity and volume loss/infiltrate in both lower lungs.","Right IJ line and bilateral chest tubes, sternal wires and mediastinal clips are unchanged.",chest tubes,bilateral,Stable,['files/p16/p16043240/s53861171/a0c83599-da2ea7b7-03944f49-45a6b253-31fa3b34.jpg'],"['files/p16/p16043240/s51640383/46f5be5f-70e3e741-542f6fde-edbbdbfe-a4ed00d6.jpg\n', 'files/p16/p16043240/s51640383/603ec26c-efd8dad7-d9c3a4d2-f402b7a8-8b3ac5e7.jpg\n']"
s53861171_0,p16043240,s53861171,0,Findings,"Right IJ line and bilateral chest tubes, sternal wires and mediastinal clips are unchanged. A tiny left apical lateral pneumothorax is visualized. The right pneumothorax is probably still present but is very difficult to see. Both of these are smaller than on the film from the prior day. Continues to be retrocardiac opacity and volume loss/infiltrate in both lower lungs.","Right IJ line and bilateral chest tubes, sternal wires and mediastinal clips are unchanged.",wires,sternal,Stable,['files/p16/p16043240/s53861171/a0c83599-da2ea7b7-03944f49-45a6b253-31fa3b34.jpg'],"['files/p16/p16043240/s51640383/46f5be5f-70e3e741-542f6fde-edbbdbfe-a4ed00d6.jpg\n', 'files/p16/p16043240/s51640383/603ec26c-efd8dad7-d9c3a4d2-f402b7a8-8b3ac5e7.jpg\n']"
s53883066_20,p10268877,s53883066,20,Impression,"The patient is markedly rotated to his left limiting evaluation of the cardiac and mediastinal contours. The heart remains enlarged. There has been interval removal of the endotracheal tube with placement of a tracheostomy tube, which has its tip at the thoracic inlet. The right subclavian PICC line still has its tip in the distal SVC. A nasogastric tube is seen coursing below the diaphragm with the tip projecting over the expected location in the stomach. Patchy opacity in the retrocardiac region may reflect an area of atelectasis, although pneumonia cannot be entirely excluded. No evidence of pulmonary edema. No pneumothorax. Probable small layering left effusion.",The heart remains enlarged.,Enlarged heart,,Stable,['files/p10/p10268877/s53883066/878341cc-7587aff2-e1f70246-3a29413e-36f37ddb.jpg'],['files/p10/p10268877/s53452091/e35d7c70-3f278882-4f133ee9-184f4d7e-fa32a4d7.jpg\n']
s53883066_20,p10268877,s53883066,20,Impression,"The patient is markedly rotated to his left limiting evaluation of the cardiac and mediastinal contours. The heart remains enlarged. There has been interval removal of the endotracheal tube with placement of a tracheostomy tube, which has its tip at the thoracic inlet. The right subclavian PICC line still has its tip in the distal SVC. A nasogastric tube is seen coursing below the diaphragm with the tip projecting over the expected location in the stomach. Patchy opacity in the retrocardiac region may reflect an area of atelectasis, although pneumonia cannot be entirely excluded. No evidence of pulmonary edema. No pneumothorax. Probable small layering left effusion.","There has been interval removal of the endotracheal tube with placement of a tracheostomy tube, which has its tip at the thoracic inlet.",Endotracheal tube,Thoracic inlet,Resolve,['files/p10/p10268877/s53883066/878341cc-7587aff2-e1f70246-3a29413e-36f37ddb.jpg'],['files/p10/p10268877/s53452091/e35d7c70-3f278882-4f133ee9-184f4d7e-fa32a4d7.jpg\n']
s53883066_20,p10268877,s53883066,20,Impression,"The patient is markedly rotated to his left limiting evaluation of the cardiac and mediastinal contours. The heart remains enlarged. There has been interval removal of the endotracheal tube with placement of a tracheostomy tube, which has its tip at the thoracic inlet. The right subclavian PICC line still has its tip in the distal SVC. A nasogastric tube is seen coursing below the diaphragm with the tip projecting over the expected location in the stomach. Patchy opacity in the retrocardiac region may reflect an area of atelectasis, although pneumonia cannot be entirely excluded. No evidence of pulmonary edema. No pneumothorax. Probable small layering left effusion.",The right subclavian PICC line still has its tip in the distal SVC.,Right subclavian PICC line,Distal SVC,Stable,['files/p10/p10268877/s53883066/878341cc-7587aff2-e1f70246-3a29413e-36f37ddb.jpg'],['files/p10/p10268877/s53452091/e35d7c70-3f278882-4f133ee9-184f4d7e-fa32a4d7.jpg\n']
s53884408_1,p11052935,s53884408,1,Findings,"The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Hyperinflation of lungs with emphysematous changes , most pronounced within the lung apices is again demonstrated. Ill-defined patchy opacity within the right lower lobe appears slightly improved when compared to the prior study, but persists. Additionally, continued patchy ill-defined opacity within the left lower lobe is not significantly changed in the interval. No pleural effusion or pneumothorax is identified. There is no pulmonary vascular engorgement. Scarring within the left upper lobe is stable. There is no pneumothorax. Multilevel degenerative changes of the thoracic spine are redemonstrated.",Multilevel degenerative changes of the thoracic spine are redemonstrated.,multilevel degenerative changes,thoracic spine,Stable,"['files/p11/p11052935/s53884408/50ca584b-f859bda7-fd523d01-28a67cc1-ac2b5c55.jpg', 'files/p11/p11052935/s53884408/b7e54cea-2a3fc10b-f21fa55c-64fe5b63-5306646b.jpg']","['files/p11/p11052935/s53792271/60c86bd2-2d345659-cd9290a9-1af9a11d-2e8af682.jpg\n', 'files/p11/p11052935/s53792271/f1af4079-d3abad02-2bdd2d45-9f43ee98-bb00dc90.jpg\n']"
s53884408_1,p11052935,s53884408,1,Impression,"Slight interval improvement in ill-defined patchy opacity within the right lower lobe likely representing pneumonia. Patchy opacity in the left lower lobe may be reflective of atelectasis, though infection in this region also cannot be excluded, but appears relatively unchanged compared to the prior study.","Patchy opacity in the left lower lobe may be reflective of atelectasis, though infection in this region also cannot be excluded, but appears relatively unchanged compared to the prior study.",patchy opacity,left lower lobe,Stable,"['files/p11/p11052935/s53884408/50ca584b-f859bda7-fd523d01-28a67cc1-ac2b5c55.jpg', 'files/p11/p11052935/s53884408/b7e54cea-2a3fc10b-f21fa55c-64fe5b63-5306646b.jpg']","['files/p11/p11052935/s53792271/60c86bd2-2d345659-cd9290a9-1af9a11d-2e8af682.jpg\n', 'files/p11/p11052935/s53792271/f1af4079-d3abad02-2bdd2d45-9f43ee98-bb00dc90.jpg\n']"
s53884408_1,p11052935,s53884408,1,Findings,"The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Hyperinflation of lungs with emphysematous changes , most pronounced within the lung apices is again demonstrated. Ill-defined patchy opacity within the right lower lobe appears slightly improved when compared to the prior study, but persists. Additionally, continued patchy ill-defined opacity within the left lower lobe is not significantly changed in the interval. No pleural effusion or pneumothorax is identified. There is no pulmonary vascular engorgement. Scarring within the left upper lobe is stable. There is no pneumothorax. Multilevel degenerative changes of the thoracic spine are redemonstrated.","Ill-defined patchy opacity within the right lower lobe appears slightly improved when compared to the prior study, but persists.",ill-defined patchy opacity,right lower lobe,Better,"['files/p11/p11052935/s53884408/50ca584b-f859bda7-fd523d01-28a67cc1-ac2b5c55.jpg', 'files/p11/p11052935/s53884408/b7e54cea-2a3fc10b-f21fa55c-64fe5b63-5306646b.jpg']","['files/p11/p11052935/s53792271/60c86bd2-2d345659-cd9290a9-1af9a11d-2e8af682.jpg\n', 'files/p11/p11052935/s53792271/f1af4079-d3abad02-2bdd2d45-9f43ee98-bb00dc90.jpg\n']"
s53884408_1,p11052935,s53884408,1,Findings,"The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Hyperinflation of lungs with emphysematous changes , most pronounced within the lung apices is again demonstrated. Ill-defined patchy opacity within the right lower lobe appears slightly improved when compared to the prior study, but persists. Additionally, continued patchy ill-defined opacity within the left lower lobe is not significantly changed in the interval. No pleural effusion or pneumothorax is identified. There is no pulmonary vascular engorgement. Scarring within the left upper lobe is stable. There is no pneumothorax. Multilevel degenerative changes of the thoracic spine are redemonstrated.","Additionally, continued patchy ill-defined opacity within the left lower lobe is not significantly changed in the interval.",patchy ill-defined opacity,left lower lobe,Stable,"['files/p11/p11052935/s53884408/50ca584b-f859bda7-fd523d01-28a67cc1-ac2b5c55.jpg', 'files/p11/p11052935/s53884408/b7e54cea-2a3fc10b-f21fa55c-64fe5b63-5306646b.jpg']","['files/p11/p11052935/s53792271/60c86bd2-2d345659-cd9290a9-1af9a11d-2e8af682.jpg\n', 'files/p11/p11052935/s53792271/f1af4079-d3abad02-2bdd2d45-9f43ee98-bb00dc90.jpg\n']"
s53884408_1,p11052935,s53884408,1,Impression,"Slight interval improvement in ill-defined patchy opacity within the right lower lobe likely representing pneumonia. Patchy opacity in the left lower lobe may be reflective of atelectasis, though infection in this region also cannot be excluded, but appears relatively unchanged compared to the prior study.",Slight interval improvement in ill-defined patchy opacity within the right lower lobe likely representing pneumonia.,ill-defined patchy opacity,right lower lobe,Better,"['files/p11/p11052935/s53884408/50ca584b-f859bda7-fd523d01-28a67cc1-ac2b5c55.jpg', 'files/p11/p11052935/s53884408/b7e54cea-2a3fc10b-f21fa55c-64fe5b63-5306646b.jpg']","['files/p11/p11052935/s53792271/60c86bd2-2d345659-cd9290a9-1af9a11d-2e8af682.jpg\n', 'files/p11/p11052935/s53792271/f1af4079-d3abad02-2bdd2d45-9f43ee98-bb00dc90.jpg\n']"
s53884408_1,p11052935,s53884408,1,Findings,"The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Hyperinflation of lungs with emphysematous changes , most pronounced within the lung apices is again demonstrated. Ill-defined patchy opacity within the right lower lobe appears slightly improved when compared to the prior study, but persists. Additionally, continued patchy ill-defined opacity within the left lower lobe is not significantly changed in the interval. No pleural effusion or pneumothorax is identified. There is no pulmonary vascular engorgement. Scarring within the left upper lobe is stable. There is no pneumothorax. Multilevel degenerative changes of the thoracic spine are redemonstrated.","Hyperinflation of lungs with emphysematous changes, most pronounced within the lung apices is again demonstrated.",emphysematous changes,lung apices,Stable,"['files/p11/p11052935/s53884408/50ca584b-f859bda7-fd523d01-28a67cc1-ac2b5c55.jpg', 'files/p11/p11052935/s53884408/b7e54cea-2a3fc10b-f21fa55c-64fe5b63-5306646b.jpg']","['files/p11/p11052935/s53792271/60c86bd2-2d345659-cd9290a9-1af9a11d-2e8af682.jpg\n', 'files/p11/p11052935/s53792271/f1af4079-d3abad02-2bdd2d45-9f43ee98-bb00dc90.jpg\n']"
s53884408_1,p11052935,s53884408,1,Findings,"The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Hyperinflation of lungs with emphysematous changes , most pronounced within the lung apices is again demonstrated. Ill-defined patchy opacity within the right lower lobe appears slightly improved when compared to the prior study, but persists. Additionally, continued patchy ill-defined opacity within the left lower lobe is not significantly changed in the interval. No pleural effusion or pneumothorax is identified. There is no pulmonary vascular engorgement. Scarring within the left upper lobe is stable. There is no pneumothorax. Multilevel degenerative changes of the thoracic spine are redemonstrated.",Scarring within the left upper lobe is stable.,scarring,left upper lobe,Stable,"['files/p11/p11052935/s53884408/50ca584b-f859bda7-fd523d01-28a67cc1-ac2b5c55.jpg', 'files/p11/p11052935/s53884408/b7e54cea-2a3fc10b-f21fa55c-64fe5b63-5306646b.jpg']","['files/p11/p11052935/s53792271/60c86bd2-2d345659-cd9290a9-1af9a11d-2e8af682.jpg\n', 'files/p11/p11052935/s53792271/f1af4079-d3abad02-2bdd2d45-9f43ee98-bb00dc90.jpg\n']"
s53886138_17,p19454978,s53886138,17,Findings,"Single portable supine AP image of the chest. The right IJ central line has been pulled back in the interval, but still terminates in the right atrium. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable.",The cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,['files/p19/p19454978/s53886138/9bdc75bb-bfb40b21-54ac066c-4c718750-ef2b4f22.jpg'],['files/p19/p19454978/s53537107/854781b3-f371e22e-df201d6f-78f736e1-07330978.jpg\n']
s53886138_17,p19454978,s53886138,17,Findings,"Single portable supine AP image of the chest. The right IJ central line has been pulled back in the interval, but still terminates in the right atrium. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable.","The right IJ central line has been pulled back in the interval, but still terminates in the right atrium.",IJ central line position,Right,Better,['files/p19/p19454978/s53886138/9bdc75bb-bfb40b21-54ac066c-4c718750-ef2b4f22.jpg'],['files/p19/p19454978/s53537107/854781b3-f371e22e-df201d6f-78f736e1-07330978.jpg\n']
s53887723_0,p13131470,s53887723,0,Impression,1. No acute cardiopulmonary process. 2. Stable moderate cardiomegaly. 3. Unchanged moderate hiatal hernia,Stable moderate cardiomegaly.,Moderate cardiomegaly,,Stable,"['files/p13/p13131470/s53887723/a8ebb1c6-9cb677c9-f048c934-fb7d3b78-0a4d6d2c.jpg', 'files/p13/p13131470/s53887723/f822bf04-bb6d44c7-d992163b-54e7d6ac-9355a7aa.jpg']",
s53887723_0,p13131470,s53887723,0,Findings,The lungs are clear. There is no focal consolidation or pneumothorax. There is no vascular congestion or pleural effusions. Mediastinal and hilar contours are within normal limits. Moderate enlargement of the cardiac silhouette is unchanged from prior. A moderate hiatal hernia is unchanged from prior.,A moderate hiatal hernia is unchanged from prior.,Moderate hiatal hernia,,Stable,"['files/p13/p13131470/s53887723/a8ebb1c6-9cb677c9-f048c934-fb7d3b78-0a4d6d2c.jpg', 'files/p13/p13131470/s53887723/f822bf04-bb6d44c7-d992163b-54e7d6ac-9355a7aa.jpg']",
s53887723_0,p13131470,s53887723,0,Findings,The lungs are clear. There is no focal consolidation or pneumothorax. There is no vascular congestion or pleural effusions. Mediastinal and hilar contours are within normal limits. Moderate enlargement of the cardiac silhouette is unchanged from prior. A moderate hiatal hernia is unchanged from prior.,Moderate enlargement of the cardiac silhouette is unchanged from prior.,Moderate enlargement of the cardiac silhouette,,Stable,"['files/p13/p13131470/s53887723/a8ebb1c6-9cb677c9-f048c934-fb7d3b78-0a4d6d2c.jpg', 'files/p13/p13131470/s53887723/f822bf04-bb6d44c7-d992163b-54e7d6ac-9355a7aa.jpg']",
s53887723_0,p13131470,s53887723,0,Impression,1. No acute cardiopulmonary process. 2. Stable moderate cardiomegaly. 3. Unchanged moderate hiatal hernia,Unchanged moderate hiatal hernia,Moderate hiatal hernia,,Stable,"['files/p13/p13131470/s53887723/a8ebb1c6-9cb677c9-f048c934-fb7d3b78-0a4d6d2c.jpg', 'files/p13/p13131470/s53887723/f822bf04-bb6d44c7-d992163b-54e7d6ac-9355a7aa.jpg']",
s53896301_6,p14744884,s53896301,6,Findings,Lung volumes are low. The heart is top-normal size given the lung volumes. There is crowding of the bronchovascular structures with probable mild pulmonary vascular congestion. Patchy opacities in lung bases may reflect atelectasis. There are no large pleural effusions or pneumothorax. Right brachiocephalic/subclavian stent is again demonstrated.,Right brachiocephalic/subclavian stent is again demonstrated.,stent,Right brachiocephalic/subclavian,Stable,"['files/p14/p14744884/s53896301/35192e20-d4a303b9-6410cd12-e01e8fe2-3e165f33.jpg', 'files/p14/p14744884/s53896301/3fb53bea-f1dad119-d26160af-4b106702-04691d32.jpg', 'files/p14/p14744884/s53896301/6b022472-268f6ea1-33a11fa1-55b44ef6-3efa06ec.jpg']","['files/p14/p14744884/s53605259/2213d9b8-a439ba1b-d3c83a34-dffbbd3d-bf4fe01e.jpg\n', 'files/p14/p14744884/s53605259/60565158-58324362-cca18ef0-bb2bc393-750737fd.jpg\n']"
s53897449_2,p10532326,s53897449,2,Findings,PA and lateral chest radiographs demonstrate low lung volumes and distended bowel as described on concurrent CT abdomen/pelvis. There are patchy opacities suggesting minor dependent bibasilar atelectasis. There is persistent cardiomegaly. There is no pneumothorax or pleural effusion. Suggestion of pulmonary venous hypertension is unchanged from prior radiograph.,There is persistent cardiomegaly.,Cardiomegaly,,Stable,"['files/p10/p10532326/s53897449/0df9bbe7-ea299297-6717c3a6-4faece0e-15ca4a73.jpg', 'files/p10/p10532326/s53897449/83d40298-284d7832-cb39f63b-f6426b53-6ac3f6a7.jpg']",['files/p10/p10532326/s52195893/445fdcdb-f4896587-4f3f5bf8-e3a051ad-290f10ae.jpg\n']
s53897449_2,p10532326,s53897449,2,Findings,PA and lateral chest radiographs demonstrate low lung volumes and distended bowel as described on concurrent CT abdomen/pelvis. There are patchy opacities suggesting minor dependent bibasilar atelectasis. There is persistent cardiomegaly. There is no pneumothorax or pleural effusion. Suggestion of pulmonary venous hypertension is unchanged from prior radiograph.,Suggestion of pulmonary venous hypertension is unchanged from prior radiograph.,Pulmonary venous hypertension,,Stable,"['files/p10/p10532326/s53897449/0df9bbe7-ea299297-6717c3a6-4faece0e-15ca4a73.jpg', 'files/p10/p10532326/s53897449/83d40298-284d7832-cb39f63b-f6426b53-6ac3f6a7.jpg']",['files/p10/p10532326/s52195893/445fdcdb-f4896587-4f3f5bf8-e3a051ad-290f10ae.jpg\n']
s53904896_46,p15131736,s53904896,46,Impression,"As compared to the previous radiograph, no relevant change is seen. Moderate pulmonary edema with moderate cardiomegaly but without pleural effusions. Overall low lung volumes. Retrocardiac atelectasis.","As compared to the previous radiograph, no relevant change is seen.",,,Stable,['files/p15/p15131736/s53904896/2482c720-f75763bb-00774ba9-894119a7-24bd15a6.jpg'],['files/p15/p15131736/s53749286/a43142f0-504e9beb-f5710f72-fb264e8b-1a8d6b9c.jpg\n']
s53905237_14,p19907884,s53905237,14,Findings,"Since most recent chest radiograph, there has been interval placement of a right IJ central venous catheter which terminates projecting over the right atrium. There is no pneumothorax. Lungs are clear. Persistent elevation the right hemidiaphragm is noted. Radiopaque lucencies overlie the right upper mediastinum.","Since most recent chest radiograph, there has been interval placement of a right IJ central venous catheter which terminates projecting over the right atrium.",IJ central venous catheter,Right,New,['files/p19/p19907884/s53905237/d9e22f16-a5b260d1-2a5aee7a-4cd66d44-b590afb8.jpg'],"['files/p19/p19907884/s52269494/25cd4b5b-538a92eb-96ad692e-1da96183-8577e43c.jpg\n', 'files/p19/p19907884/s52269494/be142141-0e637201-65d2ff88-43edd072-198d4dc7.jpg\n']"
s53905237_14,p19907884,s53905237,14,Findings,"Since most recent chest radiograph, there has been interval placement of a right IJ central venous catheter which terminates projecting over the right atrium. There is no pneumothorax. Lungs are clear. Persistent elevation the right hemidiaphragm is noted. Radiopaque lucencies overlie the right upper mediastinum.",Persistent elevation the right hemidiaphragm is noted.,Elevation of the hemidiaphragm,Right,Stable,['files/p19/p19907884/s53905237/d9e22f16-a5b260d1-2a5aee7a-4cd66d44-b590afb8.jpg'],"['files/p19/p19907884/s52269494/25cd4b5b-538a92eb-96ad692e-1da96183-8577e43c.jpg\n', 'files/p19/p19907884/s52269494/be142141-0e637201-65d2ff88-43edd072-198d4dc7.jpg\n']"
s53907259_3,p11474065,s53907259,3,Findings,"The previously seen chest tube has been removed without evidence of pneumothorax. The right loculated pleural effusion remains. The right hemithorax appears less opacified due to improved position of the patient, but mild residual diffuse opacification remains. The cardiac silhouette remains enlarged.",The cardiac silhouette remains enlarged.,cardiac silhouette,,Stable,['files/p11/p11474065/s53907259/c9f4d430-e4b86819-292b0c15-3b043b8f-eda461f1.jpg'],"['files/p11/p11474065/s53521887/97d2122b-eb626f1f-0d3ef34d-e81e2a4c-d4b1279f.jpg\n', 'files/p11/p11474065/s53521887/c1735f23-afbc50c0-23b33129-f274cfa7-737f29c2.jpg\n']"
s53907259_3,p11474065,s53907259,3,Findings,"The previously seen chest tube has been removed without evidence of pneumothorax. The right loculated pleural effusion remains. The right hemithorax appears less opacified due to improved position of the patient, but mild residual diffuse opacification remains. The cardiac silhouette remains enlarged.",The right loculated pleural effusion remains.,loculated pleural effusion,right,Stable,['files/p11/p11474065/s53907259/c9f4d430-e4b86819-292b0c15-3b043b8f-eda461f1.jpg'],"['files/p11/p11474065/s53521887/97d2122b-eb626f1f-0d3ef34d-e81e2a4c-d4b1279f.jpg\n', 'files/p11/p11474065/s53521887/c1735f23-afbc50c0-23b33129-f274cfa7-737f29c2.jpg\n']"
s53907259_3,p11474065,s53907259,3,Findings,"The previously seen chest tube has been removed without evidence of pneumothorax. The right loculated pleural effusion remains. The right hemithorax appears less opacified due to improved position of the patient, but mild residual diffuse opacification remains. The cardiac silhouette remains enlarged.",The previously seen chest tube has been removed without evidence of pneumothorax.,chest tube,,Resolve,['files/p11/p11474065/s53907259/c9f4d430-e4b86819-292b0c15-3b043b8f-eda461f1.jpg'],"['files/p11/p11474065/s53521887/97d2122b-eb626f1f-0d3ef34d-e81e2a4c-d4b1279f.jpg\n', 'files/p11/p11474065/s53521887/c1735f23-afbc50c0-23b33129-f274cfa7-737f29c2.jpg\n']"
s53913561_1,p19928916,s53913561,1,Findings,There is no acute findings. There is no pneumonia. Stability of the right middle lobe calcified nodule. There is no pneumothorax and no pleural effusion. The cardiac and mediastinal contours are stable. Consolidated fracture of the axillary portion of the seventh right rib Degenrative changes of the right shoulder.,Stability of the right middle lobe calcified nodule.,calcified nodule,right middle lobe,Stable,"['files/p19/p19928916/s53913561/585dc46b-7d735766-e8302451-9285b2c6-eb6c295a.jpg', 'files/p19/p19928916/s53913561/bf4ee504-3f4314d2-cf1daca2-79e949ec-6a42355f.jpg']",
s53913561_1,p19928916,s53913561,1,Findings,There is no acute findings. There is no pneumonia. Stability of the right middle lobe calcified nodule. There is no pneumothorax and no pleural effusion. The cardiac and mediastinal contours are stable. Consolidated fracture of the axillary portion of the seventh right rib Degenrative changes of the right shoulder.,The cardiac and mediastinal contours are stable.,contours,cardiac and mediastinal,Stable,"['files/p19/p19928916/s53913561/585dc46b-7d735766-e8302451-9285b2c6-eb6c295a.jpg', 'files/p19/p19928916/s53913561/bf4ee504-3f4314d2-cf1daca2-79e949ec-6a42355f.jpg']",
s53923012_7,p12185775,s53923012,7,Impression,AP chest compared to ___: Mild pulmonary edema and mediastinal and pulmonary vascular engorgement have improved since ___. Small right pleural effusion has decreased. Lobar collapse has not recurred. Mild-to-moderate cardiomegaly is unchanged. No pneumothorax.,Mild-to-moderate cardiomegaly is unchanged.,mild-to-moderate cardiomegaly,,Stable,['files/p12/p12185775/s53923012/96e29c8f-cbe25758-3c1d7c4e-4f3ed96e-857a1bc7.jpg'],['files/p12/p12185775/s53850178/cab19714-ab5c9c6b-9130cd3c-ca463b15-840b0cc4.jpg\n']
s53923012_7,p12185775,s53923012,7,Impression,AP chest compared to ___: Mild pulmonary edema and mediastinal and pulmonary vascular engorgement have improved since ___. Small right pleural effusion has decreased. Lobar collapse has not recurred. Mild-to-moderate cardiomegaly is unchanged. No pneumothorax.,AP chest compared to ___: Mild pulmonary edema and mediastinal and pulmonary vascular engorgement have improved since ___.,mild pulmonary edema,,Better,['files/p12/p12185775/s53923012/96e29c8f-cbe25758-3c1d7c4e-4f3ed96e-857a1bc7.jpg'],['files/p12/p12185775/s53850178/cab19714-ab5c9c6b-9130cd3c-ca463b15-840b0cc4.jpg\n']
s53923012_7,p12185775,s53923012,7,Impression,AP chest compared to ___: Mild pulmonary edema and mediastinal and pulmonary vascular engorgement have improved since ___. Small right pleural effusion has decreased. Lobar collapse has not recurred. Mild-to-moderate cardiomegaly is unchanged. No pneumothorax.,Lobar collapse has not recurred.,lobar collapse,,Resolve,['files/p12/p12185775/s53923012/96e29c8f-cbe25758-3c1d7c4e-4f3ed96e-857a1bc7.jpg'],['files/p12/p12185775/s53850178/cab19714-ab5c9c6b-9130cd3c-ca463b15-840b0cc4.jpg\n']
s53923012_7,p12185775,s53923012,7,Impression,AP chest compared to ___: Mild pulmonary edema and mediastinal and pulmonary vascular engorgement have improved since ___. Small right pleural effusion has decreased. Lobar collapse has not recurred. Mild-to-moderate cardiomegaly is unchanged. No pneumothorax.,Small right pleural effusion has decreased.,pleural effusion,right,Better,['files/p12/p12185775/s53923012/96e29c8f-cbe25758-3c1d7c4e-4f3ed96e-857a1bc7.jpg'],['files/p12/p12185775/s53850178/cab19714-ab5c9c6b-9130cd3c-ca463b15-840b0cc4.jpg\n']
s53923012_7,p12185775,s53923012,7,Impression,AP chest compared to ___: Mild pulmonary edema and mediastinal and pulmonary vascular engorgement have improved since ___. Small right pleural effusion has decreased. Lobar collapse has not recurred. Mild-to-moderate cardiomegaly is unchanged. No pneumothorax.,AP chest compared to ___: Mild pulmonary edema and mediastinal and pulmonary vascular engorgement have improved since ___.,mediastinal and pulmonary vascular engorgement,,Better,['files/p12/p12185775/s53923012/96e29c8f-cbe25758-3c1d7c4e-4f3ed96e-857a1bc7.jpg'],['files/p12/p12185775/s53850178/cab19714-ab5c9c6b-9130cd3c-ca463b15-840b0cc4.jpg\n']
s53924742_0,p18835687,s53924742,0,Findings,"There is a new large confluent consolidation within the right upper lung, findings concerning for pneumonia given the clinical history in immunocompromised state of the patient. The exact lobar distribution is difficult to assess on this single frontal view only. The remainder of the lungs is clear. There is no pneumothorax, vascular congestion, or pleural effusions. Mediastinal and hilar contours are within normal limits. Mild cardiomegaly is unchanged from prior.","There is a new large confluent consolidation within the right upper lung, findings concerning for pneumonia given the clinical history in immunocompromised state of the patient.",confluent consolidation,right upper lung,New,['files/p18/p18835687/s53924742/04b94a16-2f255dc1-135c9cbd-82107f89-2d706167.jpg'],"['files/p18/p18835687/s51719198/7574674d-a958763c-1c48667a-18e60f35-dfd1f3d3.jpg\n', 'files/p18/p18835687/s51719198/91bd4888-7f1222f4-5b4fe46d-db77d37b-077c6f19.jpg\n', 'files/p18/p18835687/s51719198/92633e53-79ea5fb7-67adcc81-8c6f443e-7c201666.jpg\n', 'files/p18/p18835687/s51719198/fbecb95d-55942985-c9904dd9-66049a82-cd83c3a2.jpg\n']"
s53924742_0,p18835687,s53924742,0,Findings,"There is a new large confluent consolidation within the right upper lung, findings concerning for pneumonia given the clinical history in immunocompromised state of the patient. The exact lobar distribution is difficult to assess on this single frontal view only. The remainder of the lungs is clear. There is no pneumothorax, vascular congestion, or pleural effusions. Mediastinal and hilar contours are within normal limits. Mild cardiomegaly is unchanged from prior.",Mild cardiomegaly is unchanged from prior.,mild cardiomegaly,,Stable,['files/p18/p18835687/s53924742/04b94a16-2f255dc1-135c9cbd-82107f89-2d706167.jpg'],"['files/p18/p18835687/s51719198/7574674d-a958763c-1c48667a-18e60f35-dfd1f3d3.jpg\n', 'files/p18/p18835687/s51719198/91bd4888-7f1222f4-5b4fe46d-db77d37b-077c6f19.jpg\n', 'files/p18/p18835687/s51719198/92633e53-79ea5fb7-67adcc81-8c6f443e-7c201666.jpg\n', 'files/p18/p18835687/s51719198/fbecb95d-55942985-c9904dd9-66049a82-cd83c3a2.jpg\n']"
s53924935_0,p14744884,s53924935,0,Findings,"Single AP portable erect view of the chest was obtained. Relatively increase in opacity projecting over the right lung base is seen, which raises concern for underlying consolidation. Dedicated PA and lateral views of the chest would be helpful for further evaluation. Left lung is clear. Slight blunting of the right costophrenic angle likely relates to overlying soft tissue. No overt pulmonary edema is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Right-sided vascular stent is unchanged in position. No evidence of free air is seen beneath the hemidiaphragms.",Right-sided vascular stent is unchanged in position.,vascular stent,right-sided,Stable,['files/p14/p14744884/s53924935/99aeda2e-665dd4de-645bda53-e43dbd3e-e3b45e9f.jpg'],"['files/p14/p14744884/s53896301/35192e20-d4a303b9-6410cd12-e01e8fe2-3e165f33.jpg\n', 'files/p14/p14744884/s53896301/3fb53bea-f1dad119-d26160af-4b106702-04691d32.jpg\n', 'files/p14/p14744884/s53896301/6b022472-268f6ea1-33a11fa1-55b44ef6-3efa06ec.jpg\n']"
s53924935_0,p14744884,s53924935,0,Findings,"Single AP portable erect view of the chest was obtained. Relatively increase in opacity projecting over the right lung base is seen, which raises concern for underlying consolidation. Dedicated PA and lateral views of the chest would be helpful for further evaluation. Left lung is clear. Slight blunting of the right costophrenic angle likely relates to overlying soft tissue. No overt pulmonary edema is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Right-sided vascular stent is unchanged in position. No evidence of free air is seen beneath the hemidiaphragms.",The cardiac and mediastinal silhouettes are stable and unremarkable.,cardiac and mediastinal silhouettes,,Stable,['files/p14/p14744884/s53924935/99aeda2e-665dd4de-645bda53-e43dbd3e-e3b45e9f.jpg'],"['files/p14/p14744884/s53896301/35192e20-d4a303b9-6410cd12-e01e8fe2-3e165f33.jpg\n', 'files/p14/p14744884/s53896301/3fb53bea-f1dad119-d26160af-4b106702-04691d32.jpg\n', 'files/p14/p14744884/s53896301/6b022472-268f6ea1-33a11fa1-55b44ef6-3efa06ec.jpg\n']"
s53925537_20,p13352405,s53925537,20,Findings,"In comparison with the study of ___, there is little overall change. The opacification at the right base is again consistent with known empyema. Drainage tubes remain in place. Left lung remains within normal limits.",Drainage tubes remain in place.,Drainage tubes,in place,Stable,"['files/p13/p13352405/s53925537/20a71bc6-69f1a131-4a5fbb7d-14b11c4f-73df9aa3.jpg', 'files/p13/p13352405/s53925537/33291277-e041bbda-50a4d443-2208be5e-06e2289d.jpg']","['files/p13/p13352405/s53780576/45545203-d998ece7-e4d4aa77-caf1d527-204d3cad.jpg\n', 'files/p13/p13352405/s53780576/973f7776-683260ca-ddf5aa13-cf5e3cb1-e2828914.jpg\n', 'files/p13/p13352405/s53780576/bced25e3-835951a9-cb1436cd-d095e342-730a3489.jpg\n']"
s53925537_20,p13352405,s53925537,20,Findings,"In comparison with the study of ___, there is little overall change. The opacification at the right base is again consistent with known empyema. Drainage tubes remain in place. Left lung remains within normal limits.",Left lung remains within normal limits.,Left lung,within normal limits,Stable,"['files/p13/p13352405/s53925537/20a71bc6-69f1a131-4a5fbb7d-14b11c4f-73df9aa3.jpg', 'files/p13/p13352405/s53925537/33291277-e041bbda-50a4d443-2208be5e-06e2289d.jpg']","['files/p13/p13352405/s53780576/45545203-d998ece7-e4d4aa77-caf1d527-204d3cad.jpg\n', 'files/p13/p13352405/s53780576/973f7776-683260ca-ddf5aa13-cf5e3cb1-e2828914.jpg\n', 'files/p13/p13352405/s53780576/bced25e3-835951a9-cb1436cd-d095e342-730a3489.jpg\n']"
s53927305_15,p19759491,s53927305,15,Findings,There continues to be moderate cardiomegaly and volume loss at both bases. There is a small left effusion. There is no focal infiltrate. Pacemaker and mitral valve replacement and sternotomy wires are unchanged,Pacemaker and mitral valve replacement and sternotomy wires are unchanged,Pacemaker,,Stable,"['files/p19/p19759491/s53927305/29120840-a5d71eac-82a9f536-6cf7509d-f01a7480.jpg', 'files/p19/p19759491/s53927305/dc433c13-ef033a1e-75763e20-db477b3f-da3e909b.jpg', 'files/p19/p19759491/s53927305/dc65b890-c82f963f-5b15fb54-916b57f4-236d944e.jpg']",['files/p19/p19759491/s53350789/3480ade8-6825b33b-dc07898d-97d83f8a-c743b07b.jpg\n']
s53927305_15,p19759491,s53927305,15,Findings,There continues to be moderate cardiomegaly and volume loss at both bases. There is a small left effusion. There is no focal infiltrate. Pacemaker and mitral valve replacement and sternotomy wires are unchanged,Pacemaker and mitral valve replacement and sternotomy wires are unchanged,Sternotomy wires,,Stable,"['files/p19/p19759491/s53927305/29120840-a5d71eac-82a9f536-6cf7509d-f01a7480.jpg', 'files/p19/p19759491/s53927305/dc433c13-ef033a1e-75763e20-db477b3f-da3e909b.jpg', 'files/p19/p19759491/s53927305/dc65b890-c82f963f-5b15fb54-916b57f4-236d944e.jpg']",['files/p19/p19759491/s53350789/3480ade8-6825b33b-dc07898d-97d83f8a-c743b07b.jpg\n']
s53927305_15,p19759491,s53927305,15,Findings,There continues to be moderate cardiomegaly and volume loss at both bases. There is a small left effusion. There is no focal infiltrate. Pacemaker and mitral valve replacement and sternotomy wires are unchanged,Pacemaker and mitral valve replacement and sternotomy wires are unchanged,Mitral valve replacement,,Stable,"['files/p19/p19759491/s53927305/29120840-a5d71eac-82a9f536-6cf7509d-f01a7480.jpg', 'files/p19/p19759491/s53927305/dc433c13-ef033a1e-75763e20-db477b3f-da3e909b.jpg', 'files/p19/p19759491/s53927305/dc65b890-c82f963f-5b15fb54-916b57f4-236d944e.jpg']",['files/p19/p19759491/s53350789/3480ade8-6825b33b-dc07898d-97d83f8a-c743b07b.jpg\n']
s53930112_18,p12185775,s53930112,18,Findings,"A right internal jugular central line ends in the upper SVC. The Swan-Ganz catheter has been removed. A new consolidation at the right base is concerning for possible pneumonia, aspiration, or less likely infarction. Small bilateral pleural effusions are stable. Calcified granulomas in the left mid lung zone are unchanged.",Calcified granulomas in the left mid lung zone are unchanged.,calcified granulomas,left mid lung zone,Stable,['files/p12/p12185775/s53930112/b738cf47-6ae04cdf-25d11841-ddcb8d78-fe7feceb.jpg'],['files/p12/p12185775/s53923012/96e29c8f-cbe25758-3c1d7c4e-4f3ed96e-857a1bc7.jpg\n']
s53930112_18,p12185775,s53930112,18,Impression,"1. New right basilar consolidation is most concerning for pneumonia or aspiration. Less likely, it may be infarction. 2. Stable small bilateral pleural effusions. 3. Mild enlargement of the cardiac silhouette is unchanged. Results were discussed with ___ at 11:20 on ___ via telephone by Dr. ___.",3. Mild enlargement of the cardiac silhouette is unchanged.,cardiac silhouette,,Stable,['files/p12/p12185775/s53930112/b738cf47-6ae04cdf-25d11841-ddcb8d78-fe7feceb.jpg'],['files/p12/p12185775/s53923012/96e29c8f-cbe25758-3c1d7c4e-4f3ed96e-857a1bc7.jpg\n']
s53930112_18,p12185775,s53930112,18,Findings,"A right internal jugular central line ends in the upper SVC. The Swan-Ganz catheter has been removed. A new consolidation at the right base is concerning for possible pneumonia, aspiration, or less likely infarction. Small bilateral pleural effusions are stable. Calcified granulomas in the left mid lung zone are unchanged.",Small bilateral pleural effusions are stable.,pleural effusions,bilateral,Stable,['files/p12/p12185775/s53930112/b738cf47-6ae04cdf-25d11841-ddcb8d78-fe7feceb.jpg'],['files/p12/p12185775/s53923012/96e29c8f-cbe25758-3c1d7c4e-4f3ed96e-857a1bc7.jpg\n']
s53930112_18,p12185775,s53930112,18,Findings,"A right internal jugular central line ends in the upper SVC. The Swan-Ganz catheter has been removed. A new consolidation at the right base is concerning for possible pneumonia, aspiration, or less likely infarction. Small bilateral pleural effusions are stable. Calcified granulomas in the left mid lung zone are unchanged.","A new consolidation at the right base is concerning for possible pneumonia, aspiration, or less likely infarction.",consolidation,right base,New,['files/p12/p12185775/s53930112/b738cf47-6ae04cdf-25d11841-ddcb8d78-fe7feceb.jpg'],['files/p12/p12185775/s53923012/96e29c8f-cbe25758-3c1d7c4e-4f3ed96e-857a1bc7.jpg\n']
s53930112_18,p12185775,s53930112,18,Impression,"1. New right basilar consolidation is most concerning for pneumonia or aspiration. Less likely, it may be infarction. 2. Stable small bilateral pleural effusions. 3. Mild enlargement of the cardiac silhouette is unchanged. Results were discussed with ___ at 11:20 on ___ via telephone by Dr. ___.",2. Stable small bilateral pleural effusions.,pleural effusions,bilateral,Stable,['files/p12/p12185775/s53930112/b738cf47-6ae04cdf-25d11841-ddcb8d78-fe7feceb.jpg'],['files/p12/p12185775/s53923012/96e29c8f-cbe25758-3c1d7c4e-4f3ed96e-857a1bc7.jpg\n']
s53930112_18,p12185775,s53930112,18,Findings,"A right internal jugular central line ends in the upper SVC. The Swan-Ganz catheter has been removed. A new consolidation at the right base is concerning for possible pneumonia, aspiration, or less likely infarction. Small bilateral pleural effusions are stable. Calcified granulomas in the left mid lung zone are unchanged.",The Swan-Ganz catheter has been removed.,Swan-Ganz catheter,,Resolve,['files/p12/p12185775/s53930112/b738cf47-6ae04cdf-25d11841-ddcb8d78-fe7feceb.jpg'],['files/p12/p12185775/s53923012/96e29c8f-cbe25758-3c1d7c4e-4f3ed96e-857a1bc7.jpg\n']
s53930112_18,p12185775,s53930112,18,Impression,"1. New right basilar consolidation is most concerning for pneumonia or aspiration. Less likely, it may be infarction. 2. Stable small bilateral pleural effusions. 3. Mild enlargement of the cardiac silhouette is unchanged. Results were discussed with ___ at 11:20 on ___ via telephone by Dr. ___.","1. New right basilar consolidation is most concerning for pneumonia or aspiration. Less likely, it may be infarction.",consolidation,right basilar,New,['files/p12/p12185775/s53930112/b738cf47-6ae04cdf-25d11841-ddcb8d78-fe7feceb.jpg'],['files/p12/p12185775/s53923012/96e29c8f-cbe25758-3c1d7c4e-4f3ed96e-857a1bc7.jpg\n']
s53933599_2,p18512911,s53933599,2,Findings,"PA and lateral views of the chest are obtained. Since the prior exam, there has been removal of the left and right PICC lines. Linear subsegmental right lower lung atelectasis is noted. There is no evidence of pneumonia or CHF. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable with mild cardiomegaly redemonstrated. Degenerative changes at the right shoulder are moderate. An L1 compression fracture is stable from a CT from ___. There is increased vertebral body loss of height involving a compression fracture at T11 compared with a prior radiograph. This compression though is new compared with the CT dated ___.",This compression though is new compared with the CT dated ___.,Compression fracture,T11,New,"['files/p18/p18512911/s53933599/81662f3f-0c97fb86-66099abe-260ad401-e1d61e16.jpg', 'files/p18/p18512911/s53933599/978e2939-4844d38e-fd154225-ef3f6933-59c3ead3.jpg']","['files/p18/p18512911/s53235571/30daa1b3-c4b0ad98-ca413c68-077af6c7-6565dd04.jpg\n', 'files/p18/p18512911/s53235571/8a046a64-8ed795ff-765071a4-668a3e83-c8c7fa28.jpg\n']"
s53933599_2,p18512911,s53933599,2,Impression,Subsegmental right lung base atelectasis. Increasing loss of vertebral body height at T11. Stable L1 compression fracture. Right shoulder humeral DJD. Interval removal of PICC lines.,Stable L1 compression fracture.,Compression fracture,L1,Stable,"['files/p18/p18512911/s53933599/81662f3f-0c97fb86-66099abe-260ad401-e1d61e16.jpg', 'files/p18/p18512911/s53933599/978e2939-4844d38e-fd154225-ef3f6933-59c3ead3.jpg']","['files/p18/p18512911/s53235571/30daa1b3-c4b0ad98-ca413c68-077af6c7-6565dd04.jpg\n', 'files/p18/p18512911/s53235571/8a046a64-8ed795ff-765071a4-668a3e83-c8c7fa28.jpg\n']"
s53933599_2,p18512911,s53933599,2,Findings,"PA and lateral views of the chest are obtained. Since the prior exam, there has been removal of the left and right PICC lines. Linear subsegmental right lower lung atelectasis is noted. There is no evidence of pneumonia or CHF. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable with mild cardiomegaly redemonstrated. Degenerative changes at the right shoulder are moderate. An L1 compression fracture is stable from a CT from ___. There is increased vertebral body loss of height involving a compression fracture at T11 compared with a prior radiograph. This compression though is new compared with the CT dated ___.",There is increased vertebral body loss of height involving a compression fracture at T11 compared with a prior radiograph.,Compression fracture,T11,Worse,"['files/p18/p18512911/s53933599/81662f3f-0c97fb86-66099abe-260ad401-e1d61e16.jpg', 'files/p18/p18512911/s53933599/978e2939-4844d38e-fd154225-ef3f6933-59c3ead3.jpg']","['files/p18/p18512911/s53235571/30daa1b3-c4b0ad98-ca413c68-077af6c7-6565dd04.jpg\n', 'files/p18/p18512911/s53235571/8a046a64-8ed795ff-765071a4-668a3e83-c8c7fa28.jpg\n']"
s53933599_2,p18512911,s53933599,2,Findings,"PA and lateral views of the chest are obtained. Since the prior exam, there has been removal of the left and right PICC lines. Linear subsegmental right lower lung atelectasis is noted. There is no evidence of pneumonia or CHF. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable with mild cardiomegaly redemonstrated. Degenerative changes at the right shoulder are moderate. An L1 compression fracture is stable from a CT from ___. There is increased vertebral body loss of height involving a compression fracture at T11 compared with a prior radiograph. This compression though is new compared with the CT dated ___.","Since the prior exam, there has been removal of the left and right PICC lines.",PICC lines,Left and right,Resolve,"['files/p18/p18512911/s53933599/81662f3f-0c97fb86-66099abe-260ad401-e1d61e16.jpg', 'files/p18/p18512911/s53933599/978e2939-4844d38e-fd154225-ef3f6933-59c3ead3.jpg']","['files/p18/p18512911/s53235571/30daa1b3-c4b0ad98-ca413c68-077af6c7-6565dd04.jpg\n', 'files/p18/p18512911/s53235571/8a046a64-8ed795ff-765071a4-668a3e83-c8c7fa28.jpg\n']"
s53933599_2,p18512911,s53933599,2,Findings,"PA and lateral views of the chest are obtained. Since the prior exam, there has been removal of the left and right PICC lines. Linear subsegmental right lower lung atelectasis is noted. There is no evidence of pneumonia or CHF. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable with mild cardiomegaly redemonstrated. Degenerative changes at the right shoulder are moderate. An L1 compression fracture is stable from a CT from ___. There is increased vertebral body loss of height involving a compression fracture at T11 compared with a prior radiograph. This compression though is new compared with the CT dated ___.",An L1 compression fracture is stable from a CT from ___.,Compression fracture,L1,Stable,"['files/p18/p18512911/s53933599/81662f3f-0c97fb86-66099abe-260ad401-e1d61e16.jpg', 'files/p18/p18512911/s53933599/978e2939-4844d38e-fd154225-ef3f6933-59c3ead3.jpg']","['files/p18/p18512911/s53235571/30daa1b3-c4b0ad98-ca413c68-077af6c7-6565dd04.jpg\n', 'files/p18/p18512911/s53235571/8a046a64-8ed795ff-765071a4-668a3e83-c8c7fa28.jpg\n']"
s53933599_2,p18512911,s53933599,2,Impression,Subsegmental right lung base atelectasis. Increasing loss of vertebral body height at T11. Stable L1 compression fracture. Right shoulder humeral DJD. Interval removal of PICC lines.,Interval removal of PICC lines.,PICC lines,Left and right,Resolve,"['files/p18/p18512911/s53933599/81662f3f-0c97fb86-66099abe-260ad401-e1d61e16.jpg', 'files/p18/p18512911/s53933599/978e2939-4844d38e-fd154225-ef3f6933-59c3ead3.jpg']","['files/p18/p18512911/s53235571/30daa1b3-c4b0ad98-ca413c68-077af6c7-6565dd04.jpg\n', 'files/p18/p18512911/s53235571/8a046a64-8ed795ff-765071a4-668a3e83-c8c7fa28.jpg\n']"
s53933599_2,p18512911,s53933599,2,Findings,"PA and lateral views of the chest are obtained. Since the prior exam, there has been removal of the left and right PICC lines. Linear subsegmental right lower lung atelectasis is noted. There is no evidence of pneumonia or CHF. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable with mild cardiomegaly redemonstrated. Degenerative changes at the right shoulder are moderate. An L1 compression fracture is stable from a CT from ___. There is increased vertebral body loss of height involving a compression fracture at T11 compared with a prior radiograph. This compression though is new compared with the CT dated ___.",Cardiomediastinal silhouette is stable with mild cardiomegaly redemonstrated.,Mild cardiomegaly,Cardiomediastinal silhouette,Stable,"['files/p18/p18512911/s53933599/81662f3f-0c97fb86-66099abe-260ad401-e1d61e16.jpg', 'files/p18/p18512911/s53933599/978e2939-4844d38e-fd154225-ef3f6933-59c3ead3.jpg']","['files/p18/p18512911/s53235571/30daa1b3-c4b0ad98-ca413c68-077af6c7-6565dd04.jpg\n', 'files/p18/p18512911/s53235571/8a046a64-8ed795ff-765071a4-668a3e83-c8c7fa28.jpg\n']"
s53933599_2,p18512911,s53933599,2,Impression,Subsegmental right lung base atelectasis. Increasing loss of vertebral body height at T11. Stable L1 compression fracture. Right shoulder humeral DJD. Interval removal of PICC lines.,Increasing loss of vertebral body height at T11.,Vertebral body height loss,T11,Worse,"['files/p18/p18512911/s53933599/81662f3f-0c97fb86-66099abe-260ad401-e1d61e16.jpg', 'files/p18/p18512911/s53933599/978e2939-4844d38e-fd154225-ef3f6933-59c3ead3.jpg']","['files/p18/p18512911/s53235571/30daa1b3-c4b0ad98-ca413c68-077af6c7-6565dd04.jpg\n', 'files/p18/p18512911/s53235571/8a046a64-8ed795ff-765071a4-668a3e83-c8c7fa28.jpg\n']"
s53939178_6,p16855430,s53939178,6,Findings,AP and lateral views of the chest are compared to previous exam from ___. Previously identified left PICC line is no longer seen. Lower lung volumes seen on the current exam. There are indistinct pulmonary vascular markings suggestive of fluid overload. There are also possible small bilateral pleural effusions noting that lateral view is limited secondary to patient's arms obscuring visualization. Cardiac silhouette is enlarged but stable. Degenerative changes noted at the acromioclavicular joints bilaterally.,Previously identified left PICC line is no longer seen.,PICC line,left,Resolve,"['files/p16/p16855430/s53939178/39618a10-511f1ac1-6fa3e87e-ec147c2b-8c69b847.jpg', 'files/p16/p16855430/s53939178/97dce762-0f106b37-190de5f9-33071881-9d9e0b6d.jpg']","['files/p16/p16855430/s53829822/6f9ca3bc-a0a9f3c7-afd9f2ca-a88637ba-52ab17cf.jpg\n', 'files/p16/p16855430/s53829822/8b38d41a-f5185160-d311d652-8d19e4c2-9f97688a.jpg\n']"
s53939178_6,p16855430,s53939178,6,Findings,AP and lateral views of the chest are compared to previous exam from ___. Previously identified left PICC line is no longer seen. Lower lung volumes seen on the current exam. There are indistinct pulmonary vascular markings suggestive of fluid overload. There are also possible small bilateral pleural effusions noting that lateral view is limited secondary to patient's arms obscuring visualization. Cardiac silhouette is enlarged but stable. Degenerative changes noted at the acromioclavicular joints bilaterally.,Cardiac silhouette is enlarged but stable.,Cardiac silhouette enlargement,,Stable,"['files/p16/p16855430/s53939178/39618a10-511f1ac1-6fa3e87e-ec147c2b-8c69b847.jpg', 'files/p16/p16855430/s53939178/97dce762-0f106b37-190de5f9-33071881-9d9e0b6d.jpg']","['files/p16/p16855430/s53829822/6f9ca3bc-a0a9f3c7-afd9f2ca-a88637ba-52ab17cf.jpg\n', 'files/p16/p16855430/s53829822/8b38d41a-f5185160-d311d652-8d19e4c2-9f97688a.jpg\n']"
s53940581_10,p13606683,s53940581,10,Findings,"As compared to the previous radiograph, there is no relevant change. Unchanged alignment of the pacemaker wires. Unchanged moderate cardiomegaly without pulmonary edema or acute parenchymal changes. Known scars and mild chronic parenchymal alterations, better documented on the CT examination from ___. The right pectoral pacemaker and its leads are in unchanged position. No pneumothorax.",The right pectoral pacemaker and its leads are in unchanged position.,pacemaker and its leads,right pectoral,Stable,"['files/p13/p13606683/s53940581/78bad02b-a94614e0-cb77fd70-a51f0640-d3b05fef.jpg', 'files/p13/p13606683/s53940581/c49e5abd-d37fecd3-1fd78a6d-9249f8ad-e8eec581.jpg']","['files/p13/p13606683/s53546263/1a329778-20bfaa24-80dfc02f-7f896fba-39d0dd88.jpg\n', 'files/p13/p13606683/s53546263/662edf02-f6f20a12-e88e5622-1d01bf6f-90f762e9.jpg\n']"
s53940581_10,p13606683,s53940581,10,Findings,"As compared to the previous radiograph, there is no relevant change. Unchanged alignment of the pacemaker wires. Unchanged moderate cardiomegaly without pulmonary edema or acute parenchymal changes. Known scars and mild chronic parenchymal alterations, better documented on the CT examination from ___. The right pectoral pacemaker and its leads are in unchanged position. No pneumothorax.",Unchanged alignment of the pacemaker wires.,pacemaker wires,alignment,Stable,"['files/p13/p13606683/s53940581/78bad02b-a94614e0-cb77fd70-a51f0640-d3b05fef.jpg', 'files/p13/p13606683/s53940581/c49e5abd-d37fecd3-1fd78a6d-9249f8ad-e8eec581.jpg']","['files/p13/p13606683/s53546263/1a329778-20bfaa24-80dfc02f-7f896fba-39d0dd88.jpg\n', 'files/p13/p13606683/s53546263/662edf02-f6f20a12-e88e5622-1d01bf6f-90f762e9.jpg\n']"
s53940581_10,p13606683,s53940581,10,Findings,"As compared to the previous radiograph, there is no relevant change. Unchanged alignment of the pacemaker wires. Unchanged moderate cardiomegaly without pulmonary edema or acute parenchymal changes. Known scars and mild chronic parenchymal alterations, better documented on the CT examination from ___. The right pectoral pacemaker and its leads are in unchanged position. No pneumothorax.",Unchanged moderate cardiomegaly without pulmonary edema or acute parenchymal changes.,moderate cardiomegaly,,Stable,"['files/p13/p13606683/s53940581/78bad02b-a94614e0-cb77fd70-a51f0640-d3b05fef.jpg', 'files/p13/p13606683/s53940581/c49e5abd-d37fecd3-1fd78a6d-9249f8ad-e8eec581.jpg']","['files/p13/p13606683/s53546263/1a329778-20bfaa24-80dfc02f-7f896fba-39d0dd88.jpg\n', 'files/p13/p13606683/s53546263/662edf02-f6f20a12-e88e5622-1d01bf6f-90f762e9.jpg\n']"
s53941324_5,p10402372,s53941324,5,Impression,"PA and lateral chest compared to ___ through ___, extent of peribronchial thickening and impaction of extensive bibasilar bronchiectasis may have increased slightly since the most recent prior lateral chest radiograph, ___. There is really no change in the appearance of the frontal views as recently as ___. Generalized hyperinflation is due to emphysema. Heart size is normal. There is no pulmonary edema, consolidation. A tiny right pleural effusion may be new, but probably not clinically significant. Findings would therefore be attributed to decompensation of emphysema and bronchiectasis.","A tiny right pleural effusion may be new, but probably not clinically significant",pleural effusion,right,New,"['files/p10/p10402372/s53941324/2bb5bb55-801383f8-e25026b5-73c5b3c5-a670344b.jpg', 'files/p10/p10402372/s53941324/fac91686-0b3af505-de09585a-0b7529e2-2d4defc6.jpg']",['files/p10/p10402372/s52824884/1bfd4f62-e1254bfb-54b0a6ac-29453546-2c0e7100.jpg\n']
s53941324_5,p10402372,s53941324,5,Impression,"PA and lateral chest compared to ___ through ___, extent of peribronchial thickening and impaction of extensive bibasilar bronchiectasis may have increased slightly since the most recent prior lateral chest radiograph, ___. There is really no change in the appearance of the frontal views as recently as ___. Generalized hyperinflation is due to emphysema. Heart size is normal. There is no pulmonary edema, consolidation. A tiny right pleural effusion may be new, but probably not clinically significant. Findings would therefore be attributed to decompensation of emphysema and bronchiectasis.","PA and lateral chest compared to ___ through ___, extent of peribronchial thickening and impaction of extensive bibasilar bronchiectasis may have increased slightly since the most recent prior lateral chest radiograph, ___",bronchiectasis,bibasilar,Worse,"['files/p10/p10402372/s53941324/2bb5bb55-801383f8-e25026b5-73c5b3c5-a670344b.jpg', 'files/p10/p10402372/s53941324/fac91686-0b3af505-de09585a-0b7529e2-2d4defc6.jpg']",['files/p10/p10402372/s52824884/1bfd4f62-e1254bfb-54b0a6ac-29453546-2c0e7100.jpg\n']
s53941324_5,p10402372,s53941324,5,Impression,"PA and lateral chest compared to ___ through ___, extent of peribronchial thickening and impaction of extensive bibasilar bronchiectasis may have increased slightly since the most recent prior lateral chest radiograph, ___. There is really no change in the appearance of the frontal views as recently as ___. Generalized hyperinflation is due to emphysema. Heart size is normal. There is no pulmonary edema, consolidation. A tiny right pleural effusion may be new, but probably not clinically significant. Findings would therefore be attributed to decompensation of emphysema and bronchiectasis.",There is really no change in the appearance of the frontal views as recently as ___,,frontal views,Stable,"['files/p10/p10402372/s53941324/2bb5bb55-801383f8-e25026b5-73c5b3c5-a670344b.jpg', 'files/p10/p10402372/s53941324/fac91686-0b3af505-de09585a-0b7529e2-2d4defc6.jpg']",['files/p10/p10402372/s52824884/1bfd4f62-e1254bfb-54b0a6ac-29453546-2c0e7100.jpg\n']
s53941529_11,p14744884,s53941529,11,Findings,The heart size is normal. The mediastinal and hilar contours are unchanged and within normal limits. Right brachiocephalic venous stent is again demonstrated. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.,The mediastinal and hilar contours are unchanged and within normal limits.,Normal limits,mediastinal and hilar contours,Stable,"['files/p14/p14744884/s53941529/77ecd7b4-59a34a5b-a452c45e-742809d6-884d2757.jpg', 'files/p14/p14744884/s53941529/c541b4b9-e18c9d0c-428f0bcd-4b4fcf3c-ca7acd25.jpg']",['files/p14/p14744884/s53924935/99aeda2e-665dd4de-645bda53-e43dbd3e-e3b45e9f.jpg\n']
s53942185_8,p16360107,s53942185,8,Findings,"Mild cardiomegaly and mediastinal contours are stable. Perihilar vascular congestion appears similar in severity compared to the prior exam. Chronic loculated bilateral pleural effusions are long-standing with persistent bibasilar opacities likely representing atelectasis and scarring. No new focal consolidation or pneumothorax. Fragmented and misaligned sternotomy wires are unchanged, as are mediastinal clips.","Fragmented and misaligned sternotomy wires are unchanged, as are mediastinal clips.",sternotomy wires,,Stable,"['files/p16/p16360107/s53942185/1d2210f4-4ee82b62-33bb0a65-95c1445f-149d7a7f.jpg', 'files/p16/p16360107/s53942185/b900fc21-dda79088-8dc65796-63160053-790a5628.jpg']","['files/p16/p16360107/s53330219/2fcba743-5df8901d-e0a0422a-de2d913b-9a3ca76e.jpg\n', 'files/p16/p16360107/s53330219/b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f.jpg\n']"
s53942185_8,p16360107,s53942185,8,Findings,"Mild cardiomegaly and mediastinal contours are stable. Perihilar vascular congestion appears similar in severity compared to the prior exam. Chronic loculated bilateral pleural effusions are long-standing with persistent bibasilar opacities likely representing atelectasis and scarring. No new focal consolidation or pneumothorax. Fragmented and misaligned sternotomy wires are unchanged, as are mediastinal clips.",Perihilar vascular congestion appears similar in severity compared to the prior exam.,vascular congestion,perihilar,Stable,"['files/p16/p16360107/s53942185/1d2210f4-4ee82b62-33bb0a65-95c1445f-149d7a7f.jpg', 'files/p16/p16360107/s53942185/b900fc21-dda79088-8dc65796-63160053-790a5628.jpg']","['files/p16/p16360107/s53330219/2fcba743-5df8901d-e0a0422a-de2d913b-9a3ca76e.jpg\n', 'files/p16/p16360107/s53330219/b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f.jpg\n']"
s53942185_8,p16360107,s53942185,8,Impression,"Stable appearance of the chest with mild congestion, cardiomegaly, chronic loculated pleural effusions, and persistent bibasilar opacities.","Stable appearance of the chest with mild congestion, cardiomegaly, chronic loculated pleural effusions, and persistent bibasilar opacities.",mild congestion,,Stable,"['files/p16/p16360107/s53942185/1d2210f4-4ee82b62-33bb0a65-95c1445f-149d7a7f.jpg', 'files/p16/p16360107/s53942185/b900fc21-dda79088-8dc65796-63160053-790a5628.jpg']","['files/p16/p16360107/s53330219/2fcba743-5df8901d-e0a0422a-de2d913b-9a3ca76e.jpg\n', 'files/p16/p16360107/s53330219/b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f.jpg\n']"
s53942185_8,p16360107,s53942185,8,Impression,"Stable appearance of the chest with mild congestion, cardiomegaly, chronic loculated pleural effusions, and persistent bibasilar opacities.","Stable appearance of the chest with mild congestion, cardiomegaly, chronic loculated pleural effusions, and persistent bibasilar opacities.",cardiomegaly,,Stable,"['files/p16/p16360107/s53942185/1d2210f4-4ee82b62-33bb0a65-95c1445f-149d7a7f.jpg', 'files/p16/p16360107/s53942185/b900fc21-dda79088-8dc65796-63160053-790a5628.jpg']","['files/p16/p16360107/s53330219/2fcba743-5df8901d-e0a0422a-de2d913b-9a3ca76e.jpg\n', 'files/p16/p16360107/s53330219/b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f.jpg\n']"
s53942185_8,p16360107,s53942185,8,Impression,"Stable appearance of the chest with mild congestion, cardiomegaly, chronic loculated pleural effusions, and persistent bibasilar opacities.","Stable appearance of the chest with mild congestion, cardiomegaly, chronic loculated pleural effusions, and persistent bibasilar opacities.",chronic loculated pleural effusions,,Stable,"['files/p16/p16360107/s53942185/1d2210f4-4ee82b62-33bb0a65-95c1445f-149d7a7f.jpg', 'files/p16/p16360107/s53942185/b900fc21-dda79088-8dc65796-63160053-790a5628.jpg']","['files/p16/p16360107/s53330219/2fcba743-5df8901d-e0a0422a-de2d913b-9a3ca76e.jpg\n', 'files/p16/p16360107/s53330219/b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f.jpg\n']"
s53942185_8,p16360107,s53942185,8,Impression,"Stable appearance of the chest with mild congestion, cardiomegaly, chronic loculated pleural effusions, and persistent bibasilar opacities.","Stable appearance of the chest with mild congestion, cardiomegaly, chronic loculated pleural effusions, and persistent bibasilar opacities.",bibasilar opacities,,Stable,"['files/p16/p16360107/s53942185/1d2210f4-4ee82b62-33bb0a65-95c1445f-149d7a7f.jpg', 'files/p16/p16360107/s53942185/b900fc21-dda79088-8dc65796-63160053-790a5628.jpg']","['files/p16/p16360107/s53330219/2fcba743-5df8901d-e0a0422a-de2d913b-9a3ca76e.jpg\n', 'files/p16/p16360107/s53330219/b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f.jpg\n']"
s53942185_8,p16360107,s53942185,8,Findings,"Mild cardiomegaly and mediastinal contours are stable. Perihilar vascular congestion appears similar in severity compared to the prior exam. Chronic loculated bilateral pleural effusions are long-standing with persistent bibasilar opacities likely representing atelectasis and scarring. No new focal consolidation or pneumothorax. Fragmented and misaligned sternotomy wires are unchanged, as are mediastinal clips.",Mild cardiomegaly and mediastinal contours are stable.,mediastinal contours,,Stable,"['files/p16/p16360107/s53942185/1d2210f4-4ee82b62-33bb0a65-95c1445f-149d7a7f.jpg', 'files/p16/p16360107/s53942185/b900fc21-dda79088-8dc65796-63160053-790a5628.jpg']","['files/p16/p16360107/s53330219/2fcba743-5df8901d-e0a0422a-de2d913b-9a3ca76e.jpg\n', 'files/p16/p16360107/s53330219/b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f.jpg\n']"
s53942185_8,p16360107,s53942185,8,Findings,"Mild cardiomegaly and mediastinal contours are stable. Perihilar vascular congestion appears similar in severity compared to the prior exam. Chronic loculated bilateral pleural effusions are long-standing with persistent bibasilar opacities likely representing atelectasis and scarring. No new focal consolidation or pneumothorax. Fragmented and misaligned sternotomy wires are unchanged, as are mediastinal clips.",Mild cardiomegaly and mediastinal contours are stable.,cardiomegaly,,Stable,"['files/p16/p16360107/s53942185/1d2210f4-4ee82b62-33bb0a65-95c1445f-149d7a7f.jpg', 'files/p16/p16360107/s53942185/b900fc21-dda79088-8dc65796-63160053-790a5628.jpg']","['files/p16/p16360107/s53330219/2fcba743-5df8901d-e0a0422a-de2d913b-9a3ca76e.jpg\n', 'files/p16/p16360107/s53330219/b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f.jpg\n']"
s53942185_8,p16360107,s53942185,8,Findings,"Mild cardiomegaly and mediastinal contours are stable. Perihilar vascular congestion appears similar in severity compared to the prior exam. Chronic loculated bilateral pleural effusions are long-standing with persistent bibasilar opacities likely representing atelectasis and scarring. No new focal consolidation or pneumothorax. Fragmented and misaligned sternotomy wires are unchanged, as are mediastinal clips.","Fragmented and misaligned sternotomy wires are unchanged, as are mediastinal clips.",mediastinal clips,,Stable,"['files/p16/p16360107/s53942185/1d2210f4-4ee82b62-33bb0a65-95c1445f-149d7a7f.jpg', 'files/p16/p16360107/s53942185/b900fc21-dda79088-8dc65796-63160053-790a5628.jpg']","['files/p16/p16360107/s53330219/2fcba743-5df8901d-e0a0422a-de2d913b-9a3ca76e.jpg\n', 'files/p16/p16360107/s53330219/b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f.jpg\n']"
s53942185_8,p16360107,s53942185,8,Impression,"Stable appearance of the chest with mild congestion, cardiomegaly, chronic loculated pleural effusions, and persistent bibasilar opacities.","Stable appearance of the chest with mild congestion, cardiomegaly, chronic loculated pleural effusions, and persistent bibasilar opacities.",chest appearance,,Stable,"['files/p16/p16360107/s53942185/1d2210f4-4ee82b62-33bb0a65-95c1445f-149d7a7f.jpg', 'files/p16/p16360107/s53942185/b900fc21-dda79088-8dc65796-63160053-790a5628.jpg']","['files/p16/p16360107/s53330219/2fcba743-5df8901d-e0a0422a-de2d913b-9a3ca76e.jpg\n', 'files/p16/p16360107/s53330219/b8375637-30c4d9cb-3bd3bb64-a6a4446a-c149911f.jpg\n']"
s53943549_25,p13896515,s53943549,25,Findings,"The endotracheal tube, left IJ line, and transvenous right atrial biventricular pacer leads are unchanged in position. Mild cardiomegaly, mild pulmonary edema, and low lung volumes are stable. No new pneumothorax or pleural effusion.","The endotracheal tube, left IJ line, and transvenous right atrial biventricular pacer leads are unchanged in position.",,left IJ line,Stable,['files/p13/p13896515/s53943549/7301509c-ae57fc65-dab3994c-b7d85ab5-8506df82.jpg'],['files/p13/p13896515/s53789660/ebb4833f-b98cb523-ee32fa0a-90c24211-81d147e0.jpg\n']
s53943549_25,p13896515,s53943549,25,Findings,"The endotracheal tube, left IJ line, and transvenous right atrial biventricular pacer leads are unchanged in position. Mild cardiomegaly, mild pulmonary edema, and low lung volumes are stable. No new pneumothorax or pleural effusion.","The endotracheal tube, left IJ line, and transvenous right atrial biventricular pacer leads are unchanged in position.",,transvenous right atrial biventricular pacer leads,Stable,['files/p13/p13896515/s53943549/7301509c-ae57fc65-dab3994c-b7d85ab5-8506df82.jpg'],['files/p13/p13896515/s53789660/ebb4833f-b98cb523-ee32fa0a-90c24211-81d147e0.jpg\n']
s53943549_25,p13896515,s53943549,25,Findings,"The endotracheal tube, left IJ line, and transvenous right atrial biventricular pacer leads are unchanged in position. Mild cardiomegaly, mild pulmonary edema, and low lung volumes are stable. No new pneumothorax or pleural effusion.","Mild cardiomegaly, mild pulmonary edema, and low lung volumes are stable.",Mild cardiomegaly,,Stable,['files/p13/p13896515/s53943549/7301509c-ae57fc65-dab3994c-b7d85ab5-8506df82.jpg'],['files/p13/p13896515/s53789660/ebb4833f-b98cb523-ee32fa0a-90c24211-81d147e0.jpg\n']
s53943549_25,p13896515,s53943549,25,Findings,"The endotracheal tube, left IJ line, and transvenous right atrial biventricular pacer leads are unchanged in position. Mild cardiomegaly, mild pulmonary edema, and low lung volumes are stable. No new pneumothorax or pleural effusion.","The endotracheal tube, left IJ line, and transvenous right atrial biventricular pacer leads are unchanged in position.",,endotracheal tube,Stable,['files/p13/p13896515/s53943549/7301509c-ae57fc65-dab3994c-b7d85ab5-8506df82.jpg'],['files/p13/p13896515/s53789660/ebb4833f-b98cb523-ee32fa0a-90c24211-81d147e0.jpg\n']
s53943549_25,p13896515,s53943549,25,Findings,"The endotracheal tube, left IJ line, and transvenous right atrial biventricular pacer leads are unchanged in position. Mild cardiomegaly, mild pulmonary edema, and low lung volumes are stable. No new pneumothorax or pleural effusion.","Mild cardiomegaly, mild pulmonary edema, and low lung volumes are stable.",Low lung volumes,,Stable,['files/p13/p13896515/s53943549/7301509c-ae57fc65-dab3994c-b7d85ab5-8506df82.jpg'],['files/p13/p13896515/s53789660/ebb4833f-b98cb523-ee32fa0a-90c24211-81d147e0.jpg\n']
s53943549_25,p13896515,s53943549,25,Findings,"The endotracheal tube, left IJ line, and transvenous right atrial biventricular pacer leads are unchanged in position. Mild cardiomegaly, mild pulmonary edema, and low lung volumes are stable. No new pneumothorax or pleural effusion.","Mild cardiomegaly, mild pulmonary edema, and low lung volumes are stable.",Mild pulmonary edema,,Stable,['files/p13/p13896515/s53943549/7301509c-ae57fc65-dab3994c-b7d85ab5-8506df82.jpg'],['files/p13/p13896515/s53789660/ebb4833f-b98cb523-ee32fa0a-90c24211-81d147e0.jpg\n']
s53948906_3,p12810135,s53948906,3,Impression,"In comparison with the study of ___, there has been placement of a left subclavian pacer with leads in the right atrium and apex of the right ventricle. No evidence of post procedure pneumothorax. The cardiac silhouette remains enlarged. The degree of pulmonary vascular congestion has decreased.",The degree of pulmonary vascular congestion has decreased.,pulmonary vascular congestion,,Better,['files/p12/p12810135/s53948906/54e6075a-d4d2c1d4-d742150c-7e4e64c8-f98b4179.jpg'],['files/p12/p12810135/s50981777/14d22854-f75c9939-e36fa170-315d2ccb-2fc011e3.jpg\n']
s53948906_3,p12810135,s53948906,3,Impression,"In comparison with the study of ___, there has been placement of a left subclavian pacer with leads in the right atrium and apex of the right ventricle. No evidence of post procedure pneumothorax. The cardiac silhouette remains enlarged. The degree of pulmonary vascular congestion has decreased.",The cardiac silhouette remains enlarged.,cardiac silhouette,,Stable,['files/p12/p12810135/s53948906/54e6075a-d4d2c1d4-d742150c-7e4e64c8-f98b4179.jpg'],['files/p12/p12810135/s50981777/14d22854-f75c9939-e36fa170-315d2ccb-2fc011e3.jpg\n']
s53951719_15,p15192710,s53951719,15,Impression,Heart size and mediastinum are stable. Lungs are clear. There is no pleural effusion or pneumothorax. Bronchiectasis at demonstrated on the prior CT chest are minimal end seen in the left lower lobe with interval resolution of previously demonstrated infectious process.,Heart size and mediastinum are stable.,Heart size and mediastinum,,Stable,"['files/p15/p15192710/s53951719/042b8e55-50d27345-7b393528-2e2d0294-10141795.jpg', 'files/p15/p15192710/s53951719/6791ae5f-2b5a0473-e5a08897-c829d6ef-74848f0d.jpg']",['files/p15/p15192710/s53565622/8cf47922-21ea9567-ee9bd67f-e77c69fc-88638572.jpg\n']
s53951719_15,p15192710,s53951719,15,Impression,Heart size and mediastinum are stable. Lungs are clear. There is no pleural effusion or pneumothorax. Bronchiectasis at demonstrated on the prior CT chest are minimal end seen in the left lower lobe with interval resolution of previously demonstrated infectious process.,Bronchiectasis at demonstrated on the prior CT chest are minimal end seen in the left lower lobe with interval resolution of previously demonstrated infectious process.,infectious process,left lower lobe,Resolve,"['files/p15/p15192710/s53951719/042b8e55-50d27345-7b393528-2e2d0294-10141795.jpg', 'files/p15/p15192710/s53951719/6791ae5f-2b5a0473-e5a08897-c829d6ef-74848f0d.jpg']",['files/p15/p15192710/s53565622/8cf47922-21ea9567-ee9bd67f-e77c69fc-88638572.jpg\n']
s53953586_3,p19720782,s53953586,3,Impression,Essentially unchanged right paramediastinal fibrosis with a loculated right lower lobe effusion.,Essentially unchanged right paramediastinal fibrosis with a loculated right lower lobe effusion.,fibrosis,right paramediastinal,Stable,"['files/p19/p19720782/s53953586/0dc02be2-fdb6e050-1b51dc0a-7bf9718e-a4bc2f13.jpg', 'files/p19/p19720782/s53953586/e7d4e068-306cec6b-140f2e23-4534086d-e80680d2.jpg']","['files/p19/p19720782/s53593299/28b82840-1d653ef1-b8ee81e1-10559868-33a9f406.jpg\n', 'files/p19/p19720782/s53593299/3e2248aa-fadcd991-d4227891-01a43de5-fd31834a.jpg\n']"
s53953586_3,p19720782,s53953586,3,Impression,Essentially unchanged right paramediastinal fibrosis with a loculated right lower lobe effusion.,Essentially unchanged right paramediastinal fibrosis with a loculated right lower lobe effusion.,loculated effusion,right lower lobe,Stable,"['files/p19/p19720782/s53953586/0dc02be2-fdb6e050-1b51dc0a-7bf9718e-a4bc2f13.jpg', 'files/p19/p19720782/s53953586/e7d4e068-306cec6b-140f2e23-4534086d-e80680d2.jpg']","['files/p19/p19720782/s53593299/28b82840-1d653ef1-b8ee81e1-10559868-33a9f406.jpg\n', 'files/p19/p19720782/s53593299/3e2248aa-fadcd991-d4227891-01a43de5-fd31834a.jpg\n']"
s53953586_3,p19720782,s53953586,3,Findings,The lungs are well expanded and show a persistent right mediastinal opacity consistent with radiation fibrosis from known lung cancer treatment. A right lower lobe loculated effusion appears unchanged. The cardiomediastinal silhouette and left hilar contours are normal. No pneumothorax is present.,A right lower lobe loculated effusion appears unchanged.,loculated effusion,right lower lobe,Stable,"['files/p19/p19720782/s53953586/0dc02be2-fdb6e050-1b51dc0a-7bf9718e-a4bc2f13.jpg', 'files/p19/p19720782/s53953586/e7d4e068-306cec6b-140f2e23-4534086d-e80680d2.jpg']","['files/p19/p19720782/s53593299/28b82840-1d653ef1-b8ee81e1-10559868-33a9f406.jpg\n', 'files/p19/p19720782/s53593299/3e2248aa-fadcd991-d4227891-01a43de5-fd31834a.jpg\n']"
s53956186_26,p17340686,s53956186,26,Findings,"Dialysis catheter ends in the right atrium, unchanged in position. Peribronchial cuffing and increased interstitial markings are compatible with mild pulmonary edema, unchanged from the prior study. Moderate cardiomegaly is stable. There is no substantial pleural effusion or pneumothorax. Calcified granuloma again noted in the right lower lung.",Moderate cardiomegaly is stable.,Moderate cardiomegaly,,Stable,['files/p17/p17340686/s53956186/e199d51c-58d0356d-8ed19c9f-64ddb8ec-cd3fdc7a.jpg'],['files/p17/p17340686/s53739758/cfe95f11-8443d7dd-4d3b5c96-d6c7892c-e037193e.jpg\n']
s53956186_26,p17340686,s53956186,26,Findings,"Dialysis catheter ends in the right atrium, unchanged in position. Peribronchial cuffing and increased interstitial markings are compatible with mild pulmonary edema, unchanged from the prior study. Moderate cardiomegaly is stable. There is no substantial pleural effusion or pneumothorax. Calcified granuloma again noted in the right lower lung.","Peribronchial cuffing and increased interstitial markings are compatible with mild pulmonary edema, unchanged from the prior study.",Mild pulmonary edema,,Stable,['files/p17/p17340686/s53956186/e199d51c-58d0356d-8ed19c9f-64ddb8ec-cd3fdc7a.jpg'],['files/p17/p17340686/s53739758/cfe95f11-8443d7dd-4d3b5c96-d6c7892c-e037193e.jpg\n']
s53956186_26,p17340686,s53956186,26,Findings,"Dialysis catheter ends in the right atrium, unchanged in position. Peribronchial cuffing and increased interstitial markings are compatible with mild pulmonary edema, unchanged from the prior study. Moderate cardiomegaly is stable. There is no substantial pleural effusion or pneumothorax. Calcified granuloma again noted in the right lower lung.","Dialysis catheter ends in the right atrium, unchanged in position.",Dialysis catheter,Right atrium,Stable,['files/p17/p17340686/s53956186/e199d51c-58d0356d-8ed19c9f-64ddb8ec-cd3fdc7a.jpg'],['files/p17/p17340686/s53739758/cfe95f11-8443d7dd-4d3b5c96-d6c7892c-e037193e.jpg\n']
s53957798_5,p18110020,s53957798,5,Findings,"As compared to the previous radiograph, there is no relevant change. No evidence of pathologic parenchymal opacities on the basis of the technically limited examination. Borderline size of the cardiac silhouette, unchanged coiling of the nasogastric tube in the stomach.","Borderline size of the cardiac silhouette, unchanged coiling of the nasogastric tube in the stomach.",coiling of the nasogastric tube,stomach,Stable,['files/p18/p18110020/s53957798/474305f3-1346d14f-d554552c-d0606af0-2edf1cb9.jpg'],['files/p18/p18110020/s53663749/083a3e76-48cf31d2-b2f088df-9c323345-ef72f46f.jpg\n']
s53957798_5,p18110020,s53957798,5,Findings,"As compared to the previous radiograph, there is no relevant change. No evidence of pathologic parenchymal opacities on the basis of the technically limited examination. Borderline size of the cardiac silhouette, unchanged coiling of the nasogastric tube in the stomach.","As compared to the previous radiograph, there is no relevant change.",,,Stable,['files/p18/p18110020/s53957798/474305f3-1346d14f-d554552c-d0606af0-2edf1cb9.jpg'],['files/p18/p18110020/s53663749/083a3e76-48cf31d2-b2f088df-9c323345-ef72f46f.jpg\n']
s53957798_5,p18110020,s53957798,5,Findings,"As compared to the previous radiograph, there is no relevant change. No evidence of pathologic parenchymal opacities on the basis of the technically limited examination. Borderline size of the cardiac silhouette, unchanged coiling of the nasogastric tube in the stomach.","Borderline size of the cardiac silhouette, unchanged coiling of the nasogastric tube in the stomach.",Borderline size,cardiac silhouette,Stable,['files/p18/p18110020/s53957798/474305f3-1346d14f-d554552c-d0606af0-2edf1cb9.jpg'],['files/p18/p18110020/s53663749/083a3e76-48cf31d2-b2f088df-9c323345-ef72f46f.jpg\n']
s53961269_1,p19075045,s53961269,1,Findings,"As compared to the previous radiograph, a new right PICC line has been inserted. The tip projects over the mid SVC. The course is unremarkable. There is no evidence of complication, notably no pneumothorax. Otherwise, the radiograph is unchanged.","As compared to the previous radiograph, a new right PICC line has been inserted.",PICC line,right,New,"['files/p19/p19075045/s53961269/8183f090-2b6765ef-92984c04-0bd04826-f32d16dd.jpg', 'files/p19/p19075045/s53961269/854eba83-e66e20aa-29a1b935-484d9991-94aecf1b.jpg']",['files/p19/p19075045/s53104217/62e9edcc-50892c5b-d1908c61-edfdb644-33f323c6.jpg\n']
s53961391_18,p19454978,s53961391,18,Findings,"Single portable supine AP image of the chest. The right IJ central line has been pulled back in the interval and now terminates in the superior direction junction. The lungs are well expanded. There has been interval mild increased cephalization of the pulmonary vessels, which may be partly or wholly due to supine positioning, making it difficult to evaluate for pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable.",The right IJ central line has been pulled back in the interval and now terminates in the superior direction junction.,IJ central line position,Superior,Better,['files/p19/p19454978/s53961391/97264070-c4f4a7bf-14e97575-719452ba-811afedf.jpg'],['files/p19/p19454978/s53886138/9bdc75bb-bfb40b21-54ac066c-4c718750-ef2b4f22.jpg\n']
s53961391_18,p19454978,s53961391,18,Findings,"Single portable supine AP image of the chest. The right IJ central line has been pulled back in the interval and now terminates in the superior direction junction. The lungs are well expanded. There has been interval mild increased cephalization of the pulmonary vessels, which may be partly or wholly due to supine positioning, making it difficult to evaluate for pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable.","There has been interval mild increased cephalization of the pulmonary vessels, which may be partly or wholly due to supine positioning, making it difficult to evaluate for pulmonary edema.",Cephalization of the pulmonary vessels,,Worse,['files/p19/p19454978/s53961391/97264070-c4f4a7bf-14e97575-719452ba-811afedf.jpg'],['files/p19/p19454978/s53886138/9bdc75bb-bfb40b21-54ac066c-4c718750-ef2b4f22.jpg\n']
s53961391_18,p19454978,s53961391,18,Findings,"Single portable supine AP image of the chest. The right IJ central line has been pulled back in the interval and now terminates in the superior direction junction. The lungs are well expanded. There has been interval mild increased cephalization of the pulmonary vessels, which may be partly or wholly due to supine positioning, making it difficult to evaluate for pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable.",The cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,['files/p19/p19454978/s53961391/97264070-c4f4a7bf-14e97575-719452ba-811afedf.jpg'],['files/p19/p19454978/s53886138/9bdc75bb-bfb40b21-54ac066c-4c718750-ef2b4f22.jpg\n']
s53964812_7,p15612622,s53964812,7,Findings,"T0he cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Since the very recent prior studies, there is a substantial new opacity in the right lower lobe concerning for pneumonia. The bones appear demineralized. There is mild-to-moderate rightward convex curvature again centered along the lower thoracic spine with incompletely characterized lumbar compression deformities. Moderate degenerative changes are again noted along lower thoracic levels.",There is mild-to-moderate rightward convex curvature again centered along the lower thoracic spine with incompletely characterized lumbar compression deformities.,rightward convex curvature,lower thoracic spine,Stable,"['files/p15/p15612622/s53964812/77986392-2dac3752-b145c42b-2ba010de-d49de562.jpg', 'files/p15/p15612622/s53964812/89318934-c9420a56-2169eec0-c8c097f7-8b4b07d6.jpg']","['files/p15/p15612622/s52026509/8623cf71-596099ea-2245cb58-0c69238a-3a539886.jpg\n', 'files/p15/p15612622/s52026509/c84b7521-c75b5b52-ce5dc9c4-ec6fb779-a69ee6b1.jpg\n']"
s53964812_7,p15612622,s53964812,7,Findings,"T0he cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Since the very recent prior studies, there is a substantial new opacity in the right lower lobe concerning for pneumonia. The bones appear demineralized. There is mild-to-moderate rightward convex curvature again centered along the lower thoracic spine with incompletely characterized lumbar compression deformities. Moderate degenerative changes are again noted along lower thoracic levels.",Moderate degenerative changes are again noted along lower thoracic levels.,degenerative changes,lower thoracic levels,Stable,"['files/p15/p15612622/s53964812/77986392-2dac3752-b145c42b-2ba010de-d49de562.jpg', 'files/p15/p15612622/s53964812/89318934-c9420a56-2169eec0-c8c097f7-8b4b07d6.jpg']","['files/p15/p15612622/s52026509/8623cf71-596099ea-2245cb58-0c69238a-3a539886.jpg\n', 'files/p15/p15612622/s52026509/c84b7521-c75b5b52-ce5dc9c4-ec6fb779-a69ee6b1.jpg\n']"
s53964812_7,p15612622,s53964812,7,Findings,"T0he cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Since the very recent prior studies, there is a substantial new opacity in the right lower lobe concerning for pneumonia. The bones appear demineralized. There is mild-to-moderate rightward convex curvature again centered along the lower thoracic spine with incompletely characterized lumbar compression deformities. Moderate degenerative changes are again noted along lower thoracic levels.","The cardiac, mediastinal and hilar contours appear stable.",contours,"cardiac, mediastinal, and hilar",Stable,"['files/p15/p15612622/s53964812/77986392-2dac3752-b145c42b-2ba010de-d49de562.jpg', 'files/p15/p15612622/s53964812/89318934-c9420a56-2169eec0-c8c097f7-8b4b07d6.jpg']","['files/p15/p15612622/s52026509/8623cf71-596099ea-2245cb58-0c69238a-3a539886.jpg\n', 'files/p15/p15612622/s52026509/c84b7521-c75b5b52-ce5dc9c4-ec6fb779-a69ee6b1.jpg\n']"
s53964812_7,p15612622,s53964812,7,Findings,"T0he cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Since the very recent prior studies, there is a substantial new opacity in the right lower lobe concerning for pneumonia. The bones appear demineralized. There is mild-to-moderate rightward convex curvature again centered along the lower thoracic spine with incompletely characterized lumbar compression deformities. Moderate degenerative changes are again noted along lower thoracic levels.","Since the very recent prior studies, there is a substantial new opacity in the right lower lobe concerning for pneumonia.",opacity,right lower lobe,New,"['files/p15/p15612622/s53964812/77986392-2dac3752-b145c42b-2ba010de-d49de562.jpg', 'files/p15/p15612622/s53964812/89318934-c9420a56-2169eec0-c8c097f7-8b4b07d6.jpg']","['files/p15/p15612622/s52026509/8623cf71-596099ea-2245cb58-0c69238a-3a539886.jpg\n', 'files/p15/p15612622/s52026509/c84b7521-c75b5b52-ce5dc9c4-ec6fb779-a69ee6b1.jpg\n']"
s53966135_2,p11413236,s53966135,2,Findings,"In comparison with study of ___, there has been the development of areas of opacification at the left base most likely reflecting atelectasis and mild effusion. In the appropriate clinical setting, supervening pneumonia would have to be considered. Port-A-Cath remains in place.","In comparison with study of ___, there has been the development of areas of opacification at the left base most likely reflecting atelectasis and mild effusion.",opacification,left base,New,"['files/p11/p11413236/s53966135/30441716-407a53b5-7bec00c6-abac7a61-d6054dfd.jpg', 'files/p11/p11413236/s53966135/dde647ea-ea029cfd-683e0c4d-fbd997f9-b2e32924.jpg']",['files/p11/p11413236/s53836642/5a57f9ad-cca470ce-4338e8a1-bd61ba63-c40ce753.jpg\n']
s53966692_0,p13649937,s53966692,0,Findings,"There is marked scoliosis with convexity to the right, similar to prior examinations and with increased patient rotation to the right. In the interval from the prior examination, obscuration of the left hemidiaphragm may be due to pleural effusion and atelectasis, though a consolidation or pneumonia cannot be entirely excluded. There may be mild interstitial edema. Patchy right lower lobe opacity may be due to infection or aspiration. No pneumothorax is seen. The heart is mildly enlarged. An endotracheal tube is in standard position with tip near the inferior margin of the clavicular heads. An esophageal catheter has been placed, coursing inferior to the diaphragm with side port within the stomach and tip out of view of the radiograph. A left-sided dual-lead pacemaker is in standard position.","There is marked scoliosis with convexity to the right, similar to prior examinations and with increased patient rotation to the right.",scoliosis,right,Stable,['files/p13/p13649937/s53966692/019dff97-dd885742-7be6fc52-dfd21808-8513ba6d.jpg'],['files/p13/p13649937/s51183691/2d35647b-697aa705-d56cc89e-da6818b0-3ebe0b23.jpg\n']
s53967875_2,p16409152,s53967875,2,Findings,Endotracheal tube terminates approximately 5-6 mm above the carina. Consider retracting the endotracheal tube by approximately 2 cm for better seating. Orogastric tube is seen coursing into the stomach and is appropriate position. Bilateral lung volumes remain low. Multiple nodular opacities in bilateral lungs from known metastases are better evaluated on prior chest CT dated ___. Mild bilateral lower lung atelectasis is unchanged. New peribronchial opacities in the left lower lung and right lung base are concerning for aspiration. Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,['files/p16/p16409152/s53967875/b197e096-c5bf8b0f-c2a04ee0-f6eb2370-9cb07b7c.jpg'],['files/p16/p16409152/s51031461/20106d63-2c479e81-0d61595c-25ef9723-cba07432.jpg\n']
s53967875_2,p16409152,s53967875,2,Impression,"Bilateral lower lung peribronchial opacities, new since ___, are concerning for an aspiration. Pre-existing bibasal mild atelectasis is unchanged.","Bilateral lower lung peribronchial opacities, new since ___, are concerning for an aspiration.",Peribronchial opacities,Bilateral lower lung,New,['files/p16/p16409152/s53967875/b197e096-c5bf8b0f-c2a04ee0-f6eb2370-9cb07b7c.jpg'],['files/p16/p16409152/s51031461/20106d63-2c479e81-0d61595c-25ef9723-cba07432.jpg\n']
s53967875_2,p16409152,s53967875,2,Findings,Endotracheal tube terminates approximately 5-6 mm above the carina. Consider retracting the endotracheal tube by approximately 2 cm for better seating. Orogastric tube is seen coursing into the stomach and is appropriate position. Bilateral lung volumes remain low. Multiple nodular opacities in bilateral lungs from known metastases are better evaluated on prior chest CT dated ___. Mild bilateral lower lung atelectasis is unchanged. New peribronchial opacities in the left lower lung and right lung base are concerning for aspiration. Cardiomediastinal silhouette is stable.,New peribronchial opacities in the left lower lung and right lung base are concerning for aspiration.,Peribronchial opacities,Left lower lung and right lung base,New,['files/p16/p16409152/s53967875/b197e096-c5bf8b0f-c2a04ee0-f6eb2370-9cb07b7c.jpg'],['files/p16/p16409152/s51031461/20106d63-2c479e81-0d61595c-25ef9723-cba07432.jpg\n']
s53967875_2,p16409152,s53967875,2,Impression,"Bilateral lower lung peribronchial opacities, new since ___, are concerning for an aspiration. Pre-existing bibasal mild atelectasis is unchanged.",Pre-existing bibasal mild atelectasis is unchanged.,Atelectasis,Bibasal,Stable,['files/p16/p16409152/s53967875/b197e096-c5bf8b0f-c2a04ee0-f6eb2370-9cb07b7c.jpg'],['files/p16/p16409152/s51031461/20106d63-2c479e81-0d61595c-25ef9723-cba07432.jpg\n']
s53967875_2,p16409152,s53967875,2,Findings,Endotracheal tube terminates approximately 5-6 mm above the carina. Consider retracting the endotracheal tube by approximately 2 cm for better seating. Orogastric tube is seen coursing into the stomach and is appropriate position. Bilateral lung volumes remain low. Multiple nodular opacities in bilateral lungs from known metastases are better evaluated on prior chest CT dated ___. Mild bilateral lower lung atelectasis is unchanged. New peribronchial opacities in the left lower lung and right lung base are concerning for aspiration. Cardiomediastinal silhouette is stable.,Mild bilateral lower lung atelectasis is unchanged.,Atelectasis,Bilateral lower lung,Stable,['files/p16/p16409152/s53967875/b197e096-c5bf8b0f-c2a04ee0-f6eb2370-9cb07b7c.jpg'],['files/p16/p16409152/s51031461/20106d63-2c479e81-0d61595c-25ef9723-cba07432.jpg\n']
s53967875_2,p16409152,s53967875,2,Findings,Endotracheal tube terminates approximately 5-6 mm above the carina. Consider retracting the endotracheal tube by approximately 2 cm for better seating. Orogastric tube is seen coursing into the stomach and is appropriate position. Bilateral lung volumes remain low. Multiple nodular opacities in bilateral lungs from known metastases are better evaluated on prior chest CT dated ___. Mild bilateral lower lung atelectasis is unchanged. New peribronchial opacities in the left lower lung and right lung base are concerning for aspiration. Cardiomediastinal silhouette is stable.,Bilateral lung volumes remain low.,Lung volumes,Bilateral,Stable,['files/p16/p16409152/s53967875/b197e096-c5bf8b0f-c2a04ee0-f6eb2370-9cb07b7c.jpg'],['files/p16/p16409152/s51031461/20106d63-2c479e81-0d61595c-25ef9723-cba07432.jpg\n']
s53970354_2,p13700088,s53970354,2,Impression,"An AP chest performed with the patient rotated severely to the right, excludes lateral right lower chest. It shows moderate left pleural effusion stable or increased since ___, but improvement in pulmonary vascular engorgement and mild edema. Severe right lower lobe atelectasis is presumed and the volume of right pleural effusion cannot be assessed. There is no pneumothorax seen along the imaged pleural surfaces. ET tube is in standard placement. Right central venous line ends low in the SVC and a nasogastric tube passes below the diaphragm and out of view. Heart is not appreciably enlarged, but difficult to compare with prior images.","It shows moderate left pleural effusion stable or increased since ___, but improvement in pulmonary vascular engorgement and mild edema.",moderate pleural effusion,left pleural,Stable,['files/p13/p13700088/s53970354/dda5719b-c91a5364-ffb7de98-16adf278-3aac7099.jpg'],['files/p13/p13700088/s52081127/9f5e6fe5-3058dc34-5fb44a44-687509a4-af7f886f.jpg\n']
s53970354_2,p13700088,s53970354,2,Impression,"An AP chest performed with the patient rotated severely to the right, excludes lateral right lower chest. It shows moderate left pleural effusion stable or increased since ___, but improvement in pulmonary vascular engorgement and mild edema. Severe right lower lobe atelectasis is presumed and the volume of right pleural effusion cannot be assessed. There is no pneumothorax seen along the imaged pleural surfaces. ET tube is in standard placement. Right central venous line ends low in the SVC and a nasogastric tube passes below the diaphragm and out of view. Heart is not appreciably enlarged, but difficult to compare with prior images.","It shows moderate left pleural effusion stable or increased since ___, but improvement in pulmonary vascular engorgement and mild edema.",engorgement and mild edema,pulmonary vascular,Better,['files/p13/p13700088/s53970354/dda5719b-c91a5364-ffb7de98-16adf278-3aac7099.jpg'],['files/p13/p13700088/s52081127/9f5e6fe5-3058dc34-5fb44a44-687509a4-af7f886f.jpg\n']
s53971934_0,p15612622,s53971934,0,Findings,"The cardiac silhouette demonstrates borderline cardiomegaly. Atelectasis is noted at the right lung base. There is no evidence of focal consolidation, pleural effusion or pneumothorax. The diaphragms appear mildly flattened, and the lungs are hyperinflated, suggestive of COPD. Known granuloma is again noted within the left upper lobe. The aorta appears tortuous.",Known granuloma is again noted within the left upper lobe.,granuloma,left upper lobe,Stable,['files/p15/p15612622/s53971934/fa62fc78-9b66c0fd-aa7ee648-8b82e0fc-b0e5c0d4.jpg'],"['files/p15/p15612622/s53964812/77986392-2dac3752-b145c42b-2ba010de-d49de562.jpg\n', 'files/p15/p15612622/s53964812/89318934-c9420a56-2169eec0-c8c097f7-8b4b07d6.jpg\n']"
s53975458_2,p15114531,s53975458,2,Impression,New left lower lobe linear opacity that might reflect developing/resolving infectious involving infectious process versus atelectasis. Tracheomegaly.,New left lower lobe linear opacity that might reflect developing/resolving infectious involving infectious process versus atelectasis.,linear opacity,left lower lobe,New,"['files/p15/p15114531/s53975458/4f1bb588-0dc670a4-6ec07af4-aa421e00-6bd3d8db.jpg', 'files/p15/p15114531/s53975458/cfb89eed-31e856eb-8dd16dc1-b7337ecf-1bec8801.jpg']","['files/p15/p15114531/s53909940/3a00ab90-4563967d-ad46d969-ae884a78-c7f2dd2b.jpg\n', 'files/p15/p15114531/s53909940/d165b008-6569b2ab-6899ea6b-f3f5f10e-481cc0dd.jpg\n']"
s53978610_8,p11022245,s53978610,8,Findings,"Rounded right midlung opacity compatible with previously described septic embolus is decreased in size from the prior study. Left midlung rounded consolidation is more conspicuous than previously seen. Potential etiologies include developing pneumonia, additional septic embolus or collection of fissural fluid, though the lateral argues against the latter. Small left pleural effusion is noted along with left greater than right bibasilar atelectasis. Marked enlargement of the cardiac silhouette is similar to the study from ___ though notably larger than the immediate post-procedure study from ___. Left PICC is in satisfactory position in the superior cavoatrial junction. Median sternotomy wires and aortic valve replacement are also noted.",Rounded right midlung opacity compatible with previously described septic embolus is decreased in size from the prior study.,opacity,right midlung,Better,"['files/p11/p11022245/s53978610/013934b8-b155fa64-9bb2d234-6a50ffc9-ea84320b.jpg', 'files/p11/p11022245/s53978610/4da3c8dd-c23f6809-39162dc3-4d322cc6-83d28c99.jpg', 'files/p11/p11022245/s53978610/957e4fa0-2b741119-9fb1f79c-62130589-86d6cbed.jpg']",['files/p11/p11022245/s52391187/df81aa63-051ce829-f15a7ba0-391d8fb4-f81549e5.jpg\n']
s53978610_8,p11022245,s53978610,8,Impression,"1. More conspicuous left midlung opacity concerning for developing pneumonia or septic embolus. 2. Improved small left pleural effusion and left greater than right bibasilar atelectasis. Findings were discussed by telephone with ___, NP, by Dr. ___ on ___ at ___.",2. Improved small left pleural effusion and left greater than right bibasilar atelectasis.,atelectasis,left greater than right,Better,"['files/p11/p11022245/s53978610/013934b8-b155fa64-9bb2d234-6a50ffc9-ea84320b.jpg', 'files/p11/p11022245/s53978610/4da3c8dd-c23f6809-39162dc3-4d322cc6-83d28c99.jpg', 'files/p11/p11022245/s53978610/957e4fa0-2b741119-9fb1f79c-62130589-86d6cbed.jpg']",['files/p11/p11022245/s52391187/df81aa63-051ce829-f15a7ba0-391d8fb4-f81549e5.jpg\n']
s53978610_8,p11022245,s53978610,8,Findings,"Rounded right midlung opacity compatible with previously described septic embolus is decreased in size from the prior study. Left midlung rounded consolidation is more conspicuous than previously seen. Potential etiologies include developing pneumonia, additional septic embolus or collection of fissural fluid, though the lateral argues against the latter. Small left pleural effusion is noted along with left greater than right bibasilar atelectasis. Marked enlargement of the cardiac silhouette is similar to the study from ___ though notably larger than the immediate post-procedure study from ___. Left PICC is in satisfactory position in the superior cavoatrial junction. Median sternotomy wires and aortic valve replacement are also noted.",Left midlung rounded consolidation is more conspicuous than previously seen.,consolidation,left midlung,Worse,"['files/p11/p11022245/s53978610/013934b8-b155fa64-9bb2d234-6a50ffc9-ea84320b.jpg', 'files/p11/p11022245/s53978610/4da3c8dd-c23f6809-39162dc3-4d322cc6-83d28c99.jpg', 'files/p11/p11022245/s53978610/957e4fa0-2b741119-9fb1f79c-62130589-86d6cbed.jpg']",['files/p11/p11022245/s52391187/df81aa63-051ce829-f15a7ba0-391d8fb4-f81549e5.jpg\n']
s53978610_8,p11022245,s53978610,8,Impression,"1. More conspicuous left midlung opacity concerning for developing pneumonia or septic embolus. 2. Improved small left pleural effusion and left greater than right bibasilar atelectasis. Findings were discussed by telephone with ___, NP, by Dr. ___ on ___ at ___.",2. Improved small left pleural effusion and left greater than right bibasilar atelectasis.,pleural effusion,left,Better,"['files/p11/p11022245/s53978610/013934b8-b155fa64-9bb2d234-6a50ffc9-ea84320b.jpg', 'files/p11/p11022245/s53978610/4da3c8dd-c23f6809-39162dc3-4d322cc6-83d28c99.jpg', 'files/p11/p11022245/s53978610/957e4fa0-2b741119-9fb1f79c-62130589-86d6cbed.jpg']",['files/p11/p11022245/s52391187/df81aa63-051ce829-f15a7ba0-391d8fb4-f81549e5.jpg\n']
s53978610_8,p11022245,s53978610,8,Findings,"Rounded right midlung opacity compatible with previously described septic embolus is decreased in size from the prior study. Left midlung rounded consolidation is more conspicuous than previously seen. Potential etiologies include developing pneumonia, additional septic embolus or collection of fissural fluid, though the lateral argues against the latter. Small left pleural effusion is noted along with left greater than right bibasilar atelectasis. Marked enlargement of the cardiac silhouette is similar to the study from ___ though notably larger than the immediate post-procedure study from ___. Left PICC is in satisfactory position in the superior cavoatrial junction. Median sternotomy wires and aortic valve replacement are also noted.",Marked enlargement of the cardiac silhouette is similar to the study from ___ though notably larger than the immediate post-procedure study from ___.,cardiac silhouette,,Stable,"['files/p11/p11022245/s53978610/013934b8-b155fa64-9bb2d234-6a50ffc9-ea84320b.jpg', 'files/p11/p11022245/s53978610/4da3c8dd-c23f6809-39162dc3-4d322cc6-83d28c99.jpg', 'files/p11/p11022245/s53978610/957e4fa0-2b741119-9fb1f79c-62130589-86d6cbed.jpg']",['files/p11/p11022245/s52391187/df81aa63-051ce829-f15a7ba0-391d8fb4-f81549e5.jpg\n']
s53979536_11,p12530259,s53979536,11,Findings,"In comparison with study of earlier in this date, there is little interval change. Substantial opacification of the left hemithorax persists with the right lung being essentially clear. No appreciable pneumothorax. Gas within soft tissues is seen in the supraclavicular level on the left. IJ catheter is unchanged.",Substantial opacification of the left hemithorax persists with the right lung being essentially clear.,opacification,left hemithorax,Stable,['files/p12/p12530259/s53979536/d10aee8d-b58fd31c-ac3debb5-48dda89f-2765b3de.jpg'],"['files/p12/p12530259/s53558787/1f903004-c567af33-c9cd797b-5d2e4942-f23b2ed3.jpg\n', 'files/p12/p12530259/s53558787/6f5d182a-b2c3bddf-246d41a2-17fe9e4f-8240e407.jpg\n']"
s53979536_11,p12530259,s53979536,11,Findings,"In comparison with study of earlier in this date, there is little interval change. Substantial opacification of the left hemithorax persists with the right lung being essentially clear. No appreciable pneumothorax. Gas within soft tissues is seen in the supraclavicular level on the left. IJ catheter is unchanged.",IJ catheter is unchanged.,catheter,IJ,Stable,['files/p12/p12530259/s53979536/d10aee8d-b58fd31c-ac3debb5-48dda89f-2765b3de.jpg'],"['files/p12/p12530259/s53558787/1f903004-c567af33-c9cd797b-5d2e4942-f23b2ed3.jpg\n', 'files/p12/p12530259/s53558787/6f5d182a-b2c3bddf-246d41a2-17fe9e4f-8240e407.jpg\n']"
s53984746_1,p19844485,s53984746,1,Findings,AP portable erect AP view of the chest. Diffuse bilateral mainly basilar parenchymal opacities consistent with moderate pulmonary edema. Small bilateral pleural effusions. Cardiomegaly is stable. Mediastinum is still slightly widened due to mediastinal venous engorgement.,Cardiomegaly is stable.,Cardiomegaly,,Stable,['files/p19/p19844485/s53984746/f138d1b9-51f16615-50213e4d-c67d164b-78ea6c15.jpg'],"['files/p19/p19844485/s53788698/e9f8beb8-4ee1436c-72c497d0-1bc5a42c-e9cfb483.jpg\n', 'files/p19/p19844485/s53788698/f2075bc9-3c92d658-0f36d71a-9df38119-d2fafe13.jpg\n']"
s53992179_19,p14851532,s53992179,19,Impression,No visible pneumothorax status post thoracentesis (presumably on the right).,No visible pneumothorax status post thoracentesis (presumably on the right).,Pneumothorax,right,Resolve,['files/p14/p14851532/s53992179/bf704123-a17d33d9-d80aaea8-665e04f1-11a14368.jpg'],['files/p14/p14851532/s53685384/d3033719-9b507af8-6e6975ac-c32ea556-6f68613d.jpg\n']
s53992179_19,p14851532,s53992179,19,Findings,"Portable AP upright chest radiograph shows improved aeration at the right lung base, presumably status post right-sided thoracentesis. No pneumothorax is visible. The left hemidiaphragm remains obscured and there appears to be increased haziness of the mid and upper lung zone compared to the study from eight hours earlier. Some of this may be exaggerated because of increased rotation. Left-sided PICC line tubing may be slightly pulled back and now is at the level of the mid superior vena cava.","Portable AP upright chest radiograph shows improved aeration at the right lung base, presumably status post right-sided thoracentesis.",Aeration,right lung base,Better,['files/p14/p14851532/s53992179/bf704123-a17d33d9-d80aaea8-665e04f1-11a14368.jpg'],['files/p14/p14851532/s53685384/d3033719-9b507af8-6e6975ac-c32ea556-6f68613d.jpg\n']
s53992179_19,p14851532,s53992179,19,Findings,"Portable AP upright chest radiograph shows improved aeration at the right lung base, presumably status post right-sided thoracentesis. No pneumothorax is visible. The left hemidiaphragm remains obscured and there appears to be increased haziness of the mid and upper lung zone compared to the study from eight hours earlier. Some of this may be exaggerated because of increased rotation. Left-sided PICC line tubing may be slightly pulled back and now is at the level of the mid superior vena cava.",The left hemidiaphragm remains obscured and there appears to be increased haziness of the mid and upper lung zone compared to the study from eight hours earlier.,Haziness,mid and upper lung zone,Worse,['files/p14/p14851532/s53992179/bf704123-a17d33d9-d80aaea8-665e04f1-11a14368.jpg'],['files/p14/p14851532/s53685384/d3033719-9b507af8-6e6975ac-c32ea556-6f68613d.jpg\n']
s53994053_29,p11413236,s53994053,29,Findings,Right pectoral infusion port terminates in upper SVC. Sternotomy wires are intact. Lung volume is low. Mild bibasilar opacities likely reflect atelectasis. Calcification at the AP window likely reflect calcified lymph nodes in a unchanged from before. There is no large pleural effusion or pneumothorax. Mild cardiomegaly is similar to before.,Calcification at the AP window likely reflect calcified lymph nodes in a unchanged from before.,Calcified lymph nodes,AP window,Stable,['files/p11/p11413236/s53994053/bf7c2bb6-a8ce931b-a0037382-88c9ab10-ef166969.jpg'],"['files/p11/p11413236/s53966135/30441716-407a53b5-7bec00c6-abac7a61-d6054dfd.jpg\n', 'files/p11/p11413236/s53966135/dde647ea-ea029cfd-683e0c4d-fbd997f9-b2e32924.jpg\n']"
s53994053_29,p11413236,s53994053,29,Findings,Right pectoral infusion port terminates in upper SVC. Sternotomy wires are intact. Lung volume is low. Mild bibasilar opacities likely reflect atelectasis. Calcification at the AP window likely reflect calcified lymph nodes in a unchanged from before. There is no large pleural effusion or pneumothorax. Mild cardiomegaly is similar to before.,Mild cardiomegaly is similar to before.,Mild cardiomegaly,,Stable,['files/p11/p11413236/s53994053/bf7c2bb6-a8ce931b-a0037382-88c9ab10-ef166969.jpg'],"['files/p11/p11413236/s53966135/30441716-407a53b5-7bec00c6-abac7a61-d6054dfd.jpg\n', 'files/p11/p11413236/s53966135/dde647ea-ea029cfd-683e0c4d-fbd997f9-b2e32924.jpg\n']"
s53999109_0,p12303667,s53999109,0,Findings,"Redemonstrated is a reticular interstitial pattern consistent with known ___. Lung volumes are low. There is no focal consolidation, pleural effusion, or pneumothorax. Hardware is seen in the lumbar spine.",Redemonstrated is a reticular interstitial pattern consistent with known ___,reticular interstitial pattern,,Stable,['files/p12/p12303667/s53999109/ba5d48f0-3105c3a1-1e049eec-c72ac120-415942b0.jpg'],"['files/p12/p12303667/s52329768/279895b7-16a23c5e-1aea2909-baa62b3f-884b6f9e.jpg\n', 'files/p12/p12303667/s52329768/ab5d8429-a48d1b05-af73d020-ef1f6e53-30f8ae8d.jpg\n']"
s54001264_1,p16772702,s54001264,1,Findings,"In comparison with study ___, there is continued hyperexpansion of the lungs consistent with chronic pulmonary disease. The pulmonary vascular congestion has substantially decreased. Much of the prominence of interstitial markings most likely represents chronic lung disease. Atelectatic changes are seen at the left base with possible small effusion.",The pulmonary vascular congestion has substantially decreased.,vascular congestion,pulmonary,Better,['files/p16/p16772702/s54001264/c6cd8924-91d9c0b3-cb90ad47-aa32d3f4-86a66ea8.jpg'],['files/p16/p16772702/s53060219/ede20c8a-3e1c0c67-30c5c122-dfcf20cc-b8acc6ae.jpg\n']
s54003688_4,p17189198,s54003688,4,Findings,"In comparison with study of ___, the degree of bilateral opacification may be slightly less prominent. Substantial enlargement of the cardiac silhouette persists.",Substantial enlargement of the cardiac silhouette persists.,cardiac silhouette,,Stable,['files/p17/p17189198/s54003688/2247b067-ee0f755a-9ea52034-1cc6095d-1d4ea3df.jpg'],
s54003688_4,p17189198,s54003688,4,Findings,"In comparison with study of ___, the degree of bilateral opacification may be slightly less prominent. Substantial enlargement of the cardiac silhouette persists.","In comparison with study of ___, the degree of bilateral opacification may be slightly less prominent.",opacification,bilateral,Better,['files/p17/p17189198/s54003688/2247b067-ee0f755a-9ea52034-1cc6095d-1d4ea3df.jpg'],
s54007778_17,p15259244,s54007778,17,Impression,"PA and lateral chest compared to ___: Bilateral pleural effusion, moderate on the right and moderate-to-large on the left and severe bibasilar atelectasis have not improved since ___. Pulmonary vasculature is engorged, but edema is minimal if any. Severe cardiac enlargement is stable. Dual-channel dialysis catheters ends in the right atrium. No pneumothorax.",Severe cardiac enlargement is stable.,cardiac enlargement,,Stable,['files/p15/p15259244/s54007778/c249e803-7af4d888-0de68b91-d6fda68a-387c0f5d.jpg'],"['files/p15/p15259244/s53532692/bb03b651-512952bc-0ea27cd3-c61b8255-0b80bbb5.jpg\n', 'files/p15/p15259244/s53532692/d1badba1-e01afe43-80c374ea-e81e55b3-ae48bd8a.jpg\n']"
s54007778_17,p15259244,s54007778,17,Impression,"PA and lateral chest compared to ___: Bilateral pleural effusion, moderate on the right and moderate-to-large on the left and severe bibasilar atelectasis have not improved since ___. Pulmonary vasculature is engorged, but edema is minimal if any. Severe cardiac enlargement is stable. Dual-channel dialysis catheters ends in the right atrium. No pneumothorax.","PA and lateral chest compared to ___: Bilateral pleural effusion, moderate on the right and moderate-to-large on the left and severe bibasilar atelectasis have not improved since ___.",pleural effusion,right,Stable,['files/p15/p15259244/s54007778/c249e803-7af4d888-0de68b91-d6fda68a-387c0f5d.jpg'],"['files/p15/p15259244/s53532692/bb03b651-512952bc-0ea27cd3-c61b8255-0b80bbb5.jpg\n', 'files/p15/p15259244/s53532692/d1badba1-e01afe43-80c374ea-e81e55b3-ae48bd8a.jpg\n']"
s54007778_17,p15259244,s54007778,17,Impression,"PA and lateral chest compared to ___: Bilateral pleural effusion, moderate on the right and moderate-to-large on the left and severe bibasilar atelectasis have not improved since ___. Pulmonary vasculature is engorged, but edema is minimal if any. Severe cardiac enlargement is stable. Dual-channel dialysis catheters ends in the right atrium. No pneumothorax.","PA and lateral chest compared to ___: Bilateral pleural effusion, moderate on the right and moderate-to-large on the left and severe bibasilar atelectasis have not improved since ___.",pleural effusion,left,Stable,['files/p15/p15259244/s54007778/c249e803-7af4d888-0de68b91-d6fda68a-387c0f5d.jpg'],"['files/p15/p15259244/s53532692/bb03b651-512952bc-0ea27cd3-c61b8255-0b80bbb5.jpg\n', 'files/p15/p15259244/s53532692/d1badba1-e01afe43-80c374ea-e81e55b3-ae48bd8a.jpg\n']"
s54007778_17,p15259244,s54007778,17,Impression,"PA and lateral chest compared to ___: Bilateral pleural effusion, moderate on the right and moderate-to-large on the left and severe bibasilar atelectasis have not improved since ___. Pulmonary vasculature is engorged, but edema is minimal if any. Severe cardiac enlargement is stable. Dual-channel dialysis catheters ends in the right atrium. No pneumothorax.","PA and lateral chest compared to ___: Bilateral pleural effusion, moderate on the right and moderate-to-large on the left and severe bibasilar atelectasis have not improved since ___.",atelectasis,bibasilar,Stable,['files/p15/p15259244/s54007778/c249e803-7af4d888-0de68b91-d6fda68a-387c0f5d.jpg'],"['files/p15/p15259244/s53532692/bb03b651-512952bc-0ea27cd3-c61b8255-0b80bbb5.jpg\n', 'files/p15/p15259244/s53532692/d1badba1-e01afe43-80c374ea-e81e55b3-ae48bd8a.jpg\n']"
s54010994_5,p19759491,s54010994,5,Findings,"There is a biventricular pacer/ICD with leads terminating in the coronary sinus and right ventricle. The right atrial lead takes an unusual course, directed posteriorly. While this appears unchanged from the prior study on the frontal view, an aberrant location should be considered. There is no evidence of lead fracture or displacement. Aortic valve prosthesis is again noted. Sternotomy wires and mediastinal clips are present. Moderate cardiomegaly is unchanged. There has been further improvement in the mild pulmonary edema. Further aeration of the left lung base is consistent with resolving atelectasis and pleural effusions. There is no pneumothorax.",Further aeration of the left lung base is consistent with resolving atelectasis and pleural effusions.,atelectasis and pleural effusions,left lung base,Resolve,"['files/p19/p19759491/s54010994/9212c3a6-8bed5158-601c88b9-1f239c51-e1049431.jpg', 'files/p19/p19759491/s54010994/bd9e6004-1c524f7f-ef858f02-2076cac1-7e6c370a.jpg']","['files/p19/p19759491/s53927305/29120840-a5d71eac-82a9f536-6cf7509d-f01a7480.jpg\n', 'files/p19/p19759491/s53927305/dc433c13-ef033a1e-75763e20-db477b3f-da3e909b.jpg\n', 'files/p19/p19759491/s53927305/dc65b890-c82f963f-5b15fb54-916b57f4-236d944e.jpg\n']"
s54010994_5,p19759491,s54010994,5,Findings,"There is a biventricular pacer/ICD with leads terminating in the coronary sinus and right ventricle. The right atrial lead takes an unusual course, directed posteriorly. While this appears unchanged from the prior study on the frontal view, an aberrant location should be considered. There is no evidence of lead fracture or displacement. Aortic valve prosthesis is again noted. Sternotomy wires and mediastinal clips are present. Moderate cardiomegaly is unchanged. There has been further improvement in the mild pulmonary edema. Further aeration of the left lung base is consistent with resolving atelectasis and pleural effusions. There is no pneumothorax.",There has been further improvement in the mild pulmonary edema.,pulmonary edema,,Better,"['files/p19/p19759491/s54010994/9212c3a6-8bed5158-601c88b9-1f239c51-e1049431.jpg', 'files/p19/p19759491/s54010994/bd9e6004-1c524f7f-ef858f02-2076cac1-7e6c370a.jpg']","['files/p19/p19759491/s53927305/29120840-a5d71eac-82a9f536-6cf7509d-f01a7480.jpg\n', 'files/p19/p19759491/s53927305/dc433c13-ef033a1e-75763e20-db477b3f-da3e909b.jpg\n', 'files/p19/p19759491/s53927305/dc65b890-c82f963f-5b15fb54-916b57f4-236d944e.jpg\n']"
s54010994_5,p19759491,s54010994,5,Findings,"There is a biventricular pacer/ICD with leads terminating in the coronary sinus and right ventricle. The right atrial lead takes an unusual course, directed posteriorly. While this appears unchanged from the prior study on the frontal view, an aberrant location should be considered. There is no evidence of lead fracture or displacement. Aortic valve prosthesis is again noted. Sternotomy wires and mediastinal clips are present. Moderate cardiomegaly is unchanged. There has been further improvement in the mild pulmonary edema. Further aeration of the left lung base is consistent with resolving atelectasis and pleural effusions. There is no pneumothorax.",Moderate cardiomegaly is unchanged.,cardiomegaly,,Stable,"['files/p19/p19759491/s54010994/9212c3a6-8bed5158-601c88b9-1f239c51-e1049431.jpg', 'files/p19/p19759491/s54010994/bd9e6004-1c524f7f-ef858f02-2076cac1-7e6c370a.jpg']","['files/p19/p19759491/s53927305/29120840-a5d71eac-82a9f536-6cf7509d-f01a7480.jpg\n', 'files/p19/p19759491/s53927305/dc433c13-ef033a1e-75763e20-db477b3f-da3e909b.jpg\n', 'files/p19/p19759491/s53927305/dc65b890-c82f963f-5b15fb54-916b57f4-236d944e.jpg\n']"
s54010994_5,p19759491,s54010994,5,Findings,"There is a biventricular pacer/ICD with leads terminating in the coronary sinus and right ventricle. The right atrial lead takes an unusual course, directed posteriorly. While this appears unchanged from the prior study on the frontal view, an aberrant location should be considered. There is no evidence of lead fracture or displacement. Aortic valve prosthesis is again noted. Sternotomy wires and mediastinal clips are present. Moderate cardiomegaly is unchanged. There has been further improvement in the mild pulmonary edema. Further aeration of the left lung base is consistent with resolving atelectasis and pleural effusions. There is no pneumothorax.","While this appears unchanged from the prior study on the frontal view, an aberrant location should be considered.",right atrial lead position,frontal view,Stable,"['files/p19/p19759491/s54010994/9212c3a6-8bed5158-601c88b9-1f239c51-e1049431.jpg', 'files/p19/p19759491/s54010994/bd9e6004-1c524f7f-ef858f02-2076cac1-7e6c370a.jpg']","['files/p19/p19759491/s53927305/29120840-a5d71eac-82a9f536-6cf7509d-f01a7480.jpg\n', 'files/p19/p19759491/s53927305/dc433c13-ef033a1e-75763e20-db477b3f-da3e909b.jpg\n', 'files/p19/p19759491/s53927305/dc65b890-c82f963f-5b15fb54-916b57f4-236d944e.jpg\n']"
s54013815_12,p18338007,s54013815,12,Findings,"Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. Marked elevation of bilateral hemidiaphragms is longstanding. There is near-complete resolution of small bilateral pleural effusions seen on ___ exam. There is no pulmonary edema. Hilar and mediastinal silhouettes are unchanged. Heart size is top normal. No focal consolidation or pneumothorax.",Hilar and mediastinal silhouettes are unchanged.,Hilar and mediastinal silhouettes,,Stable,"['files/p18/p18338007/s54013815/703e42a5-6b45dc45-ddce2dde-27e08236-58af4c95.jpg', 'files/p18/p18338007/s54013815/e6d71509-dc72fd32-c28ba98c-46144671-e24378dc.jpg']","['files/p18/p18338007/s53307771/3338ba8a-3a7be5a3-380128ed-7bb1359c-14e4c2d1.jpg\n', 'files/p18/p18338007/s53307771/a19deddd-1fd8b1e8-1cd65322-2e4f8c1e-086650bd.jpg\n']"
s54013815_12,p18338007,s54013815,12,Findings,"Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. Marked elevation of bilateral hemidiaphragms is longstanding. There is near-complete resolution of small bilateral pleural effusions seen on ___ exam. There is no pulmonary edema. Hilar and mediastinal silhouettes are unchanged. Heart size is top normal. No focal consolidation or pneumothorax.",There is near-complete resolution of small bilateral pleural effusions seen on ___ exam.,Pleural effusions,bilateral,Resolve,"['files/p18/p18338007/s54013815/703e42a5-6b45dc45-ddce2dde-27e08236-58af4c95.jpg', 'files/p18/p18338007/s54013815/e6d71509-dc72fd32-c28ba98c-46144671-e24378dc.jpg']","['files/p18/p18338007/s53307771/3338ba8a-3a7be5a3-380128ed-7bb1359c-14e4c2d1.jpg\n', 'files/p18/p18338007/s53307771/a19deddd-1fd8b1e8-1cd65322-2e4f8c1e-086650bd.jpg\n']"
s54013815_12,p18338007,s54013815,12,Impression,"In comparison to ___ exam, there is interval near-complete resolution of bilateral pleural effusion. No pulmonary edema.","In comparison to ___ exam, there is interval near-complete resolution of bilateral pleural effusion.",Pleural effusion,bilateral,Resolve,"['files/p18/p18338007/s54013815/703e42a5-6b45dc45-ddce2dde-27e08236-58af4c95.jpg', 'files/p18/p18338007/s54013815/e6d71509-dc72fd32-c28ba98c-46144671-e24378dc.jpg']","['files/p18/p18338007/s53307771/3338ba8a-3a7be5a3-380128ed-7bb1359c-14e4c2d1.jpg\n', 'files/p18/p18338007/s53307771/a19deddd-1fd8b1e8-1cd65322-2e4f8c1e-086650bd.jpg\n']"
s54023727_20,p14387068,s54023727,20,Findings,"In comparison with study of ___, the Dobbhoff tube has been pulled back somewhat. The opaque tip is in the mid body of the stomach, pointing laterally. Little overall change in the appearance of the heart and lungs.","In comparison with study of ___, the Dobbhoff tube has been pulled back somewhat.",Dobbhoff tube position,mid body of the stomach,Worse,['files/p14/p14387068/s54023727/d395c594-96025cff-7e6af4ad-ca08ac10-032bd500.jpg'],"['files/p14/p14387068/s53567752/58081a4f-fb575b5b-d178ec1c-b8b6a415-24868cdf.jpg\n', 'files/p14/p14387068/s53567752/fa989e12-afbfd6cc-0b346ce6-44522671-dc1518df.jpg\n']"
s54023727_20,p14387068,s54023727,20,Findings,"In comparison with study of ___, the Dobbhoff tube has been pulled back somewhat. The opaque tip is in the mid body of the stomach, pointing laterally. Little overall change in the appearance of the heart and lungs.",Little overall change in the appearance of the heart and lungs.,appearance of the heart and lungs,,Stable,['files/p14/p14387068/s54023727/d395c594-96025cff-7e6af4ad-ca08ac10-032bd500.jpg'],"['files/p14/p14387068/s53567752/58081a4f-fb575b5b-d178ec1c-b8b6a415-24868cdf.jpg\n', 'files/p14/p14387068/s53567752/fa989e12-afbfd6cc-0b346ce6-44522671-dc1518df.jpg\n']"
s54025444_26,p19075045,s54025444,26,Findings,,Endotracheal tube and nasogastric tube have been removed.,Endotracheal tube,,Resolve,['files/p19/p19075045/s54025444/a2082ebd-e2e4d325-ba2534ae-474619f3-c8f5ba9e.jpg'],"['files/p19/p19075045/s53961269/8183f090-2b6765ef-92984c04-0bd04826-f32d16dd.jpg\n', 'files/p19/p19075045/s53961269/854eba83-e66e20aa-29a1b935-484d9991-94aecf1b.jpg\n']"
s54025444_26,p19075045,s54025444,26,Findings,,Endotracheal tube and nasogastric tube have been removed.,Nasogastric tube,,Resolve,['files/p19/p19075045/s54025444/a2082ebd-e2e4d325-ba2534ae-474619f3-c8f5ba9e.jpg'],"['files/p19/p19075045/s53961269/8183f090-2b6765ef-92984c04-0bd04826-f32d16dd.jpg\n', 'files/p19/p19075045/s53961269/854eba83-e66e20aa-29a1b935-484d9991-94aecf1b.jpg\n']"
s54025444_26,p19075045,s54025444,26,Findings,,"In comparison with these study of ___, there has been placement of a left IJ Swan-___ catheter with the tip in right pulmonary artery close to the mediastinal border.",left IJ Swan-___ catheter,right pulmonary artery close to the mediastinal border,New,['files/p19/p19075045/s54025444/a2082ebd-e2e4d325-ba2534ae-474619f3-c8f5ba9e.jpg'],"['files/p19/p19075045/s53961269/8183f090-2b6765ef-92984c04-0bd04826-f32d16dd.jpg\n', 'files/p19/p19075045/s53961269/854eba83-e66e20aa-29a1b935-484d9991-94aecf1b.jpg\n']"
s54026146_7,p16043637,s54026146,7,Findings,"A left pectoral pacemaker is unchanged in position with two leads terminating in the right atrium and right ventricle as before. The patient is status post median sternotomy and aortic valve repair with aortic valve prosthesis, unchanged in position and intact-appearing sternotomy wires. The cardiac silhouette and mediastinal contours are mildly increased in size in comparison to the most recent prior study likely attributable to slightly decreased lung volumes compared to the prior exam. The mediastinal and hilar contours are within normal limits. Hazy opacification of the bilateral lung bases is likely related to underpenetration of soft tissues on technique. There is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. No overt pulmonary edema is present.",The cardiac silhouette and mediastinal contours are mildly increased in size in comparison to the most recent prior study likely attributable to slightly decreased lung volumes compared to the prior exam.,cardiac silhouette and mediastinal contours,,Worse,"['files/p16/p16043637/s54026146/2e3c3f7c-7193e986-db131763-296881f6-9c7d88d7.jpg', 'files/p16/p16043637/s54026146/39f8070e-150fed7a-edc48fc5-4957b38f-cd627a7e.jpg']","['files/p16/p16043637/s53520984/1cc3aae6-387f9950-c591a39d-320f3621-7c4e1b19.jpg\n', 'files/p16/p16043637/s53520984/f65cb11a-2ead5997-07930361-9837a17e-7d96f22b.jpg\n']"
s54026146_7,p16043637,s54026146,7,Findings,"A left pectoral pacemaker is unchanged in position with two leads terminating in the right atrium and right ventricle as before. The patient is status post median sternotomy and aortic valve repair with aortic valve prosthesis, unchanged in position and intact-appearing sternotomy wires. The cardiac silhouette and mediastinal contours are mildly increased in size in comparison to the most recent prior study likely attributable to slightly decreased lung volumes compared to the prior exam. The mediastinal and hilar contours are within normal limits. Hazy opacification of the bilateral lung bases is likely related to underpenetration of soft tissues on technique. There is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. No overt pulmonary edema is present.",A left pectoral pacemaker is unchanged in position with two leads terminating in the right atrium and right ventricle as before.,pacemaker,left pectoral,Stable,"['files/p16/p16043637/s54026146/2e3c3f7c-7193e986-db131763-296881f6-9c7d88d7.jpg', 'files/p16/p16043637/s54026146/39f8070e-150fed7a-edc48fc5-4957b38f-cd627a7e.jpg']","['files/p16/p16043637/s53520984/1cc3aae6-387f9950-c591a39d-320f3621-7c4e1b19.jpg\n', 'files/p16/p16043637/s53520984/f65cb11a-2ead5997-07930361-9837a17e-7d96f22b.jpg\n']"
s54026146_7,p16043637,s54026146,7,Findings,"A left pectoral pacemaker is unchanged in position with two leads terminating in the right atrium and right ventricle as before. The patient is status post median sternotomy and aortic valve repair with aortic valve prosthesis, unchanged in position and intact-appearing sternotomy wires. The cardiac silhouette and mediastinal contours are mildly increased in size in comparison to the most recent prior study likely attributable to slightly decreased lung volumes compared to the prior exam. The mediastinal and hilar contours are within normal limits. Hazy opacification of the bilateral lung bases is likely related to underpenetration of soft tissues on technique. There is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. No overt pulmonary edema is present.","The patient is status post median sternotomy and aortic valve repair with aortic valve prosthesis, unchanged in position and intact-appearing sternotomy wires.",aortic valve prosthesis and sternotomy wires,,Stable,"['files/p16/p16043637/s54026146/2e3c3f7c-7193e986-db131763-296881f6-9c7d88d7.jpg', 'files/p16/p16043637/s54026146/39f8070e-150fed7a-edc48fc5-4957b38f-cd627a7e.jpg']","['files/p16/p16043637/s53520984/1cc3aae6-387f9950-c591a39d-320f3621-7c4e1b19.jpg\n', 'files/p16/p16043637/s53520984/f65cb11a-2ead5997-07930361-9837a17e-7d96f22b.jpg\n']"
s54028344_1,p13475033,s54028344,1,Findings,"A large-bore central catheter terminates in the expected location of the right atrium, unchanged from prior. The lungs are clear. There is no focal consolidation or pneumothorax. There is no vascular congestion or pleural effusions. Mediastinal and hilar contours are within normal limits. The cardiac silhouette is mildly enlarged though unchanged. Mild indentation of the left trachea at the level of the clavicles is unchanged compared to prior chest CT from ___ and likely reflects an underlying tracheal deformity as no compressive mass lesion is evident on the prior CT.",The cardiac silhouette is mildly enlarged though unchanged.,mild cardiomegaly,,Stable,"['files/p13/p13475033/s54028344/4a5283d6-157b6054-3840ea3d-d27e7ba1-d6689022.jpg', 'files/p13/p13475033/s54028344/7794e4cb-719a0b85-18532575-0b5ea119-8eb26b6a.jpg']","['files/p13/p13475033/s53358228/10c89fd8-d213373d-7803e8df-fe8a4a8d-2d9a9503.jpg\n', 'files/p13/p13475033/s53358228/9f25df0c-ef2fb7e9-f4d27df0-0117858f-b7ce8b90.jpg\n']"
s54028344_1,p13475033,s54028344,1,Findings,"A large-bore central catheter terminates in the expected location of the right atrium, unchanged from prior. The lungs are clear. There is no focal consolidation or pneumothorax. There is no vascular congestion or pleural effusions. Mediastinal and hilar contours are within normal limits. The cardiac silhouette is mildly enlarged though unchanged. Mild indentation of the left trachea at the level of the clavicles is unchanged compared to prior chest CT from ___ and likely reflects an underlying tracheal deformity as no compressive mass lesion is evident on the prior CT.",Mild indentation of the left trachea at the level of the clavicles is unchanged compared to prior chest CT from ___ and likely reflects an underlying tracheal deformity as no compressive mass lesion is evident on the prior CT.,tracheal deformity,left trachea at the level of the clavicles,Stable,"['files/p13/p13475033/s54028344/4a5283d6-157b6054-3840ea3d-d27e7ba1-d6689022.jpg', 'files/p13/p13475033/s54028344/7794e4cb-719a0b85-18532575-0b5ea119-8eb26b6a.jpg']","['files/p13/p13475033/s53358228/10c89fd8-d213373d-7803e8df-fe8a4a8d-2d9a9503.jpg\n', 'files/p13/p13475033/s53358228/9f25df0c-ef2fb7e9-f4d27df0-0117858f-b7ce8b90.jpg\n']"
s54028344_1,p13475033,s54028344,1,Findings,"A large-bore central catheter terminates in the expected location of the right atrium, unchanged from prior. The lungs are clear. There is no focal consolidation or pneumothorax. There is no vascular congestion or pleural effusions. Mediastinal and hilar contours are within normal limits. The cardiac silhouette is mildly enlarged though unchanged. Mild indentation of the left trachea at the level of the clavicles is unchanged compared to prior chest CT from ___ and likely reflects an underlying tracheal deformity as no compressive mass lesion is evident on the prior CT.","A large-bore central catheter terminates in the expected location of the right atrium, unchanged from prior.",large-bore central catheter,right atrium,Stable,"['files/p13/p13475033/s54028344/4a5283d6-157b6054-3840ea3d-d27e7ba1-d6689022.jpg', 'files/p13/p13475033/s54028344/7794e4cb-719a0b85-18532575-0b5ea119-8eb26b6a.jpg']","['files/p13/p13475033/s53358228/10c89fd8-d213373d-7803e8df-fe8a4a8d-2d9a9503.jpg\n', 'files/p13/p13475033/s53358228/9f25df0c-ef2fb7e9-f4d27df0-0117858f-b7ce8b90.jpg\n']"
s54028344_1,p13475033,s54028344,1,Impression,1. No acute cardiopulmonary process. 2. Stable mild cardiomegaly. 3. Unchanged proximal tracheal deformity suggestive of underlying tracheomalacia.,Unchanged proximal tracheal deformity suggestive of underlying tracheomalacia.,tracheomalacia,proximal trachea,Stable,"['files/p13/p13475033/s54028344/4a5283d6-157b6054-3840ea3d-d27e7ba1-d6689022.jpg', 'files/p13/p13475033/s54028344/7794e4cb-719a0b85-18532575-0b5ea119-8eb26b6a.jpg']","['files/p13/p13475033/s53358228/10c89fd8-d213373d-7803e8df-fe8a4a8d-2d9a9503.jpg\n', 'files/p13/p13475033/s53358228/9f25df0c-ef2fb7e9-f4d27df0-0117858f-b7ce8b90.jpg\n']"
s54028344_1,p13475033,s54028344,1,Impression,1. No acute cardiopulmonary process. 2. Stable mild cardiomegaly. 3. Unchanged proximal tracheal deformity suggestive of underlying tracheomalacia.,Stable mild cardiomegaly.,mild cardiomegaly,,Stable,"['files/p13/p13475033/s54028344/4a5283d6-157b6054-3840ea3d-d27e7ba1-d6689022.jpg', 'files/p13/p13475033/s54028344/7794e4cb-719a0b85-18532575-0b5ea119-8eb26b6a.jpg']","['files/p13/p13475033/s53358228/10c89fd8-d213373d-7803e8df-fe8a4a8d-2d9a9503.jpg\n', 'files/p13/p13475033/s53358228/9f25df0c-ef2fb7e9-f4d27df0-0117858f-b7ce8b90.jpg\n']"
s54030442_11,p11474065,s54030442,11,Impression,"AP chest compared to ___ at 5:06 p.m.: Right subclavian line has been withdrawn from the low to the mid SVC. Right basal atelectasis has improved. Lungs are clear, though pulmonary vasculature is now mildly engorged. Moderate cardiomegaly is chronic. Indentation of the cervical trachea is mild and unchanged. No pneumothorax.",Indentation of the cervical trachea is mild and unchanged.,trachea indentation,cervical,Stable,['files/p11/p11474065/s54030442/bcd7e653-bdbda5eb-c1e8c446-d66776b2-7e86ed00.jpg'],['files/p11/p11474065/s53907259/c9f4d430-e4b86819-292b0c15-3b043b8f-eda461f1.jpg\n']
s54030442_11,p11474065,s54030442,11,Impression,"AP chest compared to ___ at 5:06 p.m.: Right subclavian line has been withdrawn from the low to the mid SVC. Right basal atelectasis has improved. Lungs are clear, though pulmonary vasculature is now mildly engorged. Moderate cardiomegaly is chronic. Indentation of the cervical trachea is mild and unchanged. No pneumothorax.",Right basal atelectasis has improved.,atelectasis,right basal,Better,['files/p11/p11474065/s54030442/bcd7e653-bdbda5eb-c1e8c446-d66776b2-7e86ed00.jpg'],['files/p11/p11474065/s53907259/c9f4d430-e4b86819-292b0c15-3b043b8f-eda461f1.jpg\n']
s54030442_11,p11474065,s54030442,11,Impression,"AP chest compared to ___ at 5:06 p.m.: Right subclavian line has been withdrawn from the low to the mid SVC. Right basal atelectasis has improved. Lungs are clear, though pulmonary vasculature is now mildly engorged. Moderate cardiomegaly is chronic. Indentation of the cervical trachea is mild and unchanged. No pneumothorax.",AP chest compared to ___ at 5:06 p.m.: Right subclavian line has been withdrawn from the low to the mid SVC.,Right subclavian line,from the low to the mid SVC,Better,['files/p11/p11474065/s54030442/bcd7e653-bdbda5eb-c1e8c446-d66776b2-7e86ed00.jpg'],['files/p11/p11474065/s53907259/c9f4d430-e4b86819-292b0c15-3b043b8f-eda461f1.jpg\n']
s54030442_11,p11474065,s54030442,11,Impression,"AP chest compared to ___ at 5:06 p.m.: Right subclavian line has been withdrawn from the low to the mid SVC. Right basal atelectasis has improved. Lungs are clear, though pulmonary vasculature is now mildly engorged. Moderate cardiomegaly is chronic. Indentation of the cervical trachea is mild and unchanged. No pneumothorax.","Lungs are clear, though pulmonary vasculature is now mildly engorged.",pulmonary vasculature engorgement,,Worse,['files/p11/p11474065/s54030442/bcd7e653-bdbda5eb-c1e8c446-d66776b2-7e86ed00.jpg'],['files/p11/p11474065/s53907259/c9f4d430-e4b86819-292b0c15-3b043b8f-eda461f1.jpg\n']
s54038403_3,p12702423,s54038403,3,Findings,"Comparison is made to previous study from ___. There is again seen an area of consolidation within the left mid and lower lung fields, stable. Bilateral pleural effusions are seen left greater than right and consolidation at the right base is also seen and stable. There is a left upper pleural-based mass which is stable.",There is a left upper pleural-based mass which is stable.,mass,left upper pleural,Stable,['files/p12/p12702423/s54038403/e4c886d4-4409c92a-132f068d-876bd033-0e8fd448.jpg'],['files/p12/p12702423/s53795595/def3b450-db2f7c7f-a082b686-800a5de0-6b74e997.jpg\n']
s54038403_3,p12702423,s54038403,3,Findings,"Comparison is made to previous study from ___. There is again seen an area of consolidation within the left mid and lower lung fields, stable. Bilateral pleural effusions are seen left greater than right and consolidation at the right base is also seen and stable. There is a left upper pleural-based mass which is stable.",Bilateral pleural effusions are seen left greater than right and consolidation at the right base is also seen and stable.,consolidation,right base,Stable,['files/p12/p12702423/s54038403/e4c886d4-4409c92a-132f068d-876bd033-0e8fd448.jpg'],['files/p12/p12702423/s53795595/def3b450-db2f7c7f-a082b686-800a5de0-6b74e997.jpg\n']
s54038403_3,p12702423,s54038403,3,Findings,"Comparison is made to previous study from ___. There is again seen an area of consolidation within the left mid and lower lung fields, stable. Bilateral pleural effusions are seen left greater than right and consolidation at the right base is also seen and stable. There is a left upper pleural-based mass which is stable.",Bilateral pleural effusions are seen left greater than right and consolidation at the right base is also seen and stable.,effusions,bilateral pleural,Stable,['files/p12/p12702423/s54038403/e4c886d4-4409c92a-132f068d-876bd033-0e8fd448.jpg'],['files/p12/p12702423/s53795595/def3b450-db2f7c7f-a082b686-800a5de0-6b74e997.jpg\n']
s54038403_3,p12702423,s54038403,3,Findings,"Comparison is made to previous study from ___. There is again seen an area of consolidation within the left mid and lower lung fields, stable. Bilateral pleural effusions are seen left greater than right and consolidation at the right base is also seen and stable. There is a left upper pleural-based mass which is stable.","There is again seen an area of consolidation within the left mid and lower lung fields, stable.",consolidation,left mid and lower lung fields,Stable,['files/p12/p12702423/s54038403/e4c886d4-4409c92a-132f068d-876bd033-0e8fd448.jpg'],['files/p12/p12702423/s53795595/def3b450-db2f7c7f-a082b686-800a5de0-6b74e997.jpg\n']
s54038933_5,p14722763,s54038933,5,Impression,"AP chest compared to ___ through ___: Diffuse infiltrative pulmonary abnormality in the right lung has not improved since ___, after worsening between ___ and ___. Left lung has been relatively spared, though transiently developed a diffuse interstitial abnormality on the ___ before resolving the same day. There is certainly a component of recoverable pulmonary edema, but the right lung abnormality raises concern for conditions such as pulmonary drug reaction, particularly to medication such as amiodarone, recurrent pulmonary hemorrhage or even disseminated malignancy. Apparently, the moderately enlarged heart is the smallest it has been over the past year and a half since ___. Small bilateral pleural effusions persist. Atelectasis is unchanged at the left lung base.","Apparently, the moderately enlarged heart is the smallest it has been over the past year and a half since ___",moderately enlarged,heart,Better,['files/p14/p14722763/s54038933/8843b742-43dcfeeb-168fb178-f01da082-579b4dd4.jpg'],['files/p14/p14722763/s53608414/327876be-d8f1de31-424ef286-e890c535-7403b6b8.jpg\n']
s54038933_5,p14722763,s54038933,5,Impression,"AP chest compared to ___ through ___: Diffuse infiltrative pulmonary abnormality in the right lung has not improved since ___, after worsening between ___ and ___. Left lung has been relatively spared, though transiently developed a diffuse interstitial abnormality on the ___ before resolving the same day. There is certainly a component of recoverable pulmonary edema, but the right lung abnormality raises concern for conditions such as pulmonary drug reaction, particularly to medication such as amiodarone, recurrent pulmonary hemorrhage or even disseminated malignancy. Apparently, the moderately enlarged heart is the smallest it has been over the past year and a half since ___. Small bilateral pleural effusions persist. Atelectasis is unchanged at the left lung base.",Small bilateral pleural effusions persist.,pleural effusions,bilateral,Stable,['files/p14/p14722763/s54038933/8843b742-43dcfeeb-168fb178-f01da082-579b4dd4.jpg'],['files/p14/p14722763/s53608414/327876be-d8f1de31-424ef286-e890c535-7403b6b8.jpg\n']
s54038933_5,p14722763,s54038933,5,Impression,"AP chest compared to ___ through ___: Diffuse infiltrative pulmonary abnormality in the right lung has not improved since ___, after worsening between ___ and ___. Left lung has been relatively spared, though transiently developed a diffuse interstitial abnormality on the ___ before resolving the same day. There is certainly a component of recoverable pulmonary edema, but the right lung abnormality raises concern for conditions such as pulmonary drug reaction, particularly to medication such as amiodarone, recurrent pulmonary hemorrhage or even disseminated malignancy. Apparently, the moderately enlarged heart is the smallest it has been over the past year and a half since ___. Small bilateral pleural effusions persist. Atelectasis is unchanged at the left lung base.",Atelectasis is unchanged at the left lung base.,Atelectasis,left lung base,Stable,['files/p14/p14722763/s54038933/8843b742-43dcfeeb-168fb178-f01da082-579b4dd4.jpg'],['files/p14/p14722763/s53608414/327876be-d8f1de31-424ef286-e890c535-7403b6b8.jpg\n']
s54038933_5,p14722763,s54038933,5,Impression,"AP chest compared to ___ through ___: Diffuse infiltrative pulmonary abnormality in the right lung has not improved since ___, after worsening between ___ and ___. Left lung has been relatively spared, though transiently developed a diffuse interstitial abnormality on the ___ before resolving the same day. There is certainly a component of recoverable pulmonary edema, but the right lung abnormality raises concern for conditions such as pulmonary drug reaction, particularly to medication such as amiodarone, recurrent pulmonary hemorrhage or even disseminated malignancy. Apparently, the moderately enlarged heart is the smallest it has been over the past year and a half since ___. Small bilateral pleural effusions persist. Atelectasis is unchanged at the left lung base.",Diffuse infiltrative pulmonary abnormality in the right lung has not improved since ___,Diffuse infiltrative pulmonary abnormality,right lung,Stable,['files/p14/p14722763/s54038933/8843b742-43dcfeeb-168fb178-f01da082-579b4dd4.jpg'],['files/p14/p14722763/s53608414/327876be-d8f1de31-424ef286-e890c535-7403b6b8.jpg\n']
s54038933_5,p14722763,s54038933,5,Impression,"AP chest compared to ___ through ___: Diffuse infiltrative pulmonary abnormality in the right lung has not improved since ___, after worsening between ___ and ___. Left lung has been relatively spared, though transiently developed a diffuse interstitial abnormality on the ___ before resolving the same day. There is certainly a component of recoverable pulmonary edema, but the right lung abnormality raises concern for conditions such as pulmonary drug reaction, particularly to medication such as amiodarone, recurrent pulmonary hemorrhage or even disseminated malignancy. Apparently, the moderately enlarged heart is the smallest it has been over the past year and a half since ___. Small bilateral pleural effusions persist. Atelectasis is unchanged at the left lung base.","Left lung has been relatively spared, though transiently developed a diffuse interstitial abnormality on the ___ before resolving the same day.",diffuse interstitial abnormality,left lung,Resolve,['files/p14/p14722763/s54038933/8843b742-43dcfeeb-168fb178-f01da082-579b4dd4.jpg'],['files/p14/p14722763/s53608414/327876be-d8f1de31-424ef286-e890c535-7403b6b8.jpg\n']
s54040548_23,p16508811,s54040548,23,Impression,"In comparison with the study in on, the hemodialysis catheter is been removed and replaced with a right subclavian PICC line that extends to almost the junction of the brachiocephalic vein superior vena cava. Otherwise, little change in the appearance of the heart and lungs except for lower lung volumes.","In comparison with the study in on, the hemodialysis catheter is been removed and replaced with a right subclavian PICC line that extends to almost the junction of the brachiocephalic vein superior vena cava.",Hemodialysis catheter,,Resolve,['files/p16/p16508811/s54040548/e57f1292-5588d57d-2a9585b6-09d738a5-16b9c9f6.jpg'],['files/p16/p16508811/s53943140/8ca45b1d-11e7b3c4-81d757ce-5fa29549-4efce674.jpg\n']
s54040548_23,p16508811,s54040548,23,Impression,"In comparison with the study in on, the hemodialysis catheter is been removed and replaced with a right subclavian PICC line that extends to almost the junction of the brachiocephalic vein superior vena cava. Otherwise, little change in the appearance of the heart and lungs except for lower lung volumes.","Otherwise, little change in the appearance of the heart and lungs except for lower lung volumes.",Heart and lungs,,Stable,['files/p16/p16508811/s54040548/e57f1292-5588d57d-2a9585b6-09d738a5-16b9c9f6.jpg'],['files/p16/p16508811/s53943140/8ca45b1d-11e7b3c4-81d757ce-5fa29549-4efce674.jpg\n']
s54043642_4,p18855147,s54043642,4,Findings,"As compared to the previous radiograph, the lung volumes have increased. There is unchanged evidence of mild interstitial fluid overload. Unchanged size of the cardiac silhouette. No pleural effusions. Unchanged position and course of the right double-lumen catheter.",There is unchanged evidence of mild interstitial fluid overload.,Interstitial fluid overload,,Stable,['files/p18/p18855147/s54043642/b361a1e1-b9c3ab9d-c2cc8344-2903cfd8-3888d7b9.jpg'],['files/p18/p18855147/s53815637/482e79ef-a82c1a49-c033fcfb-5111777e-a1d59d81.jpg\n']
s54043642_4,p18855147,s54043642,4,Findings,"As compared to the previous radiograph, the lung volumes have increased. There is unchanged evidence of mild interstitial fluid overload. Unchanged size of the cardiac silhouette. No pleural effusions. Unchanged position and course of the right double-lumen catheter.","As compared to the previous radiograph, the lung volumes have increased.",Lung volumes,,Worse,['files/p18/p18855147/s54043642/b361a1e1-b9c3ab9d-c2cc8344-2903cfd8-3888d7b9.jpg'],['files/p18/p18855147/s53815637/482e79ef-a82c1a49-c033fcfb-5111777e-a1d59d81.jpg\n']
s54043642_4,p18855147,s54043642,4,Findings,"As compared to the previous radiograph, the lung volumes have increased. There is unchanged evidence of mild interstitial fluid overload. Unchanged size of the cardiac silhouette. No pleural effusions. Unchanged position and course of the right double-lumen catheter.",Unchanged position and course of the right double-lumen catheter.,Double-lumen catheter,Right,Stable,['files/p18/p18855147/s54043642/b361a1e1-b9c3ab9d-c2cc8344-2903cfd8-3888d7b9.jpg'],['files/p18/p18855147/s53815637/482e79ef-a82c1a49-c033fcfb-5111777e-a1d59d81.jpg\n']
s54043642_4,p18855147,s54043642,4,Findings,"As compared to the previous radiograph, the lung volumes have increased. There is unchanged evidence of mild interstitial fluid overload. Unchanged size of the cardiac silhouette. No pleural effusions. Unchanged position and course of the right double-lumen catheter.",Unchanged size of the cardiac silhouette.,Cardiac silhouette,,Stable,['files/p18/p18855147/s54043642/b361a1e1-b9c3ab9d-c2cc8344-2903cfd8-3888d7b9.jpg'],['files/p18/p18855147/s53815637/482e79ef-a82c1a49-c033fcfb-5111777e-a1d59d81.jpg\n']
s54045154_7,p19757720,s54045154,7,Impression,"1. Right internal jugular introducer catheter has its tip in the cavoatrial junction. Endotracheal tube has its tip approximately 6 cm above the carina. Nasogastric tube is seen coursing below the diaphragm with the tip not identified. A right subclavian PICC line has its tip at least to level of the mid superior vena cava, unchanged. 2. Bilateral diffuse airspace process appears unchanged with the exception of loculated fluid within the horizontal fissure. These findings may reflect moderate-to-severe pulmonary edema, though bilateral infectious process cannot be entirely excluded. The right costophrenic angle is not entirely included on the current examination. Overall, cardiac and mediastinal contours are stable. No pneumothorax.","1. Right internal jugular introducer catheter has its tip in the cavoatrial junction. Endotracheal tube has its tip approximately 6 cm above the carina. Nasogastric tube is seen coursing below the diaphragm with the tip not identified. A right subclavian PICC line has its tip at least to level of the mid superior vena cava, unchanged.",PICC line,Right subclavian,Stable,['files/p19/p19757720/s54045154/d5cabbb7-94d369a5-63b100a0-ee367e8e-e320832b.jpg'],"['files/p19/p19757720/s51215308/5051c3c7-e3c4e3f2-169fb49b-98d06fc5-662b3471.jpg\n', 'files/p19/p19757720/s51215308/a40681cf-5ae02ca8-00157e4a-2a48e28a-831224eb.jpg\n', 'files/p19/p19757720/s51215308/f429f4ba-4905c997-5dc76af4-ce97e3f6-8df8fe4c.jpg\n']"
s54045154_7,p19757720,s54045154,7,Impression,"1. Right internal jugular introducer catheter has its tip in the cavoatrial junction. Endotracheal tube has its tip approximately 6 cm above the carina. Nasogastric tube is seen coursing below the diaphragm with the tip not identified. A right subclavian PICC line has its tip at least to level of the mid superior vena cava, unchanged. 2. Bilateral diffuse airspace process appears unchanged with the exception of loculated fluid within the horizontal fissure. These findings may reflect moderate-to-severe pulmonary edema, though bilateral infectious process cannot be entirely excluded. The right costophrenic angle is not entirely included on the current examination. Overall, cardiac and mediastinal contours are stable. No pneumothorax.","2. Bilateral diffuse airspace process appears unchanged with the exception of loculated fluid within the horizontal fissure. These findings may reflect moderate-to-severe pulmonary edema, though bilateral infectious process cannot be entirely excluded. The right costophrenic angle is not entirely included on the current examination. Overall, cardiac and mediastinal contours are stable. No pneumothorax.",diffuse airspace process,Bilateral,Stable,['files/p19/p19757720/s54045154/d5cabbb7-94d369a5-63b100a0-ee367e8e-e320832b.jpg'],"['files/p19/p19757720/s51215308/5051c3c7-e3c4e3f2-169fb49b-98d06fc5-662b3471.jpg\n', 'files/p19/p19757720/s51215308/a40681cf-5ae02ca8-00157e4a-2a48e28a-831224eb.jpg\n', 'files/p19/p19757720/s51215308/f429f4ba-4905c997-5dc76af4-ce97e3f6-8df8fe4c.jpg\n']"
s54045154_7,p19757720,s54045154,7,Impression,"1. Right internal jugular introducer catheter has its tip in the cavoatrial junction. Endotracheal tube has its tip approximately 6 cm above the carina. Nasogastric tube is seen coursing below the diaphragm with the tip not identified. A right subclavian PICC line has its tip at least to level of the mid superior vena cava, unchanged. 2. Bilateral diffuse airspace process appears unchanged with the exception of loculated fluid within the horizontal fissure. These findings may reflect moderate-to-severe pulmonary edema, though bilateral infectious process cannot be entirely excluded. The right costophrenic angle is not entirely included on the current examination. Overall, cardiac and mediastinal contours are stable. No pneumothorax.","2. Bilateral diffuse airspace process appears unchanged with the exception of loculated fluid within the horizontal fissure. These findings may reflect moderate-to-severe pulmonary edema, though bilateral infectious process cannot be entirely excluded. The right costophrenic angle is not entirely included on the current examination. Overall, cardiac and mediastinal contours are stable. No pneumothorax.",contours,Cardiac and mediastinal,Stable,['files/p19/p19757720/s54045154/d5cabbb7-94d369a5-63b100a0-ee367e8e-e320832b.jpg'],"['files/p19/p19757720/s51215308/5051c3c7-e3c4e3f2-169fb49b-98d06fc5-662b3471.jpg\n', 'files/p19/p19757720/s51215308/a40681cf-5ae02ca8-00157e4a-2a48e28a-831224eb.jpg\n', 'files/p19/p19757720/s51215308/f429f4ba-4905c997-5dc76af4-ce97e3f6-8df8fe4c.jpg\n']"
s54046592_7,p12595991,s54046592,7,Findings,"Triple-lead left-sided AICD is again seen with leads extending to the expected position of the right atrium, right ventricle, and coronary sinus. The lead extending to the coronary sinus, the distal aspect of which is partially obscured by the overlying battery pack. There are extremely low lung volumes that accentuate the bronchovascular markings. The left lung base is obscured by patient's overlying battery packs and not well evaluated. Right basilar atelectasis is seen. There is blunting of the right costophrenic angle, which may be due to small pleural effusion. Aortic knob calcification is again seen. The cardiac silhouette is grossly stable. There is gaseous distention of the stomach and possibly the colon.",Aortic knob calcification is again seen.,calcification,aortic knob,Stable,['files/p12/p12595991/s54046592/6b246587-087f7413-b47b8a33-a9e5c257-20aaf460.jpg'],['files/p12/p12595991/s52173177/465880ed-ec1f9352-286bce36-cb6b9286-50c2af29.jpg\n']
s54046592_7,p12595991,s54046592,7,Findings,"Triple-lead left-sided AICD is again seen with leads extending to the expected position of the right atrium, right ventricle, and coronary sinus. The lead extending to the coronary sinus, the distal aspect of which is partially obscured by the overlying battery pack. There are extremely low lung volumes that accentuate the bronchovascular markings. The left lung base is obscured by patient's overlying battery packs and not well evaluated. Right basilar atelectasis is seen. There is blunting of the right costophrenic angle, which may be due to small pleural effusion. Aortic knob calcification is again seen. The cardiac silhouette is grossly stable. There is gaseous distention of the stomach and possibly the colon.",The cardiac silhouette is grossly stable.,cardiac silhouette,,Stable,['files/p12/p12595991/s54046592/6b246587-087f7413-b47b8a33-a9e5c257-20aaf460.jpg'],['files/p12/p12595991/s52173177/465880ed-ec1f9352-286bce36-cb6b9286-50c2af29.jpg\n']
s54046592_7,p12595991,s54046592,7,Findings,"Triple-lead left-sided AICD is again seen with leads extending to the expected position of the right atrium, right ventricle, and coronary sinus. The lead extending to the coronary sinus, the distal aspect of which is partially obscured by the overlying battery pack. There are extremely low lung volumes that accentuate the bronchovascular markings. The left lung base is obscured by patient's overlying battery packs and not well evaluated. Right basilar atelectasis is seen. There is blunting of the right costophrenic angle, which may be due to small pleural effusion. Aortic knob calcification is again seen. The cardiac silhouette is grossly stable. There is gaseous distention of the stomach and possibly the colon.","Triple-lead left-sided AICD is again seen with leads extending to the expected position of the right atrium, right ventricle, and coronary sinus.",AICD,left-sided,Stable,['files/p12/p12595991/s54046592/6b246587-087f7413-b47b8a33-a9e5c257-20aaf460.jpg'],['files/p12/p12595991/s52173177/465880ed-ec1f9352-286bce36-cb6b9286-50c2af29.jpg\n']
s54046805_4,p16672854,s54046805,4,Findings,"Mild interstitial edema is identified. There is azygos engorgement. No pleural effusions are identified. Moderate cardiomegaly is stable since prior examinations. Moderate to severe lower thoracic compression fracture is again noted, slightly worse compared to the prior examination.",Moderate cardiomegaly is stable since prior examinations.,cardiomegaly,,Stable,"['files/p16/p16672854/s54046805/53467c86-8205cb70-cc0e9d9c-e218feb5-36807cc9.jpg', 'files/p16/p16672854/s54046805/a9b00aa7-e110b339-196b4e7c-3d15e5aa-2608008c.jpg']","['files/p16/p16672854/s52891865/6b77cbf9-987963b7-937492b5-149802aa-75535076.jpg\n', 'files/p16/p16672854/s52891865/e51c0403-d316954a-0ea8f97b-063b0ac1-c4fb078e.jpg\n']"
s54046805_4,p16672854,s54046805,4,Findings,"Mild interstitial edema is identified. There is azygos engorgement. No pleural effusions are identified. Moderate cardiomegaly is stable since prior examinations. Moderate to severe lower thoracic compression fracture is again noted, slightly worse compared to the prior examination.","Moderate to severe lower thoracic compression fracture is again noted, slightly worse compared to the prior examination.",compression fracture,lower thoracic,Worse,"['files/p16/p16672854/s54046805/53467c86-8205cb70-cc0e9d9c-e218feb5-36807cc9.jpg', 'files/p16/p16672854/s54046805/a9b00aa7-e110b339-196b4e7c-3d15e5aa-2608008c.jpg']","['files/p16/p16672854/s52891865/6b77cbf9-987963b7-937492b5-149802aa-75535076.jpg\n', 'files/p16/p16672854/s52891865/e51c0403-d316954a-0ea8f97b-063b0ac1-c4fb078e.jpg\n']"
s54050506_7,p13473495,s54050506,7,Findings,"Frontal and lateral views of the chest were slightly limited due to patient's body habitus. Lung volumes are low, which accentuate bronchovascular markings. Mild pulmonary edema is unchanged. There is mild thickening of the minor fissure. Bibasilar opacities are noted. There is no pleural effusion. Moderate cardiomegaly is stable. Hilar and mediastinal silhouettes are unchanged. A dual-chamber dialysis catheter tip projects over proximal right atrium.",Mild pulmonary edema is unchanged.,Pulmonary edema,,Stable,"['files/p13/p13473495/s54050506/8aad1160-9cbc4ec4-577f8737-8784924b-ef451f49.jpg', 'files/p13/p13473495/s54050506/9b47cc75-fe521673-bcf56155-8787d012-4242c9a3.jpg', 'files/p13/p13473495/s54050506/cf215d80-de177339-7a58b114-8206a52d-f9b1fc56.jpg']","['files/p13/p13473495/s53797803/725ce4e7-a90bd488-7d02e68e-cc962d79-450af597.jpg\n', 'files/p13/p13473495/s53797803/edbccca2-c4fb443b-76458df4-ebb5c146-da6f90f7.jpg\n']"
s54050506_7,p13473495,s54050506,7,Findings,"Frontal and lateral views of the chest were slightly limited due to patient's body habitus. Lung volumes are low, which accentuate bronchovascular markings. Mild pulmonary edema is unchanged. There is mild thickening of the minor fissure. Bibasilar opacities are noted. There is no pleural effusion. Moderate cardiomegaly is stable. Hilar and mediastinal silhouettes are unchanged. A dual-chamber dialysis catheter tip projects over proximal right atrium.",Hilar and mediastinal silhouettes are unchanged.,Silhouettes,Hilar and mediastinal,Stable,"['files/p13/p13473495/s54050506/8aad1160-9cbc4ec4-577f8737-8784924b-ef451f49.jpg', 'files/p13/p13473495/s54050506/9b47cc75-fe521673-bcf56155-8787d012-4242c9a3.jpg', 'files/p13/p13473495/s54050506/cf215d80-de177339-7a58b114-8206a52d-f9b1fc56.jpg']","['files/p13/p13473495/s53797803/725ce4e7-a90bd488-7d02e68e-cc962d79-450af597.jpg\n', 'files/p13/p13473495/s53797803/edbccca2-c4fb443b-76458df4-ebb5c146-da6f90f7.jpg\n']"
s54050506_7,p13473495,s54050506,7,Findings,"Frontal and lateral views of the chest were slightly limited due to patient's body habitus. Lung volumes are low, which accentuate bronchovascular markings. Mild pulmonary edema is unchanged. There is mild thickening of the minor fissure. Bibasilar opacities are noted. There is no pleural effusion. Moderate cardiomegaly is stable. Hilar and mediastinal silhouettes are unchanged. A dual-chamber dialysis catheter tip projects over proximal right atrium.",Moderate cardiomegaly is stable.,Cardiomegaly,,Stable,"['files/p13/p13473495/s54050506/8aad1160-9cbc4ec4-577f8737-8784924b-ef451f49.jpg', 'files/p13/p13473495/s54050506/9b47cc75-fe521673-bcf56155-8787d012-4242c9a3.jpg', 'files/p13/p13473495/s54050506/cf215d80-de177339-7a58b114-8206a52d-f9b1fc56.jpg']","['files/p13/p13473495/s53797803/725ce4e7-a90bd488-7d02e68e-cc962d79-450af597.jpg\n', 'files/p13/p13473495/s53797803/edbccca2-c4fb443b-76458df4-ebb5c146-da6f90f7.jpg\n']"
s54050506_7,p13473495,s54050506,7,Impression,Stable mild pulmonary edema and moderate cardiomegaly. Bibasilar opacities may represent atelectasis or infection in the appropriate clinical setting.,Stable mild pulmonary edema and moderate cardiomegaly.,Pulmonary edema,,Stable,"['files/p13/p13473495/s54050506/8aad1160-9cbc4ec4-577f8737-8784924b-ef451f49.jpg', 'files/p13/p13473495/s54050506/9b47cc75-fe521673-bcf56155-8787d012-4242c9a3.jpg', 'files/p13/p13473495/s54050506/cf215d80-de177339-7a58b114-8206a52d-f9b1fc56.jpg']","['files/p13/p13473495/s53797803/725ce4e7-a90bd488-7d02e68e-cc962d79-450af597.jpg\n', 'files/p13/p13473495/s53797803/edbccca2-c4fb443b-76458df4-ebb5c146-da6f90f7.jpg\n']"
s54050506_7,p13473495,s54050506,7,Impression,Stable mild pulmonary edema and moderate cardiomegaly. Bibasilar opacities may represent atelectasis or infection in the appropriate clinical setting.,Stable mild pulmonary edema and moderate cardiomegaly.,Cardiomegaly,,Stable,"['files/p13/p13473495/s54050506/8aad1160-9cbc4ec4-577f8737-8784924b-ef451f49.jpg', 'files/p13/p13473495/s54050506/9b47cc75-fe521673-bcf56155-8787d012-4242c9a3.jpg', 'files/p13/p13473495/s54050506/cf215d80-de177339-7a58b114-8206a52d-f9b1fc56.jpg']","['files/p13/p13473495/s53797803/725ce4e7-a90bd488-7d02e68e-cc962d79-450af597.jpg\n', 'files/p13/p13473495/s53797803/edbccca2-c4fb443b-76458df4-ebb5c146-da6f90f7.jpg\n']"
s54058678_0,p15446959,s54058678,0,Findings,"There is little change in comparison to prior study. Post-surgical changes are again noted including en bloc resection of the sixth through tenth ribs. Mesh reconstruction along the left chest wall is again noted. Fibrosis is noted in the left lateral lung zone. Cardiomediastinal silhouette is stable with the heart size at top normal. Otherwise, the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Multilevel degenerative changes are again visualized.",Cardiomediastinal silhouette is stable with the heart size at top normal.,Cardiomediastinal silhouette,,Stable,"['files/p15/p15446959/s54058678/68adee87-49f72ff4-e7374407-bc547b35-ff118ba2.jpg', 'files/p15/p15446959/s54058678/79efe8cb-356ec1b4-23153a48-35b3a64c-40e70a3a.jpg']",['files/p15/p15446959/s52616494/647c3bd0-6e8ea0e4-e367edee-d6eefb00-174fcf42.jpg\n']
s54058678_0,p15446959,s54058678,0,Findings,"There is little change in comparison to prior study. Post-surgical changes are again noted including en bloc resection of the sixth through tenth ribs. Mesh reconstruction along the left chest wall is again noted. Fibrosis is noted in the left lateral lung zone. Cardiomediastinal silhouette is stable with the heart size at top normal. Otherwise, the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Multilevel degenerative changes are again visualized.",There is little change in comparison to prior study.,,,Stable,"['files/p15/p15446959/s54058678/68adee87-49f72ff4-e7374407-bc547b35-ff118ba2.jpg', 'files/p15/p15446959/s54058678/79efe8cb-356ec1b4-23153a48-35b3a64c-40e70a3a.jpg']",['files/p15/p15446959/s52616494/647c3bd0-6e8ea0e4-e367edee-d6eefb00-174fcf42.jpg\n']
s54060800_3,p13755940,s54060800,3,Impression,"1. Apparent lucency demonstrated in the left aspect of the aortic knob, that though may be projectional, pneumomediastinum cannot be excluded. If of clinical concern, chest CT can be performed. 2. Interval improvement in interstitial edema and bibasilar atelectasis. Findings were discussed with Dr. ___ at 4:20 p.m. on ___ via telephone by Dr. ___.",Interval improvement in interstitial edema and bibasilar atelectasis.,interstitial edema,,Better,['files/p13/p13755940/s54060800/9678dc02-54a05e84-f5efffa5-bc62e0a2-83dac014.jpg'],['files/p13/p13755940/s51099690/e53aee72-582b01ea-a370ca39-62ce5b25-e0eed2b3.jpg\n']
s54060800_3,p13755940,s54060800,3,Impression,"1. Apparent lucency demonstrated in the left aspect of the aortic knob, that though may be projectional, pneumomediastinum cannot be excluded. If of clinical concern, chest CT can be performed. 2. Interval improvement in interstitial edema and bibasilar atelectasis. Findings were discussed with Dr. ___ at 4:20 p.m. on ___ via telephone by Dr. ___.",Interval improvement in interstitial edema and bibasilar atelectasis.,atelectasis,bibasilar,Better,['files/p13/p13755940/s54060800/9678dc02-54a05e84-f5efffa5-bc62e0a2-83dac014.jpg'],['files/p13/p13755940/s51099690/e53aee72-582b01ea-a370ca39-62ce5b25-e0eed2b3.jpg\n']
s54060800_3,p13755940,s54060800,3,Findings,"A right internal jugular catheter tip projects within the mid SVC. A right basilar Pleurx catheter is in stable position. Since the prior examination, there is increased apparent lucency demonstrated in the left aspect of the aortic knob, that though may be projectional, pneumomediastinum cannot be excluded. There is improvement in bibasilar opacification, likely atelectases. In addition, there is improvement in pulmonary vascular engorgement. There is no evidence of pneumothorax. The cardiomediastinal and hilar contours are stable.","Since the prior examination, there is increased apparent lucency demonstrated in the left aspect of the aortic knob, that though may be projectional, pneumomediastinum cannot be excluded.",apparent lucency,left aspect of the aortic knob,Worse,['files/p13/p13755940/s54060800/9678dc02-54a05e84-f5efffa5-bc62e0a2-83dac014.jpg'],['files/p13/p13755940/s51099690/e53aee72-582b01ea-a370ca39-62ce5b25-e0eed2b3.jpg\n']
s54060800_3,p13755940,s54060800,3,Findings,"A right internal jugular catheter tip projects within the mid SVC. A right basilar Pleurx catheter is in stable position. Since the prior examination, there is increased apparent lucency demonstrated in the left aspect of the aortic knob, that though may be projectional, pneumomediastinum cannot be excluded. There is improvement in bibasilar opacification, likely atelectases. In addition, there is improvement in pulmonary vascular engorgement. There is no evidence of pneumothorax. The cardiomediastinal and hilar contours are stable.","In addition, there is improvement in pulmonary vascular engorgement.",pulmonary vascular engorgement,,Better,['files/p13/p13755940/s54060800/9678dc02-54a05e84-f5efffa5-bc62e0a2-83dac014.jpg'],['files/p13/p13755940/s51099690/e53aee72-582b01ea-a370ca39-62ce5b25-e0eed2b3.jpg\n']
s54060800_3,p13755940,s54060800,3,Findings,"A right internal jugular catheter tip projects within the mid SVC. A right basilar Pleurx catheter is in stable position. Since the prior examination, there is increased apparent lucency demonstrated in the left aspect of the aortic knob, that though may be projectional, pneumomediastinum cannot be excluded. There is improvement in bibasilar opacification, likely atelectases. In addition, there is improvement in pulmonary vascular engorgement. There is no evidence of pneumothorax. The cardiomediastinal and hilar contours are stable.",A right basilar Pleurx catheter is in stable position.,Pleurx catheter,right basilar,Stable,['files/p13/p13755940/s54060800/9678dc02-54a05e84-f5efffa5-bc62e0a2-83dac014.jpg'],['files/p13/p13755940/s51099690/e53aee72-582b01ea-a370ca39-62ce5b25-e0eed2b3.jpg\n']
s54060800_3,p13755940,s54060800,3,Findings,"A right internal jugular catheter tip projects within the mid SVC. A right basilar Pleurx catheter is in stable position. Since the prior examination, there is increased apparent lucency demonstrated in the left aspect of the aortic knob, that though may be projectional, pneumomediastinum cannot be excluded. There is improvement in bibasilar opacification, likely atelectases. In addition, there is improvement in pulmonary vascular engorgement. There is no evidence of pneumothorax. The cardiomediastinal and hilar contours are stable.",The cardiomediastinal and hilar contours are stable.,cardiomediastinal and hilar contours,,Stable,['files/p13/p13755940/s54060800/9678dc02-54a05e84-f5efffa5-bc62e0a2-83dac014.jpg'],['files/p13/p13755940/s51099690/e53aee72-582b01ea-a370ca39-62ce5b25-e0eed2b3.jpg\n']
s54060800_3,p13755940,s54060800,3,Findings,"A right internal jugular catheter tip projects within the mid SVC. A right basilar Pleurx catheter is in stable position. Since the prior examination, there is increased apparent lucency demonstrated in the left aspect of the aortic knob, that though may be projectional, pneumomediastinum cannot be excluded. There is improvement in bibasilar opacification, likely atelectases. In addition, there is improvement in pulmonary vascular engorgement. There is no evidence of pneumothorax. The cardiomediastinal and hilar contours are stable.","There is improvement in bibasilar opacification, likely atelectases.",opacification,bibasilar,Better,['files/p13/p13755940/s54060800/9678dc02-54a05e84-f5efffa5-bc62e0a2-83dac014.jpg'],['files/p13/p13755940/s51099690/e53aee72-582b01ea-a370ca39-62ce5b25-e0eed2b3.jpg\n']
s54061371_12,p12699874,s54061371,12,Findings,"PA and lateral views of the chest were obtained. Since prior radiograph, there has been development of small pleural effusion on the right with fluid within the fissure. Opacity at the right base is similar as on prior radiographs and may represent atelectasis; however, infection cannot be excluded. There is atelectasis at left lung base. Peripheral left upper lobe opacity is unchanged. There is no pneumothorax. Cardiomediastinal silhouette is stable. There are degenerative changes in the thoracic spine.","Since prior radiograph, there has been development of small pleural effusion on the right with fluid within the fissure.",pleural effusion,right,New,"['files/p12/p12699874/s54061371/0791e888-c49848f9-5efcc8f6-eea5e10b-aea2c689.jpg', 'files/p12/p12699874/s54061371/14fc3b47-73918368-3688d525-2a9e6f66-a71213a7.jpg', 'files/p12/p12699874/s54061371/72de19ce-ad49323e-c750d7aa-7aefad64-932f50e0.jpg', 'files/p12/p12699874/s54061371/8d0ec6a8-3287bbf6-c34b0a63-06de729c-6384fe8f.jpg']",['files/p12/p12699874/s53716910/15f548b3-d35c3f3c-1dd660a9-9f5dd882-d95e39c2.jpg\n']
s54061371_12,p12699874,s54061371,12,Impression,"Re-accumulation of small right pleural effusion with opacity at the right base, with non-specific consolidation at right lung base which could be infectious. Follow-up to resolution.","Re-accumulation of small right pleural effusion with opacity at the right base, with non-specific consolidation at right lung base which could be infectious. Follow-up to resolution.",pleural effusion,right,Worse,"['files/p12/p12699874/s54061371/0791e888-c49848f9-5efcc8f6-eea5e10b-aea2c689.jpg', 'files/p12/p12699874/s54061371/14fc3b47-73918368-3688d525-2a9e6f66-a71213a7.jpg', 'files/p12/p12699874/s54061371/72de19ce-ad49323e-c750d7aa-7aefad64-932f50e0.jpg', 'files/p12/p12699874/s54061371/8d0ec6a8-3287bbf6-c34b0a63-06de729c-6384fe8f.jpg']",['files/p12/p12699874/s53716910/15f548b3-d35c3f3c-1dd660a9-9f5dd882-d95e39c2.jpg\n']
s54061371_12,p12699874,s54061371,12,Findings,"PA and lateral views of the chest were obtained. Since prior radiograph, there has been development of small pleural effusion on the right with fluid within the fissure. Opacity at the right base is similar as on prior radiographs and may represent atelectasis; however, infection cannot be excluded. There is atelectasis at left lung base. Peripheral left upper lobe opacity is unchanged. There is no pneumothorax. Cardiomediastinal silhouette is stable. There are degenerative changes in the thoracic spine.","Opacity at the right base is similar as on prior radiographs and may represent atelectasis; however, infection cannot be excluded.",opacity,right base,Stable,"['files/p12/p12699874/s54061371/0791e888-c49848f9-5efcc8f6-eea5e10b-aea2c689.jpg', 'files/p12/p12699874/s54061371/14fc3b47-73918368-3688d525-2a9e6f66-a71213a7.jpg', 'files/p12/p12699874/s54061371/72de19ce-ad49323e-c750d7aa-7aefad64-932f50e0.jpg', 'files/p12/p12699874/s54061371/8d0ec6a8-3287bbf6-c34b0a63-06de729c-6384fe8f.jpg']",['files/p12/p12699874/s53716910/15f548b3-d35c3f3c-1dd660a9-9f5dd882-d95e39c2.jpg\n']
s54061371_12,p12699874,s54061371,12,Findings,"PA and lateral views of the chest were obtained. Since prior radiograph, there has been development of small pleural effusion on the right with fluid within the fissure. Opacity at the right base is similar as on prior radiographs and may represent atelectasis; however, infection cannot be excluded. There is atelectasis at left lung base. Peripheral left upper lobe opacity is unchanged. There is no pneumothorax. Cardiomediastinal silhouette is stable. There are degenerative changes in the thoracic spine.",Peripheral left upper lobe opacity is unchanged.,opacity,left upper lobe,Stable,"['files/p12/p12699874/s54061371/0791e888-c49848f9-5efcc8f6-eea5e10b-aea2c689.jpg', 'files/p12/p12699874/s54061371/14fc3b47-73918368-3688d525-2a9e6f66-a71213a7.jpg', 'files/p12/p12699874/s54061371/72de19ce-ad49323e-c750d7aa-7aefad64-932f50e0.jpg', 'files/p12/p12699874/s54061371/8d0ec6a8-3287bbf6-c34b0a63-06de729c-6384fe8f.jpg']",['files/p12/p12699874/s53716910/15f548b3-d35c3f3c-1dd660a9-9f5dd882-d95e39c2.jpg\n']
s54061371_12,p12699874,s54061371,12,Impression,"Re-accumulation of small right pleural effusion with opacity at the right base, with non-specific consolidation at right lung base which could be infectious. Follow-up to resolution.","Re-accumulation of small right pleural effusion with opacity at the right base, with non-specific consolidation at right lung base which could be infectious. Follow-up to resolution.",opacity,right base,Worse,"['files/p12/p12699874/s54061371/0791e888-c49848f9-5efcc8f6-eea5e10b-aea2c689.jpg', 'files/p12/p12699874/s54061371/14fc3b47-73918368-3688d525-2a9e6f66-a71213a7.jpg', 'files/p12/p12699874/s54061371/72de19ce-ad49323e-c750d7aa-7aefad64-932f50e0.jpg', 'files/p12/p12699874/s54061371/8d0ec6a8-3287bbf6-c34b0a63-06de729c-6384fe8f.jpg']",['files/p12/p12699874/s53716910/15f548b3-d35c3f3c-1dd660a9-9f5dd882-d95e39c2.jpg\n']
s54061371_12,p12699874,s54061371,12,Findings,"PA and lateral views of the chest were obtained. Since prior radiograph, there has been development of small pleural effusion on the right with fluid within the fissure. Opacity at the right base is similar as on prior radiographs and may represent atelectasis; however, infection cannot be excluded. There is atelectasis at left lung base. Peripheral left upper lobe opacity is unchanged. There is no pneumothorax. Cardiomediastinal silhouette is stable. There are degenerative changes in the thoracic spine.",Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p12/p12699874/s54061371/0791e888-c49848f9-5efcc8f6-eea5e10b-aea2c689.jpg', 'files/p12/p12699874/s54061371/14fc3b47-73918368-3688d525-2a9e6f66-a71213a7.jpg', 'files/p12/p12699874/s54061371/72de19ce-ad49323e-c750d7aa-7aefad64-932f50e0.jpg', 'files/p12/p12699874/s54061371/8d0ec6a8-3287bbf6-c34b0a63-06de729c-6384fe8f.jpg']",['files/p12/p12699874/s53716910/15f548b3-d35c3f3c-1dd660a9-9f5dd882-d95e39c2.jpg\n']
s54062940_47,p14841168,s54062940,47,Findings,There is moderate cardiomegaly which is unchanged compared to previous studies. The left hilum is enlarged but stable. No pleural effusion or pneumothorax are seen. There is an opacity of left lower lobe that likely reflects developing pneumonia versus atelectasis.,The left hilum is enlarged but stable.,Hilum,left,Stable,['files/p14/p14841168/s54062940/23e4102f-653bff1f-e3b35573-f3e54b6a-472f2c8a.jpg'],"['files/p14/p14841168/s53733833/34c33c6c-75ba0b40-50ca4043-7fe8e9be-b4528f9b.jpg\n', 'files/p14/p14841168/s53733833/d50e8844-70b979c1-018fdf07-8a21dee8-bea92072.jpg\n']"
s54062940_47,p14841168,s54062940,47,Findings,There is moderate cardiomegaly which is unchanged compared to previous studies. The left hilum is enlarged but stable. No pleural effusion or pneumothorax are seen. There is an opacity of left lower lobe that likely reflects developing pneumonia versus atelectasis.,There is moderate cardiomegaly which is unchanged compared to previous studies.,Moderate cardiomegaly,,Stable,['files/p14/p14841168/s54062940/23e4102f-653bff1f-e3b35573-f3e54b6a-472f2c8a.jpg'],"['files/p14/p14841168/s53733833/34c33c6c-75ba0b40-50ca4043-7fe8e9be-b4528f9b.jpg\n', 'files/p14/p14841168/s53733833/d50e8844-70b979c1-018fdf07-8a21dee8-bea92072.jpg\n']"
s54066754_4,p17763117,s54066754,4,Findings,"No focal opacity to suggest pneumonia is seen. No pneumothorax or significant pleural effusion is present. No pulmonary edema is seen. There are multiple calcified nodules consistent with prior granulomatous disease. However, a right upper lobe nodule measuring 9 mm is concerning. This previously measured 8 mm on the CT ___ ___, though comparison is limited across these modalities. The heart size is top normal. There is tortuosity and calcification of the thoracic aorta. A left-sided dual-lead pacemaker is unchanged. The patient is status post median sternotomy. Surgical clips in the right upper quadrant are consistent with cholecystectomy.","This previously measured 8 mm on the CT ___ ___, though comparison is limited across these modalities.",nodule,Right upper lobe,Worse,"['files/p17/p17763117/s54066754/2562051f-7aa8f63a-d00bafea-ddf082c6-838ba1fd.jpg', 'files/p17/p17763117/s54066754/42721071-6d96b2ed-f083c7d3-5f14b0d5-a7845fc1.jpg']","['files/p17/p17763117/s53418217/4c813a56-c3955f56-d8575305-9347eb08-6c581dc1.jpg\n', 'files/p17/p17763117/s53418217/acddfc4f-6bf56983-900fa34f-f650d62f-a30c95af.jpg\n']"
s54066754_4,p17763117,s54066754,4,Impression,"1. No evidence of pneumonia. 2. Right upper lobe nodule measuring 9 mm on this examination. This measured 8 mm on the prior CT, though comparison across modalities is limited. Given the concerning appearance, this nodule would be better followed by dedicated CT.","This measured 8 mm on the prior CT, though comparison across modalities is limited.",nodule,Right upper lobe,Worse,"['files/p17/p17763117/s54066754/2562051f-7aa8f63a-d00bafea-ddf082c6-838ba1fd.jpg', 'files/p17/p17763117/s54066754/42721071-6d96b2ed-f083c7d3-5f14b0d5-a7845fc1.jpg']","['files/p17/p17763117/s53418217/4c813a56-c3955f56-d8575305-9347eb08-6c581dc1.jpg\n', 'files/p17/p17763117/s53418217/acddfc4f-6bf56983-900fa34f-f650d62f-a30c95af.jpg\n']"
s54066754_4,p17763117,s54066754,4,Findings,"No focal opacity to suggest pneumonia is seen. No pneumothorax or significant pleural effusion is present. No pulmonary edema is seen. There are multiple calcified nodules consistent with prior granulomatous disease. However, a right upper lobe nodule measuring 9 mm is concerning. This previously measured 8 mm on the CT ___ ___, though comparison is limited across these modalities. The heart size is top normal. There is tortuosity and calcification of the thoracic aorta. A left-sided dual-lead pacemaker is unchanged. The patient is status post median sternotomy. Surgical clips in the right upper quadrant are consistent with cholecystectomy.",A left-sided dual-lead pacemaker is unchanged.,dual-lead pacemaker,Left-sided,Stable,"['files/p17/p17763117/s54066754/2562051f-7aa8f63a-d00bafea-ddf082c6-838ba1fd.jpg', 'files/p17/p17763117/s54066754/42721071-6d96b2ed-f083c7d3-5f14b0d5-a7845fc1.jpg']","['files/p17/p17763117/s53418217/4c813a56-c3955f56-d8575305-9347eb08-6c581dc1.jpg\n', 'files/p17/p17763117/s53418217/acddfc4f-6bf56983-900fa34f-f650d62f-a30c95af.jpg\n']"
s54073075_4,p13586204,s54073075,4,Findings,"Since the previous radiograph, there has been continued improvement in the previously described pulmonary edema. There are moderate bilateral effusions, which are unchanged. There are small bibasilar hazy opacities consistent with atelectasis. The cardiomediastinal silhouette is normal. Cervical hardware is again noted.","Since the previous radiograph, there has been continued improvement in the previously described pulmonary edema.",edema,pulmonary,Better,"['files/p13/p13586204/s54073075/06da0b0e-ad407abe-e199913d-e079da96-22a7c445.jpg', 'files/p13/p13586204/s54073075/60d7e9dc-0844bc57-9783ac54-f69362d7-bdf20205.jpg']",['files/p13/p13586204/s51189125/7394806d-330706a4-f0e6ba1f-7d857d57-2492e480.jpg\n']
s54073075_4,p13586204,s54073075,4,Findings,"Since the previous radiograph, there has been continued improvement in the previously described pulmonary edema. There are moderate bilateral effusions, which are unchanged. There are small bibasilar hazy opacities consistent with atelectasis. The cardiomediastinal silhouette is normal. Cervical hardware is again noted.","There are moderate bilateral effusions, which are unchanged.",effusions,bilateral,Stable,"['files/p13/p13586204/s54073075/06da0b0e-ad407abe-e199913d-e079da96-22a7c445.jpg', 'files/p13/p13586204/s54073075/60d7e9dc-0844bc57-9783ac54-f69362d7-bdf20205.jpg']",['files/p13/p13586204/s51189125/7394806d-330706a4-f0e6ba1f-7d857d57-2492e480.jpg\n']
s54073075_4,p13586204,s54073075,4,Impression,1. Continued improvement in pulmonary edema. 2. Moderate bilateral pleural effusions.,Continued improvement in pulmonary edema.,edema,pulmonary,Better,"['files/p13/p13586204/s54073075/06da0b0e-ad407abe-e199913d-e079da96-22a7c445.jpg', 'files/p13/p13586204/s54073075/60d7e9dc-0844bc57-9783ac54-f69362d7-bdf20205.jpg']",['files/p13/p13586204/s51189125/7394806d-330706a4-f0e6ba1f-7d857d57-2492e480.jpg\n']
s54089797_5,p11880923,s54089797,5,Findings,"As compared to the previous radiograph, the monitoring and support devices are constant. Constant size of the cardiac silhouette. Constant right basal opacity, consisting of a combination of atelectasis and parenchymal consolidation. No new opacities. No pneumothorax. No larger left pleural effusion (the lateral parts of the left sinus are not included on the image).","As compared to the previous radiograph, the monitoring and support devices are constant.",monitoring and support devices,,Stable,['files/p11/p11880923/s54089797/ced4ad92-0b5bdd09-b67b83a8-8f155ad4-de399934.jpg'],['files/p11/p11880923/s53737059/839c423e-0ad4e63c-cb7783d9-5a24793c-930b2b72.jpg\n']
s54089797_5,p11880923,s54089797,5,Findings,"As compared to the previous radiograph, the monitoring and support devices are constant. Constant size of the cardiac silhouette. Constant right basal opacity, consisting of a combination of atelectasis and parenchymal consolidation. No new opacities. No pneumothorax. No larger left pleural effusion (the lateral parts of the left sinus are not included on the image).",Constant size of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p11/p11880923/s54089797/ced4ad92-0b5bdd09-b67b83a8-8f155ad4-de399934.jpg'],['files/p11/p11880923/s53737059/839c423e-0ad4e63c-cb7783d9-5a24793c-930b2b72.jpg\n']
s54089797_5,p11880923,s54089797,5,Findings,"As compared to the previous radiograph, the monitoring and support devices are constant. Constant size of the cardiac silhouette. Constant right basal opacity, consisting of a combination of atelectasis and parenchymal consolidation. No new opacities. No pneumothorax. No larger left pleural effusion (the lateral parts of the left sinus are not included on the image).","Constant right basal opacity, consisting of a combination of atelectasis and parenchymal consolidation.",opacity,right basal,Stable,['files/p11/p11880923/s54089797/ced4ad92-0b5bdd09-b67b83a8-8f155ad4-de399934.jpg'],['files/p11/p11880923/s53737059/839c423e-0ad4e63c-cb7783d9-5a24793c-930b2b72.jpg\n']
s54093116_2,p11569042,s54093116,2,Findings,"The heart is again mild-to-moderately enlarged. The mediastinal and hilar contours appear unremarkable. There is patchy opacity in the right infrahilar region suggestive of minor atelectasis/scarring, but widespread opacities and pleural effusions have resolved. No pneumothorax is demonstrated.",The heart is again mild-to-moderately enlarged.,heart enlargement,,Stable,['files/p11/p11569042/s54093116/44d21fe9-7d185d5f-00927b0f-11bf3dce-45b85640.jpg'],['files/p11/p11569042/s50968695/c022d06a-77b2c5f7-55dfded9-8877f098-e7038b30.jpg\n']
s54093116_2,p11569042,s54093116,2,Findings,"The heart is again mild-to-moderately enlarged. The mediastinal and hilar contours appear unremarkable. There is patchy opacity in the right infrahilar region suggestive of minor atelectasis/scarring, but widespread opacities and pleural effusions have resolved. No pneumothorax is demonstrated.","There is patchy opacity in the right infrahilar region suggestive of minor atelectasis/scarring, but widespread opacities and pleural effusions have resolved.",widespread opacities and pleural effusions,,Resolve,['files/p11/p11569042/s54093116/44d21fe9-7d185d5f-00927b0f-11bf3dce-45b85640.jpg'],['files/p11/p11569042/s50968695/c022d06a-77b2c5f7-55dfded9-8877f098-e7038b30.jpg\n']
s54098643_21,p16662264,s54098643,21,Findings,"Since the prior exam, there is a new thin linear density along the left apex, which may represent a pneumothorax. Alternatively, it could be a skinfold. Additionally, there are worsening basilar opacities, right more than left, likely due to pulmonary edema from re-expansion after the right thoracentesis. Patchy bilateral opacities are otherwise not significantly changed. There is stable small left effusion. The right costophrenic angle is somewhat obscured by overlying monitoring lines, though there is likely a small right effusion. There is no right pneumothorax. The cardiomediastinal silhouette is normal.","Since the prior exam, there is a new thin linear density along the left apex, which may represent a pneumothorax. Alternatively, it could be a skinfold.",thin linear density,left apex,New,['files/p16/p16662264/s54098643/cccfa82d-f56ed730-031b5dac-53bafa2b-f20378ad.jpg'],['files/p16/p16662264/s53652977/b6259590-ac02402d-a7f53e0c-5ab10b89-b8c49017.jpg\n']
s54098643_21,p16662264,s54098643,21,Findings,"Since the prior exam, there is a new thin linear density along the left apex, which may represent a pneumothorax. Alternatively, it could be a skinfold. Additionally, there are worsening basilar opacities, right more than left, likely due to pulmonary edema from re-expansion after the right thoracentesis. Patchy bilateral opacities are otherwise not significantly changed. There is stable small left effusion. The right costophrenic angle is somewhat obscured by overlying monitoring lines, though there is likely a small right effusion. There is no right pneumothorax. The cardiomediastinal silhouette is normal.","Additionally, there are worsening basilar opacities, right more than left, likely due to pulmonary edema from re-expansion after the right thoracentesis.",opacities,"basilar, right more than left",Worse,['files/p16/p16662264/s54098643/cccfa82d-f56ed730-031b5dac-53bafa2b-f20378ad.jpg'],['files/p16/p16662264/s53652977/b6259590-ac02402d-a7f53e0c-5ab10b89-b8c49017.jpg\n']
s54098643_21,p16662264,s54098643,21,Findings,"Since the prior exam, there is a new thin linear density along the left apex, which may represent a pneumothorax. Alternatively, it could be a skinfold. Additionally, there are worsening basilar opacities, right more than left, likely due to pulmonary edema from re-expansion after the right thoracentesis. Patchy bilateral opacities are otherwise not significantly changed. There is stable small left effusion. The right costophrenic angle is somewhat obscured by overlying monitoring lines, though there is likely a small right effusion. There is no right pneumothorax. The cardiomediastinal silhouette is normal.",Patchy bilateral opacities are otherwise not significantly changed.,opacities,bilateral,Stable,['files/p16/p16662264/s54098643/cccfa82d-f56ed730-031b5dac-53bafa2b-f20378ad.jpg'],['files/p16/p16662264/s53652977/b6259590-ac02402d-a7f53e0c-5ab10b89-b8c49017.jpg\n']
s54098643_21,p16662264,s54098643,21,Findings,"Since the prior exam, there is a new thin linear density along the left apex, which may represent a pneumothorax. Alternatively, it could be a skinfold. Additionally, there are worsening basilar opacities, right more than left, likely due to pulmonary edema from re-expansion after the right thoracentesis. Patchy bilateral opacities are otherwise not significantly changed. There is stable small left effusion. The right costophrenic angle is somewhat obscured by overlying monitoring lines, though there is likely a small right effusion. There is no right pneumothorax. The cardiomediastinal silhouette is normal.",There is stable small left effusion.,effusion,left,Stable,['files/p16/p16662264/s54098643/cccfa82d-f56ed730-031b5dac-53bafa2b-f20378ad.jpg'],['files/p16/p16662264/s53652977/b6259590-ac02402d-a7f53e0c-5ab10b89-b8c49017.jpg\n']
s54098643_21,p16662264,s54098643,21,Impression,"1. Linear opacity along the left apex extending down laterally may represent a new pneumothorax. Alternatively, it could represent a skinfold. Recommend a repeat chest radiograph for further clarification. 2. Increasing basilar opacities, likely from worsening re-expansion edema. There is a stable small left pleural effusion and likely a small residual right pleural effusion. Scattered bilateral opacities are otherwise unchanged, likely reflective of the known multifocal pneumonia. Results were discussed with Dr. ___ (___ resident) at 5:10 p.m. on ___ via telephone by Dr. ___ at the time the findings were discovered.","Linear opacity along the left apex extending down laterally may represent a new pneumothorax. Alternatively, it could represent a skinfold. Recommend a repeat chest radiograph for further clarification.",linear opacity,left apex,New,['files/p16/p16662264/s54098643/cccfa82d-f56ed730-031b5dac-53bafa2b-f20378ad.jpg'],['files/p16/p16662264/s53652977/b6259590-ac02402d-a7f53e0c-5ab10b89-b8c49017.jpg\n']
s54098643_21,p16662264,s54098643,21,Impression,"1. Linear opacity along the left apex extending down laterally may represent a new pneumothorax. Alternatively, it could represent a skinfold. Recommend a repeat chest radiograph for further clarification. 2. Increasing basilar opacities, likely from worsening re-expansion edema. There is a stable small left pleural effusion and likely a small residual right pleural effusion. Scattered bilateral opacities are otherwise unchanged, likely reflective of the known multifocal pneumonia. Results were discussed with Dr. ___ (___ resident) at 5:10 p.m. on ___ via telephone by Dr. ___ at the time the findings were discovered.","Increasing basilar opacities, likely from worsening re-expansion edema. There is a stable small left pleural effusion and likely a small residual right pleural effusion. Scattered bilateral opacities are otherwise unchanged, likely reflective of the known multifocal pneumonia.",opacities,basilar,Worse,['files/p16/p16662264/s54098643/cccfa82d-f56ed730-031b5dac-53bafa2b-f20378ad.jpg'],['files/p16/p16662264/s53652977/b6259590-ac02402d-a7f53e0c-5ab10b89-b8c49017.jpg\n']
s54100996_0,p12145137,s54100996,0,Findings,"AP portable view of the chest is obtained. Previously seen left juxtahilar opacity lateral to the fiducial seeds has decreased in size and persists since the prior study. No new focal consolidation is seen.There is prominence of the right hilum which is slightly increased since the prior study, which may relate to patient positioning, although underlying increased lymphadenopathy cannot be excluded. A left subclavian central venous catheter is again seen, unchanged in position. Cardiac and mediastinal silhouettes are stable. Chronic right chest wall deformity again seen.",Chronic right chest wall deformity again seen.,deformity,right chest wall,Stable,"['files/p12/p12145137/s54100996/070b58a0-da9b8080-6eeeaf5a-46226e7b-2f9453fa.jpg', 'files/p12/p12145137/s54100996/c875e4c8-ab736220-04569ba0-857889ce-042ea536.jpg']",
s54100996_0,p12145137,s54100996,0,Impression,"1. Left suprahilar opacity and fiducial seeds are again seen, although appears slightly less prominent/small in size, although as mentioned on the prior study, could be further evaluated by chest CT or PET-CT. 2. Right hilum appears slightly more prominent as compared to the prior study, which may be due to patient positioning, although increased right hilar lymphadenopathy is not excluded.","Right hilum appears slightly more prominent as compared to the prior study, which may be due to patient positioning, although increased right hilar lymphadenopathy is not excluded.",prominence,right hilum,Worse,"['files/p12/p12145137/s54100996/070b58a0-da9b8080-6eeeaf5a-46226e7b-2f9453fa.jpg', 'files/p12/p12145137/s54100996/c875e4c8-ab736220-04569ba0-857889ce-042ea536.jpg']",
s54100996_0,p12145137,s54100996,0,Impression,"1. Left suprahilar opacity and fiducial seeds are again seen, although appears slightly less prominent/small in size, although as mentioned on the prior study, could be further evaluated by chest CT or PET-CT. 2. Right hilum appears slightly more prominent as compared to the prior study, which may be due to patient positioning, although increased right hilar lymphadenopathy is not excluded.","Left suprahilar opacity and fiducial seeds are again seen, although appears slightly less prominent/small in size, although as mentioned on the prior study, could be further evaluated by chest CT or PET-CT.",opacity,left suprahilar,Better,"['files/p12/p12145137/s54100996/070b58a0-da9b8080-6eeeaf5a-46226e7b-2f9453fa.jpg', 'files/p12/p12145137/s54100996/c875e4c8-ab736220-04569ba0-857889ce-042ea536.jpg']",
s54100996_0,p12145137,s54100996,0,Findings,"AP portable view of the chest is obtained. Previously seen left juxtahilar opacity lateral to the fiducial seeds has decreased in size and persists since the prior study. No new focal consolidation is seen.There is prominence of the right hilum which is slightly increased since the prior study, which may relate to patient positioning, although underlying increased lymphadenopathy cannot be excluded. A left subclavian central venous catheter is again seen, unchanged in position. Cardiac and mediastinal silhouettes are stable. Chronic right chest wall deformity again seen.",Cardiac and mediastinal silhouettes are stable.,Cardiac and mediastinal silhouettes,,Stable,"['files/p12/p12145137/s54100996/070b58a0-da9b8080-6eeeaf5a-46226e7b-2f9453fa.jpg', 'files/p12/p12145137/s54100996/c875e4c8-ab736220-04569ba0-857889ce-042ea536.jpg']",
s54100996_0,p12145137,s54100996,0,Findings,"AP portable view of the chest is obtained. Previously seen left juxtahilar opacity lateral to the fiducial seeds has decreased in size and persists since the prior study. No new focal consolidation is seen.There is prominence of the right hilum which is slightly increased since the prior study, which may relate to patient positioning, although underlying increased lymphadenopathy cannot be excluded. A left subclavian central venous catheter is again seen, unchanged in position. Cardiac and mediastinal silhouettes are stable. Chronic right chest wall deformity again seen.","A left subclavian central venous catheter is again seen, unchanged in position.",central venous catheter,left subclavian,Stable,"['files/p12/p12145137/s54100996/070b58a0-da9b8080-6eeeaf5a-46226e7b-2f9453fa.jpg', 'files/p12/p12145137/s54100996/c875e4c8-ab736220-04569ba0-857889ce-042ea536.jpg']",
s54100996_0,p12145137,s54100996,0,Findings,"AP portable view of the chest is obtained. Previously seen left juxtahilar opacity lateral to the fiducial seeds has decreased in size and persists since the prior study. No new focal consolidation is seen.There is prominence of the right hilum which is slightly increased since the prior study, which may relate to patient positioning, although underlying increased lymphadenopathy cannot be excluded. A left subclavian central venous catheter is again seen, unchanged in position. Cardiac and mediastinal silhouettes are stable. Chronic right chest wall deformity again seen.","There is prominence of the right hilum which is slightly increased since the prior study, which may relate to patient positioning, although underlying increased lymphadenopathy cannot be excluded.",prominence,right hilum,Worse,"['files/p12/p12145137/s54100996/070b58a0-da9b8080-6eeeaf5a-46226e7b-2f9453fa.jpg', 'files/p12/p12145137/s54100996/c875e4c8-ab736220-04569ba0-857889ce-042ea536.jpg']",
s54100996_0,p12145137,s54100996,0,Findings,"AP portable view of the chest is obtained. Previously seen left juxtahilar opacity lateral to the fiducial seeds has decreased in size and persists since the prior study. No new focal consolidation is seen.There is prominence of the right hilum which is slightly increased since the prior study, which may relate to patient positioning, although underlying increased lymphadenopathy cannot be excluded. A left subclavian central venous catheter is again seen, unchanged in position. Cardiac and mediastinal silhouettes are stable. Chronic right chest wall deformity again seen.",Previously seen left juxtahilar opacity lateral to the fiducial seeds has decreased in size and persists since the prior study.,opacity,left juxtahilar,Better,"['files/p12/p12145137/s54100996/070b58a0-da9b8080-6eeeaf5a-46226e7b-2f9453fa.jpg', 'files/p12/p12145137/s54100996/c875e4c8-ab736220-04569ba0-857889ce-042ea536.jpg']",
s54103072_9,p10268877,s54103072,9,Findings,"Bedside upright AP radiograph of the chest demonstrates little interval change when compared to prior study performed 24 hours ago. There is minimal, stable enlargement of the cardiomediastinal contours consistent with mild chronic heart failure. Persistent obscuration of the pulmonary vascular markings in the right lung base is consistent with trace pulmonary edema. Bibasilar atelectasis is still present. The lungs are otherwise clear. There is no pneumothorax or pleural effusion. A left internal jugular central venous catheter, an endotracheal tube, and an orogastric tube are unchanged and appropriately positioned. The chronic findings of atherosclerotic calcification of the aortic arch and bilateral glenohumeral joint degenerative changes are once again noted.",Bibasilar atelectasis is still present.,atelectasis,bibasilar,Stable,['files/p10/p10268877/s54103072/46258faf-c930aa13-1b09c523-4972126b-47bba114.jpg'],['files/p10/p10268877/s53883066/878341cc-7587aff2-e1f70246-3a29413e-36f37ddb.jpg\n']
s54103072_9,p10268877,s54103072,9,Impression,1. Mild chronic congestive heart failure with stable trace pulmonary edema at the right lung base. 2. Stable bibasilar atelectasis.,1. Mild chronic congestive heart failure with stable trace pulmonary edema at the right lung base.,pulmonary edema,right lung base,Stable,['files/p10/p10268877/s54103072/46258faf-c930aa13-1b09c523-4972126b-47bba114.jpg'],['files/p10/p10268877/s53883066/878341cc-7587aff2-e1f70246-3a29413e-36f37ddb.jpg\n']
s54103072_9,p10268877,s54103072,9,Findings,"Bedside upright AP radiograph of the chest demonstrates little interval change when compared to prior study performed 24 hours ago. There is minimal, stable enlargement of the cardiomediastinal contours consistent with mild chronic heart failure. Persistent obscuration of the pulmonary vascular markings in the right lung base is consistent with trace pulmonary edema. Bibasilar atelectasis is still present. The lungs are otherwise clear. There is no pneumothorax or pleural effusion. A left internal jugular central venous catheter, an endotracheal tube, and an orogastric tube are unchanged and appropriately positioned. The chronic findings of atherosclerotic calcification of the aortic arch and bilateral glenohumeral joint degenerative changes are once again noted.",The chronic findings of atherosclerotic calcification of the aortic arch and bilateral glenohumeral joint degenerative changes are once again noted.,degenerative changes,bilateral glenohumeral joint,Stable,['files/p10/p10268877/s54103072/46258faf-c930aa13-1b09c523-4972126b-47bba114.jpg'],['files/p10/p10268877/s53883066/878341cc-7587aff2-e1f70246-3a29413e-36f37ddb.jpg\n']
s54103072_9,p10268877,s54103072,9,Findings,"Bedside upright AP radiograph of the chest demonstrates little interval change when compared to prior study performed 24 hours ago. There is minimal, stable enlargement of the cardiomediastinal contours consistent with mild chronic heart failure. Persistent obscuration of the pulmonary vascular markings in the right lung base is consistent with trace pulmonary edema. Bibasilar atelectasis is still present. The lungs are otherwise clear. There is no pneumothorax or pleural effusion. A left internal jugular central venous catheter, an endotracheal tube, and an orogastric tube are unchanged and appropriately positioned. The chronic findings of atherosclerotic calcification of the aortic arch and bilateral glenohumeral joint degenerative changes are once again noted.",The chronic findings of atherosclerotic calcification of the aortic arch and bilateral glenohumeral joint degenerative changes are once again noted.,atherosclerotic calcification,aortic arch,Stable,['files/p10/p10268877/s54103072/46258faf-c930aa13-1b09c523-4972126b-47bba114.jpg'],['files/p10/p10268877/s53883066/878341cc-7587aff2-e1f70246-3a29413e-36f37ddb.jpg\n']
s54103072_9,p10268877,s54103072,9,Impression,1. Mild chronic congestive heart failure with stable trace pulmonary edema at the right lung base. 2. Stable bibasilar atelectasis.,2. Stable bibasilar atelectasis.,atelectasis,bibasilar,Stable,['files/p10/p10268877/s54103072/46258faf-c930aa13-1b09c523-4972126b-47bba114.jpg'],['files/p10/p10268877/s53883066/878341cc-7587aff2-e1f70246-3a29413e-36f37ddb.jpg\n']
s54103072_9,p10268877,s54103072,9,Findings,"Bedside upright AP radiograph of the chest demonstrates little interval change when compared to prior study performed 24 hours ago. There is minimal, stable enlargement of the cardiomediastinal contours consistent with mild chronic heart failure. Persistent obscuration of the pulmonary vascular markings in the right lung base is consistent with trace pulmonary edema. Bibasilar atelectasis is still present. The lungs are otherwise clear. There is no pneumothorax or pleural effusion. A left internal jugular central venous catheter, an endotracheal tube, and an orogastric tube are unchanged and appropriately positioned. The chronic findings of atherosclerotic calcification of the aortic arch and bilateral glenohumeral joint degenerative changes are once again noted.",Persistent obscuration of the pulmonary vascular markings in the right lung base is consistent with trace pulmonary edema.,obscuration of the pulmonary vascular markings,right lung base,Stable,['files/p10/p10268877/s54103072/46258faf-c930aa13-1b09c523-4972126b-47bba114.jpg'],['files/p10/p10268877/s53883066/878341cc-7587aff2-e1f70246-3a29413e-36f37ddb.jpg\n']
s54103072_9,p10268877,s54103072,9,Findings,"Bedside upright AP radiograph of the chest demonstrates little interval change when compared to prior study performed 24 hours ago. There is minimal, stable enlargement of the cardiomediastinal contours consistent with mild chronic heart failure. Persistent obscuration of the pulmonary vascular markings in the right lung base is consistent with trace pulmonary edema. Bibasilar atelectasis is still present. The lungs are otherwise clear. There is no pneumothorax or pleural effusion. A left internal jugular central venous catheter, an endotracheal tube, and an orogastric tube are unchanged and appropriately positioned. The chronic findings of atherosclerotic calcification of the aortic arch and bilateral glenohumeral joint degenerative changes are once again noted.","There is minimal, stable enlargement of the cardiomediastinal contours consistent with mild chronic heart failure.",enlargement,cardiomediastinal,Stable,['files/p10/p10268877/s54103072/46258faf-c930aa13-1b09c523-4972126b-47bba114.jpg'],['files/p10/p10268877/s53883066/878341cc-7587aff2-e1f70246-3a29413e-36f37ddb.jpg\n']
s54103570_30,p14841168,s54103570,30,Findings,An endotracheal tube terminates 4.1 cm above the carina. In enteric tube terminates in the proximal stomach and could be advanced 5-6 cm for ideal positioning. The cardiomediastinal silhouette is stable. Low lung volumes. Minimal elevation of the right hemidiaphragm is also stable. The left lung base is not visualized. Increased opacity at the base of the left lung may reflect atelectasis. There is mild vascular congestion with mild pulmonary edema. No pneumothorax.,The cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,['files/p14/p14841168/s54103570/1bc3bed7-2aa120b0-65805fec-266c7e92-f3eebc0a.jpg'],['files/p14/p14841168/s54062940/23e4102f-653bff1f-e3b35573-f3e54b6a-472f2c8a.jpg\n']
s54103570_30,p14841168,s54103570,30,Findings,An endotracheal tube terminates 4.1 cm above the carina. In enteric tube terminates in the proximal stomach and could be advanced 5-6 cm for ideal positioning. The cardiomediastinal silhouette is stable. Low lung volumes. Minimal elevation of the right hemidiaphragm is also stable. The left lung base is not visualized. Increased opacity at the base of the left lung may reflect atelectasis. There is mild vascular congestion with mild pulmonary edema. No pneumothorax.,Minimal elevation of the right hemidiaphragm is also stable.,hemidiaphragm elevation,right,Stable,['files/p14/p14841168/s54103570/1bc3bed7-2aa120b0-65805fec-266c7e92-f3eebc0a.jpg'],['files/p14/p14841168/s54062940/23e4102f-653bff1f-e3b35573-f3e54b6a-472f2c8a.jpg\n']
s54103833_6,p19991135,s54103833,6,Impression,"Stable chest findings as seen on portable followup examination, status post right upper lobectomy.","Stable chest findings as seen on portable followup examination, status post right upper lobectomy.",findings,chest,Stable,['files/p19/p19991135/s54103833/6ce54ac9-077864fe-84217f97-5f43c4e3-f0578456.jpg'],"['files/p19/p19991135/s51777681/3272470c-530109a6-4ffe7fca-c776dbb3-224eda66.jpg\n', 'files/p19/p19991135/s51777681/7cdd0c6e-d0263417-262f1fce-bd3d2712-99409e00.jpg\n']"
s54113050_17,p13352405,s54113050,17,Findings,"In comparison with the study of ___, there is little interval change. Post-surgical changes are again seen on the right with chest tubes in place and no evidence of pneumothorax. The left lung remains clear with evidence of prior rib fractures.","In comparison with the study of ___, there is little interval change.",overall condition,,Stable,"['files/p13/p13352405/s54113050/6814849f-be2bbd19-70510b49-1bcff64a-b8793ada.jpg', 'files/p13/p13352405/s54113050/9cafa042-7e42acc5-4e291de3-bf7be788-ef54e6cc.jpg', 'files/p13/p13352405/s54113050/9cc42913-473a1cee-05dfc2b4-5df0f319-e665978f.jpg']","['files/p13/p13352405/s53925537/20a71bc6-69f1a131-4a5fbb7d-14b11c4f-73df9aa3.jpg\n', 'files/p13/p13352405/s53925537/33291277-e041bbda-50a4d443-2208be5e-06e2289d.jpg\n']"
s54113050_17,p13352405,s54113050,17,Findings,"In comparison with the study of ___, there is little interval change. Post-surgical changes are again seen on the right with chest tubes in place and no evidence of pneumothorax. The left lung remains clear with evidence of prior rib fractures.",Post-surgical changes are again seen on the right with chest tubes in place and no evidence of pneumothorax.,Post-surgical changes,right,Stable,"['files/p13/p13352405/s54113050/6814849f-be2bbd19-70510b49-1bcff64a-b8793ada.jpg', 'files/p13/p13352405/s54113050/9cafa042-7e42acc5-4e291de3-bf7be788-ef54e6cc.jpg', 'files/p13/p13352405/s54113050/9cc42913-473a1cee-05dfc2b4-5df0f319-e665978f.jpg']","['files/p13/p13352405/s53925537/20a71bc6-69f1a131-4a5fbb7d-14b11c4f-73df9aa3.jpg\n', 'files/p13/p13352405/s53925537/33291277-e041bbda-50a4d443-2208be5e-06e2289d.jpg\n']"
s54113050_17,p13352405,s54113050,17,Findings,"In comparison with the study of ___, there is little interval change. Post-surgical changes are again seen on the right with chest tubes in place and no evidence of pneumothorax. The left lung remains clear with evidence of prior rib fractures.",The left lung remains clear with evidence of prior rib fractures.,rib fractures,left lung,Stable,"['files/p13/p13352405/s54113050/6814849f-be2bbd19-70510b49-1bcff64a-b8793ada.jpg', 'files/p13/p13352405/s54113050/9cafa042-7e42acc5-4e291de3-bf7be788-ef54e6cc.jpg', 'files/p13/p13352405/s54113050/9cc42913-473a1cee-05dfc2b4-5df0f319-e665978f.jpg']","['files/p13/p13352405/s53925537/20a71bc6-69f1a131-4a5fbb7d-14b11c4f-73df9aa3.jpg\n', 'files/p13/p13352405/s53925537/33291277-e041bbda-50a4d443-2208be5e-06e2289d.jpg\n']"
s54115583_12,p16855430,s54115583,12,Findings,"The heart remains moderately enlarged. The mediastinal contours are unchanged. There is moderate pulmonary edema, similar compared to the prior exam, with a small to moderate left pleural effusion, also relatively unchanged. Probable small right pleural effusion is likely present. No pneumothorax is identified. Left basilar opacification likely reflects compressive atelectasis. There is no pneumothorax or acute osseous abnormality.","There is moderate pulmonary edema, similar compared to the prior exam, with a small to moderate left pleural effusion, also relatively unchanged.",moderate pulmonary edema,,Stable,['files/p16/p16855430/s54115583/b17112f4-c4b08b8b-00a18968-0495ad7f-80aab2f4.jpg'],"['files/p16/p16855430/s53939178/39618a10-511f1ac1-6fa3e87e-ec147c2b-8c69b847.jpg\n', 'files/p16/p16855430/s53939178/97dce762-0f106b37-190de5f9-33071881-9d9e0b6d.jpg\n']"
s54115583_12,p16855430,s54115583,12,Findings,"The heart remains moderately enlarged. The mediastinal contours are unchanged. There is moderate pulmonary edema, similar compared to the prior exam, with a small to moderate left pleural effusion, also relatively unchanged. Probable small right pleural effusion is likely present. No pneumothorax is identified. Left basilar opacification likely reflects compressive atelectasis. There is no pneumothorax or acute osseous abnormality.","There is moderate pulmonary edema, similar compared to the prior exam, with a small to moderate left pleural effusion, also relatively unchanged.",small to moderate pleural effusion,left,Stable,['files/p16/p16855430/s54115583/b17112f4-c4b08b8b-00a18968-0495ad7f-80aab2f4.jpg'],"['files/p16/p16855430/s53939178/39618a10-511f1ac1-6fa3e87e-ec147c2b-8c69b847.jpg\n', 'files/p16/p16855430/s53939178/97dce762-0f106b37-190de5f9-33071881-9d9e0b6d.jpg\n']"
s54115583_12,p16855430,s54115583,12,Impression,Moderate pulmonary edema and unchanged small to moderate left and small right pleural effusions. Retrocardiac opacity likely reflects compressive atelectasis.,Moderate pulmonary edema and unchanged small to moderate left and small right pleural effusions.,moderate pulmonary edema,,Stable,['files/p16/p16855430/s54115583/b17112f4-c4b08b8b-00a18968-0495ad7f-80aab2f4.jpg'],"['files/p16/p16855430/s53939178/39618a10-511f1ac1-6fa3e87e-ec147c2b-8c69b847.jpg\n', 'files/p16/p16855430/s53939178/97dce762-0f106b37-190de5f9-33071881-9d9e0b6d.jpg\n']"
s54115583_12,p16855430,s54115583,12,Findings,"The heart remains moderately enlarged. The mediastinal contours are unchanged. There is moderate pulmonary edema, similar compared to the prior exam, with a small to moderate left pleural effusion, also relatively unchanged. Probable small right pleural effusion is likely present. No pneumothorax is identified. Left basilar opacification likely reflects compressive atelectasis. There is no pneumothorax or acute osseous abnormality.",The mediastinal contours are unchanged.,mediastinal contours,,Stable,['files/p16/p16855430/s54115583/b17112f4-c4b08b8b-00a18968-0495ad7f-80aab2f4.jpg'],"['files/p16/p16855430/s53939178/39618a10-511f1ac1-6fa3e87e-ec147c2b-8c69b847.jpg\n', 'files/p16/p16855430/s53939178/97dce762-0f106b37-190de5f9-33071881-9d9e0b6d.jpg\n']"
s54115583_12,p16855430,s54115583,12,Impression,Moderate pulmonary edema and unchanged small to moderate left and small right pleural effusions. Retrocardiac opacity likely reflects compressive atelectasis.,Moderate pulmonary edema and unchanged small to moderate left and small right pleural effusions.,small to moderate pleural effusion,left,Stable,['files/p16/p16855430/s54115583/b17112f4-c4b08b8b-00a18968-0495ad7f-80aab2f4.jpg'],"['files/p16/p16855430/s53939178/39618a10-511f1ac1-6fa3e87e-ec147c2b-8c69b847.jpg\n', 'files/p16/p16855430/s53939178/97dce762-0f106b37-190de5f9-33071881-9d9e0b6d.jpg\n']"
s54115583_12,p16855430,s54115583,12,Impression,Moderate pulmonary edema and unchanged small to moderate left and small right pleural effusions. Retrocardiac opacity likely reflects compressive atelectasis.,Moderate pulmonary edema and unchanged small to moderate left and small right pleural effusions.,small pleural effusion,right,Stable,['files/p16/p16855430/s54115583/b17112f4-c4b08b8b-00a18968-0495ad7f-80aab2f4.jpg'],"['files/p16/p16855430/s53939178/39618a10-511f1ac1-6fa3e87e-ec147c2b-8c69b847.jpg\n', 'files/p16/p16855430/s53939178/97dce762-0f106b37-190de5f9-33071881-9d9e0b6d.jpg\n']"
s54115583_12,p16855430,s54115583,12,Findings,"The heart remains moderately enlarged. The mediastinal contours are unchanged. There is moderate pulmonary edema, similar compared to the prior exam, with a small to moderate left pleural effusion, also relatively unchanged. Probable small right pleural effusion is likely present. No pneumothorax is identified. Left basilar opacification likely reflects compressive atelectasis. There is no pneumothorax or acute osseous abnormality.",The heart remains moderately enlarged.,moderately enlarged heart,,Stable,['files/p16/p16855430/s54115583/b17112f4-c4b08b8b-00a18968-0495ad7f-80aab2f4.jpg'],"['files/p16/p16855430/s53939178/39618a10-511f1ac1-6fa3e87e-ec147c2b-8c69b847.jpg\n', 'files/p16/p16855430/s53939178/97dce762-0f106b37-190de5f9-33071881-9d9e0b6d.jpg\n']"
s54124205_28,p17340686,s54124205,28,Impression,"1. Mildly enlarged heart and pulmonary vascular engorgement, unchanged. 2. Rounded right basilar opacity may represent asymmetric edema, but other processes such as abscess cannot be excluded. At a minimum follow up with conventional PA/Lateral radiographs is recommended, ideally CT should be considered.","1. Mildly enlarged heart and pulmonary vascular engorgement, unchanged.",Mildly enlarged heart and pulmonary vascular engorgement,,Stable,"['files/p17/p17340686/s54124205/37583135-5e94d264-ff4574d6-cdb16475-77c6bbe2.jpg', 'files/p17/p17340686/s54124205/a63e169d-68ac0a93-f335ef61-a4d2e226-449d7927.jpg']",['files/p17/p17340686/s53956186/e199d51c-58d0356d-8ed19c9f-64ddb8ec-cd3fdc7a.jpg\n']
s54127292_7,p19759491,s54127292,7,Findings,PA and lateral chest radiographs were obtained. Aeration of the lungs has improved since the last exam. Retrocardiac opacity in the left lower lobe is persistent. Severe cardiomegaly has not changed. The positions of biventricular pacing leads are stable.,Aeration of the lungs has improved since the last exam.,lung aeration,,Better,"['files/p19/p19759491/s54127292/603fdb7f-afe35a77-b061a67b-584da7df-a8c17895.jpg', 'files/p19/p19759491/s54127292/f16d1f96-470d26ac-7b1a4657-afa33e79-38163538.jpg']","['files/p19/p19759491/s54010994/9212c3a6-8bed5158-601c88b9-1f239c51-e1049431.jpg\n', 'files/p19/p19759491/s54010994/bd9e6004-1c524f7f-ef858f02-2076cac1-7e6c370a.jpg\n']"
s54127292_7,p19759491,s54127292,7,Impression,Stable appearance of severe cardiomegaly and non-specific retrocardiac opacity which could represent atelectasis or infection.,Stable appearance of severe cardiomegaly and non-specific retrocardiac opacity which could represent atelectasis or infection.,severe cardiomegaly and non-specific retrocardiac opacity,,Stable,"['files/p19/p19759491/s54127292/603fdb7f-afe35a77-b061a67b-584da7df-a8c17895.jpg', 'files/p19/p19759491/s54127292/f16d1f96-470d26ac-7b1a4657-afa33e79-38163538.jpg']","['files/p19/p19759491/s54010994/9212c3a6-8bed5158-601c88b9-1f239c51-e1049431.jpg\n', 'files/p19/p19759491/s54010994/bd9e6004-1c524f7f-ef858f02-2076cac1-7e6c370a.jpg\n']"
s54127292_7,p19759491,s54127292,7,Findings,PA and lateral chest radiographs were obtained. Aeration of the lungs has improved since the last exam. Retrocardiac opacity in the left lower lobe is persistent. Severe cardiomegaly has not changed. The positions of biventricular pacing leads are stable.,The positions of biventricular pacing leads are stable.,positions of biventricular pacing leads,,Stable,"['files/p19/p19759491/s54127292/603fdb7f-afe35a77-b061a67b-584da7df-a8c17895.jpg', 'files/p19/p19759491/s54127292/f16d1f96-470d26ac-7b1a4657-afa33e79-38163538.jpg']","['files/p19/p19759491/s54010994/9212c3a6-8bed5158-601c88b9-1f239c51-e1049431.jpg\n', 'files/p19/p19759491/s54010994/bd9e6004-1c524f7f-ef858f02-2076cac1-7e6c370a.jpg\n']"
s54127292_7,p19759491,s54127292,7,Findings,PA and lateral chest radiographs were obtained. Aeration of the lungs has improved since the last exam. Retrocardiac opacity in the left lower lobe is persistent. Severe cardiomegaly has not changed. The positions of biventricular pacing leads are stable.,Retrocardiac opacity in the left lower lobe is persistent.,retrocardiac opacity,left lower lobe,Stable,"['files/p19/p19759491/s54127292/603fdb7f-afe35a77-b061a67b-584da7df-a8c17895.jpg', 'files/p19/p19759491/s54127292/f16d1f96-470d26ac-7b1a4657-afa33e79-38163538.jpg']","['files/p19/p19759491/s54010994/9212c3a6-8bed5158-601c88b9-1f239c51-e1049431.jpg\n', 'files/p19/p19759491/s54010994/bd9e6004-1c524f7f-ef858f02-2076cac1-7e6c370a.jpg\n']"
s54127292_7,p19759491,s54127292,7,Findings,PA and lateral chest radiographs were obtained. Aeration of the lungs has improved since the last exam. Retrocardiac opacity in the left lower lobe is persistent. Severe cardiomegaly has not changed. The positions of biventricular pacing leads are stable.,Severe cardiomegaly has not changed.,cardiomegaly,,Stable,"['files/p19/p19759491/s54127292/603fdb7f-afe35a77-b061a67b-584da7df-a8c17895.jpg', 'files/p19/p19759491/s54127292/f16d1f96-470d26ac-7b1a4657-afa33e79-38163538.jpg']","['files/p19/p19759491/s54010994/9212c3a6-8bed5158-601c88b9-1f239c51-e1049431.jpg\n', 'files/p19/p19759491/s54010994/bd9e6004-1c524f7f-ef858f02-2076cac1-7e6c370a.jpg\n']"
s54128006_0,p15393401,s54128006,0,Findings,"Frontal and lateral views of the chest are obtained. There is persistent bibasilar atelectasis. No new focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.",There is persistent bibasilar atelectasis.,atelectasis,bibasilar,Stable,"['files/p15/p15393401/s54128006/ba3fb88d-d17476f9-7e265acc-3818caee-7fe0f04e.jpg', 'files/p15/p15393401/s54128006/bbbda37b-a4c5358b-a7bc0bf9-c4eb7ea2-7ebbc0fb.jpg']","['files/p15/p15393401/s53386512/3fcac1c0-7afa558f-f51df555-3ba02f47-ad17da4f.jpg\n', 'files/p15/p15393401/s53386512/ce0eeca8-194e6434-1bfb6524-16939184-98a84525.jpg\n', 'files/p15/p15393401/s53386512/efea65d1-1ef297f0-129ff6e4-c843bd43-2db0b71d.jpg\n']"
s54128006_0,p15393401,s54128006,0,Findings,"Frontal and lateral views of the chest are obtained. There is persistent bibasilar atelectasis. No new focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.",The cardiac and mediastinal silhouettes are stable.,silhouettes,cardiac and mediastinal,Stable,"['files/p15/p15393401/s54128006/ba3fb88d-d17476f9-7e265acc-3818caee-7fe0f04e.jpg', 'files/p15/p15393401/s54128006/bbbda37b-a4c5358b-a7bc0bf9-c4eb7ea2-7ebbc0fb.jpg']","['files/p15/p15393401/s53386512/3fcac1c0-7afa558f-f51df555-3ba02f47-ad17da4f.jpg\n', 'files/p15/p15393401/s53386512/ce0eeca8-194e6434-1bfb6524-16939184-98a84525.jpg\n', 'files/p15/p15393401/s53386512/efea65d1-1ef297f0-129ff6e4-c843bd43-2db0b71d.jpg\n']"
s54128006_0,p15393401,s54128006,0,Impression,No other significant interval change aside from possible decrease in small left pleural effusion noted on the prior study.,No other significant interval change aside from possible decrease in small left pleural effusion noted on the prior study.,pleural effusion,left,Better,"['files/p15/p15393401/s54128006/ba3fb88d-d17476f9-7e265acc-3818caee-7fe0f04e.jpg', 'files/p15/p15393401/s54128006/bbbda37b-a4c5358b-a7bc0bf9-c4eb7ea2-7ebbc0fb.jpg']","['files/p15/p15393401/s53386512/3fcac1c0-7afa558f-f51df555-3ba02f47-ad17da4f.jpg\n', 'files/p15/p15393401/s53386512/ce0eeca8-194e6434-1bfb6524-16939184-98a84525.jpg\n', 'files/p15/p15393401/s53386512/efea65d1-1ef297f0-129ff6e4-c843bd43-2db0b71d.jpg\n']"
s54128066_27,p12952223,s54128066,27,Impression,Progression of moderate pulmonary edema.,Progression of moderate pulmonary edema.,moderate pulmonary edema,,Worse,['files/p12/p12952223/s54128066/88fa75e4-2f2e9c03-71433ae3-1d8780f4-1e2eae3c.jpg'],"['files/p12/p12952223/s53389484/00fba0bb-9fa399fe-2d8f0ddb-5321579f-90df157e.jpg\n', 'files/p12/p12952223/s53389484/7b6c20ba-0e7929d3-490f9731-a935273d-1ba4d12f.jpg\n', 'files/p12/p12952223/s53389484/f0f2783b-afa3d964-f7b57c94-97500fd5-5b85adee.jpg\n']"
s54128066_27,p12952223,s54128066,27,Findings,Moderate pulmonary edema has progressed since yesterday. Bibasilar atelectasis is unchanged. Mild cardimegally is similar. Median sternotomy wires are intact and mediastinal clips are in expected positions.,Mild cardimegally is similar.,mild cardimegally,,Stable,['files/p12/p12952223/s54128066/88fa75e4-2f2e9c03-71433ae3-1d8780f4-1e2eae3c.jpg'],"['files/p12/p12952223/s53389484/00fba0bb-9fa399fe-2d8f0ddb-5321579f-90df157e.jpg\n', 'files/p12/p12952223/s53389484/7b6c20ba-0e7929d3-490f9731-a935273d-1ba4d12f.jpg\n', 'files/p12/p12952223/s53389484/f0f2783b-afa3d964-f7b57c94-97500fd5-5b85adee.jpg\n']"
s54128066_27,p12952223,s54128066,27,Findings,Moderate pulmonary edema has progressed since yesterday. Bibasilar atelectasis is unchanged. Mild cardimegally is similar. Median sternotomy wires are intact and mediastinal clips are in expected positions.,Bibasilar atelectasis is unchanged.,atelectasis,bibasilar,Stable,['files/p12/p12952223/s54128066/88fa75e4-2f2e9c03-71433ae3-1d8780f4-1e2eae3c.jpg'],"['files/p12/p12952223/s53389484/00fba0bb-9fa399fe-2d8f0ddb-5321579f-90df157e.jpg\n', 'files/p12/p12952223/s53389484/7b6c20ba-0e7929d3-490f9731-a935273d-1ba4d12f.jpg\n', 'files/p12/p12952223/s53389484/f0f2783b-afa3d964-f7b57c94-97500fd5-5b85adee.jpg\n']"
s54128066_27,p12952223,s54128066,27,Findings,Moderate pulmonary edema has progressed since yesterday. Bibasilar atelectasis is unchanged. Mild cardimegally is similar. Median sternotomy wires are intact and mediastinal clips are in expected positions.,Moderate pulmonary edema has progressed since yesterday.,moderate pulmonary edema,,Worse,['files/p12/p12952223/s54128066/88fa75e4-2f2e9c03-71433ae3-1d8780f4-1e2eae3c.jpg'],"['files/p12/p12952223/s53389484/00fba0bb-9fa399fe-2d8f0ddb-5321579f-90df157e.jpg\n', 'files/p12/p12952223/s53389484/7b6c20ba-0e7929d3-490f9731-a935273d-1ba4d12f.jpg\n', 'files/p12/p12952223/s53389484/f0f2783b-afa3d964-f7b57c94-97500fd5-5b85adee.jpg\n']"
s54133231_4,p14794396,s54133231,4,Findings,NO FOCAL CONSOLIDATION IS SEEN. THERE IS MINOR BASILAR ATELECTASIS. NO PLEURAL EFFUSION OR PNEUMOTHORAX. THE CARDIAC AND MEDIASTINAL SILHOUETTES ARE STABLE. LINEAR RADIOPAQUE STRUCTURE PROJECTING OVER THE LEFT HEMIDIAPHRAGM MAY BE EXTERNAL TO THE PATIENT OR SURGICAL CLIPS. ADDITIONAL SURGICAL CLIPS ARE NOTED IN THE LEFT MID HEMITHORAX AND UPPER HEMITHORAX.,THE CARDIAC AND MEDIASTINAL SILHOUETTES ARE STABLE.,silhouettes,cardiac and mediastinal,Stable,"['files/p14/p14794396/s54133231/2f40daa6-51dad1b2-e683d1c3-cdf10946-d37ae69f.jpg', 'files/p14/p14794396/s54133231/7b6d99b9-abd98664-19db4d28-6510c45f-df1bec18.jpg']","['files/p14/p14794396/s51900597/b8f3266c-fd5e2262-10ddcd8f-b4a513bc-dd07a145.jpg\n', 'files/p14/p14794396/s51900597/b94eec73-cb649388-7099d440-7f1bbf0c-f1a3b98d.jpg\n']"
s54133721_31,p12185775,s54133721,31,Findings,AP and lateral views of the chest. Low lung volumes. Two calcified granulomas in the left lung are unchanged. No focal consolidation or pneumothorax. There are small bilateral pleural effusions. Cardiomediastinal and hilar contours are stable. Degenerative changes are again seen in the spine.,Cardiomediastinal and hilar contours are stable.,Cardiomediastinal and hilar contours,,Stable,"['files/p12/p12185775/s54133721/91ba091c-cee12c63-ff22dde9-147ea7bb-418900c4.jpg', 'files/p12/p12185775/s54133721/dc3b047f-54a16324-3e28091b-9d53d461-debc37f2.jpg']",['files/p12/p12185775/s53930112/b738cf47-6ae04cdf-25d11841-ddcb8d78-fe7feceb.jpg\n']
s54133721_31,p12185775,s54133721,31,Findings,AP and lateral views of the chest. Low lung volumes. Two calcified granulomas in the left lung are unchanged. No focal consolidation or pneumothorax. There are small bilateral pleural effusions. Cardiomediastinal and hilar contours are stable. Degenerative changes are again seen in the spine.,Two calcified granulomas in the left lung are unchanged.,calcified granulomas,left lung,Stable,"['files/p12/p12185775/s54133721/91ba091c-cee12c63-ff22dde9-147ea7bb-418900c4.jpg', 'files/p12/p12185775/s54133721/dc3b047f-54a16324-3e28091b-9d53d461-debc37f2.jpg']",['files/p12/p12185775/s53930112/b738cf47-6ae04cdf-25d11841-ddcb8d78-fe7feceb.jpg\n']
s54135185_2,p14608347,s54135185,2,Impression,1. Stable moderate hiatal hernia. 2. No acute cardiopulmonary process. No evidence of aspiration.,Stable moderate hiatal hernia.,moderate hiatal hernia,,Stable,"['files/p14/p14608347/s54135185/59f7b1a5-e3b803cc-ec6d1131-1e8caefd-eed8e970.jpg', 'files/p14/p14608347/s54135185/659b7656-5c312fe2-6ee7299d-888e06f1-93f4d7e0.jpg', 'files/p14/p14608347/s54135185/dfd7957a-264424c1-2d9c4a61-2b5aa381-f6983154.jpg']",
s54135185_2,p14608347,s54135185,2,Findings,"Air-fluid levels are identified within the previously visualized retrocardiac opacity, findings consistent with a stable moderate hiatal hernia. The lungs are clear. There is no focal consolidation or pneumothorax. There is no vascular congestion or pleural effusions. Cardiomediastinal and hilar contours are within normal limits.","Air-fluid levels are identified within the previously visualized retrocardiac opacity, findings consistent with a stable moderate hiatal hernia.",hiatal hernia,retrocardiac,Stable,"['files/p14/p14608347/s54135185/59f7b1a5-e3b803cc-ec6d1131-1e8caefd-eed8e970.jpg', 'files/p14/p14608347/s54135185/659b7656-5c312fe2-6ee7299d-888e06f1-93f4d7e0.jpg', 'files/p14/p14608347/s54135185/dfd7957a-264424c1-2d9c4a61-2b5aa381-f6983154.jpg']",
s54137212_24,p10268877,s54137212,24,Findings,Single portable view of the chest is compared to previous exam from ___. Tracheostomy tube is again noted. Left PICC tip is not clearly delineated on the current exam. Again there is mild pulmonary vascular congestion. Streaky opacities at the lung bases suggestive of atelectasis; however infection cannot be excluded. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.,Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.,Cardiomediastinal silhouette,,Stable,['files/p10/p10268877/s54137212/e279d10a-22b3d14a-0527c87a-bbd31c9b-de232422.jpg'],['files/p10/p10268877/s54103072/46258faf-c930aa13-1b09c523-4972126b-47bba114.jpg\n']
s54137212_24,p10268877,s54137212,24,Findings,Single portable view of the chest is compared to previous exam from ___. Tracheostomy tube is again noted. Left PICC tip is not clearly delineated on the current exam. Again there is mild pulmonary vascular congestion. Streaky opacities at the lung bases suggestive of atelectasis; however infection cannot be excluded. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.,Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.,Osseous and soft tissue structures,,Stable,['files/p10/p10268877/s54137212/e279d10a-22b3d14a-0527c87a-bbd31c9b-de232422.jpg'],['files/p10/p10268877/s54103072/46258faf-c930aa13-1b09c523-4972126b-47bba114.jpg\n']
s54137212_24,p10268877,s54137212,24,Findings,Single portable view of the chest is compared to previous exam from ___. Tracheostomy tube is again noted. Left PICC tip is not clearly delineated on the current exam. Again there is mild pulmonary vascular congestion. Streaky opacities at the lung bases suggestive of atelectasis; however infection cannot be excluded. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.,Tracheostomy tube is again noted.,Tracheostomy tube,,Stable,['files/p10/p10268877/s54137212/e279d10a-22b3d14a-0527c87a-bbd31c9b-de232422.jpg'],['files/p10/p10268877/s54103072/46258faf-c930aa13-1b09c523-4972126b-47bba114.jpg\n']
s54137212_24,p10268877,s54137212,24,Findings,Single portable view of the chest is compared to previous exam from ___. Tracheostomy tube is again noted. Left PICC tip is not clearly delineated on the current exam. Again there is mild pulmonary vascular congestion. Streaky opacities at the lung bases suggestive of atelectasis; however infection cannot be excluded. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.,Again there is mild pulmonary vascular congestion.,Mild pulmonary vascular congestion,,Stable,['files/p10/p10268877/s54137212/e279d10a-22b3d14a-0527c87a-bbd31c9b-de232422.jpg'],['files/p10/p10268877/s54103072/46258faf-c930aa13-1b09c523-4972126b-47bba114.jpg\n']
s54140146_13,p16826047,s54140146,13,Findings,"Comparison is made to the prior study from ___. There is a right basilar chest tube. There remains a moderate to large right-sided pleural effusion which is stable in size. There is a right-sided Port-A-Cath with distal lead tip in distal SVC. There is stable cardiomegaly. The left lung is clear. Overall, there is no appreciable change. No pneumothoraces are seen.",There remains a moderate to large right-sided pleural effusion which is stable in size,pleural effusion,right-sided,Stable,['files/p16/p16826047/s54140146/d2f3ca46-8acb3e22-648cbc5d-db7450d3-d3a634a6.jpg'],"['files/p16/p16826047/s53010349/299e5b56-5569fb81-d1129251-b7cb6071-ab3dc20b.jpg\n', 'files/p16/p16826047/s53010349/fe7bd495-cd1ee433-25411a4e-13614d8b-00bb590c.jpg\n']"
s54140146_13,p16826047,s54140146,13,Findings,"Comparison is made to the prior study from ___. There is a right basilar chest tube. There remains a moderate to large right-sided pleural effusion which is stable in size. There is a right-sided Port-A-Cath with distal lead tip in distal SVC. There is stable cardiomegaly. The left lung is clear. Overall, there is no appreciable change. No pneumothoraces are seen.",There is stable cardiomegaly,cardiomegaly,,Stable,['files/p16/p16826047/s54140146/d2f3ca46-8acb3e22-648cbc5d-db7450d3-d3a634a6.jpg'],"['files/p16/p16826047/s53010349/299e5b56-5569fb81-d1129251-b7cb6071-ab3dc20b.jpg\n', 'files/p16/p16826047/s53010349/fe7bd495-cd1ee433-25411a4e-13614d8b-00bb590c.jpg\n']"
s54145592_1,p14312560,s54145592,1,Findings,"There are increased pulmonary vascular markings and redistribution. Prominent azygos vein is also noted. There is mild cardiomegaly, unchanged. No focal consolidation, pleural effusion, or pneumothorax is seen. The NG tube courses through the esophagus and terminates outside the field of view.","There is mild cardiomegaly, unchanged.",cardiomegaly,,Stable,['files/p14/p14312560/s54145592/2e02dd1a-6c84da2d-c2df5435-9ac1ab07-f7351caa.jpg'],"['files/p14/p14312560/s52078894/cfc2ef1b-a194024a-6147d0d3-6d42379a-575c395f.jpg\n', 'files/p14/p14312560/s52078894/ef44cff6-c00bc7fa-7a405dea-28717c25-1b5e3ac6.jpg\n']"
s54146597_10,p14841168,s54146597,10,Findings,"As compared to the previous radiograph, the patient has received a new Dobbhoff tube. The tip of the tube projects over the middle parts of the stomach. The course of the tube is unremarkable. There is no evidence of complications, notably no pneumothorax. Otherwise, the radiographic appearance of the thoracic organs is similar to the previous examination.","Otherwise, the radiographic appearance of the thoracic organs is similar to the previous examination.",thoracic organs,,Stable,"['files/p14/p14841168/s54146597/d43be646-19f03d73-110ab467-b77f44ad-4f285803.jpg', 'files/p14/p14841168/s54146597/d89f6431-69df909d-747f1354-8a38a37f-5835e7aa.jpg']",['files/p14/p14841168/s54103570/1bc3bed7-2aa120b0-65805fec-266c7e92-f3eebc0a.jpg\n']
s54146597_10,p14841168,s54146597,10,Findings,"As compared to the previous radiograph, the patient has received a new Dobbhoff tube. The tip of the tube projects over the middle parts of the stomach. The course of the tube is unremarkable. There is no evidence of complications, notably no pneumothorax. Otherwise, the radiographic appearance of the thoracic organs is similar to the previous examination.","As compared to the previous radiograph, the patient has received a new Dobbhoff tube.",Dobbhoff tube,middle parts of the stomach,New,"['files/p14/p14841168/s54146597/d43be646-19f03d73-110ab467-b77f44ad-4f285803.jpg', 'files/p14/p14841168/s54146597/d89f6431-69df909d-747f1354-8a38a37f-5835e7aa.jpg']",['files/p14/p14841168/s54103570/1bc3bed7-2aa120b0-65805fec-266c7e92-f3eebc0a.jpg\n']
s54155919_17,p14851532,s54155919,17,Findings,"Support and monitoring devices are in standard position, and cardiomediastinal contours are stable. Mass-like area of consolidation at left apex appears slightly less dense and has been more fully evaluated by recent CT. Moderate layering right pleural effusion and small left pleural effusion are similar, with adjacent bibasilar areas of atelectasis or consolidation.",Mass-like area of consolidation at left apex appears slightly less dense and has been more fully evaluated by recent CT.,Consolidation,left apex,Better,"['files/p14/p14851532/s54155919/c4553877-9b07b9a5-f62948cd-a312c9b6-a2980bca.jpg', 'files/p14/p14851532/s54155919/fb7ca346-c681578f-ca4991f6-03844d32-706f3694.jpg']",['files/p14/p14851532/s53992179/bf704123-a17d33d9-d80aaea8-665e04f1-11a14368.jpg\n']
s54155919_17,p14851532,s54155919,17,Findings,"Support and monitoring devices are in standard position, and cardiomediastinal contours are stable. Mass-like area of consolidation at left apex appears slightly less dense and has been more fully evaluated by recent CT. Moderate layering right pleural effusion and small left pleural effusion are similar, with adjacent bibasilar areas of atelectasis or consolidation.","Support and monitoring devices are in standard position, and cardiomediastinal contours are stable.",Cardiomediastinal contours,,Stable,"['files/p14/p14851532/s54155919/c4553877-9b07b9a5-f62948cd-a312c9b6-a2980bca.jpg', 'files/p14/p14851532/s54155919/fb7ca346-c681578f-ca4991f6-03844d32-706f3694.jpg']",['files/p14/p14851532/s53992179/bf704123-a17d33d9-d80aaea8-665e04f1-11a14368.jpg\n']
s54155919_17,p14851532,s54155919,17,Findings,"Support and monitoring devices are in standard position, and cardiomediastinal contours are stable. Mass-like area of consolidation at left apex appears slightly less dense and has been more fully evaluated by recent CT. Moderate layering right pleural effusion and small left pleural effusion are similar, with adjacent bibasilar areas of atelectasis or consolidation.","Moderate layering right pleural effusion and small left pleural effusion are similar, with adjacent bibasilar areas of atelectasis or consolidation.",Pleural effusion,right,Stable,"['files/p14/p14851532/s54155919/c4553877-9b07b9a5-f62948cd-a312c9b6-a2980bca.jpg', 'files/p14/p14851532/s54155919/fb7ca346-c681578f-ca4991f6-03844d32-706f3694.jpg']",['files/p14/p14851532/s53992179/bf704123-a17d33d9-d80aaea8-665e04f1-11a14368.jpg\n']
s54155919_17,p14851532,s54155919,17,Findings,"Support and monitoring devices are in standard position, and cardiomediastinal contours are stable. Mass-like area of consolidation at left apex appears slightly less dense and has been more fully evaluated by recent CT. Moderate layering right pleural effusion and small left pleural effusion are similar, with adjacent bibasilar areas of atelectasis or consolidation.","Moderate layering right pleural effusion and small left pleural effusion are similar, with adjacent bibasilar areas of atelectasis or consolidation.",Atelectasis or consolidation,bibasilar,Stable,"['files/p14/p14851532/s54155919/c4553877-9b07b9a5-f62948cd-a312c9b6-a2980bca.jpg', 'files/p14/p14851532/s54155919/fb7ca346-c681578f-ca4991f6-03844d32-706f3694.jpg']",['files/p14/p14851532/s53992179/bf704123-a17d33d9-d80aaea8-665e04f1-11a14368.jpg\n']
s54155919_17,p14851532,s54155919,17,Findings,"Support and monitoring devices are in standard position, and cardiomediastinal contours are stable. Mass-like area of consolidation at left apex appears slightly less dense and has been more fully evaluated by recent CT. Moderate layering right pleural effusion and small left pleural effusion are similar, with adjacent bibasilar areas of atelectasis or consolidation.","Support and monitoring devices are in standard position, and cardiomediastinal contours are stable.",Support and monitoring devices,,Stable,"['files/p14/p14851532/s54155919/c4553877-9b07b9a5-f62948cd-a312c9b6-a2980bca.jpg', 'files/p14/p14851532/s54155919/fb7ca346-c681578f-ca4991f6-03844d32-706f3694.jpg']",['files/p14/p14851532/s53992179/bf704123-a17d33d9-d80aaea8-665e04f1-11a14368.jpg\n']
s54155919_17,p14851532,s54155919,17,Findings,"Support and monitoring devices are in standard position, and cardiomediastinal contours are stable. Mass-like area of consolidation at left apex appears slightly less dense and has been more fully evaluated by recent CT. Moderate layering right pleural effusion and small left pleural effusion are similar, with adjacent bibasilar areas of atelectasis or consolidation.","Moderate layering right pleural effusion and small left pleural effusion are similar, with adjacent bibasilar areas of atelectasis or consolidation.",Pleural effusion,left,Stable,"['files/p14/p14851532/s54155919/c4553877-9b07b9a5-f62948cd-a312c9b6-a2980bca.jpg', 'files/p14/p14851532/s54155919/fb7ca346-c681578f-ca4991f6-03844d32-706f3694.jpg']",['files/p14/p14851532/s53992179/bf704123-a17d33d9-d80aaea8-665e04f1-11a14368.jpg\n']
s54164323_0,p11928692,s54164323,0,Findings,"There is a left pacemaker with appropriately positioned right atrial and right ventricular leads. The heart is moderately enlarged, increased in size compared to ___. There is pulmonary venous congestion with cephalization and predominantly perihilar heterogeneous opacities, consistent with mild interstitial pulmonary edema. No pleural effusions or pneumothorax. Possible slight loss of height of a upper mid thoracic vertebral body would be unchanged compared to ___.","The heart is moderately enlarged, increased in size compared to ___.",Moderate cardiomegaly,,Worse,"['files/p11/p11928692/s54164323/129d1cfc-6a372c68-c84b5eaf-53903d40-670d6d9c.jpg', 'files/p11/p11928692/s54164323/3606dd6e-1d4e216a-0251de47-cb1445d6-fcb76ed3.jpg', 'files/p11/p11928692/s54164323/405e6cc1-70b9d9b3-1c752677-010c4ee9-b217b783.jpg', 'files/p11/p11928692/s54164323/5475bdcc-37f6b853-142a043b-3e6572f9-5b71d475.jpg']","['files/p11/p11928692/s53222889/21d9c2b2-5e94a363-aa3b9d61-a6858503-795b84ab.jpg\n', 'files/p11/p11928692/s53222889/2ea8f7b3-8e1fd4ff-87a29ebc-702190c4-45123977.jpg\n', 'files/p11/p11928692/s53222889/6bd4c046-822ab57b-56c2ade0-5990ad2d-449af809.jpg\n', 'files/p11/p11928692/s53222889/d1b9813f-08d920a6-85c9bb6f-c516c1ee-a56f9d38.jpg\n']"
s54164323_0,p11928692,s54164323,0,Findings,"There is a left pacemaker with appropriately positioned right atrial and right ventricular leads. The heart is moderately enlarged, increased in size compared to ___. There is pulmonary venous congestion with cephalization and predominantly perihilar heterogeneous opacities, consistent with mild interstitial pulmonary edema. No pleural effusions or pneumothorax. Possible slight loss of height of a upper mid thoracic vertebral body would be unchanged compared to ___.",Possible slight loss of height of a upper mid thoracic vertebral body would be unchanged compared to ___.,Vertebral body height loss,Upper mid thoracic,Stable,"['files/p11/p11928692/s54164323/129d1cfc-6a372c68-c84b5eaf-53903d40-670d6d9c.jpg', 'files/p11/p11928692/s54164323/3606dd6e-1d4e216a-0251de47-cb1445d6-fcb76ed3.jpg', 'files/p11/p11928692/s54164323/405e6cc1-70b9d9b3-1c752677-010c4ee9-b217b783.jpg', 'files/p11/p11928692/s54164323/5475bdcc-37f6b853-142a043b-3e6572f9-5b71d475.jpg']","['files/p11/p11928692/s53222889/21d9c2b2-5e94a363-aa3b9d61-a6858503-795b84ab.jpg\n', 'files/p11/p11928692/s53222889/2ea8f7b3-8e1fd4ff-87a29ebc-702190c4-45123977.jpg\n', 'files/p11/p11928692/s53222889/6bd4c046-822ab57b-56c2ade0-5990ad2d-449af809.jpg\n', 'files/p11/p11928692/s53222889/d1b9813f-08d920a6-85c9bb6f-c516c1ee-a56f9d38.jpg\n']"
s54171810_37,p14851532,s54171810,37,Impression,"Mild pulmonary edema which developed between ___ and ___ accompanied by increasing moderate cardiomegaly has partially cleared, but there has been increase in moderate right pleural effusion. New partial consolidation in the right lower lobe consistent with acute pneumonia. The region of chronic bronchiectasis in the left supra hilar lung, with an appearance strongly suggestive radiation fibrosis, is unchanged from ___. There is no evidence of active infection in that location.","The region of chronic bronchiectasis in the left supra hilar lung, with an appearance strongly suggestive radiation fibrosis, is unchanged from ___.",chronic bronchiectasis with radiation fibrosis,left supra hilar lung,Stable,['files/p14/p14851532/s54171810/8eb4a26d-a860ddfd-44a66c3f-49fcc3f5-9e3142a2.jpg'],"['files/p14/p14851532/s54155919/c4553877-9b07b9a5-f62948cd-a312c9b6-a2980bca.jpg\n', 'files/p14/p14851532/s54155919/fb7ca346-c681578f-ca4991f6-03844d32-706f3694.jpg\n']"
s54171810_37,p14851532,s54171810,37,Impression,"Mild pulmonary edema which developed between ___ and ___ accompanied by increasing moderate cardiomegaly has partially cleared, but there has been increase in moderate right pleural effusion. New partial consolidation in the right lower lobe consistent with acute pneumonia. The region of chronic bronchiectasis in the left supra hilar lung, with an appearance strongly suggestive radiation fibrosis, is unchanged from ___. There is no evidence of active infection in that location.","Mild pulmonary edema which developed between ___ and ___ accompanied by increasing moderate cardiomegaly has partially cleared, but there has been increase in moderate right pleural effusion.",moderate pleural effusion,right,Worse,['files/p14/p14851532/s54171810/8eb4a26d-a860ddfd-44a66c3f-49fcc3f5-9e3142a2.jpg'],"['files/p14/p14851532/s54155919/c4553877-9b07b9a5-f62948cd-a312c9b6-a2980bca.jpg\n', 'files/p14/p14851532/s54155919/fb7ca346-c681578f-ca4991f6-03844d32-706f3694.jpg\n']"
s54171810_37,p14851532,s54171810,37,Impression,"Mild pulmonary edema which developed between ___ and ___ accompanied by increasing moderate cardiomegaly has partially cleared, but there has been increase in moderate right pleural effusion. New partial consolidation in the right lower lobe consistent with acute pneumonia. The region of chronic bronchiectasis in the left supra hilar lung, with an appearance strongly suggestive radiation fibrosis, is unchanged from ___. There is no evidence of active infection in that location.","Mild pulmonary edema which developed between ___ and ___ accompanied by increasing moderate cardiomegaly has partially cleared, but there has been increase in moderate right pleural effusion.",mild pulmonary edema,,Better,['files/p14/p14851532/s54171810/8eb4a26d-a860ddfd-44a66c3f-49fcc3f5-9e3142a2.jpg'],"['files/p14/p14851532/s54155919/c4553877-9b07b9a5-f62948cd-a312c9b6-a2980bca.jpg\n', 'files/p14/p14851532/s54155919/fb7ca346-c681578f-ca4991f6-03844d32-706f3694.jpg\n']"
s54176477_0,p14387068,s54176477,0,Findings,"In the interim since the most recent prior examination, there has been development of a moderate amount of air within the pleural space. There is moderate fluid within the right pleural space. There is mild inflation of the right upper lobe with a collapsed right lower lobe. There is no shift of the mediastinum. The left lung shows no focal consolidation, pleural effusion or pneumothorax. The mediastinum appear unremarkable.","In the interim since the most recent prior examination, there has been development of a moderate amount of air within the pleural space.",air,within the pleural space,New,['files/p14/p14387068/s54176477/1de4e2d6-0112fe2a-07780296-bc4a23d6-fbcc2872.jpg'],['files/p14/p14387068/s54023727/d395c594-96025cff-7e6af4ad-ca08ac10-032bd500.jpg\n']
s54186218_7,p12530259,s54186218,7,Findings,"As compared to the previous radiograph, there is increasing opacity in the left hemithorax, likely reflecting post-surgical changes. Extensive gas collection in the soft tissues on the left is unchanged. Unchanged position of the left chest tube. The right lung and the cardiac silhouette are constant in shape, the right lung remains normal.","As compared to the previous radiograph, there is increasing opacity in the left hemithorax, likely reflecting post-surgical changes. Extensive gas collection in the soft tissues on the left is unchanged. Unchanged position of the left chest tube. The right lung and the cardiac silhouette are constant in shape, the right lung remains normal.",gas collection,soft tissues on the left,Stable,['files/p12/p12530259/s54186218/fbad1142-d5b71f5c-b7c34de3-9e985bf2-02239890.jpg'],"['files/p12/p12530259/s54170209/c177928c-699001c4-7f0cb68c-de208759-e10a09ee.jpg\n', 'files/p12/p12530259/s54170209/d26ea91b-a760f562-0b55d1f4-6dc8f3a5-fb983728.jpg\n']"
s54186218_7,p12530259,s54186218,7,Findings,"As compared to the previous radiograph, there is increasing opacity in the left hemithorax, likely reflecting post-surgical changes. Extensive gas collection in the soft tissues on the left is unchanged. Unchanged position of the left chest tube. The right lung and the cardiac silhouette are constant in shape, the right lung remains normal.","As compared to the previous radiograph, there is increasing opacity in the left hemithorax, likely reflecting post-surgical changes. Extensive gas collection in the soft tissues on the left is unchanged. Unchanged position of the left chest tube. The right lung and the cardiac silhouette are constant in shape, the right lung remains normal.",position,left chest tube,Stable,['files/p12/p12530259/s54186218/fbad1142-d5b71f5c-b7c34de3-9e985bf2-02239890.jpg'],"['files/p12/p12530259/s54170209/c177928c-699001c4-7f0cb68c-de208759-e10a09ee.jpg\n', 'files/p12/p12530259/s54170209/d26ea91b-a760f562-0b55d1f4-6dc8f3a5-fb983728.jpg\n']"
s54186218_7,p12530259,s54186218,7,Findings,"As compared to the previous radiograph, there is increasing opacity in the left hemithorax, likely reflecting post-surgical changes. Extensive gas collection in the soft tissues on the left is unchanged. Unchanged position of the left chest tube. The right lung and the cardiac silhouette are constant in shape, the right lung remains normal.","As compared to the previous radiograph, there is increasing opacity in the left hemithorax, likely reflecting post-surgical changes. Extensive gas collection in the soft tissues on the left is unchanged. Unchanged position of the left chest tube. The right lung and the cardiac silhouette are constant in shape, the right lung remains normal.",normal,right lung,Stable,['files/p12/p12530259/s54186218/fbad1142-d5b71f5c-b7c34de3-9e985bf2-02239890.jpg'],"['files/p12/p12530259/s54170209/c177928c-699001c4-7f0cb68c-de208759-e10a09ee.jpg\n', 'files/p12/p12530259/s54170209/d26ea91b-a760f562-0b55d1f4-6dc8f3a5-fb983728.jpg\n']"
s54186218_7,p12530259,s54186218,7,Findings,"As compared to the previous radiograph, there is increasing opacity in the left hemithorax, likely reflecting post-surgical changes. Extensive gas collection in the soft tissues on the left is unchanged. Unchanged position of the left chest tube. The right lung and the cardiac silhouette are constant in shape, the right lung remains normal.","As compared to the previous radiograph, there is increasing opacity in the left hemithorax, likely reflecting post-surgical changes. Extensive gas collection in the soft tissues on the left is unchanged. Unchanged position of the left chest tube. The right lung and the cardiac silhouette are constant in shape, the right lung remains normal.",opacity,left hemithorax,Worse,['files/p12/p12530259/s54186218/fbad1142-d5b71f5c-b7c34de3-9e985bf2-02239890.jpg'],"['files/p12/p12530259/s54170209/c177928c-699001c4-7f0cb68c-de208759-e10a09ee.jpg\n', 'files/p12/p12530259/s54170209/d26ea91b-a760f562-0b55d1f4-6dc8f3a5-fb983728.jpg\n']"
s54189324_3,p17720924,s54189324,3,Impression,"1. There is no pulmonary edema and little vascular engorgement. 2. Bulging of the aortopulmonary window, new since ___, and a newly identified 16 mm left upper lobe nodule can be initially better evaluated with routine PA and lateral chest radiographs, and an additional lordotic view. ___ was informed at ___ on ___ by Dr. ___.","Bulging of the aortopulmonary window, new since ___, and a newly identified 16 mm left upper lobe nodule can be initially better evaluated with routine PA and lateral chest radiographs, and an additional lordotic view.",nodule,left upper lobe,New,['files/p17/p17720924/s54189324/b66134df-5633dcee-3b45733a-4a641496-1c7e730c.jpg'],['files/p17/p17720924/s53687124/41479840-5d9f3cf1-ac29c4be-7007cfb9-37e379f3.jpg\n']
s54189324_3,p17720924,s54189324,3,Impression,"1. There is no pulmonary edema and little vascular engorgement. 2. Bulging of the aortopulmonary window, new since ___, and a newly identified 16 mm left upper lobe nodule can be initially better evaluated with routine PA and lateral chest radiographs, and an additional lordotic view. ___ was informed at ___ on ___ by Dr. ___.","Bulging of the aortopulmonary window, new since ___, and a newly identified 16 mm left upper lobe nodule can be initially better evaluated with routine PA and lateral chest radiographs, and an additional lordotic view.",bulging,aortopulmonary window,New,['files/p17/p17720924/s54189324/b66134df-5633dcee-3b45733a-4a641496-1c7e730c.jpg'],['files/p17/p17720924/s53687124/41479840-5d9f3cf1-ac29c4be-7007cfb9-37e379f3.jpg\n']
s54189324_3,p17720924,s54189324,3,Findings,"The lungs are well expanded with little vascular engorgement. The heart size is normal. The minimal bibasilar atelectasis is unchanged. There is suggestion of a new 16 mm left upper lobe nodule. Additionally, the aortopulmonary window is bulging, new since ___. There is no apical pneumothorax or large pleural effusion.",The minimal bibasilar atelectasis is unchanged.,atelectasis,bibasilar,Stable,['files/p17/p17720924/s54189324/b66134df-5633dcee-3b45733a-4a641496-1c7e730c.jpg'],['files/p17/p17720924/s53687124/41479840-5d9f3cf1-ac29c4be-7007cfb9-37e379f3.jpg\n']
s54189324_3,p17720924,s54189324,3,Findings,"The lungs are well expanded with little vascular engorgement. The heart size is normal. The minimal bibasilar atelectasis is unchanged. There is suggestion of a new 16 mm left upper lobe nodule. Additionally, the aortopulmonary window is bulging, new since ___. There is no apical pneumothorax or large pleural effusion.",There is suggestion of a new 16 mm left upper lobe nodule.,nodule,left upper lobe,New,['files/p17/p17720924/s54189324/b66134df-5633dcee-3b45733a-4a641496-1c7e730c.jpg'],['files/p17/p17720924/s53687124/41479840-5d9f3cf1-ac29c4be-7007cfb9-37e379f3.jpg\n']
s54189324_3,p17720924,s54189324,3,Findings,"The lungs are well expanded with little vascular engorgement. The heart size is normal. The minimal bibasilar atelectasis is unchanged. There is suggestion of a new 16 mm left upper lobe nodule. Additionally, the aortopulmonary window is bulging, new since ___. There is no apical pneumothorax or large pleural effusion.","Additionally, the aortopulmonary window is bulging, new since ___.",bulging,aortopulmonary window,New,['files/p17/p17720924/s54189324/b66134df-5633dcee-3b45733a-4a641496-1c7e730c.jpg'],['files/p17/p17720924/s53687124/41479840-5d9f3cf1-ac29c4be-7007cfb9-37e379f3.jpg\n']
s54198369_3,p18855147,s54198369,3,Findings,"As compared to the previous radiograph, the nasogastric tube has been removed. The double-lumen dialysis catheter on the right remains unchanged. Unchanged mild-to-moderate cardiomegaly with signs of mild interstitial lung edema. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. Minimal atelectasis in the retrocardiac lung areas.",The double-lumen dialysis catheter on the right remains unchanged.,Double-lumen dialysis catheter,Right,Stable,['files/p18/p18855147/s54198369/4055e006-3d0171d5-07ea571b-cf29d489-7847ba6e.jpg'],['files/p18/p18855147/s54043642/b361a1e1-b9c3ab9d-c2cc8344-2903cfd8-3888d7b9.jpg\n']
s54198369_3,p18855147,s54198369,3,Findings,"As compared to the previous radiograph, the nasogastric tube has been removed. The double-lumen dialysis catheter on the right remains unchanged. Unchanged mild-to-moderate cardiomegaly with signs of mild interstitial lung edema. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. Minimal atelectasis in the retrocardiac lung areas.",Unchanged mild-to-moderate cardiomegaly with signs of mild interstitial lung edema.,Cardiomegaly,,Stable,['files/p18/p18855147/s54198369/4055e006-3d0171d5-07ea571b-cf29d489-7847ba6e.jpg'],['files/p18/p18855147/s54043642/b361a1e1-b9c3ab9d-c2cc8344-2903cfd8-3888d7b9.jpg\n']
s54198369_3,p18855147,s54198369,3,Findings,"As compared to the previous radiograph, the nasogastric tube has been removed. The double-lumen dialysis catheter on the right remains unchanged. Unchanged mild-to-moderate cardiomegaly with signs of mild interstitial lung edema. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. Minimal atelectasis in the retrocardiac lung areas.",Unchanged mild-to-moderate cardiomegaly with signs of mild interstitial lung edema.,Interstitial lung edema,,Stable,['files/p18/p18855147/s54198369/4055e006-3d0171d5-07ea571b-cf29d489-7847ba6e.jpg'],['files/p18/p18855147/s54043642/b361a1e1-b9c3ab9d-c2cc8344-2903cfd8-3888d7b9.jpg\n']
s54198369_3,p18855147,s54198369,3,Findings,"As compared to the previous radiograph, the nasogastric tube has been removed. The double-lumen dialysis catheter on the right remains unchanged. Unchanged mild-to-moderate cardiomegaly with signs of mild interstitial lung edema. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. Minimal atelectasis in the retrocardiac lung areas.","As compared to the previous radiograph, the nasogastric tube has been removed.",Nasogastric tube,,Resolve,['files/p18/p18855147/s54198369/4055e006-3d0171d5-07ea571b-cf29d489-7847ba6e.jpg'],['files/p18/p18855147/s54043642/b361a1e1-b9c3ab9d-c2cc8344-2903cfd8-3888d7b9.jpg\n']
s54199404_27,p14851532,s54199404,27,Findings,"In comparison with study of ___, the patient has taken a much better inspiration. There is enlargement of the cardiac silhouette with evidence of pulmonary vascular congestion that is less prominent than on the previous study. Retrocardiac opacification is consistent with volume loss in the lower lobe and there is blunting of both costophrenic angles. No evidence of pneumothorax. No acute focal pneumonia is identified.",There is enlargement of the cardiac silhouette with evidence of pulmonary vascular congestion that is less prominent than on the previous study.,enlargement,cardiac silhouette,Better,['files/p14/p14851532/s54199404/c1d88bcb-41125f69-0bde8f97-cf27b9f3-3e411312.jpg'],['files/p14/p14851532/s54171810/8eb4a26d-a860ddfd-44a66c3f-49fcc3f5-9e3142a2.jpg\n']
s54211038_24,p12185775,s54211038,24,Findings,New endotracheal tube is seen appropriately positioned terminating no less than 2.5 cm above the carina. There are low lung volumes bilaterally with moderate pulmonary edema . Small quantity of bilateral pleural effusion is seen. Cardiomediastinal silhouette is somewhat obscured but is stable and within normal limits.,Cardiomediastinal silhouette is somewhat obscured but is stable and within normal limits.,Cardiomediastinal silhouette,,Stable,['files/p12/p12185775/s54211038/f2a7f664-bfff0efe-5bb44ad4-469f58a4-0e6b7892.jpg'],"['files/p12/p12185775/s54133721/91ba091c-cee12c63-ff22dde9-147ea7bb-418900c4.jpg\n', 'files/p12/p12185775/s54133721/dc3b047f-54a16324-3e28091b-9d53d461-debc37f2.jpg\n']"
s54212695_20,p15131736,s54212695,20,Impression,"AP chest compared to ___: Lung volumes have improved since ___. Cardiomegaly is chronic and severe, as are dilated pulmonary arteries, this examination neither suggests nor excludes the diagnosis of acute pulmonary embolism. There is no good evidence for edema or pneumonia and no appreciable pleural effusion or pneumothorax.",AP chest compared to ___: Lung volumes have improved since ___.,Lung volumes,,Better,['files/p15/p15131736/s54212695/435f9f3d-20761ab9-c5f2bca8-9d5b204f-3520a1a0.jpg'],['files/p15/p15131736/s53904896/2482c720-f75763bb-00774ba9-894119a7-24bd15a6.jpg\n']
s54214300_8,p16751749,s54214300,8,Findings,Per chest x-ray small right apical pneumothorax is present. This area can now no longer be evaluated due to overlying subcutaneous emphysema. Few opacifications have been present on numerous previous films. There is an increased density around the right chest tube which was not present on the chest x-ray of ___ though was present on the prior chest x-ray of 4:00 a.m. This is thought to probably represent atelectasis but could represent an area of infection.,There is an increased density around the right chest tube which was not present on the chest x-ray of ___ though was present on the prior chest x-ray of 4:00 a.m. This is thought to probably represent atelectasis but could represent an area of infection.,Increased density,Around the right chest tube,New,['files/p16/p16751749/s54214300/3b132e00-e784c635-410bd026-a7a98d77-878308f5.jpg'],['files/p16/p16751749/s54136532/cb1f8e7a-37c1dd98-3ded7ccb-0f29a540-71ff7d2d.jpg\n']
s54218896_5,p12303667,s54218896,5,Findings,The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lung volumes are increased compared to the most recent prior study. Diffuse interstitial abnormality with small nodules not significantly changed. Pulmonary vasculature is within normal limits.,Lung volumes are increased compared to the most recent prior study.,Lung volumes,,Worse,['files/p12/p12303667/s54218896/e4e0e4ff-71138eac-7cef38bd-ce820887-d59037ff.jpg'],['files/p12/p12303667/s53999109/ba5d48f0-3105c3a1-1e049eec-c72ac120-415942b0.jpg\n']
s54218896_5,p12303667,s54218896,5,Impression,"Diffuse interstitial abnormalities, small nodules, with no appreciable progression. Improved lung volumes.",Improved lung volumes.,Lung volumes,,Better,['files/p12/p12303667/s54218896/e4e0e4ff-71138eac-7cef38bd-ce820887-d59037ff.jpg'],['files/p12/p12303667/s53999109/ba5d48f0-3105c3a1-1e049eec-c72ac120-415942b0.jpg\n']
s54218896_5,p12303667,s54218896,5,Impression,"Diffuse interstitial abnormalities, small nodules, with no appreciable progression. Improved lung volumes.","Diffuse interstitial abnormalities, small nodules, with no appreciable progression.","Diffuse interstitial abnormalities, small nodules",,Stable,['files/p12/p12303667/s54218896/e4e0e4ff-71138eac-7cef38bd-ce820887-d59037ff.jpg'],['files/p12/p12303667/s53999109/ba5d48f0-3105c3a1-1e049eec-c72ac120-415942b0.jpg\n']
s54218896_5,p12303667,s54218896,5,Findings,The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lung volumes are increased compared to the most recent prior study. Diffuse interstitial abnormality with small nodules not significantly changed. Pulmonary vasculature is within normal limits.,Diffuse interstitial abnormality with small nodules not significantly changed.,Diffuse interstitial abnormality with small nodules,,Stable,['files/p12/p12303667/s54218896/e4e0e4ff-71138eac-7cef38bd-ce820887-d59037ff.jpg'],['files/p12/p12303667/s53999109/ba5d48f0-3105c3a1-1e049eec-c72ac120-415942b0.jpg\n']
s54223010_32,p15259244,s54223010,32,Findings,"Portable upright chest radiograph demonstrates an interval increase in size of a now moderate left pleural effusion with left basilar atelectasis. There is a smaller right pleural effusion with associated right basilar atelectasis. Pulmonary edema is improved. Moderate to severe cardiomegaly is unchanged, the mediastinal contours are normal. A right IJ catheter tip is unchanged projecting over the lower SVC. Median sternotomy wires, and mitral valve prosthesis are unchanged.","Moderate to severe cardiomegaly is unchanged, the mediastinal contours are normal.",moderate to severe,cardiomegaly,Stable,['files/p15/p15259244/s54223010/fd10e506-04541266-88f11cc7-b24b4822-8cf8bc4b.jpg'],['files/p15/p15259244/s54007778/c249e803-7af4d888-0de68b91-d6fda68a-387c0f5d.jpg\n']
s54223010_32,p15259244,s54223010,32,Findings,"Portable upright chest radiograph demonstrates an interval increase in size of a now moderate left pleural effusion with left basilar atelectasis. There is a smaller right pleural effusion with associated right basilar atelectasis. Pulmonary edema is improved. Moderate to severe cardiomegaly is unchanged, the mediastinal contours are normal. A right IJ catheter tip is unchanged projecting over the lower SVC. Median sternotomy wires, and mitral valve prosthesis are unchanged.",Pulmonary edema is improved.,edema,pulmonary,Better,['files/p15/p15259244/s54223010/fd10e506-04541266-88f11cc7-b24b4822-8cf8bc4b.jpg'],['files/p15/p15259244/s54007778/c249e803-7af4d888-0de68b91-d6fda68a-387c0f5d.jpg\n']
s54223010_32,p15259244,s54223010,32,Findings,"Portable upright chest radiograph demonstrates an interval increase in size of a now moderate left pleural effusion with left basilar atelectasis. There is a smaller right pleural effusion with associated right basilar atelectasis. Pulmonary edema is improved. Moderate to severe cardiomegaly is unchanged, the mediastinal contours are normal. A right IJ catheter tip is unchanged projecting over the lower SVC. Median sternotomy wires, and mitral valve prosthesis are unchanged.",Portable upright chest radiograph demonstrates an interval increase in size of a now moderate left pleural effusion with left basilar atelectasis.,atelectasis,left basilar,Worse,['files/p15/p15259244/s54223010/fd10e506-04541266-88f11cc7-b24b4822-8cf8bc4b.jpg'],['files/p15/p15259244/s54007778/c249e803-7af4d888-0de68b91-d6fda68a-387c0f5d.jpg\n']
s54223010_32,p15259244,s54223010,32,Findings,"Portable upright chest radiograph demonstrates an interval increase in size of a now moderate left pleural effusion with left basilar atelectasis. There is a smaller right pleural effusion with associated right basilar atelectasis. Pulmonary edema is improved. Moderate to severe cardiomegaly is unchanged, the mediastinal contours are normal. A right IJ catheter tip is unchanged projecting over the lower SVC. Median sternotomy wires, and mitral valve prosthesis are unchanged.",Portable upright chest radiograph demonstrates an interval increase in size of a now moderate left pleural effusion with left basilar atelectasis.,pleural effusion,left,Worse,['files/p15/p15259244/s54223010/fd10e506-04541266-88f11cc7-b24b4822-8cf8bc4b.jpg'],['files/p15/p15259244/s54007778/c249e803-7af4d888-0de68b91-d6fda68a-387c0f5d.jpg\n']
s54223010_32,p15259244,s54223010,32,Findings,"Portable upright chest radiograph demonstrates an interval increase in size of a now moderate left pleural effusion with left basilar atelectasis. There is a smaller right pleural effusion with associated right basilar atelectasis. Pulmonary edema is improved. Moderate to severe cardiomegaly is unchanged, the mediastinal contours are normal. A right IJ catheter tip is unchanged projecting over the lower SVC. Median sternotomy wires, and mitral valve prosthesis are unchanged.","Median sternotomy wires, and mitral valve prosthesis are unchanged.",position,median sternotomy wires,Stable,['files/p15/p15259244/s54223010/fd10e506-04541266-88f11cc7-b24b4822-8cf8bc4b.jpg'],['files/p15/p15259244/s54007778/c249e803-7af4d888-0de68b91-d6fda68a-387c0f5d.jpg\n']
s54223010_32,p15259244,s54223010,32,Findings,"Portable upright chest radiograph demonstrates an interval increase in size of a now moderate left pleural effusion with left basilar atelectasis. There is a smaller right pleural effusion with associated right basilar atelectasis. Pulmonary edema is improved. Moderate to severe cardiomegaly is unchanged, the mediastinal contours are normal. A right IJ catheter tip is unchanged projecting over the lower SVC. Median sternotomy wires, and mitral valve prosthesis are unchanged.","Median sternotomy wires, and mitral valve prosthesis are unchanged.",position,mitral valve prosthesis,Stable,['files/p15/p15259244/s54223010/fd10e506-04541266-88f11cc7-b24b4822-8cf8bc4b.jpg'],['files/p15/p15259244/s54007778/c249e803-7af4d888-0de68b91-d6fda68a-387c0f5d.jpg\n']
s54223010_32,p15259244,s54223010,32,Impression,"Increasing left greater than right pleural effusions, represent residua of improved congestive heart failure.","Increasing left greater than right pleural effusions, represent residua of improved congestive heart failure.",pleural effusions,left,Worse,['files/p15/p15259244/s54223010/fd10e506-04541266-88f11cc7-b24b4822-8cf8bc4b.jpg'],['files/p15/p15259244/s54007778/c249e803-7af4d888-0de68b91-d6fda68a-387c0f5d.jpg\n']
s54223010_32,p15259244,s54223010,32,Findings,"Portable upright chest radiograph demonstrates an interval increase in size of a now moderate left pleural effusion with left basilar atelectasis. There is a smaller right pleural effusion with associated right basilar atelectasis. Pulmonary edema is improved. Moderate to severe cardiomegaly is unchanged, the mediastinal contours are normal. A right IJ catheter tip is unchanged projecting over the lower SVC. Median sternotomy wires, and mitral valve prosthesis are unchanged.",A right IJ catheter tip is unchanged projecting over the lower SVC.,position,right IJ catheter tip,Stable,['files/p15/p15259244/s54223010/fd10e506-04541266-88f11cc7-b24b4822-8cf8bc4b.jpg'],['files/p15/p15259244/s54007778/c249e803-7af4d888-0de68b91-d6fda68a-387c0f5d.jpg\n']
s54224166_8,p18110020,s54224166,8,Impression,1. NG tube kinked within the stomach - consider minimal retraction to reposition. 2. Severe scoliosis with mild retrocardiac atelectasis.,1. NG tube kinked within the stomach - consider minimal retraction to reposition.,NG tube kinked,stomach,Worse,['files/p18/p18110020/s54224166/f9939219-9d47f1d2-245483ba-56d3429b-896a3f2e.jpg'],['files/p18/p18110020/s53957798/474305f3-1346d14f-d554552c-d0606af0-2edf1cb9.jpg\n']
s54224166_8,p18110020,s54224166,8,Findings,"There continues to be markedly severe S-shaped scoliosis of the thoracolumbar spine. The endogastric tube courses inferiorly into the stomach with its sideport well below the GE junction; however, the NG tube does appear kinked in the segment that is just 4.5-5 cm upstream from the sideport. The right PICC tip is in the lower SVC. Within the limits of a severely scoliotic patient, the cardiac and mediastinal contours appear normal. The lungs demonstrate mild retrocardiac atelectasis. There is no large pleural effusion or pneumothorax.",There continues to be markedly severe S-shaped scoliosis of the thoracolumbar spine.,S-shaped scoliosis,thoracolumbar spine,Stable,['files/p18/p18110020/s54224166/f9939219-9d47f1d2-245483ba-56d3429b-896a3f2e.jpg'],['files/p18/p18110020/s53957798/474305f3-1346d14f-d554552c-d0606af0-2edf1cb9.jpg\n']
s54224807_5,p18309149,s54224807,5,Findings,"In comparison with the study of ___, there is some decrease in the opacification at the right base. Chest tubes remain in place, and there is no evidence of pneumothorax. Some residual atelectasis and effusion are noted. The possibility of supervening pneumonia at the right base could not be excluded. The left lung is essentially clear with mild atelectatic changes at the base. Subcutaneous emphysema persists along the right lateral upper abdominal wall.","In comparison with the study of ___, there is some decrease in the opacification at the right base.",opacification,right base,Better,"['files/p18/p18309149/s54224807/21e742f7-ee50e64f-508ad946-db407641-972bfa79.jpg', 'files/p18/p18309149/s54224807/5cf6cfe2-4b16c014-a74dabde-ab3726ed-2cbdd4dc.jpg']","['files/p18/p18309149/s53423060/39e30ffd-62d209bb-27422c59-4d36909a-855e11d8.jpg\n', 'files/p18/p18309149/s53423060/74e72ac6-d04d2e9a-135b0911-cce87e45-cdf6d625.jpg\n']"
s54224807_5,p18309149,s54224807,5,Findings,"In comparison with the study of ___, there is some decrease in the opacification at the right base. Chest tubes remain in place, and there is no evidence of pneumothorax. Some residual atelectasis and effusion are noted. The possibility of supervening pneumonia at the right base could not be excluded. The left lung is essentially clear with mild atelectatic changes at the base. Subcutaneous emphysema persists along the right lateral upper abdominal wall.","Chest tubes remain in place, and there is no evidence of pneumothorax.",Chest tubes,,Stable,"['files/p18/p18309149/s54224807/21e742f7-ee50e64f-508ad946-db407641-972bfa79.jpg', 'files/p18/p18309149/s54224807/5cf6cfe2-4b16c014-a74dabde-ab3726ed-2cbdd4dc.jpg']","['files/p18/p18309149/s53423060/39e30ffd-62d209bb-27422c59-4d36909a-855e11d8.jpg\n', 'files/p18/p18309149/s53423060/74e72ac6-d04d2e9a-135b0911-cce87e45-cdf6d625.jpg\n']"
s54224807_5,p18309149,s54224807,5,Findings,"In comparison with the study of ___, there is some decrease in the opacification at the right base. Chest tubes remain in place, and there is no evidence of pneumothorax. Some residual atelectasis and effusion are noted. The possibility of supervening pneumonia at the right base could not be excluded. The left lung is essentially clear with mild atelectatic changes at the base. Subcutaneous emphysema persists along the right lateral upper abdominal wall.",Subcutaneous emphysema persists along the right lateral upper abdominal wall.,Subcutaneous emphysema,right lateral upper abdominal wall,Stable,"['files/p18/p18309149/s54224807/21e742f7-ee50e64f-508ad946-db407641-972bfa79.jpg', 'files/p18/p18309149/s54224807/5cf6cfe2-4b16c014-a74dabde-ab3726ed-2cbdd4dc.jpg']","['files/p18/p18309149/s53423060/39e30ffd-62d209bb-27422c59-4d36909a-855e11d8.jpg\n', 'files/p18/p18309149/s53423060/74e72ac6-d04d2e9a-135b0911-cce87e45-cdf6d625.jpg\n']"
s54225810_2,p17189198,s54225810,2,Findings,"There is hilar congestion and diffuse bilateral ground glass opacities, most predominant at the bases, slightly improved from prior exam, and most consistent with pulmonary edema. An underlying pneumonia cannot be fully excluded. There are trace bilateral pleural effusions. There is no pneumothorax. The cardiac silhouette is moderately enlarged and unchanged from the prior exam. The mediastinal contours are normal.","There is hilar congestion and diffuse bilateral ground glass opacities, most predominant at the bases, slightly improved from prior exam, and most consistent with pulmonary edema.",ground glass opacities,bilateral bases,Better,"['files/p17/p17189198/s54225810/9d3fc285-2804e9fb-140f4830-54ce06d4-478a8abd.jpg', 'files/p17/p17189198/s54225810/a02fc8d7-4d89d7b2-2bcaaf26-ebd72059-2e9d5341.jpg']",['files/p17/p17189198/s54003688/2247b067-ee0f755a-9ea52034-1cc6095d-1d4ea3df.jpg\n']
s54225810_2,p17189198,s54225810,2,Findings,"There is hilar congestion and diffuse bilateral ground glass opacities, most predominant at the bases, slightly improved from prior exam, and most consistent with pulmonary edema. An underlying pneumonia cannot be fully excluded. There are trace bilateral pleural effusions. There is no pneumothorax. The cardiac silhouette is moderately enlarged and unchanged from the prior exam. The mediastinal contours are normal.",The cardiac silhouette is moderately enlarged and unchanged from the prior exam.,cardiac silhouette,,Stable,"['files/p17/p17189198/s54225810/9d3fc285-2804e9fb-140f4830-54ce06d4-478a8abd.jpg', 'files/p17/p17189198/s54225810/a02fc8d7-4d89d7b2-2bcaaf26-ebd72059-2e9d5341.jpg']",['files/p17/p17189198/s54003688/2247b067-ee0f755a-9ea52034-1cc6095d-1d4ea3df.jpg\n']
s54232340_11,p12736592,s54232340,11,Findings,Single frontal view of the chest was obtained. The heart is of normal size with stable cardiomediastinal contours. A small right pleural effusion is similar to the exam 10 hours prior. No focal consolidation or pneumothorax. There is small atelectasis at the right base. Chronic-appearing right rib fractures are similar to prior. Sternotomy wires and mediastinal clips are intact.,Chronic-appearing right rib fractures are similar to prior.,fractures,right rib,Stable,['files/p12/p12736592/s54232340/a160eb01-5f36fb58-b0a04a57-1773448e-934b5036.jpg'],['files/p12/p12736592/s53757292/b8991dd1-b02017c1-0315cf5a-47b0351c-5dc44ccc.jpg\n']
s54232340_11,p12736592,s54232340,11,Findings,Single frontal view of the chest was obtained. The heart is of normal size with stable cardiomediastinal contours. A small right pleural effusion is similar to the exam 10 hours prior. No focal consolidation or pneumothorax. There is small atelectasis at the right base. Chronic-appearing right rib fractures are similar to prior. Sternotomy wires and mediastinal clips are intact.,A small right pleural effusion is similar to the exam 10 hours prior.,pleural effusion,right,Stable,['files/p12/p12736592/s54232340/a160eb01-5f36fb58-b0a04a57-1773448e-934b5036.jpg'],['files/p12/p12736592/s53757292/b8991dd1-b02017c1-0315cf5a-47b0351c-5dc44ccc.jpg\n']
s54232340_11,p12736592,s54232340,11,Findings,Single frontal view of the chest was obtained. The heart is of normal size with stable cardiomediastinal contours. A small right pleural effusion is similar to the exam 10 hours prior. No focal consolidation or pneumothorax. There is small atelectasis at the right base. Chronic-appearing right rib fractures are similar to prior. Sternotomy wires and mediastinal clips are intact.,The heart is of normal size with stable cardiomediastinal contours.,contours,cardiomediastinal,Stable,['files/p12/p12736592/s54232340/a160eb01-5f36fb58-b0a04a57-1773448e-934b5036.jpg'],['files/p12/p12736592/s53757292/b8991dd1-b02017c1-0315cf5a-47b0351c-5dc44ccc.jpg\n']
s54232340_11,p12736592,s54232340,11,Impression,No relevant change from study 10 hours prior. Stable small right pleural effusion.,No relevant change from study 10 hours prior. Stable small right pleural effusion.,pleural effusion,right,Stable,['files/p12/p12736592/s54232340/a160eb01-5f36fb58-b0a04a57-1773448e-934b5036.jpg'],['files/p12/p12736592/s53757292/b8991dd1-b02017c1-0315cf5a-47b0351c-5dc44ccc.jpg\n']
s54232769_0,p14147380,s54232769,0,Findings,There are low lung volumes. Bibasilar atelectasis have minimally improved. Mild vascular congestion has minimally improved. There are no new lung abnormalities or pneumothorax. Bilateral pleural effusions are small. Right PICC tip is at the cavoatrial junction.,Mild vascular congestion has minimally improved.,vascular congestion,,Better,"['files/p14/p14147380/s54232769/57fce1b0-808d43b3-38a72d47-a9e8bb62-3237e1a6.jpg', 'files/p14/p14147380/s54232769/ba098029-7060e4a9-fd9101e0-40c77d8e-64caa9f2.jpg']","['files/p14/p14147380/s52177069/84935982-fad67bfc-5d9710eb-129f88db-8f8c8df3.jpg\n', 'files/p14/p14147380/s52177069/f6cdc51b-1af2e0c3-161713ed-feeb4791-297939fc.jpg\n']"
s54232769_0,p14147380,s54232769,0,Findings,There are low lung volumes. Bibasilar atelectasis have minimally improved. Mild vascular congestion has minimally improved. There are no new lung abnormalities or pneumothorax. Bilateral pleural effusions are small. Right PICC tip is at the cavoatrial junction.,Bibasilar atelectasis have minimally improved.,atelectasis,Bibasilar,Better,"['files/p14/p14147380/s54232769/57fce1b0-808d43b3-38a72d47-a9e8bb62-3237e1a6.jpg', 'files/p14/p14147380/s54232769/ba098029-7060e4a9-fd9101e0-40c77d8e-64caa9f2.jpg']","['files/p14/p14147380/s52177069/84935982-fad67bfc-5d9710eb-129f88db-8f8c8df3.jpg\n', 'files/p14/p14147380/s52177069/f6cdc51b-1af2e0c3-161713ed-feeb4791-297939fc.jpg\n']"
s54232840_0,p13352405,s54232840,0,Findings,"There has been interval placement of a right pleural pigtail catheter projecting over the right lower chest and protruding no more than 2.5cm into the chest with associated interval decrease in size of a right pleural effusion. A right pleural effusion remains, with right basilar opacity likely representing persistent atelectasis. The cardiac silhouette is normal in size. The mediastinal contours are normal. The known prominent subcarinal node is not well appreciated.","A right pleural effusion remains, with right basilar opacity likely representing persistent atelectasis.",atelectasis,right basilar,Stable,"['files/p13/p13352405/s54232840/44251f87-ca5a8427-8e49b093-f5b069ce-c533adef.jpg', 'files/p13/p13352405/s54232840/af27343a-9cb9bb54-43761fcc-118e8f5f-8bbff258.jpg', 'files/p13/p13352405/s54232840/e3d8d85e-48f2c05f-b72dd0c6-fbd2ceea-656be377.jpg']","['files/p13/p13352405/s54113050/6814849f-be2bbd19-70510b49-1bcff64a-b8793ada.jpg\n', 'files/p13/p13352405/s54113050/9cafa042-7e42acc5-4e291de3-bf7be788-ef54e6cc.jpg\n', 'files/p13/p13352405/s54113050/9cc42913-473a1cee-05dfc2b4-5df0f319-e665978f.jpg\n']"
s54232840_0,p13352405,s54232840,0,Impression,"Interval right pleural pigtail catheter placement, which projects of the lower right chest, and protrudes not more than 2.5 cm into the chest. There has been interval decrease in size of a right pleural effusion, persistent right basilar atelectasis is seen.","Interval right pleural pigtail catheter placement, which projects of the lower right chest, and protrudes not more than 2.5 cm into the chest.",pleural pigtail catheter,lower right chest,New,"['files/p13/p13352405/s54232840/44251f87-ca5a8427-8e49b093-f5b069ce-c533adef.jpg', 'files/p13/p13352405/s54232840/af27343a-9cb9bb54-43761fcc-118e8f5f-8bbff258.jpg', 'files/p13/p13352405/s54232840/e3d8d85e-48f2c05f-b72dd0c6-fbd2ceea-656be377.jpg']","['files/p13/p13352405/s54113050/6814849f-be2bbd19-70510b49-1bcff64a-b8793ada.jpg\n', 'files/p13/p13352405/s54113050/9cafa042-7e42acc5-4e291de3-bf7be788-ef54e6cc.jpg\n', 'files/p13/p13352405/s54113050/9cc42913-473a1cee-05dfc2b4-5df0f319-e665978f.jpg\n']"
s54232840_0,p13352405,s54232840,0,Impression,"Interval right pleural pigtail catheter placement, which projects of the lower right chest, and protrudes not more than 2.5 cm into the chest. There has been interval decrease in size of a right pleural effusion, persistent right basilar atelectasis is seen.","There has been interval decrease in size of a right pleural effusion, persistent right basilar atelectasis is seen.",pleural effusion,right,Better,"['files/p13/p13352405/s54232840/44251f87-ca5a8427-8e49b093-f5b069ce-c533adef.jpg', 'files/p13/p13352405/s54232840/af27343a-9cb9bb54-43761fcc-118e8f5f-8bbff258.jpg', 'files/p13/p13352405/s54232840/e3d8d85e-48f2c05f-b72dd0c6-fbd2ceea-656be377.jpg']","['files/p13/p13352405/s54113050/6814849f-be2bbd19-70510b49-1bcff64a-b8793ada.jpg\n', 'files/p13/p13352405/s54113050/9cafa042-7e42acc5-4e291de3-bf7be788-ef54e6cc.jpg\n', 'files/p13/p13352405/s54113050/9cc42913-473a1cee-05dfc2b4-5df0f319-e665978f.jpg\n']"
s54232840_0,p13352405,s54232840,0,Impression,"Interval right pleural pigtail catheter placement, which projects of the lower right chest, and protrudes not more than 2.5 cm into the chest. There has been interval decrease in size of a right pleural effusion, persistent right basilar atelectasis is seen.","There has been interval decrease in size of a right pleural effusion, persistent right basilar atelectasis is seen.",atelectasis,right basilar,Stable,"['files/p13/p13352405/s54232840/44251f87-ca5a8427-8e49b093-f5b069ce-c533adef.jpg', 'files/p13/p13352405/s54232840/af27343a-9cb9bb54-43761fcc-118e8f5f-8bbff258.jpg', 'files/p13/p13352405/s54232840/e3d8d85e-48f2c05f-b72dd0c6-fbd2ceea-656be377.jpg']","['files/p13/p13352405/s54113050/6814849f-be2bbd19-70510b49-1bcff64a-b8793ada.jpg\n', 'files/p13/p13352405/s54113050/9cafa042-7e42acc5-4e291de3-bf7be788-ef54e6cc.jpg\n', 'files/p13/p13352405/s54113050/9cc42913-473a1cee-05dfc2b4-5df0f319-e665978f.jpg\n']"
s54232840_0,p13352405,s54232840,0,Findings,"There has been interval placement of a right pleural pigtail catheter projecting over the right lower chest and protruding no more than 2.5cm into the chest with associated interval decrease in size of a right pleural effusion. A right pleural effusion remains, with right basilar opacity likely representing persistent atelectasis. The cardiac silhouette is normal in size. The mediastinal contours are normal. The known prominent subcarinal node is not well appreciated.",There has been interval placement of a right pleural pigtail catheter projecting over the right lower chest and protruding no more than 2.5cm into the chest with associated interval decrease in size of a right pleural effusion.,pleural effusion,right,Better,"['files/p13/p13352405/s54232840/44251f87-ca5a8427-8e49b093-f5b069ce-c533adef.jpg', 'files/p13/p13352405/s54232840/af27343a-9cb9bb54-43761fcc-118e8f5f-8bbff258.jpg', 'files/p13/p13352405/s54232840/e3d8d85e-48f2c05f-b72dd0c6-fbd2ceea-656be377.jpg']","['files/p13/p13352405/s54113050/6814849f-be2bbd19-70510b49-1bcff64a-b8793ada.jpg\n', 'files/p13/p13352405/s54113050/9cafa042-7e42acc5-4e291de3-bf7be788-ef54e6cc.jpg\n', 'files/p13/p13352405/s54113050/9cc42913-473a1cee-05dfc2b4-5df0f319-e665978f.jpg\n']"
s54232840_0,p13352405,s54232840,0,Findings,"There has been interval placement of a right pleural pigtail catheter projecting over the right lower chest and protruding no more than 2.5cm into the chest with associated interval decrease in size of a right pleural effusion. A right pleural effusion remains, with right basilar opacity likely representing persistent atelectasis. The cardiac silhouette is normal in size. The mediastinal contours are normal. The known prominent subcarinal node is not well appreciated.",There has been interval placement of a right pleural pigtail catheter projecting over the right lower chest and protruding no more than 2.5cm into the chest with associated interval decrease in size of a right pleural effusion.,pleural pigtail catheter,right lower chest,New,"['files/p13/p13352405/s54232840/44251f87-ca5a8427-8e49b093-f5b069ce-c533adef.jpg', 'files/p13/p13352405/s54232840/af27343a-9cb9bb54-43761fcc-118e8f5f-8bbff258.jpg', 'files/p13/p13352405/s54232840/e3d8d85e-48f2c05f-b72dd0c6-fbd2ceea-656be377.jpg']","['files/p13/p13352405/s54113050/6814849f-be2bbd19-70510b49-1bcff64a-b8793ada.jpg\n', 'files/p13/p13352405/s54113050/9cafa042-7e42acc5-4e291de3-bf7be788-ef54e6cc.jpg\n', 'files/p13/p13352405/s54113050/9cc42913-473a1cee-05dfc2b4-5df0f319-e665978f.jpg\n']"
s54232840_0,p13352405,s54232840,0,Findings,"There has been interval placement of a right pleural pigtail catheter projecting over the right lower chest and protruding no more than 2.5cm into the chest with associated interval decrease in size of a right pleural effusion. A right pleural effusion remains, with right basilar opacity likely representing persistent atelectasis. The cardiac silhouette is normal in size. The mediastinal contours are normal. The known prominent subcarinal node is not well appreciated.","A right pleural effusion remains, with right basilar opacity likely representing persistent atelectasis.",pleural effusion,right,Stable,"['files/p13/p13352405/s54232840/44251f87-ca5a8427-8e49b093-f5b069ce-c533adef.jpg', 'files/p13/p13352405/s54232840/af27343a-9cb9bb54-43761fcc-118e8f5f-8bbff258.jpg', 'files/p13/p13352405/s54232840/e3d8d85e-48f2c05f-b72dd0c6-fbd2ceea-656be377.jpg']","['files/p13/p13352405/s54113050/6814849f-be2bbd19-70510b49-1bcff64a-b8793ada.jpg\n', 'files/p13/p13352405/s54113050/9cafa042-7e42acc5-4e291de3-bf7be788-ef54e6cc.jpg\n', 'files/p13/p13352405/s54113050/9cc42913-473a1cee-05dfc2b4-5df0f319-e665978f.jpg\n']"
s54233043_19,p19016834,s54233043,19,Impression,"1. Unchanged opacification at the right base. This may be due to atelectasis or aspiration. In the proper clinical setting, pneumonia cannot be excluded. 2. Stable moderate right and small left pleural effusions.",Stable moderate right and small left pleural effusions.,small pleural effusion,left,Stable,"['files/p19/p19016834/s54233043/5a164106-ce198292-34f951f4-c4c8b96d-1e1a80dd.jpg', 'files/p19/p19016834/s54233043/914b17d9-ffa084b2-cf81dd9b-6a125b63-3a69dd01.jpg']",['files/p19/p19016834/s53651717/2ca44c56-b3b82e54-003fcd78-a48535a0-12e2ed43.jpg\n']
s54233043_19,p19016834,s54233043,19,Findings,"There is continued opacification of the right base. It is not significantly worsened since the prior exam. This may be due to a combination of pleural effusion, atelectasis, and aspiration. In the proper clinical setting, pneumonia cannot be excluded. There is a stable moderate right pleural effusion. There is a small left pleural effusion. No new consolidation is identified. There is no pulmonary edema or pneumothorax. The cardiomediastinal silhouette is normal. An esophageal stent is unchanged in position. A drain is present overlying the mid abdomen.",An esophageal stent is unchanged in position.,stent,esophageal,Stable,"['files/p19/p19016834/s54233043/5a164106-ce198292-34f951f4-c4c8b96d-1e1a80dd.jpg', 'files/p19/p19016834/s54233043/914b17d9-ffa084b2-cf81dd9b-6a125b63-3a69dd01.jpg']",['files/p19/p19016834/s53651717/2ca44c56-b3b82e54-003fcd78-a48535a0-12e2ed43.jpg\n']
s54233043_19,p19016834,s54233043,19,Impression,"1. Unchanged opacification at the right base. This may be due to atelectasis or aspiration. In the proper clinical setting, pneumonia cannot be excluded. 2. Stable moderate right and small left pleural effusions.",Stable moderate right and small left pleural effusions.,moderate pleural effusion,right,Stable,"['files/p19/p19016834/s54233043/5a164106-ce198292-34f951f4-c4c8b96d-1e1a80dd.jpg', 'files/p19/p19016834/s54233043/914b17d9-ffa084b2-cf81dd9b-6a125b63-3a69dd01.jpg']",['files/p19/p19016834/s53651717/2ca44c56-b3b82e54-003fcd78-a48535a0-12e2ed43.jpg\n']
s54233043_19,p19016834,s54233043,19,Findings,"There is continued opacification of the right base. It is not significantly worsened since the prior exam. This may be due to a combination of pleural effusion, atelectasis, and aspiration. In the proper clinical setting, pneumonia cannot be excluded. There is a stable moderate right pleural effusion. There is a small left pleural effusion. No new consolidation is identified. There is no pulmonary edema or pneumothorax. The cardiomediastinal silhouette is normal. An esophageal stent is unchanged in position. A drain is present overlying the mid abdomen.",There is a stable moderate right pleural effusion.,moderate pleural effusion,right,Stable,"['files/p19/p19016834/s54233043/5a164106-ce198292-34f951f4-c4c8b96d-1e1a80dd.jpg', 'files/p19/p19016834/s54233043/914b17d9-ffa084b2-cf81dd9b-6a125b63-3a69dd01.jpg']",['files/p19/p19016834/s53651717/2ca44c56-b3b82e54-003fcd78-a48535a0-12e2ed43.jpg\n']
s54233043_19,p19016834,s54233043,19,Impression,"1. Unchanged opacification at the right base. This may be due to atelectasis or aspiration. In the proper clinical setting, pneumonia cannot be excluded. 2. Stable moderate right and small left pleural effusions.",Unchanged opacification at the right base. This may be due to atelectasis or aspiration.,opacification,right base,Stable,"['files/p19/p19016834/s54233043/5a164106-ce198292-34f951f4-c4c8b96d-1e1a80dd.jpg', 'files/p19/p19016834/s54233043/914b17d9-ffa084b2-cf81dd9b-6a125b63-3a69dd01.jpg']",['files/p19/p19016834/s53651717/2ca44c56-b3b82e54-003fcd78-a48535a0-12e2ed43.jpg\n']
s54233043_19,p19016834,s54233043,19,Findings,"There is continued opacification of the right base. It is not significantly worsened since the prior exam. This may be due to a combination of pleural effusion, atelectasis, and aspiration. In the proper clinical setting, pneumonia cannot be excluded. There is a stable moderate right pleural effusion. There is a small left pleural effusion. No new consolidation is identified. There is no pulmonary edema or pneumothorax. The cardiomediastinal silhouette is normal. An esophageal stent is unchanged in position. A drain is present overlying the mid abdomen.",It is not significantly worsened since the prior exam.,opacification,right base,Stable,"['files/p19/p19016834/s54233043/5a164106-ce198292-34f951f4-c4c8b96d-1e1a80dd.jpg', 'files/p19/p19016834/s54233043/914b17d9-ffa084b2-cf81dd9b-6a125b63-3a69dd01.jpg']",['files/p19/p19016834/s53651717/2ca44c56-b3b82e54-003fcd78-a48535a0-12e2ed43.jpg\n']
s54236662_2,p10754184,s54236662,2,Findings,"Lungs are hyperexpanded consistent with chronic lung disease. Right basilar linear opacities are much less prominent on the current exam. There is no new opacity or consolidation elsewhere. There is no pleural effusion or pneumothorax. The heart size is unchanged. Two leads follow a normal course from the left-sided battery pack terminating in the expected region of the right atrium and right ventricle. There is tortuosity of the descending aorta, but the mediastinal silhouette is otherwise unremarkable. Hilar contours and pulmonary vasculature are normal.",The heart size is unchanged.,heart size,,Stable,"['files/p10/p10754184/s54236662/17c56a39-e22f86fe-75387134-c9695d82-356794b0.jpg', 'files/p10/p10754184/s54236662/2661a129-f2f4b642-9b833ee7-ab398d55-07a36871.jpg']","['files/p10/p10754184/s51837636/2eb05c0b-30b37945-71fb6374-45cab675-82128ecc.jpg\n', 'files/p10/p10754184/s51837636/47860d0e-7714c59f-fbe13df2-5e581eb8-60b60826.jpg\n']"
s54236662_2,p10754184,s54236662,2,Impression,Marked improvement in right basilar opacities compared to ___.,Marked improvement in right basilar opacities compared to ___.,opacities,right basilar,Better,"['files/p10/p10754184/s54236662/17c56a39-e22f86fe-75387134-c9695d82-356794b0.jpg', 'files/p10/p10754184/s54236662/2661a129-f2f4b642-9b833ee7-ab398d55-07a36871.jpg']","['files/p10/p10754184/s51837636/2eb05c0b-30b37945-71fb6374-45cab675-82128ecc.jpg\n', 'files/p10/p10754184/s51837636/47860d0e-7714c59f-fbe13df2-5e581eb8-60b60826.jpg\n']"
s54236662_2,p10754184,s54236662,2,Findings,"Lungs are hyperexpanded consistent with chronic lung disease. Right basilar linear opacities are much less prominent on the current exam. There is no new opacity or consolidation elsewhere. There is no pleural effusion or pneumothorax. The heart size is unchanged. Two leads follow a normal course from the left-sided battery pack terminating in the expected region of the right atrium and right ventricle. There is tortuosity of the descending aorta, but the mediastinal silhouette is otherwise unremarkable. Hilar contours and pulmonary vasculature are normal.",Right basilar linear opacities are much less prominent on the current exam.,linear opacities,right basilar,Better,"['files/p10/p10754184/s54236662/17c56a39-e22f86fe-75387134-c9695d82-356794b0.jpg', 'files/p10/p10754184/s54236662/2661a129-f2f4b642-9b833ee7-ab398d55-07a36871.jpg']","['files/p10/p10754184/s51837636/2eb05c0b-30b37945-71fb6374-45cab675-82128ecc.jpg\n', 'files/p10/p10754184/s51837636/47860d0e-7714c59f-fbe13df2-5e581eb8-60b60826.jpg\n']"
s54240852_5,p16050730,s54240852,5,Impression,"1. Decreased right basilar opacities, likely resolving atelectasis. 2. Likely trace right pleural effusion.","Decreased right basilar opacities, likely resolving atelectasis.",opacities,right basilar,Better,"['files/p16/p16050730/s54240852/3b50ccea-cf11fea9-920cca73-76b7d44d-a046e317.jpg', 'files/p16/p16050730/s54240852/525c7667-53fd7624-6f104340-1895a29c-1ee766f1.jpg']","['files/p16/p16050730/s52193168/68ea5b12-f2ac3d86-d060cd88-4ac9fd95-7070a037.jpg\n', 'files/p16/p16050730/s52193168/a4f93da0-4d009b5c-20e08390-7fac8bcc-5ec0a4a7.jpg\n', 'files/p16/p16050730/s52193168/e711750a-b84f9920-2a0466c3-9243dfa4-6c72cfbd.jpg\n']"
s54240852_5,p16050730,s54240852,5,Findings,Opacities at the right lung base have decreased compared to the preceding radiographs from ___ and ___. The remainder of the lungs are clear. Mild cardiomegaly is unchanged. The mediastinal contours are unchanged. Blunting of the right costophrenic angle suggests a tiny effusion. There is no definite left-sided effusion. No pneumothorax.,The mediastinal contours are unchanged.,Mediastinal contours,,Stable,"['files/p16/p16050730/s54240852/3b50ccea-cf11fea9-920cca73-76b7d44d-a046e317.jpg', 'files/p16/p16050730/s54240852/525c7667-53fd7624-6f104340-1895a29c-1ee766f1.jpg']","['files/p16/p16050730/s52193168/68ea5b12-f2ac3d86-d060cd88-4ac9fd95-7070a037.jpg\n', 'files/p16/p16050730/s52193168/a4f93da0-4d009b5c-20e08390-7fac8bcc-5ec0a4a7.jpg\n', 'files/p16/p16050730/s52193168/e711750a-b84f9920-2a0466c3-9243dfa4-6c72cfbd.jpg\n']"
s54240852_5,p16050730,s54240852,5,Findings,Opacities at the right lung base have decreased compared to the preceding radiographs from ___ and ___. The remainder of the lungs are clear. Mild cardiomegaly is unchanged. The mediastinal contours are unchanged. Blunting of the right costophrenic angle suggests a tiny effusion. There is no definite left-sided effusion. No pneumothorax.,Mild cardiomegaly is unchanged.,Mild cardiomegaly,,Stable,"['files/p16/p16050730/s54240852/3b50ccea-cf11fea9-920cca73-76b7d44d-a046e317.jpg', 'files/p16/p16050730/s54240852/525c7667-53fd7624-6f104340-1895a29c-1ee766f1.jpg']","['files/p16/p16050730/s52193168/68ea5b12-f2ac3d86-d060cd88-4ac9fd95-7070a037.jpg\n', 'files/p16/p16050730/s52193168/a4f93da0-4d009b5c-20e08390-7fac8bcc-5ec0a4a7.jpg\n', 'files/p16/p16050730/s52193168/e711750a-b84f9920-2a0466c3-9243dfa4-6c72cfbd.jpg\n']"
s54240852_5,p16050730,s54240852,5,Findings,Opacities at the right lung base have decreased compared to the preceding radiographs from ___ and ___. The remainder of the lungs are clear. Mild cardiomegaly is unchanged. The mediastinal contours are unchanged. Blunting of the right costophrenic angle suggests a tiny effusion. There is no definite left-sided effusion. No pneumothorax.,Opacities at the right lung base have decreased compared to the preceding radiographs from ___ and ___.,Opacities,right lung base,Better,"['files/p16/p16050730/s54240852/3b50ccea-cf11fea9-920cca73-76b7d44d-a046e317.jpg', 'files/p16/p16050730/s54240852/525c7667-53fd7624-6f104340-1895a29c-1ee766f1.jpg']","['files/p16/p16050730/s52193168/68ea5b12-f2ac3d86-d060cd88-4ac9fd95-7070a037.jpg\n', 'files/p16/p16050730/s52193168/a4f93da0-4d009b5c-20e08390-7fac8bcc-5ec0a4a7.jpg\n', 'files/p16/p16050730/s52193168/e711750a-b84f9920-2a0466c3-9243dfa4-6c72cfbd.jpg\n']"
s54242750_1,p18512911,s54242750,1,Findings,"The right-sided PICC line has been retracted and now terminates at the level of the mid clavicular line along the expected course of the right subclavian vein. The heart is mild-to-moderately enlarged with left ventricular configuration. The mediastinal and hilar contours appear unchanged. Persistent band-like opacities in the left mid lung suggest minor atelectasis or scarring. There is a patchy new nonspecific opacity in the right lower lung, although suggestive of minor atelectasis. Developing pneumonia is difficult to exclude, however. There is no pleural effusion or pneumothorax. Severe degenerative changes involving the right shoulder are partly visualized.",The right-sided PICC line has been retracted and now terminates at the level of the mid clavicular line along the expected course of the right subclavian vein.,PICC line,Right subclavian vein,Resolve,"['files/p18/p18512911/s54242750/cb8f1bee-76ec4235-a62de65b-43589ff5-04413eab.jpg', 'files/p18/p18512911/s54242750/e7a760c7-d8b172fd-0d9baa9c-ffb863c4-f297e5b8.jpg']","['files/p18/p18512911/s53933599/81662f3f-0c97fb86-66099abe-260ad401-e1d61e16.jpg\n', 'files/p18/p18512911/s53933599/978e2939-4844d38e-fd154225-ef3f6933-59c3ead3.jpg\n']"
s54242750_1,p18512911,s54242750,1,Impression,"1. Retraction of PICC line, which now terminates in the mid subclavian vein. 2. Patchy right basilar opacity, although compatible with minor atelectasis. The possibility of developing pneumonia is not entirely excluded, however, and short-term followup radiographs could be considered if symptoms were to persist or worsen.","1. Retraction of PICC line, which now terminates in the mid subclavian vein.",PICC line,Mid subclavian vein,Resolve,"['files/p18/p18512911/s54242750/cb8f1bee-76ec4235-a62de65b-43589ff5-04413eab.jpg', 'files/p18/p18512911/s54242750/e7a760c7-d8b172fd-0d9baa9c-ffb863c4-f297e5b8.jpg']","['files/p18/p18512911/s53933599/81662f3f-0c97fb86-66099abe-260ad401-e1d61e16.jpg\n', 'files/p18/p18512911/s53933599/978e2939-4844d38e-fd154225-ef3f6933-59c3ead3.jpg\n']"
s54242750_1,p18512911,s54242750,1,Findings,"The right-sided PICC line has been retracted and now terminates at the level of the mid clavicular line along the expected course of the right subclavian vein. The heart is mild-to-moderately enlarged with left ventricular configuration. The mediastinal and hilar contours appear unchanged. Persistent band-like opacities in the left mid lung suggest minor atelectasis or scarring. There is a patchy new nonspecific opacity in the right lower lung, although suggestive of minor atelectasis. Developing pneumonia is difficult to exclude, however. There is no pleural effusion or pneumothorax. Severe degenerative changes involving the right shoulder are partly visualized.","Developing pneumonia is difficult to exclude, however.",Pneumonia,Lungs,Worse,"['files/p18/p18512911/s54242750/cb8f1bee-76ec4235-a62de65b-43589ff5-04413eab.jpg', 'files/p18/p18512911/s54242750/e7a760c7-d8b172fd-0d9baa9c-ffb863c4-f297e5b8.jpg']","['files/p18/p18512911/s53933599/81662f3f-0c97fb86-66099abe-260ad401-e1d61e16.jpg\n', 'files/p18/p18512911/s53933599/978e2939-4844d38e-fd154225-ef3f6933-59c3ead3.jpg\n']"
s54242750_1,p18512911,s54242750,1,Findings,"The right-sided PICC line has been retracted and now terminates at the level of the mid clavicular line along the expected course of the right subclavian vein. The heart is mild-to-moderately enlarged with left ventricular configuration. The mediastinal and hilar contours appear unchanged. Persistent band-like opacities in the left mid lung suggest minor atelectasis or scarring. There is a patchy new nonspecific opacity in the right lower lung, although suggestive of minor atelectasis. Developing pneumonia is difficult to exclude, however. There is no pleural effusion or pneumothorax. Severe degenerative changes involving the right shoulder are partly visualized.","There is a patchy new nonspecific opacity in the right lower lung, although suggestive of minor atelectasis.",Nonspecific opacity,Right lower lung,New,"['files/p18/p18512911/s54242750/cb8f1bee-76ec4235-a62de65b-43589ff5-04413eab.jpg', 'files/p18/p18512911/s54242750/e7a760c7-d8b172fd-0d9baa9c-ffb863c4-f297e5b8.jpg']","['files/p18/p18512911/s53933599/81662f3f-0c97fb86-66099abe-260ad401-e1d61e16.jpg\n', 'files/p18/p18512911/s53933599/978e2939-4844d38e-fd154225-ef3f6933-59c3ead3.jpg\n']"
s54242750_1,p18512911,s54242750,1,Findings,"The right-sided PICC line has been retracted and now terminates at the level of the mid clavicular line along the expected course of the right subclavian vein. The heart is mild-to-moderately enlarged with left ventricular configuration. The mediastinal and hilar contours appear unchanged. Persistent band-like opacities in the left mid lung suggest minor atelectasis or scarring. There is a patchy new nonspecific opacity in the right lower lung, although suggestive of minor atelectasis. Developing pneumonia is difficult to exclude, however. There is no pleural effusion or pneumothorax. Severe degenerative changes involving the right shoulder are partly visualized.",Persistent band-like opacities in the left mid lung suggest minor atelectasis or scarring.,Band-like opacities,Left mid lung,Stable,"['files/p18/p18512911/s54242750/cb8f1bee-76ec4235-a62de65b-43589ff5-04413eab.jpg', 'files/p18/p18512911/s54242750/e7a760c7-d8b172fd-0d9baa9c-ffb863c4-f297e5b8.jpg']","['files/p18/p18512911/s53933599/81662f3f-0c97fb86-66099abe-260ad401-e1d61e16.jpg\n', 'files/p18/p18512911/s53933599/978e2939-4844d38e-fd154225-ef3f6933-59c3ead3.jpg\n']"
s54242750_1,p18512911,s54242750,1,Findings,"The right-sided PICC line has been retracted and now terminates at the level of the mid clavicular line along the expected course of the right subclavian vein. The heart is mild-to-moderately enlarged with left ventricular configuration. The mediastinal and hilar contours appear unchanged. Persistent band-like opacities in the left mid lung suggest minor atelectasis or scarring. There is a patchy new nonspecific opacity in the right lower lung, although suggestive of minor atelectasis. Developing pneumonia is difficult to exclude, however. There is no pleural effusion or pneumothorax. Severe degenerative changes involving the right shoulder are partly visualized.",The mediastinal and hilar contours appear unchanged.,,Mediastinal and hilar contours,Stable,"['files/p18/p18512911/s54242750/cb8f1bee-76ec4235-a62de65b-43589ff5-04413eab.jpg', 'files/p18/p18512911/s54242750/e7a760c7-d8b172fd-0d9baa9c-ffb863c4-f297e5b8.jpg']","['files/p18/p18512911/s53933599/81662f3f-0c97fb86-66099abe-260ad401-e1d61e16.jpg\n', 'files/p18/p18512911/s53933599/978e2939-4844d38e-fd154225-ef3f6933-59c3ead3.jpg\n']"
s54242750_1,p18512911,s54242750,1,Impression,"1. Retraction of PICC line, which now terminates in the mid subclavian vein. 2. Patchy right basilar opacity, although compatible with minor atelectasis. The possibility of developing pneumonia is not entirely excluded, however, and short-term followup radiographs could be considered if symptoms were to persist or worsen.","The possibility of developing pneumonia is not entirely excluded, however, and short-term followup radiographs could be considered if symptoms were to persist or worsen.",Pneumonia,Lungs,Worse,"['files/p18/p18512911/s54242750/cb8f1bee-76ec4235-a62de65b-43589ff5-04413eab.jpg', 'files/p18/p18512911/s54242750/e7a760c7-d8b172fd-0d9baa9c-ffb863c4-f297e5b8.jpg']","['files/p18/p18512911/s53933599/81662f3f-0c97fb86-66099abe-260ad401-e1d61e16.jpg\n', 'files/p18/p18512911/s53933599/978e2939-4844d38e-fd154225-ef3f6933-59c3ead3.jpg\n']"
s54247614_25,p13881772,s54247614,25,Findings,"1 AP view. There is evidence for increased density in the retrocardiac area in the left hemidiaphragm is indistinct. The lung bases are partially obscured by extensive costochondral calcification. The costophrenic sulci are blunted. Bronchovascular markings are mildly increased, as before. The heart and mediastinal structures are unchanged as well. A double-lumen right internal jugular catheter has been inserted and terminates in the region of the lower superior vena cava.",There is evidence for increased density in the retrocardiac area in the left hemidiaphragm is indistinct.,increased density,retrocardiac area,Worse,['files/p13/p13881772/s54247614/669b4965-be67a9dd-0ba00b96-3ed4d288-597c3f17.jpg'],"['files/p13/p13881772/s53598647/0ac370ca-d14e45b3-07c05241-b3a551b3-4cde1652.jpg\n', 'files/p13/p13881772/s53598647/9b9401ad-e590ff90-2ac696ba-9c7f78b2-661402b7.jpg\n']"
s54247614_25,p13881772,s54247614,25,Findings,"1 AP view. There is evidence for increased density in the retrocardiac area in the left hemidiaphragm is indistinct. The lung bases are partially obscured by extensive costochondral calcification. The costophrenic sulci are blunted. Bronchovascular markings are mildly increased, as before. The heart and mediastinal structures are unchanged as well. A double-lumen right internal jugular catheter has been inserted and terminates in the region of the lower superior vena cava.",The heart and mediastinal structures are unchanged as well.,heart and mediastinal structures,,Stable,['files/p13/p13881772/s54247614/669b4965-be67a9dd-0ba00b96-3ed4d288-597c3f17.jpg'],"['files/p13/p13881772/s53598647/0ac370ca-d14e45b3-07c05241-b3a551b3-4cde1652.jpg\n', 'files/p13/p13881772/s53598647/9b9401ad-e590ff90-2ac696ba-9c7f78b2-661402b7.jpg\n']"
s54247614_25,p13881772,s54247614,25,Findings,"1 AP view. There is evidence for increased density in the retrocardiac area in the left hemidiaphragm is indistinct. The lung bases are partially obscured by extensive costochondral calcification. The costophrenic sulci are blunted. Bronchovascular markings are mildly increased, as before. The heart and mediastinal structures are unchanged as well. A double-lumen right internal jugular catheter has been inserted and terminates in the region of the lower superior vena cava.","Bronchovascular markings are mildly increased, as before.",Bronchovascular markings,,Stable,['files/p13/p13881772/s54247614/669b4965-be67a9dd-0ba00b96-3ed4d288-597c3f17.jpg'],"['files/p13/p13881772/s53598647/0ac370ca-d14e45b3-07c05241-b3a551b3-4cde1652.jpg\n', 'files/p13/p13881772/s53598647/9b9401ad-e590ff90-2ac696ba-9c7f78b2-661402b7.jpg\n']"
s54251102_3,p15259244,s54251102,3,Impression,"1. Interval placement of a right internal jugular dialysis catheter, which has its tip in the right atrium and is in similar position to that on prior study dated ___. 2. The previously seen left effusion has decreased in size. There is a diffuse bilateral interstitial process, which likely reflects a component of mild pulmonary edema. The heart remains borderline enlarged. Mediastinal contours are unchanged. No pneumothorax. No focal airspace consolidation to suggest pneumonia.","Interval placement of a right internal jugular dialysis catheter, which has its tip in the right atrium and is in similar position to that on prior study dated ___.",dialysis catheter,right internal jugular,Stable,['files/p15/p15259244/s54251102/c9f72311-636e3e48-e91cc14d-ba98d9ce-c823252f.jpg'],['files/p15/p15259244/s54223010/fd10e506-04541266-88f11cc7-b24b4822-8cf8bc4b.jpg\n']
s54251102_3,p15259244,s54251102,3,Impression,"1. Interval placement of a right internal jugular dialysis catheter, which has its tip in the right atrium and is in similar position to that on prior study dated ___. 2. The previously seen left effusion has decreased in size. There is a diffuse bilateral interstitial process, which likely reflects a component of mild pulmonary edema. The heart remains borderline enlarged. Mediastinal contours are unchanged. No pneumothorax. No focal airspace consolidation to suggest pneumonia.",The previously seen left effusion has decreased in size.,effusion,left,Better,['files/p15/p15259244/s54251102/c9f72311-636e3e48-e91cc14d-ba98d9ce-c823252f.jpg'],['files/p15/p15259244/s54223010/fd10e506-04541266-88f11cc7-b24b4822-8cf8bc4b.jpg\n']
s54251102_3,p15259244,s54251102,3,Impression,"1. Interval placement of a right internal jugular dialysis catheter, which has its tip in the right atrium and is in similar position to that on prior study dated ___. 2. The previously seen left effusion has decreased in size. There is a diffuse bilateral interstitial process, which likely reflects a component of mild pulmonary edema. The heart remains borderline enlarged. Mediastinal contours are unchanged. No pneumothorax. No focal airspace consolidation to suggest pneumonia.",The heart remains borderline enlarged.,borderline enlarged heart,,Stable,['files/p15/p15259244/s54251102/c9f72311-636e3e48-e91cc14d-ba98d9ce-c823252f.jpg'],['files/p15/p15259244/s54223010/fd10e506-04541266-88f11cc7-b24b4822-8cf8bc4b.jpg\n']
s54251102_3,p15259244,s54251102,3,Impression,"1. Interval placement of a right internal jugular dialysis catheter, which has its tip in the right atrium and is in similar position to that on prior study dated ___. 2. The previously seen left effusion has decreased in size. There is a diffuse bilateral interstitial process, which likely reflects a component of mild pulmonary edema. The heart remains borderline enlarged. Mediastinal contours are unchanged. No pneumothorax. No focal airspace consolidation to suggest pneumonia.",Mediastinal contours are unchanged.,mediastinal contours,,Stable,['files/p15/p15259244/s54251102/c9f72311-636e3e48-e91cc14d-ba98d9ce-c823252f.jpg'],['files/p15/p15259244/s54223010/fd10e506-04541266-88f11cc7-b24b4822-8cf8bc4b.jpg\n']
s54254493_7,p19720782,s54254493,7,Impression,"AP chest compared to ___ through ___: Mild interstitial pulmonary edema is new. Exacerbation at the base of the right lung may be due to asymmetric deposition of edema due to the persistent elevation of the right lung base and poor aeration in the lower lobes. The elevation of the right lung base is primarily due to a large chronic right pleural effusion. The elevated and enlarged right hilus, adjacent radiation fibrosis and apical pleural thickening are chronic. A second region of more focal edema in the right upper lobe sitting on the minor fissure is probably due to disturbed lymphatic drainage from the radiated lung. Moderate cardiomegaly is stable. Small size of nodules in the left lung on chest CTA yesterday, I am surprised at the prominence of such nodules today in the mid lung. It would be prudent to repeat this chest radiograph later in the day to exclude the development of nodular infection. Dr. ___ was paged at 9 a.m. when the findings were realized.",AP chest compared to ___ through ___: Mild interstitial pulmonary edema is new.,interstitial pulmonary edema,,New,['files/p19/p19720782/s54254493/244ae491-3e0f01f5-8506784c-32d65ab2-f96e30b6.jpg'],"['files/p19/p19720782/s53953586/0dc02be2-fdb6e050-1b51dc0a-7bf9718e-a4bc2f13.jpg\n', 'files/p19/p19720782/s53953586/e7d4e068-306cec6b-140f2e23-4534086d-e80680d2.jpg\n']"
s54254493_7,p19720782,s54254493,7,Impression,"AP chest compared to ___ through ___: Mild interstitial pulmonary edema is new. Exacerbation at the base of the right lung may be due to asymmetric deposition of edema due to the persistent elevation of the right lung base and poor aeration in the lower lobes. The elevation of the right lung base is primarily due to a large chronic right pleural effusion. The elevated and enlarged right hilus, adjacent radiation fibrosis and apical pleural thickening are chronic. A second region of more focal edema in the right upper lobe sitting on the minor fissure is probably due to disturbed lymphatic drainage from the radiated lung. Moderate cardiomegaly is stable. Small size of nodules in the left lung on chest CTA yesterday, I am surprised at the prominence of such nodules today in the mid lung. It would be prudent to repeat this chest radiograph later in the day to exclude the development of nodular infection. Dr. ___ was paged at 9 a.m. when the findings were realized.",Moderate cardiomegaly is stable.,cardiomegaly,,Stable,['files/p19/p19720782/s54254493/244ae491-3e0f01f5-8506784c-32d65ab2-f96e30b6.jpg'],"['files/p19/p19720782/s53953586/0dc02be2-fdb6e050-1b51dc0a-7bf9718e-a4bc2f13.jpg\n', 'files/p19/p19720782/s53953586/e7d4e068-306cec6b-140f2e23-4534086d-e80680d2.jpg\n']"
s54257499_1,p10410641,s54257499,1,Impression,"Interval decrease in size of right effusion, though a moderate to moderately-large right effusion remains. No pneumothorax detected.","Interval decrease in size of right effusion, though a moderate to moderately-large right effusion remains.",effusion,right,Better,['files/p10/p10410641/s54257499/74563f2b-130e98d8-7c3f6d5a-d341b141-30042633.jpg'],"['files/p10/p10410641/s53850317/20f54ecb-20a32ed8-5f27bfe6-e9d07de1-ce76357e.jpg\n', 'files/p10/p10410641/s53850317/271ab9c9-419a0db3-215b585b-1c874aad-7c04a49d.jpg\n']"
s54259878_1,p14434800,s54259878,1,Findings,"The patient is status post sternotomy and aortic valve replacement. The cardiac, mediastinal and hilar contours appear unchanged. The heart is at the upper limits of normal size. Aside from band-like opacity in the left mid lung suggesting minor atelectasis, there is no focal abnormality, but a mild diffuse interstitial abnormality suggests slight congestion. There is no pleural effusion or pneumothorax. The patient is also status post posterior fusion of the lower thoracic spine and vertebroplasty","The cardiac, mediastinal and hilar contours appear unchanged.",appearance,"cardiac, mediastinal, hilar contours",Stable,"['files/p14/p14434800/s54259878/2ff8144f-c833baaa-899af187-89dbc6ce-3adfc088.jpg', 'files/p14/p14434800/s54259878/b25f2936-0120858b-2a77fcb0-43a6260d-c05b2818.jpg']",['files/p14/p14434800/s52682048/0d9ee316-000a9e0c-be78c74d-62923605-0315f8e4.jpg\n']
s54265960_0,p18615099,s54265960,0,Findings,"Patient is status post median sternotomy and CABG. Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. The heart remains mildly enlarged but stable. The aorta is unfolded. There is mild pulmonary vascular congestion, which is improved when compared to the prior exam. No new focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine.","There is mild pulmonary vascular congestion, which is improved when compared to the prior exam.",mild pulmonary vascular congestion,,Better,"['files/p18/p18615099/s54265960/7cb5c502-ad66f0fd-1c7fbbaa-d1dffe8f-1a2416a3.jpg', 'files/p18/p18615099/s54265960/a0578edb-12a640ca-1ddab351-089c4d4c-00bb6f19.jpg', 'files/p18/p18615099/s54265960/ce6bc473-864aa830-25f637a2-2a8c99c0-f7f68138.jpg']",['files/p18/p18615099/s53498293/93f5ae76-d350d7b5-e47e23fd-d455db66-00627ccc.jpg\n']
s54265960_0,p18615099,s54265960,0,Findings,"Patient is status post median sternotomy and CABG. Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. The heart remains mildly enlarged but stable. The aorta is unfolded. There is mild pulmonary vascular congestion, which is improved when compared to the prior exam. No new focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine.",The heart remains mildly enlarged but stable.,mildly enlarged heart,,Stable,"['files/p18/p18615099/s54265960/7cb5c502-ad66f0fd-1c7fbbaa-d1dffe8f-1a2416a3.jpg', 'files/p18/p18615099/s54265960/a0578edb-12a640ca-1ddab351-089c4d4c-00bb6f19.jpg', 'files/p18/p18615099/s54265960/ce6bc473-864aa830-25f637a2-2a8c99c0-f7f68138.jpg']",['files/p18/p18615099/s53498293/93f5ae76-d350d7b5-e47e23fd-d455db66-00627ccc.jpg\n']
s54265960_0,p18615099,s54265960,0,Findings,"Patient is status post median sternotomy and CABG. Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. The heart remains mildly enlarged but stable. The aorta is unfolded. There is mild pulmonary vascular congestion, which is improved when compared to the prior exam. No new focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine.","Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged.",pacemaker device,left-sided,Stable,"['files/p18/p18615099/s54265960/7cb5c502-ad66f0fd-1c7fbbaa-d1dffe8f-1a2416a3.jpg', 'files/p18/p18615099/s54265960/a0578edb-12a640ca-1ddab351-089c4d4c-00bb6f19.jpg', 'files/p18/p18615099/s54265960/ce6bc473-864aa830-25f637a2-2a8c99c0-f7f68138.jpg']",['files/p18/p18615099/s53498293/93f5ae76-d350d7b5-e47e23fd-d455db66-00627ccc.jpg\n']
s54265960_0,p18615099,s54265960,0,Impression,"Mild pulmonary vascular congestion, improved when compared to the prior exam.","Mild pulmonary vascular congestion, improved when compared to the prior exam.",mild pulmonary vascular congestion,,Better,"['files/p18/p18615099/s54265960/7cb5c502-ad66f0fd-1c7fbbaa-d1dffe8f-1a2416a3.jpg', 'files/p18/p18615099/s54265960/a0578edb-12a640ca-1ddab351-089c4d4c-00bb6f19.jpg', 'files/p18/p18615099/s54265960/ce6bc473-864aa830-25f637a2-2a8c99c0-f7f68138.jpg']",['files/p18/p18615099/s53498293/93f5ae76-d350d7b5-e47e23fd-d455db66-00627ccc.jpg\n']
s54282937_11,p12699874,s54282937,11,Findings,A small right apical and basal pneumothorax persists but is significantly decreased than on the prior study. A right Pleurx catheter is in place and right pleural effusion has significantly decreased. There is no left pleural effusion. Again seen is opacity in the left lung peripherally which corresponds to findings seen on recent chest CT. There is no focal consolidation. Opacity at the right base is likely atelectasis. Cardiomediastinal silhouette is stable.,A small right apical and basal pneumothorax persists but is significantly decreased than on the prior study.,pneumothorax,right apical and basal,Stable,['files/p12/p12699874/s54282937/7d02f691-c9e983ff-b7685488-825c036a-ebf5e8eb.jpg'],"['files/p12/p12699874/s54061371/0791e888-c49848f9-5efcc8f6-eea5e10b-aea2c689.jpg\n', 'files/p12/p12699874/s54061371/14fc3b47-73918368-3688d525-2a9e6f66-a71213a7.jpg\n', 'files/p12/p12699874/s54061371/72de19ce-ad49323e-c750d7aa-7aefad64-932f50e0.jpg\n', 'files/p12/p12699874/s54061371/8d0ec6a8-3287bbf6-c34b0a63-06de729c-6384fe8f.jpg\n']"
s54282937_11,p12699874,s54282937,11,Findings,A small right apical and basal pneumothorax persists but is significantly decreased than on the prior study. A right Pleurx catheter is in place and right pleural effusion has significantly decreased. There is no left pleural effusion. Again seen is opacity in the left lung peripherally which corresponds to findings seen on recent chest CT. There is no focal consolidation. Opacity at the right base is likely atelectasis. Cardiomediastinal silhouette is stable.,A right Pleurx catheter is in place and right pleural effusion has significantly decreased.,pleural effusion,right,Better,['files/p12/p12699874/s54282937/7d02f691-c9e983ff-b7685488-825c036a-ebf5e8eb.jpg'],"['files/p12/p12699874/s54061371/0791e888-c49848f9-5efcc8f6-eea5e10b-aea2c689.jpg\n', 'files/p12/p12699874/s54061371/14fc3b47-73918368-3688d525-2a9e6f66-a71213a7.jpg\n', 'files/p12/p12699874/s54061371/72de19ce-ad49323e-c750d7aa-7aefad64-932f50e0.jpg\n', 'files/p12/p12699874/s54061371/8d0ec6a8-3287bbf6-c34b0a63-06de729c-6384fe8f.jpg\n']"
s54282937_11,p12699874,s54282937,11,Impression,Improved right pneumothorax which is now small. Resolved right pleural effusion.,Resolved right pleural effusion.,pleural effusion,right,Resolve,['files/p12/p12699874/s54282937/7d02f691-c9e983ff-b7685488-825c036a-ebf5e8eb.jpg'],"['files/p12/p12699874/s54061371/0791e888-c49848f9-5efcc8f6-eea5e10b-aea2c689.jpg\n', 'files/p12/p12699874/s54061371/14fc3b47-73918368-3688d525-2a9e6f66-a71213a7.jpg\n', 'files/p12/p12699874/s54061371/72de19ce-ad49323e-c750d7aa-7aefad64-932f50e0.jpg\n', 'files/p12/p12699874/s54061371/8d0ec6a8-3287bbf6-c34b0a63-06de729c-6384fe8f.jpg\n']"
s54282937_11,p12699874,s54282937,11,Findings,A small right apical and basal pneumothorax persists but is significantly decreased than on the prior study. A right Pleurx catheter is in place and right pleural effusion has significantly decreased. There is no left pleural effusion. Again seen is opacity in the left lung peripherally which corresponds to findings seen on recent chest CT. There is no focal consolidation. Opacity at the right base is likely atelectasis. Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,['files/p12/p12699874/s54282937/7d02f691-c9e983ff-b7685488-825c036a-ebf5e8eb.jpg'],"['files/p12/p12699874/s54061371/0791e888-c49848f9-5efcc8f6-eea5e10b-aea2c689.jpg\n', 'files/p12/p12699874/s54061371/14fc3b47-73918368-3688d525-2a9e6f66-a71213a7.jpg\n', 'files/p12/p12699874/s54061371/72de19ce-ad49323e-c750d7aa-7aefad64-932f50e0.jpg\n', 'files/p12/p12699874/s54061371/8d0ec6a8-3287bbf6-c34b0a63-06de729c-6384fe8f.jpg\n']"
s54282937_11,p12699874,s54282937,11,Impression,Improved right pneumothorax which is now small. Resolved right pleural effusion.,Improved right pneumothorax which is now small.,pneumothorax,right,Better,['files/p12/p12699874/s54282937/7d02f691-c9e983ff-b7685488-825c036a-ebf5e8eb.jpg'],"['files/p12/p12699874/s54061371/0791e888-c49848f9-5efcc8f6-eea5e10b-aea2c689.jpg\n', 'files/p12/p12699874/s54061371/14fc3b47-73918368-3688d525-2a9e6f66-a71213a7.jpg\n', 'files/p12/p12699874/s54061371/72de19ce-ad49323e-c750d7aa-7aefad64-932f50e0.jpg\n', 'files/p12/p12699874/s54061371/8d0ec6a8-3287bbf6-c34b0a63-06de729c-6384fe8f.jpg\n']"
s54292875_31,p14841168,s54292875,31,Impression,"In comparison to prior radiograph of 1 day earlier, there has been little change in the appearance of the chest except for interval improvement in the previously noted atelectasis in the right upper and left lower lobes.","In comparison to prior radiograph of 1 day earlier, there has been little change in the appearance of the chest except for interval improvement in the previously noted atelectasis in the right upper and left lower lobes.",atelectasis,right upper and left lower lobes,Better,"['files/p14/p14841168/s54292875/70818042-77dd5d27-a1bb1102-3e734f24-228582d0.jpg', 'files/p14/p14841168/s54292875/98546040-b64ad66c-050cab76-ff2d5120-2e67f3f2.jpg', 'files/p14/p14841168/s54292875/db7deae0-c131f372-8a041d5f-81013233-74ccf3f3.jpg']","['files/p14/p14841168/s54146597/d43be646-19f03d73-110ab467-b77f44ad-4f285803.jpg\n', 'files/p14/p14841168/s54146597/d89f6431-69df909d-747f1354-8a38a37f-5835e7aa.jpg\n']"
s54299422_14,p14851532,s54299422,14,Findings,"As compared to the previous radiograph, no relevant change is seen. The lung volumes have slightly increased, likely reflecting improved ventilation. Otherwise, the appearance of the lung parenchyma, the mediastinum and the cardiac silhouette, including the monitoring and support devices as well as sternal fixations, is stable.","The lung volumes have slightly increased, likely reflecting improved ventilation.",lung volumes,,Better,['files/p14/p14851532/s54299422/819e8838-813f6f6e-a6c5d098-e747a8aa-68e03a8b.jpg'],['files/p14/p14851532/s54199404/c1d88bcb-41125f69-0bde8f97-cf27b9f3-3e411312.jpg\n']
s54299422_14,p14851532,s54299422,14,Findings,"As compared to the previous radiograph, no relevant change is seen. The lung volumes have slightly increased, likely reflecting improved ventilation. Otherwise, the appearance of the lung parenchyma, the mediastinum and the cardiac silhouette, including the monitoring and support devices as well as sternal fixations, is stable.","Otherwise, the appearance of the lung parenchyma, the mediastinum and the cardiac silhouette, including the monitoring and support devices as well as sternal fixations, is stable.",lung parenchyma,,Stable,['files/p14/p14851532/s54299422/819e8838-813f6f6e-a6c5d098-e747a8aa-68e03a8b.jpg'],['files/p14/p14851532/s54199404/c1d88bcb-41125f69-0bde8f97-cf27b9f3-3e411312.jpg\n']
s54299422_14,p14851532,s54299422,14,Findings,"As compared to the previous radiograph, no relevant change is seen. The lung volumes have slightly increased, likely reflecting improved ventilation. Otherwise, the appearance of the lung parenchyma, the mediastinum and the cardiac silhouette, including the monitoring and support devices as well as sternal fixations, is stable.","Otherwise, the appearance of the lung parenchyma, the mediastinum and the cardiac silhouette, including the monitoring and support devices as well as sternal fixations, is stable.",mediastinum,,Stable,['files/p14/p14851532/s54299422/819e8838-813f6f6e-a6c5d098-e747a8aa-68e03a8b.jpg'],['files/p14/p14851532/s54199404/c1d88bcb-41125f69-0bde8f97-cf27b9f3-3e411312.jpg\n']
s54299422_14,p14851532,s54299422,14,Findings,"As compared to the previous radiograph, no relevant change is seen. The lung volumes have slightly increased, likely reflecting improved ventilation. Otherwise, the appearance of the lung parenchyma, the mediastinum and the cardiac silhouette, including the monitoring and support devices as well as sternal fixations, is stable.","Otherwise, the appearance of the lung parenchyma, the mediastinum and the cardiac silhouette, including the monitoring and support devices as well as sternal fixations, is stable.",cardiac silhouette,,Stable,['files/p14/p14851532/s54299422/819e8838-813f6f6e-a6c5d098-e747a8aa-68e03a8b.jpg'],['files/p14/p14851532/s54199404/c1d88bcb-41125f69-0bde8f97-cf27b9f3-3e411312.jpg\n']
s54299422_14,p14851532,s54299422,14,Findings,"As compared to the previous radiograph, no relevant change is seen. The lung volumes have slightly increased, likely reflecting improved ventilation. Otherwise, the appearance of the lung parenchyma, the mediastinum and the cardiac silhouette, including the monitoring and support devices as well as sternal fixations, is stable.","Otherwise, the appearance of the lung parenchyma, the mediastinum and the cardiac silhouette, including the monitoring and support devices as well as sternal fixations, is stable.",monitoring and support devices,,Stable,['files/p14/p14851532/s54299422/819e8838-813f6f6e-a6c5d098-e747a8aa-68e03a8b.jpg'],['files/p14/p14851532/s54199404/c1d88bcb-41125f69-0bde8f97-cf27b9f3-3e411312.jpg\n']
s54299422_14,p14851532,s54299422,14,Findings,"As compared to the previous radiograph, no relevant change is seen. The lung volumes have slightly increased, likely reflecting improved ventilation. Otherwise, the appearance of the lung parenchyma, the mediastinum and the cardiac silhouette, including the monitoring and support devices as well as sternal fixations, is stable.","Otherwise, the appearance of the lung parenchyma, the mediastinum and the cardiac silhouette, including the monitoring and support devices as well as sternal fixations, is stable.",sternal fixations,,Stable,['files/p14/p14851532/s54299422/819e8838-813f6f6e-a6c5d098-e747a8aa-68e03a8b.jpg'],['files/p14/p14851532/s54199404/c1d88bcb-41125f69-0bde8f97-cf27b9f3-3e411312.jpg\n']
s54299422_14,p14851532,s54299422,14,Findings,"As compared to the previous radiograph, no relevant change is seen. The lung volumes have slightly increased, likely reflecting improved ventilation. Otherwise, the appearance of the lung parenchyma, the mediastinum and the cardiac silhouette, including the monitoring and support devices as well as sternal fixations, is stable.","As compared to the previous radiograph, no relevant change is seen.",overall appearance,,Stable,['files/p14/p14851532/s54299422/819e8838-813f6f6e-a6c5d098-e747a8aa-68e03a8b.jpg'],['files/p14/p14851532/s54199404/c1d88bcb-41125f69-0bde8f97-cf27b9f3-3e411312.jpg\n']
s54300688_22,p10933609,s54300688,22,Findings,"The cardiac, mediastinal, and hilar contours appear unchanged. Multifocal opacities which persist in the upper lungs with volume loss suggest chronic scarring without definite superimposed disease. Blunting of the left posterior costophrenic sulcus is unchanged, suggesting either trace pleural effusion or pleural thickening. Bony structures are unremarkable.",Multifocal opacities which persist in the upper lungs with volume loss suggest chronic scarring without definite superimposed disease.,multifocal opacities,upper lungs,Stable,"['files/p10/p10933609/s54300688/21f6f51a-c6b2fab8-8c228bb8-1a8f8c46-d568b413.jpg', 'files/p10/p10933609/s54300688/962a470a-df0275b5-6b8e2125-e3cc9c90-bf7e0a66.jpg']",['files/p10/p10933609/s53512860/3e25d193-509147d7-b305908a-51e0da17-7cb23fda.jpg\n']
s54300688_22,p10933609,s54300688,22,Findings,"The cardiac, mediastinal, and hilar contours appear unchanged. Multifocal opacities which persist in the upper lungs with volume loss suggest chronic scarring without definite superimposed disease. Blunting of the left posterior costophrenic sulcus is unchanged, suggesting either trace pleural effusion or pleural thickening. Bony structures are unremarkable.","The cardiac, mediastinal, and hilar contours appear unchanged.","cardiac, mediastinal, and hilar contours",,Stable,"['files/p10/p10933609/s54300688/21f6f51a-c6b2fab8-8c228bb8-1a8f8c46-d568b413.jpg', 'files/p10/p10933609/s54300688/962a470a-df0275b5-6b8e2125-e3cc9c90-bf7e0a66.jpg']",['files/p10/p10933609/s53512860/3e25d193-509147d7-b305908a-51e0da17-7cb23fda.jpg\n']
s54300688_22,p10933609,s54300688,22,Findings,"The cardiac, mediastinal, and hilar contours appear unchanged. Multifocal opacities which persist in the upper lungs with volume loss suggest chronic scarring without definite superimposed disease. Blunting of the left posterior costophrenic sulcus is unchanged, suggesting either trace pleural effusion or pleural thickening. Bony structures are unremarkable.","Blunting of the left posterior costophrenic sulcus is unchanged, suggesting either trace pleural effusion or pleural thickening.",blunting,left posterior costophrenic sulcus,Stable,"['files/p10/p10933609/s54300688/21f6f51a-c6b2fab8-8c228bb8-1a8f8c46-d568b413.jpg', 'files/p10/p10933609/s54300688/962a470a-df0275b5-6b8e2125-e3cc9c90-bf7e0a66.jpg']",['files/p10/p10933609/s53512860/3e25d193-509147d7-b305908a-51e0da17-7cb23fda.jpg\n']
s54300688_22,p10933609,s54300688,22,Impression,Stable appearance of the chest.,Stable appearance of the chest.,chest appearance,,Stable,"['files/p10/p10933609/s54300688/21f6f51a-c6b2fab8-8c228bb8-1a8f8c46-d568b413.jpg', 'files/p10/p10933609/s54300688/962a470a-df0275b5-6b8e2125-e3cc9c90-bf7e0a66.jpg']",['files/p10/p10933609/s53512860/3e25d193-509147d7-b305908a-51e0da17-7cb23fda.jpg\n']
s54309288_10,p13896515,s54309288,10,Findings,Single AP view of the chest. Low lung volumes again seen. Interstitial opacities appear more conspicuous on the current exam which could be due to component of lower lung volumes and technique however superimposed component of interstitial edema is suspected. There is no confluent consolidation. The cardiac silhouette appears slightly enlarged compared to prior but some of this is may be due to lordotic positioning. Median sternotomy wires and mediastinal clips are again noted.,Low lung volumes again seen.,Low lung volumes,,Stable,"['files/p13/p13896515/s54309288/020b74cd-16e167ae-e0bf84af-33932203-5ccc5490.jpg', 'files/p13/p13896515/s54309288/0fed3810-c219e9a9-5661b92f-9cdb7919-3ce51644.jpg']",['files/p13/p13896515/s53943549/7301509c-ae57fc65-dab3994c-b7d85ab5-8506df82.jpg\n']
s54309288_10,p13896515,s54309288,10,Findings,Single AP view of the chest. Low lung volumes again seen. Interstitial opacities appear more conspicuous on the current exam which could be due to component of lower lung volumes and technique however superimposed component of interstitial edema is suspected. There is no confluent consolidation. The cardiac silhouette appears slightly enlarged compared to prior but some of this is may be due to lordotic positioning. Median sternotomy wires and mediastinal clips are again noted.,Interstitial opacities appear more conspicuous on the current exam which could be due to component of lower lung volumes and technique however superimposed component of interstitial edema is suspected.,Interstitial opacities,,Worse,"['files/p13/p13896515/s54309288/020b74cd-16e167ae-e0bf84af-33932203-5ccc5490.jpg', 'files/p13/p13896515/s54309288/0fed3810-c219e9a9-5661b92f-9cdb7919-3ce51644.jpg']",['files/p13/p13896515/s53943549/7301509c-ae57fc65-dab3994c-b7d85ab5-8506df82.jpg\n']
s54309288_10,p13896515,s54309288,10,Impression,Suspected component of interstitial edema superimposed on chronic interstitial process. Cardiomegaly which has progressed since prior although some of this may be positional.,Cardiomegaly which has progressed since prior although some of this may be positional.,Cardiomegaly,,Worse,"['files/p13/p13896515/s54309288/020b74cd-16e167ae-e0bf84af-33932203-5ccc5490.jpg', 'files/p13/p13896515/s54309288/0fed3810-c219e9a9-5661b92f-9cdb7919-3ce51644.jpg']",['files/p13/p13896515/s53943549/7301509c-ae57fc65-dab3994c-b7d85ab5-8506df82.jpg\n']
s54309288_10,p13896515,s54309288,10,Findings,Single AP view of the chest. Low lung volumes again seen. Interstitial opacities appear more conspicuous on the current exam which could be due to component of lower lung volumes and technique however superimposed component of interstitial edema is suspected. There is no confluent consolidation. The cardiac silhouette appears slightly enlarged compared to prior but some of this is may be due to lordotic positioning. Median sternotomy wires and mediastinal clips are again noted.,Median sternotomy wires and mediastinal clips are again noted.,Median sternotomy wires and mediastinal clips,,Stable,"['files/p13/p13896515/s54309288/020b74cd-16e167ae-e0bf84af-33932203-5ccc5490.jpg', 'files/p13/p13896515/s54309288/0fed3810-c219e9a9-5661b92f-9cdb7919-3ce51644.jpg']",['files/p13/p13896515/s53943549/7301509c-ae57fc65-dab3994c-b7d85ab5-8506df82.jpg\n']
s54309288_10,p13896515,s54309288,10,Findings,Single AP view of the chest. Low lung volumes again seen. Interstitial opacities appear more conspicuous on the current exam which could be due to component of lower lung volumes and technique however superimposed component of interstitial edema is suspected. There is no confluent consolidation. The cardiac silhouette appears slightly enlarged compared to prior but some of this is may be due to lordotic positioning. Median sternotomy wires and mediastinal clips are again noted.,The cardiac silhouette appears slightly enlarged compared to prior but some of this is may be due to lordotic positioning.,Cardiac silhouette enlargement,,Worse,"['files/p13/p13896515/s54309288/020b74cd-16e167ae-e0bf84af-33932203-5ccc5490.jpg', 'files/p13/p13896515/s54309288/0fed3810-c219e9a9-5661b92f-9cdb7919-3ce51644.jpg']",['files/p13/p13896515/s53943549/7301509c-ae57fc65-dab3994c-b7d85ab5-8506df82.jpg\n']
s54323585_55,p15131736,s54323585,55,Impression,"Compared to prior chest radiographs since ___, most recently ___. Severe cardiomegaly is chronic. Mediastinal veins were acutely distended and pulmonary edema, exaggerated by low lung volumes, had worsened between ___ and ___. Today lung volumes have improved, edema has decreased, but the severe cardiomegaly and mediastinal venous engorgement are still present. Pleural effusions are presumed, but not large. ET tube in standard placement. Esophageal drainage tube passes below the diaphragm and out of view. No pneumothorax.","Today lung volumes have improved, edema has decreased, but the severe cardiomegaly and mediastinal venous engorgement are still present.",venous engorgement,Mediastinal,Stable,['files/p15/p15131736/s54323585/5b07d9a6-0d3955a8-5134f6fa-5357ca78-485cd5af.jpg'],['files/p15/p15131736/s54212695/435f9f3d-20761ab9-c5f2bca8-9d5b204f-3520a1a0.jpg\n']
s54323585_55,p15131736,s54323585,55,Impression,"Compared to prior chest radiographs since ___, most recently ___. Severe cardiomegaly is chronic. Mediastinal veins were acutely distended and pulmonary edema, exaggerated by low lung volumes, had worsened between ___ and ___. Today lung volumes have improved, edema has decreased, but the severe cardiomegaly and mediastinal venous engorgement are still present. Pleural effusions are presumed, but not large. ET tube in standard placement. Esophageal drainage tube passes below the diaphragm and out of view. No pneumothorax.","Today lung volumes have improved, edema has decreased, but the severe cardiomegaly and mediastinal venous engorgement are still present.",volumes,Lung,Better,['files/p15/p15131736/s54323585/5b07d9a6-0d3955a8-5134f6fa-5357ca78-485cd5af.jpg'],['files/p15/p15131736/s54212695/435f9f3d-20761ab9-c5f2bca8-9d5b204f-3520a1a0.jpg\n']
s54323585_55,p15131736,s54323585,55,Impression,"Compared to prior chest radiographs since ___, most recently ___. Severe cardiomegaly is chronic. Mediastinal veins were acutely distended and pulmonary edema, exaggerated by low lung volumes, had worsened between ___ and ___. Today lung volumes have improved, edema has decreased, but the severe cardiomegaly and mediastinal venous engorgement are still present. Pleural effusions are presumed, but not large. ET tube in standard placement. Esophageal drainage tube passes below the diaphragm and out of view. No pneumothorax.","Mediastinal veins were acutely distended and pulmonary edema, exaggerated by low lung volumes, had worsened between ___ and ___.",edema,Pulmonary,Worse,['files/p15/p15131736/s54323585/5b07d9a6-0d3955a8-5134f6fa-5357ca78-485cd5af.jpg'],['files/p15/p15131736/s54212695/435f9f3d-20761ab9-c5f2bca8-9d5b204f-3520a1a0.jpg\n']
s54323585_55,p15131736,s54323585,55,Impression,"Compared to prior chest radiographs since ___, most recently ___. Severe cardiomegaly is chronic. Mediastinal veins were acutely distended and pulmonary edema, exaggerated by low lung volumes, had worsened between ___ and ___. Today lung volumes have improved, edema has decreased, but the severe cardiomegaly and mediastinal venous engorgement are still present. Pleural effusions are presumed, but not large. ET tube in standard placement. Esophageal drainage tube passes below the diaphragm and out of view. No pneumothorax.","Mediastinal veins were acutely distended and pulmonary edema, exaggerated by low lung volumes, had worsened between ___ and ___.",veins distention,Mediastinal,Worse,['files/p15/p15131736/s54323585/5b07d9a6-0d3955a8-5134f6fa-5357ca78-485cd5af.jpg'],['files/p15/p15131736/s54212695/435f9f3d-20761ab9-c5f2bca8-9d5b204f-3520a1a0.jpg\n']
s54325260_4,p16662264,s54325260,4,Findings,"The heart is normal in size. The mediastinal contours appear stable. Again seen is a rounded opacity superimposed along the right cardiac border that appears similar to decreased and was previously shown to correspond to fluid and consolidation on the recent prior chest CT. There is a small persistent left-sided pleural effusion, but substantially decreased. A moderate right-sided pleural effusion has also decreased in size and is now small to moderate. There is a vague nodular opacity projecting over the right upper lung that is similar to better defined compared to the recent prior chest radiographs and may correspond to nodular focus along the right minor fissure seen on the CT study. Patchy basilar opacities are nonspecific, but could be seen with a resolving infection or atelectasis associated with effusions.",Again seen is a rounded opacity superimposed along the right cardiac border that appears similar to decreased and was previously shown to correspond to fluid and consolidation on the recent prior chest CT.,rounded opacity,along the right cardiac border,Stable,"['files/p16/p16662264/s54325260/179a3bc6-06e45b2d-3a0d7560-d5bea797-ed93b1dc.jpg', 'files/p16/p16662264/s54325260/8e24f563-9ef7ca91-17190c86-0d7d6406-35d94599.jpg']","['files/p16/p16662264/s54193371/0eeed2ac-7c2c8b80-4a7de4c0-bf204a98-3f015f56.jpg\n', 'files/p16/p16662264/s54193371/f781fb92-d5c744fe-58574051-17d2e843-3ba0a211.jpg\n']"
s54325260_4,p16662264,s54325260,4,Findings,"The heart is normal in size. The mediastinal contours appear stable. Again seen is a rounded opacity superimposed along the right cardiac border that appears similar to decreased and was previously shown to correspond to fluid and consolidation on the recent prior chest CT. There is a small persistent left-sided pleural effusion, but substantially decreased. A moderate right-sided pleural effusion has also decreased in size and is now small to moderate. There is a vague nodular opacity projecting over the right upper lung that is similar to better defined compared to the recent prior chest radiographs and may correspond to nodular focus along the right minor fissure seen on the CT study. Patchy basilar opacities are nonspecific, but could be seen with a resolving infection or atelectasis associated with effusions.",The mediastinal contours appear stable.,mediastinal contours,,Stable,"['files/p16/p16662264/s54325260/179a3bc6-06e45b2d-3a0d7560-d5bea797-ed93b1dc.jpg', 'files/p16/p16662264/s54325260/8e24f563-9ef7ca91-17190c86-0d7d6406-35d94599.jpg']","['files/p16/p16662264/s54193371/0eeed2ac-7c2c8b80-4a7de4c0-bf204a98-3f015f56.jpg\n', 'files/p16/p16662264/s54193371/f781fb92-d5c744fe-58574051-17d2e843-3ba0a211.jpg\n']"
s54325260_4,p16662264,s54325260,4,Findings,"The heart is normal in size. The mediastinal contours appear stable. Again seen is a rounded opacity superimposed along the right cardiac border that appears similar to decreased and was previously shown to correspond to fluid and consolidation on the recent prior chest CT. There is a small persistent left-sided pleural effusion, but substantially decreased. A moderate right-sided pleural effusion has also decreased in size and is now small to moderate. There is a vague nodular opacity projecting over the right upper lung that is similar to better defined compared to the recent prior chest radiographs and may correspond to nodular focus along the right minor fissure seen on the CT study. Patchy basilar opacities are nonspecific, but could be seen with a resolving infection or atelectasis associated with effusions.",A moderate right-sided pleural effusion has also decreased in size and is now small to moderate.,pleural effusion,right-sided,Better,"['files/p16/p16662264/s54325260/179a3bc6-06e45b2d-3a0d7560-d5bea797-ed93b1dc.jpg', 'files/p16/p16662264/s54325260/8e24f563-9ef7ca91-17190c86-0d7d6406-35d94599.jpg']","['files/p16/p16662264/s54193371/0eeed2ac-7c2c8b80-4a7de4c0-bf204a98-3f015f56.jpg\n', 'files/p16/p16662264/s54193371/f781fb92-d5c744fe-58574051-17d2e843-3ba0a211.jpg\n']"
s54325260_4,p16662264,s54325260,4,Impression,"Decreased pleural effusions. Better defined nodule projecting over the right upper lung, of recent onset and potentially infectious or inflammatory in etiology. Attention on followup radiographs is recommended to show resolution.",Decreased pleural effusions.,pleural effusions,,Better,"['files/p16/p16662264/s54325260/179a3bc6-06e45b2d-3a0d7560-d5bea797-ed93b1dc.jpg', 'files/p16/p16662264/s54325260/8e24f563-9ef7ca91-17190c86-0d7d6406-35d94599.jpg']","['files/p16/p16662264/s54193371/0eeed2ac-7c2c8b80-4a7de4c0-bf204a98-3f015f56.jpg\n', 'files/p16/p16662264/s54193371/f781fb92-d5c744fe-58574051-17d2e843-3ba0a211.jpg\n']"
s54325260_4,p16662264,s54325260,4,Findings,"The heart is normal in size. The mediastinal contours appear stable. Again seen is a rounded opacity superimposed along the right cardiac border that appears similar to decreased and was previously shown to correspond to fluid and consolidation on the recent prior chest CT. There is a small persistent left-sided pleural effusion, but substantially decreased. A moderate right-sided pleural effusion has also decreased in size and is now small to moderate. There is a vague nodular opacity projecting over the right upper lung that is similar to better defined compared to the recent prior chest radiographs and may correspond to nodular focus along the right minor fissure seen on the CT study. Patchy basilar opacities are nonspecific, but could be seen with a resolving infection or atelectasis associated with effusions.",There is a vague nodular opacity projecting over the right upper lung that is similar to better defined compared to the recent prior chest radiographs and may correspond to nodular focus along the right minor fissure seen on the CT study.,nodular opacity,over the right upper lung,Stable,"['files/p16/p16662264/s54325260/179a3bc6-06e45b2d-3a0d7560-d5bea797-ed93b1dc.jpg', 'files/p16/p16662264/s54325260/8e24f563-9ef7ca91-17190c86-0d7d6406-35d94599.jpg']","['files/p16/p16662264/s54193371/0eeed2ac-7c2c8b80-4a7de4c0-bf204a98-3f015f56.jpg\n', 'files/p16/p16662264/s54193371/f781fb92-d5c744fe-58574051-17d2e843-3ba0a211.jpg\n']"
s54325260_4,p16662264,s54325260,4,Findings,"The heart is normal in size. The mediastinal contours appear stable. Again seen is a rounded opacity superimposed along the right cardiac border that appears similar to decreased and was previously shown to correspond to fluid and consolidation on the recent prior chest CT. There is a small persistent left-sided pleural effusion, but substantially decreased. A moderate right-sided pleural effusion has also decreased in size and is now small to moderate. There is a vague nodular opacity projecting over the right upper lung that is similar to better defined compared to the recent prior chest radiographs and may correspond to nodular focus along the right minor fissure seen on the CT study. Patchy basilar opacities are nonspecific, but could be seen with a resolving infection or atelectasis associated with effusions.","There is a small persistent left-sided pleural effusion, but substantially decreased.",pleural effusion,left-sided,Better,"['files/p16/p16662264/s54325260/179a3bc6-06e45b2d-3a0d7560-d5bea797-ed93b1dc.jpg', 'files/p16/p16662264/s54325260/8e24f563-9ef7ca91-17190c86-0d7d6406-35d94599.jpg']","['files/p16/p16662264/s54193371/0eeed2ac-7c2c8b80-4a7de4c0-bf204a98-3f015f56.jpg\n', 'files/p16/p16662264/s54193371/f781fb92-d5c744fe-58574051-17d2e843-3ba0a211.jpg\n']"
s54328164_3,p18929056,s54328164,3,Findings,"Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. Mild enlargement of the cardiac silhouette is similar. The aorta remains tortuous and diffusely calcified. Pulmonary vasculature is not engorged, and hilar contours are unchanged. Lungs are hyperinflated with emphysematous changes again noted in the upper lobes. Scarring in the lung apices is similar. No focal consolidation, pleural effusion or pneumothorax is detected. Clips are seen in the right upper quadrant of the abdomen. There are no acute osseous abnormalities.","Pulmonary vasculature is not engorged, and hilar contours are unchanged.",not engorged,hilar contours,Stable,"['files/p18/p18929056/s54328164/75f51e34-e0b0e29f-85ec0820-5bace590-98001b7f.jpg', 'files/p18/p18929056/s54328164/f562ddad-3fb08dd0-f299d5c8-61447a92-3111dfa5.jpg']","['files/p18/p18929056/s52056700/c79cfde2-a2096710-1c80abd7-773c8658-b7393891.jpg\n', 'files/p18/p18929056/s52056700/de140675-ed4e6db5-111e6c9c-427ebbe7-7e83e354.jpg\n']"
s54328164_3,p18929056,s54328164,3,Findings,"Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. Mild enlargement of the cardiac silhouette is similar. The aorta remains tortuous and diffusely calcified. Pulmonary vasculature is not engorged, and hilar contours are unchanged. Lungs are hyperinflated with emphysematous changes again noted in the upper lobes. Scarring in the lung apices is similar. No focal consolidation, pleural effusion or pneumothorax is detected. Clips are seen in the right upper quadrant of the abdomen. There are no acute osseous abnormalities.",The aorta remains tortuous and diffusely calcified.,tortuous and diffusely calcified,aorta,Stable,"['files/p18/p18929056/s54328164/75f51e34-e0b0e29f-85ec0820-5bace590-98001b7f.jpg', 'files/p18/p18929056/s54328164/f562ddad-3fb08dd0-f299d5c8-61447a92-3111dfa5.jpg']","['files/p18/p18929056/s52056700/c79cfde2-a2096710-1c80abd7-773c8658-b7393891.jpg\n', 'files/p18/p18929056/s52056700/de140675-ed4e6db5-111e6c9c-427ebbe7-7e83e354.jpg\n']"
s54328164_3,p18929056,s54328164,3,Findings,"Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. Mild enlargement of the cardiac silhouette is similar. The aorta remains tortuous and diffusely calcified. Pulmonary vasculature is not engorged, and hilar contours are unchanged. Lungs are hyperinflated with emphysematous changes again noted in the upper lobes. Scarring in the lung apices is similar. No focal consolidation, pleural effusion or pneumothorax is detected. Clips are seen in the right upper quadrant of the abdomen. There are no acute osseous abnormalities.",Scarring in the lung apices is similar.,scarring,lung apices,Stable,"['files/p18/p18929056/s54328164/75f51e34-e0b0e29f-85ec0820-5bace590-98001b7f.jpg', 'files/p18/p18929056/s54328164/f562ddad-3fb08dd0-f299d5c8-61447a92-3111dfa5.jpg']","['files/p18/p18929056/s52056700/c79cfde2-a2096710-1c80abd7-773c8658-b7393891.jpg\n', 'files/p18/p18929056/s52056700/de140675-ed4e6db5-111e6c9c-427ebbe7-7e83e354.jpg\n']"
s54328164_3,p18929056,s54328164,3,Findings,"Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. Mild enlargement of the cardiac silhouette is similar. The aorta remains tortuous and diffusely calcified. Pulmonary vasculature is not engorged, and hilar contours are unchanged. Lungs are hyperinflated with emphysematous changes again noted in the upper lobes. Scarring in the lung apices is similar. No focal consolidation, pleural effusion or pneumothorax is detected. Clips are seen in the right upper quadrant of the abdomen. There are no acute osseous abnormalities.","Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged.",pacemaker leads,right atrium and right ventricle,Stable,"['files/p18/p18929056/s54328164/75f51e34-e0b0e29f-85ec0820-5bace590-98001b7f.jpg', 'files/p18/p18929056/s54328164/f562ddad-3fb08dd0-f299d5c8-61447a92-3111dfa5.jpg']","['files/p18/p18929056/s52056700/c79cfde2-a2096710-1c80abd7-773c8658-b7393891.jpg\n', 'files/p18/p18929056/s52056700/de140675-ed4e6db5-111e6c9c-427ebbe7-7e83e354.jpg\n']"
s54328164_3,p18929056,s54328164,3,Findings,"Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. Mild enlargement of the cardiac silhouette is similar. The aorta remains tortuous and diffusely calcified. Pulmonary vasculature is not engorged, and hilar contours are unchanged. Lungs are hyperinflated with emphysematous changes again noted in the upper lobes. Scarring in the lung apices is similar. No focal consolidation, pleural effusion or pneumothorax is detected. Clips are seen in the right upper quadrant of the abdomen. There are no acute osseous abnormalities.",Mild enlargement of the cardiac silhouette is similar.,mild enlargement,cardiac silhouette,Stable,"['files/p18/p18929056/s54328164/75f51e34-e0b0e29f-85ec0820-5bace590-98001b7f.jpg', 'files/p18/p18929056/s54328164/f562ddad-3fb08dd0-f299d5c8-61447a92-3111dfa5.jpg']","['files/p18/p18929056/s52056700/c79cfde2-a2096710-1c80abd7-773c8658-b7393891.jpg\n', 'files/p18/p18929056/s52056700/de140675-ed4e6db5-111e6c9c-427ebbe7-7e83e354.jpg\n']"
s54330319_2,p16848073,s54330319,2,Impression,"1) Compared with earlier the same day, improvement in CHF findings and in the right pleural effusion. 2) Patchy opacities throughout the right lung slightly improved, but persistent. 3) Left lower lobe collapse and/or consolidation and small left effusion unchanged.","Patchy opacities throughout the right lung slightly improved, but persistent.",patchy opacities,right lung,Better,['files/p16/p16848073/s54330319/f87d7943-a25e6d95-2b683eb7-c03c1ff4-587591bc.jpg'],"['files/p16/p16848073/s54293117/3570515b-9b95c21a-e1031924-9d3207d3-ab483017.jpg\n', 'files/p16/p16848073/s54293117/aac36650-9ed388fe-1dea8afb-ba02389c-5a62c2cc.jpg\n']"
s54330319_2,p16848073,s54330319,2,Impression,"1) Compared with earlier the same day, improvement in CHF findings and in the right pleural effusion. 2) Patchy opacities throughout the right lung slightly improved, but persistent. 3) Left lower lobe collapse and/or consolidation and small left effusion unchanged.","Compared with earlier the same day, improvement in CHF findings and in the right pleural effusion.",effusion,right pleural,Better,['files/p16/p16848073/s54330319/f87d7943-a25e6d95-2b683eb7-c03c1ff4-587591bc.jpg'],"['files/p16/p16848073/s54293117/3570515b-9b95c21a-e1031924-9d3207d3-ab483017.jpg\n', 'files/p16/p16848073/s54293117/aac36650-9ed388fe-1dea8afb-ba02389c-5a62c2cc.jpg\n']"
s54330319_2,p16848073,s54330319,2,Impression,"1) Compared with earlier the same day, improvement in CHF findings and in the right pleural effusion. 2) Patchy opacities throughout the right lung slightly improved, but persistent. 3) Left lower lobe collapse and/or consolidation and small left effusion unchanged.",Left lower lobe collapse and/or consolidation and small left effusion unchanged.,collapse and/or consolidation and small effusion,left lower lobe,Stable,['files/p16/p16848073/s54330319/f87d7943-a25e6d95-2b683eb7-c03c1ff4-587591bc.jpg'],"['files/p16/p16848073/s54293117/3570515b-9b95c21a-e1031924-9d3207d3-ab483017.jpg\n', 'files/p16/p16848073/s54293117/aac36650-9ed388fe-1dea8afb-ba02389c-5a62c2cc.jpg\n']"
s54330512_2,p14744884,s54330512,2,Findings,"The lungs are hypoinflated, accounting for vascular crowding but no evidence of focal opacities. Cardiomediastinal and hilar contours are unremarkable. The cardiac size is top normal. There is no pleural effusion or pneumothorax. A right subclavian stent is noted and unchanged from prior examination.",A right subclavian stent is noted and unchanged from prior examination.,stent,right subclavian,Stable,"['files/p14/p14744884/s54330512/823ebf48-768dcf19-136b5611-cabac298-d4c7a698.jpg', 'files/p14/p14744884/s54330512/f9dce1d5-9980fc56-0112f0b6-88e9a45f-48e80619.jpg']",['files/p14/p14744884/s54052607/a7086ff1-0170e249-78abab05-8879d1bc-4bf53b97.jpg\n']
s54331436_5,p13586204,s54331436,5,Findings,,No new lung opacities.,Lung opacities,,New,"['files/p13/p13586204/s54331436/e9db2620-0e24b6e8-95e9724b-676a2818-20b18e7a.jpg', 'files/p13/p13586204/s54331436/eccb4bb5-a1c52264-6d06faf4-163118a3-8bd1048c.jpg']","['files/p13/p13586204/s54073075/06da0b0e-ad407abe-e199913d-e079da96-22a7c445.jpg\n', 'files/p13/p13586204/s54073075/60d7e9dc-0844bc57-9783ac54-f69362d7-bdf20205.jpg\n']"
s54331436_5,p13586204,s54331436,5,Findings,,The heart size is stable.,Heart size,,Stable,"['files/p13/p13586204/s54331436/e9db2620-0e24b6e8-95e9724b-676a2818-20b18e7a.jpg', 'files/p13/p13586204/s54331436/eccb4bb5-a1c52264-6d06faf4-163118a3-8bd1048c.jpg']","['files/p13/p13586204/s54073075/06da0b0e-ad407abe-e199913d-e079da96-22a7c445.jpg\n', 'files/p13/p13586204/s54073075/60d7e9dc-0844bc57-9783ac54-f69362d7-bdf20205.jpg\n']"
s54331436_5,p13586204,s54331436,5,Findings,,The mediastinal contours are unchanged.,Mediastinal contours,,Stable,"['files/p13/p13586204/s54331436/e9db2620-0e24b6e8-95e9724b-676a2818-20b18e7a.jpg', 'files/p13/p13586204/s54331436/eccb4bb5-a1c52264-6d06faf4-163118a3-8bd1048c.jpg']","['files/p13/p13586204/s54073075/06da0b0e-ad407abe-e199913d-e079da96-22a7c445.jpg\n', 'files/p13/p13586204/s54073075/60d7e9dc-0844bc57-9783ac54-f69362d7-bdf20205.jpg\n']"
s54335229_75,p15131736,s54335229,75,Impression,"In comparison with the study ___ ___, there is continued substantial increase size of the cardiac silhouette with pulmonary edema that may be minimally better than on the previous study. In the appropriate clinical setting, the possibility of superimposed pneumonia could not be excluded, especially in the absence of a lateral view. Central catheter again extends to the mid to lower SVC.",Central catheter again extends to the mid to lower SVC.,Central catheter,mid to lower SVC,Stable,['files/p15/p15131736/s54335229/de8ba3a7-575f2651-ec81a20e-b45631f7-2acc972a.jpg'],['files/p15/p15131736/s54323585/5b07d9a6-0d3955a8-5134f6fa-5357ca78-485cd5af.jpg\n']
s54335229_75,p15131736,s54335229,75,Impression,"In comparison with the study ___ ___, there is continued substantial increase size of the cardiac silhouette with pulmonary edema that may be minimally better than on the previous study. In the appropriate clinical setting, the possibility of superimposed pneumonia could not be excluded, especially in the absence of a lateral view. Central catheter again extends to the mid to lower SVC.","In comparison with the study __ __, there is continued substantial increase size of the cardiac silhouette with pulmonary edema that may be minimally better than on the previous study.",edema,pulmonary,Better,['files/p15/p15131736/s54335229/de8ba3a7-575f2651-ec81a20e-b45631f7-2acc972a.jpg'],['files/p15/p15131736/s54323585/5b07d9a6-0d3955a8-5134f6fa-5357ca78-485cd5af.jpg\n']
s54335229_75,p15131736,s54335229,75,Impression,"In comparison with the study ___ ___, there is continued substantial increase size of the cardiac silhouette with pulmonary edema that may be minimally better than on the previous study. In the appropriate clinical setting, the possibility of superimposed pneumonia could not be excluded, especially in the absence of a lateral view. Central catheter again extends to the mid to lower SVC.","In comparison with the study __ __, there is continued substantial increase size of the cardiac silhouette with pulmonary edema that may be minimally better than on the previous study.",increase size,cardiac silhouette,Worse,['files/p15/p15131736/s54335229/de8ba3a7-575f2651-ec81a20e-b45631f7-2acc972a.jpg'],['files/p15/p15131736/s54323585/5b07d9a6-0d3955a8-5134f6fa-5357ca78-485cd5af.jpg\n']
s54340460_1,p13989850,s54340460,1,Findings,"In comparison with the study of ___, there is little change and no evidence of acute cardiopulmonary disease. The heart is normal in size and lungs are clear without vascular congestion or pleural effusion.","In comparison with the study of ___, there is little change and no evidence of acute cardiopulmonary disease.",cardiopulmonary disease,,Stable,"['files/p13/p13989850/s54340460/6ef62beb-9dc09cbe-d856c78a-ffcdf46e-c41bf566.jpg', 'files/p13/p13989850/s54340460/7e9417d8-39dce73b-f1e7fd90-203f64f7-4a1d13f3.jpg']","['files/p13/p13989850/s53791685/1cc0f31c-c26b32a8-56b4a45d-21173891-7f6b0a34.jpg\n', 'files/p13/p13989850/s53791685/dcdc908d-8f4a46cf-0dff1d17-7bf04375-a24a33a8.jpg\n']"
s54346596_8,p19844485,s54346596,8,Impression,1. Increased right effusion with underlying collapse and/or consolidation. 2. Slight worsening of left lower lobe collapse and/or consolidation.,1. Increased right effusion with underlying collapse and/or consolidation. 2. Slight worsening of left lower lobe collapse and/or consolidation.,effusion,right,Worse,['files/p19/p19844485/s54346596/ed9c3e31-eb090a92-2961be8b-dbc881e0-11aff1ff.jpg'],['files/p19/p19844485/s53984746/f138d1b9-51f16615-50213e4d-c67d164b-78ea6c15.jpg\n']
s54346596_8,p19844485,s54346596,8,Impression,1. Increased right effusion with underlying collapse and/or consolidation. 2. Slight worsening of left lower lobe collapse and/or consolidation.,1. Increased right effusion with underlying collapse and/or consolidation. 2. Slight worsening of left lower lobe collapse and/or consolidation.,collapse,left lower lobe,Worse,['files/p19/p19844485/s54346596/ed9c3e31-eb090a92-2961be8b-dbc881e0-11aff1ff.jpg'],['files/p19/p19844485/s53984746/f138d1b9-51f16615-50213e4d-c67d164b-78ea6c15.jpg\n']
s54350292_17,p19623993,s54350292,17,Findings,"The cardiac, mediastinal and hilar contours appear unchanged. The heart appears mildly enlarged. There is slight unfolding of the thoracic aorta. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild relative elevation of the right hemidiaphragm is similar. Although this study does not include a dedicated rib series, no fracture is identified.",Mild relative elevation of the right hemidiaphragm is similar.,elevation,right hemidiaphragm,Stable,['files/p19/p19623993/s54350292/da234986-086e6232-706fdd79-a63870a6-7801b85d.jpg'],"['files/p19/p19623993/s52893597/2b4cfcc5-c44c4f2a-8e59b25e-b354f0ac-459b3e05.jpg\n', 'files/p19/p19623993/s52893597/61ed122d-80b347e7-d2269b6b-e28fb75e-e5585f0f.jpg\n']"
s54350292_17,p19623993,s54350292,17,Findings,"The cardiac, mediastinal and hilar contours appear unchanged. The heart appears mildly enlarged. There is slight unfolding of the thoracic aorta. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild relative elevation of the right hemidiaphragm is similar. Although this study does not include a dedicated rib series, no fracture is identified.","The cardiac, mediastinal and hilar contours appear unchanged.",contours,"cardiac, mediastinal and hilar",Stable,['files/p19/p19623993/s54350292/da234986-086e6232-706fdd79-a63870a6-7801b85d.jpg'],"['files/p19/p19623993/s52893597/2b4cfcc5-c44c4f2a-8e59b25e-b354f0ac-459b3e05.jpg\n', 'files/p19/p19623993/s52893597/61ed122d-80b347e7-d2269b6b-e28fb75e-e5585f0f.jpg\n']"
s54350641_3,p15438386,s54350641,3,Findings,"A new enteric catheter ends either at the gastric antrum or first portion of the duodenum. Lung volumes are low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. The lungs are clear. The heart size is normal. The descending thoracic aorta is slightly tortuous. There are no pleural effusions. No pneumothorax is seen.",A new enteric catheter ends either at the gastric antrum or first portion of the duodenum.,enteric catheter,gastric antrum or first portion of the duodenum,New,['files/p15/p15438386/s54350641/76e72399-4ee134f7-c1d4538e-8c0a7451-bacc3a48.jpg'],"['files/p15/p15438386/s50994417/081b6db8-da3b5047-573fbc16-9aa955fa-d35d3cc2.jpg\n', 'files/p15/p15438386/s50994417/88452747-3f314c21-22193cd6-21965317-a568535d.jpg\n', 'files/p15/p15438386/s50994417/dd7b0ab6-fd3ea03d-b2a70c10-5eca94a7-a74d42be.jpg\n']"
s54350641_3,p15438386,s54350641,3,Impression,1. No acute cardiac or pulmonary process. 2. New enteric catheter ends either in the gastric antrum or first portion of the duodenum.,New enteric catheter ends either in the gastric antrum or first portion of the duodenum.,enteric catheter,gastric antrum or first portion of the duodenum,New,['files/p15/p15438386/s54350641/76e72399-4ee134f7-c1d4538e-8c0a7451-bacc3a48.jpg'],"['files/p15/p15438386/s50994417/081b6db8-da3b5047-573fbc16-9aa955fa-d35d3cc2.jpg\n', 'files/p15/p15438386/s50994417/88452747-3f314c21-22193cd6-21965317-a568535d.jpg\n', 'files/p15/p15438386/s50994417/dd7b0ab6-fd3ea03d-b2a70c10-5eca94a7-a74d42be.jpg\n']"
s54355730_14,p16751749,s54355730,14,Findings,"As compared to the previous radiograph, the right-sided chest tube is in unchanged position. Unchanged massive soft tissue air collection. An intrathoracic pneumothorax cannot be detected. Unchanged opacity at the right lung base and in the left lung apex. Unchanged size of the cardiac silhouette.","As compared to the previous radiograph, the right-sided chest tube is in unchanged position. Unchanged massive soft tissue air collection. An intrathoracic pneumothorax cannot be detected. Unchanged opacity at the right lung base and in the left lung apex. Unchanged size of the cardiac silhouette.",cardiac silhouette,size,Stable,['files/p16/p16751749/s54355730/15f11dc8-bf0efa42-bfe3db80-e0bf6c95-1ae84951.jpg'],['files/p16/p16751749/s54214300/3b132e00-e784c635-410bd026-a7a98d77-878308f5.jpg\n']
s54355730_14,p16751749,s54355730,14,Findings,"As compared to the previous radiograph, the right-sided chest tube is in unchanged position. Unchanged massive soft tissue air collection. An intrathoracic pneumothorax cannot be detected. Unchanged opacity at the right lung base and in the left lung apex. Unchanged size of the cardiac silhouette.","As compared to the previous radiograph, the right-sided chest tube is in unchanged position. Unchanged massive soft tissue air collection. An intrathoracic pneumothorax cannot be detected. Unchanged opacity at the right lung base and in the left lung apex. Unchanged size of the cardiac silhouette.",opacity,right lung base and left lung apex,Stable,['files/p16/p16751749/s54355730/15f11dc8-bf0efa42-bfe3db80-e0bf6c95-1ae84951.jpg'],['files/p16/p16751749/s54214300/3b132e00-e784c635-410bd026-a7a98d77-878308f5.jpg\n']
s54355730_14,p16751749,s54355730,14,Findings,"As compared to the previous radiograph, the right-sided chest tube is in unchanged position. Unchanged massive soft tissue air collection. An intrathoracic pneumothorax cannot be detected. Unchanged opacity at the right lung base and in the left lung apex. Unchanged size of the cardiac silhouette.","As compared to the previous radiograph, the right-sided chest tube is in unchanged position. Unchanged massive soft tissue air collection. An intrathoracic pneumothorax cannot be detected. Unchanged opacity at the right lung base and in the left lung apex. Unchanged size of the cardiac silhouette.",chest tube,right-sided,Stable,['files/p16/p16751749/s54355730/15f11dc8-bf0efa42-bfe3db80-e0bf6c95-1ae84951.jpg'],['files/p16/p16751749/s54214300/3b132e00-e784c635-410bd026-a7a98d77-878308f5.jpg\n']
s54355730_14,p16751749,s54355730,14,Findings,"As compared to the previous radiograph, the right-sided chest tube is in unchanged position. Unchanged massive soft tissue air collection. An intrathoracic pneumothorax cannot be detected. Unchanged opacity at the right lung base and in the left lung apex. Unchanged size of the cardiac silhouette.","As compared to the previous radiograph, the right-sided chest tube is in unchanged position. Unchanged massive soft tissue air collection. An intrathoracic pneumothorax cannot be detected. Unchanged opacity at the right lung base and in the left lung apex. Unchanged size of the cardiac silhouette.",soft tissue air collection,massive,Stable,['files/p16/p16751749/s54355730/15f11dc8-bf0efa42-bfe3db80-e0bf6c95-1ae84951.jpg'],['files/p16/p16751749/s54214300/3b132e00-e784c635-410bd026-a7a98d77-878308f5.jpg\n']
s54357764_0,p11879886,s54357764,0,Findings,"There are diffuse interstitial opacities which are new since the prior examination. Though likely due to interstitial pulmonary edema given evidence of prior cardiac surgery, there is no evidence of central venous engorgement, cardiomegaly or pleural effusions. An alternative possibility would be atypical infection in the appropriate clinical circumstance. No confluent consolidation is identified. There is no pneumothorax. Mediastinal and hilar contours are within normal limits and unchanged from prior. Mild cardiomegaly is stable. Post-surgical changes from prior CABG are unchanged. Median sternotomy wires appear grossly intact.",Mediastinal and hilar contours are within normal limits and unchanged from prior.,contours,Mediastinal and hilar,Stable,"['files/p11/p11879886/s54357764/94795c9f-9f6f801d-ed57d02c-5e9e02be-b35bf9a1.jpg', 'files/p11/p11879886/s54357764/9af84adc-9ec1d9e4-04c381af-f81edb77-c40f3fb4.jpg']","['files/p11/p11879886/s53021526/27a4f085-5eaad330-a1153870-3ec2cd19-20a604cd.jpg\n', 'files/p11/p11879886/s53021526/ea6b4ed1-85a1a289-da2233a9-5ff02b4c-e6290e00.jpg\n']"
s54357764_0,p11879886,s54357764,0,Findings,"There are diffuse interstitial opacities which are new since the prior examination. Though likely due to interstitial pulmonary edema given evidence of prior cardiac surgery, there is no evidence of central venous engorgement, cardiomegaly or pleural effusions. An alternative possibility would be atypical infection in the appropriate clinical circumstance. No confluent consolidation is identified. There is no pneumothorax. Mediastinal and hilar contours are within normal limits and unchanged from prior. Mild cardiomegaly is stable. Post-surgical changes from prior CABG are unchanged. Median sternotomy wires appear grossly intact.",Post-surgical changes from prior CABG are unchanged.,Post-surgical changes from CABG,,Stable,"['files/p11/p11879886/s54357764/94795c9f-9f6f801d-ed57d02c-5e9e02be-b35bf9a1.jpg', 'files/p11/p11879886/s54357764/9af84adc-9ec1d9e4-04c381af-f81edb77-c40f3fb4.jpg']","['files/p11/p11879886/s53021526/27a4f085-5eaad330-a1153870-3ec2cd19-20a604cd.jpg\n', 'files/p11/p11879886/s53021526/ea6b4ed1-85a1a289-da2233a9-5ff02b4c-e6290e00.jpg\n']"
s54357764_0,p11879886,s54357764,0,Findings,"There are diffuse interstitial opacities which are new since the prior examination. Though likely due to interstitial pulmonary edema given evidence of prior cardiac surgery, there is no evidence of central venous engorgement, cardiomegaly or pleural effusions. An alternative possibility would be atypical infection in the appropriate clinical circumstance. No confluent consolidation is identified. There is no pneumothorax. Mediastinal and hilar contours are within normal limits and unchanged from prior. Mild cardiomegaly is stable. Post-surgical changes from prior CABG are unchanged. Median sternotomy wires appear grossly intact.",Mild cardiomegaly is stable.,Mild cardiomegaly,,Stable,"['files/p11/p11879886/s54357764/94795c9f-9f6f801d-ed57d02c-5e9e02be-b35bf9a1.jpg', 'files/p11/p11879886/s54357764/9af84adc-9ec1d9e4-04c381af-f81edb77-c40f3fb4.jpg']","['files/p11/p11879886/s53021526/27a4f085-5eaad330-a1153870-3ec2cd19-20a604cd.jpg\n', 'files/p11/p11879886/s53021526/ea6b4ed1-85a1a289-da2233a9-5ff02b4c-e6290e00.jpg\n']"
s54357764_0,p11879886,s54357764,0,Findings,"There are diffuse interstitial opacities which are new since the prior examination. Though likely due to interstitial pulmonary edema given evidence of prior cardiac surgery, there is no evidence of central venous engorgement, cardiomegaly or pleural effusions. An alternative possibility would be atypical infection in the appropriate clinical circumstance. No confluent consolidation is identified. There is no pneumothorax. Mediastinal and hilar contours are within normal limits and unchanged from prior. Mild cardiomegaly is stable. Post-surgical changes from prior CABG are unchanged. Median sternotomy wires appear grossly intact.",There are diffuse interstitial opacities which are new since the prior examination.,interstitial opacities,diffuse,New,"['files/p11/p11879886/s54357764/94795c9f-9f6f801d-ed57d02c-5e9e02be-b35bf9a1.jpg', 'files/p11/p11879886/s54357764/9af84adc-9ec1d9e4-04c381af-f81edb77-c40f3fb4.jpg']","['files/p11/p11879886/s53021526/27a4f085-5eaad330-a1153870-3ec2cd19-20a604cd.jpg\n', 'files/p11/p11879886/s53021526/ea6b4ed1-85a1a289-da2233a9-5ff02b4c-e6290e00.jpg\n']"
s54357764_0,p11879886,s54357764,0,Impression,"New diffuse interstitial opacities likely related to pulmonary edema, though atypical infection should also be considered.","New diffuse interstitial opacities likely related to pulmonary edema, though atypical infection should also be considered.",interstitial opacities,diffuse,New,"['files/p11/p11879886/s54357764/94795c9f-9f6f801d-ed57d02c-5e9e02be-b35bf9a1.jpg', 'files/p11/p11879886/s54357764/9af84adc-9ec1d9e4-04c381af-f81edb77-c40f3fb4.jpg']","['files/p11/p11879886/s53021526/27a4f085-5eaad330-a1153870-3ec2cd19-20a604cd.jpg\n', 'files/p11/p11879886/s53021526/ea6b4ed1-85a1a289-da2233a9-5ff02b4c-e6290e00.jpg\n']"
s54359651_10,p15131736,s54359651,10,Findings,"Moderate-to-severe chronic cardiomegaly is unchanged. The lung volumes are extremely low resulting in crowding of the bronchovascular markings. Mild pulmonary vascular congestion is present, with improvement in the previously seen pulmonary edema. No consolidation, pleural effusion or pneumothorax is seen in this study.",Moderate-to-severe chronic cardiomegaly is unchanged.,chronic cardiomegaly,,Stable,['files/p15/p15131736/s54359651/a8398d17-610399a9-7f2059be-9b8fe9f8-b05f3290.jpg'],['files/p15/p15131736/s54335229/de8ba3a7-575f2651-ec81a20e-b45631f7-2acc972a.jpg\n']
s54359651_10,p15131736,s54359651,10,Findings,"Moderate-to-severe chronic cardiomegaly is unchanged. The lung volumes are extremely low resulting in crowding of the bronchovascular markings. Mild pulmonary vascular congestion is present, with improvement in the previously seen pulmonary edema. No consolidation, pleural effusion or pneumothorax is seen in this study.","Mild pulmonary vascular congestion is present, with improvement in the previously seen pulmonary edema.",pulmonary edema,,Better,['files/p15/p15131736/s54359651/a8398d17-610399a9-7f2059be-9b8fe9f8-b05f3290.jpg'],['files/p15/p15131736/s54335229/de8ba3a7-575f2651-ec81a20e-b45631f7-2acc972a.jpg\n']
s54359651_10,p15131736,s54359651,10,Impression,"Pulmonary vascular congestion, with improved edema.","Pulmonary vascular congestion, with improved edema.",edema,,Better,['files/p15/p15131736/s54359651/a8398d17-610399a9-7f2059be-9b8fe9f8-b05f3290.jpg'],['files/p15/p15131736/s54335229/de8ba3a7-575f2651-ec81a20e-b45631f7-2acc972a.jpg\n']
s54362315_22,p19454978,s54362315,22,Findings,"The heart appears borderline in size. The aorta is tortuous with patchy calcification. The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear. There are no pleural effusions or pneumothorax. A mild compression deformity of the T6 vertebral body appears unchanged. A severe compression deformity of L1 (vertebra plana) appears unchanged with stable alignment abnormality. The bones appear demineralized.",A mild compression deformity of the T6 vertebral body appears unchanged.,mild compression deformity,T6 vertebral body,Stable,"['files/p19/p19454978/s54362315/0640123a-6126739b-40ba8ed2-ce99e561-5b4636f5.jpg', 'files/p19/p19454978/s54362315/c1835b44-25f4ae1d-7fe2caf9-d07d4f59-ab0150b4.jpg']",['files/p19/p19454978/s53961391/97264070-c4f4a7bf-14e97575-719452ba-811afedf.jpg\n']
s54362315_22,p19454978,s54362315,22,Impression,No evidence of acute disease. Stable compression fractures.,Stable compression fractures.,compression fractures,unspecified,Stable,"['files/p19/p19454978/s54362315/0640123a-6126739b-40ba8ed2-ce99e561-5b4636f5.jpg', 'files/p19/p19454978/s54362315/c1835b44-25f4ae1d-7fe2caf9-d07d4f59-ab0150b4.jpg']",['files/p19/p19454978/s53961391/97264070-c4f4a7bf-14e97575-719452ba-811afedf.jpg\n']
s54362315_22,p19454978,s54362315,22,Findings,"The heart appears borderline in size. The aorta is tortuous with patchy calcification. The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear. There are no pleural effusions or pneumothorax. A mild compression deformity of the T6 vertebral body appears unchanged. A severe compression deformity of L1 (vertebra plana) appears unchanged with stable alignment abnormality. The bones appear demineralized.",A severe compression deformity of L1 (vertebra plana) appears unchanged with stable alignment abnormality.,alignment abnormality,L1 (vertebra plana),Stable,"['files/p19/p19454978/s54362315/0640123a-6126739b-40ba8ed2-ce99e561-5b4636f5.jpg', 'files/p19/p19454978/s54362315/c1835b44-25f4ae1d-7fe2caf9-d07d4f59-ab0150b4.jpg']",['files/p19/p19454978/s53961391/97264070-c4f4a7bf-14e97575-719452ba-811afedf.jpg\n']
s54362315_22,p19454978,s54362315,22,Findings,"The heart appears borderline in size. The aorta is tortuous with patchy calcification. The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear. There are no pleural effusions or pneumothorax. A mild compression deformity of the T6 vertebral body appears unchanged. A severe compression deformity of L1 (vertebra plana) appears unchanged with stable alignment abnormality. The bones appear demineralized.",A severe compression deformity of L1 (vertebra plana) appears unchanged with stable alignment abnormality.,severe compression deformity,L1 (vertebra plana),Stable,"['files/p19/p19454978/s54362315/0640123a-6126739b-40ba8ed2-ce99e561-5b4636f5.jpg', 'files/p19/p19454978/s54362315/c1835b44-25f4ae1d-7fe2caf9-d07d4f59-ab0150b4.jpg']",['files/p19/p19454978/s53961391/97264070-c4f4a7bf-14e97575-719452ba-811afedf.jpg\n']
s54362315_22,p19454978,s54362315,22,Findings,"The heart appears borderline in size. The aorta is tortuous with patchy calcification. The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear. There are no pleural effusions or pneumothorax. A mild compression deformity of the T6 vertebral body appears unchanged. A severe compression deformity of L1 (vertebra plana) appears unchanged with stable alignment abnormality. The bones appear demineralized.","The cardiac, mediastinal and hilar contours appear stable.",contours,"cardiac, mediastinal and hilar",Stable,"['files/p19/p19454978/s54362315/0640123a-6126739b-40ba8ed2-ce99e561-5b4636f5.jpg', 'files/p19/p19454978/s54362315/c1835b44-25f4ae1d-7fe2caf9-d07d4f59-ab0150b4.jpg']",['files/p19/p19454978/s53961391/97264070-c4f4a7bf-14e97575-719452ba-811afedf.jpg\n']
s54364085_11,p15204620,s54364085,11,Findings,"Diffuse opacification of the right lower lung zone is again seen; however, the right heart border can now be identified suggesting some clearing has occurred at least in the right middle lobe, though the consolidations within the right lower lobe persist. Elsewhere, the lung fields are clear. The position of the PICC line is good.","Diffuse opacification of the right lower lung zone is again seen; however, the right heart border can now be identified suggesting some clearing has occurred at least in the right middle lobe, though the consolidations within the right lower lobe persist.",opacification,right lower lung zone,Stable,['files/p15/p15204620/s54364085/0106a460-6d9a450b-a2f4f030-d6fbf077-a7248388.jpg'],['files/p15/p15204620/s53149599/67114e5d-72eb1a60-88f0c190-25cf1c50-17753b04.jpg\n']
s54364085_11,p15204620,s54364085,11,Findings,"Diffuse opacification of the right lower lung zone is again seen; however, the right heart border can now be identified suggesting some clearing has occurred at least in the right middle lobe, though the consolidations within the right lower lobe persist. Elsewhere, the lung fields are clear. The position of the PICC line is good.","Diffuse opacification of the right lower lung zone is again seen; however, the right heart border can now be identified suggesting some clearing has occurred at least in the right middle lobe, though the consolidations within the right lower lobe persist.",clearing,right middle lobe,Better,['files/p15/p15204620/s54364085/0106a460-6d9a450b-a2f4f030-d6fbf077-a7248388.jpg'],['files/p15/p15204620/s53149599/67114e5d-72eb1a60-88f0c190-25cf1c50-17753b04.jpg\n']
s54364085_11,p15204620,s54364085,11,Findings,"Diffuse opacification of the right lower lung zone is again seen; however, the right heart border can now be identified suggesting some clearing has occurred at least in the right middle lobe, though the consolidations within the right lower lobe persist. Elsewhere, the lung fields are clear. The position of the PICC line is good.","Diffuse opacification of the right lower lung zone is again seen; however, the right heart border can now be identified suggesting some clearing has occurred at least in the right middle lobe, though the consolidations within the right lower lobe persist.",consolidations,right lower lobe,Stable,['files/p15/p15204620/s54364085/0106a460-6d9a450b-a2f4f030-d6fbf077-a7248388.jpg'],['files/p15/p15204620/s53149599/67114e5d-72eb1a60-88f0c190-25cf1c50-17753b04.jpg\n']
s54364406_8,p19757720,s54364406,8,Findings,"As compared to the previous radiograph, there is no relevant change. Diffuse increased opacity of the right lung, with several air bronchograms. A pre-existing right pleural effusion seems to have moderately decreased. No changes in the left lung. Unchanged monitoring and support devices. Unchanged aspect of the cardiac silhouette.",Unchanged aspect of the cardiac silhouette.,cardiac silhouette,,Stable,"['files/p19/p19757720/s54364406/a1098fcf-e29bde8b-dbee420d-402eebb7-24afad1e.jpg', 'files/p19/p19757720/s54364406/c655764b-a45dc3cd-b0352fcf-f496ec60-32cdb429.jpg']",['files/p19/p19757720/s54045154/d5cabbb7-94d369a5-63b100a0-ee367e8e-e320832b.jpg\n']
s54364406_8,p19757720,s54364406,8,Findings,"As compared to the previous radiograph, there is no relevant change. Diffuse increased opacity of the right lung, with several air bronchograms. A pre-existing right pleural effusion seems to have moderately decreased. No changes in the left lung. Unchanged monitoring and support devices. Unchanged aspect of the cardiac silhouette.",Unchanged monitoring and support devices.,monitoring and support devices,,Stable,"['files/p19/p19757720/s54364406/a1098fcf-e29bde8b-dbee420d-402eebb7-24afad1e.jpg', 'files/p19/p19757720/s54364406/c655764b-a45dc3cd-b0352fcf-f496ec60-32cdb429.jpg']",['files/p19/p19757720/s54045154/d5cabbb7-94d369a5-63b100a0-ee367e8e-e320832b.jpg\n']
s54364406_8,p19757720,s54364406,8,Findings,"As compared to the previous radiograph, there is no relevant change. Diffuse increased opacity of the right lung, with several air bronchograms. A pre-existing right pleural effusion seems to have moderately decreased. No changes in the left lung. Unchanged monitoring and support devices. Unchanged aspect of the cardiac silhouette.",A pre-existing right pleural effusion seems to have moderately decreased.,pleural effusion,Right,Better,"['files/p19/p19757720/s54364406/a1098fcf-e29bde8b-dbee420d-402eebb7-24afad1e.jpg', 'files/p19/p19757720/s54364406/c655764b-a45dc3cd-b0352fcf-f496ec60-32cdb429.jpg']",['files/p19/p19757720/s54045154/d5cabbb7-94d369a5-63b100a0-ee367e8e-e320832b.jpg\n']
s54365112_9,p14147787,s54365112,9,Findings,There is no focal lung consolidation. Changes of sarcoidosis including upper lobe fibrosis and traction bronchiectasis has mildly decreased from ___. There is no hilar adenopathy. Lenticular calcification of the right hilus is unchanged dating back to ___. Cardiomediastinal contour is normal. There is no pleural effusion or pneumothorax.,Lenticular calcification of the right hilus is unchanged dating back to ___.,lenticular calcification,right hilus,Stable,"['files/p14/p14147787/s54365112/1a9b1d8f-0d8dfc78-0725a750-479c4d47-0c3c4592.jpg', 'files/p14/p14147787/s54365112/31036486-baeed0fa-9092ab1f-bfd77ffe-61e50f14.jpg', 'files/p14/p14147787/s54365112/56e11632-8f8edcf5-0d7dc0d7-846c7ec5-cfb358dc.jpg', 'files/p14/p14147787/s54365112/de13dc29-ab4770e3-694cb466-85af8a49-c0778b90.jpg']","['files/p14/p14147787/s51431810/2164992c-f4abb30a-7aaaf4f4-383cab47-4e3eb1c8.jpg\n', 'files/p14/p14147787/s51431810/5e6881e2-ff4254e0-b99f0c2f-8964482a-031364db.jpg\n', 'files/p14/p14147787/s51431810/fcdf7a30-3236b74e-65b97587-cdd4cfde-63cd1de0.jpg\n']"
s54365112_9,p14147787,s54365112,9,Findings,There is no focal lung consolidation. Changes of sarcoidosis including upper lobe fibrosis and traction bronchiectasis has mildly decreased from ___. There is no hilar adenopathy. Lenticular calcification of the right hilus is unchanged dating back to ___. Cardiomediastinal contour is normal. There is no pleural effusion or pneumothorax.,Changes of sarcoidosis including upper lobe fibrosis and traction bronchiectasis has mildly decreased from ___.,fibrosis and traction bronchiectasis,upper lobe,Better,"['files/p14/p14147787/s54365112/1a9b1d8f-0d8dfc78-0725a750-479c4d47-0c3c4592.jpg', 'files/p14/p14147787/s54365112/31036486-baeed0fa-9092ab1f-bfd77ffe-61e50f14.jpg', 'files/p14/p14147787/s54365112/56e11632-8f8edcf5-0d7dc0d7-846c7ec5-cfb358dc.jpg', 'files/p14/p14147787/s54365112/de13dc29-ab4770e3-694cb466-85af8a49-c0778b90.jpg']","['files/p14/p14147787/s51431810/2164992c-f4abb30a-7aaaf4f4-383cab47-4e3eb1c8.jpg\n', 'files/p14/p14147787/s51431810/5e6881e2-ff4254e0-b99f0c2f-8964482a-031364db.jpg\n', 'files/p14/p14147787/s51431810/fcdf7a30-3236b74e-65b97587-cdd4cfde-63cd1de0.jpg\n']"
s54372986_19,p19759491,s54372986,19,Impression,Stable cardiomegaly accompanied by pulmonary vascular congestion and interstitial edema. Persistent small left pleural effusion with adjacent left basilar atelectasis and or consolidation. Questionable small right pleural effusion which could be confirmed or excluded by standard PA and lateral radiographs when the patient's condition permits.,Persistent small left pleural effusion with adjacent left basilar atelectasis and or consolidation.,Atelectasis,Left basilar,Stable,['files/p19/p19759491/s54372986/f2566882-96120f55-11c10432-9c3d638d-2b4fc411.jpg'],"['files/p19/p19759491/s54127292/603fdb7f-afe35a77-b061a67b-584da7df-a8c17895.jpg\n', 'files/p19/p19759491/s54127292/f16d1f96-470d26ac-7b1a4657-afa33e79-38163538.jpg\n']"
s54372986_19,p19759491,s54372986,19,Impression,Stable cardiomegaly accompanied by pulmonary vascular congestion and interstitial edema. Persistent small left pleural effusion with adjacent left basilar atelectasis and or consolidation. Questionable small right pleural effusion which could be confirmed or excluded by standard PA and lateral radiographs when the patient's condition permits.,Persistent small left pleural effusion with adjacent left basilar atelectasis and or consolidation.,Consolidation,Left basilar,Stable,['files/p19/p19759491/s54372986/f2566882-96120f55-11c10432-9c3d638d-2b4fc411.jpg'],"['files/p19/p19759491/s54127292/603fdb7f-afe35a77-b061a67b-584da7df-a8c17895.jpg\n', 'files/p19/p19759491/s54127292/f16d1f96-470d26ac-7b1a4657-afa33e79-38163538.jpg\n']"
s54372986_19,p19759491,s54372986,19,Impression,Stable cardiomegaly accompanied by pulmonary vascular congestion and interstitial edema. Persistent small left pleural effusion with adjacent left basilar atelectasis and or consolidation. Questionable small right pleural effusion which could be confirmed or excluded by standard PA and lateral radiographs when the patient's condition permits.,Persistent small left pleural effusion with adjacent left basilar atelectasis and or consolidation.,Pleural effusion,Left,Stable,['files/p19/p19759491/s54372986/f2566882-96120f55-11c10432-9c3d638d-2b4fc411.jpg'],"['files/p19/p19759491/s54127292/603fdb7f-afe35a77-b061a67b-584da7df-a8c17895.jpg\n', 'files/p19/p19759491/s54127292/f16d1f96-470d26ac-7b1a4657-afa33e79-38163538.jpg\n']"
s54372986_19,p19759491,s54372986,19,Impression,Stable cardiomegaly accompanied by pulmonary vascular congestion and interstitial edema. Persistent small left pleural effusion with adjacent left basilar atelectasis and or consolidation. Questionable small right pleural effusion which could be confirmed or excluded by standard PA and lateral radiographs when the patient's condition permits.,Stable cardiomegaly accompanied by pulmonary vascular congestion and interstitial edema.,Interstitial edema,,Stable,['files/p19/p19759491/s54372986/f2566882-96120f55-11c10432-9c3d638d-2b4fc411.jpg'],"['files/p19/p19759491/s54127292/603fdb7f-afe35a77-b061a67b-584da7df-a8c17895.jpg\n', 'files/p19/p19759491/s54127292/f16d1f96-470d26ac-7b1a4657-afa33e79-38163538.jpg\n']"
s54372986_19,p19759491,s54372986,19,Impression,Stable cardiomegaly accompanied by pulmonary vascular congestion and interstitial edema. Persistent small left pleural effusion with adjacent left basilar atelectasis and or consolidation. Questionable small right pleural effusion which could be confirmed or excluded by standard PA and lateral radiographs when the patient's condition permits.,Stable cardiomegaly accompanied by pulmonary vascular congestion and interstitial edema.,Pulmonary vascular congestion,,Stable,['files/p19/p19759491/s54372986/f2566882-96120f55-11c10432-9c3d638d-2b4fc411.jpg'],"['files/p19/p19759491/s54127292/603fdb7f-afe35a77-b061a67b-584da7df-a8c17895.jpg\n', 'files/p19/p19759491/s54127292/f16d1f96-470d26ac-7b1a4657-afa33e79-38163538.jpg\n']"
s54372986_19,p19759491,s54372986,19,Impression,Stable cardiomegaly accompanied by pulmonary vascular congestion and interstitial edema. Persistent small left pleural effusion with adjacent left basilar atelectasis and or consolidation. Questionable small right pleural effusion which could be confirmed or excluded by standard PA and lateral radiographs when the patient's condition permits.,Stable cardiomegaly accompanied by pulmonary vascular congestion and interstitial edema.,Cardiomegaly,,Stable,['files/p19/p19759491/s54372986/f2566882-96120f55-11c10432-9c3d638d-2b4fc411.jpg'],"['files/p19/p19759491/s54127292/603fdb7f-afe35a77-b061a67b-584da7df-a8c17895.jpg\n', 'files/p19/p19759491/s54127292/f16d1f96-470d26ac-7b1a4657-afa33e79-38163538.jpg\n']"
s54381763_0,p11016935,s54381763,0,Impression,"PA and lateral chest compared to ___: Patient has had median sternotomy and aortic valve replacement. Sternal wires are aligned. Cardiomediastinal silhouette is normal. Emphysema is moderate to severe and apical predominant. A 6 mm nodular opacity projecting over the right second anterior rib could be a pleural calcification shown on the ___ chest CT, 4:20 or a new lung nodule A lordotic view might be definitive. Lungs are otherwise clear of focal opacities. There is no pleural effusion or evidence of central adenopathy. Cement and fusions are present in two lower thoracic vertebral bodies, with only minimal loss of height, unchanged since ___. Findings were posted to the online record of critical radiology findings for direct notification of the referring physician, at the time of this dictation.","Cement and fusions are present in two lower thoracic vertebral bodies, with only minimal loss of height, unchanged since ___.",Cement and fusions,two lower thoracic vertebral bodies,Stable,"['files/p11/p11016935/s54381763/d7455c33-4a0f90a6-565ee283-906f14b4-c737ba31.jpg', 'files/p11/p11016935/s54381763/ffe111af-f37e2ddf-0a7424d4-4b1cd736-be3f6e66.jpg']","['files/p11/p11016935/s51683155/62fefce3-f6ecb665-461a4358-37a5af91-dec27897.jpg\n', 'files/p11/p11016935/s51683155/7e26f6a7-ec126822-1bcdc587-a3f5d439-b4715eae.jpg\n']"
s54381763_0,p11016935,s54381763,0,Impression,"PA and lateral chest compared to ___: Patient has had median sternotomy and aortic valve replacement. Sternal wires are aligned. Cardiomediastinal silhouette is normal. Emphysema is moderate to severe and apical predominant. A 6 mm nodular opacity projecting over the right second anterior rib could be a pleural calcification shown on the ___ chest CT, 4:20 or a new lung nodule A lordotic view might be definitive. Lungs are otherwise clear of focal opacities. There is no pleural effusion or evidence of central adenopathy. Cement and fusions are present in two lower thoracic vertebral bodies, with only minimal loss of height, unchanged since ___. Findings were posted to the online record of critical radiology findings for direct notification of the referring physician, at the time of this dictation.","A 6 mm nodular opacity projecting over the right second anterior rib could be a pleural calcification shown on the ___ chest CT, 4:20 or a new lung nodule A lordotic view might be definitive.",nodular opacity,right second anterior rib,New,"['files/p11/p11016935/s54381763/d7455c33-4a0f90a6-565ee283-906f14b4-c737ba31.jpg', 'files/p11/p11016935/s54381763/ffe111af-f37e2ddf-0a7424d4-4b1cd736-be3f6e66.jpg']","['files/p11/p11016935/s51683155/62fefce3-f6ecb665-461a4358-37a5af91-dec27897.jpg\n', 'files/p11/p11016935/s51683155/7e26f6a7-ec126822-1bcdc587-a3f5d439-b4715eae.jpg\n']"
s54389393_3,p11052273,s54389393,3,Findings,"Single portable view of the chest. Bibasilar opacities with blunting of the costophrenic angles which could be due to effusions. There are indistinct pulmonary vascular markings. Relatively lentiform-shaped opacity over the right mid lung is suggestive of fluid within the fissure. The cardiac silhouette is enlarged, similar to prior. Atherosclerotic calcifications are noted.","The cardiac silhouette is enlarged, similar to prior.",Cardiac silhouette,,Stable,['files/p11/p11052273/s54389393/d7395617-98bb6ef8-6f0187e5-2c3df909-6f3a57c4.jpg'],"['files/p11/p11052273/s53702175/23eb46d8-6ba45d7f-fa02d462-a31da493-b8b7e5af.jpg\n', 'files/p11/p11052273/s53702175/e35b1970-3dfc9412-ec657374-09990870-561ca892.jpg\n']"
s54392033_4,p18978682,s54392033,4,Findings,Comparison is made to prior study from ___. There is a right-sided PICC line with distal lead tip at the cavoatrial junction. There are low lung volumes with atelectasis at the lung bases and a left retrocardiac opacity. This is unchanged. Surgical clips within the left axilla are again seen. There are several healed old right-sided rib fractures. No pneumothoraces are seen.,There are several healed old right-sided rib fractures.,rib fractures,right-sided,Stable,['files/p18/p18978682/s54392033/aa20f78f-53dce569-e7263012-3c4ab839-7abbabd4.jpg'],"['files/p18/p18978682/s52754826/033de00a-e5ba30d5-d1ea8a2f-f3bdaa8a-5e7a0f03.jpg\n', 'files/p18/p18978682/s52754826/a406f2bc-128ca407-f2400f61-701fd17b-17f85e90.jpg\n', 'files/p18/p18978682/s52754826/a5fd5e55-4159fef2-6f0ac33c-f57ea303-1d5e8f7a.jpg\n']"
s54392033_4,p18978682,s54392033,4,Findings,Comparison is made to prior study from ___. There is a right-sided PICC line with distal lead tip at the cavoatrial junction. There are low lung volumes with atelectasis at the lung bases and a left retrocardiac opacity. This is unchanged. Surgical clips within the left axilla are again seen. There are several healed old right-sided rib fractures. No pneumothoraces are seen.,Surgical clips within the left axilla are again seen.,surgical clips,left axilla,Stable,['files/p18/p18978682/s54392033/aa20f78f-53dce569-e7263012-3c4ab839-7abbabd4.jpg'],"['files/p18/p18978682/s52754826/033de00a-e5ba30d5-d1ea8a2f-f3bdaa8a-5e7a0f03.jpg\n', 'files/p18/p18978682/s52754826/a406f2bc-128ca407-f2400f61-701fd17b-17f85e90.jpg\n', 'files/p18/p18978682/s52754826/a5fd5e55-4159fef2-6f0ac33c-f57ea303-1d5e8f7a.jpg\n']"
s54393658_25,p14841168,s54393658,25,Findings,"Portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. An area of increased opacification of the left base may represent artifact from patient positioning or atelectasis, however superimposed infection cannot be excluded. There is a probable small left-sided pleural effusion. There is no pneumothorax. The cardiomediastinal contours are unchanged.",The cardiomediastinal contours are unchanged.,Contours,Cardiomediastinal,Stable,['files/p14/p14841168/s54393658/7c70e574-d72b406a-b5eddc73-e53c3242-c9c99c9b.jpg'],"['files/p14/p14841168/s54292875/70818042-77dd5d27-a1bb1102-3e734f24-228582d0.jpg\n', 'files/p14/p14841168/s54292875/98546040-b64ad66c-050cab76-ff2d5120-2e67f3f2.jpg\n', 'files/p14/p14841168/s54292875/db7deae0-c131f372-8a041d5f-81013233-74ccf3f3.jpg\n']"
s54398860_1,p15144601,s54398860,1,Impression,AP chest compared to ___: There is no appreciable pneumothorax or pleural collection in the left chest following removal of the left pleural tube. Right pleural tube still in place. Left basal atelectasis is mild to moderate but unchanged. Post-operative enlargement of the cardiomediastinal silhouette which improved between ___ and ___ is stable. No appreciable right pleural effusion. Right subclavian line ends in the upper SVC. Transvenous right atrial and right ventricular pacer leads unchanged in their respective positions. No pulmonary edema.,Transvenous right atrial and right ventricular pacer leads unchanged in their respective positions.,pacer leads,right atrial and right ventricular,Stable,['files/p15/p15144601/s54398860/600bdfe3-0d53440d-a74bdb21-e9faee00-958ca49f.jpg'],"['files/p15/p15144601/s51402047/4370c5f0-17617acf-dad6d891-c543e14e-cc79120c.jpg\n', 'files/p15/p15144601/s51402047/d907338a-a801ad0e-17b83327-63562979-3b5039f9.jpg\n', 'files/p15/p15144601/s51402047/fcde9f0b-32d927d2-ba76cd13-916ff846-5db07c39.jpg\n']"
s54398860_1,p15144601,s54398860,1,Impression,AP chest compared to ___: There is no appreciable pneumothorax or pleural collection in the left chest following removal of the left pleural tube. Right pleural tube still in place. Left basal atelectasis is mild to moderate but unchanged. Post-operative enlargement of the cardiomediastinal silhouette which improved between ___ and ___ is stable. No appreciable right pleural effusion. Right subclavian line ends in the upper SVC. Transvenous right atrial and right ventricular pacer leads unchanged in their respective positions. No pulmonary edema.,AP chest compared to ___: There is no appreciable pneumothorax or pleural collection in the left chest following removal of the left pleural tube.,,left pleural tube,Resolve,['files/p15/p15144601/s54398860/600bdfe3-0d53440d-a74bdb21-e9faee00-958ca49f.jpg'],"['files/p15/p15144601/s51402047/4370c5f0-17617acf-dad6d891-c543e14e-cc79120c.jpg\n', 'files/p15/p15144601/s51402047/d907338a-a801ad0e-17b83327-63562979-3b5039f9.jpg\n', 'files/p15/p15144601/s51402047/fcde9f0b-32d927d2-ba76cd13-916ff846-5db07c39.jpg\n']"
s54398860_1,p15144601,s54398860,1,Impression,AP chest compared to ___: There is no appreciable pneumothorax or pleural collection in the left chest following removal of the left pleural tube. Right pleural tube still in place. Left basal atelectasis is mild to moderate but unchanged. Post-operative enlargement of the cardiomediastinal silhouette which improved between ___ and ___ is stable. No appreciable right pleural effusion. Right subclavian line ends in the upper SVC. Transvenous right atrial and right ventricular pacer leads unchanged in their respective positions. No pulmonary edema.,Post-operative enlargement of the cardiomediastinal silhouette which improved between ___ and ___ is stable.,enlargement,cardiomediastinal silhouette,Stable,['files/p15/p15144601/s54398860/600bdfe3-0d53440d-a74bdb21-e9faee00-958ca49f.jpg'],"['files/p15/p15144601/s51402047/4370c5f0-17617acf-dad6d891-c543e14e-cc79120c.jpg\n', 'files/p15/p15144601/s51402047/d907338a-a801ad0e-17b83327-63562979-3b5039f9.jpg\n', 'files/p15/p15144601/s51402047/fcde9f0b-32d927d2-ba76cd13-916ff846-5db07c39.jpg\n']"
s54398860_1,p15144601,s54398860,1,Impression,AP chest compared to ___: There is no appreciable pneumothorax or pleural collection in the left chest following removal of the left pleural tube. Right pleural tube still in place. Left basal atelectasis is mild to moderate but unchanged. Post-operative enlargement of the cardiomediastinal silhouette which improved between ___ and ___ is stable. No appreciable right pleural effusion. Right subclavian line ends in the upper SVC. Transvenous right atrial and right ventricular pacer leads unchanged in their respective positions. No pulmonary edema.,Left basal atelectasis is mild to moderate but unchanged.,atelectasis,Left basal,Stable,['files/p15/p15144601/s54398860/600bdfe3-0d53440d-a74bdb21-e9faee00-958ca49f.jpg'],"['files/p15/p15144601/s51402047/4370c5f0-17617acf-dad6d891-c543e14e-cc79120c.jpg\n', 'files/p15/p15144601/s51402047/d907338a-a801ad0e-17b83327-63562979-3b5039f9.jpg\n', 'files/p15/p15144601/s51402047/fcde9f0b-32d927d2-ba76cd13-916ff846-5db07c39.jpg\n']"
s54399607_2,p18570152,s54399607,2,Impression,Mild pulmonary edema and small right pleural effusion which is improved as compared to chest x-ray ___.,Mild pulmonary edema and small right pleural effusion which is improved as compared to chest x-ray ___.,Pulmonary edema,,Better,"['files/p18/p18570152/s54399607/68e2da8e-4b0cc570-5f6dac62-dd096bf8-ce452663.jpg', 'files/p18/p18570152/s54399607/89a623b8-0f8a2cb9-e027aaf4-7b5828f4-9480d3a6.jpg']","['files/p18/p18570152/s52210901/8328656b-7a7c59ec-fba66d3e-d4e3b7d3-2d5332bc.jpg\n', 'files/p18/p18570152/s52210901/e28d8d90-6270d7bd-ea44579d-8f6861a4-2d4a40ae.jpg\n']"
s54399607_2,p18570152,s54399607,2,Findings,A left pectoral pacemaker is noted with a single intact lead. Mild pulmonary edema is improved from chest x-ray ___. There is a small right pleural effusion. There is no lobar consolidation or pneumothorax. The heart is mildly enlarged. The mediastinal borders and hilar structures are normal.,Mild pulmonary edema is improved from chest x-ray ___.,Pulmonary edema,,Better,"['files/p18/p18570152/s54399607/68e2da8e-4b0cc570-5f6dac62-dd096bf8-ce452663.jpg', 'files/p18/p18570152/s54399607/89a623b8-0f8a2cb9-e027aaf4-7b5828f4-9480d3a6.jpg']","['files/p18/p18570152/s52210901/8328656b-7a7c59ec-fba66d3e-d4e3b7d3-2d5332bc.jpg\n', 'files/p18/p18570152/s52210901/e28d8d90-6270d7bd-ea44579d-8f6861a4-2d4a40ae.jpg\n']"
s54399607_2,p18570152,s54399607,2,Impression,Mild pulmonary edema and small right pleural effusion which is improved as compared to chest x-ray ___.,Mild pulmonary edema and small right pleural effusion which is improved as compared to chest x-ray ___.,Pleural effusion,Right,Better,"['files/p18/p18570152/s54399607/68e2da8e-4b0cc570-5f6dac62-dd096bf8-ce452663.jpg', 'files/p18/p18570152/s54399607/89a623b8-0f8a2cb9-e027aaf4-7b5828f4-9480d3a6.jpg']","['files/p18/p18570152/s52210901/8328656b-7a7c59ec-fba66d3e-d4e3b7d3-2d5332bc.jpg\n', 'files/p18/p18570152/s52210901/e28d8d90-6270d7bd-ea44579d-8f6861a4-2d4a40ae.jpg\n']"
s54401838_7,p14841168,s54401838,7,Findings,"As compared to the previous radiograph, there is no relevant change. The tip of the endotracheal tube projects 5 cm above the carina. The tube could be advanced by 1 cm. Unchanged moderate-to-severe cardiomegaly with signs of mild-to-moderate pulmonary edema and a moderate right-sided pleural effusion. Bilateral areas of atelectasis at the lung bases. No pneumothorax. Right PICC line in unchanged position.",Unchanged moderate-to-severe cardiomegaly with signs of mild-to-moderate pulmonary edema and a moderate right-sided pleural effusion.,pleural effusion,right-sided,Stable,['files/p14/p14841168/s54401838/22592a1d-d2060a7c-1e748138-5ac977c0-0d6a2587.jpg'],['files/p14/p14841168/s54393658/7c70e574-d72b406a-b5eddc73-e53c3242-c9c99c9b.jpg\n']
s54401838_7,p14841168,s54401838,7,Findings,"As compared to the previous radiograph, there is no relevant change. The tip of the endotracheal tube projects 5 cm above the carina. The tube could be advanced by 1 cm. Unchanged moderate-to-severe cardiomegaly with signs of mild-to-moderate pulmonary edema and a moderate right-sided pleural effusion. Bilateral areas of atelectasis at the lung bases. No pneumothorax. Right PICC line in unchanged position.",Unchanged moderate-to-severe cardiomegaly with signs of mild-to-moderate pulmonary edema and a moderate right-sided pleural effusion.,mild-to-moderate pulmonary edema,,Stable,['files/p14/p14841168/s54401838/22592a1d-d2060a7c-1e748138-5ac977c0-0d6a2587.jpg'],['files/p14/p14841168/s54393658/7c70e574-d72b406a-b5eddc73-e53c3242-c9c99c9b.jpg\n']
s54401838_7,p14841168,s54401838,7,Findings,"As compared to the previous radiograph, there is no relevant change. The tip of the endotracheal tube projects 5 cm above the carina. The tube could be advanced by 1 cm. Unchanged moderate-to-severe cardiomegaly with signs of mild-to-moderate pulmonary edema and a moderate right-sided pleural effusion. Bilateral areas of atelectasis at the lung bases. No pneumothorax. Right PICC line in unchanged position.",Unchanged moderate-to-severe cardiomegaly with signs of mild-to-moderate pulmonary edema and a moderate right-sided pleural effusion.,moderate-to-severe cardiomegaly,,Stable,['files/p14/p14841168/s54401838/22592a1d-d2060a7c-1e748138-5ac977c0-0d6a2587.jpg'],['files/p14/p14841168/s54393658/7c70e574-d72b406a-b5eddc73-e53c3242-c9c99c9b.jpg\n']
s54401838_7,p14841168,s54401838,7,Findings,"As compared to the previous radiograph, there is no relevant change. The tip of the endotracheal tube projects 5 cm above the carina. The tube could be advanced by 1 cm. Unchanged moderate-to-severe cardiomegaly with signs of mild-to-moderate pulmonary edema and a moderate right-sided pleural effusion. Bilateral areas of atelectasis at the lung bases. No pneumothorax. Right PICC line in unchanged position.",Right PICC line in unchanged position.,PICC line,right,Stable,['files/p14/p14841168/s54401838/22592a1d-d2060a7c-1e748138-5ac977c0-0d6a2587.jpg'],['files/p14/p14841168/s54393658/7c70e574-d72b406a-b5eddc73-e53c3242-c9c99c9b.jpg\n']
s54413043_1,p18417750,s54413043,1,Findings,"In comparison with study of ___, the endotracheal tube and nasogastric tubes have been removed. Lung volumes are stable or even increased. Continued enlargement of the cardiac silhouette with some evidence of increased pulmonary venous pressure. Pacemaker device remains in place.",Lung volumes are stable or even increased.,Lung volumes,,Stable,['files/p18/p18417750/s54413043/171a0854-5913620e-72072890-3fec961c-fc4bf535.jpg'],['files/p18/p18417750/s52622865/fe10d1ed-22968c1c-23c84bf4-ddc23640-bc64a3ed.jpg\n']
s54413043_1,p18417750,s54413043,1,Findings,"In comparison with study of ___, the endotracheal tube and nasogastric tubes have been removed. Lung volumes are stable or even increased. Continued enlargement of the cardiac silhouette with some evidence of increased pulmonary venous pressure. Pacemaker device remains in place.","In comparison with study of ___, the endotracheal tube and nasogastric tubes have been removed.",Nasogastric tubes,,Resolve,['files/p18/p18417750/s54413043/171a0854-5913620e-72072890-3fec961c-fc4bf535.jpg'],['files/p18/p18417750/s52622865/fe10d1ed-22968c1c-23c84bf4-ddc23640-bc64a3ed.jpg\n']
s54413043_1,p18417750,s54413043,1,Findings,"In comparison with study of ___, the endotracheal tube and nasogastric tubes have been removed. Lung volumes are stable or even increased. Continued enlargement of the cardiac silhouette with some evidence of increased pulmonary venous pressure. Pacemaker device remains in place.","In comparison with study of ___, the endotracheal tube and nasogastric tubes have been removed.",Endotracheal tube,,Resolve,['files/p18/p18417750/s54413043/171a0854-5913620e-72072890-3fec961c-fc4bf535.jpg'],['files/p18/p18417750/s52622865/fe10d1ed-22968c1c-23c84bf4-ddc23640-bc64a3ed.jpg\n']
s54413043_1,p18417750,s54413043,1,Findings,"In comparison with study of ___, the endotracheal tube and nasogastric tubes have been removed. Lung volumes are stable or even increased. Continued enlargement of the cardiac silhouette with some evidence of increased pulmonary venous pressure. Pacemaker device remains in place.",Pacemaker device remains in place.,Pacemaker device,,Stable,['files/p18/p18417750/s54413043/171a0854-5913620e-72072890-3fec961c-fc4bf535.jpg'],['files/p18/p18417750/s52622865/fe10d1ed-22968c1c-23c84bf4-ddc23640-bc64a3ed.jpg\n']
s54413465_17,p13964474,s54413465,17,Findings,"In comparison with the study of ___, there is little overall change. Monitoring and support devices remain in place. Widespread airspace opacities, more prominent on the right, are consistent with diffuse pneumonia. The known abscess in the right lower lobe is seen in better detail on recent CT. Right pigtail catheter is seen at the base of the lung, presumably within the abscess cavity. Little change in the moderate pleural effusion.",Little change in the moderate pleural effusion.,pleural effusion,right,Stable,['files/p13/p13964474/s54413465/929b5959-0c447f88-a4f24482-1fa6681b-06dd8ec4.jpg'],['files/p13/p13964474/s53373086/3c4b1fb7-4341bbc7-88b0ddcd-b5d45344-8288e24b.jpg\n']
s54414101_58,p14851532,s54414101,58,Impression,"In comparison with the study of ___, there is again enlargement of the cardiac silhouette with elevation of pulmonary venous pressure. Opacification at the right base again is consistent with collapse of the right middle and lower lobes",Opacification at the right base again is consistent with collapse of the right middle and lower lobes,opacification,right base,Stable,['files/p14/p14851532/s54414101/d4c3eb06-68dcce85-81bae663-853a3883-288dc307.jpg'],['files/p14/p14851532/s54299422/819e8838-813f6f6e-a6c5d098-e747a8aa-68e03a8b.jpg\n']
s54414101_58,p14851532,s54414101,58,Impression,"In comparison with the study of ___, there is again enlargement of the cardiac silhouette with elevation of pulmonary venous pressure. Opacification at the right base again is consistent with collapse of the right middle and lower lobes","In comparison with the study of ___, there is again enlargement of the cardiac silhouette with elevation of pulmonary venous pressure.",cardiac silhouette,,Stable,['files/p14/p14851532/s54414101/d4c3eb06-68dcce85-81bae663-853a3883-288dc307.jpg'],['files/p14/p14851532/s54299422/819e8838-813f6f6e-a6c5d098-e747a8aa-68e03a8b.jpg\n']
s54422699_23,p10933609,s54422699,23,Findings,AP and lateral views of chest demonstrate a right upper lobe consolidation with some areas of air bronchogram. Background multifocal opacities with volume loss and chronic scarring are unchanged. There is no large pleural effusion. Cardiac size is normal.,Background multifocal opacities with volume loss and chronic scarring are unchanged.,multifocal opacities with volume loss and chronic scarring,,Stable,"['files/p10/p10933609/s54422699/53c18304-54fac49c-cabe4615-c2a37b60-8555c705.jpg', 'files/p10/p10933609/s54422699/72a3f5c1-9ff27189-d2d045aa-ee3f3b3b-8d4f144f.jpg']","['files/p10/p10933609/s54300688/21f6f51a-c6b2fab8-8c228bb8-1a8f8c46-d568b413.jpg\n', 'files/p10/p10933609/s54300688/962a470a-df0275b5-6b8e2125-e3cc9c90-bf7e0a66.jpg\n']"
s54422699_23,p10933609,s54422699,23,Impression,New right upper lobe consolidation worrisome for infection on background chronic scarring.,New right upper lobe consolidation worrisome for infection on background chronic scarring.,consolidation,right upper lobe,New,"['files/p10/p10933609/s54422699/53c18304-54fac49c-cabe4615-c2a37b60-8555c705.jpg', 'files/p10/p10933609/s54422699/72a3f5c1-9ff27189-d2d045aa-ee3f3b3b-8d4f144f.jpg']","['files/p10/p10933609/s54300688/21f6f51a-c6b2fab8-8c228bb8-1a8f8c46-d568b413.jpg\n', 'files/p10/p10933609/s54300688/962a470a-df0275b5-6b8e2125-e3cc9c90-bf7e0a66.jpg\n']"
s54423575_1,p16409152,s54423575,1,Impression,"AP chest compared to ___: Tip of the new endotracheal tube is in standard placement. No pneumothorax or mediastinal widening. Lung volumes are minimally lower than they were on ___, and there may be new small bilateral pleural effusion. Extensive pulmonary nodulation due to metastasis is unchanged. There is no good evidence for new edema or consolidation except for suggestion of mild atelectasis at the base of the left lung. Heart size is normal, unchanged.","Lung volumes are minimally lower than they were on ___, and there may be new small bilateral pleural effusion.",Pleural effusion,Bilateral,Worse,['files/p16/p16409152/s54423575/20e44254-9f4485b6-a2900fa5-1137bf64-76cc897f.jpg'],['files/p16/p16409152/s53967875/b197e096-c5bf8b0f-c2a04ee0-f6eb2370-9cb07b7c.jpg\n']
s54423575_1,p16409152,s54423575,1,Impression,"AP chest compared to ___: Tip of the new endotracheal tube is in standard placement. No pneumothorax or mediastinal widening. Lung volumes are minimally lower than they were on ___, and there may be new small bilateral pleural effusion. Extensive pulmonary nodulation due to metastasis is unchanged. There is no good evidence for new edema or consolidation except for suggestion of mild atelectasis at the base of the left lung. Heart size is normal, unchanged.",Extensive pulmonary nodulation due to metastasis is unchanged.,Pulmonary nodulation due to metastasis,Bilateral,Stable,['files/p16/p16409152/s54423575/20e44254-9f4485b6-a2900fa5-1137bf64-76cc897f.jpg'],['files/p16/p16409152/s53967875/b197e096-c5bf8b0f-c2a04ee0-f6eb2370-9cb07b7c.jpg\n']
s54423575_1,p16409152,s54423575,1,Impression,"AP chest compared to ___: Tip of the new endotracheal tube is in standard placement. No pneumothorax or mediastinal widening. Lung volumes are minimally lower than they were on ___, and there may be new small bilateral pleural effusion. Extensive pulmonary nodulation due to metastasis is unchanged. There is no good evidence for new edema or consolidation except for suggestion of mild atelectasis at the base of the left lung. Heart size is normal, unchanged.",There is no good evidence for new edema or consolidation except for suggestion of mild atelectasis at the base of the left lung.,Atelectasis,Base of the left lung,New,['files/p16/p16409152/s54423575/20e44254-9f4485b6-a2900fa5-1137bf64-76cc897f.jpg'],['files/p16/p16409152/s53967875/b197e096-c5bf8b0f-c2a04ee0-f6eb2370-9cb07b7c.jpg\n']
s54423575_1,p16409152,s54423575,1,Impression,"AP chest compared to ___: Tip of the new endotracheal tube is in standard placement. No pneumothorax or mediastinal widening. Lung volumes are minimally lower than they were on ___, and there may be new small bilateral pleural effusion. Extensive pulmonary nodulation due to metastasis is unchanged. There is no good evidence for new edema or consolidation except for suggestion of mild atelectasis at the base of the left lung. Heart size is normal, unchanged.","Heart size is normal, unchanged.",Heart size,,Stable,['files/p16/p16409152/s54423575/20e44254-9f4485b6-a2900fa5-1137bf64-76cc897f.jpg'],['files/p16/p16409152/s53967875/b197e096-c5bf8b0f-c2a04ee0-f6eb2370-9cb07b7c.jpg\n']
s54423575_1,p16409152,s54423575,1,Impression,"AP chest compared to ___: Tip of the new endotracheal tube is in standard placement. No pneumothorax or mediastinal widening. Lung volumes are minimally lower than they were on ___, and there may be new small bilateral pleural effusion. Extensive pulmonary nodulation due to metastasis is unchanged. There is no good evidence for new edema or consolidation except for suggestion of mild atelectasis at the base of the left lung. Heart size is normal, unchanged.",Tip of the new endotracheal tube is in standard placement.,Endotracheal tube,Standard placement,New,['files/p16/p16409152/s54423575/20e44254-9f4485b6-a2900fa5-1137bf64-76cc897f.jpg'],['files/p16/p16409152/s53967875/b197e096-c5bf8b0f-c2a04ee0-f6eb2370-9cb07b7c.jpg\n']
s54432661_11,p18322589,s54432661,11,Findings,"As compared to the previous radiograph, the patient has received a new nasogastric tube. The tube shows a normal course, the tip is not included on the image. Otherwise, there is no relevant change, with the exception of mild decrease of the pre-existing parenchymal opacities caused by pleural effusions and subsequent areas of atelectasis at both lung bases.","As compared to the previous radiograph, the patient has received a new nasogastric tube.",nasogastric tube,,New,['files/p18/p18322589/s54432661/a6570b30-b8ae383d-4d11eb8e-49ea1084-6c57d8a8.jpg'],['files/p18/p18322589/s53572321/2fb974ec-04c5bfca-85b4c5fb-85b767ee-9ccd38d2.jpg\n']
s54432661_11,p18322589,s54432661,11,Findings,"As compared to the previous radiograph, the patient has received a new nasogastric tube. The tube shows a normal course, the tip is not included on the image. Otherwise, there is no relevant change, with the exception of mild decrease of the pre-existing parenchymal opacities caused by pleural effusions and subsequent areas of atelectasis at both lung bases.","Otherwise, there is no relevant change, with the exception of mild decrease of the pre-existing parenchymal opacities caused by pleural effusions and subsequent areas of atelectasis at both lung bases.",parenchymal opacities,Both lung bases,Better,['files/p18/p18322589/s54432661/a6570b30-b8ae383d-4d11eb8e-49ea1084-6c57d8a8.jpg'],['files/p18/p18322589/s53572321/2fb974ec-04c5bfca-85b4c5fb-85b767ee-9ccd38d2.jpg\n']
s54434117_17,p12530259,s54434117,17,Findings,"In comparison with the study of ___, there is some improved aeration in the medial aspect of the left lung. However, substantial opacification persists in this hemithorax. Right lung remains clear.","However, substantial opacification persists in this hemithorax.",opacification,this hemithorax,Stable,['files/p12/p12530259/s54434117/240ac503-263c23a7-986ec4c8-17bf733c-143e5fd6.jpg'],['files/p12/p12530259/s54186218/fbad1142-d5b71f5c-b7c34de3-9e985bf2-02239890.jpg\n']
s54434117_17,p12530259,s54434117,17,Findings,"In comparison with the study of ___, there is some improved aeration in the medial aspect of the left lung. However, substantial opacification persists in this hemithorax. Right lung remains clear.",Right lung remains clear.,clear,right lung,Stable,['files/p12/p12530259/s54434117/240ac503-263c23a7-986ec4c8-17bf733c-143e5fd6.jpg'],['files/p12/p12530259/s54186218/fbad1142-d5b71f5c-b7c34de3-9e985bf2-02239890.jpg\n']
s54434117_17,p12530259,s54434117,17,Findings,"In comparison with the study of ___, there is some improved aeration in the medial aspect of the left lung. However, substantial opacification persists in this hemithorax. Right lung remains clear.","In comparison with the study of ___, there is some improved aeration in the medial aspect of the left lung.",aeration,medial aspect of the left lung,Better,['files/p12/p12530259/s54434117/240ac503-263c23a7-986ec4c8-17bf733c-143e5fd6.jpg'],['files/p12/p12530259/s54186218/fbad1142-d5b71f5c-b7c34de3-9e985bf2-02239890.jpg\n']
s54434271_38,p15259244,s54434271,38,Findings,"Single frontal view of the chest was obtained. A left pleural effusion with overlying atelectasis remains present. Left base retrocardiac opacity likely represents combination of atelectasis and effusion, although underlying consolidation is difficult to exclude. Patient is status post median sternotomy and CABG. No definite focal consolidation is seen in the right lung. The patient is status post median sternotomy and cardiac valve replacement. Cardiac and mediastinal silhouettes are stable.",Cardiac and mediastinal silhouettes are stable.,silhouettes,cardiac and mediastinal,Stable,['files/p15/p15259244/s54434271/e8149721-c9e4afbc-7a9dde4a-3c9f7362-fec663a4.jpg'],['files/p15/p15259244/s54251102/c9f72311-636e3e48-e91cc14d-ba98d9ce-c823252f.jpg\n']
s54434271_38,p15259244,s54434271,38,Findings,"Single frontal view of the chest was obtained. A left pleural effusion with overlying atelectasis remains present. Left base retrocardiac opacity likely represents combination of atelectasis and effusion, although underlying consolidation is difficult to exclude. Patient is status post median sternotomy and CABG. No definite focal consolidation is seen in the right lung. The patient is status post median sternotomy and cardiac valve replacement. Cardiac and mediastinal silhouettes are stable.",A left pleural effusion with overlying atelectasis remains present.,pleural effusion with overlying atelectasis,left,Stable,['files/p15/p15259244/s54434271/e8149721-c9e4afbc-7a9dde4a-3c9f7362-fec663a4.jpg'],['files/p15/p15259244/s54251102/c9f72311-636e3e48-e91cc14d-ba98d9ce-c823252f.jpg\n']
s54437537_37,p15259244,s54437537,37,Findings,"Frontal and lateral views of the chest are obtained. The patient is status post median sternotomy and mitral valve replacement. The cardiac silhouette remains enlarged. Aortic knob is calcified. There is blunting of the left costophrenic angle again seen, consistent with pleural effusion. There is slight increase in markings in the right lung base, this may be artifactual, although underlying consolidation is not excluded.",The cardiac silhouette remains enlarged.,silhouette,cardiac,Stable,"['files/p15/p15259244/s54437537/64c99cbe-e1457ba5-58d940df-68b406e8-2a430fdc.jpg', 'files/p15/p15259244/s54437537/6f3ad43a-df5c6fdb-9ca593fc-13d161a4-8869dd8f.jpg']",['files/p15/p15259244/s54434271/e8149721-c9e4afbc-7a9dde4a-3c9f7362-fec663a4.jpg\n']
s54437537_37,p15259244,s54437537,37,Findings,"Frontal and lateral views of the chest are obtained. The patient is status post median sternotomy and mitral valve replacement. The cardiac silhouette remains enlarged. Aortic knob is calcified. There is blunting of the left costophrenic angle again seen, consistent with pleural effusion. There is slight increase in markings in the right lung base, this may be artifactual, although underlying consolidation is not excluded.","There is blunting of the left costophrenic angle again seen, consistent with pleural effusion.",pleural effusion,left costophrenic angle,Stable,"['files/p15/p15259244/s54437537/64c99cbe-e1457ba5-58d940df-68b406e8-2a430fdc.jpg', 'files/p15/p15259244/s54437537/6f3ad43a-df5c6fdb-9ca593fc-13d161a4-8869dd8f.jpg']",['files/p15/p15259244/s54434271/e8149721-c9e4afbc-7a9dde4a-3c9f7362-fec663a4.jpg\n']
s54437537_37,p15259244,s54437537,37,Impression,"1. Left pleural effusion again seen. 2. Slight increased opacity in the right lung base may be artifactual, although an early consolidation is not excluded in the appropriate clinical setting.","2. Slight increased opacity in the right lung base may be artifactual, although an early consolidation is not excluded in the appropriate clinical setting.",opacity,right lung base,Worse,"['files/p15/p15259244/s54437537/64c99cbe-e1457ba5-58d940df-68b406e8-2a430fdc.jpg', 'files/p15/p15259244/s54437537/6f3ad43a-df5c6fdb-9ca593fc-13d161a4-8869dd8f.jpg']",['files/p15/p15259244/s54434271/e8149721-c9e4afbc-7a9dde4a-3c9f7362-fec663a4.jpg\n']
s54437537_37,p15259244,s54437537,37,Impression,"1. Left pleural effusion again seen. 2. Slight increased opacity in the right lung base may be artifactual, although an early consolidation is not excluded in the appropriate clinical setting.",1. Left pleural effusion again seen.,pleural effusion,left,Stable,"['files/p15/p15259244/s54437537/64c99cbe-e1457ba5-58d940df-68b406e8-2a430fdc.jpg', 'files/p15/p15259244/s54437537/6f3ad43a-df5c6fdb-9ca593fc-13d161a4-8869dd8f.jpg']",['files/p15/p15259244/s54434271/e8149721-c9e4afbc-7a9dde4a-3c9f7362-fec663a4.jpg\n']
s54437537_37,p15259244,s54437537,37,Findings,"Frontal and lateral views of the chest are obtained. The patient is status post median sternotomy and mitral valve replacement. The cardiac silhouette remains enlarged. Aortic knob is calcified. There is blunting of the left costophrenic angle again seen, consistent with pleural effusion. There is slight increase in markings in the right lung base, this may be artifactual, although underlying consolidation is not excluded.","There is slight increase in markings in the right lung base, this may be artifactual, although underlying consolidation is not excluded.",markings,right lung base,Worse,"['files/p15/p15259244/s54437537/64c99cbe-e1457ba5-58d940df-68b406e8-2a430fdc.jpg', 'files/p15/p15259244/s54437537/6f3ad43a-df5c6fdb-9ca593fc-13d161a4-8869dd8f.jpg']",['files/p15/p15259244/s54434271/e8149721-c9e4afbc-7a9dde4a-3c9f7362-fec663a4.jpg\n']
s54452010_26,p19454978,s54452010,26,Findings,The lung volumes are low. Mild fullness in the right hila may indicate early developing infection in the correct clinical setting. Opacity of the left base stable over multiple prior studies and most likely represents atelectasis. Moderate cardiomegaly is stable. No pneumothorax or pleural effusion.,Moderate cardiomegaly is stable.,cardiomegaly,,Stable,"['files/p19/p19454978/s54452010/477309d8-69f82510-e3b9fe4b-4050b9f0-15e07ff3.jpg', 'files/p19/p19454978/s54452010/8adb9931-4175c4ce-48e51965-ef56eb3d-4c575d17.jpg']","['files/p19/p19454978/s54362315/0640123a-6126739b-40ba8ed2-ce99e561-5b4636f5.jpg\n', 'files/p19/p19454978/s54362315/c1835b44-25f4ae1d-7fe2caf9-d07d4f59-ab0150b4.jpg\n']"
s54452010_26,p19454978,s54452010,26,Findings,The lung volumes are low. Mild fullness in the right hila may indicate early developing infection in the correct clinical setting. Opacity of the left base stable over multiple prior studies and most likely represents atelectasis. Moderate cardiomegaly is stable. No pneumothorax or pleural effusion.,Opacity of the left base stable over multiple prior studies and most likely represents atelectasis.,opacity,left base,Stable,"['files/p19/p19454978/s54452010/477309d8-69f82510-e3b9fe4b-4050b9f0-15e07ff3.jpg', 'files/p19/p19454978/s54452010/8adb9931-4175c4ce-48e51965-ef56eb3d-4c575d17.jpg']","['files/p19/p19454978/s54362315/0640123a-6126739b-40ba8ed2-ce99e561-5b4636f5.jpg\n', 'files/p19/p19454978/s54362315/c1835b44-25f4ae1d-7fe2caf9-d07d4f59-ab0150b4.jpg\n']"
s54459875_9,p18224196,s54459875,9,Impression,"1. The patient is status post median sternotomy with a mitral valve replacement. The cardiac and mediastinal contours are stable in this postoperative patient. A Dobbhoff feeding tube is seen coursing below the diaphragm with the tip not completely identified on this study. A right internal jugular sheath remains in place, unchanged. There are bilateral effusions, left much greater than right, with associated airspace disease, which most likely reflects compressive atelectasis, although pneumonia cannot be entirely excluded. The interstitium appears somewhat coarsened, but no overt pulmonary edema is seen. No pneumothorax. Overall, there has been no significant interval change.","Overall, there has been no significant interval change.",condition,overall,Stable,"['files/p18/p18224196/s54459875/881e5a0c-0249c447-70bfc799-17c79b35-6155fc91.jpg', 'files/p18/p18224196/s54459875/ae60e1b1-f9d562ba-0ac12b85-a554cdd0-beebdc8f.jpg']",['files/p18/p18224196/s53536595/a30e6be6-cdb72787-3efd0ffc-438f4522-1a95c8da.jpg\n']
s54459875_9,p18224196,s54459875,9,Impression,"1. The patient is status post median sternotomy with a mitral valve replacement. The cardiac and mediastinal contours are stable in this postoperative patient. A Dobbhoff feeding tube is seen coursing below the diaphragm with the tip not completely identified on this study. A right internal jugular sheath remains in place, unchanged. There are bilateral effusions, left much greater than right, with associated airspace disease, which most likely reflects compressive atelectasis, although pneumonia cannot be entirely excluded. The interstitium appears somewhat coarsened, but no overt pulmonary edema is seen. No pneumothorax. Overall, there has been no significant interval change.",The cardiac and mediastinal contours are stable in this postoperative patient.,contours,cardiac and mediastinal,Stable,"['files/p18/p18224196/s54459875/881e5a0c-0249c447-70bfc799-17c79b35-6155fc91.jpg', 'files/p18/p18224196/s54459875/ae60e1b1-f9d562ba-0ac12b85-a554cdd0-beebdc8f.jpg']",['files/p18/p18224196/s53536595/a30e6be6-cdb72787-3efd0ffc-438f4522-1a95c8da.jpg\n']
s54459875_9,p18224196,s54459875,9,Impression,"1. The patient is status post median sternotomy with a mitral valve replacement. The cardiac and mediastinal contours are stable in this postoperative patient. A Dobbhoff feeding tube is seen coursing below the diaphragm with the tip not completely identified on this study. A right internal jugular sheath remains in place, unchanged. There are bilateral effusions, left much greater than right, with associated airspace disease, which most likely reflects compressive atelectasis, although pneumonia cannot be entirely excluded. The interstitium appears somewhat coarsened, but no overt pulmonary edema is seen. No pneumothorax. Overall, there has been no significant interval change.","A right internal jugular sheath remains in place, unchanged.",sheath,right internal jugular,Stable,"['files/p18/p18224196/s54459875/881e5a0c-0249c447-70bfc799-17c79b35-6155fc91.jpg', 'files/p18/p18224196/s54459875/ae60e1b1-f9d562ba-0ac12b85-a554cdd0-beebdc8f.jpg']",['files/p18/p18224196/s53536595/a30e6be6-cdb72787-3efd0ffc-438f4522-1a95c8da.jpg\n']
s54472974_4,p13762730,s54472974,4,Findings,"Cardiac silhouette is markedly enlarged, but stable in size, with indwelling right atrial and right ventricular pacing leads unchanged in position. The lungs are well expanded and grossly clear except for a small calcified granuloma at the left lung apex. There are no pleural effusions or acute skeletal findings.","Cardiac silhouette is markedly enlarged, but stable in size, with indwelling right atrial and right ventricular pacing leads unchanged in position.","Cardiac silhouette, right atrial and right ventricular pacing leads",,Stable,"['files/p13/p13762730/s54472974/0ff0bb39-4a3b9b22-0150d88d-040cd9e6-c1d6078b.jpg', 'files/p13/p13762730/s54472974/93795e56-ef882771-fa23c36d-bf8cf35b-fc41aadc.jpg']","['files/p13/p13762730/s52603243/1122a7e9-32e0350f-1a87fedd-c85128f3-4e2d23f4.jpg\n', 'files/p13/p13762730/s52603243/41da5168-3827dda7-50545888-b2a593ef-1dd0934d.jpg\n', 'files/p13/p13762730/s52603243/ea8f47d3-a878270a-7a5e0d98-b1d62b7e-6061c574.jpg\n']"
s54472974_4,p13762730,s54472974,4,Impression,Stable marked cardiomegaly without evidence of pulmonary edema.,Stable marked cardiomegaly without evidence of pulmonary edema.,Cardiomegaly,,Stable,"['files/p13/p13762730/s54472974/0ff0bb39-4a3b9b22-0150d88d-040cd9e6-c1d6078b.jpg', 'files/p13/p13762730/s54472974/93795e56-ef882771-fa23c36d-bf8cf35b-fc41aadc.jpg']","['files/p13/p13762730/s52603243/1122a7e9-32e0350f-1a87fedd-c85128f3-4e2d23f4.jpg\n', 'files/p13/p13762730/s52603243/41da5168-3827dda7-50545888-b2a593ef-1dd0934d.jpg\n', 'files/p13/p13762730/s52603243/ea8f47d3-a878270a-7a5e0d98-b1d62b7e-6061c574.jpg\n']"
s54477721_11,p17340686,s54477721,11,Findings,"Left sided dual lumen catheter tip terminates within the proximal right atrium, unchanged. Mild to moderate cardiomegaly is similar. The aorta remains tortuous and diffusely calcified. Mild pulmonary edema is unchanged compared to the prior study. There is likely a small right pleural effusion, without evidence for pneumothorax. No acute osseous abnormalities detected.",Mild to moderate cardiomegaly is similar.,Mild to moderate cardiomegaly,,Stable,"['files/p17/p17340686/s54477721/56b0777b-ec731ed4-e7b2af82-7cedbe31-65605bf9.jpg', 'files/p17/p17340686/s54477721/eeb4d97d-b303714e-7efc3b02-a7b0e4a6-20127092.jpg']","['files/p17/p17340686/s54124205/37583135-5e94d264-ff4574d6-cdb16475-77c6bbe2.jpg\n', 'files/p17/p17340686/s54124205/a63e169d-68ac0a93-f335ef61-a4d2e226-449d7927.jpg\n']"
s54477721_11,p17340686,s54477721,11,Findings,"Left sided dual lumen catheter tip terminates within the proximal right atrium, unchanged. Mild to moderate cardiomegaly is similar. The aorta remains tortuous and diffusely calcified. Mild pulmonary edema is unchanged compared to the prior study. There is likely a small right pleural effusion, without evidence for pneumothorax. No acute osseous abnormalities detected.","Left sided dual lumen catheter tip terminates within the proximal right atrium, unchanged.",Left sided dual lumen catheter tip,proximal right atrium,Stable,"['files/p17/p17340686/s54477721/56b0777b-ec731ed4-e7b2af82-7cedbe31-65605bf9.jpg', 'files/p17/p17340686/s54477721/eeb4d97d-b303714e-7efc3b02-a7b0e4a6-20127092.jpg']","['files/p17/p17340686/s54124205/37583135-5e94d264-ff4574d6-cdb16475-77c6bbe2.jpg\n', 'files/p17/p17340686/s54124205/a63e169d-68ac0a93-f335ef61-a4d2e226-449d7927.jpg\n']"
s54477721_11,p17340686,s54477721,11,Findings,"Left sided dual lumen catheter tip terminates within the proximal right atrium, unchanged. Mild to moderate cardiomegaly is similar. The aorta remains tortuous and diffusely calcified. Mild pulmonary edema is unchanged compared to the prior study. There is likely a small right pleural effusion, without evidence for pneumothorax. No acute osseous abnormalities detected.",Mild pulmonary edema is unchanged compared to the prior study.,Mild pulmonary edema,,Stable,"['files/p17/p17340686/s54477721/56b0777b-ec731ed4-e7b2af82-7cedbe31-65605bf9.jpg', 'files/p17/p17340686/s54477721/eeb4d97d-b303714e-7efc3b02-a7b0e4a6-20127092.jpg']","['files/p17/p17340686/s54124205/37583135-5e94d264-ff4574d6-cdb16475-77c6bbe2.jpg\n', 'files/p17/p17340686/s54124205/a63e169d-68ac0a93-f335ef61-a4d2e226-449d7927.jpg\n']"
s54477721_11,p17340686,s54477721,11,Impression,"Mild pulmonary edema, not significantly changed from the prior exam with trace right pleural effusion.","Mild pulmonary edema, not significantly changed from the prior exam with trace right pleural effusion.",Mild pulmonary edema,,Stable,"['files/p17/p17340686/s54477721/56b0777b-ec731ed4-e7b2af82-7cedbe31-65605bf9.jpg', 'files/p17/p17340686/s54477721/eeb4d97d-b303714e-7efc3b02-a7b0e4a6-20127092.jpg']","['files/p17/p17340686/s54124205/37583135-5e94d264-ff4574d6-cdb16475-77c6bbe2.jpg\n', 'files/p17/p17340686/s54124205/a63e169d-68ac0a93-f335ef61-a4d2e226-449d7927.jpg\n']"
s54477721_11,p17340686,s54477721,11,Findings,"Left sided dual lumen catheter tip terminates within the proximal right atrium, unchanged. Mild to moderate cardiomegaly is similar. The aorta remains tortuous and diffusely calcified. Mild pulmonary edema is unchanged compared to the prior study. There is likely a small right pleural effusion, without evidence for pneumothorax. No acute osseous abnormalities detected.",The aorta remains tortuous and diffusely calcified.,Tortuous and diffusely calcified aorta,,Stable,"['files/p17/p17340686/s54477721/56b0777b-ec731ed4-e7b2af82-7cedbe31-65605bf9.jpg', 'files/p17/p17340686/s54477721/eeb4d97d-b303714e-7efc3b02-a7b0e4a6-20127092.jpg']","['files/p17/p17340686/s54124205/37583135-5e94d264-ff4574d6-cdb16475-77c6bbe2.jpg\n', 'files/p17/p17340686/s54124205/a63e169d-68ac0a93-f335ef61-a4d2e226-449d7927.jpg\n']"
s54479348_7,p15809646,s54479348,7,Impression,1. Tube and lines are in adequate position. 2. The remaining of the exam is unchanged without significant acute cardiopulmonary findings.,2. The remaining of the exam is unchanged without significant acute cardiopulmonary findings.,,,Stable,['files/p15/p15809646/s54479348/5e2d7a5c-0cca16ec-3dff48d4-bab26e70-6bea7f6d.jpg'],['files/p15/p15809646/s53528690/bed7c512-ac375506-2b7022e0-a8e257bc-dfe0c8c2.jpg\n']
s54479348_7,p15809646,s54479348,7,Findings,"New ET tube ends 2.9 cm above the carina. Right jugular line is in lower SVC. Left upper lobe rounded atelectasis was better assessed in recent CT, and there is minimal chronic thickening of the pleura at the costodiaphragmatic angles.",New ET tube ends 2.9 cm above the carina.,ET tube,2.9 cm above the carina,New,['files/p15/p15809646/s54479348/5e2d7a5c-0cca16ec-3dff48d4-bab26e70-6bea7f6d.jpg'],['files/p15/p15809646/s53528690/bed7c512-ac375506-2b7022e0-a8e257bc-dfe0c8c2.jpg\n']
s54504950_13,p16662264,s54504950,13,Impression,Further improvement of previously identified multifocal pneumonic infiltrates. As there persist a few remnants further followup is recommended to ascertain stability.,Further improvement of previously identified multifocal pneumonic infiltrates. As there persist a few remnants further followup is recommended to ascertain stability.,multifocal pneumonic infiltrates,,Better,"['files/p16/p16662264/s54504950/823fd649-1a827456-8a52f457-41419696-3c50b072.jpg', 'files/p16/p16662264/s54504950/d3b0d36d-5201ca16-3476454c-0e031e78-004217a2.jpg']","['files/p16/p16662264/s54325260/179a3bc6-06e45b2d-3a0d7560-d5bea797-ed93b1dc.jpg\n', 'files/p16/p16662264/s54325260/8e24f563-9ef7ca91-17190c86-0d7d6406-35d94599.jpg\n']"
s54504950_13,p16662264,s54504950,13,Findings,"PA and lateral chest views have been obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. The heart size is unchanged and remains within normal limits. The thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is not congested. On previous examinations identified multifocal parenchymal infiltrates have further undergone marked regression. There remain, however, some mostly linear densities in the areas of the previous infiltrates in the right middle lobe and left lingular area. No new acute abnormalities are seen, no pleural effusion is identified nor is there any pneumothorax in the apical area.",The heart size is unchanged and remains within normal limits.,Heart size,,Stable,"['files/p16/p16662264/s54504950/823fd649-1a827456-8a52f457-41419696-3c50b072.jpg', 'files/p16/p16662264/s54504950/d3b0d36d-5201ca16-3476454c-0e031e78-004217a2.jpg']","['files/p16/p16662264/s54325260/179a3bc6-06e45b2d-3a0d7560-d5bea797-ed93b1dc.jpg\n', 'files/p16/p16662264/s54325260/8e24f563-9ef7ca91-17190c86-0d7d6406-35d94599.jpg\n']"
s54504950_13,p16662264,s54504950,13,Findings,"PA and lateral chest views have been obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. The heart size is unchanged and remains within normal limits. The thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is not congested. On previous examinations identified multifocal parenchymal infiltrates have further undergone marked regression. There remain, however, some mostly linear densities in the areas of the previous infiltrates in the right middle lobe and left lingular area. No new acute abnormalities are seen, no pleural effusion is identified nor is there any pneumothorax in the apical area.",On previous examinations identified multifocal parenchymal infiltrates have further undergone marked regression.,multifocal parenchymal infiltrates,,Better,"['files/p16/p16662264/s54504950/823fd649-1a827456-8a52f457-41419696-3c50b072.jpg', 'files/p16/p16662264/s54504950/d3b0d36d-5201ca16-3476454c-0e031e78-004217a2.jpg']","['files/p16/p16662264/s54325260/179a3bc6-06e45b2d-3a0d7560-d5bea797-ed93b1dc.jpg\n', 'files/p16/p16662264/s54325260/8e24f563-9ef7ca91-17190c86-0d7d6406-35d94599.jpg\n']"
s54505002_22,p13979643,s54505002,22,Findings,"There has been interval placement of a nasogastric tube with its side port below the GE junction. The left-sided PICC tip terminates at the mid to upper SVC. Otherwise, the heart size is unchanged, and there is bibasilar atelectasis. No large pleural effusion or pneumothorax is present.",There has been interval placement of a nasogastric tube with its side port below the GE junction.,nasogastric tube,not specified,New,['files/p13/p13979643/s54505002/dc4cccd3-1c855845-e52e1419-7da6cc73-c40f3f5b.jpg'],"['files/p13/p13979643/s53102363/bcddeef7-b39afe1b-a9149ef3-e8d88304-1afb1754.jpg\n', 'files/p13/p13979643/s53102363/c063f72d-3383a805-adfef1af-05414ba2-9eba728c.jpg\n']"
s54505002_22,p13979643,s54505002,22,Findings,"There has been interval placement of a nasogastric tube with its side port below the GE junction. The left-sided PICC tip terminates at the mid to upper SVC. Otherwise, the heart size is unchanged, and there is bibasilar atelectasis. No large pleural effusion or pneumothorax is present.","Otherwise, the heart size is unchanged, and there is bibasilar atelectasis.",atelectasis,bibasilar,New,['files/p13/p13979643/s54505002/dc4cccd3-1c855845-e52e1419-7da6cc73-c40f3f5b.jpg'],"['files/p13/p13979643/s53102363/bcddeef7-b39afe1b-a9149ef3-e8d88304-1afb1754.jpg\n', 'files/p13/p13979643/s53102363/c063f72d-3383a805-adfef1af-05414ba2-9eba728c.jpg\n']"
s54505002_22,p13979643,s54505002,22,Findings,"There has been interval placement of a nasogastric tube with its side port below the GE junction. The left-sided PICC tip terminates at the mid to upper SVC. Otherwise, the heart size is unchanged, and there is bibasilar atelectasis. No large pleural effusion or pneumothorax is present.","Otherwise, the heart size is unchanged, and there is bibasilar atelectasis.",heart size,not specified,Stable,['files/p13/p13979643/s54505002/dc4cccd3-1c855845-e52e1419-7da6cc73-c40f3f5b.jpg'],"['files/p13/p13979643/s53102363/bcddeef7-b39afe1b-a9149ef3-e8d88304-1afb1754.jpg\n', 'files/p13/p13979643/s53102363/c063f72d-3383a805-adfef1af-05414ba2-9eba728c.jpg\n']"
s54517823_25,p15259244,s54517823,25,Impression,"1. Bilateral pleural effusions, improved on the right compared to the prior examination, but worsened on the left. Increased opacification at the left lung base may represent underlying infection. 2. Low lung volumes with crowding of bronchovascular markings and minimal increased pulmonary vascular engorgement.","1. Bilateral pleural effusions, improved on the right compared to the prior examination, but worsened on the left",Pleural effusion,Left,Worse,['files/p15/p15259244/s54517823/515703bc-4c8240a5-4b5d0a83-1f8c8dda-289ce799.jpg'],"['files/p15/p15259244/s54437537/64c99cbe-e1457ba5-58d940df-68b406e8-2a430fdc.jpg\n', 'files/p15/p15259244/s54437537/6f3ad43a-df5c6fdb-9ca593fc-13d161a4-8869dd8f.jpg\n']"
s54517823_25,p15259244,s54517823,25,Impression,"1. Bilateral pleural effusions, improved on the right compared to the prior examination, but worsened on the left. Increased opacification at the left lung base may represent underlying infection. 2. Low lung volumes with crowding of bronchovascular markings and minimal increased pulmonary vascular engorgement.","1. Bilateral pleural effusions, improved on the right compared to the prior examination, but worsened on the left",Pleural effusion,Right,Better,['files/p15/p15259244/s54517823/515703bc-4c8240a5-4b5d0a83-1f8c8dda-289ce799.jpg'],"['files/p15/p15259244/s54437537/64c99cbe-e1457ba5-58d940df-68b406e8-2a430fdc.jpg\n', 'files/p15/p15259244/s54437537/6f3ad43a-df5c6fdb-9ca593fc-13d161a4-8869dd8f.jpg\n']"
s54517823_25,p15259244,s54517823,25,Findings,"Small bilateral pleural effusions improved on the right and increased on the left since the most recent prior examination of ___. Increased opacification at the left lung base may represent underlying infection. Moderate-to-severe enlargement of the cardiac silhouette is chronic and unchanged. Bilateral low lung volumes are noted with crowding of bronchovascular markings. A supraclavicular dialysis catheter ends in the right atrium. In the interim since the most recent prior examination, there has been removal of the left-sided PICC tip. Sternotomy wires are midline and intact. Patient is status post left mitral valve repair.","In the interim since the most recent prior examination, there has been removal of the left-sided PICC tip",PICC tip,Left,Resolve,['files/p15/p15259244/s54517823/515703bc-4c8240a5-4b5d0a83-1f8c8dda-289ce799.jpg'],"['files/p15/p15259244/s54437537/64c99cbe-e1457ba5-58d940df-68b406e8-2a430fdc.jpg\n', 'files/p15/p15259244/s54437537/6f3ad43a-df5c6fdb-9ca593fc-13d161a4-8869dd8f.jpg\n']"
s54517823_25,p15259244,s54517823,25,Findings,"Small bilateral pleural effusions improved on the right and increased on the left since the most recent prior examination of ___. Increased opacification at the left lung base may represent underlying infection. Moderate-to-severe enlargement of the cardiac silhouette is chronic and unchanged. Bilateral low lung volumes are noted with crowding of bronchovascular markings. A supraclavicular dialysis catheter ends in the right atrium. In the interim since the most recent prior examination, there has been removal of the left-sided PICC tip. Sternotomy wires are midline and intact. Patient is status post left mitral valve repair.",Moderate-to-severe enlargement of the cardiac silhouette is chronic and unchanged,Cardiac silhouette enlargement,,Stable,['files/p15/p15259244/s54517823/515703bc-4c8240a5-4b5d0a83-1f8c8dda-289ce799.jpg'],"['files/p15/p15259244/s54437537/64c99cbe-e1457ba5-58d940df-68b406e8-2a430fdc.jpg\n', 'files/p15/p15259244/s54437537/6f3ad43a-df5c6fdb-9ca593fc-13d161a4-8869dd8f.jpg\n']"
s54517823_25,p15259244,s54517823,25,Findings,"Small bilateral pleural effusions improved on the right and increased on the left since the most recent prior examination of ___. Increased opacification at the left lung base may represent underlying infection. Moderate-to-severe enlargement of the cardiac silhouette is chronic and unchanged. Bilateral low lung volumes are noted with crowding of bronchovascular markings. A supraclavicular dialysis catheter ends in the right atrium. In the interim since the most recent prior examination, there has been removal of the left-sided PICC tip. Sternotomy wires are midline and intact. Patient is status post left mitral valve repair.",Small bilateral pleural effusions improved on the right and increased on the left since the most recent prior examination of ___,Pleural effusion,Left,Worse,['files/p15/p15259244/s54517823/515703bc-4c8240a5-4b5d0a83-1f8c8dda-289ce799.jpg'],"['files/p15/p15259244/s54437537/64c99cbe-e1457ba5-58d940df-68b406e8-2a430fdc.jpg\n', 'files/p15/p15259244/s54437537/6f3ad43a-df5c6fdb-9ca593fc-13d161a4-8869dd8f.jpg\n']"
s54517823_25,p15259244,s54517823,25,Findings,"Small bilateral pleural effusions improved on the right and increased on the left since the most recent prior examination of ___. Increased opacification at the left lung base may represent underlying infection. Moderate-to-severe enlargement of the cardiac silhouette is chronic and unchanged. Bilateral low lung volumes are noted with crowding of bronchovascular markings. A supraclavicular dialysis catheter ends in the right atrium. In the interim since the most recent prior examination, there has been removal of the left-sided PICC tip. Sternotomy wires are midline and intact. Patient is status post left mitral valve repair.",Small bilateral pleural effusions improved on the right and increased on the left since the most recent prior examination of ___,Pleural effusion,Right,Better,['files/p15/p15259244/s54517823/515703bc-4c8240a5-4b5d0a83-1f8c8dda-289ce799.jpg'],"['files/p15/p15259244/s54437537/64c99cbe-e1457ba5-58d940df-68b406e8-2a430fdc.jpg\n', 'files/p15/p15259244/s54437537/6f3ad43a-df5c6fdb-9ca593fc-13d161a4-8869dd8f.jpg\n']"
s54517998_28,p11413236,s54517998,28,Impression,There are lower lung volumes. Bibasilar atelectasis have increased. Right port a cath tip is in the is confluence of the brachiocephalic vein. There is no pneumothorax. Cardiomegaly is stable,Bibasilar atelectasis have increased.,Atelectasis,Bibasilar,Worse,['files/p11/p11413236/s54517998/93173301-ef0856de-7bf3d950-005faeed-a2f8a466.jpg'],['files/p11/p11413236/s53994053/bf7c2bb6-a8ce931b-a0037382-88c9ab10-ef166969.jpg\n']
s54517998_28,p11413236,s54517998,28,Impression,There are lower lung volumes. Bibasilar atelectasis have increased. Right port a cath tip is in the is confluence of the brachiocephalic vein. There is no pneumothorax. Cardiomegaly is stable,Cardiomegaly is stable,Cardiomegaly,,Stable,['files/p11/p11413236/s54517998/93173301-ef0856de-7bf3d950-005faeed-a2f8a466.jpg'],['files/p11/p11413236/s53994053/bf7c2bb6-a8ce931b-a0037382-88c9ab10-ef166969.jpg\n']
s54518631_4,p14387068,s54518631,4,Findings,AP single view of the chest was obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar study of ___ obtained at 15:35 p.m. Findings on a new portable chest examination are practically identical with those of the previous study. Position of pigtail end catheter in the right lower hemithorax unaltered. The same holds for the right-sided pleural effusion and the hydropneumothorax with rather high degree of right lung collapse. No new abnormalities identified. No significant mediastinal shift is observed.,Position of pigtail end catheter in the right lower hemithorax unaltered.,pigtail end catheter,right lower hemithorax,Stable,['files/p14/p14387068/s54518631/647aafbc-96122ceb-7150d6ce-c281d11c-148e092c.jpg'],['files/p14/p14387068/s54176477/1de4e2d6-0112fe2a-07780296-bc4a23d6-fbcc2872.jpg\n']
s54518631_4,p14387068,s54518631,4,Impression,Unchanged size and position of right-sided hydropneumothorax over the last ___-hour examination interval.,Unchanged size and position of right-sided hydropneumothorax over the last ___-hour examination interval.,hydropneumothorax,right-sided,Stable,['files/p14/p14387068/s54518631/647aafbc-96122ceb-7150d6ce-c281d11c-148e092c.jpg'],['files/p14/p14387068/s54176477/1de4e2d6-0112fe2a-07780296-bc4a23d6-fbcc2872.jpg\n']
s54518631_4,p14387068,s54518631,4,Findings,AP single view of the chest was obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar study of ___ obtained at 15:35 p.m. Findings on a new portable chest examination are practically identical with those of the previous study. Position of pigtail end catheter in the right lower hemithorax unaltered. The same holds for the right-sided pleural effusion and the hydropneumothorax with rather high degree of right lung collapse. No new abnormalities identified. No significant mediastinal shift is observed.,The same holds for the right-sided pleural effusion and the hydropneumothorax with rather high degree of right lung collapse.,pleural effusion,right-sided,Stable,['files/p14/p14387068/s54518631/647aafbc-96122ceb-7150d6ce-c281d11c-148e092c.jpg'],['files/p14/p14387068/s54176477/1de4e2d6-0112fe2a-07780296-bc4a23d6-fbcc2872.jpg\n']
s54518631_4,p14387068,s54518631,4,Findings,AP single view of the chest was obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar study of ___ obtained at 15:35 p.m. Findings on a new portable chest examination are practically identical with those of the previous study. Position of pigtail end catheter in the right lower hemithorax unaltered. The same holds for the right-sided pleural effusion and the hydropneumothorax with rather high degree of right lung collapse. No new abnormalities identified. No significant mediastinal shift is observed.,The same holds for the right-sided pleural effusion and the hydropneumothorax with rather high degree of right lung collapse.,hydropneumothorax,right,Stable,['files/p14/p14387068/s54518631/647aafbc-96122ceb-7150d6ce-c281d11c-148e092c.jpg'],['files/p14/p14387068/s54176477/1de4e2d6-0112fe2a-07780296-bc4a23d6-fbcc2872.jpg\n']
s54518631_4,p14387068,s54518631,4,Findings,AP single view of the chest was obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar study of ___ obtained at 15:35 p.m. Findings on a new portable chest examination are practically identical with those of the previous study. Position of pigtail end catheter in the right lower hemithorax unaltered. The same holds for the right-sided pleural effusion and the hydropneumothorax with rather high degree of right lung collapse. No new abnormalities identified. No significant mediastinal shift is observed.,The same holds for the right-sided pleural effusion and the hydropneumothorax with rather high degree of right lung collapse.,collapse,right lung,Stable,['files/p14/p14387068/s54518631/647aafbc-96122ceb-7150d6ce-c281d11c-148e092c.jpg'],['files/p14/p14387068/s54176477/1de4e2d6-0112fe2a-07780296-bc4a23d6-fbcc2872.jpg\n']
s54519421_27,p16662264,s54519421,27,Impression,"Hazy bibasilar opacities, likely the residua from recent prior infection greatly improved in appearance. No new focal consolidation.","Hazy bibasilar opacities, likely the residua from recent prior infection greatly improved in appearance.",Hazy opacities,Bibasilar,Better,"['files/p16/p16662264/s54519421/e8492918-d9eb34a1-417d1aaa-f2818725-997cffc3.jpg', 'files/p16/p16662264/s54519421/f41b8b56-99c24f61-a0a4c8d3-c53f7f17-0467e007.jpg']","['files/p16/p16662264/s54504950/823fd649-1a827456-8a52f457-41419696-3c50b072.jpg\n', 'files/p16/p16662264/s54504950/d3b0d36d-5201ca16-3476454c-0e031e78-004217a2.jpg\n']"
s54519421_27,p16662264,s54519421,27,Findings,Cardiomediastinal silhouette and hilar contours are unremarkable. Residual hazy opacities persist at bilateral lung bases and inferior lingula from prior recent infection but are significantly improved from prior study. There is no pleural effusion or pneumothorax. There is no new focal consolidation. The osseous structures are grossly unremarkable.,Residual hazy opacities persist at bilateral lung bases and inferior lingula from prior recent infection but are significantly improved from prior study.,Hazy opacities,Bilateral lung bases and inferior lingula,Better,"['files/p16/p16662264/s54519421/e8492918-d9eb34a1-417d1aaa-f2818725-997cffc3.jpg', 'files/p16/p16662264/s54519421/f41b8b56-99c24f61-a0a4c8d3-c53f7f17-0467e007.jpg']","['files/p16/p16662264/s54504950/823fd649-1a827456-8a52f457-41419696-3c50b072.jpg\n', 'files/p16/p16662264/s54504950/d3b0d36d-5201ca16-3476454c-0e031e78-004217a2.jpg\n']"
s54526081_0,p13484161,s54526081,0,Findings,"As compared to the previous radiograph, there is no relevant change. The lung volumes have slightly decreased. As a consequence, mild atelectasis are seen at the lung bases. No pleural effusions. No pulmonary edema. No pneumonia.",The lung volumes have slightly decreased.,lung volumes,,Worse,['files/p13/p13484161/s54526081/95906129-89721086-cc8154fa-07c91f7e-3c5ea511.jpg'],['files/p13/p13484161/s51009376/e120ed69-a974706b-30acf181-38be212f-48eb872d.jpg\n']
s54527138_7,p12963531,s54527138,7,Findings,"The right internal jugular dialysis catheter terminates within the right atrium. There is no pneumothorax or pleural effusion. The cardiac silhouette is severely enlarged, but unchanged. The hilar structures are unremarkable. There is no pleural effusion. There is a chronic subclincal pulmonary edema appearance to the pulmonary vascularity without evidence for acute volume overload.","The cardiac silhouette is severely enlarged, but unchanged.",severe enlargement,cardiac silhouette,Stable,"['files/p12/p12963531/s54527138/980d5f73-a77d993b-7b3da70b-568e00db-8b84048d.jpg', 'files/p12/p12963531/s54527138/eb52937f-7fa55b40-86540246-ca98fc35-a5a9b68a.jpg']","['files/p12/p12963531/s53443143/41d91119-e4864968-f736d803-6295f4df-29c302ea.jpg\n', 'files/p12/p12963531/s53443143/fa323a43-287e7b67-e0efec9e-9db65ff2-f6180c57.jpg\n']"
s54527138_7,p12963531,s54527138,7,Impression,Satisfactory right internal jugular dialysis catheter position without pneumothorax. Unchanged severe cardiomegaly.,Unchanged severe cardiomegaly.,severe cardiomegaly,cardiac silhouette,Stable,"['files/p12/p12963531/s54527138/980d5f73-a77d993b-7b3da70b-568e00db-8b84048d.jpg', 'files/p12/p12963531/s54527138/eb52937f-7fa55b40-86540246-ca98fc35-a5a9b68a.jpg']","['files/p12/p12963531/s53443143/41d91119-e4864968-f736d803-6295f4df-29c302ea.jpg\n', 'files/p12/p12963531/s53443143/fa323a43-287e7b67-e0efec9e-9db65ff2-f6180c57.jpg\n']"
s54532060_5,p19844485,s54532060,5,Impression,"AP chest compared to ___: There is greater consolidation at the right lung base today, which could be atelectasis worsening in the setting of persistent moderate right pleural effusion or worsening pneumonia. Improvement in perihilar opacification in the left mid lung may be a function of difference in radiographic technique. The area is not clear, whether it is edema or a second focus of pneumonia, is radiographically indeterminate. Moderate enlargement of the cardiac silhouette is longstanding. Dr. ___ was paged.","AP chest compared to ___: There is greater consolidation at the right lung base today, which could be atelectasis worsening in the setting of persistent moderate right pleural effusion or worsening pneumonia. Improvement in perihilar opacification in the left mid lung may be a function of difference in radiographic technique. The area is not clear, whether it is edema or a second focus of pneumonia, is radiographically indeterminate. Moderate enlargement of the cardiac silhouette is longstanding. Dr. ___ was paged.",perihilar opacification,left mid lung,Better,['files/p19/p19844485/s54532060/ac0f76b9-e3215599-284b52b4-c3ae75a0-7c841c4c.jpg'],['files/p19/p19844485/s54346596/ed9c3e31-eb090a92-2961be8b-dbc881e0-11aff1ff.jpg\n']
s54532060_5,p19844485,s54532060,5,Impression,"AP chest compared to ___: There is greater consolidation at the right lung base today, which could be atelectasis worsening in the setting of persistent moderate right pleural effusion or worsening pneumonia. Improvement in perihilar opacification in the left mid lung may be a function of difference in radiographic technique. The area is not clear, whether it is edema or a second focus of pneumonia, is radiographically indeterminate. Moderate enlargement of the cardiac silhouette is longstanding. Dr. ___ was paged.","AP chest compared to ___: There is greater consolidation at the right lung base today, which could be atelectasis worsening in the setting of persistent moderate right pleural effusion or worsening pneumonia. Improvement in perihilar opacification in the left mid lung may be a function of difference in radiographic technique. The area is not clear, whether it is edema or a second focus of pneumonia, is radiographically indeterminate. Moderate enlargement of the cardiac silhouette is longstanding. Dr. ___ was paged.",consolidation,right lung base,Worse,['files/p19/p19844485/s54532060/ac0f76b9-e3215599-284b52b4-c3ae75a0-7c841c4c.jpg'],['files/p19/p19844485/s54346596/ed9c3e31-eb090a92-2961be8b-dbc881e0-11aff1ff.jpg\n']
s54532060_5,p19844485,s54532060,5,Impression,"AP chest compared to ___: There is greater consolidation at the right lung base today, which could be atelectasis worsening in the setting of persistent moderate right pleural effusion or worsening pneumonia. Improvement in perihilar opacification in the left mid lung may be a function of difference in radiographic technique. The area is not clear, whether it is edema or a second focus of pneumonia, is radiographically indeterminate. Moderate enlargement of the cardiac silhouette is longstanding. Dr. ___ was paged.","AP chest compared to ___: There is greater consolidation at the right lung base today, which could be atelectasis worsening in the setting of persistent moderate right pleural effusion or worsening pneumonia. Improvement in perihilar opacification in the left mid lung may be a function of difference in radiographic technique. The area is not clear, whether it is edema or a second focus of pneumonia, is radiographically indeterminate. Moderate enlargement of the cardiac silhouette is longstanding. Dr. ___ was paged.",enlargement,cardiac silhouette,Stable,['files/p19/p19844485/s54532060/ac0f76b9-e3215599-284b52b4-c3ae75a0-7c841c4c.jpg'],['files/p19/p19844485/s54346596/ed9c3e31-eb090a92-2961be8b-dbc881e0-11aff1ff.jpg\n']
s54537700_38,p10933609,s54537700,38,Impression,"1) Equivocal slight worsening of the opacity in the right upper zone. Otherwise, no interval change identified. 2) Compared to a radiograph from ___, the opacity in the right upper zone has improved, as have changes at the right cardiophrenic region.","2) Compared to a radiograph from ___, the opacity in the right upper zone has improved, as have changes at the right cardiophrenic region.",changes,right cardiophrenic region,Better,"['files/p10/p10933609/s54537700/396061be-a852cd47-7e3c4e82-3b2ec2b9-4e9632ff.jpg', 'files/p10/p10933609/s54537700/406539e1-fd9fe3f2-6192f2a5-e24d2d07-5ff88d1d.jpg']","['files/p10/p10933609/s54422699/53c18304-54fac49c-cabe4615-c2a37b60-8555c705.jpg\n', 'files/p10/p10933609/s54422699/72a3f5c1-9ff27189-d2d045aa-ee3f3b3b-8d4f144f.jpg\n']"
s54537700_38,p10933609,s54537700,38,Impression,"1) Equivocal slight worsening of the opacity in the right upper zone. Otherwise, no interval change identified. 2) Compared to a radiograph from ___, the opacity in the right upper zone has improved, as have changes at the right cardiophrenic region.","2) Compared to a radiograph from ___, the opacity in the right upper zone has improved, as have changes at the right cardiophrenic region.",opacity,right upper zone,Better,"['files/p10/p10933609/s54537700/396061be-a852cd47-7e3c4e82-3b2ec2b9-4e9632ff.jpg', 'files/p10/p10933609/s54537700/406539e1-fd9fe3f2-6192f2a5-e24d2d07-5ff88d1d.jpg']","['files/p10/p10933609/s54422699/53c18304-54fac49c-cabe4615-c2a37b60-8555c705.jpg\n', 'files/p10/p10933609/s54422699/72a3f5c1-9ff27189-d2d045aa-ee3f3b3b-8d4f144f.jpg\n']"
s54537700_38,p10933609,s54537700,38,Impression,"1) Equivocal slight worsening of the opacity in the right upper zone. Otherwise, no interval change identified. 2) Compared to a radiograph from ___, the opacity in the right upper zone has improved, as have changes at the right cardiophrenic region.","1) Equivocal slight worsening of the opacity in the right upper zone. Otherwise, no interval change identified.",opacity,right upper zone,Worse,"['files/p10/p10933609/s54537700/396061be-a852cd47-7e3c4e82-3b2ec2b9-4e9632ff.jpg', 'files/p10/p10933609/s54537700/406539e1-fd9fe3f2-6192f2a5-e24d2d07-5ff88d1d.jpg']","['files/p10/p10933609/s54422699/53c18304-54fac49c-cabe4615-c2a37b60-8555c705.jpg\n', 'files/p10/p10933609/s54422699/72a3f5c1-9ff27189-d2d045aa-ee3f3b3b-8d4f144f.jpg\n']"
s54537743_2,p12952223,s54537743,2,Findings,"AP single view of the chest has been obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. The findings on the portable AP single chest view remains the same. Thus, bilateral pleural effusions exist and the pulmonary vasculature remains congested similar as it was on all three postoperative and follow up examinations. As on the next previous study, the patient is extubated. Right internal jugular approach central venous line remains in unchanged position.","Thus, bilateral pleural effusions exist and the pulmonary vasculature remains congested similar as it was on all three postoperative and follow up examinations.",pleural effusions,bilateral,Stable,['files/p12/p12952223/s54537743/5c03570c-7b4fd4a2-4faf7ff0-ab71c1af-e7dec254.jpg'],['files/p12/p12952223/s54189049/8f77326f-be687abf-b18cafbf-e051af2c-5ec25d49.jpg\n']
s54537743_2,p12952223,s54537743,2,Findings,"AP single view of the chest has been obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. The findings on the portable AP single chest view remains the same. Thus, bilateral pleural effusions exist and the pulmonary vasculature remains congested similar as it was on all three postoperative and follow up examinations. As on the next previous study, the patient is extubated. Right internal jugular approach central venous line remains in unchanged position.",Right internal jugular approach central venous line remains in unchanged position.,central venous line,right internal jugular,Stable,['files/p12/p12952223/s54537743/5c03570c-7b4fd4a2-4faf7ff0-ab71c1af-e7dec254.jpg'],['files/p12/p12952223/s54189049/8f77326f-be687abf-b18cafbf-e051af2c-5ec25d49.jpg\n']
s54537743_2,p12952223,s54537743,2,Findings,"AP single view of the chest has been obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. The findings on the portable AP single chest view remains the same. Thus, bilateral pleural effusions exist and the pulmonary vasculature remains congested similar as it was on all three postoperative and follow up examinations. As on the next previous study, the patient is extubated. Right internal jugular approach central venous line remains in unchanged position.","Thus, bilateral pleural effusions exist and the pulmonary vasculature remains congested similar as it was on all three postoperative and follow up examinations.",vascular congestion,pulmonary,Stable,['files/p12/p12952223/s54537743/5c03570c-7b4fd4a2-4faf7ff0-ab71c1af-e7dec254.jpg'],['files/p12/p12952223/s54189049/8f77326f-be687abf-b18cafbf-e051af2c-5ec25d49.jpg\n']
s54538310_0,p13849733,s54538310,0,Findings,"Large right pleural effusion is unchanged in size. There is associated right basilar atelectasis/scarring, also stable. Healed right rib fractures are noted. On the left, there is persistent apical pleural thickening and apical scarring. Linear opacities projecting over the lower lobe are also compatible with scarring, unchanged. There is no left pleural effusion. There is no pneumothorax. Hilar and cardiomediastinal contours are difficult to assess, but appear unchanged. Vascular stent is seen in the left axillary/subclavian region.","Hilar and cardiomediastinal contours are difficult to assess, but appear unchanged.",contours,hilar and cardiomediastinal,Stable,"['files/p13/p13849733/s54538310/6941d41e-d1891aa5-1110e57c-7f6df9e4-8d782e9a.jpg', 'files/p13/p13849733/s54538310/a1ab8f5f-581bbc83-95dcba8d-3f8da9e4-4df624e8.jpg']","['files/p13/p13849733/s52695304/6e30272b-f594f76c-137dac67-356978e8-c09e6aa7.jpg\n', 'files/p13/p13849733/s52695304/7c30e561-e7612bd3-08f7df70-092ce86a-12c0984f.jpg\n', 'files/p13/p13849733/s52695304/8da031ac-a6a0b018-0f1bc1ef-3f1b915f-feba9e7a.jpg\n']"
s54538310_0,p13849733,s54538310,0,Findings,"Large right pleural effusion is unchanged in size. There is associated right basilar atelectasis/scarring, also stable. Healed right rib fractures are noted. On the left, there is persistent apical pleural thickening and apical scarring. Linear opacities projecting over the lower lobe are also compatible with scarring, unchanged. There is no left pleural effusion. There is no pneumothorax. Hilar and cardiomediastinal contours are difficult to assess, but appear unchanged. Vascular stent is seen in the left axillary/subclavian region.",Large right pleural effusion is unchanged in size.,pleural effusion,right,Stable,"['files/p13/p13849733/s54538310/6941d41e-d1891aa5-1110e57c-7f6df9e4-8d782e9a.jpg', 'files/p13/p13849733/s54538310/a1ab8f5f-581bbc83-95dcba8d-3f8da9e4-4df624e8.jpg']","['files/p13/p13849733/s52695304/6e30272b-f594f76c-137dac67-356978e8-c09e6aa7.jpg\n', 'files/p13/p13849733/s52695304/7c30e561-e7612bd3-08f7df70-092ce86a-12c0984f.jpg\n', 'files/p13/p13849733/s52695304/8da031ac-a6a0b018-0f1bc1ef-3f1b915f-feba9e7a.jpg\n']"
s54538310_0,p13849733,s54538310,0,Findings,"Large right pleural effusion is unchanged in size. There is associated right basilar atelectasis/scarring, also stable. Healed right rib fractures are noted. On the left, there is persistent apical pleural thickening and apical scarring. Linear opacities projecting over the lower lobe are also compatible with scarring, unchanged. There is no left pleural effusion. There is no pneumothorax. Hilar and cardiomediastinal contours are difficult to assess, but appear unchanged. Vascular stent is seen in the left axillary/subclavian region.","There is associated right basilar atelectasis/scarring, also stable.",atelectasis/scarring,right basilar,Stable,"['files/p13/p13849733/s54538310/6941d41e-d1891aa5-1110e57c-7f6df9e4-8d782e9a.jpg', 'files/p13/p13849733/s54538310/a1ab8f5f-581bbc83-95dcba8d-3f8da9e4-4df624e8.jpg']","['files/p13/p13849733/s52695304/6e30272b-f594f76c-137dac67-356978e8-c09e6aa7.jpg\n', 'files/p13/p13849733/s52695304/7c30e561-e7612bd3-08f7df70-092ce86a-12c0984f.jpg\n', 'files/p13/p13849733/s52695304/8da031ac-a6a0b018-0f1bc1ef-3f1b915f-feba9e7a.jpg\n']"
s54538310_0,p13849733,s54538310,0,Findings,"Large right pleural effusion is unchanged in size. There is associated right basilar atelectasis/scarring, also stable. Healed right rib fractures are noted. On the left, there is persistent apical pleural thickening and apical scarring. Linear opacities projecting over the lower lobe are also compatible with scarring, unchanged. There is no left pleural effusion. There is no pneumothorax. Hilar and cardiomediastinal contours are difficult to assess, but appear unchanged. Vascular stent is seen in the left axillary/subclavian region.","Linear opacities projecting over the lower lobe are also compatible with scarring, unchanged.",scarring,lower lobe,Stable,"['files/p13/p13849733/s54538310/6941d41e-d1891aa5-1110e57c-7f6df9e4-8d782e9a.jpg', 'files/p13/p13849733/s54538310/a1ab8f5f-581bbc83-95dcba8d-3f8da9e4-4df624e8.jpg']","['files/p13/p13849733/s52695304/6e30272b-f594f76c-137dac67-356978e8-c09e6aa7.jpg\n', 'files/p13/p13849733/s52695304/7c30e561-e7612bd3-08f7df70-092ce86a-12c0984f.jpg\n', 'files/p13/p13849733/s52695304/8da031ac-a6a0b018-0f1bc1ef-3f1b915f-feba9e7a.jpg\n']"
s54538310_0,p13849733,s54538310,0,Impression,Unchanged right pleural effusion. Stable multifocal scarring and left apical pleural thickening.,Unchanged right pleural effusion.,pleural effusion,right,Stable,"['files/p13/p13849733/s54538310/6941d41e-d1891aa5-1110e57c-7f6df9e4-8d782e9a.jpg', 'files/p13/p13849733/s54538310/a1ab8f5f-581bbc83-95dcba8d-3f8da9e4-4df624e8.jpg']","['files/p13/p13849733/s52695304/6e30272b-f594f76c-137dac67-356978e8-c09e6aa7.jpg\n', 'files/p13/p13849733/s52695304/7c30e561-e7612bd3-08f7df70-092ce86a-12c0984f.jpg\n', 'files/p13/p13849733/s52695304/8da031ac-a6a0b018-0f1bc1ef-3f1b915f-feba9e7a.jpg\n']"
s54538310_0,p13849733,s54538310,0,Impression,Unchanged right pleural effusion. Stable multifocal scarring and left apical pleural thickening.,Stable multifocal scarring and left apical pleural thickening.,scarring and pleural thickening,multifocal and left apical,Stable,"['files/p13/p13849733/s54538310/6941d41e-d1891aa5-1110e57c-7f6df9e4-8d782e9a.jpg', 'files/p13/p13849733/s54538310/a1ab8f5f-581bbc83-95dcba8d-3f8da9e4-4df624e8.jpg']","['files/p13/p13849733/s52695304/6e30272b-f594f76c-137dac67-356978e8-c09e6aa7.jpg\n', 'files/p13/p13849733/s52695304/7c30e561-e7612bd3-08f7df70-092ce86a-12c0984f.jpg\n', 'files/p13/p13849733/s52695304/8da031ac-a6a0b018-0f1bc1ef-3f1b915f-feba9e7a.jpg\n']"
s54538310_0,p13849733,s54538310,0,Findings,"Large right pleural effusion is unchanged in size. There is associated right basilar atelectasis/scarring, also stable. Healed right rib fractures are noted. On the left, there is persistent apical pleural thickening and apical scarring. Linear opacities projecting over the lower lobe are also compatible with scarring, unchanged. There is no left pleural effusion. There is no pneumothorax. Hilar and cardiomediastinal contours are difficult to assess, but appear unchanged. Vascular stent is seen in the left axillary/subclavian region.","On the left, there is persistent apical pleural thickening and apical scarring.",pleural thickening and scarring,left apical,Stable,"['files/p13/p13849733/s54538310/6941d41e-d1891aa5-1110e57c-7f6df9e4-8d782e9a.jpg', 'files/p13/p13849733/s54538310/a1ab8f5f-581bbc83-95dcba8d-3f8da9e4-4df624e8.jpg']","['files/p13/p13849733/s52695304/6e30272b-f594f76c-137dac67-356978e8-c09e6aa7.jpg\n', 'files/p13/p13849733/s52695304/7c30e561-e7612bd3-08f7df70-092ce86a-12c0984f.jpg\n', 'files/p13/p13849733/s52695304/8da031ac-a6a0b018-0f1bc1ef-3f1b915f-feba9e7a.jpg\n']"
s54541565_7,p16772702,s54541565,7,Findings,"Single supine AP portable view of the chest was obtained. Again seen, there are increased diffuse interstitial opacities bilaterally, may be due to pulmonary edema, although appears less severe than on the prior study. Slight blunting of the bilateral costophrenic angles may be due to small bilateral pleural effusions. Cardiac and mediastinal silhouettes are stable. Left subclavian stent is again seen.",Cardiac and mediastinal silhouettes are stable.,Cardiac and mediastinal silhouettes,,Stable,['files/p16/p16772702/s54541565/021c6321-4fe21bcf-a5fc07b5-10da56bf-8436fc83.jpg'],['files/p16/p16772702/s54001264/c6cd8924-91d9c0b3-cb90ad47-aa32d3f4-86a66ea8.jpg\n']
s54541565_7,p16772702,s54541565,7,Findings,"Single supine AP portable view of the chest was obtained. Again seen, there are increased diffuse interstitial opacities bilaterally, may be due to pulmonary edema, although appears less severe than on the prior study. Slight blunting of the bilateral costophrenic angles may be due to small bilateral pleural effusions. Cardiac and mediastinal silhouettes are stable. Left subclavian stent is again seen.","Again seen, there are increased diffuse interstitial opacities bilaterally, may be due to pulmonary edema, although appears less severe than on the prior study.",Interstitial opacities,Bilateral,Worse,['files/p16/p16772702/s54541565/021c6321-4fe21bcf-a5fc07b5-10da56bf-8436fc83.jpg'],['files/p16/p16772702/s54001264/c6cd8924-91d9c0b3-cb90ad47-aa32d3f4-86a66ea8.jpg\n']
s54545153_5,p19182863,s54545153,5,Impression,"PA and lateral chest compared to ___: Moderate right pleural effusion has improved, pulmonary vascular engorgement has decreased slightly. There is no pulmonary edema or likely pneumonia. Moderate to severe cardiac enlargement is stable. No pneumothorax. Patient has had three valve replacements. Sternal wires are aligned and intact.",Moderate right pleural effusion has improved,pleural effusion,right,Better,"['files/p19/p19182863/s54545153/b688c9d3-c4609de2-9382bdc5-fd3925df-fe313036.jpg', 'files/p19/p19182863/s54545153/c77042ae-4fa479fe-d1c13bb4-d811b2ee-781bb3a8.jpg']","['files/p19/p19182863/s54167884/7b1c0393-9d11556a-679af991-d0cc1d68-b1852b51.jpg\n', 'files/p19/p19182863/s54167884/9f188b25-a57547b5-c0fafc1a-be325b3f-6cbae579.jpg\n']"
s54545153_5,p19182863,s54545153,5,Impression,"PA and lateral chest compared to ___: Moderate right pleural effusion has improved, pulmonary vascular engorgement has decreased slightly. There is no pulmonary edema or likely pneumonia. Moderate to severe cardiac enlargement is stable. No pneumothorax. Patient has had three valve replacements. Sternal wires are aligned and intact.",pulmonary vascular engorgement has decreased slightly,pulmonary vascular engorgement,,Better,"['files/p19/p19182863/s54545153/b688c9d3-c4609de2-9382bdc5-fd3925df-fe313036.jpg', 'files/p19/p19182863/s54545153/c77042ae-4fa479fe-d1c13bb4-d811b2ee-781bb3a8.jpg']","['files/p19/p19182863/s54167884/7b1c0393-9d11556a-679af991-d0cc1d68-b1852b51.jpg\n', 'files/p19/p19182863/s54167884/9f188b25-a57547b5-c0fafc1a-be325b3f-6cbae579.jpg\n']"
s54545153_5,p19182863,s54545153,5,Impression,"PA and lateral chest compared to ___: Moderate right pleural effusion has improved, pulmonary vascular engorgement has decreased slightly. There is no pulmonary edema or likely pneumonia. Moderate to severe cardiac enlargement is stable. No pneumothorax. Patient has had three valve replacements. Sternal wires are aligned and intact.",Moderate to severe cardiac enlargement is stable,cardiac enlargement,,Stable,"['files/p19/p19182863/s54545153/b688c9d3-c4609de2-9382bdc5-fd3925df-fe313036.jpg', 'files/p19/p19182863/s54545153/c77042ae-4fa479fe-d1c13bb4-d811b2ee-781bb3a8.jpg']","['files/p19/p19182863/s54167884/7b1c0393-9d11556a-679af991-d0cc1d68-b1852b51.jpg\n', 'files/p19/p19182863/s54167884/9f188b25-a57547b5-c0fafc1a-be325b3f-6cbae579.jpg\n']"
s54545268_50,p14851532,s54545268,50,Findings,"Compared with prior radiographs on ___, there is slight increase in opacity in the left lower lung adjacent to the left heart border, with improved right basilar opacity. There is a small right pleural effusion, slightly decreased from prior. No pneumothorax. There is no overt pulmonary edema. The cardiac and mediastinal silhouettes are unchanged.",The cardiac and mediastinal silhouettes are unchanged.,cardiac and mediastinal silhouettes,,Stable,"['files/p14/p14851532/s54545268/078b8107-6b122d1a-325d9a89-33038b55-a20ebabc.jpg', 'files/p14/p14851532/s54545268/5e0d77ce-231b152c-108568f2-d7021ce2-2afe69fa.jpg']",['files/p14/p14851532/s54414101/d4c3eb06-68dcce85-81bae663-853a3883-288dc307.jpg\n']
s54545268_50,p14851532,s54545268,50,Impression,"Slightly increased opacity at the left lower lung adjacent to the left heart border, with decrease in right basilar opacity compared with prior. Slight decrease in small right pleural effusion.","Slightly increased opacity at the left lower lung adjacent to the left heart border, with decrease in right basilar opacity compared with prior.",opacity,left lower lung adjacent to the left heart border,Worse,"['files/p14/p14851532/s54545268/078b8107-6b122d1a-325d9a89-33038b55-a20ebabc.jpg', 'files/p14/p14851532/s54545268/5e0d77ce-231b152c-108568f2-d7021ce2-2afe69fa.jpg']",['files/p14/p14851532/s54414101/d4c3eb06-68dcce85-81bae663-853a3883-288dc307.jpg\n']
s54545268_50,p14851532,s54545268,50,Impression,"Slightly increased opacity at the left lower lung adjacent to the left heart border, with decrease in right basilar opacity compared with prior. Slight decrease in small right pleural effusion.","Slightly increased opacity at the left lower lung adjacent to the left heart border, with decrease in right basilar opacity compared with prior.",opacity,right basilar,Better,"['files/p14/p14851532/s54545268/078b8107-6b122d1a-325d9a89-33038b55-a20ebabc.jpg', 'files/p14/p14851532/s54545268/5e0d77ce-231b152c-108568f2-d7021ce2-2afe69fa.jpg']",['files/p14/p14851532/s54414101/d4c3eb06-68dcce85-81bae663-853a3883-288dc307.jpg\n']
s54545268_50,p14851532,s54545268,50,Impression,"Slightly increased opacity at the left lower lung adjacent to the left heart border, with decrease in right basilar opacity compared with prior. Slight decrease in small right pleural effusion.",Slight decrease in small right pleural effusion.,pleural effusion,right,Better,"['files/p14/p14851532/s54545268/078b8107-6b122d1a-325d9a89-33038b55-a20ebabc.jpg', 'files/p14/p14851532/s54545268/5e0d77ce-231b152c-108568f2-d7021ce2-2afe69fa.jpg']",['files/p14/p14851532/s54414101/d4c3eb06-68dcce85-81bae663-853a3883-288dc307.jpg\n']
s54545268_50,p14851532,s54545268,50,Findings,"Compared with prior radiographs on ___, there is slight increase in opacity in the left lower lung adjacent to the left heart border, with improved right basilar opacity. There is a small right pleural effusion, slightly decreased from prior. No pneumothorax. There is no overt pulmonary edema. The cardiac and mediastinal silhouettes are unchanged.","Compared with prior radiographs on ___, there is slight increase in opacity in the left lower lung adjacent to the left heart border, with improved right basilar opacity.",opacity,right basilar,Better,"['files/p14/p14851532/s54545268/078b8107-6b122d1a-325d9a89-33038b55-a20ebabc.jpg', 'files/p14/p14851532/s54545268/5e0d77ce-231b152c-108568f2-d7021ce2-2afe69fa.jpg']",['files/p14/p14851532/s54414101/d4c3eb06-68dcce85-81bae663-853a3883-288dc307.jpg\n']
s54545268_50,p14851532,s54545268,50,Findings,"Compared with prior radiographs on ___, there is slight increase in opacity in the left lower lung adjacent to the left heart border, with improved right basilar opacity. There is a small right pleural effusion, slightly decreased from prior. No pneumothorax. There is no overt pulmonary edema. The cardiac and mediastinal silhouettes are unchanged.","There is a small right pleural effusion, slightly decreased from prior.",pleural effusion,right,Better,"['files/p14/p14851532/s54545268/078b8107-6b122d1a-325d9a89-33038b55-a20ebabc.jpg', 'files/p14/p14851532/s54545268/5e0d77ce-231b152c-108568f2-d7021ce2-2afe69fa.jpg']",['files/p14/p14851532/s54414101/d4c3eb06-68dcce85-81bae663-853a3883-288dc307.jpg\n']
s54545268_50,p14851532,s54545268,50,Findings,"Compared with prior radiographs on ___, there is slight increase in opacity in the left lower lung adjacent to the left heart border, with improved right basilar opacity. There is a small right pleural effusion, slightly decreased from prior. No pneumothorax. There is no overt pulmonary edema. The cardiac and mediastinal silhouettes are unchanged.","Compared with prior radiographs on ___, there is slight increase in opacity in the left lower lung adjacent to the left heart border, with improved right basilar opacity.",opacity,left lower lung adjacent to the left heart border,Worse,"['files/p14/p14851532/s54545268/078b8107-6b122d1a-325d9a89-33038b55-a20ebabc.jpg', 'files/p14/p14851532/s54545268/5e0d77ce-231b152c-108568f2-d7021ce2-2afe69fa.jpg']",['files/p14/p14851532/s54414101/d4c3eb06-68dcce85-81bae663-853a3883-288dc307.jpg\n']
s54548504_54,p14851532,s54548504,54,Impression,More dependent distribution of right pleural effusion is due to more positioning of the patient. Previously questioned new right upper lobe consolidation is smaller than assumed. Moderate cardiomegaly and pulmonary vascular congestion persist. There is probably minimal pulmonary edema. ET tube in standard placement. Right jugular line ends in the upper SVC. Nasogastric tube ends at the diaphragm and would need to be advanced at least 15 cm to move all side ports into the stomach.,Previously questioned new right upper lobe consolidation is smaller than assumed.,consolidation,right upper lobe,New,['files/p14/p14851532/s54548504/3f6f35af-03521081-03baee76-dd388d3b-a0fd1305.jpg'],"['files/p14/p14851532/s54545268/078b8107-6b122d1a-325d9a89-33038b55-a20ebabc.jpg\n', 'files/p14/p14851532/s54545268/5e0d77ce-231b152c-108568f2-d7021ce2-2afe69fa.jpg\n']"
s54548504_54,p14851532,s54548504,54,Impression,More dependent distribution of right pleural effusion is due to more positioning of the patient. Previously questioned new right upper lobe consolidation is smaller than assumed. Moderate cardiomegaly and pulmonary vascular congestion persist. There is probably minimal pulmonary edema. ET tube in standard placement. Right jugular line ends in the upper SVC. Nasogastric tube ends at the diaphragm and would need to be advanced at least 15 cm to move all side ports into the stomach.,Moderate cardiomegaly and pulmonary vascular congestion persist.,moderate cardiomegaly,,Stable,['files/p14/p14851532/s54548504/3f6f35af-03521081-03baee76-dd388d3b-a0fd1305.jpg'],"['files/p14/p14851532/s54545268/078b8107-6b122d1a-325d9a89-33038b55-a20ebabc.jpg\n', 'files/p14/p14851532/s54545268/5e0d77ce-231b152c-108568f2-d7021ce2-2afe69fa.jpg\n']"
s54548504_54,p14851532,s54548504,54,Impression,More dependent distribution of right pleural effusion is due to more positioning of the patient. Previously questioned new right upper lobe consolidation is smaller than assumed. Moderate cardiomegaly and pulmonary vascular congestion persist. There is probably minimal pulmonary edema. ET tube in standard placement. Right jugular line ends in the upper SVC. Nasogastric tube ends at the diaphragm and would need to be advanced at least 15 cm to move all side ports into the stomach.,Moderate cardiomegaly and pulmonary vascular congestion persist.,pulmonary vascular congestion,,Stable,['files/p14/p14851532/s54548504/3f6f35af-03521081-03baee76-dd388d3b-a0fd1305.jpg'],"['files/p14/p14851532/s54545268/078b8107-6b122d1a-325d9a89-33038b55-a20ebabc.jpg\n', 'files/p14/p14851532/s54545268/5e0d77ce-231b152c-108568f2-d7021ce2-2afe69fa.jpg\n']"
s54562273_0,p16524406,s54562273,0,Findings,"Frontal and lateral views of the chest are obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.",The cardiac and mediastinal silhouettes are stable.,Cardiac and mediastinal silhouettes,,Stable,"['files/p16/p16524406/s54562273/db019b7e-d9ed7caa-dce2242f-4d94ffd2-276acfb6.jpg', 'files/p16/p16524406/s54562273/e7c6ee1e-e78f4a5f-8d06b880-0facc167-9037ed6a.jpg']",
s54581813_15,p14295224,s54581813,15,Findings,"There are new heterogenous parenchymal opacities involving the right upper lobe and right lower lobe, compatible with patient's recent history of aspiration. Opacity along the medial aspect of the right apex likely represents post-radiation changes, and was noted as far back as the ___ CT Torso. Small right pleural effusion is not significantly changed from prior. The left lung is essentially clear. No pneumothorax. The mediastinum, hila and heart are within normal limits.",Small right pleural effusion is not significantly changed from prior.,small pleural effusion,right,Stable,"['files/p14/p14295224/s54581813/b019f6c5-62bfcfe4-13976b55-788794c1-c400accb.jpg', 'files/p14/p14295224/s54581813/e2234150-47ef84f5-890d2cf4-8b9741a3-0e9ccc46.jpg']","['files/p14/p14295224/s53458437/17799b54-f6da063b-4b089f2b-c496ec31-de79a706.jpg\n', 'files/p14/p14295224/s53458437/78a4e7a2-9072e849-a90eb438-518cd14b-3ea197d4.jpg\n']"
s54581813_15,p14295224,s54581813,15,Impression,"1. New heterogenous parenchymal opacities in the RUL and RLL, compatible with aspiration pneumonia. 2. Stable post-radiation changes in right paramediastinal lung.","1. New heterogenous parenchymal opacities in the RUL and RLL, compatible with aspiration pneumonia.",heterogenous parenchymal opacities,RUL and RLL,New,"['files/p14/p14295224/s54581813/b019f6c5-62bfcfe4-13976b55-788794c1-c400accb.jpg', 'files/p14/p14295224/s54581813/e2234150-47ef84f5-890d2cf4-8b9741a3-0e9ccc46.jpg']","['files/p14/p14295224/s53458437/17799b54-f6da063b-4b089f2b-c496ec31-de79a706.jpg\n', 'files/p14/p14295224/s53458437/78a4e7a2-9072e849-a90eb438-518cd14b-3ea197d4.jpg\n']"
s54581813_15,p14295224,s54581813,15,Impression,"1. New heterogenous parenchymal opacities in the RUL and RLL, compatible with aspiration pneumonia. 2. Stable post-radiation changes in right paramediastinal lung.",2. Stable post-radiation changes in right paramediastinal lung.,post-radiation changes,right paramediastinal,Stable,"['files/p14/p14295224/s54581813/b019f6c5-62bfcfe4-13976b55-788794c1-c400accb.jpg', 'files/p14/p14295224/s54581813/e2234150-47ef84f5-890d2cf4-8b9741a3-0e9ccc46.jpg']","['files/p14/p14295224/s53458437/17799b54-f6da063b-4b089f2b-c496ec31-de79a706.jpg\n', 'files/p14/p14295224/s53458437/78a4e7a2-9072e849-a90eb438-518cd14b-3ea197d4.jpg\n']"
s54581813_15,p14295224,s54581813,15,Findings,"There are new heterogenous parenchymal opacities involving the right upper lobe and right lower lobe, compatible with patient's recent history of aspiration. Opacity along the medial aspect of the right apex likely represents post-radiation changes, and was noted as far back as the ___ CT Torso. Small right pleural effusion is not significantly changed from prior. The left lung is essentially clear. No pneumothorax. The mediastinum, hila and heart are within normal limits.","There are new heterogenous parenchymal opacities involving the right upper lobe and right lower lobe, compatible with patient's recent history of aspiration.",heterogenous parenchymal opacities,right upper lobe and right lower lobe,New,"['files/p14/p14295224/s54581813/b019f6c5-62bfcfe4-13976b55-788794c1-c400accb.jpg', 'files/p14/p14295224/s54581813/e2234150-47ef84f5-890d2cf4-8b9741a3-0e9ccc46.jpg']","['files/p14/p14295224/s53458437/17799b54-f6da063b-4b089f2b-c496ec31-de79a706.jpg\n', 'files/p14/p14295224/s53458437/78a4e7a2-9072e849-a90eb438-518cd14b-3ea197d4.jpg\n']"
s54583911_2,p14295224,s54583911,2,Findings,There are no new lung opacities. Right lower lobe lung nodule measuring 8 mm is stable since the CT scan of ___. Biapical post-radiation changes are also chronic. Mediastinal and cardiac contours are stable. There is no pneumothorax or pleural effusion. Fusion between the posterior arch of the sixth and seventh right ribs is congenital.,Right lower lobe lung nodule measuring 8 mm is stable since the CT scan of ___.,lung nodule,right lower lobe,Stable,"['files/p14/p14295224/s54583911/a4545835-8e2344ba-657ac4df-46fb4c91-d34c50ee.jpg', 'files/p14/p14295224/s54583911/a47d5235-f25baa2b-144829d5-d09c13eb-c45821cc.jpg']","['files/p14/p14295224/s54581813/b019f6c5-62bfcfe4-13976b55-788794c1-c400accb.jpg\n', 'files/p14/p14295224/s54581813/e2234150-47ef84f5-890d2cf4-8b9741a3-0e9ccc46.jpg\n']"
s54583911_2,p14295224,s54583911,2,Findings,There are no new lung opacities. Right lower lobe lung nodule measuring 8 mm is stable since the CT scan of ___. Biapical post-radiation changes are also chronic. Mediastinal and cardiac contours are stable. There is no pneumothorax or pleural effusion. Fusion between the posterior arch of the sixth and seventh right ribs is congenital.,Mediastinal and cardiac contours are stable.,Mediastinal and cardiac contours,,Stable,"['files/p14/p14295224/s54583911/a4545835-8e2344ba-657ac4df-46fb4c91-d34c50ee.jpg', 'files/p14/p14295224/s54583911/a47d5235-f25baa2b-144829d5-d09c13eb-c45821cc.jpg']","['files/p14/p14295224/s54581813/b019f6c5-62bfcfe4-13976b55-788794c1-c400accb.jpg\n', 'files/p14/p14295224/s54581813/e2234150-47ef84f5-890d2cf4-8b9741a3-0e9ccc46.jpg\n']"
s54586308_26,p12952223,s54586308,26,Findings,"Low lung volumes are present. The patient is status post median sternotomy and aortic valve replacement. Cardiac silhouette size is mildly enlarged. Thoracic aorta remains calcified. There continues to be mild pulmonary vascular congestion. Persistent streaky opacities at the lung bases appear slightly improved compared to the prior study, and likely reflect atelectasis. There are adjacent small bilateral pleural effusions, though the size of the effusions appearing slightly improved compared to the most recent prior study. No pneumothorax is identified. There are no acute osseous abnormalities.","Persistent streaky opacities at the lung bases appear slightly improved compared to the prior study, and likely reflect atelectasis.",streaky opacities,lung bases,Better,"['files/p12/p12952223/s54586308/5ac86c9b-ce17b8a6-e0a355bd-2741a2c0-f6ee819b.jpg', 'files/p12/p12952223/s54586308/c618f7c6-63bae7bd-d89233fa-c06b5734-3efeed2c.jpg']",['files/p12/p12952223/s54537743/5c03570c-7b4fd4a2-4faf7ff0-ab71c1af-e7dec254.jpg\n']
s54586308_26,p12952223,s54586308,26,Impression,"Slight interval improvement in mild pulmonary vascular congestion, small bilateral pleural effusions, and bibasilar airspace opacities likely reflecting atelectasis. Please note that infection at the lung bases cannot be completely excluded.","Slight interval improvement in mild pulmonary vascular congestion, small bilateral pleural effusions, and bibasilar airspace opacities likely reflecting atelectasis. Please note that infection at the lung bases cannot be completely excluded.",mild pulmonary vascular congestion,,Better,"['files/p12/p12952223/s54586308/5ac86c9b-ce17b8a6-e0a355bd-2741a2c0-f6ee819b.jpg', 'files/p12/p12952223/s54586308/c618f7c6-63bae7bd-d89233fa-c06b5734-3efeed2c.jpg']",['files/p12/p12952223/s54537743/5c03570c-7b4fd4a2-4faf7ff0-ab71c1af-e7dec254.jpg\n']
s54586308_26,p12952223,s54586308,26,Impression,"Slight interval improvement in mild pulmonary vascular congestion, small bilateral pleural effusions, and bibasilar airspace opacities likely reflecting atelectasis. Please note that infection at the lung bases cannot be completely excluded.","Slight interval improvement in mild pulmonary vascular congestion, small bilateral pleural effusions, and bibasilar airspace opacities likely reflecting atelectasis. Please note that infection at the lung bases cannot be completely excluded.",airspace opacities,bibasilar,Better,"['files/p12/p12952223/s54586308/5ac86c9b-ce17b8a6-e0a355bd-2741a2c0-f6ee819b.jpg', 'files/p12/p12952223/s54586308/c618f7c6-63bae7bd-d89233fa-c06b5734-3efeed2c.jpg']",['files/p12/p12952223/s54537743/5c03570c-7b4fd4a2-4faf7ff0-ab71c1af-e7dec254.jpg\n']
s54586308_26,p12952223,s54586308,26,Findings,"Low lung volumes are present. The patient is status post median sternotomy and aortic valve replacement. Cardiac silhouette size is mildly enlarged. Thoracic aorta remains calcified. There continues to be mild pulmonary vascular congestion. Persistent streaky opacities at the lung bases appear slightly improved compared to the prior study, and likely reflect atelectasis. There are adjacent small bilateral pleural effusions, though the size of the effusions appearing slightly improved compared to the most recent prior study. No pneumothorax is identified. There are no acute osseous abnormalities.",There continues to be mild pulmonary vascular congestion.,mild pulmonary vascular congestion,,Stable,"['files/p12/p12952223/s54586308/5ac86c9b-ce17b8a6-e0a355bd-2741a2c0-f6ee819b.jpg', 'files/p12/p12952223/s54586308/c618f7c6-63bae7bd-d89233fa-c06b5734-3efeed2c.jpg']",['files/p12/p12952223/s54537743/5c03570c-7b4fd4a2-4faf7ff0-ab71c1af-e7dec254.jpg\n']
s54586308_26,p12952223,s54586308,26,Findings,"Low lung volumes are present. The patient is status post median sternotomy and aortic valve replacement. Cardiac silhouette size is mildly enlarged. Thoracic aorta remains calcified. There continues to be mild pulmonary vascular congestion. Persistent streaky opacities at the lung bases appear slightly improved compared to the prior study, and likely reflect atelectasis. There are adjacent small bilateral pleural effusions, though the size of the effusions appearing slightly improved compared to the most recent prior study. No pneumothorax is identified. There are no acute osseous abnormalities.","There are adjacent small bilateral pleural effusions, though the size of the effusions appearing slightly improved compared to the most recent prior study.",pleural effusions,bilateral,Better,"['files/p12/p12952223/s54586308/5ac86c9b-ce17b8a6-e0a355bd-2741a2c0-f6ee819b.jpg', 'files/p12/p12952223/s54586308/c618f7c6-63bae7bd-d89233fa-c06b5734-3efeed2c.jpg']",['files/p12/p12952223/s54537743/5c03570c-7b4fd4a2-4faf7ff0-ab71c1af-e7dec254.jpg\n']
s54586308_26,p12952223,s54586308,26,Impression,"Slight interval improvement in mild pulmonary vascular congestion, small bilateral pleural effusions, and bibasilar airspace opacities likely reflecting atelectasis. Please note that infection at the lung bases cannot be completely excluded.","Slight interval improvement in mild pulmonary vascular congestion, small bilateral pleural effusions, and bibasilar airspace opacities likely reflecting atelectasis. Please note that infection at the lung bases cannot be completely excluded.",pleural effusions,bilateral,Better,"['files/p12/p12952223/s54586308/5ac86c9b-ce17b8a6-e0a355bd-2741a2c0-f6ee819b.jpg', 'files/p12/p12952223/s54586308/c618f7c6-63bae7bd-d89233fa-c06b5734-3efeed2c.jpg']",['files/p12/p12952223/s54537743/5c03570c-7b4fd4a2-4faf7ff0-ab71c1af-e7dec254.jpg\n']
s54586308_26,p12952223,s54586308,26,Findings,"Low lung volumes are present. The patient is status post median sternotomy and aortic valve replacement. Cardiac silhouette size is mildly enlarged. Thoracic aorta remains calcified. There continues to be mild pulmonary vascular congestion. Persistent streaky opacities at the lung bases appear slightly improved compared to the prior study, and likely reflect atelectasis. There are adjacent small bilateral pleural effusions, though the size of the effusions appearing slightly improved compared to the most recent prior study. No pneumothorax is identified. There are no acute osseous abnormalities.",Thoracic aorta remains calcified.,aorta calcified,Thoracic,Stable,"['files/p12/p12952223/s54586308/5ac86c9b-ce17b8a6-e0a355bd-2741a2c0-f6ee819b.jpg', 'files/p12/p12952223/s54586308/c618f7c6-63bae7bd-d89233fa-c06b5734-3efeed2c.jpg']",['files/p12/p12952223/s54537743/5c03570c-7b4fd4a2-4faf7ff0-ab71c1af-e7dec254.jpg\n']
s54589789_0,p15161734,s54589789,0,Findings,"A frontal semi-upright view of the chest was obtained portably. The endotracheal tube ends at the level of the inferior clavicular heads and is no less than 5.2cm above the carina. The nasogastric tube follows the expected course, although the tip is not visualized. Low lung volumes result in bronchovascular crowding. New opacification of both lower lobes despite no change in lung volumes compared to the prior study is concerning for pneuomonia. The upper lung zones are clear. There is no large pleural effusion or pneumothorax, although the left lung apex is obscured by the chin. The azygous vein is bigger than before with increased caliber of the left upper lobe vessels. The right hilus is chronically enlarged. Cardiac silhouette is stable. Flattening of the right humeral head may be due to avascular necrosis. Degenerative change is seen in the left shoulder girdle.",The azygous vein is bigger than before with increased caliber of the left upper lobe vessels.,enlargement,azygous vein,Worse,['files/p15/p15161734/s54589789/8e47794e-3468eb94-04f479d6-7a76f0c5-05ad69ec.jpg'],['files/p15/p15161734/s53462360/aada2247-29840013-b9823ba1-08f3f7f8-795716fd.jpg\n']
s54589789_0,p15161734,s54589789,0,Findings,"A frontal semi-upright view of the chest was obtained portably. The endotracheal tube ends at the level of the inferior clavicular heads and is no less than 5.2cm above the carina. The nasogastric tube follows the expected course, although the tip is not visualized. Low lung volumes result in bronchovascular crowding. New opacification of both lower lobes despite no change in lung volumes compared to the prior study is concerning for pneuomonia. The upper lung zones are clear. There is no large pleural effusion or pneumothorax, although the left lung apex is obscured by the chin. The azygous vein is bigger than before with increased caliber of the left upper lobe vessels. The right hilus is chronically enlarged. Cardiac silhouette is stable. Flattening of the right humeral head may be due to avascular necrosis. Degenerative change is seen in the left shoulder girdle.",Cardiac silhouette is stable.,Cardiac silhouette,,Stable,['files/p15/p15161734/s54589789/8e47794e-3468eb94-04f479d6-7a76f0c5-05ad69ec.jpg'],['files/p15/p15161734/s53462360/aada2247-29840013-b9823ba1-08f3f7f8-795716fd.jpg\n']
s54589789_0,p15161734,s54589789,0,Findings,"A frontal semi-upright view of the chest was obtained portably. The endotracheal tube ends at the level of the inferior clavicular heads and is no less than 5.2cm above the carina. The nasogastric tube follows the expected course, although the tip is not visualized. Low lung volumes result in bronchovascular crowding. New opacification of both lower lobes despite no change in lung volumes compared to the prior study is concerning for pneuomonia. The upper lung zones are clear. There is no large pleural effusion or pneumothorax, although the left lung apex is obscured by the chin. The azygous vein is bigger than before with increased caliber of the left upper lobe vessels. The right hilus is chronically enlarged. Cardiac silhouette is stable. Flattening of the right humeral head may be due to avascular necrosis. Degenerative change is seen in the left shoulder girdle.",The azygous vein is bigger than before with increased caliber of the left upper lobe vessels.,vessel caliber,left upper lobe,Worse,['files/p15/p15161734/s54589789/8e47794e-3468eb94-04f479d6-7a76f0c5-05ad69ec.jpg'],['files/p15/p15161734/s53462360/aada2247-29840013-b9823ba1-08f3f7f8-795716fd.jpg\n']
s54589789_0,p15161734,s54589789,0,Findings,"A frontal semi-upright view of the chest was obtained portably. The endotracheal tube ends at the level of the inferior clavicular heads and is no less than 5.2cm above the carina. The nasogastric tube follows the expected course, although the tip is not visualized. Low lung volumes result in bronchovascular crowding. New opacification of both lower lobes despite no change in lung volumes compared to the prior study is concerning for pneuomonia. The upper lung zones are clear. There is no large pleural effusion or pneumothorax, although the left lung apex is obscured by the chin. The azygous vein is bigger than before with increased caliber of the left upper lobe vessels. The right hilus is chronically enlarged. Cardiac silhouette is stable. Flattening of the right humeral head may be due to avascular necrosis. Degenerative change is seen in the left shoulder girdle.",New opacification of both lower lobes despite no change in lung volumes compared to the prior study is concerning for pneumonia.,opacification,both lower lobes,New,['files/p15/p15161734/s54589789/8e47794e-3468eb94-04f479d6-7a76f0c5-05ad69ec.jpg'],['files/p15/p15161734/s53462360/aada2247-29840013-b9823ba1-08f3f7f8-795716fd.jpg\n']
s54590636_0,p17439310,s54590636,0,Findings,"In comparison with the study of ___, the endotracheal tube has been removed. The right IJ catheter tip again lies at the level of the mid portion of the SVC. Streaks of atelectasis are seen at the left base, but the lungs are otherwise essentially clear and there is no evidence of vascular congestion. Of incidental note is post-surgical or post-traumatic changes involving the distal right clavicle and several rib fractures on the right.","In comparison with the study of ___, the endotracheal tube has been removed.",endotracheal tube,,Resolve,['files/p17/p17439310/s54590636/f98090a5-828d97cc-91675b56-fa42c115-a9cf55cb.jpg'],
s54594848_0,p10754184,s54594848,0,Findings,"A left pectoral dual-lead pacer with trans-subclavian lead extending to the right atrium and right ventricle is in unchanged position. There is no pneumothorax or pleural effusion. Hyperexpansion suggests underlying chronic obstructive pulmonary disease. New from prior study, there are multifocal lower and middle lobe parenchymal opacities. Given the provided history and the apparent lack of infectious symptoms, these could represent amiodarone toxicity. This suggestion is supported by the increased density of the liver from ___ to ___. The hilar and cardiomediastinal contours are unchanged. There is no pulmonary vascular congestion or pulmonary edema to suggest congestive failure.",A left pectoral dual-lead pacer with trans-subclavian lead extending to the right atrium and right ventricle is in unchanged position.,dual-lead pacer,left pectoral,Stable,"['files/p10/p10754184/s54594848/36d187c2-a2f1c238-25e77d89-19d5e8b8-ca837472.jpg', 'files/p10/p10754184/s54594848/9065147e-4fa65619-480eba86-8e159f3d-3d96acd4.jpg']","['files/p10/p10754184/s54236662/17c56a39-e22f86fe-75387134-c9695d82-356794b0.jpg\n', 'files/p10/p10754184/s54236662/2661a129-f2f4b642-9b833ee7-ab398d55-07a36871.jpg\n']"
s54594848_0,p10754184,s54594848,0,Findings,"A left pectoral dual-lead pacer with trans-subclavian lead extending to the right atrium and right ventricle is in unchanged position. There is no pneumothorax or pleural effusion. Hyperexpansion suggests underlying chronic obstructive pulmonary disease. New from prior study, there are multifocal lower and middle lobe parenchymal opacities. Given the provided history and the apparent lack of infectious symptoms, these could represent amiodarone toxicity. This suggestion is supported by the increased density of the liver from ___ to ___. The hilar and cardiomediastinal contours are unchanged. There is no pulmonary vascular congestion or pulmonary edema to suggest congestive failure.","New from prior study, there are multifocal lower and middle lobe parenchymal opacities.",parenchymal opacities,lower and middle lobe,New,"['files/p10/p10754184/s54594848/36d187c2-a2f1c238-25e77d89-19d5e8b8-ca837472.jpg', 'files/p10/p10754184/s54594848/9065147e-4fa65619-480eba86-8e159f3d-3d96acd4.jpg']","['files/p10/p10754184/s54236662/17c56a39-e22f86fe-75387134-c9695d82-356794b0.jpg\n', 'files/p10/p10754184/s54236662/2661a129-f2f4b642-9b833ee7-ab398d55-07a36871.jpg\n']"
s54594848_0,p10754184,s54594848,0,Findings,"A left pectoral dual-lead pacer with trans-subclavian lead extending to the right atrium and right ventricle is in unchanged position. There is no pneumothorax or pleural effusion. Hyperexpansion suggests underlying chronic obstructive pulmonary disease. New from prior study, there are multifocal lower and middle lobe parenchymal opacities. Given the provided history and the apparent lack of infectious symptoms, these could represent amiodarone toxicity. This suggestion is supported by the increased density of the liver from ___ to ___. The hilar and cardiomediastinal contours are unchanged. There is no pulmonary vascular congestion or pulmonary edema to suggest congestive failure.",The hilar and cardiomediastinal contours are unchanged.,contours,hilar and cardiomediastinal,Stable,"['files/p10/p10754184/s54594848/36d187c2-a2f1c238-25e77d89-19d5e8b8-ca837472.jpg', 'files/p10/p10754184/s54594848/9065147e-4fa65619-480eba86-8e159f3d-3d96acd4.jpg']","['files/p10/p10754184/s54236662/17c56a39-e22f86fe-75387134-c9695d82-356794b0.jpg\n', 'files/p10/p10754184/s54236662/2661a129-f2f4b642-9b833ee7-ab398d55-07a36871.jpg\n']"
s54594848_0,p10754184,s54594848,0,Impression,"New multifocal parenchymal opacities in the lower and middle lobes bilaterally, which given concurrent increased hepatic density from ___ to ___, could represent amiodarone-induced pulmonary toxicity. Differential would includes infectious processes in the proper clinical setting or organizing pneumonia. CT could be considered for further evaluation. This was discussed with Dr ___ at noon by Dr ___ on ___ via phone.","New multifocal parenchymal opacities in the lower and middle lobes bilaterally, which given concurrent increased hepatic density from ___ to ___, could represent amiodarone-induced pulmonary toxicity.",parenchymal opacities,lower and middle lobes bilaterally,New,"['files/p10/p10754184/s54594848/36d187c2-a2f1c238-25e77d89-19d5e8b8-ca837472.jpg', 'files/p10/p10754184/s54594848/9065147e-4fa65619-480eba86-8e159f3d-3d96acd4.jpg']","['files/p10/p10754184/s54236662/17c56a39-e22f86fe-75387134-c9695d82-356794b0.jpg\n', 'files/p10/p10754184/s54236662/2661a129-f2f4b642-9b833ee7-ab398d55-07a36871.jpg\n']"
s54596345_13,p19907884,s54596345,13,Findings,"PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Elevation of the right hemidiaphragm is unchanged from chest radiograph ___",Elevation of the right hemidiaphragm is unchanged from chest radiograph ___,Elevation of the hemidiaphragm,Right,Stable,"['files/p19/p19907884/s54596345/a5bb1dd6-32ef2b29-b27f45f5-4980a5b0-34f11cf0.jpg', 'files/p19/p19907884/s54596345/ae711ffd-03ebb7b3-cc16c95e-e6f64de7-d2bf7de4.jpg']",['files/p19/p19907884/s53905237/d9e22f16-a5b260d1-2a5aee7a-4cd66d44-b590afb8.jpg\n']
s54607940_12,p12433421,s54607940,12,Findings,"As compared to the previous radiograph, there is no relevant change. Unchanged extent of moderate bilateral pleural effusions and moderate pulmonary edema. Unchanged monitoring and support devices. Unchanged size of the cardiac silhouette. No pneumothorax.",Unchanged extent of moderate bilateral pleural effusions and moderate pulmonary edema.,pleural effusions,bilateral,Stable,['files/p12/p12433421/s54607940/d714d837-b94d4724-3105ec18-ec20dde4-57c58bf4.jpg'],['files/p12/p12433421/s53499416/ea90382d-329c4f3b-73ff1b45-e7f3f9f7-63cd342d.jpg\n']
s54607940_12,p12433421,s54607940,12,Findings,"As compared to the previous radiograph, there is no relevant change. Unchanged extent of moderate bilateral pleural effusions and moderate pulmonary edema. Unchanged monitoring and support devices. Unchanged size of the cardiac silhouette. No pneumothorax.",Unchanged extent of moderate bilateral pleural effusions and moderate pulmonary edema.,pulmonary edema,,Stable,['files/p12/p12433421/s54607940/d714d837-b94d4724-3105ec18-ec20dde4-57c58bf4.jpg'],['files/p12/p12433421/s53499416/ea90382d-329c4f3b-73ff1b45-e7f3f9f7-63cd342d.jpg\n']
s54607940_12,p12433421,s54607940,12,Findings,"As compared to the previous radiograph, there is no relevant change. Unchanged extent of moderate bilateral pleural effusions and moderate pulmonary edema. Unchanged monitoring and support devices. Unchanged size of the cardiac silhouette. No pneumothorax.",Unchanged size of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p12/p12433421/s54607940/d714d837-b94d4724-3105ec18-ec20dde4-57c58bf4.jpg'],['files/p12/p12433421/s53499416/ea90382d-329c4f3b-73ff1b45-e7f3f9f7-63cd342d.jpg\n']
s54613857_12,p16319601,s54613857,12,Findings,"Portable chest radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. There is improved aeration of the lung bases particularly on the right. No reaccumulation of pleural effusions or development of pneumothorax. Dobbhoff tube is seen with tip in the mid stomach. left-sided PICC line tip terminates in the distal SVC.",There is improved aeration of the lung bases particularly on the right.,aeration,lung bases,Better,['files/p16/p16319601/s54613857/7776d1fb-792c88a8-721a0773-7d142590-639999fb.jpg'],['files/p16/p16319601/s53409681/f5ffe72f-2177cc32-4bf7c5fa-c241b35c-447b2120.jpg\n']
s54614605_32,p17340686,s54614605,32,Findings,"There is a new left subclavian line with tip at the cavoatrial junction. Lung volumes are low. The right lower lobe opacities unchanged. There continues to be cardiomegaly, pulmonary vascular redistribution, ill-defined vascularity, and retrocardiac opacity compatible with CHF. The NG tube and large bore right IJ line are unchanged. The ET tube is 2 cm above the Carina. There is no pneumothorax.",The NG tube and large bore right IJ line are unchanged.,,NG tube,Stable,['files/p17/p17340686/s54614605/e38221a2-36d9eedb-5a9af804-2eba7cb0-ea8d7ffd.jpg'],"['files/p17/p17340686/s54477721/56b0777b-ec731ed4-e7b2af82-7cedbe31-65605bf9.jpg\n', 'files/p17/p17340686/s54477721/eeb4d97d-b303714e-7efc3b02-a7b0e4a6-20127092.jpg\n']"
s54614605_32,p17340686,s54614605,32,Findings,"There is a new left subclavian line with tip at the cavoatrial junction. Lung volumes are low. The right lower lobe opacities unchanged. There continues to be cardiomegaly, pulmonary vascular redistribution, ill-defined vascularity, and retrocardiac opacity compatible with CHF. The NG tube and large bore right IJ line are unchanged. The ET tube is 2 cm above the Carina. There is no pneumothorax.",The right lower lobe opacities unchanged.,opacities,right lower lobe,Stable,['files/p17/p17340686/s54614605/e38221a2-36d9eedb-5a9af804-2eba7cb0-ea8d7ffd.jpg'],"['files/p17/p17340686/s54477721/56b0777b-ec731ed4-e7b2af82-7cedbe31-65605bf9.jpg\n', 'files/p17/p17340686/s54477721/eeb4d97d-b303714e-7efc3b02-a7b0e4a6-20127092.jpg\n']"
s54614605_32,p17340686,s54614605,32,Findings,"There is a new left subclavian line with tip at the cavoatrial junction. Lung volumes are low. The right lower lobe opacities unchanged. There continues to be cardiomegaly, pulmonary vascular redistribution, ill-defined vascularity, and retrocardiac opacity compatible with CHF. The NG tube and large bore right IJ line are unchanged. The ET tube is 2 cm above the Carina. There is no pneumothorax.",The NG tube and large bore right IJ line are unchanged.,,right IJ line,Stable,['files/p17/p17340686/s54614605/e38221a2-36d9eedb-5a9af804-2eba7cb0-ea8d7ffd.jpg'],"['files/p17/p17340686/s54477721/56b0777b-ec731ed4-e7b2af82-7cedbe31-65605bf9.jpg\n', 'files/p17/p17340686/s54477721/eeb4d97d-b303714e-7efc3b02-a7b0e4a6-20127092.jpg\n']"
s54616934_8,p18855147,s54616934,8,Findings,"Since the prior radiograph, there has been improvement in pulmonary edema. A small right pleural effusion is mostly resolved. There is some scarring seen at the right base. Cardiomediastinal silhouette is slightly enlarged but unchanged. There is no focal consolidation or pneumothorax. Right dialysis catheter is seen, unchanged in position.",A small right pleural effusion is mostly resolved.,small pleural effusion,right,Resolve,['files/p18/p18855147/s54616934/7cb35601-837df231-b3efc10a-3a761298-85f39d17.jpg'],['files/p18/p18855147/s54353466/71836ad3-c65f5072-d88d098b-00ab4c24-98994b02.jpg\n']
s54616934_8,p18855147,s54616934,8,Impression,Interval improvement in pulmonary edema and small right pleural effusion.,Interval improvement in pulmonary edema and small right pleural effusion.,pulmonary edema,,Better,['files/p18/p18855147/s54616934/7cb35601-837df231-b3efc10a-3a761298-85f39d17.jpg'],['files/p18/p18855147/s54353466/71836ad3-c65f5072-d88d098b-00ab4c24-98994b02.jpg\n']
s54616934_8,p18855147,s54616934,8,Impression,Interval improvement in pulmonary edema and small right pleural effusion.,Interval improvement in pulmonary edema and small right pleural effusion.,small pleural effusion,right,Resolve,['files/p18/p18855147/s54616934/7cb35601-837df231-b3efc10a-3a761298-85f39d17.jpg'],['files/p18/p18855147/s54353466/71836ad3-c65f5072-d88d098b-00ab4c24-98994b02.jpg\n']
s54616934_8,p18855147,s54616934,8,Findings,"Since the prior radiograph, there has been improvement in pulmonary edema. A small right pleural effusion is mostly resolved. There is some scarring seen at the right base. Cardiomediastinal silhouette is slightly enlarged but unchanged. There is no focal consolidation or pneumothorax. Right dialysis catheter is seen, unchanged in position.","Since the prior radiograph, there has been improvement in pulmonary edema.",pulmonary edema,,Better,['files/p18/p18855147/s54616934/7cb35601-837df231-b3efc10a-3a761298-85f39d17.jpg'],['files/p18/p18855147/s54353466/71836ad3-c65f5072-d88d098b-00ab4c24-98994b02.jpg\n']
s54616934_8,p18855147,s54616934,8,Findings,"Since the prior radiograph, there has been improvement in pulmonary edema. A small right pleural effusion is mostly resolved. There is some scarring seen at the right base. Cardiomediastinal silhouette is slightly enlarged but unchanged. There is no focal consolidation or pneumothorax. Right dialysis catheter is seen, unchanged in position.",Cardiomediastinal silhouette is slightly enlarged but unchanged.,Cardiomediastinal silhouette,,Stable,['files/p18/p18855147/s54616934/7cb35601-837df231-b3efc10a-3a761298-85f39d17.jpg'],['files/p18/p18855147/s54353466/71836ad3-c65f5072-d88d098b-00ab4c24-98994b02.jpg\n']
s54616934_8,p18855147,s54616934,8,Findings,"Since the prior radiograph, there has been improvement in pulmonary edema. A small right pleural effusion is mostly resolved. There is some scarring seen at the right base. Cardiomediastinal silhouette is slightly enlarged but unchanged. There is no focal consolidation or pneumothorax. Right dialysis catheter is seen, unchanged in position.","Right dialysis catheter is seen, unchanged in position.",dialysis catheter,Right,Stable,['files/p18/p18855147/s54616934/7cb35601-837df231-b3efc10a-3a761298-85f39d17.jpg'],['files/p18/p18855147/s54353466/71836ad3-c65f5072-d88d098b-00ab4c24-98994b02.jpg\n']
s54622603_58,p15131736,s54622603,58,Impression,There is persistent pulmonary edema present and this is unchanged on the left side and slightly more pronounced on the right as compared to the earlier exam. There is stable cardiomegaly. There is no pneumothorax.,There is persistent pulmonary edema present and this is unchanged on the left side and slightly more pronounced on the right as compared to the earlier exam.,edema,Right pulmonary,Worse,['files/p15/p15131736/s54622603/fe0232d1-c95b0422-80d78fe1-e50e1bd0-85e85cc2.jpg'],['files/p15/p15131736/s54359651/a8398d17-610399a9-7f2059be-9b8fe9f8-b05f3290.jpg\n']
s54622603_58,p15131736,s54622603,58,Impression,There is persistent pulmonary edema present and this is unchanged on the left side and slightly more pronounced on the right as compared to the earlier exam. There is stable cardiomegaly. There is no pneumothorax.,There is persistent pulmonary edema present and this is unchanged on the left side and slightly more pronounced on the right as compared to the earlier exam.,edema,Left pulmonary,Stable,['files/p15/p15131736/s54622603/fe0232d1-c95b0422-80d78fe1-e50e1bd0-85e85cc2.jpg'],['files/p15/p15131736/s54359651/a8398d17-610399a9-7f2059be-9b8fe9f8-b05f3290.jpg\n']
s54622603_58,p15131736,s54622603,58,Impression,There is persistent pulmonary edema present and this is unchanged on the left side and slightly more pronounced on the right as compared to the earlier exam. There is stable cardiomegaly. There is no pneumothorax.,There is stable cardiomegaly.,cardiomegaly,Cardiac,Stable,['files/p15/p15131736/s54622603/fe0232d1-c95b0422-80d78fe1-e50e1bd0-85e85cc2.jpg'],['files/p15/p15131736/s54359651/a8398d17-610399a9-7f2059be-9b8fe9f8-b05f3290.jpg\n']
s54623776_7,p10439781,s54623776,7,Impression,Improved but not resolved mild-to-moderate pulmonary edema.,Improved but not resolved mild-to-moderate pulmonary edema.,pulmonary edema,,Better,['files/p10/p10439781/s54623776/52814624-7ca716ba-f3cccedc-7b8a65a3-24083019.jpg'],['files/p10/p10439781/s53567394/5eae8395-ea7af71c-6d518498-6d193886-1c2d0853.jpg\n']
s54623776_7,p10439781,s54623776,7,Findings,There has been improvement in mild-to-moderate pulmonary edema with decreased interstitial markings compared to most recent prior study. Small bilateral pleural effusions have resolved. There is no focal consolidation or pneumothorax. Heart size is moderately enlarged and stable. A left chest wall Port-A-Cath terminates in the RA. The patient is status post multiple vertebroplasties.,There has been improvement in mild-to-moderate pulmonary edema with decreased interstitial markings compared to most recent prior study.,pulmonary edema,,Better,['files/p10/p10439781/s54623776/52814624-7ca716ba-f3cccedc-7b8a65a3-24083019.jpg'],['files/p10/p10439781/s53567394/5eae8395-ea7af71c-6d518498-6d193886-1c2d0853.jpg\n']
s54623776_7,p10439781,s54623776,7,Findings,There has been improvement in mild-to-moderate pulmonary edema with decreased interstitial markings compared to most recent prior study. Small bilateral pleural effusions have resolved. There is no focal consolidation or pneumothorax. Heart size is moderately enlarged and stable. A left chest wall Port-A-Cath terminates in the RA. The patient is status post multiple vertebroplasties.,Small bilateral pleural effusions have resolved.,pleural effusions,bilateral,Resolve,['files/p10/p10439781/s54623776/52814624-7ca716ba-f3cccedc-7b8a65a3-24083019.jpg'],['files/p10/p10439781/s53567394/5eae8395-ea7af71c-6d518498-6d193886-1c2d0853.jpg\n']
s54623776_7,p10439781,s54623776,7,Findings,There has been improvement in mild-to-moderate pulmonary edema with decreased interstitial markings compared to most recent prior study. Small bilateral pleural effusions have resolved. There is no focal consolidation or pneumothorax. Heart size is moderately enlarged and stable. A left chest wall Port-A-Cath terminates in the RA. The patient is status post multiple vertebroplasties.,Heart size is moderately enlarged and stable.,heart size,,Stable,['files/p10/p10439781/s54623776/52814624-7ca716ba-f3cccedc-7b8a65a3-24083019.jpg'],['files/p10/p10439781/s53567394/5eae8395-ea7af71c-6d518498-6d193886-1c2d0853.jpg\n']
s54624512_2,p12074041,s54624512,2,Impression,"1. Interval improvement in aeration. No focal airspace consolidation is appreciated on the current examination and therefore the previously described abnormality likely reflected atelectasis which has resolved in the interim. There is no evidence of pulmonary edema, pneumothorax or pleural effusions. Overall cardiac and mediastinal contours remain stable given relatively diminished lung volumes.",1. Interval improvement in aeration. No focal airspace consolidation is appreciated on the current examination and therefore the previously described abnormality likely reflected atelectasis which has resolved in the interim.,atelectasis,,Resolve,['files/p12/p12074041/s54624512/d91f5a1b-ccae5866-ec492d00-03828bba-bedd8a19.jpg'],"['files/p12/p12074041/s53840157/807c53b9-9e9a06d2-201c5941-deae8153-ec887b70.jpg\n', 'files/p12/p12074041/s53840157/db66ef84-840a9cf7-58eb1d86-97e44130-e32682cb.jpg\n', 'files/p12/p12074041/s53840157/ebfa6753-3f0b7933-ca42ef98-0ce8ca94-b03f6676.jpg\n']"
s54624512_2,p12074041,s54624512,2,Impression,"1. Interval improvement in aeration. No focal airspace consolidation is appreciated on the current examination and therefore the previously described abnormality likely reflected atelectasis which has resolved in the interim. There is no evidence of pulmonary edema, pneumothorax or pleural effusions. Overall cardiac and mediastinal contours remain stable given relatively diminished lung volumes.",Overall cardiac and mediastinal contours remain stable given relatively diminished lung volumes.,cardiac and mediastinal contours,,Stable,['files/p12/p12074041/s54624512/d91f5a1b-ccae5866-ec492d00-03828bba-bedd8a19.jpg'],"['files/p12/p12074041/s53840157/807c53b9-9e9a06d2-201c5941-deae8153-ec887b70.jpg\n', 'files/p12/p12074041/s53840157/db66ef84-840a9cf7-58eb1d86-97e44130-e32682cb.jpg\n', 'files/p12/p12074041/s53840157/ebfa6753-3f0b7933-ca42ef98-0ce8ca94-b03f6676.jpg\n']"
s54626336_17,p15131736,s54626336,17,Findings,"As compared to the previous radiograph, there is no relevant change. Moderate atelectasis in the retrocardiac lung regions. No new parenchymal opacities. Unchanged position of the endotracheal tube and nasogastric tube.",Unchanged position of the endotracheal tube and nasogastric tube.,endotracheal tube,,Stable,['files/p15/p15131736/s54626336/9b42f01f-2bbe3c2e-1348a6c8-33031532-1a82c013.jpg'],['files/p15/p15131736/s54622603/fe0232d1-c95b0422-80d78fe1-e50e1bd0-85e85cc2.jpg\n']
s54626336_17,p15131736,s54626336,17,Findings,"As compared to the previous radiograph, there is no relevant change. Moderate atelectasis in the retrocardiac lung regions. No new parenchymal opacities. Unchanged position of the endotracheal tube and nasogastric tube.",Unchanged position of the endotracheal tube and nasogastric tube.,nasogastric tube,,Stable,['files/p15/p15131736/s54626336/9b42f01f-2bbe3c2e-1348a6c8-33031532-1a82c013.jpg'],['files/p15/p15131736/s54622603/fe0232d1-c95b0422-80d78fe1-e50e1bd0-85e85cc2.jpg\n']
s54626336_17,p15131736,s54626336,17,Findings,"As compared to the previous radiograph, there is no relevant change. Moderate atelectasis in the retrocardiac lung regions. No new parenchymal opacities. Unchanged position of the endotracheal tube and nasogastric tube.",Moderate atelectasis in the retrocardiac lung regions.,atelectasis,retrocardiac,Stable,['files/p15/p15131736/s54626336/9b42f01f-2bbe3c2e-1348a6c8-33031532-1a82c013.jpg'],['files/p15/p15131736/s54622603/fe0232d1-c95b0422-80d78fe1-e50e1bd0-85e85cc2.jpg\n']
s54629839_0,p18978682,s54629839,0,Findings,"There are low lung volumes. The heart size is normal. The aorta remains slightly tortuous with vascular calcifications noted. There is crowding of the bronchovascular structures, but no overt pulmonary edema is present. Patchy opacities in the lower lobes may reflect areas of developing infection or atelectasis. No pleural effusion or pneumothorax is present. There are multilevel degenerative changes of the thoracic spine. Multiple clips are again noted within the left axilla. Degenerative changes of both acromioclavicular joints are noted. Old right-sided rib deformities are visualized.",Old right-sided rib deformities are visualized.,rib deformities,right-sided,Stable,"['files/p18/p18978682/s54629839/5ca9497b-fab0d42a-ffd2e65e-a7f10a95-2c0507e2.jpg', 'files/p18/p18978682/s54629839/677a589e-f87f5a2c-f4ad1883-f7df335b-db658aae.jpg', 'files/p18/p18978682/s54629839/8c75550e-9aac921d-95015c3f-ac9bc81b-13abd432.jpg']",['files/p18/p18978682/s54392033/aa20f78f-53dce569-e7263012-3c4ab839-7abbabd4.jpg\n']
s54629839_0,p18978682,s54629839,0,Findings,"There are low lung volumes. The heart size is normal. The aorta remains slightly tortuous with vascular calcifications noted. There is crowding of the bronchovascular structures, but no overt pulmonary edema is present. Patchy opacities in the lower lobes may reflect areas of developing infection or atelectasis. No pleural effusion or pneumothorax is present. There are multilevel degenerative changes of the thoracic spine. Multiple clips are again noted within the left axilla. Degenerative changes of both acromioclavicular joints are noted. Old right-sided rib deformities are visualized.",The aorta remains slightly tortuous with vascular calcifications noted.,tortuosity,aorta,Stable,"['files/p18/p18978682/s54629839/5ca9497b-fab0d42a-ffd2e65e-a7f10a95-2c0507e2.jpg', 'files/p18/p18978682/s54629839/677a589e-f87f5a2c-f4ad1883-f7df335b-db658aae.jpg', 'files/p18/p18978682/s54629839/8c75550e-9aac921d-95015c3f-ac9bc81b-13abd432.jpg']",['files/p18/p18978682/s54392033/aa20f78f-53dce569-e7263012-3c4ab839-7abbabd4.jpg\n']
s54629839_0,p18978682,s54629839,0,Findings,"There are low lung volumes. The heart size is normal. The aorta remains slightly tortuous with vascular calcifications noted. There is crowding of the bronchovascular structures, but no overt pulmonary edema is present. Patchy opacities in the lower lobes may reflect areas of developing infection or atelectasis. No pleural effusion or pneumothorax is present. There are multilevel degenerative changes of the thoracic spine. Multiple clips are again noted within the left axilla. Degenerative changes of both acromioclavicular joints are noted. Old right-sided rib deformities are visualized.",Multiple clips are again noted within the left axilla.,clips,left axilla,Stable,"['files/p18/p18978682/s54629839/5ca9497b-fab0d42a-ffd2e65e-a7f10a95-2c0507e2.jpg', 'files/p18/p18978682/s54629839/677a589e-f87f5a2c-f4ad1883-f7df335b-db658aae.jpg', 'files/p18/p18978682/s54629839/8c75550e-9aac921d-95015c3f-ac9bc81b-13abd432.jpg']",['files/p18/p18978682/s54392033/aa20f78f-53dce569-e7263012-3c4ab839-7abbabd4.jpg\n']
s54644366_5,p17288844,s54644366,5,Findings,"Midline sternotomy wires and mediastinal clips are unchanged. The heart size continues to be mildly enlarged. The lungs show increasing opacity with worsening pulmonary vasculature engorgement as well as right lower lung consolidation with air bronchograms, all compatible with worsening pulmonary edema. Neither costophrenic sulcus is distinctly sharp, suggesting small pleural effusions.",Midline sternotomy wires and mediastinal clips are unchanged.,clips,Mediastinal,Stable,['files/p17/p17288844/s54644366/adcf4325-aa59cd31-be329869-32fd0147-d3cd1387.jpg'],['files/p17/p17288844/s53298293/c6b71b77-d56881b6-ee8c63bc-6ee0be88-89856367.jpg\n']
s54644366_5,p17288844,s54644366,5,Impression,Worsening pulmonary edema; findings discussed with ___ at 11:00 am on ___ by ___ over the phone.,Worsening pulmonary edema; findings discussed with ___ at 11:00 am on ___ by ___ over the phone.,pulmonary edema,,Worse,['files/p17/p17288844/s54644366/adcf4325-aa59cd31-be329869-32fd0147-d3cd1387.jpg'],['files/p17/p17288844/s53298293/c6b71b77-d56881b6-ee8c63bc-6ee0be88-89856367.jpg\n']
s54644366_5,p17288844,s54644366,5,Findings,"Midline sternotomy wires and mediastinal clips are unchanged. The heart size continues to be mildly enlarged. The lungs show increasing opacity with worsening pulmonary vasculature engorgement as well as right lower lung consolidation with air bronchograms, all compatible with worsening pulmonary edema. Neither costophrenic sulcus is distinctly sharp, suggesting small pleural effusions.","The lungs show increasing opacity with worsening pulmonary vasculature engorgement as well as right lower lung consolidation with air bronchograms, all compatible with worsening pulmonary edema.",consolidation,Right lower lung,Worse,['files/p17/p17288844/s54644366/adcf4325-aa59cd31-be329869-32fd0147-d3cd1387.jpg'],['files/p17/p17288844/s53298293/c6b71b77-d56881b6-ee8c63bc-6ee0be88-89856367.jpg\n']
s54644366_5,p17288844,s54644366,5,Findings,"Midline sternotomy wires and mediastinal clips are unchanged. The heart size continues to be mildly enlarged. The lungs show increasing opacity with worsening pulmonary vasculature engorgement as well as right lower lung consolidation with air bronchograms, all compatible with worsening pulmonary edema. Neither costophrenic sulcus is distinctly sharp, suggesting small pleural effusions.","The lungs show increasing opacity with worsening pulmonary vasculature engorgement as well as right lower lung consolidation with air bronchograms, all compatible with worsening pulmonary edema.",engorgement,Pulmonary vasculature,Worse,['files/p17/p17288844/s54644366/adcf4325-aa59cd31-be329869-32fd0147-d3cd1387.jpg'],['files/p17/p17288844/s53298293/c6b71b77-d56881b6-ee8c63bc-6ee0be88-89856367.jpg\n']
s54644366_5,p17288844,s54644366,5,Findings,"Midline sternotomy wires and mediastinal clips are unchanged. The heart size continues to be mildly enlarged. The lungs show increasing opacity with worsening pulmonary vasculature engorgement as well as right lower lung consolidation with air bronchograms, all compatible with worsening pulmonary edema. Neither costophrenic sulcus is distinctly sharp, suggesting small pleural effusions.",Midline sternotomy wires and mediastinal clips are unchanged.,sternotomy wires,Midline,Stable,['files/p17/p17288844/s54644366/adcf4325-aa59cd31-be329869-32fd0147-d3cd1387.jpg'],['files/p17/p17288844/s53298293/c6b71b77-d56881b6-ee8c63bc-6ee0be88-89856367.jpg\n']
s54644366_5,p17288844,s54644366,5,Findings,"Midline sternotomy wires and mediastinal clips are unchanged. The heart size continues to be mildly enlarged. The lungs show increasing opacity with worsening pulmonary vasculature engorgement as well as right lower lung consolidation with air bronchograms, all compatible with worsening pulmonary edema. Neither costophrenic sulcus is distinctly sharp, suggesting small pleural effusions.","The lungs show increasing opacity with worsening pulmonary vasculature engorgement as well as right lower lung consolidation with air bronchograms, all compatible with worsening pulmonary edema.",opacity,Lungs,Worse,['files/p17/p17288844/s54644366/adcf4325-aa59cd31-be329869-32fd0147-d3cd1387.jpg'],['files/p17/p17288844/s53298293/c6b71b77-d56881b6-ee8c63bc-6ee0be88-89856367.jpg\n']
s54651626_23,p13263843,s54651626,23,Impression,"AP chest compared to ___ and ___: Severe right lung consolidation has developed or worsened appreciably since ___. Interstitial abnormality in the left lung is more pronounced today than it was in ___, and could be mild edema. Small left pleural effusion is unchanged since a torso CT on ___. Right PIC line ends in the upper SVC. Resected posterior right upper ribs noted. Dr. ___ was paged to report these findings at 9:50 a.m. as soon as they were discovered.","Interstitial abnormality in the left lung is more pronounced today than it was in ___, and could be mild edema.",interstitial abnormality,left lung,Worse,"['files/p13/p13263843/s54651626/9c405cc6-b7e70936-aa6ed138-00ff4b9a-2bb2c377.jpg', 'files/p13/p13263843/s54651626/b87403e9-8463e40a-a104367f-cb96ab7e-b13e08a2.jpg']","['files/p13/p13263843/s54433794/0fcecd3b-2bc38889-3824a2fc-4558f828-89dd5925.jpg\n', 'files/p13/p13263843/s54433794/9f64f457-6bee0c2c-6e676bd6-a7ebab4f-3eb5dbbb.jpg\n']"
s54651626_23,p13263843,s54651626,23,Impression,"AP chest compared to ___ and ___: Severe right lung consolidation has developed or worsened appreciably since ___. Interstitial abnormality in the left lung is more pronounced today than it was in ___, and could be mild edema. Small left pleural effusion is unchanged since a torso CT on ___. Right PIC line ends in the upper SVC. Resected posterior right upper ribs noted. Dr. ___ was paged to report these findings at 9:50 a.m. as soon as they were discovered.",AP chest compared to ___ and ___: Severe right lung consolidation has developed or worsened appreciably since ___.,consolidation,right lung,Worse,"['files/p13/p13263843/s54651626/9c405cc6-b7e70936-aa6ed138-00ff4b9a-2bb2c377.jpg', 'files/p13/p13263843/s54651626/b87403e9-8463e40a-a104367f-cb96ab7e-b13e08a2.jpg']","['files/p13/p13263843/s54433794/0fcecd3b-2bc38889-3824a2fc-4558f828-89dd5925.jpg\n', 'files/p13/p13263843/s54433794/9f64f457-6bee0c2c-6e676bd6-a7ebab4f-3eb5dbbb.jpg\n']"
s54651626_23,p13263843,s54651626,23,Impression,"AP chest compared to ___ and ___: Severe right lung consolidation has developed or worsened appreciably since ___. Interstitial abnormality in the left lung is more pronounced today than it was in ___, and could be mild edema. Small left pleural effusion is unchanged since a torso CT on ___. Right PIC line ends in the upper SVC. Resected posterior right upper ribs noted. Dr. ___ was paged to report these findings at 9:50 a.m. as soon as they were discovered.",Small left pleural effusion is unchanged since a torso CT on ___.,pleural effusion,left,Stable,"['files/p13/p13263843/s54651626/9c405cc6-b7e70936-aa6ed138-00ff4b9a-2bb2c377.jpg', 'files/p13/p13263843/s54651626/b87403e9-8463e40a-a104367f-cb96ab7e-b13e08a2.jpg']","['files/p13/p13263843/s54433794/0fcecd3b-2bc38889-3824a2fc-4558f828-89dd5925.jpg\n', 'files/p13/p13263843/s54433794/9f64f457-6bee0c2c-6e676bd6-a7ebab4f-3eb5dbbb.jpg\n']"
s54655227_12,p18079481,s54655227,12,Impression,"In comparison with the study ___, there is little change. The inner low lung volumes with enlargement of the cardiac silhouette and tortuosity of the aorta. No vascular congestion or acute focal pneumonia. Multiple old healed rib fractures are again seen bilaterally.",Multiple old healed rib fractures are again seen bilaterally.,healed rib fractures,bilaterally,Stable,"['files/p18/p18079481/s54655227/2092f730-5beaadbb-d1a69403-63485d8a-3841c184.jpg', 'files/p18/p18079481/s54655227/a38b4a62-5deaca1f-e0321ec0-146245c7-e41f6981.jpg']",['files/p18/p18079481/s52227426/18538733-4a1be639-4094697f-10affe45-2dcbc4f7.jpg\n']
s54655485_17,p13475033,s54655485,17,Findings,AP and lateral views of the chest were provided. The lungs appear clear. Eventration of the right hemidiaphragm noted. Cardiomediastinal silhouette is normal. Bony structures are intact. Old left clavicular shaft deformity noted. Prior study is dated ___.,Old left clavicular shaft deformity noted.,shaft deformity,left clavicular,Stable,"['files/p13/p13475033/s54655485/69392c89-8fa3a6e8-6c3bc53f-f09b09e2-a33a44e3.jpg', 'files/p13/p13475033/s54655485/aec5242c-9563e40f-fd56a8ff-2b9d80e7-e3ad7681.jpg']","['files/p13/p13475033/s54028344/4a5283d6-157b6054-3840ea3d-d27e7ba1-d6689022.jpg\n', 'files/p13/p13475033/s54028344/7794e4cb-719a0b85-18532575-0b5ea119-8eb26b6a.jpg\n']"
s54656023_9,p12847817,s54656023,9,Findings,"As compared to the previous radiograph, the patient has received a Swan-Ganz catheter. Catheter shows a normal course, the tip, however, is located too much distal in the right pulmonary artery and must be pulled back by approximately 4 cm. Otherwise, the radiograph is unchanged, low lung volumes, mild cardiomegaly, vascular stents in situ. Moderate to extensive right pleural effusion and mild left pleural effusion, both with evidence of atelectasis in the basal lung regions. No pneumothorax.","Otherwise, the radiograph is unchanged, low lung volumes, mild cardiomegaly, vascular stents in situ.","lung volumes, cardiomegaly, vascular stents",,Stable,['files/p12/p12847817/s54656023/c9d61fcf-0566cce5-a12caae5-5c86b25f-20caac6a.jpg'],"['files/p12/p12847817/s53606038/399fb314-aac34ecd-b7b71a40-3b2ac5e3-9dcdaa7a.jpg\n', 'files/p12/p12847817/s53606038/8425d9d4-d45b1cc4-3ab58d94-a0781e72-631521c7.jpg\n', 'files/p12/p12847817/s53606038/e67be816-b2f1bd32-58040b96-1b4dcb86-1b81d22c.jpg\n']"
s54657707_4,p18512911,s54657707,4,Impression,"PA and lateral chest compared to 8:16 a.m.: Tip of the wire in the left PIC line ends at the junction of brachiocephalic veins, and the catheter extends at least 2 cm beyond that point into the upper SVC. Large bullae at the lung bases are responsible for atelectasis. Heart is mildly enlarged, unchanged. Lungs are otherwise clear, and there is no pulmonary vascular engorgement or edema.","Heart is mildly enlarged, unchanged.",Mild enlargement,Heart,Stable,"['files/p18/p18512911/s54657707/a93cd149-9d1bdad3-ca3f7d1d-1e6235b5-9cde6b9c.jpg', 'files/p18/p18512911/s54657707/da4e3980-10c2c0d7-d1b73d0b-f5f11faf-cbdf9616.jpg']","['files/p18/p18512911/s54242750/cb8f1bee-76ec4235-a62de65b-43589ff5-04413eab.jpg\n', 'files/p18/p18512911/s54242750/e7a760c7-d8b172fd-0d9baa9c-ffb863c4-f297e5b8.jpg\n']"
s54657781_13,p18079481,s54657781,13,Findings,"An endotracheal tube terminates at the thoracic inlet in standard placement. Lung volumes are low, but the lungs are grossly clear. There is no pneumothorax. Old healed bilateral rib fractures are unchanged. The heart and mediastinum are magnified by the projection.",Old healed bilateral rib fractures are unchanged.,healed rib fractures,bilateral,Stable,['files/p18/p18079481/s54657781/441735fc-34bd0286-fa539675-6602e72a-1fed5ed4.jpg'],"['files/p18/p18079481/s54655227/2092f730-5beaadbb-d1a69403-63485d8a-3841c184.jpg\n', 'files/p18/p18079481/s54655227/a38b4a62-5deaca1f-e0321ec0-146245c7-e41f6981.jpg\n']"
s54669609_1,p11893091,s54669609,1,Impression,"1. There continues to be bilateral interstitial process, but this has improved since the prior study, and is more similar to baseline of ___, therefore, likely reflecting chronic age-related or small airways changes. More focal patchy opacity at the left base likely reflects compressive atelectasis given the pleural effusion, although pneumonia can not be excluded. No pneumothorax is seen. Overall, cardiac and mediastinal contours are stable.","There continues to be bilateral interstitial process, but this has improved since the prior study, and is more similar to baseline of ___, therefore, likely reflecting chronic age-related or small airways changes.",interstitial process,bilateral,Better,"['files/p11/p11893091/s54669609/46494291-e515eda8-5711877b-e8fdf477-b06687de.jpg', 'files/p11/p11893091/s54669609/bc998aad-c88d87cc-d89c4aa6-63477af5-c75767d8.jpg']","['files/p11/p11893091/s53794474/5b21b33c-9e45c0df-2d6b0f08-b7846556-f1e63e19.jpg\n', 'files/p11/p11893091/s53794474/f0e71e50-eb720bc4-ed412179-8b07b163-cd37195b.jpg\n']"
s54669609_1,p11893091,s54669609,1,Impression,"1. There continues to be bilateral interstitial process, but this has improved since the prior study, and is more similar to baseline of ___, therefore, likely reflecting chronic age-related or small airways changes. More focal patchy opacity at the left base likely reflects compressive atelectasis given the pleural effusion, although pneumonia can not be excluded. No pneumothorax is seen. Overall, cardiac and mediastinal contours are stable.","Overall, cardiac and mediastinal contours are stable.",cardiac and mediastinal contours,,Stable,"['files/p11/p11893091/s54669609/46494291-e515eda8-5711877b-e8fdf477-b06687de.jpg', 'files/p11/p11893091/s54669609/bc998aad-c88d87cc-d89c4aa6-63477af5-c75767d8.jpg']","['files/p11/p11893091/s53794474/5b21b33c-9e45c0df-2d6b0f08-b7846556-f1e63e19.jpg\n', 'files/p11/p11893091/s53794474/f0e71e50-eb720bc4-ed412179-8b07b163-cd37195b.jpg\n']"
s54670469_8,p11569093,s54670469,8,Findings,"As compared to the previous radiograph, the patient has been extubated. The nasogastric tube has been removed. There are moderate bilateral pleural effusions with relatively substantial areas of atelectasis. Size of the cardiac silhouette cannot be determined. No evidence of new parenchymal opacities suggesting pneumonia. A left internal jugular vein catheter remains in situ.","As compared to the previous radiograph, the patient has been extubated.",endotracheal tube,,Resolve,['files/p11/p11569093/s54670469/a238199b-93d2aa00-f4451329-26e4438c-e170ad89.jpg'],"['files/p11/p11569093/s53825501/66a29579-968d1700-4071c06f-fde97b0f-8ca7ce9b.jpg\n', 'files/p11/p11569093/s53825501/aa48f5aa-bc33341a-d09fad73-1b881cf5-ec400de4.jpg\n']"
s54670469_8,p11569093,s54670469,8,Findings,"As compared to the previous radiograph, the patient has been extubated. The nasogastric tube has been removed. There are moderate bilateral pleural effusions with relatively substantial areas of atelectasis. Size of the cardiac silhouette cannot be determined. No evidence of new parenchymal opacities suggesting pneumonia. A left internal jugular vein catheter remains in situ.",The nasogastric tube has been removed.,nasogastric tube,,Resolve,['files/p11/p11569093/s54670469/a238199b-93d2aa00-f4451329-26e4438c-e170ad89.jpg'],"['files/p11/p11569093/s53825501/66a29579-968d1700-4071c06f-fde97b0f-8ca7ce9b.jpg\n', 'files/p11/p11569093/s53825501/aa48f5aa-bc33341a-d09fad73-1b881cf5-ec400de4.jpg\n']"
s54675277_43,p14851532,s54675277,43,Findings,"The right internal jugular central venous catheter is malpositioned, coursing cephalad within the right internal jugular vein, tip off of the superior borders of the film. Remainder of the exam is unchanged.",Remainder of the exam is unchanged.,Unchanged,Remainder of the exam,Stable,['files/p14/p14851532/s54675277/33e89953-a3344800-0b12cc28-ae13c39f-f350e654.jpg'],['files/p14/p14851532/s54548504/3f6f35af-03521081-03baee76-dd388d3b-a0fd1305.jpg\n']
s54675277_43,p14851532,s54675277,43,Findings,"The right internal jugular central venous catheter is malpositioned, coursing cephalad within the right internal jugular vein, tip off of the superior borders of the film. Remainder of the exam is unchanged.","The right internal jugular central venous catheter is malpositioned, coursing cephalad within the right internal jugular vein, tip off of the superior borders of the film.",Central venous catheter malposition,Right internal jugular vein,Worse,['files/p14/p14851532/s54675277/33e89953-a3344800-0b12cc28-ae13c39f-f350e654.jpg'],['files/p14/p14851532/s54548504/3f6f35af-03521081-03baee76-dd388d3b-a0fd1305.jpg\n']
s54683624_3,p18079481,s54683624,3,Findings,"In comparison with study of ___, there are even lower lung volumes. The head of the patient somewhat obscures the upper mediastinum. Nasogastric tube remains in place, though the endotracheal tube appears to have been removed. There is evidence of pulmonary vascular congestion with blunted costophrenic angles that could reflect atelectasis and effusion. On this study, it is impossible to exclude a supervening pneumonia.","In comparison with study of ___, there are even lower lung volumes.",lung volumes,,Worse,['files/p18/p18079481/s54683624/32f086b1-c463fbe9-679d7bcb-50ac810a-fc5cab93.jpg'],['files/p18/p18079481/s54657781/441735fc-34bd0286-fa539675-6602e72a-1fed5ed4.jpg\n']
s54683624_3,p18079481,s54683624,3,Findings,"In comparison with study of ___, there are even lower lung volumes. The head of the patient somewhat obscures the upper mediastinum. Nasogastric tube remains in place, though the endotracheal tube appears to have been removed. There is evidence of pulmonary vascular congestion with blunted costophrenic angles that could reflect atelectasis and effusion. On this study, it is impossible to exclude a supervening pneumonia.","Nasogastric tube remains in place, though the endotracheal tube appears to have been removed.",endotracheal tube,,Resolve,['files/p18/p18079481/s54683624/32f086b1-c463fbe9-679d7bcb-50ac810a-fc5cab93.jpg'],['files/p18/p18079481/s54657781/441735fc-34bd0286-fa539675-6602e72a-1fed5ed4.jpg\n']
s54692227_1,p15446959,s54692227,1,Impression,PA and lateral chest compared to ___ and read in conjunction with prior chest CT imaging since ___. The patient has had left lower lobectomy and posterior chest wall reconstruction. There has been no interval change since ___ in the large fluid collection contained by the left chest wall graft. Right lung is clear. The extent of leftward mediastinal shift is probably unchanged due to slight differences in patient positioning and the left hemidiaphragm remains elevated. Heart is moderately enlarged. No pneumonia or pulmonary edema.,There has been no interval change since ___ in the large fluid collection contained by the left chest wall graft.,large fluid collection,left chest wall,Stable,"['files/p15/p15446959/s54692227/300d9c95-b211c988-74633e84-6f6bd759-d9bd6a93.jpg', 'files/p15/p15446959/s54692227/6bfb9064-03f991cd-bc8d36dd-fd64d740-edfaab18.jpg', 'files/p15/p15446959/s54692227/8aac9b0d-3eb736b0-4fca393e-8604330a-916a953b.jpg']","['files/p15/p15446959/s54058678/68adee87-49f72ff4-e7374407-bc547b35-ff118ba2.jpg\n', 'files/p15/p15446959/s54058678/79efe8cb-356ec1b4-23153a48-35b3a64c-40e70a3a.jpg\n']"
s54692227_1,p15446959,s54692227,1,Impression,PA and lateral chest compared to ___ and read in conjunction with prior chest CT imaging since ___. The patient has had left lower lobectomy and posterior chest wall reconstruction. There has been no interval change since ___ in the large fluid collection contained by the left chest wall graft. Right lung is clear. The extent of leftward mediastinal shift is probably unchanged due to slight differences in patient positioning and the left hemidiaphragm remains elevated. Heart is moderately enlarged. No pneumonia or pulmonary edema.,The extent of leftward mediastinal shift is probably unchanged due to slight differences in patient positioning and the left hemidiaphragm remains elevated.,mediastinal shift,leftward,Stable,"['files/p15/p15446959/s54692227/300d9c95-b211c988-74633e84-6f6bd759-d9bd6a93.jpg', 'files/p15/p15446959/s54692227/6bfb9064-03f991cd-bc8d36dd-fd64d740-edfaab18.jpg', 'files/p15/p15446959/s54692227/8aac9b0d-3eb736b0-4fca393e-8604330a-916a953b.jpg']","['files/p15/p15446959/s54058678/68adee87-49f72ff4-e7374407-bc547b35-ff118ba2.jpg\n', 'files/p15/p15446959/s54058678/79efe8cb-356ec1b4-23153a48-35b3a64c-40e70a3a.jpg\n']"
s54694185_24,p10933609,s54694185,24,Findings,"PA and lateral chest radiographs were obtained. A right upper lobe consolidation with air bronchograms is similar to ___. Focal tubular lucency within the opacity is new and may reflect cavitation, dilated airways or spared lung parenchyma. Opacity in the right lower lobe has progressed since the prior study. There is no effusion or pneumothorax. Cardiac and mediastinal contours are normal. There is mild thickening of the left major fissure.",Opacity in the right lower lobe has progressed since the prior study.,opacity,right lower lobe,Worse,"['files/p10/p10933609/s54694185/4778cb0a-f3b1679a-db7c043c-cfdd71ef-5b2da652.jpg', 'files/p10/p10933609/s54694185/ff86990a-2b9b1ae4-abec4188-55d0170a-72142dca.jpg']","['files/p10/p10933609/s54537700/396061be-a852cd47-7e3c4e82-3b2ec2b9-4e9632ff.jpg\n', 'files/p10/p10933609/s54537700/406539e1-fd9fe3f2-6192f2a5-e24d2d07-5ff88d1d.jpg\n']"
s54694185_24,p10933609,s54694185,24,Findings,"PA and lateral chest radiographs were obtained. A right upper lobe consolidation with air bronchograms is similar to ___. Focal tubular lucency within the opacity is new and may reflect cavitation, dilated airways or spared lung parenchyma. Opacity in the right lower lobe has progressed since the prior study. There is no effusion or pneumothorax. Cardiac and mediastinal contours are normal. There is mild thickening of the left major fissure.","Focal tubular lucency within the opacity is new and may reflect cavitation, dilated airways or spared lung parenchyma.",focal tubular lucency,within the opacity,New,"['files/p10/p10933609/s54694185/4778cb0a-f3b1679a-db7c043c-cfdd71ef-5b2da652.jpg', 'files/p10/p10933609/s54694185/ff86990a-2b9b1ae4-abec4188-55d0170a-72142dca.jpg']","['files/p10/p10933609/s54537700/396061be-a852cd47-7e3c4e82-3b2ec2b9-4e9632ff.jpg\n', 'files/p10/p10933609/s54537700/406539e1-fd9fe3f2-6192f2a5-e24d2d07-5ff88d1d.jpg\n']"
s54694185_24,p10933609,s54694185,24,Impression,"Non-resolving right upper lobe pneumonia superimposed on bilateral juxtahilar scarring which could be due to prior granulomatous process such as TB or sarcoid. Consider CT to further evaluate the right upper lobe and to exclude central necrosis, as well as to further characterize for causes of non-resolving pneumonia.",Non-resolving right upper lobe pneumonia superimposed on bilateral juxtahilar scarring which could be due to prior granulomatous process such as TB or sarcoid.,pneumonia,right upper lobe,Worse,"['files/p10/p10933609/s54694185/4778cb0a-f3b1679a-db7c043c-cfdd71ef-5b2da652.jpg', 'files/p10/p10933609/s54694185/ff86990a-2b9b1ae4-abec4188-55d0170a-72142dca.jpg']","['files/p10/p10933609/s54537700/396061be-a852cd47-7e3c4e82-3b2ec2b9-4e9632ff.jpg\n', 'files/p10/p10933609/s54537700/406539e1-fd9fe3f2-6192f2a5-e24d2d07-5ff88d1d.jpg\n']"
s54694185_24,p10933609,s54694185,24,Findings,"PA and lateral chest radiographs were obtained. A right upper lobe consolidation with air bronchograms is similar to ___. Focal tubular lucency within the opacity is new and may reflect cavitation, dilated airways or spared lung parenchyma. Opacity in the right lower lobe has progressed since the prior study. There is no effusion or pneumothorax. Cardiac and mediastinal contours are normal. There is mild thickening of the left major fissure.",A right upper lobe consolidation with air bronchograms is similar to ___.,consolidation with air bronchograms,right upper lobe,Stable,"['files/p10/p10933609/s54694185/4778cb0a-f3b1679a-db7c043c-cfdd71ef-5b2da652.jpg', 'files/p10/p10933609/s54694185/ff86990a-2b9b1ae4-abec4188-55d0170a-72142dca.jpg']","['files/p10/p10933609/s54537700/396061be-a852cd47-7e3c4e82-3b2ec2b9-4e9632ff.jpg\n', 'files/p10/p10933609/s54537700/406539e1-fd9fe3f2-6192f2a5-e24d2d07-5ff88d1d.jpg\n']"
s54694272_3,p15370732,s54694272,3,Findings,AP upright portable chest radiograph obtained. There is a new right IJ central venous catheter with its tip residing in the high SVC. Bibasilar opacities are unchanged. No pneumothorax.,Bibasilar opacities are unchanged.,opacities,Bibasilar,Stable,['files/p15/p15370732/s54694272/e13035e9-35e026e1-d7d54018-e342a349-93752c81.jpg'],['files/p15/p15370732/s52202145/cfc3effc-853804f4-6aaf7cfd-374d7078-6e586d77.jpg\n']
s54694272_3,p15370732,s54694272,3,Findings,AP upright portable chest radiograph obtained. There is a new right IJ central venous catheter with its tip residing in the high SVC. Bibasilar opacities are unchanged. No pneumothorax.,There is a new right IJ central venous catheter with its tip residing in the high SVC.,central venous catheter,right IJ,New,['files/p15/p15370732/s54694272/e13035e9-35e026e1-d7d54018-e342a349-93752c81.jpg'],['files/p15/p15370732/s52202145/cfc3effc-853804f4-6aaf7cfd-374d7078-6e586d77.jpg\n']
s54696287_4,p19549821,s54696287,4,Findings,"Cardiac silhouette is upper limits of normal in size, similar to recent chest radiograph of ___, but slightly increased from the earlier radiograph of ___. On the lateral chest radiograph, there are apparent small bilateral pleural effusions, new since ___. Minimal adjacent basilar lung opacities are present. The remainder of the lungs are clear except for unchanged relatively symmetrical bi-apical scarring.",The remainder of the lungs are clear except for unchanged relatively symmetrical bi-apical scarring.,scarring,bi-apical,Stable,"['files/p19/p19549821/s54696287/9a4ccf98-58c3f0da-81d2cd90-38c242fb-cc48af1b.jpg', 'files/p19/p19549821/s54696287/bdd5a7d2-2ce12b6b-b5e7b44e-b9332707-80c08524.jpg', 'files/p19/p19549821/s54696287/f10aba88-cfb8f760-c3b288f6-c1d76c27-88bfb3e0.jpg']",
s54696287_4,p19549821,s54696287,4,Findings,"Cardiac silhouette is upper limits of normal in size, similar to recent chest radiograph of ___, but slightly increased from the earlier radiograph of ___. On the lateral chest radiograph, there are apparent small bilateral pleural effusions, new since ___. Minimal adjacent basilar lung opacities are present. The remainder of the lungs are clear except for unchanged relatively symmetrical bi-apical scarring.","Cardiac silhouette is upper limits of normal in size, similar to recent chest radiograph of ___, but slightly increased from the earlier radiograph of ___.",Cardiac silhouette,,Worse,"['files/p19/p19549821/s54696287/9a4ccf98-58c3f0da-81d2cd90-38c242fb-cc48af1b.jpg', 'files/p19/p19549821/s54696287/bdd5a7d2-2ce12b6b-b5e7b44e-b9332707-80c08524.jpg', 'files/p19/p19549821/s54696287/f10aba88-cfb8f760-c3b288f6-c1d76c27-88bfb3e0.jpg']",
s54696287_4,p19549821,s54696287,4,Findings,"Cardiac silhouette is upper limits of normal in size, similar to recent chest radiograph of ___, but slightly increased from the earlier radiograph of ___. On the lateral chest radiograph, there are apparent small bilateral pleural effusions, new since ___. Minimal adjacent basilar lung opacities are present. The remainder of the lungs are clear except for unchanged relatively symmetrical bi-apical scarring.","On the lateral chest radiograph, there are apparent small bilateral pleural effusions, new since ___.",pleural effusions,bilateral,New,"['files/p19/p19549821/s54696287/9a4ccf98-58c3f0da-81d2cd90-38c242fb-cc48af1b.jpg', 'files/p19/p19549821/s54696287/bdd5a7d2-2ce12b6b-b5e7b44e-b9332707-80c08524.jpg', 'files/p19/p19549821/s54696287/f10aba88-cfb8f760-c3b288f6-c1d76c27-88bfb3e0.jpg']",
s54696391_2,p11474065,s54696391,2,Impression,"1. Since yesterday morning, only minimal worsening of the right pleural effusion and atelectasis. 2. Diffusely increased hazy opacification of the right hemithorax, is mainly due to the oblique positioning of the patient","Since yesterday morning, only minimal worsening of the right pleural effusion and atelectasis.",pleural effusion,right,Worse,['files/p11/p11474065/s54696391/f292b1a8-2e6fdb2c-a2e020b7-ae3b0cc9-9e3866d1.jpg'],['files/p11/p11474065/s54030442/bcd7e653-bdbda5eb-c1e8c446-d66776b2-7e86ed00.jpg\n']
s54696391_2,p11474065,s54696391,2,Findings,"The patient is status post right thoracotomy with a worsening loculated right pleural effusion along the lateral and anterior pleura. There is diffusely increased hazy opacification of the right hemithorax, mainly due to the oblique positioning of the patient. Lung volumes are low with secondary widening of the cardiomediastinal silhouette. There is only mild vascular congestion. There is no pneumothorax. Unchanged chest tube.",The patient is status post right thoracotomy with a worsening loculated right pleural effusion along the lateral and anterior pleura.,loculated pleural effusion,right lateral and anterior pleura,Worse,['files/p11/p11474065/s54696391/f292b1a8-2e6fdb2c-a2e020b7-ae3b0cc9-9e3866d1.jpg'],['files/p11/p11474065/s54030442/bcd7e653-bdbda5eb-c1e8c446-d66776b2-7e86ed00.jpg\n']
s54696391_2,p11474065,s54696391,2,Findings,"The patient is status post right thoracotomy with a worsening loculated right pleural effusion along the lateral and anterior pleura. There is diffusely increased hazy opacification of the right hemithorax, mainly due to the oblique positioning of the patient. Lung volumes are low with secondary widening of the cardiomediastinal silhouette. There is only mild vascular congestion. There is no pneumothorax. Unchanged chest tube.",Unchanged chest tube.,chest tube,,Stable,['files/p11/p11474065/s54696391/f292b1a8-2e6fdb2c-a2e020b7-ae3b0cc9-9e3866d1.jpg'],['files/p11/p11474065/s54030442/bcd7e653-bdbda5eb-c1e8c446-d66776b2-7e86ed00.jpg\n']
s54696391_2,p11474065,s54696391,2,Impression,"1. Since yesterday morning, only minimal worsening of the right pleural effusion and atelectasis. 2. Diffusely increased hazy opacification of the right hemithorax, is mainly due to the oblique positioning of the patient","Since yesterday morning, only minimal worsening of the right pleural effusion and atelectasis.",atelectasis,right,Worse,['files/p11/p11474065/s54696391/f292b1a8-2e6fdb2c-a2e020b7-ae3b0cc9-9e3866d1.jpg'],['files/p11/p11474065/s54030442/bcd7e653-bdbda5eb-c1e8c446-d66776b2-7e86ed00.jpg\n']
s54703104_55,p14851532,s54703104,55,Findings,"As compared to chest radiograph from the same day, nasogastric tube has been advanced with the first side port in the proximal stomach. Endotracheal tube is 2 cm from the carina. Right-sided IJ catheter in the low SVC. Overall no substantial change of the lungs with moderate right-sided effusion, small left effusion and moderate cardiomegaly. Mild pulmonary vascular congestion unchanged. Asymmetric opacity in the right lower lobe also may represent superimposed pneumonia.",Mild pulmonary vascular congestion unchanged.,mild pulmonary vascular congestion,,Stable,['files/p14/p14851532/s54703104/86d32dd1-50a12d52-f95eadf5-8f436965-b8669247.jpg'],['files/p14/p14851532/s54675277/33e89953-a3344800-0b12cc28-ae13c39f-f350e654.jpg\n']
s54703104_55,p14851532,s54703104,55,Impression,Nasogastric tube has been advanced with the first side port in the body of the stomach. Overall no substantial change of the lungs.,Nasogastric tube has been advanced with the first side port in the body of the stomach.,nasogastric tube,body of the stomach,New,['files/p14/p14851532/s54703104/86d32dd1-50a12d52-f95eadf5-8f436965-b8669247.jpg'],['files/p14/p14851532/s54675277/33e89953-a3344800-0b12cc28-ae13c39f-f350e654.jpg\n']
s54703104_55,p14851532,s54703104,55,Findings,"As compared to chest radiograph from the same day, nasogastric tube has been advanced with the first side port in the proximal stomach. Endotracheal tube is 2 cm from the carina. Right-sided IJ catheter in the low SVC. Overall no substantial change of the lungs with moderate right-sided effusion, small left effusion and moderate cardiomegaly. Mild pulmonary vascular congestion unchanged. Asymmetric opacity in the right lower lobe also may represent superimposed pneumonia.","Overall no substantial change of the lungs with moderate right-sided effusion, small left effusion and moderate cardiomegaly.",effusion,right side,Stable,['files/p14/p14851532/s54703104/86d32dd1-50a12d52-f95eadf5-8f436965-b8669247.jpg'],['files/p14/p14851532/s54675277/33e89953-a3344800-0b12cc28-ae13c39f-f350e654.jpg\n']
s54703104_55,p14851532,s54703104,55,Findings,"As compared to chest radiograph from the same day, nasogastric tube has been advanced with the first side port in the proximal stomach. Endotracheal tube is 2 cm from the carina. Right-sided IJ catheter in the low SVC. Overall no substantial change of the lungs with moderate right-sided effusion, small left effusion and moderate cardiomegaly. Mild pulmonary vascular congestion unchanged. Asymmetric opacity in the right lower lobe also may represent superimposed pneumonia.","As compared to chest radiograph from the same day, nasogastric tube has been advanced with the first side port in the proximal stomach.",nasogastric tube,proximal stomach,New,['files/p14/p14851532/s54703104/86d32dd1-50a12d52-f95eadf5-8f436965-b8669247.jpg'],['files/p14/p14851532/s54675277/33e89953-a3344800-0b12cc28-ae13c39f-f350e654.jpg\n']
s54703104_55,p14851532,s54703104,55,Impression,Nasogastric tube has been advanced with the first side port in the body of the stomach. Overall no substantial change of the lungs.,Overall no substantial change of the lungs.,lungs,,Stable,['files/p14/p14851532/s54703104/86d32dd1-50a12d52-f95eadf5-8f436965-b8669247.jpg'],['files/p14/p14851532/s54675277/33e89953-a3344800-0b12cc28-ae13c39f-f350e654.jpg\n']
s54703104_55,p14851532,s54703104,55,Findings,"As compared to chest radiograph from the same day, nasogastric tube has been advanced with the first side port in the proximal stomach. Endotracheal tube is 2 cm from the carina. Right-sided IJ catheter in the low SVC. Overall no substantial change of the lungs with moderate right-sided effusion, small left effusion and moderate cardiomegaly. Mild pulmonary vascular congestion unchanged. Asymmetric opacity in the right lower lobe also may represent superimposed pneumonia.","Overall no substantial change of the lungs with moderate right-sided effusion, small left effusion and moderate cardiomegaly.",small effusion,left side,Stable,['files/p14/p14851532/s54703104/86d32dd1-50a12d52-f95eadf5-8f436965-b8669247.jpg'],['files/p14/p14851532/s54675277/33e89953-a3344800-0b12cc28-ae13c39f-f350e654.jpg\n']
s54703104_55,p14851532,s54703104,55,Findings,"As compared to chest radiograph from the same day, nasogastric tube has been advanced with the first side port in the proximal stomach. Endotracheal tube is 2 cm from the carina. Right-sided IJ catheter in the low SVC. Overall no substantial change of the lungs with moderate right-sided effusion, small left effusion and moderate cardiomegaly. Mild pulmonary vascular congestion unchanged. Asymmetric opacity in the right lower lobe also may represent superimposed pneumonia.","Overall no substantial change of the lungs with moderate right-sided effusion, small left effusion and moderate cardiomegaly.",moderate cardiomegaly,,Stable,['files/p14/p14851532/s54703104/86d32dd1-50a12d52-f95eadf5-8f436965-b8669247.jpg'],['files/p14/p14851532/s54675277/33e89953-a3344800-0b12cc28-ae13c39f-f350e654.jpg\n']
s54712047_0,p13586204,s54712047,0,Findings,"Minimally displaced right-sided rib fractures appear similar compared to prior trauma radiographs from ___ and are better characterized on followup CT torso from the same day. Known left-sided rib fractures are also better characterized on prior CT. There is no evidence of pneumothorax. Linear opacities in the lung bases correspond with known subsegmental atelectasis including increased left basilar opacity since the prior radiographs. The left upper lung appears better aerated, however. New mild blunting of the bilateral costophrenic angles suggestive of developing small bilateral pleural effusions. A known manubrium fracture is not well characterized on this single frontal view. Mediastinal contours appear similar compared to recent prior suggesting probable stability of the known retrosternal hematoma. Hilar and cardiac contours are within normal limits. Cervical spinal hardware is incompletely imaged. There has been interval placement of probable epidural catheter in the mid thoracic spine.",Mediastinal contours appear similar compared to recent prior suggesting probable stability of the known retrosternal hematoma.,retrosternal hematoma,mediastinal,Stable,['files/p13/p13586204/s54712047/cd9d349b-0c057599-fc4663a0-98ae4d7c-774a31ce.jpg'],"['files/p13/p13586204/s54331436/e9db2620-0e24b6e8-95e9724b-676a2818-20b18e7a.jpg\n', 'files/p13/p13586204/s54331436/eccb4bb5-a1c52264-6d06faf4-163118a3-8bd1048c.jpg\n']"
s54712047_0,p13586204,s54712047,0,Findings,"Minimally displaced right-sided rib fractures appear similar compared to prior trauma radiographs from ___ and are better characterized on followup CT torso from the same day. Known left-sided rib fractures are also better characterized on prior CT. There is no evidence of pneumothorax. Linear opacities in the lung bases correspond with known subsegmental atelectasis including increased left basilar opacity since the prior radiographs. The left upper lung appears better aerated, however. New mild blunting of the bilateral costophrenic angles suggestive of developing small bilateral pleural effusions. A known manubrium fracture is not well characterized on this single frontal view. Mediastinal contours appear similar compared to recent prior suggesting probable stability of the known retrosternal hematoma. Hilar and cardiac contours are within normal limits. Cervical spinal hardware is incompletely imaged. There has been interval placement of probable epidural catheter in the mid thoracic spine.",Minimally displaced right-sided rib fractures appear similar compared to prior trauma radiographs from ___ and are better characterized on followup CT torso from the same day.,rib fractures,right-sided,Stable,['files/p13/p13586204/s54712047/cd9d349b-0c057599-fc4663a0-98ae4d7c-774a31ce.jpg'],"['files/p13/p13586204/s54331436/e9db2620-0e24b6e8-95e9724b-676a2818-20b18e7a.jpg\n', 'files/p13/p13586204/s54331436/eccb4bb5-a1c52264-6d06faf4-163118a3-8bd1048c.jpg\n']"
s54712047_0,p13586204,s54712047,0,Impression,"1. Unchanged multiple rib fractures, better characterized on prior CT. No pneumothorax. 2. Stable mediastinal contours, though incompletely evaluated manubrial fracture and retrosternal hematoma. 3. New left basilar opacity suggesting atelectasis. 4. Suspected very small developing pleural effusions.","Stable mediastinal contours, though incompletely evaluated manubrial fracture and retrosternal hematoma.",contours,mediastinal,Stable,['files/p13/p13586204/s54712047/cd9d349b-0c057599-fc4663a0-98ae4d7c-774a31ce.jpg'],"['files/p13/p13586204/s54331436/e9db2620-0e24b6e8-95e9724b-676a2818-20b18e7a.jpg\n', 'files/p13/p13586204/s54331436/eccb4bb5-a1c52264-6d06faf4-163118a3-8bd1048c.jpg\n']"
s54712047_0,p13586204,s54712047,0,Impression,"1. Unchanged multiple rib fractures, better characterized on prior CT. No pneumothorax. 2. Stable mediastinal contours, though incompletely evaluated manubrial fracture and retrosternal hematoma. 3. New left basilar opacity suggesting atelectasis. 4. Suspected very small developing pleural effusions.","Unchanged multiple rib fractures, better characterized on prior CT. No pneumothorax.",rib fractures,multiple,Stable,['files/p13/p13586204/s54712047/cd9d349b-0c057599-fc4663a0-98ae4d7c-774a31ce.jpg'],"['files/p13/p13586204/s54331436/e9db2620-0e24b6e8-95e9724b-676a2818-20b18e7a.jpg\n', 'files/p13/p13586204/s54331436/eccb4bb5-a1c52264-6d06faf4-163118a3-8bd1048c.jpg\n']"
s54712047_0,p13586204,s54712047,0,Findings,"Minimally displaced right-sided rib fractures appear similar compared to prior trauma radiographs from ___ and are better characterized on followup CT torso from the same day. Known left-sided rib fractures are also better characterized on prior CT. There is no evidence of pneumothorax. Linear opacities in the lung bases correspond with known subsegmental atelectasis including increased left basilar opacity since the prior radiographs. The left upper lung appears better aerated, however. New mild blunting of the bilateral costophrenic angles suggestive of developing small bilateral pleural effusions. A known manubrium fracture is not well characterized on this single frontal view. Mediastinal contours appear similar compared to recent prior suggesting probable stability of the known retrosternal hematoma. Hilar and cardiac contours are within normal limits. Cervical spinal hardware is incompletely imaged. There has been interval placement of probable epidural catheter in the mid thoracic spine.",Linear opacities in the lung bases correspond with known subsegmental atelectasis including increased left basilar opacity since the prior radiographs.,opacity,left basilar,Worse,['files/p13/p13586204/s54712047/cd9d349b-0c057599-fc4663a0-98ae4d7c-774a31ce.jpg'],"['files/p13/p13586204/s54331436/e9db2620-0e24b6e8-95e9724b-676a2818-20b18e7a.jpg\n', 'files/p13/p13586204/s54331436/eccb4bb5-a1c52264-6d06faf4-163118a3-8bd1048c.jpg\n']"
s54715799_3,p16773796,s54715799,3,Findings,"A single AP chest view was obtained with patient in semi-upright position. Comparison is made with the next preceding chest examination of ___. Status post sternotomy and moderate cardiac enlargement as before. No pulmonary vascular congestion is identified. A significant new finding consists of bilateral nodular densities widely disseminated in both lungs, preferentially in the lower lobes. Otherwise, no new chest abnormalities are identified on this single-view examination as the lateral pleural sinuses are free and there is no evidence of pneumothorax in the apical area. Appearance of multiple nodular densities in both lungs highly suggestive of secondary metastases in this patient with history of GI bleed. Referring physician, ___. ___ was notified via page at 4:10 p.m.","A significant new finding consists of bilateral nodular densities widely disseminated in both lungs, preferentially in the lower lobes.",nodular densities,bilateral,New,['files/p16/p16773796/s54715799/b8f0ce5f-ae088cd3-92d27847-3b4570bb-1305056f.jpg'],"['files/p16/p16773796/s53607277/09a3e9d9-822e7d52-af47f424-1f87a789-2edd0300.jpg\n', 'files/p16/p16773796/s53607277/559e1c4a-6534ac94-37ba47eb-9a4857be-0d95f618.jpg\n', 'files/p16/p16773796/s53607277/b1009aff-e698f80d-330e0345-8dc761eb-889e6c69.jpg\n']"
s54715799_3,p16773796,s54715799,3,Findings,"A single AP chest view was obtained with patient in semi-upright position. Comparison is made with the next preceding chest examination of ___. Status post sternotomy and moderate cardiac enlargement as before. No pulmonary vascular congestion is identified. A significant new finding consists of bilateral nodular densities widely disseminated in both lungs, preferentially in the lower lobes. Otherwise, no new chest abnormalities are identified on this single-view examination as the lateral pleural sinuses are free and there is no evidence of pneumothorax in the apical area. Appearance of multiple nodular densities in both lungs highly suggestive of secondary metastases in this patient with history of GI bleed. Referring physician, ___. ___ was notified via page at 4:10 p.m.",Status post sternotomy and moderate cardiac enlargement as before.,enlargement,cardiac,Stable,['files/p16/p16773796/s54715799/b8f0ce5f-ae088cd3-92d27847-3b4570bb-1305056f.jpg'],"['files/p16/p16773796/s53607277/09a3e9d9-822e7d52-af47f424-1f87a789-2edd0300.jpg\n', 'files/p16/p16773796/s53607277/559e1c4a-6534ac94-37ba47eb-9a4857be-0d95f618.jpg\n', 'files/p16/p16773796/s53607277/b1009aff-e698f80d-330e0345-8dc761eb-889e6c69.jpg\n']"
s54715839_6,p10402372,s54715839,6,Findings,"In comparison with the study of ___, there is little overall change in the peribronchial thickening and impaction with extensive bibasilar bronchiectasis. This is again extremely well seen on the lateral radiograph. Hyperexpansion of the lungs is consistent with emphysema and the cardiac size is normal. No evidence of pulmonary edema. No evidence of acute focal pneumonia.","In comparison with the study of ___, there is little overall change in the peribronchial thickening and impaction with extensive bibasilar bronchiectasis",bronchiectasis,bibasilar,Stable,"['files/p10/p10402372/s54715839/4162d52a-859bcbfd-0cda6728-f8f1a2cf-87ccf199.jpg', 'files/p10/p10402372/s54715839/b4220d24-884a0275-1552d547-a339b365-4417b9d5.jpg']",['files/p10/p10402372/s54153150/461c1b4b-8af2df2c-c3ea9702-28e13d4f-5e912d17.jpg\n']
s54715839_6,p10402372,s54715839,6,Impression,Little change in the severe bronchiectasis and emphysema.,Little change in the severe bronchiectasis and emphysema,emphysema,,Stable,"['files/p10/p10402372/s54715839/4162d52a-859bcbfd-0cda6728-f8f1a2cf-87ccf199.jpg', 'files/p10/p10402372/s54715839/b4220d24-884a0275-1552d547-a339b365-4417b9d5.jpg']",['files/p10/p10402372/s54153150/461c1b4b-8af2df2c-c3ea9702-28e13d4f-5e912d17.jpg\n']
s54715839_6,p10402372,s54715839,6,Impression,Little change in the severe bronchiectasis and emphysema.,Little change in the severe bronchiectasis and emphysema,bronchiectasis,,Stable,"['files/p10/p10402372/s54715839/4162d52a-859bcbfd-0cda6728-f8f1a2cf-87ccf199.jpg', 'files/p10/p10402372/s54715839/b4220d24-884a0275-1552d547-a339b365-4417b9d5.jpg']",['files/p10/p10402372/s54153150/461c1b4b-8af2df2c-c3ea9702-28e13d4f-5e912d17.jpg\n']
s54716295_8,p18487334,s54716295,8,Findings,Enteric tube tip in the proximal stomach. Right IJ line tip mid SVC. Endotracheal tube tip in good position. Sternotomy. There is cardiac pacemaker. Minimal new left basilar atelectasis. Suggestion of tiny left pleural effusion.,Minimal new left basilar atelectasis.,atelectasis,left basilar,New,"['files/p18/p18487334/s54716295/14a4a35d-8763ba28-085afc05-45f80848-08962597.jpg', 'files/p18/p18487334/s54716295/ef4d5d47-62ec7452-7097cc7f-0096727c-ed1cb6cf.jpg']",['files/p18/p18487334/s53404392/6814b280-d33103fb-57bac34d-4b2fe11e-850ad502.jpg\n']
s54716590_6,p17340686,s54716590,6,Findings,"In comparison with the study of ___, there is little overall change. Continued enlargement of the cardiac silhouette with moderate-to-severe pulmonary edema. Opacification at the left base may reflect effusion and atelectasis. Hemodialysis catheter again extends to probably the upper portion of the right atrium.",Hemodialysis catheter again extends to probably the upper portion of the right atrium.,Hemodialysis catheter,upper portion of the right atrium,Stable,['files/p17/p17340686/s54716590/e4f6de95-2089560c-4df114b1-deac3d24-a6bc53f7.jpg'],['files/p17/p17340686/s54614605/e38221a2-36d9eedb-5a9af804-2eba7cb0-ea8d7ffd.jpg\n']
s54716590_6,p17340686,s54716590,6,Findings,"In comparison with the study of ___, there is little overall change. Continued enlargement of the cardiac silhouette with moderate-to-severe pulmonary edema. Opacification at the left base may reflect effusion and atelectasis. Hemodialysis catheter again extends to probably the upper portion of the right atrium.","In comparison with the study of ___, there is little overall change.",overall condition,,Stable,['files/p17/p17340686/s54716590/e4f6de95-2089560c-4df114b1-deac3d24-a6bc53f7.jpg'],['files/p17/p17340686/s54614605/e38221a2-36d9eedb-5a9af804-2eba7cb0-ea8d7ffd.jpg\n']
s54717370_11,p14727722,s54717370,11,Findings,Lung volumes are low. Cardiac and mediastinal silhouette is stable. There has been interval removal of right internal jugular central venous catheter. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax. No overt pulmonary edema.,Cardiac and mediastinal silhouette is stable.,Cardiac and mediastinal silhouette,,Stable,['files/p14/p14727722/s54717370/e5f2a417-f5d646ca-33f15b0f-5b7c75b3-2b9611d5.jpg'],"['files/p14/p14727722/s54416722/2b1a5138-f3160270-992271a6-a4c40f13-eadcb090.jpg\n', 'files/p14/p14727722/s54416722/8a7375cc-bc36d5f8-1b7d2e66-52732f01-677cbc94.jpg\n']"
s54717370_11,p14727722,s54717370,11,Findings,Lung volumes are low. Cardiac and mediastinal silhouette is stable. There has been interval removal of right internal jugular central venous catheter. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax. No overt pulmonary edema.,There has been interval removal of right internal jugular central venous catheter.,central venous catheter,right internal jugular,Resolve,['files/p14/p14727722/s54717370/e5f2a417-f5d646ca-33f15b0f-5b7c75b3-2b9611d5.jpg'],"['files/p14/p14727722/s54416722/2b1a5138-f3160270-992271a6-a4c40f13-eadcb090.jpg\n', 'files/p14/p14727722/s54416722/8a7375cc-bc36d5f8-1b7d2e66-52732f01-677cbc94.jpg\n']"
s54721212_25,p17770657,s54721212,25,Impression,"PA and lateral chest compared to ___: New heterogeneous opacification in the right lower lung at least some of which is in the middle lobe, obscuring the right heart border, the remainder at the base, is all new since ___, considered pneumonia until proved otherwise. New anterior chest wall drains are noted. Heart is normal size. The hyperinflation and vascular deficiency of emphysema are longstanding. A ring shadow in the left upper lung at the level of the aortic arch is more prominent today than it has been since an abnormality in this region was demonstrated on chest CT scanning in ___. There may be a second similar region in the right lower lung at the level of the sixth anterior rib. These findings are suggestive of active bronchiectasis, which can be seen with mycobacterial infection, either tuberculosis or atypical species. There is no appreciable pleural effusion. Dr. ___, was paged at 11:05 a.m., one minute following recognition of the findings. Findings were discussed ten minutes later with the NP caring for the patient.","PA and lateral chest compared to ___: New heterogeneous opacification in the right lower lung at least some of which is in the middle lobe, obscuring the right heart border, the remainder at the base, is all new since ___, considered pneumonia until proved otherwise.",heterogeneous opacification,right lower lung,New,"['files/p17/p17770657/s54721212/51150936-2cf82a04-6fa1a638-e1577644-0ba4c3a3.jpg', 'files/p17/p17770657/s54721212/d20d16fd-c34a1f8d-c4046f9a-8674dbba-a48774eb.jpg']","['files/p17/p17770657/s54392557/2e078e3d-01673fac-4158a2bb-fc53694d-0a68bb67.jpg\n', 'files/p17/p17770657/s54392557/f0f0f362-66be2ab0-3210b813-23d16481-c7a59206.jpg\n']"
s54721212_25,p17770657,s54721212,25,Impression,"PA and lateral chest compared to ___: New heterogeneous opacification in the right lower lung at least some of which is in the middle lobe, obscuring the right heart border, the remainder at the base, is all new since ___, considered pneumonia until proved otherwise. New anterior chest wall drains are noted. Heart is normal size. The hyperinflation and vascular deficiency of emphysema are longstanding. A ring shadow in the left upper lung at the level of the aortic arch is more prominent today than it has been since an abnormality in this region was demonstrated on chest CT scanning in ___. There may be a second similar region in the right lower lung at the level of the sixth anterior rib. These findings are suggestive of active bronchiectasis, which can be seen with mycobacterial infection, either tuberculosis or atypical species. There is no appreciable pleural effusion. Dr. ___, was paged at 11:05 a.m., one minute following recognition of the findings. Findings were discussed ten minutes later with the NP caring for the patient.",New anterior chest wall drains are noted.,drains,anterior chest wall,New,"['files/p17/p17770657/s54721212/51150936-2cf82a04-6fa1a638-e1577644-0ba4c3a3.jpg', 'files/p17/p17770657/s54721212/d20d16fd-c34a1f8d-c4046f9a-8674dbba-a48774eb.jpg']","['files/p17/p17770657/s54392557/2e078e3d-01673fac-4158a2bb-fc53694d-0a68bb67.jpg\n', 'files/p17/p17770657/s54392557/f0f0f362-66be2ab0-3210b813-23d16481-c7a59206.jpg\n']"
s54721212_25,p17770657,s54721212,25,Impression,"PA and lateral chest compared to ___: New heterogeneous opacification in the right lower lung at least some of which is in the middle lobe, obscuring the right heart border, the remainder at the base, is all new since ___, considered pneumonia until proved otherwise. New anterior chest wall drains are noted. Heart is normal size. The hyperinflation and vascular deficiency of emphysema are longstanding. A ring shadow in the left upper lung at the level of the aortic arch is more prominent today than it has been since an abnormality in this region was demonstrated on chest CT scanning in ___. There may be a second similar region in the right lower lung at the level of the sixth anterior rib. These findings are suggestive of active bronchiectasis, which can be seen with mycobacterial infection, either tuberculosis or atypical species. There is no appreciable pleural effusion. Dr. ___, was paged at 11:05 a.m., one minute following recognition of the findings. Findings were discussed ten minutes later with the NP caring for the patient.",A ring shadow in the left upper lung at the level of the aortic arch is more prominent today than it has been since an abnormality in this region was demonstrated on chest CT scanning in ___.,ring shadow,left upper lung at the level of the aortic arch,Worse,"['files/p17/p17770657/s54721212/51150936-2cf82a04-6fa1a638-e1577644-0ba4c3a3.jpg', 'files/p17/p17770657/s54721212/d20d16fd-c34a1f8d-c4046f9a-8674dbba-a48774eb.jpg']","['files/p17/p17770657/s54392557/2e078e3d-01673fac-4158a2bb-fc53694d-0a68bb67.jpg\n', 'files/p17/p17770657/s54392557/f0f0f362-66be2ab0-3210b813-23d16481-c7a59206.jpg\n']"
s54721804_10,p11569093,s54721804,10,Findings,"This is a redictation of a prior dictation that apparently did not go through. There is slightly rotated positioning. Compared with earlier the same day (___:___ p.m.), there is progression of opacification of the right lung, with only a small partially aerated portion of the lung seen in the upper zone. There may be some volume loss on the right, though this is difficult to confirm, due to rotation. The left lung is grossly clear, with resolution of previously seen left base opacity. No left-sided CHF, focal infiltrate, or effusion is identified at this time.Clips noted over lower mediastinum.","Compared with earlier the same day, there is progression of opacification of the right lung, with only a small partially aerated portion of the lung seen in the upper zone.",opacification,right lung upper zone,Worse,['files/p11/p11569093/s54721804/d87efb8c-2b6c913c-52f20a43-a8cbf2ba-2b20410d.jpg'],['files/p11/p11569093/s54670469/a238199b-93d2aa00-f4451329-26e4438c-e170ad89.jpg\n']
s54721804_10,p11569093,s54721804,10,Findings,"This is a redictation of a prior dictation that apparently did not go through. There is slightly rotated positioning. Compared with earlier the same day (___:___ p.m.), there is progression of opacification of the right lung, with only a small partially aerated portion of the lung seen in the upper zone. There may be some volume loss on the right, though this is difficult to confirm, due to rotation. The left lung is grossly clear, with resolution of previously seen left base opacity. No left-sided CHF, focal infiltrate, or effusion is identified at this time.Clips noted over lower mediastinum.","The left lung is grossly clear, with resolution of previously seen left base opacity.",opacity,left lung base,Resolve,['files/p11/p11569093/s54721804/d87efb8c-2b6c913c-52f20a43-a8cbf2ba-2b20410d.jpg'],['files/p11/p11569093/s54670469/a238199b-93d2aa00-f4451329-26e4438c-e170ad89.jpg\n']
s54721804_10,p11569093,s54721804,10,Impression,"Considerable interval increase in the degree of opacification of the right lung. This may represent a combination of pleural fluid and collapse and/or consolidation. Given the rapid change, is there reason to suspect mucous plugging? Findings discussed with the covering house officer, Dr. ___, at ~ ___:___ p.m. on the day of the exam (___, phone).",Considerable interval increase in the degree of opacification of the right lung.,opacification,right lung,Worse,['files/p11/p11569093/s54721804/d87efb8c-2b6c913c-52f20a43-a8cbf2ba-2b20410d.jpg'],['files/p11/p11569093/s54670469/a238199b-93d2aa00-f4451329-26e4438c-e170ad89.jpg\n']
s54723356_2,p16508811,s54723356,2,Findings,A PICC line has been removed. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear.,The mediastinal and hilar contours appear unchanged.,,mediastinal and hilar contours,Stable,['files/p16/p16508811/s54723356/cf48760b-bc0b549d-17be5069-3e7b5248-e5f62e37.jpg'],"['files/p16/p16508811/s54074259/55065f66-4391f4b6-dfb89de6-2d41c91d-8c4fef83.jpg\n', 'files/p16/p16508811/s54074259/8b3bc5d6-b73f3699-9273fe20-4aac09c6-d0ef8954.jpg\n', 'files/p16/p16508811/s54074259/e28b50ff-3106ff22-b852ec44-10d70673-a6d3b87a.jpg\n']"
s54723356_2,p16508811,s54723356,2,Findings,A PICC line has been removed. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear.,A PICC line has been removed.,PICC line,,Resolve,['files/p16/p16508811/s54723356/cf48760b-bc0b549d-17be5069-3e7b5248-e5f62e37.jpg'],"['files/p16/p16508811/s54074259/55065f66-4391f4b6-dfb89de6-2d41c91d-8c4fef83.jpg\n', 'files/p16/p16508811/s54074259/8b3bc5d6-b73f3699-9273fe20-4aac09c6-d0ef8954.jpg\n', 'files/p16/p16508811/s54074259/e28b50ff-3106ff22-b852ec44-10d70673-a6d3b87a.jpg\n']"
s54725023_1,p15207316,s54725023,1,Impression,"AP chest compared to ___ through ___. Severe cardiomegaly is longstanding, though slightly improved since ___. Pulmonary arteries are chronically enlarged indicating pulmonary arterial hypertension. Moderate pulmonary edema and small right pleural effusion have increased since ___. Transvenous right atrial and left ventricular pacer and right ventricular pacer defibrillator leads are in standard placements, unchanged. No pneumothorax.","Transvenous right atrial and left ventricular pacer and right ventricular pacer defibrillator leads are in standard placements, unchanged.",pacer,Transvenous right atrial and left ventricular,Stable,['files/p15/p15207316/s54725023/5074824c-4ee15da0-f4e892d3-3ade326d-d8c8c508.jpg'],"['files/p15/p15207316/s52767831/425d59af-b3a07390-48699ce4-edd9cf7d-3b4faafe.jpg\n', 'files/p15/p15207316/s52767831/af3c9af6-5d5ec7c0-14e485a8-e4a15ee5-cda32e62.jpg\n']"
s54725023_1,p15207316,s54725023,1,Impression,"AP chest compared to ___ through ___. Severe cardiomegaly is longstanding, though slightly improved since ___. Pulmonary arteries are chronically enlarged indicating pulmonary arterial hypertension. Moderate pulmonary edema and small right pleural effusion have increased since ___. Transvenous right atrial and left ventricular pacer and right ventricular pacer defibrillator leads are in standard placements, unchanged. No pneumothorax.","Severe cardiomegaly is longstanding, though slightly improved since ___.",cardiomegaly,,Better,['files/p15/p15207316/s54725023/5074824c-4ee15da0-f4e892d3-3ade326d-d8c8c508.jpg'],"['files/p15/p15207316/s52767831/425d59af-b3a07390-48699ce4-edd9cf7d-3b4faafe.jpg\n', 'files/p15/p15207316/s52767831/af3c9af6-5d5ec7c0-14e485a8-e4a15ee5-cda32e62.jpg\n']"
s54725023_1,p15207316,s54725023,1,Impression,"AP chest compared to ___ through ___. Severe cardiomegaly is longstanding, though slightly improved since ___. Pulmonary arteries are chronically enlarged indicating pulmonary arterial hypertension. Moderate pulmonary edema and small right pleural effusion have increased since ___. Transvenous right atrial and left ventricular pacer and right ventricular pacer defibrillator leads are in standard placements, unchanged. No pneumothorax.","Transvenous right atrial and left ventricular pacer and right ventricular pacer defibrillator leads are in standard placements, unchanged.",pacer defibrillator leads,Right ventricular,Stable,['files/p15/p15207316/s54725023/5074824c-4ee15da0-f4e892d3-3ade326d-d8c8c508.jpg'],"['files/p15/p15207316/s52767831/425d59af-b3a07390-48699ce4-edd9cf7d-3b4faafe.jpg\n', 'files/p15/p15207316/s52767831/af3c9af6-5d5ec7c0-14e485a8-e4a15ee5-cda32e62.jpg\n']"
s54725023_1,p15207316,s54725023,1,Impression,"AP chest compared to ___ through ___. Severe cardiomegaly is longstanding, though slightly improved since ___. Pulmonary arteries are chronically enlarged indicating pulmonary arterial hypertension. Moderate pulmonary edema and small right pleural effusion have increased since ___. Transvenous right atrial and left ventricular pacer and right ventricular pacer defibrillator leads are in standard placements, unchanged. No pneumothorax.",Moderate pulmonary edema and small right pleural effusion have increased since ___.,pleural effusion,Right,Worse,['files/p15/p15207316/s54725023/5074824c-4ee15da0-f4e892d3-3ade326d-d8c8c508.jpg'],"['files/p15/p15207316/s52767831/425d59af-b3a07390-48699ce4-edd9cf7d-3b4faafe.jpg\n', 'files/p15/p15207316/s52767831/af3c9af6-5d5ec7c0-14e485a8-e4a15ee5-cda32e62.jpg\n']"
s54725023_1,p15207316,s54725023,1,Impression,"AP chest compared to ___ through ___. Severe cardiomegaly is longstanding, though slightly improved since ___. Pulmonary arteries are chronically enlarged indicating pulmonary arterial hypertension. Moderate pulmonary edema and small right pleural effusion have increased since ___. Transvenous right atrial and left ventricular pacer and right ventricular pacer defibrillator leads are in standard placements, unchanged. No pneumothorax.",Moderate pulmonary edema and small right pleural effusion have increased since ___.,pulmonary edema,,Worse,['files/p15/p15207316/s54725023/5074824c-4ee15da0-f4e892d3-3ade326d-d8c8c508.jpg'],"['files/p15/p15207316/s52767831/425d59af-b3a07390-48699ce4-edd9cf7d-3b4faafe.jpg\n', 'files/p15/p15207316/s52767831/af3c9af6-5d5ec7c0-14e485a8-e4a15ee5-cda32e62.jpg\n']"
s54726507_12,p14851532,s54726507,12,Findings,"As compared to the previous radiograph, no relevant change is seen of the sternal wiring. Monitoring and support devices are constant in appearance. Constant low lung volumes with bilateral small pleural effusions and subsequent areas of atelectasis. Moderate cardiomegaly. No new parenchymal opacities.",Constant low lung volumes with bilateral small pleural effusions and subsequent areas of atelectasis.,atelectasis,,Stable,['files/p14/p14851532/s54726507/018a20b6-6f0efbba-f043405f-e1af115c-a30fa5ed.jpg'],['files/p14/p14851532/s54703104/86d32dd1-50a12d52-f95eadf5-8f436965-b8669247.jpg\n']
s54726507_12,p14851532,s54726507,12,Findings,"As compared to the previous radiograph, no relevant change is seen of the sternal wiring. Monitoring and support devices are constant in appearance. Constant low lung volumes with bilateral small pleural effusions and subsequent areas of atelectasis. Moderate cardiomegaly. No new parenchymal opacities.",Monitoring and support devices are constant in appearance.,monitoring and support devices,,Stable,['files/p14/p14851532/s54726507/018a20b6-6f0efbba-f043405f-e1af115c-a30fa5ed.jpg'],['files/p14/p14851532/s54703104/86d32dd1-50a12d52-f95eadf5-8f436965-b8669247.jpg\n']
s54726507_12,p14851532,s54726507,12,Findings,"As compared to the previous radiograph, no relevant change is seen of the sternal wiring. Monitoring and support devices are constant in appearance. Constant low lung volumes with bilateral small pleural effusions and subsequent areas of atelectasis. Moderate cardiomegaly. No new parenchymal opacities.",Constant low lung volumes with bilateral small pleural effusions and subsequent areas of atelectasis.,low lung volumes,,Stable,['files/p14/p14851532/s54726507/018a20b6-6f0efbba-f043405f-e1af115c-a30fa5ed.jpg'],['files/p14/p14851532/s54703104/86d32dd1-50a12d52-f95eadf5-8f436965-b8669247.jpg\n']
s54726507_12,p14851532,s54726507,12,Findings,"As compared to the previous radiograph, no relevant change is seen of the sternal wiring. Monitoring and support devices are constant in appearance. Constant low lung volumes with bilateral small pleural effusions and subsequent areas of atelectasis. Moderate cardiomegaly. No new parenchymal opacities.",Constant low lung volumes with bilateral small pleural effusions and subsequent areas of atelectasis.,pleural effusions,bilateral,Stable,['files/p14/p14851532/s54726507/018a20b6-6f0efbba-f043405f-e1af115c-a30fa5ed.jpg'],['files/p14/p14851532/s54703104/86d32dd1-50a12d52-f95eadf5-8f436965-b8669247.jpg\n']
s54726507_12,p14851532,s54726507,12,Findings,"As compared to the previous radiograph, no relevant change is seen of the sternal wiring. Monitoring and support devices are constant in appearance. Constant low lung volumes with bilateral small pleural effusions and subsequent areas of atelectasis. Moderate cardiomegaly. No new parenchymal opacities.","As compared to the previous radiograph, no relevant change is seen of the sternal wiring.",sternal wiring,,Stable,['files/p14/p14851532/s54726507/018a20b6-6f0efbba-f043405f-e1af115c-a30fa5ed.jpg'],['files/p14/p14851532/s54703104/86d32dd1-50a12d52-f95eadf5-8f436965-b8669247.jpg\n']
s54729238_0,p12433541,s54729238,0,Findings,"An extensive right hilar lung mass is associated with radiation fibrosis, better delineated on CT ___. An additional component of postobstructive pneumonia may be present. Retrocardiac opacity, left pleural effusion, and left plueral thickening are also new. No pneumothorax is present.","Retrocardiac opacity, left pleural effusion, and left pleural thickening are also new.",pleural thickening,left,New,"['files/p12/p12433541/s54729238/7e1f323f-a2ad8df6-c4803950-58e8a9d6-7058b48e.jpg', 'files/p12/p12433541/s54729238/809c4a11-d1261c4e-235a6150-dd8e8160-162f9980.jpg']",['files/p12/p12433541/s51466579/dd006e88-448a1c0b-b26a6a12-d597b660-cb8279f5.jpg\n']
s54729238_0,p12433541,s54729238,0,Findings,"An extensive right hilar lung mass is associated with radiation fibrosis, better delineated on CT ___. An additional component of postobstructive pneumonia may be present. Retrocardiac opacity, left pleural effusion, and left plueral thickening are also new. No pneumothorax is present.","Retrocardiac opacity, left pleural effusion, and left pleural thickening are also new.",opacity,retrocardiac,New,"['files/p12/p12433541/s54729238/7e1f323f-a2ad8df6-c4803950-58e8a9d6-7058b48e.jpg', 'files/p12/p12433541/s54729238/809c4a11-d1261c4e-235a6150-dd8e8160-162f9980.jpg']",['files/p12/p12433541/s51466579/dd006e88-448a1c0b-b26a6a12-d597b660-cb8279f5.jpg\n']
s54729238_0,p12433541,s54729238,0,Impression,"1. Large right hilar lung mass and radiation fibrosis. Additional post-obstructive pneumonia in the right upper and lower lobes is possible but hard to delineate. 2. New left retrocardiac opacity, small left effusion, and pleural thickening. Findings were discussed with ___, RN, via telephone at ___ and again with Dr ___ at ___.","New left retrocardiac opacity, small left effusion, and pleural thickening.",opacity,left retrocardiac,New,"['files/p12/p12433541/s54729238/7e1f323f-a2ad8df6-c4803950-58e8a9d6-7058b48e.jpg', 'files/p12/p12433541/s54729238/809c4a11-d1261c4e-235a6150-dd8e8160-162f9980.jpg']",['files/p12/p12433541/s51466579/dd006e88-448a1c0b-b26a6a12-d597b660-cb8279f5.jpg\n']
s54729238_0,p12433541,s54729238,0,Impression,"1. Large right hilar lung mass and radiation fibrosis. Additional post-obstructive pneumonia in the right upper and lower lobes is possible but hard to delineate. 2. New left retrocardiac opacity, small left effusion, and pleural thickening. Findings were discussed with ___, RN, via telephone at ___ and again with Dr ___ at ___.","New left retrocardiac opacity, small left effusion, and pleural thickening.",effusion,left,New,"['files/p12/p12433541/s54729238/7e1f323f-a2ad8df6-c4803950-58e8a9d6-7058b48e.jpg', 'files/p12/p12433541/s54729238/809c4a11-d1261c4e-235a6150-dd8e8160-162f9980.jpg']",['files/p12/p12433541/s51466579/dd006e88-448a1c0b-b26a6a12-d597b660-cb8279f5.jpg\n']
s54729238_0,p12433541,s54729238,0,Impression,"1. Large right hilar lung mass and radiation fibrosis. Additional post-obstructive pneumonia in the right upper and lower lobes is possible but hard to delineate. 2. New left retrocardiac opacity, small left effusion, and pleural thickening. Findings were discussed with ___, RN, via telephone at ___ and again with Dr ___ at ___.","New left retrocardiac opacity, small left effusion, and pleural thickening.",pleural thickening,left,New,"['files/p12/p12433541/s54729238/7e1f323f-a2ad8df6-c4803950-58e8a9d6-7058b48e.jpg', 'files/p12/p12433541/s54729238/809c4a11-d1261c4e-235a6150-dd8e8160-162f9980.jpg']",['files/p12/p12433541/s51466579/dd006e88-448a1c0b-b26a6a12-d597b660-cb8279f5.jpg\n']
s54729238_0,p12433541,s54729238,0,Findings,"An extensive right hilar lung mass is associated with radiation fibrosis, better delineated on CT ___. An additional component of postobstructive pneumonia may be present. Retrocardiac opacity, left pleural effusion, and left plueral thickening are also new. No pneumothorax is present.","Retrocardiac opacity, left pleural effusion, and left pleural thickening are also new.",pleural effusion,left,New,"['files/p12/p12433541/s54729238/7e1f323f-a2ad8df6-c4803950-58e8a9d6-7058b48e.jpg', 'files/p12/p12433541/s54729238/809c4a11-d1261c4e-235a6150-dd8e8160-162f9980.jpg']",['files/p12/p12433541/s51466579/dd006e88-448a1c0b-b26a6a12-d597b660-cb8279f5.jpg\n']
s54730459_73,p15131736,s54730459,73,Impression,Compared to chest radiographs ___ through ___. Severe cardiomegaly and very large pulmonary arteries are chronic. Lungs are grossly clear. No appreciable pleural effusion. Right PIC line ends in the low SVC. Esophageal drainage tube passes into the stomach and out of view.,No appreciable pleural effusion.,Pleural effusion,,Resolve,['files/p15/p15131736/s54730459/725b3b1f-cc1d9a66-0292de54-7bea58ed-5b724b75.jpg'],['files/p15/p15131736/s54626336/9b42f01f-2bbe3c2e-1348a6c8-33031532-1a82c013.jpg\n']
s54735623_11,p19061282,s54735623,11,Impression,"Stent catheters in both brachiocephalic veins, joining at the origin of the SVC, have not narrowed or migrated since ___. Severe hyperinflation reflects emphysema. Heart size is top-normal, improved since ___. There is no focal pulmonary abnormality. Previous left lower lobe atelectasis has resolved and there is no pleural effusion. Severe renal osteodystrophy is responsible for the appearance of the thoracic spine.",Previous left lower lobe atelectasis has resolved and there is no pleural effusion.,atelectasis,left lower lobe,Resolve,"['files/p19/p19061282/s54735623/e2f23bee-c794868d-634c7f86-b8fa66f9-925ef695.jpg', 'files/p19/p19061282/s54735623/e87655af-053bad7e-3bd0b4e8-0ca44de9-652ca403.jpg']",['files/p19/p19061282/s52364562/4641a697-8f606459-f9c55881-5ef83f11-ea8af252.jpg\n']
s54735623_11,p19061282,s54735623,11,Impression,"Stent catheters in both brachiocephalic veins, joining at the origin of the SVC, have not narrowed or migrated since ___. Severe hyperinflation reflects emphysema. Heart size is top-normal, improved since ___. There is no focal pulmonary abnormality. Previous left lower lobe atelectasis has resolved and there is no pleural effusion. Severe renal osteodystrophy is responsible for the appearance of the thoracic spine.","Heart size is top-normal, improved since ___.",Heart size,,Better,"['files/p19/p19061282/s54735623/e2f23bee-c794868d-634c7f86-b8fa66f9-925ef695.jpg', 'files/p19/p19061282/s54735623/e87655af-053bad7e-3bd0b4e8-0ca44de9-652ca403.jpg']",['files/p19/p19061282/s52364562/4641a697-8f606459-f9c55881-5ef83f11-ea8af252.jpg\n']
s54735623_11,p19061282,s54735623,11,Impression,"Stent catheters in both brachiocephalic veins, joining at the origin of the SVC, have not narrowed or migrated since ___. Severe hyperinflation reflects emphysema. Heart size is top-normal, improved since ___. There is no focal pulmonary abnormality. Previous left lower lobe atelectasis has resolved and there is no pleural effusion. Severe renal osteodystrophy is responsible for the appearance of the thoracic spine.","Stent catheters in both brachiocephalic veins, joining at the origin of the SVC, have not narrowed or migrated since ___.",Stent catheters,brachiocephalic veins,Stable,"['files/p19/p19061282/s54735623/e2f23bee-c794868d-634c7f86-b8fa66f9-925ef695.jpg', 'files/p19/p19061282/s54735623/e87655af-053bad7e-3bd0b4e8-0ca44de9-652ca403.jpg']",['files/p19/p19061282/s52364562/4641a697-8f606459-f9c55881-5ef83f11-ea8af252.jpg\n']
s54742755_15,p19991135,s54742755,15,Findings,Heart size is borderline enlarged but unchanged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Hyperinflation of the lungs with bullous emphysematous changes are again noted in the upper lobes. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. Right-sided rib cage deformities are chronic. Partially visualized is cervical spinal fusion hardware.,Right-sided rib cage deformities are chronic.,rib cage deformities,right-sided,Stable,"['files/p19/p19991135/s54742755/1b02ffa5-a6da06e3-9063b9ef-5e540245-c18323b5.jpg', 'files/p19/p19991135/s54742755/cbf779b0-e9d49036-6c025860-330a4708-184fb882.jpg']",['files/p19/p19991135/s54602632/715d0cdc-ddee4d9b-b5a28b77-350e1063-bc606f0d.jpg\n']
s54742755_15,p19991135,s54742755,15,Findings,Heart size is borderline enlarged but unchanged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Hyperinflation of the lungs with bullous emphysematous changes are again noted in the upper lobes. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. Right-sided rib cage deformities are chronic. Partially visualized is cervical spinal fusion hardware.,Heart size is borderline enlarged but unchanged.,borderline enlarged heart,,Stable,"['files/p19/p19991135/s54742755/1b02ffa5-a6da06e3-9063b9ef-5e540245-c18323b5.jpg', 'files/p19/p19991135/s54742755/cbf779b0-e9d49036-6c025860-330a4708-184fb882.jpg']",['files/p19/p19991135/s54602632/715d0cdc-ddee4d9b-b5a28b77-350e1063-bc606f0d.jpg\n']
s54742755_15,p19991135,s54742755,15,Findings,Heart size is borderline enlarged but unchanged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Hyperinflation of the lungs with bullous emphysematous changes are again noted in the upper lobes. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Pulmonary vasculature is normal. Right-sided rib cage deformities are chronic. Partially visualized is cervical spinal fusion hardware.,Hyperinflation of the lungs with bullous emphysematous changes are again noted in the upper lobes.,hyperinflation with bullous emphysematous changes,upper lobes,Worse,"['files/p19/p19991135/s54742755/1b02ffa5-a6da06e3-9063b9ef-5e540245-c18323b5.jpg', 'files/p19/p19991135/s54742755/cbf779b0-e9d49036-6c025860-330a4708-184fb882.jpg']",['files/p19/p19991135/s54602632/715d0cdc-ddee4d9b-b5a28b77-350e1063-bc606f0d.jpg\n']
s54745568_1,p14608347,s54745568,1,Findings,"The cardiomediastinal contours are unchanged. The lungs demonstrate improved vascular congestion. In the retrocardiac region, there is a rounded density which is confirmed on the lateral view, compatible with a hiatal hernia. There is no pleural effusion or pneumothorax.",The cardiomediastinal contours are unchanged.,cardiomediastinal contours,,Stable,"['files/p14/p14608347/s54745568/19dfecbd-0472033b-2482be22-f33c01b1-55773ffa.jpg', 'files/p14/p14608347/s54745568/310e9e4c-47270425-45970e01-10edadcc-1789ecf5.jpg', 'files/p14/p14608347/s54745568/a1c961e5-048307f2-6354c600-52da3efe-47edd590.jpg', 'files/p14/p14608347/s54745568/b99f0092-64ffe6a0-62facb39-d03443cf-248e9033.jpg']","['files/p14/p14608347/s54135185/59f7b1a5-e3b803cc-ec6d1131-1e8caefd-eed8e970.jpg\n', 'files/p14/p14608347/s54135185/659b7656-5c312fe2-6ee7299d-888e06f1-93f4d7e0.jpg\n', 'files/p14/p14608347/s54135185/dfd7957a-264424c1-2d9c4a61-2b5aa381-f6983154.jpg\n']"
s54745568_1,p14608347,s54745568,1,Findings,"The cardiomediastinal contours are unchanged. The lungs demonstrate improved vascular congestion. In the retrocardiac region, there is a rounded density which is confirmed on the lateral view, compatible with a hiatal hernia. There is no pleural effusion or pneumothorax.",The lungs demonstrate improved vascular congestion.,vascular congestion,,Better,"['files/p14/p14608347/s54745568/19dfecbd-0472033b-2482be22-f33c01b1-55773ffa.jpg', 'files/p14/p14608347/s54745568/310e9e4c-47270425-45970e01-10edadcc-1789ecf5.jpg', 'files/p14/p14608347/s54745568/a1c961e5-048307f2-6354c600-52da3efe-47edd590.jpg', 'files/p14/p14608347/s54745568/b99f0092-64ffe6a0-62facb39-d03443cf-248e9033.jpg']","['files/p14/p14608347/s54135185/59f7b1a5-e3b803cc-ec6d1131-1e8caefd-eed8e970.jpg\n', 'files/p14/p14608347/s54135185/659b7656-5c312fe2-6ee7299d-888e06f1-93f4d7e0.jpg\n', 'files/p14/p14608347/s54135185/dfd7957a-264424c1-2d9c4a61-2b5aa381-f6983154.jpg\n']"
s54749599_17,p11569093,s54749599,17,Impression,"AP chest compared to ___ through ___. There is still a large right pleural fluid collection, now with a smaller component of air, at the base of the right lung which is severely restricted by severe pleural thickening which has worsened along the costal and particularly along the right mediastinal pleural surface. It would be helpful in our evaluation to know whether the nature of the right pleural effusion was infectious, malignant, are otherwise inflammatory. Left lung is well inflated and clear. Heart is not enlarged. Vascular clips denote prior surgery at the level of the gastroesophageal junction.","There is still a large right pleural fluid collection, now with a smaller component of air, at the base of the right lung which is severely restricted by severe pleural thickening which has worsened along the costal and particularly along the right mediastinal pleural surface.",pleural fluid collection,right lung base,Worse,"['files/p11/p11569093/s54749599/4a15096e-ded396cd-2f74c587-afc7d7b0-c226c5cb.jpg', 'files/p11/p11569093/s54749599/5ab71143-d2a565ba-27ff9ac9-78770ac7-c74020d9.jpg']",['files/p11/p11569093/s54721804/d87efb8c-2b6c913c-52f20a43-a8cbf2ba-2b20410d.jpg\n']
s54753684_4,p13979643,s54753684,4,Findings,"There is mild pulmonary vascular congestion. A subtle ill-defined opacity in the right upper lung may reflect overlapping shadows, though an underlying parenchymal process may be present. Follow-up radiographs are recommended to assess for interval change. Linear scarring within the right mid lung is unchanged from prior. Linear opacities within the bilateral lung bases likely reflect areas of subsegmental atelectasis. There is stable mild elevation of the left hemidiaphragm, unchanged from prior. The thoracic aorta is tortuous. Cardiomediastinal and hilar contours are within normal limits.","There is stable mild elevation of the left hemidiaphragm, unchanged from prior.",mild elevation of the hemidiaphragm,Left,Stable,"['files/p13/p13979643/s54753684/2ff152b9-2b4549f1-9fc64fbd-baf8d8e4-cafcdbee.jpg', 'files/p13/p13979643/s54753684/ab2de298-ded88235-d07642c2-25f1fa59-af01ed92.jpg']",['files/p13/p13979643/s54505002/dc4cccd3-1c855845-e52e1419-7da6cc73-c40f3f5b.jpg\n']
s54753684_4,p13979643,s54753684,4,Findings,"There is mild pulmonary vascular congestion. A subtle ill-defined opacity in the right upper lung may reflect overlapping shadows, though an underlying parenchymal process may be present. Follow-up radiographs are recommended to assess for interval change. Linear scarring within the right mid lung is unchanged from prior. Linear opacities within the bilateral lung bases likely reflect areas of subsegmental atelectasis. There is stable mild elevation of the left hemidiaphragm, unchanged from prior. The thoracic aorta is tortuous. Cardiomediastinal and hilar contours are within normal limits.",Linear scarring within the right mid lung is unchanged from prior.,linear scarring,Right mid lung,Stable,"['files/p13/p13979643/s54753684/2ff152b9-2b4549f1-9fc64fbd-baf8d8e4-cafcdbee.jpg', 'files/p13/p13979643/s54753684/ab2de298-ded88235-d07642c2-25f1fa59-af01ed92.jpg']",['files/p13/p13979643/s54505002/dc4cccd3-1c855845-e52e1419-7da6cc73-c40f3f5b.jpg\n']
s54770541_31,p15259244,s54770541,31,Impression,"Right internal jugular central venous catheter tip in the SVC. No interval change in mild pulmonary edema with continued left basilar consolidation possibly reflecting atelectasis or infection, with small bilateral pleural effusions.","No interval change in mild pulmonary edema with continued left basilar consolidation possibly reflecting atelectasis or infection, with small bilateral pleural effusions.",consolidation,left basilar,Stable,['files/p15/p15259244/s54770541/b267e44d-493a0dca-420b4fd5-a91a1026-c3386cac.jpg'],['files/p15/p15259244/s54756918/641cc7ad-8d3dc0c6-ee97f6e1-7bf62c19-d12ac7bd.jpg\n']
s54770541_31,p15259244,s54770541,31,Findings,"Right internal jugular central venous catheter tip terminates in the SVC. No pneumothorax is present. Patient is status post median sternotomy, CABG, and mitral valve repair. There is continued opacification of the left lung base. Small bilateral pleural effusions, left greater than right are again noted. There is mild pulmonary edema. Subacute left posterior third rib fracture is present. Streaky opacity in the right lung base may reflect atelectasis.",There is continued opacification of the left lung base.,opacification,left lung base,Stable,['files/p15/p15259244/s54770541/b267e44d-493a0dca-420b4fd5-a91a1026-c3386cac.jpg'],['files/p15/p15259244/s54756918/641cc7ad-8d3dc0c6-ee97f6e1-7bf62c19-d12ac7bd.jpg\n']
s54770541_31,p15259244,s54770541,31,Findings,"Right internal jugular central venous catheter tip terminates in the SVC. No pneumothorax is present. Patient is status post median sternotomy, CABG, and mitral valve repair. There is continued opacification of the left lung base. Small bilateral pleural effusions, left greater than right are again noted. There is mild pulmonary edema. Subacute left posterior third rib fracture is present. Streaky opacity in the right lung base may reflect atelectasis.","Small bilateral pleural effusions, left greater than right are again noted.",pleural effusions,bilateral,Stable,['files/p15/p15259244/s54770541/b267e44d-493a0dca-420b4fd5-a91a1026-c3386cac.jpg'],['files/p15/p15259244/s54756918/641cc7ad-8d3dc0c6-ee97f6e1-7bf62c19-d12ac7bd.jpg\n']
s54773340_2,p10449297,s54773340,2,Findings,"Comparison is made to ___. In comparison to prior exam, there is increase in the vascular markings consistent with cardiac failure. No sizeable pleural effusion. Cardiomediastinal silhouette is top normal in size. The lungs show no focal opacities concerning for an infectious process. Compression deformity at approximate T12 vertebrae.","In comparison to prior exam, there is increase in the vascular markings consistent with cardiac failure.",vascular markings,,Worse,"['files/p10/p10449297/s54773340/c030b6d3-bd30c805-6a5b4a1c-43939f5d-e533cace.jpg', 'files/p10/p10449297/s54773340/c11e9140-f4243636-254f1c94-23fa1f6b-4efd76bf.jpg']",['files/p10/p10449297/s54721755/2c7390b4-a9b82059-5a1fef21-94d721ee-f062ceb8.jpg\n']
s54780158_17,p14387068,s54780158,17,Impression,"1. New right pigtail catheter. 2. No evidence for significant change in right hydropneumothorax. 3. Focal opacity in left upper lobe, most likely pneumonia. 4. Findings suggesting mild pulmonary vascular congestion.","Focal opacity in left upper lobe, most likely pneumonia.",pneumonia,left upper lobe,Stable,"['files/p14/p14387068/s54780158/5adb8dc5-cc0be2b2-f5d5f0bb-4a9d8751-64970b13.jpg', 'files/p14/p14387068/s54780158/859fa416-f6343ef9-59e07aef-7332f765-4e2be7d0.jpg']",['files/p14/p14387068/s54518631/647aafbc-96122ceb-7150d6ce-c281d11c-148e092c.jpg\n']
s54780158_17,p14387068,s54780158,17,Impression,"1. New right pigtail catheter. 2. No evidence for significant change in right hydropneumothorax. 3. Focal opacity in left upper lobe, most likely pneumonia. 4. Findings suggesting mild pulmonary vascular congestion.",No evidence for significant change in right hydropneumothorax.,hydropneumothorax,right,Stable,"['files/p14/p14387068/s54780158/5adb8dc5-cc0be2b2-f5d5f0bb-4a9d8751-64970b13.jpg', 'files/p14/p14387068/s54780158/859fa416-f6343ef9-59e07aef-7332f765-4e2be7d0.jpg']",['files/p14/p14387068/s54518631/647aafbc-96122ceb-7150d6ce-c281d11c-148e092c.jpg\n']
s54780158_17,p14387068,s54780158,17,Impression,"1. New right pigtail catheter. 2. No evidence for significant change in right hydropneumothorax. 3. Focal opacity in left upper lobe, most likely pneumonia. 4. Findings suggesting mild pulmonary vascular congestion.",New right pigtail catheter.,pigtail catheter,right,New,"['files/p14/p14387068/s54780158/5adb8dc5-cc0be2b2-f5d5f0bb-4a9d8751-64970b13.jpg', 'files/p14/p14387068/s54780158/859fa416-f6343ef9-59e07aef-7332f765-4e2be7d0.jpg']",['files/p14/p14387068/s54518631/647aafbc-96122ceb-7150d6ce-c281d11c-148e092c.jpg\n']
s54780158_17,p14387068,s54780158,17,Findings,There is a new right pigtail catheter in the right lower hemithorax. The large right hydropneumothorax appears essentially unchanged from the prior exam within the limitations of technique. Bilateral hazy opacification is suggestive of mild pulmonary edema. Focal opacity in left upper lobe is consistent with pneumonia and similar to the prior study. NG tube is seen terminating in the stomach. Cardiomediastinal silhouette is stable.,Focal opacity in left upper lobe is consistent with pneumonia and similar to the prior study.,pneumonia,left upper lobe,Stable,"['files/p14/p14387068/s54780158/5adb8dc5-cc0be2b2-f5d5f0bb-4a9d8751-64970b13.jpg', 'files/p14/p14387068/s54780158/859fa416-f6343ef9-59e07aef-7332f765-4e2be7d0.jpg']",['files/p14/p14387068/s54518631/647aafbc-96122ceb-7150d6ce-c281d11c-148e092c.jpg\n']
s54780158_17,p14387068,s54780158,17,Findings,There is a new right pigtail catheter in the right lower hemithorax. The large right hydropneumothorax appears essentially unchanged from the prior exam within the limitations of technique. Bilateral hazy opacification is suggestive of mild pulmonary edema. Focal opacity in left upper lobe is consistent with pneumonia and similar to the prior study. NG tube is seen terminating in the stomach. Cardiomediastinal silhouette is stable.,The large right hydropneumothorax appears essentially unchanged from the prior exam within the limitations of technique.,hydropneumothorax,right,Stable,"['files/p14/p14387068/s54780158/5adb8dc5-cc0be2b2-f5d5f0bb-4a9d8751-64970b13.jpg', 'files/p14/p14387068/s54780158/859fa416-f6343ef9-59e07aef-7332f765-4e2be7d0.jpg']",['files/p14/p14387068/s54518631/647aafbc-96122ceb-7150d6ce-c281d11c-148e092c.jpg\n']
s54780158_17,p14387068,s54780158,17,Findings,There is a new right pigtail catheter in the right lower hemithorax. The large right hydropneumothorax appears essentially unchanged from the prior exam within the limitations of technique. Bilateral hazy opacification is suggestive of mild pulmonary edema. Focal opacity in left upper lobe is consistent with pneumonia and similar to the prior study. NG tube is seen terminating in the stomach. Cardiomediastinal silhouette is stable.,There is a new right pigtail catheter in the right lower hemithorax.,pigtail catheter,right lower hemithorax,New,"['files/p14/p14387068/s54780158/5adb8dc5-cc0be2b2-f5d5f0bb-4a9d8751-64970b13.jpg', 'files/p14/p14387068/s54780158/859fa416-f6343ef9-59e07aef-7332f765-4e2be7d0.jpg']",['files/p14/p14387068/s54518631/647aafbc-96122ceb-7150d6ce-c281d11c-148e092c.jpg\n']
s54780158_17,p14387068,s54780158,17,Findings,There is a new right pigtail catheter in the right lower hemithorax. The large right hydropneumothorax appears essentially unchanged from the prior exam within the limitations of technique. Bilateral hazy opacification is suggestive of mild pulmonary edema. Focal opacity in left upper lobe is consistent with pneumonia and similar to the prior study. NG tube is seen terminating in the stomach. Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette is stable.,cardiomediastinal silhouette,,Stable,"['files/p14/p14387068/s54780158/5adb8dc5-cc0be2b2-f5d5f0bb-4a9d8751-64970b13.jpg', 'files/p14/p14387068/s54780158/859fa416-f6343ef9-59e07aef-7332f765-4e2be7d0.jpg']",['files/p14/p14387068/s54518631/647aafbc-96122ceb-7150d6ce-c281d11c-148e092c.jpg\n']
s54783326_4,p13353878,s54783326,4,Findings,AP and lateral views of the chest. Right PICC is no longer visualized. The lungs are clear of consolidation or effusion. Cardiac silhouette is enlarged but stable. All left posterior 7th rib fracture is identified. Atherosclerotic calcifications noted at the aortic arch.,Cardiac silhouette is enlarged but stable.,enlarged,Cardiac silhouette,Stable,"['files/p13/p13353878/s54783326/1a81259c-493d3b3c-de7e0965-b13a0f4c-d813d91d.jpg', 'files/p13/p13353878/s54783326/870c3a6b-22260d8a-f0ecaac8-e6be45f3-8789795e.jpg', 'files/p13/p13353878/s54783326/8e4f1e80-f399aae7-0d76204f-8cb99fb9-e837fe04.jpg']",
s54783326_4,p13353878,s54783326,4,Findings,AP and lateral views of the chest. Right PICC is no longer visualized. The lungs are clear of consolidation or effusion. Cardiac silhouette is enlarged but stable. All left posterior 7th rib fracture is identified. Atherosclerotic calcifications noted at the aortic arch.,Right PICC is no longer visualized.,PICC,Right,Resolve,"['files/p13/p13353878/s54783326/1a81259c-493d3b3c-de7e0965-b13a0f4c-d813d91d.jpg', 'files/p13/p13353878/s54783326/870c3a6b-22260d8a-f0ecaac8-e6be45f3-8789795e.jpg', 'files/p13/p13353878/s54783326/8e4f1e80-f399aae7-0d76204f-8cb99fb9-e837fe04.jpg']",
s54793306_33,p16043637,s54793306,33,Findings,Patient is status post median sternotomy and cardiac valve replacement. Dual lead left-sided pacemaker stable in position. A right Port-A-Cath terminates in the low SVC without evidence of pneumothorax. No focal consolidation or pleural effusion is seen. There is minimal lateral right basilar atelectasis/scarring. No pulmonary edema is seen. The cardiac and mediastinal silhouettes are stable.,The cardiac and mediastinal silhouettes are stable.,silhouettes,cardiac and mediastinal,Stable,"['files/p16/p16043637/s54793306/694f4d8b-a3f0bd59-596ca105-6de49d58-7de152c6.jpg', 'files/p16/p16043637/s54793306/c9696dea-5c1429f6-f7f379f6-a8b0af2c-8d29d931.jpg']",['files/p16/p16043637/s54280501/bc25fa99-0d3766cc-7704edb7-5c7a4a63-dc65480a.jpg\n']
s54793306_33,p16043637,s54793306,33,Findings,Patient is status post median sternotomy and cardiac valve replacement. Dual lead left-sided pacemaker stable in position. A right Port-A-Cath terminates in the low SVC without evidence of pneumothorax. No focal consolidation or pleural effusion is seen. There is minimal lateral right basilar atelectasis/scarring. No pulmonary edema is seen. The cardiac and mediastinal silhouettes are stable.,Dual lead left-sided pacemaker stable in position.,Dual lead pacemaker,left-sided,Stable,"['files/p16/p16043637/s54793306/694f4d8b-a3f0bd59-596ca105-6de49d58-7de152c6.jpg', 'files/p16/p16043637/s54793306/c9696dea-5c1429f6-f7f379f6-a8b0af2c-8d29d931.jpg']",['files/p16/p16043637/s54280501/bc25fa99-0d3766cc-7704edb7-5c7a4a63-dc65480a.jpg\n']
s54806202_0,p19623993,s54806202,0,Findings,"In comparison with the study of ___, there is continued pulmonary vascular congestion. Increased opacification at the bases, especially on the right, could merely reflect atelectasis in a patient with low lung volumes. However, the possibility of superimposed aspiration would have to be considered in the appropriate clinical setting. Monitoring and support devices remain in place.","In comparison with the study of ___, there is continued pulmonary vascular congestion.",pulmonary vascular congestion,,Stable,['files/p19/p19623993/s54806202/34395a9b-ad2db3ef-2c80999f-d0c5077b-42fb9957.jpg'],"['files/p19/p19623993/s54625738/0f257273-0fa8c76f-737b4a98-eedda2aa-44d82e39.jpg\n', 'files/p19/p19623993/s54625738/13e67075-19ffe93c-e24d6601-d1d92120-f69369f2.jpg\n']"
s54806202_0,p19623993,s54806202,0,Findings,"In comparison with the study of ___, there is continued pulmonary vascular congestion. Increased opacification at the bases, especially on the right, could merely reflect atelectasis in a patient with low lung volumes. However, the possibility of superimposed aspiration would have to be considered in the appropriate clinical setting. Monitoring and support devices remain in place.",Monitoring and support devices remain in place.,Monitoring and support devices,,Stable,['files/p19/p19623993/s54806202/34395a9b-ad2db3ef-2c80999f-d0c5077b-42fb9957.jpg'],"['files/p19/p19623993/s54625738/0f257273-0fa8c76f-737b4a98-eedda2aa-44d82e39.jpg\n', 'files/p19/p19623993/s54625738/13e67075-19ffe93c-e24d6601-d1d92120-f69369f2.jpg\n']"
s54808796_6,p17318449,s54808796,6,Findings,"Lung volumes are low resulting in bronchovascular crowding. There is mild pulmonary vascular congestion, though no overt interstitial edema. No confluent consolidation is identified. There is no pneumothorax. Cardiomediastinal and hilar contours are within normal limits. Mild cardiomegaly is unchanged from prior. Median sternotomy wires from prior CABG appear grossly intact on this frontal chest radiograph.",Mild cardiomegaly is unchanged from prior.,mild cardiomegaly,,Stable,['files/p17/p17318449/s54808796/a13f355f-dafd65c3-ab50b75f-03d32b03-0a659e44.jpg'],"['files/p17/p17318449/s53591854/569088a8-74656732-c1598d15-be78951b-11ca6d73.jpg\n', 'files/p17/p17318449/s53591854/620749b0-65543474-81e34b55-e58aadc3-68e30cbf.jpg\n', 'files/p17/p17318449/s53591854/fd6e4f88-f10a601f-5ab99df7-15c792e7-3edf3e2c.jpg\n']"
s54808796_6,p17318449,s54808796,6,Impression,"1. Mild pulmonary vascular congestion, though no overt interstitial edema 2. Unchanged mild cardiomegaly","1. Mild pulmonary vascular congestion, though no overt interstitial edema 2. Unchanged mild cardiomegaly",mild cardiomegaly,,Stable,['files/p17/p17318449/s54808796/a13f355f-dafd65c3-ab50b75f-03d32b03-0a659e44.jpg'],"['files/p17/p17318449/s53591854/569088a8-74656732-c1598d15-be78951b-11ca6d73.jpg\n', 'files/p17/p17318449/s53591854/620749b0-65543474-81e34b55-e58aadc3-68e30cbf.jpg\n', 'files/p17/p17318449/s53591854/fd6e4f88-f10a601f-5ab99df7-15c792e7-3edf3e2c.jpg\n']"
s54809707_0,p17318449,s54809707,0,Findings,"Frontal and lateral views of the chest are obtained. The patient is status post median sternotomy. The cardiac and mediastinal silhouettes are stable. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Evidence of DISH is seen along the thoracic spine.",The cardiac and mediastinal silhouettes are stable.,silhouettes,Cardiac and mediastinal,Stable,"['files/p17/p17318449/s54809707/80b3c768-af7774d2-b929f0f3-cc00f7e1-a8bb88eb.jpg', 'files/p17/p17318449/s54809707/90e69875-9ab9608a-dcf7955e-bb4cbfdd-fb8b978c.jpg', 'files/p17/p17318449/s54809707/e91b1003-a8c28551-e5e8a4b9-5eb4b147-3de2e6ab.jpg']",['files/p17/p17318449/s54808796/a13f355f-dafd65c3-ab50b75f-03d32b03-0a659e44.jpg\n']
s54821838_7,p18929056,s54821838,7,Impression,"In comparison with the study of ___, there again is hyperexpansion of the lungs with flattening hemidiaphragms consistent with chronic pulmonary disease. Cardiac silhouette is mildly enlarged with tortuosity of the DA or tele. Dual-channel pacer device has leads extending to the right atrium and apex of the right ventricle. No evidence of pulmonary vascular congestion. Streak of atelectasis is seen at the right base.","In comparison with the study of ___, there again is hyperexpansion of the lungs with flattening hemidiaphragms consistent with chronic pulmonary disease.",hyperexpansion,lungs,Stable,"['files/p18/p18929056/s54821838/1fa9db19-c22034b0-455e5a23-742ae17a-4fd50560.jpg', 'files/p18/p18929056/s54821838/2e63cbea-9e89b6ef-7aa9d94c-5c2f5dbd-2969f6e4.jpg']","['files/p18/p18929056/s54801364/94c11798-961e79c2-6916a44a-2f90e301-46fa937d.jpg\n', 'files/p18/p18929056/s54801364/cd0f28bf-ef9ca7fd-222d9446-2a62151e-8b8f43ab.jpg\n']"
s54823444_0,p16055653,s54823444,0,Impression,1. Persistent consolidation in the right lower lung worrisome for pneumonia. Follow-up radiographs are recommended to show resolution within eight weeks. 2. Findings suggesting mild vascular congestion but seemingly improved.,Findings suggesting mild vascular congestion but seemingly improved.,vascular congestion,,Better,['files/p16/p16055653/s54823444/e2706168-aad7b524-06ccdf55-031e9a4f-5c0bdcb8.jpg'],"['files/p16/p16055653/s51069079/8e149da2-2dbbcfe5-fbd731aa-9f1582b8-4c08fb8b.jpg\n', 'files/p16/p16055653/s51069079/de44206d-3a107422-191fdf32-35511457-92f6967c.jpg\n']"
s54823444_0,p16055653,s54823444,0,Findings,"The tip of a right-sided PICC line is difficult to visualize but is probably unchanged. The lung volumes remain low. There is an extensive consolidation in the right lower lung, probably in the right lower lobe. The appearance is fairly similar to the more recent prior radiographs allowing for differences in technique although pulmonary vasculature is somewhat less prominent. It is difficult to exclude small pleural effusions but no definite pleural effusion is seen. The cardiac, mediastinal and hilar contours appear unchanged, including cardiac enlargement.",The tip of a right-sided PICC line is difficult to visualize but is probably unchanged.,PICC line,right-sided,Stable,['files/p16/p16055653/s54823444/e2706168-aad7b524-06ccdf55-031e9a4f-5c0bdcb8.jpg'],"['files/p16/p16055653/s51069079/8e149da2-2dbbcfe5-fbd731aa-9f1582b8-4c08fb8b.jpg\n', 'files/p16/p16055653/s51069079/de44206d-3a107422-191fdf32-35511457-92f6967c.jpg\n']"
s54823444_0,p16055653,s54823444,0,Findings,"The tip of a right-sided PICC line is difficult to visualize but is probably unchanged. The lung volumes remain low. There is an extensive consolidation in the right lower lung, probably in the right lower lobe. The appearance is fairly similar to the more recent prior radiographs allowing for differences in technique although pulmonary vasculature is somewhat less prominent. It is difficult to exclude small pleural effusions but no definite pleural effusion is seen. The cardiac, mediastinal and hilar contours appear unchanged, including cardiac enlargement.","The cardiac, mediastinal and hilar contours appear unchanged, including cardiac enlargement.","cardiac, mediastinal and hilar contours",,Stable,['files/p16/p16055653/s54823444/e2706168-aad7b524-06ccdf55-031e9a4f-5c0bdcb8.jpg'],"['files/p16/p16055653/s51069079/8e149da2-2dbbcfe5-fbd731aa-9f1582b8-4c08fb8b.jpg\n', 'files/p16/p16055653/s51069079/de44206d-3a107422-191fdf32-35511457-92f6967c.jpg\n']"
s54823444_0,p16055653,s54823444,0,Findings,"The tip of a right-sided PICC line is difficult to visualize but is probably unchanged. The lung volumes remain low. There is an extensive consolidation in the right lower lung, probably in the right lower lobe. The appearance is fairly similar to the more recent prior radiographs allowing for differences in technique although pulmonary vasculature is somewhat less prominent. It is difficult to exclude small pleural effusions but no definite pleural effusion is seen. The cardiac, mediastinal and hilar contours appear unchanged, including cardiac enlargement.",The appearance is fairly similar to the more recent prior radiographs allowing for differences in technique although pulmonary vasculature is somewhat less prominent.,appearance,,Stable,['files/p16/p16055653/s54823444/e2706168-aad7b524-06ccdf55-031e9a4f-5c0bdcb8.jpg'],"['files/p16/p16055653/s51069079/8e149da2-2dbbcfe5-fbd731aa-9f1582b8-4c08fb8b.jpg\n', 'files/p16/p16055653/s51069079/de44206d-3a107422-191fdf32-35511457-92f6967c.jpg\n']"
s54823444_0,p16055653,s54823444,0,Findings,"The tip of a right-sided PICC line is difficult to visualize but is probably unchanged. The lung volumes remain low. There is an extensive consolidation in the right lower lung, probably in the right lower lobe. The appearance is fairly similar to the more recent prior radiographs allowing for differences in technique although pulmonary vasculature is somewhat less prominent. It is difficult to exclude small pleural effusions but no definite pleural effusion is seen. The cardiac, mediastinal and hilar contours appear unchanged, including cardiac enlargement.",The lung volumes remain low.,low lung volumes,,Stable,['files/p16/p16055653/s54823444/e2706168-aad7b524-06ccdf55-031e9a4f-5c0bdcb8.jpg'],"['files/p16/p16055653/s51069079/8e149da2-2dbbcfe5-fbd731aa-9f1582b8-4c08fb8b.jpg\n', 'files/p16/p16055653/s51069079/de44206d-3a107422-191fdf32-35511457-92f6967c.jpg\n']"
s54826768_10,p16360107,s54826768,10,Findings,There are low lung volumes. Again seen bilateral loculated pleural effusions and right base opacity which may be due to atelectasis. There is persistent elevation of the right hemidiaphragm. The cardiac and mediastinal silhouettes are grossly stable. Patient is status post median sternotomy with the superior two most wires again seen to be fractured/ deshiscence.,Again seen bilateral loculated pleural effusions and right base opacity which may be due to atelectasis.,opacity,right base,Stable,"['files/p16/p16360107/s54826768/1c6b6253-4298b326-603a70e5-89968c12-4c6900f8.jpg', 'files/p16/p16360107/s54826768/cc9097d1-f7a1ebc5-aaf716e9-769e9776-3e93e11b.jpg']","['files/p16/p16360107/s53942185/1d2210f4-4ee82b62-33bb0a65-95c1445f-149d7a7f.jpg\n', 'files/p16/p16360107/s53942185/b900fc21-dda79088-8dc65796-63160053-790a5628.jpg\n']"
s54826768_10,p16360107,s54826768,10,Findings,There are low lung volumes. Again seen bilateral loculated pleural effusions and right base opacity which may be due to atelectasis. There is persistent elevation of the right hemidiaphragm. The cardiac and mediastinal silhouettes are grossly stable. Patient is status post median sternotomy with the superior two most wires again seen to be fractured/ deshiscence.,There is persistent elevation of the right hemidiaphragm.,elevation of the hemidiaphragm,right,Stable,"['files/p16/p16360107/s54826768/1c6b6253-4298b326-603a70e5-89968c12-4c6900f8.jpg', 'files/p16/p16360107/s54826768/cc9097d1-f7a1ebc5-aaf716e9-769e9776-3e93e11b.jpg']","['files/p16/p16360107/s53942185/1d2210f4-4ee82b62-33bb0a65-95c1445f-149d7a7f.jpg\n', 'files/p16/p16360107/s53942185/b900fc21-dda79088-8dc65796-63160053-790a5628.jpg\n']"
s54826768_10,p16360107,s54826768,10,Findings,There are low lung volumes. Again seen bilateral loculated pleural effusions and right base opacity which may be due to atelectasis. There is persistent elevation of the right hemidiaphragm. The cardiac and mediastinal silhouettes are grossly stable. Patient is status post median sternotomy with the superior two most wires again seen to be fractured/ deshiscence.,The cardiac and mediastinal silhouettes are grossly stable.,cardiac and mediastinal silhouettes,,Stable,"['files/p16/p16360107/s54826768/1c6b6253-4298b326-603a70e5-89968c12-4c6900f8.jpg', 'files/p16/p16360107/s54826768/cc9097d1-f7a1ebc5-aaf716e9-769e9776-3e93e11b.jpg']","['files/p16/p16360107/s53942185/1d2210f4-4ee82b62-33bb0a65-95c1445f-149d7a7f.jpg\n', 'files/p16/p16360107/s53942185/b900fc21-dda79088-8dc65796-63160053-790a5628.jpg\n']"
s54826768_10,p16360107,s54826768,10,Findings,There are low lung volumes. Again seen bilateral loculated pleural effusions and right base opacity which may be due to atelectasis. There is persistent elevation of the right hemidiaphragm. The cardiac and mediastinal silhouettes are grossly stable. Patient is status post median sternotomy with the superior two most wires again seen to be fractured/ deshiscence.,Patient is status post median sternotomy with the superior two most wires again seen to be fractured/ deshiscence.,fractured/deshiscence wires,superior,Stable,"['files/p16/p16360107/s54826768/1c6b6253-4298b326-603a70e5-89968c12-4c6900f8.jpg', 'files/p16/p16360107/s54826768/cc9097d1-f7a1ebc5-aaf716e9-769e9776-3e93e11b.jpg']","['files/p16/p16360107/s53942185/1d2210f4-4ee82b62-33bb0a65-95c1445f-149d7a7f.jpg\n', 'files/p16/p16360107/s53942185/b900fc21-dda79088-8dc65796-63160053-790a5628.jpg\n']"
s54826768_10,p16360107,s54826768,10,Impression,Again seen bilateral loculated pleural effusions and right base opacity which may be due to atelectasis. Persistent elevation of the right hemidiaphragm.,Persistent elevation of the right hemidiaphragm.,elevation of the hemidiaphragm,right,Stable,"['files/p16/p16360107/s54826768/1c6b6253-4298b326-603a70e5-89968c12-4c6900f8.jpg', 'files/p16/p16360107/s54826768/cc9097d1-f7a1ebc5-aaf716e9-769e9776-3e93e11b.jpg']","['files/p16/p16360107/s53942185/1d2210f4-4ee82b62-33bb0a65-95c1445f-149d7a7f.jpg\n', 'files/p16/p16360107/s53942185/b900fc21-dda79088-8dc65796-63160053-790a5628.jpg\n']"
s54826768_10,p16360107,s54826768,10,Findings,There are low lung volumes. Again seen bilateral loculated pleural effusions and right base opacity which may be due to atelectasis. There is persistent elevation of the right hemidiaphragm. The cardiac and mediastinal silhouettes are grossly stable. Patient is status post median sternotomy with the superior two most wires again seen to be fractured/ deshiscence.,Again seen bilateral loculated pleural effusions and right base opacity which may be due to atelectasis.,loculated pleural effusions,bilateral,Stable,"['files/p16/p16360107/s54826768/1c6b6253-4298b326-603a70e5-89968c12-4c6900f8.jpg', 'files/p16/p16360107/s54826768/cc9097d1-f7a1ebc5-aaf716e9-769e9776-3e93e11b.jpg']","['files/p16/p16360107/s53942185/1d2210f4-4ee82b62-33bb0a65-95c1445f-149d7a7f.jpg\n', 'files/p16/p16360107/s53942185/b900fc21-dda79088-8dc65796-63160053-790a5628.jpg\n']"
s54826768_10,p16360107,s54826768,10,Impression,Again seen bilateral loculated pleural effusions and right base opacity which may be due to atelectasis. Persistent elevation of the right hemidiaphragm.,Again seen bilateral loculated pleural effusions and right base opacity which may be due to atelectasis.,loculated pleural effusions,bilateral,Stable,"['files/p16/p16360107/s54826768/1c6b6253-4298b326-603a70e5-89968c12-4c6900f8.jpg', 'files/p16/p16360107/s54826768/cc9097d1-f7a1ebc5-aaf716e9-769e9776-3e93e11b.jpg']","['files/p16/p16360107/s53942185/1d2210f4-4ee82b62-33bb0a65-95c1445f-149d7a7f.jpg\n', 'files/p16/p16360107/s53942185/b900fc21-dda79088-8dc65796-63160053-790a5628.jpg\n']"
s54826768_10,p16360107,s54826768,10,Impression,Again seen bilateral loculated pleural effusions and right base opacity which may be due to atelectasis. Persistent elevation of the right hemidiaphragm.,Again seen bilateral loculated pleural effusions and right base opacity which may be due to atelectasis.,opacity,right base,Stable,"['files/p16/p16360107/s54826768/1c6b6253-4298b326-603a70e5-89968c12-4c6900f8.jpg', 'files/p16/p16360107/s54826768/cc9097d1-f7a1ebc5-aaf716e9-769e9776-3e93e11b.jpg']","['files/p16/p16360107/s53942185/1d2210f4-4ee82b62-33bb0a65-95c1445f-149d7a7f.jpg\n', 'files/p16/p16360107/s53942185/b900fc21-dda79088-8dc65796-63160053-790a5628.jpg\n']"
s54830140_30,p13475033,s54830140,30,Findings,PA and lateral views of the chest were provided. The heart remains mildly enlarged. There is mild interstitial pulmonary edema which is similar to prior exam. No large effusion is seen. Eventration of the right hemidiaphragm is noted. Mediastinal contour is stable. No focal consolidation suggestive of pneumonia. The bony structures appear intact. No free air below the right hemidiaphragm. Aortic calcifications are again noted.,Mediastinal contour is stable.,mediastinal contour,,Stable,"['files/p13/p13475033/s54830140/62906443-360748c7-e0d0df5b-ead155a8-9939a402.jpg', 'files/p13/p13475033/s54830140/fd6d0847-90e245d6-5e8b9257-3f6a857c-cc3dccc6.jpg']","['files/p13/p13475033/s54655485/69392c89-8fa3a6e8-6c3bc53f-f09b09e2-a33a44e3.jpg\n', 'files/p13/p13475033/s54655485/aec5242c-9563e40f-fd56a8ff-2b9d80e7-e3ad7681.jpg\n']"
s54830140_30,p13475033,s54830140,30,Findings,PA and lateral views of the chest were provided. The heart remains mildly enlarged. There is mild interstitial pulmonary edema which is similar to prior exam. No large effusion is seen. Eventration of the right hemidiaphragm is noted. Mediastinal contour is stable. No focal consolidation suggestive of pneumonia. The bony structures appear intact. No free air below the right hemidiaphragm. Aortic calcifications are again noted.,The heart remains mildly enlarged.,mild cardiomegaly,,Stable,"['files/p13/p13475033/s54830140/62906443-360748c7-e0d0df5b-ead155a8-9939a402.jpg', 'files/p13/p13475033/s54830140/fd6d0847-90e245d6-5e8b9257-3f6a857c-cc3dccc6.jpg']","['files/p13/p13475033/s54655485/69392c89-8fa3a6e8-6c3bc53f-f09b09e2-a33a44e3.jpg\n', 'files/p13/p13475033/s54655485/aec5242c-9563e40f-fd56a8ff-2b9d80e7-e3ad7681.jpg\n']"
s54830140_30,p13475033,s54830140,30,Findings,PA and lateral views of the chest were provided. The heart remains mildly enlarged. There is mild interstitial pulmonary edema which is similar to prior exam. No large effusion is seen. Eventration of the right hemidiaphragm is noted. Mediastinal contour is stable. No focal consolidation suggestive of pneumonia. The bony structures appear intact. No free air below the right hemidiaphragm. Aortic calcifications are again noted.,There is mild interstitial pulmonary edema which is similar to prior exam.,mild interstitial pulmonary edema,,Stable,"['files/p13/p13475033/s54830140/62906443-360748c7-e0d0df5b-ead155a8-9939a402.jpg', 'files/p13/p13475033/s54830140/fd6d0847-90e245d6-5e8b9257-3f6a857c-cc3dccc6.jpg']","['files/p13/p13475033/s54655485/69392c89-8fa3a6e8-6c3bc53f-f09b09e2-a33a44e3.jpg\n', 'files/p13/p13475033/s54655485/aec5242c-9563e40f-fd56a8ff-2b9d80e7-e3ad7681.jpg\n']"
s54830140_30,p13475033,s54830140,30,Findings,PA and lateral views of the chest were provided. The heart remains mildly enlarged. There is mild interstitial pulmonary edema which is similar to prior exam. No large effusion is seen. Eventration of the right hemidiaphragm is noted. Mediastinal contour is stable. No focal consolidation suggestive of pneumonia. The bony structures appear intact. No free air below the right hemidiaphragm. Aortic calcifications are again noted.,Aortic calcifications are again noted.,aortic calcifications,,Stable,"['files/p13/p13475033/s54830140/62906443-360748c7-e0d0df5b-ead155a8-9939a402.jpg', 'files/p13/p13475033/s54830140/fd6d0847-90e245d6-5e8b9257-3f6a857c-cc3dccc6.jpg']","['files/p13/p13475033/s54655485/69392c89-8fa3a6e8-6c3bc53f-f09b09e2-a33a44e3.jpg\n', 'files/p13/p13475033/s54655485/aec5242c-9563e40f-fd56a8ff-2b9d80e7-e3ad7681.jpg\n']"
s54833205_1,p12145137,s54833205,1,Findings,"Again identified is a left juxta-hilar mass adjacent to a fiducial seed and a right hilar mass. Multiple other nodules are also identified but better delineated on recent CT. Otherwise, the lungs are without a focal consolidation or pneumothorax. A small right pleural effusion is noted. An overlying left subclavian central line is visualized in place. There is stable elevation of the left hemidiaphragm. No free air is noted in the abdomen.",There is stable elevation of the left hemidiaphragm.,hemidiaphragm elevation,left,Stable,['files/p12/p12145137/s54833205/61b4d5e0-66a2bcaf-6c4d6c19-6b735e59-b1390cb2.jpg'],"['files/p12/p12145137/s54100996/070b58a0-da9b8080-6eeeaf5a-46226e7b-2f9453fa.jpg\n', 'files/p12/p12145137/s54100996/c875e4c8-ab736220-04569ba0-857889ce-042ea536.jpg\n']"
s54839174_10,p19182863,s54839174,10,Findings,"There is a linear opacity in the lower lung projecting over the middle mediastinum, which is nonspecific and seen on lateral view only, but may represent infection. Linear opacity over the right lower lung likely represents linear atelectasis or scarring. No pleural effusion or pneumothorax is detected. Heart and mediastinal contours are stable with persistent mild cardiomegaly. Sternal wires and valve hardware are noted.",Heart and mediastinal contours are stable with persistent mild cardiomegaly.,mild cardiomegaly,Heart and mediastinal contours,Stable,"['files/p19/p19182863/s54839174/4d994f76-a7de771a-cf65cd0f-c1250201-f04a9626.jpg', 'files/p19/p19182863/s54839174/91c0e7ad-4c444b50-67964828-926ecb38-7ae2fa71.jpg']","['files/p19/p19182863/s54811277/1c80a4de-5e37f8ad-d4683fbe-bada5508-8c1524ea.jpg\n', 'files/p19/p19182863/s54811277/89853b2a-bf88984c-37910d68-2401fca9-884951db.jpg\n']"
s54843628_1,p13978244,s54843628,1,Findings,"As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly with tortuosity of the aorta and slight enlargement of the right hilus. This is likely due to pulmonary artery enlargement in the context of clinically evident pulmonary hypertension. Minimal right pleural effusion. No left pleural effusion. No evidence of pulmonary edema or pneumonia. Minimal areas of atelectasis at the right lung base.","As compared to the previous radiograph, there is no relevant change.",,,Stable,"['files/p13/p13978244/s54843628/add7b9e1-75f87d25-82d1ce6d-f03dbdd8-411ea986.jpg', 'files/p13/p13978244/s54843628/d1530705-a5f69e98-247896ff-71e118db-5ed1694c.jpg']",['files/p13/p13978244/s52706130/0aca2329-7932adb6-984bd8e0-a597477e-92276d94.jpg\n']
s54843884_5,p10959054,s54843884,5,Findings,"Cardiomediastinal and hilar contours are stable. The heart is top-normal in size. There is diffusely increased opacity throughout the right lung, which is in part related to a chronic loculated effusion however there are new focal opacities throughout the right lung, which are suspicious for areas of infection. The left lung is clear. There is no pneumothorax. Pleural thickening is noted at the base of the left lung. Note is made of bilateral pleural calcifications at the lung bases.",Cardiomediastinal and hilar contours are stable.,Cardiomediastinal and hilar contours,,Stable,"['files/p10/p10959054/s54843884/0eb1e826-78e313fd-5cfbb793-495ebe3d-8a33deb6.jpg', 'files/p10/p10959054/s54843884/5ce0e74d-37b9ece4-1c499e7c-8532fcf4-41a56a44.jpg', 'files/p10/p10959054/s54843884/fac3496b-e7409291-fee33678-4f558175-6d35df13.jpg']","['files/p10/p10959054/s53913710/5daab9a4-fbc8cdec-c84cccfe-ec0da40a-fce44af8.jpg\n', 'files/p10/p10959054/s53913710/874cdceb-f11d06e9-1aaf9f3e-6760e629-4060531f.jpg\n']"
s54843884_5,p10959054,s54843884,5,Findings,"Cardiomediastinal and hilar contours are stable. The heart is top-normal in size. There is diffusely increased opacity throughout the right lung, which is in part related to a chronic loculated effusion however there are new focal opacities throughout the right lung, which are suspicious for areas of infection. The left lung is clear. There is no pneumothorax. Pleural thickening is noted at the base of the left lung. Note is made of bilateral pleural calcifications at the lung bases.","There is diffusely increased opacity throughout the right lung, which is in part related to a chronic loculated effusion however there are new focal opacities throughout the right lung, which are suspicious for areas of infection.",focal opacities,right lung,New,"['files/p10/p10959054/s54843884/0eb1e826-78e313fd-5cfbb793-495ebe3d-8a33deb6.jpg', 'files/p10/p10959054/s54843884/5ce0e74d-37b9ece4-1c499e7c-8532fcf4-41a56a44.jpg', 'files/p10/p10959054/s54843884/fac3496b-e7409291-fee33678-4f558175-6d35df13.jpg']","['files/p10/p10959054/s53913710/5daab9a4-fbc8cdec-c84cccfe-ec0da40a-fce44af8.jpg\n', 'files/p10/p10959054/s53913710/874cdceb-f11d06e9-1aaf9f3e-6760e629-4060531f.jpg\n']"
s54844091_2,p16855430,s54844091,2,Findings,"There is increased opacity at the left lung base, with associated volume loss. This could represent worsening of effusion and atelectasis, though developing pneumonia cannot be excluded. Additional increasec opacity in the right suprahilar region may reflect additional focus of airspace disease. Elsewhere, the lungs remain well aerated. A small amount of right pleural fluid is present. Heart size is persistenly enalrged. There is pulmonary vascular engorgement without frank edema, which is little changed from prior study.","There is pulmonary vascular engorgement without frank edema, which is little changed from prior study.",engorgement,pulmonary vascular,Stable,"['files/p16/p16855430/s54844091/d5fa9e5f-25744b5d-edd68a9c-806bfe8e-e7e0b542.jpg', 'files/p16/p16855430/s54844091/efdbb954-7179fa49-509d0620-ab87eace-f42022d3.jpg']",['files/p16/p16855430/s54733030/d240a096-eb1996ea-8a08a168-367aa57b-96adf6ad.jpg\n']
s54844091_2,p16855430,s54844091,2,Findings,"There is increased opacity at the left lung base, with associated volume loss. This could represent worsening of effusion and atelectasis, though developing pneumonia cannot be excluded. Additional increasec opacity in the right suprahilar region may reflect additional focus of airspace disease. Elsewhere, the lungs remain well aerated. A small amount of right pleural fluid is present. Heart size is persistenly enalrged. There is pulmonary vascular engorgement without frank edema, which is little changed from prior study.",Heart size is persistenly enalrged.,enlargement,heart,Stable,"['files/p16/p16855430/s54844091/d5fa9e5f-25744b5d-edd68a9c-806bfe8e-e7e0b542.jpg', 'files/p16/p16855430/s54844091/efdbb954-7179fa49-509d0620-ab87eace-f42022d3.jpg']",['files/p16/p16855430/s54733030/d240a096-eb1996ea-8a08a168-367aa57b-96adf6ad.jpg\n']
s54844091_2,p16855430,s54844091,2,Findings,"There is increased opacity at the left lung base, with associated volume loss. This could represent worsening of effusion and atelectasis, though developing pneumonia cannot be excluded. Additional increasec opacity in the right suprahilar region may reflect additional focus of airspace disease. Elsewhere, the lungs remain well aerated. A small amount of right pleural fluid is present. Heart size is persistenly enalrged. There is pulmonary vascular engorgement without frank edema, which is little changed from prior study.","Elsewhere, the lungs remain well aerated.",aeration,elsewhere in the lungs,Stable,"['files/p16/p16855430/s54844091/d5fa9e5f-25744b5d-edd68a9c-806bfe8e-e7e0b542.jpg', 'files/p16/p16855430/s54844091/efdbb954-7179fa49-509d0620-ab87eace-f42022d3.jpg']",['files/p16/p16855430/s54733030/d240a096-eb1996ea-8a08a168-367aa57b-96adf6ad.jpg\n']
s54844091_2,p16855430,s54844091,2,Findings,"There is increased opacity at the left lung base, with associated volume loss. This could represent worsening of effusion and atelectasis, though developing pneumonia cannot be excluded. Additional increasec opacity in the right suprahilar region may reflect additional focus of airspace disease. Elsewhere, the lungs remain well aerated. A small amount of right pleural fluid is present. Heart size is persistenly enalrged. There is pulmonary vascular engorgement without frank edema, which is little changed from prior study.","This could represent worsening of effusion and atelectasis, though developing pneumonia cannot be excluded.",atelectasis,left lung base,Worse,"['files/p16/p16855430/s54844091/d5fa9e5f-25744b5d-edd68a9c-806bfe8e-e7e0b542.jpg', 'files/p16/p16855430/s54844091/efdbb954-7179fa49-509d0620-ab87eace-f42022d3.jpg']",['files/p16/p16855430/s54733030/d240a096-eb1996ea-8a08a168-367aa57b-96adf6ad.jpg\n']
s54844091_2,p16855430,s54844091,2,Findings,"There is increased opacity at the left lung base, with associated volume loss. This could represent worsening of effusion and atelectasis, though developing pneumonia cannot be excluded. Additional increasec opacity in the right suprahilar region may reflect additional focus of airspace disease. Elsewhere, the lungs remain well aerated. A small amount of right pleural fluid is present. Heart size is persistenly enalrged. There is pulmonary vascular engorgement without frank edema, which is little changed from prior study.","This could represent worsening of effusion and atelectasis, though developing pneumonia cannot be excluded.",effusion,left lung base,Worse,"['files/p16/p16855430/s54844091/d5fa9e5f-25744b5d-edd68a9c-806bfe8e-e7e0b542.jpg', 'files/p16/p16855430/s54844091/efdbb954-7179fa49-509d0620-ab87eace-f42022d3.jpg']",['files/p16/p16855430/s54733030/d240a096-eb1996ea-8a08a168-367aa57b-96adf6ad.jpg\n']
s54844091_2,p16855430,s54844091,2,Findings,"There is increased opacity at the left lung base, with associated volume loss. This could represent worsening of effusion and atelectasis, though developing pneumonia cannot be excluded. Additional increasec opacity in the right suprahilar region may reflect additional focus of airspace disease. Elsewhere, the lungs remain well aerated. A small amount of right pleural fluid is present. Heart size is persistenly enalrged. There is pulmonary vascular engorgement without frank edema, which is little changed from prior study.","There is increased opacity at the left lung base, with associated volume loss.",opacity,left lung base,Worse,"['files/p16/p16855430/s54844091/d5fa9e5f-25744b5d-edd68a9c-806bfe8e-e7e0b542.jpg', 'files/p16/p16855430/s54844091/efdbb954-7179fa49-509d0620-ab87eace-f42022d3.jpg']",['files/p16/p16855430/s54733030/d240a096-eb1996ea-8a08a168-367aa57b-96adf6ad.jpg\n']
s54844091_2,p16855430,s54844091,2,Findings,"There is increased opacity at the left lung base, with associated volume loss. This could represent worsening of effusion and atelectasis, though developing pneumonia cannot be excluded. Additional increasec opacity in the right suprahilar region may reflect additional focus of airspace disease. Elsewhere, the lungs remain well aerated. A small amount of right pleural fluid is present. Heart size is persistenly enalrged. There is pulmonary vascular engorgement without frank edema, which is little changed from prior study.",Additional increasec opacity in the right suprahilar region may reflect additional focus of airspace disease.,opacity,right suprahilar region,Worse,"['files/p16/p16855430/s54844091/d5fa9e5f-25744b5d-edd68a9c-806bfe8e-e7e0b542.jpg', 'files/p16/p16855430/s54844091/efdbb954-7179fa49-509d0620-ab87eace-f42022d3.jpg']",['files/p16/p16855430/s54733030/d240a096-eb1996ea-8a08a168-367aa57b-96adf6ad.jpg\n']
s54844678_16,p19454978,s54844678,16,Findings,Single portable upright AP image of the chest. The right IJ central line terminates in the right atrium. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged from prior exam.,The cardiomediastinal silhouette is unchanged from prior exam.,Cardiomediastinal silhouette,,Stable,['files/p19/p19454978/s54844678/5180e323-2f458dd9-ed09ecb3-6528c63a-6b9b4f1f.jpg'],"['files/p19/p19454978/s54452010/477309d8-69f82510-e3b9fe4b-4050b9f0-15e07ff3.jpg\n', 'files/p19/p19454978/s54452010/8adb9931-4175c4ce-48e51965-ef56eb3d-4c575d17.jpg\n']"
s54846230_6,p19182863,s54846230,6,Findings,There is mild pulmonary edema. A moderate right pleural effusion is not significantly changed. A consolidation at right base is not definitive on this examination however is confirmed on the subsequent CT. No pneumothorax is seen. There is moderate cardiomegaly with tortuosity of the aorta. The patient is status post median sternotomy with CABG and valve replacements.,A moderate right pleural effusion is not significantly changed,pleural effusion,right,Stable,"['files/p19/p19182863/s54846230/b469e162-cf3e9263-149b58f8-2be8ae73-97f8d848.jpg', 'files/p19/p19182863/s54846230/ef80aef9-5a1e915b-1a9459ba-caabc17e-7743008a.jpg']","['files/p19/p19182863/s54839174/4d994f76-a7de771a-cf65cd0f-c1250201-f04a9626.jpg\n', 'files/p19/p19182863/s54839174/91c0e7ad-4c444b50-67964828-926ecb38-7ae2fa71.jpg\n']"
s54861751_12,p13473495,s54861751,12,Impression,Low lying endotracheal tube with tip terminating approximately 2.6 cm above the carina. Orogastric tube courses below the diaphragm. Worsening mild pulmonary edema with layering left pleural effusion.,Worsening mild pulmonary edema with layering left pleural effusion.,mild pulmonary edema,left,Worse,['files/p13/p13473495/s54861751/b53f680b-da2b71cb-81533dc8-2bfa0ee3-f1450be5.jpg'],"['files/p13/p13473495/s54050506/8aad1160-9cbc4ec4-577f8737-8784924b-ef451f49.jpg\n', 'files/p13/p13473495/s54050506/9b47cc75-fe521673-bcf56155-8787d012-4242c9a3.jpg\n', 'files/p13/p13473495/s54050506/cf215d80-de177339-7a58b114-8206a52d-f9b1fc56.jpg\n']"
s54861751_12,p13473495,s54861751,12,Findings,"Endotracheal tube tip terminates approximately 2.6 cm from the carina. Orogastric tube is seen coursing below the diaphragm, with the tip not well visualized. The heart remains severely enlarged. There is mild pulmonary edema which has progressed compared to the previous study with a probable layering left pleural effusion. Persistent bibasilar airspace opacities again may reflect atelectasis, aspiration or infection. There is no large pneumothorax on this supine study.",There is mild pulmonary edema which has progressed compared to the previous study with a probable layering left pleural effusion.,layering pleural effusion,left,New,['files/p13/p13473495/s54861751/b53f680b-da2b71cb-81533dc8-2bfa0ee3-f1450be5.jpg'],"['files/p13/p13473495/s54050506/8aad1160-9cbc4ec4-577f8737-8784924b-ef451f49.jpg\n', 'files/p13/p13473495/s54050506/9b47cc75-fe521673-bcf56155-8787d012-4242c9a3.jpg\n', 'files/p13/p13473495/s54050506/cf215d80-de177339-7a58b114-8206a52d-f9b1fc56.jpg\n']"
s54861751_12,p13473495,s54861751,12,Impression,Low lying endotracheal tube with tip terminating approximately 2.6 cm above the carina. Orogastric tube courses below the diaphragm. Worsening mild pulmonary edema with layering left pleural effusion.,Worsening mild pulmonary edema with layering left pleural effusion.,layering pleural effusion,left,New,['files/p13/p13473495/s54861751/b53f680b-da2b71cb-81533dc8-2bfa0ee3-f1450be5.jpg'],"['files/p13/p13473495/s54050506/8aad1160-9cbc4ec4-577f8737-8784924b-ef451f49.jpg\n', 'files/p13/p13473495/s54050506/9b47cc75-fe521673-bcf56155-8787d012-4242c9a3.jpg\n', 'files/p13/p13473495/s54050506/cf215d80-de177339-7a58b114-8206a52d-f9b1fc56.jpg\n']"
s54861751_12,p13473495,s54861751,12,Findings,"Endotracheal tube tip terminates approximately 2.6 cm from the carina. Orogastric tube is seen coursing below the diaphragm, with the tip not well visualized. The heart remains severely enlarged. There is mild pulmonary edema which has progressed compared to the previous study with a probable layering left pleural effusion. Persistent bibasilar airspace opacities again may reflect atelectasis, aspiration or infection. There is no large pneumothorax on this supine study.",The heart remains severely enlarged.,severely enlarged heart,,Stable,['files/p13/p13473495/s54861751/b53f680b-da2b71cb-81533dc8-2bfa0ee3-f1450be5.jpg'],"['files/p13/p13473495/s54050506/8aad1160-9cbc4ec4-577f8737-8784924b-ef451f49.jpg\n', 'files/p13/p13473495/s54050506/9b47cc75-fe521673-bcf56155-8787d012-4242c9a3.jpg\n', 'files/p13/p13473495/s54050506/cf215d80-de177339-7a58b114-8206a52d-f9b1fc56.jpg\n']"
s54861751_12,p13473495,s54861751,12,Findings,"Endotracheal tube tip terminates approximately 2.6 cm from the carina. Orogastric tube is seen coursing below the diaphragm, with the tip not well visualized. The heart remains severely enlarged. There is mild pulmonary edema which has progressed compared to the previous study with a probable layering left pleural effusion. Persistent bibasilar airspace opacities again may reflect atelectasis, aspiration or infection. There is no large pneumothorax on this supine study.","Persistent bibasilar airspace opacities again may reflect atelectasis, aspiration or infection.",airspace opacities,bibasilar,Stable,['files/p13/p13473495/s54861751/b53f680b-da2b71cb-81533dc8-2bfa0ee3-f1450be5.jpg'],"['files/p13/p13473495/s54050506/8aad1160-9cbc4ec4-577f8737-8784924b-ef451f49.jpg\n', 'files/p13/p13473495/s54050506/9b47cc75-fe521673-bcf56155-8787d012-4242c9a3.jpg\n', 'files/p13/p13473495/s54050506/cf215d80-de177339-7a58b114-8206a52d-f9b1fc56.jpg\n']"
s54861751_12,p13473495,s54861751,12,Findings,"Endotracheal tube tip terminates approximately 2.6 cm from the carina. Orogastric tube is seen coursing below the diaphragm, with the tip not well visualized. The heart remains severely enlarged. There is mild pulmonary edema which has progressed compared to the previous study with a probable layering left pleural effusion. Persistent bibasilar airspace opacities again may reflect atelectasis, aspiration or infection. There is no large pneumothorax on this supine study.",There is mild pulmonary edema which has progressed compared to the previous study with a probable layering left pleural effusion.,mild pulmonary edema,left,Worse,['files/p13/p13473495/s54861751/b53f680b-da2b71cb-81533dc8-2bfa0ee3-f1450be5.jpg'],"['files/p13/p13473495/s54050506/8aad1160-9cbc4ec4-577f8737-8784924b-ef451f49.jpg\n', 'files/p13/p13473495/s54050506/9b47cc75-fe521673-bcf56155-8787d012-4242c9a3.jpg\n', 'files/p13/p13473495/s54050506/cf215d80-de177339-7a58b114-8206a52d-f9b1fc56.jpg\n']"
s54867671_33,p15131736,s54867671,33,Findings,"Mild to moderate cardiomegaly is stable. Compared to the prior radiograph, the degree of pulmonary edema is unchanged. No new focal consolidation or pneumothorax. Persistent bilateral pleural effusions and bibasilar atelectasis.",Persistent bilateral pleural effusions and bibasilar atelectasis.,pleural effusions,Bilateral,Stable,['files/p15/p15131736/s54867671/6cd580d7-5ec74248-17b89c75-a4a99d48-97e58fe4.jpg'],['files/p15/p15131736/s54730459/725b3b1f-cc1d9a66-0292de54-7bea58ed-5b724b75.jpg\n']
s54867671_33,p15131736,s54867671,33,Findings,"Mild to moderate cardiomegaly is stable. Compared to the prior radiograph, the degree of pulmonary edema is unchanged. No new focal consolidation or pneumothorax. Persistent bilateral pleural effusions and bibasilar atelectasis.","Compared to the prior radiograph, the degree of pulmonary edema is unchanged.",pulmonary edema,,Stable,['files/p15/p15131736/s54867671/6cd580d7-5ec74248-17b89c75-a4a99d48-97e58fe4.jpg'],['files/p15/p15131736/s54730459/725b3b1f-cc1d9a66-0292de54-7bea58ed-5b724b75.jpg\n']
s54867671_33,p15131736,s54867671,33,Impression,"No change in the degree of pulmonary edema, with persistent bilateral pleural effusions and bibasilar atelectasis.","No change in the degree of pulmonary edema, with persistent bilateral pleural effusions and bibasilar atelectasis.",pulmonary edema,,Stable,['files/p15/p15131736/s54867671/6cd580d7-5ec74248-17b89c75-a4a99d48-97e58fe4.jpg'],['files/p15/p15131736/s54730459/725b3b1f-cc1d9a66-0292de54-7bea58ed-5b724b75.jpg\n']
s54867671_33,p15131736,s54867671,33,Impression,"No change in the degree of pulmonary edema, with persistent bilateral pleural effusions and bibasilar atelectasis.","No change in the degree of pulmonary edema, with persistent bilateral pleural effusions and bibasilar atelectasis.",pleural effusions,Bilateral,Stable,['files/p15/p15131736/s54867671/6cd580d7-5ec74248-17b89c75-a4a99d48-97e58fe4.jpg'],['files/p15/p15131736/s54730459/725b3b1f-cc1d9a66-0292de54-7bea58ed-5b724b75.jpg\n']
s54867671_33,p15131736,s54867671,33,Findings,"Mild to moderate cardiomegaly is stable. Compared to the prior radiograph, the degree of pulmonary edema is unchanged. No new focal consolidation or pneumothorax. Persistent bilateral pleural effusions and bibasilar atelectasis.",Mild to moderate cardiomegaly is stable.,cardiomegaly,,Stable,['files/p15/p15131736/s54867671/6cd580d7-5ec74248-17b89c75-a4a99d48-97e58fe4.jpg'],['files/p15/p15131736/s54730459/725b3b1f-cc1d9a66-0292de54-7bea58ed-5b724b75.jpg\n']
s54867671_33,p15131736,s54867671,33,Findings,"Mild to moderate cardiomegaly is stable. Compared to the prior radiograph, the degree of pulmonary edema is unchanged. No new focal consolidation or pneumothorax. Persistent bilateral pleural effusions and bibasilar atelectasis.",Persistent bilateral pleural effusions and bibasilar atelectasis.,atelectasis,Bibasilar,Stable,['files/p15/p15131736/s54867671/6cd580d7-5ec74248-17b89c75-a4a99d48-97e58fe4.jpg'],['files/p15/p15131736/s54730459/725b3b1f-cc1d9a66-0292de54-7bea58ed-5b724b75.jpg\n']
s54867671_33,p15131736,s54867671,33,Impression,"No change in the degree of pulmonary edema, with persistent bilateral pleural effusions and bibasilar atelectasis.","No change in the degree of pulmonary edema, with persistent bilateral pleural effusions and bibasilar atelectasis.",atelectasis,Bibasilar,Stable,['files/p15/p15131736/s54867671/6cd580d7-5ec74248-17b89c75-a4a99d48-97e58fe4.jpg'],['files/p15/p15131736/s54730459/725b3b1f-cc1d9a66-0292de54-7bea58ed-5b724b75.jpg\n']
s54870311_20,p10933609,s54870311,20,Findings,"PA and lateral views of the chest were provided. When compared with multiple prior studies, there is bilateral upper lung scarring with slight retraction of the bronchovasculature. There is no definite sign of new consolidation with relative opacity at the right heart border on the frontal view, not convincing for pneumonia. Lung volumes are low. Heart and mediastinal contours appear stable. No effusion or pneumothorax.",Heart and mediastinal contours appear stable.,Heart and mediastinal contours,,Stable,"['files/p10/p10933609/s54870311/7acf30bd-0ed39a38-bb6159dd-2ed09689-dd05ba98.jpg', 'files/p10/p10933609/s54870311/95527da6-78fdab9e-2d3b3782-9aa97e06-a3e69c13.jpg']",['files/p10/p10933609/s54853227/c3994ff3-e8774cd2-b7a4c40c-959819fa-d8d942b6.jpg\n']
s54870311_20,p10933609,s54870311,20,Impression,"Stable chest radiograph with upper lung scarring. Subtle opacity in the right lower lung, likely crowding of bronchovasculature.",Stable chest radiograph with upper lung scarring.,scarring,upper lung,Stable,"['files/p10/p10933609/s54870311/7acf30bd-0ed39a38-bb6159dd-2ed09689-dd05ba98.jpg', 'files/p10/p10933609/s54870311/95527da6-78fdab9e-2d3b3782-9aa97e06-a3e69c13.jpg']",['files/p10/p10933609/s54853227/c3994ff3-e8774cd2-b7a4c40c-959819fa-d8d942b6.jpg\n']
s54870443_29,p12952223,s54870443,29,Findings,"As compared to the previous radiograph, the patient has received an endotracheal tube. The tip of the tube projects 1 cm above the carina and should be pulled back by approximately 1-2 cm. There is no evidence of complications. The patient has also received a nasogastric tube, the course of the tube is unremarkable, the tip of the tube projects over the middle parts of the stomach. Unchanged appearance of the lung parenchyma, the heart and the chest wall.","Unchanged appearance of the lung parenchyma, the heart and the chest wall.",heart,,Stable,['files/p12/p12952223/s54870443/4e2ae929-40713138-9d6a757e-deeed0b1-8062cd72.jpg'],"['files/p12/p12952223/s54586308/5ac86c9b-ce17b8a6-e0a355bd-2741a2c0-f6ee819b.jpg\n', 'files/p12/p12952223/s54586308/c618f7c6-63bae7bd-d89233fa-c06b5734-3efeed2c.jpg\n']"
s54870443_29,p12952223,s54870443,29,Findings,"As compared to the previous radiograph, the patient has received an endotracheal tube. The tip of the tube projects 1 cm above the carina and should be pulled back by approximately 1-2 cm. There is no evidence of complications. The patient has also received a nasogastric tube, the course of the tube is unremarkable, the tip of the tube projects over the middle parts of the stomach. Unchanged appearance of the lung parenchyma, the heart and the chest wall.","Unchanged appearance of the lung parenchyma, the heart and the chest wall.",lung parenchyma,,Stable,['files/p12/p12952223/s54870443/4e2ae929-40713138-9d6a757e-deeed0b1-8062cd72.jpg'],"['files/p12/p12952223/s54586308/5ac86c9b-ce17b8a6-e0a355bd-2741a2c0-f6ee819b.jpg\n', 'files/p12/p12952223/s54586308/c618f7c6-63bae7bd-d89233fa-c06b5734-3efeed2c.jpg\n']"
s54870443_29,p12952223,s54870443,29,Findings,"As compared to the previous radiograph, the patient has received an endotracheal tube. The tip of the tube projects 1 cm above the carina and should be pulled back by approximately 1-2 cm. There is no evidence of complications. The patient has also received a nasogastric tube, the course of the tube is unremarkable, the tip of the tube projects over the middle parts of the stomach. Unchanged appearance of the lung parenchyma, the heart and the chest wall.","Unchanged appearance of the lung parenchyma, the heart and the chest wall.",chest wall,,Stable,['files/p12/p12952223/s54870443/4e2ae929-40713138-9d6a757e-deeed0b1-8062cd72.jpg'],"['files/p12/p12952223/s54586308/5ac86c9b-ce17b8a6-e0a355bd-2741a2c0-f6ee819b.jpg\n', 'files/p12/p12952223/s54586308/c618f7c6-63bae7bd-d89233fa-c06b5734-3efeed2c.jpg\n']"
s54879730_24,p13896515,s54879730,24,Findings,"Compared with the recent radiographs, there has been interval improvement in the degree of pulmonary edema. The heart remains enlarged. No focal consolidation or pleural effusion. Left-sided pacemaker remains in place.",Left-sided pacemaker remains in place.,pacemaker,left-sided,Stable,['files/p13/p13896515/s54879730/d974aeb8-59d6b3c0-b7dec6c1-a25cf20c-541f88c0.jpg'],"['files/p13/p13896515/s54309288/020b74cd-16e167ae-e0bf84af-33932203-5ccc5490.jpg\n', 'files/p13/p13896515/s54309288/0fed3810-c219e9a9-5661b92f-9cdb7919-3ce51644.jpg\n']"
s54879730_24,p13896515,s54879730,24,Impression,Continued improvement/resolution of pulmonary edema. No focal consolidation concerning for pneumonia.,Continued improvement/resolution of pulmonary edema.,pulmonary edema,,Better,['files/p13/p13896515/s54879730/d974aeb8-59d6b3c0-b7dec6c1-a25cf20c-541f88c0.jpg'],"['files/p13/p13896515/s54309288/020b74cd-16e167ae-e0bf84af-33932203-5ccc5490.jpg\n', 'files/p13/p13896515/s54309288/0fed3810-c219e9a9-5661b92f-9cdb7919-3ce51644.jpg\n']"
s54879730_24,p13896515,s54879730,24,Findings,"Compared with the recent radiographs, there has been interval improvement in the degree of pulmonary edema. The heart remains enlarged. No focal consolidation or pleural effusion. Left-sided pacemaker remains in place.",The heart remains enlarged.,heart,,Stable,['files/p13/p13896515/s54879730/d974aeb8-59d6b3c0-b7dec6c1-a25cf20c-541f88c0.jpg'],"['files/p13/p13896515/s54309288/020b74cd-16e167ae-e0bf84af-33932203-5ccc5490.jpg\n', 'files/p13/p13896515/s54309288/0fed3810-c219e9a9-5661b92f-9cdb7919-3ce51644.jpg\n']"
s54879730_24,p13896515,s54879730,24,Findings,"Compared with the recent radiographs, there has been interval improvement in the degree of pulmonary edema. The heart remains enlarged. No focal consolidation or pleural effusion. Left-sided pacemaker remains in place.","Compared with the recent radiographs, there has been interval improvement in the degree of pulmonary edema.",pulmonary edema,,Better,['files/p13/p13896515/s54879730/d974aeb8-59d6b3c0-b7dec6c1-a25cf20c-541f88c0.jpg'],"['files/p13/p13896515/s54309288/020b74cd-16e167ae-e0bf84af-33932203-5ccc5490.jpg\n', 'files/p13/p13896515/s54309288/0fed3810-c219e9a9-5661b92f-9cdb7919-3ce51644.jpg\n']"
s54882267_13,p18224196,s54882267,13,Impression,Left lung base atelectasis or scarring. Near-complete interval resolution of bilateral pleural effusions.,Near-complete interval resolution of bilateral pleural effusions.,pleural effusions,bilateral,Resolve,"['files/p18/p18224196/s54882267/1a5a59f7-d389a59a-1d55691a-0a77b80a-96ea4108.jpg', 'files/p18/p18224196/s54882267/59a459f5-0bd58411-1d739d65-1d7477bf-92d830cb.jpg']","['files/p18/p18224196/s54459875/881e5a0c-0249c447-70bfc799-17c79b35-6155fc91.jpg\n', 'files/p18/p18224196/s54459875/ae60e1b1-f9d562ba-0ac12b85-a554cdd0-beebdc8f.jpg\n']"
s54882267_13,p18224196,s54882267,13,Findings,Mild cardiomegaly is similar to prior. Pleural effusions have nearly completely resolved since the prior exam. No focal consolidation or pneumothorax. Left lung base linear opacities are compatible with scarring or atelectasis. A mitral valve prosthesis is noted. Sternotomy wires are intact. Osseous structures are unremarkable.,Pleural effusions have nearly completely resolved since the prior exam.,pleural effusions,,Resolve,"['files/p18/p18224196/s54882267/1a5a59f7-d389a59a-1d55691a-0a77b80a-96ea4108.jpg', 'files/p18/p18224196/s54882267/59a459f5-0bd58411-1d739d65-1d7477bf-92d830cb.jpg']","['files/p18/p18224196/s54459875/881e5a0c-0249c447-70bfc799-17c79b35-6155fc91.jpg\n', 'files/p18/p18224196/s54459875/ae60e1b1-f9d562ba-0ac12b85-a554cdd0-beebdc8f.jpg\n']"
s54882267_13,p18224196,s54882267,13,Findings,Mild cardiomegaly is similar to prior. Pleural effusions have nearly completely resolved since the prior exam. No focal consolidation or pneumothorax. Left lung base linear opacities are compatible with scarring or atelectasis. A mitral valve prosthesis is noted. Sternotomy wires are intact. Osseous structures are unremarkable.,Mild cardiomegaly is similar to prior.,mild cardiomegaly,,Stable,"['files/p18/p18224196/s54882267/1a5a59f7-d389a59a-1d55691a-0a77b80a-96ea4108.jpg', 'files/p18/p18224196/s54882267/59a459f5-0bd58411-1d739d65-1d7477bf-92d830cb.jpg']","['files/p18/p18224196/s54459875/881e5a0c-0249c447-70bfc799-17c79b35-6155fc91.jpg\n', 'files/p18/p18224196/s54459875/ae60e1b1-f9d562ba-0ac12b85-a554cdd0-beebdc8f.jpg\n']"
s54896233_2,p16772702,s54896233,2,Findings,"As compared to the previous examination, the left central venous access line has been removed. There is a marked increase in interstitial markings and increase in vascular diameters. Increasing retrocardiac atelectasis and likely new left pleural effusion. Overall, moderate predominantly interstitial pulmonary edema is present. No other relevant changes. At the time of dictation, 1:49 p.m., the referring physician, ___. ___ was notified by telephone and the findings were discussed on ___.","As compared to the previous examination, the left central venous access line has been removed.",venous access line,left central,Resolve,['files/p16/p16772702/s54896233/5cd0800c-77280a87-980a1cf6-b7765304-288d0a38.jpg'],['files/p16/p16772702/s54541565/021c6321-4fe21bcf-a5fc07b5-10da56bf-8436fc83.jpg\n']
s54896233_2,p16772702,s54896233,2,Findings,"As compared to the previous examination, the left central venous access line has been removed. There is a marked increase in interstitial markings and increase in vascular diameters. Increasing retrocardiac atelectasis and likely new left pleural effusion. Overall, moderate predominantly interstitial pulmonary edema is present. No other relevant changes. At the time of dictation, 1:49 p.m., the referring physician, ___. ___ was notified by telephone and the findings were discussed on ___.",There is a marked increase in interstitial markings and increase in vascular diameters.,markings,interstitial,Worse,['files/p16/p16772702/s54896233/5cd0800c-77280a87-980a1cf6-b7765304-288d0a38.jpg'],['files/p16/p16772702/s54541565/021c6321-4fe21bcf-a5fc07b5-10da56bf-8436fc83.jpg\n']
s54896233_2,p16772702,s54896233,2,Findings,"As compared to the previous examination, the left central venous access line has been removed. There is a marked increase in interstitial markings and increase in vascular diameters. Increasing retrocardiac atelectasis and likely new left pleural effusion. Overall, moderate predominantly interstitial pulmonary edema is present. No other relevant changes. At the time of dictation, 1:49 p.m., the referring physician, ___. ___ was notified by telephone and the findings were discussed on ___.",Increasing retrocardiac atelectasis and likely new left pleural effusion.,atelectasis,retrocardiac,Worse,['files/p16/p16772702/s54896233/5cd0800c-77280a87-980a1cf6-b7765304-288d0a38.jpg'],['files/p16/p16772702/s54541565/021c6321-4fe21bcf-a5fc07b5-10da56bf-8436fc83.jpg\n']
s54896233_2,p16772702,s54896233,2,Findings,"As compared to the previous examination, the left central venous access line has been removed. There is a marked increase in interstitial markings and increase in vascular diameters. Increasing retrocardiac atelectasis and likely new left pleural effusion. Overall, moderate predominantly interstitial pulmonary edema is present. No other relevant changes. At the time of dictation, 1:49 p.m., the referring physician, ___. ___ was notified by telephone and the findings were discussed on ___.",Increasing retrocardiac atelectasis and likely new left pleural effusion.,pleural effusion,left,New,['files/p16/p16772702/s54896233/5cd0800c-77280a87-980a1cf6-b7765304-288d0a38.jpg'],['files/p16/p16772702/s54541565/021c6321-4fe21bcf-a5fc07b5-10da56bf-8436fc83.jpg\n']
s54896233_2,p16772702,s54896233,2,Findings,"As compared to the previous examination, the left central venous access line has been removed. There is a marked increase in interstitial markings and increase in vascular diameters. Increasing retrocardiac atelectasis and likely new left pleural effusion. Overall, moderate predominantly interstitial pulmonary edema is present. No other relevant changes. At the time of dictation, 1:49 p.m., the referring physician, ___. ___ was notified by telephone and the findings were discussed on ___.",There is a marked increase in interstitial markings and increase in vascular diameters.,diameters,vascular,Worse,['files/p16/p16772702/s54896233/5cd0800c-77280a87-980a1cf6-b7765304-288d0a38.jpg'],['files/p16/p16772702/s54541565/021c6321-4fe21bcf-a5fc07b5-10da56bf-8436fc83.jpg\n']
s54898695_22,p12530259,s54898695,22,Findings,"Frontal and lateral views of the chest demonstrate interval increase in opacification of the left chest, with interval increase in left hemidiaphragmatic elevation likely the result of phrenic nerve paralysis. There is minimal residual aerated left lung in this patient who is status post left upper lobectomy. The right lung is hyperexpanded and clear. The cardiac silhouette is not well assessed.","Frontal and lateral views of the chest demonstrate interval increase in opacification of the left chest, with interval increase in left hemidiaphragmatic elevation likely the result of phrenic nerve paralysis",opacification,left chest,Worse,"['files/p12/p12530259/s54898695/78557a90-bc5812ac-af24ac90-bce0a937-28b47ee6.jpg', 'files/p12/p12530259/s54898695/bda73b0f-722050ba-df3d1eb0-12cf8c13-cb8cd31c.jpg']",['files/p12/p12530259/s54434117/240ac503-263c23a7-986ec4c8-17bf733c-143e5fd6.jpg\n']
s54898695_22,p12530259,s54898695,22,Findings,"Frontal and lateral views of the chest demonstrate interval increase in opacification of the left chest, with interval increase in left hemidiaphragmatic elevation likely the result of phrenic nerve paralysis. There is minimal residual aerated left lung in this patient who is status post left upper lobectomy. The right lung is hyperexpanded and clear. The cardiac silhouette is not well assessed.","Frontal and lateral views of the chest demonstrate interval increase in opacification of the left chest, with interval increase in left hemidiaphragmatic elevation likely the result of phrenic nerve paralysis",elevation,left hemidiaphragm,Worse,"['files/p12/p12530259/s54898695/78557a90-bc5812ac-af24ac90-bce0a937-28b47ee6.jpg', 'files/p12/p12530259/s54898695/bda73b0f-722050ba-df3d1eb0-12cf8c13-cb8cd31c.jpg']",['files/p12/p12530259/s54434117/240ac503-263c23a7-986ec4c8-17bf733c-143e5fd6.jpg\n']
s54899257_1,p17763117,s54899257,1,Impression,"Stable chest findings, no evidence of new acute pneumonia.","Stable chest findings, no evidence of new acute pneumonia.",acute pneumonia,,New,"['files/p17/p17763117/s54899257/0c0e3903-2f744a5c-3750bad4-6d772736-6bf1c8a2.jpg', 'files/p17/p17763117/s54899257/3e179ec6-2dd8aea9-b1ef694b-eafe6ce6-0a175813.jpg']","['files/p17/p17763117/s54066754/2562051f-7aa8f63a-d00bafea-ddf082c6-838ba1fd.jpg\n', 'files/p17/p17763117/s54066754/42721071-6d96b2ed-f083c7d3-5f14b0d5-a7845fc1.jpg\n']"
s54899257_1,p17763117,s54899257,1,Findings,"Patient's condition required examination in sitting upright position using AP frontal view and left lateral views. Comparison is made with the next preceding portable chest examination of ___. As before, there is status post sternotomy. Moderate cardiac enlargement is seen. Previously identified permanent pacer with dual intracavitary electrodes and ICD device in unchanged position. The same holds for the recently placed right-sided PICC line which is now seen to reach in the upper third of the right atrium. Moderate cardiac enlargement as before. No signs of acute CHF and no acute parenchymal infiltrates are present. Lateral and posterior pleural sinuses are free from any fluid accumulation.",Moderate cardiac enlargement as before.,moderate cardiac enlargement,,Stable,"['files/p17/p17763117/s54899257/0c0e3903-2f744a5c-3750bad4-6d772736-6bf1c8a2.jpg', 'files/p17/p17763117/s54899257/3e179ec6-2dd8aea9-b1ef694b-eafe6ce6-0a175813.jpg']","['files/p17/p17763117/s54066754/2562051f-7aa8f63a-d00bafea-ddf082c6-838ba1fd.jpg\n', 'files/p17/p17763117/s54066754/42721071-6d96b2ed-f083c7d3-5f14b0d5-a7845fc1.jpg\n']"
s54899257_1,p17763117,s54899257,1,Findings,"Patient's condition required examination in sitting upright position using AP frontal view and left lateral views. Comparison is made with the next preceding portable chest examination of ___. As before, there is status post sternotomy. Moderate cardiac enlargement is seen. Previously identified permanent pacer with dual intracavitary electrodes and ICD device in unchanged position. The same holds for the recently placed right-sided PICC line which is now seen to reach in the upper third of the right atrium. Moderate cardiac enlargement as before. No signs of acute CHF and no acute parenchymal infiltrates are present. Lateral and posterior pleural sinuses are free from any fluid accumulation.",Previously identified permanent pacer with dual intracavitary electrodes and ICD device in unchanged position.,permanent pacer with dual intracavitary electrodes and ICD device,Previously identified,Stable,"['files/p17/p17763117/s54899257/0c0e3903-2f744a5c-3750bad4-6d772736-6bf1c8a2.jpg', 'files/p17/p17763117/s54899257/3e179ec6-2dd8aea9-b1ef694b-eafe6ce6-0a175813.jpg']","['files/p17/p17763117/s54066754/2562051f-7aa8f63a-d00bafea-ddf082c6-838ba1fd.jpg\n', 'files/p17/p17763117/s54066754/42721071-6d96b2ed-f083c7d3-5f14b0d5-a7845fc1.jpg\n']"
s54899257_1,p17763117,s54899257,1,Impression,"Stable chest findings, no evidence of new acute pneumonia.","Stable chest findings, no evidence of new acute pneumonia.",chest findings,,Stable,"['files/p17/p17763117/s54899257/0c0e3903-2f744a5c-3750bad4-6d772736-6bf1c8a2.jpg', 'files/p17/p17763117/s54899257/3e179ec6-2dd8aea9-b1ef694b-eafe6ce6-0a175813.jpg']","['files/p17/p17763117/s54066754/2562051f-7aa8f63a-d00bafea-ddf082c6-838ba1fd.jpg\n', 'files/p17/p17763117/s54066754/42721071-6d96b2ed-f083c7d3-5f14b0d5-a7845fc1.jpg\n']"
s54899257_1,p17763117,s54899257,1,Findings,"Patient's condition required examination in sitting upright position using AP frontal view and left lateral views. Comparison is made with the next preceding portable chest examination of ___. As before, there is status post sternotomy. Moderate cardiac enlargement is seen. Previously identified permanent pacer with dual intracavitary electrodes and ICD device in unchanged position. The same holds for the recently placed right-sided PICC line which is now seen to reach in the upper third of the right atrium. Moderate cardiac enlargement as before. No signs of acute CHF and no acute parenchymal infiltrates are present. Lateral and posterior pleural sinuses are free from any fluid accumulation.","As before, there is status post sternotomy.",status post sternotomy,,Stable,"['files/p17/p17763117/s54899257/0c0e3903-2f744a5c-3750bad4-6d772736-6bf1c8a2.jpg', 'files/p17/p17763117/s54899257/3e179ec6-2dd8aea9-b1ef694b-eafe6ce6-0a175813.jpg']","['files/p17/p17763117/s54066754/2562051f-7aa8f63a-d00bafea-ddf082c6-838ba1fd.jpg\n', 'files/p17/p17763117/s54066754/42721071-6d96b2ed-f083c7d3-5f14b0d5-a7845fc1.jpg\n']"
s54900154_20,p13475033,s54900154,20,Impression,Interval increase in pulmonary vascular engorgement and mild bilateral interstitial edema.,Interval increase in pulmonary vascular engorgement and mild bilateral interstitial edema.,interstitial edema,bilateral,Worse,"['files/p13/p13475033/s54900154/3bcad369-b8a201b0-1c5fdb6b-922d37a7-ce628c72.jpg', 'files/p13/p13475033/s54900154/3cf29b0e-f67cd860-ae12f2a8-622ccc27-2195ca85.jpg']","['files/p13/p13475033/s54830140/62906443-360748c7-e0d0df5b-ead155a8-9939a402.jpg\n', 'files/p13/p13475033/s54830140/fd6d0847-90e245d6-5e8b9257-3f6a857c-cc3dccc6.jpg\n']"
s54900154_20,p13475033,s54900154,20,Findings,Again noted is eventration of the right hemidiaphragm. An old left clavicular shaft deformity is unchanged. There is stable widening of the mediastinum likely secondary to fatty infiltration. There has been an interval increase in pulmonary vascular engorgement and mild bilateral interstitial edema. There also may be a subtle increase in bibasilar atelectasis. There is no evidence of pneumothorax. The cardiac silhouette is stable.,An old left clavicular shaft deformity is unchanged.,clavicular shaft deformity,left,Stable,"['files/p13/p13475033/s54900154/3bcad369-b8a201b0-1c5fdb6b-922d37a7-ce628c72.jpg', 'files/p13/p13475033/s54900154/3cf29b0e-f67cd860-ae12f2a8-622ccc27-2195ca85.jpg']","['files/p13/p13475033/s54830140/62906443-360748c7-e0d0df5b-ead155a8-9939a402.jpg\n', 'files/p13/p13475033/s54830140/fd6d0847-90e245d6-5e8b9257-3f6a857c-cc3dccc6.jpg\n']"
s54900154_20,p13475033,s54900154,20,Findings,Again noted is eventration of the right hemidiaphragm. An old left clavicular shaft deformity is unchanged. There is stable widening of the mediastinum likely secondary to fatty infiltration. There has been an interval increase in pulmonary vascular engorgement and mild bilateral interstitial edema. There also may be a subtle increase in bibasilar atelectasis. There is no evidence of pneumothorax. The cardiac silhouette is stable.,There has been an interval increase in pulmonary vascular engorgement and mild bilateral interstitial edema.,interstitial edema,bilateral,Worse,"['files/p13/p13475033/s54900154/3bcad369-b8a201b0-1c5fdb6b-922d37a7-ce628c72.jpg', 'files/p13/p13475033/s54900154/3cf29b0e-f67cd860-ae12f2a8-622ccc27-2195ca85.jpg']","['files/p13/p13475033/s54830140/62906443-360748c7-e0d0df5b-ead155a8-9939a402.jpg\n', 'files/p13/p13475033/s54830140/fd6d0847-90e245d6-5e8b9257-3f6a857c-cc3dccc6.jpg\n']"
s54900154_20,p13475033,s54900154,20,Findings,Again noted is eventration of the right hemidiaphragm. An old left clavicular shaft deformity is unchanged. There is stable widening of the mediastinum likely secondary to fatty infiltration. There has been an interval increase in pulmonary vascular engorgement and mild bilateral interstitial edema. There also may be a subtle increase in bibasilar atelectasis. There is no evidence of pneumothorax. The cardiac silhouette is stable.,The cardiac silhouette is stable.,silhouette,cardiac,Stable,"['files/p13/p13475033/s54900154/3bcad369-b8a201b0-1c5fdb6b-922d37a7-ce628c72.jpg', 'files/p13/p13475033/s54900154/3cf29b0e-f67cd860-ae12f2a8-622ccc27-2195ca85.jpg']","['files/p13/p13475033/s54830140/62906443-360748c7-e0d0df5b-ead155a8-9939a402.jpg\n', 'files/p13/p13475033/s54830140/fd6d0847-90e245d6-5e8b9257-3f6a857c-cc3dccc6.jpg\n']"
s54900154_20,p13475033,s54900154,20,Impression,Interval increase in pulmonary vascular engorgement and mild bilateral interstitial edema.,Interval increase in pulmonary vascular engorgement and mild bilateral interstitial edema.,vascular engorgement,pulmonary,Worse,"['files/p13/p13475033/s54900154/3bcad369-b8a201b0-1c5fdb6b-922d37a7-ce628c72.jpg', 'files/p13/p13475033/s54900154/3cf29b0e-f67cd860-ae12f2a8-622ccc27-2195ca85.jpg']","['files/p13/p13475033/s54830140/62906443-360748c7-e0d0df5b-ead155a8-9939a402.jpg\n', 'files/p13/p13475033/s54830140/fd6d0847-90e245d6-5e8b9257-3f6a857c-cc3dccc6.jpg\n']"
s54900154_20,p13475033,s54900154,20,Findings,Again noted is eventration of the right hemidiaphragm. An old left clavicular shaft deformity is unchanged. There is stable widening of the mediastinum likely secondary to fatty infiltration. There has been an interval increase in pulmonary vascular engorgement and mild bilateral interstitial edema. There also may be a subtle increase in bibasilar atelectasis. There is no evidence of pneumothorax. The cardiac silhouette is stable.,There also may be a subtle increase in bibasilar atelectasis.,atelectasis,bibasilar,Worse,"['files/p13/p13475033/s54900154/3bcad369-b8a201b0-1c5fdb6b-922d37a7-ce628c72.jpg', 'files/p13/p13475033/s54900154/3cf29b0e-f67cd860-ae12f2a8-622ccc27-2195ca85.jpg']","['files/p13/p13475033/s54830140/62906443-360748c7-e0d0df5b-ead155a8-9939a402.jpg\n', 'files/p13/p13475033/s54830140/fd6d0847-90e245d6-5e8b9257-3f6a857c-cc3dccc6.jpg\n']"
s54900154_20,p13475033,s54900154,20,Findings,Again noted is eventration of the right hemidiaphragm. An old left clavicular shaft deformity is unchanged. There is stable widening of the mediastinum likely secondary to fatty infiltration. There has been an interval increase in pulmonary vascular engorgement and mild bilateral interstitial edema. There also may be a subtle increase in bibasilar atelectasis. There is no evidence of pneumothorax. The cardiac silhouette is stable.,There is stable widening of the mediastinum likely secondary to fatty infiltration.,widening,mediastinum,Stable,"['files/p13/p13475033/s54900154/3bcad369-b8a201b0-1c5fdb6b-922d37a7-ce628c72.jpg', 'files/p13/p13475033/s54900154/3cf29b0e-f67cd860-ae12f2a8-622ccc27-2195ca85.jpg']","['files/p13/p13475033/s54830140/62906443-360748c7-e0d0df5b-ead155a8-9939a402.jpg\n', 'files/p13/p13475033/s54830140/fd6d0847-90e245d6-5e8b9257-3f6a857c-cc3dccc6.jpg\n']"
s54900154_20,p13475033,s54900154,20,Findings,Again noted is eventration of the right hemidiaphragm. An old left clavicular shaft deformity is unchanged. There is stable widening of the mediastinum likely secondary to fatty infiltration. There has been an interval increase in pulmonary vascular engorgement and mild bilateral interstitial edema. There also may be a subtle increase in bibasilar atelectasis. There is no evidence of pneumothorax. The cardiac silhouette is stable.,There has been an interval increase in pulmonary vascular engorgement and mild bilateral interstitial edema.,vascular engorgement,pulmonary,Worse,"['files/p13/p13475033/s54900154/3bcad369-b8a201b0-1c5fdb6b-922d37a7-ce628c72.jpg', 'files/p13/p13475033/s54900154/3cf29b0e-f67cd860-ae12f2a8-622ccc27-2195ca85.jpg']","['files/p13/p13475033/s54830140/62906443-360748c7-e0d0df5b-ead155a8-9939a402.jpg\n', 'files/p13/p13475033/s54830140/fd6d0847-90e245d6-5e8b9257-3f6a857c-cc3dccc6.jpg\n']"
s54904275_26,p13263843,s54904275,26,Findings,"There is notable interval improvement in the right pleural effusion. There is a dense opacification with a rounded contour below the aerated right residual lung. Though the contour has the appearance of an elevated right hemidiaphragm, this appears to represent a large subpulmonic effusion when compared to ___ chest CT. There is improved aeration of the right lung with residual opacifications likely representing combination of atelectasis and known malignancy; cannot exclude superimposed infectious process. Atelectatic changes are noted within the left lower lung with a slightly greater degree of collapse in the posterior medial subsegment. Small left pleural effusion identified. Abnormal contour of the right upper mediastinum is consistent with known malignancy. Left-sided cardiomediastinal borders are unremarkable.",There is notable interval improvement in the right pleural effusion.,pleural effusion,right,Better,"['files/p13/p13263843/s54904275/30fc1707-e38a1f76-d52f9649-78068351-e33cb1b3.jpg', 'files/p13/p13263843/s54904275/7b314c3e-8b32d433-db7bbae8-a0dd0d28-f9a95990.jpg']","['files/p13/p13263843/s54800318/3a20ef0e-ee29b899-bbeb9ef4-d1d286d9-ba4ebbea.jpg\n', 'files/p13/p13263843/s54800318/79fdd45e-7af2a61f-364d419f-be8d7b7e-ddce9027.jpg\n']"
s54904275_26,p13263843,s54904275,26,Impression,Interval mild improvement in right pleural effusion with likely a large residual subpulmonic pleural effusion. Dense opacifications in the now apparent right residual lung likely represents a combination of atelectasis and known malignancy. Small left pleural effusion.,Interval mild improvement in right pleural effusion with likely a large residual subpulmonic pleural effusion.,pleural effusion,right,Better,"['files/p13/p13263843/s54904275/30fc1707-e38a1f76-d52f9649-78068351-e33cb1b3.jpg', 'files/p13/p13263843/s54904275/7b314c3e-8b32d433-db7bbae8-a0dd0d28-f9a95990.jpg']","['files/p13/p13263843/s54800318/3a20ef0e-ee29b899-bbeb9ef4-d1d286d9-ba4ebbea.jpg\n', 'files/p13/p13263843/s54800318/79fdd45e-7af2a61f-364d419f-be8d7b7e-ddce9027.jpg\n']"
s54904335_28,p13473495,s54904335,28,Impression,Interval continue worsening of moderate pulmonary edema. Increasing small bilateral effusions. No other interval change from prior study.,Increasing small bilateral effusions.,Small effusions,Bilateral,Worse,['files/p13/p13473495/s54904335/b32d0041-1490ad2c-bb80e629-0738da5e-cd128891.jpg'],['files/p13/p13473495/s54861751/b53f680b-da2b71cb-81533dc8-2bfa0ee3-f1450be5.jpg\n']
s54904335_28,p13473495,s54904335,28,Impression,Interval continue worsening of moderate pulmonary edema. Increasing small bilateral effusions. No other interval change from prior study.,Interval continue worsening of moderate pulmonary edema.,Moderate pulmonary edema,,Worse,['files/p13/p13473495/s54904335/b32d0041-1490ad2c-bb80e629-0738da5e-cd128891.jpg'],['files/p13/p13473495/s54861751/b53f680b-da2b71cb-81533dc8-2bfa0ee3-f1450be5.jpg\n']
s54906849_63,p15131736,s54906849,63,Impression,Severe cardiomegaly is a stable. Mild vascular congestion is unchanged. Retrocardiac opacities have improved consistent with improving atelectasis. If any there is a small left effusion. There is no pneumothorax,Mild vascular congestion is unchanged.,Mild vascular congestion,,Stable,['files/p15/p15131736/s54906849/87528f6b-d04a6330-74d35720-8c8af75d-54f79a11.jpg'],['files/p15/p15131736/s54867671/6cd580d7-5ec74248-17b89c75-a4a99d48-97e58fe4.jpg\n']
s54906849_63,p15131736,s54906849,63,Impression,Severe cardiomegaly is a stable. Mild vascular congestion is unchanged. Retrocardiac opacities have improved consistent with improving atelectasis. If any there is a small left effusion. There is no pneumothorax,Retrocardiac opacities have improved consistent with improving atelectasis.,Opacities,Retrocardiac,Better,['files/p15/p15131736/s54906849/87528f6b-d04a6330-74d35720-8c8af75d-54f79a11.jpg'],['files/p15/p15131736/s54867671/6cd580d7-5ec74248-17b89c75-a4a99d48-97e58fe4.jpg\n']
s54906849_63,p15131736,s54906849,63,Impression,Severe cardiomegaly is a stable. Mild vascular congestion is unchanged. Retrocardiac opacities have improved consistent with improving atelectasis. If any there is a small left effusion. There is no pneumothorax,Severe cardiomegaly is a stable.,Severe cardiomegaly,,Stable,['files/p15/p15131736/s54906849/87528f6b-d04a6330-74d35720-8c8af75d-54f79a11.jpg'],['files/p15/p15131736/s54867671/6cd580d7-5ec74248-17b89c75-a4a99d48-97e58fe4.jpg\n']
s54910031_1,p19991135,s54910031,1,Impression,"AP chest compared to ___: Volume of the postoperative right lung has improved considerably, and the volume of the persistent right apical pleural space has decreased, though now it contains more fluid than air. Subcutaneous emphysema has increased. Two right pleural drains remain. Left lung is clear. Heart size is normal. Greater fullness in the right lower tracheobronchial angle could be due to paramediastinal pleural fluid, but should be carefully followed to exclude a developing hematoma. In the interim, the patient has been extubated. Heart size is normal.","AP chest compared to ___: Volume of the postoperative right lung has improved considerably, and the volume of the persistent right apical pleural space has decreased, though now it contains more fluid than air.",pleural space,right apical pleural space,Worse,['files/p19/p19991135/s54910031/d04bbcbd-5143439e-50ebe9a8-71380f67-44f8d127.jpg'],"['files/p19/p19991135/s54742755/1b02ffa5-a6da06e3-9063b9ef-5e540245-c18323b5.jpg\n', 'files/p19/p19991135/s54742755/cbf779b0-e9d49036-6c025860-330a4708-184fb882.jpg\n']"
s54910031_1,p19991135,s54910031,1,Impression,"AP chest compared to ___: Volume of the postoperative right lung has improved considerably, and the volume of the persistent right apical pleural space has decreased, though now it contains more fluid than air. Subcutaneous emphysema has increased. Two right pleural drains remain. Left lung is clear. Heart size is normal. Greater fullness in the right lower tracheobronchial angle could be due to paramediastinal pleural fluid, but should be carefully followed to exclude a developing hematoma. In the interim, the patient has been extubated. Heart size is normal.","AP chest compared to ___: Volume of the postoperative right lung has improved considerably, and the volume of the persistent right apical pleural space has decreased, though now it contains more fluid than air.",postoperative changes,right lung,Better,['files/p19/p19991135/s54910031/d04bbcbd-5143439e-50ebe9a8-71380f67-44f8d127.jpg'],"['files/p19/p19991135/s54742755/1b02ffa5-a6da06e3-9063b9ef-5e540245-c18323b5.jpg\n', 'files/p19/p19991135/s54742755/cbf779b0-e9d49036-6c025860-330a4708-184fb882.jpg\n']"
s54910031_1,p19991135,s54910031,1,Impression,"AP chest compared to ___: Volume of the postoperative right lung has improved considerably, and the volume of the persistent right apical pleural space has decreased, though now it contains more fluid than air. Subcutaneous emphysema has increased. Two right pleural drains remain. Left lung is clear. Heart size is normal. Greater fullness in the right lower tracheobronchial angle could be due to paramediastinal pleural fluid, but should be carefully followed to exclude a developing hematoma. In the interim, the patient has been extubated. Heart size is normal.",Subcutaneous emphysema has increased.,emphysema,subcutaneous,Worse,['files/p19/p19991135/s54910031/d04bbcbd-5143439e-50ebe9a8-71380f67-44f8d127.jpg'],"['files/p19/p19991135/s54742755/1b02ffa5-a6da06e3-9063b9ef-5e540245-c18323b5.jpg\n', 'files/p19/p19991135/s54742755/cbf779b0-e9d49036-6c025860-330a4708-184fb882.jpg\n']"
s54910031_1,p19991135,s54910031,1,Impression,"AP chest compared to ___: Volume of the postoperative right lung has improved considerably, and the volume of the persistent right apical pleural space has decreased, though now it contains more fluid than air. Subcutaneous emphysema has increased. Two right pleural drains remain. Left lung is clear. Heart size is normal. Greater fullness in the right lower tracheobronchial angle could be due to paramediastinal pleural fluid, but should be carefully followed to exclude a developing hematoma. In the interim, the patient has been extubated. Heart size is normal.","In the interim, the patient has been extubated.",endotracheal tube,trachea,Resolve,['files/p19/p19991135/s54910031/d04bbcbd-5143439e-50ebe9a8-71380f67-44f8d127.jpg'],"['files/p19/p19991135/s54742755/1b02ffa5-a6da06e3-9063b9ef-5e540245-c18323b5.jpg\n', 'files/p19/p19991135/s54742755/cbf779b0-e9d49036-6c025860-330a4708-184fb882.jpg\n']"
s54910031_1,p19991135,s54910031,1,Impression,"AP chest compared to ___: Volume of the postoperative right lung has improved considerably, and the volume of the persistent right apical pleural space has decreased, though now it contains more fluid than air. Subcutaneous emphysema has increased. Two right pleural drains remain. Left lung is clear. Heart size is normal. Greater fullness in the right lower tracheobronchial angle could be due to paramediastinal pleural fluid, but should be carefully followed to exclude a developing hematoma. In the interim, the patient has been extubated. Heart size is normal.",Two right pleural drains remain.,drains,right pleural,Stable,['files/p19/p19991135/s54910031/d04bbcbd-5143439e-50ebe9a8-71380f67-44f8d127.jpg'],"['files/p19/p19991135/s54742755/1b02ffa5-a6da06e3-9063b9ef-5e540245-c18323b5.jpg\n', 'files/p19/p19991135/s54742755/cbf779b0-e9d49036-6c025860-330a4708-184fb882.jpg\n']"
s54912258_6,p15259244,s54912258,6,Findings,"In comparison with study of ___, there is increasing bilateral pulmonary opacifications consistent with worsening effusions, consistent with volume loss, and worsening pulmonary vascular congestion. The possibility of supervening pneumonia must be seriously considered in the appropriate clinical setting, and is difficult to evaluate due to the substrate of extensive pulmonary changes. Dual-channel catheter, presumably due for hemodialysis ends in the right atrium.","In comparison with study of ___, there is increasing bilateral pulmonary opacifications consistent with worsening effusions, consistent with volume loss, and worsening pulmonary vascular congestion.",pulmonary vascular congestion,,Worse,['files/p15/p15259244/s54912258/2241b085-d8b05d1d-b5f91fce-e5b5e662-4e27dbc6.jpg'],['files/p15/p15259244/s54865295/2f01c6ef-54b9b5f8-0f452502-c6cd3871-48a2c872.jpg\n']
s54912258_6,p15259244,s54912258,6,Findings,"In comparison with study of ___, there is increasing bilateral pulmonary opacifications consistent with worsening effusions, consistent with volume loss, and worsening pulmonary vascular congestion. The possibility of supervening pneumonia must be seriously considered in the appropriate clinical setting, and is difficult to evaluate due to the substrate of extensive pulmonary changes. Dual-channel catheter, presumably due for hemodialysis ends in the right atrium.","In comparison with study of ___, there is increasing bilateral pulmonary opacifications consistent with worsening effusions, consistent with volume loss, and worsening pulmonary vascular congestion.",pulmonary opacifications,bilateral,Worse,['files/p15/p15259244/s54912258/2241b085-d8b05d1d-b5f91fce-e5b5e662-4e27dbc6.jpg'],['files/p15/p15259244/s54865295/2f01c6ef-54b9b5f8-0f452502-c6cd3871-48a2c872.jpg\n']
s54913354_4,p19748558,s54913354,4,Findings,Frontal and lateral views of the chest demonstrate heterogeneous opacities in the left mid lung. Similar opacities are also seen in the right lung base. No pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. No pulmonary edema.,Similar opacities are also seen in the right lung base.,opacities,right lung base,Stable,"['files/p19/p19748558/s54913354/7ee153a9-e00f7cd0-8c44b852-d83a1175-db28c1e7.jpg', 'files/p19/p19748558/s54913354/887d2084-05ef3dd9-2c675409-df755081-60950f2a.jpg']","['files/p19/p19748558/s53919021/59a9547b-1d1ae94d-21f9b870-53488792-48240baa.jpg\n', 'files/p19/p19748558/s53919021/6eaf56a0-ded30052-29edb3ad-20da2133-db0cf728.jpg\n']"
s54917064_0,p14794396,s54917064,0,Findings,"The cardiomediastinal and hilar contours are normal. In comparison to the prior study, a nodular opacity in the right upper lobe measuring approximately 13 mm, is new. The left lung appears relatively clear. No focal consolidation, pleural effusion, or pneumothorax is seen. No acute osseous abnormality is detected. Surgical clips are seen in the left paraspinal region in the abdomen, consistent with prior nephrectomy.","In comparison to the prior study, a nodular opacity in the right upper lobe measuring approximately 13 mm, is new.",nodular opacity,right upper lobe,New,"['files/p14/p14794396/s54917064/bbeb5006-95cd0d0e-263c6445-ee37f7f9-a48dd6ab.jpg', 'files/p14/p14794396/s54917064/feab557c-84c132e2-a4172ea5-87289e6b-4c74334d.jpg']","['files/p14/p14794396/s54335521/96e64947-6f39b2c9-edd75d31-b4875ef8-20d4d547.jpg\n', 'files/p14/p14794396/s54335521/b9515644-3201e291-84f9839a-308ca0a6-fb3dc5c3.jpg\n']"
s54920051_34,p16826047,s54920051,34,Impression,Interval development of mild pulmonary edema and likely increase in size of moderate sized loculated pleural effusion on the right. New small left pleural effusion.,New small left pleural effusion.,small pleural effusion,left,New,"['files/p16/p16826047/s54920051/9971003a-1a8b5d7d-b708ea6d-c1b77b68-99adb262.jpg', 'files/p16/p16826047/s54920051/d2e3dff5-381ea801-b587e5f8-7a35a88a-9c9b66a5.jpg']",['files/p16/p16826047/s54140146/d2f3ca46-8acb3e22-648cbc5d-db7450d3-d3a634a6.jpg\n']
s54920051_34,p16826047,s54920051,34,Findings,"PA and lateral views of the chest. The right-sided pleural drain is unchanged in position. The loculated pleural effusion within the right hemithorax are again seen, and appears minimally increased in size. Right perihilar mass is better seen on the recent CT. There has been interval increase in mild pulmonary edema. Costophrenic angle on the lateral view is blunted, which is new compared to prior study indicating a new left pleural effusion. The cardiomediastinal silhouette is difficult to assess but appears largely unchanged.","Costophrenic angle on the lateral view is blunted, which is new compared to prior study indicating a new left pleural effusion.",pleural effusion,left,New,"['files/p16/p16826047/s54920051/9971003a-1a8b5d7d-b708ea6d-c1b77b68-99adb262.jpg', 'files/p16/p16826047/s54920051/d2e3dff5-381ea801-b587e5f8-7a35a88a-9c9b66a5.jpg']",['files/p16/p16826047/s54140146/d2f3ca46-8acb3e22-648cbc5d-db7450d3-d3a634a6.jpg\n']
s54920051_34,p16826047,s54920051,34,Impression,Interval development of mild pulmonary edema and likely increase in size of moderate sized loculated pleural effusion on the right. New small left pleural effusion.,Interval development of mild pulmonary edema and likely increase in size of moderate sized loculated pleural effusion on the right.,"mild pulmonary edema, loculated pleural effusion",right,Worse,"['files/p16/p16826047/s54920051/9971003a-1a8b5d7d-b708ea6d-c1b77b68-99adb262.jpg', 'files/p16/p16826047/s54920051/d2e3dff5-381ea801-b587e5f8-7a35a88a-9c9b66a5.jpg']",['files/p16/p16826047/s54140146/d2f3ca46-8acb3e22-648cbc5d-db7450d3-d3a634a6.jpg\n']
s54920051_34,p16826047,s54920051,34,Findings,"PA and lateral views of the chest. The right-sided pleural drain is unchanged in position. The loculated pleural effusion within the right hemithorax are again seen, and appears minimally increased in size. Right perihilar mass is better seen on the recent CT. There has been interval increase in mild pulmonary edema. Costophrenic angle on the lateral view is blunted, which is new compared to prior study indicating a new left pleural effusion. The cardiomediastinal silhouette is difficult to assess but appears largely unchanged.",The right-sided pleural drain is unchanged in position.,pleural drain,right-sided,Stable,"['files/p16/p16826047/s54920051/9971003a-1a8b5d7d-b708ea6d-c1b77b68-99adb262.jpg', 'files/p16/p16826047/s54920051/d2e3dff5-381ea801-b587e5f8-7a35a88a-9c9b66a5.jpg']",['files/p16/p16826047/s54140146/d2f3ca46-8acb3e22-648cbc5d-db7450d3-d3a634a6.jpg\n']
s54920051_34,p16826047,s54920051,34,Findings,"PA and lateral views of the chest. The right-sided pleural drain is unchanged in position. The loculated pleural effusion within the right hemithorax are again seen, and appears minimally increased in size. Right perihilar mass is better seen on the recent CT. There has been interval increase in mild pulmonary edema. Costophrenic angle on the lateral view is blunted, which is new compared to prior study indicating a new left pleural effusion. The cardiomediastinal silhouette is difficult to assess but appears largely unchanged.","The loculated pleural effusion within the right hemithorax are again seen, and appears minimally increased in size.",loculated pleural effusion,right hemithorax,Worse,"['files/p16/p16826047/s54920051/9971003a-1a8b5d7d-b708ea6d-c1b77b68-99adb262.jpg', 'files/p16/p16826047/s54920051/d2e3dff5-381ea801-b587e5f8-7a35a88a-9c9b66a5.jpg']",['files/p16/p16826047/s54140146/d2f3ca46-8acb3e22-648cbc5d-db7450d3-d3a634a6.jpg\n']
s54920051_34,p16826047,s54920051,34,Findings,"PA and lateral views of the chest. The right-sided pleural drain is unchanged in position. The loculated pleural effusion within the right hemithorax are again seen, and appears minimally increased in size. Right perihilar mass is better seen on the recent CT. There has been interval increase in mild pulmonary edema. Costophrenic angle on the lateral view is blunted, which is new compared to prior study indicating a new left pleural effusion. The cardiomediastinal silhouette is difficult to assess but appears largely unchanged.",There has been interval increase in mild pulmonary edema.,mild pulmonary edema,,Worse,"['files/p16/p16826047/s54920051/9971003a-1a8b5d7d-b708ea6d-c1b77b68-99adb262.jpg', 'files/p16/p16826047/s54920051/d2e3dff5-381ea801-b587e5f8-7a35a88a-9c9b66a5.jpg']",['files/p16/p16826047/s54140146/d2f3ca46-8acb3e22-648cbc5d-db7450d3-d3a634a6.jpg\n']
s54920956_22,p13881772,s54920956,22,Impression,"New large area of focal right perihilar opacification, superimposed on pleural effusions as well as findings associated with mild pulmonary edema. The asymmetry suggests superimposed pneumonia as the etiology, or perhaps aspiration in the appropriate clinical setting; alternatively asymmetric pulmonary edema could be considered. Short-term follow-up radiographs may be helpful to reassess.","New large area of focal right perihilar opacification, superimposed on pleural effusions as well as findings associated with mild pulmonary edema. The asymmetry suggests superimposed pneumonia as the etiology, or perhaps aspiration in the appropriate clinical setting; alternatively asymmetric pulmonary edema could be considered. Short-term follow-up radiographs may be helpful to reassess.",large area of focal opacification,right perihilar,New,['files/p13/p13881772/s54920956/a2c767ad-f88d5b23-c8ac6a06-187b6f12-31b3b997.jpg'],['files/p13/p13881772/s54247614/669b4965-be67a9dd-0ba00b96-3ed4d288-597c3f17.jpg\n']
s54920956_22,p13881772,s54920956,22,Findings,"There is a new asymmetric perihilar opacification of the right mid lung. This is superimposed on moderate bilateral pleural effusions, similar to increased on the right and perhaps somewhat decreased on the left. Increased opacification at the right lung base may also reflect increasing atelectasis associated with a pleural effusion, although an area of infection is not excluded. Pulmonary vessels show upper zone redistribution and Kerley lines are present suggesting coinciding mild congestive heart failure but generally similar in extent.",Pulmonary vessels show upper zone redistribution and Kerley lines are present suggesting coinciding mild congestive heart failure but generally similar in extent.,upper zone redistribution and Kerley lines suggesting mild congestive heart failure,pulmonary vessels,Stable,['files/p13/p13881772/s54920956/a2c767ad-f88d5b23-c8ac6a06-187b6f12-31b3b997.jpg'],['files/p13/p13881772/s54247614/669b4965-be67a9dd-0ba00b96-3ed4d288-597c3f17.jpg\n']
s54920956_22,p13881772,s54920956,22,Findings,"There is a new asymmetric perihilar opacification of the right mid lung. This is superimposed on moderate bilateral pleural effusions, similar to increased on the right and perhaps somewhat decreased on the left. Increased opacification at the right lung base may also reflect increasing atelectasis associated with a pleural effusion, although an area of infection is not excluded. Pulmonary vessels show upper zone redistribution and Kerley lines are present suggesting coinciding mild congestive heart failure but generally similar in extent.","This is superimposed on moderate bilateral pleural effusions, similar to increased on the right and perhaps somewhat decreased on the left.",moderate bilateral pleural effusions,right,Worse,['files/p13/p13881772/s54920956/a2c767ad-f88d5b23-c8ac6a06-187b6f12-31b3b997.jpg'],['files/p13/p13881772/s54247614/669b4965-be67a9dd-0ba00b96-3ed4d288-597c3f17.jpg\n']
s54920956_22,p13881772,s54920956,22,Findings,"There is a new asymmetric perihilar opacification of the right mid lung. This is superimposed on moderate bilateral pleural effusions, similar to increased on the right and perhaps somewhat decreased on the left. Increased opacification at the right lung base may also reflect increasing atelectasis associated with a pleural effusion, although an area of infection is not excluded. Pulmonary vessels show upper zone redistribution and Kerley lines are present suggesting coinciding mild congestive heart failure but generally similar in extent.","Increased opacification at the right lung base may also reflect increasing atelectasis associated with a pleural effusion, although an area of infection is not excluded.",opacification,right lung base,Worse,['files/p13/p13881772/s54920956/a2c767ad-f88d5b23-c8ac6a06-187b6f12-31b3b997.jpg'],['files/p13/p13881772/s54247614/669b4965-be67a9dd-0ba00b96-3ed4d288-597c3f17.jpg\n']
s54920956_22,p13881772,s54920956,22,Findings,"There is a new asymmetric perihilar opacification of the right mid lung. This is superimposed on moderate bilateral pleural effusions, similar to increased on the right and perhaps somewhat decreased on the left. Increased opacification at the right lung base may also reflect increasing atelectasis associated with a pleural effusion, although an area of infection is not excluded. Pulmonary vessels show upper zone redistribution and Kerley lines are present suggesting coinciding mild congestive heart failure but generally similar in extent.","This is superimposed on moderate bilateral pleural effusions, similar to increased on the right and perhaps somewhat decreased on the left.",moderate bilateral pleural effusions,left,Better,['files/p13/p13881772/s54920956/a2c767ad-f88d5b23-c8ac6a06-187b6f12-31b3b997.jpg'],['files/p13/p13881772/s54247614/669b4965-be67a9dd-0ba00b96-3ed4d288-597c3f17.jpg\n']
s54920956_22,p13881772,s54920956,22,Findings,"There is a new asymmetric perihilar opacification of the right mid lung. This is superimposed on moderate bilateral pleural effusions, similar to increased on the right and perhaps somewhat decreased on the left. Increased opacification at the right lung base may also reflect increasing atelectasis associated with a pleural effusion, although an area of infection is not excluded. Pulmonary vessels show upper zone redistribution and Kerley lines are present suggesting coinciding mild congestive heart failure but generally similar in extent.",There is a new asymmetric perihilar opacification of the right mid lung.,asymmetric perihilar opacification,right mid lung,New,['files/p13/p13881772/s54920956/a2c767ad-f88d5b23-c8ac6a06-187b6f12-31b3b997.jpg'],['files/p13/p13881772/s54247614/669b4965-be67a9dd-0ba00b96-3ed4d288-597c3f17.jpg\n']
s54922650_15,p13031876,s54922650,15,Impression,1. Endotracheal tube 5.3 cm from the carina. 2. Persistent left pleural effusion and atelectasis.,2. Persistent left pleural effusion and atelectasis.,pleural effusion,left,Stable,['files/p13/p13031876/s54922650/17c72825-5e526be7-2960df0b-bf160fda-b97951bf.jpg'],['files/p13/p13031876/s54507675/3b7947ed-a2cd5417-8e4e8b35-e081b743-6844ceca.jpg\n']
s54922650_15,p13031876,s54922650,15,Findings,"Since the prior study, an endotracheal tube has been placed. Its tip is 5.3 cm from the carina. A PICC ends in the mid SVC. A feeding tube overlies the stomach with the tip out of view. A pleural effusion on the left is small. A persistent consolidation at the left base is unchanged and likely reflects chronic atelectasis. There are no new opacities. There is no pneumothorax. Cervical hardware and right humeral soft tissue anchors are unchanged.",A pleural effusion on the left is small.,pleural effusion,left,New,['files/p13/p13031876/s54922650/17c72825-5e526be7-2960df0b-bf160fda-b97951bf.jpg'],['files/p13/p13031876/s54507675/3b7947ed-a2cd5417-8e4e8b35-e081b743-6844ceca.jpg\n']
s54922650_15,p13031876,s54922650,15,Findings,"Since the prior study, an endotracheal tube has been placed. Its tip is 5.3 cm from the carina. A PICC ends in the mid SVC. A feeding tube overlies the stomach with the tip out of view. A pleural effusion on the left is small. A persistent consolidation at the left base is unchanged and likely reflects chronic atelectasis. There are no new opacities. There is no pneumothorax. Cervical hardware and right humeral soft tissue anchors are unchanged.",Cervical hardware and right humeral soft tissue anchors are unchanged.,soft tissue anchors,right humeral,Stable,['files/p13/p13031876/s54922650/17c72825-5e526be7-2960df0b-bf160fda-b97951bf.jpg'],['files/p13/p13031876/s54507675/3b7947ed-a2cd5417-8e4e8b35-e081b743-6844ceca.jpg\n']
s54922650_15,p13031876,s54922650,15,Findings,"Since the prior study, an endotracheal tube has been placed. Its tip is 5.3 cm from the carina. A PICC ends in the mid SVC. A feeding tube overlies the stomach with the tip out of view. A pleural effusion on the left is small. A persistent consolidation at the left base is unchanged and likely reflects chronic atelectasis. There are no new opacities. There is no pneumothorax. Cervical hardware and right humeral soft tissue anchors are unchanged.",A feeding tube overlies the stomach with the tip out of view.,feeding tube,stomach,New,['files/p13/p13031876/s54922650/17c72825-5e526be7-2960df0b-bf160fda-b97951bf.jpg'],['files/p13/p13031876/s54507675/3b7947ed-a2cd5417-8e4e8b35-e081b743-6844ceca.jpg\n']
s54922650_15,p13031876,s54922650,15,Findings,"Since the prior study, an endotracheal tube has been placed. Its tip is 5.3 cm from the carina. A PICC ends in the mid SVC. A feeding tube overlies the stomach with the tip out of view. A pleural effusion on the left is small. A persistent consolidation at the left base is unchanged and likely reflects chronic atelectasis. There are no new opacities. There is no pneumothorax. Cervical hardware and right humeral soft tissue anchors are unchanged.",A PICC ends in the mid SVC.,PICC,mid SVC,New,['files/p13/p13031876/s54922650/17c72825-5e526be7-2960df0b-bf160fda-b97951bf.jpg'],['files/p13/p13031876/s54507675/3b7947ed-a2cd5417-8e4e8b35-e081b743-6844ceca.jpg\n']
s54922650_15,p13031876,s54922650,15,Impression,1. Endotracheal tube 5.3 cm from the carina. 2. Persistent left pleural effusion and atelectasis.,2. Persistent left pleural effusion and atelectasis.,atelectasis,left,Stable,['files/p13/p13031876/s54922650/17c72825-5e526be7-2960df0b-bf160fda-b97951bf.jpg'],['files/p13/p13031876/s54507675/3b7947ed-a2cd5417-8e4e8b35-e081b743-6844ceca.jpg\n']
s54922650_15,p13031876,s54922650,15,Findings,"Since the prior study, an endotracheal tube has been placed. Its tip is 5.3 cm from the carina. A PICC ends in the mid SVC. A feeding tube overlies the stomach with the tip out of view. A pleural effusion on the left is small. A persistent consolidation at the left base is unchanged and likely reflects chronic atelectasis. There are no new opacities. There is no pneumothorax. Cervical hardware and right humeral soft tissue anchors are unchanged.","Since the prior study, an endotracheal tube has been placed.",endotracheal tube,,New,['files/p13/p13031876/s54922650/17c72825-5e526be7-2960df0b-bf160fda-b97951bf.jpg'],['files/p13/p13031876/s54507675/3b7947ed-a2cd5417-8e4e8b35-e081b743-6844ceca.jpg\n']
s54922650_15,p13031876,s54922650,15,Findings,"Since the prior study, an endotracheal tube has been placed. Its tip is 5.3 cm from the carina. A PICC ends in the mid SVC. A feeding tube overlies the stomach with the tip out of view. A pleural effusion on the left is small. A persistent consolidation at the left base is unchanged and likely reflects chronic atelectasis. There are no new opacities. There is no pneumothorax. Cervical hardware and right humeral soft tissue anchors are unchanged.",A persistent consolidation at the left base is unchanged and likely reflects chronic atelectasis.,consolidation,left base,Stable,['files/p13/p13031876/s54922650/17c72825-5e526be7-2960df0b-bf160fda-b97951bf.jpg'],['files/p13/p13031876/s54507675/3b7947ed-a2cd5417-8e4e8b35-e081b743-6844ceca.jpg\n']
s54922650_15,p13031876,s54922650,15,Findings,"Since the prior study, an endotracheal tube has been placed. Its tip is 5.3 cm from the carina. A PICC ends in the mid SVC. A feeding tube overlies the stomach with the tip out of view. A pleural effusion on the left is small. A persistent consolidation at the left base is unchanged and likely reflects chronic atelectasis. There are no new opacities. There is no pneumothorax. Cervical hardware and right humeral soft tissue anchors are unchanged.",Cervical hardware and right humeral soft tissue anchors are unchanged.,hardware,cervical,Stable,['files/p13/p13031876/s54922650/17c72825-5e526be7-2960df0b-bf160fda-b97951bf.jpg'],['files/p13/p13031876/s54507675/3b7947ed-a2cd5417-8e4e8b35-e081b743-6844ceca.jpg\n']
s54925240_14,p16853729,s54925240,14,Findings,"Linear bibasilar opacity is likely atelectasis. Blunting of the left lateral costophrenic angle is again seen, potentially due to additional atelectasis or potentially small effusion. Elsewhere, lungs are clear. Cardiomediastinal silhouette is stable. Old healed right posterior rib fracture is again noted. No acute osseous abnormality.",Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p16/p16853729/s54925240/28286aca-22f060d1-344a3628-b2cd36f8-df90a34a.jpg', 'files/p16/p16853729/s54925240/a8dc3cbb-b58718d9-53a4df6c-82caf4ea-cf4bb15e.jpg']",['files/p16/p16853729/s52489936/c9532e5b-e9cb7923-1d3cf2ef-05e252e8-dcf11149.jpg\n']
s54925240_14,p16853729,s54925240,14,Findings,"Linear bibasilar opacity is likely atelectasis. Blunting of the left lateral costophrenic angle is again seen, potentially due to additional atelectasis or potentially small effusion. Elsewhere, lungs are clear. Cardiomediastinal silhouette is stable. Old healed right posterior rib fracture is again noted. No acute osseous abnormality.",Old healed right posterior rib fracture is again noted.,rib fracture,right posterior,Stable,"['files/p16/p16853729/s54925240/28286aca-22f060d1-344a3628-b2cd36f8-df90a34a.jpg', 'files/p16/p16853729/s54925240/a8dc3cbb-b58718d9-53a4df6c-82caf4ea-cf4bb15e.jpg']",['files/p16/p16853729/s52489936/c9532e5b-e9cb7923-1d3cf2ef-05e252e8-dcf11149.jpg\n']
s54925240_14,p16853729,s54925240,14,Findings,"Linear bibasilar opacity is likely atelectasis. Blunting of the left lateral costophrenic angle is again seen, potentially due to additional atelectasis or potentially small effusion. Elsewhere, lungs are clear. Cardiomediastinal silhouette is stable. Old healed right posterior rib fracture is again noted. No acute osseous abnormality.","Blunting of the left lateral costophrenic angle is again seen, potentially due to additional atelectasis or potentially small effusion.",Blunting,left lateral costophrenic angle,Stable,"['files/p16/p16853729/s54925240/28286aca-22f060d1-344a3628-b2cd36f8-df90a34a.jpg', 'files/p16/p16853729/s54925240/a8dc3cbb-b58718d9-53a4df6c-82caf4ea-cf4bb15e.jpg']",['files/p16/p16853729/s52489936/c9532e5b-e9cb7923-1d3cf2ef-05e252e8-dcf11149.jpg\n']
s54932317_6,p12702423,s54932317,6,Impression,AP chest compared to ___ through ___: There is no pneumonia or pulmonary edema. Extensive intrathoracic malignancy includes scores of nodules of various sizes in the right lung which may have grown more numerous and enlarged over just a two-day interval. There is extensive bilateral hilar and mediastinal adenopathy and much larger confluent metastases in the left hemithorax with associated pleural thickening. There is no pneumothorax.,Extensive intrathoracic malignancy includes scores of nodules of various sizes in the right lung which may have grown more numerous and enlarged over just a two-day interval.,nodules,right lung,Worse,"['files/p12/p12702423/s54932317/5d99dd54-b526167b-ecf0e625-a8664607-ffea3011.jpg', 'files/p12/p12702423/s54932317/d5bdde56-163d7da0-c0c9fbcd-b1e3b312-4ad7853c.jpg']",['files/p12/p12702423/s54038403/e4c886d4-4409c92a-132f068d-876bd033-0e8fd448.jpg\n']
s54934220_7,p10268877,s54934220,7,Findings,Comparison is made to previous study from ___. There is an endotracheal tube whose distal tip is 6.2 cm above the carina appropriately sited. There is a left-sided IJ line with distal lead tip in the mid SVC. There is a nasogastric tube whose tip and sideport are below the GE junction. There is a persistent left retrocardiac opacity. There is some atelectasis at the left lung base. There is improved aeration at the right lung base. No pneumothoraces are seen.,There is a persistent left retrocardiac opacity.,opacity,left retrocardiac,Stable,"['files/p10/p10268877/s54934220/2c047cc5-4f33acea-462ae2cb-0d9a48d2-8906e8f9.jpg', 'files/p10/p10268877/s54934220/2d0d0dd1-758ad05c-5f33e8fa-08a1e0dc-63d862be.jpg']",['files/p10/p10268877/s54658698/b0cabafd-224d8d46-c113bb88-27e041f4-2ecf273b.jpg\n']
s54934220_7,p10268877,s54934220,7,Findings,Comparison is made to previous study from ___. There is an endotracheal tube whose distal tip is 6.2 cm above the carina appropriately sited. There is a left-sided IJ line with distal lead tip in the mid SVC. There is a nasogastric tube whose tip and sideport are below the GE junction. There is a persistent left retrocardiac opacity. There is some atelectasis at the left lung base. There is improved aeration at the right lung base. No pneumothoraces are seen.,There is improved aeration at the right lung base.,aeration,right lung base,Better,"['files/p10/p10268877/s54934220/2c047cc5-4f33acea-462ae2cb-0d9a48d2-8906e8f9.jpg', 'files/p10/p10268877/s54934220/2d0d0dd1-758ad05c-5f33e8fa-08a1e0dc-63d862be.jpg']",['files/p10/p10268877/s54658698/b0cabafd-224d8d46-c113bb88-27e041f4-2ecf273b.jpg\n']
s54937394_6,p19623993,s54937394,6,Findings,"A right internal jugular approach central venous catheter tip projects within the mid SVC. A left internal jugular approach Swan-Ganz catheter tip is within the main pulmonary artery. An endotracheal tube is 4.8 cm above the carina. Enteric feeding tube courses below the diaphragm. A right basilar chest tube is in stable position. Interstitial pulmonary edema is improved, with remaining mild pulmonary vascular congestion. There is bibasilar opacification, likely atelectasis with low lung volumes. There are no new focal opacities concerning for pneumonia. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are stable. There is moderate cardiomegaly.",The cardiomediastinal and hilar contours are stable.,cardiomediastinal and hilar contours,,Stable,['files/p19/p19623993/s54937394/27dd77c0-a8c3f1a1-f33fb0c9-928377b3-b5ae13f7.jpg'],['files/p19/p19623993/s54806202/34395a9b-ad2db3ef-2c80999f-d0c5077b-42fb9957.jpg\n']
s54937394_6,p19623993,s54937394,6,Findings,"A right internal jugular approach central venous catheter tip projects within the mid SVC. A left internal jugular approach Swan-Ganz catheter tip is within the main pulmonary artery. An endotracheal tube is 4.8 cm above the carina. Enteric feeding tube courses below the diaphragm. A right basilar chest tube is in stable position. Interstitial pulmonary edema is improved, with remaining mild pulmonary vascular congestion. There is bibasilar opacification, likely atelectasis with low lung volumes. There are no new focal opacities concerning for pneumonia. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are stable. There is moderate cardiomegaly.","Interstitial pulmonary edema is improved, with remaining mild pulmonary vascular congestion.",Interstitial pulmonary edema,,Better,['files/p19/p19623993/s54937394/27dd77c0-a8c3f1a1-f33fb0c9-928377b3-b5ae13f7.jpg'],['files/p19/p19623993/s54806202/34395a9b-ad2db3ef-2c80999f-d0c5077b-42fb9957.jpg\n']
s54937394_6,p19623993,s54937394,6,Impression,Improvement in interstitial edema with otherwise no significant change.,Improvement in interstitial edema with otherwise no significant change.,Interstitial edema,,Better,['files/p19/p19623993/s54937394/27dd77c0-a8c3f1a1-f33fb0c9-928377b3-b5ae13f7.jpg'],['files/p19/p19623993/s54806202/34395a9b-ad2db3ef-2c80999f-d0c5077b-42fb9957.jpg\n']
s54937394_6,p19623993,s54937394,6,Findings,"A right internal jugular approach central venous catheter tip projects within the mid SVC. A left internal jugular approach Swan-Ganz catheter tip is within the main pulmonary artery. An endotracheal tube is 4.8 cm above the carina. Enteric feeding tube courses below the diaphragm. A right basilar chest tube is in stable position. Interstitial pulmonary edema is improved, with remaining mild pulmonary vascular congestion. There is bibasilar opacification, likely atelectasis with low lung volumes. There are no new focal opacities concerning for pneumonia. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are stable. There is moderate cardiomegaly.",A right basilar chest tube is in stable position.,chest tube,right basilar,Stable,['files/p19/p19623993/s54937394/27dd77c0-a8c3f1a1-f33fb0c9-928377b3-b5ae13f7.jpg'],['files/p19/p19623993/s54806202/34395a9b-ad2db3ef-2c80999f-d0c5077b-42fb9957.jpg\n']
s54943123_63,p19182863,s54943123,63,Impression,Left sided single lead pacer unchanged in position. Right internal jugular central line with tip in the proximal right atrium. There continue be small stable bilateral pleural effusions with decrease in the amount of loculated fluid on the left. Status post median sternotomy with stable cardiac and mediastinal contours. Interval appearance of mild interstitial edema. Bibasilar patchy opacities likely reflect atelectasis. No obvious pneumothorax.,Interval appearance of mild interstitial edema.,mild interstitial edema,,New,['files/p19/p19182863/s54943123/c97cba0f-be9c81e1-e3b2f294-5af9f1ac-aa4dab80.jpg'],"['files/p19/p19182863/s54846230/b469e162-cf3e9263-149b58f8-2be8ae73-97f8d848.jpg\n', 'files/p19/p19182863/s54846230/ef80aef9-5a1e915b-1a9459ba-caabc17e-7743008a.jpg\n']"
s54943123_63,p19182863,s54943123,63,Impression,Left sided single lead pacer unchanged in position. Right internal jugular central line with tip in the proximal right atrium. There continue be small stable bilateral pleural effusions with decrease in the amount of loculated fluid on the left. Status post median sternotomy with stable cardiac and mediastinal contours. Interval appearance of mild interstitial edema. Bibasilar patchy opacities likely reflect atelectasis. No obvious pneumothorax.,Status post median sternotomy with stable cardiac and mediastinal contours.,cardiac and mediastinal contours,,Stable,['files/p19/p19182863/s54943123/c97cba0f-be9c81e1-e3b2f294-5af9f1ac-aa4dab80.jpg'],"['files/p19/p19182863/s54846230/b469e162-cf3e9263-149b58f8-2be8ae73-97f8d848.jpg\n', 'files/p19/p19182863/s54846230/ef80aef9-5a1e915b-1a9459ba-caabc17e-7743008a.jpg\n']"
s54943123_63,p19182863,s54943123,63,Impression,Left sided single lead pacer unchanged in position. Right internal jugular central line with tip in the proximal right atrium. There continue be small stable bilateral pleural effusions with decrease in the amount of loculated fluid on the left. Status post median sternotomy with stable cardiac and mediastinal contours. Interval appearance of mild interstitial edema. Bibasilar patchy opacities likely reflect atelectasis. No obvious pneumothorax.,There continue be small stable bilateral pleural effusions with decrease in the amount of loculated fluid on the left.,pleural effusions,bilateral,Stable,['files/p19/p19182863/s54943123/c97cba0f-be9c81e1-e3b2f294-5af9f1ac-aa4dab80.jpg'],"['files/p19/p19182863/s54846230/b469e162-cf3e9263-149b58f8-2be8ae73-97f8d848.jpg\n', 'files/p19/p19182863/s54846230/ef80aef9-5a1e915b-1a9459ba-caabc17e-7743008a.jpg\n']"
s54943123_63,p19182863,s54943123,63,Impression,Left sided single lead pacer unchanged in position. Right internal jugular central line with tip in the proximal right atrium. There continue be small stable bilateral pleural effusions with decrease in the amount of loculated fluid on the left. Status post median sternotomy with stable cardiac and mediastinal contours. Interval appearance of mild interstitial edema. Bibasilar patchy opacities likely reflect atelectasis. No obvious pneumothorax.,Left sided single lead pacer unchanged in position.,single lead pacer,left sided,Stable,['files/p19/p19182863/s54943123/c97cba0f-be9c81e1-e3b2f294-5af9f1ac-aa4dab80.jpg'],"['files/p19/p19182863/s54846230/b469e162-cf3e9263-149b58f8-2be8ae73-97f8d848.jpg\n', 'files/p19/p19182863/s54846230/ef80aef9-5a1e915b-1a9459ba-caabc17e-7743008a.jpg\n']"
s54949810_3,p17704774,s54949810,3,Findings,"Comparison is made to previous study from ___. There are again seen diffuse masses and nodules throughout both lungs consistent with known widespread metastatic disease. There is a right-sided chest tube with distal tip at the right apex. The size of the pneumothorax at the right base, right lower chest wall, and right lung apex is unchanged. There is a persistent left retrocardiac opacity and left-sided pleural effusion. Hardware within the thoracic spine is again visualized.",There are again seen diffuse masses and nodules throughout both lungs consistent with known widespread metastatic disease.,masses and nodules,both lungs,Stable,['files/p17/p17704774/s54949810/9a046e7c-057d79d3-d97632b4-19afc34b-e0beff6a.jpg'],['files/p17/p17704774/s52939447/f9e470de-c60bca39-abdf839e-6a6732b2-852ee038.jpg\n']
s54949810_3,p17704774,s54949810,3,Findings,"Comparison is made to previous study from ___. There are again seen diffuse masses and nodules throughout both lungs consistent with known widespread metastatic disease. There is a right-sided chest tube with distal tip at the right apex. The size of the pneumothorax at the right base, right lower chest wall, and right lung apex is unchanged. There is a persistent left retrocardiac opacity and left-sided pleural effusion. Hardware within the thoracic spine is again visualized.",Hardware within the thoracic spine is again visualized.,hardware,thoracic spine,Stable,['files/p17/p17704774/s54949810/9a046e7c-057d79d3-d97632b4-19afc34b-e0beff6a.jpg'],['files/p17/p17704774/s52939447/f9e470de-c60bca39-abdf839e-6a6732b2-852ee038.jpg\n']
s54949810_3,p17704774,s54949810,3,Findings,"Comparison is made to previous study from ___. There are again seen diffuse masses and nodules throughout both lungs consistent with known widespread metastatic disease. There is a right-sided chest tube with distal tip at the right apex. The size of the pneumothorax at the right base, right lower chest wall, and right lung apex is unchanged. There is a persistent left retrocardiac opacity and left-sided pleural effusion. Hardware within the thoracic spine is again visualized.","The size of the pneumothorax at the right base, right lower chest wall, and right lung apex is unchanged.",pneumothorax,"right base, right lower chest wall, and right lung apex",Stable,['files/p17/p17704774/s54949810/9a046e7c-057d79d3-d97632b4-19afc34b-e0beff6a.jpg'],['files/p17/p17704774/s52939447/f9e470de-c60bca39-abdf839e-6a6732b2-852ee038.jpg\n']
s54953521_6,p15114531,s54953521,6,Findings,"In comparison with the study of ___, there is little overall change. Specifically, there is no evidence of pulmonary vascular congestion or acute focal pneumonia. Cervical fusion device is seen.","In comparison with the study of ___, there is little overall change.",,,Stable,['files/p15/p15114531/s54953521/bd752951-5d4e5b88-c3f34820-c9e7fcd4-1d2b4af7.jpg'],"['files/p15/p15114531/s54918942/2a443c5b-911d577f-f0f52f16-9d2662c4-4c3a0fad.jpg\n', 'files/p15/p15114531/s54918942/5c46aa81-80ce61d5-b0876cbf-447acc20-e262c237.jpg\n']"
s54957849_1,p18767957,s54957849,1,Findings,"In comparison with study of ___, there are slightly lower lung volumes. There is enlargement of the cardiac silhouette with engorgement of indistinct pulmonary vessels consistent with some elevated pulmonary venous pressure. The left hemidiaphragm is not as well seen, suggesting volume loss in the left lower lobe and possible left effusion.","In comparison with study of ___, there are slightly lower lung volumes.",lung volumes,,Worse,['files/p18/p18767957/s54957849/198de658-1227d01c-476b2711-045c0b08-734edabe.jpg'],"['files/p18/p18767957/s53273257/475838e0-f584ba2c-4e4b584f-7b63fdb6-7fa998a9.jpg\n', 'files/p18/p18767957/s53273257/55249a04-13ab44b1-04c4b5e6-803f6e35-0c091a7d.jpg\n']"
s54970692_34,p16508811,s54970692,34,Findings,AP portable upright view of the chest. Overlying EKG leads are present. Cardiomegaly is again noted with interval development of hilar congestion and mild interstitial pulmonary edema. Asymmetric opacity in the right lung is concerning for a superimposed pneumonia. No large effusion is seen. No pneumothorax. Bony structures appear intact.,Cardiomegaly is again noted with interval development of hilar congestion and mild interstitial pulmonary edema.,Cardiomegaly,,Worse,['files/p16/p16508811/s54970692/983faa39-85b84785-39cbeb3d-01519146-5be82c3b.jpg'],['files/p16/p16508811/s54723356/cf48760b-bc0b549d-17be5069-3e7b5248-e5f62e37.jpg\n']
s54970692_34,p16508811,s54970692,34,Findings,AP portable upright view of the chest. Overlying EKG leads are present. Cardiomegaly is again noted with interval development of hilar congestion and mild interstitial pulmonary edema. Asymmetric opacity in the right lung is concerning for a superimposed pneumonia. No large effusion is seen. No pneumothorax. Bony structures appear intact.,Cardiomegaly is again noted with interval development of hilar congestion and mild interstitial pulmonary edema.,hilar congestion,,New,['files/p16/p16508811/s54970692/983faa39-85b84785-39cbeb3d-01519146-5be82c3b.jpg'],['files/p16/p16508811/s54723356/cf48760b-bc0b549d-17be5069-3e7b5248-e5f62e37.jpg\n']
s54970692_34,p16508811,s54970692,34,Findings,AP portable upright view of the chest. Overlying EKG leads are present. Cardiomegaly is again noted with interval development of hilar congestion and mild interstitial pulmonary edema. Asymmetric opacity in the right lung is concerning for a superimposed pneumonia. No large effusion is seen. No pneumothorax. Bony structures appear intact.,Cardiomegaly is again noted with interval development of hilar congestion and mild interstitial pulmonary edema.,mild interstitial pulmonary edema,,New,['files/p16/p16508811/s54970692/983faa39-85b84785-39cbeb3d-01519146-5be82c3b.jpg'],['files/p16/p16508811/s54723356/cf48760b-bc0b549d-17be5069-3e7b5248-e5f62e37.jpg\n']
s54972841_3,p11879886,s54972841,3,Findings,PA and lateral views of the chest were obtained. Midline sternotomy wires and mediastinal clips are again noted. The lungs appear clear bilaterally without definite signs of pneumonia or CHF. The patient is known to have multiple pulmonary metastases which are not well seen. A lesion in the left lower lobe projects over the posterior margin of the heart on the lateral view. A nodular opacity is again noted in the left upper lobe. No pleural effusion or pneumothorax. Heart size is stable. Mediastinal contour is also stable. Bony structures appear intact.,A nodular opacity is again noted in the left upper lobe.,nodular opacity,left upper lobe,Stable,"['files/p11/p11879886/s54972841/12fcd1f0-96b6eb00-a6a5ee27-7e8d19ee-63f16bc2.jpg', 'files/p11/p11879886/s54972841/d8d4b15b-0a338acd-c5176214-7794d508-468e6e07.jpg']","['files/p11/p11879886/s54357764/94795c9f-9f6f801d-ed57d02c-5e9e02be-b35bf9a1.jpg\n', 'files/p11/p11879886/s54357764/9af84adc-9ec1d9e4-04c381af-f81edb77-c40f3fb4.jpg\n']"
s54972841_3,p11879886,s54972841,3,Impression,Known lung metastases are again noted though better assessed on prior CT. No definite signs of superimposed acute process.,Known lung metastases are again noted though better assessed on prior CT. No definite signs of superimposed acute process.,Known lung metastases,,Stable,"['files/p11/p11879886/s54972841/12fcd1f0-96b6eb00-a6a5ee27-7e8d19ee-63f16bc2.jpg', 'files/p11/p11879886/s54972841/d8d4b15b-0a338acd-c5176214-7794d508-468e6e07.jpg']","['files/p11/p11879886/s54357764/94795c9f-9f6f801d-ed57d02c-5e9e02be-b35bf9a1.jpg\n', 'files/p11/p11879886/s54357764/9af84adc-9ec1d9e4-04c381af-f81edb77-c40f3fb4.jpg\n']"
s54972841_3,p11879886,s54972841,3,Findings,PA and lateral views of the chest were obtained. Midline sternotomy wires and mediastinal clips are again noted. The lungs appear clear bilaterally without definite signs of pneumonia or CHF. The patient is known to have multiple pulmonary metastases which are not well seen. A lesion in the left lower lobe projects over the posterior margin of the heart on the lateral view. A nodular opacity is again noted in the left upper lobe. No pleural effusion or pneumothorax. Heart size is stable. Mediastinal contour is also stable. Bony structures appear intact.,Mediastinal contour is also stable.,Mediastinal contour,,Stable,"['files/p11/p11879886/s54972841/12fcd1f0-96b6eb00-a6a5ee27-7e8d19ee-63f16bc2.jpg', 'files/p11/p11879886/s54972841/d8d4b15b-0a338acd-c5176214-7794d508-468e6e07.jpg']","['files/p11/p11879886/s54357764/94795c9f-9f6f801d-ed57d02c-5e9e02be-b35bf9a1.jpg\n', 'files/p11/p11879886/s54357764/9af84adc-9ec1d9e4-04c381af-f81edb77-c40f3fb4.jpg\n']"
s54972841_3,p11879886,s54972841,3,Findings,PA and lateral views of the chest were obtained. Midline sternotomy wires and mediastinal clips are again noted. The lungs appear clear bilaterally without definite signs of pneumonia or CHF. The patient is known to have multiple pulmonary metastases which are not well seen. A lesion in the left lower lobe projects over the posterior margin of the heart on the lateral view. A nodular opacity is again noted in the left upper lobe. No pleural effusion or pneumothorax. Heart size is stable. Mediastinal contour is also stable. Bony structures appear intact.,Midline sternotomy wires and mediastinal clips are again noted.,sternotomy wires and mediastinal clips,midline,Stable,"['files/p11/p11879886/s54972841/12fcd1f0-96b6eb00-a6a5ee27-7e8d19ee-63f16bc2.jpg', 'files/p11/p11879886/s54972841/d8d4b15b-0a338acd-c5176214-7794d508-468e6e07.jpg']","['files/p11/p11879886/s54357764/94795c9f-9f6f801d-ed57d02c-5e9e02be-b35bf9a1.jpg\n', 'files/p11/p11879886/s54357764/9af84adc-9ec1d9e4-04c381af-f81edb77-c40f3fb4.jpg\n']"
s54972841_3,p11879886,s54972841,3,Findings,PA and lateral views of the chest were obtained. Midline sternotomy wires and mediastinal clips are again noted. The lungs appear clear bilaterally without definite signs of pneumonia or CHF. The patient is known to have multiple pulmonary metastases which are not well seen. A lesion in the left lower lobe projects over the posterior margin of the heart on the lateral view. A nodular opacity is again noted in the left upper lobe. No pleural effusion or pneumothorax. Heart size is stable. Mediastinal contour is also stable. Bony structures appear intact.,Heart size is stable.,Heart size,,Stable,"['files/p11/p11879886/s54972841/12fcd1f0-96b6eb00-a6a5ee27-7e8d19ee-63f16bc2.jpg', 'files/p11/p11879886/s54972841/d8d4b15b-0a338acd-c5176214-7794d508-468e6e07.jpg']","['files/p11/p11879886/s54357764/94795c9f-9f6f801d-ed57d02c-5e9e02be-b35bf9a1.jpg\n', 'files/p11/p11879886/s54357764/9af84adc-9ec1d9e4-04c381af-f81edb77-c40f3fb4.jpg\n']"
s54985612_2,p16524406,s54985612,2,Findings,Assessment is slightly limited by patient rotation. The endotracheal tube tip terminates approximately 6 cm from the carina. An enteric tube tip is within the stomach. Cardiac silhouette size appears mildly enlarged but unchanged. Assessment of the mediastinal and hilar contours is limited. Pulmonary vasculature is not engorged. Streaky bibasilar airspace opacities may reflect areas of atelectasis. No pleural effusion or pneumothorax is identified. Marked degenerative changes are noted involving the right glenohumeral joint.,Cardiac silhouette size appears mildly enlarged but unchanged.,Cardiac silhouette size,,Stable,['files/p16/p16524406/s54985612/cae34b8f-cef454bf-250bd88e-8bef265d-9a3f0172.jpg'],"['files/p16/p16524406/s54562273/db019b7e-d9ed7caa-dce2242f-4d94ffd2-276acfb6.jpg\n', 'files/p16/p16524406/s54562273/e7c6ee1e-e78f4a5f-8d06b880-0facc167-9037ed6a.jpg\n']"
s54992879_8,p18615099,s54992879,8,Findings,"In comparison with the study of ___, there is continued substantial pulmonary edema with bilateral effusions and compressive atelectasis in a patient with previous CABG and dual-channel pacemaker device in place.","In comparison with the study of ___, there is continued substantial pulmonary edema with bilateral effusions and compressive atelectasis in a patient with previous CABG and dual-channel pacemaker device in place.",pleural effusions,bilateral,Stable,['files/p18/p18615099/s54992879/b74e11fc-805d197f-bbcb7e01-986abcbe-6152c60b.jpg'],"['files/p18/p18615099/s54265960/7cb5c502-ad66f0fd-1c7fbbaa-d1dffe8f-1a2416a3.jpg\n', 'files/p18/p18615099/s54265960/a0578edb-12a640ca-1ddab351-089c4d4c-00bb6f19.jpg\n', 'files/p18/p18615099/s54265960/ce6bc473-864aa830-25f637a2-2a8c99c0-f7f68138.jpg\n']"
s54992879_8,p18615099,s54992879,8,Findings,"In comparison with the study of ___, there is continued substantial pulmonary edema with bilateral effusions and compressive atelectasis in a patient with previous CABG and dual-channel pacemaker device in place.","In comparison with the study of ___, there is continued substantial pulmonary edema with bilateral effusions and compressive atelectasis in a patient with previous CABG and dual-channel pacemaker device in place.",pulmonary edema,bilateral,Stable,['files/p18/p18615099/s54992879/b74e11fc-805d197f-bbcb7e01-986abcbe-6152c60b.jpg'],"['files/p18/p18615099/s54265960/7cb5c502-ad66f0fd-1c7fbbaa-d1dffe8f-1a2416a3.jpg\n', 'files/p18/p18615099/s54265960/a0578edb-12a640ca-1ddab351-089c4d4c-00bb6f19.jpg\n', 'files/p18/p18615099/s54265960/ce6bc473-864aa830-25f637a2-2a8c99c0-f7f68138.jpg\n']"
s54992879_8,p18615099,s54992879,8,Findings,"In comparison with the study of ___, there is continued substantial pulmonary edema with bilateral effusions and compressive atelectasis in a patient with previous CABG and dual-channel pacemaker device in place.","In comparison with the study of ___, there is continued substantial pulmonary edema with bilateral effusions and compressive atelectasis in a patient with previous CABG and dual-channel pacemaker device in place.",compressive atelectasis,,Stable,['files/p18/p18615099/s54992879/b74e11fc-805d197f-bbcb7e01-986abcbe-6152c60b.jpg'],"['files/p18/p18615099/s54265960/7cb5c502-ad66f0fd-1c7fbbaa-d1dffe8f-1a2416a3.jpg\n', 'files/p18/p18615099/s54265960/a0578edb-12a640ca-1ddab351-089c4d4c-00bb6f19.jpg\n', 'files/p18/p18615099/s54265960/ce6bc473-864aa830-25f637a2-2a8c99c0-f7f68138.jpg\n']"
s54993114_14,p19061282,s54993114,14,Impression,"As compared to ___, the parenchymal consolidation surrounding the right hilus has moderately decreased in extent and severity. The changed likely reflect resolving pneumonia. Moderate cardiomegaly persists. No other pathologic parenchymal process. The radiograph also continues to show multiple cervical soft tissue calcifications as well as punctate splenic calcifications and at diffusely increased bone density, suggesting renal osteodystrophy.","As compared to ___, the parenchymal consolidation surrounding the right hilus has moderately decreased in extent and severity.",parenchymal consolidation,surrounding the right hilus,Better,"['files/p19/p19061282/s54993114/7cbc9371-93ae74a8-4d6234b9-a496d3e4-8812a350.jpg', 'files/p19/p19061282/s54993114/8d5fc3a2-a0c89d9f-23e4c2ab-380c3348-9d2842db.jpg']","['files/p19/p19061282/s54735623/e2f23bee-c794868d-634c7f86-b8fa66f9-925ef695.jpg\n', 'files/p19/p19061282/s54735623/e87655af-053bad7e-3bd0b4e8-0ca44de9-652ca403.jpg\n']"
s54993114_14,p19061282,s54993114,14,Impression,"As compared to ___, the parenchymal consolidation surrounding the right hilus has moderately decreased in extent and severity. The changed likely reflect resolving pneumonia. Moderate cardiomegaly persists. No other pathologic parenchymal process. The radiograph also continues to show multiple cervical soft tissue calcifications as well as punctate splenic calcifications and at diffusely increased bone density, suggesting renal osteodystrophy.",Moderate cardiomegaly persists.,Moderate cardiomegaly,,Stable,"['files/p19/p19061282/s54993114/7cbc9371-93ae74a8-4d6234b9-a496d3e4-8812a350.jpg', 'files/p19/p19061282/s54993114/8d5fc3a2-a0c89d9f-23e4c2ab-380c3348-9d2842db.jpg']","['files/p19/p19061282/s54735623/e2f23bee-c794868d-634c7f86-b8fa66f9-925ef695.jpg\n', 'files/p19/p19061282/s54735623/e87655af-053bad7e-3bd0b4e8-0ca44de9-652ca403.jpg\n']"
s54993114_14,p19061282,s54993114,14,Impression,"As compared to ___, the parenchymal consolidation surrounding the right hilus has moderately decreased in extent and severity. The changed likely reflect resolving pneumonia. Moderate cardiomegaly persists. No other pathologic parenchymal process. The radiograph also continues to show multiple cervical soft tissue calcifications as well as punctate splenic calcifications and at diffusely increased bone density, suggesting renal osteodystrophy.",The changed likely reflect resolving pneumonia.,pneumonia,,Resolve,"['files/p19/p19061282/s54993114/7cbc9371-93ae74a8-4d6234b9-a496d3e4-8812a350.jpg', 'files/p19/p19061282/s54993114/8d5fc3a2-a0c89d9f-23e4c2ab-380c3348-9d2842db.jpg']","['files/p19/p19061282/s54735623/e2f23bee-c794868d-634c7f86-b8fa66f9-925ef695.jpg\n', 'files/p19/p19061282/s54735623/e87655af-053bad7e-3bd0b4e8-0ca44de9-652ca403.jpg\n']"
s55001052_3,p16319601,s55001052,3,Impression,"AP chest compared to ___: Greater opacification involving the left chest with a gradient from top increasing to the diaphragmatic surface is probably a large pleural effusion, increased since ___. Smaller right pleural effusion has also increased. The left lower lung is partially obscured and may be mildly atelectatic but otherwise unchanged. Right lung is grossly normal. Cardiomediastinal silhouette is unremarkable. ET tube in standard placement, left PIC line in the low SVC or at the superior cavoatrial junction. Enteric drainage tube passes into the stomach and out of view.",Smaller right pleural effusion has also increased.,pleural effusion,right,Worse,"['files/p16/p16319601/s55001052/6eb86b7f-2137ab54-35697eb7-2a6108f9-07953b27.jpg', 'files/p16/p16319601/s55001052/7432a1f0-43b19575-2821e077-0966143a-abc35d65.jpg', 'files/p16/p16319601/s55001052/7d1a5c64-703847ae-fbf3b643-c3e08a4b-4153d0d7.jpg']",['files/p16/p16319601/s54613857/7776d1fb-792c88a8-721a0773-7d142590-639999fb.jpg\n']
s55001052_3,p16319601,s55001052,3,Impression,"AP chest compared to ___: Greater opacification involving the left chest with a gradient from top increasing to the diaphragmatic surface is probably a large pleural effusion, increased since ___. Smaller right pleural effusion has also increased. The left lower lung is partially obscured and may be mildly atelectatic but otherwise unchanged. Right lung is grossly normal. Cardiomediastinal silhouette is unremarkable. ET tube in standard placement, left PIC line in the low SVC or at the superior cavoatrial junction. Enteric drainage tube passes into the stomach and out of view.","AP chest compared to ___: Greater opacification involving the left chest with a gradient from top increasing to the diaphragmatic surface is probably a large pleural effusion, increased since ___.",pleural effusion,left chest,Worse,"['files/p16/p16319601/s55001052/6eb86b7f-2137ab54-35697eb7-2a6108f9-07953b27.jpg', 'files/p16/p16319601/s55001052/7432a1f0-43b19575-2821e077-0966143a-abc35d65.jpg', 'files/p16/p16319601/s55001052/7d1a5c64-703847ae-fbf3b643-c3e08a4b-4153d0d7.jpg']",['files/p16/p16319601/s54613857/7776d1fb-792c88a8-721a0773-7d142590-639999fb.jpg\n']
s55001052_3,p16319601,s55001052,3,Impression,"AP chest compared to ___: Greater opacification involving the left chest with a gradient from top increasing to the diaphragmatic surface is probably a large pleural effusion, increased since ___. Smaller right pleural effusion has also increased. The left lower lung is partially obscured and may be mildly atelectatic but otherwise unchanged. Right lung is grossly normal. Cardiomediastinal silhouette is unremarkable. ET tube in standard placement, left PIC line in the low SVC or at the superior cavoatrial junction. Enteric drainage tube passes into the stomach and out of view.",The left lower lung is partially obscured and may be mildly atelectatic but otherwise unchanged.,atelectasis,left lower lung,Stable,"['files/p16/p16319601/s55001052/6eb86b7f-2137ab54-35697eb7-2a6108f9-07953b27.jpg', 'files/p16/p16319601/s55001052/7432a1f0-43b19575-2821e077-0966143a-abc35d65.jpg', 'files/p16/p16319601/s55001052/7d1a5c64-703847ae-fbf3b643-c3e08a4b-4153d0d7.jpg']",['files/p16/p16319601/s54613857/7776d1fb-792c88a8-721a0773-7d142590-639999fb.jpg\n']
s55001746_5,p18512911,s55001746,5,Findings,"Portable upright chest radiograph demonstrates interval increase in bibasilar opacity, without large pleural effusion or pneumothorax. The cardiac silhouette remains mildly enlarged, the mediastinal contours are normal. The pulmonary vasculature is mildly engorged. There is no edema.","Portable upright chest radiograph demonstrates interval increase in bibasilar opacity, without large pleural effusion or pneumothorax.",opacity,bibasilar,Worse,['files/p18/p18512911/s55001746/86d4ab20-e9abbc54-b65af50f-128d2b48-d9884715.jpg'],"['files/p18/p18512911/s54657707/a93cd149-9d1bdad3-ca3f7d1d-1e6235b5-9cde6b9c.jpg\n', 'files/p18/p18512911/s54657707/da4e3980-10c2c0d7-d1b73d0b-f5f11faf-cbdf9616.jpg\n']"
s55001746_5,p18512911,s55001746,5,Findings,"Portable upright chest radiograph demonstrates interval increase in bibasilar opacity, without large pleural effusion or pneumothorax. The cardiac silhouette remains mildly enlarged, the mediastinal contours are normal. The pulmonary vasculature is mildly engorged. There is no edema.","The cardiac silhouette remains mildly enlarged, the mediastinal contours are normal.",enlargement,cardiac silhouette,Stable,['files/p18/p18512911/s55001746/86d4ab20-e9abbc54-b65af50f-128d2b48-d9884715.jpg'],"['files/p18/p18512911/s54657707/a93cd149-9d1bdad3-ca3f7d1d-1e6235b5-9cde6b9c.jpg\n', 'files/p18/p18512911/s54657707/da4e3980-10c2c0d7-d1b73d0b-f5f11faf-cbdf9616.jpg\n']"
s55001785_0,p15144601,s55001785,0,Findings,"In comparison with the study of ___, the IJ catheter has been removed and replaced with a right subclavian catheter that extends to the lower portion of the SVC. Continued enlargement of the cardiac silhouette with pacer-defibrillator in place. Mild indistinctness of pulmonary vessels could reflect some elevated pulmonary venous pressure. The retrocardiac area is not optimally seen, though there is only mild atelectasis. Bilateral chest tubes are in place and there is no evidence of pneumothorax.","In comparison with the study of ___, the IJ catheter has been removed and replaced with a right subclavian catheter that extends to the lower portion of the SVC.",,IJ catheter,Resolve,['files/p15/p15144601/s55001785/b0b2d70b-d96be717-6c1cbd4c-fcf2bcd9-e8d42293.jpg'],['files/p15/p15144601/s54398860/600bdfe3-0d53440d-a74bdb21-e9faee00-958ca49f.jpg\n']
s55023208_55,p19182863,s55023208,55,Findings,"A portable frontal chest radiograph demonstrates an endotracheal tube terminating in the mid thoracic trachea, intact sternal wires, a left chest wall pacer device with the lead projecting over the right ventricle, right central catheter terminating in the upper right atrium, enteric tube terminating in the stomach, and interval placement of a left chest tube which projects over the left lung base. There is no appreciable pneumothorax. Bilateral small pleural effusions and bibasilar atelectasis is unchanged compared to the most recent chest radiograph on ___. No new focal consolidation is identified. The visualized upper abdomen is unremarkable.",Bilateral small pleural effusions and bibasilar atelectasis is unchanged compared to the most recent chest radiograph on ___.,small pleural effusions,Bilateral,Stable,['files/p19/p19182863/s55023208/121a82e4-e8fcc625-76d8bd71-defee5fe-3f48af2b.jpg'],['files/p19/p19182863/s54943123/c97cba0f-be9c81e1-e3b2f294-5af9f1ac-aa4dab80.jpg\n']
s55023208_55,p19182863,s55023208,55,Impression,"Interval placement of a left chest tube, without appreciable pneumothorax. Bilateral small pleural effusions and bibasilar atelectasis are unchanged compared to ___.",Bilateral small pleural effusions and bibasilar atelectasis are unchanged compared to ___.,small pleural effusions,Bilateral,Stable,['files/p19/p19182863/s55023208/121a82e4-e8fcc625-76d8bd71-defee5fe-3f48af2b.jpg'],['files/p19/p19182863/s54943123/c97cba0f-be9c81e1-e3b2f294-5af9f1ac-aa4dab80.jpg\n']
s55023208_55,p19182863,s55023208,55,Impression,"Interval placement of a left chest tube, without appreciable pneumothorax. Bilateral small pleural effusions and bibasilar atelectasis are unchanged compared to ___.",Bilateral small pleural effusions and bibasilar atelectasis are unchanged compared to ___.,atelectasis,Bibasilar,Stable,['files/p19/p19182863/s55023208/121a82e4-e8fcc625-76d8bd71-defee5fe-3f48af2b.jpg'],['files/p19/p19182863/s54943123/c97cba0f-be9c81e1-e3b2f294-5af9f1ac-aa4dab80.jpg\n']
s55023208_55,p19182863,s55023208,55,Findings,"A portable frontal chest radiograph demonstrates an endotracheal tube terminating in the mid thoracic trachea, intact sternal wires, a left chest wall pacer device with the lead projecting over the right ventricle, right central catheter terminating in the upper right atrium, enteric tube terminating in the stomach, and interval placement of a left chest tube which projects over the left lung base. There is no appreciable pneumothorax. Bilateral small pleural effusions and bibasilar atelectasis is unchanged compared to the most recent chest radiograph on ___. No new focal consolidation is identified. The visualized upper abdomen is unremarkable.",Bilateral small pleural effusions and bibasilar atelectasis is unchanged compared to the most recent chest radiograph on ___.,atelectasis,Bibasilar,Stable,['files/p19/p19182863/s55023208/121a82e4-e8fcc625-76d8bd71-defee5fe-3f48af2b.jpg'],['files/p19/p19182863/s54943123/c97cba0f-be9c81e1-e3b2f294-5af9f1ac-aa4dab80.jpg\n']
s55024789_8,p16672854,s55024789,8,Findings,"Evidence of previous CABG. The heart remains enlarged. Some vascular congestion appears to be present suggesting mild failure. No focal areas of consolidation are seen, but focal pneumonia is not entirely excluded.",The heart remains enlarged.,heart size,,Stable,"['files/p16/p16672854/s55024789/bf040338-6d134f73-6145c023-c868f0da-e70f429b.jpg', 'files/p16/p16672854/s55024789/d5380e43-b9ca5dee-fb28ec1b-21f2d76b-af26d998.jpg']","['files/p16/p16672854/s54046805/53467c86-8205cb70-cc0e9d9c-e218feb5-36807cc9.jpg\n', 'files/p16/p16672854/s54046805/a9b00aa7-e110b339-196b4e7c-3d15e5aa-2608008c.jpg\n']"
s55034480_30,p13896515,s55034480,30,Findings,"There is mild to moderate cardiomegaly. There is a moderate left pleural effusion with no right pleural effusion. There is no pneumothorax. Moderate pulmonary edema is seen, worse compared to the most recent prior study but similar compared to the study from ___. There has been interval removal of the right PICC. Left axillary pacemaker is again noted.",There has been interval removal of the right PICC.,PICC,right,Resolve,"['files/p13/p13896515/s55034480/2e5d54e8-b4da07e8-382932ca-35a87571-9089a9fb.jpg', 'files/p13/p13896515/s55034480/2e6dfb3e-077a1f6e-acda6dde-a2c7b986-1e6e0b43.jpg', 'files/p13/p13896515/s55034480/d169abca-f4a7073b-db2b836e-295d8b8e-3c68c604.jpg']",['files/p13/p13896515/s54879730/d974aeb8-59d6b3c0-b7dec6c1-a25cf20c-541f88c0.jpg\n']
s55034480_30,p13896515,s55034480,30,Findings,"There is mild to moderate cardiomegaly. There is a moderate left pleural effusion with no right pleural effusion. There is no pneumothorax. Moderate pulmonary edema is seen, worse compared to the most recent prior study but similar compared to the study from ___. There has been interval removal of the right PICC. Left axillary pacemaker is again noted.","Moderate pulmonary edema is seen, worse compared to the most recent prior study but similar compared to the study from ___.",pulmonary edema,,Worse,"['files/p13/p13896515/s55034480/2e5d54e8-b4da07e8-382932ca-35a87571-9089a9fb.jpg', 'files/p13/p13896515/s55034480/2e6dfb3e-077a1f6e-acda6dde-a2c7b986-1e6e0b43.jpg', 'files/p13/p13896515/s55034480/d169abca-f4a7073b-db2b836e-295d8b8e-3c68c604.jpg']",['files/p13/p13896515/s54879730/d974aeb8-59d6b3c0-b7dec6c1-a25cf20c-541f88c0.jpg\n']
s55034480_30,p13896515,s55034480,30,Impression,"1. Moderate left pleural effusion with moderate pulmonary edema, worsened compared to the most recent prior study. 2. Mild to moderate cardiomegaly.","Moderate left pleural effusion with moderate pulmonary edema, worsened compared to the most recent prior study.",pleural effusion,left,Worse,"['files/p13/p13896515/s55034480/2e5d54e8-b4da07e8-382932ca-35a87571-9089a9fb.jpg', 'files/p13/p13896515/s55034480/2e6dfb3e-077a1f6e-acda6dde-a2c7b986-1e6e0b43.jpg', 'files/p13/p13896515/s55034480/d169abca-f4a7073b-db2b836e-295d8b8e-3c68c604.jpg']",['files/p13/p13896515/s54879730/d974aeb8-59d6b3c0-b7dec6c1-a25cf20c-541f88c0.jpg\n']
s55034480_30,p13896515,s55034480,30,Impression,"1. Moderate left pleural effusion with moderate pulmonary edema, worsened compared to the most recent prior study. 2. Mild to moderate cardiomegaly.","Moderate left pleural effusion with moderate pulmonary edema, worsened compared to the most recent prior study.",pulmonary edema,,Worse,"['files/p13/p13896515/s55034480/2e5d54e8-b4da07e8-382932ca-35a87571-9089a9fb.jpg', 'files/p13/p13896515/s55034480/2e6dfb3e-077a1f6e-acda6dde-a2c7b986-1e6e0b43.jpg', 'files/p13/p13896515/s55034480/d169abca-f4a7073b-db2b836e-295d8b8e-3c68c604.jpg']",['files/p13/p13896515/s54879730/d974aeb8-59d6b3c0-b7dec6c1-a25cf20c-541f88c0.jpg\n']
s55034480_30,p13896515,s55034480,30,Findings,"There is mild to moderate cardiomegaly. There is a moderate left pleural effusion with no right pleural effusion. There is no pneumothorax. Moderate pulmonary edema is seen, worse compared to the most recent prior study but similar compared to the study from ___. There has been interval removal of the right PICC. Left axillary pacemaker is again noted.",Left axillary pacemaker is again noted.,pacemaker,Left axillary,Stable,"['files/p13/p13896515/s55034480/2e5d54e8-b4da07e8-382932ca-35a87571-9089a9fb.jpg', 'files/p13/p13896515/s55034480/2e6dfb3e-077a1f6e-acda6dde-a2c7b986-1e6e0b43.jpg', 'files/p13/p13896515/s55034480/d169abca-f4a7073b-db2b836e-295d8b8e-3c68c604.jpg']",['files/p13/p13896515/s54879730/d974aeb8-59d6b3c0-b7dec6c1-a25cf20c-541f88c0.jpg\n']
s55036801_11,p19907884,s55036801,11,Findings,"Interval removal of a right-sided internal jugular central venous line. Multiple metallic clips overlying the superior mediastinum are unchanged in position. Lung volumes remain low leading to crowding of the bronchovascular structures. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.",Interval removal of a right-sided internal jugular central venous line.,Internal jugular central venous line,Right-sided,Resolve,"['files/p19/p19907884/s55036801/12a0ceaa-cb54cf1c-5c1f8505-092df7e4-cea16553.jpg', 'files/p19/p19907884/s55036801/6a92203f-216df921-4fce7d2a-acd7f2ac-ff08b6bf.jpg']","['files/p19/p19907884/s54596345/a5bb1dd6-32ef2b29-b27f45f5-4980a5b0-34f11cf0.jpg\n', 'files/p19/p19907884/s54596345/ae711ffd-03ebb7b3-cc16c95e-e6f64de7-d2bf7de4.jpg\n']"
s55036801_11,p19907884,s55036801,11,Findings,"Interval removal of a right-sided internal jugular central venous line. Multiple metallic clips overlying the superior mediastinum are unchanged in position. Lung volumes remain low leading to crowding of the bronchovascular structures. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.",Multiple metallic clips overlying the superior mediastinum are unchanged in position.,Metallic clips,Superior mediastinum,Stable,"['files/p19/p19907884/s55036801/12a0ceaa-cb54cf1c-5c1f8505-092df7e4-cea16553.jpg', 'files/p19/p19907884/s55036801/6a92203f-216df921-4fce7d2a-acd7f2ac-ff08b6bf.jpg']","['files/p19/p19907884/s54596345/a5bb1dd6-32ef2b29-b27f45f5-4980a5b0-34f11cf0.jpg\n', 'files/p19/p19907884/s54596345/ae711ffd-03ebb7b3-cc16c95e-e6f64de7-d2bf7de4.jpg\n']"
s55036801_11,p19907884,s55036801,11,Findings,"Interval removal of a right-sided internal jugular central venous line. Multiple metallic clips overlying the superior mediastinum are unchanged in position. Lung volumes remain low leading to crowding of the bronchovascular structures. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.",Lung volumes remain low leading to crowding of the bronchovascular structures.,Low lung volumes,,Stable,"['files/p19/p19907884/s55036801/12a0ceaa-cb54cf1c-5c1f8505-092df7e4-cea16553.jpg', 'files/p19/p19907884/s55036801/6a92203f-216df921-4fce7d2a-acd7f2ac-ff08b6bf.jpg']","['files/p19/p19907884/s54596345/a5bb1dd6-32ef2b29-b27f45f5-4980a5b0-34f11cf0.jpg\n', 'files/p19/p19907884/s54596345/ae711ffd-03ebb7b3-cc16c95e-e6f64de7-d2bf7de4.jpg\n']"
s55048341_25,p11474065,s55048341,25,Impression,"New right lung opacities, a represented as multiple pulmonary nodules, highly concerning for aspiration/pneumonia. Bleeding would be less likely. Rest of the findings are unchanged.","New right lung opacities, represented as multiple pulmonary nodules, highly concerning for aspiration/pneumonia. Bleeding would be less likely.",opacities,right lung,New,['files/p11/p11474065/s55048341/e0e15315-038cc10d-12da55fb-533193ff-f67ce0bd.jpg'],['files/p11/p11474065/s54696391/f292b1a8-2e6fdb2c-a2e020b7-ae3b0cc9-9e3866d1.jpg\n']
s55049074_1,p18517718,s55049074,1,Findings,"Nasogastric tube terminates within the stomach. Side port is just below the expected gastroesophageal junction level. Endotracheal tube has been removed. Cardiomediastinal contours are stable in appearance. Mild pulmonary vascular congestion is new. Minimal patchy right basilar opacity has slightly worsened, and left basilar atelectasis has improved.",Cardiomediastinal contours are stable in appearance.,Cardiomediastinal contours,,Stable,['files/p18/p18517718/s55049074/34a10323-881113ce-bd77fb85-f57b5c48-160f4e7b.jpg'],['files/p18/p18517718/s54151404/6b1a712d-b6ee334a-b3bc78ad-38095ded-c4486183.jpg\n']
s55049074_1,p18517718,s55049074,1,Findings,"Nasogastric tube terminates within the stomach. Side port is just below the expected gastroesophageal junction level. Endotracheal tube has been removed. Cardiomediastinal contours are stable in appearance. Mild pulmonary vascular congestion is new. Minimal patchy right basilar opacity has slightly worsened, and left basilar atelectasis has improved.",Mild pulmonary vascular congestion is new.,Mild pulmonary vascular congestion,,New,['files/p18/p18517718/s55049074/34a10323-881113ce-bd77fb85-f57b5c48-160f4e7b.jpg'],['files/p18/p18517718/s54151404/6b1a712d-b6ee334a-b3bc78ad-38095ded-c4486183.jpg\n']
s55049074_1,p18517718,s55049074,1,Findings,"Nasogastric tube terminates within the stomach. Side port is just below the expected gastroesophageal junction level. Endotracheal tube has been removed. Cardiomediastinal contours are stable in appearance. Mild pulmonary vascular congestion is new. Minimal patchy right basilar opacity has slightly worsened, and left basilar atelectasis has improved.",Endotracheal tube has been removed.,Endotracheal tube,,Resolve,['files/p18/p18517718/s55049074/34a10323-881113ce-bd77fb85-f57b5c48-160f4e7b.jpg'],['files/p18/p18517718/s54151404/6b1a712d-b6ee334a-b3bc78ad-38095ded-c4486183.jpg\n']
s55049074_1,p18517718,s55049074,1,Findings,"Nasogastric tube terminates within the stomach. Side port is just below the expected gastroesophageal junction level. Endotracheal tube has been removed. Cardiomediastinal contours are stable in appearance. Mild pulmonary vascular congestion is new. Minimal patchy right basilar opacity has slightly worsened, and left basilar atelectasis has improved.","Minimal patchy right basilar opacity has slightly worsened, and left basilar atelectasis has improved.",atelectasis,left basilar,Better,['files/p18/p18517718/s55049074/34a10323-881113ce-bd77fb85-f57b5c48-160f4e7b.jpg'],['files/p18/p18517718/s54151404/6b1a712d-b6ee334a-b3bc78ad-38095ded-c4486183.jpg\n']
s55049074_1,p18517718,s55049074,1,Findings,"Nasogastric tube terminates within the stomach. Side port is just below the expected gastroesophageal junction level. Endotracheal tube has been removed. Cardiomediastinal contours are stable in appearance. Mild pulmonary vascular congestion is new. Minimal patchy right basilar opacity has slightly worsened, and left basilar atelectasis has improved.","Minimal patchy right basilar opacity has slightly worsened, and left basilar atelectasis has improved.",opacity,right basilar,Worse,['files/p18/p18517718/s55049074/34a10323-881113ce-bd77fb85-f57b5c48-160f4e7b.jpg'],['files/p18/p18517718/s54151404/6b1a712d-b6ee334a-b3bc78ad-38095ded-c4486183.jpg\n']
s55058349_0,p19061282,s55058349,0,Findings,Single frontal view of the chest is obtained. Large area of consolidation in the right lung base is highly worrisome for pneumonia. The left lung is clear. Bilateral brachiocephalic stents are stable in position. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable. Innumerable rounded calcifications projecting over the spleen are again seen in this patient with history of prior granulomatous disease.,Cardiac and mediastinal silhouettes are stable.,Cardiac and mediastinal silhouettes,,Stable,['files/p19/p19061282/s55058349/429fa17a-9886b777-b604dcc3-2aa91a9f-3963b43a.jpg'],"['files/p19/p19061282/s54993114/7cbc9371-93ae74a8-4d6234b9-a496d3e4-8812a350.jpg\n', 'files/p19/p19061282/s54993114/8d5fc3a2-a0c89d9f-23e4c2ab-380c3348-9d2842db.jpg\n']"
s55058349_0,p19061282,s55058349,0,Findings,Single frontal view of the chest is obtained. Large area of consolidation in the right lung base is highly worrisome for pneumonia. The left lung is clear. Bilateral brachiocephalic stents are stable in position. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable. Innumerable rounded calcifications projecting over the spleen are again seen in this patient with history of prior granulomatous disease.,Bilateral brachiocephalic stents are stable in position.,brachiocephalic stents,Bilateral,Stable,['files/p19/p19061282/s55058349/429fa17a-9886b777-b604dcc3-2aa91a9f-3963b43a.jpg'],"['files/p19/p19061282/s54993114/7cbc9371-93ae74a8-4d6234b9-a496d3e4-8812a350.jpg\n', 'files/p19/p19061282/s54993114/8d5fc3a2-a0c89d9f-23e4c2ab-380c3348-9d2842db.jpg\n']"
s55058518_11,p13881772,s55058518,11,Findings,"The tip of the Dobbhoff tube extends to about the level of the ligament of Treitz. Endotracheal tube has been removed and the right IJ catheter extends to the lower SVC or upper right atrium. There is some increased opacification in both lower zones. Some of this reflects volume loss in the left lower lobe with probable vascular congestion. In the appropriate clinical setting, possibility of supervening pneumonia would have to be seriously considered.",There is some increased opacification in both lower zones.,opacification,both lower zones,Worse,"['files/p13/p13881772/s55058518/17a4c65c-8f68be50-5b78a88f-cd9137d8-d43edd4b.jpg', 'files/p13/p13881772/s55058518/48d78c08-a2ca4095-efd2e551-da6b1010-e90a62ef.jpg']",['files/p13/p13881772/s54920956/a2c767ad-f88d5b23-c8ac6a06-187b6f12-31b3b997.jpg\n']
s55058518_11,p13881772,s55058518,11,Findings,"The tip of the Dobbhoff tube extends to about the level of the ligament of Treitz. Endotracheal tube has been removed and the right IJ catheter extends to the lower SVC or upper right atrium. There is some increased opacification in both lower zones. Some of this reflects volume loss in the left lower lobe with probable vascular congestion. In the appropriate clinical setting, possibility of supervening pneumonia would have to be seriously considered.",Endotracheal tube has been removed and the right IJ catheter extends to the lower SVC or upper right atrium.,Endotracheal tube,,Resolve,"['files/p13/p13881772/s55058518/17a4c65c-8f68be50-5b78a88f-cd9137d8-d43edd4b.jpg', 'files/p13/p13881772/s55058518/48d78c08-a2ca4095-efd2e551-da6b1010-e90a62ef.jpg']",['files/p13/p13881772/s54920956/a2c767ad-f88d5b23-c8ac6a06-187b6f12-31b3b997.jpg\n']
s55058843_7,p14969719,s55058843,7,Impression,AP chest compared to ___ through ___: Volume of moderate right pneumothorax and severe atelectasis in the right lower lobe are unchanged. Rightward mediastinal shift suggesting lung entrapment is stable. Left lung is clear. Heart size normal or moderately enlarged but unchanged. Right subclavian infusion port ends in the region of the superior cavoatrial junction. No left pleural effusion. No pneumothorax.,Rightward mediastinal shift suggesting lung entrapment is stable.,rightward shift suggesting lung entrapment,mediastinal,Stable,['files/p14/p14969719/s55058843/0b2c6fb8-4ee25db1-a506d249-fa80e84d-2f05a467.jpg'],"['files/p14/p14969719/s51427095/2c6f2019-d5ae3df4-d1020c68-54c72daf-f541b4b3.jpg\n', 'files/p14/p14969719/s51427095/95e57a26-a6de4499-4dddba72-f21f0627-c864e681.jpg\n']"
s55058843_7,p14969719,s55058843,7,Impression,AP chest compared to ___ through ___: Volume of moderate right pneumothorax and severe atelectasis in the right lower lobe are unchanged. Rightward mediastinal shift suggesting lung entrapment is stable. Left lung is clear. Heart size normal or moderately enlarged but unchanged. Right subclavian infusion port ends in the region of the superior cavoatrial junction. No left pleural effusion. No pneumothorax.,Heart size normal or moderately enlarged but unchanged.,heart size normal or moderately enlarged,,Stable,['files/p14/p14969719/s55058843/0b2c6fb8-4ee25db1-a506d249-fa80e84d-2f05a467.jpg'],"['files/p14/p14969719/s51427095/2c6f2019-d5ae3df4-d1020c68-54c72daf-f541b4b3.jpg\n', 'files/p14/p14969719/s51427095/95e57a26-a6de4499-4dddba72-f21f0627-c864e681.jpg\n']"
s55058843_7,p14969719,s55058843,7,Impression,AP chest compared to ___ through ___: Volume of moderate right pneumothorax and severe atelectasis in the right lower lobe are unchanged. Rightward mediastinal shift suggesting lung entrapment is stable. Left lung is clear. Heart size normal or moderately enlarged but unchanged. Right subclavian infusion port ends in the region of the superior cavoatrial junction. No left pleural effusion. No pneumothorax.,AP chest compared to ___ through ___: Volume of moderate right pneumothorax and severe atelectasis in the right lower lobe are unchanged.,moderate pneumothorax and severe atelectasis,right lower lobe,Stable,['files/p14/p14969719/s55058843/0b2c6fb8-4ee25db1-a506d249-fa80e84d-2f05a467.jpg'],"['files/p14/p14969719/s51427095/2c6f2019-d5ae3df4-d1020c68-54c72daf-f541b4b3.jpg\n', 'files/p14/p14969719/s51427095/95e57a26-a6de4499-4dddba72-f21f0627-c864e681.jpg\n']"
s55058862_7,p13263843,s55058862,7,Findings,"The cardiac silhouette size remains mildly enlarged. Patient is status post right upper lobectomy and right upper chest wall resection with evidence of volume loss in the right lung and posttreatment changes in the right upper lung field, unchanged. Left hilar enlargement is unchanged, with mild pulmonary vascular congestion present. Moderate to large right pleural effusion and small left pleural effusion are again demonstrated, not significantly changed in the interval. Right basilar opacification is similar. No pneumothorax is identified. The aorta remains tortuous and calcified.","Patient is status post right upper lobectomy and right upper chest wall resection with evidence of volume loss in the right lung and posttreatment changes in the right upper lung field, unchanged.",volume loss,right upper lung,Stable,"['files/p13/p13263843/s55058862/64b9eb3b-f34fa8a9-fc75f27f-53cc3b2c-eca0f252.jpg', 'files/p13/p13263843/s55058862/8de15662-1ddba4f0-7784313d-51c003d0-f3d4cc1b.jpg']","['files/p13/p13263843/s54904275/30fc1707-e38a1f76-d52f9649-78068351-e33cb1b3.jpg\n', 'files/p13/p13263843/s54904275/7b314c3e-8b32d433-db7bbae8-a0dd0d28-f9a95990.jpg\n']"
s55058862_7,p13263843,s55058862,7,Findings,"The cardiac silhouette size remains mildly enlarged. Patient is status post right upper lobectomy and right upper chest wall resection with evidence of volume loss in the right lung and posttreatment changes in the right upper lung field, unchanged. Left hilar enlargement is unchanged, with mild pulmonary vascular congestion present. Moderate to large right pleural effusion and small left pleural effusion are again demonstrated, not significantly changed in the interval. Right basilar opacification is similar. No pneumothorax is identified. The aorta remains tortuous and calcified.","Patient is status post right upper lobectomy and right upper chest wall resection with evidence of volume loss in the right lung and posttreatment changes in the right upper lung field, unchanged.",posttreatment changes,right upper lung field,Stable,"['files/p13/p13263843/s55058862/64b9eb3b-f34fa8a9-fc75f27f-53cc3b2c-eca0f252.jpg', 'files/p13/p13263843/s55058862/8de15662-1ddba4f0-7784313d-51c003d0-f3d4cc1b.jpg']","['files/p13/p13263843/s54904275/30fc1707-e38a1f76-d52f9649-78068351-e33cb1b3.jpg\n', 'files/p13/p13263843/s54904275/7b314c3e-8b32d433-db7bbae8-a0dd0d28-f9a95990.jpg\n']"
s55058862_7,p13263843,s55058862,7,Findings,"The cardiac silhouette size remains mildly enlarged. Patient is status post right upper lobectomy and right upper chest wall resection with evidence of volume loss in the right lung and posttreatment changes in the right upper lung field, unchanged. Left hilar enlargement is unchanged, with mild pulmonary vascular congestion present. Moderate to large right pleural effusion and small left pleural effusion are again demonstrated, not significantly changed in the interval. Right basilar opacification is similar. No pneumothorax is identified. The aorta remains tortuous and calcified.",The aorta remains tortuous and calcified.,aorta,,Stable,"['files/p13/p13263843/s55058862/64b9eb3b-f34fa8a9-fc75f27f-53cc3b2c-eca0f252.jpg', 'files/p13/p13263843/s55058862/8de15662-1ddba4f0-7784313d-51c003d0-f3d4cc1b.jpg']","['files/p13/p13263843/s54904275/30fc1707-e38a1f76-d52f9649-78068351-e33cb1b3.jpg\n', 'files/p13/p13263843/s54904275/7b314c3e-8b32d433-db7bbae8-a0dd0d28-f9a95990.jpg\n']"
s55058862_7,p13263843,s55058862,7,Findings,"The cardiac silhouette size remains mildly enlarged. Patient is status post right upper lobectomy and right upper chest wall resection with evidence of volume loss in the right lung and posttreatment changes in the right upper lung field, unchanged. Left hilar enlargement is unchanged, with mild pulmonary vascular congestion present. Moderate to large right pleural effusion and small left pleural effusion are again demonstrated, not significantly changed in the interval. Right basilar opacification is similar. No pneumothorax is identified. The aorta remains tortuous and calcified.",The cardiac silhouette size remains mildly enlarged.,cardiac silhouette size,,Stable,"['files/p13/p13263843/s55058862/64b9eb3b-f34fa8a9-fc75f27f-53cc3b2c-eca0f252.jpg', 'files/p13/p13263843/s55058862/8de15662-1ddba4f0-7784313d-51c003d0-f3d4cc1b.jpg']","['files/p13/p13263843/s54904275/30fc1707-e38a1f76-d52f9649-78068351-e33cb1b3.jpg\n', 'files/p13/p13263843/s54904275/7b314c3e-8b32d433-db7bbae8-a0dd0d28-f9a95990.jpg\n']"
s55058862_7,p13263843,s55058862,7,Findings,"The cardiac silhouette size remains mildly enlarged. Patient is status post right upper lobectomy and right upper chest wall resection with evidence of volume loss in the right lung and posttreatment changes in the right upper lung field, unchanged. Left hilar enlargement is unchanged, with mild pulmonary vascular congestion present. Moderate to large right pleural effusion and small left pleural effusion are again demonstrated, not significantly changed in the interval. Right basilar opacification is similar. No pneumothorax is identified. The aorta remains tortuous and calcified.","Moderate to large right pleural effusion and small left pleural effusion are again demonstrated, not significantly changed in the interval.",pleural effusion,left,Stable,"['files/p13/p13263843/s55058862/64b9eb3b-f34fa8a9-fc75f27f-53cc3b2c-eca0f252.jpg', 'files/p13/p13263843/s55058862/8de15662-1ddba4f0-7784313d-51c003d0-f3d4cc1b.jpg']","['files/p13/p13263843/s54904275/30fc1707-e38a1f76-d52f9649-78068351-e33cb1b3.jpg\n', 'files/p13/p13263843/s54904275/7b314c3e-8b32d433-db7bbae8-a0dd0d28-f9a95990.jpg\n']"
s55058862_7,p13263843,s55058862,7,Findings,"The cardiac silhouette size remains mildly enlarged. Patient is status post right upper lobectomy and right upper chest wall resection with evidence of volume loss in the right lung and posttreatment changes in the right upper lung field, unchanged. Left hilar enlargement is unchanged, with mild pulmonary vascular congestion present. Moderate to large right pleural effusion and small left pleural effusion are again demonstrated, not significantly changed in the interval. Right basilar opacification is similar. No pneumothorax is identified. The aorta remains tortuous and calcified.","Moderate to large right pleural effusion and small left pleural effusion are again demonstrated, not significantly changed in the interval.",pleural effusion,right,Stable,"['files/p13/p13263843/s55058862/64b9eb3b-f34fa8a9-fc75f27f-53cc3b2c-eca0f252.jpg', 'files/p13/p13263843/s55058862/8de15662-1ddba4f0-7784313d-51c003d0-f3d4cc1b.jpg']","['files/p13/p13263843/s54904275/30fc1707-e38a1f76-d52f9649-78068351-e33cb1b3.jpg\n', 'files/p13/p13263843/s54904275/7b314c3e-8b32d433-db7bbae8-a0dd0d28-f9a95990.jpg\n']"
s55058862_7,p13263843,s55058862,7,Findings,"The cardiac silhouette size remains mildly enlarged. Patient is status post right upper lobectomy and right upper chest wall resection with evidence of volume loss in the right lung and posttreatment changes in the right upper lung field, unchanged. Left hilar enlargement is unchanged, with mild pulmonary vascular congestion present. Moderate to large right pleural effusion and small left pleural effusion are again demonstrated, not significantly changed in the interval. Right basilar opacification is similar. No pneumothorax is identified. The aorta remains tortuous and calcified.","Left hilar enlargement is unchanged, with mild pulmonary vascular congestion present.",enlargement,left hilar,Stable,"['files/p13/p13263843/s55058862/64b9eb3b-f34fa8a9-fc75f27f-53cc3b2c-eca0f252.jpg', 'files/p13/p13263843/s55058862/8de15662-1ddba4f0-7784313d-51c003d0-f3d4cc1b.jpg']","['files/p13/p13263843/s54904275/30fc1707-e38a1f76-d52f9649-78068351-e33cb1b3.jpg\n', 'files/p13/p13263843/s54904275/7b314c3e-8b32d433-db7bbae8-a0dd0d28-f9a95990.jpg\n']"
s55058862_7,p13263843,s55058862,7,Findings,"The cardiac silhouette size remains mildly enlarged. Patient is status post right upper lobectomy and right upper chest wall resection with evidence of volume loss in the right lung and posttreatment changes in the right upper lung field, unchanged. Left hilar enlargement is unchanged, with mild pulmonary vascular congestion present. Moderate to large right pleural effusion and small left pleural effusion are again demonstrated, not significantly changed in the interval. Right basilar opacification is similar. No pneumothorax is identified. The aorta remains tortuous and calcified.",Right basilar opacification is similar.,opacification,right basilar,Stable,"['files/p13/p13263843/s55058862/64b9eb3b-f34fa8a9-fc75f27f-53cc3b2c-eca0f252.jpg', 'files/p13/p13263843/s55058862/8de15662-1ddba4f0-7784313d-51c003d0-f3d4cc1b.jpg']","['files/p13/p13263843/s54904275/30fc1707-e38a1f76-d52f9649-78068351-e33cb1b3.jpg\n', 'files/p13/p13263843/s54904275/7b314c3e-8b32d433-db7bbae8-a0dd0d28-f9a95990.jpg\n']"
s55060932_63,p14851532,s55060932,63,Findings,Swan-Ganz catheter and enteric tube are not constant position. Moderate cardiomegaly persists. Lung volumes remain low. Right pleural effusion appears smaller although this may be due to more upright positioning. Worsening left retrocardiac opacity may reflect atelectasis or aspiration. The mediastinal and hilar contours are unchanged. There is no pneumothorax. The aortic arch is calcified.,Lung volumes remain low.,lung volumes,,Stable,['files/p14/p14851532/s55060932/d05c84b4-68e7175f-6e3d46fb-1d4c825e-be9e4e29.jpg'],['files/p14/p14851532/s54726507/018a20b6-6f0efbba-f043405f-e1af115c-a30fa5ed.jpg\n']
s55060932_63,p14851532,s55060932,63,Findings,Swan-Ganz catheter and enteric tube are not constant position. Moderate cardiomegaly persists. Lung volumes remain low. Right pleural effusion appears smaller although this may be due to more upright positioning. Worsening left retrocardiac opacity may reflect atelectasis or aspiration. The mediastinal and hilar contours are unchanged. There is no pneumothorax. The aortic arch is calcified.,Moderate cardiomegaly persists.,cardiomegaly,,Stable,['files/p14/p14851532/s55060932/d05c84b4-68e7175f-6e3d46fb-1d4c825e-be9e4e29.jpg'],['files/p14/p14851532/s54726507/018a20b6-6f0efbba-f043405f-e1af115c-a30fa5ed.jpg\n']
s55060932_63,p14851532,s55060932,63,Findings,Swan-Ganz catheter and enteric tube are not constant position. Moderate cardiomegaly persists. Lung volumes remain low. Right pleural effusion appears smaller although this may be due to more upright positioning. Worsening left retrocardiac opacity may reflect atelectasis or aspiration. The mediastinal and hilar contours are unchanged. There is no pneumothorax. The aortic arch is calcified.,Right pleural effusion appears smaller although this may be due to more upright positioning.,pleural effusion,right,Better,['files/p14/p14851532/s55060932/d05c84b4-68e7175f-6e3d46fb-1d4c825e-be9e4e29.jpg'],['files/p14/p14851532/s54726507/018a20b6-6f0efbba-f043405f-e1af115c-a30fa5ed.jpg\n']
s55060932_63,p14851532,s55060932,63,Findings,Swan-Ganz catheter and enteric tube are not constant position. Moderate cardiomegaly persists. Lung volumes remain low. Right pleural effusion appears smaller although this may be due to more upright positioning. Worsening left retrocardiac opacity may reflect atelectasis or aspiration. The mediastinal and hilar contours are unchanged. There is no pneumothorax. The aortic arch is calcified.,The mediastinal and hilar contours are unchanged.,mediastinal and hilar contours,,Stable,['files/p14/p14851532/s55060932/d05c84b4-68e7175f-6e3d46fb-1d4c825e-be9e4e29.jpg'],['files/p14/p14851532/s54726507/018a20b6-6f0efbba-f043405f-e1af115c-a30fa5ed.jpg\n']
s55060932_63,p14851532,s55060932,63,Impression,1. Persistent low lung volumes and small right pleural effusion 2. Worsening left retrocardiac opacity could reflect atelectasis or aspiration.,1. Persistent low lung volumes and small right pleural effusion 2. Worsening left retrocardiac opacity could reflect atelectasis or aspiration.,pleural effusion,right,Better,['files/p14/p14851532/s55060932/d05c84b4-68e7175f-6e3d46fb-1d4c825e-be9e4e29.jpg'],['files/p14/p14851532/s54726507/018a20b6-6f0efbba-f043405f-e1af115c-a30fa5ed.jpg\n']
s55060932_63,p14851532,s55060932,63,Impression,1. Persistent low lung volumes and small right pleural effusion 2. Worsening left retrocardiac opacity could reflect atelectasis or aspiration.,1. Persistent low lung volumes and small right pleural effusion 2. Worsening left retrocardiac opacity could reflect atelectasis or aspiration.,opacity,left retrocardiac,Worse,['files/p14/p14851532/s55060932/d05c84b4-68e7175f-6e3d46fb-1d4c825e-be9e4e29.jpg'],['files/p14/p14851532/s54726507/018a20b6-6f0efbba-f043405f-e1af115c-a30fa5ed.jpg\n']
s55060932_63,p14851532,s55060932,63,Impression,1. Persistent low lung volumes and small right pleural effusion 2. Worsening left retrocardiac opacity could reflect atelectasis or aspiration.,1. Persistent low lung volumes and small right pleural effusion 2. Worsening left retrocardiac opacity could reflect atelectasis or aspiration.,lung volumes,,Stable,['files/p14/p14851532/s55060932/d05c84b4-68e7175f-6e3d46fb-1d4c825e-be9e4e29.jpg'],['files/p14/p14851532/s54726507/018a20b6-6f0efbba-f043405f-e1af115c-a30fa5ed.jpg\n']
s55060932_63,p14851532,s55060932,63,Findings,Swan-Ganz catheter and enteric tube are not constant position. Moderate cardiomegaly persists. Lung volumes remain low. Right pleural effusion appears smaller although this may be due to more upright positioning. Worsening left retrocardiac opacity may reflect atelectasis or aspiration. The mediastinal and hilar contours are unchanged. There is no pneumothorax. The aortic arch is calcified.,Worsening left retrocardiac opacity may reflect atelectasis or aspiration.,opacity,left retrocardiac,Worse,['files/p14/p14851532/s55060932/d05c84b4-68e7175f-6e3d46fb-1d4c825e-be9e4e29.jpg'],['files/p14/p14851532/s54726507/018a20b6-6f0efbba-f043405f-e1af115c-a30fa5ed.jpg\n']
s55065784_20,p19454978,s55065784,20,Impression,Small bilateral pleural effusions with persistent mild enlargement of the cardiac silhouette.,Small bilateral pleural effusions with persistent mild enlargement of the cardiac silhouette.,mild enlargement,cardiac silhouette,Stable,['files/p19/p19454978/s55065784/c2a99a61-6ccc4c17-7a976c51-c9961784-bdfe8a3e.jpg'],['files/p19/p19454978/s54844678/5180e323-2f458dd9-ed09ecb3-6528c63a-6b9b4f1f.jpg\n']
s55065784_20,p19454978,s55065784,20,Impression,Small bilateral pleural effusions with persistent mild enlargement of the cardiac silhouette.,Small bilateral pleural effusions with persistent mild enlargement of the cardiac silhouette.,pleural effusions,bilateral,Stable,['files/p19/p19454978/s55065784/c2a99a61-6ccc4c17-7a976c51-c9961784-bdfe8a3e.jpg'],['files/p19/p19454978/s54844678/5180e323-2f458dd9-ed09ecb3-6528c63a-6b9b4f1f.jpg\n']
s55077014_13,p14851532,s55077014,13,Findings,"As compared to the previous radiograph, the lung volumes have decreased. As a consequence, the structures at the lung bases appear denser than on the previous image. However, there are no new parenchymal opacities or abnormalities noted. Moderate cardiomegaly persists. The right chest tube has been removed.",The right chest tube has been removed.,chest tube,right,Resolve,['files/p14/p14851532/s55077014/ff9478db-4ce6ed74-e3b6d8f2-320694e0-e8a21817.jpg'],['files/p14/p14851532/s55060932/d05c84b4-68e7175f-6e3d46fb-1d4c825e-be9e4e29.jpg\n']
s55077014_13,p14851532,s55077014,13,Findings,"As compared to the previous radiograph, the lung volumes have decreased. As a consequence, the structures at the lung bases appear denser than on the previous image. However, there are no new parenchymal opacities or abnormalities noted. Moderate cardiomegaly persists. The right chest tube has been removed.","As compared to the previous radiograph, the lung volumes have decreased.",lung volumes,,Worse,['files/p14/p14851532/s55077014/ff9478db-4ce6ed74-e3b6d8f2-320694e0-e8a21817.jpg'],['files/p14/p14851532/s55060932/d05c84b4-68e7175f-6e3d46fb-1d4c825e-be9e4e29.jpg\n']
s55077014_13,p14851532,s55077014,13,Findings,"As compared to the previous radiograph, the lung volumes have decreased. As a consequence, the structures at the lung bases appear denser than on the previous image. However, there are no new parenchymal opacities or abnormalities noted. Moderate cardiomegaly persists. The right chest tube has been removed.",Moderate cardiomegaly persists.,moderate cardiomegaly,,Stable,['files/p14/p14851532/s55077014/ff9478db-4ce6ed74-e3b6d8f2-320694e0-e8a21817.jpg'],['files/p14/p14851532/s55060932/d05c84b4-68e7175f-6e3d46fb-1d4c825e-be9e4e29.jpg\n']
s55082399_0,p19389547,s55082399,0,Findings,"As compared to the previous radiograph, the right-sided chest tube is in unchanged position. No evidence of pneumothorax, no pleural effusion. Minimal atelectasis at the left lung base. Normal size of the cardiac silhouette. No pulmonary edema.","As compared to the previous radiograph, the right-sided chest tube is in unchanged position.",chest tube,right-sided,Stable,['files/p19/p19389547/s55082399/c1e9b246-6477636a-838f88a9-d6004e1b-a1acc4ae.jpg'],"['files/p19/p19389547/s53982700/062a8362-a0b9fd2d-41671db7-6536ff37-75514272.jpg\n', 'files/p19/p19389547/s53982700/187c0d4c-e45846b9-c1b6166e-4306cbe2-28db590f.jpg\n', 'files/p19/p19389547/s53982700/a03e8534-7f761bd7-1126a902-29853033-bba2b4f6.jpg\n', 'files/p19/p19389547/s53982700/b2ad1391-f9791757-01f3acb5-d501ad40-abc9a837.jpg\n']"
s55084084_3,p11880923,s55084084,3,Impression,"AP chest compared to pre- and postoperative radiographs, ___ and ___: Small-to-moderate right pleural effusion has increased postoperatively since ___, but pulmonary vascular congestion has improved. Heart size is normal. Lungs are grossly clear. ET tube is in standard placement, nasogastric tube passes below the diaphragm and out of view. Dual-channel dialysis catheter ends in the region of the superior cavoatrial junction. A catheter entering the right heart from a left jugular introducer has been withdrawn from the main pulmonary artery to the cavity of the right ventricle. A second introducer in the left jugular is unchanged in position. No pneumothorax or appreciable left pleural effusion.","ET tube is in standard placement, nasogastric tube passes below the diaphragm and out of view.",nasogastric tube,below the diaphragm,New,['files/p11/p11880923/s55084084/627948e7-0ba4b65a-61e23ed8-9cdf34c6-1578bb43.jpg'],['files/p11/p11880923/s54089797/ced4ad92-0b5bdd09-b67b83a8-8f155ad4-de399934.jpg\n']
s55084084_3,p11880923,s55084084,3,Impression,"AP chest compared to pre- and postoperative radiographs, ___ and ___: Small-to-moderate right pleural effusion has increased postoperatively since ___, but pulmonary vascular congestion has improved. Heart size is normal. Lungs are grossly clear. ET tube is in standard placement, nasogastric tube passes below the diaphragm and out of view. Dual-channel dialysis catheter ends in the region of the superior cavoatrial junction. A catheter entering the right heart from a left jugular introducer has been withdrawn from the main pulmonary artery to the cavity of the right ventricle. A second introducer in the left jugular is unchanged in position. No pneumothorax or appreciable left pleural effusion.",Dual-channel dialysis catheter ends in the region of the superior cavoatrial junction.,dual-channel dialysis catheter,superior cavoatrial junction,New,['files/p11/p11880923/s55084084/627948e7-0ba4b65a-61e23ed8-9cdf34c6-1578bb43.jpg'],['files/p11/p11880923/s54089797/ced4ad92-0b5bdd09-b67b83a8-8f155ad4-de399934.jpg\n']
s55084084_3,p11880923,s55084084,3,Impression,"AP chest compared to pre- and postoperative radiographs, ___ and ___: Small-to-moderate right pleural effusion has increased postoperatively since ___, but pulmonary vascular congestion has improved. Heart size is normal. Lungs are grossly clear. ET tube is in standard placement, nasogastric tube passes below the diaphragm and out of view. Dual-channel dialysis catheter ends in the region of the superior cavoatrial junction. A catheter entering the right heart from a left jugular introducer has been withdrawn from the main pulmonary artery to the cavity of the right ventricle. A second introducer in the left jugular is unchanged in position. No pneumothorax or appreciable left pleural effusion.","AP chest compared to pre- and postoperative radiographs, ___ and ___: Small-to-moderate right pleural effusion has increased postoperatively since ___, but pulmonary vascular congestion has improved.",pleural effusion,right,Worse,['files/p11/p11880923/s55084084/627948e7-0ba4b65a-61e23ed8-9cdf34c6-1578bb43.jpg'],['files/p11/p11880923/s54089797/ced4ad92-0b5bdd09-b67b83a8-8f155ad4-de399934.jpg\n']
s55084084_3,p11880923,s55084084,3,Impression,"AP chest compared to pre- and postoperative radiographs, ___ and ___: Small-to-moderate right pleural effusion has increased postoperatively since ___, but pulmonary vascular congestion has improved. Heart size is normal. Lungs are grossly clear. ET tube is in standard placement, nasogastric tube passes below the diaphragm and out of view. Dual-channel dialysis catheter ends in the region of the superior cavoatrial junction. A catheter entering the right heart from a left jugular introducer has been withdrawn from the main pulmonary artery to the cavity of the right ventricle. A second introducer in the left jugular is unchanged in position. No pneumothorax or appreciable left pleural effusion.",A catheter entering the right heart from a left jugular introducer has been withdrawn from the main pulmonary artery to the cavity of the right ventricle.,catheter,right ventricle,Worse,['files/p11/p11880923/s55084084/627948e7-0ba4b65a-61e23ed8-9cdf34c6-1578bb43.jpg'],['files/p11/p11880923/s54089797/ced4ad92-0b5bdd09-b67b83a8-8f155ad4-de399934.jpg\n']
s55084084_3,p11880923,s55084084,3,Impression,"AP chest compared to pre- and postoperative radiographs, ___ and ___: Small-to-moderate right pleural effusion has increased postoperatively since ___, but pulmonary vascular congestion has improved. Heart size is normal. Lungs are grossly clear. ET tube is in standard placement, nasogastric tube passes below the diaphragm and out of view. Dual-channel dialysis catheter ends in the region of the superior cavoatrial junction. A catheter entering the right heart from a left jugular introducer has been withdrawn from the main pulmonary artery to the cavity of the right ventricle. A second introducer in the left jugular is unchanged in position. No pneumothorax or appreciable left pleural effusion.",A second introducer in the left jugular is unchanged in position.,introducer,left jugular,Stable,['files/p11/p11880923/s55084084/627948e7-0ba4b65a-61e23ed8-9cdf34c6-1578bb43.jpg'],['files/p11/p11880923/s54089797/ced4ad92-0b5bdd09-b67b83a8-8f155ad4-de399934.jpg\n']
s55084084_3,p11880923,s55084084,3,Impression,"AP chest compared to pre- and postoperative radiographs, ___ and ___: Small-to-moderate right pleural effusion has increased postoperatively since ___, but pulmonary vascular congestion has improved. Heart size is normal. Lungs are grossly clear. ET tube is in standard placement, nasogastric tube passes below the diaphragm and out of view. Dual-channel dialysis catheter ends in the region of the superior cavoatrial junction. A catheter entering the right heart from a left jugular introducer has been withdrawn from the main pulmonary artery to the cavity of the right ventricle. A second introducer in the left jugular is unchanged in position. No pneumothorax or appreciable left pleural effusion.","ET tube is in standard placement, nasogastric tube passes below the diaphragm and out of view.",ET tube,standard,New,['files/p11/p11880923/s55084084/627948e7-0ba4b65a-61e23ed8-9cdf34c6-1578bb43.jpg'],['files/p11/p11880923/s54089797/ced4ad92-0b5bdd09-b67b83a8-8f155ad4-de399934.jpg\n']
s55084084_3,p11880923,s55084084,3,Impression,"AP chest compared to pre- and postoperative radiographs, ___ and ___: Small-to-moderate right pleural effusion has increased postoperatively since ___, but pulmonary vascular congestion has improved. Heart size is normal. Lungs are grossly clear. ET tube is in standard placement, nasogastric tube passes below the diaphragm and out of view. Dual-channel dialysis catheter ends in the region of the superior cavoatrial junction. A catheter entering the right heart from a left jugular introducer has been withdrawn from the main pulmonary artery to the cavity of the right ventricle. A second introducer in the left jugular is unchanged in position. No pneumothorax or appreciable left pleural effusion.","AP chest compared to pre- and postoperative radiographs, ___ and ___: Small-to-moderate right pleural effusion has increased postoperatively since ___, but pulmonary vascular congestion has improved.",pulmonary vascular congestion,,Better,['files/p11/p11880923/s55084084/627948e7-0ba4b65a-61e23ed8-9cdf34c6-1578bb43.jpg'],['files/p11/p11880923/s54089797/ced4ad92-0b5bdd09-b67b83a8-8f155ad4-de399934.jpg\n']
s55086195_1,p19028690,s55086195,1,Findings,"The patient is slightly rotated. The heart size is normal. The hilar and mediastinal contours are within normal limits. There has been interval increase in central pulmonary vessel prominence and interstial opacities, representing mild edema. Increased linear atelectasis at the left base is seen. There is no pneumothorax or large pleural effusion. No free intrabdominal air is detected on this upright study.","There has been interval increase in central pulmonary vessel prominence and interstial opacities, representing mild edema.",opacities,interstial,New,"['files/p19/p19028690/s55086195/7b9c311b-b511e83b-75a5a6cf-d46efb9d-ac034314.jpg', 'files/p19/p19028690/s55086195/ccb6bd66-aecda036-88eda366-91d212f5-be0df25b.jpg', 'files/p19/p19028690/s55086195/eb2476eb-92fc9b7d-44aebf13-67d07277-64531ea2.jpg']","['files/p19/p19028690/s54499704/1ebd98b4-e4130ea0-26d0aadd-36a76926-5d399744.jpg\n', 'files/p19/p19028690/s54499704/93fba7a5-97290f6f-6fa12fc2-309c0f28-4e98f3d2.jpg\n', 'files/p19/p19028690/s54499704/ef45f6fa-14197fcc-d3d69e8d-a7cd3d98-6ffae346.jpg\n']"
s55086195_1,p19028690,s55086195,1,Findings,"The patient is slightly rotated. The heart size is normal. The hilar and mediastinal contours are within normal limits. There has been interval increase in central pulmonary vessel prominence and interstial opacities, representing mild edema. Increased linear atelectasis at the left base is seen. There is no pneumothorax or large pleural effusion. No free intrabdominal air is detected on this upright study.","There has been interval increase in central pulmonary vessel prominence and interstial opacities, representing mild edema.",prominence,central pulmonary vessel,Worse,"['files/p19/p19028690/s55086195/7b9c311b-b511e83b-75a5a6cf-d46efb9d-ac034314.jpg', 'files/p19/p19028690/s55086195/ccb6bd66-aecda036-88eda366-91d212f5-be0df25b.jpg', 'files/p19/p19028690/s55086195/eb2476eb-92fc9b7d-44aebf13-67d07277-64531ea2.jpg']","['files/p19/p19028690/s54499704/1ebd98b4-e4130ea0-26d0aadd-36a76926-5d399744.jpg\n', 'files/p19/p19028690/s54499704/93fba7a5-97290f6f-6fa12fc2-309c0f28-4e98f3d2.jpg\n', 'files/p19/p19028690/s54499704/ef45f6fa-14197fcc-d3d69e8d-a7cd3d98-6ffae346.jpg\n']"
s55086195_1,p19028690,s55086195,1,Findings,"The patient is slightly rotated. The heart size is normal. The hilar and mediastinal contours are within normal limits. There has been interval increase in central pulmonary vessel prominence and interstial opacities, representing mild edema. Increased linear atelectasis at the left base is seen. There is no pneumothorax or large pleural effusion. No free intrabdominal air is detected on this upright study.",Increased linear atelectasis at the left base is seen.,linear atelectasis,left base,Worse,"['files/p19/p19028690/s55086195/7b9c311b-b511e83b-75a5a6cf-d46efb9d-ac034314.jpg', 'files/p19/p19028690/s55086195/ccb6bd66-aecda036-88eda366-91d212f5-be0df25b.jpg', 'files/p19/p19028690/s55086195/eb2476eb-92fc9b7d-44aebf13-67d07277-64531ea2.jpg']","['files/p19/p19028690/s54499704/1ebd98b4-e4130ea0-26d0aadd-36a76926-5d399744.jpg\n', 'files/p19/p19028690/s54499704/93fba7a5-97290f6f-6fa12fc2-309c0f28-4e98f3d2.jpg\n', 'files/p19/p19028690/s54499704/ef45f6fa-14197fcc-d3d69e8d-a7cd3d98-6ffae346.jpg\n']"
s55092691_5,p11378150,s55092691,5,Impression,Stable left lung volume loss after left upper lobe lobectomy.,Stable left lung volume loss after left upper lobe lobectomy.,volume loss,Left lung,Stable,"['files/p11/p11378150/s55092691/3b9b84d5-b76eb1db-a43caa85-b33c92a4-4ed50db2.jpg', 'files/p11/p11378150/s55092691/ad35ad1a-5885c89f-5e87060d-67ba116d-22a409ca.jpg']","['files/p11/p11378150/s54147285/28905df6-b5221808-9da88146-e62944a2-7fb81888.jpg\n', 'files/p11/p11378150/s54147285/d725723c-750e19d9-78609d6d-c64127b3-03c1c5b6.jpg\n']"
s55092691_5,p11378150,s55092691,5,Findings,"PA and lateral chest radiographs were obtained. Left upper lobe volume loss is similar to prior study. There is no new consolidation, effusion, or pneumothorax. Leftward mediastinal shift is unchanged. Posterior fracture of the left sixth rib is unchanged. Fracture of the two uppermost mediastinal wires is stable.",Left upper lobe volume loss is similar to prior study.,volume loss,Left upper lobe,Stable,"['files/p11/p11378150/s55092691/3b9b84d5-b76eb1db-a43caa85-b33c92a4-4ed50db2.jpg', 'files/p11/p11378150/s55092691/ad35ad1a-5885c89f-5e87060d-67ba116d-22a409ca.jpg']","['files/p11/p11378150/s54147285/28905df6-b5221808-9da88146-e62944a2-7fb81888.jpg\n', 'files/p11/p11378150/s54147285/d725723c-750e19d9-78609d6d-c64127b3-03c1c5b6.jpg\n']"
s55092691_5,p11378150,s55092691,5,Findings,"PA and lateral chest radiographs were obtained. Left upper lobe volume loss is similar to prior study. There is no new consolidation, effusion, or pneumothorax. Leftward mediastinal shift is unchanged. Posterior fracture of the left sixth rib is unchanged. Fracture of the two uppermost mediastinal wires is stable.",Leftward mediastinal shift is unchanged.,shift,Mediastinal,Stable,"['files/p11/p11378150/s55092691/3b9b84d5-b76eb1db-a43caa85-b33c92a4-4ed50db2.jpg', 'files/p11/p11378150/s55092691/ad35ad1a-5885c89f-5e87060d-67ba116d-22a409ca.jpg']","['files/p11/p11378150/s54147285/28905df6-b5221808-9da88146-e62944a2-7fb81888.jpg\n', 'files/p11/p11378150/s54147285/d725723c-750e19d9-78609d6d-c64127b3-03c1c5b6.jpg\n']"
s55092691_5,p11378150,s55092691,5,Findings,"PA and lateral chest radiographs were obtained. Left upper lobe volume loss is similar to prior study. There is no new consolidation, effusion, or pneumothorax. Leftward mediastinal shift is unchanged. Posterior fracture of the left sixth rib is unchanged. Fracture of the two uppermost mediastinal wires is stable.",Posterior fracture of the left sixth rib is unchanged.,fracture,Left sixth rib,Stable,"['files/p11/p11378150/s55092691/3b9b84d5-b76eb1db-a43caa85-b33c92a4-4ed50db2.jpg', 'files/p11/p11378150/s55092691/ad35ad1a-5885c89f-5e87060d-67ba116d-22a409ca.jpg']","['files/p11/p11378150/s54147285/28905df6-b5221808-9da88146-e62944a2-7fb81888.jpg\n', 'files/p11/p11378150/s54147285/d725723c-750e19d9-78609d6d-c64127b3-03c1c5b6.jpg\n']"
s55092691_5,p11378150,s55092691,5,Findings,"PA and lateral chest radiographs were obtained. Left upper lobe volume loss is similar to prior study. There is no new consolidation, effusion, or pneumothorax. Leftward mediastinal shift is unchanged. Posterior fracture of the left sixth rib is unchanged. Fracture of the two uppermost mediastinal wires is stable.",Fracture of the two uppermost mediastinal wires is stable.,wire fracture,Uppermost mediastinal,Stable,"['files/p11/p11378150/s55092691/3b9b84d5-b76eb1db-a43caa85-b33c92a4-4ed50db2.jpg', 'files/p11/p11378150/s55092691/ad35ad1a-5885c89f-5e87060d-67ba116d-22a409ca.jpg']","['files/p11/p11378150/s54147285/28905df6-b5221808-9da88146-e62944a2-7fb81888.jpg\n', 'files/p11/p11378150/s54147285/d725723c-750e19d9-78609d6d-c64127b3-03c1c5b6.jpg\n']"
s55095340_2,p16957952,s55095340,2,Findings,"Frontal and lateral views of the chest are compared to previous exam from ___. The lungs remain clear of consolidation or effusion. Cardiomediastinal silhouette is unchanged and notable for median sternotomy wires and mediastinal clips. Osseous and soft tissue structures are notable for mild height loss at the lower thoracic vertebral body level, unchanged from prior.",Cardiomediastinal silhouette is unchanged and notable for median sternotomy wires and mediastinal clips.,notable for median sternotomy wires and mediastinal clips,Cardiomediastinal silhouette,Stable,"['files/p16/p16957952/s55095340/59bade6b-0ae178f8-e0238791-c4862394-a0a99773.jpg', 'files/p16/p16957952/s55095340/7958accd-21d0f8fa-0a0f1a50-fbb2ce69-5128a4a4.jpg']","['files/p16/p16957952/s52796134/34f9ce43-c6f3b51f-d12a71b8-003727fe-35c85318.jpg\n', 'files/p16/p16957952/s52796134/4732ed95-933b87bb-7e3ef418-22b2990f-9b0a9efa.jpg\n']"
s55095340_2,p16957952,s55095340,2,Findings,"Frontal and lateral views of the chest are compared to previous exam from ___. The lungs remain clear of consolidation or effusion. Cardiomediastinal silhouette is unchanged and notable for median sternotomy wires and mediastinal clips. Osseous and soft tissue structures are notable for mild height loss at the lower thoracic vertebral body level, unchanged from prior.",The lungs remain clear of consolidation or effusion.,clear of consolidation or effusion,Lungs,Stable,"['files/p16/p16957952/s55095340/59bade6b-0ae178f8-e0238791-c4862394-a0a99773.jpg', 'files/p16/p16957952/s55095340/7958accd-21d0f8fa-0a0f1a50-fbb2ce69-5128a4a4.jpg']","['files/p16/p16957952/s52796134/34f9ce43-c6f3b51f-d12a71b8-003727fe-35c85318.jpg\n', 'files/p16/p16957952/s52796134/4732ed95-933b87bb-7e3ef418-22b2990f-9b0a9efa.jpg\n']"
s55095340_2,p16957952,s55095340,2,Findings,"Frontal and lateral views of the chest are compared to previous exam from ___. The lungs remain clear of consolidation or effusion. Cardiomediastinal silhouette is unchanged and notable for median sternotomy wires and mediastinal clips. Osseous and soft tissue structures are notable for mild height loss at the lower thoracic vertebral body level, unchanged from prior.","Osseous and soft tissue structures are notable for mild height loss at the lower thoracic vertebral body level, unchanged from prior.",mild height loss,lower thoracic vertebral body,Stable,"['files/p16/p16957952/s55095340/59bade6b-0ae178f8-e0238791-c4862394-a0a99773.jpg', 'files/p16/p16957952/s55095340/7958accd-21d0f8fa-0a0f1a50-fbb2ce69-5128a4a4.jpg']","['files/p16/p16957952/s52796134/34f9ce43-c6f3b51f-d12a71b8-003727fe-35c85318.jpg\n', 'files/p16/p16957952/s52796134/4732ed95-933b87bb-7e3ef418-22b2990f-9b0a9efa.jpg\n']"
s55098650_35,p16043637,s55098650,35,Findings,"The lungs are moderately well inflated. There is a new subtle right lower lobe opacity is noted. No pulmonary edema. No pleural effusion or pneumothorax. The heart is top-normal in size, unchanged since prior examination. Mediastinal contour and hila are unremarkable. Intact median sternotomy wires and mitral valve prosthesis are noted. A left anterior chest wall pacer device lead tips are in the right atrium and right ventricle.",There is a new subtle right lower lobe opacity is noted.,opacity,right lower lobe,New,"['files/p16/p16043637/s55098650/10b7a5e0-c721996a-b5046563-dd86ee1f-5d1caa58.jpg', 'files/p16/p16043637/s55098650/9d933eaf-cb9eff2b-959a2879-3cdb1930-8f80cd45.jpg']","['files/p16/p16043637/s54793306/694f4d8b-a3f0bd59-596ca105-6de49d58-7de152c6.jpg\n', 'files/p16/p16043637/s54793306/c9696dea-5c1429f6-f7f379f6-a8b0af2c-8d29d931.jpg\n']"
s55098650_35,p16043637,s55098650,35,Findings,"The lungs are moderately well inflated. There is a new subtle right lower lobe opacity is noted. No pulmonary edema. No pleural effusion or pneumothorax. The heart is top-normal in size, unchanged since prior examination. Mediastinal contour and hila are unremarkable. Intact median sternotomy wires and mitral valve prosthesis are noted. A left anterior chest wall pacer device lead tips are in the right atrium and right ventricle.","The heart is top-normal in size, unchanged since prior examination.",heart size,,Stable,"['files/p16/p16043637/s55098650/10b7a5e0-c721996a-b5046563-dd86ee1f-5d1caa58.jpg', 'files/p16/p16043637/s55098650/9d933eaf-cb9eff2b-959a2879-3cdb1930-8f80cd45.jpg']","['files/p16/p16043637/s54793306/694f4d8b-a3f0bd59-596ca105-6de49d58-7de152c6.jpg\n', 'files/p16/p16043637/s54793306/c9696dea-5c1429f6-f7f379f6-a8b0af2c-8d29d931.jpg\n']"
s55098650_35,p16043637,s55098650,35,Impression,"New subtle right lower lobe opacity. Differential diagnosis includes atelectasis, early pneumonia or aspiration pneumonia; clinical correlation recommended.","New subtle right lower lobe opacity. Differential diagnosis includes atelectasis, early pneumonia or aspiration pneumonia; clinical correlation recommended.",opacity,right lower lobe,New,"['files/p16/p16043637/s55098650/10b7a5e0-c721996a-b5046563-dd86ee1f-5d1caa58.jpg', 'files/p16/p16043637/s55098650/9d933eaf-cb9eff2b-959a2879-3cdb1930-8f80cd45.jpg']","['files/p16/p16043637/s54793306/694f4d8b-a3f0bd59-596ca105-6de49d58-7de152c6.jpg\n', 'files/p16/p16043637/s54793306/c9696dea-5c1429f6-f7f379f6-a8b0af2c-8d29d931.jpg\n']"
s55101140_4,p11293517,s55101140,4,Findings,"Frontal and lateral views of the chest were obtained. Mild cardiomegaly is similar to prior. There is mild pulmonary congestion without overt pulmonary edema. No focal pulmonary consolidation, pleural effusion, or pneumothorax is seen. The osseous structures are unremarkable. The leads of an atriobiventricular ICD are in similar position to prior.",Mild cardiomegaly is similar to prior.,mild cardiomegaly,,Stable,"['files/p11/p11293517/s55101140/45aff2db-f97c8da4-6c6f992e-d40a0952-c0675aea.jpg', 'files/p11/p11293517/s55101140/acea85a3-8db7b0ba-78f1bef1-81f7d8de-342f03f5.jpg', 'files/p11/p11293517/s55101140/e441d29c-c156066e-10c1c80f-419f440f-7a4bf94d.jpg', 'files/p11/p11293517/s55101140/eae9552c-edf076af-61e6ad23-f29e7eb7-2dc91ede.jpg']","['files/p11/p11293517/s54700382/f5ac10e2-cb3362cf-1ed374e0-fc786a97-d674cf38.jpg\n', 'files/p11/p11293517/s54700382/fe378922-7456a91f-d442d29f-89e17975-2360f005.jpg\n']"
s55101140_4,p11293517,s55101140,4,Findings,"Frontal and lateral views of the chest were obtained. Mild cardiomegaly is similar to prior. There is mild pulmonary congestion without overt pulmonary edema. No focal pulmonary consolidation, pleural effusion, or pneumothorax is seen. The osseous structures are unremarkable. The leads of an atriobiventricular ICD are in similar position to prior.",The leads of an atriobiventricular ICD are in similar position to prior.,ICD leads,atriobiventricular,Stable,"['files/p11/p11293517/s55101140/45aff2db-f97c8da4-6c6f992e-d40a0952-c0675aea.jpg', 'files/p11/p11293517/s55101140/acea85a3-8db7b0ba-78f1bef1-81f7d8de-342f03f5.jpg', 'files/p11/p11293517/s55101140/e441d29c-c156066e-10c1c80f-419f440f-7a4bf94d.jpg', 'files/p11/p11293517/s55101140/eae9552c-edf076af-61e6ad23-f29e7eb7-2dc91ede.jpg']","['files/p11/p11293517/s54700382/f5ac10e2-cb3362cf-1ed374e0-fc786a97-d674cf38.jpg\n', 'files/p11/p11293517/s54700382/fe378922-7456a91f-d442d29f-89e17975-2360f005.jpg\n']"
s55101327_3,p18828251,s55101327,3,Findings,"There is no pneumothorax or definite pleural effusion. There is no focal airspace consolidation. The lung volumes are low. There is mild prominence of the pulmonary vasculature, albeit less than prior exam. Despite technique, the heart size is enlarged, but unchanged from prior. Sternotomy wires and CABG clips are noted. Small granulomas are again seen in the right lung base.","There is mild prominence of the pulmonary vasculature, albeit less than prior exam.",pulmonary vasculature prominence,,Better,['files/p18/p18828251/s55101327/92fd0922-955eb1c3-1cccf867-afd0d2e5-1e5a368b.jpg'],"['files/p18/p18828251/s53348686/35deb322-043ec12f-b33e7567-530c7a88-8b213991.jpg\n', 'files/p18/p18828251/s53348686/c5c69a84-407efe78-e075f90d-1d0fe345-df3f18b3.jpg\n']"
s55101327_3,p18828251,s55101327,3,Findings,"There is no pneumothorax or definite pleural effusion. There is no focal airspace consolidation. The lung volumes are low. There is mild prominence of the pulmonary vasculature, albeit less than prior exam. Despite technique, the heart size is enlarged, but unchanged from prior. Sternotomy wires and CABG clips are noted. Small granulomas are again seen in the right lung base.","Despite technique, the heart size is enlarged, but unchanged from prior.",enlarged heart,,Stable,['files/p18/p18828251/s55101327/92fd0922-955eb1c3-1cccf867-afd0d2e5-1e5a368b.jpg'],"['files/p18/p18828251/s53348686/35deb322-043ec12f-b33e7567-530c7a88-8b213991.jpg\n', 'files/p18/p18828251/s53348686/c5c69a84-407efe78-e075f90d-1d0fe345-df3f18b3.jpg\n']"
s55101327_3,p18828251,s55101327,3,Findings,"There is no pneumothorax or definite pleural effusion. There is no focal airspace consolidation. The lung volumes are low. There is mild prominence of the pulmonary vasculature, albeit less than prior exam. Despite technique, the heart size is enlarged, but unchanged from prior. Sternotomy wires and CABG clips are noted. Small granulomas are again seen in the right lung base.",Small granulomas are again seen in the right lung base.,granulomas,right lung base,Stable,['files/p18/p18828251/s55101327/92fd0922-955eb1c3-1cccf867-afd0d2e5-1e5a368b.jpg'],"['files/p18/p18828251/s53348686/35deb322-043ec12f-b33e7567-530c7a88-8b213991.jpg\n', 'files/p18/p18828251/s53348686/c5c69a84-407efe78-e075f90d-1d0fe345-df3f18b3.jpg\n']"
s55107790_23,p15114531,s55107790,23,Findings,"On the hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. Apical pleural thickening bilaterally is stable. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact. Clips in the left upper quadrant are noted. Cervical fusion hardware is noted.",Apical pleural thickening bilaterally is stable.,pleural thickening,Bilateral apical,Stable,"['files/p15/p15114531/s55107790/39c36e59-7b5c308e-a9153759-84676a45-4cadadf0.jpg', 'files/p15/p15114531/s55107790/e3175ea1-01a77a5f-f7f0522d-d4eaa2ff-222ad571.jpg']",['files/p15/p15114531/s54953521/bd752951-5d4e5b88-c3f34820-c9e7fcd4-1d2b4af7.jpg\n']
s55108041_14,p18224196,s55108041,14,Findings,There is interval placement of a left internal jugular catheter with tip terminating in the upper SVC. There is no pneumothorax. Cardiomediastinal and hilar silhouettes are stable. There is stable scarring or atelectasis at the left lung base as well as calcifications at the costochondral junction. The lungs are otherwise clear.,There is stable scarring or atelectasis at the left lung base as well as calcifications at the costochondral junction.,calcifications,costochondral junction,Stable,"['files/p18/p18224196/s55108041/ac124350-20557267-dc926c7c-b39bd160-ace9affa.jpg', 'files/p18/p18224196/s55108041/d504dbe8-1c4f781c-0df439c0-f9d111e3-383d8361.jpg']","['files/p18/p18224196/s54882267/1a5a59f7-d389a59a-1d55691a-0a77b80a-96ea4108.jpg\n', 'files/p18/p18224196/s54882267/59a459f5-0bd58411-1d739d65-1d7477bf-92d830cb.jpg\n']"
s55108041_14,p18224196,s55108041,14,Findings,There is interval placement of a left internal jugular catheter with tip terminating in the upper SVC. There is no pneumothorax. Cardiomediastinal and hilar silhouettes are stable. There is stable scarring or atelectasis at the left lung base as well as calcifications at the costochondral junction. The lungs are otherwise clear.,Cardiomediastinal and hilar silhouettes are stable.,Cardiomediastinal and hilar silhouettes,,Stable,"['files/p18/p18224196/s55108041/ac124350-20557267-dc926c7c-b39bd160-ace9affa.jpg', 'files/p18/p18224196/s55108041/d504dbe8-1c4f781c-0df439c0-f9d111e3-383d8361.jpg']","['files/p18/p18224196/s54882267/1a5a59f7-d389a59a-1d55691a-0a77b80a-96ea4108.jpg\n', 'files/p18/p18224196/s54882267/59a459f5-0bd58411-1d739d65-1d7477bf-92d830cb.jpg\n']"
s55108041_14,p18224196,s55108041,14,Findings,There is interval placement of a left internal jugular catheter with tip terminating in the upper SVC. There is no pneumothorax. Cardiomediastinal and hilar silhouettes are stable. There is stable scarring or atelectasis at the left lung base as well as calcifications at the costochondral junction. The lungs are otherwise clear.,There is stable scarring or atelectasis at the left lung base as well as calcifications at the costochondral junction.,scarring or atelectasis,left lung base,Stable,"['files/p18/p18224196/s55108041/ac124350-20557267-dc926c7c-b39bd160-ace9affa.jpg', 'files/p18/p18224196/s55108041/d504dbe8-1c4f781c-0df439c0-f9d111e3-383d8361.jpg']","['files/p18/p18224196/s54882267/1a5a59f7-d389a59a-1d55691a-0a77b80a-96ea4108.jpg\n', 'files/p18/p18224196/s54882267/59a459f5-0bd58411-1d739d65-1d7477bf-92d830cb.jpg\n']"
s55108847_4,p11413236,s55108847,4,Impression,"Persistent left basilar opacification, suspected to represent primarily atelectasis. However, the possibility of superimposed pneumonia could be considered in the appropriate clinical setting versus increased atelectasis associated with low lung volumes.","Persistent left basilar opacification, suspected to represent primarily atelectasis. However, the possibility of superimposed pneumonia could be considered in the appropriate clinical setting versus increased atelectasis associated with low lung volumes.",opacification,left basilar,Stable,"['files/p11/p11413236/s55108847/5a43bc2b-3fc26154-5114dc49-e3d4f15e-459347eb.jpg', 'files/p11/p11413236/s55108847/a8ad38e3-9a288818-536ed867-e22718fb-0d0833f5.jpg']",['files/p11/p11413236/s54517998/93173301-ef0856de-7bf3d950-005faeed-a2f8a466.jpg\n']
s55108847_4,p11413236,s55108847,4,Findings,"The patient is status post sternotomy. A Port-A-Cath terminates at the cavoatrial junction. The heart is at the upper limits of normal size. A calcified lymph node is seen along the aortopulmonary window. The cardiac, mediastinal and hilar contours do not appear significantly changed. The lung volumes are low. There is persistent patchy opacification in the left lower lobe, which appears somewhat more dense and compressed, perhaps coinciding with differences in lung volumes rather than a true interval change however. In fact, left basilar opacities are more similar to ___, where lungs volumes were somewhat lower than on the more recent prior examination. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.","The cardiac, mediastinal and hilar contours do not appear significantly changed.",contours,"cardiac, mediastinal and hilar",Stable,"['files/p11/p11413236/s55108847/5a43bc2b-3fc26154-5114dc49-e3d4f15e-459347eb.jpg', 'files/p11/p11413236/s55108847/a8ad38e3-9a288818-536ed867-e22718fb-0d0833f5.jpg']",['files/p11/p11413236/s54517998/93173301-ef0856de-7bf3d950-005faeed-a2f8a466.jpg\n']
s55108847_4,p11413236,s55108847,4,Findings,"The patient is status post sternotomy. A Port-A-Cath terminates at the cavoatrial junction. The heart is at the upper limits of normal size. A calcified lymph node is seen along the aortopulmonary window. The cardiac, mediastinal and hilar contours do not appear significantly changed. The lung volumes are low. There is persistent patchy opacification in the left lower lobe, which appears somewhat more dense and compressed, perhaps coinciding with differences in lung volumes rather than a true interval change however. In fact, left basilar opacities are more similar to ___, where lungs volumes were somewhat lower than on the more recent prior examination. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.","There is persistent patchy opacification in the left lower lobe, which appears somewhat more dense and compressed, perhaps coinciding with differences in lung volumes rather than a true interval change however.",patchy opacification,left lower lobe,Stable,"['files/p11/p11413236/s55108847/5a43bc2b-3fc26154-5114dc49-e3d4f15e-459347eb.jpg', 'files/p11/p11413236/s55108847/a8ad38e3-9a288818-536ed867-e22718fb-0d0833f5.jpg']",['files/p11/p11413236/s54517998/93173301-ef0856de-7bf3d950-005faeed-a2f8a466.jpg\n']
s55108847_4,p11413236,s55108847,4,Findings,"The patient is status post sternotomy. A Port-A-Cath terminates at the cavoatrial junction. The heart is at the upper limits of normal size. A calcified lymph node is seen along the aortopulmonary window. The cardiac, mediastinal and hilar contours do not appear significantly changed. The lung volumes are low. There is persistent patchy opacification in the left lower lobe, which appears somewhat more dense and compressed, perhaps coinciding with differences in lung volumes rather than a true interval change however. In fact, left basilar opacities are more similar to ___, where lungs volumes were somewhat lower than on the more recent prior examination. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.","In fact, left basilar opacities are more similar to ___, where lungs volumes were somewhat lower than on the more recent prior examination.",opacities,left basilar,Stable,"['files/p11/p11413236/s55108847/5a43bc2b-3fc26154-5114dc49-e3d4f15e-459347eb.jpg', 'files/p11/p11413236/s55108847/a8ad38e3-9a288818-536ed867-e22718fb-0d0833f5.jpg']",['files/p11/p11413236/s54517998/93173301-ef0856de-7bf3d950-005faeed-a2f8a466.jpg\n']
s55110396_3,p12699874,s55110396,3,Impression,"AP chest compared to ___: Endotracheal tube is in standard placement. The status of the upper airway cannot be assessed by conventional radiographs with an endotracheal tube in place. At best, CT scanning might be helpful. Heart size is normal though increased today relative to ___. New opacification at the left lung base is probably atelectasis. Right apical pleural tube still in place. No appreciable pneumothorax or layering effusion. A triangular opacity in the region of the right pleural tube could be fissural pleural fluid.",New opacification at the left lung base is probably atelectasis.,opacification,left lung base,New,['files/p12/p12699874/s55110396/be5abf2d-532464c2-7ec963e5-0b5da9f9-fa74529e.jpg'],['files/p12/p12699874/s54282937/7d02f691-c9e983ff-b7685488-825c036a-ebf5e8eb.jpg\n']
s55110396_3,p12699874,s55110396,3,Impression,"AP chest compared to ___: Endotracheal tube is in standard placement. The status of the upper airway cannot be assessed by conventional radiographs with an endotracheal tube in place. At best, CT scanning might be helpful. Heart size is normal though increased today relative to ___. New opacification at the left lung base is probably atelectasis. Right apical pleural tube still in place. No appreciable pneumothorax or layering effusion. A triangular opacity in the region of the right pleural tube could be fissural pleural fluid.",Heart size is normal though increased today relative to ___.,size,Heart,Worse,['files/p12/p12699874/s55110396/be5abf2d-532464c2-7ec963e5-0b5da9f9-fa74529e.jpg'],['files/p12/p12699874/s54282937/7d02f691-c9e983ff-b7685488-825c036a-ebf5e8eb.jpg\n']
s55110396_3,p12699874,s55110396,3,Impression,"AP chest compared to ___: Endotracheal tube is in standard placement. The status of the upper airway cannot be assessed by conventional radiographs with an endotracheal tube in place. At best, CT scanning might be helpful. Heart size is normal though increased today relative to ___. New opacification at the left lung base is probably atelectasis. Right apical pleural tube still in place. No appreciable pneumothorax or layering effusion. A triangular opacity in the region of the right pleural tube could be fissural pleural fluid.",Right apical pleural tube still in place.,pleural tube,Right apical,Stable,['files/p12/p12699874/s55110396/be5abf2d-532464c2-7ec963e5-0b5da9f9-fa74529e.jpg'],['files/p12/p12699874/s54282937/7d02f691-c9e983ff-b7685488-825c036a-ebf5e8eb.jpg\n']
s55116033_39,p14851532,s55116033,39,Impression,Cardiomediastinal silhouette is unchanged. Interstitial opacities are similar. There is no interval increase in pleural effusion or pneumothorax.,Interstitial opacities are similar.,interstitial opacities,,Stable,['files/p14/p14851532/s55116033/22fe9215-499eca85-e1ae812f-e8e4bc0a-31234c00.jpg'],['files/p14/p14851532/s55077014/ff9478db-4ce6ed74-e3b6d8f2-320694e0-e8a21817.jpg\n']
s55116033_39,p14851532,s55116033,39,Impression,Cardiomediastinal silhouette is unchanged. Interstitial opacities are similar. There is no interval increase in pleural effusion or pneumothorax.,Cardiomediastinal silhouette is unchanged.,cardiomediastinal silhouette,,Stable,['files/p14/p14851532/s55116033/22fe9215-499eca85-e1ae812f-e8e4bc0a-31234c00.jpg'],['files/p14/p14851532/s55077014/ff9478db-4ce6ed74-e3b6d8f2-320694e0-e8a21817.jpg\n']
s55124994_2,p11906222,s55124994,2,Findings,"As compared to the previous examination, the patient has been intubated. The tip of the endotracheal tube projects 3.7 cm above the carina. The patient also has received a nasogastric tube, the course of the tube is unremarkable, the tip of the tube does not display on the image. The ventriculoperitoneal shunt and the left subclavian access line are unchanged. There is no evidence of complications, notably no pneumothorax. The lung volumes are increased, with subsequent decrease in severity and extent of a pre-existing right basal medial parenchymal opacity. No newly appeared parenchymal opacities, unchanged size of the cardiac silhouette. No pleural effusions.","The lung volumes are increased, with subsequent decrease in severity and extent of a pre-existing right basal medial parenchymal opacity.",parenchymal opacity,right basal medial,Worse,['files/p11/p11906222/s55124994/a7b100cd-08c2be2d-a32c2dac-020c1d75-1bd5b887.jpg'],['files/p11/p11906222/s53854854/567bcd19-6ab220b4-8f8eb57b-5f94b009-a4007fc7.jpg\n']
s55124994_2,p11906222,s55124994,2,Findings,"As compared to the previous examination, the patient has been intubated. The tip of the endotracheal tube projects 3.7 cm above the carina. The patient also has received a nasogastric tube, the course of the tube is unremarkable, the tip of the tube does not display on the image. The ventriculoperitoneal shunt and the left subclavian access line are unchanged. There is no evidence of complications, notably no pneumothorax. The lung volumes are increased, with subsequent decrease in severity and extent of a pre-existing right basal medial parenchymal opacity. No newly appeared parenchymal opacities, unchanged size of the cardiac silhouette. No pleural effusions.","No newly appeared parenchymal opacities, unchanged size of the cardiac silhouette.",cardiac silhouette,,Stable,['files/p11/p11906222/s55124994/a7b100cd-08c2be2d-a32c2dac-020c1d75-1bd5b887.jpg'],['files/p11/p11906222/s53854854/567bcd19-6ab220b4-8f8eb57b-5f94b009-a4007fc7.jpg\n']
s55124994_2,p11906222,s55124994,2,Findings,"As compared to the previous examination, the patient has been intubated. The tip of the endotracheal tube projects 3.7 cm above the carina. The patient also has received a nasogastric tube, the course of the tube is unremarkable, the tip of the tube does not display on the image. The ventriculoperitoneal shunt and the left subclavian access line are unchanged. There is no evidence of complications, notably no pneumothorax. The lung volumes are increased, with subsequent decrease in severity and extent of a pre-existing right basal medial parenchymal opacity. No newly appeared parenchymal opacities, unchanged size of the cardiac silhouette. No pleural effusions.",The ventriculoperitoneal shunt and the left subclavian access line are unchanged.,subclavian access line,left,Stable,['files/p11/p11906222/s55124994/a7b100cd-08c2be2d-a32c2dac-020c1d75-1bd5b887.jpg'],['files/p11/p11906222/s53854854/567bcd19-6ab220b4-8f8eb57b-5f94b009-a4007fc7.jpg\n']
s55124994_2,p11906222,s55124994,2,Findings,"As compared to the previous examination, the patient has been intubated. The tip of the endotracheal tube projects 3.7 cm above the carina. The patient also has received a nasogastric tube, the course of the tube is unremarkable, the tip of the tube does not display on the image. The ventriculoperitoneal shunt and the left subclavian access line are unchanged. There is no evidence of complications, notably no pneumothorax. The lung volumes are increased, with subsequent decrease in severity and extent of a pre-existing right basal medial parenchymal opacity. No newly appeared parenchymal opacities, unchanged size of the cardiac silhouette. No pleural effusions.",The ventriculoperitoneal shunt and the left subclavian access line are unchanged.,ventriculoperitoneal shunt,,Stable,['files/p11/p11906222/s55124994/a7b100cd-08c2be2d-a32c2dac-020c1d75-1bd5b887.jpg'],['files/p11/p11906222/s53854854/567bcd19-6ab220b4-8f8eb57b-5f94b009-a4007fc7.jpg\n']
s55133499_0,p17163861,s55133499,0,Findings,"A left-sided pacemaker projects leads into the right atrium and ventricle. Multiple intact sternal wires denote prior history of median sternotomy. The heart size is top normal. The hilar and mediastinal contours are within normal limits. The lungs were slightly underinflated, however there is no pneumothorax, focal consolidation, or pleural effusion. A large gastric air bubble is seen, with mild elevation of the left hemidiaphragm. No free air is present. There is mild leftward deviation of the upper trachea, which appears new.","There is mild leftward deviation of the upper trachea, which appears new.",trachea deviation,upper,New,"['files/p17/p17163861/s55133499/bd8fc3e9-687db5d6-574cb5a6-b78d18b2-2f5fb4de.jpg', 'files/p17/p17163861/s55133499/db0c967e-30c9c887-b4196fb7-e0ba8546-1b9ad52e.jpg']","['files/p17/p17163861/s52169517/2ee8335e-c2cee8be-256455f2-9cc54604-d6b4c10d.jpg\n', 'files/p17/p17163861/s52169517/a9493b3c-4d63defd-55b09266-3147f2af-e73caba1.jpg\n', 'files/p17/p17163861/s52169517/dd7f3873-773c451c-3500ff51-f62851f4-3a6116a9.jpg\n']"
s55134684_10,p16313531,s55134684,10,Findings,"Stable widening of cardiomediastinal contours with persistent silhouetting of left heart border due to a large left pleural effusion with adjacent atelectasis and/or consolidation in the left mid and lower lung region. On the right, there is apparent elevation of the right hemidiaphragm with lateral peaking suggesting the presence of a subpulmonic pleural effusion. Areas of adjacent atelectasis in the right mid and lower lung have slightly improved.",Areas of adjacent atelectasis in the right mid and lower lung have slightly improved.,atelectasis,right mid and lower lung,Better,"['files/p16/p16313531/s55134684/583590d0-c9c3ce35-4b385739-1623390c-62fd1b5d.jpg', 'files/p16/p16313531/s55134684/bcbe5ec6-d84ec5ad-7815dc90-92ca0882-48d3c3a6.jpg']",['files/p16/p16313531/s52300884/fe59a37b-153a2ffa-4552395e-09148941-f3badae1.jpg\n']
s55134684_10,p16313531,s55134684,10,Findings,"Stable widening of cardiomediastinal contours with persistent silhouetting of left heart border due to a large left pleural effusion with adjacent atelectasis and/or consolidation in the left mid and lower lung region. On the right, there is apparent elevation of the right hemidiaphragm with lateral peaking suggesting the presence of a subpulmonic pleural effusion. Areas of adjacent atelectasis in the right mid and lower lung have slightly improved.",Stable widening of cardiomediastinal contours with persistent silhouetting of left heart border due to a large left pleural effusion with adjacent atelectasis and/or consolidation in the left mid and lower lung region.,widening,cardiomediastinal contours,Stable,"['files/p16/p16313531/s55134684/583590d0-c9c3ce35-4b385739-1623390c-62fd1b5d.jpg', 'files/p16/p16313531/s55134684/bcbe5ec6-d84ec5ad-7815dc90-92ca0882-48d3c3a6.jpg']",['files/p16/p16313531/s52300884/fe59a37b-153a2ffa-4552395e-09148941-f3badae1.jpg\n']
s55135726_2,p13475033,s55135726,2,Findings,"A right-sided large-bore central catheter is again seen, terminating in the right atrium, unchanged from the prior study. Mild diffuse interstitial opacities are stable, thought to represent chronic hypersensitivity pneumonitis on chest CT from ___. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette mildly enlarged with the aorta calcified and tortuous. Thoracic scoliosis is again seen. There is stable compression of a mid-to-lower thoracic vertebral body. Again seen is mild indentation of the left trachea at the level of the clavicles, unchanged compared to multiple priors since ___.","Again seen is mild indentation of the left trachea at the level of the clavicles, unchanged compared to multiple priors since ___.",tracheal indentation,left trachea at the level of the clavicles,Stable,"['files/p13/p13475033/s55135726/a2512fa8-095ec040-e32a3e91-1c4f753a-099de7a9.jpg', 'files/p13/p13475033/s55135726/d24b9a9a-5c30fd84-c72ddb03-64a2caba-96d7eb64.jpg']","['files/p13/p13475033/s54900154/3bcad369-b8a201b0-1c5fdb6b-922d37a7-ce628c72.jpg\n', 'files/p13/p13475033/s54900154/3cf29b0e-f67cd860-ae12f2a8-622ccc27-2195ca85.jpg\n']"
s55135726_2,p13475033,s55135726,2,Findings,"A right-sided large-bore central catheter is again seen, terminating in the right atrium, unchanged from the prior study. Mild diffuse interstitial opacities are stable, thought to represent chronic hypersensitivity pneumonitis on chest CT from ___. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette mildly enlarged with the aorta calcified and tortuous. Thoracic scoliosis is again seen. There is stable compression of a mid-to-lower thoracic vertebral body. Again seen is mild indentation of the left trachea at the level of the clavicles, unchanged compared to multiple priors since ___.",There is stable compression of a mid-to-lower thoracic vertebral body.,vertebral body compression,mid-to-lower thoracic,Stable,"['files/p13/p13475033/s55135726/a2512fa8-095ec040-e32a3e91-1c4f753a-099de7a9.jpg', 'files/p13/p13475033/s55135726/d24b9a9a-5c30fd84-c72ddb03-64a2caba-96d7eb64.jpg']","['files/p13/p13475033/s54900154/3bcad369-b8a201b0-1c5fdb6b-922d37a7-ce628c72.jpg\n', 'files/p13/p13475033/s54900154/3cf29b0e-f67cd860-ae12f2a8-622ccc27-2195ca85.jpg\n']"
s55135726_2,p13475033,s55135726,2,Findings,"A right-sided large-bore central catheter is again seen, terminating in the right atrium, unchanged from the prior study. Mild diffuse interstitial opacities are stable, thought to represent chronic hypersensitivity pneumonitis on chest CT from ___. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette mildly enlarged with the aorta calcified and tortuous. Thoracic scoliosis is again seen. There is stable compression of a mid-to-lower thoracic vertebral body. Again seen is mild indentation of the left trachea at the level of the clavicles, unchanged compared to multiple priors since ___.","Mild diffuse interstitial opacities are stable, thought to represent chronic hypersensitivity pneumonitis on chest CT from ___.",chronic hypersensitivity pneumonitis,,Stable,"['files/p13/p13475033/s55135726/a2512fa8-095ec040-e32a3e91-1c4f753a-099de7a9.jpg', 'files/p13/p13475033/s55135726/d24b9a9a-5c30fd84-c72ddb03-64a2caba-96d7eb64.jpg']","['files/p13/p13475033/s54900154/3bcad369-b8a201b0-1c5fdb6b-922d37a7-ce628c72.jpg\n', 'files/p13/p13475033/s54900154/3cf29b0e-f67cd860-ae12f2a8-622ccc27-2195ca85.jpg\n']"
s55135726_2,p13475033,s55135726,2,Findings,"A right-sided large-bore central catheter is again seen, terminating in the right atrium, unchanged from the prior study. Mild diffuse interstitial opacities are stable, thought to represent chronic hypersensitivity pneumonitis on chest CT from ___. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette mildly enlarged with the aorta calcified and tortuous. Thoracic scoliosis is again seen. There is stable compression of a mid-to-lower thoracic vertebral body. Again seen is mild indentation of the left trachea at the level of the clavicles, unchanged compared to multiple priors since ___.","The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette mildly enlarged with the aorta calcified and tortuous.",mild cardiomegaly,,Stable,"['files/p13/p13475033/s55135726/a2512fa8-095ec040-e32a3e91-1c4f753a-099de7a9.jpg', 'files/p13/p13475033/s55135726/d24b9a9a-5c30fd84-c72ddb03-64a2caba-96d7eb64.jpg']","['files/p13/p13475033/s54900154/3bcad369-b8a201b0-1c5fdb6b-922d37a7-ce628c72.jpg\n', 'files/p13/p13475033/s54900154/3cf29b0e-f67cd860-ae12f2a8-622ccc27-2195ca85.jpg\n']"
s55135726_2,p13475033,s55135726,2,Findings,"A right-sided large-bore central catheter is again seen, terminating in the right atrium, unchanged from the prior study. Mild diffuse interstitial opacities are stable, thought to represent chronic hypersensitivity pneumonitis on chest CT from ___. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette mildly enlarged with the aorta calcified and tortuous. Thoracic scoliosis is again seen. There is stable compression of a mid-to-lower thoracic vertebral body. Again seen is mild indentation of the left trachea at the level of the clavicles, unchanged compared to multiple priors since ___.","The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette mildly enlarged with the aorta calcified and tortuous.",aorta calcification and tortuosity,,Stable,"['files/p13/p13475033/s55135726/a2512fa8-095ec040-e32a3e91-1c4f753a-099de7a9.jpg', 'files/p13/p13475033/s55135726/d24b9a9a-5c30fd84-c72ddb03-64a2caba-96d7eb64.jpg']","['files/p13/p13475033/s54900154/3bcad369-b8a201b0-1c5fdb6b-922d37a7-ce628c72.jpg\n', 'files/p13/p13475033/s54900154/3cf29b0e-f67cd860-ae12f2a8-622ccc27-2195ca85.jpg\n']"
s55135726_2,p13475033,s55135726,2,Findings,"A right-sided large-bore central catheter is again seen, terminating in the right atrium, unchanged from the prior study. Mild diffuse interstitial opacities are stable, thought to represent chronic hypersensitivity pneumonitis on chest CT from ___. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette mildly enlarged with the aorta calcified and tortuous. Thoracic scoliosis is again seen. There is stable compression of a mid-to-lower thoracic vertebral body. Again seen is mild indentation of the left trachea at the level of the clavicles, unchanged compared to multiple priors since ___.",Thoracic scoliosis is again seen.,thoracic scoliosis,,Stable,"['files/p13/p13475033/s55135726/a2512fa8-095ec040-e32a3e91-1c4f753a-099de7a9.jpg', 'files/p13/p13475033/s55135726/d24b9a9a-5c30fd84-c72ddb03-64a2caba-96d7eb64.jpg']","['files/p13/p13475033/s54900154/3bcad369-b8a201b0-1c5fdb6b-922d37a7-ce628c72.jpg\n', 'files/p13/p13475033/s54900154/3cf29b0e-f67cd860-ae12f2a8-622ccc27-2195ca85.jpg\n']"
s55135726_2,p13475033,s55135726,2,Findings,"A right-sided large-bore central catheter is again seen, terminating in the right atrium, unchanged from the prior study. Mild diffuse interstitial opacities are stable, thought to represent chronic hypersensitivity pneumonitis on chest CT from ___. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette mildly enlarged with the aorta calcified and tortuous. Thoracic scoliosis is again seen. There is stable compression of a mid-to-lower thoracic vertebral body. Again seen is mild indentation of the left trachea at the level of the clavicles, unchanged compared to multiple priors since ___.","A right-sided large-bore central catheter is again seen, terminating in the right atrium, unchanged from the prior study.",large-bore central catheter,right atrium,Stable,"['files/p13/p13475033/s55135726/a2512fa8-095ec040-e32a3e91-1c4f753a-099de7a9.jpg', 'files/p13/p13475033/s55135726/d24b9a9a-5c30fd84-c72ddb03-64a2caba-96d7eb64.jpg']","['files/p13/p13475033/s54900154/3bcad369-b8a201b0-1c5fdb6b-922d37a7-ce628c72.jpg\n', 'files/p13/p13475033/s54900154/3cf29b0e-f67cd860-ae12f2a8-622ccc27-2195ca85.jpg\n']"
s55135750_6,p11413236,s55135750,6,Findings,"Single AP view of the chest. Right chest wall port is again seen, catheter tip not clearly identified due to motion. The lungs are grossly clear. Mild left basilar atelectasis versus scarring again noted. Cardiomediastinal silhouette is within normal limits. Calcified AP window nodes are seen. Osseous and soft tissue structures are unremarkable.","Right chest wall port is again seen, catheter tip not clearly identified due to motion.",port,Right chest wall,Stable,['files/p11/p11413236/s55135750/cb773ac2-6e174a1f-00857ffc-b6748b77-da3cc5f4.jpg'],"['files/p11/p11413236/s55108847/5a43bc2b-3fc26154-5114dc49-e3d4f15e-459347eb.jpg\n', 'files/p11/p11413236/s55108847/a8ad38e3-9a288818-536ed867-e22718fb-0d0833f5.jpg\n']"
s55135750_6,p11413236,s55135750,6,Findings,"Single AP view of the chest. Right chest wall port is again seen, catheter tip not clearly identified due to motion. The lungs are grossly clear. Mild left basilar atelectasis versus scarring again noted. Cardiomediastinal silhouette is within normal limits. Calcified AP window nodes are seen. Osseous and soft tissue structures are unremarkable.",Mild left basilar atelectasis versus scarring again noted.,atelectasis or scarring,Left basilar,Stable,['files/p11/p11413236/s55135750/cb773ac2-6e174a1f-00857ffc-b6748b77-da3cc5f4.jpg'],"['files/p11/p11413236/s55108847/5a43bc2b-3fc26154-5114dc49-e3d4f15e-459347eb.jpg\n', 'files/p11/p11413236/s55108847/a8ad38e3-9a288818-536ed867-e22718fb-0d0833f5.jpg\n']"
s55139599_23,p14295224,s55139599,23,Impression,Small bilateral pleural effusions are unchanged. No evidence of pneumonia.,Small bilateral pleural effusions are unchanged.,small pleural effusions,bilateral,Stable,"['files/p14/p14295224/s55139599/a10a9311-c671bfd9-f28b7373-5afea312-47bb1afc.jpg', 'files/p14/p14295224/s55139599/b85ad152-d351373d-9b33bc0d-584cf132-a45e2d7a.jpg']","['files/p14/p14295224/s54583911/a4545835-8e2344ba-657ac4df-46fb4c91-d34c50ee.jpg\n', 'files/p14/p14295224/s54583911/a47d5235-f25baa2b-144829d5-d09c13eb-c45821cc.jpg\n']"
s55139599_23,p14295224,s55139599,23,Findings,"No significant interval change. The lungs remain hyperinflated. No focal consolidation, edema, or pneumothorax. Bilateral pleural effusions are small. The heart is normal in size. Retrocardiac opacity on the right is consistent with neo esophagus. No acute osseous abnormality.",The lungs remain hyperinflated.,hyperinflated lungs,,Stable,"['files/p14/p14295224/s55139599/a10a9311-c671bfd9-f28b7373-5afea312-47bb1afc.jpg', 'files/p14/p14295224/s55139599/b85ad152-d351373d-9b33bc0d-584cf132-a45e2d7a.jpg']","['files/p14/p14295224/s54583911/a4545835-8e2344ba-657ac4df-46fb4c91-d34c50ee.jpg\n', 'files/p14/p14295224/s54583911/a47d5235-f25baa2b-144829d5-d09c13eb-c45821cc.jpg\n']"
s55145381_11,p19182863,s55145381,11,Findings,"Left lung lavage was recently done, explaining probably the increased density of left middle lung. There is a small left pneumothorax measuring 3 to 6 mm. Mild pulmonary edema is new. Pleural effusions are small, if any. Minor fissure on the right side is slightly thickened with an atelectatic band in right lower lung. Mediastinal and cardiac contours are moderately enlarged. Aortic knob calcification is unchanged. Patient had prior sternotomy for aortic valve, mitral valve and tricuspid valve repair.",Aortic knob calcification is unchanged.,calcification,Aortic knob,Stable,['files/p19/p19182863/s55145381/bce5d9b0-6d67ccea-45044d9d-e4136b2d-643464ce.jpg'],['files/p19/p19182863/s55023208/121a82e4-e8fcc625-76d8bd71-defee5fe-3f48af2b.jpg\n']
s55145381_11,p19182863,s55145381,11,Findings,"Left lung lavage was recently done, explaining probably the increased density of left middle lung. There is a small left pneumothorax measuring 3 to 6 mm. Mild pulmonary edema is new. Pleural effusions are small, if any. Minor fissure on the right side is slightly thickened with an atelectatic band in right lower lung. Mediastinal and cardiac contours are moderately enlarged. Aortic knob calcification is unchanged. Patient had prior sternotomy for aortic valve, mitral valve and tricuspid valve repair.",Mild pulmonary edema is new.,mild pulmonary edema,,New,['files/p19/p19182863/s55145381/bce5d9b0-6d67ccea-45044d9d-e4136b2d-643464ce.jpg'],['files/p19/p19182863/s55023208/121a82e4-e8fcc625-76d8bd71-defee5fe-3f48af2b.jpg\n']
s55145381_11,p19182863,s55145381,11,Findings,"Left lung lavage was recently done, explaining probably the increased density of left middle lung. There is a small left pneumothorax measuring 3 to 6 mm. Mild pulmonary edema is new. Pleural effusions are small, if any. Minor fissure on the right side is slightly thickened with an atelectatic band in right lower lung. Mediastinal and cardiac contours are moderately enlarged. Aortic knob calcification is unchanged. Patient had prior sternotomy for aortic valve, mitral valve and tricuspid valve repair.","Left lung lavage was recently done, explaining probably the increased density of left middle lung.",increased density,left middle lung,Worse,['files/p19/p19182863/s55145381/bce5d9b0-6d67ccea-45044d9d-e4136b2d-643464ce.jpg'],['files/p19/p19182863/s55023208/121a82e4-e8fcc625-76d8bd71-defee5fe-3f48af2b.jpg\n']
s55146164_23,p19182863,s55146164,23,Impression,Little change since prior study with slightly improved appearance of the vascular congestion and right pleural effusion although this could be due to different technique.,Little change since prior study with slightly improved appearance of the vascular congestion and right pleural effusion although this could be due to different technique.,vascular congestion and pleural effusion,right,Better,"['files/p19/p19182863/s55146164/377bdbe0-9a73de16-b40c56a1-d44cdbcc-0051da03.jpg', 'files/p19/p19182863/s55146164/def20e5a-8bc84951-a39d0889-5e00a0fc-2fb27ffa.jpg']",['files/p19/p19182863/s55145381/bce5d9b0-6d67ccea-45044d9d-e4136b2d-643464ce.jpg\n']
s55146164_23,p19182863,s55146164,23,Findings,There is overall little change compared with prior exam dated ___ with slight decrease in hazy opacification of the right hemithorax and improvement in pulmonary vascular engorgement and small right pleural effusion although this could be attributable to upright positioning of the patient compared to semi erect positioning on the previous study. Cardiac silhouette remains moderately enlarged. The right IJ central venous catheter is unchanged in position with the tip projecting over the mid SVC. Mild bibasilar atelectasis is unchanged.,Cardiac silhouette remains moderately enlarged.,cardiac silhouette enlargement,,Stable,"['files/p19/p19182863/s55146164/377bdbe0-9a73de16-b40c56a1-d44cdbcc-0051da03.jpg', 'files/p19/p19182863/s55146164/def20e5a-8bc84951-a39d0889-5e00a0fc-2fb27ffa.jpg']",['files/p19/p19182863/s55145381/bce5d9b0-6d67ccea-45044d9d-e4136b2d-643464ce.jpg\n']
s55146164_23,p19182863,s55146164,23,Findings,There is overall little change compared with prior exam dated ___ with slight decrease in hazy opacification of the right hemithorax and improvement in pulmonary vascular engorgement and small right pleural effusion although this could be attributable to upright positioning of the patient compared to semi erect positioning on the previous study. Cardiac silhouette remains moderately enlarged. The right IJ central venous catheter is unchanged in position with the tip projecting over the mid SVC. Mild bibasilar atelectasis is unchanged.,There is overall little change compared with prior exam dated ___ with slight decrease in hazy opacification of the right hemithorax and improvement in pulmonary vascular engorgement and small right pleural effusion although this could be attributable to upright positioning of the patient compared to semi erect positioning on the previous study.,"hazy opacification, pulmonary vascular engorgement, small right pleural effusion",right hemithorax,Better,"['files/p19/p19182863/s55146164/377bdbe0-9a73de16-b40c56a1-d44cdbcc-0051da03.jpg', 'files/p19/p19182863/s55146164/def20e5a-8bc84951-a39d0889-5e00a0fc-2fb27ffa.jpg']",['files/p19/p19182863/s55145381/bce5d9b0-6d67ccea-45044d9d-e4136b2d-643464ce.jpg\n']
s55146164_23,p19182863,s55146164,23,Findings,There is overall little change compared with prior exam dated ___ with slight decrease in hazy opacification of the right hemithorax and improvement in pulmonary vascular engorgement and small right pleural effusion although this could be attributable to upright positioning of the patient compared to semi erect positioning on the previous study. Cardiac silhouette remains moderately enlarged. The right IJ central venous catheter is unchanged in position with the tip projecting over the mid SVC. Mild bibasilar atelectasis is unchanged.,Mild bibasilar atelectasis is unchanged.,atelectasis,bibasilar,Stable,"['files/p19/p19182863/s55146164/377bdbe0-9a73de16-b40c56a1-d44cdbcc-0051da03.jpg', 'files/p19/p19182863/s55146164/def20e5a-8bc84951-a39d0889-5e00a0fc-2fb27ffa.jpg']",['files/p19/p19182863/s55145381/bce5d9b0-6d67ccea-45044d9d-e4136b2d-643464ce.jpg\n']
s55146164_23,p19182863,s55146164,23,Findings,There is overall little change compared with prior exam dated ___ with slight decrease in hazy opacification of the right hemithorax and improvement in pulmonary vascular engorgement and small right pleural effusion although this could be attributable to upright positioning of the patient compared to semi erect positioning on the previous study. Cardiac silhouette remains moderately enlarged. The right IJ central venous catheter is unchanged in position with the tip projecting over the mid SVC. Mild bibasilar atelectasis is unchanged.,The right IJ central venous catheter is unchanged in position with the tip projecting over the mid SVC.,central venous catheter,right IJ,Stable,"['files/p19/p19182863/s55146164/377bdbe0-9a73de16-b40c56a1-d44cdbcc-0051da03.jpg', 'files/p19/p19182863/s55146164/def20e5a-8bc84951-a39d0889-5e00a0fc-2fb27ffa.jpg']",['files/p19/p19182863/s55145381/bce5d9b0-6d67ccea-45044d9d-e4136b2d-643464ce.jpg\n']
s55152422_5,p12530259,s55152422,5,Impression,"1) Rapid progressive opacification of the left upper and mid lung, with evidence of volume loss and persistent left hemidiaphragm elevation. Clinical correlation is requested in this patient status post left lobectomy. 2) Difficult to determine whether a small pneumothorax or small amount of pneumomediastinum is still present. No fluid level detected to suggest hyrdropneumothorax. 3) Slightly displaced left posterior 6th rib fracture or osteotomy. Note is made that the patient is s/p thoracotomy. 4) Right lung clear except for mild vascular plethora and minimal basilar atelectasis. Ordering house officer paged ar approximately 2 pm on the day of the exam.","1) Rapid progressive opacification of the left upper and mid lung, with evidence of volume loss and persistent left hemidiaphragm elevation. Clinical correlation is requested in this patient status post left lobectomy.",elevation,left hemidiaphragm,Stable,"['files/p12/p12530259/s55152422/0417bf8c-ae0c3206-ffc11f65-31fe85d6-e6fcfcda.jpg', 'files/p12/p12530259/s55152422/222aa630-2e5e1433-2fcade4b-9e45ff5b-03802e45.jpg']","['files/p12/p12530259/s54946834/2ec22655-129c4671-a80d926d-b80a6df1-8f1e5d31.jpg\n', 'files/p12/p12530259/s54946834/4c91821b-955decb6-08bf90f3-372970dc-45cb6ac2.jpg\n']"
s55152422_5,p12530259,s55152422,5,Impression,"1) Rapid progressive opacification of the left upper and mid lung, with evidence of volume loss and persistent left hemidiaphragm elevation. Clinical correlation is requested in this patient status post left lobectomy. 2) Difficult to determine whether a small pneumothorax or small amount of pneumomediastinum is still present. No fluid level detected to suggest hyrdropneumothorax. 3) Slightly displaced left posterior 6th rib fracture or osteotomy. Note is made that the patient is s/p thoracotomy. 4) Right lung clear except for mild vascular plethora and minimal basilar atelectasis. Ordering house officer paged ar approximately 2 pm on the day of the exam.","1) Rapid progressive opacification of the left upper and mid lung, with evidence of volume loss and persistent left hemidiaphragm elevation. Clinical correlation is requested in this patient status post left lobectomy.",opacification,left upper and mid lung,Worse,"['files/p12/p12530259/s55152422/0417bf8c-ae0c3206-ffc11f65-31fe85d6-e6fcfcda.jpg', 'files/p12/p12530259/s55152422/222aa630-2e5e1433-2fcade4b-9e45ff5b-03802e45.jpg']","['files/p12/p12530259/s54946834/2ec22655-129c4671-a80d926d-b80a6df1-8f1e5d31.jpg\n', 'files/p12/p12530259/s54946834/4c91821b-955decb6-08bf90f3-372970dc-45cb6ac2.jpg\n']"
s55153576_0,p13473495,s55153576,0,Findings,There is mild-to-moderate interstitial pulmonary edema. The heart is moderately enlarged but not significantly changed in size compared to ___. No definite pleural effusions are seen. There is no pneumothorax.,The heart is moderately enlarged but not significantly changed in size compared to ___.,cardiomegaly,,Stable,"['files/p13/p13473495/s55153576/92ca8ae9-3cd416c1-c8b97c65-2d1a7560-3a11ae68.jpg', 'files/p13/p13473495/s55153576/b9b0faea-d88909df-ccb8ac50-f67497d4-7c320ffb.jpg']",['files/p13/p13473495/s54904335/b32d0041-1490ad2c-bb80e629-0738da5e-cd128891.jpg\n']
s55157144_21,p19016834,s55157144,21,Findings,There is no new consolidation. Right lower lobe pneumonia that was present in prior exams has significantly improved. Esophageal stent is in unchanged position. There is no pneumomediastinum or pneumothorax. There is no pleural effusion. Mediastinal and cardiac contours are stable.,Esophageal stent is in unchanged position.,Esophageal stent,,Stable,"['files/p19/p19016834/s55157144/405581ff-6e5fc337-04c3cddc-f4b5bffe-992dd6f7.jpg', 'files/p19/p19016834/s55157144/5d75ee2c-09804dfd-a85eb831-74593896-c361801f.jpg']","['files/p19/p19016834/s54233043/5a164106-ce198292-34f951f4-c4c8b96d-1e1a80dd.jpg\n', 'files/p19/p19016834/s54233043/914b17d9-ffa084b2-cf81dd9b-6a125b63-3a69dd01.jpg\n']"
s55157144_21,p19016834,s55157144,21,Findings,There is no new consolidation. Right lower lobe pneumonia that was present in prior exams has significantly improved. Esophageal stent is in unchanged position. There is no pneumomediastinum or pneumothorax. There is no pleural effusion. Mediastinal and cardiac contours are stable.,Mediastinal and cardiac contours are stable.,Mediastinal and cardiac contours,,Stable,"['files/p19/p19016834/s55157144/405581ff-6e5fc337-04c3cddc-f4b5bffe-992dd6f7.jpg', 'files/p19/p19016834/s55157144/5d75ee2c-09804dfd-a85eb831-74593896-c361801f.jpg']","['files/p19/p19016834/s54233043/5a164106-ce198292-34f951f4-c4c8b96d-1e1a80dd.jpg\n', 'files/p19/p19016834/s54233043/914b17d9-ffa084b2-cf81dd9b-6a125b63-3a69dd01.jpg\n']"
s55157144_21,p19016834,s55157144,21,Findings,There is no new consolidation. Right lower lobe pneumonia that was present in prior exams has significantly improved. Esophageal stent is in unchanged position. There is no pneumomediastinum or pneumothorax. There is no pleural effusion. Mediastinal and cardiac contours are stable.,Right lower lobe pneumonia that was present in prior exams has significantly improved.,pneumonia,right lower lobe,Better,"['files/p19/p19016834/s55157144/405581ff-6e5fc337-04c3cddc-f4b5bffe-992dd6f7.jpg', 'files/p19/p19016834/s55157144/5d75ee2c-09804dfd-a85eb831-74593896-c361801f.jpg']","['files/p19/p19016834/s54233043/5a164106-ce198292-34f951f4-c4c8b96d-1e1a80dd.jpg\n', 'files/p19/p19016834/s54233043/914b17d9-ffa084b2-cf81dd9b-6a125b63-3a69dd01.jpg\n']"
s55161126_17,p16043637,s55161126,17,Impression,"As compared to the previous radiograph, there is a new focal parenchymal opacity in the right upper lobe. In the appropriate clinical setting, this opacity represents a pneumonia. Borderline size of the cardiac silhouette. Status post sternotomy. Pacemaker wires in situ. No larger pleural effusions. Status post valvular repair. At the time of dictation and observation, 12:06, on the ___, the referring physician ___. ___ was paged for notification. ___ min later, the findings were discussed with ___ over the telephone.","As compared to the previous radiograph, there is a new focal parenchymal opacity in the right upper lobe.",focal parenchymal opacity,right upper lobe,New,"['files/p16/p16043637/s55161126/1944fc3b-e15f09ec-eafd2e68-fa2452be-6505ea41.jpg', 'files/p16/p16043637/s55161126/818e58e6-72c15782-d4302ed1-939ac1c6-369ae208.jpg']","['files/p16/p16043637/s55098650/10b7a5e0-c721996a-b5046563-dd86ee1f-5d1caa58.jpg\n', 'files/p16/p16043637/s55098650/9d933eaf-cb9eff2b-959a2879-3cdb1930-8f80cd45.jpg\n']"
s55167068_26,p14851532,s55167068,26,Findings,"The cardiac silhouette remains mildly enlarged. In the interval since the prior study, there is increase in interstitial markings bilaterally, particularly centrally, worrisome for worsening pulmonary edema. Right basilar opacity is again seen, which may be due to fluid overload, although an underlying consolidation is not excluded. Small right pleural effusion was better seen on CT as was left lower lobe opacities. Surgical clips are noted overlying the left upper mediastinum. Aortic knob calcifications again seen.",The cardiac silhouette remains mildly enlarged.,size,cardiac silhouette,Stable,['files/p14/p14851532/s55167068/8137d98b-e8a60482-a158cc07-096a8d02-978fa0cc.jpg'],['files/p14/p14851532/s55116033/22fe9215-499eca85-e1ae812f-e8e4bc0a-31234c00.jpg\n']
s55167068_26,p14851532,s55167068,26,Findings,"The cardiac silhouette remains mildly enlarged. In the interval since the prior study, there is increase in interstitial markings bilaterally, particularly centrally, worrisome for worsening pulmonary edema. Right basilar opacity is again seen, which may be due to fluid overload, although an underlying consolidation is not excluded. Small right pleural effusion was better seen on CT as was left lower lobe opacities. Surgical clips are noted overlying the left upper mediastinum. Aortic knob calcifications again seen.","In the interval since the prior study, there is increase in interstitial markings bilaterally, particularly centrally, worrisome for worsening pulmonary edema.",interstitial markings,"bilaterally, particularly centrally",Worse,['files/p14/p14851532/s55167068/8137d98b-e8a60482-a158cc07-096a8d02-978fa0cc.jpg'],['files/p14/p14851532/s55116033/22fe9215-499eca85-e1ae812f-e8e4bc0a-31234c00.jpg\n']
s55167068_26,p14851532,s55167068,26,Findings,"The cardiac silhouette remains mildly enlarged. In the interval since the prior study, there is increase in interstitial markings bilaterally, particularly centrally, worrisome for worsening pulmonary edema. Right basilar opacity is again seen, which may be due to fluid overload, although an underlying consolidation is not excluded. Small right pleural effusion was better seen on CT as was left lower lobe opacities. Surgical clips are noted overlying the left upper mediastinum. Aortic knob calcifications again seen.","Right basilar opacity is again seen, which may be due to fluid overload, although an underlying consolidation is not excluded.",opacity,right basilar,Stable,['files/p14/p14851532/s55167068/8137d98b-e8a60482-a158cc07-096a8d02-978fa0cc.jpg'],['files/p14/p14851532/s55116033/22fe9215-499eca85-e1ae812f-e8e4bc0a-31234c00.jpg\n']
s55167068_26,p14851532,s55167068,26,Findings,"The cardiac silhouette remains mildly enlarged. In the interval since the prior study, there is increase in interstitial markings bilaterally, particularly centrally, worrisome for worsening pulmonary edema. Right basilar opacity is again seen, which may be due to fluid overload, although an underlying consolidation is not excluded. Small right pleural effusion was better seen on CT as was left lower lobe opacities. Surgical clips are noted overlying the left upper mediastinum. Aortic knob calcifications again seen.",Aortic knob calcifications again seen.,calcifications,aortic knob,Stable,['files/p14/p14851532/s55167068/8137d98b-e8a60482-a158cc07-096a8d02-978fa0cc.jpg'],['files/p14/p14851532/s55116033/22fe9215-499eca85-e1ae812f-e8e4bc0a-31234c00.jpg\n']
s55167068_26,p14851532,s55167068,26,Impression,"Interval increase in interstitial markings bilaterally since the prior study raises concern for worsening pulmonary edema. Small right pleural effusion, better assessed on preceding CT. Left lower lobe opacities better seen on CT",Interval increase in interstitial markings bilaterally since the prior study raises concern for worsening pulmonary edema.,interstitial markings,bilaterally,Worse,['files/p14/p14851532/s55167068/8137d98b-e8a60482-a158cc07-096a8d02-978fa0cc.jpg'],['files/p14/p14851532/s55116033/22fe9215-499eca85-e1ae812f-e8e4bc0a-31234c00.jpg\n']
s55169735_8,p18224196,s55169735,8,Findings,"following repositioning, the coiled Dobbhoff tube in the mid esophagus has resolved. The distal end is within the stomach. Right internal jugular sheath is at upper SVC. Patient is following median sternotomy for mitral valve replacement and sternal sutures are intact. Mild-to-moderate right pleural effusion associated with adjacent lung atelectasis is unchanged since prior radiograph from ___. No other interval changes in the lung.","following repositioning, the coiled Dobbhoff tube in the mid esophagus has resolved.",coiled Dobbhoff tube,mid esophagus,Resolve,"['files/p18/p18224196/s55169735/5696d6d7-d428a678-f3adc77d-66fccbb3-3e9cc81e.jpg', 'files/p18/p18224196/s55169735/58d7d80b-3610f757-0e540435-44dbf9dd-12c5b583.jpg']","['files/p18/p18224196/s55108041/ac124350-20557267-dc926c7c-b39bd160-ace9affa.jpg\n', 'files/p18/p18224196/s55108041/d504dbe8-1c4f781c-0df439c0-f9d111e3-383d8361.jpg\n']"
s55169735_8,p18224196,s55169735,8,Findings,"following repositioning, the coiled Dobbhoff tube in the mid esophagus has resolved. The distal end is within the stomach. Right internal jugular sheath is at upper SVC. Patient is following median sternotomy for mitral valve replacement and sternal sutures are intact. Mild-to-moderate right pleural effusion associated with adjacent lung atelectasis is unchanged since prior radiograph from ___. No other interval changes in the lung.",Mild-to-moderate right pleural effusion associated with adjacent lung atelectasis is unchanged since prior radiograph from ___.,lung atelectasis,right,Stable,"['files/p18/p18224196/s55169735/5696d6d7-d428a678-f3adc77d-66fccbb3-3e9cc81e.jpg', 'files/p18/p18224196/s55169735/58d7d80b-3610f757-0e540435-44dbf9dd-12c5b583.jpg']","['files/p18/p18224196/s55108041/ac124350-20557267-dc926c7c-b39bd160-ace9affa.jpg\n', 'files/p18/p18224196/s55108041/d504dbe8-1c4f781c-0df439c0-f9d111e3-383d8361.jpg\n']"
s55169735_8,p18224196,s55169735,8,Findings,"following repositioning, the coiled Dobbhoff tube in the mid esophagus has resolved. The distal end is within the stomach. Right internal jugular sheath is at upper SVC. Patient is following median sternotomy for mitral valve replacement and sternal sutures are intact. Mild-to-moderate right pleural effusion associated with adjacent lung atelectasis is unchanged since prior radiograph from ___. No other interval changes in the lung.",No other interval changes in the lung.,appearance,lung,Stable,"['files/p18/p18224196/s55169735/5696d6d7-d428a678-f3adc77d-66fccbb3-3e9cc81e.jpg', 'files/p18/p18224196/s55169735/58d7d80b-3610f757-0e540435-44dbf9dd-12c5b583.jpg']","['files/p18/p18224196/s55108041/ac124350-20557267-dc926c7c-b39bd160-ace9affa.jpg\n', 'files/p18/p18224196/s55108041/d504dbe8-1c4f781c-0df439c0-f9d111e3-383d8361.jpg\n']"
s55169735_8,p18224196,s55169735,8,Findings,"following repositioning, the coiled Dobbhoff tube in the mid esophagus has resolved. The distal end is within the stomach. Right internal jugular sheath is at upper SVC. Patient is following median sternotomy for mitral valve replacement and sternal sutures are intact. Mild-to-moderate right pleural effusion associated with adjacent lung atelectasis is unchanged since prior radiograph from ___. No other interval changes in the lung.",Mild-to-moderate right pleural effusion associated with adjacent lung atelectasis is unchanged since prior radiograph from ___.,pleural effusion,right,Stable,"['files/p18/p18224196/s55169735/5696d6d7-d428a678-f3adc77d-66fccbb3-3e9cc81e.jpg', 'files/p18/p18224196/s55169735/58d7d80b-3610f757-0e540435-44dbf9dd-12c5b583.jpg']","['files/p18/p18224196/s55108041/ac124350-20557267-dc926c7c-b39bd160-ace9affa.jpg\n', 'files/p18/p18224196/s55108041/d504dbe8-1c4f781c-0df439c0-f9d111e3-383d8361.jpg\n']"
s55176260_7,p13352405,s55176260,7,Findings,"As compared to the previous radiograph, the patient has undergone a right thoracotomy and decortication. Three right chest tubes are in situ. There is a minimal right basal pneumothorax at the site of chest tube insertion. No evidence of tension. Mild right basal postoperative atelectasis. In the interval, the patient has been intubated, the tip of the tube projects 5.3 cm above the carina. Moderate cardiomegaly, unremarkable and unchanged left lung.","Moderate cardiomegaly, unremarkable and unchanged left lung.",lung,left,Stable,['files/p13/p13352405/s55176260/93ca5245-a3a6c687-b3723eb4-4e89b56b-3cda2cc7.jpg'],"['files/p13/p13352405/s54232840/44251f87-ca5a8427-8e49b093-f5b069ce-c533adef.jpg\n', 'files/p13/p13352405/s54232840/af27343a-9cb9bb54-43761fcc-118e8f5f-8bbff258.jpg\n', 'files/p13/p13352405/s54232840/e3d8d85e-48f2c05f-b72dd0c6-fbd2ceea-656be377.jpg\n']"
s55177624_27,p19182863,s55177624,27,Findings,"Left PICC is unchanged in position compared to the prior radiograph. It enters via a left-sided approach, and makes a vertical descent at the level of the aortic arch, in keeping with known left-sided superior vena cava. The tip of the catheter continues to terminate just above the level of the diaphragm to the left of midline, and could be withdrawn approximately 8 cm to ensure positioning within the lower left superior vena cava. Cardiomediastinal contours are stable in appearance. Moderate right pleural effusion with subpulmonic component has slightly increased in size. Adjacent area of opacity within the right middle and lower lobe has also slightly worsened.",Moderate right pleural effusion with subpulmonic component has slightly increased in size.,pleural effusion,right,Worse,"['files/p19/p19182863/s55177624/5266b09b-623e5530-6e37f74e-af2fb12f-8294d936.jpg', 'files/p19/p19182863/s55177624/b4d823ad-b9f7d3f3-47e57646-bd49ea72-8e3c5bd0.jpg']","['files/p19/p19182863/s55146164/377bdbe0-9a73de16-b40c56a1-d44cdbcc-0051da03.jpg\n', 'files/p19/p19182863/s55146164/def20e5a-8bc84951-a39d0889-5e00a0fc-2fb27ffa.jpg\n']"
s55177624_27,p19182863,s55177624,27,Findings,"Left PICC is unchanged in position compared to the prior radiograph. It enters via a left-sided approach, and makes a vertical descent at the level of the aortic arch, in keeping with known left-sided superior vena cava. The tip of the catheter continues to terminate just above the level of the diaphragm to the left of midline, and could be withdrawn approximately 8 cm to ensure positioning within the lower left superior vena cava. Cardiomediastinal contours are stable in appearance. Moderate right pleural effusion with subpulmonic component has slightly increased in size. Adjacent area of opacity within the right middle and lower lobe has also slightly worsened.",Left PICC is unchanged in position compared to the prior radiograph.,,Left PICC,Stable,"['files/p19/p19182863/s55177624/5266b09b-623e5530-6e37f74e-af2fb12f-8294d936.jpg', 'files/p19/p19182863/s55177624/b4d823ad-b9f7d3f3-47e57646-bd49ea72-8e3c5bd0.jpg']","['files/p19/p19182863/s55146164/377bdbe0-9a73de16-b40c56a1-d44cdbcc-0051da03.jpg\n', 'files/p19/p19182863/s55146164/def20e5a-8bc84951-a39d0889-5e00a0fc-2fb27ffa.jpg\n']"
s55177624_27,p19182863,s55177624,27,Findings,"Left PICC is unchanged in position compared to the prior radiograph. It enters via a left-sided approach, and makes a vertical descent at the level of the aortic arch, in keeping with known left-sided superior vena cava. The tip of the catheter continues to terminate just above the level of the diaphragm to the left of midline, and could be withdrawn approximately 8 cm to ensure positioning within the lower left superior vena cava. Cardiomediastinal contours are stable in appearance. Moderate right pleural effusion with subpulmonic component has slightly increased in size. Adjacent area of opacity within the right middle and lower lobe has also slightly worsened.",Adjacent area of opacity within the right middle and lower lobe has also slightly worsened.,opacity,right middle and lower lobe,Worse,"['files/p19/p19182863/s55177624/5266b09b-623e5530-6e37f74e-af2fb12f-8294d936.jpg', 'files/p19/p19182863/s55177624/b4d823ad-b9f7d3f3-47e57646-bd49ea72-8e3c5bd0.jpg']","['files/p19/p19182863/s55146164/377bdbe0-9a73de16-b40c56a1-d44cdbcc-0051da03.jpg\n', 'files/p19/p19182863/s55146164/def20e5a-8bc84951-a39d0889-5e00a0fc-2fb27ffa.jpg\n']"
s55177624_27,p19182863,s55177624,27,Findings,"Left PICC is unchanged in position compared to the prior radiograph. It enters via a left-sided approach, and makes a vertical descent at the level of the aortic arch, in keeping with known left-sided superior vena cava. The tip of the catheter continues to terminate just above the level of the diaphragm to the left of midline, and could be withdrawn approximately 8 cm to ensure positioning within the lower left superior vena cava. Cardiomediastinal contours are stable in appearance. Moderate right pleural effusion with subpulmonic component has slightly increased in size. Adjacent area of opacity within the right middle and lower lobe has also slightly worsened.",Cardiomediastinal contours are stable in appearance.,Cardiomediastinal contours,,Stable,"['files/p19/p19182863/s55177624/5266b09b-623e5530-6e37f74e-af2fb12f-8294d936.jpg', 'files/p19/p19182863/s55177624/b4d823ad-b9f7d3f3-47e57646-bd49ea72-8e3c5bd0.jpg']","['files/p19/p19182863/s55146164/377bdbe0-9a73de16-b40c56a1-d44cdbcc-0051da03.jpg\n', 'files/p19/p19182863/s55146164/def20e5a-8bc84951-a39d0889-5e00a0fc-2fb27ffa.jpg\n']"
s55183572_5,p10715477,s55183572,5,Impression,"AP chest compared to ___: Large cardiomediastinal silhouette has not changed appreciably since at least ___, early postoperatively. Moderate-to-severe cardiomegaly is comparable to the preoperative appearance. Small bilateral pleural effusions persist. There is no longer any pulmonary edema. ET tube and left internal jugular line are in standard placements and a nasogastric tube passes into the stomach and out of view. No pneumothorax.",Moderate-to-severe cardiomegaly is comparable to the preoperative appearance.,Cardiomegaly,Cardiac,Stable,['files/p10/p10715477/s55183572/9197e8a6-688e955b-b870d598-a611016b-66ef0b8e.jpg'],['files/p10/p10715477/s53818026/264b773c-cd573e36-8b42c4fd-971c4302-1946ed5a.jpg\n']
s55183572_5,p10715477,s55183572,5,Impression,"AP chest compared to ___: Large cardiomediastinal silhouette has not changed appreciably since at least ___, early postoperatively. Moderate-to-severe cardiomegaly is comparable to the preoperative appearance. Small bilateral pleural effusions persist. There is no longer any pulmonary edema. ET tube and left internal jugular line are in standard placements and a nasogastric tube passes into the stomach and out of view. No pneumothorax.",Small bilateral pleural effusions persist.,Pleural Effusions,Bilateral,Stable,['files/p10/p10715477/s55183572/9197e8a6-688e955b-b870d598-a611016b-66ef0b8e.jpg'],['files/p10/p10715477/s53818026/264b773c-cd573e36-8b42c4fd-971c4302-1946ed5a.jpg\n']
s55183572_5,p10715477,s55183572,5,Impression,"AP chest compared to ___: Large cardiomediastinal silhouette has not changed appreciably since at least ___, early postoperatively. Moderate-to-severe cardiomegaly is comparable to the preoperative appearance. Small bilateral pleural effusions persist. There is no longer any pulmonary edema. ET tube and left internal jugular line are in standard placements and a nasogastric tube passes into the stomach and out of view. No pneumothorax.",There is no longer any pulmonary edema.,Pulmonary Edema,,Resolve,['files/p10/p10715477/s55183572/9197e8a6-688e955b-b870d598-a611016b-66ef0b8e.jpg'],['files/p10/p10715477/s53818026/264b773c-cd573e36-8b42c4fd-971c4302-1946ed5a.jpg\n']
s55183572_5,p10715477,s55183572,5,Impression,"AP chest compared to ___: Large cardiomediastinal silhouette has not changed appreciably since at least ___, early postoperatively. Moderate-to-severe cardiomegaly is comparable to the preoperative appearance. Small bilateral pleural effusions persist. There is no longer any pulmonary edema. ET tube and left internal jugular line are in standard placements and a nasogastric tube passes into the stomach and out of view. No pneumothorax.","AP chest compared to ___: Large cardiomediastinal silhouette has not changed appreciably since at least ___, early postoperatively.",Silhouette,Cardiomediastinal,Stable,['files/p10/p10715477/s55183572/9197e8a6-688e955b-b870d598-a611016b-66ef0b8e.jpg'],['files/p10/p10715477/s53818026/264b773c-cd573e36-8b42c4fd-971c4302-1946ed5a.jpg\n']
s55185117_9,p10975446,s55185117,9,Impression,"AP chest compared to ___: Moderately severe pulmonary edema is worsening, accompanied by increasing small-to-moderate bilateral pleural effusions and progressive moderate-to-severe cardiomegaly. Right jugular line ends in the upper right atrium. ET tube is in standard placement. No pneumothorax. Thoracic aorta is heavily calcified and at least tortuous if not dilated, but probably not acutely changed.","AP chest compared to ___: Moderately severe pulmonary edema is worsening, accompanied by increasing small-to-moderate bilateral pleural effusions and progressive moderate-to-severe cardiomegaly.",pleural effusions,bilateral,Worse,['files/p10/p10975446/s55185117/0d768fcf-0bb1bca1-eb1fe1d6-686b876b-675a2e95.jpg'],['files/p10/p10975446/s53843466/f5694e30-74276190-ca787eed-b4262479-f73aec86.jpg\n']
s55185117_9,p10975446,s55185117,9,Impression,"AP chest compared to ___: Moderately severe pulmonary edema is worsening, accompanied by increasing small-to-moderate bilateral pleural effusions and progressive moderate-to-severe cardiomegaly. Right jugular line ends in the upper right atrium. ET tube is in standard placement. No pneumothorax. Thoracic aorta is heavily calcified and at least tortuous if not dilated, but probably not acutely changed.","AP chest compared to ___: Moderately severe pulmonary edema is worsening, accompanied by increasing small-to-moderate bilateral pleural effusions and progressive moderate-to-severe cardiomegaly.",pulmonary edema,,Worse,['files/p10/p10975446/s55185117/0d768fcf-0bb1bca1-eb1fe1d6-686b876b-675a2e95.jpg'],['files/p10/p10975446/s53843466/f5694e30-74276190-ca787eed-b4262479-f73aec86.jpg\n']
s55185117_9,p10975446,s55185117,9,Impression,"AP chest compared to ___: Moderately severe pulmonary edema is worsening, accompanied by increasing small-to-moderate bilateral pleural effusions and progressive moderate-to-severe cardiomegaly. Right jugular line ends in the upper right atrium. ET tube is in standard placement. No pneumothorax. Thoracic aorta is heavily calcified and at least tortuous if not dilated, but probably not acutely changed.","AP chest compared to ___: Moderately severe pulmonary edema is worsening, accompanied by increasing small-to-moderate bilateral pleural effusions and progressive moderate-to-severe cardiomegaly.",cardiomegaly,,Worse,['files/p10/p10975446/s55185117/0d768fcf-0bb1bca1-eb1fe1d6-686b876b-675a2e95.jpg'],['files/p10/p10975446/s53843466/f5694e30-74276190-ca787eed-b4262479-f73aec86.jpg\n']
s55187337_11,p19759491,s55187337,11,Findings,"Sternal wires, valve prosthesis, cardiac device, and mild cardiomegaly are unchanged. There is new left lower lobe infiltrate and small left effusion. There is also a small right effusion.",There is new left lower lobe infiltrate and small left effusion.,effusion,Left,New,"['files/p19/p19759491/s55187337/b58200f0-94821f08-ca60f9fd-6fc424ee-4365c0cb.jpg', 'files/p19/p19759491/s55187337/be022b6e-69a878a5-39db0aac-453cd12d-627ea0a0.jpg']",['files/p19/p19759491/s54372986/f2566882-96120f55-11c10432-9c3d638d-2b4fc411.jpg\n']
s55187337_11,p19759491,s55187337,11,Findings,"Sternal wires, valve prosthesis, cardiac device, and mild cardiomegaly are unchanged. There is new left lower lobe infiltrate and small left effusion. There is also a small right effusion.","Sternal wires, valve prosthesis, cardiac device, and mild cardiomegaly are unchanged.",Sternal wires,,Stable,"['files/p19/p19759491/s55187337/b58200f0-94821f08-ca60f9fd-6fc424ee-4365c0cb.jpg', 'files/p19/p19759491/s55187337/be022b6e-69a878a5-39db0aac-453cd12d-627ea0a0.jpg']",['files/p19/p19759491/s54372986/f2566882-96120f55-11c10432-9c3d638d-2b4fc411.jpg\n']
s55187337_11,p19759491,s55187337,11,Findings,"Sternal wires, valve prosthesis, cardiac device, and mild cardiomegaly are unchanged. There is new left lower lobe infiltrate and small left effusion. There is also a small right effusion.","Sternal wires, valve prosthesis, cardiac device, and mild cardiomegaly are unchanged.",Valve prosthesis,,Stable,"['files/p19/p19759491/s55187337/b58200f0-94821f08-ca60f9fd-6fc424ee-4365c0cb.jpg', 'files/p19/p19759491/s55187337/be022b6e-69a878a5-39db0aac-453cd12d-627ea0a0.jpg']",['files/p19/p19759491/s54372986/f2566882-96120f55-11c10432-9c3d638d-2b4fc411.jpg\n']
s55187337_11,p19759491,s55187337,11,Findings,"Sternal wires, valve prosthesis, cardiac device, and mild cardiomegaly are unchanged. There is new left lower lobe infiltrate and small left effusion. There is also a small right effusion.","Sternal wires, valve prosthesis, cardiac device, and mild cardiomegaly are unchanged.",Mild cardiomegaly,,Stable,"['files/p19/p19759491/s55187337/b58200f0-94821f08-ca60f9fd-6fc424ee-4365c0cb.jpg', 'files/p19/p19759491/s55187337/be022b6e-69a878a5-39db0aac-453cd12d-627ea0a0.jpg']",['files/p19/p19759491/s54372986/f2566882-96120f55-11c10432-9c3d638d-2b4fc411.jpg\n']
s55187337_11,p19759491,s55187337,11,Findings,"Sternal wires, valve prosthesis, cardiac device, and mild cardiomegaly are unchanged. There is new left lower lobe infiltrate and small left effusion. There is also a small right effusion.",There is new left lower lobe infiltrate and small left effusion.,infiltrate,Left lower lobe,New,"['files/p19/p19759491/s55187337/b58200f0-94821f08-ca60f9fd-6fc424ee-4365c0cb.jpg', 'files/p19/p19759491/s55187337/be022b6e-69a878a5-39db0aac-453cd12d-627ea0a0.jpg']",['files/p19/p19759491/s54372986/f2566882-96120f55-11c10432-9c3d638d-2b4fc411.jpg\n']
s55187337_11,p19759491,s55187337,11,Impression,New left lower lobe infiltrate and effusion.,New left lower lobe infiltrate and effusion.,infiltrate,Left lower lobe,New,"['files/p19/p19759491/s55187337/b58200f0-94821f08-ca60f9fd-6fc424ee-4365c0cb.jpg', 'files/p19/p19759491/s55187337/be022b6e-69a878a5-39db0aac-453cd12d-627ea0a0.jpg']",['files/p19/p19759491/s54372986/f2566882-96120f55-11c10432-9c3d638d-2b4fc411.jpg\n']
s55187337_11,p19759491,s55187337,11,Impression,New left lower lobe infiltrate and effusion.,New left lower lobe infiltrate and effusion.,effusion,Left,New,"['files/p19/p19759491/s55187337/b58200f0-94821f08-ca60f9fd-6fc424ee-4365c0cb.jpg', 'files/p19/p19759491/s55187337/be022b6e-69a878a5-39db0aac-453cd12d-627ea0a0.jpg']",['files/p19/p19759491/s54372986/f2566882-96120f55-11c10432-9c3d638d-2b4fc411.jpg\n']
s55187337_11,p19759491,s55187337,11,Findings,"Sternal wires, valve prosthesis, cardiac device, and mild cardiomegaly are unchanged. There is new left lower lobe infiltrate and small left effusion. There is also a small right effusion.","Sternal wires, valve prosthesis, cardiac device, and mild cardiomegaly are unchanged.",Cardiac device,,Stable,"['files/p19/p19759491/s55187337/b58200f0-94821f08-ca60f9fd-6fc424ee-4365c0cb.jpg', 'files/p19/p19759491/s55187337/be022b6e-69a878a5-39db0aac-453cd12d-627ea0a0.jpg']",['files/p19/p19759491/s54372986/f2566882-96120f55-11c10432-9c3d638d-2b4fc411.jpg\n']
s55198378_9,p16772702,s55198378,9,Findings,"AP upright portable chest radiograph obtained. There are bilateral small layering pleural effusions, not significantly changed from the prior chest radiograph. There is a metallic stent again noted in the region of the left subclavian vein. Mild interstitial pulmonary edema is likely present. The heart and mediastinal contour appear stable. Bony structures appear grossly intact.","There are bilateral small layering pleural effusions, not significantly changed from the prior chest radiograph.",Pleural effusions,Bilateral,Stable,['files/p16/p16772702/s55198378/49c6a0af-c1fc71ef-9a008d1f-a69a11c6-ae390e99.jpg'],['files/p16/p16772702/s54896233/5cd0800c-77280a87-980a1cf6-b7765304-288d0a38.jpg\n']
s55198378_9,p16772702,s55198378,9,Impression,"Mild interstitial edema with bilateral small pleural effusions, essentially unchanged from the prior exam.","Mild interstitial edema with bilateral small pleural effusions, essentially unchanged from the prior exam.",Interstitial edema and pleural effusions,Bilateral,Stable,['files/p16/p16772702/s55198378/49c6a0af-c1fc71ef-9a008d1f-a69a11c6-ae390e99.jpg'],['files/p16/p16772702/s54896233/5cd0800c-77280a87-980a1cf6-b7765304-288d0a38.jpg\n']
s55198378_9,p16772702,s55198378,9,Findings,"AP upright portable chest radiograph obtained. There are bilateral small layering pleural effusions, not significantly changed from the prior chest radiograph. There is a metallic stent again noted in the region of the left subclavian vein. Mild interstitial pulmonary edema is likely present. The heart and mediastinal contour appear stable. Bony structures appear grossly intact.",The heart and mediastinal contour appear stable.,Heart and mediastinal contour,,Stable,['files/p16/p16772702/s55198378/49c6a0af-c1fc71ef-9a008d1f-a69a11c6-ae390e99.jpg'],['files/p16/p16772702/s54896233/5cd0800c-77280a87-980a1cf6-b7765304-288d0a38.jpg\n']
s55200248_26,p12185775,s55200248,26,Findings,"The PICC line tip is in the mid SVC. There is bilateral lower lobe infiltrates, left greater than right; bilateral pleural effusions, left greater than right; dense retrocardiac opacity and mild pulmonary vascular redistribution and alveolar infiltrate most marked on the right. Compared to the prior study, there has been some progression of the lower lobe infiltrates. The overall impression is that of CHF but an underlying infectious infiltrate cannot be excluded.","Compared to the prior study, there has been some progression of the lower lobe infiltrates.",infiltrates,bilateral lower lobe,Worse,['files/p12/p12185775/s55200248/35405ddd-e3962eab-c0815341-608847ce-234f9d06.jpg'],['files/p12/p12185775/s54211038/f2a7f664-bfff0efe-5bb44ad4-469f58a4-0e6b7892.jpg\n']
s55206854_3,p13078497,s55206854,3,Findings,"There has been interval decrease in ground-glass opacity bilaterally compared to prior study of ___ at 4:22 p.m., which represents decrease in pulmonary edema. There has been interval decrease in observed cardiomegaly. There is bilateral small amount of pleural effusion. There are no areas of focal consolidations and no pneumothorax. The pleural surfaces are unremarkable. The endotracheal tube is no less than 6.2 cm from the carina, could be advanced 2 cm for optimal placement.","There has been interval decrease in ground-glass opacity bilaterally compared to prior study of ___ at 4:22 p.m., which represents decrease in pulmonary edema.",pulmonary edema,bilaterally,Better,['files/p13/p13078497/s55206854/89211728-267e6ae0-5cf3d9d3-8ed03442-8764ee24.jpg'],['files/p13/p13078497/s54325875/0095c967-0422b8fb-9e031c60-f8d09b55-d7fc7d09.jpg\n']
s55206854_3,p13078497,s55206854,3,Findings,"There has been interval decrease in ground-glass opacity bilaterally compared to prior study of ___ at 4:22 p.m., which represents decrease in pulmonary edema. There has been interval decrease in observed cardiomegaly. There is bilateral small amount of pleural effusion. There are no areas of focal consolidations and no pneumothorax. The pleural surfaces are unremarkable. The endotracheal tube is no less than 6.2 cm from the carina, could be advanced 2 cm for optimal placement.",There has been interval decrease in observed cardiomegaly.,cardiomegaly,,Better,['files/p13/p13078497/s55206854/89211728-267e6ae0-5cf3d9d3-8ed03442-8764ee24.jpg'],['files/p13/p13078497/s54325875/0095c967-0422b8fb-9e031c60-f8d09b55-d7fc7d09.jpg\n']
s55206854_3,p13078497,s55206854,3,Impression,Interval reduction in pulmonary edema and cardiomegaly. ET tube can be advanced 2 cm for optimal placement.,Interval reduction in pulmonary edema and cardiomegaly.,cardiomegaly,,Better,['files/p13/p13078497/s55206854/89211728-267e6ae0-5cf3d9d3-8ed03442-8764ee24.jpg'],['files/p13/p13078497/s54325875/0095c967-0422b8fb-9e031c60-f8d09b55-d7fc7d09.jpg\n']
s55206854_3,p13078497,s55206854,3,Impression,Interval reduction in pulmonary edema and cardiomegaly. ET tube can be advanced 2 cm for optimal placement.,Interval reduction in pulmonary edema and cardiomegaly.,pulmonary edema,,Better,['files/p13/p13078497/s55206854/89211728-267e6ae0-5cf3d9d3-8ed03442-8764ee24.jpg'],['files/p13/p13078497/s54325875/0095c967-0422b8fb-9e031c60-f8d09b55-d7fc7d09.jpg\n']
s55218216_11,p13964474,s55218216,11,Findings,"In comparison with the study of earlier in this date, there is little change in the diffuse bilateral pulmonary opacities with prominent right and probably small left effusion. The endotracheal tube remains in position.","In comparison with the study of earlier in this date, there is little change in the diffuse bilateral pulmonary opacities with prominent right and probably small left effusion. The endotracheal tube remains in position.",endotracheal tube,,Stable,['files/p13/p13964474/s55218216/32eb07cd-6dba43b7-858fb880-1a9bc182-6360bd42.jpg'],['files/p13/p13964474/s54765591/6911b0d3-34d72504-00da42b3-d727c19f-52754910.jpg\n']
s55218216_11,p13964474,s55218216,11,Findings,"In comparison with the study of earlier in this date, there is little change in the diffuse bilateral pulmonary opacities with prominent right and probably small left effusion. The endotracheal tube remains in position.","In comparison with the study of earlier in this date, there is little change in the diffuse bilateral pulmonary opacities with prominent right and probably small left effusion. The endotracheal tube remains in position.",small effusion,left,Stable,['files/p13/p13964474/s55218216/32eb07cd-6dba43b7-858fb880-1a9bc182-6360bd42.jpg'],['files/p13/p13964474/s54765591/6911b0d3-34d72504-00da42b3-d727c19f-52754910.jpg\n']
s55218216_11,p13964474,s55218216,11,Findings,"In comparison with the study of earlier in this date, there is little change in the diffuse bilateral pulmonary opacities with prominent right and probably small left effusion. The endotracheal tube remains in position.","In comparison with the study of earlier in this date, there is little change in the diffuse bilateral pulmonary opacities with prominent right and probably small left effusion. The endotracheal tube remains in position.",prominent effusion,right,Stable,['files/p13/p13964474/s55218216/32eb07cd-6dba43b7-858fb880-1a9bc182-6360bd42.jpg'],['files/p13/p13964474/s54765591/6911b0d3-34d72504-00da42b3-d727c19f-52754910.jpg\n']
s55218216_11,p13964474,s55218216,11,Findings,"In comparison with the study of earlier in this date, there is little change in the diffuse bilateral pulmonary opacities with prominent right and probably small left effusion. The endotracheal tube remains in position.","In comparison with the study of earlier in this date, there is little change in the diffuse bilateral pulmonary opacities with prominent right and probably small left effusion. The endotracheal tube remains in position.",pulmonary opacities,bilateral,Stable,['files/p13/p13964474/s55218216/32eb07cd-6dba43b7-858fb880-1a9bc182-6360bd42.jpg'],['files/p13/p13964474/s54765591/6911b0d3-34d72504-00da42b3-d727c19f-52754910.jpg\n']
s55227594_0,p14236258,s55227594,0,Findings,"Single frontal view of the chest in semi-erect position demonstrates stable position of a dual-channel central venous catheter with tip terminating in the upper right atrium. The patient is slightly rotated to the left. Cardiomediastinal silhouette is within normal limits. Multiple clips are seen overlying the right apex. Rightward upper tracheal displacement is related to known enlarged left thyroid lobe as seen on CT dated ___. The lungs are clear with trace, if any, basilar atelectasis. There is no pneumothorax, vascular congestion, or pleural effusion. Multiple remote fractures are seen on the left posteriorly, unchanged.",Single frontal view of the chest in semi-erect position demonstrates stable position of a dual-channel central venous catheter with tip terminating in the upper right atrium.,position of a dual-channel central venous catheter,upper right atrium,Stable,['files/p14/p14236258/s55227594/947b8eee-91990d6d-31a05ac0-0f30e40e-c54fedee.jpg'],['files/p14/p14236258/s53403421/209500b4-f8bc630b-f0a648c8-da518e7f-ab714f17.jpg\n']
s55227594_0,p14236258,s55227594,0,Findings,"Single frontal view of the chest in semi-erect position demonstrates stable position of a dual-channel central venous catheter with tip terminating in the upper right atrium. The patient is slightly rotated to the left. Cardiomediastinal silhouette is within normal limits. Multiple clips are seen overlying the right apex. Rightward upper tracheal displacement is related to known enlarged left thyroid lobe as seen on CT dated ___. The lungs are clear with trace, if any, basilar atelectasis. There is no pneumothorax, vascular congestion, or pleural effusion. Multiple remote fractures are seen on the left posteriorly, unchanged.","Multiple remote fractures are seen on the left posteriorly, unchanged.",remote fractures,left posteriorly,Stable,['files/p14/p14236258/s55227594/947b8eee-91990d6d-31a05ac0-0f30e40e-c54fedee.jpg'],['files/p14/p14236258/s53403421/209500b4-f8bc630b-f0a648c8-da518e7f-ab714f17.jpg\n']
s55232811_33,p17340686,s55232811,33,Findings,"As compared to the previous radiograph, the endotracheal tube, the nasogastric tube, and the left internal jugular vein catheter are unchanged. The right hemodialysis catheter has been removed. The signs of moderate to massive fluid overload, combined to a rounded opacity at the right lung base, are unchanged in extent and severity. No larger pleural effusions. No new parenchymal opacities.","As compared to the previous radiograph, the endotracheal tube, the nasogastric tube, and the left internal jugular vein catheter are unchanged.",,endotracheal tube,Stable,['files/p17/p17340686/s55232811/b1e23843-fd96303d-eaefd4f1-7b0a4357-08877685.jpg'],['files/p17/p17340686/s54716590/e4f6de95-2089560c-4df114b1-deac3d24-a6bc53f7.jpg\n']
s55232811_33,p17340686,s55232811,33,Findings,"As compared to the previous radiograph, the endotracheal tube, the nasogastric tube, and the left internal jugular vein catheter are unchanged. The right hemodialysis catheter has been removed. The signs of moderate to massive fluid overload, combined to a rounded opacity at the right lung base, are unchanged in extent and severity. No larger pleural effusions. No new parenchymal opacities.","As compared to the previous radiograph, the endotracheal tube, the nasogastric tube, and the left internal jugular vein catheter are unchanged.",,left internal jugular vein catheter,Stable,['files/p17/p17340686/s55232811/b1e23843-fd96303d-eaefd4f1-7b0a4357-08877685.jpg'],['files/p17/p17340686/s54716590/e4f6de95-2089560c-4df114b1-deac3d24-a6bc53f7.jpg\n']
s55232811_33,p17340686,s55232811,33,Findings,"As compared to the previous radiograph, the endotracheal tube, the nasogastric tube, and the left internal jugular vein catheter are unchanged. The right hemodialysis catheter has been removed. The signs of moderate to massive fluid overload, combined to a rounded opacity at the right lung base, are unchanged in extent and severity. No larger pleural effusions. No new parenchymal opacities.","The signs of moderate to massive fluid overload, combined to a rounded opacity at the right lung base, are unchanged in extent and severity.",rounded opacity,right lung base,Stable,['files/p17/p17340686/s55232811/b1e23843-fd96303d-eaefd4f1-7b0a4357-08877685.jpg'],['files/p17/p17340686/s54716590/e4f6de95-2089560c-4df114b1-deac3d24-a6bc53f7.jpg\n']
s55232811_33,p17340686,s55232811,33,Findings,"As compared to the previous radiograph, the endotracheal tube, the nasogastric tube, and the left internal jugular vein catheter are unchanged. The right hemodialysis catheter has been removed. The signs of moderate to massive fluid overload, combined to a rounded opacity at the right lung base, are unchanged in extent and severity. No larger pleural effusions. No new parenchymal opacities.",The right hemodialysis catheter has been removed.,,right hemodialysis catheter,Resolve,['files/p17/p17340686/s55232811/b1e23843-fd96303d-eaefd4f1-7b0a4357-08877685.jpg'],['files/p17/p17340686/s54716590/e4f6de95-2089560c-4df114b1-deac3d24-a6bc53f7.jpg\n']
s55232811_33,p17340686,s55232811,33,Findings,"As compared to the previous radiograph, the endotracheal tube, the nasogastric tube, and the left internal jugular vein catheter are unchanged. The right hemodialysis catheter has been removed. The signs of moderate to massive fluid overload, combined to a rounded opacity at the right lung base, are unchanged in extent and severity. No larger pleural effusions. No new parenchymal opacities.","As compared to the previous radiograph, the endotracheal tube, the nasogastric tube, and the left internal jugular vein catheter are unchanged.",,nasogastric tube,Stable,['files/p17/p17340686/s55232811/b1e23843-fd96303d-eaefd4f1-7b0a4357-08877685.jpg'],['files/p17/p17340686/s54716590/e4f6de95-2089560c-4df114b1-deac3d24-a6bc53f7.jpg\n']
s55233589_3,p17270742,s55233589,3,Impression,"PA and lateral chest compared to ___ through ___: Small left pleural effusion and worsening of bibasilar peribronchial infiltration indicate progressive infection. There is more internal debris in the large cavitary lesions in both upper lobes, which could be retained hemorrhage. The fluid contents of the very large right lung abscess have decreased suggesting continued internal aspiration, which may account for the worsening of bibasilar infiltration.",PA and lateral chest compared to ___ through ___: Small left pleural effusion and worsening of bibasilar peribronchial infiltration indicate progressive infection,peribronchial infiltration,bibasilar,Worse,"['files/p17/p17270742/s55233589/7ceff5ec-861255f1-4d0459f5-ab209407-0cf8014d.jpg', 'files/p17/p17270742/s55233589/a7911dd6-f061c0a0-424f7e91-c27237d4-97faf732.jpg']","['files/p17/p17270742/s51271572/67c9c5c6-f729ea08-a8ff4f27-2c8591bb-09775150.jpg\n', 'files/p17/p17270742/s51271572/fa46f7c1-2f7b2152-3371f918-8971f374-e6405bae.jpg\n']"
s55233589_3,p17270742,s55233589,3,Impression,"PA and lateral chest compared to ___ through ___: Small left pleural effusion and worsening of bibasilar peribronchial infiltration indicate progressive infection. There is more internal debris in the large cavitary lesions in both upper lobes, which could be retained hemorrhage. The fluid contents of the very large right lung abscess have decreased suggesting continued internal aspiration, which may account for the worsening of bibasilar infiltration.","The fluid contents of the very large right lung abscess have decreased suggesting continued internal aspiration, which may account for the worsening of bibasilar infiltration",abscess,right lung,Better,"['files/p17/p17270742/s55233589/7ceff5ec-861255f1-4d0459f5-ab209407-0cf8014d.jpg', 'files/p17/p17270742/s55233589/a7911dd6-f061c0a0-424f7e91-c27237d4-97faf732.jpg']","['files/p17/p17270742/s51271572/67c9c5c6-f729ea08-a8ff4f27-2c8591bb-09775150.jpg\n', 'files/p17/p17270742/s51271572/fa46f7c1-2f7b2152-3371f918-8971f374-e6405bae.jpg\n']"
s55238104_13,p18767957,s55238104,13,Impression,"As compared to the previous radiograph, there is a further improvement in extent and severity of the pre-existing pulmonary edema. Edema is now mild. Moderate cardiomegaly persists. No pleural effusions. No pneumonia, no pneumothorax.",Moderate cardiomegaly persists.,cardiomegaly,,Stable,['files/p18/p18767957/s55238104/92c32c82-12a62f9c-f28ef1de-aa6bdc04-c6946e9e.jpg'],['files/p18/p18767957/s54957849/198de658-1227d01c-476b2711-045c0b08-734edabe.jpg\n']
s55238104_13,p18767957,s55238104,13,Impression,"As compared to the previous radiograph, there is a further improvement in extent and severity of the pre-existing pulmonary edema. Edema is now mild. Moderate cardiomegaly persists. No pleural effusions. No pneumonia, no pneumothorax.","As compared to the previous radiograph, there is a further improvement in extent and severity of the pre-existing pulmonary edema.",pulmonary edema,,Better,['files/p18/p18767957/s55238104/92c32c82-12a62f9c-f28ef1de-aa6bdc04-c6946e9e.jpg'],['files/p18/p18767957/s54957849/198de658-1227d01c-476b2711-045c0b08-734edabe.jpg\n']
s55238105_19,p11880923,s55238105,19,Findings,"The patient has been extubated since the last exam. The right central line and left jugular line are in the same position. There is a feeding tube. The surgical catheter in the upper right abdomen has been also removed. Stability of the left mild pleural effusion with atelectasis, but worsening of the mild pleural effusion and atelectasis on the right. The mediastinal and cardiac contours are stable and normal. There is no pneumothorax.",The patient has been extubated since the last exam.,extubation,,Resolve,['files/p11/p11880923/s55238105/3bc5aaef-73a4b1b2-8a55d3ee-28d357d6-6c94acb0.jpg'],['files/p11/p11880923/s55084084/627948e7-0ba4b65a-61e23ed8-9cdf34c6-1578bb43.jpg\n']
s55238105_19,p11880923,s55238105,19,Findings,"The patient has been extubated since the last exam. The right central line and left jugular line are in the same position. There is a feeding tube. The surgical catheter in the upper right abdomen has been also removed. Stability of the left mild pleural effusion with atelectasis, but worsening of the mild pleural effusion and atelectasis on the right. The mediastinal and cardiac contours are stable and normal. There is no pneumothorax.","Stability of the left mild pleural effusion with atelectasis, but worsening of the mild pleural effusion and atelectasis on the right.",mild pleural effusion and atelectasis,right,Worse,['files/p11/p11880923/s55238105/3bc5aaef-73a4b1b2-8a55d3ee-28d357d6-6c94acb0.jpg'],['files/p11/p11880923/s55084084/627948e7-0ba4b65a-61e23ed8-9cdf34c6-1578bb43.jpg\n']
s55238105_19,p11880923,s55238105,19,Findings,"The patient has been extubated since the last exam. The right central line and left jugular line are in the same position. There is a feeding tube. The surgical catheter in the upper right abdomen has been also removed. Stability of the left mild pleural effusion with atelectasis, but worsening of the mild pleural effusion and atelectasis on the right. The mediastinal and cardiac contours are stable and normal. There is no pneumothorax.",The surgical catheter in the upper right abdomen has been also removed.,surgical catheter,upper right abdomen,Resolve,['files/p11/p11880923/s55238105/3bc5aaef-73a4b1b2-8a55d3ee-28d357d6-6c94acb0.jpg'],['files/p11/p11880923/s55084084/627948e7-0ba4b65a-61e23ed8-9cdf34c6-1578bb43.jpg\n']
s55238105_19,p11880923,s55238105,19,Findings,"The patient has been extubated since the last exam. The right central line and left jugular line are in the same position. There is a feeding tube. The surgical catheter in the upper right abdomen has been also removed. Stability of the left mild pleural effusion with atelectasis, but worsening of the mild pleural effusion and atelectasis on the right. The mediastinal and cardiac contours are stable and normal. There is no pneumothorax.","Stability of the left mild pleural effusion with atelectasis, but worsening of the mild pleural effusion and atelectasis on the right.",mild pleural effusion with atelectasis,left,Stable,['files/p11/p11880923/s55238105/3bc5aaef-73a4b1b2-8a55d3ee-28d357d6-6c94acb0.jpg'],['files/p11/p11880923/s55084084/627948e7-0ba4b65a-61e23ed8-9cdf34c6-1578bb43.jpg\n']
s55238105_19,p11880923,s55238105,19,Findings,"The patient has been extubated since the last exam. The right central line and left jugular line are in the same position. There is a feeding tube. The surgical catheter in the upper right abdomen has been also removed. Stability of the left mild pleural effusion with atelectasis, but worsening of the mild pleural effusion and atelectasis on the right. The mediastinal and cardiac contours are stable and normal. There is no pneumothorax.",The mediastinal and cardiac contours are stable and normal.,mediastinal and cardiac contours,,Stable,['files/p11/p11880923/s55238105/3bc5aaef-73a4b1b2-8a55d3ee-28d357d6-6c94acb0.jpg'],['files/p11/p11880923/s55084084/627948e7-0ba4b65a-61e23ed8-9cdf34c6-1578bb43.jpg\n']
s55238105_19,p11880923,s55238105,19,Impression,The patient has been extubated since the previous exam. Slight deterioration of a mild pleural effusion and atelectasis on the right side.,The patient has been extubated since the previous exam.,extubation,,Resolve,['files/p11/p11880923/s55238105/3bc5aaef-73a4b1b2-8a55d3ee-28d357d6-6c94acb0.jpg'],['files/p11/p11880923/s55084084/627948e7-0ba4b65a-61e23ed8-9cdf34c6-1578bb43.jpg\n']
s55238105_19,p11880923,s55238105,19,Impression,The patient has been extubated since the previous exam. Slight deterioration of a mild pleural effusion and atelectasis on the right side.,Slight deterioration of a mild pleural effusion and atelectasis on the right side.,mild pleural effusion and atelectasis,right side,Worse,['files/p11/p11880923/s55238105/3bc5aaef-73a4b1b2-8a55d3ee-28d357d6-6c94acb0.jpg'],['files/p11/p11880923/s55084084/627948e7-0ba4b65a-61e23ed8-9cdf34c6-1578bb43.jpg\n']
s55240854_8,p14147787,s55240854,8,Impression,"In addition to the clear peribronchovascular infiltration and fibrosis in the upper lungs, less severe micro nodulation and early fibrosis is present in the lower lungs laterally and has progressed slightly since ___. Although this could be a community acquired lung infection, I suspect sarcoid or other granulomatous infection. There is no pleural effusion or evidence of central lymph node enlargement in the heart is normal size. I do not see a focal opacity corresponding to the described lesion described in the requisition. If there is particular concern for a pulmonary nodule, other than sarcoidosis, CT scanning would be the only way to investigate it.","In addition to the clear peribronchovascular infiltration and fibrosis in the upper lungs, less severe micro nodulation and early fibrosis is present in the lower lungs laterally and has progressed slightly since ___.",micro nodulation and early fibrosis,lower lungs laterally,Worse,"['files/p14/p14147787/s55240854/ba892f90-88618ff7-28ff47ef-ffe24fdc-ede9c315.jpg', 'files/p14/p14147787/s55240854/d37f851f-dd475dc1-dbc59ed2-c679e60c-a858cfb7.jpg']","['files/p14/p14147787/s54365112/1a9b1d8f-0d8dfc78-0725a750-479c4d47-0c3c4592.jpg\n', 'files/p14/p14147787/s54365112/31036486-baeed0fa-9092ab1f-bfd77ffe-61e50f14.jpg\n', 'files/p14/p14147787/s54365112/56e11632-8f8edcf5-0d7dc0d7-846c7ec5-cfb358dc.jpg\n', 'files/p14/p14147787/s54365112/de13dc29-ab4770e3-694cb466-85af8a49-c0778b90.jpg\n']"
s55244705_10,p14851532,s55244705,10,Impression,"AP chest compared to ___: Mild pulmonary edema has improved. New right pleural drain, following sternal debridement. Small bilateral pleural effusions and severe left lower lobe atelectasis unchanged. Heart size normal. ET tube, Swan-Ganz catheter, upper enteric drainage tube, midline drains in standard placements. No pneumothorax.",Small bilateral pleural effusions and severe left lower lobe atelectasis unchanged.,atelectasis,left lower lobe,Stable,['files/p14/p14851532/s55244705/1cbf90c3-079d9678-607bf65b-a3840c0f-02de10b9.jpg'],['files/p14/p14851532/s55167068/8137d98b-e8a60482-a158cc07-096a8d02-978fa0cc.jpg\n']
s55244705_10,p14851532,s55244705,10,Impression,"AP chest compared to ___: Mild pulmonary edema has improved. New right pleural drain, following sternal debridement. Small bilateral pleural effusions and severe left lower lobe atelectasis unchanged. Heart size normal. ET tube, Swan-Ganz catheter, upper enteric drainage tube, midline drains in standard placements. No pneumothorax.",Small bilateral pleural effusions and severe left lower lobe atelectasis unchanged.,pleural effusions,bilateral,Stable,['files/p14/p14851532/s55244705/1cbf90c3-079d9678-607bf65b-a3840c0f-02de10b9.jpg'],['files/p14/p14851532/s55167068/8137d98b-e8a60482-a158cc07-096a8d02-978fa0cc.jpg\n']
s55244705_10,p14851532,s55244705,10,Impression,"AP chest compared to ___: Mild pulmonary edema has improved. New right pleural drain, following sternal debridement. Small bilateral pleural effusions and severe left lower lobe atelectasis unchanged. Heart size normal. ET tube, Swan-Ganz catheter, upper enteric drainage tube, midline drains in standard placements. No pneumothorax.",AP chest compared to ___: Mild pulmonary edema has improved.,Mild pulmonary edema,,Better,['files/p14/p14851532/s55244705/1cbf90c3-079d9678-607bf65b-a3840c0f-02de10b9.jpg'],['files/p14/p14851532/s55167068/8137d98b-e8a60482-a158cc07-096a8d02-978fa0cc.jpg\n']
s55255832_7,p11893091,s55255832,7,Impression,Unchanged lead positions from recently inserted dual-chamber pacemaker.,Unchanged lead positions from recently inserted dual-chamber pacemaker.,Lead positions of the dual-chamber pacemaker,,Stable,"['files/p11/p11893091/s55255832/469b6bc3-cd9c3a49-238f4c5d-38cce895-b225e937.jpg', 'files/p11/p11893091/s55255832/68d1a72f-0552bded-deae306a-343f5d03-ccf9853f.jpg', 'files/p11/p11893091/s55255832/c02fe512-8d310525-2b66511f-df530900-ddfc1fa6.jpg']","['files/p11/p11893091/s54669609/46494291-e515eda8-5711877b-e8fdf477-b06687de.jpg\n', 'files/p11/p11893091/s54669609/bc998aad-c88d87cc-d89c4aa6-63477af5-c75767d8.jpg\n']"
s55255832_7,p11893091,s55255832,7,Findings,The lead positions of the dual-chamber pacemaker is unchanged compared to the prior exam. There is moderate cardiomegaly. The lungs demonstrate moderate pulmonary edema but no evidence of pleural effusions or pneumothorax. Mild atelectatic changes at the lung bases are unchanged. Incidental note is made of chronic stable calcified scarring in the left apex. There are no new parenchymal opacities. There is no evidence of pneumothorax.,The lead positions of the dual-chamber pacemaker is unchanged compared to the prior exam.,Lead positions of the dual-chamber pacemaker,,Stable,"['files/p11/p11893091/s55255832/469b6bc3-cd9c3a49-238f4c5d-38cce895-b225e937.jpg', 'files/p11/p11893091/s55255832/68d1a72f-0552bded-deae306a-343f5d03-ccf9853f.jpg', 'files/p11/p11893091/s55255832/c02fe512-8d310525-2b66511f-df530900-ddfc1fa6.jpg']","['files/p11/p11893091/s54669609/46494291-e515eda8-5711877b-e8fdf477-b06687de.jpg\n', 'files/p11/p11893091/s54669609/bc998aad-c88d87cc-d89c4aa6-63477af5-c75767d8.jpg\n']"
s55255832_7,p11893091,s55255832,7,Findings,The lead positions of the dual-chamber pacemaker is unchanged compared to the prior exam. There is moderate cardiomegaly. The lungs demonstrate moderate pulmonary edema but no evidence of pleural effusions or pneumothorax. Mild atelectatic changes at the lung bases are unchanged. Incidental note is made of chronic stable calcified scarring in the left apex. There are no new parenchymal opacities. There is no evidence of pneumothorax.,Mild atelectatic changes at the lung bases are unchanged.,Mild atelectatic changes,Lung bases,Stable,"['files/p11/p11893091/s55255832/469b6bc3-cd9c3a49-238f4c5d-38cce895-b225e937.jpg', 'files/p11/p11893091/s55255832/68d1a72f-0552bded-deae306a-343f5d03-ccf9853f.jpg', 'files/p11/p11893091/s55255832/c02fe512-8d310525-2b66511f-df530900-ddfc1fa6.jpg']","['files/p11/p11893091/s54669609/46494291-e515eda8-5711877b-e8fdf477-b06687de.jpg\n', 'files/p11/p11893091/s54669609/bc998aad-c88d87cc-d89c4aa6-63477af5-c75767d8.jpg\n']"
s55255832_7,p11893091,s55255832,7,Findings,The lead positions of the dual-chamber pacemaker is unchanged compared to the prior exam. There is moderate cardiomegaly. The lungs demonstrate moderate pulmonary edema but no evidence of pleural effusions or pneumothorax. Mild atelectatic changes at the lung bases are unchanged. Incidental note is made of chronic stable calcified scarring in the left apex. There are no new parenchymal opacities. There is no evidence of pneumothorax.,Incidental note is made of chronic stable calcified scarring in the left apex.,Calcified scarring,Left apex,Stable,"['files/p11/p11893091/s55255832/469b6bc3-cd9c3a49-238f4c5d-38cce895-b225e937.jpg', 'files/p11/p11893091/s55255832/68d1a72f-0552bded-deae306a-343f5d03-ccf9853f.jpg', 'files/p11/p11893091/s55255832/c02fe512-8d310525-2b66511f-df530900-ddfc1fa6.jpg']","['files/p11/p11893091/s54669609/46494291-e515eda8-5711877b-e8fdf477-b06687de.jpg\n', 'files/p11/p11893091/s54669609/bc998aad-c88d87cc-d89c4aa6-63477af5-c75767d8.jpg\n']"
s55257496_4,p14295224,s55257496,4,Findings,A right lower lobe lung nodule measuring 8 mm is stable dating back to CT scan of ___. Biapical post-radiation changes are unchanged. Mediastinal and cardiac contours are stable. There is no pneumothorax. Trace right pleural effusion cannot be excluded. Bony coalition between the posterior arch of the sixth and seventh right ribs is congenital. Vague opacity within the right middle lung is similar to findings of ___ and may represent recurrent pneumonia.,Biapical post-radiation changes are unchanged.,post-radiation changes,biapical,Stable,"['files/p14/p14295224/s55257496/7fb0f54f-a18826e9-05962b2b-66a603ac-a0991889.jpg', 'files/p14/p14295224/s55257496/8a565b17-188c1777-2d30f26c-e0d5e08a-9669a05c.jpg']","['files/p14/p14295224/s55167612/7a5259b0-9269238e-9b74539d-cb40d5f2-2680707c.jpg\n', 'files/p14/p14295224/s55167612/a55b384b-7dd7a06c-b48b46f4-b7522c74-c7f156b3.jpg\n']"
s55257496_4,p14295224,s55257496,4,Findings,A right lower lobe lung nodule measuring 8 mm is stable dating back to CT scan of ___. Biapical post-radiation changes are unchanged. Mediastinal and cardiac contours are stable. There is no pneumothorax. Trace right pleural effusion cannot be excluded. Bony coalition between the posterior arch of the sixth and seventh right ribs is congenital. Vague opacity within the right middle lung is similar to findings of ___ and may represent recurrent pneumonia.,A right lower lobe lung nodule measuring 8 mm is stable dating back to CT scan of ___.,lung nodule,right lower lobe,Stable,"['files/p14/p14295224/s55257496/7fb0f54f-a18826e9-05962b2b-66a603ac-a0991889.jpg', 'files/p14/p14295224/s55257496/8a565b17-188c1777-2d30f26c-e0d5e08a-9669a05c.jpg']","['files/p14/p14295224/s55167612/7a5259b0-9269238e-9b74539d-cb40d5f2-2680707c.jpg\n', 'files/p14/p14295224/s55167612/a55b384b-7dd7a06c-b48b46f4-b7522c74-c7f156b3.jpg\n']"
s55257496_4,p14295224,s55257496,4,Findings,A right lower lobe lung nodule measuring 8 mm is stable dating back to CT scan of ___. Biapical post-radiation changes are unchanged. Mediastinal and cardiac contours are stable. There is no pneumothorax. Trace right pleural effusion cannot be excluded. Bony coalition between the posterior arch of the sixth and seventh right ribs is congenital. Vague opacity within the right middle lung is similar to findings of ___ and may represent recurrent pneumonia.,Mediastinal and cardiac contours are stable.,Mediastinal and cardiac contours,,Stable,"['files/p14/p14295224/s55257496/7fb0f54f-a18826e9-05962b2b-66a603ac-a0991889.jpg', 'files/p14/p14295224/s55257496/8a565b17-188c1777-2d30f26c-e0d5e08a-9669a05c.jpg']","['files/p14/p14295224/s55167612/7a5259b0-9269238e-9b74539d-cb40d5f2-2680707c.jpg\n', 'files/p14/p14295224/s55167612/a55b384b-7dd7a06c-b48b46f4-b7522c74-c7f156b3.jpg\n']"
s55257496_4,p14295224,s55257496,4,Findings,A right lower lobe lung nodule measuring 8 mm is stable dating back to CT scan of ___. Biapical post-radiation changes are unchanged. Mediastinal and cardiac contours are stable. There is no pneumothorax. Trace right pleural effusion cannot be excluded. Bony coalition between the posterior arch of the sixth and seventh right ribs is congenital. Vague opacity within the right middle lung is similar to findings of ___ and may represent recurrent pneumonia.,Vague opacity within the right middle lung is similar to findings of ___ and may represent recurrent pneumonia.,opacity,right middle lung,Stable,"['files/p14/p14295224/s55257496/7fb0f54f-a18826e9-05962b2b-66a603ac-a0991889.jpg', 'files/p14/p14295224/s55257496/8a565b17-188c1777-2d30f26c-e0d5e08a-9669a05c.jpg']","['files/p14/p14295224/s55167612/7a5259b0-9269238e-9b74539d-cb40d5f2-2680707c.jpg\n', 'files/p14/p14295224/s55167612/a55b384b-7dd7a06c-b48b46f4-b7522c74-c7f156b3.jpg\n']"
s55259608_29,p15259244,s55259608,29,Findings,"AP portable view of the chest moderate left pleural effusion, essentially unchanged since prior exam. Left lung base consolidation is present. No large right pleural effusion is seen. Peripheral right lung base opacity is more conspicuous since prior exam. Moderate cardiomegaly persists and mild interstitial pulmonary edema is relatively similar. Hilar and mediastinal silhouettes are unchanged. Aortic valve calcifications are seen. Multiple surgical clips project over cardiac silhouette compatible with prior CABG. Sternotomy wires appear intact. The mitral valve prosthesis is in place. There is no pneumothorax.",Moderate cardiomegaly persists and mild interstitial pulmonary edema is relatively similar,Moderate cardiomegaly,,Stable,['files/p15/p15259244/s55259608/6973b010-49ac25bb-d2e035bc-667938df-855b7f4c.jpg'],['files/p15/p15259244/s54912258/2241b085-d8b05d1d-b5f91fce-e5b5e662-4e27dbc6.jpg\n']
s55259608_29,p15259244,s55259608,29,Findings,"AP portable view of the chest moderate left pleural effusion, essentially unchanged since prior exam. Left lung base consolidation is present. No large right pleural effusion is seen. Peripheral right lung base opacity is more conspicuous since prior exam. Moderate cardiomegaly persists and mild interstitial pulmonary edema is relatively similar. Hilar and mediastinal silhouettes are unchanged. Aortic valve calcifications are seen. Multiple surgical clips project over cardiac silhouette compatible with prior CABG. Sternotomy wires appear intact. The mitral valve prosthesis is in place. There is no pneumothorax.",Peripheral right lung base opacity is more conspicuous since prior exam,Lung base opacity,Right,Worse,['files/p15/p15259244/s55259608/6973b010-49ac25bb-d2e035bc-667938df-855b7f4c.jpg'],['files/p15/p15259244/s54912258/2241b085-d8b05d1d-b5f91fce-e5b5e662-4e27dbc6.jpg\n']
s55259608_29,p15259244,s55259608,29,Findings,"AP portable view of the chest moderate left pleural effusion, essentially unchanged since prior exam. Left lung base consolidation is present. No large right pleural effusion is seen. Peripheral right lung base opacity is more conspicuous since prior exam. Moderate cardiomegaly persists and mild interstitial pulmonary edema is relatively similar. Hilar and mediastinal silhouettes are unchanged. Aortic valve calcifications are seen. Multiple surgical clips project over cardiac silhouette compatible with prior CABG. Sternotomy wires appear intact. The mitral valve prosthesis is in place. There is no pneumothorax.",Moderate cardiomegaly persists and mild interstitial pulmonary edema is relatively similar,Mild interstitial pulmonary edema,,Stable,['files/p15/p15259244/s55259608/6973b010-49ac25bb-d2e035bc-667938df-855b7f4c.jpg'],['files/p15/p15259244/s54912258/2241b085-d8b05d1d-b5f91fce-e5b5e662-4e27dbc6.jpg\n']
s55259608_29,p15259244,s55259608,29,Findings,"AP portable view of the chest moderate left pleural effusion, essentially unchanged since prior exam. Left lung base consolidation is present. No large right pleural effusion is seen. Peripheral right lung base opacity is more conspicuous since prior exam. Moderate cardiomegaly persists and mild interstitial pulmonary edema is relatively similar. Hilar and mediastinal silhouettes are unchanged. Aortic valve calcifications are seen. Multiple surgical clips project over cardiac silhouette compatible with prior CABG. Sternotomy wires appear intact. The mitral valve prosthesis is in place. There is no pneumothorax.",Hilar and mediastinal silhouettes are unchanged,Hilar and mediastinal silhouettes,,Stable,['files/p15/p15259244/s55259608/6973b010-49ac25bb-d2e035bc-667938df-855b7f4c.jpg'],['files/p15/p15259244/s54912258/2241b085-d8b05d1d-b5f91fce-e5b5e662-4e27dbc6.jpg\n']
s55259608_29,p15259244,s55259608,29,Impression,"1. In comparison to ___ exam, moderate left pleural effusion, mild interstitial pulmonary edema, and cardiomegaly is unchanged. 2. Left lung base consolidation, likely collapse or superimposed infection. 3. Right lung base peripheral opacity more conspicuous since prior exam and may represent infection, infarction or organizing pneumonia.","1. In comparison to ___ exam, moderate left pleural effusion, mild interstitial pulmonary edema, and cardiomegaly is unchanged",Pleural effusion,Left,Stable,['files/p15/p15259244/s55259608/6973b010-49ac25bb-d2e035bc-667938df-855b7f4c.jpg'],['files/p15/p15259244/s54912258/2241b085-d8b05d1d-b5f91fce-e5b5e662-4e27dbc6.jpg\n']
s55259608_29,p15259244,s55259608,29,Impression,"1. In comparison to ___ exam, moderate left pleural effusion, mild interstitial pulmonary edema, and cardiomegaly is unchanged. 2. Left lung base consolidation, likely collapse or superimposed infection. 3. Right lung base peripheral opacity more conspicuous since prior exam and may represent infection, infarction or organizing pneumonia.","1. In comparison to ___ exam, moderate left pleural effusion, mild interstitial pulmonary edema, and cardiomegaly is unchanged",Mild interstitial pulmonary edema,,Stable,['files/p15/p15259244/s55259608/6973b010-49ac25bb-d2e035bc-667938df-855b7f4c.jpg'],['files/p15/p15259244/s54912258/2241b085-d8b05d1d-b5f91fce-e5b5e662-4e27dbc6.jpg\n']
s55259608_29,p15259244,s55259608,29,Impression,"1. In comparison to ___ exam, moderate left pleural effusion, mild interstitial pulmonary edema, and cardiomegaly is unchanged. 2. Left lung base consolidation, likely collapse or superimposed infection. 3. Right lung base peripheral opacity more conspicuous since prior exam and may represent infection, infarction or organizing pneumonia.","1. In comparison to ___ exam, moderate left pleural effusion, mild interstitial pulmonary edema, and cardiomegaly is unchanged",Cardiomegaly,,Stable,['files/p15/p15259244/s55259608/6973b010-49ac25bb-d2e035bc-667938df-855b7f4c.jpg'],['files/p15/p15259244/s54912258/2241b085-d8b05d1d-b5f91fce-e5b5e662-4e27dbc6.jpg\n']
s55259608_29,p15259244,s55259608,29,Impression,"1. In comparison to ___ exam, moderate left pleural effusion, mild interstitial pulmonary edema, and cardiomegaly is unchanged. 2. Left lung base consolidation, likely collapse or superimposed infection. 3. Right lung base peripheral opacity more conspicuous since prior exam and may represent infection, infarction or organizing pneumonia.","3. Right lung base peripheral opacity more conspicuous since prior exam and may represent infection, infarction or organizing pneumonia",Lung base peripheral opacity,Right,Worse,['files/p15/p15259244/s55259608/6973b010-49ac25bb-d2e035bc-667938df-855b7f4c.jpg'],['files/p15/p15259244/s54912258/2241b085-d8b05d1d-b5f91fce-e5b5e662-4e27dbc6.jpg\n']
s55259608_29,p15259244,s55259608,29,Findings,"AP portable view of the chest moderate left pleural effusion, essentially unchanged since prior exam. Left lung base consolidation is present. No large right pleural effusion is seen. Peripheral right lung base opacity is more conspicuous since prior exam. Moderate cardiomegaly persists and mild interstitial pulmonary edema is relatively similar. Hilar and mediastinal silhouettes are unchanged. Aortic valve calcifications are seen. Multiple surgical clips project over cardiac silhouette compatible with prior CABG. Sternotomy wires appear intact. The mitral valve prosthesis is in place. There is no pneumothorax.","AP portable view of the chest moderate left pleural effusion, essentially unchanged since prior exam",Pleural effusion,Left,Stable,['files/p15/p15259244/s55259608/6973b010-49ac25bb-d2e035bc-667938df-855b7f4c.jpg'],['files/p15/p15259244/s54912258/2241b085-d8b05d1d-b5f91fce-e5b5e662-4e27dbc6.jpg\n']
s55265250_5,p17318449,s55265250,5,Findings,"The patient is status post median sternotomy and CABG. There is mild cardiomegaly which is unchanged. The mediastinal and hilar contours are relatively stable with tortuosity of the thoracic aorta again noted. There is mild diffuse calcification of the thoracic aorta. Mild pulmonary vascular congestion is slightly increased when compared to the prior study. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Degenerative spurring is seen within the left acromioclavicular joint as well as within the thoracic spine.",The mediastinal and hilar contours are relatively stable with tortuosity of the thoracic aorta again noted.,tortuosity of the thoracic aorta,,Stable,"['files/p17/p17318449/s55265250/188869bb-00723113-2fc28f53-e47d6be0-f22d75c1.jpg', 'files/p17/p17318449/s55265250/7bd56a54-3405c0c7-7d21af62-1ceef66a-ec71da6c.jpg', 'files/p17/p17318449/s55265250/9bfe49ac-87087878-1110949f-335e751c-ddc3d7fe.jpg']","['files/p17/p17318449/s54809707/80b3c768-af7774d2-b929f0f3-cc00f7e1-a8bb88eb.jpg\n', 'files/p17/p17318449/s54809707/90e69875-9ab9608a-dcf7955e-bb4cbfdd-fb8b978c.jpg\n', 'files/p17/p17318449/s54809707/e91b1003-a8c28551-e5e8a4b9-5eb4b147-3de2e6ab.jpg\n']"
s55265250_5,p17318449,s55265250,5,Findings,"The patient is status post median sternotomy and CABG. There is mild cardiomegaly which is unchanged. The mediastinal and hilar contours are relatively stable with tortuosity of the thoracic aorta again noted. There is mild diffuse calcification of the thoracic aorta. Mild pulmonary vascular congestion is slightly increased when compared to the prior study. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Degenerative spurring is seen within the left acromioclavicular joint as well as within the thoracic spine.",The mediastinal and hilar contours are relatively stable with tortuosity of the thoracic aorta again noted.,mediastinal and hilar contours,,Stable,"['files/p17/p17318449/s55265250/188869bb-00723113-2fc28f53-e47d6be0-f22d75c1.jpg', 'files/p17/p17318449/s55265250/7bd56a54-3405c0c7-7d21af62-1ceef66a-ec71da6c.jpg', 'files/p17/p17318449/s55265250/9bfe49ac-87087878-1110949f-335e751c-ddc3d7fe.jpg']","['files/p17/p17318449/s54809707/80b3c768-af7774d2-b929f0f3-cc00f7e1-a8bb88eb.jpg\n', 'files/p17/p17318449/s54809707/90e69875-9ab9608a-dcf7955e-bb4cbfdd-fb8b978c.jpg\n', 'files/p17/p17318449/s54809707/e91b1003-a8c28551-e5e8a4b9-5eb4b147-3de2e6ab.jpg\n']"
s55265250_5,p17318449,s55265250,5,Findings,"The patient is status post median sternotomy and CABG. There is mild cardiomegaly which is unchanged. The mediastinal and hilar contours are relatively stable with tortuosity of the thoracic aorta again noted. There is mild diffuse calcification of the thoracic aorta. Mild pulmonary vascular congestion is slightly increased when compared to the prior study. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Degenerative spurring is seen within the left acromioclavicular joint as well as within the thoracic spine.",Mild pulmonary vascular congestion is slightly increased when compared to the prior study.,mild pulmonary vascular congestion,,Worse,"['files/p17/p17318449/s55265250/188869bb-00723113-2fc28f53-e47d6be0-f22d75c1.jpg', 'files/p17/p17318449/s55265250/7bd56a54-3405c0c7-7d21af62-1ceef66a-ec71da6c.jpg', 'files/p17/p17318449/s55265250/9bfe49ac-87087878-1110949f-335e751c-ddc3d7fe.jpg']","['files/p17/p17318449/s54809707/80b3c768-af7774d2-b929f0f3-cc00f7e1-a8bb88eb.jpg\n', 'files/p17/p17318449/s54809707/90e69875-9ab9608a-dcf7955e-bb4cbfdd-fb8b978c.jpg\n', 'files/p17/p17318449/s54809707/e91b1003-a8c28551-e5e8a4b9-5eb4b147-3de2e6ab.jpg\n']"
s55265250_5,p17318449,s55265250,5,Findings,"The patient is status post median sternotomy and CABG. There is mild cardiomegaly which is unchanged. The mediastinal and hilar contours are relatively stable with tortuosity of the thoracic aorta again noted. There is mild diffuse calcification of the thoracic aorta. Mild pulmonary vascular congestion is slightly increased when compared to the prior study. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Degenerative spurring is seen within the left acromioclavicular joint as well as within the thoracic spine.",There is mild cardiomegaly which is unchanged.,mild cardiomegaly,,Stable,"['files/p17/p17318449/s55265250/188869bb-00723113-2fc28f53-e47d6be0-f22d75c1.jpg', 'files/p17/p17318449/s55265250/7bd56a54-3405c0c7-7d21af62-1ceef66a-ec71da6c.jpg', 'files/p17/p17318449/s55265250/9bfe49ac-87087878-1110949f-335e751c-ddc3d7fe.jpg']","['files/p17/p17318449/s54809707/80b3c768-af7774d2-b929f0f3-cc00f7e1-a8bb88eb.jpg\n', 'files/p17/p17318449/s54809707/90e69875-9ab9608a-dcf7955e-bb4cbfdd-fb8b978c.jpg\n', 'files/p17/p17318449/s54809707/e91b1003-a8c28551-e5e8a4b9-5eb4b147-3de2e6ab.jpg\n']"
s55265250_5,p17318449,s55265250,5,Impression,"Mild pulmonary vascular congestion, slightly worse in the interval.","Mild pulmonary vascular congestion, slightly worse in the interval.",mild pulmonary vascular congestion,,Worse,"['files/p17/p17318449/s55265250/188869bb-00723113-2fc28f53-e47d6be0-f22d75c1.jpg', 'files/p17/p17318449/s55265250/7bd56a54-3405c0c7-7d21af62-1ceef66a-ec71da6c.jpg', 'files/p17/p17318449/s55265250/9bfe49ac-87087878-1110949f-335e751c-ddc3d7fe.jpg']","['files/p17/p17318449/s54809707/80b3c768-af7774d2-b929f0f3-cc00f7e1-a8bb88eb.jpg\n', 'files/p17/p17318449/s54809707/90e69875-9ab9608a-dcf7955e-bb4cbfdd-fb8b978c.jpg\n', 'files/p17/p17318449/s54809707/e91b1003-a8c28551-e5e8a4b9-5eb4b147-3de2e6ab.jpg\n']"
s55266015_1,p15541869,s55266015,1,Findings,"Cardiomediastinal contours are stable in appearance with persistent very large hiatal hernia. Linear areas of atelectasis are present in both mid lung regions, and atelectasis is also identified in the lower lungs adjacent to the large hiatal hernia. No areas of consolidation are evident. Small pleural effusions are present bilaterally. Bones are diffusely demineralized, and multilevel compression deformities are present, most marked at the thoracolumbar junction and upper lumbar region, with similar appearance in the thoracic spine to recent CT of ___. The patient is status post vertebroplasty procedures in the upper lumbar spine.",Cardiomediastinal contours are stable in appearance with persistent very large hiatal hernia.,Cardiomediastinal contours,,Stable,"['files/p15/p15541869/s55266015/176e0588-2fc59c9a-096765cc-a04685eb-e860762a.jpg', 'files/p15/p15541869/s55266015/a2958de9-3f5b2b3e-0f868adb-1bfb09df-e2f90c3e.jpg']","['files/p15/p15541869/s50553646/7cd49c7e-4de451f1-91d968ae-81143d7e-0b2dd70f.jpg\n', 'files/p15/p15541869/s50553646/912e2ddc-d5d8cb35-d2736bcd-4a25d08f-ee68cba1.jpg\n']"
s55266015_1,p15541869,s55266015,1,Findings,"Cardiomediastinal contours are stable in appearance with persistent very large hiatal hernia. Linear areas of atelectasis are present in both mid lung regions, and atelectasis is also identified in the lower lungs adjacent to the large hiatal hernia. No areas of consolidation are evident. Small pleural effusions are present bilaterally. Bones are diffusely demineralized, and multilevel compression deformities are present, most marked at the thoracolumbar junction and upper lumbar region, with similar appearance in the thoracic spine to recent CT of ___. The patient is status post vertebroplasty procedures in the upper lumbar spine.",Cardiomediastinal contours are stable in appearance with persistent very large hiatal hernia.,hiatal hernia,,Stable,"['files/p15/p15541869/s55266015/176e0588-2fc59c9a-096765cc-a04685eb-e860762a.jpg', 'files/p15/p15541869/s55266015/a2958de9-3f5b2b3e-0f868adb-1bfb09df-e2f90c3e.jpg']","['files/p15/p15541869/s50553646/7cd49c7e-4de451f1-91d968ae-81143d7e-0b2dd70f.jpg\n', 'files/p15/p15541869/s50553646/912e2ddc-d5d8cb35-d2736bcd-4a25d08f-ee68cba1.jpg\n']"
s55266015_1,p15541869,s55266015,1,Findings,"Cardiomediastinal contours are stable in appearance with persistent very large hiatal hernia. Linear areas of atelectasis are present in both mid lung regions, and atelectasis is also identified in the lower lungs adjacent to the large hiatal hernia. No areas of consolidation are evident. Small pleural effusions are present bilaterally. Bones are diffusely demineralized, and multilevel compression deformities are present, most marked at the thoracolumbar junction and upper lumbar region, with similar appearance in the thoracic spine to recent CT of ___. The patient is status post vertebroplasty procedures in the upper lumbar spine.","Bones are diffusely demineralized, and multilevel compression deformities are present, most marked at the thoracolumbar junction and upper lumbar region, with similar appearance in the thoracic spine to recent CT of ___.",compression deformities,thoracolumbar junction and upper lumbar region,Stable,"['files/p15/p15541869/s55266015/176e0588-2fc59c9a-096765cc-a04685eb-e860762a.jpg', 'files/p15/p15541869/s55266015/a2958de9-3f5b2b3e-0f868adb-1bfb09df-e2f90c3e.jpg']","['files/p15/p15541869/s50553646/7cd49c7e-4de451f1-91d968ae-81143d7e-0b2dd70f.jpg\n', 'files/p15/p15541869/s50553646/912e2ddc-d5d8cb35-d2736bcd-4a25d08f-ee68cba1.jpg\n']"
s55266015_1,p15541869,s55266015,1,Findings,"Cardiomediastinal contours are stable in appearance with persistent very large hiatal hernia. Linear areas of atelectasis are present in both mid lung regions, and atelectasis is also identified in the lower lungs adjacent to the large hiatal hernia. No areas of consolidation are evident. Small pleural effusions are present bilaterally. Bones are diffusely demineralized, and multilevel compression deformities are present, most marked at the thoracolumbar junction and upper lumbar region, with similar appearance in the thoracic spine to recent CT of ___. The patient is status post vertebroplasty procedures in the upper lumbar spine.","Bones are diffusely demineralized, and multilevel compression deformities are present, most marked at the thoracolumbar junction and upper lumbar region, with similar appearance in the thoracic spine to recent CT of ___.",compression deformities,thoracic spine,Stable,"['files/p15/p15541869/s55266015/176e0588-2fc59c9a-096765cc-a04685eb-e860762a.jpg', 'files/p15/p15541869/s55266015/a2958de9-3f5b2b3e-0f868adb-1bfb09df-e2f90c3e.jpg']","['files/p15/p15541869/s50553646/7cd49c7e-4de451f1-91d968ae-81143d7e-0b2dd70f.jpg\n', 'files/p15/p15541869/s50553646/912e2ddc-d5d8cb35-d2736bcd-4a25d08f-ee68cba1.jpg\n']"
s55268779_28,p14851532,s55268779,28,Impression,"THERE IS NO PNEUMOTHORAX. SMALL BILATERAL PLEURAL EFFUSIONS ARE LARGER TODAY THAN ON ___ WHEN THE PATIENT WAS AND MILD PULMONARY EDEMA. THE IRREGULAR LEFT PERIHILAR OPACITY CONFORMING TO PERSISTENT CONSOLIDATION THE SUPERIOR SEGMENT LEFT LOWER LOBE IS MORE PROMINENT TODAY THAN BEFORE. IT NEEDS TO BE EVALUATED AS IT POSSIBLE INDOLENT INFECTION OR EVEN MALIGNANCY. THERE IS NO PULMONARY EDEMA TODAY. BORDERLINE CARDIOMEGALY IS CHRONIC. RIGHT PIC LINE ENDS IN THE LOWER SVC. EVALUATION OF THE RETRO STERNAL FLUID COLLECTION WOULD REQUIRE REPEAT CHEST CT SCANNING, SINCE THE CONVENTIONAL RADIOGRAPHS HAVE CONSISTENTLY UNDER ESTIMATED THE SIZE OF THAT ABNORMALITY.",THE IRREGULAR LEFT PERIHILAR OPACITY CONFORMING TO PERSISTENT CONSOLIDATION THE SUPERIOR SEGMENT LEFT LOWER LOBE IS MORE PROMINENT TODAY THAN BEFORE.,opacity,"left perihilar, superior segment left lower lobe",Worse,"['files/p14/p14851532/s55268779/3b728ba8-286ccc7c-03fe6ea5-cd414e08-a5ee38c1.jpg', 'files/p14/p14851532/s55268779/ed1582fe-11520f56-91344c07-104b530a-09b06814.jpg']",['files/p14/p14851532/s55244705/1cbf90c3-079d9678-607bf65b-a3840c0f-02de10b9.jpg\n']
s55268779_28,p14851532,s55268779,28,Impression,"THERE IS NO PNEUMOTHORAX. SMALL BILATERAL PLEURAL EFFUSIONS ARE LARGER TODAY THAN ON ___ WHEN THE PATIENT WAS AND MILD PULMONARY EDEMA. THE IRREGULAR LEFT PERIHILAR OPACITY CONFORMING TO PERSISTENT CONSOLIDATION THE SUPERIOR SEGMENT LEFT LOWER LOBE IS MORE PROMINENT TODAY THAN BEFORE. IT NEEDS TO BE EVALUATED AS IT POSSIBLE INDOLENT INFECTION OR EVEN MALIGNANCY. THERE IS NO PULMONARY EDEMA TODAY. BORDERLINE CARDIOMEGALY IS CHRONIC. RIGHT PIC LINE ENDS IN THE LOWER SVC. EVALUATION OF THE RETRO STERNAL FLUID COLLECTION WOULD REQUIRE REPEAT CHEST CT SCANNING, SINCE THE CONVENTIONAL RADIOGRAPHS HAVE CONSISTENTLY UNDER ESTIMATED THE SIZE OF THAT ABNORMALITY.",SMALL BILATERAL PLEURAL EFFUSIONS ARE LARGER TODAY THAN ON ___ WHEN THE PATIENT WAS AND MILD PULMONARY EDEMA.,pleural effusions,bilateral,Worse,"['files/p14/p14851532/s55268779/3b728ba8-286ccc7c-03fe6ea5-cd414e08-a5ee38c1.jpg', 'files/p14/p14851532/s55268779/ed1582fe-11520f56-91344c07-104b530a-09b06814.jpg']",['files/p14/p14851532/s55244705/1cbf90c3-079d9678-607bf65b-a3840c0f-02de10b9.jpg\n']
s55277653_3,p11413236,s55277653,3,Findings,"Lung volumes are low. No new focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Peripheral opacity in the left lung base appears improved from the prior study, and may represent residual atelectasis with scarring. Heart and mediastinal contours are stable with unchanged calcified aorticopulmonary window lymph node compatible with prior granulomatous disease. Right-sided Port-A-Cath is similarly positioned. Sternal wires appear intact on these views. The patient is status post CABG.",Heart and mediastinal contours are stable with unchanged calcified aorticopulmonary window lymph node compatible with prior granulomatous disease.,calcified lymph node,aorticopulmonary window,Stable,"['files/p11/p11413236/s55277653/3b067bdb-1e77ce5c-db8d4831-dc9c23e2-e0e1724c.jpg', 'files/p11/p11413236/s55277653/aef6ded2-a74cef0f-acdbb6d6-a96e3909-9fc8c2e9.jpg']",['files/p11/p11413236/s55135750/cb773ac2-6e174a1f-00857ffc-b6748b77-da3cc5f4.jpg\n']
s55277653_3,p11413236,s55277653,3,Findings,"Lung volumes are low. No new focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Peripheral opacity in the left lung base appears improved from the prior study, and may represent residual atelectasis with scarring. Heart and mediastinal contours are stable with unchanged calcified aorticopulmonary window lymph node compatible with prior granulomatous disease. Right-sided Port-A-Cath is similarly positioned. Sternal wires appear intact on these views. The patient is status post CABG.",Heart and mediastinal contours are stable with unchanged calcified aorticopulmonary window lymph node compatible with prior granulomatous disease.,contours,Heart and mediastinal,Stable,"['files/p11/p11413236/s55277653/3b067bdb-1e77ce5c-db8d4831-dc9c23e2-e0e1724c.jpg', 'files/p11/p11413236/s55277653/aef6ded2-a74cef0f-acdbb6d6-a96e3909-9fc8c2e9.jpg']",['files/p11/p11413236/s55135750/cb773ac2-6e174a1f-00857ffc-b6748b77-da3cc5f4.jpg\n']
s55277653_3,p11413236,s55277653,3,Findings,"Lung volumes are low. No new focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Peripheral opacity in the left lung base appears improved from the prior study, and may represent residual atelectasis with scarring. Heart and mediastinal contours are stable with unchanged calcified aorticopulmonary window lymph node compatible with prior granulomatous disease. Right-sided Port-A-Cath is similarly positioned. Sternal wires appear intact on these views. The patient is status post CABG.","Peripheral opacity in the left lung base appears improved from the prior study, and may represent residual atelectasis with scarring.",Peripheral opacity,left lung base,Better,"['files/p11/p11413236/s55277653/3b067bdb-1e77ce5c-db8d4831-dc9c23e2-e0e1724c.jpg', 'files/p11/p11413236/s55277653/aef6ded2-a74cef0f-acdbb6d6-a96e3909-9fc8c2e9.jpg']",['files/p11/p11413236/s55135750/cb773ac2-6e174a1f-00857ffc-b6748b77-da3cc5f4.jpg\n']
s55300369_22,p19075045,s55300369,22,Findings,"Right central venous catheter terminates in the right atrium. Left pectoral pacemaker and its leads are in unchanged position. Sternotomy wires are intact. Mild bibasilar opacities are likely atelectasis in setting of low lung volumes. Enlarged pulmonary vessels are slightly larger compared to ___. Mildly enlarged cardiac silhouette is similar to before. Trachea is mildly deviated to the left with luminal narrowing, similar to ___.",Left pectoral pacemaker and its leads are in unchanged position.,pacemaker and its leads,Left pectoral,Stable,['files/p19/p19075045/s55300369/f3d507c2-a374ec9a-30b7c848-c991828c-333297ff.jpg'],['files/p19/p19075045/s54025444/a2082ebd-e2e4d325-ba2534ae-474619f3-c8f5ba9e.jpg\n']
s55300369_22,p19075045,s55300369,22,Findings,"Right central venous catheter terminates in the right atrium. Left pectoral pacemaker and its leads are in unchanged position. Sternotomy wires are intact. Mild bibasilar opacities are likely atelectasis in setting of low lung volumes. Enlarged pulmonary vessels are slightly larger compared to ___. Mildly enlarged cardiac silhouette is similar to before. Trachea is mildly deviated to the left with luminal narrowing, similar to ___.",Mildly enlarged cardiac silhouette is similar to before.,mildly enlarged cardiac silhouette,,Stable,['files/p19/p19075045/s55300369/f3d507c2-a374ec9a-30b7c848-c991828c-333297ff.jpg'],['files/p19/p19075045/s54025444/a2082ebd-e2e4d325-ba2534ae-474619f3-c8f5ba9e.jpg\n']
s55300369_22,p19075045,s55300369,22,Findings,"Right central venous catheter terminates in the right atrium. Left pectoral pacemaker and its leads are in unchanged position. Sternotomy wires are intact. Mild bibasilar opacities are likely atelectasis in setting of low lung volumes. Enlarged pulmonary vessels are slightly larger compared to ___. Mildly enlarged cardiac silhouette is similar to before. Trachea is mildly deviated to the left with luminal narrowing, similar to ___.","Trachea is mildly deviated to the left with luminal narrowing, similar to ___.",trachea with luminal narrowing,left,Stable,['files/p19/p19075045/s55300369/f3d507c2-a374ec9a-30b7c848-c991828c-333297ff.jpg'],['files/p19/p19075045/s54025444/a2082ebd-e2e4d325-ba2534ae-474619f3-c8f5ba9e.jpg\n']
s55300369_22,p19075045,s55300369,22,Impression,"1. Slightly increased pulmonary vascular congestion compared to ___. 2. Trachea is mildly deviated to the left with luminal narrowing, similar to ___ but increased compared to ___. Possible etiologies may include enlarged thyroid or other mass.","2. Trachea is mildly deviated to the left with luminal narrowing, similar to ___ but increased compared to ___. Possible etiologies may include enlarged thyroid or other mass.",trachea with luminal narrowing,left,Worse,['files/p19/p19075045/s55300369/f3d507c2-a374ec9a-30b7c848-c991828c-333297ff.jpg'],['files/p19/p19075045/s54025444/a2082ebd-e2e4d325-ba2534ae-474619f3-c8f5ba9e.jpg\n']
s55300369_22,p19075045,s55300369,22,Findings,"Right central venous catheter terminates in the right atrium. Left pectoral pacemaker and its leads are in unchanged position. Sternotomy wires are intact. Mild bibasilar opacities are likely atelectasis in setting of low lung volumes. Enlarged pulmonary vessels are slightly larger compared to ___. Mildly enlarged cardiac silhouette is similar to before. Trachea is mildly deviated to the left with luminal narrowing, similar to ___.",Enlarged pulmonary vessels are slightly larger compared to ___.,enlarged pulmonary vessels,,Worse,['files/p19/p19075045/s55300369/f3d507c2-a374ec9a-30b7c848-c991828c-333297ff.jpg'],['files/p19/p19075045/s54025444/a2082ebd-e2e4d325-ba2534ae-474619f3-c8f5ba9e.jpg\n']
s55300369_22,p19075045,s55300369,22,Impression,"1. Slightly increased pulmonary vascular congestion compared to ___. 2. Trachea is mildly deviated to the left with luminal narrowing, similar to ___ but increased compared to ___. Possible etiologies may include enlarged thyroid or other mass.",1. Slightly increased pulmonary vascular congestion compared to ___.,pulmonary vascular congestion,,Worse,['files/p19/p19075045/s55300369/f3d507c2-a374ec9a-30b7c848-c991828c-333297ff.jpg'],['files/p19/p19075045/s54025444/a2082ebd-e2e4d325-ba2534ae-474619f3-c8f5ba9e.jpg\n']
s55301691_1,p17147859,s55301691,1,Findings,"Lung volumes are low. Linear horizontal scarring in the right middle lobe is unchanged since ___. Mild cardiomegaly is unchanged. No new consolidation, effusion or pneumothorax is present.",Linear horizontal scarring in the right middle lobe is unchanged since ___.,Linear horizontal scarring,right middle lobe,Stable,"['files/p17/p17147859/s55301691/af9b5e5b-573301f2-71ea7f54-300d7537-be08d760.jpg', 'files/p17/p17147859/s55301691/d8f6df8b-a89ccea2-63bada22-1566fcf0-126ceeb7.jpg']","['files/p17/p17147859/s52321096/729e2a72-abdbd01c-884f4185-7fb1ac97-9dfe808c.jpg\n', 'files/p17/p17147859/s52321096/e8a8bd48-feafd477-16f9cfa0-575478d2-bc2c5cbb.jpg\n']"
s55301691_1,p17147859,s55301691,1,Findings,"Lung volumes are low. Linear horizontal scarring in the right middle lobe is unchanged since ___. Mild cardiomegaly is unchanged. No new consolidation, effusion or pneumothorax is present.",Mild cardiomegaly is unchanged.,Mild cardiomegaly,,Stable,"['files/p17/p17147859/s55301691/af9b5e5b-573301f2-71ea7f54-300d7537-be08d760.jpg', 'files/p17/p17147859/s55301691/d8f6df8b-a89ccea2-63bada22-1566fcf0-126ceeb7.jpg']","['files/p17/p17147859/s52321096/729e2a72-abdbd01c-884f4185-7fb1ac97-9dfe808c.jpg\n', 'files/p17/p17147859/s52321096/e8a8bd48-feafd477-16f9cfa0-575478d2-bc2c5cbb.jpg\n']"
s55303396_4,p13649937,s55303396,4,Findings,"Nasogastric tube terminates in the proximal stomach. Cardiac silhouette remains enlarged, and aorta is tortuous and calcified. Left perihilar and basilar opacities are again demonstrated, and likely represent a combination of pneumonia and atelectasis. Improving atelectasis is noted at right lung base. Small pleural effusions, left greater than right, are again demonstrated.","Cardiac silhouette remains enlarged, and aorta is tortuous and calcified.",cardiac silhouette,,Stable,['files/p13/p13649937/s55303396/0a9230c4-21071085-666dec7b-8a690910-28b3502c.jpg'],['files/p13/p13649937/s53966692/019dff97-dd885742-7be6fc52-dfd21808-8513ba6d.jpg\n']
s55303396_4,p13649937,s55303396,4,Findings,"Nasogastric tube terminates in the proximal stomach. Cardiac silhouette remains enlarged, and aorta is tortuous and calcified. Left perihilar and basilar opacities are again demonstrated, and likely represent a combination of pneumonia and atelectasis. Improving atelectasis is noted at right lung base. Small pleural effusions, left greater than right, are again demonstrated.","Left perihilar and basilar opacities are again demonstrated, and likely represent a combination of pneumonia and atelectasis.",opacities,left perihilar and basilar,Stable,['files/p13/p13649937/s55303396/0a9230c4-21071085-666dec7b-8a690910-28b3502c.jpg'],['files/p13/p13649937/s53966692/019dff97-dd885742-7be6fc52-dfd21808-8513ba6d.jpg\n']
s55303396_4,p13649937,s55303396,4,Findings,"Nasogastric tube terminates in the proximal stomach. Cardiac silhouette remains enlarged, and aorta is tortuous and calcified. Left perihilar and basilar opacities are again demonstrated, and likely represent a combination of pneumonia and atelectasis. Improving atelectasis is noted at right lung base. Small pleural effusions, left greater than right, are again demonstrated.",Improving atelectasis is noted at right lung base.,atelectasis,right lung base,Better,['files/p13/p13649937/s55303396/0a9230c4-21071085-666dec7b-8a690910-28b3502c.jpg'],['files/p13/p13649937/s53966692/019dff97-dd885742-7be6fc52-dfd21808-8513ba6d.jpg\n']
s55303396_4,p13649937,s55303396,4,Findings,"Nasogastric tube terminates in the proximal stomach. Cardiac silhouette remains enlarged, and aorta is tortuous and calcified. Left perihilar and basilar opacities are again demonstrated, and likely represent a combination of pneumonia and atelectasis. Improving atelectasis is noted at right lung base. Small pleural effusions, left greater than right, are again demonstrated.","Small pleural effusions, left greater than right, are again demonstrated.",pleural effusions,left greater than right,Stable,['files/p13/p13649937/s55303396/0a9230c4-21071085-666dec7b-8a690910-28b3502c.jpg'],['files/p13/p13649937/s53966692/019dff97-dd885742-7be6fc52-dfd21808-8513ba6d.jpg\n']
s55310022_3,p19028690,s55310022,3,Findings,"The cardiac silhouette size is unchanged, and appears mildly enlarged. Mediastinal and hilar contours are stable, and there is no evidence of pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes of the thoracic spine.","Mediastinal and hilar contours are stable, and there is no evidence of pulmonary edema.",,Mediastinal and hilar contours,Stable,"['files/p19/p19028690/s55310022/cb88b12c-f7910a4b-45c5a38c-21fb6499-42128dca.jpg', 'files/p19/p19028690/s55310022/ee0ef8eb-6e0b96dd-964fb803-b19c1c2c-cd735b21.jpg', 'files/p19/p19028690/s55310022/fca5d102-2547ddfe-cefd8e2c-8c8f9f1e-e97ba106.jpg']","['files/p19/p19028690/s55086195/7b9c311b-b511e83b-75a5a6cf-d46efb9d-ac034314.jpg\n', 'files/p19/p19028690/s55086195/ccb6bd66-aecda036-88eda366-91d212f5-be0df25b.jpg\n', 'files/p19/p19028690/s55086195/eb2476eb-92fc9b7d-44aebf13-67d07277-64531ea2.jpg\n']"
s55310022_3,p19028690,s55310022,3,Findings,"The cardiac silhouette size is unchanged, and appears mildly enlarged. Mediastinal and hilar contours are stable, and there is no evidence of pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes of the thoracic spine.","The cardiac silhouette size is unchanged, and appears mildly enlarged.",size,cardiac silhouette,Stable,"['files/p19/p19028690/s55310022/cb88b12c-f7910a4b-45c5a38c-21fb6499-42128dca.jpg', 'files/p19/p19028690/s55310022/ee0ef8eb-6e0b96dd-964fb803-b19c1c2c-cd735b21.jpg', 'files/p19/p19028690/s55310022/fca5d102-2547ddfe-cefd8e2c-8c8f9f1e-e97ba106.jpg']","['files/p19/p19028690/s55086195/7b9c311b-b511e83b-75a5a6cf-d46efb9d-ac034314.jpg\n', 'files/p19/p19028690/s55086195/ccb6bd66-aecda036-88eda366-91d212f5-be0df25b.jpg\n', 'files/p19/p19028690/s55086195/eb2476eb-92fc9b7d-44aebf13-67d07277-64531ea2.jpg\n']"
s55312260_3,p13263843,s55312260,3,Findings,"Postsurgical changes of a right upper lobectomy and right upper rib resection are unchanged. Radiation changes are stable. There is associated volume loss with elevation and tenting of the right hemidiaphragm. There is atelectasis of the right middle lobe, unchanged from prior exams. The previously seen right lower lobe nodular opacities have improved since the prior studies in ___. There is no new opacification. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is shifted rightward due to volume loss, but otherwise normal in shape and contour. The osseous structures are unremarkable.","There is atelectasis of the right middle lobe, unchanged from prior exams.",atelectasis,right middle lobe,Stable,"['files/p13/p13263843/s55312260/204ddf42-2240e02f-cf58a88e-684540aa-4e5da21c.jpg', 'files/p13/p13263843/s55312260/22ebe993-418ddc79-44f5af39-3e2d7039-df6bd5fc.jpg']","['files/p13/p13263843/s55058862/64b9eb3b-f34fa8a9-fc75f27f-53cc3b2c-eca0f252.jpg\n', 'files/p13/p13263843/s55058862/8de15662-1ddba4f0-7784313d-51c003d0-f3d4cc1b.jpg\n']"
s55312260_3,p13263843,s55312260,3,Findings,"Postsurgical changes of a right upper lobectomy and right upper rib resection are unchanged. Radiation changes are stable. There is associated volume loss with elevation and tenting of the right hemidiaphragm. There is atelectasis of the right middle lobe, unchanged from prior exams. The previously seen right lower lobe nodular opacities have improved since the prior studies in ___. There is no new opacification. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is shifted rightward due to volume loss, but otherwise normal in shape and contour. The osseous structures are unremarkable.",The previously seen right lower lobe nodular opacities have improved since the prior studies in ___.,nodular opacities,right lower lobe,Better,"['files/p13/p13263843/s55312260/204ddf42-2240e02f-cf58a88e-684540aa-4e5da21c.jpg', 'files/p13/p13263843/s55312260/22ebe993-418ddc79-44f5af39-3e2d7039-df6bd5fc.jpg']","['files/p13/p13263843/s55058862/64b9eb3b-f34fa8a9-fc75f27f-53cc3b2c-eca0f252.jpg\n', 'files/p13/p13263843/s55058862/8de15662-1ddba4f0-7784313d-51c003d0-f3d4cc1b.jpg\n']"
s55312260_3,p13263843,s55312260,3,Impression,"1. Stable post-surgical and post-radiation changes of the right lung. 2. Interval improvement of previously seen right lower lobe opacification. 3. No new opacity, effusion, or pneumothorax.",Stable post-surgical and post-radiation changes of the right lung.,post-surgical and post-radiation changes,right lung,Stable,"['files/p13/p13263843/s55312260/204ddf42-2240e02f-cf58a88e-684540aa-4e5da21c.jpg', 'files/p13/p13263843/s55312260/22ebe993-418ddc79-44f5af39-3e2d7039-df6bd5fc.jpg']","['files/p13/p13263843/s55058862/64b9eb3b-f34fa8a9-fc75f27f-53cc3b2c-eca0f252.jpg\n', 'files/p13/p13263843/s55058862/8de15662-1ddba4f0-7784313d-51c003d0-f3d4cc1b.jpg\n']"
s55312260_3,p13263843,s55312260,3,Impression,"1. Stable post-surgical and post-radiation changes of the right lung. 2. Interval improvement of previously seen right lower lobe opacification. 3. No new opacity, effusion, or pneumothorax.",Interval improvement of previously seen right lower lobe opacification.,opacification,right lower lobe,Better,"['files/p13/p13263843/s55312260/204ddf42-2240e02f-cf58a88e-684540aa-4e5da21c.jpg', 'files/p13/p13263843/s55312260/22ebe993-418ddc79-44f5af39-3e2d7039-df6bd5fc.jpg']","['files/p13/p13263843/s55058862/64b9eb3b-f34fa8a9-fc75f27f-53cc3b2c-eca0f252.jpg\n', 'files/p13/p13263843/s55058862/8de15662-1ddba4f0-7784313d-51c003d0-f3d4cc1b.jpg\n']"
s55312260_3,p13263843,s55312260,3,Findings,"Postsurgical changes of a right upper lobectomy and right upper rib resection are unchanged. Radiation changes are stable. There is associated volume loss with elevation and tenting of the right hemidiaphragm. There is atelectasis of the right middle lobe, unchanged from prior exams. The previously seen right lower lobe nodular opacities have improved since the prior studies in ___. There is no new opacification. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is shifted rightward due to volume loss, but otherwise normal in shape and contour. The osseous structures are unremarkable.",Radiation changes are stable.,radiation changes,,Stable,"['files/p13/p13263843/s55312260/204ddf42-2240e02f-cf58a88e-684540aa-4e5da21c.jpg', 'files/p13/p13263843/s55312260/22ebe993-418ddc79-44f5af39-3e2d7039-df6bd5fc.jpg']","['files/p13/p13263843/s55058862/64b9eb3b-f34fa8a9-fc75f27f-53cc3b2c-eca0f252.jpg\n', 'files/p13/p13263843/s55058862/8de15662-1ddba4f0-7784313d-51c003d0-f3d4cc1b.jpg\n']"
s55312260_3,p13263843,s55312260,3,Findings,"Postsurgical changes of a right upper lobectomy and right upper rib resection are unchanged. Radiation changes are stable. There is associated volume loss with elevation and tenting of the right hemidiaphragm. There is atelectasis of the right middle lobe, unchanged from prior exams. The previously seen right lower lobe nodular opacities have improved since the prior studies in ___. There is no new opacification. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is shifted rightward due to volume loss, but otherwise normal in shape and contour. The osseous structures are unremarkable.",Postsurgical changes of a right upper lobectomy and right upper rib resection are unchanged.,postsurgical changes,right upper lobectomy and right upper rib resection,Stable,"['files/p13/p13263843/s55312260/204ddf42-2240e02f-cf58a88e-684540aa-4e5da21c.jpg', 'files/p13/p13263843/s55312260/22ebe993-418ddc79-44f5af39-3e2d7039-df6bd5fc.jpg']","['files/p13/p13263843/s55058862/64b9eb3b-f34fa8a9-fc75f27f-53cc3b2c-eca0f252.jpg\n', 'files/p13/p13263843/s55058862/8de15662-1ddba4f0-7784313d-51c003d0-f3d4cc1b.jpg\n']"
s55316579_12,p13475033,s55316579,12,Findings,"Interstitial prominence has increased compared to prior, suggestive of mild edema. No focal consolidation or pneumothorax is detected. Tiny right pleural effusion appears new compared to prior. Heart and mediastinal contours appear stable with mild cardiomegaly.",Tiny right pleural effusion appears new compared to prior.,pleural effusion,right,New,"['files/p13/p13475033/s55316579/1b7bd4fd-2ddbc2c0-70d7a8f2-ff32883c-5c2ce9af.jpg', 'files/p13/p13475033/s55316579/f067c77a-54a4358e-ff4a3ce6-75df62e9-a3be270f.jpg']","['files/p13/p13475033/s55135726/a2512fa8-095ec040-e32a3e91-1c4f753a-099de7a9.jpg\n', 'files/p13/p13475033/s55135726/d24b9a9a-5c30fd84-c72ddb03-64a2caba-96d7eb64.jpg\n']"
s55316579_12,p13475033,s55316579,12,Findings,"Interstitial prominence has increased compared to prior, suggestive of mild edema. No focal consolidation or pneumothorax is detected. Tiny right pleural effusion appears new compared to prior. Heart and mediastinal contours appear stable with mild cardiomegaly.",Heart and mediastinal contours appear stable with mild cardiomegaly.,mild cardiomegaly,Heart and mediastinal contours,Stable,"['files/p13/p13475033/s55316579/1b7bd4fd-2ddbc2c0-70d7a8f2-ff32883c-5c2ce9af.jpg', 'files/p13/p13475033/s55316579/f067c77a-54a4358e-ff4a3ce6-75df62e9-a3be270f.jpg']","['files/p13/p13475033/s55135726/a2512fa8-095ec040-e32a3e91-1c4f753a-099de7a9.jpg\n', 'files/p13/p13475033/s55135726/d24b9a9a-5c30fd84-c72ddb03-64a2caba-96d7eb64.jpg\n']"
s55316579_12,p13475033,s55316579,12,Findings,"Interstitial prominence has increased compared to prior, suggestive of mild edema. No focal consolidation or pneumothorax is detected. Tiny right pleural effusion appears new compared to prior. Heart and mediastinal contours appear stable with mild cardiomegaly.","Interstitial prominence has increased compared to prior, suggestive of mild edema.",prominence,Interstitial,Worse,"['files/p13/p13475033/s55316579/1b7bd4fd-2ddbc2c0-70d7a8f2-ff32883c-5c2ce9af.jpg', 'files/p13/p13475033/s55316579/f067c77a-54a4358e-ff4a3ce6-75df62e9-a3be270f.jpg']","['files/p13/p13475033/s55135726/a2512fa8-095ec040-e32a3e91-1c4f753a-099de7a9.jpg\n', 'files/p13/p13475033/s55135726/d24b9a9a-5c30fd84-c72ddb03-64a2caba-96d7eb64.jpg\n']"
s55316723_6,p16313531,s55316723,6,Impression,AP chest compared to ___: Left upper lobe has collapsed again rendering the entire left lung airless. Right lung is grossly clear. Heart size is indeterminate. Right PIC line ends in the upper SVC. Stomach is moderately-to-severely distended. Dr. ___ was paged.,Left upper lobe has collapsed again rendering the entire left lung airless.,collapse,left upper lobe,Worse,['files/p16/p16313531/s55316723/c8432be1-b79e41da-834ae99a-c6cd0b0f-414d4eec.jpg'],"['files/p16/p16313531/s55134684/583590d0-c9c3ce35-4b385739-1623390c-62fd1b5d.jpg\n', 'files/p16/p16313531/s55134684/bcbe5ec6-d84ec5ad-7815dc90-92ca0882-48d3c3a6.jpg\n']"
s55317494_4,p14608347,s55317494,4,Impression,"AP chest compared to ___ through ___. The questionned retrocardiac abnormality is a large part of the stomach passing through a hiatus hernia, as seen on the chest radiograph, ___. Evaluating possible mass in the stomach would require CT scanning. Lungs are clear of pneumonia. Expanded right anterior rib ends should not be mistaken for lung nodules. Heart size is normal. Azygous distention is new, suggesting increased intravascular volume, but there is no pulmonary edema or pleural effusion.","Azygous distention is new, suggesting increased intravascular volume, but there is no pulmonary edema or pleural effusion.",Azygous distention,,New,"['files/p14/p14608347/s55317494/39f36124-b86b485a-6817fbeb-6ac41cca-8ee5b9c1.jpg', 'files/p14/p14608347/s55317494/748c169c-828f1222-57447816-e11e5338-53a98735.jpg']","['files/p14/p14608347/s54745568/19dfecbd-0472033b-2482be22-f33c01b1-55773ffa.jpg\n', 'files/p14/p14608347/s54745568/310e9e4c-47270425-45970e01-10edadcc-1789ecf5.jpg\n', 'files/p14/p14608347/s54745568/a1c961e5-048307f2-6354c600-52da3efe-47edd590.jpg\n', 'files/p14/p14608347/s54745568/b99f0092-64ffe6a0-62facb39-d03443cf-248e9033.jpg\n']"
s55328340_4,p14236258,s55328340,4,Findings,Single portable view of the chest. Left chest wall dual lumen central venous catheter has been removed. There is a left brachiocephalic/superior vena cava stent. The lungs are clear of consolidation or pulmonary vascular congestion. Cardiac silhouette is enlarged likely exaggerated due to technique and positioning. Multiple posterior healed right rib fractures are identified.,Left chest wall dual lumen central venous catheter has been removed.,dual lumen central venous catheter,left chest wall,Resolve,['files/p14/p14236258/s55328340/cb7831a4-b96e79a9-fb92a40e-661f84c9-35010799.jpg'],['files/p14/p14236258/s55227594/947b8eee-91990d6d-31a05ac0-0f30e40e-c54fedee.jpg\n']
s55331519_2,p13078497,s55331519,2,Impression,Improving pulmonary edema with unchanged bilateral pleural effusions.,Improving pulmonary edema with unchanged bilateral pleural effusions.,pulmonary edema,bilateral,Better,['files/p13/p13078497/s55331519/5e868309-d66225ba-ff4f44dc-5e9aa433-7712e15d.jpg'],['files/p13/p13078497/s55206854/89211728-267e6ae0-5cf3d9d3-8ed03442-8764ee24.jpg\n']
s55331519_2,p13078497,s55331519,2,Impression,Improving pulmonary edema with unchanged bilateral pleural effusions.,Improving pulmonary edema with unchanged bilateral pleural effusions.,pleural effusion,bilateral,Stable,['files/p13/p13078497/s55331519/5e868309-d66225ba-ff4f44dc-5e9aa433-7712e15d.jpg'],['files/p13/p13078497/s55206854/89211728-267e6ae0-5cf3d9d3-8ed03442-8764ee24.jpg\n']
s55331519_2,p13078497,s55331519,2,Findings,"Right-sided pleural effusion is again seen largely unchanged. There is left-sided ground glass opacity which has slightly improved consistent with improving pulmonary edema. Endotracheal tube is seen in appropriate position, 6 cm from the carina. NG tube is seen entering the stomach and out of field of view. Incidental note of right lateral pleural calcification which is better seen on CT imaging.",Right-sided pleural effusion is again seen largely unchanged.,pleural effusion,right-sided,Stable,['files/p13/p13078497/s55331519/5e868309-d66225ba-ff4f44dc-5e9aa433-7712e15d.jpg'],['files/p13/p13078497/s55206854/89211728-267e6ae0-5cf3d9d3-8ed03442-8764ee24.jpg\n']
s55331519_2,p13078497,s55331519,2,Findings,"Right-sided pleural effusion is again seen largely unchanged. There is left-sided ground glass opacity which has slightly improved consistent with improving pulmonary edema. Endotracheal tube is seen in appropriate position, 6 cm from the carina. NG tube is seen entering the stomach and out of field of view. Incidental note of right lateral pleural calcification which is better seen on CT imaging.",There is left-sided ground glass opacity which has slightly improved consistent with improving pulmonary edema.,pulmonary edema,left-sided,Better,['files/p13/p13078497/s55331519/5e868309-d66225ba-ff4f44dc-5e9aa433-7712e15d.jpg'],['files/p13/p13078497/s55206854/89211728-267e6ae0-5cf3d9d3-8ed03442-8764ee24.jpg\n']
s55336208_25,p16751749,s55336208,25,Findings,There is moderate amount of right-sided subcutaneous emphysema which is similar in appearance compared to prior. Right-sided chest tube is again visualized. There is no increase in the pneumothorax. Bilateral parenchymal opacities are again visualized and not significantly changed. The tracheostomy tube is in standard location. Right subclavian line tip is in the mid SVC.,Bilateral parenchymal opacities are again visualized and not significantly changed.,parenchymal opacities,bilateral,Stable,['files/p16/p16751749/s55336208/1479bd69-820c7589-5e02e82e-b713275f-99aed79d.jpg'],['files/p16/p16751749/s55021041/c37f2402-7d049ecf-cfaf867c-840f40a1-d8e14aae.jpg\n']
s55336208_25,p16751749,s55336208,25,Findings,There is moderate amount of right-sided subcutaneous emphysema which is similar in appearance compared to prior. Right-sided chest tube is again visualized. There is no increase in the pneumothorax. Bilateral parenchymal opacities are again visualized and not significantly changed. The tracheostomy tube is in standard location. Right subclavian line tip is in the mid SVC.,There is no increase in the pneumothorax.,pneumothorax,,Stable,['files/p16/p16751749/s55336208/1479bd69-820c7589-5e02e82e-b713275f-99aed79d.jpg'],['files/p16/p16751749/s55021041/c37f2402-7d049ecf-cfaf867c-840f40a1-d8e14aae.jpg\n']
s55336208_25,p16751749,s55336208,25,Findings,There is moderate amount of right-sided subcutaneous emphysema which is similar in appearance compared to prior. Right-sided chest tube is again visualized. There is no increase in the pneumothorax. Bilateral parenchymal opacities are again visualized and not significantly changed. The tracheostomy tube is in standard location. Right subclavian line tip is in the mid SVC.,There is moderate amount of right-sided subcutaneous emphysema which is similar in appearance compared to prior.,subcutaneous emphysema,right-sided,Stable,['files/p16/p16751749/s55336208/1479bd69-820c7589-5e02e82e-b713275f-99aed79d.jpg'],['files/p16/p16751749/s55021041/c37f2402-7d049ecf-cfaf867c-840f40a1-d8e14aae.jpg\n']
s55339618_41,p13475033,s55339618,41,Findings,"There are diffuse bilateral interstitial markings, overall unchanged since ___. This is consistent with chronic lung disease. No new areas of focal consolidation or pleural effusions. No pneumothorax. Heart size is top normal, stable from prior. Atherosclerotic calcifications are seen in the coronary arteries, better appreciated on the lateral view.","There are diffuse bilateral interstitial markings, overall unchanged since ___. This is consistent with chronic lung disease.",interstitial markings,Diffuse bilateral,Stable,"['files/p13/p13475033/s55339618/2d3d526f-5560ef5c-de1b0d4a-b17b0f0b-427cc0ca.jpg', 'files/p13/p13475033/s55339618/5037ce6f-1b5a2beb-cefbe169-b7e53cbf-427eaf91.jpg']","['files/p13/p13475033/s55316579/1b7bd4fd-2ddbc2c0-70d7a8f2-ff32883c-5c2ce9af.jpg\n', 'files/p13/p13475033/s55316579/f067c77a-54a4358e-ff4a3ce6-75df62e9-a3be270f.jpg\n']"
s55339618_41,p13475033,s55339618,41,Findings,"There are diffuse bilateral interstitial markings, overall unchanged since ___. This is consistent with chronic lung disease. No new areas of focal consolidation or pleural effusions. No pneumothorax. Heart size is top normal, stable from prior. Atherosclerotic calcifications are seen in the coronary arteries, better appreciated on the lateral view.","Heart size is top normal, stable from prior.",size,Heart,Stable,"['files/p13/p13475033/s55339618/2d3d526f-5560ef5c-de1b0d4a-b17b0f0b-427cc0ca.jpg', 'files/p13/p13475033/s55339618/5037ce6f-1b5a2beb-cefbe169-b7e53cbf-427eaf91.jpg']","['files/p13/p13475033/s55316579/1b7bd4fd-2ddbc2c0-70d7a8f2-ff32883c-5c2ce9af.jpg\n', 'files/p13/p13475033/s55316579/f067c77a-54a4358e-ff4a3ce6-75df62e9-a3be270f.jpg\n']"
s55339618_41,p13475033,s55339618,41,Impression,"1. No acute intrathoracic process. Stable bilateral interstitial markings, likely chronic lung disease. 2. Coronary artery calcifications.","Stable bilateral interstitial markings, likely chronic lung disease.",interstitial markings,Bilateral,Stable,"['files/p13/p13475033/s55339618/2d3d526f-5560ef5c-de1b0d4a-b17b0f0b-427cc0ca.jpg', 'files/p13/p13475033/s55339618/5037ce6f-1b5a2beb-cefbe169-b7e53cbf-427eaf91.jpg']","['files/p13/p13475033/s55316579/1b7bd4fd-2ddbc2c0-70d7a8f2-ff32883c-5c2ce9af.jpg\n', 'files/p13/p13475033/s55316579/f067c77a-54a4358e-ff4a3ce6-75df62e9-a3be270f.jpg\n']"
s55340847_1,p18343726,s55340847,1,Impression,"1. Partial improvement of previously demonstrated left lower lobe pneumonia. Reevaluation of the patient in four weeks with chest radiograph is recommended for documentation of complete resolution. If clinically warranted, assessment with chest CT might be considered. 2. Suspected hiatal hernia.",Partial improvement of previously demonstrated left lower lobe pneumonia.,pneumonia,Left lower lobe,Better,"['files/p18/p18343726/s55340847/093baa2b-62a8c5b2-9255859f-2edf2dcf-4f5ed090.jpg', 'files/p18/p18343726/s55340847/5064b93d-bccfde44-d9c94dc5-82bb5a09-7418caa6.jpg']","['files/p18/p18343726/s54661616/2bddb45e-b08f4b2d-f5594cc2-2512ff39-e6847371.jpg\n', 'files/p18/p18343726/s54661616/57dd992a-c736b67a-5a1f24e1-fcef3aea-76faae84.jpg\n']"
s55341919_2,p15144601,s55341919,2,Impression,"AP chest compared to ___: Postoperative widening of the cardiomediastinal silhouette continues to improve. Lungs low in volume but clear. Pleural effusion is small if any on the left. No pneumothorax. Transvenous right atrial and right ventricular pacer leads in standard placements. A right subclavian line passes into the right atrium, but the tip is indistinct. No pneumothorax.",AP chest compared to ___: Postoperative widening of the cardiomediastinal silhouette continues to improve.,widening,cardiomediastinal silhouette,Better,['files/p15/p15144601/s55341919/b10086a9-a4ddd90e-8d225a77-9c7b3e0b-261c474f.jpg'],['files/p15/p15144601/s55001785/b0b2d70b-d96be717-6c1cbd4c-fcf2bcd9-e8d42293.jpg\n']
s55353288_6,p16622813,s55353288,6,Impression,"1. Interval placement of an endotracheal tube, which has its tip approximately 5 to 6 cm above the carina but appears to be in satisfactory position. There is a nasogastric tube coursing below the diaphragm, which appears to be coiled within the proximal stomach. Lungs again are hyperinflated suggesting underlying emphysema, and there are stable postoperative changes on the right side. Both pulmonary arteries remain prominent, consistent with underlying pulmonary artery hypertension. Heart remains within normal limits in size. The aorta appears somewhat dilated and unfolded on the current examination, likely related to marked patient rotation to the right. No evidence of pneumothorax.","Interval placement of an endotracheal tube, which has its tip approximately 5 to 6 cm above the carina but appears to be in satisfactory position.",endotracheal tube,approximately 5 to 6 cm above the carina,New,['files/p16/p16622813/s55353288/a249c5ba-c1c92f36-682ef4b1-98f3bd56-7d2f6932.jpg'],"['files/p16/p16622813/s53002522/901ff9da-8c7918cf-2c1642f7-2db14f83-c386dfe5.jpg\n', 'files/p16/p16622813/s53002522/f54d71e9-cb078a0e-41326b2e-d8a5e132-77b9f33a.jpg\n']"
s55353288_6,p16622813,s55353288,6,Impression,"1. Interval placement of an endotracheal tube, which has its tip approximately 5 to 6 cm above the carina but appears to be in satisfactory position. There is a nasogastric tube coursing below the diaphragm, which appears to be coiled within the proximal stomach. Lungs again are hyperinflated suggesting underlying emphysema, and there are stable postoperative changes on the right side. Both pulmonary arteries remain prominent, consistent with underlying pulmonary artery hypertension. Heart remains within normal limits in size. The aorta appears somewhat dilated and unfolded on the current examination, likely related to marked patient rotation to the right. No evidence of pneumothorax.","Lungs again are hyperinflated suggesting underlying emphysema, and there are stable postoperative changes on the right side.",postoperative changes,right side,Stable,['files/p16/p16622813/s55353288/a249c5ba-c1c92f36-682ef4b1-98f3bd56-7d2f6932.jpg'],"['files/p16/p16622813/s53002522/901ff9da-8c7918cf-2c1642f7-2db14f83-c386dfe5.jpg\n', 'files/p16/p16622813/s53002522/f54d71e9-cb078a0e-41326b2e-d8a5e132-77b9f33a.jpg\n']"
s55353288_6,p16622813,s55353288,6,Impression,"1. Interval placement of an endotracheal tube, which has its tip approximately 5 to 6 cm above the carina but appears to be in satisfactory position. There is a nasogastric tube coursing below the diaphragm, which appears to be coiled within the proximal stomach. Lungs again are hyperinflated suggesting underlying emphysema, and there are stable postoperative changes on the right side. Both pulmonary arteries remain prominent, consistent with underlying pulmonary artery hypertension. Heart remains within normal limits in size. The aorta appears somewhat dilated and unfolded on the current examination, likely related to marked patient rotation to the right. No evidence of pneumothorax.","Both pulmonary arteries remain prominent, consistent with underlying pulmonary artery hypertension.",pulmonary arteries,Both,Stable,['files/p16/p16622813/s55353288/a249c5ba-c1c92f36-682ef4b1-98f3bd56-7d2f6932.jpg'],"['files/p16/p16622813/s53002522/901ff9da-8c7918cf-2c1642f7-2db14f83-c386dfe5.jpg\n', 'files/p16/p16622813/s53002522/f54d71e9-cb078a0e-41326b2e-d8a5e132-77b9f33a.jpg\n']"
s55353288_6,p16622813,s55353288,6,Impression,"1. Interval placement of an endotracheal tube, which has its tip approximately 5 to 6 cm above the carina but appears to be in satisfactory position. There is a nasogastric tube coursing below the diaphragm, which appears to be coiled within the proximal stomach. Lungs again are hyperinflated suggesting underlying emphysema, and there are stable postoperative changes on the right side. Both pulmonary arteries remain prominent, consistent with underlying pulmonary artery hypertension. Heart remains within normal limits in size. The aorta appears somewhat dilated and unfolded on the current examination, likely related to marked patient rotation to the right. No evidence of pneumothorax.",Heart remains within normal limits in size.,Heart,,Stable,['files/p16/p16622813/s55353288/a249c5ba-c1c92f36-682ef4b1-98f3bd56-7d2f6932.jpg'],"['files/p16/p16622813/s53002522/901ff9da-8c7918cf-2c1642f7-2db14f83-c386dfe5.jpg\n', 'files/p16/p16622813/s53002522/f54d71e9-cb078a0e-41326b2e-d8a5e132-77b9f33a.jpg\n']"
s55364313_0,p15541869,s55364313,0,Impression,"AP chest compared to ___: Generalized interstitial pulmonary abnormality could be mild edema. Careful followup is advised because of the nodular quality of this abnormality which makes it imperative to exclude disseminated metastases or granulomatous infection. Low lung volumes exaggerate hilar size, another region that should be evaluated with conventional radiographs when feasible. Moderate cardiomegaly and large hiatus hernia are bigger today than they were in ___. Pleural effusions are small if any. Dr. ___ was paged.",Moderate cardiomegaly and large hiatus hernia are bigger today than they were in ___.,cardiomegaly,,Worse,['files/p15/p15541869/s55364313/a5b415f2-b092fbdd-488fd0f8-0d4c383a-eed231bc.jpg'],"['files/p15/p15541869/s55266015/176e0588-2fc59c9a-096765cc-a04685eb-e860762a.jpg\n', 'files/p15/p15541869/s55266015/a2958de9-3f5b2b3e-0f868adb-1bfb09df-e2f90c3e.jpg\n']"
s55364313_0,p15541869,s55364313,0,Impression,"AP chest compared to ___: Generalized interstitial pulmonary abnormality could be mild edema. Careful followup is advised because of the nodular quality of this abnormality which makes it imperative to exclude disseminated metastases or granulomatous infection. Low lung volumes exaggerate hilar size, another region that should be evaluated with conventional radiographs when feasible. Moderate cardiomegaly and large hiatus hernia are bigger today than they were in ___. Pleural effusions are small if any. Dr. ___ was paged.",Moderate cardiomegaly and large hiatus hernia are bigger today than they were in ___.,hiatus hernia,,Worse,['files/p15/p15541869/s55364313/a5b415f2-b092fbdd-488fd0f8-0d4c383a-eed231bc.jpg'],"['files/p15/p15541869/s55266015/176e0588-2fc59c9a-096765cc-a04685eb-e860762a.jpg\n', 'files/p15/p15541869/s55266015/a2958de9-3f5b2b3e-0f868adb-1bfb09df-e2f90c3e.jpg\n']"
s55368341_2,p13291370,s55368341,2,Impression,"PA and lateral chest compared to ___ and ___: Moderate cardiomegaly, enlargement of the pulmonary arteries suggesting pulmonary hypertension and hyperinflation of the lungs due to emphysema and/or chronic small airways obstruction, but not changed since at least ___. What has varied is the radiodensity of heterogeneous opacification at both lung bases, more pronounced today than earlier, and concerning for bibasilar pneumonia, particularly due to aspiration. Pleural effusion is minimal if any. Pulmonary edema is probably not present. A transvenous right ventricular pacer lead runs a course through the right ventricle close to the pulmonary outflow tract rather than the floor. No pneumothorax.","PA and lateral chest compared to ___ and ___: Moderate cardiomegaly, enlargement of the pulmonary arteries suggesting pulmonary hypertension and hyperinflation of the lungs due to emphysema and/or chronic small airways obstruction, but not changed since at least ___.",Moderate cardiomegaly,cardiac silhouette,Stable,"['files/p13/p13291370/s55368341/e5822893-231eaf6f-c8d964ad-3817fd52-61b5af42.jpg', 'files/p13/p13291370/s55368341/f1d7a33f-97b3e1ba-be1a44ac-71070a83-8b315e83.jpg']","['files/p13/p13291370/s53461201/b683c297-030af2a3-59abdf94-e6a7b694-cc4b7e31.jpg\n', 'files/p13/p13291370/s53461201/c438aa58-0a039112-e4e8fe88-99a21dd7-1f22535d.jpg\n']"
s55368341_2,p13291370,s55368341,2,Impression,"PA and lateral chest compared to ___ and ___: Moderate cardiomegaly, enlargement of the pulmonary arteries suggesting pulmonary hypertension and hyperinflation of the lungs due to emphysema and/or chronic small airways obstruction, but not changed since at least ___. What has varied is the radiodensity of heterogeneous opacification at both lung bases, more pronounced today than earlier, and concerning for bibasilar pneumonia, particularly due to aspiration. Pleural effusion is minimal if any. Pulmonary edema is probably not present. A transvenous right ventricular pacer lead runs a course through the right ventricle close to the pulmonary outflow tract rather than the floor. No pneumothorax.","PA and lateral chest compared to ___ and ___: Moderate cardiomegaly, enlargement of the pulmonary arteries suggesting pulmonary hypertension and hyperinflation of the lungs due to emphysema and/or chronic small airways obstruction, but not changed since at least ___.",enlargement suggesting pulmonary hypertension,pulmonary arteries,Stable,"['files/p13/p13291370/s55368341/e5822893-231eaf6f-c8d964ad-3817fd52-61b5af42.jpg', 'files/p13/p13291370/s55368341/f1d7a33f-97b3e1ba-be1a44ac-71070a83-8b315e83.jpg']","['files/p13/p13291370/s53461201/b683c297-030af2a3-59abdf94-e6a7b694-cc4b7e31.jpg\n', 'files/p13/p13291370/s53461201/c438aa58-0a039112-e4e8fe88-99a21dd7-1f22535d.jpg\n']"
s55368341_2,p13291370,s55368341,2,Impression,"PA and lateral chest compared to ___ and ___: Moderate cardiomegaly, enlargement of the pulmonary arteries suggesting pulmonary hypertension and hyperinflation of the lungs due to emphysema and/or chronic small airways obstruction, but not changed since at least ___. What has varied is the radiodensity of heterogeneous opacification at both lung bases, more pronounced today than earlier, and concerning for bibasilar pneumonia, particularly due to aspiration. Pleural effusion is minimal if any. Pulmonary edema is probably not present. A transvenous right ventricular pacer lead runs a course through the right ventricle close to the pulmonary outflow tract rather than the floor. No pneumothorax.","PA and lateral chest compared to ___ and ___: Moderate cardiomegaly, enlargement of the pulmonary arteries suggesting pulmonary hypertension and hyperinflation of the lungs due to emphysema and/or chronic small airways obstruction, but not changed since at least ___.",hyperinflation due to emphysema and/or chronic small airways obstruction,lungs,Stable,"['files/p13/p13291370/s55368341/e5822893-231eaf6f-c8d964ad-3817fd52-61b5af42.jpg', 'files/p13/p13291370/s55368341/f1d7a33f-97b3e1ba-be1a44ac-71070a83-8b315e83.jpg']","['files/p13/p13291370/s53461201/b683c297-030af2a3-59abdf94-e6a7b694-cc4b7e31.jpg\n', 'files/p13/p13291370/s53461201/c438aa58-0a039112-e4e8fe88-99a21dd7-1f22535d.jpg\n']"
s55368341_2,p13291370,s55368341,2,Impression,"PA and lateral chest compared to ___ and ___: Moderate cardiomegaly, enlargement of the pulmonary arteries suggesting pulmonary hypertension and hyperinflation of the lungs due to emphysema and/or chronic small airways obstruction, but not changed since at least ___. What has varied is the radiodensity of heterogeneous opacification at both lung bases, more pronounced today than earlier, and concerning for bibasilar pneumonia, particularly due to aspiration. Pleural effusion is minimal if any. Pulmonary edema is probably not present. A transvenous right ventricular pacer lead runs a course through the right ventricle close to the pulmonary outflow tract rather than the floor. No pneumothorax.","What has varied is the radiodensity of heterogeneous opacification at both lung bases, more pronounced today than earlier, and concerning for bibasilar pneumonia, particularly due to aspiration.",heterogeneous opacification,both lung bases,Worse,"['files/p13/p13291370/s55368341/e5822893-231eaf6f-c8d964ad-3817fd52-61b5af42.jpg', 'files/p13/p13291370/s55368341/f1d7a33f-97b3e1ba-be1a44ac-71070a83-8b315e83.jpg']","['files/p13/p13291370/s53461201/b683c297-030af2a3-59abdf94-e6a7b694-cc4b7e31.jpg\n', 'files/p13/p13291370/s53461201/c438aa58-0a039112-e4e8fe88-99a21dd7-1f22535d.jpg\n']"
s55381796_22,p17770657,s55381796,22,Findings,"An AP single view of the chest has been obtained with patient in sitting semi-upright position. Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___. On the previous examination, the patient had a pigtail drainage catheter placed anteriorly to the chest wall in an apparent presternal soft tissue cavity in this patient with a history of sternal dehiscence. The pigtail catheter has been removed. On the present frontal single view examination, one can identify a thin-wall line apparently entering the right lower anterior chest wall reaching the superior portion of the thorax where it terminates overlying the infraclavicular junction. On this single chest view, no pneumothorax can be identified and no new pulmonary abnormalities are seen. Unfortunately, the examination did not include a lateral view at this time, which is the essential component to evaluate the presternal anatomy in the patient's anterior chest wall. The chest CT examination ___ ___ is reviewed from this study is apparent that the anterior chest wall cavity is filled with large amount of fluid, which communicates through the dehisced sternum into the mediastinal structures. Additional lateral view is mandatory for evaluation of this unusual finding. Potential drainage could be monitored under fluoroscopic control.",The pigtail catheter has been removed.,Pigtail catheter,,Resolve,"['files/p17/p17770657/s55381796/0d9f0e0e-c739caf5-81be4979-de1a6752-1dc8db67.jpg', 'files/p17/p17770657/s55381796/a05e9e39-7b3940f3-f422729e-d4e343eb-a972048d.jpg']",['files/p17/p17770657/s54995727/03f5be94-94356058-6e153b3e-9d89dc4b-bc540c4c.jpg\n']
s55391430_7,p14147787,s55391430,7,Impression,"The bilateral upper lobe scarring including traction bronchiectasis is more evident today than it was on ___, consistent with and progression of pulmonary sarcoidosis. There is no evidence of central adenopathy or any pleural abnormality","The bilateral upper lobe scarring including traction bronchiectasis is more evident today than it was on ___, consistent with and progression of pulmonary sarcoidosis.",scarring including traction bronchiectasis,bilateral upper lobes,Worse,"['files/p14/p14147787/s55391430/3fde5d9d-38f2f63c-650afe46-ecc5ae96-a8126971.jpg', 'files/p14/p14147787/s55391430/7a52e00c-0cd9dc20-34963936-2a8e2811-cdd867d0.jpg', 'files/p14/p14147787/s55391430/a5483a72-9113c597-6bbded1e-2588998a-e04cc1d1.jpg']","['files/p14/p14147787/s55240854/ba892f90-88618ff7-28ff47ef-ffe24fdc-ede9c315.jpg\n', 'files/p14/p14147787/s55240854/d37f851f-dd475dc1-dbc59ed2-c679e60c-a858cfb7.jpg\n']"
s55391561_22,p12185775,s55391561,22,Findings,"As compared to the previous radiograph, the lung volumes have increased. The right internal jugular vein introduction sheath has been removed. The pre-existing right pleural effusion has completely resolved. On the left, however, the pre-existing pleural effusion persists and has minimally increased in extent. There are subsequent areas of retrocardiac and basal atelectasis. Borderline size of the cardiac silhouette. Two calcified lung nodules in the left apex.","As compared to the previous radiograph, the lung volumes have increased.",lung volumes,,Worse,"['files/p12/p12185775/s55391561/d3905d7d-0e7ed6e5-b6ec0f08-c5b5dcd8-ad786679.jpg', 'files/p12/p12185775/s55391561/ea54418c-e36750cc-060592a5-0239e442-40b57ba0.jpg']",['files/p12/p12185775/s55200248/35405ddd-e3962eab-c0815341-608847ce-234f9d06.jpg\n']
s55391561_22,p12185775,s55391561,22,Findings,"As compared to the previous radiograph, the lung volumes have increased. The right internal jugular vein introduction sheath has been removed. The pre-existing right pleural effusion has completely resolved. On the left, however, the pre-existing pleural effusion persists and has minimally increased in extent. There are subsequent areas of retrocardiac and basal atelectasis. Borderline size of the cardiac silhouette. Two calcified lung nodules in the left apex.",The pre-existing right pleural effusion has completely resolved.,pleural effusion,right,Resolve,"['files/p12/p12185775/s55391561/d3905d7d-0e7ed6e5-b6ec0f08-c5b5dcd8-ad786679.jpg', 'files/p12/p12185775/s55391561/ea54418c-e36750cc-060592a5-0239e442-40b57ba0.jpg']",['files/p12/p12185775/s55200248/35405ddd-e3962eab-c0815341-608847ce-234f9d06.jpg\n']
s55391561_22,p12185775,s55391561,22,Findings,"As compared to the previous radiograph, the lung volumes have increased. The right internal jugular vein introduction sheath has been removed. The pre-existing right pleural effusion has completely resolved. On the left, however, the pre-existing pleural effusion persists and has minimally increased in extent. There are subsequent areas of retrocardiac and basal atelectasis. Borderline size of the cardiac silhouette. Two calcified lung nodules in the left apex.","On the left, however, the pre-existing pleural effusion persists and has minimally increased in extent.",pleural effusion,left,Worse,"['files/p12/p12185775/s55391561/d3905d7d-0e7ed6e5-b6ec0f08-c5b5dcd8-ad786679.jpg', 'files/p12/p12185775/s55391561/ea54418c-e36750cc-060592a5-0239e442-40b57ba0.jpg']",['files/p12/p12185775/s55200248/35405ddd-e3962eab-c0815341-608847ce-234f9d06.jpg\n']
s55391561_22,p12185775,s55391561,22,Findings,"As compared to the previous radiograph, the lung volumes have increased. The right internal jugular vein introduction sheath has been removed. The pre-existing right pleural effusion has completely resolved. On the left, however, the pre-existing pleural effusion persists and has minimally increased in extent. There are subsequent areas of retrocardiac and basal atelectasis. Borderline size of the cardiac silhouette. Two calcified lung nodules in the left apex.",The right internal jugular vein introduction sheath has been removed.,internal jugular vein introduction sheath,right,Resolve,"['files/p12/p12185775/s55391561/d3905d7d-0e7ed6e5-b6ec0f08-c5b5dcd8-ad786679.jpg', 'files/p12/p12185775/s55391561/ea54418c-e36750cc-060592a5-0239e442-40b57ba0.jpg']",['files/p12/p12185775/s55200248/35405ddd-e3962eab-c0815341-608847ce-234f9d06.jpg\n']
s55391861_29,p14851532,s55391861,29,Impression,"As compared to the previous radiograph, the patient has undergone right thoracocentesis. The right pleural effusion has almost completely been drained. There is no evidence for the presence of a right pneumothorax. The scars at the level of the right lung base and the left perihilar area and the left lung periphery are constant. The size of the cardiac silhouette is also unchanged. Unchanged position of the right PICC line.","As compared to the previous radiograph, the patient has undergone right thoracocentesis.",thoracocentesis,right,Resolve,"['files/p14/p14851532/s55391861/066ec4b5-091a526d-468587e6-5da388cf-013a6056.jpg', 'files/p14/p14851532/s55391861/920383e8-f7826e9b-c4757924-9056a960-61d392bb.jpg', 'files/p14/p14851532/s55391861/db947f2f-6fecfd69-1ed4dbf2-6e7c6fb8-a395c1b6.jpg']","['files/p14/p14851532/s55268779/3b728ba8-286ccc7c-03fe6ea5-cd414e08-a5ee38c1.jpg\n', 'files/p14/p14851532/s55268779/ed1582fe-11520f56-91344c07-104b530a-09b06814.jpg\n']"
s55391861_29,p14851532,s55391861,29,Impression,"As compared to the previous radiograph, the patient has undergone right thoracocentesis. The right pleural effusion has almost completely been drained. There is no evidence for the presence of a right pneumothorax. The scars at the level of the right lung base and the left perihilar area and the left lung periphery are constant. The size of the cardiac silhouette is also unchanged. Unchanged position of the right PICC line.",The scars at the level of the right lung base and the left perihilar area and the left lung periphery are constant.,scars,"right lung base, left perihilar area, left lung periphery",Stable,"['files/p14/p14851532/s55391861/066ec4b5-091a526d-468587e6-5da388cf-013a6056.jpg', 'files/p14/p14851532/s55391861/920383e8-f7826e9b-c4757924-9056a960-61d392bb.jpg', 'files/p14/p14851532/s55391861/db947f2f-6fecfd69-1ed4dbf2-6e7c6fb8-a395c1b6.jpg']","['files/p14/p14851532/s55268779/3b728ba8-286ccc7c-03fe6ea5-cd414e08-a5ee38c1.jpg\n', 'files/p14/p14851532/s55268779/ed1582fe-11520f56-91344c07-104b530a-09b06814.jpg\n']"
s55391861_29,p14851532,s55391861,29,Impression,"As compared to the previous radiograph, the patient has undergone right thoracocentesis. The right pleural effusion has almost completely been drained. There is no evidence for the presence of a right pneumothorax. The scars at the level of the right lung base and the left perihilar area and the left lung periphery are constant. The size of the cardiac silhouette is also unchanged. Unchanged position of the right PICC line.",Unchanged position of the right PICC line.,PICC line position,right,Stable,"['files/p14/p14851532/s55391861/066ec4b5-091a526d-468587e6-5da388cf-013a6056.jpg', 'files/p14/p14851532/s55391861/920383e8-f7826e9b-c4757924-9056a960-61d392bb.jpg', 'files/p14/p14851532/s55391861/db947f2f-6fecfd69-1ed4dbf2-6e7c6fb8-a395c1b6.jpg']","['files/p14/p14851532/s55268779/3b728ba8-286ccc7c-03fe6ea5-cd414e08-a5ee38c1.jpg\n', 'files/p14/p14851532/s55268779/ed1582fe-11520f56-91344c07-104b530a-09b06814.jpg\n']"
s55391861_29,p14851532,s55391861,29,Impression,"As compared to the previous radiograph, the patient has undergone right thoracocentesis. The right pleural effusion has almost completely been drained. There is no evidence for the presence of a right pneumothorax. The scars at the level of the right lung base and the left perihilar area and the left lung periphery are constant. The size of the cardiac silhouette is also unchanged. Unchanged position of the right PICC line.",The size of the cardiac silhouette is also unchanged.,size,cardiac silhouette,Stable,"['files/p14/p14851532/s55391861/066ec4b5-091a526d-468587e6-5da388cf-013a6056.jpg', 'files/p14/p14851532/s55391861/920383e8-f7826e9b-c4757924-9056a960-61d392bb.jpg', 'files/p14/p14851532/s55391861/db947f2f-6fecfd69-1ed4dbf2-6e7c6fb8-a395c1b6.jpg']","['files/p14/p14851532/s55268779/3b728ba8-286ccc7c-03fe6ea5-cd414e08-a5ee38c1.jpg\n', 'files/p14/p14851532/s55268779/ed1582fe-11520f56-91344c07-104b530a-09b06814.jpg\n']"
s55391861_29,p14851532,s55391861,29,Impression,"As compared to the previous radiograph, the patient has undergone right thoracocentesis. The right pleural effusion has almost completely been drained. There is no evidence for the presence of a right pneumothorax. The scars at the level of the right lung base and the left perihilar area and the left lung periphery are constant. The size of the cardiac silhouette is also unchanged. Unchanged position of the right PICC line.",The right pleural effusion has almost completely been drained.,pleural effusion,right,Resolve,"['files/p14/p14851532/s55391861/066ec4b5-091a526d-468587e6-5da388cf-013a6056.jpg', 'files/p14/p14851532/s55391861/920383e8-f7826e9b-c4757924-9056a960-61d392bb.jpg', 'files/p14/p14851532/s55391861/db947f2f-6fecfd69-1ed4dbf2-6e7c6fb8-a395c1b6.jpg']","['files/p14/p14851532/s55268779/3b728ba8-286ccc7c-03fe6ea5-cd414e08-a5ee38c1.jpg\n', 'files/p14/p14851532/s55268779/ed1582fe-11520f56-91344c07-104b530a-09b06814.jpg\n']"
s55395733_13,p15192710,s55395733,13,Findings,"There are faint bibasilar opacities with possible bronchial wall thickening which are nonspecific but similar to that seen on ___. These findings are in the same distribution as seen previously on ___. Otherwise, cardiac silhouette is within normal limits. The aorta is unremarkable. Osseous structures demonstrate degenerative changes of bilateral glenohumeral joints.",There are faint bibasilar opacities with possible bronchial wall thickening which are nonspecific but similar to that seen on ___,bronchial wall thickening,bibasilar,Stable,"['files/p15/p15192710/s55395733/0fc79616-7e3a9293-c3991955-223e2630-2bf96047.jpg', 'files/p15/p15192710/s55395733/fb97dc99-52ef2345-cca09851-57c3d33d-c0fcf34c.jpg']","['files/p15/p15192710/s53951719/042b8e55-50d27345-7b393528-2e2d0294-10141795.jpg\n', 'files/p15/p15192710/s53951719/6791ae5f-2b5a0473-e5a08897-c829d6ef-74848f0d.jpg\n']"
s55395733_13,p15192710,s55395733,13,Findings,"There are faint bibasilar opacities with possible bronchial wall thickening which are nonspecific but similar to that seen on ___. These findings are in the same distribution as seen previously on ___. Otherwise, cardiac silhouette is within normal limits. The aorta is unremarkable. Osseous structures demonstrate degenerative changes of bilateral glenohumeral joints.",There are faint bibasilar opacities with possible bronchial wall thickening which are nonspecific but similar to that seen on ___,opacities,bibasilar,Stable,"['files/p15/p15192710/s55395733/0fc79616-7e3a9293-c3991955-223e2630-2bf96047.jpg', 'files/p15/p15192710/s55395733/fb97dc99-52ef2345-cca09851-57c3d33d-c0fcf34c.jpg']","['files/p15/p15192710/s53951719/042b8e55-50d27345-7b393528-2e2d0294-10141795.jpg\n', 'files/p15/p15192710/s53951719/6791ae5f-2b5a0473-e5a08897-c829d6ef-74848f0d.jpg\n']"
s55400628_7,p14236258,s55400628,7,Findings,"Frontal and lateral views of the chest were obtained. A vascular stent is again noted in the left brachiocephalic vein and SVC, stable in position. The cardiac and mediastinal silhouettes are stable. Prominence of the right hilum is grossly stable. Subtle prominence of perihilar vasculature may be due to mild vascular congestion. The right basilar opacity is stable as compared to the prior study from ___.","A vascular stent is again noted in the left brachiocephalic vein and SVC, stable in position.",vascular stent,left brachiocephalic vein and SVC,Stable,"['files/p14/p14236258/s55400628/5d37e278-47fa9e3a-5fa3bbcf-a9b2cfae-74ed3559.jpg', 'files/p14/p14236258/s55400628/6bcb8e81-3444b4bd-b017a83d-6f0d03d3-dc350009.jpg', 'files/p14/p14236258/s55400628/bdd612ef-c670dd82-8e5b97e4-82d8c071-20405c37.jpg']",['files/p14/p14236258/s55328340/cb7831a4-b96e79a9-fb92a40e-661f84c9-35010799.jpg\n']
s55400628_7,p14236258,s55400628,7,Impression,Right basilar opacity is stable as compared to the prior study from ___. No large pleural effusion. Possible mild vascular congestion.,Right basilar opacity is stable as compared to the prior study from ___.,opacity,right basilar,Stable,"['files/p14/p14236258/s55400628/5d37e278-47fa9e3a-5fa3bbcf-a9b2cfae-74ed3559.jpg', 'files/p14/p14236258/s55400628/6bcb8e81-3444b4bd-b017a83d-6f0d03d3-dc350009.jpg', 'files/p14/p14236258/s55400628/bdd612ef-c670dd82-8e5b97e4-82d8c071-20405c37.jpg']",['files/p14/p14236258/s55328340/cb7831a4-b96e79a9-fb92a40e-661f84c9-35010799.jpg\n']
s55400628_7,p14236258,s55400628,7,Findings,"Frontal and lateral views of the chest were obtained. A vascular stent is again noted in the left brachiocephalic vein and SVC, stable in position. The cardiac and mediastinal silhouettes are stable. Prominence of the right hilum is grossly stable. Subtle prominence of perihilar vasculature may be due to mild vascular congestion. The right basilar opacity is stable as compared to the prior study from ___.",Prominence of the right hilum is grossly stable.,Prominence,right hilum,Stable,"['files/p14/p14236258/s55400628/5d37e278-47fa9e3a-5fa3bbcf-a9b2cfae-74ed3559.jpg', 'files/p14/p14236258/s55400628/6bcb8e81-3444b4bd-b017a83d-6f0d03d3-dc350009.jpg', 'files/p14/p14236258/s55400628/bdd612ef-c670dd82-8e5b97e4-82d8c071-20405c37.jpg']",['files/p14/p14236258/s55328340/cb7831a4-b96e79a9-fb92a40e-661f84c9-35010799.jpg\n']
s55400628_7,p14236258,s55400628,7,Findings,"Frontal and lateral views of the chest were obtained. A vascular stent is again noted in the left brachiocephalic vein and SVC, stable in position. The cardiac and mediastinal silhouettes are stable. Prominence of the right hilum is grossly stable. Subtle prominence of perihilar vasculature may be due to mild vascular congestion. The right basilar opacity is stable as compared to the prior study from ___.",The cardiac and mediastinal silhouettes are stable.,cardiac and mediastinal silhouettes,,Stable,"['files/p14/p14236258/s55400628/5d37e278-47fa9e3a-5fa3bbcf-a9b2cfae-74ed3559.jpg', 'files/p14/p14236258/s55400628/6bcb8e81-3444b4bd-b017a83d-6f0d03d3-dc350009.jpg', 'files/p14/p14236258/s55400628/bdd612ef-c670dd82-8e5b97e4-82d8c071-20405c37.jpg']",['files/p14/p14236258/s55328340/cb7831a4-b96e79a9-fb92a40e-661f84c9-35010799.jpg\n']
s55400628_7,p14236258,s55400628,7,Findings,"Frontal and lateral views of the chest were obtained. A vascular stent is again noted in the left brachiocephalic vein and SVC, stable in position. The cardiac and mediastinal silhouettes are stable. Prominence of the right hilum is grossly stable. Subtle prominence of perihilar vasculature may be due to mild vascular congestion. The right basilar opacity is stable as compared to the prior study from ___.",The right basilar opacity is stable as compared to the prior study from ___.,opacity,right basilar,Stable,"['files/p14/p14236258/s55400628/5d37e278-47fa9e3a-5fa3bbcf-a9b2cfae-74ed3559.jpg', 'files/p14/p14236258/s55400628/6bcb8e81-3444b4bd-b017a83d-6f0d03d3-dc350009.jpg', 'files/p14/p14236258/s55400628/bdd612ef-c670dd82-8e5b97e4-82d8c071-20405c37.jpg']",['files/p14/p14236258/s55328340/cb7831a4-b96e79a9-fb92a40e-661f84c9-35010799.jpg\n']
s55403341_0,p10523725,s55403341,0,Findings,"Since the prior radiograph there has been no significant change. There is no focal consolidation, pleural effusion, pneumothorax or pulmonary edema. Cardiomediastinal silhouette is unchanged and notable for tortuous aorta and mild cardiomegaly. Median sternotomy wires are present and intact. Clips are seen in the midline of the thorax. Bony structures are intact.",Since the prior radiograph there has been no significant change.,,,Stable,"['files/p10/p10523725/s55403341/06d554f6-3140bf31-1af4226a-2f7dbe59-d2b8189b.jpg', 'files/p10/p10523725/s55403341/33bf5a29-ae253ca3-b12fda7e-13d84544-38b4bd08.jpg', 'files/p10/p10523725/s55403341/6198d9d5-ceb35813-e3924059-a76eaeb2-b9bd01b6.jpg']","['files/p10/p10523725/s53855617/486db439-36e5e537-84a12c97-ca71ac70-d32f8ec3.jpg\n', 'files/p10/p10523725/s53855617/c2573c49-b633214e-7ade830e-9fd88137-e444e65e.jpg\n', 'files/p10/p10523725/s53855617/e7429a0c-65a17034-eaa42fd3-dfb5e1e5-05ec8bb9.jpg\n']"
s55403341_0,p10523725,s55403341,0,Findings,"Since the prior radiograph there has been no significant change. There is no focal consolidation, pleural effusion, pneumothorax or pulmonary edema. Cardiomediastinal silhouette is unchanged and notable for tortuous aorta and mild cardiomegaly. Median sternotomy wires are present and intact. Clips are seen in the midline of the thorax. Bony structures are intact.",Cardiomediastinal silhouette is unchanged and notable for tortuous aorta and mild cardiomegaly.,Cardiomediastinal silhouette,,Stable,"['files/p10/p10523725/s55403341/06d554f6-3140bf31-1af4226a-2f7dbe59-d2b8189b.jpg', 'files/p10/p10523725/s55403341/33bf5a29-ae253ca3-b12fda7e-13d84544-38b4bd08.jpg', 'files/p10/p10523725/s55403341/6198d9d5-ceb35813-e3924059-a76eaeb2-b9bd01b6.jpg']","['files/p10/p10523725/s53855617/486db439-36e5e537-84a12c97-ca71ac70-d32f8ec3.jpg\n', 'files/p10/p10523725/s53855617/c2573c49-b633214e-7ade830e-9fd88137-e444e65e.jpg\n', 'files/p10/p10523725/s53855617/e7429a0c-65a17034-eaa42fd3-dfb5e1e5-05ec8bb9.jpg\n']"
s55403341_0,p10523725,s55403341,0,Impression,No significant change since the prior study and no evidence of overt pulmonary edema.,No significant change since the prior study and no evidence of overt pulmonary edema.,,,Stable,"['files/p10/p10523725/s55403341/06d554f6-3140bf31-1af4226a-2f7dbe59-d2b8189b.jpg', 'files/p10/p10523725/s55403341/33bf5a29-ae253ca3-b12fda7e-13d84544-38b4bd08.jpg', 'files/p10/p10523725/s55403341/6198d9d5-ceb35813-e3924059-a76eaeb2-b9bd01b6.jpg']","['files/p10/p10523725/s53855617/486db439-36e5e537-84a12c97-ca71ac70-d32f8ec3.jpg\n', 'files/p10/p10523725/s53855617/c2573c49-b633214e-7ade830e-9fd88137-e444e65e.jpg\n', 'files/p10/p10523725/s53855617/e7429a0c-65a17034-eaa42fd3-dfb5e1e5-05ec8bb9.jpg\n']"
s55403688_16,p19061282,s55403688,16,Impression,Osseous sclerosis limits assessment for underlying focal consolidation. Interval decrease in pulmonary consolidations compared to ___. No definite new focal consolidation. Moderate cardiomegaly.,Interval decrease in pulmonary consolidations compared to ___.,Consolidations,Pulmonary,Better,"['files/p19/p19061282/s55403688/1d191ab7-a6b06641-eae8c46f-bec7824b-0d18c9e7.jpg', 'files/p19/p19061282/s55403688/407f8ab5-8827f7ad-75133d25-50cf5e18-f830a187.jpg']",['files/p19/p19061282/s55058349/429fa17a-9886b777-b604dcc3-2aa91a9f-3963b43a.jpg\n']
s55403688_16,p19061282,s55403688,16,Findings,"Again, the bones are diffusely sclerotic. The somewhat limits assessment for underlying focal consolidation, however, previously seen multifocal consolidations bilaterally on ___ have significantly decreased in the interval. No definite new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is moderately enlarged. Mediastinal contours are stable. Several vascular stents are re- demonstrated.",Mediastinal contours are stable.,Contours,Mediastinal,Stable,"['files/p19/p19061282/s55403688/1d191ab7-a6b06641-eae8c46f-bec7824b-0d18c9e7.jpg', 'files/p19/p19061282/s55403688/407f8ab5-8827f7ad-75133d25-50cf5e18-f830a187.jpg']",['files/p19/p19061282/s55058349/429fa17a-9886b777-b604dcc3-2aa91a9f-3963b43a.jpg\n']
s55403688_16,p19061282,s55403688,16,Findings,"Again, the bones are diffusely sclerotic. The somewhat limits assessment for underlying focal consolidation, however, previously seen multifocal consolidations bilaterally on ___ have significantly decreased in the interval. No definite new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is moderately enlarged. Mediastinal contours are stable. Several vascular stents are re- demonstrated.","The somewhat limits assessment for underlying focal consolidation, however, previously seen multifocal consolidations bilaterally on ___ have significantly decreased in the interval.",Multifocal consolidations,Bilaterally,Better,"['files/p19/p19061282/s55403688/1d191ab7-a6b06641-eae8c46f-bec7824b-0d18c9e7.jpg', 'files/p19/p19061282/s55403688/407f8ab5-8827f7ad-75133d25-50cf5e18-f830a187.jpg']",['files/p19/p19061282/s55058349/429fa17a-9886b777-b604dcc3-2aa91a9f-3963b43a.jpg\n']
s55410068_15,p12847817,s55410068,15,Findings,Comparison is made to previous study from ___. There is unchanged cardiomegaly. There has been some improvement of aeration at the right lung base. There remain bilateral pleural effusions and a left retrocardiac opacity. No pneumothoraces are present.,There remain bilateral pleural effusions and a left retrocardiac opacity.,pleural effusions,bilateral,Stable,['files/p12/p12847817/s55410068/34a9c77c-75d0076f-b1afc9bf-6a0be3b9-0bf021d1.jpg'],['files/p12/p12847817/s54656023/c9d61fcf-0566cce5-a12caae5-5c86b25f-20caac6a.jpg\n']
s55410068_15,p12847817,s55410068,15,Findings,Comparison is made to previous study from ___. There is unchanged cardiomegaly. There has been some improvement of aeration at the right lung base. There remain bilateral pleural effusions and a left retrocardiac opacity. No pneumothoraces are present.,There has been some improvement of aeration at the right lung base.,aeration,right lung base,Better,['files/p12/p12847817/s55410068/34a9c77c-75d0076f-b1afc9bf-6a0be3b9-0bf021d1.jpg'],['files/p12/p12847817/s54656023/c9d61fcf-0566cce5-a12caae5-5c86b25f-20caac6a.jpg\n']
s55410068_15,p12847817,s55410068,15,Findings,Comparison is made to previous study from ___. There is unchanged cardiomegaly. There has been some improvement of aeration at the right lung base. There remain bilateral pleural effusions and a left retrocardiac opacity. No pneumothoraces are present.,There is unchanged cardiomegaly.,cardiomegaly,,Stable,['files/p12/p12847817/s55410068/34a9c77c-75d0076f-b1afc9bf-6a0be3b9-0bf021d1.jpg'],['files/p12/p12847817/s54656023/c9d61fcf-0566cce5-a12caae5-5c86b25f-20caac6a.jpg\n']
s55410068_15,p12847817,s55410068,15,Findings,Comparison is made to previous study from ___. There is unchanged cardiomegaly. There has been some improvement of aeration at the right lung base. There remain bilateral pleural effusions and a left retrocardiac opacity. No pneumothoraces are present.,There remain bilateral pleural effusions and a left retrocardiac opacity.,opacity,left retrocardiac,Stable,['files/p12/p12847817/s55410068/34a9c77c-75d0076f-b1afc9bf-6a0be3b9-0bf021d1.jpg'],['files/p12/p12847817/s54656023/c9d61fcf-0566cce5-a12caae5-5c86b25f-20caac6a.jpg\n']
s55410841_6,p15378103,s55410841,6,Findings,"As compared to the previous radiograph, the lung volumes have slightly decreased, which could potentially be caused by decreased ventilatory pressures. As a consequence, the bilateral parenchymal opacities appear slightly denser than on the previous image. The size of the cardiac silhouette is unchanged. No new parenchymal opacities have newly occurred. No pleural effusions are seen. The monitoring and support devices are constant.","As compared to the previous radiograph, the lung volumes have slightly decreased, which could potentially be caused by decreased ventilatory pressures.",lung volumes,,Worse,['files/p15/p15378103/s55410841/93b9fbec-d0096ef4-0f25a638-a44849a5-58844ba5.jpg'],['files/p15/p15378103/s55163409/fa5caeed-1ed5d77a-c60b51dc-3251debf-af961447.jpg\n']
s55410841_6,p15378103,s55410841,6,Findings,"As compared to the previous radiograph, the lung volumes have slightly decreased, which could potentially be caused by decreased ventilatory pressures. As a consequence, the bilateral parenchymal opacities appear slightly denser than on the previous image. The size of the cardiac silhouette is unchanged. No new parenchymal opacities have newly occurred. No pleural effusions are seen. The monitoring and support devices are constant.","As a consequence, the bilateral parenchymal opacities appear slightly denser than on the previous image.",parenchymal opacities,bilateral,Worse,['files/p15/p15378103/s55410841/93b9fbec-d0096ef4-0f25a638-a44849a5-58844ba5.jpg'],['files/p15/p15378103/s55163409/fa5caeed-1ed5d77a-c60b51dc-3251debf-af961447.jpg\n']
s55410841_6,p15378103,s55410841,6,Findings,"As compared to the previous radiograph, the lung volumes have slightly decreased, which could potentially be caused by decreased ventilatory pressures. As a consequence, the bilateral parenchymal opacities appear slightly denser than on the previous image. The size of the cardiac silhouette is unchanged. No new parenchymal opacities have newly occurred. No pleural effusions are seen. The monitoring and support devices are constant.",The monitoring and support devices are constant.,monitoring and support devices,,Stable,['files/p15/p15378103/s55410841/93b9fbec-d0096ef4-0f25a638-a44849a5-58844ba5.jpg'],['files/p15/p15378103/s55163409/fa5caeed-1ed5d77a-c60b51dc-3251debf-af961447.jpg\n']
s55410841_6,p15378103,s55410841,6,Findings,"As compared to the previous radiograph, the lung volumes have slightly decreased, which could potentially be caused by decreased ventilatory pressures. As a consequence, the bilateral parenchymal opacities appear slightly denser than on the previous image. The size of the cardiac silhouette is unchanged. No new parenchymal opacities have newly occurred. No pleural effusions are seen. The monitoring and support devices are constant.",The size of the cardiac silhouette is unchanged.,cardiac silhouette size,,Stable,['files/p15/p15378103/s55410841/93b9fbec-d0096ef4-0f25a638-a44849a5-58844ba5.jpg'],['files/p15/p15378103/s55163409/fa5caeed-1ed5d77a-c60b51dc-3251debf-af961447.jpg\n']
s55413705_15,p13263843,s55413705,15,Findings,"Single frontal view of the chest was obtained. New heterogeneous opacity of the left lower lung is consistent with left lower lobe pneumonia. Right lung volume loss status post thoracotomy is similar to prior exam. Chain sutures overlying the lateral right lung and right hilum, and scarring of the right lung base are unchanged. Heart size and cardiomediastinal contours are stable.",New heterogeneous opacity of the left lower lung is consistent with left lower lobe pneumonia.,heterogeneous opacity,left lower lung,New,['files/p13/p13263843/s55413705/41bee34e-e9476a64-f28f2775-7d097a58-d88789f6.jpg'],"['files/p13/p13263843/s55312260/204ddf42-2240e02f-cf58a88e-684540aa-4e5da21c.jpg\n', 'files/p13/p13263843/s55312260/22ebe993-418ddc79-44f5af39-3e2d7039-df6bd5fc.jpg\n']"
s55413705_15,p13263843,s55413705,15,Findings,"Single frontal view of the chest was obtained. New heterogeneous opacity of the left lower lung is consistent with left lower lobe pneumonia. Right lung volume loss status post thoracotomy is similar to prior exam. Chain sutures overlying the lateral right lung and right hilum, and scarring of the right lung base are unchanged. Heart size and cardiomediastinal contours are stable.",Right lung volume loss status post thoracotomy is similar to prior exam.,volume loss,right lung,Stable,['files/p13/p13263843/s55413705/41bee34e-e9476a64-f28f2775-7d097a58-d88789f6.jpg'],"['files/p13/p13263843/s55312260/204ddf42-2240e02f-cf58a88e-684540aa-4e5da21c.jpg\n', 'files/p13/p13263843/s55312260/22ebe993-418ddc79-44f5af39-3e2d7039-df6bd5fc.jpg\n']"
s55413705_15,p13263843,s55413705,15,Findings,"Single frontal view of the chest was obtained. New heterogeneous opacity of the left lower lung is consistent with left lower lobe pneumonia. Right lung volume loss status post thoracotomy is similar to prior exam. Chain sutures overlying the lateral right lung and right hilum, and scarring of the right lung base are unchanged. Heart size and cardiomediastinal contours are stable.","Chain sutures overlying the lateral right lung and right hilum, and scarring of the right lung base are unchanged.",chain sutures,lateral right lung and right hilum,Stable,['files/p13/p13263843/s55413705/41bee34e-e9476a64-f28f2775-7d097a58-d88789f6.jpg'],"['files/p13/p13263843/s55312260/204ddf42-2240e02f-cf58a88e-684540aa-4e5da21c.jpg\n', 'files/p13/p13263843/s55312260/22ebe993-418ddc79-44f5af39-3e2d7039-df6bd5fc.jpg\n']"
s55413705_15,p13263843,s55413705,15,Impression,1. Left lower lobe pneumonia. 2. Stable changes status post right thoracotomy with right upper lobe lobectomy and apical radiation fibrosis.,2. Stable changes status post right thoracotomy with right upper lobe lobectomy and apical radiation fibrosis.,lobectomy,right upper lobe,Stable,['files/p13/p13263843/s55413705/41bee34e-e9476a64-f28f2775-7d097a58-d88789f6.jpg'],"['files/p13/p13263843/s55312260/204ddf42-2240e02f-cf58a88e-684540aa-4e5da21c.jpg\n', 'files/p13/p13263843/s55312260/22ebe993-418ddc79-44f5af39-3e2d7039-df6bd5fc.jpg\n']"
s55413705_15,p13263843,s55413705,15,Findings,"Single frontal view of the chest was obtained. New heterogeneous opacity of the left lower lung is consistent with left lower lobe pneumonia. Right lung volume loss status post thoracotomy is similar to prior exam. Chain sutures overlying the lateral right lung and right hilum, and scarring of the right lung base are unchanged. Heart size and cardiomediastinal contours are stable.","Chain sutures overlying the lateral right lung and right hilum, and scarring of the right lung base are unchanged.",scarring,right lung base,Stable,['files/p13/p13263843/s55413705/41bee34e-e9476a64-f28f2775-7d097a58-d88789f6.jpg'],"['files/p13/p13263843/s55312260/204ddf42-2240e02f-cf58a88e-684540aa-4e5da21c.jpg\n', 'files/p13/p13263843/s55312260/22ebe993-418ddc79-44f5af39-3e2d7039-df6bd5fc.jpg\n']"
s55413705_15,p13263843,s55413705,15,Findings,"Single frontal view of the chest was obtained. New heterogeneous opacity of the left lower lung is consistent with left lower lobe pneumonia. Right lung volume loss status post thoracotomy is similar to prior exam. Chain sutures overlying the lateral right lung and right hilum, and scarring of the right lung base are unchanged. Heart size and cardiomediastinal contours are stable.",Heart size and cardiomediastinal contours are stable.,size,Heart,Stable,['files/p13/p13263843/s55413705/41bee34e-e9476a64-f28f2775-7d097a58-d88789f6.jpg'],"['files/p13/p13263843/s55312260/204ddf42-2240e02f-cf58a88e-684540aa-4e5da21c.jpg\n', 'files/p13/p13263843/s55312260/22ebe993-418ddc79-44f5af39-3e2d7039-df6bd5fc.jpg\n']"
s55413705_15,p13263843,s55413705,15,Impression,1. Left lower lobe pneumonia. 2. Stable changes status post right thoracotomy with right upper lobe lobectomy and apical radiation fibrosis.,2. Stable changes status post right thoracotomy with right upper lobe lobectomy and apical radiation fibrosis.,changes,right thoracotomy,Stable,['files/p13/p13263843/s55413705/41bee34e-e9476a64-f28f2775-7d097a58-d88789f6.jpg'],"['files/p13/p13263843/s55312260/204ddf42-2240e02f-cf58a88e-684540aa-4e5da21c.jpg\n', 'files/p13/p13263843/s55312260/22ebe993-418ddc79-44f5af39-3e2d7039-df6bd5fc.jpg\n']"
s55413705_15,p13263843,s55413705,15,Impression,1. Left lower lobe pneumonia. 2. Stable changes status post right thoracotomy with right upper lobe lobectomy and apical radiation fibrosis.,2. Stable changes status post right thoracotomy with right upper lobe lobectomy and apical radiation fibrosis.,radiation fibrosis,apical,Stable,['files/p13/p13263843/s55413705/41bee34e-e9476a64-f28f2775-7d097a58-d88789f6.jpg'],"['files/p13/p13263843/s55312260/204ddf42-2240e02f-cf58a88e-684540aa-4e5da21c.jpg\n', 'files/p13/p13263843/s55312260/22ebe993-418ddc79-44f5af39-3e2d7039-df6bd5fc.jpg\n']"
s55413705_15,p13263843,s55413705,15,Findings,"Single frontal view of the chest was obtained. New heterogeneous opacity of the left lower lung is consistent with left lower lobe pneumonia. Right lung volume loss status post thoracotomy is similar to prior exam. Chain sutures overlying the lateral right lung and right hilum, and scarring of the right lung base are unchanged. Heart size and cardiomediastinal contours are stable.",Heart size and cardiomediastinal contours are stable.,contours,cardiomediastinal,Stable,['files/p13/p13263843/s55413705/41bee34e-e9476a64-f28f2775-7d097a58-d88789f6.jpg'],"['files/p13/p13263843/s55312260/204ddf42-2240e02f-cf58a88e-684540aa-4e5da21c.jpg\n', 'files/p13/p13263843/s55312260/22ebe993-418ddc79-44f5af39-3e2d7039-df6bd5fc.jpg\n']"
s55418359_0,p15380734,s55418359,0,Findings,"AP and lateral views of the chest were provided. There is a moderate left pleural effusion, increased since the prior exam. There is a stable small right pleural effusion. The pulmonary vasculature is prominent consistent with pulmonary edema. Opacity in the left lung most likely represents atelectasis. The heart size is top normal and there are aortic knob calcifications. There is no pneumothorax.","There is a moderate left pleural effusion, increased since the prior exam.",pleural effusion,left,Worse,"['files/p15/p15380734/s55418359/032b9a1a-f727fa4f-786f80a0-cdbfe259-f1a9f763.jpg', 'files/p15/p15380734/s55418359/0b2a65b3-ecee8e88-e18315bd-e36c3b31-2673050b.jpg', 'files/p15/p15380734/s55418359/5051fc01-30c7f31e-a08187d6-28940c33-8ba36cc3.jpg']",['files/p15/p15380734/s51191114/1fcd995b-1ec680c3-bba45110-e0430c14-bc44fbde.jpg\n']
s55418359_0,p15380734,s55418359,0,Findings,"AP and lateral views of the chest were provided. There is a moderate left pleural effusion, increased since the prior exam. There is a stable small right pleural effusion. The pulmonary vasculature is prominent consistent with pulmonary edema. Opacity in the left lung most likely represents atelectasis. The heart size is top normal and there are aortic knob calcifications. There is no pneumothorax.",There is a stable small right pleural effusion.,pleural effusion,right,Stable,"['files/p15/p15380734/s55418359/032b9a1a-f727fa4f-786f80a0-cdbfe259-f1a9f763.jpg', 'files/p15/p15380734/s55418359/0b2a65b3-ecee8e88-e18315bd-e36c3b31-2673050b.jpg', 'files/p15/p15380734/s55418359/5051fc01-30c7f31e-a08187d6-28940c33-8ba36cc3.jpg']",['files/p15/p15380734/s51191114/1fcd995b-1ec680c3-bba45110-e0430c14-bc44fbde.jpg\n']
s55418359_0,p15380734,s55418359,0,Impression,"Increased left pleural effusion and pulmonary edema. Left lung opacity most likely represents atelectasis, although an early developing infiltrate cannot be entirely excluded. Recommend repeat radiographs after diuresis to rule out underlying infectious process.",Increased left pleural effusion and pulmonary edema.,pleural effusion,left,Worse,"['files/p15/p15380734/s55418359/032b9a1a-f727fa4f-786f80a0-cdbfe259-f1a9f763.jpg', 'files/p15/p15380734/s55418359/0b2a65b3-ecee8e88-e18315bd-e36c3b31-2673050b.jpg', 'files/p15/p15380734/s55418359/5051fc01-30c7f31e-a08187d6-28940c33-8ba36cc3.jpg']",['files/p15/p15380734/s51191114/1fcd995b-1ec680c3-bba45110-e0430c14-bc44fbde.jpg\n']
s55418359_0,p15380734,s55418359,0,Impression,"Increased left pleural effusion and pulmonary edema. Left lung opacity most likely represents atelectasis, although an early developing infiltrate cannot be entirely excluded. Recommend repeat radiographs after diuresis to rule out underlying infectious process.",Increased left pleural effusion and pulmonary edema.,pulmonary edema,,Worse,"['files/p15/p15380734/s55418359/032b9a1a-f727fa4f-786f80a0-cdbfe259-f1a9f763.jpg', 'files/p15/p15380734/s55418359/0b2a65b3-ecee8e88-e18315bd-e36c3b31-2673050b.jpg', 'files/p15/p15380734/s55418359/5051fc01-30c7f31e-a08187d6-28940c33-8ba36cc3.jpg']",['files/p15/p15380734/s51191114/1fcd995b-1ec680c3-bba45110-e0430c14-bc44fbde.jpg\n']
s55420069_22,p11413236,s55420069,22,Findings,"Lung volumes are low. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are stable. There is a calcified prevascular lymph node. There is no pleural effusion or pneumothorax. A left chest Port-A-Cath terminates at the level of the upper SVC, as before. Patient is status post median sternotomy.","A left chest Port-A-Cath terminates at the level of the upper SVC, as before.",Port-A-Cath,upper SVC,Stable,"['files/p11/p11413236/s55420069/5777b9e5-d14e2655-cb9eecfa-52bda043-992f6f80.jpg', 'files/p11/p11413236/s55420069/6eb1afd3-d7b2eea4-6367e332-aa78e2dd-387ee425.jpg']","['files/p11/p11413236/s55277653/3b067bdb-1e77ce5c-db8d4831-dc9c23e2-e0e1724c.jpg\n', 'files/p11/p11413236/s55277653/aef6ded2-a74cef0f-acdbb6d6-a96e3909-9fc8c2e9.jpg\n']"
s55420069_22,p11413236,s55420069,22,Findings,"Lung volumes are low. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are stable. There is a calcified prevascular lymph node. There is no pleural effusion or pneumothorax. A left chest Port-A-Cath terminates at the level of the upper SVC, as before. Patient is status post median sternotomy.",The cardiomediastinal silhouette and hilar contours are stable.,,cardiomediastinal silhouette and hilar contours,Stable,"['files/p11/p11413236/s55420069/5777b9e5-d14e2655-cb9eecfa-52bda043-992f6f80.jpg', 'files/p11/p11413236/s55420069/6eb1afd3-d7b2eea4-6367e332-aa78e2dd-387ee425.jpg']","['files/p11/p11413236/s55277653/3b067bdb-1e77ce5c-db8d4831-dc9c23e2-e0e1724c.jpg\n', 'files/p11/p11413236/s55277653/aef6ded2-a74cef0f-acdbb6d6-a96e3909-9fc8c2e9.jpg\n']"
s55420918_1,p16853729,s55420918,1,Findings,"The heart is mildly enlarged with a left ventricular configuration. There is similar unfolding of the thoracic aorta. The mediastinal and hilar contours appear unchanged including a convexity along the right upper mediastinal contour. Particularly since it appears stable over time, it can probably be attributed to tortuosity of the great vessels. At both lung bases, but more extensive on the right than left, there are patchy opacities, fairly streaky in nature but extensive. These are increased since the earlier examination and are accompanied by peribronchial cuffing. There is no pleural effusion or pneumothorax. Suspected mild loss in mid thoracic vertebral body heights appears unchanged and probably coincides with demineralization. The lower thoracic spine shows mild rightward convex curvature. There is wedging of an upper lumbar vertebral body which may be increased somewhat, although the apparent difference may be due to differences in orientation.",The mediastinal and hilar contours appear unchanged including a convexity along the right upper mediastinal contour.,contours,mediastinal and hilar,Stable,"['files/p16/p16853729/s55420918/10b653ab-46de5007-fc3c0784-46a5a718-df7713ba.jpg', 'files/p16/p16853729/s55420918/a8c650ae-950b6c2f-15d23a79-9c74f29c-af076691.jpg']","['files/p16/p16853729/s54925240/28286aca-22f060d1-344a3628-b2cd36f8-df90a34a.jpg\n', 'files/p16/p16853729/s54925240/a8dc3cbb-b58718d9-53a4df6c-82caf4ea-cf4bb15e.jpg\n']"
s55420918_1,p16853729,s55420918,1,Findings,"The heart is mildly enlarged with a left ventricular configuration. There is similar unfolding of the thoracic aorta. The mediastinal and hilar contours appear unchanged including a convexity along the right upper mediastinal contour. Particularly since it appears stable over time, it can probably be attributed to tortuosity of the great vessels. At both lung bases, but more extensive on the right than left, there are patchy opacities, fairly streaky in nature but extensive. These are increased since the earlier examination and are accompanied by peribronchial cuffing. There is no pleural effusion or pneumothorax. Suspected mild loss in mid thoracic vertebral body heights appears unchanged and probably coincides with demineralization. The lower thoracic spine shows mild rightward convex curvature. There is wedging of an upper lumbar vertebral body which may be increased somewhat, although the apparent difference may be due to differences in orientation.",Suspected mild loss in mid thoracic vertebral body heights appears unchanged and probably coincides with demineralization.,vertebral body heights loss,mid thoracic,Stable,"['files/p16/p16853729/s55420918/10b653ab-46de5007-fc3c0784-46a5a718-df7713ba.jpg', 'files/p16/p16853729/s55420918/a8c650ae-950b6c2f-15d23a79-9c74f29c-af076691.jpg']","['files/p16/p16853729/s54925240/28286aca-22f060d1-344a3628-b2cd36f8-df90a34a.jpg\n', 'files/p16/p16853729/s54925240/a8dc3cbb-b58718d9-53a4df6c-82caf4ea-cf4bb15e.jpg\n']"
s55420918_1,p16853729,s55420918,1,Impression,"1. Increasing bibasilar opacities which could be seen with lower airway inflammation or infection, although developing bronchopneumonia is not entirely excluded. 2. Mild anterior wedge compression deformity of a vertebral body at the thoracolumbar junction, likely L1; although probably chronic, potentially increased somewhat.","Increasing bibasilar opacities which could be seen with lower airway inflammation or infection, although developing bronchopneumonia is not entirely excluded.",opacities,bibasilar,Worse,"['files/p16/p16853729/s55420918/10b653ab-46de5007-fc3c0784-46a5a718-df7713ba.jpg', 'files/p16/p16853729/s55420918/a8c650ae-950b6c2f-15d23a79-9c74f29c-af076691.jpg']","['files/p16/p16853729/s54925240/28286aca-22f060d1-344a3628-b2cd36f8-df90a34a.jpg\n', 'files/p16/p16853729/s54925240/a8dc3cbb-b58718d9-53a4df6c-82caf4ea-cf4bb15e.jpg\n']"
s55420918_1,p16853729,s55420918,1,Findings,"The heart is mildly enlarged with a left ventricular configuration. There is similar unfolding of the thoracic aorta. The mediastinal and hilar contours appear unchanged including a convexity along the right upper mediastinal contour. Particularly since it appears stable over time, it can probably be attributed to tortuosity of the great vessels. At both lung bases, but more extensive on the right than left, there are patchy opacities, fairly streaky in nature but extensive. These are increased since the earlier examination and are accompanied by peribronchial cuffing. There is no pleural effusion or pneumothorax. Suspected mild loss in mid thoracic vertebral body heights appears unchanged and probably coincides with demineralization. The lower thoracic spine shows mild rightward convex curvature. There is wedging of an upper lumbar vertebral body which may be increased somewhat, although the apparent difference may be due to differences in orientation.","There is wedging of an upper lumbar vertebral body which may be increased somewhat, although the apparent difference may be due to differences in orientation.",vertebral body wedging,upper lumbar,Worse,"['files/p16/p16853729/s55420918/10b653ab-46de5007-fc3c0784-46a5a718-df7713ba.jpg', 'files/p16/p16853729/s55420918/a8c650ae-950b6c2f-15d23a79-9c74f29c-af076691.jpg']","['files/p16/p16853729/s54925240/28286aca-22f060d1-344a3628-b2cd36f8-df90a34a.jpg\n', 'files/p16/p16853729/s54925240/a8dc3cbb-b58718d9-53a4df6c-82caf4ea-cf4bb15e.jpg\n']"
s55420918_1,p16853729,s55420918,1,Findings,"The heart is mildly enlarged with a left ventricular configuration. There is similar unfolding of the thoracic aorta. The mediastinal and hilar contours appear unchanged including a convexity along the right upper mediastinal contour. Particularly since it appears stable over time, it can probably be attributed to tortuosity of the great vessels. At both lung bases, but more extensive on the right than left, there are patchy opacities, fairly streaky in nature but extensive. These are increased since the earlier examination and are accompanied by peribronchial cuffing. There is no pleural effusion or pneumothorax. Suspected mild loss in mid thoracic vertebral body heights appears unchanged and probably coincides with demineralization. The lower thoracic spine shows mild rightward convex curvature. There is wedging of an upper lumbar vertebral body which may be increased somewhat, although the apparent difference may be due to differences in orientation.",These are increased since the earlier examination and are accompanied by peribronchial cuffing.,patchy opacities,lung bases,Worse,"['files/p16/p16853729/s55420918/10b653ab-46de5007-fc3c0784-46a5a718-df7713ba.jpg', 'files/p16/p16853729/s55420918/a8c650ae-950b6c2f-15d23a79-9c74f29c-af076691.jpg']","['files/p16/p16853729/s54925240/28286aca-22f060d1-344a3628-b2cd36f8-df90a34a.jpg\n', 'files/p16/p16853729/s54925240/a8dc3cbb-b58718d9-53a4df6c-82caf4ea-cf4bb15e.jpg\n']"
s55420918_1,p16853729,s55420918,1,Impression,"1. Increasing bibasilar opacities which could be seen with lower airway inflammation or infection, although developing bronchopneumonia is not entirely excluded. 2. Mild anterior wedge compression deformity of a vertebral body at the thoracolumbar junction, likely L1; although probably chronic, potentially increased somewhat.","Mild anterior wedge compression deformity of a vertebral body at the thoracolumbar junction, likely L1; although probably chronic, potentially increased somewhat.",anterior wedge compression deformity,thoracolumbar junction,Worse,"['files/p16/p16853729/s55420918/10b653ab-46de5007-fc3c0784-46a5a718-df7713ba.jpg', 'files/p16/p16853729/s55420918/a8c650ae-950b6c2f-15d23a79-9c74f29c-af076691.jpg']","['files/p16/p16853729/s54925240/28286aca-22f060d1-344a3628-b2cd36f8-df90a34a.jpg\n', 'files/p16/p16853729/s54925240/a8dc3cbb-b58718d9-53a4df6c-82caf4ea-cf4bb15e.jpg\n']"
s55420918_1,p16853729,s55420918,1,Findings,"The heart is mildly enlarged with a left ventricular configuration. There is similar unfolding of the thoracic aorta. The mediastinal and hilar contours appear unchanged including a convexity along the right upper mediastinal contour. Particularly since it appears stable over time, it can probably be attributed to tortuosity of the great vessels. At both lung bases, but more extensive on the right than left, there are patchy opacities, fairly streaky in nature but extensive. These are increased since the earlier examination and are accompanied by peribronchial cuffing. There is no pleural effusion or pneumothorax. Suspected mild loss in mid thoracic vertebral body heights appears unchanged and probably coincides with demineralization. The lower thoracic spine shows mild rightward convex curvature. There is wedging of an upper lumbar vertebral body which may be increased somewhat, although the apparent difference may be due to differences in orientation.",There is similar unfolding of the thoracic aorta.,aorta unfolding,thoracic,Stable,"['files/p16/p16853729/s55420918/10b653ab-46de5007-fc3c0784-46a5a718-df7713ba.jpg', 'files/p16/p16853729/s55420918/a8c650ae-950b6c2f-15d23a79-9c74f29c-af076691.jpg']","['files/p16/p16853729/s54925240/28286aca-22f060d1-344a3628-b2cd36f8-df90a34a.jpg\n', 'files/p16/p16853729/s54925240/a8dc3cbb-b58718d9-53a4df6c-82caf4ea-cf4bb15e.jpg\n']"
s55421522_3,p15144601,s55421522,3,Impression,No acute cardiopulmonary process. Stable mild cardiomegaly.,Stable mild cardiomegaly.,mild cardiomegaly,,Stable,"['files/p15/p15144601/s55421522/0b935875-ccc24ae1-ff220578-be4e3835-6acc2e7a.jpg', 'files/p15/p15144601/s55421522/d918062a-d0a7bedc-45270789-08ad2dec-e2c2ca87.jpg', 'files/p15/p15144601/s55421522/ec32c693-7e523bd2-33c3bc87-53de2670-1aac4956.jpg']",['files/p15/p15144601/s55341919/b10086a9-a4ddd90e-8d225a77-9c7b3e0b-261c474f.jpg\n']
s55421522_3,p15144601,s55421522,3,Findings,"Transvenous right atrial and right ventricular pacer leads appear in standard placement. Cardiomediastinal silhouette remains mildly enlarged but stable. The aorta appears somewhat tortuous with atherosclerotic calcifications. The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Median sternotomy wires appear aligned and intact. No acute fractures are identified. Mild bilateral acromio-clavicular degenerative changes are noted.",Cardiomediastinal silhouette remains mildly enlarged but stable.,mild enlargement,Cardiomediastinal silhouette,Stable,"['files/p15/p15144601/s55421522/0b935875-ccc24ae1-ff220578-be4e3835-6acc2e7a.jpg', 'files/p15/p15144601/s55421522/d918062a-d0a7bedc-45270789-08ad2dec-e2c2ca87.jpg', 'files/p15/p15144601/s55421522/ec32c693-7e523bd2-33c3bc87-53de2670-1aac4956.jpg']",['files/p15/p15144601/s55341919/b10086a9-a4ddd90e-8d225a77-9c7b3e0b-261c474f.jpg\n']
s55430187_18,p16043637,s55430187,18,Findings,"The heart size is unchanged in size, and a left cardiac pacer device is in stable position with its lead in appropriate position. The patient is status post aortic valve replacement and median sternotomy. The lungs are clear of focal consolidation, pleural effusion or overt pulmonary edema. A right PICC terminates in the lower SVC.","The heart size is unchanged in size, and a left cardiac pacer device is in stable position with its lead in appropriate position.",heart size,in size,Stable,"['files/p16/p16043637/s55430187/4ad176c8-58423813-962a8a34-f69b1128-601e483d.jpg', 'files/p16/p16043637/s55430187/5f4fdb1c-97aed97d-fa4a3b1b-9da4ea33-e9df38ee.jpg']",['files/p16/p16043637/s55214075/8b1136e5-87e823d7-65c62300-10d83255-4f550379.jpg\n']
s55430187_18,p16043637,s55430187,18,Findings,"The heart size is unchanged in size, and a left cardiac pacer device is in stable position with its lead in appropriate position. The patient is status post aortic valve replacement and median sternotomy. The lungs are clear of focal consolidation, pleural effusion or overt pulmonary edema. A right PICC terminates in the lower SVC.","The heart size is unchanged in size, and a left cardiac pacer device is in stable position with its lead in appropriate position.",left cardiac pacer device,in position,Stable,"['files/p16/p16043637/s55430187/4ad176c8-58423813-962a8a34-f69b1128-601e483d.jpg', 'files/p16/p16043637/s55430187/5f4fdb1c-97aed97d-fa4a3b1b-9da4ea33-e9df38ee.jpg']",['files/p16/p16043637/s55214075/8b1136e5-87e823d7-65c62300-10d83255-4f550379.jpg\n']
s55430447_0,p11893091,s55430447,0,Impression,"Moderate pulmonary edema with mild cardiomegaly and possible trace pleural effusions, progressed from ___ exam.","Moderate pulmonary edema with mild cardiomegaly and possible trace pleural effusions, progressed from ___ exam.",pleural effusions,,Worse,['files/p11/p11893091/s55430447/2773b5c2-bd9e0357-064af3b4-ddc4997e-61ff380f.jpg'],"['files/p11/p11893091/s55255832/469b6bc3-cd9c3a49-238f4c5d-38cce895-b225e937.jpg\n', 'files/p11/p11893091/s55255832/68d1a72f-0552bded-deae306a-343f5d03-ccf9853f.jpg\n', 'files/p11/p11893091/s55255832/c02fe512-8d310525-2b66511f-df530900-ddfc1fa6.jpg\n']"
s55430447_0,p11893091,s55430447,0,Impression,"Moderate pulmonary edema with mild cardiomegaly and possible trace pleural effusions, progressed from ___ exam.","Moderate pulmonary edema with mild cardiomegaly and possible trace pleural effusions, progressed from ___ exam.",cardiomegaly,,Worse,['files/p11/p11893091/s55430447/2773b5c2-bd9e0357-064af3b4-ddc4997e-61ff380f.jpg'],"['files/p11/p11893091/s55255832/469b6bc3-cd9c3a49-238f4c5d-38cce895-b225e937.jpg\n', 'files/p11/p11893091/s55255832/68d1a72f-0552bded-deae306a-343f5d03-ccf9853f.jpg\n', 'files/p11/p11893091/s55255832/c02fe512-8d310525-2b66511f-df530900-ddfc1fa6.jpg\n']"
s55430447_0,p11893091,s55430447,0,Findings,"Single portable view of the chest demonstrates normal lung volumes. Costophrenic angles are minimally blunted, suggestive of trace pleural effusions. Bibasilar opacities obscure hemidiaphragms. Right lung base opacity is more conspicuous on today's exam. Moderate pulmonary edema. Hilar and mediastinal silhouettes are unremarkable. Heart is mildly enlarged.",Right lung base opacity is more conspicuous on today's exam.,opacity,Right lung base,Worse,['files/p11/p11893091/s55430447/2773b5c2-bd9e0357-064af3b4-ddc4997e-61ff380f.jpg'],"['files/p11/p11893091/s55255832/469b6bc3-cd9c3a49-238f4c5d-38cce895-b225e937.jpg\n', 'files/p11/p11893091/s55255832/68d1a72f-0552bded-deae306a-343f5d03-ccf9853f.jpg\n', 'files/p11/p11893091/s55255832/c02fe512-8d310525-2b66511f-df530900-ddfc1fa6.jpg\n']"
s55430447_0,p11893091,s55430447,0,Impression,"Moderate pulmonary edema with mild cardiomegaly and possible trace pleural effusions, progressed from ___ exam.","Moderate pulmonary edema with mild cardiomegaly and possible trace pleural effusions, progressed from ___ exam.",pulmonary edema,,Worse,['files/p11/p11893091/s55430447/2773b5c2-bd9e0357-064af3b4-ddc4997e-61ff380f.jpg'],"['files/p11/p11893091/s55255832/469b6bc3-cd9c3a49-238f4c5d-38cce895-b225e937.jpg\n', 'files/p11/p11893091/s55255832/68d1a72f-0552bded-deae306a-343f5d03-ccf9853f.jpg\n', 'files/p11/p11893091/s55255832/c02fe512-8d310525-2b66511f-df530900-ddfc1fa6.jpg\n']"
s55430988_5,p10268877,s55430988,5,Findings,"As compared to the previous radiograph, there is no relevant change. Monitoring and support devices are constant. Constant cardiomegaly with relatively extensive retrocardiac atelectasis and the potential presence of a small left pleural effusion. Mild pulmonary edema. Areas of atelectasis at the right lung base. No newly occurred parenchymal opacities. No pneumothorax.",Constant cardiomegaly with relatively extensive retrocardiac atelectasis and the potential presence of a small left pleural effusion.,atelectasis,retrocardiac,Stable,"['files/p10/p10268877/s55430988/14ff31ea-afb9a3f3-fca0fe57-1fb4e5d4-9f537945.jpg', 'files/p10/p10268877/s55430988/befa8b27-2bfd96b0-d50f7eda-deffa4f9-dd7e7314.jpg']","['files/p10/p10268877/s54934220/2c047cc5-4f33acea-462ae2cb-0d9a48d2-8906e8f9.jpg\n', 'files/p10/p10268877/s54934220/2d0d0dd1-758ad05c-5f33e8fa-08a1e0dc-63d862be.jpg\n']"
s55430988_5,p10268877,s55430988,5,Findings,"As compared to the previous radiograph, there is no relevant change. Monitoring and support devices are constant. Constant cardiomegaly with relatively extensive retrocardiac atelectasis and the potential presence of a small left pleural effusion. Mild pulmonary edema. Areas of atelectasis at the right lung base. No newly occurred parenchymal opacities. No pneumothorax.",Constant cardiomegaly with relatively extensive retrocardiac atelectasis and the potential presence of a small left pleural effusion.,pleural effusion,left,Stable,"['files/p10/p10268877/s55430988/14ff31ea-afb9a3f3-fca0fe57-1fb4e5d4-9f537945.jpg', 'files/p10/p10268877/s55430988/befa8b27-2bfd96b0-d50f7eda-deffa4f9-dd7e7314.jpg']","['files/p10/p10268877/s54934220/2c047cc5-4f33acea-462ae2cb-0d9a48d2-8906e8f9.jpg\n', 'files/p10/p10268877/s54934220/2d0d0dd1-758ad05c-5f33e8fa-08a1e0dc-63d862be.jpg\n']"
s55438657_6,p10933609,s55438657,6,Impression,"Persistent bilateral peribronchial consolidations which might represent post-pneumonic fibrosis/inflammation, organizing pneumonia, Wegener's granulomatosis, or less likely residual infection. Followup examination as clinically warranted is recommended.","Persistent bilateral peribronchial consolidations which might represent post-pneumonic fibrosis/inflammation, organizing pneumonia, Wegener's granulomatosis, or less likely residual infection. Followup examination as clinically warranted is recommended.",peribronchial consolidations,bilateral,Stable,"['files/p10/p10933609/s55438657/4a706f94-eae311b0-de845977-dcc52bde-4615615e.jpg', 'files/p10/p10933609/s55438657/75869cde-a41c0128-bd418fb5-b3e4f46b-8f003c99.jpg']","['files/p10/p10933609/s54870311/7acf30bd-0ed39a38-bb6159dd-2ed09689-dd05ba98.jpg\n', 'files/p10/p10933609/s54870311/95527da6-78fdab9e-2d3b3782-9aa97e06-a3e69c13.jpg\n']"
s55438657_6,p10933609,s55438657,6,Findings,"Persistent largely unchanged left upper lobe, right upper lobe and left lower lobe peribronchial consolidation. There are stable low lung volumes. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable within normal limits. The pleural surfaces are unremarkable.","Persistent largely unchanged left upper lobe, right upper lobe and left lower lobe peribronchial consolidation.",peribronchial consolidation,left lower lobe,Stable,"['files/p10/p10933609/s55438657/4a706f94-eae311b0-de845977-dcc52bde-4615615e.jpg', 'files/p10/p10933609/s55438657/75869cde-a41c0128-bd418fb5-b3e4f46b-8f003c99.jpg']","['files/p10/p10933609/s54870311/7acf30bd-0ed39a38-bb6159dd-2ed09689-dd05ba98.jpg\n', 'files/p10/p10933609/s54870311/95527da6-78fdab9e-2d3b3782-9aa97e06-a3e69c13.jpg\n']"
s55438657_6,p10933609,s55438657,6,Findings,"Persistent largely unchanged left upper lobe, right upper lobe and left lower lobe peribronchial consolidation. There are stable low lung volumes. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable within normal limits. The pleural surfaces are unremarkable.","Persistent largely unchanged left upper lobe, right upper lobe and left lower lobe peribronchial consolidation.",peribronchial consolidation,left upper lobe,Stable,"['files/p10/p10933609/s55438657/4a706f94-eae311b0-de845977-dcc52bde-4615615e.jpg', 'files/p10/p10933609/s55438657/75869cde-a41c0128-bd418fb5-b3e4f46b-8f003c99.jpg']","['files/p10/p10933609/s54870311/7acf30bd-0ed39a38-bb6159dd-2ed09689-dd05ba98.jpg\n', 'files/p10/p10933609/s54870311/95527da6-78fdab9e-2d3b3782-9aa97e06-a3e69c13.jpg\n']"
s55438657_6,p10933609,s55438657,6,Findings,"Persistent largely unchanged left upper lobe, right upper lobe and left lower lobe peribronchial consolidation. There are stable low lung volumes. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable within normal limits. The pleural surfaces are unremarkable.",The cardiomediastinal silhouette is stable within normal limits.,cardiomediastinal silhouette,,Stable,"['files/p10/p10933609/s55438657/4a706f94-eae311b0-de845977-dcc52bde-4615615e.jpg', 'files/p10/p10933609/s55438657/75869cde-a41c0128-bd418fb5-b3e4f46b-8f003c99.jpg']","['files/p10/p10933609/s54870311/7acf30bd-0ed39a38-bb6159dd-2ed09689-dd05ba98.jpg\n', 'files/p10/p10933609/s54870311/95527da6-78fdab9e-2d3b3782-9aa97e06-a3e69c13.jpg\n']"
s55438657_6,p10933609,s55438657,6,Findings,"Persistent largely unchanged left upper lobe, right upper lobe and left lower lobe peribronchial consolidation. There are stable low lung volumes. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable within normal limits. The pleural surfaces are unremarkable.","Persistent largely unchanged left upper lobe, right upper lobe and left lower lobe peribronchial consolidation.",peribronchial consolidation,right upper lobe,Stable,"['files/p10/p10933609/s55438657/4a706f94-eae311b0-de845977-dcc52bde-4615615e.jpg', 'files/p10/p10933609/s55438657/75869cde-a41c0128-bd418fb5-b3e4f46b-8f003c99.jpg']","['files/p10/p10933609/s54870311/7acf30bd-0ed39a38-bb6159dd-2ed09689-dd05ba98.jpg\n', 'files/p10/p10933609/s54870311/95527da6-78fdab9e-2d3b3782-9aa97e06-a3e69c13.jpg\n']"
s55438657_6,p10933609,s55438657,6,Findings,"Persistent largely unchanged left upper lobe, right upper lobe and left lower lobe peribronchial consolidation. There are stable low lung volumes. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable within normal limits. The pleural surfaces are unremarkable.",There are stable low lung volumes.,low lung volumes,,Stable,"['files/p10/p10933609/s55438657/4a706f94-eae311b0-de845977-dcc52bde-4615615e.jpg', 'files/p10/p10933609/s55438657/75869cde-a41c0128-bd418fb5-b3e4f46b-8f003c99.jpg']","['files/p10/p10933609/s54870311/7acf30bd-0ed39a38-bb6159dd-2ed09689-dd05ba98.jpg\n', 'files/p10/p10933609/s54870311/95527da6-78fdab9e-2d3b3782-9aa97e06-a3e69c13.jpg\n']"
s55447530_7,p10933609,s55447530,7,Findings,PA and lateral views of the chest were obtained. Linear opacities in the upper lungs are noted with associated retraction of the hila likely reflecting scarring in this patient with prior pneumonia. Subtle opacity in the left lower lobe retrocardiac region is of unclear etiology. No large effusion or pneumothorax. Old left lower rib fractures are noted.,Old left lower rib fractures are noted.,rib fractures,left lower,Stable,"['files/p10/p10933609/s55447530/3128f453-ad0dbc35-9cce331f-ca0db591-52e9cbab.jpg', 'files/p10/p10933609/s55447530/67046a75-310cfff1-2dd57e2f-6208c141-d18736f5.jpg', 'files/p10/p10933609/s55447530/92fe0d65-6cd5e4b6-22dbcaec-949cb8bd-1c28d956.jpg']","['files/p10/p10933609/s55438657/4a706f94-eae311b0-de845977-dcc52bde-4615615e.jpg\n', 'files/p10/p10933609/s55438657/75869cde-a41c0128-bd418fb5-b3e4f46b-8f003c99.jpg\n']"
s55452685_3,p18224196,s55452685,3,Findings,"Moderate bilateral pleural effusions, larger on the right than on the left, are unchanged. The previously noted pulmonary edema has resolved. There is no consolidation. Mild right basilar atelectasis persists. There is no pneumothorax. Moderate enlargement of the cardiomediastinal silhouette is stable.",Moderate enlargement of the cardiomediastinal silhouette is stable.,cardiomediastinal silhouette enlargement,,Stable,['files/p18/p18224196/s55452685/4b21950a-5565f60b-5e86b9fd-fde33a71-2a564240.jpg'],"['files/p18/p18224196/s55169735/5696d6d7-d428a678-f3adc77d-66fccbb3-3e9cc81e.jpg\n', 'files/p18/p18224196/s55169735/58d7d80b-3610f757-0e540435-44dbf9dd-12c5b583.jpg\n']"
s55452685_3,p18224196,s55452685,3,Findings,"Moderate bilateral pleural effusions, larger on the right than on the left, are unchanged. The previously noted pulmonary edema has resolved. There is no consolidation. Mild right basilar atelectasis persists. There is no pneumothorax. Moderate enlargement of the cardiomediastinal silhouette is stable.",Mild right basilar atelectasis persists.,atelectasis,right basilar,Stable,['files/p18/p18224196/s55452685/4b21950a-5565f60b-5e86b9fd-fde33a71-2a564240.jpg'],"['files/p18/p18224196/s55169735/5696d6d7-d428a678-f3adc77d-66fccbb3-3e9cc81e.jpg\n', 'files/p18/p18224196/s55169735/58d7d80b-3610f757-0e540435-44dbf9dd-12c5b583.jpg\n']"
s55452685_3,p18224196,s55452685,3,Impression,1. Stable moderate bilateral pleural effusions. 2. Resolution of pulmonary edema.,Stable moderate bilateral pleural effusions.,pleural effusions,bilateral,Stable,['files/p18/p18224196/s55452685/4b21950a-5565f60b-5e86b9fd-fde33a71-2a564240.jpg'],"['files/p18/p18224196/s55169735/5696d6d7-d428a678-f3adc77d-66fccbb3-3e9cc81e.jpg\n', 'files/p18/p18224196/s55169735/58d7d80b-3610f757-0e540435-44dbf9dd-12c5b583.jpg\n']"
s55452685_3,p18224196,s55452685,3,Findings,"Moderate bilateral pleural effusions, larger on the right than on the left, are unchanged. The previously noted pulmonary edema has resolved. There is no consolidation. Mild right basilar atelectasis persists. There is no pneumothorax. Moderate enlargement of the cardiomediastinal silhouette is stable.",The previously noted pulmonary edema has resolved.,pulmonary edema,,Resolve,['files/p18/p18224196/s55452685/4b21950a-5565f60b-5e86b9fd-fde33a71-2a564240.jpg'],"['files/p18/p18224196/s55169735/5696d6d7-d428a678-f3adc77d-66fccbb3-3e9cc81e.jpg\n', 'files/p18/p18224196/s55169735/58d7d80b-3610f757-0e540435-44dbf9dd-12c5b583.jpg\n']"
s55452685_3,p18224196,s55452685,3,Impression,1. Stable moderate bilateral pleural effusions. 2. Resolution of pulmonary edema.,Resolution of pulmonary edema.,pulmonary edema,,Resolve,['files/p18/p18224196/s55452685/4b21950a-5565f60b-5e86b9fd-fde33a71-2a564240.jpg'],"['files/p18/p18224196/s55169735/5696d6d7-d428a678-f3adc77d-66fccbb3-3e9cc81e.jpg\n', 'files/p18/p18224196/s55169735/58d7d80b-3610f757-0e540435-44dbf9dd-12c5b583.jpg\n']"
s55452685_3,p18224196,s55452685,3,Findings,"Moderate bilateral pleural effusions, larger on the right than on the left, are unchanged. The previously noted pulmonary edema has resolved. There is no consolidation. Mild right basilar atelectasis persists. There is no pneumothorax. Moderate enlargement of the cardiomediastinal silhouette is stable.","Moderate bilateral pleural effusions, larger on the right than on the left, are unchanged.",pleural effusions,"bilateral, larger on the right than on the left",Stable,['files/p18/p18224196/s55452685/4b21950a-5565f60b-5e86b9fd-fde33a71-2a564240.jpg'],"['files/p18/p18224196/s55169735/5696d6d7-d428a678-f3adc77d-66fccbb3-3e9cc81e.jpg\n', 'files/p18/p18224196/s55169735/58d7d80b-3610f757-0e540435-44dbf9dd-12c5b583.jpg\n']"
s55453302_20,p16508811,s55453302,20,Impression,"Support lines and tubes are unchanged in position. Heart size is enlarged but unchanged. There has been worsening of the opacities at the lung bases, right worse than left. There remains mild prominence of the pulmonary interstitial markings suggestive of mild fluid overload, stable. No pneumothoraces are seen.","There remains mild prominence of the pulmonary interstitial markings suggestive of mild fluid overload, stable.",Pulmonary interstitial markings,,Stable,['files/p16/p16508811/s55453302/fbe2b85e-495d3c4a-efdfbec7-0fd71f4d-058b81ff.jpg'],['files/p16/p16508811/s54970692/983faa39-85b84785-39cbeb3d-01519146-5be82c3b.jpg\n']
s55453302_20,p16508811,s55453302,20,Impression,"Support lines and tubes are unchanged in position. Heart size is enlarged but unchanged. There has been worsening of the opacities at the lung bases, right worse than left. There remains mild prominence of the pulmonary interstitial markings suggestive of mild fluid overload, stable. No pneumothoraces are seen.","There has been worsening of the opacities at the lung bases, right worse than left.",Opacities,Left lung base,Worse,['files/p16/p16508811/s55453302/fbe2b85e-495d3c4a-efdfbec7-0fd71f4d-058b81ff.jpg'],['files/p16/p16508811/s54970692/983faa39-85b84785-39cbeb3d-01519146-5be82c3b.jpg\n']
s55453302_20,p16508811,s55453302,20,Impression,"Support lines and tubes are unchanged in position. Heart size is enlarged but unchanged. There has been worsening of the opacities at the lung bases, right worse than left. There remains mild prominence of the pulmonary interstitial markings suggestive of mild fluid overload, stable. No pneumothoraces are seen.",Heart size is enlarged but unchanged.,Heart size,,Stable,['files/p16/p16508811/s55453302/fbe2b85e-495d3c4a-efdfbec7-0fd71f4d-058b81ff.jpg'],['files/p16/p16508811/s54970692/983faa39-85b84785-39cbeb3d-01519146-5be82c3b.jpg\n']
s55453302_20,p16508811,s55453302,20,Impression,"Support lines and tubes are unchanged in position. Heart size is enlarged but unchanged. There has been worsening of the opacities at the lung bases, right worse than left. There remains mild prominence of the pulmonary interstitial markings suggestive of mild fluid overload, stable. No pneumothoraces are seen.","There has been worsening of the opacities at the lung bases, right worse than left.",Opacities,Right lung base,Worse,['files/p16/p16508811/s55453302/fbe2b85e-495d3c4a-efdfbec7-0fd71f4d-058b81ff.jpg'],['files/p16/p16508811/s54970692/983faa39-85b84785-39cbeb3d-01519146-5be82c3b.jpg\n']
s55453302_20,p16508811,s55453302,20,Impression,"Support lines and tubes are unchanged in position. Heart size is enlarged but unchanged. There has been worsening of the opacities at the lung bases, right worse than left. There remains mild prominence of the pulmonary interstitial markings suggestive of mild fluid overload, stable. No pneumothoraces are seen.",Support lines and tubes are unchanged in position.,Support lines and tubes,,Stable,['files/p16/p16508811/s55453302/fbe2b85e-495d3c4a-efdfbec7-0fd71f4d-058b81ff.jpg'],['files/p16/p16508811/s54970692/983faa39-85b84785-39cbeb3d-01519146-5be82c3b.jpg\n']
s55463602_16,p12595991,s55463602,16,Findings,Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Clearing of the right base is consistent with decrease in size of the pleural effusion and improved aeration. Persistent retrocardiac opacity corresponds to atelectasis and probable left pleural effusion. There is moderate pulmonary edema. Cardiomediastinal and hilar contours are unchanged. Monitoring and support devices are in the appropriate position.,Clearing of the right base is consistent with decrease in size of the pleural effusion and improved aeration.,pleural effusion,right base,Better,['files/p12/p12595991/s55463602/bf9f8403-f941bbb9-13c134ff-ac80d6b9-e8442bdf.jpg'],['files/p12/p12595991/s54046592/6b246587-087f7413-b47b8a33-a9e5c257-20aaf460.jpg\n']
s55463602_16,p12595991,s55463602,16,Findings,Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Clearing of the right base is consistent with decrease in size of the pleural effusion and improved aeration. Persistent retrocardiac opacity corresponds to atelectasis and probable left pleural effusion. There is moderate pulmonary edema. Cardiomediastinal and hilar contours are unchanged. Monitoring and support devices are in the appropriate position.,Persistent retrocardiac opacity corresponds to atelectasis and probable left pleural effusion.,opacity,retrocardiac,Stable,['files/p12/p12595991/s55463602/bf9f8403-f941bbb9-13c134ff-ac80d6b9-e8442bdf.jpg'],['files/p12/p12595991/s54046592/6b246587-087f7413-b47b8a33-a9e5c257-20aaf460.jpg\n']
s55463602_16,p12595991,s55463602,16,Impression,"1. Moderate pulmonary edema. 2. Stable retrocardiac opacity, consistent with small pleural effusion and atelectasis.","2. Stable retrocardiac opacity, consistent with small pleural effusion and atelectasis.",opacity,retrocardiac,Stable,['files/p12/p12595991/s55463602/bf9f8403-f941bbb9-13c134ff-ac80d6b9-e8442bdf.jpg'],['files/p12/p12595991/s54046592/6b246587-087f7413-b47b8a33-a9e5c257-20aaf460.jpg\n']
s55463602_16,p12595991,s55463602,16,Findings,Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Clearing of the right base is consistent with decrease in size of the pleural effusion and improved aeration. Persistent retrocardiac opacity corresponds to atelectasis and probable left pleural effusion. There is moderate pulmonary edema. Cardiomediastinal and hilar contours are unchanged. Monitoring and support devices are in the appropriate position.,Cardiomediastinal and hilar contours are unchanged.,Cardiomediastinal and hilar contours,,Stable,['files/p12/p12595991/s55463602/bf9f8403-f941bbb9-13c134ff-ac80d6b9-e8442bdf.jpg'],['files/p12/p12595991/s54046592/6b246587-087f7413-b47b8a33-a9e5c257-20aaf460.jpg\n']
s55469953_0,p17340686,s55469953,0,Findings,"Compared to most recent prior exam, there has been little interval change. No new consolidation, pleural effusion, or pneumothorax is appreciated on this single frontal view. Heart size is enlarged. The aorta is calcified. Right-sided hemodialysis catheter terminates in the right atrium, as seen previously.","Right-sided hemodialysis catheter terminates in the right atrium, as seen previously.",hemodialysis catheter,right atrium,Stable,['files/p17/p17340686/s55469953/6ff741e9-6ea01eef-1bf10153-d1b6beba-590b6620.jpg'],['files/p17/p17340686/s55275807/0b7b73cc-54f3192d-fe2a9118-3709076b-46329431.jpg\n']
s55470597_7,p11204646,s55470597,7,Findings,"As compared to the previous radiograph, the previously visible right internal jugular vein catheter has been removed. The patient is still intubated, with an unchanged position of the endotracheal tube, nasogastric tube and the right PICC line. Unchanged moderate cardiomegaly. Unchanged mild-to-moderate right pleural effusion, unchanged mild fluid overload and areas of moderate retrocardiac atelectasis. There is no newly occurred focal parenchymal opacity.","Unchanged mild-to-moderate right pleural effusion, unchanged mild fluid overload and areas of moderate retrocardiac atelectasis.",fluid overload,,Stable,['files/p11/p11204646/s55470597/ea99a6c6-34280d75-9f1ddc1c-837b3a69-a94986ea.jpg'],['files/p11/p11204646/s54351633/4f7d591a-e6d9f7a8-05c5e886-421a776a-66a7a9eb.jpg\n']
s55470597_7,p11204646,s55470597,7,Findings,"As compared to the previous radiograph, the previously visible right internal jugular vein catheter has been removed. The patient is still intubated, with an unchanged position of the endotracheal tube, nasogastric tube and the right PICC line. Unchanged moderate cardiomegaly. Unchanged mild-to-moderate right pleural effusion, unchanged mild fluid overload and areas of moderate retrocardiac atelectasis. There is no newly occurred focal parenchymal opacity.","The patient is still intubated, with an unchanged position of the endotracheal tube, nasogastric tube and the right PICC line.",nasogastric tube,,Stable,['files/p11/p11204646/s55470597/ea99a6c6-34280d75-9f1ddc1c-837b3a69-a94986ea.jpg'],['files/p11/p11204646/s54351633/4f7d591a-e6d9f7a8-05c5e886-421a776a-66a7a9eb.jpg\n']
s55470597_7,p11204646,s55470597,7,Findings,"As compared to the previous radiograph, the previously visible right internal jugular vein catheter has been removed. The patient is still intubated, with an unchanged position of the endotracheal tube, nasogastric tube and the right PICC line. Unchanged moderate cardiomegaly. Unchanged mild-to-moderate right pleural effusion, unchanged mild fluid overload and areas of moderate retrocardiac atelectasis. There is no newly occurred focal parenchymal opacity.",Unchanged moderate cardiomegaly.,cardiomegaly,,Stable,['files/p11/p11204646/s55470597/ea99a6c6-34280d75-9f1ddc1c-837b3a69-a94986ea.jpg'],['files/p11/p11204646/s54351633/4f7d591a-e6d9f7a8-05c5e886-421a776a-66a7a9eb.jpg\n']
s55470597_7,p11204646,s55470597,7,Findings,"As compared to the previous radiograph, the previously visible right internal jugular vein catheter has been removed. The patient is still intubated, with an unchanged position of the endotracheal tube, nasogastric tube and the right PICC line. Unchanged moderate cardiomegaly. Unchanged mild-to-moderate right pleural effusion, unchanged mild fluid overload and areas of moderate retrocardiac atelectasis. There is no newly occurred focal parenchymal opacity.","The patient is still intubated, with an unchanged position of the endotracheal tube, nasogastric tube and the right PICC line.",PICC line,right,Stable,['files/p11/p11204646/s55470597/ea99a6c6-34280d75-9f1ddc1c-837b3a69-a94986ea.jpg'],['files/p11/p11204646/s54351633/4f7d591a-e6d9f7a8-05c5e886-421a776a-66a7a9eb.jpg\n']
s55470597_7,p11204646,s55470597,7,Findings,"As compared to the previous radiograph, the previously visible right internal jugular vein catheter has been removed. The patient is still intubated, with an unchanged position of the endotracheal tube, nasogastric tube and the right PICC line. Unchanged moderate cardiomegaly. Unchanged mild-to-moderate right pleural effusion, unchanged mild fluid overload and areas of moderate retrocardiac atelectasis. There is no newly occurred focal parenchymal opacity.","As compared to the previous radiograph, the previously visible right internal jugular vein catheter has been removed.",catheter,right internal jugular vein,Resolve,['files/p11/p11204646/s55470597/ea99a6c6-34280d75-9f1ddc1c-837b3a69-a94986ea.jpg'],['files/p11/p11204646/s54351633/4f7d591a-e6d9f7a8-05c5e886-421a776a-66a7a9eb.jpg\n']
s55470597_7,p11204646,s55470597,7,Findings,"As compared to the previous radiograph, the previously visible right internal jugular vein catheter has been removed. The patient is still intubated, with an unchanged position of the endotracheal tube, nasogastric tube and the right PICC line. Unchanged moderate cardiomegaly. Unchanged mild-to-moderate right pleural effusion, unchanged mild fluid overload and areas of moderate retrocardiac atelectasis. There is no newly occurred focal parenchymal opacity.","The patient is still intubated, with an unchanged position of the endotracheal tube, nasogastric tube and the right PICC line.",endotracheal tube,,Stable,['files/p11/p11204646/s55470597/ea99a6c6-34280d75-9f1ddc1c-837b3a69-a94986ea.jpg'],['files/p11/p11204646/s54351633/4f7d591a-e6d9f7a8-05c5e886-421a776a-66a7a9eb.jpg\n']
s55470597_7,p11204646,s55470597,7,Findings,"As compared to the previous radiograph, the previously visible right internal jugular vein catheter has been removed. The patient is still intubated, with an unchanged position of the endotracheal tube, nasogastric tube and the right PICC line. Unchanged moderate cardiomegaly. Unchanged mild-to-moderate right pleural effusion, unchanged mild fluid overload and areas of moderate retrocardiac atelectasis. There is no newly occurred focal parenchymal opacity.","Unchanged mild-to-moderate right pleural effusion, unchanged mild fluid overload and areas of moderate retrocardiac atelectasis.",atelectasis,retrocardiac,Stable,['files/p11/p11204646/s55470597/ea99a6c6-34280d75-9f1ddc1c-837b3a69-a94986ea.jpg'],['files/p11/p11204646/s54351633/4f7d591a-e6d9f7a8-05c5e886-421a776a-66a7a9eb.jpg\n']
s55470597_7,p11204646,s55470597,7,Findings,"As compared to the previous radiograph, the previously visible right internal jugular vein catheter has been removed. The patient is still intubated, with an unchanged position of the endotracheal tube, nasogastric tube and the right PICC line. Unchanged moderate cardiomegaly. Unchanged mild-to-moderate right pleural effusion, unchanged mild fluid overload and areas of moderate retrocardiac atelectasis. There is no newly occurred focal parenchymal opacity.","Unchanged mild-to-moderate right pleural effusion, unchanged mild fluid overload and areas of moderate retrocardiac atelectasis.",pleural effusion,right,Stable,['files/p11/p11204646/s55470597/ea99a6c6-34280d75-9f1ddc1c-837b3a69-a94986ea.jpg'],['files/p11/p11204646/s54351633/4f7d591a-e6d9f7a8-05c5e886-421a776a-66a7a9eb.jpg\n']
s55477134_4,p12124741,s55477134,4,Impression,"Continued mild CHF and bibasilar opacities with small effusions. However, overall improved compared with one day earlier.","Continued mild CHF and bibasilar opacities with small effusions. However, overall improved compared with one day earlier.",opacities with small effusions,bibasilar,Better,['files/p12/p12124741/s55477134/b057552d-dcaef0e0-258a2453-37c600b2-d8d2b31f.jpg'],['files/p12/p12124741/s53809636/1360763e-71ee973d-a29d16c9-9763397e-37844701.jpg\n']
s55481818_2,p11213613,s55481818,2,Findings,"Linear opacities of the lung bases bilaterally likely reflect atelectasis. Hyperlucency of the upper zones is reflective of emphysema. No focal consolidation, pleural effusion, or pneumothorax. Heart size and mediastinal contours are normal. Osseous structures are demineralized diffusely with a compression deformity in the mid thoracic spine which is unchanged from ___.",Osseous structures are demineralized diffusely with a compression deformity in the mid thoracic spine which is unchanged from ___.,compression deformity,mid thoracic spine,Stable,"['files/p11/p11213613/s55481818/229975a2-d2e6a791-a66a597a-9b370606-8323c2cd.jpg', 'files/p11/p11213613/s55481818/ea67d96b-5e9c8ef1-ce01d8ec-5c0836f9-40596c5e.jpg']","['files/p11/p11213613/s52818853/60b7b7e2-29b9d91d-f3fd7cd8-8eca0ccf-2ac86d24.jpg\n', 'files/p11/p11213613/s52818853/d95a8c9f-246f76d3-79c2407e-36d90a8c-83724850.jpg\n']"
s55484286_1,p17318449,s55484286,1,Findings,"There is a new consolidation in the retrocardiac left lung base, concerning for pneumonia or aspiration. No pleural effusion or pneumothorax is seen. There is mild pulmonary vascular congestion. The mediastinal silhouette is unchanged. Multiple intact mediastinal wires relate to prior sternotomy.",The mediastinal silhouette is unchanged.,silhouette,mediastinal,Stable,"['files/p17/p17318449/s55484286/2ac6104a-c3b0665e-6f5c6160-3696dc6e-a07823dd.jpg', 'files/p17/p17318449/s55484286/415deed8-eaa62a51-8e593fd1-984c1ee8-2f0b5e2d.jpg', 'files/p17/p17318449/s55484286/e9683fa3-283e5f0c-c05c217c-b320d070-4a8e9fc0.jpg']","['files/p17/p17318449/s55265250/188869bb-00723113-2fc28f53-e47d6be0-f22d75c1.jpg\n', 'files/p17/p17318449/s55265250/7bd56a54-3405c0c7-7d21af62-1ceef66a-ec71da6c.jpg\n', 'files/p17/p17318449/s55265250/9bfe49ac-87087878-1110949f-335e751c-ddc3d7fe.jpg\n']"
s55484286_1,p17318449,s55484286,1,Findings,"There is a new consolidation in the retrocardiac left lung base, concerning for pneumonia or aspiration. No pleural effusion or pneumothorax is seen. There is mild pulmonary vascular congestion. The mediastinal silhouette is unchanged. Multiple intact mediastinal wires relate to prior sternotomy.","There is a new consolidation in the retrocardiac left lung base, concerning for pneumonia or aspiration.",consolidation,retrocardiac left lung base,New,"['files/p17/p17318449/s55484286/2ac6104a-c3b0665e-6f5c6160-3696dc6e-a07823dd.jpg', 'files/p17/p17318449/s55484286/415deed8-eaa62a51-8e593fd1-984c1ee8-2f0b5e2d.jpg', 'files/p17/p17318449/s55484286/e9683fa3-283e5f0c-c05c217c-b320d070-4a8e9fc0.jpg']","['files/p17/p17318449/s55265250/188869bb-00723113-2fc28f53-e47d6be0-f22d75c1.jpg\n', 'files/p17/p17318449/s55265250/7bd56a54-3405c0c7-7d21af62-1ceef66a-ec71da6c.jpg\n', 'files/p17/p17318449/s55265250/9bfe49ac-87087878-1110949f-335e751c-ddc3d7fe.jpg\n']"
s55485079_18,p13964474,s55485079,18,Findings,"In comparison with the study of ___, there is little overall change. Monitoring and support devices remain in place. Widespread airspace opacities, more prominent on the right, are consistent with diffuse pneumonia. The known abscess in the right lower lobe is better seen in detail on recent CT scan. Pigtail catheter is again seen at the base of the lung on the right, presumably within the abscess cavity. Little change in the moderate pleural effusion.","Pigtail catheter is again seen at the base of the lung on the right, presumably within the abscess cavity.",Pigtail catheter,right,Stable,['files/p13/p13964474/s55485079/7299f098-d62bc751-9fe83648-b69333fb-38bddb75.jpg'],['files/p13/p13964474/s55218216/32eb07cd-6dba43b7-858fb880-1a9bc182-6360bd42.jpg\n']
s55485079_18,p13964474,s55485079,18,Findings,"In comparison with the study of ___, there is little overall change. Monitoring and support devices remain in place. Widespread airspace opacities, more prominent on the right, are consistent with diffuse pneumonia. The known abscess in the right lower lobe is better seen in detail on recent CT scan. Pigtail catheter is again seen at the base of the lung on the right, presumably within the abscess cavity. Little change in the moderate pleural effusion.",Little change in the moderate pleural effusion.,pleural effusion,right,Stable,['files/p13/p13964474/s55485079/7299f098-d62bc751-9fe83648-b69333fb-38bddb75.jpg'],['files/p13/p13964474/s55218216/32eb07cd-6dba43b7-858fb880-1a9bc182-6360bd42.jpg\n']
s55489891_3,p19757720,s55489891,3,Findings,"In comparison with study of ___, there is again diffuse bilateral pulmonary opacifications, more prominent on the right. Although this could represent severe pulmonary edema, the possibility of supervening pneumonia or even developing ARDS must be considered. Monitoring and support devices remain in place.","In comparison with study of ___, there is again diffuse bilateral pulmonary opacifications, more prominent on the right.",pulmonary opacifications,"bilateral, more on the right",Worse,['files/p19/p19757720/s55489891/5db1ff54-6a22902f-51402f15-27dc7310-21a1183c.jpg'],"['files/p19/p19757720/s54364406/a1098fcf-e29bde8b-dbee420d-402eebb7-24afad1e.jpg\n', 'files/p19/p19757720/s54364406/c655764b-a45dc3cd-b0352fcf-f496ec60-32cdb429.jpg\n']"
s55489891_3,p19757720,s55489891,3,Findings,"In comparison with study of ___, there is again diffuse bilateral pulmonary opacifications, more prominent on the right. Although this could represent severe pulmonary edema, the possibility of supervening pneumonia or even developing ARDS must be considered. Monitoring and support devices remain in place.",Monitoring and support devices remain in place.,Monitoring and support devices,,Stable,['files/p19/p19757720/s55489891/5db1ff54-6a22902f-51402f15-27dc7310-21a1183c.jpg'],"['files/p19/p19757720/s54364406/a1098fcf-e29bde8b-dbee420d-402eebb7-24afad1e.jpg\n', 'files/p19/p19757720/s54364406/c655764b-a45dc3cd-b0352fcf-f496ec60-32cdb429.jpg\n']"
s55490259_11,p11022245,s55490259,11,Findings,AP portable upright view of the chest. There has been interval intubation with the tip of the endotracheal tube positioned 3.3 cm above the carina. The right upper extremity access PICC line is unchanged. There is increasing bibasilar atelectasis.,There is increasing bibasilar atelectasis.,atelectasis,bibasilar,Worse,['files/p11/p11022245/s55490259/9ca1e240-842fe6d2-5b26c6f5-a9523752-6603498e.jpg'],"['files/p11/p11022245/s53978610/013934b8-b155fa64-9bb2d234-6a50ffc9-ea84320b.jpg\n', 'files/p11/p11022245/s53978610/4da3c8dd-c23f6809-39162dc3-4d322cc6-83d28c99.jpg\n', 'files/p11/p11022245/s53978610/957e4fa0-2b741119-9fb1f79c-62130589-86d6cbed.jpg\n']"
s55490259_11,p11022245,s55490259,11,Findings,AP portable upright view of the chest. There has been interval intubation with the tip of the endotracheal tube positioned 3.3 cm above the carina. The right upper extremity access PICC line is unchanged. There is increasing bibasilar atelectasis.,The right upper extremity access PICC line is unchanged.,PICC line,right upper extremity,Stable,['files/p11/p11022245/s55490259/9ca1e240-842fe6d2-5b26c6f5-a9523752-6603498e.jpg'],"['files/p11/p11022245/s53978610/013934b8-b155fa64-9bb2d234-6a50ffc9-ea84320b.jpg\n', 'files/p11/p11022245/s53978610/4da3c8dd-c23f6809-39162dc3-4d322cc6-83d28c99.jpg\n', 'files/p11/p11022245/s53978610/957e4fa0-2b741119-9fb1f79c-62130589-86d6cbed.jpg\n']"
s55490963_17,p13979643,s55490963,17,Impression,AP chest compared to ___ and ___ of ___:30 a.m.: A new feeding tube ends in the stomach. Left PIC line ends in the SVC. Lungs are low in volume. Previous mild pulmonary edema has resolved. Heart size normal. No pneumothorax. Pleural effusion is small if any.,AP chest compared to ___ and ___ of ___:30 a.m.: A new feeding tube ends in the stomach.,feeding tube,,New,['files/p13/p13979643/s55490963/0a69cc34-5b2f951d-97d57989-4fc060c7-52b94812.jpg'],['files/p13/p13979643/s55454852/be562971-612bb3bb-8057a83f-8874a5f4-59394944.jpg\n']
s55490963_17,p13979643,s55490963,17,Impression,AP chest compared to ___ and ___ of ___:30 a.m.: A new feeding tube ends in the stomach. Left PIC line ends in the SVC. Lungs are low in volume. Previous mild pulmonary edema has resolved. Heart size normal. No pneumothorax. Pleural effusion is small if any.,Previous mild pulmonary edema has resolved.,pulmonary edema,,Resolve,['files/p13/p13979643/s55490963/0a69cc34-5b2f951d-97d57989-4fc060c7-52b94812.jpg'],['files/p13/p13979643/s55454852/be562971-612bb3bb-8057a83f-8874a5f4-59394944.jpg\n']
s55492069_2,p13352405,s55492069,2,Findings,Comparison is made to the prior study from ___. There are two right-sided chest tubes with distal tips at the apex and at the base. These are unchanged in position. No pneumothoraces are seen on either side. There is elevation of the right hemidiaphragm and volume loss on the right side. No signs for overt pulmonary edema is seen. There is some atelectasis at the lung bases.,These are unchanged in position.,chest tubes,apex and base,Stable,"['files/p13/p13352405/s55492069/40b2ad97-b8cd3c49-7a1658b6-79be29bb-676d3481.jpg', 'files/p13/p13352405/s55492069/9947b3c1-85e9e0c2-3e3aa524-6e24768e-01f76156.jpg']",['files/p13/p13352405/s55176260/93ca5245-a3a6c687-b3723eb4-4e89b56b-3cda2cc7.jpg\n']
s55499601_5,p19389547,s55499601,5,Findings,"In comparison with the study of ___, there is increased prominence of opacification adjacent to the right lateral chest wall. It is unclear whether this could merely reflect change in degree of obliquity of the patient or whether there is a reason to suggest increased fluid within the pleural space. The right hemidiaphragm remains sharp and there is nothing to indicate layering pleural effusion. This information has been telephoned to Dr. ___, ___ was covering for Dr. ___.","In comparison with the study of ___, there is increased prominence of opacification adjacent to the right lateral chest wall.",opacification,right lateral chest wall,Worse,"['files/p19/p19389547/s55499601/47168ca2-46fb63bc-f859ecb2-d1a48369-fbc2f3cf.jpg', 'files/p19/p19389547/s55499601/74b6403c-b1e5a850-192a4d1c-214f0603-0e109398.jpg']",['files/p19/p19389547/s55212349/76bdc5c2-cca422ab-3223abe7-7b01baa8-cca25210.jpg\n']
s55499601_5,p19389547,s55499601,5,Findings,"In comparison with the study of ___, there is increased prominence of opacification adjacent to the right lateral chest wall. It is unclear whether this could merely reflect change in degree of obliquity of the patient or whether there is a reason to suggest increased fluid within the pleural space. The right hemidiaphragm remains sharp and there is nothing to indicate layering pleural effusion. This information has been telephoned to Dr. ___, ___ was covering for Dr. ___.",The right hemidiaphragm remains sharp and there is nothing to indicate layering pleural effusion.,sharpness,right hemidiaphragm,Stable,"['files/p19/p19389547/s55499601/47168ca2-46fb63bc-f859ecb2-d1a48369-fbc2f3cf.jpg', 'files/p19/p19389547/s55499601/74b6403c-b1e5a850-192a4d1c-214f0603-0e109398.jpg']",['files/p19/p19389547/s55212349/76bdc5c2-cca422ab-3223abe7-7b01baa8-cca25210.jpg\n']
s55499739_1,p19731864,s55499739,1,Findings,"The heart is moderately enlarged. The aortic arch is calcified. Again noted is mild prominence of the main pulmonary artery contour in the aortopulmonary window. There is no pleural effusion or pneumothorax. There is persistent minor atelectasis at the left lung base, but otherwise, the lungs appear clear.","There is persistent minor atelectasis at the left lung base, but otherwise, the lungs appear clear.",minor atelectasis,left lung base,Stable,"['files/p19/p19731864/s55499739/06df3b11-81898aee-955508ec-3c40c0bd-2c592b21.jpg', 'files/p19/p19731864/s55499739/8e161b87-cb333a65-3d63c0a2-06de571e-60c0978e.jpg']","['files/p19/p19731864/s52033279/43c2cead-8dce2aea-f81013c5-fc2fa446-d47bb9d1.jpg\n', 'files/p19/p19731864/s52033279/dc1a93ef-539208d4-97e94a0c-0081a869-6bf2996a.jpg\n']"
s55499739_1,p19731864,s55499739,1,Findings,"The heart is moderately enlarged. The aortic arch is calcified. Again noted is mild prominence of the main pulmonary artery contour in the aortopulmonary window. There is no pleural effusion or pneumothorax. There is persistent minor atelectasis at the left lung base, but otherwise, the lungs appear clear.",Again noted is mild prominence of the main pulmonary artery contour in the aortopulmonary window.,mild prominence of the main pulmonary artery contour,aortopulmonary window,Stable,"['files/p19/p19731864/s55499739/06df3b11-81898aee-955508ec-3c40c0bd-2c592b21.jpg', 'files/p19/p19731864/s55499739/8e161b87-cb333a65-3d63c0a2-06de571e-60c0978e.jpg']","['files/p19/p19731864/s52033279/43c2cead-8dce2aea-f81013c5-fc2fa446-d47bb9d1.jpg\n', 'files/p19/p19731864/s52033279/dc1a93ef-539208d4-97e94a0c-0081a869-6bf2996a.jpg\n']"
s55502536_10,p17032538,s55502536,10,Findings,,The heart size is stable.,Heart size,,Stable,['files/p17/p17032538/s55502536/5653278e-a63fbb15-f2942f21-627563af-20b8e76e.jpg'],['files/p17/p17032538/s54097861/744a983f-6e2d9a27-ed516cc1-1ec2dea6-d65f542b.jpg\n']
s55502536_10,p17032538,s55502536,10,Impression,,"Overall, the findings are stable with no acute changes.",Overall findings,,Stable,['files/p17/p17032538/s55502536/5653278e-a63fbb15-f2942f21-627563af-20b8e76e.jpg'],['files/p17/p17032538/s54097861/744a983f-6e2d9a27-ed516cc1-1ec2dea6-d65f542b.jpg\n']
s55502536_10,p17032538,s55502536,10,Findings,,There is a persistent small pleural effusion on the left.,Pleural effusion,left,Stable,['files/p17/p17032538/s55502536/5653278e-a63fbb15-f2942f21-627563af-20b8e76e.jpg'],['files/p17/p17032538/s54097861/744a983f-6e2d9a27-ed516cc1-1ec2dea6-d65f542b.jpg\n']
s55502536_10,p17032538,s55502536,10,Findings,,No new lung opacities.,Lung opacities,,New,['files/p17/p17032538/s55502536/5653278e-a63fbb15-f2942f21-627563af-20b8e76e.jpg'],['files/p17/p17032538/s54097861/744a983f-6e2d9a27-ed516cc1-1ec2dea6-d65f542b.jpg\n']
s55502536_10,p17032538,s55502536,10,Findings,,The mediastinal contours are unchanged.,Mediastinal contours,,Stable,['files/p17/p17032538/s55502536/5653278e-a63fbb15-f2942f21-627563af-20b8e76e.jpg'],['files/p17/p17032538/s54097861/744a983f-6e2d9a27-ed516cc1-1ec2dea6-d65f542b.jpg\n']
s55511619_1,p19159236,s55511619,1,Impression,Unchanged mild pulmonary edema with likely small left pleural effusion.,Unchanged mild pulmonary edema with likely small left pleural effusion.,edema,pulmonary,Stable,['files/p19/p19159236/s55511619/7e424a42-38f2b8c3-7cdac166-95452e5b-2ada132a.jpg'],['files/p19/p19159236/s54259835/88723780-1ba2f066-c81f8785-f1b6c689-360af444.jpg\n']
s55511619_1,p19159236,s55511619,1,Findings,"Persistent pulmonary opacities, vascular engorgement and septal lines refkect mild pulmonary edema. Small left pleural effusion cannot be excluded. Low lung volumes limit assessment of cardiomediastinal silhouette though the cardiac size appears mildly enlarged.","Persistent pulmonary opacities, vascular engorgement and septal lines reflect mild pulmonary edema.",opacities,pulmonary,Stable,['files/p19/p19159236/s55511619/7e424a42-38f2b8c3-7cdac166-95452e5b-2ada132a.jpg'],['files/p19/p19159236/s54259835/88723780-1ba2f066-c81f8785-f1b6c689-360af444.jpg\n']
s55512076_1,p11022245,s55512076,1,Findings,The endotracheal tube tip sits 5 cm above the carina. A left-sided IJ central venous catheter tip sits in the left brachiocephalic vein. The right-sided IJ central venous catheter tip sits in the upper SVC. The heart size is large but stable. The mediastinal contours are within normal limits. There continue to be bibasilar and perihilar opacities as well as a more rounded confluent opacity in the right upper lung. These findings likely represent increased pulmonary edema as well as right upper and lower lobe consolidations. Retrocardiac opacity is also compatible with a left lower lobe consolidation. The costophrenic angles are excluded from the study limiting assessment for subtle pleural effusion. There is no large pneumothorax.,The heart size is large but stable.,Cardiomegaly,,Stable,['files/p11/p11022245/s55512076/d5d3964c-238d57c2-52e7bc5c-5233980d-1f0a2e2a.jpg'],['files/p11/p11022245/s55490259/9ca1e240-842fe6d2-5b26c6f5-a9523752-6603498e.jpg\n']
s55512076_1,p11022245,s55512076,1,Findings,The endotracheal tube tip sits 5 cm above the carina. A left-sided IJ central venous catheter tip sits in the left brachiocephalic vein. The right-sided IJ central venous catheter tip sits in the upper SVC. The heart size is large but stable. The mediastinal contours are within normal limits. There continue to be bibasilar and perihilar opacities as well as a more rounded confluent opacity in the right upper lung. These findings likely represent increased pulmonary edema as well as right upper and lower lobe consolidations. Retrocardiac opacity is also compatible with a left lower lobe consolidation. The costophrenic angles are excluded from the study limiting assessment for subtle pleural effusion. There is no large pneumothorax.,There continue to be bibasilar and perihilar opacities as well as a more rounded confluent opacity in the right upper lung.,opacities,bibasilar and perihilar,Worse,['files/p11/p11022245/s55512076/d5d3964c-238d57c2-52e7bc5c-5233980d-1f0a2e2a.jpg'],['files/p11/p11022245/s55490259/9ca1e240-842fe6d2-5b26c6f5-a9523752-6603498e.jpg\n']
s55512076_1,p11022245,s55512076,1,Impression,1. Lines and tubes in place. 2. Increased pulmonary edema with right upper lobe and bibasilar consolidations.,Increased pulmonary edema with right upper lobe and bibasilar consolidations.,consolidations,right upper lobe and bibasilar,Worse,['files/p11/p11022245/s55512076/d5d3964c-238d57c2-52e7bc5c-5233980d-1f0a2e2a.jpg'],['files/p11/p11022245/s55490259/9ca1e240-842fe6d2-5b26c6f5-a9523752-6603498e.jpg\n']
s55512076_1,p11022245,s55512076,1,Findings,The endotracheal tube tip sits 5 cm above the carina. A left-sided IJ central venous catheter tip sits in the left brachiocephalic vein. The right-sided IJ central venous catheter tip sits in the upper SVC. The heart size is large but stable. The mediastinal contours are within normal limits. There continue to be bibasilar and perihilar opacities as well as a more rounded confluent opacity in the right upper lung. These findings likely represent increased pulmonary edema as well as right upper and lower lobe consolidations. Retrocardiac opacity is also compatible with a left lower lobe consolidation. The costophrenic angles are excluded from the study limiting assessment for subtle pleural effusion. There is no large pneumothorax.,These findings likely represent increased pulmonary edema as well as right upper and lower lobe consolidations.,pulmonary edema,,Worse,['files/p11/p11022245/s55512076/d5d3964c-238d57c2-52e7bc5c-5233980d-1f0a2e2a.jpg'],['files/p11/p11022245/s55490259/9ca1e240-842fe6d2-5b26c6f5-a9523752-6603498e.jpg\n']
s55512076_1,p11022245,s55512076,1,Findings,The endotracheal tube tip sits 5 cm above the carina. A left-sided IJ central venous catheter tip sits in the left brachiocephalic vein. The right-sided IJ central venous catheter tip sits in the upper SVC. The heart size is large but stable. The mediastinal contours are within normal limits. There continue to be bibasilar and perihilar opacities as well as a more rounded confluent opacity in the right upper lung. These findings likely represent increased pulmonary edema as well as right upper and lower lobe consolidations. Retrocardiac opacity is also compatible with a left lower lobe consolidation. The costophrenic angles are excluded from the study limiting assessment for subtle pleural effusion. There is no large pneumothorax.,These findings likely represent increased pulmonary edema as well as right upper and lower lobe consolidations.,consolidations,right upper and lower lobe,Worse,['files/p11/p11022245/s55512076/d5d3964c-238d57c2-52e7bc5c-5233980d-1f0a2e2a.jpg'],['files/p11/p11022245/s55490259/9ca1e240-842fe6d2-5b26c6f5-a9523752-6603498e.jpg\n']
s55512076_1,p11022245,s55512076,1,Impression,1. Lines and tubes in place. 2. Increased pulmonary edema with right upper lobe and bibasilar consolidations.,Increased pulmonary edema with right upper lobe and bibasilar consolidations.,pulmonary edema,,Worse,['files/p11/p11022245/s55512076/d5d3964c-238d57c2-52e7bc5c-5233980d-1f0a2e2a.jpg'],['files/p11/p11022245/s55490259/9ca1e240-842fe6d2-5b26c6f5-a9523752-6603498e.jpg\n']
s55512076_1,p11022245,s55512076,1,Findings,The endotracheal tube tip sits 5 cm above the carina. A left-sided IJ central venous catheter tip sits in the left brachiocephalic vein. The right-sided IJ central venous catheter tip sits in the upper SVC. The heart size is large but stable. The mediastinal contours are within normal limits. There continue to be bibasilar and perihilar opacities as well as a more rounded confluent opacity in the right upper lung. These findings likely represent increased pulmonary edema as well as right upper and lower lobe consolidations. Retrocardiac opacity is also compatible with a left lower lobe consolidation. The costophrenic angles are excluded from the study limiting assessment for subtle pleural effusion. There is no large pneumothorax.,There continue to be bibasilar and perihilar opacities as well as a more rounded confluent opacity in the right upper lung.,confluent opacity,right upper lung,Worse,['files/p11/p11022245/s55512076/d5d3964c-238d57c2-52e7bc5c-5233980d-1f0a2e2a.jpg'],['files/p11/p11022245/s55490259/9ca1e240-842fe6d2-5b26c6f5-a9523752-6603498e.jpg\n']
s55513654_20,p13964474,s55513654,20,Findings,"As compared to the previous radiograph, there is no relevant change. The monitoring and support devices, including the esophageal stent are in constant position. Constant right pigtail catheter. The bilateral severe parenchymal opacities are unchanged.","As compared to the previous radiograph, there is no relevant change.",,,Stable,['files/p13/p13964474/s55513654/634557d1-cf60366d-474c0152-9a7b5559-72f0bc1e.jpg'],['files/p13/p13964474/s55485079/7299f098-d62bc751-9fe83648-b69333fb-38bddb75.jpg\n']
s55513654_20,p13964474,s55513654,20,Findings,"As compared to the previous radiograph, there is no relevant change. The monitoring and support devices, including the esophageal stent are in constant position. Constant right pigtail catheter. The bilateral severe parenchymal opacities are unchanged.","The monitoring and support devices, including the esophageal stent are in constant position.",esophageal stent,,Stable,['files/p13/p13964474/s55513654/634557d1-cf60366d-474c0152-9a7b5559-72f0bc1e.jpg'],['files/p13/p13964474/s55485079/7299f098-d62bc751-9fe83648-b69333fb-38bddb75.jpg\n']
s55513654_20,p13964474,s55513654,20,Findings,"As compared to the previous radiograph, there is no relevant change. The monitoring and support devices, including the esophageal stent are in constant position. Constant right pigtail catheter. The bilateral severe parenchymal opacities are unchanged.",The bilateral severe parenchymal opacities are unchanged.,severe parenchymal opacities,bilateral,Stable,['files/p13/p13964474/s55513654/634557d1-cf60366d-474c0152-9a7b5559-72f0bc1e.jpg'],['files/p13/p13964474/s55485079/7299f098-d62bc751-9fe83648-b69333fb-38bddb75.jpg\n']
s55514554_22,p11880923,s55514554,22,Findings,Small right pleural effusion is stable to slightly increased compared to prior and tracks into the fissures. Opacity in the right mid to lower lung field is new compared to ___. Retrocardiac linear opacities likely represent basilar atelectasis. Small right upper lobe perihilar opacity appears stable. Heart and mediastinal contours are stable. No pneumothorax is detected.,Small right pleural effusion is stable to slightly increased compared to prior and tracks into the fissures.,pleural effusion,right,Stable,"['files/p11/p11880923/s55514554/031f7904-9bf7d478-6ebc3f26-2ddf2209-700c9c83.jpg', 'files/p11/p11880923/s55514554/60742b25-1a7cae98-63ffe193-306dda7d-1977440c.jpg']",['files/p11/p11880923/s55238105/3bc5aaef-73a4b1b2-8a55d3ee-28d357d6-6c94acb0.jpg\n']
s55514554_22,p11880923,s55514554,22,Impression,"New right lower lung opacity compared to ___, concerning for pneumonia, with stable to slightly increased small right pleural effusion. Findings discussed with Dr. ___ by ___ by telephone at 1:42 p.m. on ___ at the time of initial review of the study.","New right lower lung opacity compared to ___, concerning for pneumonia, with stable to slightly increased small right pleural effusion.",opacity,right lower lung,New,"['files/p11/p11880923/s55514554/031f7904-9bf7d478-6ebc3f26-2ddf2209-700c9c83.jpg', 'files/p11/p11880923/s55514554/60742b25-1a7cae98-63ffe193-306dda7d-1977440c.jpg']",['files/p11/p11880923/s55238105/3bc5aaef-73a4b1b2-8a55d3ee-28d357d6-6c94acb0.jpg\n']
s55514554_22,p11880923,s55514554,22,Findings,Small right pleural effusion is stable to slightly increased compared to prior and tracks into the fissures. Opacity in the right mid to lower lung field is new compared to ___. Retrocardiac linear opacities likely represent basilar atelectasis. Small right upper lobe perihilar opacity appears stable. Heart and mediastinal contours are stable. No pneumothorax is detected.,Small right upper lobe perihilar opacity appears stable.,opacity,right upper lobe perihilar,Stable,"['files/p11/p11880923/s55514554/031f7904-9bf7d478-6ebc3f26-2ddf2209-700c9c83.jpg', 'files/p11/p11880923/s55514554/60742b25-1a7cae98-63ffe193-306dda7d-1977440c.jpg']",['files/p11/p11880923/s55238105/3bc5aaef-73a4b1b2-8a55d3ee-28d357d6-6c94acb0.jpg\n']
s55514554_22,p11880923,s55514554,22,Findings,Small right pleural effusion is stable to slightly increased compared to prior and tracks into the fissures. Opacity in the right mid to lower lung field is new compared to ___. Retrocardiac linear opacities likely represent basilar atelectasis. Small right upper lobe perihilar opacity appears stable. Heart and mediastinal contours are stable. No pneumothorax is detected.,Opacity in the right mid to lower lung field is new compared to ___.,opacity,right mid to lower lung field,New,"['files/p11/p11880923/s55514554/031f7904-9bf7d478-6ebc3f26-2ddf2209-700c9c83.jpg', 'files/p11/p11880923/s55514554/60742b25-1a7cae98-63ffe193-306dda7d-1977440c.jpg']",['files/p11/p11880923/s55238105/3bc5aaef-73a4b1b2-8a55d3ee-28d357d6-6c94acb0.jpg\n']
s55515719_4,p19720782,s55515719,4,Findings,"An opacity projecting over the right hilum is unchanged from prior examination is consistent with paramediastinal radiation changes. There is a persistent loculated right pleural effusion, unchanged in size from prior. The left lung remains clear. No pneumothorax is evident. There is pulmonary vascular congestion, though no overt pulmonary edema. Cardiac size is within normal limits and unchanged.",An opacity projecting over the right hilum is unchanged from prior examination is consistent with paramediastinal radiation changes.,opacity,right hilum,Stable,['files/p19/p19720782/s55515719/b378a3b5-08a7504a-631c758a-059fd7ba-eea6caf2.jpg'],['files/p19/p19720782/s54254493/244ae491-3e0f01f5-8506784c-32d65ab2-f96e30b6.jpg\n']
s55515719_4,p19720782,s55515719,4,Findings,"An opacity projecting over the right hilum is unchanged from prior examination is consistent with paramediastinal radiation changes. There is a persistent loculated right pleural effusion, unchanged in size from prior. The left lung remains clear. No pneumothorax is evident. There is pulmonary vascular congestion, though no overt pulmonary edema. Cardiac size is within normal limits and unchanged.","There is a persistent loculated right pleural effusion, unchanged in size from prior.",loculated pleural effusion,right,Stable,['files/p19/p19720782/s55515719/b378a3b5-08a7504a-631c758a-059fd7ba-eea6caf2.jpg'],['files/p19/p19720782/s54254493/244ae491-3e0f01f5-8506784c-32d65ab2-f96e30b6.jpg\n']
s55515719_4,p19720782,s55515719,4,Findings,"An opacity projecting over the right hilum is unchanged from prior examination is consistent with paramediastinal radiation changes. There is a persistent loculated right pleural effusion, unchanged in size from prior. The left lung remains clear. No pneumothorax is evident. There is pulmonary vascular congestion, though no overt pulmonary edema. Cardiac size is within normal limits and unchanged.",Cardiac size is within normal limits and unchanged.,cardiac size,,Stable,['files/p19/p19720782/s55515719/b378a3b5-08a7504a-631c758a-059fd7ba-eea6caf2.jpg'],['files/p19/p19720782/s54254493/244ae491-3e0f01f5-8506784c-32d65ab2-f96e30b6.jpg\n']
s55515719_4,p19720782,s55515719,4,Impression,Stable post-treatment changes related to known small cell lung carcinoma. No superimposed acute cardiopulmonary process.,Stable post-treatment changes related to known small cell lung carcinoma.,post-treatment changes,,Stable,['files/p19/p19720782/s55515719/b378a3b5-08a7504a-631c758a-059fd7ba-eea6caf2.jpg'],['files/p19/p19720782/s54254493/244ae491-3e0f01f5-8506784c-32d65ab2-f96e30b6.jpg\n']
s55518195_16,p13135946,s55518195,16,Findings,Small-to-moderate bilateral pleural effusions are most apparent on the lateral projections. Heart size is normal. A right-sided PICC line tip terminates in the mid SVC. Nasogastric tube extends below the field of view and mitral valve ring is in unchanged position. Mediastinal clips and sternal wires are intact. Bibasilar atelectasis has improved since ___.,Nasogastric tube extends below the field of view and mitral valve ring is in unchanged position.,mitral valve ring,,Stable,"['files/p13/p13135946/s55518195/57930c3a-37d3c746-2460ae3f-0847e6b9-4da2d903.jpg', 'files/p13/p13135946/s55518195/744f71f1-f6d7965d-b1962186-ee28d9f1-b157b253.jpg']",['files/p13/p13135946/s55451827/58578d45-f79852d7-bbc291c6-3ecd360f-65584281.jpg\n']
s55518195_16,p13135946,s55518195,16,Findings,Small-to-moderate bilateral pleural effusions are most apparent on the lateral projections. Heart size is normal. A right-sided PICC line tip terminates in the mid SVC. Nasogastric tube extends below the field of view and mitral valve ring is in unchanged position. Mediastinal clips and sternal wires are intact. Bibasilar atelectasis has improved since ___.,Bibasilar atelectasis has improved since ___.,atelectasis,bibasilar,Better,"['files/p13/p13135946/s55518195/57930c3a-37d3c746-2460ae3f-0847e6b9-4da2d903.jpg', 'files/p13/p13135946/s55518195/744f71f1-f6d7965d-b1962186-ee28d9f1-b157b253.jpg']",['files/p13/p13135946/s55451827/58578d45-f79852d7-bbc291c6-3ecd360f-65584281.jpg\n']
s55518268_6,p18906643,s55518268,6,Findings,"Compared with the study of ___, there has been placement of a hemodialysis catheter that extends into the right atrium. The other monitoring and support devices are essentially unchanged. Continued enlargement of the cardiac silhouette with some elevation of pulmonary venous pressure. Probable bilateral pleural effusions.","Compared with the study of ___, there has been placement of a hemodialysis catheter that extends into the right atrium.",Hemodialysis catheter,Right atrium,New,['files/p18/p18906643/s55518268/04019275-6df0e119-fde98da9-3cc92686-761b70c5.jpg'],['files/p18/p18906643/s53157312/f461329d-d6c1fb63-1dbb6294-4837e58c-53a0b617.jpg\n']
s55518268_6,p18906643,s55518268,6,Findings,"Compared with the study of ___, there has been placement of a hemodialysis catheter that extends into the right atrium. The other monitoring and support devices are essentially unchanged. Continued enlargement of the cardiac silhouette with some elevation of pulmonary venous pressure. Probable bilateral pleural effusions.",The other monitoring and support devices are essentially unchanged.,Other monitoring and support devices,,Stable,['files/p18/p18906643/s55518268/04019275-6df0e119-fde98da9-3cc92686-761b70c5.jpg'],['files/p18/p18906643/s53157312/f461329d-d6c1fb63-1dbb6294-4837e58c-53a0b617.jpg\n']
s55525523_7,p11293517,s55525523,7,Impression,No acute findings in the chest. Stable mild cardiomegaly. Multiple pacer wires are unchanged in position.,No acute findings in the chest. Stable mild cardiomegaly. Multiple pacer wires are unchanged in position.,mild cardiomegaly,,Stable,"['files/p11/p11293517/s55525523/049f350d-00784726-84389895-f7bb753f-7695f2b6.jpg', 'files/p11/p11293517/s55525523/4c51a119-6f346625-6da3ca60-c048486b-db7e21e6.jpg']","['files/p11/p11293517/s55101140/45aff2db-f97c8da4-6c6f992e-d40a0952-c0675aea.jpg\n', 'files/p11/p11293517/s55101140/acea85a3-8db7b0ba-78f1bef1-81f7d8de-342f03f5.jpg\n', 'files/p11/p11293517/s55101140/e441d29c-c156066e-10c1c80f-419f440f-7a4bf94d.jpg\n', 'files/p11/p11293517/s55101140/eae9552c-edf076af-61e6ad23-f29e7eb7-2dc91ede.jpg\n']"
s55525523_7,p11293517,s55525523,7,Findings,"AP upright portable chest radiograph is obtained. A left chest wall pacer device is again seen with lead tips extending into the right atrium and ventricle. Abandoned pacing leads are also seen in the right chest wall, extending into the right heart, not significantly changed. The heart is mildly enlarged. The lungs appear clear without definite signs of pneumonia or CHF. No large effusion or pneumothorax is seen. The overall cardiomediastinal silhouette is stable. Bony structures are intact.","Abandoned pacing leads are also seen in the right chest wall, extending into the right heart, not significantly changed.",Abandoned pacing leads,right chest wall,Stable,"['files/p11/p11293517/s55525523/049f350d-00784726-84389895-f7bb753f-7695f2b6.jpg', 'files/p11/p11293517/s55525523/4c51a119-6f346625-6da3ca60-c048486b-db7e21e6.jpg']","['files/p11/p11293517/s55101140/45aff2db-f97c8da4-6c6f992e-d40a0952-c0675aea.jpg\n', 'files/p11/p11293517/s55101140/acea85a3-8db7b0ba-78f1bef1-81f7d8de-342f03f5.jpg\n', 'files/p11/p11293517/s55101140/e441d29c-c156066e-10c1c80f-419f440f-7a4bf94d.jpg\n', 'files/p11/p11293517/s55101140/eae9552c-edf076af-61e6ad23-f29e7eb7-2dc91ede.jpg\n']"
s55525523_7,p11293517,s55525523,7,Findings,"AP upright portable chest radiograph is obtained. A left chest wall pacer device is again seen with lead tips extending into the right atrium and ventricle. Abandoned pacing leads are also seen in the right chest wall, extending into the right heart, not significantly changed. The heart is mildly enlarged. The lungs appear clear without definite signs of pneumonia or CHF. No large effusion or pneumothorax is seen. The overall cardiomediastinal silhouette is stable. Bony structures are intact.",The overall cardiomediastinal silhouette is stable.,cardiomediastinal silhouette,,Stable,"['files/p11/p11293517/s55525523/049f350d-00784726-84389895-f7bb753f-7695f2b6.jpg', 'files/p11/p11293517/s55525523/4c51a119-6f346625-6da3ca60-c048486b-db7e21e6.jpg']","['files/p11/p11293517/s55101140/45aff2db-f97c8da4-6c6f992e-d40a0952-c0675aea.jpg\n', 'files/p11/p11293517/s55101140/acea85a3-8db7b0ba-78f1bef1-81f7d8de-342f03f5.jpg\n', 'files/p11/p11293517/s55101140/e441d29c-c156066e-10c1c80f-419f440f-7a4bf94d.jpg\n', 'files/p11/p11293517/s55101140/eae9552c-edf076af-61e6ad23-f29e7eb7-2dc91ede.jpg\n']"
s55525523_7,p11293517,s55525523,7,Impression,No acute findings in the chest. Stable mild cardiomegaly. Multiple pacer wires are unchanged in position.,No acute findings in the chest. Stable mild cardiomegaly. Multiple pacer wires are unchanged in position.,pacer wires,,Stable,"['files/p11/p11293517/s55525523/049f350d-00784726-84389895-f7bb753f-7695f2b6.jpg', 'files/p11/p11293517/s55525523/4c51a119-6f346625-6da3ca60-c048486b-db7e21e6.jpg']","['files/p11/p11293517/s55101140/45aff2db-f97c8da4-6c6f992e-d40a0952-c0675aea.jpg\n', 'files/p11/p11293517/s55101140/acea85a3-8db7b0ba-78f1bef1-81f7d8de-342f03f5.jpg\n', 'files/p11/p11293517/s55101140/e441d29c-c156066e-10c1c80f-419f440f-7a4bf94d.jpg\n', 'files/p11/p11293517/s55101140/eae9552c-edf076af-61e6ad23-f29e7eb7-2dc91ede.jpg\n']"
s55528477_7,p13606683,s55528477,7,Findings,"PA and lateral chest radiographs demonstrate mild hyperinflation, consistent with known emphysema. Additionally, interstitial edema, small right pleural effusion, and mild cardiomegaly are new when compared to ___. Left basilar scarring and pleural thickening are chronic. Median sternotomy wires and aortic prosthesis are unchanged. There is no focal consolidation or pneumothorax.","Additionally, interstitial edema, small right pleural effusion, and mild cardiomegaly are new when compared to ___.",mild cardiomegaly,,New,"['files/p13/p13606683/s55528477/242c5252-f4f60ea2-60a0a808-024076cc-54ea11ce.jpg', 'files/p13/p13606683/s55528477/28bd0725-441d6b2b-8333f48b-70538154-c6040732.jpg']","['files/p13/p13606683/s55496973/5d1ef19d-71525425-898af389-0043814d-4b56bc90.jpg\n', 'files/p13/p13606683/s55496973/b3024f42-1bf6d070-0df335f6-854c6de4-e8edb406.jpg\n']"
s55528477_7,p13606683,s55528477,7,Findings,"PA and lateral chest radiographs demonstrate mild hyperinflation, consistent with known emphysema. Additionally, interstitial edema, small right pleural effusion, and mild cardiomegaly are new when compared to ___. Left basilar scarring and pleural thickening are chronic. Median sternotomy wires and aortic prosthesis are unchanged. There is no focal consolidation or pneumothorax.","Additionally, interstitial edema, small right pleural effusion, and mild cardiomegaly are new when compared to ___.",interstitial edema,,New,"['files/p13/p13606683/s55528477/242c5252-f4f60ea2-60a0a808-024076cc-54ea11ce.jpg', 'files/p13/p13606683/s55528477/28bd0725-441d6b2b-8333f48b-70538154-c6040732.jpg']","['files/p13/p13606683/s55496973/5d1ef19d-71525425-898af389-0043814d-4b56bc90.jpg\n', 'files/p13/p13606683/s55496973/b3024f42-1bf6d070-0df335f6-854c6de4-e8edb406.jpg\n']"
s55528477_7,p13606683,s55528477,7,Findings,"PA and lateral chest radiographs demonstrate mild hyperinflation, consistent with known emphysema. Additionally, interstitial edema, small right pleural effusion, and mild cardiomegaly are new when compared to ___. Left basilar scarring and pleural thickening are chronic. Median sternotomy wires and aortic prosthesis are unchanged. There is no focal consolidation or pneumothorax.",Median sternotomy wires and aortic prosthesis are unchanged.,Median sternotomy wires,,Stable,"['files/p13/p13606683/s55528477/242c5252-f4f60ea2-60a0a808-024076cc-54ea11ce.jpg', 'files/p13/p13606683/s55528477/28bd0725-441d6b2b-8333f48b-70538154-c6040732.jpg']","['files/p13/p13606683/s55496973/5d1ef19d-71525425-898af389-0043814d-4b56bc90.jpg\n', 'files/p13/p13606683/s55496973/b3024f42-1bf6d070-0df335f6-854c6de4-e8edb406.jpg\n']"
s55528477_7,p13606683,s55528477,7,Findings,"PA and lateral chest radiographs demonstrate mild hyperinflation, consistent with known emphysema. Additionally, interstitial edema, small right pleural effusion, and mild cardiomegaly are new when compared to ___. Left basilar scarring and pleural thickening are chronic. Median sternotomy wires and aortic prosthesis are unchanged. There is no focal consolidation or pneumothorax.","Additionally, interstitial edema, small right pleural effusion, and mild cardiomegaly are new when compared to ___.",small pleural effusion,right,New,"['files/p13/p13606683/s55528477/242c5252-f4f60ea2-60a0a808-024076cc-54ea11ce.jpg', 'files/p13/p13606683/s55528477/28bd0725-441d6b2b-8333f48b-70538154-c6040732.jpg']","['files/p13/p13606683/s55496973/5d1ef19d-71525425-898af389-0043814d-4b56bc90.jpg\n', 'files/p13/p13606683/s55496973/b3024f42-1bf6d070-0df335f6-854c6de4-e8edb406.jpg\n']"
s55528477_7,p13606683,s55528477,7,Findings,"PA and lateral chest radiographs demonstrate mild hyperinflation, consistent with known emphysema. Additionally, interstitial edema, small right pleural effusion, and mild cardiomegaly are new when compared to ___. Left basilar scarring and pleural thickening are chronic. Median sternotomy wires and aortic prosthesis are unchanged. There is no focal consolidation or pneumothorax.",Median sternotomy wires and aortic prosthesis are unchanged.,aortic prosthesis,,Stable,"['files/p13/p13606683/s55528477/242c5252-f4f60ea2-60a0a808-024076cc-54ea11ce.jpg', 'files/p13/p13606683/s55528477/28bd0725-441d6b2b-8333f48b-70538154-c6040732.jpg']","['files/p13/p13606683/s55496973/5d1ef19d-71525425-898af389-0043814d-4b56bc90.jpg\n', 'files/p13/p13606683/s55496973/b3024f42-1bf6d070-0df335f6-854c6de4-e8edb406.jpg\n']"
s55534474_3,p16553329,s55534474,3,Findings,Frontal view of the chest was obtained. Large bilateral pleural effusions are present with adjacent opacities most consistent with compressive atelectasis. Cephalization and indistinct appearance of the pulmonary vasculature are consistent with pulmonary edema. Heart size is not well assessed but appears enlarged. Mediastinal contours are stable.,Mediastinal contours are stable.,Mediastinal contours,,Stable,['files/p16/p16553329/s55534474/02e9477c-659b97b0-28c5c1b2-6f4e0865-3e04a039.jpg'],"['files/p16/p16553329/s53481703/129b160a-a04df689-fd8a2f39-c04a597d-736a0245.jpg\n', 'files/p16/p16553329/s53481703/62293417-c3edd9fd-c05a2646-8a63d21e-b182d247.jpg\n', 'files/p16/p16553329/s53481703/acd1cafb-900a2856-d5d8b7f6-9bf7f757-019ea214.jpg\n']"
s55540365_7,p13964474,s55540365,7,Findings,"As compared to the previous radiograph, there is unchanged evidence of free intra-abdominal air. Esophageal stent is in unchanged position. Unchanged massive right parenchymal opacities. Opacities on the left appeared to increase in severity. No other changes.",Opacities on the left appeared to increase in severity.,opacities,left,Worse,['files/p13/p13964474/s55540365/0fa9b2f2-d7510ec8-dd44542a-5132940a-96ef2890.jpg'],['files/p13/p13964474/s55513654/634557d1-cf60366d-474c0152-9a7b5559-72f0bc1e.jpg\n']
s55540365_7,p13964474,s55540365,7,Findings,"As compared to the previous radiograph, there is unchanged evidence of free intra-abdominal air. Esophageal stent is in unchanged position. Unchanged massive right parenchymal opacities. Opacities on the left appeared to increase in severity. No other changes.",Esophageal stent is in unchanged position.,Esophageal stent,,Stable,['files/p13/p13964474/s55540365/0fa9b2f2-d7510ec8-dd44542a-5132940a-96ef2890.jpg'],['files/p13/p13964474/s55513654/634557d1-cf60366d-474c0152-9a7b5559-72f0bc1e.jpg\n']
s55540365_7,p13964474,s55540365,7,Findings,"As compared to the previous radiograph, there is unchanged evidence of free intra-abdominal air. Esophageal stent is in unchanged position. Unchanged massive right parenchymal opacities. Opacities on the left appeared to increase in severity. No other changes.",Unchanged massive right parenchymal opacities.,massive parenchymal opacities,right,Stable,['files/p13/p13964474/s55540365/0fa9b2f2-d7510ec8-dd44542a-5132940a-96ef2890.jpg'],['files/p13/p13964474/s55513654/634557d1-cf60366d-474c0152-9a7b5559-72f0bc1e.jpg\n']
s55540365_7,p13964474,s55540365,7,Findings,"As compared to the previous radiograph, there is unchanged evidence of free intra-abdominal air. Esophageal stent is in unchanged position. Unchanged massive right parenchymal opacities. Opacities on the left appeared to increase in severity. No other changes.","As compared to the previous radiograph, there is unchanged evidence of free intra-abdominal air.",free intra-abdominal air,,Stable,['files/p13/p13964474/s55540365/0fa9b2f2-d7510ec8-dd44542a-5132940a-96ef2890.jpg'],['files/p13/p13964474/s55513654/634557d1-cf60366d-474c0152-9a7b5559-72f0bc1e.jpg\n']
s55544509_53,p14851532,s55544509,53,Impression,"Comparison to ___. The lung volumes remain relatively low and the cardiac silhouette is still substantially enlarged. However, the lung parenchyma has increased in transparent see, notably due to a decrease in extent of the pre-existing right pleural effusion and basilar atelectasis as well as an increase in radiolucency of the left upper lobe. No other relevant change is noted.","However, the lung parenchyma has increased in transparent see, notably due to a decrease in extent of the pre-existing right pleural effusion and basilar atelectasis as well as an increase in radiolucency of the left upper lobe.",radiolucency,left upper lobe,Worse,['files/p14/p14851532/s55544509/ec82f84b-cccfc6e5-fa5fe314-b10d2e0f-0d272479.jpg'],"['files/p14/p14851532/s55391861/066ec4b5-091a526d-468587e6-5da388cf-013a6056.jpg\n', 'files/p14/p14851532/s55391861/920383e8-f7826e9b-c4757924-9056a960-61d392bb.jpg\n', 'files/p14/p14851532/s55391861/db947f2f-6fecfd69-1ed4dbf2-6e7c6fb8-a395c1b6.jpg\n']"
s55544509_53,p14851532,s55544509,53,Impression,"Comparison to ___. The lung volumes remain relatively low and the cardiac silhouette is still substantially enlarged. However, the lung parenchyma has increased in transparent see, notably due to a decrease in extent of the pre-existing right pleural effusion and basilar atelectasis as well as an increase in radiolucency of the left upper lobe. No other relevant change is noted.","However, the lung parenchyma has increased in transparent see, notably due to a decrease in extent of the pre-existing right pleural effusion and basilar atelectasis as well as an increase in radiolucency of the left upper lobe.",basilar atelectasis,right,Better,['files/p14/p14851532/s55544509/ec82f84b-cccfc6e5-fa5fe314-b10d2e0f-0d272479.jpg'],"['files/p14/p14851532/s55391861/066ec4b5-091a526d-468587e6-5da388cf-013a6056.jpg\n', 'files/p14/p14851532/s55391861/920383e8-f7826e9b-c4757924-9056a960-61d392bb.jpg\n', 'files/p14/p14851532/s55391861/db947f2f-6fecfd69-1ed4dbf2-6e7c6fb8-a395c1b6.jpg\n']"
s55544509_53,p14851532,s55544509,53,Impression,"Comparison to ___. The lung volumes remain relatively low and the cardiac silhouette is still substantially enlarged. However, the lung parenchyma has increased in transparent see, notably due to a decrease in extent of the pre-existing right pleural effusion and basilar atelectasis as well as an increase in radiolucency of the left upper lobe. No other relevant change is noted.","However, the lung parenchyma has increased in transparent see, notably due to a decrease in extent of the pre-existing right pleural effusion and basilar atelectasis as well as an increase in radiolucency of the left upper lobe.",pleural effusion,right,Better,['files/p14/p14851532/s55544509/ec82f84b-cccfc6e5-fa5fe314-b10d2e0f-0d272479.jpg'],"['files/p14/p14851532/s55391861/066ec4b5-091a526d-468587e6-5da388cf-013a6056.jpg\n', 'files/p14/p14851532/s55391861/920383e8-f7826e9b-c4757924-9056a960-61d392bb.jpg\n', 'files/p14/p14851532/s55391861/db947f2f-6fecfd69-1ed4dbf2-6e7c6fb8-a395c1b6.jpg\n']"
s55544509_53,p14851532,s55544509,53,Impression,"Comparison to ___. The lung volumes remain relatively low and the cardiac silhouette is still substantially enlarged. However, the lung parenchyma has increased in transparent see, notably due to a decrease in extent of the pre-existing right pleural effusion and basilar atelectasis as well as an increase in radiolucency of the left upper lobe. No other relevant change is noted.",Comparison to ___. The lung volumes remain relatively low and the cardiac silhouette is still substantially enlarged.,cardiac silhouette,,Stable,['files/p14/p14851532/s55544509/ec82f84b-cccfc6e5-fa5fe314-b10d2e0f-0d272479.jpg'],"['files/p14/p14851532/s55391861/066ec4b5-091a526d-468587e6-5da388cf-013a6056.jpg\n', 'files/p14/p14851532/s55391861/920383e8-f7826e9b-c4757924-9056a960-61d392bb.jpg\n', 'files/p14/p14851532/s55391861/db947f2f-6fecfd69-1ed4dbf2-6e7c6fb8-a395c1b6.jpg\n']"
s55544509_53,p14851532,s55544509,53,Impression,"Comparison to ___. The lung volumes remain relatively low and the cardiac silhouette is still substantially enlarged. However, the lung parenchyma has increased in transparent see, notably due to a decrease in extent of the pre-existing right pleural effusion and basilar atelectasis as well as an increase in radiolucency of the left upper lobe. No other relevant change is noted.",Comparison to ___. The lung volumes remain relatively low and the cardiac silhouette is still substantially enlarged.,lung volumes,,Stable,['files/p14/p14851532/s55544509/ec82f84b-cccfc6e5-fa5fe314-b10d2e0f-0d272479.jpg'],"['files/p14/p14851532/s55391861/066ec4b5-091a526d-468587e6-5da388cf-013a6056.jpg\n', 'files/p14/p14851532/s55391861/920383e8-f7826e9b-c4757924-9056a960-61d392bb.jpg\n', 'files/p14/p14851532/s55391861/db947f2f-6fecfd69-1ed4dbf2-6e7c6fb8-a395c1b6.jpg\n']"
s55553875_2,p12966004,s55553875,2,Impression,Slight improvement of right upper lung opacity with increased bibasilar opacities possibly reflecting atelectasis or aspiration though worsening infection cannot be fully excluded.,Slight improvement of right upper lung opacity with increased bibasilar opacities possibly reflecting atelectasis or aspiration though worsening infection cannot be fully excluded.,opacities,bibasilar,Worse,['files/p12/p12966004/s55553875/d506da5a-b2dad80c-f31e282e-15154de3-b4385bea.jpg'],
s55553875_2,p12966004,s55553875,2,Impression,Slight improvement of right upper lung opacity with increased bibasilar opacities possibly reflecting atelectasis or aspiration though worsening infection cannot be fully excluded.,Slight improvement of right upper lung opacity with increased bibasilar opacities possibly reflecting atelectasis or aspiration though worsening infection cannot be fully excluded.,opacity,right upper lung,Better,['files/p12/p12966004/s55553875/d506da5a-b2dad80c-f31e282e-15154de3-b4385bea.jpg'],
s55553875_2,p12966004,s55553875,2,Findings,"Endotracheal tube terminates 2.8 cm above the carina. Nasogastric tube terminates within the body of the stomach. Right internal jugular catheter ends in the lower SVC. Previously described right upper lung opacity is less conspicuous than on the prior. Bibasilar opacities are larger and could reflect atelectasis or an aspiration event. Worsening infection cannot be excluded. Small left pleural effusion is likely also present. The heart is normal in size, normal cardiomediastinal silhouette.",Worsening infection cannot be excluded.,infection,,Worse,['files/p12/p12966004/s55553875/d506da5a-b2dad80c-f31e282e-15154de3-b4385bea.jpg'],
s55553875_2,p12966004,s55553875,2,Findings,"Endotracheal tube terminates 2.8 cm above the carina. Nasogastric tube terminates within the body of the stomach. Right internal jugular catheter ends in the lower SVC. Previously described right upper lung opacity is less conspicuous than on the prior. Bibasilar opacities are larger and could reflect atelectasis or an aspiration event. Worsening infection cannot be excluded. Small left pleural effusion is likely also present. The heart is normal in size, normal cardiomediastinal silhouette.",Previously described right upper lung opacity is less conspicuous than on the prior.,opacity,right upper lung,Better,['files/p12/p12966004/s55553875/d506da5a-b2dad80c-f31e282e-15154de3-b4385bea.jpg'],
s55563866_50,p19182863,s55563866,50,Impression,"Unchanged mild cardiomegaly, mild pulmonary vascular congestion, and small right pleural effusion with adjacent right basilar opacification, likely atelectasis but infection cannot be excluded.","Unchanged mild cardiomegaly, mild pulmonary vascular congestion, and small right pleural effusion with adjacent right basilar opacification, likely atelectasis but infection cannot be excluded.",opacification,right basilar,Stable,"['files/p19/p19182863/s55563866/1b28921d-4ff1da35-9168d4d3-3ae39a1f-15dedb6c.jpg', 'files/p19/p19182863/s55563866/a1ece6b0-48facc6a-5c1446ce-86190a6c-f2036983.jpg']","['files/p19/p19182863/s55177624/5266b09b-623e5530-6e37f74e-af2fb12f-8294d936.jpg\n', 'files/p19/p19182863/s55177624/b4d823ad-b9f7d3f3-47e57646-bd49ea72-8e3c5bd0.jpg\n']"
s55563866_50,p19182863,s55563866,50,Impression,"Unchanged mild cardiomegaly, mild pulmonary vascular congestion, and small right pleural effusion with adjacent right basilar opacification, likely atelectasis but infection cannot be excluded.","Unchanged mild cardiomegaly, mild pulmonary vascular congestion, and small right pleural effusion with adjacent right basilar opacification, likely atelectasis but infection cannot be excluded.",pleural effusion,right,Stable,"['files/p19/p19182863/s55563866/1b28921d-4ff1da35-9168d4d3-3ae39a1f-15dedb6c.jpg', 'files/p19/p19182863/s55563866/a1ece6b0-48facc6a-5c1446ce-86190a6c-f2036983.jpg']","['files/p19/p19182863/s55177624/5266b09b-623e5530-6e37f74e-af2fb12f-8294d936.jpg\n', 'files/p19/p19182863/s55177624/b4d823ad-b9f7d3f3-47e57646-bd49ea72-8e3c5bd0.jpg\n']"
s55563866_50,p19182863,s55563866,50,Findings,"Since the prior study, there is little change in opacification of the right lung base, likely combination of atelectasis and effusion, moderate cardiomegaly, and location of pacemaker leads and prosthetic aortic and tricuspid valves. Infection at the right lung base cannot be excluded. There is mild pulmonary vascular congestion.","Since the prior study, there is little change in opacification of the right lung base, likely combination of atelectasis and effusion, moderate cardiomegaly, and location of pacemaker leads and prosthetic aortic and tricuspid valves.",atelectasis,right lung base,Stable,"['files/p19/p19182863/s55563866/1b28921d-4ff1da35-9168d4d3-3ae39a1f-15dedb6c.jpg', 'files/p19/p19182863/s55563866/a1ece6b0-48facc6a-5c1446ce-86190a6c-f2036983.jpg']","['files/p19/p19182863/s55177624/5266b09b-623e5530-6e37f74e-af2fb12f-8294d936.jpg\n', 'files/p19/p19182863/s55177624/b4d823ad-b9f7d3f3-47e57646-bd49ea72-8e3c5bd0.jpg\n']"
s55563866_50,p19182863,s55563866,50,Findings,"Since the prior study, there is little change in opacification of the right lung base, likely combination of atelectasis and effusion, moderate cardiomegaly, and location of pacemaker leads and prosthetic aortic and tricuspid valves. Infection at the right lung base cannot be excluded. There is mild pulmonary vascular congestion.","Since the prior study, there is little change in opacification of the right lung base, likely combination of atelectasis and effusion, moderate cardiomegaly, and location of pacemaker leads and prosthetic aortic and tricuspid valves.",opacification,right lung base,Stable,"['files/p19/p19182863/s55563866/1b28921d-4ff1da35-9168d4d3-3ae39a1f-15dedb6c.jpg', 'files/p19/p19182863/s55563866/a1ece6b0-48facc6a-5c1446ce-86190a6c-f2036983.jpg']","['files/p19/p19182863/s55177624/5266b09b-623e5530-6e37f74e-af2fb12f-8294d936.jpg\n', 'files/p19/p19182863/s55177624/b4d823ad-b9f7d3f3-47e57646-bd49ea72-8e3c5bd0.jpg\n']"
s55563866_50,p19182863,s55563866,50,Findings,"Since the prior study, there is little change in opacification of the right lung base, likely combination of atelectasis and effusion, moderate cardiomegaly, and location of pacemaker leads and prosthetic aortic and tricuspid valves. Infection at the right lung base cannot be excluded. There is mild pulmonary vascular congestion.","Since the prior study, there is little change in opacification of the right lung base, likely combination of atelectasis and effusion, moderate cardiomegaly, and location of pacemaker leads and prosthetic aortic and tricuspid valves.",effusion,right lung base,Stable,"['files/p19/p19182863/s55563866/1b28921d-4ff1da35-9168d4d3-3ae39a1f-15dedb6c.jpg', 'files/p19/p19182863/s55563866/a1ece6b0-48facc6a-5c1446ce-86190a6c-f2036983.jpg']","['files/p19/p19182863/s55177624/5266b09b-623e5530-6e37f74e-af2fb12f-8294d936.jpg\n', 'files/p19/p19182863/s55177624/b4d823ad-b9f7d3f3-47e57646-bd49ea72-8e3c5bd0.jpg\n']"
s55563866_50,p19182863,s55563866,50,Findings,"Since the prior study, there is little change in opacification of the right lung base, likely combination of atelectasis and effusion, moderate cardiomegaly, and location of pacemaker leads and prosthetic aortic and tricuspid valves. Infection at the right lung base cannot be excluded. There is mild pulmonary vascular congestion.","Since the prior study, there is little change in opacification of the right lung base, likely combination of atelectasis and effusion, moderate cardiomegaly, and location of pacemaker leads and prosthetic aortic and tricuspid valves.",moderate cardiomegaly,,Stable,"['files/p19/p19182863/s55563866/1b28921d-4ff1da35-9168d4d3-3ae39a1f-15dedb6c.jpg', 'files/p19/p19182863/s55563866/a1ece6b0-48facc6a-5c1446ce-86190a6c-f2036983.jpg']","['files/p19/p19182863/s55177624/5266b09b-623e5530-6e37f74e-af2fb12f-8294d936.jpg\n', 'files/p19/p19182863/s55177624/b4d823ad-b9f7d3f3-47e57646-bd49ea72-8e3c5bd0.jpg\n']"
s55563866_50,p19182863,s55563866,50,Impression,"Unchanged mild cardiomegaly, mild pulmonary vascular congestion, and small right pleural effusion with adjacent right basilar opacification, likely atelectasis but infection cannot be excluded.","Unchanged mild cardiomegaly, mild pulmonary vascular congestion, and small right pleural effusion with adjacent right basilar opacification, likely atelectasis but infection cannot be excluded.",mild cardiomegaly,,Stable,"['files/p19/p19182863/s55563866/1b28921d-4ff1da35-9168d4d3-3ae39a1f-15dedb6c.jpg', 'files/p19/p19182863/s55563866/a1ece6b0-48facc6a-5c1446ce-86190a6c-f2036983.jpg']","['files/p19/p19182863/s55177624/5266b09b-623e5530-6e37f74e-af2fb12f-8294d936.jpg\n', 'files/p19/p19182863/s55177624/b4d823ad-b9f7d3f3-47e57646-bd49ea72-8e3c5bd0.jpg\n']"
s55563866_50,p19182863,s55563866,50,Impression,"Unchanged mild cardiomegaly, mild pulmonary vascular congestion, and small right pleural effusion with adjacent right basilar opacification, likely atelectasis but infection cannot be excluded.","Unchanged mild cardiomegaly, mild pulmonary vascular congestion, and small right pleural effusion with adjacent right basilar opacification, likely atelectasis but infection cannot be excluded.",mild pulmonary vascular congestion,,Stable,"['files/p19/p19182863/s55563866/1b28921d-4ff1da35-9168d4d3-3ae39a1f-15dedb6c.jpg', 'files/p19/p19182863/s55563866/a1ece6b0-48facc6a-5c1446ce-86190a6c-f2036983.jpg']","['files/p19/p19182863/s55177624/5266b09b-623e5530-6e37f74e-af2fb12f-8294d936.jpg\n', 'files/p19/p19182863/s55177624/b4d823ad-b9f7d3f3-47e57646-bd49ea72-8e3c5bd0.jpg\n']"
s55564287_3,p14236258,s55564287,3,Findings,"AP and lateral views of the chest are compared to previous exam from ___. Dual-lumen left subclavian line is in stable position. The lungs are clear of consolidation. Trace blunting of the left costophrenic angle again seen. There is no right-sided pleural effusion. Cardiomediastinal silhouette is stable. Surgical clips project over the thoracic inlet bilaterally. Osseous structures again notable for bilateral, old posterior healed rib fractures and mild wedging of mid thoracic vertebral bodies, unchanged since ___. Degenerative changes again seen at the shoulders bilaterally including calcification in the region of the right coracoclavicular region.",Dual-lumen left subclavian line is in stable position.,position of dual-lumen line,left subclavian,Stable,"['files/p14/p14236258/s55564287/4cd5e5ca-b9936cbb-145c2a62-9eb8aa4c-dc5d062a.jpg', 'files/p14/p14236258/s55564287/91db5745-87b0042c-4728fa53-e5352d85-501dae1c.jpg', 'files/p14/p14236258/s55564287/eb571dcc-97db82c4-f1e38d6b-b8f745f9-0374af96.jpg']","['files/p14/p14236258/s55400628/5d37e278-47fa9e3a-5fa3bbcf-a9b2cfae-74ed3559.jpg\n', 'files/p14/p14236258/s55400628/6bcb8e81-3444b4bd-b017a83d-6f0d03d3-dc350009.jpg\n', 'files/p14/p14236258/s55400628/bdd612ef-c670dd82-8e5b97e4-82d8c071-20405c37.jpg\n']"
s55564287_3,p14236258,s55564287,3,Findings,"AP and lateral views of the chest are compared to previous exam from ___. Dual-lumen left subclavian line is in stable position. The lungs are clear of consolidation. Trace blunting of the left costophrenic angle again seen. There is no right-sided pleural effusion. Cardiomediastinal silhouette is stable. Surgical clips project over the thoracic inlet bilaterally. Osseous structures again notable for bilateral, old posterior healed rib fractures and mild wedging of mid thoracic vertebral bodies, unchanged since ___. Degenerative changes again seen at the shoulders bilaterally including calcification in the region of the right coracoclavicular region.",Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p14/p14236258/s55564287/4cd5e5ca-b9936cbb-145c2a62-9eb8aa4c-dc5d062a.jpg', 'files/p14/p14236258/s55564287/91db5745-87b0042c-4728fa53-e5352d85-501dae1c.jpg', 'files/p14/p14236258/s55564287/eb571dcc-97db82c4-f1e38d6b-b8f745f9-0374af96.jpg']","['files/p14/p14236258/s55400628/5d37e278-47fa9e3a-5fa3bbcf-a9b2cfae-74ed3559.jpg\n', 'files/p14/p14236258/s55400628/6bcb8e81-3444b4bd-b017a83d-6f0d03d3-dc350009.jpg\n', 'files/p14/p14236258/s55400628/bdd612ef-c670dd82-8e5b97e4-82d8c071-20405c37.jpg\n']"
s55564287_3,p14236258,s55564287,3,Findings,"AP and lateral views of the chest are compared to previous exam from ___. Dual-lumen left subclavian line is in stable position. The lungs are clear of consolidation. Trace blunting of the left costophrenic angle again seen. There is no right-sided pleural effusion. Cardiomediastinal silhouette is stable. Surgical clips project over the thoracic inlet bilaterally. Osseous structures again notable for bilateral, old posterior healed rib fractures and mild wedging of mid thoracic vertebral bodies, unchanged since ___. Degenerative changes again seen at the shoulders bilaterally including calcification in the region of the right coracoclavicular region.","Osseous structures again notable for bilateral, old posterior healed rib fractures and mild wedging of mid thoracic vertebral bodies, unchanged since ___.",mild wedging of vertebral bodies,mid thoracic,Stable,"['files/p14/p14236258/s55564287/4cd5e5ca-b9936cbb-145c2a62-9eb8aa4c-dc5d062a.jpg', 'files/p14/p14236258/s55564287/91db5745-87b0042c-4728fa53-e5352d85-501dae1c.jpg', 'files/p14/p14236258/s55564287/eb571dcc-97db82c4-f1e38d6b-b8f745f9-0374af96.jpg']","['files/p14/p14236258/s55400628/5d37e278-47fa9e3a-5fa3bbcf-a9b2cfae-74ed3559.jpg\n', 'files/p14/p14236258/s55400628/6bcb8e81-3444b4bd-b017a83d-6f0d03d3-dc350009.jpg\n', 'files/p14/p14236258/s55400628/bdd612ef-c670dd82-8e5b97e4-82d8c071-20405c37.jpg\n']"
s55564287_3,p14236258,s55564287,3,Findings,"AP and lateral views of the chest are compared to previous exam from ___. Dual-lumen left subclavian line is in stable position. The lungs are clear of consolidation. Trace blunting of the left costophrenic angle again seen. There is no right-sided pleural effusion. Cardiomediastinal silhouette is stable. Surgical clips project over the thoracic inlet bilaterally. Osseous structures again notable for bilateral, old posterior healed rib fractures and mild wedging of mid thoracic vertebral bodies, unchanged since ___. Degenerative changes again seen at the shoulders bilaterally including calcification in the region of the right coracoclavicular region.",Degenerative changes again seen at the shoulders bilaterally including calcification in the region of the right coracoclavicular region.,degenerative changes,shoulders bilaterally,Stable,"['files/p14/p14236258/s55564287/4cd5e5ca-b9936cbb-145c2a62-9eb8aa4c-dc5d062a.jpg', 'files/p14/p14236258/s55564287/91db5745-87b0042c-4728fa53-e5352d85-501dae1c.jpg', 'files/p14/p14236258/s55564287/eb571dcc-97db82c4-f1e38d6b-b8f745f9-0374af96.jpg']","['files/p14/p14236258/s55400628/5d37e278-47fa9e3a-5fa3bbcf-a9b2cfae-74ed3559.jpg\n', 'files/p14/p14236258/s55400628/6bcb8e81-3444b4bd-b017a83d-6f0d03d3-dc350009.jpg\n', 'files/p14/p14236258/s55400628/bdd612ef-c670dd82-8e5b97e4-82d8c071-20405c37.jpg\n']"
s55564287_3,p14236258,s55564287,3,Findings,"AP and lateral views of the chest are compared to previous exam from ___. Dual-lumen left subclavian line is in stable position. The lungs are clear of consolidation. Trace blunting of the left costophrenic angle again seen. There is no right-sided pleural effusion. Cardiomediastinal silhouette is stable. Surgical clips project over the thoracic inlet bilaterally. Osseous structures again notable for bilateral, old posterior healed rib fractures and mild wedging of mid thoracic vertebral bodies, unchanged since ___. Degenerative changes again seen at the shoulders bilaterally including calcification in the region of the right coracoclavicular region.","Osseous structures again notable for bilateral, old posterior healed rib fractures and mild wedging of mid thoracic vertebral bodies, unchanged since ___.",healed rib fractures,"bilateral, posterior",Stable,"['files/p14/p14236258/s55564287/4cd5e5ca-b9936cbb-145c2a62-9eb8aa4c-dc5d062a.jpg', 'files/p14/p14236258/s55564287/91db5745-87b0042c-4728fa53-e5352d85-501dae1c.jpg', 'files/p14/p14236258/s55564287/eb571dcc-97db82c4-f1e38d6b-b8f745f9-0374af96.jpg']","['files/p14/p14236258/s55400628/5d37e278-47fa9e3a-5fa3bbcf-a9b2cfae-74ed3559.jpg\n', 'files/p14/p14236258/s55400628/6bcb8e81-3444b4bd-b017a83d-6f0d03d3-dc350009.jpg\n', 'files/p14/p14236258/s55400628/bdd612ef-c670dd82-8e5b97e4-82d8c071-20405c37.jpg\n']"
s55564287_3,p14236258,s55564287,3,Findings,"AP and lateral views of the chest are compared to previous exam from ___. Dual-lumen left subclavian line is in stable position. The lungs are clear of consolidation. Trace blunting of the left costophrenic angle again seen. There is no right-sided pleural effusion. Cardiomediastinal silhouette is stable. Surgical clips project over the thoracic inlet bilaterally. Osseous structures again notable for bilateral, old posterior healed rib fractures and mild wedging of mid thoracic vertebral bodies, unchanged since ___. Degenerative changes again seen at the shoulders bilaterally including calcification in the region of the right coracoclavicular region.",Degenerative changes again seen at the shoulders bilaterally including calcification in the region of the right coracoclavicular region.,calcification,right coracoclavicular region,Stable,"['files/p14/p14236258/s55564287/4cd5e5ca-b9936cbb-145c2a62-9eb8aa4c-dc5d062a.jpg', 'files/p14/p14236258/s55564287/91db5745-87b0042c-4728fa53-e5352d85-501dae1c.jpg', 'files/p14/p14236258/s55564287/eb571dcc-97db82c4-f1e38d6b-b8f745f9-0374af96.jpg']","['files/p14/p14236258/s55400628/5d37e278-47fa9e3a-5fa3bbcf-a9b2cfae-74ed3559.jpg\n', 'files/p14/p14236258/s55400628/6bcb8e81-3444b4bd-b017a83d-6f0d03d3-dc350009.jpg\n', 'files/p14/p14236258/s55400628/bdd612ef-c670dd82-8e5b97e4-82d8c071-20405c37.jpg\n']"
s55564287_3,p14236258,s55564287,3,Findings,"AP and lateral views of the chest are compared to previous exam from ___. Dual-lumen left subclavian line is in stable position. The lungs are clear of consolidation. Trace blunting of the left costophrenic angle again seen. There is no right-sided pleural effusion. Cardiomediastinal silhouette is stable. Surgical clips project over the thoracic inlet bilaterally. Osseous structures again notable for bilateral, old posterior healed rib fractures and mild wedging of mid thoracic vertebral bodies, unchanged since ___. Degenerative changes again seen at the shoulders bilaterally including calcification in the region of the right coracoclavicular region.",Trace blunting of the left costophrenic angle again seen.,blunting,left costophrenic angle,Stable,"['files/p14/p14236258/s55564287/4cd5e5ca-b9936cbb-145c2a62-9eb8aa4c-dc5d062a.jpg', 'files/p14/p14236258/s55564287/91db5745-87b0042c-4728fa53-e5352d85-501dae1c.jpg', 'files/p14/p14236258/s55564287/eb571dcc-97db82c4-f1e38d6b-b8f745f9-0374af96.jpg']","['files/p14/p14236258/s55400628/5d37e278-47fa9e3a-5fa3bbcf-a9b2cfae-74ed3559.jpg\n', 'files/p14/p14236258/s55400628/6bcb8e81-3444b4bd-b017a83d-6f0d03d3-dc350009.jpg\n', 'files/p14/p14236258/s55400628/bdd612ef-c670dd82-8e5b97e4-82d8c071-20405c37.jpg\n']"
s55570024_24,p11474065,s55570024,24,Impression,Heart size and mediastinum are stable. Right basal consolidation is even more conspicuous than on the prior study. Left basal consolidation has progressed. Findings are concerning for development of bibasal infection. No pulmonary edema is currently seen. Postsurgical changes in the right hemi thorax are overall stable including subcutaneous air in the right upper chest wall and associated hematoma.,Postsurgical changes in the right hemi thorax are overall stable including subcutaneous air in the right upper chest wall and associated hematoma.,hematoma,right upper chest wall,Stable,['files/p11/p11474065/s55570024/aa483dd9-3aa43e2a-f7cfb7e5-7205952e-ddfc95fd.jpg'],['files/p11/p11474065/s55048341/e0e15315-038cc10d-12da55fb-533193ff-f67ce0bd.jpg\n']
s55570024_24,p11474065,s55570024,24,Impression,Heart size and mediastinum are stable. Right basal consolidation is even more conspicuous than on the prior study. Left basal consolidation has progressed. Findings are concerning for development of bibasal infection. No pulmonary edema is currently seen. Postsurgical changes in the right hemi thorax are overall stable including subcutaneous air in the right upper chest wall and associated hematoma.,Postsurgical changes in the right hemi thorax are overall stable including subcutaneous air in the right upper chest wall and associated hematoma.,subcutaneous air,right upper chest wall,Stable,['files/p11/p11474065/s55570024/aa483dd9-3aa43e2a-f7cfb7e5-7205952e-ddfc95fd.jpg'],['files/p11/p11474065/s55048341/e0e15315-038cc10d-12da55fb-533193ff-f67ce0bd.jpg\n']
s55570024_24,p11474065,s55570024,24,Impression,Heart size and mediastinum are stable. Right basal consolidation is even more conspicuous than on the prior study. Left basal consolidation has progressed. Findings are concerning for development of bibasal infection. No pulmonary edema is currently seen. Postsurgical changes in the right hemi thorax are overall stable including subcutaneous air in the right upper chest wall and associated hematoma.,Postsurgical changes in the right hemi thorax are overall stable including subcutaneous air in the right upper chest wall and associated hematoma.,postsurgical changes,right hemi thorax,Stable,['files/p11/p11474065/s55570024/aa483dd9-3aa43e2a-f7cfb7e5-7205952e-ddfc95fd.jpg'],['files/p11/p11474065/s55048341/e0e15315-038cc10d-12da55fb-533193ff-f67ce0bd.jpg\n']
s55570024_24,p11474065,s55570024,24,Impression,Heart size and mediastinum are stable. Right basal consolidation is even more conspicuous than on the prior study. Left basal consolidation has progressed. Findings are concerning for development of bibasal infection. No pulmonary edema is currently seen. Postsurgical changes in the right hemi thorax are overall stable including subcutaneous air in the right upper chest wall and associated hematoma.,Left basal consolidation has progressed.,consolidation,left basal,Worse,['files/p11/p11474065/s55570024/aa483dd9-3aa43e2a-f7cfb7e5-7205952e-ddfc95fd.jpg'],['files/p11/p11474065/s55048341/e0e15315-038cc10d-12da55fb-533193ff-f67ce0bd.jpg\n']
s55570024_24,p11474065,s55570024,24,Impression,Heart size and mediastinum are stable. Right basal consolidation is even more conspicuous than on the prior study. Left basal consolidation has progressed. Findings are concerning for development of bibasal infection. No pulmonary edema is currently seen. Postsurgical changes in the right hemi thorax are overall stable including subcutaneous air in the right upper chest wall and associated hematoma.,Right basal consolidation is even more conspicuous than on the prior study.,consolidation,right basal,Worse,['files/p11/p11474065/s55570024/aa483dd9-3aa43e2a-f7cfb7e5-7205952e-ddfc95fd.jpg'],['files/p11/p11474065/s55048341/e0e15315-038cc10d-12da55fb-533193ff-f67ce0bd.jpg\n']
s55570024_24,p11474065,s55570024,24,Impression,Heart size and mediastinum are stable. Right basal consolidation is even more conspicuous than on the prior study. Left basal consolidation has progressed. Findings are concerning for development of bibasal infection. No pulmonary edema is currently seen. Postsurgical changes in the right hemi thorax are overall stable including subcutaneous air in the right upper chest wall and associated hematoma.,Heart size and mediastinum are stable.,size,mediastinal,Stable,['files/p11/p11474065/s55570024/aa483dd9-3aa43e2a-f7cfb7e5-7205952e-ddfc95fd.jpg'],['files/p11/p11474065/s55048341/e0e15315-038cc10d-12da55fb-533193ff-f67ce0bd.jpg\n']
s55570024_24,p11474065,s55570024,24,Impression,Heart size and mediastinum are stable. Right basal consolidation is even more conspicuous than on the prior study. Left basal consolidation has progressed. Findings are concerning for development of bibasal infection. No pulmonary edema is currently seen. Postsurgical changes in the right hemi thorax are overall stable including subcutaneous air in the right upper chest wall and associated hematoma.,Heart size and mediastinum are stable.,size,cardiac,Stable,['files/p11/p11474065/s55570024/aa483dd9-3aa43e2a-f7cfb7e5-7205952e-ddfc95fd.jpg'],['files/p11/p11474065/s55048341/e0e15315-038cc10d-12da55fb-533193ff-f67ce0bd.jpg\n']
s55573533_12,p13352405,s55573533,12,Findings,"As compared to the previous radiograph, the three right-sided chest tubes are in unchanged position. There still is no evidence of a right pneumothorax, the soft tissue air collection in the right chest wall is reduced in extent and severity. Unchanged appearance of the left lung, unchanged hyperexpanded right colonic flexure with elevation of the right hemidiaphragm. Distended stomach with mild elevation of the left hemidiaphragm.","As compared to the previous radiograph, the three right-sided chest tubes are in unchanged position.",chest tubes,right-sided,Stable,['files/p13/p13352405/s55573533/73e90944-f811f9cb-ee08ddb9-7a4a4a84-34818999.jpg'],"['files/p13/p13352405/s55492069/40b2ad97-b8cd3c49-7a1658b6-79be29bb-676d3481.jpg\n', 'files/p13/p13352405/s55492069/9947b3c1-85e9e0c2-3e3aa524-6e24768e-01f76156.jpg\n']"
s55573533_12,p13352405,s55573533,12,Findings,"As compared to the previous radiograph, the three right-sided chest tubes are in unchanged position. There still is no evidence of a right pneumothorax, the soft tissue air collection in the right chest wall is reduced in extent and severity. Unchanged appearance of the left lung, unchanged hyperexpanded right colonic flexure with elevation of the right hemidiaphragm. Distended stomach with mild elevation of the left hemidiaphragm.","There still is no evidence of a right pneumothorax, the soft tissue air collection in the right chest wall is reduced in extent and severity.",soft tissue air collection,right chest wall,Better,['files/p13/p13352405/s55573533/73e90944-f811f9cb-ee08ddb9-7a4a4a84-34818999.jpg'],"['files/p13/p13352405/s55492069/40b2ad97-b8cd3c49-7a1658b6-79be29bb-676d3481.jpg\n', 'files/p13/p13352405/s55492069/9947b3c1-85e9e0c2-3e3aa524-6e24768e-01f76156.jpg\n']"
s55573533_12,p13352405,s55573533,12,Findings,"As compared to the previous radiograph, the three right-sided chest tubes are in unchanged position. There still is no evidence of a right pneumothorax, the soft tissue air collection in the right chest wall is reduced in extent and severity. Unchanged appearance of the left lung, unchanged hyperexpanded right colonic flexure with elevation of the right hemidiaphragm. Distended stomach with mild elevation of the left hemidiaphragm.","Unchanged appearance of the left lung, unchanged hyperexpanded right colonic flexure with elevation of the right hemidiaphragm.",appearance,left lung,Stable,['files/p13/p13352405/s55573533/73e90944-f811f9cb-ee08ddb9-7a4a4a84-34818999.jpg'],"['files/p13/p13352405/s55492069/40b2ad97-b8cd3c49-7a1658b6-79be29bb-676d3481.jpg\n', 'files/p13/p13352405/s55492069/9947b3c1-85e9e0c2-3e3aa524-6e24768e-01f76156.jpg\n']"
s55573533_12,p13352405,s55573533,12,Findings,"As compared to the previous radiograph, the three right-sided chest tubes are in unchanged position. There still is no evidence of a right pneumothorax, the soft tissue air collection in the right chest wall is reduced in extent and severity. Unchanged appearance of the left lung, unchanged hyperexpanded right colonic flexure with elevation of the right hemidiaphragm. Distended stomach with mild elevation of the left hemidiaphragm.","Unchanged appearance of the left lung, unchanged hyperexpanded right colonic flexure with elevation of the right hemidiaphragm.",hyperexpanded,right colonic flexure,Stable,['files/p13/p13352405/s55573533/73e90944-f811f9cb-ee08ddb9-7a4a4a84-34818999.jpg'],"['files/p13/p13352405/s55492069/40b2ad97-b8cd3c49-7a1658b6-79be29bb-676d3481.jpg\n', 'files/p13/p13352405/s55492069/9947b3c1-85e9e0c2-3e3aa524-6e24768e-01f76156.jpg\n']"
s55573557_9,p16826047,s55573557,9,Findings,"Right-sided pleural catheter remains in place. A small lateral pneumothorax is present below the level of the minor fissure. Additionally, a pleural effusion has increased in size and is partially layering on this semi-upright radiograph. A small loculated component has developed medially at the right apex as well. Cardiac silhouette remains enlarged and is accompanied by mild pulmonary vascular congestion. Worsening confluent opacity at the right lung base is probably due to atelectasis, though infection should also be considered in the appropriate clinical setting.",Cardiac silhouette remains enlarged and is accompanied by mild pulmonary vascular congestion.,Cardiac silhouette,,Stable,['files/p16/p16826047/s55573557/386f3989-399f50ac-f80589aa-642b131d-16e64e70.jpg'],"['files/p16/p16826047/s54920051/9971003a-1a8b5d7d-b708ea6d-c1b77b68-99adb262.jpg\n', 'files/p16/p16826047/s54920051/d2e3dff5-381ea801-b587e5f8-7a35a88a-9c9b66a5.jpg\n']"
s55573557_9,p16826047,s55573557,9,Findings,"Right-sided pleural catheter remains in place. A small lateral pneumothorax is present below the level of the minor fissure. Additionally, a pleural effusion has increased in size and is partially layering on this semi-upright radiograph. A small loculated component has developed medially at the right apex as well. Cardiac silhouette remains enlarged and is accompanied by mild pulmonary vascular congestion. Worsening confluent opacity at the right lung base is probably due to atelectasis, though infection should also be considered in the appropriate clinical setting.","Additionally, a pleural effusion has increased in size and is partially layering on this semi-upright radiograph.",pleural effusion,,Worse,['files/p16/p16826047/s55573557/386f3989-399f50ac-f80589aa-642b131d-16e64e70.jpg'],"['files/p16/p16826047/s54920051/9971003a-1a8b5d7d-b708ea6d-c1b77b68-99adb262.jpg\n', 'files/p16/p16826047/s54920051/d2e3dff5-381ea801-b587e5f8-7a35a88a-9c9b66a5.jpg\n']"
s55573557_9,p16826047,s55573557,9,Findings,"Right-sided pleural catheter remains in place. A small lateral pneumothorax is present below the level of the minor fissure. Additionally, a pleural effusion has increased in size and is partially layering on this semi-upright radiograph. A small loculated component has developed medially at the right apex as well. Cardiac silhouette remains enlarged and is accompanied by mild pulmonary vascular congestion. Worsening confluent opacity at the right lung base is probably due to atelectasis, though infection should also be considered in the appropriate clinical setting.",Right-sided pleural catheter remains in place.,pleural catheter,right,Stable,['files/p16/p16826047/s55573557/386f3989-399f50ac-f80589aa-642b131d-16e64e70.jpg'],"['files/p16/p16826047/s54920051/9971003a-1a8b5d7d-b708ea6d-c1b77b68-99adb262.jpg\n', 'files/p16/p16826047/s54920051/d2e3dff5-381ea801-b587e5f8-7a35a88a-9c9b66a5.jpg\n']"
s55573557_9,p16826047,s55573557,9,Findings,"Right-sided pleural catheter remains in place. A small lateral pneumothorax is present below the level of the minor fissure. Additionally, a pleural effusion has increased in size and is partially layering on this semi-upright radiograph. A small loculated component has developed medially at the right apex as well. Cardiac silhouette remains enlarged and is accompanied by mild pulmonary vascular congestion. Worsening confluent opacity at the right lung base is probably due to atelectasis, though infection should also be considered in the appropriate clinical setting.","Worsening confluent opacity at the right lung base is probably due to atelectasis, though infection should also be considered in the appropriate clinical setting.",confluent opacity,right lung base,Worse,['files/p16/p16826047/s55573557/386f3989-399f50ac-f80589aa-642b131d-16e64e70.jpg'],"['files/p16/p16826047/s54920051/9971003a-1a8b5d7d-b708ea6d-c1b77b68-99adb262.jpg\n', 'files/p16/p16826047/s54920051/d2e3dff5-381ea801-b587e5f8-7a35a88a-9c9b66a5.jpg\n']"
s55573557_9,p16826047,s55573557,9,Findings,"Right-sided pleural catheter remains in place. A small lateral pneumothorax is present below the level of the minor fissure. Additionally, a pleural effusion has increased in size and is partially layering on this semi-upright radiograph. A small loculated component has developed medially at the right apex as well. Cardiac silhouette remains enlarged and is accompanied by mild pulmonary vascular congestion. Worsening confluent opacity at the right lung base is probably due to atelectasis, though infection should also be considered in the appropriate clinical setting.",Cardiac silhouette remains enlarged and is accompanied by mild pulmonary vascular congestion.,pulmonary vascular congestion,,Stable,['files/p16/p16826047/s55573557/386f3989-399f50ac-f80589aa-642b131d-16e64e70.jpg'],"['files/p16/p16826047/s54920051/9971003a-1a8b5d7d-b708ea6d-c1b77b68-99adb262.jpg\n', 'files/p16/p16826047/s54920051/d2e3dff5-381ea801-b587e5f8-7a35a88a-9c9b66a5.jpg\n']"
s55575670_20,p13078497,s55575670,20,Impression,Study is essentially unchanged from priors with unchanged diffuse infiltrative and interstitial opacities.,Study is essentially unchanged from priors with unchanged diffuse infiltrative and interstitial opacities.,infiltrative and interstitial opacities,diffuse,Stable,['files/p13/p13078497/s55575670/b93327f5-228e6c2c-3dde8c34-4ed1cae0-997d5fc4.jpg'],['files/p13/p13078497/s55557117/8a429357-0b188f6b-54307015-8a57c7cd-31b1ed38.jpg\n']
s55575670_20,p13078497,s55575670,20,Findings,"The patient has a history of chronic interstitial lung disease with waxing and waning pulmonary edema and infection. Today it is largely unchanged with diffuse infiltrative and interstitial opacities stable since ___. Bilateral pleural effusion is essentially the same. Cardiomediastinal silhouette is stable and demonstrates mild cardiomegaly. There is no pneumothorax. Enteric tube is seen once again, entering the stomach and then out of field of view. Right-sided PICC terminates within the mid SVC. An endotracheal tube terminates no less than 6 cm from the carina.",Today it is largely unchanged with diffuse infiltrative and interstitial opacities stable since ___.,infiltrative and interstitial opacities,diffuse,Stable,['files/p13/p13078497/s55575670/b93327f5-228e6c2c-3dde8c34-4ed1cae0-997d5fc4.jpg'],['files/p13/p13078497/s55557117/8a429357-0b188f6b-54307015-8a57c7cd-31b1ed38.jpg\n']
s55575670_20,p13078497,s55575670,20,Findings,"The patient has a history of chronic interstitial lung disease with waxing and waning pulmonary edema and infection. Today it is largely unchanged with diffuse infiltrative and interstitial opacities stable since ___. Bilateral pleural effusion is essentially the same. Cardiomediastinal silhouette is stable and demonstrates mild cardiomegaly. There is no pneumothorax. Enteric tube is seen once again, entering the stomach and then out of field of view. Right-sided PICC terminates within the mid SVC. An endotracheal tube terminates no less than 6 cm from the carina.",Cardiomediastinal silhouette is stable and demonstrates mild cardiomegaly.,mild cardiomegaly,Cardiomediastinal,Stable,['files/p13/p13078497/s55575670/b93327f5-228e6c2c-3dde8c34-4ed1cae0-997d5fc4.jpg'],['files/p13/p13078497/s55557117/8a429357-0b188f6b-54307015-8a57c7cd-31b1ed38.jpg\n']
s55575670_20,p13078497,s55575670,20,Findings,"The patient has a history of chronic interstitial lung disease with waxing and waning pulmonary edema and infection. Today it is largely unchanged with diffuse infiltrative and interstitial opacities stable since ___. Bilateral pleural effusion is essentially the same. Cardiomediastinal silhouette is stable and demonstrates mild cardiomegaly. There is no pneumothorax. Enteric tube is seen once again, entering the stomach and then out of field of view. Right-sided PICC terminates within the mid SVC. An endotracheal tube terminates no less than 6 cm from the carina.",Bilateral pleural effusion is essentially the same.,pleural effusion,Bilateral,Stable,['files/p13/p13078497/s55575670/b93327f5-228e6c2c-3dde8c34-4ed1cae0-997d5fc4.jpg'],['files/p13/p13078497/s55557117/8a429357-0b188f6b-54307015-8a57c7cd-31b1ed38.jpg\n']
s55578653_18,p19759491,s55578653,18,Impression,"Cardiomegaly is substantial, unchanged. Enema ___ ___ catheter in pacemaker leads in replaced valve are unchanged. There is interval improvement in interstitial pulmonary edema currently mild. Small bilateral pleural effusions are noted. There is no pneumothorax.",There is interval improvement in interstitial pulmonary edema currently mild.,Interstitial pulmonary edema,,Better,['files/p19/p19759491/s55578653/6d3bfa82-e23e5cc3-0ffb37e5-cd4bd075-a922da89.jpg'],"['files/p19/p19759491/s55187337/b58200f0-94821f08-ca60f9fd-6fc424ee-4365c0cb.jpg\n', 'files/p19/p19759491/s55187337/be022b6e-69a878a5-39db0aac-453cd12d-627ea0a0.jpg\n']"
s55578653_18,p19759491,s55578653,18,Impression,"Cardiomegaly is substantial, unchanged. Enema ___ ___ catheter in pacemaker leads in replaced valve are unchanged. There is interval improvement in interstitial pulmonary edema currently mild. Small bilateral pleural effusions are noted. There is no pneumothorax.",Enema ___ ___ catheter in pacemaker leads in replaced valve are unchanged.,Catheter in pacemaker leads in replaced valve,,Stable,['files/p19/p19759491/s55578653/6d3bfa82-e23e5cc3-0ffb37e5-cd4bd075-a922da89.jpg'],"['files/p19/p19759491/s55187337/b58200f0-94821f08-ca60f9fd-6fc424ee-4365c0cb.jpg\n', 'files/p19/p19759491/s55187337/be022b6e-69a878a5-39db0aac-453cd12d-627ea0a0.jpg\n']"
s55578653_18,p19759491,s55578653,18,Impression,"Cardiomegaly is substantial, unchanged. Enema ___ ___ catheter in pacemaker leads in replaced valve are unchanged. There is interval improvement in interstitial pulmonary edema currently mild. Small bilateral pleural effusions are noted. There is no pneumothorax.","Cardiomegaly is substantial, unchanged.",Cardiomegaly,,Stable,['files/p19/p19759491/s55578653/6d3bfa82-e23e5cc3-0ffb37e5-cd4bd075-a922da89.jpg'],"['files/p19/p19759491/s55187337/b58200f0-94821f08-ca60f9fd-6fc424ee-4365c0cb.jpg\n', 'files/p19/p19759491/s55187337/be022b6e-69a878a5-39db0aac-453cd12d-627ea0a0.jpg\n']"
s55588562_7,p16319601,s55588562,7,Findings,"Single portable chest radiograph demonstrates no evidence of pneumothorax. There is a stable large right layering pleural effusion as well as bibasilar atelectasis. No focal opacification concerning for pneumonia identified. Heart, mediastinal, and hilar borders are unremarkable. There is a left-sided PICC line with tip at the cavoatrial junction as well as a right-sided venous sheath catheter terminating in the upper SVC.",There is a stable large right layering pleural effusion as well as bibasilar atelectasis.,large layering pleural effusion,right,Stable,['files/p16/p16319601/s55588562/a54a1c95-9ef227c1-e64321cb-98c9470d-761b66f8.jpg'],"['files/p16/p16319601/s55001052/6eb86b7f-2137ab54-35697eb7-2a6108f9-07953b27.jpg\n', 'files/p16/p16319601/s55001052/7432a1f0-43b19575-2821e077-0966143a-abc35d65.jpg\n', 'files/p16/p16319601/s55001052/7d1a5c64-703847ae-fbf3b643-c3e08a4b-4153d0d7.jpg\n']"
s55588562_7,p16319601,s55588562,7,Findings,"Single portable chest radiograph demonstrates no evidence of pneumothorax. There is a stable large right layering pleural effusion as well as bibasilar atelectasis. No focal opacification concerning for pneumonia identified. Heart, mediastinal, and hilar borders are unremarkable. There is a left-sided PICC line with tip at the cavoatrial junction as well as a right-sided venous sheath catheter terminating in the upper SVC.",There is a stable large right layering pleural effusion as well as bibasilar atelectasis.,atelectasis,bibasilar,Stable,['files/p16/p16319601/s55588562/a54a1c95-9ef227c1-e64321cb-98c9470d-761b66f8.jpg'],"['files/p16/p16319601/s55001052/6eb86b7f-2137ab54-35697eb7-2a6108f9-07953b27.jpg\n', 'files/p16/p16319601/s55001052/7432a1f0-43b19575-2821e077-0966143a-abc35d65.jpg\n', 'files/p16/p16319601/s55001052/7d1a5c64-703847ae-fbf3b643-c3e08a4b-4153d0d7.jpg\n']"
s55588562_7,p16319601,s55588562,7,Impression,No pneumothorax. Stable right large pleural effusion.,Stable right large pleural effusion.,large pleural effusion,right,Stable,['files/p16/p16319601/s55588562/a54a1c95-9ef227c1-e64321cb-98c9470d-761b66f8.jpg'],"['files/p16/p16319601/s55001052/6eb86b7f-2137ab54-35697eb7-2a6108f9-07953b27.jpg\n', 'files/p16/p16319601/s55001052/7432a1f0-43b19575-2821e077-0966143a-abc35d65.jpg\n', 'files/p16/p16319601/s55001052/7d1a5c64-703847ae-fbf3b643-c3e08a4b-4153d0d7.jpg\n']"
s55593187_2,p19549821,s55593187,2,Findings,"AP and lateral views of the chest. The lungs are clear of consolidation, effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is stable in configuration. Vascular coronary stent is also noted.Nodular opacity projecting over the right mid lung laterally is compatible with callous from prior rib fracture. Chronic changes noted at the proximal left humerus suggestive of prior trauma. No acute osseous abnormality detected.",Cardiomediastinal silhouette is stable in configuration.,Cardiomediastinal silhouette,,Stable,"['files/p19/p19549821/s55593187/318e2d2a-cd564b66-987b939f-2b0ded80-8fc82ad2.jpg', 'files/p19/p19549821/s55593187/b3e3cd04-672dd424-cb6d9ca6-59bdd243-0fa75b80.jpg']","['files/p19/p19549821/s54696287/9a4ccf98-58c3f0da-81d2cd90-38c242fb-cc48af1b.jpg\n', 'files/p19/p19549821/s54696287/bdd5a7d2-2ce12b6b-b5e7b44e-b9332707-80c08524.jpg\n', 'files/p19/p19549821/s54696287/f10aba88-cfb8f760-c3b288f6-c1d76c27-88bfb3e0.jpg\n']"
s55596851_5,p19765968,s55596851,5,Findings,"In comparison with study of ___, there is little change. There may be some minimal residual elevation of pulmonary venous pressure and small pleural effusion with bibasilar atelectasis. Central catheter remains in place.",There may be some minimal residual elevation of pulmonary venous pressure and small pleural effusion with bibasilar atelectasis.,venous pressure elevation,pulmonary,Stable,"['files/p19/p19765968/s55596851/47b10a9c-53b0d876-a4213e86-d4a3e8c6-0076ea7a.jpg', 'files/p19/p19765968/s55596851/a8b7cbef-ae8ef4b0-09766f27-a49a3af2-eea22021.jpg', 'files/p19/p19765968/s55596851/ac9b202d-33441ce8-29b49c66-d903a94d-74c87396.jpg', 'files/p19/p19765968/s55596851/cc9ac8b1-4e9d6951-52116465-7c53b9b4-17858e92.jpg']","['files/p19/p19765968/s52279876/3d5c9bad-c1fa71ed-adc295a3-b423edd6-afb265b0.jpg\n', 'files/p19/p19765968/s52279876/c43dfeba-cd886d20-ea025f7c-ec8661e4-34005602.jpg\n', 'files/p19/p19765968/s52279876/c5b9a963-19ad5c79-7e658aef-87d2cec2-8d00ddc7.jpg\n']"
s55596851_5,p19765968,s55596851,5,Findings,"In comparison with study of ___, there is little change. There may be some minimal residual elevation of pulmonary venous pressure and small pleural effusion with bibasilar atelectasis. Central catheter remains in place.",There may be some minimal residual elevation of pulmonary venous pressure and small pleural effusion with bibasilar atelectasis.,atelectasis,bibasilar,Stable,"['files/p19/p19765968/s55596851/47b10a9c-53b0d876-a4213e86-d4a3e8c6-0076ea7a.jpg', 'files/p19/p19765968/s55596851/a8b7cbef-ae8ef4b0-09766f27-a49a3af2-eea22021.jpg', 'files/p19/p19765968/s55596851/ac9b202d-33441ce8-29b49c66-d903a94d-74c87396.jpg', 'files/p19/p19765968/s55596851/cc9ac8b1-4e9d6951-52116465-7c53b9b4-17858e92.jpg']","['files/p19/p19765968/s52279876/3d5c9bad-c1fa71ed-adc295a3-b423edd6-afb265b0.jpg\n', 'files/p19/p19765968/s52279876/c43dfeba-cd886d20-ea025f7c-ec8661e4-34005602.jpg\n', 'files/p19/p19765968/s52279876/c5b9a963-19ad5c79-7e658aef-87d2cec2-8d00ddc7.jpg\n']"
s55596851_5,p19765968,s55596851,5,Findings,"In comparison with study of ___, there is little change. There may be some minimal residual elevation of pulmonary venous pressure and small pleural effusion with bibasilar atelectasis. Central catheter remains in place.",Central catheter remains in place.,catheter,central,Stable,"['files/p19/p19765968/s55596851/47b10a9c-53b0d876-a4213e86-d4a3e8c6-0076ea7a.jpg', 'files/p19/p19765968/s55596851/a8b7cbef-ae8ef4b0-09766f27-a49a3af2-eea22021.jpg', 'files/p19/p19765968/s55596851/ac9b202d-33441ce8-29b49c66-d903a94d-74c87396.jpg', 'files/p19/p19765968/s55596851/cc9ac8b1-4e9d6951-52116465-7c53b9b4-17858e92.jpg']","['files/p19/p19765968/s52279876/3d5c9bad-c1fa71ed-adc295a3-b423edd6-afb265b0.jpg\n', 'files/p19/p19765968/s52279876/c43dfeba-cd886d20-ea025f7c-ec8661e4-34005602.jpg\n', 'files/p19/p19765968/s52279876/c5b9a963-19ad5c79-7e658aef-87d2cec2-8d00ddc7.jpg\n']"
s55596851_5,p19765968,s55596851,5,Findings,"In comparison with study of ___, there is little change. There may be some minimal residual elevation of pulmonary venous pressure and small pleural effusion with bibasilar atelectasis. Central catheter remains in place.",There may be some minimal residual elevation of pulmonary venous pressure and small pleural effusion with bibasilar atelectasis.,effusion,pleural,Stable,"['files/p19/p19765968/s55596851/47b10a9c-53b0d876-a4213e86-d4a3e8c6-0076ea7a.jpg', 'files/p19/p19765968/s55596851/a8b7cbef-ae8ef4b0-09766f27-a49a3af2-eea22021.jpg', 'files/p19/p19765968/s55596851/ac9b202d-33441ce8-29b49c66-d903a94d-74c87396.jpg', 'files/p19/p19765968/s55596851/cc9ac8b1-4e9d6951-52116465-7c53b9b4-17858e92.jpg']","['files/p19/p19765968/s52279876/3d5c9bad-c1fa71ed-adc295a3-b423edd6-afb265b0.jpg\n', 'files/p19/p19765968/s52279876/c43dfeba-cd886d20-ea025f7c-ec8661e4-34005602.jpg\n', 'files/p19/p19765968/s52279876/c5b9a963-19ad5c79-7e658aef-87d2cec2-8d00ddc7.jpg\n']"
s55597534_12,p19061282,s55597534,12,Findings,AP upright and lateral views of the chest provided. Vascular stents are noted in the left and right brachiocephalic vein. Calcifications in the left upper quadrant correspond with the spleen. Cardiomegaly is stable with interval increase in bilateral ground-glass opacity consistent with pulmonary edema. Subtle nodularity in the right lower lung raises potential concern for a superimposed pneumonia. No large effusion or pneumothorax is seen. The mediastinal contour is stable. Mild hilar engorgement is noted. Hyperdense appearance of the osseous structures are is consistent with renal osteodystrophy. No free air below the right hemidiaphragm is seen.,The mediastinal contour is stable.,mediastinal contour,,Stable,"['files/p19/p19061282/s55597534/1cbfd6d5-9adcc975-837ade15-105b6280-655efe4f.jpg', 'files/p19/p19061282/s55597534/3a09195f-a700cae8-ebc497cd-4a728c60-18e6f063.jpg', 'files/p19/p19061282/s55597534/5deaa59c-85f1886f-bd9ffc22-afab2dbb-6c843217.jpg']","['files/p19/p19061282/s55403688/1d191ab7-a6b06641-eae8c46f-bec7824b-0d18c9e7.jpg\n', 'files/p19/p19061282/s55403688/407f8ab5-8827f7ad-75133d25-50cf5e18-f830a187.jpg\n']"
s55597534_12,p19061282,s55597534,12,Findings,AP upright and lateral views of the chest provided. Vascular stents are noted in the left and right brachiocephalic vein. Calcifications in the left upper quadrant correspond with the spleen. Cardiomegaly is stable with interval increase in bilateral ground-glass opacity consistent with pulmonary edema. Subtle nodularity in the right lower lung raises potential concern for a superimposed pneumonia. No large effusion or pneumothorax is seen. The mediastinal contour is stable. Mild hilar engorgement is noted. Hyperdense appearance of the osseous structures are is consistent with renal osteodystrophy. No free air below the right hemidiaphragm is seen.,Cardiomegaly is stable with interval increase in bilateral ground-glass opacity consistent with pulmonary edema.,ground-glass opacity,bilateral,Worse,"['files/p19/p19061282/s55597534/1cbfd6d5-9adcc975-837ade15-105b6280-655efe4f.jpg', 'files/p19/p19061282/s55597534/3a09195f-a700cae8-ebc497cd-4a728c60-18e6f063.jpg', 'files/p19/p19061282/s55597534/5deaa59c-85f1886f-bd9ffc22-afab2dbb-6c843217.jpg']","['files/p19/p19061282/s55403688/1d191ab7-a6b06641-eae8c46f-bec7824b-0d18c9e7.jpg\n', 'files/p19/p19061282/s55403688/407f8ab5-8827f7ad-75133d25-50cf5e18-f830a187.jpg\n']"
s55597534_12,p19061282,s55597534,12,Findings,AP upright and lateral views of the chest provided. Vascular stents are noted in the left and right brachiocephalic vein. Calcifications in the left upper quadrant correspond with the spleen. Cardiomegaly is stable with interval increase in bilateral ground-glass opacity consistent with pulmonary edema. Subtle nodularity in the right lower lung raises potential concern for a superimposed pneumonia. No large effusion or pneumothorax is seen. The mediastinal contour is stable. Mild hilar engorgement is noted. Hyperdense appearance of the osseous structures are is consistent with renal osteodystrophy. No free air below the right hemidiaphragm is seen.,Cardiomegaly is stable with interval increase in bilateral ground-glass opacity consistent with pulmonary edema.,Cardiomegaly,,Stable,"['files/p19/p19061282/s55597534/1cbfd6d5-9adcc975-837ade15-105b6280-655efe4f.jpg', 'files/p19/p19061282/s55597534/3a09195f-a700cae8-ebc497cd-4a728c60-18e6f063.jpg', 'files/p19/p19061282/s55597534/5deaa59c-85f1886f-bd9ffc22-afab2dbb-6c843217.jpg']","['files/p19/p19061282/s55403688/1d191ab7-a6b06641-eae8c46f-bec7824b-0d18c9e7.jpg\n', 'files/p19/p19061282/s55403688/407f8ab5-8827f7ad-75133d25-50cf5e18-f830a187.jpg\n']"
s55597572_35,p13896515,s55597572,35,Impression,"Since the prior radiograph of ___, pulmonary edema has resolved. A moderate left pleural effusion persists. Pleural catheter has apparently been removed. No visible pneumothorax.","Since the prior radiograph of ___, pulmonary edema has resolved.",pulmonary edema,,Resolve,"['files/p13/p13896515/s55597572/1f96d075-e46aa57f-d3aa1e67-42ce2b69-83381327.jpg', 'files/p13/p13896515/s55597572/fb0ee454-c3af41e7-6699a884-2dbbcd12-c99c81e6.jpg']","['files/p13/p13896515/s55034480/2e5d54e8-b4da07e8-382932ca-35a87571-9089a9fb.jpg\n', 'files/p13/p13896515/s55034480/2e6dfb3e-077a1f6e-acda6dde-a2c7b986-1e6e0b43.jpg\n', 'files/p13/p13896515/s55034480/d169abca-f4a7073b-db2b836e-295d8b8e-3c68c604.jpg\n']"
s55597572_35,p13896515,s55597572,35,Impression,"Since the prior radiograph of ___, pulmonary edema has resolved. A moderate left pleural effusion persists. Pleural catheter has apparently been removed. No visible pneumothorax.",A moderate left pleural effusion persists.,pleural effusion,left,Stable,"['files/p13/p13896515/s55597572/1f96d075-e46aa57f-d3aa1e67-42ce2b69-83381327.jpg', 'files/p13/p13896515/s55597572/fb0ee454-c3af41e7-6699a884-2dbbcd12-c99c81e6.jpg']","['files/p13/p13896515/s55034480/2e5d54e8-b4da07e8-382932ca-35a87571-9089a9fb.jpg\n', 'files/p13/p13896515/s55034480/2e6dfb3e-077a1f6e-acda6dde-a2c7b986-1e6e0b43.jpg\n', 'files/p13/p13896515/s55034480/d169abca-f4a7073b-db2b836e-295d8b8e-3c68c604.jpg\n']"
s55597572_35,p13896515,s55597572,35,Impression,"Since the prior radiograph of ___, pulmonary edema has resolved. A moderate left pleural effusion persists. Pleural catheter has apparently been removed. No visible pneumothorax.",Pleural catheter has apparently been removed.,pleural catheter,,Resolve,"['files/p13/p13896515/s55597572/1f96d075-e46aa57f-d3aa1e67-42ce2b69-83381327.jpg', 'files/p13/p13896515/s55597572/fb0ee454-c3af41e7-6699a884-2dbbcd12-c99c81e6.jpg']","['files/p13/p13896515/s55034480/2e5d54e8-b4da07e8-382932ca-35a87571-9089a9fb.jpg\n', 'files/p13/p13896515/s55034480/2e6dfb3e-077a1f6e-acda6dde-a2c7b986-1e6e0b43.jpg\n', 'files/p13/p13896515/s55034480/d169abca-f4a7073b-db2b836e-295d8b8e-3c68c604.jpg\n']"
s55604705_10,p18322589,s55604705,10,Impression,"A left pacer defibrillator unit has leads in the right atrium, right ventricle, and coronary sinus. The endotracheal tube seats 3.5 cm above the carina. Midline sternotomy wires and mediastinal clips are unchanged. Right-sided central venous catheter tip seats at the cavoatrial junction. An endogastric tube courses inferiorly with its side port projecting over the stomach. The cardiomediastinal contours are unchanged. Bibasilar atelectasis persists with small bilateral pleural effusions. The lung parenchyma demonstrates minimally improved opacities, signifying improving edema or hemorrhage. There is no pneumothorax.",Bibasilar atelectasis persists with small bilateral pleural effusions.,pleural effusions,Bilateral,Stable,['files/p18/p18322589/s55604705/e3f6ff40-982c86c0-0c5ce5f6-f79305f7-a1fbdeea.jpg'],['files/p18/p18322589/s54432661/a6570b30-b8ae383d-4d11eb8e-49ea1084-6c57d8a8.jpg\n']
s55604705_10,p18322589,s55604705,10,Impression,"A left pacer defibrillator unit has leads in the right atrium, right ventricle, and coronary sinus. The endotracheal tube seats 3.5 cm above the carina. Midline sternotomy wires and mediastinal clips are unchanged. Right-sided central venous catheter tip seats at the cavoatrial junction. An endogastric tube courses inferiorly with its side port projecting over the stomach. The cardiomediastinal contours are unchanged. Bibasilar atelectasis persists with small bilateral pleural effusions. The lung parenchyma demonstrates minimally improved opacities, signifying improving edema or hemorrhage. There is no pneumothorax.","The lung parenchyma demonstrates minimally improved opacities, signifying improving edema or hemorrhage.",opacities,,Better,['files/p18/p18322589/s55604705/e3f6ff40-982c86c0-0c5ce5f6-f79305f7-a1fbdeea.jpg'],['files/p18/p18322589/s54432661/a6570b30-b8ae383d-4d11eb8e-49ea1084-6c57d8a8.jpg\n']
s55604705_10,p18322589,s55604705,10,Impression,"A left pacer defibrillator unit has leads in the right atrium, right ventricle, and coronary sinus. The endotracheal tube seats 3.5 cm above the carina. Midline sternotomy wires and mediastinal clips are unchanged. Right-sided central venous catheter tip seats at the cavoatrial junction. An endogastric tube courses inferiorly with its side port projecting over the stomach. The cardiomediastinal contours are unchanged. Bibasilar atelectasis persists with small bilateral pleural effusions. The lung parenchyma demonstrates minimally improved opacities, signifying improving edema or hemorrhage. There is no pneumothorax.",There is no pneumothorax.,pneumothorax,,Resolve,['files/p18/p18322589/s55604705/e3f6ff40-982c86c0-0c5ce5f6-f79305f7-a1fbdeea.jpg'],['files/p18/p18322589/s54432661/a6570b30-b8ae383d-4d11eb8e-49ea1084-6c57d8a8.jpg\n']
s55604705_10,p18322589,s55604705,10,Impression,"A left pacer defibrillator unit has leads in the right atrium, right ventricle, and coronary sinus. The endotracheal tube seats 3.5 cm above the carina. Midline sternotomy wires and mediastinal clips are unchanged. Right-sided central venous catheter tip seats at the cavoatrial junction. An endogastric tube courses inferiorly with its side port projecting over the stomach. The cardiomediastinal contours are unchanged. Bibasilar atelectasis persists with small bilateral pleural effusions. The lung parenchyma demonstrates minimally improved opacities, signifying improving edema or hemorrhage. There is no pneumothorax.",The cardiomediastinal contours are unchanged.,cardiomediastinal contours,,Stable,['files/p18/p18322589/s55604705/e3f6ff40-982c86c0-0c5ce5f6-f79305f7-a1fbdeea.jpg'],['files/p18/p18322589/s54432661/a6570b30-b8ae383d-4d11eb8e-49ea1084-6c57d8a8.jpg\n']
s55604705_10,p18322589,s55604705,10,Impression,"A left pacer defibrillator unit has leads in the right atrium, right ventricle, and coronary sinus. The endotracheal tube seats 3.5 cm above the carina. Midline sternotomy wires and mediastinal clips are unchanged. Right-sided central venous catheter tip seats at the cavoatrial junction. An endogastric tube courses inferiorly with its side port projecting over the stomach. The cardiomediastinal contours are unchanged. Bibasilar atelectasis persists with small bilateral pleural effusions. The lung parenchyma demonstrates minimally improved opacities, signifying improving edema or hemorrhage. There is no pneumothorax.",Midline sternotomy wires and mediastinal clips are unchanged.,sternotomy wires and mediastinal clips,Midline,Stable,['files/p18/p18322589/s55604705/e3f6ff40-982c86c0-0c5ce5f6-f79305f7-a1fbdeea.jpg'],['files/p18/p18322589/s54432661/a6570b30-b8ae383d-4d11eb8e-49ea1084-6c57d8a8.jpg\n']
s55604705_10,p18322589,s55604705,10,Impression,"A left pacer defibrillator unit has leads in the right atrium, right ventricle, and coronary sinus. The endotracheal tube seats 3.5 cm above the carina. Midline sternotomy wires and mediastinal clips are unchanged. Right-sided central venous catheter tip seats at the cavoatrial junction. An endogastric tube courses inferiorly with its side port projecting over the stomach. The cardiomediastinal contours are unchanged. Bibasilar atelectasis persists with small bilateral pleural effusions. The lung parenchyma demonstrates minimally improved opacities, signifying improving edema or hemorrhage. There is no pneumothorax.",Bibasilar atelectasis persists with small bilateral pleural effusions.,atelectasis,Bibasilar,Stable,['files/p18/p18322589/s55604705/e3f6ff40-982c86c0-0c5ce5f6-f79305f7-a1fbdeea.jpg'],['files/p18/p18322589/s54432661/a6570b30-b8ae383d-4d11eb8e-49ea1084-6c57d8a8.jpg\n']
s55609137_12,p19499595,s55609137,12,Findings,"AP semi upright and lateral views of the chest provided. Midline sternotomy wires again noted, the majority of which are extensively fragmented, unchanged. There is no focal consolidation concerning for pneumonia. No large effusion or pneumothorax. No signs of congestion or edema. There is a linear density in the left mid lung which could represent a focus of scarring or atelectasis. Chronic left rib deformities are again noted. No free air below the right hemidiaphragm. Clips in the right upper quadrant noted.",Chronic left rib deformities are again noted.,Rib deformities,Left,Stable,"['files/p19/p19499595/s55609137/90959c50-71b7d860-9e648092-e311c647-681c62e5.jpg', 'files/p19/p19499595/s55609137/c04f1959-6d763649-3561d2d3-baf924f7-bac2214b.jpg']","['files/p19/p19499595/s52825626/00dbc849-560058de-e051c029-8cd120fe-9a4f3202.jpg\n', 'files/p19/p19499595/s52825626/231686e2-a4e00674-f79b0a9d-3aa8362f-c822c78a.jpg\n']"
s55609137_12,p19499595,s55609137,12,Findings,"AP semi upright and lateral views of the chest provided. Midline sternotomy wires again noted, the majority of which are extensively fragmented, unchanged. There is no focal consolidation concerning for pneumonia. No large effusion or pneumothorax. No signs of congestion or edema. There is a linear density in the left mid lung which could represent a focus of scarring or atelectasis. Chronic left rib deformities are again noted. No free air below the right hemidiaphragm. Clips in the right upper quadrant noted.","Midline sternotomy wires again noted, the majority of which are extensively fragmented, unchanged.",Fragmented sternotomy wires,Midline,Stable,"['files/p19/p19499595/s55609137/90959c50-71b7d860-9e648092-e311c647-681c62e5.jpg', 'files/p19/p19499595/s55609137/c04f1959-6d763649-3561d2d3-baf924f7-bac2214b.jpg']","['files/p19/p19499595/s52825626/00dbc849-560058de-e051c029-8cd120fe-9a4f3202.jpg\n', 'files/p19/p19499595/s52825626/231686e2-a4e00674-f79b0a9d-3aa8362f-c822c78a.jpg\n']"
s55609649_1,p10650001,s55609649,1,Impression,"Mild pulmonary edema and presumed small left pleural effusion, new since ___.","Mild pulmonary edema and presumed small left pleural effusion, new since ___.",mild pulmonary edema,,New,['files/p10/p10650001/s55609649/6bad4c60-b2e3becf-a99801f7-aac3757c-2b669f35.jpg'],['files/p10/p10650001/s50124332/3878f00f-4b737c96-dff939c5-2f24a10d-23db2293.jpg\n']
s55609649_1,p10650001,s55609649,1,Findings,Pulmonary edema is mild and new since ___. Increased opacity at left lung base is either atelectasis and/or combination of atelectasis and edema. Left pleural effusion is presumed and small and is also new since ___. Heart size is normal. Cardiomediastinal silhouette is unremarkable. Mild-to-moderate atherosclerotic calcification is present in the aortic arch.,Increased opacity at left lung base is either atelectasis and/or combination of atelectasis and edema.,opacity,left lung base,Worse,['files/p10/p10650001/s55609649/6bad4c60-b2e3becf-a99801f7-aac3757c-2b669f35.jpg'],['files/p10/p10650001/s50124332/3878f00f-4b737c96-dff939c5-2f24a10d-23db2293.jpg\n']
s55609649_1,p10650001,s55609649,1,Findings,Pulmonary edema is mild and new since ___. Increased opacity at left lung base is either atelectasis and/or combination of atelectasis and edema. Left pleural effusion is presumed and small and is also new since ___. Heart size is normal. Cardiomediastinal silhouette is unremarkable. Mild-to-moderate atherosclerotic calcification is present in the aortic arch.,Left pleural effusion is presumed and small and is also new since ___.,pleural effusion,left,New,['files/p10/p10650001/s55609649/6bad4c60-b2e3becf-a99801f7-aac3757c-2b669f35.jpg'],['files/p10/p10650001/s50124332/3878f00f-4b737c96-dff939c5-2f24a10d-23db2293.jpg\n']
s55609649_1,p10650001,s55609649,1,Findings,Pulmonary edema is mild and new since ___. Increased opacity at left lung base is either atelectasis and/or combination of atelectasis and edema. Left pleural effusion is presumed and small and is also new since ___. Heart size is normal. Cardiomediastinal silhouette is unremarkable. Mild-to-moderate atherosclerotic calcification is present in the aortic arch.,Pulmonary edema is mild and new since ___.,mild pulmonary edema,,New,['files/p10/p10650001/s55609649/6bad4c60-b2e3becf-a99801f7-aac3757c-2b669f35.jpg'],['files/p10/p10650001/s50124332/3878f00f-4b737c96-dff939c5-2f24a10d-23db2293.jpg\n']
s55609649_1,p10650001,s55609649,1,Impression,"Mild pulmonary edema and presumed small left pleural effusion, new since ___.","Mild pulmonary edema and presumed small left pleural effusion, new since ___.",pleural effusion,left,New,['files/p10/p10650001/s55609649/6bad4c60-b2e3becf-a99801f7-aac3757c-2b669f35.jpg'],['files/p10/p10650001/s50124332/3878f00f-4b737c96-dff939c5-2f24a10d-23db2293.jpg\n']
s55610477_50,p15131736,s55610477,50,Findings,"A portable frontal chest radiograph demonstrates low lung volumes, with exaggeration of the cardiac silhouette and bronchovascular crowding. Even allowing for this, there is at least moderate cardiomegaly. Bilateral opacities are likely related sella mild to moderate vascular congestion and pulmonary edema, as well as atelectasis. This is similar to slightly increased compared to ___. Dense retrocardiac consolidation is likely related to edema, but superimposed consolidation cannot be excluded. There is no appreciable pneumothorax. The visualized upper abdomen is unremarkable.",This is similar to slightly increased compared to ___.,Opacities,Bilateral,Worse,['files/p15/p15131736/s55610477/676f47c0-d614cf37-78b5c5d0-274cd2aa-9d6211ac.jpg'],['files/p15/p15131736/s54906849/87528f6b-d04a6330-74d35720-8c8af75d-54f79a11.jpg\n']
s55610892_23,p13473495,s55610892,23,Findings,"Low lung volumes are again noted. There are however persistently increased interstitial markings which appear slightly progressed compared to prior. There is no pleural effusion. The cardiac silhouette is enlarged, as on prior. Left subclavian stent is again seen.",There are however persistently increased interstitial markings which appear slightly progressed compared to prior.,interstitial markings,,Worse,"['files/p13/p13473495/s55610892/4a834d65-3c7a5557-474061e3-4903563c-7ac8bfb4.jpg', 'files/p13/p13473495/s55610892/e2639104-28411e18-bfafdd6f-8f7fed3a-0801198b.jpg']","['files/p13/p13473495/s55153576/92ca8ae9-3cd416c1-c8b97c65-2d1a7560-3a11ae68.jpg\n', 'files/p13/p13473495/s55153576/b9b0faea-d88909df-ccb8ac50-f67497d4-7c320ffb.jpg\n']"
s55610892_23,p13473495,s55610892,23,Findings,"Low lung volumes are again noted. There are however persistently increased interstitial markings which appear slightly progressed compared to prior. There is no pleural effusion. The cardiac silhouette is enlarged, as on prior. Left subclavian stent is again seen.","The cardiac silhouette is enlarged, as on prior.",Cardiac silhouette,,Stable,"['files/p13/p13473495/s55610892/4a834d65-3c7a5557-474061e3-4903563c-7ac8bfb4.jpg', 'files/p13/p13473495/s55610892/e2639104-28411e18-bfafdd6f-8f7fed3a-0801198b.jpg']","['files/p13/p13473495/s55153576/92ca8ae9-3cd416c1-c8b97c65-2d1a7560-3a11ae68.jpg\n', 'files/p13/p13473495/s55153576/b9b0faea-d88909df-ccb8ac50-f67497d4-7c320ffb.jpg\n']"
s55610892_23,p13473495,s55610892,23,Impression,Pulmonary edema is slightly worse than on recent exam.,Pulmonary edema is slightly worse than on recent exam.,Pulmonary edema,,Worse,"['files/p13/p13473495/s55610892/4a834d65-3c7a5557-474061e3-4903563c-7ac8bfb4.jpg', 'files/p13/p13473495/s55610892/e2639104-28411e18-bfafdd6f-8f7fed3a-0801198b.jpg']","['files/p13/p13473495/s55153576/92ca8ae9-3cd416c1-c8b97c65-2d1a7560-3a11ae68.jpg\n', 'files/p13/p13473495/s55153576/b9b0faea-d88909df-ccb8ac50-f67497d4-7c320ffb.jpg\n']"
s55611611_12,p11204646,s55611611,12,Impression,Interval decrease in size of small right pleural effusion with mild right basilar atelectasis.,Interval decrease in size of small right pleural effusion with mild right basilar atelectasis.,pleural effusion,right,Better,"['files/p11/p11204646/s55611611/1aaf0cfe-67aa23d3-b5403e61-1b88698f-a6bf329b.jpg', 'files/p11/p11204646/s55611611/a4849658-ce9b054b-b59e436d-df3b5ab8-80025982.jpg']",['files/p11/p11204646/s55470597/ea99a6c6-34280d75-9f1ddc1c-837b3a69-a94986ea.jpg\n']
s55611611_12,p11204646,s55611611,12,Impression,Interval decrease in size of small right pleural effusion with mild right basilar atelectasis.,Interval decrease in size of small right pleural effusion with mild right basilar atelectasis.,atelectasis,right basilar,Stable,"['files/p11/p11204646/s55611611/1aaf0cfe-67aa23d3-b5403e61-1b88698f-a6bf329b.jpg', 'files/p11/p11204646/s55611611/a4849658-ce9b054b-b59e436d-df3b5ab8-80025982.jpg']",['files/p11/p11204646/s55470597/ea99a6c6-34280d75-9f1ddc1c-837b3a69-a94986ea.jpg\n']
s55611611_12,p11204646,s55611611,12,Findings,The study is somewhat limited due to patient rotation. The heart remains moderate to severely enlarged. Mediastinal widening is unchanged compared to the prior studies. The pulmonary vascularity is normal. Small right pleural effusion has decreased in the interval. Left lung is clear. There is minimal atelectasis in the right lung. No pneumothorax is present. No acute osseous abnormality is seen.,Small right pleural effusion has decreased in the interval.,pleural effusion,right,Better,"['files/p11/p11204646/s55611611/1aaf0cfe-67aa23d3-b5403e61-1b88698f-a6bf329b.jpg', 'files/p11/p11204646/s55611611/a4849658-ce9b054b-b59e436d-df3b5ab8-80025982.jpg']",['files/p11/p11204646/s55470597/ea99a6c6-34280d75-9f1ddc1c-837b3a69-a94986ea.jpg\n']
s55611611_12,p11204646,s55611611,12,Findings,The study is somewhat limited due to patient rotation. The heart remains moderate to severely enlarged. Mediastinal widening is unchanged compared to the prior studies. The pulmonary vascularity is normal. Small right pleural effusion has decreased in the interval. Left lung is clear. There is minimal atelectasis in the right lung. No pneumothorax is present. No acute osseous abnormality is seen.,The heart remains moderate to severely enlarged.,heart enlargement,,Stable,"['files/p11/p11204646/s55611611/1aaf0cfe-67aa23d3-b5403e61-1b88698f-a6bf329b.jpg', 'files/p11/p11204646/s55611611/a4849658-ce9b054b-b59e436d-df3b5ab8-80025982.jpg']",['files/p11/p11204646/s55470597/ea99a6c6-34280d75-9f1ddc1c-837b3a69-a94986ea.jpg\n']
s55611611_12,p11204646,s55611611,12,Findings,The study is somewhat limited due to patient rotation. The heart remains moderate to severely enlarged. Mediastinal widening is unchanged compared to the prior studies. The pulmonary vascularity is normal. Small right pleural effusion has decreased in the interval. Left lung is clear. There is minimal atelectasis in the right lung. No pneumothorax is present. No acute osseous abnormality is seen.,Mediastinal widening is unchanged compared to the prior studies.,mediastinal widening,,Stable,"['files/p11/p11204646/s55611611/1aaf0cfe-67aa23d3-b5403e61-1b88698f-a6bf329b.jpg', 'files/p11/p11204646/s55611611/a4849658-ce9b054b-b59e436d-df3b5ab8-80025982.jpg']",['files/p11/p11204646/s55470597/ea99a6c6-34280d75-9f1ddc1c-837b3a69-a94986ea.jpg\n']
s55615214_9,p14353044,s55615214,9,Findings,"AP and lateral views of the chest provided. There is no focal consolidation or pneumothorax. Trace right pleural effusion and bibasilar atelectasis are again seen. The cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm is seen. Elevation of the right hemidiaphragm and aortic knob calcification are not significantly changed. Diffuse osteopenia, spinal fusion hardware, and multiple compression deformities are re- demonstrated.",Elevation of the right hemidiaphragm and aortic knob calcification are not significantly changed.,elevation,right hemidiaphragm,Stable,"['files/p14/p14353044/s55615214/0781abcd-8ed0c5e8-d02c3209-62fc0c7f-21678d4d.jpg', 'files/p14/p14353044/s55615214/3a031d2f-ff234adf-3d7600a9-f15a50c2-9ed90d31.jpg', 'files/p14/p14353044/s55615214/5e2bba6f-a7ebbcf1-0522e2b3-7793b872-d91a1760.jpg', 'files/p14/p14353044/s55615214/5e56226b-f483939b-5c83520e-f030d297-124a879a.jpg']","['files/p14/p14353044/s53138800/2590bcf5-32f61859-59ee1db2-197c844f-fa816534.jpg\n', 'files/p14/p14353044/s53138800/b9850dc4-c0036cbc-c577eb21-c259db2c-2d9368a6.jpg\n']"
s55615214_9,p14353044,s55615214,9,Findings,"AP and lateral views of the chest provided. There is no focal consolidation or pneumothorax. Trace right pleural effusion and bibasilar atelectasis are again seen. The cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm is seen. Elevation of the right hemidiaphragm and aortic knob calcification are not significantly changed. Diffuse osteopenia, spinal fusion hardware, and multiple compression deformities are re- demonstrated.",Elevation of the right hemidiaphragm and aortic knob calcification are not significantly changed.,calcification,aortic knob,Stable,"['files/p14/p14353044/s55615214/0781abcd-8ed0c5e8-d02c3209-62fc0c7f-21678d4d.jpg', 'files/p14/p14353044/s55615214/3a031d2f-ff234adf-3d7600a9-f15a50c2-9ed90d31.jpg', 'files/p14/p14353044/s55615214/5e2bba6f-a7ebbcf1-0522e2b3-7793b872-d91a1760.jpg', 'files/p14/p14353044/s55615214/5e56226b-f483939b-5c83520e-f030d297-124a879a.jpg']","['files/p14/p14353044/s53138800/2590bcf5-32f61859-59ee1db2-197c844f-fa816534.jpg\n', 'files/p14/p14353044/s53138800/b9850dc4-c0036cbc-c577eb21-c259db2c-2d9368a6.jpg\n']"
s55615214_9,p14353044,s55615214,9,Findings,"AP and lateral views of the chest provided. There is no focal consolidation or pneumothorax. Trace right pleural effusion and bibasilar atelectasis are again seen. The cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm is seen. Elevation of the right hemidiaphragm and aortic knob calcification are not significantly changed. Diffuse osteopenia, spinal fusion hardware, and multiple compression deformities are re- demonstrated.",Trace right pleural effusion and bibasilar atelectasis are again seen.,atelectasis,bibasilar,Stable,"['files/p14/p14353044/s55615214/0781abcd-8ed0c5e8-d02c3209-62fc0c7f-21678d4d.jpg', 'files/p14/p14353044/s55615214/3a031d2f-ff234adf-3d7600a9-f15a50c2-9ed90d31.jpg', 'files/p14/p14353044/s55615214/5e2bba6f-a7ebbcf1-0522e2b3-7793b872-d91a1760.jpg', 'files/p14/p14353044/s55615214/5e56226b-f483939b-5c83520e-f030d297-124a879a.jpg']","['files/p14/p14353044/s53138800/2590bcf5-32f61859-59ee1db2-197c844f-fa816534.jpg\n', 'files/p14/p14353044/s53138800/b9850dc4-c0036cbc-c577eb21-c259db2c-2d9368a6.jpg\n']"
s55615214_9,p14353044,s55615214,9,Impression,Trace right pleural effusion and bibasilar atelectasis are again seen. No acute intrathoracic process.,Trace right pleural effusion and bibasilar atelectasis are again seen.,Trace pleural effusion,right,Stable,"['files/p14/p14353044/s55615214/0781abcd-8ed0c5e8-d02c3209-62fc0c7f-21678d4d.jpg', 'files/p14/p14353044/s55615214/3a031d2f-ff234adf-3d7600a9-f15a50c2-9ed90d31.jpg', 'files/p14/p14353044/s55615214/5e2bba6f-a7ebbcf1-0522e2b3-7793b872-d91a1760.jpg', 'files/p14/p14353044/s55615214/5e56226b-f483939b-5c83520e-f030d297-124a879a.jpg']","['files/p14/p14353044/s53138800/2590bcf5-32f61859-59ee1db2-197c844f-fa816534.jpg\n', 'files/p14/p14353044/s53138800/b9850dc4-c0036cbc-c577eb21-c259db2c-2d9368a6.jpg\n']"
s55615214_9,p14353044,s55615214,9,Findings,"AP and lateral views of the chest provided. There is no focal consolidation or pneumothorax. Trace right pleural effusion and bibasilar atelectasis are again seen. The cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm is seen. Elevation of the right hemidiaphragm and aortic knob calcification are not significantly changed. Diffuse osteopenia, spinal fusion hardware, and multiple compression deformities are re- demonstrated.","Diffuse osteopenia, spinal fusion hardware, and multiple compression deformities are re-demonstrated.",Diffuse osteopenia,spine,Stable,"['files/p14/p14353044/s55615214/0781abcd-8ed0c5e8-d02c3209-62fc0c7f-21678d4d.jpg', 'files/p14/p14353044/s55615214/3a031d2f-ff234adf-3d7600a9-f15a50c2-9ed90d31.jpg', 'files/p14/p14353044/s55615214/5e2bba6f-a7ebbcf1-0522e2b3-7793b872-d91a1760.jpg', 'files/p14/p14353044/s55615214/5e56226b-f483939b-5c83520e-f030d297-124a879a.jpg']","['files/p14/p14353044/s53138800/2590bcf5-32f61859-59ee1db2-197c844f-fa816534.jpg\n', 'files/p14/p14353044/s53138800/b9850dc4-c0036cbc-c577eb21-c259db2c-2d9368a6.jpg\n']"
s55615214_9,p14353044,s55615214,9,Impression,Trace right pleural effusion and bibasilar atelectasis are again seen. No acute intrathoracic process.,Trace right pleural effusion and bibasilar atelectasis are again seen.,atelectasis,bibasilar,Stable,"['files/p14/p14353044/s55615214/0781abcd-8ed0c5e8-d02c3209-62fc0c7f-21678d4d.jpg', 'files/p14/p14353044/s55615214/3a031d2f-ff234adf-3d7600a9-f15a50c2-9ed90d31.jpg', 'files/p14/p14353044/s55615214/5e2bba6f-a7ebbcf1-0522e2b3-7793b872-d91a1760.jpg', 'files/p14/p14353044/s55615214/5e56226b-f483939b-5c83520e-f030d297-124a879a.jpg']","['files/p14/p14353044/s53138800/2590bcf5-32f61859-59ee1db2-197c844f-fa816534.jpg\n', 'files/p14/p14353044/s53138800/b9850dc4-c0036cbc-c577eb21-c259db2c-2d9368a6.jpg\n']"
s55615214_9,p14353044,s55615214,9,Findings,"AP and lateral views of the chest provided. There is no focal consolidation or pneumothorax. Trace right pleural effusion and bibasilar atelectasis are again seen. The cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm is seen. Elevation of the right hemidiaphragm and aortic knob calcification are not significantly changed. Diffuse osteopenia, spinal fusion hardware, and multiple compression deformities are re- demonstrated.","Diffuse osteopenia, spinal fusion hardware, and multiple compression deformities are re-demonstrated.",spinal fusion hardware,spine,Stable,"['files/p14/p14353044/s55615214/0781abcd-8ed0c5e8-d02c3209-62fc0c7f-21678d4d.jpg', 'files/p14/p14353044/s55615214/3a031d2f-ff234adf-3d7600a9-f15a50c2-9ed90d31.jpg', 'files/p14/p14353044/s55615214/5e2bba6f-a7ebbcf1-0522e2b3-7793b872-d91a1760.jpg', 'files/p14/p14353044/s55615214/5e56226b-f483939b-5c83520e-f030d297-124a879a.jpg']","['files/p14/p14353044/s53138800/2590bcf5-32f61859-59ee1db2-197c844f-fa816534.jpg\n', 'files/p14/p14353044/s53138800/b9850dc4-c0036cbc-c577eb21-c259db2c-2d9368a6.jpg\n']"
s55615214_9,p14353044,s55615214,9,Findings,"AP and lateral views of the chest provided. There is no focal consolidation or pneumothorax. Trace right pleural effusion and bibasilar atelectasis are again seen. The cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm is seen. Elevation of the right hemidiaphragm and aortic knob calcification are not significantly changed. Diffuse osteopenia, spinal fusion hardware, and multiple compression deformities are re- demonstrated.","Diffuse osteopenia, spinal fusion hardware, and multiple compression deformities are re-demonstrated.",multiple compression deformities,spine,Stable,"['files/p14/p14353044/s55615214/0781abcd-8ed0c5e8-d02c3209-62fc0c7f-21678d4d.jpg', 'files/p14/p14353044/s55615214/3a031d2f-ff234adf-3d7600a9-f15a50c2-9ed90d31.jpg', 'files/p14/p14353044/s55615214/5e2bba6f-a7ebbcf1-0522e2b3-7793b872-d91a1760.jpg', 'files/p14/p14353044/s55615214/5e56226b-f483939b-5c83520e-f030d297-124a879a.jpg']","['files/p14/p14353044/s53138800/2590bcf5-32f61859-59ee1db2-197c844f-fa816534.jpg\n', 'files/p14/p14353044/s53138800/b9850dc4-c0036cbc-c577eb21-c259db2c-2d9368a6.jpg\n']"
s55615214_9,p14353044,s55615214,9,Findings,"AP and lateral views of the chest provided. There is no focal consolidation or pneumothorax. Trace right pleural effusion and bibasilar atelectasis are again seen. The cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm is seen. Elevation of the right hemidiaphragm and aortic knob calcification are not significantly changed. Diffuse osteopenia, spinal fusion hardware, and multiple compression deformities are re- demonstrated.",Trace right pleural effusion and bibasilar atelectasis are again seen.,Trace pleural effusion,right,Stable,"['files/p14/p14353044/s55615214/0781abcd-8ed0c5e8-d02c3209-62fc0c7f-21678d4d.jpg', 'files/p14/p14353044/s55615214/3a031d2f-ff234adf-3d7600a9-f15a50c2-9ed90d31.jpg', 'files/p14/p14353044/s55615214/5e2bba6f-a7ebbcf1-0522e2b3-7793b872-d91a1760.jpg', 'files/p14/p14353044/s55615214/5e56226b-f483939b-5c83520e-f030d297-124a879a.jpg']","['files/p14/p14353044/s53138800/2590bcf5-32f61859-59ee1db2-197c844f-fa816534.jpg\n', 'files/p14/p14353044/s53138800/b9850dc4-c0036cbc-c577eb21-c259db2c-2d9368a6.jpg\n']"
s55620198_5,p12475198,s55620198,5,Impression,"AP chest compared to ___: A right transsubclavian right atrial pacer and right ventricular pacer defibrillator leads in standard placements, no pneumothorax, pleural effusion or mediastinal widening. Previous mild pulmonary edema has improved, moderate-to-severe cardiomegaly has not. There may be a new small left pleural effusion. Conventional radiographs recommended when feasible for further evaluation.","Previous mild pulmonary edema has improved, moderate-to-severe cardiomegaly has not.",cardiomegaly,,Stable,['files/p12/p12475198/s55620198/da0fe691-6fcfcca4-8246f750-cb8b78a2-eec222bc.jpg'],['files/p12/p12475198/s54377872/c10a5364-1d030517-1045826d-0914fda6-b9c30acc.jpg\n']
s55620198_5,p12475198,s55620198,5,Impression,"AP chest compared to ___: A right transsubclavian right atrial pacer and right ventricular pacer defibrillator leads in standard placements, no pneumothorax, pleural effusion or mediastinal widening. Previous mild pulmonary edema has improved, moderate-to-severe cardiomegaly has not. There may be a new small left pleural effusion. Conventional radiographs recommended when feasible for further evaluation.",There may be a new small left pleural effusion.,pleural effusion,left,New,['files/p12/p12475198/s55620198/da0fe691-6fcfcca4-8246f750-cb8b78a2-eec222bc.jpg'],['files/p12/p12475198/s54377872/c10a5364-1d030517-1045826d-0914fda6-b9c30acc.jpg\n']
s55620198_5,p12475198,s55620198,5,Impression,"AP chest compared to ___: A right transsubclavian right atrial pacer and right ventricular pacer defibrillator leads in standard placements, no pneumothorax, pleural effusion or mediastinal widening. Previous mild pulmonary edema has improved, moderate-to-severe cardiomegaly has not. There may be a new small left pleural effusion. Conventional radiographs recommended when feasible for further evaluation.","Previous mild pulmonary edema has improved, moderate-to-severe cardiomegaly has not.",pulmonary edema,,Better,['files/p12/p12475198/s55620198/da0fe691-6fcfcca4-8246f750-cb8b78a2-eec222bc.jpg'],['files/p12/p12475198/s54377872/c10a5364-1d030517-1045826d-0914fda6-b9c30acc.jpg\n']
s55629622_19,p13352405,s55629622,19,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is performed with the next preceding similar study of ___. Heart size and mediastinal structures unchanged. On the right base, the previously described two pleural chest tubes remain in unaltered position. The degree of pleural densities blunting the lateral and posterior pleural sinus has regressed mildly. No new pulmonary abnormalities are present. No pneumothorax has developed. Left-sided hemithorax is unremarkable as before.","On the right base, the previously described two pleural chest tubes remain in unaltered position.",two pleural chest tubes,right base,Stable,"['files/p13/p13352405/s55629622/982578b4-18516c2a-5faf15d7-e4641de2-eca3ad55.jpg', 'files/p13/p13352405/s55629622/bae66754-cfeba31c-76ba4feb-96694b5d-17bb69ae.jpg']",['files/p13/p13352405/s55573533/73e90944-f811f9cb-ee08ddb9-7a4a4a84-34818999.jpg\n']
s55629622_19,p13352405,s55629622,19,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is performed with the next preceding similar study of ___. Heart size and mediastinal structures unchanged. On the right base, the previously described two pleural chest tubes remain in unaltered position. The degree of pleural densities blunting the lateral and posterior pleural sinus has regressed mildly. No new pulmonary abnormalities are present. No pneumothorax has developed. Left-sided hemithorax is unremarkable as before.",Left-sided hemithorax is unremarkable as before.,hemithorax,left-sided,Stable,"['files/p13/p13352405/s55629622/982578b4-18516c2a-5faf15d7-e4641de2-eca3ad55.jpg', 'files/p13/p13352405/s55629622/bae66754-cfeba31c-76ba4feb-96694b5d-17bb69ae.jpg']",['files/p13/p13352405/s55573533/73e90944-f811f9cb-ee08ddb9-7a4a4a84-34818999.jpg\n']
s55629622_19,p13352405,s55629622,19,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is performed with the next preceding similar study of ___. Heart size and mediastinal structures unchanged. On the right base, the previously described two pleural chest tubes remain in unaltered position. The degree of pleural densities blunting the lateral and posterior pleural sinus has regressed mildly. No new pulmonary abnormalities are present. No pneumothorax has developed. Left-sided hemithorax is unremarkable as before.",The degree of pleural densities blunting the lateral and posterior pleural sinus has regressed mildly.,pleural densities,lateral and posterior pleural sinus,Better,"['files/p13/p13352405/s55629622/982578b4-18516c2a-5faf15d7-e4641de2-eca3ad55.jpg', 'files/p13/p13352405/s55629622/bae66754-cfeba31c-76ba4feb-96694b5d-17bb69ae.jpg']",['files/p13/p13352405/s55573533/73e90944-f811f9cb-ee08ddb9-7a4a4a84-34818999.jpg\n']
s55629622_19,p13352405,s55629622,19,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is performed with the next preceding similar study of ___. Heart size and mediastinal structures unchanged. On the right base, the previously described two pleural chest tubes remain in unaltered position. The degree of pleural densities blunting the lateral and posterior pleural sinus has regressed mildly. No new pulmonary abnormalities are present. No pneumothorax has developed. Left-sided hemithorax is unremarkable as before.",Heart size and mediastinal structures unchanged.,Heart size and mediastinal structures,,Stable,"['files/p13/p13352405/s55629622/982578b4-18516c2a-5faf15d7-e4641de2-eca3ad55.jpg', 'files/p13/p13352405/s55629622/bae66754-cfeba31c-76ba4feb-96694b5d-17bb69ae.jpg']",['files/p13/p13352405/s55573533/73e90944-f811f9cb-ee08ddb9-7a4a4a84-34818999.jpg\n']
s55645174_1,p16015751,s55645174,1,Impression,"AP chest compared to ___, 4:01 p.m.: As before ET tube is in standard placement, nevertheless lung volumes are lower and there is new mild left lower lobe atelectasis. Also new is pulmonary vascular congestion and early edema, even though heart size is normal and unchanged. There may be a small left pleural effusion. No pneumothorax.","Also new is pulmonary vascular congestion and early edema, even though heart size is normal and unchanged.",pulmonary vascular congestion,,New,['files/p16/p16015751/s55645174/97772d75-88b9c893-d5ad4dd5-f7763053-ca0dd70a.jpg'],"['files/p16/p16015751/s54907683/325742c8-9cb60d54-750e1c80-c2ee97f6-0c6d0555.jpg\n', 'files/p16/p16015751/s54907683/5d18a76c-dd25b2c6-796e4972-0c023664-6bc9eff8.jpg\n', 'files/p16/p16015751/s54907683/f9d601d7-0eb2306d-2e66934e-5db0f766-edb49564.jpg\n']"
s55645174_1,p16015751,s55645174,1,Impression,"AP chest compared to ___, 4:01 p.m.: As before ET tube is in standard placement, nevertheless lung volumes are lower and there is new mild left lower lobe atelectasis. Also new is pulmonary vascular congestion and early edema, even though heart size is normal and unchanged. There may be a small left pleural effusion. No pneumothorax.","AP chest compared to ___, 4:01 p.m.: As before ET tube is in standard placement, nevertheless lung volumes are lower and there is new mild left lower lobe atelectasis.",atelectasis,left lower lobe,New,['files/p16/p16015751/s55645174/97772d75-88b9c893-d5ad4dd5-f7763053-ca0dd70a.jpg'],"['files/p16/p16015751/s54907683/325742c8-9cb60d54-750e1c80-c2ee97f6-0c6d0555.jpg\n', 'files/p16/p16015751/s54907683/5d18a76c-dd25b2c6-796e4972-0c023664-6bc9eff8.jpg\n', 'files/p16/p16015751/s54907683/f9d601d7-0eb2306d-2e66934e-5db0f766-edb49564.jpg\n']"
s55645174_1,p16015751,s55645174,1,Impression,"AP chest compared to ___, 4:01 p.m.: As before ET tube is in standard placement, nevertheless lung volumes are lower and there is new mild left lower lobe atelectasis. Also new is pulmonary vascular congestion and early edema, even though heart size is normal and unchanged. There may be a small left pleural effusion. No pneumothorax.","Also new is pulmonary vascular congestion and early edema, even though heart size is normal and unchanged.",early edema,,New,['files/p16/p16015751/s55645174/97772d75-88b9c893-d5ad4dd5-f7763053-ca0dd70a.jpg'],"['files/p16/p16015751/s54907683/325742c8-9cb60d54-750e1c80-c2ee97f6-0c6d0555.jpg\n', 'files/p16/p16015751/s54907683/5d18a76c-dd25b2c6-796e4972-0c023664-6bc9eff8.jpg\n', 'files/p16/p16015751/s54907683/f9d601d7-0eb2306d-2e66934e-5db0f766-edb49564.jpg\n']"
s55646831_40,p10933609,s55646831,40,Impression,Stable right greater than left upper lobe fibrotic changes. New opacity in the left mid-to-lower lung raises concern for infectious process versus possibly asymmetric edema. Recommend followup to resolution.,Stable right greater than left upper lobe fibrotic changes.,fibrotic changes,right greater than left upper lobes,Stable,"['files/p10/p10933609/s55646831/1e31fec1-1f4cbc01-4583b395-5127c6f7-43b9a7e7.jpg', 'files/p10/p10933609/s55646831/e26fdf14-791d85bf-3beaee42-3ec8bcee-4a05efee.jpg', 'files/p10/p10933609/s55646831/f8b70248-0a9f8ab0-ea3de70b-7d93e712-416c0c78.jpg']","['files/p10/p10933609/s55447530/3128f453-ad0dbc35-9cce331f-ca0db591-52e9cbab.jpg\n', 'files/p10/p10933609/s55447530/67046a75-310cfff1-2dd57e2f-6208c141-d18736f5.jpg\n', 'files/p10/p10933609/s55447530/92fe0d65-6cd5e4b6-22dbcaec-949cb8bd-1c28d956.jpg\n']"
s55646831_40,p10933609,s55646831,40,Findings,"Frontal and lateral views of the chest were obtained. There are low lung volumes. Right upper lobe scarring/chronic fibrosis in the right greater than left upper lobes are again seen. New since the prior study, there is left mid lung streaky opacity and to a lesser extent in the left lower lobe. No pleural effusion is seen. The cardiac and mediastinal silhouettes are stable.",The cardiac and mediastinal silhouettes are stable.,cardiac and mediastinal silhouettes,,Stable,"['files/p10/p10933609/s55646831/1e31fec1-1f4cbc01-4583b395-5127c6f7-43b9a7e7.jpg', 'files/p10/p10933609/s55646831/e26fdf14-791d85bf-3beaee42-3ec8bcee-4a05efee.jpg', 'files/p10/p10933609/s55646831/f8b70248-0a9f8ab0-ea3de70b-7d93e712-416c0c78.jpg']","['files/p10/p10933609/s55447530/3128f453-ad0dbc35-9cce331f-ca0db591-52e9cbab.jpg\n', 'files/p10/p10933609/s55447530/67046a75-310cfff1-2dd57e2f-6208c141-d18736f5.jpg\n', 'files/p10/p10933609/s55447530/92fe0d65-6cd5e4b6-22dbcaec-949cb8bd-1c28d956.jpg\n']"
s55646831_40,p10933609,s55646831,40,Findings,"Frontal and lateral views of the chest were obtained. There are low lung volumes. Right upper lobe scarring/chronic fibrosis in the right greater than left upper lobes are again seen. New since the prior study, there is left mid lung streaky opacity and to a lesser extent in the left lower lobe. No pleural effusion is seen. The cardiac and mediastinal silhouettes are stable.","New since the prior study, there is left mid lung streaky opacity and to a lesser extent in the left lower lobe.",streaky opacity,left lower lobe,New,"['files/p10/p10933609/s55646831/1e31fec1-1f4cbc01-4583b395-5127c6f7-43b9a7e7.jpg', 'files/p10/p10933609/s55646831/e26fdf14-791d85bf-3beaee42-3ec8bcee-4a05efee.jpg', 'files/p10/p10933609/s55646831/f8b70248-0a9f8ab0-ea3de70b-7d93e712-416c0c78.jpg']","['files/p10/p10933609/s55447530/3128f453-ad0dbc35-9cce331f-ca0db591-52e9cbab.jpg\n', 'files/p10/p10933609/s55447530/67046a75-310cfff1-2dd57e2f-6208c141-d18736f5.jpg\n', 'files/p10/p10933609/s55447530/92fe0d65-6cd5e4b6-22dbcaec-949cb8bd-1c28d956.jpg\n']"
s55646831_40,p10933609,s55646831,40,Findings,"Frontal and lateral views of the chest were obtained. There are low lung volumes. Right upper lobe scarring/chronic fibrosis in the right greater than left upper lobes are again seen. New since the prior study, there is left mid lung streaky opacity and to a lesser extent in the left lower lobe. No pleural effusion is seen. The cardiac and mediastinal silhouettes are stable.","New since the prior study, there is left mid lung streaky opacity and to a lesser extent in the left lower lobe.",streaky opacity,left mid lung,New,"['files/p10/p10933609/s55646831/1e31fec1-1f4cbc01-4583b395-5127c6f7-43b9a7e7.jpg', 'files/p10/p10933609/s55646831/e26fdf14-791d85bf-3beaee42-3ec8bcee-4a05efee.jpg', 'files/p10/p10933609/s55646831/f8b70248-0a9f8ab0-ea3de70b-7d93e712-416c0c78.jpg']","['files/p10/p10933609/s55447530/3128f453-ad0dbc35-9cce331f-ca0db591-52e9cbab.jpg\n', 'files/p10/p10933609/s55447530/67046a75-310cfff1-2dd57e2f-6208c141-d18736f5.jpg\n', 'files/p10/p10933609/s55447530/92fe0d65-6cd5e4b6-22dbcaec-949cb8bd-1c28d956.jpg\n']"
s55646831_40,p10933609,s55646831,40,Impression,Stable right greater than left upper lobe fibrotic changes. New opacity in the left mid-to-lower lung raises concern for infectious process versus possibly asymmetric edema. Recommend followup to resolution.,New opacity in the left mid-to-lower lung raises concern for infectious process versus possibly asymmetric edema.,opacity,left mid-to-lower lung,New,"['files/p10/p10933609/s55646831/1e31fec1-1f4cbc01-4583b395-5127c6f7-43b9a7e7.jpg', 'files/p10/p10933609/s55646831/e26fdf14-791d85bf-3beaee42-3ec8bcee-4a05efee.jpg', 'files/p10/p10933609/s55646831/f8b70248-0a9f8ab0-ea3de70b-7d93e712-416c0c78.jpg']","['files/p10/p10933609/s55447530/3128f453-ad0dbc35-9cce331f-ca0db591-52e9cbab.jpg\n', 'files/p10/p10933609/s55447530/67046a75-310cfff1-2dd57e2f-6208c141-d18736f5.jpg\n', 'files/p10/p10933609/s55447530/92fe0d65-6cd5e4b6-22dbcaec-949cb8bd-1c28d956.jpg\n']"
s55648907_0,p16772702,s55648907,0,Findings,Portable AP semi-upright chest radiograph is obtained. There is pulmonary vascular congestion and mild pulmonary edema which is new from prior exam. No large pleural effusion or pneumothorax. Cardiomediastinal silhouette appears stable. Bony structures are intact.,Cardiomediastinal silhouette appears stable.,silhouette,Cardiomediastinal,Stable,"['files/p16/p16772702/s55648907/532c0378-4f856655-839e716d-7e4fe81d-302dd3d0.jpg', 'files/p16/p16772702/s55648907/97c4032d-7432312d-e3dc0311-6adb6b70-22e728b6.jpg']",['files/p16/p16772702/s55198378/49c6a0af-c1fc71ef-9a008d1f-a69a11c6-ae390e99.jpg\n']
s55648907_0,p16772702,s55648907,0,Findings,Portable AP semi-upright chest radiograph is obtained. There is pulmonary vascular congestion and mild pulmonary edema which is new from prior exam. No large pleural effusion or pneumothorax. Cardiomediastinal silhouette appears stable. Bony structures are intact.,There is pulmonary vascular congestion and mild pulmonary edema which is new from prior exam.,vascular congestion,pulmonary,New,"['files/p16/p16772702/s55648907/532c0378-4f856655-839e716d-7e4fe81d-302dd3d0.jpg', 'files/p16/p16772702/s55648907/97c4032d-7432312d-e3dc0311-6adb6b70-22e728b6.jpg']",['files/p16/p16772702/s55198378/49c6a0af-c1fc71ef-9a008d1f-a69a11c6-ae390e99.jpg\n']
s55648907_0,p16772702,s55648907,0,Findings,Portable AP semi-upright chest radiograph is obtained. There is pulmonary vascular congestion and mild pulmonary edema which is new from prior exam. No large pleural effusion or pneumothorax. Cardiomediastinal silhouette appears stable. Bony structures are intact.,There is pulmonary vascular congestion and mild pulmonary edema which is new from prior exam.,mild pulmonary edema,pulmonary,New,"['files/p16/p16772702/s55648907/532c0378-4f856655-839e716d-7e4fe81d-302dd3d0.jpg', 'files/p16/p16772702/s55648907/97c4032d-7432312d-e3dc0311-6adb6b70-22e728b6.jpg']",['files/p16/p16772702/s55198378/49c6a0af-c1fc71ef-9a008d1f-a69a11c6-ae390e99.jpg\n']
s55649635_2,p16334516,s55649635,2,Findings,"Two semi-upright views of the chest are compared to previous exam from ___. There are hazy bibasilar opacities suggestive of layering effusions. Linear opacity in the right mid lung abutting surgical chain sutures are seen, potentially scarring or contribution from fluid within the fissure. Linear opacity in the left mid to lower lung is again seen suggestive of scarring or atelectasis. There is cephalization of the vasculature and prominence of the azygos vein. Cardiomediastinal silhouette is unchanged. Osseous and soft tissue structures are also unchanged. IVC filter is seen within the abdomen.",Osseous and soft tissue structures are also unchanged.,structures,Osseous and soft tissue,Stable,"['files/p16/p16334516/s55649635/70151e8a-71e8ed45-15a560dc-97516a13-1d4ca7c3.jpg', 'files/p16/p16334516/s55649635/fa76addb-604afc82-2fed6189-2657d8ca-8464dc84.jpg']",['files/p16/p16334516/s54611996/dd28d7b2-1303acd7-f23b52ab-4c24a9ab-f7296720.jpg\n']
s55649635_2,p16334516,s55649635,2,Findings,"Two semi-upright views of the chest are compared to previous exam from ___. There are hazy bibasilar opacities suggestive of layering effusions. Linear opacity in the right mid lung abutting surgical chain sutures are seen, potentially scarring or contribution from fluid within the fissure. Linear opacity in the left mid to lower lung is again seen suggestive of scarring or atelectasis. There is cephalization of the vasculature and prominence of the azygos vein. Cardiomediastinal silhouette is unchanged. Osseous and soft tissue structures are also unchanged. IVC filter is seen within the abdomen.",Cardiomediastinal silhouette is unchanged.,silhouette,Cardiomediastinal,Stable,"['files/p16/p16334516/s55649635/70151e8a-71e8ed45-15a560dc-97516a13-1d4ca7c3.jpg', 'files/p16/p16334516/s55649635/fa76addb-604afc82-2fed6189-2657d8ca-8464dc84.jpg']",['files/p16/p16334516/s54611996/dd28d7b2-1303acd7-f23b52ab-4c24a9ab-f7296720.jpg\n']
s55649635_2,p16334516,s55649635,2,Findings,"Two semi-upright views of the chest are compared to previous exam from ___. There are hazy bibasilar opacities suggestive of layering effusions. Linear opacity in the right mid lung abutting surgical chain sutures are seen, potentially scarring or contribution from fluid within the fissure. Linear opacity in the left mid to lower lung is again seen suggestive of scarring or atelectasis. There is cephalization of the vasculature and prominence of the azygos vein. Cardiomediastinal silhouette is unchanged. Osseous and soft tissue structures are also unchanged. IVC filter is seen within the abdomen.",Linear opacity in the left mid to lower lung is again seen suggestive of scarring or atelectasis.,Linear opacity suggestive of scarring or atelectasis,left mid to lower lung,Stable,"['files/p16/p16334516/s55649635/70151e8a-71e8ed45-15a560dc-97516a13-1d4ca7c3.jpg', 'files/p16/p16334516/s55649635/fa76addb-604afc82-2fed6189-2657d8ca-8464dc84.jpg']",['files/p16/p16334516/s54611996/dd28d7b2-1303acd7-f23b52ab-4c24a9ab-f7296720.jpg\n']
s55650924_0,p15192710,s55650924,0,Findings,Increased focal opacification demonstrated within the left lower lobe in setting of known transbronchial biopsy is likely related to focal hemorrhage superimposed on known area of focal opacification/though is out of proportion to expected. There is no pneumothorax or pleural effusion. Bronchiectasis of the left lower lobe is unchanged. The cardiomediastinal and hilar contours are stable demonstrating mild tortuosity of the thoracic aorta. Heart size is within normal limits. Incidentally noted is a benign bone island demonstrated within the left humeral head.,Increased focal opacification demonstrated within the left lower lobe in setting of known transbronchial biopsy is likely related to focal hemorrhage superimposed on known area of focal opacification/though is out of proportion to expected.,focal opacification,left lower lobe,Worse,['files/p15/p15192710/s55650924/f65458e7-7ef7e73f-fea3b7ca-40749fee-38fb4aeb.jpg'],"['files/p15/p15192710/s55395733/0fc79616-7e3a9293-c3991955-223e2630-2bf96047.jpg\n', 'files/p15/p15192710/s55395733/fb97dc99-52ef2345-cca09851-57c3d33d-c0fcf34c.jpg\n']"
s55650924_0,p15192710,s55650924,0,Findings,Increased focal opacification demonstrated within the left lower lobe in setting of known transbronchial biopsy is likely related to focal hemorrhage superimposed on known area of focal opacification/though is out of proportion to expected. There is no pneumothorax or pleural effusion. Bronchiectasis of the left lower lobe is unchanged. The cardiomediastinal and hilar contours are stable demonstrating mild tortuosity of the thoracic aorta. Heart size is within normal limits. Incidentally noted is a benign bone island demonstrated within the left humeral head.,Bronchiectasis of the left lower lobe is unchanged.,Bronchiectasis,left lower lobe,Stable,['files/p15/p15192710/s55650924/f65458e7-7ef7e73f-fea3b7ca-40749fee-38fb4aeb.jpg'],"['files/p15/p15192710/s55395733/0fc79616-7e3a9293-c3991955-223e2630-2bf96047.jpg\n', 'files/p15/p15192710/s55395733/fb97dc99-52ef2345-cca09851-57c3d33d-c0fcf34c.jpg\n']"
s55650924_0,p15192710,s55650924,0,Findings,Increased focal opacification demonstrated within the left lower lobe in setting of known transbronchial biopsy is likely related to focal hemorrhage superimposed on known area of focal opacification/though is out of proportion to expected. There is no pneumothorax or pleural effusion. Bronchiectasis of the left lower lobe is unchanged. The cardiomediastinal and hilar contours are stable demonstrating mild tortuosity of the thoracic aorta. Heart size is within normal limits. Incidentally noted is a benign bone island demonstrated within the left humeral head.,The cardiomediastinal and hilar contours are stable demonstrating mild tortuosity of the thoracic aorta.,mild tortuosity of the thoracic aorta,cardiomediastinal and hilar contours,Stable,['files/p15/p15192710/s55650924/f65458e7-7ef7e73f-fea3b7ca-40749fee-38fb4aeb.jpg'],"['files/p15/p15192710/s55395733/0fc79616-7e3a9293-c3991955-223e2630-2bf96047.jpg\n', 'files/p15/p15192710/s55395733/fb97dc99-52ef2345-cca09851-57c3d33d-c0fcf34c.jpg\n']"
s55650924_0,p15192710,s55650924,0,Impression,"Interval increase in opacification in the left lower lobe that in the setting of known transbronchial biopsy is likely related to hemorrhage superimposed on the known previously noted focal opacification, though aspiration and interval progression of the disease process are also possibilities. No evidence of pneumothorax.","Interval increase in opacification in the left lower lobe that in the setting of known transbronchial biopsy is likely related to hemorrhage superimposed on the known previously noted focal opacification, though aspiration and interval progression of the disease process are also possibilities.",opacification,left lower lobe,Worse,['files/p15/p15192710/s55650924/f65458e7-7ef7e73f-fea3b7ca-40749fee-38fb4aeb.jpg'],"['files/p15/p15192710/s55395733/0fc79616-7e3a9293-c3991955-223e2630-2bf96047.jpg\n', 'files/p15/p15192710/s55395733/fb97dc99-52ef2345-cca09851-57c3d33d-c0fcf34c.jpg\n']"
s55652630_18,p19075045,s55652630,18,Findings,"Compared with the prior film, inspiratory volumes are lower. A right IJ line is present, tip overlying distal SVC, new compared with the prior film. Left-sided pacemaker is present, with lead tips over the right atrium and right ventricle. Prosthetic aortic valve again noted. The cardio mediastinal silhouette, including mild cardiomegaly, is unchanged. There is possible minimal upper zone redistribution. There is bibasilar atelectasis. No frank consolidation or gross effusion identified. Incidental note made of partially imaged bilateral shoulder prostheses.","The cardio mediastinal silhouette, including mild cardiomegaly, is unchanged.",cardio mediastinal silhouette,,Stable,['files/p19/p19075045/s55652630/a4ced79c-68a99c35-e4a2aa15-21423671-0559dedf.jpg'],['files/p19/p19075045/s55300369/f3d507c2-a374ec9a-30b7c848-c991828c-333297ff.jpg\n']
s55652630_18,p19075045,s55652630,18,Findings,"Compared with the prior film, inspiratory volumes are lower. A right IJ line is present, tip overlying distal SVC, new compared with the prior film. Left-sided pacemaker is present, with lead tips over the right atrium and right ventricle. Prosthetic aortic valve again noted. The cardio mediastinal silhouette, including mild cardiomegaly, is unchanged. There is possible minimal upper zone redistribution. There is bibasilar atelectasis. No frank consolidation or gross effusion identified. Incidental note made of partially imaged bilateral shoulder prostheses.",Prosthetic aortic valve again noted.,Prosthetic aortic valve,,Stable,['files/p19/p19075045/s55652630/a4ced79c-68a99c35-e4a2aa15-21423671-0559dedf.jpg'],['files/p19/p19075045/s55300369/f3d507c2-a374ec9a-30b7c848-c991828c-333297ff.jpg\n']
s55652630_18,p19075045,s55652630,18,Findings,"Compared with the prior film, inspiratory volumes are lower. A right IJ line is present, tip overlying distal SVC, new compared with the prior film. Left-sided pacemaker is present, with lead tips over the right atrium and right ventricle. Prosthetic aortic valve again noted. The cardio mediastinal silhouette, including mild cardiomegaly, is unchanged. There is possible minimal upper zone redistribution. There is bibasilar atelectasis. No frank consolidation or gross effusion identified. Incidental note made of partially imaged bilateral shoulder prostheses.","A right IJ line is present, tip overlying distal SVC, new compared with the prior film.",IJ line,right IJ,New,['files/p19/p19075045/s55652630/a4ced79c-68a99c35-e4a2aa15-21423671-0559dedf.jpg'],['files/p19/p19075045/s55300369/f3d507c2-a374ec9a-30b7c848-c991828c-333297ff.jpg\n']
s55652630_18,p19075045,s55652630,18,Findings,"Compared with the prior film, inspiratory volumes are lower. A right IJ line is present, tip overlying distal SVC, new compared with the prior film. Left-sided pacemaker is present, with lead tips over the right atrium and right ventricle. Prosthetic aortic valve again noted. The cardio mediastinal silhouette, including mild cardiomegaly, is unchanged. There is possible minimal upper zone redistribution. There is bibasilar atelectasis. No frank consolidation or gross effusion identified. Incidental note made of partially imaged bilateral shoulder prostheses.","Compared with the prior film, inspiratory volumes are lower.",inspiratory volumes,,Worse,['files/p19/p19075045/s55652630/a4ced79c-68a99c35-e4a2aa15-21423671-0559dedf.jpg'],['files/p19/p19075045/s55300369/f3d507c2-a374ec9a-30b7c848-c991828c-333297ff.jpg\n']
s55652987_9,p19720782,s55652987,9,Findings,"Single portable view of the chest. There is persistent elevation of the right hemidiaphragm with a superimposed right basilar opacity suggestive of an effusion, similar in size when compared to prior. There is also pulmonary vascular congestion, increased compared to prior. There is no definite focal consolidation. Cardiomediastinal silhouette is unchanged. Elevation of the right hilum with increased density in the right paratracheal region compatible with prior post-treatment changes, better characterized on prior CT.",Cardiomediastinal silhouette is unchanged.,cardiomediastinal silhouette,,Stable,['files/p19/p19720782/s55652987/8f27588d-1bdebd8f-27072fe7-d51a60d5-c6968fcf.jpg'],['files/p19/p19720782/s55515719/b378a3b5-08a7504a-631c758a-059fd7ba-eea6caf2.jpg\n']
s55652987_9,p19720782,s55652987,9,Findings,"Single portable view of the chest. There is persistent elevation of the right hemidiaphragm with a superimposed right basilar opacity suggestive of an effusion, similar in size when compared to prior. There is also pulmonary vascular congestion, increased compared to prior. There is no definite focal consolidation. Cardiomediastinal silhouette is unchanged. Elevation of the right hilum with increased density in the right paratracheal region compatible with prior post-treatment changes, better characterized on prior CT.","There is also pulmonary vascular congestion, increased compared to prior.",pulmonary vascular congestion,,Worse,['files/p19/p19720782/s55652987/8f27588d-1bdebd8f-27072fe7-d51a60d5-c6968fcf.jpg'],['files/p19/p19720782/s55515719/b378a3b5-08a7504a-631c758a-059fd7ba-eea6caf2.jpg\n']
s55652987_9,p19720782,s55652987,9,Findings,"Single portable view of the chest. There is persistent elevation of the right hemidiaphragm with a superimposed right basilar opacity suggestive of an effusion, similar in size when compared to prior. There is also pulmonary vascular congestion, increased compared to prior. There is no definite focal consolidation. Cardiomediastinal silhouette is unchanged. Elevation of the right hilum with increased density in the right paratracheal region compatible with prior post-treatment changes, better characterized on prior CT.","There is persistent elevation of the right hemidiaphragm with a superimposed right basilar opacity suggestive of an effusion, similar in size when compared to prior.",effusion,right basilar,Stable,['files/p19/p19720782/s55652987/8f27588d-1bdebd8f-27072fe7-d51a60d5-c6968fcf.jpg'],['files/p19/p19720782/s55515719/b378a3b5-08a7504a-631c758a-059fd7ba-eea6caf2.jpg\n']
s55657134_65,p14851532,s55657134,65,Impression,"In comparison with study of ___, the patient has taken a better inspiration. The enlargement of the cardiac silhouette persists with mild to moderate pulmonary edema and right pleural effusion with volume loss in the right middle and probably right lower lobes. The Swan-Ganz catheter is unchanged, with the tip projecting beyond the mediastinal border. It could be pulled back approximately 4 cm for more optimal positioning.",The enlargement of the cardiac silhouette persists with mild to moderate pulmonary edema and right pleural effusion with volume loss in the right middle and probably right lower lobes.,Enlargement,Cardiac silhouette,Stable,['files/p14/p14851532/s55657134/15f947b4-1be82012-29928936-17ccf8d3-135a3760.jpg'],['files/p14/p14851532/s55544509/ec82f84b-cccfc6e5-fa5fe314-b10d2e0f-0d272479.jpg\n']
s55657134_65,p14851532,s55657134,65,Impression,"In comparison with study of ___, the patient has taken a better inspiration. The enlargement of the cardiac silhouette persists with mild to moderate pulmonary edema and right pleural effusion with volume loss in the right middle and probably right lower lobes. The Swan-Ganz catheter is unchanged, with the tip projecting beyond the mediastinal border. It could be pulled back approximately 4 cm for more optimal positioning.","The Swan-Ganz catheter is unchanged, with the tip projecting beyond the mediastinal border.",Swan-Ganz catheter tip,Mediastinal border,Stable,['files/p14/p14851532/s55657134/15f947b4-1be82012-29928936-17ccf8d3-135a3760.jpg'],['files/p14/p14851532/s55544509/ec82f84b-cccfc6e5-fa5fe314-b10d2e0f-0d272479.jpg\n']
s55661010_16,p19182863,s55661010,16,Impression,Improved aeration in the lungs with no effusion and mild bibasilar atelectasis.,Improved aeration in the lungs with no effusion and mild bibasilar atelectasis.,no effusion,,New,"['files/p19/p19182863/s55661010/010357e5-15fa3bea-a68903e4-6326524d-9a77b7db.jpg', 'files/p19/p19182863/s55661010/5a98ef87-14b50e7b-3fc8913c-8b345fe8-a38665fa.jpg']","['files/p19/p19182863/s55598285/4d92da88-7369aa66-983734e4-bfcb6662-72f56c2d.jpg\n', 'files/p19/p19182863/s55598285/546922d2-a7e68107-7cd88cca-00e86121-f8796513.jpg\n']"
s55661010_16,p19182863,s55661010,16,Impression,Improved aeration in the lungs with no effusion and mild bibasilar atelectasis.,Improved aeration in the lungs with no effusion and mild bibasilar atelectasis.,aeration,lungs,Better,"['files/p19/p19182863/s55661010/010357e5-15fa3bea-a68903e4-6326524d-9a77b7db.jpg', 'files/p19/p19182863/s55661010/5a98ef87-14b50e7b-3fc8913c-8b345fe8-a38665fa.jpg']","['files/p19/p19182863/s55598285/4d92da88-7369aa66-983734e4-bfcb6662-72f56c2d.jpg\n', 'files/p19/p19182863/s55598285/546922d2-a7e68107-7cd88cca-00e86121-f8796513.jpg\n']"
s55661010_16,p19182863,s55661010,16,Findings,PA and lateral views of the chest were provided. Midline sternotomy wires and prosthetic cardiac valves are redemonstrated. The heart is stable and top normal in size. There is improvement in overall pulmonary aeration with minimal lower lung atelectasis. No pneumothorax or pleural effusion is seen. Bony structures are intact.,Bony structures are intact.,intact bony structures,,New,"['files/p19/p19182863/s55661010/010357e5-15fa3bea-a68903e4-6326524d-9a77b7db.jpg', 'files/p19/p19182863/s55661010/5a98ef87-14b50e7b-3fc8913c-8b345fe8-a38665fa.jpg']","['files/p19/p19182863/s55598285/4d92da88-7369aa66-983734e4-bfcb6662-72f56c2d.jpg\n', 'files/p19/p19182863/s55598285/546922d2-a7e68107-7cd88cca-00e86121-f8796513.jpg\n']"
s55661010_16,p19182863,s55661010,16,Findings,PA and lateral views of the chest were provided. Midline sternotomy wires and prosthetic cardiac valves are redemonstrated. The heart is stable and top normal in size. There is improvement in overall pulmonary aeration with minimal lower lung atelectasis. No pneumothorax or pleural effusion is seen. Bony structures are intact.,No pneumothorax or pleural effusion is seen.,no pleural effusion,,New,"['files/p19/p19182863/s55661010/010357e5-15fa3bea-a68903e4-6326524d-9a77b7db.jpg', 'files/p19/p19182863/s55661010/5a98ef87-14b50e7b-3fc8913c-8b345fe8-a38665fa.jpg']","['files/p19/p19182863/s55598285/4d92da88-7369aa66-983734e4-bfcb6662-72f56c2d.jpg\n', 'files/p19/p19182863/s55598285/546922d2-a7e68107-7cd88cca-00e86121-f8796513.jpg\n']"
s55661010_16,p19182863,s55661010,16,Findings,PA and lateral views of the chest were provided. Midline sternotomy wires and prosthetic cardiac valves are redemonstrated. The heart is stable and top normal in size. There is improvement in overall pulmonary aeration with minimal lower lung atelectasis. No pneumothorax or pleural effusion is seen. Bony structures are intact.,No pneumothorax or pleural effusion is seen.,no pneumothorax,,New,"['files/p19/p19182863/s55661010/010357e5-15fa3bea-a68903e4-6326524d-9a77b7db.jpg', 'files/p19/p19182863/s55661010/5a98ef87-14b50e7b-3fc8913c-8b345fe8-a38665fa.jpg']","['files/p19/p19182863/s55598285/4d92da88-7369aa66-983734e4-bfcb6662-72f56c2d.jpg\n', 'files/p19/p19182863/s55598285/546922d2-a7e68107-7cd88cca-00e86121-f8796513.jpg\n']"
s55661010_16,p19182863,s55661010,16,Findings,PA and lateral views of the chest were provided. Midline sternotomy wires and prosthetic cardiac valves are redemonstrated. The heart is stable and top normal in size. There is improvement in overall pulmonary aeration with minimal lower lung atelectasis. No pneumothorax or pleural effusion is seen. Bony structures are intact.,There is improvement in overall pulmonary aeration with minimal lower lung atelectasis.,atelectasis,lower lung,Better,"['files/p19/p19182863/s55661010/010357e5-15fa3bea-a68903e4-6326524d-9a77b7db.jpg', 'files/p19/p19182863/s55661010/5a98ef87-14b50e7b-3fc8913c-8b345fe8-a38665fa.jpg']","['files/p19/p19182863/s55598285/4d92da88-7369aa66-983734e4-bfcb6662-72f56c2d.jpg\n', 'files/p19/p19182863/s55598285/546922d2-a7e68107-7cd88cca-00e86121-f8796513.jpg\n']"
s55661010_16,p19182863,s55661010,16,Findings,PA and lateral views of the chest were provided. Midline sternotomy wires and prosthetic cardiac valves are redemonstrated. The heart is stable and top normal in size. There is improvement in overall pulmonary aeration with minimal lower lung atelectasis. No pneumothorax or pleural effusion is seen. Bony structures are intact.,The heart is stable and top normal in size.,heart size,,Stable,"['files/p19/p19182863/s55661010/010357e5-15fa3bea-a68903e4-6326524d-9a77b7db.jpg', 'files/p19/p19182863/s55661010/5a98ef87-14b50e7b-3fc8913c-8b345fe8-a38665fa.jpg']","['files/p19/p19182863/s55598285/4d92da88-7369aa66-983734e4-bfcb6662-72f56c2d.jpg\n', 'files/p19/p19182863/s55598285/546922d2-a7e68107-7cd88cca-00e86121-f8796513.jpg\n']"
s55661010_16,p19182863,s55661010,16,Findings,PA and lateral views of the chest were provided. Midline sternotomy wires and prosthetic cardiac valves are redemonstrated. The heart is stable and top normal in size. There is improvement in overall pulmonary aeration with minimal lower lung atelectasis. No pneumothorax or pleural effusion is seen. Bony structures are intact.,Midline sternotomy wires and prosthetic cardiac valves are redemonstrated.,midline sternotomy wires,,New,"['files/p19/p19182863/s55661010/010357e5-15fa3bea-a68903e4-6326524d-9a77b7db.jpg', 'files/p19/p19182863/s55661010/5a98ef87-14b50e7b-3fc8913c-8b345fe8-a38665fa.jpg']","['files/p19/p19182863/s55598285/4d92da88-7369aa66-983734e4-bfcb6662-72f56c2d.jpg\n', 'files/p19/p19182863/s55598285/546922d2-a7e68107-7cd88cca-00e86121-f8796513.jpg\n']"
s55661010_16,p19182863,s55661010,16,Impression,Improved aeration in the lungs with no effusion and mild bibasilar atelectasis.,Improved aeration in the lungs with no effusion and mild bibasilar atelectasis.,atelectasis,bibasilar,New,"['files/p19/p19182863/s55661010/010357e5-15fa3bea-a68903e4-6326524d-9a77b7db.jpg', 'files/p19/p19182863/s55661010/5a98ef87-14b50e7b-3fc8913c-8b345fe8-a38665fa.jpg']","['files/p19/p19182863/s55598285/4d92da88-7369aa66-983734e4-bfcb6662-72f56c2d.jpg\n', 'files/p19/p19182863/s55598285/546922d2-a7e68107-7cd88cca-00e86121-f8796513.jpg\n']"
s55661010_16,p19182863,s55661010,16,Findings,PA and lateral views of the chest were provided. Midline sternotomy wires and prosthetic cardiac valves are redemonstrated. The heart is stable and top normal in size. There is improvement in overall pulmonary aeration with minimal lower lung atelectasis. No pneumothorax or pleural effusion is seen. Bony structures are intact.,Midline sternotomy wires and prosthetic cardiac valves are redemonstrated.,prosthetic cardiac valves,,New,"['files/p19/p19182863/s55661010/010357e5-15fa3bea-a68903e4-6326524d-9a77b7db.jpg', 'files/p19/p19182863/s55661010/5a98ef87-14b50e7b-3fc8913c-8b345fe8-a38665fa.jpg']","['files/p19/p19182863/s55598285/4d92da88-7369aa66-983734e4-bfcb6662-72f56c2d.jpg\n', 'files/p19/p19182863/s55598285/546922d2-a7e68107-7cd88cca-00e86121-f8796513.jpg\n']"
s55667092_41,p19182863,s55667092,41,Findings,"In comparison with study of ___, there has been a substantial increase in the degree of right pleural effusion, which extends upward on the frontal view to almost the level of the carina. There may be mild shift of the mediastinum to the left, though there is probably substantial volume loss in the right lower lung. The left lung is essentially clear. Otherwise, little change.","Otherwise, little change.",General condition,Unspecified,Stable,"['files/p19/p19182863/s55667092/357764ae-3c98ec1b-8c94907d-641d3d01-5bae8280.jpg', 'files/p19/p19182863/s55667092/bed0c17c-b8312534-d05da632-f282115c-e6a70f30.jpg']","['files/p19/p19182863/s55661010/010357e5-15fa3bea-a68903e4-6326524d-9a77b7db.jpg\n', 'files/p19/p19182863/s55661010/5a98ef87-14b50e7b-3fc8913c-8b345fe8-a38665fa.jpg\n']"
s55667092_41,p19182863,s55667092,41,Findings,"In comparison with study of ___, there has been a substantial increase in the degree of right pleural effusion, which extends upward on the frontal view to almost the level of the carina. There may be mild shift of the mediastinum to the left, though there is probably substantial volume loss in the right lower lung. The left lung is essentially clear. Otherwise, little change.","In comparison with study of ___, there has been a substantial increase in the degree of right pleural effusion, which extends upward on the frontal view to almost the level of the carina.",Pleural effusion,Right,Worse,"['files/p19/p19182863/s55667092/357764ae-3c98ec1b-8c94907d-641d3d01-5bae8280.jpg', 'files/p19/p19182863/s55667092/bed0c17c-b8312534-d05da632-f282115c-e6a70f30.jpg']","['files/p19/p19182863/s55661010/010357e5-15fa3bea-a68903e4-6326524d-9a77b7db.jpg\n', 'files/p19/p19182863/s55661010/5a98ef87-14b50e7b-3fc8913c-8b345fe8-a38665fa.jpg\n']"
s55670303_1,p12538508,s55670303,1,Findings,"Sternotomy wires are unchanged. The heart and mediastinal contours are within normal limits and stable. There has been interval decrease in a left-sided pleural effusion with some persisting left basilar atelectasis. The right lung is clear. A line between the posterior aspects of the left third and fourth rib space is more compatible with a skin fold rather than the visceral pleura of the lung, so pneumothorax is not favored. However, given the recent instrumentation, if growing clinical concern for pneumothorax exists, short-interval followup may be considered.",There has been interval decrease in a left-sided pleural effusion with some persisting left basilar atelectasis.,pleural effusion,left-sided,Better,['files/p12/p12538508/s55670303/4639cd47-e73a89d3-48315552-a87979a8-7dd4f191.jpg'],['files/p12/p12538508/s51621137/0beab5cd-dd1bb454-0df993cf-f3c0ae3d-8f0e0c27.jpg\n']
s55670303_1,p12538508,s55670303,1,Findings,"Sternotomy wires are unchanged. The heart and mediastinal contours are within normal limits and stable. There has been interval decrease in a left-sided pleural effusion with some persisting left basilar atelectasis. The right lung is clear. A line between the posterior aspects of the left third and fourth rib space is more compatible with a skin fold rather than the visceral pleura of the lung, so pneumothorax is not favored. However, given the recent instrumentation, if growing clinical concern for pneumothorax exists, short-interval followup may be considered.",The heart and mediastinal contours are within normal limits and stable.,heart and mediastinal contours,,Stable,['files/p12/p12538508/s55670303/4639cd47-e73a89d3-48315552-a87979a8-7dd4f191.jpg'],['files/p12/p12538508/s51621137/0beab5cd-dd1bb454-0df993cf-f3c0ae3d-8f0e0c27.jpg\n']
s55670303_1,p12538508,s55670303,1,Findings,"Sternotomy wires are unchanged. The heart and mediastinal contours are within normal limits and stable. There has been interval decrease in a left-sided pleural effusion with some persisting left basilar atelectasis. The right lung is clear. A line between the posterior aspects of the left third and fourth rib space is more compatible with a skin fold rather than the visceral pleura of the lung, so pneumothorax is not favored. However, given the recent instrumentation, if growing clinical concern for pneumothorax exists, short-interval followup may be considered.",Sternotomy wires are unchanged.,sternotomy wires,,Stable,['files/p12/p12538508/s55670303/4639cd47-e73a89d3-48315552-a87979a8-7dd4f191.jpg'],['files/p12/p12538508/s51621137/0beab5cd-dd1bb454-0df993cf-f3c0ae3d-8f0e0c27.jpg\n']
s55671568_38,p14851532,s55671568,38,Impression,"Stable cardiomegaly accompanied by pulmonary vascular congestion and worsening edema. A more confluent area of opacity in the right lower lobe could reflect a superimposed pneumonia given clinical suspicion for this entity. Small to moderate right and small left pleural effusion are present, but there is no visible pneumothorax.",Stable cardiomegaly accompanied by pulmonary vascular congestion and worsening edema.,pulmonary vascular congestion and edema,,Worse,['files/p14/p14851532/s55671568/a182520b-602fa4e1-b77eda67-469d74a8-9403dc79.jpg'],['files/p14/p14851532/s55657134/15f947b4-1be82012-29928936-17ccf8d3-135a3760.jpg\n']
s55671568_38,p14851532,s55671568,38,Impression,"Stable cardiomegaly accompanied by pulmonary vascular congestion and worsening edema. A more confluent area of opacity in the right lower lobe could reflect a superimposed pneumonia given clinical suspicion for this entity. Small to moderate right and small left pleural effusion are present, but there is no visible pneumothorax.",Stable cardiomegaly accompanied by pulmonary vascular congestion and worsening edema.,cardiomegaly,,Stable,['files/p14/p14851532/s55671568/a182520b-602fa4e1-b77eda67-469d74a8-9403dc79.jpg'],['files/p14/p14851532/s55657134/15f947b4-1be82012-29928936-17ccf8d3-135a3760.jpg\n']
s55675760_1,p15378103,s55675760,1,Findings,"Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. The heart size is normal. The aorta remains tortuous and calcified. Again demonstrated are fibrotic changes within the right lung base which appear similar when compared to the prior radiograph. There is likely minimal atelectasis in the left lung base. No pulmonary edema, focal consolidation, pleural effusion, or pneumothorax is identified. There are no acute osseous abnormalities.",The aorta remains tortuous and calcified.,Tortuous and calcified,Aorta,Stable,"['files/p15/p15378103/s55675760/9a198bd3-5524b831-8a16ec0d-1488ac1c-9d60aadc.jpg', 'files/p15/p15378103/s55675760/aa615bc7-e32c0c72-a1f0ee3f-0a7f4a52-5e7078c2.jpg']",['files/p15/p15378103/s55410841/93b9fbec-d0096ef4-0f25a638-a44849a5-58844ba5.jpg\n']
s55675760_1,p15378103,s55675760,1,Findings,"Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. The heart size is normal. The aorta remains tortuous and calcified. Again demonstrated are fibrotic changes within the right lung base which appear similar when compared to the prior radiograph. There is likely minimal atelectasis in the left lung base. No pulmonary edema, focal consolidation, pleural effusion, or pneumothorax is identified. There are no acute osseous abnormalities.",Again demonstrated are fibrotic changes within the right lung base which appear similar when compared to the prior radiograph.,Fibrotic changes,Right lung base,Stable,"['files/p15/p15378103/s55675760/9a198bd3-5524b831-8a16ec0d-1488ac1c-9d60aadc.jpg', 'files/p15/p15378103/s55675760/aa615bc7-e32c0c72-a1f0ee3f-0a7f4a52-5e7078c2.jpg']",['files/p15/p15378103/s55410841/93b9fbec-d0096ef4-0f25a638-a44849a5-58844ba5.jpg\n']
s55675760_1,p15378103,s55675760,1,Impression,No significant interval change from the prior study with continued right basilar fibrotic changes.,No significant interval change from the prior study with continued right basilar fibrotic changes.,Fibrotic changes,Right basilar,Stable,"['files/p15/p15378103/s55675760/9a198bd3-5524b831-8a16ec0d-1488ac1c-9d60aadc.jpg', 'files/p15/p15378103/s55675760/aa615bc7-e32c0c72-a1f0ee3f-0a7f4a52-5e7078c2.jpg']",['files/p15/p15378103/s55410841/93b9fbec-d0096ef4-0f25a638-a44849a5-58844ba5.jpg\n']
s55677495_4,p13978244,s55677495,4,Findings,"As compared to the previous radiograph, there is an increase in interstitial markings and an increase in diameter of the pulmonary vasculature. In conjunction with the increased cardiac silhouette, these findings are suggestive of mild to moderate pulmonary edema. The presence of a minimal left pleural effusion cannot be excluded, given blunting of the left costophrenic sinus. At the time of observation and dictation, 10:38 a.m., the referring physician ___. ___ was paged for notification, on ___. Given that no lateral radiograph was performed, the compression fractures cannot be evaluated. The findings were discussed over the telephone at 10:40 a.m.","As compared to the previous radiograph, there is an increase in interstitial markings and an increase in diameter of the pulmonary vasculature.",interstitial markings,pulmonary,Worse,['files/p13/p13978244/s55677495/cddeb4e3-ad72632a-69704edb-de0e13c2-5df7f092.jpg'],"['files/p13/p13978244/s54843628/add7b9e1-75f87d25-82d1ce6d-f03dbdd8-411ea986.jpg\n', 'files/p13/p13978244/s54843628/d1530705-a5f69e98-247896ff-71e118db-5ed1694c.jpg\n']"
s55677495_4,p13978244,s55677495,4,Findings,"As compared to the previous radiograph, there is an increase in interstitial markings and an increase in diameter of the pulmonary vasculature. In conjunction with the increased cardiac silhouette, these findings are suggestive of mild to moderate pulmonary edema. The presence of a minimal left pleural effusion cannot be excluded, given blunting of the left costophrenic sinus. At the time of observation and dictation, 10:38 a.m., the referring physician ___. ___ was paged for notification, on ___. Given that no lateral radiograph was performed, the compression fractures cannot be evaluated. The findings were discussed over the telephone at 10:40 a.m.","As compared to the previous radiograph, there is an increase in interstitial markings and an increase in diameter of the pulmonary vasculature.",diameter,pulmonary vasculature,Worse,['files/p13/p13978244/s55677495/cddeb4e3-ad72632a-69704edb-de0e13c2-5df7f092.jpg'],"['files/p13/p13978244/s54843628/add7b9e1-75f87d25-82d1ce6d-f03dbdd8-411ea986.jpg\n', 'files/p13/p13978244/s54843628/d1530705-a5f69e98-247896ff-71e118db-5ed1694c.jpg\n']"
s55680047_11,p13352405,s55680047,11,Findings,"The three chest tubes are now on waterseal. The appearance of the right hemithorax, including the clips and soft tissue collection of air is unchanged as compared to the previous examination. There is increased gas filling of colon interposed between the chest wall and the liver. No current evidence of pneumothorax. Unchanged normal appearance of the cardiac silhouette and of the left lung. No other changes.",Unchanged normal appearance of the cardiac silhouette and of the left lung.,appearance,cardiac silhouette,Stable,['files/p13/p13352405/s55680047/22582d1c-114af91c-83312668-0af5831e-ceacf04b.jpg'],"['files/p13/p13352405/s55629622/982578b4-18516c2a-5faf15d7-e4641de2-eca3ad55.jpg\n', 'files/p13/p13352405/s55629622/bae66754-cfeba31c-76ba4feb-96694b5d-17bb69ae.jpg\n']"
s55680047_11,p13352405,s55680047,11,Findings,"The three chest tubes are now on waterseal. The appearance of the right hemithorax, including the clips and soft tissue collection of air is unchanged as compared to the previous examination. There is increased gas filling of colon interposed between the chest wall and the liver. No current evidence of pneumothorax. Unchanged normal appearance of the cardiac silhouette and of the left lung. No other changes.","The appearance of the right hemithorax, including the clips and soft tissue collection of air is unchanged as compared to the previous examination.",appearance,right hemithorax,Stable,['files/p13/p13352405/s55680047/22582d1c-114af91c-83312668-0af5831e-ceacf04b.jpg'],"['files/p13/p13352405/s55629622/982578b4-18516c2a-5faf15d7-e4641de2-eca3ad55.jpg\n', 'files/p13/p13352405/s55629622/bae66754-cfeba31c-76ba4feb-96694b5d-17bb69ae.jpg\n']"
s55680047_11,p13352405,s55680047,11,Findings,"The three chest tubes are now on waterseal. The appearance of the right hemithorax, including the clips and soft tissue collection of air is unchanged as compared to the previous examination. There is increased gas filling of colon interposed between the chest wall and the liver. No current evidence of pneumothorax. Unchanged normal appearance of the cardiac silhouette and of the left lung. No other changes.",Unchanged normal appearance of the cardiac silhouette and of the left lung.,appearance,left lung,Stable,['files/p13/p13352405/s55680047/22582d1c-114af91c-83312668-0af5831e-ceacf04b.jpg'],"['files/p13/p13352405/s55629622/982578b4-18516c2a-5faf15d7-e4641de2-eca3ad55.jpg\n', 'files/p13/p13352405/s55629622/bae66754-cfeba31c-76ba4feb-96694b5d-17bb69ae.jpg\n']"
s55680047_11,p13352405,s55680047,11,Findings,"The three chest tubes are now on waterseal. The appearance of the right hemithorax, including the clips and soft tissue collection of air is unchanged as compared to the previous examination. There is increased gas filling of colon interposed between the chest wall and the liver. No current evidence of pneumothorax. Unchanged normal appearance of the cardiac silhouette and of the left lung. No other changes.",There is increased gas filling of colon interposed between the chest wall and the liver.,gas filling of colon,between the chest wall and the liver,Worse,['files/p13/p13352405/s55680047/22582d1c-114af91c-83312668-0af5831e-ceacf04b.jpg'],"['files/p13/p13352405/s55629622/982578b4-18516c2a-5faf15d7-e4641de2-eca3ad55.jpg\n', 'files/p13/p13352405/s55629622/bae66754-cfeba31c-76ba4feb-96694b5d-17bb69ae.jpg\n']"
s55681597_0,p13120957,s55681597,0,Findings,"No focal consolidation, pleural effusion, or pneumothorax is seen. Linear retrocardiac densities were seen previously and may represent atelectasis. Lung volumes are low, exaggerating pulmonary vasculature and hila. Heart and mediastinal contours appear similar compared to prior. There is no evidence for free intraperitoneal air below the diaphragms.",Heart and mediastinal contours appear similar compared to prior.,contours,mediastinal,Stable,"['files/p13/p13120957/s55681597/98fa0073-4a72a84a-07d17d1b-80f5bc40-e729e67e.jpg', 'files/p13/p13120957/s55681597/d53ea806-f9b5f637-2a0ee3e9-a8409e3d-56e8cf0f.jpg']",
s55681597_0,p13120957,s55681597,0,Findings,"No focal consolidation, pleural effusion, or pneumothorax is seen. Linear retrocardiac densities were seen previously and may represent atelectasis. Lung volumes are low, exaggerating pulmonary vasculature and hila. Heart and mediastinal contours appear similar compared to prior. There is no evidence for free intraperitoneal air below the diaphragms.",Linear retrocardiac densities were seen previously and may represent atelectasis.,densities,retrocardiac,Stable,"['files/p13/p13120957/s55681597/98fa0073-4a72a84a-07d17d1b-80f5bc40-e729e67e.jpg', 'files/p13/p13120957/s55681597/d53ea806-f9b5f637-2a0ee3e9-a8409e3d-56e8cf0f.jpg']",
s55687833_1,p14727722,s55687833,1,Findings,The heart size and mediastinal contours are prominent but similar to prior studies. The lungs are clear. There is no pleural effusion or pneumothorax.,The heart size and mediastinal contours are prominent but similar to prior studies.,heart size and mediastinal contours,,Stable,"['files/p14/p14727722/s55687833/2af9ca79-64862342-e9b8e6a0-59941e27-f38f159f.jpg', 'files/p14/p14727722/s55687833/90fa87dc-49b61431-a836524e-5374a6af-d3f50a9f.jpg', 'files/p14/p14727722/s55687833/b6a6935d-4971116a-88062d67-ad36e7ac-0fc76bdf.jpg']",['files/p14/p14727722/s54717370/e5f2a417-f5d646ca-33f15b0f-5b7c75b3-2b9611d5.jpg\n']
s55693385_7,p13896515,s55693385,7,Findings,"Following removal of a right-sided chest tube, there is no visible pneumothorax. Remaining indwelling devices are unchanged in position, and there is stable cardiomegaly. Pulmonary vascular congestion has worsened in the interval with increasing predominantly interstitial edema. Bibasilar patchy atelectasis is also noted.",Pulmonary vascular congestion has worsened in the interval with increasing predominantly interstitial edema.,interstitial edema,,Worse,"['files/p13/p13896515/s55693385/9653c8a6-5e38cc8d-984f9d7b-88ff9347-ad321dec.jpg', 'files/p13/p13896515/s55693385/b2661e27-0bced84e-02aa73ae-d1c58697-15ce7b75.jpg']","['files/p13/p13896515/s55597572/1f96d075-e46aa57f-d3aa1e67-42ce2b69-83381327.jpg\n', 'files/p13/p13896515/s55597572/fb0ee454-c3af41e7-6699a884-2dbbcd12-c99c81e6.jpg\n']"
s55693385_7,p13896515,s55693385,7,Impression,1. No pneumothorax following tube removal. 2. Worsening pulmonary edema.,2. Worsening pulmonary edema.,pulmonary edema,,Worse,"['files/p13/p13896515/s55693385/9653c8a6-5e38cc8d-984f9d7b-88ff9347-ad321dec.jpg', 'files/p13/p13896515/s55693385/b2661e27-0bced84e-02aa73ae-d1c58697-15ce7b75.jpg']","['files/p13/p13896515/s55597572/1f96d075-e46aa57f-d3aa1e67-42ce2b69-83381327.jpg\n', 'files/p13/p13896515/s55597572/fb0ee454-c3af41e7-6699a884-2dbbcd12-c99c81e6.jpg\n']"
s55693385_7,p13896515,s55693385,7,Findings,"Following removal of a right-sided chest tube, there is no visible pneumothorax. Remaining indwelling devices are unchanged in position, and there is stable cardiomegaly. Pulmonary vascular congestion has worsened in the interval with increasing predominantly interstitial edema. Bibasilar patchy atelectasis is also noted.","Following removal of a right-sided chest tube, there is no visible pneumothorax.",chest tube,right-sided,Resolve,"['files/p13/p13896515/s55693385/9653c8a6-5e38cc8d-984f9d7b-88ff9347-ad321dec.jpg', 'files/p13/p13896515/s55693385/b2661e27-0bced84e-02aa73ae-d1c58697-15ce7b75.jpg']","['files/p13/p13896515/s55597572/1f96d075-e46aa57f-d3aa1e67-42ce2b69-83381327.jpg\n', 'files/p13/p13896515/s55597572/fb0ee454-c3af41e7-6699a884-2dbbcd12-c99c81e6.jpg\n']"
s55693385_7,p13896515,s55693385,7,Findings,"Following removal of a right-sided chest tube, there is no visible pneumothorax. Remaining indwelling devices are unchanged in position, and there is stable cardiomegaly. Pulmonary vascular congestion has worsened in the interval with increasing predominantly interstitial edema. Bibasilar patchy atelectasis is also noted.","Remaining indwelling devices are unchanged in position, and there is stable cardiomegaly.",cardiomegaly,,Stable,"['files/p13/p13896515/s55693385/9653c8a6-5e38cc8d-984f9d7b-88ff9347-ad321dec.jpg', 'files/p13/p13896515/s55693385/b2661e27-0bced84e-02aa73ae-d1c58697-15ce7b75.jpg']","['files/p13/p13896515/s55597572/1f96d075-e46aa57f-d3aa1e67-42ce2b69-83381327.jpg\n', 'files/p13/p13896515/s55597572/fb0ee454-c3af41e7-6699a884-2dbbcd12-c99c81e6.jpg\n']"
s55693385_7,p13896515,s55693385,7,Findings,"Following removal of a right-sided chest tube, there is no visible pneumothorax. Remaining indwelling devices are unchanged in position, and there is stable cardiomegaly. Pulmonary vascular congestion has worsened in the interval with increasing predominantly interstitial edema. Bibasilar patchy atelectasis is also noted.","Remaining indwelling devices are unchanged in position, and there is stable cardiomegaly.",indwelling devices,,Stable,"['files/p13/p13896515/s55693385/9653c8a6-5e38cc8d-984f9d7b-88ff9347-ad321dec.jpg', 'files/p13/p13896515/s55693385/b2661e27-0bced84e-02aa73ae-d1c58697-15ce7b75.jpg']","['files/p13/p13896515/s55597572/1f96d075-e46aa57f-d3aa1e67-42ce2b69-83381327.jpg\n', 'files/p13/p13896515/s55597572/fb0ee454-c3af41e7-6699a884-2dbbcd12-c99c81e6.jpg\n']"
s55693385_7,p13896515,s55693385,7,Findings,"Following removal of a right-sided chest tube, there is no visible pneumothorax. Remaining indwelling devices are unchanged in position, and there is stable cardiomegaly. Pulmonary vascular congestion has worsened in the interval with increasing predominantly interstitial edema. Bibasilar patchy atelectasis is also noted.",Pulmonary vascular congestion has worsened in the interval with increasing predominantly interstitial edema.,Pulmonary vascular congestion,,Worse,"['files/p13/p13896515/s55693385/9653c8a6-5e38cc8d-984f9d7b-88ff9347-ad321dec.jpg', 'files/p13/p13896515/s55693385/b2661e27-0bced84e-02aa73ae-d1c58697-15ce7b75.jpg']","['files/p13/p13896515/s55597572/1f96d075-e46aa57f-d3aa1e67-42ce2b69-83381327.jpg\n', 'files/p13/p13896515/s55597572/fb0ee454-c3af41e7-6699a884-2dbbcd12-c99c81e6.jpg\n']"
s55693697_5,p11607628,s55693697,5,Impression,"PA and lateral chest compared to ___: Small left pleural effusion has decreased substantially since ___. Small right pleural effusion or more likely right pleural scarring, unchanged. New transvenous right ventricular pacer defibrillator lead in standard placement. Moderate cardiomegaly, unchanged. No pulmonary or mediastinal vascular engorgement. No pneumothorax or mediastinal widening. Lungs are grossly clear.","Moderate cardiomegaly, unchanged.",cardiomegaly,,Stable,"['files/p11/p11607628/s55693697/0121bc37-2ed8a362-8f9cdb83-edfbd075-1e86a1d6.jpg', 'files/p11/p11607628/s55693697/790a5df9-b024b432-e0445e52-8994d798-537b2600.jpg']",['files/p11/p11607628/s52802608/4785f611-3df41361-06251ad6-a56655b1-6b5a088a.jpg\n']
s55693697_5,p11607628,s55693697,5,Impression,"PA and lateral chest compared to ___: Small left pleural effusion has decreased substantially since ___. Small right pleural effusion or more likely right pleural scarring, unchanged. New transvenous right ventricular pacer defibrillator lead in standard placement. Moderate cardiomegaly, unchanged. No pulmonary or mediastinal vascular engorgement. No pneumothorax or mediastinal widening. Lungs are grossly clear.","Small right pleural effusion or more likely right pleural scarring, unchanged.",pleural effusion or pleural scarring,right,Stable,"['files/p11/p11607628/s55693697/0121bc37-2ed8a362-8f9cdb83-edfbd075-1e86a1d6.jpg', 'files/p11/p11607628/s55693697/790a5df9-b024b432-e0445e52-8994d798-537b2600.jpg']",['files/p11/p11607628/s52802608/4785f611-3df41361-06251ad6-a56655b1-6b5a088a.jpg\n']
s55693697_5,p11607628,s55693697,5,Impression,"PA and lateral chest compared to ___: Small left pleural effusion has decreased substantially since ___. Small right pleural effusion or more likely right pleural scarring, unchanged. New transvenous right ventricular pacer defibrillator lead in standard placement. Moderate cardiomegaly, unchanged. No pulmonary or mediastinal vascular engorgement. No pneumothorax or mediastinal widening. Lungs are grossly clear.",PA and lateral chest compared to ___: Small left pleural effusion has decreased substantially since ___,pleural effusion,left,Better,"['files/p11/p11607628/s55693697/0121bc37-2ed8a362-8f9cdb83-edfbd075-1e86a1d6.jpg', 'files/p11/p11607628/s55693697/790a5df9-b024b432-e0445e52-8994d798-537b2600.jpg']",['files/p11/p11607628/s52802608/4785f611-3df41361-06251ad6-a56655b1-6b5a088a.jpg\n']
s55693842_22,p14387068,s55693842,22,Findings,Comparison is made to previous study from ___. There is a right-sided central venous line with distal tip at the cavoatrial junction. There is a feeding tube whose distal tip is below the GE junction. There is air-fluid level projecting over the right lower lobe consistent with the patient's known empyema. The pigtail catheter at the right base is no longer seen. There is also a left-sided small pleural effusion. No pneumothoraces are seen.,The pigtail catheter at the right base is no longer seen.,pigtail catheter,right base,Resolve,"['files/p14/p14387068/s55693842/839ef707-03863b69-f7079a97-b5b91539-90449683.jpg', 'files/p14/p14387068/s55693842/960b69b4-844f9fbb-2fe99d01-27e23cb6-c4a78097.jpg']","['files/p14/p14387068/s54780158/5adb8dc5-cc0be2b2-f5d5f0bb-4a9d8751-64970b13.jpg\n', 'files/p14/p14387068/s54780158/859fa416-f6343ef9-59e07aef-7332f765-4e2be7d0.jpg\n']"
s55694501_2,p16043240,s55694501,2,Findings,There is a new moderate left and small right pleural effusion. Right lower lobe atelectasis has slightly worsened. There is an indistinct haziness over the right lower lung field which may represent layering effusion. There is stable bilateral apical pneumothoraces. IJ catheter is seen in unchanged position terminating within the upper right atrium. The cardiomediastinal silhouette is stable and demonstrates a mildly enlarged heart.,There is stable bilateral apical pneumothoraces.,pneumothoraces,bilateral apical,Stable,"['files/p16/p16043240/s55694501/8b60991f-624bc875-aa844f68-060004c2-1fdd9628.jpg', 'files/p16/p16043240/s55694501/9cb7472a-803c242b-a9526718-19d7b53c-e332df01.jpg']",['files/p16/p16043240/s53861171/a0c83599-da2ea7b7-03944f49-45a6b253-31fa3b34.jpg\n']
s55694501_2,p16043240,s55694501,2,Findings,There is a new moderate left and small right pleural effusion. Right lower lobe atelectasis has slightly worsened. There is an indistinct haziness over the right lower lung field which may represent layering effusion. There is stable bilateral apical pneumothoraces. IJ catheter is seen in unchanged position terminating within the upper right atrium. The cardiomediastinal silhouette is stable and demonstrates a mildly enlarged heart.,IJ catheter is seen in unchanged position terminating within the upper right atrium.,catheter,IJ,Stable,"['files/p16/p16043240/s55694501/8b60991f-624bc875-aa844f68-060004c2-1fdd9628.jpg', 'files/p16/p16043240/s55694501/9cb7472a-803c242b-a9526718-19d7b53c-e332df01.jpg']",['files/p16/p16043240/s53861171/a0c83599-da2ea7b7-03944f49-45a6b253-31fa3b34.jpg\n']
s55694501_2,p16043240,s55694501,2,Findings,There is a new moderate left and small right pleural effusion. Right lower lobe atelectasis has slightly worsened. There is an indistinct haziness over the right lower lung field which may represent layering effusion. There is stable bilateral apical pneumothoraces. IJ catheter is seen in unchanged position terminating within the upper right atrium. The cardiomediastinal silhouette is stable and demonstrates a mildly enlarged heart.,The cardiomediastinal silhouette is stable and demonstrates a mildly enlarged heart.,silhouette,cardiomediastinal,Stable,"['files/p16/p16043240/s55694501/8b60991f-624bc875-aa844f68-060004c2-1fdd9628.jpg', 'files/p16/p16043240/s55694501/9cb7472a-803c242b-a9526718-19d7b53c-e332df01.jpg']",['files/p16/p16043240/s53861171/a0c83599-da2ea7b7-03944f49-45a6b253-31fa3b34.jpg\n']
s55694501_2,p16043240,s55694501,2,Findings,There is a new moderate left and small right pleural effusion. Right lower lobe atelectasis has slightly worsened. There is an indistinct haziness over the right lower lung field which may represent layering effusion. There is stable bilateral apical pneumothoraces. IJ catheter is seen in unchanged position terminating within the upper right atrium. The cardiomediastinal silhouette is stable and demonstrates a mildly enlarged heart.,The cardiomediastinal silhouette is stable and demonstrates a mildly enlarged heart.,mildly enlarged,heart,Stable,"['files/p16/p16043240/s55694501/8b60991f-624bc875-aa844f68-060004c2-1fdd9628.jpg', 'files/p16/p16043240/s55694501/9cb7472a-803c242b-a9526718-19d7b53c-e332df01.jpg']",['files/p16/p16043240/s53861171/a0c83599-da2ea7b7-03944f49-45a6b253-31fa3b34.jpg\n']
s55694501_2,p16043240,s55694501,2,Findings,There is a new moderate left and small right pleural effusion. Right lower lobe atelectasis has slightly worsened. There is an indistinct haziness over the right lower lung field which may represent layering effusion. There is stable bilateral apical pneumothoraces. IJ catheter is seen in unchanged position terminating within the upper right atrium. The cardiomediastinal silhouette is stable and demonstrates a mildly enlarged heart.,Right lower lobe atelectasis has slightly worsened.,atelectasis,right lower lobe,Worse,"['files/p16/p16043240/s55694501/8b60991f-624bc875-aa844f68-060004c2-1fdd9628.jpg', 'files/p16/p16043240/s55694501/9cb7472a-803c242b-a9526718-19d7b53c-e332df01.jpg']",['files/p16/p16043240/s53861171/a0c83599-da2ea7b7-03944f49-45a6b253-31fa3b34.jpg\n']
s55694501_2,p16043240,s55694501,2,Impression,Stable cardiomediastinum with no evidence of failure. Worsening bilateral pleural effusion and atelectasis.,Stable cardiomediastinum with no evidence of failure.,,cardiomediastinum,Stable,"['files/p16/p16043240/s55694501/8b60991f-624bc875-aa844f68-060004c2-1fdd9628.jpg', 'files/p16/p16043240/s55694501/9cb7472a-803c242b-a9526718-19d7b53c-e332df01.jpg']",['files/p16/p16043240/s53861171/a0c83599-da2ea7b7-03944f49-45a6b253-31fa3b34.jpg\n']
s55694501_2,p16043240,s55694501,2,Impression,Stable cardiomediastinum with no evidence of failure. Worsening bilateral pleural effusion and atelectasis.,Worsening bilateral pleural effusion and atelectasis.,atelectasis,,Worse,"['files/p16/p16043240/s55694501/8b60991f-624bc875-aa844f68-060004c2-1fdd9628.jpg', 'files/p16/p16043240/s55694501/9cb7472a-803c242b-a9526718-19d7b53c-e332df01.jpg']",['files/p16/p16043240/s53861171/a0c83599-da2ea7b7-03944f49-45a6b253-31fa3b34.jpg\n']
s55694501_2,p16043240,s55694501,2,Impression,Stable cardiomediastinum with no evidence of failure. Worsening bilateral pleural effusion and atelectasis.,Worsening bilateral pleural effusion and atelectasis.,pleural effusion,bilateral,Worse,"['files/p16/p16043240/s55694501/8b60991f-624bc875-aa844f68-060004c2-1fdd9628.jpg', 'files/p16/p16043240/s55694501/9cb7472a-803c242b-a9526718-19d7b53c-e332df01.jpg']",['files/p16/p16043240/s53861171/a0c83599-da2ea7b7-03944f49-45a6b253-31fa3b34.jpg\n']
s55695509_9,p18615099,s55695509,9,Findings,"The patient is status post median sternotomy and CABG. Left-sided dual-chamber pacemaker is noted with leads terminating in right atrium and right ventricle, unchanged. Cardiomegaly is similar. There is continued mild to moderate pulmonary edema, slightly improved compared to the prior exam. Small layering bilateral pleural effusions also may be slightly decreased in the interval. Bibasilar airspace opacities likely reflect atelectasis. There is no pneumothorax. No acute osseous abnormalities are visualized.",Cardiomegaly is similar.,Cardiomegaly,,Stable,['files/p18/p18615099/s55695509/2d13a8b7-f90c5932-218e4fdf-056b5c2f-550c0a09.jpg'],['files/p18/p18615099/s54992879/b74e11fc-805d197f-bbcb7e01-986abcbe-6152c60b.jpg\n']
s55695509_9,p18615099,s55695509,9,Findings,"The patient is status post median sternotomy and CABG. Left-sided dual-chamber pacemaker is noted with leads terminating in right atrium and right ventricle, unchanged. Cardiomegaly is similar. There is continued mild to moderate pulmonary edema, slightly improved compared to the prior exam. Small layering bilateral pleural effusions also may be slightly decreased in the interval. Bibasilar airspace opacities likely reflect atelectasis. There is no pneumothorax. No acute osseous abnormalities are visualized.","Left-sided dual-chamber pacemaker is noted with leads terminating in right atrium and right ventricle, unchanged.",dual-chamber pacemaker,left-sided,Stable,['files/p18/p18615099/s55695509/2d13a8b7-f90c5932-218e4fdf-056b5c2f-550c0a09.jpg'],['files/p18/p18615099/s54992879/b74e11fc-805d197f-bbcb7e01-986abcbe-6152c60b.jpg\n']
s55695509_9,p18615099,s55695509,9,Impression,"1. Mild to moderate congestive heart failure, slightly improved in the interval, with layering small bilateral pleural effusions. 2. Bibasilar airspace opacities likely reflect compressive atelectasis. Infection cannot be excluded.","1. Mild to moderate congestive heart failure, slightly improved in the interval, with layering small bilateral pleural effusions.",congestive heart failure,bilateral,Better,['files/p18/p18615099/s55695509/2d13a8b7-f90c5932-218e4fdf-056b5c2f-550c0a09.jpg'],['files/p18/p18615099/s54992879/b74e11fc-805d197f-bbcb7e01-986abcbe-6152c60b.jpg\n']
s55695509_9,p18615099,s55695509,9,Findings,"The patient is status post median sternotomy and CABG. Left-sided dual-chamber pacemaker is noted with leads terminating in right atrium and right ventricle, unchanged. Cardiomegaly is similar. There is continued mild to moderate pulmonary edema, slightly improved compared to the prior exam. Small layering bilateral pleural effusions also may be slightly decreased in the interval. Bibasilar airspace opacities likely reflect atelectasis. There is no pneumothorax. No acute osseous abnormalities are visualized.",Small layering bilateral pleural effusions also may be slightly decreased in the interval.,small layering pleural effusions,bilateral,Better,['files/p18/p18615099/s55695509/2d13a8b7-f90c5932-218e4fdf-056b5c2f-550c0a09.jpg'],['files/p18/p18615099/s54992879/b74e11fc-805d197f-bbcb7e01-986abcbe-6152c60b.jpg\n']
s55695509_9,p18615099,s55695509,9,Findings,"The patient is status post median sternotomy and CABG. Left-sided dual-chamber pacemaker is noted with leads terminating in right atrium and right ventricle, unchanged. Cardiomegaly is similar. There is continued mild to moderate pulmonary edema, slightly improved compared to the prior exam. Small layering bilateral pleural effusions also may be slightly decreased in the interval. Bibasilar airspace opacities likely reflect atelectasis. There is no pneumothorax. No acute osseous abnormalities are visualized.","There is continued mild to moderate pulmonary edema, slightly improved compared to the prior exam.",mild to moderate pulmonary edema,,Better,['files/p18/p18615099/s55695509/2d13a8b7-f90c5932-218e4fdf-056b5c2f-550c0a09.jpg'],['files/p18/p18615099/s54992879/b74e11fc-805d197f-bbcb7e01-986abcbe-6152c60b.jpg\n']
s55696171_2,p12736592,s55696171,2,Findings,Single portable view of the chest is compared to previous exam from earlier the same day at 4:57 p.m. There has been interval placement of a right-sided chest tube. Left-sided chest tube is again seen with some persistent left basilar pneumothorax. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures which are better characterized by CT scan.,There has been interval placement of a right-sided chest tube.,chest tube,right-sided,New,"['files/p12/p12736592/s55696171/f34b54f3-3411a2b2-3a5da560-5493a7e6-699dc4af.jpg', 'files/p12/p12736592/s55696171/f5108618-8f9b67ff-661df382-f791f1ad-7a660047.jpg']",['files/p12/p12736592/s54548144/ddace369-8c8f0353-59316221-492cdda4-f6bfe724.jpg\n']
s55696171_2,p12736592,s55696171,2,Findings,Single portable view of the chest is compared to previous exam from earlier the same day at 4:57 p.m. There has been interval placement of a right-sided chest tube. Left-sided chest tube is again seen with some persistent left basilar pneumothorax. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures which are better characterized by CT scan.,Left-sided chest tube is again seen with some persistent left basilar pneumothorax.,pneumothorax,left basilar,Stable,"['files/p12/p12736592/s55696171/f34b54f3-3411a2b2-3a5da560-5493a7e6-699dc4af.jpg', 'files/p12/p12736592/s55696171/f5108618-8f9b67ff-661df382-f791f1ad-7a660047.jpg']",['files/p12/p12736592/s54548144/ddace369-8c8f0353-59316221-492cdda4-f6bfe724.jpg\n']
s55696171_2,p12736592,s55696171,2,Findings,Single portable view of the chest is compared to previous exam from earlier the same day at 4:57 p.m. There has been interval placement of a right-sided chest tube. Left-sided chest tube is again seen with some persistent left basilar pneumothorax. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures which are better characterized by CT scan.,Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures which are better characterized by CT scan.,silhouette,Cardiomediastinal,Stable,"['files/p12/p12736592/s55696171/f34b54f3-3411a2b2-3a5da560-5493a7e6-699dc4af.jpg', 'files/p12/p12736592/s55696171/f5108618-8f9b67ff-661df382-f791f1ad-7a660047.jpg']",['files/p12/p12736592/s54548144/ddace369-8c8f0353-59316221-492cdda4-f6bfe724.jpg\n']
s55698800_0,p16360985,s55698800,0,Findings,Consolidative opacities involving the left upper lobe and right middle lobe are suspicious for multifocal pneumonia. Small left effusion may also be present. There is no pulmonary edema. The heart is top normal in size with normal cardiomediastinal silhouette. Right shoulder does not appear well seated in the glenoid and correlation with exam findings and dedicated shoulder radiographs is recommended. Large hiatal hernia is unchanged. These findings were discussed with Dr. ___ by Dr. ___ by phone at 9:55 on ___.,Large hiatal hernia is unchanged.,Large hiatal hernia,,Stable,['files/p16/p16360985/s55698800/88633d62-dc511693-f8ff40bf-fbf31a2e-2760a8e3.jpg'],
s55710466_31,p19075045,s55710466,31,Impression,"In comparison with the study of ___, the tip of the Swan-Ganz catheter is now projected over the mediastinal border of the right pulmonary artery. The patient has taken a slightly better inspiration with little overall change in the appearance of the heart and lungs. Prosthetic device in the right shoulder is again seen.",The patient has taken a slightly better inspiration with little overall change in the appearance of the heart and lungs.,appearance of the heart and lungs,,Stable,['files/p19/p19075045/s55710466/a1cd58cf-bef24282-3f8dd017-ac556cfc-92537bf4.jpg'],['files/p19/p19075045/s55652630/a4ced79c-68a99c35-e4a2aa15-21423671-0559dedf.jpg\n']
s55710466_31,p19075045,s55710466,31,Impression,"In comparison with the study of ___, the tip of the Swan-Ganz catheter is now projected over the mediastinal border of the right pulmonary artery. The patient has taken a slightly better inspiration with little overall change in the appearance of the heart and lungs. Prosthetic device in the right shoulder is again seen.",Prosthetic device in the right shoulder is again seen.,Prosthetic device,right shoulder,Stable,['files/p19/p19075045/s55710466/a1cd58cf-bef24282-3f8dd017-ac556cfc-92537bf4.jpg'],['files/p19/p19075045/s55652630/a4ced79c-68a99c35-e4a2aa15-21423671-0559dedf.jpg\n']
s55710466_31,p19075045,s55710466,31,Impression,"In comparison with the study of ___, the tip of the Swan-Ganz catheter is now projected over the mediastinal border of the right pulmonary artery. The patient has taken a slightly better inspiration with little overall change in the appearance of the heart and lungs. Prosthetic device in the right shoulder is again seen.","In comparison with the study of ___, the tip of the Swan-Ganz catheter is now projected over the mediastinal border of the right pulmonary artery.",Swan-Ganz catheter tip,mediastinal border of the right pulmonary artery,New,['files/p19/p19075045/s55710466/a1cd58cf-bef24282-3f8dd017-ac556cfc-92537bf4.jpg'],['files/p19/p19075045/s55652630/a4ced79c-68a99c35-e4a2aa15-21423671-0559dedf.jpg\n']
s55714183_1,p16059470,s55714183,1,Findings,"Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and CABG. Left-sided AICD is unchanged in position. Patchy right lower lobe opacity is seen, worrisome for consolidation which could be due to infection or aspiration. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette top normal.",The cardiac and mediastinal silhouettes are stable with the cardiac silhouette top normal.,normal,cardiac and mediastinal silhouettes,Stable,"['files/p16/p16059470/s55714183/19e1160c-64331a2f-1c1287f4-deca2aae-a62a7beb.jpg', 'files/p16/p16059470/s55714183/40a34d9e-affb9a73-e6009ee7-ed1a371e-64c6a36e.jpg', 'files/p16/p16059470/s55714183/c6fdd21a-91b444bd-940aae07-50ed7fb6-f27ea087.jpg']",
s55714183_1,p16059470,s55714183,1,Findings,"Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and CABG. Left-sided AICD is unchanged in position. Patchy right lower lobe opacity is seen, worrisome for consolidation which could be due to infection or aspiration. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette top normal.",Left-sided AICD is unchanged in position.,AICD,left-sided,Stable,"['files/p16/p16059470/s55714183/19e1160c-64331a2f-1c1287f4-deca2aae-a62a7beb.jpg', 'files/p16/p16059470/s55714183/40a34d9e-affb9a73-e6009ee7-ed1a371e-64c6a36e.jpg', 'files/p16/p16059470/s55714183/c6fdd21a-91b444bd-940aae07-50ed7fb6-f27ea087.jpg']",
s55715754_10,p15857729,s55715754,10,Findings,Semi-upright portable AP view of the chest provided. The heart is massively enlarged. There are trace pleural effusions. Increased opacity in the right mid-to-lower lung is concerning for pneumonia. The left lung appears essentially clear. No pneumothorax. The mediastinal contour appears normal. Bony structures are intact.,Increased opacity in the right mid-to-lower lung is concerning for pneumonia.,opacity,right mid-to-lower lung,Worse,['files/p15/p15857729/s55715754/e539ba13-0f60a2b9-c5777304-ac5661fd-236f33a8.jpg'],['files/p15/p15857729/s53656059/f3627f06-7f8dc376-299731cc-3607780e-44c820e4.jpg\n']
s55719726_2,p13978244,s55719726,2,Findings,Lungs are well expanded. Blunting of the right costophrenic angle is unchanged and may reflect chronic pleural thickening. Retrocardiac opacity is likely due to Bochdalek hernia on previous CT. Cardiomediastinal silhouette is otherwise unremarkable.,Blunting of the right costophrenic angle is unchanged and may reflect chronic pleural thickening.,Blunting,right costophrenic angle,Stable,['files/p13/p13978244/s55719726/e2355bc9-8bf0bfaf-605c4222-bf3592b9-e1259f5b.jpg'],['files/p13/p13978244/s55677495/cddeb4e3-ad72632a-69704edb-de0e13c2-5df7f092.jpg\n']
s55720395_2,p13473495,s55720395,2,Impression,Worsening pulmonary vascular congestion. New right IJ line with tip in the mid to low SVC.,Worsening pulmonary vascular congestion.,pulmonary vascular congestion,,Worse,"['files/p13/p13473495/s55720395/44b39923-9d6f063d-3ef99de3-ab938e13-74a61c9b.jpg', 'files/p13/p13473495/s55720395/525f290c-cf5cb6e5-11ee38a0-a2a67848-2f55c7df.jpg']","['files/p13/p13473495/s55610892/4a834d65-3c7a5557-474061e3-4903563c-7ac8bfb4.jpg\n', 'files/p13/p13473495/s55610892/e2639104-28411e18-bfafdd6f-8f7fed3a-0801198b.jpg\n']"
s55720395_2,p13473495,s55720395,2,Findings,Two frontal images of the chest were obtained. This exam is limited by underpenetration due to patient's body habitus and by rotation of the patient. There is increased vascular congestion since previous imaging. The right IJ catheter is seen with the tip in the mid to low SVC. No pneumothorax or other complications are identified. The relative radiolucency of the left lung compared to the right lung is likely an artifact secondary to patient rotation. There is no clear evidence of pleural effusion on this exam. Cardiomediastinal silhouette is unchanged.,There is increased vascular congestion since previous imaging.,vascular congestion,,Worse,"['files/p13/p13473495/s55720395/44b39923-9d6f063d-3ef99de3-ab938e13-74a61c9b.jpg', 'files/p13/p13473495/s55720395/525f290c-cf5cb6e5-11ee38a0-a2a67848-2f55c7df.jpg']","['files/p13/p13473495/s55610892/4a834d65-3c7a5557-474061e3-4903563c-7ac8bfb4.jpg\n', 'files/p13/p13473495/s55610892/e2639104-28411e18-bfafdd6f-8f7fed3a-0801198b.jpg\n']"
s55720395_2,p13473495,s55720395,2,Findings,Two frontal images of the chest were obtained. This exam is limited by underpenetration due to patient's body habitus and by rotation of the patient. There is increased vascular congestion since previous imaging. The right IJ catheter is seen with the tip in the mid to low SVC. No pneumothorax or other complications are identified. The relative radiolucency of the left lung compared to the right lung is likely an artifact secondary to patient rotation. There is no clear evidence of pleural effusion on this exam. Cardiomediastinal silhouette is unchanged.,Cardiomediastinal silhouette is unchanged.,cardiomediastinal silhouette,,Stable,"['files/p13/p13473495/s55720395/44b39923-9d6f063d-3ef99de3-ab938e13-74a61c9b.jpg', 'files/p13/p13473495/s55720395/525f290c-cf5cb6e5-11ee38a0-a2a67848-2f55c7df.jpg']","['files/p13/p13473495/s55610892/4a834d65-3c7a5557-474061e3-4903563c-7ac8bfb4.jpg\n', 'files/p13/p13473495/s55610892/e2639104-28411e18-bfafdd6f-8f7fed3a-0801198b.jpg\n']"
s55723242_22,p13964474,s55723242,22,Findings,Multifocal pneumonia including dense right lower lobe consolidation with abscess has not really changed much since ___. A pigtail catheter in the right lower lobe abscess is unchanged in position and presumably within the abscess cavity. Residual stent is present. Tracheostomy tube is in standard position.,Multifocal pneumonia including dense right lower lobe consolidation with abscess has not really changed much since ___.,multifocal pneumonia with consolidation and abscess,right lower lobe,Stable,['files/p13/p13964474/s55723242/c6fc2f03-81a6bf53-7ffb417f-7915891d-dbe2945c.jpg'],['files/p13/p13964474/s55540365/0fa9b2f2-d7510ec8-dd44542a-5132940a-96ef2890.jpg\n']
s55723242_22,p13964474,s55723242,22,Findings,Multifocal pneumonia including dense right lower lobe consolidation with abscess has not really changed much since ___. A pigtail catheter in the right lower lobe abscess is unchanged in position and presumably within the abscess cavity. Residual stent is present. Tracheostomy tube is in standard position.,A pigtail catheter in the right lower lobe abscess is unchanged in position and presumably within the abscess cavity.,pigtail catheter,right lower lobe,Stable,['files/p13/p13964474/s55723242/c6fc2f03-81a6bf53-7ffb417f-7915891d-dbe2945c.jpg'],['files/p13/p13964474/s55540365/0fa9b2f2-d7510ec8-dd44542a-5132940a-96ef2890.jpg\n']
s55725911_5,p10439781,s55725911,5,Findings,"In comparison with the study of ___, the degree of pulmonary vascular congestion may have slightly decreased in this patient with continued substantial enlargement of the cardiac silhouette. The possibility of supervening interstitial lung disease is difficult to assess on plain radiograph, but was apparent on the CT study of ___. No acute focal pneumonia. Central catheter remains in place.",Central catheter remains in place.,catheter,Central,Stable,['files/p10/p10439781/s55725911/2e5ac89a-e2d5d8c6-8cbf02bc-ec6e4725-9339a9cc.jpg'],['files/p10/p10439781/s54623776/52814624-7ca716ba-f3cccedc-7b8a65a3-24083019.jpg\n']
s55725911_5,p10439781,s55725911,5,Impression,Some improvement in still prominent pulmonary vascular congestion.,Some improvement in still prominent pulmonary vascular congestion.,pulmonary vascular congestion,,Better,['files/p10/p10439781/s55725911/2e5ac89a-e2d5d8c6-8cbf02bc-ec6e4725-9339a9cc.jpg'],['files/p10/p10439781/s54623776/52814624-7ca716ba-f3cccedc-7b8a65a3-24083019.jpg\n']
s55725911_5,p10439781,s55725911,5,Findings,"In comparison with the study of ___, the degree of pulmonary vascular congestion may have slightly decreased in this patient with continued substantial enlargement of the cardiac silhouette. The possibility of supervening interstitial lung disease is difficult to assess on plain radiograph, but was apparent on the CT study of ___. No acute focal pneumonia. Central catheter remains in place.","In comparison with the study of ___, the degree of pulmonary vascular congestion may have slightly decreased in this patient with continued substantial enlargement of the cardiac silhouette.",pulmonary vascular congestion,,Better,['files/p10/p10439781/s55725911/2e5ac89a-e2d5d8c6-8cbf02bc-ec6e4725-9339a9cc.jpg'],['files/p10/p10439781/s54623776/52814624-7ca716ba-f3cccedc-7b8a65a3-24083019.jpg\n']
s55736427_36,p10933609,s55736427,36,Findings,"Lung volumes are reduced. The left internal jugular central venous catheter has been removed. The heart size is borderline enlarged, but accentuated due to low inspiratory lung volumes. There is crowding of the bronchovascular structures with probable mild pulmonary vascular congestion. Worsening consolidative opacity in the right upper lung field as well as focal opacities within the left upper and bilateral lower lung fields are concerning for multifocal pneumonia. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities visualized. Clips are demonstrated within the left upper quadrant of the abdomen.",Worsening consolidative opacity in the right upper lung field as well as focal opacities within the left upper and bilateral lower lung fields are concerning for multifocal pneumonia.,consolidative opacity,right upper lung field,Worse,"['files/p10/p10933609/s55736427/1a734389-4bcb9234-220a253e-c22386fd-4f018ada.jpg', 'files/p10/p10933609/s55736427/4b842f9a-e380a620-f62f355a-f706be25-95150ec3.jpg']","['files/p10/p10933609/s55646831/1e31fec1-1f4cbc01-4583b395-5127c6f7-43b9a7e7.jpg\n', 'files/p10/p10933609/s55646831/e26fdf14-791d85bf-3beaee42-3ec8bcee-4a05efee.jpg\n', 'files/p10/p10933609/s55646831/f8b70248-0a9f8ab0-ea3de70b-7d93e712-416c0c78.jpg\n']"
s55736427_36,p10933609,s55736427,36,Impression,Worsening multifocal opacities concerning for pneumonia. Probable mild pulmonary vascular congestion. Low lung volumes.,Worsening multifocal opacities concerning for pneumonia.,multifocal opacities,,Worse,"['files/p10/p10933609/s55736427/1a734389-4bcb9234-220a253e-c22386fd-4f018ada.jpg', 'files/p10/p10933609/s55736427/4b842f9a-e380a620-f62f355a-f706be25-95150ec3.jpg']","['files/p10/p10933609/s55646831/1e31fec1-1f4cbc01-4583b395-5127c6f7-43b9a7e7.jpg\n', 'files/p10/p10933609/s55646831/e26fdf14-791d85bf-3beaee42-3ec8bcee-4a05efee.jpg\n', 'files/p10/p10933609/s55646831/f8b70248-0a9f8ab0-ea3de70b-7d93e712-416c0c78.jpg\n']"
s55736427_36,p10933609,s55736427,36,Findings,"Lung volumes are reduced. The left internal jugular central venous catheter has been removed. The heart size is borderline enlarged, but accentuated due to low inspiratory lung volumes. There is crowding of the bronchovascular structures with probable mild pulmonary vascular congestion. Worsening consolidative opacity in the right upper lung field as well as focal opacities within the left upper and bilateral lower lung fields are concerning for multifocal pneumonia. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities visualized. Clips are demonstrated within the left upper quadrant of the abdomen.",The left internal jugular central venous catheter has been removed.,central venous catheter,left internal jugular,Resolve,"['files/p10/p10933609/s55736427/1a734389-4bcb9234-220a253e-c22386fd-4f018ada.jpg', 'files/p10/p10933609/s55736427/4b842f9a-e380a620-f62f355a-f706be25-95150ec3.jpg']","['files/p10/p10933609/s55646831/1e31fec1-1f4cbc01-4583b395-5127c6f7-43b9a7e7.jpg\n', 'files/p10/p10933609/s55646831/e26fdf14-791d85bf-3beaee42-3ec8bcee-4a05efee.jpg\n', 'files/p10/p10933609/s55646831/f8b70248-0a9f8ab0-ea3de70b-7d93e712-416c0c78.jpg\n']"
s55736427_36,p10933609,s55736427,36,Findings,"Lung volumes are reduced. The left internal jugular central venous catheter has been removed. The heart size is borderline enlarged, but accentuated due to low inspiratory lung volumes. There is crowding of the bronchovascular structures with probable mild pulmonary vascular congestion. Worsening consolidative opacity in the right upper lung field as well as focal opacities within the left upper and bilateral lower lung fields are concerning for multifocal pneumonia. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities visualized. Clips are demonstrated within the left upper quadrant of the abdomen.",Worsening consolidative opacity in the right upper lung field as well as focal opacities within the left upper and bilateral lower lung fields are concerning for multifocal pneumonia.,focal opacities,left upper and bilateral lower lung fields,New,"['files/p10/p10933609/s55736427/1a734389-4bcb9234-220a253e-c22386fd-4f018ada.jpg', 'files/p10/p10933609/s55736427/4b842f9a-e380a620-f62f355a-f706be25-95150ec3.jpg']","['files/p10/p10933609/s55646831/1e31fec1-1f4cbc01-4583b395-5127c6f7-43b9a7e7.jpg\n', 'files/p10/p10933609/s55646831/e26fdf14-791d85bf-3beaee42-3ec8bcee-4a05efee.jpg\n', 'files/p10/p10933609/s55646831/f8b70248-0a9f8ab0-ea3de70b-7d93e712-416c0c78.jpg\n']"
s55740020_52,p19182863,s55740020,52,Impression,"Comparison ___. No relevant change. Minimal right and moderate left pleural effusion, the left pleural effusion is slightly increasing. Moderate cardiomegaly. Signs of mild pulmonary edema. No new focal parenchymal opacities. Unchanged alignment of the sternal wires, unchanged. Left pectoral pacemaker.","Comparison ___. No relevant change. Minimal right and moderate left pleural effusion, the left pleural effusion is slightly increasing. Moderate cardiomegaly. Signs of mild pulmonary edema. No new focal parenchymal opacities. Unchanged alignment of the sternal wires, unchanged. Left pectoral pacemaker.",pleural effusion,right,Stable,['files/p19/p19182863/s55740020/7576b31f-3445c62b-0b2c892b-4ec42aea-61ada0c6.jpg'],['files/p19/p19182863/s55691383/74c3dfed-ea7a4283-d0682584-6835d770-f9eff630.jpg\n']
s55740020_52,p19182863,s55740020,52,Impression,"Comparison ___. No relevant change. Minimal right and moderate left pleural effusion, the left pleural effusion is slightly increasing. Moderate cardiomegaly. Signs of mild pulmonary edema. No new focal parenchymal opacities. Unchanged alignment of the sternal wires, unchanged. Left pectoral pacemaker.","Comparison ___. No relevant change. Minimal right and moderate left pleural effusion, the left pleural effusion is slightly increasing. Moderate cardiomegaly. Signs of mild pulmonary edema. No new focal parenchymal opacities. Unchanged alignment of the sternal wires, unchanged. Left pectoral pacemaker.",mild pulmonary edema,,Stable,['files/p19/p19182863/s55740020/7576b31f-3445c62b-0b2c892b-4ec42aea-61ada0c6.jpg'],['files/p19/p19182863/s55691383/74c3dfed-ea7a4283-d0682584-6835d770-f9eff630.jpg\n']
s55740020_52,p19182863,s55740020,52,Impression,"Comparison ___. No relevant change. Minimal right and moderate left pleural effusion, the left pleural effusion is slightly increasing. Moderate cardiomegaly. Signs of mild pulmonary edema. No new focal parenchymal opacities. Unchanged alignment of the sternal wires, unchanged. Left pectoral pacemaker.","Comparison ___. No relevant change. Minimal right and moderate left pleural effusion, the left pleural effusion is slightly increasing. Moderate cardiomegaly. Signs of mild pulmonary edema. No new focal parenchymal opacities. Unchanged alignment of the sternal wires, unchanged. Left pectoral pacemaker.",pleural effusion,left,Worse,['files/p19/p19182863/s55740020/7576b31f-3445c62b-0b2c892b-4ec42aea-61ada0c6.jpg'],['files/p19/p19182863/s55691383/74c3dfed-ea7a4283-d0682584-6835d770-f9eff630.jpg\n']
s55740020_52,p19182863,s55740020,52,Impression,"Comparison ___. No relevant change. Minimal right and moderate left pleural effusion, the left pleural effusion is slightly increasing. Moderate cardiomegaly. Signs of mild pulmonary edema. No new focal parenchymal opacities. Unchanged alignment of the sternal wires, unchanged. Left pectoral pacemaker.","Comparison ___. No relevant change. Minimal right and moderate left pleural effusion, the left pleural effusion is slightly increasing. Moderate cardiomegaly. Signs of mild pulmonary edema. No new focal parenchymal opacities. Unchanged alignment of the sternal wires, unchanged. Left pectoral pacemaker.",moderate cardiomegaly,,Stable,['files/p19/p19182863/s55740020/7576b31f-3445c62b-0b2c892b-4ec42aea-61ada0c6.jpg'],['files/p19/p19182863/s55691383/74c3dfed-ea7a4283-d0682584-6835d770-f9eff630.jpg\n']
s55746776_3,p15857729,s55746776,3,Findings,Subtle linear opacity in the right upper lobe likely represents atelectasis. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.,Subtle linear opacity in the right upper lobe likely represents atelectasis.,atelectasis,right upper lobe,New,"['files/p15/p15857729/s55746776/ae4c91eb-797ef162-94445cf7-b657d732-2344c20d.jpg', 'files/p15/p15857729/s55746776/b06d47bc-8181cd72-254ab8b4-1731873e-41b7aed5.jpg']",['files/p15/p15857729/s55715754/e539ba13-0f60a2b9-c5777304-ac5661fd-236f33a8.jpg\n']
s55747813_8,p10975446,s55747813,8,Findings,"The ET tube is still slightly low, 1.7 cm above the carina. Right IJ line tip is at the cavoatrial junction. There are bilateral pleural effusions, vascular plethora, patchy areas of alveolar edema. The overall impression is that of CHF and underlying infectious infiltrate cannot be excluded. Compared to the prior study, the fluid status is slightly worse.","Compared to the prior study, the fluid status is slightly worse.",fluid status,,Worse,['files/p10/p10975446/s55747813/520be031-be2101c2-d3c096ac-08925edb-0177dee8.jpg'],['files/p10/p10975446/s55185117/0d768fcf-0bb1bca1-eb1fe1d6-686b876b-675a2e95.jpg\n']
s55748723_20,p13263843,s55748723,20,Impression,"AP chest compared to ___ through ___: A generalized increase in opacification of the lower lungs accompanied by persistence of previous acute enlargement of the heart suggests much of the interval change over the past four days is due to worsening pulmonary edema and pleural effusions, moderate on both sides. Given those findings, early pneumonia would be difficult to detect, but does not have to be invoked to explain the changes we see. Patient has had right upper thoracoplasty with rib resections, in association with the described lobectomy.","AP chest compared to ___ through ___: A generalized increase in opacification of the lower lungs accompanied by persistence of previous acute enlargement of the heart suggests much of the interval change over the past four days is due to worsening pulmonary edema and pleural effusions, moderate on both sides.",pulmonary edema,both sides,Worse,['files/p13/p13263843/s55748723/f8cdc217-0b1f1e62-649813f5-30f60097-a04abd77.jpg'],['files/p13/p13263843/s55413705/41bee34e-e9476a64-f28f2775-7d097a58-d88789f6.jpg\n']
s55748723_20,p13263843,s55748723,20,Impression,"AP chest compared to ___ through ___: A generalized increase in opacification of the lower lungs accompanied by persistence of previous acute enlargement of the heart suggests much of the interval change over the past four days is due to worsening pulmonary edema and pleural effusions, moderate on both sides. Given those findings, early pneumonia would be difficult to detect, but does not have to be invoked to explain the changes we see. Patient has had right upper thoracoplasty with rib resections, in association with the described lobectomy.","AP chest compared to ___ through ___: A generalized increase in opacification of the lower lungs accompanied by persistence of previous acute enlargement of the heart suggests much of the interval change over the past four days is due to worsening pulmonary edema and pleural effusions, moderate on both sides.",enlargement,heart,Worse,['files/p13/p13263843/s55748723/f8cdc217-0b1f1e62-649813f5-30f60097-a04abd77.jpg'],['files/p13/p13263843/s55413705/41bee34e-e9476a64-f28f2775-7d097a58-d88789f6.jpg\n']
s55748723_20,p13263843,s55748723,20,Impression,"AP chest compared to ___ through ___: A generalized increase in opacification of the lower lungs accompanied by persistence of previous acute enlargement of the heart suggests much of the interval change over the past four days is due to worsening pulmonary edema and pleural effusions, moderate on both sides. Given those findings, early pneumonia would be difficult to detect, but does not have to be invoked to explain the changes we see. Patient has had right upper thoracoplasty with rib resections, in association with the described lobectomy.","AP chest compared to ___ through ___: A generalized increase in opacification of the lower lungs accompanied by persistence of previous acute enlargement of the heart suggests much of the interval change over the past four days is due to worsening pulmonary edema and pleural effusions, moderate on both sides.",opacification,lower lungs,Worse,['files/p13/p13263843/s55748723/f8cdc217-0b1f1e62-649813f5-30f60097-a04abd77.jpg'],['files/p13/p13263843/s55413705/41bee34e-e9476a64-f28f2775-7d097a58-d88789f6.jpg\n']
s55748723_20,p13263843,s55748723,20,Impression,"AP chest compared to ___ through ___: A generalized increase in opacification of the lower lungs accompanied by persistence of previous acute enlargement of the heart suggests much of the interval change over the past four days is due to worsening pulmonary edema and pleural effusions, moderate on both sides. Given those findings, early pneumonia would be difficult to detect, but does not have to be invoked to explain the changes we see. Patient has had right upper thoracoplasty with rib resections, in association with the described lobectomy.","AP chest compared to ___ through ___: A generalized increase in opacification of the lower lungs accompanied by persistence of previous acute enlargement of the heart suggests much of the interval change over the past four days is due to worsening pulmonary edema and pleural effusions, moderate on both sides.",pleural effusions,both sides,Worse,['files/p13/p13263843/s55748723/f8cdc217-0b1f1e62-649813f5-30f60097-a04abd77.jpg'],['files/p13/p13263843/s55413705/41bee34e-e9476a64-f28f2775-7d097a58-d88789f6.jpg\n']
s55751115_0,p18460230,s55751115,0,Impression,"1. Stable right pleural effusion and right basilar opacity, without convincing evidence of new pneumonia. 2. Stable cardiomegaly. 3. Stable compression deformity of mid thoracic vertebral body.","1. Stable right pleural effusion and right basilar opacity, without convincing evidence of new pneumonia.",opacity,right basilar,Stable,"['files/p18/p18460230/s55751115/1e73d103-beaacc70-94f06555-07b8303c-17117e2a.jpg', 'files/p18/p18460230/s55751115/667c52c7-06e6012e-c5d64d00-83ad9e19-ded6189d.jpg', 'files/p18/p18460230/s55751115/839692be-04ae989a-2d56b63c-541abfe9-f8be40ec.jpg']",['files/p18/p18460230/s53631792/369dc5bd-70bd89d0-2d90fa80-f319ec1d-fb2802aa.jpg\n']
s55751115_0,p18460230,s55751115,0,Impression,"1. Stable right pleural effusion and right basilar opacity, without convincing evidence of new pneumonia. 2. Stable cardiomegaly. 3. Stable compression deformity of mid thoracic vertebral body.","1. Stable right pleural effusion and right basilar opacity, without convincing evidence of new pneumonia.",pleural effusion,right,Stable,"['files/p18/p18460230/s55751115/1e73d103-beaacc70-94f06555-07b8303c-17117e2a.jpg', 'files/p18/p18460230/s55751115/667c52c7-06e6012e-c5d64d00-83ad9e19-ded6189d.jpg', 'files/p18/p18460230/s55751115/839692be-04ae989a-2d56b63c-541abfe9-f8be40ec.jpg']",['files/p18/p18460230/s53631792/369dc5bd-70bd89d0-2d90fa80-f319ec1d-fb2802aa.jpg\n']
s55751115_0,p18460230,s55751115,0,Impression,"1. Stable right pleural effusion and right basilar opacity, without convincing evidence of new pneumonia. 2. Stable cardiomegaly. 3. Stable compression deformity of mid thoracic vertebral body.",3. Stable compression deformity of mid thoracic vertebral body.,compression deformity of vertebral body,mid thoracic,Stable,"['files/p18/p18460230/s55751115/1e73d103-beaacc70-94f06555-07b8303c-17117e2a.jpg', 'files/p18/p18460230/s55751115/667c52c7-06e6012e-c5d64d00-83ad9e19-ded6189d.jpg', 'files/p18/p18460230/s55751115/839692be-04ae989a-2d56b63c-541abfe9-f8be40ec.jpg']",['files/p18/p18460230/s53631792/369dc5bd-70bd89d0-2d90fa80-f319ec1d-fb2802aa.jpg\n']
s55751115_0,p18460230,s55751115,0,Impression,"1. Stable right pleural effusion and right basilar opacity, without convincing evidence of new pneumonia. 2. Stable cardiomegaly. 3. Stable compression deformity of mid thoracic vertebral body.",2. Stable cardiomegaly.,cardiomegaly,,Stable,"['files/p18/p18460230/s55751115/1e73d103-beaacc70-94f06555-07b8303c-17117e2a.jpg', 'files/p18/p18460230/s55751115/667c52c7-06e6012e-c5d64d00-83ad9e19-ded6189d.jpg', 'files/p18/p18460230/s55751115/839692be-04ae989a-2d56b63c-541abfe9-f8be40ec.jpg']",['files/p18/p18460230/s53631792/369dc5bd-70bd89d0-2d90fa80-f319ec1d-fb2802aa.jpg\n']
s55755138_7,p12410066,s55755138,7,Findings,"As compared to the previous radiograph, there is no relevant change. Ongoing filling of the left pneumectomy cavity with fluid. The position of the air-fluid level is comparable to yesterday's image. Unchanged position of the mediastinum. Unchanged appearance of the right lung. No evidence of pneumonia.",Unchanged appearance of the right lung.,appearance,right lung,Stable,"['files/p12/p12410066/s55755138/924f04a8-ef706b1d-71612b59-604998b0-d7de4f6b.jpg', 'files/p12/p12410066/s55755138/b3c74d2a-5af41aa3-b45b6c26-d2267e9d-7c4138ac.jpg']",['files/p12/p12410066/s54151331/b90cb61d-b1b5ea1a-a31a7d69-c780a725-53c32bf6.jpg\n']
s55755138_7,p12410066,s55755138,7,Findings,"As compared to the previous radiograph, there is no relevant change. Ongoing filling of the left pneumectomy cavity with fluid. The position of the air-fluid level is comparable to yesterday's image. Unchanged position of the mediastinum. Unchanged appearance of the right lung. No evidence of pneumonia.",The position of the air-fluid level is comparable to yesterday's image.,air-fluid level,left pneumectomy cavity,Stable,"['files/p12/p12410066/s55755138/924f04a8-ef706b1d-71612b59-604998b0-d7de4f6b.jpg', 'files/p12/p12410066/s55755138/b3c74d2a-5af41aa3-b45b6c26-d2267e9d-7c4138ac.jpg']",['files/p12/p12410066/s54151331/b90cb61d-b1b5ea1a-a31a7d69-c780a725-53c32bf6.jpg\n']
s55755138_7,p12410066,s55755138,7,Findings,"As compared to the previous radiograph, there is no relevant change. Ongoing filling of the left pneumectomy cavity with fluid. The position of the air-fluid level is comparable to yesterday's image. Unchanged position of the mediastinum. Unchanged appearance of the right lung. No evidence of pneumonia.",Unchanged position of the mediastinum.,position,mediastinum,Stable,"['files/p12/p12410066/s55755138/924f04a8-ef706b1d-71612b59-604998b0-d7de4f6b.jpg', 'files/p12/p12410066/s55755138/b3c74d2a-5af41aa3-b45b6c26-d2267e9d-7c4138ac.jpg']",['files/p12/p12410066/s54151331/b90cb61d-b1b5ea1a-a31a7d69-c780a725-53c32bf6.jpg\n']
s55758533_1,p15518538,s55758533,1,Findings,"The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Sternotomy wires are again noted, with fracture of the two upper wires unchanged from prior exam.","Sternotomy wires are again noted, with fracture of the two upper wires unchanged from prior exam.",sternotomy wires fracture,upper,Stable,"['files/p15/p15518538/s55758533/41f318a8-7cfeafa3-86187822-84d18ca4-153b1ecf.jpg', 'files/p15/p15518538/s55758533/44fd9408-57bb7612-99f6002c-71e76b77-a2040d14.jpg', 'files/p15/p15518538/s55758533/503c3e2e-fdb4d0be-816c24b3-5fd7d8cf-d0f61456.jpg']","['files/p15/p15518538/s53078789/0c5f56c2-3d707105-b36af285-88d0ae60-48ef3fda.jpg\n', 'files/p15/p15518538/s53078789/d18abe57-80923646-8d3f05f6-dafedd8b-289ed541.jpg\n']"
s55775366_0,p19800337,s55775366,0,Findings,"There is a small heterogeneous opacity in the right middle lobe which obscures the right cardiac border and can be seen posterior to the heart on lateral view. Otherwise, the lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. The pulmonary vascular markings are normal.",There is a small heterogeneous opacity in the right middle lobe which obscures the right cardiac border and can be seen posterior to the heart on lateral view.,heterogeneous opacity,right middle lobe,New,"['files/p19/p19800337/s55775366/22236fb9-1516b628-02843fe3-cd38ee2c-427a7647.jpg', 'files/p19/p19800337/s55775366/a19a99df-7a50369f-ebdcd74f-f24c8839-d8ab6214.jpg']","['files/p19/p19800337/s54891883/398b9c15-85897d9b-b04d11e2-25092267-47db634a.jpg\n', 'files/p19/p19800337/s54891883/74f63d1b-68e4e2e2-15fcc748-5087dd47-4a8b5752.jpg\n']"
s55775366_0,p19800337,s55775366,0,Impression,Early right middle lobe focal pneumonia. Findings were communicated to Dr. ___ by Dr. ___ by telephone on ___ at 17:00.,Early right middle lobe focal pneumonia.,focal pneumonia,right middle lobe,New,"['files/p19/p19800337/s55775366/22236fb9-1516b628-02843fe3-cd38ee2c-427a7647.jpg', 'files/p19/p19800337/s55775366/a19a99df-7a50369f-ebdcd74f-f24c8839-d8ab6214.jpg']","['files/p19/p19800337/s54891883/398b9c15-85897d9b-b04d11e2-25092267-47db634a.jpg\n', 'files/p19/p19800337/s54891883/74f63d1b-68e4e2e2-15fcc748-5087dd47-4a8b5752.jpg\n']"
s55775814_1,p15776774,s55775814,1,Findings,"The inspiratory lung volumes are decreased from the most recent prior study. Increased opacification of the bilateral bases is likely reflective of atelectasis in the post-operative setting of low lung volumes. Prominent lung markings raise the possibility of chronic lung disease. Small bilateral pleural effusions are present. No pneumothorax is detected. The cardiac silhouette is likely within normal limits allowing for low lung volumes. No overt pulmonary edema is present. Calcified hilar and mediastinal lymph nodes are re-demonstrated, compatible with sequela of known sarcoidosis. Multiple healed right posterior rib fractures are again noted.",Increased opacification of the bilateral bases is likely reflective of atelectasis in the post-operative setting of low lung volumes.,Opacification,bilateral bases,Worse,"['files/p15/p15776774/s55775814/8c9f9878-cdf131fc-776baece-6baeb337-8c4c2b2a.jpg', 'files/p15/p15776774/s55775814/bde00ad6-316f9e7b-90b2bc93-a51cfbe3-8ca2cefc.jpg']","['files/p15/p15776774/s50323961/a28bd89f-1372d070-4c8f4c86-4edded96-a063343a.jpg\n', 'files/p15/p15776774/s50323961/a582694c-9ecb47ce-40948acb-e0ef8797-d08a41a6.jpg\n']"
s55775814_1,p15776774,s55775814,1,Findings,"The inspiratory lung volumes are decreased from the most recent prior study. Increased opacification of the bilateral bases is likely reflective of atelectasis in the post-operative setting of low lung volumes. Prominent lung markings raise the possibility of chronic lung disease. Small bilateral pleural effusions are present. No pneumothorax is detected. The cardiac silhouette is likely within normal limits allowing for low lung volumes. No overt pulmonary edema is present. Calcified hilar and mediastinal lymph nodes are re-demonstrated, compatible with sequela of known sarcoidosis. Multiple healed right posterior rib fractures are again noted.",Multiple healed right posterior rib fractures are again noted.,Healed rib fractures,right posterior,Stable,"['files/p15/p15776774/s55775814/8c9f9878-cdf131fc-776baece-6baeb337-8c4c2b2a.jpg', 'files/p15/p15776774/s55775814/bde00ad6-316f9e7b-90b2bc93-a51cfbe3-8ca2cefc.jpg']","['files/p15/p15776774/s50323961/a28bd89f-1372d070-4c8f4c86-4edded96-a063343a.jpg\n', 'files/p15/p15776774/s50323961/a582694c-9ecb47ce-40948acb-e0ef8797-d08a41a6.jpg\n']"
s55775814_1,p15776774,s55775814,1,Findings,"The inspiratory lung volumes are decreased from the most recent prior study. Increased opacification of the bilateral bases is likely reflective of atelectasis in the post-operative setting of low lung volumes. Prominent lung markings raise the possibility of chronic lung disease. Small bilateral pleural effusions are present. No pneumothorax is detected. The cardiac silhouette is likely within normal limits allowing for low lung volumes. No overt pulmonary edema is present. Calcified hilar and mediastinal lymph nodes are re-demonstrated, compatible with sequela of known sarcoidosis. Multiple healed right posterior rib fractures are again noted.","Calcified hilar and mediastinal lymph nodes are re-demonstrated, compatible with sequela of known sarcoidosis.",Calcified lymph nodes,hilar and mediastinal,Stable,"['files/p15/p15776774/s55775814/8c9f9878-cdf131fc-776baece-6baeb337-8c4c2b2a.jpg', 'files/p15/p15776774/s55775814/bde00ad6-316f9e7b-90b2bc93-a51cfbe3-8ca2cefc.jpg']","['files/p15/p15776774/s50323961/a28bd89f-1372d070-4c8f4c86-4edded96-a063343a.jpg\n', 'files/p15/p15776774/s50323961/a582694c-9ecb47ce-40948acb-e0ef8797-d08a41a6.jpg\n']"
s55775814_1,p15776774,s55775814,1,Impression,1. Bibasilar opacities most likely represent atelectasis in the post-operative setting of low lung volumes. Small pleural effusions. 2. Stable calcified hilar and mediastinal lymph nodes compatible with known sarcoidosis. 3. Suggestion of chronic lung disease.,2. Stable calcified hilar and mediastinal lymph nodes compatible with known sarcoidosis.,Calcified lymph nodes,hilar and mediastinal,Stable,"['files/p15/p15776774/s55775814/8c9f9878-cdf131fc-776baece-6baeb337-8c4c2b2a.jpg', 'files/p15/p15776774/s55775814/bde00ad6-316f9e7b-90b2bc93-a51cfbe3-8ca2cefc.jpg']","['files/p15/p15776774/s50323961/a28bd89f-1372d070-4c8f4c86-4edded96-a063343a.jpg\n', 'files/p15/p15776774/s50323961/a582694c-9ecb47ce-40948acb-e0ef8797-d08a41a6.jpg\n']"
s55775814_1,p15776774,s55775814,1,Findings,"The inspiratory lung volumes are decreased from the most recent prior study. Increased opacification of the bilateral bases is likely reflective of atelectasis in the post-operative setting of low lung volumes. Prominent lung markings raise the possibility of chronic lung disease. Small bilateral pleural effusions are present. No pneumothorax is detected. The cardiac silhouette is likely within normal limits allowing for low lung volumes. No overt pulmonary edema is present. Calcified hilar and mediastinal lymph nodes are re-demonstrated, compatible with sequela of known sarcoidosis. Multiple healed right posterior rib fractures are again noted.",The inspiratory lung volumes are decreased from the most recent prior study.,Inspiratory lung volumes,,Worse,"['files/p15/p15776774/s55775814/8c9f9878-cdf131fc-776baece-6baeb337-8c4c2b2a.jpg', 'files/p15/p15776774/s55775814/bde00ad6-316f9e7b-90b2bc93-a51cfbe3-8ca2cefc.jpg']","['files/p15/p15776774/s50323961/a28bd89f-1372d070-4c8f4c86-4edded96-a063343a.jpg\n', 'files/p15/p15776774/s50323961/a582694c-9ecb47ce-40948acb-e0ef8797-d08a41a6.jpg\n']"
s55779414_3,p14295224,s55779414,3,Impression,"Right mid lung opacity, waxing and waning since ___, compatible with recurrent pneumonia. Follow-up is recommended after therapy to exclude neoplasm given the patient's history of malignancy. Final impression was communicated via phone call to Dr. ___ by ___ ___ on ___ at 12:45pm.","Right mid lung opacity, waxing and waning since ___, compatible with recurrent pneumonia.",opacity,right mid lung,Worse,"['files/p14/p14295224/s55779414/2861b26c-2fa81175-590e2970-96ddb7e3-43145356.jpg', 'files/p14/p14295224/s55779414/e12bad7a-760b3371-e15d9215-21ede9cc-79748575.jpg']","['files/p14/p14295224/s55257496/7fb0f54f-a18826e9-05962b2b-66a603ac-a0991889.jpg\n', 'files/p14/p14295224/s55257496/8a565b17-188c1777-2d30f26c-e0d5e08a-9669a05c.jpg\n']"
s55779414_3,p14295224,s55779414,3,Findings,"Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The known gastric pull-through for esophageal cancer is not distended. Bony coalition between the posterior arch of the sixth and seventh right ribs is congenital. There is increased vague opacity in the right mid lung superimposed on the site of bony coalition. Opacity in this area is increased since ___ but is similar to ___, and may represent recurrent pneumonia. A right lower lobe nodule is similar in size through ___. No pleural effusion or pneumothorax is present. The pulmonary vasculature is unremarkable. No radiopaque foreign body.",A right lower lobe nodule is similar in size through ___.,nodule,right lower lobe,Stable,"['files/p14/p14295224/s55779414/2861b26c-2fa81175-590e2970-96ddb7e3-43145356.jpg', 'files/p14/p14295224/s55779414/e12bad7a-760b3371-e15d9215-21ede9cc-79748575.jpg']","['files/p14/p14295224/s55257496/7fb0f54f-a18826e9-05962b2b-66a603ac-a0991889.jpg\n', 'files/p14/p14295224/s55257496/8a565b17-188c1777-2d30f26c-e0d5e08a-9669a05c.jpg\n']"
s55779414_3,p14295224,s55779414,3,Findings,"Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The known gastric pull-through for esophageal cancer is not distended. Bony coalition between the posterior arch of the sixth and seventh right ribs is congenital. There is increased vague opacity in the right mid lung superimposed on the site of bony coalition. Opacity in this area is increased since ___ but is similar to ___, and may represent recurrent pneumonia. A right lower lobe nodule is similar in size through ___. No pleural effusion or pneumothorax is present. The pulmonary vasculature is unremarkable. No radiopaque foreign body.","Opacity in this area is increased since ___ but is similar to ___, and may represent recurrent pneumonia.",opacity,right mid lung,Worse,"['files/p14/p14295224/s55779414/2861b26c-2fa81175-590e2970-96ddb7e3-43145356.jpg', 'files/p14/p14295224/s55779414/e12bad7a-760b3371-e15d9215-21ede9cc-79748575.jpg']","['files/p14/p14295224/s55257496/7fb0f54f-a18826e9-05962b2b-66a603ac-a0991889.jpg\n', 'files/p14/p14295224/s55257496/8a565b17-188c1777-2d30f26c-e0d5e08a-9669a05c.jpg\n']"
s55779414_3,p14295224,s55779414,3,Findings,"Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The known gastric pull-through for esophageal cancer is not distended. Bony coalition between the posterior arch of the sixth and seventh right ribs is congenital. There is increased vague opacity in the right mid lung superimposed on the site of bony coalition. Opacity in this area is increased since ___ but is similar to ___, and may represent recurrent pneumonia. A right lower lobe nodule is similar in size through ___. No pleural effusion or pneumothorax is present. The pulmonary vasculature is unremarkable. No radiopaque foreign body.",There is increased vague opacity in the right mid lung superimposed on the site of bony coalition.,opacity,right mid lung,Worse,"['files/p14/p14295224/s55779414/2861b26c-2fa81175-590e2970-96ddb7e3-43145356.jpg', 'files/p14/p14295224/s55779414/e12bad7a-760b3371-e15d9215-21ede9cc-79748575.jpg']","['files/p14/p14295224/s55257496/7fb0f54f-a18826e9-05962b2b-66a603ac-a0991889.jpg\n', 'files/p14/p14295224/s55257496/8a565b17-188c1777-2d30f26c-e0d5e08a-9669a05c.jpg\n']"
s55782151_8,p14236258,s55782151,8,Findings,"A vascular stent is seen in the left brachiocephalic vein and SVC, unchanged in appearance from the prior examination. The cardiomediastinal silhouette is stable. Subtle opacities seen throughout both lungs, most notable at the base of the right lung obscuring the right heart border, are suggestive of multifocal infection. An area of focal opacity projected over the left mid lung could represent an additional area of consolidation. In addition, there is increased vascular congestion, that should be -re-assessed after diuresis. There is no large pleural effusion or pneumothorax.","A vascular stent is seen in the left brachiocephalic vein and SVC, unchanged in appearance from the prior examination.",vascular stent,left brachiocephalic vein and SVC,Stable,['files/p14/p14236258/s55782151/95d5ba34-c754c542-a7da4947-9dce8e85-e0668736.jpg'],"['files/p14/p14236258/s55564287/4cd5e5ca-b9936cbb-145c2a62-9eb8aa4c-dc5d062a.jpg\n', 'files/p14/p14236258/s55564287/91db5745-87b0042c-4728fa53-e5352d85-501dae1c.jpg\n', 'files/p14/p14236258/s55564287/eb571dcc-97db82c4-f1e38d6b-b8f745f9-0374af96.jpg\n']"
s55782151_8,p14236258,s55782151,8,Findings,"A vascular stent is seen in the left brachiocephalic vein and SVC, unchanged in appearance from the prior examination. The cardiomediastinal silhouette is stable. Subtle opacities seen throughout both lungs, most notable at the base of the right lung obscuring the right heart border, are suggestive of multifocal infection. An area of focal opacity projected over the left mid lung could represent an additional area of consolidation. In addition, there is increased vascular congestion, that should be -re-assessed after diuresis. There is no large pleural effusion or pneumothorax.",The cardiomediastinal silhouette is stable.,cardiomediastinal silhouette,,Stable,['files/p14/p14236258/s55782151/95d5ba34-c754c542-a7da4947-9dce8e85-e0668736.jpg'],"['files/p14/p14236258/s55564287/4cd5e5ca-b9936cbb-145c2a62-9eb8aa4c-dc5d062a.jpg\n', 'files/p14/p14236258/s55564287/91db5745-87b0042c-4728fa53-e5352d85-501dae1c.jpg\n', 'files/p14/p14236258/s55564287/eb571dcc-97db82c4-f1e38d6b-b8f745f9-0374af96.jpg\n']"
s55782151_8,p14236258,s55782151,8,Findings,"A vascular stent is seen in the left brachiocephalic vein and SVC, unchanged in appearance from the prior examination. The cardiomediastinal silhouette is stable. Subtle opacities seen throughout both lungs, most notable at the base of the right lung obscuring the right heart border, are suggestive of multifocal infection. An area of focal opacity projected over the left mid lung could represent an additional area of consolidation. In addition, there is increased vascular congestion, that should be -re-assessed after diuresis. There is no large pleural effusion or pneumothorax.","In addition, there is increased vascular congestion, that should be -re-assessed after diuresis.",vascular congestion,,Worse,['files/p14/p14236258/s55782151/95d5ba34-c754c542-a7da4947-9dce8e85-e0668736.jpg'],"['files/p14/p14236258/s55564287/4cd5e5ca-b9936cbb-145c2a62-9eb8aa4c-dc5d062a.jpg\n', 'files/p14/p14236258/s55564287/91db5745-87b0042c-4728fa53-e5352d85-501dae1c.jpg\n', 'files/p14/p14236258/s55564287/eb571dcc-97db82c4-f1e38d6b-b8f745f9-0374af96.jpg\n']"
s55782151_8,p14236258,s55782151,8,Impression,"Bilateral opacities as described above concerning for multifocal pneumonia. Increased vascular congestion, that should be -re-assessed after diuresis.","Increased vascular congestion, that should be -re-assessed after diuresis.",vascular congestion,,Worse,['files/p14/p14236258/s55782151/95d5ba34-c754c542-a7da4947-9dce8e85-e0668736.jpg'],"['files/p14/p14236258/s55564287/4cd5e5ca-b9936cbb-145c2a62-9eb8aa4c-dc5d062a.jpg\n', 'files/p14/p14236258/s55564287/91db5745-87b0042c-4728fa53-e5352d85-501dae1c.jpg\n', 'files/p14/p14236258/s55564287/eb571dcc-97db82c4-f1e38d6b-b8f745f9-0374af96.jpg\n']"
s55782701_10,p17318449,s55782701,10,Findings,"Frontal and lateral views of the chest. The lungs are clear of focal consolidation or large effusion, noting that the right costophrenic angle is excluded from the field of view on the lateral view. No overt pulmonary edema. Cardiomediastinal silhouette is enlarged but stable. Median sternotomy wires are again noted. Hypertrophic changes seen in the spine.",Cardiomediastinal silhouette is enlarged but stable.,Cardiomediastinal silhouette enlargement,,Stable,"['files/p17/p17318449/s55782701/9e39cc45-a2ff14d4-3339ec28-dae4711c-f856e2b8.jpg', 'files/p17/p17318449/s55782701/c33529b6-0bc71076-a10b08f6-ef0692d4-2c28d98f.jpg']","['files/p17/p17318449/s55484286/2ac6104a-c3b0665e-6f5c6160-3696dc6e-a07823dd.jpg\n', 'files/p17/p17318449/s55484286/415deed8-eaa62a51-8e593fd1-984c1ee8-2f0b5e2d.jpg\n', 'files/p17/p17318449/s55484286/e9683fa3-283e5f0c-c05c217c-b320d070-4a8e9fc0.jpg\n']"
s55785509_25,p10268877,s55785509,25,Findings,"In comparison with study of ___, the PICC extends only to the left brachiocephalic vein before its junction with the superior vena cava. Continued low lung volumes may account for some of the prominence of the transverse diameter of the heart. Bibasilar opacification most likely reflects atelectatic changes. Possibility of supervening pneumonia would have to be considered in the appropriate clinical setting. The pulmonary vascular congestion is less prominent than on the prior study.",The pulmonary vascular congestion is less prominent than on the prior study.,vascular congestion,pulmonary,Better,['files/p10/p10268877/s55785509/2b68ac0e-611f3a5f-ddd4047f-97ef55a1-538b75df.jpg'],"['files/p10/p10268877/s55430988/14ff31ea-afb9a3f3-fca0fe57-1fb4e5d4-9f537945.jpg\n', 'files/p10/p10268877/s55430988/befa8b27-2bfd96b0-d50f7eda-deffa4f9-dd7e7314.jpg\n']"
s55793283_4,p19061282,s55793283,4,Findings,"Vascular stents are again seen and stable from ___. There is no focal opacity, pleural effusions or overt signs of pulmonary edema. The cardiac and mediastinal contours are stable. The bones are diffusely sclerotic, likely secondary to renal osteodystrophy.",The cardiac and mediastinal contours are stable.,The cardiac and mediastinal contours,,Stable,"['files/p19/p19061282/s55793283/66da7741-082903c2-f50c52b1-768d15c1-7219692b.jpg', 'files/p19/p19061282/s55793283/e4803482-51fd078d-b1b0c75c-e66487fe-0e881cdc.jpg']","['files/p19/p19061282/s55597534/1cbfd6d5-9adcc975-837ade15-105b6280-655efe4f.jpg\n', 'files/p19/p19061282/s55597534/3a09195f-a700cae8-ebc497cd-4a728c60-18e6f063.jpg\n', 'files/p19/p19061282/s55597534/5deaa59c-85f1886f-bd9ffc22-afab2dbb-6c843217.jpg\n']"
s55793283_4,p19061282,s55793283,4,Findings,"Vascular stents are again seen and stable from ___. There is no focal opacity, pleural effusions or overt signs of pulmonary edema. The cardiac and mediastinal contours are stable. The bones are diffusely sclerotic, likely secondary to renal osteodystrophy.",Vascular stents are again seen and stable from ___.,Vascular stents,,Stable,"['files/p19/p19061282/s55793283/66da7741-082903c2-f50c52b1-768d15c1-7219692b.jpg', 'files/p19/p19061282/s55793283/e4803482-51fd078d-b1b0c75c-e66487fe-0e881cdc.jpg']","['files/p19/p19061282/s55597534/1cbfd6d5-9adcc975-837ade15-105b6280-655efe4f.jpg\n', 'files/p19/p19061282/s55597534/3a09195f-a700cae8-ebc497cd-4a728c60-18e6f063.jpg\n', 'files/p19/p19061282/s55597534/5deaa59c-85f1886f-bd9ffc22-afab2dbb-6c843217.jpg\n']"
s55794889_30,p10933609,s55794889,30,Impression,"Chronic fibrotic changes within both lung apices. Low lung volumes with probable bibasilar atelectasis, though infection or aspiration cannot be excluded. Small left pleural effusion. Known left 11th rib fracture is not clearly seen on the current exam.",Known left 11th rib fracture is not clearly seen on the current exam.,fracture,left 11th rib,Stable,['files/p10/p10933609/s55794889/f0bb1f2a-8ac4c2cb-b85dec90-1fc00f8e-931106fe.jpg'],"['files/p10/p10933609/s55736427/1a734389-4bcb9234-220a253e-c22386fd-4f018ada.jpg\n', 'files/p10/p10933609/s55736427/4b842f9a-e380a620-f62f355a-f706be25-95150ec3.jpg\n']"
s55794889_30,p10933609,s55794889,30,Findings,The heart size is normal. Lung volumes are low. Biapical fibrotic changes with traction bronchiectasis is re- demonstrated. Minimal blunting of the left costophrenic angle suggests a trace left pleural effusion. Streaky bibasilar airspace opacities likely reflect atelectasis. No pneumothorax is identified. Known fracture of the left 11th rib is not clearly delineated on this exam. Clips are seen projecting over the left upper quadrant. No new fractures are seen. There is crowding of the bronchovascular structures but no overt pulmonary edema is demonstrated.,Known fracture of the left 11th rib is not clearly delineated on this exam.,fracture,left 11th rib,Stable,['files/p10/p10933609/s55794889/f0bb1f2a-8ac4c2cb-b85dec90-1fc00f8e-931106fe.jpg'],"['files/p10/p10933609/s55736427/1a734389-4bcb9234-220a253e-c22386fd-4f018ada.jpg\n', 'files/p10/p10933609/s55736427/4b842f9a-e380a620-f62f355a-f706be25-95150ec3.jpg\n']"
s55794889_30,p10933609,s55794889,30,Findings,The heart size is normal. Lung volumes are low. Biapical fibrotic changes with traction bronchiectasis is re- demonstrated. Minimal blunting of the left costophrenic angle suggests a trace left pleural effusion. Streaky bibasilar airspace opacities likely reflect atelectasis. No pneumothorax is identified. Known fracture of the left 11th rib is not clearly delineated on this exam. Clips are seen projecting over the left upper quadrant. No new fractures are seen. There is crowding of the bronchovascular structures but no overt pulmonary edema is demonstrated.,Biapical fibrotic changes with traction bronchiectasis is re-demonstrated.,fibrotic changes with traction bronchiectasis,Biapical,Stable,['files/p10/p10933609/s55794889/f0bb1f2a-8ac4c2cb-b85dec90-1fc00f8e-931106fe.jpg'],"['files/p10/p10933609/s55736427/1a734389-4bcb9234-220a253e-c22386fd-4f018ada.jpg\n', 'files/p10/p10933609/s55736427/4b842f9a-e380a620-f62f355a-f706be25-95150ec3.jpg\n']"
s55795536_41,p14841168,s55795536,41,Impression,The patient has been extubated. The nasogastric tube was removed. The left central venous access line persists. Lung volumes are stable. Mild to moderate fluid overload. Improvement of a pre-existing right basal atelectasis.,The patient has been extubated.,endotracheal tube,,Resolve,"['files/p14/p14841168/s55795536/0bff7c97-8de2929c-f3a6cdd5-eeabd76d-18819c27.jpg', 'files/p14/p14841168/s55795536/3c164f3b-ffb14176-c30b82ea-4fea8e11-213e5240.jpg', 'files/p14/p14841168/s55795536/64d1efdb-d52c759d-34559e90-2d0e736e-433ec186.jpg', 'files/p14/p14841168/s55795536/df44930a-9212c400-9890cd67-b4f66cb6-c3319429.jpg']",['files/p14/p14841168/s55583412/94baae89-465cf7b4-d12f450e-b149838d-67c2edb4.jpg\n']
s55795536_41,p14841168,s55795536,41,Impression,The patient has been extubated. The nasogastric tube was removed. The left central venous access line persists. Lung volumes are stable. Mild to moderate fluid overload. Improvement of a pre-existing right basal atelectasis.,The nasogastric tube was removed.,nasogastric tube,,Resolve,"['files/p14/p14841168/s55795536/0bff7c97-8de2929c-f3a6cdd5-eeabd76d-18819c27.jpg', 'files/p14/p14841168/s55795536/3c164f3b-ffb14176-c30b82ea-4fea8e11-213e5240.jpg', 'files/p14/p14841168/s55795536/64d1efdb-d52c759d-34559e90-2d0e736e-433ec186.jpg', 'files/p14/p14841168/s55795536/df44930a-9212c400-9890cd67-b4f66cb6-c3319429.jpg']",['files/p14/p14841168/s55583412/94baae89-465cf7b4-d12f450e-b149838d-67c2edb4.jpg\n']
s55795536_41,p14841168,s55795536,41,Impression,The patient has been extubated. The nasogastric tube was removed. The left central venous access line persists. Lung volumes are stable. Mild to moderate fluid overload. Improvement of a pre-existing right basal atelectasis.,Lung volumes are stable.,lung volumes,,Stable,"['files/p14/p14841168/s55795536/0bff7c97-8de2929c-f3a6cdd5-eeabd76d-18819c27.jpg', 'files/p14/p14841168/s55795536/3c164f3b-ffb14176-c30b82ea-4fea8e11-213e5240.jpg', 'files/p14/p14841168/s55795536/64d1efdb-d52c759d-34559e90-2d0e736e-433ec186.jpg', 'files/p14/p14841168/s55795536/df44930a-9212c400-9890cd67-b4f66cb6-c3319429.jpg']",['files/p14/p14841168/s55583412/94baae89-465cf7b4-d12f450e-b149838d-67c2edb4.jpg\n']
s55795536_41,p14841168,s55795536,41,Impression,The patient has been extubated. The nasogastric tube was removed. The left central venous access line persists. Lung volumes are stable. Mild to moderate fluid overload. Improvement of a pre-existing right basal atelectasis.,Improvement of a pre-existing right basal atelectasis.,atelectasis,right basal,Better,"['files/p14/p14841168/s55795536/0bff7c97-8de2929c-f3a6cdd5-eeabd76d-18819c27.jpg', 'files/p14/p14841168/s55795536/3c164f3b-ffb14176-c30b82ea-4fea8e11-213e5240.jpg', 'files/p14/p14841168/s55795536/64d1efdb-d52c759d-34559e90-2d0e736e-433ec186.jpg', 'files/p14/p14841168/s55795536/df44930a-9212c400-9890cd67-b4f66cb6-c3319429.jpg']",['files/p14/p14841168/s55583412/94baae89-465cf7b4-d12f450e-b149838d-67c2edb4.jpg\n']
s55795536_41,p14841168,s55795536,41,Impression,The patient has been extubated. The nasogastric tube was removed. The left central venous access line persists. Lung volumes are stable. Mild to moderate fluid overload. Improvement of a pre-existing right basal atelectasis.,The left central venous access line persists.,central venous access line,left,Stable,"['files/p14/p14841168/s55795536/0bff7c97-8de2929c-f3a6cdd5-eeabd76d-18819c27.jpg', 'files/p14/p14841168/s55795536/3c164f3b-ffb14176-c30b82ea-4fea8e11-213e5240.jpg', 'files/p14/p14841168/s55795536/64d1efdb-d52c759d-34559e90-2d0e736e-433ec186.jpg', 'files/p14/p14841168/s55795536/df44930a-9212c400-9890cd67-b4f66cb6-c3319429.jpg']",['files/p14/p14841168/s55583412/94baae89-465cf7b4-d12f450e-b149838d-67c2edb4.jpg\n']
s55797023_5,p16853729,s55797023,5,Findings,"Cardiac and mediastinal contours are normal. The heart remains moderately enlarged. There is mild blunting of the left costophrenic angle, again seen, which may reflect pleural thickening or small pleural effusion. Vague opacities within the right-mid lung may represent atelctasis or early pneumonia. There is no pneumothorax or findings for pulmonary edema.","There is mild blunting of the left costophrenic angle, again seen, which may reflect pleural thickening or small pleural effusion.",pleural thickening or small pleural effusion,left costophrenic angle,Stable,['files/p16/p16853729/s55797023/c9af77d2-fad3eeed-901b28fb-003041ad-d1ad165e.jpg'],"['files/p16/p16853729/s55739720/0b8983cf-a43a8452-8286dd0b-c2f8f8ba-c20f59fe.jpg\n', 'files/p16/p16853729/s55739720/53b32671-685e3433-612784a3-6c684cd8-e06dd901.jpg\n']"
s55797023_5,p16853729,s55797023,5,Findings,"Cardiac and mediastinal contours are normal. The heart remains moderately enlarged. There is mild blunting of the left costophrenic angle, again seen, which may reflect pleural thickening or small pleural effusion. Vague opacities within the right-mid lung may represent atelctasis or early pneumonia. There is no pneumothorax or findings for pulmonary edema.",The heart remains moderately enlarged.,Moderately enlarged heart,,Stable,['files/p16/p16853729/s55797023/c9af77d2-fad3eeed-901b28fb-003041ad-d1ad165e.jpg'],"['files/p16/p16853729/s55739720/0b8983cf-a43a8452-8286dd0b-c2f8f8ba-c20f59fe.jpg\n', 'files/p16/p16853729/s55739720/53b32671-685e3433-612784a3-6c684cd8-e06dd901.jpg\n']"
s55801123_15,p16855430,s55801123,15,Impression,"Significant improvement of pulmonary edema from ___. Persistence of left lower lung opacification and pleural effusion makes infection most likely, given this patient's history.",Significant improvement of pulmonary edema from ___.,Pulmonary edema,,Resolve,['files/p16/p16855430/s55801123/6de51358-d77c44f7-19d5cd49-0d32b6fa-15f71ae5.jpg'],"['files/p16/p16855430/s54844091/d5fa9e5f-25744b5d-edd68a9c-806bfe8e-e7e0b542.jpg\n', 'files/p16/p16855430/s54844091/efdbb954-7179fa49-509d0620-ab87eace-f42022d3.jpg\n']"
s55801123_15,p16855430,s55801123,15,Findings,"Portable AP chest radiograph demonstrates stable positioning of the left PICC. Pulmonary edema has cleared significantly since ___. However, there still is a moderate pleural effusion and opacification of the on the left lower lung. Mild cardiomegaly is stable. There is no pneumothorax.",Portable AP chest radiograph demonstrates stable positioning of the left PICC.,PICC positioning,left,Stable,['files/p16/p16855430/s55801123/6de51358-d77c44f7-19d5cd49-0d32b6fa-15f71ae5.jpg'],"['files/p16/p16855430/s54844091/d5fa9e5f-25744b5d-edd68a9c-806bfe8e-e7e0b542.jpg\n', 'files/p16/p16855430/s54844091/efdbb954-7179fa49-509d0620-ab87eace-f42022d3.jpg\n']"
s55801123_15,p16855430,s55801123,15,Findings,"Portable AP chest radiograph demonstrates stable positioning of the left PICC. Pulmonary edema has cleared significantly since ___. However, there still is a moderate pleural effusion and opacification of the on the left lower lung. Mild cardiomegaly is stable. There is no pneumothorax.",Mild cardiomegaly is stable.,Mild cardiomegaly,,Stable,['files/p16/p16855430/s55801123/6de51358-d77c44f7-19d5cd49-0d32b6fa-15f71ae5.jpg'],"['files/p16/p16855430/s54844091/d5fa9e5f-25744b5d-edd68a9c-806bfe8e-e7e0b542.jpg\n', 'files/p16/p16855430/s54844091/efdbb954-7179fa49-509d0620-ab87eace-f42022d3.jpg\n']"
s55801123_15,p16855430,s55801123,15,Findings,"Portable AP chest radiograph demonstrates stable positioning of the left PICC. Pulmonary edema has cleared significantly since ___. However, there still is a moderate pleural effusion and opacification of the on the left lower lung. Mild cardiomegaly is stable. There is no pneumothorax.",Pulmonary edema has cleared significantly since ___.,Pulmonary edema,,Resolve,['files/p16/p16855430/s55801123/6de51358-d77c44f7-19d5cd49-0d32b6fa-15f71ae5.jpg'],"['files/p16/p16855430/s54844091/d5fa9e5f-25744b5d-edd68a9c-806bfe8e-e7e0b542.jpg\n', 'files/p16/p16855430/s54844091/efdbb954-7179fa49-509d0620-ab87eace-f42022d3.jpg\n']"
s55807374_20,p14841168,s55807374,20,Findings,"In comparison with the study of ___, there is no evidence of pneumothorax following unsuccessful CVP attempt. Cardiac silhouette is enlarged and there is increased prominence of ill-defined pulmonary vessels, consistent with elevated pulmonary venous pressure. The elevation of the right hemidiaphragmatic contour is more prominent on this examination.",The elevation of the right hemidiaphragmatic contour is more prominent on this examination.,Elevation,Right hemidiaphragmatic contour,Worse,"['files/p14/p14841168/s55807374/292e260b-5f2cf60c-0422ecb6-9200cc0f-ef9654d4.jpg', 'files/p14/p14841168/s55807374/3dd7fadc-472e29be-47a89d67-912975dd-439fad53.jpg']","['files/p14/p14841168/s55795536/0bff7c97-8de2929c-f3a6cdd5-eeabd76d-18819c27.jpg\n', 'files/p14/p14841168/s55795536/3c164f3b-ffb14176-c30b82ea-4fea8e11-213e5240.jpg\n', 'files/p14/p14841168/s55795536/64d1efdb-d52c759d-34559e90-2d0e736e-433ec186.jpg\n', 'files/p14/p14841168/s55795536/df44930a-9212c400-9890cd67-b4f66cb6-c3319429.jpg\n']"
s55807374_20,p14841168,s55807374,20,Findings,"In comparison with the study of ___, there is no evidence of pneumothorax following unsuccessful CVP attempt. Cardiac silhouette is enlarged and there is increased prominence of ill-defined pulmonary vessels, consistent with elevated pulmonary venous pressure. The elevation of the right hemidiaphragmatic contour is more prominent on this examination.","Cardiac silhouette is enlarged and there is increased prominence of ill-defined pulmonary vessels, consistent with elevated pulmonary venous pressure.",Enlargement,Cardiac silhouette,Worse,"['files/p14/p14841168/s55807374/292e260b-5f2cf60c-0422ecb6-9200cc0f-ef9654d4.jpg', 'files/p14/p14841168/s55807374/3dd7fadc-472e29be-47a89d67-912975dd-439fad53.jpg']","['files/p14/p14841168/s55795536/0bff7c97-8de2929c-f3a6cdd5-eeabd76d-18819c27.jpg\n', 'files/p14/p14841168/s55795536/3c164f3b-ffb14176-c30b82ea-4fea8e11-213e5240.jpg\n', 'files/p14/p14841168/s55795536/64d1efdb-d52c759d-34559e90-2d0e736e-433ec186.jpg\n', 'files/p14/p14841168/s55795536/df44930a-9212c400-9890cd67-b4f66cb6-c3319429.jpg\n']"
s55807374_20,p14841168,s55807374,20,Findings,"In comparison with the study of ___, there is no evidence of pneumothorax following unsuccessful CVP attempt. Cardiac silhouette is enlarged and there is increased prominence of ill-defined pulmonary vessels, consistent with elevated pulmonary venous pressure. The elevation of the right hemidiaphragmatic contour is more prominent on this examination.","Cardiac silhouette is enlarged and there is increased prominence of ill-defined pulmonary vessels, consistent with elevated pulmonary venous pressure.",Prominence,Pulmonary vessels,Worse,"['files/p14/p14841168/s55807374/292e260b-5f2cf60c-0422ecb6-9200cc0f-ef9654d4.jpg', 'files/p14/p14841168/s55807374/3dd7fadc-472e29be-47a89d67-912975dd-439fad53.jpg']","['files/p14/p14841168/s55795536/0bff7c97-8de2929c-f3a6cdd5-eeabd76d-18819c27.jpg\n', 'files/p14/p14841168/s55795536/3c164f3b-ffb14176-c30b82ea-4fea8e11-213e5240.jpg\n', 'files/p14/p14841168/s55795536/64d1efdb-d52c759d-34559e90-2d0e736e-433ec186.jpg\n', 'files/p14/p14841168/s55795536/df44930a-9212c400-9890cd67-b4f66cb6-c3319429.jpg\n']"
s55808828_34,p16662264,s55808828,34,Findings,Frontal and lateral views of the chest were obtained. Subtle basilar opacities seen similar to the prior study may relate to nipple shadows and are not appreciated on the lateral view. No definite 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.,cardiac and mediastinal silhouettes,,Stable,"['files/p16/p16662264/s55808828/623a9e44-93ced832-bdcd5276-a887ca9f-238d2599.jpg', 'files/p16/p16662264/s55808828/a0b02b80-6dbd9219-a3aea9eb-20011893-d884618c.jpg']","['files/p16/p16662264/s54519421/e8492918-d9eb34a1-417d1aaa-f2818725-997cffc3.jpg\n', 'files/p16/p16662264/s54519421/f41b8b56-99c24f61-a0a4c8d3-c53f7f17-0467e007.jpg\n']"
s55808828_34,p16662264,s55808828,34,Findings,Frontal and lateral views of the chest were obtained. Subtle basilar opacities seen similar to the prior study may relate to nipple shadows and are not appreciated on the lateral view. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.,Subtle basilar opacities seen similar to the prior study may relate to nipple shadows and are not appreciated on the lateral view.,opacities,basilar,Stable,"['files/p16/p16662264/s55808828/623a9e44-93ced832-bdcd5276-a887ca9f-238d2599.jpg', 'files/p16/p16662264/s55808828/a0b02b80-6dbd9219-a3aea9eb-20011893-d884618c.jpg']","['files/p16/p16662264/s54519421/e8492918-d9eb34a1-417d1aaa-f2818725-997cffc3.jpg\n', 'files/p16/p16662264/s54519421/f41b8b56-99c24f61-a0a4c8d3-c53f7f17-0467e007.jpg\n']"
s55811525_13,p10439781,s55811525,13,Findings,"Frontal and lateral views of the chest were obtained. Left-sided Port-A-Catheter is similar in position, terminating at the cavoatrial/right atrial junction. Patient has diffuse increase in interstitial markings bilaterally consistent with patient's underlying history of chronic interstitial lung disease with likely overlying pulmonary edema improved since ___, but similar in appearance as compared to ___. No definite focal consolidation or pleural effusion. Multilevel vertebroplasties are seen along the thoracic spine, similar to prior.","Multilevel vertebroplasties are seen along the thoracic spine, similar to prior.",vertebroplasties,thoracic spine,Stable,"['files/p10/p10439781/s55811525/3ea6406a-214fd5a4-1e6e4b0e-195445b8-1ea913b3.jpg', 'files/p10/p10439781/s55811525/8213973a-4ae791c1-ff080394-69e53e74-8e6d3813.jpg']",['files/p10/p10439781/s55725911/2e5ac89a-e2d5d8c6-8cbf02bc-ec6e4725-9339a9cc.jpg\n']
s55811525_13,p10439781,s55811525,13,Findings,"Frontal and lateral views of the chest were obtained. Left-sided Port-A-Catheter is similar in position, terminating at the cavoatrial/right atrial junction. Patient has diffuse increase in interstitial markings bilaterally consistent with patient's underlying history of chronic interstitial lung disease with likely overlying pulmonary edema improved since ___, but similar in appearance as compared to ___. No definite focal consolidation or pleural effusion. Multilevel vertebroplasties are seen along the thoracic spine, similar to prior.","Patient has diffuse increase in interstitial markings bilaterally consistent with patient's underlying history of chronic interstitial lung disease with likely overlying pulmonary edema improved since ___, but similar in appearance as compared to ___.",interstitial markings,bilaterally,Better,"['files/p10/p10439781/s55811525/3ea6406a-214fd5a4-1e6e4b0e-195445b8-1ea913b3.jpg', 'files/p10/p10439781/s55811525/8213973a-4ae791c1-ff080394-69e53e74-8e6d3813.jpg']",['files/p10/p10439781/s55725911/2e5ac89a-e2d5d8c6-8cbf02bc-ec6e4725-9339a9cc.jpg\n']
s55811525_13,p10439781,s55811525,13,Findings,"Frontal and lateral views of the chest were obtained. Left-sided Port-A-Catheter is similar in position, terminating at the cavoatrial/right atrial junction. Patient has diffuse increase in interstitial markings bilaterally consistent with patient's underlying history of chronic interstitial lung disease with likely overlying pulmonary edema improved since ___, but similar in appearance as compared to ___. No definite focal consolidation or pleural effusion. Multilevel vertebroplasties are seen along the thoracic spine, similar to prior.","Left-sided Port-A-Catheter is similar in position, terminating at the cavoatrial/right atrial junction.",Port-A-Catheter,left-sided,Stable,"['files/p10/p10439781/s55811525/3ea6406a-214fd5a4-1e6e4b0e-195445b8-1ea913b3.jpg', 'files/p10/p10439781/s55811525/8213973a-4ae791c1-ff080394-69e53e74-8e6d3813.jpg']",['files/p10/p10439781/s55725911/2e5ac89a-e2d5d8c6-8cbf02bc-ec6e4725-9339a9cc.jpg\n']
s55815964_2,p15192710,s55815964,2,Findings,"Single AP erect portable view of the chest was obtained. There has been interval placement of a left-sided chest tube which appears to terminate approximately at the level of the medial left diaphragm and may extend to the mediastinum. There has been re-expansion of the left lung with opacity in the left mid-to-lower lung which could be due to pulmonary hemorrhage/contusion, partial collapse, or less likely infection. Subcutaneous emphysema is seen along the left chest wall.","There has been re-expansion of the left lung with opacity in the left mid-to-lower lung which could be due to pulmonary hemorrhage/contusion, partial collapse, or less likely infection.",opacity,left mid-to-lower lung,Better,['files/p15/p15192710/s55815964/8556763c-b1bc6f79-edf4b821-e6261f21-f1f60684.jpg'],['files/p15/p15192710/s55650924/f65458e7-7ef7e73f-fea3b7ca-40749fee-38fb4aeb.jpg\n']
s55815964_2,p15192710,s55815964,2,Impression,"Interval placement of left chest tube with reexpansion of the left lung, with opacity/consolidation in the left mid-to-lower lung fields with shift of the mediastinum to the left may be due to partial lung collapse, although underlying pulmonary contusion/hemorrhage is may be present. The left chest tube appears to extend to the level of the medial left diaphragm and may encroach upon the mediastinum. Left chest wall subcutaneous emphysema.","Interval placement of left chest tube with reexpansion of the left lung, with opacity/consolidation in the left mid-to-lower lung fields with shift of the mediastinum to the left may be due to partial lung collapse, although underlying pulmonary contusion/hemorrhage is may be present.",opacity/consolidation,left mid-to-lower lung,Better,['files/p15/p15192710/s55815964/8556763c-b1bc6f79-edf4b821-e6261f21-f1f60684.jpg'],['files/p15/p15192710/s55650924/f65458e7-7ef7e73f-fea3b7ca-40749fee-38fb4aeb.jpg\n']
s55815964_2,p15192710,s55815964,2,Findings,"Single AP erect portable view of the chest was obtained. There has been interval placement of a left-sided chest tube which appears to terminate approximately at the level of the medial left diaphragm and may extend to the mediastinum. There has been re-expansion of the left lung with opacity in the left mid-to-lower lung which could be due to pulmonary hemorrhage/contusion, partial collapse, or less likely infection. Subcutaneous emphysema is seen along the left chest wall.",There has been interval placement of a left-sided chest tube which appears to terminate approximately at the level of the medial left diaphragm and may extend to the mediastinum.,chest tube,left-sided,New,['files/p15/p15192710/s55815964/8556763c-b1bc6f79-edf4b821-e6261f21-f1f60684.jpg'],['files/p15/p15192710/s55650924/f65458e7-7ef7e73f-fea3b7ca-40749fee-38fb4aeb.jpg\n']
s55828202_1,p13762730,s55828202,1,Findings,"A dual-lead left pectoral pacemaker device has its leads terminating at expected locations in the right atrium and right ventricle. No pneumothorax. Bilateral pleural effusions and bibasal atelectases are mild. Bilateral lungs are remarkable for mild vascular and interstitial prominence, likely congestion. Normal heart size, mediastinal and hilar contours are unchanged in appearance since ___.","Normal heart size, mediastinal and hilar contours are unchanged in appearance since ___.","Heart size, mediastinal and hilar contours",,Stable,['files/p13/p13762730/s55828202/428c4099-c29bb97d-e06be8f3-614d3b6e-d343eee7.jpg'],"['files/p13/p13762730/s54472974/0ff0bb39-4a3b9b22-0150d88d-040cd9e6-c1d6078b.jpg\n', 'files/p13/p13762730/s54472974/93795e56-ef882771-fa23c36d-bf8cf35b-fc41aadc.jpg\n']"
s55831566_5,p11293517,s55831566,5,Findings,Frontal and lateral chest radiographs demonstrate mediastinal and hilar contours are unremarkable. Stable mild cardiomegaly identified. Mild interstitial edema noted No pleural effusion or pneumothorax. No osseous abnormality identified. Stable positioning of atrioventricular ICD leads. Abandoned leads again noted in the right chest wall. Surgical clips project over the upper mediastinum.,Stable mild cardiomegaly identified.,cardiomegaly,,Stable,"['files/p11/p11293517/s55831566/157c4099-34b42e61-710b038b-f6b80531-75d80abd.jpg', 'files/p11/p11293517/s55831566/40994464-b17516cf-be885c02-984e9fa1-79da2ac8.jpg']","['files/p11/p11293517/s55525523/049f350d-00784726-84389895-f7bb753f-7695f2b6.jpg\n', 'files/p11/p11293517/s55525523/4c51a119-6f346625-6da3ca60-c048486b-db7e21e6.jpg\n']"
s55831566_5,p11293517,s55831566,5,Findings,Frontal and lateral chest radiographs demonstrate mediastinal and hilar contours are unremarkable. Stable mild cardiomegaly identified. Mild interstitial edema noted No pleural effusion or pneumothorax. No osseous abnormality identified. Stable positioning of atrioventricular ICD leads. Abandoned leads again noted in the right chest wall. Surgical clips project over the upper mediastinum.,Stable positioning of atrioventricular ICD leads.,ICD leads,atrioventricular,Stable,"['files/p11/p11293517/s55831566/157c4099-34b42e61-710b038b-f6b80531-75d80abd.jpg', 'files/p11/p11293517/s55831566/40994464-b17516cf-be885c02-984e9fa1-79da2ac8.jpg']","['files/p11/p11293517/s55525523/049f350d-00784726-84389895-f7bb753f-7695f2b6.jpg\n', 'files/p11/p11293517/s55525523/4c51a119-6f346625-6da3ca60-c048486b-db7e21e6.jpg\n']"
s55832727_16,p13606683,s55832727,16,Findings,"The patient is status post median sternotomy and aortic valve replacement. Right-sided pacemaker/AICD device is again noted with leads terminating in the right atrium, right ventricle, and the region of the coronary sinus, unchanged. Enlargement of the cardiac silhouette is moderate, and similar compared to the previous study. The mediastinal and hilar contours are normal. There continues to be upper zone vascular redistribution, similar when compared to the previous study compatible with mild pulmonary vascular engorgement. Lungs remain hyperinflated compatible with COPD. Linear opacities in the lung bases are compatible with scarring. Small bilateral pleural effusions are relatively unchanged. There is no pneumothorax.","Right-sided pacemaker/AICD device is again noted with leads terminating in the right atrium, right ventricle, and the region of the coronary sinus, unchanged.",Right-sided pacemaker/AICD device,"right atrium, right ventricle, region of the coronary sinus",Stable,['files/p13/p13606683/s55832727/64f99800-8450e0a6-9bcd9fa5-3fe8ad9f-9c164aa4.jpg'],"['files/p13/p13606683/s55528477/242c5252-f4f60ea2-60a0a808-024076cc-54ea11ce.jpg\n', 'files/p13/p13606683/s55528477/28bd0725-441d6b2b-8333f48b-70538154-c6040732.jpg\n']"
s55832727_16,p13606683,s55832727,16,Findings,"The patient is status post median sternotomy and aortic valve replacement. Right-sided pacemaker/AICD device is again noted with leads terminating in the right atrium, right ventricle, and the region of the coronary sinus, unchanged. Enlargement of the cardiac silhouette is moderate, and similar compared to the previous study. The mediastinal and hilar contours are normal. There continues to be upper zone vascular redistribution, similar when compared to the previous study compatible with mild pulmonary vascular engorgement. Lungs remain hyperinflated compatible with COPD. Linear opacities in the lung bases are compatible with scarring. Small bilateral pleural effusions are relatively unchanged. There is no pneumothorax.",Lungs remain hyperinflated compatible with COPD.,Hyperinflated lungs,,Stable,['files/p13/p13606683/s55832727/64f99800-8450e0a6-9bcd9fa5-3fe8ad9f-9c164aa4.jpg'],"['files/p13/p13606683/s55528477/242c5252-f4f60ea2-60a0a808-024076cc-54ea11ce.jpg\n', 'files/p13/p13606683/s55528477/28bd0725-441d6b2b-8333f48b-70538154-c6040732.jpg\n']"
s55832727_16,p13606683,s55832727,16,Findings,"The patient is status post median sternotomy and aortic valve replacement. Right-sided pacemaker/AICD device is again noted with leads terminating in the right atrium, right ventricle, and the region of the coronary sinus, unchanged. Enlargement of the cardiac silhouette is moderate, and similar compared to the previous study. The mediastinal and hilar contours are normal. There continues to be upper zone vascular redistribution, similar when compared to the previous study compatible with mild pulmonary vascular engorgement. Lungs remain hyperinflated compatible with COPD. Linear opacities in the lung bases are compatible with scarring. Small bilateral pleural effusions are relatively unchanged. There is no pneumothorax.",Small bilateral pleural effusions are relatively unchanged.,Small pleural effusions,bilateral,Stable,['files/p13/p13606683/s55832727/64f99800-8450e0a6-9bcd9fa5-3fe8ad9f-9c164aa4.jpg'],"['files/p13/p13606683/s55528477/242c5252-f4f60ea2-60a0a808-024076cc-54ea11ce.jpg\n', 'files/p13/p13606683/s55528477/28bd0725-441d6b2b-8333f48b-70538154-c6040732.jpg\n']"
s55832727_16,p13606683,s55832727,16,Findings,"The patient is status post median sternotomy and aortic valve replacement. Right-sided pacemaker/AICD device is again noted with leads terminating in the right atrium, right ventricle, and the region of the coronary sinus, unchanged. Enlargement of the cardiac silhouette is moderate, and similar compared to the previous study. The mediastinal and hilar contours are normal. There continues to be upper zone vascular redistribution, similar when compared to the previous study compatible with mild pulmonary vascular engorgement. Lungs remain hyperinflated compatible with COPD. Linear opacities in the lung bases are compatible with scarring. Small bilateral pleural effusions are relatively unchanged. There is no pneumothorax.","Enlargement of the cardiac silhouette is moderate, and similar compared to the previous study.",Moderate enlargement of the cardiac silhouette,,Stable,['files/p13/p13606683/s55832727/64f99800-8450e0a6-9bcd9fa5-3fe8ad9f-9c164aa4.jpg'],"['files/p13/p13606683/s55528477/242c5252-f4f60ea2-60a0a808-024076cc-54ea11ce.jpg\n', 'files/p13/p13606683/s55528477/28bd0725-441d6b2b-8333f48b-70538154-c6040732.jpg\n']"
s55832727_16,p13606683,s55832727,16,Findings,"The patient is status post median sternotomy and aortic valve replacement. Right-sided pacemaker/AICD device is again noted with leads terminating in the right atrium, right ventricle, and the region of the coronary sinus, unchanged. Enlargement of the cardiac silhouette is moderate, and similar compared to the previous study. The mediastinal and hilar contours are normal. There continues to be upper zone vascular redistribution, similar when compared to the previous study compatible with mild pulmonary vascular engorgement. Lungs remain hyperinflated compatible with COPD. Linear opacities in the lung bases are compatible with scarring. Small bilateral pleural effusions are relatively unchanged. There is no pneumothorax.","There continues to be upper zone vascular redistribution, similar when compared to the previous study compatible with mild pulmonary vascular engorgement.",vascular redistribution,upper zone,Stable,['files/p13/p13606683/s55832727/64f99800-8450e0a6-9bcd9fa5-3fe8ad9f-9c164aa4.jpg'],"['files/p13/p13606683/s55528477/242c5252-f4f60ea2-60a0a808-024076cc-54ea11ce.jpg\n', 'files/p13/p13606683/s55528477/28bd0725-441d6b2b-8333f48b-70538154-c6040732.jpg\n']"
s55832727_16,p13606683,s55832727,16,Impression,"Mild pulmonary vascular congestion, similar compared to the previous study with small bilateral pleural effusions. Scarring within the lung bases.","Mild pulmonary vascular congestion, similar compared to the previous study with small bilateral pleural effusions.",Mild pulmonary vascular congestion,,Stable,['files/p13/p13606683/s55832727/64f99800-8450e0a6-9bcd9fa5-3fe8ad9f-9c164aa4.jpg'],"['files/p13/p13606683/s55528477/242c5252-f4f60ea2-60a0a808-024076cc-54ea11ce.jpg\n', 'files/p13/p13606683/s55528477/28bd0725-441d6b2b-8333f48b-70538154-c6040732.jpg\n']"
s55834779_10,p17340686,s55834779,10,Findings,PA and lateral views of the chest. Moderate cardiomegaly is stable. A left subclavian central venous line ends in the upper right atrium. There is no definite focal pulmonary vascular congestion and possible mild interstitial edema. Retrocardiac opacity may represent atelectasis or pneumonia. No pneumothorax.,Moderate cardiomegaly is stable.,Moderate cardiomegaly,,Stable,"['files/p17/p17340686/s55834779/04c731eb-0cc43023-ab7dbb20-aaee6d1b-7d9295c9.jpg', 'files/p17/p17340686/s55834779/9763cff1-26fe3d95-bb076c42-59a33d2e-4986039e.jpg']",['files/p17/p17340686/s55469953/6ff741e9-6ea01eef-1bf10153-d1b6beba-590b6620.jpg\n']
s55845276_5,p16772702,s55845276,5,Findings,"Heart size is normal. Previously present pulmonary edema has nearly completely resolved with only minimal residual interstitial edema remaining. Pleural effusions have also decreased in size with small effusions remaining, left greater than right.","Pleural effusions have also decreased in size with small effusions remaining, left greater than right.",Pleural effusions,Left greater than right,Worse,['files/p16/p16772702/s55845276/9470e916-1ba08135-e208f625-63d7a64b-2a009f98.jpg'],"['files/p16/p16772702/s55648907/532c0378-4f856655-839e716d-7e4fe81d-302dd3d0.jpg\n', 'files/p16/p16772702/s55648907/97c4032d-7432312d-e3dc0311-6adb6b70-22e728b6.jpg\n']"
s55845276_5,p16772702,s55845276,5,Findings,"Heart size is normal. Previously present pulmonary edema has nearly completely resolved with only minimal residual interstitial edema remaining. Pleural effusions have also decreased in size with small effusions remaining, left greater than right.",Previously present pulmonary edema has nearly completely resolved with only minimal residual interstitial edema remaining.,Pulmonary edema,,Resolve,['files/p16/p16772702/s55845276/9470e916-1ba08135-e208f625-63d7a64b-2a009f98.jpg'],"['files/p16/p16772702/s55648907/532c0378-4f856655-839e716d-7e4fe81d-302dd3d0.jpg\n', 'files/p16/p16772702/s55648907/97c4032d-7432312d-e3dc0311-6adb6b70-22e728b6.jpg\n']"
s55847451_16,p16662264,s55847451,16,Impression,"Progression of previously existing bilateral parenchymal infiltrates and newly developed additional infiltrates are observed. In addition, bilateral pleural effusions have developed in the absence of evidence of pulmonary vascular congestion. Referring physician, ___ ___, was paged for stat report at 1:20 p.m.","In addition, bilateral pleural effusions have developed in the absence of evidence of pulmonary vascular congestion.",pleural effusions,bilateral,New,"['files/p16/p16662264/s55847451/b4a25932-1328eeb3-d6edac97-2f1a91ba-69790ccf.jpg', 'files/p16/p16662264/s55847451/dc259d24-611aa4fd-ede77026-cf06f0b3-9c9ae10a.jpg']","['files/p16/p16662264/s55808828/623a9e44-93ced832-bdcd5276-a887ca9f-238d2599.jpg\n', 'files/p16/p16662264/s55808828/a0b02b80-6dbd9219-a3aea9eb-20011893-d884618c.jpg\n']"
s55847451_16,p16662264,s55847451,16,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 unchanged. The previously described pneumonic infiltrates located to the right middle lobe and left upper lobe lingula have progressed in extension. New additional parenchymal infiltrates are now also seen in the left upper lobe apical segment and a few scattered small patchy infiltrates are observed in the right hemithorax mid lung field as well. In addition, there is now clear blunting of the right and left lateral pleural sinuses extending into the posterior pleural sinuses as identified on the lateral view. The pulmonary vascular pattern does not show increased congestion in comparison with the previous study.",The previously described pneumonic infiltrates located to the right middle lobe and left upper lobe lingula have progressed in extension.,pneumonic infiltrates,left upper lobe lingula,Worse,"['files/p16/p16662264/s55847451/b4a25932-1328eeb3-d6edac97-2f1a91ba-69790ccf.jpg', 'files/p16/p16662264/s55847451/dc259d24-611aa4fd-ede77026-cf06f0b3-9c9ae10a.jpg']","['files/p16/p16662264/s55808828/623a9e44-93ced832-bdcd5276-a887ca9f-238d2599.jpg\n', 'files/p16/p16662264/s55808828/a0b02b80-6dbd9219-a3aea9eb-20011893-d884618c.jpg\n']"
s55847451_16,p16662264,s55847451,16,Impression,"Progression of previously existing bilateral parenchymal infiltrates and newly developed additional infiltrates are observed. In addition, bilateral pleural effusions have developed in the absence of evidence of pulmonary vascular congestion. Referring physician, ___ ___, was paged for stat report at 1:20 p.m.",Progression of previously existing bilateral parenchymal infiltrates and newly developed additional infiltrates are observed.,parenchymal infiltrates,bilateral,Worse,"['files/p16/p16662264/s55847451/b4a25932-1328eeb3-d6edac97-2f1a91ba-69790ccf.jpg', 'files/p16/p16662264/s55847451/dc259d24-611aa4fd-ede77026-cf06f0b3-9c9ae10a.jpg']","['files/p16/p16662264/s55808828/623a9e44-93ced832-bdcd5276-a887ca9f-238d2599.jpg\n', 'files/p16/p16662264/s55808828/a0b02b80-6dbd9219-a3aea9eb-20011893-d884618c.jpg\n']"
s55847451_16,p16662264,s55847451,16,Impression,"Progression of previously existing bilateral parenchymal infiltrates and newly developed additional infiltrates are observed. In addition, bilateral pleural effusions have developed in the absence of evidence of pulmonary vascular congestion. Referring physician, ___ ___, was paged for stat report at 1:20 p.m.",Progression of previously existing bilateral parenchymal infiltrates and newly developed additional infiltrates are observed.,additional infiltrates,bilateral,New,"['files/p16/p16662264/s55847451/b4a25932-1328eeb3-d6edac97-2f1a91ba-69790ccf.jpg', 'files/p16/p16662264/s55847451/dc259d24-611aa4fd-ede77026-cf06f0b3-9c9ae10a.jpg']","['files/p16/p16662264/s55808828/623a9e44-93ced832-bdcd5276-a887ca9f-238d2599.jpg\n', 'files/p16/p16662264/s55808828/a0b02b80-6dbd9219-a3aea9eb-20011893-d884618c.jpg\n']"
s55847451_16,p16662264,s55847451,16,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 unchanged. The previously described pneumonic infiltrates located to the right middle lobe and left upper lobe lingula have progressed in extension. New additional parenchymal infiltrates are now also seen in the left upper lobe apical segment and a few scattered small patchy infiltrates are observed in the right hemithorax mid lung field as well. In addition, there is now clear blunting of the right and left lateral pleural sinuses extending into the posterior pleural sinuses as identified on the lateral view. The pulmonary vascular pattern does not show increased congestion in comparison with the previous study.",The previously described pneumonic infiltrates located to the right middle lobe and left upper lobe lingula have progressed in extension.,pneumonic infiltrates,right middle lobe,Worse,"['files/p16/p16662264/s55847451/b4a25932-1328eeb3-d6edac97-2f1a91ba-69790ccf.jpg', 'files/p16/p16662264/s55847451/dc259d24-611aa4fd-ede77026-cf06f0b3-9c9ae10a.jpg']","['files/p16/p16662264/s55808828/623a9e44-93ced832-bdcd5276-a887ca9f-238d2599.jpg\n', 'files/p16/p16662264/s55808828/a0b02b80-6dbd9219-a3aea9eb-20011893-d884618c.jpg\n']"
s55847451_16,p16662264,s55847451,16,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 unchanged. The previously described pneumonic infiltrates located to the right middle lobe and left upper lobe lingula have progressed in extension. New additional parenchymal infiltrates are now also seen in the left upper lobe apical segment and a few scattered small patchy infiltrates are observed in the right hemithorax mid lung field as well. In addition, there is now clear blunting of the right and left lateral pleural sinuses extending into the posterior pleural sinuses as identified on the lateral view. The pulmonary vascular pattern does not show increased congestion in comparison with the previous study.",New additional parenchymal infiltrates are now also seen in the left upper lobe apical segment and a few scattered small patchy infiltrates are observed in the right hemithorax mid lung field as well.,patchy infiltrates,right hemithorax mid lung field,New,"['files/p16/p16662264/s55847451/b4a25932-1328eeb3-d6edac97-2f1a91ba-69790ccf.jpg', 'files/p16/p16662264/s55847451/dc259d24-611aa4fd-ede77026-cf06f0b3-9c9ae10a.jpg']","['files/p16/p16662264/s55808828/623a9e44-93ced832-bdcd5276-a887ca9f-238d2599.jpg\n', 'files/p16/p16662264/s55808828/a0b02b80-6dbd9219-a3aea9eb-20011893-d884618c.jpg\n']"
s55847451_16,p16662264,s55847451,16,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 unchanged. The previously described pneumonic infiltrates located to the right middle lobe and left upper lobe lingula have progressed in extension. New additional parenchymal infiltrates are now also seen in the left upper lobe apical segment and a few scattered small patchy infiltrates are observed in the right hemithorax mid lung field as well. In addition, there is now clear blunting of the right and left lateral pleural sinuses extending into the posterior pleural sinuses as identified on the lateral view. The pulmonary vascular pattern does not show increased congestion in comparison with the previous study.",The heart size remains unchanged.,Heart size,,Stable,"['files/p16/p16662264/s55847451/b4a25932-1328eeb3-d6edac97-2f1a91ba-69790ccf.jpg', 'files/p16/p16662264/s55847451/dc259d24-611aa4fd-ede77026-cf06f0b3-9c9ae10a.jpg']","['files/p16/p16662264/s55808828/623a9e44-93ced832-bdcd5276-a887ca9f-238d2599.jpg\n', 'files/p16/p16662264/s55808828/a0b02b80-6dbd9219-a3aea9eb-20011893-d884618c.jpg\n']"
s55847451_16,p16662264,s55847451,16,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 unchanged. The previously described pneumonic infiltrates located to the right middle lobe and left upper lobe lingula have progressed in extension. New additional parenchymal infiltrates are now also seen in the left upper lobe apical segment and a few scattered small patchy infiltrates are observed in the right hemithorax mid lung field as well. In addition, there is now clear blunting of the right and left lateral pleural sinuses extending into the posterior pleural sinuses as identified on the lateral view. The pulmonary vascular pattern does not show increased congestion in comparison with the previous study.",New additional parenchymal infiltrates are now also seen in the left upper lobe apical segment and a few scattered small patchy infiltrates are observed in the right hemithorax mid lung field as well.,parenchymal infiltrates,left upper lobe apical segment,New,"['files/p16/p16662264/s55847451/b4a25932-1328eeb3-d6edac97-2f1a91ba-69790ccf.jpg', 'files/p16/p16662264/s55847451/dc259d24-611aa4fd-ede77026-cf06f0b3-9c9ae10a.jpg']","['files/p16/p16662264/s55808828/623a9e44-93ced832-bdcd5276-a887ca9f-238d2599.jpg\n', 'files/p16/p16662264/s55808828/a0b02b80-6dbd9219-a3aea9eb-20011893-d884618c.jpg\n']"
s55853389_6,p16875792,s55853389,6,Impression,Improved areation of the lungs in comparison to the prior study from ___ with a decrease in small right pleural effusion.,Improved areation of the lungs in comparison to the prior study from ___ with a decrease in small right pleural effusion.,aeration,lungs,Better,"['files/p16/p16875792/s55853389/0119e0a7-198160f8-7a4b361a-0b612edd-9b62bc13.jpg', 'files/p16/p16875792/s55853389/2c27c769-9854b0e9-102ff0b0-b17773f0-052865d7.jpg']",['files/p16/p16875792/s52998783/66b2b4e8-470a1e57-77371a47-f3e6f263-0b7d1783.jpg\n']
s55853389_6,p16875792,s55853389,6,Findings,"Previously visualized right internal jugular central venous catheter has since been removed. Post-surgical changes are visualized with intact median sternotomy wires, surgical clips and coils. Calcifications are again noted at the aortic arch. In comparison to prior study from ___, lung aeration has improved bilaterally. Mild atelectatic changes are again visualized at the left lung base. There is a small right pleural effusion, decreased in comparison to the prior study.",Previously visualized right internal jugular central venous catheter has since been removed.,central venous catheter,right internal jugular,Resolve,"['files/p16/p16875792/s55853389/0119e0a7-198160f8-7a4b361a-0b612edd-9b62bc13.jpg', 'files/p16/p16875792/s55853389/2c27c769-9854b0e9-102ff0b0-b17773f0-052865d7.jpg']",['files/p16/p16875792/s52998783/66b2b4e8-470a1e57-77371a47-f3e6f263-0b7d1783.jpg\n']
s55853389_6,p16875792,s55853389,6,Findings,"Previously visualized right internal jugular central venous catheter has since been removed. Post-surgical changes are visualized with intact median sternotomy wires, surgical clips and coils. Calcifications are again noted at the aortic arch. In comparison to prior study from ___, lung aeration has improved bilaterally. Mild atelectatic changes are again visualized at the left lung base. There is a small right pleural effusion, decreased in comparison to the prior study.","There is a small right pleural effusion, decreased in comparison to the prior study.",pleural effusion,right,Worse,"['files/p16/p16875792/s55853389/0119e0a7-198160f8-7a4b361a-0b612edd-9b62bc13.jpg', 'files/p16/p16875792/s55853389/2c27c769-9854b0e9-102ff0b0-b17773f0-052865d7.jpg']",['files/p16/p16875792/s52998783/66b2b4e8-470a1e57-77371a47-f3e6f263-0b7d1783.jpg\n']
s55853389_6,p16875792,s55853389,6,Findings,"Previously visualized right internal jugular central venous catheter has since been removed. Post-surgical changes are visualized with intact median sternotomy wires, surgical clips and coils. Calcifications are again noted at the aortic arch. In comparison to prior study from ___, lung aeration has improved bilaterally. Mild atelectatic changes are again visualized at the left lung base. There is a small right pleural effusion, decreased in comparison to the prior study.","In comparison to prior study from ___, lung aeration has improved bilaterally.",lung aeration,bilaterally,Better,"['files/p16/p16875792/s55853389/0119e0a7-198160f8-7a4b361a-0b612edd-9b62bc13.jpg', 'files/p16/p16875792/s55853389/2c27c769-9854b0e9-102ff0b0-b17773f0-052865d7.jpg']",['files/p16/p16875792/s52998783/66b2b4e8-470a1e57-77371a47-f3e6f263-0b7d1783.jpg\n']
s55853389_6,p16875792,s55853389,6,Impression,Improved areation of the lungs in comparison to the prior study from ___ with a decrease in small right pleural effusion.,Improved areation of the lungs in comparison to the prior study from ___ with a decrease in small right pleural effusion.,pleural effusion,right,Worse,"['files/p16/p16875792/s55853389/0119e0a7-198160f8-7a4b361a-0b612edd-9b62bc13.jpg', 'files/p16/p16875792/s55853389/2c27c769-9854b0e9-102ff0b0-b17773f0-052865d7.jpg']",['files/p16/p16875792/s52998783/66b2b4e8-470a1e57-77371a47-f3e6f263-0b7d1783.jpg\n']
s55863688_30,p19075045,s55863688,30,Impression,Swan-Ganz catheter tip is in the distal right main pulmonary artery. Cardiomegaly is stable. Mild vascular congestion is unchanged. Bibasilar opacities larger on the right are unchanged. There is no evident pneumothorax. Pacer leads are in standard position,Cardiomegaly is stable.,Cardiomegaly,,Stable,['files/p19/p19075045/s55863688/e9d9f329-da18eb49-3fe8868a-a0852356-4e2cc1a8.jpg'],['files/p19/p19075045/s55710466/a1cd58cf-bef24282-3f8dd017-ac556cfc-92537bf4.jpg\n']
s55863688_30,p19075045,s55863688,30,Impression,Swan-Ganz catheter tip is in the distal right main pulmonary artery. Cardiomegaly is stable. Mild vascular congestion is unchanged. Bibasilar opacities larger on the right are unchanged. There is no evident pneumothorax. Pacer leads are in standard position,Mild vascular congestion is unchanged.,Mild vascular congestion,,Stable,['files/p19/p19075045/s55863688/e9d9f329-da18eb49-3fe8868a-a0852356-4e2cc1a8.jpg'],['files/p19/p19075045/s55710466/a1cd58cf-bef24282-3f8dd017-ac556cfc-92537bf4.jpg\n']
s55863688_30,p19075045,s55863688,30,Impression,Swan-Ganz catheter tip is in the distal right main pulmonary artery. Cardiomegaly is stable. Mild vascular congestion is unchanged. Bibasilar opacities larger on the right are unchanged. There is no evident pneumothorax. Pacer leads are in standard position,Bibasilar opacities larger on the right are unchanged.,Bibasilar opacities,right,Stable,['files/p19/p19075045/s55863688/e9d9f329-da18eb49-3fe8868a-a0852356-4e2cc1a8.jpg'],['files/p19/p19075045/s55710466/a1cd58cf-bef24282-3f8dd017-ac556cfc-92537bf4.jpg\n']
s55866927_18,p16334516,s55866927,18,Impression,"AP chest compared to ___ at 3:43 p.m.: Endotracheal tube has been withdrawn, tip now approximately 2.5 cm above the carina with the chin in neutral position. It could be withdrawn another 15 mm to avoid inadvertent unilateral intubation when the chin and neck are in flexion: Mild pulmonary edema is continuing to improve, and previous left pleural effusion has virtually resolved. Heart size normal. Upper enteric drainage tube ends in the upper portion of a non-distended stomach but would need to be advanced at least 6 cm to move all the side ports beyond the GE junction. Right jugular line ends in the mid SVC. No pneumothorax. Heart size normal.","Mild pulmonary edema is continuing to improve, and previous left pleural effusion has virtually resolved.",pleural effusion,left,Resolve,"['files/p16/p16334516/s55866927/7c9e7413-b4202e55-864b8798-3a36e35f-3c97b6b1.jpg', 'files/p16/p16334516/s55866927/e5ff06eb-15534151-f0889a9a-1ef2a26f-14945911.jpg']","['files/p16/p16334516/s55649635/70151e8a-71e8ed45-15a560dc-97516a13-1d4ca7c3.jpg\n', 'files/p16/p16334516/s55649635/fa76addb-604afc82-2fed6189-2657d8ca-8464dc84.jpg\n']"
s55866927_18,p16334516,s55866927,18,Impression,"AP chest compared to ___ at 3:43 p.m.: Endotracheal tube has been withdrawn, tip now approximately 2.5 cm above the carina with the chin in neutral position. It could be withdrawn another 15 mm to avoid inadvertent unilateral intubation when the chin and neck are in flexion: Mild pulmonary edema is continuing to improve, and previous left pleural effusion has virtually resolved. Heart size normal. Upper enteric drainage tube ends in the upper portion of a non-distended stomach but would need to be advanced at least 6 cm to move all the side ports beyond the GE junction. Right jugular line ends in the mid SVC. No pneumothorax. Heart size normal.","Mild pulmonary edema is continuing to improve, and previous left pleural effusion has virtually resolved.",Mild pulmonary edema,,Better,"['files/p16/p16334516/s55866927/7c9e7413-b4202e55-864b8798-3a36e35f-3c97b6b1.jpg', 'files/p16/p16334516/s55866927/e5ff06eb-15534151-f0889a9a-1ef2a26f-14945911.jpg']","['files/p16/p16334516/s55649635/70151e8a-71e8ed45-15a560dc-97516a13-1d4ca7c3.jpg\n', 'files/p16/p16334516/s55649635/fa76addb-604afc82-2fed6189-2657d8ca-8464dc84.jpg\n']"
s55868782_6,p11204646,s55868782,6,Findings,"Right IJ line tip projects over the expected region of the upper SVC. Right-sided PICC tip projects over the expected region of the cavoatrial junction. ET tube is approximately 4.3 cm above the carina. A feeding tube is noted with tip in the expected region of the proximal gastric antrum with side ports within the body of the stomach. Severe cardiomegaly is again noted. Right-sided pleural effusion is unchanged from the prior examination. The opacification at the left lung base is unchanged from the most recent prior examination may represent pleural effusion with atelectasis, however infectious process such as pneumonia cannot be excluded in the correct clinical setting.",Severe cardiomegaly is again noted.,cardiomegaly,,Worse,['files/p11/p11204646/s55868782/2e1fb168-5279d839-de9821a0-45e5c887-44bbf786.jpg'],"['files/p11/p11204646/s55611611/1aaf0cfe-67aa23d3-b5403e61-1b88698f-a6bf329b.jpg\n', 'files/p11/p11204646/s55611611/a4849658-ce9b054b-b59e436d-df3b5ab8-80025982.jpg\n']"
s55868782_6,p11204646,s55868782,6,Findings,"Right IJ line tip projects over the expected region of the upper SVC. Right-sided PICC tip projects over the expected region of the cavoatrial junction. ET tube is approximately 4.3 cm above the carina. A feeding tube is noted with tip in the expected region of the proximal gastric antrum with side ports within the body of the stomach. Severe cardiomegaly is again noted. Right-sided pleural effusion is unchanged from the prior examination. The opacification at the left lung base is unchanged from the most recent prior examination may represent pleural effusion with atelectasis, however infectious process such as pneumonia cannot be excluded in the correct clinical setting.",Right-sided pleural effusion is unchanged from the prior examination.,pleural effusion,right,Stable,['files/p11/p11204646/s55868782/2e1fb168-5279d839-de9821a0-45e5c887-44bbf786.jpg'],"['files/p11/p11204646/s55611611/1aaf0cfe-67aa23d3-b5403e61-1b88698f-a6bf329b.jpg\n', 'files/p11/p11204646/s55611611/a4849658-ce9b054b-b59e436d-df3b5ab8-80025982.jpg\n']"
s55868782_6,p11204646,s55868782,6,Findings,"Right IJ line tip projects over the expected region of the upper SVC. Right-sided PICC tip projects over the expected region of the cavoatrial junction. ET tube is approximately 4.3 cm above the carina. A feeding tube is noted with tip in the expected region of the proximal gastric antrum with side ports within the body of the stomach. Severe cardiomegaly is again noted. Right-sided pleural effusion is unchanged from the prior examination. The opacification at the left lung base is unchanged from the most recent prior examination may represent pleural effusion with atelectasis, however infectious process such as pneumonia cannot be excluded in the correct clinical setting.","The opacification at the left lung base is unchanged from the most recent prior examination may represent pleural effusion with atelectasis, however infectious process such as pneumonia cannot be excluded in the correct clinical setting.",pleural effusion with atelectasis,left lung base,Stable,['files/p11/p11204646/s55868782/2e1fb168-5279d839-de9821a0-45e5c887-44bbf786.jpg'],"['files/p11/p11204646/s55611611/1aaf0cfe-67aa23d3-b5403e61-1b88698f-a6bf329b.jpg\n', 'files/p11/p11204646/s55611611/a4849658-ce9b054b-b59e436d-df3b5ab8-80025982.jpg\n']"
s55874928_0,p15094735,s55874928,0,Findings,"Right dialysis catheter again terminates in the mid right atrium. Lungs are overinflated, with biapical hyperlucency. There is new right lower lobe opacity with obscuration of the hemidiaphragm. Increasing volume overload with mild cardiomegaly, central venous congestion, and interstitial/early airspace pulmonary edema. Probable small left effusion. CABG changes are noted, with median sternotomy wires and mediastinal clips.",There is new right lower lobe opacity with obscuration of the hemidiaphragm.,opacity,right lower lobe,New,['files/p15/p15094735/s55874928/fae734b5-cdbcad8f-13e2fcaf-8e2731ff-ca43dfa9.jpg'],
s55874928_0,p15094735,s55874928,0,Impression,1. Possible right lower lobe pneumonia. 2. Increasing volume overload.,2. Increasing volume overload.,volume overload,,Worse,['files/p15/p15094735/s55874928/fae734b5-cdbcad8f-13e2fcaf-8e2731ff-ca43dfa9.jpg'],
s55874928_0,p15094735,s55874928,0,Findings,"Right dialysis catheter again terminates in the mid right atrium. Lungs are overinflated, with biapical hyperlucency. There is new right lower lobe opacity with obscuration of the hemidiaphragm. Increasing volume overload with mild cardiomegaly, central venous congestion, and interstitial/early airspace pulmonary edema. Probable small left effusion. CABG changes are noted, with median sternotomy wires and mediastinal clips.","Increasing volume overload with mild cardiomegaly, central venous congestion, and interstitial/early airspace pulmonary edema.",volume overload,,Worse,['files/p15/p15094735/s55874928/fae734b5-cdbcad8f-13e2fcaf-8e2731ff-ca43dfa9.jpg'],
s55874928_0,p15094735,s55874928,0,Findings,"Right dialysis catheter again terminates in the mid right atrium. Lungs are overinflated, with biapical hyperlucency. There is new right lower lobe opacity with obscuration of the hemidiaphragm. Increasing volume overload with mild cardiomegaly, central venous congestion, and interstitial/early airspace pulmonary edema. Probable small left effusion. CABG changes are noted, with median sternotomy wires and mediastinal clips.","Increasing volume overload with mild cardiomegaly, central venous congestion, and interstitial/early airspace pulmonary edema.",pulmonary edema,,Worse,['files/p15/p15094735/s55874928/fae734b5-cdbcad8f-13e2fcaf-8e2731ff-ca43dfa9.jpg'],
s55876368_42,p13475033,s55876368,42,Findings,"Again, there is diffuse increase in interstitial markings bilaterally consistent with chronic interstitial lung disease. No new areas of focal consolidation are seen. 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/p13475033/s55876368/031113f9-e2466fb7-08d11a74-231bed81-45441968.jpg', 'files/p13/p13475033/s55876368/b04e9b1a-64c788c8-4b86ac26-c5949f1a-d3c9e288.jpg']","['files/p13/p13475033/s55339618/2d3d526f-5560ef5c-de1b0d4a-b17b0f0b-427cc0ca.jpg\n', 'files/p13/p13475033/s55339618/5037ce6f-1b5a2beb-cefbe169-b7e53cbf-427eaf91.jpg\n']"
s55876368_42,p13475033,s55876368,42,Impression,"No acute cardiopulmonary process. Chronic interstitial lung disease, stable since the prior study.","Chronic interstitial lung disease, stable since the prior study.",Chronic interstitial lung disease,,Stable,"['files/p13/p13475033/s55876368/031113f9-e2466fb7-08d11a74-231bed81-45441968.jpg', 'files/p13/p13475033/s55876368/b04e9b1a-64c788c8-4b86ac26-c5949f1a-d3c9e288.jpg']","['files/p13/p13475033/s55339618/2d3d526f-5560ef5c-de1b0d4a-b17b0f0b-427cc0ca.jpg\n', 'files/p13/p13475033/s55339618/5037ce6f-1b5a2beb-cefbe169-b7e53cbf-427eaf91.jpg\n']"
s55876844_5,p13263843,s55876844,5,Findings,"AP and lateral views of the chest are compared to previous exam from ___. Postoperative changes of right upper lobectomy are again noted. There are new small bilateral pleural effusions. Parenchymal opacity in the right upper lung and perihilar region have not significantly changed and could be in part due to post radiation/treatment changes. Superiorly, the left lung is clear. Cardiomediastinal silhouette is unchanged. Degenerative changes of the right shoulder and post-thoracotomy changes on the right again noted.",Cardiomediastinal silhouette is unchanged.,Cardiomediastinal silhouette,,Stable,"['files/p13/p13263843/s55876844/7e276371-ae411cdf-477008cb-d9eb69ce-b35cc5a0.jpg', 'files/p13/p13263843/s55876844/eddb9933-b3f09de6-7a247c23-5008736e-5f1faba5.jpg']",['files/p13/p13263843/s55748723/f8cdc217-0b1f1e62-649813f5-30f60097-a04abd77.jpg\n']
s55876844_5,p13263843,s55876844,5,Impression,"Interval development of small bilateral pleural effusions. Otherwise, no significant change.",Interval development of small bilateral pleural effusions.,pleural effusions,bilateral,New,"['files/p13/p13263843/s55876844/7e276371-ae411cdf-477008cb-d9eb69ce-b35cc5a0.jpg', 'files/p13/p13263843/s55876844/eddb9933-b3f09de6-7a247c23-5008736e-5f1faba5.jpg']",['files/p13/p13263843/s55748723/f8cdc217-0b1f1e62-649813f5-30f60097-a04abd77.jpg\n']
s55876844_5,p13263843,s55876844,5,Findings,"AP and lateral views of the chest are compared to previous exam from ___. Postoperative changes of right upper lobectomy are again noted. There are new small bilateral pleural effusions. Parenchymal opacity in the right upper lung and perihilar region have not significantly changed and could be in part due to post radiation/treatment changes. Superiorly, the left lung is clear. Cardiomediastinal silhouette is unchanged. Degenerative changes of the right shoulder and post-thoracotomy changes on the right again noted.",Parenchymal opacity in the right upper lung and perihilar region have not significantly changed and could be in part due to post radiation/treatment changes.,Parenchymal opacity,right upper lung and perihilar,Stable,"['files/p13/p13263843/s55876844/7e276371-ae411cdf-477008cb-d9eb69ce-b35cc5a0.jpg', 'files/p13/p13263843/s55876844/eddb9933-b3f09de6-7a247c23-5008736e-5f1faba5.jpg']",['files/p13/p13263843/s55748723/f8cdc217-0b1f1e62-649813f5-30f60097-a04abd77.jpg\n']
s55876844_5,p13263843,s55876844,5,Findings,"AP and lateral views of the chest are compared to previous exam from ___. Postoperative changes of right upper lobectomy are again noted. There are new small bilateral pleural effusions. Parenchymal opacity in the right upper lung and perihilar region have not significantly changed and could be in part due to post radiation/treatment changes. Superiorly, the left lung is clear. Cardiomediastinal silhouette is unchanged. Degenerative changes of the right shoulder and post-thoracotomy changes on the right again noted.",There are new small bilateral pleural effusions.,pleural effusions,bilateral,New,"['files/p13/p13263843/s55876844/7e276371-ae411cdf-477008cb-d9eb69ce-b35cc5a0.jpg', 'files/p13/p13263843/s55876844/eddb9933-b3f09de6-7a247c23-5008736e-5f1faba5.jpg']",['files/p13/p13263843/s55748723/f8cdc217-0b1f1e62-649813f5-30f60097-a04abd77.jpg\n']
s55876844_5,p13263843,s55876844,5,Findings,"AP and lateral views of the chest are compared to previous exam from ___. Postoperative changes of right upper lobectomy are again noted. There are new small bilateral pleural effusions. Parenchymal opacity in the right upper lung and perihilar region have not significantly changed and could be in part due to post radiation/treatment changes. Superiorly, the left lung is clear. Cardiomediastinal silhouette is unchanged. Degenerative changes of the right shoulder and post-thoracotomy changes on the right again noted.",Degenerative changes of the right shoulder and post-thoracotomy changes on the right again noted.,Degenerative changes,right shoulder,Stable,"['files/p13/p13263843/s55876844/7e276371-ae411cdf-477008cb-d9eb69ce-b35cc5a0.jpg', 'files/p13/p13263843/s55876844/eddb9933-b3f09de6-7a247c23-5008736e-5f1faba5.jpg']",['files/p13/p13263843/s55748723/f8cdc217-0b1f1e62-649813f5-30f60097-a04abd77.jpg\n']
s55876844_5,p13263843,s55876844,5,Findings,"AP and lateral views of the chest are compared to previous exam from ___. Postoperative changes of right upper lobectomy are again noted. There are new small bilateral pleural effusions. Parenchymal opacity in the right upper lung and perihilar region have not significantly changed and could be in part due to post radiation/treatment changes. Superiorly, the left lung is clear. Cardiomediastinal silhouette is unchanged. Degenerative changes of the right shoulder and post-thoracotomy changes on the right again noted.",Degenerative changes of the right shoulder and post-thoracotomy changes on the right again noted.,post-thoracotomy changes,right,Stable,"['files/p13/p13263843/s55876844/7e276371-ae411cdf-477008cb-d9eb69ce-b35cc5a0.jpg', 'files/p13/p13263843/s55876844/eddb9933-b3f09de6-7a247c23-5008736e-5f1faba5.jpg']",['files/p13/p13263843/s55748723/f8cdc217-0b1f1e62-649813f5-30f60097-a04abd77.jpg\n']
s55876844_5,p13263843,s55876844,5,Findings,"AP and lateral views of the chest are compared to previous exam from ___. Postoperative changes of right upper lobectomy are again noted. There are new small bilateral pleural effusions. Parenchymal opacity in the right upper lung and perihilar region have not significantly changed and could be in part due to post radiation/treatment changes. Superiorly, the left lung is clear. Cardiomediastinal silhouette is unchanged. Degenerative changes of the right shoulder and post-thoracotomy changes on the right again noted.",Postoperative changes of right upper lobectomy are again noted.,lobectomy postoperative changes,right upper,Stable,"['files/p13/p13263843/s55876844/7e276371-ae411cdf-477008cb-d9eb69ce-b35cc5a0.jpg', 'files/p13/p13263843/s55876844/eddb9933-b3f09de6-7a247c23-5008736e-5f1faba5.jpg']",['files/p13/p13263843/s55748723/f8cdc217-0b1f1e62-649813f5-30f60097-a04abd77.jpg\n']
s55878458_10,p10715477,s55878458,10,Findings,"New PICC line on the right is projecting with its tip somewhere in the mediastinum. Appears to cross the midline, there is concern for potential arterial location. The initial line concerns were communicated over the telephone at the time of the wet read. Repeat PA and lateral radiograph, taken approximately an hour after the radiograph demonstrated the PICC line in the mid SVC. Potential small right pleural effusion. Stable moderate cardiomegaly.",Stable moderate cardiomegaly.,Cardiomegaly,,Stable,"['files/p10/p10715477/s55878458/77961fbc-766a38fd-e7b726ed-43313009-06ed55d4.jpg', 'files/p10/p10715477/s55878458/989b6a15-ba84ab43-d60ebb5a-c7681741-c34f140f.jpg']",['files/p10/p10715477/s55183572/9197e8a6-688e955b-b870d598-a611016b-66ef0b8e.jpg\n']
s55883502_3,p11569042,s55883502,3,Findings,"AP upright and lateral views of the chest were provided. In this patient with known achalasia and dilated esophagus, there is no change in the appearance of the dilated distal esophagus which contains ingested debris. There is no sign of aspiration. Heart size cannot be readily assessed. No large pleural effusion. No pneumothorax. Bony structures intact.","In this patient with known achalasia and dilated esophagus, there is no change in the appearance of the dilated distal esophagus which contains ingested debris.",dilated esophagus with ingested debris,distal esophagus,Stable,"['files/p11/p11569042/s55883502/1c51ebd2-e0c342a3-b529814b-bd3c289d-45148c5f.jpg', 'files/p11/p11569042/s55883502/e03dd9c2-d0a3ddb0-0e9d72c3-1b4c5f92-9593c85f.jpg', 'files/p11/p11569042/s55883502/f91a608a-24c935e7-8330cdeb-6cf80c04-1c7f8652.jpg']",['files/p11/p11569042/s54093116/44d21fe9-7d185d5f-00927b0f-11bf3dce-45b85640.jpg\n']
s55883502_3,p11569042,s55883502,3,Impression,Dilated distal esophagus as seen previously containing ingested food contents. No signs of aspiration. Please refer to prior CT torso for full descriptive details of esophageal abnormalities.,Dilated distal esophagus as seen previously containing ingested food contents.,dilated esophagus with ingested food contents,distal esophagus,Stable,"['files/p11/p11569042/s55883502/1c51ebd2-e0c342a3-b529814b-bd3c289d-45148c5f.jpg', 'files/p11/p11569042/s55883502/e03dd9c2-d0a3ddb0-0e9d72c3-1b4c5f92-9593c85f.jpg', 'files/p11/p11569042/s55883502/f91a608a-24c935e7-8330cdeb-6cf80c04-1c7f8652.jpg']",['files/p11/p11569042/s54093116/44d21fe9-7d185d5f-00927b0f-11bf3dce-45b85640.jpg\n']
s55895933_2,p14147787,s55895933,2,Impression,1. No focal consolidation to suggest pneumonia. 2. Stable bilateral upper lungs zone fibrosis consistent with history of sarcoidosis.,Stable bilateral upper lungs zone fibrosis consistent with history of sarcoidosis.,fibrosis,bilateral upper lungs zones,Stable,"['files/p14/p14147787/s55895933/251055e0-64cd0630-6673abff-5459cfcf-d5ddcf0b.jpg', 'files/p14/p14147787/s55895933/a6ce7c2d-fed21a45-1e772125-f805517d-1d6ee3e9.jpg', 'files/p14/p14147787/s55895933/f924842f-52ef04e9-bc58b54c-f2e44122-e2ab5df2.jpg']","['files/p14/p14147787/s55391430/3fde5d9d-38f2f63c-650afe46-ecc5ae96-a8126971.jpg\n', 'files/p14/p14147787/s55391430/7a52e00c-0cd9dc20-34963936-2a8e2811-cdd867d0.jpg\n', 'files/p14/p14147787/s55391430/a5483a72-9113c597-6bbded1e-2588998a-e04cc1d1.jpg\n']"
s55895933_2,p14147787,s55895933,2,Findings,"Frontal and lateral chest radiographs were obtained. There are persistent, stable bilateral upper lung reticular nodular opacities consistent with history of sarcoidosis. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal and hilar contours are stable.",Mediastinal and hilar contours are stable.,contours,mediastinal and hilar,Stable,"['files/p14/p14147787/s55895933/251055e0-64cd0630-6673abff-5459cfcf-d5ddcf0b.jpg', 'files/p14/p14147787/s55895933/a6ce7c2d-fed21a45-1e772125-f805517d-1d6ee3e9.jpg', 'files/p14/p14147787/s55895933/f924842f-52ef04e9-bc58b54c-f2e44122-e2ab5df2.jpg']","['files/p14/p14147787/s55391430/3fde5d9d-38f2f63c-650afe46-ecc5ae96-a8126971.jpg\n', 'files/p14/p14147787/s55391430/7a52e00c-0cd9dc20-34963936-2a8e2811-cdd867d0.jpg\n', 'files/p14/p14147787/s55391430/a5483a72-9113c597-6bbded1e-2588998a-e04cc1d1.jpg\n']"
s55895933_2,p14147787,s55895933,2,Findings,"Frontal and lateral chest radiographs were obtained. There are persistent, stable bilateral upper lung reticular nodular opacities consistent with history of sarcoidosis. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal and hilar contours are stable.","There are persistent, stable bilateral upper lung reticular nodular opacities consistent with history of sarcoidosis.",reticular nodular opacities,bilateral upper lungs,Stable,"['files/p14/p14147787/s55895933/251055e0-64cd0630-6673abff-5459cfcf-d5ddcf0b.jpg', 'files/p14/p14147787/s55895933/a6ce7c2d-fed21a45-1e772125-f805517d-1d6ee3e9.jpg', 'files/p14/p14147787/s55895933/f924842f-52ef04e9-bc58b54c-f2e44122-e2ab5df2.jpg']","['files/p14/p14147787/s55391430/3fde5d9d-38f2f63c-650afe46-ecc5ae96-a8126971.jpg\n', 'files/p14/p14147787/s55391430/7a52e00c-0cd9dc20-34963936-2a8e2811-cdd867d0.jpg\n', 'files/p14/p14147787/s55391430/a5483a72-9113c597-6bbded1e-2588998a-e04cc1d1.jpg\n']"
s55901243_4,p15758946,s55901243,4,Impression,"AP chest compared to ___: Moderately severe pulmonary edema which developed on ___ has substantially improved. Only a small residual remains, but there is still moderate left and small right pleural effusion. The heart is normal size, and mediastinal veins are no longer dilated. ET tube, left subclavian infusion port, right internal jugular line are in standard placements. Nasogastric tube would need to be advanced 5 cm to move all the side ports into the stomach. No pneumothorax.",AP chest compared to ___: Moderately severe pulmonary edema which developed on ___ has substantially improved.,Moderately severe pulmonary edema,,Better,['files/p15/p15758946/s55901243/f329badd-5f934b2d-44503f43-93b04e89-810e8f0c.jpg'],['files/p15/p15758946/s52981971/b2f5bef1-dc067a8c-521f6348-16787841-eb270634.jpg\n']
s55901243_4,p15758946,s55901243,4,Impression,"AP chest compared to ___: Moderately severe pulmonary edema which developed on ___ has substantially improved. Only a small residual remains, but there is still moderate left and small right pleural effusion. The heart is normal size, and mediastinal veins are no longer dilated. ET tube, left subclavian infusion port, right internal jugular line are in standard placements. Nasogastric tube would need to be advanced 5 cm to move all the side ports into the stomach. No pneumothorax.","The heart is normal size, and mediastinal veins are no longer dilated.",mediastinal veins dilation,,Resolve,['files/p15/p15758946/s55901243/f329badd-5f934b2d-44503f43-93b04e89-810e8f0c.jpg'],['files/p15/p15758946/s52981971/b2f5bef1-dc067a8c-521f6348-16787841-eb270634.jpg\n']
s55901932_15,p13979643,s55901932,15,Findings,"In comparison with the study of ___, there is increasing opacification at both bases with silhouetting of the right heart border and left hemidiaphragm. This is consistent with pneumonia involving the middle lobe and the left lower lobe. There is some indistinctness of pulmonary vessels, which could reflect some overhydration. Monitoring and support devices remain in place.","In comparison with the study of ___, there is increasing opacification at both bases with silhouetting of the right heart border and left hemidiaphragm.",opacification,both bases,Worse,['files/p13/p13979643/s55901932/f4c4784b-31b99106-b81f1b06-5297ab3a-8cc7ddaf.jpg'],['files/p13/p13979643/s55490963/0a69cc34-5b2f951d-97d57989-4fc060c7-52b94812.jpg\n']
s55901932_15,p13979643,s55901932,15,Findings,"In comparison with the study of ___, there is increasing opacification at both bases with silhouetting of the right heart border and left hemidiaphragm. This is consistent with pneumonia involving the middle lobe and the left lower lobe. There is some indistinctness of pulmonary vessels, which could reflect some overhydration. Monitoring and support devices remain in place.",Monitoring and support devices remain in place.,Monitoring and support devices,,Stable,['files/p13/p13979643/s55901932/f4c4784b-31b99106-b81f1b06-5297ab3a-8cc7ddaf.jpg'],['files/p13/p13979643/s55490963/0a69cc34-5b2f951d-97d57989-4fc060c7-52b94812.jpg\n']
s55902256_2,p17704774,s55902256,2,Findings,Comparison is made to prior study from ___. There is a right-sided chest tube with the distal tip within the right upper lobe. There is a persistent right-sided pneumothorax which has increased slightly since the previous study. There is now a portion of pneumothorax seen along the right lower chest wall. There remains an apical component. There is also a portion of a hydropneumothorax at the right base. There is again seen diffuse airspace opacities and nodular densities consistent with widespread pulmonary metastases. Spinal hardware is seen. There is a right-sided Port-A-Cath with the distal tip in the distal SVC in stable position.,There is again seen diffuse airspace opacities and nodular densities consistent with widespread pulmonary metastases.,airspace opacities and nodular densities,diffuse,Stable,['files/p17/p17704774/s55902256/e2a0ad89-ad9f7213-42de3b6c-34d942a2-c8f7ec98.jpg'],['files/p17/p17704774/s54949810/9a046e7c-057d79d3-d97632b4-19afc34b-e0beff6a.jpg\n']
s55902256_2,p17704774,s55902256,2,Findings,Comparison is made to prior study from ___. There is a right-sided chest tube with the distal tip within the right upper lobe. There is a persistent right-sided pneumothorax which has increased slightly since the previous study. There is now a portion of pneumothorax seen along the right lower chest wall. There remains an apical component. There is also a portion of a hydropneumothorax at the right base. There is again seen diffuse airspace opacities and nodular densities consistent with widespread pulmonary metastases. Spinal hardware is seen. There is a right-sided Port-A-Cath with the distal tip in the distal SVC in stable position.,There is now a portion of pneumothorax seen along the right lower chest wall.,pneumothorax,right lower chest wall,New,['files/p17/p17704774/s55902256/e2a0ad89-ad9f7213-42de3b6c-34d942a2-c8f7ec98.jpg'],['files/p17/p17704774/s54949810/9a046e7c-057d79d3-d97632b4-19afc34b-e0beff6a.jpg\n']
s55902256_2,p17704774,s55902256,2,Findings,Comparison is made to prior study from ___. There is a right-sided chest tube with the distal tip within the right upper lobe. There is a persistent right-sided pneumothorax which has increased slightly since the previous study. There is now a portion of pneumothorax seen along the right lower chest wall. There remains an apical component. There is also a portion of a hydropneumothorax at the right base. There is again seen diffuse airspace opacities and nodular densities consistent with widespread pulmonary metastases. Spinal hardware is seen. There is a right-sided Port-A-Cath with the distal tip in the distal SVC in stable position.,There is a persistent right-sided pneumothorax which has increased slightly since the previous study.,pneumothorax,right-sided,Worse,['files/p17/p17704774/s55902256/e2a0ad89-ad9f7213-42de3b6c-34d942a2-c8f7ec98.jpg'],['files/p17/p17704774/s54949810/9a046e7c-057d79d3-d97632b4-19afc34b-e0beff6a.jpg\n']
s55902256_2,p17704774,s55902256,2,Findings,Comparison is made to prior study from ___. There is a right-sided chest tube with the distal tip within the right upper lobe. There is a persistent right-sided pneumothorax which has increased slightly since the previous study. There is now a portion of pneumothorax seen along the right lower chest wall. There remains an apical component. There is also a portion of a hydropneumothorax at the right base. There is again seen diffuse airspace opacities and nodular densities consistent with widespread pulmonary metastases. Spinal hardware is seen. There is a right-sided Port-A-Cath with the distal tip in the distal SVC in stable position.,There is a right-sided Port-A-Cath with the distal tip in the distal SVC in stable position.,right-sided Port-A-Cath,distal SVC,Stable,['files/p17/p17704774/s55902256/e2a0ad89-ad9f7213-42de3b6c-34d942a2-c8f7ec98.jpg'],['files/p17/p17704774/s54949810/9a046e7c-057d79d3-d97632b4-19afc34b-e0beff6a.jpg\n']
s55902256_2,p17704774,s55902256,2,Impression,Slight interval increase in the right-sided pneumothorax.,Slight interval increase in the right-sided pneumothorax.,pneumothorax,right-sided,Worse,['files/p17/p17704774/s55902256/e2a0ad89-ad9f7213-42de3b6c-34d942a2-c8f7ec98.jpg'],['files/p17/p17704774/s54949810/9a046e7c-057d79d3-d97632b4-19afc34b-e0beff6a.jpg\n']
s55902256_2,p17704774,s55902256,2,Findings,Comparison is made to prior study from ___. There is a right-sided chest tube with the distal tip within the right upper lobe. There is a persistent right-sided pneumothorax which has increased slightly since the previous study. There is now a portion of pneumothorax seen along the right lower chest wall. There remains an apical component. There is also a portion of a hydropneumothorax at the right base. There is again seen diffuse airspace opacities and nodular densities consistent with widespread pulmonary metastases. Spinal hardware is seen. There is a right-sided Port-A-Cath with the distal tip in the distal SVC in stable position.,There remains an apical component.,component,apical,Stable,['files/p17/p17704774/s55902256/e2a0ad89-ad9f7213-42de3b6c-34d942a2-c8f7ec98.jpg'],['files/p17/p17704774/s54949810/9a046e7c-057d79d3-d97632b4-19afc34b-e0beff6a.jpg\n']
s55906329_0,p19907884,s55906329,0,Findings,"With the patient's neck in flexed position, the endotracheal tube ending approximately 7cm above the carina is highly placed. Consider advancing the endotracheal tube by additional 4 cm for better seating. New left internal jugular line ends at the left vertebral margins and is likely within the left brachiocephalic trunk. Considering advancing by additional 2.5 cm to 3 cm. Left PICC line ends at lower SVC. Both lung volumes are low and remarkable for minimal bibasal atelectasis. No oacities concerning for pneumonia. A thin, curved, radioopaque structure is seen extending from right medial basal lung till right hypochrondriac region. Its clinical significance was discussed with Dr.___ by phone on ___ at 4.50PM, but my discussion led to conclude this as of uncertain nature. I recommend a lateral radiograph for further evaluation to see if this is a artifact or real. Orogastric tube is seen coursing below the diaphragm into the stomach and is adequately placed. An abdominal drain tube is seen in the left upper abdomen. Above findings were discussed with Dr. ___ by phone on ___ at 4:50 p.m.",New left internal jugular line ends at the left vertebral margins and is likely within the left brachiocephalic trunk.,internal jugular line,left vertebral margins,New,"['files/p19/p19907884/s55906329/247125c4-d3771619-d3f0f316-f696f8c7-c66bc0b7.jpg', 'files/p19/p19907884/s55906329/c76592b7-dc16f6ee-eddffb4d-e872e85b-672e7d59.jpg']","['files/p19/p19907884/s55036801/12a0ceaa-cb54cf1c-5c1f8505-092df7e4-cea16553.jpg\n', 'files/p19/p19907884/s55036801/6a92203f-216df921-4fce7d2a-acd7f2ac-ff08b6bf.jpg\n']"
s55907924_6,p12595991,s55907924,6,Impression,"Severe elevation right hemidiaphragm which was new or substantially worsened on ___ is unchanged. Severe cardiomegaly stable. No pulmonary edema or appreciable pleural effusion. Aside from right lower lobe atelectasiscommensurate with the elevated hemidiaphragm, lungs are clear. Courses of the 3 leads for the atrial biventricular pacer defibrillator system, a standard and no pneumothorax. Unchanged.",Severe elevation right hemidiaphragm which was new or substantially worsened on ___ is unchanged.,elevation,right hemidiaphragm,Stable,['files/p12/p12595991/s55907924/9c8bbef1-95e3b0fb-eea57c06-586fe950-918a79be.jpg'],['files/p12/p12595991/s55463602/bf9f8403-f941bbb9-13c134ff-ac80d6b9-e8442bdf.jpg\n']
s55907924_6,p12595991,s55907924,6,Impression,"Severe elevation right hemidiaphragm which was new or substantially worsened on ___ is unchanged. Severe cardiomegaly stable. No pulmonary edema or appreciable pleural effusion. Aside from right lower lobe atelectasiscommensurate with the elevated hemidiaphragm, lungs are clear. Courses of the 3 leads for the atrial biventricular pacer defibrillator system, a standard and no pneumothorax. Unchanged.",Severe cardiomegaly stable.,cardiomegaly,,Stable,['files/p12/p12595991/s55907924/9c8bbef1-95e3b0fb-eea57c06-586fe950-918a79be.jpg'],['files/p12/p12595991/s55463602/bf9f8403-f941bbb9-13c134ff-ac80d6b9-e8442bdf.jpg\n']
s55908245_3,p13700088,s55908245,3,Findings,PA and lateral views of the chest are obtained. There is mild interstitial pulmonary edema without focal consolidation to suggest pneumonia. No large pleural effusion or pneumothorax is seen. Heart size is grossly stable. Central pulmonary vasculature appears engorged. Bony structures are intact.,Heart size is grossly stable.,size,Heart,Stable,"['files/p13/p13700088/s55908245/3c13fcf9-f4e94af1-bd429b2a-ff94e888-09fb67fa.jpg', 'files/p13/p13700088/s55908245/b8a682a3-13005580-762d54e7-031106db-9c766de1.jpg', 'files/p13/p13700088/s55908245/c8f77e9b-ae1d0935-5fc5b81a-bbae4b84-91567aec.jpg']","['files/p13/p13700088/s54082940/4b8a29ae-36006b7b-c4964368-02ab587d-1ee25fdc.jpg\n', 'files/p13/p13700088/s54082940/a0a7577d-53a8748e-450244b3-39cec864-8a18f0cf.jpg\n']"
s55911959_10,p10975446,s55911959,10,Findings,"As compared to the previous radiograph, there is no major change. The monitoring and support devices are in unchanged position. Small bilateral pleural effusions with evidence of relatively extensive bilateral probably atelectatic consolidations. Mild-to-moderate fluid overload. No newly appeared focal parenchymal opacities. Extensive calcifications and tortuosity of the thoracic aorta.",Small bilateral pleural effusions with evidence of relatively extensive bilateral probably atelectatic consolidations.,pleural effusions,bilateral,Stable,['files/p10/p10975446/s55911959/f64708b2-5173902f-9397bc55-1a8502c8-8be61ec4.jpg'],['files/p10/p10975446/s55747813/520be031-be2101c2-d3c096ac-08925edb-0177dee8.jpg\n']
s55911959_10,p10975446,s55911959,10,Findings,"As compared to the previous radiograph, there is no major change. The monitoring and support devices are in unchanged position. Small bilateral pleural effusions with evidence of relatively extensive bilateral probably atelectatic consolidations. Mild-to-moderate fluid overload. No newly appeared focal parenchymal opacities. Extensive calcifications and tortuosity of the thoracic aorta.",Extensive calcifications and tortuosity of the thoracic aorta.,tortuosity of the thoracic aorta,,Stable,['files/p10/p10975446/s55911959/f64708b2-5173902f-9397bc55-1a8502c8-8be61ec4.jpg'],['files/p10/p10975446/s55747813/520be031-be2101c2-d3c096ac-08925edb-0177dee8.jpg\n']
s55911959_10,p10975446,s55911959,10,Findings,"As compared to the previous radiograph, there is no major change. The monitoring and support devices are in unchanged position. Small bilateral pleural effusions with evidence of relatively extensive bilateral probably atelectatic consolidations. Mild-to-moderate fluid overload. No newly appeared focal parenchymal opacities. Extensive calcifications and tortuosity of the thoracic aorta.",Extensive calcifications and tortuosity of the thoracic aorta.,calcifications,,Stable,['files/p10/p10975446/s55911959/f64708b2-5173902f-9397bc55-1a8502c8-8be61ec4.jpg'],['files/p10/p10975446/s55747813/520be031-be2101c2-d3c096ac-08925edb-0177dee8.jpg\n']
s55911959_10,p10975446,s55911959,10,Findings,"As compared to the previous radiograph, there is no major change. The monitoring and support devices are in unchanged position. Small bilateral pleural effusions with evidence of relatively extensive bilateral probably atelectatic consolidations. Mild-to-moderate fluid overload. No newly appeared focal parenchymal opacities. Extensive calcifications and tortuosity of the thoracic aorta.",Small bilateral pleural effusions with evidence of relatively extensive bilateral probably atelectatic consolidations.,atelectatic consolidations,bilateral,Stable,['files/p10/p10975446/s55911959/f64708b2-5173902f-9397bc55-1a8502c8-8be61ec4.jpg'],['files/p10/p10975446/s55747813/520be031-be2101c2-d3c096ac-08925edb-0177dee8.jpg\n']
s55911959_10,p10975446,s55911959,10,Findings,"As compared to the previous radiograph, there is no major change. The monitoring and support devices are in unchanged position. Small bilateral pleural effusions with evidence of relatively extensive bilateral probably atelectatic consolidations. Mild-to-moderate fluid overload. No newly appeared focal parenchymal opacities. Extensive calcifications and tortuosity of the thoracic aorta.",No newly appeared focal parenchymal opacities.,parenchymal opacities,focal,New,['files/p10/p10975446/s55911959/f64708b2-5173902f-9397bc55-1a8502c8-8be61ec4.jpg'],['files/p10/p10975446/s55747813/520be031-be2101c2-d3c096ac-08925edb-0177dee8.jpg\n']
s55911959_10,p10975446,s55911959,10,Findings,"As compared to the previous radiograph, there is no major change. The monitoring and support devices are in unchanged position. Small bilateral pleural effusions with evidence of relatively extensive bilateral probably atelectatic consolidations. Mild-to-moderate fluid overload. No newly appeared focal parenchymal opacities. Extensive calcifications and tortuosity of the thoracic aorta.",Mild-to-moderate fluid overload.,fluid overload,,Stable,['files/p10/p10975446/s55911959/f64708b2-5173902f-9397bc55-1a8502c8-8be61ec4.jpg'],['files/p10/p10975446/s55747813/520be031-be2101c2-d3c096ac-08925edb-0177dee8.jpg\n']
s55921730_35,p17340686,s55921730,35,Findings,Support and monitoring devices are in standard position. Cardiomegaly is accompanied by pulmonary vascular congestion and worsening edema. Increasing confluent opacity in the right perihilar and infrahilar regions may reflect asymmetrical edema or developing pneumonia. Known right middle lobe mass is partially obscured by this process. Moderate layering right pleural effusion and small left pleural effusion are also demonstrated.,Increasing confluent opacity in the right perihilar and infrahilar regions may reflect asymmetrical edema or developing pneumonia.,asymmetrical edema,right perihilar and infrahilar regions,New,['files/p17/p17340686/s55921730/fcefff91-22ab7055-235f085c-ea9ac8ad-bbdaa83c.jpg'],"['files/p17/p17340686/s55834779/04c731eb-0cc43023-ab7dbb20-aaee6d1b-7d9295c9.jpg\n', 'files/p17/p17340686/s55834779/9763cff1-26fe3d95-bb076c42-59a33d2e-4986039e.jpg\n']"
s55921730_35,p17340686,s55921730,35,Findings,Support and monitoring devices are in standard position. Cardiomegaly is accompanied by pulmonary vascular congestion and worsening edema. Increasing confluent opacity in the right perihilar and infrahilar regions may reflect asymmetrical edema or developing pneumonia. Known right middle lobe mass is partially obscured by this process. Moderate layering right pleural effusion and small left pleural effusion are also demonstrated.,Increasing confluent opacity in the right perihilar and infrahilar regions may reflect asymmetrical edema or developing pneumonia.,pneumonia,right perihilar and infrahilar regions,New,['files/p17/p17340686/s55921730/fcefff91-22ab7055-235f085c-ea9ac8ad-bbdaa83c.jpg'],"['files/p17/p17340686/s55834779/04c731eb-0cc43023-ab7dbb20-aaee6d1b-7d9295c9.jpg\n', 'files/p17/p17340686/s55834779/9763cff1-26fe3d95-bb076c42-59a33d2e-4986039e.jpg\n']"
s55921730_35,p17340686,s55921730,35,Findings,Support and monitoring devices are in standard position. Cardiomegaly is accompanied by pulmonary vascular congestion and worsening edema. Increasing confluent opacity in the right perihilar and infrahilar regions may reflect asymmetrical edema or developing pneumonia. Known right middle lobe mass is partially obscured by this process. Moderate layering right pleural effusion and small left pleural effusion are also demonstrated.,Cardiomegaly is accompanied by pulmonary vascular congestion and worsening edema.,edema,,Worse,['files/p17/p17340686/s55921730/fcefff91-22ab7055-235f085c-ea9ac8ad-bbdaa83c.jpg'],"['files/p17/p17340686/s55834779/04c731eb-0cc43023-ab7dbb20-aaee6d1b-7d9295c9.jpg\n', 'files/p17/p17340686/s55834779/9763cff1-26fe3d95-bb076c42-59a33d2e-4986039e.jpg\n']"
s55926507_34,p14841168,s55926507,34,Impression,1. Interval right middle lobe and right lower lobe collapse. 2. Endotracheal tube terminates 4.3 cm from the carina.,1. Interval right middle lobe and right lower lobe collapse.,collapse,right middle lobe and right lower lobe,New,['files/p14/p14841168/s55926507/e3e6cc59-4cfa69f0-eb73c903-0346145f-f6ae821f.jpg'],"['files/p14/p14841168/s55807374/292e260b-5f2cf60c-0422ecb6-9200cc0f-ef9654d4.jpg\n', 'files/p14/p14841168/s55807374/3dd7fadc-472e29be-47a89d67-912975dd-439fad53.jpg\n']"
s55926507_34,p14841168,s55926507,34,Findings,"Compared with the immediate prior study of earlier on the same day there has been new or right middle lobe and right lower lobe collapse. There is likely trace associated layering right pleural effusion. The endotracheal tube terminates 4.3 cm from the carina. A left subclavian central venous catheter terminates the junction of the SVC with the brachiocephalic vein. An enteric tube courses below the diaphragm and outside of the field of view. An inferior approach central venous catheter terminates in the IVC, unchanged. There is no left-sided pleural effusion or consolidation.",Compared with the immediate prior study of earlier on the same day there has been new or right middle lobe and right lower lobe collapse.,collapse,right middle lobe and right lower lobe,New,['files/p14/p14841168/s55926507/e3e6cc59-4cfa69f0-eb73c903-0346145f-f6ae821f.jpg'],"['files/p14/p14841168/s55807374/292e260b-5f2cf60c-0422ecb6-9200cc0f-ef9654d4.jpg\n', 'files/p14/p14841168/s55807374/3dd7fadc-472e29be-47a89d67-912975dd-439fad53.jpg\n']"
s55926507_34,p14841168,s55926507,34,Findings,"Compared with the immediate prior study of earlier on the same day there has been new or right middle lobe and right lower lobe collapse. There is likely trace associated layering right pleural effusion. The endotracheal tube terminates 4.3 cm from the carina. A left subclavian central venous catheter terminates the junction of the SVC with the brachiocephalic vein. An enteric tube courses below the diaphragm and outside of the field of view. An inferior approach central venous catheter terminates in the IVC, unchanged. There is no left-sided pleural effusion or consolidation.","An inferior approach central venous catheter terminates in the IVC, unchanged.",central venous catheter,inferior,Stable,['files/p14/p14841168/s55926507/e3e6cc59-4cfa69f0-eb73c903-0346145f-f6ae821f.jpg'],"['files/p14/p14841168/s55807374/292e260b-5f2cf60c-0422ecb6-9200cc0f-ef9654d4.jpg\n', 'files/p14/p14841168/s55807374/3dd7fadc-472e29be-47a89d67-912975dd-439fad53.jpg\n']"
s55937788_5,p19499595,s55937788,5,Findings,"Frontal and lateral views of the chest demonstrate multiple fractured sternal wires, unchanged from ___. New from ___, is a posteriorly displaced sternal wire fragment at approximately the mid sternal level. There is no focal consolidation. The cardiomediastinal and hilar contours are stable. There is no pneumothorax or a pleural effusion.",The cardiomediastinal and hilar contours are stable,cardiomediastinal and hilar contours,,Stable,"['files/p19/p19499595/s55937788/2290a4bd-134ecd43-8b4207a5-bc940915-b81657b2.jpg', 'files/p19/p19499595/s55937788/af0c4020-5add1573-1c5ab2bf-de56409e-b3748c43.jpg']","['files/p19/p19499595/s55609137/90959c50-71b7d860-9e648092-e311c647-681c62e5.jpg\n', 'files/p19/p19499595/s55609137/c04f1959-6d763649-3561d2d3-baf924f7-bac2214b.jpg\n']"
s55937788_5,p19499595,s55937788,5,Findings,"Frontal and lateral views of the chest demonstrate multiple fractured sternal wires, unchanged from ___. New from ___, is a posteriorly displaced sternal wire fragment at approximately the mid sternal level. There is no focal consolidation. The cardiomediastinal and hilar contours are stable. There is no pneumothorax or a pleural effusion.","New from ___, is a posteriorly displaced sternal wire fragment at approximately the mid sternal level",posteriorly displaced sternal wire fragment,mid sternal level,New,"['files/p19/p19499595/s55937788/2290a4bd-134ecd43-8b4207a5-bc940915-b81657b2.jpg', 'files/p19/p19499595/s55937788/af0c4020-5add1573-1c5ab2bf-de56409e-b3748c43.jpg']","['files/p19/p19499595/s55609137/90959c50-71b7d860-9e648092-e311c647-681c62e5.jpg\n', 'files/p19/p19499595/s55609137/c04f1959-6d763649-3561d2d3-baf924f7-bac2214b.jpg\n']"
s55937788_5,p19499595,s55937788,5,Findings,"Frontal and lateral views of the chest demonstrate multiple fractured sternal wires, unchanged from ___. New from ___, is a posteriorly displaced sternal wire fragment at approximately the mid sternal level. There is no focal consolidation. The cardiomediastinal and hilar contours are stable. There is no pneumothorax or a pleural effusion.","Frontal and lateral views of the chest demonstrate multiple fractured sternal wires, unchanged from ___",fractured wires,sternal,Stable,"['files/p19/p19499595/s55937788/2290a4bd-134ecd43-8b4207a5-bc940915-b81657b2.jpg', 'files/p19/p19499595/s55937788/af0c4020-5add1573-1c5ab2bf-de56409e-b3748c43.jpg']","['files/p19/p19499595/s55609137/90959c50-71b7d860-9e648092-e311c647-681c62e5.jpg\n', 'files/p19/p19499595/s55609137/c04f1959-6d763649-3561d2d3-baf924f7-bac2214b.jpg\n']"
s55937788_5,p19499595,s55937788,5,Impression,No interval change to multiple fractured sternal wires. Recommend chest CT to localize a posteriorly displaced wire fragment of the superior third sternal wire.,No interval change to multiple fractured sternal wires,fractured wires,sternal,Stable,"['files/p19/p19499595/s55937788/2290a4bd-134ecd43-8b4207a5-bc940915-b81657b2.jpg', 'files/p19/p19499595/s55937788/af0c4020-5add1573-1c5ab2bf-de56409e-b3748c43.jpg']","['files/p19/p19499595/s55609137/90959c50-71b7d860-9e648092-e311c647-681c62e5.jpg\n', 'files/p19/p19499595/s55609137/c04f1959-6d763649-3561d2d3-baf924f7-bac2214b.jpg\n']"
s55938803_16,p16848073,s55938803,16,Findings,"In comparison with the study of ___, there is little change in the appearance of the mediastinum with no evidence of post-procedure pneumomediastinum or pneumothorax. There is some indistinctness of pulmonary markings at the right base, raising the possibility of some elevated pulmonary venous pressure. Blunting of the costophrenic angles is seen bilaterally.","In comparison with the study of ___, there is little change in the appearance of the mediastinum with no evidence of post-procedure pneumomediastinum or pneumothorax.",Appearance,mediastinum,Stable,['files/p16/p16848073/s55938803/9528bf70-0da47cb5-e9dba3c0-608485c6-9923e87e.jpg'],['files/p16/p16848073/s55592328/b0b25621-e94059fd-7edf2e6e-78f2c194-f085dc8c.jpg\n']
s55939586_0,p17396677,s55939586,0,Findings,"As compared to the previous radiograph, there is complete clearing of the pre-existing opacity in the right lower lobe. No evidence of current pneumonia. No other parenchymal changes. Normal size of the cardiac silhouette. No pleural effusion. No hilar or mediastinal abnormalities.","As compared to the previous radiograph, there is complete clearing of the pre-existing opacity in the right lower lobe.",opacity,right lower lobe,Resolve,"['files/p17/p17396677/s55939586/ab649acd-239dc728-c8404656-da6cbf96-fb31a0b6.jpg', 'files/p17/p17396677/s55939586/da96d0b2-703c1297-0c6a6193-9d2ce59a-b313489b.jpg']",
s55940912_11,p15114531,s55940912,11,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with next preceding two-view chest examination obtained six hours earlier during the same day. Heart size remains normal. No configurational abnormalities identified. Unchanged appearance of thoracic aorta. No pulmonary vascular congestion is present. No new pulmonary parenchymal infiltrates are identified and the lateral and posterior pleural sinuses are free. There is evidence of a metallic fixation plate in the lower portion of the cervical spine and in the upper left abdominal quadrant surgical clips are noted; cause of operation not identified. Similar as on the preceding portable chest examination, a right-sided PICC line is identified, seen to terminate in the SVC at a level 3 cm below the carina.","Similar as on the preceding portable chest examination, a right-sided PICC line is identified, seen to terminate in the SVC at a level 3 cm below the carina.",PICC line,right,Stable,"['files/p15/p15114531/s55940912/77627414-f5a7090e-25aa3533-2b99b3af-0c5abf63.jpg', 'files/p15/p15114531/s55940912/a025f08e-de9dddc4-8716a1ac-899ce213-d7289c7a.jpg']",['files/p15/p15114531/s55783830/55f894b1-3ca82dcd-410935e9-581ee95c-1273b576.jpg\n']
s55940912_11,p15114531,s55940912,11,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with next preceding two-view chest examination obtained six hours earlier during the same day. Heart size remains normal. No configurational abnormalities identified. Unchanged appearance of thoracic aorta. No pulmonary vascular congestion is present. No new pulmonary parenchymal infiltrates are identified and the lateral and posterior pleural sinuses are free. There is evidence of a metallic fixation plate in the lower portion of the cervical spine and in the upper left abdominal quadrant surgical clips are noted; cause of operation not identified. Similar as on the preceding portable chest examination, a right-sided PICC line is identified, seen to terminate in the SVC at a level 3 cm below the carina.",Unchanged appearance of thoracic aorta.,thoracic aorta,,Stable,"['files/p15/p15114531/s55940912/77627414-f5a7090e-25aa3533-2b99b3af-0c5abf63.jpg', 'files/p15/p15114531/s55940912/a025f08e-de9dddc4-8716a1ac-899ce213-d7289c7a.jpg']",['files/p15/p15114531/s55783830/55f894b1-3ca82dcd-410935e9-581ee95c-1273b576.jpg\n']
s55940912_11,p15114531,s55940912,11,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with next preceding two-view chest examination obtained six hours earlier during the same day. Heart size remains normal. No configurational abnormalities identified. Unchanged appearance of thoracic aorta. No pulmonary vascular congestion is present. No new pulmonary parenchymal infiltrates are identified and the lateral and posterior pleural sinuses are free. There is evidence of a metallic fixation plate in the lower portion of the cervical spine and in the upper left abdominal quadrant surgical clips are noted; cause of operation not identified. Similar as on the preceding portable chest examination, a right-sided PICC line is identified, seen to terminate in the SVC at a level 3 cm below the carina.",Heart size remains normal.,Heart size,,Stable,"['files/p15/p15114531/s55940912/77627414-f5a7090e-25aa3533-2b99b3af-0c5abf63.jpg', 'files/p15/p15114531/s55940912/a025f08e-de9dddc4-8716a1ac-899ce213-d7289c7a.jpg']",['files/p15/p15114531/s55783830/55f894b1-3ca82dcd-410935e9-581ee95c-1273b576.jpg\n']
s55944918_3,p17318449,s55944918,3,Findings,"PA and lateral radiographs of the chest demonstrate clear lungs, without evidence of right lower lobe consolidation. There is no pleural effusion or pneumothorax. The hilar and cardiomediastinal contours are normal. Pulmonary vascularity is normal. Chronic findings of intact sternal cerclage wires as well as unfolded configuration of the aorta are once again noted.",Chronic findings of intact sternal cerclage wires as well as unfolded configuration of the aorta are once again noted.,unfolded configuration,aorta,Stable,"['files/p17/p17318449/s55944918/2a2a2146-3823d8bb-bc8ec58d-9af8fa05-fa3a7068.jpg', 'files/p17/p17318449/s55944918/6021cfe7-e84289ad-c2738e0c-e8db237c-d7147774.jpg', 'files/p17/p17318449/s55944918/6ca5a964-c2ca2bd9-65649ae8-f92049bd-64042102.jpg']","['files/p17/p17318449/s55782701/9e39cc45-a2ff14d4-3339ec28-dae4711c-f856e2b8.jpg\n', 'files/p17/p17318449/s55782701/c33529b6-0bc71076-a10b08f6-ef0692d4-2c28d98f.jpg\n']"
s55944918_3,p17318449,s55944918,3,Findings,"PA and lateral radiographs of the chest demonstrate clear lungs, without evidence of right lower lobe consolidation. There is no pleural effusion or pneumothorax. The hilar and cardiomediastinal contours are normal. Pulmonary vascularity is normal. Chronic findings of intact sternal cerclage wires as well as unfolded configuration of the aorta are once again noted.",Chronic findings of intact sternal cerclage wires as well as unfolded configuration of the aorta are once again noted.,cerclage wires,sternal,Stable,"['files/p17/p17318449/s55944918/2a2a2146-3823d8bb-bc8ec58d-9af8fa05-fa3a7068.jpg', 'files/p17/p17318449/s55944918/6021cfe7-e84289ad-c2738e0c-e8db237c-d7147774.jpg', 'files/p17/p17318449/s55944918/6ca5a964-c2ca2bd9-65649ae8-f92049bd-64042102.jpg']","['files/p17/p17318449/s55782701/9e39cc45-a2ff14d4-3339ec28-dae4711c-f856e2b8.jpg\n', 'files/p17/p17318449/s55782701/c33529b6-0bc71076-a10b08f6-ef0692d4-2c28d98f.jpg\n']"
s55946640_6,p19016834,s55946640,6,Findings,"PA and lateral views of the chest were obtained. The lungs are hyperinflated with markedly widened AP diameter of the chest which is compatible with emphysema. An area of presumed scarring at the right lung base appears stable from most recent prior exam. There is no new consolidation, effusion, or pneumothorax seen. Cardiomediastinal silhouette appears stable. Bony structures intact.",Cardiomediastinal silhouette appears stable.,silhouette,cardiomediastinal,Stable,"['files/p19/p19016834/s55946640/20c5c50c-553e3e49-0736e206-832e3377-9d7f8937.jpg', 'files/p19/p19016834/s55946640/ed9628e5-62ce1427-67e04f11-6daf5632-424ef2d1.jpg']","['files/p19/p19016834/s55157144/405581ff-6e5fc337-04c3cddc-f4b5bffe-992dd6f7.jpg\n', 'files/p19/p19016834/s55157144/5d75ee2c-09804dfd-a85eb831-74593896-c361801f.jpg\n']"
s55946640_6,p19016834,s55946640,6,Findings,"PA and lateral views of the chest were obtained. The lungs are hyperinflated with markedly widened AP diameter of the chest which is compatible with emphysema. An area of presumed scarring at the right lung base appears stable from most recent prior exam. There is no new consolidation, effusion, or pneumothorax seen. Cardiomediastinal silhouette appears stable. Bony structures intact.",An area of presumed scarring at the right lung base appears stable from most recent prior exam.,scarring,right lung base,Stable,"['files/p19/p19016834/s55946640/20c5c50c-553e3e49-0736e206-832e3377-9d7f8937.jpg', 'files/p19/p19016834/s55946640/ed9628e5-62ce1427-67e04f11-6daf5632-424ef2d1.jpg']","['files/p19/p19016834/s55157144/405581ff-6e5fc337-04c3cddc-f4b5bffe-992dd6f7.jpg\n', 'files/p19/p19016834/s55157144/5d75ee2c-09804dfd-a85eb831-74593896-c361801f.jpg\n']"
s55947318_1,p11928692,s55947318,1,Findings,"Left ventricular pacemaker device is again noted with appropriately positioned right atrial and right ventricular leads. Mild cardiomegaly is unchanged from ___. Mild pulmonary venous congestion with cephalization and predominantly perihilar opacities consistent with mild interstitial pulmonary edema appears similar to chest radiograph of ___. There is no evidence of pleural effusion or pneumothorax. There is linear atelectasis at the left lung base, similar to the prior examination. Loss of height of a upper mid thoracic vertebral body is unchanged compared to ___.",Mild cardiomegaly is unchanged from ___.,Mild cardiomegaly,,Stable,"['files/p11/p11928692/s55947318/2c5c8a39-6ae3dd9e-2b4d5279-6bb07505-1b57f5ab.jpg', 'files/p11/p11928692/s55947318/df66e950-78bfa09d-ccc14e43-193ef713-3c2bd5a4.jpg']","['files/p11/p11928692/s54164323/129d1cfc-6a372c68-c84b5eaf-53903d40-670d6d9c.jpg\n', 'files/p11/p11928692/s54164323/3606dd6e-1d4e216a-0251de47-cb1445d6-fcb76ed3.jpg\n', 'files/p11/p11928692/s54164323/405e6cc1-70b9d9b3-1c752677-010c4ee9-b217b783.jpg\n', 'files/p11/p11928692/s54164323/5475bdcc-37f6b853-142a043b-3e6572f9-5b71d475.jpg\n']"
s55947318_1,p11928692,s55947318,1,Findings,"Left ventricular pacemaker device is again noted with appropriately positioned right atrial and right ventricular leads. Mild cardiomegaly is unchanged from ___. Mild pulmonary venous congestion with cephalization and predominantly perihilar opacities consistent with mild interstitial pulmonary edema appears similar to chest radiograph of ___. There is no evidence of pleural effusion or pneumothorax. There is linear atelectasis at the left lung base, similar to the prior examination. Loss of height of a upper mid thoracic vertebral body is unchanged compared to ___.",Mild pulmonary venous congestion with cephalization and predominantly perihilar opacities consistent with mild interstitial pulmonary edema appears similar to chest radiograph of ___.,Mild interstitial pulmonary edema,,Stable,"['files/p11/p11928692/s55947318/2c5c8a39-6ae3dd9e-2b4d5279-6bb07505-1b57f5ab.jpg', 'files/p11/p11928692/s55947318/df66e950-78bfa09d-ccc14e43-193ef713-3c2bd5a4.jpg']","['files/p11/p11928692/s54164323/129d1cfc-6a372c68-c84b5eaf-53903d40-670d6d9c.jpg\n', 'files/p11/p11928692/s54164323/3606dd6e-1d4e216a-0251de47-cb1445d6-fcb76ed3.jpg\n', 'files/p11/p11928692/s54164323/405e6cc1-70b9d9b3-1c752677-010c4ee9-b217b783.jpg\n', 'files/p11/p11928692/s54164323/5475bdcc-37f6b853-142a043b-3e6572f9-5b71d475.jpg\n']"
s55947318_1,p11928692,s55947318,1,Findings,"Left ventricular pacemaker device is again noted with appropriately positioned right atrial and right ventricular leads. Mild cardiomegaly is unchanged from ___. Mild pulmonary venous congestion with cephalization and predominantly perihilar opacities consistent with mild interstitial pulmonary edema appears similar to chest radiograph of ___. There is no evidence of pleural effusion or pneumothorax. There is linear atelectasis at the left lung base, similar to the prior examination. Loss of height of a upper mid thoracic vertebral body is unchanged compared to ___.","There is linear atelectasis at the left lung base, similar to the prior examination.",Linear atelectasis,Left lung base,Stable,"['files/p11/p11928692/s55947318/2c5c8a39-6ae3dd9e-2b4d5279-6bb07505-1b57f5ab.jpg', 'files/p11/p11928692/s55947318/df66e950-78bfa09d-ccc14e43-193ef713-3c2bd5a4.jpg']","['files/p11/p11928692/s54164323/129d1cfc-6a372c68-c84b5eaf-53903d40-670d6d9c.jpg\n', 'files/p11/p11928692/s54164323/3606dd6e-1d4e216a-0251de47-cb1445d6-fcb76ed3.jpg\n', 'files/p11/p11928692/s54164323/405e6cc1-70b9d9b3-1c752677-010c4ee9-b217b783.jpg\n', 'files/p11/p11928692/s54164323/5475bdcc-37f6b853-142a043b-3e6572f9-5b71d475.jpg\n']"
s55947318_1,p11928692,s55947318,1,Findings,"Left ventricular pacemaker device is again noted with appropriately positioned right atrial and right ventricular leads. Mild cardiomegaly is unchanged from ___. Mild pulmonary venous congestion with cephalization and predominantly perihilar opacities consistent with mild interstitial pulmonary edema appears similar to chest radiograph of ___. There is no evidence of pleural effusion or pneumothorax. There is linear atelectasis at the left lung base, similar to the prior examination. Loss of height of a upper mid thoracic vertebral body is unchanged compared to ___.",Loss of height of a upper mid thoracic vertebral body is unchanged compared to ___.,Vertebral body height loss,Upper mid thoracic,Stable,"['files/p11/p11928692/s55947318/2c5c8a39-6ae3dd9e-2b4d5279-6bb07505-1b57f5ab.jpg', 'files/p11/p11928692/s55947318/df66e950-78bfa09d-ccc14e43-193ef713-3c2bd5a4.jpg']","['files/p11/p11928692/s54164323/129d1cfc-6a372c68-c84b5eaf-53903d40-670d6d9c.jpg\n', 'files/p11/p11928692/s54164323/3606dd6e-1d4e216a-0251de47-cb1445d6-fcb76ed3.jpg\n', 'files/p11/p11928692/s54164323/405e6cc1-70b9d9b3-1c752677-010c4ee9-b217b783.jpg\n', 'files/p11/p11928692/s54164323/5475bdcc-37f6b853-142a043b-3e6572f9-5b71d475.jpg\n']"
s55947692_24,p19454978,s55947692,24,Findings,"AP and lateral chest radiograph demonstrate mild cardiomegaly. Interval worsening of patchy and linear bibasilar opacity. There are small bilateral pleural effusions. Again demonstrated is pneumobilia within the right upper quadrant. A right internal jugular central line is identified its tip terminating in the right atrium. About the insertion site of the catheter, there is subcutaneous air noted. The trachea appears to be mildly displaced to the right compatible with known left sided thyroid nodule as demonstrated on CT dated ___.",Interval worsening of patchy and linear bibasilar opacity.,opacity,bibasilar,Worse,"['files/p19/p19454978/s55947692/5338edd0-50f5acc9-e2b17f61-df5423a3-36b08d58.jpg', 'files/p19/p19454978/s55947692/608aeffa-2b4e0b2c-f8672ebd-586ae0f1-e9b9e46a.jpg']",['files/p19/p19454978/s55065784/c2a99a61-6ccc4c17-7a976c51-c9961784-bdfe8a3e.jpg\n']
s55947692_24,p19454978,s55947692,24,Impression,"Worsening bibasilar opacities, which may be due to atelectasis, with or without coexisting pneumonia.","Worsening bibasilar opacities, which may be due to atelectasis, with or without coexisting pneumonia.",opacities,bibasilar,Worse,"['files/p19/p19454978/s55947692/5338edd0-50f5acc9-e2b17f61-df5423a3-36b08d58.jpg', 'files/p19/p19454978/s55947692/608aeffa-2b4e0b2c-f8672ebd-586ae0f1-e9b9e46a.jpg']",['files/p19/p19454978/s55065784/c2a99a61-6ccc4c17-7a976c51-c9961784-bdfe8a3e.jpg\n']
s55947692_24,p19454978,s55947692,24,Findings,"AP and lateral chest radiograph demonstrate mild cardiomegaly. Interval worsening of patchy and linear bibasilar opacity. There are small bilateral pleural effusions. Again demonstrated is pneumobilia within the right upper quadrant. A right internal jugular central line is identified its tip terminating in the right atrium. About the insertion site of the catheter, there is subcutaneous air noted. The trachea appears to be mildly displaced to the right compatible with known left sided thyroid nodule as demonstrated on CT dated ___.",Again demonstrated is pneumobilia within the right upper quadrant.,pneumobilia,right upper quadrant,Stable,"['files/p19/p19454978/s55947692/5338edd0-50f5acc9-e2b17f61-df5423a3-36b08d58.jpg', 'files/p19/p19454978/s55947692/608aeffa-2b4e0b2c-f8672ebd-586ae0f1-e9b9e46a.jpg']",['files/p19/p19454978/s55065784/c2a99a61-6ccc4c17-7a976c51-c9961784-bdfe8a3e.jpg\n']
s55949339_2,p12530259,s55949339,2,Findings,ET tube ends 4.1 cm above carina. The patient had a recent left lower lobe lobectomy with the chest tube that projects in upper hemithorax without any visible pneumothorax. Left pleural effusion is small if any. The lung volumes are low with mild mediastinal and cardiac enlargement.,The patient had a recent left lower lobe lobectomy with the chest tube that projects in upper hemithorax without any visible pneumothorax.,chest tube,upper hemithorax,New,['files/p12/p12530259/s55949339/b76a59ce-cd4c3882-2bf6437f-89cd9378-adc0be20.jpg'],"['files/p12/p12530259/s55152422/0417bf8c-ae0c3206-ffc11f65-31fe85d6-e6fcfcda.jpg\n', 'files/p12/p12530259/s55152422/222aa630-2e5e1433-2fcade4b-9e45ff5b-03802e45.jpg\n']"
s55957472_3,p10886362,s55957472,3,Impression,"AP chest compared to ___ at 9:19 a.m.: No appreciable pneumothorax or right pleural effusion following removal of the right basal pleural drain. Mild pulmonary edema collected in the right lower lung. Left lower lobe atelectasis is moderate-to-severe and small left pleural effusion is stable. Normal post-operative cardiomediastinal silhouette including mild-to-moderate cardiomegaly, improved since pre-operative chest radiograph. Nasogastric tube passes below the diaphragm and out of view. Transvenous right atrial and right ventricular pacer leads are unchanged in their longstanding positions, including a more medial location than generally seen for the tip of the right atrial lead. Swan-Ganz or other pulmonary arterial line ends in the right pulmonary artery. No pneumothorax.",AP chest compared to ___ at 9:19 a.m.: No appreciable pneumothorax or right pleural effusion following removal of the right basal pleural drain.,Pleural drain,right basal,Resolve,"['files/p10/p10886362/s55957472/10de7e37-6e13bc83-6797db44-6cac4fdb-8bcba198.jpg', 'files/p10/p10886362/s55957472/b2b5a3a4-24b4dc24-84c9e1a5-98f8a217-8c89ba2a.jpg']","['files/p10/p10886362/s54962274/51dc7b8e-860b2222-aad3c79e-02a2a9d0-085ebd6d.jpg\n', 'files/p10/p10886362/s54962274/68ea99a4-bd75cd2b-df54e0c2-ae1f3e13-c5a9bca4.jpg\n']"
s55957472_3,p10886362,s55957472,3,Impression,"AP chest compared to ___ at 9:19 a.m.: No appreciable pneumothorax or right pleural effusion following removal of the right basal pleural drain. Mild pulmonary edema collected in the right lower lung. Left lower lobe atelectasis is moderate-to-severe and small left pleural effusion is stable. Normal post-operative cardiomediastinal silhouette including mild-to-moderate cardiomegaly, improved since pre-operative chest radiograph. Nasogastric tube passes below the diaphragm and out of view. Transvenous right atrial and right ventricular pacer leads are unchanged in their longstanding positions, including a more medial location than generally seen for the tip of the right atrial lead. Swan-Ganz or other pulmonary arterial line ends in the right pulmonary artery. No pneumothorax.","Normal post-operative cardiomediastinal silhouette including mild-to-moderate cardiomegaly, improved since pre-operative chest radiograph.",Cardiomegaly,,Better,"['files/p10/p10886362/s55957472/10de7e37-6e13bc83-6797db44-6cac4fdb-8bcba198.jpg', 'files/p10/p10886362/s55957472/b2b5a3a4-24b4dc24-84c9e1a5-98f8a217-8c89ba2a.jpg']","['files/p10/p10886362/s54962274/51dc7b8e-860b2222-aad3c79e-02a2a9d0-085ebd6d.jpg\n', 'files/p10/p10886362/s54962274/68ea99a4-bd75cd2b-df54e0c2-ae1f3e13-c5a9bca4.jpg\n']"
s55957472_3,p10886362,s55957472,3,Impression,"AP chest compared to ___ at 9:19 a.m.: No appreciable pneumothorax or right pleural effusion following removal of the right basal pleural drain. Mild pulmonary edema collected in the right lower lung. Left lower lobe atelectasis is moderate-to-severe and small left pleural effusion is stable. Normal post-operative cardiomediastinal silhouette including mild-to-moderate cardiomegaly, improved since pre-operative chest radiograph. Nasogastric tube passes below the diaphragm and out of view. Transvenous right atrial and right ventricular pacer leads are unchanged in their longstanding positions, including a more medial location than generally seen for the tip of the right atrial lead. Swan-Ganz or other pulmonary arterial line ends in the right pulmonary artery. No pneumothorax.",Left lower lobe atelectasis is moderate-to-severe and small left pleural effusion is stable.,Atelectasis,left lower lobe,Stable,"['files/p10/p10886362/s55957472/10de7e37-6e13bc83-6797db44-6cac4fdb-8bcba198.jpg', 'files/p10/p10886362/s55957472/b2b5a3a4-24b4dc24-84c9e1a5-98f8a217-8c89ba2a.jpg']","['files/p10/p10886362/s54962274/51dc7b8e-860b2222-aad3c79e-02a2a9d0-085ebd6d.jpg\n', 'files/p10/p10886362/s54962274/68ea99a4-bd75cd2b-df54e0c2-ae1f3e13-c5a9bca4.jpg\n']"
s55957472_3,p10886362,s55957472,3,Impression,"AP chest compared to ___ at 9:19 a.m.: No appreciable pneumothorax or right pleural effusion following removal of the right basal pleural drain. Mild pulmonary edema collected in the right lower lung. Left lower lobe atelectasis is moderate-to-severe and small left pleural effusion is stable. Normal post-operative cardiomediastinal silhouette including mild-to-moderate cardiomegaly, improved since pre-operative chest radiograph. Nasogastric tube passes below the diaphragm and out of view. Transvenous right atrial and right ventricular pacer leads are unchanged in their longstanding positions, including a more medial location than generally seen for the tip of the right atrial lead. Swan-Ganz or other pulmonary arterial line ends in the right pulmonary artery. No pneumothorax.","Transvenous right atrial and right ventricular pacer leads are unchanged in their longstanding positions, including a more medial location than generally seen for the tip of the right atrial lead.",Pacer leads,right atrial and right ventricular,Stable,"['files/p10/p10886362/s55957472/10de7e37-6e13bc83-6797db44-6cac4fdb-8bcba198.jpg', 'files/p10/p10886362/s55957472/b2b5a3a4-24b4dc24-84c9e1a5-98f8a217-8c89ba2a.jpg']","['files/p10/p10886362/s54962274/51dc7b8e-860b2222-aad3c79e-02a2a9d0-085ebd6d.jpg\n', 'files/p10/p10886362/s54962274/68ea99a4-bd75cd2b-df54e0c2-ae1f3e13-c5a9bca4.jpg\n']"
s55957472_3,p10886362,s55957472,3,Impression,"AP chest compared to ___ at 9:19 a.m.: No appreciable pneumothorax or right pleural effusion following removal of the right basal pleural drain. Mild pulmonary edema collected in the right lower lung. Left lower lobe atelectasis is moderate-to-severe and small left pleural effusion is stable. Normal post-operative cardiomediastinal silhouette including mild-to-moderate cardiomegaly, improved since pre-operative chest radiograph. Nasogastric tube passes below the diaphragm and out of view. Transvenous right atrial and right ventricular pacer leads are unchanged in their longstanding positions, including a more medial location than generally seen for the tip of the right atrial lead. Swan-Ganz or other pulmonary arterial line ends in the right pulmonary artery. No pneumothorax.",Left lower lobe atelectasis is moderate-to-severe and small left pleural effusion is stable.,Pleural effusion,left,Stable,"['files/p10/p10886362/s55957472/10de7e37-6e13bc83-6797db44-6cac4fdb-8bcba198.jpg', 'files/p10/p10886362/s55957472/b2b5a3a4-24b4dc24-84c9e1a5-98f8a217-8c89ba2a.jpg']","['files/p10/p10886362/s54962274/51dc7b8e-860b2222-aad3c79e-02a2a9d0-085ebd6d.jpg\n', 'files/p10/p10886362/s54962274/68ea99a4-bd75cd2b-df54e0c2-ae1f3e13-c5a9bca4.jpg\n']"
s55958316_1,p12185775,s55958316,1,Impression,"AP chest compared to ___, 5:26 a.m. Severe cardiomegaly and mediastinal and hilar vascular engorgement persists but there has been very significant improvement in previous pulmonary edema, now only minimal, persisting at the base of the right lung. Small right pleural effusion is likely. No pneumothorax.","AP chest compared to ___, 5:26 a.m. Severe cardiomegaly and mediastinal and hilar vascular engorgement persists but there has been very significant improvement in previous pulmonary edema, now only minimal, persisting at the base of the right lung.",vascular engorgement,mediastinal and hilar,Stable,['files/p12/p12185775/s55958316/b570093b-0dc0e880-c0006423-ad6a31ed-d87e89fa.jpg'],['files/p12/p12185775/s55494760/e6b4a152-bc73f001-84e7b150-4191779a-754f8459.jpg\n']
s55958316_1,p12185775,s55958316,1,Impression,"AP chest compared to ___, 5:26 a.m. Severe cardiomegaly and mediastinal and hilar vascular engorgement persists but there has been very significant improvement in previous pulmonary edema, now only minimal, persisting at the base of the right lung. Small right pleural effusion is likely. No pneumothorax.","AP chest compared to ___, 5:26 a.m. Severe cardiomegaly and mediastinal and hilar vascular engorgement persists but there has been very significant improvement in previous pulmonary edema, now only minimal, persisting at the base of the right lung.",pulmonary edema,base of the right lung,Better,['files/p12/p12185775/s55958316/b570093b-0dc0e880-c0006423-ad6a31ed-d87e89fa.jpg'],['files/p12/p12185775/s55494760/e6b4a152-bc73f001-84e7b150-4191779a-754f8459.jpg\n']
s55960520_1,p16826047,s55960520,1,Findings,"There is a large focal consolidation involving the right lower lobe which may also involve the right middle lobe with associated moderate pleural fluid on the right side, all of which are new findings since the prior study ___ ___. There is increased pulmonary vascular engorgement from the prior study and the cardiac silhouette is enlarged as seen on the prior study but increased in size. No pneumothorax is seen. A right-sided port is unchanged in position with the tip terminating in the low SVC. The mediastinal and hilar contours are stable.",The mediastinal and hilar contours are stable.,contours,mediastinal and hilar,Stable,"['files/p16/p16826047/s55960520/33ecbdf2-35c3aa31-e848a7b9-a49131b4-0690b4a3.jpg', 'files/p16/p16826047/s55960520/626c8821-3de699cf-14f3cfae-8d973f75-4c8a31c6.jpg']",['files/p16/p16826047/s55573557/386f3989-399f50ac-f80589aa-642b131d-16e64e70.jpg\n']
s55960520_1,p16826047,s55960520,1,Findings,"There is a large focal consolidation involving the right lower lobe which may also involve the right middle lobe with associated moderate pleural fluid on the right side, all of which are new findings since the prior study ___ ___. There is increased pulmonary vascular engorgement from the prior study and the cardiac silhouette is enlarged as seen on the prior study but increased in size. No pneumothorax is seen. A right-sided port is unchanged in position with the tip terminating in the low SVC. The mediastinal and hilar contours are stable.",A right-sided port is unchanged in position with the tip terminating in the low SVC.,port,right-sided,Stable,"['files/p16/p16826047/s55960520/33ecbdf2-35c3aa31-e848a7b9-a49131b4-0690b4a3.jpg', 'files/p16/p16826047/s55960520/626c8821-3de699cf-14f3cfae-8d973f75-4c8a31c6.jpg']",['files/p16/p16826047/s55573557/386f3989-399f50ac-f80589aa-642b131d-16e64e70.jpg\n']
s55960520_1,p16826047,s55960520,1,Findings,"There is a large focal consolidation involving the right lower lobe which may also involve the right middle lobe with associated moderate pleural fluid on the right side, all of which are new findings since the prior study ___ ___. There is increased pulmonary vascular engorgement from the prior study and the cardiac silhouette is enlarged as seen on the prior study but increased in size. No pneumothorax is seen. A right-sided port is unchanged in position with the tip terminating in the low SVC. The mediastinal and hilar contours are stable.",There is increased pulmonary vascular engorgement from the prior study and the cardiac silhouette is enlarged as seen on the prior study but increased in size.,enlargement,cardiac silhouette,Worse,"['files/p16/p16826047/s55960520/33ecbdf2-35c3aa31-e848a7b9-a49131b4-0690b4a3.jpg', 'files/p16/p16826047/s55960520/626c8821-3de699cf-14f3cfae-8d973f75-4c8a31c6.jpg']",['files/p16/p16826047/s55573557/386f3989-399f50ac-f80589aa-642b131d-16e64e70.jpg\n']
s55960520_1,p16826047,s55960520,1,Findings,"There is a large focal consolidation involving the right lower lobe which may also involve the right middle lobe with associated moderate pleural fluid on the right side, all of which are new findings since the prior study ___ ___. There is increased pulmonary vascular engorgement from the prior study and the cardiac silhouette is enlarged as seen on the prior study but increased in size. No pneumothorax is seen. A right-sided port is unchanged in position with the tip terminating in the low SVC. The mediastinal and hilar contours are stable.","There is a large focal consolidation involving the right lower lobe which may also involve the right middle lobe with associated moderate pleural fluid on the right side, all of which are new findings since the prior study ___ ___.","focal consolidation, pleural fluid","right lower lobe, right middle lobe",New,"['files/p16/p16826047/s55960520/33ecbdf2-35c3aa31-e848a7b9-a49131b4-0690b4a3.jpg', 'files/p16/p16826047/s55960520/626c8821-3de699cf-14f3cfae-8d973f75-4c8a31c6.jpg']",['files/p16/p16826047/s55573557/386f3989-399f50ac-f80589aa-642b131d-16e64e70.jpg\n']
s55960520_1,p16826047,s55960520,1,Findings,"There is a large focal consolidation involving the right lower lobe which may also involve the right middle lobe with associated moderate pleural fluid on the right side, all of which are new findings since the prior study ___ ___. There is increased pulmonary vascular engorgement from the prior study and the cardiac silhouette is enlarged as seen on the prior study but increased in size. No pneumothorax is seen. A right-sided port is unchanged in position with the tip terminating in the low SVC. The mediastinal and hilar contours are stable.",There is increased pulmonary vascular engorgement from the prior study and the cardiac silhouette is enlarged as seen on the prior study but increased in size.,engorgement,pulmonary vascular,Worse,"['files/p16/p16826047/s55960520/33ecbdf2-35c3aa31-e848a7b9-a49131b4-0690b4a3.jpg', 'files/p16/p16826047/s55960520/626c8821-3de699cf-14f3cfae-8d973f75-4c8a31c6.jpg']",['files/p16/p16826047/s55573557/386f3989-399f50ac-f80589aa-642b131d-16e64e70.jpg\n']
s55966450_10,p13475033,s55966450,10,Findings,"The heart is mildly enlarged. Again seen are widespread reticular opacities, denoting chronic interstitial disease, better seen on the CT examination from ___. No superimposed consolidation, pneumothorax, or pleural effusion is seen.","Again seen are widespread reticular opacities, denoting chronic interstitial disease, better seen on the CT examination from ___.",reticular opacities,widespread,Stable,"['files/p13/p13475033/s55966450/32090cde-4c8c850b-1cb52e26-66e7c4d7-d14f0d2d.jpg', 'files/p13/p13475033/s55966450/488be5c1-df6c98d6-5a8ab963-a827d34e-5a25ccc3.jpg']","['files/p13/p13475033/s55876368/031113f9-e2466fb7-08d11a74-231bed81-45441968.jpg\n', 'files/p13/p13475033/s55876368/b04e9b1a-64c788c8-4b86ac26-c5949f1a-d3c9e288.jpg\n']"
s55968926_7,p16435402,s55968926,7,Impression,"PA and lateral chest compared to chest radiographs since ___, most recently ___ at 9:30 p.m., and CT scanning of the chest on ___:14 p.m. on ___, for CT-guided transthoracic needle aspiration. Small bilateral pleural effusions were present prior to needle aspiration, and are not complications of the procedure. There is no pneumothorax. Large area of consolidation with a mass-like quality in the lingula has grown appreciably since ___, most of which was hemorrhage associated with transbronchial biopsy on ___. Reviewing the series of chest radiographs and Chest CT scans since ___, the findings suggest granulomatous infection not malignancy, particularly fungal pathogens, such as coccidioidomycosis or cryptococcosis, alternatively mycobacterial infection, actinomycosis, or Nocardia.","Large area of consolidation with a mass-like quality in the lingula has grown appreciably since ___, most of which was hemorrhage associated with transbronchial biopsy on ___.",consolidation,lingula,Worse,"['files/p16/p16435402/s55968926/09a1e64f-23ae347f-cda48fff-8cd6e499-65b4bed0.jpg', 'files/p16/p16435402/s55968926/0fff37f5-dcb1c874-b312c480-4139c1a3-fb4c517c.jpg']","['files/p16/p16435402/s52353624/77af0e2c-d7666b9b-34048bce-176b735b-4e6ee973.jpg\n', 'files/p16/p16435402/s52353624/b05e2bad-8b5b414e-de701c91-cd96ce95-3dd20d77.jpg\n']"
s55969579_16,p14851532,s55969579,16,Findings,Endotracheal tube and other support and monitoring devices are in standard position. Status post removal of sternal wires. Mass-like opacity at left lung apex appears similar to previous studies and has been more fully evaluated by CT of ___. Pulmonary vascular congestion is again demonstrated as well as mild interstitial edema. Moderate right and small left pleural effusions are similar with adjacent basilar lung opacities.,Moderate right and small left pleural effusions are similar with adjacent basilar lung opacities.,Lung opacities,basilar,Stable,['files/p14/p14851532/s55969579/94afdd5f-dc06961f-690e6029-5a69f579-0be3a0a9.jpg'],['files/p14/p14851532/s55671568/a182520b-602fa4e1-b77eda67-469d74a8-9403dc79.jpg\n']
s55969579_16,p14851532,s55969579,16,Findings,Endotracheal tube and other support and monitoring devices are in standard position. Status post removal of sternal wires. Mass-like opacity at left lung apex appears similar to previous studies and has been more fully evaluated by CT of ___. Pulmonary vascular congestion is again demonstrated as well as mild interstitial edema. Moderate right and small left pleural effusions are similar with adjacent basilar lung opacities.,Status post removal of sternal wires.,Sternal wires,,Resolve,['files/p14/p14851532/s55969579/94afdd5f-dc06961f-690e6029-5a69f579-0be3a0a9.jpg'],['files/p14/p14851532/s55671568/a182520b-602fa4e1-b77eda67-469d74a8-9403dc79.jpg\n']
s55969579_16,p14851532,s55969579,16,Findings,Endotracheal tube and other support and monitoring devices are in standard position. Status post removal of sternal wires. Mass-like opacity at left lung apex appears similar to previous studies and has been more fully evaluated by CT of ___. Pulmonary vascular congestion is again demonstrated as well as mild interstitial edema. Moderate right and small left pleural effusions are similar with adjacent basilar lung opacities.,Moderate right and small left pleural effusions are similar with adjacent basilar lung opacities.,Pleural effusion,right,Stable,['files/p14/p14851532/s55969579/94afdd5f-dc06961f-690e6029-5a69f579-0be3a0a9.jpg'],['files/p14/p14851532/s55671568/a182520b-602fa4e1-b77eda67-469d74a8-9403dc79.jpg\n']
s55969579_16,p14851532,s55969579,16,Findings,Endotracheal tube and other support and monitoring devices are in standard position. Status post removal of sternal wires. Mass-like opacity at left lung apex appears similar to previous studies and has been more fully evaluated by CT of ___. Pulmonary vascular congestion is again demonstrated as well as mild interstitial edema. Moderate right and small left pleural effusions are similar with adjacent basilar lung opacities.,Pulmonary vascular congestion is again demonstrated as well as mild interstitial edema.,Pulmonary vascular congestion,,Worse,['files/p14/p14851532/s55969579/94afdd5f-dc06961f-690e6029-5a69f579-0be3a0a9.jpg'],['files/p14/p14851532/s55671568/a182520b-602fa4e1-b77eda67-469d74a8-9403dc79.jpg\n']
s55969579_16,p14851532,s55969579,16,Findings,Endotracheal tube and other support and monitoring devices are in standard position. Status post removal of sternal wires. Mass-like opacity at left lung apex appears similar to previous studies and has been more fully evaluated by CT of ___. Pulmonary vascular congestion is again demonstrated as well as mild interstitial edema. Moderate right and small left pleural effusions are similar with adjacent basilar lung opacities.,Pulmonary vascular congestion is again demonstrated as well as mild interstitial edema.,Interstitial edema,,Worse,['files/p14/p14851532/s55969579/94afdd5f-dc06961f-690e6029-5a69f579-0be3a0a9.jpg'],['files/p14/p14851532/s55671568/a182520b-602fa4e1-b77eda67-469d74a8-9403dc79.jpg\n']
s55969579_16,p14851532,s55969579,16,Findings,Endotracheal tube and other support and monitoring devices are in standard position. Status post removal of sternal wires. Mass-like opacity at left lung apex appears similar to previous studies and has been more fully evaluated by CT of ___. Pulmonary vascular congestion is again demonstrated as well as mild interstitial edema. Moderate right and small left pleural effusions are similar with adjacent basilar lung opacities.,Mass-like opacity at left lung apex appears similar to previous studies and has been more fully evaluated by CT of ___.,Mass-like opacity,left lung apex,Stable,['files/p14/p14851532/s55969579/94afdd5f-dc06961f-690e6029-5a69f579-0be3a0a9.jpg'],['files/p14/p14851532/s55671568/a182520b-602fa4e1-b77eda67-469d74a8-9403dc79.jpg\n']
s55969579_16,p14851532,s55969579,16,Findings,Endotracheal tube and other support and monitoring devices are in standard position. Status post removal of sternal wires. Mass-like opacity at left lung apex appears similar to previous studies and has been more fully evaluated by CT of ___. Pulmonary vascular congestion is again demonstrated as well as mild interstitial edema. Moderate right and small left pleural effusions are similar with adjacent basilar lung opacities.,Moderate right and small left pleural effusions are similar with adjacent basilar lung opacities.,Pleural effusion,left,Stable,['files/p14/p14851532/s55969579/94afdd5f-dc06961f-690e6029-5a69f579-0be3a0a9.jpg'],['files/p14/p14851532/s55671568/a182520b-602fa4e1-b77eda67-469d74a8-9403dc79.jpg\n']
s55972946_11,p11413236,s55972946,11,Findings,The patient is status post median sternotomy. Right-sided Port-A-Cath tip terminates in the right atrium. Lung volumes are low. This accentuates the cardiac silhouette size which is likely mildly enlarged. Calcified mediastinal nodes are re- demonstrated reflective of prior granulomatous disease. Mediastinal and hilar contours are otherwise unremarkable. There is no pulmonary vascular congestion. Patchy bibasilar airspace opacities most likely reflect atelectasis. There is no pleural effusion or pneumothorax. No acute osseous abnormalities detected.,Calcified mediastinal nodes are re- demonstrated reflective of prior granulomatous disease.,calcified nodes,mediastinal,Stable,['files/p11/p11413236/s55972946/db1c4e24-acd97bc7-d5e97d65-04ffb3e5-9c036419.jpg'],"['files/p11/p11413236/s55420069/5777b9e5-d14e2655-cb9eecfa-52bda043-992f6f80.jpg\n', 'files/p11/p11413236/s55420069/6eb1afd3-d7b2eea4-6367e332-aa78e2dd-387ee425.jpg\n']"
s55980966_0,p13978244,s55980966,0,Findings,Semi-upright portable AP view of the chest was obtained. Mild elevation of the right hemidiaphragm is unchanged. The heart is grossly within normal limits and stable in size. There is no definite pleural effusion or focal consolidation. Mediastinal contour is stable. No pneumothorax. Bony structures appear intact.,Mediastinal contour is stable.,contour,Mediastinal,Stable,['files/p13/p13978244/s55980966/f1a28150-66237dd6-699fd87a-ac1c6ec6-61f0f104.jpg'],['files/p13/p13978244/s55719726/e2355bc9-8bf0bfaf-605c4222-bf3592b9-e1259f5b.jpg\n']
s55980966_0,p13978244,s55980966,0,Impression,Grossly stable exam with no acute intrathoracic process.,Grossly stable exam with no acute intrathoracic process.,process,intrathoracic,Stable,['files/p13/p13978244/s55980966/f1a28150-66237dd6-699fd87a-ac1c6ec6-61f0f104.jpg'],['files/p13/p13978244/s55719726/e2355bc9-8bf0bfaf-605c4222-bf3592b9-e1259f5b.jpg\n']
s55980966_0,p13978244,s55980966,0,Findings,Semi-upright portable AP view of the chest was obtained. Mild elevation of the right hemidiaphragm is unchanged. The heart is grossly within normal limits and stable in size. There is no definite pleural effusion or focal consolidation. Mediastinal contour is stable. No pneumothorax. Bony structures appear intact.,The heart is grossly within normal limits and stable in size.,size,heart,Stable,['files/p13/p13978244/s55980966/f1a28150-66237dd6-699fd87a-ac1c6ec6-61f0f104.jpg'],['files/p13/p13978244/s55719726/e2355bc9-8bf0bfaf-605c4222-bf3592b9-e1259f5b.jpg\n']
s55980966_0,p13978244,s55980966,0,Findings,Semi-upright portable AP view of the chest was obtained. Mild elevation of the right hemidiaphragm is unchanged. The heart is grossly within normal limits and stable in size. There is no definite pleural effusion or focal consolidation. Mediastinal contour is stable. No pneumothorax. Bony structures appear intact.,Mild elevation of the right hemidiaphragm is unchanged.,Mild elevation,right hemidiaphragm,Stable,['files/p13/p13978244/s55980966/f1a28150-66237dd6-699fd87a-ac1c6ec6-61f0f104.jpg'],['files/p13/p13978244/s55719726/e2355bc9-8bf0bfaf-605c4222-bf3592b9-e1259f5b.jpg\n']
s55987882_3,p15272972,s55987882,3,Findings,"In comparison with the study of ___, there is again evidence of previous median sternotomy and CABG with post-surgical changes on the right with blunting of the costophrenic angle. No evidence of acute pneumonia, vascular congestion, or pleural effusion.","In comparison with the study of ___, there is again evidence of previous median sternotomy and CABG with post-surgical changes on the right with blunting of the costophrenic angle.",median sternotomy and CABG,right,Stable,"['files/p15/p15272972/s55987882/3c2ceb4b-9a71f26f-29f23ca1-471edb79-e24b6136.jpg', 'files/p15/p15272972/s55987882/81eb6942-d0732528-e744f159-3b407680-818991c9.jpg']","['files/p15/p15272972/s55355224/829a5c44-1054e6ae-d8dd4131-14a36ac3-9bc1fff5.jpg\n', 'files/p15/p15272972/s55355224/f4c84687-90ca8c27-94ff047f-739ca07b-e7f169d4.jpg\n']"
s55999205_2,p16360107,s55999205,2,Impression,Mild pulmonary vascular congestion with unchanged small-to-moderate sized bilateral pleural effusions with laterally loculated components. Probable bibasilar atelectasis.,Mild pulmonary vascular congestion with unchanged small-to-moderate sized bilateral pleural effusions with laterally loculated components.,pleural effusions,bilateral,Stable,"['files/p16/p16360107/s55999205/651f114e-84947603-ffc43734-98f192e7-c9c6afe0.jpg', 'files/p16/p16360107/s55999205/9b3b2ac9-c7621799-9c520077-028dc771-d93cf2d7.jpg']","['files/p16/p16360107/s54826768/1c6b6253-4298b326-603a70e5-89968c12-4c6900f8.jpg\n', 'files/p16/p16360107/s54826768/cc9097d1-f7a1ebc5-aaf716e9-769e9776-3e93e11b.jpg\n']"
s55999205_2,p16360107,s55999205,2,Findings,"Right-sided dual-lumen hemodialysis catheter is noted with tip terminating at the junction of the SVC and right atrium. The patient is status post median sternotomy and CABG, with multiple broken median sternotomy wires redemonstrated. Heart size is top normal. There are low lung volumes, with crowding of the bronchovascular structures and likely mild pulmonary vascular congestion. Bilateral pleural effusions are again noted, which appear loculated laterally and are similar in size when compared to the prior study. Patchy opacities at the lung bases most likely reflect atelectasis. No pneumothorax is identified. There are no acute osseous abnormalities. The mediastinal contour is unchanged with aortic knob calcifications again noted.",The mediastinal contour is unchanged with aortic knob calcifications again noted.,mediastinal contour,,Stable,"['files/p16/p16360107/s55999205/651f114e-84947603-ffc43734-98f192e7-c9c6afe0.jpg', 'files/p16/p16360107/s55999205/9b3b2ac9-c7621799-9c520077-028dc771-d93cf2d7.jpg']","['files/p16/p16360107/s54826768/1c6b6253-4298b326-603a70e5-89968c12-4c6900f8.jpg\n', 'files/p16/p16360107/s54826768/cc9097d1-f7a1ebc5-aaf716e9-769e9776-3e93e11b.jpg\n']"
s55999205_2,p16360107,s55999205,2,Findings,"Right-sided dual-lumen hemodialysis catheter is noted with tip terminating at the junction of the SVC and right atrium. The patient is status post median sternotomy and CABG, with multiple broken median sternotomy wires redemonstrated. Heart size is top normal. There are low lung volumes, with crowding of the bronchovascular structures and likely mild pulmonary vascular congestion. Bilateral pleural effusions are again noted, which appear loculated laterally and are similar in size when compared to the prior study. Patchy opacities at the lung bases most likely reflect atelectasis. No pneumothorax is identified. There are no acute osseous abnormalities. The mediastinal contour is unchanged with aortic knob calcifications again noted.","Bilateral pleural effusions are again noted, which appear loculated laterally and are similar in size when compared to the prior study.",pleural effusions,bilateral,Stable,"['files/p16/p16360107/s55999205/651f114e-84947603-ffc43734-98f192e7-c9c6afe0.jpg', 'files/p16/p16360107/s55999205/9b3b2ac9-c7621799-9c520077-028dc771-d93cf2d7.jpg']","['files/p16/p16360107/s54826768/1c6b6253-4298b326-603a70e5-89968c12-4c6900f8.jpg\n', 'files/p16/p16360107/s54826768/cc9097d1-f7a1ebc5-aaf716e9-769e9776-3e93e11b.jpg\n']"
s56010471_2,p12189285,s56010471,2,Findings,"In comparison with the study of ___, the monitoring and support devices remain in place. Continued substantial enlargement of the cardiac silhouette with bilateral pleural effusions, compressive basilar atelectasis, and moderate pulmonary edema.","In comparison with the study of ___, the monitoring and support devices remain in place.",monitoring and support devices,,Stable,['files/p12/p12189285/s56010471/37c4fc49-424cf73f-548972b1-dab98549-2ae26c18.jpg'],['files/p12/p12189285/s54523680/f2b4864c-c60e842d-258889c6-61e08bca-a7990195.jpg\n']
s56012267_9,p19016834,s56012267,9,Findings,"The cardiac, mediastinal and hilar contours appear unremarkable. The large right perihilar consolidation, likely representing infection, has improved since the most recent prior examination of ___. Minimal air-fluid level is noted within the neoesophagus on the lateral view.","The large right perihilar consolidation, likely representing infection, has improved since the most recent prior examination of.",consolidation,right perihilar,Better,"['files/p19/p19016834/s56012267/177495f2-996738c6-f03f52bd-f9e6aad1-913f1885.jpg', 'files/p19/p19016834/s56012267/daf6cf16-a484b5dd-18011dd3-da52fe5d-68986a14.jpg']","['files/p19/p19016834/s55946640/20c5c50c-553e3e49-0736e206-832e3377-9d7f8937.jpg\n', 'files/p19/p19016834/s55946640/ed9628e5-62ce1427-67e04f11-6daf5632-424ef2d1.jpg\n']"
s56012267_9,p19016834,s56012267,9,Impression,Improved right perihilar consolidation likely representing infection.,Improved right perihilar consolidation likely representing infection.,consolidation,right perihilar,Better,"['files/p19/p19016834/s56012267/177495f2-996738c6-f03f52bd-f9e6aad1-913f1885.jpg', 'files/p19/p19016834/s56012267/daf6cf16-a484b5dd-18011dd3-da52fe5d-68986a14.jpg']","['files/p19/p19016834/s55946640/20c5c50c-553e3e49-0736e206-832e3377-9d7f8937.jpg\n', 'files/p19/p19016834/s55946640/ed9628e5-62ce1427-67e04f11-6daf5632-424ef2d1.jpg\n']"
s56013519_3,p17163861,s56013519,3,Findings,"Dual lead left-sided pacemaker is stable in position with leads extending to the expected positions of the right atrium and right ventricle. The patient is status post median sternotomy. There is minimal left base atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No displaced fracture is seen.",Dual lead left-sided pacemaker is stable in position with leads extending to the expected positions of the right atrium and right ventricle.,pacemaker,right atrium and right ventricle,Stable,"['files/p17/p17163861/s56013519/0f513599-eb6bddc9-4306d15d-46c7c0c2-a3c6c854.jpg', 'files/p17/p17163861/s56013519/de7f2739-8c743a3a-6e0e37fb-635c58f5-a48a0ab7.jpg']","['files/p17/p17163861/s55133499/bd8fc3e9-687db5d6-574cb5a6-b78d18b2-2f5fb4de.jpg\n', 'files/p17/p17163861/s55133499/db0c967e-30c9c887-b4196fb7-e0ba8546-1b9ad52e.jpg\n']"
s56013519_3,p17163861,s56013519,3,Findings,"Dual lead left-sided pacemaker is stable in position with leads extending to the expected positions of the right atrium and right ventricle. The patient is status post median sternotomy. There is minimal left base atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No displaced fracture is seen.",The cardiac and mediastinal silhouettes are stable.,silhouettes,cardiac and mediastinal,Stable,"['files/p17/p17163861/s56013519/0f513599-eb6bddc9-4306d15d-46c7c0c2-a3c6c854.jpg', 'files/p17/p17163861/s56013519/de7f2739-8c743a3a-6e0e37fb-635c58f5-a48a0ab7.jpg']","['files/p17/p17163861/s55133499/bd8fc3e9-687db5d6-574cb5a6-b78d18b2-2f5fb4de.jpg\n', 'files/p17/p17163861/s55133499/db0c967e-30c9c887-b4196fb7-e0ba8546-1b9ad52e.jpg\n']"
s56018459_0,p18088200,s56018459,0,Findings,"Frontal and lateral views of the chest were obtained. The patient is status first median sternotomy. Again, there is fracture of at least the first and second sternal wires, the upper wire was seen to be fractured on the prior study, although the second wire was not clearly fractured at that time. There is left base atelectasis. No definite focal consolidation is seen. There are low lung volumes, which accentuate the bronchovascular markings. There is minimal blunting of the right costophrenic angle, although no definite pleural effusion is seen on the lateral view. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable.","Again, there is fracture of at least the first and second sternal wires, the upper wire was seen to be fractured on the prior study, although the second wire was not clearly fractured at that time.",fracture,first and second sternal wires,Worse,"['files/p18/p18088200/s56018459/6fa0dab9-9c76b1c5-e420ee1c-d851a556-a50a5a88.jpg', 'files/p18/p18088200/s56018459/f268f466-63237ff9-71f67025-2f256fa0-8f9c0e56.jpg']",
s56018459_0,p18088200,s56018459,0,Findings,"Frontal and lateral views of the chest were obtained. The patient is status first median sternotomy. Again, there is fracture of at least the first and second sternal wires, the upper wire was seen to be fractured on the prior study, although the second wire was not clearly fractured at that time. There is left base atelectasis. No definite focal consolidation is seen. There are low lung volumes, which accentuate the bronchovascular markings. There is minimal blunting of the right costophrenic angle, although no definite pleural effusion is seen on the lateral view. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable.",The cardiac and mediastinal silhouettes are stable.,,cardiac and mediastinal silhouettes,Stable,"['files/p18/p18088200/s56018459/6fa0dab9-9c76b1c5-e420ee1c-d851a556-a50a5a88.jpg', 'files/p18/p18088200/s56018459/f268f466-63237ff9-71f67025-2f256fa0-8f9c0e56.jpg']",
s56024131_35,p19182863,s56024131,35,Findings,"There is stable mild cardiomegaly. The hilar and mediastinal contours are unremarkable. Median sternotomy wires appear to be intact. There is a left-sided IJ central venous line in appropriate position in a known left sided SVC. There is a right-sided pigtail catheter, which appears to be in unchanged position. There has been a slight interval increase in the small right pleural effusion. There is a stable small left pleural effusion. No evidence of a pneumothorax.",There has been a slight interval increase in the small right pleural effusion.,pleural effusion,right,Worse,['files/p19/p19182863/s56024131/217ccc9a-8b9a6468-8d34855f-37b8c95a-fe29df0b.jpg'],['files/p19/p19182863/s55740020/7576b31f-3445c62b-0b2c892b-4ec42aea-61ada0c6.jpg\n']
s56024131_35,p19182863,s56024131,35,Findings,"There is stable mild cardiomegaly. The hilar and mediastinal contours are unremarkable. Median sternotomy wires appear to be intact. There is a left-sided IJ central venous line in appropriate position in a known left sided SVC. There is a right-sided pigtail catheter, which appears to be in unchanged position. There has been a slight interval increase in the small right pleural effusion. There is a stable small left pleural effusion. No evidence of a pneumothorax.",There is a stable small left pleural effusion.,pleural effusion,left,Stable,['files/p19/p19182863/s56024131/217ccc9a-8b9a6468-8d34855f-37b8c95a-fe29df0b.jpg'],['files/p19/p19182863/s55740020/7576b31f-3445c62b-0b2c892b-4ec42aea-61ada0c6.jpg\n']
s56024131_35,p19182863,s56024131,35,Impression,"Right-sided pigtail catheter appears to be in appropriate position, however there has been a slight interval increase in the small right pleural effusion.","Right-sided pigtail catheter appears to be in appropriate position, however there has been a slight interval increase in the small right pleural effusion.",pleural effusion,right,Worse,['files/p19/p19182863/s56024131/217ccc9a-8b9a6468-8d34855f-37b8c95a-fe29df0b.jpg'],['files/p19/p19182863/s55740020/7576b31f-3445c62b-0b2c892b-4ec42aea-61ada0c6.jpg\n']
s56024131_35,p19182863,s56024131,35,Findings,"There is stable mild cardiomegaly. The hilar and mediastinal contours are unremarkable. Median sternotomy wires appear to be intact. There is a left-sided IJ central venous line in appropriate position in a known left sided SVC. There is a right-sided pigtail catheter, which appears to be in unchanged position. There has been a slight interval increase in the small right pleural effusion. There is a stable small left pleural effusion. No evidence of a pneumothorax.",There is stable mild cardiomegaly.,mild cardiomegaly,,Stable,['files/p19/p19182863/s56024131/217ccc9a-8b9a6468-8d34855f-37b8c95a-fe29df0b.jpg'],['files/p19/p19182863/s55740020/7576b31f-3445c62b-0b2c892b-4ec42aea-61ada0c6.jpg\n']
s56024131_35,p19182863,s56024131,35,Findings,"There is stable mild cardiomegaly. The hilar and mediastinal contours are unremarkable. Median sternotomy wires appear to be intact. There is a left-sided IJ central venous line in appropriate position in a known left sided SVC. There is a right-sided pigtail catheter, which appears to be in unchanged position. There has been a slight interval increase in the small right pleural effusion. There is a stable small left pleural effusion. No evidence of a pneumothorax.","There is a right-sided pigtail catheter, which appears to be in unchanged position.",pigtail catheter,right-sided,Stable,['files/p19/p19182863/s56024131/217ccc9a-8b9a6468-8d34855f-37b8c95a-fe29df0b.jpg'],['files/p19/p19182863/s55740020/7576b31f-3445c62b-0b2c892b-4ec42aea-61ada0c6.jpg\n']
s56026588_0,p18417750,s56026588,0,Impression,"PA and lateral chest read in conjunction with a chest CT on ___: Moderate cardiomegaly is unchanged. Pulmonary vascular redistribution is mild, and there is no pulmonary edema or pleural effusion. Transvenous right atrial and right ventricular pacer leads are in standard placement. Spinal stabilization hardware in place in the low thoracic spine, with transpedicle screws in a fractured vertebral body, just below moderately wedged vertebral body, comparable in appearance to ___.",PA and lateral chest read in conjunction with a chest CT on ___: Moderate cardiomegaly is unchanged.,Moderate cardiomegaly,,Stable,"['files/p18/p18417750/s56026588/6ed5de3b-6de61ac0-49287b7f-dbc53313-fd93a911.jpg', 'files/p18/p18417750/s56026588/db56756a-36970d83-92b338a6-23a982c5-fe090973.jpg']",['files/p18/p18417750/s54413043/171a0854-5913620e-72072890-3fec961c-fc4bf535.jpg\n']
s56030465_2,p17770657,s56030465,2,Findings,"In comparison with the study of earlier on this date, there is slightly less subcutaneous gas along the right chest wall. Little change in the small amount of subcutaneous gas along the left chest wall.","In comparison with the study of earlier on this date, there is slightly less subcutaneous gas along the right chest wall.",subcutaneous gas,right chest wall,Better,['files/p17/p17770657/s56030465/6e7ba50c-a093a0ce-c9809007-6ffac781-93024486.jpg'],"['files/p17/p17770657/s55381796/0d9f0e0e-c739caf5-81be4979-de1a6752-1dc8db67.jpg\n', 'files/p17/p17770657/s55381796/a05e9e39-7b3940f3-f422729e-d4e343eb-a972048d.jpg\n']"
s56030465_2,p17770657,s56030465,2,Findings,"In comparison with the study of earlier on this date, there is slightly less subcutaneous gas along the right chest wall. Little change in the small amount of subcutaneous gas along the left chest wall.",Little change in the small amount of subcutaneous gas along the left chest wall.,subcutaneous gas,left chest wall,Stable,['files/p17/p17770657/s56030465/6e7ba50c-a093a0ce-c9809007-6ffac781-93024486.jpg'],"['files/p17/p17770657/s55381796/0d9f0e0e-c739caf5-81be4979-de1a6752-1dc8db67.jpg\n', 'files/p17/p17770657/s55381796/a05e9e39-7b3940f3-f422729e-d4e343eb-a972048d.jpg\n']"
s56031350_3,p10410641,s56031350,3,Impression,Stable large right pleural effusion and increasing left pleural effusion. Feasibility of of thoracentesis would best be evaluated with decubitus films. Ultrasound guidance can also be considered.,Stable large right pleural effusion and increasing left pleural effusion.,pleural effusion,left,Worse,"['files/p10/p10410641/s56031350/3ba8fbbe-989e2f64-3cf29b67-e6b2c2c1-d0887a73.jpg', 'files/p10/p10410641/s56031350/74ab0576-165250aa-5fedc1a0-3f75f2c6-9f87fa70.jpg']",['files/p10/p10410641/s54257499/74563f2b-130e98d8-7c3f6d5a-d341b141-30042633.jpg\n']
s56031350_3,p10410641,s56031350,3,Impression,Stable large right pleural effusion and increasing left pleural effusion. Feasibility of of thoracentesis would best be evaluated with decubitus films. Ultrasound guidance can also be considered.,Stable large right pleural effusion and increasing left pleural effusion.,pleural effusion,right,Stable,"['files/p10/p10410641/s56031350/3ba8fbbe-989e2f64-3cf29b67-e6b2c2c1-d0887a73.jpg', 'files/p10/p10410641/s56031350/74ab0576-165250aa-5fedc1a0-3f75f2c6-9f87fa70.jpg']",['files/p10/p10410641/s54257499/74563f2b-130e98d8-7c3f6d5a-d341b141-30042633.jpg\n']
s56031350_3,p10410641,s56031350,3,Findings,"There is a right pleural effusion, the size of which is difficult to ascertain. There is unchanged bilateral lower lobe and right middle lobe collapse. The small left pleural effusion is unchanged. There is no pulmonary vascular congestion or pneumothorax. The cardiac and mediastinal contours are not well visualized.",The small left pleural effusion is unchanged.,pleural effusion,left,Stable,"['files/p10/p10410641/s56031350/3ba8fbbe-989e2f64-3cf29b67-e6b2c2c1-d0887a73.jpg', 'files/p10/p10410641/s56031350/74ab0576-165250aa-5fedc1a0-3f75f2c6-9f87fa70.jpg']",['files/p10/p10410641/s54257499/74563f2b-130e98d8-7c3f6d5a-d341b141-30042633.jpg\n']
s56031350_3,p10410641,s56031350,3,Findings,"There is a right pleural effusion, the size of which is difficult to ascertain. There is unchanged bilateral lower lobe and right middle lobe collapse. The small left pleural effusion is unchanged. There is no pulmonary vascular congestion or pneumothorax. The cardiac and mediastinal contours are not well visualized.",There is unchanged bilateral lower lobe and right middle lobe collapse.,collapse,bilateral lower lobe and right middle lobe,Stable,"['files/p10/p10410641/s56031350/3ba8fbbe-989e2f64-3cf29b67-e6b2c2c1-d0887a73.jpg', 'files/p10/p10410641/s56031350/74ab0576-165250aa-5fedc1a0-3f75f2c6-9f87fa70.jpg']",['files/p10/p10410641/s54257499/74563f2b-130e98d8-7c3f6d5a-d341b141-30042633.jpg\n']
s56034024_8,p10886362,s56034024,8,Findings,"On the prior study, there was a femoral Swan-Ganz catheter that is no longer visualized. It is off the film. It has likely been pulled back. Left IJ line tip is in the SVC. Cardiac pacer with wires is again visualized. ET tube is unchanged. Bilateral pleural effusions have increased in size compared to the prior study. The heart size is moderately enlarged and is larger than on the prior exam. There is pulmonary vascular redistribution with perihilar haze. The overall impression is that of worsening CHF.",Bilateral pleural effusions have increased in size compared to the prior study.,pleural effusions,Bilateral,Worse,['files/p10/p10886362/s56034024/fdd8adcf-96e61323-ef98915c-c91ab8b9-7bf45f5e.jpg'],"['files/p10/p10886362/s55957472/10de7e37-6e13bc83-6797db44-6cac4fdb-8bcba198.jpg\n', 'files/p10/p10886362/s55957472/b2b5a3a4-24b4dc24-84c9e1a5-98f8a217-8c89ba2a.jpg\n']"
s56034024_8,p10886362,s56034024,8,Findings,"On the prior study, there was a femoral Swan-Ganz catheter that is no longer visualized. It is off the film. It has likely been pulled back. Left IJ line tip is in the SVC. Cardiac pacer with wires is again visualized. ET tube is unchanged. Bilateral pleural effusions have increased in size compared to the prior study. The heart size is moderately enlarged and is larger than on the prior exam. There is pulmonary vascular redistribution with perihilar haze. The overall impression is that of worsening CHF.","On the prior study, there was a femoral Swan-Ganz catheter that is no longer visualized.",Swan-Ganz catheter,femoral,Resolve,['files/p10/p10886362/s56034024/fdd8adcf-96e61323-ef98915c-c91ab8b9-7bf45f5e.jpg'],"['files/p10/p10886362/s55957472/10de7e37-6e13bc83-6797db44-6cac4fdb-8bcba198.jpg\n', 'files/p10/p10886362/s55957472/b2b5a3a4-24b4dc24-84c9e1a5-98f8a217-8c89ba2a.jpg\n']"
s56034024_8,p10886362,s56034024,8,Findings,"On the prior study, there was a femoral Swan-Ganz catheter that is no longer visualized. It is off the film. It has likely been pulled back. Left IJ line tip is in the SVC. Cardiac pacer with wires is again visualized. ET tube is unchanged. Bilateral pleural effusions have increased in size compared to the prior study. The heart size is moderately enlarged and is larger than on the prior exam. There is pulmonary vascular redistribution with perihilar haze. The overall impression is that of worsening CHF.",The heart size is moderately enlarged and is larger than on the prior exam.,heart size,,Worse,['files/p10/p10886362/s56034024/fdd8adcf-96e61323-ef98915c-c91ab8b9-7bf45f5e.jpg'],"['files/p10/p10886362/s55957472/10de7e37-6e13bc83-6797db44-6cac4fdb-8bcba198.jpg\n', 'files/p10/p10886362/s55957472/b2b5a3a4-24b4dc24-84c9e1a5-98f8a217-8c89ba2a.jpg\n']"
s56042734_6,p19549821,s56042734,6,Findings,"PA and lateral views of the chest demonstrate hyperexpansion of the lungs and relative flattening of the bilateral hemidiaphragms, consistent with emphysema. The cardiomediastinal silhouette is stable. There is no evidence of pulmonary edema, pleural effusion or focal consolidation concerning for pneumonia. Multilevel degenerative changes are present in the thoracic spine. Bilateral nipple shadows should not be confused for pulmonary nodules.",The cardiomediastinal silhouette is stable.,cardiomediastinal silhouette,,Stable,"['files/p19/p19549821/s56042734/7377346a-38f8250e-c3694853-37601fdd-b0ff4cb7.jpg', 'files/p19/p19549821/s56042734/a464fe33-f97c23c1-580d2988-155f758e-66524a5f.jpg', 'files/p19/p19549821/s56042734/c7c68b52-54b2bc92-e88ecc8c-e4048535-e3dbb409.jpg']","['files/p19/p19549821/s56024784/3db433a8-9379d041-b4e9d173-f253fe8b-8ad21d0a.jpg\n', 'files/p19/p19549821/s56024784/41cf21eb-9d52be87-edeedec8-7aecd1ac-5e5662c4.jpg\n', 'files/p19/p19549821/s56024784/4bb967c3-58f8c025-777fd624-8d104e92-18a9526a.jpg\n']"
s56043376_0,p18929056,s56043376,0,Findings,"Left-sided dual-chamber pacemaker leads terminating in the right atrium and right ventricle are noted. There is mild enlargement of the cardiac silhouette, which is stable. The aorta remains tortuous and diffusely calcified. Pulmonary vascularity is normal. The lungs remain hyperinflated. No pleural effusion or pneumothorax is seen. There is minimal atelectasis at the lung bases, but no areas of focal consolidation. No acute osseous abnormality is present.",The aorta remains tortuous and diffusely calcified.,tortuous and diffusely calcified,aorta,Stable,"['files/p18/p18929056/s56043376/415f8af3-cd9c7d29-d09be965-7f210ffa-09522234.jpg', 'files/p18/p18929056/s56043376/928427f2-ea258174-1e7a326a-223e2d87-14e3a792.jpg']","['files/p18/p18929056/s54821838/1fa9db19-c22034b0-455e5a23-742ae17a-4fd50560.jpg\n', 'files/p18/p18929056/s54821838/2e63cbea-9e89b6ef-7aa9d94c-5c2f5dbd-2969f6e4.jpg\n']"
s56043376_0,p18929056,s56043376,0,Findings,"Left-sided dual-chamber pacemaker leads terminating in the right atrium and right ventricle are noted. There is mild enlargement of the cardiac silhouette, which is stable. The aorta remains tortuous and diffusely calcified. Pulmonary vascularity is normal. The lungs remain hyperinflated. No pleural effusion or pneumothorax is seen. There is minimal atelectasis at the lung bases, but no areas of focal consolidation. No acute osseous abnormality is present.","There is mild enlargement of the cardiac silhouette, which is stable.",mild enlargement,cardiac silhouette,Stable,"['files/p18/p18929056/s56043376/415f8af3-cd9c7d29-d09be965-7f210ffa-09522234.jpg', 'files/p18/p18929056/s56043376/928427f2-ea258174-1e7a326a-223e2d87-14e3a792.jpg']","['files/p18/p18929056/s54821838/1fa9db19-c22034b0-455e5a23-742ae17a-4fd50560.jpg\n', 'files/p18/p18929056/s54821838/2e63cbea-9e89b6ef-7aa9d94c-5c2f5dbd-2969f6e4.jpg\n']"
s56043376_0,p18929056,s56043376,0,Findings,"Left-sided dual-chamber pacemaker leads terminating in the right atrium and right ventricle are noted. There is mild enlargement of the cardiac silhouette, which is stable. The aorta remains tortuous and diffusely calcified. Pulmonary vascularity is normal. The lungs remain hyperinflated. No pleural effusion or pneumothorax is seen. There is minimal atelectasis at the lung bases, but no areas of focal consolidation. No acute osseous abnormality is present.",The lungs remain hyperinflated.,hyperinflated,lungs,Stable,"['files/p18/p18929056/s56043376/415f8af3-cd9c7d29-d09be965-7f210ffa-09522234.jpg', 'files/p18/p18929056/s56043376/928427f2-ea258174-1e7a326a-223e2d87-14e3a792.jpg']","['files/p18/p18929056/s54821838/1fa9db19-c22034b0-455e5a23-742ae17a-4fd50560.jpg\n', 'files/p18/p18929056/s54821838/2e63cbea-9e89b6ef-7aa9d94c-5c2f5dbd-2969f6e4.jpg\n']"
s56043671_32,p12185775,s56043671,32,Findings,"A right PICC has been placed with the tip terminating in the proximal right atrium, which should be retracted 2 cm to place in the low SVC. The inspiratory lung volumes are decreased. There is mild right basilar atelectasis. Calcified pulmonary granulomas are unchanged. There is no focal consolidation concerning for pneumonia, significant pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are stable. No acute osseous abnormality is detected.",The cardiomediastinal and hilar contours are stable.,cardiomediastinal and hilar contours,,Stable,['files/p12/p12185775/s56043671/d616d0a0-41025591-43cd391a-ee10bd11-29c865b3.jpg'],['files/p12/p12185775/s55958316/b570093b-0dc0e880-c0006423-ad6a31ed-d87e89fa.jpg\n']
s56043671_32,p12185775,s56043671,32,Findings,"A right PICC has been placed with the tip terminating in the proximal right atrium, which should be retracted 2 cm to place in the low SVC. The inspiratory lung volumes are decreased. There is mild right basilar atelectasis. Calcified pulmonary granulomas are unchanged. There is no focal consolidation concerning for pneumonia, significant pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are stable. No acute osseous abnormality is detected.",Calcified pulmonary granulomas are unchanged.,Calcified pulmonary granulomas,,Stable,['files/p12/p12185775/s56043671/d616d0a0-41025591-43cd391a-ee10bd11-29c865b3.jpg'],['files/p12/p12185775/s55958316/b570093b-0dc0e880-c0006423-ad6a31ed-d87e89fa.jpg\n']
s56047116_5,p18517718,s56047116,5,Findings,"In comparison with study of earlier in this date, the tip of the endotracheal tube measures approximately 4.6 cm above the carina. Nasogastric tube extends into the stomach, with the tip crossing the lower margin of the image. Increased opacification is seen at the right base medially. It is unclear whether this represents crowding of pulmonary vessels, atelectasis, or, in the appropriate clinical setting, a developing consolidation.",Increased opacification is seen at the right base medially.,opacification,right base medially,Worse,['files/p18/p18517718/s56047116/26cd4845-5c52d871-e5d996d0-a2113787-630c0309.jpg'],['files/p18/p18517718/s55049074/34a10323-881113ce-bd77fb85-f57b5c48-160f4e7b.jpg\n']
s56055109_40,p13475033,s56055109,40,Impression,No significant interval change. Stable diffuse increase in interstitial markings consistent with chronic lung disease.,Stable diffuse increase in interstitial markings consistent with chronic lung disease.,increase in interstitial markings,Diffuse,Stable,"['files/p13/p13475033/s56055109/6b4e9179-706726d1-399913c9-4e19cab1-51258dfb.jpg', 'files/p13/p13475033/s56055109/f7995b00-70025839-1b735979-92983f8a-5fb639f8.jpg']","['files/p13/p13475033/s55966450/32090cde-4c8c850b-1cb52e26-66e7c4d7-d14f0d2d.jpg\n', 'files/p13/p13475033/s55966450/488be5c1-df6c98d6-5a8ab963-a827d34e-5a25ccc3.jpg\n']"
s56055109_40,p13475033,s56055109,40,Findings,There still diffuse increase in interstitial markings bilaterally consistent with chronic interstitial lung disease. No new focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are grossly stable.,The cardiac and mediastinal silhouettes are grossly stable.,silhouettes,Cardiac and mediastinal,Stable,"['files/p13/p13475033/s56055109/6b4e9179-706726d1-399913c9-4e19cab1-51258dfb.jpg', 'files/p13/p13475033/s56055109/f7995b00-70025839-1b735979-92983f8a-5fb639f8.jpg']","['files/p13/p13475033/s55966450/32090cde-4c8c850b-1cb52e26-66e7c4d7-d14f0d2d.jpg\n', 'files/p13/p13475033/s55966450/488be5c1-df6c98d6-5a8ab963-a827d34e-5a25ccc3.jpg\n']"
s56061315_4,p19016834,s56061315,4,Findings,There has been interval removal of the right-sided Port-A-Cath. The heart size is within normal limits as well as the mediastinal contours. There is no evidence of pneumomediastinum. There is no pneumothorax. Mild bibasilar atelectasis is present with a small right pleural effusion.,There has been interval removal of the right-sided Port-A-Cath.,Port-A-Cath,right-sided,Resolve,['files/p19/p19016834/s56061315/0ac2b288-52510797-df0a6b75-70a649b5-d526e4dd.jpg'],"['files/p19/p19016834/s56012267/177495f2-996738c6-f03f52bd-f9e6aad1-913f1885.jpg\n', 'files/p19/p19016834/s56012267/daf6cf16-a484b5dd-18011dd3-da52fe5d-68986a14.jpg\n']"
s56063579_15,p10268877,s56063579,15,Impression,"Mild residual retrocardiac opacification remains, pneumonia vs. atelectasis.","Mild residual retrocardiac opacification remains, pneumonia vs. atelectasis.",opacification,retrocardiac,Stable,['files/p10/p10268877/s56063579/519f8e91-8489edf4-ff870026-b846bb39-f4746655.jpg'],['files/p10/p10268877/s55809473/9dedb45c-ce21220f-3df796c5-b8039ee0-6a854155.jpg\n']
s56063579_15,p10268877,s56063579,15,Findings,"An endotracheal tube, NG tube, and right upper extremity PICC with its tip at the cavoatrial junction are unchanged. There is no change in left lower lobe opacity. There is no large pleural effusion, or pneumothorax. The cardiac silhouette remains moderately enlarged, mediastinal contours are notable for calcification of the aortic arch.","The cardiac silhouette remains moderately enlarged, mediastinal contours are notable for calcification of the aortic arch.",enlargement,cardiac silhouette,Stable,['files/p10/p10268877/s56063579/519f8e91-8489edf4-ff870026-b846bb39-f4746655.jpg'],['files/p10/p10268877/s55809473/9dedb45c-ce21220f-3df796c5-b8039ee0-6a854155.jpg\n']
s56063579_15,p10268877,s56063579,15,Findings,"An endotracheal tube, NG tube, and right upper extremity PICC with its tip at the cavoatrial junction are unchanged. There is no change in left lower lobe opacity. There is no large pleural effusion, or pneumothorax. The cardiac silhouette remains moderately enlarged, mediastinal contours are notable for calcification of the aortic arch.",There is no change in left lower lobe opacity.,opacity,left lower lobe,Stable,['files/p10/p10268877/s56063579/519f8e91-8489edf4-ff870026-b846bb39-f4746655.jpg'],['files/p10/p10268877/s55809473/9dedb45c-ce21220f-3df796c5-b8039ee0-6a854155.jpg\n']
s56063579_15,p10268877,s56063579,15,Findings,"An endotracheal tube, NG tube, and right upper extremity PICC with its tip at the cavoatrial junction are unchanged. There is no change in left lower lobe opacity. There is no large pleural effusion, or pneumothorax. The cardiac silhouette remains moderately enlarged, mediastinal contours are notable for calcification of the aortic arch.","An endotracheal tube, NG tube, and right upper extremity PICC with its tip at the cavoatrial junction are unchanged.",endotracheal tube,cavoatrial junction,Stable,['files/p10/p10268877/s56063579/519f8e91-8489edf4-ff870026-b846bb39-f4746655.jpg'],['files/p10/p10268877/s55809473/9dedb45c-ce21220f-3df796c5-b8039ee0-6a854155.jpg\n']
s56063579_15,p10268877,s56063579,15,Findings,"An endotracheal tube, NG tube, and right upper extremity PICC with its tip at the cavoatrial junction are unchanged. There is no change in left lower lobe opacity. There is no large pleural effusion, or pneumothorax. The cardiac silhouette remains moderately enlarged, mediastinal contours are notable for calcification of the aortic arch.","An endotracheal tube, NG tube, and right upper extremity PICC with its tip at the cavoatrial junction are unchanged.",NG tube,cavoatrial junction,Stable,['files/p10/p10268877/s56063579/519f8e91-8489edf4-ff870026-b846bb39-f4746655.jpg'],['files/p10/p10268877/s55809473/9dedb45c-ce21220f-3df796c5-b8039ee0-6a854155.jpg\n']
s56063579_15,p10268877,s56063579,15,Findings,"An endotracheal tube, NG tube, and right upper extremity PICC with its tip at the cavoatrial junction are unchanged. There is no change in left lower lobe opacity. There is no large pleural effusion, or pneumothorax. The cardiac silhouette remains moderately enlarged, mediastinal contours are notable for calcification of the aortic arch.","An endotracheal tube, NG tube, and right upper extremity PICC with its tip at the cavoatrial junction are unchanged.",PICC,cavoatrial junction,Stable,['files/p10/p10268877/s56063579/519f8e91-8489edf4-ff870026-b846bb39-f4746655.jpg'],['files/p10/p10268877/s55809473/9dedb45c-ce21220f-3df796c5-b8039ee0-6a854155.jpg\n']
s56081327_25,p16826047,s56081327,25,Findings,"A right Pleurx catheter remains in place with little change in appearance of large loculated right pleural effusion despite large amount of drainage with the majority of fluid loculated in the right major fissure. There is, otherwise, no short-term interval change compared to ___ with mild cardiomegaly and known central adenopathy. There is no edema.","There is, otherwise, no short-term interval change compared to ___ with mild cardiomegaly and known central adenopathy.",central adenopathy,,Stable,"['files/p16/p16826047/s56081327/3df17cad-5c3f8bbb-76d9b10d-006a7939-4d898c97.jpg', 'files/p16/p16826047/s56081327/4a43030c-6867738a-9af25682-7751982a-a516ecb7.jpg']","['files/p16/p16826047/s55960520/33ecbdf2-35c3aa31-e848a7b9-a49131b4-0690b4a3.jpg\n', 'files/p16/p16826047/s55960520/626c8821-3de699cf-14f3cfae-8d973f75-4c8a31c6.jpg\n']"
s56081327_25,p16826047,s56081327,25,Findings,"A right Pleurx catheter remains in place with little change in appearance of large loculated right pleural effusion despite large amount of drainage with the majority of fluid loculated in the right major fissure. There is, otherwise, no short-term interval change compared to ___ with mild cardiomegaly and known central adenopathy. There is no edema.",A right Pleurx catheter remains in place with little change in appearance of large loculated right pleural effusion despite large amount of drainage with the majority of fluid loculated in the right major fissure.,large loculated right pleural effusion,right major fissure,Stable,"['files/p16/p16826047/s56081327/3df17cad-5c3f8bbb-76d9b10d-006a7939-4d898c97.jpg', 'files/p16/p16826047/s56081327/4a43030c-6867738a-9af25682-7751982a-a516ecb7.jpg']","['files/p16/p16826047/s55960520/33ecbdf2-35c3aa31-e848a7b9-a49131b4-0690b4a3.jpg\n', 'files/p16/p16826047/s55960520/626c8821-3de699cf-14f3cfae-8d973f75-4c8a31c6.jpg\n']"
s56081327_25,p16826047,s56081327,25,Impression,"No significant change in right large loculated pleural effusion with mostly a major fissural component despite large amount of drainage through Pleurx. Otherwise, no significant interval change compared to ___.",No significant change in right large loculated pleural effusion with mostly a major fissural component despite large amount of drainage through Pleurx.,large loculated pleural effusion,right major fissure,Stable,"['files/p16/p16826047/s56081327/3df17cad-5c3f8bbb-76d9b10d-006a7939-4d898c97.jpg', 'files/p16/p16826047/s56081327/4a43030c-6867738a-9af25682-7751982a-a516ecb7.jpg']","['files/p16/p16826047/s55960520/33ecbdf2-35c3aa31-e848a7b9-a49131b4-0690b4a3.jpg\n', 'files/p16/p16826047/s55960520/626c8821-3de699cf-14f3cfae-8d973f75-4c8a31c6.jpg\n']"
s56081327_25,p16826047,s56081327,25,Findings,"A right Pleurx catheter remains in place with little change in appearance of large loculated right pleural effusion despite large amount of drainage with the majority of fluid loculated in the right major fissure. There is, otherwise, no short-term interval change compared to ___ with mild cardiomegaly and known central adenopathy. There is no edema.","There is, otherwise, no short-term interval change compared to ___ with mild cardiomegaly and known central adenopathy.",mild cardiomegaly,,Stable,"['files/p16/p16826047/s56081327/3df17cad-5c3f8bbb-76d9b10d-006a7939-4d898c97.jpg', 'files/p16/p16826047/s56081327/4a43030c-6867738a-9af25682-7751982a-a516ecb7.jpg']","['files/p16/p16826047/s55960520/33ecbdf2-35c3aa31-e848a7b9-a49131b4-0690b4a3.jpg\n', 'files/p16/p16826047/s55960520/626c8821-3de699cf-14f3cfae-8d973f75-4c8a31c6.jpg\n']"
s56081681_13,p13475033,s56081681,13,Findings,"A frontal upright view of the chest was obtained portably. Since ___, miild interstitial edema persists, but has improved. There is no focal consolidation, pleural effusion, or pneumothorax. Heart size is stable. Aortic tortuosity is unchanged. The left humeral head appears inferiorly subluxed with respect to the glenoid however is not visualized adequately on this film and may partially be positional.",Aortic tortuosity is unchanged.,tortuosity,Aortic,Stable,['files/p13/p13475033/s56081681/0325340c-c95a8b30-4a454b66-d20de6cb-d5353596.jpg'],"['files/p13/p13475033/s56055109/6b4e9179-706726d1-399913c9-4e19cab1-51258dfb.jpg\n', 'files/p13/p13475033/s56055109/f7995b00-70025839-1b735979-92983f8a-5fb639f8.jpg\n']"
s56081681_13,p13475033,s56081681,13,Findings,"A frontal upright view of the chest was obtained portably. Since ___, miild interstitial edema persists, but has improved. There is no focal consolidation, pleural effusion, or pneumothorax. Heart size is stable. Aortic tortuosity is unchanged. The left humeral head appears inferiorly subluxed with respect to the glenoid however is not visualized adequately on this film and may partially be positional.",Heart size is stable.,size,Heart,Stable,['files/p13/p13475033/s56081681/0325340c-c95a8b30-4a454b66-d20de6cb-d5353596.jpg'],"['files/p13/p13475033/s56055109/6b4e9179-706726d1-399913c9-4e19cab1-51258dfb.jpg\n', 'files/p13/p13475033/s56055109/f7995b00-70025839-1b735979-92983f8a-5fb639f8.jpg\n']"
s56081681_13,p13475033,s56081681,13,Impression,No pneumonia. Improved but persistent mild interstitial edema. Possible subluxation/dislocation of left glenohumeral joint for which dedicated shoulder films can futher characterize.,Improved but persistent mild interstitial edema.,edema,Interstitial,Better,['files/p13/p13475033/s56081681/0325340c-c95a8b30-4a454b66-d20de6cb-d5353596.jpg'],"['files/p13/p13475033/s56055109/6b4e9179-706726d1-399913c9-4e19cab1-51258dfb.jpg\n', 'files/p13/p13475033/s56055109/f7995b00-70025839-1b735979-92983f8a-5fb639f8.jpg\n']"
s56081681_13,p13475033,s56081681,13,Findings,"A frontal upright view of the chest was obtained portably. Since ___, miild interstitial edema persists, but has improved. There is no focal consolidation, pleural effusion, or pneumothorax. Heart size is stable. Aortic tortuosity is unchanged. The left humeral head appears inferiorly subluxed with respect to the glenoid however is not visualized adequately on this film and may partially be positional.","Since ___, miild interstitial edema persists, but has improved.",edema,Interstitial,Better,['files/p13/p13475033/s56081681/0325340c-c95a8b30-4a454b66-d20de6cb-d5353596.jpg'],"['files/p13/p13475033/s56055109/6b4e9179-706726d1-399913c9-4e19cab1-51258dfb.jpg\n', 'files/p13/p13475033/s56055109/f7995b00-70025839-1b735979-92983f8a-5fb639f8.jpg\n']"
s56081926_6,p18322589,s56081926,6,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. Slight progression of the bilateral basilar areas of atelectasis. Minimal further enlargement of the cardiac silhouette. Otherwise, the lung parenchyma is unchanged. No pneumothorax, no larger pleural effusions.",Slight progression of the bilateral basilar areas of atelectasis.,atelectasis,bilateral basilar,Worse,['files/p18/p18322589/s56081926/75f9f886-f3756d63-abb8d1f9-11e61578-a1c734a4.jpg'],['files/p18/p18322589/s55604705/e3f6ff40-982c86c0-0c5ce5f6-f79305f7-a1fbdeea.jpg\n']
s56081926_6,p18322589,s56081926,6,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. Slight progression of the bilateral basilar areas of atelectasis. Minimal further enlargement of the cardiac silhouette. Otherwise, the lung parenchyma is unchanged. No pneumothorax, no larger pleural effusions.","Otherwise, the lung parenchyma is unchanged.",lung parenchyma,,Stable,['files/p18/p18322589/s56081926/75f9f886-f3756d63-abb8d1f9-11e61578-a1c734a4.jpg'],['files/p18/p18322589/s55604705/e3f6ff40-982c86c0-0c5ce5f6-f79305f7-a1fbdeea.jpg\n']
s56081926_6,p18322589,s56081926,6,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. Slight progression of the bilateral basilar areas of atelectasis. Minimal further enlargement of the cardiac silhouette. Otherwise, the lung parenchyma is unchanged. No pneumothorax, no larger pleural effusions.",Minimal further enlargement of the cardiac silhouette.,cardiac silhouette,,Worse,['files/p18/p18322589/s56081926/75f9f886-f3756d63-abb8d1f9-11e61578-a1c734a4.jpg'],['files/p18/p18322589/s55604705/e3f6ff40-982c86c0-0c5ce5f6-f79305f7-a1fbdeea.jpg\n']
s56081926_6,p18322589,s56081926,6,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. Slight progression of the bilateral basilar areas of atelectasis. Minimal further enlargement of the cardiac silhouette. Otherwise, the lung parenchyma is unchanged. No pneumothorax, no larger pleural effusions.","As compared to the previous radiograph, the monitoring and support devices are unchanged.",monitoring and support devices,,Stable,['files/p18/p18322589/s56081926/75f9f886-f3756d63-abb8d1f9-11e61578-a1c734a4.jpg'],['files/p18/p18322589/s55604705/e3f6ff40-982c86c0-0c5ce5f6-f79305f7-a1fbdeea.jpg\n']
s56084617_13,p11569093,s56084617,13,Impression,Unchanged right basilar pneumothorax.,Unchanged right basilar pneumothorax.,pneumothorax,right basilar,Stable,['files/p11/p11569093/s56084617/68a9dec9-436c84d0-572f0df9-18929544-6b237d3b.jpg'],['files/p11/p11569093/s54969173/ef7be867-0fa87b48-e5f67e5f-81dc3391-c2b7a900.jpg\n']
s56084617_13,p11569093,s56084617,13,Findings,"A frontal upright view of the chest was obtained portably. Interval removal of the right pigtail catheter with replacement with a right chest tube within the loculated right basilar pneumothorax, which is unchanged. Volume loss in the right lung with surrounding pleural fluid is unchanged. The left lung is well expanded and clear without pneumothorax or effusion. Surgical clips project over the epigastrium. Aortic contour and left heart border are unchanged.","Interval removal of the right pigtail catheter with replacement with a right chest tube within the loculated right basilar pneumothorax, which is unchanged.",pneumothorax,right basilar,Stable,['files/p11/p11569093/s56084617/68a9dec9-436c84d0-572f0df9-18929544-6b237d3b.jpg'],['files/p11/p11569093/s54969173/ef7be867-0fa87b48-e5f67e5f-81dc3391-c2b7a900.jpg\n']
s56084617_13,p11569093,s56084617,13,Findings,"A frontal upright view of the chest was obtained portably. Interval removal of the right pigtail catheter with replacement with a right chest tube within the loculated right basilar pneumothorax, which is unchanged. Volume loss in the right lung with surrounding pleural fluid is unchanged. The left lung is well expanded and clear without pneumothorax or effusion. Surgical clips project over the epigastrium. Aortic contour and left heart border are unchanged.",Volume loss in the right lung with surrounding pleural fluid is unchanged.,volume loss,right lung,Stable,['files/p11/p11569093/s56084617/68a9dec9-436c84d0-572f0df9-18929544-6b237d3b.jpg'],['files/p11/p11569093/s54969173/ef7be867-0fa87b48-e5f67e5f-81dc3391-c2b7a900.jpg\n']
s56084617_13,p11569093,s56084617,13,Findings,"A frontal upright view of the chest was obtained portably. Interval removal of the right pigtail catheter with replacement with a right chest tube within the loculated right basilar pneumothorax, which is unchanged. Volume loss in the right lung with surrounding pleural fluid is unchanged. The left lung is well expanded and clear without pneumothorax or effusion. Surgical clips project over the epigastrium. Aortic contour and left heart border are unchanged.",Aortic contour and left heart border are unchanged.,,aortic contour and left heart border,Stable,['files/p11/p11569093/s56084617/68a9dec9-436c84d0-572f0df9-18929544-6b237d3b.jpg'],['files/p11/p11569093/s54969173/ef7be867-0fa87b48-e5f67e5f-81dc3391-c2b7a900.jpg\n']
s56093476_0,p15881535,s56093476,0,Findings,"Lung volumes are diminished which exaggerates the cardiomediastinal configuration. However, even accounting for this change, there has been a relative dramatic increase in the size of the cardiac silhouette with now somewhat globular morphology. Ill-defined opacity is noted in the retrocardiac left lower lobe which is likely atelectasis given the volume loss. There is no focal consolidation. No definite effusion or pneumothorax is seen. The osseous structures are unremarkable. Incidental note is made of internal fixation hardware, incompletely evaluated, involving the mid diaphysis of the right clavicle. Tubing loops over the epigastric region and with the tip projecting at the dome of the left hemidiaphragm over the cardiac silhouette.","However, even accounting for this change, there has been a relative dramatic increase in the size of the cardiac silhouette with now somewhat globular morphology.",increase in size,cardiac silhouette,Worse,['files/p15/p15881535/s56093476/210f9c01-9e0728bf-4b8ec9bf-34d1564e-16cf509c.jpg'],
s56093476_0,p15881535,s56093476,0,Impression,Interval enlargement of the cardiac silhouette even accounting for patient and technical factors. This likely signifies at least an increase in the size of the apparently known pericardial effusion.,Interval enlargement of the cardiac silhouette even accounting for patient and technical factors. This likely signifies at least an increase in the size of the apparently known pericardial effusion.,enlargement,cardiac silhouette,Worse,['files/p15/p15881535/s56093476/210f9c01-9e0728bf-4b8ec9bf-34d1564e-16cf509c.jpg'],
s56094236_0,p18224196,s56094236,0,Impression,1. Increased small bilateral pleural effusions. 2. Cardiomegaly. 3. Hyperinflated lungs corresponding with known emphysema. These findings were discussed with Dr. ___ by Dr. ___ by telephone at 10:32 a.m. on ___.,Increased small bilateral pleural effusions.,pleural effusions,bilateral,Worse,['files/p18/p18224196/s56094236/eb810218-60a5a044-852328e8-4cdeeaef-1befd540.jpg'],['files/p18/p18224196/s55452685/4b21950a-5565f60b-5e86b9fd-fde33a71-2a564240.jpg\n']
s56094236_0,p18224196,s56094236,0,Findings,"Small bilateral pleural effusions are increased in size compared to most recent prior exam. There is no focal consolidation. The lungs are hyperinflated with emphysematous changes as seen on prior CT. Heart size is increased, similar compared to prior.","Heart size is increased, similar compared to prior.",Cardiomegaly,,Stable,['files/p18/p18224196/s56094236/eb810218-60a5a044-852328e8-4cdeeaef-1befd540.jpg'],['files/p18/p18224196/s55452685/4b21950a-5565f60b-5e86b9fd-fde33a71-2a564240.jpg\n']
s56094236_0,p18224196,s56094236,0,Findings,"Small bilateral pleural effusions are increased in size compared to most recent prior exam. There is no focal consolidation. The lungs are hyperinflated with emphysematous changes as seen on prior CT. Heart size is increased, similar compared to prior.",Small bilateral pleural effusions are increased in size compared to most recent prior exam.,pleural effusions,bilateral,Worse,['files/p18/p18224196/s56094236/eb810218-60a5a044-852328e8-4cdeeaef-1befd540.jpg'],['files/p18/p18224196/s55452685/4b21950a-5565f60b-5e86b9fd-fde33a71-2a564240.jpg\n']
s56094879_6,p15144601,s56094879,6,Impression,"Compared to chest radiographs since the ___, most recently ___. Severe cardiomegaly, pulmonary vascular congestion, and interstitial abnormality with a basilar predominance are all chronic. Comparing the appearance of the right lower lung on serial frontal radiographs shows a mild increase today. This could be either a mild pneumonia or early acute edema. There is no appreciable pleural effusion and no evidence of pneumothorax. Thoracic aorta is heavily calcified and tortuous but not focally aneurysmal. Indwelling transvenous right atrial pacer and right ventricular pacer defibrillator leads are unchanged in positions and continuous from the left pectoral generator.",Indwelling transvenous right atrial pacer and right ventricular pacer defibrillator leads are unchanged in positions and continuous from the left pectoral generator.,,Indwelling transvenous right atrial pacer and right ventricular pacer defibrillator leads,Stable,"['files/p15/p15144601/s56094879/8514ae6a-487dc3d0-b8e0ee76-b3d06968-3aad7ad0.jpg', 'files/p15/p15144601/s56094879/9a153253-dcd22d72-b7158f90-d4bc1d9b-ef456abf.jpg', 'files/p15/p15144601/s56094879/b785c793-aaed777d-bf9e5f46-51f74f6e-d5c76d2d.jpg']","['files/p15/p15144601/s55421522/0b935875-ccc24ae1-ff220578-be4e3835-6acc2e7a.jpg\n', 'files/p15/p15144601/s55421522/d918062a-d0a7bedc-45270789-08ad2dec-e2c2ca87.jpg\n', 'files/p15/p15144601/s55421522/ec32c693-7e523bd2-33c3bc87-53de2670-1aac4956.jpg\n']"
s56094879_6,p15144601,s56094879,6,Impression,"Compared to chest radiographs since the ___, most recently ___. Severe cardiomegaly, pulmonary vascular congestion, and interstitial abnormality with a basilar predominance are all chronic. Comparing the appearance of the right lower lung on serial frontal radiographs shows a mild increase today. This could be either a mild pneumonia or early acute edema. There is no appreciable pleural effusion and no evidence of pneumothorax. Thoracic aorta is heavily calcified and tortuous but not focally aneurysmal. Indwelling transvenous right atrial pacer and right ventricular pacer defibrillator leads are unchanged in positions and continuous from the left pectoral generator.",Comparing the appearance of the right lower lung on serial frontal radiographs shows a mild increase today.,,Right lower lung,Worse,"['files/p15/p15144601/s56094879/8514ae6a-487dc3d0-b8e0ee76-b3d06968-3aad7ad0.jpg', 'files/p15/p15144601/s56094879/9a153253-dcd22d72-b7158f90-d4bc1d9b-ef456abf.jpg', 'files/p15/p15144601/s56094879/b785c793-aaed777d-bf9e5f46-51f74f6e-d5c76d2d.jpg']","['files/p15/p15144601/s55421522/0b935875-ccc24ae1-ff220578-be4e3835-6acc2e7a.jpg\n', 'files/p15/p15144601/s55421522/d918062a-d0a7bedc-45270789-08ad2dec-e2c2ca87.jpg\n', 'files/p15/p15144601/s55421522/ec32c693-7e523bd2-33c3bc87-53de2670-1aac4956.jpg\n']"
s56097707_1,p15840907,s56097707,1,Findings,"Single AP upright portable view of the chest was obtained. There has been interval placement of a large-bore dual-lumen right central venous catheter, distal aspect not well seen, but likely terminating at the cavoatrial junction/proximal right atrium. The cardiac silhouette is mildly enlarged. There is a left base opacity, likely represents combination of pleural effusion and atelectasis. There is a moderate pulmonary vascular congestion. No pneumothorax seen.","There has been interval placement of a large-bore dual-lumen right central venous catheter, distal aspect not well seen, but likely terminating at the cavoatrial junction/proximal right atrium.",venous catheter,right central,New,['files/p15/p15840907/s56097707/3de6e01e-157ea365-d2474e3c-ab60b297-9e6bcadc.jpg'],"['files/p15/p15840907/s54355585/904cf86f-1866f68d-e860512e-9cbe3c9e-f9c32a56.jpg\n', 'files/p15/p15840907/s54355585/b2cda6f3-388157df-c26cec82-28b37970-af315339.jpg\n', 'files/p15/p15840907/s54355585/df7b8cfc-12798a16-4d5f66d6-63417bad-c5e6fca0.jpg\n']"
s56101582_13,p16360107,s56101582,13,Impression,There has been placement of a new right-sided subclavian central line with the distal lead tip in the right atrium. Heart size is enlarged but stable. There are moderate bilateral pleural effusions. The right-sided appears partially loculated. Bibasilar opacities are also seen and unchanged. There is mild pulmonary edema.,There has been placement of a new right-sided subclavian central line with the distal lead tip in the right atrium.,subclavian central line,right-sided,New,['files/p16/p16360107/s56101582/c1580ec9-32506bce-3fcc607e-df23d243-031e5cb4.jpg'],"['files/p16/p16360107/s55999205/651f114e-84947603-ffc43734-98f192e7-c9c6afe0.jpg\n', 'files/p16/p16360107/s55999205/9b3b2ac9-c7621799-9c520077-028dc771-d93cf2d7.jpg\n']"
s56101582_13,p16360107,s56101582,13,Impression,There has been placement of a new right-sided subclavian central line with the distal lead tip in the right atrium. Heart size is enlarged but stable. There are moderate bilateral pleural effusions. The right-sided appears partially loculated. Bibasilar opacities are also seen and unchanged. There is mild pulmonary edema.,Heart size is enlarged but stable.,enlarged heart size,,Stable,['files/p16/p16360107/s56101582/c1580ec9-32506bce-3fcc607e-df23d243-031e5cb4.jpg'],"['files/p16/p16360107/s55999205/651f114e-84947603-ffc43734-98f192e7-c9c6afe0.jpg\n', 'files/p16/p16360107/s55999205/9b3b2ac9-c7621799-9c520077-028dc771-d93cf2d7.jpg\n']"
s56101582_13,p16360107,s56101582,13,Impression,There has been placement of a new right-sided subclavian central line with the distal lead tip in the right atrium. Heart size is enlarged but stable. There are moderate bilateral pleural effusions. The right-sided appears partially loculated. Bibasilar opacities are also seen and unchanged. There is mild pulmonary edema.,Bibasilar opacities are also seen and unchanged.,opacities,bibasilar,Stable,['files/p16/p16360107/s56101582/c1580ec9-32506bce-3fcc607e-df23d243-031e5cb4.jpg'],"['files/p16/p16360107/s55999205/651f114e-84947603-ffc43734-98f192e7-c9c6afe0.jpg\n', 'files/p16/p16360107/s55999205/9b3b2ac9-c7621799-9c520077-028dc771-d93cf2d7.jpg\n']"
s56104633_10,p16043637,s56104633,10,Findings,Frontal and lateral views of the chest were obtained. Patient is status post median sternotomy and cardiac valve replacement. Dual lead left-sided pacemaker is seen with leads extending to the expected position of the right atrium and right ventricle. There may be minimal basilar atelectasis. 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.,cardiac and mediastinal silhouettes,,Stable,"['files/p16/p16043637/s56104633/378d7d48-0cfa19a3-361e40d3-6bd71394-bca64527.jpg', 'files/p16/p16043637/s56104633/cfec6d9d-4bc06a39-db51e654-c78ce642-16ef1ae3.jpg']","['files/p16/p16043637/s55611959/04a85b4b-e6d01c92-1cd75a15-b59a0b83-18f01c6e.jpg\n', 'files/p16/p16043637/s55611959/25f194da-0e5fda22-94c00937-1988c383-430e41c4.jpg\n', 'files/p16/p16043637/s55611959/2e0ac0a9-c4f5e463-bfc3a350-8515448c-2f9a7358.jpg\n']"
s56107641_8,p11052273,s56107641,8,Impression,"Compared to ___ radiograph, cardiomegaly and pulmonary vascular congestion are persistent findings. Worsening patchy and linear opacities in the left mid and lower lung are likely due to atelectasis, and although coexisting infection is not fully excluded. No other relevant changes.","Worsening patchy and linear opacities in the left mid and lower lung are likely due to atelectasis, and although coexisting infection is not fully excluded.",Patchy and linear opacities,left mid and lower lung,Worse,"['files/p11/p11052273/s56107641/1576fdb0-f3f769a3-0cc33e1a-059fcee1-ff10d20d.jpg', 'files/p11/p11052273/s56107641/c92eb013-1e459dcb-d3e846b5-def9d7f0-42bed786.jpg']",['files/p11/p11052273/s54389393/d7395617-98bb6ef8-6f0187e5-2c3df909-6f3a57c4.jpg\n']
s56107641_8,p11052273,s56107641,8,Impression,"Compared to ___ radiograph, cardiomegaly and pulmonary vascular congestion are persistent findings. Worsening patchy and linear opacities in the left mid and lower lung are likely due to atelectasis, and although coexisting infection is not fully excluded. No other relevant changes.","Compared to ___ radiograph, cardiomegaly and pulmonary vascular congestion are persistent findings.",Cardiomegaly and pulmonary vascular congestion,,Stable,"['files/p11/p11052273/s56107641/1576fdb0-f3f769a3-0cc33e1a-059fcee1-ff10d20d.jpg', 'files/p11/p11052273/s56107641/c92eb013-1e459dcb-d3e846b5-def9d7f0-42bed786.jpg']",['files/p11/p11052273/s54389393/d7395617-98bb6ef8-6f0187e5-2c3df909-6f3a57c4.jpg\n']
s56116675_5,p16435402,s56116675,5,Findings,"In the region of the lingular mass, there is a persistent opacity measuring approximately 6.2 x 5.0 cm and decreased in comparison to the postbiopsy opacity noted in ___ but greater than expected for postoperative hemorrhage at this time and thus raising suspicion for a possible infectious process. Otherwise, the right lung is clear. Mediastinal and cardiac silhouettes appears normal. Osseous structures are grossly unremarkable.","In the region of the lingular mass, there is a persistent opacity measuring approximately 6.2 x 5.0 cm and decreased in comparison to the postbiopsy opacity noted in ___ but greater than expected for postoperative hemorrhage at this time and thus raising suspicion for a possible infectious process.",opacity,lingular mass,Worse,"['files/p16/p16435402/s56116675/cbe3bc41-e94a672f-5fdd94a6-aa2446b0-e821a444.jpg', 'files/p16/p16435402/s56116675/d439d39d-cacf925c-2737a0f6-204add42-44e8cd99.jpg']","['files/p16/p16435402/s55968926/09a1e64f-23ae347f-cda48fff-8cd6e499-65b4bed0.jpg\n', 'files/p16/p16435402/s55968926/0fff37f5-dcb1c874-b312c480-4139c1a3-fb4c517c.jpg\n']"
s56116675_5,p16435402,s56116675,5,Impression,"In the region of the known lingular mass, there is a persistent opacity measuring approximately 6.2 x 5.0 cm which is decreased in comparison to the postbiopsy opacity noted in ___ but greater than expected for postoperative hemorrhage at this time; thus raising suspicion for a possible infectious process. These findings were discussed by Dr. ___ with Dr. ___ ___ telephone at 11:42 am on ___.","In the region of the known lingular mass, there is a persistent opacity measuring approximately 6.2 x 5.0 cm which is decreased in comparison to the postbiopsy opacity noted in ___ but greater than expected for postoperative hemorrhage at this time; thus raising suspicion for a possible infectious process.",opacity,lingular mass,Worse,"['files/p16/p16435402/s56116675/cbe3bc41-e94a672f-5fdd94a6-aa2446b0-e821a444.jpg', 'files/p16/p16435402/s56116675/d439d39d-cacf925c-2737a0f6-204add42-44e8cd99.jpg']","['files/p16/p16435402/s55968926/09a1e64f-23ae347f-cda48fff-8cd6e499-65b4bed0.jpg\n', 'files/p16/p16435402/s55968926/0fff37f5-dcb1c874-b312c480-4139c1a3-fb4c517c.jpg\n']"
s56118817_0,p17206933,s56118817,0,Impression,"PA and lateral chest compared to ___. Moderate cardiomegaly is stable. Mild generalized interstitial pulmonary abnormality is longstanding, probably not edema or infection. There is no appreciable pleural effusion. Atherosclerotic calcification of the aortic arch and proximal head and neck vessels is heavy. Several longstanding fractures of left middle ribs posteriorly are non-united. There is also the suggestion of lytic lesions in several left ribs, particularly the eight. Clinical correlation advised. Findings posted to the online record of critical results reporting for notification of the referring physician.",Moderate cardiomegaly is stable,Moderate cardiomegaly,,Stable,"['files/p17/p17206933/s56118817/0a48d5b4-3f3aff93-e685c884-b13d2c6c-2c2ab46b.jpg', 'files/p17/p17206933/s56118817/0d8df022-66df2226-6da5ef33-008b9273-022fa7f7.jpg']",['files/p17/p17206933/s51664027/ff6e7a7d-9a6dcd6f-295e7a94-b49fbcc3-502bd3ab.jpg\n']
s56121920_8,p12074041,s56121920,8,Findings,Frontal and lateral views of the chest were obtained. A single-lead left-sided AICD is again seen with lead extending to the expected position of the right ventricle. There has been interval removal of a right internal jugular central venous catheter. There is minimal interstitial edema. No large pleural effusion or pneumothorax. The cardiac silhouette remains mildly enlarged. The aorta is tortuous. No focal consolidation seen.,The cardiac silhouette remains mildly enlarged.,silhouette,cardiac,Stable,['files/p12/p12074041/s56121920/d834b686-fc38fc45-187ea122-4e655952-20a720bd.jpg'],"['files/p12/p12074041/s54973829/a194aa87-2cb7c882-7602c814-7712dbb4-9ac8dea7.jpg\n', 'files/p12/p12074041/s54973829/f430ec0f-40b790de-a5178baf-9dd6c108-9fc32de6.jpg\n']"
s56121920_8,p12074041,s56121920,8,Findings,Frontal and lateral views of the chest were obtained. A single-lead left-sided AICD is again seen with lead extending to the expected position of the right ventricle. There has been interval removal of a right internal jugular central venous catheter. There is minimal interstitial edema. No large pleural effusion or pneumothorax. The cardiac silhouette remains mildly enlarged. The aorta is tortuous. No focal consolidation seen.,There has been interval removal of a right internal jugular central venous catheter.,central venous catheter,right internal jugular,Resolve,['files/p12/p12074041/s56121920/d834b686-fc38fc45-187ea122-4e655952-20a720bd.jpg'],"['files/p12/p12074041/s54973829/a194aa87-2cb7c882-7602c814-7712dbb4-9ac8dea7.jpg\n', 'files/p12/p12074041/s54973829/f430ec0f-40b790de-a5178baf-9dd6c108-9fc32de6.jpg\n']"
s56121920_8,p12074041,s56121920,8,Findings,Frontal and lateral views of the chest were obtained. A single-lead left-sided AICD is again seen with lead extending to the expected position of the right ventricle. There has been interval removal of a right internal jugular central venous catheter. There is minimal interstitial edema. No large pleural effusion or pneumothorax. The cardiac silhouette remains mildly enlarged. The aorta is tortuous. No focal consolidation seen.,A single-lead left-sided AICD is again seen with lead extending to the expected position of the right ventricle.,AICD,left-sided,Stable,['files/p12/p12074041/s56121920/d834b686-fc38fc45-187ea122-4e655952-20a720bd.jpg'],"['files/p12/p12074041/s54973829/a194aa87-2cb7c882-7602c814-7712dbb4-9ac8dea7.jpg\n', 'files/p12/p12074041/s54973829/f430ec0f-40b790de-a5178baf-9dd6c108-9fc32de6.jpg\n']"
s56122911_11,p10975446,s56122911,11,Findings,"As compared to the previous radiograph, there is no relevant change. The extensive bilateral parenchymal opacities, bilateral pleural effusions, cardiomegaly, and basal atelectasis are unchanged. No new opacities. Unchanged monitoring and support devices.","The extensive bilateral parenchymal opacities, bilateral pleural effusions, cardiomegaly, and basal atelectasis are unchanged.",atelectasis,basal,Stable,['files/p10/p10975446/s56122911/71472bea-4861bb4b-57725cca-447baed5-d7d18080.jpg'],['files/p10/p10975446/s55911959/f64708b2-5173902f-9397bc55-1a8502c8-8be61ec4.jpg\n']
s56122911_11,p10975446,s56122911,11,Findings,"As compared to the previous radiograph, there is no relevant change. The extensive bilateral parenchymal opacities, bilateral pleural effusions, cardiomegaly, and basal atelectasis are unchanged. No new opacities. Unchanged monitoring and support devices.","The extensive bilateral parenchymal opacities, bilateral pleural effusions, cardiomegaly, and basal atelectasis are unchanged.",parenchymal opacities,bilateral,Stable,['files/p10/p10975446/s56122911/71472bea-4861bb4b-57725cca-447baed5-d7d18080.jpg'],['files/p10/p10975446/s55911959/f64708b2-5173902f-9397bc55-1a8502c8-8be61ec4.jpg\n']
s56122911_11,p10975446,s56122911,11,Findings,"As compared to the previous radiograph, there is no relevant change. The extensive bilateral parenchymal opacities, bilateral pleural effusions, cardiomegaly, and basal atelectasis are unchanged. No new opacities. Unchanged monitoring and support devices.","The extensive bilateral parenchymal opacities, bilateral pleural effusions, cardiomegaly, and basal atelectasis are unchanged.",pleural effusions,bilateral,Stable,['files/p10/p10975446/s56122911/71472bea-4861bb4b-57725cca-447baed5-d7d18080.jpg'],['files/p10/p10975446/s55911959/f64708b2-5173902f-9397bc55-1a8502c8-8be61ec4.jpg\n']
s56122911_11,p10975446,s56122911,11,Findings,"As compared to the previous radiograph, there is no relevant change. The extensive bilateral parenchymal opacities, bilateral pleural effusions, cardiomegaly, and basal atelectasis are unchanged. No new opacities. Unchanged monitoring and support devices.","The extensive bilateral parenchymal opacities, bilateral pleural effusions, cardiomegaly, and basal atelectasis are unchanged.",cardiomegaly,,Stable,['files/p10/p10975446/s56122911/71472bea-4861bb4b-57725cca-447baed5-d7d18080.jpg'],['files/p10/p10975446/s55911959/f64708b2-5173902f-9397bc55-1a8502c8-8be61ec4.jpg\n']
s56122911_11,p10975446,s56122911,11,Findings,"As compared to the previous radiograph, there is no relevant change. The extensive bilateral parenchymal opacities, bilateral pleural effusions, cardiomegaly, and basal atelectasis are unchanged. No new opacities. Unchanged monitoring and support devices.",No new opacities.,opacities,,New,['files/p10/p10975446/s56122911/71472bea-4861bb4b-57725cca-447baed5-d7d18080.jpg'],['files/p10/p10975446/s55911959/f64708b2-5173902f-9397bc55-1a8502c8-8be61ec4.jpg\n']
s56129930_3,p11052935,s56129930,3,Findings,There is increased opacification in the left lung base with obscuration of the left hemidiaphragm when compared to ___. Again noted is hyperinflation and flattening of the diaphragms suggesting emphysema. The cardiomediastinal silhouette is within normal limits.,There is increased opacification in the left lung base with obscuration of the left hemidiaphragm when compared to ___.,opacification,left lung base,Worse,"['files/p11/p11052935/s56129930/2499c15e-4605f752-e137e424-4474ef69-839ebbaa.jpg', 'files/p11/p11052935/s56129930/9870d11d-3a0d9c78-f49f71c6-58644dd5-ce1b85fb.jpg']","['files/p11/p11052935/s55372843/92c1d255-50a94318-0d4def6d-64a46468-3233bb79.jpg\n', 'files/p11/p11052935/s55372843/d4800b11-08ea5ece-04ba7667-a463e711-378c3893.jpg\n']"
s56129930_3,p11052935,s56129930,3,Findings,There is increased opacification in the left lung base with obscuration of the left hemidiaphragm when compared to ___. Again noted is hyperinflation and flattening of the diaphragms suggesting emphysema. The cardiomediastinal silhouette is within normal limits.,Again noted is hyperinflation and flattening of the diaphragms suggesting emphysema.,emphysema,diaphragms,Stable,"['files/p11/p11052935/s56129930/2499c15e-4605f752-e137e424-4474ef69-839ebbaa.jpg', 'files/p11/p11052935/s56129930/9870d11d-3a0d9c78-f49f71c6-58644dd5-ce1b85fb.jpg']","['files/p11/p11052935/s55372843/92c1d255-50a94318-0d4def6d-64a46468-3233bb79.jpg\n', 'files/p11/p11052935/s55372843/d4800b11-08ea5ece-04ba7667-a463e711-378c3893.jpg\n']"
s56129930_3,p11052935,s56129930,3,Impression,"Left lower lobe pneumonia, more apparent than on ___.","Left lower lobe pneumonia, more apparent than on ___.",pneumonia,left lower lobe,Worse,"['files/p11/p11052935/s56129930/2499c15e-4605f752-e137e424-4474ef69-839ebbaa.jpg', 'files/p11/p11052935/s56129930/9870d11d-3a0d9c78-f49f71c6-58644dd5-ce1b85fb.jpg']","['files/p11/p11052935/s55372843/92c1d255-50a94318-0d4def6d-64a46468-3233bb79.jpg\n', 'files/p11/p11052935/s55372843/d4800b11-08ea5ece-04ba7667-a463e711-378c3893.jpg\n']"
s56134201_16,p13964474,s56134201,16,Findings,"Tracheostomy tube, esophageal stent and PICC remain in place. Cardiomediastinal contours are unchanged. Widespread airspace opacities affecting the right lung to greater degree than the left are again demonstrated, and are concerning for widespread infection. Known abscess in right lower lobe is seen to better detail on recent CT. Pigtail pleural catheter is present in the lower right hemithorax, presumably within the abscess. Moderate right pleural effusion is unchanged.","Widespread airspace opacities affecting the right lung to greater degree than the left are again demonstrated, and are concerning for widespread infection.",airspace opacities,left,Worse,['files/p13/p13964474/s56134201/57a0381a-0454897e-b498f4de-dc3d8b24-a305b687.jpg'],['files/p13/p13964474/s55723242/c6fc2f03-81a6bf53-7ffb417f-7915891d-dbe2945c.jpg\n']
s56134201_16,p13964474,s56134201,16,Findings,"Tracheostomy tube, esophageal stent and PICC remain in place. Cardiomediastinal contours are unchanged. Widespread airspace opacities affecting the right lung to greater degree than the left are again demonstrated, and are concerning for widespread infection. Known abscess in right lower lobe is seen to better detail on recent CT. Pigtail pleural catheter is present in the lower right hemithorax, presumably within the abscess. Moderate right pleural effusion is unchanged.","Widespread airspace opacities affecting the right lung to greater degree than the left are again demonstrated, and are concerning for widespread infection.",airspace opacities,right,Worse,['files/p13/p13964474/s56134201/57a0381a-0454897e-b498f4de-dc3d8b24-a305b687.jpg'],['files/p13/p13964474/s55723242/c6fc2f03-81a6bf53-7ffb417f-7915891d-dbe2945c.jpg\n']
s56134201_16,p13964474,s56134201,16,Findings,"Tracheostomy tube, esophageal stent and PICC remain in place. Cardiomediastinal contours are unchanged. Widespread airspace opacities affecting the right lung to greater degree than the left are again demonstrated, and are concerning for widespread infection. Known abscess in right lower lobe is seen to better detail on recent CT. Pigtail pleural catheter is present in the lower right hemithorax, presumably within the abscess. Moderate right pleural effusion is unchanged.",Cardiomediastinal contours are unchanged.,Cardiomediastinal contours,,Stable,['files/p13/p13964474/s56134201/57a0381a-0454897e-b498f4de-dc3d8b24-a305b687.jpg'],['files/p13/p13964474/s55723242/c6fc2f03-81a6bf53-7ffb417f-7915891d-dbe2945c.jpg\n']
s56134201_16,p13964474,s56134201,16,Findings,"Tracheostomy tube, esophageal stent and PICC remain in place. Cardiomediastinal contours are unchanged. Widespread airspace opacities affecting the right lung to greater degree than the left are again demonstrated, and are concerning for widespread infection. Known abscess in right lower lobe is seen to better detail on recent CT. Pigtail pleural catheter is present in the lower right hemithorax, presumably within the abscess. Moderate right pleural effusion is unchanged.","Tracheostomy tube, esophageal stent and PICC remain in place.",tube,tracheostomy,Stable,['files/p13/p13964474/s56134201/57a0381a-0454897e-b498f4de-dc3d8b24-a305b687.jpg'],['files/p13/p13964474/s55723242/c6fc2f03-81a6bf53-7ffb417f-7915891d-dbe2945c.jpg\n']
s56134201_16,p13964474,s56134201,16,Findings,"Tracheostomy tube, esophageal stent and PICC remain in place. Cardiomediastinal contours are unchanged. Widespread airspace opacities affecting the right lung to greater degree than the left are again demonstrated, and are concerning for widespread infection. Known abscess in right lower lobe is seen to better detail on recent CT. Pigtail pleural catheter is present in the lower right hemithorax, presumably within the abscess. Moderate right pleural effusion is unchanged.","Tracheostomy tube, esophageal stent and PICC remain in place.",stent,esophageal,Stable,['files/p13/p13964474/s56134201/57a0381a-0454897e-b498f4de-dc3d8b24-a305b687.jpg'],['files/p13/p13964474/s55723242/c6fc2f03-81a6bf53-7ffb417f-7915891d-dbe2945c.jpg\n']
s56134201_16,p13964474,s56134201,16,Findings,"Tracheostomy tube, esophageal stent and PICC remain in place. Cardiomediastinal contours are unchanged. Widespread airspace opacities affecting the right lung to greater degree than the left are again demonstrated, and are concerning for widespread infection. Known abscess in right lower lobe is seen to better detail on recent CT. Pigtail pleural catheter is present in the lower right hemithorax, presumably within the abscess. Moderate right pleural effusion is unchanged.","Tracheostomy tube, esophageal stent and PICC remain in place.",line,PICC,Stable,['files/p13/p13964474/s56134201/57a0381a-0454897e-b498f4de-dc3d8b24-a305b687.jpg'],['files/p13/p13964474/s55723242/c6fc2f03-81a6bf53-7ffb417f-7915891d-dbe2945c.jpg\n']
s56134201_16,p13964474,s56134201,16,Findings,"Tracheostomy tube, esophageal stent and PICC remain in place. Cardiomediastinal contours are unchanged. Widespread airspace opacities affecting the right lung to greater degree than the left are again demonstrated, and are concerning for widespread infection. Known abscess in right lower lobe is seen to better detail on recent CT. Pigtail pleural catheter is present in the lower right hemithorax, presumably within the abscess. Moderate right pleural effusion is unchanged.",Moderate right pleural effusion is unchanged.,pleural effusion,right,Stable,['files/p13/p13964474/s56134201/57a0381a-0454897e-b498f4de-dc3d8b24-a305b687.jpg'],['files/p13/p13964474/s55723242/c6fc2f03-81a6bf53-7ffb417f-7915891d-dbe2945c.jpg\n']
s56143620_27,p12185775,s56143620,27,Findings,"In comparison with the study of ___, there is continued enlargement of the cardiac silhouette. Pulmonary vascularity is mildly engorged but less prominent than on the previous study. Opacification at the bases with obscuration of the hemidiaphragms is consistent with bilateral layering effusions, more prominent on the left, with underlying compressive atelectasis. Central catheter tip again extends to the upper to mid portion of the SVC.","In comparison with the study of ___, there is continued enlargement of the cardiac silhouette.",enlargement,cardiac silhouette,Stable,['files/p12/p12185775/s56143620/b529320a-394d7b79-a3e8c3da-c28c6b94-7ec08b51.jpg'],['files/p12/p12185775/s56043671/d616d0a0-41025591-43cd391a-ee10bd11-29c865b3.jpg\n']
s56143620_27,p12185775,s56143620,27,Findings,"In comparison with the study of ___, there is continued enlargement of the cardiac silhouette. Pulmonary vascularity is mildly engorged but less prominent than on the previous study. Opacification at the bases with obscuration of the hemidiaphragms is consistent with bilateral layering effusions, more prominent on the left, with underlying compressive atelectasis. Central catheter tip again extends to the upper to mid portion of the SVC.",Pulmonary vascularity is mildly engorged but less prominent than on the previous study.,vascularity,pulmonary,Better,['files/p12/p12185775/s56143620/b529320a-394d7b79-a3e8c3da-c28c6b94-7ec08b51.jpg'],['files/p12/p12185775/s56043671/d616d0a0-41025591-43cd391a-ee10bd11-29c865b3.jpg\n']
s56143620_27,p12185775,s56143620,27,Findings,"In comparison with the study of ___, there is continued enlargement of the cardiac silhouette. Pulmonary vascularity is mildly engorged but less prominent than on the previous study. Opacification at the bases with obscuration of the hemidiaphragms is consistent with bilateral layering effusions, more prominent on the left, with underlying compressive atelectasis. Central catheter tip again extends to the upper to mid portion of the SVC.",Central catheter tip again extends to the upper to mid portion of the SVC.,catheter tip,Central,Stable,['files/p12/p12185775/s56143620/b529320a-394d7b79-a3e8c3da-c28c6b94-7ec08b51.jpg'],['files/p12/p12185775/s56043671/d616d0a0-41025591-43cd391a-ee10bd11-29c865b3.jpg\n']
s56151362_56,p14851532,s56151362,56,Impression,Support lines and tubes are unchanged in position. Heart size is enlarged. There has been atelectasis/collapse of the right lower lobe since prior. There is mild to moderate pulmonary edema and subsegmental atelectasis in the left lung. There are no pneumothoraces.,There has been atelectasis/collapse of the right lower lobe since prior.,atelectasis/collapse,right lower lobe,Worse,"['files/p14/p14851532/s56151362/4d2579d2-b49b34fc-04174474-8267b2c8-23e71a24.jpg', 'files/p14/p14851532/s56151362/9aa39b17-1e7fadb7-8b82c0a2-f73018d2-7ac798d1.jpg']",['files/p14/p14851532/s55969579/94afdd5f-dc06961f-690e6029-5a69f579-0be3a0a9.jpg\n']
s56151362_56,p14851532,s56151362,56,Impression,Support lines and tubes are unchanged in position. Heart size is enlarged. There has been atelectasis/collapse of the right lower lobe since prior. There is mild to moderate pulmonary edema and subsegmental atelectasis in the left lung. There are no pneumothoraces.,Support lines and tubes are unchanged in position.,support lines and tubes,,Stable,"['files/p14/p14851532/s56151362/4d2579d2-b49b34fc-04174474-8267b2c8-23e71a24.jpg', 'files/p14/p14851532/s56151362/9aa39b17-1e7fadb7-8b82c0a2-f73018d2-7ac798d1.jpg']",['files/p14/p14851532/s55969579/94afdd5f-dc06961f-690e6029-5a69f579-0be3a0a9.jpg\n']
s56153875_18,p18224196,s56153875,18,Findings,Sternotomy wires are intact without evidence of dehiscence. The artificial mitral and aortic valves are unchanged without complication. The lungs are hyperinflated but clear. The hila and pulmonary vasculature are normal. No pleural effusions or pneumothorax. Mild cardiomegaly and mediastinal silhouette is unchanged.,The artificial mitral and aortic valves are unchanged without complication.,artificial mitral and aortic valves,,Stable,"['files/p18/p18224196/s56153875/a3d44928-d6b84811-5b2676b1-f659918e-bd270e68.jpg', 'files/p18/p18224196/s56153875/cc410dfa-e21285ff-d25cfafb-848e6791-99fdc276.jpg']",['files/p18/p18224196/s56094236/eb810218-60a5a044-852328e8-4cdeeaef-1befd540.jpg\n']
s56153875_18,p18224196,s56153875,18,Findings,Sternotomy wires are intact without evidence of dehiscence. The artificial mitral and aortic valves are unchanged without complication. The lungs are hyperinflated but clear. The hila and pulmonary vasculature are normal. No pleural effusions or pneumothorax. Mild cardiomegaly and mediastinal silhouette is unchanged.,Mild cardiomegaly and mediastinal silhouette is unchanged.,mild cardiomegaly and mediastinal silhouette,,Stable,"['files/p18/p18224196/s56153875/a3d44928-d6b84811-5b2676b1-f659918e-bd270e68.jpg', 'files/p18/p18224196/s56153875/cc410dfa-e21285ff-d25cfafb-848e6791-99fdc276.jpg']",['files/p18/p18224196/s56094236/eb810218-60a5a044-852328e8-4cdeeaef-1befd540.jpg\n']
s56162656_30,p17340686,s56162656,30,Findings,"The ET tube is 2.6 cm above the Carina. The right lower lung opacity is again visualized. The heart is moderately enlarged. There is pulmonary vascular redistribution with ill-defined vascularity compatible fluid overload. An underlying infectious infiltrate cannot be excluded. NG tube tip is off the film, at least in the stomach. Severe degenerative changes of the right humeral head are again seen.",Severe degenerative changes of the right humeral head are again seen.,degenerative changes,right humeral head,Stable,['files/p17/p17340686/s56162656/3800242f-50b7f001-e4bbe30b-53ec3863-df4fe7dc.jpg'],['files/p17/p17340686/s55921730/fcefff91-22ab7055-235f085c-ea9ac8ad-bbdaa83c.jpg\n']
s56162656_30,p17340686,s56162656,30,Findings,"The ET tube is 2.6 cm above the Carina. The right lower lung opacity is again visualized. The heart is moderately enlarged. There is pulmonary vascular redistribution with ill-defined vascularity compatible fluid overload. An underlying infectious infiltrate cannot be excluded. NG tube tip is off the film, at least in the stomach. Severe degenerative changes of the right humeral head are again seen.",The right lower lung opacity is again visualized.,opacity,right lower lung,Stable,['files/p17/p17340686/s56162656/3800242f-50b7f001-e4bbe30b-53ec3863-df4fe7dc.jpg'],['files/p17/p17340686/s55921730/fcefff91-22ab7055-235f085c-ea9ac8ad-bbdaa83c.jpg\n']
s56167449_6,p15758946,s56167449,6,Findings,One semierect portable AP view of the chest. Endotracheal tube ends 5 cm from the carina. The right internal jugular line ends in the mid SVC. A left subclavian line ends in the low SVC. NG tube tip is out of view. The moderate left pleural effusion is unchanged. The right pleural effusion has increased and is now small to moderate in size. There is decrease in mild pulmonary vascular engorgement and no pulmonary edema. No opacities concerning for pneumonia. The heart and mediastinum are normal. No pneumothorax.,The moderate left pleural effusion is unchanged.,pleural effusion,left,Stable,['files/p15/p15758946/s56167449/97e428ce-51d4215e-210ed55c-4327be47-4a10e46c.jpg'],['files/p15/p15758946/s55901243/f329badd-5f934b2d-44503f43-93b04e89-810e8f0c.jpg\n']
s56167449_6,p15758946,s56167449,6,Impression,"1. Stable left moderate pleural effusion. Increased right pleural effusion, now small to moderate in size. 2. No pulmonary edema. Decrease in mild pulmonary vascular engorgement.",Decrease in mild pulmonary vascular engorgement.,pulmonary vascular engorgement,,Better,['files/p15/p15758946/s56167449/97e428ce-51d4215e-210ed55c-4327be47-4a10e46c.jpg'],['files/p15/p15758946/s55901243/f329badd-5f934b2d-44503f43-93b04e89-810e8f0c.jpg\n']
s56167449_6,p15758946,s56167449,6,Findings,One semierect portable AP view of the chest. Endotracheal tube ends 5 cm from the carina. The right internal jugular line ends in the mid SVC. A left subclavian line ends in the low SVC. NG tube tip is out of view. The moderate left pleural effusion is unchanged. The right pleural effusion has increased and is now small to moderate in size. There is decrease in mild pulmonary vascular engorgement and no pulmonary edema. No opacities concerning for pneumonia. The heart and mediastinum are normal. No pneumothorax.,There is decrease in mild pulmonary vascular engorgement and no pulmonary edema.,pulmonary vascular engorgement,,Better,['files/p15/p15758946/s56167449/97e428ce-51d4215e-210ed55c-4327be47-4a10e46c.jpg'],['files/p15/p15758946/s55901243/f329badd-5f934b2d-44503f43-93b04e89-810e8f0c.jpg\n']
s56167449_6,p15758946,s56167449,6,Impression,"1. Stable left moderate pleural effusion. Increased right pleural effusion, now small to moderate in size. 2. No pulmonary edema. Decrease in mild pulmonary vascular engorgement.",1. Stable left moderate pleural effusion.,pleural effusion,left,Stable,['files/p15/p15758946/s56167449/97e428ce-51d4215e-210ed55c-4327be47-4a10e46c.jpg'],['files/p15/p15758946/s55901243/f329badd-5f934b2d-44503f43-93b04e89-810e8f0c.jpg\n']
s56167449_6,p15758946,s56167449,6,Findings,One semierect portable AP view of the chest. Endotracheal tube ends 5 cm from the carina. The right internal jugular line ends in the mid SVC. A left subclavian line ends in the low SVC. NG tube tip is out of view. The moderate left pleural effusion is unchanged. The right pleural effusion has increased and is now small to moderate in size. There is decrease in mild pulmonary vascular engorgement and no pulmonary edema. No opacities concerning for pneumonia. The heart and mediastinum are normal. No pneumothorax.,The right pleural effusion has increased and is now small to moderate in size.,pleural effusion,right,Worse,['files/p15/p15758946/s56167449/97e428ce-51d4215e-210ed55c-4327be47-4a10e46c.jpg'],['files/p15/p15758946/s55901243/f329badd-5f934b2d-44503f43-93b04e89-810e8f0c.jpg\n']
s56167449_6,p15758946,s56167449,6,Impression,"1. Stable left moderate pleural effusion. Increased right pleural effusion, now small to moderate in size. 2. No pulmonary edema. Decrease in mild pulmonary vascular engorgement.","Increased right pleural effusion, now small to moderate in size.",pleural effusion,right,Worse,['files/p15/p15758946/s56167449/97e428ce-51d4215e-210ed55c-4327be47-4a10e46c.jpg'],['files/p15/p15758946/s55901243/f329badd-5f934b2d-44503f43-93b04e89-810e8f0c.jpg\n']
s56168637_1,p14641474,s56168637,1,Findings,"As compared to the previous radiograph, there is a newly appeared small retrocardiac atelectasis. Small bilateral pleural effusions might also have newly occurred. No overt pulmonary edema. Unchanged appearance of the cardiac silhouette and the mediastinum.","As compared to the previous radiograph, there is a newly appeared small retrocardiac atelectasis.",atelectasis,retrocardiac,New,['files/p14/p14641474/s56168637/fd15e7bf-1621a059-9416c9b7-f74f9113-61918f0f.jpg'],
s56168637_1,p14641474,s56168637,1,Findings,"As compared to the previous radiograph, there is a newly appeared small retrocardiac atelectasis. Small bilateral pleural effusions might also have newly occurred. No overt pulmonary edema. Unchanged appearance of the cardiac silhouette and the mediastinum.",Unchanged appearance of the cardiac silhouette and the mediastinum.,mediastinum,,Stable,['files/p14/p14641474/s56168637/fd15e7bf-1621a059-9416c9b7-f74f9113-61918f0f.jpg'],
s56168637_1,p14641474,s56168637,1,Findings,"As compared to the previous radiograph, there is a newly appeared small retrocardiac atelectasis. Small bilateral pleural effusions might also have newly occurred. No overt pulmonary edema. Unchanged appearance of the cardiac silhouette and the mediastinum.",Unchanged appearance of the cardiac silhouette and the mediastinum.,cardiac silhouette,,Stable,['files/p14/p14641474/s56168637/fd15e7bf-1621a059-9416c9b7-f74f9113-61918f0f.jpg'],
s56168637_1,p14641474,s56168637,1,Findings,"As compared to the previous radiograph, there is a newly appeared small retrocardiac atelectasis. Small bilateral pleural effusions might also have newly occurred. No overt pulmonary edema. Unchanged appearance of the cardiac silhouette and the mediastinum.",Small bilateral pleural effusions might also have newly occurred.,pleural effusions,bilateral,New,['files/p14/p14641474/s56168637/fd15e7bf-1621a059-9416c9b7-f74f9113-61918f0f.jpg'],
s56171502_1,p18079481,s56171502,1,Findings,"Cardiomediastinal contours are unchanged in position with persistent widening of right mediastinal contour, a change in appearance from a standard PA and lateral chest radiograph of ___ but similar to the ___ radiograph. This could potentially be due to accentuation of tortuous vascular structures by low lung volumes and portable semi-erect technique, but attention to this area on repeat study with improved inspiratory volume would be helpful to exclude a mediastinal mass or hemorrhage. Slight improvement in bibasilar atelectasis. No new areas of lung opacification. Persistent small bilateral pleural effusions, seen to better detail on recent abdominal CT of the same date. Multiple bilateral healed rib fractures.",Slight improvement in bibasilar atelectasis.,atelectasis,bibasilar,Better,['files/p18/p18079481/s56171502/7314ab8f-787ccb0b-f465183a-18649a4d-0d37cc0e.jpg'],['files/p18/p18079481/s54683624/32f086b1-c463fbe9-679d7bcb-50ac810a-fc5cab93.jpg\n']
s56171502_1,p18079481,s56171502,1,Findings,"Cardiomediastinal contours are unchanged in position with persistent widening of right mediastinal contour, a change in appearance from a standard PA and lateral chest radiograph of ___ but similar to the ___ radiograph. This could potentially be due to accentuation of tortuous vascular structures by low lung volumes and portable semi-erect technique, but attention to this area on repeat study with improved inspiratory volume would be helpful to exclude a mediastinal mass or hemorrhage. Slight improvement in bibasilar atelectasis. No new areas of lung opacification. Persistent small bilateral pleural effusions, seen to better detail on recent abdominal CT of the same date. Multiple bilateral healed rib fractures.",No new areas of lung opacification.,lung opacification,,New,['files/p18/p18079481/s56171502/7314ab8f-787ccb0b-f465183a-18649a4d-0d37cc0e.jpg'],['files/p18/p18079481/s54683624/32f086b1-c463fbe9-679d7bcb-50ac810a-fc5cab93.jpg\n']
s56171502_1,p18079481,s56171502,1,Findings,"Cardiomediastinal contours are unchanged in position with persistent widening of right mediastinal contour, a change in appearance from a standard PA and lateral chest radiograph of ___ but similar to the ___ radiograph. This could potentially be due to accentuation of tortuous vascular structures by low lung volumes and portable semi-erect technique, but attention to this area on repeat study with improved inspiratory volume would be helpful to exclude a mediastinal mass or hemorrhage. Slight improvement in bibasilar atelectasis. No new areas of lung opacification. Persistent small bilateral pleural effusions, seen to better detail on recent abdominal CT of the same date. Multiple bilateral healed rib fractures.","Cardiomediastinal contours are unchanged in position with persistent widening of right mediastinal contour, a change in appearance from a standard PA and lateral chest radiograph of ___ but similar to the ___ radiograph.",widening,right mediastinal,Stable,['files/p18/p18079481/s56171502/7314ab8f-787ccb0b-f465183a-18649a4d-0d37cc0e.jpg'],['files/p18/p18079481/s54683624/32f086b1-c463fbe9-679d7bcb-50ac810a-fc5cab93.jpg\n']
s56171502_1,p18079481,s56171502,1,Findings,"Cardiomediastinal contours are unchanged in position with persistent widening of right mediastinal contour, a change in appearance from a standard PA and lateral chest radiograph of ___ but similar to the ___ radiograph. This could potentially be due to accentuation of tortuous vascular structures by low lung volumes and portable semi-erect technique, but attention to this area on repeat study with improved inspiratory volume would be helpful to exclude a mediastinal mass or hemorrhage. Slight improvement in bibasilar atelectasis. No new areas of lung opacification. Persistent small bilateral pleural effusions, seen to better detail on recent abdominal CT of the same date. Multiple bilateral healed rib fractures.","Persistent small bilateral pleural effusions, seen to better detail on recent abdominal CT of the same date.",pleural effusions,bilateral,Stable,['files/p18/p18079481/s56171502/7314ab8f-787ccb0b-f465183a-18649a4d-0d37cc0e.jpg'],['files/p18/p18079481/s54683624/32f086b1-c463fbe9-679d7bcb-50ac810a-fc5cab93.jpg\n']
s56172325_0,p10650001,s56172325,0,Findings,"As compared to the previous radiograph, there is complete resolution of the pre-existing pleural effusions. Unchanged moderate cardiomegaly without evidence of pulmonary edema. Small basal parenchymal scars but no evidence of recent pneumonia. Moderate tortuosity of the thoracic aorta. Calcified bronchial walls .","As compared to the previous radiograph, there is complete resolution of the pre-existing pleural effusions.",pleural effusions,,Resolve,"['files/p10/p10650001/s56172325/c1baa6ae-9d0ddcca-488ee34e-e6160d6d-658fb00f.jpg', 'files/p10/p10650001/s56172325/edfd806e-5c672eea-1119d9d0-44c282a8-7c3d9730.jpg']",['files/p10/p10650001/s55609649/6bad4c60-b2e3becf-a99801f7-aac3757c-2b669f35.jpg\n']
s56172325_0,p10650001,s56172325,0,Findings,"As compared to the previous radiograph, there is complete resolution of the pre-existing pleural effusions. Unchanged moderate cardiomegaly without evidence of pulmonary edema. Small basal parenchymal scars but no evidence of recent pneumonia. Moderate tortuosity of the thoracic aorta. Calcified bronchial walls .",Unchanged moderate cardiomegaly without evidence of pulmonary edema.,moderate cardiomegaly,,Stable,"['files/p10/p10650001/s56172325/c1baa6ae-9d0ddcca-488ee34e-e6160d6d-658fb00f.jpg', 'files/p10/p10650001/s56172325/edfd806e-5c672eea-1119d9d0-44c282a8-7c3d9730.jpg']",['files/p10/p10650001/s55609649/6bad4c60-b2e3becf-a99801f7-aac3757c-2b669f35.jpg\n']
s56179563_9,p16508811,s56179563,9,Impression,Persistent left lower lobe and right basilar opacities concerning for pneumonia. Possible trace left pleural effusion.,Persistent left lower lobe and right basilar opacities concerning for pneumonia.,opacities,left lower lobe and right basilar,Stable,"['files/p16/p16508811/s56179563/bb3b6a6b-35b5581b-ed87943b-ce0dd143-4fae7096.jpg', 'files/p16/p16508811/s56179563/dbb3e7c3-35a17f99-7bcd2d4c-57f5a932-d79a20cd.jpg']",['files/p16/p16508811/s55453302/fbe2b85e-495d3c4a-efdfbec7-0fd71f4d-058b81ff.jpg\n']
s56179563_9,p16508811,s56179563,9,Findings,The cardiac silhouette size is top normal. Mediastinal and hilar contours are unchanged. Focal opacities within the superior segment of the left lower lobe and right lung base are relatively unchanged compared to the previous exam and remain concerning for areas of multifocal pneumonia. Small left pleural effusion may be present. There is no pulmonary edema or pneumothorax. Clips are seen projecting over the right neck. There are no acute osseous abnormalities.,Focal opacities within the superior segment of the left lower lobe and right lung base are relatively unchanged compared to the previous exam and remain concerning for areas of multifocal pneumonia.,focal opacities,superior segment of the left lower lobe and right lung base,Stable,"['files/p16/p16508811/s56179563/bb3b6a6b-35b5581b-ed87943b-ce0dd143-4fae7096.jpg', 'files/p16/p16508811/s56179563/dbb3e7c3-35a17f99-7bcd2d4c-57f5a932-d79a20cd.jpg']",['files/p16/p16508811/s55453302/fbe2b85e-495d3c4a-efdfbec7-0fd71f4d-058b81ff.jpg\n']
s56179563_9,p16508811,s56179563,9,Findings,The cardiac silhouette size is top normal. Mediastinal and hilar contours are unchanged. Focal opacities within the superior segment of the left lower lobe and right lung base are relatively unchanged compared to the previous exam and remain concerning for areas of multifocal pneumonia. Small left pleural effusion may be present. There is no pulmonary edema or pneumothorax. Clips are seen projecting over the right neck. There are no acute osseous abnormalities.,Mediastinal and hilar contours are unchanged.,Mediastinal and hilar contours,,Stable,"['files/p16/p16508811/s56179563/bb3b6a6b-35b5581b-ed87943b-ce0dd143-4fae7096.jpg', 'files/p16/p16508811/s56179563/dbb3e7c3-35a17f99-7bcd2d4c-57f5a932-d79a20cd.jpg']",['files/p16/p16508811/s55453302/fbe2b85e-495d3c4a-efdfbec7-0fd71f4d-058b81ff.jpg\n']
s56185390_22,p14295224,s56185390,22,Impression,"New trace left pleural effusion. Otherwise, no significant interval change.",New trace left pleural effusion.,trace pleural effusion,left,New,"['files/p14/p14295224/s56185390/2434d6b8-4828302e-7923908c-d6ea3b85-b4cfc271.jpg', 'files/p14/p14295224/s56185390/a9bee7d5-a1c51732-47596431-51533889-5d29f1a5.jpg']","['files/p14/p14295224/s55779414/2861b26c-2fa81175-590e2970-96ddb7e3-43145356.jpg\n', 'files/p14/p14295224/s55779414/e12bad7a-760b3371-e15d9215-21ede9cc-79748575.jpg\n']"
s56188631_3,p19565653,s56188631,3,Impression,"AP chest compared to ___ through ___. Elevation of the right lung base and hemidiaphragm has been pronounced since at least ___, accounting for atelectasis at the lung base. The right upper lung and the entire left lung are clear and the left lung is hyperinflated suggesting airway obstruction or emphysema. Heart is normal size. There is no pneumonia or pulmonary edema. No pleural effusion or pneumothorax.","AP chest compared to ___ through ___. Elevation of the right lung base and hemidiaphragm has been pronounced since at least ___, accounting for atelectasis at the lung base. The right upper lung and the entire left lung are clear and the left lung is hyperinflated suggesting airway obstruction or emphysema. Heart is normal size. There is no pneumonia or pulmonary edema. No pleural effusion or pneumothorax.",elevation,right lung base and hemidiaphragm,Stable,['files/p19/p19565653/s56188631/d2d3a213-793a92c9-4c2f0695-bf38104e-033b7d22.jpg'],['files/p19/p19565653/s52631051/35ebe520-b4297eea-cf802191-670576d1-51ca727d.jpg\n']
s56192054_0,p17112432,s56192054,0,Findings,"AP single view of the chest has been obtained with patient in semi-upright position. Available for comparison is the next preceding similar study obtained six hours earlier during the same day. The patient remains intubated, the ETT in unchanged position. Diffuse hazy densities over the right hemithorax appear unchanged. The previously described right-sided pleural chest tube remains, but has changed its position, it points more towards the mediastinum at the level of the hilum. No evidence of residual or newly developed pneumothorax. As before, there is some soft tissue emphysema in the axillary area and right lower neck. These findings are unchanged.","The patient remains intubated, the ETT in unchanged position.",ETT position,,Stable,['files/p17/p17112432/s56192054/d9a018f0-efb2820b-ed7a64b7-c05b8be3-12124812.jpg'],"['files/p17/p17112432/s52349735/7e7b19ac-d29aedbe-10d9f138-4037688a-57615f21.jpg\n', 'files/p17/p17112432/s52349735/fd2b67dc-f8167506-7c0667ac-33d49ad7-cc9fbde1.jpg\n']"
s56192054_0,p17112432,s56192054,0,Findings,"AP single view of the chest has been obtained with patient in semi-upright position. Available for comparison is the next preceding similar study obtained six hours earlier during the same day. The patient remains intubated, the ETT in unchanged position. Diffuse hazy densities over the right hemithorax appear unchanged. The previously described right-sided pleural chest tube remains, but has changed its position, it points more towards the mediastinum at the level of the hilum. No evidence of residual or newly developed pneumothorax. As before, there is some soft tissue emphysema in the axillary area and right lower neck. These findings are unchanged.","The previously described right-sided pleural chest tube remains, but has changed its position, it points more towards the mediastinum at the level of the hilum.",chest tube position,right-sided pleural,Worse,['files/p17/p17112432/s56192054/d9a018f0-efb2820b-ed7a64b7-c05b8be3-12124812.jpg'],"['files/p17/p17112432/s52349735/7e7b19ac-d29aedbe-10d9f138-4037688a-57615f21.jpg\n', 'files/p17/p17112432/s52349735/fd2b67dc-f8167506-7c0667ac-33d49ad7-cc9fbde1.jpg\n']"
s56192054_0,p17112432,s56192054,0,Findings,"AP single view of the chest has been obtained with patient in semi-upright position. Available for comparison is the next preceding similar study obtained six hours earlier during the same day. The patient remains intubated, the ETT in unchanged position. Diffuse hazy densities over the right hemithorax appear unchanged. The previously described right-sided pleural chest tube remains, but has changed its position, it points more towards the mediastinum at the level of the hilum. No evidence of residual or newly developed pneumothorax. As before, there is some soft tissue emphysema in the axillary area and right lower neck. These findings are unchanged.",Diffuse hazy densities over the right hemithorax appear unchanged.,Diffuse hazy densities,right hemithorax,Stable,['files/p17/p17112432/s56192054/d9a018f0-efb2820b-ed7a64b7-c05b8be3-12124812.jpg'],"['files/p17/p17112432/s52349735/7e7b19ac-d29aedbe-10d9f138-4037688a-57615f21.jpg\n', 'files/p17/p17112432/s52349735/fd2b67dc-f8167506-7c0667ac-33d49ad7-cc9fbde1.jpg\n']"
s56192054_0,p17112432,s56192054,0,Findings,"AP single view of the chest has been obtained with patient in semi-upright position. Available for comparison is the next preceding similar study obtained six hours earlier during the same day. The patient remains intubated, the ETT in unchanged position. Diffuse hazy densities over the right hemithorax appear unchanged. The previously described right-sided pleural chest tube remains, but has changed its position, it points more towards the mediastinum at the level of the hilum. No evidence of residual or newly developed pneumothorax. As before, there is some soft tissue emphysema in the axillary area and right lower neck. These findings are unchanged.","As before, there is some soft tissue emphysema in the axillary area and right lower neck.",soft tissue emphysema,axillary area and right lower neck,Stable,['files/p17/p17112432/s56192054/d9a018f0-efb2820b-ed7a64b7-c05b8be3-12124812.jpg'],"['files/p17/p17112432/s52349735/7e7b19ac-d29aedbe-10d9f138-4037688a-57615f21.jpg\n', 'files/p17/p17112432/s52349735/fd2b67dc-f8167506-7c0667ac-33d49ad7-cc9fbde1.jpg\n']"
s56193921_2,p14353044,s56193921,2,Findings,"Two portable upright view of the chest are compared to previous exam from ___. There is new right lung base opacity compatible with at least some component of pleural effusion with probable underlying airspace disease. The left lung remains essentially clear, noting mild scarring versus atelectasis at the lung base. Left subclavian central line is seen with tip at the cavoatrial junction. Cardiomediastinal silhouette is stable. Posterior spinal fixation hardware is partially visualized.",Cardiomediastinal silhouette is stable.,silhouette,Cardiomediastinal,Stable,"['files/p14/p14353044/s56193921/17e49d5f-2581bb66-bff08b0c-021e7e8e-38c4fcc5.jpg', 'files/p14/p14353044/s56193921/930d1abf-e069b3d3-a6503794-fe52c8f6-d8c0f1e1.jpg']","['files/p14/p14353044/s55683961/15fc9a16-d94ec81b-5229758d-cd77e046-5a85a1a7.jpg\n', 'files/p14/p14353044/s55683961/33516cdc-28720180-2942aaf2-647856ad-2486e3de.jpg\n', 'files/p14/p14353044/s55683961/c7891af4-7df49803-0c120b40-692b164a-f6728f33.jpg\n', 'files/p14/p14353044/s55683961/d06fb2b2-a2e859d6-bb2da678-79ea2cca-f14cecd2.jpg\n']"
s56193921_2,p14353044,s56193921,2,Findings,"Two portable upright view of the chest are compared to previous exam from ___. There is new right lung base opacity compatible with at least some component of pleural effusion with probable underlying airspace disease. The left lung remains essentially clear, noting mild scarring versus atelectasis at the lung base. Left subclavian central line is seen with tip at the cavoatrial junction. Cardiomediastinal silhouette is stable. Posterior spinal fixation hardware is partially visualized.",There is new right lung base opacity compatible with at least some component of pleural effusion with probable underlying airspace disease.,opacity,right lung base,New,"['files/p14/p14353044/s56193921/17e49d5f-2581bb66-bff08b0c-021e7e8e-38c4fcc5.jpg', 'files/p14/p14353044/s56193921/930d1abf-e069b3d3-a6503794-fe52c8f6-d8c0f1e1.jpg']","['files/p14/p14353044/s55683961/15fc9a16-d94ec81b-5229758d-cd77e046-5a85a1a7.jpg\n', 'files/p14/p14353044/s55683961/33516cdc-28720180-2942aaf2-647856ad-2486e3de.jpg\n', 'files/p14/p14353044/s55683961/c7891af4-7df49803-0c120b40-692b164a-f6728f33.jpg\n', 'files/p14/p14353044/s55683961/d06fb2b2-a2e859d6-bb2da678-79ea2cca-f14cecd2.jpg\n']"
s56194064_3,p15612622,s56194064,3,Impression,"1. Lungs remain hyperinflated consistent with underlying emphysema. Interval resolution of streaky opacities at the right base consistent with either resolved atelectasis or pneumonia. A calcified nodule in the left mid lung is stable consistent with a granuloma. No evidence of pulmonary edema, pleural effusions or pneumothorax. Heart remains mildly enlarged but unchanged. Mediastinal contours are stable given lordotic technique on this examination. Multiple vertebral compression fractures of the mid thoracic spine are again seen. Apparent fullness to the right hilum is stable dating back to ___ and is felt to represent prominent vascular structures.",Apparent fullness to the right hilum is stable dating back to ___ and is felt to represent prominent vascular structures.,fullness,right hilum,Stable,"['files/p15/p15612622/s56194064/26735886-785c02a9-9ec5f305-c16caeb7-8ddeb3c0.jpg', 'files/p15/p15612622/s56194064/4da641d5-6e6f2d9e-d61765af-45618c20-e1ede26c.jpg', 'files/p15/p15612622/s56194064/aebe1db5-f8411259-37f4b8fc-2d28dcba-03811e14.jpg']",['files/p15/p15612622/s53971934/fa62fc78-9b66c0fd-aa7ee648-8b82e0fc-b0e5c0d4.jpg\n']
s56194064_3,p15612622,s56194064,3,Impression,"1. Lungs remain hyperinflated consistent with underlying emphysema. Interval resolution of streaky opacities at the right base consistent with either resolved atelectasis or pneumonia. A calcified nodule in the left mid lung is stable consistent with a granuloma. No evidence of pulmonary edema, pleural effusions or pneumothorax. Heart remains mildly enlarged but unchanged. Mediastinal contours are stable given lordotic technique on this examination. Multiple vertebral compression fractures of the mid thoracic spine are again seen. Apparent fullness to the right hilum is stable dating back to ___ and is felt to represent prominent vascular structures.",Mediastinal contours are stable given lordotic technique on this examination.,stability,mediastinal contours,Stable,"['files/p15/p15612622/s56194064/26735886-785c02a9-9ec5f305-c16caeb7-8ddeb3c0.jpg', 'files/p15/p15612622/s56194064/4da641d5-6e6f2d9e-d61765af-45618c20-e1ede26c.jpg', 'files/p15/p15612622/s56194064/aebe1db5-f8411259-37f4b8fc-2d28dcba-03811e14.jpg']",['files/p15/p15612622/s53971934/fa62fc78-9b66c0fd-aa7ee648-8b82e0fc-b0e5c0d4.jpg\n']
s56194064_3,p15612622,s56194064,3,Impression,"1. Lungs remain hyperinflated consistent with underlying emphysema. Interval resolution of streaky opacities at the right base consistent with either resolved atelectasis or pneumonia. A calcified nodule in the left mid lung is stable consistent with a granuloma. No evidence of pulmonary edema, pleural effusions or pneumothorax. Heart remains mildly enlarged but unchanged. Mediastinal contours are stable given lordotic technique on this examination. Multiple vertebral compression fractures of the mid thoracic spine are again seen. Apparent fullness to the right hilum is stable dating back to ___ and is felt to represent prominent vascular structures.",Heart remains mildly enlarged but unchanged.,mild enlargement,heart,Stable,"['files/p15/p15612622/s56194064/26735886-785c02a9-9ec5f305-c16caeb7-8ddeb3c0.jpg', 'files/p15/p15612622/s56194064/4da641d5-6e6f2d9e-d61765af-45618c20-e1ede26c.jpg', 'files/p15/p15612622/s56194064/aebe1db5-f8411259-37f4b8fc-2d28dcba-03811e14.jpg']",['files/p15/p15612622/s53971934/fa62fc78-9b66c0fd-aa7ee648-8b82e0fc-b0e5c0d4.jpg\n']
s56194064_3,p15612622,s56194064,3,Impression,"1. Lungs remain hyperinflated consistent with underlying emphysema. Interval resolution of streaky opacities at the right base consistent with either resolved atelectasis or pneumonia. A calcified nodule in the left mid lung is stable consistent with a granuloma. No evidence of pulmonary edema, pleural effusions or pneumothorax. Heart remains mildly enlarged but unchanged. Mediastinal contours are stable given lordotic technique on this examination. Multiple vertebral compression fractures of the mid thoracic spine are again seen. Apparent fullness to the right hilum is stable dating back to ___ and is felt to represent prominent vascular structures.",A calcified nodule in the left mid lung is stable consistent with a granuloma.,calcified nodule,left mid lung,Stable,"['files/p15/p15612622/s56194064/26735886-785c02a9-9ec5f305-c16caeb7-8ddeb3c0.jpg', 'files/p15/p15612622/s56194064/4da641d5-6e6f2d9e-d61765af-45618c20-e1ede26c.jpg', 'files/p15/p15612622/s56194064/aebe1db5-f8411259-37f4b8fc-2d28dcba-03811e14.jpg']",['files/p15/p15612622/s53971934/fa62fc78-9b66c0fd-aa7ee648-8b82e0fc-b0e5c0d4.jpg\n']
s56194064_3,p15612622,s56194064,3,Impression,"1. Lungs remain hyperinflated consistent with underlying emphysema. Interval resolution of streaky opacities at the right base consistent with either resolved atelectasis or pneumonia. A calcified nodule in the left mid lung is stable consistent with a granuloma. No evidence of pulmonary edema, pleural effusions or pneumothorax. Heart remains mildly enlarged but unchanged. Mediastinal contours are stable given lordotic technique on this examination. Multiple vertebral compression fractures of the mid thoracic spine are again seen. Apparent fullness to the right hilum is stable dating back to ___ and is felt to represent prominent vascular structures.",1. Lungs remain hyperinflated consistent with underlying emphysema.,hyperinflation,lungs,Stable,"['files/p15/p15612622/s56194064/26735886-785c02a9-9ec5f305-c16caeb7-8ddeb3c0.jpg', 'files/p15/p15612622/s56194064/4da641d5-6e6f2d9e-d61765af-45618c20-e1ede26c.jpg', 'files/p15/p15612622/s56194064/aebe1db5-f8411259-37f4b8fc-2d28dcba-03811e14.jpg']",['files/p15/p15612622/s53971934/fa62fc78-9b66c0fd-aa7ee648-8b82e0fc-b0e5c0d4.jpg\n']
s56194064_3,p15612622,s56194064,3,Impression,"1. Lungs remain hyperinflated consistent with underlying emphysema. Interval resolution of streaky opacities at the right base consistent with either resolved atelectasis or pneumonia. A calcified nodule in the left mid lung is stable consistent with a granuloma. No evidence of pulmonary edema, pleural effusions or pneumothorax. Heart remains mildly enlarged but unchanged. Mediastinal contours are stable given lordotic technique on this examination. Multiple vertebral compression fractures of the mid thoracic spine are again seen. Apparent fullness to the right hilum is stable dating back to ___ and is felt to represent prominent vascular structures.",Multiple vertebral compression fractures of the mid thoracic spine are again seen.,vertebral compression fractures,mid thoracic spine,Stable,"['files/p15/p15612622/s56194064/26735886-785c02a9-9ec5f305-c16caeb7-8ddeb3c0.jpg', 'files/p15/p15612622/s56194064/4da641d5-6e6f2d9e-d61765af-45618c20-e1ede26c.jpg', 'files/p15/p15612622/s56194064/aebe1db5-f8411259-37f4b8fc-2d28dcba-03811e14.jpg']",['files/p15/p15612622/s53971934/fa62fc78-9b66c0fd-aa7ee648-8b82e0fc-b0e5c0d4.jpg\n']
s56194064_3,p15612622,s56194064,3,Impression,"1. Lungs remain hyperinflated consistent with underlying emphysema. Interval resolution of streaky opacities at the right base consistent with either resolved atelectasis or pneumonia. A calcified nodule in the left mid lung is stable consistent with a granuloma. No evidence of pulmonary edema, pleural effusions or pneumothorax. Heart remains mildly enlarged but unchanged. Mediastinal contours are stable given lordotic technique on this examination. Multiple vertebral compression fractures of the mid thoracic spine are again seen. Apparent fullness to the right hilum is stable dating back to ___ and is felt to represent prominent vascular structures.",Interval resolution of streaky opacities at the right base consistent with either resolved atelectasis or pneumonia.,streaky opacities,right base,Resolve,"['files/p15/p15612622/s56194064/26735886-785c02a9-9ec5f305-c16caeb7-8ddeb3c0.jpg', 'files/p15/p15612622/s56194064/4da641d5-6e6f2d9e-d61765af-45618c20-e1ede26c.jpg', 'files/p15/p15612622/s56194064/aebe1db5-f8411259-37f4b8fc-2d28dcba-03811e14.jpg']",['files/p15/p15612622/s53971934/fa62fc78-9b66c0fd-aa7ee648-8b82e0fc-b0e5c0d4.jpg\n']
s56196471_2,p18322589,s56196471,2,Impression,1. Endotracheal tube ends 3 cm from the carina. Better lung volumes after intubation but still severe pulmonary edema.,1. Endotracheal tube ends 3 cm from the carina. Better lung volumes after intubation but still severe pulmonary edema.,pulmonary edema,,Worse,['files/p18/p18322589/s56196471/3316f535-55fb94a2-9ced6576-f0cb4da1-83d82a05.jpg'],['files/p18/p18322589/s56081926/75f9f886-f3756d63-abb8d1f9-11e61578-a1c734a4.jpg\n']
s56196471_2,p18322589,s56196471,2,Findings,"One AP portable view of the chest. Endotracheal tube ends 3 cm from the carina. Nasogastric tube ends in the stomach. Left AICD device leads terminate in the appropriate positions. After ETT placement, there are increased lung volumes, and still severe pulmonary edema. Cardiomegaly is stable. Small right pleural effusion is stable. Retrocardiac atelectasis is unchanged. No evidence of pneumonia. Sternotomy wires are seen.",Small right pleural effusion is stable.,pleural effusion,right,Stable,['files/p18/p18322589/s56196471/3316f535-55fb94a2-9ced6576-f0cb4da1-83d82a05.jpg'],['files/p18/p18322589/s56081926/75f9f886-f3756d63-abb8d1f9-11e61578-a1c734a4.jpg\n']
s56196471_2,p18322589,s56196471,2,Findings,"One AP portable view of the chest. Endotracheal tube ends 3 cm from the carina. Nasogastric tube ends in the stomach. Left AICD device leads terminate in the appropriate positions. After ETT placement, there are increased lung volumes, and still severe pulmonary edema. Cardiomegaly is stable. Small right pleural effusion is stable. Retrocardiac atelectasis is unchanged. No evidence of pneumonia. Sternotomy wires are seen.",Cardiomegaly is stable.,cardiomegaly,,Stable,['files/p18/p18322589/s56196471/3316f535-55fb94a2-9ced6576-f0cb4da1-83d82a05.jpg'],['files/p18/p18322589/s56081926/75f9f886-f3756d63-abb8d1f9-11e61578-a1c734a4.jpg\n']
s56196471_2,p18322589,s56196471,2,Findings,"One AP portable view of the chest. Endotracheal tube ends 3 cm from the carina. Nasogastric tube ends in the stomach. Left AICD device leads terminate in the appropriate positions. After ETT placement, there are increased lung volumes, and still severe pulmonary edema. Cardiomegaly is stable. Small right pleural effusion is stable. Retrocardiac atelectasis is unchanged. No evidence of pneumonia. Sternotomy wires are seen.","After ETT placement, there are increased lung volumes, and still severe pulmonary edema.",pulmonary edema,,Worse,['files/p18/p18322589/s56196471/3316f535-55fb94a2-9ced6576-f0cb4da1-83d82a05.jpg'],['files/p18/p18322589/s56081926/75f9f886-f3756d63-abb8d1f9-11e61578-a1c734a4.jpg\n']
s56196471_2,p18322589,s56196471,2,Findings,"One AP portable view of the chest. Endotracheal tube ends 3 cm from the carina. Nasogastric tube ends in the stomach. Left AICD device leads terminate in the appropriate positions. After ETT placement, there are increased lung volumes, and still severe pulmonary edema. Cardiomegaly is stable. Small right pleural effusion is stable. Retrocardiac atelectasis is unchanged. No evidence of pneumonia. Sternotomy wires are seen.",Retrocardiac atelectasis is unchanged.,atelectasis,retrocardiac,Stable,['files/p18/p18322589/s56196471/3316f535-55fb94a2-9ced6576-f0cb4da1-83d82a05.jpg'],['files/p18/p18322589/s56081926/75f9f886-f3756d63-abb8d1f9-11e61578-a1c734a4.jpg\n']
s56199247_8,p13896515,s56199247,8,Impression,"1. Stable cardiac enlargement, status post median sternotomy for CABG. Interval removal of the gastric tube, endotracheal tube and left internal jugular central line. Persistent streaky opacities in both lungs which may reflect subsegmental atelectasis. In addition, there is perihilar vasculature indistinctness, which likely reflects persistent but improving perihilar edema. No large effusions. No evidence of pneumothorax.","Interval removal of the gastric tube, endotracheal tube and left internal jugular central line.",gastric tube,,Resolve,['files/p13/p13896515/s56199247/56941204-63c3a811-c32c65ee-fd5dc81e-ef6dc8e0.jpg'],"['files/p13/p13896515/s55693385/9653c8a6-5e38cc8d-984f9d7b-88ff9347-ad321dec.jpg\n', 'files/p13/p13896515/s55693385/b2661e27-0bced84e-02aa73ae-d1c58697-15ce7b75.jpg\n']"
s56199247_8,p13896515,s56199247,8,Impression,"1. Stable cardiac enlargement, status post median sternotomy for CABG. Interval removal of the gastric tube, endotracheal tube and left internal jugular central line. Persistent streaky opacities in both lungs which may reflect subsegmental atelectasis. In addition, there is perihilar vasculature indistinctness, which likely reflects persistent but improving perihilar edema. No large effusions. No evidence of pneumothorax.","In addition, there is perihilar vasculature indistinctness, which likely reflects persistent but improving perihilar edema.",edema,perihilar,Better,['files/p13/p13896515/s56199247/56941204-63c3a811-c32c65ee-fd5dc81e-ef6dc8e0.jpg'],"['files/p13/p13896515/s55693385/9653c8a6-5e38cc8d-984f9d7b-88ff9347-ad321dec.jpg\n', 'files/p13/p13896515/s55693385/b2661e27-0bced84e-02aa73ae-d1c58697-15ce7b75.jpg\n']"
s56199247_8,p13896515,s56199247,8,Impression,"1. Stable cardiac enlargement, status post median sternotomy for CABG. Interval removal of the gastric tube, endotracheal tube and left internal jugular central line. Persistent streaky opacities in both lungs which may reflect subsegmental atelectasis. In addition, there is perihilar vasculature indistinctness, which likely reflects persistent but improving perihilar edema. No large effusions. No evidence of pneumothorax.",Persistent streaky opacities in both lungs which may reflect subsegmental atelectasis.,streaky opacities,both lungs,Stable,['files/p13/p13896515/s56199247/56941204-63c3a811-c32c65ee-fd5dc81e-ef6dc8e0.jpg'],"['files/p13/p13896515/s55693385/9653c8a6-5e38cc8d-984f9d7b-88ff9347-ad321dec.jpg\n', 'files/p13/p13896515/s55693385/b2661e27-0bced84e-02aa73ae-d1c58697-15ce7b75.jpg\n']"
s56199247_8,p13896515,s56199247,8,Impression,"1. Stable cardiac enlargement, status post median sternotomy for CABG. Interval removal of the gastric tube, endotracheal tube and left internal jugular central line. Persistent streaky opacities in both lungs which may reflect subsegmental atelectasis. In addition, there is perihilar vasculature indistinctness, which likely reflects persistent but improving perihilar edema. No large effusions. No evidence of pneumothorax.","Interval removal of the gastric tube, endotracheal tube and left internal jugular central line.",left internal jugular central line,,Resolve,['files/p13/p13896515/s56199247/56941204-63c3a811-c32c65ee-fd5dc81e-ef6dc8e0.jpg'],"['files/p13/p13896515/s55693385/9653c8a6-5e38cc8d-984f9d7b-88ff9347-ad321dec.jpg\n', 'files/p13/p13896515/s55693385/b2661e27-0bced84e-02aa73ae-d1c58697-15ce7b75.jpg\n']"
s56199247_8,p13896515,s56199247,8,Impression,"1. Stable cardiac enlargement, status post median sternotomy for CABG. Interval removal of the gastric tube, endotracheal tube and left internal jugular central line. Persistent streaky opacities in both lungs which may reflect subsegmental atelectasis. In addition, there is perihilar vasculature indistinctness, which likely reflects persistent but improving perihilar edema. No large effusions. No evidence of pneumothorax.","Interval removal of the gastric tube, endotracheal tube and left internal jugular central line.",endotracheal tube,,Resolve,['files/p13/p13896515/s56199247/56941204-63c3a811-c32c65ee-fd5dc81e-ef6dc8e0.jpg'],"['files/p13/p13896515/s55693385/9653c8a6-5e38cc8d-984f9d7b-88ff9347-ad321dec.jpg\n', 'files/p13/p13896515/s55693385/b2661e27-0bced84e-02aa73ae-d1c58697-15ce7b75.jpg\n']"
s56199247_8,p13896515,s56199247,8,Impression,"1. Stable cardiac enlargement, status post median sternotomy for CABG. Interval removal of the gastric tube, endotracheal tube and left internal jugular central line. Persistent streaky opacities in both lungs which may reflect subsegmental atelectasis. In addition, there is perihilar vasculature indistinctness, which likely reflects persistent but improving perihilar edema. No large effusions. No evidence of pneumothorax.","1. Stable cardiac enlargement, status post median sternotomy for CABG.",cardiac enlargement,,Stable,['files/p13/p13896515/s56199247/56941204-63c3a811-c32c65ee-fd5dc81e-ef6dc8e0.jpg'],"['files/p13/p13896515/s55693385/9653c8a6-5e38cc8d-984f9d7b-88ff9347-ad321dec.jpg\n', 'files/p13/p13896515/s55693385/b2661e27-0bced84e-02aa73ae-d1c58697-15ce7b75.jpg\n']"
s56200127_15,p13135946,s56200127,15,Findings,"As compared to the previous radiograph, bilateral pleural effusions of mild-to-moderate extent, left more than right, have newly appeared. Bilaterally, these leads through mild basal areas of atelectasis. Overall, the lung volumes have decreased. The tracheostomy tube, the nasogastric tube and the ECG leads are constant. On the right, the pre-existing right internal jugular vein catheter in the subclavian catheter has been replaced by a right-sided PICC line. The tip of the PICC line projects over the mid-to-lower SVC. There is no evidence of pneumothorax. At the time of observation and dictation, 11:38 a.m., the referring physician, ___. ___, was paged for notification, ___.","Overall, the lung volumes have decreased.",lung volumes,,Worse,['files/p13/p13135946/s56200127/b0ac58d9-2a6c6e67-a28d32ad-e75154c0-4a90359a.jpg'],['files/p13/p13135946/s55603183/fb0f6c35-db1388f9-9fe71fcd-def5b9cc-d088eb40.jpg\n']
s56200127_15,p13135946,s56200127,15,Findings,"As compared to the previous radiograph, bilateral pleural effusions of mild-to-moderate extent, left more than right, have newly appeared. Bilaterally, these leads through mild basal areas of atelectasis. Overall, the lung volumes have decreased. The tracheostomy tube, the nasogastric tube and the ECG leads are constant. On the right, the pre-existing right internal jugular vein catheter in the subclavian catheter has been replaced by a right-sided PICC line. The tip of the PICC line projects over the mid-to-lower SVC. There is no evidence of pneumothorax. At the time of observation and dictation, 11:38 a.m., the referring physician, ___. ___, was paged for notification, ___.","The tracheostomy tube, the nasogastric tube and the ECG leads are constant.",tracheostomy tube,,Stable,['files/p13/p13135946/s56200127/b0ac58d9-2a6c6e67-a28d32ad-e75154c0-4a90359a.jpg'],['files/p13/p13135946/s55603183/fb0f6c35-db1388f9-9fe71fcd-def5b9cc-d088eb40.jpg\n']
s56200127_15,p13135946,s56200127,15,Findings,"As compared to the previous radiograph, bilateral pleural effusions of mild-to-moderate extent, left more than right, have newly appeared. Bilaterally, these leads through mild basal areas of atelectasis. Overall, the lung volumes have decreased. The tracheostomy tube, the nasogastric tube and the ECG leads are constant. On the right, the pre-existing right internal jugular vein catheter in the subclavian catheter has been replaced by a right-sided PICC line. The tip of the PICC line projects over the mid-to-lower SVC. There is no evidence of pneumothorax. At the time of observation and dictation, 11:38 a.m., the referring physician, ___. ___, was paged for notification, ___.","On the right, the pre-existing right internal jugular vein catheter in the subclavian catheter has been replaced by a right-sided PICC line.",catheter,right internal jugular vein,Resolve,['files/p13/p13135946/s56200127/b0ac58d9-2a6c6e67-a28d32ad-e75154c0-4a90359a.jpg'],['files/p13/p13135946/s55603183/fb0f6c35-db1388f9-9fe71fcd-def5b9cc-d088eb40.jpg\n']
s56200127_15,p13135946,s56200127,15,Findings,"As compared to the previous radiograph, bilateral pleural effusions of mild-to-moderate extent, left more than right, have newly appeared. Bilaterally, these leads through mild basal areas of atelectasis. Overall, the lung volumes have decreased. The tracheostomy tube, the nasogastric tube and the ECG leads are constant. On the right, the pre-existing right internal jugular vein catheter in the subclavian catheter has been replaced by a right-sided PICC line. The tip of the PICC line projects over the mid-to-lower SVC. There is no evidence of pneumothorax. At the time of observation and dictation, 11:38 a.m., the referring physician, ___. ___, was paged for notification, ___.","The tracheostomy tube, the nasogastric tube and the ECG leads are constant.",ECG leads,,Stable,['files/p13/p13135946/s56200127/b0ac58d9-2a6c6e67-a28d32ad-e75154c0-4a90359a.jpg'],['files/p13/p13135946/s55603183/fb0f6c35-db1388f9-9fe71fcd-def5b9cc-d088eb40.jpg\n']
s56200127_15,p13135946,s56200127,15,Findings,"As compared to the previous radiograph, bilateral pleural effusions of mild-to-moderate extent, left more than right, have newly appeared. Bilaterally, these leads through mild basal areas of atelectasis. Overall, the lung volumes have decreased. The tracheostomy tube, the nasogastric tube and the ECG leads are constant. On the right, the pre-existing right internal jugular vein catheter in the subclavian catheter has been replaced by a right-sided PICC line. The tip of the PICC line projects over the mid-to-lower SVC. There is no evidence of pneumothorax. At the time of observation and dictation, 11:38 a.m., the referring physician, ___. ___, was paged for notification, ___.","The tracheostomy tube, the nasogastric tube and the ECG leads are constant.",nasogastric tube,,Stable,['files/p13/p13135946/s56200127/b0ac58d9-2a6c6e67-a28d32ad-e75154c0-4a90359a.jpg'],['files/p13/p13135946/s55603183/fb0f6c35-db1388f9-9fe71fcd-def5b9cc-d088eb40.jpg\n']
s56200127_15,p13135946,s56200127,15,Findings,"As compared to the previous radiograph, bilateral pleural effusions of mild-to-moderate extent, left more than right, have newly appeared. Bilaterally, these leads through mild basal areas of atelectasis. Overall, the lung volumes have decreased. The tracheostomy tube, the nasogastric tube and the ECG leads are constant. On the right, the pre-existing right internal jugular vein catheter in the subclavian catheter has been replaced by a right-sided PICC line. The tip of the PICC line projects over the mid-to-lower SVC. There is no evidence of pneumothorax. At the time of observation and dictation, 11:38 a.m., the referring physician, ___. ___, was paged for notification, ___.","As compared to the previous radiograph, bilateral pleural effusions of mild-to-moderate extent, left more than right, have newly appeared.",pleural effusions,bilateral,New,['files/p13/p13135946/s56200127/b0ac58d9-2a6c6e67-a28d32ad-e75154c0-4a90359a.jpg'],['files/p13/p13135946/s55603183/fb0f6c35-db1388f9-9fe71fcd-def5b9cc-d088eb40.jpg\n']
s56214455_21,p13881772,s56214455,21,Impression,"Moderate bilateral pleural effusion, left-greater-than-right, increased since ___. Pulmonary vascular congestion borderline pulmonary edema and mild to moderate cardiac enlargement are unchanged.","Moderate bilateral pleural effusion, left-greater-than-right, increased since ___. Pulmonary vascular congestion borderline pulmonary edema and mild to moderate cardiac enlargement are unchanged.",Moderate bilateral pleural effusion,left-greater-than-right,Worse,['files/p13/p13881772/s56214455/aaae2ccb-5195b34a-97d13c9d-2f9ad735-44a7d31a.jpg'],"['files/p13/p13881772/s55058518/17a4c65c-8f68be50-5b78a88f-cd9137d8-d43edd4b.jpg\n', 'files/p13/p13881772/s55058518/48d78c08-a2ca4095-efd2e551-da6b1010-e90a62ef.jpg\n']"
s56214455_21,p13881772,s56214455,21,Impression,"Moderate bilateral pleural effusion, left-greater-than-right, increased since ___. Pulmonary vascular congestion borderline pulmonary edema and mild to moderate cardiac enlargement are unchanged.","Moderate bilateral pleural effusion, left-greater-than-right, increased since ___. Pulmonary vascular congestion borderline pulmonary edema and mild to moderate cardiac enlargement are unchanged.",Pulmonary vascular congestion borderline pulmonary edema and mild to moderate cardiac enlargement,,Stable,['files/p13/p13881772/s56214455/aaae2ccb-5195b34a-97d13c9d-2f9ad735-44a7d31a.jpg'],"['files/p13/p13881772/s55058518/17a4c65c-8f68be50-5b78a88f-cd9137d8-d43edd4b.jpg\n', 'files/p13/p13881772/s55058518/48d78c08-a2ca4095-efd2e551-da6b1010-e90a62ef.jpg\n']"
s56216565_11,p15857729,s56216565,11,Impression,Moderate cardiomegaly smaller since the prior study. Opacity projecting over the spine on the lateral radiograph may reflect pneumonia.,Moderate cardiomegaly smaller since the prior study.,cardiomegaly,heart,Better,"['files/p15/p15857729/s56216565/3ecc5fc4-ddb10e6d-149d9bc0-0e810143-adbc6d0d.jpg', 'files/p15/p15857729/s56216565/de9e7463-d51a6b2a-2601990d-3ca399d2-0f7a8df4.jpg']","['files/p15/p15857729/s55746776/ae4c91eb-797ef162-94445cf7-b657d732-2344c20d.jpg\n', 'files/p15/p15857729/s55746776/b06d47bc-8181cd72-254ab8b4-1731873e-41b7aed5.jpg\n']"
s56216565_11,p15857729,s56216565,11,Findings,"The lungs are normally expanded except for mild atelectasis at the lung bases. Opacities project over the spine on the lateral radiograph. The heart is slightly smaller since the study of ___, however there is still moderate cardiomegaly. There is no pleural effusion or pneumothorax. There is no pulmonary edema. Mild rightward deviation of the trachea is likely secondary to known enlargement of the thyroid, left greater than right.","The heart is slightly smaller since the study of ___, however there is still moderate cardiomegaly.",cardiomegaly,heart,Better,"['files/p15/p15857729/s56216565/3ecc5fc4-ddb10e6d-149d9bc0-0e810143-adbc6d0d.jpg', 'files/p15/p15857729/s56216565/de9e7463-d51a6b2a-2601990d-3ca399d2-0f7a8df4.jpg']","['files/p15/p15857729/s55746776/ae4c91eb-797ef162-94445cf7-b657d732-2344c20d.jpg\n', 'files/p15/p15857729/s55746776/b06d47bc-8181cd72-254ab8b4-1731873e-41b7aed5.jpg\n']"
s56217968_7,p19991135,s56217968,7,Findings,PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study obtained four hours earlier during the same day. The previously described right-sided chest tube remains in unchanged position. No pneumothorax has developed and there is no evidence of significantly increased pleural densities during this interval. The right-sided chest wall emphysema described earlier has regressed. No new abnormalities are seen. Left-sided hemithorax is unremarkable.,The right-sided chest wall emphysema described earlier has regressed.,chest wall emphysema,right-sided,Better,"['files/p19/p19991135/s56217968/329d4877-27fe6d30-c58e72d6-2157c74c-2686f3c9.jpg', 'files/p19/p19991135/s56217968/8b022030-a44f6023-40010130-e9f936f3-6f2dc281.jpg', 'files/p19/p19991135/s56217968/ffefdc2e-52afbd37-6ec4e225-f67b3576-9b0d7c4e.jpg']",['files/p19/p19991135/s54910031/d04bbcbd-5143439e-50ebe9a8-71380f67-44f8d127.jpg\n']
s56217968_7,p19991135,s56217968,7,Findings,PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study obtained four hours earlier during the same day. The previously described right-sided chest tube remains in unchanged position. No pneumothorax has developed and there is no evidence of significantly increased pleural densities during this interval. The right-sided chest wall emphysema described earlier has regressed. No new abnormalities are seen. Left-sided hemithorax is unremarkable.,The previously described right-sided chest tube remains in unchanged position.,chest tube,right-sided,Stable,"['files/p19/p19991135/s56217968/329d4877-27fe6d30-c58e72d6-2157c74c-2686f3c9.jpg', 'files/p19/p19991135/s56217968/8b022030-a44f6023-40010130-e9f936f3-6f2dc281.jpg', 'files/p19/p19991135/s56217968/ffefdc2e-52afbd37-6ec4e225-f67b3576-9b0d7c4e.jpg']",['files/p19/p19991135/s54910031/d04bbcbd-5143439e-50ebe9a8-71380f67-44f8d127.jpg\n']
s56220925_2,p19565388,s56220925,2,Findings,"The endotracheal tube is low, with the tip terminating just above the carina. Recommended retracting at least 3cm for optimum positioning. Nasogastric tube ends in the proximal portion of the body of the stomach with sidehole at the level of the gastroesophageal junction, and recommended further advancement. A right IJ approach venous pacer lead ends at the level of the right ventricle. The lung volumes are extremely low. Mild pulmonary congestion is seen. Small left pleural effusion with likely compressive atelectasis of the left lung base is noted. The cardiomediastinal and hilar contours are stable, with mild cardiomegaly. No pneumothorax is seen. Old healing left rib fracture is again seen.",Old healing left rib fracture is again seen.,Healed rib fracture,Left,Stable,['files/p19/p19565388/s56220925/0f20cabf-36c73318-eec1255d-ebc5dd0a-3389d19c.jpg'],"['files/p19/p19565388/s55536902/d24935db-b9f27f56-82996aec-e7a6bdec-618e0daa.jpg\n', 'files/p19/p19565388/s55536902/e6772ec5-79cc92d4-14c206cd-124edc47-86e22fb9.jpg\n']"
s56220925_2,p19565388,s56220925,2,Findings,"The endotracheal tube is low, with the tip terminating just above the carina. Recommended retracting at least 3cm for optimum positioning. Nasogastric tube ends in the proximal portion of the body of the stomach with sidehole at the level of the gastroesophageal junction, and recommended further advancement. A right IJ approach venous pacer lead ends at the level of the right ventricle. The lung volumes are extremely low. Mild pulmonary congestion is seen. Small left pleural effusion with likely compressive atelectasis of the left lung base is noted. The cardiomediastinal and hilar contours are stable, with mild cardiomegaly. No pneumothorax is seen. Old healing left rib fracture is again seen.","The cardiomediastinal and hilar contours are stable, with mild cardiomegaly.",Mild cardiomegaly,Cardiomediastinal and hilar contours,Stable,['files/p19/p19565388/s56220925/0f20cabf-36c73318-eec1255d-ebc5dd0a-3389d19c.jpg'],"['files/p19/p19565388/s55536902/d24935db-b9f27f56-82996aec-e7a6bdec-618e0daa.jpg\n', 'files/p19/p19565388/s55536902/e6772ec5-79cc92d4-14c206cd-124edc47-86e22fb9.jpg\n']"
s56225769_11,p13979643,s56225769,11,Findings,"As compared to the previous radiograph, the diffuse parenchymal opacities bilaterally have decreased in extent and severity. They continue, however, to be clearly visible. No newly appeared parenchymal opacities. Mild elevation of the hemidiaphragms with blunting of the costophrenic sinuses, making the presence of small pleural effusions likely. Unchanged borderline size of the cardiac silhouette, currently no signs suggesting pulmonary edema are present.","As compared to the previous radiograph, the diffuse parenchymal opacities bilaterally have decreased in extent and severity.",parenchymal opacities,bilaterally,Better,"['files/p13/p13979643/s56225769/a10afb34-5d32bd8e-9d5b22b5-61245f85-3fd12677.jpg', 'files/p13/p13979643/s56225769/be6da065-d1ae7d5e-8c62d864-d943a731-d9a38c86.jpg']",['files/p13/p13979643/s55901932/f4c4784b-31b99106-b81f1b06-5297ab3a-8cc7ddaf.jpg\n']
s56225769_11,p13979643,s56225769,11,Findings,"As compared to the previous radiograph, the diffuse parenchymal opacities bilaterally have decreased in extent and severity. They continue, however, to be clearly visible. No newly appeared parenchymal opacities. Mild elevation of the hemidiaphragms with blunting of the costophrenic sinuses, making the presence of small pleural effusions likely. Unchanged borderline size of the cardiac silhouette, currently no signs suggesting pulmonary edema are present.","Unchanged borderline size of the cardiac silhouette, currently no signs suggesting pulmonary edema are present.",cardiac silhouette size,,Stable,"['files/p13/p13979643/s56225769/a10afb34-5d32bd8e-9d5b22b5-61245f85-3fd12677.jpg', 'files/p13/p13979643/s56225769/be6da065-d1ae7d5e-8c62d864-d943a731-d9a38c86.jpg']",['files/p13/p13979643/s55901932/f4c4784b-31b99106-b81f1b06-5297ab3a-8cc7ddaf.jpg\n']
s56230969_6,p12303667,s56230969,6,Impression,Peristent diffuse interstitial abnormalies. No evidence of pneumonia.,Peristent diffuse interstitial abnormalies.,Diffuse interstitial abnormalities,,Stable,"['files/p12/p12303667/s56230969/9ed98f0d-44106851-df647480-672d93ed-95426753.jpg', 'files/p12/p12303667/s56230969/b8ec370f-450e80d9-25461f27-72d3da41-d6e10bae.jpg']",['files/p12/p12303667/s54218896/e4e0e4ff-71138eac-7cef38bd-ce820887-d59037ff.jpg\n']
s56231194_43,p13475033,s56231194,43,Findings,"The appearance of the lungs is stable. There is diffuse increase in interstitial markings bilaterally, similar to prior, consistent with chronic lung disease. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.",The appearance of the lungs is stable.,Appearance of the lungs,,Stable,"['files/p13/p13475033/s56231194/1042abaa-1e289541-bdf86540-15143a44-0079aba7.jpg', 'files/p13/p13475033/s56231194/73c08169-7948c6ff-04f9eccb-16f2d912-e60dad1a.jpg', 'files/p13/p13475033/s56231194/dcd2b9ba-011274a6-6e6f99c8-7d3d5cf0-f784a550.jpg', 'files/p13/p13475033/s56231194/e919ccde-cbde9eef-ec83c6fe-361b22e6-fea7aa96.jpg']",['files/p13/p13475033/s56081681/0325340c-c95a8b30-4a454b66-d20de6cb-d5353596.jpg\n']
s56231194_43,p13475033,s56231194,43,Findings,"The appearance of the lungs is stable. There is diffuse increase in interstitial markings bilaterally, similar to prior, consistent with chronic lung disease. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.","There is diffuse increase in interstitial markings bilaterally, similar to prior, consistent with chronic lung disease.",interstitial markings,Diffuse bilateral,Stable,"['files/p13/p13475033/s56231194/1042abaa-1e289541-bdf86540-15143a44-0079aba7.jpg', 'files/p13/p13475033/s56231194/73c08169-7948c6ff-04f9eccb-16f2d912-e60dad1a.jpg', 'files/p13/p13475033/s56231194/dcd2b9ba-011274a6-6e6f99c8-7d3d5cf0-f784a550.jpg', 'files/p13/p13475033/s56231194/e919ccde-cbde9eef-ec83c6fe-361b22e6-fea7aa96.jpg']",['files/p13/p13475033/s56081681/0325340c-c95a8b30-4a454b66-d20de6cb-d5353596.jpg\n']
s56231194_43,p13475033,s56231194,43,Findings,"The appearance of the lungs is stable. There is diffuse increase in interstitial markings bilaterally, similar to prior, consistent with chronic lung disease. No focal consolidation is seen. 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/p13475033/s56231194/1042abaa-1e289541-bdf86540-15143a44-0079aba7.jpg', 'files/p13/p13475033/s56231194/73c08169-7948c6ff-04f9eccb-16f2d912-e60dad1a.jpg', 'files/p13/p13475033/s56231194/dcd2b9ba-011274a6-6e6f99c8-7d3d5cf0-f784a550.jpg', 'files/p13/p13475033/s56231194/e919ccde-cbde9eef-ec83c6fe-361b22e6-fea7aa96.jpg']",['files/p13/p13475033/s56081681/0325340c-c95a8b30-4a454b66-d20de6cb-d5353596.jpg\n']
s56233609_10,p18767957,s56233609,10,Findings,There has been no significant interval change. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable with possible minimal central vascular engorgement.,Hilar contours are stable with possible minimal central vascular engorgement.,contours,Hilar,Stable,"['files/p18/p18767957/s56233609/24960743-14f426d7-d057ceaa-ea719e12-5534250a.jpg', 'files/p18/p18767957/s56233609/9c67a2e3-68620391-2e5a5578-0433f757-1eba00c6.jpg']",['files/p18/p18767957/s55238104/92c32c82-12a62f9c-f28ef1de-aa6bdc04-c6946e9e.jpg\n']
s56233609_10,p18767957,s56233609,10,Findings,There has been no significant interval change. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable with possible minimal central vascular engorgement.,The cardiac and mediastinal silhouettes are stable.,silhouettes,cardiac and mediastinal,Stable,"['files/p18/p18767957/s56233609/24960743-14f426d7-d057ceaa-ea719e12-5534250a.jpg', 'files/p18/p18767957/s56233609/9c67a2e3-68620391-2e5a5578-0433f757-1eba00c6.jpg']",['files/p18/p18767957/s55238104/92c32c82-12a62f9c-f28ef1de-aa6bdc04-c6946e9e.jpg\n']
s56234141_6,p14969719,s56234141,6,Impression,No significant change in moderate right pleural effusion.,No significant change in moderate right pleural effusion.,moderate pleural effusion,right,Stable,['files/p14/p14969719/s56234141/39c4b238-25f6b12b-afab2399-a95f4e2b-a02239de.jpg'],['files/p14/p14969719/s55058843/0b2c6fb8-4ee25db1-a506d249-fa80e84d-2f05a467.jpg\n']
s56234141_6,p14969719,s56234141,6,Findings,"One portable upright AP view of the chest. A moderate right pleural effusion with fluid layering along the lateral right lung and apex as well as medially adjacent to the mediastinum is unchanged. Mild right lower lobe atelectasis is unchanged. The cardiac, mediastinal and hilar contours are stable. Calcified lymph node in the aortopulmonary window is unchanged. The left lung is clear. No left pleural effusion.",A moderate right pleural effusion with fluid layering along the lateral right lung and apex as well as medially adjacent to the mediastinum is unchanged.,moderate right pleural effusion,"lateral right lung and apex, medially adjacent to the mediastinum",Stable,['files/p14/p14969719/s56234141/39c4b238-25f6b12b-afab2399-a95f4e2b-a02239de.jpg'],['files/p14/p14969719/s55058843/0b2c6fb8-4ee25db1-a506d249-fa80e84d-2f05a467.jpg\n']
s56234141_6,p14969719,s56234141,6,Findings,"One portable upright AP view of the chest. A moderate right pleural effusion with fluid layering along the lateral right lung and apex as well as medially adjacent to the mediastinum is unchanged. Mild right lower lobe atelectasis is unchanged. The cardiac, mediastinal and hilar contours are stable. Calcified lymph node in the aortopulmonary window is unchanged. The left lung is clear. No left pleural effusion.",Mild right lower lobe atelectasis is unchanged.,atelectasis,right lower lobe,Stable,['files/p14/p14969719/s56234141/39c4b238-25f6b12b-afab2399-a95f4e2b-a02239de.jpg'],['files/p14/p14969719/s55058843/0b2c6fb8-4ee25db1-a506d249-fa80e84d-2f05a467.jpg\n']
s56234141_6,p14969719,s56234141,6,Findings,"One portable upright AP view of the chest. A moderate right pleural effusion with fluid layering along the lateral right lung and apex as well as medially adjacent to the mediastinum is unchanged. Mild right lower lobe atelectasis is unchanged. The cardiac, mediastinal and hilar contours are stable. Calcified lymph node in the aortopulmonary window is unchanged. The left lung is clear. No left pleural effusion.","The cardiac, mediastinal and hilar contours are stable.",contours,"cardiac, mediastinal and hilar",Stable,['files/p14/p14969719/s56234141/39c4b238-25f6b12b-afab2399-a95f4e2b-a02239de.jpg'],['files/p14/p14969719/s55058843/0b2c6fb8-4ee25db1-a506d249-fa80e84d-2f05a467.jpg\n']
s56234141_6,p14969719,s56234141,6,Findings,"One portable upright AP view of the chest. A moderate right pleural effusion with fluid layering along the lateral right lung and apex as well as medially adjacent to the mediastinum is unchanged. Mild right lower lobe atelectasis is unchanged. The cardiac, mediastinal and hilar contours are stable. Calcified lymph node in the aortopulmonary window is unchanged. The left lung is clear. No left pleural effusion.",Calcified lymph node in the aortopulmonary window is unchanged.,calcified lymph node,aortopulmonary window,Stable,['files/p14/p14969719/s56234141/39c4b238-25f6b12b-afab2399-a95f4e2b-a02239de.jpg'],['files/p14/p14969719/s55058843/0b2c6fb8-4ee25db1-a506d249-fa80e84d-2f05a467.jpg\n']
s56237499_1,p14213287,s56237499,1,Findings,"Lateral views of the chest were obtained. The lungs appear clear bilaterally. The previously detected opacity in the left lower lung appears to have resolved, though evaluation on a chest radiograph is suboptimal to assess complete resolution. Would recommend non-emergent CT of the chest to ensure resolution of the previously detected lingular opacity as well as multiple additional lung nodules described in detail on prior CT chest. Cardiomediastinal sillouhette appears normal. Bony structures are intact.","The previously detected opacity in the left lower lung appears to have resolved, though evaluation on a chest radiograph is suboptimal to assess complete resolution.",opacity,left lower lung,Resolve,['files/p14/p14213287/s56237499/db368d36-8c00c286-fd73c287-46b788dc-3238c890.jpg'],
s56238840_7,p18079481,s56238840,7,Findings,Portable AP chest radiograph demonstrates a Dobbhoff tube in the lower thorax. The radiopaque tip is terminating above the diaphragm. Left basilar atelectasis and pleural effusion is unchanged from ___. The cardiomediastinal silhouette is stable. There is no pneumothorax.,The cardiomediastinal silhouette is stable.,Silhouette,Cardiomediastinal,Stable,['files/p18/p18079481/s56238840/45dc8b2b-703d5d88-d0e05f85-35cc43ba-84b1f4be.jpg'],['files/p18/p18079481/s56171502/7314ab8f-787ccb0b-f465183a-18649a4d-0d37cc0e.jpg\n']
s56238840_7,p18079481,s56238840,7,Findings,Portable AP chest radiograph demonstrates a Dobbhoff tube in the lower thorax. The radiopaque tip is terminating above the diaphragm. Left basilar atelectasis and pleural effusion is unchanged from ___. The cardiomediastinal silhouette is stable. There is no pneumothorax.,Left basilar atelectasis and pleural effusion is unchanged from ___.,Atelectasis and pleural effusion,Left basilar,Stable,['files/p18/p18079481/s56238840/45dc8b2b-703d5d88-d0e05f85-35cc43ba-84b1f4be.jpg'],['files/p18/p18079481/s56171502/7314ab8f-787ccb0b-f465183a-18649a4d-0d37cc0e.jpg\n']
s56241369_9,p16360107,s56241369,9,Findings,"The cardiac, mediastinal and hilar contours appear stable. Deshiscences among sternal wires appear unchanged. Moderate bilateral pleural effusions appear stable a and seem to be due to chronic collections which were also characterized on prior CT with associated round atelectasis especially at the right lung base. There has been little if any change. Although there is no evidence of acute process should be noted that background abnormalities may lower the sensitivity of chest radiography.","The cardiac, mediastinal and hilar contours appear stable.",cardiac contours,,Stable,"['files/p16/p16360107/s56241369/46ee8e54-8770a1f9-92571cb4-188d5290-2e4ed48b.jpg', 'files/p16/p16360107/s56241369/67a32863-338f2899-5e526d84-2639d564-a2204b9b.jpg', 'files/p16/p16360107/s56241369/b03d121a-8a657f7b-2c3da5f3-6828c27c-2a4d38a4.jpg']",['files/p16/p16360107/s56101582/c1580ec9-32506bce-3fcc607e-df23d243-031e5cb4.jpg\n']
s56241369_9,p16360107,s56241369,9,Findings,"The cardiac, mediastinal and hilar contours appear stable. Deshiscences among sternal wires appear unchanged. Moderate bilateral pleural effusions appear stable a and seem to be due to chronic collections which were also characterized on prior CT with associated round atelectasis especially at the right lung base. There has been little if any change. Although there is no evidence of acute process should be noted that background abnormalities may lower the sensitivity of chest radiography.",Moderate bilateral pleural effusions appear stable and seem to be due to chronic collections which were also characterized on prior CT with associated round atelectasis especially at the right lung base.,round atelectasis,right lung base,Stable,"['files/p16/p16360107/s56241369/46ee8e54-8770a1f9-92571cb4-188d5290-2e4ed48b.jpg', 'files/p16/p16360107/s56241369/67a32863-338f2899-5e526d84-2639d564-a2204b9b.jpg', 'files/p16/p16360107/s56241369/b03d121a-8a657f7b-2c3da5f3-6828c27c-2a4d38a4.jpg']",['files/p16/p16360107/s56101582/c1580ec9-32506bce-3fcc607e-df23d243-031e5cb4.jpg\n']
s56241369_9,p16360107,s56241369,9,Findings,"The cardiac, mediastinal and hilar contours appear stable. Deshiscences among sternal wires appear unchanged. Moderate bilateral pleural effusions appear stable a and seem to be due to chronic collections which were also characterized on prior CT with associated round atelectasis especially at the right lung base. There has been little if any change. Although there is no evidence of acute process should be noted that background abnormalities may lower the sensitivity of chest radiography.",Deshiscences among sternal wires appear unchanged.,sternal wires,,Stable,"['files/p16/p16360107/s56241369/46ee8e54-8770a1f9-92571cb4-188d5290-2e4ed48b.jpg', 'files/p16/p16360107/s56241369/67a32863-338f2899-5e526d84-2639d564-a2204b9b.jpg', 'files/p16/p16360107/s56241369/b03d121a-8a657f7b-2c3da5f3-6828c27c-2a4d38a4.jpg']",['files/p16/p16360107/s56101582/c1580ec9-32506bce-3fcc607e-df23d243-031e5cb4.jpg\n']
s56241369_9,p16360107,s56241369,9,Findings,"The cardiac, mediastinal and hilar contours appear stable. Deshiscences among sternal wires appear unchanged. Moderate bilateral pleural effusions appear stable a and seem to be due to chronic collections which were also characterized on prior CT with associated round atelectasis especially at the right lung base. There has been little if any change. Although there is no evidence of acute process should be noted that background abnormalities may lower the sensitivity of chest radiography.",There has been little if any change.,,,Stable,"['files/p16/p16360107/s56241369/46ee8e54-8770a1f9-92571cb4-188d5290-2e4ed48b.jpg', 'files/p16/p16360107/s56241369/67a32863-338f2899-5e526d84-2639d564-a2204b9b.jpg', 'files/p16/p16360107/s56241369/b03d121a-8a657f7b-2c3da5f3-6828c27c-2a4d38a4.jpg']",['files/p16/p16360107/s56101582/c1580ec9-32506bce-3fcc607e-df23d243-031e5cb4.jpg\n']
s56241369_9,p16360107,s56241369,9,Impression,Stable chronic abnormalities including bilateral moderate loculated pleural effusions and areas of round atelectasis.,Stable chronic abnormalities including bilateral moderate loculated pleural effusions and areas of round atelectasis.,pleural effusions,bilateral,Stable,"['files/p16/p16360107/s56241369/46ee8e54-8770a1f9-92571cb4-188d5290-2e4ed48b.jpg', 'files/p16/p16360107/s56241369/67a32863-338f2899-5e526d84-2639d564-a2204b9b.jpg', 'files/p16/p16360107/s56241369/b03d121a-8a657f7b-2c3da5f3-6828c27c-2a4d38a4.jpg']",['files/p16/p16360107/s56101582/c1580ec9-32506bce-3fcc607e-df23d243-031e5cb4.jpg\n']
s56241369_9,p16360107,s56241369,9,Impression,Stable chronic abnormalities including bilateral moderate loculated pleural effusions and areas of round atelectasis.,Stable chronic abnormalities including bilateral moderate loculated pleural effusions and areas of round atelectasis.,round atelectasis,,Stable,"['files/p16/p16360107/s56241369/46ee8e54-8770a1f9-92571cb4-188d5290-2e4ed48b.jpg', 'files/p16/p16360107/s56241369/67a32863-338f2899-5e526d84-2639d564-a2204b9b.jpg', 'files/p16/p16360107/s56241369/b03d121a-8a657f7b-2c3da5f3-6828c27c-2a4d38a4.jpg']",['files/p16/p16360107/s56101582/c1580ec9-32506bce-3fcc607e-df23d243-031e5cb4.jpg\n']
s56241369_9,p16360107,s56241369,9,Findings,"The cardiac, mediastinal and hilar contours appear stable. Deshiscences among sternal wires appear unchanged. Moderate bilateral pleural effusions appear stable a and seem to be due to chronic collections which were also characterized on prior CT with associated round atelectasis especially at the right lung base. There has been little if any change. Although there is no evidence of acute process should be noted that background abnormalities may lower the sensitivity of chest radiography.","The cardiac, mediastinal and hilar contours appear stable.",mediastinal contours,,Stable,"['files/p16/p16360107/s56241369/46ee8e54-8770a1f9-92571cb4-188d5290-2e4ed48b.jpg', 'files/p16/p16360107/s56241369/67a32863-338f2899-5e526d84-2639d564-a2204b9b.jpg', 'files/p16/p16360107/s56241369/b03d121a-8a657f7b-2c3da5f3-6828c27c-2a4d38a4.jpg']",['files/p16/p16360107/s56101582/c1580ec9-32506bce-3fcc607e-df23d243-031e5cb4.jpg\n']
s56241369_9,p16360107,s56241369,9,Findings,"The cardiac, mediastinal and hilar contours appear stable. Deshiscences among sternal wires appear unchanged. Moderate bilateral pleural effusions appear stable a and seem to be due to chronic collections which were also characterized on prior CT with associated round atelectasis especially at the right lung base. There has been little if any change. Although there is no evidence of acute process should be noted that background abnormalities may lower the sensitivity of chest radiography.","The cardiac, mediastinal and hilar contours appear stable.",hilar contours,,Stable,"['files/p16/p16360107/s56241369/46ee8e54-8770a1f9-92571cb4-188d5290-2e4ed48b.jpg', 'files/p16/p16360107/s56241369/67a32863-338f2899-5e526d84-2639d564-a2204b9b.jpg', 'files/p16/p16360107/s56241369/b03d121a-8a657f7b-2c3da5f3-6828c27c-2a4d38a4.jpg']",['files/p16/p16360107/s56101582/c1580ec9-32506bce-3fcc607e-df23d243-031e5cb4.jpg\n']
s56241369_9,p16360107,s56241369,9,Findings,"The cardiac, mediastinal and hilar contours appear stable. Deshiscences among sternal wires appear unchanged. Moderate bilateral pleural effusions appear stable a and seem to be due to chronic collections which were also characterized on prior CT with associated round atelectasis especially at the right lung base. There has been little if any change. Although there is no evidence of acute process should be noted that background abnormalities may lower the sensitivity of chest radiography.",Moderate bilateral pleural effusions appear stable and seem to be due to chronic collections which were also characterized on prior CT with associated round atelectasis especially at the right lung base.,pleural effusions,bilateral,Stable,"['files/p16/p16360107/s56241369/46ee8e54-8770a1f9-92571cb4-188d5290-2e4ed48b.jpg', 'files/p16/p16360107/s56241369/67a32863-338f2899-5e526d84-2639d564-a2204b9b.jpg', 'files/p16/p16360107/s56241369/b03d121a-8a657f7b-2c3da5f3-6828c27c-2a4d38a4.jpg']",['files/p16/p16360107/s56101582/c1580ec9-32506bce-3fcc607e-df23d243-031e5cb4.jpg\n']
s56249524_40,p14851532,s56249524,40,Impression,1. Interval improvement interstitial edema. 2. Stable small bilateral effusions. 3. Stable chronic changes which are followed on CT.,3. Stable chronic changes which are followed on CT.,Changes,Chronic,Stable,"['files/p14/p14851532/s56249524/0fd2483e-20dd0ce1-75329782-17d1ddfd-e4e835a7.jpg', 'files/p14/p14851532/s56249524/efeba16b-39830a9e-b70b62fb-3cbb97db-960c72d4.jpg']","['files/p14/p14851532/s56151362/4d2579d2-b49b34fc-04174474-8267b2c8-23e71a24.jpg\n', 'files/p14/p14851532/s56151362/9aa39b17-1e7fadb7-8b82c0a2-f73018d2-7ac798d1.jpg\n']"
s56249524_40,p14851532,s56249524,40,Findings,"Interval improvement in interstitial edema. Small bilateral effusions. Suture lines are noted in the region of the left upper hemithorax. The opacity in the right upper lobe corresponds to the mass demonstrated better on recent CT. No pleural effusion, pulmonary edema, or focal consolidation to suggest pneumonia. Stable cardiomediastinal silhouette. Incidental atherosclerosis in the left anterior descending artery. Stable post-sternotomy changes.",Stable post-sternotomy changes.,Changes,Post-sternotomy,Stable,"['files/p14/p14851532/s56249524/0fd2483e-20dd0ce1-75329782-17d1ddfd-e4e835a7.jpg', 'files/p14/p14851532/s56249524/efeba16b-39830a9e-b70b62fb-3cbb97db-960c72d4.jpg']","['files/p14/p14851532/s56151362/4d2579d2-b49b34fc-04174474-8267b2c8-23e71a24.jpg\n', 'files/p14/p14851532/s56151362/9aa39b17-1e7fadb7-8b82c0a2-f73018d2-7ac798d1.jpg\n']"
s56249524_40,p14851532,s56249524,40,Findings,"Interval improvement in interstitial edema. Small bilateral effusions. Suture lines are noted in the region of the left upper hemithorax. The opacity in the right upper lobe corresponds to the mass demonstrated better on recent CT. No pleural effusion, pulmonary edema, or focal consolidation to suggest pneumonia. Stable cardiomediastinal silhouette. Incidental atherosclerosis in the left anterior descending artery. Stable post-sternotomy changes.",Stable cardiomediastinal silhouette.,Silhouette,Cardiomediastinal,Stable,"['files/p14/p14851532/s56249524/0fd2483e-20dd0ce1-75329782-17d1ddfd-e4e835a7.jpg', 'files/p14/p14851532/s56249524/efeba16b-39830a9e-b70b62fb-3cbb97db-960c72d4.jpg']","['files/p14/p14851532/s56151362/4d2579d2-b49b34fc-04174474-8267b2c8-23e71a24.jpg\n', 'files/p14/p14851532/s56151362/9aa39b17-1e7fadb7-8b82c0a2-f73018d2-7ac798d1.jpg\n']"
s56249524_40,p14851532,s56249524,40,Findings,"Interval improvement in interstitial edema. Small bilateral effusions. Suture lines are noted in the region of the left upper hemithorax. The opacity in the right upper lobe corresponds to the mass demonstrated better on recent CT. No pleural effusion, pulmonary edema, or focal consolidation to suggest pneumonia. Stable cardiomediastinal silhouette. Incidental atherosclerosis in the left anterior descending artery. Stable post-sternotomy changes.",Interval improvement in interstitial edema.,Edema,Interstitial,Better,"['files/p14/p14851532/s56249524/0fd2483e-20dd0ce1-75329782-17d1ddfd-e4e835a7.jpg', 'files/p14/p14851532/s56249524/efeba16b-39830a9e-b70b62fb-3cbb97db-960c72d4.jpg']","['files/p14/p14851532/s56151362/4d2579d2-b49b34fc-04174474-8267b2c8-23e71a24.jpg\n', 'files/p14/p14851532/s56151362/9aa39b17-1e7fadb7-8b82c0a2-f73018d2-7ac798d1.jpg\n']"
s56249524_40,p14851532,s56249524,40,Impression,1. Interval improvement interstitial edema. 2. Stable small bilateral effusions. 3. Stable chronic changes which are followed on CT.,1. Interval improvement interstitial edema.,Edema,Interstitial,Better,"['files/p14/p14851532/s56249524/0fd2483e-20dd0ce1-75329782-17d1ddfd-e4e835a7.jpg', 'files/p14/p14851532/s56249524/efeba16b-39830a9e-b70b62fb-3cbb97db-960c72d4.jpg']","['files/p14/p14851532/s56151362/4d2579d2-b49b34fc-04174474-8267b2c8-23e71a24.jpg\n', 'files/p14/p14851532/s56151362/9aa39b17-1e7fadb7-8b82c0a2-f73018d2-7ac798d1.jpg\n']"
s56249524_40,p14851532,s56249524,40,Impression,1. Interval improvement interstitial edema. 2. Stable small bilateral effusions. 3. Stable chronic changes which are followed on CT.,2. Stable small bilateral effusions.,Effusions,Bilateral,Stable,"['files/p14/p14851532/s56249524/0fd2483e-20dd0ce1-75329782-17d1ddfd-e4e835a7.jpg', 'files/p14/p14851532/s56249524/efeba16b-39830a9e-b70b62fb-3cbb97db-960c72d4.jpg']","['files/p14/p14851532/s56151362/4d2579d2-b49b34fc-04174474-8267b2c8-23e71a24.jpg\n', 'files/p14/p14851532/s56151362/9aa39b17-1e7fadb7-8b82c0a2-f73018d2-7ac798d1.jpg\n']"
s56258422_7,p11022245,s56258422,7,Findings,"As compared to the previous radiograph, the right venous introduction sheath has been removed and a left PICC line has been inserted. The course of the line is unremarkable, the tip of the line projects over the mid SVC. There is no evidence of complications, notably no pneumothorax. The pre-existing bilateral parenchymal opacities, mostly caused by pleural effusions and subsequent atelectasis, have decreased in extent.","The pre-existing bilateral parenchymal opacities, mostly caused by pleural effusions and subsequent atelectasis, have decreased in extent.",parenchymal opacities,bilateral,Better,['files/p11/p11022245/s56258422/848b0d7f-e95a86d4-0c40c933-7b2dc937-ac3d74c6.jpg'],['files/p11/p11022245/s55512076/d5d3964c-238d57c2-52e7bc5c-5233980d-1f0a2e2a.jpg\n']
s56258422_7,p11022245,s56258422,7,Findings,"As compared to the previous radiograph, the right venous introduction sheath has been removed and a left PICC line has been inserted. The course of the line is unremarkable, the tip of the line projects over the mid SVC. There is no evidence of complications, notably no pneumothorax. The pre-existing bilateral parenchymal opacities, mostly caused by pleural effusions and subsequent atelectasis, have decreased in extent.","As compared to the previous radiograph, the right venous introduction sheath has been removed and a left PICC line has been inserted.",venous introduction sheath,right,Resolve,['files/p11/p11022245/s56258422/848b0d7f-e95a86d4-0c40c933-7b2dc937-ac3d74c6.jpg'],['files/p11/p11022245/s55512076/d5d3964c-238d57c2-52e7bc5c-5233980d-1f0a2e2a.jpg\n']
s56267214_17,p10933609,s56267214,17,Impression,AP chest compared to ___: Previous mild but asymmetric pulmonary edema continues to improve. The residual opacification in the right upper lobe raises concern for pneumonia. Heart size is normal. There is no pleural effusion.,AP chest compared to ___: Previous mild but asymmetric pulmonary edema continues to improve.,pulmonary edema,asymmetric,Better,"['files/p10/p10933609/s56267214/157aae90-df977bc0-da3b3a41-87cc0fcb-438b3e17.jpg', 'files/p10/p10933609/s56267214/dc460b17-20bafc45-b91e6c92-311eb0ad-7ea1a883.jpg']","['files/p10/p10933609/s56058164/16fbacce-c16d2bb4-ab113b1b-2956fc48-9f78a96d.jpg\n', 'files/p10/p10933609/s56058164/67106e2c-168fd4e2-52fbcc7d-4c4b2f27-5499c157.jpg\n']"
s56268607_1,p11879886,s56268607,1,Impression,"CHF with upper zone redistribution and diffuse vascular blurring. Minimal left lower lobe opacity also noted. Of note, the chest CT from ___ described innumerable pulmonary nodules. It would be difficult to distinguish interstitial metastatic disease from the findings on the current study, but the upper zone redistribution and overall blurring does appear more pronounced than on ___ and that rapid change supports the diagnosis of CHF.","It would be difficult to distinguish interstitial metastatic disease from the findings on the current study, but the upper zone redistribution and overall blurring does appear more pronounced than on ___ and that rapid change supports the diagnosis of CHF.",redistribution and blurring,upper zone,Worse,['files/p11/p11879886/s56268607/da8cd0dd-573be530-0024ff8e-15e20b59-21e4a61d.jpg'],"['files/p11/p11879886/s54972841/12fcd1f0-96b6eb00-a6a5ee27-7e8d19ee-63f16bc2.jpg\n', 'files/p11/p11879886/s54972841/d8d4b15b-0a338acd-c5176214-7794d508-468e6e07.jpg\n']"
s56271024_34,p14851532,s56271024,34,Findings,"The patient is status post coronary artery bypass graft surgery. The sternum is not well assessed with this technique. The cardiac, mediastinal and hilar contours appear unchanged, including mild cardiomegaly as well as calcification and tortuosity of the aorta. There is no pleural effusion or pneumothorax. The chest is probably hyperinflated to some degree. A coarse irregular reticular opacification in the left upper lung is a stable chronic-appearing but non-specific finding. Streaky opacities at the left lung base suggest minor scarring. A stable focal nodular opacity projecting over the right upper lobe. As before, a small nipple shadow projects over the right mid chest.",A stable focal nodular opacity projecting over the right upper lobe.,focal nodular opacity,right upper lobe,Stable,"['files/p14/p14851532/s56271024/0fd07569-5d9f41de-7799b9da-c5f4f7c7-87e4ffbb.jpg', 'files/p14/p14851532/s56271024/14f53052-11ab2a27-a1403993-2e146bc1-5263c5e0.jpg', 'files/p14/p14851532/s56271024/57900663-30a564a8-c6e7ada4-e124f681-8d66c816.jpg', 'files/p14/p14851532/s56271024/f403c773-516b1bf3-4068dd21-67aadc38-513ad05f.jpg']","['files/p14/p14851532/s56249524/0fd2483e-20dd0ce1-75329782-17d1ddfd-e4e835a7.jpg\n', 'files/p14/p14851532/s56249524/efeba16b-39830a9e-b70b62fb-3cbb97db-960c72d4.jpg\n']"
s56271024_34,p14851532,s56271024,34,Findings,"The patient is status post coronary artery bypass graft surgery. The sternum is not well assessed with this technique. The cardiac, mediastinal and hilar contours appear unchanged, including mild cardiomegaly as well as calcification and tortuosity of the aorta. There is no pleural effusion or pneumothorax. The chest is probably hyperinflated to some degree. A coarse irregular reticular opacification in the left upper lung is a stable chronic-appearing but non-specific finding. Streaky opacities at the left lung base suggest minor scarring. A stable focal nodular opacity projecting over the right upper lobe. As before, a small nipple shadow projects over the right mid chest.",A coarse irregular reticular opacification in the left upper lung is a stable chronic-appearing but non-specific finding.,coarse irregular reticular opacification,left upper lung,Stable,"['files/p14/p14851532/s56271024/0fd07569-5d9f41de-7799b9da-c5f4f7c7-87e4ffbb.jpg', 'files/p14/p14851532/s56271024/14f53052-11ab2a27-a1403993-2e146bc1-5263c5e0.jpg', 'files/p14/p14851532/s56271024/57900663-30a564a8-c6e7ada4-e124f681-8d66c816.jpg', 'files/p14/p14851532/s56271024/f403c773-516b1bf3-4068dd21-67aadc38-513ad05f.jpg']","['files/p14/p14851532/s56249524/0fd2483e-20dd0ce1-75329782-17d1ddfd-e4e835a7.jpg\n', 'files/p14/p14851532/s56249524/efeba16b-39830a9e-b70b62fb-3cbb97db-960c72d4.jpg\n']"
s56271024_34,p14851532,s56271024,34,Findings,"The patient is status post coronary artery bypass graft surgery. The sternum is not well assessed with this technique. The cardiac, mediastinal and hilar contours appear unchanged, including mild cardiomegaly as well as calcification and tortuosity of the aorta. There is no pleural effusion or pneumothorax. The chest is probably hyperinflated to some degree. A coarse irregular reticular opacification in the left upper lung is a stable chronic-appearing but non-specific finding. Streaky opacities at the left lung base suggest minor scarring. A stable focal nodular opacity projecting over the right upper lobe. As before, a small nipple shadow projects over the right mid chest.","The cardiac, mediastinal and hilar contours appear unchanged, including mild cardiomegaly as well as calcification and tortuosity of the aorta.",contours,"cardiac, mediastinal and hilar",Stable,"['files/p14/p14851532/s56271024/0fd07569-5d9f41de-7799b9da-c5f4f7c7-87e4ffbb.jpg', 'files/p14/p14851532/s56271024/14f53052-11ab2a27-a1403993-2e146bc1-5263c5e0.jpg', 'files/p14/p14851532/s56271024/57900663-30a564a8-c6e7ada4-e124f681-8d66c816.jpg', 'files/p14/p14851532/s56271024/f403c773-516b1bf3-4068dd21-67aadc38-513ad05f.jpg']","['files/p14/p14851532/s56249524/0fd2483e-20dd0ce1-75329782-17d1ddfd-e4e835a7.jpg\n', 'files/p14/p14851532/s56249524/efeba16b-39830a9e-b70b62fb-3cbb97db-960c72d4.jpg\n']"
s56272498_0,p13606683,s56272498,0,Findings,Chest PA and lateral radiograph demonstrates mild linear atelectasis and associated volume loss in the left lower lung base. No focal opacifications concerning for pneumonia identified.Stable blunting noted of the left costophrenic angle is likely due to pleural thickening and scarring. No definite pleural effusions evident. Interval development of a fracture of the most inferior sternotomy suture.,Interval development of a fracture of the most inferior sternotomy suture.,sternotomy suture fracture,most inferior,New,"['files/p13/p13606683/s56272498/2bc7899c-05cf424f-82964600-07574dae-5d813b68.jpg', 'files/p13/p13606683/s56272498/67e8e551-3fb614a6-58610388-c92da136-a8d32ff8.jpg', 'files/p13/p13606683/s56272498/e979c7ef-9b918587-a6307f2e-a76de838-7811d0a4.jpg']",['files/p13/p13606683/s55832727/64f99800-8450e0a6-9bcd9fa5-3fe8ad9f-9c164aa4.jpg\n']
s56272498_0,p13606683,s56272498,0,Findings,Chest PA and lateral radiograph demonstrates mild linear atelectasis and associated volume loss in the left lower lung base. No focal opacifications concerning for pneumonia identified.Stable blunting noted of the left costophrenic angle is likely due to pleural thickening and scarring. No definite pleural effusions evident. Interval development of a fracture of the most inferior sternotomy suture.,Stable blunting noted of the left costophrenic angle is likely due to pleural thickening and scarring.,pleural thickening and scarring,left costophrenic angle,Stable,"['files/p13/p13606683/s56272498/2bc7899c-05cf424f-82964600-07574dae-5d813b68.jpg', 'files/p13/p13606683/s56272498/67e8e551-3fb614a6-58610388-c92da136-a8d32ff8.jpg', 'files/p13/p13606683/s56272498/e979c7ef-9b918587-a6307f2e-a76de838-7811d0a4.jpg']",['files/p13/p13606683/s55832727/64f99800-8450e0a6-9bcd9fa5-3fe8ad9f-9c164aa4.jpg\n']
s56272498_0,p13606683,s56272498,0,Impression,No acute process. Interval development sternotomy suture fracture without evidence of dehiscence.,Interval development sternotomy suture fracture without evidence of dehiscence.,fracture,sternotomy suture,New,"['files/p13/p13606683/s56272498/2bc7899c-05cf424f-82964600-07574dae-5d813b68.jpg', 'files/p13/p13606683/s56272498/67e8e551-3fb614a6-58610388-c92da136-a8d32ff8.jpg', 'files/p13/p13606683/s56272498/e979c7ef-9b918587-a6307f2e-a76de838-7811d0a4.jpg']",['files/p13/p13606683/s55832727/64f99800-8450e0a6-9bcd9fa5-3fe8ad9f-9c164aa4.jpg\n']
s56277244_0,p15857729,s56277244,0,Findings,"PA and lateral views of the chest were obtained. There is right middle lobe consolidation involving the medial segment. Otherwise, the lungs are clear. No large pleural effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.",There is right middle lobe consolidation involving the medial segment.,consolidation,right middle lobe,New,"['files/p15/p15857729/s56277244/b7d5d87f-d26475b8-59e5abac-b1142fa5-4071124e.jpg', 'files/p15/p15857729/s56277244/d8b6b619-9e181de2-c46adb2d-08194ead-eefd7108.jpg']","['files/p15/p15857729/s56216565/3ecc5fc4-ddb10e6d-149d9bc0-0e810143-adbc6d0d.jpg\n', 'files/p15/p15857729/s56216565/de9e7463-d51a6b2a-2601990d-3ca399d2-0f7a8df4.jpg\n']"
s56277244_0,p15857729,s56277244,0,Impression,Pneumonia involving the medial segment of the right middle lobe.,Pneumonia involving the medial segment of the right middle lobe.,pneumonia,medial segment of the right middle lobe,New,"['files/p15/p15857729/s56277244/b7d5d87f-d26475b8-59e5abac-b1142fa5-4071124e.jpg', 'files/p15/p15857729/s56277244/d8b6b619-9e181de2-c46adb2d-08194ead-eefd7108.jpg']","['files/p15/p15857729/s56216565/3ecc5fc4-ddb10e6d-149d9bc0-0e810143-adbc6d0d.jpg\n', 'files/p15/p15857729/s56216565/de9e7463-d51a6b2a-2601990d-3ca399d2-0f7a8df4.jpg\n']"
s56282491_19,p19182863,s56282491,19,Findings,"As compared to the previous radiograph, there is unchanged evidence of a small right pleural effusion. In addition, an area of parenchymal opacity at the right lung base has newly appeared. This opacity is likely caused by a basal atelectasis. Known status post valvular replacement. Normal alignment of sternal wires. Unchanged left lateral aspect of the second rib. No evidence of pneumothorax. No other acute lung changes.",No other acute lung changes.,no acute lung changes,,New,"['files/p19/p19182863/s56282491/8b55a782-30d7d840-58d2c6c2-e8f05f18-2024e6c1.jpg', 'files/p19/p19182863/s56282491/f08f01b8-22e9d374-4b8af575-e8a913dd-c93812ec.jpg']",['files/p19/p19182863/s56024131/217ccc9a-8b9a6468-8d34855f-37b8c95a-fe29df0b.jpg\n']
s56282491_19,p19182863,s56282491,19,Findings,"As compared to the previous radiograph, there is unchanged evidence of a small right pleural effusion. In addition, an area of parenchymal opacity at the right lung base has newly appeared. This opacity is likely caused by a basal atelectasis. Known status post valvular replacement. Normal alignment of sternal wires. Unchanged left lateral aspect of the second rib. No evidence of pneumothorax. No other acute lung changes.",No evidence of pneumothorax.,no pneumothorax,,New,"['files/p19/p19182863/s56282491/8b55a782-30d7d840-58d2c6c2-e8f05f18-2024e6c1.jpg', 'files/p19/p19182863/s56282491/f08f01b8-22e9d374-4b8af575-e8a913dd-c93812ec.jpg']",['files/p19/p19182863/s56024131/217ccc9a-8b9a6468-8d34855f-37b8c95a-fe29df0b.jpg\n']
s56282491_19,p19182863,s56282491,19,Findings,"As compared to the previous radiograph, there is unchanged evidence of a small right pleural effusion. In addition, an area of parenchymal opacity at the right lung base has newly appeared. This opacity is likely caused by a basal atelectasis. Known status post valvular replacement. Normal alignment of sternal wires. Unchanged left lateral aspect of the second rib. No evidence of pneumothorax. No other acute lung changes.","As compared to the previous radiograph, there is unchanged evidence of a small right pleural effusion.",small pleural effusion,right,Stable,"['files/p19/p19182863/s56282491/8b55a782-30d7d840-58d2c6c2-e8f05f18-2024e6c1.jpg', 'files/p19/p19182863/s56282491/f08f01b8-22e9d374-4b8af575-e8a913dd-c93812ec.jpg']",['files/p19/p19182863/s56024131/217ccc9a-8b9a6468-8d34855f-37b8c95a-fe29df0b.jpg\n']
s56282491_19,p19182863,s56282491,19,Findings,"As compared to the previous radiograph, there is unchanged evidence of a small right pleural effusion. In addition, an area of parenchymal opacity at the right lung base has newly appeared. This opacity is likely caused by a basal atelectasis. Known status post valvular replacement. Normal alignment of sternal wires. Unchanged left lateral aspect of the second rib. No evidence of pneumothorax. No other acute lung changes.",Unchanged left lateral aspect of the second rib.,unchanged,left lateral aspect of the second rib,Stable,"['files/p19/p19182863/s56282491/8b55a782-30d7d840-58d2c6c2-e8f05f18-2024e6c1.jpg', 'files/p19/p19182863/s56282491/f08f01b8-22e9d374-4b8af575-e8a913dd-c93812ec.jpg']",['files/p19/p19182863/s56024131/217ccc9a-8b9a6468-8d34855f-37b8c95a-fe29df0b.jpg\n']
s56282491_19,p19182863,s56282491,19,Findings,"As compared to the previous radiograph, there is unchanged evidence of a small right pleural effusion. In addition, an area of parenchymal opacity at the right lung base has newly appeared. This opacity is likely caused by a basal atelectasis. Known status post valvular replacement. Normal alignment of sternal wires. Unchanged left lateral aspect of the second rib. No evidence of pneumothorax. No other acute lung changes.",Normal alignment of sternal wires.,normal alignment of sternal wires,,New,"['files/p19/p19182863/s56282491/8b55a782-30d7d840-58d2c6c2-e8f05f18-2024e6c1.jpg', 'files/p19/p19182863/s56282491/f08f01b8-22e9d374-4b8af575-e8a913dd-c93812ec.jpg']",['files/p19/p19182863/s56024131/217ccc9a-8b9a6468-8d34855f-37b8c95a-fe29df0b.jpg\n']
s56282491_19,p19182863,s56282491,19,Findings,"As compared to the previous radiograph, there is unchanged evidence of a small right pleural effusion. In addition, an area of parenchymal opacity at the right lung base has newly appeared. This opacity is likely caused by a basal atelectasis. Known status post valvular replacement. Normal alignment of sternal wires. Unchanged left lateral aspect of the second rib. No evidence of pneumothorax. No other acute lung changes.",This opacity is likely caused by a basal atelectasis.,basal atelectasis,right lung base,New,"['files/p19/p19182863/s56282491/8b55a782-30d7d840-58d2c6c2-e8f05f18-2024e6c1.jpg', 'files/p19/p19182863/s56282491/f08f01b8-22e9d374-4b8af575-e8a913dd-c93812ec.jpg']",['files/p19/p19182863/s56024131/217ccc9a-8b9a6468-8d34855f-37b8c95a-fe29df0b.jpg\n']
s56282491_19,p19182863,s56282491,19,Findings,"As compared to the previous radiograph, there is unchanged evidence of a small right pleural effusion. In addition, an area of parenchymal opacity at the right lung base has newly appeared. This opacity is likely caused by a basal atelectasis. Known status post valvular replacement. Normal alignment of sternal wires. Unchanged left lateral aspect of the second rib. No evidence of pneumothorax. No other acute lung changes.","In addition, an area of parenchymal opacity at the right lung base has newly appeared.",parenchymal opacity,right lung base,New,"['files/p19/p19182863/s56282491/8b55a782-30d7d840-58d2c6c2-e8f05f18-2024e6c1.jpg', 'files/p19/p19182863/s56282491/f08f01b8-22e9d374-4b8af575-e8a913dd-c93812ec.jpg']",['files/p19/p19182863/s56024131/217ccc9a-8b9a6468-8d34855f-37b8c95a-fe29df0b.jpg\n']
s56282491_19,p19182863,s56282491,19,Findings,"As compared to the previous radiograph, there is unchanged evidence of a small right pleural effusion. In addition, an area of parenchymal opacity at the right lung base has newly appeared. This opacity is likely caused by a basal atelectasis. Known status post valvular replacement. Normal alignment of sternal wires. Unchanged left lateral aspect of the second rib. No evidence of pneumothorax. No other acute lung changes.",Known status post valvular replacement.,status post valvular replacement,,New,"['files/p19/p19182863/s56282491/8b55a782-30d7d840-58d2c6c2-e8f05f18-2024e6c1.jpg', 'files/p19/p19182863/s56282491/f08f01b8-22e9d374-4b8af575-e8a913dd-c93812ec.jpg']",['files/p19/p19182863/s56024131/217ccc9a-8b9a6468-8d34855f-37b8c95a-fe29df0b.jpg\n']
s56289226_5,p18906643,s56289226,5,Findings,"As compared to the previous radiograph, there is no change in position of the monitoring and support devices. The tip of the endotracheal tube is quite high and would benefit from advancement by 1 to 2 cm. Moderate cardiomegaly persists. There is unchanged evidence of mild pulmonary edema. There also is retrocardiac atelectasis and the presence of a small right pleural effusion cannot be excluded. No new parenchymal opacities. No pneumothorax. Unchanged normal alignment of the sternal wires.",Moderate cardiomegaly persists.,Moderate cardiomegaly,,Stable,['files/p18/p18906643/s56289226/4853dd84-ab86c09a-c204f25e-0a6f5d96-c03fc2f9.jpg'],['files/p18/p18906643/s56201710/58742345-8a241152-4b4d44c2-4b3196da-324efa44.jpg\n']
s56289226_5,p18906643,s56289226,5,Findings,"As compared to the previous radiograph, there is no change in position of the monitoring and support devices. The tip of the endotracheal tube is quite high and would benefit from advancement by 1 to 2 cm. Moderate cardiomegaly persists. There is unchanged evidence of mild pulmonary edema. There also is retrocardiac atelectasis and the presence of a small right pleural effusion cannot be excluded. No new parenchymal opacities. No pneumothorax. Unchanged normal alignment of the sternal wires.",Unchanged normal alignment of the sternal wires.,Alignment of the sternal wires,,Stable,['files/p18/p18906643/s56289226/4853dd84-ab86c09a-c204f25e-0a6f5d96-c03fc2f9.jpg'],['files/p18/p18906643/s56201710/58742345-8a241152-4b4d44c2-4b3196da-324efa44.jpg\n']
s56289226_5,p18906643,s56289226,5,Findings,"As compared to the previous radiograph, there is no change in position of the monitoring and support devices. The tip of the endotracheal tube is quite high and would benefit from advancement by 1 to 2 cm. Moderate cardiomegaly persists. There is unchanged evidence of mild pulmonary edema. There also is retrocardiac atelectasis and the presence of a small right pleural effusion cannot be excluded. No new parenchymal opacities. No pneumothorax. Unchanged normal alignment of the sternal wires.","As compared to the previous radiograph, there is no change in position of the monitoring and support devices.",Position of monitoring and support devices,,Stable,['files/p18/p18906643/s56289226/4853dd84-ab86c09a-c204f25e-0a6f5d96-c03fc2f9.jpg'],['files/p18/p18906643/s56201710/58742345-8a241152-4b4d44c2-4b3196da-324efa44.jpg\n']
s56289226_5,p18906643,s56289226,5,Findings,"As compared to the previous radiograph, there is no change in position of the monitoring and support devices. The tip of the endotracheal tube is quite high and would benefit from advancement by 1 to 2 cm. Moderate cardiomegaly persists. There is unchanged evidence of mild pulmonary edema. There also is retrocardiac atelectasis and the presence of a small right pleural effusion cannot be excluded. No new parenchymal opacities. No pneumothorax. Unchanged normal alignment of the sternal wires.",There is unchanged evidence of mild pulmonary edema.,Mild pulmonary edema,,Stable,['files/p18/p18906643/s56289226/4853dd84-ab86c09a-c204f25e-0a6f5d96-c03fc2f9.jpg'],['files/p18/p18906643/s56201710/58742345-8a241152-4b4d44c2-4b3196da-324efa44.jpg\n']
s56291217_6,p13979643,s56291217,6,Impression,Replaced NG tube tip near the gastroesophageal junction. It should be advanced further into the stomach and a repeat film taken before use. Findings were discussed with Dr. ___ ___ telephone at ___ on ___.,Replaced NG tube tip near the gastroesophageal junction.,NG tube,gastroesophageal junction,New,['files/p13/p13979643/s56291217/384cf52b-9692fbc2-b3a9f35b-7afe21a3-e935fdb1.jpg'],"['files/p13/p13979643/s56225769/a10afb34-5d32bd8e-9d5b22b5-61245f85-3fd12677.jpg\n', 'files/p13/p13979643/s56225769/be6da065-d1ae7d5e-8c62d864-d943a731-d9a38c86.jpg\n']"
s56291217_6,p13979643,s56291217,6,Findings,"A single portable chest film was obtained. A tip of a newly placed NG tube is now seen around the level of the diaphragmatic hiatus. Lung volumes are low, accentuating the pulmonary vasculature.",A tip of a newly placed NG tube is now seen around the level of the diaphragmatic hiatus.,NG tube,diaphragmatic hiatus,New,['files/p13/p13979643/s56291217/384cf52b-9692fbc2-b3a9f35b-7afe21a3-e935fdb1.jpg'],"['files/p13/p13979643/s56225769/a10afb34-5d32bd8e-9d5b22b5-61245f85-3fd12677.jpg\n', 'files/p13/p13979643/s56225769/be6da065-d1ae7d5e-8c62d864-d943a731-d9a38c86.jpg\n']"
s56294295_5,p12736592,s56294295,5,Findings,"As compared to the previous radiograph, there is unchanged evidence of bilateral chest tubes. Known rib fractures, known soft tissue gas accumulations bilaterally. The presence of a minimal right apical pneumothorax cannot be excluded. No evidence of tension. Minimal fluid overload, borderline size of the cardiac silhouette. No focal parenchymal opacity suggesting pneumonia.","As compared to the previous radiograph, there is unchanged evidence of bilateral chest tubes.",chest tubes,bilateral,Stable,['files/p12/p12736592/s56294295/d732824a-2a53ee39-1a60037a-d31d8e45-54dd3a99.jpg'],"['files/p12/p12736592/s55696171/f34b54f3-3411a2b2-3a5da560-5493a7e6-699dc4af.jpg\n', 'files/p12/p12736592/s55696171/f5108618-8f9b67ff-661df382-f791f1ad-7a660047.jpg\n']"
s56295717_16,p15114531,s56295717,16,Findings,"In comparison with the study of ___, there are some increasing atelectatic changes at the left base with some blunting of the costophrenic angle that could reflect a small amount of pleural fluid. Otherwise, little change with no definite focal pneumonia or vascular congestion.","In comparison with the study of ___, there are some increasing atelectatic changes at the left base with some blunting of the costophrenic angle that could reflect a small amount of pleural fluid.",atelectatic changes,left base,Worse,['files/p15/p15114531/s56295717/63d37384-184136e7-97b99c44-25b314ac-ecd14631.jpg'],"['files/p15/p15114531/s55940912/77627414-f5a7090e-25aa3533-2b99b3af-0c5abf63.jpg\n', 'files/p15/p15114531/s55940912/a025f08e-de9dddc4-8716a1ac-899ce213-d7289c7a.jpg\n']"
s56302138_29,p13896515,s56302138,29,Impression,"As compared to the previous radiograph, the right PICC line has been pulled back. The tip appears to project over the right subclavian vein, the does not reach the superior vena cava. Placement of a Is required. No other relevant changes. No pneumothorax. Mild cardiomegaly, left pleural effusion and moderate pulmonary edema.","As compared to the previous radiograph, the right PICC line has been pulled back.",,right PICC line,Resolve,['files/p13/p13896515/s56302138/54140bf8-0a93e22f-fcdfa610-39ed40a3-a0e0136d.jpg'],['files/p13/p13896515/s56199247/56941204-63c3a811-c32c65ee-fd5dc81e-ef6dc8e0.jpg\n']
s56303122_2,p11022245,s56303122,2,Findings,One portable AP view of the chest. The Swan-Ganz catheter through a right internal jugular approach ends in the region of the main pulmonary artery. The left internal jugular catheter ends in the left brachiocephalic vein just before the SVC. Endotracheal tube ends 6 cm from the carina. The previously seen moderate-to-severe pulmonary edema has slightly improved. The right upper lobe parenchymal opacity is unchanged. Mild cardiomegaly is stable. Mediastinal and hilar contours are normal. No pneumothorax.,Mild cardiomegaly is stable.,cardiomegaly,,Stable,"['files/p11/p11022245/s56303122/4b060466-eed839b9-97b85751-c9cb7084-852b9f42.jpg', 'files/p11/p11022245/s56303122/afed4c34-cf95e16b-371ce2be-99427d54-2013960b.jpg']",['files/p11/p11022245/s56258422/848b0d7f-e95a86d4-0c40c933-7b2dc937-ac3d74c6.jpg\n']
s56303122_2,p11022245,s56303122,2,Findings,One portable AP view of the chest. The Swan-Ganz catheter through a right internal jugular approach ends in the region of the main pulmonary artery. The left internal jugular catheter ends in the left brachiocephalic vein just before the SVC. Endotracheal tube ends 6 cm from the carina. The previously seen moderate-to-severe pulmonary edema has slightly improved. The right upper lobe parenchymal opacity is unchanged. Mild cardiomegaly is stable. Mediastinal and hilar contours are normal. No pneumothorax.,The previously seen moderate-to-severe pulmonary edema has slightly improved.,pulmonary edema,,Better,"['files/p11/p11022245/s56303122/4b060466-eed839b9-97b85751-c9cb7084-852b9f42.jpg', 'files/p11/p11022245/s56303122/afed4c34-cf95e16b-371ce2be-99427d54-2013960b.jpg']",['files/p11/p11022245/s56258422/848b0d7f-e95a86d4-0c40c933-7b2dc937-ac3d74c6.jpg\n']
s56303122_2,p11022245,s56303122,2,Findings,One portable AP view of the chest. The Swan-Ganz catheter through a right internal jugular approach ends in the region of the main pulmonary artery. The left internal jugular catheter ends in the left brachiocephalic vein just before the SVC. Endotracheal tube ends 6 cm from the carina. The previously seen moderate-to-severe pulmonary edema has slightly improved. The right upper lobe parenchymal opacity is unchanged. Mild cardiomegaly is stable. Mediastinal and hilar contours are normal. No pneumothorax.,The right upper lobe parenchymal opacity is unchanged.,parenchymal opacity,right upper lobe,Stable,"['files/p11/p11022245/s56303122/4b060466-eed839b9-97b85751-c9cb7084-852b9f42.jpg', 'files/p11/p11022245/s56303122/afed4c34-cf95e16b-371ce2be-99427d54-2013960b.jpg']",['files/p11/p11022245/s56258422/848b0d7f-e95a86d4-0c40c933-7b2dc937-ac3d74c6.jpg\n']
s56303122_2,p11022245,s56303122,2,Impression,"1. Slightly decreased pulmonary edema compared to most recent study, however right upper and lower lobe parenchymal opacities are more prominent and may represent pneumonia. 2. Lines and tubes are in standard position.","Slightly decreased pulmonary edema compared to most recent study, however right upper and lower lobe parenchymal opacities are more prominent and may represent pneumonia.",parenchymal opacities,right upper and lower lobe,Worse,"['files/p11/p11022245/s56303122/4b060466-eed839b9-97b85751-c9cb7084-852b9f42.jpg', 'files/p11/p11022245/s56303122/afed4c34-cf95e16b-371ce2be-99427d54-2013960b.jpg']",['files/p11/p11022245/s56258422/848b0d7f-e95a86d4-0c40c933-7b2dc937-ac3d74c6.jpg\n']
s56303122_2,p11022245,s56303122,2,Impression,"1. Slightly decreased pulmonary edema compared to most recent study, however right upper and lower lobe parenchymal opacities are more prominent and may represent pneumonia. 2. Lines and tubes are in standard position.","Slightly decreased pulmonary edema compared to most recent study, however right upper and lower lobe parenchymal opacities are more prominent and may represent pneumonia.",pulmonary edema,,Better,"['files/p11/p11022245/s56303122/4b060466-eed839b9-97b85751-c9cb7084-852b9f42.jpg', 'files/p11/p11022245/s56303122/afed4c34-cf95e16b-371ce2be-99427d54-2013960b.jpg']",['files/p11/p11022245/s56258422/848b0d7f-e95a86d4-0c40c933-7b2dc937-ac3d74c6.jpg\n']
s56304327_18,p10933609,s56304327,18,Impression,"1) PICC line tip over SVC/RA junction or upper right atrium. If clinically indicated, this could be retracted by approximately 2 cm. 2) Chronic patchy interstial opacities both upper lobes, unchanged. 3) No new infiltrate identified.","2) Chronic patchy interstial opacities both upper lobes, unchanged.",interstial opacities,both upper lobes,Stable,"['files/p10/p10933609/s56304327/1844f765-ae8c22e1-b7f8d30e-03b721fb-83a616a9.jpg', 'files/p10/p10933609/s56304327/b9c18cbb-323135fb-0118b586-6d8846f0-a1099863.jpg']","['files/p10/p10933609/s56267214/157aae90-df977bc0-da3b3a41-87cc0fcb-438b3e17.jpg\n', 'files/p10/p10933609/s56267214/dc460b17-20bafc45-b91e6c92-311eb0ad-7ea1a883.jpg\n']"
s56316578_24,p14851532,s56316578,24,Impression,"Hyperinflation indicates COPD. . ___ and ___, previous pulmonary vascular congestion and mild pulmonary edema have both cleared. Lobulation at the apex of the left hemi thorax along the mediastinal border is residual of slowly resolving hematoma. Small bilateral pleural effusions are also resolving. Heart size normal.",previous pulmonary vascular congestion and mild pulmonary edema have both cleared.,pulmonary vascular congestion,,Resolve,"['files/p14/p14851532/s56316578/63a636f1-ac2c5479-f18dd104-7694b204-9f21bf47.jpg', 'files/p14/p14851532/s56316578/6a69146c-06c97494-0560bf85-9106a119-4dad5197.jpg']","['files/p14/p14851532/s56271024/0fd07569-5d9f41de-7799b9da-c5f4f7c7-87e4ffbb.jpg\n', 'files/p14/p14851532/s56271024/14f53052-11ab2a27-a1403993-2e146bc1-5263c5e0.jpg\n', 'files/p14/p14851532/s56271024/57900663-30a564a8-c6e7ada4-e124f681-8d66c816.jpg\n', 'files/p14/p14851532/s56271024/f403c773-516b1bf3-4068dd21-67aadc38-513ad05f.jpg\n']"
s56316578_24,p14851532,s56316578,24,Impression,"Hyperinflation indicates COPD. . ___ and ___, previous pulmonary vascular congestion and mild pulmonary edema have both cleared. Lobulation at the apex of the left hemi thorax along the mediastinal border is residual of slowly resolving hematoma. Small bilateral pleural effusions are also resolving. Heart size normal.",previous pulmonary vascular congestion and mild pulmonary edema have both cleared.,pulmonary edema,,Resolve,"['files/p14/p14851532/s56316578/63a636f1-ac2c5479-f18dd104-7694b204-9f21bf47.jpg', 'files/p14/p14851532/s56316578/6a69146c-06c97494-0560bf85-9106a119-4dad5197.jpg']","['files/p14/p14851532/s56271024/0fd07569-5d9f41de-7799b9da-c5f4f7c7-87e4ffbb.jpg\n', 'files/p14/p14851532/s56271024/14f53052-11ab2a27-a1403993-2e146bc1-5263c5e0.jpg\n', 'files/p14/p14851532/s56271024/57900663-30a564a8-c6e7ada4-e124f681-8d66c816.jpg\n', 'files/p14/p14851532/s56271024/f403c773-516b1bf3-4068dd21-67aadc38-513ad05f.jpg\n']"
s56316578_24,p14851532,s56316578,24,Impression,"Hyperinflation indicates COPD. . ___ and ___, previous pulmonary vascular congestion and mild pulmonary edema have both cleared. Lobulation at the apex of the left hemi thorax along the mediastinal border is residual of slowly resolving hematoma. Small bilateral pleural effusions are also resolving. Heart size normal.",Small bilateral pleural effusions are also resolving.,small pleural effusions,bilateral,Resolve,"['files/p14/p14851532/s56316578/63a636f1-ac2c5479-f18dd104-7694b204-9f21bf47.jpg', 'files/p14/p14851532/s56316578/6a69146c-06c97494-0560bf85-9106a119-4dad5197.jpg']","['files/p14/p14851532/s56271024/0fd07569-5d9f41de-7799b9da-c5f4f7c7-87e4ffbb.jpg\n', 'files/p14/p14851532/s56271024/14f53052-11ab2a27-a1403993-2e146bc1-5263c5e0.jpg\n', 'files/p14/p14851532/s56271024/57900663-30a564a8-c6e7ada4-e124f681-8d66c816.jpg\n', 'files/p14/p14851532/s56271024/f403c773-516b1bf3-4068dd21-67aadc38-513ad05f.jpg\n']"
s56321140_1,p14353044,s56321140,1,Findings,"A left subclavian central venous catheter tip terminates in the SVC. Cardiac, mediastinal and hilar contours are within normal limits, with mild aortic arch calcifications. Subsegmental atelectasis is most pronounced in the lung bases. Hazy focal opacity is noted at the confluence of the left first anterior rib with the left fifth posterior rib, which appears unchanged, and no discrete nodular opacity was seen on the prior CTA of the chest from ___. No pleural effusion or pneumothorax is seen. There is diffuse demineralization of the osseous structures, with unchanged posterior fusion hardware in the thoracic spine spanning two adjacent compression deformities.","Hazy focal opacity is noted at the confluence of the left first anterior rib with the left fifth posterior rib, which appears unchanged, and no discrete nodular opacity was seen on the prior CTA of the chest from ___.",Hazy focal opacity,left first anterior rib with the left fifth posterior rib,Stable,"['files/p14/p14353044/s56321140/200f5a93-8ca89ca4-c8399b9c-c65fba89-1fb40abc.jpg', 'files/p14/p14353044/s56321140/95419952-8b3fad2c-c47446ca-e3485d3e-f3579ca8.jpg']","['files/p14/p14353044/s56193921/17e49d5f-2581bb66-bff08b0c-021e7e8e-38c4fcc5.jpg\n', 'files/p14/p14353044/s56193921/930d1abf-e069b3d3-a6503794-fe52c8f6-d8c0f1e1.jpg\n']"
s56321140_1,p14353044,s56321140,1,Findings,"A left subclavian central venous catheter tip terminates in the SVC. Cardiac, mediastinal and hilar contours are within normal limits, with mild aortic arch calcifications. Subsegmental atelectasis is most pronounced in the lung bases. Hazy focal opacity is noted at the confluence of the left first anterior rib with the left fifth posterior rib, which appears unchanged, and no discrete nodular opacity was seen on the prior CTA of the chest from ___. No pleural effusion or pneumothorax is seen. There is diffuse demineralization of the osseous structures, with unchanged posterior fusion hardware in the thoracic spine spanning two adjacent compression deformities.","There is diffuse demineralization of the osseous structures, with unchanged posterior fusion hardware in the thoracic spine spanning two adjacent compression deformities.",posterior fusion hardware,thoracic spine,Stable,"['files/p14/p14353044/s56321140/200f5a93-8ca89ca4-c8399b9c-c65fba89-1fb40abc.jpg', 'files/p14/p14353044/s56321140/95419952-8b3fad2c-c47446ca-e3485d3e-f3579ca8.jpg']","['files/p14/p14353044/s56193921/17e49d5f-2581bb66-bff08b0c-021e7e8e-38c4fcc5.jpg\n', 'files/p14/p14353044/s56193921/930d1abf-e069b3d3-a6503794-fe52c8f6-d8c0f1e1.jpg\n']"
s56321718_6,p19028690,s56321718,6,Impression,"PA and lateral chest compared to ___: Heart is normal size. There has been an increase in pulmonary vascular plethora and mild interstitial abnormality, could be early edema, but there is no evidence of pleural or pericardial effusion. No focal pulmonary abnormality is present.","There has been an increase in pulmonary vascular plethora and mild interstitial abnormality, could be early edema, but there is no evidence of pleural or pericardial effusion.",pulmonary vascular plethora,,Worse,"['files/p19/p19028690/s56321718/4aea4393-f44d4dd2-55ae2d64-e3486a9c-ee57460c.jpg', 'files/p19/p19028690/s56321718/73008a4b-9fd383b4-3d289f58-d78bef2a-065b5789.jpg', 'files/p19/p19028690/s56321718/f30bbb0b-e2fc0d98-807a79b1-7976e0dd-4fbccb61.jpg']","['files/p19/p19028690/s55310022/cb88b12c-f7910a4b-45c5a38c-21fb6499-42128dca.jpg\n', 'files/p19/p19028690/s55310022/ee0ef8eb-6e0b96dd-964fb803-b19c1c2c-cd735b21.jpg\n', 'files/p19/p19028690/s55310022/fca5d102-2547ddfe-cefd8e2c-8c8f9f1e-e97ba106.jpg\n']"
s56321718_6,p19028690,s56321718,6,Impression,"PA and lateral chest compared to ___: Heart is normal size. There has been an increase in pulmonary vascular plethora and mild interstitial abnormality, could be early edema, but there is no evidence of pleural or pericardial effusion. No focal pulmonary abnormality is present.","There has been an increase in pulmonary vascular plethora and mild interstitial abnormality, could be early edema, but there is no evidence of pleural or pericardial effusion.",mild interstitial abnormality,,New,"['files/p19/p19028690/s56321718/4aea4393-f44d4dd2-55ae2d64-e3486a9c-ee57460c.jpg', 'files/p19/p19028690/s56321718/73008a4b-9fd383b4-3d289f58-d78bef2a-065b5789.jpg', 'files/p19/p19028690/s56321718/f30bbb0b-e2fc0d98-807a79b1-7976e0dd-4fbccb61.jpg']","['files/p19/p19028690/s55310022/cb88b12c-f7910a4b-45c5a38c-21fb6499-42128dca.jpg\n', 'files/p19/p19028690/s55310022/ee0ef8eb-6e0b96dd-964fb803-b19c1c2c-cd735b21.jpg\n', 'files/p19/p19028690/s55310022/fca5d102-2547ddfe-cefd8e2c-8c8f9f1e-e97ba106.jpg\n']"
s56348027_4,p10754184,s56348027,4,Findings,"The lungs are clear of consolidation, effusion, or pneumothorax. Left chest wall dual lead pacing device is again seen. Moderate cardiomegaly is again noted. Upper thoracic dextroscoliosis is seen. No acute fracture identified based on this nondedicated exam. Surgical clips seen in the upper abdomen.",Left chest wall dual lead pacing device is again seen.,dual lead pacing device,left chest wall,Stable,"['files/p10/p10754184/s56348027/c979aaaa-4bb31072-c9884178-6e3ced8b-edf531fa.jpg', 'files/p10/p10754184/s56348027/e88fa460-a2901f48-730373f3-89be4f0a-89e6e2a9.jpg']","['files/p10/p10754184/s54594848/36d187c2-a2f1c238-25e77d89-19d5e8b8-ca837472.jpg\n', 'files/p10/p10754184/s54594848/9065147e-4fa65619-480eba86-8e159f3d-3d96acd4.jpg\n']"
s56348027_4,p10754184,s56348027,4,Findings,"The lungs are clear of consolidation, effusion, or pneumothorax. Left chest wall dual lead pacing device is again seen. Moderate cardiomegaly is again noted. Upper thoracic dextroscoliosis is seen. No acute fracture identified based on this nondedicated exam. Surgical clips seen in the upper abdomen.",Moderate cardiomegaly is again noted.,moderate cardiomegaly,,Stable,"['files/p10/p10754184/s56348027/c979aaaa-4bb31072-c9884178-6e3ced8b-edf531fa.jpg', 'files/p10/p10754184/s56348027/e88fa460-a2901f48-730373f3-89be4f0a-89e6e2a9.jpg']","['files/p10/p10754184/s54594848/36d187c2-a2f1c238-25e77d89-19d5e8b8-ca837472.jpg\n', 'files/p10/p10754184/s54594848/9065147e-4fa65619-480eba86-8e159f3d-3d96acd4.jpg\n']"
s56348727_0,p14295224,s56348727,0,Findings,"Frontal and lateral views of the chest were obtained. Again seen is right-sided volume loss with right pleural scarring seen, particularly at the right lung apex. Patient is status post esophagectomy and again presumably radiation to the midline in the upper chest. Fullness along the right cardiac border, slightly more prominent as compared to the prior study, likely relates to patient's gastric pull-through as seen on ___ CT. No definite new focal consolidation is seen. There is no new pleural effusion or pneumothorax. Calcified hilar and mediastinal lymph nodes again seen.",Calcified hilar and mediastinal lymph nodes again seen.,calcified lymph nodes,hilar and mediastinal,Stable,"['files/p14/p14295224/s56348727/0d38c57b-b5016fab-3c868031-eac42204-ea570e4a.jpg', 'files/p14/p14295224/s56348727/2c61f550-b2cf13d5-7166fc86-c7e9e336-2d1f9ae7.jpg']","['files/p14/p14295224/s56185390/2434d6b8-4828302e-7923908c-d6ea3b85-b4cfc271.jpg\n', 'files/p14/p14295224/s56185390/a9bee7d5-a1c51732-47596431-51533889-5d29f1a5.jpg\n']"
s56348727_0,p14295224,s56348727,0,Findings,"Frontal and lateral views of the chest were obtained. Again seen is right-sided volume loss with right pleural scarring seen, particularly at the right lung apex. Patient is status post esophagectomy and again presumably radiation to the midline in the upper chest. Fullness along the right cardiac border, slightly more prominent as compared to the prior study, likely relates to patient's gastric pull-through as seen on ___ CT. No definite new focal consolidation is seen. There is no new pleural effusion or pneumothorax. Calcified hilar and mediastinal lymph nodes again seen.","Fullness along the right cardiac border, slightly more prominent as compared to the prior study, likely relates to patient's gastric pull-through as seen on ___ CT.",fullness,right cardiac border,Worse,"['files/p14/p14295224/s56348727/0d38c57b-b5016fab-3c868031-eac42204-ea570e4a.jpg', 'files/p14/p14295224/s56348727/2c61f550-b2cf13d5-7166fc86-c7e9e336-2d1f9ae7.jpg']","['files/p14/p14295224/s56185390/2434d6b8-4828302e-7923908c-d6ea3b85-b4cfc271.jpg\n', 'files/p14/p14295224/s56185390/a9bee7d5-a1c51732-47596431-51533889-5d29f1a5.jpg\n']"
s56348727_0,p14295224,s56348727,0,Findings,"Frontal and lateral views of the chest were obtained. Again seen is right-sided volume loss with right pleural scarring seen, particularly at the right lung apex. Patient is status post esophagectomy and again presumably radiation to the midline in the upper chest. Fullness along the right cardiac border, slightly more prominent as compared to the prior study, likely relates to patient's gastric pull-through as seen on ___ CT. No definite new focal consolidation is seen. There is no new pleural effusion or pneumothorax. Calcified hilar and mediastinal lymph nodes again seen.","Again seen is right-sided volume loss with right pleural scarring seen, particularly at the right lung apex.",volume loss with pleural scarring,right lung apex,Stable,"['files/p14/p14295224/s56348727/0d38c57b-b5016fab-3c868031-eac42204-ea570e4a.jpg', 'files/p14/p14295224/s56348727/2c61f550-b2cf13d5-7166fc86-c7e9e336-2d1f9ae7.jpg']","['files/p14/p14295224/s56185390/2434d6b8-4828302e-7923908c-d6ea3b85-b4cfc271.jpg\n', 'files/p14/p14295224/s56185390/a9bee7d5-a1c51732-47596431-51533889-5d29f1a5.jpg\n']"
s56349601_13,p17340686,s56349601,13,Impression,"1. New retrocardiac opacity which could reflect aspiration, infection or atelectasis. 2. Unchanged background interstitial abnormality and central vascular enlargement.",Unchanged background interstitial abnormality and central vascular enlargement.,Central vascular enlargement,,Stable,"['files/p17/p17340686/s56349601/28846b1c-da929f47-35763299-12d7c8fa-da2e4559.jpg', 'files/p17/p17340686/s56349601/7a32ee89-21330f2f-d60055cb-97551429-e4a105d1.jpg']",['files/p17/p17340686/s56162656/3800242f-50b7f001-e4bbe30b-53ec3863-df4fe7dc.jpg\n']
s56349601_13,p17340686,s56349601,13,Impression,"1. New retrocardiac opacity which could reflect aspiration, infection or atelectasis. 2. Unchanged background interstitial abnormality and central vascular enlargement.",Unchanged background interstitial abnormality and central vascular enlargement.,Background interstitial abnormality,,Stable,"['files/p17/p17340686/s56349601/28846b1c-da929f47-35763299-12d7c8fa-da2e4559.jpg', 'files/p17/p17340686/s56349601/7a32ee89-21330f2f-d60055cb-97551429-e4a105d1.jpg']",['files/p17/p17340686/s56162656/3800242f-50b7f001-e4bbe30b-53ec3863-df4fe7dc.jpg\n']
s56349601_13,p17340686,s56349601,13,Findings,"A large caliber left approach central venous catheter terminates in the right atrium, unchanged from prior. There is new opacification of the retrocardiac space which could reflect pneumonia or aspiration in the appropriate clinical circumstance. Atelectasis is also within the differential. Mild diffuse interstitial abnormality is unchanged compared to multiple prior radiographs. There is no large pleural effusion. No pneumothorax is evident. There is evidence of stable pulmonary hypertension and vascular engorgement, unchanged from prior. Moderate cardiomegaly is unchanged. Deformity of proximal right humerus appears chronic.","A large caliber left approach central venous catheter terminates in the right atrium, unchanged from prior.",Large caliber left approach central venous catheter,right atrium,Stable,"['files/p17/p17340686/s56349601/28846b1c-da929f47-35763299-12d7c8fa-da2e4559.jpg', 'files/p17/p17340686/s56349601/7a32ee89-21330f2f-d60055cb-97551429-e4a105d1.jpg']",['files/p17/p17340686/s56162656/3800242f-50b7f001-e4bbe30b-53ec3863-df4fe7dc.jpg\n']
s56349601_13,p17340686,s56349601,13,Impression,"1. New retrocardiac opacity which could reflect aspiration, infection or atelectasis. 2. Unchanged background interstitial abnormality and central vascular enlargement.","New retrocardiac opacity which could reflect aspiration, infection or atelectasis.",Opacity,retrocardiac,New,"['files/p17/p17340686/s56349601/28846b1c-da929f47-35763299-12d7c8fa-da2e4559.jpg', 'files/p17/p17340686/s56349601/7a32ee89-21330f2f-d60055cb-97551429-e4a105d1.jpg']",['files/p17/p17340686/s56162656/3800242f-50b7f001-e4bbe30b-53ec3863-df4fe7dc.jpg\n']
s56349601_13,p17340686,s56349601,13,Findings,"A large caliber left approach central venous catheter terminates in the right atrium, unchanged from prior. There is new opacification of the retrocardiac space which could reflect pneumonia or aspiration in the appropriate clinical circumstance. Atelectasis is also within the differential. Mild diffuse interstitial abnormality is unchanged compared to multiple prior radiographs. There is no large pleural effusion. No pneumothorax is evident. There is evidence of stable pulmonary hypertension and vascular engorgement, unchanged from prior. Moderate cardiomegaly is unchanged. Deformity of proximal right humerus appears chronic.",Moderate cardiomegaly is unchanged.,Moderate cardiomegaly,,Stable,"['files/p17/p17340686/s56349601/28846b1c-da929f47-35763299-12d7c8fa-da2e4559.jpg', 'files/p17/p17340686/s56349601/7a32ee89-21330f2f-d60055cb-97551429-e4a105d1.jpg']",['files/p17/p17340686/s56162656/3800242f-50b7f001-e4bbe30b-53ec3863-df4fe7dc.jpg\n']
s56349601_13,p17340686,s56349601,13,Findings,"A large caliber left approach central venous catheter terminates in the right atrium, unchanged from prior. There is new opacification of the retrocardiac space which could reflect pneumonia or aspiration in the appropriate clinical circumstance. Atelectasis is also within the differential. Mild diffuse interstitial abnormality is unchanged compared to multiple prior radiographs. There is no large pleural effusion. No pneumothorax is evident. There is evidence of stable pulmonary hypertension and vascular engorgement, unchanged from prior. Moderate cardiomegaly is unchanged. Deformity of proximal right humerus appears chronic.",There is new opacification of the retrocardiac space which could reflect pneumonia or aspiration in the appropriate clinical circumstance.,Opacification,retrocardiac space,New,"['files/p17/p17340686/s56349601/28846b1c-da929f47-35763299-12d7c8fa-da2e4559.jpg', 'files/p17/p17340686/s56349601/7a32ee89-21330f2f-d60055cb-97551429-e4a105d1.jpg']",['files/p17/p17340686/s56162656/3800242f-50b7f001-e4bbe30b-53ec3863-df4fe7dc.jpg\n']
s56349601_13,p17340686,s56349601,13,Findings,"A large caliber left approach central venous catheter terminates in the right atrium, unchanged from prior. There is new opacification of the retrocardiac space which could reflect pneumonia or aspiration in the appropriate clinical circumstance. Atelectasis is also within the differential. Mild diffuse interstitial abnormality is unchanged compared to multiple prior radiographs. There is no large pleural effusion. No pneumothorax is evident. There is evidence of stable pulmonary hypertension and vascular engorgement, unchanged from prior. Moderate cardiomegaly is unchanged. Deformity of proximal right humerus appears chronic.",Mild diffuse interstitial abnormality is unchanged compared to multiple prior radiographs.,Mild diffuse interstitial abnormality,,Stable,"['files/p17/p17340686/s56349601/28846b1c-da929f47-35763299-12d7c8fa-da2e4559.jpg', 'files/p17/p17340686/s56349601/7a32ee89-21330f2f-d60055cb-97551429-e4a105d1.jpg']",['files/p17/p17340686/s56162656/3800242f-50b7f001-e4bbe30b-53ec3863-df4fe7dc.jpg\n']
s56349601_13,p17340686,s56349601,13,Findings,"A large caliber left approach central venous catheter terminates in the right atrium, unchanged from prior. There is new opacification of the retrocardiac space which could reflect pneumonia or aspiration in the appropriate clinical circumstance. Atelectasis is also within the differential. Mild diffuse interstitial abnormality is unchanged compared to multiple prior radiographs. There is no large pleural effusion. No pneumothorax is evident. There is evidence of stable pulmonary hypertension and vascular engorgement, unchanged from prior. Moderate cardiomegaly is unchanged. Deformity of proximal right humerus appears chronic.","There is evidence of stable pulmonary hypertension and vascular engorgement, unchanged from prior.",Pulmonary hypertension and vascular engorgement,,Stable,"['files/p17/p17340686/s56349601/28846b1c-da929f47-35763299-12d7c8fa-da2e4559.jpg', 'files/p17/p17340686/s56349601/7a32ee89-21330f2f-d60055cb-97551429-e4a105d1.jpg']",['files/p17/p17340686/s56162656/3800242f-50b7f001-e4bbe30b-53ec3863-df4fe7dc.jpg\n']
s56350217_12,p19075045,s56350217,12,Impression,Grossly unchanged compared with one day prior.,Grossly unchanged compared with one day prior,,,Stable,['files/p19/p19075045/s56350217/14200531-39fee1a8-8d9a8e5b-6371c2b4-a4440c1e.jpg'],['files/p19/p19075045/s56319561/7f667ba3-a9265ab9-a860e1b3-2fdf36b2-bf3b1ae1.jpg\n']
s56353295_0,p11924226,s56353295,0,Findings,"As compared to the previous radiograph, the lung volumes have minimally decreased. In the retrocardiac lung areas there is a very subtle parenchymal opacity that projects over the spine on the lateral radiograph. In the light of the clinical history, this opacity is suspicious for pneumonia. There is no other lung parenchymal abnormality. No pulmonary edema. No pleural effusions. Normal hilar and mediastinal contours. At the time of dictation, Dr. ___ was paged to notification at 9:31 a.m., ___.","As compared to the previous radiograph, the lung volumes have minimally decreased.",lung volumes,,Worse,"['files/p11/p11924226/s56353295/6a266438-2456518c-17007a8a-8529ae71-a27ec826.jpg', 'files/p11/p11924226/s56353295/cd42734e-8fe721ac-423f5e55-6f472c98-fa3838a2.jpg', 'files/p11/p11924226/s56353295/db2f7a2d-b2d3967f-b0b29d90-6208dc63-77e4e094.jpg']","['files/p11/p11924226/s56091680/efd6465a-dbaa29e8-244c7d40-06f432d7-c7150e7d.jpg\n', 'files/p11/p11924226/s56091680/f0b4c2e6-5afdf412-e46020a3-5193d52e-f55fb9a9.jpg\n']"
s56367677_4,p19182863,s56367677,4,Findings,"In comparison with the study of ___, there has been removal of a substantial amount of right pleural fluid. There has been re-expansion of the ipsilateral lung with no evidence of pneumothorax. Continued enlargement of the cardiac silhouette with some engorgement of pulmonary vessels consistent with elevated pulmonary venous pressure.","In comparison with the study of ___, there has been removal of a substantial amount of right pleural fluid.",pleural fluid,right,Resolve,['files/p19/p19182863/s56367677/f0af6b21-c203468f-f3fc3442-bd92e0bb-bf562d09.jpg'],"['files/p19/p19182863/s56361895/8df48300-1f93b8ff-42f9e66d-0678758d-fe0aa039.jpg\n', 'files/p19/p19182863/s56361895/d54b2a9c-a4020fdb-aae86e99-d47d135f-511139f3.jpg\n']"
s56372001_4,p11474065,s56372001,4,Impression,AP chest compared to ___: Greater opacification at the right lung base since ___ is probably a combination of slight worsening of pulmonary edema that has substantially improved since earlier on ___ has worsened slightly since ___ a.m. Moderate right pleural thickening or loculated fluid is stable since ___ and earlier post-operative study. In the mid portion of the left lung is a flame-shaped region of opacity that could be an early pneumonia. Small left pleural effusion and moderate cardiomegaly are stable. No pneumothorax. Findings supported by subsequent chest radiograph 5:35 a.m. on ___ available at the time of this review.,Small left pleural effusion and moderate cardiomegaly are stable.,cardiomegaly,,Stable,"['files/p11/p11474065/s56372001/460d2f1e-3b268dd5-4eb6b5cc-a7af4619-93bac28c.jpg', 'files/p11/p11474065/s56372001/a57921f1-082e4298-c45f0a33-97a652fc-627f468e.jpg']",['files/p11/p11474065/s55570024/aa483dd9-3aa43e2a-f7cfb7e5-7205952e-ddfc95fd.jpg\n']
s56372001_4,p11474065,s56372001,4,Impression,AP chest compared to ___: Greater opacification at the right lung base since ___ is probably a combination of slight worsening of pulmonary edema that has substantially improved since earlier on ___ has worsened slightly since ___ a.m. Moderate right pleural thickening or loculated fluid is stable since ___ and earlier post-operative study. In the mid portion of the left lung is a flame-shaped region of opacity that could be an early pneumonia. Small left pleural effusion and moderate cardiomegaly are stable. No pneumothorax. Findings supported by subsequent chest radiograph 5:35 a.m. on ___ available at the time of this review.,Moderate right pleural thickening or loculated fluid is stable since ___ and earlier post-operative study.,pleural thickening or loculated fluid,right,Stable,"['files/p11/p11474065/s56372001/460d2f1e-3b268dd5-4eb6b5cc-a7af4619-93bac28c.jpg', 'files/p11/p11474065/s56372001/a57921f1-082e4298-c45f0a33-97a652fc-627f468e.jpg']",['files/p11/p11474065/s55570024/aa483dd9-3aa43e2a-f7cfb7e5-7205952e-ddfc95fd.jpg\n']
s56372001_4,p11474065,s56372001,4,Impression,AP chest compared to ___: Greater opacification at the right lung base since ___ is probably a combination of slight worsening of pulmonary edema that has substantially improved since earlier on ___ has worsened slightly since ___ a.m. Moderate right pleural thickening or loculated fluid is stable since ___ and earlier post-operative study. In the mid portion of the left lung is a flame-shaped region of opacity that could be an early pneumonia. Small left pleural effusion and moderate cardiomegaly are stable. No pneumothorax. Findings supported by subsequent chest radiograph 5:35 a.m. on ___ available at the time of this review.,Small left pleural effusion and moderate cardiomegaly are stable.,pleural effusion,left,Stable,"['files/p11/p11474065/s56372001/460d2f1e-3b268dd5-4eb6b5cc-a7af4619-93bac28c.jpg', 'files/p11/p11474065/s56372001/a57921f1-082e4298-c45f0a33-97a652fc-627f468e.jpg']",['files/p11/p11474065/s55570024/aa483dd9-3aa43e2a-f7cfb7e5-7205952e-ddfc95fd.jpg\n']
s56372001_4,p11474065,s56372001,4,Impression,AP chest compared to ___: Greater opacification at the right lung base since ___ is probably a combination of slight worsening of pulmonary edema that has substantially improved since earlier on ___ has worsened slightly since ___ a.m. Moderate right pleural thickening or loculated fluid is stable since ___ and earlier post-operative study. In the mid portion of the left lung is a flame-shaped region of opacity that could be an early pneumonia. Small left pleural effusion and moderate cardiomegaly are stable. No pneumothorax. Findings supported by subsequent chest radiograph 5:35 a.m. on ___ available at the time of this review.,AP chest compared to ___: Greater opacification at the right lung base since ___ is probably a combination of slight worsening of pulmonary edema that has substantially improved since earlier on ___ has worsened slightly since ___ a.m.,pulmonary edema,right lung base,Worse,"['files/p11/p11474065/s56372001/460d2f1e-3b268dd5-4eb6b5cc-a7af4619-93bac28c.jpg', 'files/p11/p11474065/s56372001/a57921f1-082e4298-c45f0a33-97a652fc-627f468e.jpg']",['files/p11/p11474065/s55570024/aa483dd9-3aa43e2a-f7cfb7e5-7205952e-ddfc95fd.jpg\n']
s56373683_20,p18224196,s56373683,20,Findings,AP portable semi upright view of the chest. Endotracheal tube is been placed with its tip located approximately 4.9 cm above the carina. An NG tube courses into the left upper abdomen. The lungs appear clear. Cardiomediastinal silhouette is unchanged. Bony structures are intact.,Cardiomediastinal silhouette is unchanged.,Cardiomediastinal silhouette,,Stable,['files/p18/p18224196/s56373683/02c9f4f3-ce818858-04a867b4-0c5c1823-e247eb67.jpg'],"['files/p18/p18224196/s56153875/a3d44928-d6b84811-5b2676b1-f659918e-bd270e68.jpg\n', 'files/p18/p18224196/s56153875/cc410dfa-e21285ff-d25cfafb-848e6791-99fdc276.jpg\n']"
s56373739_31,p12952223,s56373739,31,Findings,"Compared to the previous radiograph, the monitoring and support devices are unchanged. A pre-existing right pleural effusion has slightly increased in extent. Subsequent areas of atelectasis are bilaterally constant. Constant appearance of the cardiac silhouette. No hilar or mediastinal abnormalities.","Compared to the previous radiograph, the monitoring and support devices are unchanged.",monitoring and support devices,,Stable,['files/p12/p12952223/s56373739/a19573c3-98f76c03-5552fc10-4d2cb79e-bce663a8.jpg'],"['files/p12/p12952223/s56354797/35f28cfc-b84acf9e-a2b8b7da-f8d86acb-a043c4e6.jpg\n', 'files/p12/p12952223/s56354797/5c3a891f-05d81eb0-c4ade60a-d0b2c55e-b6856098.jpg\n']"
s56373739_31,p12952223,s56373739,31,Findings,"Compared to the previous radiograph, the monitoring and support devices are unchanged. A pre-existing right pleural effusion has slightly increased in extent. Subsequent areas of atelectasis are bilaterally constant. Constant appearance of the cardiac silhouette. No hilar or mediastinal abnormalities.",A pre-existing right pleural effusion has slightly increased in extent.,pleural effusion,right,Worse,['files/p12/p12952223/s56373739/a19573c3-98f76c03-5552fc10-4d2cb79e-bce663a8.jpg'],"['files/p12/p12952223/s56354797/35f28cfc-b84acf9e-a2b8b7da-f8d86acb-a043c4e6.jpg\n', 'files/p12/p12952223/s56354797/5c3a891f-05d81eb0-c4ade60a-d0b2c55e-b6856098.jpg\n']"
s56373739_31,p12952223,s56373739,31,Findings,"Compared to the previous radiograph, the monitoring and support devices are unchanged. A pre-existing right pleural effusion has slightly increased in extent. Subsequent areas of atelectasis are bilaterally constant. Constant appearance of the cardiac silhouette. No hilar or mediastinal abnormalities.",Subsequent areas of atelectasis are bilaterally constant.,atelectasis,bilaterally,Stable,['files/p12/p12952223/s56373739/a19573c3-98f76c03-5552fc10-4d2cb79e-bce663a8.jpg'],"['files/p12/p12952223/s56354797/35f28cfc-b84acf9e-a2b8b7da-f8d86acb-a043c4e6.jpg\n', 'files/p12/p12952223/s56354797/5c3a891f-05d81eb0-c4ade60a-d0b2c55e-b6856098.jpg\n']"
s56373739_31,p12952223,s56373739,31,Findings,"Compared to the previous radiograph, the monitoring and support devices are unchanged. A pre-existing right pleural effusion has slightly increased in extent. Subsequent areas of atelectasis are bilaterally constant. Constant appearance of the cardiac silhouette. No hilar or mediastinal abnormalities.",Constant appearance of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p12/p12952223/s56373739/a19573c3-98f76c03-5552fc10-4d2cb79e-bce663a8.jpg'],"['files/p12/p12952223/s56354797/35f28cfc-b84acf9e-a2b8b7da-f8d86acb-a043c4e6.jpg\n', 'files/p12/p12952223/s56354797/5c3a891f-05d81eb0-c4ade60a-d0b2c55e-b6856098.jpg\n']"
s56374996_4,p18079481,s56374996,4,Findings,"In comparison with the earlier study of this date, the patient has taken a somewhat better inspiration. Nevertheless, lines are still low. There is enlargement of the cardiac silhouette with vascular congestion and bilateral effusions with compressive atelectasis. Nasogastric tube extends to the distal stomach.","In comparison with the earlier study of this date, the patient has taken a somewhat better inspiration.",inspiration,,Better,"['files/p18/p18079481/s56374996/478c08e1-e7a57261-02125adf-77d9e924-251135f1.jpg', 'files/p18/p18079481/s56374996/7e35b00e-b26953b2-8748806e-5162f99f-feffc6b2.jpg']",['files/p18/p18079481/s56238840/45dc8b2b-703d5d88-d0e05f85-35cc43ba-84b1f4be.jpg\n']
s56381590_28,p16508811,s56381590,28,Findings,"Right-sided double lumen central venous catheter tip terminates in the proximal right atrium. Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Aeration of the lungs has markedly improved compared to the previous radiograph, with patchy opacities demonstrated in the lung bases, potentially infectious or atelectasis. No pleural effusion or focal consolidation is present. No acute osseous abnormalities detected.","Aeration of the lungs has markedly improved compared to the previous radiograph, with patchy opacities demonstrated in the lung bases, potentially infectious or atelectasis.",aeration; patchy opacities,lung bases,Better,"['files/p16/p16508811/s56381590/81519ba6-8d7cb2e1-1711d24c-0d43f539-d2181628.jpg', 'files/p16/p16508811/s56381590/b4f28648-ad5e7b85-c9c36b5c-975bd159-3da2a25f.jpg']","['files/p16/p16508811/s56179563/bb3b6a6b-35b5581b-ed87943b-ce0dd143-4fae7096.jpg\n', 'files/p16/p16508811/s56179563/dbb3e7c3-35a17f99-7bcd2d4c-57f5a932-d79a20cd.jpg\n']"
s56382918_7,p16853729,s56382918,7,Findings,"As compared to the previous radiograph, the lung volumes have decreased. There is mild fluid overload and a plate-like atelectasis at the left lung bases that has minimally increased in extent. The pre-existing minimal left pleural effusion is unchanged. Unchanged course of the nasogastric tube. No pneumothorax.",There is mild fluid overload and a plate-like atelectasis at the left lung bases that has minimally increased in extent.,plate-like atelectasis,left lung bases,Worse,['files/p16/p16853729/s56382918/98bd2c4d-e47c5249-9e187925-65a4159d-5fb2cc1e.jpg'],['files/p16/p16853729/s55797023/c9af77d2-fad3eeed-901b28fb-003041ad-d1ad165e.jpg\n']
s56382918_7,p16853729,s56382918,7,Findings,"As compared to the previous radiograph, the lung volumes have decreased. There is mild fluid overload and a plate-like atelectasis at the left lung bases that has minimally increased in extent. The pre-existing minimal left pleural effusion is unchanged. Unchanged course of the nasogastric tube. No pneumothorax.",The pre-existing minimal left pleural effusion is unchanged.,pleural effusion,left,Stable,['files/p16/p16853729/s56382918/98bd2c4d-e47c5249-9e187925-65a4159d-5fb2cc1e.jpg'],['files/p16/p16853729/s55797023/c9af77d2-fad3eeed-901b28fb-003041ad-d1ad165e.jpg\n']
s56382918_7,p16853729,s56382918,7,Findings,"As compared to the previous radiograph, the lung volumes have decreased. There is mild fluid overload and a plate-like atelectasis at the left lung bases that has minimally increased in extent. The pre-existing minimal left pleural effusion is unchanged. Unchanged course of the nasogastric tube. No pneumothorax.","As compared to the previous radiograph, the lung volumes have decreased.",lung volumes,,Worse,['files/p16/p16853729/s56382918/98bd2c4d-e47c5249-9e187925-65a4159d-5fb2cc1e.jpg'],['files/p16/p16853729/s55797023/c9af77d2-fad3eeed-901b28fb-003041ad-d1ad165e.jpg\n']
s56382918_7,p16853729,s56382918,7,Findings,"As compared to the previous radiograph, the lung volumes have decreased. There is mild fluid overload and a plate-like atelectasis at the left lung bases that has minimally increased in extent. The pre-existing minimal left pleural effusion is unchanged. Unchanged course of the nasogastric tube. No pneumothorax.",Unchanged course of the nasogastric tube.,nasogastric tube,,Stable,['files/p16/p16853729/s56382918/98bd2c4d-e47c5249-9e187925-65a4159d-5fb2cc1e.jpg'],['files/p16/p16853729/s55797023/c9af77d2-fad3eeed-901b28fb-003041ad-d1ad165e.jpg\n']
s56383568_12,p12530259,s56383568,12,Findings,"In comparison with the study of ___, there is continued opacification of most of the left hemithorax. Right lung remains essentially clear. Left IJ catheter again extends to the brachiocephalic vein close to the junction with the superior vena cava. The supraclavicular gas on the left is decreasing.",The supraclavicular gas on the left is decreasing.,gas,left supraclavicular,Better,['files/p12/p12530259/s56383568/f636619c-a5d5b893-e807be46-77d7e8f9-26f324c7.jpg'],['files/p12/p12530259/s56218099/20d18a78-8f7cd753-628b5cf4-7d43c522-c3e8f53e.jpg\n']
s56383568_12,p12530259,s56383568,12,Findings,"In comparison with the study of ___, there is continued opacification of most of the left hemithorax. Right lung remains essentially clear. Left IJ catheter again extends to the brachiocephalic vein close to the junction with the superior vena cava. The supraclavicular gas on the left is decreasing.",Right lung remains essentially clear.,clear,right lung,Stable,['files/p12/p12530259/s56383568/f636619c-a5d5b893-e807be46-77d7e8f9-26f324c7.jpg'],['files/p12/p12530259/s56218099/20d18a78-8f7cd753-628b5cf4-7d43c522-c3e8f53e.jpg\n']
s56383568_12,p12530259,s56383568,12,Findings,"In comparison with the study of ___, there is continued opacification of most of the left hemithorax. Right lung remains essentially clear. Left IJ catheter again extends to the brachiocephalic vein close to the junction with the superior vena cava. The supraclavicular gas on the left is decreasing.","In comparison with the study of ___, there is continued opacification of most of the left hemithorax.",opacification,left hemithorax,Stable,['files/p12/p12530259/s56383568/f636619c-a5d5b893-e807be46-77d7e8f9-26f324c7.jpg'],['files/p12/p12530259/s56218099/20d18a78-8f7cd753-628b5cf4-7d43c522-c3e8f53e.jpg\n']
s56383568_12,p12530259,s56383568,12,Findings,"In comparison with the study of ___, there is continued opacification of most of the left hemithorax. Right lung remains essentially clear. Left IJ catheter again extends to the brachiocephalic vein close to the junction with the superior vena cava. The supraclavicular gas on the left is decreasing.",Left IJ catheter again extends to the brachiocephalic vein close to the junction with the superior vena cava.,catheter,Left IJ,Stable,['files/p12/p12530259/s56383568/f636619c-a5d5b893-e807be46-77d7e8f9-26f324c7.jpg'],['files/p12/p12530259/s56218099/20d18a78-8f7cd753-628b5cf4-7d43c522-c3e8f53e.jpg\n']
s56385625_2,p11540283,s56385625,2,Findings,"The lungs are clear without focal consolidation, effusion, or edema. Left chest wall single lead pacing device is noted. Mild cardiomegaly is noted. Median sternotomy wires and mediastinal clips are seen. Prior endotracheal and enteric tubes are no longer visualized.",Prior endotracheal and enteric tubes are no longer visualized.,endotracheal and enteric tubes,,Resolve,['files/p11/p11540283/s56385625/17d85861-7a43410c-8f9b5b54-4629da0d-5647276d.jpg'],"['files/p11/p11540283/s51230608/21f4d559-0dfff001-b12a1cc5-64419048-1301fa93.jpg\n', 'files/p11/p11540283/s51230608/e68bb7df-05039df8-44346b6b-c34ca52e-a92432c7.jpg\n']"
s56387971_8,p15338518,s56387971,8,Findings,"With the exception of slight improved aeration at the left lung base, there has not been a substantial change in the appearance of the chest since the recent study of one day earlier.","With the exception of slight improved aeration at the left lung base, there has not been a substantial change in the appearance of the chest since the recent study of one day earlier.",aeration,left lung base,Better,['files/p15/p15338518/s56387971/2689618d-d2d66d76-59bc106d-e3cc0c85-91cc995f.jpg'],['files/p15/p15338518/s53282269/6fef2911-a06fa6dd-c764a4a5-f0d84931-368a51c4.jpg\n']
s56389746_9,p11569093,s56389746,9,Findings,"Compared to the previous radiograph, the left IJ catheter has been removed. There are persistent bilateral pleural effusions along with unchanged opacification of right lung base. This suggests right middle and lower lobe collapse. Comparison is limited by patient rotation on current imaging. Opacification at the left lung base is unchanged, and pneumonia cannot be excluded.",There are persistent bilateral pleural effusions along with unchanged opacification of right lung base.,opacification,right lung base,Stable,['files/p11/p11569093/s56389746/395a7197-bac16c22-5e75d329-e014f2a8-5d6432e9.jpg'],['files/p11/p11569093/s56084617/68a9dec9-436c84d0-572f0df9-18929544-6b237d3b.jpg\n']
s56389746_9,p11569093,s56389746,9,Findings,"Compared to the previous radiograph, the left IJ catheter has been removed. There are persistent bilateral pleural effusions along with unchanged opacification of right lung base. This suggests right middle and lower lobe collapse. Comparison is limited by patient rotation on current imaging. Opacification at the left lung base is unchanged, and pneumonia cannot be excluded.","Opacification at the left lung base is unchanged, and pneumonia cannot be excluded.",opacification,left lung base,Stable,['files/p11/p11569093/s56389746/395a7197-bac16c22-5e75d329-e014f2a8-5d6432e9.jpg'],['files/p11/p11569093/s56084617/68a9dec9-436c84d0-572f0df9-18929544-6b237d3b.jpg\n']
s56389746_9,p11569093,s56389746,9,Findings,"Compared to the previous radiograph, the left IJ catheter has been removed. There are persistent bilateral pleural effusions along with unchanged opacification of right lung base. This suggests right middle and lower lobe collapse. Comparison is limited by patient rotation on current imaging. Opacification at the left lung base is unchanged, and pneumonia cannot be excluded.","Compared to the previous radiograph, the left IJ catheter has been removed.",IJ catheter,left,Resolve,['files/p11/p11569093/s56389746/395a7197-bac16c22-5e75d329-e014f2a8-5d6432e9.jpg'],['files/p11/p11569093/s56084617/68a9dec9-436c84d0-572f0df9-18929544-6b237d3b.jpg\n']
s56389775_9,p16334516,s56389775,9,Impression,"AP chest compared to ___: Mild pulmonary edema on the right and moderate pulmonary edema on the left have worsened since ___, both slightly less severe than on ___ when there was also asymmetry. Heart size is normal. Small right and moderate left pleural effusions are stable. Left internal jugular line ends in the mid SVC. No pneumothorax.","AP chest compared to ___: Mild pulmonary edema on the right and moderate pulmonary edema on the left have worsened since ___, both slightly less severe than on ___ when there was also asymmetry.",moderate pulmonary edema,left,Worse,['files/p16/p16334516/s56389775/70cc5d8f-bbf4b758-e95c371a-f0e2a6b1-09a32c70.jpg'],"['files/p16/p16334516/s55866927/7c9e7413-b4202e55-864b8798-3a36e35f-3c97b6b1.jpg\n', 'files/p16/p16334516/s55866927/e5ff06eb-15534151-f0889a9a-1ef2a26f-14945911.jpg\n']"
s56389775_9,p16334516,s56389775,9,Impression,"AP chest compared to ___: Mild pulmonary edema on the right and moderate pulmonary edema on the left have worsened since ___, both slightly less severe than on ___ when there was also asymmetry. Heart size is normal. Small right and moderate left pleural effusions are stable. Left internal jugular line ends in the mid SVC. No pneumothorax.",Small right and moderate left pleural effusions are stable.,moderate pleural effusion,left,Stable,['files/p16/p16334516/s56389775/70cc5d8f-bbf4b758-e95c371a-f0e2a6b1-09a32c70.jpg'],"['files/p16/p16334516/s55866927/7c9e7413-b4202e55-864b8798-3a36e35f-3c97b6b1.jpg\n', 'files/p16/p16334516/s55866927/e5ff06eb-15534151-f0889a9a-1ef2a26f-14945911.jpg\n']"
s56389775_9,p16334516,s56389775,9,Impression,"AP chest compared to ___: Mild pulmonary edema on the right and moderate pulmonary edema on the left have worsened since ___, both slightly less severe than on ___ when there was also asymmetry. Heart size is normal. Small right and moderate left pleural effusions are stable. Left internal jugular line ends in the mid SVC. No pneumothorax.","AP chest compared to ___: Mild pulmonary edema on the right and moderate pulmonary edema on the left have worsened since ___, both slightly less severe than on ___ when there was also asymmetry.",mild pulmonary edema,right,Worse,['files/p16/p16334516/s56389775/70cc5d8f-bbf4b758-e95c371a-f0e2a6b1-09a32c70.jpg'],"['files/p16/p16334516/s55866927/7c9e7413-b4202e55-864b8798-3a36e35f-3c97b6b1.jpg\n', 'files/p16/p16334516/s55866927/e5ff06eb-15534151-f0889a9a-1ef2a26f-14945911.jpg\n']"
s56389775_9,p16334516,s56389775,9,Impression,"AP chest compared to ___: Mild pulmonary edema on the right and moderate pulmonary edema on the left have worsened since ___, both slightly less severe than on ___ when there was also asymmetry. Heart size is normal. Small right and moderate left pleural effusions are stable. Left internal jugular line ends in the mid SVC. No pneumothorax.",Small right and moderate left pleural effusions are stable.,small pleural effusion,right,Stable,['files/p16/p16334516/s56389775/70cc5d8f-bbf4b758-e95c371a-f0e2a6b1-09a32c70.jpg'],"['files/p16/p16334516/s55866927/7c9e7413-b4202e55-864b8798-3a36e35f-3c97b6b1.jpg\n', 'files/p16/p16334516/s55866927/e5ff06eb-15534151-f0889a9a-1ef2a26f-14945911.jpg\n']"
s56390608_7,p10975446,s56390608,7,Findings,"Again seen is low position of the ET tube, 1.4 cm above the carina. The appearance of the lungs is unchanged. Right IJ line tip at cavoatrial junction is unchanged.",Right IJ line tip at cavoatrial junction is unchanged.,IJ line tip,Right,Stable,['files/p10/p10975446/s56390608/0baf5e16-bb057c79-97a74dac-e4631d48-f99f01d7.jpg'],['files/p10/p10975446/s56122911/71472bea-4861bb4b-57725cca-447baed5-d7d18080.jpg\n']
s56390608_7,p10975446,s56390608,7,Findings,"Again seen is low position of the ET tube, 1.4 cm above the carina. The appearance of the lungs is unchanged. Right IJ line tip at cavoatrial junction is unchanged.",The appearance of the lungs is unchanged.,lung appearance,,Stable,['files/p10/p10975446/s56390608/0baf5e16-bb057c79-97a74dac-e4631d48-f99f01d7.jpg'],['files/p10/p10975446/s56122911/71472bea-4861bb4b-57725cca-447baed5-d7d18080.jpg\n']
s56397547_3,p15204620,s56397547,3,Impression,"1. Persistent consolidation in the right middle lobe which likely reflects post-obstructive pneumonia. More patchy opacity at the left base represents patchy atelectasis, although aspiration or pneumonia in this vicinity should also be considered. No evidence of pulmonary edema. A right hilar and right paratracheal soft tissue opacity represents lymphadenopathy when correlated with CT images of ___. No pneumothorax. No acute bony abnormality appreciated. Overall cardiac size is likely stable.",Overall cardiac size is likely stable.,,cardiac size,Stable,"['files/p15/p15204620/s56397547/3b04e467-f4e68e88-9a1a42b3-5ed80b6a-b0b3015f.jpg', 'files/p15/p15204620/s56397547/e4ecf4d9-5ce7b0e1-e325db2b-85ecca33-c69c8031.jpg']",['files/p15/p15204620/s56120394/104e70dc-8a1df46d-99cc3664-72465ac9-c0ca4d03.jpg\n']
s56397547_3,p15204620,s56397547,3,Impression,"1. Persistent consolidation in the right middle lobe which likely reflects post-obstructive pneumonia. More patchy opacity at the left base represents patchy atelectasis, although aspiration or pneumonia in this vicinity should also be considered. No evidence of pulmonary edema. A right hilar and right paratracheal soft tissue opacity represents lymphadenopathy when correlated with CT images of ___. No pneumothorax. No acute bony abnormality appreciated. Overall cardiac size is likely stable.",1. Persistent consolidation in the right middle lobe which likely reflects post-obstructive pneumonia.,consolidation,right middle lobe,Stable,"['files/p15/p15204620/s56397547/3b04e467-f4e68e88-9a1a42b3-5ed80b6a-b0b3015f.jpg', 'files/p15/p15204620/s56397547/e4ecf4d9-5ce7b0e1-e325db2b-85ecca33-c69c8031.jpg']",['files/p15/p15204620/s56120394/104e70dc-8a1df46d-99cc3664-72465ac9-c0ca4d03.jpg\n']
s56399963_2,p19757720,s56399963,2,Findings,"In comparison with the study of ___, there is continued extensive bilateral pulmonary opacification, worse on the right. The findings could reflect some combination of widespread pneumonia, severe pulmonary edema, an even ARDS. Monitoring and support devices remain in place.",Monitoring and support devices remain in place.,Monitoring and support devices,,Stable,['files/p19/p19757720/s56399963/fa3c5d61-58bb9992-05e07467-d6f5340b-7253e398.jpg'],['files/p19/p19757720/s55489891/5db1ff54-6a22902f-51402f15-27dc7310-21a1183c.jpg\n']
s56399963_2,p19757720,s56399963,2,Findings,"In comparison with the study of ___, there is continued extensive bilateral pulmonary opacification, worse on the right. The findings could reflect some combination of widespread pneumonia, severe pulmonary edema, an even ARDS. Monitoring and support devices remain in place.","In comparison with the study of ___, there is continued extensive bilateral pulmonary opacification, worse on the right.",pulmonary opacification,"bilateral, more on the right",Worse,['files/p19/p19757720/s56399963/fa3c5d61-58bb9992-05e07467-d6f5340b-7253e398.jpg'],['files/p19/p19757720/s55489891/5db1ff54-6a22902f-51402f15-27dc7310-21a1183c.jpg\n']
s56400373_4,p15204620,s56400373,4,Impression,"AP chest compared to ___: Persistently consolidated right middle lobe may have increased in volume since ___ raising concern for postobstructive infection, which could also be responsible for the increase in small right pleural effusion. Extensive right hilar and mediastinal adenopathy is unchanged. Left lung clear. Heart size normal. A skin fold of the right upper hemithorax should not be mistaken for pneumothorax. I have discussed the preliminary report to the contrary with the clinical care team, at the time of this dictation. A substantial increase in shortness of breath could be due to acute pulmonary embolism, given the extensive intrathoracic malignancy.","AP chest compared to ___: Persistently consolidated right middle lobe may have increased in volume since ___ raising concern for postobstructive infection, which could also be responsible for the increase in small right pleural effusion.",consolidation,right middle lobe,Worse,['files/p15/p15204620/s56400373/30f6ed61-a49ee720-ba423996-56ae29fa-88f76b59.jpg'],"['files/p15/p15204620/s56397547/3b04e467-f4e68e88-9a1a42b3-5ed80b6a-b0b3015f.jpg\n', 'files/p15/p15204620/s56397547/e4ecf4d9-5ce7b0e1-e325db2b-85ecca33-c69c8031.jpg\n']"
s56400373_4,p15204620,s56400373,4,Impression,"AP chest compared to ___: Persistently consolidated right middle lobe may have increased in volume since ___ raising concern for postobstructive infection, which could also be responsible for the increase in small right pleural effusion. Extensive right hilar and mediastinal adenopathy is unchanged. Left lung clear. Heart size normal. A skin fold of the right upper hemithorax should not be mistaken for pneumothorax. I have discussed the preliminary report to the contrary with the clinical care team, at the time of this dictation. A substantial increase in shortness of breath could be due to acute pulmonary embolism, given the extensive intrathoracic malignancy.","AP chest compared to ___: Persistently consolidated right middle lobe may have increased in volume since ___ raising concern for postobstructive infection, which could also be responsible for the increase in small right pleural effusion.",small right pleural effusion,right pleural effusion,Worse,['files/p15/p15204620/s56400373/30f6ed61-a49ee720-ba423996-56ae29fa-88f76b59.jpg'],"['files/p15/p15204620/s56397547/3b04e467-f4e68e88-9a1a42b3-5ed80b6a-b0b3015f.jpg\n', 'files/p15/p15204620/s56397547/e4ecf4d9-5ce7b0e1-e325db2b-85ecca33-c69c8031.jpg\n']"
s56400373_4,p15204620,s56400373,4,Impression,"AP chest compared to ___: Persistently consolidated right middle lobe may have increased in volume since ___ raising concern for postobstructive infection, which could also be responsible for the increase in small right pleural effusion. Extensive right hilar and mediastinal adenopathy is unchanged. Left lung clear. Heart size normal. A skin fold of the right upper hemithorax should not be mistaken for pneumothorax. I have discussed the preliminary report to the contrary with the clinical care team, at the time of this dictation. A substantial increase in shortness of breath could be due to acute pulmonary embolism, given the extensive intrathoracic malignancy.",Extensive right hilar and mediastinal adenopathy is unchanged.,adenopathy,right hilar and mediastinal,Stable,['files/p15/p15204620/s56400373/30f6ed61-a49ee720-ba423996-56ae29fa-88f76b59.jpg'],"['files/p15/p15204620/s56397547/3b04e467-f4e68e88-9a1a42b3-5ed80b6a-b0b3015f.jpg\n', 'files/p15/p15204620/s56397547/e4ecf4d9-5ce7b0e1-e325db2b-85ecca33-c69c8031.jpg\n']"
s56426309_6,p19454978,s56426309,6,Findings,Single portable view of the chest. The lungs are clear. There is no left effusion or pulmonary vascular congestion. Cardiac silhouette is enlarged but stable in configuration. No acute osseous abnormality detected.,Cardiac silhouette is enlarged but stable in configuration.,cardiac silhouette enlargement,,Stable,['files/p19/p19454978/s56426309/5432fbd3-085280d8-b2452bf4-52defb60-99f287db.jpg'],"['files/p19/p19454978/s55947692/5338edd0-50f5acc9-e2b17f61-df5423a3-36b08d58.jpg\n', 'files/p19/p19454978/s55947692/608aeffa-2b4e0b2c-f8672ebd-586ae0f1-e9b9e46a.jpg\n']"
s56427859_1,p18067737,s56427859,1,Findings,"There is no evidence of left pneumothorax following the recent procedure. Left juxtahilar mass is again demonstrated with adjacent parenchymal opacities which likely represent post-obstructive atelectasis and pneumonia. As compared to the recent radiograph, the left upper lobe opacity appears more dense, possibly due to progressive post-obstructive abnormalities, but co-existing hemorrhage or aspiration are certainly possible in the setting of a recent procedure. Short-term followup radiograph may be helpful in this regard.","As compared to the recent radiograph, the left upper lobe opacity appears more dense, possibly due to progressive post-obstructive abnormalities, but co-existing hemorrhage or aspiration are certainly possible in the setting of a recent procedure.",opacity,left upper lobe,Worse,['files/p18/p18067737/s56427859/805c8f03-c6d068dd-c95f546c-e1dfe872-324866d0.jpg'],['files/p18/p18067737/s53583954/0efbdb11-4a6e04cf-2acc8b02-8b0ee7b6-36a1e507.jpg\n']
s56427859_1,p18067737,s56427859,1,Findings,"There is no evidence of left pneumothorax following the recent procedure. Left juxtahilar mass is again demonstrated with adjacent parenchymal opacities which likely represent post-obstructive atelectasis and pneumonia. As compared to the recent radiograph, the left upper lobe opacity appears more dense, possibly due to progressive post-obstructive abnormalities, but co-existing hemorrhage or aspiration are certainly possible in the setting of a recent procedure. Short-term followup radiograph may be helpful in this regard.",There is no evidence of left pneumothorax following the recent procedure.,pneumothorax,left,Resolve,['files/p18/p18067737/s56427859/805c8f03-c6d068dd-c95f546c-e1dfe872-324866d0.jpg'],['files/p18/p18067737/s53583954/0efbdb11-4a6e04cf-2acc8b02-8b0ee7b6-36a1e507.jpg\n']
s56427859_1,p18067737,s56427859,1,Findings,"There is no evidence of left pneumothorax following the recent procedure. Left juxtahilar mass is again demonstrated with adjacent parenchymal opacities which likely represent post-obstructive atelectasis and pneumonia. As compared to the recent radiograph, the left upper lobe opacity appears more dense, possibly due to progressive post-obstructive abnormalities, but co-existing hemorrhage or aspiration are certainly possible in the setting of a recent procedure. Short-term followup radiograph may be helpful in this regard.",Left juxtahilar mass is again demonstrated with adjacent parenchymal opacities which likely represent post-obstructive atelectasis and pneumonia.,parenchymal opacities,adjacent,Stable,['files/p18/p18067737/s56427859/805c8f03-c6d068dd-c95f546c-e1dfe872-324866d0.jpg'],['files/p18/p18067737/s53583954/0efbdb11-4a6e04cf-2acc8b02-8b0ee7b6-36a1e507.jpg\n']
s56427859_1,p18067737,s56427859,1,Findings,"There is no evidence of left pneumothorax following the recent procedure. Left juxtahilar mass is again demonstrated with adjacent parenchymal opacities which likely represent post-obstructive atelectasis and pneumonia. As compared to the recent radiograph, the left upper lobe opacity appears more dense, possibly due to progressive post-obstructive abnormalities, but co-existing hemorrhage or aspiration are certainly possible in the setting of a recent procedure. Short-term followup radiograph may be helpful in this regard.",Left juxtahilar mass is again demonstrated with adjacent parenchymal opacities which likely represent post-obstructive atelectasis and pneumonia.,mass,left juxtahilar,Stable,['files/p18/p18067737/s56427859/805c8f03-c6d068dd-c95f546c-e1dfe872-324866d0.jpg'],['files/p18/p18067737/s53583954/0efbdb11-4a6e04cf-2acc8b02-8b0ee7b6-36a1e507.jpg\n']
s56431482_5,p15809646,s56431482,5,Findings,"As compared to prior chest radiograph from ___, there has been interval placement of a Swan-Ganz catheter with the tip slightly beyond the mediastinum. Mild cardiomegaly is unchanged. Irregular bilateral lung opacities are stable. Chronic pleural thickening is unchanged. There are no pleural effusions or pneumothorax.","As compared to prior chest radiograph from ___, there has been interval placement of a Swan-Ganz catheter with the tip slightly beyond the mediastinum.",Swan-Ganz catheter,beyond the mediastinum,New,['files/p15/p15809646/s56431482/495e73be-71f5ed15-35bbd67d-363dfe60-32f375b6.jpg'],['files/p15/p15809646/s54479348/5e2d7a5c-0cca16ec-3dff48d4-bab26e70-6bea7f6d.jpg\n']
s56431482_5,p15809646,s56431482,5,Impression,"Interval placement of Swan-Ganz catheter with tip slightly beyond the mediastinum, for which consideration of withdrawing a few centimeters is recommended. These findings were discussed with Dr. ___ by Dr. ___ ___ telephone on ___ at 4:30 PM, at time of discovery.","Interval placement of Swan-Ganz catheter with tip slightly beyond the mediastinum, for which consideration of withdrawing a few centimeters is recommended.",Swan-Ganz catheter,beyond the mediastinum,New,['files/p15/p15809646/s56431482/495e73be-71f5ed15-35bbd67d-363dfe60-32f375b6.jpg'],['files/p15/p15809646/s54479348/5e2d7a5c-0cca16ec-3dff48d4-bab26e70-6bea7f6d.jpg\n']
s56431482_5,p15809646,s56431482,5,Findings,"As compared to prior chest radiograph from ___, there has been interval placement of a Swan-Ganz catheter with the tip slightly beyond the mediastinum. Mild cardiomegaly is unchanged. Irregular bilateral lung opacities are stable. Chronic pleural thickening is unchanged. There are no pleural effusions or pneumothorax.",Mild cardiomegaly is unchanged.,Mild cardiomegaly,,Stable,['files/p15/p15809646/s56431482/495e73be-71f5ed15-35bbd67d-363dfe60-32f375b6.jpg'],['files/p15/p15809646/s54479348/5e2d7a5c-0cca16ec-3dff48d4-bab26e70-6bea7f6d.jpg\n']
s56431482_5,p15809646,s56431482,5,Findings,"As compared to prior chest radiograph from ___, there has been interval placement of a Swan-Ganz catheter with the tip slightly beyond the mediastinum. Mild cardiomegaly is unchanged. Irregular bilateral lung opacities are stable. Chronic pleural thickening is unchanged. There are no pleural effusions or pneumothorax.",Irregular bilateral lung opacities are stable.,Irregular lung opacities,bilateral,Stable,['files/p15/p15809646/s56431482/495e73be-71f5ed15-35bbd67d-363dfe60-32f375b6.jpg'],['files/p15/p15809646/s54479348/5e2d7a5c-0cca16ec-3dff48d4-bab26e70-6bea7f6d.jpg\n']
s56431482_5,p15809646,s56431482,5,Findings,"As compared to prior chest radiograph from ___, there has been interval placement of a Swan-Ganz catheter with the tip slightly beyond the mediastinum. Mild cardiomegaly is unchanged. Irregular bilateral lung opacities are stable. Chronic pleural thickening is unchanged. There are no pleural effusions or pneumothorax.",Chronic pleural thickening is unchanged.,Chronic pleural thickening,,Stable,['files/p15/p15809646/s56431482/495e73be-71f5ed15-35bbd67d-363dfe60-32f375b6.jpg'],['files/p15/p15809646/s54479348/5e2d7a5c-0cca16ec-3dff48d4-bab26e70-6bea7f6d.jpg\n']
s56433442_32,p16826047,s56433442,32,Findings,"Frontal and lateral views of the chest. When compared to previous exams, there has been no significant interval change. Right-sided chest tube remains in place. Loculated fluid seen laterally similar to prior CT as well as within the major fissure where the chest tube is located. Underlying parenchymal opacity again noted and based on scout film from prior CT has not significantly changed. There is no left-sided pleural effusion. Focal left midlung opacity is unchanged from prior. Cardiomediastinal silhouette is difficult to adequately assess given obscuration of the right heart border. No acute osseous abnormalities detected.",Focal left midlung opacity is unchanged from prior.,opacity,left midlung,Stable,"['files/p16/p16826047/s56433442/84471a04-4b52493f-eceb148f-7c403b8b-78458575.jpg', 'files/p16/p16826047/s56433442/d263e868-0cc6db67-58f15831-a2a8a9ac-4c59911c.jpg']","['files/p16/p16826047/s56081327/3df17cad-5c3f8bbb-76d9b10d-006a7939-4d898c97.jpg\n', 'files/p16/p16826047/s56081327/4a43030c-6867738a-9af25682-7751982a-a516ecb7.jpg\n']"
s56433442_32,p16826047,s56433442,32,Findings,"Frontal and lateral views of the chest. When compared to previous exams, there has been no significant interval change. Right-sided chest tube remains in place. Loculated fluid seen laterally similar to prior CT as well as within the major fissure where the chest tube is located. Underlying parenchymal opacity again noted and based on scout film from prior CT has not significantly changed. There is no left-sided pleural effusion. Focal left midlung opacity is unchanged from prior. Cardiomediastinal silhouette is difficult to adequately assess given obscuration of the right heart border. No acute osseous abnormalities detected.",Underlying parenchymal opacity again noted and based on scout film from prior CT has not significantly changed.,parenchymal opacity,underlying,Stable,"['files/p16/p16826047/s56433442/84471a04-4b52493f-eceb148f-7c403b8b-78458575.jpg', 'files/p16/p16826047/s56433442/d263e868-0cc6db67-58f15831-a2a8a9ac-4c59911c.jpg']","['files/p16/p16826047/s56081327/3df17cad-5c3f8bbb-76d9b10d-006a7939-4d898c97.jpg\n', 'files/p16/p16826047/s56081327/4a43030c-6867738a-9af25682-7751982a-a516ecb7.jpg\n']"
s56433442_32,p16826047,s56433442,32,Findings,"Frontal and lateral views of the chest. When compared to previous exams, there has been no significant interval change. Right-sided chest tube remains in place. Loculated fluid seen laterally similar to prior CT as well as within the major fissure where the chest tube is located. Underlying parenchymal opacity again noted and based on scout film from prior CT has not significantly changed. There is no left-sided pleural effusion. Focal left midlung opacity is unchanged from prior. Cardiomediastinal silhouette is difficult to adequately assess given obscuration of the right heart border. No acute osseous abnormalities detected.",Loculated fluid seen laterally similar to prior CT as well as within the major fissure where the chest tube is located.,loculated fluid,"laterally, major fissure",Stable,"['files/p16/p16826047/s56433442/84471a04-4b52493f-eceb148f-7c403b8b-78458575.jpg', 'files/p16/p16826047/s56433442/d263e868-0cc6db67-58f15831-a2a8a9ac-4c59911c.jpg']","['files/p16/p16826047/s56081327/3df17cad-5c3f8bbb-76d9b10d-006a7939-4d898c97.jpg\n', 'files/p16/p16826047/s56081327/4a43030c-6867738a-9af25682-7751982a-a516ecb7.jpg\n']"
s56433442_32,p16826047,s56433442,32,Findings,"Frontal and lateral views of the chest. When compared to previous exams, there has been no significant interval change. Right-sided chest tube remains in place. Loculated fluid seen laterally similar to prior CT as well as within the major fissure where the chest tube is located. Underlying parenchymal opacity again noted and based on scout film from prior CT has not significantly changed. There is no left-sided pleural effusion. Focal left midlung opacity is unchanged from prior. Cardiomediastinal silhouette is difficult to adequately assess given obscuration of the right heart border. No acute osseous abnormalities detected.",Right-sided chest tube remains in place.,chest tube,right-sided,Stable,"['files/p16/p16826047/s56433442/84471a04-4b52493f-eceb148f-7c403b8b-78458575.jpg', 'files/p16/p16826047/s56433442/d263e868-0cc6db67-58f15831-a2a8a9ac-4c59911c.jpg']","['files/p16/p16826047/s56081327/3df17cad-5c3f8bbb-76d9b10d-006a7939-4d898c97.jpg\n', 'files/p16/p16826047/s56081327/4a43030c-6867738a-9af25682-7751982a-a516ecb7.jpg\n']"
s56440140_11,p11880923,s56440140,11,Impression,"1. Endotracheal tube is appropriately positioned, 3.4 cm above the carina. 2. The orogastric tube should be advanced by 1-2 cm to ensure that the side port is beyond the gastroesophageal junction. 3. Improvement in decompensated congestive heart failure. 4. Persistent retrocardiac opacity representing consolidation or atelectasis.",Persistent retrocardiac opacity representing consolidation or atelectasis.,opacity,retrocardiac,Stable,"['files/p11/p11880923/s56440140/3698386f-a0655662-7d51247e-e53490e6-64f3d0c2.jpg', 'files/p11/p11880923/s56440140/421dff97-6d2b4aab-02ed28a8-54dd67f9-da2f957b.jpg']","['files/p11/p11880923/s55514554/031f7904-9bf7d478-6ebc3f26-2ddf2209-700c9c83.jpg\n', 'files/p11/p11880923/s55514554/60742b25-1a7cae98-63ffe193-306dda7d-1977440c.jpg\n']"
s56440140_11,p11880923,s56440140,11,Findings,The endotracheal tube terminates no less than 3.4 cm above the carina. An orogastric tube terminates within the stomach with the side port near the gastroesophageal junction. A left internal jugular central venous line terminates in the mid SVC. A right subclavian triple-lumen catheter terminates in the lower SVC. There has been interval reduction in heart size as well as marked improvement in pulmonary edema. Small bilateral pleural effusions are slightly smaller. There is a persistent left retrocardiac opacity. There is no pneumothorax.,Small bilateral pleural effusions are slightly smaller.,pleural effusions,bilateral,Better,"['files/p11/p11880923/s56440140/3698386f-a0655662-7d51247e-e53490e6-64f3d0c2.jpg', 'files/p11/p11880923/s56440140/421dff97-6d2b4aab-02ed28a8-54dd67f9-da2f957b.jpg']","['files/p11/p11880923/s55514554/031f7904-9bf7d478-6ebc3f26-2ddf2209-700c9c83.jpg\n', 'files/p11/p11880923/s55514554/60742b25-1a7cae98-63ffe193-306dda7d-1977440c.jpg\n']"
s56440140_11,p11880923,s56440140,11,Findings,The endotracheal tube terminates no less than 3.4 cm above the carina. An orogastric tube terminates within the stomach with the side port near the gastroesophageal junction. A left internal jugular central venous line terminates in the mid SVC. A right subclavian triple-lumen catheter terminates in the lower SVC. There has been interval reduction in heart size as well as marked improvement in pulmonary edema. Small bilateral pleural effusions are slightly smaller. There is a persistent left retrocardiac opacity. There is no pneumothorax.,There has been interval reduction in heart size as well as marked improvement in pulmonary edema.,edema,pulmonary,Better,"['files/p11/p11880923/s56440140/3698386f-a0655662-7d51247e-e53490e6-64f3d0c2.jpg', 'files/p11/p11880923/s56440140/421dff97-6d2b4aab-02ed28a8-54dd67f9-da2f957b.jpg']","['files/p11/p11880923/s55514554/031f7904-9bf7d478-6ebc3f26-2ddf2209-700c9c83.jpg\n', 'files/p11/p11880923/s55514554/60742b25-1a7cae98-63ffe193-306dda7d-1977440c.jpg\n']"
s56440140_11,p11880923,s56440140,11,Findings,The endotracheal tube terminates no less than 3.4 cm above the carina. An orogastric tube terminates within the stomach with the side port near the gastroesophageal junction. A left internal jugular central venous line terminates in the mid SVC. A right subclavian triple-lumen catheter terminates in the lower SVC. There has been interval reduction in heart size as well as marked improvement in pulmonary edema. Small bilateral pleural effusions are slightly smaller. There is a persistent left retrocardiac opacity. There is no pneumothorax.,There has been interval reduction in heart size as well as marked improvement in pulmonary edema.,size,heart,Better,"['files/p11/p11880923/s56440140/3698386f-a0655662-7d51247e-e53490e6-64f3d0c2.jpg', 'files/p11/p11880923/s56440140/421dff97-6d2b4aab-02ed28a8-54dd67f9-da2f957b.jpg']","['files/p11/p11880923/s55514554/031f7904-9bf7d478-6ebc3f26-2ddf2209-700c9c83.jpg\n', 'files/p11/p11880923/s55514554/60742b25-1a7cae98-63ffe193-306dda7d-1977440c.jpg\n']"
s56440140_11,p11880923,s56440140,11,Findings,The endotracheal tube terminates no less than 3.4 cm above the carina. An orogastric tube terminates within the stomach with the side port near the gastroesophageal junction. A left internal jugular central venous line terminates in the mid SVC. A right subclavian triple-lumen catheter terminates in the lower SVC. There has been interval reduction in heart size as well as marked improvement in pulmonary edema. Small bilateral pleural effusions are slightly smaller. There is a persistent left retrocardiac opacity. There is no pneumothorax.,There is a persistent left retrocardiac opacity.,opacity,left retrocardiac,Stable,"['files/p11/p11880923/s56440140/3698386f-a0655662-7d51247e-e53490e6-64f3d0c2.jpg', 'files/p11/p11880923/s56440140/421dff97-6d2b4aab-02ed28a8-54dd67f9-da2f957b.jpg']","['files/p11/p11880923/s55514554/031f7904-9bf7d478-6ebc3f26-2ddf2209-700c9c83.jpg\n', 'files/p11/p11880923/s55514554/60742b25-1a7cae98-63ffe193-306dda7d-1977440c.jpg\n']"
s56441444_5,p10885696,s56441444,5,Impression,"AP chest compared to ___: Pulmonary vascular engorgement has improved. There is no mediastinal widening. The heart is unchanged in size, probably mildly enlarged, but obscured by mediastinal fat deposition. The postoperative appearance of the left hemithorax including bulbous left hilus is also longstanding. Large scale atelectasis in the right lower lobe has also been a feature since mid ___, probably progressed to complete collapse. Tracheostomy tube in standard placement.","Large scale atelectasis in the right lower lobe has also been a feature since mid ___, probably progressed to complete collapse.",Atelectasis,right lower lobe,Worse,['files/p10/p10885696/s56441444/f50a6967-0c476fd1-f6b7ff3a-5cdaaa5f-c072b628.jpg'],"['files/p10/p10885696/s52937462/e7842e08-9ac5d312-a9c14d39-62df9f23-c7a94a70.jpg\n', 'files/p10/p10885696/s52937462/f1e6712c-61dabae0-6691539a-039dcbb7-6c467216.jpg\n']"
s56441444_5,p10885696,s56441444,5,Impression,"AP chest compared to ___: Pulmonary vascular engorgement has improved. There is no mediastinal widening. The heart is unchanged in size, probably mildly enlarged, but obscured by mediastinal fat deposition. The postoperative appearance of the left hemithorax including bulbous left hilus is also longstanding. Large scale atelectasis in the right lower lobe has also been a feature since mid ___, probably progressed to complete collapse. Tracheostomy tube in standard placement.",AP chest compared to ___: Pulmonary vascular engorgement has improved.,Pulmonary vascular engorgement,,Better,['files/p10/p10885696/s56441444/f50a6967-0c476fd1-f6b7ff3a-5cdaaa5f-c072b628.jpg'],"['files/p10/p10885696/s52937462/e7842e08-9ac5d312-a9c14d39-62df9f23-c7a94a70.jpg\n', 'files/p10/p10885696/s52937462/f1e6712c-61dabae0-6691539a-039dcbb7-6c467216.jpg\n']"
s56441444_5,p10885696,s56441444,5,Impression,"AP chest compared to ___: Pulmonary vascular engorgement has improved. There is no mediastinal widening. The heart is unchanged in size, probably mildly enlarged, but obscured by mediastinal fat deposition. The postoperative appearance of the left hemithorax including bulbous left hilus is also longstanding. Large scale atelectasis in the right lower lobe has also been a feature since mid ___, probably progressed to complete collapse. Tracheostomy tube in standard placement.","The heart is unchanged in size, probably mildly enlarged, but obscured by mediastinal fat deposition.",Heart size,,Stable,['files/p10/p10885696/s56441444/f50a6967-0c476fd1-f6b7ff3a-5cdaaa5f-c072b628.jpg'],"['files/p10/p10885696/s52937462/e7842e08-9ac5d312-a9c14d39-62df9f23-c7a94a70.jpg\n', 'files/p10/p10885696/s52937462/f1e6712c-61dabae0-6691539a-039dcbb7-6c467216.jpg\n']"
s56443683_4,p10885696,s56443683,4,Impression,"Right lower lobe pneumonia, which has not cleared, and small right pleural effusion.","Right lower lobe pneumonia, which has not cleared, and small right pleural effusion.",pneumonia,right lower lobe,Worse,"['files/p10/p10885696/s56443683/5b429228-9769c874-369577de-11d25077-c9ad1f2b.jpg', 'files/p10/p10885696/s56443683/747bf134-95cc6d92-0fb6f30d-863827b7-3042900e.jpg', 'files/p10/p10885696/s56443683/9623a655-03f06280-bcea21d9-461fa137-276ea8f3.jpg']",['files/p10/p10885696/s56441444/f50a6967-0c476fd1-f6b7ff3a-5cdaaa5f-c072b628.jpg\n']
s56443683_4,p10885696,s56443683,4,Findings,There is persistent opacification of the medial right lower lung. There is a small right pleural effusion. No pneumothorax is detected. There is no evidence for pulmonary edema. The aorta is tortuous. The patient is status post left upper lobectomy; surgical changes with volume loss are evident.,There is persistent opacification of the medial right lower lung.,opacification,medial right lower lung,Worse,"['files/p10/p10885696/s56443683/5b429228-9769c874-369577de-11d25077-c9ad1f2b.jpg', 'files/p10/p10885696/s56443683/747bf134-95cc6d92-0fb6f30d-863827b7-3042900e.jpg', 'files/p10/p10885696/s56443683/9623a655-03f06280-bcea21d9-461fa137-276ea8f3.jpg']",['files/p10/p10885696/s56441444/f50a6967-0c476fd1-f6b7ff3a-5cdaaa5f-c072b628.jpg\n']
s56446284_4,p10402372,s56446284,4,Findings,"Review of frontal and lateral views were remarkable for bilateral lower lung bronchiectasis with peribronchial opacities. In the right lower and medial lung, peribronchial opacities have improved since ___. There are no new opacities. Lungs are mildly hyperinflated. Heart size, mediastinal and hilar contours are normal. No pleural effusion.","In the right lower and medial lung, peribronchial opacities have improved since ___.",peribronchial opacities,right lower and medial lung,Better,"['files/p10/p10402372/s56446284/510e2767-2a04a9c8-afb492f8-57d38e8e-75d5d488.jpg', 'files/p10/p10402372/s56446284/5db0c1c9-ed5d119d-aaad1f9a-7c0edc05-e53df1c9.jpg']","['files/p10/p10402372/s54715839/4162d52a-859bcbfd-0cda6728-f8f1a2cf-87ccf199.jpg\n', 'files/p10/p10402372/s54715839/b4220d24-884a0275-1552d547-a339b365-4417b9d5.jpg\n']"
s56446284_4,p10402372,s56446284,4,Impression,Bilateral lower lobe bronchiectasis with improved right lower medial lung peribronchial consolidation.,Bilateral lower lobe bronchiectasis with improved right lower medial lung peribronchial consolidation.,peribronchial consolidation,right lower medial lung,Better,"['files/p10/p10402372/s56446284/510e2767-2a04a9c8-afb492f8-57d38e8e-75d5d488.jpg', 'files/p10/p10402372/s56446284/5db0c1c9-ed5d119d-aaad1f9a-7c0edc05-e53df1c9.jpg']","['files/p10/p10402372/s54715839/4162d52a-859bcbfd-0cda6728-f8f1a2cf-87ccf199.jpg\n', 'files/p10/p10402372/s54715839/b4220d24-884a0275-1552d547-a339b365-4417b9d5.jpg\n']"
s56451222_27,p11474065,s56451222,27,Findings,There is persistent right base atelectasis/ scarring. No new focal consolidation is seen. There is no large pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable.,There is persistent right base atelectasis/ scarring.,atelectasis/scarring,right base,Stable,['files/p11/p11474065/s56451222/408936b5-77f25bee-8f73cc21-251fc7bc-013094dc.jpg'],"['files/p11/p11474065/s56372001/460d2f1e-3b268dd5-4eb6b5cc-a7af4619-93bac28c.jpg\n', 'files/p11/p11474065/s56372001/a57921f1-082e4298-c45f0a33-97a652fc-627f468e.jpg\n']"
s56456060_2,p17318449,s56456060,2,Findings,Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy. The previously seen left lower lobe focus of consolidation is no longer seen. There is mild right base atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable; the cardiac silhouette is not enlarged. The aorta remains calcified and tortuous. Evidence of DISH is seen along the spine.,The cardiac and mediastinal silhouettes are stable; the cardiac silhouette is not enlarged.,silhouettes,cardiac and mediastinal,Stable,"['files/p17/p17318449/s56456060/8b177416-806e9ce8-3b975084-9b91c002-0ca6d0aa.jpg', 'files/p17/p17318449/s56456060/eb015667-db827ca3-eadd5d39-1e4f2e30-bf09f5b6.jpg']","['files/p17/p17318449/s55944918/2a2a2146-3823d8bb-bc8ec58d-9af8fa05-fa3a7068.jpg\n', 'files/p17/p17318449/s55944918/6021cfe7-e84289ad-c2738e0c-e8db237c-d7147774.jpg\n', 'files/p17/p17318449/s55944918/6ca5a964-c2ca2bd9-65649ae8-f92049bd-64042102.jpg\n']"
s56456060_2,p17318449,s56456060,2,Findings,Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy. The previously seen left lower lobe focus of consolidation is no longer seen. There is mild right base atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable; the cardiac silhouette is not enlarged. The aorta remains calcified and tortuous. Evidence of DISH is seen along the spine.,The aorta remains calcified and tortuous.,calcified and tortuous,aorta,Stable,"['files/p17/p17318449/s56456060/8b177416-806e9ce8-3b975084-9b91c002-0ca6d0aa.jpg', 'files/p17/p17318449/s56456060/eb015667-db827ca3-eadd5d39-1e4f2e30-bf09f5b6.jpg']","['files/p17/p17318449/s55944918/2a2a2146-3823d8bb-bc8ec58d-9af8fa05-fa3a7068.jpg\n', 'files/p17/p17318449/s55944918/6021cfe7-e84289ad-c2738e0c-e8db237c-d7147774.jpg\n', 'files/p17/p17318449/s55944918/6ca5a964-c2ca2bd9-65649ae8-f92049bd-64042102.jpg\n']"
s56456060_2,p17318449,s56456060,2,Findings,Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy. The previously seen left lower lobe focus of consolidation is no longer seen. There is mild right base atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable; the cardiac silhouette is not enlarged. The aorta remains calcified and tortuous. Evidence of DISH is seen along the spine.,The previously seen left lower lobe focus of consolidation is no longer seen.,consolidation,left lower lobe,Resolve,"['files/p17/p17318449/s56456060/8b177416-806e9ce8-3b975084-9b91c002-0ca6d0aa.jpg', 'files/p17/p17318449/s56456060/eb015667-db827ca3-eadd5d39-1e4f2e30-bf09f5b6.jpg']","['files/p17/p17318449/s55944918/2a2a2146-3823d8bb-bc8ec58d-9af8fa05-fa3a7068.jpg\n', 'files/p17/p17318449/s55944918/6021cfe7-e84289ad-c2738e0c-e8db237c-d7147774.jpg\n', 'files/p17/p17318449/s55944918/6ca5a964-c2ca2bd9-65649ae8-f92049bd-64042102.jpg\n']"
s56460885_3,p14387068,s56460885,3,Impression,"AP chest compared to ___ 4:11 a.m.: Previous edema in the left lung has cleared. There has been no appreciable change in the extent of the large right hydropneumothorax with near collapse of the right lung and moderate leftward shift of the lower portion of the mediastinum and downward displacement of the right hemidiaphragm. Findings were discussed by telephone earlier this morning with the house officer caring for this patient, Dr. ___.",There has been no appreciable change in the extent of the large right hydropneumothorax with near collapse of the right lung and moderate leftward shift of the lower portion of the mediastinum and downward displacement of the right hemidiaphragm.,displacement,right hemidiaphragm,Stable,['files/p14/p14387068/s56460885/3af2079b-5efadc60-7a5c217f-b733fcbc-346b0893.jpg'],"['files/p14/p14387068/s55693842/839ef707-03863b69-f7079a97-b5b91539-90449683.jpg\n', 'files/p14/p14387068/s55693842/960b69b4-844f9fbb-2fe99d01-27e23cb6-c4a78097.jpg\n']"
s56460885_3,p14387068,s56460885,3,Impression,"AP chest compared to ___ 4:11 a.m.: Previous edema in the left lung has cleared. There has been no appreciable change in the extent of the large right hydropneumothorax with near collapse of the right lung and moderate leftward shift of the lower portion of the mediastinum and downward displacement of the right hemidiaphragm. Findings were discussed by telephone earlier this morning with the house officer caring for this patient, Dr. ___.",There has been no appreciable change in the extent of the large right hydropneumothorax with near collapse of the right lung and moderate leftward shift of the lower portion of the mediastinum and downward displacement of the right hemidiaphragm.,shift,lower portion of the mediastinum,Stable,['files/p14/p14387068/s56460885/3af2079b-5efadc60-7a5c217f-b733fcbc-346b0893.jpg'],"['files/p14/p14387068/s55693842/839ef707-03863b69-f7079a97-b5b91539-90449683.jpg\n', 'files/p14/p14387068/s55693842/960b69b4-844f9fbb-2fe99d01-27e23cb6-c4a78097.jpg\n']"
s56460885_3,p14387068,s56460885,3,Impression,"AP chest compared to ___ 4:11 a.m.: Previous edema in the left lung has cleared. There has been no appreciable change in the extent of the large right hydropneumothorax with near collapse of the right lung and moderate leftward shift of the lower portion of the mediastinum and downward displacement of the right hemidiaphragm. Findings were discussed by telephone earlier this morning with the house officer caring for this patient, Dr. ___.",There has been no appreciable change in the extent of the large right hydropneumothorax with near collapse of the right lung and moderate leftward shift of the lower portion of the mediastinum and downward displacement of the right hemidiaphragm.,collapse,right lung,Stable,['files/p14/p14387068/s56460885/3af2079b-5efadc60-7a5c217f-b733fcbc-346b0893.jpg'],"['files/p14/p14387068/s55693842/839ef707-03863b69-f7079a97-b5b91539-90449683.jpg\n', 'files/p14/p14387068/s55693842/960b69b4-844f9fbb-2fe99d01-27e23cb6-c4a78097.jpg\n']"
s56460885_3,p14387068,s56460885,3,Impression,"AP chest compared to ___ 4:11 a.m.: Previous edema in the left lung has cleared. There has been no appreciable change in the extent of the large right hydropneumothorax with near collapse of the right lung and moderate leftward shift of the lower portion of the mediastinum and downward displacement of the right hemidiaphragm. Findings were discussed by telephone earlier this morning with the house officer caring for this patient, Dr. ___.",There has been no appreciable change in the extent of the large right hydropneumothorax with near collapse of the right lung and moderate leftward shift of the lower portion of the mediastinum and downward displacement of the right hemidiaphragm.,hydropneumothorax,right,Stable,['files/p14/p14387068/s56460885/3af2079b-5efadc60-7a5c217f-b733fcbc-346b0893.jpg'],"['files/p14/p14387068/s55693842/839ef707-03863b69-f7079a97-b5b91539-90449683.jpg\n', 'files/p14/p14387068/s55693842/960b69b4-844f9fbb-2fe99d01-27e23cb6-c4a78097.jpg\n']"
s56460885_3,p14387068,s56460885,3,Impression,"AP chest compared to ___ 4:11 a.m.: Previous edema in the left lung has cleared. There has been no appreciable change in the extent of the large right hydropneumothorax with near collapse of the right lung and moderate leftward shift of the lower portion of the mediastinum and downward displacement of the right hemidiaphragm. Findings were discussed by telephone earlier this morning with the house officer caring for this patient, Dr. ___.",AP chest compared to ___ 4:11 a.m.: Previous edema in the left lung has cleared.,edema,left lung,Resolve,['files/p14/p14387068/s56460885/3af2079b-5efadc60-7a5c217f-b733fcbc-346b0893.jpg'],"['files/p14/p14387068/s55693842/839ef707-03863b69-f7079a97-b5b91539-90449683.jpg\n', 'files/p14/p14387068/s55693842/960b69b4-844f9fbb-2fe99d01-27e23cb6-c4a78097.jpg\n']"
s56465441_3,p16055653,s56465441,3,Findings,"In comparison with the study of ___, there has been placement of a right IJ catheter that extends to the lower portion of the SVC. No evidence of pneumothorax or widening of the mediastinum. In comparison with the prior study, there are even lower lung volumes, but otherwise little change in the appearance of the heart and lungs.","In comparison with the prior study, there are even lower lung volumes, but otherwise little change in the appearance of the heart and lungs.",appearance of the heart and lungs,,Stable,"['files/p16/p16055653/s56465441/47b82a26-321d12c0-2e8e3d70-fea4fb45-3e201e4c.jpg', 'files/p16/p16055653/s56465441/807aa21b-591fc5c2-928a2b58-33af8636-1de7e3a9.jpg']",['files/p16/p16055653/s54823444/e2706168-aad7b524-06ccdf55-031e9a4f-5c0bdcb8.jpg\n']
s56466110_37,p19182863,s56466110,37,Impression,Small right pleural effusion has slightly increased since ___,Small right pleural effusion has slightly increased since ___,pleural effusion,right,Worse,['files/p19/p19182863/s56466110/a7747cf0-5a042d25-ae9af09d-d8f2956d-ecfb087d.jpg'],['files/p19/p19182863/s56367677/f0af6b21-c203468f-f3fc3442-bd92e0bb-bf562d09.jpg\n']
s56466110_37,p19182863,s56466110,37,Findings,"Small right pleural effusion has slightly increased in size compared to ___ with associated right lung basilar atelectasis. Lungs are otherwise clear without focal consolidation or pulmonary edema. Left IJ central venous line ends in a known left SVC. The cardiac silhouette continues to be mildly enlarged, and the median sternotomy wires are intact. The mediastinal and hilar contours are normal.","The cardiac silhouette continues to be mildly enlarged, and the median sternotomy wires are intact.",mildly enlarged cardiac silhouette,,Stable,['files/p19/p19182863/s56466110/a7747cf0-5a042d25-ae9af09d-d8f2956d-ecfb087d.jpg'],['files/p19/p19182863/s56367677/f0af6b21-c203468f-f3fc3442-bd92e0bb-bf562d09.jpg\n']
s56466110_37,p19182863,s56466110,37,Findings,"Small right pleural effusion has slightly increased in size compared to ___ with associated right lung basilar atelectasis. Lungs are otherwise clear without focal consolidation or pulmonary edema. Left IJ central venous line ends in a known left SVC. The cardiac silhouette continues to be mildly enlarged, and the median sternotomy wires are intact. The mediastinal and hilar contours are normal.",Small right pleural effusion has slightly increased in size compared to ___ with associated right lung basilar atelectasis.,atelectasis,right lung basilar,Worse,['files/p19/p19182863/s56466110/a7747cf0-5a042d25-ae9af09d-d8f2956d-ecfb087d.jpg'],['files/p19/p19182863/s56367677/f0af6b21-c203468f-f3fc3442-bd92e0bb-bf562d09.jpg\n']
s56466110_37,p19182863,s56466110,37,Findings,"Small right pleural effusion has slightly increased in size compared to ___ with associated right lung basilar atelectasis. Lungs are otherwise clear without focal consolidation or pulmonary edema. Left IJ central venous line ends in a known left SVC. The cardiac silhouette continues to be mildly enlarged, and the median sternotomy wires are intact. The mediastinal and hilar contours are normal.",Small right pleural effusion has slightly increased in size compared to ___ with associated right lung basilar atelectasis.,pleural effusion,right,Worse,['files/p19/p19182863/s56466110/a7747cf0-5a042d25-ae9af09d-d8f2956d-ecfb087d.jpg'],['files/p19/p19182863/s56367677/f0af6b21-c203468f-f3fc3442-bd92e0bb-bf562d09.jpg\n']
s56469870_2,p14387068,s56469870,2,Impression,"AP chest compared to 4:59 p.m., ___. Moderate right pleural effusion is reaccumulating after apparent removal of the right pigtail pleural drain, while displacement of the right hemidiaphragm downwards and the mediastinum leftwards suggest increasing positive pressure in the right hemithorax. Left lung is over-perfused and now mildly edematous. Dr. ___ was paged, covered by ___, at the time of dictation.","AP chest compared to 4:59 p.m., ___. Moderate right pleural effusion is reaccumulating after apparent removal of the right pigtail pleural drain, while displacement of the right hemidiaphragm downwards and the mediastinum leftwards suggest increasing positive pressure in the right hemithorax.",pleural effusion,right,Worse,['files/p14/p14387068/s56469870/92666ac1-70ccc2f3-66bc3d47-ed08bd0e-d444a359.jpg'],['files/p14/p14387068/s56460885/3af2079b-5efadc60-7a5c217f-b733fcbc-346b0893.jpg\n']
s56469870_2,p14387068,s56469870,2,Impression,"AP chest compared to 4:59 p.m., ___. Moderate right pleural effusion is reaccumulating after apparent removal of the right pigtail pleural drain, while displacement of the right hemidiaphragm downwards and the mediastinum leftwards suggest increasing positive pressure in the right hemithorax. Left lung is over-perfused and now mildly edematous. Dr. ___ was paged, covered by ___, at the time of dictation.","AP chest compared to 4:59 p.m., ___. Moderate right pleural effusion is reaccumulating after apparent removal of the right pigtail pleural drain, while displacement of the right hemidiaphragm downwards and the mediastinum leftwards suggest increasing positive pressure in the right hemithorax.",displacement,right hemidiaphragm,Worse,['files/p14/p14387068/s56469870/92666ac1-70ccc2f3-66bc3d47-ed08bd0e-d444a359.jpg'],['files/p14/p14387068/s56460885/3af2079b-5efadc60-7a5c217f-b733fcbc-346b0893.jpg\n']
s56469870_2,p14387068,s56469870,2,Impression,"AP chest compared to 4:59 p.m., ___. Moderate right pleural effusion is reaccumulating after apparent removal of the right pigtail pleural drain, while displacement of the right hemidiaphragm downwards and the mediastinum leftwards suggest increasing positive pressure in the right hemithorax. Left lung is over-perfused and now mildly edematous. Dr. ___ was paged, covered by ___, at the time of dictation.","AP chest compared to 4:59 p.m., ___. Moderate right pleural effusion is reaccumulating after apparent removal of the right pigtail pleural drain, while displacement of the right hemidiaphragm downwards and the mediastinum leftwards suggest increasing positive pressure in the right hemithorax.",displacement,mediastinum,Worse,['files/p14/p14387068/s56469870/92666ac1-70ccc2f3-66bc3d47-ed08bd0e-d444a359.jpg'],['files/p14/p14387068/s56460885/3af2079b-5efadc60-7a5c217f-b733fcbc-346b0893.jpg\n']
s56469870_2,p14387068,s56469870,2,Impression,"AP chest compared to 4:59 p.m., ___. Moderate right pleural effusion is reaccumulating after apparent removal of the right pigtail pleural drain, while displacement of the right hemidiaphragm downwards and the mediastinum leftwards suggest increasing positive pressure in the right hemithorax. Left lung is over-perfused and now mildly edematous. Dr. ___ was paged, covered by ___, at the time of dictation.",Left lung is over-perfused and now mildly edematous.,edema,left lung,Worse,['files/p14/p14387068/s56469870/92666ac1-70ccc2f3-66bc3d47-ed08bd0e-d444a359.jpg'],['files/p14/p14387068/s56460885/3af2079b-5efadc60-7a5c217f-b733fcbc-346b0893.jpg\n']
s56470564_2,p18110020,s56470564,2,Impression,"1. Interval placement of a nasogastric tube, which is seen coursing below the diaphragm with the tip not identified. Persistent marked thoracolumbar scoliosis markedly distorting the thoracic cage. Lungs appear grossly clear. The cardiomediastinal contours are difficult to assess given the patient positioning on the current examination superimposed on the scoliosis. No evidence of pulmonary edema, pleural effusions or pneumothorax.",Persistent marked thoracolumbar scoliosis markedly distorting the thoracic cage.,Scoliosis,Thoracolumbar,Stable,['files/p18/p18110020/s56470564/8ec25d32-d8679702-2fb2e638-24c54c84-34d1ee79.jpg'],['files/p18/p18110020/s54704786/ad9e2456-f98c1352-b904fc3d-bc109888-81830f7f.jpg\n']
s56480068_1,p17669276,s56480068,1,Impression,"PA and lateral chest compared to ___: A week ago the patient had mild pulmonary edema and possible right upper lobe pneumonia. Both of these abnormalities have resolved, with residual small bilateral pleural effusions and severe chronic cardiomegaly. Lateral view shows vertebral compression fractures and cementoplasty in the low thoracic spine.","PA and lateral chest compared to ___: A week ago the patient had mild pulmonary edema and possible right upper lobe pneumonia. Both of these abnormalities have resolved, with residual small bilateral pleural effusions and severe chronic cardiomegaly. Lateral view shows vertebral compression fractures and cementoplasty in the low thoracic spine.",pneumonia,right upper lobe,Resolve,"['files/p17/p17669276/s56480068/567a1582-500df953-fc2fffac-c43d2f76-d2601cb4.jpg', 'files/p17/p17669276/s56480068/e427d893-e487d1b7-da4cd67a-675eaff1-ff816382.jpg']",['files/p17/p17669276/s53637827/ce079139-3dd3fe97-6c8688b6-c1ff49b1-d8b8585f.jpg\n']
s56480068_1,p17669276,s56480068,1,Impression,"PA and lateral chest compared to ___: A week ago the patient had mild pulmonary edema and possible right upper lobe pneumonia. Both of these abnormalities have resolved, with residual small bilateral pleural effusions and severe chronic cardiomegaly. Lateral view shows vertebral compression fractures and cementoplasty in the low thoracic spine.","PA and lateral chest compared to ___: A week ago the patient had mild pulmonary edema and possible right upper lobe pneumonia. Both of these abnormalities have resolved, with residual small bilateral pleural effusions and severe chronic cardiomegaly. Lateral view shows vertebral compression fractures and cementoplasty in the low thoracic spine.",mild pulmonary edema,,Resolve,"['files/p17/p17669276/s56480068/567a1582-500df953-fc2fffac-c43d2f76-d2601cb4.jpg', 'files/p17/p17669276/s56480068/e427d893-e487d1b7-da4cd67a-675eaff1-ff816382.jpg']",['files/p17/p17669276/s53637827/ce079139-3dd3fe97-6c8688b6-c1ff49b1-d8b8585f.jpg\n']
s56483572_8,p19075045,s56483572,8,Findings,"In comparison with the study of ___, the monitoring and support devices remain in place. There may be mild increased aeration in the left upper zone. Retrocardiac opacification is consistent with volume loss in the left lower lobe. Hazy opacification bilaterally is consistent with pleural effusions, and there is some increase in pulmonary venous pressure.","In comparison with the study of ___, the monitoring and support devices remain in place.",monitoring and support devices,,Stable,['files/p19/p19075045/s56483572/c148002c-a0674884-d784b291-762232a4-a10fa5aa.jpg'],['files/p19/p19075045/s56350217/14200531-39fee1a8-8d9a8e5b-6371c2b4-a4440c1e.jpg\n']
s56483572_8,p19075045,s56483572,8,Findings,"In comparison with the study of ___, the monitoring and support devices remain in place. There may be mild increased aeration in the left upper zone. Retrocardiac opacification is consistent with volume loss in the left lower lobe. Hazy opacification bilaterally is consistent with pleural effusions, and there is some increase in pulmonary venous pressure.",There may be mild increased aeration in the left upper zone.,aeration,left upper zone,Worse,['files/p19/p19075045/s56483572/c148002c-a0674884-d784b291-762232a4-a10fa5aa.jpg'],['files/p19/p19075045/s56350217/14200531-39fee1a8-8d9a8e5b-6371c2b4-a4440c1e.jpg\n']
s56483572_8,p19075045,s56483572,8,Findings,"In comparison with the study of ___, the monitoring and support devices remain in place. There may be mild increased aeration in the left upper zone. Retrocardiac opacification is consistent with volume loss in the left lower lobe. Hazy opacification bilaterally is consistent with pleural effusions, and there is some increase in pulmonary venous pressure.","Hazy opacification bilaterally is consistent with pleural effusions, and there is some increase in pulmonary venous pressure.",pleural effusions,bilateral,Worse,['files/p19/p19075045/s56483572/c148002c-a0674884-d784b291-762232a4-a10fa5aa.jpg'],['files/p19/p19075045/s56350217/14200531-39fee1a8-8d9a8e5b-6371c2b4-a4440c1e.jpg\n']
s56486000_0,p10449297,s56486000,0,Findings,"Lung volumes are low. Elevation of the right hemidiaphragm appears similar. Cardiomegaly is again noted. Minimal linear left basilar opacity appears similar and likely represents atelectasis. Of note, evaluation is slightly limited in the absence of lateral view. No pleural effusion or pneumothorax is seen on this single view. No focal consolidation is seen on this single view. Aortic calcifications are again noted. Radiopaque material in the left abdomen may represent previously ingested oral contrast.",Minimal linear left basilar opacity appears similar and likely represents atelectasis.,opacity,left basilar,Stable,['files/p10/p10449297/s56486000/144841f5-0126909a-cde81d66-1db1375d-b3ed7127.jpg'],"['files/p10/p10449297/s54773340/c030b6d3-bd30c805-6a5b4a1c-43939f5d-e533cace.jpg\n', 'files/p10/p10449297/s54773340/c11e9140-f4243636-254f1c94-23fa1f6b-4efd76bf.jpg\n']"
s56486000_0,p10449297,s56486000,0,Findings,"Lung volumes are low. Elevation of the right hemidiaphragm appears similar. Cardiomegaly is again noted. Minimal linear left basilar opacity appears similar and likely represents atelectasis. Of note, evaluation is slightly limited in the absence of lateral view. No pleural effusion or pneumothorax is seen on this single view. No focal consolidation is seen on this single view. Aortic calcifications are again noted. Radiopaque material in the left abdomen may represent previously ingested oral contrast.",Aortic calcifications are again noted.,Aortic calcifications,,Worse,['files/p10/p10449297/s56486000/144841f5-0126909a-cde81d66-1db1375d-b3ed7127.jpg'],"['files/p10/p10449297/s54773340/c030b6d3-bd30c805-6a5b4a1c-43939f5d-e533cace.jpg\n', 'files/p10/p10449297/s54773340/c11e9140-f4243636-254f1c94-23fa1f6b-4efd76bf.jpg\n']"
s56486000_0,p10449297,s56486000,0,Findings,"Lung volumes are low. Elevation of the right hemidiaphragm appears similar. Cardiomegaly is again noted. Minimal linear left basilar opacity appears similar and likely represents atelectasis. Of note, evaluation is slightly limited in the absence of lateral view. No pleural effusion or pneumothorax is seen on this single view. No focal consolidation is seen on this single view. Aortic calcifications are again noted. Radiopaque material in the left abdomen may represent previously ingested oral contrast.",Elevation of the right hemidiaphragm appears similar.,hemidiaphragm elevation,right,Stable,['files/p10/p10449297/s56486000/144841f5-0126909a-cde81d66-1db1375d-b3ed7127.jpg'],"['files/p10/p10449297/s54773340/c030b6d3-bd30c805-6a5b4a1c-43939f5d-e533cace.jpg\n', 'files/p10/p10449297/s54773340/c11e9140-f4243636-254f1c94-23fa1f6b-4efd76bf.jpg\n']"
s56486000_0,p10449297,s56486000,0,Impression,Stable frontal chest radiograph. Limited evaluation in the setting of single frontal view; lateral view would be helpful for more thorough evaluation. This was discussed with Dr. ___ by Dr. ___ by phone at 12:45 p.m. on ___.,Stable frontal chest radiograph.,frontal chest radiograph,,Stable,['files/p10/p10449297/s56486000/144841f5-0126909a-cde81d66-1db1375d-b3ed7127.jpg'],"['files/p10/p10449297/s54773340/c030b6d3-bd30c805-6a5b4a1c-43939f5d-e533cace.jpg\n', 'files/p10/p10449297/s54773340/c11e9140-f4243636-254f1c94-23fa1f6b-4efd76bf.jpg\n']"
s56486000_0,p10449297,s56486000,0,Findings,"Lung volumes are low. Elevation of the right hemidiaphragm appears similar. Cardiomegaly is again noted. Minimal linear left basilar opacity appears similar and likely represents atelectasis. Of note, evaluation is slightly limited in the absence of lateral view. No pleural effusion or pneumothorax is seen on this single view. No focal consolidation is seen on this single view. Aortic calcifications are again noted. Radiopaque material in the left abdomen may represent previously ingested oral contrast.",Cardiomegaly is again noted.,Cardiomegaly,,Worse,['files/p10/p10449297/s56486000/144841f5-0126909a-cde81d66-1db1375d-b3ed7127.jpg'],"['files/p10/p10449297/s54773340/c030b6d3-bd30c805-6a5b4a1c-43939f5d-e533cace.jpg\n', 'files/p10/p10449297/s54773340/c11e9140-f4243636-254f1c94-23fa1f6b-4efd76bf.jpg\n']"
s56492056_50,p13475033,s56492056,50,Impression,"Compared to chest radiographs since ___, most recently ___. Chronic moderate to severe non fibrotic interstitial pulmonary abnormality has been present for years. Intermittent radiographic exacerbation has been attributed to volume overload. Today the abnormality is comparable in severity to many previous examinations and less severe than some. That is not an indication of acute pneumonia or even pulmonary edema. Moderate cardiomegaly is long-standing, also less severe today than at some times in the past and there is no pleural effusion.",Today the abnormality is comparable in severity to many previous examinations and less severe than some.,Interstitial pulmonary abnormality,,Stable,"['files/p13/p13475033/s56492056/a7ef9b84-a6c8ac03-589e00d3-2aa0177b-d9afa4a8.jpg', 'files/p13/p13475033/s56492056/b271e268-5ff07642-0d37e1c1-760b6df6-f50c46b0.jpg', 'files/p13/p13475033/s56492056/f941714e-2232d2d8-cb30b22b-f05d1bf3-0ea141b4.jpg']","['files/p13/p13475033/s56231194/1042abaa-1e289541-bdf86540-15143a44-0079aba7.jpg\n', 'files/p13/p13475033/s56231194/73c08169-7948c6ff-04f9eccb-16f2d912-e60dad1a.jpg\n', 'files/p13/p13475033/s56231194/dcd2b9ba-011274a6-6e6f99c8-7d3d5cf0-f784a550.jpg\n', 'files/p13/p13475033/s56231194/e919ccde-cbde9eef-ec83c6fe-361b22e6-fea7aa96.jpg\n']"
s56492056_50,p13475033,s56492056,50,Impression,"Compared to chest radiographs since ___, most recently ___. Chronic moderate to severe non fibrotic interstitial pulmonary abnormality has been present for years. Intermittent radiographic exacerbation has been attributed to volume overload. Today the abnormality is comparable in severity to many previous examinations and less severe than some. That is not an indication of acute pneumonia or even pulmonary edema. Moderate cardiomegaly is long-standing, also less severe today than at some times in the past and there is no pleural effusion.","Moderate cardiomegaly is long-standing, also less severe today than at some times in the past and there is no pleural effusion.",Cardiomegaly,,Stable,"['files/p13/p13475033/s56492056/a7ef9b84-a6c8ac03-589e00d3-2aa0177b-d9afa4a8.jpg', 'files/p13/p13475033/s56492056/b271e268-5ff07642-0d37e1c1-760b6df6-f50c46b0.jpg', 'files/p13/p13475033/s56492056/f941714e-2232d2d8-cb30b22b-f05d1bf3-0ea141b4.jpg']","['files/p13/p13475033/s56231194/1042abaa-1e289541-bdf86540-15143a44-0079aba7.jpg\n', 'files/p13/p13475033/s56231194/73c08169-7948c6ff-04f9eccb-16f2d912-e60dad1a.jpg\n', 'files/p13/p13475033/s56231194/dcd2b9ba-011274a6-6e6f99c8-7d3d5cf0-f784a550.jpg\n', 'files/p13/p13475033/s56231194/e919ccde-cbde9eef-ec83c6fe-361b22e6-fea7aa96.jpg\n']"
s56494283_34,p12185775,s56494283,34,Impression,Severe cardiomegaly and widened mediastinum are unchanged. Pulmonary edema has markedly improved. Retrocardiac opacities have improved consistent with improving atelectasis and small left effusion. There is no pneumothorax. Lines and tubes are in standard position. calcified granulomas in the left upper lobe are again noted.,Retrocardiac opacities have improved consistent with improving atelectasis and small left effusion.,opacities,retrocardiac,Better,['files/p12/p12185775/s56494283/957c26f1-18da168e-71c98f71-7f791b2a-4cb759cb.jpg'],['files/p12/p12185775/s56143620/b529320a-394d7b79-a3e8c3da-c28c6b94-7ec08b51.jpg\n']
s56494283_34,p12185775,s56494283,34,Impression,Severe cardiomegaly and widened mediastinum are unchanged. Pulmonary edema has markedly improved. Retrocardiac opacities have improved consistent with improving atelectasis and small left effusion. There is no pneumothorax. Lines and tubes are in standard position. calcified granulomas in the left upper lobe are again noted.,Pulmonary edema has markedly improved.,pulmonary edema,,Better,['files/p12/p12185775/s56494283/957c26f1-18da168e-71c98f71-7f791b2a-4cb759cb.jpg'],['files/p12/p12185775/s56143620/b529320a-394d7b79-a3e8c3da-c28c6b94-7ec08b51.jpg\n']
s56494283_34,p12185775,s56494283,34,Impression,Severe cardiomegaly and widened mediastinum are unchanged. Pulmonary edema has markedly improved. Retrocardiac opacities have improved consistent with improving atelectasis and small left effusion. There is no pneumothorax. Lines and tubes are in standard position. calcified granulomas in the left upper lobe are again noted.,Severe cardiomegaly and widened mediastinum are unchanged.,severe cardiomegaly and widened mediastinum,,Stable,['files/p12/p12185775/s56494283/957c26f1-18da168e-71c98f71-7f791b2a-4cb759cb.jpg'],['files/p12/p12185775/s56143620/b529320a-394d7b79-a3e8c3da-c28c6b94-7ec08b51.jpg\n']
s56497798_8,p13606683,s56497798,8,Impression,"AP chest compared to ___: Two leads of a three-lead right pectoral ICD pacemaker can be traced to the standard positions in the right atrium and right ventricle, the third lead, intended left ventricular lead, passes into the coronary sinus, but its tip is not visible. Conventional chest radiographs should be able with show it. There is no pneumothorax or attributable pleural effusion or mediastinal widening. Mild cardiomegaly is chronic. Hyperinflation indicates COPD. Small left pleural effusion or pleural thickening is unchanged since prior studies.",Small left pleural effusion or pleural thickening is unchanged since prior studies.,small pleural effusion or pleural thickening,left,Stable,['files/p13/p13606683/s56497798/9d32e96f-dcc52f72-a7262f7a-298b9e97-39fc55bb.jpg'],"['files/p13/p13606683/s56272498/2bc7899c-05cf424f-82964600-07574dae-5d813b68.jpg\n', 'files/p13/p13606683/s56272498/67e8e551-3fb614a6-58610388-c92da136-a8d32ff8.jpg\n', 'files/p13/p13606683/s56272498/e979c7ef-9b918587-a6307f2e-a76de838-7811d0a4.jpg\n']"
s56498272_11,p10439781,s56498272,11,Findings,"Frontal and lateral views of the chest were obtained. Cardiomegaly is mild, similar to prior. Prominent interstitial lung markings are compatible with known lung fibrosis. Indistinct pulmonary vascular markings are similar to prior and compatible with mild pulmonary edema. No focal consolidation, pleural effusion, or pneumothorax. The catheter of the left chest wall port terminates in the right atrium. Multiple vertebroplasties are similar to prior. No displaced rib fracture is identified.",Multiple vertebroplasties are similar to prior.,vertebroplasties,,Stable,"['files/p10/p10439781/s56498272/cbf70dce-197f82f4-7b8613a7-c0b0b099-d1de4726.jpg', 'files/p10/p10439781/s56498272/ffa27b68-fa32bc2b-9197ec90-33bf30ae-8bea837b.jpg']","['files/p10/p10439781/s56140154/aef56b96-414318d0-e624a158-a88b719d-18fa9377.jpg\n', 'files/p10/p10439781/s56140154/fd8df0f3-08320e37-c337efdf-505d4348-76e89a9e.jpg\n']"
s56498272_11,p10439781,s56498272,11,Impression,"Mild pulmonary edema superimposed on known lung fibrosis. Severe chronic cardiomegaly and pulmonary hypertension. No displaced rib fracture. Multiple vertebroplasties, similar to prior.","Multiple vertebroplasties, similar to prior.",vertebroplasties,,Stable,"['files/p10/p10439781/s56498272/cbf70dce-197f82f4-7b8613a7-c0b0b099-d1de4726.jpg', 'files/p10/p10439781/s56498272/ffa27b68-fa32bc2b-9197ec90-33bf30ae-8bea837b.jpg']","['files/p10/p10439781/s56140154/aef56b96-414318d0-e624a158-a88b719d-18fa9377.jpg\n', 'files/p10/p10439781/s56140154/fd8df0f3-08320e37-c337efdf-505d4348-76e89a9e.jpg\n']"
s56498272_11,p10439781,s56498272,11,Findings,"Frontal and lateral views of the chest were obtained. Cardiomegaly is mild, similar to prior. Prominent interstitial lung markings are compatible with known lung fibrosis. Indistinct pulmonary vascular markings are similar to prior and compatible with mild pulmonary edema. No focal consolidation, pleural effusion, or pneumothorax. The catheter of the left chest wall port terminates in the right atrium. Multiple vertebroplasties are similar to prior. No displaced rib fracture is identified.",Indistinct pulmonary vascular markings are similar to prior and compatible with mild pulmonary edema.,pulmonary vascular markings,,Stable,"['files/p10/p10439781/s56498272/cbf70dce-197f82f4-7b8613a7-c0b0b099-d1de4726.jpg', 'files/p10/p10439781/s56498272/ffa27b68-fa32bc2b-9197ec90-33bf30ae-8bea837b.jpg']","['files/p10/p10439781/s56140154/aef56b96-414318d0-e624a158-a88b719d-18fa9377.jpg\n', 'files/p10/p10439781/s56140154/fd8df0f3-08320e37-c337efdf-505d4348-76e89a9e.jpg\n']"
s56498272_11,p10439781,s56498272,11,Findings,"Frontal and lateral views of the chest were obtained. Cardiomegaly is mild, similar to prior. Prominent interstitial lung markings are compatible with known lung fibrosis. Indistinct pulmonary vascular markings are similar to prior and compatible with mild pulmonary edema. No focal consolidation, pleural effusion, or pneumothorax. The catheter of the left chest wall port terminates in the right atrium. Multiple vertebroplasties are similar to prior. No displaced rib fracture is identified.","Cardiomegaly is mild, similar to prior.",Cardiomegaly,,Stable,"['files/p10/p10439781/s56498272/cbf70dce-197f82f4-7b8613a7-c0b0b099-d1de4726.jpg', 'files/p10/p10439781/s56498272/ffa27b68-fa32bc2b-9197ec90-33bf30ae-8bea837b.jpg']","['files/p10/p10439781/s56140154/aef56b96-414318d0-e624a158-a88b719d-18fa9377.jpg\n', 'files/p10/p10439781/s56140154/fd8df0f3-08320e37-c337efdf-505d4348-76e89a9e.jpg\n']"
s56502688_3,p12074041,s56502688,3,Findings,"New mild pulmonary arteries cephalization with increased interstitial markings are compatible with mild interstitial edema. Mild cardiac enlargement is stable. There are bibasilar opacities that could be explained in part by small bilateral pleural effusion and atelectasis; however, pneumonia or aspiration cannot be excluded. There is no pneumothorax.",Mild cardiac enlargement is stable.,mild cardiac enlargement,,Stable,['files/p12/p12074041/s56502688/765fd687-06776030-fe337975-2739eab4-decbb9c2.jpg'],['files/p12/p12074041/s56121920/d834b686-fc38fc45-187ea122-4e655952-20a720bd.jpg\n']
s56502688_3,p12074041,s56502688,3,Findings,"New mild pulmonary arteries cephalization with increased interstitial markings are compatible with mild interstitial edema. Mild cardiac enlargement is stable. There are bibasilar opacities that could be explained in part by small bilateral pleural effusion and atelectasis; however, pneumonia or aspiration cannot be excluded. There is no pneumothorax.",New mild pulmonary arteries cephalization with increased interstitial markings are compatible with mild interstitial edema.,mild interstitial edema,,New,['files/p12/p12074041/s56502688/765fd687-06776030-fe337975-2739eab4-decbb9c2.jpg'],['files/p12/p12074041/s56121920/d834b686-fc38fc45-187ea122-4e655952-20a720bd.jpg\n']
s56502688_3,p12074041,s56502688,3,Impression,"1. New mild interstitial edema with stable mild cardiomegaly. 2. Bibasilar opacities could be in part explained by small pleural effusion and atelectasis. However, aspiration or pneumonia cannot be excluded. This has been verbally discussed with referring physician.",1. New mild interstitial edema with stable mild cardiomegaly.,mild cardiomegaly,,Stable,['files/p12/p12074041/s56502688/765fd687-06776030-fe337975-2739eab4-decbb9c2.jpg'],['files/p12/p12074041/s56121920/d834b686-fc38fc45-187ea122-4e655952-20a720bd.jpg\n']
s56502688_3,p12074041,s56502688,3,Impression,"1. New mild interstitial edema with stable mild cardiomegaly. 2. Bibasilar opacities could be in part explained by small pleural effusion and atelectasis. However, aspiration or pneumonia cannot be excluded. This has been verbally discussed with referring physician.",1. New mild interstitial edema with stable mild cardiomegaly.,mild interstitial edema,,New,['files/p12/p12074041/s56502688/765fd687-06776030-fe337975-2739eab4-decbb9c2.jpg'],['files/p12/p12074041/s56121920/d834b686-fc38fc45-187ea122-4e655952-20a720bd.jpg\n']
s56504249_5,p13078497,s56504249,5,Impression,"AP chest compared to ___ through ___, 1:18 p.m.: Severe bilateral infiltrative pulmonary abnormality continues to worsen. Small bilateral pleural effusions and moderate cardiomegaly suggest that at least some of this abnormality is due to pulmonary edema, but the widespread recurrent infiltrative pulmonary abnormality present to varying degrees on chest CT scans since ___ suggests an underlying process such as chronic pulmonary drug toxicity. ET tube is in standard placement. Swan-Ganz catheter ends in the right pulmonary artery. No pneumothorax.","AP chest compared to ___ through ___, 1:18 p.m.: Severe bilateral infiltrative pulmonary abnormality continues to worsen.",infiltrative pulmonary abnormality,bilateral,Worse,['files/p13/p13078497/s56504249/d87590d9-95b66369-39f99a0f-0df301b7-61463d4e.jpg'],['files/p13/p13078497/s55700894/942513ab-2cb022a3-69e4a885-1f192714-5d54f844.jpg\n']
s56506647_19,p13263843,s56506647,19,Findings,"In comparison with the earlier study of this date, there is little overall change in the degree of aeration of the lungs. Some suggested increased opacification at the left costophrenic angle could reflect some increasing effusion. No evidence of pneumothorax. Evidence of prior right upper lobe lobectomy and radiation therapy, better demonstrated on recent CT scan.","In comparison with the earlier study of this date, there is little overall change in the degree of aeration of the lungs.",aeration,lungs,Stable,['files/p13/p13263843/s56506647/28c782b9-7eb7d267-5a9a998f-25d24646-e811e771.jpg'],"['files/p13/p13263843/s55876844/7e276371-ae411cdf-477008cb-d9eb69ce-b35cc5a0.jpg\n', 'files/p13/p13263843/s55876844/eddb9933-b3f09de6-7a247c23-5008736e-5f1faba5.jpg\n']"
s56506647_19,p13263843,s56506647,19,Findings,"In comparison with the earlier study of this date, there is little overall change in the degree of aeration of the lungs. Some suggested increased opacification at the left costophrenic angle could reflect some increasing effusion. No evidence of pneumothorax. Evidence of prior right upper lobe lobectomy and radiation therapy, better demonstrated on recent CT scan.",Some suggested increased opacification at the left costophrenic angle could reflect some increasing effusion.,opacification,left costophrenic angle,Worse,['files/p13/p13263843/s56506647/28c782b9-7eb7d267-5a9a998f-25d24646-e811e771.jpg'],"['files/p13/p13263843/s55876844/7e276371-ae411cdf-477008cb-d9eb69ce-b35cc5a0.jpg\n', 'files/p13/p13263843/s55876844/eddb9933-b3f09de6-7a247c23-5008736e-5f1faba5.jpg\n']"
s56506968_39,p14841168,s56506968,39,Impression,Comparison to ___. No relevant change. Lung volumes are low. The monitoring and support devices are in stable correct position. Moderate cardiomegaly with mild fluid overload but no overt pulmonary edema. Minimal pleural fluid along the minor fissure on the right. No evidence of pneumonia.,The monitoring and support devices are in stable correct position.,monitoring and support devices,,Stable,['files/p14/p14841168/s56506968/431a17b6-190ff348-b3f07795-8b75e49c-9c2e5030.jpg'],['files/p14/p14841168/s56264253/3ced14b8-2accf862-b2eab013-efdf4f2d-991f75eb.jpg\n']
s56508966_3,p17396677,s56508966,3,Impression,"AP chest compared to ___: Opacification at both lung bases is probably a combination of persistent atelectasis, moderate on the right and moderate to severe on the left. There is also at least a small and a moderate volume of left pleural fluid. Significantly since ___ gaseous distention of the stomach has resolved.","AP chest compared to ___: Opacification at both lung bases is probably a combination of persistent atelectasis, moderate on the right and moderate to severe on the left.",atelectasis,both lung bases,Stable,['files/p17/p17396677/s56508966/b5031f7d-b438708b-34d144c5-851d4759-a3184a84.jpg'],"['files/p17/p17396677/s55939586/ab649acd-239dc728-c8404656-da6cbf96-fb31a0b6.jpg\n', 'files/p17/p17396677/s55939586/da96d0b2-703c1297-0c6a6193-9d2ce59a-b313489b.jpg\n']"
s56508966_3,p17396677,s56508966,3,Impression,"AP chest compared to ___: Opacification at both lung bases is probably a combination of persistent atelectasis, moderate on the right and moderate to severe on the left. There is also at least a small and a moderate volume of left pleural fluid. Significantly since ___ gaseous distention of the stomach has resolved.",Significantly since ___ gaseous distention of the stomach has resolved.,gaseous distention,stomach,Resolve,['files/p17/p17396677/s56508966/b5031f7d-b438708b-34d144c5-851d4759-a3184a84.jpg'],"['files/p17/p17396677/s55939586/ab649acd-239dc728-c8404656-da6cbf96-fb31a0b6.jpg\n', 'files/p17/p17396677/s55939586/da96d0b2-703c1297-0c6a6193-9d2ce59a-b313489b.jpg\n']"
s56510605_3,p13353878,s56510605,3,Findings,"AP upright and lateral views of the chest were provided. The lungs are clear. The heart is normal in size. Superior mediastinum appears widened, which could be due to thyroidal enlargement as seen on prior CT. Bony structures appear intact. There are prominent anterior spurs noted, however, in the mid T-spine.","Superior mediastinum appears widened, which could be due to thyroidal enlargement as seen on prior CT.",widened,Superior mediastinum,Worse,"['files/p13/p13353878/s56510605/c5d72977-09300b2f-a22239ad-2c5d50c8-0cc06cf6.jpg', 'files/p13/p13353878/s56510605/c8186106-21770457-b7245fc6-d47e6b43-e07991e8.jpg']","['files/p13/p13353878/s54783326/1a81259c-493d3b3c-de7e0965-b13a0f4c-d813d91d.jpg\n', 'files/p13/p13353878/s54783326/870c3a6b-22260d8a-f0ecaac8-e6be45f3-8789795e.jpg\n', 'files/p13/p13353878/s54783326/8e4f1e80-f399aae7-0d76204f-8cb99fb9-e837fe04.jpg\n']"
s56512741_34,p13475033,s56512741,34,Findings,"Moderate cardiomegaly is unchanged compared to exams dating back to ___, however appears slightly increased compared to exams from ___. There has been interval increase in moderate pulmonary vascular congestion and diffuse bilateral interstitial lung markings as well as peribronchiolar cuffing concerning for pulmonary edema. Widening of the superior mediastinum is due to mediastinal lipomatosis and tortuous vessels as seen on the prior CT from ___. Right-sided Morgagni hernia is unchanged. There is no large pleural effusion or pneumothorax. Compression deformities of the mid thoracic spine are unchanged compared to the prior exam.",There has been interval increase in moderate pulmonary vascular congestion and diffuse bilateral interstitial lung markings as well as peribronchiolar cuffing concerning for pulmonary edema.,moderate pulmonary vascular congestion,,Worse,"['files/p13/p13475033/s56512741/98a7c378-eac30aa7-6f338a89-4d7394da-3fe0294d.jpg', 'files/p13/p13475033/s56512741/b9d99fc7-678bcc63-8a81d400-9ba1ebcc-bcc69e62.jpg', 'files/p13/p13475033/s56512741/f0efdf99-db7193c1-b47f4ffa-dd90a48e-2071134d.jpg']","['files/p13/p13475033/s56492056/a7ef9b84-a6c8ac03-589e00d3-2aa0177b-d9afa4a8.jpg\n', 'files/p13/p13475033/s56492056/b271e268-5ff07642-0d37e1c1-760b6df6-f50c46b0.jpg\n', 'files/p13/p13475033/s56492056/f941714e-2232d2d8-cb30b22b-f05d1bf3-0ea141b4.jpg\n']"
s56512741_34,p13475033,s56512741,34,Findings,"Moderate cardiomegaly is unchanged compared to exams dating back to ___, however appears slightly increased compared to exams from ___. There has been interval increase in moderate pulmonary vascular congestion and diffuse bilateral interstitial lung markings as well as peribronchiolar cuffing concerning for pulmonary edema. Widening of the superior mediastinum is due to mediastinal lipomatosis and tortuous vessels as seen on the prior CT from ___. Right-sided Morgagni hernia is unchanged. There is no large pleural effusion or pneumothorax. Compression deformities of the mid thoracic spine are unchanged compared to the prior exam.","Moderate cardiomegaly is unchanged compared to exams dating back to ___, however appears slightly increased compared to exams from ___.",moderate cardiomegaly,,Worse,"['files/p13/p13475033/s56512741/98a7c378-eac30aa7-6f338a89-4d7394da-3fe0294d.jpg', 'files/p13/p13475033/s56512741/b9d99fc7-678bcc63-8a81d400-9ba1ebcc-bcc69e62.jpg', 'files/p13/p13475033/s56512741/f0efdf99-db7193c1-b47f4ffa-dd90a48e-2071134d.jpg']","['files/p13/p13475033/s56492056/a7ef9b84-a6c8ac03-589e00d3-2aa0177b-d9afa4a8.jpg\n', 'files/p13/p13475033/s56492056/b271e268-5ff07642-0d37e1c1-760b6df6-f50c46b0.jpg\n', 'files/p13/p13475033/s56492056/f941714e-2232d2d8-cb30b22b-f05d1bf3-0ea141b4.jpg\n']"
s56512741_34,p13475033,s56512741,34,Findings,"Moderate cardiomegaly is unchanged compared to exams dating back to ___, however appears slightly increased compared to exams from ___. There has been interval increase in moderate pulmonary vascular congestion and diffuse bilateral interstitial lung markings as well as peribronchiolar cuffing concerning for pulmonary edema. Widening of the superior mediastinum is due to mediastinal lipomatosis and tortuous vessels as seen on the prior CT from ___. Right-sided Morgagni hernia is unchanged. There is no large pleural effusion or pneumothorax. Compression deformities of the mid thoracic spine are unchanged compared to the prior exam.",There has been interval increase in moderate pulmonary vascular congestion and diffuse bilateral interstitial lung markings as well as peribronchiolar cuffing concerning for pulmonary edema.,diffuse bilateral interstitial lung markings,,Worse,"['files/p13/p13475033/s56512741/98a7c378-eac30aa7-6f338a89-4d7394da-3fe0294d.jpg', 'files/p13/p13475033/s56512741/b9d99fc7-678bcc63-8a81d400-9ba1ebcc-bcc69e62.jpg', 'files/p13/p13475033/s56512741/f0efdf99-db7193c1-b47f4ffa-dd90a48e-2071134d.jpg']","['files/p13/p13475033/s56492056/a7ef9b84-a6c8ac03-589e00d3-2aa0177b-d9afa4a8.jpg\n', 'files/p13/p13475033/s56492056/b271e268-5ff07642-0d37e1c1-760b6df6-f50c46b0.jpg\n', 'files/p13/p13475033/s56492056/f941714e-2232d2d8-cb30b22b-f05d1bf3-0ea141b4.jpg\n']"
s56512741_34,p13475033,s56512741,34,Findings,"Moderate cardiomegaly is unchanged compared to exams dating back to ___, however appears slightly increased compared to exams from ___. There has been interval increase in moderate pulmonary vascular congestion and diffuse bilateral interstitial lung markings as well as peribronchiolar cuffing concerning for pulmonary edema. Widening of the superior mediastinum is due to mediastinal lipomatosis and tortuous vessels as seen on the prior CT from ___. Right-sided Morgagni hernia is unchanged. There is no large pleural effusion or pneumothorax. Compression deformities of the mid thoracic spine are unchanged compared to the prior exam.",There has been interval increase in moderate pulmonary vascular congestion and diffuse bilateral interstitial lung markings as well as peribronchiolar cuffing concerning for pulmonary edema.,peribronchiolar cuffing,,Worse,"['files/p13/p13475033/s56512741/98a7c378-eac30aa7-6f338a89-4d7394da-3fe0294d.jpg', 'files/p13/p13475033/s56512741/b9d99fc7-678bcc63-8a81d400-9ba1ebcc-bcc69e62.jpg', 'files/p13/p13475033/s56512741/f0efdf99-db7193c1-b47f4ffa-dd90a48e-2071134d.jpg']","['files/p13/p13475033/s56492056/a7ef9b84-a6c8ac03-589e00d3-2aa0177b-d9afa4a8.jpg\n', 'files/p13/p13475033/s56492056/b271e268-5ff07642-0d37e1c1-760b6df6-f50c46b0.jpg\n', 'files/p13/p13475033/s56492056/f941714e-2232d2d8-cb30b22b-f05d1bf3-0ea141b4.jpg\n']"
s56512741_34,p13475033,s56512741,34,Impression,"Interval increase in moderate cardiomegaly with increased diffuse interstitial markings concerning for pulmonary edema, however an atypical infection is not excluded.","Interval increase in moderate cardiomegaly with increased diffuse interstitial markings concerning for pulmonary edema, however an atypical infection is not excluded.",diffuse interstitial markings,,Worse,"['files/p13/p13475033/s56512741/98a7c378-eac30aa7-6f338a89-4d7394da-3fe0294d.jpg', 'files/p13/p13475033/s56512741/b9d99fc7-678bcc63-8a81d400-9ba1ebcc-bcc69e62.jpg', 'files/p13/p13475033/s56512741/f0efdf99-db7193c1-b47f4ffa-dd90a48e-2071134d.jpg']","['files/p13/p13475033/s56492056/a7ef9b84-a6c8ac03-589e00d3-2aa0177b-d9afa4a8.jpg\n', 'files/p13/p13475033/s56492056/b271e268-5ff07642-0d37e1c1-760b6df6-f50c46b0.jpg\n', 'files/p13/p13475033/s56492056/f941714e-2232d2d8-cb30b22b-f05d1bf3-0ea141b4.jpg\n']"
s56512741_34,p13475033,s56512741,34,Impression,"Interval increase in moderate cardiomegaly with increased diffuse interstitial markings concerning for pulmonary edema, however an atypical infection is not excluded.","Interval increase in moderate cardiomegaly with increased diffuse interstitial markings concerning for pulmonary edema, however an atypical infection is not excluded.",moderate cardiomegaly,,Worse,"['files/p13/p13475033/s56512741/98a7c378-eac30aa7-6f338a89-4d7394da-3fe0294d.jpg', 'files/p13/p13475033/s56512741/b9d99fc7-678bcc63-8a81d400-9ba1ebcc-bcc69e62.jpg', 'files/p13/p13475033/s56512741/f0efdf99-db7193c1-b47f4ffa-dd90a48e-2071134d.jpg']","['files/p13/p13475033/s56492056/a7ef9b84-a6c8ac03-589e00d3-2aa0177b-d9afa4a8.jpg\n', 'files/p13/p13475033/s56492056/b271e268-5ff07642-0d37e1c1-760b6df6-f50c46b0.jpg\n', 'files/p13/p13475033/s56492056/f941714e-2232d2d8-cb30b22b-f05d1bf3-0ea141b4.jpg\n']"
s56512741_34,p13475033,s56512741,34,Findings,"Moderate cardiomegaly is unchanged compared to exams dating back to ___, however appears slightly increased compared to exams from ___. There has been interval increase in moderate pulmonary vascular congestion and diffuse bilateral interstitial lung markings as well as peribronchiolar cuffing concerning for pulmonary edema. Widening of the superior mediastinum is due to mediastinal lipomatosis and tortuous vessels as seen on the prior CT from ___. Right-sided Morgagni hernia is unchanged. There is no large pleural effusion or pneumothorax. Compression deformities of the mid thoracic spine are unchanged compared to the prior exam.",Right-sided Morgagni hernia is unchanged.,Morgagni hernia,right-sided,Stable,"['files/p13/p13475033/s56512741/98a7c378-eac30aa7-6f338a89-4d7394da-3fe0294d.jpg', 'files/p13/p13475033/s56512741/b9d99fc7-678bcc63-8a81d400-9ba1ebcc-bcc69e62.jpg', 'files/p13/p13475033/s56512741/f0efdf99-db7193c1-b47f4ffa-dd90a48e-2071134d.jpg']","['files/p13/p13475033/s56492056/a7ef9b84-a6c8ac03-589e00d3-2aa0177b-d9afa4a8.jpg\n', 'files/p13/p13475033/s56492056/b271e268-5ff07642-0d37e1c1-760b6df6-f50c46b0.jpg\n', 'files/p13/p13475033/s56492056/f941714e-2232d2d8-cb30b22b-f05d1bf3-0ea141b4.jpg\n']"
s56512741_34,p13475033,s56512741,34,Findings,"Moderate cardiomegaly is unchanged compared to exams dating back to ___, however appears slightly increased compared to exams from ___. There has been interval increase in moderate pulmonary vascular congestion and diffuse bilateral interstitial lung markings as well as peribronchiolar cuffing concerning for pulmonary edema. Widening of the superior mediastinum is due to mediastinal lipomatosis and tortuous vessels as seen on the prior CT from ___. Right-sided Morgagni hernia is unchanged. There is no large pleural effusion or pneumothorax. Compression deformities of the mid thoracic spine are unchanged compared to the prior exam.",Compression deformities of the mid thoracic spine are unchanged compared to the prior exam.,spine compression deformities,mid thoracic,Stable,"['files/p13/p13475033/s56512741/98a7c378-eac30aa7-6f338a89-4d7394da-3fe0294d.jpg', 'files/p13/p13475033/s56512741/b9d99fc7-678bcc63-8a81d400-9ba1ebcc-bcc69e62.jpg', 'files/p13/p13475033/s56512741/f0efdf99-db7193c1-b47f4ffa-dd90a48e-2071134d.jpg']","['files/p13/p13475033/s56492056/a7ef9b84-a6c8ac03-589e00d3-2aa0177b-d9afa4a8.jpg\n', 'files/p13/p13475033/s56492056/b271e268-5ff07642-0d37e1c1-760b6df6-f50c46b0.jpg\n', 'files/p13/p13475033/s56492056/f941714e-2232d2d8-cb30b22b-f05d1bf3-0ea141b4.jpg\n']"
s56513752_30,p16662264,s56513752,30,Findings,"In comparison with the study of ___, there is progressive decrease in the opacification at the bases, consistent with the clinical diagnosis of resolving pneumonia. However, there is still some opacification especially at the left base and overlying the cardiac silhouette. This is consistent with a lingular consolidation.","In comparison with the study of ___, there is progressive decrease in the opacification at the bases, consistent with the clinical diagnosis of resolving pneumonia.",opacification,bases,Better,"['files/p16/p16662264/s56513752/33222196-20a22f7b-b04dd8d7-3c2d9960-8b9630bb.jpg', 'files/p16/p16662264/s56513752/4dc103db-597e938a-f6b0373d-e7703fa2-94e9efdd.jpg']",['files/p16/p16662264/s56404316/ce1f47b6-0118a2a3-259807fd-a6713c05-84e92c9f.jpg\n']
s56521187_0,p11673948,s56521187,0,Impression,Resolved pleural effusions and pericardial effusion. No new abnormalities noted.,Resolved pleural effusions and pericardial effusion.,effusion,pericardial,Resolve,"['files/p11/p11673948/s56521187/7a216775-e98f5afc-c42f634c-2a4eb3e2-58227ec8.jpg', 'files/p11/p11673948/s56521187/9eb0c9bd-aeebbaee-0f2eac69-fbd0cc50-6e4ac603.jpg']","['files/p11/p11673948/s55011686/3ac5f4f1-ca7ed2c3-b0155d21-a29a155f-a52e60ca.jpg\n', 'files/p11/p11673948/s55011686/c97d3493-abb1b43d-c412174e-d867f08b-b887698d.jpg\n']"
s56521187_0,p11673948,s56521187,0,Findings,"PA and lateral views of the chest. The previously seen pericardial and pleural effusions have resolved. There is no pneumothorax. There is no consolidation. The cardiac, mediastinal, and hilar contours are normal.",The previously seen pericardial and pleural effusions have resolved.,effusion,pleural,Resolve,"['files/p11/p11673948/s56521187/7a216775-e98f5afc-c42f634c-2a4eb3e2-58227ec8.jpg', 'files/p11/p11673948/s56521187/9eb0c9bd-aeebbaee-0f2eac69-fbd0cc50-6e4ac603.jpg']","['files/p11/p11673948/s55011686/3ac5f4f1-ca7ed2c3-b0155d21-a29a155f-a52e60ca.jpg\n', 'files/p11/p11673948/s55011686/c97d3493-abb1b43d-c412174e-d867f08b-b887698d.jpg\n']"
s56521187_0,p11673948,s56521187,0,Findings,"PA and lateral views of the chest. The previously seen pericardial and pleural effusions have resolved. There is no pneumothorax. There is no consolidation. The cardiac, mediastinal, and hilar contours are normal.",The previously seen pericardial and pleural effusions have resolved.,effusion,pericardial,Resolve,"['files/p11/p11673948/s56521187/7a216775-e98f5afc-c42f634c-2a4eb3e2-58227ec8.jpg', 'files/p11/p11673948/s56521187/9eb0c9bd-aeebbaee-0f2eac69-fbd0cc50-6e4ac603.jpg']","['files/p11/p11673948/s55011686/3ac5f4f1-ca7ed2c3-b0155d21-a29a155f-a52e60ca.jpg\n', 'files/p11/p11673948/s55011686/c97d3493-abb1b43d-c412174e-d867f08b-b887698d.jpg\n']"
s56521187_0,p11673948,s56521187,0,Impression,Resolved pleural effusions and pericardial effusion. No new abnormalities noted.,Resolved pleural effusions and pericardial effusion.,effusions,pleural,Resolve,"['files/p11/p11673948/s56521187/7a216775-e98f5afc-c42f634c-2a4eb3e2-58227ec8.jpg', 'files/p11/p11673948/s56521187/9eb0c9bd-aeebbaee-0f2eac69-fbd0cc50-6e4ac603.jpg']","['files/p11/p11673948/s55011686/3ac5f4f1-ca7ed2c3-b0155d21-a29a155f-a52e60ca.jpg\n', 'files/p11/p11673948/s55011686/c97d3493-abb1b43d-c412174e-d867f08b-b887698d.jpg\n']"
s56521967_10,p12530259,s56521967,10,Findings,Opacification of the left hemithorax is a combination of increasing pleural effusion and a presumed increasing atelectasis in the remaining left upper lobe. Cardiomediastinal contours are midline. There is probably a tiny residual left apical pneumothorax. The right lower lobe atelectasis has improved. Left IJ catheter tip is unchanged. Left chest wall subcutaneous emphysema has improved.,Left IJ catheter tip is unchanged.,catheter tip,Left IJ,Stable,['files/p12/p12530259/s56521967/658f37a6-2df3c400-2edbe336-7e2bfeea-ae16d58d.jpg'],['files/p12/p12530259/s56383568/f636619c-a5d5b893-e807be46-77d7e8f9-26f324c7.jpg\n']
s56521967_10,p12530259,s56521967,10,Findings,Opacification of the left hemithorax is a combination of increasing pleural effusion and a presumed increasing atelectasis in the remaining left upper lobe. Cardiomediastinal contours are midline. There is probably a tiny residual left apical pneumothorax. The right lower lobe atelectasis has improved. Left IJ catheter tip is unchanged. Left chest wall subcutaneous emphysema has improved.,Left chest wall subcutaneous emphysema has improved.,subcutaneous emphysema,left chest wall,Better,['files/p12/p12530259/s56521967/658f37a6-2df3c400-2edbe336-7e2bfeea-ae16d58d.jpg'],['files/p12/p12530259/s56383568/f636619c-a5d5b893-e807be46-77d7e8f9-26f324c7.jpg\n']
s56521967_10,p12530259,s56521967,10,Findings,Opacification of the left hemithorax is a combination of increasing pleural effusion and a presumed increasing atelectasis in the remaining left upper lobe. Cardiomediastinal contours are midline. There is probably a tiny residual left apical pneumothorax. The right lower lobe atelectasis has improved. Left IJ catheter tip is unchanged. Left chest wall subcutaneous emphysema has improved.,Opacification of the left hemithorax is a combination of increasing pleural effusion and a presumed increasing atelectasis in the remaining left upper lobe.,atelectasis,left upper lobe,Worse,['files/p12/p12530259/s56521967/658f37a6-2df3c400-2edbe336-7e2bfeea-ae16d58d.jpg'],['files/p12/p12530259/s56383568/f636619c-a5d5b893-e807be46-77d7e8f9-26f324c7.jpg\n']
s56521967_10,p12530259,s56521967,10,Findings,Opacification of the left hemithorax is a combination of increasing pleural effusion and a presumed increasing atelectasis in the remaining left upper lobe. Cardiomediastinal contours are midline. There is probably a tiny residual left apical pneumothorax. The right lower lobe atelectasis has improved. Left IJ catheter tip is unchanged. Left chest wall subcutaneous emphysema has improved.,There is probably a tiny residual left apical pneumothorax.,pneumothorax,left apical,Worse,['files/p12/p12530259/s56521967/658f37a6-2df3c400-2edbe336-7e2bfeea-ae16d58d.jpg'],['files/p12/p12530259/s56383568/f636619c-a5d5b893-e807be46-77d7e8f9-26f324c7.jpg\n']
s56521967_10,p12530259,s56521967,10,Findings,Opacification of the left hemithorax is a combination of increasing pleural effusion and a presumed increasing atelectasis in the remaining left upper lobe. Cardiomediastinal contours are midline. There is probably a tiny residual left apical pneumothorax. The right lower lobe atelectasis has improved. Left IJ catheter tip is unchanged. Left chest wall subcutaneous emphysema has improved.,The right lower lobe atelectasis has improved.,atelectasis,right lower lobe,Better,['files/p12/p12530259/s56521967/658f37a6-2df3c400-2edbe336-7e2bfeea-ae16d58d.jpg'],['files/p12/p12530259/s56383568/f636619c-a5d5b893-e807be46-77d7e8f9-26f324c7.jpg\n']
s56521967_10,p12530259,s56521967,10,Findings,Opacification of the left hemithorax is a combination of increasing pleural effusion and a presumed increasing atelectasis in the remaining left upper lobe. Cardiomediastinal contours are midline. There is probably a tiny residual left apical pneumothorax. The right lower lobe atelectasis has improved. Left IJ catheter tip is unchanged. Left chest wall subcutaneous emphysema has improved.,Opacification of the left hemithorax is a combination of increasing pleural effusion and a presumed increasing atelectasis in the remaining left upper lobe.,pleural effusion,left hemithorax,Worse,['files/p12/p12530259/s56521967/658f37a6-2df3c400-2edbe336-7e2bfeea-ae16d58d.jpg'],['files/p12/p12530259/s56383568/f636619c-a5d5b893-e807be46-77d7e8f9-26f324c7.jpg\n']
s56526400_14,p13473495,s56526400,14,Findings,"In comparison with the earlier study of this date, there is no evidence of pneumothorax. Little change in the appearance of the heart and lungs with continued low lung volumes, moderate cardiomegaly, elevated pulmonary venous pressure, and bilateral pleural effusions, more prominent on the left.","Little change in the appearance of the heart and lungs with continued low lung volumes, moderate cardiomegaly, elevated pulmonary venous pressure, and bilateral pleural effusions, more prominent on the left.",pleural effusions,bilateral,Stable,['files/p13/p13473495/s56526400/a960626f-d83c011c-0418381e-d4cf2323-e82c0290.jpg'],"['files/p13/p13473495/s55720395/44b39923-9d6f063d-3ef99de3-ab938e13-74a61c9b.jpg\n', 'files/p13/p13473495/s55720395/525f290c-cf5cb6e5-11ee38a0-a2a67848-2f55c7df.jpg\n']"
s56526400_14,p13473495,s56526400,14,Findings,"In comparison with the earlier study of this date, there is no evidence of pneumothorax. Little change in the appearance of the heart and lungs with continued low lung volumes, moderate cardiomegaly, elevated pulmonary venous pressure, and bilateral pleural effusions, more prominent on the left.","Little change in the appearance of the heart and lungs with continued low lung volumes, moderate cardiomegaly, elevated pulmonary venous pressure, and bilateral pleural effusions, more prominent on the left.",elevated pulmonary venous pressure,,Stable,['files/p13/p13473495/s56526400/a960626f-d83c011c-0418381e-d4cf2323-e82c0290.jpg'],"['files/p13/p13473495/s55720395/44b39923-9d6f063d-3ef99de3-ab938e13-74a61c9b.jpg\n', 'files/p13/p13473495/s55720395/525f290c-cf5cb6e5-11ee38a0-a2a67848-2f55c7df.jpg\n']"
s56526400_14,p13473495,s56526400,14,Findings,"In comparison with the earlier study of this date, there is no evidence of pneumothorax. Little change in the appearance of the heart and lungs with continued low lung volumes, moderate cardiomegaly, elevated pulmonary venous pressure, and bilateral pleural effusions, more prominent on the left.","Little change in the appearance of the heart and lungs with continued low lung volumes, moderate cardiomegaly, elevated pulmonary venous pressure, and bilateral pleural effusions, more prominent on the left.",moderate cardiomegaly,,Stable,['files/p13/p13473495/s56526400/a960626f-d83c011c-0418381e-d4cf2323-e82c0290.jpg'],"['files/p13/p13473495/s55720395/44b39923-9d6f063d-3ef99de3-ab938e13-74a61c9b.jpg\n', 'files/p13/p13473495/s55720395/525f290c-cf5cb6e5-11ee38a0-a2a67848-2f55c7df.jpg\n']"
s56526400_14,p13473495,s56526400,14,Findings,"In comparison with the earlier study of this date, there is no evidence of pneumothorax. Little change in the appearance of the heart and lungs with continued low lung volumes, moderate cardiomegaly, elevated pulmonary venous pressure, and bilateral pleural effusions, more prominent on the left.","Little change in the appearance of the heart and lungs with continued low lung volumes, moderate cardiomegaly, elevated pulmonary venous pressure, and bilateral pleural effusions, more prominent on the left.",low lung volumes,,Stable,['files/p13/p13473495/s56526400/a960626f-d83c011c-0418381e-d4cf2323-e82c0290.jpg'],"['files/p13/p13473495/s55720395/44b39923-9d6f063d-3ef99de3-ab938e13-74a61c9b.jpg\n', 'files/p13/p13473495/s55720395/525f290c-cf5cb6e5-11ee38a0-a2a67848-2f55c7df.jpg\n']"
s56535476_16,p10933609,s56535476,16,Findings,"Low lung volumes are present. The heart size is normal. The mediastinal contours are unremarkable. The right PICC has been removed. As before, there is continued upward retraction of the hila with bilateral upper lobe scarring, similar when compared to the prior study. Findings may reflect prior sarcoidosis or tuberculosis. Patchy opacity in the right lung base may reflect atelectasis. Infection cannot be excluded. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Projecting over previous left upper quadrant of the abdomen is a surgical clip.",The right PICC has been removed.,PICC,right,Resolve,"['files/p10/p10933609/s56535476/5740ef70-f0368542-f6ff1baf-09a39fdc-33e82710.jpg', 'files/p10/p10933609/s56535476/fa80d52e-25c85b24-0302d3d0-f2052c45-6faebca9.jpg']","['files/p10/p10933609/s56304327/1844f765-ae8c22e1-b7f8d30e-03b721fb-83a616a9.jpg\n', 'files/p10/p10933609/s56304327/b9c18cbb-323135fb-0118b586-6d8846f0-a1099863.jpg\n']"
s56535476_16,p10933609,s56535476,16,Findings,"Low lung volumes are present. The heart size is normal. The mediastinal contours are unremarkable. The right PICC has been removed. As before, there is continued upward retraction of the hila with bilateral upper lobe scarring, similar when compared to the prior study. Findings may reflect prior sarcoidosis or tuberculosis. Patchy opacity in the right lung base may reflect atelectasis. Infection cannot be excluded. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities. Projecting over previous left upper quadrant of the abdomen is a surgical clip.","As before, there is continued upward retraction of the hila with bilateral upper lobe scarring, similar when compared to the prior study.",scarring,hila with bilateral upper lobe,Stable,"['files/p10/p10933609/s56535476/5740ef70-f0368542-f6ff1baf-09a39fdc-33e82710.jpg', 'files/p10/p10933609/s56535476/fa80d52e-25c85b24-0302d3d0-f2052c45-6faebca9.jpg']","['files/p10/p10933609/s56304327/1844f765-ae8c22e1-b7f8d30e-03b721fb-83a616a9.jpg\n', 'files/p10/p10933609/s56304327/b9c18cbb-323135fb-0118b586-6d8846f0-a1099863.jpg\n']"
s56535476_16,p10933609,s56535476,16,Impression,Bilateral upper lobe scarring with upward retraction of hila suggestive of sarcoidosis or prior tuberculosis which is similar compared to prior studies. Patchy opacity in the right lung base may reflect atelectasis but infection cannot be excluded.,Bilateral upper lobe scarring with upward retraction of hila suggestive of sarcoidosis or prior tuberculosis which is similar compared to prior studies.,scarring,Bilateral upper lobe,Stable,"['files/p10/p10933609/s56535476/5740ef70-f0368542-f6ff1baf-09a39fdc-33e82710.jpg', 'files/p10/p10933609/s56535476/fa80d52e-25c85b24-0302d3d0-f2052c45-6faebca9.jpg']","['files/p10/p10933609/s56304327/1844f765-ae8c22e1-b7f8d30e-03b721fb-83a616a9.jpg\n', 'files/p10/p10933609/s56304327/b9c18cbb-323135fb-0118b586-6d8846f0-a1099863.jpg\n']"
s56536391_66,p15131736,s56536391,66,Impression,Moderate pulmonary edema and small bilateral pleural effusions worse from ___.,Moderate pulmonary edema and small bilateral pleural effusions worse from ___.,moderate pulmonary edema,,Worse,['files/p15/p15131736/s56536391/108c4783-1499c826-2bf7748a-8beb06c1-d8a2c88f.jpg'],['files/p15/p15131736/s56028927/b6b79d26-76a917b5-08130023-1a42cc2e-2eeb048c.jpg\n']
s56536391_66,p15131736,s56536391,66,Impression,Moderate pulmonary edema and small bilateral pleural effusions worse from ___.,Moderate pulmonary edema and small bilateral pleural effusions worse from ___.,small pleural effusions,bilateral,Worse,['files/p15/p15131736/s56536391/108c4783-1499c826-2bf7748a-8beb06c1-d8a2c88f.jpg'],['files/p15/p15131736/s56028927/b6b79d26-76a917b5-08130023-1a42cc2e-2eeb048c.jpg\n']
s56536391_66,p15131736,s56536391,66,Findings,Lung volumes low with bibasilar atelectasis and increased bilateral alveolar opacities and bilateral pleural effusions. NG tube has been advanced now terminating in the stomach although the side port is difficult to visualize. Other indwelling monitoring and support devices are stable and appropriate position.,Lung volumes low with bibasilar atelectasis and increased bilateral alveolar opacities and bilateral pleural effusions.,pleural effusions,bilateral,Worse,['files/p15/p15131736/s56536391/108c4783-1499c826-2bf7748a-8beb06c1-d8a2c88f.jpg'],['files/p15/p15131736/s56028927/b6b79d26-76a917b5-08130023-1a42cc2e-2eeb048c.jpg\n']
s56536391_66,p15131736,s56536391,66,Findings,Lung volumes low with bibasilar atelectasis and increased bilateral alveolar opacities and bilateral pleural effusions. NG tube has been advanced now terminating in the stomach although the side port is difficult to visualize. Other indwelling monitoring and support devices are stable and appropriate position.,Other indwelling monitoring and support devices are stable and appropriate position.,indwelling monitoring and support devices,,Stable,['files/p15/p15131736/s56536391/108c4783-1499c826-2bf7748a-8beb06c1-d8a2c88f.jpg'],['files/p15/p15131736/s56028927/b6b79d26-76a917b5-08130023-1a42cc2e-2eeb048c.jpg\n']
s56536391_66,p15131736,s56536391,66,Findings,Lung volumes low with bibasilar atelectasis and increased bilateral alveolar opacities and bilateral pleural effusions. NG tube has been advanced now terminating in the stomach although the side port is difficult to visualize. Other indwelling monitoring and support devices are stable and appropriate position.,Lung volumes low with bibasilar atelectasis and increased bilateral alveolar opacities and bilateral pleural effusions.,alveolar opacities,bilateral,Worse,['files/p15/p15131736/s56536391/108c4783-1499c826-2bf7748a-8beb06c1-d8a2c88f.jpg'],['files/p15/p15131736/s56028927/b6b79d26-76a917b5-08130023-1a42cc2e-2eeb048c.jpg\n']
s56536391_66,p15131736,s56536391,66,Findings,Lung volumes low with bibasilar atelectasis and increased bilateral alveolar opacities and bilateral pleural effusions. NG tube has been advanced now terminating in the stomach although the side port is difficult to visualize. Other indwelling monitoring and support devices are stable and appropriate position.,Lung volumes low with bibasilar atelectasis and increased bilateral alveolar opacities and bilateral pleural effusions.,atelectasis,bibasilar,Worse,['files/p15/p15131736/s56536391/108c4783-1499c826-2bf7748a-8beb06c1-d8a2c88f.jpg'],['files/p15/p15131736/s56028927/b6b79d26-76a917b5-08130023-1a42cc2e-2eeb048c.jpg\n']
s56541072_4,p17337033,s56541072,4,Findings,"Heart size is normal. The aorta is tortuous. Unchanged widening of the mediastinum attributable to mediastinal lipomatosis is re- demonstrated. Hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is demonstrated. There are no acute osseous abnormalities.",Unchanged widening of the mediastinum attributable to mediastinal lipomatosis is re-demonstrated.,widening,mediastinum,Stable,"['files/p17/p17337033/s56541072/66fece2b-2fccf418-d23f1eda-9dde45e2-d85df8da.jpg', 'files/p17/p17337033/s56541072/f53747e0-3dd01244-eeae450a-0ae12723-4a49d191.jpg']","['files/p17/p17337033/s51304693/3b8fc3bd-66391218-68c48776-0cbde359-ec4f0e4d.jpg\n', 'files/p17/p17337033/s51304693/d4688d3f-0f65430c-a55e87d6-5453d43d-e5105574.jpg\n']"
s56545860_0,p12475198,s56545860,0,Impression,Right PICC line ends at mid SVC. Small bibasilar atelectasis is unchanged.,Small bibasilar atelectasis is unchanged.,atelectasis,bibasilar,Stable,['files/p12/p12475198/s56545860/c54b631c-b7726bc9-2bb21f6f-25f9eee0-57a0d6a6.jpg'],['files/p12/p12475198/s56329592/2807416a-1e2f3ee5-da0d8c38-d898df41-666df4df.jpg\n']
s56545860_0,p12475198,s56545860,0,Findings,"Right PICC line ends at mid SVC. Left-sided pacer defibrillator with leads through the left transvenous approach is seen to end in the right atrium, right ventricle, and coronary sinus. Minimal right basal atelectasis is unchanged. There are no other lung opacities of concern. Top normal heart size, mediastinal and hilar contours are stable.","Top normal heart size, mediastinal and hilar contours are stable.",,"heart size, mediastinal and hilar contours",Stable,['files/p12/p12475198/s56545860/c54b631c-b7726bc9-2bb21f6f-25f9eee0-57a0d6a6.jpg'],['files/p12/p12475198/s56329592/2807416a-1e2f3ee5-da0d8c38-d898df41-666df4df.jpg\n']
s56545860_0,p12475198,s56545860,0,Findings,"Right PICC line ends at mid SVC. Left-sided pacer defibrillator with leads through the left transvenous approach is seen to end in the right atrium, right ventricle, and coronary sinus. Minimal right basal atelectasis is unchanged. There are no other lung opacities of concern. Top normal heart size, mediastinal and hilar contours are stable.",Minimal right basal atelectasis is unchanged.,atelectasis,right basal,Stable,['files/p12/p12475198/s56545860/c54b631c-b7726bc9-2bb21f6f-25f9eee0-57a0d6a6.jpg'],['files/p12/p12475198/s56329592/2807416a-1e2f3ee5-da0d8c38-d898df41-666df4df.jpg\n']
s56546504_2,p13484161,s56546504,2,Findings,"Heart size remains mildly enlarged with a left ventricular predominance. The aorta is unfolded and diffusely calcified, with the hilar contours appearing stable. The lungs are clear without evidence of pulmonary vascular engorgement. A trace left pleural effusion may be present, but no right pleural effusion is seen. No pneumothorax is identified. An inferior vena cava filter is noted within the abdomen. There are no acute osseous abnormalities.",Heart size remains mildly enlarged with a left ventricular predominance.,Heart size,,Stable,"['files/p13/p13484161/s56546504/1d7ab682-be7aac39-ca9dd307-1d094e9c-b2f306d6.jpg', 'files/p13/p13484161/s56546504/c771fda7-294984e2-40d6b8b3-eeec5c1c-95760ad3.jpg']","['files/p13/p13484161/s55812727/0f3b10cd-b3e6a500-20370ada-6e3ab8b3-ad1019c5.jpg\n', 'files/p13/p13484161/s55812727/42c8ec81-8a76040b-dacb834e-034b24d0-da9eedbe.jpg\n']"
s56546504_2,p13484161,s56546504,2,Findings,"Heart size remains mildly enlarged with a left ventricular predominance. The aorta is unfolded and diffusely calcified, with the hilar contours appearing stable. The lungs are clear without evidence of pulmonary vascular engorgement. A trace left pleural effusion may be present, but no right pleural effusion is seen. No pneumothorax is identified. An inferior vena cava filter is noted within the abdomen. There are no acute osseous abnormalities.","The aorta is unfolded and diffusely calcified, with the hilar contours appearing stable.",hilar contours,,Stable,"['files/p13/p13484161/s56546504/1d7ab682-be7aac39-ca9dd307-1d094e9c-b2f306d6.jpg', 'files/p13/p13484161/s56546504/c771fda7-294984e2-40d6b8b3-eeec5c1c-95760ad3.jpg']","['files/p13/p13484161/s55812727/0f3b10cd-b3e6a500-20370ada-6e3ab8b3-ad1019c5.jpg\n', 'files/p13/p13484161/s55812727/42c8ec81-8a76040b-dacb834e-034b24d0-da9eedbe.jpg\n']"
s56555909_3,p11893091,s56555909,3,Findings,"Mild-to-moderate cardiomegaly is accompanied by upper zone vascular redistribution, vascular indistinctness and mild interstitial edema. A slightly more confluent opacity at the right lung base medially may reflect asymmetrical dependent edema, but followup radiographs may be helpful to exclude a developing infection in this region. Small bilateral pleural effusions have improved since previous study. Calcified right hilar lymph nodes are unchanged.",Small bilateral pleural effusions have improved since previous study.,pleural effusions,bilateral,Better,['files/p11/p11893091/s56555909/8a301a4d-4df7ca0e-b32741cd-f7fe73d9-4605a414.jpg'],['files/p11/p11893091/s55430447/2773b5c2-bd9e0357-064af3b4-ddc4997e-61ff380f.jpg\n']
s56555909_3,p11893091,s56555909,3,Findings,"Mild-to-moderate cardiomegaly is accompanied by upper zone vascular redistribution, vascular indistinctness and mild interstitial edema. A slightly more confluent opacity at the right lung base medially may reflect asymmetrical dependent edema, but followup radiographs may be helpful to exclude a developing infection in this region. Small bilateral pleural effusions have improved since previous study. Calcified right hilar lymph nodes are unchanged.",Calcified right hilar lymph nodes are unchanged.,lymph nodes,right hilar,Stable,['files/p11/p11893091/s56555909/8a301a4d-4df7ca0e-b32741cd-f7fe73d9-4605a414.jpg'],['files/p11/p11893091/s55430447/2773b5c2-bd9e0357-064af3b4-ddc4997e-61ff380f.jpg\n']
s56556003_3,p15393401,s56556003,3,Findings,"There are small bilateral pleural effusions with fluid extending into the major and minor fissures bilaterally. There is no focal consolidation. Rounded densities projecting over the peripheral right upper lung zone on the AP view may represent pulmonary nodules. There is mild pulmonary vascular congestion/interstitial edema. The cardiac silhouette is mild-to-moderately enlarged, but stable. The mediastinal and hilar contours are within normal limits. Partial calcification of the aortic knob is noted.","The cardiac silhouette is mild-to-moderately enlarged, but stable.",silhouette,cardiac,Stable,['files/p15/p15393401/s56556003/5cccf2bd-bfd996be-96074827-f468cba2-16a37ebd.jpg'],"['files/p15/p15393401/s54128006/ba3fb88d-d17476f9-7e265acc-3818caee-7fe0f04e.jpg\n', 'files/p15/p15393401/s54128006/bbbda37b-a4c5358b-a7bc0bf9-c4eb7ea2-7ebbc0fb.jpg\n']"
s56570382_16,p11474065,s56570382,16,Impression,"Overall cardiac and mediastinal contours are likely stable given patient rotation. Calcified hilar nodes are consistent with known sarcoidosis. There continues to be deformity of the right upper chest wall with some right lateral pleural thickening and scarring with volume loss at the right medial lung base. However, there has been interval obscuration of the lateral aspect of the left hemidiaphragm which when correlated with the recent CT may reflect an early pneumonia or aspiration. Clinical correlation is recommended. No pneumothorax. No pulmonary edema. No obvious pleural effusions.",There continues to be deformity of the right upper chest wall with some right lateral pleural thickening and scarring with volume loss at the right medial lung base.,deformity,right upper chest wall,Stable,['files/p11/p11474065/s56570382/da99191c-5176d7bc-b809d55a-4429a7cd-ae8b21e9.jpg'],['files/p11/p11474065/s56451222/408936b5-77f25bee-8f73cc21-251fc7bc-013094dc.jpg\n']
s56570382_16,p11474065,s56570382,16,Impression,"Overall cardiac and mediastinal contours are likely stable given patient rotation. Calcified hilar nodes are consistent with known sarcoidosis. There continues to be deformity of the right upper chest wall with some right lateral pleural thickening and scarring with volume loss at the right medial lung base. However, there has been interval obscuration of the lateral aspect of the left hemidiaphragm which when correlated with the recent CT may reflect an early pneumonia or aspiration. Clinical correlation is recommended. No pneumothorax. No pulmonary edema. No obvious pleural effusions.",Overall cardiac and mediastinal contours are likely stable given patient rotation.,contours,cardiac and mediastinal contours,Stable,['files/p11/p11474065/s56570382/da99191c-5176d7bc-b809d55a-4429a7cd-ae8b21e9.jpg'],['files/p11/p11474065/s56451222/408936b5-77f25bee-8f73cc21-251fc7bc-013094dc.jpg\n']
s56570382_16,p11474065,s56570382,16,Impression,"Overall cardiac and mediastinal contours are likely stable given patient rotation. Calcified hilar nodes are consistent with known sarcoidosis. There continues to be deformity of the right upper chest wall with some right lateral pleural thickening and scarring with volume loss at the right medial lung base. However, there has been interval obscuration of the lateral aspect of the left hemidiaphragm which when correlated with the recent CT may reflect an early pneumonia or aspiration. Clinical correlation is recommended. No pneumothorax. No pulmonary edema. No obvious pleural effusions.",There continues to be deformity of the right upper chest wall with some right lateral pleural thickening and scarring with volume loss at the right medial lung base.,volume loss,right medial lung base,Stable,['files/p11/p11474065/s56570382/da99191c-5176d7bc-b809d55a-4429a7cd-ae8b21e9.jpg'],['files/p11/p11474065/s56451222/408936b5-77f25bee-8f73cc21-251fc7bc-013094dc.jpg\n']
s56570382_16,p11474065,s56570382,16,Impression,"Overall cardiac and mediastinal contours are likely stable given patient rotation. Calcified hilar nodes are consistent with known sarcoidosis. There continues to be deformity of the right upper chest wall with some right lateral pleural thickening and scarring with volume loss at the right medial lung base. However, there has been interval obscuration of the lateral aspect of the left hemidiaphragm which when correlated with the recent CT may reflect an early pneumonia or aspiration. Clinical correlation is recommended. No pneumothorax. No pulmonary edema. No obvious pleural effusions.","However, there has been interval obscuration of the lateral aspect of the left hemidiaphragm which when correlated with the recent CT may reflect an early pneumonia or aspiration.",obscuration,lateral aspect of the left hemidiaphragm,New,['files/p11/p11474065/s56570382/da99191c-5176d7bc-b809d55a-4429a7cd-ae8b21e9.jpg'],['files/p11/p11474065/s56451222/408936b5-77f25bee-8f73cc21-251fc7bc-013094dc.jpg\n']
s56573421_0,p19549821,s56573421,0,Findings,"The lung volumes are normal. Mild bilateral apical scarring. Borderline size of the cardiac silhouette without pulmonary edema. No overt pneumonia. Small basal lung nodule projecting over the right costophrenic sinus, unchanged as compared to the previous examination. No inflammatory or edematous change in the lung parenchyma. Normal appearance of the mediastinum.","Small basal lung nodule projecting over the right costophrenic sinus, unchanged as compared to the previous examination.",Small basal lung nodule,right costophrenic sinus,Stable,"['files/p19/p19549821/s56573421/35ba5821-6f988e43-c7ce7779-9947c2dc-064358ad.jpg', 'files/p19/p19549821/s56573421/bc763820-6af428a2-67311ece-8d067825-f6282dba.jpg']","['files/p19/p19549821/s56042734/7377346a-38f8250e-c3694853-37601fdd-b0ff4cb7.jpg\n', 'files/p19/p19549821/s56042734/a464fe33-f97c23c1-580d2988-155f758e-66524a5f.jpg\n', 'files/p19/p19549821/s56042734/c7c68b52-54b2bc92-e88ecc8c-e4048535-e3dbb409.jpg\n']"
s56581318_1,p17838301,s56581318,1,Findings,"Endotracheal tube has been repositioned, now terminating about 5.2 cm above the carina. Heart remains enlarged. Rapid improvement in pulmonary edema, which is nearly resolved. More confluent opacity in right upper lobe is also improving, but difficult to fully assess due to patient rotation. Calcified pleural plaques are present, indicative of prior asbestos exposure.","Rapid improvement in pulmonary edema, which is nearly resolved.",pulmonary edema,,Resolve,['files/p17/p17838301/s56581318/8663aaa6-c83d78b8-ff43e08f-5ea79d11-e7cca33e.jpg'],['files/p17/p17838301/s56219969/4311ab39-fdf14b78-f7e1cb44-06f554ac-a50702b8.jpg\n']
s56581318_1,p17838301,s56581318,1,Findings,"Endotracheal tube has been repositioned, now terminating about 5.2 cm above the carina. Heart remains enlarged. Rapid improvement in pulmonary edema, which is nearly resolved. More confluent opacity in right upper lobe is also improving, but difficult to fully assess due to patient rotation. Calcified pleural plaques are present, indicative of prior asbestos exposure.",Heart remains enlarged.,Heart enlargement,,Stable,['files/p17/p17838301/s56581318/8663aaa6-c83d78b8-ff43e08f-5ea79d11-e7cca33e.jpg'],['files/p17/p17838301/s56219969/4311ab39-fdf14b78-f7e1cb44-06f554ac-a50702b8.jpg\n']
s56581318_1,p17838301,s56581318,1,Findings,"Endotracheal tube has been repositioned, now terminating about 5.2 cm above the carina. Heart remains enlarged. Rapid improvement in pulmonary edema, which is nearly resolved. More confluent opacity in right upper lobe is also improving, but difficult to fully assess due to patient rotation. Calcified pleural plaques are present, indicative of prior asbestos exposure.","More confluent opacity in right upper lobe is also improving, but difficult to fully assess due to patient rotation.",confluent opacity,right upper lobe,Better,['files/p17/p17838301/s56581318/8663aaa6-c83d78b8-ff43e08f-5ea79d11-e7cca33e.jpg'],['files/p17/p17838301/s56219969/4311ab39-fdf14b78-f7e1cb44-06f554ac-a50702b8.jpg\n']
s56581630_30,p12952223,s56581630,30,Findings,"As compared to the previous radiograph, the endotracheal tube has been slightly pulled back. It now projects roughly 3 cm above the carina. The lung parenchyma has minimally increased in transparency, potentially reflecting improved ventilation or higher respiratory pressures. Small bilateral pleural effusions are likely. Unchanged evidence of mild fluid overload and cardiomegaly.",Unchanged evidence of mild fluid overload and cardiomegaly.,fluid overload,,Stable,['files/p12/p12952223/s56581630/ffa922f9-60c9f991-d3cb83aa-6f446e5e-f6be9611.jpg'],['files/p12/p12952223/s56373739/a19573c3-98f76c03-5552fc10-4d2cb79e-bce663a8.jpg\n']
s56581630_30,p12952223,s56581630,30,Findings,"As compared to the previous radiograph, the endotracheal tube has been slightly pulled back. It now projects roughly 3 cm above the carina. The lung parenchyma has minimally increased in transparency, potentially reflecting improved ventilation or higher respiratory pressures. Small bilateral pleural effusions are likely. Unchanged evidence of mild fluid overload and cardiomegaly.","The lung parenchyma has minimally increased in transparency, potentially reflecting improved ventilation or higher respiratory pressures.",lung parenchyma transparency,,Better,['files/p12/p12952223/s56581630/ffa922f9-60c9f991-d3cb83aa-6f446e5e-f6be9611.jpg'],['files/p12/p12952223/s56373739/a19573c3-98f76c03-5552fc10-4d2cb79e-bce663a8.jpg\n']
s56581630_30,p12952223,s56581630,30,Findings,"As compared to the previous radiograph, the endotracheal tube has been slightly pulled back. It now projects roughly 3 cm above the carina. The lung parenchyma has minimally increased in transparency, potentially reflecting improved ventilation or higher respiratory pressures. Small bilateral pleural effusions are likely. Unchanged evidence of mild fluid overload and cardiomegaly.","As compared to the previous radiograph, the endotracheal tube has been slightly pulled back.",endotracheal tube position,above the carina,Worse,['files/p12/p12952223/s56581630/ffa922f9-60c9f991-d3cb83aa-6f446e5e-f6be9611.jpg'],['files/p12/p12952223/s56373739/a19573c3-98f76c03-5552fc10-4d2cb79e-bce663a8.jpg\n']
s56581630_30,p12952223,s56581630,30,Findings,"As compared to the previous radiograph, the endotracheal tube has been slightly pulled back. It now projects roughly 3 cm above the carina. The lung parenchyma has minimally increased in transparency, potentially reflecting improved ventilation or higher respiratory pressures. Small bilateral pleural effusions are likely. Unchanged evidence of mild fluid overload and cardiomegaly.",Unchanged evidence of mild fluid overload and cardiomegaly.,cardiomegaly,,Stable,['files/p12/p12952223/s56581630/ffa922f9-60c9f991-d3cb83aa-6f446e5e-f6be9611.jpg'],['files/p12/p12952223/s56373739/a19573c3-98f76c03-5552fc10-4d2cb79e-bce663a8.jpg\n']
s56581797_6,p11569042,s56581797,6,Findings,"As compared to the previous radiograph, the nasogastric tube is likely coursing through the dilated esophagus and terminates near the gastroesophageal junction. The course is better appreciated on the lateral than on the frontal radiograph and best correlated with a CT torso examination from ___, to reflect abnormal anatomy.","As compared to the previous radiograph, the nasogastric tube is likely coursing through the dilated esophagus and terminates near the gastroesophageal junction.",nasogastric tube,gastroesophageal junction,Stable,['files/p11/p11569042/s56581797/4aeb5cd4-c071f14c-e4dcd046-420ce1ca-f6fedd70.jpg'],"['files/p11/p11569042/s55883502/1c51ebd2-e0c342a3-b529814b-bd3c289d-45148c5f.jpg\n', 'files/p11/p11569042/s55883502/e03dd9c2-d0a3ddb0-0e9d72c3-1b4c5f92-9593c85f.jpg\n', 'files/p11/p11569042/s55883502/f91a608a-24c935e7-8330cdeb-6cf80c04-1c7f8652.jpg\n']"
s56587463_16,p19991135,s56587463,16,Impression,"In comparison to ___, no relevant change is seen. Old right rib fracture. Known COPD. Mild overinflation. No pneumonia, no pleural effusions, no pulmonary edema.",Old right rib fracture.,rib fracture,right,Stable,"['files/p19/p19991135/s56587463/56112caf-112b9555-dcfa6330-3e90b85c-5d882081.jpg', 'files/p19/p19991135/s56587463/7558ad38-de530501-5c2ff2a1-d74fe121-ba0cf77a.jpg']","['files/p19/p19991135/s56228041/a062926a-2918aecc-14c2b674-37e2e4cf-dc0884d3.jpg\n', 'files/p19/p19991135/s56228041/ce4c4ab8-4c657285-5242554f-cfa5af23-a1fbc279.jpg\n']"
s56587463_16,p19991135,s56587463,16,Impression,"In comparison to ___, no relevant change is seen. Old right rib fracture. Known COPD. Mild overinflation. No pneumonia, no pleural effusions, no pulmonary edema.","In comparison to ___, no relevant change is seen.",,,Stable,"['files/p19/p19991135/s56587463/56112caf-112b9555-dcfa6330-3e90b85c-5d882081.jpg', 'files/p19/p19991135/s56587463/7558ad38-de530501-5c2ff2a1-d74fe121-ba0cf77a.jpg']","['files/p19/p19991135/s56228041/a062926a-2918aecc-14c2b674-37e2e4cf-dc0884d3.jpg\n', 'files/p19/p19991135/s56228041/ce4c4ab8-4c657285-5242554f-cfa5af23-a1fbc279.jpg\n']"
s56589683_10,p18224196,s56589683,10,Findings,"Comparison is made to previous study from ___ at 8:54 a.m. There are again seen bilateral pleural effusions and a left retrocardiac opacity, stable. The right cordis and feeding tube are stable in position. Aortic valve replacement is again seen and unchanged in position. There is mild prominence of pulmonary interstitial markings, which is stable.",The right cordis and feeding tube are stable in position.,cordis and feeding tube,right,Stable,"['files/p18/p18224196/s56589683/657c695b-0198a50b-2cafb23d-85b6cd41-78172777.jpg', 'files/p18/p18224196/s56589683/94b32e23-d24b60e0-3b7cd3fc-cc82139f-94517432.jpg', 'files/p18/p18224196/s56589683/cd70d994-3c669ab2-ccd5f3bc-4276428d-b7fa3155.jpg']",['files/p18/p18224196/s56373683/02c9f4f3-ce818858-04a867b4-0c5c1823-e247eb67.jpg\n']
s56589683_10,p18224196,s56589683,10,Findings,"Comparison is made to previous study from ___ at 8:54 a.m. There are again seen bilateral pleural effusions and a left retrocardiac opacity, stable. The right cordis and feeding tube are stable in position. Aortic valve replacement is again seen and unchanged in position. There is mild prominence of pulmonary interstitial markings, which is stable.","There are again seen bilateral pleural effusions and a left retrocardiac opacity, stable.",pleural effusions,bilateral,Stable,"['files/p18/p18224196/s56589683/657c695b-0198a50b-2cafb23d-85b6cd41-78172777.jpg', 'files/p18/p18224196/s56589683/94b32e23-d24b60e0-3b7cd3fc-cc82139f-94517432.jpg', 'files/p18/p18224196/s56589683/cd70d994-3c669ab2-ccd5f3bc-4276428d-b7fa3155.jpg']",['files/p18/p18224196/s56373683/02c9f4f3-ce818858-04a867b4-0c5c1823-e247eb67.jpg\n']
s56589683_10,p18224196,s56589683,10,Findings,"Comparison is made to previous study from ___ at 8:54 a.m. There are again seen bilateral pleural effusions and a left retrocardiac opacity, stable. The right cordis and feeding tube are stable in position. Aortic valve replacement is again seen and unchanged in position. There is mild prominence of pulmonary interstitial markings, which is stable.","There are again seen bilateral pleural effusions and a left retrocardiac opacity, stable.",opacity,left retrocardiac,Stable,"['files/p18/p18224196/s56589683/657c695b-0198a50b-2cafb23d-85b6cd41-78172777.jpg', 'files/p18/p18224196/s56589683/94b32e23-d24b60e0-3b7cd3fc-cc82139f-94517432.jpg', 'files/p18/p18224196/s56589683/cd70d994-3c669ab2-ccd5f3bc-4276428d-b7fa3155.jpg']",['files/p18/p18224196/s56373683/02c9f4f3-ce818858-04a867b4-0c5c1823-e247eb67.jpg\n']
s56589683_10,p18224196,s56589683,10,Findings,"Comparison is made to previous study from ___ at 8:54 a.m. There are again seen bilateral pleural effusions and a left retrocardiac opacity, stable. The right cordis and feeding tube are stable in position. Aortic valve replacement is again seen and unchanged in position. There is mild prominence of pulmonary interstitial markings, which is stable.",Aortic valve replacement is again seen and unchanged in position.,Aortic valve replacement,,Stable,"['files/p18/p18224196/s56589683/657c695b-0198a50b-2cafb23d-85b6cd41-78172777.jpg', 'files/p18/p18224196/s56589683/94b32e23-d24b60e0-3b7cd3fc-cc82139f-94517432.jpg', 'files/p18/p18224196/s56589683/cd70d994-3c669ab2-ccd5f3bc-4276428d-b7fa3155.jpg']",['files/p18/p18224196/s56373683/02c9f4f3-ce818858-04a867b4-0c5c1823-e247eb67.jpg\n']
s56589683_10,p18224196,s56589683,10,Findings,"Comparison is made to previous study from ___ at 8:54 a.m. There are again seen bilateral pleural effusions and a left retrocardiac opacity, stable. The right cordis and feeding tube are stable in position. Aortic valve replacement is again seen and unchanged in position. There is mild prominence of pulmonary interstitial markings, which is stable.","There is mild prominence of pulmonary interstitial markings, which is stable.",pulmonary interstitial markings,,Stable,"['files/p18/p18224196/s56589683/657c695b-0198a50b-2cafb23d-85b6cd41-78172777.jpg', 'files/p18/p18224196/s56589683/94b32e23-d24b60e0-3b7cd3fc-cc82139f-94517432.jpg', 'files/p18/p18224196/s56589683/cd70d994-3c669ab2-ccd5f3bc-4276428d-b7fa3155.jpg']",['files/p18/p18224196/s56373683/02c9f4f3-ce818858-04a867b4-0c5c1823-e247eb67.jpg\n']
s56589755_74,p15131736,s56589755,74,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/p15/p15131736/s56589755/5561133e-55a2fb38-51a45d25-98a90295-40203962.jpg'],['files/p15/p15131736/s56536391/108c4783-1499c826-2bf7748a-8beb06c1-d8a2c88f.jpg\n']
s56589755_74,p15131736,s56589755,74,Impression,No change.,No change.,,,Stable,['files/p15/p15131736/s56589755/5561133e-55a2fb38-51a45d25-98a90295-40203962.jpg'],['files/p15/p15131736/s56536391/108c4783-1499c826-2bf7748a-8beb06c1-d8a2c88f.jpg\n']
s56592251_19,p14295224,s56592251,19,Findings,Previously reported right lower lobe pneumonia has nearly resolved with only mild residual peribronchiolar opacification remaining in the right infrahilar area. A small right pleural effusion has nearly resolved. Localized bronchiectasis and scarring in the right upper lobe is similar to older studies. A small nodule at the right lung base is similar to previous CT of ___. Postoperative changes in the chest are similar including post radiation alterations and findings related to previous esophagectomy and pull-up procedure.,Previously reported right lower lobe pneumonia has nearly resolved with only mild residual peribronchiolar opacification remaining in the right infrahilar area.,right lower lobe pneumonia,right infrahilar area,Resolve,"['files/p14/p14295224/s56592251/33284e5a-85da9149-d0f13ac2-f5decf0b-1c4c6eb8.jpg', 'files/p14/p14295224/s56592251/fd446187-4918e937-9c58f354-86463aca-af75d8a6.jpg']","['files/p14/p14295224/s56348727/0d38c57b-b5016fab-3c868031-eac42204-ea570e4a.jpg\n', 'files/p14/p14295224/s56348727/2c61f550-b2cf13d5-7166fc86-c7e9e336-2d1f9ae7.jpg\n']"
s56592251_19,p14295224,s56592251,19,Findings,Previously reported right lower lobe pneumonia has nearly resolved with only mild residual peribronchiolar opacification remaining in the right infrahilar area. A small right pleural effusion has nearly resolved. Localized bronchiectasis and scarring in the right upper lobe is similar to older studies. A small nodule at the right lung base is similar to previous CT of ___. Postoperative changes in the chest are similar including post radiation alterations and findings related to previous esophagectomy and pull-up procedure.,A small right pleural effusion has nearly resolved.,small pleural effusion,right,Resolve,"['files/p14/p14295224/s56592251/33284e5a-85da9149-d0f13ac2-f5decf0b-1c4c6eb8.jpg', 'files/p14/p14295224/s56592251/fd446187-4918e937-9c58f354-86463aca-af75d8a6.jpg']","['files/p14/p14295224/s56348727/0d38c57b-b5016fab-3c868031-eac42204-ea570e4a.jpg\n', 'files/p14/p14295224/s56348727/2c61f550-b2cf13d5-7166fc86-c7e9e336-2d1f9ae7.jpg\n']"
s56592251_19,p14295224,s56592251,19,Findings,Previously reported right lower lobe pneumonia has nearly resolved with only mild residual peribronchiolar opacification remaining in the right infrahilar area. A small right pleural effusion has nearly resolved. Localized bronchiectasis and scarring in the right upper lobe is similar to older studies. A small nodule at the right lung base is similar to previous CT of ___. Postoperative changes in the chest are similar including post radiation alterations and findings related to previous esophagectomy and pull-up procedure.,Localized bronchiectasis and scarring in the right upper lobe is similar to older studies.,localized bronchiectasis and scarring,right upper lobe,Stable,"['files/p14/p14295224/s56592251/33284e5a-85da9149-d0f13ac2-f5decf0b-1c4c6eb8.jpg', 'files/p14/p14295224/s56592251/fd446187-4918e937-9c58f354-86463aca-af75d8a6.jpg']","['files/p14/p14295224/s56348727/0d38c57b-b5016fab-3c868031-eac42204-ea570e4a.jpg\n', 'files/p14/p14295224/s56348727/2c61f550-b2cf13d5-7166fc86-c7e9e336-2d1f9ae7.jpg\n']"
s56592251_19,p14295224,s56592251,19,Findings,Previously reported right lower lobe pneumonia has nearly resolved with only mild residual peribronchiolar opacification remaining in the right infrahilar area. A small right pleural effusion has nearly resolved. Localized bronchiectasis and scarring in the right upper lobe is similar to older studies. A small nodule at the right lung base is similar to previous CT of ___. Postoperative changes in the chest are similar including post radiation alterations and findings related to previous esophagectomy and pull-up procedure.,A small nodule at the right lung base is similar to previous CT of ___.,small nodule,right lung base,Stable,"['files/p14/p14295224/s56592251/33284e5a-85da9149-d0f13ac2-f5decf0b-1c4c6eb8.jpg', 'files/p14/p14295224/s56592251/fd446187-4918e937-9c58f354-86463aca-af75d8a6.jpg']","['files/p14/p14295224/s56348727/0d38c57b-b5016fab-3c868031-eac42204-ea570e4a.jpg\n', 'files/p14/p14295224/s56348727/2c61f550-b2cf13d5-7166fc86-c7e9e336-2d1f9ae7.jpg\n']"
s56592251_19,p14295224,s56592251,19,Findings,Previously reported right lower lobe pneumonia has nearly resolved with only mild residual peribronchiolar opacification remaining in the right infrahilar area. A small right pleural effusion has nearly resolved. Localized bronchiectasis and scarring in the right upper lobe is similar to older studies. A small nodule at the right lung base is similar to previous CT of ___. Postoperative changes in the chest are similar including post radiation alterations and findings related to previous esophagectomy and pull-up procedure.,Postoperative changes in the chest are similar including post radiation alterations and findings related to previous esophagectomy and pull-up procedure.,postoperative changes,,Stable,"['files/p14/p14295224/s56592251/33284e5a-85da9149-d0f13ac2-f5decf0b-1c4c6eb8.jpg', 'files/p14/p14295224/s56592251/fd446187-4918e937-9c58f354-86463aca-af75d8a6.jpg']","['files/p14/p14295224/s56348727/0d38c57b-b5016fab-3c868031-eac42204-ea570e4a.jpg\n', 'files/p14/p14295224/s56348727/2c61f550-b2cf13d5-7166fc86-c7e9e336-2d1f9ae7.jpg\n']"
s56592251_19,p14295224,s56592251,19,Impression,Near resolution of right lower lobe pneumonia. Additional followup chest x-ray in 4 weeks may be helpful to document complete resolution or stability of residual right infrahilar opacity.,Near resolution of right lower lobe pneumonia. Additional followup chest x-ray in 4 weeks may be helpful to document complete resolution or stability of residual right infrahilar opacity.,pneumonia,right lower lobe,Resolve,"['files/p14/p14295224/s56592251/33284e5a-85da9149-d0f13ac2-f5decf0b-1c4c6eb8.jpg', 'files/p14/p14295224/s56592251/fd446187-4918e937-9c58f354-86463aca-af75d8a6.jpg']","['files/p14/p14295224/s56348727/0d38c57b-b5016fab-3c868031-eac42204-ea570e4a.jpg\n', 'files/p14/p14295224/s56348727/2c61f550-b2cf13d5-7166fc86-c7e9e336-2d1f9ae7.jpg\n']"
s56593920_40,p19182863,s56593920,40,Findings,"In comparison with study of ___, there is little overall change in the appearance of the cardiomediastinal silhouette. Mild atelectatic changes are seen especially at the right base. Little change in the degree of pleural fluid. Central catheter has been removed.",Central catheter has been removed.,Catheter,Central,Resolve,"['files/p19/p19182863/s56593920/692b12ec-4c9a3585-9aba9b6f-3c65bf19-6c939cec.jpg', 'files/p19/p19182863/s56593920/c5faee40-351cd77d-cb9145ad-278c11ed-e7f9b874.jpg']",['files/p19/p19182863/s56466110/a7747cf0-5a042d25-ae9af09d-d8f2956d-ecfb087d.jpg\n']
s56593920_40,p19182863,s56593920,40,Findings,"In comparison with study of ___, there is little overall change in the appearance of the cardiomediastinal silhouette. Mild atelectatic changes are seen especially at the right base. Little change in the degree of pleural fluid. Central catheter has been removed.",Little change in the degree of pleural fluid.,Pleural fluid,Unspecified,Stable,"['files/p19/p19182863/s56593920/692b12ec-4c9a3585-9aba9b6f-3c65bf19-6c939cec.jpg', 'files/p19/p19182863/s56593920/c5faee40-351cd77d-cb9145ad-278c11ed-e7f9b874.jpg']",['files/p19/p19182863/s56466110/a7747cf0-5a042d25-ae9af09d-d8f2956d-ecfb087d.jpg\n']
s56593920_40,p19182863,s56593920,40,Findings,"In comparison with study of ___, there is little overall change in the appearance of the cardiomediastinal silhouette. Mild atelectatic changes are seen especially at the right base. Little change in the degree of pleural fluid. Central catheter has been removed.","In comparison with study of ___, there is little overall change in the appearance of the cardiomediastinal silhouette.",Silhouette,Cardiomediastinal,Stable,"['files/p19/p19182863/s56593920/692b12ec-4c9a3585-9aba9b6f-3c65bf19-6c939cec.jpg', 'files/p19/p19182863/s56593920/c5faee40-351cd77d-cb9145ad-278c11ed-e7f9b874.jpg']",['files/p19/p19182863/s56466110/a7747cf0-5a042d25-ae9af09d-d8f2956d-ecfb087d.jpg\n']
s56603583_6,p11022245,s56603583,6,Findings,"As compared to the previous exam, the patient has been extubated and the nasogastric tube has been removed. The extent of the pre-existing pleural effusions have bilaterally increased. There is moderate-to-extensive cardiomegaly with bilateral extensive areas of atelectasis. Mild-to-moderate fluid overload. No focal parenchymal opacity suggest pneumonia.","As compared to the previous exam, the patient has been extubated and the nasogastric tube has been removed.",nasogastric tube,,Resolve,['files/p11/p11022245/s56603583/777626de-a55fbd7d-e30f8359-db74c619-80afa62d.jpg'],"['files/p11/p11022245/s56303122/4b060466-eed839b9-97b85751-c9cb7084-852b9f42.jpg\n', 'files/p11/p11022245/s56303122/afed4c34-cf95e16b-371ce2be-99427d54-2013960b.jpg\n']"
s56603583_6,p11022245,s56603583,6,Findings,"As compared to the previous exam, the patient has been extubated and the nasogastric tube has been removed. The extent of the pre-existing pleural effusions have bilaterally increased. There is moderate-to-extensive cardiomegaly with bilateral extensive areas of atelectasis. Mild-to-moderate fluid overload. No focal parenchymal opacity suggest pneumonia.",The extent of the pre-existing pleural effusions have bilaterally increased.,pleural effusions,bilaterally,Worse,['files/p11/p11022245/s56603583/777626de-a55fbd7d-e30f8359-db74c619-80afa62d.jpg'],"['files/p11/p11022245/s56303122/4b060466-eed839b9-97b85751-c9cb7084-852b9f42.jpg\n', 'files/p11/p11022245/s56303122/afed4c34-cf95e16b-371ce2be-99427d54-2013960b.jpg\n']"
s56605562_3,p15131736,s56605562,3,Findings,"In comparison with the earlier study of this date, the endotracheal tube lies approximately 5 cm above the carina. Bibasilar opacities persist, more prominent on the left, and most likely representing atelectasis and small effusion. In the appropriate clinical setting, superimposed pneumonia would have to be considered. Nasogastric tube extends to the distal stomach and central catheter tip is in the lower portion of the SVC. Stable cardiomegaly.",Stable cardiomegaly.,cardiomegaly,,Stable,['files/p15/p15131736/s56605562/e17d84db-087290bd-4a5f8f5b-fa788033-cfd452da.jpg'],['files/p15/p15131736/s56589755/5561133e-55a2fb38-51a45d25-98a90295-40203962.jpg\n']
s56605562_3,p15131736,s56605562,3,Findings,"In comparison with the earlier study of this date, the endotracheal tube lies approximately 5 cm above the carina. Bibasilar opacities persist, more prominent on the left, and most likely representing atelectasis and small effusion. In the appropriate clinical setting, superimposed pneumonia would have to be considered. Nasogastric tube extends to the distal stomach and central catheter tip is in the lower portion of the SVC. Stable cardiomegaly.","In comparison with the earlier study of this date, the endotracheal tube lies approximately 5 cm above the carina.",endotracheal tube position,,Stable,['files/p15/p15131736/s56605562/e17d84db-087290bd-4a5f8f5b-fa788033-cfd452da.jpg'],['files/p15/p15131736/s56589755/5561133e-55a2fb38-51a45d25-98a90295-40203962.jpg\n']
s56605562_3,p15131736,s56605562,3,Findings,"In comparison with the earlier study of this date, the endotracheal tube lies approximately 5 cm above the carina. Bibasilar opacities persist, more prominent on the left, and most likely representing atelectasis and small effusion. In the appropriate clinical setting, superimposed pneumonia would have to be considered. Nasogastric tube extends to the distal stomach and central catheter tip is in the lower portion of the SVC. Stable cardiomegaly.","Bibasilar opacities persist, more prominent on the left, and most likely representing atelectasis and small effusion.",opacities,bibasilar,Stable,['files/p15/p15131736/s56605562/e17d84db-087290bd-4a5f8f5b-fa788033-cfd452da.jpg'],['files/p15/p15131736/s56589755/5561133e-55a2fb38-51a45d25-98a90295-40203962.jpg\n']
s56605562_3,p15131736,s56605562,3,Findings,"In comparison with the earlier study of this date, the endotracheal tube lies approximately 5 cm above the carina. Bibasilar opacities persist, more prominent on the left, and most likely representing atelectasis and small effusion. In the appropriate clinical setting, superimposed pneumonia would have to be considered. Nasogastric tube extends to the distal stomach and central catheter tip is in the lower portion of the SVC. Stable cardiomegaly.","Bibasilar opacities persist, more prominent on the left, and most likely representing atelectasis and small effusion.",atelectasis,left,Stable,['files/p15/p15131736/s56605562/e17d84db-087290bd-4a5f8f5b-fa788033-cfd452da.jpg'],['files/p15/p15131736/s56589755/5561133e-55a2fb38-51a45d25-98a90295-40203962.jpg\n']
s56605562_3,p15131736,s56605562,3,Findings,"In comparison with the earlier study of this date, the endotracheal tube lies approximately 5 cm above the carina. Bibasilar opacities persist, more prominent on the left, and most likely representing atelectasis and small effusion. In the appropriate clinical setting, superimposed pneumonia would have to be considered. Nasogastric tube extends to the distal stomach and central catheter tip is in the lower portion of the SVC. Stable cardiomegaly.","Bibasilar opacities persist, more prominent on the left, and most likely representing atelectasis and small effusion.",small effusion,left,Stable,['files/p15/p15131736/s56605562/e17d84db-087290bd-4a5f8f5b-fa788033-cfd452da.jpg'],['files/p15/p15131736/s56589755/5561133e-55a2fb38-51a45d25-98a90295-40203962.jpg\n']
s56605773_0,p16773796,s56605773,0,Findings,"The patient is status post median sternotomy, CABG, and aortic valve replacement. The cardiac silhouette size and configuration is unchanged, as is the mediastinal and hilar contours. There are low lung volumes, which results in minimal bibasilar atelectasis and crowding of the bronchovascular structures. No focal consolidation, pleural effusion, or pneumothorax is present. There are mild degenerative changes of the thoracic spine. Cholecystectomy clips are noted in the upper abdomen.","The cardiac silhouette size and configuration is unchanged, as is the mediastinal and hilar contours.",contours,mediastinal and hilar,Stable,"['files/p16/p16773796/s56605773/5f058986-c0a46f7a-7d175c3e-c40f1bd2-e71884bf.jpg', 'files/p16/p16773796/s56605773/d4228ce7-2788f96d-b22cd5dd-b09350aa-bb461d38.jpg']",['files/p16/p16773796/s54715799/b8f0ce5f-ae088cd3-92d27847-3b4570bb-1305056f.jpg\n']
s56605773_0,p16773796,s56605773,0,Findings,"The patient is status post median sternotomy, CABG, and aortic valve replacement. The cardiac silhouette size and configuration is unchanged, as is the mediastinal and hilar contours. There are low lung volumes, which results in minimal bibasilar atelectasis and crowding of the bronchovascular structures. No focal consolidation, pleural effusion, or pneumothorax is present. There are mild degenerative changes of the thoracic spine. Cholecystectomy clips are noted in the upper abdomen.","The cardiac silhouette size and configuration is unchanged, as is the mediastinal and hilar contours.",size and configuration,cardiac silhouette,Stable,"['files/p16/p16773796/s56605773/5f058986-c0a46f7a-7d175c3e-c40f1bd2-e71884bf.jpg', 'files/p16/p16773796/s56605773/d4228ce7-2788f96d-b22cd5dd-b09350aa-bb461d38.jpg']",['files/p16/p16773796/s54715799/b8f0ce5f-ae088cd3-92d27847-3b4570bb-1305056f.jpg\n']
s56614061_64,p14851532,s56614061,64,Impression,"No relevant change as compared to the previous examination, moderate cardiomegaly. Mild pulmonary edema. Swan-Ganz catheter in correct position. Small right pleural effusion.","No relevant change as compared to the previous examination, moderate cardiomegaly.",cardiomegaly,,Stable,['files/p14/p14851532/s56614061/bd63a995-5035baef-7f63c277-92915a7a-253995c5.jpg'],"['files/p14/p14851532/s56316578/63a636f1-ac2c5479-f18dd104-7694b204-9f21bf47.jpg\n', 'files/p14/p14851532/s56316578/6a69146c-06c97494-0560bf85-9106a119-4dad5197.jpg\n']"
s56614076_20,p12185775,s56614076,20,Findings,"As compared to the previous radiograph, there is a minimal decrease in extent of a pre-existing small right pleural effusion. Interstitial markings, on the other hand, are slightly increased, potentially reflecting increased interstitial fluid contents. Unchanged ___ of the cardiac silhouette. Unchanged basal areas of atelectasis, unchanged right venous introduction sheath. Also unchanged are left lung calcified granulomas. Overall, the findings indicate a mild increase in pulmonary edema.","As compared to the previous radiograph, there is a minimal decrease in extent of a pre-existing small right pleural effusion.",pleural effusion,right,Better,['files/p12/p12185775/s56614076/45e31ec5-029d54e9-1acec167-663a1397-bccb2493.jpg'],['files/p12/p12185775/s56494283/957c26f1-18da168e-71c98f71-7f791b2a-4cb759cb.jpg\n']
s56614076_20,p12185775,s56614076,20,Findings,"As compared to the previous radiograph, there is a minimal decrease in extent of a pre-existing small right pleural effusion. Interstitial markings, on the other hand, are slightly increased, potentially reflecting increased interstitial fluid contents. Unchanged ___ of the cardiac silhouette. Unchanged basal areas of atelectasis, unchanged right venous introduction sheath. Also unchanged are left lung calcified granulomas. Overall, the findings indicate a mild increase in pulmonary edema.",Also unchanged are left lung calcified granulomas.,calcified granulomas,left lung,Stable,['files/p12/p12185775/s56614076/45e31ec5-029d54e9-1acec167-663a1397-bccb2493.jpg'],['files/p12/p12185775/s56494283/957c26f1-18da168e-71c98f71-7f791b2a-4cb759cb.jpg\n']
s56614076_20,p12185775,s56614076,20,Findings,"As compared to the previous radiograph, there is a minimal decrease in extent of a pre-existing small right pleural effusion. Interstitial markings, on the other hand, are slightly increased, potentially reflecting increased interstitial fluid contents. Unchanged ___ of the cardiac silhouette. Unchanged basal areas of atelectasis, unchanged right venous introduction sheath. Also unchanged are left lung calcified granulomas. Overall, the findings indicate a mild increase in pulmonary edema.","Unchanged basal areas of atelectasis, unchanged right venous introduction sheath.",atelectasis,basal,Stable,['files/p12/p12185775/s56614076/45e31ec5-029d54e9-1acec167-663a1397-bccb2493.jpg'],['files/p12/p12185775/s56494283/957c26f1-18da168e-71c98f71-7f791b2a-4cb759cb.jpg\n']
s56614076_20,p12185775,s56614076,20,Findings,"As compared to the previous radiograph, there is a minimal decrease in extent of a pre-existing small right pleural effusion. Interstitial markings, on the other hand, are slightly increased, potentially reflecting increased interstitial fluid contents. Unchanged ___ of the cardiac silhouette. Unchanged basal areas of atelectasis, unchanged right venous introduction sheath. Also unchanged are left lung calcified granulomas. Overall, the findings indicate a mild increase in pulmonary edema.","Overall, the findings indicate a mild increase in pulmonary edema.",pulmonary edema,,Worse,['files/p12/p12185775/s56614076/45e31ec5-029d54e9-1acec167-663a1397-bccb2493.jpg'],['files/p12/p12185775/s56494283/957c26f1-18da168e-71c98f71-7f791b2a-4cb759cb.jpg\n']
s56614076_20,p12185775,s56614076,20,Findings,"As compared to the previous radiograph, there is a minimal decrease in extent of a pre-existing small right pleural effusion. Interstitial markings, on the other hand, are slightly increased, potentially reflecting increased interstitial fluid contents. Unchanged ___ of the cardiac silhouette. Unchanged basal areas of atelectasis, unchanged right venous introduction sheath. Also unchanged are left lung calcified granulomas. Overall, the findings indicate a mild increase in pulmonary edema.","Unchanged basal areas of atelectasis, unchanged right venous introduction sheath.",venous introduction sheath,right,Stable,['files/p12/p12185775/s56614076/45e31ec5-029d54e9-1acec167-663a1397-bccb2493.jpg'],['files/p12/p12185775/s56494283/957c26f1-18da168e-71c98f71-7f791b2a-4cb759cb.jpg\n']
s56614076_20,p12185775,s56614076,20,Findings,"As compared to the previous radiograph, there is a minimal decrease in extent of a pre-existing small right pleural effusion. Interstitial markings, on the other hand, are slightly increased, potentially reflecting increased interstitial fluid contents. Unchanged ___ of the cardiac silhouette. Unchanged basal areas of atelectasis, unchanged right venous introduction sheath. Also unchanged are left lung calcified granulomas. Overall, the findings indicate a mild increase in pulmonary edema.","Interstitial markings, on the other hand, are slightly increased, potentially reflecting increased interstitial fluid contents.",Interstitial markings,,Worse,['files/p12/p12185775/s56614076/45e31ec5-029d54e9-1acec167-663a1397-bccb2493.jpg'],['files/p12/p12185775/s56494283/957c26f1-18da168e-71c98f71-7f791b2a-4cb759cb.jpg\n']
s56615285_64,p15131736,s56615285,64,Impression,The heart is enlarged. Central pulmonary vascular congestion and mild pulmonary edema have slightly improved since ___. There is no pneumothorax. A small left pleural effusion is unchanged.,Central pulmonary vascular congestion and mild pulmonary edema have slightly improved since ___.,Pulmonary vascular congestion,Central,Better,['files/p15/p15131736/s56615285/64c24dca-a414a27f-c24e46d6-b41d673e-1a01d73e.jpg'],['files/p15/p15131736/s56605562/e17d84db-087290bd-4a5f8f5b-fa788033-cfd452da.jpg\n']
s56615285_64,p15131736,s56615285,64,Impression,The heart is enlarged. Central pulmonary vascular congestion and mild pulmonary edema have slightly improved since ___. There is no pneumothorax. A small left pleural effusion is unchanged.,Central pulmonary vascular congestion and mild pulmonary edema have slightly improved since ___.,Mild pulmonary edema,,Better,['files/p15/p15131736/s56615285/64c24dca-a414a27f-c24e46d6-b41d673e-1a01d73e.jpg'],['files/p15/p15131736/s56605562/e17d84db-087290bd-4a5f8f5b-fa788033-cfd452da.jpg\n']
s56615285_64,p15131736,s56615285,64,Impression,The heart is enlarged. Central pulmonary vascular congestion and mild pulmonary edema have slightly improved since ___. There is no pneumothorax. A small left pleural effusion is unchanged.,A small left pleural effusion is unchanged.,Pleural effusion,Left,Stable,['files/p15/p15131736/s56615285/64c24dca-a414a27f-c24e46d6-b41d673e-1a01d73e.jpg'],['files/p15/p15131736/s56605562/e17d84db-087290bd-4a5f8f5b-fa788033-cfd452da.jpg\n']
s56616764_13,p10975446,s56616764,13,Impression,AP chest compared to ___. ET tube and right internal jugular line are in standard placements. Mild pulmonary edema has improved since ___. Moderate bilateral pleural effusion and moderate cardiomegaly are stable. No pneumothorax.,No pneumothorax.,pneumothorax,,Resolve,['files/p10/p10975446/s56616764/f76c2a78-65248647-1c1b4bdf-9896fb2b-f5c2ab8d.jpg'],['files/p10/p10975446/s56390608/0baf5e16-bb057c79-97a74dac-e4631d48-f99f01d7.jpg\n']
s56616764_13,p10975446,s56616764,13,Impression,AP chest compared to ___. ET tube and right internal jugular line are in standard placements. Mild pulmonary edema has improved since ___. Moderate bilateral pleural effusion and moderate cardiomegaly are stable. No pneumothorax.,Moderate bilateral pleural effusion and moderate cardiomegaly are stable.,cardiomegaly,,Stable,['files/p10/p10975446/s56616764/f76c2a78-65248647-1c1b4bdf-9896fb2b-f5c2ab8d.jpg'],['files/p10/p10975446/s56390608/0baf5e16-bb057c79-97a74dac-e4631d48-f99f01d7.jpg\n']
s56616764_13,p10975446,s56616764,13,Impression,AP chest compared to ___. ET tube and right internal jugular line are in standard placements. Mild pulmonary edema has improved since ___. Moderate bilateral pleural effusion and moderate cardiomegaly are stable. No pneumothorax.,Moderate bilateral pleural effusion and moderate cardiomegaly are stable.,pleural effusion,bilateral,Stable,['files/p10/p10975446/s56616764/f76c2a78-65248647-1c1b4bdf-9896fb2b-f5c2ab8d.jpg'],['files/p10/p10975446/s56390608/0baf5e16-bb057c79-97a74dac-e4631d48-f99f01d7.jpg\n']
s56616764_13,p10975446,s56616764,13,Impression,AP chest compared to ___. ET tube and right internal jugular line are in standard placements. Mild pulmonary edema has improved since ___. Moderate bilateral pleural effusion and moderate cardiomegaly are stable. No pneumothorax.,Mild pulmonary edema has improved since ___.,pulmonary edema,,Better,['files/p10/p10975446/s56616764/f76c2a78-65248647-1c1b4bdf-9896fb2b-f5c2ab8d.jpg'],['files/p10/p10975446/s56390608/0baf5e16-bb057c79-97a74dac-e4631d48-f99f01d7.jpg\n']
s56617468_67,p14851532,s56617468,67,Impression,Endotracheal tube has been removed. Indwelling Swan-Ganz catheter has ended in the right descending pulmonary artery for at least 6 days an should not be advanced. Moderate to severe cardiomegaly and pulmonary vascular congestion persists. Right pleural effusion is small to moderate depending upon the extent of atelectasis in the right middle and lower lobe which which could both be collapsed. No pneumothorax.,Moderate to severe cardiomegaly and pulmonary vascular congestion persists.,Moderate to severe cardiomegaly and pulmonary vascular congestion,Cardiac silhouette,Stable,['files/p14/p14851532/s56617468/53013423-847183db-f162b5ca-9a000174-6427b00e.jpg'],['files/p14/p14851532/s56614061/bd63a995-5035baef-7f63c277-92915a7a-253995c5.jpg\n']
s56617468_67,p14851532,s56617468,67,Impression,Endotracheal tube has been removed. Indwelling Swan-Ganz catheter has ended in the right descending pulmonary artery for at least 6 days an should not be advanced. Moderate to severe cardiomegaly and pulmonary vascular congestion persists. Right pleural effusion is small to moderate depending upon the extent of atelectasis in the right middle and lower lobe which which could both be collapsed. No pneumothorax.,Endotracheal tube has been removed.,Endotracheal tube,,Resolve,['files/p14/p14851532/s56617468/53013423-847183db-f162b5ca-9a000174-6427b00e.jpg'],['files/p14/p14851532/s56614061/bd63a995-5035baef-7f63c277-92915a7a-253995c5.jpg\n']
s56618601_10,p15758946,s56618601,10,Impression,"AP chest compared to ___: There is no longer any pulmonary edema. Moderate left and small right pleural effusions are minimally increased since ___. Left lower lobe opacification is more severe, probably atelectasis. The heart is normal size. Mediastinal veins are borderline dilated, but the pulmonary vascularity is normal. Right jugular line ends in the upper SVC and left subclavian line in the lower. No pneumothorax.","Left lower lobe opacification is more severe, probably atelectasis.",opacification,left lower lobe,Worse,['files/p15/p15758946/s56618601/dbbd8ca0-a3e78630-061e92f4-cc6ea2d3-05314ad2.jpg'],['files/p15/p15758946/s56167449/97e428ce-51d4215e-210ed55c-4327be47-4a10e46c.jpg\n']
s56618601_10,p15758946,s56618601,10,Impression,"AP chest compared to ___: There is no longer any pulmonary edema. Moderate left and small right pleural effusions are minimally increased since ___. Left lower lobe opacification is more severe, probably atelectasis. The heart is normal size. Mediastinal veins are borderline dilated, but the pulmonary vascularity is normal. Right jugular line ends in the upper SVC and left subclavian line in the lower. No pneumothorax.",Moderate left and small right pleural effusions are minimally increased since ___,pleural effusion,right,Worse,['files/p15/p15758946/s56618601/dbbd8ca0-a3e78630-061e92f4-cc6ea2d3-05314ad2.jpg'],['files/p15/p15758946/s56167449/97e428ce-51d4215e-210ed55c-4327be47-4a10e46c.jpg\n']
s56618601_10,p15758946,s56618601,10,Impression,"AP chest compared to ___: There is no longer any pulmonary edema. Moderate left and small right pleural effusions are minimally increased since ___. Left lower lobe opacification is more severe, probably atelectasis. The heart is normal size. Mediastinal veins are borderline dilated, but the pulmonary vascularity is normal. Right jugular line ends in the upper SVC and left subclavian line in the lower. No pneumothorax.",Moderate left and small right pleural effusions are minimally increased since ___,pleural effusion,left,Worse,['files/p15/p15758946/s56618601/dbbd8ca0-a3e78630-061e92f4-cc6ea2d3-05314ad2.jpg'],['files/p15/p15758946/s56167449/97e428ce-51d4215e-210ed55c-4327be47-4a10e46c.jpg\n']
s56618601_10,p15758946,s56618601,10,Impression,"AP chest compared to ___: There is no longer any pulmonary edema. Moderate left and small right pleural effusions are minimally increased since ___. Left lower lobe opacification is more severe, probably atelectasis. The heart is normal size. Mediastinal veins are borderline dilated, but the pulmonary vascularity is normal. Right jugular line ends in the upper SVC and left subclavian line in the lower. No pneumothorax.",AP chest compared to ___: There is no longer any pulmonary edema.,pulmonary edema,,Resolve,['files/p15/p15758946/s56618601/dbbd8ca0-a3e78630-061e92f4-cc6ea2d3-05314ad2.jpg'],['files/p15/p15758946/s56167449/97e428ce-51d4215e-210ed55c-4327be47-4a10e46c.jpg\n']
s56625924_3,p10754184,s56625924,3,Findings,A dual-lead pacemaker implanted in the left chest wall has two leads terminating in the expected location of the right atrium and right ventricle respectively. Mild hyperexpansion is unchanged. A small right pleural effusion is new. There are no focal opacities to suggest pneumonia. Mild cardiomegaly is stable. The hilar contours and pulmonary vasculature appear normal. The mediastinal silhouette is unchanged. Tortuosity of the thoracic aorta is re-demonstrated.,Mild cardiomegaly is stable.,mild cardiomegaly,,Stable,"['files/p10/p10754184/s56625924/526cdb3f-f4ef95d2-68e47227-531a01e7-b3f4744c.jpg', 'files/p10/p10754184/s56625924/e12e1dd7-9b6e4d27-63a06a72-937c9716-451f2db8.jpg']","['files/p10/p10754184/s56348027/c979aaaa-4bb31072-c9884178-6e3ced8b-edf531fa.jpg\n', 'files/p10/p10754184/s56348027/e88fa460-a2901f48-730373f3-89be4f0a-89e6e2a9.jpg\n']"
s56625924_3,p10754184,s56625924,3,Findings,A dual-lead pacemaker implanted in the left chest wall has two leads terminating in the expected location of the right atrium and right ventricle respectively. Mild hyperexpansion is unchanged. A small right pleural effusion is new. There are no focal opacities to suggest pneumonia. Mild cardiomegaly is stable. The hilar contours and pulmonary vasculature appear normal. The mediastinal silhouette is unchanged. Tortuosity of the thoracic aorta is re-demonstrated.,Mild hyperexpansion is unchanged.,mild hyperexpansion,,Stable,"['files/p10/p10754184/s56625924/526cdb3f-f4ef95d2-68e47227-531a01e7-b3f4744c.jpg', 'files/p10/p10754184/s56625924/e12e1dd7-9b6e4d27-63a06a72-937c9716-451f2db8.jpg']","['files/p10/p10754184/s56348027/c979aaaa-4bb31072-c9884178-6e3ced8b-edf531fa.jpg\n', 'files/p10/p10754184/s56348027/e88fa460-a2901f48-730373f3-89be4f0a-89e6e2a9.jpg\n']"
s56625924_3,p10754184,s56625924,3,Impression,"1. Small right pleural effusion is new; however, there is no evidence of pneumonia and no other significant appreciable change. 2. Mild cardiomegaly is unchanged. The above results were communicated via telephone by Dr. ___ to Dr. ___ ___ at 2:45 p.m. as requested.",2. Mild cardiomegaly is unchanged.,mild cardiomegaly,,Stable,"['files/p10/p10754184/s56625924/526cdb3f-f4ef95d2-68e47227-531a01e7-b3f4744c.jpg', 'files/p10/p10754184/s56625924/e12e1dd7-9b6e4d27-63a06a72-937c9716-451f2db8.jpg']","['files/p10/p10754184/s56348027/c979aaaa-4bb31072-c9884178-6e3ced8b-edf531fa.jpg\n', 'files/p10/p10754184/s56348027/e88fa460-a2901f48-730373f3-89be4f0a-89e6e2a9.jpg\n']"
s56625924_3,p10754184,s56625924,3,Impression,"1. Small right pleural effusion is new; however, there is no evidence of pneumonia and no other significant appreciable change. 2. Mild cardiomegaly is unchanged. The above results were communicated via telephone by Dr. ___ to Dr. ___ ___ at 2:45 p.m. as requested.","1. Small right pleural effusion is new; however, there is no evidence of pneumonia and no other significant appreciable change.",pleural effusion,right,New,"['files/p10/p10754184/s56625924/526cdb3f-f4ef95d2-68e47227-531a01e7-b3f4744c.jpg', 'files/p10/p10754184/s56625924/e12e1dd7-9b6e4d27-63a06a72-937c9716-451f2db8.jpg']","['files/p10/p10754184/s56348027/c979aaaa-4bb31072-c9884178-6e3ced8b-edf531fa.jpg\n', 'files/p10/p10754184/s56348027/e88fa460-a2901f48-730373f3-89be4f0a-89e6e2a9.jpg\n']"
s56625924_3,p10754184,s56625924,3,Findings,A dual-lead pacemaker implanted in the left chest wall has two leads terminating in the expected location of the right atrium and right ventricle respectively. Mild hyperexpansion is unchanged. A small right pleural effusion is new. There are no focal opacities to suggest pneumonia. Mild cardiomegaly is stable. The hilar contours and pulmonary vasculature appear normal. The mediastinal silhouette is unchanged. Tortuosity of the thoracic aorta is re-demonstrated.,Tortuosity of the thoracic aorta is re-demonstrated.,aorta tortuosity,thoracic,Stable,"['files/p10/p10754184/s56625924/526cdb3f-f4ef95d2-68e47227-531a01e7-b3f4744c.jpg', 'files/p10/p10754184/s56625924/e12e1dd7-9b6e4d27-63a06a72-937c9716-451f2db8.jpg']","['files/p10/p10754184/s56348027/c979aaaa-4bb31072-c9884178-6e3ced8b-edf531fa.jpg\n', 'files/p10/p10754184/s56348027/e88fa460-a2901f48-730373f3-89be4f0a-89e6e2a9.jpg\n']"
s56625924_3,p10754184,s56625924,3,Findings,A dual-lead pacemaker implanted in the left chest wall has two leads terminating in the expected location of the right atrium and right ventricle respectively. Mild hyperexpansion is unchanged. A small right pleural effusion is new. There are no focal opacities to suggest pneumonia. Mild cardiomegaly is stable. The hilar contours and pulmonary vasculature appear normal. The mediastinal silhouette is unchanged. Tortuosity of the thoracic aorta is re-demonstrated.,The mediastinal silhouette is unchanged.,mediastinal silhouette,,Stable,"['files/p10/p10754184/s56625924/526cdb3f-f4ef95d2-68e47227-531a01e7-b3f4744c.jpg', 'files/p10/p10754184/s56625924/e12e1dd7-9b6e4d27-63a06a72-937c9716-451f2db8.jpg']","['files/p10/p10754184/s56348027/c979aaaa-4bb31072-c9884178-6e3ced8b-edf531fa.jpg\n', 'files/p10/p10754184/s56348027/e88fa460-a2901f48-730373f3-89be4f0a-89e6e2a9.jpg\n']"
s56625924_3,p10754184,s56625924,3,Findings,A dual-lead pacemaker implanted in the left chest wall has two leads terminating in the expected location of the right atrium and right ventricle respectively. Mild hyperexpansion is unchanged. A small right pleural effusion is new. There are no focal opacities to suggest pneumonia. Mild cardiomegaly is stable. The hilar contours and pulmonary vasculature appear normal. The mediastinal silhouette is unchanged. Tortuosity of the thoracic aorta is re-demonstrated.,A small right pleural effusion is new.,pleural effusion,right,New,"['files/p10/p10754184/s56625924/526cdb3f-f4ef95d2-68e47227-531a01e7-b3f4744c.jpg', 'files/p10/p10754184/s56625924/e12e1dd7-9b6e4d27-63a06a72-937c9716-451f2db8.jpg']","['files/p10/p10754184/s56348027/c979aaaa-4bb31072-c9884178-6e3ced8b-edf531fa.jpg\n', 'files/p10/p10754184/s56348027/e88fa460-a2901f48-730373f3-89be4f0a-89e6e2a9.jpg\n']"
s56630223_0,p19016834,s56630223,0,Impression,1. No evidence of pneumothorax or other procedural complication. 2. Smaller right loculated effusion. 3. Resolution of mild interstitial pulmonary edema. 4. Stable radiographic evidence of COPD.,Stable radiographic evidence of COPD.,COPD,,Stable,"['files/p19/p19016834/s56630223/d915fd90-d34450bb-ed88704e-ead739d2-470fa99f.jpg', 'files/p19/p19016834/s56630223/e2e855ab-59b52a28-1d4d9706-39fafe82-54c52c1d.jpg']","['files/p19/p19016834/s56354256/6a6317b8-aaf9ba61-33753b9f-5d504bc8-94bae3e5.jpg\n', 'files/p19/p19016834/s56354256/cb20779e-5ab34a3c-b6b672a8-a6174983-286c6a72.jpg\n']"
s56630223_0,p19016834,s56630223,0,Impression,1. No evidence of pneumothorax or other procedural complication. 2. Smaller right loculated effusion. 3. Resolution of mild interstitial pulmonary edema. 4. Stable radiographic evidence of COPD.,Resolution of mild interstitial pulmonary edema.,mild interstitial pulmonary edema,,Resolve,"['files/p19/p19016834/s56630223/d915fd90-d34450bb-ed88704e-ead739d2-470fa99f.jpg', 'files/p19/p19016834/s56630223/e2e855ab-59b52a28-1d4d9706-39fafe82-54c52c1d.jpg']","['files/p19/p19016834/s56354256/6a6317b8-aaf9ba61-33753b9f-5d504bc8-94bae3e5.jpg\n', 'files/p19/p19016834/s56354256/cb20779e-5ab34a3c-b6b672a8-a6174983-286c6a72.jpg\n']"
s56630223_0,p19016834,s56630223,0,Impression,1. No evidence of pneumothorax or other procedural complication. 2. Smaller right loculated effusion. 3. Resolution of mild interstitial pulmonary edema. 4. Stable radiographic evidence of COPD.,Smaller right loculated effusion.,loculated effusion,right,Better,"['files/p19/p19016834/s56630223/d915fd90-d34450bb-ed88704e-ead739d2-470fa99f.jpg', 'files/p19/p19016834/s56630223/e2e855ab-59b52a28-1d4d9706-39fafe82-54c52c1d.jpg']","['files/p19/p19016834/s56354256/6a6317b8-aaf9ba61-33753b9f-5d504bc8-94bae3e5.jpg\n', 'files/p19/p19016834/s56354256/cb20779e-5ab34a3c-b6b672a8-a6174983-286c6a72.jpg\n']"
s56630223_0,p19016834,s56630223,0,Findings,The right loculated pleural effusion has decreased in size from ___. There is a little to no remaining effusion on the left and there has been interval resolution of the mild interstitial pulmonary edema. There are no focal consolidations to suggest active infectious process. There is no pneumothorax. The hilar and cardiomediastinal contours are normal. The hemidiaphragms are flattened and the AP diameter is increased.,There is a little to no remaining effusion on the left and there has been interval resolution of the mild interstitial pulmonary edema.,effusion,left,Resolve,"['files/p19/p19016834/s56630223/d915fd90-d34450bb-ed88704e-ead739d2-470fa99f.jpg', 'files/p19/p19016834/s56630223/e2e855ab-59b52a28-1d4d9706-39fafe82-54c52c1d.jpg']","['files/p19/p19016834/s56354256/6a6317b8-aaf9ba61-33753b9f-5d504bc8-94bae3e5.jpg\n', 'files/p19/p19016834/s56354256/cb20779e-5ab34a3c-b6b672a8-a6174983-286c6a72.jpg\n']"
s56630223_0,p19016834,s56630223,0,Findings,The right loculated pleural effusion has decreased in size from ___. There is a little to no remaining effusion on the left and there has been interval resolution of the mild interstitial pulmonary edema. There are no focal consolidations to suggest active infectious process. There is no pneumothorax. The hilar and cardiomediastinal contours are normal. The hemidiaphragms are flattened and the AP diameter is increased.,The right loculated pleural effusion has decreased in size from ___.,loculated pleural effusion,right,Better,"['files/p19/p19016834/s56630223/d915fd90-d34450bb-ed88704e-ead739d2-470fa99f.jpg', 'files/p19/p19016834/s56630223/e2e855ab-59b52a28-1d4d9706-39fafe82-54c52c1d.jpg']","['files/p19/p19016834/s56354256/6a6317b8-aaf9ba61-33753b9f-5d504bc8-94bae3e5.jpg\n', 'files/p19/p19016834/s56354256/cb20779e-5ab34a3c-b6b672a8-a6174983-286c6a72.jpg\n']"
s56630223_0,p19016834,s56630223,0,Findings,The right loculated pleural effusion has decreased in size from ___. There is a little to no remaining effusion on the left and there has been interval resolution of the mild interstitial pulmonary edema. There are no focal consolidations to suggest active infectious process. There is no pneumothorax. The hilar and cardiomediastinal contours are normal. The hemidiaphragms are flattened and the AP diameter is increased.,There is a little to no remaining effusion on the left and there has been interval resolution of the mild interstitial pulmonary edema.,mild interstitial pulmonary edema,,Resolve,"['files/p19/p19016834/s56630223/d915fd90-d34450bb-ed88704e-ead739d2-470fa99f.jpg', 'files/p19/p19016834/s56630223/e2e855ab-59b52a28-1d4d9706-39fafe82-54c52c1d.jpg']","['files/p19/p19016834/s56354256/6a6317b8-aaf9ba61-33753b9f-5d504bc8-94bae3e5.jpg\n', 'files/p19/p19016834/s56354256/cb20779e-5ab34a3c-b6b672a8-a6174983-286c6a72.jpg\n']"
s56632211_4,p18828251,s56632211,4,Findings,"In comparison with the study of ___, there is little overall change. Continued enlargement of the cardiac silhouette in a patient with intact midline sternal wires after CABG. No evidence of vascular congestion. The overall discordancy raises possibility of cardiomyopathy. Calcification is again seen in coronary vessels. No evidence of acute focal pneumonia.","In comparison with the study of ___, there is little overall change.",,,Stable,"['files/p18/p18828251/s56632211/81045bbb-0ff47e0f-e6832f53-a8620841-66e813f0.jpg', 'files/p18/p18828251/s56632211/e747e5f5-4b65dfad-f486cf2d-3b6ef7ca-50784175.jpg']",['files/p18/p18828251/s55101327/92fd0922-955eb1c3-1cccf867-afd0d2e5-1e5a368b.jpg\n']
s56632211_4,p18828251,s56632211,4,Findings,"In comparison with the study of ___, there is little overall change. Continued enlargement of the cardiac silhouette in a patient with intact midline sternal wires after CABG. No evidence of vascular congestion. The overall discordancy raises possibility of cardiomyopathy. Calcification is again seen in coronary vessels. No evidence of acute focal pneumonia.",Calcification is again seen in coronary vessels.,calcification,coronary vessels,Stable,"['files/p18/p18828251/s56632211/81045bbb-0ff47e0f-e6832f53-a8620841-66e813f0.jpg', 'files/p18/p18828251/s56632211/e747e5f5-4b65dfad-f486cf2d-3b6ef7ca-50784175.jpg']",['files/p18/p18828251/s55101327/92fd0922-955eb1c3-1cccf867-afd0d2e5-1e5a368b.jpg\n']
s56644987_34,p15131736,s56644987,34,Impression,Heart size is enlarged but stable. There remains moderate pulmonary edema which is unchanged. There is an unchanged left retrocardiac opacity. There are likely small bilateral effusions. There are no pneumothoraces.,Heart size is enlarged but stable.,Heart size,,Stable,['files/p15/p15131736/s56644987/498f05dc-57343a1b-c611226d-832d85bd-a088cd1e.jpg'],['files/p15/p15131736/s56615285/64c24dca-a414a27f-c24e46d6-b41d673e-1a01d73e.jpg\n']
s56644987_34,p15131736,s56644987,34,Impression,Heart size is enlarged but stable. There remains moderate pulmonary edema which is unchanged. There is an unchanged left retrocardiac opacity. There are likely small bilateral effusions. There are no pneumothoraces.,There remains moderate pulmonary edema which is unchanged.,pulmonary edema,,Stable,['files/p15/p15131736/s56644987/498f05dc-57343a1b-c611226d-832d85bd-a088cd1e.jpg'],['files/p15/p15131736/s56615285/64c24dca-a414a27f-c24e46d6-b41d673e-1a01d73e.jpg\n']
s56644987_34,p15131736,s56644987,34,Impression,Heart size is enlarged but stable. There remains moderate pulmonary edema which is unchanged. There is an unchanged left retrocardiac opacity. There are likely small bilateral effusions. There are no pneumothoraces.,There is an unchanged left retrocardiac opacity.,retrocardiac opacity,Left,Stable,['files/p15/p15131736/s56644987/498f05dc-57343a1b-c611226d-832d85bd-a088cd1e.jpg'],['files/p15/p15131736/s56615285/64c24dca-a414a27f-c24e46d6-b41d673e-1a01d73e.jpg\n']
s56644987_34,p15131736,s56644987,34,Impression,Heart size is enlarged but stable. There remains moderate pulmonary edema which is unchanged. There is an unchanged left retrocardiac opacity. There are likely small bilateral effusions. There are no pneumothoraces.,There are likely small bilateral effusions.,small effusions,Bilateral,New,['files/p15/p15131736/s56644987/498f05dc-57343a1b-c611226d-832d85bd-a088cd1e.jpg'],['files/p15/p15131736/s56615285/64c24dca-a414a27f-c24e46d6-b41d673e-1a01d73e.jpg\n']
s56646773_24,p16508811,s56646773,24,Impression,No focal consolidation to suggest pneumonia. Stable mild cardiomegaly.,Stable mild cardiomegaly.,Mild cardiomegaly,,Stable,"['files/p16/p16508811/s56646773/60195474-8b005d9a-ba896639-dde6ba48-49b2d063.jpg', 'files/p16/p16508811/s56646773/e54056af-0e47378b-d4809463-9d218a22-17591156.jpg']","['files/p16/p16508811/s56381590/81519ba6-8d7cb2e1-1711d24c-0d43f539-d2181628.jpg\n', 'files/p16/p16508811/s56381590/b4f28648-ad5e7b85-c9c36b5c-975bd159-3da2a25f.jpg\n']"
s56647535_24,p19016834,s56647535,24,Findings,"Single AP upright portable view of the chest was obtained. The patient is rotated to the right. The patent esophageal stent has migrated in position with the superior portion now projecting over the right lung apex. Also, since the prior study, there has been development of significant opacity projecting over the right hemithorax which may be due to a combination of pleural effusion and consolidation. The left lung is clear. The cardiac silhouette is not enlarged. ED aware at the time of the dictation.",The patent esophageal stent has migrated in position with the superior portion now projecting over the right lung apex.,Esophageal stent,superior portion over the right lung apex,Worse,['files/p19/p19016834/s56647535/f49301d7-6e0b977b-e4fe5357-229f8407-66ff773c.jpg'],"['files/p19/p19016834/s56630223/d915fd90-d34450bb-ed88704e-ead739d2-470fa99f.jpg\n', 'files/p19/p19016834/s56630223/e2e855ab-59b52a28-1d4d9706-39fafe82-54c52c1d.jpg\n']"
s56647535_24,p19016834,s56647535,24,Findings,"Single AP upright portable view of the chest was obtained. The patient is rotated to the right. The patent esophageal stent has migrated in position with the superior portion now projecting over the right lung apex. Also, since the prior study, there has been development of significant opacity projecting over the right hemithorax which may be due to a combination of pleural effusion and consolidation. The left lung is clear. The cardiac silhouette is not enlarged. ED aware at the time of the dictation.","Also, since the prior study, there has been development of significant opacity projecting over the right hemithorax which may be due to a combination of pleural effusion and consolidation.",opacity,right hemithorax,New,['files/p19/p19016834/s56647535/f49301d7-6e0b977b-e4fe5357-229f8407-66ff773c.jpg'],"['files/p19/p19016834/s56630223/d915fd90-d34450bb-ed88704e-ead739d2-470fa99f.jpg\n', 'files/p19/p19016834/s56630223/e2e855ab-59b52a28-1d4d9706-39fafe82-54c52c1d.jpg\n']"
s56648385_15,p16043637,s56648385,15,Impression,"In comparison with the study of ___, there is little overall change. Again there is enlargement of the cardiac silhouette with indistinctness of pulmonary vessels consistent with mild elevation in pulmonary venous pressure. No evidence of pleural effusion or acute focal pneumonia. Dual-channel pacer device remains in place with leads in appropriate position.",Dual-channel pacer device remains in place with leads in appropriate position.,Dual-channel pacer device,in place,Stable,['files/p16/p16043637/s56648385/0b71f9fb-3c56b3bf-52d2654d-3143a294-060a965c.jpg'],"['files/p16/p16043637/s56104633/378d7d48-0cfa19a3-361e40d3-6bd71394-bca64527.jpg\n', 'files/p16/p16043637/s56104633/cfec6d9d-4bc06a39-db51e654-c78ce642-16ef1ae3.jpg\n']"
s56651744_4,p19454978,s56651744,4,Findings,"Comparison is made to the prior study from ___. There is a right IJ catheter with distal lead tip in the proximal right atrium. Heart size is mildly enlarged but unchanged. There is a left retrocardiac opacity and bilateral pleural effusions which are small. There is mild pulmonary fluid overload. Overall, these findings are stable.","Overall, these findings are stable.",findings,,Stable,['files/p19/p19454978/s56651744/495aa78d-7ad88491-fe7e2c29-d712e346-43f1b1a9.jpg'],['files/p19/p19454978/s56426309/5432fbd3-085280d8-b2452bf4-52defb60-99f287db.jpg\n']
s56651744_4,p19454978,s56651744,4,Findings,"Comparison is made to the prior study from ___. There is a right IJ catheter with distal lead tip in the proximal right atrium. Heart size is mildly enlarged but unchanged. There is a left retrocardiac opacity and bilateral pleural effusions which are small. There is mild pulmonary fluid overload. Overall, these findings are stable.",Heart size is mildly enlarged but unchanged.,heart size,,Stable,['files/p19/p19454978/s56651744/495aa78d-7ad88491-fe7e2c29-d712e346-43f1b1a9.jpg'],['files/p19/p19454978/s56426309/5432fbd3-085280d8-b2452bf4-52defb60-99f287db.jpg\n']
s56653253_6,p10439781,s56653253,6,Findings,"As compared to the previous radiograph, there is unchanged evidence of moderate-to-severe pulmonary edema. However, the interstitial component of the edema is more prominent on the current image. The presence of a small pleural effusion cannot be excluded. Unchanged mild cardiomegaly. Unchanged position of the left pectoral Port-A-Cath.","As compared to the previous radiograph, there is unchanged evidence of moderate-to-severe pulmonary edema.",pulmonary edema,,Stable,['files/p10/p10439781/s56653253/7bc78455-41c1debf-80eb11b0-d8ff58b8-e4e2496d.jpg'],"['files/p10/p10439781/s56498272/cbf70dce-197f82f4-7b8613a7-c0b0b099-d1de4726.jpg\n', 'files/p10/p10439781/s56498272/ffa27b68-fa32bc2b-9197ec90-33bf30ae-8bea837b.jpg\n']"
s56653253_6,p10439781,s56653253,6,Findings,"As compared to the previous radiograph, there is unchanged evidence of moderate-to-severe pulmonary edema. However, the interstitial component of the edema is more prominent on the current image. The presence of a small pleural effusion cannot be excluded. Unchanged mild cardiomegaly. Unchanged position of the left pectoral Port-A-Cath.",Unchanged mild cardiomegaly.,cardiomegaly,,Stable,['files/p10/p10439781/s56653253/7bc78455-41c1debf-80eb11b0-d8ff58b8-e4e2496d.jpg'],"['files/p10/p10439781/s56498272/cbf70dce-197f82f4-7b8613a7-c0b0b099-d1de4726.jpg\n', 'files/p10/p10439781/s56498272/ffa27b68-fa32bc2b-9197ec90-33bf30ae-8bea837b.jpg\n']"
s56653253_6,p10439781,s56653253,6,Findings,"As compared to the previous radiograph, there is unchanged evidence of moderate-to-severe pulmonary edema. However, the interstitial component of the edema is more prominent on the current image. The presence of a small pleural effusion cannot be excluded. Unchanged mild cardiomegaly. Unchanged position of the left pectoral Port-A-Cath.",Unchanged position of the left pectoral Port-A-Cath.,Port-A-Cath,left pectoral,Stable,['files/p10/p10439781/s56653253/7bc78455-41c1debf-80eb11b0-d8ff58b8-e4e2496d.jpg'],"['files/p10/p10439781/s56498272/cbf70dce-197f82f4-7b8613a7-c0b0b099-d1de4726.jpg\n', 'files/p10/p10439781/s56498272/ffa27b68-fa32bc2b-9197ec90-33bf30ae-8bea837b.jpg\n']"
s56659228_10,p14727722,s56659228,10,Findings,Low lung volumes account for bronchovascular crowding; however mild fluid overload would be difficult to exclude. No focal opacities are identified. Cardiac size is in the upper limits of normal. There is no pleural effusion or pneumothorax. A new right IJ line ends in the lower SVC/cavoatrial junction.,A new right IJ line ends in the lower SVC/cavoatrial junction.,ends in the lower SVC/cavoatrial junction,right IJ line,New,['files/p14/p14727722/s56659228/46e392dd-8bae92bc-05e946e4-dad0f6d9-5866b783.jpg'],"['files/p14/p14727722/s55687833/2af9ca79-64862342-e9b8e6a0-59941e27-f38f159f.jpg\n', 'files/p14/p14727722/s55687833/90fa87dc-49b61431-a836524e-5374a6af-d3f50a9f.jpg\n', 'files/p14/p14727722/s55687833/b6a6935d-4971116a-88062d67-ad36e7ac-0fc76bdf.jpg\n']"
s56659228_10,p14727722,s56659228,10,Impression,Increased vascular markings may be due to mild fluid overload although assessment is limited due to low lung volumes. New right IJ line ends in the lower SVC/cavoatrial junction.,New right IJ line ends in the lower SVC/cavoatrial junction.,ends in the lower SVC/cavoatrial junction,right IJ line,New,['files/p14/p14727722/s56659228/46e392dd-8bae92bc-05e946e4-dad0f6d9-5866b783.jpg'],"['files/p14/p14727722/s55687833/2af9ca79-64862342-e9b8e6a0-59941e27-f38f159f.jpg\n', 'files/p14/p14727722/s55687833/90fa87dc-49b61431-a836524e-5374a6af-d3f50a9f.jpg\n', 'files/p14/p14727722/s55687833/b6a6935d-4971116a-88062d67-ad36e7ac-0fc76bdf.jpg\n']"
s56661177_1,p16055653,s56661177,1,Impression,"Both lung volumes are very low. Right lower lung consolidation concerning for pneumonia, new since ___, is unchanged. Apparent cardiomegaly, prominent pulmonary vasculature and azygous vein and widened mediastinal contour may be due to very low lung volumes and supine position of patient. There is no pneumothorax or pleural effusion. Right PICC line ends at mid-to-lower SVC.","Right lower lung consolidation concerning for pneumonia, new since ___, is unchanged.",consolidation,right lower lung,Stable,['files/p16/p16055653/s56661177/a46cc3e2-acca97ab-6d4f6afb-2f31ce8e-81435979.jpg'],"['files/p16/p16055653/s56465441/47b82a26-321d12c0-2e8e3d70-fea4fb45-3e201e4c.jpg\n', 'files/p16/p16055653/s56465441/807aa21b-591fc5c2-928a2b58-33af8636-1de7e3a9.jpg\n']"
s56661236_18,p16662264,s56661236,18,Impression,Right middle lobe and lingular pneumonia. Recommend repeat after treatment to document resolution.,Recommend repeat after treatment to document resolution.,pneumonia,right middle lobe and lingula,Resolve,"['files/p16/p16662264/s56661236/a10dea57-90f876f4-c66af250-6fb45322-6ef88ddc.jpg', 'files/p16/p16662264/s56661236/a74b9fcc-ff2cc5ea-87d770aa-76473a8f-f68a8860.jpg']","['files/p16/p16662264/s56513752/33222196-20a22f7b-b04dd8d7-3c2d9960-8b9630bb.jpg\n', 'files/p16/p16662264/s56513752/4dc103db-597e938a-f6b0373d-e7703fa2-94e9efdd.jpg\n']"
s56661236_18,p16662264,s56661236,18,Findings,"PA and lateral views of the chest. There are new bibasilar opacities compatible with right middle lobe and lingular pneumonia. Elsewhere, the lungs are clear and there is no effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality.",There are new bibasilar opacities compatible with right middle lobe and lingular pneumonia.,bibasilar opacities,lingular,New,"['files/p16/p16662264/s56661236/a10dea57-90f876f4-c66af250-6fb45322-6ef88ddc.jpg', 'files/p16/p16662264/s56661236/a74b9fcc-ff2cc5ea-87d770aa-76473a8f-f68a8860.jpg']","['files/p16/p16662264/s56513752/33222196-20a22f7b-b04dd8d7-3c2d9960-8b9630bb.jpg\n', 'files/p16/p16662264/s56513752/4dc103db-597e938a-f6b0373d-e7703fa2-94e9efdd.jpg\n']"
s56661236_18,p16662264,s56661236,18,Findings,"PA and lateral views of the chest. There are new bibasilar opacities compatible with right middle lobe and lingular pneumonia. Elsewhere, the lungs are clear and there is no effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality.",There are new bibasilar opacities compatible with right middle lobe and lingular pneumonia.,bibasilar opacities,right middle lobe,New,"['files/p16/p16662264/s56661236/a10dea57-90f876f4-c66af250-6fb45322-6ef88ddc.jpg', 'files/p16/p16662264/s56661236/a74b9fcc-ff2cc5ea-87d770aa-76473a8f-f68a8860.jpg']","['files/p16/p16662264/s56513752/33222196-20a22f7b-b04dd8d7-3c2d9960-8b9630bb.jpg\n', 'files/p16/p16662264/s56513752/4dc103db-597e938a-f6b0373d-e7703fa2-94e9efdd.jpg\n']"
s56661680_1,p15192710,s56661680,1,Findings,"AP upright portable view of the chest was obtained. In the interval since the prior study, there has been development of a very large left pneumothorax with collapse of the left lung. There may be slight tension component. The right lung is clear. No pleural effusion. The left cardiac border appears somewhat flattened, which may be due to tension.","In the interval since the prior study, there has been development of a very large left pneumothorax with collapse of the left lung.",pneumothorax,left,New,['files/p15/p15192710/s56661680/537866b5-4423c6f9-f01223bc-1a4b2a8a-a550fd36.jpg'],['files/p15/p15192710/s55815964/8556763c-b1bc6f79-edf4b821-e6261f21-f1f60684.jpg\n']
s56661680_1,p15192710,s56661680,1,Impression,Interval development of large left pneumothorax. The above findings were discussed with Dr. ___ at 9:___ p.m. via telephone on ___.,Interval development of large left pneumothorax.,pneumothorax,left,New,['files/p15/p15192710/s56661680/537866b5-4423c6f9-f01223bc-1a4b2a8a-a550fd36.jpg'],['files/p15/p15192710/s55815964/8556763c-b1bc6f79-edf4b821-e6261f21-f1f60684.jpg\n']
s56663989_10,p18512911,s56663989,10,Findings,"The heart size is enlarged but similar to prior exam. The mediastinal and hilar contours are within normal limits. The lung volumes are low with bibasilar atelectasis, more pronounced on the left than the right and there is no large pleural effusion or pneumothorax. There is no evidence of pulmonary edema or thickened septal lines. Multiple compression fractures of the lower thoracic spine have not changed since prior CT.",The heart size is enlarged but similar to prior exam.,Cardiomegaly,,Stable,"['files/p18/p18512911/s56663989/374f8822-3c399f31-c5e13e37-a6cc8245-cb3cc735.jpg', 'files/p18/p18512911/s56663989/74539665-467d0bc8-6f5c9920-f9b6e911-a6f92f44.jpg', 'files/p18/p18512911/s56663989/aef845e2-53646bbc-a445e270-6f279d07-6a13a71a.jpg']",['files/p18/p18512911/s55001746/86d4ab20-e9abbc54-b65af50f-128d2b48-d9884715.jpg\n']
s56663989_10,p18512911,s56663989,10,Findings,"The heart size is enlarged but similar to prior exam. The mediastinal and hilar contours are within normal limits. The lung volumes are low with bibasilar atelectasis, more pronounced on the left than the right and there is no large pleural effusion or pneumothorax. There is no evidence of pulmonary edema or thickened septal lines. Multiple compression fractures of the lower thoracic spine have not changed since prior CT.",Multiple compression fractures of the lower thoracic spine have not changed since prior CT.,compression fractures,lower thoracic spine,Stable,"['files/p18/p18512911/s56663989/374f8822-3c399f31-c5e13e37-a6cc8245-cb3cc735.jpg', 'files/p18/p18512911/s56663989/74539665-467d0bc8-6f5c9920-f9b6e911-a6f92f44.jpg', 'files/p18/p18512911/s56663989/aef845e2-53646bbc-a445e270-6f279d07-6a13a71a.jpg']",['files/p18/p18512911/s55001746/86d4ab20-e9abbc54-b65af50f-128d2b48-d9884715.jpg\n']
s56666007_56,p19182863,s56666007,56,Findings,"Since ___, bilateral small pleural effusions and bibasilar atelectasis are unchanged. No new focal consolidation is identified. No pneumothorax. Unchanged mild cardiomegaly. Tip of the endotracheal to is seen 4.1 cm above the carina. Right double-lumen central line terminates in the right atrium. A feeding tube is seen in the stomach. Left pectoral pacemaker is seen with transvenous leads in the right ventricle. Left chest tube positioning has been adjusted. Median sternotomy wires are intact and well aligned.",Unchanged mild cardiomegaly.,mild cardiomegaly,,Stable,['files/p19/p19182863/s56666007/0f55eb03-9eb3edde-1c46e2fb-60625b8b-86fdba40.jpg'],"['files/p19/p19182863/s56593920/692b12ec-4c9a3585-9aba9b6f-3c65bf19-6c939cec.jpg\n', 'files/p19/p19182863/s56593920/c5faee40-351cd77d-cb9145ad-278c11ed-e7f9b874.jpg\n']"
s56666007_56,p19182863,s56666007,56,Impression,1. Unchanged bilateral pleural effusions and bibasilar atelectasis since ___. 2. All support devices are in appropriate position.,1. Unchanged bilateral pleural effusions and bibasilar atelectasis since ___.,atelectasis,Bibasilar,Stable,['files/p19/p19182863/s56666007/0f55eb03-9eb3edde-1c46e2fb-60625b8b-86fdba40.jpg'],"['files/p19/p19182863/s56593920/692b12ec-4c9a3585-9aba9b6f-3c65bf19-6c939cec.jpg\n', 'files/p19/p19182863/s56593920/c5faee40-351cd77d-cb9145ad-278c11ed-e7f9b874.jpg\n']"
s56666007_56,p19182863,s56666007,56,Impression,1. Unchanged bilateral pleural effusions and bibasilar atelectasis since ___. 2. All support devices are in appropriate position.,1. Unchanged bilateral pleural effusions and bibasilar atelectasis since ___.,small pleural effusions,Bilateral,Stable,['files/p19/p19182863/s56666007/0f55eb03-9eb3edde-1c46e2fb-60625b8b-86fdba40.jpg'],"['files/p19/p19182863/s56593920/692b12ec-4c9a3585-9aba9b6f-3c65bf19-6c939cec.jpg\n', 'files/p19/p19182863/s56593920/c5faee40-351cd77d-cb9145ad-278c11ed-e7f9b874.jpg\n']"
s56666007_56,p19182863,s56666007,56,Findings,"Since ___, bilateral small pleural effusions and bibasilar atelectasis are unchanged. No new focal consolidation is identified. No pneumothorax. Unchanged mild cardiomegaly. Tip of the endotracheal to is seen 4.1 cm above the carina. Right double-lumen central line terminates in the right atrium. A feeding tube is seen in the stomach. Left pectoral pacemaker is seen with transvenous leads in the right ventricle. Left chest tube positioning has been adjusted. Median sternotomy wires are intact and well aligned.","Since ___, bilateral small pleural effusions and bibasilar atelectasis are unchanged.",atelectasis,Bibasilar,Stable,['files/p19/p19182863/s56666007/0f55eb03-9eb3edde-1c46e2fb-60625b8b-86fdba40.jpg'],"['files/p19/p19182863/s56593920/692b12ec-4c9a3585-9aba9b6f-3c65bf19-6c939cec.jpg\n', 'files/p19/p19182863/s56593920/c5faee40-351cd77d-cb9145ad-278c11ed-e7f9b874.jpg\n']"
s56666007_56,p19182863,s56666007,56,Findings,"Since ___, bilateral small pleural effusions and bibasilar atelectasis are unchanged. No new focal consolidation is identified. No pneumothorax. Unchanged mild cardiomegaly. Tip of the endotracheal to is seen 4.1 cm above the carina. Right double-lumen central line terminates in the right atrium. A feeding tube is seen in the stomach. Left pectoral pacemaker is seen with transvenous leads in the right ventricle. Left chest tube positioning has been adjusted. Median sternotomy wires are intact and well aligned.","Since ___, bilateral small pleural effusions and bibasilar atelectasis are unchanged.",small pleural effusions,Bilateral,Stable,['files/p19/p19182863/s56666007/0f55eb03-9eb3edde-1c46e2fb-60625b8b-86fdba40.jpg'],"['files/p19/p19182863/s56593920/692b12ec-4c9a3585-9aba9b6f-3c65bf19-6c939cec.jpg\n', 'files/p19/p19182863/s56593920/c5faee40-351cd77d-cb9145ad-278c11ed-e7f9b874.jpg\n']"
s56667543_2,p16672854,s56667543,2,Findings,"Opacities have slightly worsened in the axillary portion of the right lung and also in the right lower lobe, concerning for pneumonia in these areas. In addition, there is asymmetric pulmonary edema which has improved in the left lung but has also worsened in the right lung. The cardiomediastinal silhouette remains stable. There may be trace bilateral pleural effusions. There is no pneumothorax.",The cardiomediastinal silhouette remains stable.,cardiomediastinal silhouette,,Stable,['files/p16/p16672854/s56667543/6ffb2758-06d7d35f-3945c13a-7dc500cc-de2839e4.jpg'],"['files/p16/p16672854/s55024789/bf040338-6d134f73-6145c023-c868f0da-e70f429b.jpg\n', 'files/p16/p16672854/s55024789/d5380e43-b9ca5dee-fb28ec1b-21f2d76b-af26d998.jpg\n']"
s56667543_2,p16672854,s56667543,2,Findings,"Opacities have slightly worsened in the axillary portion of the right lung and also in the right lower lobe, concerning for pneumonia in these areas. In addition, there is asymmetric pulmonary edema which has improved in the left lung but has also worsened in the right lung. The cardiomediastinal silhouette remains stable. There may be trace bilateral pleural effusions. There is no pneumothorax.","Opacities have slightly worsened in the axillary portion of the right lung and also in the right lower lobe, concerning for pneumonia in these areas.",opacities,right lung axillary portion and right lower lobe,Worse,['files/p16/p16672854/s56667543/6ffb2758-06d7d35f-3945c13a-7dc500cc-de2839e4.jpg'],"['files/p16/p16672854/s55024789/bf040338-6d134f73-6145c023-c868f0da-e70f429b.jpg\n', 'files/p16/p16672854/s55024789/d5380e43-b9ca5dee-fb28ec1b-21f2d76b-af26d998.jpg\n']"
s56667543_2,p16672854,s56667543,2,Findings,"Opacities have slightly worsened in the axillary portion of the right lung and also in the right lower lobe, concerning for pneumonia in these areas. In addition, there is asymmetric pulmonary edema which has improved in the left lung but has also worsened in the right lung. The cardiomediastinal silhouette remains stable. There may be trace bilateral pleural effusions. There is no pneumothorax.","In addition, there is asymmetric pulmonary edema which has improved in the left lung but has also worsened in the right lung.",pulmonary edema,right lung,Worse,['files/p16/p16672854/s56667543/6ffb2758-06d7d35f-3945c13a-7dc500cc-de2839e4.jpg'],"['files/p16/p16672854/s55024789/bf040338-6d134f73-6145c023-c868f0da-e70f429b.jpg\n', 'files/p16/p16672854/s55024789/d5380e43-b9ca5dee-fb28ec1b-21f2d76b-af26d998.jpg\n']"
s56667543_2,p16672854,s56667543,2,Findings,"Opacities have slightly worsened in the axillary portion of the right lung and also in the right lower lobe, concerning for pneumonia in these areas. In addition, there is asymmetric pulmonary edema which has improved in the left lung but has also worsened in the right lung. The cardiomediastinal silhouette remains stable. There may be trace bilateral pleural effusions. There is no pneumothorax.","In addition, there is asymmetric pulmonary edema which has improved in the left lung but has also worsened in the right lung.",pulmonary edema,left lung,Better,['files/p16/p16672854/s56667543/6ffb2758-06d7d35f-3945c13a-7dc500cc-de2839e4.jpg'],"['files/p16/p16672854/s55024789/bf040338-6d134f73-6145c023-c868f0da-e70f429b.jpg\n', 'files/p16/p16672854/s55024789/d5380e43-b9ca5dee-fb28ec1b-21f2d76b-af26d998.jpg\n']"
s56670181_18,p14841168,s56670181,18,Findings,"AP single view of the chest has been obtained with patient in supine position. Comparison is made with a previous similar examination of ___, which also was performed with the patient in supine position. Moderate cardiac enlargement as before. Heart size may have increased slightly. However, portable technique in supine position does not allow precise assessment. Comparison with the next previous study clearly identifies a new parenchymal density in the left hemithorax in perihilar position extending into the left upper lobe. The previously identified left lower lobe linear densities suspicious for atelectasis persist. No new pulmonary abnormalities in the right hemithorax and no pneumothorax identified on either side. The patient is intubated and the ETT terminates in the trachea some 5 cm above the level of the carina.",The previously identified left lower lobe linear densities suspicious for atelectasis persist.,Linear densities suspicious for atelectasis,left lower lobe,Stable,['files/p14/p14841168/s56670181/5c6e01e3-164c30db-22196724-376748a3-d299a9eb.jpg'],['files/p14/p14841168/s56506968/431a17b6-190ff348-b3f07795-8b75e49c-9c2e5030.jpg\n']
s56670181_18,p14841168,s56670181,18,Findings,"AP single view of the chest has been obtained with patient in supine position. Comparison is made with a previous similar examination of ___, which also was performed with the patient in supine position. Moderate cardiac enlargement as before. Heart size may have increased slightly. However, portable technique in supine position does not allow precise assessment. Comparison with the next previous study clearly identifies a new parenchymal density in the left hemithorax in perihilar position extending into the left upper lobe. The previously identified left lower lobe linear densities suspicious for atelectasis persist. No new pulmonary abnormalities in the right hemithorax and no pneumothorax identified on either side. The patient is intubated and the ETT terminates in the trachea some 5 cm above the level of the carina.",Comparison with the next previous study clearly identifies a new parenchymal density in the left hemithorax in perihilar position extending into the left upper lobe.,Parenchymal density,left hemithorax in perihilar position extending into the left upper lobe,New,['files/p14/p14841168/s56670181/5c6e01e3-164c30db-22196724-376748a3-d299a9eb.jpg'],['files/p14/p14841168/s56506968/431a17b6-190ff348-b3f07795-8b75e49c-9c2e5030.jpg\n']
s56670181_18,p14841168,s56670181,18,Findings,"AP single view of the chest has been obtained with patient in supine position. Comparison is made with a previous similar examination of ___, which also was performed with the patient in supine position. Moderate cardiac enlargement as before. Heart size may have increased slightly. However, portable technique in supine position does not allow precise assessment. Comparison with the next previous study clearly identifies a new parenchymal density in the left hemithorax in perihilar position extending into the left upper lobe. The previously identified left lower lobe linear densities suspicious for atelectasis persist. No new pulmonary abnormalities in the right hemithorax and no pneumothorax identified on either side. The patient is intubated and the ETT terminates in the trachea some 5 cm above the level of the carina.",Heart size may have increased slightly.,Heart size,,Worse,['files/p14/p14841168/s56670181/5c6e01e3-164c30db-22196724-376748a3-d299a9eb.jpg'],['files/p14/p14841168/s56506968/431a17b6-190ff348-b3f07795-8b75e49c-9c2e5030.jpg\n']
s56670181_18,p14841168,s56670181,18,Findings,"AP single view of the chest has been obtained with patient in supine position. Comparison is made with a previous similar examination of ___, which also was performed with the patient in supine position. Moderate cardiac enlargement as before. Heart size may have increased slightly. However, portable technique in supine position does not allow precise assessment. Comparison with the next previous study clearly identifies a new parenchymal density in the left hemithorax in perihilar position extending into the left upper lobe. The previously identified left lower lobe linear densities suspicious for atelectasis persist. No new pulmonary abnormalities in the right hemithorax and no pneumothorax identified on either side. The patient is intubated and the ETT terminates in the trachea some 5 cm above the level of the carina.",Moderate cardiac enlargement as before.,Moderate cardiac enlargement,,Stable,['files/p14/p14841168/s56670181/5c6e01e3-164c30db-22196724-376748a3-d299a9eb.jpg'],['files/p14/p14841168/s56506968/431a17b6-190ff348-b3f07795-8b75e49c-9c2e5030.jpg\n']
s56670181_18,p14841168,s56670181,18,Impression,"New parenchymal infiltrates in mid and left upper lung field. As patient apparently was in supine position during the last ten days, consider possibility of aspiration pneumonitis in this unusual location.",New parenchymal infiltrates in mid and left upper lung field.,Parenchymal infiltrates,mid and left upper lung field,New,['files/p14/p14841168/s56670181/5c6e01e3-164c30db-22196724-376748a3-d299a9eb.jpg'],['files/p14/p14841168/s56506968/431a17b6-190ff348-b3f07795-8b75e49c-9c2e5030.jpg\n']
s56673612_13,p11052935,s56673612,13,Findings,"In comparison with the study of ___, the increased opacification at the left base has substantially cleared. The suspected area of opacification at the right base laterally is barely perceptible at this time. Substantial hyperexpansion of the lungs with upper lobe predominant emphysema is again noted and there is little change in the appearance of the cardiomediastinal silhouette.","In comparison with the study of ___, the increased opacification at the left base has substantially cleared.",opacification,left base,Resolve,['files/p11/p11052935/s56673612/ab104077-b39a8fcb-8c1d8fd5-5a8badb0-be5353a1.jpg'],"['files/p11/p11052935/s56129930/2499c15e-4605f752-e137e424-4474ef69-839ebbaa.jpg\n', 'files/p11/p11052935/s56129930/9870d11d-3a0d9c78-f49f71c6-58644dd5-ce1b85fb.jpg\n']"
s56673612_13,p11052935,s56673612,13,Findings,"In comparison with the study of ___, the increased opacification at the left base has substantially cleared. The suspected area of opacification at the right base laterally is barely perceptible at this time. Substantial hyperexpansion of the lungs with upper lobe predominant emphysema is again noted and there is little change in the appearance of the cardiomediastinal silhouette.",Substantial hyperexpansion of the lungs with upper lobe predominant emphysema is again noted and there is little change in the appearance of the cardiomediastinal silhouette.,emphysema,upper lobe,Stable,['files/p11/p11052935/s56673612/ab104077-b39a8fcb-8c1d8fd5-5a8badb0-be5353a1.jpg'],"['files/p11/p11052935/s56129930/2499c15e-4605f752-e137e424-4474ef69-839ebbaa.jpg\n', 'files/p11/p11052935/s56129930/9870d11d-3a0d9c78-f49f71c6-58644dd5-ce1b85fb.jpg\n']"
s56676503_15,p15857729,s56676503,15,Findings,"A newly placed nasogastric tube terminates in the distal stomach. The right IJ central venous catheter and an ET tube are unchanged in position. The bilateral lung apices have been excluded from the field of view, limiting assessment for pneumothorax. Severe bilateral airspace opacities are unchanged. A small layering right pleural effusion is not appreciably changed.",Severe bilateral airspace opacities are unchanged.,airspace opacities,bilateral,Stable,"['files/p15/p15857729/s56676503/293ccf0f-bbec782f-8f4cd724-1cb95930-9e395539.jpg', 'files/p15/p15857729/s56676503/b128a59a-4eb90799-c8564692-8e582714-82706ad2.jpg']","['files/p15/p15857729/s56277244/b7d5d87f-d26475b8-59e5abac-b1142fa5-4071124e.jpg\n', 'files/p15/p15857729/s56277244/d8b6b619-9e181de2-c46adb2d-08194ead-eefd7108.jpg\n']"
s56676503_15,p15857729,s56676503,15,Findings,"A newly placed nasogastric tube terminates in the distal stomach. The right IJ central venous catheter and an ET tube are unchanged in position. The bilateral lung apices have been excluded from the field of view, limiting assessment for pneumothorax. Severe bilateral airspace opacities are unchanged. A small layering right pleural effusion is not appreciably changed.",The right IJ central venous catheter and an ET tube are unchanged in position.,ET tube,,Stable,"['files/p15/p15857729/s56676503/293ccf0f-bbec782f-8f4cd724-1cb95930-9e395539.jpg', 'files/p15/p15857729/s56676503/b128a59a-4eb90799-c8564692-8e582714-82706ad2.jpg']","['files/p15/p15857729/s56277244/b7d5d87f-d26475b8-59e5abac-b1142fa5-4071124e.jpg\n', 'files/p15/p15857729/s56277244/d8b6b619-9e181de2-c46adb2d-08194ead-eefd7108.jpg\n']"
s56676503_15,p15857729,s56676503,15,Findings,"A newly placed nasogastric tube terminates in the distal stomach. The right IJ central venous catheter and an ET tube are unchanged in position. The bilateral lung apices have been excluded from the field of view, limiting assessment for pneumothorax. Severe bilateral airspace opacities are unchanged. A small layering right pleural effusion is not appreciably changed.",The right IJ central venous catheter and an ET tube are unchanged in position.,central venous catheter,right IJ,Stable,"['files/p15/p15857729/s56676503/293ccf0f-bbec782f-8f4cd724-1cb95930-9e395539.jpg', 'files/p15/p15857729/s56676503/b128a59a-4eb90799-c8564692-8e582714-82706ad2.jpg']","['files/p15/p15857729/s56277244/b7d5d87f-d26475b8-59e5abac-b1142fa5-4071124e.jpg\n', 'files/p15/p15857729/s56277244/d8b6b619-9e181de2-c46adb2d-08194ead-eefd7108.jpg\n']"
s56676503_15,p15857729,s56676503,15,Findings,"A newly placed nasogastric tube terminates in the distal stomach. The right IJ central venous catheter and an ET tube are unchanged in position. The bilateral lung apices have been excluded from the field of view, limiting assessment for pneumothorax. Severe bilateral airspace opacities are unchanged. A small layering right pleural effusion is not appreciably changed.",A small layering right pleural effusion is not appreciably changed.,pleural effusion,right,Stable,"['files/p15/p15857729/s56676503/293ccf0f-bbec782f-8f4cd724-1cb95930-9e395539.jpg', 'files/p15/p15857729/s56676503/b128a59a-4eb90799-c8564692-8e582714-82706ad2.jpg']","['files/p15/p15857729/s56277244/b7d5d87f-d26475b8-59e5abac-b1142fa5-4071124e.jpg\n', 'files/p15/p15857729/s56277244/d8b6b619-9e181de2-c46adb2d-08194ead-eefd7108.jpg\n']"
s56676503_15,p15857729,s56676503,15,Impression,"NG tube ends in distal stomach. Remaining lines and tubes in satisfactory position. Right lower lobe pneumonia with stable severe bilateral airspace opacities, which may be due to pulmonary edema or hemorrhage. Moderate layering right pleural effusion not appreciably changed.","Right lower lobe pneumonia with stable severe bilateral airspace opacities, which may be due to pulmonary edema or hemorrhage.",airspace opacities,bilateral,Stable,"['files/p15/p15857729/s56676503/293ccf0f-bbec782f-8f4cd724-1cb95930-9e395539.jpg', 'files/p15/p15857729/s56676503/b128a59a-4eb90799-c8564692-8e582714-82706ad2.jpg']","['files/p15/p15857729/s56277244/b7d5d87f-d26475b8-59e5abac-b1142fa5-4071124e.jpg\n', 'files/p15/p15857729/s56277244/d8b6b619-9e181de2-c46adb2d-08194ead-eefd7108.jpg\n']"
s56676503_15,p15857729,s56676503,15,Impression,"NG tube ends in distal stomach. Remaining lines and tubes in satisfactory position. Right lower lobe pneumonia with stable severe bilateral airspace opacities, which may be due to pulmonary edema or hemorrhage. Moderate layering right pleural effusion not appreciably changed.",Moderate layering right pleural effusion not appreciably changed.,pleural effusion,right,Stable,"['files/p15/p15857729/s56676503/293ccf0f-bbec782f-8f4cd724-1cb95930-9e395539.jpg', 'files/p15/p15857729/s56676503/b128a59a-4eb90799-c8564692-8e582714-82706ad2.jpg']","['files/p15/p15857729/s56277244/b7d5d87f-d26475b8-59e5abac-b1142fa5-4071124e.jpg\n', 'files/p15/p15857729/s56277244/d8b6b619-9e181de2-c46adb2d-08194ead-eefd7108.jpg\n']"
s56680584_39,p15259244,s56680584,39,Impression,Unchanged exam. No pneumothorax.,Unchanged exam.,exam,,Stable,['files/p15/p15259244/s56680584/ef97e724-84de20c9-3e73a8b5-65a01e95-2f82137a.jpg'],"['files/p15/p15259244/s56650966/23b0575a-b419b472-1fd36614-eef44a94-f9e5c372.jpg\n', 'files/p15/p15259244/s56650966/2eb98378-8832905d-f665c18e-f638be2d-e52c76f6.jpg\n']"
s56680584_39,p15259244,s56680584,39,Findings,"No central venous line visualized. No pneumothorax identified. Otherwise, stable examination with unchanged left base retrocardiac opacification likely representing a combination of atelectasis and effusion. Cardiomediastinal and hilar contours are unchanged.",Cardiomediastinal and hilar contours are unchanged.,contours,cardiomediastinal and hilar,Stable,['files/p15/p15259244/s56680584/ef97e724-84de20c9-3e73a8b5-65a01e95-2f82137a.jpg'],"['files/p15/p15259244/s56650966/23b0575a-b419b472-1fd36614-eef44a94-f9e5c372.jpg\n', 'files/p15/p15259244/s56650966/2eb98378-8832905d-f665c18e-f638be2d-e52c76f6.jpg\n']"
s56680584_39,p15259244,s56680584,39,Findings,"No central venous line visualized. No pneumothorax identified. Otherwise, stable examination with unchanged left base retrocardiac opacification likely representing a combination of atelectasis and effusion. Cardiomediastinal and hilar contours are unchanged.","Otherwise, stable examination with unchanged left base retrocardiac opacification likely representing a combination of atelectasis and effusion.",opacification likely representing a combination of atelectasis and effusion,left base retrocardiac,Stable,['files/p15/p15259244/s56680584/ef97e724-84de20c9-3e73a8b5-65a01e95-2f82137a.jpg'],"['files/p15/p15259244/s56650966/23b0575a-b419b472-1fd36614-eef44a94-f9e5c372.jpg\n', 'files/p15/p15259244/s56650966/2eb98378-8832905d-f665c18e-f638be2d-e52c76f6.jpg\n']"
s56680924_6,p13135946,s56680924,6,Findings,Comparison is made to prior study from ___. There is a Swan-Ganz catheter whose distal lead tip is in the main pulmonary outflow tract. The cardiac silhouette is enlarged. There is again seen moderate right-sized pleural effusion which is stable. There is some improvement in the pulmonary vascular edema. There are no pneumothoraces identified.,There is again seen moderate right-sized pleural effusion which is stable.,pleural effusion,right,Stable,['files/p13/p13135946/s56680924/3433048d-a6c5dc75-1a99a0b6-1f89a734-ef0b39b8.jpg'],['files/p13/p13135946/s56200127/b0ac58d9-2a6c6e67-a28d32ad-e75154c0-4a90359a.jpg\n']
s56680924_6,p13135946,s56680924,6,Findings,Comparison is made to prior study from ___. There is a Swan-Ganz catheter whose distal lead tip is in the main pulmonary outflow tract. The cardiac silhouette is enlarged. There is again seen moderate right-sized pleural effusion which is stable. There is some improvement in the pulmonary vascular edema. There are no pneumothoraces identified.,There is some improvement in the pulmonary vascular edema.,pulmonary vascular edema,,Better,['files/p13/p13135946/s56680924/3433048d-a6c5dc75-1a99a0b6-1f89a734-ef0b39b8.jpg'],['files/p13/p13135946/s56200127/b0ac58d9-2a6c6e67-a28d32ad-e75154c0-4a90359a.jpg\n']
s56693397_6,p18828251,s56693397,6,Findings,"The patient is status post median sternotomy and CABG. The heart remains moderately enlarged. Aortic knob calcifications are again seen. Low lung volumes are present with crowding of the bronchovascular structures. There is no overt pulmonary edema, with a small left pleural effusion likely present. Retrocardiac opacity may reflect atelectasis. Infection cannot be excluded. The right costophrenic angle is excluded, but no large right pleural effusion is demonstrated. There is no pneumothorax.",The heart remains moderately enlarged.,heart enlargement,,Stable,['files/p18/p18828251/s56693397/7e950526-ccc5960e-735b0f76-a80365d9-139f5bff.jpg'],"['files/p18/p18828251/s56632211/81045bbb-0ff47e0f-e6832f53-a8620841-66e813f0.jpg\n', 'files/p18/p18828251/s56632211/e747e5f5-4b65dfad-f486cf2d-3b6ef7ca-50784175.jpg\n']"
s56693397_6,p18828251,s56693397,6,Findings,"The patient is status post median sternotomy and CABG. The heart remains moderately enlarged. Aortic knob calcifications are again seen. Low lung volumes are present with crowding of the bronchovascular structures. There is no overt pulmonary edema, with a small left pleural effusion likely present. Retrocardiac opacity may reflect atelectasis. Infection cannot be excluded. The right costophrenic angle is excluded, but no large right pleural effusion is demonstrated. There is no pneumothorax.",Aortic knob calcifications are again seen.,calcifications,aortic knob,Stable,['files/p18/p18828251/s56693397/7e950526-ccc5960e-735b0f76-a80365d9-139f5bff.jpg'],"['files/p18/p18828251/s56632211/81045bbb-0ff47e0f-e6832f53-a8620841-66e813f0.jpg\n', 'files/p18/p18828251/s56632211/e747e5f5-4b65dfad-f486cf2d-3b6ef7ca-50784175.jpg\n']"
s56696460_3,p13978244,s56696460,3,Findings,"PA and lateral chest radiographs again demonstrate compression fractures involving the T5 and T8 vertebral bodies. Of note, the T8 vertebral has worsened compared to ___. The lung volumes are low with probable bibasilar atelectasis, particularly along the right heart border, where there is some increase in conjunction with reduced lung volumes. There is no focal consolidation or pleural effusion. The heart size is normal.","Of note, the T8 vertebral has worsened compared to ___.",compression fracture,T8 vertebral,Worse,"['files/p13/p13978244/s56696460/80f9570a-1a6a4dbd-d3d3dd4f-3318ccfc-5e7afeb6.jpg', 'files/p13/p13978244/s56696460/a86906cf-710c164d-b996484a-ac9ade58-dbcff302.jpg']",['files/p13/p13978244/s55980966/f1a28150-66237dd6-699fd87a-ac1c6ec6-61f0f104.jpg\n']
s56696460_3,p13978244,s56696460,3,Impression,"1. No definite pneumonia; suspected atelectasis in the right infrahilar region, perhaps somewhat increased in association with reduced lung volumes. 2. Worsening T8 compression fracture compared to ___.",Worsening T8 compression fracture compared to ___.,compression fracture,T8,Worse,"['files/p13/p13978244/s56696460/80f9570a-1a6a4dbd-d3d3dd4f-3318ccfc-5e7afeb6.jpg', 'files/p13/p13978244/s56696460/a86906cf-710c164d-b996484a-ac9ade58-dbcff302.jpg']",['files/p13/p13978244/s55980966/f1a28150-66237dd6-699fd87a-ac1c6ec6-61f0f104.jpg\n']
s56712342_2,p16826047,s56712342,2,Findings,"Frontal and lateral radiographs of the chest were obtained. Lung volumes are slightly low. A moderate right pleural effusion has increased compared to the prior study from ___, likely with a subpulmonic component. A concomitant consolidative process at the right lung base cannot be excluded. There is mild pulmonary vascular congestion without frank interstitial edema. Mild cardiomegaly is unchanged. The mediastinal contours are normal. There is no pneumothorax. A right Port-A-Cath ends in the mid-to-low SVC.",Mild cardiomegaly is unchanged.,cardiomegaly,,Stable,"['files/p16/p16826047/s56712342/40f7f6b3-2ca777db-7faade62-2e986844-95785a01.jpg', 'files/p16/p16826047/s56712342/a9c772ae-200934a7-b6e1a70f-b42f3c60-9ddecf2b.jpg']","['files/p16/p16826047/s56433442/84471a04-4b52493f-eceb148f-7c403b8b-78458575.jpg\n', 'files/p16/p16826047/s56433442/d263e868-0cc6db67-58f15831-a2a8a9ac-4c59911c.jpg\n']"
s56712342_2,p16826047,s56712342,2,Impression,1. Moderate right pleural effusion with a likely subpulmonic component. A concomitant infectious process at the right base cannot be excluded. 2. Unchanged mild cardiomegaly. 3. Mild pulmonary vascular congestion without interstitial edema.,2. Unchanged mild cardiomegaly.,cardiomegaly,,Stable,"['files/p16/p16826047/s56712342/40f7f6b3-2ca777db-7faade62-2e986844-95785a01.jpg', 'files/p16/p16826047/s56712342/a9c772ae-200934a7-b6e1a70f-b42f3c60-9ddecf2b.jpg']","['files/p16/p16826047/s56433442/84471a04-4b52493f-eceb148f-7c403b8b-78458575.jpg\n', 'files/p16/p16826047/s56433442/d263e868-0cc6db67-58f15831-a2a8a9ac-4c59911c.jpg\n']"
s56712342_2,p16826047,s56712342,2,Findings,"Frontal and lateral radiographs of the chest were obtained. Lung volumes are slightly low. A moderate right pleural effusion has increased compared to the prior study from ___, likely with a subpulmonic component. A concomitant consolidative process at the right lung base cannot be excluded. There is mild pulmonary vascular congestion without frank interstitial edema. Mild cardiomegaly is unchanged. The mediastinal contours are normal. There is no pneumothorax. A right Port-A-Cath ends in the mid-to-low SVC.","A moderate right pleural effusion has increased compared to the prior study from ___, likely with a subpulmonic component.",pleural effusion,right,Worse,"['files/p16/p16826047/s56712342/40f7f6b3-2ca777db-7faade62-2e986844-95785a01.jpg', 'files/p16/p16826047/s56712342/a9c772ae-200934a7-b6e1a70f-b42f3c60-9ddecf2b.jpg']","['files/p16/p16826047/s56433442/84471a04-4b52493f-eceb148f-7c403b8b-78458575.jpg\n', 'files/p16/p16826047/s56433442/d263e868-0cc6db67-58f15831-a2a8a9ac-4c59911c.jpg\n']"
s56723000_11,p16751749,s56723000,11,Impression,"AP chest compared to ___ and ___: Large area of consolidation at the right lung base either pneumonia or blood aspiration has not improved appreciably since ___. The somewhat smaller region of presumed pulmonary hemorrhage in the axillary region of the left mid lung has remained stable. Emphysema is responsible for severe hyperinflation. If there is any left pneumothorax it is medial, and unchanged. Solitary right pleural tube traverses a sleeve-like opacity that is probably a hematoma. There is no appreciable right pleural effusion. The heart size is normal. ET tube and left subclavian line are in standard placements and a nasogastric tube passes below the diaphragm and out of view.","AP chest compared to ___ and ___: Large area of consolidation at the right lung base either pneumonia or blood aspiration has not improved appreciably since ___. The somewhat smaller region of presumed pulmonary hemorrhage in the axillary region of the left mid lung has remained stable. Emphysema is responsible for severe hyperinflation. If there is any left pneumothorax it is medial, and unchanged. Solitary right pleural tube traverses a sleeve-like opacity that is probably a hematoma. There is no appreciable right pleural effusion. The heart size is normal. ET tube and left subclavian line are in standard placements and a nasogastric tube passes below the diaphragm and out of view.",left pneumothorax,medial,Stable,['files/p16/p16751749/s56723000/40abd28b-1aff0d0a-65b3fc64-515e3b46-9caef400.jpg'],['files/p16/p16751749/s55336208/1479bd69-820c7589-5e02e82e-b713275f-99aed79d.jpg\n']
s56723000_11,p16751749,s56723000,11,Impression,"AP chest compared to ___ and ___: Large area of consolidation at the right lung base either pneumonia or blood aspiration has not improved appreciably since ___. The somewhat smaller region of presumed pulmonary hemorrhage in the axillary region of the left mid lung has remained stable. Emphysema is responsible for severe hyperinflation. If there is any left pneumothorax it is medial, and unchanged. Solitary right pleural tube traverses a sleeve-like opacity that is probably a hematoma. There is no appreciable right pleural effusion. The heart size is normal. ET tube and left subclavian line are in standard placements and a nasogastric tube passes below the diaphragm and out of view.","AP chest compared to ___ and ___: Large area of consolidation at the right lung base either pneumonia or blood aspiration has not improved appreciably since ___. The somewhat smaller region of presumed pulmonary hemorrhage in the axillary region of the left mid lung has remained stable. Emphysema is responsible for severe hyperinflation. If there is any left pneumothorax it is medial, and unchanged. Solitary right pleural tube traverses a sleeve-like opacity that is probably a hematoma. There is no appreciable right pleural effusion. The heart size is normal. ET tube and left subclavian line are in standard placements and a nasogastric tube passes below the diaphragm and out of view.",pulmonary hemorrhage,axillary region of the left mid lung,Stable,['files/p16/p16751749/s56723000/40abd28b-1aff0d0a-65b3fc64-515e3b46-9caef400.jpg'],['files/p16/p16751749/s55336208/1479bd69-820c7589-5e02e82e-b713275f-99aed79d.jpg\n']
s56723838_7,p15259244,s56723838,7,Findings,"In comparison with the study of ___, there is continued diffuse bilateral pulmonary opacifications consistent with worsening effusions, volume loss, and increased pulmonary vascular congestion. Possibility of supervening pneumonia must be seriously considered in the appropriate clinical setting, though this is difficult to evaluate in view of the substrate of extensive pulmonary changes.","In comparison with the study of ___, there is continued diffuse bilateral pulmonary opacifications consistent with worsening effusions, volume loss, and increased pulmonary vascular congestion.",pulmonary opacifications,bilateral,Stable,['files/p15/p15259244/s56723838/28674cfd-a09cd562-c2ee2007-8a9a2145-bc7be12c.jpg'],['files/p15/p15259244/s56680584/ef97e724-84de20c9-3e73a8b5-65a01e95-2f82137a.jpg\n']
s56723838_7,p15259244,s56723838,7,Findings,"In comparison with the study of ___, there is continued diffuse bilateral pulmonary opacifications consistent with worsening effusions, volume loss, and increased pulmonary vascular congestion. Possibility of supervening pneumonia must be seriously considered in the appropriate clinical setting, though this is difficult to evaluate in view of the substrate of extensive pulmonary changes.","In comparison with the study of ___, there is continued diffuse bilateral pulmonary opacifications consistent with worsening effusions, volume loss, and increased pulmonary vascular congestion.",pulmonary vascular congestion,,Worse,['files/p15/p15259244/s56723838/28674cfd-a09cd562-c2ee2007-8a9a2145-bc7be12c.jpg'],['files/p15/p15259244/s56680584/ef97e724-84de20c9-3e73a8b5-65a01e95-2f82137a.jpg\n']
s56732549_0,p19454978,s56732549,0,Findings,"Right internal jugular line ends at cavoatrial junction. Since ___, there are no relevant changes in the lungs. Mediastinal and mild pulmonary vascular congestion, and left lower lobe atelectasis are unchanged. No evidence of pulmonary edema. Thoracic aorta is generally large.","Mediastinal and mild pulmonary vascular congestion, and left lower lobe atelectasis are unchanged.",atelectasis,left lower lobe,Stable,['files/p19/p19454978/s56732549/955b5b7c-e2c4d556-9acb1f7d-ca2828f9-f57d4c56.jpg'],['files/p19/p19454978/s56651744/495aa78d-7ad88491-fe7e2c29-d712e346-43f1b1a9.jpg\n']
s56745473_2,p13135946,s56745473,2,Findings,"Swan-Ganz catheter has been advanced to the region of the right ventricular outflow tract. Other indwelling devices are unchanged in position. Cardiac silhouette has slightly decreased in size and pulmonary edema has improved with mild residual interstitial edema remaining as well as a small right effusion. Bilateral chest tubes remain in place, with no visible pleural line to suggest pneumothorax. However, slightly deep left costophrenic sulcus associated with lucency in this region could potentially represent a basilar pneumothorax on this supine radiograph.","Swan-Ganz catheter has been advanced to the region of the right ventricular outflow tract. Other indwelling devices are unchanged in position. Cardiac silhouette has slightly decreased in size and pulmonary edema has improved with mild residual interstitial edema remaining as well as a small right effusion. Bilateral chest tubes remain in place, with no visible pleural line to suggest pneumothorax. However, slightly deep left costophrenic sulcus associated with lucency in this region could potentially represent a basilar pneumothorax on this supine radiograph.",chest tubes,bilateral,Stable,['files/p13/p13135946/s56745473/11deb911-a4fe401f-1955bb16-6adc7f50-673dec83.jpg'],['files/p13/p13135946/s56680924/3433048d-a6c5dc75-1a99a0b6-1f89a734-ef0b39b8.jpg\n']
s56745473_2,p13135946,s56745473,2,Findings,"Swan-Ganz catheter has been advanced to the region of the right ventricular outflow tract. Other indwelling devices are unchanged in position. Cardiac silhouette has slightly decreased in size and pulmonary edema has improved with mild residual interstitial edema remaining as well as a small right effusion. Bilateral chest tubes remain in place, with no visible pleural line to suggest pneumothorax. However, slightly deep left costophrenic sulcus associated with lucency in this region could potentially represent a basilar pneumothorax on this supine radiograph.","Swan-Ganz catheter has been advanced to the region of the right ventricular outflow tract. Other indwelling devices are unchanged in position. Cardiac silhouette has slightly decreased in size and pulmonary edema has improved with mild residual interstitial edema remaining as well as a small right effusion. Bilateral chest tubes remain in place, with no visible pleural line to suggest pneumothorax. However, slightly deep left costophrenic sulcus associated with lucency in this region could potentially represent a basilar pneumothorax on this supine radiograph.",pulmonary edema,cardiac,Better,['files/p13/p13135946/s56745473/11deb911-a4fe401f-1955bb16-6adc7f50-673dec83.jpg'],['files/p13/p13135946/s56680924/3433048d-a6c5dc75-1a99a0b6-1f89a734-ef0b39b8.jpg\n']
s56745473_2,p13135946,s56745473,2,Findings,"Swan-Ganz catheter has been advanced to the region of the right ventricular outflow tract. Other indwelling devices are unchanged in position. Cardiac silhouette has slightly decreased in size and pulmonary edema has improved with mild residual interstitial edema remaining as well as a small right effusion. Bilateral chest tubes remain in place, with no visible pleural line to suggest pneumothorax. However, slightly deep left costophrenic sulcus associated with lucency in this region could potentially represent a basilar pneumothorax on this supine radiograph.","Swan-Ganz catheter has been advanced to the region of the right ventricular outflow tract. Other indwelling devices are unchanged in position. Cardiac silhouette has slightly decreased in size and pulmonary edema has improved with mild residual interstitial edema remaining as well as a small right effusion. Bilateral chest tubes remain in place, with no visible pleural line to suggest pneumothorax. However, slightly deep left costophrenic sulcus associated with lucency in this region could potentially represent a basilar pneumothorax on this supine radiograph.",indwelling devices,various,Stable,['files/p13/p13135946/s56745473/11deb911-a4fe401f-1955bb16-6adc7f50-673dec83.jpg'],['files/p13/p13135946/s56680924/3433048d-a6c5dc75-1a99a0b6-1f89a734-ef0b39b8.jpg\n']
s56749558_12,p13263843,s56749558,12,Findings,"Frontal and lateral radiographs of the chest were acquired. Chronic deformity of the upper right thorax relates to prior chest wall resection. Suture chain along the right perihilar region is consistent with prior right upper lobectomy, as is right apical scarring and superior retraction of the right hilus. There is also suture chain noted along the lateral aspect of the upper right lung. There is no focal consolidation. There is no definite right pleural effusion. Scarring is seen at the right lung base, not significantly changed. There is no left pleural effusion. No pneumothorax is seen. The heart size is normal. The mediastinal contour is unchanged. Multilevel degenerative changes of the thoracic spine are noted.",The mediastinal contour is unchanged.,contour,mediastinal,Stable,"['files/p13/p13263843/s56749558/9766f0cc-88676966-24902c6b-1e013369-eb545fe4.jpg', 'files/p13/p13263843/s56749558/f6a45850-afbc320a-ab118fd9-85e788d6-d88d5060.jpg']",['files/p13/p13263843/s56506647/28c782b9-7eb7d267-5a9a998f-25d24646-e811e771.jpg\n']
s56749558_12,p13263843,s56749558,12,Findings,"Frontal and lateral radiographs of the chest were acquired. Chronic deformity of the upper right thorax relates to prior chest wall resection. Suture chain along the right perihilar region is consistent with prior right upper lobectomy, as is right apical scarring and superior retraction of the right hilus. There is also suture chain noted along the lateral aspect of the upper right lung. There is no focal consolidation. There is no definite right pleural effusion. Scarring is seen at the right lung base, not significantly changed. There is no left pleural effusion. No pneumothorax is seen. The heart size is normal. The mediastinal contour is unchanged. Multilevel degenerative changes of the thoracic spine are noted.","Scarring is seen at the right lung base, not significantly changed.",scarring,right lung base,Stable,"['files/p13/p13263843/s56749558/9766f0cc-88676966-24902c6b-1e013369-eb545fe4.jpg', 'files/p13/p13263843/s56749558/f6a45850-afbc320a-ab118fd9-85e788d6-d88d5060.jpg']",['files/p13/p13263843/s56506647/28c782b9-7eb7d267-5a9a998f-25d24646-e811e771.jpg\n']
s56753331_31,p15114531,s56753331,31,Impression,"In comparison to the recent radiograph of 1 day earlier, the position of the Dobhoff tube in the stomach is not appreciably changed. Heart size remains normal, and lungs are clear.","In comparison to the recent radiograph of 1 day earlier, the position of the Dobhoff tube in the stomach is not appreciably changed.",Dobhoff tube position,Stomach,Stable,['files/p15/p15114531/s56753331/3fc3893f-6a756dad-3cfcb050-5d1e7080-9ef06032.jpg'],['files/p15/p15114531/s56295717/63d37384-184136e7-97b99c44-25b314ac-ecd14631.jpg\n']
s56753331_31,p15114531,s56753331,31,Impression,"In comparison to the recent radiograph of 1 day earlier, the position of the Dobhoff tube in the stomach is not appreciably changed. Heart size remains normal, and lungs are clear.","Heart size remains normal, and lungs are clear.",Size,Heart,Stable,['files/p15/p15114531/s56753331/3fc3893f-6a756dad-3cfcb050-5d1e7080-9ef06032.jpg'],['files/p15/p15114531/s56295717/63d37384-184136e7-97b99c44-25b314ac-ecd14631.jpg\n']
s56753518_1,p14722763,s56753518,1,Findings,"Again seen are chronic interstitial changes predominantly in the right lower and left mid and lower lungs. However, there is increased density of opacification in the right lower hemithorax concerning for developing infection. Considerations include atypical infection, though asymmetric pulmonary edema is possible. Given history of lung malignancy, lymphangitic carcinomatosis is also a consideration. Underlying fibrotic changes are grossly similar with predominantly paramediastinal and lingular distribution. No pneumothorax or significant pleural effusion is seen. The heart size is enlarged, however, unchanged. Of note, on the CT of ___, there was a small pericardial effusion. There are atherosclerotic calcifications of the aortic arch.",Underlying fibrotic changes are grossly similar with predominantly paramediastinal and lingular distribution.,fibrotic changes,"paramediastinal, lingular",Stable,['files/p14/p14722763/s56753518/ab680048-8257c201-858ba25c-718b230c-186cf3f4.jpg'],['files/p14/p14722763/s54038933/8843b742-43dcfeeb-168fb178-f01da082-579b4dd4.jpg\n']
s56753518_1,p14722763,s56753518,1,Impression,"Diffuse interstitial opacities increased predominantly in the right lower lung, concerning for developing infection. Given history of lung carcinoma, however, lymphangitic spread of carcinoma as well as asymmetric pulmonary edema are possibilities.","Diffuse interstitial opacities increased predominantly in the right lower lung, concerning for developing infection.",interstitial opacities,right lower lung,Worse,['files/p14/p14722763/s56753518/ab680048-8257c201-858ba25c-718b230c-186cf3f4.jpg'],['files/p14/p14722763/s54038933/8843b742-43dcfeeb-168fb178-f01da082-579b4dd4.jpg\n']
s56753518_1,p14722763,s56753518,1,Findings,"Again seen are chronic interstitial changes predominantly in the right lower and left mid and lower lungs. However, there is increased density of opacification in the right lower hemithorax concerning for developing infection. Considerations include atypical infection, though asymmetric pulmonary edema is possible. Given history of lung malignancy, lymphangitic carcinomatosis is also a consideration. Underlying fibrotic changes are grossly similar with predominantly paramediastinal and lingular distribution. No pneumothorax or significant pleural effusion is seen. The heart size is enlarged, however, unchanged. Of note, on the CT of ___, there was a small pericardial effusion. There are atherosclerotic calcifications of the aortic arch.","However, there is increased density of opacification in the right lower hemithorax concerning for developing infection.",density of opacification,right lower hemithorax,Worse,['files/p14/p14722763/s56753518/ab680048-8257c201-858ba25c-718b230c-186cf3f4.jpg'],['files/p14/p14722763/s54038933/8843b742-43dcfeeb-168fb178-f01da082-579b4dd4.jpg\n']
s56753518_1,p14722763,s56753518,1,Findings,"Again seen are chronic interstitial changes predominantly in the right lower and left mid and lower lungs. However, there is increased density of opacification in the right lower hemithorax concerning for developing infection. Considerations include atypical infection, though asymmetric pulmonary edema is possible. Given history of lung malignancy, lymphangitic carcinomatosis is also a consideration. Underlying fibrotic changes are grossly similar with predominantly paramediastinal and lingular distribution. No pneumothorax or significant pleural effusion is seen. The heart size is enlarged, however, unchanged. Of note, on the CT of ___, there was a small pericardial effusion. There are atherosclerotic calcifications of the aortic arch.","The heart size is enlarged, however, unchanged.",Heart size,,Stable,['files/p14/p14722763/s56753518/ab680048-8257c201-858ba25c-718b230c-186cf3f4.jpg'],['files/p14/p14722763/s54038933/8843b742-43dcfeeb-168fb178-f01da082-579b4dd4.jpg\n']
s56761306_5,p19016834,s56761306,5,Findings,"There is no pneumothorax or pneumomediastinum. The cardiomediastinal silhouette is normal. A small right pleural effusion is unchanged. Since the prior radiograph, there has been increased nodular peribronchial opacification, most readily explained by chronic aspiration. Mild hazy opacification at the left base is unchanged and likely represents chronic atelectasis.",Mild hazy opacification at the left base is unchanged and likely represents chronic atelectasis.,hazy opacification,left base,Stable,['files/p19/p19016834/s56761306/460564da-f530de8e-fabb35c1-53d562ae-404235d0.jpg'],['files/p19/p19016834/s56647535/f49301d7-6e0b977b-e4fe5357-229f8407-66ff773c.jpg\n']
s56761306_5,p19016834,s56761306,5,Findings,"There is no pneumothorax or pneumomediastinum. The cardiomediastinal silhouette is normal. A small right pleural effusion is unchanged. Since the prior radiograph, there has been increased nodular peribronchial opacification, most readily explained by chronic aspiration. Mild hazy opacification at the left base is unchanged and likely represents chronic atelectasis.","Since the prior radiograph, there has been increased nodular peribronchial opacification, most readily explained by chronic aspiration.",opacification,peribronchial,Worse,['files/p19/p19016834/s56761306/460564da-f530de8e-fabb35c1-53d562ae-404235d0.jpg'],['files/p19/p19016834/s56647535/f49301d7-6e0b977b-e4fe5357-229f8407-66ff773c.jpg\n']
s56761306_5,p19016834,s56761306,5,Findings,"There is no pneumothorax or pneumomediastinum. The cardiomediastinal silhouette is normal. A small right pleural effusion is unchanged. Since the prior radiograph, there has been increased nodular peribronchial opacification, most readily explained by chronic aspiration. Mild hazy opacification at the left base is unchanged and likely represents chronic atelectasis.",A small right pleural effusion is unchanged.,pleural effusion,right,Stable,['files/p19/p19016834/s56761306/460564da-f530de8e-fabb35c1-53d562ae-404235d0.jpg'],['files/p19/p19016834/s56647535/f49301d7-6e0b977b-e4fe5357-229f8407-66ff773c.jpg\n']
s56761306_5,p19016834,s56761306,5,Impression,"1. No pneumothorax or pneumomediastinum. 2. Increasing peribronchial opacification at the right base likely represents aspiration, possibly pneumonia.","2. Increasing peribronchial opacification at the right base likely represents aspiration, possibly pneumonia.",peribronchial opacification,right base,Worse,['files/p19/p19016834/s56761306/460564da-f530de8e-fabb35c1-53d562ae-404235d0.jpg'],['files/p19/p19016834/s56647535/f49301d7-6e0b977b-e4fe5357-229f8407-66ff773c.jpg\n']
s56775180_3,p19182863,s56775180,3,Impression,"1. Increased right pleural effusion, now small to moderate. 2. Right lower lobe opacity may represent pneumonia. The other opacities in the right lung have resolved.",The other opacities in the right lung have resolved.,opacities,right lung,Resolve,"['files/p19/p19182863/s56775180/97396291-b49c2ae9-b5478363-46b537a4-fc5346fa.jpg', 'files/p19/p19182863/s56775180/b9fa87e8-60fe2f5e-ead3ccb6-7ad496d8-8233efbd.jpg']","['files/p19/p19182863/s56745275/a6de5f6f-7cb598cd-9751bdc7-71682995-e07927d3.jpg\n', 'files/p19/p19182863/s56745275/d59037ae-76814c45-ab38e8da-7b58f204-debaa6b9.jpg\n']"
s56775180_3,p19182863,s56775180,3,Impression,"1. Increased right pleural effusion, now small to moderate. 2. Right lower lobe opacity may represent pneumonia. The other opacities in the right lung have resolved.","1. Increased right pleural effusion, now small to moderate.",pleural effusion,right,Worse,"['files/p19/p19182863/s56775180/97396291-b49c2ae9-b5478363-46b537a4-fc5346fa.jpg', 'files/p19/p19182863/s56775180/b9fa87e8-60fe2f5e-ead3ccb6-7ad496d8-8233efbd.jpg']","['files/p19/p19182863/s56745275/a6de5f6f-7cb598cd-9751bdc7-71682995-e07927d3.jpg\n', 'files/p19/p19182863/s56745275/d59037ae-76814c45-ab38e8da-7b58f204-debaa6b9.jpg\n']"
s56775180_3,p19182863,s56775180,3,Findings,PA and lateral views of the chest. A small to moderate right pleural effusion is new compared to most recent study. A right lower lobe opacity has persisted since ___ may represent pneumonia. Left lung is clear. There is no left pleural effusion. Aortic and mitral valve replacement and tricuspid annuloplasty are seen. Sternotomy wires are in place. No pneumothorax. Moderate cardiomegaly is unchanged. The mediastinal and hilar contours are normal.,Moderate cardiomegaly is unchanged.,cardiomegaly,,Stable,"['files/p19/p19182863/s56775180/97396291-b49c2ae9-b5478363-46b537a4-fc5346fa.jpg', 'files/p19/p19182863/s56775180/b9fa87e8-60fe2f5e-ead3ccb6-7ad496d8-8233efbd.jpg']","['files/p19/p19182863/s56745275/a6de5f6f-7cb598cd-9751bdc7-71682995-e07927d3.jpg\n', 'files/p19/p19182863/s56745275/d59037ae-76814c45-ab38e8da-7b58f204-debaa6b9.jpg\n']"
s56775180_3,p19182863,s56775180,3,Findings,PA and lateral views of the chest. A small to moderate right pleural effusion is new compared to most recent study. A right lower lobe opacity has persisted since ___ may represent pneumonia. Left lung is clear. There is no left pleural effusion. Aortic and mitral valve replacement and tricuspid annuloplasty are seen. Sternotomy wires are in place. No pneumothorax. Moderate cardiomegaly is unchanged. The mediastinal and hilar contours are normal.,A small to moderate right pleural effusion is new compared to most recent study.,pleural effusion,right,New,"['files/p19/p19182863/s56775180/97396291-b49c2ae9-b5478363-46b537a4-fc5346fa.jpg', 'files/p19/p19182863/s56775180/b9fa87e8-60fe2f5e-ead3ccb6-7ad496d8-8233efbd.jpg']","['files/p19/p19182863/s56745275/a6de5f6f-7cb598cd-9751bdc7-71682995-e07927d3.jpg\n', 'files/p19/p19182863/s56745275/d59037ae-76814c45-ab38e8da-7b58f204-debaa6b9.jpg\n']"
s56775180_3,p19182863,s56775180,3,Findings,PA and lateral views of the chest. A small to moderate right pleural effusion is new compared to most recent study. A right lower lobe opacity has persisted since ___ may represent pneumonia. Left lung is clear. There is no left pleural effusion. Aortic and mitral valve replacement and tricuspid annuloplasty are seen. Sternotomy wires are in place. No pneumothorax. Moderate cardiomegaly is unchanged. The mediastinal and hilar contours are normal.,A right lower lobe opacity has persisted since ___ may represent pneumonia.,opacity,right lower lobe,Stable,"['files/p19/p19182863/s56775180/97396291-b49c2ae9-b5478363-46b537a4-fc5346fa.jpg', 'files/p19/p19182863/s56775180/b9fa87e8-60fe2f5e-ead3ccb6-7ad496d8-8233efbd.jpg']","['files/p19/p19182863/s56745275/a6de5f6f-7cb598cd-9751bdc7-71682995-e07927d3.jpg\n', 'files/p19/p19182863/s56745275/d59037ae-76814c45-ab38e8da-7b58f204-debaa6b9.jpg\n']"
s56778521_5,p18079481,s56778521,5,Findings,"In comparison with study of ___, the degree of pulmonary congestion is similar or slightly more pronounced. Continued enlargement of the cardiac silhouette with bilateral effusions and bibasilar atelectasis.","In comparison with study of ___, the degree of pulmonary congestion is similar or slightly more pronounced.",Congestion,Pulmonary,Stable,['files/p18/p18079481/s56778521/2598d2a4-fec32ad4-e6bb68b9-b6c86b6e-ec0a7008.jpg'],"['files/p18/p18079481/s56618763/9ffe4a2c-7cf9a8f6-c97f630e-4618ae86-c49236fd.jpg\n', 'files/p18/p18079481/s56618763/ac34d85d-8a18bdb4-6a76e6b3-63e71de7-dd331e6c.jpg\n']"
s56779415_3,p11906222,s56779415,3,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. There is improved ventilation of the lung bases, with almost complete resolution of a pre-existing small right basal atelectasis. No newly occurred focal parenchymal opacity suggesting pneumonia. Normal size of the cardiac silhouette. No pulmonary edema. No pneumothorax.","There is improved ventilation of the lung bases, with almost complete resolution of a pre-existing small right basal atelectasis.",atelectasis,right basal,Better,['files/p11/p11906222/s56779415/345c27ae-8dc96bd7-cd59fd7f-e18c90bc-71bf8122.jpg'],['files/p11/p11906222/s55124994/a7b100cd-08c2be2d-a32c2dac-020c1d75-1bd5b887.jpg\n']
s56779415_3,p11906222,s56779415,3,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. There is improved ventilation of the lung bases, with almost complete resolution of a pre-existing small right basal atelectasis. No newly occurred focal parenchymal opacity suggesting pneumonia. Normal size of the cardiac silhouette. No pulmonary edema. No pneumothorax.","As compared to the previous radiograph, the monitoring and support devices are unchanged.",monitoring and support devices,,Stable,['files/p11/p11906222/s56779415/345c27ae-8dc96bd7-cd59fd7f-e18c90bc-71bf8122.jpg'],['files/p11/p11906222/s55124994/a7b100cd-08c2be2d-a32c2dac-020c1d75-1bd5b887.jpg\n']
s56785550_17,p16826047,s56785550,17,Impression,Increase in size of right-sided pleural effusion with pleural catheter in place. Expected associated right base atelectasis with possibility of infection not excluded.,Increase in size of right-sided pleural effusion with pleural catheter in place. Expected associated right base atelectasis with possibility of infection not excluded.,pleural effusion,right,Worse,['files/p16/p16826047/s56785550/adae90d7-feef7abe-f9447062-dd02daab-bc446b77.jpg'],"['files/p16/p16826047/s56712342/40f7f6b3-2ca777db-7faade62-2e986844-95785a01.jpg\n', 'files/p16/p16826047/s56712342/a9c772ae-200934a7-b6e1a70f-b42f3c60-9ddecf2b.jpg\n']"
s56785550_17,p16826047,s56785550,17,Findings,"PA and lateral views of the chest are compared to previous exam from ___. Right chest wall port is again seen with catheter tip in the lower SVC. Right-sided pleural catheter is seen which appears to course in the fissure. Significant amount of right-sided pleural effusion has slightly increased since prior with fluid also seen within the major fissure. No pneumothorax seen. There is underlying parenchymal opacity as well, potentially atelectasis; however, infiltrate is also possible. Left lung is grossly clear. Cardiac silhouette is enlarged but stable in configuration. Osseous and soft tissue structures are unremarkable.",Cardiac silhouette is enlarged but stable in configuration.,cardiac silhouette,,Stable,['files/p16/p16826047/s56785550/adae90d7-feef7abe-f9447062-dd02daab-bc446b77.jpg'],"['files/p16/p16826047/s56712342/40f7f6b3-2ca777db-7faade62-2e986844-95785a01.jpg\n', 'files/p16/p16826047/s56712342/a9c772ae-200934a7-b6e1a70f-b42f3c60-9ddecf2b.jpg\n']"
s56785550_17,p16826047,s56785550,17,Findings,"PA and lateral views of the chest are compared to previous exam from ___. Right chest wall port is again seen with catheter tip in the lower SVC. Right-sided pleural catheter is seen which appears to course in the fissure. Significant amount of right-sided pleural effusion has slightly increased since prior with fluid also seen within the major fissure. No pneumothorax seen. There is underlying parenchymal opacity as well, potentially atelectasis; however, infiltrate is also possible. Left lung is grossly clear. Cardiac silhouette is enlarged but stable in configuration. Osseous and soft tissue structures are unremarkable.",Significant amount of right-sided pleural effusion has slightly increased since prior with fluid also seen within the major fissure.,pleural effusion,right,Worse,['files/p16/p16826047/s56785550/adae90d7-feef7abe-f9447062-dd02daab-bc446b77.jpg'],"['files/p16/p16826047/s56712342/40f7f6b3-2ca777db-7faade62-2e986844-95785a01.jpg\n', 'files/p16/p16826047/s56712342/a9c772ae-200934a7-b6e1a70f-b42f3c60-9ddecf2b.jpg\n']"
s56801982_13,p13352405,s56801982,13,Findings,"The three chest tubes remain stable in position compared to the prior study. The appearance of the right hemithorax including the clips is unchanged as compared to the previous examination; however, it appears that the soft tissue collection of air has increased in size. There is increased gas filling of colon interposed between the chest wall and the liver, and continued elevation of the right hemidiaphragm. Unchanged normal appearance of the cardiac silhouette and the left lung. No current evidence of pneumothorax.","There is increased gas filling of colon interposed between the chest wall and the liver, and continued elevation of the right hemidiaphragm.",gas filling of colon,between the chest wall and the liver,Worse,"['files/p13/p13352405/s56801982/2ef86c0f-55bf4440-5098b3fc-b9435636-38b5b69c.jpg', 'files/p13/p13352405/s56801982/6028cc4d-90f984dc-0fd05dbe-2f10dde8-229e32e0.jpg', 'files/p13/p13352405/s56801982/841a2be5-4e74e5d9-2a001109-8a1a6b21-881729d4.jpg', 'files/p13/p13352405/s56801982/8940c466-c9e39762-22971350-b783808a-15d5a1bc.jpg', 'files/p13/p13352405/s56801982/dedc8034-9860140a-df88abb0-b9b2fab5-3265641f.jpg']",['files/p13/p13352405/s55680047/22582d1c-114af91c-83312668-0af5831e-ceacf04b.jpg\n']
s56801982_13,p13352405,s56801982,13,Impression,Findings remain stable compared to the previous study with the exception of increased air with the soft tissues of the right lateral chest wall.,Findings remain stable compared to the previous study with the exception of increased air with the soft tissues of the right lateral chest wall.,air,right lateral chest wall,Worse,"['files/p13/p13352405/s56801982/2ef86c0f-55bf4440-5098b3fc-b9435636-38b5b69c.jpg', 'files/p13/p13352405/s56801982/6028cc4d-90f984dc-0fd05dbe-2f10dde8-229e32e0.jpg', 'files/p13/p13352405/s56801982/841a2be5-4e74e5d9-2a001109-8a1a6b21-881729d4.jpg', 'files/p13/p13352405/s56801982/8940c466-c9e39762-22971350-b783808a-15d5a1bc.jpg', 'files/p13/p13352405/s56801982/dedc8034-9860140a-df88abb0-b9b2fab5-3265641f.jpg']",['files/p13/p13352405/s55680047/22582d1c-114af91c-83312668-0af5831e-ceacf04b.jpg\n']
s56801982_13,p13352405,s56801982,13,Findings,"The three chest tubes remain stable in position compared to the prior study. The appearance of the right hemithorax including the clips is unchanged as compared to the previous examination; however, it appears that the soft tissue collection of air has increased in size. There is increased gas filling of colon interposed between the chest wall and the liver, and continued elevation of the right hemidiaphragm. Unchanged normal appearance of the cardiac silhouette and the left lung. No current evidence of pneumothorax.",Unchanged normal appearance of the cardiac silhouette and the left lung.,appearance,left lung,Stable,"['files/p13/p13352405/s56801982/2ef86c0f-55bf4440-5098b3fc-b9435636-38b5b69c.jpg', 'files/p13/p13352405/s56801982/6028cc4d-90f984dc-0fd05dbe-2f10dde8-229e32e0.jpg', 'files/p13/p13352405/s56801982/841a2be5-4e74e5d9-2a001109-8a1a6b21-881729d4.jpg', 'files/p13/p13352405/s56801982/8940c466-c9e39762-22971350-b783808a-15d5a1bc.jpg', 'files/p13/p13352405/s56801982/dedc8034-9860140a-df88abb0-b9b2fab5-3265641f.jpg']",['files/p13/p13352405/s55680047/22582d1c-114af91c-83312668-0af5831e-ceacf04b.jpg\n']
s56801982_13,p13352405,s56801982,13,Findings,"The three chest tubes remain stable in position compared to the prior study. The appearance of the right hemithorax including the clips is unchanged as compared to the previous examination; however, it appears that the soft tissue collection of air has increased in size. There is increased gas filling of colon interposed between the chest wall and the liver, and continued elevation of the right hemidiaphragm. Unchanged normal appearance of the cardiac silhouette and the left lung. No current evidence of pneumothorax.","The appearance of the right hemithorax including the clips is unchanged as compared to the previous examination; however, it appears that the soft tissue collection of air has increased in size.",soft tissue collection of air,right hemithorax,Worse,"['files/p13/p13352405/s56801982/2ef86c0f-55bf4440-5098b3fc-b9435636-38b5b69c.jpg', 'files/p13/p13352405/s56801982/6028cc4d-90f984dc-0fd05dbe-2f10dde8-229e32e0.jpg', 'files/p13/p13352405/s56801982/841a2be5-4e74e5d9-2a001109-8a1a6b21-881729d4.jpg', 'files/p13/p13352405/s56801982/8940c466-c9e39762-22971350-b783808a-15d5a1bc.jpg', 'files/p13/p13352405/s56801982/dedc8034-9860140a-df88abb0-b9b2fab5-3265641f.jpg']",['files/p13/p13352405/s55680047/22582d1c-114af91c-83312668-0af5831e-ceacf04b.jpg\n']
s56801982_13,p13352405,s56801982,13,Findings,"The three chest tubes remain stable in position compared to the prior study. The appearance of the right hemithorax including the clips is unchanged as compared to the previous examination; however, it appears that the soft tissue collection of air has increased in size. There is increased gas filling of colon interposed between the chest wall and the liver, and continued elevation of the right hemidiaphragm. Unchanged normal appearance of the cardiac silhouette and the left lung. No current evidence of pneumothorax.",Unchanged normal appearance of the cardiac silhouette and the left lung.,appearance,cardiac silhouette,Stable,"['files/p13/p13352405/s56801982/2ef86c0f-55bf4440-5098b3fc-b9435636-38b5b69c.jpg', 'files/p13/p13352405/s56801982/6028cc4d-90f984dc-0fd05dbe-2f10dde8-229e32e0.jpg', 'files/p13/p13352405/s56801982/841a2be5-4e74e5d9-2a001109-8a1a6b21-881729d4.jpg', 'files/p13/p13352405/s56801982/8940c466-c9e39762-22971350-b783808a-15d5a1bc.jpg', 'files/p13/p13352405/s56801982/dedc8034-9860140a-df88abb0-b9b2fab5-3265641f.jpg']",['files/p13/p13352405/s55680047/22582d1c-114af91c-83312668-0af5831e-ceacf04b.jpg\n']
s56801982_13,p13352405,s56801982,13,Findings,"The three chest tubes remain stable in position compared to the prior study. The appearance of the right hemithorax including the clips is unchanged as compared to the previous examination; however, it appears that the soft tissue collection of air has increased in size. There is increased gas filling of colon interposed between the chest wall and the liver, and continued elevation of the right hemidiaphragm. Unchanged normal appearance of the cardiac silhouette and the left lung. No current evidence of pneumothorax.",The three chest tubes remain stable in position compared to the prior study.,position,chest tubes,Stable,"['files/p13/p13352405/s56801982/2ef86c0f-55bf4440-5098b3fc-b9435636-38b5b69c.jpg', 'files/p13/p13352405/s56801982/6028cc4d-90f984dc-0fd05dbe-2f10dde8-229e32e0.jpg', 'files/p13/p13352405/s56801982/841a2be5-4e74e5d9-2a001109-8a1a6b21-881729d4.jpg', 'files/p13/p13352405/s56801982/8940c466-c9e39762-22971350-b783808a-15d5a1bc.jpg', 'files/p13/p13352405/s56801982/dedc8034-9860140a-df88abb0-b9b2fab5-3265641f.jpg']",['files/p13/p13352405/s55680047/22582d1c-114af91c-83312668-0af5831e-ceacf04b.jpg\n']
s56805129_2,p11293517,s56805129,2,Findings,"Frontal and lateral views of the chest demonstrate new pulmonary and mediastinal vascular congestion, perihilar haziness and chronic moderate cardiomegaly. New right infrahilar consolidation could be regional edema or concurrent pneumonia. The leads of an atriobiventricular ICD are unchanged in position, as are two additional right sided right ventricular leads which cross the chest wall from right to the left pectoral pacemaker. There is no pleural effusion, or pneumothorax.","Frontal and lateral views of the chest demonstrate new pulmonary and mediastinal vascular congestion, perihilar haziness and chronic moderate cardiomegaly.",haziness,perihilar,New,"['files/p11/p11293517/s56805129/8b21e141-af653815-b3918024-c96d4b9e-6805e677.jpg', 'files/p11/p11293517/s56805129/908720ef-acf4956f-fe8d7aea-cacaf681-fe871544.jpg', 'files/p11/p11293517/s56805129/d8e53bde-7150419c-176ca653-637955cb-4fed0efd.jpg']","['files/p11/p11293517/s55831566/157c4099-34b42e61-710b038b-f6b80531-75d80abd.jpg\n', 'files/p11/p11293517/s55831566/40994464-b17516cf-be885c02-984e9fa1-79da2ac8.jpg\n']"
s56805129_2,p11293517,s56805129,2,Findings,"Frontal and lateral views of the chest demonstrate new pulmonary and mediastinal vascular congestion, perihilar haziness and chronic moderate cardiomegaly. New right infrahilar consolidation could be regional edema or concurrent pneumonia. The leads of an atriobiventricular ICD are unchanged in position, as are two additional right sided right ventricular leads which cross the chest wall from right to the left pectoral pacemaker. There is no pleural effusion, or pneumothorax.",New right infrahilar consolidation could be regional edema or concurrent pneumonia.,consolidation,right infrahilar,New,"['files/p11/p11293517/s56805129/8b21e141-af653815-b3918024-c96d4b9e-6805e677.jpg', 'files/p11/p11293517/s56805129/908720ef-acf4956f-fe8d7aea-cacaf681-fe871544.jpg', 'files/p11/p11293517/s56805129/d8e53bde-7150419c-176ca653-637955cb-4fed0efd.jpg']","['files/p11/p11293517/s55831566/157c4099-34b42e61-710b038b-f6b80531-75d80abd.jpg\n', 'files/p11/p11293517/s55831566/40994464-b17516cf-be885c02-984e9fa1-79da2ac8.jpg\n']"
s56805129_2,p11293517,s56805129,2,Findings,"Frontal and lateral views of the chest demonstrate new pulmonary and mediastinal vascular congestion, perihilar haziness and chronic moderate cardiomegaly. New right infrahilar consolidation could be regional edema or concurrent pneumonia. The leads of an atriobiventricular ICD are unchanged in position, as are two additional right sided right ventricular leads which cross the chest wall from right to the left pectoral pacemaker. There is no pleural effusion, or pneumothorax.","The leads of an atriobiventricular ICD are unchanged in position, as are two additional right sided right ventricular leads which cross the chest wall from right to the left pectoral pacemaker.",leads,right ventricular,Stable,"['files/p11/p11293517/s56805129/8b21e141-af653815-b3918024-c96d4b9e-6805e677.jpg', 'files/p11/p11293517/s56805129/908720ef-acf4956f-fe8d7aea-cacaf681-fe871544.jpg', 'files/p11/p11293517/s56805129/d8e53bde-7150419c-176ca653-637955cb-4fed0efd.jpg']","['files/p11/p11293517/s55831566/157c4099-34b42e61-710b038b-f6b80531-75d80abd.jpg\n', 'files/p11/p11293517/s55831566/40994464-b17516cf-be885c02-984e9fa1-79da2ac8.jpg\n']"
s56805129_2,p11293517,s56805129,2,Findings,"Frontal and lateral views of the chest demonstrate new pulmonary and mediastinal vascular congestion, perihilar haziness and chronic moderate cardiomegaly. New right infrahilar consolidation could be regional edema or concurrent pneumonia. The leads of an atriobiventricular ICD are unchanged in position, as are two additional right sided right ventricular leads which cross the chest wall from right to the left pectoral pacemaker. There is no pleural effusion, or pneumothorax.","The leads of an atriobiventricular ICD are unchanged in position, as are two additional right sided right ventricular leads which cross the chest wall from right to the left pectoral pacemaker.",leads,atriobiventricular ICD,Stable,"['files/p11/p11293517/s56805129/8b21e141-af653815-b3918024-c96d4b9e-6805e677.jpg', 'files/p11/p11293517/s56805129/908720ef-acf4956f-fe8d7aea-cacaf681-fe871544.jpg', 'files/p11/p11293517/s56805129/d8e53bde-7150419c-176ca653-637955cb-4fed0efd.jpg']","['files/p11/p11293517/s55831566/157c4099-34b42e61-710b038b-f6b80531-75d80abd.jpg\n', 'files/p11/p11293517/s55831566/40994464-b17516cf-be885c02-984e9fa1-79da2ac8.jpg\n']"
s56805129_2,p11293517,s56805129,2,Findings,"Frontal and lateral views of the chest demonstrate new pulmonary and mediastinal vascular congestion, perihilar haziness and chronic moderate cardiomegaly. New right infrahilar consolidation could be regional edema or concurrent pneumonia. The leads of an atriobiventricular ICD are unchanged in position, as are two additional right sided right ventricular leads which cross the chest wall from right to the left pectoral pacemaker. There is no pleural effusion, or pneumothorax.","Frontal and lateral views of the chest demonstrate new pulmonary and mediastinal vascular congestion, perihilar haziness and chronic moderate cardiomegaly.",vascular congestion,pulmonary and mediastinal,New,"['files/p11/p11293517/s56805129/8b21e141-af653815-b3918024-c96d4b9e-6805e677.jpg', 'files/p11/p11293517/s56805129/908720ef-acf4956f-fe8d7aea-cacaf681-fe871544.jpg', 'files/p11/p11293517/s56805129/d8e53bde-7150419c-176ca653-637955cb-4fed0efd.jpg']","['files/p11/p11293517/s55831566/157c4099-34b42e61-710b038b-f6b80531-75d80abd.jpg\n', 'files/p11/p11293517/s55831566/40994464-b17516cf-be885c02-984e9fa1-79da2ac8.jpg\n']"
s56814609_2,p10523725,s56814609,2,Findings,Frontal and lateral views of the chest. The lungs are clear of consolidation or effusion. Right pleural based thickening at the base laterally is again seen. There is no evidence of pulmonary vascular congestion. Cardiomediastinal silhouette is stable in. No acute osseous abnormality detected.,Right pleural based thickening at the base laterally is again seen.,thickening,right pleural base laterally,Stable,"['files/p10/p10523725/s56814609/2aefd0c6-f20a9f20-b89876d6-d3975e45-44260401.jpg', 'files/p10/p10523725/s56814609/c06be36c-7264616a-87131515-76b5c50a-10dc90ba.jpg', 'files/p10/p10523725/s56814609/fd3224e7-dfaaffb6-aa247f5e-a9df753d-de656567.jpg']","['files/p10/p10523725/s56078456/5c549479-dcb2c159-300ce6a6-b8362dc7-c43d8f1d.jpg\n', 'files/p10/p10523725/s56078456/655d3207-d13024d7-c94b6261-b2f2448d-6d4f566f.jpg\n']"
s56814609_2,p10523725,s56814609,2,Findings,Frontal and lateral views of the chest. The lungs are clear of consolidation or effusion. Right pleural based thickening at the base laterally is again seen. There is no evidence of pulmonary vascular congestion. Cardiomediastinal silhouette is stable in. No acute osseous abnormality detected.,Cardiomediastinal silhouette is stable in.,Cardiomediastinal silhouette,,Stable,"['files/p10/p10523725/s56814609/2aefd0c6-f20a9f20-b89876d6-d3975e45-44260401.jpg', 'files/p10/p10523725/s56814609/c06be36c-7264616a-87131515-76b5c50a-10dc90ba.jpg', 'files/p10/p10523725/s56814609/fd3224e7-dfaaffb6-aa247f5e-a9df753d-de656567.jpg']","['files/p10/p10523725/s56078456/5c549479-dcb2c159-300ce6a6-b8362dc7-c43d8f1d.jpg\n', 'files/p10/p10523725/s56078456/655d3207-d13024d7-c94b6261-b2f2448d-6d4f566f.jpg\n']"
s56817456_18,p13473495,s56817456,18,Findings,"Frontal and lateral views of the chest. Severe cardiomegaly has increased since ___ with right and left atrial enlargement, consistent with right heart decompensation. Lung volumes are low with a possibly small left pleural effusion. No focal consolidation or pneumothorax. A left subclavian vascular stent is new since the prior exam.","Severe cardiomegaly has increased since ___ with right and left atrial enlargement, consistent with right heart decompensation.",Cardiomegaly,,Worse,"['files/p13/p13473495/s56817456/077e7dc4-1ff1ea54-2cb21d9e-ae380204-f33a774a.jpg', 'files/p13/p13473495/s56817456/1a48fcb9-1ba60fd5-37d6cc93-9996cbca-e4a827ee.jpg', 'files/p13/p13473495/s56817456/90ebb323-6428a4d9-0ce09352-f63d06a0-730d1c33.jpg']",['files/p13/p13473495/s56526400/a960626f-d83c011c-0418381e-d4cf2323-e82c0290.jpg\n']
s56817456_18,p13473495,s56817456,18,Impression,Increased cardiomegaly. No focal consolidation.,Increased cardiomegaly.,Cardiomegaly,,Worse,"['files/p13/p13473495/s56817456/077e7dc4-1ff1ea54-2cb21d9e-ae380204-f33a774a.jpg', 'files/p13/p13473495/s56817456/1a48fcb9-1ba60fd5-37d6cc93-9996cbca-e4a827ee.jpg', 'files/p13/p13473495/s56817456/90ebb323-6428a4d9-0ce09352-f63d06a0-730d1c33.jpg']",['files/p13/p13473495/s56526400/a960626f-d83c011c-0418381e-d4cf2323-e82c0290.jpg\n']
s56817456_18,p13473495,s56817456,18,Findings,"Frontal and lateral views of the chest. Severe cardiomegaly has increased since ___ with right and left atrial enlargement, consistent with right heart decompensation. Lung volumes are low with a possibly small left pleural effusion. No focal consolidation or pneumothorax. A left subclavian vascular stent is new since the prior exam.",A left subclavian vascular stent is new since the prior exam.,vascular stent,left subclavian,New,"['files/p13/p13473495/s56817456/077e7dc4-1ff1ea54-2cb21d9e-ae380204-f33a774a.jpg', 'files/p13/p13473495/s56817456/1a48fcb9-1ba60fd5-37d6cc93-9996cbca-e4a827ee.jpg', 'files/p13/p13473495/s56817456/90ebb323-6428a4d9-0ce09352-f63d06a0-730d1c33.jpg']",['files/p13/p13473495/s56526400/a960626f-d83c011c-0418381e-d4cf2323-e82c0290.jpg\n']
s56822629_2,p18224196,s56822629,2,Findings,"A large right and a moderate-sized left pleural effusion, have increased since the prior study. Consolidation has worsened at both lung bases, concerning for pneumonia, particularly on the right. Mild pulmonary edema is new. Moderate to severe cardiomegaly is unchanged. There is no pneumothorax.",Moderate to severe cardiomegaly is unchanged.,Cardiomegaly,,Stable,['files/p18/p18224196/s56822629/ccd9df65-03a33fd6-372e070c-1b36c943-a18d8378.jpg'],"['files/p18/p18224196/s56589683/657c695b-0198a50b-2cafb23d-85b6cd41-78172777.jpg\n', 'files/p18/p18224196/s56589683/94b32e23-d24b60e0-3b7cd3fc-cc82139f-94517432.jpg\n', 'files/p18/p18224196/s56589683/cd70d994-3c669ab2-ccd5f3bc-4276428d-b7fa3155.jpg\n']"
s56822629_2,p18224196,s56822629,2,Findings,"A large right and a moderate-sized left pleural effusion, have increased since the prior study. Consolidation has worsened at both lung bases, concerning for pneumonia, particularly on the right. Mild pulmonary edema is new. Moderate to severe cardiomegaly is unchanged. There is no pneumothorax.","A large right and a moderate-sized left pleural effusion, have increased since the prior study.",pleural effusions,right and left,Worse,['files/p18/p18224196/s56822629/ccd9df65-03a33fd6-372e070c-1b36c943-a18d8378.jpg'],"['files/p18/p18224196/s56589683/657c695b-0198a50b-2cafb23d-85b6cd41-78172777.jpg\n', 'files/p18/p18224196/s56589683/94b32e23-d24b60e0-3b7cd3fc-cc82139f-94517432.jpg\n', 'files/p18/p18224196/s56589683/cd70d994-3c669ab2-ccd5f3bc-4276428d-b7fa3155.jpg\n']"
s56822629_2,p18224196,s56822629,2,Findings,"A large right and a moderate-sized left pleural effusion, have increased since the prior study. Consolidation has worsened at both lung bases, concerning for pneumonia, particularly on the right. Mild pulmonary edema is new. Moderate to severe cardiomegaly is unchanged. There is no pneumothorax.","Consolidation has worsened at both lung bases, concerning for pneumonia, particularly on the right.",consolidation,both lung bases,Worse,['files/p18/p18224196/s56822629/ccd9df65-03a33fd6-372e070c-1b36c943-a18d8378.jpg'],"['files/p18/p18224196/s56589683/657c695b-0198a50b-2cafb23d-85b6cd41-78172777.jpg\n', 'files/p18/p18224196/s56589683/94b32e23-d24b60e0-3b7cd3fc-cc82139f-94517432.jpg\n', 'files/p18/p18224196/s56589683/cd70d994-3c669ab2-ccd5f3bc-4276428d-b7fa3155.jpg\n']"
s56822629_2,p18224196,s56822629,2,Findings,"A large right and a moderate-sized left pleural effusion, have increased since the prior study. Consolidation has worsened at both lung bases, concerning for pneumonia, particularly on the right. Mild pulmonary edema is new. Moderate to severe cardiomegaly is unchanged. There is no pneumothorax.",Mild pulmonary edema is new.,pulmonary edema,,New,['files/p18/p18224196/s56822629/ccd9df65-03a33fd6-372e070c-1b36c943-a18d8378.jpg'],"['files/p18/p18224196/s56589683/657c695b-0198a50b-2cafb23d-85b6cd41-78172777.jpg\n', 'files/p18/p18224196/s56589683/94b32e23-d24b60e0-3b7cd3fc-cc82139f-94517432.jpg\n', 'files/p18/p18224196/s56589683/cd70d994-3c669ab2-ccd5f3bc-4276428d-b7fa3155.jpg\n']"
s56833050_53,p13475033,s56833050,53,Findings,AP upright and lateral views of the chest provided. There has been no significant change in the appearance of the chest. There is persistent interstitial opacity noted diffusely throughout both lungs likely representing interstitial pulmonary edema. No large effusion or pneumothorax. Cardiomediastinal silhouette appears stable. No acute osseous abnormalities. Chronic left mid/shaft clavicle deformity.,There is persistent interstitial opacity noted diffusely throughout both lungs likely representing interstitial pulmonary edema.,Interstitial opacity,,Stable,"['files/p13/p13475033/s56833050/2ec8fc3d-2689bd30-14e8c2a2-4e342401-cfd3f324.jpg', 'files/p13/p13475033/s56833050/b73bf324-b73f2173-694c520e-85a82ce2-93e7be3d.jpg']","['files/p13/p13475033/s56721487/9c119cc4-8b633d5b-b1c3b4c6-82ee52b6-ff4477dd.jpg\n', 'files/p13/p13475033/s56721487/cd935b41-bde7334e-d7fc7f47-cf7e255c-5bc224de.jpg\n']"
s56833050_53,p13475033,s56833050,53,Impression,No significant change in diffuse interstitial opacity likely reflecting interstitial pulmonary edema.,No significant change in diffuse interstitial opacity likely reflecting interstitial pulmonary edema.,Diffuse interstitial opacity,,Stable,"['files/p13/p13475033/s56833050/2ec8fc3d-2689bd30-14e8c2a2-4e342401-cfd3f324.jpg', 'files/p13/p13475033/s56833050/b73bf324-b73f2173-694c520e-85a82ce2-93e7be3d.jpg']","['files/p13/p13475033/s56721487/9c119cc4-8b633d5b-b1c3b4c6-82ee52b6-ff4477dd.jpg\n', 'files/p13/p13475033/s56721487/cd935b41-bde7334e-d7fc7f47-cf7e255c-5bc224de.jpg\n']"
s56833050_53,p13475033,s56833050,53,Findings,AP upright and lateral views of the chest provided. There has been no significant change in the appearance of the chest. There is persistent interstitial opacity noted diffusely throughout both lungs likely representing interstitial pulmonary edema. No large effusion or pneumothorax. Cardiomediastinal silhouette appears stable. No acute osseous abnormalities. Chronic left mid/shaft clavicle deformity.,There has been no significant change in the appearance of the chest.,Appearance of the chest,,Stable,"['files/p13/p13475033/s56833050/2ec8fc3d-2689bd30-14e8c2a2-4e342401-cfd3f324.jpg', 'files/p13/p13475033/s56833050/b73bf324-b73f2173-694c520e-85a82ce2-93e7be3d.jpg']","['files/p13/p13475033/s56721487/9c119cc4-8b633d5b-b1c3b4c6-82ee52b6-ff4477dd.jpg\n', 'files/p13/p13475033/s56721487/cd935b41-bde7334e-d7fc7f47-cf7e255c-5bc224de.jpg\n']"
s56833050_53,p13475033,s56833050,53,Findings,AP upright and lateral views of the chest provided. There has been no significant change in the appearance of the chest. There is persistent interstitial opacity noted diffusely throughout both lungs likely representing interstitial pulmonary edema. No large effusion or pneumothorax. Cardiomediastinal silhouette appears stable. No acute osseous abnormalities. Chronic left mid/shaft clavicle deformity.,Cardiomediastinal silhouette appears stable.,Cardiomediastinal silhouette,,Stable,"['files/p13/p13475033/s56833050/2ec8fc3d-2689bd30-14e8c2a2-4e342401-cfd3f324.jpg', 'files/p13/p13475033/s56833050/b73bf324-b73f2173-694c520e-85a82ce2-93e7be3d.jpg']","['files/p13/p13475033/s56721487/9c119cc4-8b633d5b-b1c3b4c6-82ee52b6-ff4477dd.jpg\n', 'files/p13/p13475033/s56721487/cd935b41-bde7334e-d7fc7f47-cf7e255c-5bc224de.jpg\n']"
s56836177_36,p13475033,s56836177,36,Findings,Cardiac and mediastinal silhouettes are stable. There is stable diffuse prominence of the interstitial markings. No pleural effusion or pneumothorax is seen.,There is stable diffuse prominence of the interstitial markings.,prominence of the interstitial markings,diffuse,Stable,"['files/p13/p13475033/s56836177/686a2b90-af0e2b68-75f6acc2-ea6fecdc-a69f5c88.jpg', 'files/p13/p13475033/s56836177/ae53df1d-e41d406d-6fb75906-f8944e28-12d90910.jpg']","['files/p13/p13475033/s56833050/2ec8fc3d-2689bd30-14e8c2a2-4e342401-cfd3f324.jpg\n', 'files/p13/p13475033/s56833050/b73bf324-b73f2173-694c520e-85a82ce2-93e7be3d.jpg\n']"
s56836177_36,p13475033,s56836177,36,Findings,Cardiac and mediastinal silhouettes are stable. There is stable diffuse prominence of the interstitial markings. No pleural effusion or pneumothorax is seen.,Cardiac and mediastinal silhouettes are stable.,cardiac and mediastinal silhouettes,,Stable,"['files/p13/p13475033/s56836177/686a2b90-af0e2b68-75f6acc2-ea6fecdc-a69f5c88.jpg', 'files/p13/p13475033/s56836177/ae53df1d-e41d406d-6fb75906-f8944e28-12d90910.jpg']","['files/p13/p13475033/s56833050/2ec8fc3d-2689bd30-14e8c2a2-4e342401-cfd3f324.jpg\n', 'files/p13/p13475033/s56833050/b73bf324-b73f2173-694c520e-85a82ce2-93e7be3d.jpg\n']"
s56836177_36,p13475033,s56836177,36,Impression,Stable prominence of the interstitial markings bilaterally. No new focal consolidation seen.,Stable prominence of the interstitial markings bilaterally.,prominence of the interstitial markings,bilaterally,Stable,"['files/p13/p13475033/s56836177/686a2b90-af0e2b68-75f6acc2-ea6fecdc-a69f5c88.jpg', 'files/p13/p13475033/s56836177/ae53df1d-e41d406d-6fb75906-f8944e28-12d90910.jpg']","['files/p13/p13475033/s56833050/2ec8fc3d-2689bd30-14e8c2a2-4e342401-cfd3f324.jpg\n', 'files/p13/p13475033/s56833050/b73bf324-b73f2173-694c520e-85a82ce2-93e7be3d.jpg\n']"
s56839020_4,p10410641,s56839020,4,Impression,Significant interval increase in the bilateral pleural effusions since prior exam with possible underlying airspace disease not excluded.,Significant interval increase in the bilateral pleural effusions since prior exam with possible underlying airspace disease not excluded.,pleural effusions,bilateral,Worse,['files/p10/p10410641/s56839020/5644c5de-1ae5b48c-edb63079-e8230bfa-79dfbf13.jpg'],"['files/p10/p10410641/s56031350/3ba8fbbe-989e2f64-3cf29b67-e6b2c2c1-d0887a73.jpg\n', 'files/p10/p10410641/s56031350/74ab0576-165250aa-5fedc1a0-3f75f2c6-9f87fa70.jpg\n']"
s56839020_4,p10410641,s56839020,4,Impression,Significant interval increase in the bilateral pleural effusions since prior exam with possible underlying airspace disease not excluded.,Significant interval increase in the bilateral pleural effusions since prior exam with possible underlying airspace disease not excluded.,underlying airspace disease,,New,['files/p10/p10410641/s56839020/5644c5de-1ae5b48c-edb63079-e8230bfa-79dfbf13.jpg'],"['files/p10/p10410641/s56031350/3ba8fbbe-989e2f64-3cf29b67-e6b2c2c1-d0887a73.jpg\n', 'files/p10/p10410641/s56031350/74ab0576-165250aa-5fedc1a0-3f75f2c6-9f87fa70.jpg\n']"
s56839020_4,p10410641,s56839020,4,Findings,"Single portable view of the chest is compared to previous exam from ___. When compared to prior, there has been significant interval enlargement of bilateral pleural effusions which are now moderate in size. Underlying airspace disease is also possible. Superiorly, however, the lungs are grossly clear. Cardiac silhouette is difficult to assess given the size of effusions. Osseous and soft tissue structures are unchanged.","When compared to prior, there has been significant interval enlargement of bilateral pleural effusions which are now moderate in size.",pleural effusions,bilateral,Worse,['files/p10/p10410641/s56839020/5644c5de-1ae5b48c-edb63079-e8230bfa-79dfbf13.jpg'],"['files/p10/p10410641/s56031350/3ba8fbbe-989e2f64-3cf29b67-e6b2c2c1-d0887a73.jpg\n', 'files/p10/p10410641/s56031350/74ab0576-165250aa-5fedc1a0-3f75f2c6-9f87fa70.jpg\n']"
s56839020_4,p10410641,s56839020,4,Findings,"Single portable view of the chest is compared to previous exam from ___. When compared to prior, there has been significant interval enlargement of bilateral pleural effusions which are now moderate in size. Underlying airspace disease is also possible. Superiorly, however, the lungs are grossly clear. Cardiac silhouette is difficult to assess given the size of effusions. Osseous and soft tissue structures are unchanged.",Osseous and soft tissue structures are unchanged.,osseous and soft tissue structures,,Stable,['files/p10/p10410641/s56839020/5644c5de-1ae5b48c-edb63079-e8230bfa-79dfbf13.jpg'],"['files/p10/p10410641/s56031350/3ba8fbbe-989e2f64-3cf29b67-e6b2c2c1-d0887a73.jpg\n', 'files/p10/p10410641/s56031350/74ab0576-165250aa-5fedc1a0-3f75f2c6-9f87fa70.jpg\n']"
s56840019_1,p13896515,s56840019,1,Impression,"Interstitial pulmonary edema, which has increased slightly since ___.","Interstitial pulmonary edema, which has increased slightly since ___.",Pulmonary Edema,Interstitial,Worse,['files/p13/p13896515/s56840019/3e9bfa41-70250cb0-d33887c3-436560fc-339ed2d6.jpg'],['files/p13/p13896515/s56302138/54140bf8-0a93e22f-fcdfa610-39ed40a3-a0e0136d.jpg\n']
s56840019_1,p13896515,s56840019,1,Findings,"There is borderline cardiomegaly. There is no pneumothorax or focal consolidation. No large pleural effusion is seen. Indistinct pulmonary vasculature is consistent with interstitial pulmonary edema, which is slightly increased since ___.","Indistinct pulmonary vasculature is consistent with interstitial pulmonary edema, which is slightly increased since ___.",Pulmonary Edema,Interstitial,Worse,['files/p13/p13896515/s56840019/3e9bfa41-70250cb0-d33887c3-436560fc-339ed2d6.jpg'],['files/p13/p13896515/s56302138/54140bf8-0a93e22f-fcdfa610-39ed40a3-a0e0136d.jpg\n']
s56847326_5,p16662264,s56847326,5,Impression,New opacity in the right middle lobe suggesting pneumonia in the appropriate clinical setting.,New opacity in the right middle lobe suggesting pneumonia in the appropriate clinical setting.,opacity,right middle lobe,New,"['files/p16/p16662264/s56847326/3632b732-a6fc2d5a-e522dbb0-44d33b7b-d5bb10c1.jpg', 'files/p16/p16662264/s56847326/42c0684d-a2f6f499-1215efe0-496a6638-f805c597.jpg']","['files/p16/p16662264/s56776331/8d47a87b-4b8bd1b8-9376da2c-20018620-a1d465a4.jpg\n', 'files/p16/p16662264/s56776331/ec2613ac-d859c02c-90a0d8c7-09a107c4-990690ec.jpg\n']"
s56847326_5,p16662264,s56847326,5,Findings,"The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Pleural effusions have resolved. There is a patchy new opacity in the lateral segment of the right middle lobe, worrisome for pneumonia. However, elsewhere, the lungs appear clear. The osseous structures are unremarkable.","There is a patchy new opacity in the lateral segment of the right middle lobe, worrisome for pneumonia.",opacity,lateral segment of the right middle lobe,New,"['files/p16/p16662264/s56847326/3632b732-a6fc2d5a-e522dbb0-44d33b7b-d5bb10c1.jpg', 'files/p16/p16662264/s56847326/42c0684d-a2f6f499-1215efe0-496a6638-f805c597.jpg']","['files/p16/p16662264/s56776331/8d47a87b-4b8bd1b8-9376da2c-20018620-a1d465a4.jpg\n', 'files/p16/p16662264/s56776331/ec2613ac-d859c02c-90a0d8c7-09a107c4-990690ec.jpg\n']"
s56847326_5,p16662264,s56847326,5,Findings,"The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Pleural effusions have resolved. There is a patchy new opacity in the lateral segment of the right middle lobe, worrisome for pneumonia. However, elsewhere, the lungs appear clear. The osseous structures are unremarkable.",Pleural effusions have resolved.,Pleural effusions,,Resolve,"['files/p16/p16662264/s56847326/3632b732-a6fc2d5a-e522dbb0-44d33b7b-d5bb10c1.jpg', 'files/p16/p16662264/s56847326/42c0684d-a2f6f499-1215efe0-496a6638-f805c597.jpg']","['files/p16/p16662264/s56776331/8d47a87b-4b8bd1b8-9376da2c-20018620-a1d465a4.jpg\n', 'files/p16/p16662264/s56776331/ec2613ac-d859c02c-90a0d8c7-09a107c4-990690ec.jpg\n']"
s56849860_1,p16957952,s56849860,1,Findings,"PA and lateral views of the chest were obtained. Midline sternotomy wires and mediastinal clips are again noted. Heart is mildly enlarged, though this appears stable. The aorta is tortuous, also unchanged. There is mild interstitial edema without large effusions or pneumothorax. No definite signs of pneumonia. Bony structures are demineralized. A mild wedge deformity of a vertebra at the thoracolumbar junction is noted. There is stable from prior.","The aorta is tortuous, also unchanged.",tortuous,Aorta,Stable,"['files/p16/p16957952/s56849860/481574ed-5d06028b-38a29e1c-91406540-5bd259de.jpg', 'files/p16/p16957952/s56849860/8e067d88-2ea4ee8d-21db2c6b-f78701cb-91ad53f9.jpg']","['files/p16/p16957952/s55095340/59bade6b-0ae178f8-e0238791-c4862394-a0a99773.jpg\n', 'files/p16/p16957952/s55095340/7958accd-21d0f8fa-0a0f1a50-fbb2ce69-5128a4a4.jpg\n']"
s56849860_1,p16957952,s56849860,1,Findings,"PA and lateral views of the chest were obtained. Midline sternotomy wires and mediastinal clips are again noted. Heart is mildly enlarged, though this appears stable. The aorta is tortuous, also unchanged. There is mild interstitial edema without large effusions or pneumothorax. No definite signs of pneumonia. Bony structures are demineralized. A mild wedge deformity of a vertebra at the thoracolumbar junction is noted. There is stable from prior.","Heart is mildly enlarged, though this appears stable.",mild enlargement,Heart,Stable,"['files/p16/p16957952/s56849860/481574ed-5d06028b-38a29e1c-91406540-5bd259de.jpg', 'files/p16/p16957952/s56849860/8e067d88-2ea4ee8d-21db2c6b-f78701cb-91ad53f9.jpg']","['files/p16/p16957952/s55095340/59bade6b-0ae178f8-e0238791-c4862394-a0a99773.jpg\n', 'files/p16/p16957952/s55095340/7958accd-21d0f8fa-0a0f1a50-fbb2ce69-5128a4a4.jpg\n']"
s56852226_2,p19389041,s56852226,2,Findings,"AP single view of the chest has been obtained with patient in sitting semi-erect position. There exists extensive thickening and calcified scar formations in both apical areas. No evidence of pneumothorax is present. In comparison with the next preceding chest examination of ___, no significant interval change can be identified. The left-sided hilar mass is present as before.",The left-sided hilar mass is present as before.,hilar mass,left-sided,Stable,['files/p19/p19389041/s56852226/6211c262-9d3215ef-c9ecc9be-dab821ad-94ac069f.jpg'],['files/p19/p19389041/s51467319/7701efe6-56cfaf62-917ec157-bf142818-4a6993ee.jpg\n']
s56855230_4,p11879886,s56855230,4,Findings,"No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are stable. Known lung nodules are better assessed by CT. Median sternotomy wires and mediastinal clips are again noted.",Heart and mediastinal contours are stable.,Heart and mediastinal contours,,Stable,"['files/p11/p11879886/s56855230/2aadeb6e-8b5af4b3-f3ddd4f9-8d552d40-d8a5e821.jpg', 'files/p11/p11879886/s56855230/a6f60ee9-d5a2f15e-67cea2a3-caf01923-79f4b71f.jpg']",['files/p11/p11879886/s56268607/da8cd0dd-573be530-0024ff8e-15e20b59-21e4a61d.jpg\n']
s56855230_4,p11879886,s56855230,4,Findings,"No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are stable. Known lung nodules are better assessed by CT. Median sternotomy wires and mediastinal clips are again noted.",Median sternotomy wires and mediastinal clips are again noted.,sternotomy wires and mediastinal clips,midline,Stable,"['files/p11/p11879886/s56855230/2aadeb6e-8b5af4b3-f3ddd4f9-8d552d40-d8a5e821.jpg', 'files/p11/p11879886/s56855230/a6f60ee9-d5a2f15e-67cea2a3-caf01923-79f4b71f.jpg']",['files/p11/p11879886/s56268607/da8cd0dd-573be530-0024ff8e-15e20b59-21e4a61d.jpg\n']
s56858524_2,p18487334,s56858524,2,Findings,PA and lateral views of the chest were provided demonstrating midline sternotomy wires and a dual-lead pacer which appear unchanged with lead extending into the region of the right atrium and right ventricle. Lungs are clear without signs of pneumonia or edema. No effusion or pneumothorax. Cardiomediastinal silhouette appears normal. The imaged bony structures are intact.,PA and lateral views of the chest were provided demonstrating midline sternotomy wires and a dual-lead pacer which appear unchanged with lead extending into the region of the right atrium and right ventricle.,position,"midline sternotomy wires, dual-lead pacer",Stable,"['files/p18/p18487334/s56858524/70da9ce8-660f957c-cff2916f-1e067a32-1f7149f9.jpg', 'files/p18/p18487334/s56858524/bd3badf2-83c4afdf-f177671f-f91d008a-5751464e.jpg', 'files/p18/p18487334/s56858524/fc2dd069-a9848695-2c9cc70c-cf06c0f6-38694917.jpg']","['files/p18/p18487334/s54813526/776bbba3-c093e000-865ac0e7-9b6ee214-91574d04.jpg\n', 'files/p18/p18487334/s54813526/a66ae4cb-cd0216fe-33f53c45-e2ca6c23-49e183f2.jpg\n', 'files/p18/p18487334/s54813526/d55ff27c-56105531-803b32d8-6ef6fb2d-1a0498ed.jpg\n']"
s56876464_11,p18079481,s56876464,11,Findings,The cardiomediastinal silhouettes are grossly stable. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The bilateral rib deformities are due to prior fractures. Compression deformities along the thoracic spine are grossly stable compared to ___.,Compression deformities along the thoracic spine are grossly stable compared to ___.,Compression deformities,thoracic spine,Stable,"['files/p18/p18079481/s56876464/688ba1bb-09e43b44-39a4a90a-e52ce698-74c13302.jpg', 'files/p18/p18079481/s56876464/a82741ea-8169b7a6-82642ef9-7c78cbbe-95583ecb.jpg', 'files/p18/p18079481/s56876464/bf028214-cb0835ca-30254541-ed6392a2-5d347a09.jpg']",['files/p18/p18079481/s56778521/2598d2a4-fec32ad4-e6bb68b9-b6c86b6e-ec0a7008.jpg\n']
s56876464_11,p18079481,s56876464,11,Findings,The cardiomediastinal silhouettes are grossly stable. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The bilateral rib deformities are due to prior fractures. Compression deformities along the thoracic spine are grossly stable compared to ___.,The cardiomediastinal silhouettes are grossly stable.,cardiomediastinal silhouettes,,Stable,"['files/p18/p18079481/s56876464/688ba1bb-09e43b44-39a4a90a-e52ce698-74c13302.jpg', 'files/p18/p18079481/s56876464/a82741ea-8169b7a6-82642ef9-7c78cbbe-95583ecb.jpg', 'files/p18/p18079481/s56876464/bf028214-cb0835ca-30254541-ed6392a2-5d347a09.jpg']",['files/p18/p18079481/s56778521/2598d2a4-fec32ad4-e6bb68b9-b6c86b6e-ec0a7008.jpg\n']
s56883120_1,p13606683,s56883120,1,Findings,Linear opacities within the left lung base appear unchanged compared to recent prior examination and are consistent with plate-like atelectasis or scarring. Flattened hemidiaphragms and hyperexpansion of the lungs suggest underlying obstructive pulmonary disease. No confluent consolidation is identified. There is no vascular congestion or pulmonary edema. A trace left pleural effusion is newly identified. Cardiomediastinal and hilar contours are within normal limits. A prosthetic cardiac valve is again noted. There is no pneumothorax. Median sternotomy wires appear grossly intact.,Linear opacities within the left lung base appear unchanged compared to recent prior examination and are consistent with plate-like atelectasis or scarring.,plate-like atelectasis or scarring,left lung base,Stable,"['files/p13/p13606683/s56883120/919158fb-4f0d9b66-46719ab6-5d584449-1a3ad8de.jpg', 'files/p13/p13606683/s56883120/a750cdf1-08f86f48-3d7fe822-9831cd73-31f5862c.jpg', 'files/p13/p13606683/s56883120/c542b18f-06a3b284-5b3e593f-ac2f5aa0-8f443747.jpg']",['files/p13/p13606683/s56497798/9d32e96f-dcc52f72-a7262f7a-298b9e97-39fc55bb.jpg\n']
s56883120_1,p13606683,s56883120,1,Impression,1. Unchanged left lower lobe scarring/plate-like atelectasis. 2. New trace left pleural effusion.,2. New trace left pleural effusion.,pleural effusion,left,New,"['files/p13/p13606683/s56883120/919158fb-4f0d9b66-46719ab6-5d584449-1a3ad8de.jpg', 'files/p13/p13606683/s56883120/a750cdf1-08f86f48-3d7fe822-9831cd73-31f5862c.jpg', 'files/p13/p13606683/s56883120/c542b18f-06a3b284-5b3e593f-ac2f5aa0-8f443747.jpg']",['files/p13/p13606683/s56497798/9d32e96f-dcc52f72-a7262f7a-298b9e97-39fc55bb.jpg\n']
s56883120_1,p13606683,s56883120,1,Impression,1. Unchanged left lower lobe scarring/plate-like atelectasis. 2. New trace left pleural effusion.,1. Unchanged left lower lobe scarring/plate-like atelectasis.,scarring/plate-like atelectasis,left lower lobe,Stable,"['files/p13/p13606683/s56883120/919158fb-4f0d9b66-46719ab6-5d584449-1a3ad8de.jpg', 'files/p13/p13606683/s56883120/a750cdf1-08f86f48-3d7fe822-9831cd73-31f5862c.jpg', 'files/p13/p13606683/s56883120/c542b18f-06a3b284-5b3e593f-ac2f5aa0-8f443747.jpg']",['files/p13/p13606683/s56497798/9d32e96f-dcc52f72-a7262f7a-298b9e97-39fc55bb.jpg\n']
s56883120_1,p13606683,s56883120,1,Findings,Linear opacities within the left lung base appear unchanged compared to recent prior examination and are consistent with plate-like atelectasis or scarring. Flattened hemidiaphragms and hyperexpansion of the lungs suggest underlying obstructive pulmonary disease. No confluent consolidation is identified. There is no vascular congestion or pulmonary edema. A trace left pleural effusion is newly identified. Cardiomediastinal and hilar contours are within normal limits. A prosthetic cardiac valve is again noted. There is no pneumothorax. Median sternotomy wires appear grossly intact.,A trace left pleural effusion is newly identified.,pleural effusion,left,New,"['files/p13/p13606683/s56883120/919158fb-4f0d9b66-46719ab6-5d584449-1a3ad8de.jpg', 'files/p13/p13606683/s56883120/a750cdf1-08f86f48-3d7fe822-9831cd73-31f5862c.jpg', 'files/p13/p13606683/s56883120/c542b18f-06a3b284-5b3e593f-ac2f5aa0-8f443747.jpg']",['files/p13/p13606683/s56497798/9d32e96f-dcc52f72-a7262f7a-298b9e97-39fc55bb.jpg\n']
s56886005_6,p13978244,s56886005,6,Findings,The cardiomediastinal silhouette is stable. The lungs are symmetrically expanded. Slightly increased opacity at the right base may represent atelectasis; however developing pneumonia cannot be excluded. There is no pleural effusion or pneumothorax.,The cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p13/p13978244/s56886005/3891bb0c-3698159b-42c6500c-2c690e15-10917f35.jpg', 'files/p13/p13978244/s56886005/520c4437-7748826c-11a7ef1b-962c527d-41289638.jpg']","['files/p13/p13978244/s56696460/80f9570a-1a6a4dbd-d3d3dd4f-3318ccfc-5e7afeb6.jpg\n', 'files/p13/p13978244/s56696460/a86906cf-710c164d-b996484a-ac9ade58-dbcff302.jpg\n']"
s56886005_6,p13978244,s56886005,6,Findings,The cardiomediastinal silhouette is stable. The lungs are symmetrically expanded. Slightly increased opacity at the right base may represent atelectasis; however developing pneumonia cannot be excluded. There is no pleural effusion or pneumothorax.,Slightly increased opacity at the right base may represent atelectasis; however developing pneumonia cannot be excluded.,Opacity,Right base,Worse,"['files/p13/p13978244/s56886005/3891bb0c-3698159b-42c6500c-2c690e15-10917f35.jpg', 'files/p13/p13978244/s56886005/520c4437-7748826c-11a7ef1b-962c527d-41289638.jpg']","['files/p13/p13978244/s56696460/80f9570a-1a6a4dbd-d3d3dd4f-3318ccfc-5e7afeb6.jpg\n', 'files/p13/p13978244/s56696460/a86906cf-710c164d-b996484a-ac9ade58-dbcff302.jpg\n']"
s56886005_6,p13978244,s56886005,6,Impression,Slightly increased opacity at the right base may represent atelectasis ;however early consolidation cannot be excluded. Clinical correlation is advised.,Slightly increased opacity at the right base may represent atelectasis; however early consolidation cannot be excluded. Clinical correlation is advised.,Opacity,Right base,Worse,"['files/p13/p13978244/s56886005/3891bb0c-3698159b-42c6500c-2c690e15-10917f35.jpg', 'files/p13/p13978244/s56886005/520c4437-7748826c-11a7ef1b-962c527d-41289638.jpg']","['files/p13/p13978244/s56696460/80f9570a-1a6a4dbd-d3d3dd4f-3318ccfc-5e7afeb6.jpg\n', 'files/p13/p13978244/s56696460/a86906cf-710c164d-b996484a-ac9ade58-dbcff302.jpg\n']"
s56894057_9,p19454978,s56894057,9,Findings,"As compared to the previous radiograph, the right internal jugular vein catheter has been pulled back. The tip of the catheter now projects above the clavicle. The catheter should be repositioned to ensure a correct position in the mid SVC. Therefore, advancement of the catheter by approximately 5 cm would be required.","As compared to the previous radiograph, the right internal jugular vein catheter has been pulled back.",catheter,right internal jugular vein,Worse,['files/p19/p19454978/s56894057/f7078882-7927ae24-2cb5194e-a4ea0c05-99f8ea08.jpg'],['files/p19/p19454978/s56732549/955b5b7c-e2c4d556-9acb1f7d-ca2828f9-f57d4c56.jpg\n']
s56894803_8,p17669276,s56894803,8,Impression,"Findings suggesting mild interstitial pulmonary edema and persistent bilateral pleural effusions, probably at least moderate in size.","Findings suggesting mild interstitial pulmonary edema and persistent bilateral pleural effusions, probably at least moderate in size.",mild interstitial pulmonary edema,,Stable,"['files/p17/p17669276/s56894803/2e82b549-d2fb6a33-4747e742-d21b905f-813ff996.jpg', 'files/p17/p17669276/s56894803/3d84712e-208c4347-e4890359-8cd17a21-d9d36d5b.jpg', 'files/p17/p17669276/s56894803/55b170c5-0d2cca30-fb9f4563-9b2f14f0-3b5f0a22.jpg']","['files/p17/p17669276/s56534561/7dec6f8a-fc4d5df4-1f8b498f-d7ca614d-a95c7978.jpg\n', 'files/p17/p17669276/s56534561/a4f73255-00b82e9e-68e68353-82488b81-2621e129.jpg\n']"
s56894803_8,p17669276,s56894803,8,Impression,"Findings suggesting mild interstitial pulmonary edema and persistent bilateral pleural effusions, probably at least moderate in size.","Findings suggesting mild interstitial pulmonary edema and persistent bilateral pleural effusions, probably at least moderate in size.",bilateral pleural effusions,,Stable,"['files/p17/p17669276/s56894803/2e82b549-d2fb6a33-4747e742-d21b905f-813ff996.jpg', 'files/p17/p17669276/s56894803/3d84712e-208c4347-e4890359-8cd17a21-d9d36d5b.jpg', 'files/p17/p17669276/s56894803/55b170c5-0d2cca30-fb9f4563-9b2f14f0-3b5f0a22.jpg']","['files/p17/p17669276/s56534561/7dec6f8a-fc4d5df4-1f8b498f-d7ca614d-a95c7978.jpg\n', 'files/p17/p17669276/s56534561/a4f73255-00b82e9e-68e68353-82488b81-2621e129.jpg\n']"
s56894803_8,p17669276,s56894803,8,Findings,"The patient is status post sternotomy. The heart is moderately enlarged. Layering pleural effusions are present. These are difficult to directly compare to the prior study, because of suspected differences in positioning, but the appearance is probably fairly similar. Coinciding compressive atelectasis is likely. Mild interstitial opacification suggests mild vascular congestion, new since the prior study. Prior vertebroplasties have been performed.","These are difficult to directly compare to the prior study, because of suspected differences in positioning, but the appearance is probably fairly similar.",appearance of pleural effusions,,Stable,"['files/p17/p17669276/s56894803/2e82b549-d2fb6a33-4747e742-d21b905f-813ff996.jpg', 'files/p17/p17669276/s56894803/3d84712e-208c4347-e4890359-8cd17a21-d9d36d5b.jpg', 'files/p17/p17669276/s56894803/55b170c5-0d2cca30-fb9f4563-9b2f14f0-3b5f0a22.jpg']","['files/p17/p17669276/s56534561/7dec6f8a-fc4d5df4-1f8b498f-d7ca614d-a95c7978.jpg\n', 'files/p17/p17669276/s56534561/a4f73255-00b82e9e-68e68353-82488b81-2621e129.jpg\n']"
s56894803_8,p17669276,s56894803,8,Findings,"The patient is status post sternotomy. The heart is moderately enlarged. Layering pleural effusions are present. These are difficult to directly compare to the prior study, because of suspected differences in positioning, but the appearance is probably fairly similar. Coinciding compressive atelectasis is likely. Mild interstitial opacification suggests mild vascular congestion, new since the prior study. Prior vertebroplasties have been performed.","Mild interstitial opacification suggests mild vascular congestion, new since the prior study.",mild vascular congestion,,New,"['files/p17/p17669276/s56894803/2e82b549-d2fb6a33-4747e742-d21b905f-813ff996.jpg', 'files/p17/p17669276/s56894803/3d84712e-208c4347-e4890359-8cd17a21-d9d36d5b.jpg', 'files/p17/p17669276/s56894803/55b170c5-0d2cca30-fb9f4563-9b2f14f0-3b5f0a22.jpg']","['files/p17/p17669276/s56534561/7dec6f8a-fc4d5df4-1f8b498f-d7ca614d-a95c7978.jpg\n', 'files/p17/p17669276/s56534561/a4f73255-00b82e9e-68e68353-82488b81-2621e129.jpg\n']"
s56894803_8,p17669276,s56894803,8,Findings,"The patient is status post sternotomy. The heart is moderately enlarged. Layering pleural effusions are present. These are difficult to directly compare to the prior study, because of suspected differences in positioning, but the appearance is probably fairly similar. Coinciding compressive atelectasis is likely. Mild interstitial opacification suggests mild vascular congestion, new since the prior study. Prior vertebroplasties have been performed.",Prior vertebroplasties have been performed.,vertebroplasties,,Stable,"['files/p17/p17669276/s56894803/2e82b549-d2fb6a33-4747e742-d21b905f-813ff996.jpg', 'files/p17/p17669276/s56894803/3d84712e-208c4347-e4890359-8cd17a21-d9d36d5b.jpg', 'files/p17/p17669276/s56894803/55b170c5-0d2cca30-fb9f4563-9b2f14f0-3b5f0a22.jpg']","['files/p17/p17669276/s56534561/7dec6f8a-fc4d5df4-1f8b498f-d7ca614d-a95c7978.jpg\n', 'files/p17/p17669276/s56534561/a4f73255-00b82e9e-68e68353-82488b81-2621e129.jpg\n']"
s56896759_23,p11474065,s56896759,23,Findings,"Compared the prior study, there is increase in opacity at the right mid to lower lung difficult to exclude small left pleural effusion. Pneumonia pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Chronic deformity of the posterior right fourth rib.","Compared the prior study, there is increase in opacity at the right mid to lower lung difficult to exclude small left pleural effusion.",opacity,right mid to lower lung,Worse,['files/p11/p11474065/s56896759/3b31865b-b41244e4-c46dbdca-c33ad6e4-3cca5768.jpg'],['files/p11/p11474065/s56570382/da99191c-5176d7bc-b809d55a-4429a7cd-ae8b21e9.jpg\n']
s56896759_23,p11474065,s56896759,23,Findings,"Compared the prior study, there is increase in opacity at the right mid to lower lung difficult to exclude small left pleural effusion. Pneumonia pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Chronic deformity of the posterior right fourth rib.",The cardiac and mediastinal silhouettes are stable.,silhouette,cardiac,Stable,['files/p11/p11474065/s56896759/3b31865b-b41244e4-c46dbdca-c33ad6e4-3cca5768.jpg'],['files/p11/p11474065/s56570382/da99191c-5176d7bc-b809d55a-4429a7cd-ae8b21e9.jpg\n']
s56896759_23,p11474065,s56896759,23,Findings,"Compared the prior study, there is increase in opacity at the right mid to lower lung difficult to exclude small left pleural effusion. Pneumonia pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Chronic deformity of the posterior right fourth rib.","Compared the prior study, there is increase in opacity at the right mid to lower lung difficult to exclude small left pleural effusion.",pleural effusion,left,New,['files/p11/p11474065/s56896759/3b31865b-b41244e4-c46dbdca-c33ad6e4-3cca5768.jpg'],['files/p11/p11474065/s56570382/da99191c-5176d7bc-b809d55a-4429a7cd-ae8b21e9.jpg\n']
s56896759_23,p11474065,s56896759,23,Findings,"Compared the prior study, there is increase in opacity at the right mid to lower lung difficult to exclude small left pleural effusion. Pneumonia pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Chronic deformity of the posterior right fourth rib.",The cardiac and mediastinal silhouettes are stable.,silhouette,mediastinal,Stable,['files/p11/p11474065/s56896759/3b31865b-b41244e4-c46dbdca-c33ad6e4-3cca5768.jpg'],['files/p11/p11474065/s56570382/da99191c-5176d7bc-b809d55a-4429a7cd-ae8b21e9.jpg\n']
s56900002_9,p13921768,s56900002,9,Impression,Has compared to the prior study there is no substantial change in multifocal opacities with minimal improvement at the level of the left mid lung. Heart size and mediastinum are unchanged. No interval development or increase in pleural effusion demonstrated,Has compared to the prior study there is no substantial change in multifocal opacities with minimal improvement at the level of the left mid lung.,Multifocal opacities,,Stable,['files/p13/p13921768/s56900002/d025d08b-868642d3-1968cca6-f44c2f1d-4c1dd9c7.jpg'],"['files/p13/p13921768/s53713960/163a26f6-a4ac3d6b-621c4719-28355100-b2a1f663.jpg\n', 'files/p13/p13921768/s53713960/d8406953-e1473794-aadfa8d2-d7225820-6d7e558a.jpg\n']"
s56900002_9,p13921768,s56900002,9,Impression,Has compared to the prior study there is no substantial change in multifocal opacities with minimal improvement at the level of the left mid lung. Heart size and mediastinum are unchanged. No interval development or increase in pleural effusion demonstrated,Heart size and mediastinum are unchanged.,Heart size,,Stable,['files/p13/p13921768/s56900002/d025d08b-868642d3-1968cca6-f44c2f1d-4c1dd9c7.jpg'],"['files/p13/p13921768/s53713960/163a26f6-a4ac3d6b-621c4719-28355100-b2a1f663.jpg\n', 'files/p13/p13921768/s53713960/d8406953-e1473794-aadfa8d2-d7225820-6d7e558a.jpg\n']"
s56900002_9,p13921768,s56900002,9,Impression,Has compared to the prior study there is no substantial change in multifocal opacities with minimal improvement at the level of the left mid lung. Heart size and mediastinum are unchanged. No interval development or increase in pleural effusion demonstrated,Has compared to the prior study there is no substantial change in multifocal opacities with minimal improvement at the level of the left mid lung.,Opacities,Left mid lung,Better,['files/p13/p13921768/s56900002/d025d08b-868642d3-1968cca6-f44c2f1d-4c1dd9c7.jpg'],"['files/p13/p13921768/s53713960/163a26f6-a4ac3d6b-621c4719-28355100-b2a1f663.jpg\n', 'files/p13/p13921768/s53713960/d8406953-e1473794-aadfa8d2-d7225820-6d7e558a.jpg\n']"
s56900002_9,p13921768,s56900002,9,Impression,Has compared to the prior study there is no substantial change in multifocal opacities with minimal improvement at the level of the left mid lung. Heart size and mediastinum are unchanged. No interval development or increase in pleural effusion demonstrated,Heart size and mediastinum are unchanged.,Mediastinum,,Stable,['files/p13/p13921768/s56900002/d025d08b-868642d3-1968cca6-f44c2f1d-4c1dd9c7.jpg'],"['files/p13/p13921768/s53713960/163a26f6-a4ac3d6b-621c4719-28355100-b2a1f663.jpg\n', 'files/p13/p13921768/s53713960/d8406953-e1473794-aadfa8d2-d7225820-6d7e558a.jpg\n']"
s56901171_4,p12303667,s56901171,4,Findings,"As compared to the previous radiograph, there is no relevant change. Diffuse predominantly reticular opacities, diffusely distributed through the lung, without evidence of other focal parenchymal abnormality. No evidence of pneumonia. No pleural effusions. Borderline size of the cardiac silhouette. Mild tortuosity of the thoracic aorta.","As compared to the previous radiograph, there is no relevant change",,,Stable,['files/p12/p12303667/s56901171/8be5e566-84d421c6-72d46c14-79091c67-73751f9f.jpg'],"['files/p12/p12303667/s56230969/9ed98f0d-44106851-df647480-672d93ed-95426753.jpg\n', 'files/p12/p12303667/s56230969/b8ec370f-450e80d9-25461f27-72d3da41-d6e10bae.jpg\n']"
s56901180_0,p19150427,s56901180,0,Findings,"The patient is status post median sternotomy, CABG, vascular stenting. The heart size is mildly enlarged, but stable. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is not engorged. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is visualized. No acute osseous abnormality is seen.","The heart size is mildly enlarged, but stable.",mildly enlarged heart,,Stable,"['files/p19/p19150427/s56901180/27be8e47-777aa20b-bdfc0d00-edfb3263-1cebe4df.jpg', 'files/p19/p19150427/s56901180/5d1050e9-28da32a0-1d4125fa-2e3cec29-4be75b1e.jpg']",['files/p19/p19150427/s56013922/c874667d-3a322fbd-378b624c-a8b7113e-491c9160.jpg\n']
s56902932_6,p17163861,s56902932,6,Findings,"There is no focal consolidation or effusion. There is a dominant nodule in the left perihilar region measuring approximately 2.3 cm. Additional smaller nodules project over the bilateral lung apices. Given history of prior malignancy, underlying metastases would be of concern. Nonurgent chest CT is suggested to further evaluate. Cardiomediastinal silhouette is within normal limits. Left chest wall dual lead pacing device is seen as well as median sternotomy wires. Chronic deformity of the proximal left humerus suggests prior fracture.","Given history of prior malignancy, underlying metastases would be of concern.",metastases,bilateral lung apices,Worse,"['files/p17/p17163861/s56902932/4e2deb58-2087d69f-a4c1a7c8-776af924-1bd0202d.jpg', 'files/p17/p17163861/s56902932/cafde7cd-b6e7a873-406f5371-358aca60-ed02bdc3.jpg']","['files/p17/p17163861/s56013519/0f513599-eb6bddc9-4306d15d-46c7c0c2-a3c6c854.jpg\n', 'files/p17/p17163861/s56013519/de7f2739-8c743a3a-6e0e37fb-635c58f5-a48a0ab7.jpg\n']"
s56902932_6,p17163861,s56902932,6,Findings,"There is no focal consolidation or effusion. There is a dominant nodule in the left perihilar region measuring approximately 2.3 cm. Additional smaller nodules project over the bilateral lung apices. Given history of prior malignancy, underlying metastases would be of concern. Nonurgent chest CT is suggested to further evaluate. Cardiomediastinal silhouette is within normal limits. Left chest wall dual lead pacing device is seen as well as median sternotomy wires. Chronic deformity of the proximal left humerus suggests prior fracture.",Chronic deformity of the proximal left humerus suggests prior fracture.,deformity,proximal left humerus,Stable,"['files/p17/p17163861/s56902932/4e2deb58-2087d69f-a4c1a7c8-776af924-1bd0202d.jpg', 'files/p17/p17163861/s56902932/cafde7cd-b6e7a873-406f5371-358aca60-ed02bdc3.jpg']","['files/p17/p17163861/s56013519/0f513599-eb6bddc9-4306d15d-46c7c0c2-a3c6c854.jpg\n', 'files/p17/p17163861/s56013519/de7f2739-8c743a3a-6e0e37fb-635c58f5-a48a0ab7.jpg\n']"
s56905708_47,p15131736,s56905708,47,Impression,"No relevant change as compared to the previous image. Moderate cardiomegaly. Right PICC line. No pleural effusions. No pneumonia, no pulmonary edema.",No relevant change as compared to the previous image.,,,Stable,['files/p15/p15131736/s56905708/c35cd6f5-6d2f944e-e7517ba8-3d33af2c-aeb61176.jpg'],['files/p15/p15131736/s56644987/498f05dc-57343a1b-c611226d-832d85bd-a088cd1e.jpg\n']
s56908039_8,p19623993,s56908039,8,Impression,"A right internal jugular line ends at upper SVC, Swan-Ganz catheter through the left internal jugular approach ends approximately in the main pulmonary artery and endotracheal tube terminating 4.1 cm above the carina, all are appropriate in position. Two feeding tubes are seen coursing below the diaphragm into the stomach; however, their distal end is off the radiograph view. Two abdomen drains, one in the right hypochondriac region and other in epigastric region are unchanged in course and position. Bilateral lung volumes are low. Small right pleural effusion and lower lung atelectasis has improved. Increased retrocardiac density obscuring the left hemidiaphragm margins suggesting low lung atelectasis is unchanged. small left pleural effusion is stable. Top normal heart size, mediastinal and hilar contours are unchanged.",Small right pleural effusion and lower lung atelectasis has improved.,atelectasis,lower lung,Better,['files/p19/p19623993/s56908039/85023ebc-975e666f-4be00ab3-0de8159d-71962698.jpg'],"['files/p19/p19623993/s56454351/0e6de9a7-50d9b67d-b0af8c75-456b1251-5befad24.jpg\n', 'files/p19/p19623993/s56454351/cb8d35f1-a0181bde-a8292078-9c949b30-f3ba3ace.jpg\n']"
s56908039_8,p19623993,s56908039,8,Impression,"A right internal jugular line ends at upper SVC, Swan-Ganz catheter through the left internal jugular approach ends approximately in the main pulmonary artery and endotracheal tube terminating 4.1 cm above the carina, all are appropriate in position. Two feeding tubes are seen coursing below the diaphragm into the stomach; however, their distal end is off the radiograph view. Two abdomen drains, one in the right hypochondriac region and other in epigastric region are unchanged in course and position. Bilateral lung volumes are low. Small right pleural effusion and lower lung atelectasis has improved. Increased retrocardiac density obscuring the left hemidiaphragm margins suggesting low lung atelectasis is unchanged. small left pleural effusion is stable. Top normal heart size, mediastinal and hilar contours are unchanged.","Top normal heart size, mediastinal and hilar contours are unchanged.","heart size, mediastinal and hilar contours",,Stable,['files/p19/p19623993/s56908039/85023ebc-975e666f-4be00ab3-0de8159d-71962698.jpg'],"['files/p19/p19623993/s56454351/0e6de9a7-50d9b67d-b0af8c75-456b1251-5befad24.jpg\n', 'files/p19/p19623993/s56454351/cb8d35f1-a0181bde-a8292078-9c949b30-f3ba3ace.jpg\n']"
s56908039_8,p19623993,s56908039,8,Impression,"A right internal jugular line ends at upper SVC, Swan-Ganz catheter through the left internal jugular approach ends approximately in the main pulmonary artery and endotracheal tube terminating 4.1 cm above the carina, all are appropriate in position. Two feeding tubes are seen coursing below the diaphragm into the stomach; however, their distal end is off the radiograph view. Two abdomen drains, one in the right hypochondriac region and other in epigastric region are unchanged in course and position. Bilateral lung volumes are low. Small right pleural effusion and lower lung atelectasis has improved. Increased retrocardiac density obscuring the left hemidiaphragm margins suggesting low lung atelectasis is unchanged. small left pleural effusion is stable. Top normal heart size, mediastinal and hilar contours are unchanged.",Increased retrocardiac density obscuring the left hemidiaphragm margins suggesting low lung atelectasis is unchanged.,low lung atelectasis,left hemidiaphragm,Stable,['files/p19/p19623993/s56908039/85023ebc-975e666f-4be00ab3-0de8159d-71962698.jpg'],"['files/p19/p19623993/s56454351/0e6de9a7-50d9b67d-b0af8c75-456b1251-5befad24.jpg\n', 'files/p19/p19623993/s56454351/cb8d35f1-a0181bde-a8292078-9c949b30-f3ba3ace.jpg\n']"
s56908039_8,p19623993,s56908039,8,Impression,"A right internal jugular line ends at upper SVC, Swan-Ganz catheter through the left internal jugular approach ends approximately in the main pulmonary artery and endotracheal tube terminating 4.1 cm above the carina, all are appropriate in position. Two feeding tubes are seen coursing below the diaphragm into the stomach; however, their distal end is off the radiograph view. Two abdomen drains, one in the right hypochondriac region and other in epigastric region are unchanged in course and position. Bilateral lung volumes are low. Small right pleural effusion and lower lung atelectasis has improved. Increased retrocardiac density obscuring the left hemidiaphragm margins suggesting low lung atelectasis is unchanged. small left pleural effusion is stable. Top normal heart size, mediastinal and hilar contours are unchanged.",small left pleural effusion is stable.,pleural effusion,left,Stable,['files/p19/p19623993/s56908039/85023ebc-975e666f-4be00ab3-0de8159d-71962698.jpg'],"['files/p19/p19623993/s56454351/0e6de9a7-50d9b67d-b0af8c75-456b1251-5befad24.jpg\n', 'files/p19/p19623993/s56454351/cb8d35f1-a0181bde-a8292078-9c949b30-f3ba3ace.jpg\n']"
s56908039_8,p19623993,s56908039,8,Impression,"A right internal jugular line ends at upper SVC, Swan-Ganz catheter through the left internal jugular approach ends approximately in the main pulmonary artery and endotracheal tube terminating 4.1 cm above the carina, all are appropriate in position. Two feeding tubes are seen coursing below the diaphragm into the stomach; however, their distal end is off the radiograph view. Two abdomen drains, one in the right hypochondriac region and other in epigastric region are unchanged in course and position. Bilateral lung volumes are low. Small right pleural effusion and lower lung atelectasis has improved. Increased retrocardiac density obscuring the left hemidiaphragm margins suggesting low lung atelectasis is unchanged. small left pleural effusion is stable. Top normal heart size, mediastinal and hilar contours are unchanged.","Two abdomen drains, one in the right hypochondriac region and other in epigastric region are unchanged in course and position.",abdomen drains,right hypochondriac and epigastric regions,Stable,['files/p19/p19623993/s56908039/85023ebc-975e666f-4be00ab3-0de8159d-71962698.jpg'],"['files/p19/p19623993/s56454351/0e6de9a7-50d9b67d-b0af8c75-456b1251-5befad24.jpg\n', 'files/p19/p19623993/s56454351/cb8d35f1-a0181bde-a8292078-9c949b30-f3ba3ace.jpg\n']"
s56908039_8,p19623993,s56908039,8,Impression,"A right internal jugular line ends at upper SVC, Swan-Ganz catheter through the left internal jugular approach ends approximately in the main pulmonary artery and endotracheal tube terminating 4.1 cm above the carina, all are appropriate in position. Two feeding tubes are seen coursing below the diaphragm into the stomach; however, their distal end is off the radiograph view. Two abdomen drains, one in the right hypochondriac region and other in epigastric region are unchanged in course and position. Bilateral lung volumes are low. Small right pleural effusion and lower lung atelectasis has improved. Increased retrocardiac density obscuring the left hemidiaphragm margins suggesting low lung atelectasis is unchanged. small left pleural effusion is stable. Top normal heart size, mediastinal and hilar contours are unchanged.",Small right pleural effusion and lower lung atelectasis has improved.,pleural effusion,right,Better,['files/p19/p19623993/s56908039/85023ebc-975e666f-4be00ab3-0de8159d-71962698.jpg'],"['files/p19/p19623993/s56454351/0e6de9a7-50d9b67d-b0af8c75-456b1251-5befad24.jpg\n', 'files/p19/p19623993/s56454351/cb8d35f1-a0181bde-a8292078-9c949b30-f3ba3ace.jpg\n']"
s56917340_3,p18512911,s56917340,3,Findings,"Chest PA and lateral radiograph demonstrates unremarkable mediastinal and hilar contours. Stable mild cardiomegaly evident. Increased opacity overlying the right diaphragm on background of right lower lung atelectasis, may indicate pneumonia. No pleural effusion or pneumothorax evident. Stable L1 and T12 compression fractures. Stable degenerative changes of the right shoulder.",Stable mild cardiomegaly evident.,Mild cardiomegaly,Cardiomegaly,Stable,"['files/p18/p18512911/s56917340/411abaf0-f8b81683-e86eea4a-a3ea2b62-2d262a90.jpg', 'files/p18/p18512911/s56917340/8a2ac87e-67bd3fae-31632688-1d6dbc89-594ca350.jpg', 'files/p18/p18512911/s56917340/c4b67dd3-d40261f4-896ca5c9-acc7cde5-d93ec993.jpg']","['files/p18/p18512911/s56663989/374f8822-3c399f31-c5e13e37-a6cc8245-cb3cc735.jpg\n', 'files/p18/p18512911/s56663989/74539665-467d0bc8-6f5c9920-f9b6e911-a6f92f44.jpg\n', 'files/p18/p18512911/s56663989/aef845e2-53646bbc-a445e270-6f279d07-6a13a71a.jpg\n']"
s56917340_3,p18512911,s56917340,3,Findings,"Chest PA and lateral radiograph demonstrates unremarkable mediastinal and hilar contours. Stable mild cardiomegaly evident. Increased opacity overlying the right diaphragm on background of right lower lung atelectasis, may indicate pneumonia. No pleural effusion or pneumothorax evident. Stable L1 and T12 compression fractures. Stable degenerative changes of the right shoulder.","Increased opacity overlying the right diaphragm on background of right lower lung atelectasis, may indicate pneumonia.",Opacity,Right diaphragm,Worse,"['files/p18/p18512911/s56917340/411abaf0-f8b81683-e86eea4a-a3ea2b62-2d262a90.jpg', 'files/p18/p18512911/s56917340/8a2ac87e-67bd3fae-31632688-1d6dbc89-594ca350.jpg', 'files/p18/p18512911/s56917340/c4b67dd3-d40261f4-896ca5c9-acc7cde5-d93ec993.jpg']","['files/p18/p18512911/s56663989/374f8822-3c399f31-c5e13e37-a6cc8245-cb3cc735.jpg\n', 'files/p18/p18512911/s56663989/74539665-467d0bc8-6f5c9920-f9b6e911-a6f92f44.jpg\n', 'files/p18/p18512911/s56663989/aef845e2-53646bbc-a445e270-6f279d07-6a13a71a.jpg\n']"
s56917340_3,p18512911,s56917340,3,Findings,"Chest PA and lateral radiograph demonstrates unremarkable mediastinal and hilar contours. Stable mild cardiomegaly evident. Increased opacity overlying the right diaphragm on background of right lower lung atelectasis, may indicate pneumonia. No pleural effusion or pneumothorax evident. Stable L1 and T12 compression fractures. Stable degenerative changes of the right shoulder.",Stable L1 and T12 compression fractures.,Compression fractures,L1 and T12,Stable,"['files/p18/p18512911/s56917340/411abaf0-f8b81683-e86eea4a-a3ea2b62-2d262a90.jpg', 'files/p18/p18512911/s56917340/8a2ac87e-67bd3fae-31632688-1d6dbc89-594ca350.jpg', 'files/p18/p18512911/s56917340/c4b67dd3-d40261f4-896ca5c9-acc7cde5-d93ec993.jpg']","['files/p18/p18512911/s56663989/374f8822-3c399f31-c5e13e37-a6cc8245-cb3cc735.jpg\n', 'files/p18/p18512911/s56663989/74539665-467d0bc8-6f5c9920-f9b6e911-a6f92f44.jpg\n', 'files/p18/p18512911/s56663989/aef845e2-53646bbc-a445e270-6f279d07-6a13a71a.jpg\n']"
s56917340_3,p18512911,s56917340,3,Findings,"Chest PA and lateral radiograph demonstrates unremarkable mediastinal and hilar contours. Stable mild cardiomegaly evident. Increased opacity overlying the right diaphragm on background of right lower lung atelectasis, may indicate pneumonia. No pleural effusion or pneumothorax evident. Stable L1 and T12 compression fractures. Stable degenerative changes of the right shoulder.",Stable degenerative changes of the right shoulder.,Degenerative changes,Right shoulder,Stable,"['files/p18/p18512911/s56917340/411abaf0-f8b81683-e86eea4a-a3ea2b62-2d262a90.jpg', 'files/p18/p18512911/s56917340/8a2ac87e-67bd3fae-31632688-1d6dbc89-594ca350.jpg', 'files/p18/p18512911/s56917340/c4b67dd3-d40261f4-896ca5c9-acc7cde5-d93ec993.jpg']","['files/p18/p18512911/s56663989/374f8822-3c399f31-c5e13e37-a6cc8245-cb3cc735.jpg\n', 'files/p18/p18512911/s56663989/74539665-467d0bc8-6f5c9920-f9b6e911-a6f92f44.jpg\n', 'files/p18/p18512911/s56663989/aef845e2-53646bbc-a445e270-6f279d07-6a13a71a.jpg\n']"
s56917340_3,p18512911,s56917340,3,Impression,"Increased opacity of right lower lung may reflect worsening atelectasis, though in proper clinical setting, pneumonia is a possibility. No pleural effusion evident.","Increased opacity of right lower lung may reflect worsening atelectasis, though in proper clinical setting, pneumonia is a possibility.",Opacity,Right lower lung,Worse,"['files/p18/p18512911/s56917340/411abaf0-f8b81683-e86eea4a-a3ea2b62-2d262a90.jpg', 'files/p18/p18512911/s56917340/8a2ac87e-67bd3fae-31632688-1d6dbc89-594ca350.jpg', 'files/p18/p18512911/s56917340/c4b67dd3-d40261f4-896ca5c9-acc7cde5-d93ec993.jpg']","['files/p18/p18512911/s56663989/374f8822-3c399f31-c5e13e37-a6cc8245-cb3cc735.jpg\n', 'files/p18/p18512911/s56663989/74539665-467d0bc8-6f5c9920-f9b6e911-a6f92f44.jpg\n', 'files/p18/p18512911/s56663989/aef845e2-53646bbc-a445e270-6f279d07-6a13a71a.jpg\n']"
s56918682_14,p15192710,s56918682,14,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 chest findings are completely stable, and there is no evidence of new pulmonary parenchymal infiltrates that could represent a pneumonia. Heart size is also unchanged, and no evidence of pulmonary vascular congestion or pleural effusion exists. No pneumothorax in the apical area.",Heart size is also unchanged,size,heart,Stable,"['files/p15/p15192710/s56918682/a5d858a3-f180454b-311e1427-1b70d6f0-3d95426d.jpg', 'files/p15/p15192710/s56918682/e8bee7e8-3d046a2b-a495f848-e8247e92-8a180494.jpg']",['files/p15/p15192710/s56661680/537866b5-4423c6f9-f01223bc-1a4b2a8a-a550fd36.jpg\n']
s56918682_14,p15192710,s56918682,14,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 chest findings are completely stable, and there is no evidence of new pulmonary parenchymal infiltrates that could represent a pneumonia. Heart size is also unchanged, and no evidence of pulmonary vascular congestion or pleural effusion exists. No pneumothorax in the apical area.",The chest findings are completely stable,,chest,Stable,"['files/p15/p15192710/s56918682/a5d858a3-f180454b-311e1427-1b70d6f0-3d95426d.jpg', 'files/p15/p15192710/s56918682/e8bee7e8-3d046a2b-a495f848-e8247e92-8a180494.jpg']",['files/p15/p15192710/s56661680/537866b5-4423c6f9-f01223bc-1a4b2a8a-a550fd36.jpg\n']
s56918682_14,p15192710,s56918682,14,Impression,"Stable chest findings, no evidence of new acute pulmonary infectious process that could account for unexplained leukocytosis.","Stable chest findings, no evidence of new acute pulmonary infectious process that could account for unexplained leukocytosis",,chest,Stable,"['files/p15/p15192710/s56918682/a5d858a3-f180454b-311e1427-1b70d6f0-3d95426d.jpg', 'files/p15/p15192710/s56918682/e8bee7e8-3d046a2b-a495f848-e8247e92-8a180494.jpg']",['files/p15/p15192710/s56661680/537866b5-4423c6f9-f01223bc-1a4b2a8a-a550fd36.jpg\n']
s56921440_48,p14841168,s56921440,48,Impression,"In comparison with the study of ___, there is little overall change. Again there is increased opacification in the left mid and lower lung zones. Although this could merely represent extensive atelectasis, in the appropriate clinical setting superimposed pneumonia would have to be seriously considered. Continued low lung volumes with enlargement of the cardiac silhouette and mild pulmonary vascular congestion.",Again there is increased opacification in the left mid and lower lung zones.,Opacification,left mid and lower lung zones,Worse,['files/p14/p14841168/s56921440/d47b1887-47d16d76-fc1df56f-5a5cd514-a9f91c9e.jpg'],['files/p14/p14841168/s56670181/5c6e01e3-164c30db-22196724-376748a3-d299a9eb.jpg\n']
s56921446_13,p11413236,s56921446,13,Findings,"PA and lateral chest radiographs were provided. Lung volumes are significantly low. There is no focal consolidation, pleural effusion or pneumothorax. There is bibasilar atelectasis. The cardiomediastinal silhouette is unchanged. Median sternotomy wires are intact. A right chest wall Port-A-Cath terminates at the cavoatrial junction. There is no free air under the hemidiaphragms. Osseous structures are intact.",The cardiomediastinal silhouette is unchanged.,silhouette,cardiomediastinal,Stable,"['files/p11/p11413236/s56921446/154a0276-f9cc72dc-9907f2e1-f1f11272-93cc90ff.jpg', 'files/p11/p11413236/s56921446/9e603808-3ea8ecd9-e7c87494-34d9258b-ea2bdd21.jpg']","['files/p11/p11413236/s56440391/dddcceca-94eece80-9832d5c3-f58beb36-13003c99.jpg\n', 'files/p11/p11413236/s56440391/f657e490-c4ee9ad0-e9dfe8bd-62775c28-a599c37d.jpg\n']"
s56925922_16,p10439781,s56925922,16,Findings,"A Port-A-Cath terminates in the upper right atrium. The cardiac, mediastinal and hilar contours appear unchanged. Fine reticulation associated with pulmonary fibrosis appears very similar within each lung in extent and distribution with no significant superimposed change. The lung volumes are low. There is no pleural effusion or pneumothorax. Multiple compression deformities including lower thoracic vertebroplasties appear unchanged.",Fine reticulation associated with pulmonary fibrosis appears very similar within each lung in extent and distribution with no significant superimposed change.,pulmonary fibrosis,,Stable,"['files/p10/p10439781/s56925922/2883541d-6a242b68-0838ecc7-5cd20cbf-133ec77b.jpg', 'files/p10/p10439781/s56925922/2bd79f61-da184ac4-7311c0ac-3f0af71f-65418141.jpg', 'files/p10/p10439781/s56925922/bf36414d-6c371df9-7c7106e2-8b9991bc-f24f52d1.jpg']",['files/p10/p10439781/s56653253/7bc78455-41c1debf-80eb11b0-d8ff58b8-e4e2496d.jpg\n']
s56925922_16,p10439781,s56925922,16,Impression,"No evidence of acute disease. Severe pulmonary fibrosis, not significantly changed.","Severe pulmonary fibrosis, not significantly changed.",pulmonary fibrosis,,Stable,"['files/p10/p10439781/s56925922/2883541d-6a242b68-0838ecc7-5cd20cbf-133ec77b.jpg', 'files/p10/p10439781/s56925922/2bd79f61-da184ac4-7311c0ac-3f0af71f-65418141.jpg', 'files/p10/p10439781/s56925922/bf36414d-6c371df9-7c7106e2-8b9991bc-f24f52d1.jpg']",['files/p10/p10439781/s56653253/7bc78455-41c1debf-80eb11b0-d8ff58b8-e4e2496d.jpg\n']
s56925922_16,p10439781,s56925922,16,Findings,"A Port-A-Cath terminates in the upper right atrium. The cardiac, mediastinal and hilar contours appear unchanged. Fine reticulation associated with pulmonary fibrosis appears very similar within each lung in extent and distribution with no significant superimposed change. The lung volumes are low. There is no pleural effusion or pneumothorax. Multiple compression deformities including lower thoracic vertebroplasties appear unchanged.",Multiple compression deformities including lower thoracic vertebroplasties appear unchanged.,compression deformities including lower thoracic vertebroplasties,,Stable,"['files/p10/p10439781/s56925922/2883541d-6a242b68-0838ecc7-5cd20cbf-133ec77b.jpg', 'files/p10/p10439781/s56925922/2bd79f61-da184ac4-7311c0ac-3f0af71f-65418141.jpg', 'files/p10/p10439781/s56925922/bf36414d-6c371df9-7c7106e2-8b9991bc-f24f52d1.jpg']",['files/p10/p10439781/s56653253/7bc78455-41c1debf-80eb11b0-d8ff58b8-e4e2496d.jpg\n']
s56925922_16,p10439781,s56925922,16,Findings,"A Port-A-Cath terminates in the upper right atrium. The cardiac, mediastinal and hilar contours appear unchanged. Fine reticulation associated with pulmonary fibrosis appears very similar within each lung in extent and distribution with no significant superimposed change. The lung volumes are low. There is no pleural effusion or pneumothorax. Multiple compression deformities including lower thoracic vertebroplasties appear unchanged.","The cardiac, mediastinal and hilar contours appear unchanged.","cardiac, mediastinal and hilar contours",,Stable,"['files/p10/p10439781/s56925922/2883541d-6a242b68-0838ecc7-5cd20cbf-133ec77b.jpg', 'files/p10/p10439781/s56925922/2bd79f61-da184ac4-7311c0ac-3f0af71f-65418141.jpg', 'files/p10/p10439781/s56925922/bf36414d-6c371df9-7c7106e2-8b9991bc-f24f52d1.jpg']",['files/p10/p10439781/s56653253/7bc78455-41c1debf-80eb11b0-d8ff58b8-e4e2496d.jpg\n']
s56929753_6,p13473495,s56929753,6,Findings,"The inspiratory lung volumes are low. The cardiac silhouette is moderately enlarged, but stable from the prior study. The mediastinal and hilar contours are not significantly changed from the prior radiograph allowing for patient rotation on the current examination. No significant pleural effusion or pneumothorax is detected. A small amount of fluid is noted in the right minor fissure. Mild pulmonary edema is present. A right dual-chamber dialysis catheter is in position with the tip terminating at the cavoatrial junction or proximal right atrium. The visualized upper abdomen is gasless.","The cardiac silhouette is moderately enlarged, but stable from the prior study.",Cardiomegaly,,Stable,"['files/p13/p13473495/s56929753/2386d449-ff60da90-15b0f79f-2a63ae3d-146cb799.jpg', 'files/p13/p13473495/s56929753/661279e3-b9fc21ed-ba997fbe-35d448a8-8bd6bb70.jpg']","['files/p13/p13473495/s56817456/077e7dc4-1ff1ea54-2cb21d9e-ae380204-f33a774a.jpg\n', 'files/p13/p13473495/s56817456/1a48fcb9-1ba60fd5-37d6cc93-9996cbca-e4a827ee.jpg\n', 'files/p13/p13473495/s56817456/90ebb323-6428a4d9-0ce09352-f63d06a0-730d1c33.jpg\n']"
s56929753_6,p13473495,s56929753,6,Findings,"The inspiratory lung volumes are low. The cardiac silhouette is moderately enlarged, but stable from the prior study. The mediastinal and hilar contours are not significantly changed from the prior radiograph allowing for patient rotation on the current examination. No significant pleural effusion or pneumothorax is detected. A small amount of fluid is noted in the right minor fissure. Mild pulmonary edema is present. A right dual-chamber dialysis catheter is in position with the tip terminating at the cavoatrial junction or proximal right atrium. The visualized upper abdomen is gasless.",The mediastinal and hilar contours are not significantly changed from the prior radiograph allowing for patient rotation on the current examination.,Contours,Mediastinal and hilar,Stable,"['files/p13/p13473495/s56929753/2386d449-ff60da90-15b0f79f-2a63ae3d-146cb799.jpg', 'files/p13/p13473495/s56929753/661279e3-b9fc21ed-ba997fbe-35d448a8-8bd6bb70.jpg']","['files/p13/p13473495/s56817456/077e7dc4-1ff1ea54-2cb21d9e-ae380204-f33a774a.jpg\n', 'files/p13/p13473495/s56817456/1a48fcb9-1ba60fd5-37d6cc93-9996cbca-e4a827ee.jpg\n', 'files/p13/p13473495/s56817456/90ebb323-6428a4d9-0ce09352-f63d06a0-730d1c33.jpg\n']"
s56936171_10,p16553329,s56936171,10,Impression,"New consolidation at the base the left lung could be either atelectasis or pneumonia, accompanied by stable small left pleural effusion. Chest is otherwise unchanged, including normal size heart, minimally dilated upper lobe pulmonary vessels, but no pulmonary edema.",accompanied by stable small left pleural effusion,pleural effusion,left,Stable,['files/p16/p16553329/s56936171/8ad111d7-bd7f226a-d10f242f-59b1df46-5defb013.jpg'],['files/p16/p16553329/s55534474/02e9477c-659b97b0-28c5c1b2-6f4e0865-3e04a039.jpg\n']
s56936171_10,p16553329,s56936171,10,Impression,"New consolidation at the base the left lung could be either atelectasis or pneumonia, accompanied by stable small left pleural effusion. Chest is otherwise unchanged, including normal size heart, minimally dilated upper lobe pulmonary vessels, but no pulmonary edema.","Chest is otherwise unchanged, including normal size heart, minimally dilated upper lobe pulmonary vessels, but no pulmonary edema",normal size heart,chest,Stable,['files/p16/p16553329/s56936171/8ad111d7-bd7f226a-d10f242f-59b1df46-5defb013.jpg'],['files/p16/p16553329/s55534474/02e9477c-659b97b0-28c5c1b2-6f4e0865-3e04a039.jpg\n']
s56936171_10,p16553329,s56936171,10,Impression,"New consolidation at the base the left lung could be either atelectasis or pneumonia, accompanied by stable small left pleural effusion. Chest is otherwise unchanged, including normal size heart, minimally dilated upper lobe pulmonary vessels, but no pulmonary edema.","Chest is otherwise unchanged, including normal size heart, minimally dilated upper lobe pulmonary vessels, but no pulmonary edema",minimally dilated pulmonary vessels,upper lobe,Stable,['files/p16/p16553329/s56936171/8ad111d7-bd7f226a-d10f242f-59b1df46-5defb013.jpg'],['files/p16/p16553329/s55534474/02e9477c-659b97b0-28c5c1b2-6f4e0865-3e04a039.jpg\n']
s56936171_10,p16553329,s56936171,10,Impression,"New consolidation at the base the left lung could be either atelectasis or pneumonia, accompanied by stable small left pleural effusion. Chest is otherwise unchanged, including normal size heart, minimally dilated upper lobe pulmonary vessels, but no pulmonary edema.",New consolidation at the base the left lung could be either atelectasis or pneumonia,consolidation,base of the left lung,New,['files/p16/p16553329/s56936171/8ad111d7-bd7f226a-d10f242f-59b1df46-5defb013.jpg'],['files/p16/p16553329/s55534474/02e9477c-659b97b0-28c5c1b2-6f4e0865-3e04a039.jpg\n']
s56951123_31,p16662264,s56951123,31,Impression,Lingular consolidation persists but continues to decrease in size as compared to the prior study.,Lingular consolidation persists but continues to decrease in size as compared to the prior study.,consolidation,lingula,Better,"['files/p16/p16662264/s56951123/0e20294a-a19790ed-687b001e-481e4273-f89dd2c4.jpg', 'files/p16/p16662264/s56951123/2d4d3dbb-39cdc11d-01294bd2-8a3904df-30e4ac9a.jpg']","['files/p16/p16662264/s56847326/3632b732-a6fc2d5a-e522dbb0-44d33b7b-d5bb10c1.jpg\n', 'files/p16/p16662264/s56847326/42c0684d-a2f6f499-1215efe0-496a6638-f805c597.jpg\n']"
s56951123_31,p16662264,s56951123,31,Findings,"Frontal and lateral views of the chest were obtained. There remains small residual consolidation in the lingula, which continues to decrease in size as compared to the prior studies. No definite focal consolidation is seen on the right. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.","There remains small residual consolidation in the lingula, which continues to decrease in size as compared to the prior studies.",consolidation,lingula,Better,"['files/p16/p16662264/s56951123/0e20294a-a19790ed-687b001e-481e4273-f89dd2c4.jpg', 'files/p16/p16662264/s56951123/2d4d3dbb-39cdc11d-01294bd2-8a3904df-30e4ac9a.jpg']","['files/p16/p16662264/s56847326/3632b732-a6fc2d5a-e522dbb0-44d33b7b-d5bb10c1.jpg\n', 'files/p16/p16662264/s56847326/42c0684d-a2f6f499-1215efe0-496a6638-f805c597.jpg\n']"
s56951123_31,p16662264,s56951123,31,Findings,"Frontal and lateral views of the chest were obtained. There remains small residual consolidation in the lingula, which continues to decrease in size as compared to the prior studies. No definite focal consolidation is seen on the right. 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.,cardiac and mediastinal silhouettes,,Stable,"['files/p16/p16662264/s56951123/0e20294a-a19790ed-687b001e-481e4273-f89dd2c4.jpg', 'files/p16/p16662264/s56951123/2d4d3dbb-39cdc11d-01294bd2-8a3904df-30e4ac9a.jpg']","['files/p16/p16662264/s56847326/3632b732-a6fc2d5a-e522dbb0-44d33b7b-d5bb10c1.jpg\n', 'files/p16/p16662264/s56847326/42c0684d-a2f6f499-1215efe0-496a6638-f805c597.jpg\n']"
s56956118_20,p16855430,s56956118,20,Findings,"Frontal lateral views chest performed. A left upper extremity PICC has been removed. The cardiac silhouette remains chronically and moderately enlarged. There are small to moderate bilateral pleural effusions which have increased in size from prior. Additionally, enlargement of the azygous vein with indistinctness of the pulmonary vasculature is consistent with congestive failure. More focal appearing consolidations are seen in the middle lobe and a lower lobe, probably left. There is no pneumothorax. The imaged upper abdomen is unremarkable.",There are small to moderate bilateral pleural effusions which have increased in size from prior.,pleural effusions,bilateral,Worse,"['files/p16/p16855430/s56956118/577e3751-aef1bbf3-e970d911-b1ad5a8e-af1b41d3.jpg', 'files/p16/p16855430/s56956118/ef3a13e7-698e0d1f-8393808a-10002aef-7bd95331.jpg']",['files/p16/p16855430/s55801123/6de51358-d77c44f7-19d5cd49-0d32b6fa-15f71ae5.jpg\n']
s56956118_20,p16855430,s56956118,20,Findings,"Frontal lateral views chest performed. A left upper extremity PICC has been removed. The cardiac silhouette remains chronically and moderately enlarged. There are small to moderate bilateral pleural effusions which have increased in size from prior. Additionally, enlargement of the azygous vein with indistinctness of the pulmonary vasculature is consistent with congestive failure. More focal appearing consolidations are seen in the middle lobe and a lower lobe, probably left. There is no pneumothorax. The imaged upper abdomen is unremarkable.",The cardiac silhouette remains chronically and moderately enlarged.,cardiac silhouette enlargement,,Stable,"['files/p16/p16855430/s56956118/577e3751-aef1bbf3-e970d911-b1ad5a8e-af1b41d3.jpg', 'files/p16/p16855430/s56956118/ef3a13e7-698e0d1f-8393808a-10002aef-7bd95331.jpg']",['files/p16/p16855430/s55801123/6de51358-d77c44f7-19d5cd49-0d32b6fa-15f71ae5.jpg\n']
s56956118_20,p16855430,s56956118,20,Findings,"Frontal lateral views chest performed. A left upper extremity PICC has been removed. The cardiac silhouette remains chronically and moderately enlarged. There are small to moderate bilateral pleural effusions which have increased in size from prior. Additionally, enlargement of the azygous vein with indistinctness of the pulmonary vasculature is consistent with congestive failure. More focal appearing consolidations are seen in the middle lobe and a lower lobe, probably left. There is no pneumothorax. The imaged upper abdomen is unremarkable.",A left upper extremity PICC has been removed.,PICC,left upper extremity,Resolve,"['files/p16/p16855430/s56956118/577e3751-aef1bbf3-e970d911-b1ad5a8e-af1b41d3.jpg', 'files/p16/p16855430/s56956118/ef3a13e7-698e0d1f-8393808a-10002aef-7bd95331.jpg']",['files/p16/p16855430/s55801123/6de51358-d77c44f7-19d5cd49-0d32b6fa-15f71ae5.jpg\n']
s56958096_12,p16853729,s56958096,12,Findings,There is chronic blunting of the left lateral costophrenic angle potentially due to atelectasis or small effusion. There may be mild vascular congestion but without overt edema. Linear left basilar opacity is likely atelectasis. Cardiomediastinal silhouette is stable. No acute osseous abnormalities. PEG tube projects over the abdomen.,Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p16/p16853729/s56958096/14c1e51e-9e86e71a-8b399678-688f4515-7106f9a1.jpg', 'files/p16/p16853729/s56958096/b1f84769-685be138-cd909af7-6737e321-551043bf.jpg', 'files/p16/p16853729/s56958096/ea644819-f1117ff7-4f06774f-336c60f0-51a50fd0.jpg']",['files/p16/p16853729/s56382918/98bd2c4d-e47c5249-9e187925-65a4159d-5fb2cc1e.jpg\n']
s56961814_5,p18615099,s56961814,5,Findings,"Single frontal portable view of the chest. Endotracheal tube terminates 4.2 cm above the carina. The side port of a nasogastric tube is below the diaphragm. Pulmonary vasculature is ill-defined, compatible with severe pulmonary edema. Hazy opacity overlying both lungs and blunting of the costophrenic angles are compatible with bilateral pleural effusions. No lobar consolidation or pneumothorax. Mild cardiomegaly is similar to prior. Leads of a left chest wall pacer terminates in the right atrium and ventricle. Median sternotomy wires and numerous mediastinal clips are intact.",Mild cardiomegaly is similar to prior.,Mild cardiomegaly,,Stable,['files/p18/p18615099/s56961814/61ae8e67-88ced0e9-c454f0c6-1cb71dd6-26e77a9e.jpg'],['files/p18/p18615099/s55695509/2d13a8b7-f90c5932-218e4fdf-056b5c2f-550c0a09.jpg\n']
s56963912_7,p19061282,s56963912,7,Impression,"As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects approximately 4.8 cm above the carinal. The course of the nasogastric tube is unremarkable, the tip projects over the middle parts of the stomach. The right internal jugular venous introduction sheet is unchanged. Increasing atelectasis at the left lung bases. Unchanged appearance of the right lung.",The right internal jugular venous introduction sheet is unchanged.,venous introduction sheet,right internal jugular,Stable,['files/p19/p19061282/s56963912/c9d87d11-a862527b-17c66e14-b5598f4f-2f5d28c5.jpg'],"['files/p19/p19061282/s55793283/66da7741-082903c2-f50c52b1-768d15c1-7219692b.jpg\n', 'files/p19/p19061282/s55793283/e4803482-51fd078d-b1b0c75c-e66487fe-0e881cdc.jpg\n']"
s56963912_7,p19061282,s56963912,7,Impression,"As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects approximately 4.8 cm above the carinal. The course of the nasogastric tube is unremarkable, the tip projects over the middle parts of the stomach. The right internal jugular venous introduction sheet is unchanged. Increasing atelectasis at the left lung bases. Unchanged appearance of the right lung.",Increasing atelectasis at the left lung bases.,atelectasis,left lung bases,Worse,['files/p19/p19061282/s56963912/c9d87d11-a862527b-17c66e14-b5598f4f-2f5d28c5.jpg'],"['files/p19/p19061282/s55793283/66da7741-082903c2-f50c52b1-768d15c1-7219692b.jpg\n', 'files/p19/p19061282/s55793283/e4803482-51fd078d-b1b0c75c-e66487fe-0e881cdc.jpg\n']"
s56963912_7,p19061282,s56963912,7,Impression,"As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects approximately 4.8 cm above the carinal. The course of the nasogastric tube is unremarkable, the tip projects over the middle parts of the stomach. The right internal jugular venous introduction sheet is unchanged. Increasing atelectasis at the left lung bases. Unchanged appearance of the right lung.",Unchanged appearance of the right lung.,appearance,right lung,Stable,['files/p19/p19061282/s56963912/c9d87d11-a862527b-17c66e14-b5598f4f-2f5d28c5.jpg'],"['files/p19/p19061282/s55793283/66da7741-082903c2-f50c52b1-768d15c1-7219692b.jpg\n', 'files/p19/p19061282/s55793283/e4803482-51fd078d-b1b0c75c-e66487fe-0e881cdc.jpg\n']"
s56969126_26,p17770657,s56969126,26,Findings,"The lungs are hyperinflated and the diaphragms are flattened, consistent with COPD. Multiple surgical clips are seen about the mediastinum, consistent with prior surgery. A linear wire-like density is again noted in the retrosternal region, unchanged. Previously seen anterior chest wall drains have been removed. On today's exam, the heart is not enlarged. The aorta is unfolded. There is prominence of a hila suggesting element of pulmonary hypertension, probably unchanged. There is some linear atelectasis and/or scarring at both lung bases. Ring-like opacity in the left upper zone seen on the prior study has resolved, with only minimal residual scarring. No CHF or new focal infiltrate is detected. No effusions are identified. No pneumothorax is detected. Relative lucency at the right base is thought to represent an artifact due to overlying soft tissues of the chest.","A linear wire-like density is again noted in the retrosternal region, unchanged.",linear wire-like density,retrosternal region,Stable,"['files/p17/p17770657/s56969126/8f861239-cf7f8611-13631eb1-e7c4188f-f39f6041.jpg', 'files/p17/p17770657/s56969126/ca198d4c-70be63ec-5974f3e9-d6320a38-4eb83158.jpg']",['files/p17/p17770657/s56170958/7f3d04fc-eb235975-0821b32d-fbb6dbbb-2261f682.jpg\n']
s56969126_26,p17770657,s56969126,26,Findings,"The lungs are hyperinflated and the diaphragms are flattened, consistent with COPD. Multiple surgical clips are seen about the mediastinum, consistent with prior surgery. A linear wire-like density is again noted in the retrosternal region, unchanged. Previously seen anterior chest wall drains have been removed. On today's exam, the heart is not enlarged. The aorta is unfolded. There is prominence of a hila suggesting element of pulmonary hypertension, probably unchanged. There is some linear atelectasis and/or scarring at both lung bases. Ring-like opacity in the left upper zone seen on the prior study has resolved, with only minimal residual scarring. No CHF or new focal infiltrate is detected. No effusions are identified. No pneumothorax is detected. Relative lucency at the right base is thought to represent an artifact due to overlying soft tissues of the chest.",Previously seen anterior chest wall drains have been removed.,drains,anterior chest wall,Resolve,"['files/p17/p17770657/s56969126/8f861239-cf7f8611-13631eb1-e7c4188f-f39f6041.jpg', 'files/p17/p17770657/s56969126/ca198d4c-70be63ec-5974f3e9-d6320a38-4eb83158.jpg']",['files/p17/p17770657/s56170958/7f3d04fc-eb235975-0821b32d-fbb6dbbb-2261f682.jpg\n']
s56969126_26,p17770657,s56969126,26,Findings,"The lungs are hyperinflated and the diaphragms are flattened, consistent with COPD. Multiple surgical clips are seen about the mediastinum, consistent with prior surgery. A linear wire-like density is again noted in the retrosternal region, unchanged. Previously seen anterior chest wall drains have been removed. On today's exam, the heart is not enlarged. The aorta is unfolded. There is prominence of a hila suggesting element of pulmonary hypertension, probably unchanged. There is some linear atelectasis and/or scarring at both lung bases. Ring-like opacity in the left upper zone seen on the prior study has resolved, with only minimal residual scarring. No CHF or new focal infiltrate is detected. No effusions are identified. No pneumothorax is detected. Relative lucency at the right base is thought to represent an artifact due to overlying soft tissues of the chest.","Ring-like opacity in the left upper zone seen on the prior study has resolved, with only minimal residual scarring.",ring-like opacity,left upper zone,Resolve,"['files/p17/p17770657/s56969126/8f861239-cf7f8611-13631eb1-e7c4188f-f39f6041.jpg', 'files/p17/p17770657/s56969126/ca198d4c-70be63ec-5974f3e9-d6320a38-4eb83158.jpg']",['files/p17/p17770657/s56170958/7f3d04fc-eb235975-0821b32d-fbb6dbbb-2261f682.jpg\n']
s56969126_26,p17770657,s56969126,26,Findings,"The lungs are hyperinflated and the diaphragms are flattened, consistent with COPD. Multiple surgical clips are seen about the mediastinum, consistent with prior surgery. A linear wire-like density is again noted in the retrosternal region, unchanged. Previously seen anterior chest wall drains have been removed. On today's exam, the heart is not enlarged. The aorta is unfolded. There is prominence of a hila suggesting element of pulmonary hypertension, probably unchanged. There is some linear atelectasis and/or scarring at both lung bases. Ring-like opacity in the left upper zone seen on the prior study has resolved, with only minimal residual scarring. No CHF or new focal infiltrate is detected. No effusions are identified. No pneumothorax is detected. Relative lucency at the right base is thought to represent an artifact due to overlying soft tissues of the chest.","There is prominence of a hila suggesting element of pulmonary hypertension, probably unchanged.",pulmonary hypertension,hila,Stable,"['files/p17/p17770657/s56969126/8f861239-cf7f8611-13631eb1-e7c4188f-f39f6041.jpg', 'files/p17/p17770657/s56969126/ca198d4c-70be63ec-5974f3e9-d6320a38-4eb83158.jpg']",['files/p17/p17770657/s56170958/7f3d04fc-eb235975-0821b32d-fbb6dbbb-2261f682.jpg\n']
s56970093_3,p19061282,s56970093,3,Findings,Vascular stents are unchanged in position. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.,Vascular stents are unchanged in position.,Vascular stents,,Stable,['files/p19/p19061282/s56970093/56800e51-37c27e17-e57356ac-463bc851-663bdfa9.jpg'],['files/p19/p19061282/s56963912/c9d87d11-a862527b-17c66e14-b5598f4f-2f5d28c5.jpg\n']
s56970093_3,p19061282,s56970093,3,Findings,Vascular stents are unchanged in position. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.,The cardiac and mediastinal silhouettes are stable.,The cardiac and mediastinal silhouettes,,Stable,['files/p19/p19061282/s56970093/56800e51-37c27e17-e57356ac-463bc851-663bdfa9.jpg'],['files/p19/p19061282/s56963912/c9d87d11-a862527b-17c66e14-b5598f4f-2f5d28c5.jpg\n']
s56971397_13,p16435402,s56971397,13,Impression,"Resolved opacities in the right lung Ill-defined opacities in the lingula likely correspond to scarring, this is adjacent to healed rib fractures better seen in prior CT","Resolved opacities in the right lung Ill-defined opacities in the lingula likely correspond to scarring, this is adjacent to healed rib fractures better seen in prior CT",opacities,right lung,Resolve,"['files/p16/p16435402/s56971397/9867f9b8-833b5f7f-18a67bac-b62caa15-7a215a2b.jpg', 'files/p16/p16435402/s56971397/c2fc2eb2-033da9b6-8f6e6304-b08a9f88-3bbe7370.jpg']","['files/p16/p16435402/s56116675/cbe3bc41-e94a672f-5fdd94a6-aa2446b0-e821a444.jpg\n', 'files/p16/p16435402/s56116675/d439d39d-cacf925c-2737a0f6-204add42-44e8cd99.jpg\n']"
s56971397_13,p16435402,s56971397,13,Findings,Cardiomediastinal contours are normal. Right lower lobe opacities have resolved. Opacities in the lingula adjacent to a healed rib fractures are grossly unchanged . The lungs are hyperinflated. There is no pneumothorax or pleural effusion.,Right lower lobe opacities have resolved.,opacities,right lower lobe,Resolve,"['files/p16/p16435402/s56971397/9867f9b8-833b5f7f-18a67bac-b62caa15-7a215a2b.jpg', 'files/p16/p16435402/s56971397/c2fc2eb2-033da9b6-8f6e6304-b08a9f88-3bbe7370.jpg']","['files/p16/p16435402/s56116675/cbe3bc41-e94a672f-5fdd94a6-aa2446b0-e821a444.jpg\n', 'files/p16/p16435402/s56116675/d439d39d-cacf925c-2737a0f6-204add42-44e8cd99.jpg\n']"
s56971397_13,p16435402,s56971397,13,Findings,Cardiomediastinal contours are normal. Right lower lobe opacities have resolved. Opacities in the lingula adjacent to a healed rib fractures are grossly unchanged . The lungs are hyperinflated. There is no pneumothorax or pleural effusion.,Opacities in the lingula adjacent to a healed rib fractures are grossly unchanged.,opacities,lingula,Stable,"['files/p16/p16435402/s56971397/9867f9b8-833b5f7f-18a67bac-b62caa15-7a215a2b.jpg', 'files/p16/p16435402/s56971397/c2fc2eb2-033da9b6-8f6e6304-b08a9f88-3bbe7370.jpg']","['files/p16/p16435402/s56116675/cbe3bc41-e94a672f-5fdd94a6-aa2446b0-e821a444.jpg\n', 'files/p16/p16435402/s56116675/d439d39d-cacf925c-2737a0f6-204add42-44e8cd99.jpg\n']"
s56972683_21,p15259244,s56972683,21,Impression,"1. Left subclavian PICC line with its tip in the mid-to-distal SVC. Endotracheal tube has its tip 4.5 cm above the carina. A right internal jugular large-bore catheter has its tip in the right atrium, unchanged. Gastric tube is seen coursing below the diaphragm with the tip not identified. 2. Bilateral pleural pigtail catheters are again seen and are unchanged in position. Overall, cardiac and mediastinal contours are stable in this postoperative patient status post median sternotomy with mitral valve annuloplasty. Increasing opacity at right lung base and the costophrenic angle which could represent accumulating fluid or an area of evolving pneumonia. Clinical correlation is advised. No evidence of pulmonary edema. Patchy opacities at left base likely reflects atelectasis. No pneumothorax.",Increasing opacity at right lung base and the costophrenic angle which could represent accumulating fluid or an area of evolving pneumonia.,opacity,right lung base and the costophrenic angle,Worse,['files/p15/p15259244/s56972683/1b4e1f55-4fa1febf-abf7ed18-4531ddc4-2081f4ae.jpg'],['files/p15/p15259244/s56723838/28674cfd-a09cd562-c2ee2007-8a9a2145-bc7be12c.jpg\n']
s56972683_21,p15259244,s56972683,21,Impression,"1. Left subclavian PICC line with its tip in the mid-to-distal SVC. Endotracheal tube has its tip 4.5 cm above the carina. A right internal jugular large-bore catheter has its tip in the right atrium, unchanged. Gastric tube is seen coursing below the diaphragm with the tip not identified. 2. Bilateral pleural pigtail catheters are again seen and are unchanged in position. Overall, cardiac and mediastinal contours are stable in this postoperative patient status post median sternotomy with mitral valve annuloplasty. Increasing opacity at right lung base and the costophrenic angle which could represent accumulating fluid or an area of evolving pneumonia. Clinical correlation is advised. No evidence of pulmonary edema. Patchy opacities at left base likely reflects atelectasis. No pneumothorax.","A right internal jugular large-bore catheter has its tip in the right atrium, unchanged.",internal jugular large-bore catheter,right atrium,Stable,['files/p15/p15259244/s56972683/1b4e1f55-4fa1febf-abf7ed18-4531ddc4-2081f4ae.jpg'],['files/p15/p15259244/s56723838/28674cfd-a09cd562-c2ee2007-8a9a2145-bc7be12c.jpg\n']
s56972683_21,p15259244,s56972683,21,Impression,"1. Left subclavian PICC line with its tip in the mid-to-distal SVC. Endotracheal tube has its tip 4.5 cm above the carina. A right internal jugular large-bore catheter has its tip in the right atrium, unchanged. Gastric tube is seen coursing below the diaphragm with the tip not identified. 2. Bilateral pleural pigtail catheters are again seen and are unchanged in position. Overall, cardiac and mediastinal contours are stable in this postoperative patient status post median sternotomy with mitral valve annuloplasty. Increasing opacity at right lung base and the costophrenic angle which could represent accumulating fluid or an area of evolving pneumonia. Clinical correlation is advised. No evidence of pulmonary edema. Patchy opacities at left base likely reflects atelectasis. No pneumothorax.","Overall, cardiac and mediastinal contours are stable in this postoperative patient status post median sternotomy with mitral valve annuloplasty.",cardiac and mediastinal contours,,Stable,['files/p15/p15259244/s56972683/1b4e1f55-4fa1febf-abf7ed18-4531ddc4-2081f4ae.jpg'],['files/p15/p15259244/s56723838/28674cfd-a09cd562-c2ee2007-8a9a2145-bc7be12c.jpg\n']
s56972683_21,p15259244,s56972683,21,Impression,"1. Left subclavian PICC line with its tip in the mid-to-distal SVC. Endotracheal tube has its tip 4.5 cm above the carina. A right internal jugular large-bore catheter has its tip in the right atrium, unchanged. Gastric tube is seen coursing below the diaphragm with the tip not identified. 2. Bilateral pleural pigtail catheters are again seen and are unchanged in position. Overall, cardiac and mediastinal contours are stable in this postoperative patient status post median sternotomy with mitral valve annuloplasty. Increasing opacity at right lung base and the costophrenic angle which could represent accumulating fluid or an area of evolving pneumonia. Clinical correlation is advised. No evidence of pulmonary edema. Patchy opacities at left base likely reflects atelectasis. No pneumothorax.",Bilateral pleural pigtail catheters are again seen and are unchanged in position.,pigtail catheters,bilateral pleural,Stable,['files/p15/p15259244/s56972683/1b4e1f55-4fa1febf-abf7ed18-4531ddc4-2081f4ae.jpg'],['files/p15/p15259244/s56723838/28674cfd-a09cd562-c2ee2007-8a9a2145-bc7be12c.jpg\n']
s56973241_11,p12847817,s56973241,11,Findings,"Portable AP chest radiograph. The Swan-Ganz catheter has been withdrawn 2 cm, but still should be withdrawn an additional 2 cm. There is otherwise no significant interval change. Again noted is a vascular stent in the left subclavian artery and moderate bilateral pleural effusions, greater on the right. Mild interstitial edema has not significantly changed.",Mild interstitial edema has not significantly changed.,Mild interstitial edema,,Stable,['files/p12/p12847817/s56973241/6e155ca6-fbba81ca-123ca9ce-4d7817ed-a687f7be.jpg'],['files/p12/p12847817/s56524359/aff4536f-731bfbe8-e4a91fc5-06868b90-fbdb4737.jpg\n']
s56983444_8,p12595991,s56983444,8,Impression,"As compared to the previous radiograph, the lung volumes continue to be low. Moderate atelectasis at both the left and the right lung bases. Moderate cardiomegaly, unchanged as compared to the previous image. Currently no evidence is seen of pneumonia or pulmonary edema. The patient has received the nasogastric tube. The course of the tube is unremarkable, the tip of the tube projects over the proximal parts of the stomach. The pacemaker is in unchanged position. Gastric overinflation, seen on the previous image, has substantially decreased.","Moderate cardiomegaly, unchanged as compared to the previous image.",cardiomegaly,,Stable,['files/p12/p12595991/s56983444/99417741-ca740461-763a545e-baf5aa74-65bf4e43.jpg'],['files/p12/p12595991/s55907924/9c8bbef1-95e3b0fb-eea57c06-586fe950-918a79be.jpg\n']
s56983444_8,p12595991,s56983444,8,Impression,"As compared to the previous radiograph, the lung volumes continue to be low. Moderate atelectasis at both the left and the right lung bases. Moderate cardiomegaly, unchanged as compared to the previous image. Currently no evidence is seen of pneumonia or pulmonary edema. The patient has received the nasogastric tube. The course of the tube is unremarkable, the tip of the tube projects over the proximal parts of the stomach. The pacemaker is in unchanged position. Gastric overinflation, seen on the previous image, has substantially decreased.","Gastric overinflation, seen on the previous image, has substantially decreased.",overinflation,gastric,Better,['files/p12/p12595991/s56983444/99417741-ca740461-763a545e-baf5aa74-65bf4e43.jpg'],['files/p12/p12595991/s55907924/9c8bbef1-95e3b0fb-eea57c06-586fe950-918a79be.jpg\n']
s56983444_8,p12595991,s56983444,8,Impression,"As compared to the previous radiograph, the lung volumes continue to be low. Moderate atelectasis at both the left and the right lung bases. Moderate cardiomegaly, unchanged as compared to the previous image. Currently no evidence is seen of pneumonia or pulmonary edema. The patient has received the nasogastric tube. The course of the tube is unremarkable, the tip of the tube projects over the proximal parts of the stomach. The pacemaker is in unchanged position. Gastric overinflation, seen on the previous image, has substantially decreased.","As compared to the previous radiograph, the lung volumes continue to be low.",lung volumes,,Stable,['files/p12/p12595991/s56983444/99417741-ca740461-763a545e-baf5aa74-65bf4e43.jpg'],['files/p12/p12595991/s55907924/9c8bbef1-95e3b0fb-eea57c06-586fe950-918a79be.jpg\n']
s56983444_8,p12595991,s56983444,8,Impression,"As compared to the previous radiograph, the lung volumes continue to be low. Moderate atelectasis at both the left and the right lung bases. Moderate cardiomegaly, unchanged as compared to the previous image. Currently no evidence is seen of pneumonia or pulmonary edema. The patient has received the nasogastric tube. The course of the tube is unremarkable, the tip of the tube projects over the proximal parts of the stomach. The pacemaker is in unchanged position. Gastric overinflation, seen on the previous image, has substantially decreased.",The pacemaker is in unchanged position.,pacemaker,,Stable,['files/p12/p12595991/s56983444/99417741-ca740461-763a545e-baf5aa74-65bf4e43.jpg'],['files/p12/p12595991/s55907924/9c8bbef1-95e3b0fb-eea57c06-586fe950-918a79be.jpg\n']
s56984180_10,p18906643,s56984180,10,Impression,"AP chest compared to ___: Previous vascular congestion has improved, and moderate cardiomegaly is smaller. The left major fissure is delineated by a roughly 8 cm long radiopacity superolateral to it. This could be either pneumonia in the left upper lobe or fissural pleural effusion. It has been present since ___. It may require CT scanning to distinguish between these two possibilities. Left internal jugular line ends at the origin of the SVC and a dual-channel right supraclavicular dialysis catheter ends in the right atrium. No pneumothorax. Dr. ___ ___ I discussed these findings by telephone.","Previous vascular congestion has improved, and moderate cardiomegaly is smaller.",moderate cardiomegaly,,Better,['files/p18/p18906643/s56984180/39bea45f-8269a068-67fbcd81-495f87cc-bde587cb.jpg'],['files/p18/p18906643/s56289226/4853dd84-ab86c09a-c204f25e-0a6f5d96-c03fc2f9.jpg\n']
s56984180_10,p18906643,s56984180,10,Impression,"AP chest compared to ___: Previous vascular congestion has improved, and moderate cardiomegaly is smaller. The left major fissure is delineated by a roughly 8 cm long radiopacity superolateral to it. This could be either pneumonia in the left upper lobe or fissural pleural effusion. It has been present since ___. It may require CT scanning to distinguish between these two possibilities. Left internal jugular line ends at the origin of the SVC and a dual-channel right supraclavicular dialysis catheter ends in the right atrium. No pneumothorax. Dr. ___ ___ I discussed these findings by telephone.","Previous vascular congestion has improved, and moderate cardiomegaly is smaller.",vascular congestion,,Better,['files/p18/p18906643/s56984180/39bea45f-8269a068-67fbcd81-495f87cc-bde587cb.jpg'],['files/p18/p18906643/s56289226/4853dd84-ab86c09a-c204f25e-0a6f5d96-c03fc2f9.jpg\n']
s56986640_9,p16662264,s56986640,9,Findings,"AP single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding PA and lateral chest examination of ___. Comparison of the frontal views demonstrates increase of pulmonary parenchymal densities in the area of the biopsies, most likely caused by post-biopsy hemorrhages. No other new pulmonary abnormalities are seen, and most importantly, there is no evidence of any pneumothorax on this single view chest examination.","Comparison of the frontal views demonstrates increase of pulmonary parenchymal densities in the area of the biopsies, most likely caused by post-biopsy hemorrhages.",pulmonary parenchymal densities,area of the biopsies,Worse,['files/p16/p16662264/s56986640/66e2a71f-4c89386c-3cd769ac-021891b7-e0b1bf2b.jpg'],"['files/p16/p16662264/s56951123/0e20294a-a19790ed-687b001e-481e4273-f89dd2c4.jpg\n', 'files/p16/p16662264/s56951123/2d4d3dbb-39cdc11d-01294bd2-8a3904df-30e4ac9a.jpg\n']"
s56986984_8,p16957952,s56986984,8,Findings,"The patient is status post median sternotomy as well as CABG. Chronic interstitial changes are noted in the lungs, which have somewhat increased, which may be related to interstitial edema. However, this is not accompanied by any pleural effusion or evidence of pneumonia. There is no pneumothorax. Multiple veterbral compression deformities are present at the thoracolumbar junction.","Chronic interstitial changes are noted in the lungs, which have somewhat increased, which may be related to interstitial edema.",interstitial changes,lungs,Worse,"['files/p16/p16957952/s56986984/6a748e66-94fe3916-8d95e285-cdcd69ce-af744882.jpg', 'files/p16/p16957952/s56986984/b3068b62-93af079c-28037ceb-5f8b41e3-8d9c5e81.jpg']","['files/p16/p16957952/s56849860/481574ed-5d06028b-38a29e1c-91406540-5bd259de.jpg\n', 'files/p16/p16957952/s56849860/8e067d88-2ea4ee8d-21db2c6b-f78701cb-91ad53f9.jpg\n']"
s56986984_8,p16957952,s56986984,8,Impression,"Diffuse increased interstitial markings related to chronic lung disease, slightly increased, likely related to superimposed edema.","Diffuse increased interstitial markings related to chronic lung disease, slightly increased, likely related to superimposed edema.",interstitial markings,,Worse,"['files/p16/p16957952/s56986984/6a748e66-94fe3916-8d95e285-cdcd69ce-af744882.jpg', 'files/p16/p16957952/s56986984/b3068b62-93af079c-28037ceb-5f8b41e3-8d9c5e81.jpg']","['files/p16/p16957952/s56849860/481574ed-5d06028b-38a29e1c-91406540-5bd259de.jpg\n', 'files/p16/p16957952/s56849860/8e067d88-2ea4ee8d-21db2c6b-f78701cb-91ad53f9.jpg\n']"
s56991236_5,p13291370,s56991236,5,Findings,"The patient is status post median sternotomy and CABG. Left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. The aortic knob is calcified and aorta remains mildly tortuous. There is new mild pulmonary vascular congestion. Hyperinflation of the lungs is re- demonstrated. New consolidative opacity within the right upper lobe is concerning for pneumonia. And ill-defined nodular opacity within the right upper lung field measuring up to 10 mm is also new, and likely infectious in etiology. No large pleural effusion or pneumothorax is present. No acute osseous abnormality is seen. There are multilevel degenerative changes in the thoracic spine.","And ill-defined nodular opacity within the right upper lung field measuring up to 10 mm is also new, and likely infectious in etiology.",ill-defined nodular opacity,right upper lung field,New,"['files/p13/p13291370/s56991236/637914b1-994c0db2-29d6aba2-56b11076-9cfcc278.jpg', 'files/p13/p13291370/s56991236/84290c10-1ebc15a3-acdd91ef-f142672e-6ff4b671.jpg', 'files/p13/p13291370/s56991236/cf080221-83e85abe-e7849064-2dae1076-601c8319.jpg']","['files/p13/p13291370/s55368341/e5822893-231eaf6f-c8d964ad-3817fd52-61b5af42.jpg\n', 'files/p13/p13291370/s55368341/f1d7a33f-97b3e1ba-be1a44ac-71070a83-8b315e83.jpg\n']"
s56991236_5,p13291370,s56991236,5,Findings,"The patient is status post median sternotomy and CABG. Left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. The aortic knob is calcified and aorta remains mildly tortuous. There is new mild pulmonary vascular congestion. Hyperinflation of the lungs is re- demonstrated. New consolidative opacity within the right upper lobe is concerning for pneumonia. And ill-defined nodular opacity within the right upper lung field measuring up to 10 mm is also new, and likely infectious in etiology. No large pleural effusion or pneumothorax is present. No acute osseous abnormality is seen. There are multilevel degenerative changes in the thoracic spine.",New consolidative opacity within the right upper lobe is concerning for pneumonia.,consolidative opacity,right upper lobe,New,"['files/p13/p13291370/s56991236/637914b1-994c0db2-29d6aba2-56b11076-9cfcc278.jpg', 'files/p13/p13291370/s56991236/84290c10-1ebc15a3-acdd91ef-f142672e-6ff4b671.jpg', 'files/p13/p13291370/s56991236/cf080221-83e85abe-e7849064-2dae1076-601c8319.jpg']","['files/p13/p13291370/s55368341/e5822893-231eaf6f-c8d964ad-3817fd52-61b5af42.jpg\n', 'files/p13/p13291370/s55368341/f1d7a33f-97b3e1ba-be1a44ac-71070a83-8b315e83.jpg\n']"
s56991236_5,p13291370,s56991236,5,Impression,New right upper lobe pneumonia. Mild pulmonary vascular congestion.,Mild pulmonary vascular congestion.,mild pulmonary vascular congestion,,New,"['files/p13/p13291370/s56991236/637914b1-994c0db2-29d6aba2-56b11076-9cfcc278.jpg', 'files/p13/p13291370/s56991236/84290c10-1ebc15a3-acdd91ef-f142672e-6ff4b671.jpg', 'files/p13/p13291370/s56991236/cf080221-83e85abe-e7849064-2dae1076-601c8319.jpg']","['files/p13/p13291370/s55368341/e5822893-231eaf6f-c8d964ad-3817fd52-61b5af42.jpg\n', 'files/p13/p13291370/s55368341/f1d7a33f-97b3e1ba-be1a44ac-71070a83-8b315e83.jpg\n']"
s56991236_5,p13291370,s56991236,5,Impression,New right upper lobe pneumonia. Mild pulmonary vascular congestion.,New right upper lobe pneumonia.,pneumonia,right upper lobe,New,"['files/p13/p13291370/s56991236/637914b1-994c0db2-29d6aba2-56b11076-9cfcc278.jpg', 'files/p13/p13291370/s56991236/84290c10-1ebc15a3-acdd91ef-f142672e-6ff4b671.jpg', 'files/p13/p13291370/s56991236/cf080221-83e85abe-e7849064-2dae1076-601c8319.jpg']","['files/p13/p13291370/s55368341/e5822893-231eaf6f-c8d964ad-3817fd52-61b5af42.jpg\n', 'files/p13/p13291370/s55368341/f1d7a33f-97b3e1ba-be1a44ac-71070a83-8b315e83.jpg\n']"
s56991236_5,p13291370,s56991236,5,Findings,"The patient is status post median sternotomy and CABG. Left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. The aortic knob is calcified and aorta remains mildly tortuous. There is new mild pulmonary vascular congestion. Hyperinflation of the lungs is re- demonstrated. New consolidative opacity within the right upper lobe is concerning for pneumonia. And ill-defined nodular opacity within the right upper lung field measuring up to 10 mm is also new, and likely infectious in etiology. No large pleural effusion or pneumothorax is present. No acute osseous abnormality is seen. There are multilevel degenerative changes in the thoracic spine.",Hyperinflation of the lungs is re-demonstrated.,Hyperinflation of the lungs,,Worse,"['files/p13/p13291370/s56991236/637914b1-994c0db2-29d6aba2-56b11076-9cfcc278.jpg', 'files/p13/p13291370/s56991236/84290c10-1ebc15a3-acdd91ef-f142672e-6ff4b671.jpg', 'files/p13/p13291370/s56991236/cf080221-83e85abe-e7849064-2dae1076-601c8319.jpg']","['files/p13/p13291370/s55368341/e5822893-231eaf6f-c8d964ad-3817fd52-61b5af42.jpg\n', 'files/p13/p13291370/s55368341/f1d7a33f-97b3e1ba-be1a44ac-71070a83-8b315e83.jpg\n']"
s56991236_5,p13291370,s56991236,5,Findings,"The patient is status post median sternotomy and CABG. Left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. The aortic knob is calcified and aorta remains mildly tortuous. There is new mild pulmonary vascular congestion. Hyperinflation of the lungs is re- demonstrated. New consolidative opacity within the right upper lobe is concerning for pneumonia. And ill-defined nodular opacity within the right upper lung field measuring up to 10 mm is also new, and likely infectious in etiology. No large pleural effusion or pneumothorax is present. No acute osseous abnormality is seen. There are multilevel degenerative changes in the thoracic spine.",There is new mild pulmonary vascular congestion.,mild pulmonary vascular congestion,,New,"['files/p13/p13291370/s56991236/637914b1-994c0db2-29d6aba2-56b11076-9cfcc278.jpg', 'files/p13/p13291370/s56991236/84290c10-1ebc15a3-acdd91ef-f142672e-6ff4b671.jpg', 'files/p13/p13291370/s56991236/cf080221-83e85abe-e7849064-2dae1076-601c8319.jpg']","['files/p13/p13291370/s55368341/e5822893-231eaf6f-c8d964ad-3817fd52-61b5af42.jpg\n', 'files/p13/p13291370/s55368341/f1d7a33f-97b3e1ba-be1a44ac-71070a83-8b315e83.jpg\n']"
s56991236_5,p13291370,s56991236,5,Findings,"The patient is status post median sternotomy and CABG. Left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. The aortic knob is calcified and aorta remains mildly tortuous. There is new mild pulmonary vascular congestion. Hyperinflation of the lungs is re- demonstrated. New consolidative opacity within the right upper lobe is concerning for pneumonia. And ill-defined nodular opacity within the right upper lung field measuring up to 10 mm is also new, and likely infectious in etiology. No large pleural effusion or pneumothorax is present. No acute osseous abnormality is seen. There are multilevel degenerative changes in the thoracic spine.","Left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged.",pacemaker device with single lead terminating in the right ventricle,Left-sided,Stable,"['files/p13/p13291370/s56991236/637914b1-994c0db2-29d6aba2-56b11076-9cfcc278.jpg', 'files/p13/p13291370/s56991236/84290c10-1ebc15a3-acdd91ef-f142672e-6ff4b671.jpg', 'files/p13/p13291370/s56991236/cf080221-83e85abe-e7849064-2dae1076-601c8319.jpg']","['files/p13/p13291370/s55368341/e5822893-231eaf6f-c8d964ad-3817fd52-61b5af42.jpg\n', 'files/p13/p13291370/s55368341/f1d7a33f-97b3e1ba-be1a44ac-71070a83-8b315e83.jpg\n']"
s56991236_5,p13291370,s56991236,5,Findings,"The patient is status post median sternotomy and CABG. Left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. The aortic knob is calcified and aorta remains mildly tortuous. There is new mild pulmonary vascular congestion. Hyperinflation of the lungs is re- demonstrated. New consolidative opacity within the right upper lobe is concerning for pneumonia. And ill-defined nodular opacity within the right upper lung field measuring up to 10 mm is also new, and likely infectious in etiology. No large pleural effusion or pneumothorax is present. No acute osseous abnormality is seen. There are multilevel degenerative changes in the thoracic spine.",The aortic knob is calcified and aorta remains mildly tortuous.,mildly tortuous,aorta,Stable,"['files/p13/p13291370/s56991236/637914b1-994c0db2-29d6aba2-56b11076-9cfcc278.jpg', 'files/p13/p13291370/s56991236/84290c10-1ebc15a3-acdd91ef-f142672e-6ff4b671.jpg', 'files/p13/p13291370/s56991236/cf080221-83e85abe-e7849064-2dae1076-601c8319.jpg']","['files/p13/p13291370/s55368341/e5822893-231eaf6f-c8d964ad-3817fd52-61b5af42.jpg\n', 'files/p13/p13291370/s55368341/f1d7a33f-97b3e1ba-be1a44ac-71070a83-8b315e83.jpg\n']"
s56993005_26,p15131736,s56993005,26,Impression,"As compared to the previous radiograph, the right PICC line is in unchanged position. Unchanged evidence of mild fluid overload and retrocardiac atelectasis. No overt pulmonary edema. No pneumonia. Moderate cardiomegaly.","As compared to the previous radiograph, the right PICC line is in unchanged position.",PICC line,right,Stable,['files/p15/p15131736/s56993005/32fc392a-9a450d85-3d0a2229-e89958e6-49584ed9.jpg'],['files/p15/p15131736/s56905708/c35cd6f5-6d2f944e-e7517ba8-3d33af2c-aeb61176.jpg\n']
s56993005_26,p15131736,s56993005,26,Impression,"As compared to the previous radiograph, the right PICC line is in unchanged position. Unchanged evidence of mild fluid overload and retrocardiac atelectasis. No overt pulmonary edema. No pneumonia. Moderate cardiomegaly.",Unchanged evidence of mild fluid overload and retrocardiac atelectasis.,mild fluid overload and retrocardiac atelectasis,,Stable,['files/p15/p15131736/s56993005/32fc392a-9a450d85-3d0a2229-e89958e6-49584ed9.jpg'],['files/p15/p15131736/s56905708/c35cd6f5-6d2f944e-e7517ba8-3d33af2c-aeb61176.jpg\n']
s56993533_0,p15182529,s56993533,0,Impression,"1. No evidence of acute disease. 2. Newly apparent nodular focus projecting along the right lower lung, probably a nipple shadow, although a pulmonary nodule should be considered. When clinically appropriate, repeat PA view with nipple markers is recommended.","Newly apparent nodular focus projecting along the right lower lung, probably a nipple shadow, although a pulmonary nodule should be considered.",nodular focus,right lower lung,New,['files/p15/p15182529/s56993533/c3827619-5b104baa-e1895045-007f9978-837ef55e.jpg'],"['files/p15/p15182529/s52917147/7095b09e-8fea76ab-f2c3c5aa-6c08e75a-0c451ac5.jpg\n', 'files/p15/p15182529/s52917147/af7cf015-dffc91c8-acbf1261-5199a5eb-a18d71cf.jpg\n', 'files/p15/p15182529/s52917147/c2402f4a-6c5552e7-e0b4749a-2b88ba69-f59a01a6.jpg\n']"
s56993533_0,p15182529,s56993533,0,Findings,"The heart is normal in size. The aortic arch is calcified. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. There is a nodular focus projecting over the right lower lung, probably a nipple shadow, although not visualized on prior radiographs. Otherwise the lung fields appear clear.",The mediastinal and hilar contours appear unchanged.,,mediastinal and hilar contours,Stable,['files/p15/p15182529/s56993533/c3827619-5b104baa-e1895045-007f9978-837ef55e.jpg'],"['files/p15/p15182529/s52917147/7095b09e-8fea76ab-f2c3c5aa-6c08e75a-0c451ac5.jpg\n', 'files/p15/p15182529/s52917147/af7cf015-dffc91c8-acbf1261-5199a5eb-a18d71cf.jpg\n', 'files/p15/p15182529/s52917147/c2402f4a-6c5552e7-e0b4749a-2b88ba69-f59a01a6.jpg\n']"
s56993533_0,p15182529,s56993533,0,Findings,"The heart is normal in size. The aortic arch is calcified. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. There is a nodular focus projecting over the right lower lung, probably a nipple shadow, although not visualized on prior radiographs. Otherwise the lung fields appear clear.","There is a nodular focus projecting over the right lower lung, probably a nipple shadow, although not visualized on prior radiographs.",nodular focus,right lower lung,New,['files/p15/p15182529/s56993533/c3827619-5b104baa-e1895045-007f9978-837ef55e.jpg'],"['files/p15/p15182529/s52917147/7095b09e-8fea76ab-f2c3c5aa-6c08e75a-0c451ac5.jpg\n', 'files/p15/p15182529/s52917147/af7cf015-dffc91c8-acbf1261-5199a5eb-a18d71cf.jpg\n', 'files/p15/p15182529/s52917147/c2402f4a-6c5552e7-e0b4749a-2b88ba69-f59a01a6.jpg\n']"
s56996131_5,p15131736,s56996131,5,Findings,"In comparison with the study of ___, the monitoring and support devices are unchanged. Substantial enlargement of the cardiac silhouette persists with extremely prominent pulmonary arteries consistent with pulmonary artery hypertension. Some retrocardiac opacification is consistent with atelectasis or supervening pneumonia. There are small bilateral effusions with some atelectatic change at the right base.",Substantial enlargement of the cardiac silhouette persists with extremely prominent pulmonary arteries consistent with pulmonary artery hypertension.,prominent pulmonary arteries,,Stable,['files/p15/p15131736/s56996131/47824497-77e713da-b1f179d8-ecf443d2-4fca0009.jpg'],['files/p15/p15131736/s56993005/32fc392a-9a450d85-3d0a2229-e89958e6-49584ed9.jpg\n']
s56996131_5,p15131736,s56996131,5,Findings,"In comparison with the study of ___, the monitoring and support devices are unchanged. Substantial enlargement of the cardiac silhouette persists with extremely prominent pulmonary arteries consistent with pulmonary artery hypertension. Some retrocardiac opacification is consistent with atelectasis or supervening pneumonia. There are small bilateral effusions with some atelectatic change at the right base.","In comparison with the study of ___, the monitoring and support devices are unchanged.",monitoring and support devices,,Stable,['files/p15/p15131736/s56996131/47824497-77e713da-b1f179d8-ecf443d2-4fca0009.jpg'],['files/p15/p15131736/s56993005/32fc392a-9a450d85-3d0a2229-e89958e6-49584ed9.jpg\n']
s56996131_5,p15131736,s56996131,5,Findings,"In comparison with the study of ___, the monitoring and support devices are unchanged. Substantial enlargement of the cardiac silhouette persists with extremely prominent pulmonary arteries consistent with pulmonary artery hypertension. Some retrocardiac opacification is consistent with atelectasis or supervening pneumonia. There are small bilateral effusions with some atelectatic change at the right base.",Substantial enlargement of the cardiac silhouette persists with extremely prominent pulmonary arteries consistent with pulmonary artery hypertension.,cardiac silhouette enlargement,,Stable,['files/p15/p15131736/s56996131/47824497-77e713da-b1f179d8-ecf443d2-4fca0009.jpg'],['files/p15/p15131736/s56993005/32fc392a-9a450d85-3d0a2229-e89958e6-49584ed9.jpg\n']
s56997833_42,p14851532,s56997833,42,Findings,"Cardiac silhouette size remains mildly enlarged and multiple mediastinal clips from prior CABG are again noted. The aorta remains tortuous and diffusely calcified. Pulmonary vasculature is not engorged. Hilar contours are similar. Ill-defined focal opacities are again noted within both upper lobes as well as within the left lower lobe, not substantially changed in the interval, and better assessed on the previous CT. No new focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities detected. Clips are noted within the midline upper abdomen.",Cardiac silhouette size remains mildly enlarged and multiple mediastinal clips from prior CABG are again noted.,Mildly enlarged,Cardiac silhouette,Stable,"['files/p14/p14851532/s56997833/c949251e-e8d45663-657d2f17-e9923379-934ec9dd.jpg', 'files/p14/p14851532/s56997833/ff9fed32-307dfd9e-3f70b114-c9234fbc-6a057052.jpg']",['files/p14/p14851532/s56617468/53013423-847183db-f162b5ca-9a000174-6427b00e.jpg\n']
s56997833_42,p14851532,s56997833,42,Findings,"Cardiac silhouette size remains mildly enlarged and multiple mediastinal clips from prior CABG are again noted. The aorta remains tortuous and diffusely calcified. Pulmonary vasculature is not engorged. Hilar contours are similar. Ill-defined focal opacities are again noted within both upper lobes as well as within the left lower lobe, not substantially changed in the interval, and better assessed on the previous CT. No new focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities detected. Clips are noted within the midline upper abdomen.",The aorta remains tortuous and diffusely calcified.,Tortuous and diffusely calcified,Aorta,Stable,"['files/p14/p14851532/s56997833/c949251e-e8d45663-657d2f17-e9923379-934ec9dd.jpg', 'files/p14/p14851532/s56997833/ff9fed32-307dfd9e-3f70b114-c9234fbc-6a057052.jpg']",['files/p14/p14851532/s56617468/53013423-847183db-f162b5ca-9a000174-6427b00e.jpg\n']
s56997833_42,p14851532,s56997833,42,Findings,"Cardiac silhouette size remains mildly enlarged and multiple mediastinal clips from prior CABG are again noted. The aorta remains tortuous and diffusely calcified. Pulmonary vasculature is not engorged. Hilar contours are similar. Ill-defined focal opacities are again noted within both upper lobes as well as within the left lower lobe, not substantially changed in the interval, and better assessed on the previous CT. No new focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities detected. Clips are noted within the midline upper abdomen.","Ill-defined focal opacities are again noted within both upper lobes as well as within the left lower lobe, not substantially changed in the interval, and better assessed on the previous CT.",Ill-defined focal opacities,Both upper lobes and left lower lobe,Stable,"['files/p14/p14851532/s56997833/c949251e-e8d45663-657d2f17-e9923379-934ec9dd.jpg', 'files/p14/p14851532/s56997833/ff9fed32-307dfd9e-3f70b114-c9234fbc-6a057052.jpg']",['files/p14/p14851532/s56617468/53013423-847183db-f162b5ca-9a000174-6427b00e.jpg\n']
s56997833_42,p14851532,s56997833,42,Findings,"Cardiac silhouette size remains mildly enlarged and multiple mediastinal clips from prior CABG are again noted. The aorta remains tortuous and diffusely calcified. Pulmonary vasculature is not engorged. Hilar contours are similar. Ill-defined focal opacities are again noted within both upper lobes as well as within the left lower lobe, not substantially changed in the interval, and better assessed on the previous CT. No new focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities detected. Clips are noted within the midline upper abdomen.",Hilar contours are similar.,Contours,Hilar,Stable,"['files/p14/p14851532/s56997833/c949251e-e8d45663-657d2f17-e9923379-934ec9dd.jpg', 'files/p14/p14851532/s56997833/ff9fed32-307dfd9e-3f70b114-c9234fbc-6a057052.jpg']",['files/p14/p14851532/s56617468/53013423-847183db-f162b5ca-9a000174-6427b00e.jpg\n']
s56998267_4,p17112432,s56998267,4,Impression,"1. Nerve stimulating device is seen overlying the lateral left upper lung. Right apical pneumothorax appears stable. Patchy opacities in the right upper lobe in the right mid and lower lung are unchanged, which could reflect resolving contusions, although pneumonia cannot be entirely excluded. The left lung is essentially clear with the exception of a linear opacity in the retrocardiac region which may represent an area of subsegmental atelectasis or scarring. No evidence of pulmonary edema. No pleural effusions. Multiple right-sided rib fractures with associated pleural thickening are again noted.",Multiple right-sided rib fractures with associated pleural thickening are again noted.,rib fractures with pleural thickening,right-sided,Stable,"['files/p17/p17112432/s56998267/be319f71-2b1ab302-55580f5d-ffc6e9e0-9e90689a.jpg', 'files/p17/p17112432/s56998267/e00dbd13-be46d17d-a9d11aa6-fe69dec2-7ccc308a.jpg']",['files/p17/p17112432/s56192054/d9a018f0-efb2820b-ed7a64b7-c05b8be3-12124812.jpg\n']
s56998267_4,p17112432,s56998267,4,Impression,"1. Nerve stimulating device is seen overlying the lateral left upper lung. Right apical pneumothorax appears stable. Patchy opacities in the right upper lobe in the right mid and lower lung are unchanged, which could reflect resolving contusions, although pneumonia cannot be entirely excluded. The left lung is essentially clear with the exception of a linear opacity in the retrocardiac region which may represent an area of subsegmental atelectasis or scarring. No evidence of pulmonary edema. No pleural effusions. Multiple right-sided rib fractures with associated pleural thickening are again noted.","Patchy opacities in the right upper lobe in the right mid and lower lung are unchanged, which could reflect resolving contusions, although pneumonia cannot be entirely excluded.",Patchy opacities,"right upper lobe, right mid and lower lung",Stable,"['files/p17/p17112432/s56998267/be319f71-2b1ab302-55580f5d-ffc6e9e0-9e90689a.jpg', 'files/p17/p17112432/s56998267/e00dbd13-be46d17d-a9d11aa6-fe69dec2-7ccc308a.jpg']",['files/p17/p17112432/s56192054/d9a018f0-efb2820b-ed7a64b7-c05b8be3-12124812.jpg\n']
s56998267_4,p17112432,s56998267,4,Impression,"1. Nerve stimulating device is seen overlying the lateral left upper lung. Right apical pneumothorax appears stable. Patchy opacities in the right upper lobe in the right mid and lower lung are unchanged, which could reflect resolving contusions, although pneumonia cannot be entirely excluded. The left lung is essentially clear with the exception of a linear opacity in the retrocardiac region which may represent an area of subsegmental atelectasis or scarring. No evidence of pulmonary edema. No pleural effusions. Multiple right-sided rib fractures with associated pleural thickening are again noted.",Right apical pneumothorax appears stable.,pneumothorax,right apical,Stable,"['files/p17/p17112432/s56998267/be319f71-2b1ab302-55580f5d-ffc6e9e0-9e90689a.jpg', 'files/p17/p17112432/s56998267/e00dbd13-be46d17d-a9d11aa6-fe69dec2-7ccc308a.jpg']",['files/p17/p17112432/s56192054/d9a018f0-efb2820b-ed7a64b7-c05b8be3-12124812.jpg\n']
s56998787_49,p13475033,s56998787,49,Findings,"Prominent interstitial markings are again seen, not significantly changed. There is no overt pulmonary edema. There is no pleural effusion. Cardiomediastinal silhouette is stable. Coronary artery calcifications and/or stents are noted. Chronic compression deformity in the lower thoracic spine.","Prominent interstitial markings are again seen, not significantly changed",Prominent interstitial markings,,Stable,"['files/p13/p13475033/s56998787/3993a913-7742b74e-833c9faf-a91d9d51-ca3c87a7.jpg', 'files/p13/p13475033/s56998787/ca74e920-4ca91dba-8ccc5185-617107a8-82e5a48a.jpg', 'files/p13/p13475033/s56998787/fe723c75-a487635d-c093b97d-f9253d3c-6bf1894c.jpg']","['files/p13/p13475033/s56836177/686a2b90-af0e2b68-75f6acc2-ea6fecdc-a69f5c88.jpg\n', 'files/p13/p13475033/s56836177/ae53df1d-e41d406d-6fb75906-f8944e28-12d90910.jpg\n']"
s56998787_49,p13475033,s56998787,49,Findings,"Prominent interstitial markings are again seen, not significantly changed. There is no overt pulmonary edema. There is no pleural effusion. Cardiomediastinal silhouette is stable. Coronary artery calcifications and/or stents are noted. Chronic compression deformity in the lower thoracic spine.",Cardiomediastinal silhouette is stable,Cardiomediastinal silhouette,,Stable,"['files/p13/p13475033/s56998787/3993a913-7742b74e-833c9faf-a91d9d51-ca3c87a7.jpg', 'files/p13/p13475033/s56998787/ca74e920-4ca91dba-8ccc5185-617107a8-82e5a48a.jpg', 'files/p13/p13475033/s56998787/fe723c75-a487635d-c093b97d-f9253d3c-6bf1894c.jpg']","['files/p13/p13475033/s56836177/686a2b90-af0e2b68-75f6acc2-ea6fecdc-a69f5c88.jpg\n', 'files/p13/p13475033/s56836177/ae53df1d-e41d406d-6fb75906-f8944e28-12d90910.jpg\n']"
s56998787_49,p13475033,s56998787,49,Impression,Unchanged increased interstitial markings most likely due to chronic interstitial process although component of interstitial edema is possible.,Unchanged increased interstitial markings most likely due to chronic interstitial process although component of interstitial edema is possible,Increased interstitial markings,,Stable,"['files/p13/p13475033/s56998787/3993a913-7742b74e-833c9faf-a91d9d51-ca3c87a7.jpg', 'files/p13/p13475033/s56998787/ca74e920-4ca91dba-8ccc5185-617107a8-82e5a48a.jpg', 'files/p13/p13475033/s56998787/fe723c75-a487635d-c093b97d-f9253d3c-6bf1894c.jpg']","['files/p13/p13475033/s56836177/686a2b90-af0e2b68-75f6acc2-ea6fecdc-a69f5c88.jpg\n', 'files/p13/p13475033/s56836177/ae53df1d-e41d406d-6fb75906-f8944e28-12d90910.jpg\n']"
s56999137_12,p13964474,s56999137,12,Findings,"In comparison with the earlier study of this date, there is little change in the diffuse bilateral pulmonary opacifications, more prominent on the right. Endotracheal tube remains in place.","In comparison with the earlier study of this date, there is little change in the diffuse bilateral pulmonary opacifications, more prominent on the right. Endotracheal tube remains in place.",pulmonary opacifications,bilateral,Stable,['files/p13/p13964474/s56999137/171e85cb-282b0f3f-e2cb30e8-b7aaa1ca-3e4422d5.jpg'],['files/p13/p13964474/s56134201/57a0381a-0454897e-b498f4de-dc3d8b24-a305b687.jpg\n']
s56999137_12,p13964474,s56999137,12,Findings,"In comparison with the earlier study of this date, there is little change in the diffuse bilateral pulmonary opacifications, more prominent on the right. Endotracheal tube remains in place.","In comparison with the earlier study of this date, there is little change in the diffuse bilateral pulmonary opacifications, more prominent on the right. Endotracheal tube remains in place.",more prominent opacifications,right,Stable,['files/p13/p13964474/s56999137/171e85cb-282b0f3f-e2cb30e8-b7aaa1ca-3e4422d5.jpg'],['files/p13/p13964474/s56134201/57a0381a-0454897e-b498f4de-dc3d8b24-a305b687.jpg\n']
s56999137_12,p13964474,s56999137,12,Findings,"In comparison with the earlier study of this date, there is little change in the diffuse bilateral pulmonary opacifications, more prominent on the right. Endotracheal tube remains in place.","In comparison with the earlier study of this date, there is little change in the diffuse bilateral pulmonary opacifications, more prominent on the right. Endotracheal tube remains in place.",endotracheal tube,,Stable,['files/p13/p13964474/s56999137/171e85cb-282b0f3f-e2cb30e8-b7aaa1ca-3e4422d5.jpg'],['files/p13/p13964474/s56134201/57a0381a-0454897e-b498f4de-dc3d8b24-a305b687.jpg\n']
s57001251_0,p11293517,s57001251,0,Findings,"The lungs are well expanded and show a new right and left lower lobe opacity. The cardiac silhouette is enlarged, unchanged. The mediastinal silhouette and hilar contours are unremarkable. No pleural effusion or pneumothorax is present. Multiple right ventricular and right atrium leads are noted, unchanged. A left-sided pacer is also unchanged in position.",A left-sided pacer is also unchanged in position.,pacer,left-sided,Stable,"['files/p11/p11293517/s57001251/3120d4cb-7c176726-716f3cd1-a656c370-8c4e0595.jpg', 'files/p11/p11293517/s57001251/9dbf45cb-e6b01b87-76e4d3db-7a480daf-192bce3b.jpg', 'files/p11/p11293517/s57001251/bba7f682-33b9288a-712a4870-190d5eb1-2045568c.jpg']","['files/p11/p11293517/s56805129/8b21e141-af653815-b3918024-c96d4b9e-6805e677.jpg\n', 'files/p11/p11293517/s56805129/908720ef-acf4956f-fe8d7aea-cacaf681-fe871544.jpg\n', 'files/p11/p11293517/s56805129/d8e53bde-7150419c-176ca653-637955cb-4fed0efd.jpg\n']"
s57001251_0,p11293517,s57001251,0,Findings,"The lungs are well expanded and show a new right and left lower lobe opacity. The cardiac silhouette is enlarged, unchanged. The mediastinal silhouette and hilar contours are unremarkable. No pleural effusion or pneumothorax is present. Multiple right ventricular and right atrium leads are noted, unchanged. A left-sided pacer is also unchanged in position.","Multiple right ventricular and right atrium leads are noted, unchanged.",leads,right ventricular and right atrium,Stable,"['files/p11/p11293517/s57001251/3120d4cb-7c176726-716f3cd1-a656c370-8c4e0595.jpg', 'files/p11/p11293517/s57001251/9dbf45cb-e6b01b87-76e4d3db-7a480daf-192bce3b.jpg', 'files/p11/p11293517/s57001251/bba7f682-33b9288a-712a4870-190d5eb1-2045568c.jpg']","['files/p11/p11293517/s56805129/8b21e141-af653815-b3918024-c96d4b9e-6805e677.jpg\n', 'files/p11/p11293517/s56805129/908720ef-acf4956f-fe8d7aea-cacaf681-fe871544.jpg\n', 'files/p11/p11293517/s56805129/d8e53bde-7150419c-176ca653-637955cb-4fed0efd.jpg\n']"
s57001251_0,p11293517,s57001251,0,Findings,"The lungs are well expanded and show a new right and left lower lobe opacity. The cardiac silhouette is enlarged, unchanged. The mediastinal silhouette and hilar contours are unremarkable. No pleural effusion or pneumothorax is present. Multiple right ventricular and right atrium leads are noted, unchanged. A left-sided pacer is also unchanged in position.",The lungs are well expanded and show a new right and left lower lobe opacity.,opacity,left lower lobe,New,"['files/p11/p11293517/s57001251/3120d4cb-7c176726-716f3cd1-a656c370-8c4e0595.jpg', 'files/p11/p11293517/s57001251/9dbf45cb-e6b01b87-76e4d3db-7a480daf-192bce3b.jpg', 'files/p11/p11293517/s57001251/bba7f682-33b9288a-712a4870-190d5eb1-2045568c.jpg']","['files/p11/p11293517/s56805129/8b21e141-af653815-b3918024-c96d4b9e-6805e677.jpg\n', 'files/p11/p11293517/s56805129/908720ef-acf4956f-fe8d7aea-cacaf681-fe871544.jpg\n', 'files/p11/p11293517/s56805129/d8e53bde-7150419c-176ca653-637955cb-4fed0efd.jpg\n']"
s57001251_0,p11293517,s57001251,0,Findings,"The lungs are well expanded and show a new right and left lower lobe opacity. The cardiac silhouette is enlarged, unchanged. The mediastinal silhouette and hilar contours are unremarkable. No pleural effusion or pneumothorax is present. Multiple right ventricular and right atrium leads are noted, unchanged. A left-sided pacer is also unchanged in position.","The cardiac silhouette is enlarged, unchanged.",cardiac silhouette enlargement,,Stable,"['files/p11/p11293517/s57001251/3120d4cb-7c176726-716f3cd1-a656c370-8c4e0595.jpg', 'files/p11/p11293517/s57001251/9dbf45cb-e6b01b87-76e4d3db-7a480daf-192bce3b.jpg', 'files/p11/p11293517/s57001251/bba7f682-33b9288a-712a4870-190d5eb1-2045568c.jpg']","['files/p11/p11293517/s56805129/8b21e141-af653815-b3918024-c96d4b9e-6805e677.jpg\n', 'files/p11/p11293517/s56805129/908720ef-acf4956f-fe8d7aea-cacaf681-fe871544.jpg\n', 'files/p11/p11293517/s56805129/d8e53bde-7150419c-176ca653-637955cb-4fed0efd.jpg\n']"
s57001251_0,p11293517,s57001251,0,Impression,"New bibasilar opacities could represent atelectasis, sequelae of aspiration or pneumonia.","New bibasilar opacities could represent atelectasis, sequelae of aspiration or pneumonia.",opacities,bibasilar,New,"['files/p11/p11293517/s57001251/3120d4cb-7c176726-716f3cd1-a656c370-8c4e0595.jpg', 'files/p11/p11293517/s57001251/9dbf45cb-e6b01b87-76e4d3db-7a480daf-192bce3b.jpg', 'files/p11/p11293517/s57001251/bba7f682-33b9288a-712a4870-190d5eb1-2045568c.jpg']","['files/p11/p11293517/s56805129/8b21e141-af653815-b3918024-c96d4b9e-6805e677.jpg\n', 'files/p11/p11293517/s56805129/908720ef-acf4956f-fe8d7aea-cacaf681-fe871544.jpg\n', 'files/p11/p11293517/s56805129/d8e53bde-7150419c-176ca653-637955cb-4fed0efd.jpg\n']"
s57001251_0,p11293517,s57001251,0,Findings,"The lungs are well expanded and show a new right and left lower lobe opacity. The cardiac silhouette is enlarged, unchanged. The mediastinal silhouette and hilar contours are unremarkable. No pleural effusion or pneumothorax is present. Multiple right ventricular and right atrium leads are noted, unchanged. A left-sided pacer is also unchanged in position.",The lungs are well expanded and show a new right and left lower lobe opacity.,opacity,right lower lobe,New,"['files/p11/p11293517/s57001251/3120d4cb-7c176726-716f3cd1-a656c370-8c4e0595.jpg', 'files/p11/p11293517/s57001251/9dbf45cb-e6b01b87-76e4d3db-7a480daf-192bce3b.jpg', 'files/p11/p11293517/s57001251/bba7f682-33b9288a-712a4870-190d5eb1-2045568c.jpg']","['files/p11/p11293517/s56805129/8b21e141-af653815-b3918024-c96d4b9e-6805e677.jpg\n', 'files/p11/p11293517/s56805129/908720ef-acf4956f-fe8d7aea-cacaf681-fe871544.jpg\n', 'files/p11/p11293517/s56805129/d8e53bde-7150419c-176ca653-637955cb-4fed0efd.jpg\n']"
s57001723_0,p14851532,s57001723,0,Findings,"Heterogeneous consolidation within the mid-to-upper left lung corresponds with opacity of concern on prior chest CT, suspicious for reccurrence of malignancy. Additional concerning nodules seen on prior CT are not well characterized on this radiographic examination. Linear opacities in the lung bases and right mid lung likely reflect areas of subsegmental atelectasis. Prominence of the interstitium is likely related to technique. No overt pulmonary edema is evident Blunting of the bilateral costophrenic angles may be due to small bilateral pleural effusions. Cardiomediastinal and hilar contours are within normal limits.","Heterogeneous consolidation within the mid-to-upper left lung corresponds with opacity of concern on prior chest CT, suspicious for reccurrence of malignancy.",consolidation,mid-to-upper left lung,Worse,"['files/p14/p14851532/s57001723/091d7e7b-911382e5-4350f5a9-e20145c0-1c75286f.jpg', 'files/p14/p14851532/s57001723/5828d9a8-9cf90a1a-c0941ded-b106d21c-4625544a.jpg', 'files/p14/p14851532/s57001723/c998a605-df576475-7a0c7a3f-4e3b3410-0d78cdd2.jpg']","['files/p14/p14851532/s56997833/c949251e-e8d45663-657d2f17-e9923379-934ec9dd.jpg\n', 'files/p14/p14851532/s56997833/ff9fed32-307dfd9e-3f70b114-c9234fbc-6a057052.jpg\n']"
s57001723_0,p14851532,s57001723,0,Impression,"1. Heterogeneous opacity in the left mid lung, concerning for primary lung malignancy, better characterized on recent prior CT. 2. Possible small bilateral pleural effusions. No overt pulmonary edema.","Heterogeneous opacity in the left mid lung, concerning for primary lung malignancy, better characterized on recent prior CT.",opacity,left mid lung,Worse,"['files/p14/p14851532/s57001723/091d7e7b-911382e5-4350f5a9-e20145c0-1c75286f.jpg', 'files/p14/p14851532/s57001723/5828d9a8-9cf90a1a-c0941ded-b106d21c-4625544a.jpg', 'files/p14/p14851532/s57001723/c998a605-df576475-7a0c7a3f-4e3b3410-0d78cdd2.jpg']","['files/p14/p14851532/s56997833/c949251e-e8d45663-657d2f17-e9923379-934ec9dd.jpg\n', 'files/p14/p14851532/s56997833/ff9fed32-307dfd9e-3f70b114-c9234fbc-6a057052.jpg\n']"
s57001920_1,p14177219,s57001920,1,Impression,1. Stable mild cardiomegaly and stable pulmonary vascular engorgement. 2. No pneumonia or pulmonary edema.,1. Stable mild cardiomegaly and stable pulmonary vascular engorgement.,cardiomegaly,,Stable,"['files/p14/p14177219/s57001920/0e7807f6-04937b8e-ac237c79-1200da23-76b0b8e3.jpg', 'files/p14/p14177219/s57001920/a11f2215-35bfbcfd-ab112ef2-f4a24f09-a770ee61.jpg']","['files/p14/p14177219/s55111273/0e44e612-dc278112-36de945c-ddc24b3d-392ee655.jpg\n', 'files/p14/p14177219/s55111273/a8175445-d55b2d93-a5a3a22c-7662cb0a-6519b608.jpg\n']"
s57001920_1,p14177219,s57001920,1,Findings,"The lungs are clear. There is mild, stable cardiomegaly. There is no pneumothorax or pleural effusion. Mild pulmonary vascular engorgement is stable.","There is mild, stable cardiomegaly.",cardiomegaly,,Stable,"['files/p14/p14177219/s57001920/0e7807f6-04937b8e-ac237c79-1200da23-76b0b8e3.jpg', 'files/p14/p14177219/s57001920/a11f2215-35bfbcfd-ab112ef2-f4a24f09-a770ee61.jpg']","['files/p14/p14177219/s55111273/0e44e612-dc278112-36de945c-ddc24b3d-392ee655.jpg\n', 'files/p14/p14177219/s55111273/a8175445-d55b2d93-a5a3a22c-7662cb0a-6519b608.jpg\n']"
s57001920_1,p14177219,s57001920,1,Impression,1. Stable mild cardiomegaly and stable pulmonary vascular engorgement. 2. No pneumonia or pulmonary edema.,1. Stable mild cardiomegaly and stable pulmonary vascular engorgement.,pulmonary vascular engorgement,,Stable,"['files/p14/p14177219/s57001920/0e7807f6-04937b8e-ac237c79-1200da23-76b0b8e3.jpg', 'files/p14/p14177219/s57001920/a11f2215-35bfbcfd-ab112ef2-f4a24f09-a770ee61.jpg']","['files/p14/p14177219/s55111273/0e44e612-dc278112-36de945c-ddc24b3d-392ee655.jpg\n', 'files/p14/p14177219/s55111273/a8175445-d55b2d93-a5a3a22c-7662cb0a-6519b608.jpg\n']"
s57001920_1,p14177219,s57001920,1,Findings,"The lungs are clear. There is mild, stable cardiomegaly. There is no pneumothorax or pleural effusion. Mild pulmonary vascular engorgement is stable.",Mild pulmonary vascular engorgement is stable.,pulmonary vascular engorgement,,Stable,"['files/p14/p14177219/s57001920/0e7807f6-04937b8e-ac237c79-1200da23-76b0b8e3.jpg', 'files/p14/p14177219/s57001920/a11f2215-35bfbcfd-ab112ef2-f4a24f09-a770ee61.jpg']","['files/p14/p14177219/s55111273/0e44e612-dc278112-36de945c-ddc24b3d-392ee655.jpg\n', 'files/p14/p14177219/s55111273/a8175445-d55b2d93-a5a3a22c-7662cb0a-6519b608.jpg\n']"
s57005451_0,p13979643,s57005451,0,Findings,PA and lateral views of the chest were obtained. Lung volumes are low which somewhat limits evaluation. Fluid is noted tracking along the fissural surfaces. Mild interstitial pulmonary edema is noted. There is no focal consolidation to suggest pneumonia. No pneumothorax. Cardiomediastinal silhouette is stable with an unfolded thoracic aorta. Bony structures are stable with multiple lower thoracic and upper lumbar compression fractures better assessed on a prior CT torso from ___. IVC filter is partially visualized in the upper abdomen on the lateral view as well as surgical clips in the upper quadrant.,Cardiomediastinal silhouette is stable with an unfolded thoracic aorta.,silhouette,Cardiomediastinal,Stable,"['files/p13/p13979643/s57005451/1e4cee5d-c0919d09-1d1bf686-1ad1d295-9efbac76.jpg', 'files/p13/p13979643/s57005451/a3ebe8b0-1678004d-48fa1d7d-c4d3b940-5f7a57d2.jpg']",['files/p13/p13979643/s56291217/384cf52b-9692fbc2-b3a9f35b-7afe21a3-e935fdb1.jpg\n']
s57005451_0,p13979643,s57005451,0,Findings,PA and lateral views of the chest were obtained. Lung volumes are low which somewhat limits evaluation. Fluid is noted tracking along the fissural surfaces. Mild interstitial pulmonary edema is noted. There is no focal consolidation to suggest pneumonia. No pneumothorax. Cardiomediastinal silhouette is stable with an unfolded thoracic aorta. Bony structures are stable with multiple lower thoracic and upper lumbar compression fractures better assessed on a prior CT torso from ___. IVC filter is partially visualized in the upper abdomen on the lateral view as well as surgical clips in the upper quadrant.,Bony structures are stable with multiple lower thoracic and upper lumbar compression fractures better assessed on a prior CT torso from ___.,compression fractures,Multiple lower thoracic and upper lumbar,Stable,"['files/p13/p13979643/s57005451/1e4cee5d-c0919d09-1d1bf686-1ad1d295-9efbac76.jpg', 'files/p13/p13979643/s57005451/a3ebe8b0-1678004d-48fa1d7d-c4d3b940-5f7a57d2.jpg']",['files/p13/p13979643/s56291217/384cf52b-9692fbc2-b3a9f35b-7afe21a3-e935fdb1.jpg\n']
s57012563_20,p19623993,s57012563,20,Findings,The inspiratory lung volumes are slightly decreased from the most recent prior study. The lungs are otherwise symmetrically expanded and clear without focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax is detected. Mild biapical pleural thickening is noted. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette is normal in size allowing for slightly decreased lung volumes. The mediastinal and hilar contours are stable. The trachea is midline. There is no evidence of free air beneath the right hemidiaphragm.,The mediastinal and hilar contours are stable.,Mediastinal and hilar contours,,Stable,"['files/p19/p19623993/s57012563/839682a6-30ec6c4c-12520bec-1825e8a9-d6a263d4.jpg', 'files/p19/p19623993/s57012563/d8c7752e-39ef154a-d2bf3a3e-821562ea-b71fc606.jpg', 'files/p19/p19623993/s57012563/f7c990eb-833446da-f709f75c-94e17a51-a2479b54.jpg']",['files/p19/p19623993/s56908039/85023ebc-975e666f-4be00ab3-0de8159d-71962698.jpg\n']
s57012563_20,p19623993,s57012563,20,Findings,The inspiratory lung volumes are slightly decreased from the most recent prior study. The lungs are otherwise symmetrically expanded and clear without focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax is detected. Mild biapical pleural thickening is noted. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiac silhouette is normal in size allowing for slightly decreased lung volumes. The mediastinal and hilar contours are stable. The trachea is midline. There is no evidence of free air beneath the right hemidiaphragm.,The inspiratory lung volumes are slightly decreased from the most recent prior study.,Inspiratory lung volumes,,Worse,"['files/p19/p19623993/s57012563/839682a6-30ec6c4c-12520bec-1825e8a9-d6a263d4.jpg', 'files/p19/p19623993/s57012563/d8c7752e-39ef154a-d2bf3a3e-821562ea-b71fc606.jpg', 'files/p19/p19623993/s57012563/f7c990eb-833446da-f709f75c-94e17a51-a2479b54.jpg']",['files/p19/p19623993/s56908039/85023ebc-975e666f-4be00ab3-0de8159d-71962698.jpg\n']
s57013017_17,p11204646,s57013017,17,Findings,Comparison is made to previous study from ___. The endotracheal tube and right-sided IJ central venous line are unchanged in position and appropriately sited. There is also a left-sided subclavian catheter with distal lead tip in the proximal SVC. There is stable cardiomegaly. There are again seen bilateral pleural effusions and a left retrocardiac opacity. There are no signs for overt pulmonary edema. There are no pneumothoraces.,There are again seen bilateral pleural effusions and a left retrocardiac opacity.,opacity,left retrocardiac,Stable,['files/p11/p11204646/s57013017/70c5d38c-8e98476f-411c89a0-7a50a63c-df1c40fb.jpg'],['files/p11/p11204646/s55868782/2e1fb168-5279d839-de9821a0-45e5c887-44bbf786.jpg\n']
s57013017_17,p11204646,s57013017,17,Findings,Comparison is made to previous study from ___. The endotracheal tube and right-sided IJ central venous line are unchanged in position and appropriately sited. There is also a left-sided subclavian catheter with distal lead tip in the proximal SVC. There is stable cardiomegaly. There are again seen bilateral pleural effusions and a left retrocardiac opacity. There are no signs for overt pulmonary edema. There are no pneumothoraces.,There are again seen bilateral pleural effusions and a left retrocardiac opacity.,pleural effusions,bilateral,Stable,['files/p11/p11204646/s57013017/70c5d38c-8e98476f-411c89a0-7a50a63c-df1c40fb.jpg'],['files/p11/p11204646/s55868782/2e1fb168-5279d839-de9821a0-45e5c887-44bbf786.jpg\n']
s57013017_17,p11204646,s57013017,17,Findings,Comparison is made to previous study from ___. The endotracheal tube and right-sided IJ central venous line are unchanged in position and appropriately sited. There is also a left-sided subclavian catheter with distal lead tip in the proximal SVC. There is stable cardiomegaly. There are again seen bilateral pleural effusions and a left retrocardiac opacity. There are no signs for overt pulmonary edema. There are no pneumothoraces.,There is stable cardiomegaly.,cardiomegaly,,Stable,['files/p11/p11204646/s57013017/70c5d38c-8e98476f-411c89a0-7a50a63c-df1c40fb.jpg'],['files/p11/p11204646/s55868782/2e1fb168-5279d839-de9821a0-45e5c887-44bbf786.jpg\n']
s57013017_17,p11204646,s57013017,17,Findings,Comparison is made to previous study from ___. The endotracheal tube and right-sided IJ central venous line are unchanged in position and appropriately sited. There is also a left-sided subclavian catheter with distal lead tip in the proximal SVC. There is stable cardiomegaly. There are again seen bilateral pleural effusions and a left retrocardiac opacity. There are no signs for overt pulmonary edema. There are no pneumothoraces.,Comparison is made to previous study from ___. The endotracheal tube and right-sided IJ central venous line are unchanged in position and appropriately sited.,position of the endotracheal tube and right-sided IJ central venous line,,Stable,['files/p11/p11204646/s57013017/70c5d38c-8e98476f-411c89a0-7a50a63c-df1c40fb.jpg'],['files/p11/p11204646/s55868782/2e1fb168-5279d839-de9821a0-45e5c887-44bbf786.jpg\n']
s57018476_3,p11673948,s57018476,3,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/p11673948/s57018476/219d35dc-47d442ce-54f9249d-d852136c-093bcbac.jpg', 'files/p11/p11673948/s57018476/9fbe751e-040f98f7-66f9047b-8c7b8554-28250c9c.jpg']","['files/p11/p11673948/s56521187/7a216775-e98f5afc-c42f634c-2a4eb3e2-58227ec8.jpg\n', 'files/p11/p11673948/s56521187/9eb0c9bd-aeebbaee-0f2eac69-fbd0cc50-6e4ac603.jpg\n']"
s57019853_13,p13031876,s57019853,13,Impression,"AP chest compared to 5:52 p.m.: Mild interstitial edema has recurred. Moderate left lower lobe atelectasis is improved with mediastinum returning to the midline, but there is still a small to moderate left pleural effusion. The heart is not enlarged and the mediastinal vasculature is not engorged. ET tube, right PIC line are in standard placements and a feeding tube passes below the diaphragm and out of view. No pneumothorax.",AP chest compared to 5:52 p.m.: Mild interstitial edema has recurred.,Mild interstitial edema,,Worse,['files/p13/p13031876/s57019853/cc421e05-ba52c579-96137ca0-fa81a980-c78a2d2f.jpg'],['files/p13/p13031876/s54922650/17c72825-5e526be7-2960df0b-bf160fda-b97951bf.jpg\n']
s57019853_13,p13031876,s57019853,13,Impression,"AP chest compared to 5:52 p.m.: Mild interstitial edema has recurred. Moderate left lower lobe atelectasis is improved with mediastinum returning to the midline, but there is still a small to moderate left pleural effusion. The heart is not enlarged and the mediastinal vasculature is not engorged. ET tube, right PIC line are in standard placements and a feeding tube passes below the diaphragm and out of view. No pneumothorax.","Moderate left lower lobe atelectasis is improved with mediastinum returning to the midline, but there is still a small to moderate left pleural effusion.",atelectasis,left lower lobe,Better,['files/p13/p13031876/s57019853/cc421e05-ba52c579-96137ca0-fa81a980-c78a2d2f.jpg'],['files/p13/p13031876/s54922650/17c72825-5e526be7-2960df0b-bf160fda-b97951bf.jpg\n']
s57024984_33,p12185775,s57024984,33,Findings,"Right upper and lower lobe opacities are new since the prior day, with indistinctness of the pulmonary vessels, suggesting pulmonary edema. However, concurrent pneumonia cannot be excluded, in the correct clinical setting. The right PICC line terminates in the lower SVC, and the ET tube terminates 4.5 cm above the carina. Unchanged calcified pulmonary granulomas in the left lung. No pneumothorax. Stable cardiomediastinal borders.",Stable cardiomediastinal borders.,cardiomediastinal borders,,Stable,['files/p12/p12185775/s57024984/98bf2cef-0c6a64e5-89934255-e10b6ef7-c38474b7.jpg'],['files/p12/p12185775/s56614076/45e31ec5-029d54e9-1acec167-663a1397-bccb2493.jpg\n']
s57024984_33,p12185775,s57024984,33,Findings,"Right upper and lower lobe opacities are new since the prior day, with indistinctness of the pulmonary vessels, suggesting pulmonary edema. However, concurrent pneumonia cannot be excluded, in the correct clinical setting. The right PICC line terminates in the lower SVC, and the ET tube terminates 4.5 cm above the carina. Unchanged calcified pulmonary granulomas in the left lung. No pneumothorax. Stable cardiomediastinal borders.",Unchanged calcified pulmonary granulomas in the left lung.,calcified pulmonary granulomas,left lung,Stable,['files/p12/p12185775/s57024984/98bf2cef-0c6a64e5-89934255-e10b6ef7-c38474b7.jpg'],['files/p12/p12185775/s56614076/45e31ec5-029d54e9-1acec167-663a1397-bccb2493.jpg\n']
s57024984_33,p12185775,s57024984,33,Findings,"Right upper and lower lobe opacities are new since the prior day, with indistinctness of the pulmonary vessels, suggesting pulmonary edema. However, concurrent pneumonia cannot be excluded, in the correct clinical setting. The right PICC line terminates in the lower SVC, and the ET tube terminates 4.5 cm above the carina. Unchanged calcified pulmonary granulomas in the left lung. No pneumothorax. Stable cardiomediastinal borders.","Right upper and lower lobe opacities are new since the prior day, with indistinctness of the pulmonary vessels, suggesting pulmonary edema. However, concurrent pneumonia cannot be excluded, in the correct clinical setting.",opacities,right upper and lower lobes,New,['files/p12/p12185775/s57024984/98bf2cef-0c6a64e5-89934255-e10b6ef7-c38474b7.jpg'],['files/p12/p12185775/s56614076/45e31ec5-029d54e9-1acec167-663a1397-bccb2493.jpg\n']
s57024984_33,p12185775,s57024984,33,Impression,"New right upper and lower lobe opacities with indistinctness of the pulmonary vessels suggests pulmonary edema. However, in the correct clinical setting, concurrent pneumonia cannot be excluded.","New right upper and lower lobe opacities with indistinctness of the pulmonary vessels suggests pulmonary edema. However, in the correct clinical setting, concurrent pneumonia cannot be excluded.",opacities,right upper and lower lobes,New,['files/p12/p12185775/s57024984/98bf2cef-0c6a64e5-89934255-e10b6ef7-c38474b7.jpg'],['files/p12/p12185775/s56614076/45e31ec5-029d54e9-1acec167-663a1397-bccb2493.jpg\n']
s57032173_5,p19623993,s57032173,5,Impression,"Right internal jugular central line has its tip in the proximal superior vena cava. There is a feeding tube coursing below the stomach with the tip not identified. Lung volumes remain low, and there is pulmonary vascular congestion likely reflecting a fluid replete state. Linear opacity at the left base may represent an area of subsegmental atelectasis. The left costophrenic angle is not entirely included on the study. Overall, cardiac and mediastinal contours are likely unchanged given differences in positioning and technique between studies.","Overall, cardiac and mediastinal contours are likely unchanged given differences in positioning and technique between studies.",cardiac and mediastinal contours,,Stable,['files/p19/p19623993/s57032173/0e064bcb-a3b8ea89-90e85aa8-525a773b-7c2718a7.jpg'],"['files/p19/p19623993/s57012563/839682a6-30ec6c4c-12520bec-1825e8a9-d6a263d4.jpg\n', 'files/p19/p19623993/s57012563/d8c7752e-39ef154a-d2bf3a3e-821562ea-b71fc606.jpg\n', 'files/p19/p19623993/s57012563/f7c990eb-833446da-f709f75c-94e17a51-a2479b54.jpg\n']"
s57032173_5,p19623993,s57032173,5,Impression,"Right internal jugular central line has its tip in the proximal superior vena cava. There is a feeding tube coursing below the stomach with the tip not identified. Lung volumes remain low, and there is pulmonary vascular congestion likely reflecting a fluid replete state. Linear opacity at the left base may represent an area of subsegmental atelectasis. The left costophrenic angle is not entirely included on the study. Overall, cardiac and mediastinal contours are likely unchanged given differences in positioning and technique between studies.","Lung volumes remain low, and there is pulmonary vascular congestion likely reflecting a fluid replete state.",Lung volumes,,Stable,['files/p19/p19623993/s57032173/0e064bcb-a3b8ea89-90e85aa8-525a773b-7c2718a7.jpg'],"['files/p19/p19623993/s57012563/839682a6-30ec6c4c-12520bec-1825e8a9-d6a263d4.jpg\n', 'files/p19/p19623993/s57012563/d8c7752e-39ef154a-d2bf3a3e-821562ea-b71fc606.jpg\n', 'files/p19/p19623993/s57012563/f7c990eb-833446da-f709f75c-94e17a51-a2479b54.jpg\n']"
s57032496_5,p17340686,s57032496,5,Findings,"Single AP semi-erect portable view of the chest was obtained. Moderate-to-severe pulmonary edema is again seen. Difficult to exclude underlying pleural effusions. The cardiac and mediastinal silhouettes are stable. There has been interval placement of a large-bore left-sided catheter, distal tip not optimally seen, but likely terminates in the cavoatrial junction/right atrium.",The cardiac and mediastinal silhouettes are stable.,cardiac and mediastinal silhouettes,,Stable,['files/p17/p17340686/s57032496/f12f4aff-464794a0-43804b4b-647ac047-cc14b671.jpg'],"['files/p17/p17340686/s56598807/194f6925-e9306f2d-eba4d0b5-0187742f-fb7e0343.jpg\n', 'files/p17/p17340686/s56598807/9b4f1964-734c3d45-d58e0850-71a0baee-535ae2c8.jpg\n']"
s57032496_5,p17340686,s57032496,5,Findings,"Single AP semi-erect portable view of the chest was obtained. Moderate-to-severe pulmonary edema is again seen. Difficult to exclude underlying pleural effusions. The cardiac and mediastinal silhouettes are stable. There has been interval placement of a large-bore left-sided catheter, distal tip not optimally seen, but likely terminates in the cavoatrial junction/right atrium.",Moderate-to-severe pulmonary edema is again seen.,pulmonary edema,,Worse,['files/p17/p17340686/s57032496/f12f4aff-464794a0-43804b4b-647ac047-cc14b671.jpg'],"['files/p17/p17340686/s56598807/194f6925-e9306f2d-eba4d0b5-0187742f-fb7e0343.jpg\n', 'files/p17/p17340686/s56598807/9b4f1964-734c3d45-d58e0850-71a0baee-535ae2c8.jpg\n']"
s57033562_11,p10867202,s57033562,11,Impression,There are low lung volumes. Cardiomegaly and widened mediastinum are stable. Extensive interstitial reticular abnormalities larger in the left perihilar and left lower lobe region are grossly unchanged allowing the difference in inspiratory effort of the patient without evidence of new abnormalities pneumothorax or effusion. .,Extensive interstitial reticular abnormalities larger in the left perihilar and left lower lobe region are grossly unchanged allowing the difference in inspiratory effort of the patient without evidence of new abnormalities pneumothorax or effusion.,interstitial reticular abnormalities,left perihilar and left lower lobe,Stable,['files/p10/p10867202/s57033562/b7af070d-78068621-15eff16b-a70624dd-db393d15.jpg'],['files/p10/p10867202/s53652133/6a0e1f5d-e6e23298-495f2580-9ef21652-d843b243.jpg\n']
s57033562_11,p10867202,s57033562,11,Impression,There are low lung volumes. Cardiomegaly and widened mediastinum are stable. Extensive interstitial reticular abnormalities larger in the left perihilar and left lower lobe region are grossly unchanged allowing the difference in inspiratory effort of the patient without evidence of new abnormalities pneumothorax or effusion. .,Cardiomegaly and widened mediastinum are stable.,Cardiomegaly,,Stable,['files/p10/p10867202/s57033562/b7af070d-78068621-15eff16b-a70624dd-db393d15.jpg'],['files/p10/p10867202/s53652133/6a0e1f5d-e6e23298-495f2580-9ef21652-d843b243.jpg\n']
s57033562_11,p10867202,s57033562,11,Impression,There are low lung volumes. Cardiomegaly and widened mediastinum are stable. Extensive interstitial reticular abnormalities larger in the left perihilar and left lower lobe region are grossly unchanged allowing the difference in inspiratory effort of the patient without evidence of new abnormalities pneumothorax or effusion. .,Cardiomegaly and widened mediastinum are stable.,widened mediastinum,,Stable,['files/p10/p10867202/s57033562/b7af070d-78068621-15eff16b-a70624dd-db393d15.jpg'],['files/p10/p10867202/s53652133/6a0e1f5d-e6e23298-495f2580-9ef21652-d843b243.jpg\n']
s57035793_1,p13473781,s57035793,1,Findings,"Severely enlarged heart is stable. Bilateral small pleural effusions, left side more than right, and mild bibasal atelectasis is present. No evidence of pneumonia. Mediastinal and hilar contours are stable.",Mediastinal and hilar contours are stable.,mediastinal and hilar contours,,Stable,"['files/p13/p13473781/s57035793/2db13516-1d7615da-a3e29ed5-0020647e-ce37e7b2.jpg', 'files/p13/p13473781/s57035793/ad26bd5f-bf6dde7b-10a2027a-72457df6-64959759.jpg', 'files/p13/p13473781/s57035793/c4d46e0f-fba1a258-b4b5722e-5aec1b56-de6931be.jpg']",['files/p13/p13473781/s53148581/790aef7d-e4cf7dd2-82d3a1e4-111fdcc4-3d8cedd7.jpg\n']
s57035793_1,p13473781,s57035793,1,Findings,"Severely enlarged heart is stable. Bilateral small pleural effusions, left side more than right, and mild bibasal atelectasis is present. No evidence of pneumonia. Mediastinal and hilar contours are stable.",Severely enlarged heart is stable.,severely enlarged heart,,Stable,"['files/p13/p13473781/s57035793/2db13516-1d7615da-a3e29ed5-0020647e-ce37e7b2.jpg', 'files/p13/p13473781/s57035793/ad26bd5f-bf6dde7b-10a2027a-72457df6-64959759.jpg', 'files/p13/p13473781/s57035793/c4d46e0f-fba1a258-b4b5722e-5aec1b56-de6931be.jpg']",['files/p13/p13473781/s53148581/790aef7d-e4cf7dd2-82d3a1e4-111fdcc4-3d8cedd7.jpg\n']
s57041570_24,p14841168,s57041570,24,Findings,"Frontal and lateral views of the chest were obtained. The lateral views are somewhat underpenetrated in part due to the patient's overlying arm. Given this, there is persistent mild elevation of the right hemidiaphragm. Minimal left basilar atelectasis is seen. There is no focal consolidation. No large pleural effusion is seen. Slight blunting of the right costophrenic angle is chronic. The cardiac and mediastinal silhouettes are grossly stable as comparison with ___. No overt pulmonary edema is seen.",The cardiac and mediastinal silhouettes are grossly stable as comparison with ___.,Stability,Cardiac and mediastinal silhouettes,Stable,"['files/p14/p14841168/s57041570/306bc295-0e5c4259-e24a442d-9b2483b1-6478ee28.jpg', 'files/p14/p14841168/s57041570/4581429d-cfeddd82-c5fe4954-afb7ecc0-cf292c08.jpg', 'files/p14/p14841168/s57041570/cd4c13d7-949c45ee-8508ec30-c9fed36f-bea3a8f6.jpg']",['files/p14/p14841168/s56921440/d47b1887-47d16d76-fc1df56f-5a5cd514-a9f91c9e.jpg\n']
s57041570_24,p14841168,s57041570,24,Findings,"Frontal and lateral views of the chest were obtained. The lateral views are somewhat underpenetrated in part due to the patient's overlying arm. Given this, there is persistent mild elevation of the right hemidiaphragm. Minimal left basilar atelectasis is seen. There is no focal consolidation. No large pleural effusion is seen. Slight blunting of the right costophrenic angle is chronic. The cardiac and mediastinal silhouettes are grossly stable as comparison with ___. No overt pulmonary edema is seen.",Slight blunting of the right costophrenic angle is chronic.,Blunting,Right costophrenic angle,Stable,"['files/p14/p14841168/s57041570/306bc295-0e5c4259-e24a442d-9b2483b1-6478ee28.jpg', 'files/p14/p14841168/s57041570/4581429d-cfeddd82-c5fe4954-afb7ecc0-cf292c08.jpg', 'files/p14/p14841168/s57041570/cd4c13d7-949c45ee-8508ec30-c9fed36f-bea3a8f6.jpg']",['files/p14/p14841168/s56921440/d47b1887-47d16d76-fc1df56f-5a5cd514-a9f91c9e.jpg\n']
s57041570_24,p14841168,s57041570,24,Findings,"Frontal and lateral views of the chest were obtained. The lateral views are somewhat underpenetrated in part due to the patient's overlying arm. Given this, there is persistent mild elevation of the right hemidiaphragm. Minimal left basilar atelectasis is seen. There is no focal consolidation. No large pleural effusion is seen. Slight blunting of the right costophrenic angle is chronic. The cardiac and mediastinal silhouettes are grossly stable as comparison with ___. No overt pulmonary edema is seen.","Given this, there is persistent mild elevation of the right hemidiaphragm.",Mild elevation,Right hemidiaphragm,Stable,"['files/p14/p14841168/s57041570/306bc295-0e5c4259-e24a442d-9b2483b1-6478ee28.jpg', 'files/p14/p14841168/s57041570/4581429d-cfeddd82-c5fe4954-afb7ecc0-cf292c08.jpg', 'files/p14/p14841168/s57041570/cd4c13d7-949c45ee-8508ec30-c9fed36f-bea3a8f6.jpg']",['files/p14/p14841168/s56921440/d47b1887-47d16d76-fc1df56f-5a5cd514-a9f91c9e.jpg\n']
s57045066_1,p13031876,s57045066,1,Findings,"One portable AP upright view of the chest. The right apical opacity is stable and concerning for either a nodule or infection. There are low lung volumes which exaggerates the bibasilar atelectasis. Anterior fusion hardware is seen. The cardiac, mediastinal and hilar contours are normal.",The right apical opacity is stable and concerning for either a nodule or infection.,opacity,right apical,Stable,['files/p13/p13031876/s57045066/b1286b1b-54d1211b-a25a3203-41c53701-f8ba9413.jpg'],['files/p13/p13031876/s57019853/cc421e05-ba52c579-96137ca0-fa81a980-c78a2d2f.jpg\n']
s57045066_1,p13031876,s57045066,1,Impression,"1. Right apical opacity concerning for either infection or nodule. 2. Other than low lung volumes, no significant change compared to most recent study.","2. Other than low lung volumes, no significant change compared to most recent study.",lung volumes,,Stable,['files/p13/p13031876/s57045066/b1286b1b-54d1211b-a25a3203-41c53701-f8ba9413.jpg'],['files/p13/p13031876/s57019853/cc421e05-ba52c579-96137ca0-fa81a980-c78a2d2f.jpg\n']
s57045176_0,p11880923,s57045176,0,Findings,"The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is a tiny right pleural effusion. There is right hemidiaphragm eventration. Nodular, rounded opacity at the left lung base likely represents nipple shadow.",There is a tiny right pleural effusion.,pleural effusion,right,New,"['files/p11/p11880923/s57045176/20826cb6-21536aea-251f6984-7d353fb1-029fb362.jpg', 'files/p11/p11880923/s57045176/a7453c2f-c13c3176-9c623a8f-259c76c7-13466115.jpg']","['files/p11/p11880923/s56440140/3698386f-a0655662-7d51247e-e53490e6-64f3d0c2.jpg\n', 'files/p11/p11880923/s56440140/421dff97-6d2b4aab-02ed28a8-54dd67f9-da2f957b.jpg\n']"
s57045176_0,p11880923,s57045176,0,Impression,Tiny right pleural effusion.,Tiny right pleural effusion.,pleural effusion,right,New,"['files/p11/p11880923/s57045176/20826cb6-21536aea-251f6984-7d353fb1-029fb362.jpg', 'files/p11/p11880923/s57045176/a7453c2f-c13c3176-9c623a8f-259c76c7-13466115.jpg']","['files/p11/p11880923/s56440140/3698386f-a0655662-7d51247e-e53490e6-64f3d0c2.jpg\n', 'files/p11/p11880923/s56440140/421dff97-6d2b4aab-02ed28a8-54dd67f9-da2f957b.jpg\n']"
s57045176_0,p11880923,s57045176,0,Findings,"The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is a tiny right pleural effusion. There is right hemidiaphragm eventration. Nodular, rounded opacity at the left lung base likely represents nipple shadow.",There is right hemidiaphragm eventration.,hemidiaphragm eventration,right,New,"['files/p11/p11880923/s57045176/20826cb6-21536aea-251f6984-7d353fb1-029fb362.jpg', 'files/p11/p11880923/s57045176/a7453c2f-c13c3176-9c623a8f-259c76c7-13466115.jpg']","['files/p11/p11880923/s56440140/3698386f-a0655662-7d51247e-e53490e6-64f3d0c2.jpg\n', 'files/p11/p11880923/s56440140/421dff97-6d2b4aab-02ed28a8-54dd67f9-da2f957b.jpg\n']"
s57045176_0,p11880923,s57045176,0,Findings,"The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is a tiny right pleural effusion. There is right hemidiaphragm eventration. Nodular, rounded opacity at the left lung base likely represents nipple shadow.","Nodular, rounded opacity at the left lung base likely represents nipple shadow.",nipple shadow,left lung base,New,"['files/p11/p11880923/s57045176/20826cb6-21536aea-251f6984-7d353fb1-029fb362.jpg', 'files/p11/p11880923/s57045176/a7453c2f-c13c3176-9c623a8f-259c76c7-13466115.jpg']","['files/p11/p11880923/s56440140/3698386f-a0655662-7d51247e-e53490e6-64f3d0c2.jpg\n', 'files/p11/p11880923/s56440140/421dff97-6d2b4aab-02ed28a8-54dd67f9-da2f957b.jpg\n']"
s57048625_1,p14744884,s57048625,1,Findings,"Lung volumes are low. No focal opacity to suggest pneumonia is seen. No pleural effusion, overt pulmonary edema or pneumothorax is present. The heart size is at the upper limits of normal, unchanged. A right-sided vascular stent is seen within the brachiocephalic vein.","The heart size is at the upper limits of normal, unchanged.",heart size,,Stable,['files/p14/p14744884/s57048625/a23f7cc0-2cc8da91-5f864f5b-6672534c-98f63cd8.jpg'],"['files/p14/p14744884/s54330512/823ebf48-768dcf19-136b5611-cabac298-d4c7a698.jpg\n', 'files/p14/p14744884/s54330512/f9dce1d5-9980fc56-0112f0b6-88e9a45f-48e80619.jpg\n']"
s57049495_3,p14727722,s57049495,3,Findings,"A hemodialysis catheter terminates at the cavoatrial junction. Mild cardiomegaly is unchanged. The aorta is tortuous and unfolded. There is increased prominence of the mediastinal silhouette, with distention of the azygos and central veins. No pleural effusions or pneumothorax. No free air under the diaphragm.","There is increased prominence of the mediastinal silhouette, with distention of the azygos and central veins.",mediastinal silhouette,,Worse,"['files/p14/p14727722/s57049495/6e87c959-24dfa50c-d3d91e0a-70a0dfad-96865517.jpg', 'files/p14/p14727722/s57049495/cc283d06-b37e790c-756c5aa9-93a2cc06-a9cd8cf8.jpg']",['files/p14/p14727722/s56659228/46e392dd-8bae92bc-05e946e4-dad0f6d9-5866b783.jpg\n']
s57049495_3,p14727722,s57049495,3,Findings,"A hemodialysis catheter terminates at the cavoatrial junction. Mild cardiomegaly is unchanged. The aorta is tortuous and unfolded. There is increased prominence of the mediastinal silhouette, with distention of the azygos and central veins. No pleural effusions or pneumothorax. No free air under the diaphragm.",Mild cardiomegaly is unchanged.,mild cardiomegaly,,Stable,"['files/p14/p14727722/s57049495/6e87c959-24dfa50c-d3d91e0a-70a0dfad-96865517.jpg', 'files/p14/p14727722/s57049495/cc283d06-b37e790c-756c5aa9-93a2cc06-a9cd8cf8.jpg']",['files/p14/p14727722/s56659228/46e392dd-8bae92bc-05e946e4-dad0f6d9-5866b783.jpg\n']
s57051632_53,p19182863,s57051632,53,Impression,"In comparison with the study of ___, there again are bilateral pleural effusions with compressive atelectasis, much more prominent on the left. Continued enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure. Pacer leads are unchanged.","In comparison with the study of ___, there again are bilateral pleural effusions with compressive atelectasis, much more prominent on the left. Continued enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure. Pacer leads are unchanged.",pleural effusions,bilateral,Worse,['files/p19/p19182863/s57051632/d8d27634-c797ba3f-79f7384e-6dd55810-93915d51.jpg'],"['files/p19/p19182863/s56775180/97396291-b49c2ae9-b5478363-46b537a4-fc5346fa.jpg\n', 'files/p19/p19182863/s56775180/b9fa87e8-60fe2f5e-ead3ccb6-7ad496d8-8233efbd.jpg\n']"
s57051632_53,p19182863,s57051632,53,Impression,"In comparison with the study of ___, there again are bilateral pleural effusions with compressive atelectasis, much more prominent on the left. Continued enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure. Pacer leads are unchanged.","In comparison with the study of ___, there again are bilateral pleural effusions with compressive atelectasis, much more prominent on the left. Continued enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure. Pacer leads are unchanged.",mild elevation of pulmonary venous pressure,,Stable,['files/p19/p19182863/s57051632/d8d27634-c797ba3f-79f7384e-6dd55810-93915d51.jpg'],"['files/p19/p19182863/s56775180/97396291-b49c2ae9-b5478363-46b537a4-fc5346fa.jpg\n', 'files/p19/p19182863/s56775180/b9fa87e8-60fe2f5e-ead3ccb6-7ad496d8-8233efbd.jpg\n']"
s57051632_53,p19182863,s57051632,53,Impression,"In comparison with the study of ___, there again are bilateral pleural effusions with compressive atelectasis, much more prominent on the left. Continued enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure. Pacer leads are unchanged.","In comparison with the study of ___, there again are bilateral pleural effusions with compressive atelectasis, much more prominent on the left. Continued enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure. Pacer leads are unchanged.",cardiac silhouette enlargement,,Worse,['files/p19/p19182863/s57051632/d8d27634-c797ba3f-79f7384e-6dd55810-93915d51.jpg'],"['files/p19/p19182863/s56775180/97396291-b49c2ae9-b5478363-46b537a4-fc5346fa.jpg\n', 'files/p19/p19182863/s56775180/b9fa87e8-60fe2f5e-ead3ccb6-7ad496d8-8233efbd.jpg\n']"
s57051632_53,p19182863,s57051632,53,Impression,"In comparison with the study of ___, there again are bilateral pleural effusions with compressive atelectasis, much more prominent on the left. Continued enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure. Pacer leads are unchanged.","In comparison with the study of ___, there again are bilateral pleural effusions with compressive atelectasis, much more prominent on the left. Continued enlargement of the cardiac silhouette with mild elevation of pulmonary venous pressure. Pacer leads are unchanged.",compressive atelectasis,bilateral,Worse,['files/p19/p19182863/s57051632/d8d27634-c797ba3f-79f7384e-6dd55810-93915d51.jpg'],"['files/p19/p19182863/s56775180/97396291-b49c2ae9-b5478363-46b537a4-fc5346fa.jpg\n', 'files/p19/p19182863/s56775180/b9fa87e8-60fe2f5e-ead3ccb6-7ad496d8-8233efbd.jpg\n']"
s57053258_2,p10933609,s57053258,2,Impression,"AP chest compared to ___: By ___, the patient has largely cleared the extensive consolidation affecting all of the left lung and the right upper lung at the beginning of ___. Residual peribronchial opacification in the upper lungs was probably scarring, and persists. There may be a very slight increase in the pleural perfusion of abnormality in the left upper lung, but not enough to call pneumonia, and the lower lungs are essentially clear. Heart size is normal. Mediastinal and hilar silhouettes are unremarkable and no pleural abnormality. Feeding tube follows the same course through either a medially displaced stomach or postoperative gastric remnant. No pleural abnormality.","Residual peribronchial opacification in the upper lungs was probably scarring, and persists.",peribronchial opacification,upper lungs,Stable,"['files/p10/p10933609/s57053258/2a78a082-bf1c63ea-400d5e85-edf9eacf-5ede056d.jpg', 'files/p10/p10933609/s57053258/7699bdde-b4b344e6-8109dc76-dd9e5dc5-2f06b11a.jpg', 'files/p10/p10933609/s57053258/7f53537b-fa6d85dc-ba21f7bb-f4c04a3c-177aeed6.jpg']","['files/p10/p10933609/s56535476/5740ef70-f0368542-f6ff1baf-09a39fdc-33e82710.jpg\n', 'files/p10/p10933609/s56535476/fa80d52e-25c85b24-0302d3d0-f2052c45-6faebca9.jpg\n']"
s57053258_2,p10933609,s57053258,2,Impression,"AP chest compared to ___: By ___, the patient has largely cleared the extensive consolidation affecting all of the left lung and the right upper lung at the beginning of ___. Residual peribronchial opacification in the upper lungs was probably scarring, and persists. There may be a very slight increase in the pleural perfusion of abnormality in the left upper lung, but not enough to call pneumonia, and the lower lungs are essentially clear. Heart size is normal. Mediastinal and hilar silhouettes are unremarkable and no pleural abnormality. Feeding tube follows the same course through either a medially displaced stomach or postoperative gastric remnant. No pleural abnormality.","By ___, the patient has largely cleared the extensive consolidation affecting all of the left lung and the right upper lung at the beginning of ___.",consolidation,left lung and right upper lung,Resolve,"['files/p10/p10933609/s57053258/2a78a082-bf1c63ea-400d5e85-edf9eacf-5ede056d.jpg', 'files/p10/p10933609/s57053258/7699bdde-b4b344e6-8109dc76-dd9e5dc5-2f06b11a.jpg', 'files/p10/p10933609/s57053258/7f53537b-fa6d85dc-ba21f7bb-f4c04a3c-177aeed6.jpg']","['files/p10/p10933609/s56535476/5740ef70-f0368542-f6ff1baf-09a39fdc-33e82710.jpg\n', 'files/p10/p10933609/s56535476/fa80d52e-25c85b24-0302d3d0-f2052c45-6faebca9.jpg\n']"
s57053258_2,p10933609,s57053258,2,Impression,"AP chest compared to ___: By ___, the patient has largely cleared the extensive consolidation affecting all of the left lung and the right upper lung at the beginning of ___. Residual peribronchial opacification in the upper lungs was probably scarring, and persists. There may be a very slight increase in the pleural perfusion of abnormality in the left upper lung, but not enough to call pneumonia, and the lower lungs are essentially clear. Heart size is normal. Mediastinal and hilar silhouettes are unremarkable and no pleural abnormality. Feeding tube follows the same course through either a medially displaced stomach or postoperative gastric remnant. No pleural abnormality.","There may be a very slight increase in the pleural perfusion of abnormality in the left upper lung, but not enough to call pneumonia, and the lower lungs are essentially clear.",pleural perfusion of abnormality,left upper lung,Worse,"['files/p10/p10933609/s57053258/2a78a082-bf1c63ea-400d5e85-edf9eacf-5ede056d.jpg', 'files/p10/p10933609/s57053258/7699bdde-b4b344e6-8109dc76-dd9e5dc5-2f06b11a.jpg', 'files/p10/p10933609/s57053258/7f53537b-fa6d85dc-ba21f7bb-f4c04a3c-177aeed6.jpg']","['files/p10/p10933609/s56535476/5740ef70-f0368542-f6ff1baf-09a39fdc-33e82710.jpg\n', 'files/p10/p10933609/s56535476/fa80d52e-25c85b24-0302d3d0-f2052c45-6faebca9.jpg\n']"
s57053848_0,p12658295,s57053848,0,Findings,"In comparison with study of ___, there has been reaccumulation of pleural fluid at the right base with underlying compressive atelectasis following apparent thoracentesis. No evidence of pneumothorax. The remainder of the heart and lungs are unchanged.",The remainder of the heart and lungs are unchanged.,heart and lungs,,Stable,"['files/p12/p12658295/s57053848/32a7d189-41a4b4a2-2cbe2e58-67f6823b-94d7cb9b.jpg', 'files/p12/p12658295/s57053848/aca81df9-48e4740a-3c8dacee-279de214-789076c5.jpg']","['files/p12/p12658295/s56477444/1e2bf7fd-0332021c-5954e527-9aef62e8-221c5e82.jpg\n', 'files/p12/p12658295/s56477444/b5ba8da0-31b932cf-ce8505a8-183cf855-29f186d7.jpg\n']"
s57053848_0,p12658295,s57053848,0,Findings,"In comparison with study of ___, there has been reaccumulation of pleural fluid at the right base with underlying compressive atelectasis following apparent thoracentesis. No evidence of pneumothorax. The remainder of the heart and lungs are unchanged.","In comparison with study of ___, there has been reaccumulation of pleural fluid at the right base with underlying compressive atelectasis following apparent thoracentesis.",pleural fluid,right base,Worse,"['files/p12/p12658295/s57053848/32a7d189-41a4b4a2-2cbe2e58-67f6823b-94d7cb9b.jpg', 'files/p12/p12658295/s57053848/aca81df9-48e4740a-3c8dacee-279de214-789076c5.jpg']","['files/p12/p12658295/s56477444/1e2bf7fd-0332021c-5954e527-9aef62e8-221c5e82.jpg\n', 'files/p12/p12658295/s56477444/b5ba8da0-31b932cf-ce8505a8-183cf855-29f186d7.jpg\n']"
s57065575_7,p13979643,s57065575,7,Findings,"As compared to the previous image, the nasogastric tube has been advanced. The tip of the tube now projects over the middle parts of the stomach. The stomach is markedly dilated. Mildly distended small bowel loops. Filter in the inferior vena cava.","As compared to the previous image, the nasogastric tube has been advanced.",nasogastric tube,stomach,Better,['files/p13/p13979643/s57065575/1982caee-73cd2f56-0f1d96b7-2b66f5fc-69c0c582.jpg'],"['files/p13/p13979643/s57005451/1e4cee5d-c0919d09-1d1bf686-1ad1d295-9efbac76.jpg\n', 'files/p13/p13979643/s57005451/a3ebe8b0-1678004d-48fa1d7d-c4d3b940-5f7a57d2.jpg\n']"
s57069327_19,p19061282,s57069327,19,Impression,"Right lower lobe peribronchial consolidation is stable. Retrocardiac atelectasis have markedly improved. Cardiomegaly is stable. Vascular stents in the mediastinum are again noted. Tracheostomy tube is in standard position. Large central catheter projects in the lower SVC, a second large catheter tip projects in the left upper quadrant of the abdomen. There is no evident pneumothorax.",Right lower lobe peribronchial consolidation is stable.,Peribronchial consolidation,Right lower lobe,Stable,['files/p19/p19061282/s57069327/8531a641-5f0bd3c1-b6e592c6-294f4e41-1dc643c3.jpg'],['files/p19/p19061282/s56970093/56800e51-37c27e17-e57356ac-463bc851-663bdfa9.jpg\n']
s57069327_19,p19061282,s57069327,19,Impression,"Right lower lobe peribronchial consolidation is stable. Retrocardiac atelectasis have markedly improved. Cardiomegaly is stable. Vascular stents in the mediastinum are again noted. Tracheostomy tube is in standard position. Large central catheter projects in the lower SVC, a second large catheter tip projects in the left upper quadrant of the abdomen. There is no evident pneumothorax.",Cardiomegaly is stable.,Cardiomegaly,Cardiac,Stable,['files/p19/p19061282/s57069327/8531a641-5f0bd3c1-b6e592c6-294f4e41-1dc643c3.jpg'],['files/p19/p19061282/s56970093/56800e51-37c27e17-e57356ac-463bc851-663bdfa9.jpg\n']
s57069327_19,p19061282,s57069327,19,Impression,"Right lower lobe peribronchial consolidation is stable. Retrocardiac atelectasis have markedly improved. Cardiomegaly is stable. Vascular stents in the mediastinum are again noted. Tracheostomy tube is in standard position. Large central catheter projects in the lower SVC, a second large catheter tip projects in the left upper quadrant of the abdomen. There is no evident pneumothorax.",Retrocardiac atelectasis have markedly improved.,Atelectasis,Retrocardiac,Better,['files/p19/p19061282/s57069327/8531a641-5f0bd3c1-b6e592c6-294f4e41-1dc643c3.jpg'],['files/p19/p19061282/s56970093/56800e51-37c27e17-e57356ac-463bc851-663bdfa9.jpg\n']
s57077344_19,p13606683,s57077344,19,Impression,"1. Interval placement of a right internal jugular Swan-Ganz catheter which has its tip in the right interlobar artery. There has been interval placement of a nasogastric tube which courses below the diaphragm with the tip not identified. Interval placement of an endotracheal tube, which has its tip approximately 3 cm above the carina. Heart remains enlarged, which most likely reflects cardiomegaly, although pericardial effusion cannot be excluded. The mediastinum appears widened but this is likely related to patient rotation. There are bilateral layering effusions with retrocardiac consolidation likely reflecting partial lower lobe atelectasis. In addition, there has been interval appearance of moderate pulmonary and interstitial edema. No large pneumothorax is seen. The patient is status post median sternotomy with an aortic valve replacement. A right-sided pacer remains in place. Right internal jugular central line also is unchanged in position.","In addition, there has been interval appearance of moderate pulmonary and interstitial edema.",moderate pulmonary and interstitial edema,,New,"['files/p13/p13606683/s57077344/83833260-15c2f0ce-07c1f262-5cd7007e-819f17e6.jpg', 'files/p13/p13606683/s57077344/a158a187-8bc54174-4245141b-7afe393b-40c6e701.jpg']","['files/p13/p13606683/s56883120/919158fb-4f0d9b66-46719ab6-5d584449-1a3ad8de.jpg\n', 'files/p13/p13606683/s56883120/a750cdf1-08f86f48-3d7fe822-9831cd73-31f5862c.jpg\n', 'files/p13/p13606683/s56883120/c542b18f-06a3b284-5b3e593f-ac2f5aa0-8f443747.jpg\n']"
s57077344_19,p13606683,s57077344,19,Impression,"1. Interval placement of a right internal jugular Swan-Ganz catheter which has its tip in the right interlobar artery. There has been interval placement of a nasogastric tube which courses below the diaphragm with the tip not identified. Interval placement of an endotracheal tube, which has its tip approximately 3 cm above the carina. Heart remains enlarged, which most likely reflects cardiomegaly, although pericardial effusion cannot be excluded. The mediastinum appears widened but this is likely related to patient rotation. There are bilateral layering effusions with retrocardiac consolidation likely reflecting partial lower lobe atelectasis. In addition, there has been interval appearance of moderate pulmonary and interstitial edema. No large pneumothorax is seen. The patient is status post median sternotomy with an aortic valve replacement. A right-sided pacer remains in place. Right internal jugular central line also is unchanged in position.",1. Interval placement of a right internal jugular Swan-Ganz catheter which has its tip in the right interlobar artery.,Swan-Ganz catheter,right internal jugular,New,"['files/p13/p13606683/s57077344/83833260-15c2f0ce-07c1f262-5cd7007e-819f17e6.jpg', 'files/p13/p13606683/s57077344/a158a187-8bc54174-4245141b-7afe393b-40c6e701.jpg']","['files/p13/p13606683/s56883120/919158fb-4f0d9b66-46719ab6-5d584449-1a3ad8de.jpg\n', 'files/p13/p13606683/s56883120/a750cdf1-08f86f48-3d7fe822-9831cd73-31f5862c.jpg\n', 'files/p13/p13606683/s56883120/c542b18f-06a3b284-5b3e593f-ac2f5aa0-8f443747.jpg\n']"
s57077344_19,p13606683,s57077344,19,Impression,"1. Interval placement of a right internal jugular Swan-Ganz catheter which has its tip in the right interlobar artery. There has been interval placement of a nasogastric tube which courses below the diaphragm with the tip not identified. Interval placement of an endotracheal tube, which has its tip approximately 3 cm above the carina. Heart remains enlarged, which most likely reflects cardiomegaly, although pericardial effusion cannot be excluded. The mediastinum appears widened but this is likely related to patient rotation. There are bilateral layering effusions with retrocardiac consolidation likely reflecting partial lower lobe atelectasis. In addition, there has been interval appearance of moderate pulmonary and interstitial edema. No large pneumothorax is seen. The patient is status post median sternotomy with an aortic valve replacement. A right-sided pacer remains in place. Right internal jugular central line also is unchanged in position.","Heart remains enlarged, which most likely reflects cardiomegaly, although pericardial effusion cannot be excluded.",Enlarged heart,,Stable,"['files/p13/p13606683/s57077344/83833260-15c2f0ce-07c1f262-5cd7007e-819f17e6.jpg', 'files/p13/p13606683/s57077344/a158a187-8bc54174-4245141b-7afe393b-40c6e701.jpg']","['files/p13/p13606683/s56883120/919158fb-4f0d9b66-46719ab6-5d584449-1a3ad8de.jpg\n', 'files/p13/p13606683/s56883120/a750cdf1-08f86f48-3d7fe822-9831cd73-31f5862c.jpg\n', 'files/p13/p13606683/s56883120/c542b18f-06a3b284-5b3e593f-ac2f5aa0-8f443747.jpg\n']"
s57077344_19,p13606683,s57077344,19,Impression,"1. Interval placement of a right internal jugular Swan-Ganz catheter which has its tip in the right interlobar artery. There has been interval placement of a nasogastric tube which courses below the diaphragm with the tip not identified. Interval placement of an endotracheal tube, which has its tip approximately 3 cm above the carina. Heart remains enlarged, which most likely reflects cardiomegaly, although pericardial effusion cannot be excluded. The mediastinum appears widened but this is likely related to patient rotation. There are bilateral layering effusions with retrocardiac consolidation likely reflecting partial lower lobe atelectasis. In addition, there has been interval appearance of moderate pulmonary and interstitial edema. No large pneumothorax is seen. The patient is status post median sternotomy with an aortic valve replacement. A right-sided pacer remains in place. Right internal jugular central line also is unchanged in position.",Right internal jugular central line also is unchanged in position.,central line,right internal jugular,Stable,"['files/p13/p13606683/s57077344/83833260-15c2f0ce-07c1f262-5cd7007e-819f17e6.jpg', 'files/p13/p13606683/s57077344/a158a187-8bc54174-4245141b-7afe393b-40c6e701.jpg']","['files/p13/p13606683/s56883120/919158fb-4f0d9b66-46719ab6-5d584449-1a3ad8de.jpg\n', 'files/p13/p13606683/s56883120/a750cdf1-08f86f48-3d7fe822-9831cd73-31f5862c.jpg\n', 'files/p13/p13606683/s56883120/c542b18f-06a3b284-5b3e593f-ac2f5aa0-8f443747.jpg\n']"
s57077344_19,p13606683,s57077344,19,Impression,"1. Interval placement of a right internal jugular Swan-Ganz catheter which has its tip in the right interlobar artery. There has been interval placement of a nasogastric tube which courses below the diaphragm with the tip not identified. Interval placement of an endotracheal tube, which has its tip approximately 3 cm above the carina. Heart remains enlarged, which most likely reflects cardiomegaly, although pericardial effusion cannot be excluded. The mediastinum appears widened but this is likely related to patient rotation. There are bilateral layering effusions with retrocardiac consolidation likely reflecting partial lower lobe atelectasis. In addition, there has been interval appearance of moderate pulmonary and interstitial edema. No large pneumothorax is seen. The patient is status post median sternotomy with an aortic valve replacement. A right-sided pacer remains in place. Right internal jugular central line also is unchanged in position.",A right-sided pacer remains in place.,Right-sided pacer,,Stable,"['files/p13/p13606683/s57077344/83833260-15c2f0ce-07c1f262-5cd7007e-819f17e6.jpg', 'files/p13/p13606683/s57077344/a158a187-8bc54174-4245141b-7afe393b-40c6e701.jpg']","['files/p13/p13606683/s56883120/919158fb-4f0d9b66-46719ab6-5d584449-1a3ad8de.jpg\n', 'files/p13/p13606683/s56883120/a750cdf1-08f86f48-3d7fe822-9831cd73-31f5862c.jpg\n', 'files/p13/p13606683/s56883120/c542b18f-06a3b284-5b3e593f-ac2f5aa0-8f443747.jpg\n']"
s57077344_19,p13606683,s57077344,19,Impression,"1. Interval placement of a right internal jugular Swan-Ganz catheter which has its tip in the right interlobar artery. There has been interval placement of a nasogastric tube which courses below the diaphragm with the tip not identified. Interval placement of an endotracheal tube, which has its tip approximately 3 cm above the carina. Heart remains enlarged, which most likely reflects cardiomegaly, although pericardial effusion cannot be excluded. The mediastinum appears widened but this is likely related to patient rotation. There are bilateral layering effusions with retrocardiac consolidation likely reflecting partial lower lobe atelectasis. In addition, there has been interval appearance of moderate pulmonary and interstitial edema. No large pneumothorax is seen. The patient is status post median sternotomy with an aortic valve replacement. A right-sided pacer remains in place. Right internal jugular central line also is unchanged in position.",There has been interval placement of a nasogastric tube which courses below the diaphragm with the tip not identified.,nasogastric tube,below the diaphragm,New,"['files/p13/p13606683/s57077344/83833260-15c2f0ce-07c1f262-5cd7007e-819f17e6.jpg', 'files/p13/p13606683/s57077344/a158a187-8bc54174-4245141b-7afe393b-40c6e701.jpg']","['files/p13/p13606683/s56883120/919158fb-4f0d9b66-46719ab6-5d584449-1a3ad8de.jpg\n', 'files/p13/p13606683/s56883120/a750cdf1-08f86f48-3d7fe822-9831cd73-31f5862c.jpg\n', 'files/p13/p13606683/s56883120/c542b18f-06a3b284-5b3e593f-ac2f5aa0-8f443747.jpg\n']"
s57077344_19,p13606683,s57077344,19,Impression,"1. Interval placement of a right internal jugular Swan-Ganz catheter which has its tip in the right interlobar artery. There has been interval placement of a nasogastric tube which courses below the diaphragm with the tip not identified. Interval placement of an endotracheal tube, which has its tip approximately 3 cm above the carina. Heart remains enlarged, which most likely reflects cardiomegaly, although pericardial effusion cannot be excluded. The mediastinum appears widened but this is likely related to patient rotation. There are bilateral layering effusions with retrocardiac consolidation likely reflecting partial lower lobe atelectasis. In addition, there has been interval appearance of moderate pulmonary and interstitial edema. No large pneumothorax is seen. The patient is status post median sternotomy with an aortic valve replacement. A right-sided pacer remains in place. Right internal jugular central line also is unchanged in position.","Interval placement of an endotracheal tube, which has its tip approximately 3 cm above the carina.",endotracheal tube,approximately 3 cm above the carina,New,"['files/p13/p13606683/s57077344/83833260-15c2f0ce-07c1f262-5cd7007e-819f17e6.jpg', 'files/p13/p13606683/s57077344/a158a187-8bc54174-4245141b-7afe393b-40c6e701.jpg']","['files/p13/p13606683/s56883120/919158fb-4f0d9b66-46719ab6-5d584449-1a3ad8de.jpg\n', 'files/p13/p13606683/s56883120/a750cdf1-08f86f48-3d7fe822-9831cd73-31f5862c.jpg\n', 'files/p13/p13606683/s56883120/c542b18f-06a3b284-5b3e593f-ac2f5aa0-8f443747.jpg\n']"
s57078645_5,p14727722,s57078645,5,Findings,"Interval placement of endotracheal tube terminating 4.6 cm above the carina, and a nasogastric tube terminating in the stomach. Right internal jugular central venous catheter terminates in the proximal superior vena cava, with no visible pneumothorax. Stable cardiomegaly accompanied by mild pulmonary vascular congestion. Questionable small left pleural effusion.",Stable cardiomegaly accompanied by mild pulmonary vascular congestion.,cardiomegaly,,Stable,['files/p14/p14727722/s57078645/8ead2e2f-a4d30f0e-d6091305-a771d78b-09e4f06d.jpg'],"['files/p14/p14727722/s57049495/6e87c959-24dfa50c-d3d91e0a-70a0dfad-96865517.jpg\n', 'files/p14/p14727722/s57049495/cc283d06-b37e790c-756c5aa9-93a2cc06-a9cd8cf8.jpg\n']"
s57083382_7,p15758946,s57083382,7,Findings,"Compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in constant position. 4Bilateral pleural effusions with slightly different distribution but overall unchanged extent. Subsequent areas of predominantly basal atelectasis. No evidence of newly occurred focal parenchymal opacities. Minimal fluid overload. No pneumothorax.",4Bilateral pleural effusions with slightly different distribution but overall unchanged extent.,pleural effusions,bilateral,Stable,['files/p15/p15758946/s57083382/9f5b44e9-6f162589-6533517c-f73c712d-9cef61a7.jpg'],['files/p15/p15758946/s56618601/dbbd8ca0-a3e78630-061e92f4-cc6ea2d3-05314ad2.jpg\n']
s57086341_6,p16360107,s57086341,6,Impression,"PA and lateral chest compared to ___ and ___: Chronic moderate loculated pleural effusions are essentially unchanged, accompanied by persistent basilar opacification, probably rounded atelectasis. In the remainder of the lungs, in the upper lobes, there are no findings to suggest pneumonia or cardiac decompensation. Heart is top normal size, not appreciably changed. Fragmentation and misalignment of sternal wires has not progressed since ___. No pneumothorax.","Heart is top normal size, not appreciably changed.",heart size,,Stable,"['files/p16/p16360107/s57086341/888427af-fdfe06ab-3f8338a4-017e4c83-b717bd45.jpg', 'files/p16/p16360107/s57086341/e3878a3c-d7eccddd-4784c189-6b006b3b-e58c987a.jpg']","['files/p16/p16360107/s56241369/46ee8e54-8770a1f9-92571cb4-188d5290-2e4ed48b.jpg\n', 'files/p16/p16360107/s56241369/67a32863-338f2899-5e526d84-2639d564-a2204b9b.jpg\n', 'files/p16/p16360107/s56241369/b03d121a-8a657f7b-2c3da5f3-6828c27c-2a4d38a4.jpg\n']"
s57086341_6,p16360107,s57086341,6,Impression,"PA and lateral chest compared to ___ and ___: Chronic moderate loculated pleural effusions are essentially unchanged, accompanied by persistent basilar opacification, probably rounded atelectasis. In the remainder of the lungs, in the upper lobes, there are no findings to suggest pneumonia or cardiac decompensation. Heart is top normal size, not appreciably changed. Fragmentation and misalignment of sternal wires has not progressed since ___. No pneumothorax.",Fragmentation and misalignment of sternal wires has not progressed since ___.,sternal wires,,Stable,"['files/p16/p16360107/s57086341/888427af-fdfe06ab-3f8338a4-017e4c83-b717bd45.jpg', 'files/p16/p16360107/s57086341/e3878a3c-d7eccddd-4784c189-6b006b3b-e58c987a.jpg']","['files/p16/p16360107/s56241369/46ee8e54-8770a1f9-92571cb4-188d5290-2e4ed48b.jpg\n', 'files/p16/p16360107/s56241369/67a32863-338f2899-5e526d84-2639d564-a2204b9b.jpg\n', 'files/p16/p16360107/s56241369/b03d121a-8a657f7b-2c3da5f3-6828c27c-2a4d38a4.jpg\n']"
s57086341_6,p16360107,s57086341,6,Impression,"PA and lateral chest compared to ___ and ___: Chronic moderate loculated pleural effusions are essentially unchanged, accompanied by persistent basilar opacification, probably rounded atelectasis. In the remainder of the lungs, in the upper lobes, there are no findings to suggest pneumonia or cardiac decompensation. Heart is top normal size, not appreciably changed. Fragmentation and misalignment of sternal wires has not progressed since ___. No pneumothorax.","PA and lateral chest compared to ___ and ___: Chronic moderate loculated pleural effusions are essentially unchanged, accompanied by persistent basilar opacification, probably rounded atelectasis.",opacification,basilar,Stable,"['files/p16/p16360107/s57086341/888427af-fdfe06ab-3f8338a4-017e4c83-b717bd45.jpg', 'files/p16/p16360107/s57086341/e3878a3c-d7eccddd-4784c189-6b006b3b-e58c987a.jpg']","['files/p16/p16360107/s56241369/46ee8e54-8770a1f9-92571cb4-188d5290-2e4ed48b.jpg\n', 'files/p16/p16360107/s56241369/67a32863-338f2899-5e526d84-2639d564-a2204b9b.jpg\n', 'files/p16/p16360107/s56241369/b03d121a-8a657f7b-2c3da5f3-6828c27c-2a4d38a4.jpg\n']"
s57086341_6,p16360107,s57086341,6,Impression,"PA and lateral chest compared to ___ and ___: Chronic moderate loculated pleural effusions are essentially unchanged, accompanied by persistent basilar opacification, probably rounded atelectasis. In the remainder of the lungs, in the upper lobes, there are no findings to suggest pneumonia or cardiac decompensation. Heart is top normal size, not appreciably changed. Fragmentation and misalignment of sternal wires has not progressed since ___. No pneumothorax.","PA and lateral chest compared to ___ and ___: Chronic moderate loculated pleural effusions are essentially unchanged, accompanied by persistent basilar opacification, probably rounded atelectasis.",pleural effusions,basilar,Stable,"['files/p16/p16360107/s57086341/888427af-fdfe06ab-3f8338a4-017e4c83-b717bd45.jpg', 'files/p16/p16360107/s57086341/e3878a3c-d7eccddd-4784c189-6b006b3b-e58c987a.jpg']","['files/p16/p16360107/s56241369/46ee8e54-8770a1f9-92571cb4-188d5290-2e4ed48b.jpg\n', 'files/p16/p16360107/s56241369/67a32863-338f2899-5e526d84-2639d564-a2204b9b.jpg\n', 'files/p16/p16360107/s56241369/b03d121a-8a657f7b-2c3da5f3-6828c27c-2a4d38a4.jpg\n']"
s57086484_51,p14851532,s57086484,51,Findings,"Heart size is enlarged but stable. There are chronic coarsened interstitial markings. The opacity in the left suprahilar region is partially attributed to postsurgical scarring as well as the previously seen consolidation, however is not well evaluated on this single frontal projection. Right pleural effusion is increased, now small to moderate.",Heart size is enlarged but stable.,heart size,,Stable,['files/p14/p14851532/s57086484/f9af4910-694f5e1f-75e4a512-0bd1c6dc-e4616d88.jpg'],"['files/p14/p14851532/s57001723/091d7e7b-911382e5-4350f5a9-e20145c0-1c75286f.jpg\n', 'files/p14/p14851532/s57001723/5828d9a8-9cf90a1a-c0941ded-b106d21c-4625544a.jpg\n', 'files/p14/p14851532/s57001723/c998a605-df576475-7a0c7a3f-4e3b3410-0d78cdd2.jpg\n']"
s57086484_51,p14851532,s57086484,51,Findings,"Heart size is enlarged but stable. There are chronic coarsened interstitial markings. The opacity in the left suprahilar region is partially attributed to postsurgical scarring as well as the previously seen consolidation, however is not well evaluated on this single frontal projection. Right pleural effusion is increased, now small to moderate.","Right pleural effusion is increased, now small to moderate.",pleural effusion,right,Worse,['files/p14/p14851532/s57086484/f9af4910-694f5e1f-75e4a512-0bd1c6dc-e4616d88.jpg'],"['files/p14/p14851532/s57001723/091d7e7b-911382e5-4350f5a9-e20145c0-1c75286f.jpg\n', 'files/p14/p14851532/s57001723/5828d9a8-9cf90a1a-c0941ded-b106d21c-4625544a.jpg\n', 'files/p14/p14851532/s57001723/c998a605-df576475-7a0c7a3f-4e3b3410-0d78cdd2.jpg\n']"
s57086484_51,p14851532,s57086484,51,Impression,"1. Increased right pleural effusion since the prior radiographs. 2. Moderate cardiomegaly, stable. 3. Left suprahilar opacity is attributed to postsurgical scarring and a previously seen consolidation, however is less well evaluated on the current radiograph. Frontal and lateral projections can be obtained for further evaluation as needed.",Increased right pleural effusion since the prior radiographs.,pleural effusion,right,Worse,['files/p14/p14851532/s57086484/f9af4910-694f5e1f-75e4a512-0bd1c6dc-e4616d88.jpg'],"['files/p14/p14851532/s57001723/091d7e7b-911382e5-4350f5a9-e20145c0-1c75286f.jpg\n', 'files/p14/p14851532/s57001723/5828d9a8-9cf90a1a-c0941ded-b106d21c-4625544a.jpg\n', 'files/p14/p14851532/s57001723/c998a605-df576475-7a0c7a3f-4e3b3410-0d78cdd2.jpg\n']"
s57086484_51,p14851532,s57086484,51,Impression,"1. Increased right pleural effusion since the prior radiographs. 2. Moderate cardiomegaly, stable. 3. Left suprahilar opacity is attributed to postsurgical scarring and a previously seen consolidation, however is less well evaluated on the current radiograph. Frontal and lateral projections can be obtained for further evaluation as needed.","Moderate cardiomegaly, stable.",cardiomegaly,,Stable,['files/p14/p14851532/s57086484/f9af4910-694f5e1f-75e4a512-0bd1c6dc-e4616d88.jpg'],"['files/p14/p14851532/s57001723/091d7e7b-911382e5-4350f5a9-e20145c0-1c75286f.jpg\n', 'files/p14/p14851532/s57001723/5828d9a8-9cf90a1a-c0941ded-b106d21c-4625544a.jpg\n', 'files/p14/p14851532/s57001723/c998a605-df576475-7a0c7a3f-4e3b3410-0d78cdd2.jpg\n']"
s57089146_47,p14851532,s57089146,47,Impression,"As compared to ___, the lung volumes have slightly decreased. The multiple pre-existing parenchymal opacities, notably at the right lung base and in the left perihilar areas, are constant in extent and severity. Moderate cardiomegaly. Mild elongation of the descending aorta. No overt pulmonary edema. No pleural effusions. The right internal jugular vein catheter continues to be in correct position.","The multiple pre-existing parenchymal opacities, notably at the right lung base and in the left perihilar areas, are constant in extent and severity",parenchymal opacities,right lung base and left perihilar areas,Stable,['files/p14/p14851532/s57089146/aaaa9831-9d16cbd6-73e400af-8f17ddaf-44968eda.jpg'],['files/p14/p14851532/s57086484/f9af4910-694f5e1f-75e4a512-0bd1c6dc-e4616d88.jpg\n']
s57089146_47,p14851532,s57089146,47,Impression,"As compared to ___, the lung volumes have slightly decreased. The multiple pre-existing parenchymal opacities, notably at the right lung base and in the left perihilar areas, are constant in extent and severity. Moderate cardiomegaly. Mild elongation of the descending aorta. No overt pulmonary edema. No pleural effusions. The right internal jugular vein catheter continues to be in correct position.","As compared to ___, the lung volumes have slightly decreased",lung volumes,,Worse,['files/p14/p14851532/s57089146/aaaa9831-9d16cbd6-73e400af-8f17ddaf-44968eda.jpg'],['files/p14/p14851532/s57086484/f9af4910-694f5e1f-75e4a512-0bd1c6dc-e4616d88.jpg\n']
s57096024_10,p19991135,s57096024,10,Impression,"PA and lateral chest compared to ___ through ___ at 3:59 p.m. Subcutaneous emphysema in the right chest wall has diminished slightly since removal of the right pleural tube. There is still a small pocket of air and fluid, or clot in the right upper chest alongside the surgical rib fracture. Right lung is diffusely edematous, perhaps from hilar lymphatic or venous congestion. Left lung is hyperinflated due to emphysema and clear of any focal abnormality. The heart is normal size. Fullness in the postoperative right hilus has improved since ___. Lateral view shows persistence of an anterior air and fluid collection, which on the frontal view is at the level of the third anterior interspace.",Fullness in the postoperative right hilus has improved since ___.,Fullness,postoperative right hilus,Better,"['files/p19/p19991135/s57096024/3616a226-c86c9ea2-733dbb59-4b1530a0-ba7b25dc.jpg', 'files/p19/p19991135/s57096024/4998e40c-698af874-8c293856-85757f55-1a4817e4.jpg', 'files/p19/p19991135/s57096024/6e57e7d7-a4f8c909-e7540997-0280112e-14da108f.jpg']","['files/p19/p19991135/s56918032/2d0477bb-67599f90-d6b6437f-e9e37104-38079f1b.jpg\n', 'files/p19/p19991135/s56918032/52e964a2-7fa373f2-9b88b009-123e8817-48889d6b.jpg\n', 'files/p19/p19991135/s56918032/ebe1c050-b5cd68d5-7eb2b544-8906f022-e95300a4.jpg\n']"
s57096024_10,p19991135,s57096024,10,Impression,"PA and lateral chest compared to ___ through ___ at 3:59 p.m. Subcutaneous emphysema in the right chest wall has diminished slightly since removal of the right pleural tube. There is still a small pocket of air and fluid, or clot in the right upper chest alongside the surgical rib fracture. Right lung is diffusely edematous, perhaps from hilar lymphatic or venous congestion. Left lung is hyperinflated due to emphysema and clear of any focal abnormality. The heart is normal size. Fullness in the postoperative right hilus has improved since ___. Lateral view shows persistence of an anterior air and fluid collection, which on the frontal view is at the level of the third anterior interspace.",Subcutaneous emphysema in the right chest wall has diminished slightly since removal of the right pleural tube.,Subcutaneous emphysema,right chest wall,Resolve,"['files/p19/p19991135/s57096024/3616a226-c86c9ea2-733dbb59-4b1530a0-ba7b25dc.jpg', 'files/p19/p19991135/s57096024/4998e40c-698af874-8c293856-85757f55-1a4817e4.jpg', 'files/p19/p19991135/s57096024/6e57e7d7-a4f8c909-e7540997-0280112e-14da108f.jpg']","['files/p19/p19991135/s56918032/2d0477bb-67599f90-d6b6437f-e9e37104-38079f1b.jpg\n', 'files/p19/p19991135/s56918032/52e964a2-7fa373f2-9b88b009-123e8817-48889d6b.jpg\n', 'files/p19/p19991135/s56918032/ebe1c050-b5cd68d5-7eb2b544-8906f022-e95300a4.jpg\n']"
s57096024_10,p19991135,s57096024,10,Impression,"PA and lateral chest compared to ___ through ___ at 3:59 p.m. Subcutaneous emphysema in the right chest wall has diminished slightly since removal of the right pleural tube. There is still a small pocket of air and fluid, or clot in the right upper chest alongside the surgical rib fracture. Right lung is diffusely edematous, perhaps from hilar lymphatic or venous congestion. Left lung is hyperinflated due to emphysema and clear of any focal abnormality. The heart is normal size. Fullness in the postoperative right hilus has improved since ___. Lateral view shows persistence of an anterior air and fluid collection, which on the frontal view is at the level of the third anterior interspace.","Lateral view shows persistence of an anterior air and fluid collection, which on the frontal view is at the level of the third anterior interspace.",air and fluid collection,anterior,Stable,"['files/p19/p19991135/s57096024/3616a226-c86c9ea2-733dbb59-4b1530a0-ba7b25dc.jpg', 'files/p19/p19991135/s57096024/4998e40c-698af874-8c293856-85757f55-1a4817e4.jpg', 'files/p19/p19991135/s57096024/6e57e7d7-a4f8c909-e7540997-0280112e-14da108f.jpg']","['files/p19/p19991135/s56918032/2d0477bb-67599f90-d6b6437f-e9e37104-38079f1b.jpg\n', 'files/p19/p19991135/s56918032/52e964a2-7fa373f2-9b88b009-123e8817-48889d6b.jpg\n', 'files/p19/p19991135/s56918032/ebe1c050-b5cd68d5-7eb2b544-8906f022-e95300a4.jpg\n']"
s57106816_23,p13964474,s57106816,23,Findings,"In comparison with the earlier study of this date, there are continued multifocal areas of consolidation with abscess formation especially at the right base. Monitoring and support devices remain in place.",Monitoring and support devices remain in place.,monitoring and support devices,,Stable,['files/p13/p13964474/s57106816/f0707946-32499bba-77b6424d-f14642eb-587039a5.jpg'],['files/p13/p13964474/s56999137/171e85cb-282b0f3f-e2cb30e8-b7aaa1ca-3e4422d5.jpg\n']
s57106816_23,p13964474,s57106816,23,Findings,"In comparison with the earlier study of this date, there are continued multifocal areas of consolidation with abscess formation especially at the right base. Monitoring and support devices remain in place.","In comparison with the earlier study of this date, there are continued multifocal areas of consolidation with abscess formation especially at the right base.",multifocal areas of consolidation with abscess,right base,Stable,['files/p13/p13964474/s57106816/f0707946-32499bba-77b6424d-f14642eb-587039a5.jpg'],['files/p13/p13964474/s56999137/171e85cb-282b0f3f-e2cb30e8-b7aaa1ca-3e4422d5.jpg\n']
s57107868_2,p10410641,s57107868,2,Impression,"Reoccurrence of right-sided pleural effusion in patient with history of pancreatic carcinoma. No radiographic evidence of CHF, cardiac enlargement or fluid overload.",Reoccurrence of right-sided pleural effusion in patient with history of pancreatic carcinoma.,pleural effusion,right-sided,Worse,"['files/p10/p10410641/s57107868/cd4ebf22-1a0a69bf-b1e1a096-77c39a54-cefbd739.jpg', 'files/p10/p10410641/s57107868/d471efcd-b9883de0-61154002-0ed78c74-1fe5a5e5.jpg']",['files/p10/p10410641/s56839020/5644c5de-1ae5b48c-edb63079-e8230bfa-79dfbf13.jpg\n']
s57115906_10,p13881772,s57115906,10,Impression,AP chest compared to ___: Feeding tube with a wire stylet in place ends in the lower esophagus and would need to be advanced at least 16 cm to move all the side ports into the stomach. Dr. ___ was paged as requested. Moderate bilateral pleural effusions and left lower lobe atelectasis have worsened. Upper lungs are clear. Heart size normal. No pneumothorax. Probe is unchanged in position at the gastroesophageal junction and a nasogastric drainage tube still ends in the upper esophagus. Right internal jugular line tip is low in the SVC. ET tube in standard placement. No pneumothorax.,Moderate bilateral pleural effusions and left lower lobe atelectasis have worsened.,atelectasis,left lower lobe,Worse,['files/p13/p13881772/s57115906/f7c1ec7a-0d984a70-7c3d7474-03681daa-d3cb5959.jpg'],"['files/p13/p13881772/s56217980/430828eb-7dec0d0c-7b255eae-3baecf25-4a61cddb.jpg\n', 'files/p13/p13881772/s56217980/8c7ee112-c1f78575-59746254-e217c9f2-81146a87.jpg\n']"
s57115906_10,p13881772,s57115906,10,Impression,AP chest compared to ___: Feeding tube with a wire stylet in place ends in the lower esophagus and would need to be advanced at least 16 cm to move all the side ports into the stomach. Dr. ___ was paged as requested. Moderate bilateral pleural effusions and left lower lobe atelectasis have worsened. Upper lungs are clear. Heart size normal. No pneumothorax. Probe is unchanged in position at the gastroesophageal junction and a nasogastric drainage tube still ends in the upper esophagus. Right internal jugular line tip is low in the SVC. ET tube in standard placement. No pneumothorax.,Probe is unchanged in position at the gastroesophageal junction and a nasogastric drainage tube still ends in the upper esophagus.,nasogastric drainage tube,upper esophagus,Stable,['files/p13/p13881772/s57115906/f7c1ec7a-0d984a70-7c3d7474-03681daa-d3cb5959.jpg'],"['files/p13/p13881772/s56217980/430828eb-7dec0d0c-7b255eae-3baecf25-4a61cddb.jpg\n', 'files/p13/p13881772/s56217980/8c7ee112-c1f78575-59746254-e217c9f2-81146a87.jpg\n']"
s57115906_10,p13881772,s57115906,10,Impression,AP chest compared to ___: Feeding tube with a wire stylet in place ends in the lower esophagus and would need to be advanced at least 16 cm to move all the side ports into the stomach. Dr. ___ was paged as requested. Moderate bilateral pleural effusions and left lower lobe atelectasis have worsened. Upper lungs are clear. Heart size normal. No pneumothorax. Probe is unchanged in position at the gastroesophageal junction and a nasogastric drainage tube still ends in the upper esophagus. Right internal jugular line tip is low in the SVC. ET tube in standard placement. No pneumothorax.,Moderate bilateral pleural effusions and left lower lobe atelectasis have worsened.,pleural effusions,bilateral,Worse,['files/p13/p13881772/s57115906/f7c1ec7a-0d984a70-7c3d7474-03681daa-d3cb5959.jpg'],"['files/p13/p13881772/s56217980/430828eb-7dec0d0c-7b255eae-3baecf25-4a61cddb.jpg\n', 'files/p13/p13881772/s56217980/8c7ee112-c1f78575-59746254-e217c9f2-81146a87.jpg\n']"
s57115906_10,p13881772,s57115906,10,Impression,AP chest compared to ___: Feeding tube with a wire stylet in place ends in the lower esophagus and would need to be advanced at least 16 cm to move all the side ports into the stomach. Dr. ___ was paged as requested. Moderate bilateral pleural effusions and left lower lobe atelectasis have worsened. Upper lungs are clear. Heart size normal. No pneumothorax. Probe is unchanged in position at the gastroesophageal junction and a nasogastric drainage tube still ends in the upper esophagus. Right internal jugular line tip is low in the SVC. ET tube in standard placement. No pneumothorax.,Probe is unchanged in position at the gastroesophageal junction and a nasogastric drainage tube still ends in the upper esophagus.,Probe,gastroesophageal junction,Stable,['files/p13/p13881772/s57115906/f7c1ec7a-0d984a70-7c3d7474-03681daa-d3cb5959.jpg'],"['files/p13/p13881772/s56217980/430828eb-7dec0d0c-7b255eae-3baecf25-4a61cddb.jpg\n', 'files/p13/p13881772/s56217980/8c7ee112-c1f78575-59746254-e217c9f2-81146a87.jpg\n']"
s57120452_21,p14744884,s57120452,21,Findings,"Lung volumes are slightly low, as before, with persistent mild pulmonary vascular congestion and mild cardiomegaly. No focal consolidation concerning for pneumonia is identified. There is no pneumothorax. A metallic right subclavian vein stent is unchanged.","Lung volumes are slightly low, as before, with persistent mild pulmonary vascular congestion and mild cardiomegaly.",mild cardiomegaly,heart,Stable,"['files/p14/p14744884/s57120452/b7013a8b-6c5dab19-f07b823e-d65d3507-a7548d2f.jpg', 'files/p14/p14744884/s57120452/ccb23713-fc3403f9-ed87ad5d-f67a8be5-b4067886.jpg']",['files/p14/p14744884/s57048625/a23f7cc0-2cc8da91-5f864f5b-6672534c-98f63cd8.jpg\n']
s57120452_21,p14744884,s57120452,21,Findings,"Lung volumes are slightly low, as before, with persistent mild pulmonary vascular congestion and mild cardiomegaly. No focal consolidation concerning for pneumonia is identified. There is no pneumothorax. A metallic right subclavian vein stent is unchanged.",A metallic right subclavian vein stent is unchanged.,stent,right subclavian vein,Stable,"['files/p14/p14744884/s57120452/b7013a8b-6c5dab19-f07b823e-d65d3507-a7548d2f.jpg', 'files/p14/p14744884/s57120452/ccb23713-fc3403f9-ed87ad5d-f67a8be5-b4067886.jpg']",['files/p14/p14744884/s57048625/a23f7cc0-2cc8da91-5f864f5b-6672534c-98f63cd8.jpg\n']
s57120452_21,p14744884,s57120452,21,Impression,Stable mild pulmonary vascular congestion and mild cardiomegaly.,Stable mild pulmonary vascular congestion and mild cardiomegaly.,mild pulmonary vascular congestion,lungs,Stable,"['files/p14/p14744884/s57120452/b7013a8b-6c5dab19-f07b823e-d65d3507-a7548d2f.jpg', 'files/p14/p14744884/s57120452/ccb23713-fc3403f9-ed87ad5d-f67a8be5-b4067886.jpg']",['files/p14/p14744884/s57048625/a23f7cc0-2cc8da91-5f864f5b-6672534c-98f63cd8.jpg\n']
s57120452_21,p14744884,s57120452,21,Impression,Stable mild pulmonary vascular congestion and mild cardiomegaly.,Stable mild pulmonary vascular congestion and mild cardiomegaly.,mild cardiomegaly,heart,Stable,"['files/p14/p14744884/s57120452/b7013a8b-6c5dab19-f07b823e-d65d3507-a7548d2f.jpg', 'files/p14/p14744884/s57120452/ccb23713-fc3403f9-ed87ad5d-f67a8be5-b4067886.jpg']",['files/p14/p14744884/s57048625/a23f7cc0-2cc8da91-5f864f5b-6672534c-98f63cd8.jpg\n']
s57120452_21,p14744884,s57120452,21,Findings,"Lung volumes are slightly low, as before, with persistent mild pulmonary vascular congestion and mild cardiomegaly. No focal consolidation concerning for pneumonia is identified. There is no pneumothorax. A metallic right subclavian vein stent is unchanged.","Lung volumes are slightly low, as before, with persistent mild pulmonary vascular congestion and mild cardiomegaly.",mild pulmonary vascular congestion,lungs,Stable,"['files/p14/p14744884/s57120452/b7013a8b-6c5dab19-f07b823e-d65d3507-a7548d2f.jpg', 'files/p14/p14744884/s57120452/ccb23713-fc3403f9-ed87ad5d-f67a8be5-b4067886.jpg']",['files/p14/p14744884/s57048625/a23f7cc0-2cc8da91-5f864f5b-6672534c-98f63cd8.jpg\n']
s57120452_21,p14744884,s57120452,21,Findings,"Lung volumes are slightly low, as before, with persistent mild pulmonary vascular congestion and mild cardiomegaly. No focal consolidation concerning for pneumonia is identified. There is no pneumothorax. A metallic right subclavian vein stent is unchanged.","Lung volumes are slightly low, as before, with persistent mild pulmonary vascular congestion and mild cardiomegaly.",low volume,lungs,Stable,"['files/p14/p14744884/s57120452/b7013a8b-6c5dab19-f07b823e-d65d3507-a7548d2f.jpg', 'files/p14/p14744884/s57120452/ccb23713-fc3403f9-ed87ad5d-f67a8be5-b4067886.jpg']",['files/p14/p14744884/s57048625/a23f7cc0-2cc8da91-5f864f5b-6672534c-98f63cd8.jpg\n']
s57120453_3,p18322589,s57120453,3,Impression,1. Unchanged severe pulmonary edema. Bilateral pleural effusions are unchanged. 2. Right atrial lead still ends at the inferior cavoatrial junction.,2. Right atrial lead still ends at the inferior cavoatrial junction.,lead,right atrial,Stable,['files/p18/p18322589/s57120453/5cc8a35c-430e95e2-0ece986e-69a22503-cc4bf39e.jpg'],['files/p18/p18322589/s56196471/3316f535-55fb94a2-9ced6576-f0cb4da1-83d82a05.jpg\n']
s57120453_3,p18322589,s57120453,3,Findings,"One portable AP semi-erect view of the chest. Severe pulmonary edema is unchanged. Bilateral pleural effusions are unchanged. Moderate cardiomegaly is stable. There is no evidence of pneumothorax. Sternotomy wires and mitral valve hardware are in appropriate position. Right atrial transvenous pacer lead still passes posteriorly in the right atrium ending at the inferior cavoatrial junction, a nonstandard position. The right ventricular lead is in appropriate position.","Right atrial transvenous pacer lead still passes posteriorly in the right atrium ending at the inferior cavoatrial junction, a nonstandard position.",transvenous pacer lead,right atrium,Stable,['files/p18/p18322589/s57120453/5cc8a35c-430e95e2-0ece986e-69a22503-cc4bf39e.jpg'],['files/p18/p18322589/s56196471/3316f535-55fb94a2-9ced6576-f0cb4da1-83d82a05.jpg\n']
s57120453_3,p18322589,s57120453,3,Findings,"One portable AP semi-erect view of the chest. Severe pulmonary edema is unchanged. Bilateral pleural effusions are unchanged. Moderate cardiomegaly is stable. There is no evidence of pneumothorax. Sternotomy wires and mitral valve hardware are in appropriate position. Right atrial transvenous pacer lead still passes posteriorly in the right atrium ending at the inferior cavoatrial junction, a nonstandard position. The right ventricular lead is in appropriate position.",Bilateral pleural effusions are unchanged.,pleural effusions,bilateral,Stable,['files/p18/p18322589/s57120453/5cc8a35c-430e95e2-0ece986e-69a22503-cc4bf39e.jpg'],['files/p18/p18322589/s56196471/3316f535-55fb94a2-9ced6576-f0cb4da1-83d82a05.jpg\n']
s57120453_3,p18322589,s57120453,3,Findings,"One portable AP semi-erect view of the chest. Severe pulmonary edema is unchanged. Bilateral pleural effusions are unchanged. Moderate cardiomegaly is stable. There is no evidence of pneumothorax. Sternotomy wires and mitral valve hardware are in appropriate position. Right atrial transvenous pacer lead still passes posteriorly in the right atrium ending at the inferior cavoatrial junction, a nonstandard position. The right ventricular lead is in appropriate position.",Severe pulmonary edema is unchanged.,pulmonary edema,,Stable,['files/p18/p18322589/s57120453/5cc8a35c-430e95e2-0ece986e-69a22503-cc4bf39e.jpg'],['files/p18/p18322589/s56196471/3316f535-55fb94a2-9ced6576-f0cb4da1-83d82a05.jpg\n']
s57120453_3,p18322589,s57120453,3,Impression,1. Unchanged severe pulmonary edema. Bilateral pleural effusions are unchanged. 2. Right atrial lead still ends at the inferior cavoatrial junction.,1. Unchanged severe pulmonary edema. Bilateral pleural effusions are unchanged.,pleural effusions,bilateral,Stable,['files/p18/p18322589/s57120453/5cc8a35c-430e95e2-0ece986e-69a22503-cc4bf39e.jpg'],['files/p18/p18322589/s56196471/3316f535-55fb94a2-9ced6576-f0cb4da1-83d82a05.jpg\n']
s57120453_3,p18322589,s57120453,3,Findings,"One portable AP semi-erect view of the chest. Severe pulmonary edema is unchanged. Bilateral pleural effusions are unchanged. Moderate cardiomegaly is stable. There is no evidence of pneumothorax. Sternotomy wires and mitral valve hardware are in appropriate position. Right atrial transvenous pacer lead still passes posteriorly in the right atrium ending at the inferior cavoatrial junction, a nonstandard position. The right ventricular lead is in appropriate position.",Moderate cardiomegaly is stable.,cardiomegaly,,Stable,['files/p18/p18322589/s57120453/5cc8a35c-430e95e2-0ece986e-69a22503-cc4bf39e.jpg'],['files/p18/p18322589/s56196471/3316f535-55fb94a2-9ced6576-f0cb4da1-83d82a05.jpg\n']
s57120453_3,p18322589,s57120453,3,Impression,1. Unchanged severe pulmonary edema. Bilateral pleural effusions are unchanged. 2. Right atrial lead still ends at the inferior cavoatrial junction.,1. Unchanged severe pulmonary edema. Bilateral pleural effusions are unchanged.,pulmonary edema,,Stable,['files/p18/p18322589/s57120453/5cc8a35c-430e95e2-0ece986e-69a22503-cc4bf39e.jpg'],['files/p18/p18322589/s56196471/3316f535-55fb94a2-9ced6576-f0cb4da1-83d82a05.jpg\n']
s57123927_22,p16751749,s57123927,22,Impression,"Two frontal views of the chest show greater opacification in the left lower lung which could represent new pneumonia, less likely asymmetric edema because edema has not worsened elsewhere. Focal areas of possible hemorrhage in the right suprahilar and left lateral suprahilar lungs are unchanged, as well as the likely hematoma along the track of the right pleural tube. Heart size normal. No detectable pneumothorax. Extensive subcutaneous emphysema unchanged. Tracheostomy tube in standard placement.","Focal areas of possible hemorrhage in the right suprahilar and left lateral suprahilar lungs are unchanged, as well as the likely hematoma along the track of the right pleural tube.",hematoma,right,Stable,['files/p16/p16751749/s57123927/9119a930-f6f4b42c-7a484c12-258d4a4a-b033a356.jpg'],['files/p16/p16751749/s56723000/40abd28b-1aff0d0a-65b3fc64-515e3b46-9caef400.jpg\n']
s57123927_22,p16751749,s57123927,22,Impression,"Two frontal views of the chest show greater opacification in the left lower lung which could represent new pneumonia, less likely asymmetric edema because edema has not worsened elsewhere. Focal areas of possible hemorrhage in the right suprahilar and left lateral suprahilar lungs are unchanged, as well as the likely hematoma along the track of the right pleural tube. Heart size normal. No detectable pneumothorax. Extensive subcutaneous emphysema unchanged. Tracheostomy tube in standard placement.",Extensive subcutaneous emphysema unchanged.,subcutaneous emphysema,Extensive,Stable,['files/p16/p16751749/s57123927/9119a930-f6f4b42c-7a484c12-258d4a4a-b033a356.jpg'],['files/p16/p16751749/s56723000/40abd28b-1aff0d0a-65b3fc64-515e3b46-9caef400.jpg\n']
s57123927_22,p16751749,s57123927,22,Impression,"Two frontal views of the chest show greater opacification in the left lower lung which could represent new pneumonia, less likely asymmetric edema because edema has not worsened elsewhere. Focal areas of possible hemorrhage in the right suprahilar and left lateral suprahilar lungs are unchanged, as well as the likely hematoma along the track of the right pleural tube. Heart size normal. No detectable pneumothorax. Extensive subcutaneous emphysema unchanged. Tracheostomy tube in standard placement.","Two frontal views of the chest show greater opacification in the left lower lung which could represent new pneumonia, less likely asymmetric edema because edema has not worsened elsewhere.",pneumonia,left lower lung,New,['files/p16/p16751749/s57123927/9119a930-f6f4b42c-7a484c12-258d4a4a-b033a356.jpg'],['files/p16/p16751749/s56723000/40abd28b-1aff0d0a-65b3fc64-515e3b46-9caef400.jpg\n']
s57123927_22,p16751749,s57123927,22,Impression,"Two frontal views of the chest show greater opacification in the left lower lung which could represent new pneumonia, less likely asymmetric edema because edema has not worsened elsewhere. Focal areas of possible hemorrhage in the right suprahilar and left lateral suprahilar lungs are unchanged, as well as the likely hematoma along the track of the right pleural tube. Heart size normal. No detectable pneumothorax. Extensive subcutaneous emphysema unchanged. Tracheostomy tube in standard placement.","Focal areas of possible hemorrhage in the right suprahilar and left lateral suprahilar lungs are unchanged, as well as the likely hematoma along the track of the right pleural tube.",hemorrhage,right suprahilar and left lateral suprahilar,Stable,['files/p16/p16751749/s57123927/9119a930-f6f4b42c-7a484c12-258d4a4a-b033a356.jpg'],['files/p16/p16751749/s56723000/40abd28b-1aff0d0a-65b3fc64-515e3b46-9caef400.jpg\n']
s57124801_52,p15131736,s57124801,52,Impression,"Moderate pulmonary edema, improved from prior.","Moderate pulmonary edema, improved from prior.",Pulmonary edema,,Better,['files/p15/p15131736/s57124801/c2b22508-19420edd-b20d6189-f63a4ebf-54d99e64.jpg'],['files/p15/p15131736/s56996131/47824497-77e713da-b1f179d8-ecf443d2-4fca0009.jpg\n']
s57124801_52,p15131736,s57124801,52,Findings,Cardiomegaly is stable. Pulmonary edema is improved and is now moderate. There is no new focal consolidation or pneumothorax.,Pulmonary edema is improved and is now moderate.,Pulmonary edema,,Better,['files/p15/p15131736/s57124801/c2b22508-19420edd-b20d6189-f63a4ebf-54d99e64.jpg'],['files/p15/p15131736/s56996131/47824497-77e713da-b1f179d8-ecf443d2-4fca0009.jpg\n']
s57124801_52,p15131736,s57124801,52,Findings,Cardiomegaly is stable. Pulmonary edema is improved and is now moderate. There is no new focal consolidation or pneumothorax.,Cardiomegaly is stable.,Cardiomegaly,,Stable,['files/p15/p15131736/s57124801/c2b22508-19420edd-b20d6189-f63a4ebf-54d99e64.jpg'],['files/p15/p15131736/s56996131/47824497-77e713da-b1f179d8-ecf443d2-4fca0009.jpg\n']
s57130836_21,p13979643,s57130836,21,Findings,"AP single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of ___. Previously identified left-sided PICC line remains in unchanged position. An NG tube is seen to be curled up in the epipharynx area and the tip of the line reaches just in the upper portion of the esophagus, terminating 3 to 4 cm above the level of the carina. Adjustment of NG tube is required. Ref. physician was paged at 4:30 p.m. Case was discussed and tube had been withdrawn completely.",Ref. physician was paged at 4:30 p.m. Case was discussed and tube had been withdrawn completely.,NG tube,not specified,Resolve,['files/p13/p13979643/s57130836/2c418fdf-dbd4bdb4-f0a46833-6fd3f24f-a1fb71de.jpg'],['files/p13/p13979643/s57065575/1982caee-73cd2f56-0f1d96b7-2b66f5fc-69c0c582.jpg\n']
s57130836_21,p13979643,s57130836,21,Findings,"AP single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of ___. Previously identified left-sided PICC line remains in unchanged position. An NG tube is seen to be curled up in the epipharynx area and the tip of the line reaches just in the upper portion of the esophagus, terminating 3 to 4 cm above the level of the carina. Adjustment of NG tube is required. Ref. physician was paged at 4:30 p.m. Case was discussed and tube had been withdrawn completely.",Previously identified left-sided PICC line remains in unchanged position.,PICC line,left-sided,Stable,['files/p13/p13979643/s57130836/2c418fdf-dbd4bdb4-f0a46833-6fd3f24f-a1fb71de.jpg'],['files/p13/p13979643/s57065575/1982caee-73cd2f56-0f1d96b7-2b66f5fc-69c0c582.jpg\n']
s57132221_22,p15114531,s57132221,22,Findings,"The lungs appear hyperinflated, but are without consolidation or parenchymal abnormality. The cardiomediastinal silhouette appears unremarkable. No pleural effusion or pneumothorax is seen. Bilateral, stable, and symmetric apical pleural scarring is seen. Surgical clips are seen in the left upper abdominal quadrant.","Bilateral, stable, and symmetric apical pleural scarring is seen.",pleural scarring,"Bilateral, symmetric apical",Stable,"['files/p15/p15114531/s57132221/38a9b23d-4349cfb4-451a3bfd-346ed01f-b4360327.jpg', 'files/p15/p15114531/s57132221/939fd73d-90b151b7-0fd1e28a-f74c0f61-e2cb7917.jpg']",['files/p15/p15114531/s56753331/3fc3893f-6a756dad-3cfcb050-5d1e7080-9ef06032.jpg\n']
s57135264_1,p18906643,s57135264,1,Findings,"The patient is status post median sternotomy and CABG. The heart is mild to moderately enlarged, unchanged. Mediastinal and hilar contours are unchanged. Mild pulmonary vascular engorgement is present, not significantly changed compared to the prior radiograph. No pleural effusion or pneumothorax is seen. Bibasilar airspace opacities are likely reflective of atelectasis.",Mediastinal and hilar contours are unchanged.,,Mediastinal and hilar contours,Stable,['files/p18/p18906643/s57135264/742a919c-4e4a6e34-f49de182-4a0dafcf-8b3c101b.jpg'],['files/p18/p18906643/s56984180/39bea45f-8269a068-67fbcd81-495f87cc-bde587cb.jpg\n']
s57135264_1,p18906643,s57135264,1,Findings,"The patient is status post median sternotomy and CABG. The heart is mild to moderately enlarged, unchanged. Mediastinal and hilar contours are unchanged. Mild pulmonary vascular engorgement is present, not significantly changed compared to the prior radiograph. No pleural effusion or pneumothorax is seen. Bibasilar airspace opacities are likely reflective of atelectasis.","Mild pulmonary vascular engorgement is present, not significantly changed compared to the prior radiograph.",Engorgement,Pulmonary vasculature,Stable,['files/p18/p18906643/s57135264/742a919c-4e4a6e34-f49de182-4a0dafcf-8b3c101b.jpg'],['files/p18/p18906643/s56984180/39bea45f-8269a068-67fbcd81-495f87cc-bde587cb.jpg\n']
s57135264_1,p18906643,s57135264,1,Findings,"The patient is status post median sternotomy and CABG. The heart is mild to moderately enlarged, unchanged. Mediastinal and hilar contours are unchanged. Mild pulmonary vascular engorgement is present, not significantly changed compared to the prior radiograph. No pleural effusion or pneumothorax is seen. Bibasilar airspace opacities are likely reflective of atelectasis.","The heart is mild to moderately enlarged, unchanged.",Enlargement,Heart,Stable,['files/p18/p18906643/s57135264/742a919c-4e4a6e34-f49de182-4a0dafcf-8b3c101b.jpg'],['files/p18/p18906643/s56984180/39bea45f-8269a068-67fbcd81-495f87cc-bde587cb.jpg\n']
s57137730_1,p18615099,s57137730,1,Findings,"Single portable upright chest radiograph was obtained. Linear atelectasis at the right base is more discrete compared to prior exam. No consolidation, effusion or pneumothorax is present. Moderate cardiomegaly is stable. A tiny right effusion is noted. Surgical clips and sternotomy wires are intact. A left chest cardiac device has two leads in stable position.",Linear atelectasis at the right base is more discrete compared to prior exam.,linear atelectasis,right base,Better,['files/p18/p18615099/s57137730/f0e11656-d359330e-8e7c2e5d-09c9d0d0-583da81f.jpg'],['files/p18/p18615099/s56961814/61ae8e67-88ced0e9-c454f0c6-1cb71dd6-26e77a9e.jpg\n']
s57137730_1,p18615099,s57137730,1,Findings,"Single portable upright chest radiograph was obtained. Linear atelectasis at the right base is more discrete compared to prior exam. No consolidation, effusion or pneumothorax is present. Moderate cardiomegaly is stable. A tiny right effusion is noted. Surgical clips and sternotomy wires are intact. A left chest cardiac device has two leads in stable position.",A left chest cardiac device has two leads in stable position.,cardiac device with two leads,left chest,Stable,['files/p18/p18615099/s57137730/f0e11656-d359330e-8e7c2e5d-09c9d0d0-583da81f.jpg'],['files/p18/p18615099/s56961814/61ae8e67-88ced0e9-c454f0c6-1cb71dd6-26e77a9e.jpg\n']
s57137730_1,p18615099,s57137730,1,Findings,"Single portable upright chest radiograph was obtained. Linear atelectasis at the right base is more discrete compared to prior exam. No consolidation, effusion or pneumothorax is present. Moderate cardiomegaly is stable. A tiny right effusion is noted. Surgical clips and sternotomy wires are intact. A left chest cardiac device has two leads in stable position.",Moderate cardiomegaly is stable.,moderate cardiomegaly,,Stable,['files/p18/p18615099/s57137730/f0e11656-d359330e-8e7c2e5d-09c9d0d0-583da81f.jpg'],['files/p18/p18615099/s56961814/61ae8e67-88ced0e9-c454f0c6-1cb71dd6-26e77a9e.jpg\n']
s57142346_16,p14295224,s57142346,16,Findings,"The patient is status of previous radiation therapy in the right lung, with associated geographically marginated radiation fibrosis in the right paramediastinal and hilar regions with associated volume loss in the right lung. Pleural thickening at the right apex and right costophrenic angle also appear stable. Heterogeneous lung opacities in the right lung on the ___ radiograph have resolved. No new areas of consolidation are identified. A sub cm nodular opacity is seen in the periphery of the right lower lung and appears unchanged from ___ radiograph, corresponding to a subpleural nodule on CT of ___.",Pleural thickening at the right apex and right costophrenic angle also appear stable.,pleural thickening,right apex and right costophrenic angle,Stable,"['files/p14/p14295224/s57142346/12f2d9bf-89dc902e-a9cd6aaa-22c63b63-c5abd408.jpg', 'files/p14/p14295224/s57142346/9cac5e9e-a11f21ce-17358ddc-fe61c0b1-db4019ec.jpg']","['files/p14/p14295224/s56592251/33284e5a-85da9149-d0f13ac2-f5decf0b-1c4c6eb8.jpg\n', 'files/p14/p14295224/s56592251/fd446187-4918e937-9c58f354-86463aca-af75d8a6.jpg\n']"
s57142346_16,p14295224,s57142346,16,Findings,"The patient is status of previous radiation therapy in the right lung, with associated geographically marginated radiation fibrosis in the right paramediastinal and hilar regions with associated volume loss in the right lung. Pleural thickening at the right apex and right costophrenic angle also appear stable. Heterogeneous lung opacities in the right lung on the ___ radiograph have resolved. No new areas of consolidation are identified. A sub cm nodular opacity is seen in the periphery of the right lower lung and appears unchanged from ___ radiograph, corresponding to a subpleural nodule on CT of ___.",Heterogeneous lung opacities in the right lung on the ___ radiograph have resolved.,heterogeneous lung opacities,right lung,Resolve,"['files/p14/p14295224/s57142346/12f2d9bf-89dc902e-a9cd6aaa-22c63b63-c5abd408.jpg', 'files/p14/p14295224/s57142346/9cac5e9e-a11f21ce-17358ddc-fe61c0b1-db4019ec.jpg']","['files/p14/p14295224/s56592251/33284e5a-85da9149-d0f13ac2-f5decf0b-1c4c6eb8.jpg\n', 'files/p14/p14295224/s56592251/fd446187-4918e937-9c58f354-86463aca-af75d8a6.jpg\n']"
s57142346_16,p14295224,s57142346,16,Findings,"The patient is status of previous radiation therapy in the right lung, with associated geographically marginated radiation fibrosis in the right paramediastinal and hilar regions with associated volume loss in the right lung. Pleural thickening at the right apex and right costophrenic angle also appear stable. Heterogeneous lung opacities in the right lung on the ___ radiograph have resolved. No new areas of consolidation are identified. A sub cm nodular opacity is seen in the periphery of the right lower lung and appears unchanged from ___ radiograph, corresponding to a subpleural nodule on CT of ___.","A sub cm nodular opacity is seen in the periphery of the right lower lung and appears unchanged from ___ radiograph, corresponding to a subpleural nodule on CT of ___.",sub cm nodular opacity,periphery of the right lower lung,Stable,"['files/p14/p14295224/s57142346/12f2d9bf-89dc902e-a9cd6aaa-22c63b63-c5abd408.jpg', 'files/p14/p14295224/s57142346/9cac5e9e-a11f21ce-17358ddc-fe61c0b1-db4019ec.jpg']","['files/p14/p14295224/s56592251/33284e5a-85da9149-d0f13ac2-f5decf0b-1c4c6eb8.jpg\n', 'files/p14/p14295224/s56592251/fd446187-4918e937-9c58f354-86463aca-af75d8a6.jpg\n']"
s57142346_16,p14295224,s57142346,16,Impression,1. Resolution of pneumonia since ___ radiograph. No evidence of recurrence pneumonia,1. Resolution of pneumonia since ___ radiograph. No evidence of recurrence pneumonia,pneumonia,,Resolve,"['files/p14/p14295224/s57142346/12f2d9bf-89dc902e-a9cd6aaa-22c63b63-c5abd408.jpg', 'files/p14/p14295224/s57142346/9cac5e9e-a11f21ce-17358ddc-fe61c0b1-db4019ec.jpg']","['files/p14/p14295224/s56592251/33284e5a-85da9149-d0f13ac2-f5decf0b-1c4c6eb8.jpg\n', 'files/p14/p14295224/s56592251/fd446187-4918e937-9c58f354-86463aca-af75d8a6.jpg\n']"
s57146595_7,p12736592,s57146595,7,Findings,"As compared to the previous radiograph, there is little change. Currently, there is no evidence of pneumothorax. The lung volumes are normal. Only at the right lung base, minimal atelectasis is seen. The image shows absence of pleural effusions and pulmonary edema. Unchanged borderline size of the cardiac silhouette with moderate tortuosity of the thoracic aorta. The soft tissue air collection in the right chest wall is constant. Unchanged sternal wires and clips after CABG.",Unchanged borderline size of the cardiac silhouette with moderate tortuosity of the thoracic aorta.,cardiac silhouette,,Stable,['files/p12/p12736592/s57146595/d7203332-f3c8731e-27d35dc0-3cacfa03-24d07da7.jpg'],['files/p12/p12736592/s56294295/d732824a-2a53ee39-1a60037a-d31d8e45-54dd3a99.jpg\n']
s57146595_7,p12736592,s57146595,7,Findings,"As compared to the previous radiograph, there is little change. Currently, there is no evidence of pneumothorax. The lung volumes are normal. Only at the right lung base, minimal atelectasis is seen. The image shows absence of pleural effusions and pulmonary edema. Unchanged borderline size of the cardiac silhouette with moderate tortuosity of the thoracic aorta. The soft tissue air collection in the right chest wall is constant. Unchanged sternal wires and clips after CABG.",Unchanged sternal wires and clips after CABG.,sternal wires and clips,,Stable,['files/p12/p12736592/s57146595/d7203332-f3c8731e-27d35dc0-3cacfa03-24d07da7.jpg'],['files/p12/p12736592/s56294295/d732824a-2a53ee39-1a60037a-d31d8e45-54dd3a99.jpg\n']
s57146595_7,p12736592,s57146595,7,Findings,"As compared to the previous radiograph, there is little change. Currently, there is no evidence of pneumothorax. The lung volumes are normal. Only at the right lung base, minimal atelectasis is seen. The image shows absence of pleural effusions and pulmonary edema. Unchanged borderline size of the cardiac silhouette with moderate tortuosity of the thoracic aorta. The soft tissue air collection in the right chest wall is constant. Unchanged sternal wires and clips after CABG.",Unchanged borderline size of the cardiac silhouette with moderate tortuosity of the thoracic aorta.,tortuosity of the thoracic aorta,,Stable,['files/p12/p12736592/s57146595/d7203332-f3c8731e-27d35dc0-3cacfa03-24d07da7.jpg'],['files/p12/p12736592/s56294295/d732824a-2a53ee39-1a60037a-d31d8e45-54dd3a99.jpg\n']
s57147904_21,p12530259,s57147904,21,Findings,"The patient has had a prior left lower lobectomy. Since the prior exam, nodular pleural thickening encasing the left lung has increased at the expense of aeration of the left lung with stable elevation of the left hemidiaphragm. Central adenopathy in the left hilus and adjacent mediastinum has also progressed. The right lung is clear. Cardiomediastinal silhouette is unchanged.",Central adenopathy in the left hilus and adjacent mediastinum has also progressed,central adenopathy,left hilus and adjacent mediastinum,Worse,"['files/p12/p12530259/s57147904/5c89e63b-e57804d8-7f1819df-413feb15-01628ce4.jpg', 'files/p12/p12530259/s57147904/ef905e68-392ffa59-22123661-7afd32ae-30f983d5.jpg']",['files/p12/p12530259/s56521967/658f37a6-2df3c400-2edbe336-7e2bfeea-ae16d58d.jpg\n']
s57147904_21,p12530259,s57147904,21,Findings,"The patient has had a prior left lower lobectomy. Since the prior exam, nodular pleural thickening encasing the left lung has increased at the expense of aeration of the left lung with stable elevation of the left hemidiaphragm. Central adenopathy in the left hilus and adjacent mediastinum has also progressed. The right lung is clear. Cardiomediastinal silhouette is unchanged.","Since the prior exam, nodular pleural thickening encasing the left lung has increased at the expense of aeration of the left lung with stable elevation of the left hemidiaphragm",nodular pleural thickening,left lung,Worse,"['files/p12/p12530259/s57147904/5c89e63b-e57804d8-7f1819df-413feb15-01628ce4.jpg', 'files/p12/p12530259/s57147904/ef905e68-392ffa59-22123661-7afd32ae-30f983d5.jpg']",['files/p12/p12530259/s56521967/658f37a6-2df3c400-2edbe336-7e2bfeea-ae16d58d.jpg\n']
s57147904_21,p12530259,s57147904,21,Findings,"The patient has had a prior left lower lobectomy. Since the prior exam, nodular pleural thickening encasing the left lung has increased at the expense of aeration of the left lung with stable elevation of the left hemidiaphragm. Central adenopathy in the left hilus and adjacent mediastinum has also progressed. The right lung is clear. Cardiomediastinal silhouette is unchanged.",Cardiomediastinal silhouette is unchanged,silhouette,cardiomediastinal,Stable,"['files/p12/p12530259/s57147904/5c89e63b-e57804d8-7f1819df-413feb15-01628ce4.jpg', 'files/p12/p12530259/s57147904/ef905e68-392ffa59-22123661-7afd32ae-30f983d5.jpg']",['files/p12/p12530259/s56521967/658f37a6-2df3c400-2edbe336-7e2bfeea-ae16d58d.jpg\n']
s57153483_9,p16435402,s57153483,9,Findings,The lungs are well expanded. Lingular opacity and right basilar linear atelectasis are unchanged from ___. No new opacity is seen. There is no pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.,Lingular opacity and right basilar linear atelectasis are unchanged from ___.,opacity,lingular,Stable,"['files/p16/p16435402/s57153483/1497c1a7-0f52e042-8b3ffade-b8b71145-17eae73d.jpg', 'files/p16/p16435402/s57153483/3a2587b2-54d74fa2-bfaa41f8-376175a0-1ebd1aa5.jpg']","['files/p16/p16435402/s56971397/9867f9b8-833b5f7f-18a67bac-b62caa15-7a215a2b.jpg\n', 'files/p16/p16435402/s56971397/c2fc2eb2-033da9b6-8f6e6304-b08a9f88-3bbe7370.jpg\n']"
s57153483_9,p16435402,s57153483,9,Findings,The lungs are well expanded. Lingular opacity and right basilar linear atelectasis are unchanged from ___. No new opacity is seen. There is no pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.,Lingular opacity and right basilar linear atelectasis are unchanged from ___.,linear atelectasis,right basilar,Stable,"['files/p16/p16435402/s57153483/1497c1a7-0f52e042-8b3ffade-b8b71145-17eae73d.jpg', 'files/p16/p16435402/s57153483/3a2587b2-54d74fa2-bfaa41f8-376175a0-1ebd1aa5.jpg']","['files/p16/p16435402/s56971397/9867f9b8-833b5f7f-18a67bac-b62caa15-7a215a2b.jpg\n', 'files/p16/p16435402/s56971397/c2fc2eb2-033da9b6-8f6e6304-b08a9f88-3bbe7370.jpg\n']"
s57160250_13,p13881772,s57160250,13,Findings,"PA and lateral views of the chest. The lungs are hyperinflated but clear of focal consolidation or vascular congestion. Previously bilateral effusions are no longer visualized. Cardiomediastinal silhouette, osseous and soft tissue structures are unchanged.",Previously bilateral effusions are no longer visualized.,effusions,bilateral,Resolve,['files/p13/p13881772/s57160250/db9446ce-77c54de3-b0148302-3a4c913e-fe9db438.jpg'],['files/p13/p13881772/s57115906/f7c1ec7a-0d984a70-7c3d7474-03681daa-d3cb5959.jpg\n']
s57160250_13,p13881772,s57160250,13,Findings,"PA and lateral views of the chest. The lungs are hyperinflated but clear of focal consolidation or vascular congestion. Previously bilateral effusions are no longer visualized. Cardiomediastinal silhouette, osseous and soft tissue structures are unchanged.","Cardiomediastinal silhouette, osseous and soft tissue structures are unchanged.",Cardiomediastinal silhouette,,Stable,['files/p13/p13881772/s57160250/db9446ce-77c54de3-b0148302-3a4c913e-fe9db438.jpg'],['files/p13/p13881772/s57115906/f7c1ec7a-0d984a70-7c3d7474-03681daa-d3cb5959.jpg\n']
s57160250_13,p13881772,s57160250,13,Findings,"PA and lateral views of the chest. The lungs are hyperinflated but clear of focal consolidation or vascular congestion. Previously bilateral effusions are no longer visualized. Cardiomediastinal silhouette, osseous and soft tissue structures are unchanged.","Cardiomediastinal silhouette, osseous and soft tissue structures are unchanged.",osseous structures,,Stable,['files/p13/p13881772/s57160250/db9446ce-77c54de3-b0148302-3a4c913e-fe9db438.jpg'],['files/p13/p13881772/s57115906/f7c1ec7a-0d984a70-7c3d7474-03681daa-d3cb5959.jpg\n']
s57160250_13,p13881772,s57160250,13,Findings,"PA and lateral views of the chest. The lungs are hyperinflated but clear of focal consolidation or vascular congestion. Previously bilateral effusions are no longer visualized. Cardiomediastinal silhouette, osseous and soft tissue structures are unchanged.","Cardiomediastinal silhouette, osseous and soft tissue structures are unchanged.",soft tissue structures,,Stable,['files/p13/p13881772/s57160250/db9446ce-77c54de3-b0148302-3a4c913e-fe9db438.jpg'],['files/p13/p13881772/s57115906/f7c1ec7a-0d984a70-7c3d7474-03681daa-d3cb5959.jpg\n']
s57160250_13,p13881772,s57160250,13,Impression,Interval resolution of previously seen layering effusions. No acute cardiopulmonary process.,Interval resolution of previously seen layering effusions.,layering effusions,,Resolve,['files/p13/p13881772/s57160250/db9446ce-77c54de3-b0148302-3a4c913e-fe9db438.jpg'],['files/p13/p13881772/s57115906/f7c1ec7a-0d984a70-7c3d7474-03681daa-d3cb5959.jpg\n']
s57161577_1,p16562430,s57161577,1,Findings,"In comparison with the study of ___, the patient has taken a slightly better inspiration. Diffuse interstitial prominence persists in this patient with enlargement of the cardiac silhouette, most likely representing a combination of underlying pulmonary fibrosis and elevated pulmonary venous pressure. In the appropriate setting, the possibility of supervening pneumonia would be difficult to exclude given the substrate of diffuse pulmonary disease.","Diffuse interstitial prominence persists in this patient with enlargement of the cardiac silhouette, most likely representing a combination of underlying pulmonary fibrosis and elevated pulmonary venous pressure.",Cardiac silhouette enlargement,,Stable,['files/p16/p16562430/s57161577/4bc65291-c131317d-d5517a48-0f7151d2-cd115f55.jpg'],['files/p16/p16562430/s51972257/03e4f490-80c314d6-8e4e9cee-cfdf8702-faac4644.jpg\n']
s57161577_1,p16562430,s57161577,1,Findings,"In comparison with the study of ___, the patient has taken a slightly better inspiration. Diffuse interstitial prominence persists in this patient with enlargement of the cardiac silhouette, most likely representing a combination of underlying pulmonary fibrosis and elevated pulmonary venous pressure. In the appropriate setting, the possibility of supervening pneumonia would be difficult to exclude given the substrate of diffuse pulmonary disease.","Diffuse interstitial prominence persists in this patient with enlargement of the cardiac silhouette, most likely representing a combination of underlying pulmonary fibrosis and elevated pulmonary venous pressure.",Diffuse interstitial prominence,,Stable,['files/p16/p16562430/s57161577/4bc65291-c131317d-d5517a48-0f7151d2-cd115f55.jpg'],['files/p16/p16562430/s51972257/03e4f490-80c314d6-8e4e9cee-cfdf8702-faac4644.jpg\n']
s57163975_3,p10867202,s57163975,3,Impression,1. New right PICC is difficult to visualize but likely ends within the lower SVC. 2. Marked interval improvement in what was likely multifocal pneumonia as well as near complete clearance of the bilateral pleural effusions compared to ___. 3. Stable interstitial lung markings consistent with chronic pulmonary fibrosis.,Marked interval improvement in what was likely multifocal pneumonia as well as near complete clearance of the bilateral pleural effusions compared to ___.,pleural effusions,bilateral,Better,"['files/p10/p10867202/s57163975/1231b887-acb0db8e-542e2670-f80f2767-19869a42.jpg', 'files/p10/p10867202/s57163975/51ea4142-02884657-6fad2f5e-4b5e3e24-7eda58aa.jpg', 'files/p10/p10867202/s57163975/97a5f522-bb4f6eac-5f7d4736-30880e7b-872ea26f.jpg']",['files/p10/p10867202/s57033562/b7af070d-78068621-15eff16b-a70624dd-db393d15.jpg\n']
s57163975_3,p10867202,s57163975,3,Findings,"AP, lateral, and oblique radiographs of the chest are somewhat limited in the determination of the exact termination point of the right PICC, which is difficult to visualize amongst the mediastinal structures. However, it appears to terminate in the lower portion of the SVC. There has been marked improvement in the bilateral effusions and heterogeneous opacities when compared to the prior study. Prominent interstitial lung markings reflect the patient's baseline pulmonary fibrosis. There is no pneumothorax. The aorta is stably tortuous with atherosclerotic calcifications in the arch.",The aorta is stably tortuous with atherosclerotic calcifications in the arch.,Aorta,,Stable,"['files/p10/p10867202/s57163975/1231b887-acb0db8e-542e2670-f80f2767-19869a42.jpg', 'files/p10/p10867202/s57163975/51ea4142-02884657-6fad2f5e-4b5e3e24-7eda58aa.jpg', 'files/p10/p10867202/s57163975/97a5f522-bb4f6eac-5f7d4736-30880e7b-872ea26f.jpg']",['files/p10/p10867202/s57033562/b7af070d-78068621-15eff16b-a70624dd-db393d15.jpg\n']
s57163975_3,p10867202,s57163975,3,Impression,1. New right PICC is difficult to visualize but likely ends within the lower SVC. 2. Marked interval improvement in what was likely multifocal pneumonia as well as near complete clearance of the bilateral pleural effusions compared to ___. 3. Stable interstitial lung markings consistent with chronic pulmonary fibrosis.,Stable interstitial lung markings consistent with chronic pulmonary fibrosis.,Interstitial lung markings,,Stable,"['files/p10/p10867202/s57163975/1231b887-acb0db8e-542e2670-f80f2767-19869a42.jpg', 'files/p10/p10867202/s57163975/51ea4142-02884657-6fad2f5e-4b5e3e24-7eda58aa.jpg', 'files/p10/p10867202/s57163975/97a5f522-bb4f6eac-5f7d4736-30880e7b-872ea26f.jpg']",['files/p10/p10867202/s57033562/b7af070d-78068621-15eff16b-a70624dd-db393d15.jpg\n']
s57163975_3,p10867202,s57163975,3,Findings,"AP, lateral, and oblique radiographs of the chest are somewhat limited in the determination of the exact termination point of the right PICC, which is difficult to visualize amongst the mediastinal structures. However, it appears to terminate in the lower portion of the SVC. There has been marked improvement in the bilateral effusions and heterogeneous opacities when compared to the prior study. Prominent interstitial lung markings reflect the patient's baseline pulmonary fibrosis. There is no pneumothorax. The aorta is stably tortuous with atherosclerotic calcifications in the arch.",There has been marked improvement in the bilateral effusions and heterogeneous opacities when compared to the prior study.,effusions and heterogeneous opacities,bilateral,Better,"['files/p10/p10867202/s57163975/1231b887-acb0db8e-542e2670-f80f2767-19869a42.jpg', 'files/p10/p10867202/s57163975/51ea4142-02884657-6fad2f5e-4b5e3e24-7eda58aa.jpg', 'files/p10/p10867202/s57163975/97a5f522-bb4f6eac-5f7d4736-30880e7b-872ea26f.jpg']",['files/p10/p10867202/s57033562/b7af070d-78068621-15eff16b-a70624dd-db393d15.jpg\n']
s57166957_1,p16360107,s57166957,1,Findings,PA and lateral views of the chest. A right internal jugular hemodialysis catheter ends in the low SVC. Sternotomy wires and mediastinal clips are seen. Bilateral layering pleural effusions are unchanged. No pneumothorax. Moderate cardiomegaly is stable. Bibasilar atelectasis. There is decreased interstitial edema and pulmonary vascular congestion.,Moderate cardiomegaly is stable.,cardiomegaly,,Stable,"['files/p16/p16360107/s57166957/288ed076-f6b4189f-b7e6e717-ff31b7e7-f5d1fa0c.jpg', 'files/p16/p16360107/s57166957/9e0b006b-70cbcb07-0aaf5bd7-5faf6256-c93f4008.jpg']","['files/p16/p16360107/s57086341/888427af-fdfe06ab-3f8338a4-017e4c83-b717bd45.jpg\n', 'files/p16/p16360107/s57086341/e3878a3c-d7eccddd-4784c189-6b006b3b-e58c987a.jpg\n']"
s57166957_1,p16360107,s57166957,1,Impression,1. Stable bilateral layering pleural effusions. Decreased pulmonary edema. 2. No evidence for pneumonia or active or nonactive tuberculosis.,1. Stable bilateral layering pleural effusions.,pleural effusions,bilateral,Stable,"['files/p16/p16360107/s57166957/288ed076-f6b4189f-b7e6e717-ff31b7e7-f5d1fa0c.jpg', 'files/p16/p16360107/s57166957/9e0b006b-70cbcb07-0aaf5bd7-5faf6256-c93f4008.jpg']","['files/p16/p16360107/s57086341/888427af-fdfe06ab-3f8338a4-017e4c83-b717bd45.jpg\n', 'files/p16/p16360107/s57086341/e3878a3c-d7eccddd-4784c189-6b006b3b-e58c987a.jpg\n']"
s57166957_1,p16360107,s57166957,1,Findings,PA and lateral views of the chest. A right internal jugular hemodialysis catheter ends in the low SVC. Sternotomy wires and mediastinal clips are seen. Bilateral layering pleural effusions are unchanged. No pneumothorax. Moderate cardiomegaly is stable. Bibasilar atelectasis. There is decreased interstitial edema and pulmonary vascular congestion.,Bilateral layering pleural effusions are unchanged.,pleural effusions,bilateral,Stable,"['files/p16/p16360107/s57166957/288ed076-f6b4189f-b7e6e717-ff31b7e7-f5d1fa0c.jpg', 'files/p16/p16360107/s57166957/9e0b006b-70cbcb07-0aaf5bd7-5faf6256-c93f4008.jpg']","['files/p16/p16360107/s57086341/888427af-fdfe06ab-3f8338a4-017e4c83-b717bd45.jpg\n', 'files/p16/p16360107/s57086341/e3878a3c-d7eccddd-4784c189-6b006b3b-e58c987a.jpg\n']"
s57167682_6,p16772702,s57167682,6,Findings,"There are increased diffuse bilateral interstitial opacities, consistent with edema. Additionally, small bilateral pleural effusions are present. No pneumothorax is seen. The heart size is mildly enlarged. There are calcifications of the aortic arch. A left subclavian vascular stent is seen, new from the prior examination. A stent in the left arm is inchanged.","There are increased diffuse bilateral interstitial opacities, consistent with edema.",Interstitial opacities,Bilateral,Worse,"['files/p16/p16772702/s57167682/3ee15aa2-32388516-3d85397d-2d958762-6bc5f7c8.jpg', 'files/p16/p16772702/s57167682/8e9b736c-1abf5111-086c325e-36cc49cf-82791ceb.jpg']",['files/p16/p16772702/s56873244/11cf8439-fffd1ea4-a0467c38-e71c3db4-caa074c5.jpg\n']
s57167682_6,p16772702,s57167682,6,Findings,"There are increased diffuse bilateral interstitial opacities, consistent with edema. Additionally, small bilateral pleural effusions are present. No pneumothorax is seen. The heart size is mildly enlarged. There are calcifications of the aortic arch. A left subclavian vascular stent is seen, new from the prior examination. A stent in the left arm is inchanged.",A stent in the left arm is unchanged.,Stent,Left arm,Stable,"['files/p16/p16772702/s57167682/3ee15aa2-32388516-3d85397d-2d958762-6bc5f7c8.jpg', 'files/p16/p16772702/s57167682/8e9b736c-1abf5111-086c325e-36cc49cf-82791ceb.jpg']",['files/p16/p16772702/s56873244/11cf8439-fffd1ea4-a0467c38-e71c3db4-caa074c5.jpg\n']
s57167682_6,p16772702,s57167682,6,Findings,"There are increased diffuse bilateral interstitial opacities, consistent with edema. Additionally, small bilateral pleural effusions are present. No pneumothorax is seen. The heart size is mildly enlarged. There are calcifications of the aortic arch. A left subclavian vascular stent is seen, new from the prior examination. A stent in the left arm is inchanged.","A left subclavian vascular stent is seen, new from the prior examination.",Vascular stent,Left subclavian,New,"['files/p16/p16772702/s57167682/3ee15aa2-32388516-3d85397d-2d958762-6bc5f7c8.jpg', 'files/p16/p16772702/s57167682/8e9b736c-1abf5111-086c325e-36cc49cf-82791ceb.jpg']",['files/p16/p16772702/s56873244/11cf8439-fffd1ea4-a0467c38-e71c3db4-caa074c5.jpg\n']
s57169558_2,p12124741,s57169558,2,Impression,"AP chest compared to ___: The patient has been extubated and lung volumes are lower. There has been a disproportional increase in caliber of the mediastinum, which could be due to bleeding or vascular engorgement due to cardiac tamponade. Lung periphery shows no vascular engorgement, so left heart function is not incriminated. There is no pneumothorax or appreciable pleural effusion, left basal pleural tube is still in place. Bibasilar atelectasis is only moderate and unchanged. Right subclavian line ends in the right atrium. ___ was paged as soon as this examination appeared for review and I discussed the findings with ___ at the time of dictation.","There has been a disproportional increase in caliber of the mediastinum, which could be due to bleeding or vascular engorgement due to cardiac tamponade.",caliber increase,mediastinum,Worse,['files/p12/p12124741/s57169558/7ceecc91-32932b6b-bf0ae761-92a74cf7-fe124fbc.jpg'],['files/p12/p12124741/s55477134/b057552d-dcaef0e0-258a2453-37c600b2-d8d2b31f.jpg\n']
s57169558_2,p12124741,s57169558,2,Impression,"AP chest compared to ___: The patient has been extubated and lung volumes are lower. There has been a disproportional increase in caliber of the mediastinum, which could be due to bleeding or vascular engorgement due to cardiac tamponade. Lung periphery shows no vascular engorgement, so left heart function is not incriminated. There is no pneumothorax or appreciable pleural effusion, left basal pleural tube is still in place. Bibasilar atelectasis is only moderate and unchanged. Right subclavian line ends in the right atrium. ___ was paged as soon as this examination appeared for review and I discussed the findings with ___ at the time of dictation.",Bibasilar atelectasis is only moderate and unchanged.,atelectasis,bibasilar,Stable,['files/p12/p12124741/s57169558/7ceecc91-32932b6b-bf0ae761-92a74cf7-fe124fbc.jpg'],['files/p12/p12124741/s55477134/b057552d-dcaef0e0-258a2453-37c600b2-d8d2b31f.jpg\n']
s57174042_7,p11474065,s57174042,7,Impression,Stable post-operative chest findings. No new acute infiltrates and no pneumothorax.,Stable post-operative chest findings.,post-operative changes,chest,Stable,"['files/p11/p11474065/s57174042/0a8acf4e-79fa1809-f8cb320e-ec64a315-52784159.jpg', 'files/p11/p11474065/s57174042/ecfe9bc7-52442f98-d8c652c2-2bb1c376-760a9f86.jpg']",['files/p11/p11474065/s56896759/3b31865b-b41244e4-c46dbdca-c33ad6e4-3cca5768.jpg\n']
s57174042_7,p11474065,s57174042,7,Findings,"PA and lateral chest views obtained with patient in upright position. Comparison is made with the next preceding AP single view chest examination of ___. The heart size is at the upper limit of normal variation. The heart configuration suggests a relative prominence of the left ventricular contour, a finding which in conjunction with the moderately widened and elongated thoracic aorta suggests the possibility of systemic hypertension. There is no acute pulmonary congestion. In the right hemithorax pleural thickenings are identified and seen to clear along the lateral chest wall. This coincides with the previously described local resection of the posterior aspect of the fourth rib related to previously performed tracheal reconstruction. These post-operative changes have not undergone any significant interval change. No pneumothorax is present. On the lateral view the posterior pleural sinuses are free from any free fluid, pleural effusion.",These post-operative changes have not undergone any significant interval change.,post-operative changes,posterior aspect of the fourth rib,Stable,"['files/p11/p11474065/s57174042/0a8acf4e-79fa1809-f8cb320e-ec64a315-52784159.jpg', 'files/p11/p11474065/s57174042/ecfe9bc7-52442f98-d8c652c2-2bb1c376-760a9f86.jpg']",['files/p11/p11474065/s56896759/3b31865b-b41244e4-c46dbdca-c33ad6e4-3cca5768.jpg\n']
s57175390_2,p18417750,s57175390,2,Findings,"There is a dual lead pacemaker/ICD device whose leads terminate in the right atrium and ventricle, respectively, without significant change. The heart is again moderately enlarged. The mediastinal and hilar contours appear stable. The lungs are clear. There are no pleural effusions or pneumothorax. Calcified enthesopathy projects along the greater tuberosity of the left humerus.","There is a dual lead pacemaker/ICD device whose leads terminate in the right atrium and ventricle, respectively, without significant change.",Dual lead pacemaker/ICD device,right atrium and ventricle,Stable,"['files/p18/p18417750/s57175390/1f4a1a92-7c6c27d6-649767ec-d3ca03ca-885c6ce6.jpg', 'files/p18/p18417750/s57175390/50da6cea-7757397e-e0e5175b-5dfd32f3-3183a4d4.jpg']","['files/p18/p18417750/s56026588/6ed5de3b-6de61ac0-49287b7f-dbc53313-fd93a911.jpg\n', 'files/p18/p18417750/s56026588/db56756a-36970d83-92b338a6-23a982c5-fe090973.jpg\n']"
s57175390_2,p18417750,s57175390,2,Findings,"There is a dual lead pacemaker/ICD device whose leads terminate in the right atrium and ventricle, respectively, without significant change. The heart is again moderately enlarged. The mediastinal and hilar contours appear stable. The lungs are clear. There are no pleural effusions or pneumothorax. Calcified enthesopathy projects along the greater tuberosity of the left humerus.",The mediastinal and hilar contours appear stable.,Mediastinal and hilar contours,,Stable,"['files/p18/p18417750/s57175390/1f4a1a92-7c6c27d6-649767ec-d3ca03ca-885c6ce6.jpg', 'files/p18/p18417750/s57175390/50da6cea-7757397e-e0e5175b-5dfd32f3-3183a4d4.jpg']","['files/p18/p18417750/s56026588/6ed5de3b-6de61ac0-49287b7f-dbc53313-fd93a911.jpg\n', 'files/p18/p18417750/s56026588/db56756a-36970d83-92b338a6-23a982c5-fe090973.jpg\n']"
s57175390_2,p18417750,s57175390,2,Findings,"There is a dual lead pacemaker/ICD device whose leads terminate in the right atrium and ventricle, respectively, without significant change. The heart is again moderately enlarged. The mediastinal and hilar contours appear stable. The lungs are clear. There are no pleural effusions or pneumothorax. Calcified enthesopathy projects along the greater tuberosity of the left humerus.",The heart is again moderately enlarged.,Moderately enlarged heart,,Stable,"['files/p18/p18417750/s57175390/1f4a1a92-7c6c27d6-649767ec-d3ca03ca-885c6ce6.jpg', 'files/p18/p18417750/s57175390/50da6cea-7757397e-e0e5175b-5dfd32f3-3183a4d4.jpg']","['files/p18/p18417750/s56026588/6ed5de3b-6de61ac0-49287b7f-dbc53313-fd93a911.jpg\n', 'files/p18/p18417750/s56026588/db56756a-36970d83-92b338a6-23a982c5-fe090973.jpg\n']"
s57185571_5,p11022245,s57185571,5,Findings,"As compared to the previous radiograph, the right-sided pleural effusion has minimally decreased. On the left, however, the effusion has substantially increased and leads to a near total opacification of the left hemithorax. Subsequently, severe atelectatic changes are present. The Swan-Ganz catheter has been removed, the right internal jugular vein catheter has also been removed, a nasogastric tube, the endotracheal tube and a venous introduction sheath remains in situ.","The Swan-Ganz catheter has been removed, the right internal jugular vein catheter has also been removed, a nasogastric tube, the endotracheal tube and a venous introduction sheath remains in situ.",Swan-Ganz catheter,,Resolve,"['files/p11/p11022245/s57185571/a3539c79-41479e80-4150d89e-96e86692-6876133e.jpg', 'files/p11/p11022245/s57185571/c2ace888-d3f68f82-2d5b5dd6-07dc85c9-327c4bce.jpg']",['files/p11/p11022245/s56603583/777626de-a55fbd7d-e30f8359-db74c619-80afa62d.jpg\n']
s57185571_5,p11022245,s57185571,5,Findings,"As compared to the previous radiograph, the right-sided pleural effusion has minimally decreased. On the left, however, the effusion has substantially increased and leads to a near total opacification of the left hemithorax. Subsequently, severe atelectatic changes are present. The Swan-Ganz catheter has been removed, the right internal jugular vein catheter has also been removed, a nasogastric tube, the endotracheal tube and a venous introduction sheath remains in situ.","As compared to the previous radiograph, the right-sided pleural effusion has minimally decreased.",pleural effusion,right-sided,Better,"['files/p11/p11022245/s57185571/a3539c79-41479e80-4150d89e-96e86692-6876133e.jpg', 'files/p11/p11022245/s57185571/c2ace888-d3f68f82-2d5b5dd6-07dc85c9-327c4bce.jpg']",['files/p11/p11022245/s56603583/777626de-a55fbd7d-e30f8359-db74c619-80afa62d.jpg\n']
s57185571_5,p11022245,s57185571,5,Findings,"As compared to the previous radiograph, the right-sided pleural effusion has minimally decreased. On the left, however, the effusion has substantially increased and leads to a near total opacification of the left hemithorax. Subsequently, severe atelectatic changes are present. The Swan-Ganz catheter has been removed, the right internal jugular vein catheter has also been removed, a nasogastric tube, the endotracheal tube and a venous introduction sheath remains in situ.","On the left, however, the effusion has substantially increased and leads to a near total opacification of the left hemithorax.",pleural effusion,left,Worse,"['files/p11/p11022245/s57185571/a3539c79-41479e80-4150d89e-96e86692-6876133e.jpg', 'files/p11/p11022245/s57185571/c2ace888-d3f68f82-2d5b5dd6-07dc85c9-327c4bce.jpg']",['files/p11/p11022245/s56603583/777626de-a55fbd7d-e30f8359-db74c619-80afa62d.jpg\n']
s57185571_5,p11022245,s57185571,5,Findings,"As compared to the previous radiograph, the right-sided pleural effusion has minimally decreased. On the left, however, the effusion has substantially increased and leads to a near total opacification of the left hemithorax. Subsequently, severe atelectatic changes are present. The Swan-Ganz catheter has been removed, the right internal jugular vein catheter has also been removed, a nasogastric tube, the endotracheal tube and a venous introduction sheath remains in situ.","The Swan-Ganz catheter has been removed, the right internal jugular vein catheter has also been removed, a nasogastric tube, the endotracheal tube and a venous introduction sheath remains in situ.",catheter,right internal jugular vein,Resolve,"['files/p11/p11022245/s57185571/a3539c79-41479e80-4150d89e-96e86692-6876133e.jpg', 'files/p11/p11022245/s57185571/c2ace888-d3f68f82-2d5b5dd6-07dc85c9-327c4bce.jpg']",['files/p11/p11022245/s56603583/777626de-a55fbd7d-e30f8359-db74c619-80afa62d.jpg\n']
s57187080_0,p15204620,s57187080,0,Findings,"The heart is normal in size. There is new lobular thickening of the right upper mediastinum and also a nodular appearance to the right hilum. Widespread opacity is present in the right middle lobe. Elsewhere, the lungs appear clear. There is no pleural effusion or pneumothorax. Minimal degenerative changes are noted along the mid thoracic spine.",There is new lobular thickening of the right upper mediastinum and also a nodular appearance to the right hilum.,nodular appearance,right hilum,New,"['files/p15/p15204620/s57187080/b5362301-4fdc5dd0-c51d857d-fa8af958-4eac8251.jpg', 'files/p15/p15204620/s57187080/b9d07ae5-876bb931-85ce766f-8dc425d4-5948363d.jpg']",['files/p15/p15204620/s56400373/30f6ed61-a49ee720-ba423996-56ae29fa-88f76b59.jpg\n']
s57187080_0,p15204620,s57187080,0,Findings,"The heart is normal in size. There is new lobular thickening of the right upper mediastinum and also a nodular appearance to the right hilum. Widespread opacity is present in the right middle lobe. Elsewhere, the lungs appear clear. There is no pleural effusion or pneumothorax. Minimal degenerative changes are noted along the mid thoracic spine.",There is new lobular thickening of the right upper mediastinum and also a nodular appearance to the right hilum.,lobular thickening,right upper mediastinum,New,"['files/p15/p15204620/s57187080/b5362301-4fdc5dd0-c51d857d-fa8af958-4eac8251.jpg', 'files/p15/p15204620/s57187080/b9d07ae5-876bb931-85ce766f-8dc425d4-5948363d.jpg']",['files/p15/p15204620/s56400373/30f6ed61-a49ee720-ba423996-56ae29fa-88f76b59.jpg\n']
s57188350_57,p19182863,s57188350,57,Impression,"In comparison with the study of ___, there is little change in the monitoring and support devices including a persistent left superior vena cava. Heart and lungs are essentially unchanged. No reaccumulation of left effusion or pneumothorax.",Heart and lungs are essentially unchanged.,heart,,Stable,['files/p19/p19182863/s57188350/334a4b19-e795f613-8d2902bb-9395ee99-28f4cf54.jpg'],['files/p19/p19182863/s57051632/d8d27634-c797ba3f-79f7384e-6dd55810-93915d51.jpg\n']
s57188350_57,p19182863,s57188350,57,Impression,"In comparison with the study of ___, there is little change in the monitoring and support devices including a persistent left superior vena cava. Heart and lungs are essentially unchanged. No reaccumulation of left effusion or pneumothorax.","In comparison with the study of ___, there is little change in the monitoring and support devices including a persistent left superior vena cava.",superior vena cava,Left,Stable,['files/p19/p19182863/s57188350/334a4b19-e795f613-8d2902bb-9395ee99-28f4cf54.jpg'],['files/p19/p19182863/s57051632/d8d27634-c797ba3f-79f7384e-6dd55810-93915d51.jpg\n']
s57188350_57,p19182863,s57188350,57,Impression,"In comparison with the study of ___, there is little change in the monitoring and support devices including a persistent left superior vena cava. Heart and lungs are essentially unchanged. No reaccumulation of left effusion or pneumothorax.",Heart and lungs are essentially unchanged.,lungs,,Stable,['files/p19/p19182863/s57188350/334a4b19-e795f613-8d2902bb-9395ee99-28f4cf54.jpg'],['files/p19/p19182863/s57051632/d8d27634-c797ba3f-79f7384e-6dd55810-93915d51.jpg\n']
s57192814_2,p16059470,s57192814,2,Findings,Limited evaluation due to respiratory motion especially in the lower lungs. The previously seen right basilar patchy opacity appears improved. A granuloma is seen in the right upper lobe. The interstitial markings are slightly prominent due to patient's known emphysematous changes of the lungs. The cardiomediastinal silhouette and hila are normal. An ICD device is seen. RUE PICC line ends in the distal SVC. There are no displaced rib fractures.,The previously seen right basilar patchy opacity appears improved.,patchy opacity,right basilar,Better,['files/p16/p16059470/s57192814/a78450bf-630d9aa5-d48a79f1-41a5d2c2-802321fb.jpg'],"['files/p16/p16059470/s55714183/19e1160c-64331a2f-1c1287f4-deca2aae-a62a7beb.jpg\n', 'files/p16/p16059470/s55714183/40a34d9e-affb9a73-e6009ee7-ed1a371e-64c6a36e.jpg\n', 'files/p16/p16059470/s55714183/c6fdd21a-91b444bd-940aae07-50ed7fb6-f27ea087.jpg\n']"
s57198284_6,p17770657,s57198284,6,Findings,"As compared to the previous radiograph, the monitoring and support devices are in unchanged position. There is a slight increase in extent of a right pleural effusion that is now moderate. The left retrocardiac atelectasis is unchanged. No other relevant changes. No pneumonia.",The left retrocardiac atelectasis is unchanged.,atelectasis,Left retrocardiac,Stable,"['files/p17/p17770657/s57198284/2044b905-5e21308f-1a129d78-35420126-30252bce.jpg', 'files/p17/p17770657/s57198284/783d751b-6d4cbb69-809e26a9-d116cb4e-4f3dee59.jpg']","['files/p17/p17770657/s56969126/8f861239-cf7f8611-13631eb1-e7c4188f-f39f6041.jpg\n', 'files/p17/p17770657/s56969126/ca198d4c-70be63ec-5974f3e9-d6320a38-4eb83158.jpg\n']"
s57198284_6,p17770657,s57198284,6,Findings,"As compared to the previous radiograph, the monitoring and support devices are in unchanged position. There is a slight increase in extent of a right pleural effusion that is now moderate. The left retrocardiac atelectasis is unchanged. No other relevant changes. No pneumonia.","As compared to the previous radiograph, the monitoring and support devices are in unchanged position.",monitoring and support devices,Various,Stable,"['files/p17/p17770657/s57198284/2044b905-5e21308f-1a129d78-35420126-30252bce.jpg', 'files/p17/p17770657/s57198284/783d751b-6d4cbb69-809e26a9-d116cb4e-4f3dee59.jpg']","['files/p17/p17770657/s56969126/8f861239-cf7f8611-13631eb1-e7c4188f-f39f6041.jpg\n', 'files/p17/p17770657/s56969126/ca198d4c-70be63ec-5974f3e9-d6320a38-4eb83158.jpg\n']"
s57198284_6,p17770657,s57198284,6,Findings,"As compared to the previous radiograph, the monitoring and support devices are in unchanged position. There is a slight increase in extent of a right pleural effusion that is now moderate. The left retrocardiac atelectasis is unchanged. No other relevant changes. No pneumonia.",There is a slight increase in extent of a right pleural effusion that is now moderate.,pleural effusion,Right,Worse,"['files/p17/p17770657/s57198284/2044b905-5e21308f-1a129d78-35420126-30252bce.jpg', 'files/p17/p17770657/s57198284/783d751b-6d4cbb69-809e26a9-d116cb4e-4f3dee59.jpg']","['files/p17/p17770657/s56969126/8f861239-cf7f8611-13631eb1-e7c4188f-f39f6041.jpg\n', 'files/p17/p17770657/s56969126/ca198d4c-70be63ec-5974f3e9-d6320a38-4eb83158.jpg\n']"
s57199757_11,p19623993,s57199757,11,Impression,"AP chest compared to ___ through ___: Mild pulmonary edema has improved since ___. Atelectasis in the left mid and lower lung zones is severe and unchanged. Pleural effusions are small if any. The heart is top normal size. Mediastinal veins are mildly dilated. Feeding tube and nasogastric tube passes into the stomach and out of view. Left internal jugular line ends at the junction of brachiocephalic veins, but is pointed upward towards the right brachiocephalic vein, crossing the right internal jugular line which ends in the upper SVC. No pneumothorax.",AP chest compared to ___ through ___: Mild pulmonary edema has improved since ___.,pulmonary edema,,Better,['files/p19/p19623993/s57199757/50c4c252-0054801a-aa949595-362953d3-23b18e2e.jpg'],['files/p19/p19623993/s57032173/0e064bcb-a3b8ea89-90e85aa8-525a773b-7c2718a7.jpg\n']
s57199757_11,p19623993,s57199757,11,Impression,"AP chest compared to ___ through ___: Mild pulmonary edema has improved since ___. Atelectasis in the left mid and lower lung zones is severe and unchanged. Pleural effusions are small if any. The heart is top normal size. Mediastinal veins are mildly dilated. Feeding tube and nasogastric tube passes into the stomach and out of view. Left internal jugular line ends at the junction of brachiocephalic veins, but is pointed upward towards the right brachiocephalic vein, crossing the right internal jugular line which ends in the upper SVC. No pneumothorax.",Atelectasis in the left mid and lower lung zones is severe and unchanged.,atelectasis,left mid and lower lung zones,Stable,['files/p19/p19623993/s57199757/50c4c252-0054801a-aa949595-362953d3-23b18e2e.jpg'],['files/p19/p19623993/s57032173/0e064bcb-a3b8ea89-90e85aa8-525a773b-7c2718a7.jpg\n']
s57204056_5,p13964474,s57204056,5,Impression,"AP chest compared to ___ through ___, 5:37 a.m.: Esophageal stent has not migrated from earlier position, starting at the level of the sternal notch. It is intact as to caliber. ET tube and right internal jugular line are in standard placements. Very large pneumoperitoneum is essentially unchanged. Large scale aspiration to the axillary region of the left lung has improved, but mild pulmonary edema is probably present. Heart size is normal. As before, the right lower hemithorax is entirely replaced by a large cavitary pneumonia, inseparable from the pleural space containing residual contrast agent, presumably employed to define the pulmonary or esophagopleural fistula. No pneumothorax.","AP chest compared to ___ through ___, 5:37 a.m.: Esophageal stent has not migrated from earlier position, starting at the level of the sternal notch. It is intact as to caliber.",Esophageal stent,sternal notch,Stable,['files/p13/p13964474/s57204056/f46e8d2c-be685657-0321ae36-1093f777-379d385b.jpg'],['files/p13/p13964474/s57106816/f0707946-32499bba-77b6424d-f14642eb-587039a5.jpg\n']
s57204056_5,p13964474,s57204056,5,Impression,"AP chest compared to ___ through ___, 5:37 a.m.: Esophageal stent has not migrated from earlier position, starting at the level of the sternal notch. It is intact as to caliber. ET tube and right internal jugular line are in standard placements. Very large pneumoperitoneum is essentially unchanged. Large scale aspiration to the axillary region of the left lung has improved, but mild pulmonary edema is probably present. Heart size is normal. As before, the right lower hemithorax is entirely replaced by a large cavitary pneumonia, inseparable from the pleural space containing residual contrast agent, presumably employed to define the pulmonary or esophagopleural fistula. No pneumothorax.","As before, the right lower hemithorax is entirely replaced by a large cavitary pneumonia, inseparable from the pleural space containing residual contrast agent, presumably employed to define the pulmonary or esophagopleural fistula.",large cavitary pneumonia,right lower hemithorax,Stable,['files/p13/p13964474/s57204056/f46e8d2c-be685657-0321ae36-1093f777-379d385b.jpg'],['files/p13/p13964474/s57106816/f0707946-32499bba-77b6424d-f14642eb-587039a5.jpg\n']
s57204056_5,p13964474,s57204056,5,Impression,"AP chest compared to ___ through ___, 5:37 a.m.: Esophageal stent has not migrated from earlier position, starting at the level of the sternal notch. It is intact as to caliber. ET tube and right internal jugular line are in standard placements. Very large pneumoperitoneum is essentially unchanged. Large scale aspiration to the axillary region of the left lung has improved, but mild pulmonary edema is probably present. Heart size is normal. As before, the right lower hemithorax is entirely replaced by a large cavitary pneumonia, inseparable from the pleural space containing residual contrast agent, presumably employed to define the pulmonary or esophagopleural fistula. No pneumothorax.","Large scale aspiration to the axillary region of the left lung has improved, but mild pulmonary edema is probably present.",aspiration,axillary region of the left lung,Better,['files/p13/p13964474/s57204056/f46e8d2c-be685657-0321ae36-1093f777-379d385b.jpg'],['files/p13/p13964474/s57106816/f0707946-32499bba-77b6424d-f14642eb-587039a5.jpg\n']
s57204056_5,p13964474,s57204056,5,Impression,"AP chest compared to ___ through ___, 5:37 a.m.: Esophageal stent has not migrated from earlier position, starting at the level of the sternal notch. It is intact as to caliber. ET tube and right internal jugular line are in standard placements. Very large pneumoperitoneum is essentially unchanged. Large scale aspiration to the axillary region of the left lung has improved, but mild pulmonary edema is probably present. Heart size is normal. As before, the right lower hemithorax is entirely replaced by a large cavitary pneumonia, inseparable from the pleural space containing residual contrast agent, presumably employed to define the pulmonary or esophagopleural fistula. No pneumothorax.","Large scale aspiration to the axillary region of the left lung has improved, but mild pulmonary edema is probably present.",mild pulmonary edema,left lung,New,['files/p13/p13964474/s57204056/f46e8d2c-be685657-0321ae36-1093f777-379d385b.jpg'],['files/p13/p13964474/s57106816/f0707946-32499bba-77b6424d-f14642eb-587039a5.jpg\n']
s57204056_5,p13964474,s57204056,5,Impression,"AP chest compared to ___ through ___, 5:37 a.m.: Esophageal stent has not migrated from earlier position, starting at the level of the sternal notch. It is intact as to caliber. ET tube and right internal jugular line are in standard placements. Very large pneumoperitoneum is essentially unchanged. Large scale aspiration to the axillary region of the left lung has improved, but mild pulmonary edema is probably present. Heart size is normal. As before, the right lower hemithorax is entirely replaced by a large cavitary pneumonia, inseparable from the pleural space containing residual contrast agent, presumably employed to define the pulmonary or esophagopleural fistula. No pneumothorax.",Very large pneumoperitoneum is essentially unchanged.,Very large pneumoperitoneum,,Stable,['files/p13/p13964474/s57204056/f46e8d2c-be685657-0321ae36-1093f777-379d385b.jpg'],['files/p13/p13964474/s57106816/f0707946-32499bba-77b6424d-f14642eb-587039a5.jpg\n']
s57204814_6,p11569093,s57204814,6,Findings,"As compared to the previous radiograph, there is no relevant change. The course of the left internal jugular vein catheter is constant. Constant extensive left parenchymal opacity and extensive right apicolateral consolidation. Moderate elevation of the right hemidiaphragm with small pleural effusion. Unchanged aspect of the left heart border. No pneumothorax, no new opacities.",Unchanged aspect of the left heart border.,heart border,left,Stable,['files/p11/p11569093/s57204814/0d2a50a2-3711662a-d7838521-4dc58d09-3732a3ad.jpg'],['files/p11/p11569093/s56389746/395a7197-bac16c22-5e75d329-e014f2a8-5d6432e9.jpg\n']
s57210258_4,p12963531,s57210258,4,Findings,"A right tunneled hemodialysis catheter is unchanged in position with its tip in the right atrium. The heart remains severely enlarged. The lungs are well expanded and clear. There is no pleural effusion, or pneumothorax. The mediastinal contours are normal.",A right tunneled hemodialysis catheter is unchanged in position with its tip in the right atrium.,right tunneled hemodialysis catheter,,Stable,['files/p12/p12963531/s57210258/5f17fe93-aaa0c148-72ccdc7f-ad2268b1-56572a09.jpg'],"['files/p12/p12963531/s54527138/980d5f73-a77d993b-7b3da70b-568e00db-8b84048d.jpg\n', 'files/p12/p12963531/s54527138/eb52937f-7fa55b40-86540246-ca98fc35-a5a9b68a.jpg\n']"
s57210258_4,p12963531,s57210258,4,Findings,"A right tunneled hemodialysis catheter is unchanged in position with its tip in the right atrium. The heart remains severely enlarged. The lungs are well expanded and clear. There is no pleural effusion, or pneumothorax. The mediastinal contours are normal.",The heart remains severely enlarged.,severely enlarged heart,,Stable,['files/p12/p12963531/s57210258/5f17fe93-aaa0c148-72ccdc7f-ad2268b1-56572a09.jpg'],"['files/p12/p12963531/s54527138/980d5f73-a77d993b-7b3da70b-568e00db-8b84048d.jpg\n', 'files/p12/p12963531/s54527138/eb52937f-7fa55b40-86540246-ca98fc35-a5a9b68a.jpg\n']"
s57210258_4,p12963531,s57210258,4,Impression,"Severe cardiomegaly is unchanged, there is no edema or acute chest abnormality.","Severe cardiomegaly is unchanged, there is no edema or acute chest abnormality.",severe cardiomegaly,,Stable,['files/p12/p12963531/s57210258/5f17fe93-aaa0c148-72ccdc7f-ad2268b1-56572a09.jpg'],"['files/p12/p12963531/s54527138/980d5f73-a77d993b-7b3da70b-568e00db-8b84048d.jpg\n', 'files/p12/p12963531/s54527138/eb52937f-7fa55b40-86540246-ca98fc35-a5a9b68a.jpg\n']"
s57211901_2,p10886362,s57211901,2,Findings,"In comparison with study of ___, the mediastinal and left chest tube has been removed and there is no evidence of pneumothorax. The overall appearance of the heart and lungs is essentially unchanged. Persistent pulmonary vascular congestion with opacification, especially at the left base consistent with effusion and volume loss in the lower lobe. Less prominent changes are seen at the right base.",The overall appearance of the heart and lungs is essentially unchanged.,Appearance of the heart and lungs,,Stable,['files/p10/p10886362/s57211901/c5317373-5acdf384-4d5fee0f-423f29ef-22858502.jpg'],['files/p10/p10886362/s56034024/fdd8adcf-96e61323-ef98915c-c91ab8b9-7bf45f5e.jpg\n']
s57211901_2,p10886362,s57211901,2,Findings,"In comparison with study of ___, the mediastinal and left chest tube has been removed and there is no evidence of pneumothorax. The overall appearance of the heart and lungs is essentially unchanged. Persistent pulmonary vascular congestion with opacification, especially at the left base consistent with effusion and volume loss in the lower lobe. Less prominent changes are seen at the right base.","Persistent pulmonary vascular congestion with opacification, especially at the left base consistent with effusion and volume loss in the lower lobe.",Volume loss,lower lobe,Stable,['files/p10/p10886362/s57211901/c5317373-5acdf384-4d5fee0f-423f29ef-22858502.jpg'],['files/p10/p10886362/s56034024/fdd8adcf-96e61323-ef98915c-c91ab8b9-7bf45f5e.jpg\n']
s57211901_2,p10886362,s57211901,2,Findings,"In comparison with study of ___, the mediastinal and left chest tube has been removed and there is no evidence of pneumothorax. The overall appearance of the heart and lungs is essentially unchanged. Persistent pulmonary vascular congestion with opacification, especially at the left base consistent with effusion and volume loss in the lower lobe. Less prominent changes are seen at the right base.","In comparison with study of ___, the mediastinal and left chest tube has been removed and there is no evidence of pneumothorax.",Tube,mediastinal and left chest,Resolve,['files/p10/p10886362/s57211901/c5317373-5acdf384-4d5fee0f-423f29ef-22858502.jpg'],['files/p10/p10886362/s56034024/fdd8adcf-96e61323-ef98915c-c91ab8b9-7bf45f5e.jpg\n']
s57211901_2,p10886362,s57211901,2,Findings,"In comparison with study of ___, the mediastinal and left chest tube has been removed and there is no evidence of pneumothorax. The overall appearance of the heart and lungs is essentially unchanged. Persistent pulmonary vascular congestion with opacification, especially at the left base consistent with effusion and volume loss in the lower lobe. Less prominent changes are seen at the right base.","Persistent pulmonary vascular congestion with opacification, especially at the left base consistent with effusion and volume loss in the lower lobe.",Pulmonary vascular congestion with opacification,left base,Stable,['files/p10/p10886362/s57211901/c5317373-5acdf384-4d5fee0f-423f29ef-22858502.jpg'],['files/p10/p10886362/s56034024/fdd8adcf-96e61323-ef98915c-c91ab8b9-7bf45f5e.jpg\n']
s57219522_12,p16662264,s57219522,12,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. The heart size remains unchanged and is within normal limits. Unremarkable position of previously described left-sided PICC line terminating in mid portion of SVC. The pulmonary vasculature is not congested and no pneumothorax can be identified. On previous examinations remaining multifocal density have generally improved. In particular, a lesion identified on the last examination overlying the right upper lobe area laterally (third right intercostal space) has cleared up almost completely. Densities located in the right middle lobe as well as those seen in the left upper lobe lingula persist, but have also undergone a slight improvement. Again, no pneumothorax has developed, no new infiltrates are seen and the lateral and posterior pleural sinuses remain free from any pleural effusion.",On previous examinations remaining multifocal density have generally improved.,multifocal density,,Better,"['files/p16/p16662264/s57219522/c190fb7d-da5b3a51-5f074369-736f62a6-589d6474.jpg', 'files/p16/p16662264/s57219522/c1d08547-51bb20b6-d0fc7be9-c7477e9a-9e2e5755.jpg']",['files/p16/p16662264/s56986640/66e2a71f-4c89386c-3cd769ac-021891b7-e0b1bf2b.jpg\n']
s57219522_12,p16662264,s57219522,12,Impression,Improvement of multifocal infiltrates but persistent densities in right middle lobe and peripheral lingula. Further followup examination must be guided by patient's symptomatology.,Improvement of multifocal infiltrates but persistent densities in right middle lobe and peripheral lingula. Further followup examination must be guided by patient's symptomatology.,multifocal infiltrates,right middle lobe and peripheral lingula,Better,"['files/p16/p16662264/s57219522/c190fb7d-da5b3a51-5f074369-736f62a6-589d6474.jpg', 'files/p16/p16662264/s57219522/c1d08547-51bb20b6-d0fc7be9-c7477e9a-9e2e5755.jpg']",['files/p16/p16662264/s56986640/66e2a71f-4c89386c-3cd769ac-021891b7-e0b1bf2b.jpg\n']
s57219522_12,p16662264,s57219522,12,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. The heart size remains unchanged and is within normal limits. Unremarkable position of previously described left-sided PICC line terminating in mid portion of SVC. The pulmonary vasculature is not congested and no pneumothorax can be identified. On previous examinations remaining multifocal density have generally improved. In particular, a lesion identified on the last examination overlying the right upper lobe area laterally (third right intercostal space) has cleared up almost completely. Densities located in the right middle lobe as well as those seen in the left upper lobe lingula persist, but have also undergone a slight improvement. Again, no pneumothorax has developed, no new infiltrates are seen and the lateral and posterior pleural sinuses remain free from any pleural effusion.","Densities located in the right middle lobe as well as those seen in the left upper lobe lingula persist, but have also undergone a slight improvement.",Densities,"right middle lobe, left upper lobe lingula",Better,"['files/p16/p16662264/s57219522/c190fb7d-da5b3a51-5f074369-736f62a6-589d6474.jpg', 'files/p16/p16662264/s57219522/c1d08547-51bb20b6-d0fc7be9-c7477e9a-9e2e5755.jpg']",['files/p16/p16662264/s56986640/66e2a71f-4c89386c-3cd769ac-021891b7-e0b1bf2b.jpg\n']
s57219522_12,p16662264,s57219522,12,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. The heart size remains unchanged and is within normal limits. Unremarkable position of previously described left-sided PICC line terminating in mid portion of SVC. The pulmonary vasculature is not congested and no pneumothorax can be identified. On previous examinations remaining multifocal density have generally improved. In particular, a lesion identified on the last examination overlying the right upper lobe area laterally (third right intercostal space) has cleared up almost completely. Densities located in the right middle lobe as well as those seen in the left upper lobe lingula persist, but have also undergone a slight improvement. Again, no pneumothorax has developed, no new infiltrates are seen and the lateral and posterior pleural sinuses remain free from any pleural effusion.","In particular, a lesion identified on the last examination overlying the right upper lobe area laterally (third right intercostal space) has cleared up almost completely.",lesion,right upper lobe area laterally (third right intercostal space),Resolve,"['files/p16/p16662264/s57219522/c190fb7d-da5b3a51-5f074369-736f62a6-589d6474.jpg', 'files/p16/p16662264/s57219522/c1d08547-51bb20b6-d0fc7be9-c7477e9a-9e2e5755.jpg']",['files/p16/p16662264/s56986640/66e2a71f-4c89386c-3cd769ac-021891b7-e0b1bf2b.jpg\n']
s57219522_12,p16662264,s57219522,12,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. The heart size remains unchanged and is within normal limits. Unremarkable position of previously described left-sided PICC line terminating in mid portion of SVC. The pulmonary vasculature is not congested and no pneumothorax can be identified. On previous examinations remaining multifocal density have generally improved. In particular, a lesion identified on the last examination overlying the right upper lobe area laterally (third right intercostal space) has cleared up almost completely. Densities located in the right middle lobe as well as those seen in the left upper lobe lingula persist, but have also undergone a slight improvement. Again, no pneumothorax has developed, no new infiltrates are seen and the lateral and posterior pleural sinuses remain free from any pleural effusion.",The heart size remains unchanged and is within normal limits.,Heart size,,Stable,"['files/p16/p16662264/s57219522/c190fb7d-da5b3a51-5f074369-736f62a6-589d6474.jpg', 'files/p16/p16662264/s57219522/c1d08547-51bb20b6-d0fc7be9-c7477e9a-9e2e5755.jpg']",['files/p16/p16662264/s56986640/66e2a71f-4c89386c-3cd769ac-021891b7-e0b1bf2b.jpg\n']
s57222195_2,p16055653,s57222195,2,Findings,"As compared to the previous radiograph, the pre-existing right lung opacity has slightly increased in extent. In addition, there is blunting of the right costophrenic sinus, potentially suggestive of a new small pleural effusion. The findings would be consistent with a combination of pulmonary edema and pneumonia. The lung volumes remain low. Unchanged massive cardiomegaly and mild-to-moderate pulmonary edema. No left pleural effusion. Change in the right humeral head could indicate chronic right shoulder subluxation.","As compared to the previous radiograph, the pre-existing right lung opacity has slightly increased in extent.",opacity,right lung,Worse,['files/p16/p16055653/s57222195/75a92fd3-de039272-23790693-7ddfce74-cb96a026.jpg'],['files/p16/p16055653/s56661177/a46cc3e2-acca97ab-6d4f6afb-2f31ce8e-81435979.jpg\n']
s57222195_2,p16055653,s57222195,2,Findings,"As compared to the previous radiograph, the pre-existing right lung opacity has slightly increased in extent. In addition, there is blunting of the right costophrenic sinus, potentially suggestive of a new small pleural effusion. The findings would be consistent with a combination of pulmonary edema and pneumonia. The lung volumes remain low. Unchanged massive cardiomegaly and mild-to-moderate pulmonary edema. No left pleural effusion. Change in the right humeral head could indicate chronic right shoulder subluxation.","In addition, there is blunting of the right costophrenic sinus, potentially suggestive of a new small pleural effusion.",pleural effusion,right costophrenic sinus,New,['files/p16/p16055653/s57222195/75a92fd3-de039272-23790693-7ddfce74-cb96a026.jpg'],['files/p16/p16055653/s56661177/a46cc3e2-acca97ab-6d4f6afb-2f31ce8e-81435979.jpg\n']
s57222195_2,p16055653,s57222195,2,Findings,"As compared to the previous radiograph, the pre-existing right lung opacity has slightly increased in extent. In addition, there is blunting of the right costophrenic sinus, potentially suggestive of a new small pleural effusion. The findings would be consistent with a combination of pulmonary edema and pneumonia. The lung volumes remain low. Unchanged massive cardiomegaly and mild-to-moderate pulmonary edema. No left pleural effusion. Change in the right humeral head could indicate chronic right shoulder subluxation.",The lung volumes remain low.,low lung volumes,,Stable,['files/p16/p16055653/s57222195/75a92fd3-de039272-23790693-7ddfce74-cb96a026.jpg'],['files/p16/p16055653/s56661177/a46cc3e2-acca97ab-6d4f6afb-2f31ce8e-81435979.jpg\n']
s57222195_2,p16055653,s57222195,2,Findings,"As compared to the previous radiograph, the pre-existing right lung opacity has slightly increased in extent. In addition, there is blunting of the right costophrenic sinus, potentially suggestive of a new small pleural effusion. The findings would be consistent with a combination of pulmonary edema and pneumonia. The lung volumes remain low. Unchanged massive cardiomegaly and mild-to-moderate pulmonary edema. No left pleural effusion. Change in the right humeral head could indicate chronic right shoulder subluxation.",Unchanged massive cardiomegaly and mild-to-moderate pulmonary edema.,massive cardiomegaly and mild-to-moderate pulmonary edema,,Stable,['files/p16/p16055653/s57222195/75a92fd3-de039272-23790693-7ddfce74-cb96a026.jpg'],['files/p16/p16055653/s56661177/a46cc3e2-acca97ab-6d4f6afb-2f31ce8e-81435979.jpg\n']
s57222195_2,p16055653,s57222195,2,Findings,"As compared to the previous radiograph, the pre-existing right lung opacity has slightly increased in extent. In addition, there is blunting of the right costophrenic sinus, potentially suggestive of a new small pleural effusion. The findings would be consistent with a combination of pulmonary edema and pneumonia. The lung volumes remain low. Unchanged massive cardiomegaly and mild-to-moderate pulmonary edema. No left pleural effusion. Change in the right humeral head could indicate chronic right shoulder subluxation.",Change in the right humeral head could indicate chronic right shoulder subluxation.,chronic right shoulder subluxation,right humeral head,New,['files/p16/p16055653/s57222195/75a92fd3-de039272-23790693-7ddfce74-cb96a026.jpg'],['files/p16/p16055653/s56661177/a46cc3e2-acca97ab-6d4f6afb-2f31ce8e-81435979.jpg\n']
s57231469_4,p16508811,s57231469,4,Findings,"In comparison with the study of ___, there is continued enlargement of the cardiac silhouette with congestive failure. Poor definition of the hemidiaphragms is consistent with bilateral pleural effusion and compressive atelectasis. There is an area of more coalescent opacification in the right upper zone that is asymmetric with the opposite side. In the appropriate clinical setting, this could well represent a developing focus of pneumonia.","In comparison with the study of ___, there is continued enlargement of the cardiac silhouette with congestive failure.",cardiac silhouette,,Stable,['files/p16/p16508811/s57231469/2d1e6273-8e13a27a-10e404d2-b5ff44ae-03ad30ce.jpg'],"['files/p16/p16508811/s56646773/60195474-8b005d9a-ba896639-dde6ba48-49b2d063.jpg\n', 'files/p16/p16508811/s56646773/e54056af-0e47378b-d4809463-9d218a22-17591156.jpg\n']"
s57232140_1,p11906222,s57232140,1,Findings,"On the initial image, the Dobbhoff tube tip is seen in the mid portion in the esophagus. On the second image, the Dobbhoff tube has been advanced and is appropriately sited within the fundus and body of the stomach. There are old healed rib fractures on the right side. There is some atelectasis and some increased density at the left lung base. No pneumothoraces are seen. Cardiac size is within normal limits.",There are old healed rib fractures on the right side.,healed rib fractures,right side,Stable,"['files/p11/p11906222/s57232140/42e634b1-94de1686-ecd12cab-6619202e-8694c45c.jpg', 'files/p11/p11906222/s57232140/64927291-fe42a66c-af054049-3d17501b-5de4163c.jpg']",['files/p11/p11906222/s56779415/345c27ae-8dc96bd7-cd59fd7f-e18c90bc-71bf8122.jpg\n']
s57238617_20,p14744884,s57238617,20,Impression,Mild pulmonary vascular congestion and stable mild cardiomegaly. No subdiaphragmatic free air.,Mild pulmonary vascular congestion and stable mild cardiomegaly.,mild cardiomegaly,heart,Stable,"['files/p14/p14744884/s57238617/2dbc33d8-a5b00a49-a6bfeea2-cff69532-91a4aac1.jpg', 'files/p14/p14744884/s57238617/56bc5807-8de1dc38-a4e70cd4-d8bdcb19-47bf20c9.jpg']","['files/p14/p14744884/s57120452/b7013a8b-6c5dab19-f07b823e-d65d3507-a7548d2f.jpg\n', 'files/p14/p14744884/s57120452/ccb23713-fc3403f9-ed87ad5d-f67a8be5-b4067886.jpg\n']"
s57238617_20,p14744884,s57238617,20,Findings,"The lung volumes are low, accentuating the heart size, which is persistently mildly enlarged. There is mild pulmonary vascular congestion. The right subclavian vein stent is in place. There is no pleural effusion, pneumothorax, or focal consolidation worrisome for pneumonia. No evidence of subdiaphragmatic free air.","The lung volumes are low, accentuating the heart size, which is persistently mildly enlarged.",mild enlargement,heart,Stable,"['files/p14/p14744884/s57238617/2dbc33d8-a5b00a49-a6bfeea2-cff69532-91a4aac1.jpg', 'files/p14/p14744884/s57238617/56bc5807-8de1dc38-a4e70cd4-d8bdcb19-47bf20c9.jpg']","['files/p14/p14744884/s57120452/b7013a8b-6c5dab19-f07b823e-d65d3507-a7548d2f.jpg\n', 'files/p14/p14744884/s57120452/ccb23713-fc3403f9-ed87ad5d-f67a8be5-b4067886.jpg\n']"
s57241138_5,p18487334,s57241138,5,Findings,"The lungs are clear without consolidation, effusion, or pneumothorax. Left chest wall dual lead pacing device is seen with lead tips in the right atrium and right ventricular apex. Median sternotomy wires and mediastinal clips are again noted. Multiple bilateral rib fractures are noted, most of which appear chronic. There is non visualization of the cortical margin of the right posterior eighth rib fracture which raises possibility of acuity.",Median sternotomy wires and mediastinal clips are again noted.,wires,Median sternotomy,Stable,"['files/p18/p18487334/s57241138/4bc5f178-5d714644-9cc072b9-d1ac0ed5-b4db2ba0.jpg', 'files/p18/p18487334/s57241138/789d985f-bfb9d5d9-23015f62-51fcef07-ef80abf5.jpg', 'files/p18/p18487334/s57241138/88182eaf-e387089b-7ec2ced7-6cfa0fb9-6f390847.jpg']","['files/p18/p18487334/s56858524/70da9ce8-660f957c-cff2916f-1e067a32-1f7149f9.jpg\n', 'files/p18/p18487334/s56858524/bd3badf2-83c4afdf-f177671f-f91d008a-5751464e.jpg\n', 'files/p18/p18487334/s56858524/fc2dd069-a9848695-2c9cc70c-cf06c0f6-38694917.jpg\n']"
s57241942_8,p13067703,s57241942,8,Impression,Appropriate central line positioning without pneumothorax. Other findings unchanged since preceding exam.,Other findings unchanged since preceding exam.,other findings,,Stable,['files/p13/p13067703/s57241942/72173005-a21c911f-2db2f17d-033364e2-aaee101d.jpg'],['files/p13/p13067703/s55049183/c826ff67-cd70843b-c8ce2e1a-49f768a6-5738d4cc.jpg\n']
s57241942_8,p13067703,s57241942,8,Findings,"Single frontal view of the chest demonstrates interval placement of a right subclavian approach central venous catheter with tip in the lower SVC. There is no pneumothorax. A left pectoral cardiac pacer is stable in location with the leads terminating in the right atrium and right ventricle. The lung volumes are low, accentuating mild pulmonary edema. There is retrocardiac opacity and blunting in the left costophrenic angle which may reflect atelectasis and a small effusion.",A left pectoral cardiac pacer is stable in location with the leads terminating in the right atrium and right ventricle.,cardiac pacer,left pectoral,Stable,['files/p13/p13067703/s57241942/72173005-a21c911f-2db2f17d-033364e2-aaee101d.jpg'],['files/p13/p13067703/s55049183/c826ff67-cd70843b-c8ce2e1a-49f768a6-5738d4cc.jpg\n']
s57242265_15,p13606683,s57242265,15,Findings,"There has been previous median sternotomy and aortic valve replacement. ICD pacing device remains in place, with unchanged position of leads in the right atrium, right ventricle and an additional lead for biventricular pacing. Moderate cardiomegaly is stable in appearance, is accompanied by upper zone vascular redistribution and mild interstitial edema. The latter superimposed upon chronic pleural and parenchymal scarring within the mid and lower lungs bilaterally. Lung volumes are increased, in keeping with history of COPD. There are questionable small bilateral pleural effusions present.","Moderate cardiomegaly is stable in appearance, is accompanied by upper zone vascular redistribution and mild interstitial edema.",Moderate cardiomegaly,,Stable,"['files/p13/p13606683/s57242265/af6c2c8b-de4ab155-e59a3a03-1f473d61-d357be8d.jpg', 'files/p13/p13606683/s57242265/c1b005c9-f5bb265e-ba26b793-e1767adb-b6c50b32.jpg', 'files/p13/p13606683/s57242265/ea7d6277-80e938fc-b51ab8d3-00899183-00abddbd.jpg']","['files/p13/p13606683/s57077344/83833260-15c2f0ce-07c1f262-5cd7007e-819f17e6.jpg\n', 'files/p13/p13606683/s57077344/a158a187-8bc54174-4245141b-7afe393b-40c6e701.jpg\n']"
s57242265_15,p13606683,s57242265,15,Findings,"There has been previous median sternotomy and aortic valve replacement. ICD pacing device remains in place, with unchanged position of leads in the right atrium, right ventricle and an additional lead for biventricular pacing. Moderate cardiomegaly is stable in appearance, is accompanied by upper zone vascular redistribution and mild interstitial edema. The latter superimposed upon chronic pleural and parenchymal scarring within the mid and lower lungs bilaterally. Lung volumes are increased, in keeping with history of COPD. There are questionable small bilateral pleural effusions present.","ICD pacing device remains in place, with unchanged position of leads in the right atrium, right ventricle and an additional lead for biventricular pacing.",ICD pacing device,"right atrium, right ventricle",Stable,"['files/p13/p13606683/s57242265/af6c2c8b-de4ab155-e59a3a03-1f473d61-d357be8d.jpg', 'files/p13/p13606683/s57242265/c1b005c9-f5bb265e-ba26b793-e1767adb-b6c50b32.jpg', 'files/p13/p13606683/s57242265/ea7d6277-80e938fc-b51ab8d3-00899183-00abddbd.jpg']","['files/p13/p13606683/s57077344/83833260-15c2f0ce-07c1f262-5cd7007e-819f17e6.jpg\n', 'files/p13/p13606683/s57077344/a158a187-8bc54174-4245141b-7afe393b-40c6e701.jpg\n']"
s57243655_3,p16622813,s57243655,3,Findings,"Cardiomediastinal contours are stable in appearance. Enlargement of hila is consistent with a combination of enlarged pulmonary arteries and right hilar lymph node enlargement as demonstrated on recent CT. Lungs are overinflated, but demonstrate no focal areas of consolidation. Postoperative changes in right hemithorax related to previous lobectomy are stable.",Cardiomediastinal contours are stable in appearance.,Cardiomediastinal contours,,Stable,['files/p16/p16622813/s57243655/e71e1f01-11b4f60d-139fce5f-3eed20e2-1b61e149.jpg'],['files/p16/p16622813/s55353288/a249c5ba-c1c92f36-682ef4b1-98f3bd56-7d2f6932.jpg\n']
s57243655_3,p16622813,s57243655,3,Findings,"Cardiomediastinal contours are stable in appearance. Enlargement of hila is consistent with a combination of enlarged pulmonary arteries and right hilar lymph node enlargement as demonstrated on recent CT. Lungs are overinflated, but demonstrate no focal areas of consolidation. Postoperative changes in right hemithorax related to previous lobectomy are stable.",Postoperative changes in right hemithorax related to previous lobectomy are stable.,postoperative changes,right hemithorax,Stable,['files/p16/p16622813/s57243655/e71e1f01-11b4f60d-139fce5f-3eed20e2-1b61e149.jpg'],['files/p16/p16622813/s55353288/a249c5ba-c1c92f36-682ef4b1-98f3bd56-7d2f6932.jpg\n']
s57251948_0,p15776774,s57251948,0,Findings,"In comparison with study of ___, the patient has taken a better inspiration. Cardiac silhouette is within normal limits and there is no evidence of vascular congestion or pleural effusion. No acute pneumonia. Multiple old healed rib fractures are seen. There again are calcified hilar and mediastinal lymph nodes, compatible with the sequela of known sarcoidosis.","In comparison with study of ___, the patient has taken a better inspiration.",Inspiration,,Better,"['files/p15/p15776774/s57251948/0cdfb937-27e0834d-4d8d1c40-cee9e187-98390c95.jpg', 'files/p15/p15776774/s57251948/dea1e00f-36525922-d0518f15-1f6a94ed-0a385fad.jpg']","['files/p15/p15776774/s55775814/8c9f9878-cdf131fc-776baece-6baeb337-8c4c2b2a.jpg\n', 'files/p15/p15776774/s55775814/bde00ad6-316f9e7b-90b2bc93-a51cfbe3-8ca2cefc.jpg\n']"
s57251948_0,p15776774,s57251948,0,Findings,"In comparison with study of ___, the patient has taken a better inspiration. Cardiac silhouette is within normal limits and there is no evidence of vascular congestion or pleural effusion. No acute pneumonia. Multiple old healed rib fractures are seen. There again are calcified hilar and mediastinal lymph nodes, compatible with the sequela of known sarcoidosis.","There again are calcified hilar and mediastinal lymph nodes, compatible with the sequela of known sarcoidosis.",Calcified lymph nodes,hilar and mediastinal,Stable,"['files/p15/p15776774/s57251948/0cdfb937-27e0834d-4d8d1c40-cee9e187-98390c95.jpg', 'files/p15/p15776774/s57251948/dea1e00f-36525922-d0518f15-1f6a94ed-0a385fad.jpg']","['files/p15/p15776774/s55775814/8c9f9878-cdf131fc-776baece-6baeb337-8c4c2b2a.jpg\n', 'files/p15/p15776774/s55775814/bde00ad6-316f9e7b-90b2bc93-a51cfbe3-8ca2cefc.jpg\n']"
s57251948_0,p15776774,s57251948,0,Findings,"In comparison with study of ___, the patient has taken a better inspiration. Cardiac silhouette is within normal limits and there is no evidence of vascular congestion or pleural effusion. No acute pneumonia. Multiple old healed rib fractures are seen. There again are calcified hilar and mediastinal lymph nodes, compatible with the sequela of known sarcoidosis.",Multiple old healed rib fractures are seen.,Healed rib fractures,,Stable,"['files/p15/p15776774/s57251948/0cdfb937-27e0834d-4d8d1c40-cee9e187-98390c95.jpg', 'files/p15/p15776774/s57251948/dea1e00f-36525922-d0518f15-1f6a94ed-0a385fad.jpg']","['files/p15/p15776774/s55775814/8c9f9878-cdf131fc-776baece-6baeb337-8c4c2b2a.jpg\n', 'files/p15/p15776774/s55775814/bde00ad6-316f9e7b-90b2bc93-a51cfbe3-8ca2cefc.jpg\n']"
s57254304_27,p19623993,s57254304,27,Findings,"Mild linear atelectasis in the right lung is unchanged. There is no new consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar silhouettes are normal.",Mild linear atelectasis in the right lung is unchanged.,linear atelectasis,right lung,Stable,"['files/p19/p19623993/s57254304/b85f7da5-828bea81-c7e95d37-4650d910-3c367fa4.jpg', 'files/p19/p19623993/s57254304/d8d6bec6-48c8a366-841c2d03-d9845540-66735bb4.jpg']",['files/p19/p19623993/s57199757/50c4c252-0054801a-aa949595-362953d3-23b18e2e.jpg\n']
s57255382_3,p17838301,s57255382,3,Impression,"AP chest compared to ___ through ___ at 2:31 a.m.: New nasogastric tube ends in the upper stomach. Severe cardiomegaly and hilar and pulmonary vascular engorgement persists but mild interstitial edema is improving. Note is made of asbestos-related pleural calcifications, particularly along with diaphragmatic surfaces. Right jugular line ends low in the SVC. Pleural effusions are small if any. Lung apices excluded from this examination. The other pleural surfaces show no pleural air.",Severe cardiomegaly and hilar and pulmonary vascular engorgement persists but mild interstitial edema is improving.,hilar and pulmonary vascular engorgement,,Stable,['files/p17/p17838301/s57255382/e5382fdb-74985bc4-2fb7ed30-c1708f5c-3f136ee4.jpg'],['files/p17/p17838301/s56581318/8663aaa6-c83d78b8-ff43e08f-5ea79d11-e7cca33e.jpg\n']
s57255382_3,p17838301,s57255382,3,Impression,"AP chest compared to ___ through ___ at 2:31 a.m.: New nasogastric tube ends in the upper stomach. Severe cardiomegaly and hilar and pulmonary vascular engorgement persists but mild interstitial edema is improving. Note is made of asbestos-related pleural calcifications, particularly along with diaphragmatic surfaces. Right jugular line ends low in the SVC. Pleural effusions are small if any. Lung apices excluded from this examination. The other pleural surfaces show no pleural air.",Severe cardiomegaly and hilar and pulmonary vascular engorgement persists but mild interstitial edema is improving.,interstitial edema,,Better,['files/p17/p17838301/s57255382/e5382fdb-74985bc4-2fb7ed30-c1708f5c-3f136ee4.jpg'],['files/p17/p17838301/s56581318/8663aaa6-c83d78b8-ff43e08f-5ea79d11-e7cca33e.jpg\n']
s57255382_3,p17838301,s57255382,3,Impression,"AP chest compared to ___ through ___ at 2:31 a.m.: New nasogastric tube ends in the upper stomach. Severe cardiomegaly and hilar and pulmonary vascular engorgement persists but mild interstitial edema is improving. Note is made of asbestos-related pleural calcifications, particularly along with diaphragmatic surfaces. Right jugular line ends low in the SVC. Pleural effusions are small if any. Lung apices excluded from this examination. The other pleural surfaces show no pleural air.",Severe cardiomegaly and hilar and pulmonary vascular engorgement persists but mild interstitial edema is improving.,cardiomegaly,,Stable,['files/p17/p17838301/s57255382/e5382fdb-74985bc4-2fb7ed30-c1708f5c-3f136ee4.jpg'],['files/p17/p17838301/s56581318/8663aaa6-c83d78b8-ff43e08f-5ea79d11-e7cca33e.jpg\n']
s57255382_3,p17838301,s57255382,3,Impression,"AP chest compared to ___ through ___ at 2:31 a.m.: New nasogastric tube ends in the upper stomach. Severe cardiomegaly and hilar and pulmonary vascular engorgement persists but mild interstitial edema is improving. Note is made of asbestos-related pleural calcifications, particularly along with diaphragmatic surfaces. Right jugular line ends low in the SVC. Pleural effusions are small if any. Lung apices excluded from this examination. The other pleural surfaces show no pleural air.",AP chest compared to ___ through ___ at 2:31 a.m.: New nasogastric tube ends in the upper stomach.,nasogastric tube,upper stomach,New,['files/p17/p17838301/s57255382/e5382fdb-74985bc4-2fb7ed30-c1708f5c-3f136ee4.jpg'],['files/p17/p17838301/s56581318/8663aaa6-c83d78b8-ff43e08f-5ea79d11-e7cca33e.jpg\n']
s57258004_12,p19907884,s57258004,12,Findings,"Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is detected. Elevation of the right hemidiaphragm is unchanged. Multiple clips are again noted in the right paramediastinal region.",Elevation of the right hemidiaphragm is unchanged.,Elevation of the hemidiaphragm,Right,Stable,"['files/p19/p19907884/s57258004/6e2797cc-f1c60fb3-30a651cc-c23cf3d1-b15803bb.jpg', 'files/p19/p19907884/s57258004/7a484064-6d2f5b95-1e966dad-22b8556e-23e55386.jpg']","['files/p19/p19907884/s55906329/247125c4-d3771619-d3f0f316-f696f8c7-c66bc0b7.jpg\n', 'files/p19/p19907884/s55906329/c76592b7-dc16f6ee-eddffb4d-e872e85b-672e7d59.jpg\n']"
s57258004_12,p19907884,s57258004,12,Findings,"Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is detected. Elevation of the right hemidiaphragm is unchanged. Multiple clips are again noted in the right paramediastinal region.",Multiple clips are again noted in the right paramediastinal region.,Multiple clips,Right paramediastinal,Stable,"['files/p19/p19907884/s57258004/6e2797cc-f1c60fb3-30a651cc-c23cf3d1-b15803bb.jpg', 'files/p19/p19907884/s57258004/7a484064-6d2f5b95-1e966dad-22b8556e-23e55386.jpg']","['files/p19/p19907884/s55906329/247125c4-d3771619-d3f0f316-f696f8c7-c66bc0b7.jpg\n', 'files/p19/p19907884/s55906329/c76592b7-dc16f6ee-eddffb4d-e872e85b-672e7d59.jpg\n']"
s57259586_28,p12952223,s57259586,28,Findings,"As compared to the previous radiograph, there is improvement of ventilation, as reflected by decrease in extent of the parenchymal opacities. At the lung bases, the opacities, however, are still evident. Moderate cardiomegaly, mild fluid overload, no pneumothorax.","As compared to the previous radiograph, there is improvement of ventilation, as reflected by decrease in extent of the parenchymal opacities.",parenchymal opacities,,Better,['files/p12/p12952223/s57259586/c23b378d-83c12bd1-41434eef-579d522e-0862b804.jpg'],['files/p12/p12952223/s56581630/ffa922f9-60c9f991-d3cb83aa-6f446e5e-f6be9611.jpg\n']
s57268374_6,p14387068,s57268374,6,Findings,"Comparison is made to the prior study from ___ at 3:20 a.m. There is again seen a very large right-sided hydropneumothorax. There is collapse of the right lung. A right basilar pleural catheter is again seen on the edge of the film. There has been decrease in the size of the pleural effusion density on the right; however, this may be partially due to positioning.",There is again seen a very large right-sided hydropneumothorax.,hydropneumothorax,right side,Stable,['files/p14/p14387068/s57268374/b10b437e-7ddd8f3e-e403e6b0-aaa91576-737f857d.jpg'],['files/p14/p14387068/s56469870/92666ac1-70ccc2f3-66bc3d47-ed08bd0e-d444a359.jpg\n']
s57268374_6,p14387068,s57268374,6,Findings,"Comparison is made to the prior study from ___ at 3:20 a.m. There is again seen a very large right-sided hydropneumothorax. There is collapse of the right lung. A right basilar pleural catheter is again seen on the edge of the film. There has been decrease in the size of the pleural effusion density on the right; however, this may be partially due to positioning.","There has been decrease in the size of the pleural effusion density on the right; however, this may be partially due to positioning.",pleural effusion,right,Better,['files/p14/p14387068/s57268374/b10b437e-7ddd8f3e-e403e6b0-aaa91576-737f857d.jpg'],['files/p14/p14387068/s56469870/92666ac1-70ccc2f3-66bc3d47-ed08bd0e-d444a359.jpg\n']
s57268374_6,p14387068,s57268374,6,Findings,"Comparison is made to the prior study from ___ at 3:20 a.m. There is again seen a very large right-sided hydropneumothorax. There is collapse of the right lung. A right basilar pleural catheter is again seen on the edge of the film. There has been decrease in the size of the pleural effusion density on the right; however, this may be partially due to positioning.",There is collapse of the right lung.,lung collapse,right,New,['files/p14/p14387068/s57268374/b10b437e-7ddd8f3e-e403e6b0-aaa91576-737f857d.jpg'],['files/p14/p14387068/s56469870/92666ac1-70ccc2f3-66bc3d47-ed08bd0e-d444a359.jpg\n']
s57268374_6,p14387068,s57268374,6,Findings,"Comparison is made to the prior study from ___ at 3:20 a.m. There is again seen a very large right-sided hydropneumothorax. There is collapse of the right lung. A right basilar pleural catheter is again seen on the edge of the film. There has been decrease in the size of the pleural effusion density on the right; however, this may be partially due to positioning.",A right basilar pleural catheter is again seen on the edge of the film.,pleural catheter,right basilar,Stable,['files/p14/p14387068/s57268374/b10b437e-7ddd8f3e-e403e6b0-aaa91576-737f857d.jpg'],['files/p14/p14387068/s56469870/92666ac1-70ccc2f3-66bc3d47-ed08bd0e-d444a359.jpg\n']
s57273035_0,p14147787,s57273035,0,Impression,"Stable bilateral upper lung opacities, most likely local fibrosis. No evidence of disease progression.","Stable bilateral upper lung opacities, most likely local fibrosis.",opacities,bilateral upper lungs,Stable,"['files/p14/p14147787/s57273035/81de7e80-2edbbb8d-79fc1894-47b63c05-3f9372d4.jpg', 'files/p14/p14147787/s57273035/aca6b155-68b90055-1f93177b-66da5efe-169cd50e.jpg', 'files/p14/p14147787/s57273035/c4454802-d86577e1-c6a22cd3-a0842a51-45e55746.jpg', 'files/p14/p14147787/s57273035/f49a5c67-16a3099a-af9b9179-d534ad5a-c4a5e8cf.jpg']","['files/p14/p14147787/s56678203/30db56bc-d9088ba5-23b5061e-3c940df0-7003496f.jpg\n', 'files/p14/p14147787/s56678203/45b13b1f-9e2d6eb7-f39f8df6-c24b1ef4-7f0aa665.jpg\n', 'files/p14/p14147787/s56678203/a418be70-ef72fa03-c22364d3-1ff688ee-a54559ec.jpg\n']"
s57273035_0,p14147787,s57273035,0,Findings,"Again seen are stable bilateral linear opacities in the upper lungs with suggestion of local fibrosis. There is no evidence of fibrosis in other lung zones or progression of disease. There is no hilar adenopathy, focal consolidation, pleural effusion, or pneumothorax. No newly appeared micronodules. The cardiomediastinal silhouette is normal.",Again seen are stable bilateral linear opacities in the upper lungs with suggestion of local fibrosis.,linear opacities,bilateral upper lungs,Stable,"['files/p14/p14147787/s57273035/81de7e80-2edbbb8d-79fc1894-47b63c05-3f9372d4.jpg', 'files/p14/p14147787/s57273035/aca6b155-68b90055-1f93177b-66da5efe-169cd50e.jpg', 'files/p14/p14147787/s57273035/c4454802-d86577e1-c6a22cd3-a0842a51-45e55746.jpg', 'files/p14/p14147787/s57273035/f49a5c67-16a3099a-af9b9179-d534ad5a-c4a5e8cf.jpg']","['files/p14/p14147787/s56678203/30db56bc-d9088ba5-23b5061e-3c940df0-7003496f.jpg\n', 'files/p14/p14147787/s56678203/45b13b1f-9e2d6eb7-f39f8df6-c24b1ef4-7f0aa665.jpg\n', 'files/p14/p14147787/s56678203/a418be70-ef72fa03-c22364d3-1ff688ee-a54559ec.jpg\n']"
s57273388_6,p18338007,s57273388,6,Impression,Limited examination due to extremely low lung volumes. Elevated left diaphragm is unchanged. No definite acute intrathoracic process.,Elevated left diaphragm is unchanged.,elevation,left diaphragm,Stable,"['files/p18/p18338007/s57273388/38c65a6d-f4aef98f-d9b4f8fc-37878bd1-8cf123a6.jpg', 'files/p18/p18338007/s57273388/880f55b2-21e9c680-823ecd8e-9ac3a7b2-836baabb.jpg']",['files/p18/p18338007/s54174765/6d7e8320-4a212d21-d96325bf-9360fb31-20719637.jpg\n']
s57273388_6,p18338007,s57273388,6,Findings,"The lungs are extremely low in volume but appear clear. The cardiac silhouette is obscured by an elevated left hemidiaphragm, unchanged. The hilar contours and pleural surfaces appear normal. No definite pleural effusions are present.","The cardiac silhouette is obscured by an elevated left hemidiaphragm, unchanged.",elevation,left hemidiaphragm,Stable,"['files/p18/p18338007/s57273388/38c65a6d-f4aef98f-d9b4f8fc-37878bd1-8cf123a6.jpg', 'files/p18/p18338007/s57273388/880f55b2-21e9c680-823ecd8e-9ac3a7b2-836baabb.jpg']",['files/p18/p18338007/s54174765/6d7e8320-4a212d21-d96325bf-9360fb31-20719637.jpg\n']
s57273961_10,p12952223,s57273961,10,Findings,"There is a right IJ central venous line with distal lead tip at the cavoatrial junction, stable. There are extensive large pleural effusions, right side worse than left. Atelectasis at the left lung base and poor inspiratory effort is again visualized. No pneumothoraces are seen. There is mild underlying pulmonary edema.","There is a right IJ central venous line with distal lead tip at the cavoatrial junction, stable.",right IJ central venous line,cavoatrial junction,Stable,"['files/p12/p12952223/s57273961/7b29d6f3-369318e4-db0f16ce-ba0efb3e-630b539c.jpg', 'files/p12/p12952223/s57273961/c8502a35-a270d52b-bd1e0d87-6a535418-3c742175.jpg']",['files/p12/p12952223/s57259586/c23b378d-83c12bd1-41434eef-579d522e-0862b804.jpg\n']
s57273961_10,p12952223,s57273961,10,Findings,"There is a right IJ central venous line with distal lead tip at the cavoatrial junction, stable. There are extensive large pleural effusions, right side worse than left. Atelectasis at the left lung base and poor inspiratory effort is again visualized. No pneumothoraces are seen. There is mild underlying pulmonary edema.",Atelectasis at the left lung base and poor inspiratory effort is again visualized.,Atelectasis,left lung base,Worse,"['files/p12/p12952223/s57273961/7b29d6f3-369318e4-db0f16ce-ba0efb3e-630b539c.jpg', 'files/p12/p12952223/s57273961/c8502a35-a270d52b-bd1e0d87-6a535418-3c742175.jpg']",['files/p12/p12952223/s57259586/c23b378d-83c12bd1-41434eef-579d522e-0862b804.jpg\n']
s57274207_0,p16319601,s57274207,0,Findings,"Single upright portable chest radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. However, subcutaneous emphhysema identified in the soft tissues of the neck and bilateral supraclaviaular region. Linear lucency tracking along the trachea concerning for pneumomediastinum. There is a stable left PICC line with tip at the cavoatrial junction. There is suggestion of a pleural fold approximately 4.5 cm from the apex with a paucity of lung markings in this region which may suggest a moderate-sized pneumothorax not evident on the prior study; however, there appears to be no evidence of the expected associated volume loss. Small rounded radiopaque density is noted projecting in the right mid lung and crossing a different bony structure than on prior study, indicating it is not within the bone and may represent a calcified granuloma. No pleural effusion evident. No osseous abnormality identified.",There is a stable left PICC line with tip at the cavoatrial junction.,PICC line,left,Stable,['files/p16/p16319601/s57274207/5ca8e895-727feeb6-2817230e-65ce2e3b-5b8f315f.jpg'],['files/p16/p16319601/s55588562/a54a1c95-9ef227c1-e64321cb-98c9470d-761b66f8.jpg\n']
s57276121_2,p18615099,s57276121,2,Findings,"The patient is status post coronary artery bypass graft surgery. A dual-lead pacemaker/ICD device appears unchanged. The mediastinal and hilar contours appear unchanged. The heart appears mildly enlarged. A widespread interstitial abnormality suggests mild vascular congestion. Although there is increased relative opacification of the left mid lung compared to the right, an asymmetric pattern of pulmonary edema has been seen on prior radiographs such as ___.",A dual-lead pacemaker/ICD device appears unchanged.,dual-lead pacemaker/ICD device,,Stable,"['files/p18/p18615099/s57276121/41c8cba5-a0d8e773-24645a1c-2326cd47-77ef0674.jpg', 'files/p18/p18615099/s57276121/dd3bb5f4-72efaaca-854cacfc-e1b8f92d-745973bd.jpg', 'files/p18/p18615099/s57276121/e9d24dd4-53a3cddf-037262e6-499b0f3d-de0ab4eb.jpg']",['files/p18/p18615099/s57165304/efeee902-a228cde6-a6a4b031-7c26bc53-842009b9.jpg\n']
s57276121_2,p18615099,s57276121,2,Findings,"The patient is status post coronary artery bypass graft surgery. A dual-lead pacemaker/ICD device appears unchanged. The mediastinal and hilar contours appear unchanged. The heart appears mildly enlarged. A widespread interstitial abnormality suggests mild vascular congestion. Although there is increased relative opacification of the left mid lung compared to the right, an asymmetric pattern of pulmonary edema has been seen on prior radiographs such as ___.",The mediastinal and hilar contours appear unchanged.,mediastinal and hilar contours,,Stable,"['files/p18/p18615099/s57276121/41c8cba5-a0d8e773-24645a1c-2326cd47-77ef0674.jpg', 'files/p18/p18615099/s57276121/dd3bb5f4-72efaaca-854cacfc-e1b8f92d-745973bd.jpg', 'files/p18/p18615099/s57276121/e9d24dd4-53a3cddf-037262e6-499b0f3d-de0ab4eb.jpg']",['files/p18/p18615099/s57165304/efeee902-a228cde6-a6a4b031-7c26bc53-842009b9.jpg\n']
s57276121_2,p18615099,s57276121,2,Findings,"The patient is status post coronary artery bypass graft surgery. A dual-lead pacemaker/ICD device appears unchanged. The mediastinal and hilar contours appear unchanged. The heart appears mildly enlarged. A widespread interstitial abnormality suggests mild vascular congestion. Although there is increased relative opacification of the left mid lung compared to the right, an asymmetric pattern of pulmonary edema has been seen on prior radiographs such as ___.","Although there is increased relative opacification of the left mid lung compared to the right, an asymmetric pattern of pulmonary edema has been seen on prior radiographs such as ___.",opacification,left mid lung,Worse,"['files/p18/p18615099/s57276121/41c8cba5-a0d8e773-24645a1c-2326cd47-77ef0674.jpg', 'files/p18/p18615099/s57276121/dd3bb5f4-72efaaca-854cacfc-e1b8f92d-745973bd.jpg', 'files/p18/p18615099/s57276121/e9d24dd4-53a3cddf-037262e6-499b0f3d-de0ab4eb.jpg']",['files/p18/p18615099/s57165304/efeee902-a228cde6-a6a4b031-7c26bc53-842009b9.jpg\n']
s57279525_1,p16848073,s57279525,1,Impression,"AP chest compared to ___: Lung volumes are lower, small to moderate right pleural effusion and atelectasis in the right middle and lower lung zones have worsened. Greater widening of the upper mediastinum could be due to distention of the neoesophagus. No pneumothorax. Right pleural tube in place. Subcutaneous emphysema in the right chest wall is probably improving since ___. Mild-to-moderate pulmonary vascular engorgement is best appreciated in the left lung, increased since ___. Nasogastric tube ends at the level of the diaphragm. Right pleural tube unchanged in position. Mild cardiomegaly stable. No pneumothorax.","Mild-to-moderate pulmonary vascular engorgement is best appreciated in the left lung, increased since ___.",pulmonary vascular engorgement,left lung,Worse,['files/p16/p16848073/s57279525/414e1798-ab5aec7c-6beacfd6-c951f535-2bc666eb.jpg'],['files/p16/p16848073/s56216095/cadd4a61-f20934b5-eb57e9f4-3b4f3b61-8718edab.jpg\n']
s57279525_1,p16848073,s57279525,1,Impression,"AP chest compared to ___: Lung volumes are lower, small to moderate right pleural effusion and atelectasis in the right middle and lower lung zones have worsened. Greater widening of the upper mediastinum could be due to distention of the neoesophagus. No pneumothorax. Right pleural tube in place. Subcutaneous emphysema in the right chest wall is probably improving since ___. Mild-to-moderate pulmonary vascular engorgement is best appreciated in the left lung, increased since ___. Nasogastric tube ends at the level of the diaphragm. Right pleural tube unchanged in position. Mild cardiomegaly stable. No pneumothorax.","AP chest compared to ___: Lung volumes are lower, small to moderate right pleural effusion and atelectasis in the right middle and lower lung zones have worsened.",pleural effusion and atelectasis,right middle and lower lung zones,Worse,['files/p16/p16848073/s57279525/414e1798-ab5aec7c-6beacfd6-c951f535-2bc666eb.jpg'],['files/p16/p16848073/s56216095/cadd4a61-f20934b5-eb57e9f4-3b4f3b61-8718edab.jpg\n']
s57279525_1,p16848073,s57279525,1,Impression,"AP chest compared to ___: Lung volumes are lower, small to moderate right pleural effusion and atelectasis in the right middle and lower lung zones have worsened. Greater widening of the upper mediastinum could be due to distention of the neoesophagus. No pneumothorax. Right pleural tube in place. Subcutaneous emphysema in the right chest wall is probably improving since ___. Mild-to-moderate pulmonary vascular engorgement is best appreciated in the left lung, increased since ___. Nasogastric tube ends at the level of the diaphragm. Right pleural tube unchanged in position. Mild cardiomegaly stable. No pneumothorax.",Right pleural tube unchanged in position.,tube,right pleural,Stable,['files/p16/p16848073/s57279525/414e1798-ab5aec7c-6beacfd6-c951f535-2bc666eb.jpg'],['files/p16/p16848073/s56216095/cadd4a61-f20934b5-eb57e9f4-3b4f3b61-8718edab.jpg\n']
s57279525_1,p16848073,s57279525,1,Impression,"AP chest compared to ___: Lung volumes are lower, small to moderate right pleural effusion and atelectasis in the right middle and lower lung zones have worsened. Greater widening of the upper mediastinum could be due to distention of the neoesophagus. No pneumothorax. Right pleural tube in place. Subcutaneous emphysema in the right chest wall is probably improving since ___. Mild-to-moderate pulmonary vascular engorgement is best appreciated in the left lung, increased since ___. Nasogastric tube ends at the level of the diaphragm. Right pleural tube unchanged in position. Mild cardiomegaly stable. No pneumothorax.",Subcutaneous emphysema in the right chest wall is probably improving since ___.,subcutaneous emphysema,right chest wall,Better,['files/p16/p16848073/s57279525/414e1798-ab5aec7c-6beacfd6-c951f535-2bc666eb.jpg'],['files/p16/p16848073/s56216095/cadd4a61-f20934b5-eb57e9f4-3b4f3b61-8718edab.jpg\n']
s57279525_1,p16848073,s57279525,1,Impression,"AP chest compared to ___: Lung volumes are lower, small to moderate right pleural effusion and atelectasis in the right middle and lower lung zones have worsened. Greater widening of the upper mediastinum could be due to distention of the neoesophagus. No pneumothorax. Right pleural tube in place. Subcutaneous emphysema in the right chest wall is probably improving since ___. Mild-to-moderate pulmonary vascular engorgement is best appreciated in the left lung, increased since ___. Nasogastric tube ends at the level of the diaphragm. Right pleural tube unchanged in position. Mild cardiomegaly stable. No pneumothorax.",Mild cardiomegaly stable.,cardiomegaly,,Stable,['files/p16/p16848073/s57279525/414e1798-ab5aec7c-6beacfd6-c951f535-2bc666eb.jpg'],['files/p16/p16848073/s56216095/cadd4a61-f20934b5-eb57e9f4-3b4f3b61-8718edab.jpg\n']
s57281227_66,p14851532,s57281227,66,Impression,Combination of moderate right pleural effusion and probable right middle and lower lobe collapse is unchanged over the past several days. Chronic cardiomegaly is severe. Pulmonary vasculature is minimally engorged in the left upper lobe but there is no pulmonary edema. Left pleural effusion is small. No pneumothorax. Swan-Ganz catheter ends in the right descending pulmonary artery but has been withdrawn since ___. No pneumothorax.,Combination of moderate right pleural effusion and probable right middle and lower lobe collapse is unchanged over the past several days.,Moderate pleural effusion and collapse,"Right pleural, right middle and lower lobe",Stable,['files/p14/p14851532/s57281227/44272033-b5295be7-f0373b0f-729ae692-1e1a3ba0.jpg'],['files/p14/p14851532/s57089146/aaaa9831-9d16cbd6-73e400af-8f17ddaf-44968eda.jpg\n']
s57281227_66,p14851532,s57281227,66,Impression,Combination of moderate right pleural effusion and probable right middle and lower lobe collapse is unchanged over the past several days. Chronic cardiomegaly is severe. Pulmonary vasculature is minimally engorged in the left upper lobe but there is no pulmonary edema. Left pleural effusion is small. No pneumothorax. Swan-Ganz catheter ends in the right descending pulmonary artery but has been withdrawn since ___. No pneumothorax.,Swan-Ganz catheter ends in the right descending pulmonary artery but has been withdrawn since ___.,Swan-Ganz catheter,Right descending pulmonary artery,Resolve,['files/p14/p14851532/s57281227/44272033-b5295be7-f0373b0f-729ae692-1e1a3ba0.jpg'],['files/p14/p14851532/s57089146/aaaa9831-9d16cbd6-73e400af-8f17ddaf-44968eda.jpg\n']
s57282583_9,p16672854,s57282583,9,Findings,Portable AP upright view of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. There are lower lung opacities which is potential concern for pneumonia. There is no large effusion or pneumothorax. Mild central hilar congestion is somewhat improved from prior exam. The heart size is top normal. The mediastinal contour is unchanged. No definite signs of pneumothorax. Bony structures appear grossly intact.,Mild central hilar congestion is somewhat improved from prior exam.,congestion,central hilar,Better,['files/p16/p16672854/s57282583/350c270f-70f4a764-33a53729-ec529c84-cd886aa9.jpg'],['files/p16/p16672854/s56667543/6ffb2758-06d7d35f-3945c13a-7dc500cc-de2839e4.jpg\n']
s57282583_9,p16672854,s57282583,9,Findings,Portable AP upright view of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. There are lower lung opacities which is potential concern for pneumonia. There is no large effusion or pneumothorax. Mild central hilar congestion is somewhat improved from prior exam. The heart size is top normal. The mediastinal contour is unchanged. No definite signs of pneumothorax. Bony structures appear grossly intact.,The mediastinal contour is unchanged.,mediastinal contour,,Stable,['files/p16/p16672854/s57282583/350c270f-70f4a764-33a53729-ec529c84-cd886aa9.jpg'],['files/p16/p16672854/s56667543/6ffb2758-06d7d35f-3945c13a-7dc500cc-de2839e4.jpg\n']
s57282583_9,p16672854,s57282583,9,Findings,Portable AP upright view of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. There are lower lung opacities which is potential concern for pneumonia. There is no large effusion or pneumothorax. Mild central hilar congestion is somewhat improved from prior exam. The heart size is top normal. The mediastinal contour is unchanged. No definite signs of pneumothorax. Bony structures appear grossly intact.,Midline sternotomy wires and mediastinal clips are again noted.,sternotomy wires,midline,Stable,['files/p16/p16672854/s57282583/350c270f-70f4a764-33a53729-ec529c84-cd886aa9.jpg'],['files/p16/p16672854/s56667543/6ffb2758-06d7d35f-3945c13a-7dc500cc-de2839e4.jpg\n']
s57282583_9,p16672854,s57282583,9,Findings,Portable AP upright view of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. There are lower lung opacities which is potential concern for pneumonia. There is no large effusion or pneumothorax. Mild central hilar congestion is somewhat improved from prior exam. The heart size is top normal. The mediastinal contour is unchanged. No definite signs of pneumothorax. Bony structures appear grossly intact.,Midline sternotomy wires and mediastinal clips are again noted.,clips,mediastinal,Stable,['files/p16/p16672854/s57282583/350c270f-70f4a764-33a53729-ec529c84-cd886aa9.jpg'],['files/p16/p16672854/s56667543/6ffb2758-06d7d35f-3945c13a-7dc500cc-de2839e4.jpg\n']
s57289014_3,p17337033,s57289014,3,Findings,"Heart size is normal. Mediastinal widening is unchanged compatible with mediastinal lipomatosis with a tortuous aorta again noted. The hilar contours are unremarkable. Pulmonary vasculature is normal. Linear opacity within the lingula is compatible with subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.",Mediastinal widening is unchanged compatible with mediastinal lipomatosis with a tortuous aorta again noted.,widening,mediastinum,Stable,"['files/p17/p17337033/s57289014/505da1b4-ef3336a4-fb3f5e5e-09bb3b5e-eb1350dc.jpg', 'files/p17/p17337033/s57289014/a30e7a85-23910be3-967d6653-109accd7-e4101dcf.jpg']","['files/p17/p17337033/s56541072/66fece2b-2fccf418-d23f1eda-9dde45e2-d85df8da.jpg\n', 'files/p17/p17337033/s56541072/f53747e0-3dd01244-eeae450a-0ae12723-4a49d191.jpg\n']"
s57293911_16,p14387068,s57293911,16,Impression,"1. A feeding tube is seen coursing below the diaphragm with the tip not definitively identified on this examination. 2. There is a right-sided loculated pleural opacity, which most likely represents loculated fluid and does not appear to be significantly changed. There is volume loss with shift of the mediastinum to the right and aeration of only a portion of the right lung. A more focal oval consolidation in the left upper-to-mid lung is also seen suggestive of pneumonia, but is not significantly changed. More patchy opacity at the left base may reflect other areas of pneumonia or patchy atelectasis. No pneumothorax. No evidence of pulmonary edema. Overall cardiac and mediastinal contours are likely stable given differences in positioning.","There is a right-sided loculated pleural opacity, which most likely represents loculated fluid and does not appear to be significantly changed.",loculated pleural opacity,right-sided,Stable,['files/p14/p14387068/s57293911/a3dbcc01-a336ba92-1a8702d2-124e81f5-6a525305.jpg'],['files/p14/p14387068/s57268374/b10b437e-7ddd8f3e-e403e6b0-aaa91576-737f857d.jpg\n']
s57293911_16,p14387068,s57293911,16,Impression,"1. A feeding tube is seen coursing below the diaphragm with the tip not definitively identified on this examination. 2. There is a right-sided loculated pleural opacity, which most likely represents loculated fluid and does not appear to be significantly changed. There is volume loss with shift of the mediastinum to the right and aeration of only a portion of the right lung. A more focal oval consolidation in the left upper-to-mid lung is also seen suggestive of pneumonia, but is not significantly changed. More patchy opacity at the left base may reflect other areas of pneumonia or patchy atelectasis. No pneumothorax. No evidence of pulmonary edema. Overall cardiac and mediastinal contours are likely stable given differences in positioning.","A more focal oval consolidation in the left upper-to-mid lung is also seen suggestive of pneumonia, but is not significantly changed.",pneumonia,left upper-to-mid,Stable,['files/p14/p14387068/s57293911/a3dbcc01-a336ba92-1a8702d2-124e81f5-6a525305.jpg'],['files/p14/p14387068/s57268374/b10b437e-7ddd8f3e-e403e6b0-aaa91576-737f857d.jpg\n']
s57293911_16,p14387068,s57293911,16,Impression,"1. A feeding tube is seen coursing below the diaphragm with the tip not definitively identified on this examination. 2. There is a right-sided loculated pleural opacity, which most likely represents loculated fluid and does not appear to be significantly changed. There is volume loss with shift of the mediastinum to the right and aeration of only a portion of the right lung. A more focal oval consolidation in the left upper-to-mid lung is also seen suggestive of pneumonia, but is not significantly changed. More patchy opacity at the left base may reflect other areas of pneumonia or patchy atelectasis. No pneumothorax. No evidence of pulmonary edema. Overall cardiac and mediastinal contours are likely stable given differences in positioning.",Overall cardiac and mediastinal contours are likely stable given differences in positioning.,cardiac and mediastinal contours,,Stable,['files/p14/p14387068/s57293911/a3dbcc01-a336ba92-1a8702d2-124e81f5-6a525305.jpg'],['files/p14/p14387068/s57268374/b10b437e-7ddd8f3e-e403e6b0-aaa91576-737f857d.jpg\n']
s57294152_9,p16050730,s57294152,9,Findings,AP upright and lateral views the chest provided. Cardiomegaly again noted with hilar congestion without overt signs of edema. No large effusion or pneumothorax. No convincing signs of pneumonia. Bony structures are intact. Mediastinal contour stable.,Cardiomegaly again noted with hilar congestion without overt signs of edema.,Cardiomegaly with hilar congestion,,Stable,"['files/p16/p16050730/s57294152/1a5734f8-86784713-834c020a-10c75729-cff94a9b.jpg', 'files/p16/p16050730/s57294152/31b932ba-757c9228-940b6753-513b8ecb-705d05b5.jpg']","['files/p16/p16050730/s57265603/38708899-5132e206-88cb58cf-d55a7065-6cbc983d.jpg\n', 'files/p16/p16050730/s57265603/b6520de1-54c0557f-89afcfc8-cbacd337-e2a10b25.jpg\n']"
s57294152_9,p16050730,s57294152,9,Findings,AP upright and lateral views the chest provided. Cardiomegaly again noted with hilar congestion without overt signs of edema. No large effusion or pneumothorax. No convincing signs of pneumonia. Bony structures are intact. Mediastinal contour stable.,Mediastinal contour stable.,Mediastinal contour,,Stable,"['files/p16/p16050730/s57294152/1a5734f8-86784713-834c020a-10c75729-cff94a9b.jpg', 'files/p16/p16050730/s57294152/31b932ba-757c9228-940b6753-513b8ecb-705d05b5.jpg']","['files/p16/p16050730/s57265603/38708899-5132e206-88cb58cf-d55a7065-6cbc983d.jpg\n', 'files/p16/p16050730/s57265603/b6520de1-54c0557f-89afcfc8-cbacd337-e2a10b25.jpg\n']"
s57304510_6,p18855147,s57304510,6,Impression,"1. Right-sided internal jugular dual-lumen catheter is unchanged in position. There is worsening bilateral airspace and interstitial process, which most likely reflects worsening pulmonary and interstitial edema, possibly superimposed on underlying chronic interstitial changes. Overall cardiac and mediastinal contours are difficult to assess given patient rotation on the current examination. No evidence of pneumothorax. Probable small left layering pleural effusion.",Right-sided internal jugular dual-lumen catheter is unchanged in position.,internal jugular dual-lumen catheter,Right-sided,Stable,['files/p18/p18855147/s57304510/6c24203f-eb2ae77d-f8dc8d4b-8ca91798-a6dddd76.jpg'],['files/p18/p18855147/s56550578/3fb9a12d-133444d3-6e328120-7dc4d6ef-d0b6b9fd.jpg\n']
s57304510_6,p18855147,s57304510,6,Impression,"1. Right-sided internal jugular dual-lumen catheter is unchanged in position. There is worsening bilateral airspace and interstitial process, which most likely reflects worsening pulmonary and interstitial edema, possibly superimposed on underlying chronic interstitial changes. Overall cardiac and mediastinal contours are difficult to assess given patient rotation on the current examination. No evidence of pneumothorax. Probable small left layering pleural effusion.","There is worsening bilateral airspace and interstitial process, which most likely reflects worsening pulmonary and interstitial edema, possibly superimposed on underlying chronic interstitial changes.",airspace and interstitial process,bilateral,Worse,['files/p18/p18855147/s57304510/6c24203f-eb2ae77d-f8dc8d4b-8ca91798-a6dddd76.jpg'],['files/p18/p18855147/s56550578/3fb9a12d-133444d3-6e328120-7dc4d6ef-d0b6b9fd.jpg\n']
s57304735_12,p16826047,s57304735,12,Findings,"In comparison with the earlier study of this date, there may be some increasing opacification at the right base. It is unclear whether this represents slight increase in pleural fluid or merely difference in patient position. No evidence of pneumothorax. Left lung is essentially clear.","In comparison with the earlier study of this date, there may be some increasing opacification at the right base",opacification,right base,Worse,['files/p16/p16826047/s57304735/6d68975e-d2edf733-8d606be2-0293f596-9d2ed6a6.jpg'],['files/p16/p16826047/s57080795/196c8e5f-ab6084a7-145ac6ef-54b05747-9768ba0f.jpg\n']
s57320234_5,p12124741,s57320234,5,Impression,1. Small bilateral pleural effusions. 2. Improvement in pulmonary edema.,Improvement in pulmonary edema.,pulmonary edema,,Better,"['files/p12/p12124741/s57320234/43b4627a-0c31cd6a-92c2144b-ecbf51e1-1519741b.jpg', 'files/p12/p12124741/s57320234/72a15dc0-cfcca17f-201baf20-76f2e298-e4123143.jpg']",['files/p12/p12124741/s57169558/7ceecc91-32932b6b-bf0ae761-92a74cf7-fe124fbc.jpg\n']
s57320234_5,p12124741,s57320234,5,Findings,"A right port catheter tip ends in the mid SVC. Sternal wires are intact and midline. There are small bilateral pleural effusions, slightly larger on the left than on the right. The cardiac silhouette is moderately enlarged. There is mild engorgement of the pulmonary vasculature. There has been improvement in the previously noted pulmonary edema with minimal residual edema. There is plate-like atelectasis seen in the left base. There is no consolidation or pneumothorax.",There has been improvement in the previously noted pulmonary edema with minimal residual edema.,pulmonary edema,,Better,"['files/p12/p12124741/s57320234/43b4627a-0c31cd6a-92c2144b-ecbf51e1-1519741b.jpg', 'files/p12/p12124741/s57320234/72a15dc0-cfcca17f-201baf20-76f2e298-e4123143.jpg']",['files/p12/p12124741/s57169558/7ceecc91-32932b6b-bf0ae761-92a74cf7-fe124fbc.jpg\n']
s57330158_4,p11893091,s57330158,4,Findings,"Newly placed endotracheal tube terminates approximately 3.6 cm above the carina, and a nasogastric tube courses below the diaphragm. A 3-cm diameter rounded lucency is identified lateral to the endotracheal tube and nasogastric tube to the left of midline. Although potentially representing an over-distended endotracheal tube cuff, the position is more lateral than expected for this condition. Alternative possibilities include an air-filled diverticulum arising from the trachea or esophagus. Findings were communicated by telephone with Dr. ___ on ___ at 4:00 p.m. at the time of discovery. Exam is otherwise remarkable for persistent cardiomegaly and worsening congestive heart failure with increasing perihilar edema and persistent small right pleural effusion.",Exam is otherwise remarkable for persistent cardiomegaly and worsening congestive heart failure with increasing perihilar edema and persistent small right pleural effusion.,pleural effusion,right,Worse,['files/p11/p11893091/s57330158/07ec545e-2a913153-c28cae67-2c38c3b4-c1d7e30a.jpg'],['files/p11/p11893091/s57134673/8da4fdec-ab3ac0b3-1e702eda-3bfc96b5-1f8974b2.jpg\n']
s57330158_4,p11893091,s57330158,4,Findings,"Newly placed endotracheal tube terminates approximately 3.6 cm above the carina, and a nasogastric tube courses below the diaphragm. A 3-cm diameter rounded lucency is identified lateral to the endotracheal tube and nasogastric tube to the left of midline. Although potentially representing an over-distended endotracheal tube cuff, the position is more lateral than expected for this condition. Alternative possibilities include an air-filled diverticulum arising from the trachea or esophagus. Findings were communicated by telephone with Dr. ___ on ___ at 4:00 p.m. at the time of discovery. Exam is otherwise remarkable for persistent cardiomegaly and worsening congestive heart failure with increasing perihilar edema and persistent small right pleural effusion.",Exam is otherwise remarkable for persistent cardiomegaly and worsening congestive heart failure with increasing perihilar edema and persistent small right pleural effusion.,congestive heart failure,,Worse,['files/p11/p11893091/s57330158/07ec545e-2a913153-c28cae67-2c38c3b4-c1d7e30a.jpg'],['files/p11/p11893091/s57134673/8da4fdec-ab3ac0b3-1e702eda-3bfc96b5-1f8974b2.jpg\n']
s57330158_4,p11893091,s57330158,4,Findings,"Newly placed endotracheal tube terminates approximately 3.6 cm above the carina, and a nasogastric tube courses below the diaphragm. A 3-cm diameter rounded lucency is identified lateral to the endotracheal tube and nasogastric tube to the left of midline. Although potentially representing an over-distended endotracheal tube cuff, the position is more lateral than expected for this condition. Alternative possibilities include an air-filled diverticulum arising from the trachea or esophagus. Findings were communicated by telephone with Dr. ___ on ___ at 4:00 p.m. at the time of discovery. Exam is otherwise remarkable for persistent cardiomegaly and worsening congestive heart failure with increasing perihilar edema and persistent small right pleural effusion.",Exam is otherwise remarkable for persistent cardiomegaly and worsening congestive heart failure with increasing perihilar edema and persistent small right pleural effusion.,edema,perihilar,Worse,['files/p11/p11893091/s57330158/07ec545e-2a913153-c28cae67-2c38c3b4-c1d7e30a.jpg'],['files/p11/p11893091/s57134673/8da4fdec-ab3ac0b3-1e702eda-3bfc96b5-1f8974b2.jpg\n']
s57330459_7,p12699874,s57330459,7,Impression,"Large right pleural effusion again seen, stable to slightly increased, likely loculated, with compressive atelectasis of major portions of the right middle and lower lobes. If the cause of the pleural effusion has not been established, recommended a CT of the chest with contrast, after thoracentesis to rule out an underlying mass.","Large right pleural effusion again seen, stable to slightly increased, likely loculated, with compressive atelectasis of major portions of the right middle and lower lobes.",Compressive atelectasis,Right middle and lower lobes,Stable,"['files/p12/p12699874/s57330459/ac58123d-32acfa38-3c734ace-8ef59986-fcca19ef.jpg', 'files/p12/p12699874/s57330459/beb55654-98504d02-98628cdb-06081de2-be7990a2.jpg', 'files/p12/p12699874/s57330459/d39bd323-17dd4a2d-2adbe3f7-c2056b4e-08a6f0fb.jpg']","['files/p12/p12699874/s55849664/25392829-b64500bf-57a3c5ab-8bd982c2-cf08a2f6.jpg\n', 'files/p12/p12699874/s55849664/7552939b-029a09e4-b7d8bfaa-3a4ae4a2-7b55c04c.jpg\n', 'files/p12/p12699874/s55849664/ced7abec-82b5f4e3-6be372fb-d6226a24-9e91b7ba.jpg\n']"
s57330459_7,p12699874,s57330459,7,Impression,"Large right pleural effusion again seen, stable to slightly increased, likely loculated, with compressive atelectasis of major portions of the right middle and lower lobes. If the cause of the pleural effusion has not been established, recommended a CT of the chest with contrast, after thoracentesis to rule out an underlying mass.","Large right pleural effusion again seen, stable to slightly increased, likely loculated, with compressive atelectasis of major portions of the right middle and lower lobes.",Pleural effusion,Right,Stable,"['files/p12/p12699874/s57330459/ac58123d-32acfa38-3c734ace-8ef59986-fcca19ef.jpg', 'files/p12/p12699874/s57330459/beb55654-98504d02-98628cdb-06081de2-be7990a2.jpg', 'files/p12/p12699874/s57330459/d39bd323-17dd4a2d-2adbe3f7-c2056b4e-08a6f0fb.jpg']","['files/p12/p12699874/s55849664/25392829-b64500bf-57a3c5ab-8bd982c2-cf08a2f6.jpg\n', 'files/p12/p12699874/s55849664/7552939b-029a09e4-b7d8bfaa-3a4ae4a2-7b55c04c.jpg\n', 'files/p12/p12699874/s55849664/ced7abec-82b5f4e3-6be372fb-d6226a24-9e91b7ba.jpg\n']"
s57330459_7,p12699874,s57330459,7,Findings,"Again seen is a large pleural effusion, with likely a loculated component on the right, with compressive atelectasis of major portions of the right lower and middle lobes. There is no pneumothorax. The left lung is well expanded and clear. The cardiac size is within normal limits. The hilar and mediastinal contours are normal.","Again seen is a large pleural effusion, with likely a loculated component on the right, with compressive atelectasis of major portions of the right lower and middle lobes.",Compressive atelectasis,Right lower and middle lobes,Stable,"['files/p12/p12699874/s57330459/ac58123d-32acfa38-3c734ace-8ef59986-fcca19ef.jpg', 'files/p12/p12699874/s57330459/beb55654-98504d02-98628cdb-06081de2-be7990a2.jpg', 'files/p12/p12699874/s57330459/d39bd323-17dd4a2d-2adbe3f7-c2056b4e-08a6f0fb.jpg']","['files/p12/p12699874/s55849664/25392829-b64500bf-57a3c5ab-8bd982c2-cf08a2f6.jpg\n', 'files/p12/p12699874/s55849664/7552939b-029a09e4-b7d8bfaa-3a4ae4a2-7b55c04c.jpg\n', 'files/p12/p12699874/s55849664/ced7abec-82b5f4e3-6be372fb-d6226a24-9e91b7ba.jpg\n']"
s57330459_7,p12699874,s57330459,7,Findings,"Again seen is a large pleural effusion, with likely a loculated component on the right, with compressive atelectasis of major portions of the right lower and middle lobes. There is no pneumothorax. The left lung is well expanded and clear. The cardiac size is within normal limits. The hilar and mediastinal contours are normal.","Again seen is a large pleural effusion, with likely a loculated component on the right, with compressive atelectasis of major portions of the right lower and middle lobes.",Pleural effusion,Right,Stable,"['files/p12/p12699874/s57330459/ac58123d-32acfa38-3c734ace-8ef59986-fcca19ef.jpg', 'files/p12/p12699874/s57330459/beb55654-98504d02-98628cdb-06081de2-be7990a2.jpg', 'files/p12/p12699874/s57330459/d39bd323-17dd4a2d-2adbe3f7-c2056b4e-08a6f0fb.jpg']","['files/p12/p12699874/s55849664/25392829-b64500bf-57a3c5ab-8bd982c2-cf08a2f6.jpg\n', 'files/p12/p12699874/s55849664/7552939b-029a09e4-b7d8bfaa-3a4ae4a2-7b55c04c.jpg\n', 'files/p12/p12699874/s55849664/ced7abec-82b5f4e3-6be372fb-d6226a24-9e91b7ba.jpg\n']"
s57331547_25,p19454978,s57331547,25,Impression,New retrocardiac opacity concerning for pneumonia in the appropriate clinical setting.,New retrocardiac opacity concerning for pneumonia in the appropriate clinical setting.,opacity,retrocardiac,New,['files/p19/p19454978/s57331547/7d047120-d24a497e-fc26ea7e-6c3acc0c-ce5bc190.jpg'],['files/p19/p19454978/s56894057/f7078882-7927ae24-2cb5194e-a4ea0c05-99f8ea08.jpg\n']
s57331547_25,p19454978,s57331547,25,Findings,There is a new retrocardiac opacity. A right IJ has been removed. Small bilateral pleural effusions are seen. Cardiomediastinal silhouette is unchanged compared to prior.,Cardiomediastinal silhouette is unchanged compared to prior.,Cardiomediastinal silhouette,,Stable,['files/p19/p19454978/s57331547/7d047120-d24a497e-fc26ea7e-6c3acc0c-ce5bc190.jpg'],['files/p19/p19454978/s56894057/f7078882-7927ae24-2cb5194e-a4ea0c05-99f8ea08.jpg\n']
s57331547_25,p19454978,s57331547,25,Findings,There is a new retrocardiac opacity. A right IJ has been removed. Small bilateral pleural effusions are seen. Cardiomediastinal silhouette is unchanged compared to prior.,There is a new retrocardiac opacity.,opacity,retrocardiac,New,['files/p19/p19454978/s57331547/7d047120-d24a497e-fc26ea7e-6c3acc0c-ce5bc190.jpg'],['files/p19/p19454978/s56894057/f7078882-7927ae24-2cb5194e-a4ea0c05-99f8ea08.jpg\n']
s57331547_25,p19454978,s57331547,25,Findings,There is a new retrocardiac opacity. A right IJ has been removed. Small bilateral pleural effusions are seen. Cardiomediastinal silhouette is unchanged compared to prior.,A right IJ has been removed.,IJ,right,Resolve,['files/p19/p19454978/s57331547/7d047120-d24a497e-fc26ea7e-6c3acc0c-ce5bc190.jpg'],['files/p19/p19454978/s56894057/f7078882-7927ae24-2cb5194e-a4ea0c05-99f8ea08.jpg\n']
s57332361_14,p11413236,s57332361,14,Findings,"The patient is status post median sternotomy. Right-sided Port-A-Cath is again seen without significant change in position, terminating at the cavoatrial junction. Again, there are low lung volumes and minimal bibasilar atelectasis. Ovoid calcification projecting over the left mediastinum is again seen. Subcentimeter left lower lung rounded calcification is stable and may represent a calcified granuloma. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There is no overt pulmonary edema.",Subcentimeter left lower lung rounded calcification is stable and may represent a calcified granuloma.,rounded calcification,left lower lung,Stable,['files/p11/p11413236/s57332361/11bf7fcd-96d58d34-49415fcc-c20c2b7d-1f340544.jpg'],"['files/p11/p11413236/s56921446/154a0276-f9cc72dc-9907f2e1-f1f11272-93cc90ff.jpg\n', 'files/p11/p11413236/s56921446/9e603808-3ea8ecd9-e7c87494-34d9258b-ea2bdd21.jpg\n']"
s57332361_14,p11413236,s57332361,14,Findings,"The patient is status post median sternotomy. Right-sided Port-A-Cath is again seen without significant change in position, terminating at the cavoatrial junction. Again, there are low lung volumes and minimal bibasilar atelectasis. Ovoid calcification projecting over the left mediastinum is again seen. Subcentimeter left lower lung rounded calcification is stable and may represent a calcified granuloma. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There is no overt pulmonary edema.",The cardiac and mediastinal silhouettes are stable.,silhouettes,cardiac and mediastinal,Stable,['files/p11/p11413236/s57332361/11bf7fcd-96d58d34-49415fcc-c20c2b7d-1f340544.jpg'],"['files/p11/p11413236/s56921446/154a0276-f9cc72dc-9907f2e1-f1f11272-93cc90ff.jpg\n', 'files/p11/p11413236/s56921446/9e603808-3ea8ecd9-e7c87494-34d9258b-ea2bdd21.jpg\n']"
s57332361_14,p11413236,s57332361,14,Findings,"The patient is status post median sternotomy. Right-sided Port-A-Cath is again seen without significant change in position, terminating at the cavoatrial junction. Again, there are low lung volumes and minimal bibasilar atelectasis. Ovoid calcification projecting over the left mediastinum is again seen. Subcentimeter left lower lung rounded calcification is stable and may represent a calcified granuloma. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There is no overt pulmonary edema.","Right-sided Port-A-Cath is again seen without significant change in position, terminating at the cavoatrial junction.",Port-A-Cath,right-sided,Stable,['files/p11/p11413236/s57332361/11bf7fcd-96d58d34-49415fcc-c20c2b7d-1f340544.jpg'],"['files/p11/p11413236/s56921446/154a0276-f9cc72dc-9907f2e1-f1f11272-93cc90ff.jpg\n', 'files/p11/p11413236/s56921446/9e603808-3ea8ecd9-e7c87494-34d9258b-ea2bdd21.jpg\n']"
s57332361_14,p11413236,s57332361,14,Findings,"The patient is status post median sternotomy. Right-sided Port-A-Cath is again seen without significant change in position, terminating at the cavoatrial junction. Again, there are low lung volumes and minimal bibasilar atelectasis. Ovoid calcification projecting over the left mediastinum is again seen. Subcentimeter left lower lung rounded calcification is stable and may represent a calcified granuloma. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There is no overt pulmonary edema.","Again, there are low lung volumes and minimal bibasilar atelectasis.",atelectasis,bibasilar,Stable,['files/p11/p11413236/s57332361/11bf7fcd-96d58d34-49415fcc-c20c2b7d-1f340544.jpg'],"['files/p11/p11413236/s56921446/154a0276-f9cc72dc-9907f2e1-f1f11272-93cc90ff.jpg\n', 'files/p11/p11413236/s56921446/9e603808-3ea8ecd9-e7c87494-34d9258b-ea2bdd21.jpg\n']"
s57332361_14,p11413236,s57332361,14,Findings,"The patient is status post median sternotomy. Right-sided Port-A-Cath is again seen without significant change in position, terminating at the cavoatrial junction. Again, there are low lung volumes and minimal bibasilar atelectasis. Ovoid calcification projecting over the left mediastinum is again seen. Subcentimeter left lower lung rounded calcification is stable and may represent a calcified granuloma. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There is no overt pulmonary edema.",Ovoid calcification projecting over the left mediastinum is again seen.,ovoid calcification,left mediastinum,Stable,['files/p11/p11413236/s57332361/11bf7fcd-96d58d34-49415fcc-c20c2b7d-1f340544.jpg'],"['files/p11/p11413236/s56921446/154a0276-f9cc72dc-9907f2e1-f1f11272-93cc90ff.jpg\n', 'files/p11/p11413236/s56921446/9e603808-3ea8ecd9-e7c87494-34d9258b-ea2bdd21.jpg\n']"
s57333607_22,p13473495,s57333607,22,Findings,"Moderate cardiomegaly is all stable compared to the prior exams dated back to at least ___. There has been an interval increase in bilateral moderate pulmonary edema with interstitial thickening and perihilar vascular congestion compared to the prior exam from ___. There may be small bilateral pleural effusions. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable. Note is made of a left subclavian stent, overall unchanged in position compared to the prior exam.",Moderate cardiomegaly is all stable compared to the prior exams dated back to at least ___.,Cardiomegaly,,Stable,"['files/p13/p13473495/s57333607/9748d26b-62549e8c-0a4fec22-48ae4480-691c7013.jpg', 'files/p13/p13473495/s57333607/d033edb1-1744b059-8b3505f6-da4c0458-f924f28a.jpg']","['files/p13/p13473495/s56929753/2386d449-ff60da90-15b0f79f-2a63ae3d-146cb799.jpg\n', 'files/p13/p13473495/s56929753/661279e3-b9fc21ed-ba997fbe-35d448a8-8bd6bb70.jpg\n']"
s57333607_22,p13473495,s57333607,22,Findings,"Moderate cardiomegaly is all stable compared to the prior exams dated back to at least ___. There has been an interval increase in bilateral moderate pulmonary edema with interstitial thickening and perihilar vascular congestion compared to the prior exam from ___. There may be small bilateral pleural effusions. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable. Note is made of a left subclavian stent, overall unchanged in position compared to the prior exam.","Note is made of a left subclavian stent, overall unchanged in position compared to the prior exam.",stent,left subclavian,Stable,"['files/p13/p13473495/s57333607/9748d26b-62549e8c-0a4fec22-48ae4480-691c7013.jpg', 'files/p13/p13473495/s57333607/d033edb1-1744b059-8b3505f6-da4c0458-f924f28a.jpg']","['files/p13/p13473495/s56929753/2386d449-ff60da90-15b0f79f-2a63ae3d-146cb799.jpg\n', 'files/p13/p13473495/s56929753/661279e3-b9fc21ed-ba997fbe-35d448a8-8bd6bb70.jpg\n']"
s57333607_22,p13473495,s57333607,22,Impression,"Moderate pulmonary edema, overall increased compared to the prior exam from ___.","Moderate pulmonary edema, overall increased compared to the prior exam from ___.",Pulmonary edema,,Worse,"['files/p13/p13473495/s57333607/9748d26b-62549e8c-0a4fec22-48ae4480-691c7013.jpg', 'files/p13/p13473495/s57333607/d033edb1-1744b059-8b3505f6-da4c0458-f924f28a.jpg']","['files/p13/p13473495/s56929753/2386d449-ff60da90-15b0f79f-2a63ae3d-146cb799.jpg\n', 'files/p13/p13473495/s56929753/661279e3-b9fc21ed-ba997fbe-35d448a8-8bd6bb70.jpg\n']"
s57333607_22,p13473495,s57333607,22,Findings,"Moderate cardiomegaly is all stable compared to the prior exams dated back to at least ___. There has been an interval increase in bilateral moderate pulmonary edema with interstitial thickening and perihilar vascular congestion compared to the prior exam from ___. There may be small bilateral pleural effusions. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable. Note is made of a left subclavian stent, overall unchanged in position compared to the prior exam.",There has been an interval increase in bilateral moderate pulmonary edema with interstitial thickening and perihilar vascular congestion compared to the prior exam from ___.,pulmonary edema with interstitial thickening and perihilar vascular congestion,bilateral,Worse,"['files/p13/p13473495/s57333607/9748d26b-62549e8c-0a4fec22-48ae4480-691c7013.jpg', 'files/p13/p13473495/s57333607/d033edb1-1744b059-8b3505f6-da4c0458-f924f28a.jpg']","['files/p13/p13473495/s56929753/2386d449-ff60da90-15b0f79f-2a63ae3d-146cb799.jpg\n', 'files/p13/p13473495/s56929753/661279e3-b9fc21ed-ba997fbe-35d448a8-8bd6bb70.jpg\n']"
s57334765_11,p16435402,s57334765,11,Findings,"There is unchanged opacity in the left mid lung which likely represents residual scarring in this patient with prior pneumonia in this region. Nipple shadows are noted bilaterally. No definite signs of acute consolidation, effusion or pneumothorax. No signs of pulmonary edema. The heart size and mediastinal contour are unremarkable. The bony structures are intact.",There is unchanged opacity in the left mid lung which likely represents residual scarring in this patient with prior pneumonia in this region.,opacity,left mid lung,Stable,"['files/p16/p16435402/s57334765/1f37fa7f-bbfdda2f-9ae5bac4-0027124f-f462fe0b.jpg', 'files/p16/p16435402/s57334765/546cda58-159974fb-87293b33-b96efa16-29d93af9.jpg']","['files/p16/p16435402/s57153483/1497c1a7-0f52e042-8b3ffade-b8b71145-17eae73d.jpg\n', 'files/p16/p16435402/s57153483/3a2587b2-54d74fa2-bfaa41f8-376175a0-1ebd1aa5.jpg\n']"
s57334765_11,p16435402,s57334765,11,Impression,Vague opacity residua in the left mid to lower lung likely represents scarring in this patient with history of pneumonia in this region. No acute findings.,Vague opacity residua in the left mid to lower lung likely represents scarring in this patient with history of pneumonia in this region. No acute findings.,opacity,left mid to lower lung,Stable,"['files/p16/p16435402/s57334765/1f37fa7f-bbfdda2f-9ae5bac4-0027124f-f462fe0b.jpg', 'files/p16/p16435402/s57334765/546cda58-159974fb-87293b33-b96efa16-29d93af9.jpg']","['files/p16/p16435402/s57153483/1497c1a7-0f52e042-8b3ffade-b8b71145-17eae73d.jpg\n', 'files/p16/p16435402/s57153483/3a2587b2-54d74fa2-bfaa41f8-376175a0-1ebd1aa5.jpg\n']"
s57339166_5,p15840907,s57339166,5,Findings,"Compared to ___ there is increased opacification within the right lower lobe with silhouetting of the right hemidiaphragm. This may represent right lower lobe atelectasis, however infectious process or asymmetric edema cannot be excluded. Additional areas of opacification in the right upper lung may represent asymmetric pulmonary edema. Cardiac silhouette is enlarged likely representing volume overload. A PA and lateral chest radiograph may be obtained to help localize area of consolidation. A Chest CT with contrast should be obtained once the patient is more stable to rule out presence of underlying mass. Findings were discussed with Dr. ___ is at 16:48 on ___ via telephone.",Compared to ___ there is increased opacification within the right lower lobe with silhouetting of the right hemidiaphragm.,opacification,right lower lobe,Worse,['files/p15/p15840907/s57339166/38b3b47d-6984aed6-acb1ea60-2c93049b-1ccdfc91.jpg'],"['files/p15/p15840907/s56922475/2a923a58-e0c657c2-744b16dc-7e0c1d5c-5e08e49b.jpg\n', 'files/p15/p15840907/s56922475/41452399-c1ad7798-f6b82bec-04239f92-3d1db04e.jpg\n']"
s57345846_8,p13979643,s57345846,8,Findings,"As compared to the previous radiograph, the nasogastric tube has been advanced. The tip of the tube, however, is directed towards the gastroesophageal junction. No evidence of complications, no other relevant changes.","As compared to the previous radiograph, the nasogastric tube has been advanced.",nasogastric tube,gastroesophageal junction,Better,['files/p13/p13979643/s57345846/98a6b1be-37d7c0d7-9de7d63b-c95bf9a0-17713dcd.jpg'],['files/p13/p13979643/s57130836/2c418fdf-dbd4bdb4-f0a46833-6fd3f24f-a1fb71de.jpg\n']
s57348805_10,p12847817,s57348805,10,Findings,"As compared to the previous radiograph, no additional line or monitoring devices visible on the current examination. The pre-existing Swan-Ganz catheter is in unchanged position. As on the previous report, it is noted that the the device needs to be pulled back by approximately 4 cm, as it is located too far in the right pulmonary system. Unchanged evidence of vascular stents and the right pleural effusion distributes in a different manner, but is overall unchanged in extent. The left lung appears unchanged.","Unchanged evidence of vascular stents and the right pleural effusion distributes in a different manner, but is overall unchanged in extent.",pleural effusion,right,Stable,['files/p12/p12847817/s57348805/8967b4f7-73cc1f85-64b133a1-6fe7a386-01716d9f.jpg'],['files/p12/p12847817/s56973241/6e155ca6-fbba81ca-123ca9ce-4d7817ed-a687f7be.jpg\n']
s57348805_10,p12847817,s57348805,10,Findings,"As compared to the previous radiograph, no additional line or monitoring devices visible on the current examination. The pre-existing Swan-Ganz catheter is in unchanged position. As on the previous report, it is noted that the the device needs to be pulled back by approximately 4 cm, as it is located too far in the right pulmonary system. Unchanged evidence of vascular stents and the right pleural effusion distributes in a different manner, but is overall unchanged in extent. The left lung appears unchanged.",The pre-existing Swan-Ganz catheter is in unchanged position.,Swan-Ganz catheter,,Stable,['files/p12/p12847817/s57348805/8967b4f7-73cc1f85-64b133a1-6fe7a386-01716d9f.jpg'],['files/p12/p12847817/s56973241/6e155ca6-fbba81ca-123ca9ce-4d7817ed-a687f7be.jpg\n']
s57348805_10,p12847817,s57348805,10,Findings,"As compared to the previous radiograph, no additional line or monitoring devices visible on the current examination. The pre-existing Swan-Ganz catheter is in unchanged position. As on the previous report, it is noted that the the device needs to be pulled back by approximately 4 cm, as it is located too far in the right pulmonary system. Unchanged evidence of vascular stents and the right pleural effusion distributes in a different manner, but is overall unchanged in extent. The left lung appears unchanged.",The left lung appears unchanged.,lung,left,Stable,['files/p12/p12847817/s57348805/8967b4f7-73cc1f85-64b133a1-6fe7a386-01716d9f.jpg'],['files/p12/p12847817/s56973241/6e155ca6-fbba81ca-123ca9ce-4d7817ed-a687f7be.jpg\n']
s57361130_5,p16826047,s57361130,5,Findings,A right pleural effusion has increased since ___ and is now large. The left lung is clear. No left effusion or pneumothorax is present. A right-sided Port-A-Cath tip remains in the mid SVC. Cardiomegaly is unchanged.,A right pleural effusion has increased since ___ and is now large.,pleural effusion,right,Worse,"['files/p16/p16826047/s57361130/92e316b6-8facf11c-bce58686-26309d9a-afc8bed3.jpg', 'files/p16/p16826047/s57361130/c7427f95-b71d2d11-ed43a341-c13a16db-de503c5a.jpg']","['files/p16/p16826047/s57308128/5bfbe926-314a08f1-d8a3c850-6284306b-614e628c.jpg\n', 'files/p16/p16826047/s57308128/5d60432d-9a9f7b91-2a3f88ee-8f0c574e-de8f7187.jpg\n']"
s57361130_5,p16826047,s57361130,5,Findings,A right pleural effusion has increased since ___ and is now large. The left lung is clear. No left effusion or pneumothorax is present. A right-sided Port-A-Cath tip remains in the mid SVC. Cardiomegaly is unchanged.,Cardiomegaly is unchanged.,Cardiomegaly,,Stable,"['files/p16/p16826047/s57361130/92e316b6-8facf11c-bce58686-26309d9a-afc8bed3.jpg', 'files/p16/p16826047/s57361130/c7427f95-b71d2d11-ed43a341-c13a16db-de503c5a.jpg']","['files/p16/p16826047/s57308128/5bfbe926-314a08f1-d8a3c850-6284306b-614e628c.jpg\n', 'files/p16/p16826047/s57308128/5d60432d-9a9f7b91-2a3f88ee-8f0c574e-de8f7187.jpg\n']"
s57361130_5,p16826047,s57361130,5,Findings,A right pleural effusion has increased since ___ and is now large. The left lung is clear. No left effusion or pneumothorax is present. A right-sided Port-A-Cath tip remains in the mid SVC. Cardiomegaly is unchanged.,A right-sided Port-A-Cath tip remains in the mid SVC.,Port-A-Cath tip,mid SVC,Stable,"['files/p16/p16826047/s57361130/92e316b6-8facf11c-bce58686-26309d9a-afc8bed3.jpg', 'files/p16/p16826047/s57361130/c7427f95-b71d2d11-ed43a341-c13a16db-de503c5a.jpg']","['files/p16/p16826047/s57308128/5bfbe926-314a08f1-d8a3c850-6284306b-614e628c.jpg\n', 'files/p16/p16826047/s57308128/5d60432d-9a9f7b91-2a3f88ee-8f0c574e-de8f7187.jpg\n']"
s57361288_5,p19757720,s57361288,5,Findings,"Monitoring and supporting devices are in standard positions. Bilateral, confluent, airspace opacities, right side more than left are unchanged since ___. As mentioned previously, these opacities are likely from combination of pulmonary edema, hemorrhage or pleural effusion. Enlarged heart size, mediastinal and hilar contours have similar appearance. Increased retrocardiac density reflecting left lower lung atelectasis is similar.",Increased retrocardiac density reflecting left lower lung atelectasis is similar.,retrocardiac density,Left lower lung,Stable,['files/p19/p19757720/s57361288/c72bf2bc-e22e489c-44cc5b8c-04c75d9e-5533e141.jpg'],['files/p19/p19757720/s56399963/fa3c5d61-58bb9992-05e07467-d6f5340b-7253e398.jpg\n']
s57361288_5,p19757720,s57361288,5,Findings,"Monitoring and supporting devices are in standard positions. Bilateral, confluent, airspace opacities, right side more than left are unchanged since ___. As mentioned previously, these opacities are likely from combination of pulmonary edema, hemorrhage or pleural effusion. Enlarged heart size, mediastinal and hilar contours have similar appearance. Increased retrocardiac density reflecting left lower lung atelectasis is similar.","Enlarged heart size, mediastinal and hilar contours have similar appearance.",Enlarged heart size,Mediastinal and hilar,Stable,['files/p19/p19757720/s57361288/c72bf2bc-e22e489c-44cc5b8c-04c75d9e-5533e141.jpg'],['files/p19/p19757720/s56399963/fa3c5d61-58bb9992-05e07467-d6f5340b-7253e398.jpg\n']
s57361288_5,p19757720,s57361288,5,Findings,"Monitoring and supporting devices are in standard positions. Bilateral, confluent, airspace opacities, right side more than left are unchanged since ___. As mentioned previously, these opacities are likely from combination of pulmonary edema, hemorrhage or pleural effusion. Enlarged heart size, mediastinal and hilar contours have similar appearance. Increased retrocardiac density reflecting left lower lung atelectasis is similar.","Bilateral, confluent, airspace opacities, right side more than left are unchanged since ___.",airspace opacities,"Bilateral, right more than left",Stable,['files/p19/p19757720/s57361288/c72bf2bc-e22e489c-44cc5b8c-04c75d9e-5533e141.jpg'],['files/p19/p19757720/s56399963/fa3c5d61-58bb9992-05e07467-d6f5340b-7253e398.jpg\n']
s57361873_27,p11413236,s57361873,27,Impression,Overall stable appearance of the chest with low lung volumes and basilar atelectasis.,Overall stable appearance of the chest with low lung volumes and basilar atelectasis.,Chest appearance with low lung volumes and basilar atelectasis,,Stable,"['files/p11/p11413236/s57361873/7634db9d-273d50e3-b619164d-90d11c3f-2a46ab37.jpg', 'files/p11/p11413236/s57361873/cc3d0bf3-f2bb85cd-cd67adeb-9458eb46-ac522113.jpg']",['files/p11/p11413236/s57332361/11bf7fcd-96d58d34-49415fcc-c20c2b7d-1f340544.jpg\n']
s57361873_27,p11413236,s57361873,27,Findings,"PA and lateral chest radiograph demonstrate a right chest port, its tip which projects within the upper superior vena cava, unchanged in position relative to prior study. Median sternotomy wires appear intact. Cardiomediastinal silhouette appears stable relative to prior examination. Heart size is mildly enlarged. There is no evidence of pulmonary edema. Nodular opacities within the in right infrahilar region likely reflect vascular shadows. Lung volumes are low. Bibasilar atelectasis is moderate. There is no focal opacity convincing for infectious process. Calcification on the AP window could be due to calcified nodes. No large pleural effusion or pneumothorax is identified.","PA and lateral chest radiograph demonstrate a right chest port, its tip which projects within the upper superior vena cava, unchanged in position relative to prior study.",Right chest port,upper superior vena cava,Stable,"['files/p11/p11413236/s57361873/7634db9d-273d50e3-b619164d-90d11c3f-2a46ab37.jpg', 'files/p11/p11413236/s57361873/cc3d0bf3-f2bb85cd-cd67adeb-9458eb46-ac522113.jpg']",['files/p11/p11413236/s57332361/11bf7fcd-96d58d34-49415fcc-c20c2b7d-1f340544.jpg\n']
s57361873_27,p11413236,s57361873,27,Findings,"PA and lateral chest radiograph demonstrate a right chest port, its tip which projects within the upper superior vena cava, unchanged in position relative to prior study. Median sternotomy wires appear intact. Cardiomediastinal silhouette appears stable relative to prior examination. Heart size is mildly enlarged. There is no evidence of pulmonary edema. Nodular opacities within the in right infrahilar region likely reflect vascular shadows. Lung volumes are low. Bibasilar atelectasis is moderate. There is no focal opacity convincing for infectious process. Calcification on the AP window could be due to calcified nodes. No large pleural effusion or pneumothorax is identified.",Cardiomediastinal silhouette appears stable relative to prior examination.,Cardiomediastinal silhouette,,Stable,"['files/p11/p11413236/s57361873/7634db9d-273d50e3-b619164d-90d11c3f-2a46ab37.jpg', 'files/p11/p11413236/s57361873/cc3d0bf3-f2bb85cd-cd67adeb-9458eb46-ac522113.jpg']",['files/p11/p11413236/s57332361/11bf7fcd-96d58d34-49415fcc-c20c2b7d-1f340544.jpg\n']
s57363067_11,p11934114,s57363067,11,Impression,1. Worsened now mild-to-moderate interstitial pulmonary edema and small-to-moderate bilateral layering pleural effusions. 2. Left-sided rib fractures in retrospect apparent since at least ___.,1. Worsened now mild-to-moderate interstitial pulmonary edema and small-to-moderate bilateral layering pleural effusions.,pleural effusions,bilateral,Worse,"['files/p11/p11934114/s57363067/14f914fe-fe271488-782a6d68-11bd9c45-8c2b816b.jpg', 'files/p11/p11934114/s57363067/d8bc7ccc-a2bac7c8-1dd6d0a5-5ed27c66-4f556bac.jpg']",['files/p11/p11934114/s55027268/e32d8967-9d4234f1-98ac9b11-3c5e73f4-cc690e1a.jpg\n']
s57363067_11,p11934114,s57363067,11,Impression,1. Worsened now mild-to-moderate interstitial pulmonary edema and small-to-moderate bilateral layering pleural effusions. 2. Left-sided rib fractures in retrospect apparent since at least ___.,1. Worsened now mild-to-moderate interstitial pulmonary edema and small-to-moderate bilateral layering pleural effusions.,pulmonary edema,interstitial,Worse,"['files/p11/p11934114/s57363067/14f914fe-fe271488-782a6d68-11bd9c45-8c2b816b.jpg', 'files/p11/p11934114/s57363067/d8bc7ccc-a2bac7c8-1dd6d0a5-5ed27c66-4f556bac.jpg']",['files/p11/p11934114/s55027268/e32d8967-9d4234f1-98ac9b11-3c5e73f4-cc690e1a.jpg\n']
s57363067_11,p11934114,s57363067,11,Findings,There is interval worsening of now mild-to-moderate interstitial pulmonary edema and small-to-moderate bilateral layering pleural effusions. There is no evidence of pneumothorax. There is associated bibasilar atelectasis with no focal opacities concerning for pneumonia. The cardiomediastinal and hilar contours are stable demonstrating moderate cardiomegaly. Note is made of multiple left-sided rib fractures that in retrospect can be demonstrated on radiographs from ___.,The cardiomediastinal and hilar contours are stable demonstrating moderate cardiomegaly.,moderate cardiomegaly,cardiomediastinal and hilar contours,Stable,"['files/p11/p11934114/s57363067/14f914fe-fe271488-782a6d68-11bd9c45-8c2b816b.jpg', 'files/p11/p11934114/s57363067/d8bc7ccc-a2bac7c8-1dd6d0a5-5ed27c66-4f556bac.jpg']",['files/p11/p11934114/s55027268/e32d8967-9d4234f1-98ac9b11-3c5e73f4-cc690e1a.jpg\n']
s57363067_11,p11934114,s57363067,11,Findings,There is interval worsening of now mild-to-moderate interstitial pulmonary edema and small-to-moderate bilateral layering pleural effusions. There is no evidence of pneumothorax. There is associated bibasilar atelectasis with no focal opacities concerning for pneumonia. The cardiomediastinal and hilar contours are stable demonstrating moderate cardiomegaly. Note is made of multiple left-sided rib fractures that in retrospect can be demonstrated on radiographs from ___.,There is interval worsening of now mild-to-moderate interstitial pulmonary edema and small-to-moderate bilateral layering pleural effusions.,pleural effusions,bilateral,Worse,"['files/p11/p11934114/s57363067/14f914fe-fe271488-782a6d68-11bd9c45-8c2b816b.jpg', 'files/p11/p11934114/s57363067/d8bc7ccc-a2bac7c8-1dd6d0a5-5ed27c66-4f556bac.jpg']",['files/p11/p11934114/s55027268/e32d8967-9d4234f1-98ac9b11-3c5e73f4-cc690e1a.jpg\n']
s57363067_11,p11934114,s57363067,11,Findings,There is interval worsening of now mild-to-moderate interstitial pulmonary edema and small-to-moderate bilateral layering pleural effusions. There is no evidence of pneumothorax. There is associated bibasilar atelectasis with no focal opacities concerning for pneumonia. The cardiomediastinal and hilar contours are stable demonstrating moderate cardiomegaly. Note is made of multiple left-sided rib fractures that in retrospect can be demonstrated on radiographs from ___.,There is interval worsening of now mild-to-moderate interstitial pulmonary edema and small-to-moderate bilateral layering pleural effusions.,pulmonary edema,interstitial,Worse,"['files/p11/p11934114/s57363067/14f914fe-fe271488-782a6d68-11bd9c45-8c2b816b.jpg', 'files/p11/p11934114/s57363067/d8bc7ccc-a2bac7c8-1dd6d0a5-5ed27c66-4f556bac.jpg']",['files/p11/p11934114/s55027268/e32d8967-9d4234f1-98ac9b11-3c5e73f4-cc690e1a.jpg\n']
s57365217_11,p12433421,s57365217,11,Impression,"AP chest compared to ___: Mild interstitial pulmonary edema has worsened, moderate left pleural effusion has increased. No focal pulmonary abnormalities. Heart size is normal. ET tube and left internal jugular line are in standard placements. Nasogastric tube ends in the upper stomach. Esophageal manometer or temperature probe in place at the level of the carina. No pneumothorax.","Mild interstitial pulmonary edema has worsened, moderate left pleural effusion has increased.",pulmonary edema,interstitial,Worse,['files/p12/p12433421/s57365217/ea76870d-7fdf2c99-bec8634e-1362050a-edc3c8fd.jpg'],"['files/p12/p12433421/s55644325/00791688-1fab1483-c2c6bc65-78567732-ff0cf7cc.jpg\n', 'files/p12/p12433421/s55644325/3c257f36-06c83988-c6ac8935-d151a438-878cbd0f.jpg\n', 'files/p12/p12433421/s55644325/f0ff15ef-0433feee-d1544b70-155ca8a6-daa51638.jpg\n']"
s57365217_11,p12433421,s57365217,11,Impression,"AP chest compared to ___: Mild interstitial pulmonary edema has worsened, moderate left pleural effusion has increased. No focal pulmonary abnormalities. Heart size is normal. ET tube and left internal jugular line are in standard placements. Nasogastric tube ends in the upper stomach. Esophageal manometer or temperature probe in place at the level of the carina. No pneumothorax.","Mild interstitial pulmonary edema has worsened, moderate left pleural effusion has increased.",pleural effusion,left,Worse,['files/p12/p12433421/s57365217/ea76870d-7fdf2c99-bec8634e-1362050a-edc3c8fd.jpg'],"['files/p12/p12433421/s55644325/00791688-1fab1483-c2c6bc65-78567732-ff0cf7cc.jpg\n', 'files/p12/p12433421/s55644325/3c257f36-06c83988-c6ac8935-d151a438-878cbd0f.jpg\n', 'files/p12/p12433421/s55644325/f0ff15ef-0433feee-d1544b70-155ca8a6-daa51638.jpg\n']"
s57368679_10,p12736592,s57368679,10,Findings,"The lungs are well expanded and clear. The cardiomediastinal and hilar contours are unremarkable. There is moderate aortic tortuosity, unchanged. A small right-sided pleural effusion is unchanged. There is no pneumothorax. Sternotomy wires are intact. Multiple fractures in early stages of healing are noted in the right rib cage.",A small right-sided pleural effusion is unchanged.,pleural effusion,right-sided,Stable,"['files/p12/p12736592/s57368679/2491ec8e-8e052c65-0d21c67c-66194ee7-56ad6f43.jpg', 'files/p12/p12736592/s57368679/f7349b90-c86e0ac7-2794b96b-e665dc2a-b3f47921.jpg']",['files/p12/p12736592/s57146595/d7203332-f3c8731e-27d35dc0-3cacfa03-24d07da7.jpg\n']
s57368679_10,p12736592,s57368679,10,Findings,"The lungs are well expanded and clear. The cardiomediastinal and hilar contours are unremarkable. There is moderate aortic tortuosity, unchanged. A small right-sided pleural effusion is unchanged. There is no pneumothorax. Sternotomy wires are intact. Multiple fractures in early stages of healing are noted in the right rib cage.","There is moderate aortic tortuosity, unchanged.",tortuosity,aortic,Stable,"['files/p12/p12736592/s57368679/2491ec8e-8e052c65-0d21c67c-66194ee7-56ad6f43.jpg', 'files/p12/p12736592/s57368679/f7349b90-c86e0ac7-2794b96b-e665dc2a-b3f47921.jpg']",['files/p12/p12736592/s57146595/d7203332-f3c8731e-27d35dc0-3cacfa03-24d07da7.jpg\n']
s57368679_10,p12736592,s57368679,10,Impression,Stable small right sided pleural effusion.,Stable small right sided pleural effusion.,pleural effusion,right sided,Stable,"['files/p12/p12736592/s57368679/2491ec8e-8e052c65-0d21c67c-66194ee7-56ad6f43.jpg', 'files/p12/p12736592/s57368679/f7349b90-c86e0ac7-2794b96b-e665dc2a-b3f47921.jpg']",['files/p12/p12736592/s57146595/d7203332-f3c8731e-27d35dc0-3cacfa03-24d07da7.jpg\n']
s57373953_5,p13473781,s57373953,5,Findings,"The cardiomediastinal and hilar contours are stable, with stable severe cardiomegaly. No pulmonary consolidation, edema or pneumothorax is seen. A small left pleural effusion is present.","The cardiomediastinal and hilar contours are stable, with stable severe cardiomegaly.",severe cardiomegaly,,Stable,['files/p13/p13473781/s57373953/b201c59c-783b3811-27abc766-9831d333-e648e28e.jpg'],"['files/p13/p13473781/s57035793/2db13516-1d7615da-a3e29ed5-0020647e-ce37e7b2.jpg\n', 'files/p13/p13473781/s57035793/ad26bd5f-bf6dde7b-10a2027a-72457df6-64959759.jpg\n', 'files/p13/p13473781/s57035793/c4d46e0f-fba1a258-b4b5722e-5aec1b56-de6931be.jpg\n']"
s57373953_5,p13473781,s57373953,5,Findings,"The cardiomediastinal and hilar contours are stable, with stable severe cardiomegaly. No pulmonary consolidation, edema or pneumothorax is seen. A small left pleural effusion is present.","The cardiomediastinal and hilar contours are stable, with stable severe cardiomegaly.",,cardiomediastinal and hilar contours,Stable,['files/p13/p13473781/s57373953/b201c59c-783b3811-27abc766-9831d333-e648e28e.jpg'],"['files/p13/p13473781/s57035793/2db13516-1d7615da-a3e29ed5-0020647e-ce37e7b2.jpg\n', 'files/p13/p13473781/s57035793/ad26bd5f-bf6dde7b-10a2027a-72457df6-64959759.jpg\n', 'files/p13/p13473781/s57035793/c4d46e0f-fba1a258-b4b5722e-5aec1b56-de6931be.jpg\n']"
s57377735_21,p15114531,s57377735,21,Findings,"The cardiac, mediastinal and hilar contours appear stable. The heart is normal in size. There is no pleural effusion or pneumothorax. The lungs appear clear. The patient is status post anterior cervical fusion. Surgical clips project over the left upper quadrant. There has been no significant change.","The cardiac, mediastinal and hilar contours appear stable.",,"Cardiac, mediastinal and hilar contours",Stable,"['files/p15/p15114531/s57377735/9b7221b8-2d0ff716-48b063be-059cbf7f-d53d72e1.jpg', 'files/p15/p15114531/s57377735/eaf779dc-f580b7b8-168b1b3c-53ee66c1-21268250.jpg']",['files/p15/p15114531/s57221524/f43ed85f-f693419c-ca41ad14-854149c7-81bf7afe.jpg\n']
s57377735_21,p15114531,s57377735,21,Findings,"The cardiac, mediastinal and hilar contours appear stable. The heart is normal in size. There is no pleural effusion or pneumothorax. The lungs appear clear. The patient is status post anterior cervical fusion. Surgical clips project over the left upper quadrant. There has been no significant change.",There has been no significant change.,,,Stable,"['files/p15/p15114531/s57377735/9b7221b8-2d0ff716-48b063be-059cbf7f-d53d72e1.jpg', 'files/p15/p15114531/s57377735/eaf779dc-f580b7b8-168b1b3c-53ee66c1-21268250.jpg']",['files/p15/p15114531/s57221524/f43ed85f-f693419c-ca41ad14-854149c7-81bf7afe.jpg\n']
s57381701_10,p16826047,s57381701,10,Findings,The right pneumothorax is slightly larger than on ___. Partial right lower lobe collapse and mild pleural effusion on the right are unchanged. Also unchanged is the position of the right-sided chest tube and the right Port-A-Cath. Unchanged moderate cardiomegaly without pulmonary edema.,Partial right lower lobe collapse and mild pleural effusion on the right are unchanged,collapse,right lower lobe,Stable,['files/p16/p16826047/s57381701/ee027160-ec55fd25-2991f88d-cfc0fb94-bfe15a07.jpg'],"['files/p16/p16826047/s57361130/92e316b6-8facf11c-bce58686-26309d9a-afc8bed3.jpg\n', 'files/p16/p16826047/s57361130/c7427f95-b71d2d11-ed43a341-c13a16db-de503c5a.jpg\n']"
s57381701_10,p16826047,s57381701,10,Findings,The right pneumothorax is slightly larger than on ___. Partial right lower lobe collapse and mild pleural effusion on the right are unchanged. Also unchanged is the position of the right-sided chest tube and the right Port-A-Cath. Unchanged moderate cardiomegaly without pulmonary edema.,The right pneumothorax is slightly larger than on ___,pneumothorax,right,Worse,['files/p16/p16826047/s57381701/ee027160-ec55fd25-2991f88d-cfc0fb94-bfe15a07.jpg'],"['files/p16/p16826047/s57361130/92e316b6-8facf11c-bce58686-26309d9a-afc8bed3.jpg\n', 'files/p16/p16826047/s57361130/c7427f95-b71d2d11-ed43a341-c13a16db-de503c5a.jpg\n']"
s57381701_10,p16826047,s57381701,10,Findings,The right pneumothorax is slightly larger than on ___. Partial right lower lobe collapse and mild pleural effusion on the right are unchanged. Also unchanged is the position of the right-sided chest tube and the right Port-A-Cath. Unchanged moderate cardiomegaly without pulmonary edema.,Also unchanged is the position of the right-sided chest tube and the right Port-A-Cath,chest tube,right-sided,Stable,['files/p16/p16826047/s57381701/ee027160-ec55fd25-2991f88d-cfc0fb94-bfe15a07.jpg'],"['files/p16/p16826047/s57361130/92e316b6-8facf11c-bce58686-26309d9a-afc8bed3.jpg\n', 'files/p16/p16826047/s57361130/c7427f95-b71d2d11-ed43a341-c13a16db-de503c5a.jpg\n']"
s57381701_10,p16826047,s57381701,10,Findings,The right pneumothorax is slightly larger than on ___. Partial right lower lobe collapse and mild pleural effusion on the right are unchanged. Also unchanged is the position of the right-sided chest tube and the right Port-A-Cath. Unchanged moderate cardiomegaly without pulmonary edema.,Also unchanged is the position of the right-sided chest tube and the right Port-A-Cath,Port-A-Cath,right,Stable,['files/p16/p16826047/s57381701/ee027160-ec55fd25-2991f88d-cfc0fb94-bfe15a07.jpg'],"['files/p16/p16826047/s57361130/92e316b6-8facf11c-bce58686-26309d9a-afc8bed3.jpg\n', 'files/p16/p16826047/s57361130/c7427f95-b71d2d11-ed43a341-c13a16db-de503c5a.jpg\n']"
s57381701_10,p16826047,s57381701,10,Findings,The right pneumothorax is slightly larger than on ___. Partial right lower lobe collapse and mild pleural effusion on the right are unchanged. Also unchanged is the position of the right-sided chest tube and the right Port-A-Cath. Unchanged moderate cardiomegaly without pulmonary edema.,Unchanged moderate cardiomegaly without pulmonary edema,cardiomegaly,,Stable,['files/p16/p16826047/s57381701/ee027160-ec55fd25-2991f88d-cfc0fb94-bfe15a07.jpg'],"['files/p16/p16826047/s57361130/92e316b6-8facf11c-bce58686-26309d9a-afc8bed3.jpg\n', 'files/p16/p16826047/s57361130/c7427f95-b71d2d11-ed43a341-c13a16db-de503c5a.jpg\n']"
s57381701_10,p16826047,s57381701,10,Findings,The right pneumothorax is slightly larger than on ___. Partial right lower lobe collapse and mild pleural effusion on the right are unchanged. Also unchanged is the position of the right-sided chest tube and the right Port-A-Cath. Unchanged moderate cardiomegaly without pulmonary edema.,Partial right lower lobe collapse and mild pleural effusion on the right are unchanged,pleural effusion,right,Stable,['files/p16/p16826047/s57381701/ee027160-ec55fd25-2991f88d-cfc0fb94-bfe15a07.jpg'],"['files/p16/p16826047/s57361130/92e316b6-8facf11c-bce58686-26309d9a-afc8bed3.jpg\n', 'files/p16/p16826047/s57361130/c7427f95-b71d2d11-ed43a341-c13a16db-de503c5a.jpg\n']"
s57390903_10,p19499595,s57390903,10,Findings,"The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Multiple fractured median sternotomy wires are again noted. No acute osseous abnormalities, old healed left anterior rib fractures are noted. Surgical clips in the right upper quadrant suggest prior cholecystectomy.","No acute osseous abnormalities, old healed left anterior rib fractures are noted.",Healed rib fractures,Left anterior,Stable,"['files/p19/p19499595/s57390903/87121059-41c650c2-009d026d-25bb56aa-f6ddee27.jpg', 'files/p19/p19499595/s57390903/8f866521-2083f0bb-a12df756-24346ecd-5e484e40.jpg']","['files/p19/p19499595/s57088454/2a41d909-c858a5fc-da024f8f-a33bd3ff-ed8fe748.jpg\n', 'files/p19/p19499595/s57088454/6eb90215-8ba4b024-b326c41b-9e832fd5-d678690f.jpg\n', 'files/p19/p19499595/s57088454/faafd86d-6a1d4047-0cf76260-da7b281c-eba9d436.jpg\n']"
s57390903_10,p19499595,s57390903,10,Findings,"The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Multiple fractured median sternotomy wires are again noted. No acute osseous abnormalities, old healed left anterior rib fractures are noted. Surgical clips in the right upper quadrant suggest prior cholecystectomy.",Multiple fractured median sternotomy wires are again noted.,Fractured sternotomy wires,Median,Stable,"['files/p19/p19499595/s57390903/87121059-41c650c2-009d026d-25bb56aa-f6ddee27.jpg', 'files/p19/p19499595/s57390903/8f866521-2083f0bb-a12df756-24346ecd-5e484e40.jpg']","['files/p19/p19499595/s57088454/2a41d909-c858a5fc-da024f8f-a33bd3ff-ed8fe748.jpg\n', 'files/p19/p19499595/s57088454/6eb90215-8ba4b024-b326c41b-9e832fd5-d678690f.jpg\n', 'files/p19/p19499595/s57088454/faafd86d-6a1d4047-0cf76260-da7b281c-eba9d436.jpg\n']"
s57395479_1,p17704774,s57395479,1,Findings,"Comparison is made to the prior study from ___. There are diffuse nodular opacities throughout both lung fields consistent with patient's known widespread metastatic disease. There is again seen a small right apical pneumothorax. The right-sided chest tube has been pulled back slightly. The pneumothorax at the right base now appears filled with fluid and is compatible with a hydropneumothorax as seen on the prior CT scan from ___. There is increased density at the left base as well which is stable. The hardware in the lower lumbar spine is stable. There is a right IJ catheter with the distal lead tip in the distal SVC, stable.",There is again seen a small right apical pneumothorax.,pneumothorax,right apical,Stable,['files/p17/p17704774/s57395479/ceb36d05-686e9404-43dfdc4f-e050bf09-89b8d71d.jpg'],['files/p17/p17704774/s55902256/e2a0ad89-ad9f7213-42de3b6c-34d942a2-c8f7ec98.jpg\n']
s57395479_1,p17704774,s57395479,1,Findings,"Comparison is made to the prior study from ___. There are diffuse nodular opacities throughout both lung fields consistent with patient's known widespread metastatic disease. There is again seen a small right apical pneumothorax. The right-sided chest tube has been pulled back slightly. The pneumothorax at the right base now appears filled with fluid and is compatible with a hydropneumothorax as seen on the prior CT scan from ___. There is increased density at the left base as well which is stable. The hardware in the lower lumbar spine is stable. There is a right IJ catheter with the distal lead tip in the distal SVC, stable.",There is increased density at the left base as well which is stable.,increased density,left base,Stable,['files/p17/p17704774/s57395479/ceb36d05-686e9404-43dfdc4f-e050bf09-89b8d71d.jpg'],['files/p17/p17704774/s55902256/e2a0ad89-ad9f7213-42de3b6c-34d942a2-c8f7ec98.jpg\n']
s57395479_1,p17704774,s57395479,1,Findings,"Comparison is made to the prior study from ___. There are diffuse nodular opacities throughout both lung fields consistent with patient's known widespread metastatic disease. There is again seen a small right apical pneumothorax. The right-sided chest tube has been pulled back slightly. The pneumothorax at the right base now appears filled with fluid and is compatible with a hydropneumothorax as seen on the prior CT scan from ___. There is increased density at the left base as well which is stable. The hardware in the lower lumbar spine is stable. There is a right IJ catheter with the distal lead tip in the distal SVC, stable.",The hardware in the lower lumbar spine is stable.,hardware,lower lumbar spine,Stable,['files/p17/p17704774/s57395479/ceb36d05-686e9404-43dfdc4f-e050bf09-89b8d71d.jpg'],['files/p17/p17704774/s55902256/e2a0ad89-ad9f7213-42de3b6c-34d942a2-c8f7ec98.jpg\n']
s57395479_1,p17704774,s57395479,1,Findings,"Comparison is made to the prior study from ___. There are diffuse nodular opacities throughout both lung fields consistent with patient's known widespread metastatic disease. There is again seen a small right apical pneumothorax. The right-sided chest tube has been pulled back slightly. The pneumothorax at the right base now appears filled with fluid and is compatible with a hydropneumothorax as seen on the prior CT scan from ___. There is increased density at the left base as well which is stable. The hardware in the lower lumbar spine is stable. There is a right IJ catheter with the distal lead tip in the distal SVC, stable.","There is a right IJ catheter with the distal lead tip in the distal SVC, stable.",right IJ catheter,distal SVC,Stable,['files/p17/p17704774/s57395479/ceb36d05-686e9404-43dfdc4f-e050bf09-89b8d71d.jpg'],['files/p17/p17704774/s55902256/e2a0ad89-ad9f7213-42de3b6c-34d942a2-c8f7ec98.jpg\n']
s57397512_1,p17189198,s57397512,1,Impression,Interval improvement in interstitial edema and bilateral pleural effusions with mild interstitial edema/vascular engorgement and small bilateraly pleural effusions remaining.,Interval improvement in interstitial edema and bilateral pleural effusions with mild interstitial edema/vascular engorgement and small bilateraly pleural effusions remaining.,pleural effusions,bilateral,Better,"['files/p17/p17189198/s57397512/5ab5fba0-c8566867-480eaa18-3c6ff3f8-87c30b03.jpg', 'files/p17/p17189198/s57397512/7d2e3c50-e0ca79fb-74b46922-68f9cb02-e05269e5.jpg']","['files/p17/p17189198/s55198163/84ffb901-893b00a7-7f2090be-d5cf6a4e-c34ab763.jpg\n', 'files/p17/p17189198/s55198163/97226dc3-7b9c359b-8468bf2e-c775ba13-5108853d.jpg\n', 'files/p17/p17189198/s55198163/c029f002-a14b369a-f7673362-88efe082-cce22021.jpg\n']"
s57397512_1,p17189198,s57397512,1,Findings,"Compared to most recent prior exam, there has been interval improvement in bilateral pleural effusions; small pleural effusions remaining. There has been interval improvement in interstitial edema with mild residual vascular engorgement and very mild bibasilar interstitial edema. Heart size continues to be enlarged. No pneumothorax is detected. Previously noted abdominal stent is incompletely imaged.",There has been interval improvement in interstitial edema with mild residual vascular engorgement and very mild bibasilar interstitial edema.,interstitial edema,bibasilar,Better,"['files/p17/p17189198/s57397512/5ab5fba0-c8566867-480eaa18-3c6ff3f8-87c30b03.jpg', 'files/p17/p17189198/s57397512/7d2e3c50-e0ca79fb-74b46922-68f9cb02-e05269e5.jpg']","['files/p17/p17189198/s55198163/84ffb901-893b00a7-7f2090be-d5cf6a4e-c34ab763.jpg\n', 'files/p17/p17189198/s55198163/97226dc3-7b9c359b-8468bf2e-c775ba13-5108853d.jpg\n', 'files/p17/p17189198/s55198163/c029f002-a14b369a-f7673362-88efe082-cce22021.jpg\n']"
s57397512_1,p17189198,s57397512,1,Impression,Interval improvement in interstitial edema and bilateral pleural effusions with mild interstitial edema/vascular engorgement and small bilateraly pleural effusions remaining.,Interval improvement in interstitial edema and bilateral pleural effusions with mild interstitial edema/vascular engorgement and small bilateraly pleural effusions remaining.,interstitial edema,bibasilar,Better,"['files/p17/p17189198/s57397512/5ab5fba0-c8566867-480eaa18-3c6ff3f8-87c30b03.jpg', 'files/p17/p17189198/s57397512/7d2e3c50-e0ca79fb-74b46922-68f9cb02-e05269e5.jpg']","['files/p17/p17189198/s55198163/84ffb901-893b00a7-7f2090be-d5cf6a4e-c34ab763.jpg\n', 'files/p17/p17189198/s55198163/97226dc3-7b9c359b-8468bf2e-c775ba13-5108853d.jpg\n', 'files/p17/p17189198/s55198163/c029f002-a14b369a-f7673362-88efe082-cce22021.jpg\n']"
s57397512_1,p17189198,s57397512,1,Findings,"Compared to most recent prior exam, there has been interval improvement in bilateral pleural effusions; small pleural effusions remaining. There has been interval improvement in interstitial edema with mild residual vascular engorgement and very mild bibasilar interstitial edema. Heart size continues to be enlarged. No pneumothorax is detected. Previously noted abdominal stent is incompletely imaged.","Compared to most recent prior exam, there has been interval improvement in bilateral pleural effusions; small pleural effusions remaining.",pleural effusions,bilateral,Better,"['files/p17/p17189198/s57397512/5ab5fba0-c8566867-480eaa18-3c6ff3f8-87c30b03.jpg', 'files/p17/p17189198/s57397512/7d2e3c50-e0ca79fb-74b46922-68f9cb02-e05269e5.jpg']","['files/p17/p17189198/s55198163/84ffb901-893b00a7-7f2090be-d5cf6a4e-c34ab763.jpg\n', 'files/p17/p17189198/s55198163/97226dc3-7b9c359b-8468bf2e-c775ba13-5108853d.jpg\n', 'files/p17/p17189198/s55198163/c029f002-a14b369a-f7673362-88efe082-cce22021.jpg\n']"
s57397512_1,p17189198,s57397512,1,Findings,"Compared to most recent prior exam, there has been interval improvement in bilateral pleural effusions; small pleural effusions remaining. There has been interval improvement in interstitial edema with mild residual vascular engorgement and very mild bibasilar interstitial edema. Heart size continues to be enlarged. No pneumothorax is detected. Previously noted abdominal stent is incompletely imaged.",Heart size continues to be enlarged.,Heart size,,Stable,"['files/p17/p17189198/s57397512/5ab5fba0-c8566867-480eaa18-3c6ff3f8-87c30b03.jpg', 'files/p17/p17189198/s57397512/7d2e3c50-e0ca79fb-74b46922-68f9cb02-e05269e5.jpg']","['files/p17/p17189198/s55198163/84ffb901-893b00a7-7f2090be-d5cf6a4e-c34ab763.jpg\n', 'files/p17/p17189198/s55198163/97226dc3-7b9c359b-8468bf2e-c775ba13-5108853d.jpg\n', 'files/p17/p17189198/s55198163/c029f002-a14b369a-f7673362-88efe082-cce22021.jpg\n']"
s57410883_3,p12433541,s57410883,3,Impression,Unchanged total right upper lobe collapse in this patient with history of right lung cancer.,Unchanged total right upper lobe collapse in this patient with history of right lung cancer.,collapse,right upper lobe,Stable,['files/p12/p12433541/s57410883/981af506-8fd165e5-ba155b24-568fd751-4fe79092.jpg'],['files/p12/p12433541/s55617591/02e0a1f3-e42c0254-390b871b-928074cd-4c1a7890.jpg\n']
s57410883_3,p12433541,s57410883,3,Findings,There is no change in the total right upper lobe collapse. Stability of the right hilar convexity. Left lung is unremarkable. Mediastinal and cardiac contour is unchanged and shifted towards the right. There is no pneumothorax.,Mediastinal and cardiac contour is unchanged and shifted towards the right.,contour,mediastinal and cardiac,Stable,['files/p12/p12433541/s57410883/981af506-8fd165e5-ba155b24-568fd751-4fe79092.jpg'],['files/p12/p12433541/s55617591/02e0a1f3-e42c0254-390b871b-928074cd-4c1a7890.jpg\n']
s57410883_3,p12433541,s57410883,3,Findings,There is no change in the total right upper lobe collapse. Stability of the right hilar convexity. Left lung is unremarkable. Mediastinal and cardiac contour is unchanged and shifted towards the right. There is no pneumothorax.,Stability of the right hilar convexity.,convexity,right hilar,Stable,['files/p12/p12433541/s57410883/981af506-8fd165e5-ba155b24-568fd751-4fe79092.jpg'],['files/p12/p12433541/s55617591/02e0a1f3-e42c0254-390b871b-928074cd-4c1a7890.jpg\n']
s57410883_3,p12433541,s57410883,3,Findings,There is no change in the total right upper lobe collapse. Stability of the right hilar convexity. Left lung is unremarkable. Mediastinal and cardiac contour is unchanged and shifted towards the right. There is no pneumothorax.,There is no change in the total right upper lobe collapse.,collapse,right upper lobe,Stable,['files/p12/p12433541/s57410883/981af506-8fd165e5-ba155b24-568fd751-4fe79092.jpg'],['files/p12/p12433541/s55617591/02e0a1f3-e42c0254-390b871b-928074cd-4c1a7890.jpg\n']
s57426287_1,p15204620,s57426287,1,Impression,"AP chest compared to ___: There is no pneumothorax or appreciable right pleural effusion. However, consolidation in the right middle lobe and more heterogeneous opacification in the right lower lobe may have increased since the previous study. Extensive adenopathy in the right hilus and particularly in the paratracheal mediastinum suggests two diagnostic possibilities, obstructing malignancy or primary tuberculosis. Left lung is grossly clear and the heart size is normal.","However, consolidation in the right middle lobe and more heterogeneous opacification in the right lower lobe may have increased since the previous study.",heterogeneous opacification,right lower lobe,Worse,['files/p15/p15204620/s57426287/a18c7507-2e69a04b-701ddbf9-526439aa-c754e39b.jpg'],"['files/p15/p15204620/s57187080/b5362301-4fdc5dd0-c51d857d-fa8af958-4eac8251.jpg\n', 'files/p15/p15204620/s57187080/b9d07ae5-876bb931-85ce766f-8dc425d4-5948363d.jpg\n']"
s57426287_1,p15204620,s57426287,1,Impression,"AP chest compared to ___: There is no pneumothorax or appreciable right pleural effusion. However, consolidation in the right middle lobe and more heterogeneous opacification in the right lower lobe may have increased since the previous study. Extensive adenopathy in the right hilus and particularly in the paratracheal mediastinum suggests two diagnostic possibilities, obstructing malignancy or primary tuberculosis. Left lung is grossly clear and the heart size is normal.","However, consolidation in the right middle lobe and more heterogeneous opacification in the right lower lobe may have increased since the previous study.",consolidation,right middle lobe,Worse,['files/p15/p15204620/s57426287/a18c7507-2e69a04b-701ddbf9-526439aa-c754e39b.jpg'],"['files/p15/p15204620/s57187080/b5362301-4fdc5dd0-c51d857d-fa8af958-4eac8251.jpg\n', 'files/p15/p15204620/s57187080/b9d07ae5-876bb931-85ce766f-8dc425d4-5948363d.jpg\n']"
s57427881_8,p19907884,s57427881,8,Impression,Low lung volumes and persistent elevation of the right hemidiaphragm. No significant interval change.,Low lung volumes and persistent elevation of the right hemidiaphragm. No significant interval change.,Elevation,Right hemidiaphragm,Worse,"['files/p19/p19907884/s57427881/495990a5-0e6c123d-d8810c65-d78d662c-7435a7d4.jpg', 'files/p19/p19907884/s57427881/92134f99-0e73faba-1280ad81-218c68ba-933a85c5.jpg']","['files/p19/p19907884/s57258004/6e2797cc-f1c60fb3-30a651cc-c23cf3d1-b15803bb.jpg\n', 'files/p19/p19907884/s57258004/7a484064-6d2f5b95-1e966dad-22b8556e-23e55386.jpg\n']"
s57427881_8,p19907884,s57427881,8,Findings,There are low lung volumes and persistent elevation of the right hemidiaphragm. 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/p19907884/s57427881/495990a5-0e6c123d-d8810c65-d78d662c-7435a7d4.jpg', 'files/p19/p19907884/s57427881/92134f99-0e73faba-1280ad81-218c68ba-933a85c5.jpg']","['files/p19/p19907884/s57258004/6e2797cc-f1c60fb3-30a651cc-c23cf3d1-b15803bb.jpg\n', 'files/p19/p19907884/s57258004/7a484064-6d2f5b95-1e966dad-22b8556e-23e55386.jpg\n']"
s57427881_8,p19907884,s57427881,8,Findings,There are low lung volumes and persistent elevation of the right hemidiaphragm. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.,There are low lung volumes and persistent elevation of the right hemidiaphragm.,Elevation,Right hemidiaphragm,Worse,"['files/p19/p19907884/s57427881/495990a5-0e6c123d-d8810c65-d78d662c-7435a7d4.jpg', 'files/p19/p19907884/s57427881/92134f99-0e73faba-1280ad81-218c68ba-933a85c5.jpg']","['files/p19/p19907884/s57258004/6e2797cc-f1c60fb3-30a651cc-c23cf3d1-b15803bb.jpg\n', 'files/p19/p19907884/s57258004/7a484064-6d2f5b95-1e966dad-22b8556e-23e55386.jpg\n']"
s57429813_9,p13475033,s57429813,9,Findings,"PA and lateral views of the chest are provided. There is a diffuse reticular nodular pattern throughout both lungs which indicate mild pulmonary edema, though some component of underlying interstitial lung disease is not excluded. No large effusion or pneumothorax. A focal eventration of the right hemidiaphragm is noted medially. The overall cardiomediastinal silhouette is stable. Bony structures are intact. Old left clavicular midshaft deformity noted.",The overall cardiomediastinal silhouette is stable.,cardiomediastinal silhouette,overall,Stable,"['files/p13/p13475033/s57429813/2518c7ca-5bc35dd2-e35d9b4f-c44f6549-ee3b0443.jpg', 'files/p13/p13475033/s57429813/77d762b0-65a5cea4-1e326eb9-73de35b1-1f197533.jpg']","['files/p13/p13475033/s56998787/3993a913-7742b74e-833c9faf-a91d9d51-ca3c87a7.jpg\n', 'files/p13/p13475033/s56998787/ca74e920-4ca91dba-8ccc5185-617107a8-82e5a48a.jpg\n', 'files/p13/p13475033/s56998787/fe723c75-a487635d-c093b97d-f9253d3c-6bf1894c.jpg\n']"
s57432088_5,p15378103,s57432088,5,Findings,"A single portable semi-erect chest radiograph was obtained. Aeration of the lungs has improved since ___. In particular the apices are better aerated. Persistent alveolar opacity remains in a bibasilar predominance. Small right effusion, if any, is unchanged. There is no new abnormality of the heart or mediastinum. There is no pneumothorax or consolidation. An endotracheal tube remains in the upper airway. An enteric catheter extends inferiorly out of field of view. Right-sided PICC line tip terminates in the low SVC. Pacemaker leads are in unchanged positions. Median sternotomy wires are intact.",An endotracheal tube remains in the upper airway.,endotracheal tube,upper airway,Stable,['files/p15/p15378103/s57432088/e18e6623-ee725070-b05a75c1-a11fea0c-9d3f0868.jpg'],"['files/p15/p15378103/s55675760/9a198bd3-5524b831-8a16ec0d-1488ac1c-9d60aadc.jpg\n', 'files/p15/p15378103/s55675760/aa615bc7-e32c0c72-a1f0ee3f-0a7f4a52-5e7078c2.jpg\n']"
s57432088_5,p15378103,s57432088,5,Impression,"Improved aeration of the apices since ___. Extensive bilateral dense consolidations remain at the bases. Given rapid improvement, TRALI or ARDS are more likely etiologies than pneumonia.",Improved aeration of the apices since ___.,aeration,apices,Better,['files/p15/p15378103/s57432088/e18e6623-ee725070-b05a75c1-a11fea0c-9d3f0868.jpg'],"['files/p15/p15378103/s55675760/9a198bd3-5524b831-8a16ec0d-1488ac1c-9d60aadc.jpg\n', 'files/p15/p15378103/s55675760/aa615bc7-e32c0c72-a1f0ee3f-0a7f4a52-5e7078c2.jpg\n']"
s57432088_5,p15378103,s57432088,5,Findings,"A single portable semi-erect chest radiograph was obtained. Aeration of the lungs has improved since ___. In particular the apices are better aerated. Persistent alveolar opacity remains in a bibasilar predominance. Small right effusion, if any, is unchanged. There is no new abnormality of the heart or mediastinum. There is no pneumothorax or consolidation. An endotracheal tube remains in the upper airway. An enteric catheter extends inferiorly out of field of view. Right-sided PICC line tip terminates in the low SVC. Pacemaker leads are in unchanged positions. Median sternotomy wires are intact.",Pacemaker leads are in unchanged positions.,Pacemaker leads,,Stable,['files/p15/p15378103/s57432088/e18e6623-ee725070-b05a75c1-a11fea0c-9d3f0868.jpg'],"['files/p15/p15378103/s55675760/9a198bd3-5524b831-8a16ec0d-1488ac1c-9d60aadc.jpg\n', 'files/p15/p15378103/s55675760/aa615bc7-e32c0c72-a1f0ee3f-0a7f4a52-5e7078c2.jpg\n']"
s57432088_5,p15378103,s57432088,5,Findings,"A single portable semi-erect chest radiograph was obtained. Aeration of the lungs has improved since ___. In particular the apices are better aerated. Persistent alveolar opacity remains in a bibasilar predominance. Small right effusion, if any, is unchanged. There is no new abnormality of the heart or mediastinum. There is no pneumothorax or consolidation. An endotracheal tube remains in the upper airway. An enteric catheter extends inferiorly out of field of view. Right-sided PICC line tip terminates in the low SVC. Pacemaker leads are in unchanged positions. Median sternotomy wires are intact.","Small right effusion, if any, is unchanged.",effusion,right,Stable,['files/p15/p15378103/s57432088/e18e6623-ee725070-b05a75c1-a11fea0c-9d3f0868.jpg'],"['files/p15/p15378103/s55675760/9a198bd3-5524b831-8a16ec0d-1488ac1c-9d60aadc.jpg\n', 'files/p15/p15378103/s55675760/aa615bc7-e32c0c72-a1f0ee3f-0a7f4a52-5e7078c2.jpg\n']"
s57432088_5,p15378103,s57432088,5,Impression,"Improved aeration of the apices since ___. Extensive bilateral dense consolidations remain at the bases. Given rapid improvement, TRALI or ARDS are more likely etiologies than pneumonia.",Extensive bilateral dense consolidations remain at the bases.,dense consolidations,bilateral bases,Stable,['files/p15/p15378103/s57432088/e18e6623-ee725070-b05a75c1-a11fea0c-9d3f0868.jpg'],"['files/p15/p15378103/s55675760/9a198bd3-5524b831-8a16ec0d-1488ac1c-9d60aadc.jpg\n', 'files/p15/p15378103/s55675760/aa615bc7-e32c0c72-a1f0ee3f-0a7f4a52-5e7078c2.jpg\n']"
s57432088_5,p15378103,s57432088,5,Findings,"A single portable semi-erect chest radiograph was obtained. Aeration of the lungs has improved since ___. In particular the apices are better aerated. Persistent alveolar opacity remains in a bibasilar predominance. Small right effusion, if any, is unchanged. There is no new abnormality of the heart or mediastinum. There is no pneumothorax or consolidation. An endotracheal tube remains in the upper airway. An enteric catheter extends inferiorly out of field of view. Right-sided PICC line tip terminates in the low SVC. Pacemaker leads are in unchanged positions. Median sternotomy wires are intact.",Persistent alveolar opacity remains in a bibasilar predominance.,alveolar opacity,bibasilar,Stable,['files/p15/p15378103/s57432088/e18e6623-ee725070-b05a75c1-a11fea0c-9d3f0868.jpg'],"['files/p15/p15378103/s55675760/9a198bd3-5524b831-8a16ec0d-1488ac1c-9d60aadc.jpg\n', 'files/p15/p15378103/s55675760/aa615bc7-e32c0c72-a1f0ee3f-0a7f4a52-5e7078c2.jpg\n']"
s57432088_5,p15378103,s57432088,5,Findings,"A single portable semi-erect chest radiograph was obtained. Aeration of the lungs has improved since ___. In particular the apices are better aerated. Persistent alveolar opacity remains in a bibasilar predominance. Small right effusion, if any, is unchanged. There is no new abnormality of the heart or mediastinum. There is no pneumothorax or consolidation. An endotracheal tube remains in the upper airway. An enteric catheter extends inferiorly out of field of view. Right-sided PICC line tip terminates in the low SVC. Pacemaker leads are in unchanged positions. Median sternotomy wires are intact.",Aeration of the lungs has improved since ___.,Aeration of the lungs,,Better,['files/p15/p15378103/s57432088/e18e6623-ee725070-b05a75c1-a11fea0c-9d3f0868.jpg'],"['files/p15/p15378103/s55675760/9a198bd3-5524b831-8a16ec0d-1488ac1c-9d60aadc.jpg\n', 'files/p15/p15378103/s55675760/aa615bc7-e32c0c72-a1f0ee3f-0a7f4a52-5e7078c2.jpg\n']"
s57433211_6,p11052273,s57433211,6,Impression,Heart size and mediastinum are stable. No change in mild cardiomegaly and prominence of the main pulmonary arteries present. Mild vascular congestion is present but there is no overt pulmonary edema. No appreciable pleural effusion or pneumothorax.,Heart size and mediastinum are stable.,Heart size and mediastinum,,Stable,['files/p11/p11052273/s57433211/f0f60c0b-52abfabd-2b92739a-f825fa77-74c719e9.jpg'],"['files/p11/p11052273/s56107641/1576fdb0-f3f769a3-0cc33e1a-059fcee1-ff10d20d.jpg\n', 'files/p11/p11052273/s56107641/c92eb013-1e459dcb-d3e846b5-def9d7f0-42bed786.jpg\n']"
s57433211_6,p11052273,s57433211,6,Impression,Heart size and mediastinum are stable. No change in mild cardiomegaly and prominence of the main pulmonary arteries present. Mild vascular congestion is present but there is no overt pulmonary edema. No appreciable pleural effusion or pneumothorax.,No change in mild cardiomegaly and prominence of the main pulmonary arteries present.,Mild cardiomegaly and prominence of the main pulmonary arteries,,Stable,['files/p11/p11052273/s57433211/f0f60c0b-52abfabd-2b92739a-f825fa77-74c719e9.jpg'],"['files/p11/p11052273/s56107641/1576fdb0-f3f769a3-0cc33e1a-059fcee1-ff10d20d.jpg\n', 'files/p11/p11052273/s56107641/c92eb013-1e459dcb-d3e846b5-def9d7f0-42bed786.jpg\n']"
s57439643_30,p13263843,s57439643,30,Findings,"In comparison with the study of ___, there is again extensive post-surgical changes in the right hemithorax with elevation of the hemidiaphragm with tenting as well as displacement of the trachea to the right. The degree of right effusion has decreased. The left lung is essentially clear, though there is again prominence of interstitial markings consistent with some elevation of pulmonary venous pressure. Central line remains in place.","The left lung is essentially clear, though there is again prominence of interstitial markings consistent with some elevation of pulmonary venous pressure.",interstitial markings,left lung,Stable,"['files/p13/p13263843/s57439643/805a1b6f-583ca6cb-23c06672-0cd8a909-8b3325e1.jpg', 'files/p13/p13263843/s57439643/c365e493-6ff6870f-caa75db4-c926e87a-f62d82d8.jpg']","['files/p13/p13263843/s56749558/9766f0cc-88676966-24902c6b-1e013369-eb545fe4.jpg\n', 'files/p13/p13263843/s56749558/f6a45850-afbc320a-ab118fd9-85e788d6-d88d5060.jpg\n']"
s57439643_30,p13263843,s57439643,30,Findings,"In comparison with the study of ___, there is again extensive post-surgical changes in the right hemithorax with elevation of the hemidiaphragm with tenting as well as displacement of the trachea to the right. The degree of right effusion has decreased. The left lung is essentially clear, though there is again prominence of interstitial markings consistent with some elevation of pulmonary venous pressure. Central line remains in place.",Central line remains in place.,Central line,,Stable,"['files/p13/p13263843/s57439643/805a1b6f-583ca6cb-23c06672-0cd8a909-8b3325e1.jpg', 'files/p13/p13263843/s57439643/c365e493-6ff6870f-caa75db4-c926e87a-f62d82d8.jpg']","['files/p13/p13263843/s56749558/9766f0cc-88676966-24902c6b-1e013369-eb545fe4.jpg\n', 'files/p13/p13263843/s56749558/f6a45850-afbc320a-ab118fd9-85e788d6-d88d5060.jpg\n']"
s57439643_30,p13263843,s57439643,30,Findings,"In comparison with the study of ___, there is again extensive post-surgical changes in the right hemithorax with elevation of the hemidiaphragm with tenting as well as displacement of the trachea to the right. The degree of right effusion has decreased. The left lung is essentially clear, though there is again prominence of interstitial markings consistent with some elevation of pulmonary venous pressure. Central line remains in place.","In comparison with the study of ___, there is again extensive post-surgical changes in the right hemithorax with elevation of the hemidiaphragm with tenting as well as displacement of the trachea to the right.",post-surgical changes,right hemithorax,Stable,"['files/p13/p13263843/s57439643/805a1b6f-583ca6cb-23c06672-0cd8a909-8b3325e1.jpg', 'files/p13/p13263843/s57439643/c365e493-6ff6870f-caa75db4-c926e87a-f62d82d8.jpg']","['files/p13/p13263843/s56749558/9766f0cc-88676966-24902c6b-1e013369-eb545fe4.jpg\n', 'files/p13/p13263843/s56749558/f6a45850-afbc320a-ab118fd9-85e788d6-d88d5060.jpg\n']"
s57439643_30,p13263843,s57439643,30,Findings,"In comparison with the study of ___, there is again extensive post-surgical changes in the right hemithorax with elevation of the hemidiaphragm with tenting as well as displacement of the trachea to the right. The degree of right effusion has decreased. The left lung is essentially clear, though there is again prominence of interstitial markings consistent with some elevation of pulmonary venous pressure. Central line remains in place.",The degree of right effusion has decreased.,effusion,right,Better,"['files/p13/p13263843/s57439643/805a1b6f-583ca6cb-23c06672-0cd8a909-8b3325e1.jpg', 'files/p13/p13263843/s57439643/c365e493-6ff6870f-caa75db4-c926e87a-f62d82d8.jpg']","['files/p13/p13263843/s56749558/9766f0cc-88676966-24902c6b-1e013369-eb545fe4.jpg\n', 'files/p13/p13263843/s56749558/f6a45850-afbc320a-ab118fd9-85e788d6-d88d5060.jpg\n']"
s57441180_25,p19016834,s57441180,25,Impression,"Right IJ extending to the expected location of the mid SVC, although not well evaluated due to overlying opacity. No definite pneumothorax. Right hemithorax nearly completely opacified which appears slightly increased as compared to the prior study, although in the prior study the patient was upright so there may be shift in fluid. The esophageal stent projects superiorly into the right apex, stable since the prior study but migrated in position as compared to ___.","The esophageal stent projects superiorly into the right apex, stable since the prior study but migrated in position as compared to ___.",esophageal stent,right apex,Stable,['files/p19/p19016834/s57441180/aab91d0b-db2c766c-d2a2b41b-1fed8561-7e2d060c.jpg'],['files/p19/p19016834/s56761306/460564da-f530de8e-fabb35c1-53d562ae-404235d0.jpg\n']
s57441180_25,p19016834,s57441180,25,Impression,"Right IJ extending to the expected location of the mid SVC, although not well evaluated due to overlying opacity. No definite pneumothorax. Right hemithorax nearly completely opacified which appears slightly increased as compared to the prior study, although in the prior study the patient was upright so there may be shift in fluid. The esophageal stent projects superiorly into the right apex, stable since the prior study but migrated in position as compared to ___.","Right hemithorax nearly completely opacified which appears slightly increased as compared to the prior study, although in the prior study the patient was upright so there may be shift in fluid.",opacification,Right hemithorax,Worse,['files/p19/p19016834/s57441180/aab91d0b-db2c766c-d2a2b41b-1fed8561-7e2d060c.jpg'],['files/p19/p19016834/s56761306/460564da-f530de8e-fabb35c1-53d562ae-404235d0.jpg\n']
s57441180_25,p19016834,s57441180,25,Findings,"Single portable view of the chest was obtained. There has been interval placement of a right transjugular central venous catheter, distal tip not well evaluated, appears to extend to the expected location of the mid SVC, although exact location is not well evaluated on this study. There is diffuse opacification of the right hemithorax which maybe due to underlying fluid and consolidation. The esophageal stent has migrated projecting over the right apex as compared to the prior study of ___. The left lung is grossly clear.",The esophageal stent has migrated projecting over the right apex as compared to the prior study of ___.,esophageal stent migration,right apex,Worse,['files/p19/p19016834/s57441180/aab91d0b-db2c766c-d2a2b41b-1fed8561-7e2d060c.jpg'],['files/p19/p19016834/s56761306/460564da-f530de8e-fabb35c1-53d562ae-404235d0.jpg\n']
s57446337_39,p15131736,s57446337,39,Impression,"Moderate pulmonary edema has worsened, severe cardiomegaly is larger. Severe left lower lobe consolidation, either edema or atelectasis is unchanged. Small to moderate bilateral pleural effusions are presumed. No pneumothorax. ET tube and transesophageal drainage tube in standard placements.","Moderate pulmonary edema has worsened, severe cardiomegaly is larger.",pulmonary edema,,Worse,['files/p15/p15131736/s57446337/6a88bbb2-ff756840-e3f513d9-ff4d1499-f9628163.jpg'],['files/p15/p15131736/s57124801/c2b22508-19420edd-b20d6189-f63a4ebf-54d99e64.jpg\n']
s57446337_39,p15131736,s57446337,39,Impression,"Moderate pulmonary edema has worsened, severe cardiomegaly is larger. Severe left lower lobe consolidation, either edema or atelectasis is unchanged. Small to moderate bilateral pleural effusions are presumed. No pneumothorax. ET tube and transesophageal drainage tube in standard placements.","Severe left lower lobe consolidation, either edema or atelectasis is unchanged.",consolidation,left lower lobe,Stable,['files/p15/p15131736/s57446337/6a88bbb2-ff756840-e3f513d9-ff4d1499-f9628163.jpg'],['files/p15/p15131736/s57124801/c2b22508-19420edd-b20d6189-f63a4ebf-54d99e64.jpg\n']
s57446337_39,p15131736,s57446337,39,Impression,"Moderate pulmonary edema has worsened, severe cardiomegaly is larger. Severe left lower lobe consolidation, either edema or atelectasis is unchanged. Small to moderate bilateral pleural effusions are presumed. No pneumothorax. ET tube and transesophageal drainage tube in standard placements.","Moderate pulmonary edema has worsened, severe cardiomegaly is larger.",cardiomegaly,,Worse,['files/p15/p15131736/s57446337/6a88bbb2-ff756840-e3f513d9-ff4d1499-f9628163.jpg'],['files/p15/p15131736/s57124801/c2b22508-19420edd-b20d6189-f63a4ebf-54d99e64.jpg\n']
s57447816_25,p13473495,s57447816,25,Findings,A dialysis catheter terminates in the right atrium. There is a vascular stent projecting over the left chest apex which probably corresponds to a left subclavian venous stent. The heart is again moderately enlarged. The lung volumes are low. There is no pleural effusion or pneumothorax. The lungs appear clear.,The heart is again moderately enlarged.,Moderate cardiomegaly,,Stable,['files/p13/p13473495/s57447816/23fdc685-8851eb9b-b5ee438b-0f486c37-4677e1ed.jpg'],"['files/p13/p13473495/s57333607/9748d26b-62549e8c-0a4fec22-48ae4480-691c7013.jpg\n', 'files/p13/p13473495/s57333607/d033edb1-1744b059-8b3505f6-da4c0458-f924f28a.jpg\n']"
s57448721_18,p19623993,s57448721,18,Findings,"No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart size is normal. There is persistent aortic tortuosity. No rib fracture is detected, although sensitivity is low on routine chest radiography.",There is persistent aortic tortuosity.,tortuosity,aortic,Stable,"['files/p19/p19623993/s57448721/46695ae3-c67059c5-8ada6268-131f121b-d71bcb30.jpg', 'files/p19/p19623993/s57448721/5b9d3fcb-ec593910-a4df74dc-05deda2c-9719c9ea.jpg']","['files/p19/p19623993/s57254304/b85f7da5-828bea81-c7e95d37-4650d910-3c367fa4.jpg\n', 'files/p19/p19623993/s57254304/d8d6bec6-48c8a366-841c2d03-d9845540-66735bb4.jpg\n']"
s57452809_6,p13263843,s57452809,6,Impression,"AP chest compared to ___: Previous moderate pulmonary edema has nearly resolved, but small bilateral pleural effusions remain. Heart is normal size. There is no pneumothorax. Patient has had right upper chest wall resection, and presumed radiation accounting for elevation of the right hilus and scarring at the lung apex.","AP chest compared to ___: Previous moderate pulmonary edema has nearly resolved, but small bilateral pleural effusions remain.",moderate pulmonary edema,,Resolve,"['files/p13/p13263843/s57452809/2a18ff9e-bcc1e679-a9be811c-4cd490dc-fa3faf63.jpg', 'files/p13/p13263843/s57452809/4eff87e7-36ef8e15-d331112f-879ae8ad-9228fd4d.jpg']","['files/p13/p13263843/s57439643/805a1b6f-583ca6cb-23c06672-0cd8a909-8b3325e1.jpg\n', 'files/p13/p13263843/s57439643/c365e493-6ff6870f-caa75db4-c926e87a-f62d82d8.jpg\n']"
s57454413_3,p16957952,s57454413,3,Findings,"The patient is status post coronary artery bypass graft surgery. There is a new moderate interstitial abnormality with peribronchial cuffing and indistinct vascular prominence, most consistent with mild-to-moderate pulmonary vascular congestion. The heart is mildly enlarged with a left ventricular configuration. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The bones are probably demineralized. A mild anterior wedge compression deformity along the lower thoracic spine appears unchanged. Mild degenerative changes along the mid-to-lower thoracic spine are also similar.",A mild anterior wedge compression deformity along the lower thoracic spine appears unchanged.,mild anterior wedge compression deformity,lower thoracic spine,Stable,"['files/p16/p16957952/s57454413/158479af-cf9c24d6-99ee742e-bbb91960-bfa7f46c.jpg', 'files/p16/p16957952/s57454413/1ca66906-ea4212b7-f0588f1e-1c87cc79-bcbc1780.jpg']","['files/p16/p16957952/s56986984/6a748e66-94fe3916-8d95e285-cdcd69ce-af744882.jpg\n', 'files/p16/p16957952/s56986984/b3068b62-93af079c-28037ceb-5f8b41e3-8d9c5e81.jpg\n']"
s57454413_3,p16957952,s57454413,3,Findings,"The patient is status post coronary artery bypass graft surgery. There is a new moderate interstitial abnormality with peribronchial cuffing and indistinct vascular prominence, most consistent with mild-to-moderate pulmonary vascular congestion. The heart is mildly enlarged with a left ventricular configuration. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The bones are probably demineralized. A mild anterior wedge compression deformity along the lower thoracic spine appears unchanged. Mild degenerative changes along the mid-to-lower thoracic spine are also similar.","There is a new moderate interstitial abnormality with peribronchial cuffing and indistinct vascular prominence, most consistent with mild-to-moderate pulmonary vascular congestion.",moderate interstitial abnormality with peribronchial cuffing and indistinct vascular prominence,,New,"['files/p16/p16957952/s57454413/158479af-cf9c24d6-99ee742e-bbb91960-bfa7f46c.jpg', 'files/p16/p16957952/s57454413/1ca66906-ea4212b7-f0588f1e-1c87cc79-bcbc1780.jpg']","['files/p16/p16957952/s56986984/6a748e66-94fe3916-8d95e285-cdcd69ce-af744882.jpg\n', 'files/p16/p16957952/s56986984/b3068b62-93af079c-28037ceb-5f8b41e3-8d9c5e81.jpg\n']"
s57454413_3,p16957952,s57454413,3,Findings,"The patient is status post coronary artery bypass graft surgery. There is a new moderate interstitial abnormality with peribronchial cuffing and indistinct vascular prominence, most consistent with mild-to-moderate pulmonary vascular congestion. The heart is mildly enlarged with a left ventricular configuration. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The bones are probably demineralized. A mild anterior wedge compression deformity along the lower thoracic spine appears unchanged. Mild degenerative changes along the mid-to-lower thoracic spine are also similar.","The cardiac, mediastinal and hilar contours appear unchanged.",,"cardiac, mediastinal and hilar contours",Stable,"['files/p16/p16957952/s57454413/158479af-cf9c24d6-99ee742e-bbb91960-bfa7f46c.jpg', 'files/p16/p16957952/s57454413/1ca66906-ea4212b7-f0588f1e-1c87cc79-bcbc1780.jpg']","['files/p16/p16957952/s56986984/6a748e66-94fe3916-8d95e285-cdcd69ce-af744882.jpg\n', 'files/p16/p16957952/s56986984/b3068b62-93af079c-28037ceb-5f8b41e3-8d9c5e81.jpg\n']"
s57454413_3,p16957952,s57454413,3,Findings,"The patient is status post coronary artery bypass graft surgery. There is a new moderate interstitial abnormality with peribronchial cuffing and indistinct vascular prominence, most consistent with mild-to-moderate pulmonary vascular congestion. The heart is mildly enlarged with a left ventricular configuration. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The bones are probably demineralized. A mild anterior wedge compression deformity along the lower thoracic spine appears unchanged. Mild degenerative changes along the mid-to-lower thoracic spine are also similar.",Mild degenerative changes along the mid-to-lower thoracic spine are also similar.,mild degenerative changes,mid-to-lower thoracic spine,Stable,"['files/p16/p16957952/s57454413/158479af-cf9c24d6-99ee742e-bbb91960-bfa7f46c.jpg', 'files/p16/p16957952/s57454413/1ca66906-ea4212b7-f0588f1e-1c87cc79-bcbc1780.jpg']","['files/p16/p16957952/s56986984/6a748e66-94fe3916-8d95e285-cdcd69ce-af744882.jpg\n', 'files/p16/p16957952/s56986984/b3068b62-93af079c-28037ceb-5f8b41e3-8d9c5e81.jpg\n']"
s57456610_12,p19028690,s57456610,12,Findings,"Single portable view of the chest. There is a new right IJ central line with tip in the mid SVC. There is no pneumothorax. The lungs remain clear. Azygous fissure again noted. Cardiomediastinal silhouette is stable noting prominence of the upper mediastinum due to fat, unchanged.",The lungs remain clear.,clear lungs,,Stable,['files/p19/p19028690/s57456610/51f5ce00-6a5bde30-814d9207-cc5f7a52-ceb3502a.jpg'],"['files/p19/p19028690/s56321718/4aea4393-f44d4dd2-55ae2d64-e3486a9c-ee57460c.jpg\n', 'files/p19/p19028690/s56321718/73008a4b-9fd383b4-3d289f58-d78bef2a-065b5789.jpg\n', 'files/p19/p19028690/s56321718/f30bbb0b-e2fc0d98-807a79b1-7976e0dd-4fbccb61.jpg\n']"
s57456610_12,p19028690,s57456610,12,Findings,"Single portable view of the chest. There is a new right IJ central line with tip in the mid SVC. There is no pneumothorax. The lungs remain clear. Azygous fissure again noted. Cardiomediastinal silhouette is stable noting prominence of the upper mediastinum due to fat, unchanged.","Cardiomediastinal silhouette is stable noting prominence of the upper mediastinum due to fat, unchanged.",prominence due to fat,upper mediastinum,Stable,['files/p19/p19028690/s57456610/51f5ce00-6a5bde30-814d9207-cc5f7a52-ceb3502a.jpg'],"['files/p19/p19028690/s56321718/4aea4393-f44d4dd2-55ae2d64-e3486a9c-ee57460c.jpg\n', 'files/p19/p19028690/s56321718/73008a4b-9fd383b4-3d289f58-d78bef2a-065b5789.jpg\n', 'files/p19/p19028690/s56321718/f30bbb0b-e2fc0d98-807a79b1-7976e0dd-4fbccb61.jpg\n']"
s57456610_12,p19028690,s57456610,12,Impression,New right IJ line. No pneumothorax.,New right IJ line.,right IJ line,,New,['files/p19/p19028690/s57456610/51f5ce00-6a5bde30-814d9207-cc5f7a52-ceb3502a.jpg'],"['files/p19/p19028690/s56321718/4aea4393-f44d4dd2-55ae2d64-e3486a9c-ee57460c.jpg\n', 'files/p19/p19028690/s56321718/73008a4b-9fd383b4-3d289f58-d78bef2a-065b5789.jpg\n', 'files/p19/p19028690/s56321718/f30bbb0b-e2fc0d98-807a79b1-7976e0dd-4fbccb61.jpg\n']"
s57456610_12,p19028690,s57456610,12,Findings,"Single portable view of the chest. There is a new right IJ central line with tip in the mid SVC. There is no pneumothorax. The lungs remain clear. Azygous fissure again noted. Cardiomediastinal silhouette is stable noting prominence of the upper mediastinum due to fat, unchanged.",There is a new right IJ central line with tip in the mid SVC.,right IJ central line,mid SVC,New,['files/p19/p19028690/s57456610/51f5ce00-6a5bde30-814d9207-cc5f7a52-ceb3502a.jpg'],"['files/p19/p19028690/s56321718/4aea4393-f44d4dd2-55ae2d64-e3486a9c-ee57460c.jpg\n', 'files/p19/p19028690/s56321718/73008a4b-9fd383b4-3d289f58-d78bef2a-065b5789.jpg\n', 'files/p19/p19028690/s56321718/f30bbb0b-e2fc0d98-807a79b1-7976e0dd-4fbccb61.jpg\n']"
s57458228_68,p15131736,s57458228,68,Impression,"In comparison to ___ chest radiograph, cardiomegaly is accompanied by pulmonary vascular congestion and mild edema, with increasing small right and new small left pleural effusions. Worsening left retrocardiac opacification could reflect atelectasis or infectious consolidation.",Worsening left retrocardiac opacification could reflect atelectasis or infectious consolidation.,opacification,left retrocardiac,Worse,['files/p15/p15131736/s57458228/344efa4b-02fb5b16-9db4229a-51955f21-7522b595.jpg'],['files/p15/p15131736/s57446337/6a88bbb2-ff756840-e3f513d9-ff4d1499-f9628163.jpg\n']
s57458228_68,p15131736,s57458228,68,Impression,"In comparison to ___ chest radiograph, cardiomegaly is accompanied by pulmonary vascular congestion and mild edema, with increasing small right and new small left pleural effusions. Worsening left retrocardiac opacification could reflect atelectasis or infectious consolidation.","In comparison to ___ chest radiograph, cardiomegaly is accompanied by pulmonary vascular congestion and mild edema, with increasing small right and new small left pleural effusions.",small pleural effusions,right,Worse,['files/p15/p15131736/s57458228/344efa4b-02fb5b16-9db4229a-51955f21-7522b595.jpg'],['files/p15/p15131736/s57446337/6a88bbb2-ff756840-e3f513d9-ff4d1499-f9628163.jpg\n']
s57458228_68,p15131736,s57458228,68,Impression,"In comparison to ___ chest radiograph, cardiomegaly is accompanied by pulmonary vascular congestion and mild edema, with increasing small right and new small left pleural effusions. Worsening left retrocardiac opacification could reflect atelectasis or infectious consolidation.","In comparison to ___ chest radiograph, cardiomegaly is accompanied by pulmonary vascular congestion and mild edema, with increasing small right and new small left pleural effusions.",small pleural effusions,left,New,['files/p15/p15131736/s57458228/344efa4b-02fb5b16-9db4229a-51955f21-7522b595.jpg'],['files/p15/p15131736/s57446337/6a88bbb2-ff756840-e3f513d9-ff4d1499-f9628163.jpg\n']
s57463116_13,p12185775,s57463116,13,Impression,"AP chest compared to ___, 6:56 p.m.: Previous mild pulmonary edema has cleared from the right lung, improving on the left. Small left pleural effusion has increased. No appreciable right pleural effusion. Moderate cardiomegaly has improved. Tip of the endotracheal tube is no less than 4.5 cm above the carina, in standard placement. Swan-Ganz catheter ends in the right descending pulmonary artery and care should be taken that it not advance any further when it is not in the wedge position. Nasogastric tube passes into the distal stomach and out of view. No pneumothorax.","AP chest compared to ___, 6:56 p.m.: Previous mild pulmonary edema has cleared from the right lung, improving on the left.",pulmonary edema,left,Better,['files/p12/p12185775/s57463116/552b9cdb-02b1e116-417a8a56-d2f54f1e-865a2a0c.jpg'],['files/p12/p12185775/s57164346/135f90e3-562abed8-10d18797-fc0fc641-ea889ffb.jpg\n']
s57463116_13,p12185775,s57463116,13,Impression,"AP chest compared to ___, 6:56 p.m.: Previous mild pulmonary edema has cleared from the right lung, improving on the left. Small left pleural effusion has increased. No appreciable right pleural effusion. Moderate cardiomegaly has improved. Tip of the endotracheal tube is no less than 4.5 cm above the carina, in standard placement. Swan-Ganz catheter ends in the right descending pulmonary artery and care should be taken that it not advance any further when it is not in the wedge position. Nasogastric tube passes into the distal stomach and out of view. No pneumothorax.",Small left pleural effusion has increased.,pleural effusion,left,Worse,['files/p12/p12185775/s57463116/552b9cdb-02b1e116-417a8a56-d2f54f1e-865a2a0c.jpg'],['files/p12/p12185775/s57164346/135f90e3-562abed8-10d18797-fc0fc641-ea889ffb.jpg\n']
s57463116_13,p12185775,s57463116,13,Impression,"AP chest compared to ___, 6:56 p.m.: Previous mild pulmonary edema has cleared from the right lung, improving on the left. Small left pleural effusion has increased. No appreciable right pleural effusion. Moderate cardiomegaly has improved. Tip of the endotracheal tube is no less than 4.5 cm above the carina, in standard placement. Swan-Ganz catheter ends in the right descending pulmonary artery and care should be taken that it not advance any further when it is not in the wedge position. Nasogastric tube passes into the distal stomach and out of view. No pneumothorax.",Moderate cardiomegaly has improved.,cardiomegaly,,Better,['files/p12/p12185775/s57463116/552b9cdb-02b1e116-417a8a56-d2f54f1e-865a2a0c.jpg'],['files/p12/p12185775/s57164346/135f90e3-562abed8-10d18797-fc0fc641-ea889ffb.jpg\n']
s57463116_13,p12185775,s57463116,13,Impression,"AP chest compared to ___, 6:56 p.m.: Previous mild pulmonary edema has cleared from the right lung, improving on the left. Small left pleural effusion has increased. No appreciable right pleural effusion. Moderate cardiomegaly has improved. Tip of the endotracheal tube is no less than 4.5 cm above the carina, in standard placement. Swan-Ganz catheter ends in the right descending pulmonary artery and care should be taken that it not advance any further when it is not in the wedge position. Nasogastric tube passes into the distal stomach and out of view. No pneumothorax.","AP chest compared to ___, 6:56 p.m.: Previous mild pulmonary edema has cleared from the right lung, improving on the left.",pulmonary edema,right,Resolve,['files/p12/p12185775/s57463116/552b9cdb-02b1e116-417a8a56-d2f54f1e-865a2a0c.jpg'],['files/p12/p12185775/s57164346/135f90e3-562abed8-10d18797-fc0fc641-ea889ffb.jpg\n']
s57464511_0,p18287845,s57464511,0,Findings,"PA and lateral chest radiograph is provided. There is no focal consolidation, pleural effusion or pneumothorax. Bibasilar opacities are present, more prominent on the left, which most likely represents atelectasis. A pacemaker is seen with leads in appropriate positioning. There are surgical clips seen in the epigastric area.","Bibasilar opacities are present, more prominent on the left, which most likely represents atelectasis.",opacities,Bibasilar,New,"['files/p18/p18287845/s57464511/64e9fab8-be276430-8b0b8d08-b7aff644-5d287946.jpg', 'files/p18/p18287845/s57464511/c3b3a7da-a23fa428-bfdf622b-e03af5b4-401c60d3.jpg']",
s57464511_0,p18287845,s57464511,0,Impression,No acute cardiopulmonary process. Bibasilar opacities most likely representing atelectasis.,Bibasilar opacities most likely representing atelectasis.,opacities,Bibasilar,New,"['files/p18/p18287845/s57464511/64e9fab8-be276430-8b0b8d08-b7aff644-5d287946.jpg', 'files/p18/p18287845/s57464511/c3b3a7da-a23fa428-bfdf622b-e03af5b4-401c60d3.jpg']",
s57470809_36,p14851532,s57470809,36,Findings,"The cardiac, mediastinal and hilar contours appear stable including calcification of the aortic arch and moderate tortuosity of the descending thoracic aorta. Irregular opacification in the superior segment of the left lower lobe appears similar to the prior radiographs. Nodularity in the right upper lobe also appears stable. However, on this study and since the more recent chest CT are bilateral pleural effusions as well as thickening of fissures an a mild interstitial abnormality predominantly visualized at the lung bases.",Nodularity in the right upper lobe also appears stable.,nodularity,right upper lobe,Stable,"['files/p14/p14851532/s57470809/50f6f1b1-aa149cd2-0ee5f300-fca11b18-fa515a42.jpg', 'files/p14/p14851532/s57470809/b8bed4d3-d993a18e-0991e847-d35ed326-8aebc923.jpg']",['files/p14/p14851532/s57432047/17c17bf4-5c86a90d-dd7f7b90-cfa93c69-b37cdca4.jpg\n']
s57470809_36,p14851532,s57470809,36,Findings,"The cardiac, mediastinal and hilar contours appear stable including calcification of the aortic arch and moderate tortuosity of the descending thoracic aorta. Irregular opacification in the superior segment of the left lower lobe appears similar to the prior radiographs. Nodularity in the right upper lobe also appears stable. However, on this study and since the more recent chest CT are bilateral pleural effusions as well as thickening of fissures an a mild interstitial abnormality predominantly visualized at the lung bases.","The cardiac, mediastinal and hilar contours appear stable including calcification of the aortic arch and moderate tortuosity of the descending thoracic aorta.",calcification of the aortic arch and moderate tortuosity of the descending thoracic aorta,"cardiac, mediastinal and hilar contours",Stable,"['files/p14/p14851532/s57470809/50f6f1b1-aa149cd2-0ee5f300-fca11b18-fa515a42.jpg', 'files/p14/p14851532/s57470809/b8bed4d3-d993a18e-0991e847-d35ed326-8aebc923.jpg']",['files/p14/p14851532/s57432047/17c17bf4-5c86a90d-dd7f7b90-cfa93c69-b37cdca4.jpg\n']
s57470809_36,p14851532,s57470809,36,Findings,"The cardiac, mediastinal and hilar contours appear stable including calcification of the aortic arch and moderate tortuosity of the descending thoracic aorta. Irregular opacification in the superior segment of the left lower lobe appears similar to the prior radiographs. Nodularity in the right upper lobe also appears stable. However, on this study and since the more recent chest CT are bilateral pleural effusions as well as thickening of fissures an a mild interstitial abnormality predominantly visualized at the lung bases.",Irregular opacification in the superior segment of the left lower lobe appears similar to the prior radiographs.,irregular opacification,superior segment of the left lower lobe,Stable,"['files/p14/p14851532/s57470809/50f6f1b1-aa149cd2-0ee5f300-fca11b18-fa515a42.jpg', 'files/p14/p14851532/s57470809/b8bed4d3-d993a18e-0991e847-d35ed326-8aebc923.jpg']",['files/p14/p14851532/s57432047/17c17bf4-5c86a90d-dd7f7b90-cfa93c69-b37cdca4.jpg\n']
s57474634_16,p13263843,s57474634,16,Findings,"There is a new moderate-to-large right-sided pleural effusion with volume loss suggesting extensive coinciding parenchymal atelectasis, substantially increased since the prior studies. There is a persistent patchy left basilar opacity, but with general improvement in aeration of the left lower lobe and resolution of a small left-sided pleural effusion. There is no pneumothorax. A mild interstitial abnormality in each lung suggests mild fluid overload. Post-operative changes are noted along the right chest wall including rib deformities, as seen previously.","There is a persistent patchy left basilar opacity, but with general improvement in aeration of the left lower lobe and resolution of a small left-sided pleural effusion.",pleural effusion,left-sided,Resolve,"['files/p13/p13263843/s57474634/5a8173dc-ba88a84f-b2bdec60-eb030b78-73682cd4.jpg', 'files/p13/p13263843/s57474634/b0e9726e-2f7a3e61-18743619-0d5e6e7b-b8b429b8.jpg']","['files/p13/p13263843/s57452809/2a18ff9e-bcc1e679-a9be811c-4cd490dc-fa3faf63.jpg\n', 'files/p13/p13263843/s57452809/4eff87e7-36ef8e15-d331112f-879ae8ad-9228fd4d.jpg\n']"
s57474634_16,p13263843,s57474634,16,Findings,"There is a new moderate-to-large right-sided pleural effusion with volume loss suggesting extensive coinciding parenchymal atelectasis, substantially increased since the prior studies. There is a persistent patchy left basilar opacity, but with general improvement in aeration of the left lower lobe and resolution of a small left-sided pleural effusion. There is no pneumothorax. A mild interstitial abnormality in each lung suggests mild fluid overload. Post-operative changes are noted along the right chest wall including rib deformities, as seen previously.","There is a new moderate-to-large right-sided pleural effusion with volume loss suggesting extensive coinciding parenchymal atelectasis, substantially increased since the prior studies.",pleural effusion,right-sided,Worse,"['files/p13/p13263843/s57474634/5a8173dc-ba88a84f-b2bdec60-eb030b78-73682cd4.jpg', 'files/p13/p13263843/s57474634/b0e9726e-2f7a3e61-18743619-0d5e6e7b-b8b429b8.jpg']","['files/p13/p13263843/s57452809/2a18ff9e-bcc1e679-a9be811c-4cd490dc-fa3faf63.jpg\n', 'files/p13/p13263843/s57452809/4eff87e7-36ef8e15-d331112f-879ae8ad-9228fd4d.jpg\n']"
s57474634_16,p13263843,s57474634,16,Findings,"There is a new moderate-to-large right-sided pleural effusion with volume loss suggesting extensive coinciding parenchymal atelectasis, substantially increased since the prior studies. There is a persistent patchy left basilar opacity, but with general improvement in aeration of the left lower lobe and resolution of a small left-sided pleural effusion. There is no pneumothorax. A mild interstitial abnormality in each lung suggests mild fluid overload. Post-operative changes are noted along the right chest wall including rib deformities, as seen previously.","There is a persistent patchy left basilar opacity, but with general improvement in aeration of the left lower lobe and resolution of a small left-sided pleural effusion.",aeration,left lower lobe,Better,"['files/p13/p13263843/s57474634/5a8173dc-ba88a84f-b2bdec60-eb030b78-73682cd4.jpg', 'files/p13/p13263843/s57474634/b0e9726e-2f7a3e61-18743619-0d5e6e7b-b8b429b8.jpg']","['files/p13/p13263843/s57452809/2a18ff9e-bcc1e679-a9be811c-4cd490dc-fa3faf63.jpg\n', 'files/p13/p13263843/s57452809/4eff87e7-36ef8e15-d331112f-879ae8ad-9228fd4d.jpg\n']"
s57474634_16,p13263843,s57474634,16,Findings,"There is a new moderate-to-large right-sided pleural effusion with volume loss suggesting extensive coinciding parenchymal atelectasis, substantially increased since the prior studies. There is a persistent patchy left basilar opacity, but with general improvement in aeration of the left lower lobe and resolution of a small left-sided pleural effusion. There is no pneumothorax. A mild interstitial abnormality in each lung suggests mild fluid overload. Post-operative changes are noted along the right chest wall including rib deformities, as seen previously.","Post-operative changes are noted along the right chest wall including rib deformities, as seen previously.",post-operative changes,right chest wall,Stable,"['files/p13/p13263843/s57474634/5a8173dc-ba88a84f-b2bdec60-eb030b78-73682cd4.jpg', 'files/p13/p13263843/s57474634/b0e9726e-2f7a3e61-18743619-0d5e6e7b-b8b429b8.jpg']","['files/p13/p13263843/s57452809/2a18ff9e-bcc1e679-a9be811c-4cd490dc-fa3faf63.jpg\n', 'files/p13/p13263843/s57452809/4eff87e7-36ef8e15-d331112f-879ae8ad-9228fd4d.jpg\n']"
s57474634_16,p13263843,s57474634,16,Findings,"There is a new moderate-to-large right-sided pleural effusion with volume loss suggesting extensive coinciding parenchymal atelectasis, substantially increased since the prior studies. There is a persistent patchy left basilar opacity, but with general improvement in aeration of the left lower lobe and resolution of a small left-sided pleural effusion. There is no pneumothorax. A mild interstitial abnormality in each lung suggests mild fluid overload. Post-operative changes are noted along the right chest wall including rib deformities, as seen previously.","Post-operative changes are noted along the right chest wall including rib deformities, as seen previously.",rib deformities,right chest wall,Stable,"['files/p13/p13263843/s57474634/5a8173dc-ba88a84f-b2bdec60-eb030b78-73682cd4.jpg', 'files/p13/p13263843/s57474634/b0e9726e-2f7a3e61-18743619-0d5e6e7b-b8b429b8.jpg']","['files/p13/p13263843/s57452809/2a18ff9e-bcc1e679-a9be811c-4cd490dc-fa3faf63.jpg\n', 'files/p13/p13263843/s57452809/4eff87e7-36ef8e15-d331112f-879ae8ad-9228fd4d.jpg\n']"
s57474634_16,p13263843,s57474634,16,Impression,Substantial increase in right-sided pleural effusion with volume loss.,Substantial increase in right-sided pleural effusion with volume loss.,pleural effusion,right-sided,Worse,"['files/p13/p13263843/s57474634/5a8173dc-ba88a84f-b2bdec60-eb030b78-73682cd4.jpg', 'files/p13/p13263843/s57474634/b0e9726e-2f7a3e61-18743619-0d5e6e7b-b8b429b8.jpg']","['files/p13/p13263843/s57452809/2a18ff9e-bcc1e679-a9be811c-4cd490dc-fa3faf63.jpg\n', 'files/p13/p13263843/s57452809/4eff87e7-36ef8e15-d331112f-879ae8ad-9228fd4d.jpg\n']"
s57474634_16,p13263843,s57474634,16,Findings,"There is a new moderate-to-large right-sided pleural effusion with volume loss suggesting extensive coinciding parenchymal atelectasis, substantially increased since the prior studies. There is a persistent patchy left basilar opacity, but with general improvement in aeration of the left lower lobe and resolution of a small left-sided pleural effusion. There is no pneumothorax. A mild interstitial abnormality in each lung suggests mild fluid overload. Post-operative changes are noted along the right chest wall including rib deformities, as seen previously.","There is a new moderate-to-large right-sided pleural effusion with volume loss suggesting extensive coinciding parenchymal atelectasis, substantially increased since the prior studies.",parenchymal atelectasis,right-sided,Worse,"['files/p13/p13263843/s57474634/5a8173dc-ba88a84f-b2bdec60-eb030b78-73682cd4.jpg', 'files/p13/p13263843/s57474634/b0e9726e-2f7a3e61-18743619-0d5e6e7b-b8b429b8.jpg']","['files/p13/p13263843/s57452809/2a18ff9e-bcc1e679-a9be811c-4cd490dc-fa3faf63.jpg\n', 'files/p13/p13263843/s57452809/4eff87e7-36ef8e15-d331112f-879ae8ad-9228fd4d.jpg\n']"
s57474951_5,p17720924,s57474951,5,Findings,"Except for minimal bibasilar atelectasis, the lungs are clear. Mild cardiac congestionis stable. Cardiac contour is normal. The upper mediastinum appears widened due to the lordotic view. Chest CT in ___ only showed mediastinal fat in this region.",Mild cardiac congestion is stable.,Mild cardiac congestion,,Stable,['files/p17/p17720924/s57474951/d958a1d3-977c9fd6-0296ff8d-bf5c5aa9-8894c621.jpg'],"['files/p17/p17720924/s56426152/32f29bbd-708c39d5-e0e01140-65e5a8ac-a2a6f01c.jpg\n', 'files/p17/p17720924/s56426152/a17b5dc8-d644c07f-3d06ab54-851e9dee-b8643fad.jpg\n']"
s57475408_13,p19454978,s57475408,13,Findings,"As compared to the previous radiograph, the patient has received a right-sided PICC line. The course of the line is unremarkable, the tip of the line projects over the mid-to-low SVC. There is no evidence of complications, notably no pneumothorax. Unchanged appearance of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. Small bilateral pleural effusions.",Unchanged appearance of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p19/p19454978/s57475408/f7d18e0b-557566af-9339243f-a8b26e9f-c974e2de.jpg'],['files/p19/p19454978/s57439770/52b231f0-b5da5c5b-5a030c08-1b4c1c46-99c6b79e.jpg\n']
s57475408_13,p19454978,s57475408,13,Findings,"As compared to the previous radiograph, the patient has received a right-sided PICC line. The course of the line is unremarkable, the tip of the line projects over the mid-to-low SVC. There is no evidence of complications, notably no pneumothorax. Unchanged appearance of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. Small bilateral pleural effusions.","As compared to the previous radiograph, the patient has received a right-sided PICC line.",PICC line,right-sided,New,['files/p19/p19454978/s57475408/f7d18e0b-557566af-9339243f-a8b26e9f-c974e2de.jpg'],['files/p19/p19454978/s57439770/52b231f0-b5da5c5b-5a030c08-1b4c1c46-99c6b79e.jpg\n']
s57478725_5,p16409152,s57478725,5,Findings,"As compared to the previous radiograph, the endotracheal tube is in unchanged position. The nasogastric tube and the right central venous access line are also unchanged. There are bilaterally increasing pleural effusions with subsequent increasing areas of basal atelectasis. The overall lung volumes remain low. Moderate cardiomegaly is unchanged. Known pulmonary metastatic disease.",There are bilaterally increasing pleural effusions with subsequent increasing areas of basal atelectasis.,atelectasis,basal,Worse,['files/p16/p16409152/s57478725/df2afec3-bcff5990-a6f64c83-6bb93795-d38a1ec8.jpg'],"['files/p16/p16409152/s55851227/6e9a74d7-21c84522-a747db35-77dec447-6c76dd6e.jpg\n', 'files/p16/p16409152/s55851227/fca85dcd-6c374a5d-3ff8fe9f-4c0597a9-db55419e.jpg\n']"
s57478725_5,p16409152,s57478725,5,Findings,"As compared to the previous radiograph, the endotracheal tube is in unchanged position. The nasogastric tube and the right central venous access line are also unchanged. There are bilaterally increasing pleural effusions with subsequent increasing areas of basal atelectasis. The overall lung volumes remain low. Moderate cardiomegaly is unchanged. Known pulmonary metastatic disease.",The overall lung volumes remain low.,lung volumes,,Stable,['files/p16/p16409152/s57478725/df2afec3-bcff5990-a6f64c83-6bb93795-d38a1ec8.jpg'],"['files/p16/p16409152/s55851227/6e9a74d7-21c84522-a747db35-77dec447-6c76dd6e.jpg\n', 'files/p16/p16409152/s55851227/fca85dcd-6c374a5d-3ff8fe9f-4c0597a9-db55419e.jpg\n']"
s57478725_5,p16409152,s57478725,5,Findings,"As compared to the previous radiograph, the endotracheal tube is in unchanged position. The nasogastric tube and the right central venous access line are also unchanged. There are bilaterally increasing pleural effusions with subsequent increasing areas of basal atelectasis. The overall lung volumes remain low. Moderate cardiomegaly is unchanged. Known pulmonary metastatic disease.",There are bilaterally increasing pleural effusions with subsequent increasing areas of basal atelectasis.,pleural effusions,bilaterally,Worse,['files/p16/p16409152/s57478725/df2afec3-bcff5990-a6f64c83-6bb93795-d38a1ec8.jpg'],"['files/p16/p16409152/s55851227/6e9a74d7-21c84522-a747db35-77dec447-6c76dd6e.jpg\n', 'files/p16/p16409152/s55851227/fca85dcd-6c374a5d-3ff8fe9f-4c0597a9-db55419e.jpg\n']"
s57478725_5,p16409152,s57478725,5,Findings,"As compared to the previous radiograph, the endotracheal tube is in unchanged position. The nasogastric tube and the right central venous access line are also unchanged. There are bilaterally increasing pleural effusions with subsequent increasing areas of basal atelectasis. The overall lung volumes remain low. Moderate cardiomegaly is unchanged. Known pulmonary metastatic disease.",The nasogastric tube and the right central venous access line are also unchanged.,central venous access line,right,Stable,['files/p16/p16409152/s57478725/df2afec3-bcff5990-a6f64c83-6bb93795-d38a1ec8.jpg'],"['files/p16/p16409152/s55851227/6e9a74d7-21c84522-a747db35-77dec447-6c76dd6e.jpg\n', 'files/p16/p16409152/s55851227/fca85dcd-6c374a5d-3ff8fe9f-4c0597a9-db55419e.jpg\n']"
s57478725_5,p16409152,s57478725,5,Findings,"As compared to the previous radiograph, the endotracheal tube is in unchanged position. The nasogastric tube and the right central venous access line are also unchanged. There are bilaterally increasing pleural effusions with subsequent increasing areas of basal atelectasis. The overall lung volumes remain low. Moderate cardiomegaly is unchanged. Known pulmonary metastatic disease.",Moderate cardiomegaly is unchanged.,cardiomegaly,,Stable,['files/p16/p16409152/s57478725/df2afec3-bcff5990-a6f64c83-6bb93795-d38a1ec8.jpg'],"['files/p16/p16409152/s55851227/6e9a74d7-21c84522-a747db35-77dec447-6c76dd6e.jpg\n', 'files/p16/p16409152/s55851227/fca85dcd-6c374a5d-3ff8fe9f-4c0597a9-db55419e.jpg\n']"
s57478725_5,p16409152,s57478725,5,Findings,"As compared to the previous radiograph, the endotracheal tube is in unchanged position. The nasogastric tube and the right central venous access line are also unchanged. There are bilaterally increasing pleural effusions with subsequent increasing areas of basal atelectasis. The overall lung volumes remain low. Moderate cardiomegaly is unchanged. Known pulmonary metastatic disease.",The nasogastric tube and the right central venous access line are also unchanged.,nasogastric tube,,Stable,['files/p16/p16409152/s57478725/df2afec3-bcff5990-a6f64c83-6bb93795-d38a1ec8.jpg'],"['files/p16/p16409152/s55851227/6e9a74d7-21c84522-a747db35-77dec447-6c76dd6e.jpg\n', 'files/p16/p16409152/s55851227/fca85dcd-6c374a5d-3ff8fe9f-4c0597a9-db55419e.jpg\n']"
s57478725_5,p16409152,s57478725,5,Findings,"As compared to the previous radiograph, the endotracheal tube is in unchanged position. The nasogastric tube and the right central venous access line are also unchanged. There are bilaterally increasing pleural effusions with subsequent increasing areas of basal atelectasis. The overall lung volumes remain low. Moderate cardiomegaly is unchanged. Known pulmonary metastatic disease.","As compared to the previous radiograph, the endotracheal tube is in unchanged position.",endotracheal tube position,,Stable,['files/p16/p16409152/s57478725/df2afec3-bcff5990-a6f64c83-6bb93795-d38a1ec8.jpg'],"['files/p16/p16409152/s55851227/6e9a74d7-21c84522-a747db35-77dec447-6c76dd6e.jpg\n', 'files/p16/p16409152/s55851227/fca85dcd-6c374a5d-3ff8fe9f-4c0597a9-db55419e.jpg\n']"
s57481340_5,p18224196,s57481340,5,Impression,"AP chest compared to ___ through ___ at 1:05 p.m. Since the earliest postoperative study earlier today on ___ following median sternotomy and dual-valve replacements, there has been no change in the essentially normal postoperative cardiomediastinal silhouette. Left lower lobe collapse however has progressed. Small left pleural effusion is presumed. Right pleural effusion is minimal if any and there is no pneumothorax, basal pleural tube in place. ET tube, midline drains are in standard placements. Swan-Ganz catheter ends in the right descending pulmonary artery and should be withdrawn several centimeters to avoid inadvertent cannulation of the middle lobe or superior segmental lower lobe pulmonary arteries. No pneumothorax.",Left lower lobe collapse however has progressed.,collapse,Left lower lobe,Worse,['files/p18/p18224196/s57481340/3627c932-73fba01b-b50c256b-fe25f602-a175bb99.jpg'],['files/p18/p18224196/s56822629/ccd9df65-03a33fd6-372e070c-1b36c943-a18d8378.jpg\n']
s57481340_5,p18224196,s57481340,5,Impression,"AP chest compared to ___ through ___ at 1:05 p.m. Since the earliest postoperative study earlier today on ___ following median sternotomy and dual-valve replacements, there has been no change in the essentially normal postoperative cardiomediastinal silhouette. Left lower lobe collapse however has progressed. Small left pleural effusion is presumed. Right pleural effusion is minimal if any and there is no pneumothorax, basal pleural tube in place. ET tube, midline drains are in standard placements. Swan-Ganz catheter ends in the right descending pulmonary artery and should be withdrawn several centimeters to avoid inadvertent cannulation of the middle lobe or superior segmental lower lobe pulmonary arteries. No pneumothorax.","AP chest compared to ___ through ___ at 1:05 p.m. Since the earliest postoperative study earlier today on ___ following median sternotomy and dual-valve replacements, there has been no change in the essentially normal postoperative cardiomediastinal silhouette.",silhouette,cardiomediastinal,Stable,['files/p18/p18224196/s57481340/3627c932-73fba01b-b50c256b-fe25f602-a175bb99.jpg'],['files/p18/p18224196/s56822629/ccd9df65-03a33fd6-372e070c-1b36c943-a18d8378.jpg\n']
s57486536_1,p15393401,s57486536,1,Findings,"Frontal and lateral views of the chest were obtained. Since the prior study, there has been interval increase in perihilar opacities, right greater than left, which may be due to infectious process with possible superimposed edema. The cardiac silhouette remains mildly enlarged with left ventricular configuration. The aortic knob is calcified. No large pleural effusion is seen, although trace effusions are difficult to exclude. No pneumothorax.",The cardiac silhouette remains mildly enlarged with left ventricular configuration.,silhouette,cardiac,Stable,"['files/p15/p15393401/s57486536/1585b079-3c16e696-8466896e-42ade4b7-3bc6686f.jpg', 'files/p15/p15393401/s57486536/804b2558-1b928d2d-a41b4959-275e9da9-5ccdeca5.jpg']",['files/p15/p15393401/s56556003/5cccf2bd-bfd996be-96074827-f468cba2-16a37ebd.jpg\n']
s57486536_1,p15393401,s57486536,1,Impression,"Interval development of right perihilar opacity while could relate to asymmetric edema, infectious process is also in the differential. No large pleural effusion; however, trace bilateral pleural effusions difficult to exclude.","Interval development of right perihilar opacity while could relate to asymmetric edema, infectious process is also in the differential.",opacity,right perihilar,New,"['files/p15/p15393401/s57486536/1585b079-3c16e696-8466896e-42ade4b7-3bc6686f.jpg', 'files/p15/p15393401/s57486536/804b2558-1b928d2d-a41b4959-275e9da9-5ccdeca5.jpg']",['files/p15/p15393401/s56556003/5cccf2bd-bfd996be-96074827-f468cba2-16a37ebd.jpg\n']
s57486536_1,p15393401,s57486536,1,Findings,"Frontal and lateral views of the chest were obtained. Since the prior study, there has been interval increase in perihilar opacities, right greater than left, which may be due to infectious process with possible superimposed edema. The cardiac silhouette remains mildly enlarged with left ventricular configuration. The aortic knob is calcified. No large pleural effusion is seen, although trace effusions are difficult to exclude. No pneumothorax.","Since the prior study, there has been interval increase in perihilar opacities, right greater than left, which may be due to infectious process with possible superimposed edema.",opacities,"perihilar, right greater than left",Worse,"['files/p15/p15393401/s57486536/1585b079-3c16e696-8466896e-42ade4b7-3bc6686f.jpg', 'files/p15/p15393401/s57486536/804b2558-1b928d2d-a41b4959-275e9da9-5ccdeca5.jpg']",['files/p15/p15393401/s56556003/5cccf2bd-bfd996be-96074827-f468cba2-16a37ebd.jpg\n']
s57495351_69,p15131736,s57495351,69,Impression,"In comparison to ___ chest radiograph, pulmonary edema and bibasilar atelectasis have decreased in extent. No other relevant change.","In comparison to ___ chest radiograph, pulmonary edema and bibasilar atelectasis have decreased in extent.",pulmonary edema,,Better,['files/p15/p15131736/s57495351/fabe7221-766cf8c9-b0580fa0-a0df3ab8-2082dc65.jpg'],['files/p15/p15131736/s57458228/344efa4b-02fb5b16-9db4229a-51955f21-7522b595.jpg\n']
s57495351_69,p15131736,s57495351,69,Impression,"In comparison to ___ chest radiograph, pulmonary edema and bibasilar atelectasis have decreased in extent. No other relevant change.","In comparison to ___ chest radiograph, pulmonary edema and bibasilar atelectasis have decreased in extent.",atelectasis,bibasilar,Better,['files/p15/p15131736/s57495351/fabe7221-766cf8c9-b0580fa0-a0df3ab8-2082dc65.jpg'],['files/p15/p15131736/s57458228/344efa4b-02fb5b16-9db4229a-51955f21-7522b595.jpg\n']
s57501180_16,p19720782,s57501180,16,Findings,"Heart size remains mildly enlarged. Aortic knob is densely calcified. The mediastinal contour is unchanged. Right hilar opacity is similar to the previous examinations. Rounded opacity projecting over the right mid lung field likely reflects fluid loculated within the major fissure. A moderate right pleural effusion and trace left pleural effusion are noted, and there is mild pulmonary edema. Patchy opacity in the lung bases may reflect atelectasis but infection or aspiration is not excluded. No pneumothorax is present. Emphysematous changes are again seen in the lungs.",Emphysematous changes are again seen in the lungs,emphysematous changes,,Stable,['files/p19/p19720782/s57501180/6849debe-9dbcc764-0a6286d7-242f3a36-43c4b94c.jpg'],['files/p19/p19720782/s55652987/8f27588d-1bdebd8f-27072fe7-d51a60d5-c6968fcf.jpg\n']
s57501180_16,p19720782,s57501180,16,Findings,"Heart size remains mildly enlarged. Aortic knob is densely calcified. The mediastinal contour is unchanged. Right hilar opacity is similar to the previous examinations. Rounded opacity projecting over the right mid lung field likely reflects fluid loculated within the major fissure. A moderate right pleural effusion and trace left pleural effusion are noted, and there is mild pulmonary edema. Patchy opacity in the lung bases may reflect atelectasis but infection or aspiration is not excluded. No pneumothorax is present. Emphysematous changes are again seen in the lungs.",Right hilar opacity is similar to the previous examinations,hilar opacity,right,Stable,['files/p19/p19720782/s57501180/6849debe-9dbcc764-0a6286d7-242f3a36-43c4b94c.jpg'],['files/p19/p19720782/s55652987/8f27588d-1bdebd8f-27072fe7-d51a60d5-c6968fcf.jpg\n']
s57501180_16,p19720782,s57501180,16,Findings,"Heart size remains mildly enlarged. Aortic knob is densely calcified. The mediastinal contour is unchanged. Right hilar opacity is similar to the previous examinations. Rounded opacity projecting over the right mid lung field likely reflects fluid loculated within the major fissure. A moderate right pleural effusion and trace left pleural effusion are noted, and there is mild pulmonary edema. Patchy opacity in the lung bases may reflect atelectasis but infection or aspiration is not excluded. No pneumothorax is present. Emphysematous changes are again seen in the lungs.",The mediastinal contour is unchanged,mediastinal contour,,Stable,['files/p19/p19720782/s57501180/6849debe-9dbcc764-0a6286d7-242f3a36-43c4b94c.jpg'],['files/p19/p19720782/s55652987/8f27588d-1bdebd8f-27072fe7-d51a60d5-c6968fcf.jpg\n']
s57501180_16,p19720782,s57501180,16,Findings,"Heart size remains mildly enlarged. Aortic knob is densely calcified. The mediastinal contour is unchanged. Right hilar opacity is similar to the previous examinations. Rounded opacity projecting over the right mid lung field likely reflects fluid loculated within the major fissure. A moderate right pleural effusion and trace left pleural effusion are noted, and there is mild pulmonary edema. Patchy opacity in the lung bases may reflect atelectasis but infection or aspiration is not excluded. No pneumothorax is present. Emphysematous changes are again seen in the lungs.",Heart size remains mildly enlarged,heart size,,Stable,['files/p19/p19720782/s57501180/6849debe-9dbcc764-0a6286d7-242f3a36-43c4b94c.jpg'],['files/p19/p19720782/s55652987/8f27588d-1bdebd8f-27072fe7-d51a60d5-c6968fcf.jpg\n']
s57501180_16,p19720782,s57501180,16,Impression,1. Mild pulmonary edema and moderate size right and small left pleural effusions. Small amount of fluid is loculated within the right major fissure. 2. Patchy opacity in the lung bases may reflect atelectasis but infection or aspiration cannot be excluded. 3. Unchanged chronic right hilar opacity.,3. Unchanged chronic right hilar opacity,hilar opacity,right,Stable,['files/p19/p19720782/s57501180/6849debe-9dbcc764-0a6286d7-242f3a36-43c4b94c.jpg'],['files/p19/p19720782/s55652987/8f27588d-1bdebd8f-27072fe7-d51a60d5-c6968fcf.jpg\n']
s57502393_8,p11052935,s57502393,8,Findings,"Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. The lungs are hyperinflated with severe emphysema. Punctate calcified granulomas are seen within the lung bases. Linear opacities in the lung bases likely reflect scarring or subsegmental atelectasis. Residual patchy opacity within the left upper lobe likely reflects scarring, as seen on the prior chest CT. No new consolidation, pleural effusion or pneumothorax is identified. Scarring within the lung apices is again noted. There is diffuse demineralization of the osseous structures.","Residual patchy opacity within the left upper lobe likely reflects scarring, as seen on the prior chest CT.",patchy opacity,left upper lobe,Stable,"['files/p11/p11052935/s57502393/2f142040-3d2b5cf2-a37622c9-4909cb67-92fad10f.jpg', 'files/p11/p11052935/s57502393/cd80755e-af71f75a-2e48e700-630387b9-5c322a17.jpg']",['files/p11/p11052935/s57214202/4859ca51-f9aec9f3-e0959b5c-a6342b33-28811875.jpg\n']
s57502393_8,p11052935,s57502393,8,Findings,"Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. The lungs are hyperinflated with severe emphysema. Punctate calcified granulomas are seen within the lung bases. Linear opacities in the lung bases likely reflect scarring or subsegmental atelectasis. Residual patchy opacity within the left upper lobe likely reflects scarring, as seen on the prior chest CT. No new consolidation, pleural effusion or pneumothorax is identified. Scarring within the lung apices is again noted. There is diffuse demineralization of the osseous structures.",Scarring within the lung apices is again noted.,scarring,lung apices,Stable,"['files/p11/p11052935/s57502393/2f142040-3d2b5cf2-a37622c9-4909cb67-92fad10f.jpg', 'files/p11/p11052935/s57502393/cd80755e-af71f75a-2e48e700-630387b9-5c322a17.jpg']",['files/p11/p11052935/s57214202/4859ca51-f9aec9f3-e0959b5c-a6342b33-28811875.jpg\n']
s57502393_8,p11052935,s57502393,8,Impression,"No acute cardiopulmonary abnormality. Severe emphysema. Residual left upper lobe opacity likely reflects scarring, as seen on the prior chest CT, with bibasilar linear opacities either reflecting subsegmental atelectasis or scarring.","Residual left upper lobe opacity likely reflects scarring, as seen on the prior chest CT, with bibasilar linear opacities either reflecting subsegmental atelectasis or scarring.",opacity,left upper lobe,Stable,"['files/p11/p11052935/s57502393/2f142040-3d2b5cf2-a37622c9-4909cb67-92fad10f.jpg', 'files/p11/p11052935/s57502393/cd80755e-af71f75a-2e48e700-630387b9-5c322a17.jpg']",['files/p11/p11052935/s57214202/4859ca51-f9aec9f3-e0959b5c-a6342b33-28811875.jpg\n']
s57505283_20,p16751749,s57505283,20,Findings,"Tracheostomy tube is in standard position. Left subclavian line ends at the level of the mid SVC. Extensive bilateral subcutaneous emphysema is unchanged. Given the extent of subcutaneous emphysema, presence of small pneumothorax cannot be certainly identified. The patient has known severe pulmonary emphysema, better evaluated on chest CT dated ___. Multifocal Lung opacities are stable. Right mid thoracic chest tube is similar in position. Heart size and Mediastinal contours have similar appearance.",Heart size and Mediastinal contours have similar appearance.,Heart size and Mediastinal contours,,Stable,['files/p16/p16751749/s57505283/4ac477ad-67469958-ec8c37e7-547c1f59-9a0137e7.jpg'],"['files/p16/p16751749/s57387398/93b01f6f-23715cf8-fe2c6d53-5b1e828e-6f6523b1.jpg\n', 'files/p16/p16751749/s57387398/c2e5830a-4b63b683-99043c6b-d9c3e685-cd66aa23.jpg\n']"
s57505283_20,p16751749,s57505283,20,Findings,"Tracheostomy tube is in standard position. Left subclavian line ends at the level of the mid SVC. Extensive bilateral subcutaneous emphysema is unchanged. Given the extent of subcutaneous emphysema, presence of small pneumothorax cannot be certainly identified. The patient has known severe pulmonary emphysema, better evaluated on chest CT dated ___. Multifocal Lung opacities are stable. Right mid thoracic chest tube is similar in position. Heart size and Mediastinal contours have similar appearance.",Right mid thoracic chest tube is similar in position.,chest tube,Right mid thoracic,Stable,['files/p16/p16751749/s57505283/4ac477ad-67469958-ec8c37e7-547c1f59-9a0137e7.jpg'],"['files/p16/p16751749/s57387398/93b01f6f-23715cf8-fe2c6d53-5b1e828e-6f6523b1.jpg\n', 'files/p16/p16751749/s57387398/c2e5830a-4b63b683-99043c6b-d9c3e685-cd66aa23.jpg\n']"
s57505283_20,p16751749,s57505283,20,Findings,"Tracheostomy tube is in standard position. Left subclavian line ends at the level of the mid SVC. Extensive bilateral subcutaneous emphysema is unchanged. Given the extent of subcutaneous emphysema, presence of small pneumothorax cannot be certainly identified. The patient has known severe pulmonary emphysema, better evaluated on chest CT dated ___. Multifocal Lung opacities are stable. Right mid thoracic chest tube is similar in position. Heart size and Mediastinal contours have similar appearance.",Multifocal Lung opacities are stable.,Lung opacities,Multifocal,Stable,['files/p16/p16751749/s57505283/4ac477ad-67469958-ec8c37e7-547c1f59-9a0137e7.jpg'],"['files/p16/p16751749/s57387398/93b01f6f-23715cf8-fe2c6d53-5b1e828e-6f6523b1.jpg\n', 'files/p16/p16751749/s57387398/c2e5830a-4b63b683-99043c6b-d9c3e685-cd66aa23.jpg\n']"
s57505283_20,p16751749,s57505283,20,Findings,"Tracheostomy tube is in standard position. Left subclavian line ends at the level of the mid SVC. Extensive bilateral subcutaneous emphysema is unchanged. Given the extent of subcutaneous emphysema, presence of small pneumothorax cannot be certainly identified. The patient has known severe pulmonary emphysema, better evaluated on chest CT dated ___. Multifocal Lung opacities are stable. Right mid thoracic chest tube is similar in position. Heart size and Mediastinal contours have similar appearance.",Extensive bilateral subcutaneous emphysema is unchanged.,subcutaneous emphysema,bilateral,Stable,['files/p16/p16751749/s57505283/4ac477ad-67469958-ec8c37e7-547c1f59-9a0137e7.jpg'],"['files/p16/p16751749/s57387398/93b01f6f-23715cf8-fe2c6d53-5b1e828e-6f6523b1.jpg\n', 'files/p16/p16751749/s57387398/c2e5830a-4b63b683-99043c6b-d9c3e685-cd66aa23.jpg\n']"
s57513198_9,p10867202,s57513198,9,Impression,"In comparison with the study of ___, there are somewhat better lung volumes. Continued enlargement of the cardiac silhouette with extensive parenchymal opacities bilaterally consistent with known fibrotic lung disease.","In comparison with the study of ___, there are somewhat better lung volumes.",lung volumes,Lungs,Better,['files/p10/p10867202/s57513198/a4d62fc4-613c998d-9a906778-5703a1a3-21507e30.jpg'],"['files/p10/p10867202/s57163975/1231b887-acb0db8e-542e2670-f80f2767-19869a42.jpg\n', 'files/p10/p10867202/s57163975/51ea4142-02884657-6fad2f5e-4b5e3e24-7eda58aa.jpg\n', 'files/p10/p10867202/s57163975/97a5f522-bb4f6eac-5f7d4736-30880e7b-872ea26f.jpg\n']"
s57513742_4,p16055653,s57513742,4,Findings,"As compared to the previous radiograph, the patient has received an endotracheal tube. The tube projects 2.4 cm above the carina. The lung volumes are low. The right internal jugular vein catheter is unchanged. The pre-existing parenchymal opacities at the lung bases are minimally improved. No new opacities. No evidence of complications, notably no pneumothorax.",The right internal jugular vein catheter is unchanged.,catheter,right internal jugular vein,Stable,['files/p16/p16055653/s57513742/636c3d85-735bc7ab-f85f38f5-8b782e04-3f94239f.jpg'],['files/p16/p16055653/s57222195/75a92fd3-de039272-23790693-7ddfce74-cb96a026.jpg\n']
s57513742_4,p16055653,s57513742,4,Findings,"As compared to the previous radiograph, the patient has received an endotracheal tube. The tube projects 2.4 cm above the carina. The lung volumes are low. The right internal jugular vein catheter is unchanged. The pre-existing parenchymal opacities at the lung bases are minimally improved. No new opacities. No evidence of complications, notably no pneumothorax.",The pre-existing parenchymal opacities at the lung bases are minimally improved.,parenchymal opacities,lung bases,Better,['files/p16/p16055653/s57513742/636c3d85-735bc7ab-f85f38f5-8b782e04-3f94239f.jpg'],['files/p16/p16055653/s57222195/75a92fd3-de039272-23790693-7ddfce74-cb96a026.jpg\n']
s57517941_7,p19499595,s57517941,7,Impression,No significant interval change given differences in patient position.,No significant interval change given differences in patient position,patient position,,Stable,['files/p19/p19499595/s57517941/4c9812bf-f392e749-e5a9e763-24de2d49-20271034.jpg'],"['files/p19/p19499595/s57390903/87121059-41c650c2-009d026d-25bb56aa-f6ddee27.jpg\n', 'files/p19/p19499595/s57390903/8f866521-2083f0bb-a12df756-24346ecd-5e484e40.jpg\n']"
s57517941_7,p19499595,s57517941,7,Findings,The patient is rotated slightly to the left. The patient is status post median sternotomy and CABG with several sternotomy wires again seen to be fractured. Cardiac and mediastinal silhouettes are stable. Multiple old anterior lateral left-sided rib deformities are again seen. No focal consolidation. No large pleural effusion. No evidence of pneumothorax.,Cardiac and mediastinal silhouettes are stable,cardiac and mediastinal silhouettes,,Stable,['files/p19/p19499595/s57517941/4c9812bf-f392e749-e5a9e763-24de2d49-20271034.jpg'],"['files/p19/p19499595/s57390903/87121059-41c650c2-009d026d-25bb56aa-f6ddee27.jpg\n', 'files/p19/p19499595/s57390903/8f866521-2083f0bb-a12df756-24346ecd-5e484e40.jpg\n']"
s57517941_7,p19499595,s57517941,7,Findings,The patient is rotated slightly to the left. The patient is status post median sternotomy and CABG with several sternotomy wires again seen to be fractured. Cardiac and mediastinal silhouettes are stable. Multiple old anterior lateral left-sided rib deformities are again seen. No focal consolidation. No large pleural effusion. No evidence of pneumothorax.,Multiple old anterior lateral left-sided rib deformities are again seen,rib deformities,anterior lateral left-sided,Worse,['files/p19/p19499595/s57517941/4c9812bf-f392e749-e5a9e763-24de2d49-20271034.jpg'],"['files/p19/p19499595/s57390903/87121059-41c650c2-009d026d-25bb56aa-f6ddee27.jpg\n', 'files/p19/p19499595/s57390903/8f866521-2083f0bb-a12df756-24346ecd-5e484e40.jpg\n']"
s57517941_7,p19499595,s57517941,7,Findings,The patient is rotated slightly to the left. The patient is status post median sternotomy and CABG with several sternotomy wires again seen to be fractured. Cardiac and mediastinal silhouettes are stable. Multiple old anterior lateral left-sided rib deformities are again seen. No focal consolidation. No large pleural effusion. No evidence of pneumothorax.,The patient is status post median sternotomy and CABG with several sternotomy wires again seen to be fractured,fractured wires,sternotomy,Worse,['files/p19/p19499595/s57517941/4c9812bf-f392e749-e5a9e763-24de2d49-20271034.jpg'],"['files/p19/p19499595/s57390903/87121059-41c650c2-009d026d-25bb56aa-f6ddee27.jpg\n', 'files/p19/p19499595/s57390903/8f866521-2083f0bb-a12df756-24346ecd-5e484e40.jpg\n']"
s57520087_7,p19844485,s57520087,7,Findings,"As compared to the previous radiograph, patient has received a right pigtail catheter in the pleural space. There is no pneumothorax. Pre-existing effusion on the right has mildly decreased. Signs of mild pulmonary edema persist. Mild cardiomegaly.","As compared to the previous radiograph, patient has received a right pigtail catheter in the pleural space. There is no pneumothorax. Pre-existing effusion on the right has mildly decreased. Signs of mild pulmonary edema persist. Mild cardiomegaly.",pigtail catheter,right,New,['files/p19/p19844485/s57520087/837b8688-35f0aa92-3dcaf15e-3d2d5607-080f27b2.jpg'],['files/p19/p19844485/s54532060/ac0f76b9-e3215599-284b52b4-c3ae75a0-7c841c4c.jpg\n']
s57520087_7,p19844485,s57520087,7,Findings,"As compared to the previous radiograph, patient has received a right pigtail catheter in the pleural space. There is no pneumothorax. Pre-existing effusion on the right has mildly decreased. Signs of mild pulmonary edema persist. Mild cardiomegaly.","As compared to the previous radiograph, patient has received a right pigtail catheter in the pleural space. There is no pneumothorax. Pre-existing effusion on the right has mildly decreased. Signs of mild pulmonary edema persist. Mild cardiomegaly.",pneumothorax,,Resolve,['files/p19/p19844485/s57520087/837b8688-35f0aa92-3dcaf15e-3d2d5607-080f27b2.jpg'],['files/p19/p19844485/s54532060/ac0f76b9-e3215599-284b52b4-c3ae75a0-7c841c4c.jpg\n']
s57520087_7,p19844485,s57520087,7,Findings,"As compared to the previous radiograph, patient has received a right pigtail catheter in the pleural space. There is no pneumothorax. Pre-existing effusion on the right has mildly decreased. Signs of mild pulmonary edema persist. Mild cardiomegaly.","As compared to the previous radiograph, patient has received a right pigtail catheter in the pleural space. There is no pneumothorax. Pre-existing effusion on the right has mildly decreased. Signs of mild pulmonary edema persist. Mild cardiomegaly.",cardiomegaly,,Stable,['files/p19/p19844485/s57520087/837b8688-35f0aa92-3dcaf15e-3d2d5607-080f27b2.jpg'],['files/p19/p19844485/s54532060/ac0f76b9-e3215599-284b52b4-c3ae75a0-7c841c4c.jpg\n']
s57520087_7,p19844485,s57520087,7,Findings,"As compared to the previous radiograph, patient has received a right pigtail catheter in the pleural space. There is no pneumothorax. Pre-existing effusion on the right has mildly decreased. Signs of mild pulmonary edema persist. Mild cardiomegaly.","As compared to the previous radiograph, patient has received a right pigtail catheter in the pleural space. There is no pneumothorax. Pre-existing effusion on the right has mildly decreased. Signs of mild pulmonary edema persist. Mild cardiomegaly.",effusion,right,Better,['files/p19/p19844485/s57520087/837b8688-35f0aa92-3dcaf15e-3d2d5607-080f27b2.jpg'],['files/p19/p19844485/s54532060/ac0f76b9-e3215599-284b52b4-c3ae75a0-7c841c4c.jpg\n']
s57520087_7,p19844485,s57520087,7,Findings,"As compared to the previous radiograph, patient has received a right pigtail catheter in the pleural space. There is no pneumothorax. Pre-existing effusion on the right has mildly decreased. Signs of mild pulmonary edema persist. Mild cardiomegaly.","As compared to the previous radiograph, patient has received a right pigtail catheter in the pleural space. There is no pneumothorax. Pre-existing effusion on the right has mildly decreased. Signs of mild pulmonary edema persist. Mild cardiomegaly.",pulmonary edema,,Stable,['files/p19/p19844485/s57520087/837b8688-35f0aa92-3dcaf15e-3d2d5607-080f27b2.jpg'],['files/p19/p19844485/s54532060/ac0f76b9-e3215599-284b52b4-c3ae75a0-7c841c4c.jpg\n']
s57537037_1,p19016834,s57537037,1,Findings,"PA and lateral chest views were obtained with the patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Previously described right subclavian approach Port-A-Cath system remains in unchanged position. The heart size and mediastinal structures are also unaltered and grossly within normal limits. The pulmonary vasculature is not congested. The previously described local pleural densities have further regressed, in particular a rather bulging prominence and thickening of the pleural space in the mid portion of the right lateral chest wall has regressed. Basal right-sided pleural effusion blunting the lateral pleural sinus and extending into the posterior pleural sinus and corresponding posterior pleural space remain unchanged. No new abnormalities are identified. As before, general impression of COPD persists.",Previously described right subclavian approach Port-A-Cath system remains in unchanged position.,Port-A-Cath system,right subclavian,Stable,"['files/p19/p19016834/s57537037/676f6524-0bac20b4-e0e1569b-3ac3e8ee-92877aa0.jpg', 'files/p19/p19016834/s57537037/ea1b22a8-7ee63c4a-1ad1ae64-defd894b-1a52dcac.jpg']",['files/p19/p19016834/s57441180/aab91d0b-db2c766c-d2a2b41b-1fed8561-7e2d060c.jpg\n']
s57537037_1,p19016834,s57537037,1,Findings,"PA and lateral chest views were obtained with the patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Previously described right subclavian approach Port-A-Cath system remains in unchanged position. The heart size and mediastinal structures are also unaltered and grossly within normal limits. The pulmonary vasculature is not congested. The previously described local pleural densities have further regressed, in particular a rather bulging prominence and thickening of the pleural space in the mid portion of the right lateral chest wall has regressed. Basal right-sided pleural effusion blunting the lateral pleural sinus and extending into the posterior pleural sinus and corresponding posterior pleural space remain unchanged. No new abnormalities are identified. As before, general impression of COPD persists.",The heart size and mediastinal structures are also unaltered and grossly within normal limits.,heart size,,Stable,"['files/p19/p19016834/s57537037/676f6524-0bac20b4-e0e1569b-3ac3e8ee-92877aa0.jpg', 'files/p19/p19016834/s57537037/ea1b22a8-7ee63c4a-1ad1ae64-defd894b-1a52dcac.jpg']",['files/p19/p19016834/s57441180/aab91d0b-db2c766c-d2a2b41b-1fed8561-7e2d060c.jpg\n']
s57537037_1,p19016834,s57537037,1,Findings,"PA and lateral chest views were obtained with the patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Previously described right subclavian approach Port-A-Cath system remains in unchanged position. The heart size and mediastinal structures are also unaltered and grossly within normal limits. The pulmonary vasculature is not congested. The previously described local pleural densities have further regressed, in particular a rather bulging prominence and thickening of the pleural space in the mid portion of the right lateral chest wall has regressed. Basal right-sided pleural effusion blunting the lateral pleural sinus and extending into the posterior pleural sinus and corresponding posterior pleural space remain unchanged. No new abnormalities are identified. As before, general impression of COPD persists.","The previously described local pleural densities have further regressed, in particular a rather bulging prominence and thickening of the pleural space in the mid portion of the right lateral chest wall has regressed.",pleural densities,mid portion of the right lateral chest wall,Better,"['files/p19/p19016834/s57537037/676f6524-0bac20b4-e0e1569b-3ac3e8ee-92877aa0.jpg', 'files/p19/p19016834/s57537037/ea1b22a8-7ee63c4a-1ad1ae64-defd894b-1a52dcac.jpg']",['files/p19/p19016834/s57441180/aab91d0b-db2c766c-d2a2b41b-1fed8561-7e2d060c.jpg\n']
s57537037_1,p19016834,s57537037,1,Findings,"PA and lateral chest views were obtained with the patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Previously described right subclavian approach Port-A-Cath system remains in unchanged position. The heart size and mediastinal structures are also unaltered and grossly within normal limits. The pulmonary vasculature is not congested. The previously described local pleural densities have further regressed, in particular a rather bulging prominence and thickening of the pleural space in the mid portion of the right lateral chest wall has regressed. Basal right-sided pleural effusion blunting the lateral pleural sinus and extending into the posterior pleural sinus and corresponding posterior pleural space remain unchanged. No new abnormalities are identified. As before, general impression of COPD persists.",Basal right-sided pleural effusion blunting the lateral pleural sinus and extending into the posterior pleural sinus and corresponding posterior pleural space remain unchanged.,pleural effusion,basal right-sided,Stable,"['files/p19/p19016834/s57537037/676f6524-0bac20b4-e0e1569b-3ac3e8ee-92877aa0.jpg', 'files/p19/p19016834/s57537037/ea1b22a8-7ee63c4a-1ad1ae64-defd894b-1a52dcac.jpg']",['files/p19/p19016834/s57441180/aab91d0b-db2c766c-d2a2b41b-1fed8561-7e2d060c.jpg\n']
s57537037_1,p19016834,s57537037,1,Findings,"PA and lateral chest views were obtained with the patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Previously described right subclavian approach Port-A-Cath system remains in unchanged position. The heart size and mediastinal structures are also unaltered and grossly within normal limits. The pulmonary vasculature is not congested. The previously described local pleural densities have further regressed, in particular a rather bulging prominence and thickening of the pleural space in the mid portion of the right lateral chest wall has regressed. Basal right-sided pleural effusion blunting the lateral pleural sinus and extending into the posterior pleural sinus and corresponding posterior pleural space remain unchanged. No new abnormalities are identified. As before, general impression of COPD persists.","As before, general impression of COPD persists.",COPD,,Stable,"['files/p19/p19016834/s57537037/676f6524-0bac20b4-e0e1569b-3ac3e8ee-92877aa0.jpg', 'files/p19/p19016834/s57537037/ea1b22a8-7ee63c4a-1ad1ae64-defd894b-1a52dcac.jpg']",['files/p19/p19016834/s57441180/aab91d0b-db2c766c-d2a2b41b-1fed8561-7e2d060c.jpg\n']
s57537037_1,p19016834,s57537037,1,Findings,"PA and lateral chest views were obtained with the patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Previously described right subclavian approach Port-A-Cath system remains in unchanged position. The heart size and mediastinal structures are also unaltered and grossly within normal limits. The pulmonary vasculature is not congested. The previously described local pleural densities have further regressed, in particular a rather bulging prominence and thickening of the pleural space in the mid portion of the right lateral chest wall has regressed. Basal right-sided pleural effusion blunting the lateral pleural sinus and extending into the posterior pleural sinus and corresponding posterior pleural space remain unchanged. No new abnormalities are identified. As before, general impression of COPD persists.",The heart size and mediastinal structures are also unaltered and grossly within normal limits.,mediastinal structures,,Stable,"['files/p19/p19016834/s57537037/676f6524-0bac20b4-e0e1569b-3ac3e8ee-92877aa0.jpg', 'files/p19/p19016834/s57537037/ea1b22a8-7ee63c4a-1ad1ae64-defd894b-1a52dcac.jpg']",['files/p19/p19016834/s57441180/aab91d0b-db2c766c-d2a2b41b-1fed8561-7e2d060c.jpg\n']
s57537037_1,p19016834,s57537037,1,Impression,Mild regression of previously identified mostly loculated pleural effusions. No new pulmonary or cardiovascular abnormalities.,Mild regression of previously identified mostly loculated pleural effusions.,loculated pleural effusions,,Better,"['files/p19/p19016834/s57537037/676f6524-0bac20b4-e0e1569b-3ac3e8ee-92877aa0.jpg', 'files/p19/p19016834/s57537037/ea1b22a8-7ee63c4a-1ad1ae64-defd894b-1a52dcac.jpg']",['files/p19/p19016834/s57441180/aab91d0b-db2c766c-d2a2b41b-1fed8561-7e2d060c.jpg\n']
s57540712_2,p13353878,s57540712,2,Findings,"Frontal and lateral views of the chest were obtained. Previously seen left perihilar consolidation has resolved in the interval. The bilateral pleural effusions have also resolved. Paratracheal opacity in the upper thorax, likely secondary to goiter seen on chest CT from ___, in conjunction with mediastinal nodes also seen on that study. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal to mildly enlarged, with left ventricular configuration. Mediastinal contours are stable. There is an old rib deformity/fracture of the posterior lateral left seventh rib, also seen on the prior chest CT.",The bilateral pleural effusions have also resolved.,pleural effusions,bilateral,Resolve,"['files/p13/p13353878/s57540712/8d70fba4-2de961f9-f5a521bd-99e41c4c-65e750ba.jpg', 'files/p13/p13353878/s57540712/e90de45f-b12a6a45-721981dc-7df46eae-aa3318e1.jpg']","['files/p13/p13353878/s56538372/38fd10a6-9bc66421-6001dcd9-d1906370-18d01e97.jpg\n', 'files/p13/p13353878/s56538372/fd7bea13-e6c0a9a2-06f163ea-d66e7a42-60a4dacb.jpg\n']"
s57540712_2,p13353878,s57540712,2,Findings,"Frontal and lateral views of the chest were obtained. Previously seen left perihilar consolidation has resolved in the interval. The bilateral pleural effusions have also resolved. Paratracheal opacity in the upper thorax, likely secondary to goiter seen on chest CT from ___, in conjunction with mediastinal nodes also seen on that study. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal to mildly enlarged, with left ventricular configuration. Mediastinal contours are stable. There is an old rib deformity/fracture of the posterior lateral left seventh rib, also seen on the prior chest CT.",Previously seen left perihilar consolidation has resolved in the interval.,consolidation,left perihilar,Resolve,"['files/p13/p13353878/s57540712/8d70fba4-2de961f9-f5a521bd-99e41c4c-65e750ba.jpg', 'files/p13/p13353878/s57540712/e90de45f-b12a6a45-721981dc-7df46eae-aa3318e1.jpg']","['files/p13/p13353878/s56538372/38fd10a6-9bc66421-6001dcd9-d1906370-18d01e97.jpg\n', 'files/p13/p13353878/s56538372/fd7bea13-e6c0a9a2-06f163ea-d66e7a42-60a4dacb.jpg\n']"
s57540712_2,p13353878,s57540712,2,Findings,"Frontal and lateral views of the chest were obtained. Previously seen left perihilar consolidation has resolved in the interval. The bilateral pleural effusions have also resolved. Paratracheal opacity in the upper thorax, likely secondary to goiter seen on chest CT from ___, in conjunction with mediastinal nodes also seen on that study. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal to mildly enlarged, with left ventricular configuration. Mediastinal contours are stable. There is an old rib deformity/fracture of the posterior lateral left seventh rib, also seen on the prior chest CT.",Mediastinal contours are stable.,contours,Mediastinal,Stable,"['files/p13/p13353878/s57540712/8d70fba4-2de961f9-f5a521bd-99e41c4c-65e750ba.jpg', 'files/p13/p13353878/s57540712/e90de45f-b12a6a45-721981dc-7df46eae-aa3318e1.jpg']","['files/p13/p13353878/s56538372/38fd10a6-9bc66421-6001dcd9-d1906370-18d01e97.jpg\n', 'files/p13/p13353878/s56538372/fd7bea13-e6c0a9a2-06f163ea-d66e7a42-60a4dacb.jpg\n']"
s57544155_6,p19075045,s57544155,6,Findings,The left-sided chest tube has been removed. No pneumothorax is visualized. Lung volumes are low and there is continued/increased infiltrate in the left upper lung. There continues to be retrocardiac opacity and a layering left effusion. Vascular plethora and patchy areas of alveolar edema are also seen on the right. The ET tube is 4.3 cm above the carina. The NG tube is in the stomach.,The left-sided chest tube has been removed.,chest tube,left-sided,Resolve,['files/p19/p19075045/s57544155/b6243df3-d51d165a-8d436de1-245fac16-bbd54062.jpg'],['files/p19/p19075045/s56483572/c148002c-a0674884-d784b291-762232a4-a10fa5aa.jpg\n']
s57544155_6,p19075045,s57544155,6,Findings,The left-sided chest tube has been removed. No pneumothorax is visualized. Lung volumes are low and there is continued/increased infiltrate in the left upper lung. There continues to be retrocardiac opacity and a layering left effusion. Vascular plethora and patchy areas of alveolar edema are also seen on the right. The ET tube is 4.3 cm above the carina. The NG tube is in the stomach.,Lung volumes are low and there is continued/increased infiltrate in the left upper lung.,infiltrate,left upper lung,Worse,['files/p19/p19075045/s57544155/b6243df3-d51d165a-8d436de1-245fac16-bbd54062.jpg'],['files/p19/p19075045/s56483572/c148002c-a0674884-d784b291-762232a4-a10fa5aa.jpg\n']
s57544155_6,p19075045,s57544155,6,Impression,Markedly worsened appearance of the left upper lung.,Markedly worsened appearance of the left upper lung.,appearance,left upper lung,Worse,['files/p19/p19075045/s57544155/b6243df3-d51d165a-8d436de1-245fac16-bbd54062.jpg'],['files/p19/p19075045/s56483572/c148002c-a0674884-d784b291-762232a4-a10fa5aa.jpg\n']
s57554056_28,p15114531,s57554056,28,Findings,"Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Cervical spine fusion hardware and clips in the left upper abdomen are similar to prior.",Cervical spine fusion hardware and clips in the left upper abdomen are similar to prior.,fusion hardware,Cervical spine,Stable,"['files/p15/p15114531/s57554056/b4ea00dd-29a8687d-10b1e7eb-d6d1cd5b-ebd65d6c.jpg', 'files/p15/p15114531/s57554056/e4e80f9c-ef266d33-c4aa87bf-f8071057-a744c102.jpg']","['files/p15/p15114531/s57377735/9b7221b8-2d0ff716-48b063be-059cbf7f-d53d72e1.jpg\n', 'files/p15/p15114531/s57377735/eaf779dc-f580b7b8-168b1b3c-53ee66c1-21268250.jpg\n']"
s57554056_28,p15114531,s57554056,28,Findings,"Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Cervical spine fusion hardware and clips in the left upper abdomen are similar to prior.",Cervical spine fusion hardware and clips in the left upper abdomen are similar to prior.,clips,left upper abdomen,Stable,"['files/p15/p15114531/s57554056/b4ea00dd-29a8687d-10b1e7eb-d6d1cd5b-ebd65d6c.jpg', 'files/p15/p15114531/s57554056/e4e80f9c-ef266d33-c4aa87bf-f8071057-a744c102.jpg']","['files/p15/p15114531/s57377735/9b7221b8-2d0ff716-48b063be-059cbf7f-d53d72e1.jpg\n', 'files/p15/p15114531/s57377735/eaf779dc-f580b7b8-168b1b3c-53ee66c1-21268250.jpg\n']"
s57554917_7,p18110020,s57554917,7,Impression,"AP chest compared to ___: As far as I can tell, given the severe anatomic distortion of the chest cage and its contents, lungs were clear on ___. Small region of opacification may have been developing lateral to the left hilus on ___, and today there is a suggestion of some new opacification at the base of the lung, but these observations are far from certain. I am not even confident that conventional radiographs, should the patient be able to cooperate for them, would clarify the issue. CT scanning, if feasible, would certainly confirm if the lungs are clear, but in the absence of a baseline study it might be difficult to distinguish atelectasis from pneumonia. Pleural effusion is minimal if any. Heart is probably not enlarged. Nasogastric tube is looped in the stomach. Right PIC line ends in the mid SVC. No pneumothorax.","Small region of opacification may have been developing lateral to the left hilus on ___, and today there is a suggestion of some new opacification at the base of the lung, but these observations are far from certain.",opacification,base of the lung,New,['files/p18/p18110020/s57554917/6235b1fc-c21d03f8-be2bbeff-8fe43d75-2e28779b.jpg'],['files/p18/p18110020/s56470564/8ec25d32-d8679702-2fb2e638-24c54c84-34d1ee79.jpg\n']
s57560204_2,p19907884,s57560204,2,Impression,"AP chest compared to ___ and ___: As before lung volumes are low and the heart is mildly enlarged. There is no pneumothorax, pleural effusion or consolidation.",AP chest compared to ___ and ___: As before lung volumes are low and the heart is mildly enlarged.,lung volumes,,Stable,['files/p19/p19907884/s57560204/29d26885-efc84164-2901f05a-89f605c8-9d4338ff.jpg'],"['files/p19/p19907884/s57427881/495990a5-0e6c123d-d8810c65-d78d662c-7435a7d4.jpg\n', 'files/p19/p19907884/s57427881/92134f99-0e73faba-1280ad81-218c68ba-933a85c5.jpg\n']"
s57560204_2,p19907884,s57560204,2,Impression,"AP chest compared to ___ and ___: As before lung volumes are low and the heart is mildly enlarged. There is no pneumothorax, pleural effusion or consolidation.",AP chest compared to ___ and ___: As before lung volumes are low and the heart is mildly enlarged.,mildly enlarged heart,,Stable,['files/p19/p19907884/s57560204/29d26885-efc84164-2901f05a-89f605c8-9d4338ff.jpg'],"['files/p19/p19907884/s57427881/495990a5-0e6c123d-d8810c65-d78d662c-7435a7d4.jpg\n', 'files/p19/p19907884/s57427881/92134f99-0e73faba-1280ad81-218c68ba-933a85c5.jpg\n']"
s57561035_2,p18338007,s57561035,2,Findings,"The cardiomediastinal contours show a mildly engorged azygous vein, but there is no pulmonary edema. There continues to be severely low lung volumes with chronic diaphragmatic elevation, more prominent on the left than the right, which obscures assessment of the heart and most of the lungs. The upper portions of the lungs are clear of consolidation. There is no pneumothorax. An anchor is noted in the right humeral head and a fracture through the proximal humeral neck is seen, similar in appearance to prior shoulder radiograph dated ___. The right AC joint continues to be widened.","An anchor is noted in the right humeral head and a fracture through the proximal humeral neck is seen, similar in appearance to prior shoulder radiograph dated ___.",anchor,right humeral head,Stable,['files/p18/p18338007/s57561035/0c0c6328-356ed105-d08d85dc-d48519a5-37ce609c.jpg'],"['files/p18/p18338007/s57273388/38c65a6d-f4aef98f-d9b4f8fc-37878bd1-8cf123a6.jpg\n', 'files/p18/p18338007/s57273388/880f55b2-21e9c680-823ecd8e-9ac3a7b2-836baabb.jpg\n']"
s57561035_2,p18338007,s57561035,2,Findings,"The cardiomediastinal contours show a mildly engorged azygous vein, but there is no pulmonary edema. There continues to be severely low lung volumes with chronic diaphragmatic elevation, more prominent on the left than the right, which obscures assessment of the heart and most of the lungs. The upper portions of the lungs are clear of consolidation. There is no pneumothorax. An anchor is noted in the right humeral head and a fracture through the proximal humeral neck is seen, similar in appearance to prior shoulder radiograph dated ___. The right AC joint continues to be widened.",The right AC joint continues to be widened.,widened,right AC joint,Stable,['files/p18/p18338007/s57561035/0c0c6328-356ed105-d08d85dc-d48519a5-37ce609c.jpg'],"['files/p18/p18338007/s57273388/38c65a6d-f4aef98f-d9b4f8fc-37878bd1-8cf123a6.jpg\n', 'files/p18/p18338007/s57273388/880f55b2-21e9c680-823ecd8e-9ac3a7b2-836baabb.jpg\n']"
s57561035_2,p18338007,s57561035,2,Findings,"The cardiomediastinal contours show a mildly engorged azygous vein, but there is no pulmonary edema. There continues to be severely low lung volumes with chronic diaphragmatic elevation, more prominent on the left than the right, which obscures assessment of the heart and most of the lungs. The upper portions of the lungs are clear of consolidation. There is no pneumothorax. An anchor is noted in the right humeral head and a fracture through the proximal humeral neck is seen, similar in appearance to prior shoulder radiograph dated ___. The right AC joint continues to be widened.","There continues to be severely low lung volumes with chronic diaphragmatic elevation, more prominent on the left than the right, which obscures assessment of the heart and most of the lungs.",low lung volumes,bilateral,Stable,['files/p18/p18338007/s57561035/0c0c6328-356ed105-d08d85dc-d48519a5-37ce609c.jpg'],"['files/p18/p18338007/s57273388/38c65a6d-f4aef98f-d9b4f8fc-37878bd1-8cf123a6.jpg\n', 'files/p18/p18338007/s57273388/880f55b2-21e9c680-823ecd8e-9ac3a7b2-836baabb.jpg\n']"
s57570449_5,p16313531,s57570449,5,Impression,Endotracheal tube has been removed. Small bilateral pleural effusion left greater than right not appreciably changed. There is new atelectasis at the base of the right lung. Left lower lobe has been consistently consolidated and obliteration of the bronchial lumen has been attributed to either aspirate or mucoid impaction. Right PIC line ends in the mid to low SVC. No pneumothorax.,Endotracheal tube has been removed.,Endotracheal tube,,Resolve,['files/p16/p16313531/s57570449/56a7703d-e485b8f2-cedb0b12-8138943c-86df9465.jpg'],['files/p16/p16313531/s57149976/9899772e-b051b74d-f68faa87-f45ebf9b-3fcd4d7b.jpg\n']
s57570449_5,p16313531,s57570449,5,Impression,Endotracheal tube has been removed. Small bilateral pleural effusion left greater than right not appreciably changed. There is new atelectasis at the base of the right lung. Left lower lobe has been consistently consolidated and obliteration of the bronchial lumen has been attributed to either aspirate or mucoid impaction. Right PIC line ends in the mid to low SVC. No pneumothorax.,Small bilateral pleural effusion left greater than right not appreciably changed.,pleural effusion,bilateral,Stable,['files/p16/p16313531/s57570449/56a7703d-e485b8f2-cedb0b12-8138943c-86df9465.jpg'],['files/p16/p16313531/s57149976/9899772e-b051b74d-f68faa87-f45ebf9b-3fcd4d7b.jpg\n']
s57570449_5,p16313531,s57570449,5,Impression,Endotracheal tube has been removed. Small bilateral pleural effusion left greater than right not appreciably changed. There is new atelectasis at the base of the right lung. Left lower lobe has been consistently consolidated and obliteration of the bronchial lumen has been attributed to either aspirate or mucoid impaction. Right PIC line ends in the mid to low SVC. No pneumothorax.,There is new atelectasis at the base of the right lung.,atelectasis,base of the right lung,New,['files/p16/p16313531/s57570449/56a7703d-e485b8f2-cedb0b12-8138943c-86df9465.jpg'],['files/p16/p16313531/s57149976/9899772e-b051b74d-f68faa87-f45ebf9b-3fcd4d7b.jpg\n']
s57571408_2,p17206933,s57571408,2,Findings,"Since ___, there has been continued progressive consolidation involving the left lung with asymmetric opacification distributed throughout the right hemithorax most compatible with multifocal pneumonia. There are superimposed areas of bibasilar atelectasis. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are stable, with the heart borderline enlarged. There is tortuosity and atherosclerotic calcification within the thoracic aorta.","Since ___, there has been continued progressive consolidation involving the left lung with asymmetric opacification distributed throughout the right hemithorax most compatible with multifocal pneumonia","consolidation, asymmetric opacification","left lung, right hemithorax",Worse,['files/p17/p17206933/s57571408/42ca3426-3c2dc573-7e2d42fe-aa2b9627-d888b47b.jpg'],"['files/p17/p17206933/s57141526/09c510a6-55f47c1d-504f429b-f333cf7f-7ccf6ac6.jpg\n', 'files/p17/p17206933/s57141526/ec72dd86-36c802f0-20a909ca-8cbcc950-58733cd5.jpg\n']"
s57571408_2,p17206933,s57571408,2,Impression,Increased asymmetric opacification involving the left lung compatible with worsening multifocal pneumonia.,Increased asymmetric opacification involving the left lung compatible with worsening multifocal pneumonia,asymmetric opacification,left lung,Worse,['files/p17/p17206933/s57571408/42ca3426-3c2dc573-7e2d42fe-aa2b9627-d888b47b.jpg'],"['files/p17/p17206933/s57141526/09c510a6-55f47c1d-504f429b-f333cf7f-7ccf6ac6.jpg\n', 'files/p17/p17206933/s57141526/ec72dd86-36c802f0-20a909ca-8cbcc950-58733cd5.jpg\n']"
s57571408_2,p17206933,s57571408,2,Findings,"Since ___, there has been continued progressive consolidation involving the left lung with asymmetric opacification distributed throughout the right hemithorax most compatible with multifocal pneumonia. There are superimposed areas of bibasilar atelectasis. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are stable, with the heart borderline enlarged. There is tortuosity and atherosclerotic calcification within the thoracic aorta.","The cardiomediastinal and hilar contours are stable, with the heart borderline enlarged",borderline enlarged heart,,Stable,['files/p17/p17206933/s57571408/42ca3426-3c2dc573-7e2d42fe-aa2b9627-d888b47b.jpg'],"['files/p17/p17206933/s57141526/09c510a6-55f47c1d-504f429b-f333cf7f-7ccf6ac6.jpg\n', 'files/p17/p17206933/s57141526/ec72dd86-36c802f0-20a909ca-8cbcc950-58733cd5.jpg\n']"
s57571408_2,p17206933,s57571408,2,Findings,"Since ___, there has been continued progressive consolidation involving the left lung with asymmetric opacification distributed throughout the right hemithorax most compatible with multifocal pneumonia. There are superimposed areas of bibasilar atelectasis. There are no pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are stable, with the heart borderline enlarged. There is tortuosity and atherosclerotic calcification within the thoracic aorta.","The cardiomediastinal and hilar contours are stable, with the heart borderline enlarged",cardiomediastinal and hilar contours,,Stable,['files/p17/p17206933/s57571408/42ca3426-3c2dc573-7e2d42fe-aa2b9627-d888b47b.jpg'],"['files/p17/p17206933/s57141526/09c510a6-55f47c1d-504f429b-f333cf7f-7ccf6ac6.jpg\n', 'files/p17/p17206933/s57141526/ec72dd86-36c802f0-20a909ca-8cbcc950-58733cd5.jpg\n']"
s57576479_3,p18570152,s57576479,3,Findings,"Compared with the radiograph of ___, the lungs are more clear, without focal consolidation, effusion, or pneumothorax. Lungs are slightly hyperexpanded. Left-sided pacemaker with lead projecting of the right ventricle is unchanged in position. Cardiomediastinal silhouette is normal.",Left-sided pacemaker with lead projecting of the right ventricle is unchanged in position.,Pacemaker position,Left-sided,Stable,"['files/p18/p18570152/s57576479/3aaa5c44-b88aa530-0f177d6e-7feff2d9-7d4890e2.jpg', 'files/p18/p18570152/s57576479/bdc767d8-f9566903-2dda971f-c7110e57-164c5277.jpg']","['files/p18/p18570152/s56605732/39513708-faae323a-d74bc04a-b49a24ec-fbe051f6.jpg\n', 'files/p18/p18570152/s56605732/62e28fc5-93fe9a0b-36f25627-e72bcdc7-fddf5f6e.jpg\n', 'files/p18/p18570152/s56605732/a445c04c-f8447b3a-f83c989c-97f7024d-ba4c2370.jpg\n']"
s57576479_3,p18570152,s57576479,3,Findings,"Compared with the radiograph of ___, the lungs are more clear, without focal consolidation, effusion, or pneumothorax. Lungs are slightly hyperexpanded. Left-sided pacemaker with lead projecting of the right ventricle is unchanged in position. Cardiomediastinal silhouette is normal.","Compared with the radiograph of ___, the lungs are more clear, without focal consolidation, effusion, or pneumothorax.",Lungs,,Better,"['files/p18/p18570152/s57576479/3aaa5c44-b88aa530-0f177d6e-7feff2d9-7d4890e2.jpg', 'files/p18/p18570152/s57576479/bdc767d8-f9566903-2dda971f-c7110e57-164c5277.jpg']","['files/p18/p18570152/s56605732/39513708-faae323a-d74bc04a-b49a24ec-fbe051f6.jpg\n', 'files/p18/p18570152/s56605732/62e28fc5-93fe9a0b-36f25627-e72bcdc7-fddf5f6e.jpg\n', 'files/p18/p18570152/s56605732/a445c04c-f8447b3a-f83c989c-97f7024d-ba4c2370.jpg\n']"
s57578542_3,p16360107,s57578542,3,Impression,"1. No acute cardiopulmonary abnormality. 2. Chronic loculated pleural effusions and right basilar atelectasis, unchanged.","2. Chronic loculated pleural effusions and right basilar atelectasis, unchanged.",atelectasis,right basilar,Stable,"['files/p16/p16360107/s57578542/0faaaa23-459dfd75-f9dfe24a-17af121d-d1d5b9e4.jpg', 'files/p16/p16360107/s57578542/124f973d-d060d2cb-f7f48073-f3b3298e-8e8bcfac.jpg']","['files/p16/p16360107/s57166957/288ed076-f6b4189f-b7e6e717-ff31b7e7-f5d1fa0c.jpg\n', 'files/p16/p16360107/s57166957/9e0b006b-70cbcb07-0aaf5bd7-5faf6256-c93f4008.jpg\n']"
s57578542_3,p16360107,s57578542,3,Findings,"Again seen are bilateral loculated pleural effusions, consistent with prior CT in ___. Median sternotomy wires and surgical clips are noted. Ill-defined opacities at the right base are unchanged from multiple priors and most likely represent atelectasis. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits.",Ill-defined opacities at the right base are unchanged from multiple priors and most likely represent atelectasis.,opacities,right base,Stable,"['files/p16/p16360107/s57578542/0faaaa23-459dfd75-f9dfe24a-17af121d-d1d5b9e4.jpg', 'files/p16/p16360107/s57578542/124f973d-d060d2cb-f7f48073-f3b3298e-8e8bcfac.jpg']","['files/p16/p16360107/s57166957/288ed076-f6b4189f-b7e6e717-ff31b7e7-f5d1fa0c.jpg\n', 'files/p16/p16360107/s57166957/9e0b006b-70cbcb07-0aaf5bd7-5faf6256-c93f4008.jpg\n']"
s57578542_3,p16360107,s57578542,3,Findings,"Again seen are bilateral loculated pleural effusions, consistent with prior CT in ___. Median sternotomy wires and surgical clips are noted. Ill-defined opacities at the right base are unchanged from multiple priors and most likely represent atelectasis. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits.","Again seen are bilateral loculated pleural effusions, consistent with prior CT in ___.",pleural effusions,bilateral,Stable,"['files/p16/p16360107/s57578542/0faaaa23-459dfd75-f9dfe24a-17af121d-d1d5b9e4.jpg', 'files/p16/p16360107/s57578542/124f973d-d060d2cb-f7f48073-f3b3298e-8e8bcfac.jpg']","['files/p16/p16360107/s57166957/288ed076-f6b4189f-b7e6e717-ff31b7e7-f5d1fa0c.jpg\n', 'files/p16/p16360107/s57166957/9e0b006b-70cbcb07-0aaf5bd7-5faf6256-c93f4008.jpg\n']"
s57580196_16,p13896515,s57580196,16,Impression,"As compared to the previous radiograph, there is slightly improved visualization of the leads. 2 leads project over the right ventricle, 1 lead projects over the right atrium. No evidence of complications such as pneumothorax. Otherwise unchanged radiograph.","As compared to the previous radiograph, there is slightly improved visualization of the leads.",visualization of the leads,,Better,"['files/p13/p13896515/s57580196/28b8b684-7ffead3e-fcd898b8-7e034854-2f48b563.jpg', 'files/p13/p13896515/s57580196/33c6f76a-c23065f5-0e200377-2a5fdeaa-348af88d.jpg']",['files/p13/p13896515/s56840019/3e9bfa41-70250cb0-d33887c3-436560fc-339ed2d6.jpg\n']
s57580196_16,p13896515,s57580196,16,Impression,"As compared to the previous radiograph, there is slightly improved visualization of the leads. 2 leads project over the right ventricle, 1 lead projects over the right atrium. No evidence of complications such as pneumothorax. Otherwise unchanged radiograph.",Otherwise unchanged radiograph.,,,Stable,"['files/p13/p13896515/s57580196/28b8b684-7ffead3e-fcd898b8-7e034854-2f48b563.jpg', 'files/p13/p13896515/s57580196/33c6f76a-c23065f5-0e200377-2a5fdeaa-348af88d.jpg']",['files/p13/p13896515/s56840019/3e9bfa41-70250cb0-d33887c3-436560fc-339ed2d6.jpg\n']
s57582717_2,p15321868,s57582717,2,Findings,"AP single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding portable chest examination of ___. Mild degree of cardiomegaly as before, but no evidence of new pulmonary congestion or pleural effusions. The presence of an NG tube is now seen and it can be followed through the stomach pointing towards the duodenum. There exists a linear density on the right base, which was not present on the previous examination. This finding is compatible with some aspiration, which may be related to the position of the NG tube as indicated in the requisition. There is, however, no evidence of any large discrete pulmonary parenchymal infiltrates and the lateral pleural sinuses remain free from any fluid accumulation. No pneumothorax is identified in the apical area. An orthopedic stabilization plate in the lower neck area is seen and remains unchanged in position in comparison with the previous study.","AP single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding portable chest examination of ___. Mild degree of cardiomegaly as before, but no evidence of new pulmonary congestion or pleural effusions. The presence of an NG tube is now seen and it can be followed through the stomach pointing towards the duodenum. There exists a linear density on the right base, which was not present on the previous examination. This finding is compatible with some aspiration, which may be related to the position of the NG tube as indicated in the requisition. There is, however, no evidence of any large discrete pulmonary parenchymal infiltrates and the lateral pleural sinuses remain free from any fluid accumulation. No pneumothorax is identified in the apical area. An orthopedic stabilization plate in the lower neck area is seen and remains unchanged in position in comparison with the previous study.",orthopedic stabilization plate,lower neck area,Stable,['files/p15/p15321868/s57582717/010fed22-3916fa59-06a4b6f3-53182433-889137d8.jpg'],['files/p15/p15321868/s56574351/7dbac337-f4c37957-531c7433-82c70080-8a9067d7.jpg\n']
s57583790_1,p13023326,s57583790,1,Impression,"PA and lateral chest compared to ___: Small right pleural effusion, minimally larger than on ___. No pneumothorax. Lungs essentially clear. Marked enlargement and distortion of the cardiac silhouette by adjacent tumor is a longstanding phenomenon. There is no evidence of any hemodynamically significant pericardial involvement.","PA and lateral chest compared to ___: Small right pleural effusion, minimally larger than on ___.",pleural effusion,right,Worse,"['files/p13/p13023326/s57583790/1cdaf07a-2bc25a95-58bb06b1-543156aa-39b0b6ef.jpg', 'files/p13/p13023326/s57583790/6f744c64-76048e33-0a6b6296-ba8a6a80-99b1a871.jpg']","['files/p13/p13023326/s52971492/c1cfccd3-76f59c2c-fc9b8706-352dfc8d-3d435171.jpg\n', 'files/p13/p13023326/s52971492/c1f8ae0f-24d9f65f-2a25b45f-75887445-8974af9c.jpg\n', 'files/p13/p13023326/s52971492/ccb75760-a2c8e314-d3d63bc2-17217a91-123a376d.jpg\n']"
s57605154_10,p16853729,s57605154,10,Impression,Unchanged atelectatic changes. No acute cardiothoracic process.,Unchanged atelectatic changes.,atelectatic changes,bibasilar and right perihilar,Stable,"['files/p16/p16853729/s57605154/d41d33f4-a726cd71-186c6cd2-c223bd2f-69f4ff76.jpg', 'files/p16/p16853729/s57605154/d5aa0315-53869b6c-10151e97-c12a5f0f-d369e178.jpg']","['files/p16/p16853729/s56958096/14c1e51e-9e86e71a-8b399678-688f4515-7106f9a1.jpg\n', 'files/p16/p16853729/s56958096/b1f84769-685be138-cd909af7-6737e321-551043bf.jpg\n', 'files/p16/p16853729/s56958096/ea644819-f1117ff7-4f06774f-336c60f0-51a50fd0.jpg\n']"
s57605154_10,p16853729,s57605154,10,Findings,"Again seen are bibasilar and right perihilar atelectatic changes, similar compared to ___ and also seen on the CT abdomen and pelvis from ___. There is mild cardiomegaly and mild vascular congestion, but no pulmonary edema. Tortuous vessels widen the uppper mediastinum. Chronic right rib fractures.","Again seen are bibasilar and right perihilar atelectatic changes, similar compared to ___ and also seen on the CT abdomen and pelvis from ___",atelectatic changes,bibasilar and right perihilar,Stable,"['files/p16/p16853729/s57605154/d41d33f4-a726cd71-186c6cd2-c223bd2f-69f4ff76.jpg', 'files/p16/p16853729/s57605154/d5aa0315-53869b6c-10151e97-c12a5f0f-d369e178.jpg']","['files/p16/p16853729/s56958096/14c1e51e-9e86e71a-8b399678-688f4515-7106f9a1.jpg\n', 'files/p16/p16853729/s56958096/b1f84769-685be138-cd909af7-6737e321-551043bf.jpg\n', 'files/p16/p16853729/s56958096/ea644819-f1117ff7-4f06774f-336c60f0-51a50fd0.jpg\n']"
s57617376_0,p19075045,s57617376,0,Findings,"PA and lateral views of the chest. The dual-chamber transvenous pacemaker leads are in the appropriate position in the right atrium and right ventricle. No pneumothorax, mediastinal widening or evidence of hemothorax. No pleural effusion. Mild cardiomegaly stable. Left mild basilar atelectasis. No evidence of pneumonia.",Mild cardiomegaly stable.,Mild cardiomegaly,,Stable,"['files/p19/p19075045/s57617376/a54a51a1-f6b0b03e-3a44b36e-aaf6e2cb-05b0c6ff.jpg', 'files/p19/p19075045/s57617376/f15b72a4-0e6020a3-cf98cd7c-c8f430f5-1a7d3aa9.jpg']",['files/p19/p19075045/s57544155/b6243df3-d51d165a-8d436de1-245fac16-bbd54062.jpg\n']
s57618911_59,p19182863,s57618911,59,Impression,"Compared to prior chest radiographs ___ through ___. Small to moderate bilateral pleural effusions are unchanged, following removal of the left pigtail pleural drainage catheter. There is no pneumothorax. Moderate cardiomegaly increased slightly with persistent pulmonary vascular congestion. No definite pulmonary edema. Transvenous pacer lead traverses a left SVC to the right ventricular apex. Patient has had median sternotomy and probable tricuspid valve repair. Healed chronic left upper rib fractures noted.","Compared to prior chest radiographs ___ through ___. Small to moderate bilateral pleural effusions are unchanged, following removal of the left pigtail pleural drainage catheter.",small to moderate pleural effusions,Bilateral,Stable,['files/p19/p19182863/s57618911/73ee1dc8-28fc5f5b-76e543d9-70afa724-b6dc8113.jpg'],"['files/p19/p19182863/s57446197/549b6e36-b45d0172-445902b7-286d449b-bb7734f6.jpg\n', 'files/p19/p19182863/s57446197/e7917cda-a7acb02f-631867d3-7fc91d5b-db5cdeef.jpg\n']"
s57618911_59,p19182863,s57618911,59,Impression,"Compared to prior chest radiographs ___ through ___. Small to moderate bilateral pleural effusions are unchanged, following removal of the left pigtail pleural drainage catheter. There is no pneumothorax. Moderate cardiomegaly increased slightly with persistent pulmonary vascular congestion. No definite pulmonary edema. Transvenous pacer lead traverses a left SVC to the right ventricular apex. Patient has had median sternotomy and probable tricuspid valve repair. Healed chronic left upper rib fractures noted.",Moderate cardiomegaly increased slightly with persistent pulmonary vascular congestion.,pulmonary vascular congestion,,Stable,['files/p19/p19182863/s57618911/73ee1dc8-28fc5f5b-76e543d9-70afa724-b6dc8113.jpg'],"['files/p19/p19182863/s57446197/549b6e36-b45d0172-445902b7-286d449b-bb7734f6.jpg\n', 'files/p19/p19182863/s57446197/e7917cda-a7acb02f-631867d3-7fc91d5b-db5cdeef.jpg\n']"
s57618911_59,p19182863,s57618911,59,Impression,"Compared to prior chest radiographs ___ through ___. Small to moderate bilateral pleural effusions are unchanged, following removal of the left pigtail pleural drainage catheter. There is no pneumothorax. Moderate cardiomegaly increased slightly with persistent pulmonary vascular congestion. No definite pulmonary edema. Transvenous pacer lead traverses a left SVC to the right ventricular apex. Patient has had median sternotomy and probable tricuspid valve repair. Healed chronic left upper rib fractures noted.",Moderate cardiomegaly increased slightly with persistent pulmonary vascular congestion.,moderate cardiomegaly,,Worse,['files/p19/p19182863/s57618911/73ee1dc8-28fc5f5b-76e543d9-70afa724-b6dc8113.jpg'],"['files/p19/p19182863/s57446197/549b6e36-b45d0172-445902b7-286d449b-bb7734f6.jpg\n', 'files/p19/p19182863/s57446197/e7917cda-a7acb02f-631867d3-7fc91d5b-db5cdeef.jpg\n']"
s57619468_3,p16015751,s57619468,3,Findings,"A right lower lobe nodule is similar in appearance to prior radiograph and CT, however true volume cannot be measured on radiography. Otherwise, the lungs are clear. There is no additional nodule, consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. There is mild tortuosity of the descending aorta. Osseous structures are unremarkable.","A right lower lobe nodule is similar in appearance to prior radiograph and CT, however true volume cannot be measured on radiography.",nodule,right lower lobe,Stable,"['files/p16/p16015751/s57619468/3352c0d5-7f41c92d-b1178750-7dc794c6-979ffba3.jpg', 'files/p16/p16015751/s57619468/5c405616-b5fff6d3-129d4fb2-eec829ba-52e46d92.jpg']",['files/p16/p16015751/s55645174/97772d75-88b9c893-d5ad4dd5-f7763053-ca0dd70a.jpg\n']
s57622301_36,p16826047,s57622301,36,Impression,Persistent consolidation and loculated right pleural effusion with PleurX catheter in unchanged position.,Persistent consolidation and loculated right pleural effusion with PleurX catheter in unchanged position.,consolidation and loculated effusion,right pleural,Stable,"['files/p16/p16826047/s57622301/561aa77f-36bdb76f-e2a79068-a9c24ac5-0e745c62.jpg', 'files/p16/p16826047/s57622301/5c215386-3fe45a36-36feabd2-5dc463cf-3c2be1a1.jpg', 'files/p16/p16826047/s57622301/d1d6666e-15233295-0295b986-083aa34f-88ba93b2.jpg']","['files/p16/p16826047/s57424140/2d93fd96-9b0fecad-1fdab811-37caf33a-3874a948.jpg\n', 'files/p16/p16826047/s57424140/8694d480-db130666-e072b4e5-4909f0ea-9b9f0d06.jpg\n', 'files/p16/p16826047/s57424140/96b2b01d-08f718fb-c4f596d0-64bf6e3e-03e90435.jpg\n']"
s57622301_36,p16826047,s57622301,36,Findings,"PA and lateral views of the chest are provided. PleurX catheter is again seen on the right with its tip at the level of the right sixth and seventh posterior rib interspace. There is persistent effusion and consolidation within the right lung, though there is slight improvement in the aeration in the right upper lung as compared with the prior chest radiograph. There is persistent loculated right pleural effusion for which a slight increased fluid component is seen along the right lateral upper lung. The left lung is unchanged and clear. Heart size cannot be assessed due to effacement of the right heart border. Bony structures appear intact.","There is persistent effusion and consolidation within the right lung, though there is slight improvement in the aeration in the right upper lung as compared with the prior chest radiograph.",effusion and consolidation,right lung,Stable,"['files/p16/p16826047/s57622301/561aa77f-36bdb76f-e2a79068-a9c24ac5-0e745c62.jpg', 'files/p16/p16826047/s57622301/5c215386-3fe45a36-36feabd2-5dc463cf-3c2be1a1.jpg', 'files/p16/p16826047/s57622301/d1d6666e-15233295-0295b986-083aa34f-88ba93b2.jpg']","['files/p16/p16826047/s57424140/2d93fd96-9b0fecad-1fdab811-37caf33a-3874a948.jpg\n', 'files/p16/p16826047/s57424140/8694d480-db130666-e072b4e5-4909f0ea-9b9f0d06.jpg\n', 'files/p16/p16826047/s57424140/96b2b01d-08f718fb-c4f596d0-64bf6e3e-03e90435.jpg\n']"
s57622301_36,p16826047,s57622301,36,Findings,"PA and lateral views of the chest are provided. PleurX catheter is again seen on the right with its tip at the level of the right sixth and seventh posterior rib interspace. There is persistent effusion and consolidation within the right lung, though there is slight improvement in the aeration in the right upper lung as compared with the prior chest radiograph. There is persistent loculated right pleural effusion for which a slight increased fluid component is seen along the right lateral upper lung. The left lung is unchanged and clear. Heart size cannot be assessed due to effacement of the right heart border. Bony structures appear intact.","There is persistent effusion and consolidation within the right lung, though there is slight improvement in the aeration in the right upper lung as compared with the prior chest radiograph.",aeration,right upper lung,Better,"['files/p16/p16826047/s57622301/561aa77f-36bdb76f-e2a79068-a9c24ac5-0e745c62.jpg', 'files/p16/p16826047/s57622301/5c215386-3fe45a36-36feabd2-5dc463cf-3c2be1a1.jpg', 'files/p16/p16826047/s57622301/d1d6666e-15233295-0295b986-083aa34f-88ba93b2.jpg']","['files/p16/p16826047/s57424140/2d93fd96-9b0fecad-1fdab811-37caf33a-3874a948.jpg\n', 'files/p16/p16826047/s57424140/8694d480-db130666-e072b4e5-4909f0ea-9b9f0d06.jpg\n', 'files/p16/p16826047/s57424140/96b2b01d-08f718fb-c4f596d0-64bf6e3e-03e90435.jpg\n']"
s57622301_36,p16826047,s57622301,36,Findings,"PA and lateral views of the chest are provided. PleurX catheter is again seen on the right with its tip at the level of the right sixth and seventh posterior rib interspace. There is persistent effusion and consolidation within the right lung, though there is slight improvement in the aeration in the right upper lung as compared with the prior chest radiograph. There is persistent loculated right pleural effusion for which a slight increased fluid component is seen along the right lateral upper lung. The left lung is unchanged and clear. Heart size cannot be assessed due to effacement of the right heart border. Bony structures appear intact.",There is persistent loculated right pleural effusion for which a slight increased fluid component is seen along the right lateral upper lung.,loculated pleural effusion,right lateral upper lung,Stable,"['files/p16/p16826047/s57622301/561aa77f-36bdb76f-e2a79068-a9c24ac5-0e745c62.jpg', 'files/p16/p16826047/s57622301/5c215386-3fe45a36-36feabd2-5dc463cf-3c2be1a1.jpg', 'files/p16/p16826047/s57622301/d1d6666e-15233295-0295b986-083aa34f-88ba93b2.jpg']","['files/p16/p16826047/s57424140/2d93fd96-9b0fecad-1fdab811-37caf33a-3874a948.jpg\n', 'files/p16/p16826047/s57424140/8694d480-db130666-e072b4e5-4909f0ea-9b9f0d06.jpg\n', 'files/p16/p16826047/s57424140/96b2b01d-08f718fb-c4f596d0-64bf6e3e-03e90435.jpg\n']"
s57622301_36,p16826047,s57622301,36,Findings,"PA and lateral views of the chest are provided. PleurX catheter is again seen on the right with its tip at the level of the right sixth and seventh posterior rib interspace. There is persistent effusion and consolidation within the right lung, though there is slight improvement in the aeration in the right upper lung as compared with the prior chest radiograph. There is persistent loculated right pleural effusion for which a slight increased fluid component is seen along the right lateral upper lung. The left lung is unchanged and clear. Heart size cannot be assessed due to effacement of the right heart border. Bony structures appear intact.",The left lung is unchanged and clear.,,left lung,Stable,"['files/p16/p16826047/s57622301/561aa77f-36bdb76f-e2a79068-a9c24ac5-0e745c62.jpg', 'files/p16/p16826047/s57622301/5c215386-3fe45a36-36feabd2-5dc463cf-3c2be1a1.jpg', 'files/p16/p16826047/s57622301/d1d6666e-15233295-0295b986-083aa34f-88ba93b2.jpg']","['files/p16/p16826047/s57424140/2d93fd96-9b0fecad-1fdab811-37caf33a-3874a948.jpg\n', 'files/p16/p16826047/s57424140/8694d480-db130666-e072b4e5-4909f0ea-9b9f0d06.jpg\n', 'files/p16/p16826047/s57424140/96b2b01d-08f718fb-c4f596d0-64bf6e3e-03e90435.jpg\n']"
s57622301_36,p16826047,s57622301,36,Impression,Persistent consolidation and loculated right pleural effusion with PleurX catheter in unchanged position.,Persistent consolidation and loculated right pleural effusion with PleurX catheter in unchanged position.,PleurX catheter,,Stable,"['files/p16/p16826047/s57622301/561aa77f-36bdb76f-e2a79068-a9c24ac5-0e745c62.jpg', 'files/p16/p16826047/s57622301/5c215386-3fe45a36-36feabd2-5dc463cf-3c2be1a1.jpg', 'files/p16/p16826047/s57622301/d1d6666e-15233295-0295b986-083aa34f-88ba93b2.jpg']","['files/p16/p16826047/s57424140/2d93fd96-9b0fecad-1fdab811-37caf33a-3874a948.jpg\n', 'files/p16/p16826047/s57424140/8694d480-db130666-e072b4e5-4909f0ea-9b9f0d06.jpg\n', 'files/p16/p16826047/s57424140/96b2b01d-08f718fb-c4f596d0-64bf6e3e-03e90435.jpg\n']"
s57629170_15,p14851532,s57629170,15,Findings,"As compared to the previous radiograph, the patient was intubated. Exact location of the ETT tip is difficult to determine, given overlay by multiple metallic devices at the level of the sternum. However, the approximate location above the carina is 4 cm. The other monitoring and support devices are constant. Constant appearance of the lung parenchyma, the pleura, with a known right pleural effusion as well as of the cardiac silhouette.","Constant appearance of the lung parenchyma, the pleura, with a known right pleural effusion as well as of the cardiac silhouette.",Pleural effusion,right,Stable,['files/p14/p14851532/s57629170/7fa40636-0f1e59a3-7231587d-33eea7f2-79d6fae8.jpg'],"['files/p14/p14851532/s57470809/50f6f1b1-aa149cd2-0ee5f300-fca11b18-fa515a42.jpg\n', 'files/p14/p14851532/s57470809/b8bed4d3-d993a18e-0991e847-d35ed326-8aebc923.jpg\n']"
s57629170_15,p14851532,s57629170,15,Findings,"As compared to the previous radiograph, the patient was intubated. Exact location of the ETT tip is difficult to determine, given overlay by multiple metallic devices at the level of the sternum. However, the approximate location above the carina is 4 cm. The other monitoring and support devices are constant. Constant appearance of the lung parenchyma, the pleura, with a known right pleural effusion as well as of the cardiac silhouette.",The other monitoring and support devices are constant.,Monitoring and support devices,,Stable,['files/p14/p14851532/s57629170/7fa40636-0f1e59a3-7231587d-33eea7f2-79d6fae8.jpg'],"['files/p14/p14851532/s57470809/50f6f1b1-aa149cd2-0ee5f300-fca11b18-fa515a42.jpg\n', 'files/p14/p14851532/s57470809/b8bed4d3-d993a18e-0991e847-d35ed326-8aebc923.jpg\n']"
s57629170_15,p14851532,s57629170,15,Findings,"As compared to the previous radiograph, the patient was intubated. Exact location of the ETT tip is difficult to determine, given overlay by multiple metallic devices at the level of the sternum. However, the approximate location above the carina is 4 cm. The other monitoring and support devices are constant. Constant appearance of the lung parenchyma, the pleura, with a known right pleural effusion as well as of the cardiac silhouette.","Constant appearance of the lung parenchyma, the pleura, with a known right pleural effusion as well as of the cardiac silhouette.",Cardiac silhouette,,Stable,['files/p14/p14851532/s57629170/7fa40636-0f1e59a3-7231587d-33eea7f2-79d6fae8.jpg'],"['files/p14/p14851532/s57470809/50f6f1b1-aa149cd2-0ee5f300-fca11b18-fa515a42.jpg\n', 'files/p14/p14851532/s57470809/b8bed4d3-d993a18e-0991e847-d35ed326-8aebc923.jpg\n']"
s57629170_15,p14851532,s57629170,15,Findings,"As compared to the previous radiograph, the patient was intubated. Exact location of the ETT tip is difficult to determine, given overlay by multiple metallic devices at the level of the sternum. However, the approximate location above the carina is 4 cm. The other monitoring and support devices are constant. Constant appearance of the lung parenchyma, the pleura, with a known right pleural effusion as well as of the cardiac silhouette.","Constant appearance of the lung parenchyma, the pleura, with a known right pleural effusion as well as of the cardiac silhouette.",Lung parenchyma,,Stable,['files/p14/p14851532/s57629170/7fa40636-0f1e59a3-7231587d-33eea7f2-79d6fae8.jpg'],"['files/p14/p14851532/s57470809/50f6f1b1-aa149cd2-0ee5f300-fca11b18-fa515a42.jpg\n', 'files/p14/p14851532/s57470809/b8bed4d3-d993a18e-0991e847-d35ed326-8aebc923.jpg\n']"
s57629170_15,p14851532,s57629170,15,Findings,"As compared to the previous radiograph, the patient was intubated. Exact location of the ETT tip is difficult to determine, given overlay by multiple metallic devices at the level of the sternum. However, the approximate location above the carina is 4 cm. The other monitoring and support devices are constant. Constant appearance of the lung parenchyma, the pleura, with a known right pleural effusion as well as of the cardiac silhouette.","As compared to the previous radiograph, the patient was intubated.",Intubation,,New,['files/p14/p14851532/s57629170/7fa40636-0f1e59a3-7231587d-33eea7f2-79d6fae8.jpg'],"['files/p14/p14851532/s57470809/50f6f1b1-aa149cd2-0ee5f300-fca11b18-fa515a42.jpg\n', 'files/p14/p14851532/s57470809/b8bed4d3-d993a18e-0991e847-d35ed326-8aebc923.jpg\n']"
s57629666_0,p19640059,s57629666,0,Findings,"There is mild enlargement of the cardiac silhouette which is unchanged. Mediastinal and hilar contours are stable. The pulmonary vascularity is not engorged. Chronic interstitial abnormalities are again seen diffusely, more pronounced at the lung bases with fibrotic changes. No focal consolidation, pleural effusion or pneumothorax is identified. There is diffuse calcification of the aorta.","Chronic interstitial abnormalities are again seen diffusely, more pronounced at the lung bases with fibrotic changes.",Chronic interstitial abnormalities with fibrotic changes,"diffusely, more pronounced at the lung bases",Stable,"['files/p19/p19640059/s57629666/2f7e40ab-fd3ebb8f-1f00d1a6-1aecdf69-793d8d35.jpg', 'files/p19/p19640059/s57629666/3e1035d3-49417acb-62977270-a4de2787-c6024d53.jpg']",['files/p19/p19640059/s55463368/444f04a8-90d32226-42ecc09f-39d1a5fe-32326fc5.jpg\n']
s57629666_0,p19640059,s57629666,0,Findings,"There is mild enlargement of the cardiac silhouette which is unchanged. Mediastinal and hilar contours are stable. The pulmonary vascularity is not engorged. Chronic interstitial abnormalities are again seen diffusely, more pronounced at the lung bases with fibrotic changes. No focal consolidation, pleural effusion or pneumothorax is identified. There is diffuse calcification of the aorta.",Mediastinal and hilar contours are stable.,Mediastinal and hilar contours,,Stable,"['files/p19/p19640059/s57629666/2f7e40ab-fd3ebb8f-1f00d1a6-1aecdf69-793d8d35.jpg', 'files/p19/p19640059/s57629666/3e1035d3-49417acb-62977270-a4de2787-c6024d53.jpg']",['files/p19/p19640059/s55463368/444f04a8-90d32226-42ecc09f-39d1a5fe-32326fc5.jpg\n']
s57629666_0,p19640059,s57629666,0,Findings,"There is mild enlargement of the cardiac silhouette which is unchanged. Mediastinal and hilar contours are stable. The pulmonary vascularity is not engorged. Chronic interstitial abnormalities are again seen diffusely, more pronounced at the lung bases with fibrotic changes. No focal consolidation, pleural effusion or pneumothorax is identified. There is diffuse calcification of the aorta.",There is mild enlargement of the cardiac silhouette which is unchanged.,mild enlargement of the cardiac silhouette,,Stable,"['files/p19/p19640059/s57629666/2f7e40ab-fd3ebb8f-1f00d1a6-1aecdf69-793d8d35.jpg', 'files/p19/p19640059/s57629666/3e1035d3-49417acb-62977270-a4de2787-c6024d53.jpg']",['files/p19/p19640059/s55463368/444f04a8-90d32226-42ecc09f-39d1a5fe-32326fc5.jpg\n']
s57629666_0,p19640059,s57629666,0,Impression,"No acute cardiopulmonary abnormality. Chronic interstitial lung disease, which on the prior CT of the chest from ___ suggested usual interstitial pneumonia.","Chronic interstitial lung disease, which on the prior CT of the chest from ___ suggested usual interstitial pneumonia.",Chronic interstitial lung disease,,Stable,"['files/p19/p19640059/s57629666/2f7e40ab-fd3ebb8f-1f00d1a6-1aecdf69-793d8d35.jpg', 'files/p19/p19640059/s57629666/3e1035d3-49417acb-62977270-a4de2787-c6024d53.jpg']",['files/p19/p19640059/s55463368/444f04a8-90d32226-42ecc09f-39d1a5fe-32326fc5.jpg\n']
s57629869_13,p10933609,s57629869,13,Impression,"Multifocal regions of consolidation, new since exam from two weeks prior, compatible with pneumonia in the proper clinical setting. Recommend repeat after treatment to document resolution.","Multifocal regions of consolidation, new since exam from two weeks prior, compatible with pneumonia in the proper clinical setting.",Multifocal regions of consolidation,,New,"['files/p10/p10933609/s57629869/68fe8811-11486a87-1a63faec-cbde0858-b889b677.jpg', 'files/p10/p10933609/s57629869/93894f42-2000f601-7b1944a8-7c4c0711-3d3a2a9b.jpg']","['files/p10/p10933609/s57290683/9d8483b4-460ba2c2-3a8322ea-4d7df3ca-e1789d06.jpg\n', 'files/p10/p10933609/s57290683/ba684a87-3ecff165-b646c20d-ce6363d4-5a11761e.jpg\n']"
s57629869_13,p10933609,s57629869,13,Findings,"Frontal and lateral views of the chest are compared to previous exam from ___. There is new multifocal consolidation in the right upper lobe, within the right perihilar region and possibly in the retrocardiac region as well. Lungs are otherwise notable for parenchymal architectural distortion at the upper lungs bilaterally. There is no effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.","There is new multifocal consolidation in the right upper lobe, within the right perihilar region and possibly in the retrocardiac region as well.",multifocal consolidation,"right upper lobe, right perihilar region, retrocardiac region",New,"['files/p10/p10933609/s57629869/68fe8811-11486a87-1a63faec-cbde0858-b889b677.jpg', 'files/p10/p10933609/s57629869/93894f42-2000f601-7b1944a8-7c4c0711-3d3a2a9b.jpg']","['files/p10/p10933609/s57290683/9d8483b4-460ba2c2-3a8322ea-4d7df3ca-e1789d06.jpg\n', 'files/p10/p10933609/s57290683/ba684a87-3ecff165-b646c20d-ce6363d4-5a11761e.jpg\n']"
s57631028_1,p12847817,s57631028,1,Findings,"An approximately 6 mm diameter rounded opacity is again demonstrated in the left retrocardiac region, to the left of the descending aortic interface. It overlies the tenth left posterior rib level and is not definitively calcified but overlap with rib limits this assessment. Lungs are otherwise notable for surgical chain sutures in right mid lung. Cardiomediastinal contours are within normal limits. Left subclavian and brachiocephalic vascular stents remain in place. Minimal pleural thickening versus small effusion at lateral right costophrenic sulcus. No acute skeletal findings.",Left subclavian and brachiocephalic vascular stents remain in place.,vascular stents,Left subclavian and brachiocephalic,Stable,"['files/p12/p12847817/s57631028/20808598-002b91e1-2f834ea2-4fc76a5b-3007d083.jpg', 'files/p12/p12847817/s57631028/247e5fc9-da9bb4e3-d9886dfa-057f6e18-f694d947.jpg']",['files/p12/p12847817/s57348805/8967b4f7-73cc1f85-64b133a1-6fe7a386-01716d9f.jpg\n']
s57631028_1,p12847817,s57631028,1,Impression,"6 mm diameter left lower lobe opacity is unchanged since recent chest radiograph, but is not fully characterized. Considering patient's immunosuppressed status and concern for acute infection, CT may be considered for more complete evaluation of this region if warranted clinically. This was discussed by telephone with the physician covering for Dr. ___ at pager ___ on ___ at 11:50 a.m.","6 mm diameter left lower lobe opacity is unchanged since recent chest radiograph, but is not fully characterized.",opacity,left lower lobe,Stable,"['files/p12/p12847817/s57631028/20808598-002b91e1-2f834ea2-4fc76a5b-3007d083.jpg', 'files/p12/p12847817/s57631028/247e5fc9-da9bb4e3-d9886dfa-057f6e18-f694d947.jpg']",['files/p12/p12847817/s57348805/8967b4f7-73cc1f85-64b133a1-6fe7a386-01716d9f.jpg\n']
s57631028_1,p12847817,s57631028,1,Findings,"An approximately 6 mm diameter rounded opacity is again demonstrated in the left retrocardiac region, to the left of the descending aortic interface. It overlies the tenth left posterior rib level and is not definitively calcified but overlap with rib limits this assessment. Lungs are otherwise notable for surgical chain sutures in right mid lung. Cardiomediastinal contours are within normal limits. Left subclavian and brachiocephalic vascular stents remain in place. Minimal pleural thickening versus small effusion at lateral right costophrenic sulcus. No acute skeletal findings.","An approximately 6 mm diameter rounded opacity is again demonstrated in the left retrocardiac region, to the left of the descending aortic interface.",rounded opacity,"left retrocardiac region, to the left of the descending aortic interface",Stable,"['files/p12/p12847817/s57631028/20808598-002b91e1-2f834ea2-4fc76a5b-3007d083.jpg', 'files/p12/p12847817/s57631028/247e5fc9-da9bb4e3-d9886dfa-057f6e18-f694d947.jpg']",['files/p12/p12847817/s57348805/8967b4f7-73cc1f85-64b133a1-6fe7a386-01716d9f.jpg\n']
s57632806_3,p18067737,s57632806,3,Findings,"In comparison with the study of ___, there is little interval change. Again, there is a left hilar mass with volume loss and opacification in the left upper lobe, consistent with a post-obstructive pneumonia or collapse. The right lung is essentially clear.","Again, there is a left hilar mass with volume loss and opacification in the left upper lobe, consistent with a post-obstructive pneumonia or collapse.",mass,left hilar,Stable,"['files/p18/p18067737/s57632806/837cc5b5-e15e87de-3fc53c74-c391e8b0-c7e53396.jpg', 'files/p18/p18067737/s57632806/e51549cd-cbebd9a4-0aeaabab-5fa2f8bd-b76c2577.jpg']",['files/p18/p18067737/s56427859/805c8f03-c6d068dd-c95f546c-e1dfe872-324866d0.jpg\n']
s57632806_3,p18067737,s57632806,3,Findings,"In comparison with the study of ___, there is little interval change. Again, there is a left hilar mass with volume loss and opacification in the left upper lobe, consistent with a post-obstructive pneumonia or collapse. The right lung is essentially clear.","Again, there is a left hilar mass with volume loss and opacification in the left upper lobe, consistent with a post-obstructive pneumonia or collapse.",opacification,left upper lobe,Stable,"['files/p18/p18067737/s57632806/837cc5b5-e15e87de-3fc53c74-c391e8b0-c7e53396.jpg', 'files/p18/p18067737/s57632806/e51549cd-cbebd9a4-0aeaabab-5fa2f8bd-b76c2577.jpg']",['files/p18/p18067737/s56427859/805c8f03-c6d068dd-c95f546c-e1dfe872-324866d0.jpg\n']
s57635079_4,p16435402,s57635079,4,Findings,"Single portable chest radiograph demonstrates a vague opacification projecting over the lingula in the region of the previously noted mass. Finding is likely a combination of residual mass and a small, not unexpected hemorrhage. No pneumothorax identified. Cardiomediastinal and hilar contours are unremarkable. Minimal atelectatic changes are noted in the right lung base. No osseous abnormality evident.",Single portable chest radiograph demonstrates a vague opacification projecting over the lingula in the region of the previously noted mass.,vague opacification,lingula,Stable,['files/p16/p16435402/s57635079/16b32195-cb3e0995-d4cf9ac1-4af71b24-8d42365f.jpg'],"['files/p16/p16435402/s57334765/1f37fa7f-bbfdda2f-9ae5bac4-0027124f-f462fe0b.jpg\n', 'files/p16/p16435402/s57334765/546cda58-159974fb-87293b33-b96efa16-29d93af9.jpg\n']"
s57637607_3,p16050730,s57637607,3,Findings,"AP upright and lateral views of the chest were obtained. Subtle patchy right base opacity is seen, which could be due to infection or aspiration. No consolidation is seen on the left. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.",The cardiac and mediastinal silhouettes are stable.,cardiac and mediastinal silhouettes,,Stable,"['files/p16/p16050730/s57637607/4ea64f59-3502fca0-7099d35c-d3856d7b-d2a2d354.jpg', 'files/p16/p16050730/s57637607/9b148afe-84b1cee1-f5157098-7afc39cf-7d78784c.jpg', 'files/p16/p16050730/s57637607/adb48138-344feb7e-14e31d10-2639c54e-0b5a95d7.jpg']","['files/p16/p16050730/s57294152/1a5734f8-86784713-834c020a-10c75729-cff94a9b.jpg\n', 'files/p16/p16050730/s57294152/31b932ba-757c9228-940b6753-513b8ecb-705d05b5.jpg\n']"
s57648356_2,p12185775,s57648356,2,Impression,"CHF with interstitial edema and bibasilar atelectasis, improved compared with ___.","CHF with interstitial edema and bibasilar atelectasis, improved compared with ___.",atelectasis,bibasilar,Better,['files/p12/p12185775/s57648356/07a6c75c-9ee2bcc2-076307a1-e6000602-0ee483bb.jpg'],['files/p12/p12185775/s57463116/552b9cdb-02b1e116-417a8a56-d2f54f1e-865a2a0c.jpg\n']
s57648356_2,p12185775,s57648356,2,Findings,"Lordotic positioning. There has been interval removal of ET and NG tubes. There is cardiomegaly and upper zone redistribution with mild diffuse vascular blurring, suggesting CHF with interstitial edema. There is atelectasis at the left base, improved compared with ___ -- the left hemidiaphragm is now visible. Minimal blunting of the left costophrenic angle. Calcified granulomas of the left upper zone again noted.","There is atelectasis at the left base, improved compared with ___ -- the left hemidiaphragm is now visible.",atelectasis,left base,Better,['files/p12/p12185775/s57648356/07a6c75c-9ee2bcc2-076307a1-e6000602-0ee483bb.jpg'],['files/p12/p12185775/s57463116/552b9cdb-02b1e116-417a8a56-d2f54f1e-865a2a0c.jpg\n']
s57648356_2,p12185775,s57648356,2,Findings,"Lordotic positioning. There has been interval removal of ET and NG tubes. There is cardiomegaly and upper zone redistribution with mild diffuse vascular blurring, suggesting CHF with interstitial edema. There is atelectasis at the left base, improved compared with ___ -- the left hemidiaphragm is now visible. Minimal blunting of the left costophrenic angle. Calcified granulomas of the left upper zone again noted.",There has been interval removal of ET and NG tubes.,ET and NG tubes,,Resolve,['files/p12/p12185775/s57648356/07a6c75c-9ee2bcc2-076307a1-e6000602-0ee483bb.jpg'],['files/p12/p12185775/s57463116/552b9cdb-02b1e116-417a8a56-d2f54f1e-865a2a0c.jpg\n']
s57661470_6,p16435402,s57661470,6,Impression,Slight interval decrease in size of lingular consolidative opacity with interval increase in size of a small left pleural effusion.,Slight interval decrease in size of lingular consolidative opacity with interval increase in size of a small left pleural effusion.,pleural effusion,left,Worse,"['files/p16/p16435402/s57661470/8a783cbe-d52d08bc-f2c3bbf8-9b3be898-4872449b.jpg', 'files/p16/p16435402/s57661470/c228dc1b-34ffc306-df90934c-a737322e-42e32273.jpg']",['files/p16/p16435402/s57635079/16b32195-cb3e0995-d4cf9ac1-4af71b24-8d42365f.jpg\n']
s57661470_6,p16435402,s57661470,6,Findings,"Cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. A rounded consolidative opacity within the lingula is mildly smaller compared to the prior study, measuring approximately 5.7 x 4.6 cm, previously 6.2 x 5.0 cm. No pulmonary vascular congestion is present. There is a small left pleural effusion, slightly increased compared to the prior study. No pneumothorax is identified. Cholecystectomy clips are noted in the right upper quadrant. There are no acute osseous abnormalities.","Cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits.",contours,"Cardiac, mediastinal and hilar contours",Stable,"['files/p16/p16435402/s57661470/8a783cbe-d52d08bc-f2c3bbf8-9b3be898-4872449b.jpg', 'files/p16/p16435402/s57661470/c228dc1b-34ffc306-df90934c-a737322e-42e32273.jpg']",['files/p16/p16435402/s57635079/16b32195-cb3e0995-d4cf9ac1-4af71b24-8d42365f.jpg\n']
s57661470_6,p16435402,s57661470,6,Findings,"Cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. A rounded consolidative opacity within the lingula is mildly smaller compared to the prior study, measuring approximately 5.7 x 4.6 cm, previously 6.2 x 5.0 cm. No pulmonary vascular congestion is present. There is a small left pleural effusion, slightly increased compared to the prior study. No pneumothorax is identified. Cholecystectomy clips are noted in the right upper quadrant. There are no acute osseous abnormalities.","There is a small left pleural effusion, slightly increased compared to the prior study.",pleural effusion,left,Worse,"['files/p16/p16435402/s57661470/8a783cbe-d52d08bc-f2c3bbf8-9b3be898-4872449b.jpg', 'files/p16/p16435402/s57661470/c228dc1b-34ffc306-df90934c-a737322e-42e32273.jpg']",['files/p16/p16435402/s57635079/16b32195-cb3e0995-d4cf9ac1-4af71b24-8d42365f.jpg\n']
s57661470_6,p16435402,s57661470,6,Impression,Slight interval decrease in size of lingular consolidative opacity with interval increase in size of a small left pleural effusion.,Slight interval decrease in size of lingular consolidative opacity with interval increase in size of a small left pleural effusion.,consolidative opacity,lingula,Better,"['files/p16/p16435402/s57661470/8a783cbe-d52d08bc-f2c3bbf8-9b3be898-4872449b.jpg', 'files/p16/p16435402/s57661470/c228dc1b-34ffc306-df90934c-a737322e-42e32273.jpg']",['files/p16/p16435402/s57635079/16b32195-cb3e0995-d4cf9ac1-4af71b24-8d42365f.jpg\n']
s57661470_6,p16435402,s57661470,6,Findings,"Cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. A rounded consolidative opacity within the lingula is mildly smaller compared to the prior study, measuring approximately 5.7 x 4.6 cm, previously 6.2 x 5.0 cm. No pulmonary vascular congestion is present. There is a small left pleural effusion, slightly increased compared to the prior study. No pneumothorax is identified. Cholecystectomy clips are noted in the right upper quadrant. There are no acute osseous abnormalities.","A rounded consolidative opacity within the lingula is mildly smaller compared to the prior study, measuring approximately 5.7 x 4.6 cm, previously 6.2 x 5.0 cm.",consolidative opacity,lingula,Better,"['files/p16/p16435402/s57661470/8a783cbe-d52d08bc-f2c3bbf8-9b3be898-4872449b.jpg', 'files/p16/p16435402/s57661470/c228dc1b-34ffc306-df90934c-a737322e-42e32273.jpg']",['files/p16/p16435402/s57635079/16b32195-cb3e0995-d4cf9ac1-4af71b24-8d42365f.jpg\n']
s57661627_0,p17770657,s57661627,0,Impression,"1. Interval removal of the sternal wires with placement of new sternal closure devices, mediastinal ___ and tubes. Lungs are well inflated with linear streaky opacities seen at the left base likely representing scarring and/or subsegmental atelectasis. No evidence of pulmonary edema, pneumothorax, pleural effusions or focal airspace consolidation to suggest pneumonia. Slight lucency at the left apex is felt to be related to underlying emphysema rather than representing a pneumothorax.","1. Interval removal of the sternal wires with placement of new sternal closure devices, mediastinal ___ and tubes.",wires,sternal,Resolve,['files/p17/p17770657/s57661627/0acd838c-5dafe19b-8d9fbbe4-3367ef1b-c28e2b42.jpg'],['files/p17/p17770657/s57426879/86deb04a-2c61843d-5acda394-6b0cd2e7-40be9dd0.jpg\n']
s57663243_4,p16855430,s57663243,4,Findings,Frontal and lateral views of the chest were obtained. Bilateral pleural effusions are seen as well as persistent pulmonary edema. Stable mild cardiomegaly noted. No interval changes are seen.,Stable mild cardiomegaly noted.,cardiomegaly,heart,Stable,"['files/p16/p16855430/s57663243/71bfff81-56c6477b-3432d360-6d1f41d2-8b2d7988.jpg', 'files/p16/p16855430/s57663243/940ed972-9b210254-8ce47743-d277b7b7-d440de02.jpg']","['files/p16/p16855430/s56956118/577e3751-aef1bbf3-e970d911-b1ad5a8e-af1b41d3.jpg\n', 'files/p16/p16855430/s56956118/ef3a13e7-698e0d1f-8393808a-10002aef-7bd95331.jpg\n']"
s57663243_4,p16855430,s57663243,4,Findings,Frontal and lateral views of the chest were obtained. Bilateral pleural effusions are seen as well as persistent pulmonary edema. Stable mild cardiomegaly noted. No interval changes are seen.,Bilateral pleural effusions are seen as well as persistent pulmonary edema.,pulmonary edema,bilateral,Stable,"['files/p16/p16855430/s57663243/71bfff81-56c6477b-3432d360-6d1f41d2-8b2d7988.jpg', 'files/p16/p16855430/s57663243/940ed972-9b210254-8ce47743-d277b7b7-d440de02.jpg']","['files/p16/p16855430/s56956118/577e3751-aef1bbf3-e970d911-b1ad5a8e-af1b41d3.jpg\n', 'files/p16/p16855430/s56956118/ef3a13e7-698e0d1f-8393808a-10002aef-7bd95331.jpg\n']"
s57663243_4,p16855430,s57663243,4,Findings,Frontal and lateral views of the chest were obtained. Bilateral pleural effusions are seen as well as persistent pulmonary edema. Stable mild cardiomegaly noted. No interval changes are seen.,Bilateral pleural effusions are seen as well as persistent pulmonary edema.,pleural effusions,bilateral,Stable,"['files/p16/p16855430/s57663243/71bfff81-56c6477b-3432d360-6d1f41d2-8b2d7988.jpg', 'files/p16/p16855430/s57663243/940ed972-9b210254-8ce47743-d277b7b7-d440de02.jpg']","['files/p16/p16855430/s56956118/577e3751-aef1bbf3-e970d911-b1ad5a8e-af1b41d3.jpg\n', 'files/p16/p16855430/s56956118/ef3a13e7-698e0d1f-8393808a-10002aef-7bd95331.jpg\n']"
s57664750_0,p19890786,s57664750,0,Impression,Overall stable exam with extensive metastatic disease to the lungs with right pleural effusion and right basal consolidation.,Overall stable exam with extensive metastatic disease to the lungs with right pleural effusion and right basal consolidation.,pleural effusion,right,Stable,['files/p19/p19890786/s57664750/ba7962b1-c57c8310-baaa8f93-1ae65fab-edcaa58b.jpg'],['files/p19/p19890786/s55594849/643571eb-5685abe0-5b2f161d-df5ebefa-6f160c6f.jpg\n']
s57664750_0,p19890786,s57664750,0,Impression,Overall stable exam with extensive metastatic disease to the lungs with right pleural effusion and right basal consolidation.,Overall stable exam with extensive metastatic disease to the lungs with right pleural effusion and right basal consolidation.,metastatic disease,lungs,Stable,['files/p19/p19890786/s57664750/ba7962b1-c57c8310-baaa8f93-1ae65fab-edcaa58b.jpg'],['files/p19/p19890786/s55594849/643571eb-5685abe0-5b2f161d-df5ebefa-6f160c6f.jpg\n']
s57664750_0,p19890786,s57664750,0,Findings,"AP upright portable chest radiograph is obtained. Overall, there is no significant change from the recent CT performed ___ with innumerable metastatic nodularity involving both lungs and large consolidation occupying the right lower lung with a small to moderate right pleural effusion. There is no new area of atelectasis or new area of confluent opacity to suggest a superimposed pneumonia, though given the extensive underlying lung disease, a subtle acute process would be impossible to exclude. Heart size cannot be assessed. Mediastinal contour is stable. No pneumothorax is seen. Bony structures appear stable. Known metastatic lesions involving the inferior scapulae are not clearly visualized as well as the recently diagnosed nondisplaced fracture involving the right posterior eighth rib.","Overall, there is no significant change from the recent CT performed ___ with innumerable metastatic nodularity involving both lungs and large consolidation occupying the right lower lung with a small to moderate right pleural effusion.",large consolidation,right lower lung,Stable,['files/p19/p19890786/s57664750/ba7962b1-c57c8310-baaa8f93-1ae65fab-edcaa58b.jpg'],['files/p19/p19890786/s55594849/643571eb-5685abe0-5b2f161d-df5ebefa-6f160c6f.jpg\n']
s57664750_0,p19890786,s57664750,0,Findings,"AP upright portable chest radiograph is obtained. Overall, there is no significant change from the recent CT performed ___ with innumerable metastatic nodularity involving both lungs and large consolidation occupying the right lower lung with a small to moderate right pleural effusion. There is no new area of atelectasis or new area of confluent opacity to suggest a superimposed pneumonia, though given the extensive underlying lung disease, a subtle acute process would be impossible to exclude. Heart size cannot be assessed. Mediastinal contour is stable. No pneumothorax is seen. Bony structures appear stable. Known metastatic lesions involving the inferior scapulae are not clearly visualized as well as the recently diagnosed nondisplaced fracture involving the right posterior eighth rib.","Overall, there is no significant change from the recent CT performed ___ with innumerable metastatic nodularity involving both lungs and large consolidation occupying the right lower lung with a small to moderate right pleural effusion.",pleural effusion,right,Stable,['files/p19/p19890786/s57664750/ba7962b1-c57c8310-baaa8f93-1ae65fab-edcaa58b.jpg'],['files/p19/p19890786/s55594849/643571eb-5685abe0-5b2f161d-df5ebefa-6f160c6f.jpg\n']
s57664750_0,p19890786,s57664750,0,Impression,Overall stable exam with extensive metastatic disease to the lungs with right pleural effusion and right basal consolidation.,Overall stable exam with extensive metastatic disease to the lungs with right pleural effusion and right basal consolidation.,consolidation,right basal,Stable,['files/p19/p19890786/s57664750/ba7962b1-c57c8310-baaa8f93-1ae65fab-edcaa58b.jpg'],['files/p19/p19890786/s55594849/643571eb-5685abe0-5b2f161d-df5ebefa-6f160c6f.jpg\n']
s57664750_0,p19890786,s57664750,0,Findings,"AP upright portable chest radiograph is obtained. Overall, there is no significant change from the recent CT performed ___ with innumerable metastatic nodularity involving both lungs and large consolidation occupying the right lower lung with a small to moderate right pleural effusion. There is no new area of atelectasis or new area of confluent opacity to suggest a superimposed pneumonia, though given the extensive underlying lung disease, a subtle acute process would be impossible to exclude. Heart size cannot be assessed. Mediastinal contour is stable. No pneumothorax is seen. Bony structures appear stable. Known metastatic lesions involving the inferior scapulae are not clearly visualized as well as the recently diagnosed nondisplaced fracture involving the right posterior eighth rib.","Overall, there is no significant change from the recent CT performed ___ with innumerable metastatic nodularity involving both lungs and large consolidation occupying the right lower lung with a small to moderate right pleural effusion.",metastatic nodularity,both lungs,Stable,['files/p19/p19890786/s57664750/ba7962b1-c57c8310-baaa8f93-1ae65fab-edcaa58b.jpg'],['files/p19/p19890786/s55594849/643571eb-5685abe0-5b2f161d-df5ebefa-6f160c6f.jpg\n']
s57664750_0,p19890786,s57664750,0,Findings,"AP upright portable chest radiograph is obtained. Overall, there is no significant change from the recent CT performed ___ with innumerable metastatic nodularity involving both lungs and large consolidation occupying the right lower lung with a small to moderate right pleural effusion. There is no new area of atelectasis or new area of confluent opacity to suggest a superimposed pneumonia, though given the extensive underlying lung disease, a subtle acute process would be impossible to exclude. Heart size cannot be assessed. Mediastinal contour is stable. No pneumothorax is seen. Bony structures appear stable. Known metastatic lesions involving the inferior scapulae are not clearly visualized as well as the recently diagnosed nondisplaced fracture involving the right posterior eighth rib.",Bony structures appear stable.,Bony structures,,Stable,['files/p19/p19890786/s57664750/ba7962b1-c57c8310-baaa8f93-1ae65fab-edcaa58b.jpg'],['files/p19/p19890786/s55594849/643571eb-5685abe0-5b2f161d-df5ebefa-6f160c6f.jpg\n']
s57664750_0,p19890786,s57664750,0,Findings,"AP upright portable chest radiograph is obtained. Overall, there is no significant change from the recent CT performed ___ with innumerable metastatic nodularity involving both lungs and large consolidation occupying the right lower lung with a small to moderate right pleural effusion. There is no new area of atelectasis or new area of confluent opacity to suggest a superimposed pneumonia, though given the extensive underlying lung disease, a subtle acute process would be impossible to exclude. Heart size cannot be assessed. Mediastinal contour is stable. No pneumothorax is seen. Bony structures appear stable. Known metastatic lesions involving the inferior scapulae are not clearly visualized as well as the recently diagnosed nondisplaced fracture involving the right posterior eighth rib.",Mediastinal contour is stable.,Mediastinal contour,,Stable,['files/p19/p19890786/s57664750/ba7962b1-c57c8310-baaa8f93-1ae65fab-edcaa58b.jpg'],['files/p19/p19890786/s55594849/643571eb-5685abe0-5b2f161d-df5ebefa-6f160c6f.jpg\n']
s57665537_17,p13473495,s57665537,17,Findings,AP and lateral views the chest were viewed. The cardiomediastinal and hilar contours are stable with severe cardiomegaly. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. A possible small nodule is the right mid lung zone could be evaluated electively with chest CT if indicated.,The cardiomediastinal and hilar contours are stable with severe cardiomegaly.,Cardiomegaly,,Stable,"['files/p13/p13473495/s57665537/4a38ad35-3e063ba0-bb9ccf2a-4982ca59-08b1005d.jpg', 'files/p13/p13473495/s57665537/c6d9dcd8-49e961d7-227e2c94-92994086-9831113b.jpg', 'files/p13/p13473495/s57665537/d2e18dfe-d51d84d1-d69a9a4a-2fa109d8-a81d150d.jpg']",['files/p13/p13473495/s57447816/23fdc685-8851eb9b-b5ee438b-0f486c37-4677e1ed.jpg\n']
s57667161_9,p16553329,s57667161,9,Findings,AP upright and lateral views of the chest provided. There is top-normal heart size with tiny left pleural effusion. Calcified nodular structures in the left upper lung and right mid to lower lung likely represent calcified granulomas. There is no evidence of pneumonia or CHF. Mediastinal contour stable. Bony structures intact.,Mediastinal contour stable.,Contour,Mediastinal,Stable,"['files/p16/p16553329/s57667161/9cc3281f-64ff9f26-d2f759b1-ee26296f-50d416d4.jpg', 'files/p16/p16553329/s57667161/ab27ba71-c4d831e6-be72ac46-7d5467b9-27e33f4f.jpg']",['files/p16/p16553329/s56936171/8ad111d7-bd7f226a-d10f242f-59b1df46-5defb013.jpg\n']
s57667222_0,p17897339,s57667222,0,Findings,Left basilar opacities likely represent subsegmental atelectasis. The lung volumes are low but otherwise clear. There is no pneumothorax. No vascular congestion or large pleural effusions are evident. Cardiomediastinal and hilar contours are within normal limits. The colon is distended below the left hemidiaphragm.,Left basilar opacities likely represent subsegmental atelectasis.,opacities,Left basilar,New,['files/p17/p17897339/s57667222/13c8c746-5d1d71f5-af021e53-041a96c3-710e3730.jpg'],
s57667222_0,p17897339,s57667222,0,Findings,Left basilar opacities likely represent subsegmental atelectasis. The lung volumes are low but otherwise clear. There is no pneumothorax. No vascular congestion or large pleural effusions are evident. Cardiomediastinal and hilar contours are within normal limits. The colon is distended below the left hemidiaphragm.,The lung volumes are low but otherwise clear.,lung volumes,,Stable,['files/p17/p17897339/s57667222/13c8c746-5d1d71f5-af021e53-041a96c3-710e3730.jpg'],
s57674353_7,p13881772,s57674353,7,Findings,"As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in constant position. CAD patch over the left hemithorax leads to increased opacity. Unchanged size of the cardiac silhouette. Unchanged appearance of the lung parenchyma. No pneumothorax.",The monitoring and support devices are in constant position.,monitoring and support devices,,Stable,['files/p13/p13881772/s57674353/0d41d944-b75b4101-f204d112-11fcfa1c-96d2169d.jpg'],['files/p13/p13881772/s57160250/db9446ce-77c54de3-b0148302-3a4c913e-fe9db438.jpg\n']
s57674353_7,p13881772,s57674353,7,Findings,"As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in constant position. CAD patch over the left hemithorax leads to increased opacity. Unchanged size of the cardiac silhouette. Unchanged appearance of the lung parenchyma. No pneumothorax.",Unchanged size of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p13/p13881772/s57674353/0d41d944-b75b4101-f204d112-11fcfa1c-96d2169d.jpg'],['files/p13/p13881772/s57160250/db9446ce-77c54de3-b0148302-3a4c913e-fe9db438.jpg\n']
s57674353_7,p13881772,s57674353,7,Findings,"As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in constant position. CAD patch over the left hemithorax leads to increased opacity. Unchanged size of the cardiac silhouette. Unchanged appearance of the lung parenchyma. No pneumothorax.",Unchanged appearance of the lung parenchyma.,lung parenchyma,,Stable,['files/p13/p13881772/s57674353/0d41d944-b75b4101-f204d112-11fcfa1c-96d2169d.jpg'],['files/p13/p13881772/s57160250/db9446ce-77c54de3-b0148302-3a4c913e-fe9db438.jpg\n']
s57674353_7,p13881772,s57674353,7,Findings,"As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in constant position. CAD patch over the left hemithorax leads to increased opacity. Unchanged size of the cardiac silhouette. Unchanged appearance of the lung parenchyma. No pneumothorax.",CAD patch over the left hemithorax leads to increased opacity.,opacity,left hemithorax,Worse,['files/p13/p13881772/s57674353/0d41d944-b75b4101-f204d112-11fcfa1c-96d2169d.jpg'],['files/p13/p13881772/s57160250/db9446ce-77c54de3-b0148302-3a4c913e-fe9db438.jpg\n']
s57674897_10,p14353044,s57674897,10,Findings,"Again seen are posterior fixation hardware in the thoracic spine, unchanged in position. Elevation of the right diaphragm appear unchanged since ___. Minimal right pleural effusion is seen. The lungs are clear. There is no evidence for pulmonary edema or focal pneumonia. The heart size is normal. The mediastinum and hilar contours are unchanged and normal.",The mediastinum and hilar contours are unchanged and normal.,Normal appearance,mediastinum and hilar contours,Stable,"['files/p14/p14353044/s57674897/4e3be0c2-0bf7b260-9ee5b4e0-56975598-6b3bd28e.jpg', 'files/p14/p14353044/s57674897/94f62ec2-b7ecf13f-29fdf3b2-877f138b-7d976888.jpg']","['files/p14/p14353044/s56321140/200f5a93-8ca89ca4-c8399b9c-c65fba89-1fb40abc.jpg\n', 'files/p14/p14353044/s56321140/95419952-8b3fad2c-c47446ca-e3485d3e-f3579ca8.jpg\n']"
s57674897_10,p14353044,s57674897,10,Findings,"Again seen are posterior fixation hardware in the thoracic spine, unchanged in position. Elevation of the right diaphragm appear unchanged since ___. Minimal right pleural effusion is seen. The lungs are clear. There is no evidence for pulmonary edema or focal pneumonia. The heart size is normal. The mediastinum and hilar contours are unchanged and normal.",Elevation of the right diaphragm appear unchanged since ___.,Elevation,right diaphragm,Stable,"['files/p14/p14353044/s57674897/4e3be0c2-0bf7b260-9ee5b4e0-56975598-6b3bd28e.jpg', 'files/p14/p14353044/s57674897/94f62ec2-b7ecf13f-29fdf3b2-877f138b-7d976888.jpg']","['files/p14/p14353044/s56321140/200f5a93-8ca89ca4-c8399b9c-c65fba89-1fb40abc.jpg\n', 'files/p14/p14353044/s56321140/95419952-8b3fad2c-c47446ca-e3485d3e-f3579ca8.jpg\n']"
s57674897_10,p14353044,s57674897,10,Findings,"Again seen are posterior fixation hardware in the thoracic spine, unchanged in position. Elevation of the right diaphragm appear unchanged since ___. Minimal right pleural effusion is seen. The lungs are clear. There is no evidence for pulmonary edema or focal pneumonia. The heart size is normal. The mediastinum and hilar contours are unchanged and normal.","Again seen are posterior fixation hardware in the thoracic spine, unchanged in position.",posterior fixation hardware,thoracic spine,Stable,"['files/p14/p14353044/s57674897/4e3be0c2-0bf7b260-9ee5b4e0-56975598-6b3bd28e.jpg', 'files/p14/p14353044/s57674897/94f62ec2-b7ecf13f-29fdf3b2-877f138b-7d976888.jpg']","['files/p14/p14353044/s56321140/200f5a93-8ca89ca4-c8399b9c-c65fba89-1fb40abc.jpg\n', 'files/p14/p14353044/s56321140/95419952-8b3fad2c-c47446ca-e3485d3e-f3579ca8.jpg\n']"
s57676222_7,p17838301,s57676222,7,Impression,"The patient's chin overlies the bilateral medial upper lobes, obscuring the view. Given this, the cardiac silhouette is persistently enlarged. There is again prominence of the pulmonary arteries. Pulmonary vascular congestion appears improved.",Pulmonary vascular congestion appears improved.,congestion,pulmonary vascular,Better,['files/p17/p17838301/s57676222/8a1b28a3-0922cd6a-282ceb83-59fd9271-ebf56ff4.jpg'],['files/p17/p17838301/s57255382/e5382fdb-74985bc4-2fb7ed30-c1708f5c-3f136ee4.jpg\n']
s57676222_7,p17838301,s57676222,7,Impression,"The patient's chin overlies the bilateral medial upper lobes, obscuring the view. Given this, the cardiac silhouette is persistently enlarged. There is again prominence of the pulmonary arteries. Pulmonary vascular congestion appears improved.",There is again prominence of the pulmonary arteries.,prominence,pulmonary arteries,Stable,['files/p17/p17838301/s57676222/8a1b28a3-0922cd6a-282ceb83-59fd9271-ebf56ff4.jpg'],['files/p17/p17838301/s57255382/e5382fdb-74985bc4-2fb7ed30-c1708f5c-3f136ee4.jpg\n']
s57676222_7,p17838301,s57676222,7,Impression,"The patient's chin overlies the bilateral medial upper lobes, obscuring the view. Given this, the cardiac silhouette is persistently enlarged. There is again prominence of the pulmonary arteries. Pulmonary vascular congestion appears improved.","Given this, the cardiac silhouette is persistently enlarged.",enlargement,cardiac silhouette,Stable,['files/p17/p17838301/s57676222/8a1b28a3-0922cd6a-282ceb83-59fd9271-ebf56ff4.jpg'],['files/p17/p17838301/s57255382/e5382fdb-74985bc4-2fb7ed30-c1708f5c-3f136ee4.jpg\n']
s57676222_7,p17838301,s57676222,7,Findings,Single AP upright portable view of the chest was obtained. The patient's overlying chin obscures the medial bilateral upper lobes. The cardiac silhouette remains enlarged. Prominence of the pulmonary arteries is partially imaged and again seen. Evidence of diaphragmatic/pleural plaques is seen bilaterally suggesting prior asbestos exposure.,Prominence of the pulmonary arteries is partially imaged and again seen.,prominence,pulmonary arteries,Stable,['files/p17/p17838301/s57676222/8a1b28a3-0922cd6a-282ceb83-59fd9271-ebf56ff4.jpg'],['files/p17/p17838301/s57255382/e5382fdb-74985bc4-2fb7ed30-c1708f5c-3f136ee4.jpg\n']
s57676222_7,p17838301,s57676222,7,Findings,Single AP upright portable view of the chest was obtained. The patient's overlying chin obscures the medial bilateral upper lobes. The cardiac silhouette remains enlarged. Prominence of the pulmonary arteries is partially imaged and again seen. Evidence of diaphragmatic/pleural plaques is seen bilaterally suggesting prior asbestos exposure.,The cardiac silhouette remains enlarged.,enlargement,cardiac silhouette,Stable,['files/p17/p17838301/s57676222/8a1b28a3-0922cd6a-282ceb83-59fd9271-ebf56ff4.jpg'],['files/p17/p17838301/s57255382/e5382fdb-74985bc4-2fb7ed30-c1708f5c-3f136ee4.jpg\n']
s57678258_1,p15094735,s57678258,1,Findings,A right internal jugular hemodialysis catheter ends in the right atrium. The size of the cardiac silhouette is at the upper limits of normal. Sternal wires are intact. A moderate right pleural effusion is slightly bigger. There has been slight increase in the pulmonary edema. Opacification at the right base persists and may be a pneumonia. There is no pneumothorax.,Opacification at the right base persists and may be a pneumonia.,opacification,right base,Stable,['files/p15/p15094735/s57678258/cff0405e-7c684aeb-122051b9-dec202c9-1dfbb41e.jpg'],['files/p15/p15094735/s55874928/fae734b5-cdbcad8f-13e2fcaf-8e2731ff-ca43dfa9.jpg\n']
s57678258_1,p15094735,s57678258,1,Impression,1. Increasing pulmonary edema and enlargement of the moderate right pleural effusion. 2. Possible right lower lobe pneumonia is unchanged.,1. Increasing pulmonary edema and enlargement of the moderate right pleural effusion.,pulmonary edema,,Worse,['files/p15/p15094735/s57678258/cff0405e-7c684aeb-122051b9-dec202c9-1dfbb41e.jpg'],['files/p15/p15094735/s55874928/fae734b5-cdbcad8f-13e2fcaf-8e2731ff-ca43dfa9.jpg\n']
s57678258_1,p15094735,s57678258,1,Impression,1. Increasing pulmonary edema and enlargement of the moderate right pleural effusion. 2. Possible right lower lobe pneumonia is unchanged.,1. Increasing pulmonary edema and enlargement of the moderate right pleural effusion.,pleural effusion,right,Worse,['files/p15/p15094735/s57678258/cff0405e-7c684aeb-122051b9-dec202c9-1dfbb41e.jpg'],['files/p15/p15094735/s55874928/fae734b5-cdbcad8f-13e2fcaf-8e2731ff-ca43dfa9.jpg\n']
s57678258_1,p15094735,s57678258,1,Findings,A right internal jugular hemodialysis catheter ends in the right atrium. The size of the cardiac silhouette is at the upper limits of normal. Sternal wires are intact. A moderate right pleural effusion is slightly bigger. There has been slight increase in the pulmonary edema. Opacification at the right base persists and may be a pneumonia. There is no pneumothorax.,There has been slight increase in the pulmonary edema.,pulmonary edema,,Worse,['files/p15/p15094735/s57678258/cff0405e-7c684aeb-122051b9-dec202c9-1dfbb41e.jpg'],['files/p15/p15094735/s55874928/fae734b5-cdbcad8f-13e2fcaf-8e2731ff-ca43dfa9.jpg\n']
s57678258_1,p15094735,s57678258,1,Findings,A right internal jugular hemodialysis catheter ends in the right atrium. The size of the cardiac silhouette is at the upper limits of normal. Sternal wires are intact. A moderate right pleural effusion is slightly bigger. There has been slight increase in the pulmonary edema. Opacification at the right base persists and may be a pneumonia. There is no pneumothorax.,A moderate right pleural effusion is slightly bigger.,pleural effusion,right,Worse,['files/p15/p15094735/s57678258/cff0405e-7c684aeb-122051b9-dec202c9-1dfbb41e.jpg'],['files/p15/p15094735/s55874928/fae734b5-cdbcad8f-13e2fcaf-8e2731ff-ca43dfa9.jpg\n']
s57678258_1,p15094735,s57678258,1,Impression,1. Increasing pulmonary edema and enlargement of the moderate right pleural effusion. 2. Possible right lower lobe pneumonia is unchanged.,2. Possible right lower lobe pneumonia is unchanged.,pneumonia,right lower lobe,Stable,['files/p15/p15094735/s57678258/cff0405e-7c684aeb-122051b9-dec202c9-1dfbb41e.jpg'],['files/p15/p15094735/s55874928/fae734b5-cdbcad8f-13e2fcaf-8e2731ff-ca43dfa9.jpg\n']
s57679936_4,p12074041,s57679936,4,Findings,"As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation. The transparency of the lung parenchyma on the right has increased more than on the left. On the left, there are unchanged areas of left basal atelectasis and a moderate left pleural effusion. Borderline size of the cardiac silhouette. No newly appeared parenchymal opacities.","As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation.",lung volumes,,Better,['files/p12/p12074041/s57679936/467d9162-e7cce16e-70dfaa79-1867728f-1db6394e.jpg'],['files/p12/p12074041/s56502688/765fd687-06776030-fe337975-2739eab4-decbb9c2.jpg\n']
s57679936_4,p12074041,s57679936,4,Findings,"As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation. The transparency of the lung parenchyma on the right has increased more than on the left. On the left, there are unchanged areas of left basal atelectasis and a moderate left pleural effusion. Borderline size of the cardiac silhouette. No newly appeared parenchymal opacities.","On the left, there are unchanged areas of left basal atelectasis and a moderate left pleural effusion.",pleural effusion,left,Stable,['files/p12/p12074041/s57679936/467d9162-e7cce16e-70dfaa79-1867728f-1db6394e.jpg'],['files/p12/p12074041/s56502688/765fd687-06776030-fe337975-2739eab4-decbb9c2.jpg\n']
s57679936_4,p12074041,s57679936,4,Findings,"As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation. The transparency of the lung parenchyma on the right has increased more than on the left. On the left, there are unchanged areas of left basal atelectasis and a moderate left pleural effusion. Borderline size of the cardiac silhouette. No newly appeared parenchymal opacities.","On the left, there are unchanged areas of left basal atelectasis and a moderate left pleural effusion.",atelectasis,left basal,Stable,['files/p12/p12074041/s57679936/467d9162-e7cce16e-70dfaa79-1867728f-1db6394e.jpg'],['files/p12/p12074041/s56502688/765fd687-06776030-fe337975-2739eab4-decbb9c2.jpg\n']
s57681546_2,p15378103,s57681546,2,Findings,"As compared to the previous radiograph, the right and left pleural effusions are virtually unchanged. They are mild-to-moderate in extent. The effusions are at the source of bilateral areas of compression atelectasis. Unchanged borderline size of the cardiac silhouette. No evidence of pneumonia. Unchanged right internal jugular vein catheter and left pectoral pacemaker. No pneumothorax.","As compared to the previous radiograph, the right and left pleural effusions are virtually unchanged.",Effusion,Right pleural,Stable,"['files/p15/p15378103/s57681546/1f7d224a-19e6cfa7-5627f007-83212a22-be1faf67.jpg', 'files/p15/p15378103/s57681546/2903a316-1b126454-7e0b846a-69d68d8d-3ad19da0.jpg', 'files/p15/p15378103/s57681546/48196050-c2ee8146-8c4ad047-a5c48df8-6412365d.jpg']",['files/p15/p15378103/s57432088/e18e6623-ee725070-b05a75c1-a11fea0c-9d3f0868.jpg\n']
s57681546_2,p15378103,s57681546,2,Findings,"As compared to the previous radiograph, the right and left pleural effusions are virtually unchanged. They are mild-to-moderate in extent. The effusions are at the source of bilateral areas of compression atelectasis. Unchanged borderline size of the cardiac silhouette. No evidence of pneumonia. Unchanged right internal jugular vein catheter and left pectoral pacemaker. No pneumothorax.","As compared to the previous radiograph, the right and left pleural effusions are virtually unchanged.",Effusion,Left pleural,Stable,"['files/p15/p15378103/s57681546/1f7d224a-19e6cfa7-5627f007-83212a22-be1faf67.jpg', 'files/p15/p15378103/s57681546/2903a316-1b126454-7e0b846a-69d68d8d-3ad19da0.jpg', 'files/p15/p15378103/s57681546/48196050-c2ee8146-8c4ad047-a5c48df8-6412365d.jpg']",['files/p15/p15378103/s57432088/e18e6623-ee725070-b05a75c1-a11fea0c-9d3f0868.jpg\n']
s57681546_2,p15378103,s57681546,2,Findings,"As compared to the previous radiograph, the right and left pleural effusions are virtually unchanged. They are mild-to-moderate in extent. The effusions are at the source of bilateral areas of compression atelectasis. Unchanged borderline size of the cardiac silhouette. No evidence of pneumonia. Unchanged right internal jugular vein catheter and left pectoral pacemaker. No pneumothorax.",Unchanged borderline size of the cardiac silhouette.,Borderline size,Cardiac silhouette,Stable,"['files/p15/p15378103/s57681546/1f7d224a-19e6cfa7-5627f007-83212a22-be1faf67.jpg', 'files/p15/p15378103/s57681546/2903a316-1b126454-7e0b846a-69d68d8d-3ad19da0.jpg', 'files/p15/p15378103/s57681546/48196050-c2ee8146-8c4ad047-a5c48df8-6412365d.jpg']",['files/p15/p15378103/s57432088/e18e6623-ee725070-b05a75c1-a11fea0c-9d3f0868.jpg\n']
s57681546_2,p15378103,s57681546,2,Findings,"As compared to the previous radiograph, the right and left pleural effusions are virtually unchanged. They are mild-to-moderate in extent. The effusions are at the source of bilateral areas of compression atelectasis. Unchanged borderline size of the cardiac silhouette. No evidence of pneumonia. Unchanged right internal jugular vein catheter and left pectoral pacemaker. No pneumothorax.",Unchanged right internal jugular vein catheter and left pectoral pacemaker.,Catheter,Right internal jugular vein,Stable,"['files/p15/p15378103/s57681546/1f7d224a-19e6cfa7-5627f007-83212a22-be1faf67.jpg', 'files/p15/p15378103/s57681546/2903a316-1b126454-7e0b846a-69d68d8d-3ad19da0.jpg', 'files/p15/p15378103/s57681546/48196050-c2ee8146-8c4ad047-a5c48df8-6412365d.jpg']",['files/p15/p15378103/s57432088/e18e6623-ee725070-b05a75c1-a11fea0c-9d3f0868.jpg\n']
s57681546_2,p15378103,s57681546,2,Findings,"As compared to the previous radiograph, the right and left pleural effusions are virtually unchanged. They are mild-to-moderate in extent. The effusions are at the source of bilateral areas of compression atelectasis. Unchanged borderline size of the cardiac silhouette. No evidence of pneumonia. Unchanged right internal jugular vein catheter and left pectoral pacemaker. No pneumothorax.",Unchanged right internal jugular vein catheter and left pectoral pacemaker.,Pacemaker,Left pectoral,Stable,"['files/p15/p15378103/s57681546/1f7d224a-19e6cfa7-5627f007-83212a22-be1faf67.jpg', 'files/p15/p15378103/s57681546/2903a316-1b126454-7e0b846a-69d68d8d-3ad19da0.jpg', 'files/p15/p15378103/s57681546/48196050-c2ee8146-8c4ad047-a5c48df8-6412365d.jpg']",['files/p15/p15378103/s57432088/e18e6623-ee725070-b05a75c1-a11fea0c-9d3f0868.jpg\n']
s57686985_3,p16848073,s57686985,3,Findings,"There has been interval increase in the pulmonary edema, greater on the right than on the left. There are bilateral small pleural effusions with compressive atelectasis. There is stable widening of the mediastinum. A right chest tube is seen and unchanged from the prior exams. There are multiple overlying wires. The cardiomediastinal silhouette is unchanged.","There has been interval increase in the pulmonary edema, greater on the right than on the left.",pulmonary edema,right than on the left,Worse,['files/p16/p16848073/s57686985/760376cf-c8d2ce52-f0bcb949-d108c9d1-49df600a.jpg'],['files/p16/p16848073/s57279525/414e1798-ab5aec7c-6beacfd6-c951f535-2bc666eb.jpg\n']
s57686985_3,p16848073,s57686985,3,Impression,"1. Worsening of the patient's pulmonary edema, more severe on the right than on the left. 2. Bibasilar pleural effusions with compressive atelectasis.","Worsening of the patient's pulmonary edema, more severe on the right than on the left.",pulmonary edema,right than on the left,Worse,['files/p16/p16848073/s57686985/760376cf-c8d2ce52-f0bcb949-d108c9d1-49df600a.jpg'],['files/p16/p16848073/s57279525/414e1798-ab5aec7c-6beacfd6-c951f535-2bc666eb.jpg\n']
s57686985_3,p16848073,s57686985,3,Findings,"There has been interval increase in the pulmonary edema, greater on the right than on the left. There are bilateral small pleural effusions with compressive atelectasis. There is stable widening of the mediastinum. A right chest tube is seen and unchanged from the prior exams. There are multiple overlying wires. The cardiomediastinal silhouette is unchanged.",The cardiomediastinal silhouette is unchanged.,cardiomediastinal silhouette,,Stable,['files/p16/p16848073/s57686985/760376cf-c8d2ce52-f0bcb949-d108c9d1-49df600a.jpg'],['files/p16/p16848073/s57279525/414e1798-ab5aec7c-6beacfd6-c951f535-2bc666eb.jpg\n']
s57686985_3,p16848073,s57686985,3,Findings,"There has been interval increase in the pulmonary edema, greater on the right than on the left. There are bilateral small pleural effusions with compressive atelectasis. There is stable widening of the mediastinum. A right chest tube is seen and unchanged from the prior exams. There are multiple overlying wires. The cardiomediastinal silhouette is unchanged.",There is stable widening of the mediastinum.,widening of the mediastinum,,Stable,['files/p16/p16848073/s57686985/760376cf-c8d2ce52-f0bcb949-d108c9d1-49df600a.jpg'],['files/p16/p16848073/s57279525/414e1798-ab5aec7c-6beacfd6-c951f535-2bc666eb.jpg\n']
s57686985_3,p16848073,s57686985,3,Findings,"There has been interval increase in the pulmonary edema, greater on the right than on the left. There are bilateral small pleural effusions with compressive atelectasis. There is stable widening of the mediastinum. A right chest tube is seen and unchanged from the prior exams. There are multiple overlying wires. The cardiomediastinal silhouette is unchanged.",A right chest tube is seen and unchanged from the prior exams.,tube,right chest,Stable,['files/p16/p16848073/s57686985/760376cf-c8d2ce52-f0bcb949-d108c9d1-49df600a.jpg'],['files/p16/p16848073/s57279525/414e1798-ab5aec7c-6beacfd6-c951f535-2bc666eb.jpg\n']
s57693388_22,p14841168,s57693388,22,Impression,"1. Right internal jugular dual-lumen large-bore catheter unchanged in position with the tip in the right atrium. Overall, cardiac and mediastinal contours are stably enlarged given patient's rotation. Lung volumes are diminished. There is perihilar fullness and indistinctness of the pulmonary vasculature which would favor pulmonary edema rather than an acute infectious process. However, clinical correlation would be advised as this could reflect an atypical infection. No large effusions. No pneumothorax.",1. Right internal jugular dual-lumen large-bore catheter unchanged in position with the tip in the right atrium.,Dual-lumen large-bore catheter,Right internal jugular,Stable,['files/p14/p14841168/s57693388/0ac866f1-b3bfe12a-db469934-8e3130a5-407a9e34.jpg'],"['files/p14/p14841168/s57041570/306bc295-0e5c4259-e24a442d-9b2483b1-6478ee28.jpg\n', 'files/p14/p14841168/s57041570/4581429d-cfeddd82-c5fe4954-afb7ecc0-cf292c08.jpg\n', 'files/p14/p14841168/s57041570/cd4c13d7-949c45ee-8508ec30-c9fed36f-bea3a8f6.jpg\n']"
s57693388_22,p14841168,s57693388,22,Impression,"1. Right internal jugular dual-lumen large-bore catheter unchanged in position with the tip in the right atrium. Overall, cardiac and mediastinal contours are stably enlarged given patient's rotation. Lung volumes are diminished. There is perihilar fullness and indistinctness of the pulmonary vasculature which would favor pulmonary edema rather than an acute infectious process. However, clinical correlation would be advised as this could reflect an atypical infection. No large effusions. No pneumothorax.","Overall, cardiac and mediastinal contours are stably enlarged given patient's rotation.",Enlargement,Cardiac and mediastinal contours,Stable,['files/p14/p14841168/s57693388/0ac866f1-b3bfe12a-db469934-8e3130a5-407a9e34.jpg'],"['files/p14/p14841168/s57041570/306bc295-0e5c4259-e24a442d-9b2483b1-6478ee28.jpg\n', 'files/p14/p14841168/s57041570/4581429d-cfeddd82-c5fe4954-afb7ecc0-cf292c08.jpg\n', 'files/p14/p14841168/s57041570/cd4c13d7-949c45ee-8508ec30-c9fed36f-bea3a8f6.jpg\n']"
s57695180_28,p10933609,s57695180,28,Impression,Improving right upper lobe pneumonia and increasing left lung opacity concerning for worsening or new pneumonia.,Improving right upper lobe pneumonia and increasing left lung opacity concerning for worsening or new pneumonia.,opacity,left lung,Worse,['files/p10/p10933609/s57695180/c11514bb-319a3161-c0c85326-68094c62-0220f4f4.jpg'],"['files/p10/p10933609/s57629869/68fe8811-11486a87-1a63faec-cbde0858-b889b677.jpg\n', 'files/p10/p10933609/s57629869/93894f42-2000f601-7b1944a8-7c4c0711-3d3a2a9b.jpg\n']"
s57695180_28,p10933609,s57695180,28,Findings,The heart size is within normal limits. Mediastinal and hilar contours are normal. The previously described resolving right upper lobe pneumonia has improved. There is increasing density over most of the left lung with a small left-sided pleural effusion. There is no pneumothorax. Anchors are present within the right glenoid.,There is increasing density over most of the left lung with a small left-sided pleural effusion.,density,left lung,Worse,['files/p10/p10933609/s57695180/c11514bb-319a3161-c0c85326-68094c62-0220f4f4.jpg'],"['files/p10/p10933609/s57629869/68fe8811-11486a87-1a63faec-cbde0858-b889b677.jpg\n', 'files/p10/p10933609/s57629869/93894f42-2000f601-7b1944a8-7c4c0711-3d3a2a9b.jpg\n']"
s57695180_28,p10933609,s57695180,28,Findings,The heart size is within normal limits. Mediastinal and hilar contours are normal. The previously described resolving right upper lobe pneumonia has improved. There is increasing density over most of the left lung with a small left-sided pleural effusion. There is no pneumothorax. Anchors are present within the right glenoid.,The previously described resolving right upper lobe pneumonia has improved.,pneumonia,right upper lobe,Better,['files/p10/p10933609/s57695180/c11514bb-319a3161-c0c85326-68094c62-0220f4f4.jpg'],"['files/p10/p10933609/s57629869/68fe8811-11486a87-1a63faec-cbde0858-b889b677.jpg\n', 'files/p10/p10933609/s57629869/93894f42-2000f601-7b1944a8-7c4c0711-3d3a2a9b.jpg\n']"
s57723077_8,p16050730,s57723077,8,Impression,Comparison ___. No relevant change. Low lung volumes with moderate cardiomegaly and mild pulmonary edema. No pleural effusions. No pneumonia. Moderate scoliosis with asymmetry of the ribcage.,Comparison ___. No relevant change.,,,Stable,['files/p16/p16050730/s57723077/d4dae1e3-f77d7d94-06b441f0-f5f8ffab-230cd387.jpg'],"['files/p16/p16050730/s57637607/4ea64f59-3502fca0-7099d35c-d3856d7b-d2a2d354.jpg\n', 'files/p16/p16050730/s57637607/9b148afe-84b1cee1-f5157098-7afc39cf-7d78784c.jpg\n', 'files/p16/p16050730/s57637607/adb48138-344feb7e-14e31d10-2639c54e-0b5a95d7.jpg\n']"
s57723670_8,p11474065,s57723670,8,Impression,"PA and lateral chest, ___: Previous right pleural thickening is improving, following tracheobronchoplasty via right thoracotomy. Posterior rib osteotomy, unchanged in relative position. Normal postoperative cardiomediastinal silhouette, including borderline cardiomegaly predating surgery. Lungs grossly clear. Lateral view shows prior cementoplasty, vertebral bodies thoracolumbar spine.","Posterior rib osteotomy, unchanged in relative position.",osteotomy,posterior rib,Stable,"['files/p11/p11474065/s57723670/44e39617-0b754c0a-b33e2351-0b5e42aa-f45409ab.jpg', 'files/p11/p11474065/s57723670/965cab94-dee35b99-bf9616fc-1707a75d-e2368901.jpg']","['files/p11/p11474065/s57174042/0a8acf4e-79fa1809-f8cb320e-ec64a315-52784159.jpg\n', 'files/p11/p11474065/s57174042/ecfe9bc7-52442f98-d8c652c2-2bb1c376-760a9f86.jpg\n']"
s57723670_8,p11474065,s57723670,8,Impression,"PA and lateral chest, ___: Previous right pleural thickening is improving, following tracheobronchoplasty via right thoracotomy. Posterior rib osteotomy, unchanged in relative position. Normal postoperative cardiomediastinal silhouette, including borderline cardiomegaly predating surgery. Lungs grossly clear. Lateral view shows prior cementoplasty, vertebral bodies thoracolumbar spine.","PA and lateral chest, ___: Previous right pleural thickening is improving, following tracheobronchoplasty via right thoracotomy.",pleural thickening,right,Better,"['files/p11/p11474065/s57723670/44e39617-0b754c0a-b33e2351-0b5e42aa-f45409ab.jpg', 'files/p11/p11474065/s57723670/965cab94-dee35b99-bf9616fc-1707a75d-e2368901.jpg']","['files/p11/p11474065/s57174042/0a8acf4e-79fa1809-f8cb320e-ec64a315-52784159.jpg\n', 'files/p11/p11474065/s57174042/ecfe9bc7-52442f98-d8c652c2-2bb1c376-760a9f86.jpg\n']"
s57723725_0,p11204646,s57723725,0,Findings,"Comparison is made with a study of ___; the area of opacification at the right base posteriorly has increased, consistent with worsening pleural effusion and underlying compressive atelectasis. Cardiac silhouette has increased in size. However, there is no convincing evidence of pulmonary vascular congestion or acute focal pneumonia.","Comparison is made with a study of ___; the area of opacification at the right base posteriorly has increased, consistent with worsening pleural effusion and underlying compressive atelectasis.",pleural effusion,right base posteriorly,Worse,"['files/p11/p11204646/s57723725/1710507d-4caf495d-3a6908d5-77eba722-c11ac743.jpg', 'files/p11/p11204646/s57723725/b2855116-21f3ef34-de39228a-025ede5f-c01ed432.jpg']",['files/p11/p11204646/s57013017/70c5d38c-8e98476f-411c89a0-7a50a63c-df1c40fb.jpg\n']
s57723725_0,p11204646,s57723725,0,Findings,"Comparison is made with a study of ___; the area of opacification at the right base posteriorly has increased, consistent with worsening pleural effusion and underlying compressive atelectasis. Cardiac silhouette has increased in size. However, there is no convincing evidence of pulmonary vascular congestion or acute focal pneumonia.","Comparison is made with a study of ___; the area of opacification at the right base posteriorly has increased, consistent with worsening pleural effusion and underlying compressive atelectasis.",compressive atelectasis,right base posteriorly,Worse,"['files/p11/p11204646/s57723725/1710507d-4caf495d-3a6908d5-77eba722-c11ac743.jpg', 'files/p11/p11204646/s57723725/b2855116-21f3ef34-de39228a-025ede5f-c01ed432.jpg']",['files/p11/p11204646/s57013017/70c5d38c-8e98476f-411c89a0-7a50a63c-df1c40fb.jpg\n']
s57723725_0,p11204646,s57723725,0,Findings,"Comparison is made with a study of ___; the area of opacification at the right base posteriorly has increased, consistent with worsening pleural effusion and underlying compressive atelectasis. Cardiac silhouette has increased in size. However, there is no convincing evidence of pulmonary vascular congestion or acute focal pneumonia.",Cardiac silhouette has increased in size.,Cardiac silhouette size,,Worse,"['files/p11/p11204646/s57723725/1710507d-4caf495d-3a6908d5-77eba722-c11ac743.jpg', 'files/p11/p11204646/s57723725/b2855116-21f3ef34-de39228a-025ede5f-c01ed432.jpg']",['files/p11/p11204646/s57013017/70c5d38c-8e98476f-411c89a0-7a50a63c-df1c40fb.jpg\n']
s57731696_40,p14841168,s57731696,40,Impression,Comparison to ___. Unchanged monitoring and support devices that are all in correct position. Moderate cardiomegaly persists. A fissure oral fluid accumulation on the right has completely resolved. Left retrocardiac atelectasis and potential minimal left pleural effusion is stable. Mild fluid overload is unchanged.,Left retrocardiac atelectasis and potential minimal left pleural effusion is stable.,pleural effusion,left,Stable,['files/p14/p14841168/s57731696/ebaf1946-49389902-bfa1191f-e932bc43-ece7d70d.jpg'],['files/p14/p14841168/s57693388/0ac866f1-b3bfe12a-db469934-8e3130a5-407a9e34.jpg\n']
s57731696_40,p14841168,s57731696,40,Impression,Comparison to ___. Unchanged monitoring and support devices that are all in correct position. Moderate cardiomegaly persists. A fissure oral fluid accumulation on the right has completely resolved. Left retrocardiac atelectasis and potential minimal left pleural effusion is stable. Mild fluid overload is unchanged.,Mild fluid overload is unchanged.,fluid overload,,Stable,['files/p14/p14841168/s57731696/ebaf1946-49389902-bfa1191f-e932bc43-ece7d70d.jpg'],['files/p14/p14841168/s57693388/0ac866f1-b3bfe12a-db469934-8e3130a5-407a9e34.jpg\n']
s57731696_40,p14841168,s57731696,40,Impression,Comparison to ___. Unchanged monitoring and support devices that are all in correct position. Moderate cardiomegaly persists. A fissure oral fluid accumulation on the right has completely resolved. Left retrocardiac atelectasis and potential minimal left pleural effusion is stable. Mild fluid overload is unchanged.,Moderate cardiomegaly persists.,cardiomegaly,,Stable,['files/p14/p14841168/s57731696/ebaf1946-49389902-bfa1191f-e932bc43-ece7d70d.jpg'],['files/p14/p14841168/s57693388/0ac866f1-b3bfe12a-db469934-8e3130a5-407a9e34.jpg\n']
s57731696_40,p14841168,s57731696,40,Impression,Comparison to ___. Unchanged monitoring and support devices that are all in correct position. Moderate cardiomegaly persists. A fissure oral fluid accumulation on the right has completely resolved. Left retrocardiac atelectasis and potential minimal left pleural effusion is stable. Mild fluid overload is unchanged.,Comparison to ___. Unchanged monitoring and support devices that are all in correct position.,monitoring and support devices,correct,Stable,['files/p14/p14841168/s57731696/ebaf1946-49389902-bfa1191f-e932bc43-ece7d70d.jpg'],['files/p14/p14841168/s57693388/0ac866f1-b3bfe12a-db469934-8e3130a5-407a9e34.jpg\n']
s57731696_40,p14841168,s57731696,40,Impression,Comparison to ___. Unchanged monitoring and support devices that are all in correct position. Moderate cardiomegaly persists. A fissure oral fluid accumulation on the right has completely resolved. Left retrocardiac atelectasis and potential minimal left pleural effusion is stable. Mild fluid overload is unchanged.,A fissure oral fluid accumulation on the right has completely resolved.,fissure oral fluid accumulation,right,Resolve,['files/p14/p14841168/s57731696/ebaf1946-49389902-bfa1191f-e932bc43-ece7d70d.jpg'],['files/p14/p14841168/s57693388/0ac866f1-b3bfe12a-db469934-8e3130a5-407a9e34.jpg\n']
s57731696_40,p14841168,s57731696,40,Impression,Comparison to ___. Unchanged monitoring and support devices that are all in correct position. Moderate cardiomegaly persists. A fissure oral fluid accumulation on the right has completely resolved. Left retrocardiac atelectasis and potential minimal left pleural effusion is stable. Mild fluid overload is unchanged.,Left retrocardiac atelectasis and potential minimal left pleural effusion is stable.,atelectasis,left retrocardiac,Stable,['files/p14/p14841168/s57731696/ebaf1946-49389902-bfa1191f-e932bc43-ece7d70d.jpg'],['files/p14/p14841168/s57693388/0ac866f1-b3bfe12a-db469934-8e3130a5-407a9e34.jpg\n']
s57732352_12,p11022245,s57732352,12,Impression,"Comparison to ___, 18:21. The position of the right PICC line and of the endotracheal tube are stable and correct. The tip of the endotracheal tube projects approximately 5 cm above the carina. Increasing areas of right basal and left retrocardiac atelectasis. Otherwise unchanged radiographic appearance of the lung and of the heart.",Increasing areas of right basal and left retrocardiac atelectasis.,atelectasis,right basal,Worse,['files/p11/p11022245/s57732352/7c113cab-8f9bee61-2b8ef272-d3fb769c-21b9dd1c.jpg'],"['files/p11/p11022245/s57185571/a3539c79-41479e80-4150d89e-96e86692-6876133e.jpg\n', 'files/p11/p11022245/s57185571/c2ace888-d3f68f82-2d5b5dd6-07dc85c9-327c4bce.jpg\n']"
s57732352_12,p11022245,s57732352,12,Impression,"Comparison to ___, 18:21. The position of the right PICC line and of the endotracheal tube are stable and correct. The tip of the endotracheal tube projects approximately 5 cm above the carina. Increasing areas of right basal and left retrocardiac atelectasis. Otherwise unchanged radiographic appearance of the lung and of the heart.",The position of the right PICC line and of the endotracheal tube are stable and correct.,endotracheal tube,,Stable,['files/p11/p11022245/s57732352/7c113cab-8f9bee61-2b8ef272-d3fb769c-21b9dd1c.jpg'],"['files/p11/p11022245/s57185571/a3539c79-41479e80-4150d89e-96e86692-6876133e.jpg\n', 'files/p11/p11022245/s57185571/c2ace888-d3f68f82-2d5b5dd6-07dc85c9-327c4bce.jpg\n']"
s57732352_12,p11022245,s57732352,12,Impression,"Comparison to ___, 18:21. The position of the right PICC line and of the endotracheal tube are stable and correct. The tip of the endotracheal tube projects approximately 5 cm above the carina. Increasing areas of right basal and left retrocardiac atelectasis. Otherwise unchanged radiographic appearance of the lung and of the heart.",The position of the right PICC line and of the endotracheal tube are stable and correct.,PICC line,right,Stable,['files/p11/p11022245/s57732352/7c113cab-8f9bee61-2b8ef272-d3fb769c-21b9dd1c.jpg'],"['files/p11/p11022245/s57185571/a3539c79-41479e80-4150d89e-96e86692-6876133e.jpg\n', 'files/p11/p11022245/s57185571/c2ace888-d3f68f82-2d5b5dd6-07dc85c9-327c4bce.jpg\n']"
s57732352_12,p11022245,s57732352,12,Impression,"Comparison to ___, 18:21. The position of the right PICC line and of the endotracheal tube are stable and correct. The tip of the endotracheal tube projects approximately 5 cm above the carina. Increasing areas of right basal and left retrocardiac atelectasis. Otherwise unchanged radiographic appearance of the lung and of the heart.",Increasing areas of right basal and left retrocardiac atelectasis.,atelectasis,left retrocardiac,Worse,['files/p11/p11022245/s57732352/7c113cab-8f9bee61-2b8ef272-d3fb769c-21b9dd1c.jpg'],"['files/p11/p11022245/s57185571/a3539c79-41479e80-4150d89e-96e86692-6876133e.jpg\n', 'files/p11/p11022245/s57185571/c2ace888-d3f68f82-2d5b5dd6-07dc85c9-327c4bce.jpg\n']"
s57732352_12,p11022245,s57732352,12,Impression,"Comparison to ___, 18:21. The position of the right PICC line and of the endotracheal tube are stable and correct. The tip of the endotracheal tube projects approximately 5 cm above the carina. Increasing areas of right basal and left retrocardiac atelectasis. Otherwise unchanged radiographic appearance of the lung and of the heart.",Otherwise unchanged radiographic appearance of the lung and of the heart.,lung,,Stable,['files/p11/p11022245/s57732352/7c113cab-8f9bee61-2b8ef272-d3fb769c-21b9dd1c.jpg'],"['files/p11/p11022245/s57185571/a3539c79-41479e80-4150d89e-96e86692-6876133e.jpg\n', 'files/p11/p11022245/s57185571/c2ace888-d3f68f82-2d5b5dd6-07dc85c9-327c4bce.jpg\n']"
s57732352_12,p11022245,s57732352,12,Impression,"Comparison to ___, 18:21. The position of the right PICC line and of the endotracheal tube are stable and correct. The tip of the endotracheal tube projects approximately 5 cm above the carina. Increasing areas of right basal and left retrocardiac atelectasis. Otherwise unchanged radiographic appearance of the lung and of the heart.",Otherwise unchanged radiographic appearance of the lung and of the heart.,heart,,Stable,['files/p11/p11022245/s57732352/7c113cab-8f9bee61-2b8ef272-d3fb769c-21b9dd1c.jpg'],"['files/p11/p11022245/s57185571/a3539c79-41479e80-4150d89e-96e86692-6876133e.jpg\n', 'files/p11/p11022245/s57185571/c2ace888-d3f68f82-2d5b5dd6-07dc85c9-327c4bce.jpg\n']"
s57734204_12,p16751749,s57734204,12,Findings,"As compared to the previous radiograph, there is no relevant change. The extensive right lower lung opacity and the opacity along the right chest tube are constant. Massive air collection in the soft tissues, leading to dissection into muscle tissue and subsequent display of multiple linear structures. There is no currently obvious pneumothorax. Unchanged position of the monitoring and support devices, with exception of the nasogastric tube that has been removed in the interval. Unchanged small cardiac silhouette.","As compared to the previous radiograph, there is no relevant change. The extensive right lower lung opacity and the opacity along the right chest tube are constant. Massive air collection in the soft tissues, leading to dissection into muscle tissue and subsequent display of multiple linear structures. There is no currently obvious pneumothorax. Unchanged position of the monitoring and support devices, with exception of the nasogastric tube that has been removed in the interval. Unchanged small cardiac silhouette.",cardiac silhouette,small,Stable,['files/p16/p16751749/s57734204/b4cdbc46-c91c088a-014cfd36-cf752c93-ee08be9e.jpg'],['files/p16/p16751749/s57505283/4ac477ad-67469958-ec8c37e7-547c1f59-9a0137e7.jpg\n']
s57734204_12,p16751749,s57734204,12,Findings,"As compared to the previous radiograph, there is no relevant change. The extensive right lower lung opacity and the opacity along the right chest tube are constant. Massive air collection in the soft tissues, leading to dissection into muscle tissue and subsequent display of multiple linear structures. There is no currently obvious pneumothorax. Unchanged position of the monitoring and support devices, with exception of the nasogastric tube that has been removed in the interval. Unchanged small cardiac silhouette.","As compared to the previous radiograph, there is no relevant change. The extensive right lower lung opacity and the opacity along the right chest tube are constant. Massive air collection in the soft tissues, leading to dissection into muscle tissue and subsequent display of multiple linear structures. There is no currently obvious pneumothorax. Unchanged position of the monitoring and support devices, with exception of the nasogastric tube that has been removed in the interval. Unchanged small cardiac silhouette.",opacity,along the right chest tube,Stable,['files/p16/p16751749/s57734204/b4cdbc46-c91c088a-014cfd36-cf752c93-ee08be9e.jpg'],['files/p16/p16751749/s57505283/4ac477ad-67469958-ec8c37e7-547c1f59-9a0137e7.jpg\n']
s57734204_12,p16751749,s57734204,12,Findings,"As compared to the previous radiograph, there is no relevant change. The extensive right lower lung opacity and the opacity along the right chest tube are constant. Massive air collection in the soft tissues, leading to dissection into muscle tissue and subsequent display of multiple linear structures. There is no currently obvious pneumothorax. Unchanged position of the monitoring and support devices, with exception of the nasogastric tube that has been removed in the interval. Unchanged small cardiac silhouette.","As compared to the previous radiograph, there is no relevant change. The extensive right lower lung opacity and the opacity along the right chest tube are constant. Massive air collection in the soft tissues, leading to dissection into muscle tissue and subsequent display of multiple linear structures. There is no currently obvious pneumothorax. Unchanged position of the monitoring and support devices, with exception of the nasogastric tube that has been removed in the interval. Unchanged small cardiac silhouette.",opacity,right lower lung,Stable,['files/p16/p16751749/s57734204/b4cdbc46-c91c088a-014cfd36-cf752c93-ee08be9e.jpg'],['files/p16/p16751749/s57505283/4ac477ad-67469958-ec8c37e7-547c1f59-9a0137e7.jpg\n']
s57735649_33,p14851532,s57735649,33,Impression,There is no pulmonary edema. Pneumonia in the superior segment left lower lobe is continuing to resolve. There is no pneumothorax or pleural effusion. Hyperinflation indicates emphysema. Patient has had sternectomy.,Pneumonia in the superior segment left lower lobe is continuing to resolve.,Pneumonia,superior segment left lower lobe,Resolve,"['files/p14/p14851532/s57735649/5ed57121-75e45b45-cfdc4f14-e8706b9a-5413f693.jpg', 'files/p14/p14851532/s57735649/a00c5eda-527b1e68-7211aba6-7c9865f7-163077ce.jpg']",['files/p14/p14851532/s57629170/7fa40636-0f1e59a3-7231587d-33eea7f2-79d6fae8.jpg\n']
s57739082_11,p16853729,s57739082,11,Findings,"AP and lateral views of the chest. Moderate cardiomegaly is stable. Widened mediastinum with tortuous aorta is unchanged. There is mild pulmonary vascular congestion, but no overt edema. No focal consolidation identified. No pneumothorax.",Moderate cardiomegaly is stable.,Moderate cardiomegaly,,Stable,"['files/p16/p16853729/s57739082/5e587c3b-2593ff0d-f7ac821e-4955e532-83ba9419.jpg', 'files/p16/p16853729/s57739082/8474d7b8-cceb51a2-16c0d6b2-f075f46e-38670c7f.jpg']","['files/p16/p16853729/s57605154/d41d33f4-a726cd71-186c6cd2-c223bd2f-69f4ff76.jpg\n', 'files/p16/p16853729/s57605154/d5aa0315-53869b6c-10151e97-c12a5f0f-d369e178.jpg\n']"
s57739082_11,p16853729,s57739082,11,Findings,"AP and lateral views of the chest. Moderate cardiomegaly is stable. Widened mediastinum with tortuous aorta is unchanged. There is mild pulmonary vascular congestion, but no overt edema. No focal consolidation identified. No pneumothorax.",Widened mediastinum with tortuous aorta is unchanged.,Widened mediastinum with tortuous aorta,mediastinum,Stable,"['files/p16/p16853729/s57739082/5e587c3b-2593ff0d-f7ac821e-4955e532-83ba9419.jpg', 'files/p16/p16853729/s57739082/8474d7b8-cceb51a2-16c0d6b2-f075f46e-38670c7f.jpg']","['files/p16/p16853729/s57605154/d41d33f4-a726cd71-186c6cd2-c223bd2f-69f4ff76.jpg\n', 'files/p16/p16853729/s57605154/d5aa0315-53869b6c-10151e97-c12a5f0f-d369e178.jpg\n']"
s57740891_3,p14147787,s57740891,3,Findings,"In comparison with study of ___, there are fibronodular changes again seen in the upper zones, consistent with the clinical diagnosis of sarcoidosis. No evidence of acute focal pneumonia, vascular congestion, or pleural effusion.","In comparison with study of ___, there are fibronodular changes again seen in the upper zones, consistent with the clinical diagnosis of sarcoidosis.",fibronodular changes,upper zones,Worse,"['files/p14/p14147787/s57740891/2dc27a6d-9d62459e-eef90f06-12476084-4978f0c6.jpg', 'files/p14/p14147787/s57740891/5758677b-81333edd-2eafbc17-012681ec-83ab1ff4.jpg', 'files/p14/p14147787/s57740891/f8355430-64704941-eeb44da9-4b52d4e6-371c314e.jpg']","['files/p14/p14147787/s57273035/81de7e80-2edbbb8d-79fc1894-47b63c05-3f9372d4.jpg\n', 'files/p14/p14147787/s57273035/aca6b155-68b90055-1f93177b-66da5efe-169cd50e.jpg\n', 'files/p14/p14147787/s57273035/c4454802-d86577e1-c6a22cd3-a0842a51-45e55746.jpg\n', 'files/p14/p14147787/s57273035/f49a5c67-16a3099a-af9b9179-d534ad5a-c4a5e8cf.jpg\n']"
s57746739_1,p18110020,s57746739,1,Impression,"Marked thoracolumbar scoliosis which markedly distorts the appearance of the thoracic cavity. However, given differences in positioning between studies, the lungs remain clear. No pulmonary edema or pleural effusions are appreciated. Overall, cardiac size is stable. Scattered air is seen in nondistended loops of bowel.","Overall, cardiac size is stable.",Cardiac size,,Stable,['files/p18/p18110020/s57746739/5f26481a-d3858281-c46fc79d-2f850d48-53f84f5d.jpg'],['files/p18/p18110020/s57554917/6235b1fc-c21d03f8-be2bbeff-8fe43d75-2e28779b.jpg\n']
s57746739_1,p18110020,s57746739,1,Impression,"Marked thoracolumbar scoliosis which markedly distorts the appearance of the thoracic cavity. However, given differences in positioning between studies, the lungs remain clear. No pulmonary edema or pleural effusions are appreciated. Overall, cardiac size is stable. Scattered air is seen in nondistended loops of bowel.","However, given differences in positioning between studies, the lungs remain clear.",Clear lungs,Bilateral,Stable,['files/p18/p18110020/s57746739/5f26481a-d3858281-c46fc79d-2f850d48-53f84f5d.jpg'],['files/p18/p18110020/s57554917/6235b1fc-c21d03f8-be2bbeff-8fe43d75-2e28779b.jpg\n']
s57752575_6,p16672854,s57752575,6,Findings,The patient is status post median sternotomy and CABG. The heart size remains moderately enlarged. The mediastinal contour is unremarkable and unchanged. Mild pulmonary vascular congestion is improved compared to the previous exam. Retrocardiac streaky opacity likely reflects atelectasis. Blunting of the right costophrenic sulcus suggests that there may be a trace pleural effusion. No pneumothorax is identified. Degenerative changes of the right glenohumeral joint with joint space narrowing and osteophytic spurring is present.,The heart size remains moderately enlarged.,heart size,,Stable,['files/p16/p16672854/s57752575/3478fd3c-a34b3e6d-0a9a1cf3-726cb9cd-ec1381aa.jpg'],['files/p16/p16672854/s57282583/350c270f-70f4a764-33a53729-ec529c84-cd886aa9.jpg\n']
s57752575_6,p16672854,s57752575,6,Findings,The patient is status post median sternotomy and CABG. The heart size remains moderately enlarged. The mediastinal contour is unremarkable and unchanged. Mild pulmonary vascular congestion is improved compared to the previous exam. Retrocardiac streaky opacity likely reflects atelectasis. Blunting of the right costophrenic sulcus suggests that there may be a trace pleural effusion. No pneumothorax is identified. Degenerative changes of the right glenohumeral joint with joint space narrowing and osteophytic spurring is present.,Mild pulmonary vascular congestion is improved compared to the previous exam.,pulmonary vascular congestion,,Better,['files/p16/p16672854/s57752575/3478fd3c-a34b3e6d-0a9a1cf3-726cb9cd-ec1381aa.jpg'],['files/p16/p16672854/s57282583/350c270f-70f4a764-33a53729-ec529c84-cd886aa9.jpg\n']
s57752575_6,p16672854,s57752575,6,Findings,The patient is status post median sternotomy and CABG. The heart size remains moderately enlarged. The mediastinal contour is unremarkable and unchanged. Mild pulmonary vascular congestion is improved compared to the previous exam. Retrocardiac streaky opacity likely reflects atelectasis. Blunting of the right costophrenic sulcus suggests that there may be a trace pleural effusion. No pneumothorax is identified. Degenerative changes of the right glenohumeral joint with joint space narrowing and osteophytic spurring is present.,The mediastinal contour is unremarkable and unchanged.,mediastinal contour,,Stable,['files/p16/p16672854/s57752575/3478fd3c-a34b3e6d-0a9a1cf3-726cb9cd-ec1381aa.jpg'],['files/p16/p16672854/s57282583/350c270f-70f4a764-33a53729-ec529c84-cd886aa9.jpg\n']
s57757467_0,p19991135,s57757467,0,Impression,"AP chest compared to ___: There is no pneumothorax, pleural effusion or evidence of hemorrhage in the lung or mediastinum. Emphysema is severe. Heart size is normal. The complex of nodule and large bullae in the axillary region of the right upper lobe is essentially unchanged.",The complex of nodule and large bullae in the axillary region of the right upper lobe is essentially unchanged.,nodule and large bullae,axillary region of the right upper lobe,Stable,['files/p19/p19991135/s57757467/727e2aa5-ddfdd2ff-b5723867-520a758e-c81ca8e2.jpg'],"['files/p19/p19991135/s57096024/3616a226-c86c9ea2-733dbb59-4b1530a0-ba7b25dc.jpg\n', 'files/p19/p19991135/s57096024/4998e40c-698af874-8c293856-85757f55-1a4817e4.jpg\n', 'files/p19/p19991135/s57096024/6e57e7d7-a4f8c909-e7540997-0280112e-14da108f.jpg\n']"
s57761141_4,p10867202,s57761141,4,Findings,"Lung volumes are reduced. Diffuse interstitial opacities most pronounced within the periphery and lung bases with architectural distortion are unchanged compared to the previous chest CT and compatible with chronic interstitial lung disease, previously characterized as UIP or fibrosing NSIP. Previously noted hazy opacities in both lungs has resolved. No new areas of focal consolidation are demonstrated. There is no pulmonary vascular congestion, pleural effusion or pneumothorax. Mild degenerative changes are noted in the thoracic spine. The cardiac and mediastinal contours are unchanged.",The cardiac and mediastinal contours are unchanged.,Cardiac and mediastinal contours,,Stable,"['files/p10/p10867202/s57761141/46b5b999-bd0dd08a-4756e4ca-de3d7098-494c0126.jpg', 'files/p10/p10867202/s57761141/62cd4342-77a1737e-da11be7c-6914655a-20dc273b.jpg']",['files/p10/p10867202/s57513198/a4d62fc4-613c998d-9a906778-5703a1a3-21507e30.jpg\n']
s57761141_4,p10867202,s57761141,4,Findings,"Lung volumes are reduced. Diffuse interstitial opacities most pronounced within the periphery and lung bases with architectural distortion are unchanged compared to the previous chest CT and compatible with chronic interstitial lung disease, previously characterized as UIP or fibrosing NSIP. Previously noted hazy opacities in both lungs has resolved. No new areas of focal consolidation are demonstrated. There is no pulmonary vascular congestion, pleural effusion or pneumothorax. Mild degenerative changes are noted in the thoracic spine. The cardiac and mediastinal contours are unchanged.","Diffuse interstitial opacities most pronounced within the periphery and lung bases with architectural distortion are unchanged compared to the previous chest CT and compatible with chronic interstitial lung disease, previously characterized as UIP or fibrosing NSIP.",Diffuse interstitial opacities with architectural distortion,periphery and lung bases,Stable,"['files/p10/p10867202/s57761141/46b5b999-bd0dd08a-4756e4ca-de3d7098-494c0126.jpg', 'files/p10/p10867202/s57761141/62cd4342-77a1737e-da11be7c-6914655a-20dc273b.jpg']",['files/p10/p10867202/s57513198/a4d62fc4-613c998d-9a906778-5703a1a3-21507e30.jpg\n']
s57761141_4,p10867202,s57761141,4,Findings,"Lung volumes are reduced. Diffuse interstitial opacities most pronounced within the periphery and lung bases with architectural distortion are unchanged compared to the previous chest CT and compatible with chronic interstitial lung disease, previously characterized as UIP or fibrosing NSIP. Previously noted hazy opacities in both lungs has resolved. No new areas of focal consolidation are demonstrated. There is no pulmonary vascular congestion, pleural effusion or pneumothorax. Mild degenerative changes are noted in the thoracic spine. The cardiac and mediastinal contours are unchanged.",Previously noted hazy opacities in both lungs has resolved.,Hazy opacities,both lungs,Resolve,"['files/p10/p10867202/s57761141/46b5b999-bd0dd08a-4756e4ca-de3d7098-494c0126.jpg', 'files/p10/p10867202/s57761141/62cd4342-77a1737e-da11be7c-6914655a-20dc273b.jpg']",['files/p10/p10867202/s57513198/a4d62fc4-613c998d-9a906778-5703a1a3-21507e30.jpg\n']
s57765703_27,p10268877,s57765703,27,Findings,Portable AP chest radiograph is obtained with the patient in the semi-erect position. Tracheostomy noted. Cardiomediastinal silhouette is unchanged; bulging of the pulmonary outflow tract reflects enlargement of pulmonary arteries and suggests underlying pulmonary arterial hypertension. Pulmonary edema has slightly improved compared to the prior study. Small right pleural effusion is unchanged. Again bibasilar opacifications are noted and are suggestive of atelectasis or consolidation.,Cardiomediastinal silhouette is unchanged; bulging of the pulmonary outflow tract reflects enlargement of pulmonary arteries and suggests underlying pulmonary arterial hypertension.,Cardiomediastinal silhouette,,Stable,['files/p10/p10268877/s57765703/2f8ca5e2-5a1e02ab-e84f7547-069743e9-0f08d9e0.jpg'],['files/p10/p10268877/s56063579/519f8e91-8489edf4-ff870026-b846bb39-f4746655.jpg\n']
s57765703_27,p10268877,s57765703,27,Impression,1. Unchanged bibasilar opacities are consistent with atelectasis or consolidation and pneumonia should be considered in the appropriate clinical context. 2. Improved pulmonary edema.,2. Improved pulmonary edema.,pulmonary edema,,Better,['files/p10/p10268877/s57765703/2f8ca5e2-5a1e02ab-e84f7547-069743e9-0f08d9e0.jpg'],['files/p10/p10268877/s56063579/519f8e91-8489edf4-ff870026-b846bb39-f4746655.jpg\n']
s57765703_27,p10268877,s57765703,27,Findings,Portable AP chest radiograph is obtained with the patient in the semi-erect position. Tracheostomy noted. Cardiomediastinal silhouette is unchanged; bulging of the pulmonary outflow tract reflects enlargement of pulmonary arteries and suggests underlying pulmonary arterial hypertension. Pulmonary edema has slightly improved compared to the prior study. Small right pleural effusion is unchanged. Again bibasilar opacifications are noted and are suggestive of atelectasis or consolidation.,Small right pleural effusion is unchanged.,pleural effusion,right,Stable,['files/p10/p10268877/s57765703/2f8ca5e2-5a1e02ab-e84f7547-069743e9-0f08d9e0.jpg'],['files/p10/p10268877/s56063579/519f8e91-8489edf4-ff870026-b846bb39-f4746655.jpg\n']
s57765703_27,p10268877,s57765703,27,Findings,Portable AP chest radiograph is obtained with the patient in the semi-erect position. Tracheostomy noted. Cardiomediastinal silhouette is unchanged; bulging of the pulmonary outflow tract reflects enlargement of pulmonary arteries and suggests underlying pulmonary arterial hypertension. Pulmonary edema has slightly improved compared to the prior study. Small right pleural effusion is unchanged. Again bibasilar opacifications are noted and are suggestive of atelectasis or consolidation.,Pulmonary edema has slightly improved compared to the prior study.,pulmonary edema,,Better,['files/p10/p10268877/s57765703/2f8ca5e2-5a1e02ab-e84f7547-069743e9-0f08d9e0.jpg'],['files/p10/p10268877/s56063579/519f8e91-8489edf4-ff870026-b846bb39-f4746655.jpg\n']
s57765703_27,p10268877,s57765703,27,Impression,1. Unchanged bibasilar opacities are consistent with atelectasis or consolidation and pneumonia should be considered in the appropriate clinical context. 2. Improved pulmonary edema.,1. Unchanged bibasilar opacities are consistent with atelectasis or consolidation and pneumonia should be considered in the appropriate clinical context.,opacities,bibasilar,Stable,['files/p10/p10268877/s57765703/2f8ca5e2-5a1e02ab-e84f7547-069743e9-0f08d9e0.jpg'],['files/p10/p10268877/s56063579/519f8e91-8489edf4-ff870026-b846bb39-f4746655.jpg\n']
s57774874_6,p11293517,s57774874,6,Findings,Chest PA and lateral radiographs redemonstrate mild interstitial edema and mild cardiomegaly. No signs of aspiration and no change from prior CXR.,No signs of aspiration and no change from prior CXR.,aspiration,,Stable,"['files/p11/p11293517/s57774874/040c9a19-266c4559-fc377286-0a1680b5-724894f7.jpg', 'files/p11/p11293517/s57774874/20059946-988bfea1-f3ed6e1e-4ac2fbcf-517474b0.jpg', 'files/p11/p11293517/s57774874/6eaa4765-962aa2b7-3cc2112a-79abf7d4-36999ea4.jpg', 'files/p11/p11293517/s57774874/bed6bd84-5e1a93ce-10185925-bae3951f-a64cac01.jpg']","['files/p11/p11293517/s57114968/2b6ae603-ec177f6b-26dd5371-562bc66f-cb88171c.jpg\n', 'files/p11/p11293517/s57114968/58ae5812-3b78a41e-62f24fcd-0fb27ec3-4f3a7ddc.jpg\n', 'files/p11/p11293517/s57114968/f3499bab-551f399f-54dd30a2-e6b1a38f-872a4405.jpg\n']"
s57776801_71,p15131736,s57776801,71,Impression,"Compared to chest radiographs ___ through ___. Mild pulmonary edema has worsened. Left lower lobe remains densely consolidated or collapsed. Moderate to severe cardiomegaly unchanged. Indwelling ET tube, right internal jugular line, and nasogastric tube are in standard placements. No pneumothorax. Pleural effusion is likely, but not substantial in size.",Left lower lobe remains densely consolidated or collapsed.,Consolidation or collapse,Left lower lobe,Stable,['files/p15/p15131736/s57776801/668168bb-d505142b-df37a7a6-f4d12e0f-ba63c1f6.jpg'],['files/p15/p15131736/s57642788/97365c4c-68d2ec4d-fbc504dc-02498793-2914b5de.jpg\n']
s57776801_71,p15131736,s57776801,71,Impression,"Compared to chest radiographs ___ through ___. Mild pulmonary edema has worsened. Left lower lobe remains densely consolidated or collapsed. Moderate to severe cardiomegaly unchanged. Indwelling ET tube, right internal jugular line, and nasogastric tube are in standard placements. No pneumothorax. Pleural effusion is likely, but not substantial in size.",No pneumothorax.,Pneumothorax,,Resolve,['files/p15/p15131736/s57776801/668168bb-d505142b-df37a7a6-f4d12e0f-ba63c1f6.jpg'],['files/p15/p15131736/s57642788/97365c4c-68d2ec4d-fbc504dc-02498793-2914b5de.jpg\n']
s57776801_71,p15131736,s57776801,71,Impression,"Compared to chest radiographs ___ through ___. Mild pulmonary edema has worsened. Left lower lobe remains densely consolidated or collapsed. Moderate to severe cardiomegaly unchanged. Indwelling ET tube, right internal jugular line, and nasogastric tube are in standard placements. No pneumothorax. Pleural effusion is likely, but not substantial in size.",Moderate to severe cardiomegaly unchanged.,Cardiomegaly,,Stable,['files/p15/p15131736/s57776801/668168bb-d505142b-df37a7a6-f4d12e0f-ba63c1f6.jpg'],['files/p15/p15131736/s57642788/97365c4c-68d2ec4d-fbc504dc-02498793-2914b5de.jpg\n']
s57776801_71,p15131736,s57776801,71,Impression,"Compared to chest radiographs ___ through ___. Mild pulmonary edema has worsened. Left lower lobe remains densely consolidated or collapsed. Moderate to severe cardiomegaly unchanged. Indwelling ET tube, right internal jugular line, and nasogastric tube are in standard placements. No pneumothorax. Pleural effusion is likely, but not substantial in size.",Mild pulmonary edema has worsened.,Pulmonary edema,,Worse,['files/p15/p15131736/s57776801/668168bb-d505142b-df37a7a6-f4d12e0f-ba63c1f6.jpg'],['files/p15/p15131736/s57642788/97365c4c-68d2ec4d-fbc504dc-02498793-2914b5de.jpg\n']
s57778607_7,p11569042,s57778607,7,Findings,"Nasogastric catheter is seen coursing through the dilated esophagus, consistent with achalasia, and appears to terminate in the esophagus at the level of the posterior costophrenic sulcus. Otherwise, the exam is unchanged with unremarkable mediastinal, hilar and cardiac contours. Lungs are clear. No pleural effusion or pneumothorax is evident.","Otherwise, the exam is unchanged with unremarkable mediastinal, hilar and cardiac contours.","mediastinal, hilar and cardiac contours",,Stable,"['files/p11/p11569042/s57778607/4c1ef8d6-96ad17ad-becaa578-175f9fc2-24c4304e.jpg', 'files/p11/p11569042/s57778607/aac431c4-71ce2760-10747748-4fd37654-0f440dd6.jpg']",['files/p11/p11569042/s56581797/4aeb5cd4-c071f14c-e4dcd046-420ce1ca-f6fedd70.jpg\n']
s57779343_1,p17392550,s57779343,1,Findings,,Multiple compression deformities of the thoracic spine are unchanged as well as old bilateral rib deformities.,Compression deformities of the thoracic spine,Multiple,Stable,['files/p17/p17392550/s57779343/04df00d4-612ef140-93265d75-e89c65e2-d6451eb9.jpg'],"['files/p17/p17392550/s53641457/6029ba23-5d73e768-c1fe417b-73eb330f-9c507e77.jpg\n', 'files/p17/p17392550/s53641457/c08e8ebb-14a3a1f0-0da1ea4e-1b2412fb-f2d4da54.jpg\n']"
s57779343_1,p17392550,s57779343,1,Findings,,Multiple compression deformities of the thoracic spine are unchanged as well as old bilateral rib deformities.,Rib deformities,Bilateral,Stable,['files/p17/p17392550/s57779343/04df00d4-612ef140-93265d75-e89c65e2-d6451eb9.jpg'],"['files/p17/p17392550/s53641457/6029ba23-5d73e768-c1fe417b-73eb330f-9c507e77.jpg\n', 'files/p17/p17392550/s53641457/c08e8ebb-14a3a1f0-0da1ea4e-1b2412fb-f2d4da54.jpg\n']"
s57780214_6,p19404187,s57780214,6,Impression,Improving left upper lung zone consolidation compared to ___.,Improving left upper lung zone consolidation compared to ___.,consolidation,left upper lung zone,Better,"['files/p19/p19404187/s57780214/480f169c-15ef13a4-4ca3b85d-181a240e-edc79169.jpg', 'files/p19/p19404187/s57780214/cdd7ee52-66082b29-febaceb1-6ced7608-1e8e8631.jpg']",['files/p19/p19404187/s53864144/ae57041e-ad6150ec-9dbf82b5-633feb0e-de440528.jpg\n']
s57780214_6,p19404187,s57780214,6,Findings,"There is still an area of increased density in the left upper lobe projecting over the anterior aspect of the second rib measuring approximately 2.9 x 2.2 cm, improved from ___. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.","There is still an area of increased density in the left upper lobe projecting over the anterior aspect of the second rib measuring approximately 2.9 x 2.2 cm, improved from ___.",increased density,left upper lobe,Better,"['files/p19/p19404187/s57780214/480f169c-15ef13a4-4ca3b85d-181a240e-edc79169.jpg', 'files/p19/p19404187/s57780214/cdd7ee52-66082b29-febaceb1-6ced7608-1e8e8631.jpg']",['files/p19/p19404187/s53864144/ae57041e-ad6150ec-9dbf82b5-633feb0e-de440528.jpg\n']
s57787040_13,p16751749,s57787040,13,Findings,"The NG tube tip passes below the diaphragm, most likely terminating in the stomach. There is no change in the appearance of the right chest tube, left subclavian line and ET tube. Extensive subcutaneous air collections are widespread throughout the entire chest. Bilateral focal consolidations within the lungs appear unchanged.","The NG tube tip passes below the diaphragm, most likely terminating in the stomach. There is no change in the appearance of the right chest tube, left subclavian line and ET tube. Extensive subcutaneous air collections are widespread throughout the entire chest. Bilateral focal consolidations within the lungs appear unchanged.",bilateral focal consolidations,within the lungs,Stable,['files/p16/p16751749/s57787040/3d1d93b1-6b91fadd-c1b40a43-382aef3b-639c3488.jpg'],['files/p16/p16751749/s57734204/b4cdbc46-c91c088a-014cfd36-cf752c93-ee08be9e.jpg\n']
s57798090_0,p16957952,s57798090,0,Findings,"Heterogeneous left basilar opacities do not have a correlate on the lateral radiograph and are likely minimal atelectasis. The lungs are otherwise clear. Mild pulmonary vascular congestion is not accompanied interstitial edema or pleural abnormality. Mild to moderate cardiomegaly is chronic. The thoracic aorta is generally enlarged, very tortuous and moderately calcified but neither focally aneurysmal nor changed since at least ___. The patient has had midline sternotomy and CABG. A right cervical rib is seen. Multilevel degenerative changes of the thoracic spine include unchanged wedging of a lower thoracic vertebral body.",Multilevel degenerative changes of the thoracic spine include unchanged wedging of a lower thoracic vertebral body.,wedging,lower thoracic vertebral body,Stable,"['files/p16/p16957952/s57798090/3a8c9fa9-90b94fc1-484469e2-d0316be1-245e5d13.jpg', 'files/p16/p16957952/s57798090/7f656d45-d1f74ac4-4ad4b221-3f4ff982-a2435c40.jpg']","['files/p16/p16957952/s57454413/158479af-cf9c24d6-99ee742e-bbb91960-bfa7f46c.jpg\n', 'files/p16/p16957952/s57454413/1ca66906-ea4212b7-f0588f1e-1c87cc79-bcbc1780.jpg\n']"
s57798512_5,p13700088,s57798512,5,Findings,"PA and lateral views of the chest are obtained. There is mild atelectasis at the left lung base. The previously seen endotracheal tube and nasogastric tube are no longer present on this study. There is no evidence of pneumonia, pleural effusion or pulmonary edema. The cardiomediastinal silhouette is unremarkable.",The previously seen endotracheal tube and nasogastric tube are no longer present on this study.,endotracheal tube,,Resolve,['files/p13/p13700088/s57798512/7502e61e-9548ae94-78e53cb0-47f06975-6a4a0cd6.jpg'],"['files/p13/p13700088/s55908245/3c13fcf9-f4e94af1-bd429b2a-ff94e888-09fb67fa.jpg\n', 'files/p13/p13700088/s55908245/b8a682a3-13005580-762d54e7-031106db-9c766de1.jpg\n', 'files/p13/p13700088/s55908245/c8f77e9b-ae1d0935-5fc5b81a-bbae4b84-91567aec.jpg\n']"
s57798512_5,p13700088,s57798512,5,Findings,"PA and lateral views of the chest are obtained. There is mild atelectasis at the left lung base. The previously seen endotracheal tube and nasogastric tube are no longer present on this study. There is no evidence of pneumonia, pleural effusion or pulmonary edema. The cardiomediastinal silhouette is unremarkable.",The previously seen endotracheal tube and nasogastric tube are no longer present on this study.,nasogastric tube,,Resolve,['files/p13/p13700088/s57798512/7502e61e-9548ae94-78e53cb0-47f06975-6a4a0cd6.jpg'],"['files/p13/p13700088/s55908245/3c13fcf9-f4e94af1-bd429b2a-ff94e888-09fb67fa.jpg\n', 'files/p13/p13700088/s55908245/b8a682a3-13005580-762d54e7-031106db-9c766de1.jpg\n', 'files/p13/p13700088/s55908245/c8f77e9b-ae1d0935-5fc5b81a-bbae4b84-91567aec.jpg\n']"
s57801123_1,p18088200,s57801123,1,Findings,"The patient is status post sternotomy and probably coronary artery bypass graft surgery. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged, including a prominent left-sided epicardial fat pad. The lung volumes are low. Streaky lingular opacity suggesting minor atelectasis or scarring appears unchanged. Minimal blunting of the right costophrenic sulcus is more suggestive of similar slight atelectatic change, less likely persistent trace pleural effusion. There has been no significant change.",There has been no significant change.,,,Stable,"['files/p18/p18088200/s57801123/1e6ed6ad-8dbe2951-bd1403ff-307b58bd-27c725fe.jpg', 'files/p18/p18088200/s57801123/49c67d34-b57aa84d-37146bc3-a1b0773c-ef5be03c.jpg', 'files/p18/p18088200/s57801123/80f8c1cf-51619e01-2da83861-7c12a49d-f6858e53.jpg']","['files/p18/p18088200/s56018459/6fa0dab9-9c76b1c5-e420ee1c-d851a556-a50a5a88.jpg\n', 'files/p18/p18088200/s56018459/f268f466-63237ff9-71f67025-2f256fa0-8f9c0e56.jpg\n']"
s57801123_1,p18088200,s57801123,1,Findings,"The patient is status post sternotomy and probably coronary artery bypass graft surgery. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged, including a prominent left-sided epicardial fat pad. The lung volumes are low. Streaky lingular opacity suggesting minor atelectasis or scarring appears unchanged. Minimal blunting of the right costophrenic sulcus is more suggestive of similar slight atelectatic change, less likely persistent trace pleural effusion. There has been no significant change.",Streaky lingular opacity suggesting minor atelectasis or scarring appears unchanged.,opacity suggesting minor atelectasis or scarring,lingular region,Stable,"['files/p18/p18088200/s57801123/1e6ed6ad-8dbe2951-bd1403ff-307b58bd-27c725fe.jpg', 'files/p18/p18088200/s57801123/49c67d34-b57aa84d-37146bc3-a1b0773c-ef5be03c.jpg', 'files/p18/p18088200/s57801123/80f8c1cf-51619e01-2da83861-7c12a49d-f6858e53.jpg']","['files/p18/p18088200/s56018459/6fa0dab9-9c76b1c5-e420ee1c-d851a556-a50a5a88.jpg\n', 'files/p18/p18088200/s56018459/f268f466-63237ff9-71f67025-2f256fa0-8f9c0e56.jpg\n']"
s57801123_1,p18088200,s57801123,1,Findings,"The patient is status post sternotomy and probably coronary artery bypass graft surgery. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged, including a prominent left-sided epicardial fat pad. The lung volumes are low. Streaky lingular opacity suggesting minor atelectasis or scarring appears unchanged. Minimal blunting of the right costophrenic sulcus is more suggestive of similar slight atelectatic change, less likely persistent trace pleural effusion. There has been no significant change.","The mediastinal and hilar contours appear unchanged, including a prominent left-sided epicardial fat pad.",,mediastinal and hilar contours,Stable,"['files/p18/p18088200/s57801123/1e6ed6ad-8dbe2951-bd1403ff-307b58bd-27c725fe.jpg', 'files/p18/p18088200/s57801123/49c67d34-b57aa84d-37146bc3-a1b0773c-ef5be03c.jpg', 'files/p18/p18088200/s57801123/80f8c1cf-51619e01-2da83861-7c12a49d-f6858e53.jpg']","['files/p18/p18088200/s56018459/6fa0dab9-9c76b1c5-e420ee1c-d851a556-a50a5a88.jpg\n', 'files/p18/p18088200/s56018459/f268f466-63237ff9-71f67025-2f256fa0-8f9c0e56.jpg\n']"
s57801123_1,p18088200,s57801123,1,Findings,"The patient is status post sternotomy and probably coronary artery bypass graft surgery. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged, including a prominent left-sided epicardial fat pad. The lung volumes are low. Streaky lingular opacity suggesting minor atelectasis or scarring appears unchanged. Minimal blunting of the right costophrenic sulcus is more suggestive of similar slight atelectatic change, less likely persistent trace pleural effusion. There has been no significant change.","Minimal blunting of the right costophrenic sulcus is more suggestive of similar slight atelectatic change, less likely persistent trace pleural effusion.",slight atelectatic change,right costophrenic sulcus,Stable,"['files/p18/p18088200/s57801123/1e6ed6ad-8dbe2951-bd1403ff-307b58bd-27c725fe.jpg', 'files/p18/p18088200/s57801123/49c67d34-b57aa84d-37146bc3-a1b0773c-ef5be03c.jpg', 'files/p18/p18088200/s57801123/80f8c1cf-51619e01-2da83861-7c12a49d-f6858e53.jpg']","['files/p18/p18088200/s56018459/6fa0dab9-9c76b1c5-e420ee1c-d851a556-a50a5a88.jpg\n', 'files/p18/p18088200/s56018459/f268f466-63237ff9-71f67025-2f256fa0-8f9c0e56.jpg\n']"
s57802287_17,p10410641,s57802287,17,Findings,Pigtail pleural catheters remain in place bilaterally. Small bilateral apical lateral pneumothoraces have slightly decreased in size since the prior study. Small left pleural effusion is again demonstrated.,Small bilateral apical lateral pneumothoraces have slightly decreased in size since the prior study,pneumothoraces,bilateral apical lateral,Better,['files/p10/p10410641/s57802287/08a8deab-aa27ad50-256fe6f1-21da6275-363a878d.jpg'],"['files/p10/p10410641/s57107868/cd4ebf22-1a0a69bf-b1e1a096-77c39a54-cefbd739.jpg\n', 'files/p10/p10410641/s57107868/d471efcd-b9883de0-61154002-0ed78c74-1fe5a5e5.jpg\n']"
s57802287_17,p10410641,s57802287,17,Findings,Pigtail pleural catheters remain in place bilaterally. Small bilateral apical lateral pneumothoraces have slightly decreased in size since the prior study. Small left pleural effusion is again demonstrated.,Pigtail pleural catheters remain in place bilaterally,Pigtail pleural catheters,bilaterally,Stable,['files/p10/p10410641/s57802287/08a8deab-aa27ad50-256fe6f1-21da6275-363a878d.jpg'],"['files/p10/p10410641/s57107868/cd4ebf22-1a0a69bf-b1e1a096-77c39a54-cefbd739.jpg\n', 'files/p10/p10410641/s57107868/d471efcd-b9883de0-61154002-0ed78c74-1fe5a5e5.jpg\n']"
s57806038_8,p15378103,s57806038,8,Findings,"As compared to the previous radiograph, the monitoring and support devices are constant. There is unchanged evidence of extensive bilateral parenchymal opacities. The extent and the severity of these opacities have not changed. Unchanged appearance of the cardiac silhouette.","As compared to the previous radiograph, the monitoring and support devices are constant.",monitoring and support devices,,Stable,"['files/p15/p15378103/s57806038/013e73b1-d8b2282a-e29336bf-11b69878-27b1124d.jpg', 'files/p15/p15378103/s57806038/d45c4a49-a6851be0-0312740e-161eac2e-2badc9f5.jpg']","['files/p15/p15378103/s57681546/1f7d224a-19e6cfa7-5627f007-83212a22-be1faf67.jpg\n', 'files/p15/p15378103/s57681546/2903a316-1b126454-7e0b846a-69d68d8d-3ad19da0.jpg\n', 'files/p15/p15378103/s57681546/48196050-c2ee8146-8c4ad047-a5c48df8-6412365d.jpg\n']"
s57806038_8,p15378103,s57806038,8,Findings,"As compared to the previous radiograph, the monitoring and support devices are constant. There is unchanged evidence of extensive bilateral parenchymal opacities. The extent and the severity of these opacities have not changed. Unchanged appearance of the cardiac silhouette.",There is unchanged evidence of extensive bilateral parenchymal opacities.,parenchymal opacities,bilateral,Stable,"['files/p15/p15378103/s57806038/013e73b1-d8b2282a-e29336bf-11b69878-27b1124d.jpg', 'files/p15/p15378103/s57806038/d45c4a49-a6851be0-0312740e-161eac2e-2badc9f5.jpg']","['files/p15/p15378103/s57681546/1f7d224a-19e6cfa7-5627f007-83212a22-be1faf67.jpg\n', 'files/p15/p15378103/s57681546/2903a316-1b126454-7e0b846a-69d68d8d-3ad19da0.jpg\n', 'files/p15/p15378103/s57681546/48196050-c2ee8146-8c4ad047-a5c48df8-6412365d.jpg\n']"
s57806038_8,p15378103,s57806038,8,Findings,"As compared to the previous radiograph, the monitoring and support devices are constant. There is unchanged evidence of extensive bilateral parenchymal opacities. The extent and the severity of these opacities have not changed. Unchanged appearance of the cardiac silhouette.",The extent and the severity of these opacities have not changed.,opacities,bilateral,Stable,"['files/p15/p15378103/s57806038/013e73b1-d8b2282a-e29336bf-11b69878-27b1124d.jpg', 'files/p15/p15378103/s57806038/d45c4a49-a6851be0-0312740e-161eac2e-2badc9f5.jpg']","['files/p15/p15378103/s57681546/1f7d224a-19e6cfa7-5627f007-83212a22-be1faf67.jpg\n', 'files/p15/p15378103/s57681546/2903a316-1b126454-7e0b846a-69d68d8d-3ad19da0.jpg\n', 'files/p15/p15378103/s57681546/48196050-c2ee8146-8c4ad047-a5c48df8-6412365d.jpg\n']"
s57806038_8,p15378103,s57806038,8,Findings,"As compared to the previous radiograph, the monitoring and support devices are constant. There is unchanged evidence of extensive bilateral parenchymal opacities. The extent and the severity of these opacities have not changed. Unchanged appearance of the cardiac silhouette.",Unchanged appearance of the cardiac silhouette.,cardiac silhouette,,Stable,"['files/p15/p15378103/s57806038/013e73b1-d8b2282a-e29336bf-11b69878-27b1124d.jpg', 'files/p15/p15378103/s57806038/d45c4a49-a6851be0-0312740e-161eac2e-2badc9f5.jpg']","['files/p15/p15378103/s57681546/1f7d224a-19e6cfa7-5627f007-83212a22-be1faf67.jpg\n', 'files/p15/p15378103/s57681546/2903a316-1b126454-7e0b846a-69d68d8d-3ad19da0.jpg\n', 'files/p15/p15378103/s57681546/48196050-c2ee8146-8c4ad047-a5c48df8-6412365d.jpg\n']"
s57809151_24,p15259244,s57809151,24,Impression,"PA and lateral chest compared to ___ through ___: Small bilateral pleural effusions, including a fissural component in the right major fissure, have increased slightly since ___. There is no pulmonary edema and no pneumothorax. Moderate-to-severe enlargement of the cardiac silhouette is chronic and unchanged. There is no appreciable pulmonary vascular engorgement. A dual-channel right supraclavicular dialysis set ends in the right atrium, and left PICC line ends low in the SVC.",Moderate-to-severe enlargement of the cardiac silhouette is chronic and unchanged.,cardiac silhouette,,Stable,['files/p15/p15259244/s57809151/76ee4972-231e2314-e4e35ff5-8d2cd919-a98450dd.jpg'],['files/p15/p15259244/s56972683/1b4e1f55-4fa1febf-abf7ed18-4531ddc4-2081f4ae.jpg\n']
s57809151_24,p15259244,s57809151,24,Impression,"PA and lateral chest compared to ___ through ___: Small bilateral pleural effusions, including a fissural component in the right major fissure, have increased slightly since ___. There is no pulmonary edema and no pneumothorax. Moderate-to-severe enlargement of the cardiac silhouette is chronic and unchanged. There is no appreciable pulmonary vascular engorgement. A dual-channel right supraclavicular dialysis set ends in the right atrium, and left PICC line ends low in the SVC.","PA and lateral chest compared to ___ through ___: Small bilateral pleural effusions, including a fissural component in the right major fissure, have increased slightly since ___.",pleural effusions,bilateral,Worse,['files/p15/p15259244/s57809151/76ee4972-231e2314-e4e35ff5-8d2cd919-a98450dd.jpg'],['files/p15/p15259244/s56972683/1b4e1f55-4fa1febf-abf7ed18-4531ddc4-2081f4ae.jpg\n']
s57811906_26,p13896515,s57811906,26,Impression,Right PICC tip is in theright atrium. Moderate to severe cardiomegaly and widened mediastinum are unchanged. Sternal wires are aligned. Pacer leads are in standard position. There is no pneumothorax or large pleural effusions. Mild fluid overload is unchanged,Mild fluid overload is unchanged,Mild fluid overload,,Stable,['files/p13/p13896515/s57811906/c9829806-80ccefe4-60749d0a-05402ead-54784a88.jpg'],"['files/p13/p13896515/s57580196/28b8b684-7ffead3e-fcd898b8-7e034854-2f48b563.jpg\n', 'files/p13/p13896515/s57580196/33c6f76a-c23065f5-0e200377-2a5fdeaa-348af88d.jpg\n']"
s57811906_26,p13896515,s57811906,26,Impression,Right PICC tip is in theright atrium. Moderate to severe cardiomegaly and widened mediastinum are unchanged. Sternal wires are aligned. Pacer leads are in standard position. There is no pneumothorax or large pleural effusions. Mild fluid overload is unchanged,Moderate to severe cardiomegaly and widened mediastinum are unchanged.,Widened mediastinum,,Stable,['files/p13/p13896515/s57811906/c9829806-80ccefe4-60749d0a-05402ead-54784a88.jpg'],"['files/p13/p13896515/s57580196/28b8b684-7ffead3e-fcd898b8-7e034854-2f48b563.jpg\n', 'files/p13/p13896515/s57580196/33c6f76a-c23065f5-0e200377-2a5fdeaa-348af88d.jpg\n']"
s57811906_26,p13896515,s57811906,26,Impression,Right PICC tip is in theright atrium. Moderate to severe cardiomegaly and widened mediastinum are unchanged. Sternal wires are aligned. Pacer leads are in standard position. There is no pneumothorax or large pleural effusions. Mild fluid overload is unchanged,Moderate to severe cardiomegaly and widened mediastinum are unchanged.,Moderate to severe cardiomegaly,,Stable,['files/p13/p13896515/s57811906/c9829806-80ccefe4-60749d0a-05402ead-54784a88.jpg'],"['files/p13/p13896515/s57580196/28b8b684-7ffead3e-fcd898b8-7e034854-2f48b563.jpg\n', 'files/p13/p13896515/s57580196/33c6f76a-c23065f5-0e200377-2a5fdeaa-348af88d.jpg\n']"
s57812270_3,p14177219,s57812270,3,Impression,Interval increase in vascular engorgement. No frank interstitial edema. No focal consolidations identified.,Interval increase in vascular engorgement.,vascular engorgement,,Worse,['files/p14/p14177219/s57812270/efff7e71-8fb08183-a867eeaa-1bf8c237-82103b3e.jpg'],"['files/p14/p14177219/s57001920/0e7807f6-04937b8e-ac237c79-1200da23-76b0b8e3.jpg\n', 'files/p14/p14177219/s57001920/a11f2215-35bfbcfd-ab112ef2-f4a24f09-a770ee61.jpg\n']"
s57812270_3,p14177219,s57812270,3,Findings,There is a right-sided PICC line which ends in the mid SVC. There has been interval increase in pulmonary vascular congestion without frank interstitial edema. No focal consolidations are identified. There is a small right-sided pleural effusion. The heart size is unchanged. The hilar and mediastinal contours are stable. There is no pneumothorax.,The hilar and mediastinal contours are stable.,hilar and mediastinal contours,,Stable,['files/p14/p14177219/s57812270/efff7e71-8fb08183-a867eeaa-1bf8c237-82103b3e.jpg'],"['files/p14/p14177219/s57001920/0e7807f6-04937b8e-ac237c79-1200da23-76b0b8e3.jpg\n', 'files/p14/p14177219/s57001920/a11f2215-35bfbcfd-ab112ef2-f4a24f09-a770ee61.jpg\n']"
s57812270_3,p14177219,s57812270,3,Findings,There is a right-sided PICC line which ends in the mid SVC. There has been interval increase in pulmonary vascular congestion without frank interstitial edema. No focal consolidations are identified. There is a small right-sided pleural effusion. The heart size is unchanged. The hilar and mediastinal contours are stable. There is no pneumothorax.,The heart size is unchanged.,heart size,,Stable,['files/p14/p14177219/s57812270/efff7e71-8fb08183-a867eeaa-1bf8c237-82103b3e.jpg'],"['files/p14/p14177219/s57001920/0e7807f6-04937b8e-ac237c79-1200da23-76b0b8e3.jpg\n', 'files/p14/p14177219/s57001920/a11f2215-35bfbcfd-ab112ef2-f4a24f09-a770ee61.jpg\n']"
s57812270_3,p14177219,s57812270,3,Findings,There is a right-sided PICC line which ends in the mid SVC. There has been interval increase in pulmonary vascular congestion without frank interstitial edema. No focal consolidations are identified. There is a small right-sided pleural effusion. The heart size is unchanged. The hilar and mediastinal contours are stable. There is no pneumothorax.,There has been interval increase in pulmonary vascular congestion without frank interstitial edema.,pulmonary vascular congestion,,Worse,['files/p14/p14177219/s57812270/efff7e71-8fb08183-a867eeaa-1bf8c237-82103b3e.jpg'],"['files/p14/p14177219/s57001920/0e7807f6-04937b8e-ac237c79-1200da23-76b0b8e3.jpg\n', 'files/p14/p14177219/s57001920/a11f2215-35bfbcfd-ab112ef2-f4a24f09-a770ee61.jpg\n']"
s57816818_7,p16848073,s57816818,7,Findings,"As compared to the previous radiograph, there is no relevant change. Status post gastrectomy, postoperative widening of the right upper mediastinum with creation of a double contour. Unchanged small right pleural effusion with subsequent areas of atelectasis. No recent or acute changes, no edema, no pneumonia. Constant size of the cardiac silhouette.",Constant size of the cardiac silhouette.,cardiac silhouette,,Stable,"['files/p16/p16848073/s57816818/4ef6ed7d-7e5c2651-ceb2b69c-d9738889-3c732c77.jpg', 'files/p16/p16848073/s57816818/f914d650-3af0d0af-100d89df-66702238-52f54bb9.jpg']","['files/p16/p16848073/s57765976/16664a3d-af2dbca3-e3408ca4-19c24125-70e75361.jpg\n', 'files/p16/p16848073/s57765976/8f79faef-d6ab7ef3-75eb04f9-26fe138d-a9352552.jpg\n']"
s57816818_7,p16848073,s57816818,7,Findings,"As compared to the previous radiograph, there is no relevant change. Status post gastrectomy, postoperative widening of the right upper mediastinum with creation of a double contour. Unchanged small right pleural effusion with subsequent areas of atelectasis. No recent or acute changes, no edema, no pneumonia. Constant size of the cardiac silhouette.","As compared to the previous radiograph, there is no relevant change.",,,Stable,"['files/p16/p16848073/s57816818/4ef6ed7d-7e5c2651-ceb2b69c-d9738889-3c732c77.jpg', 'files/p16/p16848073/s57816818/f914d650-3af0d0af-100d89df-66702238-52f54bb9.jpg']","['files/p16/p16848073/s57765976/16664a3d-af2dbca3-e3408ca4-19c24125-70e75361.jpg\n', 'files/p16/p16848073/s57765976/8f79faef-d6ab7ef3-75eb04f9-26fe138d-a9352552.jpg\n']"
s57816818_7,p16848073,s57816818,7,Findings,"As compared to the previous radiograph, there is no relevant change. Status post gastrectomy, postoperative widening of the right upper mediastinum with creation of a double contour. Unchanged small right pleural effusion with subsequent areas of atelectasis. No recent or acute changes, no edema, no pneumonia. Constant size of the cardiac silhouette.",Unchanged small right pleural effusion with subsequent areas of atelectasis.,pleural effusion,Right,Stable,"['files/p16/p16848073/s57816818/4ef6ed7d-7e5c2651-ceb2b69c-d9738889-3c732c77.jpg', 'files/p16/p16848073/s57816818/f914d650-3af0d0af-100d89df-66702238-52f54bb9.jpg']","['files/p16/p16848073/s57765976/16664a3d-af2dbca3-e3408ca4-19c24125-70e75361.jpg\n', 'files/p16/p16848073/s57765976/8f79faef-d6ab7ef3-75eb04f9-26fe138d-a9352552.jpg\n']"
s57818938_20,p13979643,s57818938,20,Findings,"As compared to the previous radiograph, the patient has a left-sided PICC line. The tip of the line is at the level of the mid SVC. A nasogastric tube is new, the tip is not visible on the image but the sidehole projects 4-5 cm below the gastroesophageal junction. Mild fluid overload with small left pleural effusion. Mild cardiomegaly.","A nasogastric tube is new, the tip is not visible on the image but the sidehole projects 4-5 cm below the gastroesophageal junction.",nasogastric tube,not specified,New,"['files/p13/p13979643/s57818938/129c0f80-7fa8ed1b-8e727c10-5561ccda-c6da8c9d.jpg', 'files/p13/p13979643/s57818938/a5d9f091-f420153d-6e818031-8ca6c1c0-1694ca63.jpg']",['files/p13/p13979643/s57345846/98a6b1be-37d7c0d7-9de7d63b-c95bf9a0-17713dcd.jpg\n']
s57818938_20,p13979643,s57818938,20,Findings,"As compared to the previous radiograph, the patient has a left-sided PICC line. The tip of the line is at the level of the mid SVC. A nasogastric tube is new, the tip is not visible on the image but the sidehole projects 4-5 cm below the gastroesophageal junction. Mild fluid overload with small left pleural effusion. Mild cardiomegaly.","As compared to the previous radiograph, the patient has a left-sided PICC line.",PICC line,left-sided,New,"['files/p13/p13979643/s57818938/129c0f80-7fa8ed1b-8e727c10-5561ccda-c6da8c9d.jpg', 'files/p13/p13979643/s57818938/a5d9f091-f420153d-6e818031-8ca6c1c0-1694ca63.jpg']",['files/p13/p13979643/s57345846/98a6b1be-37d7c0d7-9de7d63b-c95bf9a0-17713dcd.jpg\n']
s57825235_51,p19182863,s57825235,51,Findings,AP semi upright view of the chest provided. There is no focal consolidation or pneumothorax. Right pleural effusion is similar to prior. There is a new moderate to large left pleural effusion. Cardiomegaly is similar to prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.,Right pleural effusion is similar to prior.,pleural effusion,right,Stable,"['files/p19/p19182863/s57825235/001bb54b-a4e0bb99-48a28f4c-9df85f1b-e1606587.jpg', 'files/p19/p19182863/s57825235/fe58949c-440ecca2-acbe699f-ccfa0603-90cc7117.jpg']",['files/p19/p19182863/s57618911/73ee1dc8-28fc5f5b-76e543d9-70afa724-b6dc8113.jpg\n']
s57825235_51,p19182863,s57825235,51,Findings,AP semi upright view of the chest provided. There is no focal consolidation or pneumothorax. Right pleural effusion is similar to prior. There is a new moderate to large left pleural effusion. Cardiomegaly is similar to prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.,Cardiomegaly is similar to prior.,cardiomegaly,,Stable,"['files/p19/p19182863/s57825235/001bb54b-a4e0bb99-48a28f4c-9df85f1b-e1606587.jpg', 'files/p19/p19182863/s57825235/fe58949c-440ecca2-acbe699f-ccfa0603-90cc7117.jpg']",['files/p19/p19182863/s57618911/73ee1dc8-28fc5f5b-76e543d9-70afa724-b6dc8113.jpg\n']
s57825235_51,p19182863,s57825235,51,Impression,1. There is a new moderate to large left pleural effusion. 2. Right pleural effusion is similar to prior.,1. There is a new moderate to large left pleural effusion.,pleural effusion,left,New,"['files/p19/p19182863/s57825235/001bb54b-a4e0bb99-48a28f4c-9df85f1b-e1606587.jpg', 'files/p19/p19182863/s57825235/fe58949c-440ecca2-acbe699f-ccfa0603-90cc7117.jpg']",['files/p19/p19182863/s57618911/73ee1dc8-28fc5f5b-76e543d9-70afa724-b6dc8113.jpg\n']
s57825235_51,p19182863,s57825235,51,Findings,AP semi upright view of the chest provided. There is no focal consolidation or pneumothorax. Right pleural effusion is similar to prior. There is a new moderate to large left pleural effusion. Cardiomegaly is similar to prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.,There is a new moderate to large left pleural effusion.,pleural effusion,left,New,"['files/p19/p19182863/s57825235/001bb54b-a4e0bb99-48a28f4c-9df85f1b-e1606587.jpg', 'files/p19/p19182863/s57825235/fe58949c-440ecca2-acbe699f-ccfa0603-90cc7117.jpg']",['files/p19/p19182863/s57618911/73ee1dc8-28fc5f5b-76e543d9-70afa724-b6dc8113.jpg\n']
s57825235_51,p19182863,s57825235,51,Impression,1. There is a new moderate to large left pleural effusion. 2. Right pleural effusion is similar to prior.,2. Right pleural effusion is similar to prior.,pleural effusion,right,Stable,"['files/p19/p19182863/s57825235/001bb54b-a4e0bb99-48a28f4c-9df85f1b-e1606587.jpg', 'files/p19/p19182863/s57825235/fe58949c-440ecca2-acbe699f-ccfa0603-90cc7117.jpg']",['files/p19/p19182863/s57618911/73ee1dc8-28fc5f5b-76e543d9-70afa724-b6dc8113.jpg\n']
s57826660_8,p19720782,s57826660,8,Findings,"PA and lateral views of the chest. Again seen is a small-to-moderate right pleural effusion, similar in size compared to ___. Vague retrocardiac opacity, difficult to exclude pneuomonia. Since the prior study, there is significant resolution of pulmonary edema. Lungs are hyperinflated. No left pleural effusion. Radiation changes in the right paramedian lungs are unchanged.","Again seen is a small-to-moderate right pleural effusion, similar in size compared to ___.",pleural effusion,right,Stable,"['files/p19/p19720782/s57826660/bdece112-0ab84104-d2b05f42-10b6388c-49b93a37.jpg', 'files/p19/p19720782/s57826660/d624a149-1fcbcabe-23806706-6db78fb1-d9fb63d5.jpg']",['files/p19/p19720782/s57501180/6849debe-9dbcc764-0a6286d7-242f3a36-43c4b94c.jpg\n']
s57826660_8,p19720782,s57826660,8,Findings,"PA and lateral views of the chest. Again seen is a small-to-moderate right pleural effusion, similar in size compared to ___. Vague retrocardiac opacity, difficult to exclude pneuomonia. Since the prior study, there is significant resolution of pulmonary edema. Lungs are hyperinflated. No left pleural effusion. Radiation changes in the right paramedian lungs are unchanged.","Since the prior study, there is significant resolution of pulmonary edema.",pulmonary edema,,Resolve,"['files/p19/p19720782/s57826660/bdece112-0ab84104-d2b05f42-10b6388c-49b93a37.jpg', 'files/p19/p19720782/s57826660/d624a149-1fcbcabe-23806706-6db78fb1-d9fb63d5.jpg']",['files/p19/p19720782/s57501180/6849debe-9dbcc764-0a6286d7-242f3a36-43c4b94c.jpg\n']
s57826660_8,p19720782,s57826660,8,Findings,"PA and lateral views of the chest. Again seen is a small-to-moderate right pleural effusion, similar in size compared to ___. Vague retrocardiac opacity, difficult to exclude pneuomonia. Since the prior study, there is significant resolution of pulmonary edema. Lungs are hyperinflated. No left pleural effusion. Radiation changes in the right paramedian lungs are unchanged.",Radiation changes in the right paramedian lungs are unchanged.,radiation changes,right paramedian,Stable,"['files/p19/p19720782/s57826660/bdece112-0ab84104-d2b05f42-10b6388c-49b93a37.jpg', 'files/p19/p19720782/s57826660/d624a149-1fcbcabe-23806706-6db78fb1-d9fb63d5.jpg']",['files/p19/p19720782/s57501180/6849debe-9dbcc764-0a6286d7-242f3a36-43c4b94c.jpg\n']
s57826660_8,p19720782,s57826660,8,Impression,"Small to moderate chronic right pleural effusion. Stable cardiomegaly. Vague retrocardiac opacity, difficult to exclude pneuomonia.",Stable cardiomegaly.,cardiomegaly,,Stable,"['files/p19/p19720782/s57826660/bdece112-0ab84104-d2b05f42-10b6388c-49b93a37.jpg', 'files/p19/p19720782/s57826660/d624a149-1fcbcabe-23806706-6db78fb1-d9fb63d5.jpg']",['files/p19/p19720782/s57501180/6849debe-9dbcc764-0a6286d7-242f3a36-43c4b94c.jpg\n']
s57827533_4,p17704774,s57827533,4,Findings,"A right-sided chest tube is present with the distal end near the right lung apex. Right central line ends at lower SVC. Innumerable, bilateral, nodular opacities are similar. The size of the pneumothorax at the right lung apex is smaller whereas at the right lower lateral chest wall and at the right lung base is overall unchanged. Spinal hardware device is present at lower thoracic and upper lumbar region. Increase retrocardiac density representing left lower lung volume loss, moderate left and mild right pleural effusions are stable.","Increase retrocardiac density representing left lower lung volume loss, moderate left and mild right pleural effusions are stable.",pleural effusion,right,Stable,['files/p17/p17704774/s57827533/bbe08fc1-a56aeae9-bd7c72ec-ce35c2c5-b033ef08.jpg'],['files/p17/p17704774/s57395479/ceb36d05-686e9404-43dfdc4f-e050bf09-89b8d71d.jpg\n']
s57827533_4,p17704774,s57827533,4,Findings,"A right-sided chest tube is present with the distal end near the right lung apex. Right central line ends at lower SVC. Innumerable, bilateral, nodular opacities are similar. The size of the pneumothorax at the right lung apex is smaller whereas at the right lower lateral chest wall and at the right lung base is overall unchanged. Spinal hardware device is present at lower thoracic and upper lumbar region. Increase retrocardiac density representing left lower lung volume loss, moderate left and mild right pleural effusions are stable.","Increase retrocardiac density representing left lower lung volume loss, moderate left and mild right pleural effusions are stable.",volume loss,left lower lung,Stable,['files/p17/p17704774/s57827533/bbe08fc1-a56aeae9-bd7c72ec-ce35c2c5-b033ef08.jpg'],['files/p17/p17704774/s57395479/ceb36d05-686e9404-43dfdc4f-e050bf09-89b8d71d.jpg\n']
s57827533_4,p17704774,s57827533,4,Findings,"A right-sided chest tube is present with the distal end near the right lung apex. Right central line ends at lower SVC. Innumerable, bilateral, nodular opacities are similar. The size of the pneumothorax at the right lung apex is smaller whereas at the right lower lateral chest wall and at the right lung base is overall unchanged. Spinal hardware device is present at lower thoracic and upper lumbar region. Increase retrocardiac density representing left lower lung volume loss, moderate left and mild right pleural effusions are stable.","Increase retrocardiac density representing left lower lung volume loss, moderate left and mild right pleural effusions are stable.",density,retrocardiac,Stable,['files/p17/p17704774/s57827533/bbe08fc1-a56aeae9-bd7c72ec-ce35c2c5-b033ef08.jpg'],['files/p17/p17704774/s57395479/ceb36d05-686e9404-43dfdc4f-e050bf09-89b8d71d.jpg\n']
s57827533_4,p17704774,s57827533,4,Findings,"A right-sided chest tube is present with the distal end near the right lung apex. Right central line ends at lower SVC. Innumerable, bilateral, nodular opacities are similar. The size of the pneumothorax at the right lung apex is smaller whereas at the right lower lateral chest wall and at the right lung base is overall unchanged. Spinal hardware device is present at lower thoracic and upper lumbar region. Increase retrocardiac density representing left lower lung volume loss, moderate left and mild right pleural effusions are stable.",The size of the pneumothorax at the right lung apex is smaller whereas at the right lower lateral chest wall and at the right lung base is overall unchanged.,pneumothorax,"right lower lateral chest wall, right lung base",Stable,['files/p17/p17704774/s57827533/bbe08fc1-a56aeae9-bd7c72ec-ce35c2c5-b033ef08.jpg'],['files/p17/p17704774/s57395479/ceb36d05-686e9404-43dfdc4f-e050bf09-89b8d71d.jpg\n']
s57827533_4,p17704774,s57827533,4,Findings,"A right-sided chest tube is present with the distal end near the right lung apex. Right central line ends at lower SVC. Innumerable, bilateral, nodular opacities are similar. The size of the pneumothorax at the right lung apex is smaller whereas at the right lower lateral chest wall and at the right lung base is overall unchanged. Spinal hardware device is present at lower thoracic and upper lumbar region. Increase retrocardiac density representing left lower lung volume loss, moderate left and mild right pleural effusions are stable.",The size of the pneumothorax at the right lung apex is smaller whereas at the right lower lateral chest wall and at the right lung base is overall unchanged.,pneumothorax,right lung apex,Better,['files/p17/p17704774/s57827533/bbe08fc1-a56aeae9-bd7c72ec-ce35c2c5-b033ef08.jpg'],['files/p17/p17704774/s57395479/ceb36d05-686e9404-43dfdc4f-e050bf09-89b8d71d.jpg\n']
s57827533_4,p17704774,s57827533,4,Findings,"A right-sided chest tube is present with the distal end near the right lung apex. Right central line ends at lower SVC. Innumerable, bilateral, nodular opacities are similar. The size of the pneumothorax at the right lung apex is smaller whereas at the right lower lateral chest wall and at the right lung base is overall unchanged. Spinal hardware device is present at lower thoracic and upper lumbar region. Increase retrocardiac density representing left lower lung volume loss, moderate left and mild right pleural effusions are stable.","Innumerable, bilateral, nodular opacities are similar.",nodular opacities,bilateral,Stable,['files/p17/p17704774/s57827533/bbe08fc1-a56aeae9-bd7c72ec-ce35c2c5-b033ef08.jpg'],['files/p17/p17704774/s57395479/ceb36d05-686e9404-43dfdc4f-e050bf09-89b8d71d.jpg\n']
s57827533_4,p17704774,s57827533,4,Findings,"A right-sided chest tube is present with the distal end near the right lung apex. Right central line ends at lower SVC. Innumerable, bilateral, nodular opacities are similar. The size of the pneumothorax at the right lung apex is smaller whereas at the right lower lateral chest wall and at the right lung base is overall unchanged. Spinal hardware device is present at lower thoracic and upper lumbar region. Increase retrocardiac density representing left lower lung volume loss, moderate left and mild right pleural effusions are stable.","Increase retrocardiac density representing left lower lung volume loss, moderate left and mild right pleural effusions are stable.",pleural effusion,left,Stable,['files/p17/p17704774/s57827533/bbe08fc1-a56aeae9-bd7c72ec-ce35c2c5-b033ef08.jpg'],['files/p17/p17704774/s57395479/ceb36d05-686e9404-43dfdc4f-e050bf09-89b8d71d.jpg\n']
s57833493_7,p16662264,s57833493,7,Findings,Study is essentially unchanged from immediately prior study dated ___. Middle lobe and lingular infiltrate are once again observed and essentially unchanged. There has been a slight interval decrease of bilateral pleural effusions. No new areas of consolidation are appreciated. No pneumothorax. The cardiomediastinal silhouette is stable and within normal limits.,The cardiomediastinal silhouette is stable and within normal limits.,cardiomediastinal silhouette,,Stable,"['files/p16/p16662264/s57833493/21dd100a-bf76f673-4ee97c34-87797534-1ff8583e.jpg', 'files/p16/p16662264/s57833493/4100235d-675f4f1f-2073fecb-b125c75b-efa3e4ee.jpg']","['files/p16/p16662264/s57219522/c190fb7d-da5b3a51-5f074369-736f62a6-589d6474.jpg\n', 'files/p16/p16662264/s57219522/c1d08547-51bb20b6-d0fc7be9-c7477e9a-9e2e5755.jpg\n']"
s57833493_7,p16662264,s57833493,7,Impression,Unchanged bilateral pneumonia with decreased pleural effusions.,Unchanged bilateral pneumonia with decreased pleural effusions.,pneumonia,bilateral,Stable,"['files/p16/p16662264/s57833493/21dd100a-bf76f673-4ee97c34-87797534-1ff8583e.jpg', 'files/p16/p16662264/s57833493/4100235d-675f4f1f-2073fecb-b125c75b-efa3e4ee.jpg']","['files/p16/p16662264/s57219522/c190fb7d-da5b3a51-5f074369-736f62a6-589d6474.jpg\n', 'files/p16/p16662264/s57219522/c1d08547-51bb20b6-d0fc7be9-c7477e9a-9e2e5755.jpg\n']"
s57833493_7,p16662264,s57833493,7,Findings,Study is essentially unchanged from immediately prior study dated ___. Middle lobe and lingular infiltrate are once again observed and essentially unchanged. There has been a slight interval decrease of bilateral pleural effusions. No new areas of consolidation are appreciated. No pneumothorax. The cardiomediastinal silhouette is stable and within normal limits.,Middle lobe and lingular infiltrate are once again observed and essentially unchanged.,infiltrate,middle lobe and lingular,Stable,"['files/p16/p16662264/s57833493/21dd100a-bf76f673-4ee97c34-87797534-1ff8583e.jpg', 'files/p16/p16662264/s57833493/4100235d-675f4f1f-2073fecb-b125c75b-efa3e4ee.jpg']","['files/p16/p16662264/s57219522/c190fb7d-da5b3a51-5f074369-736f62a6-589d6474.jpg\n', 'files/p16/p16662264/s57219522/c1d08547-51bb20b6-d0fc7be9-c7477e9a-9e2e5755.jpg\n']"
s57833493_7,p16662264,s57833493,7,Findings,Study is essentially unchanged from immediately prior study dated ___. Middle lobe and lingular infiltrate are once again observed and essentially unchanged. There has been a slight interval decrease of bilateral pleural effusions. No new areas of consolidation are appreciated. No pneumothorax. The cardiomediastinal silhouette is stable and within normal limits.,There has been a slight interval decrease of bilateral pleural effusions.,pleural effusions,bilateral,Better,"['files/p16/p16662264/s57833493/21dd100a-bf76f673-4ee97c34-87797534-1ff8583e.jpg', 'files/p16/p16662264/s57833493/4100235d-675f4f1f-2073fecb-b125c75b-efa3e4ee.jpg']","['files/p16/p16662264/s57219522/c190fb7d-da5b3a51-5f074369-736f62a6-589d6474.jpg\n', 'files/p16/p16662264/s57219522/c1d08547-51bb20b6-d0fc7be9-c7477e9a-9e2e5755.jpg\n']"
s57834224_16,p16855430,s57834224,16,Findings,"Comparison is made to previous study from ___. There is a left-sided PICC line with distal lead tip in the distal SVC, appropriately sited. Heart size is enlarged but stable. There is a persistent left retrocardiac opacity and likely left-sided pleural effusion. There is prominence of the pulmonary interstitial markings suggestive of minimal fluid overload, slightly worse than on the prior study. No pneumothoraces are seen.","There is prominence of the pulmonary interstitial markings suggestive of minimal fluid overload, slightly worse than on the prior study.",Pulmonary interstitial markings,,Worse,['files/p16/p16855430/s57834224/bf3a5411-5e10c67b-da46d4e3-89978035-8577d0fe.jpg'],"['files/p16/p16855430/s57663243/71bfff81-56c6477b-3432d360-6d1f41d2-8b2d7988.jpg\n', 'files/p16/p16855430/s57663243/940ed972-9b210254-8ce47743-d277b7b7-d440de02.jpg\n']"
s57834224_16,p16855430,s57834224,16,Findings,"Comparison is made to previous study from ___. There is a left-sided PICC line with distal lead tip in the distal SVC, appropriately sited. Heart size is enlarged but stable. There is a persistent left retrocardiac opacity and likely left-sided pleural effusion. There is prominence of the pulmonary interstitial markings suggestive of minimal fluid overload, slightly worse than on the prior study. No pneumothoraces are seen.",Heart size is enlarged but stable.,Enlarged heart size,,Stable,['files/p16/p16855430/s57834224/bf3a5411-5e10c67b-da46d4e3-89978035-8577d0fe.jpg'],"['files/p16/p16855430/s57663243/71bfff81-56c6477b-3432d360-6d1f41d2-8b2d7988.jpg\n', 'files/p16/p16855430/s57663243/940ed972-9b210254-8ce47743-d277b7b7-d440de02.jpg\n']"
s57835182_2,p16853729,s57835182,2,Findings,"PA and lateral views of the chest are compared to previous exam from ___. When compared to prior, there has been no significant interval change. Again seen are predominantly linear bibasilar opacities, more apparent on the lateral view on today's exam. Superiorly, the lungs remain clear. Enlarged cardiomediastinal silhouette is grossly stable given differences in technique and patient position.","Again seen are predominantly linear bibasilar opacities, more apparent on the lateral view on today's exam.",linear opacities,bibasilar,Stable,"['files/p16/p16853729/s57835182/5320dce2-60fde2c2-0590fad0-36474905-b3318771.jpg', 'files/p16/p16853729/s57835182/7edb7bdc-93380e91-4d5d0b73-0c778fdb-40e32018.jpg']","['files/p16/p16853729/s57739082/5e587c3b-2593ff0d-f7ac821e-4955e532-83ba9419.jpg\n', 'files/p16/p16853729/s57739082/8474d7b8-cceb51a2-16c0d6b2-f075f46e-38670c7f.jpg\n']"
s57835182_2,p16853729,s57835182,2,Findings,"PA and lateral views of the chest are compared to previous exam from ___. When compared to prior, there has been no significant interval change. Again seen are predominantly linear bibasilar opacities, more apparent on the lateral view on today's exam. Superiorly, the lungs remain clear. Enlarged cardiomediastinal silhouette is grossly stable given differences in technique and patient position.","Superiorly, the lungs remain clear.",lungs,superior,Stable,"['files/p16/p16853729/s57835182/5320dce2-60fde2c2-0590fad0-36474905-b3318771.jpg', 'files/p16/p16853729/s57835182/7edb7bdc-93380e91-4d5d0b73-0c778fdb-40e32018.jpg']","['files/p16/p16853729/s57739082/5e587c3b-2593ff0d-f7ac821e-4955e532-83ba9419.jpg\n', 'files/p16/p16853729/s57739082/8474d7b8-cceb51a2-16c0d6b2-f075f46e-38670c7f.jpg\n']"
s57835182_2,p16853729,s57835182,2,Impression,No significant interval change since exam from two days prior demonstrating persistent bibasilar opacities and enlarged cardiomediastinal silhouette.,No significant interval change since exam from two days prior demonstrating persistent bibasilar opacities and enlarged cardiomediastinal silhouette.,silhouette,cardiomediastinal,Stable,"['files/p16/p16853729/s57835182/5320dce2-60fde2c2-0590fad0-36474905-b3318771.jpg', 'files/p16/p16853729/s57835182/7edb7bdc-93380e91-4d5d0b73-0c778fdb-40e32018.jpg']","['files/p16/p16853729/s57739082/5e587c3b-2593ff0d-f7ac821e-4955e532-83ba9419.jpg\n', 'files/p16/p16853729/s57739082/8474d7b8-cceb51a2-16c0d6b2-f075f46e-38670c7f.jpg\n']"
s57835182_2,p16853729,s57835182,2,Impression,No significant interval change since exam from two days prior demonstrating persistent bibasilar opacities and enlarged cardiomediastinal silhouette.,No significant interval change since exam from two days prior demonstrating persistent bibasilar opacities and enlarged cardiomediastinal silhouette.,opacities,bibasilar,Stable,"['files/p16/p16853729/s57835182/5320dce2-60fde2c2-0590fad0-36474905-b3318771.jpg', 'files/p16/p16853729/s57835182/7edb7bdc-93380e91-4d5d0b73-0c778fdb-40e32018.jpg']","['files/p16/p16853729/s57739082/5e587c3b-2593ff0d-f7ac821e-4955e532-83ba9419.jpg\n', 'files/p16/p16853729/s57739082/8474d7b8-cceb51a2-16c0d6b2-f075f46e-38670c7f.jpg\n']"
s57835182_2,p16853729,s57835182,2,Findings,"PA and lateral views of the chest are compared to previous exam from ___. When compared to prior, there has been no significant interval change. Again seen are predominantly linear bibasilar opacities, more apparent on the lateral view on today's exam. Superiorly, the lungs remain clear. Enlarged cardiomediastinal silhouette is grossly stable given differences in technique and patient position.",Enlarged cardiomediastinal silhouette is grossly stable given differences in technique and patient position.,silhouette,cardiomediastinal,Stable,"['files/p16/p16853729/s57835182/5320dce2-60fde2c2-0590fad0-36474905-b3318771.jpg', 'files/p16/p16853729/s57835182/7edb7bdc-93380e91-4d5d0b73-0c778fdb-40e32018.jpg']","['files/p16/p16853729/s57739082/5e587c3b-2593ff0d-f7ac821e-4955e532-83ba9419.jpg\n', 'files/p16/p16853729/s57739082/8474d7b8-cceb51a2-16c0d6b2-f075f46e-38670c7f.jpg\n']"
s57840198_3,p17189198,s57840198,3,Findings,"Bilateral interstitial and airspace opacitification, predominantly basal has worsened substantially since ___. Moderate enlargement of the cardiac silhouette and hilar vasculature are chronic. Small bilateral pleural effusions are presumed.","Bilateral interstitial and airspace opacitification, predominantly basal has worsened substantially since ___.",interstitial and airspace opacitification,bilateral basal,Worse,['files/p17/p17189198/s57840198/f2b84959-05a7275a-931bd2c9-4755b948-797561fe.jpg'],"['files/p17/p17189198/s57397512/5ab5fba0-c8566867-480eaa18-3c6ff3f8-87c30b03.jpg\n', 'files/p17/p17189198/s57397512/7d2e3c50-e0ca79fb-74b46922-68f9cb02-e05269e5.jpg\n']"
s57840198_3,p17189198,s57840198,3,Impression,"Recurrent, moderately severe, pulmonary edema, worsened since ___. Bibasilar opacification, likely edema and atelectasis.","Recurrent, moderately severe, pulmonary edema, worsened since ___.",pulmonary edema,,Worse,['files/p17/p17189198/s57840198/f2b84959-05a7275a-931bd2c9-4755b948-797561fe.jpg'],"['files/p17/p17189198/s57397512/5ab5fba0-c8566867-480eaa18-3c6ff3f8-87c30b03.jpg\n', 'files/p17/p17189198/s57397512/7d2e3c50-e0ca79fb-74b46922-68f9cb02-e05269e5.jpg\n']"
s57843717_16,p14744884,s57843717,16,Impression,"As compared to the previous examination from earlier today, has been Re intubation. The tip of the endotracheal tube projects approximately 7 cm above the carinal, the tube could be advanced by 2-3 cm. The other monitoring and support devices are in unchanged position. Unchanged appearance of the cardiac silhouette and of the lung parenchyma. Known right vascular stent. No evidence of pneumothorax.",Unchanged appearance of the cardiac silhouette and of the lung parenchyma.,Cardiac silhouette,Cardiac,Stable,['files/p14/p14744884/s57843717/b6c0d2ce-6f3d53f3-df8a2161-37fbfb66-a1f871b4.jpg'],"['files/p14/p14744884/s57238617/2dbc33d8-a5b00a49-a6bfeea2-cff69532-91a4aac1.jpg\n', 'files/p14/p14744884/s57238617/56bc5807-8de1dc38-a4e70cd4-d8bdcb19-47bf20c9.jpg\n']"
s57843717_16,p14744884,s57843717,16,Impression,"As compared to the previous examination from earlier today, has been Re intubation. The tip of the endotracheal tube projects approximately 7 cm above the carinal, the tube could be advanced by 2-3 cm. The other monitoring and support devices are in unchanged position. Unchanged appearance of the cardiac silhouette and of the lung parenchyma. Known right vascular stent. No evidence of pneumothorax.",Unchanged appearance of the cardiac silhouette and of the lung parenchyma.,Lung parenchyma,Lungs,Stable,['files/p14/p14744884/s57843717/b6c0d2ce-6f3d53f3-df8a2161-37fbfb66-a1f871b4.jpg'],"['files/p14/p14744884/s57238617/2dbc33d8-a5b00a49-a6bfeea2-cff69532-91a4aac1.jpg\n', 'files/p14/p14744884/s57238617/56bc5807-8de1dc38-a4e70cd4-d8bdcb19-47bf20c9.jpg\n']"
s57843717_16,p14744884,s57843717,16,Impression,"As compared to the previous examination from earlier today, has been Re intubation. The tip of the endotracheal tube projects approximately 7 cm above the carinal, the tube could be advanced by 2-3 cm. The other monitoring and support devices are in unchanged position. Unchanged appearance of the cardiac silhouette and of the lung parenchyma. Known right vascular stent. No evidence of pneumothorax.",The other monitoring and support devices are in unchanged position.,Monitoring and support devices,Various,Stable,['files/p14/p14744884/s57843717/b6c0d2ce-6f3d53f3-df8a2161-37fbfb66-a1f871b4.jpg'],"['files/p14/p14744884/s57238617/2dbc33d8-a5b00a49-a6bfeea2-cff69532-91a4aac1.jpg\n', 'files/p14/p14744884/s57238617/56bc5807-8de1dc38-a4e70cd4-d8bdcb19-47bf20c9.jpg\n']"
s57844625_14,p11204646,s57844625,14,Findings,"As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects 2.8 cm above the carina. The patient has also received a nasogastric tube. The course of the tube is unremarkable, the tip of the tube is not visible on the current image. The right internal jugular vein catheter is in unchanged position. The atelectatic opacity at the right lung base is slightly increasing. There also is a disruption in the air column of the right main bronchus, so that bronchoscopic evaluation or clearance of potentially present mucus might be indicated.",The atelectatic opacity at the right lung base is slightly increasing.,atelectatic opacity,right lung base,Worse,['files/p11/p11204646/s57844625/ae38c715-8eeb617e-ad8ab0a9-9f23fdef-9e43fccf.jpg'],"['files/p11/p11204646/s57723725/1710507d-4caf495d-3a6908d5-77eba722-c11ac743.jpg\n', 'files/p11/p11204646/s57723725/b2855116-21f3ef34-de39228a-025ede5f-c01ed432.jpg\n']"
s57844625_14,p11204646,s57844625,14,Findings,"As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects 2.8 cm above the carina. The patient has also received a nasogastric tube. The course of the tube is unremarkable, the tip of the tube is not visible on the current image. The right internal jugular vein catheter is in unchanged position. The atelectatic opacity at the right lung base is slightly increasing. There also is a disruption in the air column of the right main bronchus, so that bronchoscopic evaluation or clearance of potentially present mucus might be indicated.","As compared to the previous radiograph, the patient has been intubated.",intubation,,New,['files/p11/p11204646/s57844625/ae38c715-8eeb617e-ad8ab0a9-9f23fdef-9e43fccf.jpg'],"['files/p11/p11204646/s57723725/1710507d-4caf495d-3a6908d5-77eba722-c11ac743.jpg\n', 'files/p11/p11204646/s57723725/b2855116-21f3ef34-de39228a-025ede5f-c01ed432.jpg\n']"
s57844625_14,p11204646,s57844625,14,Findings,"As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects 2.8 cm above the carina. The patient has also received a nasogastric tube. The course of the tube is unremarkable, the tip of the tube is not visible on the current image. The right internal jugular vein catheter is in unchanged position. The atelectatic opacity at the right lung base is slightly increasing. There also is a disruption in the air column of the right main bronchus, so that bronchoscopic evaluation or clearance of potentially present mucus might be indicated.",The right internal jugular vein catheter is in unchanged position.,catheter position,right internal jugular,Stable,['files/p11/p11204646/s57844625/ae38c715-8eeb617e-ad8ab0a9-9f23fdef-9e43fccf.jpg'],"['files/p11/p11204646/s57723725/1710507d-4caf495d-3a6908d5-77eba722-c11ac743.jpg\n', 'files/p11/p11204646/s57723725/b2855116-21f3ef34-de39228a-025ede5f-c01ed432.jpg\n']"
s57847867_1,p16050730,s57847867,1,Findings,"The heart is mildly enlarged. There is perihilar fullness with a new widespread mild interstitial abnormality, which includes fairly prominent patchy perihilar opacities. On the other hand, dense left basilar consolidation has nearly cleared. However, there are new patchy right basilar opacities in addition to background interstitial prominence. There is no pleural effusion or pneumothorax. The mediastinal and hilar contours appear unchanged.",The mediastinal and hilar contours appear unchanged.,mediastinal and hilar contours,,Stable,"['files/p16/p16050730/s57847867/498f9360-0c28d42f-94618d8e-62ab4a70-6bf2596d.jpg', 'files/p16/p16050730/s57847867/9762049c-4ede04ad-3686cd0b-abfae75d-795cb083.jpg']",['files/p16/p16050730/s57723077/d4dae1e3-f77d7d94-06b441f0-f5f8ffab-230cd387.jpg\n']
s57847867_1,p16050730,s57847867,1,Findings,"The heart is mildly enlarged. There is perihilar fullness with a new widespread mild interstitial abnormality, which includes fairly prominent patchy perihilar opacities. On the other hand, dense left basilar consolidation has nearly cleared. However, there are new patchy right basilar opacities in addition to background interstitial prominence. There is no pleural effusion or pneumothorax. The mediastinal and hilar contours appear unchanged.","On the other hand, dense left basilar consolidation has nearly cleared.",consolidation,left basilar,Resolve,"['files/p16/p16050730/s57847867/498f9360-0c28d42f-94618d8e-62ab4a70-6bf2596d.jpg', 'files/p16/p16050730/s57847867/9762049c-4ede04ad-3686cd0b-abfae75d-795cb083.jpg']",['files/p16/p16050730/s57723077/d4dae1e3-f77d7d94-06b441f0-f5f8ffab-230cd387.jpg\n']
s57847867_1,p16050730,s57847867,1,Findings,"The heart is mildly enlarged. There is perihilar fullness with a new widespread mild interstitial abnormality, which includes fairly prominent patchy perihilar opacities. On the other hand, dense left basilar consolidation has nearly cleared. However, there are new patchy right basilar opacities in addition to background interstitial prominence. There is no pleural effusion or pneumothorax. The mediastinal and hilar contours appear unchanged.","However, there are new patchy right basilar opacities in addition to background interstitial prominence.",opacities,right basilar,New,"['files/p16/p16050730/s57847867/498f9360-0c28d42f-94618d8e-62ab4a70-6bf2596d.jpg', 'files/p16/p16050730/s57847867/9762049c-4ede04ad-3686cd0b-abfae75d-795cb083.jpg']",['files/p16/p16050730/s57723077/d4dae1e3-f77d7d94-06b441f0-f5f8ffab-230cd387.jpg\n']
s57847867_1,p16050730,s57847867,1,Findings,"The heart is mildly enlarged. There is perihilar fullness with a new widespread mild interstitial abnormality, which includes fairly prominent patchy perihilar opacities. On the other hand, dense left basilar consolidation has nearly cleared. However, there are new patchy right basilar opacities in addition to background interstitial prominence. There is no pleural effusion or pneumothorax. The mediastinal and hilar contours appear unchanged.","There is perihilar fullness with a new widespread mild interstitial abnormality, which includes fairly prominent patchy perihilar opacities.",interstitial abnormality,perihilar,New,"['files/p16/p16050730/s57847867/498f9360-0c28d42f-94618d8e-62ab4a70-6bf2596d.jpg', 'files/p16/p16050730/s57847867/9762049c-4ede04ad-3686cd0b-abfae75d-795cb083.jpg']",['files/p16/p16050730/s57723077/d4dae1e3-f77d7d94-06b441f0-f5f8ffab-230cd387.jpg\n']
s57847867_1,p16050730,s57847867,1,Impression,"1. Interval clearance of left basilar consolidation. 2. Patchy right basilar opacities, which could be seen with minor atelectasis, but given the context clinical correlation is suggested regarding any possibility for recurrent or new aspiration pneumonitis at the right lung base. 3. Increased new interstitial abnormality, suggesting recurrence of fluid overload or mild-to-moderate pulmonary edema; aspiration could also be considered. Inflammation associated with atypical infectious process is probably less likely given the waxing and waning presentation.","3. Increased new interstitial abnormality, suggesting recurrence of fluid overload or mild-to-moderate pulmonary edema; aspiration could also be considered. Inflammation associated with atypical infectious process is probably less likely given the waxing and waning presentation.",interstitial abnormality,,Worse,"['files/p16/p16050730/s57847867/498f9360-0c28d42f-94618d8e-62ab4a70-6bf2596d.jpg', 'files/p16/p16050730/s57847867/9762049c-4ede04ad-3686cd0b-abfae75d-795cb083.jpg']",['files/p16/p16050730/s57723077/d4dae1e3-f77d7d94-06b441f0-f5f8ffab-230cd387.jpg\n']
s57847867_1,p16050730,s57847867,1,Impression,"1. Interval clearance of left basilar consolidation. 2. Patchy right basilar opacities, which could be seen with minor atelectasis, but given the context clinical correlation is suggested regarding any possibility for recurrent or new aspiration pneumonitis at the right lung base. 3. Increased new interstitial abnormality, suggesting recurrence of fluid overload or mild-to-moderate pulmonary edema; aspiration could also be considered. Inflammation associated with atypical infectious process is probably less likely given the waxing and waning presentation.","2. Patchy right basilar opacities, which could be seen with minor atelectasis, but given the context clinical correlation is suggested regarding any possibility for recurrent or new aspiration pneumonitis at the right lung base.",opacities,right lung base,New,"['files/p16/p16050730/s57847867/498f9360-0c28d42f-94618d8e-62ab4a70-6bf2596d.jpg', 'files/p16/p16050730/s57847867/9762049c-4ede04ad-3686cd0b-abfae75d-795cb083.jpg']",['files/p16/p16050730/s57723077/d4dae1e3-f77d7d94-06b441f0-f5f8ffab-230cd387.jpg\n']
s57847867_1,p16050730,s57847867,1,Impression,"1. Interval clearance of left basilar consolidation. 2. Patchy right basilar opacities, which could be seen with minor atelectasis, but given the context clinical correlation is suggested regarding any possibility for recurrent or new aspiration pneumonitis at the right lung base. 3. Increased new interstitial abnormality, suggesting recurrence of fluid overload or mild-to-moderate pulmonary edema; aspiration could also be considered. Inflammation associated with atypical infectious process is probably less likely given the waxing and waning presentation.",1. Interval clearance of left basilar consolidation.,consolidation,left basilar,Resolve,"['files/p16/p16050730/s57847867/498f9360-0c28d42f-94618d8e-62ab4a70-6bf2596d.jpg', 'files/p16/p16050730/s57847867/9762049c-4ede04ad-3686cd0b-abfae75d-795cb083.jpg']",['files/p16/p16050730/s57723077/d4dae1e3-f77d7d94-06b441f0-f5f8ffab-230cd387.jpg\n']
s57848354_5,p11474065,s57848354,5,Findings,"In comparison with the study of ___, there is again evidence of mild pulmonary edema, more prominent on the right. More focal area of opacification at the base medially with poor definition of the right heart border raises the possibility of a middle lobe pneumonia. Right pleural thickening or loculated effusion is again seen.","In comparison with the study of ___, there is again evidence of mild pulmonary edema, more prominent on the right.",pulmonary edema,right,Stable,['files/p11/p11474065/s57848354/d09562d7-3ddb8397-a8101476-43ad0118-5fae5eb9.jpg'],"['files/p11/p11474065/s57723670/44e39617-0b754c0a-b33e2351-0b5e42aa-f45409ab.jpg\n', 'files/p11/p11474065/s57723670/965cab94-dee35b99-bf9616fc-1707a75d-e2368901.jpg\n']"
s57848354_5,p11474065,s57848354,5,Findings,"In comparison with the study of ___, there is again evidence of mild pulmonary edema, more prominent on the right. More focal area of opacification at the base medially with poor definition of the right heart border raises the possibility of a middle lobe pneumonia. Right pleural thickening or loculated effusion is again seen.",Right pleural thickening or loculated effusion is again seen.,pleural thickening or loculated effusion,right,Stable,['files/p11/p11474065/s57848354/d09562d7-3ddb8397-a8101476-43ad0118-5fae5eb9.jpg'],"['files/p11/p11474065/s57723670/44e39617-0b754c0a-b33e2351-0b5e42aa-f45409ab.jpg\n', 'files/p11/p11474065/s57723670/965cab94-dee35b99-bf9616fc-1707a75d-e2368901.jpg\n']"
s57848354_5,p11474065,s57848354,5,Findings,"In comparison with the study of ___, there is again evidence of mild pulmonary edema, more prominent on the right. More focal area of opacification at the base medially with poor definition of the right heart border raises the possibility of a middle lobe pneumonia. Right pleural thickening or loculated effusion is again seen.",More focal area of opacification at the base medially with poor definition of the right heart border raises the possibility of a middle lobe pneumonia.,middle lobe pneumonia,base medially,New,['files/p11/p11474065/s57848354/d09562d7-3ddb8397-a8101476-43ad0118-5fae5eb9.jpg'],"['files/p11/p11474065/s57723670/44e39617-0b754c0a-b33e2351-0b5e42aa-f45409ab.jpg\n', 'files/p11/p11474065/s57723670/965cab94-dee35b99-bf9616fc-1707a75d-e2368901.jpg\n']"
s57849643_3,p16875792,s57849643,3,Findings,"Right CVL and left chest tube are stable in position. Bilateral pleural effusions, right greater than left, are unchanged. Right lower lobe atelectasis is stable. Left lower lobe atelectasis has mildly improved. Post-operative cardiomediastinal widening is stable. There is no pneumothorax. Previously seen pneumopericardium has resolved. Findings were discussed with ___ at 8:45 am on ___, via telephone.",Right CVL and left chest tube are stable in position.,chest tube,left,Stable,['files/p16/p16875792/s57849643/a466a1e2-24db4349-c068db9b-aae250f4-030ceb1e.jpg'],"['files/p16/p16875792/s55853389/0119e0a7-198160f8-7a4b361a-0b612edd-9b62bc13.jpg\n', 'files/p16/p16875792/s55853389/2c27c769-9854b0e9-102ff0b0-b17773f0-052865d7.jpg\n']"
s57849643_3,p16875792,s57849643,3,Findings,"Right CVL and left chest tube are stable in position. Bilateral pleural effusions, right greater than left, are unchanged. Right lower lobe atelectasis is stable. Left lower lobe atelectasis has mildly improved. Post-operative cardiomediastinal widening is stable. There is no pneumothorax. Previously seen pneumopericardium has resolved. Findings were discussed with ___ at 8:45 am on ___, via telephone.",Post-operative cardiomediastinal widening is stable.,post-operative cardiomediastinal widening,,Stable,['files/p16/p16875792/s57849643/a466a1e2-24db4349-c068db9b-aae250f4-030ceb1e.jpg'],"['files/p16/p16875792/s55853389/0119e0a7-198160f8-7a4b361a-0b612edd-9b62bc13.jpg\n', 'files/p16/p16875792/s55853389/2c27c769-9854b0e9-102ff0b0-b17773f0-052865d7.jpg\n']"
s57849643_3,p16875792,s57849643,3,Findings,"Right CVL and left chest tube are stable in position. Bilateral pleural effusions, right greater than left, are unchanged. Right lower lobe atelectasis is stable. Left lower lobe atelectasis has mildly improved. Post-operative cardiomediastinal widening is stable. There is no pneumothorax. Previously seen pneumopericardium has resolved. Findings were discussed with ___ at 8:45 am on ___, via telephone.",Previously seen pneumopericardium has resolved.,pneumopericardium,,Resolve,['files/p16/p16875792/s57849643/a466a1e2-24db4349-c068db9b-aae250f4-030ceb1e.jpg'],"['files/p16/p16875792/s55853389/0119e0a7-198160f8-7a4b361a-0b612edd-9b62bc13.jpg\n', 'files/p16/p16875792/s55853389/2c27c769-9854b0e9-102ff0b0-b17773f0-052865d7.jpg\n']"
s57849643_3,p16875792,s57849643,3,Findings,"Right CVL and left chest tube are stable in position. Bilateral pleural effusions, right greater than left, are unchanged. Right lower lobe atelectasis is stable. Left lower lobe atelectasis has mildly improved. Post-operative cardiomediastinal widening is stable. There is no pneumothorax. Previously seen pneumopericardium has resolved. Findings were discussed with ___ at 8:45 am on ___, via telephone.",Right lower lobe atelectasis is stable.,atelectasis,right lower lobe,Stable,['files/p16/p16875792/s57849643/a466a1e2-24db4349-c068db9b-aae250f4-030ceb1e.jpg'],"['files/p16/p16875792/s55853389/0119e0a7-198160f8-7a4b361a-0b612edd-9b62bc13.jpg\n', 'files/p16/p16875792/s55853389/2c27c769-9854b0e9-102ff0b0-b17773f0-052865d7.jpg\n']"
s57849643_3,p16875792,s57849643,3,Findings,"Right CVL and left chest tube are stable in position. Bilateral pleural effusions, right greater than left, are unchanged. Right lower lobe atelectasis is stable. Left lower lobe atelectasis has mildly improved. Post-operative cardiomediastinal widening is stable. There is no pneumothorax. Previously seen pneumopericardium has resolved. Findings were discussed with ___ at 8:45 am on ___, via telephone.",Left lower lobe atelectasis has mildly improved.,atelectasis,left lower lobe,Better,['files/p16/p16875792/s57849643/a466a1e2-24db4349-c068db9b-aae250f4-030ceb1e.jpg'],"['files/p16/p16875792/s55853389/0119e0a7-198160f8-7a4b361a-0b612edd-9b62bc13.jpg\n', 'files/p16/p16875792/s55853389/2c27c769-9854b0e9-102ff0b0-b17773f0-052865d7.jpg\n']"
s57849643_3,p16875792,s57849643,3,Findings,"Right CVL and left chest tube are stable in position. Bilateral pleural effusions, right greater than left, are unchanged. Right lower lobe atelectasis is stable. Left lower lobe atelectasis has mildly improved. Post-operative cardiomediastinal widening is stable. There is no pneumothorax. Previously seen pneumopericardium has resolved. Findings were discussed with ___ at 8:45 am on ___, via telephone.","Bilateral pleural effusions, right greater than left, are unchanged.",pleural effusions,bilateral,Stable,['files/p16/p16875792/s57849643/a466a1e2-24db4349-c068db9b-aae250f4-030ceb1e.jpg'],"['files/p16/p16875792/s55853389/0119e0a7-198160f8-7a4b361a-0b612edd-9b62bc13.jpg\n', 'files/p16/p16875792/s55853389/2c27c769-9854b0e9-102ff0b0-b17773f0-052865d7.jpg\n']"
s57849643_3,p16875792,s57849643,3,Findings,"Right CVL and left chest tube are stable in position. Bilateral pleural effusions, right greater than left, are unchanged. Right lower lobe atelectasis is stable. Left lower lobe atelectasis has mildly improved. Post-operative cardiomediastinal widening is stable. There is no pneumothorax. Previously seen pneumopericardium has resolved. Findings were discussed with ___ at 8:45 am on ___, via telephone.",Right CVL and left chest tube are stable in position.,CVL,right,Stable,['files/p16/p16875792/s57849643/a466a1e2-24db4349-c068db9b-aae250f4-030ceb1e.jpg'],"['files/p16/p16875792/s55853389/0119e0a7-198160f8-7a4b361a-0b612edd-9b62bc13.jpg\n', 'files/p16/p16875792/s55853389/2c27c769-9854b0e9-102ff0b0-b17773f0-052865d7.jpg\n']"
s57862102_6,p16751749,s57862102,6,Findings,"In comparison with the earlier study of this date, the monitoring and support devices remain in place. No definite pneumothorax, though this could be difficult to detect in view of the extremely large amount of subcutaneous gas.","In comparison with the earlier study of this date, the monitoring and support devices remain in place.",Monitoring and support devices,,Stable,['files/p16/p16751749/s57862102/4a5bbca6-64ed6abf-84645068-6a7688bd-9a9910d4.jpg'],['files/p16/p16751749/s57787040/3d1d93b1-6b91fadd-c1b40a43-382aef3b-639c3488.jpg\n']
s57863444_9,p18855147,s57863444,9,Findings,Dialysis catheter noted and unchanged. The heart is moderately enlarged. There is extensive calcification of the thoracic aorta. Calcifications are also noted in the walls of the coronary arteries and the main bronchi. Cardiomediastinal contours are unremarkable. Lungs are clear with no evidence of focal consolidation to suggest acute pneumonia. No pleural effusions. No pneumothorax.,Dialysis catheter noted and unchanged.,Dialysis catheter,,Stable,"['files/p18/p18855147/s57863444/29481f39-ab51b96a-2a696f80-7ee66b4f-2ded1b3e.jpg', 'files/p18/p18855147/s57863444/cb0502af-22b9aa9f-6f613ef2-15552b8e-5b4238eb.jpg']",['files/p18/p18855147/s57304510/6c24203f-eb2ae77d-f8dc8d4b-8ca91798-a6dddd76.jpg\n']
s57865645_36,p15131736,s57865645,36,Findings,"Lung volumes are low. Moderate cardiomegaly is re- demonstrated. There is mild pulmonary edema, perhaps minimally worse compared to the previous exam. Small bilateral pleural effusions may be present, and bibasilar opacities likely reflect areas of atelectasis. No large pneumothorax is present though assessment of the left apex is slightly obscured due to the patient's neck and soft tissues projecting over this region. Degenerative changes of the left glenohumeral joint are noted.",Moderate cardiomegaly is re- demonstrated.,cardiomegaly,,Stable,['files/p15/p15131736/s57865645/f5f335c8-148fbc15-8bb36e82-d7f364d8-066a5b50.jpg'],['files/p15/p15131736/s57823021/093c153e-d1acd85f-f43aa2c9-b469c946-c50bed41.jpg\n']
s57865645_36,p15131736,s57865645,36,Findings,"Lung volumes are low. Moderate cardiomegaly is re- demonstrated. There is mild pulmonary edema, perhaps minimally worse compared to the previous exam. Small bilateral pleural effusions may be present, and bibasilar opacities likely reflect areas of atelectasis. No large pneumothorax is present though assessment of the left apex is slightly obscured due to the patient's neck and soft tissues projecting over this region. Degenerative changes of the left glenohumeral joint are noted.","There is mild pulmonary edema, perhaps minimally worse compared to the previous exam.",pulmonary edema,,Worse,['files/p15/p15131736/s57865645/f5f335c8-148fbc15-8bb36e82-d7f364d8-066a5b50.jpg'],['files/p15/p15131736/s57823021/093c153e-d1acd85f-f43aa2c9-b469c946-c50bed41.jpg\n']
s57867628_16,p15259244,s57867628,16,Impression,"No decrease in massive cardiomegaly or pulmonary artery dilatation . Echocardiography is recommended to further evaluate this finding. These findings were reported to physician assistant, Ms. ___, at 12:10 p.m. via phone by ___.",No decrease in massive cardiomegaly or pulmonary artery dilatation .,dilatation,pulmonary artery,Stable,['files/p15/p15259244/s57867628/88d66a2e-11751a81-a9daf8df-433b48ec-34cd1570.jpg'],['files/p15/p15259244/s57809151/76ee4972-231e2314-e4e35ff5-8d2cd919-a98450dd.jpg\n']
s57867628_16,p15259244,s57867628,16,Findings,There is stable massive cardiomegaly which does not show any improvement in past 48 hours. There is significant dilatation of the main pulmonary artery which also has not abated. Lung volumes are low and unchanged with left-sided atelectasis essentially the same. There is no pneumothorax. IJ catheter sheath is seen in position terminating within the mid SVC. A supraclavicular triple-lumen catheter is seen terminating within the right atrium. Moderate bilateral pleural effusions are unchanged.,There is stable massive cardiomegaly which does not show any improvement in past 48 hours.,massive cardiomegaly,,Stable,['files/p15/p15259244/s57867628/88d66a2e-11751a81-a9daf8df-433b48ec-34cd1570.jpg'],['files/p15/p15259244/s57809151/76ee4972-231e2314-e4e35ff5-8d2cd919-a98450dd.jpg\n']
s57867628_16,p15259244,s57867628,16,Findings,There is stable massive cardiomegaly which does not show any improvement in past 48 hours. There is significant dilatation of the main pulmonary artery which also has not abated. Lung volumes are low and unchanged with left-sided atelectasis essentially the same. There is no pneumothorax. IJ catheter sheath is seen in position terminating within the mid SVC. A supraclavicular triple-lumen catheter is seen terminating within the right atrium. Moderate bilateral pleural effusions are unchanged.,There is significant dilatation of the main pulmonary artery which also has not abated.,pulmonary artery dilatation,main,Stable,['files/p15/p15259244/s57867628/88d66a2e-11751a81-a9daf8df-433b48ec-34cd1570.jpg'],['files/p15/p15259244/s57809151/76ee4972-231e2314-e4e35ff5-8d2cd919-a98450dd.jpg\n']
s57867628_16,p15259244,s57867628,16,Findings,There is stable massive cardiomegaly which does not show any improvement in past 48 hours. There is significant dilatation of the main pulmonary artery which also has not abated. Lung volumes are low and unchanged with left-sided atelectasis essentially the same. There is no pneumothorax. IJ catheter sheath is seen in position terminating within the mid SVC. A supraclavicular triple-lumen catheter is seen terminating within the right atrium. Moderate bilateral pleural effusions are unchanged.,Lung volumes are low and unchanged with left-sided atelectasis essentially the same.,atelectasis,left-sided,Stable,['files/p15/p15259244/s57867628/88d66a2e-11751a81-a9daf8df-433b48ec-34cd1570.jpg'],['files/p15/p15259244/s57809151/76ee4972-231e2314-e4e35ff5-8d2cd919-a98450dd.jpg\n']
s57867628_16,p15259244,s57867628,16,Findings,There is stable massive cardiomegaly which does not show any improvement in past 48 hours. There is significant dilatation of the main pulmonary artery which also has not abated. Lung volumes are low and unchanged with left-sided atelectasis essentially the same. There is no pneumothorax. IJ catheter sheath is seen in position terminating within the mid SVC. A supraclavicular triple-lumen catheter is seen terminating within the right atrium. Moderate bilateral pleural effusions are unchanged.,Moderate bilateral pleural effusions are unchanged.,bilateral pleural effusions,,Stable,['files/p15/p15259244/s57867628/88d66a2e-11751a81-a9daf8df-433b48ec-34cd1570.jpg'],['files/p15/p15259244/s57809151/76ee4972-231e2314-e4e35ff5-8d2cd919-a98450dd.jpg\n']
s57867628_16,p15259244,s57867628,16,Impression,"No decrease in massive cardiomegaly or pulmonary artery dilatation . Echocardiography is recommended to further evaluate this finding. These findings were reported to physician assistant, Ms. ___, at 12:10 p.m. via phone by ___.",No decrease in massive cardiomegaly or pulmonary artery dilatation .,massive cardiomegaly,,Stable,['files/p15/p15259244/s57867628/88d66a2e-11751a81-a9daf8df-433b48ec-34cd1570.jpg'],['files/p15/p15259244/s57809151/76ee4972-231e2314-e4e35ff5-8d2cd919-a98450dd.jpg\n']
s57869215_2,p15393401,s57869215,2,Findings,"In comparison with study of ___, there is little overall change. Again there is substantial enlargement of the cardiac silhouette with evidence of pulmonary vascular congestion with asymmetric edema, more prominent on the right. Retrocardiac opacification with poor definition of the hemidiaphragm is consistent with volume loss in the lower lobe. There may well be small bilateral pleural effusions.","Again there is substantial enlargement of the cardiac silhouette with evidence of pulmonary vascular congestion with asymmetric edema, more prominent on the right.",silhouette,cardiac,Stable,"['files/p15/p15393401/s57869215/270beec0-efdc7a9a-c3c3f640-dbe29d09-11af9a61.jpg', 'files/p15/p15393401/s57869215/ae1cb3e4-7807870b-ebd61015-6285477f-253c9637.jpg']","['files/p15/p15393401/s57486536/1585b079-3c16e696-8466896e-42ade4b7-3bc6686f.jpg\n', 'files/p15/p15393401/s57486536/804b2558-1b928d2d-a41b4959-275e9da9-5ccdeca5.jpg\n']"
s57873452_22,p10268877,s57873452,22,Findings,"As compared to the previous radiograph, the monitoring and support devices are constant in position. The pre-existing right basal opacity, with maximum in the infrahilar area, is not substantially changed. On the left, there is decreased visibility of the left hemidiaphragm, suggesting the appearance of either atelectasis or small left pleural effusion. Unchanged moderate cardiomegaly. The right costophrenic sinus is unremarkable.",Unchanged moderate cardiomegaly.,Moderate cardiomegaly,,Stable,"['files/p10/p10268877/s57873452/28c17b79-14a8e7a1-14591313-2a68d678-39106288.jpg', 'files/p10/p10268877/s57873452/f8e1f272-c87c4a00-60025a33-09d9a7ea-c1125ac6.jpg']",['files/p10/p10268877/s57765703/2f8ca5e2-5a1e02ab-e84f7547-069743e9-0f08d9e0.jpg\n']
s57873452_22,p10268877,s57873452,22,Findings,"As compared to the previous radiograph, the monitoring and support devices are constant in position. The pre-existing right basal opacity, with maximum in the infrahilar area, is not substantially changed. On the left, there is decreased visibility of the left hemidiaphragm, suggesting the appearance of either atelectasis or small left pleural effusion. Unchanged moderate cardiomegaly. The right costophrenic sinus is unremarkable.","As compared to the previous radiograph, the monitoring and support devices are constant in position.",Monitoring and support devices,,Stable,"['files/p10/p10268877/s57873452/28c17b79-14a8e7a1-14591313-2a68d678-39106288.jpg', 'files/p10/p10268877/s57873452/f8e1f272-c87c4a00-60025a33-09d9a7ea-c1125ac6.jpg']",['files/p10/p10268877/s57765703/2f8ca5e2-5a1e02ab-e84f7547-069743e9-0f08d9e0.jpg\n']
s57873452_22,p10268877,s57873452,22,Findings,"As compared to the previous radiograph, the monitoring and support devices are constant in position. The pre-existing right basal opacity, with maximum in the infrahilar area, is not substantially changed. On the left, there is decreased visibility of the left hemidiaphragm, suggesting the appearance of either atelectasis or small left pleural effusion. Unchanged moderate cardiomegaly. The right costophrenic sinus is unremarkable.","The pre-existing right basal opacity, with maximum in the infrahilar area, is not substantially changed.",Opacity,"Right basal, infrahilar area",Stable,"['files/p10/p10268877/s57873452/28c17b79-14a8e7a1-14591313-2a68d678-39106288.jpg', 'files/p10/p10268877/s57873452/f8e1f272-c87c4a00-60025a33-09d9a7ea-c1125ac6.jpg']",['files/p10/p10268877/s57765703/2f8ca5e2-5a1e02ab-e84f7547-069743e9-0f08d9e0.jpg\n']
s57874436_2,p18767957,s57874436,2,Impression,"Study yesterday, retrocardiac opacity and small opacity in right lower medial and infrahilar region has improved suggesting it was atelectasis or aspiration. There is no pleural abnormality.","Study yesterday, retrocardiac opacity and small opacity in right lower medial and infrahilar region has improved suggesting it was atelectasis or aspiration.",opacity,right lower medial and infrahilar region,Better,['files/p18/p18767957/s57874436/c5257468-fb41d9ce-701fc319-a6141214-92bb351c.jpg'],"['files/p18/p18767957/s56415175/638c566a-13e88650-9b767af5-d532eda6-7120af1b.jpg\n', 'files/p18/p18767957/s56415175/88dd4b9d-f5dc2b18-5e9e6141-943b90b2-39b71300.jpg\n']"
s57874436_2,p18767957,s57874436,2,Findings,"Since yesterday retrocardiac opacity and small opacity in the right infrahilar and right lower medial lung is much better, likely atelectasis or aspiration. Both upper lungs are clear. There is no pleural abnormality.","Since yesterday retrocardiac opacity and small opacity in the right infrahilar and right lower medial lung is much better, likely atelectasis or aspiration.",opacity,right infrahilar and right lower medial lung,Better,['files/p18/p18767957/s57874436/c5257468-fb41d9ce-701fc319-a6141214-92bb351c.jpg'],"['files/p18/p18767957/s56415175/638c566a-13e88650-9b767af5-d532eda6-7120af1b.jpg\n', 'files/p18/p18767957/s56415175/88dd4b9d-f5dc2b18-5e9e6141-943b90b2-39b71300.jpg\n']"
s57876331_2,p19731864,s57876331,2,Impression,"___ with study of ___, there is little overall change. Again there is substantial enlargement of the cardiac silhouette with essentially normal pulmonary vasculature. This discordance suggests cardiomyopathy or possibly even pericardial effusion. No evidence of acute focal pneumonia.",Again there is substantial enlargement of the cardiac silhouette with essentially normal pulmonary vasculature.,enlargement of the cardiac silhouette,,Worse,"['files/p19/p19731864/s57876331/a1e78eb5-72f569fd-f5c8c795-887b8a35-97d007e1.jpg', 'files/p19/p19731864/s57876331/a4f7b6d3-cf499ca4-b5b17439-78ac53db-c0418f6f.jpg']","['files/p19/p19731864/s55499739/06df3b11-81898aee-955508ec-3c40c0bd-2c592b21.jpg\n', 'files/p19/p19731864/s55499739/8e161b87-cb333a65-3d63c0a2-06de571e-60c0978e.jpg\n']"
s57876331_2,p19731864,s57876331,2,Impression,"___ with study of ___, there is little overall change. Again there is substantial enlargement of the cardiac silhouette with essentially normal pulmonary vasculature. This discordance suggests cardiomyopathy or possibly even pericardial effusion. No evidence of acute focal pneumonia.","___ with study of ___, there is little overall change.",,,Stable,"['files/p19/p19731864/s57876331/a1e78eb5-72f569fd-f5c8c795-887b8a35-97d007e1.jpg', 'files/p19/p19731864/s57876331/a4f7b6d3-cf499ca4-b5b17439-78ac53db-c0418f6f.jpg']","['files/p19/p19731864/s55499739/06df3b11-81898aee-955508ec-3c40c0bd-2c592b21.jpg\n', 'files/p19/p19731864/s55499739/8e161b87-cb333a65-3d63c0a2-06de571e-60c0978e.jpg\n']"
s57876776_1,p12952223,s57876776,1,Findings,"As compared to the previous radiograph, there is no relevant change. Low lung volumes with bilateral pleural effusions and relatively extensive areas of bilateral basal atelectasis. Mild fluid overload might be present. No newly appeared focal parenchymal opacities. The right internal jugular vein catheter and the sternal wires are in constant position.",The right internal jugular vein catheter and the sternal wires are in constant position.,catheter,right internal jugular vein,Stable,['files/p12/p12952223/s57876776/26d9c6a6-23aadec2-4f13a9f7-d2bfdb99-ba5c03ff.jpg'],"['files/p12/p12952223/s57273961/7b29d6f3-369318e4-db0f16ce-ba0efb3e-630b539c.jpg\n', 'files/p12/p12952223/s57273961/c8502a35-a270d52b-bd1e0d87-6a535418-3c742175.jpg\n']"
s57878445_25,p13263843,s57878445,25,Impression,"AP chest compared to ___ through ___: Pulmonary vascular congestion in the left lung has worsened since ___ and several nodular foci in the left lung have increased in size, though partially obscured by edema. Right lung remains entirely collapsed. Patient has had right upper thoracoplasty. Heart is probably not enlarged. Left pleural effusion is small, increased slightly since ___. Right subclavian PIC line ends in the upper SVC. There is no pneumothorax.","Pulmonary vascular congestion in the left lung has worsened since ___ and several nodular foci in the left lung have increased in size, though partially obscured by edema.",Pulmonary vascular congestion,left lung,Worse,"['files/p13/p13263843/s57878445/0c49c7b0-26167f04-e2cfa26a-15361a7f-6a33c4b8.jpg', 'files/p13/p13263843/s57878445/f4a7b852-ed247269-045c2655-7ab8bfd1-535c762a.jpg']","['files/p13/p13263843/s57474634/5a8173dc-ba88a84f-b2bdec60-eb030b78-73682cd4.jpg\n', 'files/p13/p13263843/s57474634/b0e9726e-2f7a3e61-18743619-0d5e6e7b-b8b429b8.jpg\n']"
s57878445_25,p13263843,s57878445,25,Impression,"AP chest compared to ___ through ___: Pulmonary vascular congestion in the left lung has worsened since ___ and several nodular foci in the left lung have increased in size, though partially obscured by edema. Right lung remains entirely collapsed. Patient has had right upper thoracoplasty. Heart is probably not enlarged. Left pleural effusion is small, increased slightly since ___. Right subclavian PIC line ends in the upper SVC. There is no pneumothorax.","Pulmonary vascular congestion in the left lung has worsened since ___ and several nodular foci in the left lung have increased in size, though partially obscured by edema.",nodular foci,left lung,Worse,"['files/p13/p13263843/s57878445/0c49c7b0-26167f04-e2cfa26a-15361a7f-6a33c4b8.jpg', 'files/p13/p13263843/s57878445/f4a7b852-ed247269-045c2655-7ab8bfd1-535c762a.jpg']","['files/p13/p13263843/s57474634/5a8173dc-ba88a84f-b2bdec60-eb030b78-73682cd4.jpg\n', 'files/p13/p13263843/s57474634/b0e9726e-2f7a3e61-18743619-0d5e6e7b-b8b429b8.jpg\n']"
s57878445_25,p13263843,s57878445,25,Impression,"AP chest compared to ___ through ___: Pulmonary vascular congestion in the left lung has worsened since ___ and several nodular foci in the left lung have increased in size, though partially obscured by edema. Right lung remains entirely collapsed. Patient has had right upper thoracoplasty. Heart is probably not enlarged. Left pleural effusion is small, increased slightly since ___. Right subclavian PIC line ends in the upper SVC. There is no pneumothorax.",Right lung remains entirely collapsed.,collapsed,right lung,Stable,"['files/p13/p13263843/s57878445/0c49c7b0-26167f04-e2cfa26a-15361a7f-6a33c4b8.jpg', 'files/p13/p13263843/s57878445/f4a7b852-ed247269-045c2655-7ab8bfd1-535c762a.jpg']","['files/p13/p13263843/s57474634/5a8173dc-ba88a84f-b2bdec60-eb030b78-73682cd4.jpg\n', 'files/p13/p13263843/s57474634/b0e9726e-2f7a3e61-18743619-0d5e6e7b-b8b429b8.jpg\n']"
s57878445_25,p13263843,s57878445,25,Impression,"AP chest compared to ___ through ___: Pulmonary vascular congestion in the left lung has worsened since ___ and several nodular foci in the left lung have increased in size, though partially obscured by edema. Right lung remains entirely collapsed. Patient has had right upper thoracoplasty. Heart is probably not enlarged. Left pleural effusion is small, increased slightly since ___. Right subclavian PIC line ends in the upper SVC. There is no pneumothorax.","Left pleural effusion is small, increased slightly since ___.",pleural effusion,left,Worse,"['files/p13/p13263843/s57878445/0c49c7b0-26167f04-e2cfa26a-15361a7f-6a33c4b8.jpg', 'files/p13/p13263843/s57878445/f4a7b852-ed247269-045c2655-7ab8bfd1-535c762a.jpg']","['files/p13/p13263843/s57474634/5a8173dc-ba88a84f-b2bdec60-eb030b78-73682cd4.jpg\n', 'files/p13/p13263843/s57474634/b0e9726e-2f7a3e61-18743619-0d5e6e7b-b8b429b8.jpg\n']"
s57880532_24,p17340686,s57880532,24,Findings,Frontal and lateral chest radiographs demonstrate persistent but improved pulmonary edema with right lower lobe opacification concerning for pneumonia. Right pleural effusion is presumed but not substantial. The left lung is grossly clear with no focal consolidations. Multiple pulmonary nodules are better visualized on the prior CT dated ___. Cardiomegaly is chronic.,Multiple pulmonary nodules are better visualized on the prior CT dated ___.,multiple pulmonary nodules,,Stable,"['files/p17/p17340686/s57880532/1e3926d7-a660ecde-c6e6282e-98039f5e-6c6714c8.jpg', 'files/p17/p17340686/s57880532/7f8f6ec3-a3e29283-ecbe579b-2cc82a1b-8ba750a6.jpg']",['files/p17/p17340686/s57032496/f12f4aff-464794a0-43804b4b-647ac047-cc14b671.jpg\n']
s57880532_24,p17340686,s57880532,24,Impression,1. Mildly improved pulmonary edema. 2. Possible right lower lobe pneumonia.,Mildly improved pulmonary edema.,pulmonary edema,,Better,"['files/p17/p17340686/s57880532/1e3926d7-a660ecde-c6e6282e-98039f5e-6c6714c8.jpg', 'files/p17/p17340686/s57880532/7f8f6ec3-a3e29283-ecbe579b-2cc82a1b-8ba750a6.jpg']",['files/p17/p17340686/s57032496/f12f4aff-464794a0-43804b4b-647ac047-cc14b671.jpg\n']
s57880532_24,p17340686,s57880532,24,Findings,Frontal and lateral chest radiographs demonstrate persistent but improved pulmonary edema with right lower lobe opacification concerning for pneumonia. Right pleural effusion is presumed but not substantial. The left lung is grossly clear with no focal consolidations. Multiple pulmonary nodules are better visualized on the prior CT dated ___. Cardiomegaly is chronic.,Frontal and lateral chest radiographs demonstrate persistent but improved pulmonary edema with right lower lobe opacification concerning for pneumonia.,pulmonary edema,right lower lobe,Better,"['files/p17/p17340686/s57880532/1e3926d7-a660ecde-c6e6282e-98039f5e-6c6714c8.jpg', 'files/p17/p17340686/s57880532/7f8f6ec3-a3e29283-ecbe579b-2cc82a1b-8ba750a6.jpg']",['files/p17/p17340686/s57032496/f12f4aff-464794a0-43804b4b-647ac047-cc14b671.jpg\n']
s57880955_31,p16043637,s57880955,31,Findings,"PA and lateral views of the chest. Left pectoral pacemaker with dual leads seen extending into in the region of the right atrium and right ventricle. A right-sided PICC line is noted to terminate in the right subclavian vein. Median sternotomy wires and prosthetic cardiac valve are noted. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. A chronic compression deformity in the upper lumbar spine appears stable from ___. No free air below the right hemidiaphragm is seen.",A chronic compression deformity in the upper lumbar spine appears stable from ___.,chronic compression deformity,upper lumbar spine,Stable,"['files/p16/p16043637/s57880955/1b969967-88c2b36b-65da30a7-644c09d3-96356c51.jpg', 'files/p16/p16043637/s57880955/5e06f576-00f63575-732b3eac-a525f7d2-9355ee5f.jpg']",['files/p16/p16043637/s57440750/27e83fc9-b156bdac-0ec31eb2-21403864-d2def4c7.jpg\n']
s57881979_16,p18487334,s57881979,16,Findings,"The lung volumes are stable. A new right lower lung opacification. The cardio mediastinal and hilar borders are stable. The pleural surfaces are stable. The left pacemaker is intact with leads in appropriate positions. Again seen, is destruction in the second sternotomy wire. The OG tube appears to be malpositioned proximally lying in the proximal fundus of the stomach. The right PICC line terminates in the mid SVC. The osseous structures are stable.",The lung volumes are stable.,lung volumes,,Stable,['files/p18/p18487334/s57881979/ff8b2af5-e8c313a0-9caec8e9-f6a90929-3b53792a.jpg'],"['files/p18/p18487334/s57241138/4bc5f178-5d714644-9cc072b9-d1ac0ed5-b4db2ba0.jpg\n', 'files/p18/p18487334/s57241138/789d985f-bfb9d5d9-23015f62-51fcef07-ef80abf5.jpg\n', 'files/p18/p18487334/s57241138/88182eaf-e387089b-7ec2ced7-6cfa0fb9-6f390847.jpg\n']"
s57881979_16,p18487334,s57881979,16,Findings,"The lung volumes are stable. A new right lower lung opacification. The cardio mediastinal and hilar borders are stable. The pleural surfaces are stable. The left pacemaker is intact with leads in appropriate positions. Again seen, is destruction in the second sternotomy wire. The OG tube appears to be malpositioned proximally lying in the proximal fundus of the stomach. The right PICC line terminates in the mid SVC. The osseous structures are stable.",A new right lower lung opacification.,opacification,right lower lung,New,['files/p18/p18487334/s57881979/ff8b2af5-e8c313a0-9caec8e9-f6a90929-3b53792a.jpg'],"['files/p18/p18487334/s57241138/4bc5f178-5d714644-9cc072b9-d1ac0ed5-b4db2ba0.jpg\n', 'files/p18/p18487334/s57241138/789d985f-bfb9d5d9-23015f62-51fcef07-ef80abf5.jpg\n', 'files/p18/p18487334/s57241138/88182eaf-e387089b-7ec2ced7-6cfa0fb9-6f390847.jpg\n']"
s57881979_16,p18487334,s57881979,16,Findings,"The lung volumes are stable. A new right lower lung opacification. The cardio mediastinal and hilar borders are stable. The pleural surfaces are stable. The left pacemaker is intact with leads in appropriate positions. Again seen, is destruction in the second sternotomy wire. The OG tube appears to be malpositioned proximally lying in the proximal fundus of the stomach. The right PICC line terminates in the mid SVC. The osseous structures are stable.",The cardio mediastinal and hilar borders are stable.,cardio mediastinal and hilar borders,,Stable,['files/p18/p18487334/s57881979/ff8b2af5-e8c313a0-9caec8e9-f6a90929-3b53792a.jpg'],"['files/p18/p18487334/s57241138/4bc5f178-5d714644-9cc072b9-d1ac0ed5-b4db2ba0.jpg\n', 'files/p18/p18487334/s57241138/789d985f-bfb9d5d9-23015f62-51fcef07-ef80abf5.jpg\n', 'files/p18/p18487334/s57241138/88182eaf-e387089b-7ec2ced7-6cfa0fb9-6f390847.jpg\n']"
s57881979_16,p18487334,s57881979,16,Findings,"The lung volumes are stable. A new right lower lung opacification. The cardio mediastinal and hilar borders are stable. The pleural surfaces are stable. The left pacemaker is intact with leads in appropriate positions. Again seen, is destruction in the second sternotomy wire. The OG tube appears to be malpositioned proximally lying in the proximal fundus of the stomach. The right PICC line terminates in the mid SVC. The osseous structures are stable.",The osseous structures are stable.,osseous structures,,Stable,['files/p18/p18487334/s57881979/ff8b2af5-e8c313a0-9caec8e9-f6a90929-3b53792a.jpg'],"['files/p18/p18487334/s57241138/4bc5f178-5d714644-9cc072b9-d1ac0ed5-b4db2ba0.jpg\n', 'files/p18/p18487334/s57241138/789d985f-bfb9d5d9-23015f62-51fcef07-ef80abf5.jpg\n', 'files/p18/p18487334/s57241138/88182eaf-e387089b-7ec2ced7-6cfa0fb9-6f390847.jpg\n']"
s57881979_16,p18487334,s57881979,16,Impression,"1. New right lower lung opacity may represent aspiration, less likely atelectasis. 2. Malpositioning of the OG tube. Recommend advancement of the tube.","New right lower lung opacity may represent aspiration, less likely atelectasis.",opacity,right lower lung,New,['files/p18/p18487334/s57881979/ff8b2af5-e8c313a0-9caec8e9-f6a90929-3b53792a.jpg'],"['files/p18/p18487334/s57241138/4bc5f178-5d714644-9cc072b9-d1ac0ed5-b4db2ba0.jpg\n', 'files/p18/p18487334/s57241138/789d985f-bfb9d5d9-23015f62-51fcef07-ef80abf5.jpg\n', 'files/p18/p18487334/s57241138/88182eaf-e387089b-7ec2ced7-6cfa0fb9-6f390847.jpg\n']"
s57881979_16,p18487334,s57881979,16,Findings,"The lung volumes are stable. A new right lower lung opacification. The cardio mediastinal and hilar borders are stable. The pleural surfaces are stable. The left pacemaker is intact with leads in appropriate positions. Again seen, is destruction in the second sternotomy wire. The OG tube appears to be malpositioned proximally lying in the proximal fundus of the stomach. The right PICC line terminates in the mid SVC. The osseous structures are stable.",The pleural surfaces are stable.,pleural surfaces,,Stable,['files/p18/p18487334/s57881979/ff8b2af5-e8c313a0-9caec8e9-f6a90929-3b53792a.jpg'],"['files/p18/p18487334/s57241138/4bc5f178-5d714644-9cc072b9-d1ac0ed5-b4db2ba0.jpg\n', 'files/p18/p18487334/s57241138/789d985f-bfb9d5d9-23015f62-51fcef07-ef80abf5.jpg\n', 'files/p18/p18487334/s57241138/88182eaf-e387089b-7ec2ced7-6cfa0fb9-6f390847.jpg\n']"
s57881979_16,p18487334,s57881979,16,Findings,"The lung volumes are stable. A new right lower lung opacification. The cardio mediastinal and hilar borders are stable. The pleural surfaces are stable. The left pacemaker is intact with leads in appropriate positions. Again seen, is destruction in the second sternotomy wire. The OG tube appears to be malpositioned proximally lying in the proximal fundus of the stomach. The right PICC line terminates in the mid SVC. The osseous structures are stable.","Again seen, is destruction in the second sternotomy wire.",destruction,second sternotomy,Worse,['files/p18/p18487334/s57881979/ff8b2af5-e8c313a0-9caec8e9-f6a90929-3b53792a.jpg'],"['files/p18/p18487334/s57241138/4bc5f178-5d714644-9cc072b9-d1ac0ed5-b4db2ba0.jpg\n', 'files/p18/p18487334/s57241138/789d985f-bfb9d5d9-23015f62-51fcef07-ef80abf5.jpg\n', 'files/p18/p18487334/s57241138/88182eaf-e387089b-7ec2ced7-6cfa0fb9-6f390847.jpg\n']"
s57882993_0,p13450581,s57882993,0,Findings,"A spiculated and cavitary nodule in the left mid lung at the level of the third left anterior rib measuring 2.5 cm in diameter appears slightly larger than on the prior radiograph and corresponds to a known left upper lobe lesion on prior CT of ___. It is morphologically concerning for a primary lung cancer and less likely an indolent granulomatous infection. Lungs are otherwise clear, with no new focal areas of consolidation to suggest the presence of an acute pneumonia. Lungs are otherwise remarkable for linear scar versus atelectasis in the mid lung regions. Sclerosis of medial left clavicle, likely due to prior trauma, is unchanged.",A spiculated and cavitary nodule in the left mid lung at the level of the third left anterior rib measuring 2.5 cm in diameter appears slightly larger than on the prior radiograph and corresponds to a known left upper lobe lesion on prior CT of ___,spiculated and cavitary nodule,left mid lung,Worse,"['files/p13/p13450581/s57882993/b5b08344-1a02337d-90a42a3b-cf710862-a4ff491d.jpg', 'files/p13/p13450581/s57882993/f39a0cd8-fb45cb6e-63f5fa30-21668913-0ac228d3.jpg']",['files/p13/p13450581/s53613536/ce26e6f2-6bff880c-7e350e95-0571671b-15e0c25b.jpg\n']
s57882993_0,p13450581,s57882993,0,Findings,"A spiculated and cavitary nodule in the left mid lung at the level of the third left anterior rib measuring 2.5 cm in diameter appears slightly larger than on the prior radiograph and corresponds to a known left upper lobe lesion on prior CT of ___. It is morphologically concerning for a primary lung cancer and less likely an indolent granulomatous infection. Lungs are otherwise clear, with no new focal areas of consolidation to suggest the presence of an acute pneumonia. Lungs are otherwise remarkable for linear scar versus atelectasis in the mid lung regions. Sclerosis of medial left clavicle, likely due to prior trauma, is unchanged.","Sclerosis of medial left clavicle, likely due to prior trauma, is unchanged",sclerosis,medial left clavicle,Stable,"['files/p13/p13450581/s57882993/b5b08344-1a02337d-90a42a3b-cf710862-a4ff491d.jpg', 'files/p13/p13450581/s57882993/f39a0cd8-fb45cb6e-63f5fa30-21668913-0ac228d3.jpg']",['files/p13/p13450581/s53613536/ce26e6f2-6bff880c-7e350e95-0571671b-15e0c25b.jpg\n']
s57883497_19,p19454978,s57883497,19,Findings,"Right PICC terminates in the lower superior vena cava. Right internal jugular catheter has been removed, with no visible pneumothorax. Otherwise, similar radiographic appearance of the chest since recent study.","Otherwise, similar radiographic appearance of the chest since recent study.",Radiographic appearance of the chest,,Stable,['files/p19/p19454978/s57883497/8b277408-532884e8-ea3f5ba6-e619ee5e-8c820c0c.jpg'],['files/p19/p19454978/s57475408/f7d18e0b-557566af-9339243f-a8b26e9f-c974e2de.jpg\n']
s57883497_19,p19454978,s57883497,19,Findings,"Right PICC terminates in the lower superior vena cava. Right internal jugular catheter has been removed, with no visible pneumothorax. Otherwise, similar radiographic appearance of the chest since recent study.","Right internal jugular catheter has been removed, with no visible pneumothorax.",Internal jugular catheter,Right,Resolve,['files/p19/p19454978/s57883497/8b277408-532884e8-ea3f5ba6-e619ee5e-8c820c0c.jpg'],['files/p19/p19454978/s57475408/f7d18e0b-557566af-9339243f-a8b26e9f-c974e2de.jpg\n']
s57884279_12,p16334516,s57884279,12,Findings,"As compared to the previous radiograph, there is unchanged evidence of mild-to-moderate pulmonary edema. The pre-existing scars in the lung parenchyma, notably at the left lung apex and left lung base are constant in appearance. Constant size of the cardiac silhouette. No larger pleural effusions. The Dobbhoff catheter has been pulled back. The catheter is now malpositioned in the esophagus and needs to be advanced by at least 10cm to ensure position in the stomach. Unchanged position of the left PICC line. Unchanged alignment of the sternotomy wires.","As compared to the previous radiograph, there is unchanged evidence of mild-to-moderate pulmonary edema.",mild-to-moderate pulmonary edema,,Stable,['files/p16/p16334516/s57884279/320ec4bc-eb78eb77-b0088c51-9c38d6dc-d4677778.jpg'],['files/p16/p16334516/s57879373/39291b24-1045b1ed-af35c04e-d467233c-9c0a3be0.jpg\n']
s57884279_12,p16334516,s57884279,12,Findings,"As compared to the previous radiograph, there is unchanged evidence of mild-to-moderate pulmonary edema. The pre-existing scars in the lung parenchyma, notably at the left lung apex and left lung base are constant in appearance. Constant size of the cardiac silhouette. No larger pleural effusions. The Dobbhoff catheter has been pulled back. The catheter is now malpositioned in the esophagus and needs to be advanced by at least 10cm to ensure position in the stomach. Unchanged position of the left PICC line. Unchanged alignment of the sternotomy wires.",Unchanged alignment of the sternotomy wires.,sternotomy wires,,Stable,['files/p16/p16334516/s57884279/320ec4bc-eb78eb77-b0088c51-9c38d6dc-d4677778.jpg'],['files/p16/p16334516/s57879373/39291b24-1045b1ed-af35c04e-d467233c-9c0a3be0.jpg\n']
s57884279_12,p16334516,s57884279,12,Findings,"As compared to the previous radiograph, there is unchanged evidence of mild-to-moderate pulmonary edema. The pre-existing scars in the lung parenchyma, notably at the left lung apex and left lung base are constant in appearance. Constant size of the cardiac silhouette. No larger pleural effusions. The Dobbhoff catheter has been pulled back. The catheter is now malpositioned in the esophagus and needs to be advanced by at least 10cm to ensure position in the stomach. Unchanged position of the left PICC line. Unchanged alignment of the sternotomy wires.",Unchanged position of the left PICC line.,PICC line,left,Stable,['files/p16/p16334516/s57884279/320ec4bc-eb78eb77-b0088c51-9c38d6dc-d4677778.jpg'],['files/p16/p16334516/s57879373/39291b24-1045b1ed-af35c04e-d467233c-9c0a3be0.jpg\n']
s57884279_12,p16334516,s57884279,12,Findings,"As compared to the previous radiograph, there is unchanged evidence of mild-to-moderate pulmonary edema. The pre-existing scars in the lung parenchyma, notably at the left lung apex and left lung base are constant in appearance. Constant size of the cardiac silhouette. No larger pleural effusions. The Dobbhoff catheter has been pulled back. The catheter is now malpositioned in the esophagus and needs to be advanced by at least 10cm to ensure position in the stomach. Unchanged position of the left PICC line. Unchanged alignment of the sternotomy wires.",The Dobbhoff catheter has been pulled back.,Dobbhoff catheter,,Worse,['files/p16/p16334516/s57884279/320ec4bc-eb78eb77-b0088c51-9c38d6dc-d4677778.jpg'],['files/p16/p16334516/s57879373/39291b24-1045b1ed-af35c04e-d467233c-9c0a3be0.jpg\n']
s57884279_12,p16334516,s57884279,12,Findings,"As compared to the previous radiograph, there is unchanged evidence of mild-to-moderate pulmonary edema. The pre-existing scars in the lung parenchyma, notably at the left lung apex and left lung base are constant in appearance. Constant size of the cardiac silhouette. No larger pleural effusions. The Dobbhoff catheter has been pulled back. The catheter is now malpositioned in the esophagus and needs to be advanced by at least 10cm to ensure position in the stomach. Unchanged position of the left PICC line. Unchanged alignment of the sternotomy wires.",Constant size of the cardiac silhouette.,,cardiac silhouette,Stable,['files/p16/p16334516/s57884279/320ec4bc-eb78eb77-b0088c51-9c38d6dc-d4677778.jpg'],['files/p16/p16334516/s57879373/39291b24-1045b1ed-af35c04e-d467233c-9c0a3be0.jpg\n']
s57884279_12,p16334516,s57884279,12,Findings,"As compared to the previous radiograph, there is unchanged evidence of mild-to-moderate pulmonary edema. The pre-existing scars in the lung parenchyma, notably at the left lung apex and left lung base are constant in appearance. Constant size of the cardiac silhouette. No larger pleural effusions. The Dobbhoff catheter has been pulled back. The catheter is now malpositioned in the esophagus and needs to be advanced by at least 10cm to ensure position in the stomach. Unchanged position of the left PICC line. Unchanged alignment of the sternotomy wires.","The pre-existing scars in the lung parenchyma, notably at the left lung apex and left lung base are constant in appearance.",scars,left lung apex and left lung base,Stable,['files/p16/p16334516/s57884279/320ec4bc-eb78eb77-b0088c51-9c38d6dc-d4677778.jpg'],['files/p16/p16334516/s57879373/39291b24-1045b1ed-af35c04e-d467233c-9c0a3be0.jpg\n']
s57885384_10,p19907884,s57885384,10,Findings,"A portable supine frontal chest radiograph demonstrates a right internal jugular catheter, which now terminates in the low SVC. Lung volumes remain low, without definite focal consolidation, pleural effusion, or pneumothorax.","Lung volumes remain low, without definite focal consolidation, pleural effusion, or pneumothorax.",Low lung volumes,,Stable,['files/p19/p19907884/s57885384/838d96da-8d9d8d8d-2aacafdf-9f280c96-573b74db.jpg'],['files/p19/p19907884/s57560204/29d26885-efc84164-2901f05a-89f605c8-9d4338ff.jpg\n']
s57886251_5,p14147787,s57886251,5,Impression,No acute findings. Stable scarring in the bilateral mid-to-upper lungs.,Stable scarring in the bilateral mid-to-upper lungs.,scarring,bilateral mid-to-upper lungs,Stable,"['files/p14/p14147787/s57886251/c2b37067-62a9fdf0-0db4dea8-582680ef-32366c0c.jpg', 'files/p14/p14147787/s57886251/eca4fc13-1e4006db-4372cf2e-ed001e18-a7050d3e.jpg']","['files/p14/p14147787/s57740891/2dc27a6d-9d62459e-eef90f06-12476084-4978f0c6.jpg\n', 'files/p14/p14147787/s57740891/5758677b-81333edd-2eafbc17-012681ec-83ab1ff4.jpg\n', 'files/p14/p14147787/s57740891/f8355430-64704941-eeb44da9-4b52d4e6-371c314e.jpg\n']"
s57886251_5,p14147787,s57886251,5,Findings,"PA and lateral views of the chest were provided. Streaky linear opacities are again seen in the mid-to-upper lungs in an unchanged pattern suggestive of scarring/fibrosis. No new consolidation, effusion, pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.",Streaky linear opacities are again seen in the mid-to-upper lungs in an unchanged pattern suggestive of scarring/fibrosis.,scarring/fibrosis,mid-to-upper lungs,Stable,"['files/p14/p14147787/s57886251/c2b37067-62a9fdf0-0db4dea8-582680ef-32366c0c.jpg', 'files/p14/p14147787/s57886251/eca4fc13-1e4006db-4372cf2e-ed001e18-a7050d3e.jpg']","['files/p14/p14147787/s57740891/2dc27a6d-9d62459e-eef90f06-12476084-4978f0c6.jpg\n', 'files/p14/p14147787/s57740891/5758677b-81333edd-2eafbc17-012681ec-83ab1ff4.jpg\n', 'files/p14/p14147787/s57740891/f8355430-64704941-eeb44da9-4b52d4e6-371c314e.jpg\n']"
s57887570_9,p13263843,s57887570,9,Findings,"Comparison study of ___, there is again extensive opacification involving much of the right hemithorax. This is consistent with a previous study showing substantial loculation of right pleural fluid collection with underlying extensive volume loss. Prominence of markings on the left most likely represents redistribution of blood flow to non-aerated regions on the right.","Comparison study of ___, there is again extensive opacification involving much of the right hemithorax.",extensive opacification,right hemithorax,Stable,"['files/p13/p13263843/s57887570/084bf4c8-9d71bd41-9e428e68-d490096d-ab3d6912.jpg', 'files/p13/p13263843/s57887570/13a203d3-164057eb-bb9715cf-020b625a-1a63c8f2.jpg', 'files/p13/p13263843/s57887570/9b916224-1f793e77-0cc55cc4-1f3c9fe5-7eab98cb.jpg']","['files/p13/p13263843/s57878445/0c49c7b0-26167f04-e2cfa26a-15361a7f-6a33c4b8.jpg\n', 'files/p13/p13263843/s57878445/f4a7b852-ed247269-045c2655-7ab8bfd1-535c762a.jpg\n']"
s57890092_12,p19720782,s57890092,12,Findings,"Lung volumes are decreased compared to the prior exam. Heart size remains within normal limits. Mediastinal contour is unchanged. Within the right upper lobe and perihilar region, there is chronic opacification compatible with radiation fibrosis. Mild pulmonary edema is demonstrated with perhaps slight enlargement of a moderate size right pleural effusion which is partially loculated superiorly and medially. Right basilar opacification may reflect atelectasis but infection is not excluded. No pneumothorax is seen.",Lung volumes are decreased compared to the prior exam.,volumes,Lung,Worse,['files/p19/p19720782/s57890092/38d03b04-0d7ed79f-2cf5f34d-96d831d3-227a44aa.jpg'],"['files/p19/p19720782/s57826660/bdece112-0ab84104-d2b05f42-10b6388c-49b93a37.jpg\n', 'files/p19/p19720782/s57826660/d624a149-1fcbcabe-23806706-6db78fb1-d9fb63d5.jpg\n']"
s57890092_12,p19720782,s57890092,12,Findings,"Lung volumes are decreased compared to the prior exam. Heart size remains within normal limits. Mediastinal contour is unchanged. Within the right upper lobe and perihilar region, there is chronic opacification compatible with radiation fibrosis. Mild pulmonary edema is demonstrated with perhaps slight enlargement of a moderate size right pleural effusion which is partially loculated superiorly and medially. Right basilar opacification may reflect atelectasis but infection is not excluded. No pneumothorax is seen.",Heart size remains within normal limits.,size,heart,Stable,['files/p19/p19720782/s57890092/38d03b04-0d7ed79f-2cf5f34d-96d831d3-227a44aa.jpg'],"['files/p19/p19720782/s57826660/bdece112-0ab84104-d2b05f42-10b6388c-49b93a37.jpg\n', 'files/p19/p19720782/s57826660/d624a149-1fcbcabe-23806706-6db78fb1-d9fb63d5.jpg\n']"
s57890092_12,p19720782,s57890092,12,Findings,"Lung volumes are decreased compared to the prior exam. Heart size remains within normal limits. Mediastinal contour is unchanged. Within the right upper lobe and perihilar region, there is chronic opacification compatible with radiation fibrosis. Mild pulmonary edema is demonstrated with perhaps slight enlargement of a moderate size right pleural effusion which is partially loculated superiorly and medially. Right basilar opacification may reflect atelectasis but infection is not excluded. No pneumothorax is seen.",Mediastinal contour is unchanged.,contour,mediastinal,Stable,['files/p19/p19720782/s57890092/38d03b04-0d7ed79f-2cf5f34d-96d831d3-227a44aa.jpg'],"['files/p19/p19720782/s57826660/bdece112-0ab84104-d2b05f42-10b6388c-49b93a37.jpg\n', 'files/p19/p19720782/s57826660/d624a149-1fcbcabe-23806706-6db78fb1-d9fb63d5.jpg\n']"
s57890092_12,p19720782,s57890092,12,Impression,"Mild pulmonary edema with moderate right pleural effusion, perhaps slightly increased compared to the prior study. Chronic opacity within the right upper lobe and perihilar region is compatible with radiation fibrosis. Right basilar opacity may reflect atelectasis but infection is not completely excluded.","Mild pulmonary edema with moderate right pleural effusion, perhaps slightly increased compared to the prior study.",pleural effusion,right,Worse,['files/p19/p19720782/s57890092/38d03b04-0d7ed79f-2cf5f34d-96d831d3-227a44aa.jpg'],"['files/p19/p19720782/s57826660/bdece112-0ab84104-d2b05f42-10b6388c-49b93a37.jpg\n', 'files/p19/p19720782/s57826660/d624a149-1fcbcabe-23806706-6db78fb1-d9fb63d5.jpg\n']"
s57897773_7,p17318449,s57897773,7,Findings,"PA and lateral chest radiographs were obtained. Lung volumes are low. Bilateral basilar interstitial abnormality is new. Moderate cardiomegaly is similar. There is no effusion, consolidation, or pneumothorax. Sternotomy wires are intact.",Moderate cardiomegaly is similar.,moderate cardiomegaly,,Stable,"['files/p17/p17318449/s57897773/679d0d5a-4f678d59-b8cf4ff0-cfd843d7-0c5d60b7.jpg', 'files/p17/p17318449/s57897773/b80617dc-0772eea0-ea7a81d7-745ecba7-c8164cd7.jpg', 'files/p17/p17318449/s57897773/d92dc7e6-ada258c0-f135d685-1bd57602-e9ff2d59.jpg']","['files/p17/p17318449/s57272372/281bf9e6-83587dc3-7c734095-ed5f7e81-5af9a6d2.jpg\n', 'files/p17/p17318449/s57272372/3e95e1d8-dfda84b0-7eded0f8-e83090e4-12e3ff68.jpg\n', 'files/p17/p17318449/s57272372/499bb691-a870a1f6-04eb8660-8523e964-df8bb1fb.jpg\n']"
s57897773_7,p17318449,s57897773,7,Findings,"PA and lateral chest radiographs were obtained. Lung volumes are low. Bilateral basilar interstitial abnormality is new. Moderate cardiomegaly is similar. There is no effusion, consolidation, or pneumothorax. Sternotomy wires are intact.",Bilateral basilar interstitial abnormality is new.,interstitial abnormality,Bilateral basilar,New,"['files/p17/p17318449/s57897773/679d0d5a-4f678d59-b8cf4ff0-cfd843d7-0c5d60b7.jpg', 'files/p17/p17318449/s57897773/b80617dc-0772eea0-ea7a81d7-745ecba7-c8164cd7.jpg', 'files/p17/p17318449/s57897773/d92dc7e6-ada258c0-f135d685-1bd57602-e9ff2d59.jpg']","['files/p17/p17318449/s57272372/281bf9e6-83587dc3-7c734095-ed5f7e81-5af9a6d2.jpg\n', 'files/p17/p17318449/s57272372/3e95e1d8-dfda84b0-7eded0f8-e83090e4-12e3ff68.jpg\n', 'files/p17/p17318449/s57272372/499bb691-a870a1f6-04eb8660-8523e964-df8bb1fb.jpg\n']"
s57907009_1,p18224196,s57907009,1,Findings,PA and lateral views of the chest. Again seen is hyperinflation of the lungs consistent with emphysema. The previously seen pulmonary edema has resolved. The right-sided pleural effusion is stable. The small left pleural effusion is also stable. A cluster of elliptical opacities in the left lower lobe that were present on study on ___ . There are linear opacities in the left lower lobe and lingula consistent with atelectasis that have improved compared to prior study. Cardiomegaly is stable.,The previously seen pulmonary edema has resolved.,pulmonary edema,,Resolve,"['files/p18/p18224196/s57907009/060219ba-448fe7d4-8a19694c-92b20db5-74035416.jpg', 'files/p18/p18224196/s57907009/9cbe3071-02f095d3-10c4f0a5-6fd36d4b-4affe81e.jpg']",['files/p18/p18224196/s57481340/3627c932-73fba01b-b50c256b-fe25f602-a175bb99.jpg\n']
s57907009_1,p18224196,s57907009,1,Findings,PA and lateral views of the chest. Again seen is hyperinflation of the lungs consistent with emphysema. The previously seen pulmonary edema has resolved. The right-sided pleural effusion is stable. The small left pleural effusion is also stable. A cluster of elliptical opacities in the left lower lobe that were present on study on ___ . There are linear opacities in the left lower lobe and lingula consistent with atelectasis that have improved compared to prior study. Cardiomegaly is stable.,The small left pleural effusion is also stable.,pleural effusion,left,Stable,"['files/p18/p18224196/s57907009/060219ba-448fe7d4-8a19694c-92b20db5-74035416.jpg', 'files/p18/p18224196/s57907009/9cbe3071-02f095d3-10c4f0a5-6fd36d4b-4affe81e.jpg']",['files/p18/p18224196/s57481340/3627c932-73fba01b-b50c256b-fe25f602-a175bb99.jpg\n']
s57907009_1,p18224196,s57907009,1,Impression,"1. No focal consolidation. 2. Resolution of pulmonary edema. 3. Stable right and left pleural effusions. 4. Cluster of elliptical opacities in the left lower lobe that were present on study in ___, recommend followup with conventional CXR when acute issues have resolved.",Stable right and left pleural effusions.,pleural effusions,right and left,Stable,"['files/p18/p18224196/s57907009/060219ba-448fe7d4-8a19694c-92b20db5-74035416.jpg', 'files/p18/p18224196/s57907009/9cbe3071-02f095d3-10c4f0a5-6fd36d4b-4affe81e.jpg']",['files/p18/p18224196/s57481340/3627c932-73fba01b-b50c256b-fe25f602-a175bb99.jpg\n']
s57907009_1,p18224196,s57907009,1,Findings,PA and lateral views of the chest. Again seen is hyperinflation of the lungs consistent with emphysema. The previously seen pulmonary edema has resolved. The right-sided pleural effusion is stable. The small left pleural effusion is also stable. A cluster of elliptical opacities in the left lower lobe that were present on study on ___ . There are linear opacities in the left lower lobe and lingula consistent with atelectasis that have improved compared to prior study. Cardiomegaly is stable.,The right-sided pleural effusion is stable.,pleural effusion,right-sided,Stable,"['files/p18/p18224196/s57907009/060219ba-448fe7d4-8a19694c-92b20db5-74035416.jpg', 'files/p18/p18224196/s57907009/9cbe3071-02f095d3-10c4f0a5-6fd36d4b-4affe81e.jpg']",['files/p18/p18224196/s57481340/3627c932-73fba01b-b50c256b-fe25f602-a175bb99.jpg\n']
s57907009_1,p18224196,s57907009,1,Impression,"1. No focal consolidation. 2. Resolution of pulmonary edema. 3. Stable right and left pleural effusions. 4. Cluster of elliptical opacities in the left lower lobe that were present on study in ___, recommend followup with conventional CXR when acute issues have resolved.",Resolution of pulmonary edema.,pulmonary edema,,Resolve,"['files/p18/p18224196/s57907009/060219ba-448fe7d4-8a19694c-92b20db5-74035416.jpg', 'files/p18/p18224196/s57907009/9cbe3071-02f095d3-10c4f0a5-6fd36d4b-4affe81e.jpg']",['files/p18/p18224196/s57481340/3627c932-73fba01b-b50c256b-fe25f602-a175bb99.jpg\n']
s57907009_1,p18224196,s57907009,1,Findings,PA and lateral views of the chest. Again seen is hyperinflation of the lungs consistent with emphysema. The previously seen pulmonary edema has resolved. The right-sided pleural effusion is stable. The small left pleural effusion is also stable. A cluster of elliptical opacities in the left lower lobe that were present on study on ___ . There are linear opacities in the left lower lobe and lingula consistent with atelectasis that have improved compared to prior study. Cardiomegaly is stable.,Cardiomegaly is stable.,Cardiomegaly,,Stable,"['files/p18/p18224196/s57907009/060219ba-448fe7d4-8a19694c-92b20db5-74035416.jpg', 'files/p18/p18224196/s57907009/9cbe3071-02f095d3-10c4f0a5-6fd36d4b-4affe81e.jpg']",['files/p18/p18224196/s57481340/3627c932-73fba01b-b50c256b-fe25f602-a175bb99.jpg\n']
s57907009_1,p18224196,s57907009,1,Findings,PA and lateral views of the chest. Again seen is hyperinflation of the lungs consistent with emphysema. The previously seen pulmonary edema has resolved. The right-sided pleural effusion is stable. The small left pleural effusion is also stable. A cluster of elliptical opacities in the left lower lobe that were present on study on ___ . There are linear opacities in the left lower lobe and lingula consistent with atelectasis that have improved compared to prior study. Cardiomegaly is stable.,There are linear opacities in the left lower lobe and lingula consistent with atelectasis that have improved compared to prior study.,atelectasis,left lower lobe and lingula,Better,"['files/p18/p18224196/s57907009/060219ba-448fe7d4-8a19694c-92b20db5-74035416.jpg', 'files/p18/p18224196/s57907009/9cbe3071-02f095d3-10c4f0a5-6fd36d4b-4affe81e.jpg']",['files/p18/p18224196/s57481340/3627c932-73fba01b-b50c256b-fe25f602-a175bb99.jpg\n']
s57908576_3,p13352405,s57908576,3,Findings,Comparison is made to the previous study from ___. There is a very tiny right apical pneumothorax following removal of the right-sided chest tube. There is persistent elevation of the right hemidiaphragm with atelectasis at the right lung base and a right-sided pleural effusion. A rounded opacity is seen in the right suprahilar region and is stable. The left lung is relatively clear aside from atelectasis at the left lung base and a small left-sided pleural effusion.,There is persistent elevation of the right hemidiaphragm with atelectasis at the right lung base and a right-sided pleural effusion.,hemidiaphragm elevation,right,Stable,"['files/p13/p13352405/s57908576/2adf8a50-822eefe5-c6cd6afc-03067162-0e13c6af.jpg', 'files/p13/p13352405/s57908576/833af053-d28a9f68-f624c5c0-dae1203f-3952d8a4.jpg']","['files/p13/p13352405/s56801982/2ef86c0f-55bf4440-5098b3fc-b9435636-38b5b69c.jpg\n', 'files/p13/p13352405/s56801982/6028cc4d-90f984dc-0fd05dbe-2f10dde8-229e32e0.jpg\n', 'files/p13/p13352405/s56801982/841a2be5-4e74e5d9-2a001109-8a1a6b21-881729d4.jpg\n', 'files/p13/p13352405/s56801982/8940c466-c9e39762-22971350-b783808a-15d5a1bc.jpg\n', 'files/p13/p13352405/s56801982/dedc8034-9860140a-df88abb0-b9b2fab5-3265641f.jpg\n']"
s57908576_3,p13352405,s57908576,3,Findings,Comparison is made to the previous study from ___. There is a very tiny right apical pneumothorax following removal of the right-sided chest tube. There is persistent elevation of the right hemidiaphragm with atelectasis at the right lung base and a right-sided pleural effusion. A rounded opacity is seen in the right suprahilar region and is stable. The left lung is relatively clear aside from atelectasis at the left lung base and a small left-sided pleural effusion.,A rounded opacity is seen in the right suprahilar region and is stable.,rounded opacity,right suprahilar region,Stable,"['files/p13/p13352405/s57908576/2adf8a50-822eefe5-c6cd6afc-03067162-0e13c6af.jpg', 'files/p13/p13352405/s57908576/833af053-d28a9f68-f624c5c0-dae1203f-3952d8a4.jpg']","['files/p13/p13352405/s56801982/2ef86c0f-55bf4440-5098b3fc-b9435636-38b5b69c.jpg\n', 'files/p13/p13352405/s56801982/6028cc4d-90f984dc-0fd05dbe-2f10dde8-229e32e0.jpg\n', 'files/p13/p13352405/s56801982/841a2be5-4e74e5d9-2a001109-8a1a6b21-881729d4.jpg\n', 'files/p13/p13352405/s56801982/8940c466-c9e39762-22971350-b783808a-15d5a1bc.jpg\n', 'files/p13/p13352405/s56801982/dedc8034-9860140a-df88abb0-b9b2fab5-3265641f.jpg\n']"
s57908576_3,p13352405,s57908576,3,Findings,Comparison is made to the previous study from ___. There is a very tiny right apical pneumothorax following removal of the right-sided chest tube. There is persistent elevation of the right hemidiaphragm with atelectasis at the right lung base and a right-sided pleural effusion. A rounded opacity is seen in the right suprahilar region and is stable. The left lung is relatively clear aside from atelectasis at the left lung base and a small left-sided pleural effusion.,There is persistent elevation of the right hemidiaphragm with atelectasis at the right lung base and a right-sided pleural effusion.,pleural effusion,right,Stable,"['files/p13/p13352405/s57908576/2adf8a50-822eefe5-c6cd6afc-03067162-0e13c6af.jpg', 'files/p13/p13352405/s57908576/833af053-d28a9f68-f624c5c0-dae1203f-3952d8a4.jpg']","['files/p13/p13352405/s56801982/2ef86c0f-55bf4440-5098b3fc-b9435636-38b5b69c.jpg\n', 'files/p13/p13352405/s56801982/6028cc4d-90f984dc-0fd05dbe-2f10dde8-229e32e0.jpg\n', 'files/p13/p13352405/s56801982/841a2be5-4e74e5d9-2a001109-8a1a6b21-881729d4.jpg\n', 'files/p13/p13352405/s56801982/8940c466-c9e39762-22971350-b783808a-15d5a1bc.jpg\n', 'files/p13/p13352405/s56801982/dedc8034-9860140a-df88abb0-b9b2fab5-3265641f.jpg\n']"
s57908576_3,p13352405,s57908576,3,Findings,Comparison is made to the previous study from ___. There is a very tiny right apical pneumothorax following removal of the right-sided chest tube. There is persistent elevation of the right hemidiaphragm with atelectasis at the right lung base and a right-sided pleural effusion. A rounded opacity is seen in the right suprahilar region and is stable. The left lung is relatively clear aside from atelectasis at the left lung base and a small left-sided pleural effusion.,There is persistent elevation of the right hemidiaphragm with atelectasis at the right lung base and a right-sided pleural effusion.,atelectasis,right lung base,Stable,"['files/p13/p13352405/s57908576/2adf8a50-822eefe5-c6cd6afc-03067162-0e13c6af.jpg', 'files/p13/p13352405/s57908576/833af053-d28a9f68-f624c5c0-dae1203f-3952d8a4.jpg']","['files/p13/p13352405/s56801982/2ef86c0f-55bf4440-5098b3fc-b9435636-38b5b69c.jpg\n', 'files/p13/p13352405/s56801982/6028cc4d-90f984dc-0fd05dbe-2f10dde8-229e32e0.jpg\n', 'files/p13/p13352405/s56801982/841a2be5-4e74e5d9-2a001109-8a1a6b21-881729d4.jpg\n', 'files/p13/p13352405/s56801982/8940c466-c9e39762-22971350-b783808a-15d5a1bc.jpg\n', 'files/p13/p13352405/s56801982/dedc8034-9860140a-df88abb0-b9b2fab5-3265641f.jpg\n']"
s57908576_3,p13352405,s57908576,3,Findings,Comparison is made to the previous study from ___. There is a very tiny right apical pneumothorax following removal of the right-sided chest tube. There is persistent elevation of the right hemidiaphragm with atelectasis at the right lung base and a right-sided pleural effusion. A rounded opacity is seen in the right suprahilar region and is stable. The left lung is relatively clear aside from atelectasis at the left lung base and a small left-sided pleural effusion.,There is a very tiny right apical pneumothorax following removal of the right-sided chest tube.,pneumothorax,right apical,New,"['files/p13/p13352405/s57908576/2adf8a50-822eefe5-c6cd6afc-03067162-0e13c6af.jpg', 'files/p13/p13352405/s57908576/833af053-d28a9f68-f624c5c0-dae1203f-3952d8a4.jpg']","['files/p13/p13352405/s56801982/2ef86c0f-55bf4440-5098b3fc-b9435636-38b5b69c.jpg\n', 'files/p13/p13352405/s56801982/6028cc4d-90f984dc-0fd05dbe-2f10dde8-229e32e0.jpg\n', 'files/p13/p13352405/s56801982/841a2be5-4e74e5d9-2a001109-8a1a6b21-881729d4.jpg\n', 'files/p13/p13352405/s56801982/8940c466-c9e39762-22971350-b783808a-15d5a1bc.jpg\n', 'files/p13/p13352405/s56801982/dedc8034-9860140a-df88abb0-b9b2fab5-3265641f.jpg\n']"
s57910301_38,p12185775,s57910301,38,Findings,The ET and NG tubes have been removed. A right PICC line terminates in the low SVC. Calcified left lung nodules are unchanged. The lungs are otherwise clear except for left basilar atelectasis. A small left pleural effusion has developed. Moderate cardiomegaly is unchanged.,Calcified left lung nodules are unchanged.,calcified nodules,left lung,Stable,"['files/p12/p12185775/s57910301/a7d5115b-c9749937-8502636c-ce1d2580-57e370dc.jpg', 'files/p12/p12185775/s57910301/e3ee1499-119d0bc0-6cddf725-9d2d60d8-d34f9fc7.jpg']",['files/p12/p12185775/s57648356/07a6c75c-9ee2bcc2-076307a1-e6000602-0ee483bb.jpg\n']
s57910301_38,p12185775,s57910301,38,Findings,The ET and NG tubes have been removed. A right PICC line terminates in the low SVC. Calcified left lung nodules are unchanged. The lungs are otherwise clear except for left basilar atelectasis. A small left pleural effusion has developed. Moderate cardiomegaly is unchanged.,Moderate cardiomegaly is unchanged.,cardiomegaly,,Stable,"['files/p12/p12185775/s57910301/a7d5115b-c9749937-8502636c-ce1d2580-57e370dc.jpg', 'files/p12/p12185775/s57910301/e3ee1499-119d0bc0-6cddf725-9d2d60d8-d34f9fc7.jpg']",['files/p12/p12185775/s57648356/07a6c75c-9ee2bcc2-076307a1-e6000602-0ee483bb.jpg\n']
s57910301_38,p12185775,s57910301,38,Impression,No evidence of pulmonary edema. Increased small left pleural effusion. Stable moderate cardiomegaly.,Increased small left pleural effusion.,pleural effusion,left,Worse,"['files/p12/p12185775/s57910301/a7d5115b-c9749937-8502636c-ce1d2580-57e370dc.jpg', 'files/p12/p12185775/s57910301/e3ee1499-119d0bc0-6cddf725-9d2d60d8-d34f9fc7.jpg']",['files/p12/p12185775/s57648356/07a6c75c-9ee2bcc2-076307a1-e6000602-0ee483bb.jpg\n']
s57910301_38,p12185775,s57910301,38,Findings,The ET and NG tubes have been removed. A right PICC line terminates in the low SVC. Calcified left lung nodules are unchanged. The lungs are otherwise clear except for left basilar atelectasis. A small left pleural effusion has developed. Moderate cardiomegaly is unchanged.,A small left pleural effusion has developed.,pleural effusion,left,New,"['files/p12/p12185775/s57910301/a7d5115b-c9749937-8502636c-ce1d2580-57e370dc.jpg', 'files/p12/p12185775/s57910301/e3ee1499-119d0bc0-6cddf725-9d2d60d8-d34f9fc7.jpg']",['files/p12/p12185775/s57648356/07a6c75c-9ee2bcc2-076307a1-e6000602-0ee483bb.jpg\n']
s57910301_38,p12185775,s57910301,38,Impression,No evidence of pulmonary edema. Increased small left pleural effusion. Stable moderate cardiomegaly.,Stable moderate cardiomegaly.,cardiomegaly,,Stable,"['files/p12/p12185775/s57910301/a7d5115b-c9749937-8502636c-ce1d2580-57e370dc.jpg', 'files/p12/p12185775/s57910301/e3ee1499-119d0bc0-6cddf725-9d2d60d8-d34f9fc7.jpg']",['files/p12/p12185775/s57648356/07a6c75c-9ee2bcc2-076307a1-e6000602-0ee483bb.jpg\n']
s57910301_38,p12185775,s57910301,38,Findings,The ET and NG tubes have been removed. A right PICC line terminates in the low SVC. Calcified left lung nodules are unchanged. The lungs are otherwise clear except for left basilar atelectasis. A small left pleural effusion has developed. Moderate cardiomegaly is unchanged.,The ET and NG tubes have been removed.,ET and NG tubes,,Resolve,"['files/p12/p12185775/s57910301/a7d5115b-c9749937-8502636c-ce1d2580-57e370dc.jpg', 'files/p12/p12185775/s57910301/e3ee1499-119d0bc0-6cddf725-9d2d60d8-d34f9fc7.jpg']",['files/p12/p12185775/s57648356/07a6c75c-9ee2bcc2-076307a1-e6000602-0ee483bb.jpg\n']
s57911714_17,p16334516,s57911714,17,Findings,"Endotracheal tube tip is still within 1 cm of the carina. Enteric tube seen with tip at the gastric fundus, side port not clearly identified on the current exam. Right IJ line in stable position. The appearance of the lungs is unchanged with hazy bilateral opacities, the streaky left basilar likely atelectasis and post-op changes in the right mid lung. Prominence of the right hilum is unchanged.","The appearance of the lungs is unchanged with hazy bilateral opacities, the streaky left basilar likely atelectasis and post-op changes in the right mid lung.",streaky opacity,left basilar,Stable,['files/p16/p16334516/s57911714/dc1267a2-3ee022b5-d80f7ef1-f88a4e83-8d0de660.jpg'],['files/p16/p16334516/s57884279/320ec4bc-eb78eb77-b0088c51-9c38d6dc-d4677778.jpg\n']
s57911714_17,p16334516,s57911714,17,Findings,"Endotracheal tube tip is still within 1 cm of the carina. Enteric tube seen with tip at the gastric fundus, side port not clearly identified on the current exam. Right IJ line in stable position. The appearance of the lungs is unchanged with hazy bilateral opacities, the streaky left basilar likely atelectasis and post-op changes in the right mid lung. Prominence of the right hilum is unchanged.",Right IJ line in stable position.,Right IJ line,mid SVC,Stable,['files/p16/p16334516/s57911714/dc1267a2-3ee022b5-d80f7ef1-f88a4e83-8d0de660.jpg'],['files/p16/p16334516/s57884279/320ec4bc-eb78eb77-b0088c51-9c38d6dc-d4677778.jpg\n']
s57911714_17,p16334516,s57911714,17,Findings,"Endotracheal tube tip is still within 1 cm of the carina. Enteric tube seen with tip at the gastric fundus, side port not clearly identified on the current exam. Right IJ line in stable position. The appearance of the lungs is unchanged with hazy bilateral opacities, the streaky left basilar likely atelectasis and post-op changes in the right mid lung. Prominence of the right hilum is unchanged.","The appearance of the lungs is unchanged with hazy bilateral opacities, the streaky left basilar likely atelectasis and post-op changes in the right mid lung.",hazy opacities,bilateral,Stable,['files/p16/p16334516/s57911714/dc1267a2-3ee022b5-d80f7ef1-f88a4e83-8d0de660.jpg'],['files/p16/p16334516/s57884279/320ec4bc-eb78eb77-b0088c51-9c38d6dc-d4677778.jpg\n']
s57911714_17,p16334516,s57911714,17,Findings,"Endotracheal tube tip is still within 1 cm of the carina. Enteric tube seen with tip at the gastric fundus, side port not clearly identified on the current exam. Right IJ line in stable position. The appearance of the lungs is unchanged with hazy bilateral opacities, the streaky left basilar likely atelectasis and post-op changes in the right mid lung. Prominence of the right hilum is unchanged.",Prominence of the right hilum is unchanged.,Prominence,right hilum,Stable,['files/p16/p16334516/s57911714/dc1267a2-3ee022b5-d80f7ef1-f88a4e83-8d0de660.jpg'],['files/p16/p16334516/s57884279/320ec4bc-eb78eb77-b0088c51-9c38d6dc-d4677778.jpg\n']
s57911714_17,p16334516,s57911714,17,Findings,"Endotracheal tube tip is still within 1 cm of the carina. Enteric tube seen with tip at the gastric fundus, side port not clearly identified on the current exam. Right IJ line in stable position. The appearance of the lungs is unchanged with hazy bilateral opacities, the streaky left basilar likely atelectasis and post-op changes in the right mid lung. Prominence of the right hilum is unchanged.",Endotracheal tube tip is still within 1 cm of the carina.,Endotracheal tube tip,carina,Stable,['files/p16/p16334516/s57911714/dc1267a2-3ee022b5-d80f7ef1-f88a4e83-8d0de660.jpg'],['files/p16/p16334516/s57884279/320ec4bc-eb78eb77-b0088c51-9c38d6dc-d4677778.jpg\n']
s57911714_17,p16334516,s57911714,17,Findings,"Endotracheal tube tip is still within 1 cm of the carina. Enteric tube seen with tip at the gastric fundus, side port not clearly identified on the current exam. Right IJ line in stable position. The appearance of the lungs is unchanged with hazy bilateral opacities, the streaky left basilar likely atelectasis and post-op changes in the right mid lung. Prominence of the right hilum is unchanged.","The appearance of the lungs is unchanged with hazy bilateral opacities, the streaky left basilar likely atelectasis and post-op changes in the right mid lung.",post-op changes,right mid lung,Stable,['files/p16/p16334516/s57911714/dc1267a2-3ee022b5-d80f7ef1-f88a4e83-8d0de660.jpg'],['files/p16/p16334516/s57884279/320ec4bc-eb78eb77-b0088c51-9c38d6dc-d4677778.jpg\n']
s57913072_5,p13979643,s57913072,5,Impression,Nasogastric tube tip in the proximal esophagus. The tube should be removed and placement re-attempted. Findings were discussed with Dr. ___ ___ after discovery of the findings at ___ on ___.,The tube should be removed and placement re-attempted.,Nasogastric tube,proximal esophagus,Resolve,['files/p13/p13979643/s57913072/581dfa62-66e36227-8f7c3128-aec0feaa-c7111e6e.jpg'],"['files/p13/p13979643/s57818938/129c0f80-7fa8ed1b-8e727c10-5561ccda-c6da8c9d.jpg\n', 'files/p13/p13979643/s57818938/a5d9f091-f420153d-6e818031-8ca6c1c0-1694ca63.jpg\n']"
s57913072_5,p13979643,s57913072,5,Findings,"A single portable frontal chest radiograph was obtained. The tip of a nasogastric tube terminates in the upper esophagus. Lung volumes are low, accentuating the central pulmonary vasculature. Small amount of fluid or thickening of the right minor fissure is unchanged. There is no new consolidation, effusion, or pneumothorax. There is a moderate amount of air in the stomach.",Small amount of fluid or thickening of the right minor fissure is unchanged.,fluid or thickening,right minor fissure,Stable,['files/p13/p13979643/s57913072/581dfa62-66e36227-8f7c3128-aec0feaa-c7111e6e.jpg'],"['files/p13/p13979643/s57818938/129c0f80-7fa8ed1b-8e727c10-5561ccda-c6da8c9d.jpg\n', 'files/p13/p13979643/s57818938/a5d9f091-f420153d-6e818031-8ca6c1c0-1694ca63.jpg\n']"
s57913253_38,p15131736,s57913253,38,Impression,"As compared to the previous radiograph, the pre-existing pulmonary edema has minimally decreased in severity and extent. Low lung volumes and moderate to massive cardiomegaly persists. No pleural effusions. No pneumonia. No pneumothorax.",Low lung volumes and moderate to massive cardiomegaly persists.,cardiomegaly,,Stable,['files/p15/p15131736/s57913253/e81642df-ca0321d7-9a90c5ce-db185fb3-f79598ce.jpg'],['files/p15/p15131736/s57865645/f5f335c8-148fbc15-8bb36e82-d7f364d8-066a5b50.jpg\n']
s57913253_38,p15131736,s57913253,38,Impression,"As compared to the previous radiograph, the pre-existing pulmonary edema has minimally decreased in severity and extent. Low lung volumes and moderate to massive cardiomegaly persists. No pleural effusions. No pneumonia. No pneumothorax.","As compared to the previous radiograph, the pre-existing pulmonary edema has minimally decreased in severity and extent.",pulmonary edema,,Better,['files/p15/p15131736/s57913253/e81642df-ca0321d7-9a90c5ce-db185fb3-f79598ce.jpg'],['files/p15/p15131736/s57865645/f5f335c8-148fbc15-8bb36e82-d7f364d8-066a5b50.jpg\n']
s57915081_5,p16751749,s57915081,5,Findings,"The presence of extensive subcutaneous emphysema reduces the sensitivity of chest radiography for detecting pneumothoraces. With this limitation in mind, no pneumothorax is identified. Left chest tube has been removed since the prior study, and right chest tube is unchanged in position. Endotracheal tube remains in standard position, but cuff appears slightly overdistended. Heart size is normal. Worsening heterogeneous airspace opacities in right lower lobe are concerning for aspiration or evolving infectious pneumonia. Numerous air-fluid levels are again demonstrated in the left upper lobe lateral to the left hilum, and may reflect hemorrhage or infection within a bullae. An adjacent area of consolidation is present in this region as well. As compared to the recent study of ___, the degree of subcutaneous emphysema has worsened, and is particularly more marked in the neck, axilla and lateral chest wall as compared to the prior studies.","Left chest tube has been removed since the prior study, and right chest tube is unchanged in position.",Chest tube,Left,Resolve,"['files/p16/p16751749/s57915081/19b42639-f337dd66-caa195a4-4390e83b-961fb2ba.jpg', 'files/p16/p16751749/s57915081/e4c3ba18-a70b953e-2a8ca4d7-ea576b97-ced50e07.jpg']",['files/p16/p16751749/s57862102/4a5bbca6-64ed6abf-84645068-6a7688bd-9a9910d4.jpg\n']
s57915081_5,p16751749,s57915081,5,Findings,"The presence of extensive subcutaneous emphysema reduces the sensitivity of chest radiography for detecting pneumothoraces. With this limitation in mind, no pneumothorax is identified. Left chest tube has been removed since the prior study, and right chest tube is unchanged in position. Endotracheal tube remains in standard position, but cuff appears slightly overdistended. Heart size is normal. Worsening heterogeneous airspace opacities in right lower lobe are concerning for aspiration or evolving infectious pneumonia. Numerous air-fluid levels are again demonstrated in the left upper lobe lateral to the left hilum, and may reflect hemorrhage or infection within a bullae. An adjacent area of consolidation is present in this region as well. As compared to the recent study of ___, the degree of subcutaneous emphysema has worsened, and is particularly more marked in the neck, axilla and lateral chest wall as compared to the prior studies.","Left chest tube has been removed since the prior study, and right chest tube is unchanged in position.",Chest tube,Right,Stable,"['files/p16/p16751749/s57915081/19b42639-f337dd66-caa195a4-4390e83b-961fb2ba.jpg', 'files/p16/p16751749/s57915081/e4c3ba18-a70b953e-2a8ca4d7-ea576b97-ced50e07.jpg']",['files/p16/p16751749/s57862102/4a5bbca6-64ed6abf-84645068-6a7688bd-9a9910d4.jpg\n']
s57915081_5,p16751749,s57915081,5,Findings,"The presence of extensive subcutaneous emphysema reduces the sensitivity of chest radiography for detecting pneumothoraces. With this limitation in mind, no pneumothorax is identified. Left chest tube has been removed since the prior study, and right chest tube is unchanged in position. Endotracheal tube remains in standard position, but cuff appears slightly overdistended. Heart size is normal. Worsening heterogeneous airspace opacities in right lower lobe are concerning for aspiration or evolving infectious pneumonia. Numerous air-fluid levels are again demonstrated in the left upper lobe lateral to the left hilum, and may reflect hemorrhage or infection within a bullae. An adjacent area of consolidation is present in this region as well. As compared to the recent study of ___, the degree of subcutaneous emphysema has worsened, and is particularly more marked in the neck, axilla and lateral chest wall as compared to the prior studies.","As compared to the recent study of ___, the degree of subcutaneous emphysema has worsened, and is particularly more marked in the neck, axilla and lateral chest wall as compared to the prior studies.",Subcutaneous emphysema,"Neck, axilla, lateral chest wall",Worse,"['files/p16/p16751749/s57915081/19b42639-f337dd66-caa195a4-4390e83b-961fb2ba.jpg', 'files/p16/p16751749/s57915081/e4c3ba18-a70b953e-2a8ca4d7-ea576b97-ced50e07.jpg']",['files/p16/p16751749/s57862102/4a5bbca6-64ed6abf-84645068-6a7688bd-9a9910d4.jpg\n']
s57915081_5,p16751749,s57915081,5,Impression,"1. No evidence of pneumothorax following removal of left-sided chest tube, but extensive subcutaneous emphysema reduces the sensitivity of radiography for detecting pneumothoraces. 2. Worsening right lower lobe airspace opacity, concerning for developing pneumonia in the appropriate clinical setting. 3. Progressive diffuse subcutaneous emphysema. 4. Severe emphysema.","No evidence of pneumothorax following removal of left-sided chest tube, but extensive subcutaneous emphysema reduces the sensitivity of radiography for detecting pneumothoraces.",Chest tube,Left-sided,Resolve,"['files/p16/p16751749/s57915081/19b42639-f337dd66-caa195a4-4390e83b-961fb2ba.jpg', 'files/p16/p16751749/s57915081/e4c3ba18-a70b953e-2a8ca4d7-ea576b97-ced50e07.jpg']",['files/p16/p16751749/s57862102/4a5bbca6-64ed6abf-84645068-6a7688bd-9a9910d4.jpg\n']
s57915081_5,p16751749,s57915081,5,Impression,"1. No evidence of pneumothorax following removal of left-sided chest tube, but extensive subcutaneous emphysema reduces the sensitivity of radiography for detecting pneumothoraces. 2. Worsening right lower lobe airspace opacity, concerning for developing pneumonia in the appropriate clinical setting. 3. Progressive diffuse subcutaneous emphysema. 4. Severe emphysema.",Progressive diffuse subcutaneous emphysema.,Subcutaneous emphysema,Diffuse,Worse,"['files/p16/p16751749/s57915081/19b42639-f337dd66-caa195a4-4390e83b-961fb2ba.jpg', 'files/p16/p16751749/s57915081/e4c3ba18-a70b953e-2a8ca4d7-ea576b97-ced50e07.jpg']",['files/p16/p16751749/s57862102/4a5bbca6-64ed6abf-84645068-6a7688bd-9a9910d4.jpg\n']
s57915081_5,p16751749,s57915081,5,Findings,"The presence of extensive subcutaneous emphysema reduces the sensitivity of chest radiography for detecting pneumothoraces. With this limitation in mind, no pneumothorax is identified. Left chest tube has been removed since the prior study, and right chest tube is unchanged in position. Endotracheal tube remains in standard position, but cuff appears slightly overdistended. Heart size is normal. Worsening heterogeneous airspace opacities in right lower lobe are concerning for aspiration or evolving infectious pneumonia. Numerous air-fluid levels are again demonstrated in the left upper lobe lateral to the left hilum, and may reflect hemorrhage or infection within a bullae. An adjacent area of consolidation is present in this region as well. As compared to the recent study of ___, the degree of subcutaneous emphysema has worsened, and is particularly more marked in the neck, axilla and lateral chest wall as compared to the prior studies.","Endotracheal tube remains in standard position, but cuff appears slightly overdistended.",Endotracheal tube position,Standard,Stable,"['files/p16/p16751749/s57915081/19b42639-f337dd66-caa195a4-4390e83b-961fb2ba.jpg', 'files/p16/p16751749/s57915081/e4c3ba18-a70b953e-2a8ca4d7-ea576b97-ced50e07.jpg']",['files/p16/p16751749/s57862102/4a5bbca6-64ed6abf-84645068-6a7688bd-9a9910d4.jpg\n']
s57915081_5,p16751749,s57915081,5,Impression,"1. No evidence of pneumothorax following removal of left-sided chest tube, but extensive subcutaneous emphysema reduces the sensitivity of radiography for detecting pneumothoraces. 2. Worsening right lower lobe airspace opacity, concerning for developing pneumonia in the appropriate clinical setting. 3. Progressive diffuse subcutaneous emphysema. 4. Severe emphysema.","Worsening right lower lobe airspace opacity, concerning for developing pneumonia in the appropriate clinical setting.",Airspace opacity,Right lower lobe,Worse,"['files/p16/p16751749/s57915081/19b42639-f337dd66-caa195a4-4390e83b-961fb2ba.jpg', 'files/p16/p16751749/s57915081/e4c3ba18-a70b953e-2a8ca4d7-ea576b97-ced50e07.jpg']",['files/p16/p16751749/s57862102/4a5bbca6-64ed6abf-84645068-6a7688bd-9a9910d4.jpg\n']
s57915081_5,p16751749,s57915081,5,Findings,"The presence of extensive subcutaneous emphysema reduces the sensitivity of chest radiography for detecting pneumothoraces. With this limitation in mind, no pneumothorax is identified. Left chest tube has been removed since the prior study, and right chest tube is unchanged in position. Endotracheal tube remains in standard position, but cuff appears slightly overdistended. Heart size is normal. Worsening heterogeneous airspace opacities in right lower lobe are concerning for aspiration or evolving infectious pneumonia. Numerous air-fluid levels are again demonstrated in the left upper lobe lateral to the left hilum, and may reflect hemorrhage or infection within a bullae. An adjacent area of consolidation is present in this region as well. As compared to the recent study of ___, the degree of subcutaneous emphysema has worsened, and is particularly more marked in the neck, axilla and lateral chest wall as compared to the prior studies.","Endotracheal tube remains in standard position, but cuff appears slightly overdistended.",Overdistended,Cuff,Worse,"['files/p16/p16751749/s57915081/19b42639-f337dd66-caa195a4-4390e83b-961fb2ba.jpg', 'files/p16/p16751749/s57915081/e4c3ba18-a70b953e-2a8ca4d7-ea576b97-ced50e07.jpg']",['files/p16/p16751749/s57862102/4a5bbca6-64ed6abf-84645068-6a7688bd-9a9910d4.jpg\n']
s57915081_5,p16751749,s57915081,5,Findings,"The presence of extensive subcutaneous emphysema reduces the sensitivity of chest radiography for detecting pneumothoraces. With this limitation in mind, no pneumothorax is identified. Left chest tube has been removed since the prior study, and right chest tube is unchanged in position. Endotracheal tube remains in standard position, but cuff appears slightly overdistended. Heart size is normal. Worsening heterogeneous airspace opacities in right lower lobe are concerning for aspiration or evolving infectious pneumonia. Numerous air-fluid levels are again demonstrated in the left upper lobe lateral to the left hilum, and may reflect hemorrhage or infection within a bullae. An adjacent area of consolidation is present in this region as well. As compared to the recent study of ___, the degree of subcutaneous emphysema has worsened, and is particularly more marked in the neck, axilla and lateral chest wall as compared to the prior studies.",Worsening heterogeneous airspace opacities in right lower lobe are concerning for aspiration or evolving infectious pneumonia.,Heterogeneous airspace opacities,Right lower lobe,Worse,"['files/p16/p16751749/s57915081/19b42639-f337dd66-caa195a4-4390e83b-961fb2ba.jpg', 'files/p16/p16751749/s57915081/e4c3ba18-a70b953e-2a8ca4d7-ea576b97-ced50e07.jpg']",['files/p16/p16751749/s57862102/4a5bbca6-64ed6abf-84645068-6a7688bd-9a9910d4.jpg\n']
s57917788_12,p14353044,s57917788,12,Findings,"The lungs are clear of focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. Lucency of the upper lobes may reflect emphysema. The heart is normal in size. Posterior spinal fixation hardware is noted along the lower thoracic spine with re- demonstration of multiple compression deformities.",Posterior spinal fixation hardware is noted along the lower thoracic spine with re- demonstration of multiple compression deformities.,posterior spinal fixation hardware,lower thoracic spine,Worse,"['files/p14/p14353044/s57917788/5af87b41-8ac7f590-031b4a69-a38adb82-f7413ad5.jpg', 'files/p14/p14353044/s57917788/866da04c-e24c3141-42311ab2-6a52b25a-82cf9674.jpg']","['files/p14/p14353044/s57674897/4e3be0c2-0bf7b260-9ee5b4e0-56975598-6b3bd28e.jpg\n', 'files/p14/p14353044/s57674897/94f62ec2-b7ecf13f-29fdf3b2-877f138b-7d976888.jpg\n']"
s57927198_5,p12952223,s57927198,5,Impression,"Worsening pulmonary edema and bilateral pleural effusions. Results were relayed to ___, PA-C by phone at approximately 6:00 p.m. on ___.",Worsening pulmonary edema and bilateral pleural effusions.,pleural effusions,bilateral,Worse,['files/p12/p12952223/s57927198/d7539f3d-8434d8d9-45deaba6-7524faea-7412f5dc.jpg'],['files/p12/p12952223/s57876776/26d9c6a6-23aadec2-4f13a9f7-d2bfdb99-ba5c03ff.jpg\n']
s57927198_5,p12952223,s57927198,5,Impression,"Worsening pulmonary edema and bilateral pleural effusions. Results were relayed to ___, PA-C by phone at approximately 6:00 p.m. on ___.",Worsening pulmonary edema and bilateral pleural effusions.,pulmonary edema,,Worse,['files/p12/p12952223/s57927198/d7539f3d-8434d8d9-45deaba6-7524faea-7412f5dc.jpg'],['files/p12/p12952223/s57876776/26d9c6a6-23aadec2-4f13a9f7-d2bfdb99-ba5c03ff.jpg\n']
s57927198_5,p12952223,s57927198,5,Findings,"Portable AP chest radiograph demonstrates worsening bilateral pleural effusions and associated atelectasis, greater on the right. There is also worsening pulmonary vascular congestion. There is no pneumothorax. Right internal jugular catheter probably terminates in the right atrium.","Portable AP chest radiograph demonstrates worsening bilateral pleural effusions and associated atelectasis, greater on the right.",atelectasis,right,Worse,['files/p12/p12952223/s57927198/d7539f3d-8434d8d9-45deaba6-7524faea-7412f5dc.jpg'],['files/p12/p12952223/s57876776/26d9c6a6-23aadec2-4f13a9f7-d2bfdb99-ba5c03ff.jpg\n']
s57927198_5,p12952223,s57927198,5,Findings,"Portable AP chest radiograph demonstrates worsening bilateral pleural effusions and associated atelectasis, greater on the right. There is also worsening pulmonary vascular congestion. There is no pneumothorax. Right internal jugular catheter probably terminates in the right atrium.",There is also worsening pulmonary vascular congestion.,pulmonary vascular congestion,,Worse,['files/p12/p12952223/s57927198/d7539f3d-8434d8d9-45deaba6-7524faea-7412f5dc.jpg'],['files/p12/p12952223/s57876776/26d9c6a6-23aadec2-4f13a9f7-d2bfdb99-ba5c03ff.jpg\n']
s57927198_5,p12952223,s57927198,5,Findings,"Portable AP chest radiograph demonstrates worsening bilateral pleural effusions and associated atelectasis, greater on the right. There is also worsening pulmonary vascular congestion. There is no pneumothorax. Right internal jugular catheter probably terminates in the right atrium.","Portable AP chest radiograph demonstrates worsening bilateral pleural effusions and associated atelectasis, greater on the right.",pleural effusions,bilateral,Worse,['files/p12/p12952223/s57927198/d7539f3d-8434d8d9-45deaba6-7524faea-7412f5dc.jpg'],['files/p12/p12952223/s57876776/26d9c6a6-23aadec2-4f13a9f7-d2bfdb99-ba5c03ff.jpg\n']
s57929429_4,p16043637,s57929429,4,Findings,A permanent pacer is again noted with leads terminating in the right atrium and right ventricle in satisfactory position. The metallic portion of an aortic valve prosthesis is again visualized. Sternotomy wires are also present. Heart size remains normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are clear.,Heart size remains normal.,Heart size,,Stable,"['files/p16/p16043637/s57929429/02459e00-c32b7e61-1d7eaf5a-b10fc8f6-063f7d90.jpg', 'files/p16/p16043637/s57929429/4121b513-0b19d16a-eae78b94-9ad9e2c6-d0f50262.jpg']","['files/p16/p16043637/s57880955/1b969967-88c2b36b-65da30a7-644c09d3-96356c51.jpg\n', 'files/p16/p16043637/s57880955/5e06f576-00f63575-732b3eac-a525f7d2-9355ee5f.jpg\n']"
s57929429_4,p16043637,s57929429,4,Impression,"1. Expected normal position of permanent pacer electrodes. 2. Stable chest radiograph, no pneumothorax.","2. Stable chest radiograph, no pneumothorax.",Chest radiograph,,Stable,"['files/p16/p16043637/s57929429/02459e00-c32b7e61-1d7eaf5a-b10fc8f6-063f7d90.jpg', 'files/p16/p16043637/s57929429/4121b513-0b19d16a-eae78b94-9ad9e2c6-d0f50262.jpg']","['files/p16/p16043637/s57880955/1b969967-88c2b36b-65da30a7-644c09d3-96356c51.jpg\n', 'files/p16/p16043637/s57880955/5e06f576-00f63575-732b3eac-a525f7d2-9355ee5f.jpg\n']"
s57932391_19,p19075045,s57932391,19,Findings,"Lung volumes are relatively low with bibasilar atelectasis. Superiorly, lungs are clear. There is no overt edema nor effusion. The cardiomediastinal silhouette is stable. Prosthetic aortic valve and left chest wall dual lead pacing device are unchanged. There is a new dual lumen right-sided central venous catheter with distal tip in the right atrium. Bilateral shoulder arthroplasties are noted as well as lumbar fixation hardware. .",The cardiomediastinal silhouette is stable.,cardiomediastinal silhouette,,Stable,"['files/p19/p19075045/s57932391/2c34a6e4-968a506c-a8b39537-c46c370e-184792f4.jpg', 'files/p19/p19075045/s57932391/8c4b0928-25f0374e-f160695e-a8ead2b2-21c9a14b.jpg']","['files/p19/p19075045/s57617376/a54a51a1-f6b0b03e-3a44b36e-aaf6e2cb-05b0c6ff.jpg\n', 'files/p19/p19075045/s57617376/f15b72a4-0e6020a3-cf98cd7c-c8f430f5-1a7d3aa9.jpg\n']"
s57932391_19,p19075045,s57932391,19,Findings,"Lung volumes are relatively low with bibasilar atelectasis. Superiorly, lungs are clear. There is no overt edema nor effusion. The cardiomediastinal silhouette is stable. Prosthetic aortic valve and left chest wall dual lead pacing device are unchanged. There is a new dual lumen right-sided central venous catheter with distal tip in the right atrium. Bilateral shoulder arthroplasties are noted as well as lumbar fixation hardware. .",Prosthetic aortic valve and left chest wall dual lead pacing device are unchanged.,Prosthetic aortic valve,,Stable,"['files/p19/p19075045/s57932391/2c34a6e4-968a506c-a8b39537-c46c370e-184792f4.jpg', 'files/p19/p19075045/s57932391/8c4b0928-25f0374e-f160695e-a8ead2b2-21c9a14b.jpg']","['files/p19/p19075045/s57617376/a54a51a1-f6b0b03e-3a44b36e-aaf6e2cb-05b0c6ff.jpg\n', 'files/p19/p19075045/s57617376/f15b72a4-0e6020a3-cf98cd7c-c8f430f5-1a7d3aa9.jpg\n']"
s57932391_19,p19075045,s57932391,19,Findings,"Lung volumes are relatively low with bibasilar atelectasis. Superiorly, lungs are clear. There is no overt edema nor effusion. The cardiomediastinal silhouette is stable. Prosthetic aortic valve and left chest wall dual lead pacing device are unchanged. There is a new dual lumen right-sided central venous catheter with distal tip in the right atrium. Bilateral shoulder arthroplasties are noted as well as lumbar fixation hardware. .",There is a new dual lumen right-sided central venous catheter with distal tip in the right atrium.,central venous catheter,right-sided,New,"['files/p19/p19075045/s57932391/2c34a6e4-968a506c-a8b39537-c46c370e-184792f4.jpg', 'files/p19/p19075045/s57932391/8c4b0928-25f0374e-f160695e-a8ead2b2-21c9a14b.jpg']","['files/p19/p19075045/s57617376/a54a51a1-f6b0b03e-3a44b36e-aaf6e2cb-05b0c6ff.jpg\n', 'files/p19/p19075045/s57617376/f15b72a4-0e6020a3-cf98cd7c-c8f430f5-1a7d3aa9.jpg\n']"
s57932391_19,p19075045,s57932391,19,Findings,"Lung volumes are relatively low with bibasilar atelectasis. Superiorly, lungs are clear. There is no overt edema nor effusion. The cardiomediastinal silhouette is stable. Prosthetic aortic valve and left chest wall dual lead pacing device are unchanged. There is a new dual lumen right-sided central venous catheter with distal tip in the right atrium. Bilateral shoulder arthroplasties are noted as well as lumbar fixation hardware. .",Prosthetic aortic valve and left chest wall dual lead pacing device are unchanged.,dual lead pacing device,left chest wall,Stable,"['files/p19/p19075045/s57932391/2c34a6e4-968a506c-a8b39537-c46c370e-184792f4.jpg', 'files/p19/p19075045/s57932391/8c4b0928-25f0374e-f160695e-a8ead2b2-21c9a14b.jpg']","['files/p19/p19075045/s57617376/a54a51a1-f6b0b03e-3a44b36e-aaf6e2cb-05b0c6ff.jpg\n', 'files/p19/p19075045/s57617376/f15b72a4-0e6020a3-cf98cd7c-c8f430f5-1a7d3aa9.jpg\n']"
s57935403_1,p17112432,s57935403,1,Findings,"Comparison is made to prior examination of ___. The ET tube has been removed. A small right apical pneumothorax is identified. There is a small amount of subcutaneous emphysema in the right supraclavicular region in the neck, which is not significantly changed. Again noted are hazy opacities in the right hemithorax and these are stable.",The ET tube has been removed.,ET tube,,Resolve,['files/p17/p17112432/s57935403/f05b9731-d6bf3b29-6197f242-4cc974a3-fe0f5b56.jpg'],"['files/p17/p17112432/s56998267/be319f71-2b1ab302-55580f5d-ffc6e9e0-9e90689a.jpg\n', 'files/p17/p17112432/s56998267/e00dbd13-be46d17d-a9d11aa6-fe69dec2-7ccc308a.jpg\n']"
s57935403_1,p17112432,s57935403,1,Findings,"Comparison is made to prior examination of ___. The ET tube has been removed. A small right apical pneumothorax is identified. There is a small amount of subcutaneous emphysema in the right supraclavicular region in the neck, which is not significantly changed. Again noted are hazy opacities in the right hemithorax and these are stable.",Again noted are hazy opacities in the right hemithorax and these are stable.,hazy opacities,right hemithorax,Stable,['files/p17/p17112432/s57935403/f05b9731-d6bf3b29-6197f242-4cc974a3-fe0f5b56.jpg'],"['files/p17/p17112432/s56998267/be319f71-2b1ab302-55580f5d-ffc6e9e0-9e90689a.jpg\n', 'files/p17/p17112432/s56998267/e00dbd13-be46d17d-a9d11aa6-fe69dec2-7ccc308a.jpg\n']"
s57935403_1,p17112432,s57935403,1,Findings,"Comparison is made to prior examination of ___. The ET tube has been removed. A small right apical pneumothorax is identified. There is a small amount of subcutaneous emphysema in the right supraclavicular region in the neck, which is not significantly changed. Again noted are hazy opacities in the right hemithorax and these are stable.","There is a small amount of subcutaneous emphysema in the right supraclavicular region in the neck, which is not significantly changed.",subcutaneous emphysema,right supraclavicular region in the neck,Stable,['files/p17/p17112432/s57935403/f05b9731-d6bf3b29-6197f242-4cc974a3-fe0f5b56.jpg'],"['files/p17/p17112432/s56998267/be319f71-2b1ab302-55580f5d-ffc6e9e0-9e90689a.jpg\n', 'files/p17/p17112432/s56998267/e00dbd13-be46d17d-a9d11aa6-fe69dec2-7ccc308a.jpg\n']"
s57936326_1,p13649937,s57936326,1,Findings,"In comparison with the study of ___, the tip of the endotracheal tube now measures approximately 2.5 cm above the carina. Other monitoring and support devices are essentially unchanged. The left hemidiaphragm is again poorly seen, consistent with volume loss in the lower lobe with probable effusion. This latter observation is supported by haziness of the left hemithorax, consistent with layering fluid. The right lung is essentially clear. Overall, cardiac size remains enlarged. Poor definition of pulmonary vessels is consistent with increased pulmonary venous pressure.","The left hemidiaphragm is again poorly seen, consistent with volume loss in the lower lobe with probable effusion.",hemidiaphragm volume loss with probable effusion,left,Stable,['files/p13/p13649937/s57936326/8d737f78-cdcd1c7a-d434e99f-2f86c50c-e24fdcfe.jpg'],['files/p13/p13649937/s56825873/537f8439-9fc144bc-2e4220b4-1fb7bc02-5cb4bcc9.jpg\n']
s57936326_1,p13649937,s57936326,1,Findings,"In comparison with the study of ___, the tip of the endotracheal tube now measures approximately 2.5 cm above the carina. Other monitoring and support devices are essentially unchanged. The left hemidiaphragm is again poorly seen, consistent with volume loss in the lower lobe with probable effusion. This latter observation is supported by haziness of the left hemithorax, consistent with layering fluid. The right lung is essentially clear. Overall, cardiac size remains enlarged. Poor definition of pulmonary vessels is consistent with increased pulmonary venous pressure.","Overall, cardiac size remains enlarged.",cardiac size,,Stable,['files/p13/p13649937/s57936326/8d737f78-cdcd1c7a-d434e99f-2f86c50c-e24fdcfe.jpg'],['files/p13/p13649937/s56825873/537f8439-9fc144bc-2e4220b4-1fb7bc02-5cb4bcc9.jpg\n']
s57936326_1,p13649937,s57936326,1,Findings,"In comparison with the study of ___, the tip of the endotracheal tube now measures approximately 2.5 cm above the carina. Other monitoring and support devices are essentially unchanged. The left hemidiaphragm is again poorly seen, consistent with volume loss in the lower lobe with probable effusion. This latter observation is supported by haziness of the left hemithorax, consistent with layering fluid. The right lung is essentially clear. Overall, cardiac size remains enlarged. Poor definition of pulmonary vessels is consistent with increased pulmonary venous pressure.",Other monitoring and support devices are essentially unchanged.,monitoring and support devices,,Stable,['files/p13/p13649937/s57936326/8d737f78-cdcd1c7a-d434e99f-2f86c50c-e24fdcfe.jpg'],['files/p13/p13649937/s56825873/537f8439-9fc144bc-2e4220b4-1fb7bc02-5cb4bcc9.jpg\n']
s57940242_4,p11204646,s57940242,4,Findings,"The PICC ends in the upper SVC. The cardiomediastinal silhouette is normal, although evaluation is somewhat limited by patient's rotation. There is a moderate right pleural effusion, similar in size from the previous study on ___. No left pleural effusion is present. There is no consolidation or pneumothorax.","There is a moderate right pleural effusion, similar in size from the previous study on ___.",pleural effusion,right,Stable,['files/p11/p11204646/s57940242/cdd198d4-7b34ff26-cdf455d8-f2c979c2-93535229.jpg'],['files/p11/p11204646/s57844625/ae38c715-8eeb617e-ad8ab0a9-9f23fdef-9e43fccf.jpg\n']
s57949791_8,p10402372,s57949791,8,Findings,"As compared to the previous radiograph, there is a subtle but new opacity at the right lung base, in the medial aspect of the lung. The opacities located in an area of bronchiectasis. Given the clinical presentation, pneumonia must be suspected. The referring physician, ___. ___ was paged for notification at the time of dictation, 3:18 p.m. on ___ and the findings were discussed over the telephone. Otherwise, the radiograph is unchanged, extensive overinflation with bronchiectasis but no pleural effusions or other parenchymal changes. Normal size of the cardiac silhouette. Unchanged position of the nasogastric tube.","As compared to the previous radiograph, there is a subtle but new opacity at the right lung base, in the medial aspect of the lung",opacity,"right lung base, medial aspect",New,['files/p10/p10402372/s57949791/080eb78a-c3c3f369-1eaacd39-7f6cc416-8810586c.jpg'],"['files/p10/p10402372/s56711198/416b3f78-42417756-a0ba04e9-a8248885-a0e040a9.jpg\n', 'files/p10/p10402372/s56711198/840febf0-f7f07a57-33f1bfa8-6a02494a-8dc4cb09.jpg\n']"
s57949791_8,p10402372,s57949791,8,Findings,"As compared to the previous radiograph, there is a subtle but new opacity at the right lung base, in the medial aspect of the lung. The opacities located in an area of bronchiectasis. Given the clinical presentation, pneumonia must be suspected. The referring physician, ___. ___ was paged for notification at the time of dictation, 3:18 p.m. on ___ and the findings were discussed over the telephone. Otherwise, the radiograph is unchanged, extensive overinflation with bronchiectasis but no pleural effusions or other parenchymal changes. Normal size of the cardiac silhouette. Unchanged position of the nasogastric tube.","Otherwise, the radiograph is unchanged, extensive overinflation with bronchiectasis but no pleural effusions or other parenchymal changes",overinflation,,Stable,['files/p10/p10402372/s57949791/080eb78a-c3c3f369-1eaacd39-7f6cc416-8810586c.jpg'],"['files/p10/p10402372/s56711198/416b3f78-42417756-a0ba04e9-a8248885-a0e040a9.jpg\n', 'files/p10/p10402372/s56711198/840febf0-f7f07a57-33f1bfa8-6a02494a-8dc4cb09.jpg\n']"
s57949791_8,p10402372,s57949791,8,Findings,"As compared to the previous radiograph, there is a subtle but new opacity at the right lung base, in the medial aspect of the lung. The opacities located in an area of bronchiectasis. Given the clinical presentation, pneumonia must be suspected. The referring physician, ___. ___ was paged for notification at the time of dictation, 3:18 p.m. on ___ and the findings were discussed over the telephone. Otherwise, the radiograph is unchanged, extensive overinflation with bronchiectasis but no pleural effusions or other parenchymal changes. Normal size of the cardiac silhouette. Unchanged position of the nasogastric tube.","Otherwise, the radiograph is unchanged, extensive overinflation with bronchiectasis but no pleural effusions or other parenchymal changes",bronchiectasis,,Stable,['files/p10/p10402372/s57949791/080eb78a-c3c3f369-1eaacd39-7f6cc416-8810586c.jpg'],"['files/p10/p10402372/s56711198/416b3f78-42417756-a0ba04e9-a8248885-a0e040a9.jpg\n', 'files/p10/p10402372/s56711198/840febf0-f7f07a57-33f1bfa8-6a02494a-8dc4cb09.jpg\n']"
s57949791_8,p10402372,s57949791,8,Findings,"As compared to the previous radiograph, there is a subtle but new opacity at the right lung base, in the medial aspect of the lung. The opacities located in an area of bronchiectasis. Given the clinical presentation, pneumonia must be suspected. The referring physician, ___. ___ was paged for notification at the time of dictation, 3:18 p.m. on ___ and the findings were discussed over the telephone. Otherwise, the radiograph is unchanged, extensive overinflation with bronchiectasis but no pleural effusions or other parenchymal changes. Normal size of the cardiac silhouette. Unchanged position of the nasogastric tube.",Unchanged position of the nasogastric tube,nasogastric tube,,Stable,['files/p10/p10402372/s57949791/080eb78a-c3c3f369-1eaacd39-7f6cc416-8810586c.jpg'],"['files/p10/p10402372/s56711198/416b3f78-42417756-a0ba04e9-a8248885-a0e040a9.jpg\n', 'files/p10/p10402372/s56711198/840febf0-f7f07a57-33f1bfa8-6a02494a-8dc4cb09.jpg\n']"
s57951979_11,p13475033,s57951979,11,Findings,"In comparison with the study of ___, there is little change. Enlargement of the cardiac silhouette persists with chronic interstitial prominence as seen on recent CT. The possibility of some element of elevated pulmonary venous pressure must be considered. No focal consolidation.",Enlargement of the cardiac silhouette persists with chronic interstitial prominence as seen on recent CT.,enlargement,cardiac silhouette,Stable,"['files/p13/p13475033/s57951979/34013074-9e17c29b-e322906c-a7ec9382-d4b86bcb.jpg', 'files/p13/p13475033/s57951979/fd6509f0-c39f57c5-744a9382-37db12e6-fa9b1784.jpg']","['files/p13/p13475033/s57429813/2518c7ca-5bc35dd2-e35d9b4f-c44f6549-ee3b0443.jpg\n', 'files/p13/p13475033/s57429813/77d762b0-65a5cea4-1e326eb9-73de35b1-1f197533.jpg\n']"
s57952807_3,p16059470,s57952807,3,Findings,"Patient is status post median sternotomy and coronary artery bypass surgery. ICD remains in place as well as a right PICC. Cardiac silhouette is mildly enlarged, and accompanied by mild pulmonary vascular congestion. Persistent patchy right basilar opacity and new patchy left lower lobe opacity as well as a persistent linear area of atelectasis in the left lower lobe. The etiology of the basilar opacities is uncertain, but could represent aspiration, infectious pneumonia, or a dependent distribution of edema in the setting of known upper lobe predominant emphysema.",Persistent patchy right basilar opacity and new patchy left lower lobe opacity as well as a persistent linear area of atelectasis in the left lower lobe.,patchy opacity,right basilar,Stable,['files/p16/p16059470/s57952807/2b0c69d6-c2dc4934-db59e90a-2e58d454-ee26f72e.jpg'],['files/p16/p16059470/s57192814/a78450bf-630d9aa5-d48a79f1-41a5d2c2-802321fb.jpg\n']
s57952807_3,p16059470,s57952807,3,Findings,"Patient is status post median sternotomy and coronary artery bypass surgery. ICD remains in place as well as a right PICC. Cardiac silhouette is mildly enlarged, and accompanied by mild pulmonary vascular congestion. Persistent patchy right basilar opacity and new patchy left lower lobe opacity as well as a persistent linear area of atelectasis in the left lower lobe. The etiology of the basilar opacities is uncertain, but could represent aspiration, infectious pneumonia, or a dependent distribution of edema in the setting of known upper lobe predominant emphysema.",Persistent patchy right basilar opacity and new patchy left lower lobe opacity as well as a persistent linear area of atelectasis in the left lower lobe.,patchy opacity,left lower lobe,New,['files/p16/p16059470/s57952807/2b0c69d6-c2dc4934-db59e90a-2e58d454-ee26f72e.jpg'],['files/p16/p16059470/s57192814/a78450bf-630d9aa5-d48a79f1-41a5d2c2-802321fb.jpg\n']
s57952807_3,p16059470,s57952807,3,Findings,"Patient is status post median sternotomy and coronary artery bypass surgery. ICD remains in place as well as a right PICC. Cardiac silhouette is mildly enlarged, and accompanied by mild pulmonary vascular congestion. Persistent patchy right basilar opacity and new patchy left lower lobe opacity as well as a persistent linear area of atelectasis in the left lower lobe. The etiology of the basilar opacities is uncertain, but could represent aspiration, infectious pneumonia, or a dependent distribution of edema in the setting of known upper lobe predominant emphysema.",Persistent patchy right basilar opacity and new patchy left lower lobe opacity as well as a persistent linear area of atelectasis in the left lower lobe.,linear area of atelectasis,left lower lobe,Stable,['files/p16/p16059470/s57952807/2b0c69d6-c2dc4934-db59e90a-2e58d454-ee26f72e.jpg'],['files/p16/p16059470/s57192814/a78450bf-630d9aa5-d48a79f1-41a5d2c2-802321fb.jpg\n']
s57952807_3,p16059470,s57952807,3,Findings,"Patient is status post median sternotomy and coronary artery bypass surgery. ICD remains in place as well as a right PICC. Cardiac silhouette is mildly enlarged, and accompanied by mild pulmonary vascular congestion. Persistent patchy right basilar opacity and new patchy left lower lobe opacity as well as a persistent linear area of atelectasis in the left lower lobe. The etiology of the basilar opacities is uncertain, but could represent aspiration, infectious pneumonia, or a dependent distribution of edema in the setting of known upper lobe predominant emphysema.",ICD remains in place as well as a right PICC.,in place,ICD and right PICC,Stable,['files/p16/p16059470/s57952807/2b0c69d6-c2dc4934-db59e90a-2e58d454-ee26f72e.jpg'],['files/p16/p16059470/s57192814/a78450bf-630d9aa5-d48a79f1-41a5d2c2-802321fb.jpg\n']
s57955448_1,p16751749,s57955448,1,Findings,"Portable chest radiograph demonstrates interval placement of endotracheal tube with tip 6 cm above the carina. Nasogastric tube seen coursing into the stomach and out of view. No pneumothorax identified. Otherwise, unchanged exam with hyperinflation of lungs and severe bullous emphysematous changes identified in the upper lungs, particularly on the left. Increased opacity at the lateral right lung base thought to represent scarring versus infectious process on prior study is better evaluated on current study and appears to be consistent with scarring, unchanged from ___. No pleural effusions evident.","Otherwise, unchanged exam with hyperinflation of lungs and severe bullous emphysematous changes identified in the upper lungs, particularly on the left.",hyperinflation and severe bullous emphysematous changes,upper lungs,Stable,['files/p16/p16751749/s57955448/14047a00-16ef4559-fd349a7f-fc7d9ef5-2667ceaf.jpg'],"['files/p16/p16751749/s57915081/19b42639-f337dd66-caa195a4-4390e83b-961fb2ba.jpg\n', 'files/p16/p16751749/s57915081/e4c3ba18-a70b953e-2a8ca4d7-ea576b97-ced50e07.jpg\n']"
s57955448_1,p16751749,s57955448,1,Impression,"Status post intubation with tip 6 cm above carina. No pneumothorax. Relative opacity at lateral right lung base thought to represent scarring versus infectious process on prior study is better evaluated on current study and appears to be consistent with scarring, unchanged from ___.","Relative opacity at lateral right lung base thought to represent scarring versus infectious process on prior study is better evaluated on current study and appears to be consistent with scarring, unchanged from ___.",opacity,lateral right lung base,Stable,['files/p16/p16751749/s57955448/14047a00-16ef4559-fd349a7f-fc7d9ef5-2667ceaf.jpg'],"['files/p16/p16751749/s57915081/19b42639-f337dd66-caa195a4-4390e83b-961fb2ba.jpg\n', 'files/p16/p16751749/s57915081/e4c3ba18-a70b953e-2a8ca4d7-ea576b97-ced50e07.jpg\n']"
s57955448_1,p16751749,s57955448,1,Findings,"Portable chest radiograph demonstrates interval placement of endotracheal tube with tip 6 cm above the carina. Nasogastric tube seen coursing into the stomach and out of view. No pneumothorax identified. Otherwise, unchanged exam with hyperinflation of lungs and severe bullous emphysematous changes identified in the upper lungs, particularly on the left. Increased opacity at the lateral right lung base thought to represent scarring versus infectious process on prior study is better evaluated on current study and appears to be consistent with scarring, unchanged from ___. No pleural effusions evident.","Increased opacity at the lateral right lung base thought to represent scarring versus infectious process on prior study is better evaluated on current study and appears to be consistent with scarring, unchanged from ___.",opacity,lateral right lung base,Stable,['files/p16/p16751749/s57955448/14047a00-16ef4559-fd349a7f-fc7d9ef5-2667ceaf.jpg'],"['files/p16/p16751749/s57915081/19b42639-f337dd66-caa195a4-4390e83b-961fb2ba.jpg\n', 'files/p16/p16751749/s57915081/e4c3ba18-a70b953e-2a8ca4d7-ea576b97-ced50e07.jpg\n']"
s57959841_0,p10885696,s57959841,0,Findings,"The patient is status post left upper lobectomy, with expected persistent left lung volume loss and shift of mediastinal structures. The cardiac, mediastinal, and hilar contours are unchanged, allowing for differences in technique and rotation of the patient. Biapical scarring is again seen. There is no pneumothorax or new consolidation.","The cardiac, mediastinal, and hilar contours are unchanged, allowing for differences in technique and rotation of the patient.",,"cardiac, mediastinal, and hilar contours",Stable,"['files/p10/p10885696/s57959841/a7fdae9e-97d1a4d6-df3c7f40-29a51d88-39463d76.jpg', 'files/p10/p10885696/s57959841/ce354924-31b789c8-efd39b27-f2708902-84e7f064.jpg']","['files/p10/p10885696/s56443683/5b429228-9769c874-369577de-11d25077-c9ad1f2b.jpg\n', 'files/p10/p10885696/s56443683/747bf134-95cc6d92-0fb6f30d-863827b7-3042900e.jpg\n', 'files/p10/p10885696/s56443683/9623a655-03f06280-bcea21d9-461fa137-276ea8f3.jpg\n']"
s57966185_9,p12433421,s57966185,9,Impression,"AP chest compared to 4:47 p.m. New endotracheal tube and left internal jugular line are in standard placements respectively. Small bilateral pleural effusion, left greater than right, unchanged over nine hours. Left lower lobe atelectasis, moderate-to-severe, unchanged. Possible destructive lesion, anterior aspect, right fifth rib is without correlation on recent abdomen CT. Suggest detailed rib views when feasible.","Small bilateral pleural effusion, left greater than right, unchanged over nine hours.",pleural effusion,bilateral,Stable,"['files/p12/p12433421/s57966185/6b7a4b0a-ce2140d6-7ef34e3e-a9fc1e34-d5db5dd4.jpg', 'files/p12/p12433421/s57966185/8b8058e3-2e73b083-ad0be703-248c6dde-e81698ed.jpg']",['files/p12/p12433421/s57365217/ea76870d-7fdf2c99-bec8634e-1362050a-edc3c8fd.jpg\n']
s57966185_9,p12433421,s57966185,9,Impression,"AP chest compared to 4:47 p.m. New endotracheal tube and left internal jugular line are in standard placements respectively. Small bilateral pleural effusion, left greater than right, unchanged over nine hours. Left lower lobe atelectasis, moderate-to-severe, unchanged. Possible destructive lesion, anterior aspect, right fifth rib is without correlation on recent abdomen CT. Suggest detailed rib views when feasible.","Left lower lobe atelectasis, moderate-to-severe, unchanged.",atelectasis,left lower lobe,Stable,"['files/p12/p12433421/s57966185/6b7a4b0a-ce2140d6-7ef34e3e-a9fc1e34-d5db5dd4.jpg', 'files/p12/p12433421/s57966185/8b8058e3-2e73b083-ad0be703-248c6dde-e81698ed.jpg']",['files/p12/p12433421/s57365217/ea76870d-7fdf2c99-bec8634e-1362050a-edc3c8fd.jpg\n']
s57971060_7,p17340686,s57971060,7,Findings,"The lungs are low in volume, but clear. The cardiac silhouette is enlarged. The mediastinal silhouette is normal. Hilar and pulmonary vessels are chronically enlarged, but previous pulmonary edema has cleared. A left dialysis catheter ends in the right atrium. No pneumothorax or pleural effusion is present.","Hilar and pulmonary vessels are chronically enlarged, but previous pulmonary edema has cleared.",pulmonary edema,,Resolve,"['files/p17/p17340686/s57971060/77911e4a-fb35c2ec-cd17f417-a514b2d2-47244970.jpg', 'files/p17/p17340686/s57971060/c02b4b56-24488f86-c4b9886d-86e515ce-ae4f0555.jpg']","['files/p17/p17340686/s57880532/1e3926d7-a660ecde-c6e6282e-98039f5e-6c6714c8.jpg\n', 'files/p17/p17340686/s57880532/7f8f6ec3-a3e29283-ecbe579b-2cc82a1b-8ba750a6.jpg\n']"
s57974904_10,p12699874,s57974904,10,Impression,1. Stable large right hydropneumothorax without tension. 2. Improving aeration in the right middle and lower lobes.,2. Improving aeration in the right middle and lower lobes.,aeration,right middle and lower lobes,Better,"['files/p12/p12699874/s57974904/6d9766ff-d338bb04-cdbfb5a8-a6aefc8e-d28602a0.jpg', 'files/p12/p12699874/s57974904/f92519c3-962b5ff5-70443417-be79d943-b7960f01.jpg']","['files/p12/p12699874/s57330459/ac58123d-32acfa38-3c734ace-8ef59986-fcca19ef.jpg\n', 'files/p12/p12699874/s57330459/beb55654-98504d02-98628cdb-06081de2-be7990a2.jpg\n', 'files/p12/p12699874/s57330459/d39bd323-17dd4a2d-2adbe3f7-c2056b4e-08a6f0fb.jpg\n']"
s57974904_10,p12699874,s57974904,10,Impression,1. Stable large right hydropneumothorax without tension. 2. Improving aeration in the right middle and lower lobes.,1. Stable large right hydropneumothorax without tension.,hydropneumothorax,right,Stable,"['files/p12/p12699874/s57974904/6d9766ff-d338bb04-cdbfb5a8-a6aefc8e-d28602a0.jpg', 'files/p12/p12699874/s57974904/f92519c3-962b5ff5-70443417-be79d943-b7960f01.jpg']","['files/p12/p12699874/s57330459/ac58123d-32acfa38-3c734ace-8ef59986-fcca19ef.jpg\n', 'files/p12/p12699874/s57330459/beb55654-98504d02-98628cdb-06081de2-be7990a2.jpg\n', 'files/p12/p12699874/s57330459/d39bd323-17dd4a2d-2adbe3f7-c2056b4e-08a6f0fb.jpg\n']"
s57974904_10,p12699874,s57974904,10,Findings,"Again seen is a large right hydropneumothorax without evidence of tension, mostly unchanged from the prior radiograph. There is slightly improved aeration of the right middle and lower lobes. The cardiomediastinal silhouette is normal. The left lung is clear.",There is slightly improved aeration of the right middle and lower lobes.,aeration,right middle and lower lobes,Better,"['files/p12/p12699874/s57974904/6d9766ff-d338bb04-cdbfb5a8-a6aefc8e-d28602a0.jpg', 'files/p12/p12699874/s57974904/f92519c3-962b5ff5-70443417-be79d943-b7960f01.jpg']","['files/p12/p12699874/s57330459/ac58123d-32acfa38-3c734ace-8ef59986-fcca19ef.jpg\n', 'files/p12/p12699874/s57330459/beb55654-98504d02-98628cdb-06081de2-be7990a2.jpg\n', 'files/p12/p12699874/s57330459/d39bd323-17dd4a2d-2adbe3f7-c2056b4e-08a6f0fb.jpg\n']"
s57974904_10,p12699874,s57974904,10,Findings,"Again seen is a large right hydropneumothorax without evidence of tension, mostly unchanged from the prior radiograph. There is slightly improved aeration of the right middle and lower lobes. The cardiomediastinal silhouette is normal. The left lung is clear.","Again seen is a large right hydropneumothorax without evidence of tension, mostly unchanged from the prior radiograph.",hydropneumothorax,right,Stable,"['files/p12/p12699874/s57974904/6d9766ff-d338bb04-cdbfb5a8-a6aefc8e-d28602a0.jpg', 'files/p12/p12699874/s57974904/f92519c3-962b5ff5-70443417-be79d943-b7960f01.jpg']","['files/p12/p12699874/s57330459/ac58123d-32acfa38-3c734ace-8ef59986-fcca19ef.jpg\n', 'files/p12/p12699874/s57330459/beb55654-98504d02-98628cdb-06081de2-be7990a2.jpg\n', 'files/p12/p12699874/s57330459/d39bd323-17dd4a2d-2adbe3f7-c2056b4e-08a6f0fb.jpg\n']"
s57976054_3,p16409152,s57976054,3,Findings,One portable supine view of the chest. The endotracheal tube ends in the right internal jugular line and is in unchanged position. No NG tube is seen. The lung findings are unchanged compared to 45 minutes earlier.,The endotracheal tube ends in the right internal jugular line and is in unchanged position.,Endotracheal tube,Right internal jugular line,Stable,['files/p16/p16409152/s57976054/eae82e15-d009faf9-ea670371-7404ef86-edfc3065.jpg'],['files/p16/p16409152/s57478725/df2afec3-bcff5990-a6f64c83-6bb93795-d38a1ec8.jpg\n']
s57976054_3,p16409152,s57976054,3,Findings,One portable supine view of the chest. The endotracheal tube ends in the right internal jugular line and is in unchanged position. No NG tube is seen. The lung findings are unchanged compared to 45 minutes earlier.,The lung findings are unchanged compared to 45 minutes earlier.,Lung findings,,Stable,['files/p16/p16409152/s57976054/eae82e15-d009faf9-ea670371-7404ef86-edfc3065.jpg'],['files/p16/p16409152/s57478725/df2afec3-bcff5990-a6f64c83-6bb93795-d38a1ec8.jpg\n']
s57977208_1,p10046166,s57977208,1,Findings,"Frontal and lateral radiographs of the chest redemonstrate a round calcified pulmonary nodule in the posterior right lung base, unchanged from multiple priors and consistent with prior granulomatous disease. A known enlarged right hilar lymph node seen on CT of ___ likely accounts for the increased opacity at the right hilum. A known right mediastinal lymph node conglomerate accounts for the fullness at the right paratracheal region. No pleural effusion, pneumothorax or focal consolidation is present. The patient is status post median sternotomy and CABG with wires intact. The cardiac silhouette is normal in size. The mediastinal and hilar contours are unchanged from the preceding radiograph.",The mediastinal and hilar contours are unchanged from the preceding radiograph.,,mediastinal and hilar contours,Stable,['files/p10/p10046166/s57977208/e2856783-ffa5ec26-043b0303-21aeddc6-b11b2876.jpg'],"['files/p10/p10046166/s57379357/6e511483-c7e1601c-76890b2f-b0c6b55d-e53bcbf6.jpg\n', 'files/p10/p10046166/s57379357/e5ba5704-ce2f09d3-e28fe2a2-8a9aca96-86f4966a.jpg\n']"
s57977208_1,p10046166,s57977208,1,Findings,"Frontal and lateral radiographs of the chest redemonstrate a round calcified pulmonary nodule in the posterior right lung base, unchanged from multiple priors and consistent with prior granulomatous disease. A known enlarged right hilar lymph node seen on CT of ___ likely accounts for the increased opacity at the right hilum. A known right mediastinal lymph node conglomerate accounts for the fullness at the right paratracheal region. No pleural effusion, pneumothorax or focal consolidation is present. The patient is status post median sternotomy and CABG with wires intact. The cardiac silhouette is normal in size. The mediastinal and hilar contours are unchanged from the preceding radiograph.",A known enlarged right hilar lymph node seen on CT of ___ likely accounts for the increased opacity at the right hilum.,opacity,right hilum,Worse,['files/p10/p10046166/s57977208/e2856783-ffa5ec26-043b0303-21aeddc6-b11b2876.jpg'],"['files/p10/p10046166/s57379357/6e511483-c7e1601c-76890b2f-b0c6b55d-e53bcbf6.jpg\n', 'files/p10/p10046166/s57379357/e5ba5704-ce2f09d3-e28fe2a2-8a9aca96-86f4966a.jpg\n']"
s57977208_1,p10046166,s57977208,1,Findings,"Frontal and lateral radiographs of the chest redemonstrate a round calcified pulmonary nodule in the posterior right lung base, unchanged from multiple priors and consistent with prior granulomatous disease. A known enlarged right hilar lymph node seen on CT of ___ likely accounts for the increased opacity at the right hilum. A known right mediastinal lymph node conglomerate accounts for the fullness at the right paratracheal region. No pleural effusion, pneumothorax or focal consolidation is present. The patient is status post median sternotomy and CABG with wires intact. The cardiac silhouette is normal in size. The mediastinal and hilar contours are unchanged from the preceding radiograph.","Frontal and lateral radiographs of the chest redemonstrate a round calcified pulmonary nodule in the posterior right lung base, unchanged from multiple priors and consistent with prior granulomatous disease.",calcified pulmonary nodule,posterior right lung base,Stable,['files/p10/p10046166/s57977208/e2856783-ffa5ec26-043b0303-21aeddc6-b11b2876.jpg'],"['files/p10/p10046166/s57379357/6e511483-c7e1601c-76890b2f-b0c6b55d-e53bcbf6.jpg\n', 'files/p10/p10046166/s57379357/e5ba5704-ce2f09d3-e28fe2a2-8a9aca96-86f4966a.jpg\n']"
s57977763_2,p13881772,s57977763,2,Findings,Frontal and lateral views of the chest were obtained. The lungs are hyperinflated/well expanded. Costochondral calcification is noted. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.,The cardiac and mediastinal silhouettes are stable.,silhouettes,Cardiac and mediastinal,Stable,"['files/p13/p13881772/s57977763/c3eeff7f-5128e28a-d1f3fadb-2db97e3e-c47fbc96.jpg', 'files/p13/p13881772/s57977763/d2dc716d-a9421294-0f30f0db-ef17232a-0cb5f249.jpg']",['files/p13/p13881772/s57674353/0d41d944-b75b4101-f204d112-11fcfa1c-96d2169d.jpg\n']
s57980670_15,p12475198,s57980670,15,Impression,"HEART SIZE IS ENLARGED, UNCHANGED. POST STERNOTOMY WIRES ARE STABLE. PACEMAKER DEFIBRILLATOR LEADS TERMINATE IN RIGHT ATRIUM AND RIGHT VENTRICLE, THE PACEMAKER IS LEFT-SIDED. MEDIASTINUM IS STABLE. BILATERAL INTERSTITIAL CHANGES AT THE NEED AND LOWER LUNGS APPEAR TO BE SLIGHTLY IMPROVED. NO PNEUMOTHORAX OR APPRECIABLE PLEURAL EFFUSION IS SEEN. PREVIOUSLY DEMONSTRATED MULTIFOCAL CONSOLIDATIONS HAVE SUBSTANTIALLY IMPROVED AND THE CURRENTLY SEEN CHANGES MIGHT POTENTIALLY REPRESENT THE SEQUELA OR PREVIOUS ALVEOLAR CONSOLIDATIONS.",POST STERNOTOMY WIRES ARE STABLE.,Post sternotomy wires,,Stable,"['files/p12/p12475198/s57980670/7872b2d7-eb63bb18-ed6cf009-39cf263d-a2965d5b.jpg', 'files/p12/p12475198/s57980670/c6f1c4e9-f329ac22-634957fc-4f7f9884-fa9f9fc8.jpg']",['files/p12/p12475198/s57980363/b28c193b-b49d6d0c-3105d352-5dc8e17f-3d0e39cd.jpg\n']
s57980670_15,p12475198,s57980670,15,Impression,"HEART SIZE IS ENLARGED, UNCHANGED. POST STERNOTOMY WIRES ARE STABLE. PACEMAKER DEFIBRILLATOR LEADS TERMINATE IN RIGHT ATRIUM AND RIGHT VENTRICLE, THE PACEMAKER IS LEFT-SIDED. MEDIASTINUM IS STABLE. BILATERAL INTERSTITIAL CHANGES AT THE NEED AND LOWER LUNGS APPEAR TO BE SLIGHTLY IMPROVED. NO PNEUMOTHORAX OR APPRECIABLE PLEURAL EFFUSION IS SEEN. PREVIOUSLY DEMONSTRATED MULTIFOCAL CONSOLIDATIONS HAVE SUBSTANTIALLY IMPROVED AND THE CURRENTLY SEEN CHANGES MIGHT POTENTIALLY REPRESENT THE SEQUELA OR PREVIOUS ALVEOLAR CONSOLIDATIONS.",MEDIASTINUM IS STABLE.,Mediastinum,,Stable,"['files/p12/p12475198/s57980670/7872b2d7-eb63bb18-ed6cf009-39cf263d-a2965d5b.jpg', 'files/p12/p12475198/s57980670/c6f1c4e9-f329ac22-634957fc-4f7f9884-fa9f9fc8.jpg']",['files/p12/p12475198/s57980363/b28c193b-b49d6d0c-3105d352-5dc8e17f-3d0e39cd.jpg\n']
s57980670_15,p12475198,s57980670,15,Impression,"HEART SIZE IS ENLARGED, UNCHANGED. POST STERNOTOMY WIRES ARE STABLE. PACEMAKER DEFIBRILLATOR LEADS TERMINATE IN RIGHT ATRIUM AND RIGHT VENTRICLE, THE PACEMAKER IS LEFT-SIDED. MEDIASTINUM IS STABLE. BILATERAL INTERSTITIAL CHANGES AT THE NEED AND LOWER LUNGS APPEAR TO BE SLIGHTLY IMPROVED. NO PNEUMOTHORAX OR APPRECIABLE PLEURAL EFFUSION IS SEEN. PREVIOUSLY DEMONSTRATED MULTIFOCAL CONSOLIDATIONS HAVE SUBSTANTIALLY IMPROVED AND THE CURRENTLY SEEN CHANGES MIGHT POTENTIALLY REPRESENT THE SEQUELA OR PREVIOUS ALVEOLAR CONSOLIDATIONS.","HEART SIZE IS ENLARGED, UNCHANGED.",Enlarged heart size,,Stable,"['files/p12/p12475198/s57980670/7872b2d7-eb63bb18-ed6cf009-39cf263d-a2965d5b.jpg', 'files/p12/p12475198/s57980670/c6f1c4e9-f329ac22-634957fc-4f7f9884-fa9f9fc8.jpg']",['files/p12/p12475198/s57980363/b28c193b-b49d6d0c-3105d352-5dc8e17f-3d0e39cd.jpg\n']
s57980670_15,p12475198,s57980670,15,Impression,"HEART SIZE IS ENLARGED, UNCHANGED. POST STERNOTOMY WIRES ARE STABLE. PACEMAKER DEFIBRILLATOR LEADS TERMINATE IN RIGHT ATRIUM AND RIGHT VENTRICLE, THE PACEMAKER IS LEFT-SIDED. MEDIASTINUM IS STABLE. BILATERAL INTERSTITIAL CHANGES AT THE NEED AND LOWER LUNGS APPEAR TO BE SLIGHTLY IMPROVED. NO PNEUMOTHORAX OR APPRECIABLE PLEURAL EFFUSION IS SEEN. PREVIOUSLY DEMONSTRATED MULTIFOCAL CONSOLIDATIONS HAVE SUBSTANTIALLY IMPROVED AND THE CURRENTLY SEEN CHANGES MIGHT POTENTIALLY REPRESENT THE SEQUELA OR PREVIOUS ALVEOLAR CONSOLIDATIONS.",BILATERAL INTERSTITIAL CHANGES AT THE NEED AND LOWER LUNGS APPEAR TO BE SLIGHTLY IMPROVED.,Interstitial changes,Bilateral lower lungs,Better,"['files/p12/p12475198/s57980670/7872b2d7-eb63bb18-ed6cf009-39cf263d-a2965d5b.jpg', 'files/p12/p12475198/s57980670/c6f1c4e9-f329ac22-634957fc-4f7f9884-fa9f9fc8.jpg']",['files/p12/p12475198/s57980363/b28c193b-b49d6d0c-3105d352-5dc8e17f-3d0e39cd.jpg\n']
s57980670_15,p12475198,s57980670,15,Impression,"HEART SIZE IS ENLARGED, UNCHANGED. POST STERNOTOMY WIRES ARE STABLE. PACEMAKER DEFIBRILLATOR LEADS TERMINATE IN RIGHT ATRIUM AND RIGHT VENTRICLE, THE PACEMAKER IS LEFT-SIDED. MEDIASTINUM IS STABLE. BILATERAL INTERSTITIAL CHANGES AT THE NEED AND LOWER LUNGS APPEAR TO BE SLIGHTLY IMPROVED. NO PNEUMOTHORAX OR APPRECIABLE PLEURAL EFFUSION IS SEEN. PREVIOUSLY DEMONSTRATED MULTIFOCAL CONSOLIDATIONS HAVE SUBSTANTIALLY IMPROVED AND THE CURRENTLY SEEN CHANGES MIGHT POTENTIALLY REPRESENT THE SEQUELA OR PREVIOUS ALVEOLAR CONSOLIDATIONS.",PREVIOUSLY DEMONSTRATED MULTIFOCAL CONSOLIDATIONS HAVE SUBSTANTIALLY IMPROVED AND THE CURRENTLY SEEN CHANGES MIGHT POTENTIALLY REPRESENT THE SEQUELA OR PREVIOUS ALVEOLAR CONSOLIDATIONS.,Multifocal consolidations,,Better,"['files/p12/p12475198/s57980670/7872b2d7-eb63bb18-ed6cf009-39cf263d-a2965d5b.jpg', 'files/p12/p12475198/s57980670/c6f1c4e9-f329ac22-634957fc-4f7f9884-fa9f9fc8.jpg']",['files/p12/p12475198/s57980363/b28c193b-b49d6d0c-3105d352-5dc8e17f-3d0e39cd.jpg\n']
s57983519_9,p17032538,s57983519,9,Impression,"AP chest compared to ___: Extensive infiltrative pulmonary abnormality in the right lower lobe, and overlying pleural calcification are longstanding, but previous pulmonary edema in this location has improved if not resolved, leaving behind a small residual right pleural effusion. The left lung base was relatively clear on ___ and also developed some edema, which has decreased since ___. Given the severe scarring in these lungs, some pneumonia could be present and not appreciated, for example, just projecting over the right hilus, but in the left lung, there is no evidence of pneumonia. ET tube is in standard placement. Feeding tube ends in the upper stomach. The heart is not enlarged. Right pleural thickening is most extensive at the apex and unchanged. No pneumothorax.",Right pleural thickening is most extensive at the apex and unchanged.,pleural thickening,right apex,Stable,"['files/p17/p17032538/s57983519/942b87db-92f73c39-9eae876d-2731e13d-fd427d86.jpg', 'files/p17/p17032538/s57983519/c620517c-54116688-14dadd50-6b22f911-d5812c38.jpg']",['files/p17/p17032538/s55502536/5653278e-a63fbb15-f2942f21-627563af-20b8e76e.jpg\n']
s57983519_9,p17032538,s57983519,9,Impression,"AP chest compared to ___: Extensive infiltrative pulmonary abnormality in the right lower lobe, and overlying pleural calcification are longstanding, but previous pulmonary edema in this location has improved if not resolved, leaving behind a small residual right pleural effusion. The left lung base was relatively clear on ___ and also developed some edema, which has decreased since ___. Given the severe scarring in these lungs, some pneumonia could be present and not appreciated, for example, just projecting over the right hilus, but in the left lung, there is no evidence of pneumonia. ET tube is in standard placement. Feeding tube ends in the upper stomach. The heart is not enlarged. Right pleural thickening is most extensive at the apex and unchanged. No pneumothorax.","The left lung base was relatively clear on ___ and also developed some edema, which has decreased since ___.",edema,left lung base,Better,"['files/p17/p17032538/s57983519/942b87db-92f73c39-9eae876d-2731e13d-fd427d86.jpg', 'files/p17/p17032538/s57983519/c620517c-54116688-14dadd50-6b22f911-d5812c38.jpg']",['files/p17/p17032538/s55502536/5653278e-a63fbb15-f2942f21-627563af-20b8e76e.jpg\n']
s57983519_9,p17032538,s57983519,9,Impression,"AP chest compared to ___: Extensive infiltrative pulmonary abnormality in the right lower lobe, and overlying pleural calcification are longstanding, but previous pulmonary edema in this location has improved if not resolved, leaving behind a small residual right pleural effusion. The left lung base was relatively clear on ___ and also developed some edema, which has decreased since ___. Given the severe scarring in these lungs, some pneumonia could be present and not appreciated, for example, just projecting over the right hilus, but in the left lung, there is no evidence of pneumonia. ET tube is in standard placement. Feeding tube ends in the upper stomach. The heart is not enlarged. Right pleural thickening is most extensive at the apex and unchanged. No pneumothorax.","AP chest compared to ___: Extensive infiltrative pulmonary abnormality in the right lower lobe, and overlying pleural calcification are longstanding, but previous pulmonary edema in this location has improved if not resolved, leaving behind a small residual right pleural effusion.",pulmonary edema,right lower lobe,Better,"['files/p17/p17032538/s57983519/942b87db-92f73c39-9eae876d-2731e13d-fd427d86.jpg', 'files/p17/p17032538/s57983519/c620517c-54116688-14dadd50-6b22f911-d5812c38.jpg']",['files/p17/p17032538/s55502536/5653278e-a63fbb15-f2942f21-627563af-20b8e76e.jpg\n']
s57984287_6,p14722763,s57984287,6,Impression,"Diffuse, infiltrative pulmonary opacities, right side more than left, have unchanged. Mild left pleural effusion has slightly increased. Cardiomediastinal contour is stable.",Mild left pleural effusion has slightly increased.,pleural effusion,left,Worse,['files/p14/p14722763/s57984287/6601dbab-fdc90be3-902f9414-9ec944e9-72ac116c.jpg'],['files/p14/p14722763/s56753518/ab680048-8257c201-858ba25c-718b230c-186cf3f4.jpg\n']
s57984287_6,p14722763,s57984287,6,Impression,"Diffuse, infiltrative pulmonary opacities, right side more than left, have unchanged. Mild left pleural effusion has slightly increased. Cardiomediastinal contour is stable.",Cardiomediastinal contour is stable.,contour,Cardiomediastinal,Stable,['files/p14/p14722763/s57984287/6601dbab-fdc90be3-902f9414-9ec944e9-72ac116c.jpg'],['files/p14/p14722763/s56753518/ab680048-8257c201-858ba25c-718b230c-186cf3f4.jpg\n']
s57984287_6,p14722763,s57984287,6,Impression,"Diffuse, infiltrative pulmonary opacities, right side more than left, have unchanged. Mild left pleural effusion has slightly increased. Cardiomediastinal contour is stable.","Diffuse, infiltrative pulmonary opacities, right side more than left, have unchanged.","Diffuse, infiltrative pulmonary opacities",right side more than left,Stable,['files/p14/p14722763/s57984287/6601dbab-fdc90be3-902f9414-9ec944e9-72ac116c.jpg'],['files/p14/p14722763/s56753518/ab680048-8257c201-858ba25c-718b230c-186cf3f4.jpg\n']
s57988469_8,p14353044,s57988469,8,Findings,"Left-sided central venous line is again seen similar in position, terminating in the low SVC. Again seen is elevation of the right hemidiaphragm and blunting of the right costophrenic angle which could be due to a trace right pleural effusion. There is overlying right basilar atelectasis. Minor left basilar atelectasis is also seen. No new focal consolidation is seen. The cardiac and mediastinal silhouettes are stable. The aortic knob is calcified. Spinal surgical hardware is noted.",Again seen is elevation of the right hemidiaphragm and blunting of the right costophrenic angle which could be due to a trace right pleural effusion.,elevation,right hemidiaphragm,Stable,['files/p14/p14353044/s57988469/cd77c46e-224eaafc-a386ab71-e1f0d17d-b743688b.jpg'],"['files/p14/p14353044/s57917788/5af87b41-8ac7f590-031b4a69-a38adb82-f7413ad5.jpg\n', 'files/p14/p14353044/s57917788/866da04c-e24c3141-42311ab2-6a52b25a-82cf9674.jpg\n']"
s57988469_8,p14353044,s57988469,8,Findings,"Left-sided central venous line is again seen similar in position, terminating in the low SVC. Again seen is elevation of the right hemidiaphragm and blunting of the right costophrenic angle which could be due to a trace right pleural effusion. There is overlying right basilar atelectasis. Minor left basilar atelectasis is also seen. No new focal consolidation is seen. The cardiac and mediastinal silhouettes are stable. The aortic knob is calcified. Spinal surgical hardware is noted.","Left-sided central venous line is again seen similar in position, terminating in the low SVC.",Left-sided central venous line,low SVC,Stable,['files/p14/p14353044/s57988469/cd77c46e-224eaafc-a386ab71-e1f0d17d-b743688b.jpg'],"['files/p14/p14353044/s57917788/5af87b41-8ac7f590-031b4a69-a38adb82-f7413ad5.jpg\n', 'files/p14/p14353044/s57917788/866da04c-e24c3141-42311ab2-6a52b25a-82cf9674.jpg\n']"
s57988469_8,p14353044,s57988469,8,Findings,"Left-sided central venous line is again seen similar in position, terminating in the low SVC. Again seen is elevation of the right hemidiaphragm and blunting of the right costophrenic angle which could be due to a trace right pleural effusion. There is overlying right basilar atelectasis. Minor left basilar atelectasis is also seen. No new focal consolidation is seen. The cardiac and mediastinal silhouettes are stable. The aortic knob is calcified. Spinal surgical hardware is noted.",The cardiac and mediastinal silhouettes are stable.,appearance,cardiac and mediastinal silhouettes,Stable,['files/p14/p14353044/s57988469/cd77c46e-224eaafc-a386ab71-e1f0d17d-b743688b.jpg'],"['files/p14/p14353044/s57917788/5af87b41-8ac7f590-031b4a69-a38adb82-f7413ad5.jpg\n', 'files/p14/p14353044/s57917788/866da04c-e24c3141-42311ab2-6a52b25a-82cf9674.jpg\n']"
s57988469_8,p14353044,s57988469,8,Findings,"Left-sided central venous line is again seen similar in position, terminating in the low SVC. Again seen is elevation of the right hemidiaphragm and blunting of the right costophrenic angle which could be due to a trace right pleural effusion. There is overlying right basilar atelectasis. Minor left basilar atelectasis is also seen. No new focal consolidation is seen. The cardiac and mediastinal silhouettes are stable. The aortic knob is calcified. Spinal surgical hardware is noted.",Again seen is elevation of the right hemidiaphragm and blunting of the right costophrenic angle which could be due to a trace right pleural effusion.,blunting,right costophrenic angle,Stable,['files/p14/p14353044/s57988469/cd77c46e-224eaafc-a386ab71-e1f0d17d-b743688b.jpg'],"['files/p14/p14353044/s57917788/5af87b41-8ac7f590-031b4a69-a38adb82-f7413ad5.jpg\n', 'files/p14/p14353044/s57917788/866da04c-e24c3141-42311ab2-6a52b25a-82cf9674.jpg\n']"
s57988903_31,p16508811,s57988903,31,Findings,Right IJ access dialysis catheter again noted with its tip in the region of the right atrium. Increased retrocardiac opacity raises concern for pneumonia. Findings appear progressed from prior exam. The heart size is stable. No pneumothorax or pleural effusion. Mediastinal contour unchanged. Hilar congestion again noted.,Mediastinal contour unchanged.,Mediastinal contour,,Stable,"['files/p16/p16508811/s57988903/6c0daac8-adefbe30-1a6a00e7-ac963bb6-fc69e8e4.jpg', 'files/p16/p16508811/s57988903/8d8b26e3-3c8ee293-aad9533f-8fc6f107-c58c3f36.jpg', 'files/p16/p16508811/s57988903/febf4065-2f4fb271-950add11-ee1ea7b0-f4c14c02.jpg']",['files/p16/p16508811/s57231469/2d1e6273-8e13a27a-10e404d2-b5ff44ae-03ad30ce.jpg\n']
s57988903_31,p16508811,s57988903,31,Findings,Right IJ access dialysis catheter again noted with its tip in the region of the right atrium. Increased retrocardiac opacity raises concern for pneumonia. Findings appear progressed from prior exam. The heart size is stable. No pneumothorax or pleural effusion. Mediastinal contour unchanged. Hilar congestion again noted.,Increased retrocardiac opacity raises concern for pneumonia.,opacity,retrocardiac,Worse,"['files/p16/p16508811/s57988903/6c0daac8-adefbe30-1a6a00e7-ac963bb6-fc69e8e4.jpg', 'files/p16/p16508811/s57988903/8d8b26e3-3c8ee293-aad9533f-8fc6f107-c58c3f36.jpg', 'files/p16/p16508811/s57988903/febf4065-2f4fb271-950add11-ee1ea7b0-f4c14c02.jpg']",['files/p16/p16508811/s57231469/2d1e6273-8e13a27a-10e404d2-b5ff44ae-03ad30ce.jpg\n']
s57988903_31,p16508811,s57988903,31,Findings,Right IJ access dialysis catheter again noted with its tip in the region of the right atrium. Increased retrocardiac opacity raises concern for pneumonia. Findings appear progressed from prior exam. The heart size is stable. No pneumothorax or pleural effusion. Mediastinal contour unchanged. Hilar congestion again noted.,Findings appear progressed from prior exam.,,,Worse,"['files/p16/p16508811/s57988903/6c0daac8-adefbe30-1a6a00e7-ac963bb6-fc69e8e4.jpg', 'files/p16/p16508811/s57988903/8d8b26e3-3c8ee293-aad9533f-8fc6f107-c58c3f36.jpg', 'files/p16/p16508811/s57988903/febf4065-2f4fb271-950add11-ee1ea7b0-f4c14c02.jpg']",['files/p16/p16508811/s57231469/2d1e6273-8e13a27a-10e404d2-b5ff44ae-03ad30ce.jpg\n']
s57988903_31,p16508811,s57988903,31,Findings,Right IJ access dialysis catheter again noted with its tip in the region of the right atrium. Increased retrocardiac opacity raises concern for pneumonia. Findings appear progressed from prior exam. The heart size is stable. No pneumothorax or pleural effusion. Mediastinal contour unchanged. Hilar congestion again noted.,The heart size is stable.,Heart size,,Stable,"['files/p16/p16508811/s57988903/6c0daac8-adefbe30-1a6a00e7-ac963bb6-fc69e8e4.jpg', 'files/p16/p16508811/s57988903/8d8b26e3-3c8ee293-aad9533f-8fc6f107-c58c3f36.jpg', 'files/p16/p16508811/s57988903/febf4065-2f4fb271-950add11-ee1ea7b0-f4c14c02.jpg']",['files/p16/p16508811/s57231469/2d1e6273-8e13a27a-10e404d2-b5ff44ae-03ad30ce.jpg\n']
s57999899_21,p13964474,s57999899,21,Findings,"As compared to the previous radiograph, the monitoring and support devices, including the esophageal stent, and the right-sided pigtail catheter, are unchanged. The extensive known parenchymal opacities on the left and on the right are unchanged in extent and severity. There is no evidence of newly occurred focal parenchymal opacity. Unchanged right pleural effusion, no left pleural effusion. Unchanged size of the cardiac silhouette.","As compared to the previous radiograph, the monitoring and support devices, including the esophageal stent, and the right-sided pigtail catheter, are unchanged.",pigtail catheter,right-sided,Stable,['files/p13/p13964474/s57999899/52481f07-4d1746a3-47375a8c-8b8d33cd-ca8e4e96.jpg'],"['files/p13/p13964474/s57561947/540eb477-f05ddda1-09bc6606-ab931f74-e466d39e.jpg\n', 'files/p13/p13964474/s57561947/df3d48c5-8644bedb-ec32e101-8a11bb8b-a32292f8.jpg\n']"
s57999899_21,p13964474,s57999899,21,Findings,"As compared to the previous radiograph, the monitoring and support devices, including the esophageal stent, and the right-sided pigtail catheter, are unchanged. The extensive known parenchymal opacities on the left and on the right are unchanged in extent and severity. There is no evidence of newly occurred focal parenchymal opacity. Unchanged right pleural effusion, no left pleural effusion. Unchanged size of the cardiac silhouette.","Unchanged right pleural effusion, no left pleural effusion.",pleural effusion,right,Stable,['files/p13/p13964474/s57999899/52481f07-4d1746a3-47375a8c-8b8d33cd-ca8e4e96.jpg'],"['files/p13/p13964474/s57561947/540eb477-f05ddda1-09bc6606-ab931f74-e466d39e.jpg\n', 'files/p13/p13964474/s57561947/df3d48c5-8644bedb-ec32e101-8a11bb8b-a32292f8.jpg\n']"
s57999899_21,p13964474,s57999899,21,Findings,"As compared to the previous radiograph, the monitoring and support devices, including the esophageal stent, and the right-sided pigtail catheter, are unchanged. The extensive known parenchymal opacities on the left and on the right are unchanged in extent and severity. There is no evidence of newly occurred focal parenchymal opacity. Unchanged right pleural effusion, no left pleural effusion. Unchanged size of the cardiac silhouette.","As compared to the previous radiograph, the monitoring and support devices, including the esophageal stent, and the right-sided pigtail catheter, are unchanged.",esophageal stent,,Stable,['files/p13/p13964474/s57999899/52481f07-4d1746a3-47375a8c-8b8d33cd-ca8e4e96.jpg'],"['files/p13/p13964474/s57561947/540eb477-f05ddda1-09bc6606-ab931f74-e466d39e.jpg\n', 'files/p13/p13964474/s57561947/df3d48c5-8644bedb-ec32e101-8a11bb8b-a32292f8.jpg\n']"
s57999899_21,p13964474,s57999899,21,Findings,"As compared to the previous radiograph, the monitoring and support devices, including the esophageal stent, and the right-sided pigtail catheter, are unchanged. The extensive known parenchymal opacities on the left and on the right are unchanged in extent and severity. There is no evidence of newly occurred focal parenchymal opacity. Unchanged right pleural effusion, no left pleural effusion. Unchanged size of the cardiac silhouette.",The extensive known parenchymal opacities on the left and on the right are unchanged in extent and severity.,extensive parenchymal opacities,left and right,Stable,['files/p13/p13964474/s57999899/52481f07-4d1746a3-47375a8c-8b8d33cd-ca8e4e96.jpg'],"['files/p13/p13964474/s57561947/540eb477-f05ddda1-09bc6606-ab931f74-e466d39e.jpg\n', 'files/p13/p13964474/s57561947/df3d48c5-8644bedb-ec32e101-8a11bb8b-a32292f8.jpg\n']"
s57999899_21,p13964474,s57999899,21,Findings,"As compared to the previous radiograph, the monitoring and support devices, including the esophageal stent, and the right-sided pigtail catheter, are unchanged. The extensive known parenchymal opacities on the left and on the right are unchanged in extent and severity. There is no evidence of newly occurred focal parenchymal opacity. Unchanged right pleural effusion, no left pleural effusion. Unchanged size of the cardiac silhouette.",Unchanged size of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p13/p13964474/s57999899/52481f07-4d1746a3-47375a8c-8b8d33cd-ca8e4e96.jpg'],"['files/p13/p13964474/s57561947/540eb477-f05ddda1-09bc6606-ab931f74-e466d39e.jpg\n', 'files/p13/p13964474/s57561947/df3d48c5-8644bedb-ec32e101-8a11bb8b-a32292f8.jpg\n']"
s58000887_52,p14851532,s58000887,52,Impression,Worsening moderate pulmonary edema as well as right moderate effusion. Left lower lobe parenchymal opacity in the superior segment is now obscured by increasing pulmonary edema.,Worsening moderate pulmonary edema as well as right moderate effusion.,pulmonary edema,,Worse,"['files/p14/p14851532/s58000887/7d620442-deb05a77-a0f55a7e-f9f1d0e1-99509e35.jpg', 'files/p14/p14851532/s58000887/8ad1de13-f6b65ae3-08e07682-ee626313-1ac6876a.jpg']",['files/p14/p14851532/s57850217/2d53d7a6-952779d8-cf36815b-c0de03a5-65207ded.jpg\n']
s58000887_52,p14851532,s58000887,52,Findings,"As compared to ___, interval worsening moderate pulmonary edema. Right moderate pleural effusion has also slightly increased. Small left effusion persists. Left lower lobe parenchymal opacity in the superior segment is now obscured by increasing pulmonary edema. Moderate cardiomegaly. No pneumothorax.",Right moderate pleural effusion has also slightly increased.,pleural effusion,right,Worse,"['files/p14/p14851532/s58000887/7d620442-deb05a77-a0f55a7e-f9f1d0e1-99509e35.jpg', 'files/p14/p14851532/s58000887/8ad1de13-f6b65ae3-08e07682-ee626313-1ac6876a.jpg']",['files/p14/p14851532/s57850217/2d53d7a6-952779d8-cf36815b-c0de03a5-65207ded.jpg\n']
s58000887_52,p14851532,s58000887,52,Findings,"As compared to ___, interval worsening moderate pulmonary edema. Right moderate pleural effusion has also slightly increased. Small left effusion persists. Left lower lobe parenchymal opacity in the superior segment is now obscured by increasing pulmonary edema. Moderate cardiomegaly. No pneumothorax.",Left lower lobe parenchymal opacity in the superior segment is now obscured by increasing pulmonary edema.,parenchymal opacity,left lower lobe superior segment,Worse,"['files/p14/p14851532/s58000887/7d620442-deb05a77-a0f55a7e-f9f1d0e1-99509e35.jpg', 'files/p14/p14851532/s58000887/8ad1de13-f6b65ae3-08e07682-ee626313-1ac6876a.jpg']",['files/p14/p14851532/s57850217/2d53d7a6-952779d8-cf36815b-c0de03a5-65207ded.jpg\n']
s58000887_52,p14851532,s58000887,52,Findings,"As compared to ___, interval worsening moderate pulmonary edema. Right moderate pleural effusion has also slightly increased. Small left effusion persists. Left lower lobe parenchymal opacity in the superior segment is now obscured by increasing pulmonary edema. Moderate cardiomegaly. No pneumothorax.","As compared to ___, interval worsening moderate pulmonary edema.",pulmonary edema,,Worse,"['files/p14/p14851532/s58000887/7d620442-deb05a77-a0f55a7e-f9f1d0e1-99509e35.jpg', 'files/p14/p14851532/s58000887/8ad1de13-f6b65ae3-08e07682-ee626313-1ac6876a.jpg']",['files/p14/p14851532/s57850217/2d53d7a6-952779d8-cf36815b-c0de03a5-65207ded.jpg\n']
s58000887_52,p14851532,s58000887,52,Findings,"As compared to ___, interval worsening moderate pulmonary edema. Right moderate pleural effusion has also slightly increased. Small left effusion persists. Left lower lobe parenchymal opacity in the superior segment is now obscured by increasing pulmonary edema. Moderate cardiomegaly. No pneumothorax.",Small left effusion persists.,effusion,left,Stable,"['files/p14/p14851532/s58000887/7d620442-deb05a77-a0f55a7e-f9f1d0e1-99509e35.jpg', 'files/p14/p14851532/s58000887/8ad1de13-f6b65ae3-08e07682-ee626313-1ac6876a.jpg']",['files/p14/p14851532/s57850217/2d53d7a6-952779d8-cf36815b-c0de03a5-65207ded.jpg\n']
s58000887_52,p14851532,s58000887,52,Impression,Worsening moderate pulmonary edema as well as right moderate effusion. Left lower lobe parenchymal opacity in the superior segment is now obscured by increasing pulmonary edema.,Left lower lobe parenchymal opacity in the superior segment is now obscured by increasing pulmonary edema.,parenchymal opacity,left lower lobe superior segment,Worse,"['files/p14/p14851532/s58000887/7d620442-deb05a77-a0f55a7e-f9f1d0e1-99509e35.jpg', 'files/p14/p14851532/s58000887/8ad1de13-f6b65ae3-08e07682-ee626313-1ac6876a.jpg']",['files/p14/p14851532/s57850217/2d53d7a6-952779d8-cf36815b-c0de03a5-65207ded.jpg\n']
s58000887_52,p14851532,s58000887,52,Impression,Worsening moderate pulmonary edema as well as right moderate effusion. Left lower lobe parenchymal opacity in the superior segment is now obscured by increasing pulmonary edema.,Worsening moderate pulmonary edema as well as right moderate effusion.,pleural effusion,right,Worse,"['files/p14/p14851532/s58000887/7d620442-deb05a77-a0f55a7e-f9f1d0e1-99509e35.jpg', 'files/p14/p14851532/s58000887/8ad1de13-f6b65ae3-08e07682-ee626313-1ac6876a.jpg']",['files/p14/p14851532/s57850217/2d53d7a6-952779d8-cf36815b-c0de03a5-65207ded.jpg\n']
s58001075_0,p18067737,s58001075,0,Impression,"Left upper lobe opacification with mild volume loss concerning for pneumonic consolidation and possibly post-obstructive pneumonitis associated with a new central mass, radiation stricture, or mucus plug. More central denser opacity may represent mass or particularly dense area of consolidation. CT is recommended to better assess if needed clinically, preferably with intravenous contrast if no contraindications exist. These findings were discussed with Dr. ___ at 3:30 p.m. on ___ by telephone.","Left upper lobe opacification with mild volume loss concerning for pneumonic consolidation and possibly post-obstructive pneumonitis associated with a new central mass, radiation stricture, or mucus plug.",mass,central,New,"['files/p18/p18067737/s58001075/1ed95e47-83a54489-79ebd823-db934045-acd7ca23.jpg', 'files/p18/p18067737/s58001075/33bd9626-0ea91dc1-d8b6449a-1b20afcb-19da17f2.jpg', 'files/p18/p18067737/s58001075/8faff40c-536b8347-b1b760e0-182dc706-77835a8e.jpg', 'files/p18/p18067737/s58001075/de01c9bf-3fb74041-71495a3e-efd82101-cace2aa7.jpg']","['files/p18/p18067737/s57632806/837cc5b5-e15e87de-3fc53c74-c391e8b0-c7e53396.jpg\n', 'files/p18/p18067737/s57632806/e51549cd-cbebd9a4-0aeaabab-5fa2f8bd-b76c2577.jpg\n']"
s58001075_0,p18067737,s58001075,0,Findings,The right lung is clear. There is new diffuse patchy opacities throughout the left upper lobe and lingula. The left hemidiaphragm is slightly elevated. There is a more dense opacity compared to the prior study and is concerning for either a mass or more confluent consolidation. Prior radiation changes are also seen within the left lung. There is a small pleural effusion on the left. The mediastinal and cardiac contours on the left are blurred by superimposed lung opacification. The right mediastinal and hilar and cardiac contours are normal. Pacemaker is in place with biventricular leads in the appropriate position.,There is a more dense opacity compared to the prior study and is concerning for either a mass or more confluent consolidation.,opacity,unspecified,Worse,"['files/p18/p18067737/s58001075/1ed95e47-83a54489-79ebd823-db934045-acd7ca23.jpg', 'files/p18/p18067737/s58001075/33bd9626-0ea91dc1-d8b6449a-1b20afcb-19da17f2.jpg', 'files/p18/p18067737/s58001075/8faff40c-536b8347-b1b760e0-182dc706-77835a8e.jpg', 'files/p18/p18067737/s58001075/de01c9bf-3fb74041-71495a3e-efd82101-cace2aa7.jpg']","['files/p18/p18067737/s57632806/837cc5b5-e15e87de-3fc53c74-c391e8b0-c7e53396.jpg\n', 'files/p18/p18067737/s57632806/e51549cd-cbebd9a4-0aeaabab-5fa2f8bd-b76c2577.jpg\n']"
s58001075_0,p18067737,s58001075,0,Findings,The right lung is clear. There is new diffuse patchy opacities throughout the left upper lobe and lingula. The left hemidiaphragm is slightly elevated. There is a more dense opacity compared to the prior study and is concerning for either a mass or more confluent consolidation. Prior radiation changes are also seen within the left lung. There is a small pleural effusion on the left. The mediastinal and cardiac contours on the left are blurred by superimposed lung opacification. The right mediastinal and hilar and cardiac contours are normal. Pacemaker is in place with biventricular leads in the appropriate position.,There is new diffuse patchy opacities throughout the left upper lobe and lingula.,diffuse patchy opacities,left upper lobe and lingula,New,"['files/p18/p18067737/s58001075/1ed95e47-83a54489-79ebd823-db934045-acd7ca23.jpg', 'files/p18/p18067737/s58001075/33bd9626-0ea91dc1-d8b6449a-1b20afcb-19da17f2.jpg', 'files/p18/p18067737/s58001075/8faff40c-536b8347-b1b760e0-182dc706-77835a8e.jpg', 'files/p18/p18067737/s58001075/de01c9bf-3fb74041-71495a3e-efd82101-cace2aa7.jpg']","['files/p18/p18067737/s57632806/837cc5b5-e15e87de-3fc53c74-c391e8b0-c7e53396.jpg\n', 'files/p18/p18067737/s57632806/e51549cd-cbebd9a4-0aeaabab-5fa2f8bd-b76c2577.jpg\n']"
s58001303_5,p15032623,s58001303,5,Findings,"Compared with prior radiographs on ___, there is no significant change.The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged. There is chronic blunting of the right lateral costophrenic angle, likely due to scarring. Median sternotomy wires are stable in appearance.",The cardiac and mediastinal silhouettes are unchanged.,silhouettes,Cardiac and mediastinal,Stable,"['files/p15/p15032623/s58001303/162f9e5e-d9cee36e-fe144338-a9759990-471aa8c0.jpg', 'files/p15/p15032623/s58001303/6c2f6c92-9b69f554-597e1e2f-9dcb6129-e9285bac.jpg']","['files/p15/p15032623/s56426120/69e36e8f-cfe80296-fba1f08a-4b1e0db3-a8ace269.jpg\n', 'files/p15/p15032623/s56426120/7622b212-dfabb7f0-ec1b5e04-0b2c781d-9fa93889.jpg\n', 'files/p15/p15032623/s56426120/d62b71ce-51a1757d-79a7f8cd-a73c6266-19484978.jpg\n']"
s58001303_5,p15032623,s58001303,5,Findings,"Compared with prior radiographs on ___, there is no significant change.The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged. There is chronic blunting of the right lateral costophrenic angle, likely due to scarring. Median sternotomy wires are stable in appearance.",Median sternotomy wires are stable in appearance.,Median sternotomy wires,,Stable,"['files/p15/p15032623/s58001303/162f9e5e-d9cee36e-fe144338-a9759990-471aa8c0.jpg', 'files/p15/p15032623/s58001303/6c2f6c92-9b69f554-597e1e2f-9dcb6129-e9285bac.jpg']","['files/p15/p15032623/s56426120/69e36e8f-cfe80296-fba1f08a-4b1e0db3-a8ace269.jpg\n', 'files/p15/p15032623/s56426120/7622b212-dfabb7f0-ec1b5e04-0b2c781d-9fa93889.jpg\n', 'files/p15/p15032623/s56426120/d62b71ce-51a1757d-79a7f8cd-a73c6266-19484978.jpg\n']"
s58003864_8,p18338007,s58003864,8,Findings,"Frontal and lateral views of the chest were obtained. Low lung volumes and elevation of the left hemidiaphragm are similar to prior. Pulmonary vascular markings are indistinct, compatible with mild pulmonary edema. Left base atelectasis is present. No substantial pleural effusion or pneumothorax. Cardiomediastinal contours are stable.",Cardiomediastinal contours are stable.,contours,Cardiomediastinal,Stable,"['files/p18/p18338007/s58003864/20973f59-31a0c792-a3f0870b-bebcadce-934a76f3.jpg', 'files/p18/p18338007/s58003864/50c4c3e6-d6b87643-54baada6-a0fddb5a-90bc4307.jpg']",['files/p18/p18338007/s57561035/0c0c6328-356ed105-d08d85dc-d48519a5-37ce609c.jpg\n']
s58003864_8,p18338007,s58003864,8,Findings,"Frontal and lateral views of the chest were obtained. Low lung volumes and elevation of the left hemidiaphragm are similar to prior. Pulmonary vascular markings are indistinct, compatible with mild pulmonary edema. Left base atelectasis is present. No substantial pleural effusion or pneumothorax. Cardiomediastinal contours are stable.",Low lung volumes and elevation of the left hemidiaphragm are similar to prior.,elevation,left hemidiaphragm,Stable,"['files/p18/p18338007/s58003864/20973f59-31a0c792-a3f0870b-bebcadce-934a76f3.jpg', 'files/p18/p18338007/s58003864/50c4c3e6-d6b87643-54baada6-a0fddb5a-90bc4307.jpg']",['files/p18/p18338007/s57561035/0c0c6328-356ed105-d08d85dc-d48519a5-37ce609c.jpg\n']
s58006032_20,p11413236,s58006032,20,Findings,"A left Port-A-Cath terminates within the mid SVC. Lower lung volumes are noted, leading to crowding of the bronchovascular structures. Mild atelectasis is seen at the left lung base. A calcified lymph node is again noted within the aorticopulmonary window. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The patient is status post median sternotomy, and cardiomediastinal silhouette is within normal limits.",A calcified lymph node is again noted within the aorticopulmonary window.,calcified lymph node,aorticopulmonary window,Stable,['files/p11/p11413236/s58006032/6edd5960-4028d9f1-6f2353cb-61d0c6bf-5048c68e.jpg'],"['files/p11/p11413236/s57361873/7634db9d-273d50e3-b619164d-90d11c3f-2a46ab37.jpg\n', 'files/p11/p11413236/s57361873/cc3d0bf3-f2bb85cd-cd67adeb-9458eb46-ac522113.jpg\n']"
s58008930_0,p15259244,s58008930,0,Findings,"Consistent with the given history, large-bore dual-lumen dialysis catheter from a right internal jugular approach is in stable and standard course and position from a right internal jugular approach. A left internal jugular central venous catheter device has been removed in the interval. No consolidation or edema is evident. The mediastinum is unremarkable. The cardiac silhouette is enlarged. This is an interval change compared to the most recent prior study but has been noted on other prior studies. Subtle blunting of the right costophrenic angle suggests a tiny effusion. No pneumothorax is evident. There are no displaced fractures.","Consistent with the given history, large-bore dual-lumen dialysis catheter from a right internal jugular approach is in stable and standard course and position from a right internal jugular approach.",dual-lumen dialysis catheter,right internal jugular,Stable,['files/p15/p15259244/s58008930/35b21042-72d1e131-7566b7a8-5f8005c0-b27fc76d.jpg'],['files/p15/p15259244/s57867628/88d66a2e-11751a81-a9daf8df-433b48ec-34cd1570.jpg\n']
s58008930_0,p15259244,s58008930,0,Impression,"Small bilateral pleural effusions. Interval marked enlargement of the cardiac silhouette relative to the most recent prior exam. However, other more remote exams have demonstrated enlargement of the silhouette, thereby suggesting the possibility of waxing and waning pericardial effusion. Correlate clinically.","Interval marked enlargement of the cardiac silhouette relative to the most recent prior exam. However, other more remote exams have demonstrated enlargement of the silhouette, thereby suggesting the possibility of waxing and waning pericardial effusion.",cardiac silhouette enlargement,,Worse,['files/p15/p15259244/s58008930/35b21042-72d1e131-7566b7a8-5f8005c0-b27fc76d.jpg'],['files/p15/p15259244/s57867628/88d66a2e-11751a81-a9daf8df-433b48ec-34cd1570.jpg\n']
s58008930_0,p15259244,s58008930,0,Findings,"Consistent with the given history, large-bore dual-lumen dialysis catheter from a right internal jugular approach is in stable and standard course and position from a right internal jugular approach. A left internal jugular central venous catheter device has been removed in the interval. No consolidation or edema is evident. The mediastinum is unremarkable. The cardiac silhouette is enlarged. This is an interval change compared to the most recent prior study but has been noted on other prior studies. Subtle blunting of the right costophrenic angle suggests a tiny effusion. No pneumothorax is evident. There are no displaced fractures.",The cardiac silhouette is enlarged. This is an interval change compared to the most recent prior study but has been noted on other prior studies.,cardiac silhouette enlargement,,Worse,['files/p15/p15259244/s58008930/35b21042-72d1e131-7566b7a8-5f8005c0-b27fc76d.jpg'],['files/p15/p15259244/s57867628/88d66a2e-11751a81-a9daf8df-433b48ec-34cd1570.jpg\n']
s58008930_0,p15259244,s58008930,0,Findings,"Consistent with the given history, large-bore dual-lumen dialysis catheter from a right internal jugular approach is in stable and standard course and position from a right internal jugular approach. A left internal jugular central venous catheter device has been removed in the interval. No consolidation or edema is evident. The mediastinum is unremarkable. The cardiac silhouette is enlarged. This is an interval change compared to the most recent prior study but has been noted on other prior studies. Subtle blunting of the right costophrenic angle suggests a tiny effusion. No pneumothorax is evident. There are no displaced fractures.",A left internal jugular central venous catheter device has been removed in the interval.,central venous catheter device,left internal jugular,Resolve,['files/p15/p15259244/s58008930/35b21042-72d1e131-7566b7a8-5f8005c0-b27fc76d.jpg'],['files/p15/p15259244/s57867628/88d66a2e-11751a81-a9daf8df-433b48ec-34cd1570.jpg\n']
s58025986_16,p16957952,s58025986,16,Findings,"Increased interstitial markings seen throughout the lungs, not significantly changed since prior. There is no focal consolidation nor effusion. There is moderate cardiac enlargement and tortuosity of the descending thoracic aorta. Compression deformity of several upper lumbar vertebral bodies are again noted. No acute osseous abnormalities.","Increased interstitial markings seen throughout the lungs, not significantly changed since prior.",Increased interstitial markings,Throughout the lungs,Stable,"['files/p16/p16957952/s58025986/3c57e0f8-a76eb992-7795da42-1cebda11-839fc6ef.jpg', 'files/p16/p16957952/s58025986/ac61125d-0a43dbdc-3c290b21-1ded59a4-0131570a.jpg']","['files/p16/p16957952/s57798090/3a8c9fa9-90b94fc1-484469e2-d0316be1-245e5d13.jpg\n', 'files/p16/p16957952/s57798090/7f656d45-d1f74ac4-4ad4b221-3f4ff982-a2435c40.jpg\n']"
s58025986_16,p16957952,s58025986,16,Findings,"Increased interstitial markings seen throughout the lungs, not significantly changed since prior. There is no focal consolidation nor effusion. There is moderate cardiac enlargement and tortuosity of the descending thoracic aorta. Compression deformity of several upper lumbar vertebral bodies are again noted. No acute osseous abnormalities.",Compression deformity of several upper lumbar vertebral bodies are again noted.,Compression deformity,Several upper lumbar vertebral bodies,Worse,"['files/p16/p16957952/s58025986/3c57e0f8-a76eb992-7795da42-1cebda11-839fc6ef.jpg', 'files/p16/p16957952/s58025986/ac61125d-0a43dbdc-3c290b21-1ded59a4-0131570a.jpg']","['files/p16/p16957952/s57798090/3a8c9fa9-90b94fc1-484469e2-d0316be1-245e5d13.jpg\n', 'files/p16/p16957952/s57798090/7f656d45-d1f74ac4-4ad4b221-3f4ff982-a2435c40.jpg\n']"
s58039469_0,p12699874,s58039469,0,Findings,"In comparison to prior study, there is new medial right basilar and left basilar retrocardiac opacity. Given the clinical history, this is concerning for aspiration, possibly developing pneumonia. There is no associated effusion, pneumothorax or apparent pneumomediastinum. The upper lungs remain well aerated. Hilar and cardiomediastinal contours are unchanged, with marked calcification and tortuosity of the thoracic aorta. Degenerative changes are noted in the thoracic spine. No free air is seen in the included upper abdomen.","Hilar and cardiomediastinal contours are unchanged, with marked calcification and tortuosity of the thoracic aorta.",contour,hilar and cardiomediastinal contours,Stable,"['files/p12/p12699874/s58039469/7befa7d6-9faf5ce7-987928ab-7b81ed09-d8eb8af7.jpg', 'files/p12/p12699874/s58039469/f27661c7-7cd1d2eb-6116d719-a906e894-7623f8b4.jpg']","['files/p12/p12699874/s57974904/6d9766ff-d338bb04-cdbfb5a8-a6aefc8e-d28602a0.jpg\n', 'files/p12/p12699874/s57974904/f92519c3-962b5ff5-70443417-be79d943-b7960f01.jpg\n']"
s58039469_0,p12699874,s58039469,0,Impression,"New bibasilar opacities, which given the clinical history are suspicious for aspiration, possibly developing pneumonia.","New bibasilar opacities, which given the clinical history are suspicious for aspiration, possibly developing pneumonia.",opacities,bibasilar,New,"['files/p12/p12699874/s58039469/7befa7d6-9faf5ce7-987928ab-7b81ed09-d8eb8af7.jpg', 'files/p12/p12699874/s58039469/f27661c7-7cd1d2eb-6116d719-a906e894-7623f8b4.jpg']","['files/p12/p12699874/s57974904/6d9766ff-d338bb04-cdbfb5a8-a6aefc8e-d28602a0.jpg\n', 'files/p12/p12699874/s57974904/f92519c3-962b5ff5-70443417-be79d943-b7960f01.jpg\n']"
s58039469_0,p12699874,s58039469,0,Findings,"In comparison to prior study, there is new medial right basilar and left basilar retrocardiac opacity. Given the clinical history, this is concerning for aspiration, possibly developing pneumonia. There is no associated effusion, pneumothorax or apparent pneumomediastinum. The upper lungs remain well aerated. Hilar and cardiomediastinal contours are unchanged, with marked calcification and tortuosity of the thoracic aorta. Degenerative changes are noted in the thoracic spine. No free air is seen in the included upper abdomen.",The upper lungs remain well aerated.,aeration,upper lungs,Stable,"['files/p12/p12699874/s58039469/7befa7d6-9faf5ce7-987928ab-7b81ed09-d8eb8af7.jpg', 'files/p12/p12699874/s58039469/f27661c7-7cd1d2eb-6116d719-a906e894-7623f8b4.jpg']","['files/p12/p12699874/s57974904/6d9766ff-d338bb04-cdbfb5a8-a6aefc8e-d28602a0.jpg\n', 'files/p12/p12699874/s57974904/f92519c3-962b5ff5-70443417-be79d943-b7960f01.jpg\n']"
s58039469_0,p12699874,s58039469,0,Findings,"In comparison to prior study, there is new medial right basilar and left basilar retrocardiac opacity. Given the clinical history, this is concerning for aspiration, possibly developing pneumonia. There is no associated effusion, pneumothorax or apparent pneumomediastinum. The upper lungs remain well aerated. Hilar and cardiomediastinal contours are unchanged, with marked calcification and tortuosity of the thoracic aorta. Degenerative changes are noted in the thoracic spine. No free air is seen in the included upper abdomen.","In comparison to prior study, there is new medial right basilar and left basilar retrocardiac opacity.",opacity,left basilar retrocardiac,New,"['files/p12/p12699874/s58039469/7befa7d6-9faf5ce7-987928ab-7b81ed09-d8eb8af7.jpg', 'files/p12/p12699874/s58039469/f27661c7-7cd1d2eb-6116d719-a906e894-7623f8b4.jpg']","['files/p12/p12699874/s57974904/6d9766ff-d338bb04-cdbfb5a8-a6aefc8e-d28602a0.jpg\n', 'files/p12/p12699874/s57974904/f92519c3-962b5ff5-70443417-be79d943-b7960f01.jpg\n']"
s58039469_0,p12699874,s58039469,0,Findings,"In comparison to prior study, there is new medial right basilar and left basilar retrocardiac opacity. Given the clinical history, this is concerning for aspiration, possibly developing pneumonia. There is no associated effusion, pneumothorax or apparent pneumomediastinum. The upper lungs remain well aerated. Hilar and cardiomediastinal contours are unchanged, with marked calcification and tortuosity of the thoracic aorta. Degenerative changes are noted in the thoracic spine. No free air is seen in the included upper abdomen.","In comparison to prior study, there is new medial right basilar and left basilar retrocardiac opacity.",opacity,medial right basilar,New,"['files/p12/p12699874/s58039469/7befa7d6-9faf5ce7-987928ab-7b81ed09-d8eb8af7.jpg', 'files/p12/p12699874/s58039469/f27661c7-7cd1d2eb-6116d719-a906e894-7623f8b4.jpg']","['files/p12/p12699874/s57974904/6d9766ff-d338bb04-cdbfb5a8-a6aefc8e-d28602a0.jpg\n', 'files/p12/p12699874/s57974904/f92519c3-962b5ff5-70443417-be79d943-b7960f01.jpg\n']"
s58039737_18,p13606683,s58039737,18,Impression,"1. Interval appearance of bilateral layering pleural effusions and associated airspace opacity which most likely reflects compressive atelectasis, although a pneumonia or aspiration should also be considered. No evidence of pulmonary edema. Status post median sternotomy with stable postoperative cardiac and mediastinal contours. Right-sided pacer in place. No pneumothorax. Relative paucity of vasculature in the apices suggests a component of underlying emphysema.",Status post median sternotomy with stable postoperative cardiac and mediastinal contours.,postoperative cardiac and mediastinal contours,,Stable,['files/p13/p13606683/s58039737/4a5f0ca9-a2d5198d-f01da2b2-1477e643-9b23e5ee.jpg'],"['files/p13/p13606683/s57242265/af6c2c8b-de4ab155-e59a3a03-1f473d61-d357be8d.jpg\n', 'files/p13/p13606683/s57242265/c1b005c9-f5bb265e-ba26b793-e1767adb-b6c50b32.jpg\n', 'files/p13/p13606683/s57242265/ea7d6277-80e938fc-b51ab8d3-00899183-00abddbd.jpg\n']"
s58039737_18,p13606683,s58039737,18,Impression,"1. Interval appearance of bilateral layering pleural effusions and associated airspace opacity which most likely reflects compressive atelectasis, although a pneumonia or aspiration should also be considered. No evidence of pulmonary edema. Status post median sternotomy with stable postoperative cardiac and mediastinal contours. Right-sided pacer in place. No pneumothorax. Relative paucity of vasculature in the apices suggests a component of underlying emphysema.","1. Interval appearance of bilateral layering pleural effusions and associated airspace opacity which most likely reflects compressive atelectasis, although a pneumonia or aspiration should also be considered.",layering pleural effusions,bilateral,New,['files/p13/p13606683/s58039737/4a5f0ca9-a2d5198d-f01da2b2-1477e643-9b23e5ee.jpg'],"['files/p13/p13606683/s57242265/af6c2c8b-de4ab155-e59a3a03-1f473d61-d357be8d.jpg\n', 'files/p13/p13606683/s57242265/c1b005c9-f5bb265e-ba26b793-e1767adb-b6c50b32.jpg\n', 'files/p13/p13606683/s57242265/ea7d6277-80e938fc-b51ab8d3-00899183-00abddbd.jpg\n']"
s58039954_60,p19182863,s58039954,60,Impression,Stable bilateral layering pleural effusions with bibasilar airspace process likely reflecting compressive atelectasis. There has been interval appearance of mild interstitial and pulmonary edema. Left-sided pacer remains in place with the lead traversing a left superior vena cava to the right ventricular apex. Status post median sternotomy with mitral annular ring. No pneumothorax.,Stable bilateral layering pleural effusions with bibasilar airspace process likely reflecting compressive atelectasis.,pleural effusions,bilateral,Stable,"['files/p19/p19182863/s58039954/702ea80d-45e751b9-f310cea5-80c50417-c80de945.jpg', 'files/p19/p19182863/s58039954/7e8dece6-cdbbe105-a1737549-acae3992-9164d7f5.jpg']",['files/p19/p19182863/s57967105/c1dd019a-29949553-f64d3355-1ab093c4-cd18e32c.jpg\n']
s58039954_60,p19182863,s58039954,60,Impression,Stable bilateral layering pleural effusions with bibasilar airspace process likely reflecting compressive atelectasis. There has been interval appearance of mild interstitial and pulmonary edema. Left-sided pacer remains in place with the lead traversing a left superior vena cava to the right ventricular apex. Status post median sternotomy with mitral annular ring. No pneumothorax.,There has been interval appearance of mild interstitial and pulmonary edema.,mild interstitial and pulmonary edema,,New,"['files/p19/p19182863/s58039954/702ea80d-45e751b9-f310cea5-80c50417-c80de945.jpg', 'files/p19/p19182863/s58039954/7e8dece6-cdbbe105-a1737549-acae3992-9164d7f5.jpg']",['files/p19/p19182863/s57967105/c1dd019a-29949553-f64d3355-1ab093c4-cd18e32c.jpg\n']
s58039954_60,p19182863,s58039954,60,Impression,Stable bilateral layering pleural effusions with bibasilar airspace process likely reflecting compressive atelectasis. There has been interval appearance of mild interstitial and pulmonary edema. Left-sided pacer remains in place with the lead traversing a left superior vena cava to the right ventricular apex. Status post median sternotomy with mitral annular ring. No pneumothorax.,Left-sided pacer remains in place with the lead traversing a left superior vena cava to the right ventricular apex.,pacer,Left-sided,Stable,"['files/p19/p19182863/s58039954/702ea80d-45e751b9-f310cea5-80c50417-c80de945.jpg', 'files/p19/p19182863/s58039954/7e8dece6-cdbbe105-a1737549-acae3992-9164d7f5.jpg']",['files/p19/p19182863/s57967105/c1dd019a-29949553-f64d3355-1ab093c4-cd18e32c.jpg\n']
s58040849_19,p17340686,s58040849,19,Findings,"As compared to the previous radiograph, there is no relevant change. Low lung volumes. Moderate cardiomegaly with minimal fluid overload. No overt pulmonary edema. No pleural effusions. No pneumonia.","As compared to the previous radiograph, there is no relevant change.",,,Stable,"['files/p17/p17340686/s58040849/074f413f-4fe47c0b-104f1e39-9ce05cf9-a0df5bd4.jpg', 'files/p17/p17340686/s58040849/9cf8e1b3-4a4ea8dd-33fc8814-862d81e5-34c105d1.jpg']","['files/p17/p17340686/s57971060/77911e4a-fb35c2ec-cd17f417-a514b2d2-47244970.jpg\n', 'files/p17/p17340686/s57971060/c02b4b56-24488f86-c4b9886d-86e515ce-ae4f0555.jpg\n']"
s58054788_11,p17770657,s58054788,11,Findings,"An endotracheal tube and right internal jugular central venous catheter have been removed. A left internal jugular catheter follows a normal course terminating at the confluence of the left brachiocephalic and SVC. Surgical clips and mediastinal drains are noted in situ. Lungs are hyperexpanded. There is no new consolidation. Right mid lung triangular opacity persists and probably represents fissural fluid. Subtle right basilar opacity is similar to the prior exam, probably fluid. Left effusion and atelectasis have improved. There is no pneumothorax. Cardiomediastinal silhouette is stable.","Subtle right basilar opacity is similar to the prior exam, probably fluid.",Opacity,Right basilar,Stable,['files/p17/p17770657/s58054788/a9a99a2a-c9d9d9ac-79deb41a-91e78881-d886c96d.jpg'],['files/p17/p17770657/s57661627/0acd838c-5dafe19b-8d9fbbe4-3367ef1b-c28e2b42.jpg\n']
s58054788_11,p17770657,s58054788,11,Findings,"An endotracheal tube and right internal jugular central venous catheter have been removed. A left internal jugular catheter follows a normal course terminating at the confluence of the left brachiocephalic and SVC. Surgical clips and mediastinal drains are noted in situ. Lungs are hyperexpanded. There is no new consolidation. Right mid lung triangular opacity persists and probably represents fissural fluid. Subtle right basilar opacity is similar to the prior exam, probably fluid. Left effusion and atelectasis have improved. There is no pneumothorax. Cardiomediastinal silhouette is stable.",Cardiomediastinal silhouette is stable.,Silhouette,Cardiomediastinal,Stable,['files/p17/p17770657/s58054788/a9a99a2a-c9d9d9ac-79deb41a-91e78881-d886c96d.jpg'],['files/p17/p17770657/s57661627/0acd838c-5dafe19b-8d9fbbe4-3367ef1b-c28e2b42.jpg\n']
s58054788_11,p17770657,s58054788,11,Findings,"An endotracheal tube and right internal jugular central venous catheter have been removed. A left internal jugular catheter follows a normal course terminating at the confluence of the left brachiocephalic and SVC. Surgical clips and mediastinal drains are noted in situ. Lungs are hyperexpanded. There is no new consolidation. Right mid lung triangular opacity persists and probably represents fissural fluid. Subtle right basilar opacity is similar to the prior exam, probably fluid. Left effusion and atelectasis have improved. There is no pneumothorax. Cardiomediastinal silhouette is stable.",Left effusion and atelectasis have improved.,Effusion,Left,Better,['files/p17/p17770657/s58054788/a9a99a2a-c9d9d9ac-79deb41a-91e78881-d886c96d.jpg'],['files/p17/p17770657/s57661627/0acd838c-5dafe19b-8d9fbbe4-3367ef1b-c28e2b42.jpg\n']
s58054788_11,p17770657,s58054788,11,Findings,"An endotracheal tube and right internal jugular central venous catheter have been removed. A left internal jugular catheter follows a normal course terminating at the confluence of the left brachiocephalic and SVC. Surgical clips and mediastinal drains are noted in situ. Lungs are hyperexpanded. There is no new consolidation. Right mid lung triangular opacity persists and probably represents fissural fluid. Subtle right basilar opacity is similar to the prior exam, probably fluid. Left effusion and atelectasis have improved. There is no pneumothorax. Cardiomediastinal silhouette is stable.",Left effusion and atelectasis have improved.,Atelectasis,Left,Better,['files/p17/p17770657/s58054788/a9a99a2a-c9d9d9ac-79deb41a-91e78881-d886c96d.jpg'],['files/p17/p17770657/s57661627/0acd838c-5dafe19b-8d9fbbe4-3367ef1b-c28e2b42.jpg\n']
s58054788_11,p17770657,s58054788,11,Findings,"An endotracheal tube and right internal jugular central venous catheter have been removed. A left internal jugular catheter follows a normal course terminating at the confluence of the left brachiocephalic and SVC. Surgical clips and mediastinal drains are noted in situ. Lungs are hyperexpanded. There is no new consolidation. Right mid lung triangular opacity persists and probably represents fissural fluid. Subtle right basilar opacity is similar to the prior exam, probably fluid. Left effusion and atelectasis have improved. There is no pneumothorax. Cardiomediastinal silhouette is stable.",There is no new consolidation.,Consolidation,,New,['files/p17/p17770657/s58054788/a9a99a2a-c9d9d9ac-79deb41a-91e78881-d886c96d.jpg'],['files/p17/p17770657/s57661627/0acd838c-5dafe19b-8d9fbbe4-3367ef1b-c28e2b42.jpg\n']
s58054788_11,p17770657,s58054788,11,Findings,"An endotracheal tube and right internal jugular central venous catheter have been removed. A left internal jugular catheter follows a normal course terminating at the confluence of the left brachiocephalic and SVC. Surgical clips and mediastinal drains are noted in situ. Lungs are hyperexpanded. There is no new consolidation. Right mid lung triangular opacity persists and probably represents fissural fluid. Subtle right basilar opacity is similar to the prior exam, probably fluid. Left effusion and atelectasis have improved. There is no pneumothorax. Cardiomediastinal silhouette is stable.",An endotracheal tube and right internal jugular central venous catheter have been removed.,Central venous catheter,Right internal jugular,Resolve,['files/p17/p17770657/s58054788/a9a99a2a-c9d9d9ac-79deb41a-91e78881-d886c96d.jpg'],['files/p17/p17770657/s57661627/0acd838c-5dafe19b-8d9fbbe4-3367ef1b-c28e2b42.jpg\n']
s58054788_11,p17770657,s58054788,11,Findings,"An endotracheal tube and right internal jugular central venous catheter have been removed. A left internal jugular catheter follows a normal course terminating at the confluence of the left brachiocephalic and SVC. Surgical clips and mediastinal drains are noted in situ. Lungs are hyperexpanded. There is no new consolidation. Right mid lung triangular opacity persists and probably represents fissural fluid. Subtle right basilar opacity is similar to the prior exam, probably fluid. Left effusion and atelectasis have improved. There is no pneumothorax. Cardiomediastinal silhouette is stable.",An endotracheal tube and right internal jugular central venous catheter have been removed.,Endotracheal tube,Trachea,Resolve,['files/p17/p17770657/s58054788/a9a99a2a-c9d9d9ac-79deb41a-91e78881-d886c96d.jpg'],['files/p17/p17770657/s57661627/0acd838c-5dafe19b-8d9fbbe4-3367ef1b-c28e2b42.jpg\n']
s58054788_11,p17770657,s58054788,11,Findings,"An endotracheal tube and right internal jugular central venous catheter have been removed. A left internal jugular catheter follows a normal course terminating at the confluence of the left brachiocephalic and SVC. Surgical clips and mediastinal drains are noted in situ. Lungs are hyperexpanded. There is no new consolidation. Right mid lung triangular opacity persists and probably represents fissural fluid. Subtle right basilar opacity is similar to the prior exam, probably fluid. Left effusion and atelectasis have improved. There is no pneumothorax. Cardiomediastinal silhouette is stable.",Right mid lung triangular opacity persists and probably represents fissural fluid.,Triangular opacity,Right mid lung,Stable,['files/p17/p17770657/s58054788/a9a99a2a-c9d9d9ac-79deb41a-91e78881-d886c96d.jpg'],['files/p17/p17770657/s57661627/0acd838c-5dafe19b-8d9fbbe4-3367ef1b-c28e2b42.jpg\n']
s58055058_12,p12952223,s58055058,12,Findings,"In comparison with the earlier study of this date, the endotracheal tube tip lies approximately 2.8 cm above the carina. Nasogastric tube extends to at least the mid body of the stomach, where it crosses the inferior margin of the image. Right IJ catheter extends to about the level of the cavoatrial junction. Change in appearance of the right pleural effusion may reflect differences in patient position. Bilateral atelectasis and pulmonary edema are essentially unchanged.",Change in appearance of the right pleural effusion may reflect differences in patient position.,pleural effusion,right,Worse,['files/p12/p12952223/s58055058/37e045d0-5af0d058-12f0ea0b-100224f6-7464d84d.jpg'],['files/p12/p12952223/s57927198/d7539f3d-8434d8d9-45deaba6-7524faea-7412f5dc.jpg\n']
s58055058_12,p12952223,s58055058,12,Findings,"In comparison with the earlier study of this date, the endotracheal tube tip lies approximately 2.8 cm above the carina. Nasogastric tube extends to at least the mid body of the stomach, where it crosses the inferior margin of the image. Right IJ catheter extends to about the level of the cavoatrial junction. Change in appearance of the right pleural effusion may reflect differences in patient position. Bilateral atelectasis and pulmonary edema are essentially unchanged.",Bilateral atelectasis and pulmonary edema are essentially unchanged.,pulmonary edema,bilateral,Stable,['files/p12/p12952223/s58055058/37e045d0-5af0d058-12f0ea0b-100224f6-7464d84d.jpg'],['files/p12/p12952223/s57927198/d7539f3d-8434d8d9-45deaba6-7524faea-7412f5dc.jpg\n']
s58055058_12,p12952223,s58055058,12,Findings,"In comparison with the earlier study of this date, the endotracheal tube tip lies approximately 2.8 cm above the carina. Nasogastric tube extends to at least the mid body of the stomach, where it crosses the inferior margin of the image. Right IJ catheter extends to about the level of the cavoatrial junction. Change in appearance of the right pleural effusion may reflect differences in patient position. Bilateral atelectasis and pulmonary edema are essentially unchanged.",Bilateral atelectasis and pulmonary edema are essentially unchanged.,atelectasis,bilateral,Stable,['files/p12/p12952223/s58055058/37e045d0-5af0d058-12f0ea0b-100224f6-7464d84d.jpg'],['files/p12/p12952223/s57927198/d7539f3d-8434d8d9-45deaba6-7524faea-7412f5dc.jpg\n']
s58056251_0,p11565803,s58056251,0,Findings,"AP single view of the chest has been obtained with patient in sitting semi-upright position. In comparison with the next preceding chest examination of ___, the ETT has been removed. Previously existing chest tube on the left side and advanced from below has been removed. No pneumothorax has developed in the apical area. Mild obscuration of left-sided diaphragm suggestive of some postoperative small amount of pleural effusion, but no other new abnormalities are identified. A right-sided internal jugular approach central venous line remains in place. Its termination point projects into the upper portion of the right atrium. This position is unchanged compared with the previous study.",Its termination point projects into the upper portion of the right atrium. This position is unchanged compared with the previous study.,termination point,upper portion of the right atrium,Stable,['files/p11/p11565803/s58056251/04e57623-af378474-c0649f6f-0260ef77-8d56543d.jpg'],"['files/p11/p11565803/s50413117/8b967672-61fa905d-3744cf05-1c744a9a-aeab80f8.jpg\n', 'files/p11/p11565803/s50413117/92276b27-43e788d2-2f48fdc5-7fd21401-1d24598b.jpg\n', 'files/p11/p11565803/s50413117/dd7966c6-8c2f1767-e762450e-540c7c06-06a0a0ff.jpg\n']"
s58056251_0,p11565803,s58056251,0,Findings,"AP single view of the chest has been obtained with patient in sitting semi-upright position. In comparison with the next preceding chest examination of ___, the ETT has been removed. Previously existing chest tube on the left side and advanced from below has been removed. No pneumothorax has developed in the apical area. Mild obscuration of left-sided diaphragm suggestive of some postoperative small amount of pleural effusion, but no other new abnormalities are identified. A right-sided internal jugular approach central venous line remains in place. Its termination point projects into the upper portion of the right atrium. This position is unchanged compared with the previous study.",Previously existing chest tube on the left side and advanced from below has been removed.,chest tube,left side,Resolve,['files/p11/p11565803/s58056251/04e57623-af378474-c0649f6f-0260ef77-8d56543d.jpg'],"['files/p11/p11565803/s50413117/8b967672-61fa905d-3744cf05-1c744a9a-aeab80f8.jpg\n', 'files/p11/p11565803/s50413117/92276b27-43e788d2-2f48fdc5-7fd21401-1d24598b.jpg\n', 'files/p11/p11565803/s50413117/dd7966c6-8c2f1767-e762450e-540c7c06-06a0a0ff.jpg\n']"
s58056251_0,p11565803,s58056251,0,Findings,"AP single view of the chest has been obtained with patient in sitting semi-upright position. In comparison with the next preceding chest examination of ___, the ETT has been removed. Previously existing chest tube on the left side and advanced from below has been removed. No pneumothorax has developed in the apical area. Mild obscuration of left-sided diaphragm suggestive of some postoperative small amount of pleural effusion, but no other new abnormalities are identified. A right-sided internal jugular approach central venous line remains in place. Its termination point projects into the upper portion of the right atrium. This position is unchanged compared with the previous study.",A right-sided internal jugular approach central venous line remains in place.,internal jugular approach central venous line,right-sided,Stable,['files/p11/p11565803/s58056251/04e57623-af378474-c0649f6f-0260ef77-8d56543d.jpg'],"['files/p11/p11565803/s50413117/8b967672-61fa905d-3744cf05-1c744a9a-aeab80f8.jpg\n', 'files/p11/p11565803/s50413117/92276b27-43e788d2-2f48fdc5-7fd21401-1d24598b.jpg\n', 'files/p11/p11565803/s50413117/dd7966c6-8c2f1767-e762450e-540c7c06-06a0a0ff.jpg\n']"
s58056251_0,p11565803,s58056251,0,Findings,"AP single view of the chest has been obtained with patient in sitting semi-upright position. In comparison with the next preceding chest examination of ___, the ETT has been removed. Previously existing chest tube on the left side and advanced from below has been removed. No pneumothorax has developed in the apical area. Mild obscuration of left-sided diaphragm suggestive of some postoperative small amount of pleural effusion, but no other new abnormalities are identified. A right-sided internal jugular approach central venous line remains in place. Its termination point projects into the upper portion of the right atrium. This position is unchanged compared with the previous study.","In comparison with the next preceding chest examination of ___, the ETT has been removed.",ETT,,Resolve,['files/p11/p11565803/s58056251/04e57623-af378474-c0649f6f-0260ef77-8d56543d.jpg'],"['files/p11/p11565803/s50413117/8b967672-61fa905d-3744cf05-1c744a9a-aeab80f8.jpg\n', 'files/p11/p11565803/s50413117/92276b27-43e788d2-2f48fdc5-7fd21401-1d24598b.jpg\n', 'files/p11/p11565803/s50413117/dd7966c6-8c2f1767-e762450e-540c7c06-06a0a0ff.jpg\n']"
s58056585_8,p18067737,s58056585,8,Findings,"Frontal and lateral views of chest were obtained. Dual-lead left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle. Left perihilar opacity is again seen, grossly similar in appearance, consistent with known mass and parenchymal scarring. There is persistent blunting of the left costophrenic angle which appears slightly increased since the prior study. Left retrocardiac opacity may relate to combination of effusion and atelectasis, however underlying consolidation cannot be excluded. The right lung is clear.","Left perihilar opacity is again seen, grossly similar in appearance, consistent with known mass and parenchymal scarring.",opacity,left perihilar,Stable,"['files/p18/p18067737/s58056585/140516cd-0a4265d2-ce7c8e15-37036b48-42fd24d5.jpg', 'files/p18/p18067737/s58056585/5ad6463b-b79f3447-bf9c7db1-e6fc6f3e-da500463.jpg', 'files/p18/p18067737/s58056585/ce6c73a2-bfbdbdf8-f7f014a2-bfffc5e3-232d2d80.jpg']","['files/p18/p18067737/s58001075/1ed95e47-83a54489-79ebd823-db934045-acd7ca23.jpg\n', 'files/p18/p18067737/s58001075/33bd9626-0ea91dc1-d8b6449a-1b20afcb-19da17f2.jpg\n', 'files/p18/p18067737/s58001075/8faff40c-536b8347-b1b760e0-182dc706-77835a8e.jpg\n', 'files/p18/p18067737/s58001075/de01c9bf-3fb74041-71495a3e-efd82101-cace2aa7.jpg\n']"
s58056585_8,p18067737,s58056585,8,Impression,"1. Left pleural effusion which appears increased since the prior study. Left retrocardiac opacity may relate to combination of effusion and atelectasis, however underlying consolidation cannot be excluded. 2. Left perihilar opacity consistent with known mass and parenchymal scarring. Grossly stable appearance of the left perihilar region.",2. Left perihilar opacity consistent with known mass and parenchymal scarring. Grossly stable appearance of the left perihilar region.,opacity,left perihilar,Stable,"['files/p18/p18067737/s58056585/140516cd-0a4265d2-ce7c8e15-37036b48-42fd24d5.jpg', 'files/p18/p18067737/s58056585/5ad6463b-b79f3447-bf9c7db1-e6fc6f3e-da500463.jpg', 'files/p18/p18067737/s58056585/ce6c73a2-bfbdbdf8-f7f014a2-bfffc5e3-232d2d80.jpg']","['files/p18/p18067737/s58001075/1ed95e47-83a54489-79ebd823-db934045-acd7ca23.jpg\n', 'files/p18/p18067737/s58001075/33bd9626-0ea91dc1-d8b6449a-1b20afcb-19da17f2.jpg\n', 'files/p18/p18067737/s58001075/8faff40c-536b8347-b1b760e0-182dc706-77835a8e.jpg\n', 'files/p18/p18067737/s58001075/de01c9bf-3fb74041-71495a3e-efd82101-cace2aa7.jpg\n']"
s58056585_8,p18067737,s58056585,8,Impression,"1. Left pleural effusion which appears increased since the prior study. Left retrocardiac opacity may relate to combination of effusion and atelectasis, however underlying consolidation cannot be excluded. 2. Left perihilar opacity consistent with known mass and parenchymal scarring. Grossly stable appearance of the left perihilar region.","1. Left pleural effusion which appears increased since the prior study. Left retrocardiac opacity may relate to combination of effusion and atelectasis, however underlying consolidation cannot be excluded.",pleural effusion,left,Worse,"['files/p18/p18067737/s58056585/140516cd-0a4265d2-ce7c8e15-37036b48-42fd24d5.jpg', 'files/p18/p18067737/s58056585/5ad6463b-b79f3447-bf9c7db1-e6fc6f3e-da500463.jpg', 'files/p18/p18067737/s58056585/ce6c73a2-bfbdbdf8-f7f014a2-bfffc5e3-232d2d80.jpg']","['files/p18/p18067737/s58001075/1ed95e47-83a54489-79ebd823-db934045-acd7ca23.jpg\n', 'files/p18/p18067737/s58001075/33bd9626-0ea91dc1-d8b6449a-1b20afcb-19da17f2.jpg\n', 'files/p18/p18067737/s58001075/8faff40c-536b8347-b1b760e0-182dc706-77835a8e.jpg\n', 'files/p18/p18067737/s58001075/de01c9bf-3fb74041-71495a3e-efd82101-cace2aa7.jpg\n']"
s58056585_8,p18067737,s58056585,8,Findings,"Frontal and lateral views of chest were obtained. Dual-lead left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle. Left perihilar opacity is again seen, grossly similar in appearance, consistent with known mass and parenchymal scarring. There is persistent blunting of the left costophrenic angle which appears slightly increased since the prior study. Left retrocardiac opacity may relate to combination of effusion and atelectasis, however underlying consolidation cannot be excluded. The right lung is clear.",There is persistent blunting of the left costophrenic angle which appears slightly increased since the prior study.,blunting,left costophrenic angle,Worse,"['files/p18/p18067737/s58056585/140516cd-0a4265d2-ce7c8e15-37036b48-42fd24d5.jpg', 'files/p18/p18067737/s58056585/5ad6463b-b79f3447-bf9c7db1-e6fc6f3e-da500463.jpg', 'files/p18/p18067737/s58056585/ce6c73a2-bfbdbdf8-f7f014a2-bfffc5e3-232d2d80.jpg']","['files/p18/p18067737/s58001075/1ed95e47-83a54489-79ebd823-db934045-acd7ca23.jpg\n', 'files/p18/p18067737/s58001075/33bd9626-0ea91dc1-d8b6449a-1b20afcb-19da17f2.jpg\n', 'files/p18/p18067737/s58001075/8faff40c-536b8347-b1b760e0-182dc706-77835a8e.jpg\n', 'files/p18/p18067737/s58001075/de01c9bf-3fb74041-71495a3e-efd82101-cace2aa7.jpg\n']"
s58057712_12,p14841168,s58057712,12,Findings,"As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in unchanged position. Moderate cardiomegaly with moderate right pleural effusion, accompanied by areas of bilateral basal atelectasis, right more than left. Mild fluid overload. No newly appeared parenchymal opacities.","As compared to the previous radiograph, there is no relevant change.",,,Stable,"['files/p14/p14841168/s58057712/02b9665e-286a47a7-edbf1119-14117e3b-ed29a2fe.jpg', 'files/p14/p14841168/s58057712/d78cb088-c3cad3f2-7a6176d6-7a4ca5df-dbe9326c.jpg']",['files/p14/p14841168/s57731696/ebaf1946-49389902-bfa1191f-e932bc43-ece7d70d.jpg\n']
s58057712_12,p14841168,s58057712,12,Findings,"As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in unchanged position. Moderate cardiomegaly with moderate right pleural effusion, accompanied by areas of bilateral basal atelectasis, right more than left. Mild fluid overload. No newly appeared parenchymal opacities.",The monitoring and support devices are in unchanged position.,monitoring and support devices,,Stable,"['files/p14/p14841168/s58057712/02b9665e-286a47a7-edbf1119-14117e3b-ed29a2fe.jpg', 'files/p14/p14841168/s58057712/d78cb088-c3cad3f2-7a6176d6-7a4ca5df-dbe9326c.jpg']",['files/p14/p14841168/s57731696/ebaf1946-49389902-bfa1191f-e932bc43-ece7d70d.jpg\n']
s58064262_5,p13031876,s58064262,5,Findings,"As compared to the previous radiograph, the right PICC line has been pulled back. The line projects over the axillary vein. The newly placed Dobbhoff tube is curled in the pharynx. Both devices need to be repositioned. Borderline size of the cardiac silhouette. Partial left lower lobe atelectasis. Mild fluid overload. No evidence of complications, notably no pneumothorax. At the time of dictation, 4:47 p.m., on ___, the referring physician, ___. ___, was paged for notification. Findings were discussed over the telephone.","As compared to the previous radiograph, the right PICC line has been pulled back.",PICC line,right,Worse,['files/p13/p13031876/s58064262/230ac524-96234f88-f3c96285-860bdf99-6b6ad9d2.jpg'],['files/p13/p13031876/s57045066/b1286b1b-54d1211b-a25a3203-41c53701-f8ba9413.jpg\n']
s58064262_5,p13031876,s58064262,5,Findings,"As compared to the previous radiograph, the right PICC line has been pulled back. The line projects over the axillary vein. The newly placed Dobbhoff tube is curled in the pharynx. Both devices need to be repositioned. Borderline size of the cardiac silhouette. Partial left lower lobe atelectasis. Mild fluid overload. No evidence of complications, notably no pneumothorax. At the time of dictation, 4:47 p.m., on ___, the referring physician, ___. ___, was paged for notification. Findings were discussed over the telephone.",The newly placed Dobbhoff tube is curled in the pharynx.,Dobbhoff tube,pharynx,New,['files/p13/p13031876/s58064262/230ac524-96234f88-f3c96285-860bdf99-6b6ad9d2.jpg'],['files/p13/p13031876/s57045066/b1286b1b-54d1211b-a25a3203-41c53701-f8ba9413.jpg\n']
s58068113_2,p16875792,s58068113,2,Findings,"Following left chest tube placement, left tension pneumothorax has substantially resolved. Small residual pneumothorax persists, but no evidence of tension. Small amount of pneumopericardium is likely related to recent surgery. Minimal atelectasis is present in the left lung base. There is no pleural effusion. Patient is status post median sternotomy, and sternal sutures are intact. Postoperative mediastinal widening and mildly enlarged heart size are stable. Endotracheal tube ends approximately 1.7 cm above the carina. Consider retracting the ET tube by 2 cm for appropriate seating. Orogastric tube ends into the stomach, and a Swan-Ganz catheter through the right internal jugular approach terminates approximately in the right main pulmonary artery.","Following left chest tube placement, left tension pneumothorax has substantially resolved.",tension pneumothorax,left,Resolve,['files/p16/p16875792/s58068113/f6eee07f-b610f72b-a8832d42-b5472b4d-7cc97271.jpg'],['files/p16/p16875792/s57849643/a466a1e2-24db4349-c068db9b-aae250f4-030ceb1e.jpg\n']
s58068113_2,p16875792,s58068113,2,Findings,"Following left chest tube placement, left tension pneumothorax has substantially resolved. Small residual pneumothorax persists, but no evidence of tension. Small amount of pneumopericardium is likely related to recent surgery. Minimal atelectasis is present in the left lung base. There is no pleural effusion. Patient is status post median sternotomy, and sternal sutures are intact. Postoperative mediastinal widening and mildly enlarged heart size are stable. Endotracheal tube ends approximately 1.7 cm above the carina. Consider retracting the ET tube by 2 cm for appropriate seating. Orogastric tube ends into the stomach, and a Swan-Ganz catheter through the right internal jugular approach terminates approximately in the right main pulmonary artery.",Postoperative mediastinal widening and mildly enlarged heart size are stable.,postoperative mediastinal widening,,Stable,['files/p16/p16875792/s58068113/f6eee07f-b610f72b-a8832d42-b5472b4d-7cc97271.jpg'],['files/p16/p16875792/s57849643/a466a1e2-24db4349-c068db9b-aae250f4-030ceb1e.jpg\n']
s58068113_2,p16875792,s58068113,2,Findings,"Following left chest tube placement, left tension pneumothorax has substantially resolved. Small residual pneumothorax persists, but no evidence of tension. Small amount of pneumopericardium is likely related to recent surgery. Minimal atelectasis is present in the left lung base. There is no pleural effusion. Patient is status post median sternotomy, and sternal sutures are intact. Postoperative mediastinal widening and mildly enlarged heart size are stable. Endotracheal tube ends approximately 1.7 cm above the carina. Consider retracting the ET tube by 2 cm for appropriate seating. Orogastric tube ends into the stomach, and a Swan-Ganz catheter through the right internal jugular approach terminates approximately in the right main pulmonary artery.",Postoperative mediastinal widening and mildly enlarged heart size are stable.,mildly enlarged heart size,,Stable,['files/p16/p16875792/s58068113/f6eee07f-b610f72b-a8832d42-b5472b4d-7cc97271.jpg'],['files/p16/p16875792/s57849643/a466a1e2-24db4349-c068db9b-aae250f4-030ceb1e.jpg\n']
s58068113_2,p16875792,s58068113,2,Findings,"Following left chest tube placement, left tension pneumothorax has substantially resolved. Small residual pneumothorax persists, but no evidence of tension. Small amount of pneumopericardium is likely related to recent surgery. Minimal atelectasis is present in the left lung base. There is no pleural effusion. Patient is status post median sternotomy, and sternal sutures are intact. Postoperative mediastinal widening and mildly enlarged heart size are stable. Endotracheal tube ends approximately 1.7 cm above the carina. Consider retracting the ET tube by 2 cm for appropriate seating. Orogastric tube ends into the stomach, and a Swan-Ganz catheter through the right internal jugular approach terminates approximately in the right main pulmonary artery.","Small residual pneumothorax persists, but no evidence of tension.",small residual pneumothorax,,Stable,['files/p16/p16875792/s58068113/f6eee07f-b610f72b-a8832d42-b5472b4d-7cc97271.jpg'],['files/p16/p16875792/s57849643/a466a1e2-24db4349-c068db9b-aae250f4-030ceb1e.jpg\n']
s58068113_2,p16875792,s58068113,2,Impression,"Following left chest tube placement, a left pneumothorax has markedly decreased in size with small residual basilar pneumothorax.","Following left chest tube placement, a left pneumothorax has markedly decreased in size with small residual basilar pneumothorax.",pneumothorax,left,Better,['files/p16/p16875792/s58068113/f6eee07f-b610f72b-a8832d42-b5472b4d-7cc97271.jpg'],['files/p16/p16875792/s57849643/a466a1e2-24db4349-c068db9b-aae250f4-030ceb1e.jpg\n']
s58071016_23,p19075045,s58071016,23,Findings,"Sternotomy with valve prosthesis. Endotracheal tube tip is 4 cm above carina. Right IJ central line tip is near cavoatrial junction. Cardiac pacemaker. There is worsening of left basilar opacity. Left costophrenic angle is not fully seen. No pneumothorax. Shallow inspiration accentuates heart size, pulmonary vascularity. Pulmonary vascularity has mildly improved. Improved right basilar, perihilar opacities. Right shoulder arthroplasty.",There is worsening of left basilar opacity.,opacity,left basilar,Worse,['files/p19/p19075045/s58071016/e043f870-1670fd0c-cf68f196-4f351347-4a665c39.jpg'],"['files/p19/p19075045/s57932391/2c34a6e4-968a506c-a8b39537-c46c370e-184792f4.jpg\n', 'files/p19/p19075045/s57932391/8c4b0928-25f0374e-f160695e-a8ead2b2-21c9a14b.jpg\n']"
s58071016_23,p19075045,s58071016,23,Findings,"Sternotomy with valve prosthesis. Endotracheal tube tip is 4 cm above carina. Right IJ central line tip is near cavoatrial junction. Cardiac pacemaker. There is worsening of left basilar opacity. Left costophrenic angle is not fully seen. No pneumothorax. Shallow inspiration accentuates heart size, pulmonary vascularity. Pulmonary vascularity has mildly improved. Improved right basilar, perihilar opacities. Right shoulder arthroplasty.",Pulmonary vascularity has mildly improved.,pulmonary vascularity,,Better,['files/p19/p19075045/s58071016/e043f870-1670fd0c-cf68f196-4f351347-4a665c39.jpg'],"['files/p19/p19075045/s57932391/2c34a6e4-968a506c-a8b39537-c46c370e-184792f4.jpg\n', 'files/p19/p19075045/s57932391/8c4b0928-25f0374e-f160695e-a8ead2b2-21c9a14b.jpg\n']"
s58071016_23,p19075045,s58071016,23,Findings,"Sternotomy with valve prosthesis. Endotracheal tube tip is 4 cm above carina. Right IJ central line tip is near cavoatrial junction. Cardiac pacemaker. There is worsening of left basilar opacity. Left costophrenic angle is not fully seen. No pneumothorax. Shallow inspiration accentuates heart size, pulmonary vascularity. Pulmonary vascularity has mildly improved. Improved right basilar, perihilar opacities. Right shoulder arthroplasty.","Improved right basilar, perihilar opacities.",opacities,"right basilar, perihilar",Better,['files/p19/p19075045/s58071016/e043f870-1670fd0c-cf68f196-4f351347-4a665c39.jpg'],"['files/p19/p19075045/s57932391/2c34a6e4-968a506c-a8b39537-c46c370e-184792f4.jpg\n', 'files/p19/p19075045/s57932391/8c4b0928-25f0374e-f160695e-a8ead2b2-21c9a14b.jpg\n']"
s58071016_23,p19075045,s58071016,23,Impression,"Worsened left basilar opacity, may represent atelectasis, consider pneumonitis in the appropriate clinical setting. Pulmonary vascularity has mildly improved.",Pulmonary vascularity has mildly improved.,pulmonary vascularity,,Better,['files/p19/p19075045/s58071016/e043f870-1670fd0c-cf68f196-4f351347-4a665c39.jpg'],"['files/p19/p19075045/s57932391/2c34a6e4-968a506c-a8b39537-c46c370e-184792f4.jpg\n', 'files/p19/p19075045/s57932391/8c4b0928-25f0374e-f160695e-a8ead2b2-21c9a14b.jpg\n']"
s58071016_23,p19075045,s58071016,23,Impression,"Worsened left basilar opacity, may represent atelectasis, consider pneumonitis in the appropriate clinical setting. Pulmonary vascularity has mildly improved.","Worsened left basilar opacity, may represent atelectasis, consider pneumonitis in the appropriate clinical setting.",opacity,left basilar,Worse,['files/p19/p19075045/s58071016/e043f870-1670fd0c-cf68f196-4f351347-4a665c39.jpg'],"['files/p19/p19075045/s57932391/2c34a6e4-968a506c-a8b39537-c46c370e-184792f4.jpg\n', 'files/p19/p19075045/s57932391/8c4b0928-25f0374e-f160695e-a8ead2b2-21c9a14b.jpg\n']"
s58072789_1,p10886362,s58072789,1,Impression,"AP chest compared to ___ at 2:29 p.m.: Lateral aspect left lower chest is excluded from the examination. Remaining pleural surfaces show no pneumothorax and minimal if any pleural effusion. Nasogastric tube passes into the stomach and out of the field of view. Swan-Ganz catheter tip is partially obscured by cardiac motion, but is probably in the right pulmonary artery in standard placement. Right pleural, left pleural, midline drains in place. Pulmonary vascular congestion and moderate postoperative widening of the cardiomediastinal silhouette are unchanged. There is more atelectasis in the right lower lobe, left lower lobe atelectasis is mild-to-moderate. There is probably no pulmonary edema.",Pulmonary vascular congestion and moderate postoperative widening of the cardiomediastinal silhouette are unchanged.,Postoperative widening of the cardiomediastinal silhouette,,Stable,"['files/p10/p10886362/s58072789/0b7ab545-c2af9860-5aae88b7-7e27fa66-b0c115db.jpg', 'files/p10/p10886362/s58072789/22626212-038a564e-86e62d8b-9d61ea9c-daa48afc.jpg']",['files/p10/p10886362/s57211901/c5317373-5acdf384-4d5fee0f-423f29ef-22858502.jpg\n']
s58072789_1,p10886362,s58072789,1,Impression,"AP chest compared to ___ at 2:29 p.m.: Lateral aspect left lower chest is excluded from the examination. Remaining pleural surfaces show no pneumothorax and minimal if any pleural effusion. Nasogastric tube passes into the stomach and out of the field of view. Swan-Ganz catheter tip is partially obscured by cardiac motion, but is probably in the right pulmonary artery in standard placement. Right pleural, left pleural, midline drains in place. Pulmonary vascular congestion and moderate postoperative widening of the cardiomediastinal silhouette are unchanged. There is more atelectasis in the right lower lobe, left lower lobe atelectasis is mild-to-moderate. There is probably no pulmonary edema.",Pulmonary vascular congestion and moderate postoperative widening of the cardiomediastinal silhouette are unchanged.,Pulmonary vascular congestion,,Stable,"['files/p10/p10886362/s58072789/0b7ab545-c2af9860-5aae88b7-7e27fa66-b0c115db.jpg', 'files/p10/p10886362/s58072789/22626212-038a564e-86e62d8b-9d61ea9c-daa48afc.jpg']",['files/p10/p10886362/s57211901/c5317373-5acdf384-4d5fee0f-423f29ef-22858502.jpg\n']
s58080029_0,p17337033,s58080029,0,Findings,"In comparison with study of ___, there is again prominence of the superior mediastinum, which apparently reflects exuberant mediastinal fat on a prior CT of the chest. The atelectatic change at the left base seen previously is essentially cleared. No acute pneumonia at this time.","In comparison with study of ___, there is again prominence of the superior mediastinum, which apparently reflects exuberant mediastinal fat on a prior CT of the chest.",mediastinal fat,superior mediastinum,Stable,['files/p17/p17337033/s58080029/3f88d0d6-bcbb5cb4-27d9e806-7b3903f8-2645e762.jpg'],"['files/p17/p17337033/s57289014/505da1b4-ef3336a4-fb3f5e5e-09bb3b5e-eb1350dc.jpg\n', 'files/p17/p17337033/s57289014/a30e7a85-23910be3-967d6653-109accd7-e4101dcf.jpg\n']"
s58080029_0,p17337033,s58080029,0,Findings,"In comparison with study of ___, there is again prominence of the superior mediastinum, which apparently reflects exuberant mediastinal fat on a prior CT of the chest. The atelectatic change at the left base seen previously is essentially cleared. No acute pneumonia at this time.",The atelectatic change at the left base seen previously is essentially cleared.,atelectatic change,left base,Resolve,['files/p17/p17337033/s58080029/3f88d0d6-bcbb5cb4-27d9e806-7b3903f8-2645e762.jpg'],"['files/p17/p17337033/s57289014/505da1b4-ef3336a4-fb3f5e5e-09bb3b5e-eb1350dc.jpg\n', 'files/p17/p17337033/s57289014/a30e7a85-23910be3-967d6653-109accd7-e4101dcf.jpg\n']"
s58084420_2,p16773796,s58084420,2,Findings,Sternotomy wires and mediastinal clips are unchanged as is the prosthetic aortic valve. The heart size is within normal limits. The mediastinal contours appear unremarkable. There continues to be opacity projecting over the heart on the frontal view with air bronchograms which correlates with increased opacity in the retrocardiac space. There is no pneumothorax.,Sternotomy wires and mediastinal clips are unchanged as is the prosthetic aortic valve.,,Sternotomy wires and mediastinal clips,Stable,"['files/p16/p16773796/s58084420/3622b493-4fc54d50-37c8dd39-9ad4b433-1fc9ab20.jpg', 'files/p16/p16773796/s58084420/7494cb49-099d351b-0e03726b-10674f3a-b482faaa.jpg']","['files/p16/p16773796/s56605773/5f058986-c0a46f7a-7d175c3e-c40f1bd2-e71884bf.jpg\n', 'files/p16/p16773796/s56605773/d4228ce7-2788f96d-b22cd5dd-b09350aa-bb461d38.jpg\n']"
s58084420_2,p16773796,s58084420,2,Findings,Sternotomy wires and mediastinal clips are unchanged as is the prosthetic aortic valve. The heart size is within normal limits. The mediastinal contours appear unremarkable. There continues to be opacity projecting over the heart on the frontal view with air bronchograms which correlates with increased opacity in the retrocardiac space. There is no pneumothorax.,Sternotomy wires and mediastinal clips are unchanged as is the prosthetic aortic valve.,,prosthetic aortic valve,Stable,"['files/p16/p16773796/s58084420/3622b493-4fc54d50-37c8dd39-9ad4b433-1fc9ab20.jpg', 'files/p16/p16773796/s58084420/7494cb49-099d351b-0e03726b-10674f3a-b482faaa.jpg']","['files/p16/p16773796/s56605773/5f058986-c0a46f7a-7d175c3e-c40f1bd2-e71884bf.jpg\n', 'files/p16/p16773796/s56605773/d4228ce7-2788f96d-b22cd5dd-b09350aa-bb461d38.jpg\n']"
s58084420_2,p16773796,s58084420,2,Findings,Sternotomy wires and mediastinal clips are unchanged as is the prosthetic aortic valve. The heart size is within normal limits. The mediastinal contours appear unremarkable. There continues to be opacity projecting over the heart on the frontal view with air bronchograms which correlates with increased opacity in the retrocardiac space. There is no pneumothorax.,There continues to be opacity projecting over the heart on the frontal view with air bronchograms which correlates with increased opacity in the retrocardiac space.,opacity,over the heart on the frontal view,Worse,"['files/p16/p16773796/s58084420/3622b493-4fc54d50-37c8dd39-9ad4b433-1fc9ab20.jpg', 'files/p16/p16773796/s58084420/7494cb49-099d351b-0e03726b-10674f3a-b482faaa.jpg']","['files/p16/p16773796/s56605773/5f058986-c0a46f7a-7d175c3e-c40f1bd2-e71884bf.jpg\n', 'files/p16/p16773796/s56605773/d4228ce7-2788f96d-b22cd5dd-b09350aa-bb461d38.jpg\n']"
s58084420_2,p16773796,s58084420,2,Findings,Sternotomy wires and mediastinal clips are unchanged as is the prosthetic aortic valve. The heart size is within normal limits. The mediastinal contours appear unremarkable. There continues to be opacity projecting over the heart on the frontal view with air bronchograms which correlates with increased opacity in the retrocardiac space. There is no pneumothorax.,There continues to be opacity projecting over the heart on the frontal view with air bronchograms which correlates with increased opacity in the retrocardiac space.,opacity,retrocardiac space,Worse,"['files/p16/p16773796/s58084420/3622b493-4fc54d50-37c8dd39-9ad4b433-1fc9ab20.jpg', 'files/p16/p16773796/s58084420/7494cb49-099d351b-0e03726b-10674f3a-b482faaa.jpg']","['files/p16/p16773796/s56605773/5f058986-c0a46f7a-7d175c3e-c40f1bd2-e71884bf.jpg\n', 'files/p16/p16773796/s56605773/d4228ce7-2788f96d-b22cd5dd-b09350aa-bb461d38.jpg\n']"
s58085167_0,p18874374,s58085167,0,Findings,"A cluster of heterogeneous opacities in the right lower lung has has continued to grow since ___. Otherwise, the lungs are clear. Moderate cardiomegaly, including severe left atrial enlargement is chronic; there is no pulmonary vascular congestion or edema. The thoracic aorta is heavily calcified. There may be a new small, right pleural effusions or pneumothorax.","There may be a new small, right pleural effusions or pneumothorax",pneumothorax,right,New,['files/p18/p18874374/s58085167/4d9de708-0d2bc7fe-d09123f4-cddd314f-81bceaad.jpg'],
s58085167_0,p18874374,s58085167,0,Findings,"A cluster of heterogeneous opacities in the right lower lung has has continued to grow since ___. Otherwise, the lungs are clear. Moderate cardiomegaly, including severe left atrial enlargement is chronic; there is no pulmonary vascular congestion or edema. The thoracic aorta is heavily calcified. There may be a new small, right pleural effusions or pneumothorax.","There may be a new small, right pleural effusions or pneumothorax",pleural effusions,right,New,['files/p18/p18874374/s58085167/4d9de708-0d2bc7fe-d09123f4-cddd314f-81bceaad.jpg'],
s58085167_0,p18874374,s58085167,0,Findings,"A cluster of heterogeneous opacities in the right lower lung has has continued to grow since ___. Otherwise, the lungs are clear. Moderate cardiomegaly, including severe left atrial enlargement is chronic; there is no pulmonary vascular congestion or edema. The thoracic aorta is heavily calcified. There may be a new small, right pleural effusions or pneumothorax.",A cluster of heterogeneous opacities in the right lower lung has continued to grow since ___,heterogeneous opacities,right lower lung,Worse,['files/p18/p18874374/s58085167/4d9de708-0d2bc7fe-d09123f4-cddd314f-81bceaad.jpg'],
s58087032_2,p19640059,s58087032,2,Findings,"AP upright portable views of the chest were obtained. Per the radiology technologist, x-ray was repeated due to patient kyphosis. The patient's chin overlies the lung apices. Again seen are increased interstitial markings, worse at the lung bases in this patient with history of known chronic interstitial pulmonary disease. Opacity at the right lung base appears increased compared to the prior study and superimposed infectious process is not excluded. No large pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.",Opacity at the right lung base appears increased compared to the prior study and superimposed infectious process is not excluded.,Opacity,right lung base,Worse,"['files/p19/p19640059/s58087032/322387f2-af76ba8f-755323f0-51c76e2e-5aa7a8d7.jpg', 'files/p19/p19640059/s58087032/f517acaa-8c49752c-968ae55b-9b6530f1-4dacc503.jpg']","['files/p19/p19640059/s57629666/2f7e40ab-fd3ebb8f-1f00d1a6-1aecdf69-793d8d35.jpg\n', 'files/p19/p19640059/s57629666/3e1035d3-49417acb-62977270-a4de2787-c6024d53.jpg\n']"
s58087032_2,p19640059,s58087032,2,Findings,"AP upright portable views of the chest were obtained. Per the radiology technologist, x-ray was repeated due to patient kyphosis. The patient's chin overlies the lung apices. Again seen are increased interstitial markings, worse at the lung bases in this patient with history of known chronic interstitial pulmonary disease. Opacity at the right lung base appears increased compared to the prior study and superimposed infectious process is not excluded. No large pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.","Again seen are increased interstitial markings, worse at the lung bases in this patient with history of known chronic interstitial pulmonary disease.",interstitial markings,lung bases,Worse,"['files/p19/p19640059/s58087032/322387f2-af76ba8f-755323f0-51c76e2e-5aa7a8d7.jpg', 'files/p19/p19640059/s58087032/f517acaa-8c49752c-968ae55b-9b6530f1-4dacc503.jpg']","['files/p19/p19640059/s57629666/2f7e40ab-fd3ebb8f-1f00d1a6-1aecdf69-793d8d35.jpg\n', 'files/p19/p19640059/s57629666/3e1035d3-49417acb-62977270-a4de2787-c6024d53.jpg\n']"
s58087032_2,p19640059,s58087032,2,Impression,Known chronic interstitial disease with increased interstitial markings seen at the lung bases. Interval increase in right base opacity raises concern for a superimposed infectious process.,Known chronic interstitial disease with increased interstitial markings seen at the lung bases.,chronic interstitial disease with increased interstitial markings,lung bases,Stable,"['files/p19/p19640059/s58087032/322387f2-af76ba8f-755323f0-51c76e2e-5aa7a8d7.jpg', 'files/p19/p19640059/s58087032/f517acaa-8c49752c-968ae55b-9b6530f1-4dacc503.jpg']","['files/p19/p19640059/s57629666/2f7e40ab-fd3ebb8f-1f00d1a6-1aecdf69-793d8d35.jpg\n', 'files/p19/p19640059/s57629666/3e1035d3-49417acb-62977270-a4de2787-c6024d53.jpg\n']"
s58087032_2,p19640059,s58087032,2,Impression,Known chronic interstitial disease with increased interstitial markings seen at the lung bases. Interval increase in right base opacity raises concern for a superimposed infectious process.,Interval increase in right base opacity raises concern for a superimposed infectious process.,opacity,right base,Worse,"['files/p19/p19640059/s58087032/322387f2-af76ba8f-755323f0-51c76e2e-5aa7a8d7.jpg', 'files/p19/p19640059/s58087032/f517acaa-8c49752c-968ae55b-9b6530f1-4dacc503.jpg']","['files/p19/p19640059/s57629666/2f7e40ab-fd3ebb8f-1f00d1a6-1aecdf69-793d8d35.jpg\n', 'files/p19/p19640059/s57629666/3e1035d3-49417acb-62977270-a4de2787-c6024d53.jpg\n']"
s58088717_33,p13896515,s58088717,33,Findings,The left chest wall pacemaker generator obscures portions of the left hemi thorax. No left chest tube is definitively visualized. Lung volumes are lower with persistent retrocardiac opacity likely reflecting combination of effusion and atelectasis/consolidation. Mild pulmonary edema appears stable.,Lung volumes are lower with persistent retrocardiac opacity likely reflecting combination of effusion and atelectasis/consolidation.,opacity,retrocardiac,Stable,['files/p13/p13896515/s58088717/4f4c1ed7-5e3e7b32-534f3142-60dfa8a1-b5350381.jpg'],['files/p13/p13896515/s57811906/c9829806-80ccefe4-60749d0a-05402ead-54784a88.jpg\n']
s58088717_33,p13896515,s58088717,33,Findings,The left chest wall pacemaker generator obscures portions of the left hemi thorax. No left chest tube is definitively visualized. Lung volumes are lower with persistent retrocardiac opacity likely reflecting combination of effusion and atelectasis/consolidation. Mild pulmonary edema appears stable.,Mild pulmonary edema appears stable.,pulmonary edema,,Stable,['files/p13/p13896515/s58088717/4f4c1ed7-5e3e7b32-534f3142-60dfa8a1-b5350381.jpg'],['files/p13/p13896515/s57811906/c9829806-80ccefe4-60749d0a-05402ead-54784a88.jpg\n']
s58088902_1,p13979643,s58088902,1,Findings,"As compared to the previous radiograph, there are decreasing right lung volumes. An area of opacity at the right lung base could correspond to atelectasis or pneumonia. In addition, the lower region of the right hilus appears slightly denser than before, so that a hilar process cannot be excluded. The left lung appears unchanged. There is borderline size of the cardiac silhouette. An upright PA and lateral radiograph should be obtained. If this is still ambiguous, CT should be performed to rule out a right hilar process. At the time of dictation, ___, 8:47 a.m., the referring physician, ___. ___, was being covered by Dr. ___, was paged for notification.",The left lung appears unchanged.,,Left lung,Stable,['files/p13/p13979643/s58088902/3cbd3bc6-39526273-ad8ae42e-93fe3364-f9d21652.jpg'],['files/p13/p13979643/s57913072/581dfa62-66e36227-8f7c3128-aec0feaa-c7111e6e.jpg\n']
s58088902_1,p13979643,s58088902,1,Findings,"As compared to the previous radiograph, there are decreasing right lung volumes. An area of opacity at the right lung base could correspond to atelectasis or pneumonia. In addition, the lower region of the right hilus appears slightly denser than before, so that a hilar process cannot be excluded. The left lung appears unchanged. There is borderline size of the cardiac silhouette. An upright PA and lateral radiograph should be obtained. If this is still ambiguous, CT should be performed to rule out a right hilar process. At the time of dictation, ___, 8:47 a.m., the referring physician, ___. ___, was being covered by Dr. ___, was paged for notification.","In addition, the lower region of the right hilus appears slightly denser than before, so that a hilar process cannot be excluded.",density,Lower region of the right hilus,Worse,['files/p13/p13979643/s58088902/3cbd3bc6-39526273-ad8ae42e-93fe3364-f9d21652.jpg'],['files/p13/p13979643/s57913072/581dfa62-66e36227-8f7c3128-aec0feaa-c7111e6e.jpg\n']
s58088902_1,p13979643,s58088902,1,Findings,"As compared to the previous radiograph, there are decreasing right lung volumes. An area of opacity at the right lung base could correspond to atelectasis or pneumonia. In addition, the lower region of the right hilus appears slightly denser than before, so that a hilar process cannot be excluded. The left lung appears unchanged. There is borderline size of the cardiac silhouette. An upright PA and lateral radiograph should be obtained. If this is still ambiguous, CT should be performed to rule out a right hilar process. At the time of dictation, ___, 8:47 a.m., the referring physician, ___. ___, was being covered by Dr. ___, was paged for notification.","As compared to the previous radiograph, there are decreasing right lung volumes.",lung volumes,Right,Worse,['files/p13/p13979643/s58088902/3cbd3bc6-39526273-ad8ae42e-93fe3364-f9d21652.jpg'],['files/p13/p13979643/s57913072/581dfa62-66e36227-8f7c3128-aec0feaa-c7111e6e.jpg\n']
s58093109_1,p11569042,s58093109,1,Impression,"1. Bibasilar opacities, worse on the left, with possible new left effusion. 2. Limited assessment of superior mediastinum due to lordotic positioning. 3. Probable right humeral diaphysis enchondroma. When the patient is stable, recommend clinical correlation to exclude any right humeral atypical pain and baseline right humerus radiographs to include the entire lesion.","Bibasilar opacities, worse on the left, with possible new left effusion.",effusion,left,New,['files/p11/p11569042/s58093109/737fe166-1d61ed17-45d7d04d-b55e438d-4f23f221.jpg'],"['files/p11/p11569042/s57778607/4c1ef8d6-96ad17ad-becaa578-175f9fc2-24c4304e.jpg\n', 'files/p11/p11569042/s57778607/aac431c4-71ce2760-10747748-4fd37654-0f440dd6.jpg\n']"
s58093109_1,p11569042,s58093109,1,Impression,"1. Bibasilar opacities, worse on the left, with possible new left effusion. 2. Limited assessment of superior mediastinum due to lordotic positioning. 3. Probable right humeral diaphysis enchondroma. When the patient is stable, recommend clinical correlation to exclude any right humeral atypical pain and baseline right humerus radiographs to include the entire lesion.","Bibasilar opacities, worse on the left, with possible new left effusion.",bibasilar opacities,left,Worse,['files/p11/p11569042/s58093109/737fe166-1d61ed17-45d7d04d-b55e438d-4f23f221.jpg'],"['files/p11/p11569042/s57778607/4c1ef8d6-96ad17ad-becaa578-175f9fc2-24c4304e.jpg\n', 'files/p11/p11569042/s57778607/aac431c4-71ce2760-10747748-4fd37654-0f440dd6.jpg\n']"
s58094975_6,p18224196,s58094975,6,Findings,"Since ___, right chest and mediastinal drain tubes have been removed. There is no appreciable pneumothorax. Left lower lung opacity obscuring the left cardiomediastinal border and the left lung base has minimally worsened since ___ and is combination of moderate left effusion and left lower lung atelectasis. Riight basal atelectasis and presumed small right pleural effusion is unchanged. There is no significant change in the upper mediastinal. Right internal jugular sheath has its tip ending at the upper SVC. There is evidence of prior median sternotomy and sternal sutures are intact.",Right basal atelectasis and presumed small right pleural effusion is unchanged.,atelectasis,right basal,Stable,['files/p18/p18224196/s58094975/fb85016a-bff648ee-d64f0e6d-8bf72ac1-ce274815.jpg'],"['files/p18/p18224196/s57907009/060219ba-448fe7d4-8a19694c-92b20db5-74035416.jpg\n', 'files/p18/p18224196/s57907009/9cbe3071-02f095d3-10c4f0a5-6fd36d4b-4affe81e.jpg\n']"
s58094975_6,p18224196,s58094975,6,Findings,"Since ___, right chest and mediastinal drain tubes have been removed. There is no appreciable pneumothorax. Left lower lung opacity obscuring the left cardiomediastinal border and the left lung base has minimally worsened since ___ and is combination of moderate left effusion and left lower lung atelectasis. Riight basal atelectasis and presumed small right pleural effusion is unchanged. There is no significant change in the upper mediastinal. Right internal jugular sheath has its tip ending at the upper SVC. There is evidence of prior median sternotomy and sternal sutures are intact.",Right basal atelectasis and presumed small right pleural effusion is unchanged.,pleural effusion,right,Stable,['files/p18/p18224196/s58094975/fb85016a-bff648ee-d64f0e6d-8bf72ac1-ce274815.jpg'],"['files/p18/p18224196/s57907009/060219ba-448fe7d4-8a19694c-92b20db5-74035416.jpg\n', 'files/p18/p18224196/s57907009/9cbe3071-02f095d3-10c4f0a5-6fd36d4b-4affe81e.jpg\n']"
s58094975_6,p18224196,s58094975,6,Findings,"Since ___, right chest and mediastinal drain tubes have been removed. There is no appreciable pneumothorax. Left lower lung opacity obscuring the left cardiomediastinal border and the left lung base has minimally worsened since ___ and is combination of moderate left effusion and left lower lung atelectasis. Riight basal atelectasis and presumed small right pleural effusion is unchanged. There is no significant change in the upper mediastinal. Right internal jugular sheath has its tip ending at the upper SVC. There is evidence of prior median sternotomy and sternal sutures are intact.",Left lower lung opacity obscuring the left cardiomediastinal border and the left lung base has minimally worsened since ___ and is combination of moderate left effusion and left lower lung atelectasis.,opacity,left lower lung,Worse,['files/p18/p18224196/s58094975/fb85016a-bff648ee-d64f0e6d-8bf72ac1-ce274815.jpg'],"['files/p18/p18224196/s57907009/060219ba-448fe7d4-8a19694c-92b20db5-74035416.jpg\n', 'files/p18/p18224196/s57907009/9cbe3071-02f095d3-10c4f0a5-6fd36d4b-4affe81e.jpg\n']"
s58094975_6,p18224196,s58094975,6,Findings,"Since ___, right chest and mediastinal drain tubes have been removed. There is no appreciable pneumothorax. Left lower lung opacity obscuring the left cardiomediastinal border and the left lung base has minimally worsened since ___ and is combination of moderate left effusion and left lower lung atelectasis. Riight basal atelectasis and presumed small right pleural effusion is unchanged. There is no significant change in the upper mediastinal. Right internal jugular sheath has its tip ending at the upper SVC. There is evidence of prior median sternotomy and sternal sutures are intact.",There is no significant change in the upper mediastinal.,appearance,upper mediastinal,Stable,['files/p18/p18224196/s58094975/fb85016a-bff648ee-d64f0e6d-8bf72ac1-ce274815.jpg'],"['files/p18/p18224196/s57907009/060219ba-448fe7d4-8a19694c-92b20db5-74035416.jpg\n', 'files/p18/p18224196/s57907009/9cbe3071-02f095d3-10c4f0a5-6fd36d4b-4affe81e.jpg\n']"
s58094975_6,p18224196,s58094975,6,Findings,"Since ___, right chest and mediastinal drain tubes have been removed. There is no appreciable pneumothorax. Left lower lung opacity obscuring the left cardiomediastinal border and the left lung base has minimally worsened since ___ and is combination of moderate left effusion and left lower lung atelectasis. Riight basal atelectasis and presumed small right pleural effusion is unchanged. There is no significant change in the upper mediastinal. Right internal jugular sheath has its tip ending at the upper SVC. There is evidence of prior median sternotomy and sternal sutures are intact.","Since ___, right chest and mediastinal drain tubes have been removed.",drain tubes,right chest and mediastinal,Resolve,['files/p18/p18224196/s58094975/fb85016a-bff648ee-d64f0e6d-8bf72ac1-ce274815.jpg'],"['files/p18/p18224196/s57907009/060219ba-448fe7d4-8a19694c-92b20db5-74035416.jpg\n', 'files/p18/p18224196/s57907009/9cbe3071-02f095d3-10c4f0a5-6fd36d4b-4affe81e.jpg\n']"
s58095298_16,p12185775,s58095298,16,Findings,"Endotracheal tube and nasogastric tube remain in standard position. Swan-Ganz catheter has been slightly withdrawn, with tip terminating in the central right hilar region. Left sided catheter has been removed, with no visible pneumothorax. Cardiac silhouette remains mildly enlarged, but previously reported mild edema has nearly resolved. Bibasilar retrocardiac atelectasis is present with some improvement on the left, and small left pleural effusion is unchanged.",Endotracheal tube and nasogastric tube remain in standard position.,Endotracheal tube and nasogastric tube,standard position,Stable,['files/p12/p12185775/s58095298/90eaadd7-6de5ffd4-601d0a6b-6495e636-4f893187.jpg'],"['files/p12/p12185775/s57910301/a7d5115b-c9749937-8502636c-ce1d2580-57e370dc.jpg\n', 'files/p12/p12185775/s57910301/e3ee1499-119d0bc0-6cddf725-9d2d60d8-d34f9fc7.jpg\n']"
s58095298_16,p12185775,s58095298,16,Findings,"Endotracheal tube and nasogastric tube remain in standard position. Swan-Ganz catheter has been slightly withdrawn, with tip terminating in the central right hilar region. Left sided catheter has been removed, with no visible pneumothorax. Cardiac silhouette remains mildly enlarged, but previously reported mild edema has nearly resolved. Bibasilar retrocardiac atelectasis is present with some improvement on the left, and small left pleural effusion is unchanged.","Swan-Ganz catheter has been slightly withdrawn, with tip terminating in the central right hilar region.",Swan-Ganz catheter,central right hilar region,Worse,['files/p12/p12185775/s58095298/90eaadd7-6de5ffd4-601d0a6b-6495e636-4f893187.jpg'],"['files/p12/p12185775/s57910301/a7d5115b-c9749937-8502636c-ce1d2580-57e370dc.jpg\n', 'files/p12/p12185775/s57910301/e3ee1499-119d0bc0-6cddf725-9d2d60d8-d34f9fc7.jpg\n']"
s58095298_16,p12185775,s58095298,16,Findings,"Endotracheal tube and nasogastric tube remain in standard position. Swan-Ganz catheter has been slightly withdrawn, with tip terminating in the central right hilar region. Left sided catheter has been removed, with no visible pneumothorax. Cardiac silhouette remains mildly enlarged, but previously reported mild edema has nearly resolved. Bibasilar retrocardiac atelectasis is present with some improvement on the left, and small left pleural effusion is unchanged.","Bibasilar retrocardiac atelectasis is present with some improvement on the left, and small left pleural effusion is unchanged.",small left pleural effusion,left,Stable,['files/p12/p12185775/s58095298/90eaadd7-6de5ffd4-601d0a6b-6495e636-4f893187.jpg'],"['files/p12/p12185775/s57910301/a7d5115b-c9749937-8502636c-ce1d2580-57e370dc.jpg\n', 'files/p12/p12185775/s57910301/e3ee1499-119d0bc0-6cddf725-9d2d60d8-d34f9fc7.jpg\n']"
s58095298_16,p12185775,s58095298,16,Findings,"Endotracheal tube and nasogastric tube remain in standard position. Swan-Ganz catheter has been slightly withdrawn, with tip terminating in the central right hilar region. Left sided catheter has been removed, with no visible pneumothorax. Cardiac silhouette remains mildly enlarged, but previously reported mild edema has nearly resolved. Bibasilar retrocardiac atelectasis is present with some improvement on the left, and small left pleural effusion is unchanged.","Left sided catheter has been removed, with no visible pneumothorax.",Left sided catheter,,Resolve,['files/p12/p12185775/s58095298/90eaadd7-6de5ffd4-601d0a6b-6495e636-4f893187.jpg'],"['files/p12/p12185775/s57910301/a7d5115b-c9749937-8502636c-ce1d2580-57e370dc.jpg\n', 'files/p12/p12185775/s57910301/e3ee1499-119d0bc0-6cddf725-9d2d60d8-d34f9fc7.jpg\n']"
s58095298_16,p12185775,s58095298,16,Findings,"Endotracheal tube and nasogastric tube remain in standard position. Swan-Ganz catheter has been slightly withdrawn, with tip terminating in the central right hilar region. Left sided catheter has been removed, with no visible pneumothorax. Cardiac silhouette remains mildly enlarged, but previously reported mild edema has nearly resolved. Bibasilar retrocardiac atelectasis is present with some improvement on the left, and small left pleural effusion is unchanged.","Cardiac silhouette remains mildly enlarged, but previously reported mild edema has nearly resolved.",Cardiac silhouette,,Stable,['files/p12/p12185775/s58095298/90eaadd7-6de5ffd4-601d0a6b-6495e636-4f893187.jpg'],"['files/p12/p12185775/s57910301/a7d5115b-c9749937-8502636c-ce1d2580-57e370dc.jpg\n', 'files/p12/p12185775/s57910301/e3ee1499-119d0bc0-6cddf725-9d2d60d8-d34f9fc7.jpg\n']"
s58096693_0,p16313531,s58096693,0,Findings,A frontal view of the chest was obtained. The patient is rotated. Slightly increased retrocardiac opacity is likely atelectasis although infection cannot be excluded in the appropriate clinical setting. There is linear atelectasis in the left mid lung. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes and hilar contours are stable allowing for patient position. No upper abdominal or osseous abnormality is identified.,Cardiac and mediastinal silhouettes and hilar contours are stable allowing for patient position.,silhouettes and hilar contours,Cardiac and mediastinal,Stable,['files/p16/p16313531/s58096693/5df5745b-a26b6124-07ab0ff7-a79cf0ca-d84b7fa1.jpg'],['files/p16/p16313531/s57570449/56a7703d-e485b8f2-cedb0b12-8138943c-86df9465.jpg\n']
s58100629_36,p12185775,s58100629,36,Impression,"In comparison with the study of ___, the monitoring and support devices are unchanged. There is again prominence of the cardiac silhouette with some indistinctness and pulmonary vessels consistent with elevated pulmonary venous pressure. Calcified granulomas are again noted in the left mid lung.","In comparison with the study of ___, the monitoring and support devices are unchanged.",monitoring and support devices,,Stable,['files/p12/p12185775/s58100629/8d36f63d-6e725615-3f005c82-5e0213ba-13cc3761.jpg'],['files/p12/p12185775/s58095298/90eaadd7-6de5ffd4-601d0a6b-6495e636-4f893187.jpg\n']
s58101766_1,p18487334,s58101766,1,Findings,The lungs are low in volume but clear. The cardiac silhouette is possibly mildly enlarged. Low lung volumes may be responsible for mild widening of the mediastinal silhouette. The hilar contours and pleural surfaces are normal. No pleural effusion is present. A left-sided pacer terminates with its leads in the right atrium and right ventricle. Non-standard placement of the right atrial lead is unchanged.,Non-standard placement of the right atrial lead is unchanged.,placement,right atrial lead,Stable,"['files/p18/p18487334/s58101766/216b9a6a-06dd1aae-5420ec84-72aaf098-05d214fb.jpg', 'files/p18/p18487334/s58101766/416e88d5-0e24d80f-a8cd5bca-aec8c184-e701a790.jpg', 'files/p18/p18487334/s58101766/d41fd229-31e66391-a11947ea-73b670a0-65824368.jpg']",['files/p18/p18487334/s57881979/ff8b2af5-e8c313a0-9caec8e9-f6a90929-3b53792a.jpg\n']
s58103596_4,p18338007,s58103596,4,Impression,New central vascular congestion with mild interstitial edema.,New central vascular congestion with mild interstitial edema.,vascular congestion and interstitial edema,central,New,"['files/p18/p18338007/s58103596/053ef377-da66ede4-ca590556-c5ee239e-a4d98f53.jpg', 'files/p18/p18338007/s58103596/aa9371dd-52fdb59b-0cafade1-142e3fc3-116591ab.jpg']","['files/p18/p18338007/s58003864/20973f59-31a0c792-a3f0870b-bebcadce-934a76f3.jpg\n', 'files/p18/p18338007/s58003864/50c4c3e6-d6b87643-54baada6-a0fddb5a-90bc4307.jpg\n']"
s58103596_4,p18338007,s58103596,4,Findings,"Again seen is marked elevation of the left hemidiaphragm, with adjacent compressive atelectasis. Gas is seen within the splenic flexure. There is mild central pulmonary vascular congestion with mild interstitial edema, new since ___. There is no pneumothorax or pleural effusion. The heart size is normal.","Again seen is marked elevation of the left hemidiaphragm, with adjacent compressive atelectasis.",elevation of the hemidiaphragm,left,Stable,"['files/p18/p18338007/s58103596/053ef377-da66ede4-ca590556-c5ee239e-a4d98f53.jpg', 'files/p18/p18338007/s58103596/aa9371dd-52fdb59b-0cafade1-142e3fc3-116591ab.jpg']","['files/p18/p18338007/s58003864/20973f59-31a0c792-a3f0870b-bebcadce-934a76f3.jpg\n', 'files/p18/p18338007/s58003864/50c4c3e6-d6b87643-54baada6-a0fddb5a-90bc4307.jpg\n']"
s58103596_4,p18338007,s58103596,4,Findings,"Again seen is marked elevation of the left hemidiaphragm, with adjacent compressive atelectasis. Gas is seen within the splenic flexure. There is mild central pulmonary vascular congestion with mild interstitial edema, new since ___. There is no pneumothorax or pleural effusion. The heart size is normal.","There is mild central pulmonary vascular congestion with mild interstitial edema, new since ___.",pulmonary vascular congestion and interstitial edema,central,New,"['files/p18/p18338007/s58103596/053ef377-da66ede4-ca590556-c5ee239e-a4d98f53.jpg', 'files/p18/p18338007/s58103596/aa9371dd-52fdb59b-0cafade1-142e3fc3-116591ab.jpg']","['files/p18/p18338007/s58003864/20973f59-31a0c792-a3f0870b-bebcadce-934a76f3.jpg\n', 'files/p18/p18338007/s58003864/50c4c3e6-d6b87643-54baada6-a0fddb5a-90bc4307.jpg\n']"
s58103833_31,p14851532,s58103833,31,Impression,"1. Persistent small bilateral pleural effusions, right greater than left. 2. Slight interval improvement in the mild to moderate pulmonary edema.","1. Persistent small bilateral pleural effusions, right greater than left.",pleural effusions,bilateral,Stable,"['files/p14/p14851532/s58103833/445b99e9-01f5072d-77cc64c9-359902d0-e84c80c3.jpg', 'files/p14/p14851532/s58103833/98e37146-ef23f4c1-ac601a1a-cac4868a-80a0d673.jpg']","['files/p14/p14851532/s58000887/7d620442-deb05a77-a0f55a7e-f9f1d0e1-99509e35.jpg\n', 'files/p14/p14851532/s58000887/8ad1de13-f6b65ae3-08e07682-ee626313-1ac6876a.jpg\n']"
s58103833_31,p14851532,s58103833,31,Findings,"Top-normal heart size is unchanged compared to prior exams dating back to ___. There is mild perihilar fullness, slightly improved compared to the prior exam. Small bilateral pleural effusions, right greater than left are persistent. Coronary calcifications or stent are identified. Scarring projecting over the mid left lung is persistent. Mild bibasilar atelectasis is unchanged. Right-sided PICC line appears to terminate in the mid SVC. There is no evidence of a pneumothorax.",Mild bibasilar atelectasis is unchanged.,atelectasis,bibasilar,Stable,"['files/p14/p14851532/s58103833/445b99e9-01f5072d-77cc64c9-359902d0-e84c80c3.jpg', 'files/p14/p14851532/s58103833/98e37146-ef23f4c1-ac601a1a-cac4868a-80a0d673.jpg']","['files/p14/p14851532/s58000887/7d620442-deb05a77-a0f55a7e-f9f1d0e1-99509e35.jpg\n', 'files/p14/p14851532/s58000887/8ad1de13-f6b65ae3-08e07682-ee626313-1ac6876a.jpg\n']"
s58103833_31,p14851532,s58103833,31,Findings,"Top-normal heart size is unchanged compared to prior exams dating back to ___. There is mild perihilar fullness, slightly improved compared to the prior exam. Small bilateral pleural effusions, right greater than left are persistent. Coronary calcifications or stent are identified. Scarring projecting over the mid left lung is persistent. Mild bibasilar atelectasis is unchanged. Right-sided PICC line appears to terminate in the mid SVC. There is no evidence of a pneumothorax.","There is mild perihilar fullness, slightly improved compared to the prior exam.",fullness,perihilar,Better,"['files/p14/p14851532/s58103833/445b99e9-01f5072d-77cc64c9-359902d0-e84c80c3.jpg', 'files/p14/p14851532/s58103833/98e37146-ef23f4c1-ac601a1a-cac4868a-80a0d673.jpg']","['files/p14/p14851532/s58000887/7d620442-deb05a77-a0f55a7e-f9f1d0e1-99509e35.jpg\n', 'files/p14/p14851532/s58000887/8ad1de13-f6b65ae3-08e07682-ee626313-1ac6876a.jpg\n']"
s58103833_31,p14851532,s58103833,31,Findings,"Top-normal heart size is unchanged compared to prior exams dating back to ___. There is mild perihilar fullness, slightly improved compared to the prior exam. Small bilateral pleural effusions, right greater than left are persistent. Coronary calcifications or stent are identified. Scarring projecting over the mid left lung is persistent. Mild bibasilar atelectasis is unchanged. Right-sided PICC line appears to terminate in the mid SVC. There is no evidence of a pneumothorax.","Small bilateral pleural effusions, right greater than left are persistent.",pleural effusions,bilateral,Stable,"['files/p14/p14851532/s58103833/445b99e9-01f5072d-77cc64c9-359902d0-e84c80c3.jpg', 'files/p14/p14851532/s58103833/98e37146-ef23f4c1-ac601a1a-cac4868a-80a0d673.jpg']","['files/p14/p14851532/s58000887/7d620442-deb05a77-a0f55a7e-f9f1d0e1-99509e35.jpg\n', 'files/p14/p14851532/s58000887/8ad1de13-f6b65ae3-08e07682-ee626313-1ac6876a.jpg\n']"
s58103833_31,p14851532,s58103833,31,Findings,"Top-normal heart size is unchanged compared to prior exams dating back to ___. There is mild perihilar fullness, slightly improved compared to the prior exam. Small bilateral pleural effusions, right greater than left are persistent. Coronary calcifications or stent are identified. Scarring projecting over the mid left lung is persistent. Mild bibasilar atelectasis is unchanged. Right-sided PICC line appears to terminate in the mid SVC. There is no evidence of a pneumothorax.",Top-normal heart size is unchanged compared to prior exams dating back to ___.,Heart size,,Stable,"['files/p14/p14851532/s58103833/445b99e9-01f5072d-77cc64c9-359902d0-e84c80c3.jpg', 'files/p14/p14851532/s58103833/98e37146-ef23f4c1-ac601a1a-cac4868a-80a0d673.jpg']","['files/p14/p14851532/s58000887/7d620442-deb05a77-a0f55a7e-f9f1d0e1-99509e35.jpg\n', 'files/p14/p14851532/s58000887/8ad1de13-f6b65ae3-08e07682-ee626313-1ac6876a.jpg\n']"
s58103833_31,p14851532,s58103833,31,Findings,"Top-normal heart size is unchanged compared to prior exams dating back to ___. There is mild perihilar fullness, slightly improved compared to the prior exam. Small bilateral pleural effusions, right greater than left are persistent. Coronary calcifications or stent are identified. Scarring projecting over the mid left lung is persistent. Mild bibasilar atelectasis is unchanged. Right-sided PICC line appears to terminate in the mid SVC. There is no evidence of a pneumothorax.",Scarring projecting over the mid left lung is persistent.,Scarring,mid left lung,Stable,"['files/p14/p14851532/s58103833/445b99e9-01f5072d-77cc64c9-359902d0-e84c80c3.jpg', 'files/p14/p14851532/s58103833/98e37146-ef23f4c1-ac601a1a-cac4868a-80a0d673.jpg']","['files/p14/p14851532/s58000887/7d620442-deb05a77-a0f55a7e-f9f1d0e1-99509e35.jpg\n', 'files/p14/p14851532/s58000887/8ad1de13-f6b65ae3-08e07682-ee626313-1ac6876a.jpg\n']"
s58103833_31,p14851532,s58103833,31,Impression,"1. Persistent small bilateral pleural effusions, right greater than left. 2. Slight interval improvement in the mild to moderate pulmonary edema.",2. Slight interval improvement in the mild to moderate pulmonary edema.,pulmonary edema,,Better,"['files/p14/p14851532/s58103833/445b99e9-01f5072d-77cc64c9-359902d0-e84c80c3.jpg', 'files/p14/p14851532/s58103833/98e37146-ef23f4c1-ac601a1a-cac4868a-80a0d673.jpg']","['files/p14/p14851532/s58000887/7d620442-deb05a77-a0f55a7e-f9f1d0e1-99509e35.jpg\n', 'files/p14/p14851532/s58000887/8ad1de13-f6b65ae3-08e07682-ee626313-1ac6876a.jpg\n']"
s58106953_22,p16043637,s58106953,22,Impression,"In comparison with the study of ___, the right PICC line has migrated outward so that the tip is with in the axillary region, outside of the chest cavity. Otherwise little change.","In comparison with the study of ___, the right PICC line has migrated outward so that the tip is with in the axillary region, outside of the chest cavity.",PICC line migration,Right axillary region,Worse,['files/p16/p16043637/s58106953/3ce5c898-0662e770-176651fe-92d12c6e-a6d793f8.jpg'],"['files/p16/p16043637/s57929429/02459e00-c32b7e61-1d7eaf5a-b10fc8f6-063f7d90.jpg\n', 'files/p16/p16043637/s57929429/4121b513-0b19d16a-eae78b94-9ad9e2c6-d0f50262.jpg\n']"
s58107496_2,p13606683,s58107496,2,Findings,"PA and lateral views of the chest are compared to previous exams from ___ and ___. Linear opacities at the left greater than right base are suggestive of subsegmental atelectasis. Mildly indistinct pulmonary vascular markings are seen suggestive of mild failure; however, there is no definite confluent consolidation. Small left pleural effusion is seen. Cardiac silhouette is enlarged but stable. Again seen is a prosthetic valve. Median sternotomy wires are again seen with fracture at the inferior most wire. Osseous and soft tissue structures are otherwise unremarkable.",Cardiac silhouette is enlarged but stable.,Cardiac silhouette enlargement,,Stable,"['files/p13/p13606683/s58107496/0afcec8c-ff907096-444a6e0c-19b6823e-0953d8b5.jpg', 'files/p13/p13606683/s58107496/9aa3498d-70f8a9a5-132f5a2b-bb7c2837-2653ee2d.jpg', 'files/p13/p13606683/s58107496/bf010702-69e984da-d0e9d988-cb6dbed8-1f759220.jpg', 'files/p13/p13606683/s58107496/d03946f6-e754867a-37047566-61f55fee-16408685.jpg']",['files/p13/p13606683/s58039737/4a5f0ca9-a2d5198d-f01da2b2-1477e643-9b23e5ee.jpg\n']
s58117612_3,p10402372,s58117612,3,Impression,"PA and lateral chest compared to ___: Slight hyperinflation, chest CTA prior to surgery did not show emphysema. It did show mild to moderately severe bronchiectasis, particularly in the left lower lobe. Postoperatively, left lower lobe consolidation is probably due to atelectasis, stable since ___. There is new peribronchial opacification on the right, conceivably aspiration. Exacerbation of bronchiectasis is another possibility. There is no pulmonary edema, and the upper lungs are clear. Tiny left pleural effusion is of no clinical significance. Heart size is normal.","There is new peribronchial opacification on the right, conceivably aspiration.",peribronchial opacification,right,New,"['files/p10/p10402372/s58117612/34fcf711-355f24f3-53a8dbc6-97730735-1d046d5a.jpg', 'files/p10/p10402372/s58117612/d9178fb7-5642042d-3553ab93-d4002d32-a1a9a012.jpg']",['files/p10/p10402372/s57949791/080eb78a-c3c3f369-1eaacd39-7f6cc416-8810586c.jpg\n']
s58117612_3,p10402372,s58117612,3,Impression,"PA and lateral chest compared to ___: Slight hyperinflation, chest CTA prior to surgery did not show emphysema. It did show mild to moderately severe bronchiectasis, particularly in the left lower lobe. Postoperatively, left lower lobe consolidation is probably due to atelectasis, stable since ___. There is new peribronchial opacification on the right, conceivably aspiration. Exacerbation of bronchiectasis is another possibility. There is no pulmonary edema, and the upper lungs are clear. Tiny left pleural effusion is of no clinical significance. Heart size is normal.","Postoperatively, left lower lobe consolidation is probably due to atelectasis, stable since ___.",consolidation due to atelectasis,left lower lobe,Stable,"['files/p10/p10402372/s58117612/34fcf711-355f24f3-53a8dbc6-97730735-1d046d5a.jpg', 'files/p10/p10402372/s58117612/d9178fb7-5642042d-3553ab93-d4002d32-a1a9a012.jpg']",['files/p10/p10402372/s57949791/080eb78a-c3c3f369-1eaacd39-7f6cc416-8810586c.jpg\n']
s58125581_1,p19565653,s58125581,1,Findings,"There is a greater degree of right lower lobe consolidation which, in comparison to the ___ radiographs, obscures the right hemidiaphragm to a greater degree. There is overlying right basilar atelectasis. The right hemidiaphragm is staby elevated. The remainder of the right lung is clear. There is stable left basilar atelectasis, but the left lung is otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascular markings are normal.","There is stable left basilar atelectasis, but the left lung is otherwise clear.",atelectasis,left basilar,Stable,"['files/p19/p19565653/s58125581/060cf092-fe76bdf7-19fee515-26cbef2c-5c16ba6f.jpg', 'files/p19/p19565653/s58125581/140899e2-c3230cef-e97309b0-5b41fbea-af32d87a.jpg']",['files/p19/p19565653/s56188631/d2d3a213-793a92c9-4c2f0695-bf38104e-033b7d22.jpg\n']
s58125581_1,p19565653,s58125581,1,Findings,"There is a greater degree of right lower lobe consolidation which, in comparison to the ___ radiographs, obscures the right hemidiaphragm to a greater degree. There is overlying right basilar atelectasis. The right hemidiaphragm is staby elevated. The remainder of the right lung is clear. There is stable left basilar atelectasis, but the left lung is otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascular markings are normal.",The right hemidiaphragm is stably elevated.,elevation,right hemidiaphragm,Stable,"['files/p19/p19565653/s58125581/060cf092-fe76bdf7-19fee515-26cbef2c-5c16ba6f.jpg', 'files/p19/p19565653/s58125581/140899e2-c3230cef-e97309b0-5b41fbea-af32d87a.jpg']",['files/p19/p19565653/s56188631/d2d3a213-793a92c9-4c2f0695-bf38104e-033b7d22.jpg\n']
s58125581_1,p19565653,s58125581,1,Findings,"There is a greater degree of right lower lobe consolidation which, in comparison to the ___ radiographs, obscures the right hemidiaphragm to a greater degree. There is overlying right basilar atelectasis. The right hemidiaphragm is staby elevated. The remainder of the right lung is clear. There is stable left basilar atelectasis, but the left lung is otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascular markings are normal.","There is a greater degree of right lower lobe consolidation which, in comparison to the ___ radiographs, obscures the right hemidiaphragm to a greater degree.",consolidation,right lower lobe,Worse,"['files/p19/p19565653/s58125581/060cf092-fe76bdf7-19fee515-26cbef2c-5c16ba6f.jpg', 'files/p19/p19565653/s58125581/140899e2-c3230cef-e97309b0-5b41fbea-af32d87a.jpg']",['files/p19/p19565653/s56188631/d2d3a213-793a92c9-4c2f0695-bf38104e-033b7d22.jpg\n']
s58127477_12,p13896515,s58127477,12,Findings,"In comparison with study of ___, there has been some decrease in the area of airspace consolidation in the left upper zone, consistent with some improvement in a left upper lobe pneumonia. The remainder of the study is unchanged.",The remainder of the study is unchanged.,remainder of the study,,Stable,"['files/p13/p13896515/s58127477/106523df-7e5cdd25-a3523b28-f80e71b7-4ed5143c.jpg', 'files/p13/p13896515/s58127477/43a3b295-a7cbe128-6c0df857-bf74ada4-4bdfe3e2.jpg']",['files/p13/p13896515/s58088717/4f4c1ed7-5e3e7b32-534f3142-60dfa8a1-b5350381.jpg\n']
s58127477_12,p13896515,s58127477,12,Findings,"In comparison with study of ___, there has been some decrease in the area of airspace consolidation in the left upper zone, consistent with some improvement in a left upper lobe pneumonia. The remainder of the study is unchanged.","In comparison with study of ___, there has been some decrease in the area of airspace consolidation in the left upper zone, consistent with some improvement in a left upper lobe pneumonia.",airspace consolidation,left upper zone,Better,"['files/p13/p13896515/s58127477/106523df-7e5cdd25-a3523b28-f80e71b7-4ed5143c.jpg', 'files/p13/p13896515/s58127477/43a3b295-a7cbe128-6c0df857-bf74ada4-4bdfe3e2.jpg']",['files/p13/p13896515/s58088717/4f4c1ed7-5e3e7b32-534f3142-60dfa8a1-b5350381.jpg\n']
s58128416_22,p19759491,s58128416,22,Findings,Left-sided pacer device is stable in position. Left-sided central venous catheter is also stable in position. Enlarged cardiomediastinal silhouette is again seen. Patient is status post median sternotomy and cardiac valve replacement. There is mild pulmonary vascular congestion/interstitial edema and a small left pleural effusion. Trace right pleural effusion is difficult to exclude. Evidence of old left-sided rib fractures is seen.,Left-sided pacer device is stable in position.,pacer device,left-sided,Stable,"['files/p19/p19759491/s58128416/4d570d20-1f80af86-1855ab56-6d99bc9a-cd105562.jpg', 'files/p19/p19759491/s58128416/b59f061e-d6f55ed3-4b378603-f6d62e26-30d07d1c.jpg']",['files/p19/p19759491/s55578653/6d3bfa82-e23e5cc3-0ffb37e5-cd4bd075-a922da89.jpg\n']
s58128416_22,p19759491,s58128416,22,Findings,Left-sided pacer device is stable in position. Left-sided central venous catheter is also stable in position. Enlarged cardiomediastinal silhouette is again seen. Patient is status post median sternotomy and cardiac valve replacement. There is mild pulmonary vascular congestion/interstitial edema and a small left pleural effusion. Trace right pleural effusion is difficult to exclude. Evidence of old left-sided rib fractures is seen.,Enlarged cardiomediastinal silhouette is again seen.,cardiomediastinal silhouette,,Stable,"['files/p19/p19759491/s58128416/4d570d20-1f80af86-1855ab56-6d99bc9a-cd105562.jpg', 'files/p19/p19759491/s58128416/b59f061e-d6f55ed3-4b378603-f6d62e26-30d07d1c.jpg']",['files/p19/p19759491/s55578653/6d3bfa82-e23e5cc3-0ffb37e5-cd4bd075-a922da89.jpg\n']
s58128416_22,p19759491,s58128416,22,Impression,Left-sided pacer device is stable in position. Left-sided central venous catheter is also stable in position. Enlarged cardiomediastinal silhouette is again seen. Patient is status post median sternotomy and cardiac valve replacement. There is mild pulmonary vascular congestion/interstitial edema and a small left pleural effusion. Trace right pleural effusion is difficult to exclude. Evidence of old left-sided rib fractures is seen.,Left-sided central venous catheter is also stable in position.,central venous catheter,left-sided,Stable,"['files/p19/p19759491/s58128416/4d570d20-1f80af86-1855ab56-6d99bc9a-cd105562.jpg', 'files/p19/p19759491/s58128416/b59f061e-d6f55ed3-4b378603-f6d62e26-30d07d1c.jpg']",['files/p19/p19759491/s55578653/6d3bfa82-e23e5cc3-0ffb37e5-cd4bd075-a922da89.jpg\n']
s58128416_22,p19759491,s58128416,22,Impression,Left-sided pacer device is stable in position. Left-sided central venous catheter is also stable in position. Enlarged cardiomediastinal silhouette is again seen. Patient is status post median sternotomy and cardiac valve replacement. There is mild pulmonary vascular congestion/interstitial edema and a small left pleural effusion. Trace right pleural effusion is difficult to exclude. Evidence of old left-sided rib fractures is seen.,Left-sided pacer device is stable in position.,pacer device,left-sided,Stable,"['files/p19/p19759491/s58128416/4d570d20-1f80af86-1855ab56-6d99bc9a-cd105562.jpg', 'files/p19/p19759491/s58128416/b59f061e-d6f55ed3-4b378603-f6d62e26-30d07d1c.jpg']",['files/p19/p19759491/s55578653/6d3bfa82-e23e5cc3-0ffb37e5-cd4bd075-a922da89.jpg\n']
s58128416_22,p19759491,s58128416,22,Findings,Left-sided pacer device is stable in position. Left-sided central venous catheter is also stable in position. Enlarged cardiomediastinal silhouette is again seen. Patient is status post median sternotomy and cardiac valve replacement. There is mild pulmonary vascular congestion/interstitial edema and a small left pleural effusion. Trace right pleural effusion is difficult to exclude. Evidence of old left-sided rib fractures is seen.,Left-sided central venous catheter is also stable in position.,central venous catheter,left-sided,Stable,"['files/p19/p19759491/s58128416/4d570d20-1f80af86-1855ab56-6d99bc9a-cd105562.jpg', 'files/p19/p19759491/s58128416/b59f061e-d6f55ed3-4b378603-f6d62e26-30d07d1c.jpg']",['files/p19/p19759491/s55578653/6d3bfa82-e23e5cc3-0ffb37e5-cd4bd075-a922da89.jpg\n']
s58128416_22,p19759491,s58128416,22,Impression,Left-sided pacer device is stable in position. Left-sided central venous catheter is also stable in position. Enlarged cardiomediastinal silhouette is again seen. Patient is status post median sternotomy and cardiac valve replacement. There is mild pulmonary vascular congestion/interstitial edema and a small left pleural effusion. Trace right pleural effusion is difficult to exclude. Evidence of old left-sided rib fractures is seen.,Enlarged cardiomediastinal silhouette is again seen.,cardiomediastinal silhouette,,Stable,"['files/p19/p19759491/s58128416/4d570d20-1f80af86-1855ab56-6d99bc9a-cd105562.jpg', 'files/p19/p19759491/s58128416/b59f061e-d6f55ed3-4b378603-f6d62e26-30d07d1c.jpg']",['files/p19/p19759491/s55578653/6d3bfa82-e23e5cc3-0ffb37e5-cd4bd075-a922da89.jpg\n']
s58139207_41,p12185775,s58139207,41,Impression,"In comparison with the study of ___, the cardiac silhouette is mildly enlarged but there is no evidence of vascular congestion or pleural effusion. No definite acute focal pneumonia. Calcified granulomas are seen in the left lung and hilar region.","In comparison with the study of ___, the cardiac silhouette is mildly enlarged but there is no evidence of vascular congestion or pleural effusion.",cardiac silhouette,,Worse,"['files/p12/p12185775/s58139207/5ebf3a98-2fdc1c16-d32e8ba7-94bde652-ea7da77c.jpg', 'files/p12/p12185775/s58139207/84a95f3a-a7060282-499a7492-bc0c8ebd-3fb68b34.jpg']",['files/p12/p12185775/s58100629/8d36f63d-6e725615-3f005c82-5e0213ba-13cc3761.jpg\n']
s58141612_1,p17962324,s58141612,1,Impression,"AP chest compared to ___ and ___. Mild cardiomegaly is new, but there is no pulmonary edema or pleural effusion. Aside from mild left infrahilar atelectasis, lungs are clear and there is no pleural effusion or pneumothorax. Left upper quadrant drain in place.","Mild cardiomegaly is new, but there is no pulmonary edema or pleural effusion.",Mild cardiomegaly,,New,['files/p17/p17962324/s58141612/b5f871d3-8702f640-44c08eed-e1b45081-74211f61.jpg'],['files/p17/p17962324/s56599347/2e25b67d-2fe26860-9bd31e83-0ae5d783-44e5bc1e.jpg\n']
s58143212_16,p13352405,s58143212,16,Findings,"In comparison with study of ___, there is little overall change. The two right chest tubes remain in place and there is no evidence of pneumothorax. Opacification at the right base with blunting of the costophrenic angle is again seen. The left lung is clear and there is evidence of old healed rib fractures.","In comparison with study of ___, there is little overall change.",overall condition,,Stable,"['files/p13/p13352405/s58143212/06dffd2d-fb7ae39b-dc116fd7-677c6133-de43815b.jpg', 'files/p13/p13352405/s58143212/28ae778d-8cbc60eb-32962bb3-f25cb5be-31bb9242.jpg']","['files/p13/p13352405/s57908576/2adf8a50-822eefe5-c6cd6afc-03067162-0e13c6af.jpg\n', 'files/p13/p13352405/s57908576/833af053-d28a9f68-f624c5c0-dae1203f-3952d8a4.jpg\n']"
s58143212_16,p13352405,s58143212,16,Findings,"In comparison with study of ___, there is little overall change. The two right chest tubes remain in place and there is no evidence of pneumothorax. Opacification at the right base with blunting of the costophrenic angle is again seen. The left lung is clear and there is evidence of old healed rib fractures.",Opacification at the right base with blunting of the costophrenic angle is again seen.,Opacification with blunting of the costophrenic angle,right base,Stable,"['files/p13/p13352405/s58143212/06dffd2d-fb7ae39b-dc116fd7-677c6133-de43815b.jpg', 'files/p13/p13352405/s58143212/28ae778d-8cbc60eb-32962bb3-f25cb5be-31bb9242.jpg']","['files/p13/p13352405/s57908576/2adf8a50-822eefe5-c6cd6afc-03067162-0e13c6af.jpg\n', 'files/p13/p13352405/s57908576/833af053-d28a9f68-f624c5c0-dae1203f-3952d8a4.jpg\n']"
s58143212_16,p13352405,s58143212,16,Findings,"In comparison with study of ___, there is little overall change. The two right chest tubes remain in place and there is no evidence of pneumothorax. Opacification at the right base with blunting of the costophrenic angle is again seen. The left lung is clear and there is evidence of old healed rib fractures.",The left lung is clear and there is evidence of old healed rib fractures.,healed rib fractures,left lung,Stable,"['files/p13/p13352405/s58143212/06dffd2d-fb7ae39b-dc116fd7-677c6133-de43815b.jpg', 'files/p13/p13352405/s58143212/28ae778d-8cbc60eb-32962bb3-f25cb5be-31bb9242.jpg']","['files/p13/p13352405/s57908576/2adf8a50-822eefe5-c6cd6afc-03067162-0e13c6af.jpg\n', 'files/p13/p13352405/s57908576/833af053-d28a9f68-f624c5c0-dae1203f-3952d8a4.jpg\n']"
s58143212_16,p13352405,s58143212,16,Findings,"In comparison with study of ___, there is little overall change. The two right chest tubes remain in place and there is no evidence of pneumothorax. Opacification at the right base with blunting of the costophrenic angle is again seen. The left lung is clear and there is evidence of old healed rib fractures.",The two right chest tubes remain in place and there is no evidence of pneumothorax.,chest tubes,right,Stable,"['files/p13/p13352405/s58143212/06dffd2d-fb7ae39b-dc116fd7-677c6133-de43815b.jpg', 'files/p13/p13352405/s58143212/28ae778d-8cbc60eb-32962bb3-f25cb5be-31bb9242.jpg']","['files/p13/p13352405/s57908576/2adf8a50-822eefe5-c6cd6afc-03067162-0e13c6af.jpg\n', 'files/p13/p13352405/s57908576/833af053-d28a9f68-f624c5c0-dae1203f-3952d8a4.jpg\n']"
s58144042_49,p14851532,s58144042,49,Impression,Moderate cardiomegaly is a stable. Small bilateral effusions are decreased on the right and stable on the left. Bibasilar adjacent atelectasis have improved on the right. Pulmonary edema has almost completely resolved. There is no pneumothorax. multiple bilateral ill-defined nodular opacities and a larger opacity in the left mid lung were better evaluated on CT. Continued followup is recommended. Patient has known emphysema.,Small bilateral effusions are decreased on the right and stable on the left,effusions,right,Better,"['files/p14/p14851532/s58144042/c973cc75-e43e939d-63395fb7-0e75eeb1-8abb0081.jpg', 'files/p14/p14851532/s58144042/fae2e3e4-fb1118b6-9abcc0a5-ec258b84-3671366e.jpg']","['files/p14/p14851532/s58103833/445b99e9-01f5072d-77cc64c9-359902d0-e84c80c3.jpg\n', 'files/p14/p14851532/s58103833/98e37146-ef23f4c1-ac601a1a-cac4868a-80a0d673.jpg\n']"
s58144042_49,p14851532,s58144042,49,Impression,Moderate cardiomegaly is a stable. Small bilateral effusions are decreased on the right and stable on the left. Bibasilar adjacent atelectasis have improved on the right. Pulmonary edema has almost completely resolved. There is no pneumothorax. multiple bilateral ill-defined nodular opacities and a larger opacity in the left mid lung were better evaluated on CT. Continued followup is recommended. Patient has known emphysema.,Bibasilar adjacent atelectasis have improved on the right,atelectasis,right,Better,"['files/p14/p14851532/s58144042/c973cc75-e43e939d-63395fb7-0e75eeb1-8abb0081.jpg', 'files/p14/p14851532/s58144042/fae2e3e4-fb1118b6-9abcc0a5-ec258b84-3671366e.jpg']","['files/p14/p14851532/s58103833/445b99e9-01f5072d-77cc64c9-359902d0-e84c80c3.jpg\n', 'files/p14/p14851532/s58103833/98e37146-ef23f4c1-ac601a1a-cac4868a-80a0d673.jpg\n']"
s58144042_49,p14851532,s58144042,49,Impression,Moderate cardiomegaly is a stable. Small bilateral effusions are decreased on the right and stable on the left. Bibasilar adjacent atelectasis have improved on the right. Pulmonary edema has almost completely resolved. There is no pneumothorax. multiple bilateral ill-defined nodular opacities and a larger opacity in the left mid lung were better evaluated on CT. Continued followup is recommended. Patient has known emphysema.,Moderate cardiomegaly is a stable,cardiomegaly,,Stable,"['files/p14/p14851532/s58144042/c973cc75-e43e939d-63395fb7-0e75eeb1-8abb0081.jpg', 'files/p14/p14851532/s58144042/fae2e3e4-fb1118b6-9abcc0a5-ec258b84-3671366e.jpg']","['files/p14/p14851532/s58103833/445b99e9-01f5072d-77cc64c9-359902d0-e84c80c3.jpg\n', 'files/p14/p14851532/s58103833/98e37146-ef23f4c1-ac601a1a-cac4868a-80a0d673.jpg\n']"
s58144042_49,p14851532,s58144042,49,Impression,Moderate cardiomegaly is a stable. Small bilateral effusions are decreased on the right and stable on the left. Bibasilar adjacent atelectasis have improved on the right. Pulmonary edema has almost completely resolved. There is no pneumothorax. multiple bilateral ill-defined nodular opacities and a larger opacity in the left mid lung were better evaluated on CT. Continued followup is recommended. Patient has known emphysema.,Pulmonary edema has almost completely resolved,pulmonary edema,,Resolve,"['files/p14/p14851532/s58144042/c973cc75-e43e939d-63395fb7-0e75eeb1-8abb0081.jpg', 'files/p14/p14851532/s58144042/fae2e3e4-fb1118b6-9abcc0a5-ec258b84-3671366e.jpg']","['files/p14/p14851532/s58103833/445b99e9-01f5072d-77cc64c9-359902d0-e84c80c3.jpg\n', 'files/p14/p14851532/s58103833/98e37146-ef23f4c1-ac601a1a-cac4868a-80a0d673.jpg\n']"
s58144042_49,p14851532,s58144042,49,Impression,Moderate cardiomegaly is a stable. Small bilateral effusions are decreased on the right and stable on the left. Bibasilar adjacent atelectasis have improved on the right. Pulmonary edema has almost completely resolved. There is no pneumothorax. multiple bilateral ill-defined nodular opacities and a larger opacity in the left mid lung were better evaluated on CT. Continued followup is recommended. Patient has known emphysema.,Small bilateral effusions are decreased on the right and stable on the left,effusions,left,Stable,"['files/p14/p14851532/s58144042/c973cc75-e43e939d-63395fb7-0e75eeb1-8abb0081.jpg', 'files/p14/p14851532/s58144042/fae2e3e4-fb1118b6-9abcc0a5-ec258b84-3671366e.jpg']","['files/p14/p14851532/s58103833/445b99e9-01f5072d-77cc64c9-359902d0-e84c80c3.jpg\n', 'files/p14/p14851532/s58103833/98e37146-ef23f4c1-ac601a1a-cac4868a-80a0d673.jpg\n']"
s58144724_23,p16043637,s58144724,23,Findings,"The left-sided PICC line tip the is not visualized due to overlap of the pacer wires. Dual lead pacemaker is in similar position. The patient has had prior sternotomy and aortic valve repair. The lungs are clear, no interstitial edema or consolidation. The cardiomediastinal silhouette is not enlarged. No pleural effusions or pneumothorax.",Dual lead pacemaker is in similar position.,Dual lead pacemaker,,Stable,['files/p16/p16043637/s58144724/cd986c7a-427ddb9f-9727cd08-4715c210-8b6ffc50.jpg'],['files/p16/p16043637/s58121758/e84c9b1f-a3692bc5-ec24fb5f-c4874a9d-79cada2a.jpg\n']
s58145542_54,p15131736,s58145542,54,Findings,"Compared with the earlier study, a new endotracheal tube terminates 4.0 cm above the carina. Lobe lung volumes are re- demonstrated, with cardiomegaly, mild to moderate pulmonary edema, and persistent hilar congestion. No large pleural effusions or pneumothorax on this limited scan. A presumed enteric tube courses be low the left hemidiaphragm another view.","Lobe lung volumes are re- demonstrated, with cardiomegaly, mild to moderate pulmonary edema, and persistent hilar congestion.",Pulmonary edema,,Stable,['files/p15/p15131736/s58145542/b031566e-064ee571-7c0e1804-9509e4ce-e8c2fd74.jpg'],['files/p15/p15131736/s57913253/e81642df-ca0321d7-9a90c5ce-db185fb3-f79598ce.jpg\n']
s58145542_54,p15131736,s58145542,54,Findings,"Compared with the earlier study, a new endotracheal tube terminates 4.0 cm above the carina. Lobe lung volumes are re- demonstrated, with cardiomegaly, mild to moderate pulmonary edema, and persistent hilar congestion. No large pleural effusions or pneumothorax on this limited scan. A presumed enteric tube courses be low the left hemidiaphragm another view.","Compared with the earlier study, a new endotracheal tube terminates 4.0 cm above the carina.",Endotracheal tube,4.0 cm above the carina,New,['files/p15/p15131736/s58145542/b031566e-064ee571-7c0e1804-9509e4ce-e8c2fd74.jpg'],['files/p15/p15131736/s57913253/e81642df-ca0321d7-9a90c5ce-db185fb3-f79598ce.jpg\n']
s58145542_54,p15131736,s58145542,54,Findings,"Compared with the earlier study, a new endotracheal tube terminates 4.0 cm above the carina. Lobe lung volumes are re- demonstrated, with cardiomegaly, mild to moderate pulmonary edema, and persistent hilar congestion. No large pleural effusions or pneumothorax on this limited scan. A presumed enteric tube courses be low the left hemidiaphragm another view.","Lobe lung volumes are re- demonstrated, with cardiomegaly, mild to moderate pulmonary edema, and persistent hilar congestion.",Lobe lung volumes,,Stable,['files/p15/p15131736/s58145542/b031566e-064ee571-7c0e1804-9509e4ce-e8c2fd74.jpg'],['files/p15/p15131736/s57913253/e81642df-ca0321d7-9a90c5ce-db185fb3-f79598ce.jpg\n']
s58145542_54,p15131736,s58145542,54,Findings,"Compared with the earlier study, a new endotracheal tube terminates 4.0 cm above the carina. Lobe lung volumes are re- demonstrated, with cardiomegaly, mild to moderate pulmonary edema, and persistent hilar congestion. No large pleural effusions or pneumothorax on this limited scan. A presumed enteric tube courses be low the left hemidiaphragm another view.","Lobe lung volumes are re- demonstrated, with cardiomegaly, mild to moderate pulmonary edema, and persistent hilar congestion.",Cardiomegaly,,Stable,['files/p15/p15131736/s58145542/b031566e-064ee571-7c0e1804-9509e4ce-e8c2fd74.jpg'],['files/p15/p15131736/s57913253/e81642df-ca0321d7-9a90c5ce-db185fb3-f79598ce.jpg\n']
s58145542_54,p15131736,s58145542,54,Findings,"Compared with the earlier study, a new endotracheal tube terminates 4.0 cm above the carina. Lobe lung volumes are re- demonstrated, with cardiomegaly, mild to moderate pulmonary edema, and persistent hilar congestion. No large pleural effusions or pneumothorax on this limited scan. A presumed enteric tube courses be low the left hemidiaphragm another view.","Lobe lung volumes are re- demonstrated, with cardiomegaly, mild to moderate pulmonary edema, and persistent hilar congestion.",Hilar congestion,,Stable,['files/p15/p15131736/s58145542/b031566e-064ee571-7c0e1804-9509e4ce-e8c2fd74.jpg'],['files/p15/p15131736/s57913253/e81642df-ca0321d7-9a90c5ce-db185fb3-f79598ce.jpg\n']
s58145542_54,p15131736,s58145542,54,Impression,"ET tube tip positioned 4 cm above the carina. NG tube extends inferiorly, tip not seen. Persistent pulmonary edema.",Persistent pulmonary edema.,Pulmonary edema,,Stable,['files/p15/p15131736/s58145542/b031566e-064ee571-7c0e1804-9509e4ce-e8c2fd74.jpg'],['files/p15/p15131736/s57913253/e81642df-ca0321d7-9a90c5ce-db185fb3-f79598ce.jpg\n']
s58147681_4,p16313531,s58147681,4,Findings,"In comparison with the study of ___, there are continued areas of increased opacification bilaterally consistent with some combination of aspiration and volume loss. Increasing prominence of pulmonary vessels is consistent with overhydration or worsening cardiac function. Monitoring and support devices are in unchanged position, with the right PICC line again at the cavoatrial junction or in the right atrium.","Monitoring and support devices are in unchanged position, with the right PICC line again at the cavoatrial junction or in the right atrium.",position,right PICC line,Stable,['files/p16/p16313531/s58147681/8d361e7d-f4f46fc7-956ef2b6-bc506025-0df660c3.jpg'],['files/p16/p16313531/s58096693/5df5745b-a26b6124-07ab0ff7-a79cf0ca-d84b7fa1.jpg\n']
s58147681_4,p16313531,s58147681,4,Findings,"In comparison with the study of ___, there are continued areas of increased opacification bilaterally consistent with some combination of aspiration and volume loss. Increasing prominence of pulmonary vessels is consistent with overhydration or worsening cardiac function. Monitoring and support devices are in unchanged position, with the right PICC line again at the cavoatrial junction or in the right atrium.",Increasing prominence of pulmonary vessels is consistent with overhydration or worsening cardiac function.,prominence,pulmonary vessels,Worse,['files/p16/p16313531/s58147681/8d361e7d-f4f46fc7-956ef2b6-bc506025-0df660c3.jpg'],['files/p16/p16313531/s58096693/5df5745b-a26b6124-07ab0ff7-a79cf0ca-d84b7fa1.jpg\n']
s58147681_4,p16313531,s58147681,4,Findings,"In comparison with the study of ___, there are continued areas of increased opacification bilaterally consistent with some combination of aspiration and volume loss. Increasing prominence of pulmonary vessels is consistent with overhydration or worsening cardiac function. Monitoring and support devices are in unchanged position, with the right PICC line again at the cavoatrial junction or in the right atrium.","In comparison with the study of ___, there are continued areas of increased opacification bilaterally consistent with some combination of aspiration and volume loss.",increased opacification,bilaterally,Stable,['files/p16/p16313531/s58147681/8d361e7d-f4f46fc7-956ef2b6-bc506025-0df660c3.jpg'],['files/p16/p16313531/s58096693/5df5745b-a26b6124-07ab0ff7-a79cf0ca-d84b7fa1.jpg\n']
s58154356_17,p16855430,s58154356,17,Impression,"AP chest compared to ___ through ___: Pulmonary edema had improved substantially between ___ and ___, but there is substantially worse consolidation in the right lower and left upper lobes today than on ___. Whether this is recurrence of pulmonary edema or concurrent pneumonia is radiographically indeterminate. At least small bilateral pleural effusion is presumed. Moderate-to-severe cardiomegaly is longstanding. Left PIC line ends in the upper SVC. Findings were discussed by telephone with Dr. ___ at 12:45 p.m.","AP chest compared to ___ through ___: Pulmonary edema had improved substantially between ___ and ___, but there is substantially worse consolidation in the right lower and left upper lobes today than on ___.",Consolidation,right lower and left upper lobes,Worse,['files/p16/p16855430/s58154356/c4d33fe5-ac2ec3d5-49786015-e5ea7a4d-04c82de3.jpg'],['files/p16/p16855430/s58141048/f1b89b54-27c193cd-47878997-195a1a2f-9d7bbffb.jpg\n']
s58155125_1,p15380734,s58155125,1,Impression,"Grossly stable bibasilar opacities, likely a combination of atelectasis and bilateral pleural effusions, left greater than right. Improving mild pulmonary edema.","Grossly stable bibasilar opacities, likely a combination of atelectasis and bilateral pleural effusions, left greater than right.",opacities,bibasilar,Stable,['files/p15/p15380734/s58155125/2bc6a85c-e37491cd-8408dde1-e5061580-b890fc2f.jpg'],"['files/p15/p15380734/s55418359/032b9a1a-f727fa4f-786f80a0-cdbfe259-f1a9f763.jpg\n', 'files/p15/p15380734/s55418359/0b2a65b3-ecee8e88-e18315bd-e36c3b31-2673050b.jpg\n', 'files/p15/p15380734/s55418359/5051fc01-30c7f31e-a08187d6-28940c33-8ba36cc3.jpg\n']"
s58155125_1,p15380734,s58155125,1,Findings,"Moderate bibasilar opacities persist, likely reflecting a combination of atelectasis and pleural effusions. The left-sided effusion is moderate and the right effusion is small; both are unchanged compared to prior examination from ___. Mild pulmonary edema is improved in the interval. There is no pneumothorax. A coarse linear opacity in the right upper lung is unchanged dating back to ___, and likely reflects vascular calcifications.",The left-sided effusion is moderate and the right effusion is small; both are unchanged compared to prior examination from ___.,pleural effusion,left,Stable,['files/p15/p15380734/s58155125/2bc6a85c-e37491cd-8408dde1-e5061580-b890fc2f.jpg'],"['files/p15/p15380734/s55418359/032b9a1a-f727fa4f-786f80a0-cdbfe259-f1a9f763.jpg\n', 'files/p15/p15380734/s55418359/0b2a65b3-ecee8e88-e18315bd-e36c3b31-2673050b.jpg\n', 'files/p15/p15380734/s55418359/5051fc01-30c7f31e-a08187d6-28940c33-8ba36cc3.jpg\n']"
s58155125_1,p15380734,s58155125,1,Impression,"Grossly stable bibasilar opacities, likely a combination of atelectasis and bilateral pleural effusions, left greater than right. Improving mild pulmonary edema.",Improving mild pulmonary edema.,pulmonary edema,,Better,['files/p15/p15380734/s58155125/2bc6a85c-e37491cd-8408dde1-e5061580-b890fc2f.jpg'],"['files/p15/p15380734/s55418359/032b9a1a-f727fa4f-786f80a0-cdbfe259-f1a9f763.jpg\n', 'files/p15/p15380734/s55418359/0b2a65b3-ecee8e88-e18315bd-e36c3b31-2673050b.jpg\n', 'files/p15/p15380734/s55418359/5051fc01-30c7f31e-a08187d6-28940c33-8ba36cc3.jpg\n']"
s58155125_1,p15380734,s58155125,1,Findings,"Moderate bibasilar opacities persist, likely reflecting a combination of atelectasis and pleural effusions. The left-sided effusion is moderate and the right effusion is small; both are unchanged compared to prior examination from ___. Mild pulmonary edema is improved in the interval. There is no pneumothorax. A coarse linear opacity in the right upper lung is unchanged dating back to ___, and likely reflects vascular calcifications.",Mild pulmonary edema is improved in the interval.,pulmonary edema,,Better,['files/p15/p15380734/s58155125/2bc6a85c-e37491cd-8408dde1-e5061580-b890fc2f.jpg'],"['files/p15/p15380734/s55418359/032b9a1a-f727fa4f-786f80a0-cdbfe259-f1a9f763.jpg\n', 'files/p15/p15380734/s55418359/0b2a65b3-ecee8e88-e18315bd-e36c3b31-2673050b.jpg\n', 'files/p15/p15380734/s55418359/5051fc01-30c7f31e-a08187d6-28940c33-8ba36cc3.jpg\n']"
s58155125_1,p15380734,s58155125,1,Findings,"Moderate bibasilar opacities persist, likely reflecting a combination of atelectasis and pleural effusions. The left-sided effusion is moderate and the right effusion is small; both are unchanged compared to prior examination from ___. Mild pulmonary edema is improved in the interval. There is no pneumothorax. A coarse linear opacity in the right upper lung is unchanged dating back to ___, and likely reflects vascular calcifications.",The left-sided effusion is moderate and the right effusion is small; both are unchanged compared to prior examination from ___.,pleural effusion,right,Stable,['files/p15/p15380734/s58155125/2bc6a85c-e37491cd-8408dde1-e5061580-b890fc2f.jpg'],"['files/p15/p15380734/s55418359/032b9a1a-f727fa4f-786f80a0-cdbfe259-f1a9f763.jpg\n', 'files/p15/p15380734/s55418359/0b2a65b3-ecee8e88-e18315bd-e36c3b31-2673050b.jpg\n', 'files/p15/p15380734/s55418359/5051fc01-30c7f31e-a08187d6-28940c33-8ba36cc3.jpg\n']"
s58155125_1,p15380734,s58155125,1,Findings,"Moderate bibasilar opacities persist, likely reflecting a combination of atelectasis and pleural effusions. The left-sided effusion is moderate and the right effusion is small; both are unchanged compared to prior examination from ___. Mild pulmonary edema is improved in the interval. There is no pneumothorax. A coarse linear opacity in the right upper lung is unchanged dating back to ___, and likely reflects vascular calcifications.","Moderate bibasilar opacities persist, likely reflecting a combination of atelectasis and pleural effusions.",opacities,bibasilar,Stable,['files/p15/p15380734/s58155125/2bc6a85c-e37491cd-8408dde1-e5061580-b890fc2f.jpg'],"['files/p15/p15380734/s55418359/032b9a1a-f727fa4f-786f80a0-cdbfe259-f1a9f763.jpg\n', 'files/p15/p15380734/s55418359/0b2a65b3-ecee8e88-e18315bd-e36c3b31-2673050b.jpg\n', 'files/p15/p15380734/s55418359/5051fc01-30c7f31e-a08187d6-28940c33-8ba36cc3.jpg\n']"
s58155125_1,p15380734,s58155125,1,Findings,"Moderate bibasilar opacities persist, likely reflecting a combination of atelectasis and pleural effusions. The left-sided effusion is moderate and the right effusion is small; both are unchanged compared to prior examination from ___. Mild pulmonary edema is improved in the interval. There is no pneumothorax. A coarse linear opacity in the right upper lung is unchanged dating back to ___, and likely reflects vascular calcifications.","A coarse linear opacity in the right upper lung is unchanged dating back to ___, and likely reflects vascular calcifications.",coarse linear opacity,right upper lung,Stable,['files/p15/p15380734/s58155125/2bc6a85c-e37491cd-8408dde1-e5061580-b890fc2f.jpg'],"['files/p15/p15380734/s55418359/032b9a1a-f727fa4f-786f80a0-cdbfe259-f1a9f763.jpg\n', 'files/p15/p15380734/s55418359/0b2a65b3-ecee8e88-e18315bd-e36c3b31-2673050b.jpg\n', 'files/p15/p15380734/s55418359/5051fc01-30c7f31e-a08187d6-28940c33-8ba36cc3.jpg\n']"
s58167653_1,p15758946,s58167653,1,Findings,"Right internal jugular central venous catheter tip terminates in the upper SVC. Left-sided Port-A-Cath tip terminates in the cavoatrial junction. Cardiac, mediastinal and hilar contours are stable with unfolding of the thoracic aorta. Surgical chain sutures are noted within the right mid lung field with adjacent scarring. No pleural effusion or pneumothorax is visualized. Multiple clips are seen within the left upper abdomen, compatible with prior nephrectomy. There are old right-sided rib fractures.",There are old right-sided rib fractures.,rib fractures,right-sided,Stable,['files/p15/p15758946/s58167653/3beddebe-77318989-f0a94514-750bd4e3-c009749d.jpg'],['files/p15/p15758946/s57586513/15a43747-b7f52373-15c7623d-8ec7b6f7-c1fd59aa.jpg\n']
s58167653_1,p15758946,s58167653,1,Findings,"Right internal jugular central venous catheter tip terminates in the upper SVC. Left-sided Port-A-Cath tip terminates in the cavoatrial junction. Cardiac, mediastinal and hilar contours are stable with unfolding of the thoracic aorta. Surgical chain sutures are noted within the right mid lung field with adjacent scarring. No pleural effusion or pneumothorax is visualized. Multiple clips are seen within the left upper abdomen, compatible with prior nephrectomy. There are old right-sided rib fractures.","Multiple clips are seen within the left upper abdomen, compatible with prior nephrectomy.",clips,left upper abdomen,Stable,['files/p15/p15758946/s58167653/3beddebe-77318989-f0a94514-750bd4e3-c009749d.jpg'],['files/p15/p15758946/s57586513/15a43747-b7f52373-15c7623d-8ec7b6f7-c1fd59aa.jpg\n']
s58167653_1,p15758946,s58167653,1,Findings,"Right internal jugular central venous catheter tip terminates in the upper SVC. Left-sided Port-A-Cath tip terminates in the cavoatrial junction. Cardiac, mediastinal and hilar contours are stable with unfolding of the thoracic aorta. Surgical chain sutures are noted within the right mid lung field with adjacent scarring. No pleural effusion or pneumothorax is visualized. Multiple clips are seen within the left upper abdomen, compatible with prior nephrectomy. There are old right-sided rib fractures.","Cardiac, mediastinal and hilar contours are stable with unfolding of the thoracic aorta.",contours,"Cardiac, mediastinal and hilar",Stable,['files/p15/p15758946/s58167653/3beddebe-77318989-f0a94514-750bd4e3-c009749d.jpg'],['files/p15/p15758946/s57586513/15a43747-b7f52373-15c7623d-8ec7b6f7-c1fd59aa.jpg\n']
s58168356_11,p14147787,s58168356,11,Impression,"Compared to chest radiographs since ___, most recently ___. Greater wall thickening in the regions of bilateral upper lobe scarring and traction bronchiectasis with respect to ___ raises possibility of superinfection. Lower lungs grossly clear. Heart size normal. No pleural effusion. Calcifications noted in central lymph nodes, but there is no evidence of increased adenopathy.","Compared to chest radiographs since ___, most recently ___. Greater wall thickening in the regions of bilateral upper lobe scarring and traction bronchiectasis with respect to ___ raises possibility of superinfection.",scarring and traction bronchiectasis,bilateral upper lobe,Worse,"['files/p14/p14147787/s58168356/796d3e4d-90873566-0e5ba67d-1c07cc12-ff414fd1.jpg', 'files/p14/p14147787/s58168356/a0d2c039-f522ccd9-d97c1582-07999a4b-ffdb3140.jpg']","['files/p14/p14147787/s57886251/c2b37067-62a9fdf0-0db4dea8-582680ef-32366c0c.jpg\n', 'files/p14/p14147787/s57886251/eca4fc13-1e4006db-4372cf2e-ed001e18-a7050d3e.jpg\n']"
s58170172_45,p19182863,s58170172,45,Findings,"PA and lateral views of the chest demonstrate interval increase in size of right pleural effusion, along with complete atelectasis of the right middle and lower lobes, raising concern for bronchial obstruction. The right upper lobe and left lung are grossly clear. The heart size is unchanged. Median sternotomy wires and post-surgical changes associated with aortic valve replacement are unchanged.",The heart size is unchanged.,heart size,,Stable,['files/p19/p19182863/s58170172/47bb3903-f0ad177e-b50a04af-583fbb5e-379aec00.jpg'],"['files/p19/p19182863/s58039954/702ea80d-45e751b9-f310cea5-80c50417-c80de945.jpg\n', 'files/p19/p19182863/s58039954/7e8dece6-cdbbe105-a1737549-acae3992-9164d7f5.jpg\n']"
s58170172_45,p19182863,s58170172,45,Findings,"PA and lateral views of the chest demonstrate interval increase in size of right pleural effusion, along with complete atelectasis of the right middle and lower lobes, raising concern for bronchial obstruction. The right upper lobe and left lung are grossly clear. The heart size is unchanged. Median sternotomy wires and post-surgical changes associated with aortic valve replacement are unchanged.",Median sternotomy wires and post-surgical changes associated with aortic valve replacement are unchanged.,median sternotomy wires,,Stable,['files/p19/p19182863/s58170172/47bb3903-f0ad177e-b50a04af-583fbb5e-379aec00.jpg'],"['files/p19/p19182863/s58039954/702ea80d-45e751b9-f310cea5-80c50417-c80de945.jpg\n', 'files/p19/p19182863/s58039954/7e8dece6-cdbbe105-a1737549-acae3992-9164d7f5.jpg\n']"
s58170172_45,p19182863,s58170172,45,Findings,"PA and lateral views of the chest demonstrate interval increase in size of right pleural effusion, along with complete atelectasis of the right middle and lower lobes, raising concern for bronchial obstruction. The right upper lobe and left lung are grossly clear. The heart size is unchanged. Median sternotomy wires and post-surgical changes associated with aortic valve replacement are unchanged.",Median sternotomy wires and post-surgical changes associated with aortic valve replacement are unchanged.,post-surgical changes,,Stable,['files/p19/p19182863/s58170172/47bb3903-f0ad177e-b50a04af-583fbb5e-379aec00.jpg'],"['files/p19/p19182863/s58039954/702ea80d-45e751b9-f310cea5-80c50417-c80de945.jpg\n', 'files/p19/p19182863/s58039954/7e8dece6-cdbbe105-a1737549-acae3992-9164d7f5.jpg\n']"
s58170172_45,p19182863,s58170172,45,Impression,"Interval increase in right pleural effusion with complete atelectasis of the right middle and lower lobes, raising concern for bronchial obstruction. The above findings were communicated to Dr. ___ by Dr. ___ ___ telephone at 4:55pm, ___ min after discovery.","Interval increase in right pleural effusion with complete atelectasis of the right middle and lower lobes, raising concern for bronchial obstruction.",complete atelectasis,right middle and lower lobes,New,['files/p19/p19182863/s58170172/47bb3903-f0ad177e-b50a04af-583fbb5e-379aec00.jpg'],"['files/p19/p19182863/s58039954/702ea80d-45e751b9-f310cea5-80c50417-c80de945.jpg\n', 'files/p19/p19182863/s58039954/7e8dece6-cdbbe105-a1737549-acae3992-9164d7f5.jpg\n']"
s58170172_45,p19182863,s58170172,45,Findings,"PA and lateral views of the chest demonstrate interval increase in size of right pleural effusion, along with complete atelectasis of the right middle and lower lobes, raising concern for bronchial obstruction. The right upper lobe and left lung are grossly clear. The heart size is unchanged. Median sternotomy wires and post-surgical changes associated with aortic valve replacement are unchanged.","PA and lateral views of the chest demonstrate interval increase in size of right pleural effusion, along with complete atelectasis of the right middle and lower lobes, raising concern for bronchial obstruction.",pleural effusion,right,Worse,['files/p19/p19182863/s58170172/47bb3903-f0ad177e-b50a04af-583fbb5e-379aec00.jpg'],"['files/p19/p19182863/s58039954/702ea80d-45e751b9-f310cea5-80c50417-c80de945.jpg\n', 'files/p19/p19182863/s58039954/7e8dece6-cdbbe105-a1737549-acae3992-9164d7f5.jpg\n']"
s58170172_45,p19182863,s58170172,45,Findings,"PA and lateral views of the chest demonstrate interval increase in size of right pleural effusion, along with complete atelectasis of the right middle and lower lobes, raising concern for bronchial obstruction. The right upper lobe and left lung are grossly clear. The heart size is unchanged. Median sternotomy wires and post-surgical changes associated with aortic valve replacement are unchanged.","PA and lateral views of the chest demonstrate interval increase in size of right pleural effusion, along with complete atelectasis of the right middle and lower lobes, raising concern for bronchial obstruction.",complete atelectasis,right middle and lower lobes,New,['files/p19/p19182863/s58170172/47bb3903-f0ad177e-b50a04af-583fbb5e-379aec00.jpg'],"['files/p19/p19182863/s58039954/702ea80d-45e751b9-f310cea5-80c50417-c80de945.jpg\n', 'files/p19/p19182863/s58039954/7e8dece6-cdbbe105-a1737549-acae3992-9164d7f5.jpg\n']"
s58170172_45,p19182863,s58170172,45,Impression,"Interval increase in right pleural effusion with complete atelectasis of the right middle and lower lobes, raising concern for bronchial obstruction. The above findings were communicated to Dr. ___ by Dr. ___ ___ telephone at 4:55pm, ___ min after discovery.","Interval increase in right pleural effusion with complete atelectasis of the right middle and lower lobes, raising concern for bronchial obstruction.",pleural effusion,right,Worse,['files/p19/p19182863/s58170172/47bb3903-f0ad177e-b50a04af-583fbb5e-379aec00.jpg'],"['files/p19/p19182863/s58039954/702ea80d-45e751b9-f310cea5-80c50417-c80de945.jpg\n', 'files/p19/p19182863/s58039954/7e8dece6-cdbbe105-a1737549-acae3992-9164d7f5.jpg\n']"
s58175667_10,p16319601,s58175667,10,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 obtained 12 hours earlier during the same day. There is marked improvement of the previously identified massive pleural effusion occupying major portions of the right hemithorax. New pigtail end small caliber catheter is now seen on the right base and explains the evacuation of the pleural effusion that occurred during the interval. No pneumothorax has developed. The lung parenchyma on the right side appears free as this can be identified by the single AP chest view. On the left side, there is also a small caliber pigtail end catheter in the basal space of the pleura but no evidence of pleural effusion is seen. A previously described left-sided advanced PICC line remain in unchanged appropriate position and terminating just 2 cm below the level of the carina. An NG tube remains and is seen to point with the Dobbhoff tip towards the pylorus.",An NG tube remains and is seen to point with the Dobbhoff tip towards the pylorus.,NG tube,,Stable,['files/p16/p16319601/s58175667/801f696c-49628491-d2cfaf1b-3aaa17ff-dbbcfe32.jpg'],['files/p16/p16319601/s57274207/5ca8e895-727feeb6-2817230e-65ce2e3b-5b8f315f.jpg\n']
s58175667_10,p16319601,s58175667,10,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 obtained 12 hours earlier during the same day. There is marked improvement of the previously identified massive pleural effusion occupying major portions of the right hemithorax. New pigtail end small caliber catheter is now seen on the right base and explains the evacuation of the pleural effusion that occurred during the interval. No pneumothorax has developed. The lung parenchyma on the right side appears free as this can be identified by the single AP chest view. On the left side, there is also a small caliber pigtail end catheter in the basal space of the pleura but no evidence of pleural effusion is seen. A previously described left-sided advanced PICC line remain in unchanged appropriate position and terminating just 2 cm below the level of the carina. An NG tube remains and is seen to point with the Dobbhoff tip towards the pylorus.",New pigtail end small caliber catheter is now seen on the right base and explains the evacuation of the pleural effusion that occurred during the interval.,small caliber catheter,right base,New,['files/p16/p16319601/s58175667/801f696c-49628491-d2cfaf1b-3aaa17ff-dbbcfe32.jpg'],['files/p16/p16319601/s57274207/5ca8e895-727feeb6-2817230e-65ce2e3b-5b8f315f.jpg\n']
s58175667_10,p16319601,s58175667,10,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 obtained 12 hours earlier during the same day. There is marked improvement of the previously identified massive pleural effusion occupying major portions of the right hemithorax. New pigtail end small caliber catheter is now seen on the right base and explains the evacuation of the pleural effusion that occurred during the interval. No pneumothorax has developed. The lung parenchyma on the right side appears free as this can be identified by the single AP chest view. On the left side, there is also a small caliber pigtail end catheter in the basal space of the pleura but no evidence of pleural effusion is seen. A previously described left-sided advanced PICC line remain in unchanged appropriate position and terminating just 2 cm below the level of the carina. An NG tube remains and is seen to point with the Dobbhoff tip towards the pylorus.",There is marked improvement of the previously identified massive pleural effusion occupying major portions of the right hemithorax.,massive pleural effusion,right hemithorax,Better,['files/p16/p16319601/s58175667/801f696c-49628491-d2cfaf1b-3aaa17ff-dbbcfe32.jpg'],['files/p16/p16319601/s57274207/5ca8e895-727feeb6-2817230e-65ce2e3b-5b8f315f.jpg\n']
s58175667_10,p16319601,s58175667,10,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 obtained 12 hours earlier during the same day. There is marked improvement of the previously identified massive pleural effusion occupying major portions of the right hemithorax. New pigtail end small caliber catheter is now seen on the right base and explains the evacuation of the pleural effusion that occurred during the interval. No pneumothorax has developed. The lung parenchyma on the right side appears free as this can be identified by the single AP chest view. On the left side, there is also a small caliber pigtail end catheter in the basal space of the pleura but no evidence of pleural effusion is seen. A previously described left-sided advanced PICC line remain in unchanged appropriate position and terminating just 2 cm below the level of the carina. An NG tube remains and is seen to point with the Dobbhoff tip towards the pylorus.",A previously described left-sided advanced PICC line remain in unchanged appropriate position and terminating just 2 cm below the level of the carina.,advanced PICC line,left side,Stable,['files/p16/p16319601/s58175667/801f696c-49628491-d2cfaf1b-3aaa17ff-dbbcfe32.jpg'],['files/p16/p16319601/s57274207/5ca8e895-727feeb6-2817230e-65ce2e3b-5b8f315f.jpg\n']
s58175667_10,p16319601,s58175667,10,Impression,Bilateral small caliber pigtail and pleural drainage lines in place. Pleural effusions have practically been eliminated. No pneumothorax.,Pleural effusions have practically been eliminated.,Pleural effusions,,Resolve,['files/p16/p16319601/s58175667/801f696c-49628491-d2cfaf1b-3aaa17ff-dbbcfe32.jpg'],['files/p16/p16319601/s57274207/5ca8e895-727feeb6-2817230e-65ce2e3b-5b8f315f.jpg\n']
s58187408_13,p13964474,s58187408,13,Impression,Worsening right lung consolidations. Multifocal consolidations in the left lung are grossly stable.,Worsening right lung consolidations.,lung consolidations,right,Worse,['files/p13/p13964474/s58187408/03687e0f-cfea2f97-6062fceb-1c006210-6f147d31.jpg'],['files/p13/p13964474/s57999899/52481f07-4d1746a3-47375a8c-8b8d33cd-ca8e4e96.jpg\n']
s58187408_13,p13964474,s58187408,13,Impression,Worsening right lung consolidations. Multifocal consolidations in the left lung are grossly stable.,Multifocal consolidations in the left lung are grossly stable.,multifocal consolidations,left,Stable,['files/p13/p13964474/s58187408/03687e0f-cfea2f97-6062fceb-1c006210-6f147d31.jpg'],['files/p13/p13964474/s57999899/52481f07-4d1746a3-47375a8c-8b8d33cd-ca8e4e96.jpg\n']
s58191597_9,p19759491,s58191597,9,Findings,PA and lateral views of the chest. Triple lead pacing device along the right chest wall is again noted with leads in unchanged position. Mitral valvular replacement again noted. Prominence of the interstitial markings are again seen without evidence of focal consolidation or overt pulmonary edema. There is no large pleural effusion noting persistent probable fluid within the major fissure on the lateral. Degree of cardiomegaly has not changed. No acute osseous abnormalities detected.,There is no large pleural effusion noting persistent probable fluid within the major fissure on the lateral.,pleural effusion,major fissure on the lateral,Stable,"['files/p19/p19759491/s58191597/73f1035a-9d57466e-92c2b0b1-5ee3d31c-78ad1ad4.jpg', 'files/p19/p19759491/s58191597/c69d6872-0e7c2c30-55970ed5-fec97355-1286acf4.jpg']","['files/p19/p19759491/s58128416/4d570d20-1f80af86-1855ab56-6d99bc9a-cd105562.jpg\n', 'files/p19/p19759491/s58128416/b59f061e-d6f55ed3-4b378603-f6d62e26-30d07d1c.jpg\n']"
s58191597_9,p19759491,s58191597,9,Findings,PA and lateral views of the chest. Triple lead pacing device along the right chest wall is again noted with leads in unchanged position. Mitral valvular replacement again noted. Prominence of the interstitial markings are again seen without evidence of focal consolidation or overt pulmonary edema. There is no large pleural effusion noting persistent probable fluid within the major fissure on the lateral. Degree of cardiomegaly has not changed. No acute osseous abnormalities detected.,Prominence of the interstitial markings are again seen without evidence of focal consolidation or overt pulmonary edema.,prominence of the interstitial markings,,Stable,"['files/p19/p19759491/s58191597/73f1035a-9d57466e-92c2b0b1-5ee3d31c-78ad1ad4.jpg', 'files/p19/p19759491/s58191597/c69d6872-0e7c2c30-55970ed5-fec97355-1286acf4.jpg']","['files/p19/p19759491/s58128416/4d570d20-1f80af86-1855ab56-6d99bc9a-cd105562.jpg\n', 'files/p19/p19759491/s58128416/b59f061e-d6f55ed3-4b378603-f6d62e26-30d07d1c.jpg\n']"
s58191597_9,p19759491,s58191597,9,Findings,PA and lateral views of the chest. Triple lead pacing device along the right chest wall is again noted with leads in unchanged position. Mitral valvular replacement again noted. Prominence of the interstitial markings are again seen without evidence of focal consolidation or overt pulmonary edema. There is no large pleural effusion noting persistent probable fluid within the major fissure on the lateral. Degree of cardiomegaly has not changed. No acute osseous abnormalities detected.,Degree of cardiomegaly has not changed.,cardiomegaly,,Stable,"['files/p19/p19759491/s58191597/73f1035a-9d57466e-92c2b0b1-5ee3d31c-78ad1ad4.jpg', 'files/p19/p19759491/s58191597/c69d6872-0e7c2c30-55970ed5-fec97355-1286acf4.jpg']","['files/p19/p19759491/s58128416/4d570d20-1f80af86-1855ab56-6d99bc9a-cd105562.jpg\n', 'files/p19/p19759491/s58128416/b59f061e-d6f55ed3-4b378603-f6d62e26-30d07d1c.jpg\n']"
s58191597_9,p19759491,s58191597,9,Findings,PA and lateral views of the chest. Triple lead pacing device along the right chest wall is again noted with leads in unchanged position. Mitral valvular replacement again noted. Prominence of the interstitial markings are again seen without evidence of focal consolidation or overt pulmonary edema. There is no large pleural effusion noting persistent probable fluid within the major fissure on the lateral. Degree of cardiomegaly has not changed. No acute osseous abnormalities detected.,Triple lead pacing device along the right chest wall is again noted with leads in unchanged position.,triple lead pacing device position,right chest wall,Stable,"['files/p19/p19759491/s58191597/73f1035a-9d57466e-92c2b0b1-5ee3d31c-78ad1ad4.jpg', 'files/p19/p19759491/s58191597/c69d6872-0e7c2c30-55970ed5-fec97355-1286acf4.jpg']","['files/p19/p19759491/s58128416/4d570d20-1f80af86-1855ab56-6d99bc9a-cd105562.jpg\n', 'files/p19/p19759491/s58128416/b59f061e-d6f55ed3-4b378603-f6d62e26-30d07d1c.jpg\n']"
s58198532_47,p13475033,s58198532,47,Findings,"The lungs well expanded. Coarse reticular interstitial opacities are again noted bilaterally, consistent with chronic interstitial lung disease. No evidence acute pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is top-normal in size. Unchanged tortuous aorta",Unchanged tortuous aorta,Tortuous aorta,,Stable,"['files/p13/p13475033/s58198532/42493196-32cde3ff-b94d0ab0-baf74d8e-a88ad016.jpg', 'files/p13/p13475033/s58198532/94420d61-059622c4-a869e720-aa8d1a7b-6910f91c.jpg']","['files/p13/p13475033/s57951979/34013074-9e17c29b-e322906c-a7ec9382-d4b86bcb.jpg\n', 'files/p13/p13475033/s57951979/fd6509f0-c39f57c5-744a9382-37db12e6-fa9b1784.jpg\n']"
s58198532_47,p13475033,s58198532,47,Findings,"The lungs well expanded. Coarse reticular interstitial opacities are again noted bilaterally, consistent with chronic interstitial lung disease. No evidence acute pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is top-normal in size. Unchanged tortuous aorta","Coarse reticular interstitial opacities are again noted bilaterally, consistent with chronic interstitial lung disease",Coarse reticular interstitial opacities,bilaterally,Stable,"['files/p13/p13475033/s58198532/42493196-32cde3ff-b94d0ab0-baf74d8e-a88ad016.jpg', 'files/p13/p13475033/s58198532/94420d61-059622c4-a869e720-aa8d1a7b-6910f91c.jpg']","['files/p13/p13475033/s57951979/34013074-9e17c29b-e322906c-a7ec9382-d4b86bcb.jpg\n', 'files/p13/p13475033/s57951979/fd6509f0-c39f57c5-744a9382-37db12e6-fa9b1784.jpg\n']"
s58198778_6,p14295224,s58198778,6,Findings,PA and lateral views of the chest: Interstitial opacities within the right upper lobe are thought to represent recurrent pneumonia. Pneumonia was noted in this area on ___ but had essentially cleared on ___. The right lower lobe nodule is unchanged in size through ___. There is no pneumothorax. A small right pleural effusion and right apical scarring persists. The neo esophagus is not distended. The mediastinal silhouette is normal in contour.,The right lower lobe nodule is unchanged in size through ___.,Nodule,Right lower lobe,Stable,"['files/p14/p14295224/s58198778/88ac4d9d-ea366489-d2c7596b-40fb6489-d3571491.jpg', 'files/p14/p14295224/s58198778/cb2f4f2e-e36e5b5c-fabde40d-22a6a15f-4a4b48ad.jpg']","['files/p14/p14295224/s57630991/64348d5d-80c8f37f-9d4321da-060ffcf7-5ee7bb0b.jpg\n', 'files/p14/p14295224/s57630991/fdce2841-ba70c298-a83fb5a1-71e58044-dd1115a4.jpg\n']"
s58198778_6,p14295224,s58198778,6,Findings,PA and lateral views of the chest: Interstitial opacities within the right upper lobe are thought to represent recurrent pneumonia. Pneumonia was noted in this area on ___ but had essentially cleared on ___. The right lower lobe nodule is unchanged in size through ___. There is no pneumothorax. A small right pleural effusion and right apical scarring persists. The neo esophagus is not distended. The mediastinal silhouette is normal in contour.,A small right pleural effusion and right apical scarring persists.,Pleural effusion,Right,Stable,"['files/p14/p14295224/s58198778/88ac4d9d-ea366489-d2c7596b-40fb6489-d3571491.jpg', 'files/p14/p14295224/s58198778/cb2f4f2e-e36e5b5c-fabde40d-22a6a15f-4a4b48ad.jpg']","['files/p14/p14295224/s57630991/64348d5d-80c8f37f-9d4321da-060ffcf7-5ee7bb0b.jpg\n', 'files/p14/p14295224/s57630991/fdce2841-ba70c298-a83fb5a1-71e58044-dd1115a4.jpg\n']"
s58198778_6,p14295224,s58198778,6,Findings,PA and lateral views of the chest: Interstitial opacities within the right upper lobe are thought to represent recurrent pneumonia. Pneumonia was noted in this area on ___ but had essentially cleared on ___. The right lower lobe nodule is unchanged in size through ___. There is no pneumothorax. A small right pleural effusion and right apical scarring persists. The neo esophagus is not distended. The mediastinal silhouette is normal in contour.,A small right pleural effusion and right apical scarring persists.,Scarring,Right apical,Stable,"['files/p14/p14295224/s58198778/88ac4d9d-ea366489-d2c7596b-40fb6489-d3571491.jpg', 'files/p14/p14295224/s58198778/cb2f4f2e-e36e5b5c-fabde40d-22a6a15f-4a4b48ad.jpg']","['files/p14/p14295224/s57630991/64348d5d-80c8f37f-9d4321da-060ffcf7-5ee7bb0b.jpg\n', 'files/p14/p14295224/s57630991/fdce2841-ba70c298-a83fb5a1-71e58044-dd1115a4.jpg\n']"
s58204690_6,p19565388,s58204690,6,Findings,"Increased retrocardiac density and the left lower lung opacity, which likely represents a combination of atelectasis and/or consolidation has minimally worsened since ___. On single frontal view, if any of this represents infection cannot be ruled out and needs further clinical correlation. Right lung is clear. A right internal jugular line sheath ends at upper SVC. Heart size is mild-to-moderately enlarged and unchanged. Mediastinal and hilar contours are unremarkable.","Increased retrocardiac density and the left lower lung opacity, which likely represents a combination of atelectasis and/or consolidation has minimally worsened since ___.",opacity,left lower lung,Worse,['files/p19/p19565388/s58204690/fbd637bc-15953c2d-d5c723d3-e8c2ba4f-c1103de6.jpg'],['files/p19/p19565388/s57394992/369d8e0f-25c12a70-b223ef0d-3098e3cd-92006477.jpg\n']
s58204690_6,p19565388,s58204690,6,Findings,"Increased retrocardiac density and the left lower lung opacity, which likely represents a combination of atelectasis and/or consolidation has minimally worsened since ___. On single frontal view, if any of this represents infection cannot be ruled out and needs further clinical correlation. Right lung is clear. A right internal jugular line sheath ends at upper SVC. Heart size is mild-to-moderately enlarged and unchanged. Mediastinal and hilar contours are unremarkable.",Heart size is mild-to-moderately enlarged and unchanged.,mild-to-moderately enlarged heart size,,Stable,['files/p19/p19565388/s58204690/fbd637bc-15953c2d-d5c723d3-e8c2ba4f-c1103de6.jpg'],['files/p19/p19565388/s57394992/369d8e0f-25c12a70-b223ef0d-3098e3cd-92006477.jpg\n']
s58204843_15,p14841168,s58204843,15,Findings,One portable upright AP view of the chest. The right PICC line has been pulled back and now ends proximal to the junction of the right subclavian and right internal jugular vein. Mild-to-moderate cardiomegaly is stable. Mild pulmonary venous engorgement and mediastinal widening is stable. There is no pulmonary edema or pneumonia. Pleural effusions are small if any.,Mild pulmonary venous engorgement and mediastinal widening is stable.,Mild pulmonary venous engorgement,,Stable,['files/p14/p14841168/s58204843/7b714b4a-a32cd9a3-99984154-eacb273a-b64ec97a.jpg'],"['files/p14/p14841168/s58057712/02b9665e-286a47a7-edbf1119-14117e3b-ed29a2fe.jpg\n', 'files/p14/p14841168/s58057712/d78cb088-c3cad3f2-7a6176d6-7a4ca5df-dbe9326c.jpg\n']"
s58204843_15,p14841168,s58204843,15,Findings,One portable upright AP view of the chest. The right PICC line has been pulled back and now ends proximal to the junction of the right subclavian and right internal jugular vein. Mild-to-moderate cardiomegaly is stable. Mild pulmonary venous engorgement and mediastinal widening is stable. There is no pulmonary edema or pneumonia. Pleural effusions are small if any.,Mild-to-moderate cardiomegaly is stable.,Mild-to-moderate cardiomegaly,,Stable,['files/p14/p14841168/s58204843/7b714b4a-a32cd9a3-99984154-eacb273a-b64ec97a.jpg'],"['files/p14/p14841168/s58057712/02b9665e-286a47a7-edbf1119-14117e3b-ed29a2fe.jpg\n', 'files/p14/p14841168/s58057712/d78cb088-c3cad3f2-7a6176d6-7a4ca5df-dbe9326c.jpg\n']"
s58204843_15,p14841168,s58204843,15,Impression,1. No evidence of pneumonia. 2. Right PICC line has been pulled back now and now ends just proximal to the junction of the right subclavian and right internal jugular vein. 3. Mild pulmonary venous engorgement and mild mediastinal widening are stable.,Mild pulmonary venous engorgement and mild mediastinal widening are stable.,Mild pulmonary venous engorgement,,Stable,['files/p14/p14841168/s58204843/7b714b4a-a32cd9a3-99984154-eacb273a-b64ec97a.jpg'],"['files/p14/p14841168/s58057712/02b9665e-286a47a7-edbf1119-14117e3b-ed29a2fe.jpg\n', 'files/p14/p14841168/s58057712/d78cb088-c3cad3f2-7a6176d6-7a4ca5df-dbe9326c.jpg\n']"
s58204843_15,p14841168,s58204843,15,Findings,One portable upright AP view of the chest. The right PICC line has been pulled back and now ends proximal to the junction of the right subclavian and right internal jugular vein. Mild-to-moderate cardiomegaly is stable. Mild pulmonary venous engorgement and mediastinal widening is stable. There is no pulmonary edema or pneumonia. Pleural effusions are small if any.,Mild pulmonary venous engorgement and mediastinal widening is stable.,Mediastinal widening,,Stable,['files/p14/p14841168/s58204843/7b714b4a-a32cd9a3-99984154-eacb273a-b64ec97a.jpg'],"['files/p14/p14841168/s58057712/02b9665e-286a47a7-edbf1119-14117e3b-ed29a2fe.jpg\n', 'files/p14/p14841168/s58057712/d78cb088-c3cad3f2-7a6176d6-7a4ca5df-dbe9326c.jpg\n']"
s58204843_15,p14841168,s58204843,15,Impression,1. No evidence of pneumonia. 2. Right PICC line has been pulled back now and now ends just proximal to the junction of the right subclavian and right internal jugular vein. 3. Mild pulmonary venous engorgement and mild mediastinal widening are stable.,Mild pulmonary venous engorgement and mild mediastinal widening are stable.,Mild mediastinal widening,,Stable,['files/p14/p14841168/s58204843/7b714b4a-a32cd9a3-99984154-eacb273a-b64ec97a.jpg'],"['files/p14/p14841168/s58057712/02b9665e-286a47a7-edbf1119-14117e3b-ed29a2fe.jpg\n', 'files/p14/p14841168/s58057712/d78cb088-c3cad3f2-7a6176d6-7a4ca5df-dbe9326c.jpg\n']"
s58211311_3,p16826047,s58211311,3,Findings,"Swan-Ganz catheter has been removed, and a right-sided Port-A-Cath is noted with tip in the lower SVC. Consolidative opacity within the right lower lobe is concerning for pneumonia. There is elevation of the right hemidiaphragm with lateralization of the diaphragmatic peak suggesting a subpulmonic effusion. The cardiac silhouette size is top normal. There is mild prominence of the pulmonary vascular markings. No left-sided pleural effusion is seen, and there is no pneumothorax. There are no acute osseous abnormalities.","Swan-Ganz catheter has been removed, and a right-sided Port-A-Cath is noted with tip in the lower SVC.",Swan-Ganz catheter,,Resolve,['files/p16/p16826047/s58211311/bb14208e-dd68a9a6-a211bb19-b3762b65-dbfc6379.jpg'],"['files/p16/p16826047/s57622301/561aa77f-36bdb76f-e2a79068-a9c24ac5-0e745c62.jpg\n', 'files/p16/p16826047/s57622301/5c215386-3fe45a36-36feabd2-5dc463cf-3c2be1a1.jpg\n', 'files/p16/p16826047/s57622301/d1d6666e-15233295-0295b986-083aa34f-88ba93b2.jpg\n']"
s58214761_3,p17669276,s58214761,3,Impression,1. New mild interstitial pulmonary edema. 2. Minimally increased small right pleural effusion and trace left pleural effusion.,Minimally increased small right pleural effusion and trace left pleural effusion.,trace pleural effusion,left,Worse,"['files/p17/p17669276/s58214761/19e28a2e-5e1236b7-de13744c-f68b83ff-fb3e1c2f.jpg', 'files/p17/p17669276/s58214761/73ca3214-e0c93052-7e191b81-356439da-354da5eb.jpg']","['files/p17/p17669276/s56894803/2e82b549-d2fb6a33-4747e742-d21b905f-813ff996.jpg\n', 'files/p17/p17669276/s56894803/3d84712e-208c4347-e4890359-8cd17a21-d9d36d5b.jpg\n', 'files/p17/p17669276/s56894803/55b170c5-0d2cca30-fb9f4563-9b2f14f0-3b5f0a22.jpg\n']"
s58214761_3,p17669276,s58214761,3,Findings,Frontal and lateral radiographs of the chest were acquired. There is new mild interstitial pulmonary edema. A small right pleural effusion may be minimally increased. There is also likely a trace left pleural effusion. There is no focal consolidation. The heart size is not significantly changed. There is no pneumothorax. Midline sternotomy wires are noted.,A small right pleural effusion may be minimally increased.,small pleural effusion,right,Worse,"['files/p17/p17669276/s58214761/19e28a2e-5e1236b7-de13744c-f68b83ff-fb3e1c2f.jpg', 'files/p17/p17669276/s58214761/73ca3214-e0c93052-7e191b81-356439da-354da5eb.jpg']","['files/p17/p17669276/s56894803/2e82b549-d2fb6a33-4747e742-d21b905f-813ff996.jpg\n', 'files/p17/p17669276/s56894803/3d84712e-208c4347-e4890359-8cd17a21-d9d36d5b.jpg\n', 'files/p17/p17669276/s56894803/55b170c5-0d2cca30-fb9f4563-9b2f14f0-3b5f0a22.jpg\n']"
s58214761_3,p17669276,s58214761,3,Impression,1. New mild interstitial pulmonary edema. 2. Minimally increased small right pleural effusion and trace left pleural effusion.,Minimally increased small right pleural effusion and trace left pleural effusion.,small pleural effusion,right,Worse,"['files/p17/p17669276/s58214761/19e28a2e-5e1236b7-de13744c-f68b83ff-fb3e1c2f.jpg', 'files/p17/p17669276/s58214761/73ca3214-e0c93052-7e191b81-356439da-354da5eb.jpg']","['files/p17/p17669276/s56894803/2e82b549-d2fb6a33-4747e742-d21b905f-813ff996.jpg\n', 'files/p17/p17669276/s56894803/3d84712e-208c4347-e4890359-8cd17a21-d9d36d5b.jpg\n', 'files/p17/p17669276/s56894803/55b170c5-0d2cca30-fb9f4563-9b2f14f0-3b5f0a22.jpg\n']"
s58214761_3,p17669276,s58214761,3,Findings,Frontal and lateral radiographs of the chest were acquired. There is new mild interstitial pulmonary edema. A small right pleural effusion may be minimally increased. There is also likely a trace left pleural effusion. There is no focal consolidation. The heart size is not significantly changed. There is no pneumothorax. Midline sternotomy wires are noted.,The heart size is not significantly changed.,heart size,,Stable,"['files/p17/p17669276/s58214761/19e28a2e-5e1236b7-de13744c-f68b83ff-fb3e1c2f.jpg', 'files/p17/p17669276/s58214761/73ca3214-e0c93052-7e191b81-356439da-354da5eb.jpg']","['files/p17/p17669276/s56894803/2e82b549-d2fb6a33-4747e742-d21b905f-813ff996.jpg\n', 'files/p17/p17669276/s56894803/3d84712e-208c4347-e4890359-8cd17a21-d9d36d5b.jpg\n', 'files/p17/p17669276/s56894803/55b170c5-0d2cca30-fb9f4563-9b2f14f0-3b5f0a22.jpg\n']"
s58215117_2,p15881535,s58215117,2,Findings,Normal cardiomediastinal and hilar contours. Lungs are mildly hyperinflated and clear. There has been interval resolution of the opacity in the right cardiophrenic sulcus. Pleural surfaces are normal. Right clavicular hardware appears intact. There is severe anterior osteophytosis of the thoracic spine.,There has been interval resolution of the opacity in the right cardiophrenic sulcus.,opacity,right cardiophrenic sulcus,Resolve,"['files/p15/p15881535/s58215117/5b544b50-6b9fd2e8-40331062-6eea2423-c6427c30.jpg', 'files/p15/p15881535/s58215117/5fdb7189-ead5e2fd-71a6d19b-3862ce63-28bc762e.jpg']",['files/p15/p15881535/s56093476/210f9c01-9e0728bf-4b8ec9bf-34d1564e-16cf509c.jpg\n']
s58225243_2,p19765968,s58225243,2,Findings,"As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. Borderline size of the cardiac silhouette without pulmonary edema. No pleural effusions. No inhomogeneous bone structure. Mild tortuosity of the thoracic aorta.","As compared to the previous radiograph, there is no relevant change.",,,Stable,"['files/p19/p19765968/s58225243/82781fc3-e4107008-274209ea-98d59f1a-120c9113.jpg', 'files/p19/p19765968/s58225243/db9e4471-b977972b-27adc624-e77cf1df-13e56a0c.jpg']","['files/p19/p19765968/s55596851/47b10a9c-53b0d876-a4213e86-d4a3e8c6-0076ea7a.jpg\n', 'files/p19/p19765968/s55596851/a8b7cbef-ae8ef4b0-09766f27-a49a3af2-eea22021.jpg\n', 'files/p19/p19765968/s55596851/ac9b202d-33441ce8-29b49c66-d903a94d-74c87396.jpg\n', 'files/p19/p19765968/s55596851/cc9ac8b1-4e9d6951-52116465-7c53b9b4-17858e92.jpg\n']"
s58228725_4,p13473495,s58228725,4,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 ___. Unchanged appearance of cardiac enlargement without typical configurational abnormality. Mediastinal structures also unchanged. The pulmonary vasculature is not congested anymore and there is no evidence of pleural effusion as the lateral pleural sinuses are free. No new pulmonary parenchymal infiltrates can be identified. No pneumothorax is seen in the apical area. As before, a right internal jugular approach central venous line is seen and terminates in the mid portion of the SVC.",Mediastinal structures also unchanged.,mediastinal structures,,Stable,['files/p13/p13473495/s58228725/5bc1f7d3-d0c163be-13a38541-42a5e89e-4c074884.jpg'],"['files/p13/p13473495/s57665537/4a38ad35-3e063ba0-bb9ccf2a-4982ca59-08b1005d.jpg\n', 'files/p13/p13473495/s57665537/c6d9dcd8-49e961d7-227e2c94-92994086-9831113b.jpg\n', 'files/p13/p13473495/s57665537/d2e18dfe-d51d84d1-d69a9a4a-2fa109d8-a81d150d.jpg\n']"
s58228725_4,p13473495,s58228725,4,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 ___. Unchanged appearance of cardiac enlargement without typical configurational abnormality. Mediastinal structures also unchanged. The pulmonary vasculature is not congested anymore and there is no evidence of pleural effusion as the lateral pleural sinuses are free. No new pulmonary parenchymal infiltrates can be identified. No pneumothorax is seen in the apical area. As before, a right internal jugular approach central venous line is seen and terminates in the mid portion of the SVC.",The pulmonary vasculature is not congested anymore and there is no evidence of pleural effusion as the lateral pleural sinuses are free.,pulmonary vasculature congestion,,Resolve,['files/p13/p13473495/s58228725/5bc1f7d3-d0c163be-13a38541-42a5e89e-4c074884.jpg'],"['files/p13/p13473495/s57665537/4a38ad35-3e063ba0-bb9ccf2a-4982ca59-08b1005d.jpg\n', 'files/p13/p13473495/s57665537/c6d9dcd8-49e961d7-227e2c94-92994086-9831113b.jpg\n', 'files/p13/p13473495/s57665537/d2e18dfe-d51d84d1-d69a9a4a-2fa109d8-a81d150d.jpg\n']"
s58228725_4,p13473495,s58228725,4,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 ___. Unchanged appearance of cardiac enlargement without typical configurational abnormality. Mediastinal structures also unchanged. The pulmonary vasculature is not congested anymore and there is no evidence of pleural effusion as the lateral pleural sinuses are free. No new pulmonary parenchymal infiltrates can be identified. No pneumothorax is seen in the apical area. As before, a right internal jugular approach central venous line is seen and terminates in the mid portion of the SVC.",Unchanged appearance of cardiac enlargement without typical configurational abnormality.,cardiac enlargement,,Stable,['files/p13/p13473495/s58228725/5bc1f7d3-d0c163be-13a38541-42a5e89e-4c074884.jpg'],"['files/p13/p13473495/s57665537/4a38ad35-3e063ba0-bb9ccf2a-4982ca59-08b1005d.jpg\n', 'files/p13/p13473495/s57665537/c6d9dcd8-49e961d7-227e2c94-92994086-9831113b.jpg\n', 'files/p13/p13473495/s57665537/d2e18dfe-d51d84d1-d69a9a4a-2fa109d8-a81d150d.jpg\n']"
s58228725_4,p13473495,s58228725,4,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 ___. Unchanged appearance of cardiac enlargement without typical configurational abnormality. Mediastinal structures also unchanged. The pulmonary vasculature is not congested anymore and there is no evidence of pleural effusion as the lateral pleural sinuses are free. No new pulmonary parenchymal infiltrates can be identified. No pneumothorax is seen in the apical area. As before, a right internal jugular approach central venous line is seen and terminates in the mid portion of the SVC.",The pulmonary vasculature is not congested anymore and there is no evidence of pleural effusion as the lateral pleural sinuses are free.,pleural effusion,,Resolve,['files/p13/p13473495/s58228725/5bc1f7d3-d0c163be-13a38541-42a5e89e-4c074884.jpg'],"['files/p13/p13473495/s57665537/4a38ad35-3e063ba0-bb9ccf2a-4982ca59-08b1005d.jpg\n', 'files/p13/p13473495/s57665537/c6d9dcd8-49e961d7-227e2c94-92994086-9831113b.jpg\n', 'files/p13/p13473495/s57665537/d2e18dfe-d51d84d1-d69a9a4a-2fa109d8-a81d150d.jpg\n']"
s58228725_4,p13473495,s58228725,4,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 ___. Unchanged appearance of cardiac enlargement without typical configurational abnormality. Mediastinal structures also unchanged. The pulmonary vasculature is not congested anymore and there is no evidence of pleural effusion as the lateral pleural sinuses are free. No new pulmonary parenchymal infiltrates can be identified. No pneumothorax is seen in the apical area. As before, a right internal jugular approach central venous line is seen and terminates in the mid portion of the SVC.","As before, a right internal jugular approach central venous line is seen and terminates in the mid portion of the SVC.",internal jugular approach central venous line,right,Stable,['files/p13/p13473495/s58228725/5bc1f7d3-d0c163be-13a38541-42a5e89e-4c074884.jpg'],"['files/p13/p13473495/s57665537/4a38ad35-3e063ba0-bb9ccf2a-4982ca59-08b1005d.jpg\n', 'files/p13/p13473495/s57665537/c6d9dcd8-49e961d7-227e2c94-92994086-9831113b.jpg\n', 'files/p13/p13473495/s57665537/d2e18dfe-d51d84d1-d69a9a4a-2fa109d8-a81d150d.jpg\n']"
s58231918_14,p13078497,s58231918,14,Impression,"AP chest compared to ___ through ___: Severe infiltrative pulmonary abnormality has been present without appreciable change since ___, progressing on a substrate of chronic interstitial lung disease that worsened appreciably between ___ and ___: Small-to-moderate bilateral pleural effusions and mild cardiomegaly are unchanged. No pneumothorax. ET tube in standard placement. Nasogastric tube passes into the stomach and out of view. A right jugular line ends just above the junction of brachiocephalic veins. No pneumothorax.","AP chest compared to ___ through ___: Severe infiltrative pulmonary abnormality has been present without appreciable change since ___, progressing on a substrate of chronic interstitial lung disease that worsened appreciably between ___ and ___: Small-to-moderate bilateral pleural effusions and mild cardiomegaly are unchanged.",pleural effusions,bilateral,Stable,['files/p13/p13078497/s58231918/96a447ee-f2ddbe8e-c71c996f-b05a48a3-485f4469.jpg'],['files/p13/p13078497/s58226576/fd439b65-e984a9f7-40022797-f1661b2b-8687abfc.jpg\n']
s58231918_14,p13078497,s58231918,14,Impression,"AP chest compared to ___ through ___: Severe infiltrative pulmonary abnormality has been present without appreciable change since ___, progressing on a substrate of chronic interstitial lung disease that worsened appreciably between ___ and ___: Small-to-moderate bilateral pleural effusions and mild cardiomegaly are unchanged. No pneumothorax. ET tube in standard placement. Nasogastric tube passes into the stomach and out of view. A right jugular line ends just above the junction of brachiocephalic veins. No pneumothorax.",A right jugular line ends just above the junction of brachiocephalic veins.,jugular line,right,Stable,['files/p13/p13078497/s58231918/96a447ee-f2ddbe8e-c71c996f-b05a48a3-485f4469.jpg'],['files/p13/p13078497/s58226576/fd439b65-e984a9f7-40022797-f1661b2b-8687abfc.jpg\n']
s58231918_14,p13078497,s58231918,14,Impression,"AP chest compared to ___ through ___: Severe infiltrative pulmonary abnormality has been present without appreciable change since ___, progressing on a substrate of chronic interstitial lung disease that worsened appreciably between ___ and ___: Small-to-moderate bilateral pleural effusions and mild cardiomegaly are unchanged. No pneumothorax. ET tube in standard placement. Nasogastric tube passes into the stomach and out of view. A right jugular line ends just above the junction of brachiocephalic veins. No pneumothorax.",Nasogastric tube passes into the stomach and out of view.,nasogastric tube,,Stable,['files/p13/p13078497/s58231918/96a447ee-f2ddbe8e-c71c996f-b05a48a3-485f4469.jpg'],['files/p13/p13078497/s58226576/fd439b65-e984a9f7-40022797-f1661b2b-8687abfc.jpg\n']
s58231918_14,p13078497,s58231918,14,Impression,"AP chest compared to ___ through ___: Severe infiltrative pulmonary abnormality has been present without appreciable change since ___, progressing on a substrate of chronic interstitial lung disease that worsened appreciably between ___ and ___: Small-to-moderate bilateral pleural effusions and mild cardiomegaly are unchanged. No pneumothorax. ET tube in standard placement. Nasogastric tube passes into the stomach and out of view. A right jugular line ends just above the junction of brachiocephalic veins. No pneumothorax.","AP chest compared to ___ through ___: Severe infiltrative pulmonary abnormality has been present without appreciable change since ___, progressing on a substrate of chronic interstitial lung disease that worsened appreciably between ___ and ___: Small-to-moderate bilateral pleural effusions and mild cardiomegaly are unchanged.",cardiomegaly,,Stable,['files/p13/p13078497/s58231918/96a447ee-f2ddbe8e-c71c996f-b05a48a3-485f4469.jpg'],['files/p13/p13078497/s58226576/fd439b65-e984a9f7-40022797-f1661b2b-8687abfc.jpg\n']
s58231918_14,p13078497,s58231918,14,Impression,"AP chest compared to ___ through ___: Severe infiltrative pulmonary abnormality has been present without appreciable change since ___, progressing on a substrate of chronic interstitial lung disease that worsened appreciably between ___ and ___: Small-to-moderate bilateral pleural effusions and mild cardiomegaly are unchanged. No pneumothorax. ET tube in standard placement. Nasogastric tube passes into the stomach and out of view. A right jugular line ends just above the junction of brachiocephalic veins. No pneumothorax.",ET tube in standard placement.,ET tube,,Stable,['files/p13/p13078497/s58231918/96a447ee-f2ddbe8e-c71c996f-b05a48a3-485f4469.jpg'],['files/p13/p13078497/s58226576/fd439b65-e984a9f7-40022797-f1661b2b-8687abfc.jpg\n']
s58232231_2,p18067737,s58232231,2,Impression,No significant interval change since the prior study in the extensive left upper lobe consolidation and hilar mass. No large pleural effusions.,No significant interval change since the prior study in the extensive left upper lobe consolidation and hilar mass.,mass,hilar,Stable,"['files/p18/p18067737/s58232231/5dd97738-76c3ff89-82388c36-9f34d2c3-5073e305.jpg', 'files/p18/p18067737/s58232231/f33df19b-40b70f49-e2089e24-af20049c-136fb213.jpg']","['files/p18/p18067737/s58056585/140516cd-0a4265d2-ce7c8e15-37036b48-42fd24d5.jpg\n', 'files/p18/p18067737/s58056585/5ad6463b-b79f3447-bf9c7db1-e6fc6f3e-da500463.jpg\n', 'files/p18/p18067737/s58056585/ce6c73a2-bfbdbdf8-f7f014a2-bfffc5e3-232d2d80.jpg\n']"
s58232231_2,p18067737,s58232231,2,Findings,"In comparison to the prior study, there has been no significant interval change in the left hilar mass with volume loss and opacification in left upper lobe, which likely represents postobstructive pneumonia/collapse. The right lung is clear. No large pleural effusion or pneumothorax is seen.","In comparison to the prior study, there has been no significant interval change in the left hilar mass with volume loss and opacification in left upper lobe, which likely represents postobstructive pneumonia/collapse.",opacification,left upper lobe,Stable,"['files/p18/p18067737/s58232231/5dd97738-76c3ff89-82388c36-9f34d2c3-5073e305.jpg', 'files/p18/p18067737/s58232231/f33df19b-40b70f49-e2089e24-af20049c-136fb213.jpg']","['files/p18/p18067737/s58056585/140516cd-0a4265d2-ce7c8e15-37036b48-42fd24d5.jpg\n', 'files/p18/p18067737/s58056585/5ad6463b-b79f3447-bf9c7db1-e6fc6f3e-da500463.jpg\n', 'files/p18/p18067737/s58056585/ce6c73a2-bfbdbdf8-f7f014a2-bfffc5e3-232d2d80.jpg\n']"
s58232231_2,p18067737,s58232231,2,Findings,"In comparison to the prior study, there has been no significant interval change in the left hilar mass with volume loss and opacification in left upper lobe, which likely represents postobstructive pneumonia/collapse. The right lung is clear. No large pleural effusion or pneumothorax is seen.","In comparison to the prior study, there has been no significant interval change in the left hilar mass with volume loss and opacification in left upper lobe, which likely represents postobstructive pneumonia/collapse.",mass,left hilar,Stable,"['files/p18/p18067737/s58232231/5dd97738-76c3ff89-82388c36-9f34d2c3-5073e305.jpg', 'files/p18/p18067737/s58232231/f33df19b-40b70f49-e2089e24-af20049c-136fb213.jpg']","['files/p18/p18067737/s58056585/140516cd-0a4265d2-ce7c8e15-37036b48-42fd24d5.jpg\n', 'files/p18/p18067737/s58056585/5ad6463b-b79f3447-bf9c7db1-e6fc6f3e-da500463.jpg\n', 'files/p18/p18067737/s58056585/ce6c73a2-bfbdbdf8-f7f014a2-bfffc5e3-232d2d80.jpg\n']"
s58232231_2,p18067737,s58232231,2,Impression,No significant interval change since the prior study in the extensive left upper lobe consolidation and hilar mass. No large pleural effusions.,No significant interval change since the prior study in the extensive left upper lobe consolidation and hilar mass.,consolidation,left upper lobe,Stable,"['files/p18/p18067737/s58232231/5dd97738-76c3ff89-82388c36-9f34d2c3-5073e305.jpg', 'files/p18/p18067737/s58232231/f33df19b-40b70f49-e2089e24-af20049c-136fb213.jpg']","['files/p18/p18067737/s58056585/140516cd-0a4265d2-ce7c8e15-37036b48-42fd24d5.jpg\n', 'files/p18/p18067737/s58056585/5ad6463b-b79f3447-bf9c7db1-e6fc6f3e-da500463.jpg\n', 'files/p18/p18067737/s58056585/ce6c73a2-bfbdbdf8-f7f014a2-bfffc5e3-232d2d80.jpg\n']"
s58242694_26,p19182863,s58242694,26,Findings,"Left PICC enters a left-sided superior vena cava and subsequently courses vertically to terminate in the lower left hemithorax, just above the level of the diaphragm. Withdrawal by approximately 8 cm could be performed to ensure positioning within the lower left superior vena cava. Cardiac silhouette remains enlarged. Opacities involving the right middle and right lower lobe appear slightly improved and may reflect atelectasis and/or infectious consolidation. Moderate right pleural effusion with subpulmonic and intrafissural components is unchanged as well as a small left pleural effusion.",Moderate right pleural effusion with subpulmonic and intrafissural components is unchanged as well as a small left pleural effusion.,pleural effusion,right,Stable,"['files/p19/p19182863/s58242694/54dabc00-d770631c-f8f47830-2e377162-52750501.jpg', 'files/p19/p19182863/s58242694/bd31883a-45fff94f-a6b462e8-9b2d4696-f2d2a0e5.jpg']",['files/p19/p19182863/s58170172/47bb3903-f0ad177e-b50a04af-583fbb5e-379aec00.jpg\n']
s58242694_26,p19182863,s58242694,26,Findings,"Left PICC enters a left-sided superior vena cava and subsequently courses vertically to terminate in the lower left hemithorax, just above the level of the diaphragm. Withdrawal by approximately 8 cm could be performed to ensure positioning within the lower left superior vena cava. Cardiac silhouette remains enlarged. Opacities involving the right middle and right lower lobe appear slightly improved and may reflect atelectasis and/or infectious consolidation. Moderate right pleural effusion with subpulmonic and intrafissural components is unchanged as well as a small left pleural effusion.",Moderate right pleural effusion with subpulmonic and intrafissural components is unchanged as well as a small left pleural effusion.,pleural effusion,left,Stable,"['files/p19/p19182863/s58242694/54dabc00-d770631c-f8f47830-2e377162-52750501.jpg', 'files/p19/p19182863/s58242694/bd31883a-45fff94f-a6b462e8-9b2d4696-f2d2a0e5.jpg']",['files/p19/p19182863/s58170172/47bb3903-f0ad177e-b50a04af-583fbb5e-379aec00.jpg\n']
s58242694_26,p19182863,s58242694,26,Findings,"Left PICC enters a left-sided superior vena cava and subsequently courses vertically to terminate in the lower left hemithorax, just above the level of the diaphragm. Withdrawal by approximately 8 cm could be performed to ensure positioning within the lower left superior vena cava. Cardiac silhouette remains enlarged. Opacities involving the right middle and right lower lobe appear slightly improved and may reflect atelectasis and/or infectious consolidation. Moderate right pleural effusion with subpulmonic and intrafissural components is unchanged as well as a small left pleural effusion.",Cardiac silhouette remains enlarged.,Cardiac silhouette,,Stable,"['files/p19/p19182863/s58242694/54dabc00-d770631c-f8f47830-2e377162-52750501.jpg', 'files/p19/p19182863/s58242694/bd31883a-45fff94f-a6b462e8-9b2d4696-f2d2a0e5.jpg']",['files/p19/p19182863/s58170172/47bb3903-f0ad177e-b50a04af-583fbb5e-379aec00.jpg\n']
s58242694_26,p19182863,s58242694,26,Findings,"Left PICC enters a left-sided superior vena cava and subsequently courses vertically to terminate in the lower left hemithorax, just above the level of the diaphragm. Withdrawal by approximately 8 cm could be performed to ensure positioning within the lower left superior vena cava. Cardiac silhouette remains enlarged. Opacities involving the right middle and right lower lobe appear slightly improved and may reflect atelectasis and/or infectious consolidation. Moderate right pleural effusion with subpulmonic and intrafissural components is unchanged as well as a small left pleural effusion.",Opacities involving the right middle and right lower lobe appear slightly improved and may reflect atelectasis and/or infectious consolidation.,opacities,right middle and right lower lobe,Better,"['files/p19/p19182863/s58242694/54dabc00-d770631c-f8f47830-2e377162-52750501.jpg', 'files/p19/p19182863/s58242694/bd31883a-45fff94f-a6b462e8-9b2d4696-f2d2a0e5.jpg']",['files/p19/p19182863/s58170172/47bb3903-f0ad177e-b50a04af-583fbb5e-379aec00.jpg\n']
s58248690_6,p16826047,s58248690,6,Findings,"As compared to the previous radiograph, the patient has undergone a right thoracocentesis. The extent of the right pleural effusion has substantially decreased. There is an opacity at the right lung base, likely reflecting reexpansion lung edema. No evidence of pneumothorax. No change in appearance of the left lung and of the cardiac silhouette.",The extent of the right pleural effusion has substantially decreased.,pleural effusion,right,Better,['files/p16/p16826047/s58248690/e92d9801-97dad88a-dce9c2c1-ac9d93ac-c7134e12.jpg'],['files/p16/p16826047/s58211311/bb14208e-dd68a9a6-a211bb19-b3762b65-dbfc6379.jpg\n']
s58248690_6,p16826047,s58248690,6,Findings,"As compared to the previous radiograph, the patient has undergone a right thoracocentesis. The extent of the right pleural effusion has substantially decreased. There is an opacity at the right lung base, likely reflecting reexpansion lung edema. No evidence of pneumothorax. No change in appearance of the left lung and of the cardiac silhouette.",No change in appearance of the left lung and of the cardiac silhouette.,lung,left,Stable,['files/p16/p16826047/s58248690/e92d9801-97dad88a-dce9c2c1-ac9d93ac-c7134e12.jpg'],['files/p16/p16826047/s58211311/bb14208e-dd68a9a6-a211bb19-b3762b65-dbfc6379.jpg\n']
s58248690_6,p16826047,s58248690,6,Findings,"As compared to the previous radiograph, the patient has undergone a right thoracocentesis. The extent of the right pleural effusion has substantially decreased. There is an opacity at the right lung base, likely reflecting reexpansion lung edema. No evidence of pneumothorax. No change in appearance of the left lung and of the cardiac silhouette.",No change in appearance of the left lung and of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p16/p16826047/s58248690/e92d9801-97dad88a-dce9c2c1-ac9d93ac-c7134e12.jpg'],['files/p16/p16826047/s58211311/bb14208e-dd68a9a6-a211bb19-b3762b65-dbfc6379.jpg\n']
s58250250_54,p19182863,s58250250,54,Impression,"Compared to prior chest radiographs is since ___, most recently ___ at 11:04. The tip of the new ET tube is above the clavicles no less than 5.5 cm from the carina with the chin elevated. This is probably acceptable. Moderate bilateral pleural effusions, stable on the right, decreased on the left. No pneumothorax. Moderate enlargement of cardiac silhouette. Transvenous pacemaker lead traverses the persistent left-sided SVC, termination not unchanged. Esophageal drainage tube ends in nondistended stomach.","Compared to prior chest radiographs is since ___, most recently ___ at 11:04. The tip of the new ET tube is above the clavicles no less than 5.5 cm from the carina with the chin elevated. This is probably acceptable. Moderate bilateral pleural effusions, stable on the right, decreased on the left. No pneumothorax. Moderate enlargement of cardiac silhouette. Transvenous pacemaker lead traverses the persistent left-sided SVC, termination not unchanged. Esophageal drainage tube ends in nondistended stomach.",moderate enlargement of cardiac silhouette,,Stable,['files/p19/p19182863/s58250250/05a2438b-6777cb93-a97597e4-6b1ba817-01bbe697.jpg'],"['files/p19/p19182863/s58242694/54dabc00-d770631c-f8f47830-2e377162-52750501.jpg\n', 'files/p19/p19182863/s58242694/bd31883a-45fff94f-a6b462e8-9b2d4696-f2d2a0e5.jpg\n']"
s58250250_54,p19182863,s58250250,54,Impression,"Compared to prior chest radiographs is since ___, most recently ___ at 11:04. The tip of the new ET tube is above the clavicles no less than 5.5 cm from the carina with the chin elevated. This is probably acceptable. Moderate bilateral pleural effusions, stable on the right, decreased on the left. No pneumothorax. Moderate enlargement of cardiac silhouette. Transvenous pacemaker lead traverses the persistent left-sided SVC, termination not unchanged. Esophageal drainage tube ends in nondistended stomach.","Compared to prior chest radiographs is since ___, most recently ___ at 11:04. The tip of the new ET tube is above the clavicles no less than 5.5 cm from the carina with the chin elevated. This is probably acceptable. Moderate bilateral pleural effusions, stable on the right, decreased on the left. No pneumothorax. Moderate enlargement of cardiac silhouette. Transvenous pacemaker lead traverses the persistent left-sided SVC, termination not unchanged. Esophageal drainage tube ends in nondistended stomach.",ET tube,,New,['files/p19/p19182863/s58250250/05a2438b-6777cb93-a97597e4-6b1ba817-01bbe697.jpg'],"['files/p19/p19182863/s58242694/54dabc00-d770631c-f8f47830-2e377162-52750501.jpg\n', 'files/p19/p19182863/s58242694/bd31883a-45fff94f-a6b462e8-9b2d4696-f2d2a0e5.jpg\n']"
s58250250_54,p19182863,s58250250,54,Impression,"Compared to prior chest radiographs is since ___, most recently ___ at 11:04. The tip of the new ET tube is above the clavicles no less than 5.5 cm from the carina with the chin elevated. This is probably acceptable. Moderate bilateral pleural effusions, stable on the right, decreased on the left. No pneumothorax. Moderate enlargement of cardiac silhouette. Transvenous pacemaker lead traverses the persistent left-sided SVC, termination not unchanged. Esophageal drainage tube ends in nondistended stomach.","Compared to prior chest radiographs is since ___, most recently ___ at 11:04. The tip of the new ET tube is above the clavicles no less than 5.5 cm from the carina with the chin elevated. This is probably acceptable. Moderate bilateral pleural effusions, stable on the right, decreased on the left. No pneumothorax. Moderate enlargement of cardiac silhouette. Transvenous pacemaker lead traverses the persistent left-sided SVC, termination not unchanged. Esophageal drainage tube ends in nondistended stomach.",pleural effusion,right,Stable,['files/p19/p19182863/s58250250/05a2438b-6777cb93-a97597e4-6b1ba817-01bbe697.jpg'],"['files/p19/p19182863/s58242694/54dabc00-d770631c-f8f47830-2e377162-52750501.jpg\n', 'files/p19/p19182863/s58242694/bd31883a-45fff94f-a6b462e8-9b2d4696-f2d2a0e5.jpg\n']"
s58250250_54,p19182863,s58250250,54,Impression,"Compared to prior chest radiographs is since ___, most recently ___ at 11:04. The tip of the new ET tube is above the clavicles no less than 5.5 cm from the carina with the chin elevated. This is probably acceptable. Moderate bilateral pleural effusions, stable on the right, decreased on the left. No pneumothorax. Moderate enlargement of cardiac silhouette. Transvenous pacemaker lead traverses the persistent left-sided SVC, termination not unchanged. Esophageal drainage tube ends in nondistended stomach.","Compared to prior chest radiographs is since ___, most recently ___ at 11:04. The tip of the new ET tube is above the clavicles no less than 5.5 cm from the carina with the chin elevated. This is probably acceptable. Moderate bilateral pleural effusions, stable on the right, decreased on the left. No pneumothorax. Moderate enlargement of cardiac silhouette. Transvenous pacemaker lead traverses the persistent left-sided SVC, termination not unchanged. Esophageal drainage tube ends in nondistended stomach.",pleural effusion,left,Better,['files/p19/p19182863/s58250250/05a2438b-6777cb93-a97597e4-6b1ba817-01bbe697.jpg'],"['files/p19/p19182863/s58242694/54dabc00-d770631c-f8f47830-2e377162-52750501.jpg\n', 'files/p19/p19182863/s58242694/bd31883a-45fff94f-a6b462e8-9b2d4696-f2d2a0e5.jpg\n']"
s58255680_7,p16672854,s58255680,7,Findings,"The patient is status post median sternotomy. In the interval since the prior study, there has been increase in the interstitial markings bilaterally and prominence of the hila suggesting moderate pulmonary edema. Small pleural effusion may also be present. Basilar opacities may relate to fluid overload; however, infectious process is not excluded.","In the interval since the prior study, there has been increase in the interstitial markings bilaterally and prominence of the hila suggesting moderate pulmonary edema.",prominence,hila,Worse,"['files/p16/p16672854/s58255680/5b4b7e3e-a726aeb4-8bd775d0-56132ba3-44911f96.jpg', 'files/p16/p16672854/s58255680/6c07c33a-7fa8c707-954343f0-26c7f512-379005a9.jpg']",['files/p16/p16672854/s57752575/3478fd3c-a34b3e6d-0a9a1cf3-726cb9cd-ec1381aa.jpg\n']
s58255680_7,p16672854,s58255680,7,Findings,"The patient is status post median sternotomy. In the interval since the prior study, there has been increase in the interstitial markings bilaterally and prominence of the hila suggesting moderate pulmonary edema. Small pleural effusion may also be present. Basilar opacities may relate to fluid overload; however, infectious process is not excluded.","In the interval since the prior study, there has been increase in the interstitial markings bilaterally and prominence of the hila suggesting moderate pulmonary edema.",interstitial markings,bilateral,Worse,"['files/p16/p16672854/s58255680/5b4b7e3e-a726aeb4-8bd775d0-56132ba3-44911f96.jpg', 'files/p16/p16672854/s58255680/6c07c33a-7fa8c707-954343f0-26c7f512-379005a9.jpg']",['files/p16/p16672854/s57752575/3478fd3c-a34b3e6d-0a9a1cf3-726cb9cd-ec1381aa.jpg\n']
s58255867_9,p14236258,s58255867,9,Findings,"Vague opacity projecting over the right mid/lower lung the which is new since prior. Elsewhere, the lungs are clear. There is no layering effusion. Cardiac silhouette is enlarged but similar in configuration. Multiple vascular stents are again noted projecting over the SVC, left brachiocephalic vein and left upper extremity. Surgical clips project over the lower neck. No acute osseous abnormalities.",Cardiac silhouette is enlarged but similar in configuration.,Cardiac silhouette,,Stable,"['files/p14/p14236258/s58255867/0f33dea2-1c4e6245-7b21b568-ef0299e9-03c0863a.jpg', 'files/p14/p14236258/s58255867/5732623e-81224052-0d0743d5-220e58d4-18365982.jpg', 'files/p14/p14236258/s58255867/89761447-bc4663fb-0df82ab9-baf89987-3cefc06b.jpg']","['files/p14/p14236258/s56989009/57adb094-9d4c4985-a8c9b75c-185797af-60f67487.jpg\n', 'files/p14/p14236258/s56989009/a737d30f-4c947f3f-03cc1ff5-852bc111-d0a86acb.jpg\n']"
s58255867_9,p14236258,s58255867,9,Findings,"Vague opacity projecting over the right mid/lower lung the which is new since prior. Elsewhere, the lungs are clear. There is no layering effusion. Cardiac silhouette is enlarged but similar in configuration. Multiple vascular stents are again noted projecting over the SVC, left brachiocephalic vein and left upper extremity. Surgical clips project over the lower neck. No acute osseous abnormalities.","Multiple vascular stents are again noted projecting over the SVC, left brachiocephalic vein and left upper extremity.",vascular stents,"SVC, left brachiocephalic vein, left upper extremity",Stable,"['files/p14/p14236258/s58255867/0f33dea2-1c4e6245-7b21b568-ef0299e9-03c0863a.jpg', 'files/p14/p14236258/s58255867/5732623e-81224052-0d0743d5-220e58d4-18365982.jpg', 'files/p14/p14236258/s58255867/89761447-bc4663fb-0df82ab9-baf89987-3cefc06b.jpg']","['files/p14/p14236258/s56989009/57adb094-9d4c4985-a8c9b75c-185797af-60f67487.jpg\n', 'files/p14/p14236258/s56989009/a737d30f-4c947f3f-03cc1ff5-852bc111-d0a86acb.jpg\n']"
s58255867_9,p14236258,s58255867,9,Findings,"Vague opacity projecting over the right mid/lower lung the which is new since prior. Elsewhere, the lungs are clear. There is no layering effusion. Cardiac silhouette is enlarged but similar in configuration. Multiple vascular stents are again noted projecting over the SVC, left brachiocephalic vein and left upper extremity. Surgical clips project over the lower neck. No acute osseous abnormalities.",Vague opacity projecting over the right mid/lower lung the which is new since prior.,opacity,right mid/lower lung,New,"['files/p14/p14236258/s58255867/0f33dea2-1c4e6245-7b21b568-ef0299e9-03c0863a.jpg', 'files/p14/p14236258/s58255867/5732623e-81224052-0d0743d5-220e58d4-18365982.jpg', 'files/p14/p14236258/s58255867/89761447-bc4663fb-0df82ab9-baf89987-3cefc06b.jpg']","['files/p14/p14236258/s56989009/57adb094-9d4c4985-a8c9b75c-185797af-60f67487.jpg\n', 'files/p14/p14236258/s56989009/a737d30f-4c947f3f-03cc1ff5-852bc111-d0a86acb.jpg\n']"
s58267855_6,p10268877,s58267855,6,Findings,"Comparison is made to the prior study performed two hours earlier. Interval placement of a nasogastric tube, whose distal tip and sideport are below the gastroesophageal junction. Endotracheal tube and right IJ central line are in unchanged position. There is persistent cardiomegaly. There is a left retrocardiac opacity. There is prominence of the pulmonary vascular markings, consistent with mild pulmonary edema. There is some atelectasis at the left lung base.",There is persistent cardiomegaly.,cardiomegaly,,Stable,['files/p10/p10268877/s58267855/95efb462-e05c1ac9-3c5319d6-bafdcede-df6db042.jpg'],['files/p10/p10268877/s58011676/6dd4f93a-409046d9-76f232eb-f7cb1b45-834abf5c.jpg\n']
s58268220_4,p19159236,s58268220,4,Findings,"Single portable view of the chest is compared to previous exam from earlier the same day at 12:35 p.m. Interval placement of nasogastric tube is seen, noting that the tube can only be identified to the mid portion of the mediastinum and should be advanced. Endotracheal tube tip is approximately 5 cm from the carina. Otherwise, there has been no change.","Interval placement of nasogastric tube is seen, noting that the tube can only be identified to the mid portion of the mediastinum and should be advanced.",nasogastric tube,mid portion of the mediastinum,New,['files/p19/p19159236/s58268220/166ed666-3cf27b16-96e71ab7-5c3cb2e9-2f2c90d1.jpg'],['files/p19/p19159236/s55511619/7e424a42-38f2b8c3-7cdac166-95452e5b-2ada132a.jpg\n']
s58274681_5,p19404187,s58274681,5,Findings,"In comparison with study of ___, there has been removal of pleural fluid from the left hemithorax. No evidence of pneumothorax. Coalescent areas in the left upper and lower zones could well reflect regions of consolidation. The right lung is essentially clear. Right IJ central catheter extends to the lower portion of the SVC.","In comparison with study of ___, there has been removal of pleural fluid from the left hemithorax.",pleural fluid,left hemithorax,Resolve,"['files/p19/p19404187/s58274681/2105a3d5-135b0241-ad3232b4-24f593cc-3d0862a6.jpg', 'files/p19/p19404187/s58274681/c408021c-9ec7e58b-9e1623a5-ea612873-9f6462aa.jpg']","['files/p19/p19404187/s57780214/480f169c-15ef13a4-4ca3b85d-181a240e-edc79169.jpg\n', 'files/p19/p19404187/s57780214/cdd7ee52-66082b29-febaceb1-6ced7608-1e8e8631.jpg\n']"
s58274962_9,p11022245,s58274962,9,Impression,1. Unchanged bilateral mid lung opacities likely reflect infectious process given history of septic emboli. 2. Unchanged or slightly increased left greater than right pleural effusion and associated atelectasis.,2. Unchanged or slightly increased left greater than right pleural effusion and associated atelectasis.,pleural effusion and atelectasis,left greater than right,Stable,"['files/p11/p11022245/s58274962/7b326442-f1c89773-b17481e4-1c7410b9-9ba4a725.jpg', 'files/p11/p11022245/s58274962/f7ba6691-53545537-20c8b2dc-79dbd392-36f05d15.jpg']",['files/p11/p11022245/s57732352/7c113cab-8f9bee61-2b8ef272-d3fb769c-21b9dd1c.jpg\n']
s58274962_9,p11022245,s58274962,9,Impression,1. Unchanged bilateral mid lung opacities likely reflect infectious process given history of septic emboli. 2. Unchanged or slightly increased left greater than right pleural effusion and associated atelectasis.,1. Unchanged bilateral mid lung opacities likely reflect infectious process given history of septic emboli.,opacities,bilateral mid lung,Stable,"['files/p11/p11022245/s58274962/7b326442-f1c89773-b17481e4-1c7410b9-9ba4a725.jpg', 'files/p11/p11022245/s58274962/f7ba6691-53545537-20c8b2dc-79dbd392-36f05d15.jpg']",['files/p11/p11022245/s57732352/7c113cab-8f9bee61-2b8ef272-d3fb769c-21b9dd1c.jpg\n']
s58274962_9,p11022245,s58274962,9,Findings,"Rounded bilateral mid lung opacities are again seen, grossly unchanged and likely reflect consolidative infectious process given history of septic emboli. There is unchanged bibasilar opacification, which is likely atelectasis with left greater than right effusions. Cardiac silhouette is markedly enlarged, similar to the most recent prior. Left PICC terminates in the cavoatrial junction. Median sternotomy wires are intact.","Cardiac silhouette is markedly enlarged, similar to the most recent prior.",cardiac silhouette,,Stable,"['files/p11/p11022245/s58274962/7b326442-f1c89773-b17481e4-1c7410b9-9ba4a725.jpg', 'files/p11/p11022245/s58274962/f7ba6691-53545537-20c8b2dc-79dbd392-36f05d15.jpg']",['files/p11/p11022245/s57732352/7c113cab-8f9bee61-2b8ef272-d3fb769c-21b9dd1c.jpg\n']
s58274962_9,p11022245,s58274962,9,Findings,"Rounded bilateral mid lung opacities are again seen, grossly unchanged and likely reflect consolidative infectious process given history of septic emboli. There is unchanged bibasilar opacification, which is likely atelectasis with left greater than right effusions. Cardiac silhouette is markedly enlarged, similar to the most recent prior. Left PICC terminates in the cavoatrial junction. Median sternotomy wires are intact.","Rounded bilateral mid lung opacities are again seen, grossly unchanged and likely reflect consolidative infectious process given history of septic emboli.",opacities,bilateral mid lung,Stable,"['files/p11/p11022245/s58274962/7b326442-f1c89773-b17481e4-1c7410b9-9ba4a725.jpg', 'files/p11/p11022245/s58274962/f7ba6691-53545537-20c8b2dc-79dbd392-36f05d15.jpg']",['files/p11/p11022245/s57732352/7c113cab-8f9bee61-2b8ef272-d3fb769c-21b9dd1c.jpg\n']
s58274962_9,p11022245,s58274962,9,Findings,"Rounded bilateral mid lung opacities are again seen, grossly unchanged and likely reflect consolidative infectious process given history of septic emboli. There is unchanged bibasilar opacification, which is likely atelectasis with left greater than right effusions. Cardiac silhouette is markedly enlarged, similar to the most recent prior. Left PICC terminates in the cavoatrial junction. Median sternotomy wires are intact.","There is unchanged bibasilar opacification, which is likely atelectasis with left greater than right effusions.",opacification,bibasilar,Stable,"['files/p11/p11022245/s58274962/7b326442-f1c89773-b17481e4-1c7410b9-9ba4a725.jpg', 'files/p11/p11022245/s58274962/f7ba6691-53545537-20c8b2dc-79dbd392-36f05d15.jpg']",['files/p11/p11022245/s57732352/7c113cab-8f9bee61-2b8ef272-d3fb769c-21b9dd1c.jpg\n']
s58283482_5,p19991135,s58283482,5,Findings,"In comparison with the study of ___, one of the right chest tubes appears to have been removed. No definite pneumothorax is appreciated. Post-surgical changes persist in the right hemithorax and there is extensive subcutaneous gas along the right lateral chest wall.",Post-surgical changes persist in the right hemithorax and there is extensive subcutaneous gas along the right lateral chest wall.,subcutaneous gas,right lateral chest wall,Stable,"['files/p19/p19991135/s58283482/313f1d75-23648c34-dd36ecad-5d0f94e8-93a40356.jpg', 'files/p19/p19991135/s58283482/4d0251eb-cc875c55-fde85f43-3a9d7888-c62772b8.jpg', 'files/p19/p19991135/s58283482/f6a7a470-9e057a45-d244e0e5-3efe1422-bb946478.jpg']",['files/p19/p19991135/s57757467/727e2aa5-ddfdd2ff-b5723867-520a758e-c81ca8e2.jpg\n']
s58283482_5,p19991135,s58283482,5,Findings,"In comparison with the study of ___, one of the right chest tubes appears to have been removed. No definite pneumothorax is appreciated. Post-surgical changes persist in the right hemithorax and there is extensive subcutaneous gas along the right lateral chest wall.","In comparison with the study of ___, one of the right chest tubes appears to have been removed.",chest tube,right,Resolve,"['files/p19/p19991135/s58283482/313f1d75-23648c34-dd36ecad-5d0f94e8-93a40356.jpg', 'files/p19/p19991135/s58283482/4d0251eb-cc875c55-fde85f43-3a9d7888-c62772b8.jpg', 'files/p19/p19991135/s58283482/f6a7a470-9e057a45-d244e0e5-3efe1422-bb946478.jpg']",['files/p19/p19991135/s57757467/727e2aa5-ddfdd2ff-b5723867-520a758e-c81ca8e2.jpg\n']
s58283482_5,p19991135,s58283482,5,Findings,"In comparison with the study of ___, one of the right chest tubes appears to have been removed. No definite pneumothorax is appreciated. Post-surgical changes persist in the right hemithorax and there is extensive subcutaneous gas along the right lateral chest wall.",Post-surgical changes persist in the right hemithorax and there is extensive subcutaneous gas along the right lateral chest wall.,post-surgical changes,right hemithorax,Stable,"['files/p19/p19991135/s58283482/313f1d75-23648c34-dd36ecad-5d0f94e8-93a40356.jpg', 'files/p19/p19991135/s58283482/4d0251eb-cc875c55-fde85f43-3a9d7888-c62772b8.jpg', 'files/p19/p19991135/s58283482/f6a7a470-9e057a45-d244e0e5-3efe1422-bb946478.jpg']",['files/p19/p19991135/s57757467/727e2aa5-ddfdd2ff-b5723867-520a758e-c81ca8e2.jpg\n']
s58301804_11,p18855147,s58301804,11,Findings,"In comparison with the earlier study of this date, there has been placement of a nasogastric tube with its tip in the body of the esophagus. The side hole is in the region of the gastroesophageal junction and the tube should be advanced several centimeters. Pulmonary vessels are less well defined than on the previous study, consistent with some mild increase in pulmonary venous pressure.","Pulmonary vessels are less well defined than on the previous study, consistent with some mild increase in pulmonary venous pressure.",Definition,Pulmonary vessels,Worse,['files/p18/p18855147/s58301804/bb31f02a-26cfe8cb-d6444793-d24a3c7a-3ba6afb6.jpg'],"['files/p18/p18855147/s57863444/29481f39-ab51b96a-2a696f80-7ee66b4f-2ded1b3e.jpg\n', 'files/p18/p18855147/s57863444/cb0502af-22b9aa9f-6f613ef2-15552b8e-5b4238eb.jpg\n']"
s58301804_11,p18855147,s58301804,11,Findings,"In comparison with the earlier study of this date, there has been placement of a nasogastric tube with its tip in the body of the esophagus. The side hole is in the region of the gastroesophageal junction and the tube should be advanced several centimeters. Pulmonary vessels are less well defined than on the previous study, consistent with some mild increase in pulmonary venous pressure.","In comparison with the earlier study of this date, there has been placement of a nasogastric tube with its tip in the body of the esophagus.",Nasogastric tube,Body of the esophagus,New,['files/p18/p18855147/s58301804/bb31f02a-26cfe8cb-d6444793-d24a3c7a-3ba6afb6.jpg'],"['files/p18/p18855147/s57863444/29481f39-ab51b96a-2a696f80-7ee66b4f-2ded1b3e.jpg\n', 'files/p18/p18855147/s57863444/cb0502af-22b9aa9f-6f613ef2-15552b8e-5b4238eb.jpg\n']"
s58303567_5,p16508811,s58303567,5,Impression,"AP chest compared to ___ through ___: Right upper lobe pneumonia continues to develop. Pulmonary edema is clearing. Bibasilar consolidation, unchanged since ___, could be more pneumonia or combination of edema and basal atelectasis. The heart is partially obscured, probably moderately enlarged. Small-to-moderate bilateral pleural effusions unchanged. No pneumothorax.",Pulmonary edema is clearing.,pulmonary edema,,Resolve,['files/p16/p16508811/s58303567/10c8ac36-a2853890-23c30e54-90a676c0-9a66c8eb.jpg'],"['files/p16/p16508811/s57988903/6c0daac8-adefbe30-1a6a00e7-ac963bb6-fc69e8e4.jpg\n', 'files/p16/p16508811/s57988903/8d8b26e3-3c8ee293-aad9533f-8fc6f107-c58c3f36.jpg\n', 'files/p16/p16508811/s57988903/febf4065-2f4fb271-950add11-ee1ea7b0-f4c14c02.jpg\n']"
s58303567_5,p16508811,s58303567,5,Impression,"AP chest compared to ___ through ___: Right upper lobe pneumonia continues to develop. Pulmonary edema is clearing. Bibasilar consolidation, unchanged since ___, could be more pneumonia or combination of edema and basal atelectasis. The heart is partially obscured, probably moderately enlarged. Small-to-moderate bilateral pleural effusions unchanged. No pneumothorax.",Small-to-moderate bilateral pleural effusions unchanged.,pleural effusions,bilateral,Stable,['files/p16/p16508811/s58303567/10c8ac36-a2853890-23c30e54-90a676c0-9a66c8eb.jpg'],"['files/p16/p16508811/s57988903/6c0daac8-adefbe30-1a6a00e7-ac963bb6-fc69e8e4.jpg\n', 'files/p16/p16508811/s57988903/8d8b26e3-3c8ee293-aad9533f-8fc6f107-c58c3f36.jpg\n', 'files/p16/p16508811/s57988903/febf4065-2f4fb271-950add11-ee1ea7b0-f4c14c02.jpg\n']"
s58303567_5,p16508811,s58303567,5,Impression,"AP chest compared to ___ through ___: Right upper lobe pneumonia continues to develop. Pulmonary edema is clearing. Bibasilar consolidation, unchanged since ___, could be more pneumonia or combination of edema and basal atelectasis. The heart is partially obscured, probably moderately enlarged. Small-to-moderate bilateral pleural effusions unchanged. No pneumothorax.",AP chest compared to ___ through ___: Right upper lobe pneumonia continues to develop.,pneumonia,Right upper lobe,Worse,['files/p16/p16508811/s58303567/10c8ac36-a2853890-23c30e54-90a676c0-9a66c8eb.jpg'],"['files/p16/p16508811/s57988903/6c0daac8-adefbe30-1a6a00e7-ac963bb6-fc69e8e4.jpg\n', 'files/p16/p16508811/s57988903/8d8b26e3-3c8ee293-aad9533f-8fc6f107-c58c3f36.jpg\n', 'files/p16/p16508811/s57988903/febf4065-2f4fb271-950add11-ee1ea7b0-f4c14c02.jpg\n']"
s58303567_5,p16508811,s58303567,5,Impression,"AP chest compared to ___ through ___: Right upper lobe pneumonia continues to develop. Pulmonary edema is clearing. Bibasilar consolidation, unchanged since ___, could be more pneumonia or combination of edema and basal atelectasis. The heart is partially obscured, probably moderately enlarged. Small-to-moderate bilateral pleural effusions unchanged. No pneumothorax.","Bibasilar consolidation, unchanged since ___, could be more pneumonia or combination of edema and basal atelectasis.",consolidation,Bibasilar,Stable,['files/p16/p16508811/s58303567/10c8ac36-a2853890-23c30e54-90a676c0-9a66c8eb.jpg'],"['files/p16/p16508811/s57988903/6c0daac8-adefbe30-1a6a00e7-ac963bb6-fc69e8e4.jpg\n', 'files/p16/p16508811/s57988903/8d8b26e3-3c8ee293-aad9533f-8fc6f107-c58c3f36.jpg\n', 'files/p16/p16508811/s57988903/febf4065-2f4fb271-950add11-ee1ea7b0-f4c14c02.jpg\n']"
s58304701_1,p13975291,s58304701,1,Impression,"In comparison with the study of ___, there is again enlargement of the cardiac silhouette. However, the pulmonary edema has substantially improved. Blunting of the costophrenic angles process. There is an area of increased opacification in the right perihilar region, which could represent a new region of consolidation.","However, the pulmonary edema has substantially improved.",pulmonary edema,,Better,"['files/p13/p13975291/s58304701/1b4cad1b-a0c9f739-745ee1c4-4ad5ea37-41df6917.jpg', 'files/p13/p13975291/s58304701/438039d7-2b32dcfa-bd0fc343-02ae26e9-7b649974.jpg', 'files/p13/p13975291/s58304701/772a5436-29f7b5fa-5ad23833-0939fd67-e58a599f.jpg']","['files/p13/p13975291/s51140249/0b573d4b-fece5236-ea941b33-c752a0ab-b5cfdd68.jpg\n', 'files/p13/p13975291/s51140249/95bc54f7-4eb1cd0d-b8f2819b-e99ffbc6-f88f04e9.jpg\n', 'files/p13/p13975291/s51140249/9b8de5d5-5d6c4148-82f0a118-467303e6-090f6b84.jpg\n']"
s58304701_1,p13975291,s58304701,1,Impression,"In comparison with the study of ___, there is again enlargement of the cardiac silhouette. However, the pulmonary edema has substantially improved. Blunting of the costophrenic angles process. There is an area of increased opacification in the right perihilar region, which could represent a new region of consolidation.","There is an area of increased opacification in the right perihilar region, which could represent a new region of consolidation.",consolidation,right perihilar,New,"['files/p13/p13975291/s58304701/1b4cad1b-a0c9f739-745ee1c4-4ad5ea37-41df6917.jpg', 'files/p13/p13975291/s58304701/438039d7-2b32dcfa-bd0fc343-02ae26e9-7b649974.jpg', 'files/p13/p13975291/s58304701/772a5436-29f7b5fa-5ad23833-0939fd67-e58a599f.jpg']","['files/p13/p13975291/s51140249/0b573d4b-fece5236-ea941b33-c752a0ab-b5cfdd68.jpg\n', 'files/p13/p13975291/s51140249/95bc54f7-4eb1cd0d-b8f2819b-e99ffbc6-f88f04e9.jpg\n', 'files/p13/p13975291/s51140249/9b8de5d5-5d6c4148-82f0a118-467303e6-090f6b84.jpg\n']"
s58304701_1,p13975291,s58304701,1,Impression,"In comparison with the study of ___, there is again enlargement of the cardiac silhouette. However, the pulmonary edema has substantially improved. Blunting of the costophrenic angles process. There is an area of increased opacification in the right perihilar region, which could represent a new region of consolidation.","In comparison with the study of ___, there is again enlargement of the cardiac silhouette.",cardiac silhouette,,Stable,"['files/p13/p13975291/s58304701/1b4cad1b-a0c9f739-745ee1c4-4ad5ea37-41df6917.jpg', 'files/p13/p13975291/s58304701/438039d7-2b32dcfa-bd0fc343-02ae26e9-7b649974.jpg', 'files/p13/p13975291/s58304701/772a5436-29f7b5fa-5ad23833-0939fd67-e58a599f.jpg']","['files/p13/p13975291/s51140249/0b573d4b-fece5236-ea941b33-c752a0ab-b5cfdd68.jpg\n', 'files/p13/p13975291/s51140249/95bc54f7-4eb1cd0d-b8f2819b-e99ffbc6-f88f04e9.jpg\n', 'files/p13/p13975291/s51140249/9b8de5d5-5d6c4148-82f0a118-467303e6-090f6b84.jpg\n']"
s58306324_16,p13475033,s58306324,16,Findings,"Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pneumothorax. The heart is enlarged, similar to prior. Right upper extremity vascular stent is partially visualized. Multiple thoracic compression deformities are again seen.","The heart is enlarged, similar to prior.",enlarged heart,,Stable,"['files/p13/p13475033/s58306324/248d10e8-c0dcb64e-cae9c9ac-271af79e-8a72b381.jpg', 'files/p13/p13475033/s58306324/7b764993-32d1c941-d0ddfd50-1022cf30-82cdcfc7.jpg']","['files/p13/p13475033/s58198532/42493196-32cde3ff-b94d0ab0-baf74d8e-a88ad016.jpg\n', 'files/p13/p13475033/s58198532/94420d61-059622c4-a869e720-aa8d1a7b-6910f91c.jpg\n']"
s58306324_16,p13475033,s58306324,16,Findings,"Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pneumothorax. The heart is enlarged, similar to prior. Right upper extremity vascular stent is partially visualized. Multiple thoracic compression deformities are again seen.",Multiple thoracic compression deformities are again seen.,compression deformities,thoracic,Stable,"['files/p13/p13475033/s58306324/248d10e8-c0dcb64e-cae9c9ac-271af79e-8a72b381.jpg', 'files/p13/p13475033/s58306324/7b764993-32d1c941-d0ddfd50-1022cf30-82cdcfc7.jpg']","['files/p13/p13475033/s58198532/42493196-32cde3ff-b94d0ab0-baf74d8e-a88ad016.jpg\n', 'files/p13/p13475033/s58198532/94420d61-059622c4-a869e720-aa8d1a7b-6910f91c.jpg\n']"
s58308524_4,p13964474,s58308524,4,Findings,"As compared to the previous radiograph, the patient has received an esophageal stent. The stent is in correct position according to radiographic criteria. The patient, however, developed free intra-abdominal air. The monitoring and support devices are unchanged, with the exception of the nasogastric tube, this has been removed. The parenchymal opacities seen in both lungs, right more than left, have not substantially changed. The observation of free intra-abdominal air was made at 7:28 a.m., ___, at the time of dictation. At this same time point, the referring physician, ___. ___, covered by Dr. ___, was paged for notification and the findings were subsequently discussed over the telephone.","The patient, however, developed free intra-abdominal air.",free air,intra-abdominal,New,['files/p13/p13964474/s58308524/4c6b5299-3ebba16c-f51ce5aa-b087e79c-2ac29f2d.jpg'],['files/p13/p13964474/s58187408/03687e0f-cfea2f97-6062fceb-1c006210-6f147d31.jpg\n']
s58308524_4,p13964474,s58308524,4,Findings,"As compared to the previous radiograph, the patient has received an esophageal stent. The stent is in correct position according to radiographic criteria. The patient, however, developed free intra-abdominal air. The monitoring and support devices are unchanged, with the exception of the nasogastric tube, this has been removed. The parenchymal opacities seen in both lungs, right more than left, have not substantially changed. The observation of free intra-abdominal air was made at 7:28 a.m., ___, at the time of dictation. At this same time point, the referring physician, ___. ___, covered by Dr. ___, was paged for notification and the findings were subsequently discussed over the telephone.","As compared to the previous radiograph, the patient has received an esophageal stent.",esophageal stent,,New,['files/p13/p13964474/s58308524/4c6b5299-3ebba16c-f51ce5aa-b087e79c-2ac29f2d.jpg'],['files/p13/p13964474/s58187408/03687e0f-cfea2f97-6062fceb-1c006210-6f147d31.jpg\n']
s58308524_4,p13964474,s58308524,4,Findings,"As compared to the previous radiograph, the patient has received an esophageal stent. The stent is in correct position according to radiographic criteria. The patient, however, developed free intra-abdominal air. The monitoring and support devices are unchanged, with the exception of the nasogastric tube, this has been removed. The parenchymal opacities seen in both lungs, right more than left, have not substantially changed. The observation of free intra-abdominal air was made at 7:28 a.m., ___, at the time of dictation. At this same time point, the referring physician, ___. ___, covered by Dr. ___, was paged for notification and the findings were subsequently discussed over the telephone.","The parenchymal opacities seen in both lungs, right more than left, have not substantially changed.",parenchymal opacities,"both lungs, right more than left",Stable,['files/p13/p13964474/s58308524/4c6b5299-3ebba16c-f51ce5aa-b087e79c-2ac29f2d.jpg'],['files/p13/p13964474/s58187408/03687e0f-cfea2f97-6062fceb-1c006210-6f147d31.jpg\n']
s58308524_4,p13964474,s58308524,4,Findings,"As compared to the previous radiograph, the patient has received an esophageal stent. The stent is in correct position according to radiographic criteria. The patient, however, developed free intra-abdominal air. The monitoring and support devices are unchanged, with the exception of the nasogastric tube, this has been removed. The parenchymal opacities seen in both lungs, right more than left, have not substantially changed. The observation of free intra-abdominal air was made at 7:28 a.m., ___, at the time of dictation. At this same time point, the referring physician, ___. ___, covered by Dr. ___, was paged for notification and the findings were subsequently discussed over the telephone.","The monitoring and support devices are unchanged, with the exception of the nasogastric tube, this has been removed.",nasogastric tube,,Resolve,['files/p13/p13964474/s58308524/4c6b5299-3ebba16c-f51ce5aa-b087e79c-2ac29f2d.jpg'],['files/p13/p13964474/s58187408/03687e0f-cfea2f97-6062fceb-1c006210-6f147d31.jpg\n']
s58314226_7,p18224196,s58314226,7,Findings,"A Dobbhoff tube ends into the stomach; however, coiled in the mid esophagus. Right internal jugular sheath tip is at upper SVC. There is evidence of prior median sternotomy for mitral valve replacement and tricuspid valvuloplasty. Allowing for differences in technique, mild-to-moderate right pleural effusion has minimally increased, while moderate left pleural effusion with complaining left lower lung atelectasis is unchanged over last 24 hours. Very mild pulmonary vascular congestion is unchanged. Post-operative cardiomediastinal silhouette has an expected post-op appearance and stable. There is no pneumothorax. The findings regarding Dobbhoff tube was already communicated by Dr. ___ with ___ by phone at 6:35 p.m. on ___.",Post-operative cardiomediastinal silhouette has an expected post-op appearance and stable.,silhouette,cardiomediastinal,Stable,['files/p18/p18224196/s58314226/4fbab26c-0355ac52-0e5488f4-490701fc-88f483cf.jpg'],['files/p18/p18224196/s58094975/fb85016a-bff648ee-d64f0e6d-8bf72ac1-ce274815.jpg\n']
s58314226_7,p18224196,s58314226,7,Findings,"A Dobbhoff tube ends into the stomach; however, coiled in the mid esophagus. Right internal jugular sheath tip is at upper SVC. There is evidence of prior median sternotomy for mitral valve replacement and tricuspid valvuloplasty. Allowing for differences in technique, mild-to-moderate right pleural effusion has minimally increased, while moderate left pleural effusion with complaining left lower lung atelectasis is unchanged over last 24 hours. Very mild pulmonary vascular congestion is unchanged. Post-operative cardiomediastinal silhouette has an expected post-op appearance and stable. There is no pneumothorax. The findings regarding Dobbhoff tube was already communicated by Dr. ___ with ___ by phone at 6:35 p.m. on ___.",Very mild pulmonary vascular congestion is unchanged.,vascular congestion,pulmonary,Stable,['files/p18/p18224196/s58314226/4fbab26c-0355ac52-0e5488f4-490701fc-88f483cf.jpg'],['files/p18/p18224196/s58094975/fb85016a-bff648ee-d64f0e6d-8bf72ac1-ce274815.jpg\n']
s58314226_7,p18224196,s58314226,7,Findings,"A Dobbhoff tube ends into the stomach; however, coiled in the mid esophagus. Right internal jugular sheath tip is at upper SVC. There is evidence of prior median sternotomy for mitral valve replacement and tricuspid valvuloplasty. Allowing for differences in technique, mild-to-moderate right pleural effusion has minimally increased, while moderate left pleural effusion with complaining left lower lung atelectasis is unchanged over last 24 hours. Very mild pulmonary vascular congestion is unchanged. Post-operative cardiomediastinal silhouette has an expected post-op appearance and stable. There is no pneumothorax. The findings regarding Dobbhoff tube was already communicated by Dr. ___ with ___ by phone at 6:35 p.m. on ___.","Allowing for differences in technique, mild-to-moderate right pleural effusion has minimally increased, while moderate left pleural effusion with complaining left lower lung atelectasis is unchanged over last 24 hours.",pleural effusion,right,Worse,['files/p18/p18224196/s58314226/4fbab26c-0355ac52-0e5488f4-490701fc-88f483cf.jpg'],['files/p18/p18224196/s58094975/fb85016a-bff648ee-d64f0e6d-8bf72ac1-ce274815.jpg\n']
s58317281_2,p17669276,s58317281,2,Impression,"Small bilateral pleural effusions, mildly increased from prior.","Small bilateral pleural effusions, mildly increased from prior.",small pleural effusions,bilateral,Worse,['files/p17/p17669276/s58317281/137c9581-82049ac3-2bce7676-8032c119-9845711c.jpg'],"['files/p17/p17669276/s58214761/19e28a2e-5e1236b7-de13744c-f68b83ff-fb3e1c2f.jpg\n', 'files/p17/p17669276/s58214761/73ca3214-e0c93052-7e191b81-356439da-354da5eb.jpg\n']"
s58317281_2,p17669276,s58317281,2,Findings,"AP upright portable chest radiograph obtained. Midline sternotomy wires are again noted. There are tiny bilateral pleural effusions, slightly increased from prior exam. There is no definite sign of pneumonia or overt CHF. The heart size is stable. Mediastinal contour is widened reflecting an unfolded thoracic aorta. No pneumothorax. Bony structures appear intact.",The heart size is stable.,heart size,,Stable,['files/p17/p17669276/s58317281/137c9581-82049ac3-2bce7676-8032c119-9845711c.jpg'],"['files/p17/p17669276/s58214761/19e28a2e-5e1236b7-de13744c-f68b83ff-fb3e1c2f.jpg\n', 'files/p17/p17669276/s58214761/73ca3214-e0c93052-7e191b81-356439da-354da5eb.jpg\n']"
s58317281_2,p17669276,s58317281,2,Findings,"AP upright portable chest radiograph obtained. Midline sternotomy wires are again noted. There are tiny bilateral pleural effusions, slightly increased from prior exam. There is no definite sign of pneumonia or overt CHF. The heart size is stable. Mediastinal contour is widened reflecting an unfolded thoracic aorta. No pneumothorax. Bony structures appear intact.","There are tiny bilateral pleural effusions, slightly increased from prior exam.",tiny pleural effusions,bilateral,Worse,['files/p17/p17669276/s58317281/137c9581-82049ac3-2bce7676-8032c119-9845711c.jpg'],"['files/p17/p17669276/s58214761/19e28a2e-5e1236b7-de13744c-f68b83ff-fb3e1c2f.jpg\n', 'files/p17/p17669276/s58214761/73ca3214-e0c93052-7e191b81-356439da-354da5eb.jpg\n']"
s58318333_48,p15131736,s58318333,48,Impression,1. Moderate pulmonary edema with stable moderate cardiomegaly and increased small left pleural effusion. 2. In order to exclude pneumonia a repeat PA and lateral chest radiograph once the edema has resolved should be considered as current underlying parenchymal disease limits evaluation. 3. A right PICC tip is seen at least up to the low SVC.,1. Moderate pulmonary edema with stable moderate cardiomegaly and increased small left pleural effusion.,cardiomegaly,,Stable,['files/p15/p15131736/s58318333/947ce661-ea81059f-7da8d1e6-033e612e-ba93f7fd.jpg'],['files/p15/p15131736/s58145542/b031566e-064ee571-7c0e1804-9509e4ce-e8c2fd74.jpg\n']
s58318333_48,p15131736,s58318333,48,Findings,The lungs are hypoinflated with crowding of vasculature. There is progression of severe vascular engorgement with peribronchial cuffing as well as bilateral perihilar opacities with interval increase in small left pleural effusion. No right pleural effusion. No pneumothorax. Moderate cardiomegaly is stable. A right PICC tip is seen at least up to the low SVC.,Moderate cardiomegaly is stable.,cardiomegaly,,Stable,['files/p15/p15131736/s58318333/947ce661-ea81059f-7da8d1e6-033e612e-ba93f7fd.jpg'],['files/p15/p15131736/s58145542/b031566e-064ee571-7c0e1804-9509e4ce-e8c2fd74.jpg\n']
s58318333_48,p15131736,s58318333,48,Findings,The lungs are hypoinflated with crowding of vasculature. There is progression of severe vascular engorgement with peribronchial cuffing as well as bilateral perihilar opacities with interval increase in small left pleural effusion. No right pleural effusion. No pneumothorax. Moderate cardiomegaly is stable. A right PICC tip is seen at least up to the low SVC.,There is progression of severe vascular engorgement with peribronchial cuffing as well as bilateral perihilar opacities with interval increase in small left pleural effusion.,pleural effusion,small left,New,['files/p15/p15131736/s58318333/947ce661-ea81059f-7da8d1e6-033e612e-ba93f7fd.jpg'],['files/p15/p15131736/s58145542/b031566e-064ee571-7c0e1804-9509e4ce-e8c2fd74.jpg\n']
s58318333_48,p15131736,s58318333,48,Findings,The lungs are hypoinflated with crowding of vasculature. There is progression of severe vascular engorgement with peribronchial cuffing as well as bilateral perihilar opacities with interval increase in small left pleural effusion. No right pleural effusion. No pneumothorax. Moderate cardiomegaly is stable. A right PICC tip is seen at least up to the low SVC.,There is progression of severe vascular engorgement with peribronchial cuffing as well as bilateral perihilar opacities with interval increase in small left pleural effusion.,opacities,bilateral perihilar,Worse,['files/p15/p15131736/s58318333/947ce661-ea81059f-7da8d1e6-033e612e-ba93f7fd.jpg'],['files/p15/p15131736/s58145542/b031566e-064ee571-7c0e1804-9509e4ce-e8c2fd74.jpg\n']
s58318333_48,p15131736,s58318333,48,Impression,1. Moderate pulmonary edema with stable moderate cardiomegaly and increased small left pleural effusion. 2. In order to exclude pneumonia a repeat PA and lateral chest radiograph once the edema has resolved should be considered as current underlying parenchymal disease limits evaluation. 3. A right PICC tip is seen at least up to the low SVC.,1. Moderate pulmonary edema with stable moderate cardiomegaly and increased small left pleural effusion.,pleural effusion,small left,New,['files/p15/p15131736/s58318333/947ce661-ea81059f-7da8d1e6-033e612e-ba93f7fd.jpg'],['files/p15/p15131736/s58145542/b031566e-064ee571-7c0e1804-9509e4ce-e8c2fd74.jpg\n']
s58319427_22,p13263843,s58319427,22,Impression,"Interval decrease of right pleural effusion, stable left pleural effusion. No new focal consolidations.","Interval decrease of right pleural effusion, stable left pleural effusion. No new focal consolidations.",pleural effusion,right,Better,"['files/p13/p13263843/s58319427/28e4376e-045edb59-84977ca1-d0deb357-1d35d4b9.jpg', 'files/p13/p13263843/s58319427/6f5dec34-e9ef8a35-1dd744f6-d818cd22-5dad9b6f.jpg']","['files/p13/p13263843/s57953072/35419b0c-ec5b4c1c-d6715f88-a4ba56e0-e911cba3.jpg\n', 'files/p13/p13263843/s57953072/414fca72-91452400-5dfedcd2-5363eab9-ff09d8c2.jpg\n']"
s58319427_22,p13263843,s58319427,22,Findings,"Patient is status post right upper lobectomy. As compared to prior chest radiograph from ___, there has been interval improvement of right pleural effusion. There is volume loss in the right hemithorax with associated cardiomediastinal shift to the right and tenting of the right hemidiaphragm. Post-radiation changes are noted along the right perihilar region. Left pleural effusion is stable and there is atelectasis at the left lung base. There are no new focal consolidations. There is no pneumothorax. Sclerosis of the first and fourth rib as well as resection of the second and third rib are again noted, related to prior surgery. Right PICC terminates in the lower SVC.",Left pleural effusion is stable and there is atelectasis at the left lung base.,atelectasis,left lung base,Stable,"['files/p13/p13263843/s58319427/28e4376e-045edb59-84977ca1-d0deb357-1d35d4b9.jpg', 'files/p13/p13263843/s58319427/6f5dec34-e9ef8a35-1dd744f6-d818cd22-5dad9b6f.jpg']","['files/p13/p13263843/s57953072/35419b0c-ec5b4c1c-d6715f88-a4ba56e0-e911cba3.jpg\n', 'files/p13/p13263843/s57953072/414fca72-91452400-5dfedcd2-5363eab9-ff09d8c2.jpg\n']"
s58319427_22,p13263843,s58319427,22,Findings,"Patient is status post right upper lobectomy. As compared to prior chest radiograph from ___, there has been interval improvement of right pleural effusion. There is volume loss in the right hemithorax with associated cardiomediastinal shift to the right and tenting of the right hemidiaphragm. Post-radiation changes are noted along the right perihilar region. Left pleural effusion is stable and there is atelectasis at the left lung base. There are no new focal consolidations. There is no pneumothorax. Sclerosis of the first and fourth rib as well as resection of the second and third rib are again noted, related to prior surgery. Right PICC terminates in the lower SVC.",Left pleural effusion is stable and there is atelectasis at the left lung base.,pleural effusion,left,Stable,"['files/p13/p13263843/s58319427/28e4376e-045edb59-84977ca1-d0deb357-1d35d4b9.jpg', 'files/p13/p13263843/s58319427/6f5dec34-e9ef8a35-1dd744f6-d818cd22-5dad9b6f.jpg']","['files/p13/p13263843/s57953072/35419b0c-ec5b4c1c-d6715f88-a4ba56e0-e911cba3.jpg\n', 'files/p13/p13263843/s57953072/414fca72-91452400-5dfedcd2-5363eab9-ff09d8c2.jpg\n']"
s58319427_22,p13263843,s58319427,22,Findings,"Patient is status post right upper lobectomy. As compared to prior chest radiograph from ___, there has been interval improvement of right pleural effusion. There is volume loss in the right hemithorax with associated cardiomediastinal shift to the right and tenting of the right hemidiaphragm. Post-radiation changes are noted along the right perihilar region. Left pleural effusion is stable and there is atelectasis at the left lung base. There are no new focal consolidations. There is no pneumothorax. Sclerosis of the first and fourth rib as well as resection of the second and third rib are again noted, related to prior surgery. Right PICC terminates in the lower SVC.","As compared to prior chest radiograph from ___, there has been interval improvement of right pleural effusion.",pleural effusion,right,Better,"['files/p13/p13263843/s58319427/28e4376e-045edb59-84977ca1-d0deb357-1d35d4b9.jpg', 'files/p13/p13263843/s58319427/6f5dec34-e9ef8a35-1dd744f6-d818cd22-5dad9b6f.jpg']","['files/p13/p13263843/s57953072/35419b0c-ec5b4c1c-d6715f88-a4ba56e0-e911cba3.jpg\n', 'files/p13/p13263843/s57953072/414fca72-91452400-5dfedcd2-5363eab9-ff09d8c2.jpg\n']"
s58319427_22,p13263843,s58319427,22,Impression,"Interval decrease of right pleural effusion, stable left pleural effusion. No new focal consolidations.","Interval decrease of right pleural effusion, stable left pleural effusion. No new focal consolidations.",pleural effusion,left,Stable,"['files/p13/p13263843/s58319427/28e4376e-045edb59-84977ca1-d0deb357-1d35d4b9.jpg', 'files/p13/p13263843/s58319427/6f5dec34-e9ef8a35-1dd744f6-d818cd22-5dad9b6f.jpg']","['files/p13/p13263843/s57953072/35419b0c-ec5b4c1c-d6715f88-a4ba56e0-e911cba3.jpg\n', 'files/p13/p13263843/s57953072/414fca72-91452400-5dfedcd2-5363eab9-ff09d8c2.jpg\n']"
s58324748_0,p16855430,s58324748,0,Findings,"As similar to multiple prior exams, there is a relative hazy density in the bilateral hilar regions with pulmonary vascular indistinctness. The hemidiaphragms are not well defined. The cardiomediastinal silhouette is markedly enlarged with widening superiorly and an enlarged cardiac silhouette inferiorly. The patient's chin overlies the lung apices, limiting the evaluation. No gross pneumothorax is seen.","As similar to multiple prior exams, there is a relative hazy density in the bilateral hilar regions with pulmonary vascular indistinctness.",hazy density,bilateral hilar regions,Stable,['files/p16/p16855430/s58324748/c8591b84-dfb9bd0c-54f0a9f4-e5258ccd-4fec4b57.jpg'],['files/p16/p16855430/s58154356/c4d33fe5-ac2ec3d5-49786015-e5ea7a4d-04c82de3.jpg\n']
s58327706_7,p18067737,s58327706,7,Impression,"No appreciable change since ___, allowing for difference in modality. Left perihilar opacity, compatible with known mass and scarring. Small left pleural effusion.","No appreciable change since ___, allowing for difference in modality.",,,Stable,"['files/p18/p18067737/s58327706/84fdafc6-cb74b0f4-e01856b1-7af27b87-3d01f692.jpg', 'files/p18/p18067737/s58327706/9679cd55-37b997e0-0205c229-df3216c2-705327c9.jpg', 'files/p18/p18067737/s58327706/b973beee-a64f055b-a96181c0-05105bc5-25dcc796.jpg']","['files/p18/p18067737/s58232231/5dd97738-76c3ff89-82388c36-9f34d2c3-5073e305.jpg\n', 'files/p18/p18067737/s58232231/f33df19b-40b70f49-e2089e24-af20049c-136fb213.jpg\n']"
s58340193_2,p13649937,s58340193,2,Impression,1) Increasing left-sided opacity which may represent increase in edema or developing consolidation. 2) Endotracheal tube is seen 1.3 cm from carina; it is recommended that tube be withdrawn so that it terminates between 3 and 7 cm from the carina. These findings were reported to Dr. ___ by ___ at 11:40 a.m.,Increasing left-sided opacity which may represent increase in edema or developing consolidation.,opacity,left-sided,Worse,['files/p13/p13649937/s58340193/dee14392-cc692fb3-6f2ebd41-a3c076db-05568231.jpg'],['files/p13/p13649937/s57936326/8d737f78-cdcd1c7a-d434e99f-2f86c50c-e24fdcfe.jpg\n']
s58340193_2,p13649937,s58340193,2,Findings,"Increasing left hemithorax opacity with linear areas of lucency which may represent air bronchograms. This finding is consistent with edema or developing consolidation. There are persistent low lung volumes. Aorta is diffusely tortuous and calcified. Pacer device with leads terminating within the right atrium, right ventricle of an enlarged heart is unchanged in position. Endotracheal tube is seen terminating 1.3 cm from the carina. NG tube is seen entering the stomach and out of view of the radiograph. Internal jugular catheter is seen in appropriate position within the low SVC.",Increasing left hemithorax opacity with linear areas of lucency which may represent air bronchograms.,opacity,left hemithorax,Worse,['files/p13/p13649937/s58340193/dee14392-cc692fb3-6f2ebd41-a3c076db-05568231.jpg'],['files/p13/p13649937/s57936326/8d737f78-cdcd1c7a-d434e99f-2f86c50c-e24fdcfe.jpg\n']
s58340193_2,p13649937,s58340193,2,Findings,"Increasing left hemithorax opacity with linear areas of lucency which may represent air bronchograms. This finding is consistent with edema or developing consolidation. There are persistent low lung volumes. Aorta is diffusely tortuous and calcified. Pacer device with leads terminating within the right atrium, right ventricle of an enlarged heart is unchanged in position. Endotracheal tube is seen terminating 1.3 cm from the carina. NG tube is seen entering the stomach and out of view of the radiograph. Internal jugular catheter is seen in appropriate position within the low SVC.",There are persistent low lung volumes.,low lung volumes,,Stable,['files/p13/p13649937/s58340193/dee14392-cc692fb3-6f2ebd41-a3c076db-05568231.jpg'],['files/p13/p13649937/s57936326/8d737f78-cdcd1c7a-d434e99f-2f86c50c-e24fdcfe.jpg\n']
s58340193_2,p13649937,s58340193,2,Findings,"Increasing left hemithorax opacity with linear areas of lucency which may represent air bronchograms. This finding is consistent with edema or developing consolidation. There are persistent low lung volumes. Aorta is diffusely tortuous and calcified. Pacer device with leads terminating within the right atrium, right ventricle of an enlarged heart is unchanged in position. Endotracheal tube is seen terminating 1.3 cm from the carina. NG tube is seen entering the stomach and out of view of the radiograph. Internal jugular catheter is seen in appropriate position within the low SVC.","Pacer device with leads terminating within the right atrium, right ventricle of an enlarged heart is unchanged in position.",pacer device,"right atrium, right ventricle",Stable,['files/p13/p13649937/s58340193/dee14392-cc692fb3-6f2ebd41-a3c076db-05568231.jpg'],['files/p13/p13649937/s57936326/8d737f78-cdcd1c7a-d434e99f-2f86c50c-e24fdcfe.jpg\n']
s58340268_25,p14387068,s58340268,25,Findings,"In comparison with the earlier study of this date, there has been placement of an endotracheal tube with its tip approximately 4.8 cm above the carina. Other monitoring and support devices remain in place. Diffuse bilateral pulmonary opacifications persist, as does a pleural air collection at the right base.","Diffuse bilateral pulmonary opacifications persist, as does a pleural air collection at the right base.",pulmonary opacifications,bilateral,Stable,['files/p14/p14387068/s58340268/2608e773-08c16868-0fac8b34-f79c46da-e7c1319e.jpg'],['files/p14/p14387068/s57868625/49d23b84-4594fc1d-966aab33-6f25d4ab-0af232fe.jpg\n']
s58340268_25,p14387068,s58340268,25,Findings,"In comparison with the earlier study of this date, there has been placement of an endotracheal tube with its tip approximately 4.8 cm above the carina. Other monitoring and support devices remain in place. Diffuse bilateral pulmonary opacifications persist, as does a pleural air collection at the right base.","Diffuse bilateral pulmonary opacifications persist, as does a pleural air collection at the right base.",pleural air collection,right base,Stable,['files/p14/p14387068/s58340268/2608e773-08c16868-0fac8b34-f79c46da-e7c1319e.jpg'],['files/p14/p14387068/s57868625/49d23b84-4594fc1d-966aab33-6f25d4ab-0af232fe.jpg\n']
s58340268_25,p14387068,s58340268,25,Findings,"In comparison with the earlier study of this date, there has been placement of an endotracheal tube with its tip approximately 4.8 cm above the carina. Other monitoring and support devices remain in place. Diffuse bilateral pulmonary opacifications persist, as does a pleural air collection at the right base.","In comparison with the earlier study of this date, there has been placement of an endotracheal tube with its tip approximately 4.8 cm above the carina.",endotracheal tube,4.8 cm above the carina,New,['files/p14/p14387068/s58340268/2608e773-08c16868-0fac8b34-f79c46da-e7c1319e.jpg'],['files/p14/p14387068/s57868625/49d23b84-4594fc1d-966aab33-6f25d4ab-0af232fe.jpg\n']
s58340268_25,p14387068,s58340268,25,Findings,"In comparison with the earlier study of this date, there has been placement of an endotracheal tube with its tip approximately 4.8 cm above the carina. Other monitoring and support devices remain in place. Diffuse bilateral pulmonary opacifications persist, as does a pleural air collection at the right base.",Other monitoring and support devices remain in place.,monitoring and support devices,,Stable,['files/p14/p14387068/s58340268/2608e773-08c16868-0fac8b34-f79c46da-e7c1319e.jpg'],['files/p14/p14387068/s57868625/49d23b84-4594fc1d-966aab33-6f25d4ab-0af232fe.jpg\n']
s58345071_5,p14851532,s58345071,5,Impression,"AP chest compared to ___: Recurrence of left suprahilar consolidation could be due to return of atelectasis or development of pneumonia in the region of prior aspiration. Right lower lobe atelectasis has been present for several days, not improved. There is no pulmonary edema. Mild cardiac enlargement has increased, but pulmonary vasculature is not engorged and there is no appreciable pleural effusion. No pneumothorax. Right jugular line ends close to the superior cavoatrial junction. Findings were discussed by telephone with ___ at 9:50 a.m.","Mild cardiac enlargement has increased, but pulmonary vasculature is not engorged and there is no appreciable pleural effusion.",cardiac enlargement,,Worse,['files/p14/p14851532/s58345071/552535b0-f25af20e-f0731a45-c3c4dec8-3f85e93b.jpg'],"['files/p14/p14851532/s58144042/c973cc75-e43e939d-63395fb7-0e75eeb1-8abb0081.jpg\n', 'files/p14/p14851532/s58144042/fae2e3e4-fb1118b6-9abcc0a5-ec258b84-3671366e.jpg\n']"
s58345071_5,p14851532,s58345071,5,Impression,"AP chest compared to ___: Recurrence of left suprahilar consolidation could be due to return of atelectasis or development of pneumonia in the region of prior aspiration. Right lower lobe atelectasis has been present for several days, not improved. There is no pulmonary edema. Mild cardiac enlargement has increased, but pulmonary vasculature is not engorged and there is no appreciable pleural effusion. No pneumothorax. Right jugular line ends close to the superior cavoatrial junction. Findings were discussed by telephone with ___ at 9:50 a.m.",AP chest compared to ___: Recurrence of left suprahilar consolidation could be due to return of atelectasis or development of pneumonia in the region of prior aspiration.,consolidation,left suprahilar,Worse,['files/p14/p14851532/s58345071/552535b0-f25af20e-f0731a45-c3c4dec8-3f85e93b.jpg'],"['files/p14/p14851532/s58144042/c973cc75-e43e939d-63395fb7-0e75eeb1-8abb0081.jpg\n', 'files/p14/p14851532/s58144042/fae2e3e4-fb1118b6-9abcc0a5-ec258b84-3671366e.jpg\n']"
s58345071_5,p14851532,s58345071,5,Impression,"AP chest compared to ___: Recurrence of left suprahilar consolidation could be due to return of atelectasis or development of pneumonia in the region of prior aspiration. Right lower lobe atelectasis has been present for several days, not improved. There is no pulmonary edema. Mild cardiac enlargement has increased, but pulmonary vasculature is not engorged and there is no appreciable pleural effusion. No pneumothorax. Right jugular line ends close to the superior cavoatrial junction. Findings were discussed by telephone with ___ at 9:50 a.m.","Right lower lobe atelectasis has been present for several days, not improved.",atelectasis,right lower lobe,Stable,['files/p14/p14851532/s58345071/552535b0-f25af20e-f0731a45-c3c4dec8-3f85e93b.jpg'],"['files/p14/p14851532/s58144042/c973cc75-e43e939d-63395fb7-0e75eeb1-8abb0081.jpg\n', 'files/p14/p14851532/s58144042/fae2e3e4-fb1118b6-9abcc0a5-ec258b84-3671366e.jpg\n']"
s58347871_3,p19907884,s58347871,3,Impression,No evidence of acute intrathoracic process. No evidence of the ET tube. These results were communicated with Dr ___ of the ED by Dr ___ at 4:10 pm via telephone on the date of the study. The wrong requisition was entered. The clinical history is ___ year old women with shortness of breath.,No evidence of the ET tube.,ET tube,,Resolve,"['files/p19/p19907884/s58347871/125fa165-2744d0a3-4d9e4301-b29aca7f-0f6db209.jpg', 'files/p19/p19907884/s58347871/6a4ed1f1-31452ad0-a67df817-ea65972c-94f515ee.jpg', 'files/p19/p19907884/s58347871/8b9346c1-14e39176-24f6eec8-c0ab7ae7-df0ce0c9.jpg']",['files/p19/p19907884/s57885384/838d96da-8d9d8d8d-2aacafdf-9f280c96-573b74db.jpg\n']
s58347871_3,p19907884,s58347871,3,Findings,No endotracheal tube is seen. Patient is status post right upper lung surgery with unchanged appearance of the right hemithorax and evidence of right sided volume loss. Lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. No pulmonary edema is present.,Patient is status post right upper lung surgery with unchanged appearance of the right hemithorax and evidence of right sided volume loss.,volume loss,right side,Stable,"['files/p19/p19907884/s58347871/125fa165-2744d0a3-4d9e4301-b29aca7f-0f6db209.jpg', 'files/p19/p19907884/s58347871/6a4ed1f1-31452ad0-a67df817-ea65972c-94f515ee.jpg', 'files/p19/p19907884/s58347871/8b9346c1-14e39176-24f6eec8-c0ab7ae7-df0ce0c9.jpg']",['files/p19/p19907884/s57885384/838d96da-8d9d8d8d-2aacafdf-9f280c96-573b74db.jpg\n']
s58347871_3,p19907884,s58347871,3,Findings,No endotracheal tube is seen. Patient is status post right upper lung surgery with unchanged appearance of the right hemithorax and evidence of right sided volume loss. Lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. No pulmonary edema is present.,No endotracheal tube is seen.,endotracheal tube,,Resolve,"['files/p19/p19907884/s58347871/125fa165-2744d0a3-4d9e4301-b29aca7f-0f6db209.jpg', 'files/p19/p19907884/s58347871/6a4ed1f1-31452ad0-a67df817-ea65972c-94f515ee.jpg', 'files/p19/p19907884/s58347871/8b9346c1-14e39176-24f6eec8-c0ab7ae7-df0ce0c9.jpg']",['files/p19/p19907884/s57885384/838d96da-8d9d8d8d-2aacafdf-9f280c96-573b74db.jpg\n']
s58347871_3,p19907884,s58347871,3,Findings,No endotracheal tube is seen. Patient is status post right upper lung surgery with unchanged appearance of the right hemithorax and evidence of right sided volume loss. Lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. No pulmonary edema is present.,Patient is status post right upper lung surgery with unchanged appearance of the right hemithorax and evidence of right sided volume loss.,appearance,right hemithorax,Stable,"['files/p19/p19907884/s58347871/125fa165-2744d0a3-4d9e4301-b29aca7f-0f6db209.jpg', 'files/p19/p19907884/s58347871/6a4ed1f1-31452ad0-a67df817-ea65972c-94f515ee.jpg', 'files/p19/p19907884/s58347871/8b9346c1-14e39176-24f6eec8-c0ab7ae7-df0ce0c9.jpg']",['files/p19/p19907884/s57885384/838d96da-8d9d8d8d-2aacafdf-9f280c96-573b74db.jpg\n']
s58348130_7,p13135946,s58348130,7,Findings,"Comparison is made to the prior study from ___. An endotracheal tube has been placed and the distal tip is at the level of the aortic knob, 5 cm above the carina. The Swan-Ganz catheter is unchanged. There is a persistent cardiomegaly. There is a right-sided pleural effusion. There is prominence of the pulmonary interstitial markings. No pneumothoraces are identified.",There is a persistent cardiomegaly.,cardiomegaly,,Stable,['files/p13/p13135946/s58348130/d1a588ba-df69fa21-41d67ef8-6ae29c22-17544175.jpg'],['files/p13/p13135946/s56745473/11deb911-a4fe401f-1955bb16-6adc7f50-673dec83.jpg\n']
s58348130_7,p13135946,s58348130,7,Findings,"Comparison is made to the prior study from ___. An endotracheal tube has been placed and the distal tip is at the level of the aortic knob, 5 cm above the carina. The Swan-Ganz catheter is unchanged. There is a persistent cardiomegaly. There is a right-sided pleural effusion. There is prominence of the pulmonary interstitial markings. No pneumothoraces are identified.",The Swan-Ganz catheter is unchanged.,Swan-Ganz catheter,,Stable,['files/p13/p13135946/s58348130/d1a588ba-df69fa21-41d67ef8-6ae29c22-17544175.jpg'],['files/p13/p13135946/s56745473/11deb911-a4fe401f-1955bb16-6adc7f50-673dec83.jpg\n']
s58349137_0,p18322589,s58349137,0,Findings,"Patient is status post median sternotomy, CABG, and mitral valve replacement. A left-sided AICD device is noted with leads terminating in the right atrium, right ventricle, and coronary sinus. Mild enlargement of the cardiac silhouette is redemonstrated, with unchanged tortuosity of the thoracic aorta. There is perihilar haziness with vascular indistinctness and diffuse alveolar opacities compatible with moderate pulmonary edema. No large pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.","Mild enlargement of the cardiac silhouette is redemonstrated, with unchanged tortuosity of the thoracic aorta.",tortuosity,thoracic aorta,Stable,['files/p18/p18322589/s58349137/f59791dd-2e8e1e7a-607b2f6e-18b713c7-aed09023.jpg'],['files/p18/p18322589/s58137643/9b9cce32-6e61e5c8-31b59b5f-9aa235c9-7fc98cb1.jpg\n']
s58351102_0,p14969719,s58351102,0,Impression,"1. Following thoracocentesis, large right pleural effusion has substantially resolved with residual mild-to-moderate fluid and minimal right lung base and middle lobe atelectasis. 2. Opacity in the right upper lobe is consolidation unless otherwise proven. 3. 5.5-mm granuloma in the left mid lung","Following thoracocentesis, large right pleural effusion has substantially resolved with residual mild-to-moderate fluid and minimal right lung base and middle lobe atelectasis.",pleural effusion,right,Resolve,"['files/p14/p14969719/s58351102/9278c9ba-40c4d99b-db0b63f4-8b124c8f-d092002c.jpg', 'files/p14/p14969719/s58351102/b758e8f4-574ee6a8-32a4c691-81f94a5b-96a0773c.jpg']",['files/p14/p14969719/s56234141/39c4b238-25f6b12b-afab2399-a95f4e2b-a02239de.jpg\n']
s58351102_0,p14969719,s58351102,0,Findings,"Following right thoracocentesis, a large right pleural effusion has substantially improved with residual mild-to-moderate fluid. Mediastinum is central in position. Ill-defined opacity in the right upper lung is consolidation unless proven otherwise. A 5.5 discrete, nodular opacity in the left mid lung is a calcified granuloma as demonstrated from CT component of PET/CT dated ___. Mild atelectasis is present in the right lower lung and middle lobe. Right-sided Port-A-Cath ends at lower SVC.","Following right thoracocentesis, a large right pleural effusion has substantially improved with residual mild-to-moderate fluid.",pleural effusion,right,Better,"['files/p14/p14969719/s58351102/9278c9ba-40c4d99b-db0b63f4-8b124c8f-d092002c.jpg', 'files/p14/p14969719/s58351102/b758e8f4-574ee6a8-32a4c691-81f94a5b-96a0773c.jpg']",['files/p14/p14969719/s56234141/39c4b238-25f6b12b-afab2399-a95f4e2b-a02239de.jpg\n']
s58351865_21,p17340686,s58351865,21,Findings,"Frontal and lateral views of the chest were obtained. Double-lumen left-sided dialysis catheter is seen terminating in the right atrium, stable in position. There is stable enlargement of the cardiac silhouette. The aortic knob remains calcified. There is prominence of the pulmonary vasculature, similar to prior. There may be small bilateral pleural effusions. The lateral view is suboptimal due to patient's overlying arm and a posterior lung consolidation is not excluded. No evidence of pneumothorax.",The aortic knob remains calcified.,calcified aortic knob,,Stable,"['files/p17/p17340686/s58351865/02671608-065b76e2-274885ec-ecfab8e8-3b4725fc.jpg', 'files/p17/p17340686/s58351865/f2166859-f4629ed4-014033b5-930fc410-8a9f51c9.jpg']","['files/p17/p17340686/s58040849/074f413f-4fe47c0b-104f1e39-9ce05cf9-a0df5bd4.jpg\n', 'files/p17/p17340686/s58040849/9cf8e1b3-4a4ea8dd-33fc8814-862d81e5-34c105d1.jpg\n']"
s58351865_21,p17340686,s58351865,21,Findings,"Frontal and lateral views of the chest were obtained. Double-lumen left-sided dialysis catheter is seen terminating in the right atrium, stable in position. There is stable enlargement of the cardiac silhouette. The aortic knob remains calcified. There is prominence of the pulmonary vasculature, similar to prior. There may be small bilateral pleural effusions. The lateral view is suboptimal due to patient's overlying arm and a posterior lung consolidation is not excluded. No evidence of pneumothorax.","Double-lumen left-sided dialysis catheter is seen terminating in the right atrium, stable in position.",dialysis catheter,left-sided,Stable,"['files/p17/p17340686/s58351865/02671608-065b76e2-274885ec-ecfab8e8-3b4725fc.jpg', 'files/p17/p17340686/s58351865/f2166859-f4629ed4-014033b5-930fc410-8a9f51c9.jpg']","['files/p17/p17340686/s58040849/074f413f-4fe47c0b-104f1e39-9ce05cf9-a0df5bd4.jpg\n', 'files/p17/p17340686/s58040849/9cf8e1b3-4a4ea8dd-33fc8814-862d81e5-34c105d1.jpg\n']"
s58351865_21,p17340686,s58351865,21,Findings,"Frontal and lateral views of the chest were obtained. Double-lumen left-sided dialysis catheter is seen terminating in the right atrium, stable in position. There is stable enlargement of the cardiac silhouette. The aortic knob remains calcified. There is prominence of the pulmonary vasculature, similar to prior. There may be small bilateral pleural effusions. The lateral view is suboptimal due to patient's overlying arm and a posterior lung consolidation is not excluded. No evidence of pneumothorax.","There is prominence of the pulmonary vasculature, similar to prior.",prominence of the pulmonary vasculature,,Stable,"['files/p17/p17340686/s58351865/02671608-065b76e2-274885ec-ecfab8e8-3b4725fc.jpg', 'files/p17/p17340686/s58351865/f2166859-f4629ed4-014033b5-930fc410-8a9f51c9.jpg']","['files/p17/p17340686/s58040849/074f413f-4fe47c0b-104f1e39-9ce05cf9-a0df5bd4.jpg\n', 'files/p17/p17340686/s58040849/9cf8e1b3-4a4ea8dd-33fc8814-862d81e5-34c105d1.jpg\n']"
s58351865_21,p17340686,s58351865,21,Findings,"Frontal and lateral views of the chest were obtained. Double-lumen left-sided dialysis catheter is seen terminating in the right atrium, stable in position. There is stable enlargement of the cardiac silhouette. The aortic knob remains calcified. There is prominence of the pulmonary vasculature, similar to prior. There may be small bilateral pleural effusions. The lateral view is suboptimal due to patient's overlying arm and a posterior lung consolidation is not excluded. No evidence of pneumothorax.",There is stable enlargement of the cardiac silhouette.,cardiac silhouette enlargement,,Stable,"['files/p17/p17340686/s58351865/02671608-065b76e2-274885ec-ecfab8e8-3b4725fc.jpg', 'files/p17/p17340686/s58351865/f2166859-f4629ed4-014033b5-930fc410-8a9f51c9.jpg']","['files/p17/p17340686/s58040849/074f413f-4fe47c0b-104f1e39-9ce05cf9-a0df5bd4.jpg\n', 'files/p17/p17340686/s58040849/9cf8e1b3-4a4ea8dd-33fc8814-862d81e5-34c105d1.jpg\n']"
s58352022_1,p14794396,s58352022,1,Findings,"As compared to the previous radiograph, the nodular opacity at the bases of the right upper lobe, that was clearly present at the last examination, has completely cleared. There currently is no evidence of lung nodules or lung masses suggestive of metastatic lung disease. The pleural surfaces are even. There is no evidence of pleural effusions. No evidence of rib abnormalities. Clips are seen projecting over the medial aspect of the left lung apex, cranially to the aortic knob. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. Clips projecting over the left upper quadrant.","As compared to the previous radiograph, the nodular opacity at the bases of the right upper lobe, that was clearly present at the last examination, has completely cleared.",nodular opacity,right upper lobe,Resolve,"['files/p14/p14794396/s58352022/a77f001a-2af09f25-bba035a7-1a8b1a02-641eb8cc.jpg', 'files/p14/p14794396/s58352022/ad690f59-42c11dc9-609bb394-37809e1b-d91c2652.jpg']","['files/p14/p14794396/s54917064/bbeb5006-95cd0d0e-263c6445-ee37f7f9-a48dd6ab.jpg\n', 'files/p14/p14794396/s54917064/feab557c-84c132e2-a4172ea5-87289e6b-4c74334d.jpg\n']"
s58353310_7,p17770657,s58353310,7,Impression,"AP chest compared to ___: ET tube and nasogastric tube are in standard placements. Midline drain ends at the level of the sternal notch. Right jugular line tip in the mid SVC. New paramedian drains could be superficial. Moderate right pleural effusion has increased, and left lower lobe atelectasis is worsened. Cardiomediastinal silhouette is essentially normal. No pneumothorax.","Moderate right pleural effusion has increased, and left lower lobe atelectasis is worsened.",pleural effusion,Right,Worse,['files/p17/p17770657/s58353310/650aa0be-b9a59492-190d3ed4-96eb75e2-08bb0cb8.jpg'],['files/p17/p17770657/s58054788/a9a99a2a-c9d9d9ac-79deb41a-91e78881-d886c96d.jpg\n']
s58353310_7,p17770657,s58353310,7,Impression,"AP chest compared to ___: ET tube and nasogastric tube are in standard placements. Midline drain ends at the level of the sternal notch. Right jugular line tip in the mid SVC. New paramedian drains could be superficial. Moderate right pleural effusion has increased, and left lower lobe atelectasis is worsened. Cardiomediastinal silhouette is essentially normal. No pneumothorax.","Moderate right pleural effusion has increased, and left lower lobe atelectasis is worsened.",atelectasis,Left lower lobe,Worse,['files/p17/p17770657/s58353310/650aa0be-b9a59492-190d3ed4-96eb75e2-08bb0cb8.jpg'],['files/p17/p17770657/s58054788/a9a99a2a-c9d9d9ac-79deb41a-91e78881-d886c96d.jpg\n']
s58357438_9,p18079481,s58357438,9,Findings,"Lung volumes are low. Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is not engorged. There is no focal consolidation, pleural effusion or pneumothorax. There is minimal atelectasis in the lung bases. There are multiple old remote bilateral rib fractures. Mild loss of height of multiple thoracic vertebral bodies is present with diffuse demineralization, similar to the prior study.","Mild loss of height of multiple thoracic vertebral bodies is present with diffuse demineralization, similar to the prior study.",Loss of height with diffuse demineralization,Thoracic vertebral bodies,Stable,"['files/p18/p18079481/s58357438/84d86cc8-682db79b-a57522b4-e65281b6-4d040d2f.jpg', 'files/p18/p18079481/s58357438/ab2114b6-c5b3b7af-e612df5c-e298eac2-774abd50.jpg', 'files/p18/p18079481/s58357438/c85fa16f-34f0c26a-08f8aa53-921a401d-9f4c42fa.jpg']","['files/p18/p18079481/s56876464/688ba1bb-09e43b44-39a4a90a-e52ce698-74c13302.jpg\n', 'files/p18/p18079481/s56876464/a82741ea-8169b7a6-82642ef9-7c78cbbe-95583ecb.jpg\n', 'files/p18/p18079481/s56876464/bf028214-cb0835ca-30254541-ed6392a2-5d347a09.jpg\n']"
s58357438_9,p18079481,s58357438,9,Findings,"Lung volumes are low. Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is not engorged. There is no focal consolidation, pleural effusion or pneumothorax. There is minimal atelectasis in the lung bases. There are multiple old remote bilateral rib fractures. Mild loss of height of multiple thoracic vertebral bodies is present with diffuse demineralization, similar to the prior study.",There are multiple old remote bilateral rib fractures.,Fractures,Bilateral rib,Stable,"['files/p18/p18079481/s58357438/84d86cc8-682db79b-a57522b4-e65281b6-4d040d2f.jpg', 'files/p18/p18079481/s58357438/ab2114b6-c5b3b7af-e612df5c-e298eac2-774abd50.jpg', 'files/p18/p18079481/s58357438/c85fa16f-34f0c26a-08f8aa53-921a401d-9f4c42fa.jpg']","['files/p18/p18079481/s56876464/688ba1bb-09e43b44-39a4a90a-e52ce698-74c13302.jpg\n', 'files/p18/p18079481/s56876464/a82741ea-8169b7a6-82642ef9-7c78cbbe-95583ecb.jpg\n', 'files/p18/p18079481/s56876464/bf028214-cb0835ca-30254541-ed6392a2-5d347a09.jpg\n']"
s58365706_20,p19182863,s58365706,20,Findings,"The patient is status post median sternotomy and aortic valve replacement. A right internal jugular central venous catheter is unchanged in position with the tip terminating in the low SVC. A small caliber left IJ line is also noted. The lung volumes are slightly decreased. There is slight elevation of the left hemidiaphragm compared to the right. The cardiac silhouette remains enlarged but stable. The mediastinal contours are prominent postoperatively. There is mild calcification of the aortic knob. Mild to moderate pulmonary edema is increased from the most recent prior study. There is increased streaky opacification at the right lung base compared to the most recent prior study. In the absence of aspiration, this most likely reflects atelectasis. Mild opacification of the left lung base is unchanged and compatible with mild atelectasis. No significant pleural effusion or pneumothorax is detected.",A right internal jugular central venous catheter is unchanged in position with the tip terminating in the low SVC.,central venous catheter,right internal jugular,Stable,['files/p19/p19182863/s58365706/eec556a6-1c46381e-1b9492b9-f747e8ec-048b888a.jpg'],['files/p19/p19182863/s58250250/05a2438b-6777cb93-a97597e4-6b1ba817-01bbe697.jpg\n']
s58365706_20,p19182863,s58365706,20,Findings,"The patient is status post median sternotomy and aortic valve replacement. A right internal jugular central venous catheter is unchanged in position with the tip terminating in the low SVC. A small caliber left IJ line is also noted. The lung volumes are slightly decreased. There is slight elevation of the left hemidiaphragm compared to the right. The cardiac silhouette remains enlarged but stable. The mediastinal contours are prominent postoperatively. There is mild calcification of the aortic knob. Mild to moderate pulmonary edema is increased from the most recent prior study. There is increased streaky opacification at the right lung base compared to the most recent prior study. In the absence of aspiration, this most likely reflects atelectasis. Mild opacification of the left lung base is unchanged and compatible with mild atelectasis. No significant pleural effusion or pneumothorax is detected.",Mild to moderate pulmonary edema is increased from the most recent prior study.,pulmonary edema,,Worse,['files/p19/p19182863/s58365706/eec556a6-1c46381e-1b9492b9-f747e8ec-048b888a.jpg'],['files/p19/p19182863/s58250250/05a2438b-6777cb93-a97597e4-6b1ba817-01bbe697.jpg\n']
s58365706_20,p19182863,s58365706,20,Findings,"The patient is status post median sternotomy and aortic valve replacement. A right internal jugular central venous catheter is unchanged in position with the tip terminating in the low SVC. A small caliber left IJ line is also noted. The lung volumes are slightly decreased. There is slight elevation of the left hemidiaphragm compared to the right. The cardiac silhouette remains enlarged but stable. The mediastinal contours are prominent postoperatively. There is mild calcification of the aortic knob. Mild to moderate pulmonary edema is increased from the most recent prior study. There is increased streaky opacification at the right lung base compared to the most recent prior study. In the absence of aspiration, this most likely reflects atelectasis. Mild opacification of the left lung base is unchanged and compatible with mild atelectasis. No significant pleural effusion or pneumothorax is detected.",Mild opacification of the left lung base is unchanged and compatible with mild atelectasis.,opacification,left lung base,Stable,['files/p19/p19182863/s58365706/eec556a6-1c46381e-1b9492b9-f747e8ec-048b888a.jpg'],['files/p19/p19182863/s58250250/05a2438b-6777cb93-a97597e4-6b1ba817-01bbe697.jpg\n']
s58365706_20,p19182863,s58365706,20,Findings,"The patient is status post median sternotomy and aortic valve replacement. A right internal jugular central venous catheter is unchanged in position with the tip terminating in the low SVC. A small caliber left IJ line is also noted. The lung volumes are slightly decreased. There is slight elevation of the left hemidiaphragm compared to the right. The cardiac silhouette remains enlarged but stable. The mediastinal contours are prominent postoperatively. There is mild calcification of the aortic knob. Mild to moderate pulmonary edema is increased from the most recent prior study. There is increased streaky opacification at the right lung base compared to the most recent prior study. In the absence of aspiration, this most likely reflects atelectasis. Mild opacification of the left lung base is unchanged and compatible with mild atelectasis. No significant pleural effusion or pneumothorax is detected.",There is increased streaky opacification at the right lung base compared to the most recent prior study.,streaky opacification,right lung base,Worse,['files/p19/p19182863/s58365706/eec556a6-1c46381e-1b9492b9-f747e8ec-048b888a.jpg'],['files/p19/p19182863/s58250250/05a2438b-6777cb93-a97597e4-6b1ba817-01bbe697.jpg\n']
s58365706_20,p19182863,s58365706,20,Impression,"1. Mild to moderate pulmonary edema, increased from ___. 2. Small right pleural effusion and bibasilar atelectasis on the right greater than the left.","1. Mild to moderate pulmonary edema, increased from ___.",pulmonary edema,,Worse,['files/p19/p19182863/s58365706/eec556a6-1c46381e-1b9492b9-f747e8ec-048b888a.jpg'],['files/p19/p19182863/s58250250/05a2438b-6777cb93-a97597e4-6b1ba817-01bbe697.jpg\n']
s58365706_20,p19182863,s58365706,20,Findings,"The patient is status post median sternotomy and aortic valve replacement. A right internal jugular central venous catheter is unchanged in position with the tip terminating in the low SVC. A small caliber left IJ line is also noted. The lung volumes are slightly decreased. There is slight elevation of the left hemidiaphragm compared to the right. The cardiac silhouette remains enlarged but stable. The mediastinal contours are prominent postoperatively. There is mild calcification of the aortic knob. Mild to moderate pulmonary edema is increased from the most recent prior study. There is increased streaky opacification at the right lung base compared to the most recent prior study. In the absence of aspiration, this most likely reflects atelectasis. Mild opacification of the left lung base is unchanged and compatible with mild atelectasis. No significant pleural effusion or pneumothorax is detected.",The cardiac silhouette remains enlarged but stable.,cardiac silhouette enlargement,,Stable,['files/p19/p19182863/s58365706/eec556a6-1c46381e-1b9492b9-f747e8ec-048b888a.jpg'],['files/p19/p19182863/s58250250/05a2438b-6777cb93-a97597e4-6b1ba817-01bbe697.jpg\n']
s58369249_2,p14794396,s58369249,2,Impression,"Ill-defined nodular opacities within the upper lobes, more pronounced on the left, are similar compared to the prior CT, and again may reflect a drug related pneumonitis. No focal consolidation identified. Minimal atelectasis in the left lung base.","Ill-defined nodular opacities within the upper lobes, more pronounced on the left, are similar compared to the prior CT, and again may reflect a drug related pneumonitis.",nodular opacities,"upper lobes, more pronounced on the left",Stable,"['files/p14/p14794396/s58369249/4fe5756d-bd504c0e-ec57e8bd-d9d21f15-a2cd65f3.jpg', 'files/p14/p14794396/s58369249/b2dff771-d162bb4b-180d5ef7-ed2022f8-e32ac869.jpg']","['files/p14/p14794396/s58352022/a77f001a-2af09f25-bba035a7-1a8b1a02-641eb8cc.jpg\n', 'files/p14/p14794396/s58352022/ad690f59-42c11dc9-609bb394-37809e1b-d91c2652.jpg\n']"
s58369249_2,p14794396,s58369249,2,Findings,"Low lung volumes are present which accentuate the size of the cardiac silhouette which is mildly enlarged. The mediastinal and hilar contours are unremarkable. Ill-defined somewhat nodular opacities are noted within the upper lobes bilaterally, more pronounced on the left, similar to that seen on the prior CT. Known smaller nodules within the lower lobes bilaterally are better assessed on prior CT. Minimal atelectasis is seen at the left lung base. No pleural effusion, focal consolidation or pneumothorax is identified. Multiple clips are noted within the left upper abdomen compatible with prior nephrectomy. No acute osseous abnormalities demonstrated.","Ill-defined somewhat nodular opacities are noted within the upper lobes bilaterally, more pronounced on the left, similar to that seen on the prior CT.",nodular opacities,"upper lobes bilaterally, more pronounced on the left",Stable,"['files/p14/p14794396/s58369249/4fe5756d-bd504c0e-ec57e8bd-d9d21f15-a2cd65f3.jpg', 'files/p14/p14794396/s58369249/b2dff771-d162bb4b-180d5ef7-ed2022f8-e32ac869.jpg']","['files/p14/p14794396/s58352022/a77f001a-2af09f25-bba035a7-1a8b1a02-641eb8cc.jpg\n', 'files/p14/p14794396/s58352022/ad690f59-42c11dc9-609bb394-37809e1b-d91c2652.jpg\n']"
s58371032_6,p12847817,s58371032,6,Findings,"As compared to the previous radiograph, the patient has undergone right thoracocentesis. The extent of the pre-existing pleural effusion has substantially decreased. There is no evidence of pneumothorax. The signs indicative of mild-to-moderate interstitial pulmonary edema are also improved, but the heart continues to be large and the contours of the left hilus continue to be bulging outwards. Atelectasis at the left and right lung bases are unchanged. No evidence of pneumonia.","The signs indicative of mild-to-moderate interstitial pulmonary edema are also improved, but the heart continues to be large and the contours of the left hilus continue to be bulging outwards.",interstitial pulmonary edema,mild-to-moderate,Better,['files/p12/p12847817/s58371032/3c920897-9646c09a-68473fee-614861c4-7a9780f1.jpg'],['files/p12/p12847817/s57961005/e5016e53-efcd5086-45dab98d-ead14337-5b2b24b4.jpg\n']
s58371032_6,p12847817,s58371032,6,Findings,"As compared to the previous radiograph, the patient has undergone right thoracocentesis. The extent of the pre-existing pleural effusion has substantially decreased. There is no evidence of pneumothorax. The signs indicative of mild-to-moderate interstitial pulmonary edema are also improved, but the heart continues to be large and the contours of the left hilus continue to be bulging outwards. Atelectasis at the left and right lung bases are unchanged. No evidence of pneumonia.",Atelectasis at the left and right lung bases are unchanged.,atelectasis,left and right lung bases,Stable,['files/p12/p12847817/s58371032/3c920897-9646c09a-68473fee-614861c4-7a9780f1.jpg'],['files/p12/p12847817/s57961005/e5016e53-efcd5086-45dab98d-ead14337-5b2b24b4.jpg\n']
s58371032_6,p12847817,s58371032,6,Findings,"As compared to the previous radiograph, the patient has undergone right thoracocentesis. The extent of the pre-existing pleural effusion has substantially decreased. There is no evidence of pneumothorax. The signs indicative of mild-to-moderate interstitial pulmonary edema are also improved, but the heart continues to be large and the contours of the left hilus continue to be bulging outwards. Atelectasis at the left and right lung bases are unchanged. No evidence of pneumonia.",The extent of the pre-existing pleural effusion has substantially decreased.,pleural effusion,pre-existing,Better,['files/p12/p12847817/s58371032/3c920897-9646c09a-68473fee-614861c4-7a9780f1.jpg'],['files/p12/p12847817/s57961005/e5016e53-efcd5086-45dab98d-ead14337-5b2b24b4.jpg\n']
s58371511_3,p13473495,s58371511,3,Findings,"There continues to be severe cardiomegaly and low lung volumes. Aeration in the right is improved, but there continues to be areas of volume loss/infiltrate in both lower lungs. Overall, the fluid status is slightly improved compared to the study from the prior day. An underlying infectious infiltrate, particularly in the lower lobes cannot be excluded.","Aeration in the right is improved, but there continues to be areas of volume loss/infiltrate in both lower lungs.",aeration,right,Better,['files/p13/p13473495/s58371511/da734734-eed7fe7d-743a3acd-22fb50e8-3bafca7a.jpg'],['files/p13/p13473495/s58228725/5bc1f7d3-d0c163be-13a38541-42a5e89e-4c074884.jpg\n']
s58371511_3,p13473495,s58371511,3,Findings,"There continues to be severe cardiomegaly and low lung volumes. Aeration in the right is improved, but there continues to be areas of volume loss/infiltrate in both lower lungs. Overall, the fluid status is slightly improved compared to the study from the prior day. An underlying infectious infiltrate, particularly in the lower lobes cannot be excluded.",There continues to be severe cardiomegaly and low lung volumes.,cardiomegaly,,Stable,['files/p13/p13473495/s58371511/da734734-eed7fe7d-743a3acd-22fb50e8-3bafca7a.jpg'],['files/p13/p13473495/s58228725/5bc1f7d3-d0c163be-13a38541-42a5e89e-4c074884.jpg\n']
s58371511_3,p13473495,s58371511,3,Findings,"There continues to be severe cardiomegaly and low lung volumes. Aeration in the right is improved, but there continues to be areas of volume loss/infiltrate in both lower lungs. Overall, the fluid status is slightly improved compared to the study from the prior day. An underlying infectious infiltrate, particularly in the lower lobes cannot be excluded.","Aeration in the right is improved, but there continues to be areas of volume loss/infiltrate in both lower lungs.",volume loss/infiltrate,both lower lungs,Stable,['files/p13/p13473495/s58371511/da734734-eed7fe7d-743a3acd-22fb50e8-3bafca7a.jpg'],['files/p13/p13473495/s58228725/5bc1f7d3-d0c163be-13a38541-42a5e89e-4c074884.jpg\n']
s58371511_3,p13473495,s58371511,3,Findings,"There continues to be severe cardiomegaly and low lung volumes. Aeration in the right is improved, but there continues to be areas of volume loss/infiltrate in both lower lungs. Overall, the fluid status is slightly improved compared to the study from the prior day. An underlying infectious infiltrate, particularly in the lower lobes cannot be excluded.","Overall, the fluid status is slightly improved compared to the study from the prior day.",fluid status,,Better,['files/p13/p13473495/s58371511/da734734-eed7fe7d-743a3acd-22fb50e8-3bafca7a.jpg'],['files/p13/p13473495/s58228725/5bc1f7d3-d0c163be-13a38541-42a5e89e-4c074884.jpg\n']
s58371511_3,p13473495,s58371511,3,Findings,"There continues to be severe cardiomegaly and low lung volumes. Aeration in the right is improved, but there continues to be areas of volume loss/infiltrate in both lower lungs. Overall, the fluid status is slightly improved compared to the study from the prior day. An underlying infectious infiltrate, particularly in the lower lobes cannot be excluded.",There continues to be severe cardiomegaly and low lung volumes.,low lung volumes,,Stable,['files/p13/p13473495/s58371511/da734734-eed7fe7d-743a3acd-22fb50e8-3bafca7a.jpg'],['files/p13/p13473495/s58228725/5bc1f7d3-d0c163be-13a38541-42a5e89e-4c074884.jpg\n']
s58373469_21,p13896515,s58373469,21,Findings,"As compared to the prior radiograph performed yesterday morning, there has been slight interval improvement in extent of interstitial pulmonary edema. There are no large pleural effusions. There is no pneumothorax. Persistent moderate cardiomegaly. Median sternotomy wires are intact. Left pectoral pacemaker is unchanged in visualized.",Left pectoral pacemaker is unchanged in visualized.,pacemaker,left pectoral,Stable,['files/p13/p13896515/s58373469/f1324f6e-a72d0eb7-dbe2b51f-8da51dcb-822e61dc.jpg'],"['files/p13/p13896515/s58127477/106523df-7e5cdd25-a3523b28-f80e71b7-4ed5143c.jpg\n', 'files/p13/p13896515/s58127477/43a3b295-a7cbe128-6c0df857-bf74ada4-4bdfe3e2.jpg\n']"
s58373469_21,p13896515,s58373469,21,Findings,"As compared to the prior radiograph performed yesterday morning, there has been slight interval improvement in extent of interstitial pulmonary edema. There are no large pleural effusions. There is no pneumothorax. Persistent moderate cardiomegaly. Median sternotomy wires are intact. Left pectoral pacemaker is unchanged in visualized.","As compared to the prior radiograph performed yesterday morning, there has been slight interval improvement in extent of interstitial pulmonary edema.",pulmonary edema,interstitial,Better,['files/p13/p13896515/s58373469/f1324f6e-a72d0eb7-dbe2b51f-8da51dcb-822e61dc.jpg'],"['files/p13/p13896515/s58127477/106523df-7e5cdd25-a3523b28-f80e71b7-4ed5143c.jpg\n', 'files/p13/p13896515/s58127477/43a3b295-a7cbe128-6c0df857-bf74ada4-4bdfe3e2.jpg\n']"
s58373469_21,p13896515,s58373469,21,Findings,"As compared to the prior radiograph performed yesterday morning, there has been slight interval improvement in extent of interstitial pulmonary edema. There are no large pleural effusions. There is no pneumothorax. Persistent moderate cardiomegaly. Median sternotomy wires are intact. Left pectoral pacemaker is unchanged in visualized.",Persistent moderate cardiomegaly.,cardiomegaly,,Stable,['files/p13/p13896515/s58373469/f1324f6e-a72d0eb7-dbe2b51f-8da51dcb-822e61dc.jpg'],"['files/p13/p13896515/s58127477/106523df-7e5cdd25-a3523b28-f80e71b7-4ed5143c.jpg\n', 'files/p13/p13896515/s58127477/43a3b295-a7cbe128-6c0df857-bf74ada4-4bdfe3e2.jpg\n']"
s58373469_21,p13896515,s58373469,21,Impression,Slight interval improvement in interstitial pulmonary edema.,Slight interval improvement in interstitial pulmonary edema.,pulmonary edema,interstitial,Better,['files/p13/p13896515/s58373469/f1324f6e-a72d0eb7-dbe2b51f-8da51dcb-822e61dc.jpg'],"['files/p13/p13896515/s58127477/106523df-7e5cdd25-a3523b28-f80e71b7-4ed5143c.jpg\n', 'files/p13/p13896515/s58127477/43a3b295-a7cbe128-6c0df857-bf74ada4-4bdfe3e2.jpg\n']"
s58379619_5,p12110863,s58379619,5,Findings,Frontal lateral views of the chest demonstrate left pectoral cardiac pacer with leads terminating in the right atrium and right ventricle. There is evidence of prior CABG. Median sternotomy wires are intact. Massive cardiomegaly is similar as before. Low lung volumes are unchanged. There is interval improvement of previously mild interstitial edema. Streaky retrocardiac opacities may be a combination of a chronic changes and subsegmental atelectasis. There is likely a small left pleural effusion.,Low lung volumes are unchanged.,Low lung volumes,,Stable,"['files/p12/p12110863/s58379619/76d2e3a0-a3074ba0-1b66d561-1eb29b13-3bb093aa.jpg', 'files/p12/p12110863/s58379619/9d53d4d6-3495e14a-d2f6c5b0-333b5174-8b65e1ab.jpg']","['files/p12/p12110863/s55875120/6f619231-f8a0ab48-6858a7eb-b0ee9c1c-de3385c9.jpg\n', 'files/p12/p12110863/s55875120/c12759af-b70b6882-d6cca08e-8811c264-7caf797c.jpg\n']"
s58379619_5,p12110863,s58379619,5,Findings,Frontal lateral views of the chest demonstrate left pectoral cardiac pacer with leads terminating in the right atrium and right ventricle. There is evidence of prior CABG. Median sternotomy wires are intact. Massive cardiomegaly is similar as before. Low lung volumes are unchanged. There is interval improvement of previously mild interstitial edema. Streaky retrocardiac opacities may be a combination of a chronic changes and subsegmental atelectasis. There is likely a small left pleural effusion.,Massive cardiomegaly is similar as before.,Massive cardiomegaly,,Stable,"['files/p12/p12110863/s58379619/76d2e3a0-a3074ba0-1b66d561-1eb29b13-3bb093aa.jpg', 'files/p12/p12110863/s58379619/9d53d4d6-3495e14a-d2f6c5b0-333b5174-8b65e1ab.jpg']","['files/p12/p12110863/s55875120/6f619231-f8a0ab48-6858a7eb-b0ee9c1c-de3385c9.jpg\n', 'files/p12/p12110863/s55875120/c12759af-b70b6882-d6cca08e-8811c264-7caf797c.jpg\n']"
s58379619_5,p12110863,s58379619,5,Impression,1. Interval improved pulmonary edema. 2. Mildly increased small left pleural effusion and atelectasis admixed with chronic changes in the left lung base.,Mildly increased small left pleural effusion and atelectasis admixed with chronic changes in the left lung base.,Atelectasis,left,Worse,"['files/p12/p12110863/s58379619/76d2e3a0-a3074ba0-1b66d561-1eb29b13-3bb093aa.jpg', 'files/p12/p12110863/s58379619/9d53d4d6-3495e14a-d2f6c5b0-333b5174-8b65e1ab.jpg']","['files/p12/p12110863/s55875120/6f619231-f8a0ab48-6858a7eb-b0ee9c1c-de3385c9.jpg\n', 'files/p12/p12110863/s55875120/c12759af-b70b6882-d6cca08e-8811c264-7caf797c.jpg\n']"
s58379619_5,p12110863,s58379619,5,Findings,Frontal lateral views of the chest demonstrate left pectoral cardiac pacer with leads terminating in the right atrium and right ventricle. There is evidence of prior CABG. Median sternotomy wires are intact. Massive cardiomegaly is similar as before. Low lung volumes are unchanged. There is interval improvement of previously mild interstitial edema. Streaky retrocardiac opacities may be a combination of a chronic changes and subsegmental atelectasis. There is likely a small left pleural effusion.,There is interval improvement of previously mild interstitial edema.,Mild interstitial edema,,Better,"['files/p12/p12110863/s58379619/76d2e3a0-a3074ba0-1b66d561-1eb29b13-3bb093aa.jpg', 'files/p12/p12110863/s58379619/9d53d4d6-3495e14a-d2f6c5b0-333b5174-8b65e1ab.jpg']","['files/p12/p12110863/s55875120/6f619231-f8a0ab48-6858a7eb-b0ee9c1c-de3385c9.jpg\n', 'files/p12/p12110863/s55875120/c12759af-b70b6882-d6cca08e-8811c264-7caf797c.jpg\n']"
s58379619_5,p12110863,s58379619,5,Impression,1. Interval improved pulmonary edema. 2. Mildly increased small left pleural effusion and atelectasis admixed with chronic changes in the left lung base.,Interval improved pulmonary edema.,Pulmonary edema,,Better,"['files/p12/p12110863/s58379619/76d2e3a0-a3074ba0-1b66d561-1eb29b13-3bb093aa.jpg', 'files/p12/p12110863/s58379619/9d53d4d6-3495e14a-d2f6c5b0-333b5174-8b65e1ab.jpg']","['files/p12/p12110863/s55875120/6f619231-f8a0ab48-6858a7eb-b0ee9c1c-de3385c9.jpg\n', 'files/p12/p12110863/s55875120/c12759af-b70b6882-d6cca08e-8811c264-7caf797c.jpg\n']"
s58379619_5,p12110863,s58379619,5,Impression,1. Interval improved pulmonary edema. 2. Mildly increased small left pleural effusion and atelectasis admixed with chronic changes in the left lung base.,Mildly increased small left pleural effusion and atelectasis admixed with chronic changes in the left lung base.,Pleural effusion,left,Worse,"['files/p12/p12110863/s58379619/76d2e3a0-a3074ba0-1b66d561-1eb29b13-3bb093aa.jpg', 'files/p12/p12110863/s58379619/9d53d4d6-3495e14a-d2f6c5b0-333b5174-8b65e1ab.jpg']","['files/p12/p12110863/s55875120/6f619231-f8a0ab48-6858a7eb-b0ee9c1c-de3385c9.jpg\n', 'files/p12/p12110863/s55875120/c12759af-b70b6882-d6cca08e-8811c264-7caf797c.jpg\n']"
s58387591_4,p15144601,s58387591,4,Findings,"Transvenous pacemaker/AICD with leads seen terminating in right atrium and right ventricle. The lungs are clear without evidence of consolidation, pleural effusion, pneumothorax, or overt pulmonary edema. Stable, mild to moderate cardiomegaly is noted. The aorta is somewhat tortuous, but stable. Median sternotomy wires appear aligned and intact.","Stable, mild to moderate cardiomegaly is noted.",mild to moderate cardiomegaly,,Stable,"['files/p15/p15144601/s58387591/57acf73e-ba3f0114-8d77513c-7aee7bf4-4afa327e.jpg', 'files/p15/p15144601/s58387591/6a7a8448-ea976adb-343bc548-9a621bc5-db423765.jpg', 'files/p15/p15144601/s58387591/aa1e0882-36dcc79a-eb35cb80-7a299e65-977dc559.jpg']","['files/p15/p15144601/s56094879/8514ae6a-487dc3d0-b8e0ee76-b3d06968-3aad7ad0.jpg\n', 'files/p15/p15144601/s56094879/9a153253-dcd22d72-b7158f90-d4bc1d9b-ef456abf.jpg\n', 'files/p15/p15144601/s56094879/b785c793-aaed777d-bf9e5f46-51f74f6e-d5c76d2d.jpg\n']"
s58387591_4,p15144601,s58387591,4,Findings,"Transvenous pacemaker/AICD with leads seen terminating in right atrium and right ventricle. The lungs are clear without evidence of consolidation, pleural effusion, pneumothorax, or overt pulmonary edema. Stable, mild to moderate cardiomegaly is noted. The aorta is somewhat tortuous, but stable. Median sternotomy wires appear aligned and intact.","The aorta is somewhat tortuous, but stable.",tortuous,aorta,Stable,"['files/p15/p15144601/s58387591/57acf73e-ba3f0114-8d77513c-7aee7bf4-4afa327e.jpg', 'files/p15/p15144601/s58387591/6a7a8448-ea976adb-343bc548-9a621bc5-db423765.jpg', 'files/p15/p15144601/s58387591/aa1e0882-36dcc79a-eb35cb80-7a299e65-977dc559.jpg']","['files/p15/p15144601/s56094879/8514ae6a-487dc3d0-b8e0ee76-b3d06968-3aad7ad0.jpg\n', 'files/p15/p15144601/s56094879/9a153253-dcd22d72-b7158f90-d4bc1d9b-ef456abf.jpg\n', 'files/p15/p15144601/s56094879/b785c793-aaed777d-bf9e5f46-51f74f6e-d5c76d2d.jpg\n']"
s58387960_2,p12475198,s58387960,2,Findings,"AP view of the chest. A temporary pacemaker lead is unchanged and in appropriate position. Mild cardiomegaly is unchanged. No focal consolidation, pleural effusion or pneumothorax.",Mild cardiomegaly is unchanged.,cardiomegaly,,Stable,['files/p12/p12475198/s58387960/8f34e6a7-a9a93480-381afaf2-33925be7-c183ae6f.jpg'],"['files/p12/p12475198/s57980670/7872b2d7-eb63bb18-ed6cf009-39cf263d-a2965d5b.jpg\n', 'files/p12/p12475198/s57980670/c6f1c4e9-f329ac22-634957fc-4f7f9884-fa9f9fc8.jpg\n']"
s58387960_2,p12475198,s58387960,2,Findings,"AP view of the chest. A temporary pacemaker lead is unchanged and in appropriate position. Mild cardiomegaly is unchanged. No focal consolidation, pleural effusion or pneumothorax.",A temporary pacemaker lead is unchanged and in appropriate position.,temporary pacemaker lead,,Stable,['files/p12/p12475198/s58387960/8f34e6a7-a9a93480-381afaf2-33925be7-c183ae6f.jpg'],"['files/p12/p12475198/s57980670/7872b2d7-eb63bb18-ed6cf009-39cf263d-a2965d5b.jpg\n', 'files/p12/p12475198/s57980670/c6f1c4e9-f329ac22-634957fc-4f7f9884-fa9f9fc8.jpg\n']"
s58393560_0,p10850815,s58393560,0,Findings,"Frontal and lateral views of the chest are obtained. Dual lead of left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle, unchanged. Patient is status post median sternotomy and aortic valve replacement, grossly stable. Again seen is blunting of the left costophrenic angle suggesting pleural effusion with overlying atelectasis. Underlying consolidation cannot be excluded. There is slight increase in opacity at the right lung base which may be due to atelectasis, although the appropriate clinical setting, early aspiration or pneumonia are not excluded. Surgical clips are again seen projecting over the lateral right upper hemithorax.","Dual lead of left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle, unchanged.",pacemaker leads,right atrium and right ventricle,Stable,"['files/p10/p10850815/s58393560/1bc3d3de-cd13c1cd-ce13e61d-5191632c-e3ae7b5c.jpg', 'files/p10/p10850815/s58393560/46bd0776-78bcff84-5e4494eb-6f9c877a-a356af25.jpg']",
s58393560_0,p10850815,s58393560,0,Findings,"Frontal and lateral views of the chest are obtained. Dual lead of left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle, unchanged. Patient is status post median sternotomy and aortic valve replacement, grossly stable. Again seen is blunting of the left costophrenic angle suggesting pleural effusion with overlying atelectasis. Underlying consolidation cannot be excluded. There is slight increase in opacity at the right lung base which may be due to atelectasis, although the appropriate clinical setting, early aspiration or pneumonia are not excluded. Surgical clips are again seen projecting over the lateral right upper hemithorax.","There is slight increase in opacity at the right lung base which may be due to atelectasis, although the appropriate clinical setting, early aspiration or pneumonia are not excluded.",opacity,right lung base,Worse,"['files/p10/p10850815/s58393560/1bc3d3de-cd13c1cd-ce13e61d-5191632c-e3ae7b5c.jpg', 'files/p10/p10850815/s58393560/46bd0776-78bcff84-5e4494eb-6f9c877a-a356af25.jpg']",
s58393560_0,p10850815,s58393560,0,Findings,"Frontal and lateral views of the chest are obtained. Dual lead of left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle, unchanged. Patient is status post median sternotomy and aortic valve replacement, grossly stable. Again seen is blunting of the left costophrenic angle suggesting pleural effusion with overlying atelectasis. Underlying consolidation cannot be excluded. There is slight increase in opacity at the right lung base which may be due to atelectasis, although the appropriate clinical setting, early aspiration or pneumonia are not excluded. Surgical clips are again seen projecting over the lateral right upper hemithorax.","Patient is status post median sternotomy and aortic valve replacement, grossly stable.",post median sternotomy and aortic valve replacement,,Stable,"['files/p10/p10850815/s58393560/1bc3d3de-cd13c1cd-ce13e61d-5191632c-e3ae7b5c.jpg', 'files/p10/p10850815/s58393560/46bd0776-78bcff84-5e4494eb-6f9c877a-a356af25.jpg']",
s58395298_0,p16360107,s58395298,0,Impression,Moderate-to-large loculated right pleural effusion appears increased in size from prior exam. Moderate left pleural effusion is unchanged. Bibasilar opacities likely represent atelectasis or infection in the appropriate clinical setting. Mild pulmonary edema.,Moderate-to-large loculated right pleural effusion appears increased in size from prior exam.,pleural effusion,right,Worse,['files/p16/p16360107/s58395298/a797fb72-ac31496e-fb500d8f-daa52795-1800ca2e.jpg'],"['files/p16/p16360107/s57578542/0faaaa23-459dfd75-f9dfe24a-17af121d-d1d5b9e4.jpg\n', 'files/p16/p16360107/s57578542/124f973d-d060d2cb-f7f48073-f3b3298e-8e8bcfac.jpg\n']"
s58395298_0,p16360107,s58395298,0,Impression,Moderate-to-large loculated right pleural effusion appears increased in size from prior exam. Moderate left pleural effusion is unchanged. Bibasilar opacities likely represent atelectasis or infection in the appropriate clinical setting. Mild pulmonary edema.,Moderate left pleural effusion is unchanged.,pleural effusion,left,Stable,['files/p16/p16360107/s58395298/a797fb72-ac31496e-fb500d8f-daa52795-1800ca2e.jpg'],"['files/p16/p16360107/s57578542/0faaaa23-459dfd75-f9dfe24a-17af121d-d1d5b9e4.jpg\n', 'files/p16/p16360107/s57578542/124f973d-d060d2cb-f7f48073-f3b3298e-8e8bcfac.jpg\n']"
s58395298_0,p16360107,s58395298,0,Findings,"Portable AP view of the chest demonstrates low lung volumes. A moderate-to-large loculated right pleural effusion is longstanding, but appears increased in size from prior exam. Moderate loculated left pleural effusion is unchanged from prior. Bibasilar opacities are noted. There is prominence of the right mediastinum, suggestive of vascular congestion. Aortic arch calcifications are noted. Heart size is top normal. Mild pulmonary edema is present. Sternotomy wires are noted. Multiple surgical clips project over left cardiac border.",Moderate loculated left pleural effusion is unchanged from prior.,pleural effusion,left,Stable,['files/p16/p16360107/s58395298/a797fb72-ac31496e-fb500d8f-daa52795-1800ca2e.jpg'],"['files/p16/p16360107/s57578542/0faaaa23-459dfd75-f9dfe24a-17af121d-d1d5b9e4.jpg\n', 'files/p16/p16360107/s57578542/124f973d-d060d2cb-f7f48073-f3b3298e-8e8bcfac.jpg\n']"
s58395298_0,p16360107,s58395298,0,Findings,"Portable AP view of the chest demonstrates low lung volumes. A moderate-to-large loculated right pleural effusion is longstanding, but appears increased in size from prior exam. Moderate loculated left pleural effusion is unchanged from prior. Bibasilar opacities are noted. There is prominence of the right mediastinum, suggestive of vascular congestion. Aortic arch calcifications are noted. Heart size is top normal. Mild pulmonary edema is present. Sternotomy wires are noted. Multiple surgical clips project over left cardiac border.","A moderate-to-large loculated right pleural effusion is longstanding, but appears increased in size from prior exam.",pleural effusion,right,Worse,['files/p16/p16360107/s58395298/a797fb72-ac31496e-fb500d8f-daa52795-1800ca2e.jpg'],"['files/p16/p16360107/s57578542/0faaaa23-459dfd75-f9dfe24a-17af121d-d1d5b9e4.jpg\n', 'files/p16/p16360107/s57578542/124f973d-d060d2cb-f7f48073-f3b3298e-8e8bcfac.jpg\n']"
s58400851_1,p19715857,s58400851,1,Impression,"AP chest compared to ___ and ___: Previous mild-to-moderate pulmonary edema has substantially cleared. The residual opacification in the left lung base is a candidate for possible pneumonia, and should be followed. Pleural effusions are small and unchanged. Moderate cardiomegaly is stable. Mediastinal vascular engorgement has improved slightly. No pneumothorax.",Mediastinal vascular engorgement has improved slightly.,mediastinal vascular engorgement,,Better,['files/p19/p19715857/s58400851/e1eb5589-20b5223f-dfff33dd-0d4ed3f6-19b045fd.jpg'],['files/p19/p19715857/s50848970/c8cfc832-b771f3f4-0862618d-c5b40b2a-86706006.jpg\n']
s58400851_1,p19715857,s58400851,1,Impression,"AP chest compared to ___ and ___: Previous mild-to-moderate pulmonary edema has substantially cleared. The residual opacification in the left lung base is a candidate for possible pneumonia, and should be followed. Pleural effusions are small and unchanged. Moderate cardiomegaly is stable. Mediastinal vascular engorgement has improved slightly. No pneumothorax.",Pleural effusions are small and unchanged.,pleural effusion,left,Stable,['files/p19/p19715857/s58400851/e1eb5589-20b5223f-dfff33dd-0d4ed3f6-19b045fd.jpg'],['files/p19/p19715857/s50848970/c8cfc832-b771f3f4-0862618d-c5b40b2a-86706006.jpg\n']
s58400851_1,p19715857,s58400851,1,Impression,"AP chest compared to ___ and ___: Previous mild-to-moderate pulmonary edema has substantially cleared. The residual opacification in the left lung base is a candidate for possible pneumonia, and should be followed. Pleural effusions are small and unchanged. Moderate cardiomegaly is stable. Mediastinal vascular engorgement has improved slightly. No pneumothorax.",Pleural effusions are small and unchanged.,pleural effusion,right,Stable,['files/p19/p19715857/s58400851/e1eb5589-20b5223f-dfff33dd-0d4ed3f6-19b045fd.jpg'],['files/p19/p19715857/s50848970/c8cfc832-b771f3f4-0862618d-c5b40b2a-86706006.jpg\n']
s58400851_1,p19715857,s58400851,1,Impression,"AP chest compared to ___ and ___: Previous mild-to-moderate pulmonary edema has substantially cleared. The residual opacification in the left lung base is a candidate for possible pneumonia, and should be followed. Pleural effusions are small and unchanged. Moderate cardiomegaly is stable. Mediastinal vascular engorgement has improved slightly. No pneumothorax.",AP chest compared to ___ and ___: Previous mild-to-moderate pulmonary edema has substantially cleared.,pulmonary edema,,Resolve,['files/p19/p19715857/s58400851/e1eb5589-20b5223f-dfff33dd-0d4ed3f6-19b045fd.jpg'],['files/p19/p19715857/s50848970/c8cfc832-b771f3f4-0862618d-c5b40b2a-86706006.jpg\n']
s58400851_1,p19715857,s58400851,1,Impression,"AP chest compared to ___ and ___: Previous mild-to-moderate pulmonary edema has substantially cleared. The residual opacification in the left lung base is a candidate for possible pneumonia, and should be followed. Pleural effusions are small and unchanged. Moderate cardiomegaly is stable. Mediastinal vascular engorgement has improved slightly. No pneumothorax.",Moderate cardiomegaly is stable.,cardiomegaly,,Stable,['files/p19/p19715857/s58400851/e1eb5589-20b5223f-dfff33dd-0d4ed3f6-19b045fd.jpg'],['files/p19/p19715857/s50848970/c8cfc832-b771f3f4-0862618d-c5b40b2a-86706006.jpg\n']
s58402174_10,p11022245,s58402174,10,Findings,AP portable semi upright view of the chest. Lung volumes are low limiting assessment. There is increased bibasilar atelectasis and bronchovascular crowding. Overall cardiomediastinal silhouette is unchanged. The right upper extremity access PICC line appears in unchanged position extending to the level of the cavoatrial junction. Mild congestion is difficult to exclude in the correct clinical setting. No overt signs of edema.,There is increased bibasilar atelectasis and bronchovascular crowding.,crowding,bronchovascular,Worse,['files/p11/p11022245/s58402174/8d3d599d-c63f3e85-fcd2ddbe-2e931945-482b1161.jpg'],"['files/p11/p11022245/s58274962/7b326442-f1c89773-b17481e4-1c7410b9-9ba4a725.jpg\n', 'files/p11/p11022245/s58274962/f7ba6691-53545537-20c8b2dc-79dbd392-36f05d15.jpg\n']"
s58402174_10,p11022245,s58402174,10,Findings,AP portable semi upright view of the chest. Lung volumes are low limiting assessment. There is increased bibasilar atelectasis and bronchovascular crowding. Overall cardiomediastinal silhouette is unchanged. The right upper extremity access PICC line appears in unchanged position extending to the level of the cavoatrial junction. Mild congestion is difficult to exclude in the correct clinical setting. No overt signs of edema.,The right upper extremity access PICC line appears in unchanged position extending to the level of the cavoatrial junction.,PICC line,right upper extremity,Stable,['files/p11/p11022245/s58402174/8d3d599d-c63f3e85-fcd2ddbe-2e931945-482b1161.jpg'],"['files/p11/p11022245/s58274962/7b326442-f1c89773-b17481e4-1c7410b9-9ba4a725.jpg\n', 'files/p11/p11022245/s58274962/f7ba6691-53545537-20c8b2dc-79dbd392-36f05d15.jpg\n']"
s58402174_10,p11022245,s58402174,10,Impression,Increasing bibasilar atelectasis. Possible mild pulmonary vascular congestion.,Increasing bibasilar atelectasis.,atelectasis,bibasilar,Worse,['files/p11/p11022245/s58402174/8d3d599d-c63f3e85-fcd2ddbe-2e931945-482b1161.jpg'],"['files/p11/p11022245/s58274962/7b326442-f1c89773-b17481e4-1c7410b9-9ba4a725.jpg\n', 'files/p11/p11022245/s58274962/f7ba6691-53545537-20c8b2dc-79dbd392-36f05d15.jpg\n']"
s58402174_10,p11022245,s58402174,10,Findings,AP portable semi upright view of the chest. Lung volumes are low limiting assessment. There is increased bibasilar atelectasis and bronchovascular crowding. Overall cardiomediastinal silhouette is unchanged. The right upper extremity access PICC line appears in unchanged position extending to the level of the cavoatrial junction. Mild congestion is difficult to exclude in the correct clinical setting. No overt signs of edema.,There is increased bibasilar atelectasis and bronchovascular crowding.,atelectasis,bibasilar,Worse,['files/p11/p11022245/s58402174/8d3d599d-c63f3e85-fcd2ddbe-2e931945-482b1161.jpg'],"['files/p11/p11022245/s58274962/7b326442-f1c89773-b17481e4-1c7410b9-9ba4a725.jpg\n', 'files/p11/p11022245/s58274962/f7ba6691-53545537-20c8b2dc-79dbd392-36f05d15.jpg\n']"
s58402174_10,p11022245,s58402174,10,Findings,AP portable semi upright view of the chest. Lung volumes are low limiting assessment. There is increased bibasilar atelectasis and bronchovascular crowding. Overall cardiomediastinal silhouette is unchanged. The right upper extremity access PICC line appears in unchanged position extending to the level of the cavoatrial junction. Mild congestion is difficult to exclude in the correct clinical setting. No overt signs of edema.,Overall cardiomediastinal silhouette is unchanged.,cardiomediastinal silhouette,,Stable,['files/p11/p11022245/s58402174/8d3d599d-c63f3e85-fcd2ddbe-2e931945-482b1161.jpg'],"['files/p11/p11022245/s58274962/7b326442-f1c89773-b17481e4-1c7410b9-9ba4a725.jpg\n', 'files/p11/p11022245/s58274962/f7ba6691-53545537-20c8b2dc-79dbd392-36f05d15.jpg\n']"
s58403484_13,p19182863,s58403484,13,Findings,"In comparison with the study of ___, there is again a small apical pneumothorax. Areas of opacification in the right lower and left upper lung are decreasing.","In comparison with the study of ___, there is again a small apical pneumothorax.",pneumothorax,apical,Stable,"['files/p19/p19182863/s58403484/5341389f-4da075c4-ad323f4b-2f9e17bd-71ee6623.jpg', 'files/p19/p19182863/s58403484/a90a82d0-03e68c29-c64d2bbe-96653ba7-bb772dd9.jpg']",['files/p19/p19182863/s58365706/eec556a6-1c46381e-1b9492b9-f747e8ec-048b888a.jpg\n']
s58403484_13,p19182863,s58403484,13,Findings,"In comparison with the study of ___, there is again a small apical pneumothorax. Areas of opacification in the right lower and left upper lung are decreasing.",Areas of opacification in the right lower and left upper lung are decreasing.,opacification,right lower and left upper lung,Better,"['files/p19/p19182863/s58403484/5341389f-4da075c4-ad323f4b-2f9e17bd-71ee6623.jpg', 'files/p19/p19182863/s58403484/a90a82d0-03e68c29-c64d2bbe-96653ba7-bb772dd9.jpg']",['files/p19/p19182863/s58365706/eec556a6-1c46381e-1b9492b9-f747e8ec-048b888a.jpg\n']
s58406467_13,p18906643,s58406467,13,Findings,The NG tube extends inferiorly beyond the diaphragm into the fundus of the stomach. Again seen is moderate cardiomegaly. The pulmonary vascular congestion is stable. There are no new focal consolidations. The fissural loculation of pleural fluid along the left chest wall has not changed compared to the prior exam. There is no pneumothorax.,The fissural loculation of pleural fluid along the left chest wall has not changed compared to the prior exam.,fissural loculation of pleural fluid,left chest wall,Stable,['files/p18/p18906643/s58406467/ef578547-4e4219db-c1753821-922ec956-1d6e6770.jpg'],['files/p18/p18906643/s57135264/742a919c-4e4a6e34-f49de182-4a0dafcf-8b3c101b.jpg\n']
s58406467_13,p18906643,s58406467,13,Findings,The NG tube extends inferiorly beyond the diaphragm into the fundus of the stomach. Again seen is moderate cardiomegaly. The pulmonary vascular congestion is stable. There are no new focal consolidations. The fissural loculation of pleural fluid along the left chest wall has not changed compared to the prior exam. There is no pneumothorax.,The pulmonary vascular congestion is stable.,pulmonary vascular congestion,,Stable,['files/p18/p18906643/s58406467/ef578547-4e4219db-c1753821-922ec956-1d6e6770.jpg'],['files/p18/p18906643/s57135264/742a919c-4e4a6e34-f49de182-4a0dafcf-8b3c101b.jpg\n']
s58406467_13,p18906643,s58406467,13,Findings,The NG tube extends inferiorly beyond the diaphragm into the fundus of the stomach. Again seen is moderate cardiomegaly. The pulmonary vascular congestion is stable. There are no new focal consolidations. The fissural loculation of pleural fluid along the left chest wall has not changed compared to the prior exam. There is no pneumothorax.,Again seen is moderate cardiomegaly.,moderate cardiomegaly,,Stable,['files/p18/p18906643/s58406467/ef578547-4e4219db-c1753821-922ec956-1d6e6770.jpg'],['files/p18/p18906643/s57135264/742a919c-4e4a6e34-f49de182-4a0dafcf-8b3c101b.jpg\n']
s58407493_7,p11569093,s58407493,7,Findings,"In comparison with the previous study, there is now an endotracheal tube in place with its tip only about 1.5 cm above the carina. This information wasd conveyed to Dr. ___. Intestinal tube extends well into the stomach. Left IJ catheter tip is unchanged. The extensive right apical lateral consolidation has substantially cleared. The opacification involving much of the left lung has decreased. It is unclear whether this represents clearing pneumonia or possible decrease in asymmetric pulmonary edema. Opacification at the left base silhouetting the hemidiaphragm is consistent with pleural effusion. Right hemidiaphragmatic contour is elevated, possibly relating to pleural effusion, with streaks of atelectasis at the base.",The extensive right apical lateral consolidation has substantially cleared.,consolidation,right apical lateral,Resolve,['files/p11/p11569093/s58407493/967d441a-a13a3abb-92836835-665f96e3-d5916b82.jpg'],['files/p11/p11569093/s57204814/0d2a50a2-3711662a-d7838521-4dc58d09-3732a3ad.jpg\n']
s58407493_7,p11569093,s58407493,7,Findings,"In comparison with the previous study, there is now an endotracheal tube in place with its tip only about 1.5 cm above the carina. This information wasd conveyed to Dr. ___. Intestinal tube extends well into the stomach. Left IJ catheter tip is unchanged. The extensive right apical lateral consolidation has substantially cleared. The opacification involving much of the left lung has decreased. It is unclear whether this represents clearing pneumonia or possible decrease in asymmetric pulmonary edema. Opacification at the left base silhouetting the hemidiaphragm is consistent with pleural effusion. Right hemidiaphragmatic contour is elevated, possibly relating to pleural effusion, with streaks of atelectasis at the base.",The opacification involving much of the left lung has decreased.,opacification,left lung,Better,['files/p11/p11569093/s58407493/967d441a-a13a3abb-92836835-665f96e3-d5916b82.jpg'],['files/p11/p11569093/s57204814/0d2a50a2-3711662a-d7838521-4dc58d09-3732a3ad.jpg\n']
s58407493_7,p11569093,s58407493,7,Findings,"In comparison with the previous study, there is now an endotracheal tube in place with its tip only about 1.5 cm above the carina. This information wasd conveyed to Dr. ___. Intestinal tube extends well into the stomach. Left IJ catheter tip is unchanged. The extensive right apical lateral consolidation has substantially cleared. The opacification involving much of the left lung has decreased. It is unclear whether this represents clearing pneumonia or possible decrease in asymmetric pulmonary edema. Opacification at the left base silhouetting the hemidiaphragm is consistent with pleural effusion. Right hemidiaphragmatic contour is elevated, possibly relating to pleural effusion, with streaks of atelectasis at the base.",Left IJ catheter tip is unchanged.,IJ catheter tip,left,Stable,['files/p11/p11569093/s58407493/967d441a-a13a3abb-92836835-665f96e3-d5916b82.jpg'],['files/p11/p11569093/s57204814/0d2a50a2-3711662a-d7838521-4dc58d09-3732a3ad.jpg\n']
s58409548_17,p14295224,s58409548,17,Findings,PA and lateral chest radiograph is compared to prior study dated ___. There has been little interval change with no focal consolidation concerning for pneumonia identified. Lungs are hyperinflated. Patient is status post radiation therapy to the right lung. Previously seen right lower lung sub cm nodular opacity is not definitely visualized. Cardiomediastinal contours are stable. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrates no acute abnormality.,Cardiomediastinal contours are stable.,Cardiomediastinal contours,,Stable,"['files/p14/p14295224/s58409548/84ee4f3c-27c6c5ff-e84f61b7-1ab68ce3-99820e85.jpg', 'files/p14/p14295224/s58409548/9961f085-b04f7f91-4556e341-26c1f4f0-28e741d3.jpg']","['files/p14/p14295224/s58198778/88ac4d9d-ea366489-d2c7596b-40fb6489-d3571491.jpg\n', 'files/p14/p14295224/s58198778/cb2f4f2e-e36e5b5c-fabde40d-22a6a15f-4a4b48ad.jpg\n']"
s58409548_17,p14295224,s58409548,17,Findings,PA and lateral chest radiograph is compared to prior study dated ___. There has been little interval change with no focal consolidation concerning for pneumonia identified. Lungs are hyperinflated. Patient is status post radiation therapy to the right lung. Previously seen right lower lung sub cm nodular opacity is not definitely visualized. Cardiomediastinal contours are stable. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrates no acute abnormality.,PA and lateral chest radiograph is compared to prior study dated ___. There has been little interval change with no focal consolidation concerning for pneumonia identified.,focal consolidation,,Stable,"['files/p14/p14295224/s58409548/84ee4f3c-27c6c5ff-e84f61b7-1ab68ce3-99820e85.jpg', 'files/p14/p14295224/s58409548/9961f085-b04f7f91-4556e341-26c1f4f0-28e741d3.jpg']","['files/p14/p14295224/s58198778/88ac4d9d-ea366489-d2c7596b-40fb6489-d3571491.jpg\n', 'files/p14/p14295224/s58198778/cb2f4f2e-e36e5b5c-fabde40d-22a6a15f-4a4b48ad.jpg\n']"
s58409843_12,p11474065,s58409843,12,Impression,"AP chest compared to ___ at 6:40 p.m.: There is no left subclavian line. An indwelling right subclavian line ends in the mid SVC. There is no pneumothorax or appreciable pleural effusion. Pulmonary vascular engorgement has improved, mild right lower lobe atelectasis has recurred. Heart size is moderately enlarged, but improved since earlier study.",AP chest compared to ___ at 6:40 p.m.: There is no left subclavian line.,line,left subclavian,Resolve,['files/p11/p11474065/s58409843/c1d5b4f7-c4ed16c1-202cd868-0f06cd8a-25de3389.jpg'],['files/p11/p11474065/s57848354/d09562d7-3ddb8397-a8101476-43ad0118-5fae5eb9.jpg\n']
s58409843_12,p11474065,s58409843,12,Impression,"AP chest compared to ___ at 6:40 p.m.: There is no left subclavian line. An indwelling right subclavian line ends in the mid SVC. There is no pneumothorax or appreciable pleural effusion. Pulmonary vascular engorgement has improved, mild right lower lobe atelectasis has recurred. Heart size is moderately enlarged, but improved since earlier study.","Pulmonary vascular engorgement has improved, mild right lower lobe atelectasis has recurred.",pulmonary vascular engorgement,,Better,['files/p11/p11474065/s58409843/c1d5b4f7-c4ed16c1-202cd868-0f06cd8a-25de3389.jpg'],['files/p11/p11474065/s57848354/d09562d7-3ddb8397-a8101476-43ad0118-5fae5eb9.jpg\n']
s58409843_12,p11474065,s58409843,12,Impression,"AP chest compared to ___ at 6:40 p.m.: There is no left subclavian line. An indwelling right subclavian line ends in the mid SVC. There is no pneumothorax or appreciable pleural effusion. Pulmonary vascular engorgement has improved, mild right lower lobe atelectasis has recurred. Heart size is moderately enlarged, but improved since earlier study.","Heart size is moderately enlarged, but improved since earlier study.",heart size enlargement,,Better,['files/p11/p11474065/s58409843/c1d5b4f7-c4ed16c1-202cd868-0f06cd8a-25de3389.jpg'],['files/p11/p11474065/s57848354/d09562d7-3ddb8397-a8101476-43ad0118-5fae5eb9.jpg\n']
s58409843_12,p11474065,s58409843,12,Impression,"AP chest compared to ___ at 6:40 p.m.: There is no left subclavian line. An indwelling right subclavian line ends in the mid SVC. There is no pneumothorax or appreciable pleural effusion. Pulmonary vascular engorgement has improved, mild right lower lobe atelectasis has recurred. Heart size is moderately enlarged, but improved since earlier study.","Pulmonary vascular engorgement has improved, mild right lower lobe atelectasis has recurred.",atelectasis,right lower lobe,New,['files/p11/p11474065/s58409843/c1d5b4f7-c4ed16c1-202cd868-0f06cd8a-25de3389.jpg'],['files/p11/p11474065/s57848354/d09562d7-3ddb8397-a8101476-43ad0118-5fae5eb9.jpg\n']
s58410688_10,p13078497,s58410688,10,Findings,"As compared to the previous radiograph, endotracheal tube has been minimally advanced, it currently projects 5.3 cm above the carina with its tip. The existing extensive bilateral parenchymal opacities are unchanged in extent. New bilateral pleural effusions might have developed. Unchanged moderate cardiomegaly. Unchanged right central venous access line and nasogastric tube. No pneumothorax.",Unchanged right central venous access line and nasogastric tube.,central venous access line,right,Stable,['files/p13/p13078497/s58410688/b60d9052-3235c4b8-59510f55-a43f5ffd-e99a36d2.jpg'],['files/p13/p13078497/s58231918/96a447ee-f2ddbe8e-c71c996f-b05a48a3-485f4469.jpg\n']
s58410688_10,p13078497,s58410688,10,Findings,"As compared to the previous radiograph, endotracheal tube has been minimally advanced, it currently projects 5.3 cm above the carina with its tip. The existing extensive bilateral parenchymal opacities are unchanged in extent. New bilateral pleural effusions might have developed. Unchanged moderate cardiomegaly. Unchanged right central venous access line and nasogastric tube. No pneumothorax.",The existing extensive bilateral parenchymal opacities are unchanged in extent.,parenchymal opacities,bilateral,Stable,['files/p13/p13078497/s58410688/b60d9052-3235c4b8-59510f55-a43f5ffd-e99a36d2.jpg'],['files/p13/p13078497/s58231918/96a447ee-f2ddbe8e-c71c996f-b05a48a3-485f4469.jpg\n']
s58410688_10,p13078497,s58410688,10,Findings,"As compared to the previous radiograph, endotracheal tube has been minimally advanced, it currently projects 5.3 cm above the carina with its tip. The existing extensive bilateral parenchymal opacities are unchanged in extent. New bilateral pleural effusions might have developed. Unchanged moderate cardiomegaly. Unchanged right central venous access line and nasogastric tube. No pneumothorax.",New bilateral pleural effusions might have developed.,pleural effusions,bilateral,New,['files/p13/p13078497/s58410688/b60d9052-3235c4b8-59510f55-a43f5ffd-e99a36d2.jpg'],['files/p13/p13078497/s58231918/96a447ee-f2ddbe8e-c71c996f-b05a48a3-485f4469.jpg\n']
s58410688_10,p13078497,s58410688,10,Findings,"As compared to the previous radiograph, endotracheal tube has been minimally advanced, it currently projects 5.3 cm above the carina with its tip. The existing extensive bilateral parenchymal opacities are unchanged in extent. New bilateral pleural effusions might have developed. Unchanged moderate cardiomegaly. Unchanged right central venous access line and nasogastric tube. No pneumothorax.",Unchanged right central venous access line and nasogastric tube.,nasogastric tube,,Stable,['files/p13/p13078497/s58410688/b60d9052-3235c4b8-59510f55-a43f5ffd-e99a36d2.jpg'],['files/p13/p13078497/s58231918/96a447ee-f2ddbe8e-c71c996f-b05a48a3-485f4469.jpg\n']
s58410688_10,p13078497,s58410688,10,Findings,"As compared to the previous radiograph, endotracheal tube has been minimally advanced, it currently projects 5.3 cm above the carina with its tip. The existing extensive bilateral parenchymal opacities are unchanged in extent. New bilateral pleural effusions might have developed. Unchanged moderate cardiomegaly. Unchanged right central venous access line and nasogastric tube. No pneumothorax.",Unchanged moderate cardiomegaly.,cardiomegaly,,Stable,['files/p13/p13078497/s58410688/b60d9052-3235c4b8-59510f55-a43f5ffd-e99a36d2.jpg'],['files/p13/p13078497/s58231918/96a447ee-f2ddbe8e-c71c996f-b05a48a3-485f4469.jpg\n']
s58410688_10,p13078497,s58410688,10,Findings,"As compared to the previous radiograph, endotracheal tube has been minimally advanced, it currently projects 5.3 cm above the carina with its tip. The existing extensive bilateral parenchymal opacities are unchanged in extent. New bilateral pleural effusions might have developed. Unchanged moderate cardiomegaly. Unchanged right central venous access line and nasogastric tube. No pneumothorax.","As compared to the previous radiograph, endotracheal tube has been minimally advanced, it currently projects 5.3 cm above the carina with its tip.",endotracheal tube,5.3 cm above the carina,Stable,['files/p13/p13078497/s58410688/b60d9052-3235c4b8-59510f55-a43f5ffd-e99a36d2.jpg'],['files/p13/p13078497/s58231918/96a447ee-f2ddbe8e-c71c996f-b05a48a3-485f4469.jpg\n']
s58414605_2,p13849733,s58414605,2,Findings,"There has been mild interval decrease of a still moderate right pleural effusion. There is increased opacification involving the right mid lung zone, likely atelectasis and effusion. There are stable fibrotic changes involving both lungs with left apical scarring compatible with known prior tuberculosis exposure. There are no new focally occurring opacities concerning for pneumonia. There is no evidence of pneumothorax. Cardiomediastinal and hilar contours are stable, with the heart size within the upper limits of normal. Pulmonary vascularity is not increased. There are multiple healed right rib deformities.","Cardiomediastinal and hilar contours are stable, with the heart size within the upper limits of normal.",contours,cardiomediastinal and hilar,Stable,"['files/p13/p13849733/s58414605/5bc36095-67e87f3e-58bd0b18-96e0fc83-eec8c80a.jpg', 'files/p13/p13849733/s58414605/9053ce43-3232d763-75beb611-98900ca4-59d6fb3b.jpg', 'files/p13/p13849733/s58414605/b80c8698-bd19b3ad-2bfa7ec4-e5c4a4ae-ddc9c4f4.jpg']","['files/p13/p13849733/s54538310/6941d41e-d1891aa5-1110e57c-7f6df9e4-8d782e9a.jpg\n', 'files/p13/p13849733/s54538310/a1ab8f5f-581bbc83-95dcba8d-3f8da9e4-4df624e8.jpg\n']"
s58414605_2,p13849733,s58414605,2,Impression,Status post right-sided thoracentesis with still a moderate layering right pleural effusion. No evidence of pneumothorax.,Status post right-sided thoracentesis with still a moderate layering right pleural effusion.,pleural effusion,right,Stable,"['files/p13/p13849733/s58414605/5bc36095-67e87f3e-58bd0b18-96e0fc83-eec8c80a.jpg', 'files/p13/p13849733/s58414605/9053ce43-3232d763-75beb611-98900ca4-59d6fb3b.jpg', 'files/p13/p13849733/s58414605/b80c8698-bd19b3ad-2bfa7ec4-e5c4a4ae-ddc9c4f4.jpg']","['files/p13/p13849733/s54538310/6941d41e-d1891aa5-1110e57c-7f6df9e4-8d782e9a.jpg\n', 'files/p13/p13849733/s54538310/a1ab8f5f-581bbc83-95dcba8d-3f8da9e4-4df624e8.jpg\n']"
s58414605_2,p13849733,s58414605,2,Findings,"There has been mild interval decrease of a still moderate right pleural effusion. There is increased opacification involving the right mid lung zone, likely atelectasis and effusion. There are stable fibrotic changes involving both lungs with left apical scarring compatible with known prior tuberculosis exposure. There are no new focally occurring opacities concerning for pneumonia. There is no evidence of pneumothorax. Cardiomediastinal and hilar contours are stable, with the heart size within the upper limits of normal. Pulmonary vascularity is not increased. There are multiple healed right rib deformities.","There is increased opacification involving the right mid lung zone, likely atelectasis and effusion.",opacification,right mid lung zone,Worse,"['files/p13/p13849733/s58414605/5bc36095-67e87f3e-58bd0b18-96e0fc83-eec8c80a.jpg', 'files/p13/p13849733/s58414605/9053ce43-3232d763-75beb611-98900ca4-59d6fb3b.jpg', 'files/p13/p13849733/s58414605/b80c8698-bd19b3ad-2bfa7ec4-e5c4a4ae-ddc9c4f4.jpg']","['files/p13/p13849733/s54538310/6941d41e-d1891aa5-1110e57c-7f6df9e4-8d782e9a.jpg\n', 'files/p13/p13849733/s54538310/a1ab8f5f-581bbc83-95dcba8d-3f8da9e4-4df624e8.jpg\n']"
s58414605_2,p13849733,s58414605,2,Findings,"There has been mild interval decrease of a still moderate right pleural effusion. There is increased opacification involving the right mid lung zone, likely atelectasis and effusion. There are stable fibrotic changes involving both lungs with left apical scarring compatible with known prior tuberculosis exposure. There are no new focally occurring opacities concerning for pneumonia. There is no evidence of pneumothorax. Cardiomediastinal and hilar contours are stable, with the heart size within the upper limits of normal. Pulmonary vascularity is not increased. There are multiple healed right rib deformities.",There has been mild interval decrease of a still moderate right pleural effusion.,pleural effusion,right,Better,"['files/p13/p13849733/s58414605/5bc36095-67e87f3e-58bd0b18-96e0fc83-eec8c80a.jpg', 'files/p13/p13849733/s58414605/9053ce43-3232d763-75beb611-98900ca4-59d6fb3b.jpg', 'files/p13/p13849733/s58414605/b80c8698-bd19b3ad-2bfa7ec4-e5c4a4ae-ddc9c4f4.jpg']","['files/p13/p13849733/s54538310/6941d41e-d1891aa5-1110e57c-7f6df9e4-8d782e9a.jpg\n', 'files/p13/p13849733/s54538310/a1ab8f5f-581bbc83-95dcba8d-3f8da9e4-4df624e8.jpg\n']"
s58414605_2,p13849733,s58414605,2,Findings,"There has been mild interval decrease of a still moderate right pleural effusion. There is increased opacification involving the right mid lung zone, likely atelectasis and effusion. There are stable fibrotic changes involving both lungs with left apical scarring compatible with known prior tuberculosis exposure. There are no new focally occurring opacities concerning for pneumonia. There is no evidence of pneumothorax. Cardiomediastinal and hilar contours are stable, with the heart size within the upper limits of normal. Pulmonary vascularity is not increased. There are multiple healed right rib deformities.",There are stable fibrotic changes involving both lungs with left apical scarring compatible with known prior tuberculosis exposure.,fibrotic changes and scarring,both lungs with left apical,Stable,"['files/p13/p13849733/s58414605/5bc36095-67e87f3e-58bd0b18-96e0fc83-eec8c80a.jpg', 'files/p13/p13849733/s58414605/9053ce43-3232d763-75beb611-98900ca4-59d6fb3b.jpg', 'files/p13/p13849733/s58414605/b80c8698-bd19b3ad-2bfa7ec4-e5c4a4ae-ddc9c4f4.jpg']","['files/p13/p13849733/s54538310/6941d41e-d1891aa5-1110e57c-7f6df9e4-8d782e9a.jpg\n', 'files/p13/p13849733/s54538310/a1ab8f5f-581bbc83-95dcba8d-3f8da9e4-4df624e8.jpg\n']"
s58423258_1,p15896572,s58423258,1,Findings,"Frontal and lateral radiographs of the chest. There is no obvious lobar airspace consolidation. Increased perihilar opacities and interstitial markings are consistent with mild pulmonary edema. The heart size is minimally enlarged. There is no pneumothorax or pleural effusion. Although the patient is somewhat rotated, rightward deviation of the trachea is likely secondary to tortuous aorta. Marked kyphosis of the spine is unchanged. There is a stable moderate-large hiatal hernia.",Marked kyphosis of the spine is unchanged.,kyphosis of the spine,,Stable,"['files/p15/p15896572/s58423258/56888581-9346fc34-c18707cb-fa38bf32-7ebf29b5.jpg', 'files/p15/p15896572/s58423258/b0654395-dbeb03af-4e4e7a27-a9480bb1-e7c9e462.jpg', 'files/p15/p15896572/s58423258/f11d267a-fb7c10b3-abbbef5e-66e9412c-99b8c90d.jpg', 'files/p15/p15896572/s58423258/feb9d62a-ce4bfb3a-c84f7f64-ee3213fc-bb09bac5.jpg']",['files/p15/p15896572/s53128548/edbc95bb-75d52166-1e3ecf1b-24889c9f-9598b9a9.jpg\n']
s58423258_1,p15896572,s58423258,1,Findings,"Frontal and lateral radiographs of the chest. There is no obvious lobar airspace consolidation. Increased perihilar opacities and interstitial markings are consistent with mild pulmonary edema. The heart size is minimally enlarged. There is no pneumothorax or pleural effusion. Although the patient is somewhat rotated, rightward deviation of the trachea is likely secondary to tortuous aorta. Marked kyphosis of the spine is unchanged. There is a stable moderate-large hiatal hernia.",There is a stable moderate-large hiatal hernia.,hiatal hernia,,Stable,"['files/p15/p15896572/s58423258/56888581-9346fc34-c18707cb-fa38bf32-7ebf29b5.jpg', 'files/p15/p15896572/s58423258/b0654395-dbeb03af-4e4e7a27-a9480bb1-e7c9e462.jpg', 'files/p15/p15896572/s58423258/f11d267a-fb7c10b3-abbbef5e-66e9412c-99b8c90d.jpg', 'files/p15/p15896572/s58423258/feb9d62a-ce4bfb3a-c84f7f64-ee3213fc-bb09bac5.jpg']",['files/p15/p15896572/s53128548/edbc95bb-75d52166-1e3ecf1b-24889c9f-9598b9a9.jpg\n']
s58425600_7,p15192710,s58425600,7,Impression,1. Lungs remain low in volumes. Persistent airspace opacity at the left lung base and unchanged subcutaneous emphysema is seen. No pneumothorax. No evidence of pulmonary edema. Overall cardiac and mediastinal contours are stable.,Overall cardiac and mediastinal contours are stable.,,Cardiac and mediastinal contours,Stable,['files/p15/p15192710/s58425600/0c315fcb-cb93603a-1fde59fe-bb8bfefe-b74f4205.jpg'],"['files/p15/p15192710/s56918682/a5d858a3-f180454b-311e1427-1b70d6f0-3d95426d.jpg\n', 'files/p15/p15192710/s56918682/e8bee7e8-3d046a2b-a495f848-e8247e92-8a180494.jpg\n']"
s58425600_7,p15192710,s58425600,7,Impression,1. Lungs remain low in volumes. Persistent airspace opacity at the left lung base and unchanged subcutaneous emphysema is seen. No pneumothorax. No evidence of pulmonary edema. Overall cardiac and mediastinal contours are stable.,Lungs remain low in volumes.,Low volumes,Lungs,Stable,['files/p15/p15192710/s58425600/0c315fcb-cb93603a-1fde59fe-bb8bfefe-b74f4205.jpg'],"['files/p15/p15192710/s56918682/a5d858a3-f180454b-311e1427-1b70d6f0-3d95426d.jpg\n', 'files/p15/p15192710/s56918682/e8bee7e8-3d046a2b-a495f848-e8247e92-8a180494.jpg\n']"
s58425600_7,p15192710,s58425600,7,Impression,1. Lungs remain low in volumes. Persistent airspace opacity at the left lung base and unchanged subcutaneous emphysema is seen. No pneumothorax. No evidence of pulmonary edema. Overall cardiac and mediastinal contours are stable.,Persistent airspace opacity at the left lung base and unchanged subcutaneous emphysema is seen.,Airspace opacity,Left lung base,Stable,['files/p15/p15192710/s58425600/0c315fcb-cb93603a-1fde59fe-bb8bfefe-b74f4205.jpg'],"['files/p15/p15192710/s56918682/a5d858a3-f180454b-311e1427-1b70d6f0-3d95426d.jpg\n', 'files/p15/p15192710/s56918682/e8bee7e8-3d046a2b-a495f848-e8247e92-8a180494.jpg\n']"
s58425600_7,p15192710,s58425600,7,Impression,1. Lungs remain low in volumes. Persistent airspace opacity at the left lung base and unchanged subcutaneous emphysema is seen. No pneumothorax. No evidence of pulmonary edema. Overall cardiac and mediastinal contours are stable.,Persistent airspace opacity at the left lung base and unchanged subcutaneous emphysema is seen.,Emphysema,Subcutaneous,Stable,['files/p15/p15192710/s58425600/0c315fcb-cb93603a-1fde59fe-bb8bfefe-b74f4205.jpg'],"['files/p15/p15192710/s56918682/a5d858a3-f180454b-311e1427-1b70d6f0-3d95426d.jpg\n', 'files/p15/p15192710/s56918682/e8bee7e8-3d046a2b-a495f848-e8247e92-8a180494.jpg\n']"
s58441911_15,p16319601,s58441911,15,Findings,"AP and lateral chest views were obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar portable chest examination of ___. Previously identified right-sided PICC line remains in unchanged position. On frontal view, lungs are clear. No evidence of new pulmonary infiltrates can be established. Noticed is a barium meal that has passed through the esophagus and now visualized in the stomach, as well the proximal small bowel. These findings are rather unremarkable on this single chest view examination.",Previously identified right-sided PICC line remains in unchanged position.,PICC line,right-sided,Stable,['files/p16/p16319601/s58441911/70436a46-05756b2a-02e507fa-d6b6c39f-0770f3ca.jpg'],['files/p16/p16319601/s58175667/801f696c-49628491-d2cfaf1b-3aaa17ff-dbbcfe32.jpg\n']
s58449130_8,p17838301,s58449130,8,Impression,"1. The heart remains markedly enlarged which may reflect cardiomegaly, although a pericardial effusion should also be considered. There is prominence of the perihilar vasculature but no overt pulmonary edema on the current study. Calcified diaphragmatic plaques are seen suggestive of prior asbestos exposure. No focal airspace consolidation is seen to suggest pneumonia. No pneumothorax. No pleural effusions.","The heart remains markedly enlarged which may reflect cardiomegaly, although a pericardial effusion should also be considered.",enlargement,heart,Stable,['files/p17/p17838301/s58449130/4255ddc7-829f3037-52171b91-e25d271a-75bb4204.jpg'],['files/p17/p17838301/s57676222/8a1b28a3-0922cd6a-282ceb83-59fd9271-ebf56ff4.jpg\n']
s58455247_1,p16313531,s58455247,1,Impression,"AP chest compared to ___: Opacification of the left lower lung is new since ___. The left main bronchus is so heavily calcified, it looks like a stent, but the lumens are opacified, particularly left lower lobe bronchuc suggesting large scale aspiration or retained secretions. Right lung is low in volume but clear. The heart is mildly to moderately enlarged exaggerated by very low lung volumes.",AP chest compared to ___: Opacification of the left lower lung is new since ___.,Opacification,left lower lung,New,['files/p16/p16313531/s58455247/00c7d4e9-802b89b1-4bd840b3-e5fd2fc9-5d38566e.jpg'],['files/p16/p16313531/s58147681/8d361e7d-f4f46fc7-956ef2b6-bc506025-0df660c3.jpg\n']
s58459168_1,p19759491,s58459168,1,Impression,Slight interval worsening of mild pulmonary edema with small bilateral pleural effusions. Left basilar opacity likely reflects atelectasis.,Slight interval worsening of mild pulmonary edema with small bilateral pleural effusions.,pleural effusions,bilateral,Worse,"['files/p19/p19759491/s58459168/7f65cb04-e3436984-1b6d2d66-60ed82fe-176f71bd.jpg', 'files/p19/p19759491/s58459168/8fbf70c6-38be49b6-19536bcd-74b5e494-4ed5093f.jpg']","['files/p19/p19759491/s58191597/73f1035a-9d57466e-92c2b0b1-5ee3d31c-78ad1ad4.jpg\n', 'files/p19/p19759491/s58191597/c69d6872-0e7c2c30-55970ed5-fec97355-1286acf4.jpg\n']"
s58459168_1,p19759491,s58459168,1,Findings,"The patient is status post median sternotomy, CABG, and mitral valve replacement. The heart is mildly enlarged. The mediastinal contours are unchanged with calcification of the aortic knob again noted. Mild pulmonary edema appears progressed compared to the prior exam with small bilateral pleural effusions, also minimally increased compared to the prior exam. Left basilar opacification likely reflects atelectasis. There is no pneumothorax. No acute osseous abnormalities are identified.","Mild pulmonary edema appears progressed compared to the prior exam with small bilateral pleural effusions, also minimally increased compared to the prior exam.",pleural effusions,bilateral,Worse,"['files/p19/p19759491/s58459168/7f65cb04-e3436984-1b6d2d66-60ed82fe-176f71bd.jpg', 'files/p19/p19759491/s58459168/8fbf70c6-38be49b6-19536bcd-74b5e494-4ed5093f.jpg']","['files/p19/p19759491/s58191597/73f1035a-9d57466e-92c2b0b1-5ee3d31c-78ad1ad4.jpg\n', 'files/p19/p19759491/s58191597/c69d6872-0e7c2c30-55970ed5-fec97355-1286acf4.jpg\n']"
s58459168_1,p19759491,s58459168,1,Findings,"The patient is status post median sternotomy, CABG, and mitral valve replacement. The heart is mildly enlarged. The mediastinal contours are unchanged with calcification of the aortic knob again noted. Mild pulmonary edema appears progressed compared to the prior exam with small bilateral pleural effusions, also minimally increased compared to the prior exam. Left basilar opacification likely reflects atelectasis. There is no pneumothorax. No acute osseous abnormalities are identified.",The mediastinal contours are unchanged with calcification of the aortic knob again noted.,calcification of the aortic knob,mediastinal contours,Stable,"['files/p19/p19759491/s58459168/7f65cb04-e3436984-1b6d2d66-60ed82fe-176f71bd.jpg', 'files/p19/p19759491/s58459168/8fbf70c6-38be49b6-19536bcd-74b5e494-4ed5093f.jpg']","['files/p19/p19759491/s58191597/73f1035a-9d57466e-92c2b0b1-5ee3d31c-78ad1ad4.jpg\n', 'files/p19/p19759491/s58191597/c69d6872-0e7c2c30-55970ed5-fec97355-1286acf4.jpg\n']"
s58464159_11,p15259244,s58464159,11,Impression,"AP chest compared to ___ and ___, 2:57 p.m.: Tip of the new Dobbhoff feeding tube, with a wire stylet in place, ends in the mid-to-low stomach. Right internal jugular sheath ends at the junction of the brachiocephalic veins and the right supraclavicular dialysis catheter orifices are in the right atrium. A small-to-moderate right and moderate left pleural effusion are slightly larger than earlier in the day. Left perihilar consolidation, probably atelectasis, is unchanged. There is probably no pulmonary edema. No pneumothorax. Moderate postoperative widening of the cardiomediastinal silhouette, which progressed after tracheal extubation is stable since earlier in the day, but should be followed to exclude mediastinal bleeding.","Moderate postoperative widening of the cardiomediastinal silhouette, which progressed after tracheal extubation is stable since earlier in the day, but should be followed to exclude mediastinal bleeding.",widening,cardiomediastinal silhouette,Stable,['files/p15/p15259244/s58464159/93c7dad2-501ec9ee-b423b86d-71f2b828-1e3f0573.jpg'],['files/p15/p15259244/s58008930/35b21042-72d1e131-7566b7a8-5f8005c0-b27fc76d.jpg\n']
s58464159_11,p15259244,s58464159,11,Impression,"AP chest compared to ___ and ___, 2:57 p.m.: Tip of the new Dobbhoff feeding tube, with a wire stylet in place, ends in the mid-to-low stomach. Right internal jugular sheath ends at the junction of the brachiocephalic veins and the right supraclavicular dialysis catheter orifices are in the right atrium. A small-to-moderate right and moderate left pleural effusion are slightly larger than earlier in the day. Left perihilar consolidation, probably atelectasis, is unchanged. There is probably no pulmonary edema. No pneumothorax. Moderate postoperative widening of the cardiomediastinal silhouette, which progressed after tracheal extubation is stable since earlier in the day, but should be followed to exclude mediastinal bleeding.",A small-to-moderate right and moderate left pleural effusion are slightly larger than earlier in the day.,pleural effusion,left,Worse,['files/p15/p15259244/s58464159/93c7dad2-501ec9ee-b423b86d-71f2b828-1e3f0573.jpg'],['files/p15/p15259244/s58008930/35b21042-72d1e131-7566b7a8-5f8005c0-b27fc76d.jpg\n']
s58464159_11,p15259244,s58464159,11,Impression,"AP chest compared to ___ and ___, 2:57 p.m.: Tip of the new Dobbhoff feeding tube, with a wire stylet in place, ends in the mid-to-low stomach. Right internal jugular sheath ends at the junction of the brachiocephalic veins and the right supraclavicular dialysis catheter orifices are in the right atrium. A small-to-moderate right and moderate left pleural effusion are slightly larger than earlier in the day. Left perihilar consolidation, probably atelectasis, is unchanged. There is probably no pulmonary edema. No pneumothorax. Moderate postoperative widening of the cardiomediastinal silhouette, which progressed after tracheal extubation is stable since earlier in the day, but should be followed to exclude mediastinal bleeding.",A small-to-moderate right and moderate left pleural effusion are slightly larger than earlier in the day.,pleural effusion,right,Worse,['files/p15/p15259244/s58464159/93c7dad2-501ec9ee-b423b86d-71f2b828-1e3f0573.jpg'],['files/p15/p15259244/s58008930/35b21042-72d1e131-7566b7a8-5f8005c0-b27fc76d.jpg\n']
s58464159_11,p15259244,s58464159,11,Impression,"AP chest compared to ___ and ___, 2:57 p.m.: Tip of the new Dobbhoff feeding tube, with a wire stylet in place, ends in the mid-to-low stomach. Right internal jugular sheath ends at the junction of the brachiocephalic veins and the right supraclavicular dialysis catheter orifices are in the right atrium. A small-to-moderate right and moderate left pleural effusion are slightly larger than earlier in the day. Left perihilar consolidation, probably atelectasis, is unchanged. There is probably no pulmonary edema. No pneumothorax. Moderate postoperative widening of the cardiomediastinal silhouette, which progressed after tracheal extubation is stable since earlier in the day, but should be followed to exclude mediastinal bleeding.","Left perihilar consolidation, probably atelectasis, is unchanged.",consolidation,left perihilar,Stable,['files/p15/p15259244/s58464159/93c7dad2-501ec9ee-b423b86d-71f2b828-1e3f0573.jpg'],['files/p15/p15259244/s58008930/35b21042-72d1e131-7566b7a8-5f8005c0-b27fc76d.jpg\n']
s58464643_4,p14851532,s58464643,4,Impression,"AP chest compared to ___: Following extubation, lung volumes are the same, but atelectasis is worsened at the lung bases, particularly the right. There is no pneumothorax, and small pleural effusions are common. Mild increase in borderline cardiac enlargement is also a common sequel to extubation. Stomach is moderately-to-severely distended with air and fluid. Right jugular sheath ends in the upper SVC. Dr. ___ was paged at 2:20 p.m. when the findings were recognized.","AP chest compared to ___: Following extubation, lung volumes are the same, but atelectasis is worsened at the lung bases, particularly the right.",atelectasis,"lung bases, particularly the right",Worse,['files/p14/p14851532/s58464643/4d43eeba-0e94bfc5-ca416d6f-449ceb69-688d7ae5.jpg'],['files/p14/p14851532/s58345071/552535b0-f25af20e-f0731a45-c3c4dec8-3f85e93b.jpg\n']
s58466818_0,p12702423,s58466818,0,Findings,"Frontal and lateral views of the chest were obtained. In comparison with scout image from CT from ___, again seen is a large left perihilar mid-to-lower lung opacity which on the prior CT corresponded to innumerable pulmonary nodules, although superimposed infection cannot be excluded. Nodular opacities in the right lung to a lesser extent than on the right are again seen. There is blunting of the left costophrenic angle likely corresponding to pleural effusion and is also seen on prior CT.",There is blunting of the left costophrenic angle likely corresponding to pleural effusion and is also seen on prior CT.,pleural effusion,left costophrenic angle,Stable,"['files/p12/p12702423/s58466818/25c48dee-7755c1f3-3e5f2e03-54b0e004-4f3c5b00.jpg', 'files/p12/p12702423/s58466818/2dbe3e39-beef7811-9031988b-a6c7348b-c98a9ab6.jpg']","['files/p12/p12702423/s54932317/5d99dd54-b526167b-ecf0e625-a8664607-ffea3011.jpg\n', 'files/p12/p12702423/s54932317/d5bdde56-163d7da0-c0c9fbcd-b1e3b312-4ad7853c.jpg\n']"
s58466818_0,p12702423,s58466818,0,Findings,"Frontal and lateral views of the chest were obtained. In comparison with scout image from CT from ___, again seen is a large left perihilar mid-to-lower lung opacity which on the prior CT corresponded to innumerable pulmonary nodules, although superimposed infection cannot be excluded. Nodular opacities in the right lung to a lesser extent than on the right are again seen. There is blunting of the left costophrenic angle likely corresponding to pleural effusion and is also seen on prior CT.",Nodular opacities in the right lung to a lesser extent than on the right are again seen.,nodular opacities,right lung,Stable,"['files/p12/p12702423/s58466818/25c48dee-7755c1f3-3e5f2e03-54b0e004-4f3c5b00.jpg', 'files/p12/p12702423/s58466818/2dbe3e39-beef7811-9031988b-a6c7348b-c98a9ab6.jpg']","['files/p12/p12702423/s54932317/5d99dd54-b526167b-ecf0e625-a8664607-ffea3011.jpg\n', 'files/p12/p12702423/s54932317/d5bdde56-163d7da0-c0c9fbcd-b1e3b312-4ad7853c.jpg\n']"
s58466818_0,p12702423,s58466818,0,Impression,"Left greater than right pulmonary opacities similar as compared to scout image from CT from ___, given differences in technique, although superimposed infectious process cannot be excluded. Slight blunting of the left costophrenic angle is likely due to small left pleural effusion.","Left greater than right pulmonary opacities similar as compared to scout image from CT from ___, given differences in technique, although superimposed infectious process cannot be excluded.",pulmonary opacities,left greater than right lungs,Stable,"['files/p12/p12702423/s58466818/25c48dee-7755c1f3-3e5f2e03-54b0e004-4f3c5b00.jpg', 'files/p12/p12702423/s58466818/2dbe3e39-beef7811-9031988b-a6c7348b-c98a9ab6.jpg']","['files/p12/p12702423/s54932317/5d99dd54-b526167b-ecf0e625-a8664607-ffea3011.jpg\n', 'files/p12/p12702423/s54932317/d5bdde56-163d7da0-c0c9fbcd-b1e3b312-4ad7853c.jpg\n']"
s58466818_0,p12702423,s58466818,0,Findings,"Frontal and lateral views of the chest were obtained. In comparison with scout image from CT from ___, again seen is a large left perihilar mid-to-lower lung opacity which on the prior CT corresponded to innumerable pulmonary nodules, although superimposed infection cannot be excluded. Nodular opacities in the right lung to a lesser extent than on the right are again seen. There is blunting of the left costophrenic angle likely corresponding to pleural effusion and is also seen on prior CT.","In comparison with scout image from CT from ___, again seen is a large left perihilar mid-to-lower lung opacity which on the prior CT corresponded to innumerable pulmonary nodules, although superimposed infection cannot be excluded.",pulmonary nodules,left perihilar mid-to-lower lung,Stable,"['files/p12/p12702423/s58466818/25c48dee-7755c1f3-3e5f2e03-54b0e004-4f3c5b00.jpg', 'files/p12/p12702423/s58466818/2dbe3e39-beef7811-9031988b-a6c7348b-c98a9ab6.jpg']","['files/p12/p12702423/s54932317/5d99dd54-b526167b-ecf0e625-a8664607-ffea3011.jpg\n', 'files/p12/p12702423/s54932317/d5bdde56-163d7da0-c0c9fbcd-b1e3b312-4ad7853c.jpg\n']"
s58466988_1,p12475198,s58466988,1,Findings,"Temporary pacemaker wire appears in appropriate position. Sternotomy wires and mediastinal clips are stable. The mild-to-moderate cardiomegaly is unchanged. No focal consolidation, pleural effusion or pneumothorax.",Sternotomy wires and mediastinal clips are stable.,,Sternotomy wires and mediastinal clips,Stable,['files/p12/p12475198/s58466988/20ac90a4-87044528-f3284c7b-e22cd4ff-feeeb0df.jpg'],['files/p12/p12475198/s58387960/8f34e6a7-a9a93480-381afaf2-33925be7-c183ae6f.jpg\n']
s58466988_1,p12475198,s58466988,1,Findings,"Temporary pacemaker wire appears in appropriate position. Sternotomy wires and mediastinal clips are stable. The mild-to-moderate cardiomegaly is unchanged. No focal consolidation, pleural effusion or pneumothorax.",The mild-to-moderate cardiomegaly is unchanged.,cardiomegaly,,Stable,['files/p12/p12475198/s58466988/20ac90a4-87044528-f3284c7b-e22cd4ff-feeeb0df.jpg'],['files/p12/p12475198/s58387960/8f34e6a7-a9a93480-381afaf2-33925be7-c183ae6f.jpg\n']
s58469571_20,p13896515,s58469571,20,Impression,"As compared to the previous radiograph, the severity of the pre-existing pulmonary edema has slightly worsened. The lung volumes have decreased. There are no larger pleural effusions. Moderate cardiomegaly persists.","As compared to the previous radiograph, the severity of the pre-existing pulmonary edema has slightly worsened.",pulmonary edema,,Worse,['files/p13/p13896515/s58469571/db0ff7a9-8860e50f-7b50f798-2e24594e-9c16c38d.jpg'],['files/p13/p13896515/s58373469/f1324f6e-a72d0eb7-dbe2b51f-8da51dcb-822e61dc.jpg\n']
s58469571_20,p13896515,s58469571,20,Impression,"As compared to the previous radiograph, the severity of the pre-existing pulmonary edema has slightly worsened. The lung volumes have decreased. There are no larger pleural effusions. Moderate cardiomegaly persists.",The lung volumes have decreased.,lung volumes,,Worse,['files/p13/p13896515/s58469571/db0ff7a9-8860e50f-7b50f798-2e24594e-9c16c38d.jpg'],['files/p13/p13896515/s58373469/f1324f6e-a72d0eb7-dbe2b51f-8da51dcb-822e61dc.jpg\n']
s58469571_20,p13896515,s58469571,20,Impression,"As compared to the previous radiograph, the severity of the pre-existing pulmonary edema has slightly worsened. The lung volumes have decreased. There are no larger pleural effusions. Moderate cardiomegaly persists.",Moderate cardiomegaly persists.,cardiomegaly,,Stable,['files/p13/p13896515/s58469571/db0ff7a9-8860e50f-7b50f798-2e24594e-9c16c38d.jpg'],['files/p13/p13896515/s58373469/f1324f6e-a72d0eb7-dbe2b51f-8da51dcb-822e61dc.jpg\n']
s58470850_23,p15131736,s58470850,23,Findings,"The cardiac, mediastinal and hilar contours appear unchanged including stable cardiomegaly. There is no definite pleural effusion or pneumothorax. Each hilum is mildly prominent, as before. Prominence of each hilum is probably due to mild enlargement of central pulmonary arteries, not significantly changed. The lungs appear clear.","Each hilum is mildly prominent, as before.",Mild prominence,each hilum,Stable,"['files/p15/p15131736/s58470850/1b9a76c5-24e784cb-4a768979-edd5e575-042c91a0.jpg', 'files/p15/p15131736/s58470850/a784856b-5e0c40a5-adf5c519-298e21a2-ef3a0062.jpg']",['files/p15/p15131736/s58318333/947ce661-ea81059f-7da8d1e6-033e612e-ba93f7fd.jpg\n']
s58470850_23,p15131736,s58470850,23,Findings,"The cardiac, mediastinal and hilar contours appear unchanged including stable cardiomegaly. There is no definite pleural effusion or pneumothorax. Each hilum is mildly prominent, as before. Prominence of each hilum is probably due to mild enlargement of central pulmonary arteries, not significantly changed. The lungs appear clear.","The cardiac, mediastinal and hilar contours appear unchanged including stable cardiomegaly.",Cardiomegaly,,Stable,"['files/p15/p15131736/s58470850/1b9a76c5-24e784cb-4a768979-edd5e575-042c91a0.jpg', 'files/p15/p15131736/s58470850/a784856b-5e0c40a5-adf5c519-298e21a2-ef3a0062.jpg']",['files/p15/p15131736/s58318333/947ce661-ea81059f-7da8d1e6-033e612e-ba93f7fd.jpg\n']
s58470850_23,p15131736,s58470850,23,Impression,"Similar enlargement of central pulmonary arteries, but no definite evidence for acute disease.","Similar enlargement of central pulmonary arteries, but no definite evidence for acute disease.",Enlargement of pulmonary arteries,central,Stable,"['files/p15/p15131736/s58470850/1b9a76c5-24e784cb-4a768979-edd5e575-042c91a0.jpg', 'files/p15/p15131736/s58470850/a784856b-5e0c40a5-adf5c519-298e21a2-ef3a0062.jpg']",['files/p15/p15131736/s58318333/947ce661-ea81059f-7da8d1e6-033e612e-ba93f7fd.jpg\n']
s58470850_23,p15131736,s58470850,23,Findings,"The cardiac, mediastinal and hilar contours appear unchanged including stable cardiomegaly. There is no definite pleural effusion or pneumothorax. Each hilum is mildly prominent, as before. Prominence of each hilum is probably due to mild enlargement of central pulmonary arteries, not significantly changed. The lungs appear clear.","Prominence of each hilum is probably due to mild enlargement of central pulmonary arteries, not significantly changed.",Mild enlargement of pulmonary arteries,central,Stable,"['files/p15/p15131736/s58470850/1b9a76c5-24e784cb-4a768979-edd5e575-042c91a0.jpg', 'files/p15/p15131736/s58470850/a784856b-5e0c40a5-adf5c519-298e21a2-ef3a0062.jpg']",['files/p15/p15131736/s58318333/947ce661-ea81059f-7da8d1e6-033e612e-ba93f7fd.jpg\n']
s58480173_9,p14744884,s58480173,9,Findings,"Frontal and lateral views of the chest compared to previous exam from ___. The lungs are clear of consolidation, effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Right-sided vascular stent is again noted. Osseous and soft tissue structures are otherwise unremarkable.",Right-sided vascular stent is again noted.,vascular stent,Right-sided,Stable,"['files/p14/p14744884/s58480173/05f71593-f6c69ec6-4d98e8b5-3c7490cb-7cce893a.jpg', 'files/p14/p14744884/s58480173/90e0275c-fdf15b9e-fa00d384-ace49c70-f4727012.jpg']",['files/p14/p14744884/s57996680/49e45fba-5b48f519-adb35266-68939cbb-dfda8e0f.jpg\n']
s58489635_1,p19389041,s58489635,1,Findings,"Frontal and lateral views of the chest are obtained. Left hilar/perihilar opacity corresponds to patient's known perihilar mass, better assessed on CT. Old-appearing rib deformities on the left may relate to prior fractures, metastatic disease not excluded, although better evaluated on CT. Extensive vascular calcification is seen projecting over the upper hemithorax bilaterally. No new focal consolidation, pleural effusion, or evidence of pneumothorax is seen.","Old-appearing rib deformities on the left may relate to prior fractures, metastatic disease not excluded, although better evaluated on CT.",rib deformities,left,Stable,"['files/p19/p19389041/s58489635/3dc71595-c47bd185-73aaa5e1-d15818c0-c6096a22.jpg', 'files/p19/p19389041/s58489635/b5e3dd9b-06654f14-edbd8c2e-0a287a26-7decab97.jpg']",['files/p19/p19389041/s56852226/6211c262-9d3215ef-c9ecc9be-dab821ad-94ac069f.jpg\n']
s58495524_5,p13475033,s58495524,5,Impression,No acute cardiopulmonary process. Persistent increased interstitial markings in the lungs compatible with chronic interstitial disease. Interval resolution of the right mid lung opacity since prior.,Interval resolution of the right mid lung opacity since prior.,opacity,right mid lung,Resolve,"['files/p13/p13475033/s58495524/1fbd1640-367c4f70-02a3a28c-d27a8a1f-ac0fd964.jpg', 'files/p13/p13475033/s58495524/5e8e548c-59b6fa70-d71716fa-d03c9e0b-2dc443eb.jpg', 'files/p13/p13475033/s58495524/6f5a9223-40509c39-c0498f04-583d1f26-1c7137d6.jpg']","['files/p13/p13475033/s58306324/248d10e8-c0dcb64e-cae9c9ac-271af79e-8a72b381.jpg\n', 'files/p13/p13475033/s58306324/7b764993-32d1c941-d0ddfd50-1022cf30-82cdcfc7.jpg\n']"
s58495524_5,p13475033,s58495524,5,Findings,Single portable view of the chest is compared to previous exam from ___. Dual-lumen right subclavian central line is again seen with tip at the RA-SVC junction. Increased interstitial markings seen throughout the lungs are again noted and suggestive of chronic interstitial disease. Right mid lung opacity has resolved. The cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.,Increased interstitial markings seen throughout the lungs are again noted and suggestive of chronic interstitial disease.,interstitial markings,throughout the lungs,Worse,"['files/p13/p13475033/s58495524/1fbd1640-367c4f70-02a3a28c-d27a8a1f-ac0fd964.jpg', 'files/p13/p13475033/s58495524/5e8e548c-59b6fa70-d71716fa-d03c9e0b-2dc443eb.jpg', 'files/p13/p13475033/s58495524/6f5a9223-40509c39-c0498f04-583d1f26-1c7137d6.jpg']","['files/p13/p13475033/s58306324/248d10e8-c0dcb64e-cae9c9ac-271af79e-8a72b381.jpg\n', 'files/p13/p13475033/s58306324/7b764993-32d1c941-d0ddfd50-1022cf30-82cdcfc7.jpg\n']"
s58495524_5,p13475033,s58495524,5,Findings,Single portable view of the chest is compared to previous exam from ___. Dual-lumen right subclavian central line is again seen with tip at the RA-SVC junction. Increased interstitial markings seen throughout the lungs are again noted and suggestive of chronic interstitial disease. Right mid lung opacity has resolved. The cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.,Dual-lumen right subclavian central line is again seen with tip at the RA-SVC junction.,central line,right subclavian,Stable,"['files/p13/p13475033/s58495524/1fbd1640-367c4f70-02a3a28c-d27a8a1f-ac0fd964.jpg', 'files/p13/p13475033/s58495524/5e8e548c-59b6fa70-d71716fa-d03c9e0b-2dc443eb.jpg', 'files/p13/p13475033/s58495524/6f5a9223-40509c39-c0498f04-583d1f26-1c7137d6.jpg']","['files/p13/p13475033/s58306324/248d10e8-c0dcb64e-cae9c9ac-271af79e-8a72b381.jpg\n', 'files/p13/p13475033/s58306324/7b764993-32d1c941-d0ddfd50-1022cf30-82cdcfc7.jpg\n']"
s58495524_5,p13475033,s58495524,5,Findings,Single portable view of the chest is compared to previous exam from ___. Dual-lumen right subclavian central line is again seen with tip at the RA-SVC junction. Increased interstitial markings seen throughout the lungs are again noted and suggestive of chronic interstitial disease. Right mid lung opacity has resolved. The cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.,Right mid lung opacity has resolved.,opacity,right mid lung,Resolve,"['files/p13/p13475033/s58495524/1fbd1640-367c4f70-02a3a28c-d27a8a1f-ac0fd964.jpg', 'files/p13/p13475033/s58495524/5e8e548c-59b6fa70-d71716fa-d03c9e0b-2dc443eb.jpg', 'files/p13/p13475033/s58495524/6f5a9223-40509c39-c0498f04-583d1f26-1c7137d6.jpg']","['files/p13/p13475033/s58306324/248d10e8-c0dcb64e-cae9c9ac-271af79e-8a72b381.jpg\n', 'files/p13/p13475033/s58306324/7b764993-32d1c941-d0ddfd50-1022cf30-82cdcfc7.jpg\n']"
s58495524_5,p13475033,s58495524,5,Findings,Single portable view of the chest is compared to previous exam from ___. Dual-lumen right subclavian central line is again seen with tip at the RA-SVC junction. Increased interstitial markings seen throughout the lungs are again noted and suggestive of chronic interstitial disease. Right mid lung opacity has resolved. The cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.,The cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.,silhouette,cardiomediastinal,Stable,"['files/p13/p13475033/s58495524/1fbd1640-367c4f70-02a3a28c-d27a8a1f-ac0fd964.jpg', 'files/p13/p13475033/s58495524/5e8e548c-59b6fa70-d71716fa-d03c9e0b-2dc443eb.jpg', 'files/p13/p13475033/s58495524/6f5a9223-40509c39-c0498f04-583d1f26-1c7137d6.jpg']","['files/p13/p13475033/s58306324/248d10e8-c0dcb64e-cae9c9ac-271af79e-8a72b381.jpg\n', 'files/p13/p13475033/s58306324/7b764993-32d1c941-d0ddfd50-1022cf30-82cdcfc7.jpg\n']"
s58495524_5,p13475033,s58495524,5,Findings,Single portable view of the chest is compared to previous exam from ___. Dual-lumen right subclavian central line is again seen with tip at the RA-SVC junction. Increased interstitial markings seen throughout the lungs are again noted and suggestive of chronic interstitial disease. Right mid lung opacity has resolved. The cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.,The cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.,structures,osseous and soft tissue,Stable,"['files/p13/p13475033/s58495524/1fbd1640-367c4f70-02a3a28c-d27a8a1f-ac0fd964.jpg', 'files/p13/p13475033/s58495524/5e8e548c-59b6fa70-d71716fa-d03c9e0b-2dc443eb.jpg', 'files/p13/p13475033/s58495524/6f5a9223-40509c39-c0498f04-583d1f26-1c7137d6.jpg']","['files/p13/p13475033/s58306324/248d10e8-c0dcb64e-cae9c9ac-271af79e-8a72b381.jpg\n', 'files/p13/p13475033/s58306324/7b764993-32d1c941-d0ddfd50-1022cf30-82cdcfc7.jpg\n']"
s58495524_5,p13475033,s58495524,5,Impression,No acute cardiopulmonary process. Persistent increased interstitial markings in the lungs compatible with chronic interstitial disease. Interval resolution of the right mid lung opacity since prior.,Persistent increased interstitial markings in the lungs compatible with chronic interstitial disease.,interstitial markings,in the lungs,Stable,"['files/p13/p13475033/s58495524/1fbd1640-367c4f70-02a3a28c-d27a8a1f-ac0fd964.jpg', 'files/p13/p13475033/s58495524/5e8e548c-59b6fa70-d71716fa-d03c9e0b-2dc443eb.jpg', 'files/p13/p13475033/s58495524/6f5a9223-40509c39-c0498f04-583d1f26-1c7137d6.jpg']","['files/p13/p13475033/s58306324/248d10e8-c0dcb64e-cae9c9ac-271af79e-8a72b381.jpg\n', 'files/p13/p13475033/s58306324/7b764993-32d1c941-d0ddfd50-1022cf30-82cdcfc7.jpg\n']"
s58495629_6,p19757720,s58495629,6,Findings,"As compared to the previous radiograph, there is no relevant change. Near complete opacification of the right lung with multiple air bronchograms that has neither increased nor decreased in the interval. Unchanged widespread but less severe opacities on the left. Unchanged monitoring and support devices. No newly appeared parenchymal opacities. The regions of the costophrenic sinuses are not included on the image.",Unchanged monitoring and support devices.,monitoring and support devices,,Stable,"['files/p19/p19757720/s58495629/1d63f983-58edaaaf-a291053b-73417333-421d0021.jpg', 'files/p19/p19757720/s58495629/41015709-991752ad-b8bf5519-0dd588fd-dec4d029.jpg']",['files/p19/p19757720/s57361288/c72bf2bc-e22e489c-44cc5b8c-04c75d9e-5533e141.jpg\n']
s58495629_6,p19757720,s58495629,6,Findings,"As compared to the previous radiograph, there is no relevant change. Near complete opacification of the right lung with multiple air bronchograms that has neither increased nor decreased in the interval. Unchanged widespread but less severe opacities on the left. Unchanged monitoring and support devices. No newly appeared parenchymal opacities. The regions of the costophrenic sinuses are not included on the image.",Near complete opacification of the right lung with multiple air bronchograms that has neither increased nor decreased in the interval.,opacification with multiple air bronchograms,Right lung,Stable,"['files/p19/p19757720/s58495629/1d63f983-58edaaaf-a291053b-73417333-421d0021.jpg', 'files/p19/p19757720/s58495629/41015709-991752ad-b8bf5519-0dd588fd-dec4d029.jpg']",['files/p19/p19757720/s57361288/c72bf2bc-e22e489c-44cc5b8c-04c75d9e-5533e141.jpg\n']
s58495629_6,p19757720,s58495629,6,Findings,"As compared to the previous radiograph, there is no relevant change. Near complete opacification of the right lung with multiple air bronchograms that has neither increased nor decreased in the interval. Unchanged widespread but less severe opacities on the left. Unchanged monitoring and support devices. No newly appeared parenchymal opacities. The regions of the costophrenic sinuses are not included on the image.",Unchanged widespread but less severe opacities on the left.,opacities,Left lung,Stable,"['files/p19/p19757720/s58495629/1d63f983-58edaaaf-a291053b-73417333-421d0021.jpg', 'files/p19/p19757720/s58495629/41015709-991752ad-b8bf5519-0dd588fd-dec4d029.jpg']",['files/p19/p19757720/s57361288/c72bf2bc-e22e489c-44cc5b8c-04c75d9e-5533e141.jpg\n']
s58501970_1,p15792940,s58501970,1,Findings,The heart shows stable cardiomegaly. The mediastinal and hilar contours are unremarkable. The previously described left mid upper lung opacity has improved in appearance. The left lower lobe consolidation appears similar. Subtle blunting of the left costophrenic angle may also indicate a trace amount of pleural fluid in that locale. There is no pneumothorax.,The heart shows stable cardiomegaly.,Cardiomegaly,,Stable,['files/p15/p15792940/s58501970/6a53a787-2e1025f2-59359f42-140f8938-45899305.jpg'],['files/p15/p15792940/s52559222/e1b1e9b3-4c57d726-b37866dd-872d5448-027a7484.jpg\n']
s58501970_1,p15792940,s58501970,1,Findings,The heart shows stable cardiomegaly. The mediastinal and hilar contours are unremarkable. The previously described left mid upper lung opacity has improved in appearance. The left lower lobe consolidation appears similar. Subtle blunting of the left costophrenic angle may also indicate a trace amount of pleural fluid in that locale. There is no pneumothorax.,The left lower lobe consolidation appears similar.,consolidation,left lower lobe,Stable,['files/p15/p15792940/s58501970/6a53a787-2e1025f2-59359f42-140f8938-45899305.jpg'],['files/p15/p15792940/s52559222/e1b1e9b3-4c57d726-b37866dd-872d5448-027a7484.jpg\n']
s58501970_1,p15792940,s58501970,1,Findings,The heart shows stable cardiomegaly. The mediastinal and hilar contours are unremarkable. The previously described left mid upper lung opacity has improved in appearance. The left lower lobe consolidation appears similar. Subtle blunting of the left costophrenic angle may also indicate a trace amount of pleural fluid in that locale. There is no pneumothorax.,The previously described left mid upper lung opacity has improved in appearance.,opacity,left mid upper lung,Better,['files/p15/p15792940/s58501970/6a53a787-2e1025f2-59359f42-140f8938-45899305.jpg'],['files/p15/p15792940/s52559222/e1b1e9b3-4c57d726-b37866dd-872d5448-027a7484.jpg\n']
s58501970_1,p15792940,s58501970,1,Impression,Improving right upper lobe consolidation; stable appearance of the left lower lobe consolidation with probable trace pleural effusion on the left.,Improving right upper lobe consolidation; stable appearance of the left lower lobe consolidation with probable trace pleural effusion on the left.,consolidation,left lower lobe,Stable,['files/p15/p15792940/s58501970/6a53a787-2e1025f2-59359f42-140f8938-45899305.jpg'],['files/p15/p15792940/s52559222/e1b1e9b3-4c57d726-b37866dd-872d5448-027a7484.jpg\n']
s58501970_1,p15792940,s58501970,1,Impression,Improving right upper lobe consolidation; stable appearance of the left lower lobe consolidation with probable trace pleural effusion on the left.,Improving right upper lobe consolidation; stable appearance of the left lower lobe consolidation with probable trace pleural effusion on the left.,consolidation,right upper lobe,Better,['files/p15/p15792940/s58501970/6a53a787-2e1025f2-59359f42-140f8938-45899305.jpg'],['files/p15/p15792940/s52559222/e1b1e9b3-4c57d726-b37866dd-872d5448-027a7484.jpg\n']
s58503033_1,p14992360,s58503033,1,Impression,"Left-sided pacer is again seen with three leads terminating over the expected location of the right atrium and right ventricle, respectively. Overall, cardiac and mediastinal contours are stable. There is diffuse air space process with more focal consolidation again seen in the left mid lung and at the lung bases. This is concerning for bilateral pneumonia/aspiration. In addition, the lungs remain hyperinflated and there is parenchymal distortion and apical bullous changes consistent with underlying emphysema. No pneumothorax is seen. There is blunting of the costophrenic angles which may represent chronic pleural thickening or small effusions. Heart remains enlarged most likely representing cardiomegaly. In addition, the perihilar vasculature is somewhat more prominent and indistinct which suggests a component of superimposed perihilar edema.","In addition, the perihilar vasculature is somewhat more prominent and indistinct which suggests a component of superimposed perihilar edema.",vasculature,perihilar,Worse,"['files/p14/p14992360/s58503033/32c1d55b-e82e8109-857245af-c7f729c8-050f2e67.jpg', 'files/p14/p14992360/s58503033/d94ed77f-6e5dbc9e-c9b7dc36-fa289d86-2aed87f0.jpg']","['files/p14/p14992360/s53426027/2263652d-9febb548-c194ddde-3d609261-01889c9a.jpg\n', 'files/p14/p14992360/s53426027/75dba8a3-5f23d588-d3d4556c-daef69cf-8ed524b4.jpg\n', 'files/p14/p14992360/s53426027/9bc4f9f8-9a5cf680-f9889b51-30721129-c66aa757.jpg\n']"
s58503033_1,p14992360,s58503033,1,Impression,"Left-sided pacer is again seen with three leads terminating over the expected location of the right atrium and right ventricle, respectively. Overall, cardiac and mediastinal contours are stable. There is diffuse air space process with more focal consolidation again seen in the left mid lung and at the lung bases. This is concerning for bilateral pneumonia/aspiration. In addition, the lungs remain hyperinflated and there is parenchymal distortion and apical bullous changes consistent with underlying emphysema. No pneumothorax is seen. There is blunting of the costophrenic angles which may represent chronic pleural thickening or small effusions. Heart remains enlarged most likely representing cardiomegaly. In addition, the perihilar vasculature is somewhat more prominent and indistinct which suggests a component of superimposed perihilar edema.","In addition, the lungs remain hyperinflated and there is parenchymal distortion and apical bullous changes consistent with underlying emphysema.",parenchymal distortion and apical bullous changes,lungs,Stable,"['files/p14/p14992360/s58503033/32c1d55b-e82e8109-857245af-c7f729c8-050f2e67.jpg', 'files/p14/p14992360/s58503033/d94ed77f-6e5dbc9e-c9b7dc36-fa289d86-2aed87f0.jpg']","['files/p14/p14992360/s53426027/2263652d-9febb548-c194ddde-3d609261-01889c9a.jpg\n', 'files/p14/p14992360/s53426027/75dba8a3-5f23d588-d3d4556c-daef69cf-8ed524b4.jpg\n', 'files/p14/p14992360/s53426027/9bc4f9f8-9a5cf680-f9889b51-30721129-c66aa757.jpg\n']"
s58503033_1,p14992360,s58503033,1,Impression,"Left-sided pacer is again seen with three leads terminating over the expected location of the right atrium and right ventricle, respectively. Overall, cardiac and mediastinal contours are stable. There is diffuse air space process with more focal consolidation again seen in the left mid lung and at the lung bases. This is concerning for bilateral pneumonia/aspiration. In addition, the lungs remain hyperinflated and there is parenchymal distortion and apical bullous changes consistent with underlying emphysema. No pneumothorax is seen. There is blunting of the costophrenic angles which may represent chronic pleural thickening or small effusions. Heart remains enlarged most likely representing cardiomegaly. In addition, the perihilar vasculature is somewhat more prominent and indistinct which suggests a component of superimposed perihilar edema.",There is diffuse air space process with more focal consolidation again seen in the left mid lung and at the lung bases.,consolidation,left mid lung and lung bases,Worse,"['files/p14/p14992360/s58503033/32c1d55b-e82e8109-857245af-c7f729c8-050f2e67.jpg', 'files/p14/p14992360/s58503033/d94ed77f-6e5dbc9e-c9b7dc36-fa289d86-2aed87f0.jpg']","['files/p14/p14992360/s53426027/2263652d-9febb548-c194ddde-3d609261-01889c9a.jpg\n', 'files/p14/p14992360/s53426027/75dba8a3-5f23d588-d3d4556c-daef69cf-8ed524b4.jpg\n', 'files/p14/p14992360/s53426027/9bc4f9f8-9a5cf680-f9889b51-30721129-c66aa757.jpg\n']"
s58503033_1,p14992360,s58503033,1,Impression,"Left-sided pacer is again seen with three leads terminating over the expected location of the right atrium and right ventricle, respectively. Overall, cardiac and mediastinal contours are stable. There is diffuse air space process with more focal consolidation again seen in the left mid lung and at the lung bases. This is concerning for bilateral pneumonia/aspiration. In addition, the lungs remain hyperinflated and there is parenchymal distortion and apical bullous changes consistent with underlying emphysema. No pneumothorax is seen. There is blunting of the costophrenic angles which may represent chronic pleural thickening or small effusions. Heart remains enlarged most likely representing cardiomegaly. In addition, the perihilar vasculature is somewhat more prominent and indistinct which suggests a component of superimposed perihilar edema.",Heart remains enlarged most likely representing cardiomegaly.,enlargement,heart,Stable,"['files/p14/p14992360/s58503033/32c1d55b-e82e8109-857245af-c7f729c8-050f2e67.jpg', 'files/p14/p14992360/s58503033/d94ed77f-6e5dbc9e-c9b7dc36-fa289d86-2aed87f0.jpg']","['files/p14/p14992360/s53426027/2263652d-9febb548-c194ddde-3d609261-01889c9a.jpg\n', 'files/p14/p14992360/s53426027/75dba8a3-5f23d588-d3d4556c-daef69cf-8ed524b4.jpg\n', 'files/p14/p14992360/s53426027/9bc4f9f8-9a5cf680-f9889b51-30721129-c66aa757.jpg\n']"
s58503033_1,p14992360,s58503033,1,Impression,"Left-sided pacer is again seen with three leads terminating over the expected location of the right atrium and right ventricle, respectively. Overall, cardiac and mediastinal contours are stable. There is diffuse air space process with more focal consolidation again seen in the left mid lung and at the lung bases. This is concerning for bilateral pneumonia/aspiration. In addition, the lungs remain hyperinflated and there is parenchymal distortion and apical bullous changes consistent with underlying emphysema. No pneumothorax is seen. There is blunting of the costophrenic angles which may represent chronic pleural thickening or small effusions. Heart remains enlarged most likely representing cardiomegaly. In addition, the perihilar vasculature is somewhat more prominent and indistinct which suggests a component of superimposed perihilar edema.","Overall, cardiac and mediastinal contours are stable.",contours,cardiac and mediastinal,Stable,"['files/p14/p14992360/s58503033/32c1d55b-e82e8109-857245af-c7f729c8-050f2e67.jpg', 'files/p14/p14992360/s58503033/d94ed77f-6e5dbc9e-c9b7dc36-fa289d86-2aed87f0.jpg']","['files/p14/p14992360/s53426027/2263652d-9febb548-c194ddde-3d609261-01889c9a.jpg\n', 'files/p14/p14992360/s53426027/75dba8a3-5f23d588-d3d4556c-daef69cf-8ed524b4.jpg\n', 'files/p14/p14992360/s53426027/9bc4f9f8-9a5cf680-f9889b51-30721129-c66aa757.jpg\n']"
s58503033_1,p14992360,s58503033,1,Impression,"Left-sided pacer is again seen with three leads terminating over the expected location of the right atrium and right ventricle, respectively. Overall, cardiac and mediastinal contours are stable. There is diffuse air space process with more focal consolidation again seen in the left mid lung and at the lung bases. This is concerning for bilateral pneumonia/aspiration. In addition, the lungs remain hyperinflated and there is parenchymal distortion and apical bullous changes consistent with underlying emphysema. No pneumothorax is seen. There is blunting of the costophrenic angles which may represent chronic pleural thickening or small effusions. Heart remains enlarged most likely representing cardiomegaly. In addition, the perihilar vasculature is somewhat more prominent and indistinct which suggests a component of superimposed perihilar edema.","Left-sided pacer is again seen with three leads terminating over the expected location of the right atrium and right ventricle, respectively.",pacer,left-sided,Stable,"['files/p14/p14992360/s58503033/32c1d55b-e82e8109-857245af-c7f729c8-050f2e67.jpg', 'files/p14/p14992360/s58503033/d94ed77f-6e5dbc9e-c9b7dc36-fa289d86-2aed87f0.jpg']","['files/p14/p14992360/s53426027/2263652d-9febb548-c194ddde-3d609261-01889c9a.jpg\n', 'files/p14/p14992360/s53426027/75dba8a3-5f23d588-d3d4556c-daef69cf-8ed524b4.jpg\n', 'files/p14/p14992360/s53426027/9bc4f9f8-9a5cf680-f9889b51-30721129-c66aa757.jpg\n']"
s58503033_1,p14992360,s58503033,1,Impression,"Left-sided pacer is again seen with three leads terminating over the expected location of the right atrium and right ventricle, respectively. Overall, cardiac and mediastinal contours are stable. There is diffuse air space process with more focal consolidation again seen in the left mid lung and at the lung bases. This is concerning for bilateral pneumonia/aspiration. In addition, the lungs remain hyperinflated and there is parenchymal distortion and apical bullous changes consistent with underlying emphysema. No pneumothorax is seen. There is blunting of the costophrenic angles which may represent chronic pleural thickening or small effusions. Heart remains enlarged most likely representing cardiomegaly. In addition, the perihilar vasculature is somewhat more prominent and indistinct which suggests a component of superimposed perihilar edema.","In addition, the lungs remain hyperinflated and there is parenchymal distortion and apical bullous changes consistent with underlying emphysema.",hyperinflation,lungs,Stable,"['files/p14/p14992360/s58503033/32c1d55b-e82e8109-857245af-c7f729c8-050f2e67.jpg', 'files/p14/p14992360/s58503033/d94ed77f-6e5dbc9e-c9b7dc36-fa289d86-2aed87f0.jpg']","['files/p14/p14992360/s53426027/2263652d-9febb548-c194ddde-3d609261-01889c9a.jpg\n', 'files/p14/p14992360/s53426027/75dba8a3-5f23d588-d3d4556c-daef69cf-8ed524b4.jpg\n', 'files/p14/p14992360/s53426027/9bc4f9f8-9a5cf680-f9889b51-30721129-c66aa757.jpg\n']"
s58509428_3,p12952223,s58509428,3,Findings,"In comparison with the study of ___, there are continued low lung volumes. Bilateral pleural effusions with compressive atelectasis at the bases persist. Mild pulmonary vascular congestion is again seen. Right IJ catheter remains in place.","In comparison with the study of ___, there are continued low lung volumes.",low lung volumes,,Stable,['files/p12/p12952223/s58509428/a07fcdb2-cfd4c07c-10798b86-59623927-3210f2a2.jpg'],['files/p12/p12952223/s58485731/abaf3f48-e5ba0e33-b7c52893-aa44a3b8-7aa9a7d2.jpg\n']
s58509428_3,p12952223,s58509428,3,Findings,"In comparison with the study of ___, there are continued low lung volumes. Bilateral pleural effusions with compressive atelectasis at the bases persist. Mild pulmonary vascular congestion is again seen. Right IJ catheter remains in place.",Bilateral pleural effusions with compressive atelectasis at the bases persist.,compressive atelectasis,bases,Stable,['files/p12/p12952223/s58509428/a07fcdb2-cfd4c07c-10798b86-59623927-3210f2a2.jpg'],['files/p12/p12952223/s58485731/abaf3f48-e5ba0e33-b7c52893-aa44a3b8-7aa9a7d2.jpg\n']
s58509428_3,p12952223,s58509428,3,Findings,"In comparison with the study of ___, there are continued low lung volumes. Bilateral pleural effusions with compressive atelectasis at the bases persist. Mild pulmonary vascular congestion is again seen. Right IJ catheter remains in place.",Right IJ catheter remains in place.,catheter,right IJ,Stable,['files/p12/p12952223/s58509428/a07fcdb2-cfd4c07c-10798b86-59623927-3210f2a2.jpg'],['files/p12/p12952223/s58485731/abaf3f48-e5ba0e33-b7c52893-aa44a3b8-7aa9a7d2.jpg\n']
s58509428_3,p12952223,s58509428,3,Findings,"In comparison with the study of ___, there are continued low lung volumes. Bilateral pleural effusions with compressive atelectasis at the bases persist. Mild pulmonary vascular congestion is again seen. Right IJ catheter remains in place.",Bilateral pleural effusions with compressive atelectasis at the bases persist.,pleural effusions,bilateral,Stable,['files/p12/p12952223/s58509428/a07fcdb2-cfd4c07c-10798b86-59623927-3210f2a2.jpg'],['files/p12/p12952223/s58485731/abaf3f48-e5ba0e33-b7c52893-aa44a3b8-7aa9a7d2.jpg\n']
s58509428_3,p12952223,s58509428,3,Findings,"In comparison with the study of ___, there are continued low lung volumes. Bilateral pleural effusions with compressive atelectasis at the bases persist. Mild pulmonary vascular congestion is again seen. Right IJ catheter remains in place.",Mild pulmonary vascular congestion is again seen.,vascular congestion,pulmonary,Worse,['files/p12/p12952223/s58509428/a07fcdb2-cfd4c07c-10798b86-59623927-3210f2a2.jpg'],['files/p12/p12952223/s58485731/abaf3f48-e5ba0e33-b7c52893-aa44a3b8-7aa9a7d2.jpg\n']
s58510466_1,p19720782,s58510466,1,Impression,Stable prominence and upward retraction of the right pulmonary hilum in this patient with known lung cancer. Right pleural effusion and probable mild interstitial edema.,Stable prominence and upward retraction of the right pulmonary hilum in this patient with known lung cancer.,prominence and upward retraction,right pulmonary hilum,Stable,['files/p19/p19720782/s58510466/4d50716a-ce9e59d8-2bccee5f-9fd75a55-f12cd66a.jpg'],['files/p19/p19720782/s57890092/38d03b04-0d7ed79f-2cf5f34d-96d831d3-227a44aa.jpg\n']
s58510466_1,p19720782,s58510466,1,Findings,Portable AP upright chest radiograph is obtained. Evaluation is somewhat limited given the underpenetrated technique. There is stable prominence of the right hilar structures with slight upward retraction of the right hila again noted. A small right effusion is again noted. Mild congestion is difficult to exclude. The heart is top normal in size. Bony structures appear intact.,There is stable prominence of the right hilar structures with slight upward retraction of the right hila again noted.,prominence,right hilar,Stable,['files/p19/p19720782/s58510466/4d50716a-ce9e59d8-2bccee5f-9fd75a55-f12cd66a.jpg'],['files/p19/p19720782/s57890092/38d03b04-0d7ed79f-2cf5f34d-96d831d3-227a44aa.jpg\n']
s58519194_10,p13135946,s58519194,10,Impression,"1) Interval placement of the ET tube, tip in satisfactory position above the carina. Otherwise, overall similar. 2) Radiopacity over stomach - ? residual contrast. Clinical correlation requested. 3) LLL collpase consolidation. 4) Bilateral effusions. 5) Probable CHF.","1) Interval placement of the ET tube, tip in satisfactory position above the carina. Otherwise, overall similar.",ET tube position,above the carina,Stable,['files/p13/p13135946/s58519194/a012623c-3d2f7d18-ccd7f833-c984c099-56fbef61.jpg'],['files/p13/p13135946/s58348130/d1a588ba-df69fa21-41d67ef8-6ae29c22-17544175.jpg\n']
s58520961_7,p19565388,s58520961,7,Impression,"AP chest compared to ___: Leftward mediastinal shift suggests that the persistent consolidation in the left lower lobe is due to collapse, not pneumonia, accompanied by small increasing left pleural effusion. Right lung is grossly clear. Perihilar opacification in the left could be pneumonia but is more likely atelectasis as well. Moderate enlargement of the cardiac silhouette is stable. Right jugular introducer ends at the junction of brachiocephalic veins. No pneumothorax.","AP chest compared to ___: Leftward mediastinal shift suggests that the persistent consolidation in the left lower lobe is due to collapse, not pneumonia, accompanied by small increasing left pleural effusion.",consolidation,left lower lobe,Worse,['files/p19/p19565388/s58520961/49d5c433-1f63df75-aa22694c-c8e8079d-d23cdaa9.jpg'],['files/p19/p19565388/s58204690/fbd637bc-15953c2d-d5c723d3-e8c2ba4f-c1103de6.jpg\n']
s58520961_7,p19565388,s58520961,7,Impression,"AP chest compared to ___: Leftward mediastinal shift suggests that the persistent consolidation in the left lower lobe is due to collapse, not pneumonia, accompanied by small increasing left pleural effusion. Right lung is grossly clear. Perihilar opacification in the left could be pneumonia but is more likely atelectasis as well. Moderate enlargement of the cardiac silhouette is stable. Right jugular introducer ends at the junction of brachiocephalic veins. No pneumothorax.",Moderate enlargement of the cardiac silhouette is stable.,moderate enlargement of the cardiac silhouette,,Stable,['files/p19/p19565388/s58520961/49d5c433-1f63df75-aa22694c-c8e8079d-d23cdaa9.jpg'],['files/p19/p19565388/s58204690/fbd637bc-15953c2d-d5c723d3-e8c2ba4f-c1103de6.jpg\n']
s58521232_1,p12658295,s58521232,1,Findings,"In comparison with the study of ___, there is little change in the appearance of the moderate right and small left pleural effusions with compressive atelectasis in this patient with radiographic evidence of chronic pulmonary disease as well as previous CABG procedure. No evidence of acute focal pneumonia or vascular congestion.","In comparison with the study of ___, there is little change in the appearance of the moderate right and small left pleural effusions with compressive atelectasis in this patient with radiographic evidence of chronic pulmonary disease as well as previous CABG procedure.",pleural effusions with compressive atelectasis,right and left,Stable,"['files/p12/p12658295/s58521232/a6a6000b-26fecffe-b90ded19-73b8a48f-6e3f7557.jpg', 'files/p12/p12658295/s58521232/efd0789f-b4442557-7615381a-90c81729-a1a5d27d.jpg']","['files/p12/p12658295/s57053848/32a7d189-41a4b4a2-2cbe2e58-67f6823b-94d7cb9b.jpg\n', 'files/p12/p12658295/s57053848/aca81df9-48e4740a-3c8dacee-279de214-789076c5.jpg\n']"
s58521372_1,p14504940,s58521372,1,Findings,"Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and CABG. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable. Degenerative changes are seen along the spine.",Cardiac and mediastinal silhouettes are stable and unremarkable.,silhouettes,Cardiac and mediastinal,Stable,"['files/p14/p14504940/s58521372/1675afce-31756f63-a165a417-94a2c4ab-41fa955f.jpg', 'files/p14/p14504940/s58521372/4e5ddaa7-63711567-067f2a36-70ca8cbf-3684164e.jpg', 'files/p14/p14504940/s58521372/ba93c845-aff601a7-a7342bac-ad387748-7af110b6.jpg']","['files/p14/p14504940/s55011437/7c41a809-f93b8fdb-32b0f64f-3c464002-d1751a7c.jpg\n', 'files/p14/p14504940/s55011437/93df2443-2b80a0f4-6c12dc92-910966a7-3da34ae3.jpg\n']"
s58528625_1,p17340686,s58528625,1,Findings,"Clips project over the upper aspect of the abdomen. The dialysis catheter tip sits in the superior right atrium. The heart size is at the upper limits of normal. The mediastinal and hilar contours are within normal limits. Perihilar opacities represent pulmonary edema, slightly worse than prior exam. A subtle nodular opacity is present in the left suprahilar region and is new from ___. Blunting of the bilateral costophrenic angle suggests small amount of pleural effusion.",A subtle nodular opacity is present in the left suprahilar region and is new from ___.,nodular opacity,left suprahilar region,New,['files/p17/p17340686/s58528625/253ff311-29b03520-fb3b41cc-943dee43-7ac172d5.jpg'],"['files/p17/p17340686/s58351865/02671608-065b76e2-274885ec-ecfab8e8-3b4725fc.jpg\n', 'files/p17/p17340686/s58351865/f2166859-f4629ed4-014033b5-930fc410-8a9f51c9.jpg\n']"
s58528625_1,p17340686,s58528625,1,Impression,1. Cardiomegaly with worsening pulmonary edema. 2. Subtle left suprahilar nodular opacity may represent a focal area of edema; repeat imaging after diuresis may be considered.,1. Cardiomegaly with worsening pulmonary edema.,pulmonary edema,,Worse,['files/p17/p17340686/s58528625/253ff311-29b03520-fb3b41cc-943dee43-7ac172d5.jpg'],"['files/p17/p17340686/s58351865/02671608-065b76e2-274885ec-ecfab8e8-3b4725fc.jpg\n', 'files/p17/p17340686/s58351865/f2166859-f4629ed4-014033b5-930fc410-8a9f51c9.jpg\n']"
s58528625_1,p17340686,s58528625,1,Findings,"Clips project over the upper aspect of the abdomen. The dialysis catheter tip sits in the superior right atrium. The heart size is at the upper limits of normal. The mediastinal and hilar contours are within normal limits. Perihilar opacities represent pulmonary edema, slightly worse than prior exam. A subtle nodular opacity is present in the left suprahilar region and is new from ___. Blunting of the bilateral costophrenic angle suggests small amount of pleural effusion.","Perihilar opacities represent pulmonary edema, slightly worse than prior exam.",pulmonary edema,Perihilar,Worse,['files/p17/p17340686/s58528625/253ff311-29b03520-fb3b41cc-943dee43-7ac172d5.jpg'],"['files/p17/p17340686/s58351865/02671608-065b76e2-274885ec-ecfab8e8-3b4725fc.jpg\n', 'files/p17/p17340686/s58351865/f2166859-f4629ed4-014033b5-930fc410-8a9f51c9.jpg\n']"
s58535435_10,p10410641,s58535435,10,Findings,"As compared to the previous radiograph, the known right pneumothorax is stable. On the left, there is no evidence of pneumothorax. The right pleural effusion has completely resolved. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours.",The right pleural effusion has completely resolved.,pleural effusion,right,Resolve,['files/p10/p10410641/s58535435/cbba1c1b-baa08812-9bf09668-f10eec71-d6c20e98.jpg'],['files/p10/p10410641/s57802287/08a8deab-aa27ad50-256fe6f1-21da6275-363a878d.jpg\n']
s58535435_10,p10410641,s58535435,10,Findings,"As compared to the previous radiograph, the known right pneumothorax is stable. On the left, there is no evidence of pneumothorax. The right pleural effusion has completely resolved. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours.","As compared to the previous radiograph, the known right pneumothorax is stable.",pneumothorax,right,Stable,['files/p10/p10410641/s58535435/cbba1c1b-baa08812-9bf09668-f10eec71-d6c20e98.jpg'],['files/p10/p10410641/s57802287/08a8deab-aa27ad50-256fe6f1-21da6275-363a878d.jpg\n']
s58556085_10,p11880923,s58556085,10,Findings,"A new nasogastric tube has been placed. The current tube shows a normal course and a correct position in the proximal parts of the stomach. There is no evidence of complications, notably no pneumothorax. The other monitoring and support devices and the remaining appearance of the radiograph is constant.",The other monitoring and support devices and the remaining appearance of the radiograph is constant.,appearance of the radiograph,,Stable,['files/p11/p11880923/s58556085/68f0511d-a790a0bc-cb8ef94a-c9af3e71-ab0c9352.jpg'],"['files/p11/p11880923/s57292244/7820a5b5-fd3de13c-aa0461e3-96296867-8e7e463e.jpg\n', 'files/p11/p11880923/s57292244/9bb86127-fb575908-ca75aaee-e4e15b0b-b804e9d3.jpg\n']"
s58556085_10,p11880923,s58556085,10,Findings,"A new nasogastric tube has been placed. The current tube shows a normal course and a correct position in the proximal parts of the stomach. There is no evidence of complications, notably no pneumothorax. The other monitoring and support devices and the remaining appearance of the radiograph is constant.",A new nasogastric tube has been placed.,tube,nasogastric,New,['files/p11/p11880923/s58556085/68f0511d-a790a0bc-cb8ef94a-c9af3e71-ab0c9352.jpg'],"['files/p11/p11880923/s57292244/7820a5b5-fd3de13c-aa0461e3-96296867-8e7e463e.jpg\n', 'files/p11/p11880923/s57292244/9bb86127-fb575908-ca75aaee-e4e15b0b-b804e9d3.jpg\n']"
s58565744_4,p12952223,s58565744,4,Findings,"In comparison with the study of ___, there again is enlargement of the cardiac silhouette with pulmonary edema and bilateral pleural effusions with compressive atelectasis, worse on the right. IJ catheter remains in place.","In comparison with the study of ___, there again is enlargement of the cardiac silhouette with pulmonary edema and bilateral pleural effusions with compressive atelectasis, worse on the right.",enlargement,cardiac silhouette,Worse,['files/p12/p12952223/s58565744/f7444698-77590d7a-c6202efc-7ebaf856-eb1ee866.jpg'],['files/p12/p12952223/s58509428/a07fcdb2-cfd4c07c-10798b86-59623927-3210f2a2.jpg\n']
s58565744_4,p12952223,s58565744,4,Findings,"In comparison with the study of ___, there again is enlargement of the cardiac silhouette with pulmonary edema and bilateral pleural effusions with compressive atelectasis, worse on the right. IJ catheter remains in place.","In comparison with the study of ___, there again is enlargement of the cardiac silhouette with pulmonary edema and bilateral pleural effusions with compressive atelectasis, worse on the right.",edema,pulmonary,Worse,['files/p12/p12952223/s58565744/f7444698-77590d7a-c6202efc-7ebaf856-eb1ee866.jpg'],['files/p12/p12952223/s58509428/a07fcdb2-cfd4c07c-10798b86-59623927-3210f2a2.jpg\n']
s58565744_4,p12952223,s58565744,4,Findings,"In comparison with the study of ___, there again is enlargement of the cardiac silhouette with pulmonary edema and bilateral pleural effusions with compressive atelectasis, worse on the right. IJ catheter remains in place.","In comparison with the study of ___, there again is enlargement of the cardiac silhouette with pulmonary edema and bilateral pleural effusions with compressive atelectasis, worse on the right.",pleural effusions,bilateral,Worse,['files/p12/p12952223/s58565744/f7444698-77590d7a-c6202efc-7ebaf856-eb1ee866.jpg'],['files/p12/p12952223/s58509428/a07fcdb2-cfd4c07c-10798b86-59623927-3210f2a2.jpg\n']
s58565744_4,p12952223,s58565744,4,Findings,"In comparison with the study of ___, there again is enlargement of the cardiac silhouette with pulmonary edema and bilateral pleural effusions with compressive atelectasis, worse on the right. IJ catheter remains in place.","In comparison with the study of ___, there again is enlargement of the cardiac silhouette with pulmonary edema and bilateral pleural effusions with compressive atelectasis, worse on the right.",compressive atelectasis,right,Worse,['files/p12/p12952223/s58565744/f7444698-77590d7a-c6202efc-7ebaf856-eb1ee866.jpg'],['files/p12/p12952223/s58509428/a07fcdb2-cfd4c07c-10798b86-59623927-3210f2a2.jpg\n']
s58565744_4,p12952223,s58565744,4,Findings,"In comparison with the study of ___, there again is enlargement of the cardiac silhouette with pulmonary edema and bilateral pleural effusions with compressive atelectasis, worse on the right. IJ catheter remains in place.",IJ catheter remains in place.,catheter,IJ,Stable,['files/p12/p12952223/s58565744/f7444698-77590d7a-c6202efc-7ebaf856-eb1ee866.jpg'],['files/p12/p12952223/s58509428/a07fcdb2-cfd4c07c-10798b86-59623927-3210f2a2.jpg\n']
s58566283_4,p16875792,s58566283,4,Findings,Left chest tube has been removed. There is no pneumothorax. Right CVL is unchanged. Lung findings are stable from the study performed one hour prior.,Lung findings are stable from the study performed one hour prior.,lung findings,,Stable,['files/p16/p16875792/s58566283/f7bbdf2d-8612cba0-b5619cfe-072a43c1-6438f2be.jpg'],['files/p16/p16875792/s58068113/f6eee07f-b610f72b-a8832d42-b5472b4d-7cc97271.jpg\n']
s58566283_4,p16875792,s58566283,4,Findings,Left chest tube has been removed. There is no pneumothorax. Right CVL is unchanged. Lung findings are stable from the study performed one hour prior.,Right CVL is unchanged.,CVL,right,Stable,['files/p16/p16875792/s58566283/f7bbdf2d-8612cba0-b5619cfe-072a43c1-6438f2be.jpg'],['files/p16/p16875792/s58068113/f6eee07f-b610f72b-a8832d42-b5472b4d-7cc97271.jpg\n']
s58566283_4,p16875792,s58566283,4,Findings,Left chest tube has been removed. There is no pneumothorax. Right CVL is unchanged. Lung findings are stable from the study performed one hour prior.,Left chest tube has been removed.,chest tube,left,Resolve,['files/p16/p16875792/s58566283/f7bbdf2d-8612cba0-b5619cfe-072a43c1-6438f2be.jpg'],['files/p16/p16875792/s58068113/f6eee07f-b610f72b-a8832d42-b5472b4d-7cc97271.jpg\n']
s58568223_6,p13606683,s58568223,6,Findings,"Frontal and lateral views of the chest. On the current exam, there is no evidence of confluent consolidation. Linear opacities at the left lung base most suggestive of scarring. Icreased interstitial markings are seen compatible chronic underlying lung disease, not significantly changed since ___. Trace bilateral effusions. Cardiac silhouette is enlarged and also notable for a prosthetic aortic valve. No acute osseous abnormality detected.","Increased interstitial markings are seen compatible chronic underlying lung disease, not significantly changed since ___.",Increased interstitial markings,,Stable,"['files/p13/p13606683/s58568223/78706a51-93862124-f2e96aba-f5e1ca54-2ecbd486.jpg', 'files/p13/p13606683/s58568223/a3a06d4a-738a23e2-049e6887-d1e5cc2f-c1573666.jpg']","['files/p13/p13606683/s58107496/0afcec8c-ff907096-444a6e0c-19b6823e-0953d8b5.jpg\n', 'files/p13/p13606683/s58107496/9aa3498d-70f8a9a5-132f5a2b-bb7c2837-2653ee2d.jpg\n', 'files/p13/p13606683/s58107496/bf010702-69e984da-d0e9d988-cb6dbed8-1f759220.jpg\n', 'files/p13/p13606683/s58107496/d03946f6-e754867a-37047566-61f55fee-16408685.jpg\n']"
s58576963_32,p16043637,s58576963,32,Findings,"New right-sided Port-A-Cath terminates near the cavoatrial junction. Left pectoral pacemaker with dual leads seen extending into in the region of the right atrium and right ventricle. Median sternotomy wires and prosthetic cardiac valve are noted. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is top normal.",New right-sided Port-A-Cath terminates near the cavoatrial junction.,Port-A-Cath,right-sided,New,"['files/p16/p16043637/s58576963/37281a6b-d40f025d-51681f11-e078aa8f-3c6452d2.jpg', 'files/p16/p16043637/s58576963/719206c4-ade9b6c1-79fda2c7-c9cf7be4-a8979a87.jpg']",['files/p16/p16043637/s58144724/cd986c7a-427ddb9f-9727cd08-4715c210-8b6ffc50.jpg\n']
s58577683_24,p19075045,s58577683,24,Findings,"Enteric tube tip is in the mid stomach, new since prior. Improved bilateral perihilar, bibasilar opacities. Sternotomy, valve replacement. Bilateral shoulder arthroplasties. Cardiac pacemaker. Right IJ central line tip near cavoatrial junction. Postoperative changes in the spine, with hardware in place. Degenerative changes spine.","Improved bilateral perihilar, bibasilar opacities.",opacities,"bilateral perihilar, bibasilar",Better,"['files/p19/p19075045/s58577683/28436719-d87f3ae5-9c69e639-adb91cdf-96771118.jpg', 'files/p19/p19075045/s58577683/2d0d0cce-dd111287-ec34ac38-90e1c536-17d3bdd9.jpg']",['files/p19/p19075045/s58071016/e043f870-1670fd0c-cf68f196-4f351347-4a665c39.jpg\n']
s58577683_24,p19075045,s58577683,24,Impression,Enteric tube tip in the mid stomach. Improved pulmonary opacities.,Improved pulmonary opacities.,pulmonary opacities,,Better,"['files/p19/p19075045/s58577683/28436719-d87f3ae5-9c69e639-adb91cdf-96771118.jpg', 'files/p19/p19075045/s58577683/2d0d0cce-dd111287-ec34ac38-90e1c536-17d3bdd9.jpg']",['files/p19/p19075045/s58071016/e043f870-1670fd0c-cf68f196-4f351347-4a665c39.jpg\n']
s58577683_24,p19075045,s58577683,24,Findings,"Enteric tube tip is in the mid stomach, new since prior. Improved bilateral perihilar, bibasilar opacities. Sternotomy, valve replacement. Bilateral shoulder arthroplasties. Cardiac pacemaker. Right IJ central line tip near cavoatrial junction. Postoperative changes in the spine, with hardware in place. Degenerative changes spine.","Enteric tube tip is in the mid stomach, new since prior.",enteric tube tip,mid stomach,New,"['files/p19/p19075045/s58577683/28436719-d87f3ae5-9c69e639-adb91cdf-96771118.jpg', 'files/p19/p19075045/s58577683/2d0d0cce-dd111287-ec34ac38-90e1c536-17d3bdd9.jpg']",['files/p19/p19075045/s58071016/e043f870-1670fd0c-cf68f196-4f351347-4a665c39.jpg\n']
s58581234_7,p16855430,s58581234,7,Findings,"Cardiac, mediastinal and hilar contours are unchanged from ___. Bilateral low lung volumes are noted with mild crowding of bronchovascular markings. Indistinct pulmonary vascular markings suggestive of mild fluid overload pattern are again noted. Trace left pleural effusion cannot be completely excluded. Cardiac silhouette is enlarged but stable.","Cardiac, mediastinal and hilar contours are unchanged from ___.","Cardiac, mediastinal and hilar contours",,Stable,"['files/p16/p16855430/s58581234/3bb2cb54-60f696d8-9dfcbee7-5a506428-c7316197.jpg', 'files/p16/p16855430/s58581234/3c172ae3-82504f6a-6de0bc7a-28294cec-278aa9d6.jpg']",['files/p16/p16855430/s58324748/c8591b84-dfb9bd0c-54f0a9f4-e5258ccd-4fec4b57.jpg\n']
s58581234_7,p16855430,s58581234,7,Findings,"Cardiac, mediastinal and hilar contours are unchanged from ___. Bilateral low lung volumes are noted with mild crowding of bronchovascular markings. Indistinct pulmonary vascular markings suggestive of mild fluid overload pattern are again noted. Trace left pleural effusion cannot be completely excluded. Cardiac silhouette is enlarged but stable.",Cardiac silhouette is enlarged but stable.,Cardiac silhouette enlargement,,Stable,"['files/p16/p16855430/s58581234/3bb2cb54-60f696d8-9dfcbee7-5a506428-c7316197.jpg', 'files/p16/p16855430/s58581234/3c172ae3-82504f6a-6de0bc7a-28294cec-278aa9d6.jpg']",['files/p16/p16855430/s58324748/c8591b84-dfb9bd0c-54f0a9f4-e5258ccd-4fec4b57.jpg\n']
s58584546_35,p14851532,s58584546,35,Impression,"No relevant change as compared to the previous examination, the postoperative changes in the left upper lung and the scarring in the perihilar portions of the right lung are constant in distribution and appearance. There currently is no evidence of pleural effusions on the lateral and frontal radiograph. Status post CABG. Moderate elongation of the descending aorta. No pneumonia.","No relevant change as compared to the previous examination, the postoperative changes in the left upper lung and the scarring in the perihilar portions of the right lung are constant in distribution and appearance.",postoperative changes,left upper lung,Stable,"['files/p14/p14851532/s58584546/2c699f50-503e7098-01ecae7c-d395875a-02612502.jpg', 'files/p14/p14851532/s58584546/cd5b57c2-e9f11563-979c2c0e-938f2862-7ed74102.jpg']",['files/p14/p14851532/s58464643/4d43eeba-0e94bfc5-ca416d6f-449ceb69-688d7ae5.jpg\n']
s58584546_35,p14851532,s58584546,35,Impression,"No relevant change as compared to the previous examination, the postoperative changes in the left upper lung and the scarring in the perihilar portions of the right lung are constant in distribution and appearance. There currently is no evidence of pleural effusions on the lateral and frontal radiograph. Status post CABG. Moderate elongation of the descending aorta. No pneumonia.","No relevant change as compared to the previous examination, the postoperative changes in the left upper lung and the scarring in the perihilar portions of the right lung are constant in distribution and appearance.",scarring,perihilar portions of the right lung,Stable,"['files/p14/p14851532/s58584546/2c699f50-503e7098-01ecae7c-d395875a-02612502.jpg', 'files/p14/p14851532/s58584546/cd5b57c2-e9f11563-979c2c0e-938f2862-7ed74102.jpg']",['files/p14/p14851532/s58464643/4d43eeba-0e94bfc5-ca416d6f-449ceb69-688d7ae5.jpg\n']
s58585557_14,p12595991,s58585557,14,Findings,Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Bibasilar consolidations may represent atelectasis or pneumonia in the appropriate clinical setting. The cardiomediastinal and hilar contours are unchanged. There is a new lucency beneath the right hemidiaphragm concerning for intra-abdominal free air. Right-sided PICC line and to the mid SVC. Unchanged position of the AICD. No pneumothorax.,The cardiomediastinal and hilar contours are unchanged.,cardiomediastinal and hilar contours,,Stable,['files/p12/p12595991/s58585557/036272e9-9052e7c2-444e59fd-86a7f36d-9dfe191a.jpg'],['files/p12/p12595991/s56983444/99417741-ca740461-763a545e-baf5aa74-65bf4e43.jpg\n']
s58585557_14,p12595991,s58585557,14,Impression,1. Bibasilar consolidations may represent atelectasis or pneumonia in the appropriate clinical setting. 2. New lucency beneath the right hemidiaphragm is concerning for intra-abdominal free air. Clinical correlation recommended. Additional evaluation could be performed with repeat upright radiograph or left lateral decubitus radiograph.,2. New lucency beneath the right hemidiaphragm is concerning for intra-abdominal free air.,lucency,beneath the right hemidiaphragm,New,['files/p12/p12595991/s58585557/036272e9-9052e7c2-444e59fd-86a7f36d-9dfe191a.jpg'],['files/p12/p12595991/s56983444/99417741-ca740461-763a545e-baf5aa74-65bf4e43.jpg\n']
s58585557_14,p12595991,s58585557,14,Findings,Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Bibasilar consolidations may represent atelectasis or pneumonia in the appropriate clinical setting. The cardiomediastinal and hilar contours are unchanged. There is a new lucency beneath the right hemidiaphragm concerning for intra-abdominal free air. Right-sided PICC line and to the mid SVC. Unchanged position of the AICD. No pneumothorax.,Unchanged position of the AICD.,AICD,,Stable,['files/p12/p12595991/s58585557/036272e9-9052e7c2-444e59fd-86a7f36d-9dfe191a.jpg'],['files/p12/p12595991/s56983444/99417741-ca740461-763a545e-baf5aa74-65bf4e43.jpg\n']
s58585557_14,p12595991,s58585557,14,Findings,Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Bibasilar consolidations may represent atelectasis or pneumonia in the appropriate clinical setting. The cardiomediastinal and hilar contours are unchanged. There is a new lucency beneath the right hemidiaphragm concerning for intra-abdominal free air. Right-sided PICC line and to the mid SVC. Unchanged position of the AICD. No pneumothorax.,There is a new lucency beneath the right hemidiaphragm concerning for intra-abdominal free air.,lucency,beneath the right hemidiaphragm,New,['files/p12/p12595991/s58585557/036272e9-9052e7c2-444e59fd-86a7f36d-9dfe191a.jpg'],['files/p12/p12595991/s56983444/99417741-ca740461-763a545e-baf5aa74-65bf4e43.jpg\n']
s58585627_59,p14851532,s58585627,59,Impression,Right internal jugular line tip terminates at the level of cavoatrial junction. NG tube tip is in the stomach. Cardiomediastinal silhouette is unchanged. Right pleural effusion is unchanged. Mild vascular congestion is present. No focal consolidations to suggest pneumonia.,Cardiomediastinal silhouette is unchanged.,cardiomediastinal silhouette,,Stable,['files/p14/p14851532/s58585627/42c22f15-803b9ea1-709d9163-e1ec1da8-df4d6d86.jpg'],"['files/p14/p14851532/s58584546/2c699f50-503e7098-01ecae7c-d395875a-02612502.jpg\n', 'files/p14/p14851532/s58584546/cd5b57c2-e9f11563-979c2c0e-938f2862-7ed74102.jpg\n']"
s58585627_59,p14851532,s58585627,59,Impression,Right internal jugular line tip terminates at the level of cavoatrial junction. NG tube tip is in the stomach. Cardiomediastinal silhouette is unchanged. Right pleural effusion is unchanged. Mild vascular congestion is present. No focal consolidations to suggest pneumonia.,Right pleural effusion is unchanged.,pleural effusion,right,Stable,['files/p14/p14851532/s58585627/42c22f15-803b9ea1-709d9163-e1ec1da8-df4d6d86.jpg'],"['files/p14/p14851532/s58584546/2c699f50-503e7098-01ecae7c-d395875a-02612502.jpg\n', 'files/p14/p14851532/s58584546/cd5b57c2-e9f11563-979c2c0e-938f2862-7ed74102.jpg\n']"
s58589640_1,p19182863,s58589640,1,Findings,"Comparison is made to previous study from ___. There is unchanged cardiomegaly. There are again seen bilateral pleural effusions, right side worse than left. Underlying consolidation at that location cannot be excluded. Effusion on the left has improved slightly. There is some mild prominence of pulmonary interstitial markings without overt fluid overload. No pneumothoraces are seen.",There is unchanged cardiomegaly.,cardiomegaly,,Stable,"['files/p19/p19182863/s58589640/5bb814d4-0722fcaf-8647d444-2773b39d-5d9c455f.jpg', 'files/p19/p19182863/s58589640/e8721312-3402fc01-b4761c82-db71f1ea-afe8e0c2.jpg']","['files/p19/p19182863/s58403484/5341389f-4da075c4-ad323f4b-2f9e17bd-71ee6623.jpg\n', 'files/p19/p19182863/s58403484/a90a82d0-03e68c29-c64d2bbe-96653ba7-bb772dd9.jpg\n']"
s58589640_1,p19182863,s58589640,1,Findings,"Comparison is made to previous study from ___. There is unchanged cardiomegaly. There are again seen bilateral pleural effusions, right side worse than left. Underlying consolidation at that location cannot be excluded. Effusion on the left has improved slightly. There is some mild prominence of pulmonary interstitial markings without overt fluid overload. No pneumothoraces are seen.","There are again seen bilateral pleural effusions, right side worse than left.",pleural effusions,"bilateral, right side worse than left",Stable,"['files/p19/p19182863/s58589640/5bb814d4-0722fcaf-8647d444-2773b39d-5d9c455f.jpg', 'files/p19/p19182863/s58589640/e8721312-3402fc01-b4761c82-db71f1ea-afe8e0c2.jpg']","['files/p19/p19182863/s58403484/5341389f-4da075c4-ad323f4b-2f9e17bd-71ee6623.jpg\n', 'files/p19/p19182863/s58403484/a90a82d0-03e68c29-c64d2bbe-96653ba7-bb772dd9.jpg\n']"
s58589640_1,p19182863,s58589640,1,Findings,"Comparison is made to previous study from ___. There is unchanged cardiomegaly. There are again seen bilateral pleural effusions, right side worse than left. Underlying consolidation at that location cannot be excluded. Effusion on the left has improved slightly. There is some mild prominence of pulmonary interstitial markings without overt fluid overload. No pneumothoraces are seen.",Effusion on the left has improved slightly.,effusion,left,Better,"['files/p19/p19182863/s58589640/5bb814d4-0722fcaf-8647d444-2773b39d-5d9c455f.jpg', 'files/p19/p19182863/s58589640/e8721312-3402fc01-b4761c82-db71f1ea-afe8e0c2.jpg']","['files/p19/p19182863/s58403484/5341389f-4da075c4-ad323f4b-2f9e17bd-71ee6623.jpg\n', 'files/p19/p19182863/s58403484/a90a82d0-03e68c29-c64d2bbe-96653ba7-bb772dd9.jpg\n']"
s58598132_21,p19182863,s58598132,21,Findings,A right IJ terminates at the superior cavoatrial junction. The heart is mildly enlarged. The hilar and mediastinal contours remain within normal limits. Mild central pulmonary vascular congestion and pulmonary edema is unchanged since ___. A small right pleural effusion has enlarged. There is no pneumothorax or a focal consolidation.,The hilar and mediastinal contours remain within normal limits.,hilar and mediastinal contours,,Stable,['files/p19/p19182863/s58598132/9f7a166b-fe5ab568-4dcfc13e-974262a9-8b6ccc98.jpg'],"['files/p19/p19182863/s58589640/5bb814d4-0722fcaf-8647d444-2773b39d-5d9c455f.jpg\n', 'files/p19/p19182863/s58589640/e8721312-3402fc01-b4761c82-db71f1ea-afe8e0c2.jpg\n']"
s58598132_21,p19182863,s58598132,21,Findings,A right IJ terminates at the superior cavoatrial junction. The heart is mildly enlarged. The hilar and mediastinal contours remain within normal limits. Mild central pulmonary vascular congestion and pulmonary edema is unchanged since ___. A small right pleural effusion has enlarged. There is no pneumothorax or a focal consolidation.,Mild central pulmonary vascular congestion and pulmonary edema is unchanged since ___.,pulmonary vascular congestion and pulmonary edema,,Stable,['files/p19/p19182863/s58598132/9f7a166b-fe5ab568-4dcfc13e-974262a9-8b6ccc98.jpg'],"['files/p19/p19182863/s58589640/5bb814d4-0722fcaf-8647d444-2773b39d-5d9c455f.jpg\n', 'files/p19/p19182863/s58589640/e8721312-3402fc01-b4761c82-db71f1ea-afe8e0c2.jpg\n']"
s58598132_21,p19182863,s58598132,21,Findings,A right IJ terminates at the superior cavoatrial junction. The heart is mildly enlarged. The hilar and mediastinal contours remain within normal limits. Mild central pulmonary vascular congestion and pulmonary edema is unchanged since ___. A small right pleural effusion has enlarged. There is no pneumothorax or a focal consolidation.,A small right pleural effusion has enlarged.,pleural effusion,right,Worse,['files/p19/p19182863/s58598132/9f7a166b-fe5ab568-4dcfc13e-974262a9-8b6ccc98.jpg'],"['files/p19/p19182863/s58589640/5bb814d4-0722fcaf-8647d444-2773b39d-5d9c455f.jpg\n', 'files/p19/p19182863/s58589640/e8721312-3402fc01-b4761c82-db71f1ea-afe8e0c2.jpg\n']"
s58598132_21,p19182863,s58598132,21,Impression,Enlargement of a small right pleural effusion since 4:48 a.m. Unchanged mild central pulmonary vascular congestion and interstitial edema.,Unchanged mild central pulmonary vascular congestion and interstitial edema.,pulmonary vascular congestion and interstitial edema,,Stable,['files/p19/p19182863/s58598132/9f7a166b-fe5ab568-4dcfc13e-974262a9-8b6ccc98.jpg'],"['files/p19/p19182863/s58589640/5bb814d4-0722fcaf-8647d444-2773b39d-5d9c455f.jpg\n', 'files/p19/p19182863/s58589640/e8721312-3402fc01-b4761c82-db71f1ea-afe8e0c2.jpg\n']"
s58598132_21,p19182863,s58598132,21,Impression,Enlargement of a small right pleural effusion since 4:48 a.m. Unchanged mild central pulmonary vascular congestion and interstitial edema.,Enlargement of a small right pleural effusion since 4:48 a.m.,pleural effusion,right,Worse,['files/p19/p19182863/s58598132/9f7a166b-fe5ab568-4dcfc13e-974262a9-8b6ccc98.jpg'],"['files/p19/p19182863/s58589640/5bb814d4-0722fcaf-8647d444-2773b39d-5d9c455f.jpg\n', 'files/p19/p19182863/s58589640/e8721312-3402fc01-b4761c82-db71f1ea-afe8e0c2.jpg\n']"
s58598370_8,p16662264,s58598370,8,Impression,Unchanged bilateral lower lobe opacities that could represent resolving pneumonia with a new focal opacity in the right upper lobe that is nodular in nature and should be re-imaged after adequate treatment to confirm resolution.,Unchanged bilateral lower lobe opacities that could represent resolving pneumonia with a new focal opacity in the right upper lobe that is nodular in nature and should be re-imaged after adequate treatment to confirm resolution.,opacities,bilateral lower lobe,Stable,"['files/p16/p16662264/s58598370/90700f34-2bf7712e-44ca9a85-f62ca3ec-083c083b.jpg', 'files/p16/p16662264/s58598370/c2402c74-80288790-b0b025b8-326882cb-8d3752f4.jpg']","['files/p16/p16662264/s57833493/21dd100a-bf76f673-4ee97c34-87797534-1ff8583e.jpg\n', 'files/p16/p16662264/s57833493/4100235d-675f4f1f-2073fecb-b125c75b-efa3e4ee.jpg\n']"
s58598370_8,p16662264,s58598370,8,Findings,"The lungs show mild bilateral lower lobe confluent opacities with a new opacity in the right upper lobe. The previously noted effusions have now resolved. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal.",The lungs show mild bilateral lower lobe confluent opacities with a new opacity in the right upper lobe.,opacity,right upper lobe,New,"['files/p16/p16662264/s58598370/90700f34-2bf7712e-44ca9a85-f62ca3ec-083c083b.jpg', 'files/p16/p16662264/s58598370/c2402c74-80288790-b0b025b8-326882cb-8d3752f4.jpg']","['files/p16/p16662264/s57833493/21dd100a-bf76f673-4ee97c34-87797534-1ff8583e.jpg\n', 'files/p16/p16662264/s57833493/4100235d-675f4f1f-2073fecb-b125c75b-efa3e4ee.jpg\n']"
s58598370_8,p16662264,s58598370,8,Findings,"The lungs show mild bilateral lower lobe confluent opacities with a new opacity in the right upper lobe. The previously noted effusions have now resolved. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal.",The previously noted effusions have now resolved.,effusions,,Resolve,"['files/p16/p16662264/s58598370/90700f34-2bf7712e-44ca9a85-f62ca3ec-083c083b.jpg', 'files/p16/p16662264/s58598370/c2402c74-80288790-b0b025b8-326882cb-8d3752f4.jpg']","['files/p16/p16662264/s57833493/21dd100a-bf76f673-4ee97c34-87797534-1ff8583e.jpg\n', 'files/p16/p16662264/s57833493/4100235d-675f4f1f-2073fecb-b125c75b-efa3e4ee.jpg\n']"
s58600769_9,p11934114,s58600769,9,Impression,"AP chest compared to ___. Large right pleural effusion has progressed slowly since ___. Also, increased his moderate enlargement of the cardiac silhouette and a smaller left pleural effusion. Pulmonary vascular congestion is present, but I would not say there is pulmonary edema. Consolidation in the left lower lobe could be atelectasis or pneumonia. It developed between ___ and ___. Right PIC line ends in the mid SVC. No pneumothorax.","Also, increased his moderate enlargement of the cardiac silhouette and a smaller left pleural effusion.",pleural effusion,left,Worse,['files/p11/p11934114/s58600769/60fa6a80-205ed57c-835e6296-1969c8b7-58eeaacf.jpg'],"['files/p11/p11934114/s57363067/14f914fe-fe271488-782a6d68-11bd9c45-8c2b816b.jpg\n', 'files/p11/p11934114/s57363067/d8bc7ccc-a2bac7c8-1dd6d0a5-5ed27c66-4f556bac.jpg\n']"
s58600769_9,p11934114,s58600769,9,Impression,"AP chest compared to ___. Large right pleural effusion has progressed slowly since ___. Also, increased his moderate enlargement of the cardiac silhouette and a smaller left pleural effusion. Pulmonary vascular congestion is present, but I would not say there is pulmonary edema. Consolidation in the left lower lobe could be atelectasis or pneumonia. It developed between ___ and ___. Right PIC line ends in the mid SVC. No pneumothorax.",AP chest compared to ___. Large right pleural effusion has progressed slowly since ___.,pleural effusion,right,Worse,['files/p11/p11934114/s58600769/60fa6a80-205ed57c-835e6296-1969c8b7-58eeaacf.jpg'],"['files/p11/p11934114/s57363067/14f914fe-fe271488-782a6d68-11bd9c45-8c2b816b.jpg\n', 'files/p11/p11934114/s57363067/d8bc7ccc-a2bac7c8-1dd6d0a5-5ed27c66-4f556bac.jpg\n']"
s58600769_9,p11934114,s58600769,9,Impression,"AP chest compared to ___. Large right pleural effusion has progressed slowly since ___. Also, increased his moderate enlargement of the cardiac silhouette and a smaller left pleural effusion. Pulmonary vascular congestion is present, but I would not say there is pulmonary edema. Consolidation in the left lower lobe could be atelectasis or pneumonia. It developed between ___ and ___. Right PIC line ends in the mid SVC. No pneumothorax.","Also, increased his moderate enlargement of the cardiac silhouette and a smaller left pleural effusion.",cardiac silhouette,,Worse,['files/p11/p11934114/s58600769/60fa6a80-205ed57c-835e6296-1969c8b7-58eeaacf.jpg'],"['files/p11/p11934114/s57363067/14f914fe-fe271488-782a6d68-11bd9c45-8c2b816b.jpg\n', 'files/p11/p11934114/s57363067/d8bc7ccc-a2bac7c8-1dd6d0a5-5ed27c66-4f556bac.jpg\n']"
s58606191_8,p11880923,s58606191,8,Findings,"As compared to the previous radiograph, there is no relevant change. Pleural effusions bilaterally, right more than left, the distribution of which has changed, but not their overall extent. In the interval, the patient has been extubated. The other monitoring and support devices remain in place. Unchanged size of the cardiac silhouette. Unchanged mild fluid overload.","In the interval, the patient has been extubated.",endotracheal tube,,Resolve,['files/p11/p11880923/s58606191/44c09f7b-0aed1234-2a1a02ab-3e91e954-54be38b1.jpg'],['files/p11/p11880923/s58556085/68f0511d-a790a0bc-cb8ef94a-c9af3e71-ab0c9352.jpg\n']
s58606191_8,p11880923,s58606191,8,Findings,"As compared to the previous radiograph, there is no relevant change. Pleural effusions bilaterally, right more than left, the distribution of which has changed, but not their overall extent. In the interval, the patient has been extubated. The other monitoring and support devices remain in place. Unchanged size of the cardiac silhouette. Unchanged mild fluid overload.",Unchanged size of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p11/p11880923/s58606191/44c09f7b-0aed1234-2a1a02ab-3e91e954-54be38b1.jpg'],['files/p11/p11880923/s58556085/68f0511d-a790a0bc-cb8ef94a-c9af3e71-ab0c9352.jpg\n']
s58606191_8,p11880923,s58606191,8,Findings,"As compared to the previous radiograph, there is no relevant change. Pleural effusions bilaterally, right more than left, the distribution of which has changed, but not their overall extent. In the interval, the patient has been extubated. The other monitoring and support devices remain in place. Unchanged size of the cardiac silhouette. Unchanged mild fluid overload.",The other monitoring and support devices remain in place.,monitoring and support devices,,Stable,['files/p11/p11880923/s58606191/44c09f7b-0aed1234-2a1a02ab-3e91e954-54be38b1.jpg'],['files/p11/p11880923/s58556085/68f0511d-a790a0bc-cb8ef94a-c9af3e71-ab0c9352.jpg\n']
s58606191_8,p11880923,s58606191,8,Findings,"As compared to the previous radiograph, there is no relevant change. Pleural effusions bilaterally, right more than left, the distribution of which has changed, but not their overall extent. In the interval, the patient has been extubated. The other monitoring and support devices remain in place. Unchanged size of the cardiac silhouette. Unchanged mild fluid overload.",Unchanged mild fluid overload.,mild fluid overload,,Stable,['files/p11/p11880923/s58606191/44c09f7b-0aed1234-2a1a02ab-3e91e954-54be38b1.jpg'],['files/p11/p11880923/s58556085/68f0511d-a790a0bc-cb8ef94a-c9af3e71-ab0c9352.jpg\n']
s58606191_8,p11880923,s58606191,8,Findings,"As compared to the previous radiograph, there is no relevant change. Pleural effusions bilaterally, right more than left, the distribution of which has changed, but not their overall extent. In the interval, the patient has been extubated. The other monitoring and support devices remain in place. Unchanged size of the cardiac silhouette. Unchanged mild fluid overload.","As compared to the previous radiograph, there is no relevant change.",,,Stable,['files/p11/p11880923/s58606191/44c09f7b-0aed1234-2a1a02ab-3e91e954-54be38b1.jpg'],['files/p11/p11880923/s58556085/68f0511d-a790a0bc-cb8ef94a-c9af3e71-ab0c9352.jpg\n']
s58606191_8,p11880923,s58606191,8,Findings,"As compared to the previous radiograph, there is no relevant change. Pleural effusions bilaterally, right more than left, the distribution of which has changed, but not their overall extent. In the interval, the patient has been extubated. The other monitoring and support devices remain in place. Unchanged size of the cardiac silhouette. Unchanged mild fluid overload.","Pleural effusions bilaterally, right more than left, the distribution of which has changed, but not their overall extent.",pleural effusions,"bilaterally, right more than left",Worse,['files/p11/p11880923/s58606191/44c09f7b-0aed1234-2a1a02ab-3e91e954-54be38b1.jpg'],['files/p11/p11880923/s58556085/68f0511d-a790a0bc-cb8ef94a-c9af3e71-ab0c9352.jpg\n']
s58608964_4,p12595991,s58608964,4,Impression,"AP chest compared to ___: Severe cardiomegaly and pulmonary vascular congestion have increased, exaggerated by low lung volumes. There is no pulmonary edema or pneumonia. Vascular deficiency in the lung apices, particularly the right suggests emphysema. Transvenous right atrial and left ventricular pacer and right ventricular pacer defibrillator leads are unchanged in their respective positions. ET tube in standard placement. No pneumothorax or appreciable pleural effusion.","AP chest compared to ___: Severe cardiomegaly and pulmonary vascular congestion have increased, exaggerated by low lung volumes.",pulmonary vascular congestion,,Worse,"['files/p12/p12595991/s58608964/396c7992-68232c77-c46b2942-5bf57cda-aab4c1b4.jpg', 'files/p12/p12595991/s58608964/fab6875e-e58537aa-922ded04-7be27ddc-15a63067.jpg']",['files/p12/p12595991/s58585557/036272e9-9052e7c2-444e59fd-86a7f36d-9dfe191a.jpg\n']
s58608964_4,p12595991,s58608964,4,Impression,"AP chest compared to ___: Severe cardiomegaly and pulmonary vascular congestion have increased, exaggerated by low lung volumes. There is no pulmonary edema or pneumonia. Vascular deficiency in the lung apices, particularly the right suggests emphysema. Transvenous right atrial and left ventricular pacer and right ventricular pacer defibrillator leads are unchanged in their respective positions. ET tube in standard placement. No pneumothorax or appreciable pleural effusion.","AP chest compared to ___: Severe cardiomegaly and pulmonary vascular congestion have increased, exaggerated by low lung volumes.",cardiomegaly,,Worse,"['files/p12/p12595991/s58608964/396c7992-68232c77-c46b2942-5bf57cda-aab4c1b4.jpg', 'files/p12/p12595991/s58608964/fab6875e-e58537aa-922ded04-7be27ddc-15a63067.jpg']",['files/p12/p12595991/s58585557/036272e9-9052e7c2-444e59fd-86a7f36d-9dfe191a.jpg\n']
s58608964_4,p12595991,s58608964,4,Impression,"AP chest compared to ___: Severe cardiomegaly and pulmonary vascular congestion have increased, exaggerated by low lung volumes. There is no pulmonary edema or pneumonia. Vascular deficiency in the lung apices, particularly the right suggests emphysema. Transvenous right atrial and left ventricular pacer and right ventricular pacer defibrillator leads are unchanged in their respective positions. ET tube in standard placement. No pneumothorax or appreciable pleural effusion.",Transvenous right atrial and left ventricular pacer and right ventricular pacer defibrillator leads are unchanged in their respective positions.,pacer and defibrillator leads,"right atrial, left ventricular, right ventricular",Stable,"['files/p12/p12595991/s58608964/396c7992-68232c77-c46b2942-5bf57cda-aab4c1b4.jpg', 'files/p12/p12595991/s58608964/fab6875e-e58537aa-922ded04-7be27ddc-15a63067.jpg']",['files/p12/p12595991/s58585557/036272e9-9052e7c2-444e59fd-86a7f36d-9dfe191a.jpg\n']
s58611036_0,p15109122,s58611036,0,Findings,"As compared to the previous radiograph, there is unchanged evidence of bilateral pleural effusions. Mild interstitial lung edema. Moderate cardiomegaly with bilateral areas of atelectasis. No newly occurred focal parenchymal opacity suggesting pneumonia.","As compared to the previous radiograph, there is unchanged evidence of bilateral pleural effusions.",pleural effusions,bilateral,Stable,"['files/p15/p15109122/s58611036/3c1b3188-06b1d3fc-5436c730-91b7dc0b-88efff54.jpg', 'files/p15/p15109122/s58611036/be8079bf-2ab5656d-d2cf6c18-8b9c6ea9-072acfe8.jpg']","['files/p15/p15109122/s57990557/1696cc16-4f3add15-38d5325d-204336a1-40ebda50.jpg\n', 'files/p15/p15109122/s57990557/e51de97b-284b687e-ba74eec4-51cb1569-ab258ee6.jpg\n', 'files/p15/p15109122/s57990557/f55793ae-ebe47e9b-c552f990-7c8c2963-b3aec012.jpg\n']"
s58621321_2,p12595991,s58621321,2,Findings,"Left-sided AICD/pacemaker device is noted with leads terminating in the right atrium, right ventricle, and coronary sinus, unchanged. Mild enlargement of the cardiac silhouette is stable, with aortic knob calcifications re-demonstrated. The pulmonary vascularity is normal, and the lungs are clear. No pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine with anterior bridging osteophytes.","Left-sided AICD/pacemaker device is noted with leads terminating in the right atrium, right ventricle, and coronary sinus, unchanged.",AICD/pacemaker device,left-sided,Stable,"['files/p12/p12595991/s58621321/cd866aa1-0710b4d4-2c7e1783-c1afef62-1d1301b4.jpg', 'files/p12/p12595991/s58621321/e3fc5bd6-0ebd345c-dd63d96c-6844627c-1b6cf82b.jpg']","['files/p12/p12595991/s58608964/396c7992-68232c77-c46b2942-5bf57cda-aab4c1b4.jpg\n', 'files/p12/p12595991/s58608964/fab6875e-e58537aa-922ded04-7be27ddc-15a63067.jpg\n']"
s58621321_2,p12595991,s58621321,2,Findings,"Left-sided AICD/pacemaker device is noted with leads terminating in the right atrium, right ventricle, and coronary sinus, unchanged. Mild enlargement of the cardiac silhouette is stable, with aortic knob calcifications re-demonstrated. The pulmonary vascularity is normal, and the lungs are clear. No pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine with anterior bridging osteophytes.","Mild enlargement of the cardiac silhouette is stable, with aortic knob calcifications re-demonstrated.",cardiac silhouette,,Stable,"['files/p12/p12595991/s58621321/cd866aa1-0710b4d4-2c7e1783-c1afef62-1d1301b4.jpg', 'files/p12/p12595991/s58621321/e3fc5bd6-0ebd345c-dd63d96c-6844627c-1b6cf82b.jpg']","['files/p12/p12595991/s58608964/396c7992-68232c77-c46b2942-5bf57cda-aab4c1b4.jpg\n', 'files/p12/p12595991/s58608964/fab6875e-e58537aa-922ded04-7be27ddc-15a63067.jpg\n']"
s58623741_6,p16662264,s58623741,6,Findings,Again seen is the right middle lobe infiltrate. There is also left lingular infiltrate that is slightly increased in conspicuity compared to prior. There are small bilateral pleural effusions that have increased compared to prior. The patchy upper lobe infiltrate seen on CT is not as well visualized on the chest x-ray.,Again seen is the right middle lobe infiltrate.,infiltrate,right middle lobe,Stable,"['files/p16/p16662264/s58623741/78ca5bf7-9af12524-0cd2bd0f-466c301c-5278ce0c.jpg', 'files/p16/p16662264/s58623741/a03ac33d-fe835365-82973c3a-0bf2e738-fbb8a2f1.jpg']","['files/p16/p16662264/s58598370/90700f34-2bf7712e-44ca9a85-f62ca3ec-083c083b.jpg\n', 'files/p16/p16662264/s58598370/c2402c74-80288790-b0b025b8-326882cb-8d3752f4.jpg\n']"
s58623741_6,p16662264,s58623741,6,Impression,Bilateral pneumonia with increased effusion.,Bilateral pneumonia with increased effusion.,pneumonia,bilateral,Worse,"['files/p16/p16662264/s58623741/78ca5bf7-9af12524-0cd2bd0f-466c301c-5278ce0c.jpg', 'files/p16/p16662264/s58623741/a03ac33d-fe835365-82973c3a-0bf2e738-fbb8a2f1.jpg']","['files/p16/p16662264/s58598370/90700f34-2bf7712e-44ca9a85-f62ca3ec-083c083b.jpg\n', 'files/p16/p16662264/s58598370/c2402c74-80288790-b0b025b8-326882cb-8d3752f4.jpg\n']"
s58623741_6,p16662264,s58623741,6,Findings,Again seen is the right middle lobe infiltrate. There is also left lingular infiltrate that is slightly increased in conspicuity compared to prior. There are small bilateral pleural effusions that have increased compared to prior. The patchy upper lobe infiltrate seen on CT is not as well visualized on the chest x-ray.,There are small bilateral pleural effusions that have increased compared to prior.,pleural effusions,bilateral,Worse,"['files/p16/p16662264/s58623741/78ca5bf7-9af12524-0cd2bd0f-466c301c-5278ce0c.jpg', 'files/p16/p16662264/s58623741/a03ac33d-fe835365-82973c3a-0bf2e738-fbb8a2f1.jpg']","['files/p16/p16662264/s58598370/90700f34-2bf7712e-44ca9a85-f62ca3ec-083c083b.jpg\n', 'files/p16/p16662264/s58598370/c2402c74-80288790-b0b025b8-326882cb-8d3752f4.jpg\n']"
s58623741_6,p16662264,s58623741,6,Findings,Again seen is the right middle lobe infiltrate. There is also left lingular infiltrate that is slightly increased in conspicuity compared to prior. There are small bilateral pleural effusions that have increased compared to prior. The patchy upper lobe infiltrate seen on CT is not as well visualized on the chest x-ray.,There is also left lingular infiltrate that is slightly increased in conspicuity compared to prior.,infiltrate,left lingular,Worse,"['files/p16/p16662264/s58623741/78ca5bf7-9af12524-0cd2bd0f-466c301c-5278ce0c.jpg', 'files/p16/p16662264/s58623741/a03ac33d-fe835365-82973c3a-0bf2e738-fbb8a2f1.jpg']","['files/p16/p16662264/s58598370/90700f34-2bf7712e-44ca9a85-f62ca3ec-083c083b.jpg\n', 'files/p16/p16662264/s58598370/c2402c74-80288790-b0b025b8-326882cb-8d3752f4.jpg\n']"
s58625748_0,p16059470,s58625748,0,Findings,"Frontal and lateral views of the chest are obtained. The patient is status post median sternotomy and CABG, with again most of the sternotomy wires seemed to be fractured. A left-sided AICD is stable in position. Minimal left base atelectasis/scarring is seen. There is blunting of the left costophrenic angle on the lateral view, which may be due to a trace pleural effusion. No pneumothorax or focal consolidation is seen. Calcified nodule in right upper lobe is again consistent with granuloma. The cardiac silhouette is top normal. The aortic knob is calcified.",Calcified nodule in right upper lobe is again consistent with granuloma.,calcified nodule,right upper lobe,Stable,"['files/p16/p16059470/s58625748/46f92d39-5a0b4745-589a5232-31469918-7d77751f.jpg', 'files/p16/p16059470/s58625748/8b6b90be-a3f009d8-fcfdce19-97533664-0f73e66c.jpg']",['files/p16/p16059470/s57952807/2b0c69d6-c2dc4934-db59e90a-2e58d454-ee26f72e.jpg\n']
s58625748_0,p16059470,s58625748,0,Findings,"Frontal and lateral views of the chest are obtained. The patient is status post median sternotomy and CABG, with again most of the sternotomy wires seemed to be fractured. A left-sided AICD is stable in position. Minimal left base atelectasis/scarring is seen. There is blunting of the left costophrenic angle on the lateral view, which may be due to a trace pleural effusion. No pneumothorax or focal consolidation is seen. Calcified nodule in right upper lobe is again consistent with granuloma. The cardiac silhouette is top normal. The aortic knob is calcified.","The patient is status post median sternotomy and CABG, with again most of the sternotomy wires seemed to be fractured.",fractured,sternotomy wires,Worse,"['files/p16/p16059470/s58625748/46f92d39-5a0b4745-589a5232-31469918-7d77751f.jpg', 'files/p16/p16059470/s58625748/8b6b90be-a3f009d8-fcfdce19-97533664-0f73e66c.jpg']",['files/p16/p16059470/s57952807/2b0c69d6-c2dc4934-db59e90a-2e58d454-ee26f72e.jpg\n']
s58625748_0,p16059470,s58625748,0,Findings,"Frontal and lateral views of the chest are obtained. The patient is status post median sternotomy and CABG, with again most of the sternotomy wires seemed to be fractured. A left-sided AICD is stable in position. Minimal left base atelectasis/scarring is seen. There is blunting of the left costophrenic angle on the lateral view, which may be due to a trace pleural effusion. No pneumothorax or focal consolidation is seen. Calcified nodule in right upper lobe is again consistent with granuloma. The cardiac silhouette is top normal. The aortic knob is calcified.",A left-sided AICD is stable in position.,AICD,left-sided,Stable,"['files/p16/p16059470/s58625748/46f92d39-5a0b4745-589a5232-31469918-7d77751f.jpg', 'files/p16/p16059470/s58625748/8b6b90be-a3f009d8-fcfdce19-97533664-0f73e66c.jpg']",['files/p16/p16059470/s57952807/2b0c69d6-c2dc4934-db59e90a-2e58d454-ee26f72e.jpg\n']
s58632637_33,p13263843,s58632637,33,Findings,"Comparison is made to previous study from ___. There is again seen a left-sided central venous line with the distal lead tip in the mid SVC. There is again seen whiteout of the entire right lung. A pleural catheter is seen at the right base. There is some prominence of the pulmonary interstitial markings in the left lung without definite consolidation. Overall, these findings appear relatively stable. There has been prior surgery in the right upper lung with removal of a portion of a rib.","Overall, these findings appear relatively stable.",findings,,Stable,"['files/p13/p13263843/s58632637/1f47d792-eda2bffe-f8173c15-50577b80-bfbd2e17.jpg', 'files/p13/p13263843/s58632637/6c8f6788-2282a048-8d892726-05bc3df6-fe88e6e7.jpg']","['files/p13/p13263843/s58319427/28e4376e-045edb59-84977ca1-d0deb357-1d35d4b9.jpg\n', 'files/p13/p13263843/s58319427/6f5dec34-e9ef8a35-1dd744f6-d818cd22-5dad9b6f.jpg\n']"
s58632637_33,p13263843,s58632637,33,Findings,"Comparison is made to previous study from ___. There is again seen a left-sided central venous line with the distal lead tip in the mid SVC. There is again seen whiteout of the entire right lung. A pleural catheter is seen at the right base. There is some prominence of the pulmonary interstitial markings in the left lung without definite consolidation. Overall, these findings appear relatively stable. There has been prior surgery in the right upper lung with removal of a portion of a rib.",Comparison is made to previous study from ___. There is again seen a left-sided central venous line with the distal lead tip in the mid SVC.,central venous line,left-sided,Stable,"['files/p13/p13263843/s58632637/1f47d792-eda2bffe-f8173c15-50577b80-bfbd2e17.jpg', 'files/p13/p13263843/s58632637/6c8f6788-2282a048-8d892726-05bc3df6-fe88e6e7.jpg']","['files/p13/p13263843/s58319427/28e4376e-045edb59-84977ca1-d0deb357-1d35d4b9.jpg\n', 'files/p13/p13263843/s58319427/6f5dec34-e9ef8a35-1dd744f6-d818cd22-5dad9b6f.jpg\n']"
s58632637_33,p13263843,s58632637,33,Findings,"Comparison is made to previous study from ___. There is again seen a left-sided central venous line with the distal lead tip in the mid SVC. There is again seen whiteout of the entire right lung. A pleural catheter is seen at the right base. There is some prominence of the pulmonary interstitial markings in the left lung without definite consolidation. Overall, these findings appear relatively stable. There has been prior surgery in the right upper lung with removal of a portion of a rib.",There is again seen whiteout of the entire right lung.,whiteout,entire right lung,Stable,"['files/p13/p13263843/s58632637/1f47d792-eda2bffe-f8173c15-50577b80-bfbd2e17.jpg', 'files/p13/p13263843/s58632637/6c8f6788-2282a048-8d892726-05bc3df6-fe88e6e7.jpg']","['files/p13/p13263843/s58319427/28e4376e-045edb59-84977ca1-d0deb357-1d35d4b9.jpg\n', 'files/p13/p13263843/s58319427/6f5dec34-e9ef8a35-1dd744f6-d818cd22-5dad9b6f.jpg\n']"
s58632637_33,p13263843,s58632637,33,Findings,"Comparison is made to previous study from ___. There is again seen a left-sided central venous line with the distal lead tip in the mid SVC. There is again seen whiteout of the entire right lung. A pleural catheter is seen at the right base. There is some prominence of the pulmonary interstitial markings in the left lung without definite consolidation. Overall, these findings appear relatively stable. There has been prior surgery in the right upper lung with removal of a portion of a rib.",There has been prior surgery in the right upper lung with removal of a portion of a rib.,portion of a rib,right upper lung,Resolve,"['files/p13/p13263843/s58632637/1f47d792-eda2bffe-f8173c15-50577b80-bfbd2e17.jpg', 'files/p13/p13263843/s58632637/6c8f6788-2282a048-8d892726-05bc3df6-fe88e6e7.jpg']","['files/p13/p13263843/s58319427/28e4376e-045edb59-84977ca1-d0deb357-1d35d4b9.jpg\n', 'files/p13/p13263843/s58319427/6f5dec34-e9ef8a35-1dd744f6-d818cd22-5dad9b6f.jpg\n']"
s58640644_2,p19028690,s58640644,2,Findings,"No focal consolidation, pleural effusion, or pneumothorax is seen. Lung volumes are slightly low. There may be an azygous lobe. Pulmonary vascular prominence is again seen with interval improvement in mild interstitial edema. Heart size is mildly enlarged.",Pulmonary vascular prominence is again seen with interval improvement in mild interstitial edema.,prominence,pulmonary vascular,Better,"['files/p19/p19028690/s58640644/88599fd0-57288634-2d77f19e-73726d34-90158ecc.jpg', 'files/p19/p19028690/s58640644/932b89a1-c36ebee2-a99dbcb1-aad3c07f-21047198.jpg', 'files/p19/p19028690/s58640644/db9b56da-aba5bf9f-df933d41-8e777fe3-56275adf.jpg']",['files/p19/p19028690/s57456610/51f5ce00-6a5bde30-814d9207-cc5f7a52-ceb3502a.jpg\n']
s58640644_2,p19028690,s58640644,2,Findings,"No focal consolidation, pleural effusion, or pneumothorax is seen. Lung volumes are slightly low. There may be an azygous lobe. Pulmonary vascular prominence is again seen with interval improvement in mild interstitial edema. Heart size is mildly enlarged.",Pulmonary vascular prominence is again seen with interval improvement in mild interstitial edema.,edema,mild interstitial,Better,"['files/p19/p19028690/s58640644/88599fd0-57288634-2d77f19e-73726d34-90158ecc.jpg', 'files/p19/p19028690/s58640644/932b89a1-c36ebee2-a99dbcb1-aad3c07f-21047198.jpg', 'files/p19/p19028690/s58640644/db9b56da-aba5bf9f-df933d41-8e777fe3-56275adf.jpg']",['files/p19/p19028690/s57456610/51f5ce00-6a5bde30-814d9207-cc5f7a52-ceb3502a.jpg\n']
s58640644_2,p19028690,s58640644,2,Impression,Persistent pulmonary vascular prominence with interval improvement in mild interstitial edema.,Persistent pulmonary vascular prominence with interval improvement in mild interstitial edema.,prominence,pulmonary vascular,Stable,"['files/p19/p19028690/s58640644/88599fd0-57288634-2d77f19e-73726d34-90158ecc.jpg', 'files/p19/p19028690/s58640644/932b89a1-c36ebee2-a99dbcb1-aad3c07f-21047198.jpg', 'files/p19/p19028690/s58640644/db9b56da-aba5bf9f-df933d41-8e777fe3-56275adf.jpg']",['files/p19/p19028690/s57456610/51f5ce00-6a5bde30-814d9207-cc5f7a52-ceb3502a.jpg\n']
s58640644_2,p19028690,s58640644,2,Impression,Persistent pulmonary vascular prominence with interval improvement in mild interstitial edema.,Persistent pulmonary vascular prominence with interval improvement in mild interstitial edema.,edema,mild interstitial,Better,"['files/p19/p19028690/s58640644/88599fd0-57288634-2d77f19e-73726d34-90158ecc.jpg', 'files/p19/p19028690/s58640644/932b89a1-c36ebee2-a99dbcb1-aad3c07f-21047198.jpg', 'files/p19/p19028690/s58640644/db9b56da-aba5bf9f-df933d41-8e777fe3-56275adf.jpg']",['files/p19/p19028690/s57456610/51f5ce00-6a5bde30-814d9207-cc5f7a52-ceb3502a.jpg\n']
s58641137_7,p17032538,s58641137,7,Findings,"Endotracheal tube terminates approximately 3.4 cm above the carina and is adequately positioned. Feeding tube is seen to course below the diaphragm into the stomach; however, distal end is out of the radiographic view. Right mid and lower lung and left lower lung opacities concerning for multifocal pneumonia have worsened since ___. An coexisting component pulmonary edema is possible. No other interval changes. Scarring in the right lower lungs and right apical dense pleural thickening are unchanged. Small bilateral pleural effusions are similar. No pneumothorax.",Right mid and lower lung and left lower lung opacities concerning for multifocal pneumonia have worsened since ___.,opacities,"right mid and lower lung, left lower lung",Worse,"['files/p17/p17032538/s58641137/360e3149-7a10216b-6b790393-8b2422b6-b3909360.jpg', 'files/p17/p17032538/s58641137/6ec78bca-9eb86302-16367715-1a68dd88-f70084c0.jpg']","['files/p17/p17032538/s57983519/942b87db-92f73c39-9eae876d-2731e13d-fd427d86.jpg\n', 'files/p17/p17032538/s57983519/c620517c-54116688-14dadd50-6b22f911-d5812c38.jpg\n']"
s58641137_7,p17032538,s58641137,7,Findings,"Endotracheal tube terminates approximately 3.4 cm above the carina and is adequately positioned. Feeding tube is seen to course below the diaphragm into the stomach; however, distal end is out of the radiographic view. Right mid and lower lung and left lower lung opacities concerning for multifocal pneumonia have worsened since ___. An coexisting component pulmonary edema is possible. No other interval changes. Scarring in the right lower lungs and right apical dense pleural thickening are unchanged. Small bilateral pleural effusions are similar. No pneumothorax.",Scarring in the right lower lungs and right apical dense pleural thickening are unchanged.,"scarring, dense pleural thickening","right lower lungs, right apical",Stable,"['files/p17/p17032538/s58641137/360e3149-7a10216b-6b790393-8b2422b6-b3909360.jpg', 'files/p17/p17032538/s58641137/6ec78bca-9eb86302-16367715-1a68dd88-f70084c0.jpg']","['files/p17/p17032538/s57983519/942b87db-92f73c39-9eae876d-2731e13d-fd427d86.jpg\n', 'files/p17/p17032538/s57983519/c620517c-54116688-14dadd50-6b22f911-d5812c38.jpg\n']"
s58641137_7,p17032538,s58641137,7,Findings,"Endotracheal tube terminates approximately 3.4 cm above the carina and is adequately positioned. Feeding tube is seen to course below the diaphragm into the stomach; however, distal end is out of the radiographic view. Right mid and lower lung and left lower lung opacities concerning for multifocal pneumonia have worsened since ___. An coexisting component pulmonary edema is possible. No other interval changes. Scarring in the right lower lungs and right apical dense pleural thickening are unchanged. Small bilateral pleural effusions are similar. No pneumothorax.",Small bilateral pleural effusions are similar.,pleural effusions,bilateral,Stable,"['files/p17/p17032538/s58641137/360e3149-7a10216b-6b790393-8b2422b6-b3909360.jpg', 'files/p17/p17032538/s58641137/6ec78bca-9eb86302-16367715-1a68dd88-f70084c0.jpg']","['files/p17/p17032538/s57983519/942b87db-92f73c39-9eae876d-2731e13d-fd427d86.jpg\n', 'files/p17/p17032538/s57983519/c620517c-54116688-14dadd50-6b22f911-d5812c38.jpg\n']"
s58644358_41,p14851532,s58644358,41,Findings,The patient has had a prior sternal resection with consequent deformity of the anterior chest wall. The trachea is central. The cardiomediastinal contour is within normal limits. Coronary artery bypass graft clips are seen. A spiculated opacity in the right upper lung is less conspicuous than on the prior chest radiograph from ___ a more ill-defined opacity in the left mid lung is similar in appearance. Both of these opacities were seen on the prior CT chest. No pneumothorax or pleural effusion seen. The visualized bony structures are demineralized but otherwise unremarkable in appearance.,A spiculated opacity in the right upper lung is less conspicuous than on the prior chest radiograph from ___ a more ill-defined opacity in the left mid lung is similar in appearance.,Spiculated opacity,Right upper lung,Stable,"['files/p14/p14851532/s58644358/029111b4-42895f22-a6debf60-499363fc-8506c4b1.jpg', 'files/p14/p14851532/s58644358/cad294ec-5e2a00a5-5080644b-2dcc1bb7-3c743d0a.jpg']",['files/p14/p14851532/s58585627/42c22f15-803b9ea1-709d9163-e1ec1da8-df4d6d86.jpg\n']
s58644358_41,p14851532,s58644358,41,Findings,The patient has had a prior sternal resection with consequent deformity of the anterior chest wall. The trachea is central. The cardiomediastinal contour is within normal limits. Coronary artery bypass graft clips are seen. A spiculated opacity in the right upper lung is less conspicuous than on the prior chest radiograph from ___ a more ill-defined opacity in the left mid lung is similar in appearance. Both of these opacities were seen on the prior CT chest. No pneumothorax or pleural effusion seen. The visualized bony structures are demineralized but otherwise unremarkable in appearance.,A spiculated opacity in the right upper lung is less conspicuous than on the prior chest radiograph from ___ a more ill-defined opacity in the left mid lung is similar in appearance.,Ill-defined opacity,Left mid lung,Stable,"['files/p14/p14851532/s58644358/029111b4-42895f22-a6debf60-499363fc-8506c4b1.jpg', 'files/p14/p14851532/s58644358/cad294ec-5e2a00a5-5080644b-2dcc1bb7-3c743d0a.jpg']",['files/p14/p14851532/s58585627/42c22f15-803b9ea1-709d9163-e1ec1da8-df4d6d86.jpg\n']
s58645963_1,p13078497,s58645963,1,Findings,"In comparison with the study of ___, there is continued substantial enlargement of the cardiac silhouette with diffuse bilateral pulmonary opacifications consistent with worsening pulmonary edema and bilateral pleural effusion. An endotracheal tube is now in place with its tip approximately 6 cm above the carina. Nasogastric tube extends at least to the antrum of the stomach where it crosses the lower margin of the image.","In comparison with the study of ___, there is continued substantial enlargement of the cardiac silhouette with diffuse bilateral pulmonary opacifications consistent with worsening pulmonary edema and bilateral pleural effusion.",pleural effusion,bilateral,Worse,['files/p13/p13078497/s58645963/873534d1-56db4ca5-99ce7bc9-e5c568ef-fa59f01b.jpg'],['files/p13/p13078497/s58410688/b60d9052-3235c4b8-59510f55-a43f5ffd-e99a36d2.jpg\n']
s58645963_1,p13078497,s58645963,1,Findings,"In comparison with the study of ___, there is continued substantial enlargement of the cardiac silhouette with diffuse bilateral pulmonary opacifications consistent with worsening pulmonary edema and bilateral pleural effusion. An endotracheal tube is now in place with its tip approximately 6 cm above the carina. Nasogastric tube extends at least to the antrum of the stomach where it crosses the lower margin of the image.","In comparison with the study of ___, there is continued substantial enlargement of the cardiac silhouette with diffuse bilateral pulmonary opacifications consistent with worsening pulmonary edema and bilateral pleural effusion.",pulmonary edema,bilateral,Worse,['files/p13/p13078497/s58645963/873534d1-56db4ca5-99ce7bc9-e5c568ef-fa59f01b.jpg'],['files/p13/p13078497/s58410688/b60d9052-3235c4b8-59510f55-a43f5ffd-e99a36d2.jpg\n']
s58656783_3,p17032538,s58656783,3,Impression,"AP chest submitted for review at 4:53 p.m.: Moderate pulmonary edema unchanged since ___. Emphysema, right pleural thickening and pleural calcification have been discussed on prior and subsequent radiographic reports. Heart size is normal. ET tube in standard placement.",AP chest submitted for review at 4:53 p.m.: Moderate pulmonary edema unchanged since ___.,Moderate pulmonary edema,,Stable,"['files/p17/p17032538/s58656783/c4927232-cfa74c6c-fb8d8e6f-931f938a-bf0ca6de.jpg', 'files/p17/p17032538/s58656783/e426b51e-f7222833-d8ee3136-30f0df83-872a415e.jpg']","['files/p17/p17032538/s58641137/360e3149-7a10216b-6b790393-8b2422b6-b3909360.jpg\n', 'files/p17/p17032538/s58641137/6ec78bca-9eb86302-16367715-1a68dd88-f70084c0.jpg\n']"
s58666319_0,p13755940,s58666319,0,Impression,AP chest compared to ___ at 11:05 p.m. There is no pneumothorax. Moderate right pleural effusion is stable. Small left pleural effusion and left lower lobe atelectasis or consolidation have increased. The cardiac silhouette is moderately enlarged. The pulmonary vasculature is normal and there is no pulmonary edema. Right jugular line ends in the upper SVC.,Small left pleural effusion and left lower lobe atelectasis or consolidation have increased.,pleural effusion,left,Worse,['files/p13/p13755940/s58666319/57b2666a-699fa6ab-57992ba2-54520a2e-7ee60ae6.jpg'],['files/p13/p13755940/s54060800/9678dc02-54a05e84-f5efffa5-bc62e0a2-83dac014.jpg\n']
s58666319_0,p13755940,s58666319,0,Impression,AP chest compared to ___ at 11:05 p.m. There is no pneumothorax. Moderate right pleural effusion is stable. Small left pleural effusion and left lower lobe atelectasis or consolidation have increased. The cardiac silhouette is moderately enlarged. The pulmonary vasculature is normal and there is no pulmonary edema. Right jugular line ends in the upper SVC.,Moderate right pleural effusion is stable.,pleural effusion,right,Stable,['files/p13/p13755940/s58666319/57b2666a-699fa6ab-57992ba2-54520a2e-7ee60ae6.jpg'],['files/p13/p13755940/s54060800/9678dc02-54a05e84-f5efffa5-bc62e0a2-83dac014.jpg\n']
s58666319_0,p13755940,s58666319,0,Impression,AP chest compared to ___ at 11:05 p.m. There is no pneumothorax. Moderate right pleural effusion is stable. Small left pleural effusion and left lower lobe atelectasis or consolidation have increased. The cardiac silhouette is moderately enlarged. The pulmonary vasculature is normal and there is no pulmonary edema. Right jugular line ends in the upper SVC.,Small left pleural effusion and left lower lobe atelectasis or consolidation have increased.,atelectasis or consolidation,left lower lobe,Worse,['files/p13/p13755940/s58666319/57b2666a-699fa6ab-57992ba2-54520a2e-7ee60ae6.jpg'],['files/p13/p13755940/s54060800/9678dc02-54a05e84-f5efffa5-bc62e0a2-83dac014.jpg\n']
s58669896_15,p19075045,s58669896,15,Findings,"There has been interval development of diffuse, mild to moderate interstitial pulmonary edema. A focal opacity seen in the right middle lobe may represent an early pnemonia in the appropriate clinical setting. Redemonstrated is stable moderate cardiomegaly with small bilateral pleural effusions. Mediastinal and hilar contours are stable. The patient is status post CABG with median sternotomy wires aligned and intact. A transvenous pacemaker is seen with leads terminating in right atrium and right ventricle.",Mediastinal and hilar contours are stable.,Mediastinal and hilar contours,,Stable,['files/p19/p19075045/s58669896/e8fe1d63-cd1aba2f-a7c06ed9-9add34f1-736fa06f.jpg'],"['files/p19/p19075045/s58577683/28436719-d87f3ae5-9c69e639-adb91cdf-96771118.jpg\n', 'files/p19/p19075045/s58577683/2d0d0cce-dd111287-ec34ac38-90e1c536-17d3bdd9.jpg\n']"
s58669896_15,p19075045,s58669896,15,Findings,"There has been interval development of diffuse, mild to moderate interstitial pulmonary edema. A focal opacity seen in the right middle lobe may represent an early pnemonia in the appropriate clinical setting. Redemonstrated is stable moderate cardiomegaly with small bilateral pleural effusions. Mediastinal and hilar contours are stable. The patient is status post CABG with median sternotomy wires aligned and intact. A transvenous pacemaker is seen with leads terminating in right atrium and right ventricle.",Redemonstrated is stable moderate cardiomegaly with small bilateral pleural effusions.,pleural effusions,bilateral,Stable,['files/p19/p19075045/s58669896/e8fe1d63-cd1aba2f-a7c06ed9-9add34f1-736fa06f.jpg'],"['files/p19/p19075045/s58577683/28436719-d87f3ae5-9c69e639-adb91cdf-96771118.jpg\n', 'files/p19/p19075045/s58577683/2d0d0cce-dd111287-ec34ac38-90e1c536-17d3bdd9.jpg\n']"
s58669896_15,p19075045,s58669896,15,Findings,"There has been interval development of diffuse, mild to moderate interstitial pulmonary edema. A focal opacity seen in the right middle lobe may represent an early pnemonia in the appropriate clinical setting. Redemonstrated is stable moderate cardiomegaly with small bilateral pleural effusions. Mediastinal and hilar contours are stable. The patient is status post CABG with median sternotomy wires aligned and intact. A transvenous pacemaker is seen with leads terminating in right atrium and right ventricle.",A focal opacity seen in the right middle lobe may represent an early pneumonia in the appropriate clinical setting.,focal opacity,right middle lobe,New,['files/p19/p19075045/s58669896/e8fe1d63-cd1aba2f-a7c06ed9-9add34f1-736fa06f.jpg'],"['files/p19/p19075045/s58577683/28436719-d87f3ae5-9c69e639-adb91cdf-96771118.jpg\n', 'files/p19/p19075045/s58577683/2d0d0cce-dd111287-ec34ac38-90e1c536-17d3bdd9.jpg\n']"
s58669896_15,p19075045,s58669896,15,Findings,"There has been interval development of diffuse, mild to moderate interstitial pulmonary edema. A focal opacity seen in the right middle lobe may represent an early pnemonia in the appropriate clinical setting. Redemonstrated is stable moderate cardiomegaly with small bilateral pleural effusions. Mediastinal and hilar contours are stable. The patient is status post CABG with median sternotomy wires aligned and intact. A transvenous pacemaker is seen with leads terminating in right atrium and right ventricle.","There has been interval development of diffuse, mild to moderate interstitial pulmonary edema.",interstitial pulmonary edema,diffuse,New,['files/p19/p19075045/s58669896/e8fe1d63-cd1aba2f-a7c06ed9-9add34f1-736fa06f.jpg'],"['files/p19/p19075045/s58577683/28436719-d87f3ae5-9c69e639-adb91cdf-96771118.jpg\n', 'files/p19/p19075045/s58577683/2d0d0cce-dd111287-ec34ac38-90e1c536-17d3bdd9.jpg\n']"
s58669896_15,p19075045,s58669896,15,Impression,"1. Probable right middle lobe pneumonia. Recommend PA/lateral chest radiographs to confirm and further characterize the opacity. 2. Mild to moderate, diffuse interstitial pulmonary edema. 3. Stable moderate cardiomegaly with small bilateral pleural effusions.",1. Probable right middle lobe pneumonia. Recommend PA/lateral chest radiographs to confirm and further characterize the opacity.,pneumonia,right middle lobe,New,['files/p19/p19075045/s58669896/e8fe1d63-cd1aba2f-a7c06ed9-9add34f1-736fa06f.jpg'],"['files/p19/p19075045/s58577683/28436719-d87f3ae5-9c69e639-adb91cdf-96771118.jpg\n', 'files/p19/p19075045/s58577683/2d0d0cce-dd111287-ec34ac38-90e1c536-17d3bdd9.jpg\n']"
s58669896_15,p19075045,s58669896,15,Impression,"1. Probable right middle lobe pneumonia. Recommend PA/lateral chest radiographs to confirm and further characterize the opacity. 2. Mild to moderate, diffuse interstitial pulmonary edema. 3. Stable moderate cardiomegaly with small bilateral pleural effusions.",3. Stable moderate cardiomegaly with small bilateral pleural effusions.,pleural effusions,bilateral,Stable,['files/p19/p19075045/s58669896/e8fe1d63-cd1aba2f-a7c06ed9-9add34f1-736fa06f.jpg'],"['files/p19/p19075045/s58577683/28436719-d87f3ae5-9c69e639-adb91cdf-96771118.jpg\n', 'files/p19/p19075045/s58577683/2d0d0cce-dd111287-ec34ac38-90e1c536-17d3bdd9.jpg\n']"
s58669896_15,p19075045,s58669896,15,Impression,"1. Probable right middle lobe pneumonia. Recommend PA/lateral chest radiographs to confirm and further characterize the opacity. 2. Mild to moderate, diffuse interstitial pulmonary edema. 3. Stable moderate cardiomegaly with small bilateral pleural effusions.","2. Mild to moderate, diffuse interstitial pulmonary edema.",interstitial pulmonary edema,diffuse,New,['files/p19/p19075045/s58669896/e8fe1d63-cd1aba2f-a7c06ed9-9add34f1-736fa06f.jpg'],"['files/p19/p19075045/s58577683/28436719-d87f3ae5-9c69e639-adb91cdf-96771118.jpg\n', 'files/p19/p19075045/s58577683/2d0d0cce-dd111287-ec34ac38-90e1c536-17d3bdd9.jpg\n']"
s58678573_5,p13896515,s58678573,5,Findings,"In comparison with the study of ___, the monitoring and support devices remain in place. There is again substantial enlargement of the cardiac silhouette with congestive failure. Mild blunting of the left costophrenic angle.","In comparison with the study of ___, the monitoring and support devices remain in place.",monitoring and support devices,,Stable,['files/p13/p13896515/s58678573/020b5099-d3d7ffdf-de17c3ce-3474f286-010786e6.jpg'],['files/p13/p13896515/s58469571/db0ff7a9-8860e50f-7b50f798-2e24594e-9c16c38d.jpg\n']
s58680008_31,p13475033,s58680008,31,Findings,Mild cardiomegaly has been stable compared to exams dated back to at least ___. Unchanged widening of the superior mediastinum is due to both mediastinal lipomatosis and tortuous vessels as seen on the prior CT from ___. Re-demonstrated is a right-sided Morgagni hernia. There is no pleural effusion or pneumothorax. No new focal consolidations concerning for pneumonia are identified. Loss of a height of T9 vertebral body is not significantly changed compared to the prior CT from ___. Visualized osseous structures are otherwise unremarkable.,Unchanged widening of the superior mediastinum is due to both mediastinal lipomatosis and tortuous vessels as seen on the prior CT from ___.,mediastinal widening,superior,Stable,"['files/p13/p13475033/s58680008/05470fe6-5af4b766-058bcd62-7e3f218b-da0f7a60.jpg', 'files/p13/p13475033/s58680008/3f111bf1-0ce0a81f-76b66ed5-c8517077-9373dbea.jpg']","['files/p13/p13475033/s58495524/1fbd1640-367c4f70-02a3a28c-d27a8a1f-ac0fd964.jpg\n', 'files/p13/p13475033/s58495524/5e8e548c-59b6fa70-d71716fa-d03c9e0b-2dc443eb.jpg\n', 'files/p13/p13475033/s58495524/6f5a9223-40509c39-c0498f04-583d1f26-1c7137d6.jpg\n']"
s58680008_31,p13475033,s58680008,31,Findings,Mild cardiomegaly has been stable compared to exams dated back to at least ___. Unchanged widening of the superior mediastinum is due to both mediastinal lipomatosis and tortuous vessels as seen on the prior CT from ___. Re-demonstrated is a right-sided Morgagni hernia. There is no pleural effusion or pneumothorax. No new focal consolidations concerning for pneumonia are identified. Loss of a height of T9 vertebral body is not significantly changed compared to the prior CT from ___. Visualized osseous structures are otherwise unremarkable.,Re-demonstrated is a right-sided Morgagni hernia.,Morgagni hernia,right-sided,Stable,"['files/p13/p13475033/s58680008/05470fe6-5af4b766-058bcd62-7e3f218b-da0f7a60.jpg', 'files/p13/p13475033/s58680008/3f111bf1-0ce0a81f-76b66ed5-c8517077-9373dbea.jpg']","['files/p13/p13475033/s58495524/1fbd1640-367c4f70-02a3a28c-d27a8a1f-ac0fd964.jpg\n', 'files/p13/p13475033/s58495524/5e8e548c-59b6fa70-d71716fa-d03c9e0b-2dc443eb.jpg\n', 'files/p13/p13475033/s58495524/6f5a9223-40509c39-c0498f04-583d1f26-1c7137d6.jpg\n']"
s58680008_31,p13475033,s58680008,31,Findings,Mild cardiomegaly has been stable compared to exams dated back to at least ___. Unchanged widening of the superior mediastinum is due to both mediastinal lipomatosis and tortuous vessels as seen on the prior CT from ___. Re-demonstrated is a right-sided Morgagni hernia. There is no pleural effusion or pneumothorax. No new focal consolidations concerning for pneumonia are identified. Loss of a height of T9 vertebral body is not significantly changed compared to the prior CT from ___. Visualized osseous structures are otherwise unremarkable.,Loss of a height of T9 vertebral body is not significantly changed compared to the prior CT from ___.,vertebral body height loss,T9,Stable,"['files/p13/p13475033/s58680008/05470fe6-5af4b766-058bcd62-7e3f218b-da0f7a60.jpg', 'files/p13/p13475033/s58680008/3f111bf1-0ce0a81f-76b66ed5-c8517077-9373dbea.jpg']","['files/p13/p13475033/s58495524/1fbd1640-367c4f70-02a3a28c-d27a8a1f-ac0fd964.jpg\n', 'files/p13/p13475033/s58495524/5e8e548c-59b6fa70-d71716fa-d03c9e0b-2dc443eb.jpg\n', 'files/p13/p13475033/s58495524/6f5a9223-40509c39-c0498f04-583d1f26-1c7137d6.jpg\n']"
s58680008_31,p13475033,s58680008,31,Findings,Mild cardiomegaly has been stable compared to exams dated back to at least ___. Unchanged widening of the superior mediastinum is due to both mediastinal lipomatosis and tortuous vessels as seen on the prior CT from ___. Re-demonstrated is a right-sided Morgagni hernia. There is no pleural effusion or pneumothorax. No new focal consolidations concerning for pneumonia are identified. Loss of a height of T9 vertebral body is not significantly changed compared to the prior CT from ___. Visualized osseous structures are otherwise unremarkable.,Mild cardiomegaly has been stable compared to exams dated back to ___.,mild cardiomegaly,,Stable,"['files/p13/p13475033/s58680008/05470fe6-5af4b766-058bcd62-7e3f218b-da0f7a60.jpg', 'files/p13/p13475033/s58680008/3f111bf1-0ce0a81f-76b66ed5-c8517077-9373dbea.jpg']","['files/p13/p13475033/s58495524/1fbd1640-367c4f70-02a3a28c-d27a8a1f-ac0fd964.jpg\n', 'files/p13/p13475033/s58495524/5e8e548c-59b6fa70-d71716fa-d03c9e0b-2dc443eb.jpg\n', 'files/p13/p13475033/s58495524/6f5a9223-40509c39-c0498f04-583d1f26-1c7137d6.jpg\n']"
s58680008_31,p13475033,s58680008,31,Impression,1. No acute intrathoracic abnormalities identified. 2. Persistent mild cardiomegaly.,Persistent mild cardiomegaly.,mild cardiomegaly,,Stable,"['files/p13/p13475033/s58680008/05470fe6-5af4b766-058bcd62-7e3f218b-da0f7a60.jpg', 'files/p13/p13475033/s58680008/3f111bf1-0ce0a81f-76b66ed5-c8517077-9373dbea.jpg']","['files/p13/p13475033/s58495524/1fbd1640-367c4f70-02a3a28c-d27a8a1f-ac0fd964.jpg\n', 'files/p13/p13475033/s58495524/5e8e548c-59b6fa70-d71716fa-d03c9e0b-2dc443eb.jpg\n', 'files/p13/p13475033/s58495524/6f5a9223-40509c39-c0498f04-583d1f26-1c7137d6.jpg\n']"
s58685714_20,p15259244,s58685714,20,Findings,"In comparison with the study of ___, there are bilateral pigtail catheters at the bases. There has been a substantial decrease in effusion on the right with reexpansion of the lung. On the left, there has been no decrease in effusion with increased amount of opacification along the left lateral chest wall. Some of this may represent loculated rather than free effusions. Monitoring and support devices remain in place, and there is again evidence of vascular congestion and cardiomegaly.",There has been a substantial decrease in effusion on the right with reexpansion of the lung.,effusion,right,Better,['files/p15/p15259244/s58685714/ecc315d7-39f7e590-405c1a1f-5a8f026d-560ba339.jpg'],['files/p15/p15259244/s58464159/93c7dad2-501ec9ee-b423b86d-71f2b828-1e3f0573.jpg\n']
s58685714_20,p15259244,s58685714,20,Findings,"In comparison with the study of ___, there are bilateral pigtail catheters at the bases. There has been a substantial decrease in effusion on the right with reexpansion of the lung. On the left, there has been no decrease in effusion with increased amount of opacification along the left lateral chest wall. Some of this may represent loculated rather than free effusions. Monitoring and support devices remain in place, and there is again evidence of vascular congestion and cardiomegaly.","On the left, there has been no decrease in effusion with increased amount of opacification along the left lateral chest wall.",effusion,left,Stable,['files/p15/p15259244/s58685714/ecc315d7-39f7e590-405c1a1f-5a8f026d-560ba339.jpg'],['files/p15/p15259244/s58464159/93c7dad2-501ec9ee-b423b86d-71f2b828-1e3f0573.jpg\n']
s58685714_20,p15259244,s58685714,20,Findings,"In comparison with the study of ___, there are bilateral pigtail catheters at the bases. There has been a substantial decrease in effusion on the right with reexpansion of the lung. On the left, there has been no decrease in effusion with increased amount of opacification along the left lateral chest wall. Some of this may represent loculated rather than free effusions. Monitoring and support devices remain in place, and there is again evidence of vascular congestion and cardiomegaly.","Monitoring and support devices remain in place, and there is again evidence of vascular congestion and cardiomegaly.",vascular congestion and cardiomegaly,,Stable,['files/p15/p15259244/s58685714/ecc315d7-39f7e590-405c1a1f-5a8f026d-560ba339.jpg'],['files/p15/p15259244/s58464159/93c7dad2-501ec9ee-b423b86d-71f2b828-1e3f0573.jpg\n']
s58698919_57,p15131736,s58698919,57,Impression,The endotracheal tube and nasogastric tubes have been removed. There is no significant change in the pulmonary edema. There are no new areas of consolidation with some persistent density in the right lung base. There is no pneumothorax.,There are no new areas of consolidation with some persistent density in the right lung base.,density,Right lung base,Stable,['files/p15/p15131736/s58698919/4b3c3806-311dc11c-5c89f911-3f5b98e5-e5291eb6.jpg'],"['files/p15/p15131736/s58470850/1b9a76c5-24e784cb-4a768979-edd5e575-042c91a0.jpg\n', 'files/p15/p15131736/s58470850/a784856b-5e0c40a5-adf5c519-298e21a2-ef3a0062.jpg\n']"
s58698919_57,p15131736,s58698919,57,Impression,The endotracheal tube and nasogastric tubes have been removed. There is no significant change in the pulmonary edema. There are no new areas of consolidation with some persistent density in the right lung base. There is no pneumothorax.,There is no significant change in the pulmonary edema.,edema,Pulmonary,Stable,['files/p15/p15131736/s58698919/4b3c3806-311dc11c-5c89f911-3f5b98e5-e5291eb6.jpg'],"['files/p15/p15131736/s58470850/1b9a76c5-24e784cb-4a768979-edd5e575-042c91a0.jpg\n', 'files/p15/p15131736/s58470850/a784856b-5e0c40a5-adf5c519-298e21a2-ef3a0062.jpg\n']"
s58698919_57,p15131736,s58698919,57,Impression,The endotracheal tube and nasogastric tubes have been removed. There is no significant change in the pulmonary edema. There are no new areas of consolidation with some persistent density in the right lung base. There is no pneumothorax.,The endotracheal tube and nasogastric tubes have been removed.,endotracheal tube,Tracheal,Resolve,['files/p15/p15131736/s58698919/4b3c3806-311dc11c-5c89f911-3f5b98e5-e5291eb6.jpg'],"['files/p15/p15131736/s58470850/1b9a76c5-24e784cb-4a768979-edd5e575-042c91a0.jpg\n', 'files/p15/p15131736/s58470850/a784856b-5e0c40a5-adf5c519-298e21a2-ef3a0062.jpg\n']"
s58698919_57,p15131736,s58698919,57,Impression,The endotracheal tube and nasogastric tubes have been removed. There is no significant change in the pulmonary edema. There are no new areas of consolidation with some persistent density in the right lung base. There is no pneumothorax.,The endotracheal tube and nasogastric tubes have been removed.,nasogastric tubes,Gastric,Resolve,['files/p15/p15131736/s58698919/4b3c3806-311dc11c-5c89f911-3f5b98e5-e5291eb6.jpg'],"['files/p15/p15131736/s58470850/1b9a76c5-24e784cb-4a768979-edd5e575-042c91a0.jpg\n', 'files/p15/p15131736/s58470850/a784856b-5e0c40a5-adf5c519-298e21a2-ef3a0062.jpg\n']"
s58701930_1,p16662264,s58701930,1,Findings,"Subtle increased density adjacent to the cardiac apex, with obscuration of the lower left cardiac border, has been present on multiple prior studies, and is thus likely chronic. No corresponding abnormality was identified on the lateral view performed one day prior. There is no further parenchymal opacity identified. There is no pleural effusion or pneumothorax. The cardiomediastinal contours are unchanged. There is no pulmonary vascular congestion or edema. There are no acute osseous abnormalities.",The cardiomediastinal contours are unchanged.,cardiomediastinal contours,,Stable,['files/p16/p16662264/s58701930/463d2a28-b411bb98-f7bda38e-7030ebb9-74a8a1e0.jpg'],"['files/p16/p16662264/s58623741/78ca5bf7-9af12524-0cd2bd0f-466c301c-5278ce0c.jpg\n', 'files/p16/p16662264/s58623741/a03ac33d-fe835365-82973c3a-0bf2e738-fbb8a2f1.jpg\n']"
s58701930_1,p16662264,s58701930,1,Findings,"Subtle increased density adjacent to the cardiac apex, with obscuration of the lower left cardiac border, has been present on multiple prior studies, and is thus likely chronic. No corresponding abnormality was identified on the lateral view performed one day prior. There is no further parenchymal opacity identified. There is no pleural effusion or pneumothorax. The cardiomediastinal contours are unchanged. There is no pulmonary vascular congestion or edema. There are no acute osseous abnormalities.","Subtle increased density adjacent to the cardiac apex, with obscuration of the lower left cardiac border, has been present on multiple prior studies, and is thus likely chronic.",density,adjacent to the cardiac apex,Stable,['files/p16/p16662264/s58701930/463d2a28-b411bb98-f7bda38e-7030ebb9-74a8a1e0.jpg'],"['files/p16/p16662264/s58623741/78ca5bf7-9af12524-0cd2bd0f-466c301c-5278ce0c.jpg\n', 'files/p16/p16662264/s58623741/a03ac33d-fe835365-82973c3a-0bf2e738-fbb8a2f1.jpg\n']"
s58704662_8,p12530259,s58704662,8,Findings,"ET tube ends 4.5 cm above carina. NG tube is in the stomach, and left jugular line ends in upper SVC. There is no pneumothorax, and left chest tube is in unchanged position in upper hemithorax. Left upper lobe that was collapsed yesterday is more aerated and left lung pulmonary edema has significantly improved. There is some residual small basilar atelectasis and small pleural effusion, if any. Mild subcutaneous air has improved. Right lung is unremarkable. Mediastinal and cardiac contours are unchanged.","ET tube ends 4.5 cm above carina. NG tube is in the stomach, and left jugular line ends in upper SVC. There is no pneumothorax, and left chest tube is in unchanged position in upper hemithorax. Left upper lobe that was collapsed yesterday is more aerated and left lung pulmonary edema has significantly improved. There is some residual small basilar atelectasis and small pleural effusion, if any. Mild subcutaneous air has improved. Right lung is unremarkable. Mediastinal and cardiac contours are unchanged.",aeration,left upper lobe,Better,['files/p12/p12530259/s58704662/8f427f0a-04f15d74-7d27eb04-930290b5-286d1642.jpg'],"['files/p12/p12530259/s57147904/5c89e63b-e57804d8-7f1819df-413feb15-01628ce4.jpg\n', 'files/p12/p12530259/s57147904/ef905e68-392ffa59-22123661-7afd32ae-30f983d5.jpg\n']"
s58704662_8,p12530259,s58704662,8,Findings,"ET tube ends 4.5 cm above carina. NG tube is in the stomach, and left jugular line ends in upper SVC. There is no pneumothorax, and left chest tube is in unchanged position in upper hemithorax. Left upper lobe that was collapsed yesterday is more aerated and left lung pulmonary edema has significantly improved. There is some residual small basilar atelectasis and small pleural effusion, if any. Mild subcutaneous air has improved. Right lung is unremarkable. Mediastinal and cardiac contours are unchanged.","ET tube ends 4.5 cm above carina. NG tube is in the stomach, and left jugular line ends in upper SVC. There is no pneumothorax, and left chest tube is in unchanged position in upper hemithorax. Left upper lobe that was collapsed yesterday is more aerated and left lung pulmonary edema has significantly improved. There is some residual small basilar atelectasis and small pleural effusion, if any. Mild subcutaneous air has improved. Right lung is unremarkable. Mediastinal and cardiac contours are unchanged.",position,left chest tube,Stable,['files/p12/p12530259/s58704662/8f427f0a-04f15d74-7d27eb04-930290b5-286d1642.jpg'],"['files/p12/p12530259/s57147904/5c89e63b-e57804d8-7f1819df-413feb15-01628ce4.jpg\n', 'files/p12/p12530259/s57147904/ef905e68-392ffa59-22123661-7afd32ae-30f983d5.jpg\n']"
s58704662_8,p12530259,s58704662,8,Findings,"ET tube ends 4.5 cm above carina. NG tube is in the stomach, and left jugular line ends in upper SVC. There is no pneumothorax, and left chest tube is in unchanged position in upper hemithorax. Left upper lobe that was collapsed yesterday is more aerated and left lung pulmonary edema has significantly improved. There is some residual small basilar atelectasis and small pleural effusion, if any. Mild subcutaneous air has improved. Right lung is unremarkable. Mediastinal and cardiac contours are unchanged.","ET tube ends 4.5 cm above carina. NG tube is in the stomach, and left jugular line ends in upper SVC. There is no pneumothorax, and left chest tube is in unchanged position in upper hemithorax. Left upper lobe that was collapsed yesterday is more aerated and left lung pulmonary edema has significantly improved. There is some residual small basilar atelectasis and small pleural effusion, if any. Mild subcutaneous air has improved. Right lung is unremarkable. Mediastinal and cardiac contours are unchanged.",shape,mediastinal and cardiac contours,Stable,['files/p12/p12530259/s58704662/8f427f0a-04f15d74-7d27eb04-930290b5-286d1642.jpg'],"['files/p12/p12530259/s57147904/5c89e63b-e57804d8-7f1819df-413feb15-01628ce4.jpg\n', 'files/p12/p12530259/s57147904/ef905e68-392ffa59-22123661-7afd32ae-30f983d5.jpg\n']"
s58704662_8,p12530259,s58704662,8,Findings,"ET tube ends 4.5 cm above carina. NG tube is in the stomach, and left jugular line ends in upper SVC. There is no pneumothorax, and left chest tube is in unchanged position in upper hemithorax. Left upper lobe that was collapsed yesterday is more aerated and left lung pulmonary edema has significantly improved. There is some residual small basilar atelectasis and small pleural effusion, if any. Mild subcutaneous air has improved. Right lung is unremarkable. Mediastinal and cardiac contours are unchanged.","ET tube ends 4.5 cm above carina. NG tube is in the stomach, and left jugular line ends in upper SVC. There is no pneumothorax, and left chest tube is in unchanged position in upper hemithorax. Left upper lobe that was collapsed yesterday is more aerated and left lung pulmonary edema has significantly improved. There is some residual small basilar atelectasis and small pleural effusion, if any. Mild subcutaneous air has improved. Right lung is unremarkable. Mediastinal and cardiac contours are unchanged.",amount,subcutaneous air,Better,['files/p12/p12530259/s58704662/8f427f0a-04f15d74-7d27eb04-930290b5-286d1642.jpg'],"['files/p12/p12530259/s57147904/5c89e63b-e57804d8-7f1819df-413feb15-01628ce4.jpg\n', 'files/p12/p12530259/s57147904/ef905e68-392ffa59-22123661-7afd32ae-30f983d5.jpg\n']"
s58704662_8,p12530259,s58704662,8,Findings,"ET tube ends 4.5 cm above carina. NG tube is in the stomach, and left jugular line ends in upper SVC. There is no pneumothorax, and left chest tube is in unchanged position in upper hemithorax. Left upper lobe that was collapsed yesterday is more aerated and left lung pulmonary edema has significantly improved. There is some residual small basilar atelectasis and small pleural effusion, if any. Mild subcutaneous air has improved. Right lung is unremarkable. Mediastinal and cardiac contours are unchanged.","ET tube ends 4.5 cm above carina. NG tube is in the stomach, and left jugular line ends in upper SVC. There is no pneumothorax, and left chest tube is in unchanged position in upper hemithorax. Left upper lobe that was collapsed yesterday is more aerated and left lung pulmonary edema has significantly improved. There is some residual small basilar atelectasis and small pleural effusion, if any. Mild subcutaneous air has improved. Right lung is unremarkable. Mediastinal and cardiac contours are unchanged.",pulmonary edema,left lung,Better,['files/p12/p12530259/s58704662/8f427f0a-04f15d74-7d27eb04-930290b5-286d1642.jpg'],"['files/p12/p12530259/s57147904/5c89e63b-e57804d8-7f1819df-413feb15-01628ce4.jpg\n', 'files/p12/p12530259/s57147904/ef905e68-392ffa59-22123661-7afd32ae-30f983d5.jpg\n']"
s58706366_22,p13352405,s58706366,22,Findings,"Cardiac silhouette size is top normal. Mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. There is a small right pleural effusion with chronic elevation of the right hemidiaphragm, unchanged compared to the previous exam. Right basilar atelectasis is again demonstrated. No left-sided pleural effusion or pneumothorax is present. There are multiple old left-sided rib fractures. Multilevel degenerative changes are visualized in the thoracic spine. Chronic left AC joint dislocation is re- demonstrated.",Mediastinal and hilar contours are unchanged.,Mediastinal and hilar contours,,Stable,"['files/p13/p13352405/s58706366/070f93aa-7df509e4-46a2fbc2-f2a690e7-32eb3db9.jpg', 'files/p13/p13352405/s58706366/103cf62f-89baecec-69aa24c2-0d1c769f-e3c40ac1.jpg', 'files/p13/p13352405/s58706366/96692a0e-7024f052-0eb47698-e468faec-f6d3ccb6.jpg', 'files/p13/p13352405/s58706366/e25c21c7-070fdd75-c67d52b8-9e091b7c-6c560ed4.jpg']","['files/p13/p13352405/s58143212/06dffd2d-fb7ae39b-dc116fd7-677c6133-de43815b.jpg\n', 'files/p13/p13352405/s58143212/28ae778d-8cbc60eb-32962bb3-f25cb5be-31bb9242.jpg\n']"
s58706366_22,p13352405,s58706366,22,Findings,"Cardiac silhouette size is top normal. Mediastinal and hilar contours are unchanged. There is no pulmonary vascular congestion. There is a small right pleural effusion with chronic elevation of the right hemidiaphragm, unchanged compared to the previous exam. Right basilar atelectasis is again demonstrated. No left-sided pleural effusion or pneumothorax is present. There are multiple old left-sided rib fractures. Multilevel degenerative changes are visualized in the thoracic spine. Chronic left AC joint dislocation is re- demonstrated.","There is a small right pleural effusion with chronic elevation of the right hemidiaphragm, unchanged compared to the previous exam.",right pleural effusion,small,Stable,"['files/p13/p13352405/s58706366/070f93aa-7df509e4-46a2fbc2-f2a690e7-32eb3db9.jpg', 'files/p13/p13352405/s58706366/103cf62f-89baecec-69aa24c2-0d1c769f-e3c40ac1.jpg', 'files/p13/p13352405/s58706366/96692a0e-7024f052-0eb47698-e468faec-f6d3ccb6.jpg', 'files/p13/p13352405/s58706366/e25c21c7-070fdd75-c67d52b8-9e091b7c-6c560ed4.jpg']","['files/p13/p13352405/s58143212/06dffd2d-fb7ae39b-dc116fd7-677c6133-de43815b.jpg\n', 'files/p13/p13352405/s58143212/28ae778d-8cbc60eb-32962bb3-f25cb5be-31bb9242.jpg\n']"
s58706366_22,p13352405,s58706366,22,Impression,"Relatively unchanged exam with continued small right pleural effusion, chronic elevation of the right hemidiaphragm and right basilar atelectasis.","Relatively unchanged exam with continued small right pleural effusion, chronic elevation of the right hemidiaphragm and right basilar atelectasis.",right pleural effusion,small,Stable,"['files/p13/p13352405/s58706366/070f93aa-7df509e4-46a2fbc2-f2a690e7-32eb3db9.jpg', 'files/p13/p13352405/s58706366/103cf62f-89baecec-69aa24c2-0d1c769f-e3c40ac1.jpg', 'files/p13/p13352405/s58706366/96692a0e-7024f052-0eb47698-e468faec-f6d3ccb6.jpg', 'files/p13/p13352405/s58706366/e25c21c7-070fdd75-c67d52b8-9e091b7c-6c560ed4.jpg']","['files/p13/p13352405/s58143212/06dffd2d-fb7ae39b-dc116fd7-677c6133-de43815b.jpg\n', 'files/p13/p13352405/s58143212/28ae778d-8cbc60eb-32962bb3-f25cb5be-31bb9242.jpg\n']"
s58721487_14,p11474065,s58721487,14,Findings,PA and lateral views of the chest provided. Lungs appear grossly clear. Subtle areas of scarring in the right mid lung not significantly changed from recent CT. No focal consolidation concerning for pneumonia. No effusion or pneumothorax. Cardiomediastinal silhouette is stable. Vertebroplasty changes at the lower thoracic spine noted. Chronic right fourth rib resection noted.,Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p11/p11474065/s58721487/859b40aa-1f46d6a7-7f299ecf-38260eb3-897580c1.jpg', 'files/p11/p11474065/s58721487/9f87b395-77bd9405-1004f2e1-701d44c2-7b6332ff.jpg']",['files/p11/p11474065/s58468356/a92c319b-35630ca5-b7bea7b5-225b1bce-39e89eca.jpg\n']
s58721487_14,p11474065,s58721487,14,Findings,PA and lateral views of the chest provided. Lungs appear grossly clear. Subtle areas of scarring in the right mid lung not significantly changed from recent CT. No focal consolidation concerning for pneumonia. No effusion or pneumothorax. Cardiomediastinal silhouette is stable. Vertebroplasty changes at the lower thoracic spine noted. Chronic right fourth rib resection noted.,Subtle areas of scarring in the right mid lung not significantly changed from recent CT.,scarring,right mid lung,Stable,"['files/p11/p11474065/s58721487/859b40aa-1f46d6a7-7f299ecf-38260eb3-897580c1.jpg', 'files/p11/p11474065/s58721487/9f87b395-77bd9405-1004f2e1-701d44c2-7b6332ff.jpg']",['files/p11/p11474065/s58468356/a92c319b-35630ca5-b7bea7b5-225b1bce-39e89eca.jpg\n']
s58725099_7,p11934114,s58725099,7,Findings,"Orogastric tube is seen to course below the diaphragm into the stomach and is appropriate. Right PICC line ends at cavoatrial junction. Mild-to-moderate right pleural effusion with associated lung atelectasis is unchanged since prior radiograph from ___, acquired two to three hours apart. Mild to moderately enlarged heart size, mediastinal and hilar contours are unchanged. Pleural effusion if any is minimal on the left side. Left lower lung atelectasis is unchanged.","Mild to moderately enlarged heart size, mediastinal and hilar contours are unchanged.",mediastinal contours,,Stable,['files/p11/p11934114/s58725099/f1a86b6c-1907b6f9-4893b125-c7f89eee-604fbd73.jpg'],['files/p11/p11934114/s58600769/60fa6a80-205ed57c-835e6296-1969c8b7-58eeaacf.jpg\n']
s58725099_7,p11934114,s58725099,7,Findings,"Orogastric tube is seen to course below the diaphragm into the stomach and is appropriate. Right PICC line ends at cavoatrial junction. Mild-to-moderate right pleural effusion with associated lung atelectasis is unchanged since prior radiograph from ___, acquired two to three hours apart. Mild to moderately enlarged heart size, mediastinal and hilar contours are unchanged. Pleural effusion if any is minimal on the left side. Left lower lung atelectasis is unchanged.","Mild to moderately enlarged heart size, mediastinal and hilar contours are unchanged.",hilar contours,,Stable,['files/p11/p11934114/s58725099/f1a86b6c-1907b6f9-4893b125-c7f89eee-604fbd73.jpg'],['files/p11/p11934114/s58600769/60fa6a80-205ed57c-835e6296-1969c8b7-58eeaacf.jpg\n']
s58725099_7,p11934114,s58725099,7,Findings,"Orogastric tube is seen to course below the diaphragm into the stomach and is appropriate. Right PICC line ends at cavoatrial junction. Mild-to-moderate right pleural effusion with associated lung atelectasis is unchanged since prior radiograph from ___, acquired two to three hours apart. Mild to moderately enlarged heart size, mediastinal and hilar contours are unchanged. Pleural effusion if any is minimal on the left side. Left lower lung atelectasis is unchanged.",Left lower lung atelectasis is unchanged.,atelectasis,left lower lung,Stable,['files/p11/p11934114/s58725099/f1a86b6c-1907b6f9-4893b125-c7f89eee-604fbd73.jpg'],['files/p11/p11934114/s58600769/60fa6a80-205ed57c-835e6296-1969c8b7-58eeaacf.jpg\n']
s58725099_7,p11934114,s58725099,7,Findings,"Orogastric tube is seen to course below the diaphragm into the stomach and is appropriate. Right PICC line ends at cavoatrial junction. Mild-to-moderate right pleural effusion with associated lung atelectasis is unchanged since prior radiograph from ___, acquired two to three hours apart. Mild to moderately enlarged heart size, mediastinal and hilar contours are unchanged. Pleural effusion if any is minimal on the left side. Left lower lung atelectasis is unchanged.","Mild-to-moderate right pleural effusion with associated lung atelectasis is unchanged since prior radiograph from ___, acquired two to three hours apart.",pleural effusion,right,Stable,['files/p11/p11934114/s58725099/f1a86b6c-1907b6f9-4893b125-c7f89eee-604fbd73.jpg'],['files/p11/p11934114/s58600769/60fa6a80-205ed57c-835e6296-1969c8b7-58eeaacf.jpg\n']
s58725099_7,p11934114,s58725099,7,Findings,"Orogastric tube is seen to course below the diaphragm into the stomach and is appropriate. Right PICC line ends at cavoatrial junction. Mild-to-moderate right pleural effusion with associated lung atelectasis is unchanged since prior radiograph from ___, acquired two to three hours apart. Mild to moderately enlarged heart size, mediastinal and hilar contours are unchanged. Pleural effusion if any is minimal on the left side. Left lower lung atelectasis is unchanged.","Mild-to-moderate right pleural effusion with associated lung atelectasis is unchanged since prior radiograph from ___, acquired two to three hours apart.",lung atelectasis,right,Stable,['files/p11/p11934114/s58725099/f1a86b6c-1907b6f9-4893b125-c7f89eee-604fbd73.jpg'],['files/p11/p11934114/s58600769/60fa6a80-205ed57c-835e6296-1969c8b7-58eeaacf.jpg\n']
s58725099_7,p11934114,s58725099,7,Findings,"Orogastric tube is seen to course below the diaphragm into the stomach and is appropriate. Right PICC line ends at cavoatrial junction. Mild-to-moderate right pleural effusion with associated lung atelectasis is unchanged since prior radiograph from ___, acquired two to three hours apart. Mild to moderately enlarged heart size, mediastinal and hilar contours are unchanged. Pleural effusion if any is minimal on the left side. Left lower lung atelectasis is unchanged.","Mild to moderately enlarged heart size, mediastinal and hilar contours are unchanged.",heart size,,Stable,['files/p11/p11934114/s58725099/f1a86b6c-1907b6f9-4893b125-c7f89eee-604fbd73.jpg'],['files/p11/p11934114/s58600769/60fa6a80-205ed57c-835e6296-1969c8b7-58eeaacf.jpg\n']
s58728926_1,p17720924,s58728926,1,Findings,There are ill-defined opacity at the bilateral lung bases which was not present on the prior examination. The remainder of the lungs are clear. The hilar and cardiomediastinal contours are normal. There is no large pleural effusion or pneumothorax. The pulmonary vascular markings appear normal. A right PICC line terminates at the cavoatrial junction and incidental note is made of several old right rib fractures.,There are ill-defined opacity at the bilateral lung bases which was not present on the prior examination.,ill-defined opacity,bilateral lung bases,New,['files/p17/p17720924/s58728926/9df378ca-1a460144-f9bb32fc-35303d15-8b86f4c9.jpg'],"['files/p17/p17720924/s58245185/44c6701c-01fdf8ac-ecb8f1a0-821850a7-a8fe9ac5.jpg\n', 'files/p17/p17720924/s58245185/99a719f1-338c19ff-4c6100c3-a98e761a-254572ee.jpg\n', 'files/p17/p17720924/s58245185/b2322fdd-cfe8ca16-f58f8a07-206b7440-5ff93a26.jpg\n']"
s58732756_7,p15857729,s58732756,7,Findings,"AP view of the chest. Right PICC is seen with tip at the upper SVC. Relatively low lung volumes are seen. The lungs however remain clear without consolidation, effusion or pulmonary vascular congestion. Cardiac silhouette appears moderately enlarged, likely accentuated due to low lung volumes and AP technique.","The lungs however remain clear without consolidation, effusion or pulmonary vascular congestion.",Lungs,,Stable,['files/p15/p15857729/s58732756/c536f749-2326f755-6a65f28f-469affd2-26392ce9.jpg'],"['files/p15/p15857729/s56895158/a37dd065-950e033b-84d3fa11-722a5bcb-d9eded36.jpg\n', 'files/p15/p15857729/s56895158/c855dbbc-7d247e08-21f25260-20ed7254-73ac858a.jpg\n', 'files/p15/p15857729/s56895158/efe9c2f2-4cf1bc6d-e4ea1ebd-f82f08e4-de951f48.jpg\n']"
s58736291_1,p10402372,s58736291,1,Impression,Stable chest radiographs without acute change.,Stable chest radiographs without acute change.,chest radiographs,,Stable,"['files/p10/p10402372/s58736291/c09a6b81-3118c102-3127bf27-987bd433-7114e2d1.jpg', 'files/p10/p10402372/s58736291/c4713b43-d31ad200-30f7309b-ba7d87e3-b69db479.jpg']","['files/p10/p10402372/s58117612/34fcf711-355f24f3-53a8dbc6-97730735-1d046d5a.jpg\n', 'files/p10/p10402372/s58117612/d9178fb7-5642042d-3553ab93-d4002d32-a1a9a012.jpg\n']"
s58736291_1,p10402372,s58736291,1,Findings,"No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits. Lungs are again noted to be hyperinflated.",Lungs are again noted to be hyperinflated.,hyperinflated lungs,,Stable,"['files/p10/p10402372/s58736291/c09a6b81-3118c102-3127bf27-987bd433-7114e2d1.jpg', 'files/p10/p10402372/s58736291/c4713b43-d31ad200-30f7309b-ba7d87e3-b69db479.jpg']","['files/p10/p10402372/s58117612/34fcf711-355f24f3-53a8dbc6-97730735-1d046d5a.jpg\n', 'files/p10/p10402372/s58117612/d9178fb7-5642042d-3553ab93-d4002d32-a1a9a012.jpg\n']"
s58737609_4,p16553329,s58737609,4,Findings,"The examination is somewhat limited by low lung volumes. Redemonstrated are moderate to large bilateral pleural effusions. As compared to the prior examination, there has been resolution of the pulmonary edema. No focal consolidation or pneumothorax is seen. The heart size is not well assessed, but appears to be at least mildly enlarged. Mediastinal contours are stable.","As compared to the prior examination, there has been resolution of the pulmonary edema.",pulmonary edema,,Resolve,"['files/p16/p16553329/s58737609/62c178b3-0902fd6d-f0c150b1-c6a6cdf2-f914c29c.jpg', 'files/p16/p16553329/s58737609/bf3ca23d-9ae54a6f-679d2476-6eb17d30-ee3cf5ee.jpg', 'files/p16/p16553329/s58737609/c6daa86b-28de832b-4cdd7e0d-51eca585-d7dad6ce.jpg']","['files/p16/p16553329/s57667161/9cc3281f-64ff9f26-d2f759b1-ee26296f-50d416d4.jpg\n', 'files/p16/p16553329/s57667161/ab27ba71-c4d831e6-be72ac46-7d5467b9-27e33f4f.jpg\n']"
s58737609_4,p16553329,s58737609,4,Findings,"The examination is somewhat limited by low lung volumes. Redemonstrated are moderate to large bilateral pleural effusions. As compared to the prior examination, there has been resolution of the pulmonary edema. No focal consolidation or pneumothorax is seen. The heart size is not well assessed, but appears to be at least mildly enlarged. Mediastinal contours are stable.",Mediastinal contours are stable.,Mediastinal contours,,Stable,"['files/p16/p16553329/s58737609/62c178b3-0902fd6d-f0c150b1-c6a6cdf2-f914c29c.jpg', 'files/p16/p16553329/s58737609/bf3ca23d-9ae54a6f-679d2476-6eb17d30-ee3cf5ee.jpg', 'files/p16/p16553329/s58737609/c6daa86b-28de832b-4cdd7e0d-51eca585-d7dad6ce.jpg']","['files/p16/p16553329/s57667161/9cc3281f-64ff9f26-d2f759b1-ee26296f-50d416d4.jpg\n', 'files/p16/p16553329/s57667161/ab27ba71-c4d831e6-be72ac46-7d5467b9-27e33f4f.jpg\n']"
s58737609_4,p16553329,s58737609,4,Impression,"Interval resolution of the prior pulmonary edema, with stable moderate to large bilateral pleural effusions. No evidence of focal consolidation within the visualized upper lobes.","Interval resolution of the prior pulmonary edema, with stable moderate to large bilateral pleural effusions.",pulmonary edema,,Resolve,"['files/p16/p16553329/s58737609/62c178b3-0902fd6d-f0c150b1-c6a6cdf2-f914c29c.jpg', 'files/p16/p16553329/s58737609/bf3ca23d-9ae54a6f-679d2476-6eb17d30-ee3cf5ee.jpg', 'files/p16/p16553329/s58737609/c6daa86b-28de832b-4cdd7e0d-51eca585-d7dad6ce.jpg']","['files/p16/p16553329/s57667161/9cc3281f-64ff9f26-d2f759b1-ee26296f-50d416d4.jpg\n', 'files/p16/p16553329/s57667161/ab27ba71-c4d831e6-be72ac46-7d5467b9-27e33f4f.jpg\n']"
s58740782_2,p12538508,s58740782,2,Impression,New opacity at the right base may represent infection or aspiration. Stable moderate left pleural effusion with overlying atelectasis.,Stable moderate left pleural effusion with overlying atelectasis.,pleural effusion,left,Stable,['files/p12/p12538508/s58740782/d423cd88-d0739c64-5212e268-96f30c3b-7bd9f6ae.jpg'],['files/p12/p12538508/s55670303/4639cd47-e73a89d3-48315552-a87979a8-7dd4f191.jpg\n']
s58740782_2,p12538508,s58740782,2,Findings,Single portable AP radiograph was provided. There is increased opacity at the right base which may be due to infectious process or aspiration. Rounded density projecting over the right ninth posterior rib is likely a nipple shadow and can be followed on subsequent radiographs. A chronic moderate-sized left pleural effusion is similar in appearance to the prior study. Overlying opacities are likely atelectasis. Cardiomediastinal silhouette is unchanged. Median sternotomy wires are intact.,A chronic moderate-sized left pleural effusion is similar in appearance to the prior study.,pleural effusion,left,Stable,['files/p12/p12538508/s58740782/d423cd88-d0739c64-5212e268-96f30c3b-7bd9f6ae.jpg'],['files/p12/p12538508/s55670303/4639cd47-e73a89d3-48315552-a87979a8-7dd4f191.jpg\n']
s58740782_2,p12538508,s58740782,2,Findings,Single portable AP radiograph was provided. There is increased opacity at the right base which may be due to infectious process or aspiration. Rounded density projecting over the right ninth posterior rib is likely a nipple shadow and can be followed on subsequent radiographs. A chronic moderate-sized left pleural effusion is similar in appearance to the prior study. Overlying opacities are likely atelectasis. Cardiomediastinal silhouette is unchanged. Median sternotomy wires are intact.,Cardiomediastinal silhouette is unchanged.,cardiomediastinal silhouette,,Stable,['files/p12/p12538508/s58740782/d423cd88-d0739c64-5212e268-96f30c3b-7bd9f6ae.jpg'],['files/p12/p12538508/s55670303/4639cd47-e73a89d3-48315552-a87979a8-7dd4f191.jpg\n']
s58756659_15,p19182863,s58756659,15,Findings,"In comparison with the study of ___, the sharp pleural line is no longer seen in the left apical region. There may be a residual tiny pneumothorax in the left apex. Continued enlargement of the cardiac silhouette. Mild indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure. Retrocardiac opacification persists, consistent with some volume loss in the lower lobe. Overlying wires obscure the lower portion of the right hemithorax.",Overlying wires obscure the lower portion of the right hemithorax.,overlying wires,lower portion of the right hemithorax,New,['files/p19/p19182863/s58756659/2fc29ea1-355cc172-27d15937-3df170a0-932a4069.jpg'],['files/p19/p19182863/s58598132/9f7a166b-fe5ab568-4dcfc13e-974262a9-8b6ccc98.jpg\n']
s58756659_15,p19182863,s58756659,15,Findings,"In comparison with the study of ___, the sharp pleural line is no longer seen in the left apical region. There may be a residual tiny pneumothorax in the left apex. Continued enlargement of the cardiac silhouette. Mild indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure. Retrocardiac opacification persists, consistent with some volume loss in the lower lobe. Overlying wires obscure the lower portion of the right hemithorax.","Retrocardiac opacification persists, consistent with some volume loss in the lower lobe.",retrocardiac opacification,lower lobe,Stable,['files/p19/p19182863/s58756659/2fc29ea1-355cc172-27d15937-3df170a0-932a4069.jpg'],['files/p19/p19182863/s58598132/9f7a166b-fe5ab568-4dcfc13e-974262a9-8b6ccc98.jpg\n']
s58756659_15,p19182863,s58756659,15,Findings,"In comparison with the study of ___, the sharp pleural line is no longer seen in the left apical region. There may be a residual tiny pneumothorax in the left apex. Continued enlargement of the cardiac silhouette. Mild indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure. Retrocardiac opacification persists, consistent with some volume loss in the lower lobe. Overlying wires obscure the lower portion of the right hemithorax.",Mild indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure.,elevated pulmonary venous pressure,,New,['files/p19/p19182863/s58756659/2fc29ea1-355cc172-27d15937-3df170a0-932a4069.jpg'],['files/p19/p19182863/s58598132/9f7a166b-fe5ab568-4dcfc13e-974262a9-8b6ccc98.jpg\n']
s58756659_15,p19182863,s58756659,15,Findings,"In comparison with the study of ___, the sharp pleural line is no longer seen in the left apical region. There may be a residual tiny pneumothorax in the left apex. Continued enlargement of the cardiac silhouette. Mild indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure. Retrocardiac opacification persists, consistent with some volume loss in the lower lobe. Overlying wires obscure the lower portion of the right hemithorax.",Continued enlargement of the cardiac silhouette.,cardiac silhouette,,Worse,['files/p19/p19182863/s58756659/2fc29ea1-355cc172-27d15937-3df170a0-932a4069.jpg'],['files/p19/p19182863/s58598132/9f7a166b-fe5ab568-4dcfc13e-974262a9-8b6ccc98.jpg\n']
s58756659_15,p19182863,s58756659,15,Findings,"In comparison with the study of ___, the sharp pleural line is no longer seen in the left apical region. There may be a residual tiny pneumothorax in the left apex. Continued enlargement of the cardiac silhouette. Mild indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure. Retrocardiac opacification persists, consistent with some volume loss in the lower lobe. Overlying wires obscure the lower portion of the right hemithorax.",There may be a residual tiny pneumothorax in the left apex.,tiny pneumothorax,left apex,New,['files/p19/p19182863/s58756659/2fc29ea1-355cc172-27d15937-3df170a0-932a4069.jpg'],['files/p19/p19182863/s58598132/9f7a166b-fe5ab568-4dcfc13e-974262a9-8b6ccc98.jpg\n']
s58756659_15,p19182863,s58756659,15,Findings,"In comparison with the study of ___, the sharp pleural line is no longer seen in the left apical region. There may be a residual tiny pneumothorax in the left apex. Continued enlargement of the cardiac silhouette. Mild indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure. Retrocardiac opacification persists, consistent with some volume loss in the lower lobe. Overlying wires obscure the lower portion of the right hemithorax.","In comparison with the study of ___, the sharp pleural line is no longer seen in the left apical region.",sharp pleural line,left apical region,Resolve,['files/p19/p19182863/s58756659/2fc29ea1-355cc172-27d15937-3df170a0-932a4069.jpg'],['files/p19/p19182863/s58598132/9f7a166b-fe5ab568-4dcfc13e-974262a9-8b6ccc98.jpg\n']
s58757097_26,p13475033,s58757097,26,Findings,"Moderate cardiomegaly is stable. Note is made of aortic and coronary artery calcifications, notably in the LAD. Generalized chronic interstitial abnormalities remain unchanged. No focal pulmonary abnormality is identified to suggest pneumonia. There is no large pleural effusion or pneumothorax.",Generalized chronic interstitial abnormalities remain unchanged.,Generalized chronic interstitial abnormalities,,Stable,"['files/p13/p13475033/s58757097/1299b94a-f07cab56-9e0c278e-416e2eea-39578211.jpg', 'files/p13/p13475033/s58757097/87839031-cf5f44d0-580a18ad-b86bcca4-c95455c5.jpg']","['files/p13/p13475033/s58680008/05470fe6-5af4b766-058bcd62-7e3f218b-da0f7a60.jpg\n', 'files/p13/p13475033/s58680008/3f111bf1-0ce0a81f-76b66ed5-c8517077-9373dbea.jpg\n']"
s58757097_26,p13475033,s58757097,26,Findings,"Moderate cardiomegaly is stable. Note is made of aortic and coronary artery calcifications, notably in the LAD. Generalized chronic interstitial abnormalities remain unchanged. No focal pulmonary abnormality is identified to suggest pneumonia. There is no large pleural effusion or pneumothorax.",Moderate cardiomegaly is stable.,Moderate cardiomegaly,,Stable,"['files/p13/p13475033/s58757097/1299b94a-f07cab56-9e0c278e-416e2eea-39578211.jpg', 'files/p13/p13475033/s58757097/87839031-cf5f44d0-580a18ad-b86bcca4-c95455c5.jpg']","['files/p13/p13475033/s58680008/05470fe6-5af4b766-058bcd62-7e3f218b-da0f7a60.jpg\n', 'files/p13/p13475033/s58680008/3f111bf1-0ce0a81f-76b66ed5-c8517077-9373dbea.jpg\n']"
s58757097_26,p13475033,s58757097,26,Impression,Unchanged chronic interstitial abnormalities with no acute cardiopulmonary process.,Unchanged chronic interstitial abnormalities with no acute cardiopulmonary process.,Chronic interstitial abnormalities,,Stable,"['files/p13/p13475033/s58757097/1299b94a-f07cab56-9e0c278e-416e2eea-39578211.jpg', 'files/p13/p13475033/s58757097/87839031-cf5f44d0-580a18ad-b86bcca4-c95455c5.jpg']","['files/p13/p13475033/s58680008/05470fe6-5af4b766-058bcd62-7e3f218b-da0f7a60.jpg\n', 'files/p13/p13475033/s58680008/3f111bf1-0ce0a81f-76b66ed5-c8517077-9373dbea.jpg\n']"
s58757200_0,p12340737,s58757200,0,Findings,"Compared to the previous radiograph, the lung volumes have increased, reflecting improved ventilation. There is minimal atelectasis at both lung bases but no evidence of a focal parenchymal opacity suggesting pneumonia. Borderline size of the cardiac silhouette without pulmonary edema. No pleural effusions. No hilar or mediastinal abnormalities.","Compared to the previous radiograph, the lung volumes have increased, reflecting improved ventilation.",Lung volumes,,Better,['files/p12/p12340737/s58757200/6eb24aca-5687f160-c7d0c498-3d8a1abf-05bf0b8c.jpg'],['files/p12/p12340737/s51192088/eae9b998-2b29a12b-6d6fd4c2-8227ce7b-7f1c4262.jpg\n']
s58760728_18,p17770657,s58760728,18,Findings,"A feeding tube is noted with the tip not clearly visualized in the field of view provided. A right PICC tip projects over the level of the low SVC. Hyperexpanded lungs with decreased vascularity appear consistent with chronic obstructive pulmonary disease. Opacification within the right middle lobe appears consistent with loculated fissural effusion evident on the prior CT, slightly more prominent on today's study compared to the prior examination. Minimal opacification at bilateral lung bases is stable to slightly improved compared to the prior radiograph of ___ obtained at 14:27.","Opacification within the right middle lobe appears consistent with loculated fissural effusion evident on the prior CT, slightly more prominent on today's study compared to the prior examination.",loculated fissural effusion,right middle lobe,Worse,"['files/p17/p17770657/s58760728/cf2669d1-d8463824-d4bd7e26-0594a737-b89d33a4.jpg', 'files/p17/p17770657/s58760728/dc130e93-8226ed32-f9924895-6be11d35-3d395b3c.jpg', 'files/p17/p17770657/s58760728/e298beba-572ccfb6-74c46bda-11c4beba-0ca3e906.jpg']",['files/p17/p17770657/s58353310/650aa0be-b9a59492-190d3ed4-96eb75e2-08bb0cb8.jpg\n']
s58760728_18,p17770657,s58760728,18,Findings,"A feeding tube is noted with the tip not clearly visualized in the field of view provided. A right PICC tip projects over the level of the low SVC. Hyperexpanded lungs with decreased vascularity appear consistent with chronic obstructive pulmonary disease. Opacification within the right middle lobe appears consistent with loculated fissural effusion evident on the prior CT, slightly more prominent on today's study compared to the prior examination. Minimal opacification at bilateral lung bases is stable to slightly improved compared to the prior radiograph of ___ obtained at 14:27.",Minimal opacification at bilateral lung bases is stable to slightly improved compared to the prior radiograph of ___ obtained at 14:27.,opacification,bilateral lung bases,Better,"['files/p17/p17770657/s58760728/cf2669d1-d8463824-d4bd7e26-0594a737-b89d33a4.jpg', 'files/p17/p17770657/s58760728/dc130e93-8226ed32-f9924895-6be11d35-3d395b3c.jpg', 'files/p17/p17770657/s58760728/e298beba-572ccfb6-74c46bda-11c4beba-0ca3e906.jpg']",['files/p17/p17770657/s58353310/650aa0be-b9a59492-190d3ed4-96eb75e2-08bb0cb8.jpg\n']
s58760787_2,p17032538,s58760787,2,Impression,AP chest compared to ___ at 4:33 a.m. and 1:08 p.m.: New endotracheal tube in standard placement. Edema in the left lung appears less radiodense but this may be a function of better inflation following tracheal intubation. Severe right lung scarring and concurrent emphysema make it difficult to determine if a concurrent pneumonia is present. Heart size is normal. Right pleural thickening is more pronounced now than it was in ___ suggesting either a component of pleural effusion or pathologic pleural involvement.,Right pleural thickening is more pronounced now than it was in ___ suggesting either a component of pleural effusion or pathologic pleural involvement.,pleural thickening,right,Worse,['files/p17/p17032538/s58760787/a66051d0-9ed3a477-30455196-064ccf0d-b667f74e.jpg'],"['files/p17/p17032538/s58656783/c4927232-cfa74c6c-fb8d8e6f-931f938a-bf0ca6de.jpg\n', 'files/p17/p17032538/s58656783/e426b51e-f7222833-d8ee3136-30f0df83-872a415e.jpg\n']"
s58768954_1,p17897339,s58768954,1,Findings,The lungs are low in volume but appear clear aside from some retrocardiac atelectasis. The heart is normal in size. Normal cardiomediastinal silhouette. No pleural effusion or pneumothorax is seen. No definite rib fractures are identified.,The lungs are low in volume but appear clear aside from some retrocardiac atelectasis.,atelectasis,retrocardiac,Stable,['files/p17/p17897339/s58768954/b78b1110-28e93f4d-b7e0e8f6-22552c4c-b967810b.jpg'],['files/p17/p17897339/s57667222/13c8c746-5d1d71f5-af021e53-041a96c3-710e3730.jpg\n']
s58771580_13,p16853729,s58771580,13,Findings,"Lung volumes are low. Mild to moderate enlargement cardiac silhouette is unchanged, accentuated by the presence of low lung volumes. The aorta remains tortuous. Mediastinal and hilar contours are stable. There is continued mild pulmonary vascular congestion without overt pulmonary edema. Patchy and linear opacities in the lung bases likely reflect areas of atelectasis. No pneumothorax or pleural effusion is clearly evident. Percutaneous gastrostomy catheter is incompletely imaged.",The aorta remains tortuous.,Tortuous aorta,,Stable,"['files/p16/p16853729/s58771580/5ad11416-2d53dd53-96e1fcda-ca3b80c0-c0fb1e6f.jpg', 'files/p16/p16853729/s58771580/89da1b34-2fdd01de-1e33a13c-810f5251-9dcaceab.jpg']","['files/p16/p16853729/s57835182/5320dce2-60fde2c2-0590fad0-36474905-b3318771.jpg\n', 'files/p16/p16853729/s57835182/7edb7bdc-93380e91-4d5d0b73-0c778fdb-40e32018.jpg\n']"
s58771580_13,p16853729,s58771580,13,Findings,"Lung volumes are low. Mild to moderate enlargement cardiac silhouette is unchanged, accentuated by the presence of low lung volumes. The aorta remains tortuous. Mediastinal and hilar contours are stable. There is continued mild pulmonary vascular congestion without overt pulmonary edema. Patchy and linear opacities in the lung bases likely reflect areas of atelectasis. No pneumothorax or pleural effusion is clearly evident. Percutaneous gastrostomy catheter is incompletely imaged.",Mediastinal and hilar contours are stable.,contours,Mediastinal and hilar,Stable,"['files/p16/p16853729/s58771580/5ad11416-2d53dd53-96e1fcda-ca3b80c0-c0fb1e6f.jpg', 'files/p16/p16853729/s58771580/89da1b34-2fdd01de-1e33a13c-810f5251-9dcaceab.jpg']","['files/p16/p16853729/s57835182/5320dce2-60fde2c2-0590fad0-36474905-b3318771.jpg\n', 'files/p16/p16853729/s57835182/7edb7bdc-93380e91-4d5d0b73-0c778fdb-40e32018.jpg\n']"
s58771580_13,p16853729,s58771580,13,Findings,"Lung volumes are low. Mild to moderate enlargement cardiac silhouette is unchanged, accentuated by the presence of low lung volumes. The aorta remains tortuous. Mediastinal and hilar contours are stable. There is continued mild pulmonary vascular congestion without overt pulmonary edema. Patchy and linear opacities in the lung bases likely reflect areas of atelectasis. No pneumothorax or pleural effusion is clearly evident. Percutaneous gastrostomy catheter is incompletely imaged.","Mild to moderate enlargement cardiac silhouette is unchanged, accentuated by the presence of low lung volumes.",Mild to moderate enlargement cardiac silhouette,,Stable,"['files/p16/p16853729/s58771580/5ad11416-2d53dd53-96e1fcda-ca3b80c0-c0fb1e6f.jpg', 'files/p16/p16853729/s58771580/89da1b34-2fdd01de-1e33a13c-810f5251-9dcaceab.jpg']","['files/p16/p16853729/s57835182/5320dce2-60fde2c2-0590fad0-36474905-b3318771.jpg\n', 'files/p16/p16853729/s57835182/7edb7bdc-93380e91-4d5d0b73-0c778fdb-40e32018.jpg\n']"
s58773373_11,p16772702,s58773373,11,Findings,"Frontal and lateral views of the chest are compared to previous exam from ___. When compared to prior, there has been interval improvement in the appearance of the pulmonary edema. Indistinct pulmonary vascular markings persist as well as small right and moderate left pleural effusions. Cardiac silhouette is enlarged but stable in configuration. Osseous and soft tissue structures are unchanged.",Osseous and soft tissue structures are unchanged,osseous structures,,Stable,"['files/p16/p16772702/s58773373/4b3357b7-f55f7ab3-65b6dece-b56ba663-546aa37d.jpg', 'files/p16/p16772702/s58773373/ba4bbaf8-52c6f0c8-d6922907-95d9b63b-f10069d0.jpg']","['files/p16/p16772702/s57167682/3ee15aa2-32388516-3d85397d-2d958762-6bc5f7c8.jpg\n', 'files/p16/p16772702/s57167682/8e9b736c-1abf5111-086c325e-36cc49cf-82791ceb.jpg\n']"
s58773373_11,p16772702,s58773373,11,Findings,"Frontal and lateral views of the chest are compared to previous exam from ___. When compared to prior, there has been interval improvement in the appearance of the pulmonary edema. Indistinct pulmonary vascular markings persist as well as small right and moderate left pleural effusions. Cardiac silhouette is enlarged but stable in configuration. Osseous and soft tissue structures are unchanged.",Indistinct pulmonary vascular markings persist as well as small right and moderate left pleural effusions,pleural effusion,left,Stable,"['files/p16/p16772702/s58773373/4b3357b7-f55f7ab3-65b6dece-b56ba663-546aa37d.jpg', 'files/p16/p16772702/s58773373/ba4bbaf8-52c6f0c8-d6922907-95d9b63b-f10069d0.jpg']","['files/p16/p16772702/s57167682/3ee15aa2-32388516-3d85397d-2d958762-6bc5f7c8.jpg\n', 'files/p16/p16772702/s57167682/8e9b736c-1abf5111-086c325e-36cc49cf-82791ceb.jpg\n']"
s58773373_11,p16772702,s58773373,11,Findings,"Frontal and lateral views of the chest are compared to previous exam from ___. When compared to prior, there has been interval improvement in the appearance of the pulmonary edema. Indistinct pulmonary vascular markings persist as well as small right and moderate left pleural effusions. Cardiac silhouette is enlarged but stable in configuration. Osseous and soft tissue structures are unchanged.",Osseous and soft tissue structures are unchanged,soft tissue structures,,Stable,"['files/p16/p16772702/s58773373/4b3357b7-f55f7ab3-65b6dece-b56ba663-546aa37d.jpg', 'files/p16/p16772702/s58773373/ba4bbaf8-52c6f0c8-d6922907-95d9b63b-f10069d0.jpg']","['files/p16/p16772702/s57167682/3ee15aa2-32388516-3d85397d-2d958762-6bc5f7c8.jpg\n', 'files/p16/p16772702/s57167682/8e9b736c-1abf5111-086c325e-36cc49cf-82791ceb.jpg\n']"
s58773373_11,p16772702,s58773373,11,Findings,"Frontal and lateral views of the chest are compared to previous exam from ___. When compared to prior, there has been interval improvement in the appearance of the pulmonary edema. Indistinct pulmonary vascular markings persist as well as small right and moderate left pleural effusions. Cardiac silhouette is enlarged but stable in configuration. Osseous and soft tissue structures are unchanged.",Indistinct pulmonary vascular markings persist as well as small right and moderate left pleural effusions,pleural effusion,right,Stable,"['files/p16/p16772702/s58773373/4b3357b7-f55f7ab3-65b6dece-b56ba663-546aa37d.jpg', 'files/p16/p16772702/s58773373/ba4bbaf8-52c6f0c8-d6922907-95d9b63b-f10069d0.jpg']","['files/p16/p16772702/s57167682/3ee15aa2-32388516-3d85397d-2d958762-6bc5f7c8.jpg\n', 'files/p16/p16772702/s57167682/8e9b736c-1abf5111-086c325e-36cc49cf-82791ceb.jpg\n']"
s58773373_11,p16772702,s58773373,11,Impression,Interval improvement of the findings compatible with congestive failure when compared to previous exam from ___ with persistent bilateral left greater than right pleural effusions and pulmonary vascular congestion.,Interval improvement of the findings compatible with congestive failure when compared to previous exam from ___ with persistent bilateral left greater than right pleural effusions and pulmonary vascular congestion,congestive failure findings,,Better,"['files/p16/p16772702/s58773373/4b3357b7-f55f7ab3-65b6dece-b56ba663-546aa37d.jpg', 'files/p16/p16772702/s58773373/ba4bbaf8-52c6f0c8-d6922907-95d9b63b-f10069d0.jpg']","['files/p16/p16772702/s57167682/3ee15aa2-32388516-3d85397d-2d958762-6bc5f7c8.jpg\n', 'files/p16/p16772702/s57167682/8e9b736c-1abf5111-086c325e-36cc49cf-82791ceb.jpg\n']"
s58773373_11,p16772702,s58773373,11,Impression,Interval improvement of the findings compatible with congestive failure when compared to previous exam from ___ with persistent bilateral left greater than right pleural effusions and pulmonary vascular congestion.,Interval improvement of the findings compatible with congestive failure when compared to previous exam from ___ with persistent bilateral left greater than right pleural effusions and pulmonary vascular congestion,pleural effusions,bilateral,Stable,"['files/p16/p16772702/s58773373/4b3357b7-f55f7ab3-65b6dece-b56ba663-546aa37d.jpg', 'files/p16/p16772702/s58773373/ba4bbaf8-52c6f0c8-d6922907-95d9b63b-f10069d0.jpg']","['files/p16/p16772702/s57167682/3ee15aa2-32388516-3d85397d-2d958762-6bc5f7c8.jpg\n', 'files/p16/p16772702/s57167682/8e9b736c-1abf5111-086c325e-36cc49cf-82791ceb.jpg\n']"
s58773373_11,p16772702,s58773373,11,Findings,"Frontal and lateral views of the chest are compared to previous exam from ___. When compared to prior, there has been interval improvement in the appearance of the pulmonary edema. Indistinct pulmonary vascular markings persist as well as small right and moderate left pleural effusions. Cardiac silhouette is enlarged but stable in configuration. Osseous and soft tissue structures are unchanged.",Indistinct pulmonary vascular markings persist as well as small right and moderate left pleural effusions,pulmonary vascular markings,,Stable,"['files/p16/p16772702/s58773373/4b3357b7-f55f7ab3-65b6dece-b56ba663-546aa37d.jpg', 'files/p16/p16772702/s58773373/ba4bbaf8-52c6f0c8-d6922907-95d9b63b-f10069d0.jpg']","['files/p16/p16772702/s57167682/3ee15aa2-32388516-3d85397d-2d958762-6bc5f7c8.jpg\n', 'files/p16/p16772702/s57167682/8e9b736c-1abf5111-086c325e-36cc49cf-82791ceb.jpg\n']"
s58773373_11,p16772702,s58773373,11,Impression,Interval improvement of the findings compatible with congestive failure when compared to previous exam from ___ with persistent bilateral left greater than right pleural effusions and pulmonary vascular congestion.,Interval improvement of the findings compatible with congestive failure when compared to previous exam from ___ with persistent bilateral left greater than right pleural effusions and pulmonary vascular congestion,pulmonary vascular congestion,,Stable,"['files/p16/p16772702/s58773373/4b3357b7-f55f7ab3-65b6dece-b56ba663-546aa37d.jpg', 'files/p16/p16772702/s58773373/ba4bbaf8-52c6f0c8-d6922907-95d9b63b-f10069d0.jpg']","['files/p16/p16772702/s57167682/3ee15aa2-32388516-3d85397d-2d958762-6bc5f7c8.jpg\n', 'files/p16/p16772702/s57167682/8e9b736c-1abf5111-086c325e-36cc49cf-82791ceb.jpg\n']"
s58773373_11,p16772702,s58773373,11,Findings,"Frontal and lateral views of the chest are compared to previous exam from ___. When compared to prior, there has been interval improvement in the appearance of the pulmonary edema. Indistinct pulmonary vascular markings persist as well as small right and moderate left pleural effusions. Cardiac silhouette is enlarged but stable in configuration. Osseous and soft tissue structures are unchanged.","When compared to prior, there has been interval improvement in the appearance of the pulmonary edema",pulmonary edema,,Better,"['files/p16/p16772702/s58773373/4b3357b7-f55f7ab3-65b6dece-b56ba663-546aa37d.jpg', 'files/p16/p16772702/s58773373/ba4bbaf8-52c6f0c8-d6922907-95d9b63b-f10069d0.jpg']","['files/p16/p16772702/s57167682/3ee15aa2-32388516-3d85397d-2d958762-6bc5f7c8.jpg\n', 'files/p16/p16772702/s57167682/8e9b736c-1abf5111-086c325e-36cc49cf-82791ceb.jpg\n']"
s58773373_11,p16772702,s58773373,11,Findings,"Frontal and lateral views of the chest are compared to previous exam from ___. When compared to prior, there has been interval improvement in the appearance of the pulmonary edema. Indistinct pulmonary vascular markings persist as well as small right and moderate left pleural effusions. Cardiac silhouette is enlarged but stable in configuration. Osseous and soft tissue structures are unchanged.",Cardiac silhouette is enlarged but stable in configuration,cardiac silhouette,,Stable,"['files/p16/p16772702/s58773373/4b3357b7-f55f7ab3-65b6dece-b56ba663-546aa37d.jpg', 'files/p16/p16772702/s58773373/ba4bbaf8-52c6f0c8-d6922907-95d9b63b-f10069d0.jpg']","['files/p16/p16772702/s57167682/3ee15aa2-32388516-3d85397d-2d958762-6bc5f7c8.jpg\n', 'files/p16/p16772702/s57167682/8e9b736c-1abf5111-086c325e-36cc49cf-82791ceb.jpg\n']"
s58773579_3,p11540283,s58773579,3,Findings,Moderate cardiomegaly is stable. Cardiac conduction device is in unchanged position. The lung fields are clear. No pneumothorax.,Moderate cardiomegaly is stable.,cardiomegaly,,Stable,"['files/p11/p11540283/s58773579/456d62e4-2e673ffe-83ccc42f-f942c7fb-d5dbc58b.jpg', 'files/p11/p11540283/s58773579/4a6b6a7c-83ed2cdc-41c74d6e-ed8815a2-84ed02ff.jpg']",['files/p11/p11540283/s56385625/17d85861-7a43410c-8f9b5b54-4629da0d-5647276d.jpg\n']
s58773579_3,p11540283,s58773579,3,Findings,Moderate cardiomegaly is stable. Cardiac conduction device is in unchanged position. The lung fields are clear. No pneumothorax.,Cardiac conduction device is in unchanged position.,Cardiac conduction device,,Stable,"['files/p11/p11540283/s58773579/456d62e4-2e673ffe-83ccc42f-f942c7fb-d5dbc58b.jpg', 'files/p11/p11540283/s58773579/4a6b6a7c-83ed2cdc-41c74d6e-ed8815a2-84ed02ff.jpg']",['files/p11/p11540283/s56385625/17d85861-7a43410c-8f9b5b54-4629da0d-5647276d.jpg\n']
s58778519_11,p13135946,s58778519,11,Impression,"1. Dobbhoff tube tip overlying stomach. Residual contrast appears unchanged compared with ___ at 2:29 a.m. The absence of interval change is atypical and raises question of local pooling of contrast. Clinical correlation requested. 2. Bilateral effusions with underlying collapse and/or consolidation, unchanged. 3. CHF findings, also grossly unchanged.","3. CHF findings, also grossly unchanged.",CHF findings,,Stable,['files/p13/p13135946/s58778519/a7c40dad-a0c662b4-98da13ed-35ffc92a-4862b305.jpg'],['files/p13/p13135946/s58519194/a012623c-3d2f7d18-ccd7f833-c984c099-56fbef61.jpg\n']
s58778519_11,p13135946,s58778519,11,Impression,"1. Dobbhoff tube tip overlying stomach. Residual contrast appears unchanged compared with ___ at 2:29 a.m. The absence of interval change is atypical and raises question of local pooling of contrast. Clinical correlation requested. 2. Bilateral effusions with underlying collapse and/or consolidation, unchanged. 3. CHF findings, also grossly unchanged.",1. Dobbhoff tube tip overlying stomach. Residual contrast appears unchanged compared with ___ at 2:29 a.m. The absence of interval change is atypical and raises question of local pooling of contrast. Clinical correlation requested.,Dobbhoff tube tip,overlying stomach,Stable,['files/p13/p13135946/s58778519/a7c40dad-a0c662b4-98da13ed-35ffc92a-4862b305.jpg'],['files/p13/p13135946/s58519194/a012623c-3d2f7d18-ccd7f833-c984c099-56fbef61.jpg\n']
s58778519_11,p13135946,s58778519,11,Impression,"1. Dobbhoff tube tip overlying stomach. Residual contrast appears unchanged compared with ___ at 2:29 a.m. The absence of interval change is atypical and raises question of local pooling of contrast. Clinical correlation requested. 2. Bilateral effusions with underlying collapse and/or consolidation, unchanged. 3. CHF findings, also grossly unchanged.","2. Bilateral effusions with underlying collapse and/or consolidation, unchanged.",effusions with underlying collapse and/or consolidation,bilateral,Stable,['files/p13/p13135946/s58778519/a7c40dad-a0c662b4-98da13ed-35ffc92a-4862b305.jpg'],['files/p13/p13135946/s58519194/a012623c-3d2f7d18-ccd7f833-c984c099-56fbef61.jpg\n']
s58778783_2,p15659181,s58778783,2,Impression,"Increasing right basilar opacity worrisome for pneumonia. Follow-up radiographs are recommended within eight weeks in order to ensure resolution. If opacification were to persist, then chest CT should then be considered.","Increasing right basilar opacity worrisome for pneumonia. Follow-up radiographs are recommended within eight weeks in order to ensure resolution. If opacification were to persist, then chest CT should then be considered.",opacity,right basilar,Worse,"['files/p15/p15659181/s58778783/7954b023-74e12365-5c4fbe43-07ef3edc-a3caf1df.jpg', 'files/p15/p15659181/s58778783/c543503a-d329c7f5-3ba46412-93119de5-6da48cb1.jpg']","['files/p15/p15659181/s56790426/010af5dc-c4d6194d-4922ccd6-543af1d7-30fa1a21.jpg\n', 'files/p15/p15659181/s56790426/493ad888-c9901b7c-919b136e-9d112af5-69cb1ae2.jpg\n', 'files/p15/p15659181/s56790426/82d144fd-f088da1b-377b3165-5f6cfb78-e3e4ae80.jpg\n']"
s58778783_2,p15659181,s58778783,2,Findings,"The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. There is a new opacity in the right lower lobe concerning for pneumonia, superimposed on preexisting patchy medial right middle lobe opacification that appears more chronic, also comparing to ___, although the lungs had been clear on earlier radiographs from ___.","There is a new opacity in the right lower lobe concerning for pneumonia, superimposed on preexisting patchy medial right middle lobe opacification that appears more chronic, also comparing to ___, although the lungs had been clear on earlier radiographs from ___.",opacification,right middle lobe,Worse,"['files/p15/p15659181/s58778783/7954b023-74e12365-5c4fbe43-07ef3edc-a3caf1df.jpg', 'files/p15/p15659181/s58778783/c543503a-d329c7f5-3ba46412-93119de5-6da48cb1.jpg']","['files/p15/p15659181/s56790426/010af5dc-c4d6194d-4922ccd6-543af1d7-30fa1a21.jpg\n', 'files/p15/p15659181/s56790426/493ad888-c9901b7c-919b136e-9d112af5-69cb1ae2.jpg\n', 'files/p15/p15659181/s56790426/82d144fd-f088da1b-377b3165-5f6cfb78-e3e4ae80.jpg\n']"
s58778783_2,p15659181,s58778783,2,Findings,"The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. There is a new opacity in the right lower lobe concerning for pneumonia, superimposed on preexisting patchy medial right middle lobe opacification that appears more chronic, also comparing to ___, although the lungs had been clear on earlier radiographs from ___.","There is a new opacity in the right lower lobe concerning for pneumonia, superimposed on preexisting patchy medial right middle lobe opacification that appears more chronic, also comparing to ___, although the lungs had been clear on earlier radiographs from ___.",opacity,right lower lobe,New,"['files/p15/p15659181/s58778783/7954b023-74e12365-5c4fbe43-07ef3edc-a3caf1df.jpg', 'files/p15/p15659181/s58778783/c543503a-d329c7f5-3ba46412-93119de5-6da48cb1.jpg']","['files/p15/p15659181/s56790426/010af5dc-c4d6194d-4922ccd6-543af1d7-30fa1a21.jpg\n', 'files/p15/p15659181/s56790426/493ad888-c9901b7c-919b136e-9d112af5-69cb1ae2.jpg\n', 'files/p15/p15659181/s56790426/82d144fd-f088da1b-377b3165-5f6cfb78-e3e4ae80.jpg\n']"
s58788581_5,p14969719,s58788581,5,Impression,"Right subclavian Port-A-Cath with its tip in the mid to distal SVC, unchanged. Right basilar chest tube unchanged in position. Overall, the pleural effusion is somewhat smaller and there may be some loculated air at the right medial base. The ill-defined appearance and fullness of the right hilar region is stable, and likely is related to the patient's known disease process. The left lung remains clear. A calcified AP window lesion likely represents a calcified node related to prior granulomatous infection.","Overall, the pleural effusion is somewhat smaller and there may be some loculated air at the right medial base.",pleural effusion,right medial base,Better,['files/p14/p14969719/s58788581/b247a4b1-847a7108-49cb4bd9-b119da1e-70ea9fa6.jpg'],"['files/p14/p14969719/s58351102/9278c9ba-40c4d99b-db0b63f4-8b124c8f-d092002c.jpg\n', 'files/p14/p14969719/s58351102/b758e8f4-574ee6a8-32a4c691-81f94a5b-96a0773c.jpg\n']"
s58788581_5,p14969719,s58788581,5,Impression,"Right subclavian Port-A-Cath with its tip in the mid to distal SVC, unchanged. Right basilar chest tube unchanged in position. Overall, the pleural effusion is somewhat smaller and there may be some loculated air at the right medial base. The ill-defined appearance and fullness of the right hilar region is stable, and likely is related to the patient's known disease process. The left lung remains clear. A calcified AP window lesion likely represents a calcified node related to prior granulomatous infection.",The left lung remains clear.,clear,left lung,Stable,['files/p14/p14969719/s58788581/b247a4b1-847a7108-49cb4bd9-b119da1e-70ea9fa6.jpg'],"['files/p14/p14969719/s58351102/9278c9ba-40c4d99b-db0b63f4-8b124c8f-d092002c.jpg\n', 'files/p14/p14969719/s58351102/b758e8f4-574ee6a8-32a4c691-81f94a5b-96a0773c.jpg\n']"
s58788581_5,p14969719,s58788581,5,Impression,"Right subclavian Port-A-Cath with its tip in the mid to distal SVC, unchanged. Right basilar chest tube unchanged in position. Overall, the pleural effusion is somewhat smaller and there may be some loculated air at the right medial base. The ill-defined appearance and fullness of the right hilar region is stable, and likely is related to the patient's known disease process. The left lung remains clear. A calcified AP window lesion likely represents a calcified node related to prior granulomatous infection.","The ill-defined appearance and fullness of the right hilar region is stable, and likely is related to the patient's known disease process.",ill-defined appearance and fullness,right hilar region,Stable,['files/p14/p14969719/s58788581/b247a4b1-847a7108-49cb4bd9-b119da1e-70ea9fa6.jpg'],"['files/p14/p14969719/s58351102/9278c9ba-40c4d99b-db0b63f4-8b124c8f-d092002c.jpg\n', 'files/p14/p14969719/s58351102/b758e8f4-574ee6a8-32a4c691-81f94a5b-96a0773c.jpg\n']"
s58788581_5,p14969719,s58788581,5,Impression,"Right subclavian Port-A-Cath with its tip in the mid to distal SVC, unchanged. Right basilar chest tube unchanged in position. Overall, the pleural effusion is somewhat smaller and there may be some loculated air at the right medial base. The ill-defined appearance and fullness of the right hilar region is stable, and likely is related to the patient's known disease process. The left lung remains clear. A calcified AP window lesion likely represents a calcified node related to prior granulomatous infection.",Right basilar chest tube unchanged in position.,chest tube,Right basilar,Stable,['files/p14/p14969719/s58788581/b247a4b1-847a7108-49cb4bd9-b119da1e-70ea9fa6.jpg'],"['files/p14/p14969719/s58351102/9278c9ba-40c4d99b-db0b63f4-8b124c8f-d092002c.jpg\n', 'files/p14/p14969719/s58351102/b758e8f4-574ee6a8-32a4c691-81f94a5b-96a0773c.jpg\n']"
s58788581_5,p14969719,s58788581,5,Impression,"Right subclavian Port-A-Cath with its tip in the mid to distal SVC, unchanged. Right basilar chest tube unchanged in position. Overall, the pleural effusion is somewhat smaller and there may be some loculated air at the right medial base. The ill-defined appearance and fullness of the right hilar region is stable, and likely is related to the patient's known disease process. The left lung remains clear. A calcified AP window lesion likely represents a calcified node related to prior granulomatous infection.","Right subclavian Port-A-Cath with its tip in the mid to distal SVC, unchanged.",Right subclavian Port-A-Cath,mid to distal SVC,Stable,['files/p14/p14969719/s58788581/b247a4b1-847a7108-49cb4bd9-b119da1e-70ea9fa6.jpg'],"['files/p14/p14969719/s58351102/9278c9ba-40c4d99b-db0b63f4-8b124c8f-d092002c.jpg\n', 'files/p14/p14969719/s58351102/b758e8f4-574ee6a8-32a4c691-81f94a5b-96a0773c.jpg\n']"
s58789310_18,p13881772,s58789310,18,Findings,The lungs are hyperinflated but without focal consolidation. No pleural effusion or pneumothorax is seen. Minor left basilar linear atelectasis/scarring is again 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/p13/p13881772/s58789310/1acc1625-728d2db7-b8853e51-999862bf-424f50b8.jpg', 'files/p13/p13881772/s58789310/c230ce72-acc26270-caefebe0-f6b07913-7033227d.jpg']",['files/p13/p13881772/s58739295/d581d98c-1d55ec95-27066557-bcd43551-e1ff2218.jpg\n']
s58789310_18,p13881772,s58789310,18,Findings,The lungs are hyperinflated but without focal consolidation. No pleural effusion or pneumothorax is seen. Minor left basilar linear atelectasis/scarring is again seen. The cardiac and mediastinal silhouettes are stable and unremarkable.,Minor left basilar linear atelectasis/scarring is again seen.,linear atelectasis/scarring,left basilar,Stable,"['files/p13/p13881772/s58789310/1acc1625-728d2db7-b8853e51-999862bf-424f50b8.jpg', 'files/p13/p13881772/s58789310/c230ce72-acc26270-caefebe0-f6b07913-7033227d.jpg']",['files/p13/p13881772/s58739295/d581d98c-1d55ec95-27066557-bcd43551-e1ff2218.jpg\n']
s58789863_21,p13606683,s58789863,21,Findings,"Interval repositioning of left intra-aortic balloon pump, with tip now terminating 3.8 cm below the superior aspect of the aortic knob. Swan-Ganz catheter terminates within the right hilar region, likely in the distal interlobar pulmonary artery. This could be withdrawn a few centimeters for standard positioning. Other indwelling devices are in standard position. Stable cardiomegaly, accompanied by pulmonary vascular congestion and moderate edema with a mid and lower lung predominance in this patient with known upper lobe predominant emphysema. Bilateral moderate pleural effusions are present, with interval increase in size on the left.","Bilateral moderate pleural effusions are present, with interval increase in size on the left.",Pleural effusions,Left,Worse,['files/p13/p13606683/s58789863/79931253-dc5d4f8a-ed5d56b8-d117d4ed-6e8ffc71.jpg'],"['files/p13/p13606683/s58568223/78706a51-93862124-f2e96aba-f5e1ca54-2ecbd486.jpg\n', 'files/p13/p13606683/s58568223/a3a06d4a-738a23e2-049e6887-d1e5cc2f-c1573666.jpg\n']"
s58789863_21,p13606683,s58789863,21,Findings,"Interval repositioning of left intra-aortic balloon pump, with tip now terminating 3.8 cm below the superior aspect of the aortic knob. Swan-Ganz catheter terminates within the right hilar region, likely in the distal interlobar pulmonary artery. This could be withdrawn a few centimeters for standard positioning. Other indwelling devices are in standard position. Stable cardiomegaly, accompanied by pulmonary vascular congestion and moderate edema with a mid and lower lung predominance in this patient with known upper lobe predominant emphysema. Bilateral moderate pleural effusions are present, with interval increase in size on the left.","Stable cardiomegaly, accompanied by pulmonary vascular congestion and moderate edema with a mid and lower lung predominance in this patient with known upper lobe predominant emphysema.",Cardiomegaly,,Stable,['files/p13/p13606683/s58789863/79931253-dc5d4f8a-ed5d56b8-d117d4ed-6e8ffc71.jpg'],"['files/p13/p13606683/s58568223/78706a51-93862124-f2e96aba-f5e1ca54-2ecbd486.jpg\n', 'files/p13/p13606683/s58568223/a3a06d4a-738a23e2-049e6887-d1e5cc2f-c1573666.jpg\n']"
s58797209_14,p16855430,s58797209,14,Findings,"Single portable view of the chest. Left PICC is in stable position, tip in the mid SVC. There has been interval progression of the bilateral parenchymal opacities more so on the left which appears more confluent in the perihilar region most compatible with pulmonary edema. More dense retrocardiac opacity silhouetting the hemidiaphragm suspicious for superimposed effusion. Cardiac silhouette is enlarged but unchanged.",There has been interval progression of the bilateral parenchymal opacities more so on the left which appears more confluent in the perihilar region most compatible with pulmonary edema.,parenchymal opacities,bilateral,Worse,['files/p16/p16855430/s58797209/f63472c6-7fff6462-6df9fd25-2705bc5e-08edc54f.jpg'],"['files/p16/p16855430/s58581234/3bb2cb54-60f696d8-9dfcbee7-5a506428-c7316197.jpg\n', 'files/p16/p16855430/s58581234/3c172ae3-82504f6a-6de0bc7a-28294cec-278aa9d6.jpg\n']"
s58797209_14,p16855430,s58797209,14,Findings,"Single portable view of the chest. Left PICC is in stable position, tip in the mid SVC. There has been interval progression of the bilateral parenchymal opacities more so on the left which appears more confluent in the perihilar region most compatible with pulmonary edema. More dense retrocardiac opacity silhouetting the hemidiaphragm suspicious for superimposed effusion. Cardiac silhouette is enlarged but unchanged.","Left PICC is in stable position, tip in the mid SVC.",PICC position,left,Stable,['files/p16/p16855430/s58797209/f63472c6-7fff6462-6df9fd25-2705bc5e-08edc54f.jpg'],"['files/p16/p16855430/s58581234/3bb2cb54-60f696d8-9dfcbee7-5a506428-c7316197.jpg\n', 'files/p16/p16855430/s58581234/3c172ae3-82504f6a-6de0bc7a-28294cec-278aa9d6.jpg\n']"
s58797209_14,p16855430,s58797209,14,Impression,Progression of pulmonary edema and persistent left effusion. Superimposed infection would be difficult to exclude.,Progression of pulmonary edema and persistent left effusion.,effusion,left,Stable,['files/p16/p16855430/s58797209/f63472c6-7fff6462-6df9fd25-2705bc5e-08edc54f.jpg'],"['files/p16/p16855430/s58581234/3bb2cb54-60f696d8-9dfcbee7-5a506428-c7316197.jpg\n', 'files/p16/p16855430/s58581234/3c172ae3-82504f6a-6de0bc7a-28294cec-278aa9d6.jpg\n']"
s58797209_14,p16855430,s58797209,14,Findings,"Single portable view of the chest. Left PICC is in stable position, tip in the mid SVC. There has been interval progression of the bilateral parenchymal opacities more so on the left which appears more confluent in the perihilar region most compatible with pulmonary edema. More dense retrocardiac opacity silhouetting the hemidiaphragm suspicious for superimposed effusion. Cardiac silhouette is enlarged but unchanged.",There has been interval progression of the bilateral parenchymal opacities more so on the left which appears more confluent in the perihilar region most compatible with pulmonary edema.,pulmonary edema,left,Worse,['files/p16/p16855430/s58797209/f63472c6-7fff6462-6df9fd25-2705bc5e-08edc54f.jpg'],"['files/p16/p16855430/s58581234/3bb2cb54-60f696d8-9dfcbee7-5a506428-c7316197.jpg\n', 'files/p16/p16855430/s58581234/3c172ae3-82504f6a-6de0bc7a-28294cec-278aa9d6.jpg\n']"
s58797209_14,p16855430,s58797209,14,Impression,Progression of pulmonary edema and persistent left effusion. Superimposed infection would be difficult to exclude.,Progression of pulmonary edema and persistent left effusion.,pulmonary edema,,Worse,['files/p16/p16855430/s58797209/f63472c6-7fff6462-6df9fd25-2705bc5e-08edc54f.jpg'],"['files/p16/p16855430/s58581234/3bb2cb54-60f696d8-9dfcbee7-5a506428-c7316197.jpg\n', 'files/p16/p16855430/s58581234/3c172ae3-82504f6a-6de0bc7a-28294cec-278aa9d6.jpg\n']"
s58797209_14,p16855430,s58797209,14,Findings,"Single portable view of the chest. Left PICC is in stable position, tip in the mid SVC. There has been interval progression of the bilateral parenchymal opacities more so on the left which appears more confluent in the perihilar region most compatible with pulmonary edema. More dense retrocardiac opacity silhouetting the hemidiaphragm suspicious for superimposed effusion. Cardiac silhouette is enlarged but unchanged.",Cardiac silhouette is enlarged but unchanged.,enlarged cardiac silhouette,,Stable,['files/p16/p16855430/s58797209/f63472c6-7fff6462-6df9fd25-2705bc5e-08edc54f.jpg'],"['files/p16/p16855430/s58581234/3bb2cb54-60f696d8-9dfcbee7-5a506428-c7316197.jpg\n', 'files/p16/p16855430/s58581234/3c172ae3-82504f6a-6de0bc7a-28294cec-278aa9d6.jpg\n']"
s58798180_3,p13921768,s58798180,3,Impression,"In comparison with the study of ___, there are lower lung volumes. Pacer device is essentially unchanged. Continued prominence of the cardiac silhouette with elevation of pulmonary venous pressure. Small bilateral pleural effusions with bibasilar atelectasis.","In comparison with the study of ___, there are lower lung volumes.",Lung volumes,,Worse,"['files/p13/p13921768/s58798180/4f8923e8-cf82750b-69755c55-a9d1c9ac-e3a2f0fb.jpg', 'files/p13/p13921768/s58798180/bef80876-2290f20a-fadfeb2b-c23b9250-0c95d76d.jpg']",['files/p13/p13921768/s56900002/d025d08b-868642d3-1968cca6-f44c2f1d-4c1dd9c7.jpg\n']
s58798180_3,p13921768,s58798180,3,Impression,"In comparison with the study of ___, there are lower lung volumes. Pacer device is essentially unchanged. Continued prominence of the cardiac silhouette with elevation of pulmonary venous pressure. Small bilateral pleural effusions with bibasilar atelectasis.",Pacer device is essentially unchanged.,Pacer device,,Stable,"['files/p13/p13921768/s58798180/4f8923e8-cf82750b-69755c55-a9d1c9ac-e3a2f0fb.jpg', 'files/p13/p13921768/s58798180/bef80876-2290f20a-fadfeb2b-c23b9250-0c95d76d.jpg']",['files/p13/p13921768/s56900002/d025d08b-868642d3-1968cca6-f44c2f1d-4c1dd9c7.jpg\n']
s58800563_12,p11413236,s58800563,12,Findings,Single portable view of the chest. Right chest wall port is again seen. Streaky left basilar and right upper lung opacities are seen suggestive of atelectasis or scarring. Calcified mediastinal nodes are again seen. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.,Calcified mediastinal nodes are again seen.,calcified nodes,mediastinal,Stable,['files/p11/p11413236/s58800563/4c940923-a59ab393-7984e607-b473ed13-af98d60c.jpg'],['files/p11/p11413236/s58006032/6edd5960-4028d9f1-6f2353cb-61d0c6bf-5048c68e.jpg\n']
s58800563_12,p11413236,s58800563,12,Findings,Single portable view of the chest. Right chest wall port is again seen. Streaky left basilar and right upper lung opacities are seen suggestive of atelectasis or scarring. Calcified mediastinal nodes are again seen. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.,Right chest wall port is again seen.,port,right chest wall,Stable,['files/p11/p11413236/s58800563/4c940923-a59ab393-7984e607-b473ed13-af98d60c.jpg'],['files/p11/p11413236/s58006032/6edd5960-4028d9f1-6f2353cb-61d0c6bf-5048c68e.jpg\n']
s58801080_2,p15032623,s58801080,2,Findings,Compared to the prior study where right there is no significant interval change. Median sternotomy wires are again visualized along with surgical clips degenerative changes throughout the thoracic spine. There is no focal infiltrate or effusion.,Median sternotomy wires are again visualized along with surgical clips degenerative changes throughout the thoracic spine.,presence,surgical clips,Stable,"['files/p15/p15032623/s58801080/37d5e0a8-71e3174e-de2a7542-4cb0ba66-76531312.jpg', 'files/p15/p15032623/s58801080/4eaa9013-13662076-d031dfd3-960b744a-51e050fe.jpg', 'files/p15/p15032623/s58801080/924e87c2-147bd825-9fe46cda-0cd4a1e3-f76f63a0.jpg']","['files/p15/p15032623/s58001303/162f9e5e-d9cee36e-fe144338-a9759990-471aa8c0.jpg\n', 'files/p15/p15032623/s58001303/6c2f6c92-9b69f554-597e1e2f-9dcb6129-e9285bac.jpg\n']"
s58801080_2,p15032623,s58801080,2,Findings,Compared to the prior study where right there is no significant interval change. Median sternotomy wires are again visualized along with surgical clips degenerative changes throughout the thoracic spine. There is no focal infiltrate or effusion.,Median sternotomy wires are again visualized along with surgical clips degenerative changes throughout the thoracic spine.,intact,Median sternotomy wires,Stable,"['files/p15/p15032623/s58801080/37d5e0a8-71e3174e-de2a7542-4cb0ba66-76531312.jpg', 'files/p15/p15032623/s58801080/4eaa9013-13662076-d031dfd3-960b744a-51e050fe.jpg', 'files/p15/p15032623/s58801080/924e87c2-147bd825-9fe46cda-0cd4a1e3-f76f63a0.jpg']","['files/p15/p15032623/s58001303/162f9e5e-d9cee36e-fe144338-a9759990-471aa8c0.jpg\n', 'files/p15/p15032623/s58001303/6c2f6c92-9b69f554-597e1e2f-9dcb6129-e9285bac.jpg\n']"
s58801080_2,p15032623,s58801080,2,Findings,Compared to the prior study where right there is no significant interval change. Median sternotomy wires are again visualized along with surgical clips degenerative changes throughout the thoracic spine. There is no focal infiltrate or effusion.,Compared to the prior study where right there is no significant interval change.,,right,Stable,"['files/p15/p15032623/s58801080/37d5e0a8-71e3174e-de2a7542-4cb0ba66-76531312.jpg', 'files/p15/p15032623/s58801080/4eaa9013-13662076-d031dfd3-960b744a-51e050fe.jpg', 'files/p15/p15032623/s58801080/924e87c2-147bd825-9fe46cda-0cd4a1e3-f76f63a0.jpg']","['files/p15/p15032623/s58001303/162f9e5e-d9cee36e-fe144338-a9759990-471aa8c0.jpg\n', 'files/p15/p15032623/s58001303/6c2f6c92-9b69f554-597e1e2f-9dcb6129-e9285bac.jpg\n']"
s58801080_2,p15032623,s58801080,2,Impression,No significant interval change.,No significant interval change.,,,Stable,"['files/p15/p15032623/s58801080/37d5e0a8-71e3174e-de2a7542-4cb0ba66-76531312.jpg', 'files/p15/p15032623/s58801080/4eaa9013-13662076-d031dfd3-960b744a-51e050fe.jpg', 'files/p15/p15032623/s58801080/924e87c2-147bd825-9fe46cda-0cd4a1e3-f76f63a0.jpg']","['files/p15/p15032623/s58001303/162f9e5e-d9cee36e-fe144338-a9759990-471aa8c0.jpg\n', 'files/p15/p15032623/s58001303/6c2f6c92-9b69f554-597e1e2f-9dcb6129-e9285bac.jpg\n']"
s58801080_2,p15032623,s58801080,2,Findings,Compared to the prior study where right there is no significant interval change. Median sternotomy wires are again visualized along with surgical clips degenerative changes throughout the thoracic spine. There is no focal infiltrate or effusion.,Median sternotomy wires are again visualized along with surgical clips degenerative changes throughout the thoracic spine.,degenerative changes,thoracic spine,Stable,"['files/p15/p15032623/s58801080/37d5e0a8-71e3174e-de2a7542-4cb0ba66-76531312.jpg', 'files/p15/p15032623/s58801080/4eaa9013-13662076-d031dfd3-960b744a-51e050fe.jpg', 'files/p15/p15032623/s58801080/924e87c2-147bd825-9fe46cda-0cd4a1e3-f76f63a0.jpg']","['files/p15/p15032623/s58001303/162f9e5e-d9cee36e-fe144338-a9759990-471aa8c0.jpg\n', 'files/p15/p15032623/s58001303/6c2f6c92-9b69f554-597e1e2f-9dcb6129-e9285bac.jpg\n']"
s58807210_2,p13762730,s58807210,2,Findings,"There are parenchymal opacities in the right middle lobe. There are also ___-___ opacities in the region of the lingula. Dual-chamber pacer in the left upper chest terminates in the right atrium and ventricle, stable. Mild cardiomegaly and tortuous aorta is unchanged. There is no pleural effusion or pneumothorax. Hyperexpansion and flattened hemidiphragms suggest COPD.","Dual-chamber pacer in the left upper chest terminates in the right atrium and ventricle, stable.",Dual-chamber pacer,left upper chest,Stable,"['files/p13/p13762730/s58807210/49177e16-0383da48-c2a81ed9-77e7a7c0-bbe8c9cb.jpg', 'files/p13/p13762730/s58807210/e3555bac-cb4ffa77-657be5f9-38bcdc9b-0b46292b.jpg']",['files/p13/p13762730/s55828202/428c4099-c29bb97d-e06be8f3-614d3b6e-d343eee7.jpg\n']
s58807210_2,p13762730,s58807210,2,Findings,"There are parenchymal opacities in the right middle lobe. There are also ___-___ opacities in the region of the lingula. Dual-chamber pacer in the left upper chest terminates in the right atrium and ventricle, stable. Mild cardiomegaly and tortuous aorta is unchanged. There is no pleural effusion or pneumothorax. Hyperexpansion and flattened hemidiphragms suggest COPD.",Mild cardiomegaly and tortuous aorta is unchanged.,Mild cardiomegaly and tortuous aorta,,Stable,"['files/p13/p13762730/s58807210/49177e16-0383da48-c2a81ed9-77e7a7c0-bbe8c9cb.jpg', 'files/p13/p13762730/s58807210/e3555bac-cb4ffa77-657be5f9-38bcdc9b-0b46292b.jpg']",['files/p13/p13762730/s55828202/428c4099-c29bb97d-e06be8f3-614d3b6e-d343eee7.jpg\n']
s58808413_6,p15809646,s58808413,6,Impression,No significant change.,No significant change.,,,Stable,['files/p15/p15809646/s58808413/2756fb1d-45bdeff0-4f3cab91-67c49af9-04c378d9.jpg'],['files/p15/p15809646/s57611237/a231b16b-dd2f002a-f99f05d9-20a0f431-bbeee698.jpg\n']
s58817744_10,p15192710,s58817744,10,Impression,"PA and lateral chest compared to ___. Left apical pneumothorax is tiny if any. The benefit of the lateral view. We can see that although the large region of opacification in the left lower lung is improving. There are actually two responsible abnormalities, a region of consolidation or atelectasis in the lingula, and a pleural collection in the left lower hemithorax adjacent to region of consolidation. One or both of these lesions is presumably a hematoma from recent transbronchial biopsy. PA and lateral views therefore are recommended for subsequent followup. Right lung is clear. The heart is normal size.",We can see that although the large region of opacification in the left lower lung is improving,opacification,left lower lung,Better,"['files/p15/p15192710/s58817744/0023e76e-3d6a09b6-071ddac3-e9fcea9a-f3b6a6a6.jpg', 'files/p15/p15192710/s58817744/b4090c18-9828842b-111e341f-0673f4ad-e42afebc.jpg']",['files/p15/p15192710/s58588894/bcc505e7-72cc89ad-2e8eca24-f93e86f8-c5623967.jpg\n']
s58824000_12,p18906643,s58824000,12,Impression,"AP chest compared to ___: Moderate cardiomegaly partially obscures lower lung zones. There are no pulmonary findings to suggest pneumonia. Pulmonary vascular congestion is stable, but there is no pulmonary edema. Fissural loculation of pleural fluid along the left chest wall laterally has not changed appreciably over several days. No pneumothorax.",Fissural loculation of pleural fluid along the left chest wall laterally has not changed appreciably over several days.,fissural loculation of pleural fluid,left chest wall laterally,Stable,['files/p18/p18906643/s58824000/e3c80a40-fc49e72a-6cd50354-445adf30-3d360387.jpg'],['files/p18/p18906643/s58406467/ef578547-4e4219db-c1753821-922ec956-1d6e6770.jpg\n']
s58824000_12,p18906643,s58824000,12,Impression,"AP chest compared to ___: Moderate cardiomegaly partially obscures lower lung zones. There are no pulmonary findings to suggest pneumonia. Pulmonary vascular congestion is stable, but there is no pulmonary edema. Fissural loculation of pleural fluid along the left chest wall laterally has not changed appreciably over several days. No pneumothorax.","Pulmonary vascular congestion is stable, but there is no pulmonary edema.",pulmonary vascular congestion,,Stable,['files/p18/p18906643/s58824000/e3c80a40-fc49e72a-6cd50354-445adf30-3d360387.jpg'],['files/p18/p18906643/s58406467/ef578547-4e4219db-c1753821-922ec956-1d6e6770.jpg\n']
s58826933_13,p19623993,s58826933,13,Findings,"The inspiratory lung volumes are appropriate. There is improved pulmonary vascular engorgement since the prior study of ___ and no pulmonary edema. The lungs are clear without pleural effusion, focal consolidation or pneumothorax. The cardiac silhouette is normal in size. The mediastinal and hilar contours are unchanged with persistent prominence of the azygos vein.",There is improved pulmonary vascular engorgement since the prior study of ___ and no pulmonary edema.,pulmonary vascular engorgement,,Better,"['files/p19/p19623993/s58826933/3cdc8349-0fc6e527-5c2ba552-1ec32b7b-0e53822f.jpg', 'files/p19/p19623993/s58826933/9c51d1ec-858c08f3-1185729c-961916ad-9628d6b8.jpg']","['files/p19/p19623993/s58679736/03c9f091-1ac40a2e-362d8a50-c5e3a9c0-eaea0cd2.jpg\n', 'files/p19/p19623993/s58679736/54b17fd5-2b9447fa-49e494d4-99a53410-c2e24e0b.jpg\n']"
s58826933_13,p19623993,s58826933,13,Findings,"The inspiratory lung volumes are appropriate. There is improved pulmonary vascular engorgement since the prior study of ___ and no pulmonary edema. The lungs are clear without pleural effusion, focal consolidation or pneumothorax. The cardiac silhouette is normal in size. The mediastinal and hilar contours are unchanged with persistent prominence of the azygos vein.",The mediastinal and hilar contours are unchanged with persistent prominence of the azygos vein.,mediastinal and hilar contours,,Stable,"['files/p19/p19623993/s58826933/3cdc8349-0fc6e527-5c2ba552-1ec32b7b-0e53822f.jpg', 'files/p19/p19623993/s58826933/9c51d1ec-858c08f3-1185729c-961916ad-9628d6b8.jpg']","['files/p19/p19623993/s58679736/03c9f091-1ac40a2e-362d8a50-c5e3a9c0-eaea0cd2.jpg\n', 'files/p19/p19623993/s58679736/54b17fd5-2b9447fa-49e494d4-99a53410-c2e24e0b.jpg\n']"
s58826933_13,p19623993,s58826933,13,Impression,No acute cardiopulmonary process. Improved pulmonary vascular engorgement since ___.,Improved pulmonary vascular engorgement since ___.,pulmonary vascular engorgement,,Better,"['files/p19/p19623993/s58826933/3cdc8349-0fc6e527-5c2ba552-1ec32b7b-0e53822f.jpg', 'files/p19/p19623993/s58826933/9c51d1ec-858c08f3-1185729c-961916ad-9628d6b8.jpg']","['files/p19/p19623993/s58679736/03c9f091-1ac40a2e-362d8a50-c5e3a9c0-eaea0cd2.jpg\n', 'files/p19/p19623993/s58679736/54b17fd5-2b9447fa-49e494d4-99a53410-c2e24e0b.jpg\n']"
s58833368_13,p15131736,s58833368,13,Findings,There is a new ET tube 5.4 cm above the carina. There is pulmonary vascular redistribution that is worsened in the interval with alveolar infiltrates bilaterally and dense retrocardiac opacity that could be due to volume loss/infiltrate/effusion. The heart size is moderately enlarged. NG tube tip is in the stomach. There is a small right effusion.,There is pulmonary vascular redistribution that is worsened in the interval with alveolar infiltrates bilaterally and dense retrocardiac opacity that could be due to volume loss/infiltrate/effusion.,opacity,retrocardiac,Worse,['files/p15/p15131736/s58833368/e01e8de2-d5095cb4-f851985e-df9c203c-89326fdb.jpg'],['files/p15/p15131736/s58698919/4b3c3806-311dc11c-5c89f911-3f5b98e5-e5291eb6.jpg\n']
s58833368_13,p15131736,s58833368,13,Findings,There is a new ET tube 5.4 cm above the carina. There is pulmonary vascular redistribution that is worsened in the interval with alveolar infiltrates bilaterally and dense retrocardiac opacity that could be due to volume loss/infiltrate/effusion. The heart size is moderately enlarged. NG tube tip is in the stomach. There is a small right effusion.,There is pulmonary vascular redistribution that is worsened in the interval with alveolar infiltrates bilaterally and dense retrocardiac opacity that could be due to volume loss/infiltrate/effusion.,alveolar infiltrates,bilaterally,Worse,['files/p15/p15131736/s58833368/e01e8de2-d5095cb4-f851985e-df9c203c-89326fdb.jpg'],['files/p15/p15131736/s58698919/4b3c3806-311dc11c-5c89f911-3f5b98e5-e5291eb6.jpg\n']
s58836461_11,p15192710,s58836461,11,Findings,The cardiomediastinal and hilar contours are normal. Subtle linear horizontally oriented opacities in the left costophrenic angle appear improved compared to prior exams and likely reflect the sequelae of resolving atelectasis. There is no pneumothorax. A small left pleural effusion is seen.,Subtle linear horizontally oriented opacities in the left costophrenic angle appear improved compared to prior exams and likely reflect the sequelae of resolving atelectasis,opacities,left costophrenic angle,Better,"['files/p15/p15192710/s58836461/201ac57d-bf4004d7-41445e4a-91f50e03-e786df90.jpg', 'files/p15/p15192710/s58836461/829c6f86-9cb29e7d-e8f6a250-91dc2e24-bf216a9e.jpg', 'files/p15/p15192710/s58836461/dc93422b-fd5ec685-19eb4eba-fb31f8d0-b60d8b47.jpg']","['files/p15/p15192710/s58817744/0023e76e-3d6a09b6-071ddac3-e9fcea9a-f3b6a6a6.jpg\n', 'files/p15/p15192710/s58817744/b4090c18-9828842b-111e341f-0673f4ad-e42afebc.jpg\n']"
s58836461_11,p15192710,s58836461,11,Impression,"Small left pleural effusion and improving atelectasis, but no pneumothorax.","Small left pleural effusion and improving atelectasis, but no pneumothorax",atelectasis,left,Better,"['files/p15/p15192710/s58836461/201ac57d-bf4004d7-41445e4a-91f50e03-e786df90.jpg', 'files/p15/p15192710/s58836461/829c6f86-9cb29e7d-e8f6a250-91dc2e24-bf216a9e.jpg', 'files/p15/p15192710/s58836461/dc93422b-fd5ec685-19eb4eba-fb31f8d0-b60d8b47.jpg']","['files/p15/p15192710/s58817744/0023e76e-3d6a09b6-071ddac3-e9fcea9a-f3b6a6a6.jpg\n', 'files/p15/p15192710/s58817744/b4090c18-9828842b-111e341f-0673f4ad-e42afebc.jpg\n']"
s58847709_6,p17720924,s58847709,6,Findings,Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Streaky bibasilar airspace opacities likely reflect atelectasis. No pleural effusion or pneumothorax is seen. Multiple old right-sided rib fractures are re- visualized.,Multiple old right-sided rib fractures are re- visualized.,rib fractures,right-sided,Stable,['files/p17/p17720924/s58847709/99afae49-8d95e258-a1717ce5-74e8f9fa-715ae11a.jpg'],['files/p17/p17720924/s58728926/9df378ca-1a460144-f9bb32fc-35303d15-8b86f4c9.jpg\n']
s58856677_11,p13031876,s58856677,11,Findings,"AP single view of the chest has been obtained with patient in sitting semi-upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Position of previously described right-sided PICC line is unchanged, seen to terminate in mid portion of SVC. No pneumothorax is present. Pulmonary congestive pattern as before with perivascular haze and slightly more marked diffuse densities on the left base, similar as it was before. No significant interval change can be identified. No new abnormalities on the right base.","Pulmonary congestive pattern as before with perivascular haze and slightly more marked diffuse densities on the left base, similar as it was before.",Pulmonary congestive pattern,left base,Stable,['files/p13/p13031876/s58856677/fd82faa7-31410b18-fae37f67-70086b23-f1ead160.jpg'],['files/p13/p13031876/s58064262/230ac524-96234f88-f3c96285-860bdf99-6b6ad9d2.jpg\n']
s58856677_11,p13031876,s58856677,11,Impression,"Stable chest findings, no new abnormalities.","Stable chest findings, no new abnormalities.",,,Stable,['files/p13/p13031876/s58856677/fd82faa7-31410b18-fae37f67-70086b23-f1ead160.jpg'],['files/p13/p13031876/s58064262/230ac524-96234f88-f3c96285-860bdf99-6b6ad9d2.jpg\n']
s58856677_11,p13031876,s58856677,11,Findings,"AP single view of the chest has been obtained with patient in sitting semi-upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Position of previously described right-sided PICC line is unchanged, seen to terminate in mid portion of SVC. No pneumothorax is present. Pulmonary congestive pattern as before with perivascular haze and slightly more marked diffuse densities on the left base, similar as it was before. No significant interval change can be identified. No new abnormalities on the right base.",No significant interval change can be identified.,,,Stable,['files/p13/p13031876/s58856677/fd82faa7-31410b18-fae37f67-70086b23-f1ead160.jpg'],['files/p13/p13031876/s58064262/230ac524-96234f88-f3c96285-860bdf99-6b6ad9d2.jpg\n']
s58856677_11,p13031876,s58856677,11,Findings,"AP single view of the chest has been obtained with patient in sitting semi-upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. Position of previously described right-sided PICC line is unchanged, seen to terminate in mid portion of SVC. No pneumothorax is present. Pulmonary congestive pattern as before with perivascular haze and slightly more marked diffuse densities on the left base, similar as it was before. No significant interval change can be identified. No new abnormalities on the right base.","Position of previously described right-sided PICC line is unchanged, seen to terminate in mid portion of SVC.",PICC line,mid portion of SVC,Stable,['files/p13/p13031876/s58856677/fd82faa7-31410b18-fae37f67-70086b23-f1ead160.jpg'],['files/p13/p13031876/s58064262/230ac524-96234f88-f3c96285-860bdf99-6b6ad9d2.jpg\n']
s58857549_8,p15612622,s58857549,8,Findings,"Heart size is borderline enlarged with a left ventricular predominance. The aorta is unfolded. Mediastinal and hilar contours are unchanged. Calcified nodule in the left mid lung field is similar, compatible with a granuloma. Lungs are clear without focal consolidation. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are multilevel moderate degenerative changes in the thoracic spine.","Calcified nodule in the left mid lung field is similar, compatible with a granuloma.",calcified nodule,left mid lung field,Stable,"['files/p15/p15612622/s58857549/5c2bf1b4-d3738135-b0f5cea4-bfa67dda-166feb65.jpg', 'files/p15/p15612622/s58857549/f8622643-cc231ab1-f33d7f64-a7531ebf-5dc5e7bc.jpg', 'files/p15/p15612622/s58857549/fbe66566-622475b1-f1e0f2cf-bc7f5c85-440be008.jpg']","['files/p15/p15612622/s56194064/26735886-785c02a9-9ec5f305-c16caeb7-8ddeb3c0.jpg\n', 'files/p15/p15612622/s56194064/4da641d5-6e6f2d9e-d61765af-45618c20-e1ede26c.jpg\n', 'files/p15/p15612622/s56194064/aebe1db5-f8411259-37f4b8fc-2d28dcba-03811e14.jpg\n']"
s58857549_8,p15612622,s58857549,8,Findings,"Heart size is borderline enlarged with a left ventricular predominance. The aorta is unfolded. Mediastinal and hilar contours are unchanged. Calcified nodule in the left mid lung field is similar, compatible with a granuloma. Lungs are clear without focal consolidation. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are multilevel moderate degenerative changes in the thoracic spine.",Mediastinal and hilar contours are unchanged.,contours,mediastinal and hilar,Stable,"['files/p15/p15612622/s58857549/5c2bf1b4-d3738135-b0f5cea4-bfa67dda-166feb65.jpg', 'files/p15/p15612622/s58857549/f8622643-cc231ab1-f33d7f64-a7531ebf-5dc5e7bc.jpg', 'files/p15/p15612622/s58857549/fbe66566-622475b1-f1e0f2cf-bc7f5c85-440be008.jpg']","['files/p15/p15612622/s56194064/26735886-785c02a9-9ec5f305-c16caeb7-8ddeb3c0.jpg\n', 'files/p15/p15612622/s56194064/4da641d5-6e6f2d9e-d61765af-45618c20-e1ede26c.jpg\n', 'files/p15/p15612622/s56194064/aebe1db5-f8411259-37f4b8fc-2d28dcba-03811e14.jpg\n']"
s58858468_26,p13473495,s58858468,26,Findings,A right subclavian approach dialysis catheter is again noted with tip terminating in the right atrium. A left subclavian vein stent is visualized projecting over the left lung apex. Moderate cardiomegaly is again visualized. The mediastinal and hilar contours are unremarkable. There is no pneumothorax or large pleural effusion. Lung volumes are slightly low without focal consolidation concerning for pneumonia. There is no overt pulmonary edema.,Moderate cardiomegaly is again visualized.,Moderate cardiomegaly,,Stable,['files/p13/p13473495/s58858468/2c306616-b3005c87-d05f4dd6-a7f274c1-e15bf2a1.jpg'],['files/p13/p13473495/s58371511/da734734-eed7fe7d-743a3acd-22fb50e8-3bafca7a.jpg\n']
s58858468_26,p13473495,s58858468,26,Findings,A right subclavian approach dialysis catheter is again noted with tip terminating in the right atrium. A left subclavian vein stent is visualized projecting over the left lung apex. Moderate cardiomegaly is again visualized. The mediastinal and hilar contours are unremarkable. There is no pneumothorax or large pleural effusion. Lung volumes are slightly low without focal consolidation concerning for pneumonia. There is no overt pulmonary edema.,A right subclavian approach dialysis catheter is again noted with tip terminating in the right atrium.,Dialysis catheter,Right atrium,Stable,['files/p13/p13473495/s58858468/2c306616-b3005c87-d05f4dd6-a7f274c1-e15bf2a1.jpg'],['files/p13/p13473495/s58371511/da734734-eed7fe7d-743a3acd-22fb50e8-3bafca7a.jpg\n']
s58862282_9,p11880923,s58862282,9,Findings,"As compared to the previous radiograph, there is no relevant change. The monitoring and support devices, including the nasogastric tube, the left internal jugular vein catheter and the right double-lumen catheter, are unchanged. Borderline size of the cardiac silhouette. Extensive right lower lung opacities, combined to a right pleural effusion. Left retrocardiac atelectatic changes, accompanied by a small left pleural effusion. No newly appeared parenchymal opacities. No pneumothorax.","The monitoring and support devices, including the nasogastric tube, the left internal jugular vein catheter and the right double-lumen catheter, are unchanged.",monitoring and support devices,,Stable,['files/p11/p11880923/s58862282/cd611c14-18a02010-13493fd2-e8f3a50a-fc345827.jpg'],['files/p11/p11880923/s58606191/44c09f7b-0aed1234-2a1a02ab-3e91e954-54be38b1.jpg\n']
s58862282_9,p11880923,s58862282,9,Findings,"As compared to the previous radiograph, there is no relevant change. The monitoring and support devices, including the nasogastric tube, the left internal jugular vein catheter and the right double-lumen catheter, are unchanged. Borderline size of the cardiac silhouette. Extensive right lower lung opacities, combined to a right pleural effusion. Left retrocardiac atelectatic changes, accompanied by a small left pleural effusion. No newly appeared parenchymal opacities. No pneumothorax.","As compared to the previous radiograph, there is no relevant change.",,,Stable,['files/p11/p11880923/s58862282/cd611c14-18a02010-13493fd2-e8f3a50a-fc345827.jpg'],['files/p11/p11880923/s58606191/44c09f7b-0aed1234-2a1a02ab-3e91e954-54be38b1.jpg\n']
s58864570_15,p16435402,s58864570,15,Impression,Left upper lobe consolidation has progressed since prior. This could be due to an infection however underlying malignancy cannot be excluded. Follow-up by chest CT is suggested and can be performed as previously recommended in ___.,Left upper lobe consolidation has progressed since prior.,consolidation,left upper lobe,Worse,"['files/p16/p16435402/s58864570/218c9927-cdee34db-c4b93920-adfa83cb-cfb580c5.jpg', 'files/p16/p16435402/s58864570/637d11ba-abd47193-e88143b0-675837b1-f8a1069d.jpg']","['files/p16/p16435402/s57889845/f9306189-d5a02f03-9cdb2f33-b74ba726-8c15439d.jpg\n', 'files/p16/p16435402/s57889845/fe5bce5c-5c949faf-1120fe46-1ac9de4b-5c4f5072.jpg\n']"
s58864570_15,p16435402,s58864570,15,Findings,"When compared to prior, there has been interval progression of the opacity in the left upper lobe. Hazy opacity in the left lung base corresponds with lingular atelectasis versus scarring and superimposed left lower lobe ground-glass seen on prior chest CT. Additional nodules previously described are not as clearly delineated by x-ray. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.","When compared to prior, there has been interval progression of the opacity in the left upper lobe.",opacity,left upper lobe,Worse,"['files/p16/p16435402/s58864570/218c9927-cdee34db-c4b93920-adfa83cb-cfb580c5.jpg', 'files/p16/p16435402/s58864570/637d11ba-abd47193-e88143b0-675837b1-f8a1069d.jpg']","['files/p16/p16435402/s57889845/f9306189-d5a02f03-9cdb2f33-b74ba726-8c15439d.jpg\n', 'files/p16/p16435402/s57889845/fe5bce5c-5c949faf-1120fe46-1ac9de4b-5c4f5072.jpg\n']"
s58866273_19,p14387068,s58866273,19,Findings,A single portable AP chest radiograph was obtained. The tip of a Dobbhoff catheter projects over the stomach. The tip of a right PICC line ends in the low SVC. There is interval improved aeration of lungs with persistence of a right basilar loculated hydropneumothorax. A pigtail catheter remains in unchanged position. There is a small left pleural effusion.,There is interval improved aeration of lungs with persistence of a right basilar loculated hydropneumothorax.,loculated hydropneumothorax,right basilar,Better,['files/p14/p14387068/s58866273/95aeb67d-dda857ec-1fa24d4f-f0b7d118-eaf906ea.jpg'],['files/p14/p14387068/s58601585/027ed427-b023757e-7391ee80-7a5da2fb-b3ae0b4e.jpg\n']
s58866273_19,p14387068,s58866273,19,Impression,1. Dobbhoff tube in the stomach. 2. Unchanged right basilar loculated hydropneumothorax.,Unchanged right basilar loculated hydropneumothorax.,loculated hydropneumothorax,right basilar,Stable,['files/p14/p14387068/s58866273/95aeb67d-dda857ec-1fa24d4f-f0b7d118-eaf906ea.jpg'],['files/p14/p14387068/s58601585/027ed427-b023757e-7391ee80-7a5da2fb-b3ae0b4e.jpg\n']
s58866273_19,p14387068,s58866273,19,Findings,A single portable AP chest radiograph was obtained. The tip of a Dobbhoff catheter projects over the stomach. The tip of a right PICC line ends in the low SVC. There is interval improved aeration of lungs with persistence of a right basilar loculated hydropneumothorax. A pigtail catheter remains in unchanged position. There is a small left pleural effusion.,A pigtail catheter remains in unchanged position.,pigtail catheter,,Stable,['files/p14/p14387068/s58866273/95aeb67d-dda857ec-1fa24d4f-f0b7d118-eaf906ea.jpg'],['files/p14/p14387068/s58601585/027ed427-b023757e-7391ee80-7a5da2fb-b3ae0b4e.jpg\n']
s58869711_26,p15259244,s58869711,26,Impression,"1. Continued CHF, probably slightly worse compared with ___. 2. Left pleural fluid/thickening, left lower lobe collapse and/or consolidation, overall similar.","2. Left pleural fluid/thickening, left lower lobe collapse and/or consolidation, overall similar",Consolidation,Left,Stable,['files/p15/p15259244/s58869711/995e2d81-54b60cfa-a52c5f7a-4d97f982-645e4731.jpg'],['files/p15/p15259244/s58685714/ecc315d7-39f7e590-405c1a1f-5a8f026d-560ba339.jpg\n']
s58869711_26,p15259244,s58869711,26,Impression,"1. Continued CHF, probably slightly worse compared with ___. 2. Left pleural fluid/thickening, left lower lobe collapse and/or consolidation, overall similar.","1. Continued CHF, probably slightly worse compared with ___",CHF,,Worse,['files/p15/p15259244/s58869711/995e2d81-54b60cfa-a52c5f7a-4d97f982-645e4731.jpg'],['files/p15/p15259244/s58685714/ecc315d7-39f7e590-405c1a1f-5a8f026d-560ba339.jpg\n']
s58869711_26,p15259244,s58869711,26,Impression,"1. Continued CHF, probably slightly worse compared with ___. 2. Left pleural fluid/thickening, left lower lobe collapse and/or consolidation, overall similar.","2. Left pleural fluid/thickening, left lower lobe collapse and/or consolidation, overall similar",Pleural fluid/thickening,Left,Stable,['files/p15/p15259244/s58869711/995e2d81-54b60cfa-a52c5f7a-4d97f982-645e4731.jpg'],['files/p15/p15259244/s58685714/ecc315d7-39f7e590-405c1a1f-5a8f026d-560ba339.jpg\n']
s58869711_26,p15259244,s58869711,26,Impression,"1. Continued CHF, probably slightly worse compared with ___. 2. Left pleural fluid/thickening, left lower lobe collapse and/or consolidation, overall similar.","2. Left pleural fluid/thickening, left lower lobe collapse and/or consolidation, overall similar",Lower lobe collapse,Left,Stable,['files/p15/p15259244/s58869711/995e2d81-54b60cfa-a52c5f7a-4d97f982-645e4731.jpg'],['files/p15/p15259244/s58685714/ecc315d7-39f7e590-405c1a1f-5a8f026d-560ba339.jpg\n']
s58878473_11,p13473495,s58878473,11,Findings,"Severe cardiomegaly is unchanged. The mediastinal and hilar contours are similar. There is mild pulmonary vascular engorgement, also unchanged. Bibasilar airspace opacities could reflect atelectasis though infection or aspiration cannot be excluded. No large pleural effusion or pneumothorax is seen.",Severe cardiomegaly is unchanged.,severe cardiomegaly,,Stable,['files/p13/p13473495/s58878473/7e96d7f1-3095daed-1e42c172-37ea991c-747f03a3.jpg'],['files/p13/p13473495/s58858468/2c306616-b3005c87-d05f4dd6-a7f274c1-e15bf2a1.jpg\n']
s58878473_11,p13473495,s58878473,11,Findings,"Severe cardiomegaly is unchanged. The mediastinal and hilar contours are similar. There is mild pulmonary vascular engorgement, also unchanged. Bibasilar airspace opacities could reflect atelectasis though infection or aspiration cannot be excluded. No large pleural effusion or pneumothorax is seen.",The mediastinal and hilar contours are similar.,mediastinal and hilar contours,,Stable,['files/p13/p13473495/s58878473/7e96d7f1-3095daed-1e42c172-37ea991c-747f03a3.jpg'],['files/p13/p13473495/s58858468/2c306616-b3005c87-d05f4dd6-a7f274c1-e15bf2a1.jpg\n']
s58878473_11,p13473495,s58878473,11,Findings,"Severe cardiomegaly is unchanged. The mediastinal and hilar contours are similar. There is mild pulmonary vascular engorgement, also unchanged. Bibasilar airspace opacities could reflect atelectasis though infection or aspiration cannot be excluded. No large pleural effusion or pneumothorax is seen.","There is mild pulmonary vascular engorgement, also unchanged.",mild pulmonary vascular engorgement,,Stable,['files/p13/p13473495/s58878473/7e96d7f1-3095daed-1e42c172-37ea991c-747f03a3.jpg'],['files/p13/p13473495/s58858468/2c306616-b3005c87-d05f4dd6-a7f274c1-e15bf2a1.jpg\n']
s58881734_38,p14841168,s58881734,38,Impression,Comparison to ___. No relevant change. Monitoring and support devices are stable. Moderate cardiomegaly. Low lung volumes. Mild to moderate pulmonary edema. The right basilar atelectasis. Retrocardiac atelectasis. No larger pleural effusions.,Monitoring and support devices are stable.,Monitoring and support devices,,Stable,['files/p14/p14841168/s58881734/05497016-015d9fb6-1dcbc401-ad586ed8-ff4595d4.jpg'],['files/p14/p14841168/s58204843/7b714b4a-a32cd9a3-99984154-eacb273a-b64ec97a.jpg\n']
s58890549_26,p16508811,s58890549,26,Impression,"In comparison with the study of ___, there is diffuse increase in opacifications bilaterally. Although some of this could represent volume overload, much of the opacification, especially on the left, is consistent with superimposed pneumonia.","In comparison with the study of ___, there is diffuse increase in opacifications bilaterally.",opacifications,bilaterally,Worse,"['files/p16/p16508811/s58890549/318d4cb7-3fb27245-107ed347-f61030ff-2765e366.jpg', 'files/p16/p16508811/s58890549/ee316aaf-4836b322-7a19300e-e45cd9fd-b0399146.jpg']","['files/p16/p16508811/s58582715/31ff71ed-eb4d7a99-d0edacb6-1274d24b-9e98641d.jpg\n', 'files/p16/p16508811/s58582715/a7c2113c-b5445d48-45d2238f-d7cfa15c-6fd2383a.jpg\n', 'files/p16/p16508811/s58582715/ffbe6e35-340e8aec-316936e9-9e5a6d09-9c838343.jpg\n']"
s58891388_12,p12475198,s58891388,12,Impression,"As compared to the previous radiograph, the bilateral parenchymal opacities have decreased in extent and severity. No new opacities. The lung volumes remain low. Borderline size of the cardiac silhouette. No larger pleural effusions.",The lung volumes remain low.,low,lung volumes,Stable,['files/p12/p12475198/s58891388/0c0e838d-f104a134-1cb0290a-1d03cf65-de502b0c.jpg'],['files/p12/p12475198/s58466988/20ac90a4-87044528-f3284c7b-e22cd4ff-feeeb0df.jpg\n']
s58891388_12,p12475198,s58891388,12,Impression,"As compared to the previous radiograph, the bilateral parenchymal opacities have decreased in extent and severity. No new opacities. The lung volumes remain low. Borderline size of the cardiac silhouette. No larger pleural effusions.","As compared to the previous radiograph, the bilateral parenchymal opacities have decreased in extent and severity.",parenchymal opacities,bilateral,Better,['files/p12/p12475198/s58891388/0c0e838d-f104a134-1cb0290a-1d03cf65-de502b0c.jpg'],['files/p12/p12475198/s58466988/20ac90a4-87044528-f3284c7b-e22cd4ff-feeeb0df.jpg\n']
s58891549_6,p18512911,s58891549,6,Findings,"Again seen are bilateral lower lobe opacities, left greater than right. These have slightly changed their appearance and still could be due to either volume loss or infectious infiltrate. There are probable small bilateral effusions. There is mild pulmonary vascular redistribution and mild cardiomegaly.",These have slightly changed their appearance and still could be due to either volume loss or infectious infiltrate.,opacities,bilateral lower lobe,Worse,['files/p18/p18512911/s58891549/4a07ec47-07219c0a-f144f691-b0625175-f58f47d0.jpg'],"['files/p18/p18512911/s56917340/411abaf0-f8b81683-e86eea4a-a3ea2b62-2d262a90.jpg\n', 'files/p18/p18512911/s56917340/8a2ac87e-67bd3fae-31632688-1d6dbc89-594ca350.jpg\n', 'files/p18/p18512911/s56917340/c4b67dd3-d40261f4-896ca5c9-acc7cde5-d93ec993.jpg\n']"
s58891549_6,p18512911,s58891549,6,Findings,"Again seen are bilateral lower lobe opacities, left greater than right. These have slightly changed their appearance and still could be due to either volume loss or infectious infiltrate. There are probable small bilateral effusions. There is mild pulmonary vascular redistribution and mild cardiomegaly.","Again seen are bilateral lower lobe opacities, left greater than right.",opacities,bilateral lower lobe,Stable,['files/p18/p18512911/s58891549/4a07ec47-07219c0a-f144f691-b0625175-f58f47d0.jpg'],"['files/p18/p18512911/s56917340/411abaf0-f8b81683-e86eea4a-a3ea2b62-2d262a90.jpg\n', 'files/p18/p18512911/s56917340/8a2ac87e-67bd3fae-31632688-1d6dbc89-594ca350.jpg\n', 'files/p18/p18512911/s56917340/c4b67dd3-d40261f4-896ca5c9-acc7cde5-d93ec993.jpg\n']"
s58897728_1,p15881535,s58897728,1,Findings,"The cardiomediastinal silhouette, pulmonary vasculature, and aorta are within normal limits. There is an airspace opacity lateral to the right heart border on frontal projection. Right clavicular orthopedic side plate is unchanged.",Right clavicular orthopedic side plate is unchanged.,orthopedic side plate,right clavicular,Stable,"['files/p15/p15881535/s58897728/19c60eb8-3699971f-b058c7f4-9032d4a4-2b586b3f.jpg', 'files/p15/p15881535/s58897728/7fae1179-39697856-a9795bb4-19feb4f6-b065f924.jpg']","['files/p15/p15881535/s58215117/5b544b50-6b9fd2e8-40331062-6eea2423-c6427c30.jpg\n', 'files/p15/p15881535/s58215117/5fdb7189-ead5e2fd-71a6d19b-3862ce63-28bc762e.jpg\n']"
s58899269_18,p18487334,s58899269,18,Impression,"In comparison to ___ chest radiograph, a very subtle opacity has developed at the right lung base in could potentially represent an early focus of pneumonia. No other relevant change.","In comparison to ___ chest radiograph, a very subtle opacity has developed at the right lung base in could potentially represent an early focus of pneumonia.",opacity,right lung base,New,['files/p18/p18487334/s58899269/96f00041-94cc6063-63bfa4e2-d764e039-a73d562c.jpg'],"['files/p18/p18487334/s58101766/216b9a6a-06dd1aae-5420ec84-72aaf098-05d214fb.jpg\n', 'files/p18/p18487334/s58101766/416e88d5-0e24d80f-a8cd5bca-aec8c184-e701a790.jpg\n', 'files/p18/p18487334/s58101766/d41fd229-31e66391-a11947ea-73b670a0-65824368.jpg\n']"
s58905647_0,p12847817,s58905647,0,Findings,"Lung volumes are somewhat low, however, no focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. A stent in the region of the left brachiocephalic vein is unchanged. Surgical chain suture is noted in the right lower lobe. A calcification seen projecting over the cardiac silhouette to the left of the aorta is not clearly localized on this single frontal radiograph, however, was not present on the examination of ___. The heart size is normal.",A stent in the region of the left brachiocephalic vein is unchanged.,stent,left brachiocephalic vein,Stable,['files/p12/p12847817/s58905647/1b02e072-fa368bfc-a9a77874-e1a0094e-7cac5d6a.jpg'],['files/p12/p12847817/s58371032/3c920897-9646c09a-68473fee-614861c4-7a9780f1.jpg\n']
s58905647_0,p12847817,s58905647,0,Impression,"1. No evidence of acute cardiopulmonary process. 2. Rounded calcification projecting over the cardiac silhouette not well localized on this single frontal radiograph. This could represent a calcified granuloma, however, was not present on the examination of ___. PA and lateral radiographs may be performed for further evaluation and localization.","Rounded calcification projecting over the cardiac silhouette not well localized on this single frontal radiograph. This could represent a calcified granuloma, however, was not present on the examination of ___.",calcified granuloma,over the cardiac silhouette,New,['files/p12/p12847817/s58905647/1b02e072-fa368bfc-a9a77874-e1a0094e-7cac5d6a.jpg'],['files/p12/p12847817/s58371032/3c920897-9646c09a-68473fee-614861c4-7a9780f1.jpg\n']
s58905647_0,p12847817,s58905647,0,Findings,"Lung volumes are somewhat low, however, no focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. A stent in the region of the left brachiocephalic vein is unchanged. Surgical chain suture is noted in the right lower lobe. A calcification seen projecting over the cardiac silhouette to the left of the aorta is not clearly localized on this single frontal radiograph, however, was not present on the examination of ___. The heart size is normal.","A calcification seen projecting over the cardiac silhouette to the left of the aorta is not clearly localized on this single frontal radiograph, however, was not present on the examination of ___.",calcification,over the cardiac silhouette to the left of the aorta,New,['files/p12/p12847817/s58905647/1b02e072-fa368bfc-a9a77874-e1a0094e-7cac5d6a.jpg'],['files/p12/p12847817/s58371032/3c920897-9646c09a-68473fee-614861c4-7a9780f1.jpg\n']
s58907220_2,p13975291,s58907220,2,Impression,"Compared to chest radiographs since ___, most recently ___. Heart size top- normal, improved. Lungs clear. No pleural abnormality. Mediastinal contours explained by benign fat deposition.","Compared to chest radiographs since ___, most recently ___. Heart size top- normal, improved.",heart size,,Better,['files/p13/p13975291/s58907220/496ca4eb-96600429-f794c4d3-8b1b7172-f615041e.jpg'],"['files/p13/p13975291/s58304701/1b4cad1b-a0c9f739-745ee1c4-4ad5ea37-41df6917.jpg\n', 'files/p13/p13975291/s58304701/438039d7-2b32dcfa-bd0fc343-02ae26e9-7b649974.jpg\n', 'files/p13/p13975291/s58304701/772a5436-29f7b5fa-5ad23833-0939fd67-e58a599f.jpg\n']"
s58908940_20,p17340686,s58908940,20,Findings,"AP and lateral views of the chest were obtained. The lateral view is suboptimal due to overlying soft tissues due to patient's inability to move right arm, secondary to chronic right humeral head deformity and severe osteoarthritis of the right glenohumeral joint. A left port-a-cath is again seen, terminating at the cavoatrial junction. The heart is moderately enlarged, as before. The lung volumes are low, and there is mild fluid overload with small bilateral pleural effusions. There is no pneumothorax or focal consolidation concerning for pneumonia. Bibasilar atelectasis is present.","A left port-a-cath is again seen, terminating at the cavoatrial junction.",port-a-cath,left,Stable,"['files/p17/p17340686/s58908940/35c92af3-ed9be418-cfa5c77f-01d6e3c7-fcb5af0a.jpg', 'files/p17/p17340686/s58908940/39ca48e7-53f0eca0-ce297a4a-84fa12a4-cb30308f.jpg']",['files/p17/p17340686/s58528625/253ff311-29b03520-fb3b41cc-943dee43-7ac172d5.jpg\n']
s58908940_20,p17340686,s58908940,20,Findings,"AP and lateral views of the chest were obtained. The lateral view is suboptimal due to overlying soft tissues due to patient's inability to move right arm, secondary to chronic right humeral head deformity and severe osteoarthritis of the right glenohumeral joint. A left port-a-cath is again seen, terminating at the cavoatrial junction. The heart is moderately enlarged, as before. The lung volumes are low, and there is mild fluid overload with small bilateral pleural effusions. There is no pneumothorax or focal consolidation concerning for pneumonia. Bibasilar atelectasis is present.","The heart is moderately enlarged, as before.",moderate cardiomegaly,,Stable,"['files/p17/p17340686/s58908940/35c92af3-ed9be418-cfa5c77f-01d6e3c7-fcb5af0a.jpg', 'files/p17/p17340686/s58908940/39ca48e7-53f0eca0-ce297a4a-84fa12a4-cb30308f.jpg']",['files/p17/p17340686/s58528625/253ff311-29b03520-fb3b41cc-943dee43-7ac172d5.jpg\n']
s58911568_12,p14387068,s58911568,12,Impression,Large right pleural effusion replacing the prior right pneumothorax seen on ___. Results were relayed to ___ by phone at 12:05 p.m. on ___.,Large right pleural effusion replacing the prior right pneumothorax seen on ___.,pleural effusion,right,Worse,"['files/p14/p14387068/s58911568/1b1b23db-a13b7b1e-1cdeca0e-a6d035c6-a4699be0.jpg', 'files/p14/p14387068/s58911568/dff1e4b1-19095040-20f3ad74-e13d58a4-4603b22d.jpg']",['files/p14/p14387068/s58900575/1fe087b5-76e46847-985f4986-3046404a-2184844a.jpg\n']
s58911568_12,p14387068,s58911568,12,Findings,"The right pneumothorax has resolved. However, there has been continued increase in the pleural effusion which is now large and leaving only the right upper lobe aerated. There is no shift of mediastinal structures. There is no focal consolidation. The visualized portions of the cardiomediastinal silhouette are within normal limits.","However, there has been continued increase in the pleural effusion which is now large and leaving only the right upper lobe aerated.",pleural effusion,right upper lobe,Worse,"['files/p14/p14387068/s58911568/1b1b23db-a13b7b1e-1cdeca0e-a6d035c6-a4699be0.jpg', 'files/p14/p14387068/s58911568/dff1e4b1-19095040-20f3ad74-e13d58a4-4603b22d.jpg']",['files/p14/p14387068/s58900575/1fe087b5-76e46847-985f4986-3046404a-2184844a.jpg\n']
s58911568_12,p14387068,s58911568,12,Findings,"The right pneumothorax has resolved. However, there has been continued increase in the pleural effusion which is now large and leaving only the right upper lobe aerated. There is no shift of mediastinal structures. There is no focal consolidation. The visualized portions of the cardiomediastinal silhouette are within normal limits.",The right pneumothorax has resolved.,pneumothorax,right,Resolve,"['files/p14/p14387068/s58911568/1b1b23db-a13b7b1e-1cdeca0e-a6d035c6-a4699be0.jpg', 'files/p14/p14387068/s58911568/dff1e4b1-19095040-20f3ad74-e13d58a4-4603b22d.jpg']",['files/p14/p14387068/s58900575/1fe087b5-76e46847-985f4986-3046404a-2184844a.jpg\n']
s58917552_2,p10975446,s58917552,2,Findings,Cardiac silhouette remains enlarged and is accompanied by persistent pulmonary vascular congestion and interstitial edema. Patchy bibasilar atelectasis also appears similar compared to the prior study.,Cardiac silhouette remains enlarged and is accompanied by persistent pulmonary vascular congestion and interstitial edema.,Pulmonary vascular congestion,,Stable,['files/p10/p10975446/s58917552/34058be0-81c50b36-9b2c0874-23eca60a-7789a943.jpg'],['files/p10/p10975446/s56820999/28a61df7-4fa64f79-11a7bc9c-789dd22b-171b52b3.jpg\n']
s58917552_2,p10975446,s58917552,2,Findings,Cardiac silhouette remains enlarged and is accompanied by persistent pulmonary vascular congestion and interstitial edema. Patchy bibasilar atelectasis also appears similar compared to the prior study.,Cardiac silhouette remains enlarged and is accompanied by persistent pulmonary vascular congestion and interstitial edema.,Cardiac silhouette enlargement,,Stable,['files/p10/p10975446/s58917552/34058be0-81c50b36-9b2c0874-23eca60a-7789a943.jpg'],['files/p10/p10975446/s56820999/28a61df7-4fa64f79-11a7bc9c-789dd22b-171b52b3.jpg\n']
s58917552_2,p10975446,s58917552,2,Findings,Cardiac silhouette remains enlarged and is accompanied by persistent pulmonary vascular congestion and interstitial edema. Patchy bibasilar atelectasis also appears similar compared to the prior study.,Patchy bibasilar atelectasis also appears similar compared to the prior study.,Patchy atelectasis,bibasilar,Stable,['files/p10/p10975446/s58917552/34058be0-81c50b36-9b2c0874-23eca60a-7789a943.jpg'],['files/p10/p10975446/s56820999/28a61df7-4fa64f79-11a7bc9c-789dd22b-171b52b3.jpg\n']
s58917552_2,p10975446,s58917552,2,Findings,Cardiac silhouette remains enlarged and is accompanied by persistent pulmonary vascular congestion and interstitial edema. Patchy bibasilar atelectasis also appears similar compared to the prior study.,Cardiac silhouette remains enlarged and is accompanied by persistent pulmonary vascular congestion and interstitial edema.,Interstitial edema,,Stable,['files/p10/p10975446/s58917552/34058be0-81c50b36-9b2c0874-23eca60a-7789a943.jpg'],['files/p10/p10975446/s56820999/28a61df7-4fa64f79-11a7bc9c-789dd22b-171b52b3.jpg\n']
s58917922_21,p19759491,s58917922,21,Findings,"Right chest wall triple lead pacing device is again seen as well as a dual lumen right-sided central venous catheter. Prosthetic mitral valve is noted. Degree of cardiomegaly is unchanged. Persistent mild pulmonary edema is again noted. Retrocardiac opacity may be accentuated by portable technique, grossly unchanged from prior. There is no large effusion. Old healed left lateral rib fractures identified.","Retrocardiac opacity may be accentuated by portable technique, grossly unchanged from prior.",opacity,retrocardiac,Stable,['files/p19/p19759491/s58917922/7fab0be6-9ffd373a-a2ef5222-4aaf90ed-c4afea69.jpg'],"['files/p19/p19759491/s58459168/7f65cb04-e3436984-1b6d2d66-60ed82fe-176f71bd.jpg\n', 'files/p19/p19759491/s58459168/8fbf70c6-38be49b6-19536bcd-74b5e494-4ed5093f.jpg\n']"
s58917922_21,p19759491,s58917922,21,Impression,Persistent mild pulmonary edema. More confluent retrocardiac opacity potentially due to atelectasis accentuated by portable technique. Consider PA and lateral if patient is amenable to further characterize.,Persistent mild pulmonary edema.,pulmonary edema,,Stable,['files/p19/p19759491/s58917922/7fab0be6-9ffd373a-a2ef5222-4aaf90ed-c4afea69.jpg'],"['files/p19/p19759491/s58459168/7f65cb04-e3436984-1b6d2d66-60ed82fe-176f71bd.jpg\n', 'files/p19/p19759491/s58459168/8fbf70c6-38be49b6-19536bcd-74b5e494-4ed5093f.jpg\n']"
s58917922_21,p19759491,s58917922,21,Findings,"Right chest wall triple lead pacing device is again seen as well as a dual lumen right-sided central venous catheter. Prosthetic mitral valve is noted. Degree of cardiomegaly is unchanged. Persistent mild pulmonary edema is again noted. Retrocardiac opacity may be accentuated by portable technique, grossly unchanged from prior. There is no large effusion. Old healed left lateral rib fractures identified.",Persistent mild pulmonary edema is again noted.,pulmonary edema,,Stable,['files/p19/p19759491/s58917922/7fab0be6-9ffd373a-a2ef5222-4aaf90ed-c4afea69.jpg'],"['files/p19/p19759491/s58459168/7f65cb04-e3436984-1b6d2d66-60ed82fe-176f71bd.jpg\n', 'files/p19/p19759491/s58459168/8fbf70c6-38be49b6-19536bcd-74b5e494-4ed5093f.jpg\n']"
s58917922_21,p19759491,s58917922,21,Findings,"Right chest wall triple lead pacing device is again seen as well as a dual lumen right-sided central venous catheter. Prosthetic mitral valve is noted. Degree of cardiomegaly is unchanged. Persistent mild pulmonary edema is again noted. Retrocardiac opacity may be accentuated by portable technique, grossly unchanged from prior. There is no large effusion. Old healed left lateral rib fractures identified.",Degree of cardiomegaly is unchanged.,cardiomegaly,,Stable,['files/p19/p19759491/s58917922/7fab0be6-9ffd373a-a2ef5222-4aaf90ed-c4afea69.jpg'],"['files/p19/p19759491/s58459168/7f65cb04-e3436984-1b6d2d66-60ed82fe-176f71bd.jpg\n', 'files/p19/p19759491/s58459168/8fbf70c6-38be49b6-19536bcd-74b5e494-4ed5093f.jpg\n']"
s58917922_21,p19759491,s58917922,21,Findings,"Right chest wall triple lead pacing device is again seen as well as a dual lumen right-sided central venous catheter. Prosthetic mitral valve is noted. Degree of cardiomegaly is unchanged. Persistent mild pulmonary edema is again noted. Retrocardiac opacity may be accentuated by portable technique, grossly unchanged from prior. There is no large effusion. Old healed left lateral rib fractures identified.",Right chest wall triple lead pacing device is again seen as well as a dual lumen right-sided central venous catheter.,central venous catheter,right-sided,Stable,['files/p19/p19759491/s58917922/7fab0be6-9ffd373a-a2ef5222-4aaf90ed-c4afea69.jpg'],"['files/p19/p19759491/s58459168/7f65cb04-e3436984-1b6d2d66-60ed82fe-176f71bd.jpg\n', 'files/p19/p19759491/s58459168/8fbf70c6-38be49b6-19536bcd-74b5e494-4ed5093f.jpg\n']"
s58917922_21,p19759491,s58917922,21,Findings,"Right chest wall triple lead pacing device is again seen as well as a dual lumen right-sided central venous catheter. Prosthetic mitral valve is noted. Degree of cardiomegaly is unchanged. Persistent mild pulmonary edema is again noted. Retrocardiac opacity may be accentuated by portable technique, grossly unchanged from prior. There is no large effusion. Old healed left lateral rib fractures identified.",Right chest wall triple lead pacing device is again seen as well as a dual lumen right-sided central venous catheter.,triple lead pacing device,right chest wall,Stable,['files/p19/p19759491/s58917922/7fab0be6-9ffd373a-a2ef5222-4aaf90ed-c4afea69.jpg'],"['files/p19/p19759491/s58459168/7f65cb04-e3436984-1b6d2d66-60ed82fe-176f71bd.jpg\n', 'files/p19/p19759491/s58459168/8fbf70c6-38be49b6-19536bcd-74b5e494-4ed5093f.jpg\n']"
s58929044_15,p10933609,s58929044,15,Findings,"PA and lateral views of the chest are compared to multiple prior exams including CT torso from ___ with most recent x-ray from ___. When compared to most recent exam, there has been near complete resolution of the right upper lung opacity. There is evidence of scarring at the upper lobes bilaterally with retraction of the hila and some nodular densities, particularly in the left upper lung. These have been seen on multiple prior exams. Minimal blunting of the left posterior costophrenic angle may represent trace effusion. There is no large confluent consolidation. Cardiomediastinal silhouette is stable as are the osseous structures, noting multiple orthopedic screws projecting over the right glenoid.","Cardiomediastinal silhouette is stable as are the osseous structures, noting multiple orthopedic screws projecting over the right glenoid.",,Cardiomediastinal silhouette,Stable,"['files/p10/p10933609/s58929044/282d803b-7e9e211b-ccf6ccf5-f3885dec-b8b9f76b.jpg', 'files/p10/p10933609/s58929044/a603cd8b-deb5791e-0af13e1c-291d022f-105c7d5c.jpg', 'files/p10/p10933609/s58929044/dda9463c-13653db6-03e65f74-74ef0b98-4cceb8c9.jpg']",['files/p10/p10933609/s57695180/c11514bb-319a3161-c0c85326-68094c62-0220f4f4.jpg\n']
s58929044_15,p10933609,s58929044,15,Findings,"PA and lateral views of the chest are compared to multiple prior exams including CT torso from ___ with most recent x-ray from ___. When compared to most recent exam, there has been near complete resolution of the right upper lung opacity. There is evidence of scarring at the upper lobes bilaterally with retraction of the hila and some nodular densities, particularly in the left upper lung. These have been seen on multiple prior exams. Minimal blunting of the left posterior costophrenic angle may represent trace effusion. There is no large confluent consolidation. Cardiomediastinal silhouette is stable as are the osseous structures, noting multiple orthopedic screws projecting over the right glenoid.","Cardiomediastinal silhouette is stable as are the osseous structures, noting multiple orthopedic screws projecting over the right glenoid.",,osseous structures,Stable,"['files/p10/p10933609/s58929044/282d803b-7e9e211b-ccf6ccf5-f3885dec-b8b9f76b.jpg', 'files/p10/p10933609/s58929044/a603cd8b-deb5791e-0af13e1c-291d022f-105c7d5c.jpg', 'files/p10/p10933609/s58929044/dda9463c-13653db6-03e65f74-74ef0b98-4cceb8c9.jpg']",['files/p10/p10933609/s57695180/c11514bb-319a3161-c0c85326-68094c62-0220f4f4.jpg\n']
s58929044_15,p10933609,s58929044,15,Impression,"Essentially complete resolution of the right upper lobe opacity seen on prior. Findings suggestive of underlying chronic upper lobe scarring, although superimposed acute infectious process, particularly on the left, is not completely excluded.",Essentially complete resolution of the right upper lobe opacity seen on prior.,opacity,right upper lobe,Resolve,"['files/p10/p10933609/s58929044/282d803b-7e9e211b-ccf6ccf5-f3885dec-b8b9f76b.jpg', 'files/p10/p10933609/s58929044/a603cd8b-deb5791e-0af13e1c-291d022f-105c7d5c.jpg', 'files/p10/p10933609/s58929044/dda9463c-13653db6-03e65f74-74ef0b98-4cceb8c9.jpg']",['files/p10/p10933609/s57695180/c11514bb-319a3161-c0c85326-68094c62-0220f4f4.jpg\n']
s58929044_15,p10933609,s58929044,15,Findings,"PA and lateral views of the chest are compared to multiple prior exams including CT torso from ___ with most recent x-ray from ___. When compared to most recent exam, there has been near complete resolution of the right upper lung opacity. There is evidence of scarring at the upper lobes bilaterally with retraction of the hila and some nodular densities, particularly in the left upper lung. These have been seen on multiple prior exams. Minimal blunting of the left posterior costophrenic angle may represent trace effusion. There is no large confluent consolidation. Cardiomediastinal silhouette is stable as are the osseous structures, noting multiple orthopedic screws projecting over the right glenoid.","When compared to most recent exam, there has been near complete resolution of the right upper lung opacity.",opacity,right upper lung,Resolve,"['files/p10/p10933609/s58929044/282d803b-7e9e211b-ccf6ccf5-f3885dec-b8b9f76b.jpg', 'files/p10/p10933609/s58929044/a603cd8b-deb5791e-0af13e1c-291d022f-105c7d5c.jpg', 'files/p10/p10933609/s58929044/dda9463c-13653db6-03e65f74-74ef0b98-4cceb8c9.jpg']",['files/p10/p10933609/s57695180/c11514bb-319a3161-c0c85326-68094c62-0220f4f4.jpg\n']
s58929701_6,p12963531,s58929701,6,Impression,"1. Area of increase density overlying the right hilum with a sharp lower margin is of unclear clinical significance. Chest CT is recommended for further assessment. 2. Severe cardiomegaly, unchanged. The impression was entered as an urgently flagged wet read on the ED dashboard by Dr ___ on ___ at 9:05 am after discussion with the attending as the patient was still in the ED.","2. Severe cardiomegaly, unchanged.",severe cardiomegaly,cardiac silhouette,Stable,"['files/p12/p12963531/s58929701/db56399e-4f04b226-d9773c85-a6d565a6-04fe3904.jpg', 'files/p12/p12963531/s58929701/f2fc645a-c9a8eb56-89315f4e-063eed9b-7eccbae9.jpg']",['files/p12/p12963531/s57210258/5f17fe93-aaa0c148-72ccdc7f-ad2268b1-56572a09.jpg\n']
s58929701_6,p12963531,s58929701,6,Findings,The lungs are well expanded and clear. Area of increase density overlying the right hilum with a sharp lower margin is of unclear clinical significance. Severe cardiomegaly is reidentified. The hilar contours are unremarkable. There is no pleural effusion or pneumothorax.,Severe cardiomegaly is reidentified.,severe cardiomegaly,cardiac silhouette,Stable,"['files/p12/p12963531/s58929701/db56399e-4f04b226-d9773c85-a6d565a6-04fe3904.jpg', 'files/p12/p12963531/s58929701/f2fc645a-c9a8eb56-89315f4e-063eed9b-7eccbae9.jpg']",['files/p12/p12963531/s57210258/5f17fe93-aaa0c148-72ccdc7f-ad2268b1-56572a09.jpg\n']
s58936335_7,p13849733,s58936335,7,Findings,"Single AP upright portable view of the chest was obtained. The right costophrenic angle is not included on the images. Again seen is a large area of right mid-to-lower lung opacity which is better assessed on prior CT from ___. There is a moderate right pleural effusion with overlying atelectasis, an underlying consolidation cannot be excluded. Streaky and fibrotic opacities are seen in the right lung involving the upper, mid and lower lung fields, most noted in the left mid lung field, also seen on the prior study. Left apical pleural thickening and calcifications are again seen, consistent with chronic change. No large left pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable. Multiple old right-sided rib deformities/fractures are again seen. A left sided vascular stent is again partially imaged.","Left apical pleural thickening and calcifications are again seen, consistent with chronic change.",pleural thickening and calcifications,left apical,Stable,['files/p13/p13849733/s58936335/9db9d5b2-ca959890-19e93b7b-dd184ea9-9bdabe28.jpg'],"['files/p13/p13849733/s58414605/5bc36095-67e87f3e-58bd0b18-96e0fc83-eec8c80a.jpg\n', 'files/p13/p13849733/s58414605/9053ce43-3232d763-75beb611-98900ca4-59d6fb3b.jpg\n', 'files/p13/p13849733/s58414605/b80c8698-bd19b3ad-2bfa7ec4-e5c4a4ae-ddc9c4f4.jpg\n']"
s58936335_7,p13849733,s58936335,7,Findings,"Single AP upright portable view of the chest was obtained. The right costophrenic angle is not included on the images. Again seen is a large area of right mid-to-lower lung opacity which is better assessed on prior CT from ___. There is a moderate right pleural effusion with overlying atelectasis, an underlying consolidation cannot be excluded. Streaky and fibrotic opacities are seen in the right lung involving the upper, mid and lower lung fields, most noted in the left mid lung field, also seen on the prior study. Left apical pleural thickening and calcifications are again seen, consistent with chronic change. No large left pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable. Multiple old right-sided rib deformities/fractures are again seen. A left sided vascular stent is again partially imaged.",Again seen is a large area of right mid-to-lower lung opacity which is better assessed on prior CT from ___.,opacity,right mid-to-lower lung,Stable,['files/p13/p13849733/s58936335/9db9d5b2-ca959890-19e93b7b-dd184ea9-9bdabe28.jpg'],"['files/p13/p13849733/s58414605/5bc36095-67e87f3e-58bd0b18-96e0fc83-eec8c80a.jpg\n', 'files/p13/p13849733/s58414605/9053ce43-3232d763-75beb611-98900ca4-59d6fb3b.jpg\n', 'files/p13/p13849733/s58414605/b80c8698-bd19b3ad-2bfa7ec4-e5c4a4ae-ddc9c4f4.jpg\n']"
s58936335_7,p13849733,s58936335,7,Findings,"Single AP upright portable view of the chest was obtained. The right costophrenic angle is not included on the images. Again seen is a large area of right mid-to-lower lung opacity which is better assessed on prior CT from ___. There is a moderate right pleural effusion with overlying atelectasis, an underlying consolidation cannot be excluded. Streaky and fibrotic opacities are seen in the right lung involving the upper, mid and lower lung fields, most noted in the left mid lung field, also seen on the prior study. Left apical pleural thickening and calcifications are again seen, consistent with chronic change. No large left pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable. Multiple old right-sided rib deformities/fractures are again seen. A left sided vascular stent is again partially imaged.",The cardiac and mediastinal silhouettes are stable.,silhouettes,cardiac and mediastinal,Stable,['files/p13/p13849733/s58936335/9db9d5b2-ca959890-19e93b7b-dd184ea9-9bdabe28.jpg'],"['files/p13/p13849733/s58414605/5bc36095-67e87f3e-58bd0b18-96e0fc83-eec8c80a.jpg\n', 'files/p13/p13849733/s58414605/9053ce43-3232d763-75beb611-98900ca4-59d6fb3b.jpg\n', 'files/p13/p13849733/s58414605/b80c8698-bd19b3ad-2bfa7ec4-e5c4a4ae-ddc9c4f4.jpg\n']"
s58936335_7,p13849733,s58936335,7,Findings,"Single AP upright portable view of the chest was obtained. The right costophrenic angle is not included on the images. Again seen is a large area of right mid-to-lower lung opacity which is better assessed on prior CT from ___. There is a moderate right pleural effusion with overlying atelectasis, an underlying consolidation cannot be excluded. Streaky and fibrotic opacities are seen in the right lung involving the upper, mid and lower lung fields, most noted in the left mid lung field, also seen on the prior study. Left apical pleural thickening and calcifications are again seen, consistent with chronic change. No large left pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable. Multiple old right-sided rib deformities/fractures are again seen. A left sided vascular stent is again partially imaged.",Multiple old right-sided rib deformities/fractures are again seen.,rib deformities/fractures,right-sided,Stable,['files/p13/p13849733/s58936335/9db9d5b2-ca959890-19e93b7b-dd184ea9-9bdabe28.jpg'],"['files/p13/p13849733/s58414605/5bc36095-67e87f3e-58bd0b18-96e0fc83-eec8c80a.jpg\n', 'files/p13/p13849733/s58414605/9053ce43-3232d763-75beb611-98900ca4-59d6fb3b.jpg\n', 'files/p13/p13849733/s58414605/b80c8698-bd19b3ad-2bfa7ec4-e5c4a4ae-ddc9c4f4.jpg\n']"
s58936335_7,p13849733,s58936335,7,Findings,"Single AP upright portable view of the chest was obtained. The right costophrenic angle is not included on the images. Again seen is a large area of right mid-to-lower lung opacity which is better assessed on prior CT from ___. There is a moderate right pleural effusion with overlying atelectasis, an underlying consolidation cannot be excluded. Streaky and fibrotic opacities are seen in the right lung involving the upper, mid and lower lung fields, most noted in the left mid lung field, also seen on the prior study. Left apical pleural thickening and calcifications are again seen, consistent with chronic change. No large left pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable. Multiple old right-sided rib deformities/fractures are again seen. A left sided vascular stent is again partially imaged.",A left sided vascular stent is again partially imaged.,vascular stent,left sided,Stable,['files/p13/p13849733/s58936335/9db9d5b2-ca959890-19e93b7b-dd184ea9-9bdabe28.jpg'],"['files/p13/p13849733/s58414605/5bc36095-67e87f3e-58bd0b18-96e0fc83-eec8c80a.jpg\n', 'files/p13/p13849733/s58414605/9053ce43-3232d763-75beb611-98900ca4-59d6fb3b.jpg\n', 'files/p13/p13849733/s58414605/b80c8698-bd19b3ad-2bfa7ec4-e5c4a4ae-ddc9c4f4.jpg\n']"
s58936335_7,p13849733,s58936335,7,Impression,"1. Right costophrenic angle not fully included on the images. Given this, large area of right mid-to-lower lung opacity is again seen, likely representing combination of pleural effusion, atelectasis and possible underlying consolidation. Increased right perihilar opacity. Areas of patchy and fibrotic opacities in the left lung again seen, may be chronic.","Right costophrenic angle not fully included on the images. Given this, large area of right mid-to-lower lung opacity is again seen, likely representing combination of pleural effusion, atelectasis and possible underlying consolidation.","opacity, pleural effusion, atelectasis, possible underlying consolidation",right mid-to-lower lung,Stable,['files/p13/p13849733/s58936335/9db9d5b2-ca959890-19e93b7b-dd184ea9-9bdabe28.jpg'],"['files/p13/p13849733/s58414605/5bc36095-67e87f3e-58bd0b18-96e0fc83-eec8c80a.jpg\n', 'files/p13/p13849733/s58414605/9053ce43-3232d763-75beb611-98900ca4-59d6fb3b.jpg\n', 'files/p13/p13849733/s58414605/b80c8698-bd19b3ad-2bfa7ec4-e5c4a4ae-ddc9c4f4.jpg\n']"
s58936335_7,p13849733,s58936335,7,Impression,"1. Right costophrenic angle not fully included on the images. Given this, large area of right mid-to-lower lung opacity is again seen, likely representing combination of pleural effusion, atelectasis and possible underlying consolidation. Increased right perihilar opacity. Areas of patchy and fibrotic opacities in the left lung again seen, may be chronic.","Areas of patchy and fibrotic opacities in the left lung again seen, may be chronic.",patchy and fibrotic opacities,left lung,Stable,['files/p13/p13849733/s58936335/9db9d5b2-ca959890-19e93b7b-dd184ea9-9bdabe28.jpg'],"['files/p13/p13849733/s58414605/5bc36095-67e87f3e-58bd0b18-96e0fc83-eec8c80a.jpg\n', 'files/p13/p13849733/s58414605/9053ce43-3232d763-75beb611-98900ca4-59d6fb3b.jpg\n', 'files/p13/p13849733/s58414605/b80c8698-bd19b3ad-2bfa7ec4-e5c4a4ae-ddc9c4f4.jpg\n']"
s58936335_7,p13849733,s58936335,7,Findings,"Single AP upright portable view of the chest was obtained. The right costophrenic angle is not included on the images. Again seen is a large area of right mid-to-lower lung opacity which is better assessed on prior CT from ___. There is a moderate right pleural effusion with overlying atelectasis, an underlying consolidation cannot be excluded. Streaky and fibrotic opacities are seen in the right lung involving the upper, mid and lower lung fields, most noted in the left mid lung field, also seen on the prior study. Left apical pleural thickening and calcifications are again seen, consistent with chronic change. No large left pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable. Multiple old right-sided rib deformities/fractures are again seen. A left sided vascular stent is again partially imaged.","Streaky and fibrotic opacities are seen in the right lung involving the upper, mid and lower lung fields, most noted in the left mid lung field, also seen on the prior study.",streaky and fibrotic opacities,"right lung, left mid lung field",Stable,['files/p13/p13849733/s58936335/9db9d5b2-ca959890-19e93b7b-dd184ea9-9bdabe28.jpg'],"['files/p13/p13849733/s58414605/5bc36095-67e87f3e-58bd0b18-96e0fc83-eec8c80a.jpg\n', 'files/p13/p13849733/s58414605/9053ce43-3232d763-75beb611-98900ca4-59d6fb3b.jpg\n', 'files/p13/p13849733/s58414605/b80c8698-bd19b3ad-2bfa7ec4-e5c4a4ae-ddc9c4f4.jpg\n']"
s58936592_5,p17838301,s58936592,5,Findings,"The heart is moderately enlarged. The mediastinal and hilar contours appear unchanged, allowing for differences in technique. A band-like opacity projecting over the left mid lung suggests minor atelectasis or scarring. More generally, there is mild increased opacification with indistinct pulmonary vascularity suggesting mild pulmonary vascular congestion without definite focal opacities. Calcified pleural plaques are suspected.","The mediastinal and hilar contours appear unchanged, allowing for differences in technique.",,mediastinal and hilar contours,Stable,"['files/p17/p17838301/s58936592/555d2282-7ca48bd5-2e68791a-778b0044-8fa2ce6f.jpg', 'files/p17/p17838301/s58936592/b9d3a2a8-efad6e43-fd5c9461-389ea619-4454f98c.jpg']",['files/p17/p17838301/s58449130/4255ddc7-829f3037-52171b91-e25d271a-75bb4204.jpg\n']
s58938414_1,p12433421,s58938414,1,Impression,"AP chest compared to ___: Mild pulmonary edema is new. Opacification of the base of the left lung, accompanied by elevation of the left hemidiaphragm is substantially atelectasis, now accompanied by small pleural effusion. Followup advised to exclude developing pneumonia in this location from presumed aspiration. Heart size is normal. No pneumothorax. Right jugular line ends in the SVC.",AP chest compared to ___: Mild pulmonary edema is new.,pulmonary edema,,New,['files/p12/p12433421/s58938414/f6375332-e3c8491e-6a6b59ed-929cb010-d0f4ae4a.jpg'],"['files/p12/p12433421/s57966185/6b7a4b0a-ce2140d6-7ef34e3e-a9fc1e34-d5db5dd4.jpg\n', 'files/p12/p12433421/s57966185/8b8058e3-2e73b083-ad0be703-248c6dde-e81698ed.jpg\n']"
s58950601_12,p17669276,s58950601,12,Findings,"Right internal jugular central line terminates in the mid SVC. Endotracheal tube is appropriately positioned 4.2 cm above the carina. A left PICC terminates in the lower SVC. Again seen are moderate pleural effusions, similar to the previous exam. A vertical line in the right hemithorax represents a skinfold. There is no pneumothorax or focal consolidation. Mild pulmonary edema is stable. Cardiomegaly is unchanged.",Mild pulmonary edema is stable.,Mild pulmonary edema,,Stable,['files/p17/p17669276/s58950601/44af3e4a-0cc1e98d-377c1626-46bc8189-2c995eb3.jpg'],['files/p17/p17669276/s58567017/05a2607c-496ddc11-835abb3e-f87f6687-b2f581c7.jpg\n']
s58950601_12,p17669276,s58950601,12,Findings,"Right internal jugular central line terminates in the mid SVC. Endotracheal tube is appropriately positioned 4.2 cm above the carina. A left PICC terminates in the lower SVC. Again seen are moderate pleural effusions, similar to the previous exam. A vertical line in the right hemithorax represents a skinfold. There is no pneumothorax or focal consolidation. Mild pulmonary edema is stable. Cardiomegaly is unchanged.","Again seen are moderate pleural effusions, similar to the previous exam.",Moderate pleural effusions,,Stable,['files/p17/p17669276/s58950601/44af3e4a-0cc1e98d-377c1626-46bc8189-2c995eb3.jpg'],['files/p17/p17669276/s58567017/05a2607c-496ddc11-835abb3e-f87f6687-b2f581c7.jpg\n']
s58950601_12,p17669276,s58950601,12,Findings,"Right internal jugular central line terminates in the mid SVC. Endotracheal tube is appropriately positioned 4.2 cm above the carina. A left PICC terminates in the lower SVC. Again seen are moderate pleural effusions, similar to the previous exam. A vertical line in the right hemithorax represents a skinfold. There is no pneumothorax or focal consolidation. Mild pulmonary edema is stable. Cardiomegaly is unchanged.",Cardiomegaly is unchanged.,Cardiomegaly,,Stable,['files/p17/p17669276/s58950601/44af3e4a-0cc1e98d-377c1626-46bc8189-2c995eb3.jpg'],['files/p17/p17669276/s58567017/05a2607c-496ddc11-835abb3e-f87f6687-b2f581c7.jpg\n']
s58952033_18,p11474065,s58952033,18,Impression,"In comparison with the study of ___, the patient is somewhat oblique, limiting the evaluation. However, there is no evidence of pneumothorax. Overall, probably little change.","Overall, probably little change.",condition,Overall,Stable,['files/p11/p11474065/s58952033/418536fe-ce5ff76a-25c69892-fa4beedf-88916c53.jpg'],"['files/p11/p11474065/s58721487/859b40aa-1f46d6a7-7f299ecf-38260eb3-897580c1.jpg\n', 'files/p11/p11474065/s58721487/9f87b395-77bd9405-1004f2e1-701d44c2-7b6332ff.jpg\n']"
s58952060_23,p16662264,s58952060,23,Findings,"As compared to the previous radiograph, there is a newly appeared right pleural effusion, as suspected. The left costophrenic sinus is also mildly blunted, so that the presence of a small pleural effusion is likely. The size of the cardiac silhouette as well as the multifocal bilateral right predominant parenchymal opacities are unchanged in extent and severity.","As compared to the previous radiograph, there is a newly appeared right pleural effusion, as suspected.",pleural effusion,right,New,"['files/p16/p16662264/s58952060/8562ffc0-ca46d184-8a4dc3ba-4b7f6c58-6a161c16.jpg', 'files/p16/p16662264/s58952060/ec537dc4-f5eeec2d-56cb7b79-4732911f-612e645a.jpg']",['files/p16/p16662264/s58701930/463d2a28-b411bb98-f7bda38e-7030ebb9-74a8a1e0.jpg\n']
s58952060_23,p16662264,s58952060,23,Findings,"As compared to the previous radiograph, there is a newly appeared right pleural effusion, as suspected. The left costophrenic sinus is also mildly blunted, so that the presence of a small pleural effusion is likely. The size of the cardiac silhouette as well as the multifocal bilateral right predominant parenchymal opacities are unchanged in extent and severity.",The size of the cardiac silhouette as well as the multifocal bilateral right predominant parenchymal opacities are unchanged in extent and severity.,silhouette,cardiac,Stable,"['files/p16/p16662264/s58952060/8562ffc0-ca46d184-8a4dc3ba-4b7f6c58-6a161c16.jpg', 'files/p16/p16662264/s58952060/ec537dc4-f5eeec2d-56cb7b79-4732911f-612e645a.jpg']",['files/p16/p16662264/s58701930/463d2a28-b411bb98-f7bda38e-7030ebb9-74a8a1e0.jpg\n']
s58952060_23,p16662264,s58952060,23,Findings,"As compared to the previous radiograph, there is a newly appeared right pleural effusion, as suspected. The left costophrenic sinus is also mildly blunted, so that the presence of a small pleural effusion is likely. The size of the cardiac silhouette as well as the multifocal bilateral right predominant parenchymal opacities are unchanged in extent and severity.",The size of the cardiac silhouette as well as the multifocal bilateral right predominant parenchymal opacities are unchanged in extent and severity.,parenchymal opacities,bilateral right predominant,Stable,"['files/p16/p16662264/s58952060/8562ffc0-ca46d184-8a4dc3ba-4b7f6c58-6a161c16.jpg', 'files/p16/p16662264/s58952060/ec537dc4-f5eeec2d-56cb7b79-4732911f-612e645a.jpg']",['files/p16/p16662264/s58701930/463d2a28-b411bb98-f7bda38e-7030ebb9-74a8a1e0.jpg\n']
s58955981_8,p16435402,s58955981,8,Findings,"There is opacity seen in the region of the lingula, corresponding to the consolidation seen on the prior chest CT. Given the patient's symptoms and history of a lingular infiltrate, this most likely represents a residual area of cryptogenic organizing pneumonia. No additional foci of consolidation are noted. There is no pleural effusion, pneumothorax, or pulmonary edema. The heart size is normal. Mediastinal and hilar contours are stable.","There is opacity seen in the region of the lingula, corresponding to the consolidation seen on the prior chest CT.",opacity,lingula,Stable,"['files/p16/p16435402/s58955981/0cda206a-b37c9416-30863ff0-63268f49-76c60c1d.jpg', 'files/p16/p16435402/s58955981/5aa672e1-1a4bfdc1-770847af-e76adb3d-a2d61d6a.jpg']","['files/p16/p16435402/s58864570/218c9927-cdee34db-c4b93920-adfa83cb-cfb580c5.jpg\n', 'files/p16/p16435402/s58864570/637d11ba-abd47193-e88143b0-675837b1-f8a1069d.jpg\n']"
s58955981_8,p16435402,s58955981,8,Findings,"There is opacity seen in the region of the lingula, corresponding to the consolidation seen on the prior chest CT. Given the patient's symptoms and history of a lingular infiltrate, this most likely represents a residual area of cryptogenic organizing pneumonia. No additional foci of consolidation are noted. There is no pleural effusion, pneumothorax, or pulmonary edema. The heart size is normal. Mediastinal and hilar contours are stable.",Mediastinal and hilar contours are stable.,contours,Mediastinal and hilar contours,Stable,"['files/p16/p16435402/s58955981/0cda206a-b37c9416-30863ff0-63268f49-76c60c1d.jpg', 'files/p16/p16435402/s58955981/5aa672e1-1a4bfdc1-770847af-e76adb3d-a2d61d6a.jpg']","['files/p16/p16435402/s58864570/218c9927-cdee34db-c4b93920-adfa83cb-cfb580c5.jpg\n', 'files/p16/p16435402/s58864570/637d11ba-abd47193-e88143b0-675837b1-f8a1069d.jpg\n']"
s58957750_23,p14851532,s58957750,23,Impression,"AP chest compared to ___: Small right, moderate left pleural effusions both increased since ___. Heart size top normal. Edema, generally improved since ___ is redeveloping in the left upper lung. 15 mm right upper lobe nodule and the much larger mass at the left apex medially are presumably due to bronchogenic carcinoma. Consolidated lung in the infrahilar portions of both lower lobes has not improved since ___. Whether this is atelectasis alone or concurrent pneumonia is radiographically indeterminate. No pneumothorax.","AP chest compared to ___: Small right, moderate left pleural effusions both increased since ___.",moderate pleural effusion,left,Worse,"['files/p14/p14851532/s58957750/5495fd2e-84ec2a53-da20457c-36ed768d-1020aff3.jpg', 'files/p14/p14851532/s58957750/ba4dca32-34db70b8-58f97bd4-a77b4632-6e2ee9ca.jpg']","['files/p14/p14851532/s58644358/029111b4-42895f22-a6debf60-499363fc-8506c4b1.jpg\n', 'files/p14/p14851532/s58644358/cad294ec-5e2a00a5-5080644b-2dcc1bb7-3c743d0a.jpg\n']"
s58957750_23,p14851532,s58957750,23,Impression,"AP chest compared to ___: Small right, moderate left pleural effusions both increased since ___. Heart size top normal. Edema, generally improved since ___ is redeveloping in the left upper lung. 15 mm right upper lobe nodule and the much larger mass at the left apex medially are presumably due to bronchogenic carcinoma. Consolidated lung in the infrahilar portions of both lower lobes has not improved since ___. Whether this is atelectasis alone or concurrent pneumonia is radiographically indeterminate. No pneumothorax.","Edema, generally improved since ___ is redeveloping in the left upper lung.",edema,left upper lung,Worse,"['files/p14/p14851532/s58957750/5495fd2e-84ec2a53-da20457c-36ed768d-1020aff3.jpg', 'files/p14/p14851532/s58957750/ba4dca32-34db70b8-58f97bd4-a77b4632-6e2ee9ca.jpg']","['files/p14/p14851532/s58644358/029111b4-42895f22-a6debf60-499363fc-8506c4b1.jpg\n', 'files/p14/p14851532/s58644358/cad294ec-5e2a00a5-5080644b-2dcc1bb7-3c743d0a.jpg\n']"
s58957750_23,p14851532,s58957750,23,Impression,"AP chest compared to ___: Small right, moderate left pleural effusions both increased since ___. Heart size top normal. Edema, generally improved since ___ is redeveloping in the left upper lung. 15 mm right upper lobe nodule and the much larger mass at the left apex medially are presumably due to bronchogenic carcinoma. Consolidated lung in the infrahilar portions of both lower lobes has not improved since ___. Whether this is atelectasis alone or concurrent pneumonia is radiographically indeterminate. No pneumothorax.",Consolidated lung in the infrahilar portions of both lower lobes has not improved since ___.,consolidated lung,infrahilar portions of both lower lobes,Stable,"['files/p14/p14851532/s58957750/5495fd2e-84ec2a53-da20457c-36ed768d-1020aff3.jpg', 'files/p14/p14851532/s58957750/ba4dca32-34db70b8-58f97bd4-a77b4632-6e2ee9ca.jpg']","['files/p14/p14851532/s58644358/029111b4-42895f22-a6debf60-499363fc-8506c4b1.jpg\n', 'files/p14/p14851532/s58644358/cad294ec-5e2a00a5-5080644b-2dcc1bb7-3c743d0a.jpg\n']"
s58957750_23,p14851532,s58957750,23,Impression,"AP chest compared to ___: Small right, moderate left pleural effusions both increased since ___. Heart size top normal. Edema, generally improved since ___ is redeveloping in the left upper lung. 15 mm right upper lobe nodule and the much larger mass at the left apex medially are presumably due to bronchogenic carcinoma. Consolidated lung in the infrahilar portions of both lower lobes has not improved since ___. Whether this is atelectasis alone or concurrent pneumonia is radiographically indeterminate. No pneumothorax.","AP chest compared to ___: Small right, moderate left pleural effusions both increased since ___.",small pleural effusion,right,Worse,"['files/p14/p14851532/s58957750/5495fd2e-84ec2a53-da20457c-36ed768d-1020aff3.jpg', 'files/p14/p14851532/s58957750/ba4dca32-34db70b8-58f97bd4-a77b4632-6e2ee9ca.jpg']","['files/p14/p14851532/s58644358/029111b4-42895f22-a6debf60-499363fc-8506c4b1.jpg\n', 'files/p14/p14851532/s58644358/cad294ec-5e2a00a5-5080644b-2dcc1bb7-3c743d0a.jpg\n']"
s58958987_1,p18929056,s58958987,1,Impression,"1. Hyperinflated lungs suggest chronic obstructive pulmonary disease. 2. Slight increase in opacity at the right lung base may relate to atelectasis, although in the appropriate clinical setting, infectious process is not excluded.","2. Slight increase in opacity at the right lung base may relate to atelectasis, although in the appropriate clinical setting, infectious process is not excluded.",opacity,right lung base,Worse,"['files/p18/p18929056/s58958987/0d6db000-b7832a09-4e80e472-89242ef5-20701513.jpg', 'files/p18/p18929056/s58958987/5337ec0a-283bf318-55060740-77ac2e55-67b5f668.jpg']","['files/p18/p18929056/s56043376/415f8af3-cd9c7d29-d09be965-7f210ffa-09522234.jpg\n', 'files/p18/p18929056/s56043376/928427f2-ea258174-1e7a326a-223e2d87-14e3a792.jpg\n']"
s58958987_1,p18929056,s58958987,1,Findings,"Frontal and lateral views of the chest were obtained. Dual-lead left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle. The lungs are hyperinflated, with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. No pleural effusion or pneumothorax is seen. Slight increased opacity at the right lung base, best seen on the frontal view may relate to atelectasis, although in the appropriate clinical setting, infectious process is not excluded. No overt pulmonary edema is seen. Chest radiography is inappropriate for evaluation of pulmonary embolism. The aorta is calcified and tortuous. The cardiac silhouette is top normal to mildly enlarge.","Slight increased opacity at the right lung base, best seen on the frontal view may relate to atelectasis, although in the appropriate clinical setting, infectious process is not excluded.",opacity,right lung base,Worse,"['files/p18/p18929056/s58958987/0d6db000-b7832a09-4e80e472-89242ef5-20701513.jpg', 'files/p18/p18929056/s58958987/5337ec0a-283bf318-55060740-77ac2e55-67b5f668.jpg']","['files/p18/p18929056/s56043376/415f8af3-cd9c7d29-d09be965-7f210ffa-09522234.jpg\n', 'files/p18/p18929056/s56043376/928427f2-ea258174-1e7a326a-223e2d87-14e3a792.jpg\n']"
s58959180_11,p17318449,s58959180,11,Findings,"AP and lateral views of the chest. Lower lung volumes seen on the current exam. Streaky predominantly right-sided mid and lower lung opacities are seen, most likely due to atelectasis. The lungs are otherwise clear. Please note the patient's arms are partly obscuring the visualization of the lungs on the lateral view. The cardiomediastinal silhouette is stable. Median sternotomy wires again noted. Degenerative changes at the right shoulder are identified.",The cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,"['files/p17/p17318449/s58959180/038426f2-7b990f98-24487e3e-2bd7a156-4761c39a.jpg', 'files/p17/p17318449/s58959180/fff8b765-4289d0ce-6805237f-93fcb87b-f911319c.jpg']","['files/p17/p17318449/s57897773/679d0d5a-4f678d59-b8cf4ff0-cfd843d7-0c5d60b7.jpg\n', 'files/p17/p17318449/s57897773/b80617dc-0772eea0-ea7a81d7-745ecba7-c8164cd7.jpg\n', 'files/p17/p17318449/s57897773/d92dc7e6-ada258c0-f135d685-1bd57602-e9ff2d59.jpg\n']"
s58961408_4,p11569042,s58961408,4,Findings,"A large dilated, debris-filled, possibly fluid filled esophagus is again appreciated, abutting the right mediastinum, in this patient with known achalasia. The finding appears more prominent as compared to the right study of ___ but similar to ___. There is a questionable air-fluid level in the proximal thoracic esophagus. The possibility of progressed slowed emptying of the esophagus is raised. There is no evidence of aspiration. There is no pleural effusion or pneumothorax. The cardiac silhouette is difficult to assess.","A large dilated, debris-filled, possibly fluid filled esophagus is again appreciated, abutting the right mediastinum, in this patient with known achalasia.","dilated, debris-filled, possibly fluid filled esophagus",right mediastinum,Stable,"['files/p11/p11569042/s58961408/3ea573fe-97c9bfbd-53a4c4ff-bf9dc7f4-65fd2f0a.jpg', 'files/p11/p11569042/s58961408/82274063-4261bd7b-14ea4926-0e8e9c47-1511d696.jpg']",['files/p11/p11569042/s58517699/d9ebed54-0d6d34ff-31652ffe-bcd2f65d-009a29ee.jpg\n']
s58961408_4,p11569042,s58961408,4,Findings,"A large dilated, debris-filled, possibly fluid filled esophagus is again appreciated, abutting the right mediastinum, in this patient with known achalasia. The finding appears more prominent as compared to the right study of ___ but similar to ___. There is a questionable air-fluid level in the proximal thoracic esophagus. The possibility of progressed slowed emptying of the esophagus is raised. There is no evidence of aspiration. There is no pleural effusion or pneumothorax. The cardiac silhouette is difficult to assess.",The finding appears more prominent as compared to the right study of ___ but similar to ___.,,,Stable,"['files/p11/p11569042/s58961408/3ea573fe-97c9bfbd-53a4c4ff-bf9dc7f4-65fd2f0a.jpg', 'files/p11/p11569042/s58961408/82274063-4261bd7b-14ea4926-0e8e9c47-1511d696.jpg']",['files/p11/p11569042/s58517699/d9ebed54-0d6d34ff-31652ffe-bcd2f65d-009a29ee.jpg\n']
s58966181_22,p15259244,s58966181,22,Findings,"An endotracheal tube is in appropriate position with the tip terminating 45 mm above the carina. A left-sided PICC line is unchanged in position with the tip projecting over the cavoatrial junction. A right internal jugular large-bore central catheter is unchanged in position with the tip terminating in the right atrium. An OG tube is in appropriate position. Bilateral pleural pigtail catheters are unchanged in position in the lower lobes. Increased opacification in the left lower lobe could be a combination of left-sided pleural effusion with associated atelectasis or in the appropriate clinical setting, focal consolidation. A small right-sided pleural effusion is stable with persistent opacity in the peripheral right lower lobe most likely atelectasis. The patient is status post median sternotomy with an atrial valve prosthesis consistent with Bentall procedure. The mediastinal contours are stable. The cardiac silhouette is severely enlarged with an apparent gradual increase in size from prior studies which is concerning for pericardial effusion.",The cardiac silhouette is severely enlarged with an apparent gradual increase in size from prior studies which is concerning for pericardial effusion.,cardiac silhouette,,Worse,['files/p15/p15259244/s58966181/438f1b70-14b9e3c9-bd4e7c92-e6463ffc-e5aec56d.jpg'],['files/p15/p15259244/s58869711/995e2d81-54b60cfa-a52c5f7a-4d97f982-645e4731.jpg\n']
s58966181_22,p15259244,s58966181,22,Impression,1) Increased opacification of the left lower lobe is most likely a small left-sided pleural effusion with associated atelectasis in this postoperative patient. 2) Stable small right-sided pleural effusion with associated atelectasis. 3) Increased size of enlarged cardiac silhouette over multiple priors and when compared to baseline raises the possibility of pericardial effusion. Findings were communicated by Dr. ___ to ___ of cardiac surgery by phone at 12:55pm on ___.,Stable small right-sided pleural effusion with associated atelectasis.,pleural effusion with associated atelectasis,right-sided,Stable,['files/p15/p15259244/s58966181/438f1b70-14b9e3c9-bd4e7c92-e6463ffc-e5aec56d.jpg'],['files/p15/p15259244/s58869711/995e2d81-54b60cfa-a52c5f7a-4d97f982-645e4731.jpg\n']
s58966181_22,p15259244,s58966181,22,Impression,1) Increased opacification of the left lower lobe is most likely a small left-sided pleural effusion with associated atelectasis in this postoperative patient. 2) Stable small right-sided pleural effusion with associated atelectasis. 3) Increased size of enlarged cardiac silhouette over multiple priors and when compared to baseline raises the possibility of pericardial effusion. Findings were communicated by Dr. ___ to ___ of cardiac surgery by phone at 12:55pm on ___.,Increased size of enlarged cardiac silhouette over multiple priors and when compared to baseline raises the possibility of pericardial effusion.,cardiac silhouette,,Worse,['files/p15/p15259244/s58966181/438f1b70-14b9e3c9-bd4e7c92-e6463ffc-e5aec56d.jpg'],['files/p15/p15259244/s58869711/995e2d81-54b60cfa-a52c5f7a-4d97f982-645e4731.jpg\n']
s58966181_22,p15259244,s58966181,22,Findings,"An endotracheal tube is in appropriate position with the tip terminating 45 mm above the carina. A left-sided PICC line is unchanged in position with the tip projecting over the cavoatrial junction. A right internal jugular large-bore central catheter is unchanged in position with the tip terminating in the right atrium. An OG tube is in appropriate position. Bilateral pleural pigtail catheters are unchanged in position in the lower lobes. Increased opacification in the left lower lobe could be a combination of left-sided pleural effusion with associated atelectasis or in the appropriate clinical setting, focal consolidation. A small right-sided pleural effusion is stable with persistent opacity in the peripheral right lower lobe most likely atelectasis. The patient is status post median sternotomy with an atrial valve prosthesis consistent with Bentall procedure. The mediastinal contours are stable. The cardiac silhouette is severely enlarged with an apparent gradual increase in size from prior studies which is concerning for pericardial effusion.",A small right-sided pleural effusion is stable with persistent opacity in the peripheral right lower lobe most likely atelectasis.,pleural effusion and opacity,right lower lobe,Stable,['files/p15/p15259244/s58966181/438f1b70-14b9e3c9-bd4e7c92-e6463ffc-e5aec56d.jpg'],['files/p15/p15259244/s58869711/995e2d81-54b60cfa-a52c5f7a-4d97f982-645e4731.jpg\n']
s58966181_22,p15259244,s58966181,22,Findings,"An endotracheal tube is in appropriate position with the tip terminating 45 mm above the carina. A left-sided PICC line is unchanged in position with the tip projecting over the cavoatrial junction. A right internal jugular large-bore central catheter is unchanged in position with the tip terminating in the right atrium. An OG tube is in appropriate position. Bilateral pleural pigtail catheters are unchanged in position in the lower lobes. Increased opacification in the left lower lobe could be a combination of left-sided pleural effusion with associated atelectasis or in the appropriate clinical setting, focal consolidation. A small right-sided pleural effusion is stable with persistent opacity in the peripheral right lower lobe most likely atelectasis. The patient is status post median sternotomy with an atrial valve prosthesis consistent with Bentall procedure. The mediastinal contours are stable. The cardiac silhouette is severely enlarged with an apparent gradual increase in size from prior studies which is concerning for pericardial effusion.",A right internal jugular large-bore central catheter is unchanged in position with the tip terminating in the right atrium.,large-bore central catheter,right internal jugular,Stable,['files/p15/p15259244/s58966181/438f1b70-14b9e3c9-bd4e7c92-e6463ffc-e5aec56d.jpg'],['files/p15/p15259244/s58869711/995e2d81-54b60cfa-a52c5f7a-4d97f982-645e4731.jpg\n']
s58966181_22,p15259244,s58966181,22,Findings,"An endotracheal tube is in appropriate position with the tip terminating 45 mm above the carina. A left-sided PICC line is unchanged in position with the tip projecting over the cavoatrial junction. A right internal jugular large-bore central catheter is unchanged in position with the tip terminating in the right atrium. An OG tube is in appropriate position. Bilateral pleural pigtail catheters are unchanged in position in the lower lobes. Increased opacification in the left lower lobe could be a combination of left-sided pleural effusion with associated atelectasis or in the appropriate clinical setting, focal consolidation. A small right-sided pleural effusion is stable with persistent opacity in the peripheral right lower lobe most likely atelectasis. The patient is status post median sternotomy with an atrial valve prosthesis consistent with Bentall procedure. The mediastinal contours are stable. The cardiac silhouette is severely enlarged with an apparent gradual increase in size from prior studies which is concerning for pericardial effusion.",Bilateral pleural pigtail catheters are unchanged in position in the lower lobes.,pigtail catheters,bilateral pleural lower lobes,Stable,['files/p15/p15259244/s58966181/438f1b70-14b9e3c9-bd4e7c92-e6463ffc-e5aec56d.jpg'],['files/p15/p15259244/s58869711/995e2d81-54b60cfa-a52c5f7a-4d97f982-645e4731.jpg\n']
s58966181_22,p15259244,s58966181,22,Findings,"An endotracheal tube is in appropriate position with the tip terminating 45 mm above the carina. A left-sided PICC line is unchanged in position with the tip projecting over the cavoatrial junction. A right internal jugular large-bore central catheter is unchanged in position with the tip terminating in the right atrium. An OG tube is in appropriate position. Bilateral pleural pigtail catheters are unchanged in position in the lower lobes. Increased opacification in the left lower lobe could be a combination of left-sided pleural effusion with associated atelectasis or in the appropriate clinical setting, focal consolidation. A small right-sided pleural effusion is stable with persistent opacity in the peripheral right lower lobe most likely atelectasis. The patient is status post median sternotomy with an atrial valve prosthesis consistent with Bentall procedure. The mediastinal contours are stable. The cardiac silhouette is severely enlarged with an apparent gradual increase in size from prior studies which is concerning for pericardial effusion.","Increased opacification in the left lower lobe could be a combination of left-sided pleural effusion with associated atelectasis or in the appropriate clinical setting, focal consolidation.",opacification,left lower lobe,Worse,['files/p15/p15259244/s58966181/438f1b70-14b9e3c9-bd4e7c92-e6463ffc-e5aec56d.jpg'],['files/p15/p15259244/s58869711/995e2d81-54b60cfa-a52c5f7a-4d97f982-645e4731.jpg\n']
s58966181_22,p15259244,s58966181,22,Findings,"An endotracheal tube is in appropriate position with the tip terminating 45 mm above the carina. A left-sided PICC line is unchanged in position with the tip projecting over the cavoatrial junction. A right internal jugular large-bore central catheter is unchanged in position with the tip terminating in the right atrium. An OG tube is in appropriate position. Bilateral pleural pigtail catheters are unchanged in position in the lower lobes. Increased opacification in the left lower lobe could be a combination of left-sided pleural effusion with associated atelectasis or in the appropriate clinical setting, focal consolidation. A small right-sided pleural effusion is stable with persistent opacity in the peripheral right lower lobe most likely atelectasis. The patient is status post median sternotomy with an atrial valve prosthesis consistent with Bentall procedure. The mediastinal contours are stable. The cardiac silhouette is severely enlarged with an apparent gradual increase in size from prior studies which is concerning for pericardial effusion.",A left-sided PICC line is unchanged in position with the tip projecting over the cavoatrial junction.,PICC line,left-sided,Stable,['files/p15/p15259244/s58966181/438f1b70-14b9e3c9-bd4e7c92-e6463ffc-e5aec56d.jpg'],['files/p15/p15259244/s58869711/995e2d81-54b60cfa-a52c5f7a-4d97f982-645e4731.jpg\n']
s58966181_22,p15259244,s58966181,22,Findings,"An endotracheal tube is in appropriate position with the tip terminating 45 mm above the carina. A left-sided PICC line is unchanged in position with the tip projecting over the cavoatrial junction. A right internal jugular large-bore central catheter is unchanged in position with the tip terminating in the right atrium. An OG tube is in appropriate position. Bilateral pleural pigtail catheters are unchanged in position in the lower lobes. Increased opacification in the left lower lobe could be a combination of left-sided pleural effusion with associated atelectasis or in the appropriate clinical setting, focal consolidation. A small right-sided pleural effusion is stable with persistent opacity in the peripheral right lower lobe most likely atelectasis. The patient is status post median sternotomy with an atrial valve prosthesis consistent with Bentall procedure. The mediastinal contours are stable. The cardiac silhouette is severely enlarged with an apparent gradual increase in size from prior studies which is concerning for pericardial effusion.",The mediastinal contours are stable.,mediastinal contours,,Stable,['files/p15/p15259244/s58966181/438f1b70-14b9e3c9-bd4e7c92-e6463ffc-e5aec56d.jpg'],['files/p15/p15259244/s58869711/995e2d81-54b60cfa-a52c5f7a-4d97f982-645e4731.jpg\n']
s58971300_21,p11413236,s58971300,21,Findings,"A Port-A-Cath terminating in the upper part of the superior vena cava appears unchanged since the more recent of the prior two studies. The patient is status post sternotomy. A calcified prevascular lymph node appears unchanged. The cardiac, mediastinal and hilar contours appear stable. The lung volumes are low. Streaky basilar opacity consistent with minor scarring is similar in the lingula. There is no substantial parenchymal opacity.",Streaky basilar opacity consistent with minor scarring is similar in the lingula.,streaky basilar opacity consistent with minor scarring,lingula,Stable,['files/p11/p11413236/s58971300/19cd7ef0-e01da8c2-54eba4e0-a3a25327-1ab839b7.jpg'],['files/p11/p11413236/s58800563/4c940923-a59ab393-7984e607-b473ed13-af98d60c.jpg\n']
s58971300_21,p11413236,s58971300,21,Findings,"A Port-A-Cath terminating in the upper part of the superior vena cava appears unchanged since the more recent of the prior two studies. The patient is status post sternotomy. A calcified prevascular lymph node appears unchanged. The cardiac, mediastinal and hilar contours appear stable. The lung volumes are low. Streaky basilar opacity consistent with minor scarring is similar in the lingula. There is no substantial parenchymal opacity.",A Port-A-Cath terminating in the upper part of the superior vena cava appears unchanged since the more recent of the prior two studies.,Port-A-Cath,upper part of the superior vena cava,Stable,['files/p11/p11413236/s58971300/19cd7ef0-e01da8c2-54eba4e0-a3a25327-1ab839b7.jpg'],['files/p11/p11413236/s58800563/4c940923-a59ab393-7984e607-b473ed13-af98d60c.jpg\n']
s58971300_21,p11413236,s58971300,21,Findings,"A Port-A-Cath terminating in the upper part of the superior vena cava appears unchanged since the more recent of the prior two studies. The patient is status post sternotomy. A calcified prevascular lymph node appears unchanged. The cardiac, mediastinal and hilar contours appear stable. The lung volumes are low. Streaky basilar opacity consistent with minor scarring is similar in the lingula. There is no substantial parenchymal opacity.",A calcified prevascular lymph node appears unchanged.,calcified lymph node,prevascular,Stable,['files/p11/p11413236/s58971300/19cd7ef0-e01da8c2-54eba4e0-a3a25327-1ab839b7.jpg'],['files/p11/p11413236/s58800563/4c940923-a59ab393-7984e607-b473ed13-af98d60c.jpg\n']
s58971300_21,p11413236,s58971300,21,Findings,"A Port-A-Cath terminating in the upper part of the superior vena cava appears unchanged since the more recent of the prior two studies. The patient is status post sternotomy. A calcified prevascular lymph node appears unchanged. The cardiac, mediastinal and hilar contours appear stable. The lung volumes are low. Streaky basilar opacity consistent with minor scarring is similar in the lingula. There is no substantial parenchymal opacity.","The cardiac, mediastinal and hilar contours appear stable.",,"cardiac, mediastinal and hilar contours",Stable,['files/p11/p11413236/s58971300/19cd7ef0-e01da8c2-54eba4e0-a3a25327-1ab839b7.jpg'],['files/p11/p11413236/s58800563/4c940923-a59ab393-7984e607-b473ed13-af98d60c.jpg\n']
s58971994_0,p18893199,s58971994,0,Findings,Portable AP upright chest radiograph is obtained. Lungs are clear bilaterally. No signs of pneumonia or CHF. No pleural 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/p18893199/s58971994/44388ee4-a43ff605-7edf7add-37dd01f3-7596e2a5.jpg'],"['files/p18/p18893199/s56948056/48e69f6e-d7d3b831-9c09eade-bb20bccd-c9102543.jpg\n', 'files/p18/p18893199/s56948056/ee1b7363-7791f3b8-05250aa7-b16ae53b-f1d3e209.jpg\n']"
s58979101_2,p12433541,s58979101,2,Findings,"It is difficult to compare this exam with the previous one on ___ because of the rotation of the patient in the last exam. In comparison to the one on ___, the right hilar region is more dense and more convex mostly in its lower region. There is also underlying post-radiation changes with volume loss. Small right pleural effusion. There is no evidence of pneumonia. There is no pneumothorax. The left lung is unremarkable. The mediastinal and cardiac contour is unchanged.","In comparison to the one on ___, the right hilar region is more dense and more convex mostly in its lower region.",density and convexity,right hilar,Worse,['files/p12/p12433541/s58979101/c69d3c51-1423eec1-ad25846b-9a9d2235-60b4ca2c.jpg'],['files/p12/p12433541/s57410883/981af506-8fd165e5-ba155b24-568fd751-4fe79092.jpg\n']
s58979101_2,p12433541,s58979101,2,Impression,1. There is no evidence of pneumonia. 2. The right hilar region appears more dense and more convex which is worrisome for progression of the malignancy. A CT scan is suggested.,The right hilar region appears more dense and more convex which is worrisome for progression of the malignancy. A CT scan is suggested.,density and convexity,right hilar,Worse,['files/p12/p12433541/s58979101/c69d3c51-1423eec1-ad25846b-9a9d2235-60b4ca2c.jpg'],['files/p12/p12433541/s57410883/981af506-8fd165e5-ba155b24-568fd751-4fe79092.jpg\n']
s58979101_2,p12433541,s58979101,2,Findings,"It is difficult to compare this exam with the previous one on ___ because of the rotation of the patient in the last exam. In comparison to the one on ___, the right hilar region is more dense and more convex mostly in its lower region. There is also underlying post-radiation changes with volume loss. Small right pleural effusion. There is no evidence of pneumonia. There is no pneumothorax. The left lung is unremarkable. The mediastinal and cardiac contour is unchanged.",The mediastinal and cardiac contour is unchanged.,contour,mediastinal and cardiac,Stable,['files/p12/p12433541/s58979101/c69d3c51-1423eec1-ad25846b-9a9d2235-60b4ca2c.jpg'],['files/p12/p12433541/s57410883/981af506-8fd165e5-ba155b24-568fd751-4fe79092.jpg\n']
s58992648_3,p12433421,s58992648,3,Findings,"Compared to the previous radiograph, there is mild increase in extent of bilateral pleural effusions. As a consequence, the retrocardiac atelectasis has also increased. Subtle signs indicative of mild fluid overload. No evidence of pneumonia. Unchanged right internal jugular vein catheter.",Unchanged right internal jugular vein catheter.,vein catheter,right internal jugular,Stable,['files/p12/p12433421/s58992648/9e19b295-e71b9051-60c1ff01-05a0e976-4e648e1d.jpg'],['files/p12/p12433421/s58938414/f6375332-e3c8491e-6a6b59ed-929cb010-d0f4ae4a.jpg\n']
s58992648_3,p12433421,s58992648,3,Findings,"Compared to the previous radiograph, there is mild increase in extent of bilateral pleural effusions. As a consequence, the retrocardiac atelectasis has also increased. Subtle signs indicative of mild fluid overload. No evidence of pneumonia. Unchanged right internal jugular vein catheter.","As a consequence, the retrocardiac atelectasis has also increased.",atelectasis,retrocardiac,Worse,['files/p12/p12433421/s58992648/9e19b295-e71b9051-60c1ff01-05a0e976-4e648e1d.jpg'],['files/p12/p12433421/s58938414/f6375332-e3c8491e-6a6b59ed-929cb010-d0f4ae4a.jpg\n']
s58992648_3,p12433421,s58992648,3,Findings,"Compared to the previous radiograph, there is mild increase in extent of bilateral pleural effusions. As a consequence, the retrocardiac atelectasis has also increased. Subtle signs indicative of mild fluid overload. No evidence of pneumonia. Unchanged right internal jugular vein catheter.","Compared to the previous radiograph, there is mild increase in extent of bilateral pleural effusions.",pleural effusions,bilateral,Worse,['files/p12/p12433421/s58992648/9e19b295-e71b9051-60c1ff01-05a0e976-4e648e1d.jpg'],['files/p12/p12433421/s58938414/f6375332-e3c8491e-6a6b59ed-929cb010-d0f4ae4a.jpg\n']
s58996292_5,p16055653,s58996292,5,Findings,"The patient has received a new orogastric tube, which ends into the stomach but its distal end is looped with its tip reaching up to the fundus of the stomach approximately. Endotracheal tube tip is 4 cm above the carina and is appropriately positioned. Right internal jugular line tip is approximately at the level of the lower SVC/cavoatrial junction. Bilateral lung volumes are low. Mild diffuse haze in both lungs could be mild pulmonary edema, but given the low lung volumes, its appearance and severity may be exaggerated. Prominent hilus and azygos distension suggest increased venous pressure. Bi-basal opacity is due to combination of small effusion and accompanying atelectasis. Heart size is mild-to-moderately large, unchanged since prior studies. Increased retrocardiac density reflecting left lower lung atelectasis has worsened.",Increased retrocardiac density reflecting left lower lung atelectasis has worsened.,retrocardiac density,left lower lung,Worse,['files/p16/p16055653/s58996292/84350c37-9b9580be-c60fc9a8-a1221a71-b90ec487.jpg'],['files/p16/p16055653/s57513742/636c3d85-735bc7ab-f85f38f5-8b782e04-3f94239f.jpg\n']
s58996292_5,p16055653,s58996292,5,Findings,"The patient has received a new orogastric tube, which ends into the stomach but its distal end is looped with its tip reaching up to the fundus of the stomach approximately. Endotracheal tube tip is 4 cm above the carina and is appropriately positioned. Right internal jugular line tip is approximately at the level of the lower SVC/cavoatrial junction. Bilateral lung volumes are low. Mild diffuse haze in both lungs could be mild pulmonary edema, but given the low lung volumes, its appearance and severity may be exaggerated. Prominent hilus and azygos distension suggest increased venous pressure. Bi-basal opacity is due to combination of small effusion and accompanying atelectasis. Heart size is mild-to-moderately large, unchanged since prior studies. Increased retrocardiac density reflecting left lower lung atelectasis has worsened.","Heart size is mild-to-moderately large, unchanged since prior studies.",Heart size mild-to-moderately large,,Stable,['files/p16/p16055653/s58996292/84350c37-9b9580be-c60fc9a8-a1221a71-b90ec487.jpg'],['files/p16/p16055653/s57513742/636c3d85-735bc7ab-f85f38f5-8b782e04-3f94239f.jpg\n']
s59001506_12,p18487334,s59001506,12,Findings,The lungs are moderately well inflated with no pulmonary edema or lobar consolidation. Newly placed NG tube terminates in the proximal stomach and could be advanced by approximately 5-10 cm. Cardiomediastinal silhouette is unchanged compared to the prior radiograph. Lines and tubes also remain unchanged compared to the prior radiograph. Old healed fractures involving the right posterior lower ribs noted.,Old healed fractures involving the right posterior lower ribs noted.,healed fractures,right posterior lower ribs,Stable,['files/p18/p18487334/s59001506/37d75746-aa6bbc7a-bbbf7bd9-3bb0f97b-3bd37684.jpg'],['files/p18/p18487334/s58899269/96f00041-94cc6063-63bfa4e2-d764e039-a73d562c.jpg\n']
s59001506_12,p18487334,s59001506,12,Findings,The lungs are moderately well inflated with no pulmonary edema or lobar consolidation. Newly placed NG tube terminates in the proximal stomach and could be advanced by approximately 5-10 cm. Cardiomediastinal silhouette is unchanged compared to the prior radiograph. Lines and tubes also remain unchanged compared to the prior radiograph. Old healed fractures involving the right posterior lower ribs noted.,Lines and tubes also remain unchanged compared to the prior radiograph.,Lines and tubes,,Stable,['files/p18/p18487334/s59001506/37d75746-aa6bbc7a-bbbf7bd9-3bb0f97b-3bd37684.jpg'],['files/p18/p18487334/s58899269/96f00041-94cc6063-63bfa4e2-d764e039-a73d562c.jpg\n']
s59001506_12,p18487334,s59001506,12,Findings,The lungs are moderately well inflated with no pulmonary edema or lobar consolidation. Newly placed NG tube terminates in the proximal stomach and could be advanced by approximately 5-10 cm. Cardiomediastinal silhouette is unchanged compared to the prior radiograph. Lines and tubes also remain unchanged compared to the prior radiograph. Old healed fractures involving the right posterior lower ribs noted.,Cardiomediastinal silhouette is unchanged compared to the prior radiograph.,Cardiomediastinal silhouette,,Stable,['files/p18/p18487334/s59001506/37d75746-aa6bbc7a-bbbf7bd9-3bb0f97b-3bd37684.jpg'],['files/p18/p18487334/s58899269/96f00041-94cc6063-63bfa4e2-d764e039-a73d562c.jpg\n']
s59003925_15,p13964474,s59003925,15,Findings,"As compared to the previous radiograph, the esophageal stent, the tracheostomy tube and the right PICC line are in unchanged position. The extensive right and moderate left parenchymal opacities are unchanged in extent and severity. Unchanged is the size of the cardiac silhouette. No newly appeared focal parenchymal opacities. No evidence of pneumothorax.",The extensive right and moderate left parenchymal opacities are unchanged in extent and severity.,parenchymal opacities,left,Stable,['files/p13/p13964474/s59003925/b642c012-d253de87-93e521f3-9bd69ba7-d7827b8e.jpg'],['files/p13/p13964474/s58308524/4c6b5299-3ebba16c-f51ce5aa-b087e79c-2ac29f2d.jpg\n']
s59003925_15,p13964474,s59003925,15,Findings,"As compared to the previous radiograph, the esophageal stent, the tracheostomy tube and the right PICC line are in unchanged position. The extensive right and moderate left parenchymal opacities are unchanged in extent and severity. Unchanged is the size of the cardiac silhouette. No newly appeared focal parenchymal opacities. No evidence of pneumothorax.","As compared to the previous radiograph, the esophageal stent, the tracheostomy tube and the right PICC line are in unchanged position.",PICC line,right,Stable,['files/p13/p13964474/s59003925/b642c012-d253de87-93e521f3-9bd69ba7-d7827b8e.jpg'],['files/p13/p13964474/s58308524/4c6b5299-3ebba16c-f51ce5aa-b087e79c-2ac29f2d.jpg\n']
s59003925_15,p13964474,s59003925,15,Findings,"As compared to the previous radiograph, the esophageal stent, the tracheostomy tube and the right PICC line are in unchanged position. The extensive right and moderate left parenchymal opacities are unchanged in extent and severity. Unchanged is the size of the cardiac silhouette. No newly appeared focal parenchymal opacities. No evidence of pneumothorax.","As compared to the previous radiograph, the esophageal stent, the tracheostomy tube and the right PICC line are in unchanged position.",tube,tracheostomy,Stable,['files/p13/p13964474/s59003925/b642c012-d253de87-93e521f3-9bd69ba7-d7827b8e.jpg'],['files/p13/p13964474/s58308524/4c6b5299-3ebba16c-f51ce5aa-b087e79c-2ac29f2d.jpg\n']
s59003925_15,p13964474,s59003925,15,Findings,"As compared to the previous radiograph, the esophageal stent, the tracheostomy tube and the right PICC line are in unchanged position. The extensive right and moderate left parenchymal opacities are unchanged in extent and severity. Unchanged is the size of the cardiac silhouette. No newly appeared focal parenchymal opacities. No evidence of pneumothorax.","As compared to the previous radiograph, the esophageal stent, the tracheostomy tube and the right PICC line are in unchanged position.",stent,esophageal,Stable,['files/p13/p13964474/s59003925/b642c012-d253de87-93e521f3-9bd69ba7-d7827b8e.jpg'],['files/p13/p13964474/s58308524/4c6b5299-3ebba16c-f51ce5aa-b087e79c-2ac29f2d.jpg\n']
s59003925_15,p13964474,s59003925,15,Findings,"As compared to the previous radiograph, the esophageal stent, the tracheostomy tube and the right PICC line are in unchanged position. The extensive right and moderate left parenchymal opacities are unchanged in extent and severity. Unchanged is the size of the cardiac silhouette. No newly appeared focal parenchymal opacities. No evidence of pneumothorax.",Unchanged is the size of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p13/p13964474/s59003925/b642c012-d253de87-93e521f3-9bd69ba7-d7827b8e.jpg'],['files/p13/p13964474/s58308524/4c6b5299-3ebba16c-f51ce5aa-b087e79c-2ac29f2d.jpg\n']
s59003925_15,p13964474,s59003925,15,Findings,"As compared to the previous radiograph, the esophageal stent, the tracheostomy tube and the right PICC line are in unchanged position. The extensive right and moderate left parenchymal opacities are unchanged in extent and severity. Unchanged is the size of the cardiac silhouette. No newly appeared focal parenchymal opacities. No evidence of pneumothorax.",The extensive right and moderate left parenchymal opacities are unchanged in extent and severity.,parenchymal opacities,right,Stable,['files/p13/p13964474/s59003925/b642c012-d253de87-93e521f3-9bd69ba7-d7827b8e.jpg'],['files/p13/p13964474/s58308524/4c6b5299-3ebba16c-f51ce5aa-b087e79c-2ac29f2d.jpg\n']
s59014702_8,p16334516,s59014702,8,Findings,"When compared to radiograph dated ___, there has been interval removal of endotracheal tube and enteric feeding tube. A left-sided internal jugular catheter is seen terminating at the mid SVC. There is no pneumothorax. Lung volumes are persistently low with mild to moderate left-sided pleural effusion unchanged in appearance. Cardiac silhouette is constant with sternotomy wires intact. No new focal consolidations.","When compared to radiograph dated ___, there has been interval removal of endotracheal tube and enteric feeding tube.",endotracheal tube,,Resolve,['files/p16/p16334516/s59014702/c09fde7b-fe3f3f21-4ea1ee09-6a8497f7-7e901050.jpg'],['files/p16/p16334516/s57911714/dc1267a2-3ee022b5-d80f7ef1-f88a4e83-8d0de660.jpg\n']
s59014702_8,p16334516,s59014702,8,Findings,"When compared to radiograph dated ___, there has been interval removal of endotracheal tube and enteric feeding tube. A left-sided internal jugular catheter is seen terminating at the mid SVC. There is no pneumothorax. Lung volumes are persistently low with mild to moderate left-sided pleural effusion unchanged in appearance. Cardiac silhouette is constant with sternotomy wires intact. No new focal consolidations.","When compared to radiograph dated ___, there has been interval removal of endotracheal tube and enteric feeding tube.",enteric feeding tube,,Resolve,['files/p16/p16334516/s59014702/c09fde7b-fe3f3f21-4ea1ee09-6a8497f7-7e901050.jpg'],['files/p16/p16334516/s57911714/dc1267a2-3ee022b5-d80f7ef1-f88a4e83-8d0de660.jpg\n']
s59014702_8,p16334516,s59014702,8,Findings,"When compared to radiograph dated ___, there has been interval removal of endotracheal tube and enteric feeding tube. A left-sided internal jugular catheter is seen terminating at the mid SVC. There is no pneumothorax. Lung volumes are persistently low with mild to moderate left-sided pleural effusion unchanged in appearance. Cardiac silhouette is constant with sternotomy wires intact. No new focal consolidations.",Lung volumes are persistently low with mild to moderate left-sided pleural effusion unchanged in appearance.,lung volumes,,Stable,['files/p16/p16334516/s59014702/c09fde7b-fe3f3f21-4ea1ee09-6a8497f7-7e901050.jpg'],['files/p16/p16334516/s57911714/dc1267a2-3ee022b5-d80f7ef1-f88a4e83-8d0de660.jpg\n']
s59014702_8,p16334516,s59014702,8,Findings,"When compared to radiograph dated ___, there has been interval removal of endotracheal tube and enteric feeding tube. A left-sided internal jugular catheter is seen terminating at the mid SVC. There is no pneumothorax. Lung volumes are persistently low with mild to moderate left-sided pleural effusion unchanged in appearance. Cardiac silhouette is constant with sternotomy wires intact. No new focal consolidations.",Lung volumes are persistently low with mild to moderate left-sided pleural effusion unchanged in appearance.,mild to moderate pleural effusion,left-sided,Stable,['files/p16/p16334516/s59014702/c09fde7b-fe3f3f21-4ea1ee09-6a8497f7-7e901050.jpg'],['files/p16/p16334516/s57911714/dc1267a2-3ee022b5-d80f7ef1-f88a4e83-8d0de660.jpg\n']
s59015305_3,p16672854,s59015305,3,Impression,"AP chest compared to ___ through ___: Moderately severe pulmonary edema on ___ has improved. The asymmetric pulmonary opacification with more consolidation at the right lung base could be asymmetric edema, but could also be due to right lower lobe pneumonia. Mild cardiomegaly stable. Pleural effusions are small if any. No pneumothorax.",Mild cardiomegaly stable.,cardiomegaly,,Stable,['files/p16/p16672854/s59015305/adcfcdab-0a36144e-b4e69df7-c2ecd6e8-ed71e420.jpg'],"['files/p16/p16672854/s58255680/5b4b7e3e-a726aeb4-8bd775d0-56132ba3-44911f96.jpg\n', 'files/p16/p16672854/s58255680/6c07c33a-7fa8c707-954343f0-26c7f512-379005a9.jpg\n']"
s59015305_3,p16672854,s59015305,3,Impression,"AP chest compared to ___ through ___: Moderately severe pulmonary edema on ___ has improved. The asymmetric pulmonary opacification with more consolidation at the right lung base could be asymmetric edema, but could also be due to right lower lobe pneumonia. Mild cardiomegaly stable. Pleural effusions are small if any. No pneumothorax.",AP chest compared to ___ through ___: Moderately severe pulmonary edema on ___ has improved.,pulmonary edema,,Better,['files/p16/p16672854/s59015305/adcfcdab-0a36144e-b4e69df7-c2ecd6e8-ed71e420.jpg'],"['files/p16/p16672854/s58255680/5b4b7e3e-a726aeb4-8bd775d0-56132ba3-44911f96.jpg\n', 'files/p16/p16672854/s58255680/6c07c33a-7fa8c707-954343f0-26c7f512-379005a9.jpg\n']"
s59018724_4,p13031876,s59018724,4,Impression,AP chest compared to ___: Moderately severe pulmonary edema has worsened. Small right pleural effusion is probably new. Heart size is normal. A focal consolidation would not be appreciated. Nasogastric tube passes below the diaphragm and out of view.,Small right pleural effusion is probably new.,pleural effusion,right,New,['files/p13/p13031876/s59018724/58d3a7e8-1cc861cc-3428518f-8b578623-d3be6ba1.jpg'],['files/p13/p13031876/s58856677/fd82faa7-31410b18-fae37f67-70086b23-f1ead160.jpg\n']
s59018724_4,p13031876,s59018724,4,Impression,AP chest compared to ___: Moderately severe pulmonary edema has worsened. Small right pleural effusion is probably new. Heart size is normal. A focal consolidation would not be appreciated. Nasogastric tube passes below the diaphragm and out of view.,AP chest compared to ___: Moderately severe pulmonary edema has worsened.,pulmonary edema,,Worse,['files/p13/p13031876/s59018724/58d3a7e8-1cc861cc-3428518f-8b578623-d3be6ba1.jpg'],['files/p13/p13031876/s58856677/fd82faa7-31410b18-fae37f67-70086b23-f1ead160.jpg\n']
s59018975_11,p10933609,s59018975,11,Findings,"As compared to the previous radiograph, the lung volumes have slightly increased. The pre-existing, predominantly perihilar opacities have substantially decreased in extent and severity. The remaining opacities are now predominating in the upper lobes and are located around the upper aspects of the left and right hilus. No newly appeared opacities. The left internal jugular vein catheter has been removed, the lateral radiograph shows evidence of a small left effusion, obliterating the dorsal aspects of the costophrenic sinus.","As compared to the previous radiograph, the lung volumes have slightly increased.",lung volumes,,Worse,['files/p10/p10933609/s59018975/ca5edfd1-791faa24-0e6c7747-b17088d0-d90a8fc2.jpg'],"['files/p10/p10933609/s58929044/282d803b-7e9e211b-ccf6ccf5-f3885dec-b8b9f76b.jpg\n', 'files/p10/p10933609/s58929044/a603cd8b-deb5791e-0af13e1c-291d022f-105c7d5c.jpg\n', 'files/p10/p10933609/s58929044/dda9463c-13653db6-03e65f74-74ef0b98-4cceb8c9.jpg\n']"
s59018975_11,p10933609,s59018975,11,Findings,"As compared to the previous radiograph, the lung volumes have slightly increased. The pre-existing, predominantly perihilar opacities have substantially decreased in extent and severity. The remaining opacities are now predominating in the upper lobes and are located around the upper aspects of the left and right hilus. No newly appeared opacities. The left internal jugular vein catheter has been removed, the lateral radiograph shows evidence of a small left effusion, obliterating the dorsal aspects of the costophrenic sinus.","The pre-existing, predominantly perihilar opacities have substantially decreased in extent and severity.",opacities,perihilar,Better,['files/p10/p10933609/s59018975/ca5edfd1-791faa24-0e6c7747-b17088d0-d90a8fc2.jpg'],"['files/p10/p10933609/s58929044/282d803b-7e9e211b-ccf6ccf5-f3885dec-b8b9f76b.jpg\n', 'files/p10/p10933609/s58929044/a603cd8b-deb5791e-0af13e1c-291d022f-105c7d5c.jpg\n', 'files/p10/p10933609/s58929044/dda9463c-13653db6-03e65f74-74ef0b98-4cceb8c9.jpg\n']"
s59018975_11,p10933609,s59018975,11,Findings,"As compared to the previous radiograph, the lung volumes have slightly increased. The pre-existing, predominantly perihilar opacities have substantially decreased in extent and severity. The remaining opacities are now predominating in the upper lobes and are located around the upper aspects of the left and right hilus. No newly appeared opacities. The left internal jugular vein catheter has been removed, the lateral radiograph shows evidence of a small left effusion, obliterating the dorsal aspects of the costophrenic sinus.","The left internal jugular vein catheter has been removed, the lateral radiograph shows evidence of a small left effusion, obliterating the dorsal aspects of the costophrenic sinus.",catheter,left internal jugular,Resolve,['files/p10/p10933609/s59018975/ca5edfd1-791faa24-0e6c7747-b17088d0-d90a8fc2.jpg'],"['files/p10/p10933609/s58929044/282d803b-7e9e211b-ccf6ccf5-f3885dec-b8b9f76b.jpg\n', 'files/p10/p10933609/s58929044/a603cd8b-deb5791e-0af13e1c-291d022f-105c7d5c.jpg\n', 'files/p10/p10933609/s58929044/dda9463c-13653db6-03e65f74-74ef0b98-4cceb8c9.jpg\n']"
s59022336_2,p14727722,s59022336,2,Findings,"In comparison with the study of ___, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. The cardiac silhouette is at the upper limits of normal in size or slightly enlarged.","In comparison with the study of ___, there is little change and no evidence of acute cardiopulmonary disease.",acute cardiopulmonary disease,,Stable,"['files/p14/p14727722/s59022336/6b4dc11e-9327aac2-b44f984e-785cc2bd-a31045b8.jpg', 'files/p14/p14727722/s59022336/f3f953d7-e6a719c7-2e5e731b-3181955e-30e32f42.jpg']",['files/p14/p14727722/s57592473/40903370-03c46950-d892c4a4-e3e64eb3-250703a9.jpg\n']
s59024525_24,p14387068,s59024525,24,Impression,"1. Increased opacity of both lungs compatible with mild to moderate pulmonary edema superimposed on existing, perhaps slightly worsened, left sided pneumonia. 2. Unchanged appearance to right basal empyema and accompanying atelectasis.","Increased opacity of both lungs compatible with mild to moderate pulmonary edema superimposed on existing, perhaps slightly worsened, left sided pneumonia.",pneumonia,left,Worse,['files/p14/p14387068/s59024525/855b1f9b-cacca17f-ff431f6d-3e9c2ba3-65382faf.jpg'],"['files/p14/p14387068/s58911568/1b1b23db-a13b7b1e-1cdeca0e-a6d035c6-a4699be0.jpg\n', 'files/p14/p14387068/s58911568/dff1e4b1-19095040-20f3ad74-e13d58a4-4603b22d.jpg\n']"
s59024525_24,p14387068,s59024525,24,Impression,"1. Increased opacity of both lungs compatible with mild to moderate pulmonary edema superimposed on existing, perhaps slightly worsened, left sided pneumonia. 2. Unchanged appearance to right basal empyema and accompanying atelectasis.",Unchanged appearance to right basal empyema and accompanying atelectasis.,empyema,right base,Stable,['files/p14/p14387068/s59024525/855b1f9b-cacca17f-ff431f6d-3e9c2ba3-65382faf.jpg'],"['files/p14/p14387068/s58911568/1b1b23db-a13b7b1e-1cdeca0e-a6d035c6-a4699be0.jpg\n', 'files/p14/p14387068/s58911568/dff1e4b1-19095040-20f3ad74-e13d58a4-4603b22d.jpg\n']"
s59024525_24,p14387068,s59024525,24,Impression,"1. Increased opacity of both lungs compatible with mild to moderate pulmonary edema superimposed on existing, perhaps slightly worsened, left sided pneumonia. 2. Unchanged appearance to right basal empyema and accompanying atelectasis.",Unchanged appearance to right basal empyema and accompanying atelectasis.,atelectasis,right base,Stable,['files/p14/p14387068/s59024525/855b1f9b-cacca17f-ff431f6d-3e9c2ba3-65382faf.jpg'],"['files/p14/p14387068/s58911568/1b1b23db-a13b7b1e-1cdeca0e-a6d035c6-a4699be0.jpg\n', 'files/p14/p14387068/s58911568/dff1e4b1-19095040-20f3ad74-e13d58a4-4603b22d.jpg\n']"
s59024525_24,p14387068,s59024525,24,Impression,"1. Increased opacity of both lungs compatible with mild to moderate pulmonary edema superimposed on existing, perhaps slightly worsened, left sided pneumonia. 2. Unchanged appearance to right basal empyema and accompanying atelectasis.","Increased opacity of both lungs compatible with mild to moderate pulmonary edema superimposed on existing, perhaps slightly worsened, left sided pneumonia.",pulmonary edema,both lungs,Worse,['files/p14/p14387068/s59024525/855b1f9b-cacca17f-ff431f6d-3e9c2ba3-65382faf.jpg'],"['files/p14/p14387068/s58911568/1b1b23db-a13b7b1e-1cdeca0e-a6d035c6-a4699be0.jpg\n', 'files/p14/p14387068/s58911568/dff1e4b1-19095040-20f3ad74-e13d58a4-4603b22d.jpg\n']"
s59027235_1,p11565803,s59027235,1,Impression,"Since ___, bilateral lower lung atelectasis, mild-to-moderate left and mild right pleural effusions have improved.","Since ___, bilateral lower lung atelectasis, mild-to-moderate left and mild right pleural effusions have improved.",pleural effusion,left,Better,"['files/p11/p11565803/s59027235/0f1b4789-8c43bc5c-ec9ef921-5cd7c4a7-5acfae4d.jpg', 'files/p11/p11565803/s59027235/e4f10f9a-3e1c894f-d953e192-b85712f5-9e72c3d6.jpg']",['files/p11/p11565803/s58056251/04e57623-af378474-c0649f6f-0260ef77-8d56543d.jpg\n']
s59027235_1,p11565803,s59027235,1,Impression,"Since ___, bilateral lower lung atelectasis, mild-to-moderate left and mild right pleural effusions have improved.","Since ___, bilateral lower lung atelectasis, mild-to-moderate left and mild right pleural effusions have improved.",atelectasis,bilateral lower lung,Better,"['files/p11/p11565803/s59027235/0f1b4789-8c43bc5c-ec9ef921-5cd7c4a7-5acfae4d.jpg', 'files/p11/p11565803/s59027235/e4f10f9a-3e1c894f-d953e192-b85712f5-9e72c3d6.jpg']",['files/p11/p11565803/s58056251/04e57623-af378474-c0649f6f-0260ef77-8d56543d.jpg\n']
s59027235_1,p11565803,s59027235,1,Impression,"Since ___, bilateral lower lung atelectasis, mild-to-moderate left and mild right pleural effusions have improved.","Since ___, bilateral lower lung atelectasis, mild-to-moderate left and mild right pleural effusions have improved.",pleural effusion,right,Better,"['files/p11/p11565803/s59027235/0f1b4789-8c43bc5c-ec9ef921-5cd7c4a7-5acfae4d.jpg', 'files/p11/p11565803/s59027235/e4f10f9a-3e1c894f-d953e192-b85712f5-9e72c3d6.jpg']",['files/p11/p11565803/s58056251/04e57623-af378474-c0649f6f-0260ef77-8d56543d.jpg\n']
s59027235_1,p11565803,s59027235,1,Findings,"Right internal jugular line ends at lower SVC/cavoatrial junction. Patient is status post median sternotomy for CABG with borderline-sized heart and sternal sutures are intact. Since ___, left lower lung atelectasis, mild-to-moderate pleural effusion and mild right pleural effusion have improved. Mediastinal and hilar contours are in normal limits.","Since ___, left lower lung atelectasis, mild-to-moderate pleural effusion and mild right pleural effusion have improved.",atelectasis,left lower lung,Better,"['files/p11/p11565803/s59027235/0f1b4789-8c43bc5c-ec9ef921-5cd7c4a7-5acfae4d.jpg', 'files/p11/p11565803/s59027235/e4f10f9a-3e1c894f-d953e192-b85712f5-9e72c3d6.jpg']",['files/p11/p11565803/s58056251/04e57623-af378474-c0649f6f-0260ef77-8d56543d.jpg\n']
s59027235_1,p11565803,s59027235,1,Findings,"Right internal jugular line ends at lower SVC/cavoatrial junction. Patient is status post median sternotomy for CABG with borderline-sized heart and sternal sutures are intact. Since ___, left lower lung atelectasis, mild-to-moderate pleural effusion and mild right pleural effusion have improved. Mediastinal and hilar contours are in normal limits.","Since ___, left lower lung atelectasis, mild-to-moderate pleural effusion and mild right pleural effusion have improved.",pleural effusion,right,Better,"['files/p11/p11565803/s59027235/0f1b4789-8c43bc5c-ec9ef921-5cd7c4a7-5acfae4d.jpg', 'files/p11/p11565803/s59027235/e4f10f9a-3e1c894f-d953e192-b85712f5-9e72c3d6.jpg']",['files/p11/p11565803/s58056251/04e57623-af378474-c0649f6f-0260ef77-8d56543d.jpg\n']
s59027235_1,p11565803,s59027235,1,Findings,"Right internal jugular line ends at lower SVC/cavoatrial junction. Patient is status post median sternotomy for CABG with borderline-sized heart and sternal sutures are intact. Since ___, left lower lung atelectasis, mild-to-moderate pleural effusion and mild right pleural effusion have improved. Mediastinal and hilar contours are in normal limits.","Since ___, left lower lung atelectasis, mild-to-moderate pleural effusion and mild right pleural effusion have improved.",pleural effusion,left,Better,"['files/p11/p11565803/s59027235/0f1b4789-8c43bc5c-ec9ef921-5cd7c4a7-5acfae4d.jpg', 'files/p11/p11565803/s59027235/e4f10f9a-3e1c894f-d953e192-b85712f5-9e72c3d6.jpg']",['files/p11/p11565803/s58056251/04e57623-af378474-c0649f6f-0260ef77-8d56543d.jpg\n']
s59030328_7,p18855147,s59030328,7,Findings,"Comparison is made to previous study from ___. Central venous catheter with distal lead tip in the mid SVC is again seen. Heart size is within normal limits. There is mild improved aeration of pulmonary edema. There remains blunting of bilateral CP angles, right side worse than left consistent with small pleural effusions. There is improved aeration at the left base as well.","There remains blunting of bilateral CP angles, right side worse than left consistent with small pleural effusions.",small pleural effusions,bilateral CP angles,Stable,['files/p18/p18855147/s59030328/baafe7cb-474127df-e3251e9e-6341cd2a-e650e8da.jpg'],['files/p18/p18855147/s58301804/bb31f02a-26cfe8cb-d6444793-d24a3c7a-3ba6afb6.jpg\n']
s59030328_7,p18855147,s59030328,7,Findings,"Comparison is made to previous study from ___. Central venous catheter with distal lead tip in the mid SVC is again seen. Heart size is within normal limits. There is mild improved aeration of pulmonary edema. There remains blunting of bilateral CP angles, right side worse than left consistent with small pleural effusions. There is improved aeration at the left base as well.",There is improved aeration at the left base as well.,,left base,Better,['files/p18/p18855147/s59030328/baafe7cb-474127df-e3251e9e-6341cd2a-e650e8da.jpg'],['files/p18/p18855147/s58301804/bb31f02a-26cfe8cb-d6444793-d24a3c7a-3ba6afb6.jpg\n']
s59030328_7,p18855147,s59030328,7,Findings,"Comparison is made to previous study from ___. Central venous catheter with distal lead tip in the mid SVC is again seen. Heart size is within normal limits. There is mild improved aeration of pulmonary edema. There remains blunting of bilateral CP angles, right side worse than left consistent with small pleural effusions. There is improved aeration at the left base as well.",Central venous catheter with distal lead tip in the mid SVC is again seen.,Central venous catheter,mid SVC,Stable,['files/p18/p18855147/s59030328/baafe7cb-474127df-e3251e9e-6341cd2a-e650e8da.jpg'],['files/p18/p18855147/s58301804/bb31f02a-26cfe8cb-d6444793-d24a3c7a-3ba6afb6.jpg\n']
s59030328_7,p18855147,s59030328,7,Findings,"Comparison is made to previous study from ___. Central venous catheter with distal lead tip in the mid SVC is again seen. Heart size is within normal limits. There is mild improved aeration of pulmonary edema. There remains blunting of bilateral CP angles, right side worse than left consistent with small pleural effusions. There is improved aeration at the left base as well.",There is mild improved aeration of pulmonary edema.,pulmonary edema,,Better,['files/p18/p18855147/s59030328/baafe7cb-474127df-e3251e9e-6341cd2a-e650e8da.jpg'],['files/p18/p18855147/s58301804/bb31f02a-26cfe8cb-d6444793-d24a3c7a-3ba6afb6.jpg\n']
s59032183_4,p11052273,s59032183,4,Findings,"PA and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable and top-normal in size. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.",The cardiomediastinal silhouette is stable and top-normal in size.,Cardiomediastinal silhouette,,Stable,"['files/p11/p11052273/s59032183/1d1ad085-bc04d368-4062c6ff-8388f25c-c9acb192.jpg', 'files/p11/p11052273/s59032183/9b4fdd07-1f45d8dc-4890ea49-e3f06306-639cb645.jpg']",['files/p11/p11052273/s58377417/97cfb5fb-f151949c-ec5357b7-3b5b1046-5ef2a77c.jpg\n']
s59037095_1,p15659181,s59037095,1,Findings,"The lung volumes are slightly low, causing accentuation of the pulmonary vasculature and exaggeration of the heart size. Persistent right middle lobe heterogeneous opacity is concerning for chronic aspiration, although pneumonia could have a similar appearance. The lungs are otherwise clear. The cardiac and mediastinal contours are normal. There are no pleural abnormalities.","Persistent right middle lobe heterogeneous opacity is concerning for chronic aspiration, although pneumonia could have a similar appearance.",heterogeneous opacity,right middle lobe,Stable,"['files/p15/p15659181/s59037095/a1131f36-adcb21da-daa393cc-f694cd63-a9cd3696.jpg', 'files/p15/p15659181/s59037095/fd15a691-c9a3b644-6c5f2cce-8d81a9f7-8a6dc366.jpg', 'files/p15/p15659181/s59037095/ffc87b00-0815c74e-636e48b5-42d8bca2-443af381.jpg']","['files/p15/p15659181/s58778783/7954b023-74e12365-5c4fbe43-07ef3edc-a3caf1df.jpg\n', 'files/p15/p15659181/s58778783/c543503a-d329c7f5-3ba46412-93119de5-6da48cb1.jpg\n']"
s59037095_1,p15659181,s59037095,1,Impression,"Likely chronic aspiration involving the right middle lobe although pneumonia could have a similar appearance. Otherwise, no acute cardiac or pulmonary process.","Likely chronic aspiration involving the right middle lobe although pneumonia could have a similar appearance. Otherwise, no acute cardiac or pulmonary process.",chronic aspiration,right middle lobe,Stable,"['files/p15/p15659181/s59037095/a1131f36-adcb21da-daa393cc-f694cd63-a9cd3696.jpg', 'files/p15/p15659181/s59037095/fd15a691-c9a3b644-6c5f2cce-8d81a9f7-8a6dc366.jpg', 'files/p15/p15659181/s59037095/ffc87b00-0815c74e-636e48b5-42d8bca2-443af381.jpg']","['files/p15/p15659181/s58778783/7954b023-74e12365-5c4fbe43-07ef3edc-a3caf1df.jpg\n', 'files/p15/p15659181/s58778783/c543503a-d329c7f5-3ba46412-93119de5-6da48cb1.jpg\n']"
s59039129_0,p19182863,s59039129,0,Findings,"Frontal and lateral views of the chest are obtained. The patient is status post median sternotomy and aortic and tricuspid valve repair. There has been interval development/increase in bilateral, right greater than left, pleural effusions with overlying atelectasis. Right base opacity may relate to effusion and atelectasis, although underlying consolidation cannot be excluded. The cardiac silhouette remains mildly enlarged. The aorta is calcified and tortuous. Displaced anterolateral left second rib fracture is again seen. There is minimal pulmonary vascular congestion.",The cardiac silhouette remains mildly enlarged.,cardiac silhouette,,Stable,"['files/p19/p19182863/s59039129/36f9558a-104cb64f-0ea8cc6a-503be286-3e591c65.jpg', 'files/p19/p19182863/s59039129/62d1a94d-08be6886-1860ef56-16cc47a7-abbc574e.jpg']","['files/p19/p19182863/s59009773/4d9ec74c-58ee4dca-9bf9fe37-360c15ab-2b67b1a8.jpg\n', 'files/p19/p19182863/s59009773/6d39e409-d87b1294-47a8c7eb-be6f7198-b4c42da0.jpg\n']"
s59039129_0,p19182863,s59039129,0,Impression,"Interval increase/development of bilateral, right greater than left, pleural effusions with overlying atelectasis. Right base opacity may be due to a combination of pleural effusion and atelectasis, however, underlying consolidation cannot be excluded. Cardiomegaly and minimal pulmonary vascular congestion.","Interval increase/development of bilateral, right greater than left, pleural effusions with overlying atelectasis.",pleural effusions with overlying atelectasis,"bilateral, right greater than left",Worse,"['files/p19/p19182863/s59039129/36f9558a-104cb64f-0ea8cc6a-503be286-3e591c65.jpg', 'files/p19/p19182863/s59039129/62d1a94d-08be6886-1860ef56-16cc47a7-abbc574e.jpg']","['files/p19/p19182863/s59009773/4d9ec74c-58ee4dca-9bf9fe37-360c15ab-2b67b1a8.jpg\n', 'files/p19/p19182863/s59009773/6d39e409-d87b1294-47a8c7eb-be6f7198-b4c42da0.jpg\n']"
s59039129_0,p19182863,s59039129,0,Findings,"Frontal and lateral views of the chest are obtained. The patient is status post median sternotomy and aortic and tricuspid valve repair. There has been interval development/increase in bilateral, right greater than left, pleural effusions with overlying atelectasis. Right base opacity may relate to effusion and atelectasis, although underlying consolidation cannot be excluded. The cardiac silhouette remains mildly enlarged. The aorta is calcified and tortuous. Displaced anterolateral left second rib fracture is again seen. There is minimal pulmonary vascular congestion.","There has been interval development/increase in bilateral, right greater than left, pleural effusions with overlying atelectasis.",pleural effusions with overlying atelectasis,"bilateral, right greater than left",Worse,"['files/p19/p19182863/s59039129/36f9558a-104cb64f-0ea8cc6a-503be286-3e591c65.jpg', 'files/p19/p19182863/s59039129/62d1a94d-08be6886-1860ef56-16cc47a7-abbc574e.jpg']","['files/p19/p19182863/s59009773/4d9ec74c-58ee4dca-9bf9fe37-360c15ab-2b67b1a8.jpg\n', 'files/p19/p19182863/s59009773/6d39e409-d87b1294-47a8c7eb-be6f7198-b4c42da0.jpg\n']"
s59039129_0,p19182863,s59039129,0,Findings,"Frontal and lateral views of the chest are obtained. The patient is status post median sternotomy and aortic and tricuspid valve repair. There has been interval development/increase in bilateral, right greater than left, pleural effusions with overlying atelectasis. Right base opacity may relate to effusion and atelectasis, although underlying consolidation cannot be excluded. The cardiac silhouette remains mildly enlarged. The aorta is calcified and tortuous. Displaced anterolateral left second rib fracture is again seen. There is minimal pulmonary vascular congestion.",Displaced anterolateral left second rib fracture is again seen.,fracture,anterolateral left second rib,Stable,"['files/p19/p19182863/s59039129/36f9558a-104cb64f-0ea8cc6a-503be286-3e591c65.jpg', 'files/p19/p19182863/s59039129/62d1a94d-08be6886-1860ef56-16cc47a7-abbc574e.jpg']","['files/p19/p19182863/s59009773/4d9ec74c-58ee4dca-9bf9fe37-360c15ab-2b67b1a8.jpg\n', 'files/p19/p19182863/s59009773/6d39e409-d87b1294-47a8c7eb-be6f7198-b4c42da0.jpg\n']"
s59041431_1,p19748558,s59041431,1,Findings,"In the left mid lung is a 2.9 cm rounded opacity with an air-fluid level concerning for a cavitary lesion. This was no present in the prior exam. The remainder of the lungs are unremarkable. There is no pneumothorax, pleural effusion, or edema. The cardiomediastinal silhouette is normal. No fracture is visualized.",In the left mid lung is a 2.9 cm rounded opacity with an air-fluid level concerning for a cavitary lesion.,cavitary lesion,left mid lung,New,"['files/p19/p19748558/s59041431/30bc9b40-a8f3abb2-ed8a5db2-ec23cd7f-21ea4f1f.jpg', 'files/p19/p19748558/s59041431/9905499f-c48f304d-f9efd154-a921881b-f71b7f86.jpg']",['files/p19/p19748558/s56664513/f6996351-b7330fe0-c77b11b0-628b7301-475c940f.jpg\n']
s59041802_43,p19182863,s59041802,43,Findings,"Single AP view of the chest was reviewed. There has been interval increase in the right pleural effusion, now moderate, with right basilar atelectasis. Mild edema is also seen. There is no pneumothorax. The presence of the right pleural effusion limits assessment of the right cardiomediastinal contours, but the remainder of the cardiomediastinal and hilar contours appear stable. Median sternotomy wires are in similar configuration with aortic and tricuspid valve replacements.","There has been interval increase in the right pleural effusion, now moderate, with right basilar atelectasis.",Pleural effusion,Right,Worse,['files/p19/p19182863/s59041802/ffd60688-5da7c1d3-4229e284-c84ba788-c00f4302.jpg'],"['files/p19/p19182863/s59039129/36f9558a-104cb64f-0ea8cc6a-503be286-3e591c65.jpg\n', 'files/p19/p19182863/s59039129/62d1a94d-08be6886-1860ef56-16cc47a7-abbc574e.jpg\n']"
s59041802_43,p19182863,s59041802,43,Impression,"Increase in right pleural effusion, now moderate, with underlying atelectasis. Mild pulmonary edema. Repeat chest radiograph after resolution of right pleural effusion is recommended to reassess the lungs and mediastinum.",Repeat chest radiograph after resolution of right pleural effusion is recommended to reassess the lungs and mediastinum.,Pleural effusion,Right,Resolve,['files/p19/p19182863/s59041802/ffd60688-5da7c1d3-4229e284-c84ba788-c00f4302.jpg'],"['files/p19/p19182863/s59039129/36f9558a-104cb64f-0ea8cc6a-503be286-3e591c65.jpg\n', 'files/p19/p19182863/s59039129/62d1a94d-08be6886-1860ef56-16cc47a7-abbc574e.jpg\n']"
s59041802_43,p19182863,s59041802,43,Impression,"Increase in right pleural effusion, now moderate, with underlying atelectasis. Mild pulmonary edema. Repeat chest radiograph after resolution of right pleural effusion is recommended to reassess the lungs and mediastinum.","Increase in right pleural effusion, now moderate, with underlying atelectasis.",Atelectasis,Underlying,Worse,['files/p19/p19182863/s59041802/ffd60688-5da7c1d3-4229e284-c84ba788-c00f4302.jpg'],"['files/p19/p19182863/s59039129/36f9558a-104cb64f-0ea8cc6a-503be286-3e591c65.jpg\n', 'files/p19/p19182863/s59039129/62d1a94d-08be6886-1860ef56-16cc47a7-abbc574e.jpg\n']"
s59041802_43,p19182863,s59041802,43,Impression,"Increase in right pleural effusion, now moderate, with underlying atelectasis. Mild pulmonary edema. Repeat chest radiograph after resolution of right pleural effusion is recommended to reassess the lungs and mediastinum.","Increase in right pleural effusion, now moderate, with underlying atelectasis.",Pleural effusion,Right,Worse,['files/p19/p19182863/s59041802/ffd60688-5da7c1d3-4229e284-c84ba788-c00f4302.jpg'],"['files/p19/p19182863/s59039129/36f9558a-104cb64f-0ea8cc6a-503be286-3e591c65.jpg\n', 'files/p19/p19182863/s59039129/62d1a94d-08be6886-1860ef56-16cc47a7-abbc574e.jpg\n']"
s59041802_43,p19182863,s59041802,43,Findings,"Single AP view of the chest was reviewed. There has been interval increase in the right pleural effusion, now moderate, with right basilar atelectasis. Mild edema is also seen. There is no pneumothorax. The presence of the right pleural effusion limits assessment of the right cardiomediastinal contours, but the remainder of the cardiomediastinal and hilar contours appear stable. Median sternotomy wires are in similar configuration with aortic and tricuspid valve replacements.",Median sternotomy wires are in similar configuration with aortic and tricuspid valve replacements.,Configuration,Median sternotomy wires,Stable,['files/p19/p19182863/s59041802/ffd60688-5da7c1d3-4229e284-c84ba788-c00f4302.jpg'],"['files/p19/p19182863/s59039129/36f9558a-104cb64f-0ea8cc6a-503be286-3e591c65.jpg\n', 'files/p19/p19182863/s59039129/62d1a94d-08be6886-1860ef56-16cc47a7-abbc574e.jpg\n']"
s59041802_43,p19182863,s59041802,43,Findings,"Single AP view of the chest was reviewed. There has been interval increase in the right pleural effusion, now moderate, with right basilar atelectasis. Mild edema is also seen. There is no pneumothorax. The presence of the right pleural effusion limits assessment of the right cardiomediastinal contours, but the remainder of the cardiomediastinal and hilar contours appear stable. Median sternotomy wires are in similar configuration with aortic and tricuspid valve replacements.","There has been interval increase in the right pleural effusion, now moderate, with right basilar atelectasis.",Atelectasis,Right basilar,Worse,['files/p19/p19182863/s59041802/ffd60688-5da7c1d3-4229e284-c84ba788-c00f4302.jpg'],"['files/p19/p19182863/s59039129/36f9558a-104cb64f-0ea8cc6a-503be286-3e591c65.jpg\n', 'files/p19/p19182863/s59039129/62d1a94d-08be6886-1860ef56-16cc47a7-abbc574e.jpg\n']"
s59041802_43,p19182863,s59041802,43,Findings,"Single AP view of the chest was reviewed. There has been interval increase in the right pleural effusion, now moderate, with right basilar atelectasis. Mild edema is also seen. There is no pneumothorax. The presence of the right pleural effusion limits assessment of the right cardiomediastinal contours, but the remainder of the cardiomediastinal and hilar contours appear stable. Median sternotomy wires are in similar configuration with aortic and tricuspid valve replacements.","The presence of the right pleural effusion limits assessment of the right cardiomediastinal contours, but the remainder of the cardiomediastinal and hilar contours appear stable.",Contours,Cardiomediastinal and hilar contours,Stable,['files/p19/p19182863/s59041802/ffd60688-5da7c1d3-4229e284-c84ba788-c00f4302.jpg'],"['files/p19/p19182863/s59039129/36f9558a-104cb64f-0ea8cc6a-503be286-3e591c65.jpg\n', 'files/p19/p19182863/s59039129/62d1a94d-08be6886-1860ef56-16cc47a7-abbc574e.jpg\n']"
s59044011_6,p19389547,s59044011,6,Findings,"As compared to the previous radiograph, there is no relevant change. The reduced volume of the right hemithorax with areas of lateral pleural thickening. The areas of pleural thickening are constant, size and morphology. Unchanged perihilar areas of fibrosis. Unchanged size and aspect of the cardiac silhouette, no pathologic changes in the left lung.",Unchanged perihilar areas of fibrosis.,fibrosis,perihilar,Stable,"['files/p19/p19389547/s59044011/6eaf7963-626eb629-9cbd1f78-ed48ebd0-cba58eee.jpg', 'files/p19/p19389547/s59044011/7d8df8e3-c8bcedda-66ffa4f1-c953af7e-0896b398.jpg', 'files/p19/p19389547/s59044011/daf22278-c7ef9cb8-31e6569f-0e1541a4-153d1977.jpg']",['files/p19/p19389547/s57356552/85817777-b9158c6e-b0d376b5-d21f2744-f3a04234.jpg\n']
s59044011_6,p19389547,s59044011,6,Findings,"As compared to the previous radiograph, there is no relevant change. The reduced volume of the right hemithorax with areas of lateral pleural thickening. The areas of pleural thickening are constant, size and morphology. Unchanged perihilar areas of fibrosis. Unchanged size and aspect of the cardiac silhouette, no pathologic changes in the left lung.","The areas of pleural thickening are constant, size and morphology.",size and morphology,areas of pleural thickening,Stable,"['files/p19/p19389547/s59044011/6eaf7963-626eb629-9cbd1f78-ed48ebd0-cba58eee.jpg', 'files/p19/p19389547/s59044011/7d8df8e3-c8bcedda-66ffa4f1-c953af7e-0896b398.jpg', 'files/p19/p19389547/s59044011/daf22278-c7ef9cb8-31e6569f-0e1541a4-153d1977.jpg']",['files/p19/p19389547/s57356552/85817777-b9158c6e-b0d376b5-d21f2744-f3a04234.jpg\n']
s59044011_6,p19389547,s59044011,6,Findings,"As compared to the previous radiograph, there is no relevant change. The reduced volume of the right hemithorax with areas of lateral pleural thickening. The areas of pleural thickening are constant, size and morphology. Unchanged perihilar areas of fibrosis. Unchanged size and aspect of the cardiac silhouette, no pathologic changes in the left lung.","Unchanged size and aspect of the cardiac silhouette, no pathologic changes in the left lung.",size and aspect,cardiac silhouette,Stable,"['files/p19/p19389547/s59044011/6eaf7963-626eb629-9cbd1f78-ed48ebd0-cba58eee.jpg', 'files/p19/p19389547/s59044011/7d8df8e3-c8bcedda-66ffa4f1-c953af7e-0896b398.jpg', 'files/p19/p19389547/s59044011/daf22278-c7ef9cb8-31e6569f-0e1541a4-153d1977.jpg']",['files/p19/p19389547/s57356552/85817777-b9158c6e-b0d376b5-d21f2744-f3a04234.jpg\n']
s59044985_10,p18110020,s59044985,10,Findings,Lungs are grossly clear. There are no new lung opacities which are of concern. There is no evidence to suggest pleural effusion or pneumothorax. Severe scoliosis is noted. Cardiomediastinal silhouette is unchanged. The nasogastric tube tip is in the stomach and right PICC line is approximately at the mid SVC.,Cardiomediastinal silhouette is unchanged.,Cardiomediastinal silhouette,,Stable,['files/p18/p18110020/s59044985/2d45a143-1df013b8-730bd381-c219de78-7ad22f77.jpg'],['files/p18/p18110020/s57746739/5f26481a-d3858281-c46fc79d-2f850d48-53f84f5d.jpg\n']
s59044985_10,p18110020,s59044985,10,Findings,Lungs are grossly clear. There are no new lung opacities which are of concern. There is no evidence to suggest pleural effusion or pneumothorax. Severe scoliosis is noted. Cardiomediastinal silhouette is unchanged. The nasogastric tube tip is in the stomach and right PICC line is approximately at the mid SVC.,There are no new lung opacities which are of concern.,lung opacities,,New,['files/p18/p18110020/s59044985/2d45a143-1df013b8-730bd381-c219de78-7ad22f77.jpg'],['files/p18/p18110020/s57746739/5f26481a-d3858281-c46fc79d-2f850d48-53f84f5d.jpg\n']
s59047668_4,p18417750,s59047668,4,Findings,AP upright and lateral views of the chest are provided. Dual-lead pacemaker is in unchanged position. A metallic stent projects over the heart in the expected location of the aortic valve. Hardware is noted in the lower thoracic spine with evidence of vertebroplasty in a lower thoracic vertebral body. Cardiomegaly is unchanged. There is no definite sign of pulmonary edema. No pleural effusion or signs of pneumonia. Mediastinal contour is stable. Bony structures appear unchanged. A wedge deformity is seen just above the level of vertebroplasty in the lower T-spine which is unchanged.,Dual-lead pacemaker is in unchanged position.,Dual-lead pacemaker,,Stable,"['files/p18/p18417750/s59047668/75f21a8f-79c74bef-915a62bf-6f0fe729-8b59663a.jpg', 'files/p18/p18417750/s59047668/914e8aae-98977714-95bb2a56-fbd74998-2c926045.jpg', 'files/p18/p18417750/s59047668/9c04078c-dee8c858-bc2a105e-d5fb538e-ac5a7c69.jpg']","['files/p18/p18417750/s57175390/1f4a1a92-7c6c27d6-649767ec-d3ca03ca-885c6ce6.jpg\n', 'files/p18/p18417750/s57175390/50da6cea-7757397e-e0e5175b-5dfd32f3-3183a4d4.jpg\n']"
s59047668_4,p18417750,s59047668,4,Findings,AP upright and lateral views of the chest are provided. Dual-lead pacemaker is in unchanged position. A metallic stent projects over the heart in the expected location of the aortic valve. Hardware is noted in the lower thoracic spine with evidence of vertebroplasty in a lower thoracic vertebral body. Cardiomegaly is unchanged. There is no definite sign of pulmonary edema. No pleural effusion or signs of pneumonia. Mediastinal contour is stable. Bony structures appear unchanged. A wedge deformity is seen just above the level of vertebroplasty in the lower T-spine which is unchanged.,Cardiomegaly is unchanged.,Cardiomegaly,,Stable,"['files/p18/p18417750/s59047668/75f21a8f-79c74bef-915a62bf-6f0fe729-8b59663a.jpg', 'files/p18/p18417750/s59047668/914e8aae-98977714-95bb2a56-fbd74998-2c926045.jpg', 'files/p18/p18417750/s59047668/9c04078c-dee8c858-bc2a105e-d5fb538e-ac5a7c69.jpg']","['files/p18/p18417750/s57175390/1f4a1a92-7c6c27d6-649767ec-d3ca03ca-885c6ce6.jpg\n', 'files/p18/p18417750/s57175390/50da6cea-7757397e-e0e5175b-5dfd32f3-3183a4d4.jpg\n']"
s59047668_4,p18417750,s59047668,4,Findings,AP upright and lateral views of the chest are provided. Dual-lead pacemaker is in unchanged position. A metallic stent projects over the heart in the expected location of the aortic valve. Hardware is noted in the lower thoracic spine with evidence of vertebroplasty in a lower thoracic vertebral body. Cardiomegaly is unchanged. There is no definite sign of pulmonary edema. No pleural effusion or signs of pneumonia. Mediastinal contour is stable. Bony structures appear unchanged. A wedge deformity is seen just above the level of vertebroplasty in the lower T-spine which is unchanged.,Mediastinal contour is stable.,Mediastinal contour,,Stable,"['files/p18/p18417750/s59047668/75f21a8f-79c74bef-915a62bf-6f0fe729-8b59663a.jpg', 'files/p18/p18417750/s59047668/914e8aae-98977714-95bb2a56-fbd74998-2c926045.jpg', 'files/p18/p18417750/s59047668/9c04078c-dee8c858-bc2a105e-d5fb538e-ac5a7c69.jpg']","['files/p18/p18417750/s57175390/1f4a1a92-7c6c27d6-649767ec-d3ca03ca-885c6ce6.jpg\n', 'files/p18/p18417750/s57175390/50da6cea-7757397e-e0e5175b-5dfd32f3-3183a4d4.jpg\n']"
s59047668_4,p18417750,s59047668,4,Findings,AP upright and lateral views of the chest are provided. Dual-lead pacemaker is in unchanged position. A metallic stent projects over the heart in the expected location of the aortic valve. Hardware is noted in the lower thoracic spine with evidence of vertebroplasty in a lower thoracic vertebral body. Cardiomegaly is unchanged. There is no definite sign of pulmonary edema. No pleural effusion or signs of pneumonia. Mediastinal contour is stable. Bony structures appear unchanged. A wedge deformity is seen just above the level of vertebroplasty in the lower T-spine which is unchanged.,Bony structures appear unchanged.,Bony structures,,Stable,"['files/p18/p18417750/s59047668/75f21a8f-79c74bef-915a62bf-6f0fe729-8b59663a.jpg', 'files/p18/p18417750/s59047668/914e8aae-98977714-95bb2a56-fbd74998-2c926045.jpg', 'files/p18/p18417750/s59047668/9c04078c-dee8c858-bc2a105e-d5fb538e-ac5a7c69.jpg']","['files/p18/p18417750/s57175390/1f4a1a92-7c6c27d6-649767ec-d3ca03ca-885c6ce6.jpg\n', 'files/p18/p18417750/s57175390/50da6cea-7757397e-e0e5175b-5dfd32f3-3183a4d4.jpg\n']"
s59047668_4,p18417750,s59047668,4,Findings,AP upright and lateral views of the chest are provided. Dual-lead pacemaker is in unchanged position. A metallic stent projects over the heart in the expected location of the aortic valve. Hardware is noted in the lower thoracic spine with evidence of vertebroplasty in a lower thoracic vertebral body. Cardiomegaly is unchanged. There is no definite sign of pulmonary edema. No pleural effusion or signs of pneumonia. Mediastinal contour is stable. Bony structures appear unchanged. A wedge deformity is seen just above the level of vertebroplasty in the lower T-spine which is unchanged.,A wedge deformity is seen just above the level of vertebroplasty in the lower T-spine which is unchanged.,Wedge deformity,just above the level of vertebroplasty in the lower T-spine,Stable,"['files/p18/p18417750/s59047668/75f21a8f-79c74bef-915a62bf-6f0fe729-8b59663a.jpg', 'files/p18/p18417750/s59047668/914e8aae-98977714-95bb2a56-fbd74998-2c926045.jpg', 'files/p18/p18417750/s59047668/9c04078c-dee8c858-bc2a105e-d5fb538e-ac5a7c69.jpg']","['files/p18/p18417750/s57175390/1f4a1a92-7c6c27d6-649767ec-d3ca03ca-885c6ce6.jpg\n', 'files/p18/p18417750/s57175390/50da6cea-7757397e-e0e5175b-5dfd32f3-3183a4d4.jpg\n']"
s59048499_13,p12595991,s59048499,13,Findings,A single portable frontal upright view of the chest was obtained. The right internal jugular central venous catheter has been pulled back now terminating in the mid SVC. Otherwise there is no substantial change over this short-interval followup.,The right internal jugular central venous catheter has been pulled back now terminating in the mid SVC.,right internal jugular central venous catheter,mid SVC,Better,['files/p12/p12595991/s59048499/372f588f-f2061650-9cc50694-12a70654-dd425821.jpg'],"['files/p12/p12595991/s58621321/cd866aa1-0710b4d4-2c7e1783-c1afef62-1d1301b4.jpg\n', 'files/p12/p12595991/s58621321/e3fc5bd6-0ebd345c-dd63d96c-6844627c-1b6cf82b.jpg\n']"
s59048499_13,p12595991,s59048499,13,Impression,"Right internal jugular central venous catheter has been pulled back, now terminating in the mid SVC.","Right internal jugular central venous catheter has been pulled back, now terminating in the mid SVC.",right internal jugular central venous catheter,mid SVC,Better,['files/p12/p12595991/s59048499/372f588f-f2061650-9cc50694-12a70654-dd425821.jpg'],"['files/p12/p12595991/s58621321/cd866aa1-0710b4d4-2c7e1783-c1afef62-1d1301b4.jpg\n', 'files/p12/p12595991/s58621321/e3fc5bd6-0ebd345c-dd63d96c-6844627c-1b6cf82b.jpg\n']"
s59053386_2,p15186992,s59053386,2,Findings,"As compared to the previous radiograph, there is no relevant change. Extensive emphysematous lung parenchymal destruction in both upper lobes, right more than left. Subsequent distortion of vascular and airway structures at the lung bases. No pulmonary edema. No pneumonia. Borderline size of the cardiac silhouette.","As compared to the previous radiograph, there is no relevant change.",,,Stable,['files/p15/p15186992/s59053386/d17e21ba-cf76b4d5-e90b2776-43be3667-dacf2f6f.jpg'],['files/p15/p15186992/s50894711/adbfc9ce-b82d1181-fce57c7d-f71a436a-708693b0.jpg\n']
s59060938_0,p15659181,s59060938,0,Findings,"Low lung volumes are seen which limit assessment. There is a an opacity, which obscures the right heart border, concerning for an early developing right middle lobe pneumonia. The remainder of the lungs are clear without pleural effusion or pneumothorax. The heart is normal in size. Normal cardiomediastinal silhouette.","There is a an opacity, which obscures the right heart border, concerning for an early developing right middle lobe pneumonia.",opacity,right middle lobe,New,"['files/p15/p15659181/s59060938/519f4481-6aee1c53-394dccc4-d527eee2-05f59923.jpg', 'files/p15/p15659181/s59060938/80d40ef1-bf5479a7-9262dbfe-00ac06d8-9ee348b1.jpg', 'files/p15/p15659181/s59060938/84c1b3da-67a19397-d61bf966-069c630f-75a2038f.jpg']","['files/p15/p15659181/s59037095/a1131f36-adcb21da-daa393cc-f694cd63-a9cd3696.jpg\n', 'files/p15/p15659181/s59037095/fd15a691-c9a3b644-6c5f2cce-8d81a9f7-8a6dc366.jpg\n', 'files/p15/p15659181/s59037095/ffc87b00-0815c74e-636e48b5-42d8bca2-443af381.jpg\n']"
s59060938_0,p15659181,s59060938,0,Impression,Possible early developing right middle lobe pneumonia.,Possible early developing right middle lobe pneumonia.,pneumonia,right middle lobe,New,"['files/p15/p15659181/s59060938/519f4481-6aee1c53-394dccc4-d527eee2-05f59923.jpg', 'files/p15/p15659181/s59060938/80d40ef1-bf5479a7-9262dbfe-00ac06d8-9ee348b1.jpg', 'files/p15/p15659181/s59060938/84c1b3da-67a19397-d61bf966-069c630f-75a2038f.jpg']","['files/p15/p15659181/s59037095/a1131f36-adcb21da-daa393cc-f694cd63-a9cd3696.jpg\n', 'files/p15/p15659181/s59037095/fd15a691-c9a3b644-6c5f2cce-8d81a9f7-8a6dc366.jpg\n', 'files/p15/p15659181/s59037095/ffc87b00-0815c74e-636e48b5-42d8bca2-443af381.jpg\n']"
s59061065_35,p14841168,s59061065,35,Impression,"In comparison with the study of ___, the monitoring and support devices are unchanged. Opacification at the right base is unchanged, again consistent with collapse of the middle and lower lobes. The left lung remains clear.","Opacification at the right base is unchanged, again consistent with collapse of the middle and lower lobes.",Opacification,right base,Stable,"['files/p14/p14841168/s59061065/4f5ceb49-3bea4142-b3d31cf2-dd2d774c-d213dc35.jpg', 'files/p14/p14841168/s59061065/f74a6e2d-7ecce9f0-cf647641-73115c8d-2af49e3d.jpg']",['files/p14/p14841168/s58881734/05497016-015d9fb6-1dcbc401-ad586ed8-ff4595d4.jpg\n']
s59061065_35,p14841168,s59061065,35,Impression,"In comparison with the study of ___, the monitoring and support devices are unchanged. Opacification at the right base is unchanged, again consistent with collapse of the middle and lower lobes. The left lung remains clear.",The left lung remains clear.,clear,left lung,Stable,"['files/p14/p14841168/s59061065/4f5ceb49-3bea4142-b3d31cf2-dd2d774c-d213dc35.jpg', 'files/p14/p14841168/s59061065/f74a6e2d-7ecce9f0-cf647641-73115c8d-2af49e3d.jpg']",['files/p14/p14841168/s58881734/05497016-015d9fb6-1dcbc401-ad586ed8-ff4595d4.jpg\n']
s59061065_35,p14841168,s59061065,35,Impression,"In comparison with the study of ___, the monitoring and support devices are unchanged. Opacification at the right base is unchanged, again consistent with collapse of the middle and lower lobes. The left lung remains clear.","In comparison with the study of ___, the monitoring and support devices are unchanged.",monitoring and support devices,,Stable,"['files/p14/p14841168/s59061065/4f5ceb49-3bea4142-b3d31cf2-dd2d774c-d213dc35.jpg', 'files/p14/p14841168/s59061065/f74a6e2d-7ecce9f0-cf647641-73115c8d-2af49e3d.jpg']",['files/p14/p14841168/s58881734/05497016-015d9fb6-1dcbc401-ad586ed8-ff4595d4.jpg\n']
s59063233_1,p15612622,s59063233,1,Findings,"PA and lateral views of the chest were obtained. The mediastinal contour is somewhat prominent, which likely in part reflect patient's slight leftward rotation as no mediastinal mass was seen on prior CT. The lungs are hyperinflated compatible with COPD. A calcified granuloma is again noted in the left mid lung. Calcified lymph nodes in the left hilum are better assessed on the prior CT. Heart size is top normal. No definite evidence of pneumonia or CHF. No pleural effusion or pneumothorax. The imaged osseous structures appear intact.",A calcified granuloma is again noted in the left mid lung.,calcified granuloma,left mid lung,Stable,"['files/p15/p15612622/s59063233/48a254ba-4d6ccab1-b254dcf7-a7f305bc-9aae746b.jpg', 'files/p15/p15612622/s59063233/64445cbc-ad80926d-3cf56f35-73f41b87-cdaaf288.jpg']","['files/p15/p15612622/s58857549/5c2bf1b4-d3738135-b0f5cea4-bfa67dda-166feb65.jpg\n', 'files/p15/p15612622/s58857549/f8622643-cc231ab1-f33d7f64-a7531ebf-5dc5e7bc.jpg\n', 'files/p15/p15612622/s58857549/fbe66566-622475b1-f1e0f2cf-bc7f5c85-440be008.jpg\n']"
s59066796_6,p16050730,s59066796,6,Findings,Right internal jugular central venous catheter tip terminates in the mid/low SVC. Assessment of the left hemithorax is obscured due to the patient's hand projecting over this region. No pneumothorax is identified on this supine exam. Lung volumes are low. Heart size remains mildly enlarged. No large pleural effusion is seen. Again demonstrated are streaky opacities in the right lung base. No acute osseous abnormalities seen.,Heart size remains mildly enlarged.,Mildly enlarged heart size,,Stable,['files/p16/p16050730/s59066796/6d5d81f0-24db4698-0b10ede2-80628bfa-6c5de5f8.jpg'],"['files/p16/p16050730/s57847867/498f9360-0c28d42f-94618d8e-62ab4a70-6bf2596d.jpg\n', 'files/p16/p16050730/s57847867/9762049c-4ede04ad-3686cd0b-abfae75d-795cb083.jpg\n']"
s59066796_6,p16050730,s59066796,6,Findings,Right internal jugular central venous catheter tip terminates in the mid/low SVC. Assessment of the left hemithorax is obscured due to the patient's hand projecting over this region. No pneumothorax is identified on this supine exam. Lung volumes are low. Heart size remains mildly enlarged. No large pleural effusion is seen. Again demonstrated are streaky opacities in the right lung base. No acute osseous abnormalities seen.,Again demonstrated are streaky opacities in the right lung base.,streaky opacities,right lung base,Stable,['files/p16/p16050730/s59066796/6d5d81f0-24db4698-0b10ede2-80628bfa-6c5de5f8.jpg'],"['files/p16/p16050730/s57847867/498f9360-0c28d42f-94618d8e-62ab4a70-6bf2596d.jpg\n', 'files/p16/p16050730/s57847867/9762049c-4ede04ad-3686cd0b-abfae75d-795cb083.jpg\n']"
s59067739_0,p13473781,s59067739,0,Findings,There is stable marked enlargement of the heart with mild pulmonary vascular congestion without overt edema. Retrocardiac opacity with subtle air bronchograms could reflect left lower lobe pneumonia. Small left pleural effusion cannot be excluded. There is no pneumothorax or right pleural effusion.,There is stable marked enlargement of the heart with mild pulmonary vascular congestion without overt edema.,marked enlargement of the heart,,Stable,['files/p13/p13473781/s59067739/043df04d-931d53c9-ae497983-ce79d340-656e2354.jpg'],['files/p13/p13473781/s57373953/b201c59c-783b3811-27abc766-9831d333-e648e28e.jpg\n']
s59071382_0,p10867202,s59071382,0,Findings,"In the background of severe interstitial lung disease, which is predominantly reflected in fine reticulation of the lung periphery on each side, there are patchy superimposed opacities in the right upper lung as well as the left mid and lower lung worrisome for superimposed pneumonia. There is no pleural effusion or pneumothorax. The lung volume are again low. The cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique.",The lung volume are again low.,Low lung volumes,,Stable,"['files/p10/p10867202/s59071382/d1476c64-942c69d1-01468aa0-5ba156c1-07f5abb4.jpg', 'files/p10/p10867202/s59071382/da5580a4-d85e8eac-795ffec6-41e6d24b-273b3747.jpg']","['files/p10/p10867202/s57761141/46b5b999-bd0dd08a-4756e4ca-de3d7098-494c0126.jpg\n', 'files/p10/p10867202/s57761141/62cd4342-77a1737e-da11be7c-6914655a-20dc273b.jpg\n']"
s59071382_0,p10867202,s59071382,0,Findings,"In the background of severe interstitial lung disease, which is predominantly reflected in fine reticulation of the lung periphery on each side, there are patchy superimposed opacities in the right upper lung as well as the left mid and lower lung worrisome for superimposed pneumonia. There is no pleural effusion or pneumothorax. The lung volume are again low. The cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique.","The cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique.","Cardiac, mediastinal and hilar contours",,Stable,"['files/p10/p10867202/s59071382/d1476c64-942c69d1-01468aa0-5ba156c1-07f5abb4.jpg', 'files/p10/p10867202/s59071382/da5580a4-d85e8eac-795ffec6-41e6d24b-273b3747.jpg']","['files/p10/p10867202/s57761141/46b5b999-bd0dd08a-4756e4ca-de3d7098-494c0126.jpg\n', 'files/p10/p10867202/s57761141/62cd4342-77a1737e-da11be7c-6914655a-20dc273b.jpg\n']"
s59081164_7,p14353044,s59081164,7,Findings,A left central venous catheter is seen terminating in the lower SVC. Again seen is elevation of the right hemidiaphragm and small pleural effusion and atelectasis at the base of the right lung. The cardiomediastinal silhouette and hilar contours are grossly unchanged. There is no evidence of pneumothorax. Thoracolumbar fusion hardware is seen unchanged in appearance.,Thoracolumbar fusion hardware is seen unchanged in appearance.,fusion hardware,Thoracolumbar,Stable,"['files/p14/p14353044/s59081164/09c081f1-c1f32700-e71bf5b1-b0dc10ee-1e584a9c.jpg', 'files/p14/p14353044/s59081164/846f651e-365f7937-f8d68fbc-e66be086-ef193933.jpg']",['files/p14/p14353044/s57988469/cd77c46e-224eaafc-a386ab71-e1f0d17d-b743688b.jpg\n']
s59081164_7,p14353044,s59081164,7,Findings,A left central venous catheter is seen terminating in the lower SVC. Again seen is elevation of the right hemidiaphragm and small pleural effusion and atelectasis at the base of the right lung. The cardiomediastinal silhouette and hilar contours are grossly unchanged. There is no evidence of pneumothorax. Thoracolumbar fusion hardware is seen unchanged in appearance.,The cardiomediastinal silhouette and hilar contours are grossly unchanged.,appearance,hilar contours,Stable,"['files/p14/p14353044/s59081164/09c081f1-c1f32700-e71bf5b1-b0dc10ee-1e584a9c.jpg', 'files/p14/p14353044/s59081164/846f651e-365f7937-f8d68fbc-e66be086-ef193933.jpg']",['files/p14/p14353044/s57988469/cd77c46e-224eaafc-a386ab71-e1f0d17d-b743688b.jpg\n']
s59081164_7,p14353044,s59081164,7,Findings,A left central venous catheter is seen terminating in the lower SVC. Again seen is elevation of the right hemidiaphragm and small pleural effusion and atelectasis at the base of the right lung. The cardiomediastinal silhouette and hilar contours are grossly unchanged. There is no evidence of pneumothorax. Thoracolumbar fusion hardware is seen unchanged in appearance.,The cardiomediastinal silhouette and hilar contours are grossly unchanged.,size,cardiomediastinal silhouette,Stable,"['files/p14/p14353044/s59081164/09c081f1-c1f32700-e71bf5b1-b0dc10ee-1e584a9c.jpg', 'files/p14/p14353044/s59081164/846f651e-365f7937-f8d68fbc-e66be086-ef193933.jpg']",['files/p14/p14353044/s57988469/cd77c46e-224eaafc-a386ab71-e1f0d17d-b743688b.jpg\n']
s59081164_7,p14353044,s59081164,7,Findings,A left central venous catheter is seen terminating in the lower SVC. Again seen is elevation of the right hemidiaphragm and small pleural effusion and atelectasis at the base of the right lung. The cardiomediastinal silhouette and hilar contours are grossly unchanged. There is no evidence of pneumothorax. Thoracolumbar fusion hardware is seen unchanged in appearance.,Again seen is elevation of the right hemidiaphragm and small pleural effusion and atelectasis at the base of the right lung.,atelectasis,base of the right lung,Stable,"['files/p14/p14353044/s59081164/09c081f1-c1f32700-e71bf5b1-b0dc10ee-1e584a9c.jpg', 'files/p14/p14353044/s59081164/846f651e-365f7937-f8d68fbc-e66be086-ef193933.jpg']",['files/p14/p14353044/s57988469/cd77c46e-224eaafc-a386ab71-e1f0d17d-b743688b.jpg\n']
s59081164_7,p14353044,s59081164,7,Findings,A left central venous catheter is seen terminating in the lower SVC. Again seen is elevation of the right hemidiaphragm and small pleural effusion and atelectasis at the base of the right lung. The cardiomediastinal silhouette and hilar contours are grossly unchanged. There is no evidence of pneumothorax. Thoracolumbar fusion hardware is seen unchanged in appearance.,Again seen is elevation of the right hemidiaphragm and small pleural effusion and atelectasis at the base of the right lung.,small pleural effusion,base of the right lung,Stable,"['files/p14/p14353044/s59081164/09c081f1-c1f32700-e71bf5b1-b0dc10ee-1e584a9c.jpg', 'files/p14/p14353044/s59081164/846f651e-365f7937-f8d68fbc-e66be086-ef193933.jpg']",['files/p14/p14353044/s57988469/cd77c46e-224eaafc-a386ab71-e1f0d17d-b743688b.jpg\n']
s59081164_7,p14353044,s59081164,7,Findings,A left central venous catheter is seen terminating in the lower SVC. Again seen is elevation of the right hemidiaphragm and small pleural effusion and atelectasis at the base of the right lung. The cardiomediastinal silhouette and hilar contours are grossly unchanged. There is no evidence of pneumothorax. Thoracolumbar fusion hardware is seen unchanged in appearance.,Again seen is elevation of the right hemidiaphragm and small pleural effusion and atelectasis at the base of the right lung.,elevation,right hemidiaphragm,Stable,"['files/p14/p14353044/s59081164/09c081f1-c1f32700-e71bf5b1-b0dc10ee-1e584a9c.jpg', 'files/p14/p14353044/s59081164/846f651e-365f7937-f8d68fbc-e66be086-ef193933.jpg']",['files/p14/p14353044/s57988469/cd77c46e-224eaafc-a386ab71-e1f0d17d-b743688b.jpg\n']
s59083645_15,p11474065,s59083645,15,Findings,PA and lateral views of the chest provided. An area of scarring in the right lower lung appears unchanged. Remainder both lungs appear relatively clear. Cardiomediastinal silhouette is stably prominent. No pneumothorax. Chronic right upper rib cage deformity and chronic changes related to vertebroplasty in the lower T-spine.,Cardiomediastinal silhouette is stably prominent.,silhouette,Cardiomediastinal,Stable,"['files/p11/p11474065/s59083645/7bcd081b-869f44f4-57a93477-646a8796-ee97546c.jpg', 'files/p11/p11474065/s59083645/e8f0762b-f26c36ff-f3ca5ab5-d71c03f7-c26f6b9e.jpg']",['files/p11/p11474065/s58952033/418536fe-ce5ff76a-25c69892-fa4beedf-88916c53.jpg\n']
s59083645_15,p11474065,s59083645,15,Findings,PA and lateral views of the chest provided. An area of scarring in the right lower lung appears unchanged. Remainder both lungs appear relatively clear. Cardiomediastinal silhouette is stably prominent. No pneumothorax. Chronic right upper rib cage deformity and chronic changes related to vertebroplasty in the lower T-spine.,An area of scarring in the right lower lung appears unchanged.,scarring,right lower lung,Stable,"['files/p11/p11474065/s59083645/7bcd081b-869f44f4-57a93477-646a8796-ee97546c.jpg', 'files/p11/p11474065/s59083645/e8f0762b-f26c36ff-f3ca5ab5-d71c03f7-c26f6b9e.jpg']",['files/p11/p11474065/s58952033/418536fe-ce5ff76a-25c69892-fa4beedf-88916c53.jpg\n']
s59089311_3,p10715477,s59089311,3,Findings,"In comparison with the earlier study of this date, there has been placement of a left IJ catheter that extends to the upper portion of the SVC. No evidence of pneumothorax. Otherwise, little change.","Otherwise, little change.",,,Stable,['files/p10/p10715477/s59089311/0cdeff10-c7e75e12-5c067cb6-eab4e635-50d1144c.jpg'],"['files/p10/p10715477/s55878458/77961fbc-766a38fd-e7b726ed-43313009-06ed55d4.jpg\n', 'files/p10/p10715477/s55878458/989b6a15-ba84ab43-d60ebb5a-c7681741-c34f140f.jpg\n']"
s59089386_0,p18906643,s59089386,0,Impression,"AP and lateral chest compared to ___: Pulmonary vasculature is more engorged, but there is no pulmonary edema or pleural effusion. Moderate cardiomegaly and mediastinal vascular engorgement are chronic. No pneumothorax. No focal pulmonary consolidation.","AP and lateral chest compared to ___: Pulmonary vasculature is more engorged, but there is no pulmonary edema or pleural effusion.",Engorgement,Pulmonary vasculature,Worse,"['files/p18/p18906643/s59089386/2b3fd304-e1ad171f-32d25706-9ceaaa09-5c2e0711.jpg', 'files/p18/p18906643/s59089386/44c2f17b-9d6a7187-779235c5-096ece2d-807b0e18.jpg']",['files/p18/p18906643/s58824000/e3c80a40-fc49e72a-6cd50354-445adf30-3d360387.jpg\n']
s59091975_3,p12736592,s59091975,3,Findings,"In comparison with the study of ___, there is a small apical pneumothorax on the right, there may be minimal residual basilar pneumothorax. Extensive subcutaneous gas is seen bilaterally, much more prominent on the left.","In comparison with the study of ___, there is a small apical pneumothorax on the right, there may be minimal residual basilar pneumothorax.",pneumothorax,basilar,Stable,['files/p12/p12736592/s59091975/e1e69a8a-e168c0b4-3d6c41a5-108dc21b-9f8205cd.jpg'],"['files/p12/p12736592/s57368679/2491ec8e-8e052c65-0d21c67c-66194ee7-56ad6f43.jpg\n', 'files/p12/p12736592/s57368679/f7349b90-c86e0ac7-2794b96b-e665dc2a-b3f47921.jpg\n']"
s59091975_3,p12736592,s59091975,3,Findings,"In comparison with the study of ___, there is a small apical pneumothorax on the right, there may be minimal residual basilar pneumothorax. Extensive subcutaneous gas is seen bilaterally, much more prominent on the left.","In comparison with the study of ___, there is a small apical pneumothorax on the right, there may be minimal residual basilar pneumothorax.",pneumothorax,apical right,New,['files/p12/p12736592/s59091975/e1e69a8a-e168c0b4-3d6c41a5-108dc21b-9f8205cd.jpg'],"['files/p12/p12736592/s57368679/2491ec8e-8e052c65-0d21c67c-66194ee7-56ad6f43.jpg\n', 'files/p12/p12736592/s57368679/f7349b90-c86e0ac7-2794b96b-e665dc2a-b3f47921.jpg\n']"
s59094609_4,p19623993,s59094609,4,Findings,"Right internal jugular catheter ends at SVC. Orogastric feeding tube is seen to course below the diaphragm into the stomach, however distal end is beyond the view of radiograph. Bilateral lung volumes are low. Lower lung atelectasis and presumed small left pleural effusion is unchanged. Given the low lung volumes, assessment for mild or early pulmonary edema is limited.",Lower lung atelectasis and presumed small left pleural effusion is unchanged.,small pleural effusion,left,Stable,['files/p19/p19623993/s59094609/dd1b3904-39c994bb-d70efb14-d51f63a7-7848565c.jpg'],"['files/p19/p19623993/s58865157/879c5bd5-8fde6e6e-470c4bdb-323689b2-fac6fa7e.jpg\n', 'files/p19/p19623993/s58865157/fcedd2e4-64153d40-86614cb0-bae4c2c0-58975d3f.jpg\n']"
s59094609_4,p19623993,s59094609,4,Findings,"Right internal jugular catheter ends at SVC. Orogastric feeding tube is seen to course below the diaphragm into the stomach, however distal end is beyond the view of radiograph. Bilateral lung volumes are low. Lower lung atelectasis and presumed small left pleural effusion is unchanged. Given the low lung volumes, assessment for mild or early pulmonary edema is limited.",Lower lung atelectasis and presumed small left pleural effusion is unchanged.,atelectasis,lower lung,Stable,['files/p19/p19623993/s59094609/dd1b3904-39c994bb-d70efb14-d51f63a7-7848565c.jpg'],"['files/p19/p19623993/s58865157/879c5bd5-8fde6e6e-470c4bdb-323689b2-fac6fa7e.jpg\n', 'files/p19/p19623993/s58865157/fcedd2e4-64153d40-86614cb0-bae4c2c0-58975d3f.jpg\n']"
s59108077_4,p13896515,s59108077,4,Findings,"Portable upright chest radiograph demonstrates interval decrease in lung volumes, and interval development of moderate alveolar and interstitial pulmonary edema. There are no definite effusions. There is no pneumothorax. The cardiac silhouette remains mildly enlarged. Calcification of the aortic knob is unchanged.",Calcification of the aortic knob is unchanged.,Calcification,Aortic Knob,Stable,['files/p13/p13896515/s59108077/bfb7a467-e88452aa-9ca0804d-6b66419b-ebbeec35.jpg'],['files/p13/p13896515/s58678573/020b5099-d3d7ffdf-de17c3ce-3474f286-010786e6.jpg\n']
s59108077_4,p13896515,s59108077,4,Findings,"Portable upright chest radiograph demonstrates interval decrease in lung volumes, and interval development of moderate alveolar and interstitial pulmonary edema. There are no definite effusions. There is no pneumothorax. The cardiac silhouette remains mildly enlarged. Calcification of the aortic knob is unchanged.",The cardiac silhouette remains mildly enlarged.,Cardiomegaly,,Stable,['files/p13/p13896515/s59108077/bfb7a467-e88452aa-9ca0804d-6b66419b-ebbeec35.jpg'],['files/p13/p13896515/s58678573/020b5099-d3d7ffdf-de17c3ce-3474f286-010786e6.jpg\n']
s59108077_4,p13896515,s59108077,4,Impression,"Interval development of moderate pulmonary edema, compatible with cardiac decompensation.","Interval development of moderate pulmonary edema, compatible with cardiac decompensation.",Pulmonary Edema,Moderate,Worse,['files/p13/p13896515/s59108077/bfb7a467-e88452aa-9ca0804d-6b66419b-ebbeec35.jpg'],['files/p13/p13896515/s58678573/020b5099-d3d7ffdf-de17c3ce-3474f286-010786e6.jpg\n']
s59108077_4,p13896515,s59108077,4,Findings,"Portable upright chest radiograph demonstrates interval decrease in lung volumes, and interval development of moderate alveolar and interstitial pulmonary edema. There are no definite effusions. There is no pneumothorax. The cardiac silhouette remains mildly enlarged. Calcification of the aortic knob is unchanged.","Portable upright chest radiograph demonstrates interval decrease in lung volumes, and interval development of moderate alveolar and interstitial pulmonary edema.",Pulmonary Edema,Alveolar and Interstitial,Worse,['files/p13/p13896515/s59108077/bfb7a467-e88452aa-9ca0804d-6b66419b-ebbeec35.jpg'],['files/p13/p13896515/s58678573/020b5099-d3d7ffdf-de17c3ce-3474f286-010786e6.jpg\n']
s59114520_3,p14608347,s59114520,3,Findings,"The heart size is top normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. A round well-circumscribed left retrocardiac opacity corresponds to a known large hiatal hernia.",A round well-circumscribed left retrocardiac opacity corresponds to a known large hiatal hernia.,large hiatal hernia,left retrocardiac,Stable,"['files/p14/p14608347/s59114520/255ab368-f408f0ed-d5ecb47a-e5626640-d14e5c3d.jpg', 'files/p14/p14608347/s59114520/3f0f5cbb-59b29982-c936c70b-36a6c86d-23da1915.jpg', 'files/p14/p14608347/s59114520/6d3f491e-b23e2a07-9c9ef1a4-be3b5ffb-8aba0768.jpg']",['files/p14/p14608347/s57261102/dd4d07ba-c78dcfab-fc8fc38e-e425a71b-29874f79.jpg\n']
s59114520_3,p14608347,s59114520,3,Impression,1. Unchanged large hiatal hernia. 2. No focal consolidation.,Unchanged large hiatal hernia.,large hiatal hernia,,Stable,"['files/p14/p14608347/s59114520/255ab368-f408f0ed-d5ecb47a-e5626640-d14e5c3d.jpg', 'files/p14/p14608347/s59114520/3f0f5cbb-59b29982-c936c70b-36a6c86d-23da1915.jpg', 'files/p14/p14608347/s59114520/6d3f491e-b23e2a07-9c9ef1a4-be3b5ffb-8aba0768.jpg']",['files/p14/p14608347/s57261102/dd4d07ba-c78dcfab-fc8fc38e-e425a71b-29874f79.jpg\n']
s59116034_18,p13475033,s59116034,18,Findings,"Cardiomegaly is stable. There is no focal consolidation concerning for pneumonia. There is no pleural effusion, pneumothorax or pulmonary edema. Scoliosis is again noted. An old left clavicular deformity is noted.",Scoliosis is again noted.,scoliosis,,Stable,"['files/p13/p13475033/s59116034/748c4a64-47da4847-4a87a967-a4bec5ab-352fc0c9.jpg', 'files/p13/p13475033/s59116034/ba540e00-08d74cb6-b40102ac-86237c85-e83b0089.jpg']","['files/p13/p13475033/s58757097/1299b94a-f07cab56-9e0c278e-416e2eea-39578211.jpg\n', 'files/p13/p13475033/s58757097/87839031-cf5f44d0-580a18ad-b86bcca4-c95455c5.jpg\n']"
s59116034_18,p13475033,s59116034,18,Findings,"Cardiomegaly is stable. There is no focal consolidation concerning for pneumonia. There is no pleural effusion, pneumothorax or pulmonary edema. Scoliosis is again noted. An old left clavicular deformity is noted.",Cardiomegaly is stable.,cardiomegaly,,Stable,"['files/p13/p13475033/s59116034/748c4a64-47da4847-4a87a967-a4bec5ab-352fc0c9.jpg', 'files/p13/p13475033/s59116034/ba540e00-08d74cb6-b40102ac-86237c85-e83b0089.jpg']","['files/p13/p13475033/s58757097/1299b94a-f07cab56-9e0c278e-416e2eea-39578211.jpg\n', 'files/p13/p13475033/s58757097/87839031-cf5f44d0-580a18ad-b86bcca4-c95455c5.jpg\n']"
s59116034_18,p13475033,s59116034,18,Findings,"Cardiomegaly is stable. There is no focal consolidation concerning for pneumonia. There is no pleural effusion, pneumothorax or pulmonary edema. Scoliosis is again noted. An old left clavicular deformity is noted.",An old left clavicular deformity is noted.,deformity,left clavicular,Stable,"['files/p13/p13475033/s59116034/748c4a64-47da4847-4a87a967-a4bec5ab-352fc0c9.jpg', 'files/p13/p13475033/s59116034/ba540e00-08d74cb6-b40102ac-86237c85-e83b0089.jpg']","['files/p13/p13475033/s58757097/1299b94a-f07cab56-9e0c278e-416e2eea-39578211.jpg\n', 'files/p13/p13475033/s58757097/87839031-cf5f44d0-580a18ad-b86bcca4-c95455c5.jpg\n']"
s59116935_44,p14851532,s59116935,44,Findings,There is now a right IJ central venous catheter with tip projecting over the lower SVC. Remainder of the exam is unchanged noting bilateral parenchymal opacities. There is no pneumothorax.,There is now a right IJ central venous catheter with tip projecting over the lower SVC.,Central venous catheter,Right IJ,New,['files/p14/p14851532/s59116935/00005197-869d72f3-66210bf4-fa2c9d83-b613c4e7.jpg'],"['files/p14/p14851532/s58957750/5495fd2e-84ec2a53-da20457c-36ed768d-1020aff3.jpg\n', 'files/p14/p14851532/s58957750/ba4dca32-34db70b8-58f97bd4-a77b4632-6e2ee9ca.jpg\n']"
s59116935_44,p14851532,s59116935,44,Findings,There is now a right IJ central venous catheter with tip projecting over the lower SVC. Remainder of the exam is unchanged noting bilateral parenchymal opacities. There is no pneumothorax.,Remainder of the exam is unchanged noting bilateral parenchymal opacities.,Parenchymal opacities,Bilateral,Stable,['files/p14/p14851532/s59116935/00005197-869d72f3-66210bf4-fa2c9d83-b613c4e7.jpg'],"['files/p14/p14851532/s58957750/5495fd2e-84ec2a53-da20457c-36ed768d-1020aff3.jpg\n', 'files/p14/p14851532/s58957750/ba4dca32-34db70b8-58f97bd4-a77b4632-6e2ee9ca.jpg\n']"
s59121133_1,p17270742,s59121133,1,Findings,A dominant right cavitary lesion is stable in size but demonstrates slightly less fluid and more gas than on the ___ study. The smaller cavitary lesion at the right lung apex is stable in appearance. The left upper lobe consolidation has slightly decreased in size although the small area of central lucency is stable in size. Bilateral areas of ground-glass and patchy opacities appear overall stable in appearance and distribution. Observed findings are consistent with widespread pulmonary infection. There are no new areas of consolidation. There is no pleural effusion or pneumothorax.,Bilateral areas of ground-glass and patchy opacities appear overall stable in appearance and distribution,ground-glass and patchy opacities,bilateral lungs,Stable,"['files/p17/p17270742/s59121133/645f7236-8ba1a267-2b01ad31-b648d484-41279141.jpg', 'files/p17/p17270742/s59121133/9ec0cfcc-56c60789-9ba97090-78a9c166-1429115f.jpg']","['files/p17/p17270742/s55233589/7ceff5ec-861255f1-4d0459f5-ab209407-0cf8014d.jpg\n', 'files/p17/p17270742/s55233589/a7911dd6-f061c0a0-424f7e91-c27237d4-97faf732.jpg\n']"
s59121133_1,p17270742,s59121133,1,Findings,A dominant right cavitary lesion is stable in size but demonstrates slightly less fluid and more gas than on the ___ study. The smaller cavitary lesion at the right lung apex is stable in appearance. The left upper lobe consolidation has slightly decreased in size although the small area of central lucency is stable in size. Bilateral areas of ground-glass and patchy opacities appear overall stable in appearance and distribution. Observed findings are consistent with widespread pulmonary infection. There are no new areas of consolidation. There is no pleural effusion or pneumothorax.,The left upper lobe consolidation has slightly decreased in size although the small area of central lucency is stable in size,consolidation,left upper lobe,Better,"['files/p17/p17270742/s59121133/645f7236-8ba1a267-2b01ad31-b648d484-41279141.jpg', 'files/p17/p17270742/s59121133/9ec0cfcc-56c60789-9ba97090-78a9c166-1429115f.jpg']","['files/p17/p17270742/s55233589/7ceff5ec-861255f1-4d0459f5-ab209407-0cf8014d.jpg\n', 'files/p17/p17270742/s55233589/a7911dd6-f061c0a0-424f7e91-c27237d4-97faf732.jpg\n']"
s59121133_1,p17270742,s59121133,1,Findings,A dominant right cavitary lesion is stable in size but demonstrates slightly less fluid and more gas than on the ___ study. The smaller cavitary lesion at the right lung apex is stable in appearance. The left upper lobe consolidation has slightly decreased in size although the small area of central lucency is stable in size. Bilateral areas of ground-glass and patchy opacities appear overall stable in appearance and distribution. Observed findings are consistent with widespread pulmonary infection. There are no new areas of consolidation. There is no pleural effusion or pneumothorax.,The smaller cavitary lesion at the right lung apex is stable in appearance,cavitary lesion,right lung apex,Stable,"['files/p17/p17270742/s59121133/645f7236-8ba1a267-2b01ad31-b648d484-41279141.jpg', 'files/p17/p17270742/s59121133/9ec0cfcc-56c60789-9ba97090-78a9c166-1429115f.jpg']","['files/p17/p17270742/s55233589/7ceff5ec-861255f1-4d0459f5-ab209407-0cf8014d.jpg\n', 'files/p17/p17270742/s55233589/a7911dd6-f061c0a0-424f7e91-c27237d4-97faf732.jpg\n']"
s59121133_1,p17270742,s59121133,1,Findings,A dominant right cavitary lesion is stable in size but demonstrates slightly less fluid and more gas than on the ___ study. The smaller cavitary lesion at the right lung apex is stable in appearance. The left upper lobe consolidation has slightly decreased in size although the small area of central lucency is stable in size. Bilateral areas of ground-glass and patchy opacities appear overall stable in appearance and distribution. Observed findings are consistent with widespread pulmonary infection. There are no new areas of consolidation. There is no pleural effusion or pneumothorax.,A dominant right cavitary lesion is stable in size but demonstrates slightly less fluid and more gas than on the ___ study,cavitary lesion,right lung,Stable,"['files/p17/p17270742/s59121133/645f7236-8ba1a267-2b01ad31-b648d484-41279141.jpg', 'files/p17/p17270742/s59121133/9ec0cfcc-56c60789-9ba97090-78a9c166-1429115f.jpg']","['files/p17/p17270742/s55233589/7ceff5ec-861255f1-4d0459f5-ab209407-0cf8014d.jpg\n', 'files/p17/p17270742/s55233589/a7911dd6-f061c0a0-424f7e91-c27237d4-97faf732.jpg\n']"
s59124380_7,p15338518,s59124380,7,Findings,The small right pleural effusion and associated atelectasis is unchanged. There is suggestion of a new small left pleural effusion with persistent atelectasis obscuring the hemidiaphragm. Mild cardiomegaly and pulmonary vascular congestion are unchanged. The lungs are otherwise clear. There is no pneumothorax. A right IJ central venous line terminates in the SVC. There are subtle linear irregularities of several left ribs and at least one right rib which may indicate the presence of nondisplaced fractures.,There is suggestion of a new small left pleural effusion with persistent atelectasis obscuring the hemidiaphragm.,atelectasis,left,Stable,['files/p15/p15338518/s59124380/8d15d949-caaa05f3-1811c857-a95fc3d0-6bf995b2.jpg'],"['files/p15/p15338518/s58005336/b6d9d032-070a55f6-660fd17c-1cb8442f-68a5b3b9.jpg\n', 'files/p15/p15338518/s58005336/c9411698-f64564b3-5ea07940-87d583ad-154d647b.jpg\n']"
s59124380_7,p15338518,s59124380,7,Findings,The small right pleural effusion and associated atelectasis is unchanged. There is suggestion of a new small left pleural effusion with persistent atelectasis obscuring the hemidiaphragm. Mild cardiomegaly and pulmonary vascular congestion are unchanged. The lungs are otherwise clear. There is no pneumothorax. A right IJ central venous line terminates in the SVC. There are subtle linear irregularities of several left ribs and at least one right rib which may indicate the presence of nondisplaced fractures.,Mild cardiomegaly and pulmonary vascular congestion are unchanged.,pulmonary vascular congestion,,Stable,['files/p15/p15338518/s59124380/8d15d949-caaa05f3-1811c857-a95fc3d0-6bf995b2.jpg'],"['files/p15/p15338518/s58005336/b6d9d032-070a55f6-660fd17c-1cb8442f-68a5b3b9.jpg\n', 'files/p15/p15338518/s58005336/c9411698-f64564b3-5ea07940-87d583ad-154d647b.jpg\n']"
s59124380_7,p15338518,s59124380,7,Findings,The small right pleural effusion and associated atelectasis is unchanged. There is suggestion of a new small left pleural effusion with persistent atelectasis obscuring the hemidiaphragm. Mild cardiomegaly and pulmonary vascular congestion are unchanged. The lungs are otherwise clear. There is no pneumothorax. A right IJ central venous line terminates in the SVC. There are subtle linear irregularities of several left ribs and at least one right rib which may indicate the presence of nondisplaced fractures.,Mild cardiomegaly and pulmonary vascular congestion are unchanged.,cardiomegaly,,Stable,['files/p15/p15338518/s59124380/8d15d949-caaa05f3-1811c857-a95fc3d0-6bf995b2.jpg'],"['files/p15/p15338518/s58005336/b6d9d032-070a55f6-660fd17c-1cb8442f-68a5b3b9.jpg\n', 'files/p15/p15338518/s58005336/c9411698-f64564b3-5ea07940-87d583ad-154d647b.jpg\n']"
s59124380_7,p15338518,s59124380,7,Impression,1. Persistent small right pleural effusion and probable new left effusion with associated atelectasis. 2. Mild pulmonary vascular congestion and cardiomegaly unchanged. 3. Possible rib fractures for which evaluation with a chest CT is recommended. Findings were communicated to Dr. ___ ___ by Dr. ___ by telephone on ___ at 12:03.,1. Persistent small right pleural effusion and probable new left effusion with associated atelectasis.,pleural effusion,left,New,['files/p15/p15338518/s59124380/8d15d949-caaa05f3-1811c857-a95fc3d0-6bf995b2.jpg'],"['files/p15/p15338518/s58005336/b6d9d032-070a55f6-660fd17c-1cb8442f-68a5b3b9.jpg\n', 'files/p15/p15338518/s58005336/c9411698-f64564b3-5ea07940-87d583ad-154d647b.jpg\n']"
s59124380_7,p15338518,s59124380,7,Findings,The small right pleural effusion and associated atelectasis is unchanged. There is suggestion of a new small left pleural effusion with persistent atelectasis obscuring the hemidiaphragm. Mild cardiomegaly and pulmonary vascular congestion are unchanged. The lungs are otherwise clear. There is no pneumothorax. A right IJ central venous line terminates in the SVC. There are subtle linear irregularities of several left ribs and at least one right rib which may indicate the presence of nondisplaced fractures.,The small right pleural effusion and associated atelectasis is unchanged.,atelectasis,right,Stable,['files/p15/p15338518/s59124380/8d15d949-caaa05f3-1811c857-a95fc3d0-6bf995b2.jpg'],"['files/p15/p15338518/s58005336/b6d9d032-070a55f6-660fd17c-1cb8442f-68a5b3b9.jpg\n', 'files/p15/p15338518/s58005336/c9411698-f64564b3-5ea07940-87d583ad-154d647b.jpg\n']"
s59124380_7,p15338518,s59124380,7,Impression,1. Persistent small right pleural effusion and probable new left effusion with associated atelectasis. 2. Mild pulmonary vascular congestion and cardiomegaly unchanged. 3. Possible rib fractures for which evaluation with a chest CT is recommended. Findings were communicated to Dr. ___ ___ by Dr. ___ by telephone on ___ at 12:03.,1. Persistent small right pleural effusion and probable new left effusion with associated atelectasis.,atelectasis,right,Stable,['files/p15/p15338518/s59124380/8d15d949-caaa05f3-1811c857-a95fc3d0-6bf995b2.jpg'],"['files/p15/p15338518/s58005336/b6d9d032-070a55f6-660fd17c-1cb8442f-68a5b3b9.jpg\n', 'files/p15/p15338518/s58005336/c9411698-f64564b3-5ea07940-87d583ad-154d647b.jpg\n']"
s59124380_7,p15338518,s59124380,7,Impression,1. Persistent small right pleural effusion and probable new left effusion with associated atelectasis. 2. Mild pulmonary vascular congestion and cardiomegaly unchanged. 3. Possible rib fractures for which evaluation with a chest CT is recommended. Findings were communicated to Dr. ___ ___ by Dr. ___ by telephone on ___ at 12:03.,2. Mild pulmonary vascular congestion and cardiomegaly unchanged.,pulmonary vascular congestion,,Stable,['files/p15/p15338518/s59124380/8d15d949-caaa05f3-1811c857-a95fc3d0-6bf995b2.jpg'],"['files/p15/p15338518/s58005336/b6d9d032-070a55f6-660fd17c-1cb8442f-68a5b3b9.jpg\n', 'files/p15/p15338518/s58005336/c9411698-f64564b3-5ea07940-87d583ad-154d647b.jpg\n']"
s59124380_7,p15338518,s59124380,7,Impression,1. Persistent small right pleural effusion and probable new left effusion with associated atelectasis. 2. Mild pulmonary vascular congestion and cardiomegaly unchanged. 3. Possible rib fractures for which evaluation with a chest CT is recommended. Findings were communicated to Dr. ___ ___ by Dr. ___ by telephone on ___ at 12:03.,1. Persistent small right pleural effusion and probable new left effusion with associated atelectasis.,pleural effusion,right,Stable,['files/p15/p15338518/s59124380/8d15d949-caaa05f3-1811c857-a95fc3d0-6bf995b2.jpg'],"['files/p15/p15338518/s58005336/b6d9d032-070a55f6-660fd17c-1cb8442f-68a5b3b9.jpg\n', 'files/p15/p15338518/s58005336/c9411698-f64564b3-5ea07940-87d583ad-154d647b.jpg\n']"
s59124380_7,p15338518,s59124380,7,Findings,The small right pleural effusion and associated atelectasis is unchanged. There is suggestion of a new small left pleural effusion with persistent atelectasis obscuring the hemidiaphragm. Mild cardiomegaly and pulmonary vascular congestion are unchanged. The lungs are otherwise clear. There is no pneumothorax. A right IJ central venous line terminates in the SVC. There are subtle linear irregularities of several left ribs and at least one right rib which may indicate the presence of nondisplaced fractures.,The small right pleural effusion and associated atelectasis is unchanged.,pleural effusion,right,Stable,['files/p15/p15338518/s59124380/8d15d949-caaa05f3-1811c857-a95fc3d0-6bf995b2.jpg'],"['files/p15/p15338518/s58005336/b6d9d032-070a55f6-660fd17c-1cb8442f-68a5b3b9.jpg\n', 'files/p15/p15338518/s58005336/c9411698-f64564b3-5ea07940-87d583ad-154d647b.jpg\n']"
s59124380_7,p15338518,s59124380,7,Impression,1. Persistent small right pleural effusion and probable new left effusion with associated atelectasis. 2. Mild pulmonary vascular congestion and cardiomegaly unchanged. 3. Possible rib fractures for which evaluation with a chest CT is recommended. Findings were communicated to Dr. ___ ___ by Dr. ___ by telephone on ___ at 12:03.,2. Mild pulmonary vascular congestion and cardiomegaly unchanged.,cardiomegaly,,Stable,['files/p15/p15338518/s59124380/8d15d949-caaa05f3-1811c857-a95fc3d0-6bf995b2.jpg'],"['files/p15/p15338518/s58005336/b6d9d032-070a55f6-660fd17c-1cb8442f-68a5b3b9.jpg\n', 'files/p15/p15338518/s58005336/c9411698-f64564b3-5ea07940-87d583ad-154d647b.jpg\n']"
s59124380_7,p15338518,s59124380,7,Findings,The small right pleural effusion and associated atelectasis is unchanged. There is suggestion of a new small left pleural effusion with persistent atelectasis obscuring the hemidiaphragm. Mild cardiomegaly and pulmonary vascular congestion are unchanged. The lungs are otherwise clear. There is no pneumothorax. A right IJ central venous line terminates in the SVC. There are subtle linear irregularities of several left ribs and at least one right rib which may indicate the presence of nondisplaced fractures.,There is suggestion of a new small left pleural effusion with persistent atelectasis obscuring the hemidiaphragm.,pleural effusion,left,New,['files/p15/p15338518/s59124380/8d15d949-caaa05f3-1811c857-a95fc3d0-6bf995b2.jpg'],"['files/p15/p15338518/s58005336/b6d9d032-070a55f6-660fd17c-1cb8442f-68a5b3b9.jpg\n', 'files/p15/p15338518/s58005336/c9411698-f64564b3-5ea07940-87d583ad-154d647b.jpg\n']"
s59142109_4,p16622813,s59142109,4,Findings,"Cardiomediastinal contours are stable in appearance. Lungs remain hyperinflated. A subtle area of increased opacity has developed at the left lung base and could reflect acute aspiration, developing pneumonia, or atelectasis. Other findings (including postoperative appearance of the right hemithorax and enlarged hilar structures due to a combination of enlarged pulmonary arteries and right hilar lymphadenopathy) appear unchanged since the recent chest radiograph.",Other findings (including postoperative appearance of the right hemithorax and enlarged hilar structures due to a combination of enlarged pulmonary arteries and right hilar lymphadenopathy) appear unchanged since the recent chest radiograph.,postoperative appearance,right hemithorax,Stable,"['files/p16/p16622813/s59142109/954f63ab-17009b0a-74507f85-db57e82e-94a1eed1.jpg', 'files/p16/p16622813/s59142109/9890d76d-39a318f4-9252aa88-4357e066-a622d948.jpg', 'files/p16/p16622813/s59142109/9cc2f017-fb143b0b-85dffa52-fbe2bdfe-eb8ed83c.jpg']",['files/p16/p16622813/s57243655/e71e1f01-11b4f60d-139fce5f-3eed20e2-1b61e149.jpg\n']
s59142109_4,p16622813,s59142109,4,Findings,"Cardiomediastinal contours are stable in appearance. Lungs remain hyperinflated. A subtle area of increased opacity has developed at the left lung base and could reflect acute aspiration, developing pneumonia, or atelectasis. Other findings (including postoperative appearance of the right hemithorax and enlarged hilar structures due to a combination of enlarged pulmonary arteries and right hilar lymphadenopathy) appear unchanged since the recent chest radiograph.",Lungs remain hyperinflated.,hyperinflated lungs,,Stable,"['files/p16/p16622813/s59142109/954f63ab-17009b0a-74507f85-db57e82e-94a1eed1.jpg', 'files/p16/p16622813/s59142109/9890d76d-39a318f4-9252aa88-4357e066-a622d948.jpg', 'files/p16/p16622813/s59142109/9cc2f017-fb143b0b-85dffa52-fbe2bdfe-eb8ed83c.jpg']",['files/p16/p16622813/s57243655/e71e1f01-11b4f60d-139fce5f-3eed20e2-1b61e149.jpg\n']
s59142109_4,p16622813,s59142109,4,Findings,"Cardiomediastinal contours are stable in appearance. Lungs remain hyperinflated. A subtle area of increased opacity has developed at the left lung base and could reflect acute aspiration, developing pneumonia, or atelectasis. Other findings (including postoperative appearance of the right hemithorax and enlarged hilar structures due to a combination of enlarged pulmonary arteries and right hilar lymphadenopathy) appear unchanged since the recent chest radiograph.","A subtle area of increased opacity has developed at the left lung base and could reflect acute aspiration, developing pneumonia, or atelectasis.",increased opacity,left lung base,New,"['files/p16/p16622813/s59142109/954f63ab-17009b0a-74507f85-db57e82e-94a1eed1.jpg', 'files/p16/p16622813/s59142109/9890d76d-39a318f4-9252aa88-4357e066-a622d948.jpg', 'files/p16/p16622813/s59142109/9cc2f017-fb143b0b-85dffa52-fbe2bdfe-eb8ed83c.jpg']",['files/p16/p16622813/s57243655/e71e1f01-11b4f60d-139fce5f-3eed20e2-1b61e149.jpg\n']
s59142109_4,p16622813,s59142109,4,Findings,"Cardiomediastinal contours are stable in appearance. Lungs remain hyperinflated. A subtle area of increased opacity has developed at the left lung base and could reflect acute aspiration, developing pneumonia, or atelectasis. Other findings (including postoperative appearance of the right hemithorax and enlarged hilar structures due to a combination of enlarged pulmonary arteries and right hilar lymphadenopathy) appear unchanged since the recent chest radiograph.",Other findings (including postoperative appearance of the right hemithorax and enlarged hilar structures due to a combination of enlarged pulmonary arteries and right hilar lymphadenopathy) appear unchanged since the recent chest radiograph.,enlarged due to enlarged pulmonary arteries and right hilar lymphadenopathy,hilar structures,Stable,"['files/p16/p16622813/s59142109/954f63ab-17009b0a-74507f85-db57e82e-94a1eed1.jpg', 'files/p16/p16622813/s59142109/9890d76d-39a318f4-9252aa88-4357e066-a622d948.jpg', 'files/p16/p16622813/s59142109/9cc2f017-fb143b0b-85dffa52-fbe2bdfe-eb8ed83c.jpg']",['files/p16/p16622813/s57243655/e71e1f01-11b4f60d-139fce5f-3eed20e2-1b61e149.jpg\n']
s59142109_4,p16622813,s59142109,4,Findings,"Cardiomediastinal contours are stable in appearance. Lungs remain hyperinflated. A subtle area of increased opacity has developed at the left lung base and could reflect acute aspiration, developing pneumonia, or atelectasis. Other findings (including postoperative appearance of the right hemithorax and enlarged hilar structures due to a combination of enlarged pulmonary arteries and right hilar lymphadenopathy) appear unchanged since the recent chest radiograph.",Cardiomediastinal contours are stable in appearance.,Cardiomediastinal contours,,Stable,"['files/p16/p16622813/s59142109/954f63ab-17009b0a-74507f85-db57e82e-94a1eed1.jpg', 'files/p16/p16622813/s59142109/9890d76d-39a318f4-9252aa88-4357e066-a622d948.jpg', 'files/p16/p16622813/s59142109/9cc2f017-fb143b0b-85dffa52-fbe2bdfe-eb8ed83c.jpg']",['files/p16/p16622813/s57243655/e71e1f01-11b4f60d-139fce5f-3eed20e2-1b61e149.jpg\n']
s59143676_2,p15207316,s59143676,2,Findings,"Cardiac silhouette remains enlarged and is accompanied by pulmonary vascular congestion and mild pulmonary edema. As compared to the recent study, there has been improved aeration at both lung bases. Small pleural effusions persist.",Cardiac silhouette remains enlarged and is accompanied by pulmonary vascular congestion and mild pulmonary edema.,pulmonary vascular congestion,,Stable,['files/p15/p15207316/s59143676/eb01562e-2c2a238a-fe9ab06f-74e7bb4d-a3352724.jpg'],['files/p15/p15207316/s54725023/5074824c-4ee15da0-f4e892d3-3ade326d-d8c8c508.jpg\n']
s59143676_2,p15207316,s59143676,2,Findings,"Cardiac silhouette remains enlarged and is accompanied by pulmonary vascular congestion and mild pulmonary edema. As compared to the recent study, there has been improved aeration at both lung bases. Small pleural effusions persist.",Cardiac silhouette remains enlarged and is accompanied by pulmonary vascular congestion and mild pulmonary edema.,mild pulmonary edema,,Stable,['files/p15/p15207316/s59143676/eb01562e-2c2a238a-fe9ab06f-74e7bb4d-a3352724.jpg'],['files/p15/p15207316/s54725023/5074824c-4ee15da0-f4e892d3-3ade326d-d8c8c508.jpg\n']
s59143676_2,p15207316,s59143676,2,Findings,"Cardiac silhouette remains enlarged and is accompanied by pulmonary vascular congestion and mild pulmonary edema. As compared to the recent study, there has been improved aeration at both lung bases. Small pleural effusions persist.",Cardiac silhouette remains enlarged and is accompanied by pulmonary vascular congestion and mild pulmonary edema.,Cardiac silhouette,,Stable,['files/p15/p15207316/s59143676/eb01562e-2c2a238a-fe9ab06f-74e7bb4d-a3352724.jpg'],['files/p15/p15207316/s54725023/5074824c-4ee15da0-f4e892d3-3ade326d-d8c8c508.jpg\n']
s59143676_2,p15207316,s59143676,2,Findings,"Cardiac silhouette remains enlarged and is accompanied by pulmonary vascular congestion and mild pulmonary edema. As compared to the recent study, there has been improved aeration at both lung bases. Small pleural effusions persist.","As compared to the recent study, there has been improved aeration at both lung bases.",aeration,Both lung bases,Better,['files/p15/p15207316/s59143676/eb01562e-2c2a238a-fe9ab06f-74e7bb4d-a3352724.jpg'],['files/p15/p15207316/s54725023/5074824c-4ee15da0-f4e892d3-3ade326d-d8c8c508.jpg\n']
s59143676_2,p15207316,s59143676,2,Findings,"Cardiac silhouette remains enlarged and is accompanied by pulmonary vascular congestion and mild pulmonary edema. As compared to the recent study, there has been improved aeration at both lung bases. Small pleural effusions persist.",Small pleural effusions persist.,pleural effusions,,Stable,['files/p15/p15207316/s59143676/eb01562e-2c2a238a-fe9ab06f-74e7bb4d-a3352724.jpg'],['files/p15/p15207316/s54725023/5074824c-4ee15da0-f4e892d3-3ade326d-d8c8c508.jpg\n']
s59143968_10,p16751749,s59143968,10,Impression,"1. Left subclavian central line has its tip in the superior vena cava. Endotracheal tube has its tip below the thoracic inlet, unchanged. Nasogastric tube is seen coursing below the diaphragm. Right chest tube remains in satisfactory position. 2. Extensive subcutaneous emphysema which somewhat limits evaluation of the lungs. The lungs remain markedly hyperinflated consistent with known underlying emphysema. When compared to previous studies dating back to ___, the more focal airspace opacity in the left upper to mid lung has progressed and therefore is concerning for an evolving pneumonia. There has been interval decrease in elliptical opacity in the right mid lung near the chest tube likely representing fluid loculated within the horizontal fissure. No pneumothorax can be appreciated. Overall cardiac and mediastinal contours are likely stable.","1. Left subclavian central line has its tip in the superior vena cava. Endotracheal tube has its tip below the thoracic inlet, unchanged. Nasogastric tube is seen coursing below the diaphragm. Right chest tube remains in satisfactory position.",Endotracheal tube tip,below the thoracic inlet,Stable,['files/p16/p16751749/s59143968/4fa7066f-1353fcd0-c894483b-a6140dd1-91994574.jpg'],['files/p16/p16751749/s58820049/a8be9459-c3237ba1-f460add2-4b61c40c-bcdfd92c.jpg\n']
s59143968_10,p16751749,s59143968,10,Impression,"1. Left subclavian central line has its tip in the superior vena cava. Endotracheal tube has its tip below the thoracic inlet, unchanged. Nasogastric tube is seen coursing below the diaphragm. Right chest tube remains in satisfactory position. 2. Extensive subcutaneous emphysema which somewhat limits evaluation of the lungs. The lungs remain markedly hyperinflated consistent with known underlying emphysema. When compared to previous studies dating back to ___, the more focal airspace opacity in the left upper to mid lung has progressed and therefore is concerning for an evolving pneumonia. There has been interval decrease in elliptical opacity in the right mid lung near the chest tube likely representing fluid loculated within the horizontal fissure. No pneumothorax can be appreciated. Overall cardiac and mediastinal contours are likely stable.","2. Extensive subcutaneous emphysema which somewhat limits evaluation of the lungs. The lungs remain markedly hyperinflated consistent with known underlying emphysema. When compared to previous studies dating back to ___, the more focal airspace opacity in the left upper to mid lung has progressed and therefore is concerning for an evolving pneumonia. There has been interval decrease in elliptical opacity in the right mid lung near the chest tube likely representing fluid loculated within the horizontal fissure. No pneumothorax can be appreciated. Overall cardiac and mediastinal contours are likely stable.",elliptical opacity,right mid lung near the chest tube,Better,['files/p16/p16751749/s59143968/4fa7066f-1353fcd0-c894483b-a6140dd1-91994574.jpg'],['files/p16/p16751749/s58820049/a8be9459-c3237ba1-f460add2-4b61c40c-bcdfd92c.jpg\n']
s59143968_10,p16751749,s59143968,10,Impression,"1. Left subclavian central line has its tip in the superior vena cava. Endotracheal tube has its tip below the thoracic inlet, unchanged. Nasogastric tube is seen coursing below the diaphragm. Right chest tube remains in satisfactory position. 2. Extensive subcutaneous emphysema which somewhat limits evaluation of the lungs. The lungs remain markedly hyperinflated consistent with known underlying emphysema. When compared to previous studies dating back to ___, the more focal airspace opacity in the left upper to mid lung has progressed and therefore is concerning for an evolving pneumonia. There has been interval decrease in elliptical opacity in the right mid lung near the chest tube likely representing fluid loculated within the horizontal fissure. No pneumothorax can be appreciated. Overall cardiac and mediastinal contours are likely stable.","1. Left subclavian central line has its tip in the superior vena cava. Endotracheal tube has its tip below the thoracic inlet, unchanged. Nasogastric tube is seen coursing below the diaphragm. Right chest tube remains in satisfactory position.",Right chest tube,satisfactory position,Stable,['files/p16/p16751749/s59143968/4fa7066f-1353fcd0-c894483b-a6140dd1-91994574.jpg'],['files/p16/p16751749/s58820049/a8be9459-c3237ba1-f460add2-4b61c40c-bcdfd92c.jpg\n']
s59143968_10,p16751749,s59143968,10,Impression,"1. Left subclavian central line has its tip in the superior vena cava. Endotracheal tube has its tip below the thoracic inlet, unchanged. Nasogastric tube is seen coursing below the diaphragm. Right chest tube remains in satisfactory position. 2. Extensive subcutaneous emphysema which somewhat limits evaluation of the lungs. The lungs remain markedly hyperinflated consistent with known underlying emphysema. When compared to previous studies dating back to ___, the more focal airspace opacity in the left upper to mid lung has progressed and therefore is concerning for an evolving pneumonia. There has been interval decrease in elliptical opacity in the right mid lung near the chest tube likely representing fluid loculated within the horizontal fissure. No pneumothorax can be appreciated. Overall cardiac and mediastinal contours are likely stable.","2. Extensive subcutaneous emphysema which somewhat limits evaluation of the lungs. The lungs remain markedly hyperinflated consistent with known underlying emphysema. When compared to previous studies dating back to ___, the more focal airspace opacity in the left upper to mid lung has progressed and therefore is concerning for an evolving pneumonia. There has been interval decrease in elliptical opacity in the right mid lung near the chest tube likely representing fluid loculated within the horizontal fissure. No pneumothorax can be appreciated. Overall cardiac and mediastinal contours are likely stable.",airspace opacity,left upper to mid lung,Worse,['files/p16/p16751749/s59143968/4fa7066f-1353fcd0-c894483b-a6140dd1-91994574.jpg'],['files/p16/p16751749/s58820049/a8be9459-c3237ba1-f460add2-4b61c40c-bcdfd92c.jpg\n']
s59144799_22,p18224196,s59144799,22,Findings,"Feeding tube tip in the distal stomach. Central line, endotracheal tube have been removed. Sternotomy, valve replacements. Small bilateral pleural effusions have worsened. Left basilar atelectasis or infiltrate, worsened. Right basilar atelectasis, worsened. Increased heart size, more prominent. Mildly prominent pulmonary vascularity.","Central line, endotracheal tube have been removed.",Central line,,Resolve,"['files/p18/p18224196/s59144799/6dd1de7d-99ce0b82-cd1c5e0c-f5046bb6-8f5d23ba.jpg', 'files/p18/p18224196/s59144799/752ff05f-db827c7c-ed3d5da2-9e656319-b02ff663.jpg', 'files/p18/p18224196/s59144799/ba021d0f-a80b547a-f46e1b2b-5b0a8ce9-3507868f.jpg']",['files/p18/p18224196/s58314226/4fbab26c-0355ac52-0e5488f4-490701fc-88f483cf.jpg\n']
s59144799_22,p18224196,s59144799,22,Findings,"Feeding tube tip in the distal stomach. Central line, endotracheal tube have been removed. Sternotomy, valve replacements. Small bilateral pleural effusions have worsened. Left basilar atelectasis or infiltrate, worsened. Right basilar atelectasis, worsened. Increased heart size, more prominent. Mildly prominent pulmonary vascularity.","Central line, endotracheal tube have been removed.",Endotracheal tube,,Resolve,"['files/p18/p18224196/s59144799/6dd1de7d-99ce0b82-cd1c5e0c-f5046bb6-8f5d23ba.jpg', 'files/p18/p18224196/s59144799/752ff05f-db827c7c-ed3d5da2-9e656319-b02ff663.jpg', 'files/p18/p18224196/s59144799/ba021d0f-a80b547a-f46e1b2b-5b0a8ce9-3507868f.jpg']",['files/p18/p18224196/s58314226/4fbab26c-0355ac52-0e5488f4-490701fc-88f483cf.jpg\n']
s59144799_22,p18224196,s59144799,22,Findings,"Feeding tube tip in the distal stomach. Central line, endotracheal tube have been removed. Sternotomy, valve replacements. Small bilateral pleural effusions have worsened. Left basilar atelectasis or infiltrate, worsened. Right basilar atelectasis, worsened. Increased heart size, more prominent. Mildly prominent pulmonary vascularity.","Right basilar atelectasis, worsened.",atelectasis,right basilar,Worse,"['files/p18/p18224196/s59144799/6dd1de7d-99ce0b82-cd1c5e0c-f5046bb6-8f5d23ba.jpg', 'files/p18/p18224196/s59144799/752ff05f-db827c7c-ed3d5da2-9e656319-b02ff663.jpg', 'files/p18/p18224196/s59144799/ba021d0f-a80b547a-f46e1b2b-5b0a8ce9-3507868f.jpg']",['files/p18/p18224196/s58314226/4fbab26c-0355ac52-0e5488f4-490701fc-88f483cf.jpg\n']
s59144799_22,p18224196,s59144799,22,Findings,"Feeding tube tip in the distal stomach. Central line, endotracheal tube have been removed. Sternotomy, valve replacements. Small bilateral pleural effusions have worsened. Left basilar atelectasis or infiltrate, worsened. Right basilar atelectasis, worsened. Increased heart size, more prominent. Mildly prominent pulmonary vascularity.",Small bilateral pleural effusions have worsened.,pleural effusions,bilateral,Worse,"['files/p18/p18224196/s59144799/6dd1de7d-99ce0b82-cd1c5e0c-f5046bb6-8f5d23ba.jpg', 'files/p18/p18224196/s59144799/752ff05f-db827c7c-ed3d5da2-9e656319-b02ff663.jpg', 'files/p18/p18224196/s59144799/ba021d0f-a80b547a-f46e1b2b-5b0a8ce9-3507868f.jpg']",['files/p18/p18224196/s58314226/4fbab26c-0355ac52-0e5488f4-490701fc-88f483cf.jpg\n']
s59144799_22,p18224196,s59144799,22,Impression,Feeding tube tip in the distal stomach. Worsened pulmonary findings,Worsened pulmonary findings,pulmonary findings,,Worse,"['files/p18/p18224196/s59144799/6dd1de7d-99ce0b82-cd1c5e0c-f5046bb6-8f5d23ba.jpg', 'files/p18/p18224196/s59144799/752ff05f-db827c7c-ed3d5da2-9e656319-b02ff663.jpg', 'files/p18/p18224196/s59144799/ba021d0f-a80b547a-f46e1b2b-5b0a8ce9-3507868f.jpg']",['files/p18/p18224196/s58314226/4fbab26c-0355ac52-0e5488f4-490701fc-88f483cf.jpg\n']
s59144799_22,p18224196,s59144799,22,Findings,"Feeding tube tip in the distal stomach. Central line, endotracheal tube have been removed. Sternotomy, valve replacements. Small bilateral pleural effusions have worsened. Left basilar atelectasis or infiltrate, worsened. Right basilar atelectasis, worsened. Increased heart size, more prominent. Mildly prominent pulmonary vascularity.","Left basilar atelectasis or infiltrate, worsened.",atelectasis or infiltrate,left basilar,Worse,"['files/p18/p18224196/s59144799/6dd1de7d-99ce0b82-cd1c5e0c-f5046bb6-8f5d23ba.jpg', 'files/p18/p18224196/s59144799/752ff05f-db827c7c-ed3d5da2-9e656319-b02ff663.jpg', 'files/p18/p18224196/s59144799/ba021d0f-a80b547a-f46e1b2b-5b0a8ce9-3507868f.jpg']",['files/p18/p18224196/s58314226/4fbab26c-0355ac52-0e5488f4-490701fc-88f483cf.jpg\n']
s59144799_22,p18224196,s59144799,22,Findings,"Feeding tube tip in the distal stomach. Central line, endotracheal tube have been removed. Sternotomy, valve replacements. Small bilateral pleural effusions have worsened. Left basilar atelectasis or infiltrate, worsened. Right basilar atelectasis, worsened. Increased heart size, more prominent. Mildly prominent pulmonary vascularity.","Increased heart size, more prominent.",heart size,,Worse,"['files/p18/p18224196/s59144799/6dd1de7d-99ce0b82-cd1c5e0c-f5046bb6-8f5d23ba.jpg', 'files/p18/p18224196/s59144799/752ff05f-db827c7c-ed3d5da2-9e656319-b02ff663.jpg', 'files/p18/p18224196/s59144799/ba021d0f-a80b547a-f46e1b2b-5b0a8ce9-3507868f.jpg']",['files/p18/p18224196/s58314226/4fbab26c-0355ac52-0e5488f4-490701fc-88f483cf.jpg\n']
s59146382_25,p19759491,s59146382,25,Findings,"Moderate cardiomegaly is unchanged. Pacer leads are in stable position. Hemodialysis catheter terminates in the right atrium, unchanged. The lungs are essentially clear, and the right lung base is partially obscured by the overlying pacemaker generator. Prosthetic valves and sternal wires are unchanged. Blunting of left costophrenic angle likely indicates a small pleural effusion.",Prosthetic valves and sternal wires are unchanged.,sternal wires,,Stable,['files/p19/p19759491/s59146382/8c248d5f-8700e4e5-23cf46b2-e930bffd-cc41a993.jpg'],['files/p19/p19759491/s58917922/7fab0be6-9ffd373a-a2ef5222-4aaf90ed-c4afea69.jpg\n']
s59146382_25,p19759491,s59146382,25,Findings,"Moderate cardiomegaly is unchanged. Pacer leads are in stable position. Hemodialysis catheter terminates in the right atrium, unchanged. The lungs are essentially clear, and the right lung base is partially obscured by the overlying pacemaker generator. Prosthetic valves and sternal wires are unchanged. Blunting of left costophrenic angle likely indicates a small pleural effusion.",Prosthetic valves and sternal wires are unchanged.,Prosthetic valves,,Stable,['files/p19/p19759491/s59146382/8c248d5f-8700e4e5-23cf46b2-e930bffd-cc41a993.jpg'],['files/p19/p19759491/s58917922/7fab0be6-9ffd373a-a2ef5222-4aaf90ed-c4afea69.jpg\n']
s59146382_25,p19759491,s59146382,25,Findings,"Moderate cardiomegaly is unchanged. Pacer leads are in stable position. Hemodialysis catheter terminates in the right atrium, unchanged. The lungs are essentially clear, and the right lung base is partially obscured by the overlying pacemaker generator. Prosthetic valves and sternal wires are unchanged. Blunting of left costophrenic angle likely indicates a small pleural effusion.",Moderate cardiomegaly is unchanged.,Moderate cardiomegaly,,Stable,['files/p19/p19759491/s59146382/8c248d5f-8700e4e5-23cf46b2-e930bffd-cc41a993.jpg'],['files/p19/p19759491/s58917922/7fab0be6-9ffd373a-a2ef5222-4aaf90ed-c4afea69.jpg\n']
s59146382_25,p19759491,s59146382,25,Impression,1. Stable moderate cardiomegaly and a likely small left pleural effusion. 2. Hemodialysis catheter terminating in the right atrium.,Stable moderate cardiomegaly and a likely small left pleural effusion.,small pleural effusion,left,Stable,['files/p19/p19759491/s59146382/8c248d5f-8700e4e5-23cf46b2-e930bffd-cc41a993.jpg'],['files/p19/p19759491/s58917922/7fab0be6-9ffd373a-a2ef5222-4aaf90ed-c4afea69.jpg\n']
s59146382_25,p19759491,s59146382,25,Findings,"Moderate cardiomegaly is unchanged. Pacer leads are in stable position. Hemodialysis catheter terminates in the right atrium, unchanged. The lungs are essentially clear, and the right lung base is partially obscured by the overlying pacemaker generator. Prosthetic valves and sternal wires are unchanged. Blunting of left costophrenic angle likely indicates a small pleural effusion.",Pacer leads are in stable position.,Pacer leads,,Stable,['files/p19/p19759491/s59146382/8c248d5f-8700e4e5-23cf46b2-e930bffd-cc41a993.jpg'],['files/p19/p19759491/s58917922/7fab0be6-9ffd373a-a2ef5222-4aaf90ed-c4afea69.jpg\n']
s59146382_25,p19759491,s59146382,25,Impression,1. Stable moderate cardiomegaly and a likely small left pleural effusion. 2. Hemodialysis catheter terminating in the right atrium.,Stable moderate cardiomegaly and a likely small left pleural effusion.,moderate cardiomegaly,,Stable,['files/p19/p19759491/s59146382/8c248d5f-8700e4e5-23cf46b2-e930bffd-cc41a993.jpg'],['files/p19/p19759491/s58917922/7fab0be6-9ffd373a-a2ef5222-4aaf90ed-c4afea69.jpg\n']
s59146382_25,p19759491,s59146382,25,Findings,"Moderate cardiomegaly is unchanged. Pacer leads are in stable position. Hemodialysis catheter terminates in the right atrium, unchanged. The lungs are essentially clear, and the right lung base is partially obscured by the overlying pacemaker generator. Prosthetic valves and sternal wires are unchanged. Blunting of left costophrenic angle likely indicates a small pleural effusion.","Hemodialysis catheter terminates in the right atrium, unchanged.",Hemodialysis catheter,right atrium,Stable,['files/p19/p19759491/s59146382/8c248d5f-8700e4e5-23cf46b2-e930bffd-cc41a993.jpg'],['files/p19/p19759491/s58917922/7fab0be6-9ffd373a-a2ef5222-4aaf90ed-c4afea69.jpg\n']
s59146650_18,p10410641,s59146650,18,Findings,"In comparison with study of ___, there is a Pleurx catheter in place. No evidence of pneumothorax. Bibasilar opacification is consistent with atelectasis and effusion. Indistinctness of pulmonary vessels is consistent with elevated pulmonary venous pressure.",No evidence of pneumothorax,pneumothorax,,Resolve,['files/p10/p10410641/s59146650/05dad5f1-e33191fc-c4063ab8-15fcf471-3f82205d.jpg'],['files/p10/p10410641/s58535435/cbba1c1b-baa08812-9bf09668-f10eec71-d6c20e98.jpg\n']
s59152117_12,p18615099,s59152117,12,Findings,"AP upright portable radiograph of the chest demonstrates a mildly enlarged heart with mild pulmonary edema and mild bibasilar atelectasis. There is no pneumothorax or pleural effusion. There is a cardiac pacemaker in place, unchanged in position. There are numerous mediastinal surgical clips as well as sternal cerclage wires in place.","There is a cardiac pacemaker in place, unchanged in position.",cardiac pacemaker position,,Stable,['files/p18/p18615099/s59152117/01c5daed-cf6a5552-a23ad3f6-5850acca-d9619ea2.jpg'],"['files/p18/p18615099/s57276121/41c8cba5-a0d8e773-24645a1c-2326cd47-77ef0674.jpg\n', 'files/p18/p18615099/s57276121/dd3bb5f4-72efaaca-854cacfc-e1b8f92d-745973bd.jpg\n', 'files/p18/p18615099/s57276121/e9d24dd4-53a3cddf-037262e6-499b0f3d-de0ab4eb.jpg\n']"
s59155076_6,p11474065,s59155076,6,Findings,"One portable AP view of the chest. Again seen is mild pulmonary edema, mostly on the right, with slight improvement compared to ___. Right pleural thickening or loculated effusion is again seen and unchanged. There has been surgical removal of the right fourth rib posteriorly.","One portable AP view of the chest. Again seen is mild pulmonary edema, mostly on the right, with slight improvement compared to ___.",pulmonary edema,right,Better,['files/p11/p11474065/s59155076/ea2bfc51-e27284b8-51af06f3-06ed8266-9f18eb54.jpg'],"['files/p11/p11474065/s59083645/7bcd081b-869f44f4-57a93477-646a8796-ee97546c.jpg\n', 'files/p11/p11474065/s59083645/e8f0762b-f26c36ff-f3ca5ab5-d71c03f7-c26f6b9e.jpg\n']"
s59155076_6,p11474065,s59155076,6,Findings,"One portable AP view of the chest. Again seen is mild pulmonary edema, mostly on the right, with slight improvement compared to ___. Right pleural thickening or loculated effusion is again seen and unchanged. There has been surgical removal of the right fourth rib posteriorly.",Right pleural thickening or loculated effusion is again seen and unchanged.,pleural thickening or loculated effusion,right,Stable,['files/p11/p11474065/s59155076/ea2bfc51-e27284b8-51af06f3-06ed8266-9f18eb54.jpg'],"['files/p11/p11474065/s59083645/7bcd081b-869f44f4-57a93477-646a8796-ee97546c.jpg\n', 'files/p11/p11474065/s59083645/e8f0762b-f26c36ff-f3ca5ab5-d71c03f7-c26f6b9e.jpg\n']"
s59155076_6,p11474065,s59155076,6,Impression,1. Persistent but improved mild pulmonary edema compared to prior study on ___. 2. Right pleural thickening or loculated effusion is stable. These findings were discussed with ___ at 2:30pm on ___ by telephone.,1. Persistent but improved mild pulmonary edema compared to prior study on ___.,pulmonary edema,right,Better,['files/p11/p11474065/s59155076/ea2bfc51-e27284b8-51af06f3-06ed8266-9f18eb54.jpg'],"['files/p11/p11474065/s59083645/7bcd081b-869f44f4-57a93477-646a8796-ee97546c.jpg\n', 'files/p11/p11474065/s59083645/e8f0762b-f26c36ff-f3ca5ab5-d71c03f7-c26f6b9e.jpg\n']"
s59155076_6,p11474065,s59155076,6,Findings,"One portable AP view of the chest. Again seen is mild pulmonary edema, mostly on the right, with slight improvement compared to ___. Right pleural thickening or loculated effusion is again seen and unchanged. There has been surgical removal of the right fourth rib posteriorly.",There has been surgical removal of the right fourth rib posteriorly.,,right fourth rib posteriorly,Resolve,['files/p11/p11474065/s59155076/ea2bfc51-e27284b8-51af06f3-06ed8266-9f18eb54.jpg'],"['files/p11/p11474065/s59083645/7bcd081b-869f44f4-57a93477-646a8796-ee97546c.jpg\n', 'files/p11/p11474065/s59083645/e8f0762b-f26c36ff-f3ca5ab5-d71c03f7-c26f6b9e.jpg\n']"
s59155076_6,p11474065,s59155076,6,Impression,1. Persistent but improved mild pulmonary edema compared to prior study on ___. 2. Right pleural thickening or loculated effusion is stable. These findings were discussed with ___ at 2:30pm on ___ by telephone.,2. Right pleural thickening or loculated effusion is stable.,pleural thickening or loculated effusion,right,Stable,['files/p11/p11474065/s59155076/ea2bfc51-e27284b8-51af06f3-06ed8266-9f18eb54.jpg'],"['files/p11/p11474065/s59083645/7bcd081b-869f44f4-57a93477-646a8796-ee97546c.jpg\n', 'files/p11/p11474065/s59083645/e8f0762b-f26c36ff-f3ca5ab5-d71c03f7-c26f6b9e.jpg\n']"
s59155553_11,p16334516,s59155553,11,Findings,Portable semi-erect AP chest radiograph demonstrates a Dobbhoff tube seen descending in an uncomplicated course and terminating in the stomach in appropriate position. A left internal jugular line is seen at the level of the mid to low superior vena cava. There has been interval removal of Swan Ganz catheter. There is re- demonstration of left lung consolidations within the lower and upper lobe which appear unchanged when compared to chest radiograph dated ___. The right lung is grossly unchanged. There is no pneumothorax identified. The cardiomediastinal and hilar contours are stable in appearance. An IVC filter is identified adjacent to the spine in the right mid abdomen.,The cardiomediastinal and hilar contours are stable in appearance.,,cardiomediastinal and hilar contours,Stable,['files/p16/p16334516/s59155553/b9835d4b-d30d7c67-ffa9e3ae-98c8543d-e8fc42d8.jpg'],['files/p16/p16334516/s59014702/c09fde7b-fe3f3f21-4ea1ee09-6a8497f7-7e901050.jpg\n']
s59155553_11,p16334516,s59155553,11,Findings,Portable semi-erect AP chest radiograph demonstrates a Dobbhoff tube seen descending in an uncomplicated course and terminating in the stomach in appropriate position. A left internal jugular line is seen at the level of the mid to low superior vena cava. There has been interval removal of Swan Ganz catheter. There is re- demonstration of left lung consolidations within the lower and upper lobe which appear unchanged when compared to chest radiograph dated ___. The right lung is grossly unchanged. There is no pneumothorax identified. The cardiomediastinal and hilar contours are stable in appearance. An IVC filter is identified adjacent to the spine in the right mid abdomen.,There is re- demonstration of left lung consolidations within the lower and upper lobe which appear unchanged when compared to chest radiograph dated ___.,consolidations,left lung lower and upper lobe,Stable,['files/p16/p16334516/s59155553/b9835d4b-d30d7c67-ffa9e3ae-98c8543d-e8fc42d8.jpg'],['files/p16/p16334516/s59014702/c09fde7b-fe3f3f21-4ea1ee09-6a8497f7-7e901050.jpg\n']
s59155553_11,p16334516,s59155553,11,Findings,Portable semi-erect AP chest radiograph demonstrates a Dobbhoff tube seen descending in an uncomplicated course and terminating in the stomach in appropriate position. A left internal jugular line is seen at the level of the mid to low superior vena cava. There has been interval removal of Swan Ganz catheter. There is re- demonstration of left lung consolidations within the lower and upper lobe which appear unchanged when compared to chest radiograph dated ___. The right lung is grossly unchanged. There is no pneumothorax identified. The cardiomediastinal and hilar contours are stable in appearance. An IVC filter is identified adjacent to the spine in the right mid abdomen.,There has been interval removal of Swan Ganz catheter.,Swan Ganz catheter,,Resolve,['files/p16/p16334516/s59155553/b9835d4b-d30d7c67-ffa9e3ae-98c8543d-e8fc42d8.jpg'],['files/p16/p16334516/s59014702/c09fde7b-fe3f3f21-4ea1ee09-6a8497f7-7e901050.jpg\n']
s59155553_11,p16334516,s59155553,11,Findings,Portable semi-erect AP chest radiograph demonstrates a Dobbhoff tube seen descending in an uncomplicated course and terminating in the stomach in appropriate position. A left internal jugular line is seen at the level of the mid to low superior vena cava. There has been interval removal of Swan Ganz catheter. There is re- demonstration of left lung consolidations within the lower and upper lobe which appear unchanged when compared to chest radiograph dated ___. The right lung is grossly unchanged. There is no pneumothorax identified. The cardiomediastinal and hilar contours are stable in appearance. An IVC filter is identified adjacent to the spine in the right mid abdomen.,The right lung is grossly unchanged.,,right lung,Stable,['files/p16/p16334516/s59155553/b9835d4b-d30d7c67-ffa9e3ae-98c8543d-e8fc42d8.jpg'],['files/p16/p16334516/s59014702/c09fde7b-fe3f3f21-4ea1ee09-6a8497f7-7e901050.jpg\n']
s59166131_3,p10274145,s59166131,3,Impression,1. Mild improvement of pulmonary vascular congestion. 2. Less opacification at the right lower; no evidence of pneumonia on today's radiograph. Results were communicated with the surgery team by Dr. ___.,2. Less opacification at the right lower; no evidence of pneumonia on today's radiograph.,opacification,right lower,Better,"['files/p10/p10274145/s59166131/29ab48f7-15a14464-5b7c1cc3-3ba3aa97-64ebc637.jpg', 'files/p10/p10274145/s59166131/2cc38dd6-d1f5970f-055155bc-e9e8fccd-8ec98168.jpg']","['files/p10/p10274145/s58307391/638f2c7f-1ddfe2c3-062f8057-b3e8a5aa-17b03955.jpg\n', 'files/p10/p10274145/s58307391/b863ce69-7e0670b3-3c5a3a29-b96b7248-a616113c.jpg\n']"
s59166131_3,p10274145,s59166131,3,Findings,"The previously seen right lower lobe opacification has decreased substantially. There has also been a mild decrease in the amount of vascular engorgement suggesting improvement in mild biventricular heart failure. In retrospect, given the rapid change, the opacification likely represented fluid overload. The heart size is at the upper limits of normal. The sternal wires are intact and midline. There is longstanding midline lucency in the manubrium and upper body is due to incomplete sternal fusion; there is no evidence of other incision complications. A PICC can be traced to the mid SVC.",There has also been a mild decrease in the amount of vascular engorgement suggesting improvement in mild biventricular heart failure.,vascular engorgement,,Better,"['files/p10/p10274145/s59166131/29ab48f7-15a14464-5b7c1cc3-3ba3aa97-64ebc637.jpg', 'files/p10/p10274145/s59166131/2cc38dd6-d1f5970f-055155bc-e9e8fccd-8ec98168.jpg']","['files/p10/p10274145/s58307391/638f2c7f-1ddfe2c3-062f8057-b3e8a5aa-17b03955.jpg\n', 'files/p10/p10274145/s58307391/b863ce69-7e0670b3-3c5a3a29-b96b7248-a616113c.jpg\n']"
s59166131_3,p10274145,s59166131,3,Findings,"The previously seen right lower lobe opacification has decreased substantially. There has also been a mild decrease in the amount of vascular engorgement suggesting improvement in mild biventricular heart failure. In retrospect, given the rapid change, the opacification likely represented fluid overload. The heart size is at the upper limits of normal. The sternal wires are intact and midline. There is longstanding midline lucency in the manubrium and upper body is due to incomplete sternal fusion; there is no evidence of other incision complications. A PICC can be traced to the mid SVC.",The previously seen right lower lobe opacification has decreased substantially.,opacification,right lower lobe,Better,"['files/p10/p10274145/s59166131/29ab48f7-15a14464-5b7c1cc3-3ba3aa97-64ebc637.jpg', 'files/p10/p10274145/s59166131/2cc38dd6-d1f5970f-055155bc-e9e8fccd-8ec98168.jpg']","['files/p10/p10274145/s58307391/638f2c7f-1ddfe2c3-062f8057-b3e8a5aa-17b03955.jpg\n', 'files/p10/p10274145/s58307391/b863ce69-7e0670b3-3c5a3a29-b96b7248-a616113c.jpg\n']"
s59166131_3,p10274145,s59166131,3,Impression,1. Mild improvement of pulmonary vascular congestion. 2. Less opacification at the right lower; no evidence of pneumonia on today's radiograph. Results were communicated with the surgery team by Dr. ___.,1. Mild improvement of pulmonary vascular congestion.,pulmonary vascular congestion,,Better,"['files/p10/p10274145/s59166131/29ab48f7-15a14464-5b7c1cc3-3ba3aa97-64ebc637.jpg', 'files/p10/p10274145/s59166131/2cc38dd6-d1f5970f-055155bc-e9e8fccd-8ec98168.jpg']","['files/p10/p10274145/s58307391/638f2c7f-1ddfe2c3-062f8057-b3e8a5aa-17b03955.jpg\n', 'files/p10/p10274145/s58307391/b863ce69-7e0670b3-3c5a3a29-b96b7248-a616113c.jpg\n']"
s59170987_4,p10715477,s59170987,4,Findings,"There has been interval widening of the mediastinum due to vascular engorgement. In addition, there is new bilateral interstitial edema. A possible left pleural effusion and atelectasis obscure the left cardiac and hemidiaphragmatic contours more than the prior day. The small right pleural effusion and basilar atelectasis is unchanged. There is no pneumothorax. The support and indwelling lines are unchanged and in their expected locations.",The small right pleural effusion and basilar atelectasis is unchanged.,basilar atelectasis,right,Stable,['files/p10/p10715477/s59170987/74501968-2251dd66-a1905203-8ff7c470-9c45dcb6.jpg'],['files/p10/p10715477/s59089311/0cdeff10-c7e75e12-5c067cb6-eab4e635-50d1144c.jpg\n']
s59170987_4,p10715477,s59170987,4,Findings,"There has been interval widening of the mediastinum due to vascular engorgement. In addition, there is new bilateral interstitial edema. A possible left pleural effusion and atelectasis obscure the left cardiac and hemidiaphragmatic contours more than the prior day. The small right pleural effusion and basilar atelectasis is unchanged. There is no pneumothorax. The support and indwelling lines are unchanged and in their expected locations.",There has been interval widening of the mediastinum due to vascular engorgement.,widening of the mediastinum,,Worse,['files/p10/p10715477/s59170987/74501968-2251dd66-a1905203-8ff7c470-9c45dcb6.jpg'],['files/p10/p10715477/s59089311/0cdeff10-c7e75e12-5c067cb6-eab4e635-50d1144c.jpg\n']
s59170987_4,p10715477,s59170987,4,Findings,"There has been interval widening of the mediastinum due to vascular engorgement. In addition, there is new bilateral interstitial edema. A possible left pleural effusion and atelectasis obscure the left cardiac and hemidiaphragmatic contours more than the prior day. The small right pleural effusion and basilar atelectasis is unchanged. There is no pneumothorax. The support and indwelling lines are unchanged and in their expected locations.","In addition, there is new bilateral interstitial edema.",interstitial edema,bilateral,New,['files/p10/p10715477/s59170987/74501968-2251dd66-a1905203-8ff7c470-9c45dcb6.jpg'],['files/p10/p10715477/s59089311/0cdeff10-c7e75e12-5c067cb6-eab4e635-50d1144c.jpg\n']
s59170987_4,p10715477,s59170987,4,Findings,"There has been interval widening of the mediastinum due to vascular engorgement. In addition, there is new bilateral interstitial edema. A possible left pleural effusion and atelectasis obscure the left cardiac and hemidiaphragmatic contours more than the prior day. The small right pleural effusion and basilar atelectasis is unchanged. There is no pneumothorax. The support and indwelling lines are unchanged and in their expected locations.",A possible left pleural effusion and atelectasis obscure the left cardiac and hemidiaphragmatic contours more than the prior day.,pleural effusion,left,Worse,['files/p10/p10715477/s59170987/74501968-2251dd66-a1905203-8ff7c470-9c45dcb6.jpg'],['files/p10/p10715477/s59089311/0cdeff10-c7e75e12-5c067cb6-eab4e635-50d1144c.jpg\n']
s59170987_4,p10715477,s59170987,4,Findings,"There has been interval widening of the mediastinum due to vascular engorgement. In addition, there is new bilateral interstitial edema. A possible left pleural effusion and atelectasis obscure the left cardiac and hemidiaphragmatic contours more than the prior day. The small right pleural effusion and basilar atelectasis is unchanged. There is no pneumothorax. The support and indwelling lines are unchanged and in their expected locations.",A possible left pleural effusion and atelectasis obscure the left cardiac and hemidiaphragmatic contours more than the prior day.,atelectasis,left,Worse,['files/p10/p10715477/s59170987/74501968-2251dd66-a1905203-8ff7c470-9c45dcb6.jpg'],['files/p10/p10715477/s59089311/0cdeff10-c7e75e12-5c067cb6-eab4e635-50d1144c.jpg\n']
s59170987_4,p10715477,s59170987,4,Findings,"There has been interval widening of the mediastinum due to vascular engorgement. In addition, there is new bilateral interstitial edema. A possible left pleural effusion and atelectasis obscure the left cardiac and hemidiaphragmatic contours more than the prior day. The small right pleural effusion and basilar atelectasis is unchanged. There is no pneumothorax. The support and indwelling lines are unchanged and in their expected locations.",The small right pleural effusion and basilar atelectasis is unchanged.,small pleural effusion,right,Stable,['files/p10/p10715477/s59170987/74501968-2251dd66-a1905203-8ff7c470-9c45dcb6.jpg'],['files/p10/p10715477/s59089311/0cdeff10-c7e75e12-5c067cb6-eab4e635-50d1144c.jpg\n']
s59170987_4,p10715477,s59170987,4,Findings,"There has been interval widening of the mediastinum due to vascular engorgement. In addition, there is new bilateral interstitial edema. A possible left pleural effusion and atelectasis obscure the left cardiac and hemidiaphragmatic contours more than the prior day. The small right pleural effusion and basilar atelectasis is unchanged. There is no pneumothorax. The support and indwelling lines are unchanged and in their expected locations.",The support and indwelling lines are unchanged and in their expected locations.,support and indwelling lines,,Stable,['files/p10/p10715477/s59170987/74501968-2251dd66-a1905203-8ff7c470-9c45dcb6.jpg'],['files/p10/p10715477/s59089311/0cdeff10-c7e75e12-5c067cb6-eab4e635-50d1144c.jpg\n']
s59171234_20,p11204646,s59171234,20,Findings,"As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. No evidence of pneumothorax. No other acute interval changes.",The monitoring and support devices are constant.,monitoring and support devices,,Stable,['files/p11/p11204646/s59171234/016991da-a5224d79-0a00be4e-485841d2-f9e917e8.jpg'],['files/p11/p11204646/s57940242/cdd198d4-7b34ff26-cdf455d8-f2c979c2-93535229.jpg\n']
s59171234_20,p11204646,s59171234,20,Findings,"As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. No evidence of pneumothorax. No other acute interval changes.",No other acute interval changes.,,,Stable,['files/p11/p11204646/s59171234/016991da-a5224d79-0a00be4e-485841d2-f9e917e8.jpg'],['files/p11/p11204646/s57940242/cdd198d4-7b34ff26-cdf455d8-f2c979c2-93535229.jpg\n']
s59171234_20,p11204646,s59171234,20,Findings,"As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. No evidence of pneumothorax. No other acute interval changes.","As compared to the previous radiograph, there is no relevant change.",,,Stable,['files/p11/p11204646/s59171234/016991da-a5224d79-0a00be4e-485841d2-f9e917e8.jpg'],['files/p11/p11204646/s57940242/cdd198d4-7b34ff26-cdf455d8-f2c979c2-93535229.jpg\n']
s59175350_29,p15131736,s59175350,29,Findings,AP portable upright view of the chest. A left upper extremity PICC line is seen extending into the distal left brachiocephalic vein. Lung volumes are markedly low. The heart is stably enlarged. There is no overt evidence for pneumonia or CHF. No large effusion or pneumothorax is seen. Bony structures appear grossly intact.,The heart is stably enlarged.,enlarged heart,,Stable,['files/p15/p15131736/s59175350/a3f94558-fcb3a66f-7b6f0be2-1c09857b-168fb462.jpg'],['files/p15/p15131736/s59112340/e7f7234c-b9fe8996-8a54370a-0914218c-055c2477.jpg\n']
s59190819_21,p19061282,s59190819,21,Findings,"The tracheostomy tube midline and unchanged. The right subclavian and brachiocephalic vein stent appears similar to prior. The left brachiocephalic stent is unchanged. The vascular catheter coursing through the IVC terminates in SVC. The diffuse bilateral lung opacities have increased slightly. This is concerning for multifocal pneumonia. The opacities in the left lung appears or nodule and discrete. With known history of squamous cell carcinoma of the tongue, nodular metastases is on the differential. Bilateral lower lobe atelectasis is stable. The mild to moderate right pleural effusion is stable. Minimal pleural effusion in the left lung. No pneumothorax. Mediastinal silhouette is unchanged. Splenic ossification is again seen and unchanged. The visualized vertebrae appear more sclerotic which could represent osseous metastases.",The left brachiocephalic stent is unchanged.,stent,left brachiocephalic,Stable,['files/p19/p19061282/s59190819/24b1563d-4e7efd6d-c06b429d-2ea5af54-95e60968.jpg'],['files/p19/p19061282/s58645463/ac9317c6-52379372-d9464c93-abdb2215-2daad9f1.jpg\n']
s59190819_21,p19061282,s59190819,21,Findings,"The tracheostomy tube midline and unchanged. The right subclavian and brachiocephalic vein stent appears similar to prior. The left brachiocephalic stent is unchanged. The vascular catheter coursing through the IVC terminates in SVC. The diffuse bilateral lung opacities have increased slightly. This is concerning for multifocal pneumonia. The opacities in the left lung appears or nodule and discrete. With known history of squamous cell carcinoma of the tongue, nodular metastases is on the differential. Bilateral lower lobe atelectasis is stable. The mild to moderate right pleural effusion is stable. Minimal pleural effusion in the left lung. No pneumothorax. Mediastinal silhouette is unchanged. Splenic ossification is again seen and unchanged. The visualized vertebrae appear more sclerotic which could represent osseous metastases.",The diffuse bilateral lung opacities have increased slightly.,lung opacities,bilateral,Worse,['files/p19/p19061282/s59190819/24b1563d-4e7efd6d-c06b429d-2ea5af54-95e60968.jpg'],['files/p19/p19061282/s58645463/ac9317c6-52379372-d9464c93-abdb2215-2daad9f1.jpg\n']
s59190819_21,p19061282,s59190819,21,Findings,"The tracheostomy tube midline and unchanged. The right subclavian and brachiocephalic vein stent appears similar to prior. The left brachiocephalic stent is unchanged. The vascular catheter coursing through the IVC terminates in SVC. The diffuse bilateral lung opacities have increased slightly. This is concerning for multifocal pneumonia. The opacities in the left lung appears or nodule and discrete. With known history of squamous cell carcinoma of the tongue, nodular metastases is on the differential. Bilateral lower lobe atelectasis is stable. The mild to moderate right pleural effusion is stable. Minimal pleural effusion in the left lung. No pneumothorax. Mediastinal silhouette is unchanged. Splenic ossification is again seen and unchanged. The visualized vertebrae appear more sclerotic which could represent osseous metastases.",Bilateral lower lobe atelectasis is stable.,atelectasis,bilateral lower lobe,Stable,['files/p19/p19061282/s59190819/24b1563d-4e7efd6d-c06b429d-2ea5af54-95e60968.jpg'],['files/p19/p19061282/s58645463/ac9317c6-52379372-d9464c93-abdb2215-2daad9f1.jpg\n']
s59190819_21,p19061282,s59190819,21,Findings,"The tracheostomy tube midline and unchanged. The right subclavian and brachiocephalic vein stent appears similar to prior. The left brachiocephalic stent is unchanged. The vascular catheter coursing through the IVC terminates in SVC. The diffuse bilateral lung opacities have increased slightly. This is concerning for multifocal pneumonia. The opacities in the left lung appears or nodule and discrete. With known history of squamous cell carcinoma of the tongue, nodular metastases is on the differential. Bilateral lower lobe atelectasis is stable. The mild to moderate right pleural effusion is stable. Minimal pleural effusion in the left lung. No pneumothorax. Mediastinal silhouette is unchanged. Splenic ossification is again seen and unchanged. The visualized vertebrae appear more sclerotic which could represent osseous metastases.",Mediastinal silhouette is unchanged.,silhouette,mediastinal,Stable,['files/p19/p19061282/s59190819/24b1563d-4e7efd6d-c06b429d-2ea5af54-95e60968.jpg'],['files/p19/p19061282/s58645463/ac9317c6-52379372-d9464c93-abdb2215-2daad9f1.jpg\n']
s59190819_21,p19061282,s59190819,21,Findings,"The tracheostomy tube midline and unchanged. The right subclavian and brachiocephalic vein stent appears similar to prior. The left brachiocephalic stent is unchanged. The vascular catheter coursing through the IVC terminates in SVC. The diffuse bilateral lung opacities have increased slightly. This is concerning for multifocal pneumonia. The opacities in the left lung appears or nodule and discrete. With known history of squamous cell carcinoma of the tongue, nodular metastases is on the differential. Bilateral lower lobe atelectasis is stable. The mild to moderate right pleural effusion is stable. Minimal pleural effusion in the left lung. No pneumothorax. Mediastinal silhouette is unchanged. Splenic ossification is again seen and unchanged. The visualized vertebrae appear more sclerotic which could represent osseous metastases.",The tracheostomy tube midline and unchanged.,tracheostomy tube,midline,Stable,['files/p19/p19061282/s59190819/24b1563d-4e7efd6d-c06b429d-2ea5af54-95e60968.jpg'],['files/p19/p19061282/s58645463/ac9317c6-52379372-d9464c93-abdb2215-2daad9f1.jpg\n']
s59190819_21,p19061282,s59190819,21,Findings,"The tracheostomy tube midline and unchanged. The right subclavian and brachiocephalic vein stent appears similar to prior. The left brachiocephalic stent is unchanged. The vascular catheter coursing through the IVC terminates in SVC. The diffuse bilateral lung opacities have increased slightly. This is concerning for multifocal pneumonia. The opacities in the left lung appears or nodule and discrete. With known history of squamous cell carcinoma of the tongue, nodular metastases is on the differential. Bilateral lower lobe atelectasis is stable. The mild to moderate right pleural effusion is stable. Minimal pleural effusion in the left lung. No pneumothorax. Mediastinal silhouette is unchanged. Splenic ossification is again seen and unchanged. The visualized vertebrae appear more sclerotic which could represent osseous metastases.",Splenic ossification is again seen and unchanged.,ossification,splenic,Stable,['files/p19/p19061282/s59190819/24b1563d-4e7efd6d-c06b429d-2ea5af54-95e60968.jpg'],['files/p19/p19061282/s58645463/ac9317c6-52379372-d9464c93-abdb2215-2daad9f1.jpg\n']
s59190819_21,p19061282,s59190819,21,Findings,"The tracheostomy tube midline and unchanged. The right subclavian and brachiocephalic vein stent appears similar to prior. The left brachiocephalic stent is unchanged. The vascular catheter coursing through the IVC terminates in SVC. The diffuse bilateral lung opacities have increased slightly. This is concerning for multifocal pneumonia. The opacities in the left lung appears or nodule and discrete. With known history of squamous cell carcinoma of the tongue, nodular metastases is on the differential. Bilateral lower lobe atelectasis is stable. The mild to moderate right pleural effusion is stable. Minimal pleural effusion in the left lung. No pneumothorax. Mediastinal silhouette is unchanged. Splenic ossification is again seen and unchanged. The visualized vertebrae appear more sclerotic which could represent osseous metastases.",The mild to moderate right pleural effusion is stable.,mild to moderate pleural effusion,right,Stable,['files/p19/p19061282/s59190819/24b1563d-4e7efd6d-c06b429d-2ea5af54-95e60968.jpg'],['files/p19/p19061282/s58645463/ac9317c6-52379372-d9464c93-abdb2215-2daad9f1.jpg\n']
s59190819_21,p19061282,s59190819,21,Impression,1. Increased diffuse opacification is concerning for multifocal pneumonia. 2. The left lung discrete nodular opacities are also worrisome for nodular metastases. 3. The sclerotic vertebrae are concerning for osseous metastases.,Increased diffuse opacification is concerning for multifocal pneumonia.,opacification,diffuse,Worse,['files/p19/p19061282/s59190819/24b1563d-4e7efd6d-c06b429d-2ea5af54-95e60968.jpg'],['files/p19/p19061282/s58645463/ac9317c6-52379372-d9464c93-abdb2215-2daad9f1.jpg\n']
s59190819_21,p19061282,s59190819,21,Findings,"The tracheostomy tube midline and unchanged. The right subclavian and brachiocephalic vein stent appears similar to prior. The left brachiocephalic stent is unchanged. The vascular catheter coursing through the IVC terminates in SVC. The diffuse bilateral lung opacities have increased slightly. This is concerning for multifocal pneumonia. The opacities in the left lung appears or nodule and discrete. With known history of squamous cell carcinoma of the tongue, nodular metastases is on the differential. Bilateral lower lobe atelectasis is stable. The mild to moderate right pleural effusion is stable. Minimal pleural effusion in the left lung. No pneumothorax. Mediastinal silhouette is unchanged. Splenic ossification is again seen and unchanged. The visualized vertebrae appear more sclerotic which could represent osseous metastases.",The right subclavian and brachiocephalic vein stent appears similar to prior.,stent,right subclavian and brachiocephalic vein,Stable,['files/p19/p19061282/s59190819/24b1563d-4e7efd6d-c06b429d-2ea5af54-95e60968.jpg'],['files/p19/p19061282/s58645463/ac9317c6-52379372-d9464c93-abdb2215-2daad9f1.jpg\n']
s59191421_32,p16662264,s59191421,32,Findings,"A right upper extremity PICC has been removed in the interim. There is obscuration of the left heart border, likely scarring from prior infection. There is no pleural effusion or pneumothorax. The heart size is normal. The mediastinal and hilar structures are unremarkable.",A right upper extremity PICC has been removed in the interim.,PICC,right upper extremity,Resolve,"['files/p16/p16662264/s59191421/39a0863f-9a6a4e94-41b1b286-8536e7dc-75252ad8.jpg', 'files/p16/p16662264/s59191421/5c1ebdbe-f7834fbb-a2869781-9138d6d2-e5cdd28f.jpg']","['files/p16/p16662264/s58952060/8562ffc0-ca46d184-8a4dc3ba-4b7f6c58-6a161c16.jpg\n', 'files/p16/p16662264/s58952060/ec537dc4-f5eeec2d-56cb7b79-4732911f-612e645a.jpg\n']"
s59191972_6,p10867202,s59191972,6,Impression,"AP chest compared to ___ through ___: Interval improvement in the severity of severe interstitial lung abnormality, at least in the left lung, is due to recent decrease in the component of reversible pulmonary edema, aside from severe pulmonary fibrosis. Right lung has not appreciably improved. Pleural effusions small if any. Moderate-to-severe cardiomegaly stable. No pneumothorax.",Moderate-to-severe cardiomegaly stable.,cardiomegaly,Cardiac silhouette,Stable,['files/p10/p10867202/s59191972/bea5fb24-e1d13af2-d70b5be5-fb32e7b8-15828f56.jpg'],"['files/p10/p10867202/s59071382/d1476c64-942c69d1-01468aa0-5ba156c1-07f5abb4.jpg\n', 'files/p10/p10867202/s59071382/da5580a4-d85e8eac-795ffec6-41e6d24b-273b3747.jpg\n']"
s59191972_6,p10867202,s59191972,6,Impression,"AP chest compared to ___ through ___: Interval improvement in the severity of severe interstitial lung abnormality, at least in the left lung, is due to recent decrease in the component of reversible pulmonary edema, aside from severe pulmonary fibrosis. Right lung has not appreciably improved. Pleural effusions small if any. Moderate-to-severe cardiomegaly stable. No pneumothorax.",Right lung has not appreciably improved.,condition,Right lung,Stable,['files/p10/p10867202/s59191972/bea5fb24-e1d13af2-d70b5be5-fb32e7b8-15828f56.jpg'],"['files/p10/p10867202/s59071382/d1476c64-942c69d1-01468aa0-5ba156c1-07f5abb4.jpg\n', 'files/p10/p10867202/s59071382/da5580a4-d85e8eac-795ffec6-41e6d24b-273b3747.jpg\n']"
s59191972_6,p10867202,s59191972,6,Impression,"AP chest compared to ___ through ___: Interval improvement in the severity of severe interstitial lung abnormality, at least in the left lung, is due to recent decrease in the component of reversible pulmonary edema, aside from severe pulmonary fibrosis. Right lung has not appreciably improved. Pleural effusions small if any. Moderate-to-severe cardiomegaly stable. No pneumothorax.","AP chest compared to ___ through ___: Interval improvement in the severity of severe interstitial lung abnormality, at least in the left lung, is due to recent decrease in the component of reversible pulmonary edema, aside from severe pulmonary fibrosis.",interstitial lung abnormality,left lung,Better,['files/p10/p10867202/s59191972/bea5fb24-e1d13af2-d70b5be5-fb32e7b8-15828f56.jpg'],"['files/p10/p10867202/s59071382/d1476c64-942c69d1-01468aa0-5ba156c1-07f5abb4.jpg\n', 'files/p10/p10867202/s59071382/da5580a4-d85e8eac-795ffec6-41e6d24b-273b3747.jpg\n']"
s59196954_16,p11880923,s59196954,16,Findings,Comparison is made to the prior study performed at 4:35 a.m. on ___. There is a right-sided catheter with the distal lead tip at the cavoatrial junction. There is a left IJ central venous line with the distal lead tip in the mid SVC. The endotracheal tube tip is 4.5 cm above the carina. The feeding tube whose distal tip is below the GE junction. These tubes are all unchanged in position. There is stable cardiomegaly. There is mild improved aeration at the lung bases. There remain bilateral pleural effusions. There are no signs for overt pulmonary edema or pneumothoraces.,There is stable cardiomegaly.,cardiomegaly,,Stable,['files/p11/p11880923/s59196954/e3ba16c1-e0005eef-0c0e37cd-1ad23c91-beac16e8.jpg'],['files/p11/p11880923/s58862282/cd611c14-18a02010-13493fd2-e8f3a50a-fc345827.jpg\n']
s59196954_16,p11880923,s59196954,16,Findings,Comparison is made to the prior study performed at 4:35 a.m. on ___. There is a right-sided catheter with the distal lead tip at the cavoatrial junction. There is a left IJ central venous line with the distal lead tip in the mid SVC. The endotracheal tube tip is 4.5 cm above the carina. The feeding tube whose distal tip is below the GE junction. These tubes are all unchanged in position. There is stable cardiomegaly. There is mild improved aeration at the lung bases. There remain bilateral pleural effusions. There are no signs for overt pulmonary edema or pneumothoraces.,There is mild improved aeration at the lung bases.,aeration,lung bases,Better,['files/p11/p11880923/s59196954/e3ba16c1-e0005eef-0c0e37cd-1ad23c91-beac16e8.jpg'],['files/p11/p11880923/s58862282/cd611c14-18a02010-13493fd2-e8f3a50a-fc345827.jpg\n']
s59196954_16,p11880923,s59196954,16,Findings,Comparison is made to the prior study performed at 4:35 a.m. on ___. There is a right-sided catheter with the distal lead tip at the cavoatrial junction. There is a left IJ central venous line with the distal lead tip in the mid SVC. The endotracheal tube tip is 4.5 cm above the carina. The feeding tube whose distal tip is below the GE junction. These tubes are all unchanged in position. There is stable cardiomegaly. There is mild improved aeration at the lung bases. There remain bilateral pleural effusions. There are no signs for overt pulmonary edema or pneumothoraces.,There remain bilateral pleural effusions.,bilateral pleural effusions,,Stable,['files/p11/p11880923/s59196954/e3ba16c1-e0005eef-0c0e37cd-1ad23c91-beac16e8.jpg'],['files/p11/p11880923/s58862282/cd611c14-18a02010-13493fd2-e8f3a50a-fc345827.jpg\n']
s59200846_23,p12185775,s59200846,23,Findings,"Cardiac silhouette remains enlarged. Pulmonary vascular congestion has slightly improved and is more substantially improved compared to ___. Left retrocardiac atelectasis has slightly decreased in extent, and a small left pleural effusion is also slightly smaller compared to the prior study. Small right pleural effusion is not changed, and a minor area of opacity at the right base appears similar to the recent study but improvement compared to earlier radiographs. Calcified granulomas in left upper lobe are unchanged. No new areas of consolidation are evident to suggest an acute pneumonia.",Calcified granulomas in left upper lobe are unchanged.,calcified granulomas,left upper lobe,Stable,"['files/p12/p12185775/s59200846/4a94c799-50173f0e-07f9f74f-febe16d4-407387d6.jpg', 'files/p12/p12185775/s59200846/d1cb903c-16d23127-ba525151-91a0fa21-20a12246.jpg']","['files/p12/p12185775/s58139207/5ebf3a98-2fdc1c16-d32e8ba7-94bde652-ea7da77c.jpg\n', 'files/p12/p12185775/s58139207/84a95f3a-a7060282-499a7492-bc0c8ebd-3fb68b34.jpg\n']"
s59200846_23,p12185775,s59200846,23,Findings,"Cardiac silhouette remains enlarged. Pulmonary vascular congestion has slightly improved and is more substantially improved compared to ___. Left retrocardiac atelectasis has slightly decreased in extent, and a small left pleural effusion is also slightly smaller compared to the prior study. Small right pleural effusion is not changed, and a minor area of opacity at the right base appears similar to the recent study but improvement compared to earlier radiographs. Calcified granulomas in left upper lobe are unchanged. No new areas of consolidation are evident to suggest an acute pneumonia.",Pulmonary vascular congestion has slightly improved and is more substantially improved compared to ___.,Pulmonary vascular congestion,,Better,"['files/p12/p12185775/s59200846/4a94c799-50173f0e-07f9f74f-febe16d4-407387d6.jpg', 'files/p12/p12185775/s59200846/d1cb903c-16d23127-ba525151-91a0fa21-20a12246.jpg']","['files/p12/p12185775/s58139207/5ebf3a98-2fdc1c16-d32e8ba7-94bde652-ea7da77c.jpg\n', 'files/p12/p12185775/s58139207/84a95f3a-a7060282-499a7492-bc0c8ebd-3fb68b34.jpg\n']"
s59200846_23,p12185775,s59200846,23,Findings,"Cardiac silhouette remains enlarged. Pulmonary vascular congestion has slightly improved and is more substantially improved compared to ___. Left retrocardiac atelectasis has slightly decreased in extent, and a small left pleural effusion is also slightly smaller compared to the prior study. Small right pleural effusion is not changed, and a minor area of opacity at the right base appears similar to the recent study but improvement compared to earlier radiographs. Calcified granulomas in left upper lobe are unchanged. No new areas of consolidation are evident to suggest an acute pneumonia.","Left retrocardiac atelectasis has slightly decreased in extent, and a small left pleural effusion is also slightly smaller compared to the prior study.",retrocardiac atelectasis,left,Better,"['files/p12/p12185775/s59200846/4a94c799-50173f0e-07f9f74f-febe16d4-407387d6.jpg', 'files/p12/p12185775/s59200846/d1cb903c-16d23127-ba525151-91a0fa21-20a12246.jpg']","['files/p12/p12185775/s58139207/5ebf3a98-2fdc1c16-d32e8ba7-94bde652-ea7da77c.jpg\n', 'files/p12/p12185775/s58139207/84a95f3a-a7060282-499a7492-bc0c8ebd-3fb68b34.jpg\n']"
s59200846_23,p12185775,s59200846,23,Findings,"Cardiac silhouette remains enlarged. Pulmonary vascular congestion has slightly improved and is more substantially improved compared to ___. Left retrocardiac atelectasis has slightly decreased in extent, and a small left pleural effusion is also slightly smaller compared to the prior study. Small right pleural effusion is not changed, and a minor area of opacity at the right base appears similar to the recent study but improvement compared to earlier radiographs. Calcified granulomas in left upper lobe are unchanged. No new areas of consolidation are evident to suggest an acute pneumonia.","Left retrocardiac atelectasis has slightly decreased in extent, and a small left pleural effusion is also slightly smaller compared to the prior study.",pleural effusion,left,Better,"['files/p12/p12185775/s59200846/4a94c799-50173f0e-07f9f74f-febe16d4-407387d6.jpg', 'files/p12/p12185775/s59200846/d1cb903c-16d23127-ba525151-91a0fa21-20a12246.jpg']","['files/p12/p12185775/s58139207/5ebf3a98-2fdc1c16-d32e8ba7-94bde652-ea7da77c.jpg\n', 'files/p12/p12185775/s58139207/84a95f3a-a7060282-499a7492-bc0c8ebd-3fb68b34.jpg\n']"
s59200846_23,p12185775,s59200846,23,Findings,"Cardiac silhouette remains enlarged. Pulmonary vascular congestion has slightly improved and is more substantially improved compared to ___. Left retrocardiac atelectasis has slightly decreased in extent, and a small left pleural effusion is also slightly smaller compared to the prior study. Small right pleural effusion is not changed, and a minor area of opacity at the right base appears similar to the recent study but improvement compared to earlier radiographs. Calcified granulomas in left upper lobe are unchanged. No new areas of consolidation are evident to suggest an acute pneumonia.","Small right pleural effusion is not changed, and a minor area of opacity at the right base appears similar to the recent study but improvement compared to earlier radiographs.",pleural effusion,right,Stable,"['files/p12/p12185775/s59200846/4a94c799-50173f0e-07f9f74f-febe16d4-407387d6.jpg', 'files/p12/p12185775/s59200846/d1cb903c-16d23127-ba525151-91a0fa21-20a12246.jpg']","['files/p12/p12185775/s58139207/5ebf3a98-2fdc1c16-d32e8ba7-94bde652-ea7da77c.jpg\n', 'files/p12/p12185775/s58139207/84a95f3a-a7060282-499a7492-bc0c8ebd-3fb68b34.jpg\n']"
s59200846_23,p12185775,s59200846,23,Findings,"Cardiac silhouette remains enlarged. Pulmonary vascular congestion has slightly improved and is more substantially improved compared to ___. Left retrocardiac atelectasis has slightly decreased in extent, and a small left pleural effusion is also slightly smaller compared to the prior study. Small right pleural effusion is not changed, and a minor area of opacity at the right base appears similar to the recent study but improvement compared to earlier radiographs. Calcified granulomas in left upper lobe are unchanged. No new areas of consolidation are evident to suggest an acute pneumonia.","Small right pleural effusion is not changed, and a minor area of opacity at the right base appears similar to the recent study but improvement compared to earlier radiographs.",opacity,right base,Better,"['files/p12/p12185775/s59200846/4a94c799-50173f0e-07f9f74f-febe16d4-407387d6.jpg', 'files/p12/p12185775/s59200846/d1cb903c-16d23127-ba525151-91a0fa21-20a12246.jpg']","['files/p12/p12185775/s58139207/5ebf3a98-2fdc1c16-d32e8ba7-94bde652-ea7da77c.jpg\n', 'files/p12/p12185775/s58139207/84a95f3a-a7060282-499a7492-bc0c8ebd-3fb68b34.jpg\n']"
s59200846_23,p12185775,s59200846,23,Findings,"Cardiac silhouette remains enlarged. Pulmonary vascular congestion has slightly improved and is more substantially improved compared to ___. Left retrocardiac atelectasis has slightly decreased in extent, and a small left pleural effusion is also slightly smaller compared to the prior study. Small right pleural effusion is not changed, and a minor area of opacity at the right base appears similar to the recent study but improvement compared to earlier radiographs. Calcified granulomas in left upper lobe are unchanged. No new areas of consolidation are evident to suggest an acute pneumonia.",Cardiac silhouette remains enlarged.,Cardiac silhouette enlargement,,Stable,"['files/p12/p12185775/s59200846/4a94c799-50173f0e-07f9f74f-febe16d4-407387d6.jpg', 'files/p12/p12185775/s59200846/d1cb903c-16d23127-ba525151-91a0fa21-20a12246.jpg']","['files/p12/p12185775/s58139207/5ebf3a98-2fdc1c16-d32e8ba7-94bde652-ea7da77c.jpg\n', 'files/p12/p12185775/s58139207/84a95f3a-a7060282-499a7492-bc0c8ebd-3fb68b34.jpg\n']"
s59202511_3,p17770657,s59202511,3,Findings,Status post thoracic closure. No evidence of pneumothorax. No pleural effusions. Normal size of the cardiac silhouette. Unchanged bilateral soft tissue air collections.,Unchanged bilateral soft tissue air collections.,soft tissue air collections,bilateral,Stable,"['files/p17/p17770657/s59202511/1ea90c74-cf4ca390-7da19bed-34cd7568-a183d924.jpg', 'files/p17/p17770657/s59202511/a09b7aaa-77f7ca90-d3e26f5c-782a561e-499254d6.jpg']","['files/p17/p17770657/s58760728/cf2669d1-d8463824-d4bd7e26-0594a737-b89d33a4.jpg\n', 'files/p17/p17770657/s58760728/dc130e93-8226ed32-f9924895-6be11d35-3d395b3c.jpg\n', 'files/p17/p17770657/s58760728/e298beba-572ccfb6-74c46bda-11c4beba-0ca3e906.jpg\n']"
s59206877_1,p16508811,s59206877,1,Impression,"1. Slight increase in prominence of airspace opacity in left lower lobe might represent developing or resolving infection. 2. Mild enlargement of the cardiac silhouette 3. Interval placement of PICC, the tip of which is in the mid SVC. Findings were discussed with Dr. ___ at 9AM.",Slight increase in prominence of airspace opacity in left lower lobe might represent developing or resolving infection.,airspace opacity,left lower lobe,Worse,"['files/p16/p16508811/s59206877/aee4ede5-44ecf0d9-5fe27051-91a30aab-2059b97d.jpg', 'files/p16/p16508811/s59206877/d69cce11-46d26bdd-72a95d03-473ab83c-553c9c91.jpg']","['files/p16/p16508811/s58890549/318d4cb7-3fb27245-107ed347-f61030ff-2765e366.jpg\n', 'files/p16/p16508811/s58890549/ee316aaf-4836b322-7a19300e-e45cd9fd-b0399146.jpg\n']"
s59206877_1,p16508811,s59206877,1,Findings,There is a right upper extremity PICC with the tip of which is in the mid SVC. The lungs are notable for slight increased left lower lobe opacity with air bronchograms seen on the lateral view. The pulmonary vasculature is normal. The cardiac silhouette is mildly enlarged.,The lungs are notable for slight increased left lower lobe opacity with air bronchograms seen on the lateral view.,opacity,left lower lobe,Worse,"['files/p16/p16508811/s59206877/aee4ede5-44ecf0d9-5fe27051-91a30aab-2059b97d.jpg', 'files/p16/p16508811/s59206877/d69cce11-46d26bdd-72a95d03-473ab83c-553c9c91.jpg']","['files/p16/p16508811/s58890549/318d4cb7-3fb27245-107ed347-f61030ff-2765e366.jpg\n', 'files/p16/p16508811/s58890549/ee316aaf-4836b322-7a19300e-e45cd9fd-b0399146.jpg\n']"
s59207607_18,p14851532,s59207607,18,Impression,"AP chest compared to ___ through ___: Opacification at the base of the right lung is due substantially to moderate right pleural effusion present for at least a week, but there is new consolidation at the upper margin of this abnormality concerning for pneumonia, and mild pulmonary edema has developed since ___. Severe cardiomegaly is more pronounced and atelectasis at the left lung base unchanged. Small left pleural effusion is presumed. Left-sided central venous catheter ends in the mid SVC. No pneumothorax. ___ was paged at 11:45 a.m. when the findings were recognized and we discussed the findings by telephone a minute later.","AP chest compared to ___ through ___: Opacification at the base of the right lung is due substantially to moderate right pleural effusion present for at least a week, but there is new consolidation at the upper margin of this abnormality concerning for pneumonia, and mild pulmonary edema has developed since ___.",Pulmonary edema,,New,['files/p14/p14851532/s59207607/9f03f488-52d9e9df-006302a9-227c8b18-48e15125.jpg'],['files/p14/p14851532/s59116935/00005197-869d72f3-66210bf4-fa2c9d83-b613c4e7.jpg\n']
s59207607_18,p14851532,s59207607,18,Impression,"AP chest compared to ___ through ___: Opacification at the base of the right lung is due substantially to moderate right pleural effusion present for at least a week, but there is new consolidation at the upper margin of this abnormality concerning for pneumonia, and mild pulmonary edema has developed since ___. Severe cardiomegaly is more pronounced and atelectasis at the left lung base unchanged. Small left pleural effusion is presumed. Left-sided central venous catheter ends in the mid SVC. No pneumothorax. ___ was paged at 11:45 a.m. when the findings were recognized and we discussed the findings by telephone a minute later.","AP chest compared to ___ through ___: Opacification at the base of the right lung is due substantially to moderate right pleural effusion present for at least a week, but there is new consolidation at the upper margin of this abnormality concerning for pneumonia, and mild pulmonary edema has developed since ___.",Consolidation,upper margin of right lung base,New,['files/p14/p14851532/s59207607/9f03f488-52d9e9df-006302a9-227c8b18-48e15125.jpg'],['files/p14/p14851532/s59116935/00005197-869d72f3-66210bf4-fa2c9d83-b613c4e7.jpg\n']
s59207607_18,p14851532,s59207607,18,Impression,"AP chest compared to ___ through ___: Opacification at the base of the right lung is due substantially to moderate right pleural effusion present for at least a week, but there is new consolidation at the upper margin of this abnormality concerning for pneumonia, and mild pulmonary edema has developed since ___. Severe cardiomegaly is more pronounced and atelectasis at the left lung base unchanged. Small left pleural effusion is presumed. Left-sided central venous catheter ends in the mid SVC. No pneumothorax. ___ was paged at 11:45 a.m. when the findings were recognized and we discussed the findings by telephone a minute later.",Severe cardiomegaly is more pronounced and atelectasis at the left lung base unchanged.,Cardiomegaly,,Worse,['files/p14/p14851532/s59207607/9f03f488-52d9e9df-006302a9-227c8b18-48e15125.jpg'],['files/p14/p14851532/s59116935/00005197-869d72f3-66210bf4-fa2c9d83-b613c4e7.jpg\n']
s59215725_62,p14851532,s59215725,62,Impression,Improving lung aeration bilaterally with resolving left retrocardiac opacity and decreasing size of moderate right pleural effusion.,Improving lung aeration bilaterally with resolving left retrocardiac opacity and decreasing size of moderate right pleural effusion.,opacity,left retrocardiac,Resolve,['files/p14/p14851532/s59215725/c1f46658-8c56b8e3-70c04ec6-a15e02a0-31c42988.jpg'],['files/p14/p14851532/s59207607/9f03f488-52d9e9df-006302a9-227c8b18-48e15125.jpg\n']
s59215725_62,p14851532,s59215725,62,Impression,Improving lung aeration bilaterally with resolving left retrocardiac opacity and decreasing size of moderate right pleural effusion.,Improving lung aeration bilaterally with resolving left retrocardiac opacity and decreasing size of moderate right pleural effusion.,pleural effusion,right,Better,['files/p14/p14851532/s59215725/c1f46658-8c56b8e3-70c04ec6-a15e02a0-31c42988.jpg'],['files/p14/p14851532/s59207607/9f03f488-52d9e9df-006302a9-227c8b18-48e15125.jpg\n']
s59215725_62,p14851532,s59215725,62,Impression,Improving lung aeration bilaterally with resolving left retrocardiac opacity and decreasing size of moderate right pleural effusion.,Improving lung aeration bilaterally with resolving left retrocardiac opacity and decreasing size of moderate right pleural effusion.,lung aeration,bilaterally,Better,['files/p14/p14851532/s59215725/c1f46658-8c56b8e3-70c04ec6-a15e02a0-31c42988.jpg'],['files/p14/p14851532/s59207607/9f03f488-52d9e9df-006302a9-227c8b18-48e15125.jpg\n']
s59215725_62,p14851532,s59215725,62,Findings,Right internal jugular central venous catheter terminates in the low SVC as before. Enteric tube courses into the stomach. Since the prior study the lungs appear better aerated bilaterally. Moderate right pleural effusion is slightly decreased. Left retrocardiac opacity is improving. The heart remains mildly enlarged. Mediastinal and hilar contours are stable. The aortic arch is calcified. There is no pneumothorax.,Left retrocardiac opacity is improving.,opacity,left retrocardiac,Better,['files/p14/p14851532/s59215725/c1f46658-8c56b8e3-70c04ec6-a15e02a0-31c42988.jpg'],['files/p14/p14851532/s59207607/9f03f488-52d9e9df-006302a9-227c8b18-48e15125.jpg\n']
s59215725_62,p14851532,s59215725,62,Findings,Right internal jugular central venous catheter terminates in the low SVC as before. Enteric tube courses into the stomach. Since the prior study the lungs appear better aerated bilaterally. Moderate right pleural effusion is slightly decreased. Left retrocardiac opacity is improving. The heart remains mildly enlarged. Mediastinal and hilar contours are stable. The aortic arch is calcified. There is no pneumothorax.,The heart remains mildly enlarged.,heart enlargement,,Stable,['files/p14/p14851532/s59215725/c1f46658-8c56b8e3-70c04ec6-a15e02a0-31c42988.jpg'],['files/p14/p14851532/s59207607/9f03f488-52d9e9df-006302a9-227c8b18-48e15125.jpg\n']
s59215725_62,p14851532,s59215725,62,Findings,Right internal jugular central venous catheter terminates in the low SVC as before. Enteric tube courses into the stomach. Since the prior study the lungs appear better aerated bilaterally. Moderate right pleural effusion is slightly decreased. Left retrocardiac opacity is improving. The heart remains mildly enlarged. Mediastinal and hilar contours are stable. The aortic arch is calcified. There is no pneumothorax.,Moderate right pleural effusion is slightly decreased.,pleural effusion,right,Better,['files/p14/p14851532/s59215725/c1f46658-8c56b8e3-70c04ec6-a15e02a0-31c42988.jpg'],['files/p14/p14851532/s59207607/9f03f488-52d9e9df-006302a9-227c8b18-48e15125.jpg\n']
s59215725_62,p14851532,s59215725,62,Findings,Right internal jugular central venous catheter terminates in the low SVC as before. Enteric tube courses into the stomach. Since the prior study the lungs appear better aerated bilaterally. Moderate right pleural effusion is slightly decreased. Left retrocardiac opacity is improving. The heart remains mildly enlarged. Mediastinal and hilar contours are stable. The aortic arch is calcified. There is no pneumothorax.,Since the prior study the lungs appear better aerated bilaterally.,lung aeration,bilaterally,Better,['files/p14/p14851532/s59215725/c1f46658-8c56b8e3-70c04ec6-a15e02a0-31c42988.jpg'],['files/p14/p14851532/s59207607/9f03f488-52d9e9df-006302a9-227c8b18-48e15125.jpg\n']
s59215725_62,p14851532,s59215725,62,Findings,Right internal jugular central venous catheter terminates in the low SVC as before. Enteric tube courses into the stomach. Since the prior study the lungs appear better aerated bilaterally. Moderate right pleural effusion is slightly decreased. Left retrocardiac opacity is improving. The heart remains mildly enlarged. Mediastinal and hilar contours are stable. The aortic arch is calcified. There is no pneumothorax.,Mediastinal and hilar contours are stable.,mediastinal and hilar contours,,Stable,['files/p14/p14851532/s59215725/c1f46658-8c56b8e3-70c04ec6-a15e02a0-31c42988.jpg'],['files/p14/p14851532/s59207607/9f03f488-52d9e9df-006302a9-227c8b18-48e15125.jpg\n']
s59217597_1,p15114531,s59217597,1,Findings,"Chest PA and lateral radiograph demonstrates unremarkable mediastinal, hilar, and cardiac contours. Lungs are clear. No pleural effusion or pneumothorax evident. There has been interval placement of a Bravo pH capsule projecting in the expected location of the distal esophagus. Surgical clips are seen in the upper abdomen.",There has been interval placement of a Bravo pH capsule projecting in the expected location of the distal esophagus.,Bravo pH capsule,distal esophagus,New,['files/p15/p15114531/s59217597/3221691b-9c2cf204-25e1b236-0413b961-50de4d2e.jpg'],['files/p15/p15114531/s57624554/cc20a4e8-45bd956d-683185d2-3f0e8eef-1e3d8993.jpg\n']
s59217830_23,p13881772,s59217830,23,Findings,"The heart size is top normal. The hilar and mediastinal contours are normal. The lungs are hyperinflated, otherwise no focal consolidations concerning for pneumonia are identified. Mild left basilar linear atelectasis/ scarring is again seen. There is no pneumothorax or pleural effusion. Incidental note is made of a 9 mm lung nodule projecting over the right anterior second rib interspace. Aortic annular calcifications are again noted. Old healed left lower lobe rib fractures are stable.",Mild left basilar linear atelectasis/ scarring is again seen.,linear atelectasis/ scarring,left basilar,Stable,"['files/p13/p13881772/s59217830/4959ec06-3033b29d-dd25c873-29db3da3-339923d6.jpg', 'files/p13/p13881772/s59217830/959ee516-d090d9d5-a95977ac-303cdde2-c9309e8c.jpg']","['files/p13/p13881772/s58789310/1acc1625-728d2db7-b8853e51-999862bf-424f50b8.jpg\n', 'files/p13/p13881772/s58789310/c230ce72-acc26270-caefebe0-f6b07913-7033227d.jpg\n']"
s59217830_23,p13881772,s59217830,23,Findings,"The heart size is top normal. The hilar and mediastinal contours are normal. The lungs are hyperinflated, otherwise no focal consolidations concerning for pneumonia are identified. Mild left basilar linear atelectasis/ scarring is again seen. There is no pneumothorax or pleural effusion. Incidental note is made of a 9 mm lung nodule projecting over the right anterior second rib interspace. Aortic annular calcifications are again noted. Old healed left lower lobe rib fractures are stable.",Old healed left lower lobe rib fractures are stable.,rib fractures,left lower lobe,Stable,"['files/p13/p13881772/s59217830/4959ec06-3033b29d-dd25c873-29db3da3-339923d6.jpg', 'files/p13/p13881772/s59217830/959ee516-d090d9d5-a95977ac-303cdde2-c9309e8c.jpg']","['files/p13/p13881772/s58789310/1acc1625-728d2db7-b8853e51-999862bf-424f50b8.jpg\n', 'files/p13/p13881772/s58789310/c230ce72-acc26270-caefebe0-f6b07913-7033227d.jpg\n']"
s59217830_23,p13881772,s59217830,23,Findings,"The heart size is top normal. The hilar and mediastinal contours are normal. The lungs are hyperinflated, otherwise no focal consolidations concerning for pneumonia are identified. Mild left basilar linear atelectasis/ scarring is again seen. There is no pneumothorax or pleural effusion. Incidental note is made of a 9 mm lung nodule projecting over the right anterior second rib interspace. Aortic annular calcifications are again noted. Old healed left lower lobe rib fractures are stable.",Aortic annular calcifications are again noted.,calcifications,aortic annulus,Stable,"['files/p13/p13881772/s59217830/4959ec06-3033b29d-dd25c873-29db3da3-339923d6.jpg', 'files/p13/p13881772/s59217830/959ee516-d090d9d5-a95977ac-303cdde2-c9309e8c.jpg']","['files/p13/p13881772/s58789310/1acc1625-728d2db7-b8853e51-999862bf-424f50b8.jpg\n', 'files/p13/p13881772/s58789310/c230ce72-acc26270-caefebe0-f6b07913-7033227d.jpg\n']"
s59219088_3,p16853729,s59219088,3,Findings,"There are low lung volumes. The heart size remains moderately enlarged. The aorta is tortuous but stable. There is mild pulmonary vascular congestion with perihilar haziness. More focal opacities in the lung bases may reflect atelectasis, though infection in these regions cannot be completely excluded. Small left pleural effusion appears similar compared to the prior study. No pneumothorax is identified. Mild loss of height anteriorly of an upper lumbar vertebral body is unchanged.",The heart size remains moderately enlarged.,heart size,,Stable,"['files/p16/p16853729/s59219088/1fba2de2-36345a9e-ea2ef064-76c702c3-b80e6127.jpg', 'files/p16/p16853729/s59219088/470d71ad-61c1b13f-0cdf943d-752fb588-ec523b25.jpg']","['files/p16/p16853729/s58771580/5ad11416-2d53dd53-96e1fcda-ca3b80c0-c0fb1e6f.jpg\n', 'files/p16/p16853729/s58771580/89da1b34-2fdd01de-1e33a13c-810f5251-9dcaceab.jpg\n']"
s59219088_3,p16853729,s59219088,3,Findings,"There are low lung volumes. The heart size remains moderately enlarged. The aorta is tortuous but stable. There is mild pulmonary vascular congestion with perihilar haziness. More focal opacities in the lung bases may reflect atelectasis, though infection in these regions cannot be completely excluded. Small left pleural effusion appears similar compared to the prior study. No pneumothorax is identified. Mild loss of height anteriorly of an upper lumbar vertebral body is unchanged.",The aorta is tortuous but stable.,aorta,,Stable,"['files/p16/p16853729/s59219088/1fba2de2-36345a9e-ea2ef064-76c702c3-b80e6127.jpg', 'files/p16/p16853729/s59219088/470d71ad-61c1b13f-0cdf943d-752fb588-ec523b25.jpg']","['files/p16/p16853729/s58771580/5ad11416-2d53dd53-96e1fcda-ca3b80c0-c0fb1e6f.jpg\n', 'files/p16/p16853729/s58771580/89da1b34-2fdd01de-1e33a13c-810f5251-9dcaceab.jpg\n']"
s59219088_3,p16853729,s59219088,3,Findings,"There are low lung volumes. The heart size remains moderately enlarged. The aorta is tortuous but stable. There is mild pulmonary vascular congestion with perihilar haziness. More focal opacities in the lung bases may reflect atelectasis, though infection in these regions cannot be completely excluded. Small left pleural effusion appears similar compared to the prior study. No pneumothorax is identified. Mild loss of height anteriorly of an upper lumbar vertebral body is unchanged.",Small left pleural effusion appears similar compared to the prior study.,pleural effusion,left,Stable,"['files/p16/p16853729/s59219088/1fba2de2-36345a9e-ea2ef064-76c702c3-b80e6127.jpg', 'files/p16/p16853729/s59219088/470d71ad-61c1b13f-0cdf943d-752fb588-ec523b25.jpg']","['files/p16/p16853729/s58771580/5ad11416-2d53dd53-96e1fcda-ca3b80c0-c0fb1e6f.jpg\n', 'files/p16/p16853729/s58771580/89da1b34-2fdd01de-1e33a13c-810f5251-9dcaceab.jpg\n']"
s59219088_3,p16853729,s59219088,3,Findings,"There are low lung volumes. The heart size remains moderately enlarged. The aorta is tortuous but stable. There is mild pulmonary vascular congestion with perihilar haziness. More focal opacities in the lung bases may reflect atelectasis, though infection in these regions cannot be completely excluded. Small left pleural effusion appears similar compared to the prior study. No pneumothorax is identified. Mild loss of height anteriorly of an upper lumbar vertebral body is unchanged.",Mild loss of height anteriorly of an upper lumbar vertebral body is unchanged.,vertebral body height loss,upper lumbar,Stable,"['files/p16/p16853729/s59219088/1fba2de2-36345a9e-ea2ef064-76c702c3-b80e6127.jpg', 'files/p16/p16853729/s59219088/470d71ad-61c1b13f-0cdf943d-752fb588-ec523b25.jpg']","['files/p16/p16853729/s58771580/5ad11416-2d53dd53-96e1fcda-ca3b80c0-c0fb1e6f.jpg\n', 'files/p16/p16853729/s58771580/89da1b34-2fdd01de-1e33a13c-810f5251-9dcaceab.jpg\n']"
s59221051_1,p17032538,s59221051,1,Findings,"Moderately sever bilateral pulmonary edema has worsened in comparison to prior radiograph acquired ___ hours apart. Severe emphysema is present. No new relevant findings in the lungs. Heart size, mediastinal and hilar contours are stable.",Moderately severe bilateral pulmonary edema has worsened in comparison to prior radiograph acquired ___ hours apart.,pulmonary edema,bilateral,Worse,"['files/p17/p17032538/s59221051/912a9d56-c2439c24-b1aa969b-da69313c-4e3cba1f.jpg', 'files/p17/p17032538/s59221051/ad848298-a6a13b00-3540b2ac-2e0e927d-908befad.jpg']",['files/p17/p17032538/s58760787/a66051d0-9ed3a477-30455196-064ccf0d-b667f74e.jpg\n']
s59221051_1,p17032538,s59221051,1,Findings,"Moderately sever bilateral pulmonary edema has worsened in comparison to prior radiograph acquired ___ hours apart. Severe emphysema is present. No new relevant findings in the lungs. Heart size, mediastinal and hilar contours are stable.","Heart size, mediastinal and hilar contours are stable.","Heart size, mediastinal and hilar contours",,Stable,"['files/p17/p17032538/s59221051/912a9d56-c2439c24-b1aa969b-da69313c-4e3cba1f.jpg', 'files/p17/p17032538/s59221051/ad848298-a6a13b00-3540b2ac-2e0e927d-908befad.jpg']",['files/p17/p17032538/s58760787/a66051d0-9ed3a477-30455196-064ccf0d-b667f74e.jpg\n']
s59221699_14,p18110020,s59221699,14,Findings,Please note that the right costophrenic angle is excluded from view. Vascular markings are seen extending to the lung apices bilaterally with no evidence of pneumothorax. The lungs remain clear. Right PICC and gastric tube are unchanged.,Right PICC and gastric tube are unchanged.,Right PICC and gastric tube,,Stable,"['files/p18/p18110020/s59221699/63800411-62f90656-5cf911fc-be848697-8aca7551.jpg', 'files/p18/p18110020/s59221699/81450711-ce3a0e1f-48fce3df-720d7107-44bf0a49.jpg']",['files/p18/p18110020/s59044985/2d45a143-1df013b8-730bd381-c219de78-7ad22f77.jpg\n']
s59221699_14,p18110020,s59221699,14,Findings,Please note that the right costophrenic angle is excluded from view. Vascular markings are seen extending to the lung apices bilaterally with no evidence of pneumothorax. The lungs remain clear. Right PICC and gastric tube are unchanged.,The lungs remain clear.,lungs,,Stable,"['files/p18/p18110020/s59221699/63800411-62f90656-5cf911fc-be848697-8aca7551.jpg', 'files/p18/p18110020/s59221699/81450711-ce3a0e1f-48fce3df-720d7107-44bf0a49.jpg']",['files/p18/p18110020/s59044985/2d45a143-1df013b8-730bd381-c219de78-7ad22f77.jpg\n']
s59227699_12,p18855147,s59227699,12,Findings,"In comparison with the earlier study of this date, there is little overall change. The endotracheal tube is not precisely seen on the study, suggesting that it may have its tip in the mid cervical region or higher. Little change in the appearance of the heart and lungs. Nasogastric tube extends well into the stomach with the tip distal to the cardioesophageal junction. The large central catheter tip is in the region of the mid portion of the SVC.",Little change in the appearance of the heart and lungs.,Appearance,Heart and lungs,Stable,"['files/p18/p18855147/s59227699/0fcb8ff6-23c42baa-56da3133-5418ba4a-05e35993.jpg', 'files/p18/p18855147/s59227699/853f7149-553cb4b1-fe4e0131-75f81ca8-f910c92b.jpg']",['files/p18/p18855147/s59030328/baafe7cb-474127df-e3251e9e-6341cd2a-e650e8da.jpg\n']
s59227699_12,p18855147,s59227699,12,Findings,"In comparison with the earlier study of this date, there is little overall change. The endotracheal tube is not precisely seen on the study, suggesting that it may have its tip in the mid cervical region or higher. Little change in the appearance of the heart and lungs. Nasogastric tube extends well into the stomach with the tip distal to the cardioesophageal junction. The large central catheter tip is in the region of the mid portion of the SVC.","In comparison with the earlier study of this date, there is little overall change.",Overall condition,General,Stable,"['files/p18/p18855147/s59227699/0fcb8ff6-23c42baa-56da3133-5418ba4a-05e35993.jpg', 'files/p18/p18855147/s59227699/853f7149-553cb4b1-fe4e0131-75f81ca8-f910c92b.jpg']",['files/p18/p18855147/s59030328/baafe7cb-474127df-e3251e9e-6341cd2a-e650e8da.jpg\n']
s59234239_2,p11569093,s59234239,2,Impression,1. ET tube terminating 5.1 cm above the carina. Orogastric tube terminating within the stomach. 2. Interval worsening of mild-to-moderate pulmonary edema. 3. Unchanged marked right hemidiaphragm elevation.,Unchanged marked right hemidiaphragm elevation.,elevation,right hemidiaphragm,Stable,['files/p11/p11569093/s59234239/382dbe73-cac300e6-08430cac-cec951a4-86e9e1e1.jpg'],['files/p11/p11569093/s58407493/967d441a-a13a3abb-92836835-665f96e3-d5916b82.jpg\n']
s59234239_2,p11569093,s59234239,2,Findings,"An endotracheal tube terminates 5.1 cm above the carina. Again seen is a markedly elevated right hemidiaphragm. There is mild central pulmonary vascular congestion with interstitial edema. Small bilateral pleural effusions are present, larger on the right. An orogastric tube extends into the stomach. Since the prior examination, there has been worsening of mild-to-moderate interstitial edema and pulmonary vascular congestion. There is no pneumothorax. The cardiac and mediastinal silhouette is unchanged.","Since the prior examination, there has been worsening of mild-to-moderate interstitial edema and pulmonary vascular congestion.",interstitial edema and pulmonary vascular congestion,central,Worse,['files/p11/p11569093/s59234239/382dbe73-cac300e6-08430cac-cec951a4-86e9e1e1.jpg'],['files/p11/p11569093/s58407493/967d441a-a13a3abb-92836835-665f96e3-d5916b82.jpg\n']
s59234239_2,p11569093,s59234239,2,Impression,1. ET tube terminating 5.1 cm above the carina. Orogastric tube terminating within the stomach. 2. Interval worsening of mild-to-moderate pulmonary edema. 3. Unchanged marked right hemidiaphragm elevation.,Interval worsening of mild-to-moderate pulmonary edema.,pulmonary edema,central,Worse,['files/p11/p11569093/s59234239/382dbe73-cac300e6-08430cac-cec951a4-86e9e1e1.jpg'],['files/p11/p11569093/s58407493/967d441a-a13a3abb-92836835-665f96e3-d5916b82.jpg\n']
s59234239_2,p11569093,s59234239,2,Findings,"An endotracheal tube terminates 5.1 cm above the carina. Again seen is a markedly elevated right hemidiaphragm. There is mild central pulmonary vascular congestion with interstitial edema. Small bilateral pleural effusions are present, larger on the right. An orogastric tube extends into the stomach. Since the prior examination, there has been worsening of mild-to-moderate interstitial edema and pulmonary vascular congestion. There is no pneumothorax. The cardiac and mediastinal silhouette is unchanged.",Again seen is a markedly elevated right hemidiaphragm.,elevation,right hemidiaphragm,Stable,['files/p11/p11569093/s59234239/382dbe73-cac300e6-08430cac-cec951a4-86e9e1e1.jpg'],['files/p11/p11569093/s58407493/967d441a-a13a3abb-92836835-665f96e3-d5916b82.jpg\n']
s59234239_2,p11569093,s59234239,2,Findings,"An endotracheal tube terminates 5.1 cm above the carina. Again seen is a markedly elevated right hemidiaphragm. There is mild central pulmonary vascular congestion with interstitial edema. Small bilateral pleural effusions are present, larger on the right. An orogastric tube extends into the stomach. Since the prior examination, there has been worsening of mild-to-moderate interstitial edema and pulmonary vascular congestion. There is no pneumothorax. The cardiac and mediastinal silhouette is unchanged.",The cardiac and mediastinal silhouette is unchanged.,appearance,cardiac and mediastinal silhouette,Stable,['files/p11/p11569093/s59234239/382dbe73-cac300e6-08430cac-cec951a4-86e9e1e1.jpg'],['files/p11/p11569093/s58407493/967d441a-a13a3abb-92836835-665f96e3-d5916b82.jpg\n']
s59242045_32,p15131736,s59242045,32,Findings,Enteric and ET tubes are no longer visualized. Degree of pulmonary edema perhaps minimally less extensive when compared to prior. Cardiomegaly is again seen. Retrocardiac region is not well-visualized potentially in part due to overlying soft tissues and atelectasis although underlying infection cannot be excluded.,Degree of pulmonary edema perhaps minimally less extensive when compared to prior.,pulmonary edema,,Better,['files/p15/p15131736/s59242045/1432843f-fca7eaa3-df3e65b3-c45419fa-71029980.jpg'],['files/p15/p15131736/s59175350/a3f94558-fcb3a66f-7b6f0be2-1c09857b-168fb462.jpg\n']
s59242045_32,p15131736,s59242045,32,Findings,Enteric and ET tubes are no longer visualized. Degree of pulmonary edema perhaps minimally less extensive when compared to prior. Cardiomegaly is again seen. Retrocardiac region is not well-visualized potentially in part due to overlying soft tissues and atelectasis although underlying infection cannot be excluded.,Enteric and ET tubes are no longer visualized.,Enteric and ET tubes,,Resolve,['files/p15/p15131736/s59242045/1432843f-fca7eaa3-df3e65b3-c45419fa-71029980.jpg'],['files/p15/p15131736/s59175350/a3f94558-fcb3a66f-7b6f0be2-1c09857b-168fb462.jpg\n']
s59242045_32,p15131736,s59242045,32,Findings,Enteric and ET tubes are no longer visualized. Degree of pulmonary edema perhaps minimally less extensive when compared to prior. Cardiomegaly is again seen. Retrocardiac region is not well-visualized potentially in part due to overlying soft tissues and atelectasis although underlying infection cannot be excluded.,Cardiomegaly is again seen.,Cardiomegaly,,Stable,['files/p15/p15131736/s59242045/1432843f-fca7eaa3-df3e65b3-c45419fa-71029980.jpg'],['files/p15/p15131736/s59175350/a3f94558-fcb3a66f-7b6f0be2-1c09857b-168fb462.jpg\n']
s59242045_32,p15131736,s59242045,32,Findings,Enteric and ET tubes are no longer visualized. Degree of pulmonary edema perhaps minimally less extensive when compared to prior. Cardiomegaly is again seen. Retrocardiac region is not well-visualized potentially in part due to overlying soft tissues and atelectasis although underlying infection cannot be excluded.,Retrocardiac region is not well-visualized potentially in part due to overlying soft tissues and atelectasis although underlying infection cannot be excluded.,atelectasis,Retrocardiac,New,['files/p15/p15131736/s59242045/1432843f-fca7eaa3-df3e65b3-c45419fa-71029980.jpg'],['files/p15/p15131736/s59175350/a3f94558-fcb3a66f-7b6f0be2-1c09857b-168fb462.jpg\n']
s59242045_32,p15131736,s59242045,32,Impression,Moderate pulmonary edema. Retrocardiac opacity potentially in part technical although underlying infection can not be excluded. Appearance is similar compared to prior. Consider PA and lateral if patient is amenable.,Retrocardiac opacity potentially in part technical although underlying infection can not be excluded.,opacity,Retrocardiac,New,['files/p15/p15131736/s59242045/1432843f-fca7eaa3-df3e65b3-c45419fa-71029980.jpg'],['files/p15/p15131736/s59175350/a3f94558-fcb3a66f-7b6f0be2-1c09857b-168fb462.jpg\n']
s59243134_37,p10933609,s59243134,37,Impression,No new focal opacities are seen. Right upper lobe consolidation was present on ___ and could represent an old pneumonia or chronic changes. The lung volumes remain low.,The lung volumes remain low.,lung volumes,,Stable,"['files/p10/p10933609/s59243134/56d68575-e620ef2b-9e25dbcd-faa3f9d8-2f61e0ca.jpg', 'files/p10/p10933609/s59243134/bb067a71-304abf94-bb1611d4-e8ac9115-189005f3.jpg', 'files/p10/p10933609/s59243134/c5cb6fb9-7d707bd6-72335a6c-80038c03-35e3eb27.jpg']","['files/p10/p10933609/s59225625/7491ba73-b81aa431-0b41a7cb-733d87f1-4523ba29.jpg\n', 'files/p10/p10933609/s59225625/f67b2368-01c7950b-b586b58b-6d8c66a4-c8b17db2.jpg\n', 'files/p10/p10933609/s59225625/f79eadd6-c024fbbc-dec2a8a7-0d75c594-a53f0aa1.jpg\n']"
s59243134_37,p10933609,s59243134,37,Impression,No new focal opacities are seen. Right upper lobe consolidation was present on ___ and could represent an old pneumonia or chronic changes. The lung volumes remain low.,Right upper lobe consolidation was present on ___ and could represent an old pneumonia or chronic changes.,consolidation,right upper lobe,Stable,"['files/p10/p10933609/s59243134/56d68575-e620ef2b-9e25dbcd-faa3f9d8-2f61e0ca.jpg', 'files/p10/p10933609/s59243134/bb067a71-304abf94-bb1611d4-e8ac9115-189005f3.jpg', 'files/p10/p10933609/s59243134/c5cb6fb9-7d707bd6-72335a6c-80038c03-35e3eb27.jpg']","['files/p10/p10933609/s59225625/7491ba73-b81aa431-0b41a7cb-733d87f1-4523ba29.jpg\n', 'files/p10/p10933609/s59225625/f67b2368-01c7950b-b586b58b-6d8c66a4-c8b17db2.jpg\n', 'files/p10/p10933609/s59225625/f79eadd6-c024fbbc-dec2a8a7-0d75c594-a53f0aa1.jpg\n']"
s59243134_37,p10933609,s59243134,37,Findings,"The lung volumes are low and there is chronic lung disease, which is relatively unchanged since ___. No new focal opacities are seen compared to the ___ chest radiograph; however, right upper lobe consolidation is unchanged and may represent old pneumonia. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are normal.","No new focal opacities are seen compared to the ___ chest radiograph; however, right upper lobe consolidation is unchanged and may represent old pneumonia.",consolidation,right upper lobe,Stable,"['files/p10/p10933609/s59243134/56d68575-e620ef2b-9e25dbcd-faa3f9d8-2f61e0ca.jpg', 'files/p10/p10933609/s59243134/bb067a71-304abf94-bb1611d4-e8ac9115-189005f3.jpg', 'files/p10/p10933609/s59243134/c5cb6fb9-7d707bd6-72335a6c-80038c03-35e3eb27.jpg']","['files/p10/p10933609/s59225625/7491ba73-b81aa431-0b41a7cb-733d87f1-4523ba29.jpg\n', 'files/p10/p10933609/s59225625/f67b2368-01c7950b-b586b58b-6d8c66a4-c8b17db2.jpg\n', 'files/p10/p10933609/s59225625/f79eadd6-c024fbbc-dec2a8a7-0d75c594-a53f0aa1.jpg\n']"
s59243134_37,p10933609,s59243134,37,Findings,"The lung volumes are low and there is chronic lung disease, which is relatively unchanged since ___. No new focal opacities are seen compared to the ___ chest radiograph; however, right upper lobe consolidation is unchanged and may represent old pneumonia. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are normal.","The lung volumes are low and there is chronic lung disease, which is relatively unchanged since ___.",chronic lung disease,,Stable,"['files/p10/p10933609/s59243134/56d68575-e620ef2b-9e25dbcd-faa3f9d8-2f61e0ca.jpg', 'files/p10/p10933609/s59243134/bb067a71-304abf94-bb1611d4-e8ac9115-189005f3.jpg', 'files/p10/p10933609/s59243134/c5cb6fb9-7d707bd6-72335a6c-80038c03-35e3eb27.jpg']","['files/p10/p10933609/s59225625/7491ba73-b81aa431-0b41a7cb-733d87f1-4523ba29.jpg\n', 'files/p10/p10933609/s59225625/f67b2368-01c7950b-b586b58b-6d8c66a4-c8b17db2.jpg\n', 'files/p10/p10933609/s59225625/f79eadd6-c024fbbc-dec2a8a7-0d75c594-a53f0aa1.jpg\n']"
s59245308_17,p16751749,s59245308,17,Findings,"Tracheostomy tube is in standard position. Left subclavian line ends at mid SVC. Small lucency near the left lung apex could conceivably be a small pneumothorax, however, given the extent of bilateral severe subcutaneous emphysema, this may represent skin fold and moreover detection of small pneumothorax in this sitting is difficult. Otherwise, the overall extent of bilateral subcutaneous emphysema is unchanged. Multifocal lung opacities are similar. Cardiomediastinal silhouette is stable.","Otherwise, the overall extent of bilateral subcutaneous emphysema is unchanged.",subcutaneous emphysema,bilateral,Stable,['files/p16/p16751749/s59245308/bcf2cc18-3401053b-113ae6db-daa24d50-08934ad9.jpg'],['files/p16/p16751749/s59143968/4fa7066f-1353fcd0-c894483b-a6140dd1-91994574.jpg\n']
s59245308_17,p16751749,s59245308,17,Findings,"Tracheostomy tube is in standard position. Left subclavian line ends at mid SVC. Small lucency near the left lung apex could conceivably be a small pneumothorax, however, given the extent of bilateral severe subcutaneous emphysema, this may represent skin fold and moreover detection of small pneumothorax in this sitting is difficult. Otherwise, the overall extent of bilateral subcutaneous emphysema is unchanged. Multifocal lung opacities are similar. Cardiomediastinal silhouette is stable.",Multifocal lung opacities are similar.,multifocal lung opacities,,Stable,['files/p16/p16751749/s59245308/bcf2cc18-3401053b-113ae6db-daa24d50-08934ad9.jpg'],['files/p16/p16751749/s59143968/4fa7066f-1353fcd0-c894483b-a6140dd1-91994574.jpg\n']
s59245308_17,p16751749,s59245308,17,Findings,"Tracheostomy tube is in standard position. Left subclavian line ends at mid SVC. Small lucency near the left lung apex could conceivably be a small pneumothorax, however, given the extent of bilateral severe subcutaneous emphysema, this may represent skin fold and moreover detection of small pneumothorax in this sitting is difficult. Otherwise, the overall extent of bilateral subcutaneous emphysema is unchanged. Multifocal lung opacities are similar. Cardiomediastinal silhouette is stable.",Cardiomediastinal silhouette is stable.,cardiomediastinal silhouette,,Stable,['files/p16/p16751749/s59245308/bcf2cc18-3401053b-113ae6db-daa24d50-08934ad9.jpg'],['files/p16/p16751749/s59143968/4fa7066f-1353fcd0-c894483b-a6140dd1-91994574.jpg\n']
s59249240_3,p13849733,s59249240,3,Findings,"In comparison with the study of ___, there appears to be further increase in the substantial right pleural effusion. There is evidence of compressive atelectasis at the base. Some opacification just above the level of the effusion on the frontal view could possibly be a manifestation of consolidation in the appropriate clinical setting. Remainder of this study is unchanged.","In comparison with the study of ___, there appears to be further increase in the substantial right pleural effusion.",pleural effusion,right,Worse,"['files/p13/p13849733/s59249240/87ab8784-89bb34a7-0cd83f89-8208e8d6-8ceaaf76.jpg', 'files/p13/p13849733/s59249240/e4791df9-3e2d76f5-10a728c9-280d9819-3c7604b1.jpg']",['files/p13/p13849733/s58936335/9db9d5b2-ca959890-19e93b7b-dd184ea9-9bdabe28.jpg\n']
s59249240_3,p13849733,s59249240,3,Findings,"In comparison with the study of ___, there appears to be further increase in the substantial right pleural effusion. There is evidence of compressive atelectasis at the base. Some opacification just above the level of the effusion on the frontal view could possibly be a manifestation of consolidation in the appropriate clinical setting. Remainder of this study is unchanged.",Remainder of this study is unchanged.,findings,remainder of this study,Stable,"['files/p13/p13849733/s59249240/87ab8784-89bb34a7-0cd83f89-8208e8d6-8ceaaf76.jpg', 'files/p13/p13849733/s59249240/e4791df9-3e2d76f5-10a728c9-280d9819-3c7604b1.jpg']",['files/p13/p13849733/s58936335/9db9d5b2-ca959890-19e93b7b-dd184ea9-9bdabe28.jpg\n']
s59249979_5,p14794396,s59249979,5,Impression,"There is interval progression in upper lobe opacities, bilateral, with is similar areas of distribution but involving more substantial amount of lung parenchyma. Heart size and mediastinum are unchanged. The differential diagnosis might include cryptogenic organizing pneumonia as previously suggested as well as potentially sarcoidosis. Correlation with tissue diagnosis is recommended.",Heart size and mediastinum are unchanged.,size,Mediastinum,Stable,"['files/p14/p14794396/s59249979/510ca6cf-743434ff-01206413-6f3baf22-8e2e37b8.jpg', 'files/p14/p14794396/s59249979/7356a3c4-b08d7964-33f10497-0dc8f50e-4c20aa7f.jpg']","['files/p14/p14794396/s58369249/4fe5756d-bd504c0e-ec57e8bd-d9d21f15-a2cd65f3.jpg\n', 'files/p14/p14794396/s58369249/b2dff771-d162bb4b-180d5ef7-ed2022f8-e32ac869.jpg\n']"
s59249979_5,p14794396,s59249979,5,Impression,"There is interval progression in upper lobe opacities, bilateral, with is similar areas of distribution but involving more substantial amount of lung parenchyma. Heart size and mediastinum are unchanged. The differential diagnosis might include cryptogenic organizing pneumonia as previously suggested as well as potentially sarcoidosis. Correlation with tissue diagnosis is recommended.",Heart size and mediastinum are unchanged.,size,Heart,Stable,"['files/p14/p14794396/s59249979/510ca6cf-743434ff-01206413-6f3baf22-8e2e37b8.jpg', 'files/p14/p14794396/s59249979/7356a3c4-b08d7964-33f10497-0dc8f50e-4c20aa7f.jpg']","['files/p14/p14794396/s58369249/4fe5756d-bd504c0e-ec57e8bd-d9d21f15-a2cd65f3.jpg\n', 'files/p14/p14794396/s58369249/b2dff771-d162bb4b-180d5ef7-ed2022f8-e32ac869.jpg\n']"
s59249979_5,p14794396,s59249979,5,Impression,"There is interval progression in upper lobe opacities, bilateral, with is similar areas of distribution but involving more substantial amount of lung parenchyma. Heart size and mediastinum are unchanged. The differential diagnosis might include cryptogenic organizing pneumonia as previously suggested as well as potentially sarcoidosis. Correlation with tissue diagnosis is recommended.","There is interval progression in upper lobe opacities, bilateral, with is similar areas of distribution but involving more substantial amount of lung parenchyma.",opacities,upper lobe,Worse,"['files/p14/p14794396/s59249979/510ca6cf-743434ff-01206413-6f3baf22-8e2e37b8.jpg', 'files/p14/p14794396/s59249979/7356a3c4-b08d7964-33f10497-0dc8f50e-4c20aa7f.jpg']","['files/p14/p14794396/s58369249/4fe5756d-bd504c0e-ec57e8bd-d9d21f15-a2cd65f3.jpg\n', 'files/p14/p14794396/s58369249/b2dff771-d162bb4b-180d5ef7-ed2022f8-e32ac869.jpg\n']"
s59257021_1,p18828251,s59257021,1,Impression,The heart size is enlarged similar to prior study. Its rounded shape raises a question of cardiomyopathy and less likely pericardial effusion. Sternotomy wi,The heart size is enlarged similar to prior study.,Enlarged heart,,Stable,"['files/p18/p18828251/s59257021/4e9be397-991fc87b-669cc29c-d9952817-f382bbd7.jpg', 'files/p18/p18828251/s59257021/f608cced-6b58fb15-27c96aec-bee65e84-0155c300.jpg']",['files/p18/p18828251/s56693397/7e950526-ccc5960e-735b0f76-a80365d9-139f5bff.jpg\n']
s59258574_21,p16508811,s59258574,21,Findings,A right internal jugular catheter is in stable position. The heart is enlarged but stable in size. Pulmonary vascular congestion mild edema is minimally improved from the prior examination but persists. There is no focal consolidation or pleural effusion identified.,A right internal jugular catheter is in stable position.,Catheter,Right internal jugular,Stable,['files/p16/p16508811/s59258574/524967a5-136b039a-0f60c1fe-2450be2a-a34378a7.jpg'],"['files/p16/p16508811/s59206877/aee4ede5-44ecf0d9-5fe27051-91a30aab-2059b97d.jpg\n', 'files/p16/p16508811/s59206877/d69cce11-46d26bdd-72a95d03-473ab83c-553c9c91.jpg\n']"
s59258574_21,p16508811,s59258574,21,Impression,"Mild pulmonary edema, improving from the prior examination on ___. Bibasilar opacities are most consistent with edema however underlying infection should be considered in the appropriate setting.","Mild pulmonary edema, improving from the prior examination on ___.",Mild pulmonary edema,,Better,['files/p16/p16508811/s59258574/524967a5-136b039a-0f60c1fe-2450be2a-a34378a7.jpg'],"['files/p16/p16508811/s59206877/aee4ede5-44ecf0d9-5fe27051-91a30aab-2059b97d.jpg\n', 'files/p16/p16508811/s59206877/d69cce11-46d26bdd-72a95d03-473ab83c-553c9c91.jpg\n']"
s59258574_21,p16508811,s59258574,21,Findings,A right internal jugular catheter is in stable position. The heart is enlarged but stable in size. Pulmonary vascular congestion mild edema is minimally improved from the prior examination but persists. There is no focal consolidation or pleural effusion identified.,Pulmonary vascular congestion mild edema is minimally improved from the prior examination but persists.,Pulmonary vascular congestion mild edema,,Better,['files/p16/p16508811/s59258574/524967a5-136b039a-0f60c1fe-2450be2a-a34378a7.jpg'],"['files/p16/p16508811/s59206877/aee4ede5-44ecf0d9-5fe27051-91a30aab-2059b97d.jpg\n', 'files/p16/p16508811/s59206877/d69cce11-46d26bdd-72a95d03-473ab83c-553c9c91.jpg\n']"
s59258574_21,p16508811,s59258574,21,Findings,A right internal jugular catheter is in stable position. The heart is enlarged but stable in size. Pulmonary vascular congestion mild edema is minimally improved from the prior examination but persists. There is no focal consolidation or pleural effusion identified.,The heart is enlarged but stable in size.,Heart size,,Stable,['files/p16/p16508811/s59258574/524967a5-136b039a-0f60c1fe-2450be2a-a34378a7.jpg'],"['files/p16/p16508811/s59206877/aee4ede5-44ecf0d9-5fe27051-91a30aab-2059b97d.jpg\n', 'files/p16/p16508811/s59206877/d69cce11-46d26bdd-72a95d03-473ab83c-553c9c91.jpg\n']"
s59281953_0,p10959054,s59281953,0,Findings,"Since the examination from ___, right basilar nodular opacification is improved. There is a persistence of a moderate layering pulmonary effusion on the right. In addition, there is increased opacification in the right lower lobe, improved since ___. There are no new focal opacities concerning for pneumonia. There is no pneumothorax. The cardiomediastinal and hilar contours are stable, with mild cardiomegaly. Pulmonary vascularity is not increased.","In addition, there is increased opacification in the right lower lobe, improved since ___.",opacification,right lower lobe,Better,"['files/p10/p10959054/s59281953/21895b3c-f3dac4a2-da11d756-cf67ed5c-9c175d9a.jpg', 'files/p10/p10959054/s59281953/47aa8fda-9852d351-ef7343e7-38ee20f2-b982b15d.jpg', 'files/p10/p10959054/s59281953/e95b714a-2e4aaa4a-b64b4ff7-be56c461-c4a2daff.jpg']","['files/p10/p10959054/s54843884/0eb1e826-78e313fd-5cfbb793-495ebe3d-8a33deb6.jpg\n', 'files/p10/p10959054/s54843884/5ce0e74d-37b9ece4-1c499e7c-8532fcf4-41a56a44.jpg\n', 'files/p10/p10959054/s54843884/fac3496b-e7409291-fee33678-4f558175-6d35df13.jpg\n']"
s59281953_0,p10959054,s59281953,0,Findings,"Since the examination from ___, right basilar nodular opacification is improved. There is a persistence of a moderate layering pulmonary effusion on the right. In addition, there is increased opacification in the right lower lobe, improved since ___. There are no new focal opacities concerning for pneumonia. There is no pneumothorax. The cardiomediastinal and hilar contours are stable, with mild cardiomegaly. Pulmonary vascularity is not increased.",There is a persistence of a moderate layering pulmonary effusion on the right.,moderate layering pulmonary effusion,right,Stable,"['files/p10/p10959054/s59281953/21895b3c-f3dac4a2-da11d756-cf67ed5c-9c175d9a.jpg', 'files/p10/p10959054/s59281953/47aa8fda-9852d351-ef7343e7-38ee20f2-b982b15d.jpg', 'files/p10/p10959054/s59281953/e95b714a-2e4aaa4a-b64b4ff7-be56c461-c4a2daff.jpg']","['files/p10/p10959054/s54843884/0eb1e826-78e313fd-5cfbb793-495ebe3d-8a33deb6.jpg\n', 'files/p10/p10959054/s54843884/5ce0e74d-37b9ece4-1c499e7c-8532fcf4-41a56a44.jpg\n', 'files/p10/p10959054/s54843884/fac3496b-e7409291-fee33678-4f558175-6d35df13.jpg\n']"
s59281953_0,p10959054,s59281953,0,Findings,"Since the examination from ___, right basilar nodular opacification is improved. There is a persistence of a moderate layering pulmonary effusion on the right. In addition, there is increased opacification in the right lower lobe, improved since ___. There are no new focal opacities concerning for pneumonia. There is no pneumothorax. The cardiomediastinal and hilar contours are stable, with mild cardiomegaly. Pulmonary vascularity is not increased.","Since the examination from ___, right basilar nodular opacification is improved.",nodular opacification,right basilar,Better,"['files/p10/p10959054/s59281953/21895b3c-f3dac4a2-da11d756-cf67ed5c-9c175d9a.jpg', 'files/p10/p10959054/s59281953/47aa8fda-9852d351-ef7343e7-38ee20f2-b982b15d.jpg', 'files/p10/p10959054/s59281953/e95b714a-2e4aaa4a-b64b4ff7-be56c461-c4a2daff.jpg']","['files/p10/p10959054/s54843884/0eb1e826-78e313fd-5cfbb793-495ebe3d-8a33deb6.jpg\n', 'files/p10/p10959054/s54843884/5ce0e74d-37b9ece4-1c499e7c-8532fcf4-41a56a44.jpg\n', 'files/p10/p10959054/s54843884/fac3496b-e7409291-fee33678-4f558175-6d35df13.jpg\n']"
s59281953_0,p10959054,s59281953,0,Findings,"Since the examination from ___, right basilar nodular opacification is improved. There is a persistence of a moderate layering pulmonary effusion on the right. In addition, there is increased opacification in the right lower lobe, improved since ___. There are no new focal opacities concerning for pneumonia. There is no pneumothorax. The cardiomediastinal and hilar contours are stable, with mild cardiomegaly. Pulmonary vascularity is not increased.","The cardiomediastinal and hilar contours are stable, with mild cardiomegaly.",mild cardiomegaly,,Stable,"['files/p10/p10959054/s59281953/21895b3c-f3dac4a2-da11d756-cf67ed5c-9c175d9a.jpg', 'files/p10/p10959054/s59281953/47aa8fda-9852d351-ef7343e7-38ee20f2-b982b15d.jpg', 'files/p10/p10959054/s59281953/e95b714a-2e4aaa4a-b64b4ff7-be56c461-c4a2daff.jpg']","['files/p10/p10959054/s54843884/0eb1e826-78e313fd-5cfbb793-495ebe3d-8a33deb6.jpg\n', 'files/p10/p10959054/s54843884/5ce0e74d-37b9ece4-1c499e7c-8532fcf4-41a56a44.jpg\n', 'files/p10/p10959054/s54843884/fac3496b-e7409291-fee33678-4f558175-6d35df13.jpg\n']"
s59281953_0,p10959054,s59281953,0,Impression,"Moderate layering right subpulmonic pleural effusion. Otherwise, mild improvement in right basilar atelectasis.","Otherwise, mild improvement in right basilar atelectasis.",atelectasis,right basilar,Better,"['files/p10/p10959054/s59281953/21895b3c-f3dac4a2-da11d756-cf67ed5c-9c175d9a.jpg', 'files/p10/p10959054/s59281953/47aa8fda-9852d351-ef7343e7-38ee20f2-b982b15d.jpg', 'files/p10/p10959054/s59281953/e95b714a-2e4aaa4a-b64b4ff7-be56c461-c4a2daff.jpg']","['files/p10/p10959054/s54843884/0eb1e826-78e313fd-5cfbb793-495ebe3d-8a33deb6.jpg\n', 'files/p10/p10959054/s54843884/5ce0e74d-37b9ece4-1c499e7c-8532fcf4-41a56a44.jpg\n', 'files/p10/p10959054/s54843884/fac3496b-e7409291-fee33678-4f558175-6d35df13.jpg\n']"
s59285132_0,p19609215,s59285132,0,Findings,"On this study, the lungs are better expanded and the lungs appear clear. A right upper lobe granuloma is unchanged. No pneumothorax or pleural effusion is present. The cardiac silhouette, hilar and mediastinal contours appear normal.",A right upper lobe granuloma is unchanged.,granuloma,right upper lobe,Stable,['files/p19/p19609215/s59285132/8bedfff2-8d66e0f5-e4b03459-1e0fd124-b7efed95.jpg'],
s59286076_0,p19028690,s59286076,0,Findings,"There are low lung volumes without focal consolidation, effusion, or pneumothorax. The cardiac silhouette is moderately enlarged, there is stable widening of the mediastinum. Pulmonary vasculature appears normal.","The cardiac silhouette is moderately enlarged, there is stable widening of the mediastinum.",widening,mediastinum,Stable,"['files/p19/p19028690/s59286076/3706cb8c-281ab1eb-f066978e-bce7d893-4b60bca9.jpg', 'files/p19/p19028690/s59286076/5f860da1-0df267dd-71c297f8-f5833732-c79b751d.jpg']","['files/p19/p19028690/s58640644/88599fd0-57288634-2d77f19e-73726d34-90158ecc.jpg\n', 'files/p19/p19028690/s58640644/932b89a1-c36ebee2-a99dbcb1-aad3c07f-21047198.jpg\n', 'files/p19/p19028690/s58640644/db9b56da-aba5bf9f-df933d41-8e777fe3-56275adf.jpg\n']"
s59286076_0,p19028690,s59286076,0,Impression,"Low lung volumes, without pneumonia or CHF. Moderate cardiac enlargement is stable in appearance.",Moderate cardiac enlargement is stable in appearance.,enlargement,cardiac,Stable,"['files/p19/p19028690/s59286076/3706cb8c-281ab1eb-f066978e-bce7d893-4b60bca9.jpg', 'files/p19/p19028690/s59286076/5f860da1-0df267dd-71c297f8-f5833732-c79b751d.jpg']","['files/p19/p19028690/s58640644/88599fd0-57288634-2d77f19e-73726d34-90158ecc.jpg\n', 'files/p19/p19028690/s58640644/932b89a1-c36ebee2-a99dbcb1-aad3c07f-21047198.jpg\n', 'files/p19/p19028690/s58640644/db9b56da-aba5bf9f-df933d41-8e777fe3-56275adf.jpg\n']"
s59287720_7,p15378103,s59287720,7,Findings,"In comparison with the study of ___, the monitoring and support devices remain in place. Diffuse bilateral pulmonary opacifications are essentially unchanged.","In comparison with the study of ___, the monitoring and support devices remain in place.",monitoring and support devices,,Stable,['files/p15/p15378103/s59287720/ae716843-fde7cd99-a5fb83a1-9d5eb9d9-ffb02e30.jpg'],"['files/p15/p15378103/s57806038/013e73b1-d8b2282a-e29336bf-11b69878-27b1124d.jpg\n', 'files/p15/p15378103/s57806038/d45c4a49-a6851be0-0312740e-161eac2e-2badc9f5.jpg\n']"
s59287720_7,p15378103,s59287720,7,Findings,"In comparison with the study of ___, the monitoring and support devices remain in place. Diffuse bilateral pulmonary opacifications are essentially unchanged.",Diffuse bilateral pulmonary opacifications are essentially unchanged.,pulmonary opacifications,bilateral,Stable,['files/p15/p15378103/s59287720/ae716843-fde7cd99-a5fb83a1-9d5eb9d9-ffb02e30.jpg'],"['files/p15/p15378103/s57806038/013e73b1-d8b2282a-e29336bf-11b69878-27b1124d.jpg\n', 'files/p15/p15378103/s57806038/d45c4a49-a6851be0-0312740e-161eac2e-2badc9f5.jpg\n']"
s59289980_4,p12702423,s59289980,4,Findings,"A persistent patchy opacification in the left mid and lower lung fields, unchanged from the prior exam. The right lower lung aeration has improved from the prior exam with resolution of the previously seen opacity. Multiple small nodules are seen bilaterally, consistent with the patient's known history of metastatic renal cell carcinoma. No new opacifications are present. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.",The right lower lung aeration has improved from the prior exam with resolution of the previously seen opacity.,opacity,right lower lung,Resolve,['files/p12/p12702423/s59289980/6a3ffb5c-a406d8c7-ed1414d0-d1521e7f-48b48a9a.jpg'],"['files/p12/p12702423/s58466818/25c48dee-7755c1f3-3e5f2e03-54b0e004-4f3c5b00.jpg\n', 'files/p12/p12702423/s58466818/2dbe3e39-beef7811-9031988b-a6c7348b-c98a9ab6.jpg\n']"
s59289980_4,p12702423,s59289980,4,Findings,"A persistent patchy opacification in the left mid and lower lung fields, unchanged from the prior exam. The right lower lung aeration has improved from the prior exam with resolution of the previously seen opacity. Multiple small nodules are seen bilaterally, consistent with the patient's known history of metastatic renal cell carcinoma. No new opacifications are present. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.","A persistent patchy opacification in the left mid and lower lung fields, unchanged from the prior exam.",patchy opacification,left mid and lower lung fields,Stable,['files/p12/p12702423/s59289980/6a3ffb5c-a406d8c7-ed1414d0-d1521e7f-48b48a9a.jpg'],"['files/p12/p12702423/s58466818/25c48dee-7755c1f3-3e5f2e03-54b0e004-4f3c5b00.jpg\n', 'files/p12/p12702423/s58466818/2dbe3e39-beef7811-9031988b-a6c7348b-c98a9ab6.jpg\n']"
s59289980_4,p12702423,s59289980,4,Impression,"1. Improvement in right lower lobe aeration with resolution of previously seen opacity. 1. Persistent left mid and lower lung opacification. 2. Multiple pulmonary nodules, consistent with known history of metastatic renal cell carcinoma.",Persistent left mid and lower lung opacification.,opacification,left mid and lower lung,Stable,['files/p12/p12702423/s59289980/6a3ffb5c-a406d8c7-ed1414d0-d1521e7f-48b48a9a.jpg'],"['files/p12/p12702423/s58466818/25c48dee-7755c1f3-3e5f2e03-54b0e004-4f3c5b00.jpg\n', 'files/p12/p12702423/s58466818/2dbe3e39-beef7811-9031988b-a6c7348b-c98a9ab6.jpg\n']"
s59289980_4,p12702423,s59289980,4,Impression,"1. Improvement in right lower lobe aeration with resolution of previously seen opacity. 1. Persistent left mid and lower lung opacification. 2. Multiple pulmonary nodules, consistent with known history of metastatic renal cell carcinoma.",Improvement in right lower lobe aeration with resolution of previously seen opacity.,opacity,right lower lobe,Resolve,['files/p12/p12702423/s59289980/6a3ffb5c-a406d8c7-ed1414d0-d1521e7f-48b48a9a.jpg'],"['files/p12/p12702423/s58466818/25c48dee-7755c1f3-3e5f2e03-54b0e004-4f3c5b00.jpg\n', 'files/p12/p12702423/s58466818/2dbe3e39-beef7811-9031988b-a6c7348b-c98a9ab6.jpg\n']"
s59291942_5,p15338518,s59291942,5,Findings,"In comparison with earlier study of this date, the nasogastric tube extends well into the stomach with the tip beyond the lower limit of the image. The Dobbhoff tube has been removed.",The Dobbhoff tube has been removed.,Dobbhoff tube,,Resolve,['files/p15/p15338518/s59291942/035b3c94-500ee35c-10e923c5-3a5a2324-348b48c2.jpg'],['files/p15/p15338518/s59124380/8d15d949-caaa05f3-1811c857-a95fc3d0-6bf995b2.jpg\n']
s59299448_16,p14841168,s59299448,16,Findings,"The right PICC has been removed in the interval. There is moderate enlargement of the cardiac silhouette which is not significantly changed from the prior exam. The mediastinal and hilar contours are unchanged, with continued widening of the mediastinum and aortic knob calcifications redemonstrated. Mild pulmonary vascular congestion persists, and is not significantly changed in the interval. Left basilar atelectasis is also noted, with a small right pleural effusion. No pneumothorax is identified.","Mild pulmonary vascular congestion persists, and is not significantly changed in the interval.",Mild pulmonary vascular congestion,,Stable,"['files/p14/p14841168/s59299448/65d133df-679e0589-f0e750af-c7493795-d719917f.jpg', 'files/p14/p14841168/s59299448/ba840241-39ec80e6-7525149d-a587f345-856f138e.jpg', 'files/p14/p14841168/s59299448/db46fb79-5ef144b5-a30257dc-a364a08f-731905ea.jpg']","['files/p14/p14841168/s59061065/4f5ceb49-3bea4142-b3d31cf2-dd2d774c-d213dc35.jpg\n', 'files/p14/p14841168/s59061065/f74a6e2d-7ecce9f0-cf647641-73115c8d-2af49e3d.jpg\n']"
s59299448_16,p14841168,s59299448,16,Findings,"The right PICC has been removed in the interval. There is moderate enlargement of the cardiac silhouette which is not significantly changed from the prior exam. The mediastinal and hilar contours are unchanged, with continued widening of the mediastinum and aortic knob calcifications redemonstrated. Mild pulmonary vascular congestion persists, and is not significantly changed in the interval. Left basilar atelectasis is also noted, with a small right pleural effusion. No pneumothorax is identified.","The mediastinal and hilar contours are unchanged, with continued widening of the mediastinum and aortic knob calcifications redemonstrated.",Widening of the mediastinum,,Stable,"['files/p14/p14841168/s59299448/65d133df-679e0589-f0e750af-c7493795-d719917f.jpg', 'files/p14/p14841168/s59299448/ba840241-39ec80e6-7525149d-a587f345-856f138e.jpg', 'files/p14/p14841168/s59299448/db46fb79-5ef144b5-a30257dc-a364a08f-731905ea.jpg']","['files/p14/p14841168/s59061065/4f5ceb49-3bea4142-b3d31cf2-dd2d774c-d213dc35.jpg\n', 'files/p14/p14841168/s59061065/f74a6e2d-7ecce9f0-cf647641-73115c8d-2af49e3d.jpg\n']"
s59299448_16,p14841168,s59299448,16,Findings,"The right PICC has been removed in the interval. There is moderate enlargement of the cardiac silhouette which is not significantly changed from the prior exam. The mediastinal and hilar contours are unchanged, with continued widening of the mediastinum and aortic knob calcifications redemonstrated. Mild pulmonary vascular congestion persists, and is not significantly changed in the interval. Left basilar atelectasis is also noted, with a small right pleural effusion. No pneumothorax is identified.",The right PICC has been removed in the interval.,PICC,right,Resolve,"['files/p14/p14841168/s59299448/65d133df-679e0589-f0e750af-c7493795-d719917f.jpg', 'files/p14/p14841168/s59299448/ba840241-39ec80e6-7525149d-a587f345-856f138e.jpg', 'files/p14/p14841168/s59299448/db46fb79-5ef144b5-a30257dc-a364a08f-731905ea.jpg']","['files/p14/p14841168/s59061065/4f5ceb49-3bea4142-b3d31cf2-dd2d774c-d213dc35.jpg\n', 'files/p14/p14841168/s59061065/f74a6e2d-7ecce9f0-cf647641-73115c8d-2af49e3d.jpg\n']"
s59299448_16,p14841168,s59299448,16,Findings,"The right PICC has been removed in the interval. There is moderate enlargement of the cardiac silhouette which is not significantly changed from the prior exam. The mediastinal and hilar contours are unchanged, with continued widening of the mediastinum and aortic knob calcifications redemonstrated. Mild pulmonary vascular congestion persists, and is not significantly changed in the interval. Left basilar atelectasis is also noted, with a small right pleural effusion. No pneumothorax is identified.","The mediastinal and hilar contours are unchanged, with continued widening of the mediastinum and aortic knob calcifications redemonstrated.",Mediastinal and hilar contours,,Stable,"['files/p14/p14841168/s59299448/65d133df-679e0589-f0e750af-c7493795-d719917f.jpg', 'files/p14/p14841168/s59299448/ba840241-39ec80e6-7525149d-a587f345-856f138e.jpg', 'files/p14/p14841168/s59299448/db46fb79-5ef144b5-a30257dc-a364a08f-731905ea.jpg']","['files/p14/p14841168/s59061065/4f5ceb49-3bea4142-b3d31cf2-dd2d774c-d213dc35.jpg\n', 'files/p14/p14841168/s59061065/f74a6e2d-7ecce9f0-cf647641-73115c8d-2af49e3d.jpg\n']"
s59299448_16,p14841168,s59299448,16,Findings,"The right PICC has been removed in the interval. There is moderate enlargement of the cardiac silhouette which is not significantly changed from the prior exam. The mediastinal and hilar contours are unchanged, with continued widening of the mediastinum and aortic knob calcifications redemonstrated. Mild pulmonary vascular congestion persists, and is not significantly changed in the interval. Left basilar atelectasis is also noted, with a small right pleural effusion. No pneumothorax is identified.",There is moderate enlargement of the cardiac silhouette which is not significantly changed from the prior exam.,Moderate enlargement of the cardiac silhouette,,Stable,"['files/p14/p14841168/s59299448/65d133df-679e0589-f0e750af-c7493795-d719917f.jpg', 'files/p14/p14841168/s59299448/ba840241-39ec80e6-7525149d-a587f345-856f138e.jpg', 'files/p14/p14841168/s59299448/db46fb79-5ef144b5-a30257dc-a364a08f-731905ea.jpg']","['files/p14/p14841168/s59061065/4f5ceb49-3bea4142-b3d31cf2-dd2d774c-d213dc35.jpg\n', 'files/p14/p14841168/s59061065/f74a6e2d-7ecce9f0-cf647641-73115c8d-2af49e3d.jpg\n']"
s59299448_16,p14841168,s59299448,16,Findings,"The right PICC has been removed in the interval. There is moderate enlargement of the cardiac silhouette which is not significantly changed from the prior exam. The mediastinal and hilar contours are unchanged, with continued widening of the mediastinum and aortic knob calcifications redemonstrated. Mild pulmonary vascular congestion persists, and is not significantly changed in the interval. Left basilar atelectasis is also noted, with a small right pleural effusion. No pneumothorax is identified.","The mediastinal and hilar contours are unchanged, with continued widening of the mediastinum and aortic knob calcifications redemonstrated.",Aortic knob calcifications,,Stable,"['files/p14/p14841168/s59299448/65d133df-679e0589-f0e750af-c7493795-d719917f.jpg', 'files/p14/p14841168/s59299448/ba840241-39ec80e6-7525149d-a587f345-856f138e.jpg', 'files/p14/p14841168/s59299448/db46fb79-5ef144b5-a30257dc-a364a08f-731905ea.jpg']","['files/p14/p14841168/s59061065/4f5ceb49-3bea4142-b3d31cf2-dd2d774c-d213dc35.jpg\n', 'files/p14/p14841168/s59061065/f74a6e2d-7ecce9f0-cf647641-73115c8d-2af49e3d.jpg\n']"
s59303778_25,p12185775,s59303778,25,Findings,"In comparison with the study of ___, there is little overall change. Continued enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis. Central catheter remains in place.",Continued enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis.,compressive atelectasis,bilateral,Stable,['files/p12/p12185775/s59303778/c56f8951-02281b89-f74c14f3-806db927-c57c3c7a.jpg'],"['files/p12/p12185775/s59200846/4a94c799-50173f0e-07f9f74f-febe16d4-407387d6.jpg\n', 'files/p12/p12185775/s59200846/d1cb903c-16d23127-ba525151-91a0fa21-20a12246.jpg\n']"
s59303778_25,p12185775,s59303778,25,Findings,"In comparison with the study of ___, there is little overall change. Continued enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis. Central catheter remains in place.",Continued enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis.,vascular congestion,pulmonary,Stable,['files/p12/p12185775/s59303778/c56f8951-02281b89-f74c14f3-806db927-c57c3c7a.jpg'],"['files/p12/p12185775/s59200846/4a94c799-50173f0e-07f9f74f-febe16d4-407387d6.jpg\n', 'files/p12/p12185775/s59200846/d1cb903c-16d23127-ba525151-91a0fa21-20a12246.jpg\n']"
s59303778_25,p12185775,s59303778,25,Findings,"In comparison with the study of ___, there is little overall change. Continued enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis. Central catheter remains in place.",Central catheter remains in place.,catheter,Central,Stable,['files/p12/p12185775/s59303778/c56f8951-02281b89-f74c14f3-806db927-c57c3c7a.jpg'],"['files/p12/p12185775/s59200846/4a94c799-50173f0e-07f9f74f-febe16d4-407387d6.jpg\n', 'files/p12/p12185775/s59200846/d1cb903c-16d23127-ba525151-91a0fa21-20a12246.jpg\n']"
s59303778_25,p12185775,s59303778,25,Findings,"In comparison with the study of ___, there is little overall change. Continued enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis. Central catheter remains in place.",Continued enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis.,enlargement,cardiac silhouette,Stable,['files/p12/p12185775/s59303778/c56f8951-02281b89-f74c14f3-806db927-c57c3c7a.jpg'],"['files/p12/p12185775/s59200846/4a94c799-50173f0e-07f9f74f-febe16d4-407387d6.jpg\n', 'files/p12/p12185775/s59200846/d1cb903c-16d23127-ba525151-91a0fa21-20a12246.jpg\n']"
s59303778_25,p12185775,s59303778,25,Findings,"In comparison with the study of ___, there is little overall change. Continued enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis. Central catheter remains in place.",Continued enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis.,pleural effusions,bilateral,Stable,['files/p12/p12185775/s59303778/c56f8951-02281b89-f74c14f3-806db927-c57c3c7a.jpg'],"['files/p12/p12185775/s59200846/4a94c799-50173f0e-07f9f74f-febe16d4-407387d6.jpg\n', 'files/p12/p12185775/s59200846/d1cb903c-16d23127-ba525151-91a0fa21-20a12246.jpg\n']"
s59306733_3,p19075045,s59306733,3,Findings,There has been some interval improved aeration in the left upper lobe that now permits visualization of the aortic knob and the previously described appearance of question widened mediastinum is now seen to have represented the left upper lobe infiltrate. There continues to be a dense left upper lobe infiltrate with more hazy opacity of the remainder of the left lung that could be due in part to layering effusion. There are increased patchy areas of infiltrate in the right lung. There is pulmonary vascular re-distribution and ill-defined vasculature consistent with fluid overload. The heart size is mildly enlarged. Swan-Ganz catheter tip is in the main pulmonary artery. The ET tube is 4 cm above the carina. Left chest tube and mediastinal drains are unchanged. The dual-lead pacemaker is unchanged.,There are increased patchy areas of infiltrate in the right lung.,infiltrate,right lung,Worse,"['files/p19/p19075045/s59306733/2ec4e8c7-f4b9b644-8b532687-5eb8a5e7-db29b058.jpg', 'files/p19/p19075045/s59306733/74728f75-0a018add-11c546f2-e847b4e1-25501802.jpg']",['files/p19/p19075045/s58669896/e8fe1d63-cd1aba2f-a7c06ed9-9add34f1-736fa06f.jpg\n']
s59306733_3,p19075045,s59306733,3,Findings,There has been some interval improved aeration in the left upper lobe that now permits visualization of the aortic knob and the previously described appearance of question widened mediastinum is now seen to have represented the left upper lobe infiltrate. There continues to be a dense left upper lobe infiltrate with more hazy opacity of the remainder of the left lung that could be due in part to layering effusion. There are increased patchy areas of infiltrate in the right lung. There is pulmonary vascular re-distribution and ill-defined vasculature consistent with fluid overload. The heart size is mildly enlarged. Swan-Ganz catheter tip is in the main pulmonary artery. The ET tube is 4 cm above the carina. Left chest tube and mediastinal drains are unchanged. The dual-lead pacemaker is unchanged.,Left chest tube and mediastinal drains are unchanged.,chest tube and mediastinal drains,left,Stable,"['files/p19/p19075045/s59306733/2ec4e8c7-f4b9b644-8b532687-5eb8a5e7-db29b058.jpg', 'files/p19/p19075045/s59306733/74728f75-0a018add-11c546f2-e847b4e1-25501802.jpg']",['files/p19/p19075045/s58669896/e8fe1d63-cd1aba2f-a7c06ed9-9add34f1-736fa06f.jpg\n']
s59306733_3,p19075045,s59306733,3,Findings,There has been some interval improved aeration in the left upper lobe that now permits visualization of the aortic knob and the previously described appearance of question widened mediastinum is now seen to have represented the left upper lobe infiltrate. There continues to be a dense left upper lobe infiltrate with more hazy opacity of the remainder of the left lung that could be due in part to layering effusion. There are increased patchy areas of infiltrate in the right lung. There is pulmonary vascular re-distribution and ill-defined vasculature consistent with fluid overload. The heart size is mildly enlarged. Swan-Ganz catheter tip is in the main pulmonary artery. The ET tube is 4 cm above the carina. Left chest tube and mediastinal drains are unchanged. The dual-lead pacemaker is unchanged.,The dual-lead pacemaker is unchanged.,dual-lead pacemaker,,Stable,"['files/p19/p19075045/s59306733/2ec4e8c7-f4b9b644-8b532687-5eb8a5e7-db29b058.jpg', 'files/p19/p19075045/s59306733/74728f75-0a018add-11c546f2-e847b4e1-25501802.jpg']",['files/p19/p19075045/s58669896/e8fe1d63-cd1aba2f-a7c06ed9-9add34f1-736fa06f.jpg\n']
s59306733_3,p19075045,s59306733,3,Findings,There has been some interval improved aeration in the left upper lobe that now permits visualization of the aortic knob and the previously described appearance of question widened mediastinum is now seen to have represented the left upper lobe infiltrate. There continues to be a dense left upper lobe infiltrate with more hazy opacity of the remainder of the left lung that could be due in part to layering effusion. There are increased patchy areas of infiltrate in the right lung. There is pulmonary vascular re-distribution and ill-defined vasculature consistent with fluid overload. The heart size is mildly enlarged. Swan-Ganz catheter tip is in the main pulmonary artery. The ET tube is 4 cm above the carina. Left chest tube and mediastinal drains are unchanged. The dual-lead pacemaker is unchanged.,There has been some interval improved aeration in the left upper lobe that now permits visualization of the aortic knob and the previously described appearance of question widened mediastinum is now seen to have represented the left upper lobe infiltrate.,aeration,left upper lobe,Better,"['files/p19/p19075045/s59306733/2ec4e8c7-f4b9b644-8b532687-5eb8a5e7-db29b058.jpg', 'files/p19/p19075045/s59306733/74728f75-0a018add-11c546f2-e847b4e1-25501802.jpg']",['files/p19/p19075045/s58669896/e8fe1d63-cd1aba2f-a7c06ed9-9add34f1-736fa06f.jpg\n']
s59307024_15,p13078497,s59307024,15,Findings,"As compared to the previous radiograph, there is no relevant change. Widespread bilateral parenchymal opacities, combined to an enlarged cardiac silhouette. The monitoring and support devices are in constant position.","Widespread bilateral parenchymal opacities, combined to an enlarged cardiac silhouette.",parenchymal opacities,bilateral,Stable,['files/p13/p13078497/s59307024/d60ada4f-e51bcc38-d167a258-52f452e1-8dc95433.jpg'],['files/p13/p13078497/s58895837/aed9fe49-bb7468b2-ba4f60dd-25410316-df9b9d8c.jpg\n']
s59307024_15,p13078497,s59307024,15,Findings,"As compared to the previous radiograph, there is no relevant change. Widespread bilateral parenchymal opacities, combined to an enlarged cardiac silhouette. The monitoring and support devices are in constant position.","Widespread bilateral parenchymal opacities, combined to an enlarged cardiac silhouette.",enlarged cardiac silhouette,,Stable,['files/p13/p13078497/s59307024/d60ada4f-e51bcc38-d167a258-52f452e1-8dc95433.jpg'],['files/p13/p13078497/s58895837/aed9fe49-bb7468b2-ba4f60dd-25410316-df9b9d8c.jpg\n']
s59310626_4,p12475198,s59310626,4,Findings,"As compared to the previous radiograph, the monitoring and support devices are unchanged. At low lung volumes there is moderate cardiomegaly and mild fluid overload but no overt pulmonary edema. No pleural effusions. No visible pneumothorax.","As compared to the previous radiograph, the monitoring and support devices are unchanged.",monitoring and support devices,,Stable,"['files/p12/p12475198/s59310626/9a3cb956-6be6d465-3555e1c4-10913d77-7e86b041.jpg', 'files/p12/p12475198/s59310626/b92a4a75-b5345ec3-917fc5be-e7953fb5-d91be228.jpg']",['files/p12/p12475198/s58891388/0c0e838d-f104a134-1cb0290a-1d03cf65-de502b0c.jpg\n']
s59317044_18,p19061282,s59317044,18,Impression,"In comparison to ___ radiograph, a tracheostomy tube is been placed, in standard position, with no visible pneumothorax or pneumomediastinum. Heart has slightly decreased in size in the interval, and pulmonary vascular congestion and edema have resolved in the interval. There remains dense opacification in the left retrocardiac region accompanied by a a decreasing small left pleural effusion. A vascular catheter courses from the inferior vena cava and extends superiorly beyond the right atrium into the superior vena cava, terminating at the level of the right tracheobronchial angle. Additional lateral chest radiograph may be helpful to determine precise positioning of the catheter.",There remains dense opacification in the left retrocardiac region accompanied by a a decreasing small left pleural effusion.,Dense opacification,Left retrocardiac region,Worse,['files/p19/p19061282/s59317044/f8f0ddd7-c4671c6e-c2f37429-85d69299-f23286bf.jpg'],['files/p19/p19061282/s59190819/24b1563d-4e7efd6d-c06b429d-2ea5af54-95e60968.jpg\n']
s59317044_18,p19061282,s59317044,18,Impression,"In comparison to ___ radiograph, a tracheostomy tube is been placed, in standard position, with no visible pneumothorax or pneumomediastinum. Heart has slightly decreased in size in the interval, and pulmonary vascular congestion and edema have resolved in the interval. There remains dense opacification in the left retrocardiac region accompanied by a a decreasing small left pleural effusion. A vascular catheter courses from the inferior vena cava and extends superiorly beyond the right atrium into the superior vena cava, terminating at the level of the right tracheobronchial angle. Additional lateral chest radiograph may be helpful to determine precise positioning of the catheter.","Heart has slightly decreased in size in the interval, and pulmonary vascular congestion and edema have resolved in the interval.",Vascular congestion and edema,Pulmonary,Resolve,['files/p19/p19061282/s59317044/f8f0ddd7-c4671c6e-c2f37429-85d69299-f23286bf.jpg'],['files/p19/p19061282/s59190819/24b1563d-4e7efd6d-c06b429d-2ea5af54-95e60968.jpg\n']
s59317044_18,p19061282,s59317044,18,Impression,"In comparison to ___ radiograph, a tracheostomy tube is been placed, in standard position, with no visible pneumothorax or pneumomediastinum. Heart has slightly decreased in size in the interval, and pulmonary vascular congestion and edema have resolved in the interval. There remains dense opacification in the left retrocardiac region accompanied by a a decreasing small left pleural effusion. A vascular catheter courses from the inferior vena cava and extends superiorly beyond the right atrium into the superior vena cava, terminating at the level of the right tracheobronchial angle. Additional lateral chest radiograph may be helpful to determine precise positioning of the catheter.",There remains dense opacification in the left retrocardiac region accompanied by a a decreasing small left pleural effusion.,Small pleural effusion,Left,Better,['files/p19/p19061282/s59317044/f8f0ddd7-c4671c6e-c2f37429-85d69299-f23286bf.jpg'],['files/p19/p19061282/s59190819/24b1563d-4e7efd6d-c06b429d-2ea5af54-95e60968.jpg\n']
s59318971_1,p13291370,s59318971,1,Findings,"Known COPD. The pre-existing parenchymal opacity, best visible on the lateral radiograph projecting over the spine, has decreased in extent and density. The change is still visible but substantially more subtle than on the previous exam. Known COPD, status post CABG and pacemaker implant. Borderline size of the cardiac silhouette, tortuosity of the thoracic aorta.",The change is still visible but substantially more subtle than on the previous exam.,parenchymal opacity,spine,Better,"['files/p13/p13291370/s59318971/16ab4ad2-7d949b6c-7915355a-323ac15e-a86485d8.jpg', 'files/p13/p13291370/s59318971/89759821-5078bd23-fe386ea6-806c0e14-2ce65596.jpg']","['files/p13/p13291370/s59219086/0824c892-9b1d767d-9c4febae-3f1ddaa6-f5832d66.jpg\n', 'files/p13/p13291370/s59219086/b7475cd6-3cde7fbe-577c03d1-49d6df2d-21f880a9.jpg\n', 'files/p13/p13291370/s59219086/db55c891-0b9f270b-6607c124-77f3c770-ccc1465d.jpg\n']"
s59318971_1,p13291370,s59318971,1,Findings,"Known COPD. The pre-existing parenchymal opacity, best visible on the lateral radiograph projecting over the spine, has decreased in extent and density. The change is still visible but substantially more subtle than on the previous exam. Known COPD, status post CABG and pacemaker implant. Borderline size of the cardiac silhouette, tortuosity of the thoracic aorta.","The pre-existing parenchymal opacity, best visible on the lateral radiograph projecting over the spine, has decreased in extent and density.",parenchymal opacity,spine,Better,"['files/p13/p13291370/s59318971/16ab4ad2-7d949b6c-7915355a-323ac15e-a86485d8.jpg', 'files/p13/p13291370/s59318971/89759821-5078bd23-fe386ea6-806c0e14-2ce65596.jpg']","['files/p13/p13291370/s59219086/0824c892-9b1d767d-9c4febae-3f1ddaa6-f5832d66.jpg\n', 'files/p13/p13291370/s59219086/b7475cd6-3cde7fbe-577c03d1-49d6df2d-21f880a9.jpg\n', 'files/p13/p13291370/s59219086/db55c891-0b9f270b-6607c124-77f3c770-ccc1465d.jpg\n']"
s59325966_7,p19907884,s59325966,7,Findings,"PA and lateral views of the chest. Again, low lung volumes are seen with relative elevation of the right hemidiaphragm which is unchanged. The lungs are clear without effusion, pulmonary vascular congestion or pneumothorax. Again seen are surgical clips in the right paramediastinal region. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected. No free air is seen below the diaphragm.","Again, low lung volumes are seen with relative elevation of the right hemidiaphragm which is unchanged.",Relative elevation,Right hemidiaphragm,Stable,"['files/p19/p19907884/s59325966/95e1b2d6-d0736b37-a91b2692-1483eba1-40fb9b7f.jpg', 'files/p19/p19907884/s59325966/c6db0413-f3266e66-031e9892-2809b536-c13cf9f2.jpg']",['files/p19/p19907884/s58635342/38c9787f-8f9a7af2-3814ee5a-ebd8ba86-d55e4279.jpg\n']
s59329945_2,p13448574,s59329945,2,Impression,"In comparison with the study of ___, there is little change and no evidence of acute cardiopulmonary disease. No plain radiographic evidence of interstitial lung disease. No hilar or mediastinal lymphadenopathy to radiographically suggest sarcoidosis. No acute focal pneumonia.","In comparison with the study of ___, there is little change and no evidence of acute cardiopulmonary disease.",acute cardiopulmonary disease,,Stable,"['files/p13/p13448574/s59329945/d33b847a-c430711c-1162a314-155ee6c5-e5fb4cc1.jpg', 'files/p13/p13448574/s59329945/e8878eba-69ed4f98-5a498583-69912c0d-cf6a7773.jpg']","['files/p13/p13448574/s54759244/ceb3c18a-049668dd-5f5f4ff0-f0edd7da-39a13b6f.jpg\n', 'files/p13/p13448574/s54759244/f762fbc6-ca1926fb-06f3ef2a-b996a151-66a3b743.jpg\n']"
s59332489_2,p14312560,s59332489,2,Findings,"As compared to the previous radiograph, there is no relevant change. No evidence of focal parenchymal opacities indicative of pneumonia. The orogastric tube has been removed. Unchanged borderline size of the cardiac silhouette without pulmonary edema. The lateral radiograph reveals a minimal pleural effusion bilaterally, restricted to the dorsal parts of the costophrenic sinus.",Unchanged borderline size of the cardiac silhouette without pulmonary edema.,cardiac silhouette size,,Stable,"['files/p14/p14312560/s59332489/a81e30c1-ca178bc2-f8d08051-953a1ecc-dc75088f.jpg', 'files/p14/p14312560/s59332489/ae39f4d0-b0da3b02-52929cd2-b6698aad-a681fd22.jpg']","['files/p14/p14312560/s57784780/278ebde6-e46251bd-4f894b8e-3ea1ab66-cbea5d97.jpg\n', 'files/p14/p14312560/s57784780/2ad8c1ee-2b9971e8-22aef719-feb89bce-e6c1aa69.jpg\n']"
s59332489_2,p14312560,s59332489,2,Findings,"As compared to the previous radiograph, there is no relevant change. No evidence of focal parenchymal opacities indicative of pneumonia. The orogastric tube has been removed. Unchanged borderline size of the cardiac silhouette without pulmonary edema. The lateral radiograph reveals a minimal pleural effusion bilaterally, restricted to the dorsal parts of the costophrenic sinus.",The orogastric tube has been removed.,orogastric tube,,Resolve,"['files/p14/p14312560/s59332489/a81e30c1-ca178bc2-f8d08051-953a1ecc-dc75088f.jpg', 'files/p14/p14312560/s59332489/ae39f4d0-b0da3b02-52929cd2-b6698aad-a681fd22.jpg']","['files/p14/p14312560/s57784780/278ebde6-e46251bd-4f894b8e-3ea1ab66-cbea5d97.jpg\n', 'files/p14/p14312560/s57784780/2ad8c1ee-2b9971e8-22aef719-feb89bce-e6c1aa69.jpg\n']"
s59332553_13,p14744884,s59332553,13,Findings,AP and lateral views of the chest. The lungs are clear of consolidation or effusion. The cardiac silhouette is enlarged but unchanged. No acute osseous abnormality is detected. Right brachiocephalic venous stent is again noted.,The cardiac silhouette is enlarged but unchanged.,Enlarged,cardiac silhouette,Stable,"['files/p14/p14744884/s59332553/165711e8-c8b71f3b-2d2cbf76-dca067bc-f2ba9089.jpg', 'files/p14/p14744884/s59332553/301ce3f6-a772d517-7d019547-b8f6d662-45d6850b.jpg']","['files/p14/p14744884/s58480173/05f71593-f6c69ec6-4d98e8b5-3c7490cb-7cce893a.jpg\n', 'files/p14/p14744884/s58480173/90e0275c-fdf15b9e-fa00d384-ace49c70-f4727012.jpg\n']"
s59339513_10,p17770657,s59339513,10,Findings,"An ET tube is present, approximately 6 cm above the carina. An NG tube is present, tip extending beneath diaphragm off film. Left mediastinal drain and ___ left-sided chest tubes are present. A right IJ central line tip overlies the mid SVC. No pneumothorax detected. The cardiomediastinal silhouette is prominen,t but unchanged. There is upper zone re-distribution, diffuse vascular blurring, interstitial and minimal alveolar edema, consistent with CHF. There is dense retrocardiac density, consistent with left lower lobe collapse and/or consolidation. Small joint effusions. Multiple mediastinal clips and right-sided vertical density noted.","The cardiomediastinal silhouette is prominent, but unchanged.",Silhouette,Cardiomediastinal,Stable,['files/p17/p17770657/s59339513/81283cfb-7bfa242e-22317b9e-f2979399-2788b211.jpg'],"['files/p17/p17770657/s59202511/1ea90c74-cf4ca390-7da19bed-34cd7568-a183d924.jpg\n', 'files/p17/p17770657/s59202511/a09b7aaa-77f7ca90-d3e26f5c-782a561e-499254d6.jpg\n']"
s59343122_5,p18767957,s59343122,5,Findings,PA and lateral views of the chest. The lungs are clear of focal consolidation or pleural effusion. There are however increased interstitial markings throughout the lungs and enlarged cardiac silhouette which is unchanged from prior. There is no acute osseous abnormality detected.,There are however increased interstitial markings throughout the lungs and enlarged cardiac silhouette which is unchanged from prior.,increased interstitial markings,throughout the lungs,Stable,"['files/p18/p18767957/s59343122/7d6acf38-2ce33bef-4722c2e9-c0f089ec-c06a5100.jpg', 'files/p18/p18767957/s59343122/8af32f0b-aeaad02d-8979cb3c-7935b38a-e1461335.jpg', 'files/p18/p18767957/s59343122/c89c0bac-453ca322-9aec3b3a-af1073e8-833e0ccd.jpg']",['files/p18/p18767957/s57874436/c5257468-fb41d9ce-701fc319-a6141214-92bb351c.jpg\n']
s59343122_5,p18767957,s59343122,5,Impression,Findings suggestive of interstitial edema. No superimposed acute consolidation or effusion. Unchanged cardiomegaly.,Unchanged cardiomegaly.,cardiomegaly,,Stable,"['files/p18/p18767957/s59343122/7d6acf38-2ce33bef-4722c2e9-c0f089ec-c06a5100.jpg', 'files/p18/p18767957/s59343122/8af32f0b-aeaad02d-8979cb3c-7935b38a-e1461335.jpg', 'files/p18/p18767957/s59343122/c89c0bac-453ca322-9aec3b3a-af1073e8-833e0ccd.jpg']",['files/p18/p18767957/s57874436/c5257468-fb41d9ce-701fc319-a6141214-92bb351c.jpg\n']
s59343122_5,p18767957,s59343122,5,Findings,PA and lateral views of the chest. The lungs are clear of focal consolidation or pleural effusion. There are however increased interstitial markings throughout the lungs and enlarged cardiac silhouette which is unchanged from prior. There is no acute osseous abnormality detected.,There are however increased interstitial markings throughout the lungs and enlarged cardiac silhouette which is unchanged from prior.,enlarged cardiac silhouette,,Stable,"['files/p18/p18767957/s59343122/7d6acf38-2ce33bef-4722c2e9-c0f089ec-c06a5100.jpg', 'files/p18/p18767957/s59343122/8af32f0b-aeaad02d-8979cb3c-7935b38a-e1461335.jpg', 'files/p18/p18767957/s59343122/c89c0bac-453ca322-9aec3b3a-af1073e8-833e0ccd.jpg']",['files/p18/p18767957/s57874436/c5257468-fb41d9ce-701fc319-a6141214-92bb351c.jpg\n']
s59345475_4,p18906643,s59345475,4,Impression,"1. Minimal improvement in mild pulmonary edema, most prominent in the right upper lung. 2. Unchanged atelectasis in the right upper and middle lobe. 3. Increased small right pleural effusion. 4. Unchanged moderate-to-severe cardiomegaly.",2. Unchanged atelectasis in the right upper and middle lobe.,Atelectasis,Right upper and middle lobe,Stable,['files/p18/p18906643/s59345475/2c2a8c78-1629add6-99b9b1e7-913212fa-faa7a8ac.jpg'],"['files/p18/p18906643/s59089386/2b3fd304-e1ad171f-32d25706-9ceaaa09-5c2e0711.jpg\n', 'files/p18/p18906643/s59089386/44c2f17b-9d6a7187-779235c5-096ece2d-807b0e18.jpg\n']"
s59345475_4,p18906643,s59345475,4,Impression,"1. Minimal improvement in mild pulmonary edema, most prominent in the right upper lung. 2. Unchanged atelectasis in the right upper and middle lobe. 3. Increased small right pleural effusion. 4. Unchanged moderate-to-severe cardiomegaly.",3. Increased small right pleural effusion.,Effusion,Right pleural,Worse,['files/p18/p18906643/s59345475/2c2a8c78-1629add6-99b9b1e7-913212fa-faa7a8ac.jpg'],"['files/p18/p18906643/s59089386/2b3fd304-e1ad171f-32d25706-9ceaaa09-5c2e0711.jpg\n', 'files/p18/p18906643/s59089386/44c2f17b-9d6a7187-779235c5-096ece2d-807b0e18.jpg\n']"
s59345475_4,p18906643,s59345475,4,Findings,"Portable AP ___-degree upright view of the chest was reviewed and compared to the prior studies. An endotracheal tube ends 4 cm above the carina. A left-sided internal jugular line ends in the upper SVC and a right-sided internal jugular line ends in the mid superior vena cava. Upper enteric tube passes into the stomach and off the radiograph. Right upper lobe predominant pulmonary edema has improved on today's study, however, right upper lobe atelectasis persists. Right middle lobe atelectasis is also unchanged. Upper lung vascular redistribution and enlarged pulmonary arteries are chronic. Moderate-to-severe cardiomegaly is unchanged. A small right pleural effusion has increased. Median sternotomy wires are aligned and intact.",A small right pleural effusion has increased.,Effusion,Right pleural,Worse,['files/p18/p18906643/s59345475/2c2a8c78-1629add6-99b9b1e7-913212fa-faa7a8ac.jpg'],"['files/p18/p18906643/s59089386/2b3fd304-e1ad171f-32d25706-9ceaaa09-5c2e0711.jpg\n', 'files/p18/p18906643/s59089386/44c2f17b-9d6a7187-779235c5-096ece2d-807b0e18.jpg\n']"
s59345475_4,p18906643,s59345475,4,Impression,"1. Minimal improvement in mild pulmonary edema, most prominent in the right upper lung. 2. Unchanged atelectasis in the right upper and middle lobe. 3. Increased small right pleural effusion. 4. Unchanged moderate-to-severe cardiomegaly.",4. Unchanged moderate-to-severe cardiomegaly.,Cardiomegaly,Heart,Stable,['files/p18/p18906643/s59345475/2c2a8c78-1629add6-99b9b1e7-913212fa-faa7a8ac.jpg'],"['files/p18/p18906643/s59089386/2b3fd304-e1ad171f-32d25706-9ceaaa09-5c2e0711.jpg\n', 'files/p18/p18906643/s59089386/44c2f17b-9d6a7187-779235c5-096ece2d-807b0e18.jpg\n']"
s59345475_4,p18906643,s59345475,4,Findings,"Portable AP ___-degree upright view of the chest was reviewed and compared to the prior studies. An endotracheal tube ends 4 cm above the carina. A left-sided internal jugular line ends in the upper SVC and a right-sided internal jugular line ends in the mid superior vena cava. Upper enteric tube passes into the stomach and off the radiograph. Right upper lobe predominant pulmonary edema has improved on today's study, however, right upper lobe atelectasis persists. Right middle lobe atelectasis is also unchanged. Upper lung vascular redistribution and enlarged pulmonary arteries are chronic. Moderate-to-severe cardiomegaly is unchanged. A small right pleural effusion has increased. Median sternotomy wires are aligned and intact.","Right upper lobe predominant pulmonary edema has improved on today's study, however, right upper lobe atelectasis persists.",Pulmonary edema,Right upper lobe,Better,['files/p18/p18906643/s59345475/2c2a8c78-1629add6-99b9b1e7-913212fa-faa7a8ac.jpg'],"['files/p18/p18906643/s59089386/2b3fd304-e1ad171f-32d25706-9ceaaa09-5c2e0711.jpg\n', 'files/p18/p18906643/s59089386/44c2f17b-9d6a7187-779235c5-096ece2d-807b0e18.jpg\n']"
s59345475_4,p18906643,s59345475,4,Findings,"Portable AP ___-degree upright view of the chest was reviewed and compared to the prior studies. An endotracheal tube ends 4 cm above the carina. A left-sided internal jugular line ends in the upper SVC and a right-sided internal jugular line ends in the mid superior vena cava. Upper enteric tube passes into the stomach and off the radiograph. Right upper lobe predominant pulmonary edema has improved on today's study, however, right upper lobe atelectasis persists. Right middle lobe atelectasis is also unchanged. Upper lung vascular redistribution and enlarged pulmonary arteries are chronic. Moderate-to-severe cardiomegaly is unchanged. A small right pleural effusion has increased. Median sternotomy wires are aligned and intact.",Moderate-to-severe cardiomegaly is unchanged.,Cardiomegaly,Heart,Stable,['files/p18/p18906643/s59345475/2c2a8c78-1629add6-99b9b1e7-913212fa-faa7a8ac.jpg'],"['files/p18/p18906643/s59089386/2b3fd304-e1ad171f-32d25706-9ceaaa09-5c2e0711.jpg\n', 'files/p18/p18906643/s59089386/44c2f17b-9d6a7187-779235c5-096ece2d-807b0e18.jpg\n']"
s59345475_4,p18906643,s59345475,4,Findings,"Portable AP ___-degree upright view of the chest was reviewed and compared to the prior studies. An endotracheal tube ends 4 cm above the carina. A left-sided internal jugular line ends in the upper SVC and a right-sided internal jugular line ends in the mid superior vena cava. Upper enteric tube passes into the stomach and off the radiograph. Right upper lobe predominant pulmonary edema has improved on today's study, however, right upper lobe atelectasis persists. Right middle lobe atelectasis is also unchanged. Upper lung vascular redistribution and enlarged pulmonary arteries are chronic. Moderate-to-severe cardiomegaly is unchanged. A small right pleural effusion has increased. Median sternotomy wires are aligned and intact.","Right upper lobe predominant pulmonary edema has improved on today's study, however, right upper lobe atelectasis persists.",Atelectasis,Right upper lobe,Stable,['files/p18/p18906643/s59345475/2c2a8c78-1629add6-99b9b1e7-913212fa-faa7a8ac.jpg'],"['files/p18/p18906643/s59089386/2b3fd304-e1ad171f-32d25706-9ceaaa09-5c2e0711.jpg\n', 'files/p18/p18906643/s59089386/44c2f17b-9d6a7187-779235c5-096ece2d-807b0e18.jpg\n']"
s59345475_4,p18906643,s59345475,4,Findings,"Portable AP ___-degree upright view of the chest was reviewed and compared to the prior studies. An endotracheal tube ends 4 cm above the carina. A left-sided internal jugular line ends in the upper SVC and a right-sided internal jugular line ends in the mid superior vena cava. Upper enteric tube passes into the stomach and off the radiograph. Right upper lobe predominant pulmonary edema has improved on today's study, however, right upper lobe atelectasis persists. Right middle lobe atelectasis is also unchanged. Upper lung vascular redistribution and enlarged pulmonary arteries are chronic. Moderate-to-severe cardiomegaly is unchanged. A small right pleural effusion has increased. Median sternotomy wires are aligned and intact.",Right middle lobe atelectasis is also unchanged.,Atelectasis,Right middle lobe,Stable,['files/p18/p18906643/s59345475/2c2a8c78-1629add6-99b9b1e7-913212fa-faa7a8ac.jpg'],"['files/p18/p18906643/s59089386/2b3fd304-e1ad171f-32d25706-9ceaaa09-5c2e0711.jpg\n', 'files/p18/p18906643/s59089386/44c2f17b-9d6a7187-779235c5-096ece2d-807b0e18.jpg\n']"
s59345475_4,p18906643,s59345475,4,Impression,"1. Minimal improvement in mild pulmonary edema, most prominent in the right upper lung. 2. Unchanged atelectasis in the right upper and middle lobe. 3. Increased small right pleural effusion. 4. Unchanged moderate-to-severe cardiomegaly.","1. Minimal improvement in mild pulmonary edema, most prominent in the right upper lung.",Pulmonary edema,Right upper lung,Better,['files/p18/p18906643/s59345475/2c2a8c78-1629add6-99b9b1e7-913212fa-faa7a8ac.jpg'],"['files/p18/p18906643/s59089386/2b3fd304-e1ad171f-32d25706-9ceaaa09-5c2e0711.jpg\n', 'files/p18/p18906643/s59089386/44c2f17b-9d6a7187-779235c5-096ece2d-807b0e18.jpg\n']"
s59345943_2,p11204646,s59345943,2,Findings,"As compared to the previous radiograph, there is unchanged evidence of moderate cardiomegaly and a right pleural effusion. The signs indicative of fluid overload have increased in extent, best visible in the left upper lung. There is minimal blunting of the left costophrenic sinus, potentially indicative of the presence of a small pleural effusion. No evidence of pneumonia.","As compared to the previous radiograph, there is unchanged evidence of moderate cardiomegaly and a right pleural effusion.",moderate cardiomegaly,,Stable,['files/p11/p11204646/s59345943/9f6c9e7b-4ccd8468-517c7976-e5deee18-02e95e8a.jpg'],['files/p11/p11204646/s59171234/016991da-a5224d79-0a00be4e-485841d2-f9e917e8.jpg\n']
s59345943_2,p11204646,s59345943,2,Findings,"As compared to the previous radiograph, there is unchanged evidence of moderate cardiomegaly and a right pleural effusion. The signs indicative of fluid overload have increased in extent, best visible in the left upper lung. There is minimal blunting of the left costophrenic sinus, potentially indicative of the presence of a small pleural effusion. No evidence of pneumonia.","As compared to the previous radiograph, there is unchanged evidence of moderate cardiomegaly and a right pleural effusion.",pleural effusion,right,Stable,['files/p11/p11204646/s59345943/9f6c9e7b-4ccd8468-517c7976-e5deee18-02e95e8a.jpg'],['files/p11/p11204646/s59171234/016991da-a5224d79-0a00be4e-485841d2-f9e917e8.jpg\n']
s59345943_2,p11204646,s59345943,2,Findings,"As compared to the previous radiograph, there is unchanged evidence of moderate cardiomegaly and a right pleural effusion. The signs indicative of fluid overload have increased in extent, best visible in the left upper lung. There is minimal blunting of the left costophrenic sinus, potentially indicative of the presence of a small pleural effusion. No evidence of pneumonia.","The signs indicative of fluid overload have increased in extent, best visible in the left upper lung.",fluid overload signs,left upper lung,Worse,['files/p11/p11204646/s59345943/9f6c9e7b-4ccd8468-517c7976-e5deee18-02e95e8a.jpg'],['files/p11/p11204646/s59171234/016991da-a5224d79-0a00be4e-485841d2-f9e917e8.jpg\n']
s59350509_14,p16957952,s59350509,14,Findings,"The lungs are grossly clear without focal consolidation, large effusion or overt pulmonary edema. The cardiac silhouette is enlarged but similar compared to prior. Median sternotomy wires and mediastinal clips are again noted. Known compression deformities in the spine are not clearly delineated on this exam.",The cardiac silhouette is enlarged but similar compared to prior.,Enlarged cardiac silhouette,,Stable,['files/p16/p16957952/s59350509/e376439c-52cdf885-41f17afb-9a4a3fea-43c74d55.jpg'],"['files/p16/p16957952/s58025986/3c57e0f8-a76eb992-7795da42-1cebda11-839fc6ef.jpg\n', 'files/p16/p16957952/s58025986/ac61125d-0a43dbdc-3c290b21-1ded59a4-0131570a.jpg\n']"
s59357257_2,p17763117,s59357257,2,Impression,"PA and lateral chest compared to ___ through ___: Moderate cardiomegaly is longstanding. There is no particular vascular engorgement, no edema and no pleural effusion. Transvenous right atrial pacer and right ventricular pacer defibrillator leads follow their expected courses, unchanged. New left PIC line ends at the junction of brachiocephalic veins.",New left PIC line ends at the junction of brachiocephalic veins.,PIC line,Left,New,"['files/p17/p17763117/s59357257/0cfc6f6a-9b1d6469-767358c3-8cba8b86-26a9c846.jpg', 'files/p17/p17763117/s59357257/937a086b-d6d3022b-88e3053e-885699b2-46431cc5.jpg']","['files/p17/p17763117/s54899257/0c0e3903-2f744a5c-3750bad4-6d772736-6bf1c8a2.jpg\n', 'files/p17/p17763117/s54899257/3e179ec6-2dd8aea9-b1ef694b-eafe6ce6-0a175813.jpg\n']"
s59357257_2,p17763117,s59357257,2,Impression,"PA and lateral chest compared to ___ through ___: Moderate cardiomegaly is longstanding. There is no particular vascular engorgement, no edema and no pleural effusion. Transvenous right atrial pacer and right ventricular pacer defibrillator leads follow their expected courses, unchanged. New left PIC line ends at the junction of brachiocephalic veins.","Transvenous right atrial pacer and right ventricular pacer defibrillator leads follow their expected courses, unchanged.",pacer defibrillator leads,Transvenous right atrial and right ventricular,Stable,"['files/p17/p17763117/s59357257/0cfc6f6a-9b1d6469-767358c3-8cba8b86-26a9c846.jpg', 'files/p17/p17763117/s59357257/937a086b-d6d3022b-88e3053e-885699b2-46431cc5.jpg']","['files/p17/p17763117/s54899257/0c0e3903-2f744a5c-3750bad4-6d772736-6bf1c8a2.jpg\n', 'files/p17/p17763117/s54899257/3e179ec6-2dd8aea9-b1ef694b-eafe6ce6-0a175813.jpg\n']"
s59361128_18,p15131736,s59361128,18,Findings,"AP, upright and lateral views of the chest were provided. Lung volumes are low, though there is evidence of pulmonary edema. Small effusions are difficult to exclude. The heart is impossible to assess. Previously noted endotracheal tube and NG tubes have been removed. The imaged osseous structures are intact.",Previously noted endotracheal tube and NG tubes have been removed.,NG tubes,,Resolve,"['files/p15/p15131736/s59361128/99fa5789-a4d43513-3a5dfc76-97ec89e9-89cc3e71.jpg', 'files/p15/p15131736/s59361128/d8fc9055-45df8285-80757692-6ab96494-af6f56a0.jpg']",['files/p15/p15131736/s59242045/1432843f-fca7eaa3-df3e65b3-c45419fa-71029980.jpg\n']
s59361128_18,p15131736,s59361128,18,Findings,"AP, upright and lateral views of the chest were provided. Lung volumes are low, though there is evidence of pulmonary edema. Small effusions are difficult to exclude. The heart is impossible to assess. Previously noted endotracheal tube and NG tubes have been removed. The imaged osseous structures are intact.",Previously noted endotracheal tube and NG tubes have been removed.,endotracheal tube,,Resolve,"['files/p15/p15131736/s59361128/99fa5789-a4d43513-3a5dfc76-97ec89e9-89cc3e71.jpg', 'files/p15/p15131736/s59361128/d8fc9055-45df8285-80757692-6ab96494-af6f56a0.jpg']",['files/p15/p15131736/s59242045/1432843f-fca7eaa3-df3e65b3-c45419fa-71029980.jpg\n']
s59364971_22,p14851532,s59364971,22,Findings,"Cardiomegaly is accompanied by improving pulmonary vascular congestion and decreasing pulmonary edema. Left retrocardiac opacity has substantially improved, likely a combination of atelectasis and effusion. A more confluent opacity at the right lung base persists, and could be due to asymmetrically resolving edema, but pneumonia should be considered in the appropriate clinical setting. Small right pleural effusion is likely unchanged, with pigtail pleural catheter remaining in place and no visible pneumothorax.",Cardiomegaly is accompanied by improving pulmonary vascular congestion and decreasing pulmonary edema.,pulmonary vascular congestion,,Better,['files/p14/p14851532/s59364971/39922ca1-cb122a2e-5f5f5b94-65973906-45a1b814.jpg'],['files/p14/p14851532/s59215725/c1f46658-8c56b8e3-70c04ec6-a15e02a0-31c42988.jpg\n']
s59364971_22,p14851532,s59364971,22,Findings,"Cardiomegaly is accompanied by improving pulmonary vascular congestion and decreasing pulmonary edema. Left retrocardiac opacity has substantially improved, likely a combination of atelectasis and effusion. A more confluent opacity at the right lung base persists, and could be due to asymmetrically resolving edema, but pneumonia should be considered in the appropriate clinical setting. Small right pleural effusion is likely unchanged, with pigtail pleural catheter remaining in place and no visible pneumothorax.",Cardiomegaly is accompanied by improving pulmonary vascular congestion and decreasing pulmonary edema.,pulmonary edema,,Better,['files/p14/p14851532/s59364971/39922ca1-cb122a2e-5f5f5b94-65973906-45a1b814.jpg'],['files/p14/p14851532/s59215725/c1f46658-8c56b8e3-70c04ec6-a15e02a0-31c42988.jpg\n']
s59364971_22,p14851532,s59364971,22,Findings,"Cardiomegaly is accompanied by improving pulmonary vascular congestion and decreasing pulmonary edema. Left retrocardiac opacity has substantially improved, likely a combination of atelectasis and effusion. A more confluent opacity at the right lung base persists, and could be due to asymmetrically resolving edema, but pneumonia should be considered in the appropriate clinical setting. Small right pleural effusion is likely unchanged, with pigtail pleural catheter remaining in place and no visible pneumothorax.","Left retrocardiac opacity has substantially improved, likely a combination of atelectasis and effusion.",opacity,left retrocardiac,Better,['files/p14/p14851532/s59364971/39922ca1-cb122a2e-5f5f5b94-65973906-45a1b814.jpg'],['files/p14/p14851532/s59215725/c1f46658-8c56b8e3-70c04ec6-a15e02a0-31c42988.jpg\n']
s59364971_22,p14851532,s59364971,22,Findings,"Cardiomegaly is accompanied by improving pulmonary vascular congestion and decreasing pulmonary edema. Left retrocardiac opacity has substantially improved, likely a combination of atelectasis and effusion. A more confluent opacity at the right lung base persists, and could be due to asymmetrically resolving edema, but pneumonia should be considered in the appropriate clinical setting. Small right pleural effusion is likely unchanged, with pigtail pleural catheter remaining in place and no visible pneumothorax.","Small right pleural effusion is likely unchanged, with pigtail pleural catheter remaining in place and no visible pneumothorax.",pleural effusion,right,Stable,['files/p14/p14851532/s59364971/39922ca1-cb122a2e-5f5f5b94-65973906-45a1b814.jpg'],['files/p14/p14851532/s59215725/c1f46658-8c56b8e3-70c04ec6-a15e02a0-31c42988.jpg\n']
s59364971_22,p14851532,s59364971,22,Findings,"Cardiomegaly is accompanied by improving pulmonary vascular congestion and decreasing pulmonary edema. Left retrocardiac opacity has substantially improved, likely a combination of atelectasis and effusion. A more confluent opacity at the right lung base persists, and could be due to asymmetrically resolving edema, but pneumonia should be considered in the appropriate clinical setting. Small right pleural effusion is likely unchanged, with pigtail pleural catheter remaining in place and no visible pneumothorax.","A more confluent opacity at the right lung base persists, and could be due to asymmetrically resolving edema, but pneumonia should be considered in the appropriate clinical setting.",confluent opacity,right lung base,Stable,['files/p14/p14851532/s59364971/39922ca1-cb122a2e-5f5f5b94-65973906-45a1b814.jpg'],['files/p14/p14851532/s59215725/c1f46658-8c56b8e3-70c04ec6-a15e02a0-31c42988.jpg\n']
s59368305_16,p16826047,s59368305,16,Findings,"As compared to the previous radiograph, the patient has received a right chest tube. The chest tube is in correct position. There is a substantial decrease in extent of the pre-existing right pleural effusion. No pneumothorax is seen. Minimal air collection in the soft tissues at the site of drain insertion. Unchanged moderate cardiomegaly, unchanged normal appearance of the left lung. Right Port-A-Cath in situ.","Unchanged moderate cardiomegaly, unchanged normal appearance of the left lung.",cardiomegaly,,Stable,"['files/p16/p16826047/s59368305/c4043075-ef0f5e86-98cd490f-353abc47-c25c3a5f.jpg', 'files/p16/p16826047/s59368305/ec259ac8-a686ec57-96de3308-85ce5840-db5a729d.jpg']","['files/p16/p16826047/s58248722/19466b08-2d75cf0a-aa6a9899-d3deb04a-436f74ca.jpg\n', 'files/p16/p16826047/s58248722/ef34a791-15321a3d-aa9eca93-84157fc9-6fccd907.jpg\n']"
s59368305_16,p16826047,s59368305,16,Findings,"As compared to the previous radiograph, the patient has received a right chest tube. The chest tube is in correct position. There is a substantial decrease in extent of the pre-existing right pleural effusion. No pneumothorax is seen. Minimal air collection in the soft tissues at the site of drain insertion. Unchanged moderate cardiomegaly, unchanged normal appearance of the left lung. Right Port-A-Cath in situ.",There is a substantial decrease in extent of the pre-existing right pleural effusion.,pleural effusion,right,Better,"['files/p16/p16826047/s59368305/c4043075-ef0f5e86-98cd490f-353abc47-c25c3a5f.jpg', 'files/p16/p16826047/s59368305/ec259ac8-a686ec57-96de3308-85ce5840-db5a729d.jpg']","['files/p16/p16826047/s58248722/19466b08-2d75cf0a-aa6a9899-d3deb04a-436f74ca.jpg\n', 'files/p16/p16826047/s58248722/ef34a791-15321a3d-aa9eca93-84157fc9-6fccd907.jpg\n']"
s59368305_16,p16826047,s59368305,16,Findings,"As compared to the previous radiograph, the patient has received a right chest tube. The chest tube is in correct position. There is a substantial decrease in extent of the pre-existing right pleural effusion. No pneumothorax is seen. Minimal air collection in the soft tissues at the site of drain insertion. Unchanged moderate cardiomegaly, unchanged normal appearance of the left lung. Right Port-A-Cath in situ.","Unchanged moderate cardiomegaly, unchanged normal appearance of the left lung.",lung,left,Stable,"['files/p16/p16826047/s59368305/c4043075-ef0f5e86-98cd490f-353abc47-c25c3a5f.jpg', 'files/p16/p16826047/s59368305/ec259ac8-a686ec57-96de3308-85ce5840-db5a729d.jpg']","['files/p16/p16826047/s58248722/19466b08-2d75cf0a-aa6a9899-d3deb04a-436f74ca.jpg\n', 'files/p16/p16826047/s58248722/ef34a791-15321a3d-aa9eca93-84157fc9-6fccd907.jpg\n']"
s59369967_1,p12963531,s59369967,1,Findings,"Again seen is severe cardiomegaly with a globular configuration of the heart. The central venous catheter for dialysis is again visualized projecting over the right atrium. There are small bilateral pleural effusions, similar compared to prior. There is no focal infiltrate.",The central venous catheter for dialysis is again visualized projecting over the right atrium.,central venous catheter for dialysis,,Stable,"['files/p12/p12963531/s59369967/70556779-5d594bd7-7131cbb1-c990fa9a-9a625f61.jpg', 'files/p12/p12963531/s59369967/a5e77ee2-5fec82c7-1f5ffe9c-ccd28c6b-f4a44978.jpg']","['files/p12/p12963531/s58929701/db56399e-4f04b226-d9773c85-a6d565a6-04fe3904.jpg\n', 'files/p12/p12963531/s58929701/f2fc645a-c9a8eb56-89315f4e-063eed9b-7eccbae9.jpg\n']"
s59369967_1,p12963531,s59369967,1,Findings,"Again seen is severe cardiomegaly with a globular configuration of the heart. The central venous catheter for dialysis is again visualized projecting over the right atrium. There are small bilateral pleural effusions, similar compared to prior. There is no focal infiltrate.","There are small bilateral pleural effusions, similar compared to prior.",small bilateral pleural effusions,,Stable,"['files/p12/p12963531/s59369967/70556779-5d594bd7-7131cbb1-c990fa9a-9a625f61.jpg', 'files/p12/p12963531/s59369967/a5e77ee2-5fec82c7-1f5ffe9c-ccd28c6b-f4a44978.jpg']","['files/p12/p12963531/s58929701/db56399e-4f04b226-d9773c85-a6d565a6-04fe3904.jpg\n', 'files/p12/p12963531/s58929701/f2fc645a-c9a8eb56-89315f4e-063eed9b-7eccbae9.jpg\n']"
s59369967_1,p12963531,s59369967,1,Findings,"Again seen is severe cardiomegaly with a globular configuration of the heart. The central venous catheter for dialysis is again visualized projecting over the right atrium. There are small bilateral pleural effusions, similar compared to prior. There is no focal infiltrate.",Again seen is severe cardiomegaly with a globular configuration of the heart.,cardiomegaly,,Stable,"['files/p12/p12963531/s59369967/70556779-5d594bd7-7131cbb1-c990fa9a-9a625f61.jpg', 'files/p12/p12963531/s59369967/a5e77ee2-5fec82c7-1f5ffe9c-ccd28c6b-f4a44978.jpg']","['files/p12/p12963531/s58929701/db56399e-4f04b226-d9773c85-a6d565a6-04fe3904.jpg\n', 'files/p12/p12963531/s58929701/f2fc645a-c9a8eb56-89315f4e-063eed9b-7eccbae9.jpg\n']"
s59371598_20,p13606683,s59371598,20,Impression,"1. Interval placement of an intraaortic balloon pump, which has its tip within the aortic knob. Pullback by approximately 3 cm would be recommended to place the tip in the proximal descending aorta. The patient's nurse, ___, was notified of this recommendation by phone on ___ at 12:10pm. Endotracheal tube, right internal jugular Swan-Ganz catheter, right internal jugular central line, right-sided pacemaker, and nasogastric tube are unchanged in position. The patient is status post median sternotomy with aortic valve replacement and the heart remains stably enlarged. There has been interval improvement in bilateral pulmonary edema with residual mild-to-moderate edema and layering bilateral effusions. There is retrocardiac opacity likely representing partial lower lobe atelectasis. No pneumothorax is appreciated.",There has been interval improvement in bilateral pulmonary edema with residual mild-to-moderate edema and layering bilateral effusions.,Pulmonary edema,Bilateral,Better,"['files/p13/p13606683/s59371598/3650436d-dd5fb894-28150d5c-a17c4fa4-8ce0030c.jpg', 'files/p13/p13606683/s59371598/e0c01c42-2132558f-c787b79d-98ea70a0-a03aeca7.jpg']",['files/p13/p13606683/s58789863/79931253-dc5d4f8a-ed5d56b8-d117d4ed-6e8ffc71.jpg\n']
s59371598_20,p13606683,s59371598,20,Impression,"1. Interval placement of an intraaortic balloon pump, which has its tip within the aortic knob. Pullback by approximately 3 cm would be recommended to place the tip in the proximal descending aorta. The patient's nurse, ___, was notified of this recommendation by phone on ___ at 12:10pm. Endotracheal tube, right internal jugular Swan-Ganz catheter, right internal jugular central line, right-sided pacemaker, and nasogastric tube are unchanged in position. The patient is status post median sternotomy with aortic valve replacement and the heart remains stably enlarged. There has been interval improvement in bilateral pulmonary edema with residual mild-to-moderate edema and layering bilateral effusions. There is retrocardiac opacity likely representing partial lower lobe atelectasis. No pneumothorax is appreciated.","Endotracheal tube, right internal jugular Swan-Ganz catheter, right internal jugular central line, right-sided pacemaker, and nasogastric tube are unchanged in position.",Swan-Ganz catheter,Right internal jugular,Stable,"['files/p13/p13606683/s59371598/3650436d-dd5fb894-28150d5c-a17c4fa4-8ce0030c.jpg', 'files/p13/p13606683/s59371598/e0c01c42-2132558f-c787b79d-98ea70a0-a03aeca7.jpg']",['files/p13/p13606683/s58789863/79931253-dc5d4f8a-ed5d56b8-d117d4ed-6e8ffc71.jpg\n']
s59371598_20,p13606683,s59371598,20,Impression,"1. Interval placement of an intraaortic balloon pump, which has its tip within the aortic knob. Pullback by approximately 3 cm would be recommended to place the tip in the proximal descending aorta. The patient's nurse, ___, was notified of this recommendation by phone on ___ at 12:10pm. Endotracheal tube, right internal jugular Swan-Ganz catheter, right internal jugular central line, right-sided pacemaker, and nasogastric tube are unchanged in position. The patient is status post median sternotomy with aortic valve replacement and the heart remains stably enlarged. There has been interval improvement in bilateral pulmonary edema with residual mild-to-moderate edema and layering bilateral effusions. There is retrocardiac opacity likely representing partial lower lobe atelectasis. No pneumothorax is appreciated.","Endotracheal tube, right internal jugular Swan-Ganz catheter, right internal jugular central line, right-sided pacemaker, and nasogastric tube are unchanged in position.",Pacemaker,Right-sided,Stable,"['files/p13/p13606683/s59371598/3650436d-dd5fb894-28150d5c-a17c4fa4-8ce0030c.jpg', 'files/p13/p13606683/s59371598/e0c01c42-2132558f-c787b79d-98ea70a0-a03aeca7.jpg']",['files/p13/p13606683/s58789863/79931253-dc5d4f8a-ed5d56b8-d117d4ed-6e8ffc71.jpg\n']
s59371598_20,p13606683,s59371598,20,Impression,"1. Interval placement of an intraaortic balloon pump, which has its tip within the aortic knob. Pullback by approximately 3 cm would be recommended to place the tip in the proximal descending aorta. The patient's nurse, ___, was notified of this recommendation by phone on ___ at 12:10pm. Endotracheal tube, right internal jugular Swan-Ganz catheter, right internal jugular central line, right-sided pacemaker, and nasogastric tube are unchanged in position. The patient is status post median sternotomy with aortic valve replacement and the heart remains stably enlarged. There has been interval improvement in bilateral pulmonary edema with residual mild-to-moderate edema and layering bilateral effusions. There is retrocardiac opacity likely representing partial lower lobe atelectasis. No pneumothorax is appreciated.","Endotracheal tube, right internal jugular Swan-Ganz catheter, right internal jugular central line, right-sided pacemaker, and nasogastric tube are unchanged in position.",Endotracheal tube,,Stable,"['files/p13/p13606683/s59371598/3650436d-dd5fb894-28150d5c-a17c4fa4-8ce0030c.jpg', 'files/p13/p13606683/s59371598/e0c01c42-2132558f-c787b79d-98ea70a0-a03aeca7.jpg']",['files/p13/p13606683/s58789863/79931253-dc5d4f8a-ed5d56b8-d117d4ed-6e8ffc71.jpg\n']
s59371598_20,p13606683,s59371598,20,Impression,"1. Interval placement of an intraaortic balloon pump, which has its tip within the aortic knob. Pullback by approximately 3 cm would be recommended to place the tip in the proximal descending aorta. The patient's nurse, ___, was notified of this recommendation by phone on ___ at 12:10pm. Endotracheal tube, right internal jugular Swan-Ganz catheter, right internal jugular central line, right-sided pacemaker, and nasogastric tube are unchanged in position. The patient is status post median sternotomy with aortic valve replacement and the heart remains stably enlarged. There has been interval improvement in bilateral pulmonary edema with residual mild-to-moderate edema and layering bilateral effusions. There is retrocardiac opacity likely representing partial lower lobe atelectasis. No pneumothorax is appreciated.",There has been interval improvement in bilateral pulmonary edema with residual mild-to-moderate edema and layering bilateral effusions.,Effusions,Bilateral,Better,"['files/p13/p13606683/s59371598/3650436d-dd5fb894-28150d5c-a17c4fa4-8ce0030c.jpg', 'files/p13/p13606683/s59371598/e0c01c42-2132558f-c787b79d-98ea70a0-a03aeca7.jpg']",['files/p13/p13606683/s58789863/79931253-dc5d4f8a-ed5d56b8-d117d4ed-6e8ffc71.jpg\n']
s59371598_20,p13606683,s59371598,20,Impression,"1. Interval placement of an intraaortic balloon pump, which has its tip within the aortic knob. Pullback by approximately 3 cm would be recommended to place the tip in the proximal descending aorta. The patient's nurse, ___, was notified of this recommendation by phone on ___ at 12:10pm. Endotracheal tube, right internal jugular Swan-Ganz catheter, right internal jugular central line, right-sided pacemaker, and nasogastric tube are unchanged in position. The patient is status post median sternotomy with aortic valve replacement and the heart remains stably enlarged. There has been interval improvement in bilateral pulmonary edema with residual mild-to-moderate edema and layering bilateral effusions. There is retrocardiac opacity likely representing partial lower lobe atelectasis. No pneumothorax is appreciated.",The patient is status post median sternotomy with aortic valve replacement and the heart remains stably enlarged.,Enlarged heart,,Stable,"['files/p13/p13606683/s59371598/3650436d-dd5fb894-28150d5c-a17c4fa4-8ce0030c.jpg', 'files/p13/p13606683/s59371598/e0c01c42-2132558f-c787b79d-98ea70a0-a03aeca7.jpg']",['files/p13/p13606683/s58789863/79931253-dc5d4f8a-ed5d56b8-d117d4ed-6e8ffc71.jpg\n']
s59371598_20,p13606683,s59371598,20,Impression,"1. Interval placement of an intraaortic balloon pump, which has its tip within the aortic knob. Pullback by approximately 3 cm would be recommended to place the tip in the proximal descending aorta. The patient's nurse, ___, was notified of this recommendation by phone on ___ at 12:10pm. Endotracheal tube, right internal jugular Swan-Ganz catheter, right internal jugular central line, right-sided pacemaker, and nasogastric tube are unchanged in position. The patient is status post median sternotomy with aortic valve replacement and the heart remains stably enlarged. There has been interval improvement in bilateral pulmonary edema with residual mild-to-moderate edema and layering bilateral effusions. There is retrocardiac opacity likely representing partial lower lobe atelectasis. No pneumothorax is appreciated.","Endotracheal tube, right internal jugular Swan-Ganz catheter, right internal jugular central line, right-sided pacemaker, and nasogastric tube are unchanged in position.",Nasogastric tube,,Stable,"['files/p13/p13606683/s59371598/3650436d-dd5fb894-28150d5c-a17c4fa4-8ce0030c.jpg', 'files/p13/p13606683/s59371598/e0c01c42-2132558f-c787b79d-98ea70a0-a03aeca7.jpg']",['files/p13/p13606683/s58789863/79931253-dc5d4f8a-ed5d56b8-d117d4ed-6e8ffc71.jpg\n']
s59371598_20,p13606683,s59371598,20,Impression,"1. Interval placement of an intraaortic balloon pump, which has its tip within the aortic knob. Pullback by approximately 3 cm would be recommended to place the tip in the proximal descending aorta. The patient's nurse, ___, was notified of this recommendation by phone on ___ at 12:10pm. Endotracheal tube, right internal jugular Swan-Ganz catheter, right internal jugular central line, right-sided pacemaker, and nasogastric tube are unchanged in position. The patient is status post median sternotomy with aortic valve replacement and the heart remains stably enlarged. There has been interval improvement in bilateral pulmonary edema with residual mild-to-moderate edema and layering bilateral effusions. There is retrocardiac opacity likely representing partial lower lobe atelectasis. No pneumothorax is appreciated.","Endotracheal tube, right internal jugular Swan-Ganz catheter, right internal jugular central line, right-sided pacemaker, and nasogastric tube are unchanged in position.",Central line,Right internal jugular,Stable,"['files/p13/p13606683/s59371598/3650436d-dd5fb894-28150d5c-a17c4fa4-8ce0030c.jpg', 'files/p13/p13606683/s59371598/e0c01c42-2132558f-c787b79d-98ea70a0-a03aeca7.jpg']",['files/p13/p13606683/s58789863/79931253-dc5d4f8a-ed5d56b8-d117d4ed-6e8ffc71.jpg\n']
s59371821_15,p19454978,s59371821,15,Findings,"Single portable semi upright AP image of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged from prior exam with prominence of the right pulmonary artery again noted. The apparent enlargement of the aorta is due to adjacent atelectasis, as seen on recent CT.",The cardiomediastinal silhouette is unchanged from prior exam with prominence of the right pulmonary artery again noted.,Pulmonary artery prominence,Right,Stable,['files/p19/p19454978/s59371821/603b6fc2-24054d99-32b7b09a-fd1fec08-ca0b306f.jpg'],['files/p19/p19454978/s57883497/8b277408-532884e8-ea3f5ba6-e619ee5e-8c820c0c.jpg\n']
s59375093_3,p19150427,s59375093,3,Findings,"Single upright AP image of the chest. The lungs are well expanded. There is opacity in the right lung base which could represent patchy atelectasis, early pneumonia or aspiration. Clinical correlation is advised. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is mildly enlarged, similar prior exams. Status post median sternotomy.","The cardiomediastinal silhouette is mildly enlarged, similar prior exams.",mildly enlarged cardiomediastinal silhouette,,Stable,['files/p19/p19150427/s59375093/6698971c-6ec76761-85ca680f-24dfc39f-790eb123.jpg'],"['files/p19/p19150427/s56901180/27be8e47-777aa20b-bdfc0d00-edfb3263-1cebe4df.jpg\n', 'files/p19/p19150427/s56901180/5d1050e9-28da32a0-1d4125fa-2e3cec29-4be75b1e.jpg\n']"
s59375123_7,p18767957,s59375123,7,Findings,The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. Pulmonary vasculature is within normal limits.,The cardiomediastinal and hilar contours are stable.,cardiomediastinal and hilar contours,,Stable,"['files/p18/p18767957/s59375123/7f893546-338c10fd-6a9cd08f-10d75928-62b63ac6.jpg', 'files/p18/p18767957/s59375123/ee7e973e-09b18407-53d2a8d5-becd082f-6debca86.jpg']","['files/p18/p18767957/s59366677/67d864d4-d51e968e-6523ea3d-51098156-ed3ea015.jpg\n', 'files/p18/p18767957/s59366677/eb9147c0-673fd900-e2943f09-d750c819-dbbf834e.jpg\n']"
s59379638_4,p13473781,s59379638,4,Findings,"Diffusely enlarged cardiomediastinal silhouette is stable and chronic dating back to ___. Compared with most recent prior radiograph, bibasilar opacities have resolved. No focal consolidation, pleural effusion or pneumothorax is present. There is no evidence of pulmonary vascular congestion.",Diffusely enlarged cardiomediastinal silhouette is stable and chronic dating back to ___.,diffusely enlarged cardiomediastinal silhouette,,Stable,['files/p13/p13473781/s59379638/93b163fa-7f80655a-ef8a0aa1-a7f79efd-6feebd5f.jpg'],['files/p13/p13473781/s59067739/043df04d-931d53c9-ae497983-ce79d340-656e2354.jpg\n']
s59379638_4,p13473781,s59379638,4,Impression,No acute intrathoracic process. Stable chronic severely enlarged cardiac silhouette.,Stable chronic severely enlarged cardiac silhouette.,severely enlarged cardiac silhouette,,Stable,['files/p13/p13473781/s59379638/93b163fa-7f80655a-ef8a0aa1-a7f79efd-6feebd5f.jpg'],['files/p13/p13473781/s59067739/043df04d-931d53c9-ae497983-ce79d340-656e2354.jpg\n']
s59379638_4,p13473781,s59379638,4,Findings,"Diffusely enlarged cardiomediastinal silhouette is stable and chronic dating back to ___. Compared with most recent prior radiograph, bibasilar opacities have resolved. No focal consolidation, pleural effusion or pneumothorax is present. There is no evidence of pulmonary vascular congestion.","Compared with most recent prior radiograph, bibasilar opacities have resolved.",opacities,bibasilar,Resolve,['files/p13/p13473781/s59379638/93b163fa-7f80655a-ef8a0aa1-a7f79efd-6feebd5f.jpg'],['files/p13/p13473781/s59067739/043df04d-931d53c9-ae497983-ce79d340-656e2354.jpg\n']
s59379876_13,p13263843,s59379876,13,Findings,"PA and lateral views of the chest are provided. A focus of scarring in the right upper lobe is better assessed on the prior CT from ___. Increase in interstitial markings, which could indicate mild interstitial edema or atypical infection. Heart size remains stable. No pneumothorax.",A focus of scarring in the right upper lobe is better assessed on the prior CT from ___.,scarring,right upper lobe,Stable,"['files/p13/p13263843/s59379876/82334281-bac120c3-7fe76578-62bb15b8-3625a45f.jpg', 'files/p13/p13263843/s59379876/f2519fc1-a453a942-fcb47d26-f30fa862-72fc2107.jpg']","['files/p13/p13263843/s58632637/1f47d792-eda2bffe-f8173c15-50577b80-bfbd2e17.jpg\n', 'files/p13/p13263843/s58632637/6c8f6788-2282a048-8d892726-05bc3df6-fe88e6e7.jpg\n']"
s59379876_13,p13263843,s59379876,13,Findings,"PA and lateral views of the chest are provided. A focus of scarring in the right upper lobe is better assessed on the prior CT from ___. Increase in interstitial markings, which could indicate mild interstitial edema or atypical infection. Heart size remains stable. No pneumothorax.",Heart size remains stable.,heart size,,Stable,"['files/p13/p13263843/s59379876/82334281-bac120c3-7fe76578-62bb15b8-3625a45f.jpg', 'files/p13/p13263843/s59379876/f2519fc1-a453a942-fcb47d26-f30fa862-72fc2107.jpg']","['files/p13/p13263843/s58632637/1f47d792-eda2bffe-f8173c15-50577b80-bfbd2e17.jpg\n', 'files/p13/p13263843/s58632637/6c8f6788-2282a048-8d892726-05bc3df6-fe88e6e7.jpg\n']"
s59381739_5,p18417750,s59381739,5,Findings,PA and lateral views of the chest. The lungs are clear without focal consolidation. No pneumothorax or pleural effusion is seen. There is mild atelectasis seen at the right lung base. A left-sided pacer is present with wires terminating in the right atrium and right ventricle. Again noted is a metallic stent projecting over the expected location of the aortic valve. Hardware is in the lower thoracic spine with evidence of vertebroplasty. The heart size is enlarged but unchanged. An unchanged wedge deformity is seen superior to the vertebroplasty.,Again noted is a metallic stent projecting over the expected location of the aortic valve.,metallic stent,aortic valve,Stable,"['files/p18/p18417750/s59381739/35901623-dfa281b0-60bd2a48-cb5eacfb-bbab810e.jpg', 'files/p18/p18417750/s59381739/72e66342-77147de7-49a4d205-c29b20c6-4afd3987.jpg', 'files/p18/p18417750/s59381739/a4782cf2-0d20d835-419b812e-de98d053-800b9d29.jpg']","['files/p18/p18417750/s59047668/75f21a8f-79c74bef-915a62bf-6f0fe729-8b59663a.jpg\n', 'files/p18/p18417750/s59047668/914e8aae-98977714-95bb2a56-fbd74998-2c926045.jpg\n', 'files/p18/p18417750/s59047668/9c04078c-dee8c858-bc2a105e-d5fb538e-ac5a7c69.jpg\n']"
s59381739_5,p18417750,s59381739,5,Findings,PA and lateral views of the chest. The lungs are clear without focal consolidation. No pneumothorax or pleural effusion is seen. There is mild atelectasis seen at the right lung base. A left-sided pacer is present with wires terminating in the right atrium and right ventricle. Again noted is a metallic stent projecting over the expected location of the aortic valve. Hardware is in the lower thoracic spine with evidence of vertebroplasty. The heart size is enlarged but unchanged. An unchanged wedge deformity is seen superior to the vertebroplasty.,The heart size is enlarged but unchanged.,enlarged heart size,,Stable,"['files/p18/p18417750/s59381739/35901623-dfa281b0-60bd2a48-cb5eacfb-bbab810e.jpg', 'files/p18/p18417750/s59381739/72e66342-77147de7-49a4d205-c29b20c6-4afd3987.jpg', 'files/p18/p18417750/s59381739/a4782cf2-0d20d835-419b812e-de98d053-800b9d29.jpg']","['files/p18/p18417750/s59047668/75f21a8f-79c74bef-915a62bf-6f0fe729-8b59663a.jpg\n', 'files/p18/p18417750/s59047668/914e8aae-98977714-95bb2a56-fbd74998-2c926045.jpg\n', 'files/p18/p18417750/s59047668/9c04078c-dee8c858-bc2a105e-d5fb538e-ac5a7c69.jpg\n']"
s59381739_5,p18417750,s59381739,5,Findings,PA and lateral views of the chest. The lungs are clear without focal consolidation. No pneumothorax or pleural effusion is seen. There is mild atelectasis seen at the right lung base. A left-sided pacer is present with wires terminating in the right atrium and right ventricle. Again noted is a metallic stent projecting over the expected location of the aortic valve. Hardware is in the lower thoracic spine with evidence of vertebroplasty. The heart size is enlarged but unchanged. An unchanged wedge deformity is seen superior to the vertebroplasty.,An unchanged wedge deformity is seen superior to the vertebroplasty.,wedge deformity,superior to the vertebroplasty,Stable,"['files/p18/p18417750/s59381739/35901623-dfa281b0-60bd2a48-cb5eacfb-bbab810e.jpg', 'files/p18/p18417750/s59381739/72e66342-77147de7-49a4d205-c29b20c6-4afd3987.jpg', 'files/p18/p18417750/s59381739/a4782cf2-0d20d835-419b812e-de98d053-800b9d29.jpg']","['files/p18/p18417750/s59047668/75f21a8f-79c74bef-915a62bf-6f0fe729-8b59663a.jpg\n', 'files/p18/p18417750/s59047668/914e8aae-98977714-95bb2a56-fbd74998-2c926045.jpg\n', 'files/p18/p18417750/s59047668/9c04078c-dee8c858-bc2a105e-d5fb538e-ac5a7c69.jpg\n']"
s59381739_5,p18417750,s59381739,5,Impression,Stable cardiomegaly without findings of failure. No acute intrathoracic process.,Stable cardiomegaly without findings of failure.,cardiomegaly,,Stable,"['files/p18/p18417750/s59381739/35901623-dfa281b0-60bd2a48-cb5eacfb-bbab810e.jpg', 'files/p18/p18417750/s59381739/72e66342-77147de7-49a4d205-c29b20c6-4afd3987.jpg', 'files/p18/p18417750/s59381739/a4782cf2-0d20d835-419b812e-de98d053-800b9d29.jpg']","['files/p18/p18417750/s59047668/75f21a8f-79c74bef-915a62bf-6f0fe729-8b59663a.jpg\n', 'files/p18/p18417750/s59047668/914e8aae-98977714-95bb2a56-fbd74998-2c926045.jpg\n', 'files/p18/p18417750/s59047668/9c04078c-dee8c858-bc2a105e-d5fb538e-ac5a7c69.jpg\n']"
s59383411_0,p19404187,s59383411,0,Findings,"Chest PA and lateral radiograph demonstrates decreased size of the left upper lobe opacity possibly due to resolution of hemorrhage, now measuring 2.8 in the craniocaudal dimension compared to 3.5 cm on prior study. There is persisitent if not increased streaky retrocardiac opacities, possibly related to aspiration. No definitive opacification concerning for pneumonia. Minimal left costophrenic angle blunting, likely represents small left pleural effusion. No osseous abnormalities identified.","Chest PA and lateral radiograph demonstrates decreased size of the left upper lobe opacity possibly due to resolution of hemorrhage, now measuring 2.8 in the craniocaudal dimension compared to 3.5 cm on prior study.",opacity,left upper lobe,Better,['files/p19/p19404187/s59383411/9c428194-407d67aa-d8f7441b-6010da36-1768a83e.jpg'],"['files/p19/p19404187/s58274681/2105a3d5-135b0241-ad3232b4-24f593cc-3d0862a6.jpg\n', 'files/p19/p19404187/s58274681/c408021c-9ec7e58b-9e1623a5-ea612873-9f6462aa.jpg\n']"
s59383411_0,p19404187,s59383411,0,Impression,"Interval decrease in size of left upper lobe opacity, possibly reflecting resolution of prior hemorrhage. Likely small left pleural effusion.","Interval decrease in size of left upper lobe opacity, possibly reflecting resolution of prior hemorrhage.",opacity,left upper lobe,Better,['files/p19/p19404187/s59383411/9c428194-407d67aa-d8f7441b-6010da36-1768a83e.jpg'],"['files/p19/p19404187/s58274681/2105a3d5-135b0241-ad3232b4-24f593cc-3d0862a6.jpg\n', 'files/p19/p19404187/s58274681/c408021c-9ec7e58b-9e1623a5-ea612873-9f6462aa.jpg\n']"
s59383411_0,p19404187,s59383411,0,Findings,"Chest PA and lateral radiograph demonstrates decreased size of the left upper lobe opacity possibly due to resolution of hemorrhage, now measuring 2.8 in the craniocaudal dimension compared to 3.5 cm on prior study. There is persisitent if not increased streaky retrocardiac opacities, possibly related to aspiration. No definitive opacification concerning for pneumonia. Minimal left costophrenic angle blunting, likely represents small left pleural effusion. No osseous abnormalities identified.","There is persistent if not increased streaky retrocardiac opacities, possibly related to aspiration.",opacities,retrocardiac,Worse,['files/p19/p19404187/s59383411/9c428194-407d67aa-d8f7441b-6010da36-1768a83e.jpg'],"['files/p19/p19404187/s58274681/2105a3d5-135b0241-ad3232b4-24f593cc-3d0862a6.jpg\n', 'files/p19/p19404187/s58274681/c408021c-9ec7e58b-9e1623a5-ea612873-9f6462aa.jpg\n']"
s59395427_29,p16826047,s59395427,29,Findings,"As compared to prior chest radiograph from ___, right Pleurx catheter remains in position and there is still substantial layering of pleural effusion with compressive atelectasis at the right base. There appears to be interval engorgement of pulmonary vessels, particularly on the left. The left hemidiaphragm is not as sharply seen, which could represent a small pleural effusion. Stable cardiomegaly.",Stable cardiomegaly.,cardiomegaly,,Stable,['files/p16/p16826047/s59395427/540bedcf-8202c1a0-6499b7ab-c43d0c66-a287c997.jpg'],"['files/p16/p16826047/s59368305/c4043075-ef0f5e86-98cd490f-353abc47-c25c3a5f.jpg\n', 'files/p16/p16826047/s59368305/ec259ac8-a686ec57-96de3308-85ce5840-db5a729d.jpg\n']"
s59395427_29,p16826047,s59395427,29,Impression,Unchanged right pleural effusion. Stable cardiomegaly with pulmonary vascular congestion. Possible small left pleural effusion.,Stable cardiomegaly with pulmonary vascular congestion.,cardiomegaly,,Stable,['files/p16/p16826047/s59395427/540bedcf-8202c1a0-6499b7ab-c43d0c66-a287c997.jpg'],"['files/p16/p16826047/s59368305/c4043075-ef0f5e86-98cd490f-353abc47-c25c3a5f.jpg\n', 'files/p16/p16826047/s59368305/ec259ac8-a686ec57-96de3308-85ce5840-db5a729d.jpg\n']"
s59395427_29,p16826047,s59395427,29,Impression,Unchanged right pleural effusion. Stable cardiomegaly with pulmonary vascular congestion. Possible small left pleural effusion.,Stable cardiomegaly with pulmonary vascular congestion.,pulmonary vascular congestion,,Stable,['files/p16/p16826047/s59395427/540bedcf-8202c1a0-6499b7ab-c43d0c66-a287c997.jpg'],"['files/p16/p16826047/s59368305/c4043075-ef0f5e86-98cd490f-353abc47-c25c3a5f.jpg\n', 'files/p16/p16826047/s59368305/ec259ac8-a686ec57-96de3308-85ce5840-db5a729d.jpg\n']"
s59395427_29,p16826047,s59395427,29,Impression,Unchanged right pleural effusion. Stable cardiomegaly with pulmonary vascular congestion. Possible small left pleural effusion.,Unchanged right pleural effusion.,pleural effusion,right,Stable,['files/p16/p16826047/s59395427/540bedcf-8202c1a0-6499b7ab-c43d0c66-a287c997.jpg'],"['files/p16/p16826047/s59368305/c4043075-ef0f5e86-98cd490f-353abc47-c25c3a5f.jpg\n', 'files/p16/p16826047/s59368305/ec259ac8-a686ec57-96de3308-85ce5840-db5a729d.jpg\n']"
s59397956_4,p14744884,s59397956,4,Findings,Heart is upper limits normal in size. The right subclavian vascular stent is unchanged. The lungs are clear without infiltrate or effusion.,The right subclavian vascular stent is unchanged.,vascular stent,right subclavian,Stable,['files/p14/p14744884/s59397956/ef98f5b9-a2a8261a-8138e17e-bc61edb2-729d5908.jpg'],"['files/p14/p14744884/s59332553/165711e8-c8b71f3b-2d2cbf76-dca067bc-f2ba9089.jpg\n', 'files/p14/p14744884/s59332553/301ce3f6-a772d517-7d019547-b8f6d662-45d6850b.jpg\n']"
s59402852_15,p12595991,s59402852,15,Impression,"In comparison with the study ___ ___, there has been placement of an endotracheal tube with its tip approximately 4.6 cm above the carina. Nasogastric tube extends to the lower body of the stomach. Continued low lung volumes. There is increase in the size and indistinctness of pulmonary vessels, consistent with elevated pulmonary venous pressure possibly related to over-hydration. The 3-channel pacer device remains in place. The left IJ catheter again crosses the midline to extend to the right subclavian or internal jugular system.",The 3-channel pacer device remains in place.,3-channel pacer device,,Stable,['files/p12/p12595991/s59402852/39fd5a3b-600c7c44-8426c20e-dafdd287-f5b59fca.jpg'],['files/p12/p12595991/s59048499/372f588f-f2061650-9cc50694-12a70654-dd425821.jpg\n']
s59402852_15,p12595991,s59402852,15,Impression,"In comparison with the study ___ ___, there has been placement of an endotracheal tube with its tip approximately 4.6 cm above the carina. Nasogastric tube extends to the lower body of the stomach. Continued low lung volumes. There is increase in the size and indistinctness of pulmonary vessels, consistent with elevated pulmonary venous pressure possibly related to over-hydration. The 3-channel pacer device remains in place. The left IJ catheter again crosses the midline to extend to the right subclavian or internal jugular system.","There is increase in the size and indistinctness of pulmonary vessels, consistent with elevated pulmonary venous pressure possibly related to over-hydration.",size and indistinctness of pulmonary vessels,,Worse,['files/p12/p12595991/s59402852/39fd5a3b-600c7c44-8426c20e-dafdd287-f5b59fca.jpg'],['files/p12/p12595991/s59048499/372f588f-f2061650-9cc50694-12a70654-dd425821.jpg\n']
s59402852_15,p12595991,s59402852,15,Impression,"In comparison with the study ___ ___, there has been placement of an endotracheal tube with its tip approximately 4.6 cm above the carina. Nasogastric tube extends to the lower body of the stomach. Continued low lung volumes. There is increase in the size and indistinctness of pulmonary vessels, consistent with elevated pulmonary venous pressure possibly related to over-hydration. The 3-channel pacer device remains in place. The left IJ catheter again crosses the midline to extend to the right subclavian or internal jugular system.",Continued low lung volumes.,low lung volumes,,Stable,['files/p12/p12595991/s59402852/39fd5a3b-600c7c44-8426c20e-dafdd287-f5b59fca.jpg'],['files/p12/p12595991/s59048499/372f588f-f2061650-9cc50694-12a70654-dd425821.jpg\n']
s59409427_8,p12433421,s59409427,8,Impression,"AP chest compared to ___: Previous mild pulmonary edema has improved, small bilateral pleural effusions have decreased, but left lower lobe atelectasis has worsened. Heart size top normal. No pneumothorax.","AP chest compared to ___: Previous mild pulmonary edema has improved, small bilateral pleural effusions have decreased, but left lower lobe atelectasis has worsened.",atelectasis,left lower lobe,Worse,['files/p12/p12433421/s59409427/7f267ae9-96a871a2-d6201f05-95d76d1d-0e0ce72b.jpg'],['files/p12/p12433421/s59200772/91af0bee-3cac0612-4e8721e3-9dfdf4a1-ae5edab8.jpg\n']
s59409427_8,p12433421,s59409427,8,Impression,"AP chest compared to ___: Previous mild pulmonary edema has improved, small bilateral pleural effusions have decreased, but left lower lobe atelectasis has worsened. Heart size top normal. No pneumothorax.","AP chest compared to ___: Previous mild pulmonary edema has improved, small bilateral pleural effusions have decreased, but left lower lobe atelectasis has worsened.",pleural effusions,bilateral,Better,['files/p12/p12433421/s59409427/7f267ae9-96a871a2-d6201f05-95d76d1d-0e0ce72b.jpg'],['files/p12/p12433421/s59200772/91af0bee-3cac0612-4e8721e3-9dfdf4a1-ae5edab8.jpg\n']
s59409427_8,p12433421,s59409427,8,Impression,"AP chest compared to ___: Previous mild pulmonary edema has improved, small bilateral pleural effusions have decreased, but left lower lobe atelectasis has worsened. Heart size top normal. No pneumothorax.","AP chest compared to ___: Previous mild pulmonary edema has improved, small bilateral pleural effusions have decreased, but left lower lobe atelectasis has worsened.",pulmonary edema,general,Better,['files/p12/p12433421/s59409427/7f267ae9-96a871a2-d6201f05-95d76d1d-0e0ce72b.jpg'],['files/p12/p12433421/s59200772/91af0bee-3cac0612-4e8721e3-9dfdf4a1-ae5edab8.jpg\n']
s59413372_15,p11569093,s59413372,15,Findings,"Single frontal image of the chest was obtained. Again seen is a partially collapsed right lung with increased density at the inferior border of the lung, consistent with pleural effusion versus pleural thickening. Below the inferior border of the right lung is again seen a hydropneumothorax with an air-fluid level. There again appear to be some small opacities within the partially collapsed right lung. The left lung is seen again to be clear. Cardiomediastinal silhouette is unchanged.",There again appear to be some small opacities within the partially collapsed right lung.,small opacities,within the partially collapsed right lung,Stable,['files/p11/p11569093/s59413372/fef81fa7-75d8ca91-07651606-538e5b40-bb00dbff.jpg'],['files/p11/p11569093/s59234239/382dbe73-cac300e6-08430cac-cec951a4-86e9e1e1.jpg\n']
s59413372_15,p11569093,s59413372,15,Findings,"Single frontal image of the chest was obtained. Again seen is a partially collapsed right lung with increased density at the inferior border of the lung, consistent with pleural effusion versus pleural thickening. Below the inferior border of the right lung is again seen a hydropneumothorax with an air-fluid level. There again appear to be some small opacities within the partially collapsed right lung. The left lung is seen again to be clear. Cardiomediastinal silhouette is unchanged.",The left lung is seen again to be clear.,clear lung,left lung,Stable,['files/p11/p11569093/s59413372/fef81fa7-75d8ca91-07651606-538e5b40-bb00dbff.jpg'],['files/p11/p11569093/s59234239/382dbe73-cac300e6-08430cac-cec951a4-86e9e1e1.jpg\n']
s59413372_15,p11569093,s59413372,15,Findings,"Single frontal image of the chest was obtained. Again seen is a partially collapsed right lung with increased density at the inferior border of the lung, consistent with pleural effusion versus pleural thickening. Below the inferior border of the right lung is again seen a hydropneumothorax with an air-fluid level. There again appear to be some small opacities within the partially collapsed right lung. The left lung is seen again to be clear. Cardiomediastinal silhouette is unchanged.","Again seen is a partially collapsed right lung with increased density at the inferior border of the lung, consistent with pleural effusion versus pleural thickening.",partially collapsed lung,right lung,Worse,['files/p11/p11569093/s59413372/fef81fa7-75d8ca91-07651606-538e5b40-bb00dbff.jpg'],['files/p11/p11569093/s59234239/382dbe73-cac300e6-08430cac-cec951a4-86e9e1e1.jpg\n']
s59413372_15,p11569093,s59413372,15,Impression,Unchanged chest radiograph from previous imaging.,Unchanged chest radiograph from previous imaging.,radiograph,chest,Stable,['files/p11/p11569093/s59413372/fef81fa7-75d8ca91-07651606-538e5b40-bb00dbff.jpg'],['files/p11/p11569093/s59234239/382dbe73-cac300e6-08430cac-cec951a4-86e9e1e1.jpg\n']
s59413372_15,p11569093,s59413372,15,Findings,"Single frontal image of the chest was obtained. Again seen is a partially collapsed right lung with increased density at the inferior border of the lung, consistent with pleural effusion versus pleural thickening. Below the inferior border of the right lung is again seen a hydropneumothorax with an air-fluid level. There again appear to be some small opacities within the partially collapsed right lung. The left lung is seen again to be clear. Cardiomediastinal silhouette is unchanged.",Below the inferior border of the right lung is again seen a hydropneumothorax with an air-fluid level.,hydropneumothorax,below the inferior border of the right lung,Stable,['files/p11/p11569093/s59413372/fef81fa7-75d8ca91-07651606-538e5b40-bb00dbff.jpg'],['files/p11/p11569093/s59234239/382dbe73-cac300e6-08430cac-cec951a4-86e9e1e1.jpg\n']
s59413372_15,p11569093,s59413372,15,Findings,"Single frontal image of the chest was obtained. Again seen is a partially collapsed right lung with increased density at the inferior border of the lung, consistent with pleural effusion versus pleural thickening. Below the inferior border of the right lung is again seen a hydropneumothorax with an air-fluid level. There again appear to be some small opacities within the partially collapsed right lung. The left lung is seen again to be clear. Cardiomediastinal silhouette is unchanged.",Cardiomediastinal silhouette is unchanged.,silhouette,Cardiomediastinal,Stable,['files/p11/p11569093/s59413372/fef81fa7-75d8ca91-07651606-538e5b40-bb00dbff.jpg'],['files/p11/p11569093/s59234239/382dbe73-cac300e6-08430cac-cec951a4-86e9e1e1.jpg\n']
s59417593_6,p18615099,s59417593,6,Findings,"As compared to the previous radiograph, there is an increase in extent of the pre-existing bilateral pleural effusions. The signs of moderate pulmonary edema are unchanged. Increasing extent of the pre-existing basilar areas of atelectasis. Unchanged size of the cardiac silhouette. Unchanged monitoring and support devices.",Increasing extent of the pre-existing basilar areas of atelectasis.,atelectasis,basilar,Worse,['files/p18/p18615099/s59417593/62969c3a-e3c22e1f-1e3ca640-6a048fac-c5b86dbe.jpg'],['files/p18/p18615099/s59152117/01c5daed-cf6a5552-a23ad3f6-5850acca-d9619ea2.jpg\n']
s59417593_6,p18615099,s59417593,6,Findings,"As compared to the previous radiograph, there is an increase in extent of the pre-existing bilateral pleural effusions. The signs of moderate pulmonary edema are unchanged. Increasing extent of the pre-existing basilar areas of atelectasis. Unchanged size of the cardiac silhouette. Unchanged monitoring and support devices.",Unchanged size of the cardiac silhouette.,cardiac silhouette,,Stable,['files/p18/p18615099/s59417593/62969c3a-e3c22e1f-1e3ca640-6a048fac-c5b86dbe.jpg'],['files/p18/p18615099/s59152117/01c5daed-cf6a5552-a23ad3f6-5850acca-d9619ea2.jpg\n']
s59417593_6,p18615099,s59417593,6,Findings,"As compared to the previous radiograph, there is an increase in extent of the pre-existing bilateral pleural effusions. The signs of moderate pulmonary edema are unchanged. Increasing extent of the pre-existing basilar areas of atelectasis. Unchanged size of the cardiac silhouette. Unchanged monitoring and support devices.","As compared to the previous radiograph, there is an increase in extent of the pre-existing bilateral pleural effusions.",pleural effusions,bilateral,Worse,['files/p18/p18615099/s59417593/62969c3a-e3c22e1f-1e3ca640-6a048fac-c5b86dbe.jpg'],['files/p18/p18615099/s59152117/01c5daed-cf6a5552-a23ad3f6-5850acca-d9619ea2.jpg\n']
s59417593_6,p18615099,s59417593,6,Findings,"As compared to the previous radiograph, there is an increase in extent of the pre-existing bilateral pleural effusions. The signs of moderate pulmonary edema are unchanged. Increasing extent of the pre-existing basilar areas of atelectasis. Unchanged size of the cardiac silhouette. Unchanged monitoring and support devices.",Unchanged monitoring and support devices.,monitoring and support devices,,Stable,['files/p18/p18615099/s59417593/62969c3a-e3c22e1f-1e3ca640-6a048fac-c5b86dbe.jpg'],['files/p18/p18615099/s59152117/01c5daed-cf6a5552-a23ad3f6-5850acca-d9619ea2.jpg\n']
s59417593_6,p18615099,s59417593,6,Findings,"As compared to the previous radiograph, there is an increase in extent of the pre-existing bilateral pleural effusions. The signs of moderate pulmonary edema are unchanged. Increasing extent of the pre-existing basilar areas of atelectasis. Unchanged size of the cardiac silhouette. Unchanged monitoring and support devices.",The signs of moderate pulmonary edema are unchanged.,moderate pulmonary edema,,Stable,['files/p18/p18615099/s59417593/62969c3a-e3c22e1f-1e3ca640-6a048fac-c5b86dbe.jpg'],['files/p18/p18615099/s59152117/01c5daed-cf6a5552-a23ad3f6-5850acca-d9619ea2.jpg\n']
s59427483_15,p16957952,s59427483,15,Findings,"The lungs are clear without focal consolidation, effusion, or overt pulmonary edema. The cardiomediastinal silhouette is stable given differences in positioning and technique. Slight compression deformity of a lower thoracic vertebral body is unchanged. Compressed lumbar vertebral body is obscured on this image. There is a sliver of lucency below the left hemidiaphragm on the frontal and adjacent to the right hemidiaphragm on the lateral.",The cardiomediastinal silhouette is stable given differences in positioning and technique.,,Cardiomediastinal silhouette,Stable,"['files/p16/p16957952/s59427483/4b232ada-d690d5b8-bf093f94-bd61a373-ff2e6e33.jpg', 'files/p16/p16957952/s59427483/77283979-b7b02317-bf3cf53e-4068c643-ba29c7d7.jpg']",['files/p16/p16957952/s59350509/e376439c-52cdf885-41f17afb-9a4a3fea-43c74d55.jpg\n']
s59427483_15,p16957952,s59427483,15,Findings,"The lungs are clear without focal consolidation, effusion, or overt pulmonary edema. The cardiomediastinal silhouette is stable given differences in positioning and technique. Slight compression deformity of a lower thoracic vertebral body is unchanged. Compressed lumbar vertebral body is obscured on this image. There is a sliver of lucency below the left hemidiaphragm on the frontal and adjacent to the right hemidiaphragm on the lateral.",Slight compression deformity of a lower thoracic vertebral body is unchanged.,Slight compression deformity,Lower thoracic vertebral body,Stable,"['files/p16/p16957952/s59427483/4b232ada-d690d5b8-bf093f94-bd61a373-ff2e6e33.jpg', 'files/p16/p16957952/s59427483/77283979-b7b02317-bf3cf53e-4068c643-ba29c7d7.jpg']",['files/p16/p16957952/s59350509/e376439c-52cdf885-41f17afb-9a4a3fea-43c74d55.jpg\n']
s59433297_2,p17897339,s59433297,2,Findings,"Frontal and lateral views of the chest were obtained. There are low lung volumes which accentuate the bronchovascular markings. Bibasilar opacities are seen, which most likely represent atelectasis, although aspiration or infection are not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.",There are low lung volumes which accentuate the bronchovascular markings.,lung volumes,,Stable,"['files/p17/p17897339/s59433297/6acc427b-57dfcb76-42bfe32a-060177db-044a5c6f.jpg', 'files/p17/p17897339/s59433297/74b808ff-f5c9a368-31feafce-c0e5c66d-d251a32c.jpg']",['files/p17/p17897339/s58768954/b78b1110-28e93f4d-b7e0e8f6-22552c4c-b967810b.jpg\n']
s59433297_2,p17897339,s59433297,2,Findings,"Frontal and lateral views of the chest were obtained. There are low lung volumes which accentuate the bronchovascular markings. Bibasilar opacities are seen, which most likely represent atelectasis, although aspiration or infection are not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.","Bibasilar opacities are seen, which most likely represent atelectasis, although aspiration or infection are not excluded in the appropriate clinical setting.",opacities,Bibasilar,New,"['files/p17/p17897339/s59433297/6acc427b-57dfcb76-42bfe32a-060177db-044a5c6f.jpg', 'files/p17/p17897339/s59433297/74b808ff-f5c9a368-31feafce-c0e5c66d-d251a32c.jpg']",['files/p17/p17897339/s58768954/b78b1110-28e93f4d-b7e0e8f6-22552c4c-b967810b.jpg\n']
s59433297_2,p17897339,s59433297,2,Findings,"Frontal and lateral views of the chest were obtained. There are low lung volumes which accentuate the bronchovascular markings. Bibasilar opacities are seen, which most likely represent atelectasis, although aspiration or infection are not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax 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/p17/p17897339/s59433297/6acc427b-57dfcb76-42bfe32a-060177db-044a5c6f.jpg', 'files/p17/p17897339/s59433297/74b808ff-f5c9a368-31feafce-c0e5c66d-d251a32c.jpg']",['files/p17/p17897339/s58768954/b78b1110-28e93f4d-b7e0e8f6-22552c4c-b967810b.jpg\n']
s59433529_18,p11569093,s59433529,18,Findings,"The left lung is relatively well aerated and clear. The right hemithorax is markedly opacified with volume loss, circumferential pleural thickening and pleural fluid with near complete opacification of the right lung with right basal pleural catheter noted. Hydropneumothorax previously seen is not as well evaluated on this not fully upright film. Cardiac contours are somewhat obscured but unremarkable.",Hydropneumothorax previously seen is not as well evaluated on this not fully upright film.,hydropneumothorax,right hemithorax,Resolve,['files/p11/p11569093/s59433529/3d9581e4-1ca59a74-f2f5dfee-2599dad8-491fc6a0.jpg'],['files/p11/p11569093/s59413372/fef81fa7-75d8ca91-07651606-538e5b40-bb00dbff.jpg\n']
s59438963_11,p14236258,s59438963,11,Findings,"When compared to prior, there has been no significant interval change. Lungs are grossly clear. There is no large effusion or edema. Cardiomediastinal silhouette is within normal limits. Rightward deviation of the trachea at the thoracic inlet is compatible with known underlying left-sided thyroid enlargement. Surgical clips seen projecting over the thoracic inlet. Left chest wall dual lumen central venous catheter is now seen. Multiple vascular stents project over the left upper extremity and mediastinum. Severe degenerative changes noted at the shoulders bilaterally. Old healed right posterior rib fractures are also noted.",Left chest wall dual lumen central venous catheter is now seen.,Dual lumen central venous catheter,Left chest wall,New,"['files/p14/p14236258/s59438963/099dc924-692466a3-cd889469-1d9dee6c-3a61f779.jpg', 'files/p14/p14236258/s59438963/6196e104-b79ccd0c-14251271-51dad87b-ef6297d4.jpg', 'files/p14/p14236258/s59438963/d2ae1900-b7a31dd8-3a7ff502-08e62dd6-51dfb0e5.jpg']","['files/p14/p14236258/s58255867/0f33dea2-1c4e6245-7b21b568-ef0299e9-03c0863a.jpg\n', 'files/p14/p14236258/s58255867/5732623e-81224052-0d0743d5-220e58d4-18365982.jpg\n', 'files/p14/p14236258/s58255867/89761447-bc4663fb-0df82ab9-baf89987-3cefc06b.jpg\n']"
s59438963_11,p14236258,s59438963,11,Findings,"When compared to prior, there has been no significant interval change. Lungs are grossly clear. There is no large effusion or edema. Cardiomediastinal silhouette is within normal limits. Rightward deviation of the trachea at the thoracic inlet is compatible with known underlying left-sided thyroid enlargement. Surgical clips seen projecting over the thoracic inlet. Left chest wall dual lumen central venous catheter is now seen. Multiple vascular stents project over the left upper extremity and mediastinum. Severe degenerative changes noted at the shoulders bilaterally. Old healed right posterior rib fractures are also noted.","When compared to prior, there has been no significant interval change.",,,Stable,"['files/p14/p14236258/s59438963/099dc924-692466a3-cd889469-1d9dee6c-3a61f779.jpg', 'files/p14/p14236258/s59438963/6196e104-b79ccd0c-14251271-51dad87b-ef6297d4.jpg', 'files/p14/p14236258/s59438963/d2ae1900-b7a31dd8-3a7ff502-08e62dd6-51dfb0e5.jpg']","['files/p14/p14236258/s58255867/0f33dea2-1c4e6245-7b21b568-ef0299e9-03c0863a.jpg\n', 'files/p14/p14236258/s58255867/5732623e-81224052-0d0743d5-220e58d4-18365982.jpg\n', 'files/p14/p14236258/s58255867/89761447-bc4663fb-0df82ab9-baf89987-3cefc06b.jpg\n']"
s59438963_11,p14236258,s59438963,11,Findings,"When compared to prior, there has been no significant interval change. Lungs are grossly clear. There is no large effusion or edema. Cardiomediastinal silhouette is within normal limits. Rightward deviation of the trachea at the thoracic inlet is compatible with known underlying left-sided thyroid enlargement. Surgical clips seen projecting over the thoracic inlet. Left chest wall dual lumen central venous catheter is now seen. Multiple vascular stents project over the left upper extremity and mediastinum. Severe degenerative changes noted at the shoulders bilaterally. Old healed right posterior rib fractures are also noted.",Old healed right posterior rib fractures are also noted.,Rib fractures,Right posterior,Stable,"['files/p14/p14236258/s59438963/099dc924-692466a3-cd889469-1d9dee6c-3a61f779.jpg', 'files/p14/p14236258/s59438963/6196e104-b79ccd0c-14251271-51dad87b-ef6297d4.jpg', 'files/p14/p14236258/s59438963/d2ae1900-b7a31dd8-3a7ff502-08e62dd6-51dfb0e5.jpg']","['files/p14/p14236258/s58255867/0f33dea2-1c4e6245-7b21b568-ef0299e9-03c0863a.jpg\n', 'files/p14/p14236258/s58255867/5732623e-81224052-0d0743d5-220e58d4-18365982.jpg\n', 'files/p14/p14236258/s58255867/89761447-bc4663fb-0df82ab9-baf89987-3cefc06b.jpg\n']"
s59450064_5,p19150427,s59450064,5,Findings,"As compared to the previous radiograph, there is increasing pulmonary edema that is now mild-to-moderate in extent. In addition, atelectatic changes are seen at both lung bases as well as at the bases of the right upper lobe. Status post CABG. The lateral radiograph shows mild-to-moderate pleural effusion. No pneumonia.","As compared to the previous radiograph, there is increasing pulmonary edema that is now mild-to-moderate in extent.",pulmonary edema,,Worse,"['files/p19/p19150427/s59450064/37de998f-ddeb6002-7bd3c350-863058e5-a5d6ca9b.jpg', 'files/p19/p19150427/s59450064/54035728-03eb01c3-1af39698-5f789e6f-686ca166.jpg']",['files/p19/p19150427/s59375093/6698971c-6ec76761-85ca680f-24dfc39f-790eb123.jpg\n']
s59454336_2,p13473781,s59454336,2,Findings,Frontal and lateral views of the chest were obtained. Severely enlarged cardiac silhouette is again seen. Small left greater than right pleural effusions remain. Mediastinal and hilar contours are similar. No displaced fracture is seen.,Severely enlarged cardiac silhouette is again seen.,severely enlarged cardiac silhouette,,Stable,"['files/p13/p13473781/s59454336/f39b05b1-f544e51a-cfe317ca-b66a4aa6-1c1dc22d.jpg', 'files/p13/p13473781/s59454336/f3fefc29-68544ac8-284b820d-858b5470-f579b982.jpg']",['files/p13/p13473781/s59379638/93b163fa-7f80655a-ef8a0aa1-a7f79efd-6feebd5f.jpg\n']
s59454336_2,p13473781,s59454336,2,Findings,Frontal and lateral views of the chest were obtained. Severely enlarged cardiac silhouette is again seen. Small left greater than right pleural effusions remain. Mediastinal and hilar contours are similar. No displaced fracture is seen.,Mediastinal and hilar contours are similar.,mediastinal and hilar contours,,Stable,"['files/p13/p13473781/s59454336/f39b05b1-f544e51a-cfe317ca-b66a4aa6-1c1dc22d.jpg', 'files/p13/p13473781/s59454336/f3fefc29-68544ac8-284b820d-858b5470-f579b982.jpg']",['files/p13/p13473781/s59379638/93b163fa-7f80655a-ef8a0aa1-a7f79efd-6feebd5f.jpg\n']
s59454336_2,p13473781,s59454336,2,Findings,Frontal and lateral views of the chest were obtained. Severely enlarged cardiac silhouette is again seen. Small left greater than right pleural effusions remain. Mediastinal and hilar contours are similar. No displaced fracture is seen.,Small left greater than right pleural effusions remain.,pleural effusions,left greater than right,Stable,"['files/p13/p13473781/s59454336/f39b05b1-f544e51a-cfe317ca-b66a4aa6-1c1dc22d.jpg', 'files/p13/p13473781/s59454336/f3fefc29-68544ac8-284b820d-858b5470-f579b982.jpg']",['files/p13/p13473781/s59379638/93b163fa-7f80655a-ef8a0aa1-a7f79efd-6feebd5f.jpg\n']
s59454336_2,p13473781,s59454336,2,Impression,"1. No displaced fracture, however, if clinical concern for fracture persists of the ribs, suggest dedicated rib series, which is more sensitive. 2. Persistent severe enlargement of the cardiac silhouette and small bilateral pleural effusions.",Persistent severe enlargement of the cardiac silhouette and small bilateral pleural effusions.,small pleural effusions,bilateral,Stable,"['files/p13/p13473781/s59454336/f39b05b1-f544e51a-cfe317ca-b66a4aa6-1c1dc22d.jpg', 'files/p13/p13473781/s59454336/f3fefc29-68544ac8-284b820d-858b5470-f579b982.jpg']",['files/p13/p13473781/s59379638/93b163fa-7f80655a-ef8a0aa1-a7f79efd-6feebd5f.jpg\n']
s59454336_2,p13473781,s59454336,2,Impression,"1. No displaced fracture, however, if clinical concern for fracture persists of the ribs, suggest dedicated rib series, which is more sensitive. 2. Persistent severe enlargement of the cardiac silhouette and small bilateral pleural effusions.",Persistent severe enlargement of the cardiac silhouette and small bilateral pleural effusions.,severe enlargement of the cardiac silhouette,,Stable,"['files/p13/p13473781/s59454336/f39b05b1-f544e51a-cfe317ca-b66a4aa6-1c1dc22d.jpg', 'files/p13/p13473781/s59454336/f3fefc29-68544ac8-284b820d-858b5470-f579b982.jpg']",['files/p13/p13473781/s59379638/93b163fa-7f80655a-ef8a0aa1-a7f79efd-6feebd5f.jpg\n']
s59467289_48,p19182863,s59467289,48,Findings,"There is a single-lead pacemaker/ICD device whose lead terminates in the right ventricle as before. The tricuspid and aortic valves has been replaced. Hazy opacities that are predominantly central within each lung suggest mild pulmonary edema. A persistent pleural effusion with loculated character appears unchanged on the right, with probable atelectasis opacifying a substantial portion of the right lower hemithorax, as before. There is probably a trace pleural effusion only on the left. No pneumothorax is demonstrated.","A persistent pleural effusion with loculated character appears unchanged on the right, with probable atelectasis opacifying a substantial portion of the right lower hemithorax, as before.",pleural effusion,right,Stable,"['files/p19/p19182863/s59467289/2583d874-7007d29b-0623d6fb-2cf0c45d-51f0d37d.jpg', 'files/p19/p19182863/s59467289/c0c921be-f6f18f17-4191ce0a-02049b91-242e197b.jpg']",['files/p19/p19182863/s59041802/ffd60688-5da7c1d3-4229e284-c84ba788-c00f4302.jpg\n']
s59467289_48,p19182863,s59467289,48,Findings,"There is a single-lead pacemaker/ICD device whose lead terminates in the right ventricle as before. The tricuspid and aortic valves has been replaced. Hazy opacities that are predominantly central within each lung suggest mild pulmonary edema. A persistent pleural effusion with loculated character appears unchanged on the right, with probable atelectasis opacifying a substantial portion of the right lower hemithorax, as before. There is probably a trace pleural effusion only on the left. No pneumothorax is demonstrated.","A persistent pleural effusion with loculated character appears unchanged on the right, with probable atelectasis opacifying a substantial portion of the right lower hemithorax, as before.",probable atelectasis,right lower hemithorax,Stable,"['files/p19/p19182863/s59467289/2583d874-7007d29b-0623d6fb-2cf0c45d-51f0d37d.jpg', 'files/p19/p19182863/s59467289/c0c921be-f6f18f17-4191ce0a-02049b91-242e197b.jpg']",['files/p19/p19182863/s59041802/ffd60688-5da7c1d3-4229e284-c84ba788-c00f4302.jpg\n']
s59467289_48,p19182863,s59467289,48,Impression,"Findings suggesting mild pulmonary edema. Similar moderate-sized right pleural effusion, probably loculated to some extent, with persistent lung opacification that can probably be attributed to associated atelectasis.","Similar moderate-sized right pleural effusion, probably loculated to some extent, with persistent lung opacification that can probably be attributed to associated atelectasis.",pleural effusion,right,Stable,"['files/p19/p19182863/s59467289/2583d874-7007d29b-0623d6fb-2cf0c45d-51f0d37d.jpg', 'files/p19/p19182863/s59467289/c0c921be-f6f18f17-4191ce0a-02049b91-242e197b.jpg']",['files/p19/p19182863/s59041802/ffd60688-5da7c1d3-4229e284-c84ba788-c00f4302.jpg\n']
s59467289_48,p19182863,s59467289,48,Impression,"Findings suggesting mild pulmonary edema. Similar moderate-sized right pleural effusion, probably loculated to some extent, with persistent lung opacification that can probably be attributed to associated atelectasis.","Similar moderate-sized right pleural effusion, probably loculated to some extent, with persistent lung opacification that can probably be attributed to associated atelectasis.",lung opacification,right,Stable,"['files/p19/p19182863/s59467289/2583d874-7007d29b-0623d6fb-2cf0c45d-51f0d37d.jpg', 'files/p19/p19182863/s59467289/c0c921be-f6f18f17-4191ce0a-02049b91-242e197b.jpg']",['files/p19/p19182863/s59041802/ffd60688-5da7c1d3-4229e284-c84ba788-c00f4302.jpg\n']
s59467289_48,p19182863,s59467289,48,Findings,"There is a single-lead pacemaker/ICD device whose lead terminates in the right ventricle as before. The tricuspid and aortic valves has been replaced. Hazy opacities that are predominantly central within each lung suggest mild pulmonary edema. A persistent pleural effusion with loculated character appears unchanged on the right, with probable atelectasis opacifying a substantial portion of the right lower hemithorax, as before. There is probably a trace pleural effusion only on the left. No pneumothorax is demonstrated.",There is a single-lead pacemaker/ICD device whose lead terminates in the right ventricle as before.,single-lead pacemaker/ICD device,right ventricle,Stable,"['files/p19/p19182863/s59467289/2583d874-7007d29b-0623d6fb-2cf0c45d-51f0d37d.jpg', 'files/p19/p19182863/s59467289/c0c921be-f6f18f17-4191ce0a-02049b91-242e197b.jpg']",['files/p19/p19182863/s59041802/ffd60688-5da7c1d3-4229e284-c84ba788-c00f4302.jpg\n']
s59480739_11,p18615099,s59480739,11,Findings,"Frontal and lateral views of the chest are obtained. The patient is status post median sternotomy and CABG. Dual-lead left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and likely right ventricle. There is blunting of the left costophrenic angle most consistent with a small left pleural effusion. Left base opacity may be due to combination of pleural effusion and atelectasis, although consolidation is not excluded. There is mild central pulmonary vascular congestion. The cardiac silhouette is mildly enlarged. Mediastinal contours are similar compared to ___. There is diffuse osteopenia.",Mediastinal contours are similar compared to ___.,Mediastinal contours,,Stable,"['files/p18/p18615099/s59480739/04d8b146-8f27fd48-e07afc43-464529fc-57350e1b.jpg', 'files/p18/p18615099/s59480739/4e44e0c6-f6bbfa6d-36e48830-791d6141-78bb36e6.jpg']",['files/p18/p18615099/s59417593/62969c3a-e3c22e1f-1e3ca640-6a048fac-c5b86dbe.jpg\n']
s59481059_37,p14841168,s59481059,37,Impression,"Compared to prior chest radiographs ___ through ___. Consolidation in the left lower lobe has been present for more than a week, improved slightly. This could be pneumonia, but atelectasis is more likely. Severe cardiomegaly is stable. There is no longer any pulmonary edema. Pleural effusion is likely, but not large. ET tube, esophageal drainage tube, and left subclavian line are in standard placements.","Consolidation in the left lower lobe has been present for more than a week, improved slightly.",Consolidation,left lower lobe,Better,['files/p14/p14841168/s59481059/b3a377e6-a4f90277-7bd8361f-bfc64687-a4ee054b.jpg'],"['files/p14/p14841168/s59299448/65d133df-679e0589-f0e750af-c7493795-d719917f.jpg\n', 'files/p14/p14841168/s59299448/ba840241-39ec80e6-7525149d-a587f345-856f138e.jpg\n', 'files/p14/p14841168/s59299448/db46fb79-5ef144b5-a30257dc-a364a08f-731905ea.jpg\n']"
s59481059_37,p14841168,s59481059,37,Impression,"Compared to prior chest radiographs ___ through ___. Consolidation in the left lower lobe has been present for more than a week, improved slightly. This could be pneumonia, but atelectasis is more likely. Severe cardiomegaly is stable. There is no longer any pulmonary edema. Pleural effusion is likely, but not large. ET tube, esophageal drainage tube, and left subclavian line are in standard placements.",Severe cardiomegaly is stable.,Severe cardiomegaly,,Stable,['files/p14/p14841168/s59481059/b3a377e6-a4f90277-7bd8361f-bfc64687-a4ee054b.jpg'],"['files/p14/p14841168/s59299448/65d133df-679e0589-f0e750af-c7493795-d719917f.jpg\n', 'files/p14/p14841168/s59299448/ba840241-39ec80e6-7525149d-a587f345-856f138e.jpg\n', 'files/p14/p14841168/s59299448/db46fb79-5ef144b5-a30257dc-a364a08f-731905ea.jpg\n']"
s59481059_37,p14841168,s59481059,37,Impression,"Compared to prior chest radiographs ___ through ___. Consolidation in the left lower lobe has been present for more than a week, improved slightly. This could be pneumonia, but atelectasis is more likely. Severe cardiomegaly is stable. There is no longer any pulmonary edema. Pleural effusion is likely, but not large. ET tube, esophageal drainage tube, and left subclavian line are in standard placements.",There is no longer any pulmonary edema.,pulmonary edema,,Resolve,['files/p14/p14841168/s59481059/b3a377e6-a4f90277-7bd8361f-bfc64687-a4ee054b.jpg'],"['files/p14/p14841168/s59299448/65d133df-679e0589-f0e750af-c7493795-d719917f.jpg\n', 'files/p14/p14841168/s59299448/ba840241-39ec80e6-7525149d-a587f345-856f138e.jpg\n', 'files/p14/p14841168/s59299448/db46fb79-5ef144b5-a30257dc-a364a08f-731905ea.jpg\n']"
s59488278_21,p13263843,s59488278,21,Findings,Cardiomediastinal contours appear unchanged from ___. Patient is status post right upper thoracoplasty with rib resections. Left lung shows no focal consolidation. Pulmonary edema is improved since the prior exam.,Cardiomediastinal contours appear unchanged from ___.,Cardiomediastinal contours,,Stable,['files/p13/p13263843/s59488278/2490c254-7417637a-6aa79f1e-ce072f64-173c1e05.jpg'],"['files/p13/p13263843/s59379876/82334281-bac120c3-7fe76578-62bb15b8-3625a45f.jpg\n', 'files/p13/p13263843/s59379876/f2519fc1-a453a942-fcb47d26-f30fa862-72fc2107.jpg\n']"
s59488278_21,p13263843,s59488278,21,Impression,Improved pulmonary edema.,Improved pulmonary edema.,Pulmonary edema,,Better,['files/p13/p13263843/s59488278/2490c254-7417637a-6aa79f1e-ce072f64-173c1e05.jpg'],"['files/p13/p13263843/s59379876/82334281-bac120c3-7fe76578-62bb15b8-3625a45f.jpg\n', 'files/p13/p13263843/s59379876/f2519fc1-a453a942-fcb47d26-f30fa862-72fc2107.jpg\n']"
s59488278_21,p13263843,s59488278,21,Findings,Cardiomediastinal contours appear unchanged from ___. Patient is status post right upper thoracoplasty with rib resections. Left lung shows no focal consolidation. Pulmonary edema is improved since the prior exam.,Pulmonary edema is improved since the prior exam.,Pulmonary edema,,Better,['files/p13/p13263843/s59488278/2490c254-7417637a-6aa79f1e-ce072f64-173c1e05.jpg'],"['files/p13/p13263843/s59379876/82334281-bac120c3-7fe76578-62bb15b8-3625a45f.jpg\n', 'files/p13/p13263843/s59379876/f2519fc1-a453a942-fcb47d26-f30fa862-72fc2107.jpg\n']"
s59488681_0,p12733339,s59488681,0,Findings,"Median sternotomy wires, aortic valve replacement, mediastinal surgical clips are again noted, no change in alignment. There is persistent opacity at the left lung base, though aeration is improved from two days prior. Persistent linear opacities likely represent atelectasis. Left pleural effusion is small. Trace right pleural fluid is also present. Lungs are otherwise well aerated. There is no focal consolidation to suggest pneumonia. There is no vascular congestion or pulmonary edema. There is no pneumothorax.",Persistent linear opacities likely represent atelectasis.,linear opacities,unspecified,Stable,['files/p12/p12733339/s59488681/33c926ca-af4fc716-ced32c6c-5734ba7a-2d690062.jpg'],"['files/p12/p12733339/s53736575/7a940e4a-bb7a8fee-1fa7e158-a2e6bcd7-85a3a017.jpg\n', 'files/p12/p12733339/s53736575/946ab43b-aafbeb4c-99c6b132-43bf9624-4c09a5f4.jpg\n']"
s59488681_0,p12733339,s59488681,0,Findings,"Median sternotomy wires, aortic valve replacement, mediastinal surgical clips are again noted, no change in alignment. There is persistent opacity at the left lung base, though aeration is improved from two days prior. Persistent linear opacities likely represent atelectasis. Left pleural effusion is small. Trace right pleural fluid is also present. Lungs are otherwise well aerated. There is no focal consolidation to suggest pneumonia. There is no vascular congestion or pulmonary edema. There is no pneumothorax.","Median sternotomy wires, aortic valve replacement, mediastinal surgical clips are again noted, no change in alignment.",surgical clips,mediastinal,Stable,['files/p12/p12733339/s59488681/33c926ca-af4fc716-ced32c6c-5734ba7a-2d690062.jpg'],"['files/p12/p12733339/s53736575/7a940e4a-bb7a8fee-1fa7e158-a2e6bcd7-85a3a017.jpg\n', 'files/p12/p12733339/s53736575/946ab43b-aafbeb4c-99c6b132-43bf9624-4c09a5f4.jpg\n']"
s59488681_0,p12733339,s59488681,0,Findings,"Median sternotomy wires, aortic valve replacement, mediastinal surgical clips are again noted, no change in alignment. There is persistent opacity at the left lung base, though aeration is improved from two days prior. Persistent linear opacities likely represent atelectasis. Left pleural effusion is small. Trace right pleural fluid is also present. Lungs are otherwise well aerated. There is no focal consolidation to suggest pneumonia. There is no vascular congestion or pulmonary edema. There is no pneumothorax.","There is persistent opacity at the left lung base, though aeration is improved from two days prior.",opacity,left lung base,Stable,['files/p12/p12733339/s59488681/33c926ca-af4fc716-ced32c6c-5734ba7a-2d690062.jpg'],"['files/p12/p12733339/s53736575/7a940e4a-bb7a8fee-1fa7e158-a2e6bcd7-85a3a017.jpg\n', 'files/p12/p12733339/s53736575/946ab43b-aafbeb4c-99c6b132-43bf9624-4c09a5f4.jpg\n']"
s59488681_0,p12733339,s59488681,0,Impression,"Improved aeration at the left lung base, with persistent linear atelectasis and small amount of pleural fluid.","Improved aeration at the left lung base, with persistent linear atelectasis and small amount of pleural fluid.",linear atelectasis,unspecified,Stable,['files/p12/p12733339/s59488681/33c926ca-af4fc716-ced32c6c-5734ba7a-2d690062.jpg'],"['files/p12/p12733339/s53736575/7a940e4a-bb7a8fee-1fa7e158-a2e6bcd7-85a3a017.jpg\n', 'files/p12/p12733339/s53736575/946ab43b-aafbeb4c-99c6b132-43bf9624-4c09a5f4.jpg\n']"
s59488681_0,p12733339,s59488681,0,Impression,"Improved aeration at the left lung base, with persistent linear atelectasis and small amount of pleural fluid.","Improved aeration at the left lung base, with persistent linear atelectasis and small amount of pleural fluid.",aeration,left lung base,Better,['files/p12/p12733339/s59488681/33c926ca-af4fc716-ced32c6c-5734ba7a-2d690062.jpg'],"['files/p12/p12733339/s53736575/7a940e4a-bb7a8fee-1fa7e158-a2e6bcd7-85a3a017.jpg\n', 'files/p12/p12733339/s53736575/946ab43b-aafbeb4c-99c6b132-43bf9624-4c09a5f4.jpg\n']"
s59503672_2,p11052935,s59503672,2,Findings,"Single portable view of the chest is compared to previous exam from ___. As on prior, the lungs are hyperinflated with parenchymal changes suggestive of emphysema, particularly at the left lung apex. Increased interstitial markings are identified at the left lung base. Elsewhere, the lungs are grossly clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. Linear patchy at the right lung base is compatible with atelectasis versus scarring.","As on prior, the lungs are hyperinflated with parenchymal changes suggestive of emphysema, particularly at the left lung apex.",emphysema,left lung apex,Stable,['files/p11/p11052935/s59503672/146e8390-fd657795-492c6a0b-7aaa1bef-06c08c00.jpg'],['files/p11/p11052935/s58831403/2528f6e5-586bb3a0-e00e7283-5c594954-fe27b052.jpg\n']
s59504314_36,p19182863,s59504314,36,Findings,"Right pleural catheter has been removed with slight decrease in pleural effusion and no definite pneumothorax. Small left effusion has decreased in size. Atelectasis is seen at the right base, and no focal consolidation or pulmonary edema is seen. Mild cardiomegaly persists, and the median sternotomy wires are intact. The left central venous line is in appropriate position in a known left-sided SVC.","Mild cardiomegaly persists, and the median sternotomy wires are intact.",mild cardiomegaly,,Stable,"['files/p19/p19182863/s59504314/eb29f789-00abb730-5068408c-3f7898d3-a83d4745.jpg', 'files/p19/p19182863/s59504314/f04b1aeb-e42a14c0-ad437e4e-dee054c7-e24bbe86.jpg']","['files/p19/p19182863/s59467289/2583d874-7007d29b-0623d6fb-2cf0c45d-51f0d37d.jpg\n', 'files/p19/p19182863/s59467289/c0c921be-f6f18f17-4191ce0a-02049b91-242e197b.jpg\n']"
s59504314_36,p19182863,s59504314,36,Impression,Right pleural catheter removed with decreased right effusion and no definite pneumothorax.,Right pleural catheter removed with decreased right effusion and no definite pneumothorax.,pleural catheter,right,Resolve,"['files/p19/p19182863/s59504314/eb29f789-00abb730-5068408c-3f7898d3-a83d4745.jpg', 'files/p19/p19182863/s59504314/f04b1aeb-e42a14c0-ad437e4e-dee054c7-e24bbe86.jpg']","['files/p19/p19182863/s59467289/2583d874-7007d29b-0623d6fb-2cf0c45d-51f0d37d.jpg\n', 'files/p19/p19182863/s59467289/c0c921be-f6f18f17-4191ce0a-02049b91-242e197b.jpg\n']"
s59504314_36,p19182863,s59504314,36,Findings,"Right pleural catheter has been removed with slight decrease in pleural effusion and no definite pneumothorax. Small left effusion has decreased in size. Atelectasis is seen at the right base, and no focal consolidation or pulmonary edema is seen. Mild cardiomegaly persists, and the median sternotomy wires are intact. The left central venous line is in appropriate position in a known left-sided SVC.",Small left effusion has decreased in size.,effusion,left,Better,"['files/p19/p19182863/s59504314/eb29f789-00abb730-5068408c-3f7898d3-a83d4745.jpg', 'files/p19/p19182863/s59504314/f04b1aeb-e42a14c0-ad437e4e-dee054c7-e24bbe86.jpg']","['files/p19/p19182863/s59467289/2583d874-7007d29b-0623d6fb-2cf0c45d-51f0d37d.jpg\n', 'files/p19/p19182863/s59467289/c0c921be-f6f18f17-4191ce0a-02049b91-242e197b.jpg\n']"
s59504314_36,p19182863,s59504314,36,Findings,"Right pleural catheter has been removed with slight decrease in pleural effusion and no definite pneumothorax. Small left effusion has decreased in size. Atelectasis is seen at the right base, and no focal consolidation or pulmonary edema is seen. Mild cardiomegaly persists, and the median sternotomy wires are intact. The left central venous line is in appropriate position in a known left-sided SVC.",Right pleural catheter has been removed with slight decrease in pleural effusion and no definite pneumothorax.,pleural catheter,right,Resolve,"['files/p19/p19182863/s59504314/eb29f789-00abb730-5068408c-3f7898d3-a83d4745.jpg', 'files/p19/p19182863/s59504314/f04b1aeb-e42a14c0-ad437e4e-dee054c7-e24bbe86.jpg']","['files/p19/p19182863/s59467289/2583d874-7007d29b-0623d6fb-2cf0c45d-51f0d37d.jpg\n', 'files/p19/p19182863/s59467289/c0c921be-f6f18f17-4191ce0a-02049b91-242e197b.jpg\n']"
s59504476_3,p15518538,s59504476,3,Findings,"Median sternotomy wires are again seen with fractures of the superior most wires. The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.",Median sternotomy wires are again seen with fractures of the superior most wires.,sternotomy wires fractures,superior most,Stable,"['files/p15/p15518538/s59504476/70ad5a5e-35834f2a-a5619c1e-5deaac58-b6657063.jpg', 'files/p15/p15518538/s59504476/c3fe2619-5e9d2145-d9f7ccdc-a0bafc7b-6cf0c98d.jpg']","['files/p15/p15518538/s55758533/41f318a8-7cfeafa3-86187822-84d18ca4-153b1ecf.jpg\n', 'files/p15/p15518538/s55758533/44fd9408-57bb7612-99f6002c-71e76b77-a2040d14.jpg\n', 'files/p15/p15518538/s55758533/503c3e2e-fdb4d0be-816c24b3-5fd7d8cf-d0f61456.jpg\n']"
s59505688_2,p12963531,s59505688,2,Findings,"AP and lateral radiographs of the chest were acquired. The heart is massively enlarged, as before. Small bilateral pleural effusions are not significantly changed. Diffuse interstitial opacities with perihilar predominance are likely secondary to mild interstitial pulmonary edema, increased compared to radiographs from ___. No focal consolidations concerning for pneumonia. There is no pneumothorax. The mediastinal contours are stable.","The heart is massively enlarged, as before.",massively enlarged heart,,Stable,"['files/p12/p12963531/s59505688/0fecd070-24b67744-93fe3cdb-429860a4-386b63f5.jpg', 'files/p12/p12963531/s59505688/44f44165-06ab81a8-b9d0f4c2-2c65e354-bd5cbfbf.jpg', 'files/p12/p12963531/s59505688/5757b72f-454a5bc3-efa625b3-859d88b2-a2bd2112.jpg']","['files/p12/p12963531/s59369967/70556779-5d594bd7-7131cbb1-c990fa9a-9a625f61.jpg\n', 'files/p12/p12963531/s59369967/a5e77ee2-5fec82c7-1f5ffe9c-ccd28c6b-f4a44978.jpg\n']"
s59505688_2,p12963531,s59505688,2,Findings,"AP and lateral radiographs of the chest were acquired. The heart is massively enlarged, as before. Small bilateral pleural effusions are not significantly changed. Diffuse interstitial opacities with perihilar predominance are likely secondary to mild interstitial pulmonary edema, increased compared to radiographs from ___. No focal consolidations concerning for pneumonia. There is no pneumothorax. The mediastinal contours are stable.",Small bilateral pleural effusions are not significantly changed.,small bilateral pleural effusions,,Stable,"['files/p12/p12963531/s59505688/0fecd070-24b67744-93fe3cdb-429860a4-386b63f5.jpg', 'files/p12/p12963531/s59505688/44f44165-06ab81a8-b9d0f4c2-2c65e354-bd5cbfbf.jpg', 'files/p12/p12963531/s59505688/5757b72f-454a5bc3-efa625b3-859d88b2-a2bd2112.jpg']","['files/p12/p12963531/s59369967/70556779-5d594bd7-7131cbb1-c990fa9a-9a625f61.jpg\n', 'files/p12/p12963531/s59369967/a5e77ee2-5fec82c7-1f5ffe9c-ccd28c6b-f4a44978.jpg\n']"
s59505688_2,p12963531,s59505688,2,Impression,"1. Mild interstitial pulmonary edema. 2. Massive cardiomegaly, not significantly changed. 3. Small bilateral pleural effusions, not significantly changed.","2. Massive cardiomegaly, not significantly changed.",massive cardiomegaly,,Stable,"['files/p12/p12963531/s59505688/0fecd070-24b67744-93fe3cdb-429860a4-386b63f5.jpg', 'files/p12/p12963531/s59505688/44f44165-06ab81a8-b9d0f4c2-2c65e354-bd5cbfbf.jpg', 'files/p12/p12963531/s59505688/5757b72f-454a5bc3-efa625b3-859d88b2-a2bd2112.jpg']","['files/p12/p12963531/s59369967/70556779-5d594bd7-7131cbb1-c990fa9a-9a625f61.jpg\n', 'files/p12/p12963531/s59369967/a5e77ee2-5fec82c7-1f5ffe9c-ccd28c6b-f4a44978.jpg\n']"
s59505688_2,p12963531,s59505688,2,Findings,"AP and lateral radiographs of the chest were acquired. The heart is massively enlarged, as before. Small bilateral pleural effusions are not significantly changed. Diffuse interstitial opacities with perihilar predominance are likely secondary to mild interstitial pulmonary edema, increased compared to radiographs from ___. No focal consolidations concerning for pneumonia. There is no pneumothorax. The mediastinal contours are stable.","Diffuse interstitial opacities with perihilar predominance are likely secondary to mild interstitial pulmonary edema, increased compared to radiographs from ___.",interstitial opacities,perihilar,Worse,"['files/p12/p12963531/s59505688/0fecd070-24b67744-93fe3cdb-429860a4-386b63f5.jpg', 'files/p12/p12963531/s59505688/44f44165-06ab81a8-b9d0f4c2-2c65e354-bd5cbfbf.jpg', 'files/p12/p12963531/s59505688/5757b72f-454a5bc3-efa625b3-859d88b2-a2bd2112.jpg']","['files/p12/p12963531/s59369967/70556779-5d594bd7-7131cbb1-c990fa9a-9a625f61.jpg\n', 'files/p12/p12963531/s59369967/a5e77ee2-5fec82c7-1f5ffe9c-ccd28c6b-f4a44978.jpg\n']"
s59505688_2,p12963531,s59505688,2,Impression,"1. Mild interstitial pulmonary edema. 2. Massive cardiomegaly, not significantly changed. 3. Small bilateral pleural effusions, not significantly changed.","3. Small bilateral pleural effusions, not significantly changed.",small bilateral pleural effusions,,Stable,"['files/p12/p12963531/s59505688/0fecd070-24b67744-93fe3cdb-429860a4-386b63f5.jpg', 'files/p12/p12963531/s59505688/44f44165-06ab81a8-b9d0f4c2-2c65e354-bd5cbfbf.jpg', 'files/p12/p12963531/s59505688/5757b72f-454a5bc3-efa625b3-859d88b2-a2bd2112.jpg']","['files/p12/p12963531/s59369967/70556779-5d594bd7-7131cbb1-c990fa9a-9a625f61.jpg\n', 'files/p12/p12963531/s59369967/a5e77ee2-5fec82c7-1f5ffe9c-ccd28c6b-f4a44978.jpg\n']"
s59505688_2,p12963531,s59505688,2,Findings,"AP and lateral radiographs of the chest were acquired. The heart is massively enlarged, as before. Small bilateral pleural effusions are not significantly changed. Diffuse interstitial opacities with perihilar predominance are likely secondary to mild interstitial pulmonary edema, increased compared to radiographs from ___. No focal consolidations concerning for pneumonia. There is no pneumothorax. The mediastinal contours are stable.",The mediastinal contours are stable.,mediastinal contours,,Stable,"['files/p12/p12963531/s59505688/0fecd070-24b67744-93fe3cdb-429860a4-386b63f5.jpg', 'files/p12/p12963531/s59505688/44f44165-06ab81a8-b9d0f4c2-2c65e354-bd5cbfbf.jpg', 'files/p12/p12963531/s59505688/5757b72f-454a5bc3-efa625b3-859d88b2-a2bd2112.jpg']","['files/p12/p12963531/s59369967/70556779-5d594bd7-7131cbb1-c990fa9a-9a625f61.jpg\n', 'files/p12/p12963531/s59369967/a5e77ee2-5fec82c7-1f5ffe9c-ccd28c6b-f4a44978.jpg\n']"
s59509358_15,p19061282,s59509358,15,Findings,"There bilateral regions of consolidation, at the right lung and left mid to lower lung. Findings are most concerning for bilateral infection. Moderate enlargement of the cardiac silhouette is unchanged. Multiple vascular stents are also noted. No acute osseous abnormalities. Splenic calcifications are again noted.",Moderate enlargement of the cardiac silhouette is unchanged.,Moderate enlargement,Cardiac silhouette,Stable,['files/p19/p19061282/s59509358/596ada03-4cd1298c-35965d3c-db44850a-0baa9257.jpg'],['files/p19/p19061282/s59317044/f8f0ddd7-c4671c6e-c2f37429-85d69299-f23286bf.jpg\n']
s59510962_7,p10410641,s59510962,7,Impression,"Folowing right pigtail catheter placement, moderate right pleural effusion has near completely resolved, whereas large left pleural effusion associated with passive collapse of adjacent lung and mediastinal shift to the right side is persisting. No pneumothorax.","Folowing right pigtail catheter placement, moderate right pleural effusion has near completely resolved, whereas large left pleural effusion associated with passive collapse of adjacent lung and mediastinal shift to the right side is persisting.",pleural effusion,right,Resolve,['files/p10/p10410641/s59510962/a1c0c58e-8c137d13-93b93845-da0433ee-9ccb3c91.jpg'],['files/p10/p10410641/s59146650/05dad5f1-e33191fc-c4063ab8-15fcf471-3f82205d.jpg\n']
s59510962_7,p10410641,s59510962,7,Findings,"Following pigtail catheter placement in the right lower chest, moderate right pleural effusion has near completely resolved. Moderate-to-large left pleural effusion associated with left lower lung atelectasis and mediastinal shift to the right side is unchanged. There is no pneumothorax. Obscured left mediastinal and the heart borders by pleural effusion limited assessment of the cardiomediastinal silhouette.",Moderate-to-large left pleural effusion associated with left lower lung atelectasis and mediastinal shift to the right side is unchanged.,pleural effusion,left,Stable,['files/p10/p10410641/s59510962/a1c0c58e-8c137d13-93b93845-da0433ee-9ccb3c91.jpg'],['files/p10/p10410641/s59146650/05dad5f1-e33191fc-c4063ab8-15fcf471-3f82205d.jpg\n']
s59510962_7,p10410641,s59510962,7,Findings,"Following pigtail catheter placement in the right lower chest, moderate right pleural effusion has near completely resolved. Moderate-to-large left pleural effusion associated with left lower lung atelectasis and mediastinal shift to the right side is unchanged. There is no pneumothorax. Obscured left mediastinal and the heart borders by pleural effusion limited assessment of the cardiomediastinal silhouette.","Following pigtail catheter placement in the right lower chest, moderate right pleural effusion has near completely resolved.",pleural effusion,right,Resolve,['files/p10/p10410641/s59510962/a1c0c58e-8c137d13-93b93845-da0433ee-9ccb3c91.jpg'],['files/p10/p10410641/s59146650/05dad5f1-e33191fc-c4063ab8-15fcf471-3f82205d.jpg\n']
s59520354_2,p15370732,s59520354,2,Findings,"As compared to the previous radiograph, the nasogastric tube has been advanced by approximately 10 cm. The tube is now in correct location in the middle parts of the stomach. No evidence of complication. Otherwise unchanged image.",Otherwise unchanged image.,,,Stable,['files/p15/p15370732/s59520354/9f88a220-973e2475-25bf2e6b-501e99f4-65c4c9bd.jpg'],['files/p15/p15370732/s54694272/e13035e9-35e026e1-d7d54018-e342a349-93752c81.jpg\n']
s59520354_2,p15370732,s59520354,2,Findings,"As compared to the previous radiograph, the nasogastric tube has been advanced by approximately 10 cm. The tube is now in correct location in the middle parts of the stomach. No evidence of complication. Otherwise unchanged image.","As compared to the previous radiograph, the nasogastric tube has been advanced by approximately 10 cm.",nasogastric tube,,Better,['files/p15/p15370732/s59520354/9f88a220-973e2475-25bf2e6b-501e99f4-65c4c9bd.jpg'],['files/p15/p15370732/s54694272/e13035e9-35e026e1-d7d54018-e342a349-93752c81.jpg\n']
s59521539_17,p16662264,s59521539,17,Findings,"As compared to the previous radiograph from ___, there is substantial improvement of the pre-existing pneumonia. On the current image, small foci of remnant pneumonia are seen in the pericardiac areas of the lingula, and on the lateral image, in the middle lobe. There is no evidence of complications, notably no pleural effusion or lymphadenopathy. Otherwise, the lung parenchyma is normal. There is no hilar or mediastinal abnormality. Normal size and shape of the cardiac silhouette.",There is substantial improvement of the pre-existing pneumonia.,pneumonia,,Better,"['files/p16/p16662264/s59521539/49d3507c-e1c8d85f-5d7f8127-2f2e14f5-a84a6a13.jpg', 'files/p16/p16662264/s59521539/9119a28a-7a5c8be8-becc105d-8c0996f6-27024024.jpg']","['files/p16/p16662264/s59191421/39a0863f-9a6a4e94-41b1b286-8536e7dc-75252ad8.jpg\n', 'files/p16/p16662264/s59191421/5c1ebdbe-f7834fbb-a2869781-9138d6d2-e5cdd28f.jpg\n']"
s59522601_2,p17112432,s59522601,2,Impression,1. Slight decrease in small right apical pneumothorax with chest tube in place. 2. Multifocal right-sided pulmonary opacities consistent with contusion in the setting of recent rib fractures. Coexisting laceration injury seen to better detail on recent CT.,Slight decrease in small right apical pneumothorax with chest tube in place.,pneumothorax,right apical,Better,"['files/p17/p17112432/s59522601/908fcfa5-90abe83a-27e2b569-6d63788e-3f258290.jpg', 'files/p17/p17112432/s59522601/efe3cdc5-c0ced06a-212a5901-9c1ee7c7-bbbe0e6b.jpg']",['files/p17/p17112432/s57935403/f05b9731-d6bf3b29-6197f242-4cc974a3-fe0f5b56.jpg\n']
s59522601_2,p17112432,s59522601,2,Findings,"Right-sided chest tube remains in place, with a small right apicolateral pneumothorax which has minimally decreased in size since the recent study. Multifocal pulmonary opacities in the right lung appear unchanged allowing for differences in lung volumes, and multiple right rib fractures are again demonstrated. Within the left lung, an area of patchy opacity in the retrocardiac region has slightly worsened.","Within the left lung, an area of patchy opacity in the retrocardiac region has slightly worsened.",patchy opacity,"left lung, retrocardiac region",Worse,"['files/p17/p17112432/s59522601/908fcfa5-90abe83a-27e2b569-6d63788e-3f258290.jpg', 'files/p17/p17112432/s59522601/efe3cdc5-c0ced06a-212a5901-9c1ee7c7-bbbe0e6b.jpg']",['files/p17/p17112432/s57935403/f05b9731-d6bf3b29-6197f242-4cc974a3-fe0f5b56.jpg\n']
s59522601_2,p17112432,s59522601,2,Findings,"Right-sided chest tube remains in place, with a small right apicolateral pneumothorax which has minimally decreased in size since the recent study. Multifocal pulmonary opacities in the right lung appear unchanged allowing for differences in lung volumes, and multiple right rib fractures are again demonstrated. Within the left lung, an area of patchy opacity in the retrocardiac region has slightly worsened.","Multifocal pulmonary opacities in the right lung appear unchanged allowing for differences in lung volumes, and multiple right rib fractures are again demonstrated.",Multifocal pulmonary opacities,right lung,Stable,"['files/p17/p17112432/s59522601/908fcfa5-90abe83a-27e2b569-6d63788e-3f258290.jpg', 'files/p17/p17112432/s59522601/efe3cdc5-c0ced06a-212a5901-9c1ee7c7-bbbe0e6b.jpg']",['files/p17/p17112432/s57935403/f05b9731-d6bf3b29-6197f242-4cc974a3-fe0f5b56.jpg\n']
s59522601_2,p17112432,s59522601,2,Findings,"Right-sided chest tube remains in place, with a small right apicolateral pneumothorax which has minimally decreased in size since the recent study. Multifocal pulmonary opacities in the right lung appear unchanged allowing for differences in lung volumes, and multiple right rib fractures are again demonstrated. Within the left lung, an area of patchy opacity in the retrocardiac region has slightly worsened.","Right-sided chest tube remains in place, with a small right apicolateral pneumothorax which has minimally decreased in size since the recent study.",pneumothorax,right apicolateral,Better,"['files/p17/p17112432/s59522601/908fcfa5-90abe83a-27e2b569-6d63788e-3f258290.jpg', 'files/p17/p17112432/s59522601/efe3cdc5-c0ced06a-212a5901-9c1ee7c7-bbbe0e6b.jpg']",['files/p17/p17112432/s57935403/f05b9731-d6bf3b29-6197f242-4cc974a3-fe0f5b56.jpg\n']
s59523573_3,p18110020,s59523573,3,Impression,"AP chest compared to ___. Nasogastric tube has been withdrawn terminating at the gastroesophageal junction and would need to be advanced at least 10 cm to move all the side ports into the stomach. Severe thoracolumbar scoliosis distorts the shape of the chest cage which is quite small. Borderline cardiomegaly is stable. Right lung is clear. Atelectasis at the base of the left could be due partially to chest cage deformity, and there might be a small left pleural effusion. No pneumothorax.",Borderline cardiomegaly is stable.,Borderline cardiomegaly,,Stable,['files/p18/p18110020/s59523573/6cbf6e4a-3f35b74e-ea811e34-73b49766-fa916b88.jpg'],"['files/p18/p18110020/s59221699/63800411-62f90656-5cf911fc-be848697-8aca7551.jpg\n', 'files/p18/p18110020/s59221699/81450711-ce3a0e1f-48fce3df-720d7107-44bf0a49.jpg\n']"
s59523573_3,p18110020,s59523573,3,Impression,"AP chest compared to ___. Nasogastric tube has been withdrawn terminating at the gastroesophageal junction and would need to be advanced at least 10 cm to move all the side ports into the stomach. Severe thoracolumbar scoliosis distorts the shape of the chest cage which is quite small. Borderline cardiomegaly is stable. Right lung is clear. Atelectasis at the base of the left could be due partially to chest cage deformity, and there might be a small left pleural effusion. No pneumothorax.",Nasogastric tube has been withdrawn terminating at the gastroesophageal junction and would need to be advanced at least 10 cm to move all the side ports into the stomach.,Nasogastric tube,,Resolve,['files/p18/p18110020/s59523573/6cbf6e4a-3f35b74e-ea811e34-73b49766-fa916b88.jpg'],"['files/p18/p18110020/s59221699/63800411-62f90656-5cf911fc-be848697-8aca7551.jpg\n', 'files/p18/p18110020/s59221699/81450711-ce3a0e1f-48fce3df-720d7107-44bf0a49.jpg\n']"
s59523783_56,p15131736,s59523783,56,Impression,"In comparison to previous radiograph of 1 day earlier, marked cardiomegaly persists, accompanied by pulmonary vascular congestion and slight improvement in pulmonary edema. Interval worsening of right retrocardiac opacity, likely due to atelectasis. Persistent small pleural effusions.","In comparison to previous radiograph of 1 day earlier, marked cardiomegaly persists, accompanied by pulmonary vascular congestion and slight improvement in pulmonary edema.",cardiomegaly,Cardiac,Stable,['files/p15/p15131736/s59523783/c6e5e02a-e2e30f50-3bb2f2f2-ab3882d4-b94c8610.jpg'],"['files/p15/p15131736/s59361128/99fa5789-a4d43513-3a5dfc76-97ec89e9-89cc3e71.jpg\n', 'files/p15/p15131736/s59361128/d8fc9055-45df8285-80757692-6ab96494-af6f56a0.jpg\n']"
s59523783_56,p15131736,s59523783,56,Impression,"In comparison to previous radiograph of 1 day earlier, marked cardiomegaly persists, accompanied by pulmonary vascular congestion and slight improvement in pulmonary edema. Interval worsening of right retrocardiac opacity, likely due to atelectasis. Persistent small pleural effusions.",Persistent small pleural effusions.,effusions,Pleural,Stable,['files/p15/p15131736/s59523783/c6e5e02a-e2e30f50-3bb2f2f2-ab3882d4-b94c8610.jpg'],"['files/p15/p15131736/s59361128/99fa5789-a4d43513-3a5dfc76-97ec89e9-89cc3e71.jpg\n', 'files/p15/p15131736/s59361128/d8fc9055-45df8285-80757692-6ab96494-af6f56a0.jpg\n']"
s59523783_56,p15131736,s59523783,56,Impression,"In comparison to previous radiograph of 1 day earlier, marked cardiomegaly persists, accompanied by pulmonary vascular congestion and slight improvement in pulmonary edema. Interval worsening of right retrocardiac opacity, likely due to atelectasis. Persistent small pleural effusions.","Interval worsening of right retrocardiac opacity, likely due to atelectasis.",opacity,Right retrocardiac,Worse,['files/p15/p15131736/s59523783/c6e5e02a-e2e30f50-3bb2f2f2-ab3882d4-b94c8610.jpg'],"['files/p15/p15131736/s59361128/99fa5789-a4d43513-3a5dfc76-97ec89e9-89cc3e71.jpg\n', 'files/p15/p15131736/s59361128/d8fc9055-45df8285-80757692-6ab96494-af6f56a0.jpg\n']"
s59523783_56,p15131736,s59523783,56,Impression,"In comparison to previous radiograph of 1 day earlier, marked cardiomegaly persists, accompanied by pulmonary vascular congestion and slight improvement in pulmonary edema. Interval worsening of right retrocardiac opacity, likely due to atelectasis. Persistent small pleural effusions.","In comparison to previous radiograph of 1 day earlier, marked cardiomegaly persists, accompanied by pulmonary vascular congestion and slight improvement in pulmonary edema.",edema,Pulmonary,Better,['files/p15/p15131736/s59523783/c6e5e02a-e2e30f50-3bb2f2f2-ab3882d4-b94c8610.jpg'],"['files/p15/p15131736/s59361128/99fa5789-a4d43513-3a5dfc76-97ec89e9-89cc3e71.jpg\n', 'files/p15/p15131736/s59361128/d8fc9055-45df8285-80757692-6ab96494-af6f56a0.jpg\n']"
s59529409_1,p13450581,s59529409,1,Impression,New consolidation is seen around left upper lobe cavitary lesion compatible with important hemorrhage post-biopsy. Dr. ___ was contacted at 1:30 p.m. with the results. Time of the exam : 11:49 a.m.,New consolidation is seen around left upper lobe cavitary lesion compatible with important hemorrhage post-biopsy,consolidation,around left upper lobe cavitary lesion,New,['files/p13/p13450581/s59529409/8ab13ae3-2d580227-ac6e610c-f2e5c694-60d57d41.jpg'],"['files/p13/p13450581/s57882993/b5b08344-1a02337d-90a42a3b-cf710862-a4ff491d.jpg\n', 'files/p13/p13450581/s57882993/f39a0cd8-fb45cb6e-63f5fa30-21668913-0ac228d3.jpg\n']"
s59529409_1,p13450581,s59529409,1,Findings,New alveolar consolidation is seen around left upper lobe cavitary lesion compatible with important bleeding after biopsy. Right lung is unremarkable. There is no pneumothorax or pleural effusion. Mediastinal and cardiac contour are within normal limits.,New alveolar consolidation is seen around left upper lobe cavitary lesion compatible with important bleeding after biopsy,alveolar consolidation,around left upper lobe cavitary lesion,New,['files/p13/p13450581/s59529409/8ab13ae3-2d580227-ac6e610c-f2e5c694-60d57d41.jpg'],"['files/p13/p13450581/s57882993/b5b08344-1a02337d-90a42a3b-cf710862-a4ff491d.jpg\n', 'files/p13/p13450581/s57882993/f39a0cd8-fb45cb6e-63f5fa30-21668913-0ac228d3.jpg\n']"
s59532499_3,p10885696,s59532499,3,Findings,"Single portable view of the chest is compared to previous exam from ___. Tracheostomy tube and postoperative changes of left upper lobectomy are again seen. Right basilar opacity silhouettes the right hemidiaphragm. Superiorly, the right lung is clear and appearance of the left lung is stable. Cardiomediastinal silhouette remains stable as do the osseous and soft tissue structures.","Superiorly, the right lung is clear and appearance of the left lung is stable.",,left lung,Stable,['files/p10/p10885696/s59532499/33cbca42-cc8136d7-714fe7b7-c6fd6342-7bfbd4f1.jpg'],"['files/p10/p10885696/s57959841/a7fdae9e-97d1a4d6-df3c7f40-29a51d88-39463d76.jpg\n', 'files/p10/p10885696/s57959841/ce354924-31b789c8-efd39b27-f2708902-84e7f064.jpg\n']"
s59532499_3,p10885696,s59532499,3,Findings,"Single portable view of the chest is compared to previous exam from ___. Tracheostomy tube and postoperative changes of left upper lobectomy are again seen. Right basilar opacity silhouettes the right hemidiaphragm. Superiorly, the right lung is clear and appearance of the left lung is stable. Cardiomediastinal silhouette remains stable as do the osseous and soft tissue structures.",Cardiomediastinal silhouette remains stable as do the osseous and soft tissue structures.,,"Cardiomediastinal silhouette, osseous and soft tissue structures",Stable,['files/p10/p10885696/s59532499/33cbca42-cc8136d7-714fe7b7-c6fd6342-7bfbd4f1.jpg'],"['files/p10/p10885696/s57959841/a7fdae9e-97d1a4d6-df3c7f40-29a51d88-39463d76.jpg\n', 'files/p10/p10885696/s57959841/ce354924-31b789c8-efd39b27-f2708902-84e7f064.jpg\n']"
s59535316_7,p10867202,s59535316,7,Impression,"Findings again compatible with patient's known pulmonary fibrosis without definite superimposed acute process, noting that subtle change would be difficult to detect based on a portable film.","Findings again compatible with patient's known pulmonary fibrosis without definite superimposed acute process, noting that subtle change would be difficult to detect based on a portable film.",pulmonary fibrosis,Lungs,Stable,['files/p10/p10867202/s59535316/38ea1228-340e5c29-16578c7c-9c80eaed-1bb35307.jpg'],['files/p10/p10867202/s59191972/bea5fb24-e1d13af2-d70b5be5-fb32e7b8-15828f56.jpg\n']
s59535316_7,p10867202,s59535316,7,Findings,"Single portable view of the chest. Low lung volumes are again noted. Chronic changes compatible with patients pulmonary fibrosis are noted. More severely affected areas seen at the bases, left greater than right. Cardiomediastinal silhouette is stable. No acute osseous abnormalities identified.",Cardiomediastinal silhouette is stable.,silhouette,Cardiomediastinal,Stable,['files/p10/p10867202/s59535316/38ea1228-340e5c29-16578c7c-9c80eaed-1bb35307.jpg'],['files/p10/p10867202/s59191972/bea5fb24-e1d13af2-d70b5be5-fb32e7b8-15828f56.jpg\n']
s59535316_7,p10867202,s59535316,7,Findings,"Single portable view of the chest. Low lung volumes are again noted. Chronic changes compatible with patients pulmonary fibrosis are noted. More severely affected areas seen at the bases, left greater than right. Cardiomediastinal silhouette is stable. No acute osseous abnormalities identified.",Low lung volumes are again noted.,low lung volumes,Lungs,Stable,['files/p10/p10867202/s59535316/38ea1228-340e5c29-16578c7c-9c80eaed-1bb35307.jpg'],['files/p10/p10867202/s59191972/bea5fb24-e1d13af2-d70b5be5-fb32e7b8-15828f56.jpg\n']
s59557085_7,p13067703,s59557085,7,Findings,"Single frontal view of the chest demonstrates a left pectoral cardiac pacer with leads terminating in the right atrium and right ventricle. The heart is top normal in size. The mediastinal and hilar contours are within normal limits. There are increased perihilar streaky opacities, which suggests pulmonary edema. Right suprahilar pulmonary mass is redemonstrated, better correlated on cross-sectional imaging. There is dense retrocardiac probable atelectasis and small left pleural effusion.","Right suprahilar pulmonary mass is redemonstrated, better correlated on cross-sectional imaging.",pulmonary mass,right suprahilar,Better,['files/p13/p13067703/s59557085/35526265-ad9db1b3-08d311e6-d1193a33-473315c3.jpg'],"['files/p13/p13067703/s59507972/2a04d342-b9a115ec-6a14561e-678580c9-d2feb9ec.jpg\n', 'files/p13/p13067703/s59507972/f0a48678-0a70e80e-79ea26dd-2a4ca8bb-03aaebc1.jpg\n']"
s59557085_7,p13067703,s59557085,7,Findings,"Single frontal view of the chest demonstrates a left pectoral cardiac pacer with leads terminating in the right atrium and right ventricle. The heart is top normal in size. The mediastinal and hilar contours are within normal limits. There are increased perihilar streaky opacities, which suggests pulmonary edema. Right suprahilar pulmonary mass is redemonstrated, better correlated on cross-sectional imaging. There is dense retrocardiac probable atelectasis and small left pleural effusion.","There are increased perihilar streaky opacities, which suggests pulmonary edema.",streaky opacities,perihilar,Worse,['files/p13/p13067703/s59557085/35526265-ad9db1b3-08d311e6-d1193a33-473315c3.jpg'],"['files/p13/p13067703/s59507972/2a04d342-b9a115ec-6a14561e-678580c9-d2feb9ec.jpg\n', 'files/p13/p13067703/s59507972/f0a48678-0a70e80e-79ea26dd-2a4ca8bb-03aaebc1.jpg\n']"
s59557609_2,p10959054,s59557609,2,Findings,"Frontal and lateral views of the chest were obtained. There is a small right pleural effusion with some fluid seen tracking in the minor fissure and which may be partially loculated. Scattered patchy opacities projecting predominantly over the right lung raises concern for an infection, less likely asymmetric edema. There is left basilar atelectasis. The lungs are relatively hyperinflated with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. The cardiac and mediastinal silhouettes are relatively stable.",The cardiac and mediastinal silhouettes are relatively stable.,,,Stable,"['files/p10/p10959054/s59557609/bdaf4a42-459ff19b-d725de79-5f824931-917dc689.jpg', 'files/p10/p10959054/s59557609/d6ee29da-bcb41124-a58ef710-c184f244-9d677f90.jpg']","['files/p10/p10959054/s59281953/21895b3c-f3dac4a2-da11d756-cf67ed5c-9c175d9a.jpg\n', 'files/p10/p10959054/s59281953/47aa8fda-9852d351-ef7343e7-38ee20f2-b982b15d.jpg\n', 'files/p10/p10959054/s59281953/e95b714a-2e4aaa4a-b64b4ff7-be56c461-c4a2daff.jpg\n']"
s59560734_1,p13849733,s59560734,1,Findings,"There are stable fibrotic changes involving both lungs with left apical scarring related to known prior tuberculosis exposure. There is a stable moderate layering right pleural effusion since ___. There are no new focally occurring parenchymal opacities concerning for pneumonia. There is no evidence of pneumothorax. Cardiomediastinal and hilar contours are stable, with heart size within the upper limits of normal. Pulmonary vascularity is not increased.",There are stable fibrotic changes involving both lungs with left apical scarring related to known prior tuberculosis exposure.,fibrotic changes and scarring,both lungs with left apical,Stable,"['files/p13/p13849733/s59560734/871b39ac-d22367db-2644f680-703ffc97-e29ad517.jpg', 'files/p13/p13849733/s59560734/9de8095e-20903848-13b9c9c0-39502b69-5164f745.jpg']","['files/p13/p13849733/s59249240/87ab8784-89bb34a7-0cd83f89-8208e8d6-8ceaaf76.jpg\n', 'files/p13/p13849733/s59249240/e4791df9-3e2d76f5-10a728c9-280d9819-3c7604b1.jpg\n']"
s59560734_1,p13849733,s59560734,1,Impression,Stable layering moderate right pleural effusion since ___.,Stable layering moderate right pleural effusion since ___.,pleural effusion,right,Stable,"['files/p13/p13849733/s59560734/871b39ac-d22367db-2644f680-703ffc97-e29ad517.jpg', 'files/p13/p13849733/s59560734/9de8095e-20903848-13b9c9c0-39502b69-5164f745.jpg']","['files/p13/p13849733/s59249240/87ab8784-89bb34a7-0cd83f89-8208e8d6-8ceaaf76.jpg\n', 'files/p13/p13849733/s59249240/e4791df9-3e2d76f5-10a728c9-280d9819-3c7604b1.jpg\n']"
s59560734_1,p13849733,s59560734,1,Findings,"There are stable fibrotic changes involving both lungs with left apical scarring related to known prior tuberculosis exposure. There is a stable moderate layering right pleural effusion since ___. There are no new focally occurring parenchymal opacities concerning for pneumonia. There is no evidence of pneumothorax. Cardiomediastinal and hilar contours are stable, with heart size within the upper limits of normal. Pulmonary vascularity is not increased.",There is a stable moderate layering right pleural effusion since ___.,pleural effusion,right,Stable,"['files/p13/p13849733/s59560734/871b39ac-d22367db-2644f680-703ffc97-e29ad517.jpg', 'files/p13/p13849733/s59560734/9de8095e-20903848-13b9c9c0-39502b69-5164f745.jpg']","['files/p13/p13849733/s59249240/87ab8784-89bb34a7-0cd83f89-8208e8d6-8ceaaf76.jpg\n', 'files/p13/p13849733/s59249240/e4791df9-3e2d76f5-10a728c9-280d9819-3c7604b1.jpg\n']"
s59560734_1,p13849733,s59560734,1,Findings,"There are stable fibrotic changes involving both lungs with left apical scarring related to known prior tuberculosis exposure. There is a stable moderate layering right pleural effusion since ___. There are no new focally occurring parenchymal opacities concerning for pneumonia. There is no evidence of pneumothorax. Cardiomediastinal and hilar contours are stable, with heart size within the upper limits of normal. Pulmonary vascularity is not increased.","Cardiomediastinal and hilar contours are stable, with heart size within the upper limits of normal.",contours,cardiomediastinal and hilar,Stable,"['files/p13/p13849733/s59560734/871b39ac-d22367db-2644f680-703ffc97-e29ad517.jpg', 'files/p13/p13849733/s59560734/9de8095e-20903848-13b9c9c0-39502b69-5164f745.jpg']","['files/p13/p13849733/s59249240/87ab8784-89bb34a7-0cd83f89-8208e8d6-8ceaaf76.jpg\n', 'files/p13/p13849733/s59249240/e4791df9-3e2d76f5-10a728c9-280d9819-3c7604b1.jpg\n']"
s59566680_16,p17340686,s59566680,16,Findings,"Single AP supine portable view of the chest was obtained. A large bore left-sided central venous catheter is seen extending to the right atrium. There is moderate pulmonary edema with possible trace bilateral pleural effusions. Relative more confluent opacity in the right lung base is again seen, worrisome for consolidation which has been present over multiple prior radiographs and could relate to the pulmonary edema. The cardiac and mediastinal silhouettes are stable. Surgical clips seen in the upper abdomen.",The cardiac and mediastinal silhouettes are stable.,cardiac and mediastinal silhouettes,,Stable,['files/p17/p17340686/s59566680/c19b01bf-e57e7aee-f251430e-9a1d156e-acbf7677.jpg'],"['files/p17/p17340686/s58908940/35c92af3-ed9be418-cfa5c77f-01d6e3c7-fcb5af0a.jpg\n', 'files/p17/p17340686/s58908940/39ca48e7-53f0eca0-ce297a4a-84fa12a4-cb30308f.jpg\n']"
s59566680_16,p17340686,s59566680,16,Findings,"Single AP supine portable view of the chest was obtained. A large bore left-sided central venous catheter is seen extending to the right atrium. There is moderate pulmonary edema with possible trace bilateral pleural effusions. Relative more confluent opacity in the right lung base is again seen, worrisome for consolidation which has been present over multiple prior radiographs and could relate to the pulmonary edema. The cardiac and mediastinal silhouettes are stable. Surgical clips seen in the upper abdomen.","Relative more confluent opacity in the right lung base is again seen, worrisome for consolidation which has been present over multiple prior radiographs and could relate to the pulmonary edema.",confluent opacity,right lung base,Stable,['files/p17/p17340686/s59566680/c19b01bf-e57e7aee-f251430e-9a1d156e-acbf7677.jpg'],"['files/p17/p17340686/s58908940/35c92af3-ed9be418-cfa5c77f-01d6e3c7-fcb5af0a.jpg\n', 'files/p17/p17340686/s58908940/39ca48e7-53f0eca0-ce297a4a-84fa12a4-cb30308f.jpg\n']"
s59568059_3,p17327592,s59568059,3,Findings,PA and lateral views of the chest provided. Midline sternotomy wires noted. Stable elevation of the right hemidiaphragm is again seen with chronic right basal atelectasis. Subtle retrocardiac linear density may represent focal areas of scarring as this appears unchanged from prior exam. No convincing signs of pneumonia or CHF. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm.,Subtle retrocardiac linear density may represent focal areas of scarring as this appears unchanged from prior exam.,linear density,retrocardiac,Stable,"['files/p17/p17327592/s59568059/0edc4350-79bed040-c995383a-424e4573-a701ab07.jpg', 'files/p17/p17327592/s59568059/a163cafe-64ffc35b-319d99b1-4a167e5b-fff059e0.jpg']",['files/p17/p17327592/s53734902/d43e3c28-8d1a4b0c-ef446460-413e4e0b-df3a80ef.jpg\n']
s59568059_3,p17327592,s59568059,3,Findings,PA and lateral views of the chest provided. Midline sternotomy wires noted. Stable elevation of the right hemidiaphragm is again seen with chronic right basal atelectasis. Subtle retrocardiac linear density may represent focal areas of scarring as this appears unchanged from prior exam. No convincing signs of pneumonia or CHF. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm.,Stable elevation of the right hemidiaphragm is again seen with chronic right basal atelectasis.,atelectasis,right basal,Stable,"['files/p17/p17327592/s59568059/0edc4350-79bed040-c995383a-424e4573-a701ab07.jpg', 'files/p17/p17327592/s59568059/a163cafe-64ffc35b-319d99b1-4a167e5b-fff059e0.jpg']",['files/p17/p17327592/s53734902/d43e3c28-8d1a4b0c-ef446460-413e4e0b-df3a80ef.jpg\n']
s59568059_3,p17327592,s59568059,3,Findings,PA and lateral views of the chest provided. Midline sternotomy wires noted. Stable elevation of the right hemidiaphragm is again seen with chronic right basal atelectasis. Subtle retrocardiac linear density may represent focal areas of scarring as this appears unchanged from prior exam. No convincing signs of pneumonia or CHF. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm.,Cardiomediastinal silhouette is stable.,silhouette,cardiomediastinal,Stable,"['files/p17/p17327592/s59568059/0edc4350-79bed040-c995383a-424e4573-a701ab07.jpg', 'files/p17/p17327592/s59568059/a163cafe-64ffc35b-319d99b1-4a167e5b-fff059e0.jpg']",['files/p17/p17327592/s53734902/d43e3c28-8d1a4b0c-ef446460-413e4e0b-df3a80ef.jpg\n']
s59568059_3,p17327592,s59568059,3,Findings,PA and lateral views of the chest provided. Midline sternotomy wires noted. Stable elevation of the right hemidiaphragm is again seen with chronic right basal atelectasis. Subtle retrocardiac linear density may represent focal areas of scarring as this appears unchanged from prior exam. No convincing signs of pneumonia or CHF. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm.,Stable elevation of the right hemidiaphragm is again seen with chronic right basal atelectasis.,hemidiaphragm elevation,right,Stable,"['files/p17/p17327592/s59568059/0edc4350-79bed040-c995383a-424e4573-a701ab07.jpg', 'files/p17/p17327592/s59568059/a163cafe-64ffc35b-319d99b1-4a167e5b-fff059e0.jpg']",['files/p17/p17327592/s53734902/d43e3c28-8d1a4b0c-ef446460-413e4e0b-df3a80ef.jpg\n']
s59572378_1,p19757720,s59572378,1,Findings,"In comparison with the earlier study of this date, an OG tube is in place with the tip in the stomach. However, the sidehole appears to be above the esophagogastric junction. Right IJ catheter tip extends to the mid-to-lower portion of the SVC. Endotracheal tube remains in good position. There is increasing bilateral opacifications consistent with worsening pulmonary edema. Moderate-to-large right and small left layering pleural effusions with compressive atelectasis at the bases.",There is increasing bilateral opacifications consistent with worsening pulmonary edema.,pulmonary edema,bilateral,Worse,['files/p19/p19757720/s59572378/13255e1f-91b7b172-02baaeee-340ec493-0e531681.jpg'],"['files/p19/p19757720/s58495629/1d63f983-58edaaaf-a291053b-73417333-421d0021.jpg\n', 'files/p19/p19757720/s58495629/41015709-991752ad-b8bf5519-0dd588fd-dec4d029.jpg\n']"
s59572378_1,p19757720,s59572378,1,Findings,"In comparison with the earlier study of this date, an OG tube is in place with the tip in the stomach. However, the sidehole appears to be above the esophagogastric junction. Right IJ catheter tip extends to the mid-to-lower portion of the SVC. Endotracheal tube remains in good position. There is increasing bilateral opacifications consistent with worsening pulmonary edema. Moderate-to-large right and small left layering pleural effusions with compressive atelectasis at the bases.",Endotracheal tube remains in good position.,Endotracheal tube position,,Stable,['files/p19/p19757720/s59572378/13255e1f-91b7b172-02baaeee-340ec493-0e531681.jpg'],"['files/p19/p19757720/s58495629/1d63f983-58edaaaf-a291053b-73417333-421d0021.jpg\n', 'files/p19/p19757720/s58495629/41015709-991752ad-b8bf5519-0dd588fd-dec4d029.jpg\n']"
s59573711_28,p14841168,s59573711,28,Impression,Persistent left lower lung opacity potentially atelectasis or scarring given findings on multiple priors. Please note that superimposed infection is not entirely excluded. Consider PA and lateral for further assessment if desired.,Persistent left lower lung opacity potentially atelectasis or scarring given findings on multiple priors. Please note that superimposed infection is not entirely excluded. Consider PA and lateral for further assessment if desired.,Opacity,Left lower lung,Stable,"['files/p14/p14841168/s59573711/d3c16ec5-f49b8c5b-fafc5fc8-41ec9bca-ca28586a.jpg', 'files/p14/p14841168/s59573711/fb8b94a3-98ec59dc-d148e378-62063c90-58baaa12.jpg']",['files/p14/p14841168/s59481059/b3a377e6-a4f90277-7bd8361f-bfc64687-a4ee054b.jpg\n']
s59573711_28,p14841168,s59573711,28,Findings,There is hazy left basilar opacity which has been seen on multiple previous examinations. Elsewhere the lungs are clear of consolidation. Enlargement of the cardiac silhouette is similar compared to prior and likely exaggerated by portable technique and prominent mediastinal fat. Atherosclerotic calcifications noted throughout the aorta.,Enlargement of the cardiac silhouette is similar compared to prior and likely exaggerated by portable technique and prominent mediastinal fat.,Silhouette enlargement,Cardiac,Stable,"['files/p14/p14841168/s59573711/d3c16ec5-f49b8c5b-fafc5fc8-41ec9bca-ca28586a.jpg', 'files/p14/p14841168/s59573711/fb8b94a3-98ec59dc-d148e378-62063c90-58baaa12.jpg']",['files/p14/p14841168/s59481059/b3a377e6-a4f90277-7bd8361f-bfc64687-a4ee054b.jpg\n']
s59573711_28,p14841168,s59573711,28,Findings,There is hazy left basilar opacity which has been seen on multiple previous examinations. Elsewhere the lungs are clear of consolidation. Enlargement of the cardiac silhouette is similar compared to prior and likely exaggerated by portable technique and prominent mediastinal fat. Atherosclerotic calcifications noted throughout the aorta.,There is hazy left basilar opacity which has been seen on multiple previous examinations.,Opacity,Left basilar,Stable,"['files/p14/p14841168/s59573711/d3c16ec5-f49b8c5b-fafc5fc8-41ec9bca-ca28586a.jpg', 'files/p14/p14841168/s59573711/fb8b94a3-98ec59dc-d148e378-62063c90-58baaa12.jpg']",['files/p14/p14841168/s59481059/b3a377e6-a4f90277-7bd8361f-bfc64687-a4ee054b.jpg\n']
s59584894_22,p19016834,s59584894,22,Findings,"Frontal and lateral views of the chest were obtained. Esophageal stent is again seen, appears more inferior in position as compared to the prior study. Right perihilar chronic changes are seen. There is slight increase in the right mid lung opacity which could be due to underlying infection, possibly in the superior right lower lobes. No pneumothorax is seen.","Esophageal stent is again seen, appears more inferior in position as compared to the prior study.",Esophageal stent,inferior,Worse,"['files/p19/p19016834/s59584894/2f8885a1-06440c4f-d3013600-227e0bbf-1a438c73.jpg', 'files/p19/p19016834/s59584894/394a60ac-206f1704-9f6e8216-aa5c47a0-c1c5b9ea.jpg']",['files/p19/p19016834/s58876378/6bf94769-48631939-de27a1af-91b05e66-e770045a.jpg\n']
s59584894_22,p19016834,s59584894,22,Impression,1. Inferior migration of patient's esophageal stent as compared to the prior study. 2. Slight increase in right mid lung patchy opacity may due to consolidation in the superior right lower lobe which could be due to an infection. The above findings were discussed with Dr. ___ on ___ via telephone.,Slight increase in right mid lung patchy opacity may due to consolidation in the superior right lower lobe which could be due to an infection.,patchy opacity,right mid lung,Worse,"['files/p19/p19016834/s59584894/2f8885a1-06440c4f-d3013600-227e0bbf-1a438c73.jpg', 'files/p19/p19016834/s59584894/394a60ac-206f1704-9f6e8216-aa5c47a0-c1c5b9ea.jpg']",['files/p19/p19016834/s58876378/6bf94769-48631939-de27a1af-91b05e66-e770045a.jpg\n']
s59584894_22,p19016834,s59584894,22,Findings,"Frontal and lateral views of the chest were obtained. Esophageal stent is again seen, appears more inferior in position as compared to the prior study. Right perihilar chronic changes are seen. There is slight increase in the right mid lung opacity which could be due to underlying infection, possibly in the superior right lower lobes. No pneumothorax is seen.","There is slight increase in the right mid lung opacity which could be due to underlying infection, possibly in the superior right lower lobes.",opacity,right mid lung,Worse,"['files/p19/p19016834/s59584894/2f8885a1-06440c4f-d3013600-227e0bbf-1a438c73.jpg', 'files/p19/p19016834/s59584894/394a60ac-206f1704-9f6e8216-aa5c47a0-c1c5b9ea.jpg']",['files/p19/p19016834/s58876378/6bf94769-48631939-de27a1af-91b05e66-e770045a.jpg\n']
s59584894_22,p19016834,s59584894,22,Impression,1. Inferior migration of patient's esophageal stent as compared to the prior study. 2. Slight increase in right mid lung patchy opacity may due to consolidation in the superior right lower lobe which could be due to an infection. The above findings were discussed with Dr. ___ on ___ via telephone.,Inferior migration of patient's esophageal stent as compared to the prior study.,Esophageal stent,inferior,Worse,"['files/p19/p19016834/s59584894/2f8885a1-06440c4f-d3013600-227e0bbf-1a438c73.jpg', 'files/p19/p19016834/s59584894/394a60ac-206f1704-9f6e8216-aa5c47a0-c1c5b9ea.jpg']",['files/p19/p19016834/s58876378/6bf94769-48631939-de27a1af-91b05e66-e770045a.jpg\n']
s59589248_14,p13352405,s59589248,14,Findings,"PA and lateral chest views have been obtained with patient in upright position. Comparison is made with the next preceding portable AP single chest view of ___. Right-sided chest tube remains in place terminating somewhat lower than on the preceding study in the apical area. The second lower right chest tube remains in unchanged position. Small amount of right-sided pleural effusion persists blunting the lateral and posterior pleural sinus. No new parenchymal infiltrates are seen, and no significant pneumothorax has developed in the apical area. The left-sided hemithorax remains unchanged with no new infiltrates. As before, there are local rib deformities apparently related to previous old trauma as already observed on previous chest CT.","As before, there are local rib deformities apparently related to previous old trauma as already observed on previous chest CT.",rib deformities,local,Stable,"['files/p13/p13352405/s59589248/60781ae0-7016f7ed-54a825ab-7509c1b0-9b9b2725.jpg', 'files/p13/p13352405/s59589248/992ca7aa-bc9d75c5-cab8f375-a649cfc4-2472eda9.jpg']",['files/p13/p13352405/s59156265/41ee9261-0756cf99-574bf302-f275f3e5-a8e33f13.jpg\n']
s59589248_14,p13352405,s59589248,14,Findings,"PA and lateral chest views have been obtained with patient in upright position. Comparison is made with the next preceding portable AP single chest view of ___. Right-sided chest tube remains in place terminating somewhat lower than on the preceding study in the apical area. The second lower right chest tube remains in unchanged position. Small amount of right-sided pleural effusion persists blunting the lateral and posterior pleural sinus. No new parenchymal infiltrates are seen, and no significant pneumothorax has developed in the apical area. The left-sided hemithorax remains unchanged with no new infiltrates. As before, there are local rib deformities apparently related to previous old trauma as already observed on previous chest CT.",Right-sided chest tube remains in place terminating somewhat lower than on the preceding study in the apical area.,chest tube,right-sided,Stable,"['files/p13/p13352405/s59589248/60781ae0-7016f7ed-54a825ab-7509c1b0-9b9b2725.jpg', 'files/p13/p13352405/s59589248/992ca7aa-bc9d75c5-cab8f375-a649cfc4-2472eda9.jpg']",['files/p13/p13352405/s59156265/41ee9261-0756cf99-574bf302-f275f3e5-a8e33f13.jpg\n']
s59589248_14,p13352405,s59589248,14,Findings,"PA and lateral chest views have been obtained with patient in upright position. Comparison is made with the next preceding portable AP single chest view of ___. Right-sided chest tube remains in place terminating somewhat lower than on the preceding study in the apical area. The second lower right chest tube remains in unchanged position. Small amount of right-sided pleural effusion persists blunting the lateral and posterior pleural sinus. No new parenchymal infiltrates are seen, and no significant pneumothorax has developed in the apical area. The left-sided hemithorax remains unchanged with no new infiltrates. As before, there are local rib deformities apparently related to previous old trauma as already observed on previous chest CT.",The second lower right chest tube remains in unchanged position.,chest tube,lower right,Stable,"['files/p13/p13352405/s59589248/60781ae0-7016f7ed-54a825ab-7509c1b0-9b9b2725.jpg', 'files/p13/p13352405/s59589248/992ca7aa-bc9d75c5-cab8f375-a649cfc4-2472eda9.jpg']",['files/p13/p13352405/s59156265/41ee9261-0756cf99-574bf302-f275f3e5-a8e33f13.jpg\n']
s59589248_14,p13352405,s59589248,14,Findings,"PA and lateral chest views have been obtained with patient in upright position. Comparison is made with the next preceding portable AP single chest view of ___. Right-sided chest tube remains in place terminating somewhat lower than on the preceding study in the apical area. The second lower right chest tube remains in unchanged position. Small amount of right-sided pleural effusion persists blunting the lateral and posterior pleural sinus. No new parenchymal infiltrates are seen, and no significant pneumothorax has developed in the apical area. The left-sided hemithorax remains unchanged with no new infiltrates. As before, there are local rib deformities apparently related to previous old trauma as already observed on previous chest CT.",Small amount of right-sided pleural effusion persists blunting the lateral and posterior pleural sinus.,pleural effusion,right-sided,Stable,"['files/p13/p13352405/s59589248/60781ae0-7016f7ed-54a825ab-7509c1b0-9b9b2725.jpg', 'files/p13/p13352405/s59589248/992ca7aa-bc9d75c5-cab8f375-a649cfc4-2472eda9.jpg']",['files/p13/p13352405/s59156265/41ee9261-0756cf99-574bf302-f275f3e5-a8e33f13.jpg\n']
s59589248_14,p13352405,s59589248,14,Findings,"PA and lateral chest views have been obtained with patient in upright position. Comparison is made with the next preceding portable AP single chest view of ___. Right-sided chest tube remains in place terminating somewhat lower than on the preceding study in the apical area. The second lower right chest tube remains in unchanged position. Small amount of right-sided pleural effusion persists blunting the lateral and posterior pleural sinus. No new parenchymal infiltrates are seen, and no significant pneumothorax has developed in the apical area. The left-sided hemithorax remains unchanged with no new infiltrates. As before, there are local rib deformities apparently related to previous old trauma as already observed on previous chest CT.",The left-sided hemithorax remains unchanged with no new infiltrates.,appearance,left-sided hemithorax,Stable,"['files/p13/p13352405/s59589248/60781ae0-7016f7ed-54a825ab-7509c1b0-9b9b2725.jpg', 'files/p13/p13352405/s59589248/992ca7aa-bc9d75c5-cab8f375-a649cfc4-2472eda9.jpg']",['files/p13/p13352405/s59156265/41ee9261-0756cf99-574bf302-f275f3e5-a8e33f13.jpg\n']
s59589248_14,p13352405,s59589248,14,Impression,Stable appearance of right-sided postoperative small apical pneumothorax and pleural effusion.,Stable appearance of right-sided postoperative small apical pneumothorax and pleural effusion.,pleural effusion,right-sided,Stable,"['files/p13/p13352405/s59589248/60781ae0-7016f7ed-54a825ab-7509c1b0-9b9b2725.jpg', 'files/p13/p13352405/s59589248/992ca7aa-bc9d75c5-cab8f375-a649cfc4-2472eda9.jpg']",['files/p13/p13352405/s59156265/41ee9261-0756cf99-574bf302-f275f3e5-a8e33f13.jpg\n']
s59589248_14,p13352405,s59589248,14,Impression,Stable appearance of right-sided postoperative small apical pneumothorax and pleural effusion.,Stable appearance of right-sided postoperative small apical pneumothorax and pleural effusion.,postoperative small apical pneumothorax,right-sided,Stable,"['files/p13/p13352405/s59589248/60781ae0-7016f7ed-54a825ab-7509c1b0-9b9b2725.jpg', 'files/p13/p13352405/s59589248/992ca7aa-bc9d75c5-cab8f375-a649cfc4-2472eda9.jpg']",['files/p13/p13352405/s59156265/41ee9261-0756cf99-574bf302-f275f3e5-a8e33f13.jpg\n']
s59599357_1,p15109122,s59599357,1,Findings,"There has been slight interval increase in size of bilateral pleural effusions which are now moderate to large. There is mild interstitial pulmonary edema again noted. The heart size remains enlarged, the mediastinal contours are normal with note of calcification of the aortic knob. A left chest pacemaker is stable in position.",A left chest pacemaker is stable in position.,pacemaker,left chest,Stable,"['files/p15/p15109122/s59599357/de69c335-3914fe86-56f078f4-3b25135d-fc2f5f3c.jpg', 'files/p15/p15109122/s59599357/e1a199d2-0a67b663-57e4049b-c809b2ac-789cce80.jpg']","['files/p15/p15109122/s59351921/b9193ffc-21b71068-4bbaf2cd-998f577e-9e81a9d0.jpg\n', 'files/p15/p15109122/s59351921/eb7364ed-a6878541-b437bd2b-ba99018a-96fa9d08.jpg\n']"
s59599357_1,p15109122,s59599357,1,Findings,"There has been slight interval increase in size of bilateral pleural effusions which are now moderate to large. There is mild interstitial pulmonary edema again noted. The heart size remains enlarged, the mediastinal contours are normal with note of calcification of the aortic knob. A left chest pacemaker is stable in position.",There is mild interstitial pulmonary edema again noted.,interstitial pulmonary edema,,Stable,"['files/p15/p15109122/s59599357/de69c335-3914fe86-56f078f4-3b25135d-fc2f5f3c.jpg', 'files/p15/p15109122/s59599357/e1a199d2-0a67b663-57e4049b-c809b2ac-789cce80.jpg']","['files/p15/p15109122/s59351921/b9193ffc-21b71068-4bbaf2cd-998f577e-9e81a9d0.jpg\n', 'files/p15/p15109122/s59351921/eb7364ed-a6878541-b437bd2b-ba99018a-96fa9d08.jpg\n']"
s59599357_1,p15109122,s59599357,1,Findings,"There has been slight interval increase in size of bilateral pleural effusions which are now moderate to large. There is mild interstitial pulmonary edema again noted. The heart size remains enlarged, the mediastinal contours are normal with note of calcification of the aortic knob. A left chest pacemaker is stable in position.",There has been slight interval increase in size of bilateral pleural effusions which are now moderate to large.,pleural effusions,bilateral,Worse,"['files/p15/p15109122/s59599357/de69c335-3914fe86-56f078f4-3b25135d-fc2f5f3c.jpg', 'files/p15/p15109122/s59599357/e1a199d2-0a67b663-57e4049b-c809b2ac-789cce80.jpg']","['files/p15/p15109122/s59351921/b9193ffc-21b71068-4bbaf2cd-998f577e-9e81a9d0.jpg\n', 'files/p15/p15109122/s59351921/eb7364ed-a6878541-b437bd2b-ba99018a-96fa9d08.jpg\n']"
s59599357_1,p15109122,s59599357,1,Impression,"CHF, with slight interval increase in size of bilateral pleural effusions, now moderate to large.","CHF, with slight interval increase in size of bilateral pleural effusions, now moderate to large.",pleural effusions,bilateral,Worse,"['files/p15/p15109122/s59599357/de69c335-3914fe86-56f078f4-3b25135d-fc2f5f3c.jpg', 'files/p15/p15109122/s59599357/e1a199d2-0a67b663-57e4049b-c809b2ac-789cce80.jpg']","['files/p15/p15109122/s59351921/b9193ffc-21b71068-4bbaf2cd-998f577e-9e81a9d0.jpg\n', 'files/p15/p15109122/s59351921/eb7364ed-a6878541-b437bd2b-ba99018a-96fa9d08.jpg\n']"
s59599357_1,p15109122,s59599357,1,Findings,"There has been slight interval increase in size of bilateral pleural effusions which are now moderate to large. There is mild interstitial pulmonary edema again noted. The heart size remains enlarged, the mediastinal contours are normal with note of calcification of the aortic knob. A left chest pacemaker is stable in position.","The heart size remains enlarged, the mediastinal contours are normal with note of calcification of the aortic knob.",heart size,,Stable,"['files/p15/p15109122/s59599357/de69c335-3914fe86-56f078f4-3b25135d-fc2f5f3c.jpg', 'files/p15/p15109122/s59599357/e1a199d2-0a67b663-57e4049b-c809b2ac-789cce80.jpg']","['files/p15/p15109122/s59351921/b9193ffc-21b71068-4bbaf2cd-998f577e-9e81a9d0.jpg\n', 'files/p15/p15109122/s59351921/eb7364ed-a6878541-b437bd2b-ba99018a-96fa9d08.jpg\n']"
s59606790_3,p16662264,s59606790,3,Findings,"Previously seen basal consolidations and diffuse abnormalities in the upper lungs have improved when compared to the ___ study. However, moderate-sized bilateral pleural effusions have worsened from ___ although appear stable from the chest CT of ___. There are no new areas of consolidation or evidence of pulmonary edema. Cardiomediastinal contours are unchanged.",Cardiomediastinal contours are unchanged.,cardiomediastinal contours,,Stable,"['files/p16/p16662264/s59606790/dfde1118-f8d0acbf-f1edeee7-1d568beb-a983654d.jpg', 'files/p16/p16662264/s59606790/fabc582d-1a12e5e2-e6f08171-00f07d2b-6ec6b54e.jpg']","['files/p16/p16662264/s59521539/49d3507c-e1c8d85f-5d7f8127-2f2e14f5-a84a6a13.jpg\n', 'files/p16/p16662264/s59521539/9119a28a-7a5c8be8-becc105d-8c0996f6-27024024.jpg\n']"
s59606790_3,p16662264,s59606790,3,Findings,"Previously seen basal consolidations and diffuse abnormalities in the upper lungs have improved when compared to the ___ study. However, moderate-sized bilateral pleural effusions have worsened from ___ although appear stable from the chest CT of ___. There are no new areas of consolidation or evidence of pulmonary edema. Cardiomediastinal contours are unchanged.","However, moderate-sized bilateral pleural effusions have worsened from ___ although appear stable from the chest CT of ___.",pleural effusions,bilateral,Worse,"['files/p16/p16662264/s59606790/dfde1118-f8d0acbf-f1edeee7-1d568beb-a983654d.jpg', 'files/p16/p16662264/s59606790/fabc582d-1a12e5e2-e6f08171-00f07d2b-6ec6b54e.jpg']","['files/p16/p16662264/s59521539/49d3507c-e1c8d85f-5d7f8127-2f2e14f5-a84a6a13.jpg\n', 'files/p16/p16662264/s59521539/9119a28a-7a5c8be8-becc105d-8c0996f6-27024024.jpg\n']"
s59606790_3,p16662264,s59606790,3,Findings,"Previously seen basal consolidations and diffuse abnormalities in the upper lungs have improved when compared to the ___ study. However, moderate-sized bilateral pleural effusions have worsened from ___ although appear stable from the chest CT of ___. There are no new areas of consolidation or evidence of pulmonary edema. Cardiomediastinal contours are unchanged.",Previously seen basal consolidations and diffuse abnormalities in the upper lungs have improved when compared to the ___ study.,consolidations and diffuse abnormalities,basal and upper lungs,Better,"['files/p16/p16662264/s59606790/dfde1118-f8d0acbf-f1edeee7-1d568beb-a983654d.jpg', 'files/p16/p16662264/s59606790/fabc582d-1a12e5e2-e6f08171-00f07d2b-6ec6b54e.jpg']","['files/p16/p16662264/s59521539/49d3507c-e1c8d85f-5d7f8127-2f2e14f5-a84a6a13.jpg\n', 'files/p16/p16662264/s59521539/9119a28a-7a5c8be8-becc105d-8c0996f6-27024024.jpg\n']"
s59607772_1,p19389547,s59607772,1,Findings,"Right-sided chest tube remains in place, with slight increase in size of a small right pleural effusion, but no visible pneumothorax. Bibasilar linear atelectasis has slightly worsened, and there is a persistent small left pleural effusion.","Right-sided chest tube remains in place, with slight increase in size of a small right pleural effusion, but no visible pneumothorax.",pleural effusion,right,Worse,['files/p19/p19389547/s59607772/6aa507c8-091eb714-e018466d-28671eeb-4bb67070.jpg'],"['files/p19/p19389547/s59044011/6eaf7963-626eb629-9cbd1f78-ed48ebd0-cba58eee.jpg\n', 'files/p19/p19389547/s59044011/7d8df8e3-c8bcedda-66ffa4f1-c953af7e-0896b398.jpg\n', 'files/p19/p19389547/s59044011/daf22278-c7ef9cb8-31e6569f-0e1541a4-153d1977.jpg\n']"
s59607772_1,p19389547,s59607772,1,Findings,"Right-sided chest tube remains in place, with slight increase in size of a small right pleural effusion, but no visible pneumothorax. Bibasilar linear atelectasis has slightly worsened, and there is a persistent small left pleural effusion.","Bibasilar linear atelectasis has slightly worsened, and there is a persistent small left pleural effusion.",linear atelectasis,bibasilar,Worse,['files/p19/p19389547/s59607772/6aa507c8-091eb714-e018466d-28671eeb-4bb67070.jpg'],"['files/p19/p19389547/s59044011/6eaf7963-626eb629-9cbd1f78-ed48ebd0-cba58eee.jpg\n', 'files/p19/p19389547/s59044011/7d8df8e3-c8bcedda-66ffa4f1-c953af7e-0896b398.jpg\n', 'files/p19/p19389547/s59044011/daf22278-c7ef9cb8-31e6569f-0e1541a4-153d1977.jpg\n']"
s59607772_1,p19389547,s59607772,1,Findings,"Right-sided chest tube remains in place, with slight increase in size of a small right pleural effusion, but no visible pneumothorax. Bibasilar linear atelectasis has slightly worsened, and there is a persistent small left pleural effusion.","Bibasilar linear atelectasis has slightly worsened, and there is a persistent small left pleural effusion.",pleural effusion,left,Stable,['files/p19/p19389547/s59607772/6aa507c8-091eb714-e018466d-28671eeb-4bb67070.jpg'],"['files/p19/p19389547/s59044011/6eaf7963-626eb629-9cbd1f78-ed48ebd0-cba58eee.jpg\n', 'files/p19/p19389547/s59044011/7d8df8e3-c8bcedda-66ffa4f1-c953af7e-0896b398.jpg\n', 'files/p19/p19389547/s59044011/daf22278-c7ef9cb8-31e6569f-0e1541a4-153d1977.jpg\n']"
s59608214_2,p19016834,s59608214,2,Findings,"There is a right chest port, with catheter extending into the low SVC. Small right pleural effusion has decreased from prior study. There is no apparent left pleural fluid. There is no pneumothorax or pneumomediastinum. Hilar and cardiomediastinal contours are unchanged. No parenchymal opacity to suggest pneumonia or aspiration.",Small right pleural effusion has decreased from prior study.,pleural effusion,right,Better,['files/p19/p19016834/s59608214/e26df0e6-03380fa6-44f4ce97-dbb30b9d-c1bc0ec5.jpg'],"['files/p19/p19016834/s59584894/2f8885a1-06440c4f-d3013600-227e0bbf-1a438c73.jpg\n', 'files/p19/p19016834/s59584894/394a60ac-206f1704-9f6e8216-aa5c47a0-c1c5b9ea.jpg\n']"
s59608214_2,p19016834,s59608214,2,Findings,"There is a right chest port, with catheter extending into the low SVC. Small right pleural effusion has decreased from prior study. There is no apparent left pleural fluid. There is no pneumothorax or pneumomediastinum. Hilar and cardiomediastinal contours are unchanged. No parenchymal opacity to suggest pneumonia or aspiration.",Hilar and cardiomediastinal contours are unchanged.,hilar and cardiomediastinal contours,,Stable,['files/p19/p19016834/s59608214/e26df0e6-03380fa6-44f4ce97-dbb30b9d-c1bc0ec5.jpg'],"['files/p19/p19016834/s59584894/2f8885a1-06440c4f-d3013600-227e0bbf-1a438c73.jpg\n', 'files/p19/p19016834/s59584894/394a60ac-206f1704-9f6e8216-aa5c47a0-c1c5b9ea.jpg\n']"
s59608214_2,p19016834,s59608214,2,Impression,No acute cardiopulmonary process. Right pleural effusion is slightly smaller than on prior study. No pneumothorax or pneumomediastinum.,Right pleural effusion is slightly smaller than on prior study.,pleural effusion,right,Better,['files/p19/p19016834/s59608214/e26df0e6-03380fa6-44f4ce97-dbb30b9d-c1bc0ec5.jpg'],"['files/p19/p19016834/s59584894/2f8885a1-06440c4f-d3013600-227e0bbf-1a438c73.jpg\n', 'files/p19/p19016834/s59584894/394a60ac-206f1704-9f6e8216-aa5c47a0-c1c5b9ea.jpg\n']"
s59608718_8,p18309149,s59608718,8,Findings,"PA and lateral chest radiographs demonstrate no interval change from ___. Small right pleural effusion, adjacent atelectasis, and scar formation are stable. The cardiomediastinal silhouette is normal. The left hemithorax is unremarkable.","Small right pleural effusion, adjacent atelectasis, and scar formation are stable.",scar formation,right,Stable,"['files/p18/p18309149/s59608718/81da6609-5b1db1a9-985ed5af-0ea8bff9-d2ae3e08.jpg', 'files/p18/p18309149/s59608718/c418a7ea-f382ef9c-a8aa6045-d0ecf7cb-87214437.jpg']",['files/p18/p18309149/s58786693/8a31b2b4-ae7e2d63-755cd377-936102cb-9bb02fac.jpg\n']
s59608718_8,p18309149,s59608718,8,Findings,"PA and lateral chest radiographs demonstrate no interval change from ___. Small right pleural effusion, adjacent atelectasis, and scar formation are stable. The cardiomediastinal silhouette is normal. The left hemithorax is unremarkable.","Small right pleural effusion, adjacent atelectasis, and scar formation are stable.",atelectasis,right,Stable,"['files/p18/p18309149/s59608718/81da6609-5b1db1a9-985ed5af-0ea8bff9-d2ae3e08.jpg', 'files/p18/p18309149/s59608718/c418a7ea-f382ef9c-a8aa6045-d0ecf7cb-87214437.jpg']",['files/p18/p18309149/s58786693/8a31b2b4-ae7e2d63-755cd377-936102cb-9bb02fac.jpg\n']
s59608718_8,p18309149,s59608718,8,Impression,Stable small right pleural effusion compared to ___. This study neither suggests nor excludes the diagnosis of pulmonary embolism.,Stable small right pleural effusion compared to ___.,small pleural effusion,right,Stable,"['files/p18/p18309149/s59608718/81da6609-5b1db1a9-985ed5af-0ea8bff9-d2ae3e08.jpg', 'files/p18/p18309149/s59608718/c418a7ea-f382ef9c-a8aa6045-d0ecf7cb-87214437.jpg']",['files/p18/p18309149/s58786693/8a31b2b4-ae7e2d63-755cd377-936102cb-9bb02fac.jpg\n']
s59608718_8,p18309149,s59608718,8,Findings,"PA and lateral chest radiographs demonstrate no interval change from ___. Small right pleural effusion, adjacent atelectasis, and scar formation are stable. The cardiomediastinal silhouette is normal. The left hemithorax is unremarkable.","Small right pleural effusion, adjacent atelectasis, and scar formation are stable.",pleural effusion,right,Stable,"['files/p18/p18309149/s59608718/81da6609-5b1db1a9-985ed5af-0ea8bff9-d2ae3e08.jpg', 'files/p18/p18309149/s59608718/c418a7ea-f382ef9c-a8aa6045-d0ecf7cb-87214437.jpg']",['files/p18/p18309149/s58786693/8a31b2b4-ae7e2d63-755cd377-936102cb-9bb02fac.jpg\n']
s59610928_4,p16957952,s59610928,4,Findings,"There are increased interstitial markings bilaterally not significantly changed from ___, but no focal opacities. Heart size is top normal. The aorta is tortuous. There is no pleural effusion or pneumothorax. Sternotomy wires as well as mediastinal surgical clips from prior CABG are re-demonstrated and unchanged in position.",Sternotomy wires as well as mediastinal surgical clips from prior CABG are re-demonstrated and unchanged in position.,Sternotomy wires and mediastinal surgical clips,,Stable,"['files/p16/p16957952/s59610928/8d229bcf-75e124e8-8a55e963-dadf73d5-84125eb6.jpg', 'files/p16/p16957952/s59610928/a65d3d93-ce43965b-d289b7d8-624367da-7d615da8.jpg', 'files/p16/p16957952/s59610928/b5d3da06-fd20e016-8b1924e1-3ff9ceed-fb365036.jpg']","['files/p16/p16957952/s59502822/2f0faf68-27020330-24ac6180-f913331b-440b1474.jpg\n', 'files/p16/p16957952/s59502822/737016db-c820a9cb-11c8e000-a5eef752-c1d20274.jpg\n']"
s59610928_4,p16957952,s59610928,4,Findings,"There are increased interstitial markings bilaterally not significantly changed from ___, but no focal opacities. Heart size is top normal. The aorta is tortuous. There is no pleural effusion or pneumothorax. Sternotomy wires as well as mediastinal surgical clips from prior CABG are re-demonstrated and unchanged in position.","There are increased interstitial markings bilaterally not significantly changed from ___, but no focal opacities.",interstitial markings,bilaterally,Worse,"['files/p16/p16957952/s59610928/8d229bcf-75e124e8-8a55e963-dadf73d5-84125eb6.jpg', 'files/p16/p16957952/s59610928/a65d3d93-ce43965b-d289b7d8-624367da-7d615da8.jpg', 'files/p16/p16957952/s59610928/b5d3da06-fd20e016-8b1924e1-3ff9ceed-fb365036.jpg']","['files/p16/p16957952/s59502822/2f0faf68-27020330-24ac6180-f913331b-440b1474.jpg\n', 'files/p16/p16957952/s59502822/737016db-c820a9cb-11c8e000-a5eef752-c1d20274.jpg\n']"
s59616378_1,p13352405,s59616378,1,Findings,Comparison is made to the prior study from ___. There are chest tubes with the distal tips at the right base and right apex. The previously seen pigtail catheter at the right base has been removed. There is a persistent moderate-sized right pleural effusion. No pneumothoraces are seen. There are low lung volumes. Cardiac silhouette is within normal limits.,The previously seen pigtail catheter at the right base has been removed.,pigtail catheter,right base,Resolve,['files/p13/p13352405/s59616378/ad2bd086-921f17c8-b1dd649c-09b63b13-1c0ae6e7.jpg'],"['files/p13/p13352405/s59589248/60781ae0-7016f7ed-54a825ab-7509c1b0-9b9b2725.jpg\n', 'files/p13/p13352405/s59589248/992ca7aa-bc9d75c5-cab8f375-a649cfc4-2472eda9.jpg\n']"
s59616378_1,p13352405,s59616378,1,Findings,Comparison is made to the prior study from ___. There are chest tubes with the distal tips at the right base and right apex. The previously seen pigtail catheter at the right base has been removed. There is a persistent moderate-sized right pleural effusion. No pneumothoraces are seen. There are low lung volumes. Cardiac silhouette is within normal limits.,There is a persistent moderate-sized right pleural effusion.,pleural effusion,right,Stable,['files/p13/p13352405/s59616378/ad2bd086-921f17c8-b1dd649c-09b63b13-1c0ae6e7.jpg'],"['files/p13/p13352405/s59589248/60781ae0-7016f7ed-54a825ab-7509c1b0-9b9b2725.jpg\n', 'files/p13/p13352405/s59589248/992ca7aa-bc9d75c5-cab8f375-a649cfc4-2472eda9.jpg\n']"
s59627448_11,p11204646,s59627448,11,Findings,"As compared to the previous radiograph, the nasogastric tube is now visible. It is coiled in the stomach but the tip is located in the middle parts of the stomach. No evidence of complications, notably no pneumothorax. Otherwise unchanged chest radiograph. Unchanged cardiac silhouette.",Unchanged cardiac silhouette.,cardiac silhouette,,Stable,['files/p11/p11204646/s59627448/79c87d15-f10d7ef5-8935e2df-e2ed9032-32668f44.jpg'],['files/p11/p11204646/s59345943/9f6c9e7b-4ccd8468-517c7976-e5deee18-02e95e8a.jpg\n']
s59627448_11,p11204646,s59627448,11,Findings,"As compared to the previous radiograph, the nasogastric tube is now visible. It is coiled in the stomach but the tip is located in the middle parts of the stomach. No evidence of complications, notably no pneumothorax. Otherwise unchanged chest radiograph. Unchanged cardiac silhouette.","As compared to the previous radiograph, the nasogastric tube is now visible.",nasogastric tube visibility,,New,['files/p11/p11204646/s59627448/79c87d15-f10d7ef5-8935e2df-e2ed9032-32668f44.jpg'],['files/p11/p11204646/s59345943/9f6c9e7b-4ccd8468-517c7976-e5deee18-02e95e8a.jpg\n']
s59631450_1,p14147787,s59631450,1,Findings,"The cardiomediastinal and hilar silhouettes remain stable. There are bilateral upper lung reticular and nodular opacities with associated volume loss, stable compared to the prior study. The lungs are otherwise clear with no focal consolidation. There is no pleural effusion, pulmonary edema, or pneumothorax. The osseous structures are unremarkable.","There are bilateral upper lung reticular and nodular opacities with associated volume loss, stable compared to the prior study.",reticular and nodular opacities with associated volume loss,bilateral upper lungs,Stable,"['files/p14/p14147787/s59631450/3760ecc0-78f07c86-35dbf3f6-0e19ef2b-b3b6d018.jpg', 'files/p14/p14147787/s59631450/5b73306f-64ed83f7-dc6e0957-f8d1a9b2-bdd393f3.jpg', 'files/p14/p14147787/s59631450/6cc9089f-10265a3f-bba39a9d-866970ff-caba6304.jpg']","['files/p14/p14147787/s58168356/796d3e4d-90873566-0e5ba67d-1c07cc12-ff414fd1.jpg\n', 'files/p14/p14147787/s58168356/a0d2c039-f522ccd9-d97c1582-07999a4b-ffdb3140.jpg\n']"
s59631450_1,p14147787,s59631450,1,Impression,1. No focal consolidation to suggest pneumonia. 2. Stable bilateral upper lung zone fibrosis consistent with history of sarcoidosis.,Stable bilateral upper lung zone fibrosis consistent with history of sarcoidosis.,fibrosis,bilateral upper lung zones,Stable,"['files/p14/p14147787/s59631450/3760ecc0-78f07c86-35dbf3f6-0e19ef2b-b3b6d018.jpg', 'files/p14/p14147787/s59631450/5b73306f-64ed83f7-dc6e0957-f8d1a9b2-bdd393f3.jpg', 'files/p14/p14147787/s59631450/6cc9089f-10265a3f-bba39a9d-866970ff-caba6304.jpg']","['files/p14/p14147787/s58168356/796d3e4d-90873566-0e5ba67d-1c07cc12-ff414fd1.jpg\n', 'files/p14/p14147787/s58168356/a0d2c039-f522ccd9-d97c1582-07999a4b-ffdb3140.jpg\n']"
s59631450_1,p14147787,s59631450,1,Findings,"The cardiomediastinal and hilar silhouettes remain stable. There are bilateral upper lung reticular and nodular opacities with associated volume loss, stable compared to the prior study. The lungs are otherwise clear with no focal consolidation. There is no pleural effusion, pulmonary edema, or pneumothorax. The osseous structures are unremarkable.",The cardiomediastinal and hilar silhouettes remain stable.,silhouettes,cardiomediastinal and hilar,Stable,"['files/p14/p14147787/s59631450/3760ecc0-78f07c86-35dbf3f6-0e19ef2b-b3b6d018.jpg', 'files/p14/p14147787/s59631450/5b73306f-64ed83f7-dc6e0957-f8d1a9b2-bdd393f3.jpg', 'files/p14/p14147787/s59631450/6cc9089f-10265a3f-bba39a9d-866970ff-caba6304.jpg']","['files/p14/p14147787/s58168356/796d3e4d-90873566-0e5ba67d-1c07cc12-ff414fd1.jpg\n', 'files/p14/p14147787/s58168356/a0d2c039-f522ccd9-d97c1582-07999a4b-ffdb3140.jpg\n']"
s59633653_18,p16826047,s59633653,18,Findings,"In comparison with the study of ___, there is mild decrease in the still substantial opacification along the mid and lower lateral chest wall on the right, most likely reflecting a loculated effusion. Apparent pleural catheter remains in place, as does the Port-A-Cath. Little overall change in the appearance of the heart and lungs.","In comparison with the study of ___, there is mild decrease in the still substantial opacification along the mid and lower lateral chest wall on the right, most likely reflecting a loculated effusion.",opacification,mid and lower lateral right chest wall,Better,"['files/p16/p16826047/s59633653/1d7c427a-6e76e27f-2aa441d5-dc1ce213-c075b375.jpg', 'files/p16/p16826047/s59633653/f0983c7e-5edaaa34-04885b30-b260a522-2451e5cb.jpg']",['files/p16/p16826047/s59395427/540bedcf-8202c1a0-6499b7ab-c43d0c66-a287c997.jpg\n']
s59633653_18,p16826047,s59633653,18,Findings,"In comparison with the study of ___, there is mild decrease in the still substantial opacification along the mid and lower lateral chest wall on the right, most likely reflecting a loculated effusion. Apparent pleural catheter remains in place, as does the Port-A-Cath. 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/p16/p16826047/s59633653/1d7c427a-6e76e27f-2aa441d5-dc1ce213-c075b375.jpg', 'files/p16/p16826047/s59633653/f0983c7e-5edaaa34-04885b30-b260a522-2451e5cb.jpg']",['files/p16/p16826047/s59395427/540bedcf-8202c1a0-6499b7ab-c43d0c66-a287c997.jpg\n']
s59638609_15,p14387068,s59638609,15,Findings,"There has been placement of an OG feeding tube which is coiled within the stomach with the tip pointing towards the fundus. Compared to the most recent prior radiograph, there has been no significant change. Moderate loculated right pleural effusion, is unchanged. Left mid and lower lung opacities are stable. There is no pneumothorax. Cardiac silhouette is enlarged but stable.",Left mid and lower lung opacities are stable.,lung opacities,left mid and lower,Stable,['files/p14/p14387068/s59638609/f4ed24b7-7ce4f984-cadc1a40-43fde803-53ae7d9b.jpg'],['files/p14/p14387068/s59024525/855b1f9b-cacca17f-ff431f6d-3e9c2ba3-65382faf.jpg\n']
s59638609_15,p14387068,s59638609,15,Findings,"There has been placement of an OG feeding tube which is coiled within the stomach with the tip pointing towards the fundus. Compared to the most recent prior radiograph, there has been no significant change. Moderate loculated right pleural effusion, is unchanged. Left mid and lower lung opacities are stable. There is no pneumothorax. Cardiac silhouette is enlarged but stable.","Moderate loculated right pleural effusion, is unchanged.",loculated pleural effusion,right,Stable,['files/p14/p14387068/s59638609/f4ed24b7-7ce4f984-cadc1a40-43fde803-53ae7d9b.jpg'],['files/p14/p14387068/s59024525/855b1f9b-cacca17f-ff431f6d-3e9c2ba3-65382faf.jpg\n']
s59638609_15,p14387068,s59638609,15,Findings,"There has been placement of an OG feeding tube which is coiled within the stomach with the tip pointing towards the fundus. Compared to the most recent prior radiograph, there has been no significant change. Moderate loculated right pleural effusion, is unchanged. Left mid and lower lung opacities are stable. There is no pneumothorax. Cardiac silhouette is enlarged but stable.",Cardiac silhouette is enlarged but stable.,enlarged cardiac silhouette,,Stable,['files/p14/p14387068/s59638609/f4ed24b7-7ce4f984-cadc1a40-43fde803-53ae7d9b.jpg'],['files/p14/p14387068/s59024525/855b1f9b-cacca17f-ff431f6d-3e9c2ba3-65382faf.jpg\n']
s59642258_11,p19720782,s59642258,11,Findings,"A small to moderate right pleural effusion is not significantly changed compared to the prior radiograph ___. Associated consolidation at the right lung base is likely compressive atelectasis, although infection in this region cannot be excluded. There is a diffuse interstitial abnormality that has increased compared to the prior radiograph, likely mild pulmonary edema. The heart size remains top normal. The mediastinal contours are normal. Prominence of the right hilar region is unchanged, compatible with postradiation fibrosis, better evaluated on the CT from ___. There is no pneumothorax.",The heart size remains top normal.,size,heart,Stable,['files/p19/p19720782/s59642258/74634e78-46bff1c6-0f55af35-ffc09ea6-543ee803.jpg'],['files/p19/p19720782/s58510466/4d50716a-ce9e59d8-2bccee5f-9fd75a55-f12cd66a.jpg\n']
s59642258_11,p19720782,s59642258,11,Findings,"A small to moderate right pleural effusion is not significantly changed compared to the prior radiograph ___. Associated consolidation at the right lung base is likely compressive atelectasis, although infection in this region cannot be excluded. There is a diffuse interstitial abnormality that has increased compared to the prior radiograph, likely mild pulmonary edema. The heart size remains top normal. The mediastinal contours are normal. Prominence of the right hilar region is unchanged, compatible with postradiation fibrosis, better evaluated on the CT from ___. There is no pneumothorax.",A small to moderate right pleural effusion is not significantly changed compared to the prior radiograph ___.,pleural effusion,right,Stable,['files/p19/p19720782/s59642258/74634e78-46bff1c6-0f55af35-ffc09ea6-543ee803.jpg'],['files/p19/p19720782/s58510466/4d50716a-ce9e59d8-2bccee5f-9fd75a55-f12cd66a.jpg\n']
s59642258_11,p19720782,s59642258,11,Findings,"A small to moderate right pleural effusion is not significantly changed compared to the prior radiograph ___. Associated consolidation at the right lung base is likely compressive atelectasis, although infection in this region cannot be excluded. There is a diffuse interstitial abnormality that has increased compared to the prior radiograph, likely mild pulmonary edema. The heart size remains top normal. The mediastinal contours are normal. Prominence of the right hilar region is unchanged, compatible with postradiation fibrosis, better evaluated on the CT from ___. There is no pneumothorax.","Prominence of the right hilar region is unchanged, compatible with postradiation fibrosis, better evaluated on the CT from ___.",Prominence,right hilar region,Stable,['files/p19/p19720782/s59642258/74634e78-46bff1c6-0f55af35-ffc09ea6-543ee803.jpg'],['files/p19/p19720782/s58510466/4d50716a-ce9e59d8-2bccee5f-9fd75a55-f12cd66a.jpg\n']
s59642258_11,p19720782,s59642258,11,Impression,"1. Unchanged small to moderate right pleural effusion. 2. Right lower lung consolidative opacification, likely compressive atelectasis, although infection in this region cannot be excluded. 3. Mild pulmonary edema.",1. Unchanged small to moderate right pleural effusion.,pleural effusion,right,Stable,['files/p19/p19720782/s59642258/74634e78-46bff1c6-0f55af35-ffc09ea6-543ee803.jpg'],['files/p19/p19720782/s58510466/4d50716a-ce9e59d8-2bccee5f-9fd75a55-f12cd66a.jpg\n']
s59642258_11,p19720782,s59642258,11,Findings,"A small to moderate right pleural effusion is not significantly changed compared to the prior radiograph ___. Associated consolidation at the right lung base is likely compressive atelectasis, although infection in this region cannot be excluded. There is a diffuse interstitial abnormality that has increased compared to the prior radiograph, likely mild pulmonary edema. The heart size remains top normal. The mediastinal contours are normal. Prominence of the right hilar region is unchanged, compatible with postradiation fibrosis, better evaluated on the CT from ___. There is no pneumothorax.","There is a diffuse interstitial abnormality that has increased compared to the prior radiograph, likely mild pulmonary edema.",abnormality,diffuse interstitial,Worse,['files/p19/p19720782/s59642258/74634e78-46bff1c6-0f55af35-ffc09ea6-543ee803.jpg'],['files/p19/p19720782/s58510466/4d50716a-ce9e59d8-2bccee5f-9fd75a55-f12cd66a.jpg\n']
s59644344_1,p16622813,s59644344,1,Findings,"A bedside AP radiograph of the chest demonstrates surgical sutures and volume loss in the right upper lobe, consistent with the patient's prior history of lobectomy. The lungs are hyperinflated, consistent with COPD. The lungs, however, are clear. There is no pneumothorax or pleural effusion. The aorta is stably tortuous, and the heart size is normal. Pulmonary vascularity is normal, and there is no pulmonary edema.","The aorta is stably tortuous, and the heart size is normal.",tortuous aorta,,Stable,['files/p16/p16622813/s59644344/3960bfee-3d775493-bb08f568-81bff471-ef4dfaa5.jpg'],"['files/p16/p16622813/s59142109/954f63ab-17009b0a-74507f85-db57e82e-94a1eed1.jpg\n', 'files/p16/p16622813/s59142109/9890d76d-39a318f4-9252aa88-4357e066-a622d948.jpg\n', 'files/p16/p16622813/s59142109/9cc2f017-fb143b0b-85dffa52-fbe2bdfe-eb8ed83c.jpg\n']"
s59644580_6,p19759491,s59644580,6,Impression,"AP chest compared to ___: Widespread ground-glass pulmonary opacification, probably edema, has recurred after earlier improvement between ___. Though the most likely explanation is cardiac, conceivably transfusion of blood products or new medication could be responsible. The greater opacification in the left lower lobe is most readily explained by atelectasis in the setting of a very large left heart, but pneumonia due to aspiration would be radiographically indistinguishable. Small left pleural effusion is stable. There is no pneumothorax. Transvenous right ventricular pacer defibrillator lead, left ventricular lead, and the posteriorly positioned right atrial lead are all unchanged in their respective positions as far as one can tell from a solitary frontal radiograph. No pneumothorax.","AP chest compared to ___: Widespread ground-glass pulmonary opacification, probably edema, has recurred after earlier improvement between ___.",ground-glass pulmonary opacification,,Worse,['files/p19/p19759491/s59644580/d2ff69b9-d6534a05-a33ca72e-8d998fcf-78a65663.jpg'],['files/p19/p19759491/s59146382/8c248d5f-8700e4e5-23cf46b2-e930bffd-cc41a993.jpg\n']
s59644580_6,p19759491,s59644580,6,Impression,"AP chest compared to ___: Widespread ground-glass pulmonary opacification, probably edema, has recurred after earlier improvement between ___. Though the most likely explanation is cardiac, conceivably transfusion of blood products or new medication could be responsible. The greater opacification in the left lower lobe is most readily explained by atelectasis in the setting of a very large left heart, but pneumonia due to aspiration would be radiographically indistinguishable. Small left pleural effusion is stable. There is no pneumothorax. Transvenous right ventricular pacer defibrillator lead, left ventricular lead, and the posteriorly positioned right atrial lead are all unchanged in their respective positions as far as one can tell from a solitary frontal radiograph. No pneumothorax.",Small left pleural effusion is stable.,pleural effusion,left,Stable,['files/p19/p19759491/s59644580/d2ff69b9-d6534a05-a33ca72e-8d998fcf-78a65663.jpg'],['files/p19/p19759491/s59146382/8c248d5f-8700e4e5-23cf46b2-e930bffd-cc41a993.jpg\n']
s59644580_6,p19759491,s59644580,6,Impression,"AP chest compared to ___: Widespread ground-glass pulmonary opacification, probably edema, has recurred after earlier improvement between ___. Though the most likely explanation is cardiac, conceivably transfusion of blood products or new medication could be responsible. The greater opacification in the left lower lobe is most readily explained by atelectasis in the setting of a very large left heart, but pneumonia due to aspiration would be radiographically indistinguishable. Small left pleural effusion is stable. There is no pneumothorax. Transvenous right ventricular pacer defibrillator lead, left ventricular lead, and the posteriorly positioned right atrial lead are all unchanged in their respective positions as far as one can tell from a solitary frontal radiograph. No pneumothorax.","Transvenous right ventricular pacer defibrillator lead, left ventricular lead, and the posteriorly positioned right atrial lead are all unchanged in their respective positions as far as one can tell from a solitary frontal radiograph.",pacer defibrillator lead positions,"right ventricular, left ventricular, and right atrial",Stable,['files/p19/p19759491/s59644580/d2ff69b9-d6534a05-a33ca72e-8d998fcf-78a65663.jpg'],['files/p19/p19759491/s59146382/8c248d5f-8700e4e5-23cf46b2-e930bffd-cc41a993.jpg\n']
s59648796_21,p11474065,s59648796,21,Impression,"As compared to prior radiograph of 1 day earlier, subcutaneous emphysema and pneumomediastinum are again demonstrated. Bilateral pneumothoraces are not clearly identified on today's exam. Heterogeneous opacities in the right lung are similar, and exam is otherwise remarkable for worsening left basilar atelectasis with adjacent small left pleural effusion.","As compared to prior radiograph of 1 day earlier, subcutaneous emphysema and pneumomediastinum are again demonstrated.",emphysema,subcutaneous,Stable,['files/p11/p11474065/s59648796/370db7dd-bdd6ffce-5e0e6b83-bc6f534f-61ce5045.jpg'],['files/p11/p11474065/s59155076/ea2bfc51-e27284b8-51af06f3-06ed8266-9f18eb54.jpg\n']
s59648796_21,p11474065,s59648796,21,Impression,"As compared to prior radiograph of 1 day earlier, subcutaneous emphysema and pneumomediastinum are again demonstrated. Bilateral pneumothoraces are not clearly identified on today's exam. Heterogeneous opacities in the right lung are similar, and exam is otherwise remarkable for worsening left basilar atelectasis with adjacent small left pleural effusion.","Heterogeneous opacities in the right lung are similar, and exam is otherwise remarkable for worsening left basilar atelectasis with adjacent small left pleural effusion.",atelectasis,left basilar,Worse,['files/p11/p11474065/s59648796/370db7dd-bdd6ffce-5e0e6b83-bc6f534f-61ce5045.jpg'],['files/p11/p11474065/s59155076/ea2bfc51-e27284b8-51af06f3-06ed8266-9f18eb54.jpg\n']
s59648796_21,p11474065,s59648796,21,Impression,"As compared to prior radiograph of 1 day earlier, subcutaneous emphysema and pneumomediastinum are again demonstrated. Bilateral pneumothoraces are not clearly identified on today's exam. Heterogeneous opacities in the right lung are similar, and exam is otherwise remarkable for worsening left basilar atelectasis with adjacent small left pleural effusion.","Heterogeneous opacities in the right lung are similar, and exam is otherwise remarkable for worsening left basilar atelectasis with adjacent small left pleural effusion.",heterogeneous opacities,right lung,Stable,['files/p11/p11474065/s59648796/370db7dd-bdd6ffce-5e0e6b83-bc6f534f-61ce5045.jpg'],['files/p11/p11474065/s59155076/ea2bfc51-e27284b8-51af06f3-06ed8266-9f18eb54.jpg\n']
s59648796_21,p11474065,s59648796,21,Impression,"As compared to prior radiograph of 1 day earlier, subcutaneous emphysema and pneumomediastinum are again demonstrated. Bilateral pneumothoraces are not clearly identified on today's exam. Heterogeneous opacities in the right lung are similar, and exam is otherwise remarkable for worsening left basilar atelectasis with adjacent small left pleural effusion.",Bilateral pneumothoraces are not clearly identified on today's exam.,pneumothoraces,bilateral,Resolve,['files/p11/p11474065/s59648796/370db7dd-bdd6ffce-5e0e6b83-bc6f534f-61ce5045.jpg'],['files/p11/p11474065/s59155076/ea2bfc51-e27284b8-51af06f3-06ed8266-9f18eb54.jpg\n']
s59648796_21,p11474065,s59648796,21,Impression,"As compared to prior radiograph of 1 day earlier, subcutaneous emphysema and pneumomediastinum are again demonstrated. Bilateral pneumothoraces are not clearly identified on today's exam. Heterogeneous opacities in the right lung are similar, and exam is otherwise remarkable for worsening left basilar atelectasis with adjacent small left pleural effusion.","As compared to prior radiograph of 1 day earlier, subcutaneous emphysema and pneumomediastinum are again demonstrated.",pneumomediastinum,mediastinal,Stable,['files/p11/p11474065/s59648796/370db7dd-bdd6ffce-5e0e6b83-bc6f534f-61ce5045.jpg'],['files/p11/p11474065/s59155076/ea2bfc51-e27284b8-51af06f3-06ed8266-9f18eb54.jpg\n']
s59648796_21,p11474065,s59648796,21,Impression,"As compared to prior radiograph of 1 day earlier, subcutaneous emphysema and pneumomediastinum are again demonstrated. Bilateral pneumothoraces are not clearly identified on today's exam. Heterogeneous opacities in the right lung are similar, and exam is otherwise remarkable for worsening left basilar atelectasis with adjacent small left pleural effusion.","Heterogeneous opacities in the right lung are similar, and exam is otherwise remarkable for worsening left basilar atelectasis with adjacent small left pleural effusion.",pleural effusion,left,Stable,['files/p11/p11474065/s59648796/370db7dd-bdd6ffce-5e0e6b83-bc6f534f-61ce5045.jpg'],['files/p11/p11474065/s59155076/ea2bfc51-e27284b8-51af06f3-06ed8266-9f18eb54.jpg\n']
s59649088_42,p15259244,s59649088,42,Findings,"Bilateral moderate size pleural effusions are increased with increased interstitial markings and vascular congestion compatible with moderate to severe pulmonary edema. Mid and lower lung right greater than left pulmonary opacities, may reflect atelectasis in this setting of effusions and pulmonary edema, however a in multifocal infectious process or aspiration cannot be excluded. Moderate cardiomegaly persists unchanged. Patient is status post median sternotomy and cardiac valve replacement.",Bilateral moderate size pleural effusions are increased with increased interstitial markings and vascular congestion compatible with moderate to severe pulmonary edema.,vascular congestion,bilateral,Worse,"['files/p15/p15259244/s59649088/14782ed9-49fc2401-ac349dd1-0a9b89e0-5425836b.jpg', 'files/p15/p15259244/s59649088/32f9d0a6-a71c3e37-8285ac35-90d110a9-d3f838cf.jpg']",['files/p15/p15259244/s58966181/438f1b70-14b9e3c9-bd4e7c92-e6463ffc-e5aec56d.jpg\n']
s59649088_42,p15259244,s59649088,42,Findings,"Bilateral moderate size pleural effusions are increased with increased interstitial markings and vascular congestion compatible with moderate to severe pulmonary edema. Mid and lower lung right greater than left pulmonary opacities, may reflect atelectasis in this setting of effusions and pulmonary edema, however a in multifocal infectious process or aspiration cannot be excluded. Moderate cardiomegaly persists unchanged. Patient is status post median sternotomy and cardiac valve replacement.",Bilateral moderate size pleural effusions are increased with increased interstitial markings and vascular congestion compatible with moderate to severe pulmonary edema.,pleural effusions,bilateral,Worse,"['files/p15/p15259244/s59649088/14782ed9-49fc2401-ac349dd1-0a9b89e0-5425836b.jpg', 'files/p15/p15259244/s59649088/32f9d0a6-a71c3e37-8285ac35-90d110a9-d3f838cf.jpg']",['files/p15/p15259244/s58966181/438f1b70-14b9e3c9-bd4e7c92-e6463ffc-e5aec56d.jpg\n']
s59649088_42,p15259244,s59649088,42,Impression,"Moderate to severe congestive failure with bilateral moderate-sized pleural effusions, increased. As these findings could mask an underlying infectious process, if clinical concern persists repeat imaging after diuresis is recommended.","Moderate to severe congestive failure with bilateral moderate-sized pleural effusions, increased.",pleural effusions,bilateral,Worse,"['files/p15/p15259244/s59649088/14782ed9-49fc2401-ac349dd1-0a9b89e0-5425836b.jpg', 'files/p15/p15259244/s59649088/32f9d0a6-a71c3e37-8285ac35-90d110a9-d3f838cf.jpg']",['files/p15/p15259244/s58966181/438f1b70-14b9e3c9-bd4e7c92-e6463ffc-e5aec56d.jpg\n']
s59649088_42,p15259244,s59649088,42,Findings,"Bilateral moderate size pleural effusions are increased with increased interstitial markings and vascular congestion compatible with moderate to severe pulmonary edema. Mid and lower lung right greater than left pulmonary opacities, may reflect atelectasis in this setting of effusions and pulmonary edema, however a in multifocal infectious process or aspiration cannot be excluded. Moderate cardiomegaly persists unchanged. Patient is status post median sternotomy and cardiac valve replacement.",Bilateral moderate size pleural effusions are increased with increased interstitial markings and vascular congestion compatible with moderate to severe pulmonary edema.,interstitial markings,bilateral,Worse,"['files/p15/p15259244/s59649088/14782ed9-49fc2401-ac349dd1-0a9b89e0-5425836b.jpg', 'files/p15/p15259244/s59649088/32f9d0a6-a71c3e37-8285ac35-90d110a9-d3f838cf.jpg']",['files/p15/p15259244/s58966181/438f1b70-14b9e3c9-bd4e7c92-e6463ffc-e5aec56d.jpg\n']
s59649088_42,p15259244,s59649088,42,Findings,"Bilateral moderate size pleural effusions are increased with increased interstitial markings and vascular congestion compatible with moderate to severe pulmonary edema. Mid and lower lung right greater than left pulmonary opacities, may reflect atelectasis in this setting of effusions and pulmonary edema, however a in multifocal infectious process or aspiration cannot be excluded. Moderate cardiomegaly persists unchanged. Patient is status post median sternotomy and cardiac valve replacement.",Moderate cardiomegaly persists unchanged.,Moderate cardiomegaly,,Stable,"['files/p15/p15259244/s59649088/14782ed9-49fc2401-ac349dd1-0a9b89e0-5425836b.jpg', 'files/p15/p15259244/s59649088/32f9d0a6-a71c3e37-8285ac35-90d110a9-d3f838cf.jpg']",['files/p15/p15259244/s58966181/438f1b70-14b9e3c9-bd4e7c92-e6463ffc-e5aec56d.jpg\n']
s59649088_42,p15259244,s59649088,42,Impression,"Moderate to severe congestive failure with bilateral moderate-sized pleural effusions, increased. As these findings could mask an underlying infectious process, if clinical concern persists repeat imaging after diuresis is recommended.","Moderate to severe congestive failure with bilateral moderate-sized pleural effusions, increased.",congestive failure,bilateral,Worse,"['files/p15/p15259244/s59649088/14782ed9-49fc2401-ac349dd1-0a9b89e0-5425836b.jpg', 'files/p15/p15259244/s59649088/32f9d0a6-a71c3e37-8285ac35-90d110a9-d3f838cf.jpg']",['files/p15/p15259244/s58966181/438f1b70-14b9e3c9-bd4e7c92-e6463ffc-e5aec56d.jpg\n']
s59652151_14,p15857729,s59652151,14,Impression,"As compared to the previous radiograph, the patient is now intubated. The tip of the endotracheal tube projects approximately 3.6 cm above the carinal. The lung volumes have increased. Nonetheless, the severity in extent of the bilateral parenchymal opacities, predominating in the perihilar areas, is unchanged. Moderate cardiomegaly with retrocardiac atelectasis. No pleural effusions. No pneumothorax.","Nonetheless, the severity in extent of the bilateral parenchymal opacities, predominating in the perihilar areas, is unchanged.",opacities,bilateral parenchymal,Stable,['files/p15/p15857729/s59652151/9fe1d7c8-517e71cd-ac942a65-345092b2-8bbb82c0.jpg'],['files/p15/p15857729/s58732756/c536f749-2326f755-6a65f28f-469affd2-26392ce9.jpg\n']
s59654928_11,p15131736,s59654928,11,Impression,"Mild pulmonary vascular congestion, slightly worse than prior.","Mild pulmonary vascular congestion, slightly worse than prior.",pulmonary vascular congestion,,Worse,"['files/p15/p15131736/s59654928/4db0b107-b92cf8bd-4725e810-1ceb5f96-fcbd4d2a.jpg', 'files/p15/p15131736/s59654928/8505ed38-cda52817-295c6f27-d2ba4661-1bba1d25.jpg']",['files/p15/p15131736/s59523783/c6e5e02a-e2e30f50-3bb2f2f2-ab3882d4-b94c8610.jpg\n']
s59654928_11,p15131736,s59654928,11,Findings,"The heart is moderately enlarged. The aortic knob is calcified. The mediastinal and hilar contours are relatively unchanged, though there is mild pulmonary vascular congestion, which is worse compared to the prior study. No large effusion or pneumothorax is seen. There is minimal patchy opacity in the retrocardiac region likely reflecting atelectasis. No acute osseous abnormalities are seen.","The mediastinal and hilar contours are relatively unchanged, though there is mild pulmonary vascular congestion, which is worse compared to the prior study.",pulmonary vascular congestion,,Worse,"['files/p15/p15131736/s59654928/4db0b107-b92cf8bd-4725e810-1ceb5f96-fcbd4d2a.jpg', 'files/p15/p15131736/s59654928/8505ed38-cda52817-295c6f27-d2ba4661-1bba1d25.jpg']",['files/p15/p15131736/s59523783/c6e5e02a-e2e30f50-3bb2f2f2-ab3882d4-b94c8610.jpg\n']
s59666373_6,p13896515,s59666373,6,Findings,"Prior sternotomy. Since yesterday's examination, the Swan-Ganz catheter has been removed. ET tube and NG tube remain and are satisfactory. Right chest tube is also unchanged. No pneumothorax identified. No change in appearance of the lung fields.",ET tube and NG tube remain and are satisfactory.,ET tube and NG tube,,Stable,['files/p13/p13896515/s59666373/97d5dca2-592bf7a2-9513cf15-b692dc63-7e494cd2.jpg'],['files/p13/p13896515/s59108077/bfb7a467-e88452aa-9ca0804d-6b66419b-ebbeec35.jpg\n']
s59666373_6,p13896515,s59666373,6,Findings,"Prior sternotomy. Since yesterday's examination, the Swan-Ganz catheter has been removed. ET tube and NG tube remain and are satisfactory. Right chest tube is also unchanged. No pneumothorax identified. No change in appearance of the lung fields.","Since yesterday's examination, the Swan-Ganz catheter has been removed.",Swan-Ganz catheter,,Resolve,['files/p13/p13896515/s59666373/97d5dca2-592bf7a2-9513cf15-b692dc63-7e494cd2.jpg'],['files/p13/p13896515/s59108077/bfb7a467-e88452aa-9ca0804d-6b66419b-ebbeec35.jpg\n']
s59666373_6,p13896515,s59666373,6,Findings,"Prior sternotomy. Since yesterday's examination, the Swan-Ganz catheter has been removed. ET tube and NG tube remain and are satisfactory. Right chest tube is also unchanged. No pneumothorax identified. No change in appearance of the lung fields.",No change in appearance of the lung fields.,lung fields,,Stable,['files/p13/p13896515/s59666373/97d5dca2-592bf7a2-9513cf15-b692dc63-7e494cd2.jpg'],['files/p13/p13896515/s59108077/bfb7a467-e88452aa-9ca0804d-6b66419b-ebbeec35.jpg\n']
s59666373_6,p13896515,s59666373,6,Findings,"Prior sternotomy. Since yesterday's examination, the Swan-Ganz catheter has been removed. ET tube and NG tube remain and are satisfactory. Right chest tube is also unchanged. No pneumothorax identified. No change in appearance of the lung fields.",Right chest tube is also unchanged.,Right chest tube,,Stable,['files/p13/p13896515/s59666373/97d5dca2-592bf7a2-9513cf15-b692dc63-7e494cd2.jpg'],['files/p13/p13896515/s59108077/bfb7a467-e88452aa-9ca0804d-6b66419b-ebbeec35.jpg\n']
s59669144_29,p13475033,s59669144,29,Findings,"There is a chronic diffuse interstitial abnormality, as seen on the CT from ___. Mild cardiomegaly is unchanged. Unchanged widening of the superior mediastinum is due to both mediastinal lipomatosis and tortuous vessels, as seen on the CT from ___. There is a small unchanged right-sided Morgagni hernia. There are no pleural effusions. No pneumothorax. The tracheal configuration is unchanged. Loss of height of a mid thoracic vertebral body is not significantly changed dating back through ___.",Mild cardiomegaly is unchanged.,Mild cardiomegaly,,Stable,"['files/p13/p13475033/s59669144/41411ed9-2c9f6f41-b31a45f2-2ac7bb8f-2e25c279.jpg', 'files/p13/p13475033/s59669144/c93d0863-a6040763-5b9cb677-78a4881b-d698bffb.jpg']","['files/p13/p13475033/s59116034/748c4a64-47da4847-4a87a967-a4bec5ab-352fc0c9.jpg\n', 'files/p13/p13475033/s59116034/ba540e00-08d74cb6-b40102ac-86237c85-e83b0089.jpg\n']"
s59669144_29,p13475033,s59669144,29,Findings,"There is a chronic diffuse interstitial abnormality, as seen on the CT from ___. Mild cardiomegaly is unchanged. Unchanged widening of the superior mediastinum is due to both mediastinal lipomatosis and tortuous vessels, as seen on the CT from ___. There is a small unchanged right-sided Morgagni hernia. There are no pleural effusions. No pneumothorax. The tracheal configuration is unchanged. Loss of height of a mid thoracic vertebral body is not significantly changed dating back through ___.",The tracheal configuration is unchanged.,Tracheal configuration,,Stable,"['files/p13/p13475033/s59669144/41411ed9-2c9f6f41-b31a45f2-2ac7bb8f-2e25c279.jpg', 'files/p13/p13475033/s59669144/c93d0863-a6040763-5b9cb677-78a4881b-d698bffb.jpg']","['files/p13/p13475033/s59116034/748c4a64-47da4847-4a87a967-a4bec5ab-352fc0c9.jpg\n', 'files/p13/p13475033/s59116034/ba540e00-08d74cb6-b40102ac-86237c85-e83b0089.jpg\n']"
s59669144_29,p13475033,s59669144,29,Impression,1. No acute cardiopulmonary findings. 2. Unchanged mild cardiomegaly.,1. No acute cardiopulmonary findings. 2. Unchanged mild cardiomegaly.,Mild cardiomegaly,,Stable,"['files/p13/p13475033/s59669144/41411ed9-2c9f6f41-b31a45f2-2ac7bb8f-2e25c279.jpg', 'files/p13/p13475033/s59669144/c93d0863-a6040763-5b9cb677-78a4881b-d698bffb.jpg']","['files/p13/p13475033/s59116034/748c4a64-47da4847-4a87a967-a4bec5ab-352fc0c9.jpg\n', 'files/p13/p13475033/s59116034/ba540e00-08d74cb6-b40102ac-86237c85-e83b0089.jpg\n']"
s59669144_29,p13475033,s59669144,29,Findings,"There is a chronic diffuse interstitial abnormality, as seen on the CT from ___. Mild cardiomegaly is unchanged. Unchanged widening of the superior mediastinum is due to both mediastinal lipomatosis and tortuous vessels, as seen on the CT from ___. There is a small unchanged right-sided Morgagni hernia. There are no pleural effusions. No pneumothorax. The tracheal configuration is unchanged. Loss of height of a mid thoracic vertebral body is not significantly changed dating back through ___.","Unchanged widening of the superior mediastinum is due to both mediastinal lipomatosis and tortuous vessels, as seen on the CT from ___.",Mediastinal lipomatosis and tortuous vessels,superior,Stable,"['files/p13/p13475033/s59669144/41411ed9-2c9f6f41-b31a45f2-2ac7bb8f-2e25c279.jpg', 'files/p13/p13475033/s59669144/c93d0863-a6040763-5b9cb677-78a4881b-d698bffb.jpg']","['files/p13/p13475033/s59116034/748c4a64-47da4847-4a87a967-a4bec5ab-352fc0c9.jpg\n', 'files/p13/p13475033/s59116034/ba540e00-08d74cb6-b40102ac-86237c85-e83b0089.jpg\n']"
s59669144_29,p13475033,s59669144,29,Findings,"There is a chronic diffuse interstitial abnormality, as seen on the CT from ___. Mild cardiomegaly is unchanged. Unchanged widening of the superior mediastinum is due to both mediastinal lipomatosis and tortuous vessels, as seen on the CT from ___. There is a small unchanged right-sided Morgagni hernia. There are no pleural effusions. No pneumothorax. The tracheal configuration is unchanged. Loss of height of a mid thoracic vertebral body is not significantly changed dating back through ___.",There is a small unchanged right-sided Morgagni hernia.,Morgagni hernia,right-sided,Stable,"['files/p13/p13475033/s59669144/41411ed9-2c9f6f41-b31a45f2-2ac7bb8f-2e25c279.jpg', 'files/p13/p13475033/s59669144/c93d0863-a6040763-5b9cb677-78a4881b-d698bffb.jpg']","['files/p13/p13475033/s59116034/748c4a64-47da4847-4a87a967-a4bec5ab-352fc0c9.jpg\n', 'files/p13/p13475033/s59116034/ba540e00-08d74cb6-b40102ac-86237c85-e83b0089.jpg\n']"
s59669282_5,p10410641,s59669282,5,Findings,"In comparison with the study of ___, there has been removal of a large amount of left pleural fluid with reexpansion of the left lung. There may be a small apical pneumothorax. Large right effusion persists with underlying compressive atelectasis.",Large right effusion persists with underlying compressive atelectasis.,effusion,right,Stable,['files/p10/p10410641/s59669282/e26bcba2-87e8c63d-e3b9b2c2-e679f9e8-0f3c295b.jpg'],['files/p10/p10410641/s59510962/a1c0c58e-8c137d13-93b93845-da0433ee-9ccb3c91.jpg\n']
s59669282_5,p10410641,s59669282,5,Findings,"In comparison with the study of ___, there has been removal of a large amount of left pleural fluid with reexpansion of the left lung. There may be a small apical pneumothorax. Large right effusion persists with underlying compressive atelectasis.","In comparison with the study of ___, there has been removal of a large amount of left pleural fluid with reexpansion of the left lung.",pleural fluid,left,Resolve,['files/p10/p10410641/s59669282/e26bcba2-87e8c63d-e3b9b2c2-e679f9e8-0f3c295b.jpg'],['files/p10/p10410641/s59510962/a1c0c58e-8c137d13-93b93845-da0433ee-9ccb3c91.jpg\n']
s59671026_4,p15259244,s59671026,4,Impression,"1. Right internal jugular dialysis catheter again having its tip within the right atrium in similar position as compared to multiple prior studies. There is increasing bibasilar and perihilar airspace opacities, which likely reflect worsening moderate pulmonary edema. There are likely layering effusions, left greater than right. Diffuse pneumonia would be less likely given the rapidity of interval change. No pneumothorax is seen. Overall, cardiac and mediastinal contours are unchanged, with the heart being stably enlarged.","There is increasing bibasilar and perihilar airspace opacities, which likely reflect worsening moderate pulmonary edema.",airspace opacities,bibasilar and perihilar,Worse,['files/p15/p15259244/s59671026/87694c3c-e07ea01b-0ee35fd8-55a7defd-8e318d65.jpg'],['files/p15/p15259244/s59654440/981f5956-9dbb9f69-8b7bbf12-b872f7a3-16f09cf4.jpg\n']
s59671026_4,p15259244,s59671026,4,Impression,"1. Right internal jugular dialysis catheter again having its tip within the right atrium in similar position as compared to multiple prior studies. There is increasing bibasilar and perihilar airspace opacities, which likely reflect worsening moderate pulmonary edema. There are likely layering effusions, left greater than right. Diffuse pneumonia would be less likely given the rapidity of interval change. No pneumothorax is seen. Overall, cardiac and mediastinal contours are unchanged, with the heart being stably enlarged.",Right internal jugular dialysis catheter again having its tip within the right atrium in similar position as compared to multiple prior studies.,dialysis catheter,right internal jugular,Stable,['files/p15/p15259244/s59671026/87694c3c-e07ea01b-0ee35fd8-55a7defd-8e318d65.jpg'],['files/p15/p15259244/s59654440/981f5956-9dbb9f69-8b7bbf12-b872f7a3-16f09cf4.jpg\n']
s59671026_4,p15259244,s59671026,4,Impression,"1. Right internal jugular dialysis catheter again having its tip within the right atrium in similar position as compared to multiple prior studies. There is increasing bibasilar and perihilar airspace opacities, which likely reflect worsening moderate pulmonary edema. There are likely layering effusions, left greater than right. Diffuse pneumonia would be less likely given the rapidity of interval change. No pneumothorax is seen. Overall, cardiac and mediastinal contours are unchanged, with the heart being stably enlarged.","Overall, cardiac and mediastinal contours are unchanged, with the heart being stably enlarged.",cardiac and mediastinal contours,,Stable,['files/p15/p15259244/s59671026/87694c3c-e07ea01b-0ee35fd8-55a7defd-8e318d65.jpg'],['files/p15/p15259244/s59654440/981f5956-9dbb9f69-8b7bbf12-b872f7a3-16f09cf4.jpg\n']
s59672442_25,p17340686,s59672442,25,Impression,"Pulmonary edema, unchanged from prior.","Pulmonary edema, unchanged from prior.",Pulmonary edema,,Stable,['files/p17/p17340686/s59672442/67486f3c-a4ef806f-47d7541c-c1f00d2e-9c2f09fe.jpg'],['files/p17/p17340686/s59566680/c19b01bf-e57e7aee-f251430e-9a1d156e-acbf7677.jpg\n']
s59672442_25,p17340686,s59672442,25,Findings,"Single portable view of the chest. Dual-lumen left-sided central venous catheter is seen with distal tip in the right atrium. Given differences in technique, there has been no significant interval change in the degree of pulmonary edema when compared to prior. The cardiomediastinal silhouette is unchanged. Atherosclerotic calcifications again noted at the arch. No acute osseous abnormality is identified.",The cardiomediastinal silhouette is unchanged.,Cardiomediastinal silhouette,,Stable,['files/p17/p17340686/s59672442/67486f3c-a4ef806f-47d7541c-c1f00d2e-9c2f09fe.jpg'],['files/p17/p17340686/s59566680/c19b01bf-e57e7aee-f251430e-9a1d156e-acbf7677.jpg\n']
s59672442_25,p17340686,s59672442,25,Findings,"Single portable view of the chest. Dual-lumen left-sided central venous catheter is seen with distal tip in the right atrium. Given differences in technique, there has been no significant interval change in the degree of pulmonary edema when compared to prior. The cardiomediastinal silhouette is unchanged. Atherosclerotic calcifications again noted at the arch. No acute osseous abnormality is identified.","Given differences in technique, there has been no significant interval change in the degree of pulmonary edema when compared to prior.",Pulmonary edema,,Stable,['files/p17/p17340686/s59672442/67486f3c-a4ef806f-47d7541c-c1f00d2e-9c2f09fe.jpg'],['files/p17/p17340686/s59566680/c19b01bf-e57e7aee-f251430e-9a1d156e-acbf7677.jpg\n']
s59679445_4,p13921768,s59679445,4,Impression,"In comparison with the study of ___, there is some improved inspiration. Continued enlargement of cardiac silhouette with tortuosity of the a or a ___. Mild elevation of pulmonary venous pressure with small bilateral pleural effusions and bibasilar atelectasis. Pacer leads are in good position and there again are surgical clips in the left axillary region.","In comparison with the study of ___, there is some improved inspiration.",Inspiration,,Better,['files/p13/p13921768/s59679445/6e061299-d827a367-715485b9-dc146072-974eb92a.jpg'],"['files/p13/p13921768/s58798180/4f8923e8-cf82750b-69755c55-a9d1c9ac-e3a2f0fb.jpg\n', 'files/p13/p13921768/s58798180/bef80876-2290f20a-fadfeb2b-c23b9250-0c95d76d.jpg\n']"
s59679445_4,p13921768,s59679445,4,Impression,"In comparison with the study of ___, there is some improved inspiration. Continued enlargement of cardiac silhouette with tortuosity of the a or a ___. Mild elevation of pulmonary venous pressure with small bilateral pleural effusions and bibasilar atelectasis. Pacer leads are in good position and there again are surgical clips in the left axillary region.",Pacer leads are in good position and there again are surgical clips in the left axillary region.,Surgical clips,left axillary region,Stable,['files/p13/p13921768/s59679445/6e061299-d827a367-715485b9-dc146072-974eb92a.jpg'],"['files/p13/p13921768/s58798180/4f8923e8-cf82750b-69755c55-a9d1c9ac-e3a2f0fb.jpg\n', 'files/p13/p13921768/s58798180/bef80876-2290f20a-fadfeb2b-c23b9250-0c95d76d.jpg\n']"
s59684377_17,p16957952,s59684377,17,Findings,"The heart remains enlarged. The aorta is markedly tortuous. Increased interstitial markings are seen throughout the lungs, similar to prior, and most compatible with edema. No pneumothorax or consolidation or pleural effusion. There is diffuse demineralization. Incidental note is made of a right cervical rib. Sternotomy sutures project over the mediastinum. EKG leads overlie the chest wall.","Increased interstitial markings are seen throughout the lungs, similar to prior, and most compatible with edema.",Increased interstitial markings,Throughout the lungs,Stable,['files/p16/p16957952/s59684377/cc94c95e-0ab572e9-4530d0e6-f22f983e-4b10755a.jpg'],"['files/p16/p16957952/s59610928/8d229bcf-75e124e8-8a55e963-dadf73d5-84125eb6.jpg\n', 'files/p16/p16957952/s59610928/a65d3d93-ce43965b-d289b7d8-624367da-7d615da8.jpg\n', 'files/p16/p16957952/s59610928/b5d3da06-fd20e016-8b1924e1-3ff9ceed-fb365036.jpg\n']"
s59684377_17,p16957952,s59684377,17,Findings,"The heart remains enlarged. The aorta is markedly tortuous. Increased interstitial markings are seen throughout the lungs, similar to prior, and most compatible with edema. No pneumothorax or consolidation or pleural effusion. There is diffuse demineralization. Incidental note is made of a right cervical rib. Sternotomy sutures project over the mediastinum. EKG leads overlie the chest wall.",The heart remains enlarged.,Enlargement,Heart,Stable,['files/p16/p16957952/s59684377/cc94c95e-0ab572e9-4530d0e6-f22f983e-4b10755a.jpg'],"['files/p16/p16957952/s59610928/8d229bcf-75e124e8-8a55e963-dadf73d5-84125eb6.jpg\n', 'files/p16/p16957952/s59610928/a65d3d93-ce43965b-d289b7d8-624367da-7d615da8.jpg\n', 'files/p16/p16957952/s59610928/b5d3da06-fd20e016-8b1924e1-3ff9ceed-fb365036.jpg\n']"
s59685259_9,p19499595,s59685259,9,Findings,"The heart size, mediastinal, and hilar contours are normal. The lungs are clear and well expanded without effusion or focal consolidation. No acute rib fractures are seen. Several fractured sternotomy wires are unchanged.",Several fractured sternotomy wires are unchanged,fractured wires,sternotomy,Stable,"['files/p19/p19499595/s59685259/177a1056-691824d9-0baad023-32217305-9f282e25.jpg', 'files/p19/p19499595/s59685259/553f6199-37bc0e92-8f246bbd-f36f847e-8d0c8e14.jpg']","['files/p19/p19499595/s59466886/361f3292-69c09716-56d735d9-af2502ee-6ba5bfcf.jpg\n', 'files/p19/p19499595/s59466886/d0f12959-3ddcfd01-600a8d75-bd545bef-1655affe.jpg\n']"
s59688743_34,p15114531,s59688743,34,Findings,"The right PICC has been removed in the interim. The lungs are well-expanded and clear. No focal consolidation, effusion, edema, or pneumothorax. The heart size is normal. The mediastinum is not widened. Surgical clips project over the left upper quadrant, unchanged. Anterior spinal fixation in the lower cervical spine is partially imaged. Multilevel degenerative changes in the thoracic spine are mild. Rightward curvature of the thoracic spine could be positional though was also present on ___.","Surgical clips project over the left upper quadrant, unchanged.",Surgical clips,Left upper quadrant,Stable,"['files/p15/p15114531/s59688743/09eef487-ce5f18a5-ba553a04-30f2617c-4f4a6692.jpg', 'files/p15/p15114531/s59688743/0e446eb6-02bb584e-6ef1f95a-ad6430c9-f5669b5c.jpg']",['files/p15/p15114531/s59217597/3221691b-9c2cf204-25e1b236-0413b961-50de4d2e.jpg\n']
s59688743_34,p15114531,s59688743,34,Findings,"The right PICC has been removed in the interim. The lungs are well-expanded and clear. No focal consolidation, effusion, edema, or pneumothorax. The heart size is normal. The mediastinum is not widened. Surgical clips project over the left upper quadrant, unchanged. Anterior spinal fixation in the lower cervical spine is partially imaged. Multilevel degenerative changes in the thoracic spine are mild. Rightward curvature of the thoracic spine could be positional though was also present on ___.",The right PICC has been removed in the interim.,PICC,Right,Resolve,"['files/p15/p15114531/s59688743/09eef487-ce5f18a5-ba553a04-30f2617c-4f4a6692.jpg', 'files/p15/p15114531/s59688743/0e446eb6-02bb584e-6ef1f95a-ad6430c9-f5669b5c.jpg']",['files/p15/p15114531/s59217597/3221691b-9c2cf204-25e1b236-0413b961-50de4d2e.jpg\n']
s59691021_10,p11474065,s59691021,10,Findings,"In comparison with the study of ___, there is now a tracheal stent with its lower border at the mid clavicular level. There is better inspiration with continued enlargement of the cardiac silhouette. Right basilar opacification persists, consistent with a combination of known nodular process, consolidation, and post-procedure atelectasis. There is mild fullness of the pulmonary vessels, consistent with mild elevation of pulmonary venous pressure.","In comparison with the study of ___, there is now a tracheal stent with its lower border at the mid clavicular level.",tracheal stent,mid clavicular level,New,['files/p11/p11474065/s59691021/c9355375-ab810bbd-434a7359-567930d2-984ba8aa.jpg'],['files/p11/p11474065/s59648796/370db7dd-bdd6ffce-5e0e6b83-bc6f534f-61ce5045.jpg\n']
s59691021_10,p11474065,s59691021,10,Findings,"In comparison with the study of ___, there is now a tracheal stent with its lower border at the mid clavicular level. There is better inspiration with continued enlargement of the cardiac silhouette. Right basilar opacification persists, consistent with a combination of known nodular process, consolidation, and post-procedure atelectasis. There is mild fullness of the pulmonary vessels, consistent with mild elevation of pulmonary venous pressure.","Right basilar opacification persists, consistent with a combination of known nodular process, consolidation, and post-procedure atelectasis.",opacification,right basilar,Stable,['files/p11/p11474065/s59691021/c9355375-ab810bbd-434a7359-567930d2-984ba8aa.jpg'],['files/p11/p11474065/s59648796/370db7dd-bdd6ffce-5e0e6b83-bc6f534f-61ce5045.jpg\n']
s59691021_10,p11474065,s59691021,10,Findings,"In comparison with the study of ___, there is now a tracheal stent with its lower border at the mid clavicular level. There is better inspiration with continued enlargement of the cardiac silhouette. Right basilar opacification persists, consistent with a combination of known nodular process, consolidation, and post-procedure atelectasis. There is mild fullness of the pulmonary vessels, consistent with mild elevation of pulmonary venous pressure.",There is better inspiration with continued enlargement of the cardiac silhouette.,cardiac silhouette enlargement,,Worse,['files/p11/p11474065/s59691021/c9355375-ab810bbd-434a7359-567930d2-984ba8aa.jpg'],['files/p11/p11474065/s59648796/370db7dd-bdd6ffce-5e0e6b83-bc6f534f-61ce5045.jpg\n']
s59691119_0,p19759491,s59691119,0,Findings,"In comparison with the study of ___, there is still enlargement of the cardiac silhouette with some elevation of pulmonary venous pressure, though substantially less than on the prior study. The more focal opacification at the left base is not appreciated at this time. There is fluid within one of the major fissures, though no substantial free pleural effusion.",The more focal opacification at the left base is not appreciated at this time.,focal opacification,left base,Resolve,"['files/p19/p19759491/s59691119/5ad83d61-44f64350-e0fe61c9-c78a0842-626ecb1f.jpg', 'files/p19/p19759491/s59691119/7af7f1bb-df383cf0-cf61ba91-874a1b66-c067492b.jpg']",['files/p19/p19759491/s59644580/d2ff69b9-d6534a05-a33ca72e-8d998fcf-78a65663.jpg\n']
s59691119_0,p19759491,s59691119,0,Findings,"In comparison with the study of ___, there is still enlargement of the cardiac silhouette with some elevation of pulmonary venous pressure, though substantially less than on the prior study. The more focal opacification at the left base is not appreciated at this time. There is fluid within one of the major fissures, though no substantial free pleural effusion.","In comparison with the study of ___, there is still enlargement of the cardiac silhouette with some elevation of pulmonary venous pressure, though substantially less than on the prior study.",enlargement,cardiac silhouette,Better,"['files/p19/p19759491/s59691119/5ad83d61-44f64350-e0fe61c9-c78a0842-626ecb1f.jpg', 'files/p19/p19759491/s59691119/7af7f1bb-df383cf0-cf61ba91-874a1b66-c067492b.jpg']",['files/p19/p19759491/s59644580/d2ff69b9-d6534a05-a33ca72e-8d998fcf-78a65663.jpg\n']
s59693688_10,p13473495,s59693688,10,Findings,"As compared to the previous radiograph, the hemodialysis catheter has been removed. Severe cardiomegaly with moderate pulmonary fluid overload persists, larger pleural effusions are not present. There currently is no indication for pneumonia. No pneumothorax.","Severe cardiomegaly with moderate pulmonary fluid overload persists, larger pleural effusions are not present.",severe cardiomegaly with moderate pulmonary fluid overload,,Stable,['files/p13/p13473495/s59693688/c87c7c06-4d0a740d-c4c78513-1e63bfe1-7b9e08f8.jpg'],['files/p13/p13473495/s58878473/7e96d7f1-3095daed-1e42c172-37ea991c-747f03a3.jpg\n']
s59693688_10,p13473495,s59693688,10,Findings,"As compared to the previous radiograph, the hemodialysis catheter has been removed. Severe cardiomegaly with moderate pulmonary fluid overload persists, larger pleural effusions are not present. There currently is no indication for pneumonia. No pneumothorax.","As compared to the previous radiograph, the hemodialysis catheter has been removed.",hemodialysis catheter,,Resolve,['files/p13/p13473495/s59693688/c87c7c06-4d0a740d-c4c78513-1e63bfe1-7b9e08f8.jpg'],['files/p13/p13473495/s58878473/7e96d7f1-3095daed-1e42c172-37ea991c-747f03a3.jpg\n']
s59693688_10,p13473495,s59693688,10,Findings,"As compared to the previous radiograph, the hemodialysis catheter has been removed. Severe cardiomegaly with moderate pulmonary fluid overload persists, larger pleural effusions are not present. There currently is no indication for pneumonia. No pneumothorax.","Severe cardiomegaly with moderate pulmonary fluid overload persists, larger pleural effusions are not present.",larger pleural effusions,,New,['files/p13/p13473495/s59693688/c87c7c06-4d0a740d-c4c78513-1e63bfe1-7b9e08f8.jpg'],['files/p13/p13473495/s58878473/7e96d7f1-3095daed-1e42c172-37ea991c-747f03a3.jpg\n']
s59697640_5,p11906222,s59697640,5,Findings,"Frontal and lateral radiographs of the chest were acquired. Multiple EKG leads project over the chest wall on both radiographs. A ventriculoperitoneal shunt courses along the right cervical and thoracic region, extending out of the field of view inferiorly. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Multiple old right-sided rib fractures are redemonstrated. A severe compression deformity of a mid thoracic vertebral body is not significantly changed.",Multiple old right-sided rib fractures are redemonstrated.,rib fractures,right-sided,Stable,"['files/p11/p11906222/s59697640/20ae33e5-c3a0b30d-d737101f-b47e9ae1-d804765a.jpg', 'files/p11/p11906222/s59697640/efc879d0-ba7f1b53-560419c8-f53bda85-6bd62bb3.jpg', 'files/p11/p11906222/s59697640/f9e14eb7-74cf98e3-62e6bf8d-4c92c03f-b22373f6.jpg']","['files/p11/p11906222/s57232140/42e634b1-94de1686-ecd12cab-6619202e-8694c45c.jpg\n', 'files/p11/p11906222/s57232140/64927291-fe42a66c-af054049-3d17501b-5de4163c.jpg\n']"
s59697640_5,p11906222,s59697640,5,Findings,"Frontal and lateral radiographs of the chest were acquired. Multiple EKG leads project over the chest wall on both radiographs. A ventriculoperitoneal shunt courses along the right cervical and thoracic region, extending out of the field of view inferiorly. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Multiple old right-sided rib fractures are redemonstrated. A severe compression deformity of a mid thoracic vertebral body is not significantly changed.",A severe compression deformity of a mid thoracic vertebral body is not significantly changed.,vertebral body compression deformity,mid thoracic,Stable,"['files/p11/p11906222/s59697640/20ae33e5-c3a0b30d-d737101f-b47e9ae1-d804765a.jpg', 'files/p11/p11906222/s59697640/efc879d0-ba7f1b53-560419c8-f53bda85-6bd62bb3.jpg', 'files/p11/p11906222/s59697640/f9e14eb7-74cf98e3-62e6bf8d-4c92c03f-b22373f6.jpg']","['files/p11/p11906222/s57232140/42e634b1-94de1686-ecd12cab-6619202e-8694c45c.jpg\n', 'files/p11/p11906222/s57232140/64927291-fe42a66c-af054049-3d17501b-5de4163c.jpg\n']"
s59700205_12,p12185775,s59700205,12,Impression,"AP chest compared to ___ and ___, 9:25 a.m.: Tip of the endotracheal tube is at the upper margin of the clavicles, 6 cm from the carina. It could be advanced 2 cm for more secured seating. Severe cardiomegaly is worse. Mild interstitial edema persists. Severe opacification of the left lower lung could be atelectasis and pleural effusion but raises concern for pneumonia. Pleural effusion, at least moderate on the right, is unchanged. No pneumothorax. Swan-Ganz catheter ends in the right pulmonary artery and a nasogastric tube passes below the diaphragm and out of view. No pneumothorax.",Mild interstitial edema persists.,interstitial edema,,Stable,['files/p12/p12185775/s59700205/b9ff10af-33a535a6-4ffd1888-a0611f65-784a39da.jpg'],['files/p12/p12185775/s59668999/827f0d63-8f046ac6-10747136-2c3bac93-b95d8a29.jpg\n']
s59700205_12,p12185775,s59700205,12,Impression,"AP chest compared to ___ and ___, 9:25 a.m.: Tip of the endotracheal tube is at the upper margin of the clavicles, 6 cm from the carina. It could be advanced 2 cm for more secured seating. Severe cardiomegaly is worse. Mild interstitial edema persists. Severe opacification of the left lower lung could be atelectasis and pleural effusion but raises concern for pneumonia. Pleural effusion, at least moderate on the right, is unchanged. No pneumothorax. Swan-Ganz catheter ends in the right pulmonary artery and a nasogastric tube passes below the diaphragm and out of view. No pneumothorax.","Pleural effusion, at least moderate on the right, is unchanged.",pleural effusion,right,Stable,['files/p12/p12185775/s59700205/b9ff10af-33a535a6-4ffd1888-a0611f65-784a39da.jpg'],['files/p12/p12185775/s59668999/827f0d63-8f046ac6-10747136-2c3bac93-b95d8a29.jpg\n']
s59700205_12,p12185775,s59700205,12,Impression,"AP chest compared to ___ and ___, 9:25 a.m.: Tip of the endotracheal tube is at the upper margin of the clavicles, 6 cm from the carina. It could be advanced 2 cm for more secured seating. Severe cardiomegaly is worse. Mild interstitial edema persists. Severe opacification of the left lower lung could be atelectasis and pleural effusion but raises concern for pneumonia. Pleural effusion, at least moderate on the right, is unchanged. No pneumothorax. Swan-Ganz catheter ends in the right pulmonary artery and a nasogastric tube passes below the diaphragm and out of view. No pneumothorax.",Severe cardiomegaly is worse.,cardiomegaly,,Worse,['files/p12/p12185775/s59700205/b9ff10af-33a535a6-4ffd1888-a0611f65-784a39da.jpg'],['files/p12/p12185775/s59668999/827f0d63-8f046ac6-10747136-2c3bac93-b95d8a29.jpg\n']
s59700587_8,p19800337,s59700587,8,Impression,"In comparison with the study of ___, there has been complete clearing of the areas of consolidation bilaterally. No evidence of vascular congestion, pleural effusion, or acute focal pneumonia.","In comparison with the study of ___, there has been complete clearing of the areas of consolidation bilaterally.",Areas of consolidation,Bilateral,Resolve,"['files/p19/p19800337/s59700587/119125d7-35ae9512-e98f07d9-87a21f0f-3ee71f3d.jpg', 'files/p19/p19800337/s59700587/cc5ac61e-f2bd2109-93d1046f-d8eba485-5a753deb.jpg']",['files/p19/p19800337/s58412298/63645a5a-58258f4e-ec127fb6-575e6f7b-ab679103.jpg\n']
s59702344_8,p13473495,s59702344,8,Findings,"The lateral radiograph is essentially nondiagnostic due to underpenetration likely due to patient body habitus. On frontal radiograph, lung volumes are low with bibasilar atelectasis. Evaluation is somewhat limited due to patient body habitus. The cardiac silhouette is enlarged. Double-lumen central venous catheter appears similarly positioned. Mild interstitial edema persists. No pneumothorax is seen.",Mild interstitial edema persists.,Interstitial edema,,Stable,"['files/p13/p13473495/s59702344/4bcc9d3b-9f42ad8b-ffd09915-36b11277-76658b20.jpg', 'files/p13/p13473495/s59702344/8ef7bf46-e4313086-76cf4797-01d532d6-5ce0c1cc.jpg', 'files/p13/p13473495/s59702344/d52c36ac-6e608971-bbafb23d-06547ea6-1979d9e3.jpg', 'files/p13/p13473495/s59702344/d53d8bc5-0197f87e-7e6c6765-2fbdd1f4-52bfbdfc.jpg']",['files/p13/p13473495/s59693688/c87c7c06-4d0a740d-c4c78513-1e63bfe1-7b9e08f8.jpg\n']
s59702344_8,p13473495,s59702344,8,Findings,"The lateral radiograph is essentially nondiagnostic due to underpenetration likely due to patient body habitus. On frontal radiograph, lung volumes are low with bibasilar atelectasis. Evaluation is somewhat limited due to patient body habitus. The cardiac silhouette is enlarged. Double-lumen central venous catheter appears similarly positioned. Mild interstitial edema persists. No pneumothorax is seen.",Double-lumen central venous catheter appears similarly positioned.,Double-lumen central venous catheter,,Stable,"['files/p13/p13473495/s59702344/4bcc9d3b-9f42ad8b-ffd09915-36b11277-76658b20.jpg', 'files/p13/p13473495/s59702344/8ef7bf46-e4313086-76cf4797-01d532d6-5ce0c1cc.jpg', 'files/p13/p13473495/s59702344/d52c36ac-6e608971-bbafb23d-06547ea6-1979d9e3.jpg', 'files/p13/p13473495/s59702344/d53d8bc5-0197f87e-7e6c6765-2fbdd1f4-52bfbdfc.jpg']",['files/p13/p13473495/s59693688/c87c7c06-4d0a740d-c4c78513-1e63bfe1-7b9e08f8.jpg\n']
s59702344_8,p13473495,s59702344,8,Impression,"Limited study with persistent mild interstitial edema and cardiomegaly. Bibasilar opacities, atelectasis, can not exclude infection.",Limited study with persistent mild interstitial edema and cardiomegaly.,Cardiomegaly,,Stable,"['files/p13/p13473495/s59702344/4bcc9d3b-9f42ad8b-ffd09915-36b11277-76658b20.jpg', 'files/p13/p13473495/s59702344/8ef7bf46-e4313086-76cf4797-01d532d6-5ce0c1cc.jpg', 'files/p13/p13473495/s59702344/d52c36ac-6e608971-bbafb23d-06547ea6-1979d9e3.jpg', 'files/p13/p13473495/s59702344/d53d8bc5-0197f87e-7e6c6765-2fbdd1f4-52bfbdfc.jpg']",['files/p13/p13473495/s59693688/c87c7c06-4d0a740d-c4c78513-1e63bfe1-7b9e08f8.jpg\n']
s59702344_8,p13473495,s59702344,8,Impression,"Limited study with persistent mild interstitial edema and cardiomegaly. Bibasilar opacities, atelectasis, can not exclude infection.",Limited study with persistent mild interstitial edema and cardiomegaly.,Interstitial edema,,Stable,"['files/p13/p13473495/s59702344/4bcc9d3b-9f42ad8b-ffd09915-36b11277-76658b20.jpg', 'files/p13/p13473495/s59702344/8ef7bf46-e4313086-76cf4797-01d532d6-5ce0c1cc.jpg', 'files/p13/p13473495/s59702344/d52c36ac-6e608971-bbafb23d-06547ea6-1979d9e3.jpg', 'files/p13/p13473495/s59702344/d53d8bc5-0197f87e-7e6c6765-2fbdd1f4-52bfbdfc.jpg']",['files/p13/p13473495/s59693688/c87c7c06-4d0a740d-c4c78513-1e63bfe1-7b9e08f8.jpg\n']
s59715122_8,p17032538,s59715122,8,Findings,"As compared to the previous radiograph, the entire upper part of the chest missing on the current image. The basal parts of the right and left hemithorax are unchanged. There is bullous disease at the lung bases. The tip of the Dobbhoff catheter projects over the middle parts of the stomach. The size of the cardiac silhouette is within the upper range of normal. No evidence of pleural effusions.",The basal parts of the right and left hemithorax are unchanged.,,basal parts of the right and left hemithorax,Stable,"['files/p17/p17032538/s59715122/3b3f6054-b7b51547-2794e57e-2e3bac66-7d7b834b.jpg', 'files/p17/p17032538/s59715122/a9c449db-9cd2fe30-50cd41c6-aa9508ea-806361eb.jpg']","['files/p17/p17032538/s59221051/912a9d56-c2439c24-b1aa969b-da69313c-4e3cba1f.jpg\n', 'files/p17/p17032538/s59221051/ad848298-a6a13b00-3540b2ac-2e0e927d-908befad.jpg\n']"
s59718086_16,p11569093,s59718086,16,Findings,"As compared to the previous radiograph, there is no relevant change. Large fluid or pneumothorax on the right with air-fluid level in the posterior aspect of the lung. Massive generalized right-sided pleural thickening with slight decrease of the right hemithorax. Fibrotic changes of the lung parenchyma. On the left, there is no abnormality of the pleura or lung parenchyma. The left aspect of the heart border is unremarkable.",Massive generalized right-sided pleural thickening with slight decrease of the right hemithorax.,pleural thickening,right hemithorax,Worse,"['files/p11/p11569093/s59718086/3e6f368b-a8391960-74c08b06-25d8dafc-0c6e61fe.jpg', 'files/p11/p11569093/s59718086/f144b596-88afdc30-0f893661-7b6e1b7c-29b129bf.jpg']",['files/p11/p11569093/s59433529/3d9581e4-1ca59a74-f2f5dfee-2599dad8-491fc6a0.jpg\n']
s59718086_16,p11569093,s59718086,16,Findings,"As compared to the previous radiograph, there is no relevant change. Large fluid or pneumothorax on the right with air-fluid level in the posterior aspect of the lung. Massive generalized right-sided pleural thickening with slight decrease of the right hemithorax. Fibrotic changes of the lung parenchyma. On the left, there is no abnormality of the pleura or lung parenchyma. The left aspect of the heart border is unremarkable.","As compared to the previous radiograph, there is no relevant change.",radiograph,chest,Stable,"['files/p11/p11569093/s59718086/3e6f368b-a8391960-74c08b06-25d8dafc-0c6e61fe.jpg', 'files/p11/p11569093/s59718086/f144b596-88afdc30-0f893661-7b6e1b7c-29b129bf.jpg']",['files/p11/p11569093/s59433529/3d9581e4-1ca59a74-f2f5dfee-2599dad8-491fc6a0.jpg\n']
s59721249_3,p16043240,s59721249,3,Findings,PA and lateral views of the chest are obtained. The previously noted right IJ central venous catheter has been removed. Midline sternotomy wires and mediastinal clips are stable. There is slight elevation of the left hemidiaphragm with left basilar atelectasis with overall improvement in left basilar aeration compared with prior study. The right lung is clear. Heart is top normal. Mediastinal contour is stable. Bony structures are intact. Right AC joint arthropathy is again noted. No free air below the right hemidiaphragm.,There is slight elevation of the left hemidiaphragm with left basilar atelectasis with overall improvement in left basilar aeration compared with prior study.,elevation,left hemidiaphragm,Better,"['files/p16/p16043240/s59721249/b4a8be85-cd2ddd78-71d33835-f50791b5-18321dcd.jpg', 'files/p16/p16043240/s59721249/bffeb923-b2e49523-b66fa14c-e5d62eb0-93afffd1.jpg']","['files/p16/p16043240/s55694501/8b60991f-624bc875-aa844f68-060004c2-1fdd9628.jpg\n', 'files/p16/p16043240/s55694501/9cb7472a-803c242b-a9526718-19d7b53c-e332df01.jpg\n']"
s59721249_3,p16043240,s59721249,3,Findings,PA and lateral views of the chest are obtained. The previously noted right IJ central venous catheter has been removed. Midline sternotomy wires and mediastinal clips are stable. There is slight elevation of the left hemidiaphragm with left basilar atelectasis with overall improvement in left basilar aeration compared with prior study. The right lung is clear. Heart is top normal. Mediastinal contour is stable. Bony structures are intact. Right AC joint arthropathy is again noted. No free air below the right hemidiaphragm.,Midline sternotomy wires and mediastinal clips are stable.,sternotomy wires,midline,Stable,"['files/p16/p16043240/s59721249/b4a8be85-cd2ddd78-71d33835-f50791b5-18321dcd.jpg', 'files/p16/p16043240/s59721249/bffeb923-b2e49523-b66fa14c-e5d62eb0-93afffd1.jpg']","['files/p16/p16043240/s55694501/8b60991f-624bc875-aa844f68-060004c2-1fdd9628.jpg\n', 'files/p16/p16043240/s55694501/9cb7472a-803c242b-a9526718-19d7b53c-e332df01.jpg\n']"
s59721249_3,p16043240,s59721249,3,Findings,PA and lateral views of the chest are obtained. The previously noted right IJ central venous catheter has been removed. Midline sternotomy wires and mediastinal clips are stable. There is slight elevation of the left hemidiaphragm with left basilar atelectasis with overall improvement in left basilar aeration compared with prior study. The right lung is clear. Heart is top normal. Mediastinal contour is stable. Bony structures are intact. Right AC joint arthropathy is again noted. No free air below the right hemidiaphragm.,Midline sternotomy wires and mediastinal clips are stable.,clips,mediastinal,Stable,"['files/p16/p16043240/s59721249/b4a8be85-cd2ddd78-71d33835-f50791b5-18321dcd.jpg', 'files/p16/p16043240/s59721249/bffeb923-b2e49523-b66fa14c-e5d62eb0-93afffd1.jpg']","['files/p16/p16043240/s55694501/8b60991f-624bc875-aa844f68-060004c2-1fdd9628.jpg\n', 'files/p16/p16043240/s55694501/9cb7472a-803c242b-a9526718-19d7b53c-e332df01.jpg\n']"
s59721249_3,p16043240,s59721249,3,Findings,PA and lateral views of the chest are obtained. The previously noted right IJ central venous catheter has been removed. Midline sternotomy wires and mediastinal clips are stable. There is slight elevation of the left hemidiaphragm with left basilar atelectasis with overall improvement in left basilar aeration compared with prior study. The right lung is clear. Heart is top normal. Mediastinal contour is stable. Bony structures are intact. Right AC joint arthropathy is again noted. No free air below the right hemidiaphragm.,There is slight elevation of the left hemidiaphragm with left basilar atelectasis with overall improvement in left basilar aeration compared with prior study.,atelectasis,left basilar,Better,"['files/p16/p16043240/s59721249/b4a8be85-cd2ddd78-71d33835-f50791b5-18321dcd.jpg', 'files/p16/p16043240/s59721249/bffeb923-b2e49523-b66fa14c-e5d62eb0-93afffd1.jpg']","['files/p16/p16043240/s55694501/8b60991f-624bc875-aa844f68-060004c2-1fdd9628.jpg\n', 'files/p16/p16043240/s55694501/9cb7472a-803c242b-a9526718-19d7b53c-e332df01.jpg\n']"
s59721249_3,p16043240,s59721249,3,Findings,PA and lateral views of the chest are obtained. The previously noted right IJ central venous catheter has been removed. Midline sternotomy wires and mediastinal clips are stable. There is slight elevation of the left hemidiaphragm with left basilar atelectasis with overall improvement in left basilar aeration compared with prior study. The right lung is clear. Heart is top normal. Mediastinal contour is stable. Bony structures are intact. Right AC joint arthropathy is again noted. No free air below the right hemidiaphragm.,The previously noted right IJ central venous catheter has been removed.,central venous catheter,right IJ,Resolve,"['files/p16/p16043240/s59721249/b4a8be85-cd2ddd78-71d33835-f50791b5-18321dcd.jpg', 'files/p16/p16043240/s59721249/bffeb923-b2e49523-b66fa14c-e5d62eb0-93afffd1.jpg']","['files/p16/p16043240/s55694501/8b60991f-624bc875-aa844f68-060004c2-1fdd9628.jpg\n', 'files/p16/p16043240/s55694501/9cb7472a-803c242b-a9526718-19d7b53c-e332df01.jpg\n']"
s59721249_3,p16043240,s59721249,3,Findings,PA and lateral views of the chest are obtained. The previously noted right IJ central venous catheter has been removed. Midline sternotomy wires and mediastinal clips are stable. There is slight elevation of the left hemidiaphragm with left basilar atelectasis with overall improvement in left basilar aeration compared with prior study. The right lung is clear. Heart is top normal. Mediastinal contour is stable. Bony structures are intact. Right AC joint arthropathy is again noted. No free air below the right hemidiaphragm.,Mediastinal contour is stable.,contour,mediastinal,Stable,"['files/p16/p16043240/s59721249/b4a8be85-cd2ddd78-71d33835-f50791b5-18321dcd.jpg', 'files/p16/p16043240/s59721249/bffeb923-b2e49523-b66fa14c-e5d62eb0-93afffd1.jpg']","['files/p16/p16043240/s55694501/8b60991f-624bc875-aa844f68-060004c2-1fdd9628.jpg\n', 'files/p16/p16043240/s55694501/9cb7472a-803c242b-a9526718-19d7b53c-e332df01.jpg\n']"
s59721249_3,p16043240,s59721249,3,Findings,PA and lateral views of the chest are obtained. The previously noted right IJ central venous catheter has been removed. Midline sternotomy wires and mediastinal clips are stable. There is slight elevation of the left hemidiaphragm with left basilar atelectasis with overall improvement in left basilar aeration compared with prior study. The right lung is clear. Heart is top normal. Mediastinal contour is stable. Bony structures are intact. Right AC joint arthropathy is again noted. No free air below the right hemidiaphragm.,There is slight elevation of the left hemidiaphragm with left basilar atelectasis with overall improvement in left basilar aeration compared with prior study.,aeration,left basilar,Better,"['files/p16/p16043240/s59721249/b4a8be85-cd2ddd78-71d33835-f50791b5-18321dcd.jpg', 'files/p16/p16043240/s59721249/bffeb923-b2e49523-b66fa14c-e5d62eb0-93afffd1.jpg']","['files/p16/p16043240/s55694501/8b60991f-624bc875-aa844f68-060004c2-1fdd9628.jpg\n', 'files/p16/p16043240/s55694501/9cb7472a-803c242b-a9526718-19d7b53c-e332df01.jpg\n']"
s59732891_16,p19623993,s59732891,16,Findings,"A single portable chest radiograph was obtained. A Dobbhoff tube projects over the stomach. The tip is folded back on itself and points towards the body of the stomach. Lung volumes are low. Retrocardiac atelectasis has increased slightly. No effusion, consolidation, or pneumothorax is present.",Retrocardiac atelectasis has increased slightly.,atelectasis,Retrocardiac,Worse,"['files/p19/p19623993/s59732891/1b2918e7-7299bc31-009a6db9-9ac44163-479cf007.jpg', 'files/p19/p19623993/s59732891/221431c6-b1f45ae5-6ebbdbfb-2e47a2d6-66369a9e.jpg']",['files/p19/p19623993/s59094609/dd1b3904-39c994bb-d70efb14-d51f63a7-7848565c.jpg\n']
s59735304_30,p11413236,s59735304,30,Findings,AP portable upright view of the chest. Right chest wall Port-A-Cath again noted with catheter tip extending to the upper SVC region. Midline sternotomy wires are again noted. There is a calcified ovoid structure projecting over the mediastinum likely a calcified lymph node. There is mild basilar atelectasis noted bilaterally. No focal consolidation concerning for pneumonia. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable. Bony structures are intact.,Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,['files/p11/p11413236/s59735304/1a0662d4-8bee75af-c5c452a9-4b43c737-b74d27c1.jpg'],['files/p11/p11413236/s59218667/722a3b68-5254c3ea-469c8294-7e6fb73d-46f35121.jpg\n']
s59735304_30,p11413236,s59735304,30,Findings,AP portable upright view of the chest. Right chest wall Port-A-Cath again noted with catheter tip extending to the upper SVC region. Midline sternotomy wires are again noted. There is a calcified ovoid structure projecting over the mediastinum likely a calcified lymph node. There is mild basilar atelectasis noted bilaterally. No focal consolidation concerning for pneumonia. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable. Bony structures are intact.,Midline sternotomy wires are again noted.,sternotomy wires,Midline,Stable,['files/p11/p11413236/s59735304/1a0662d4-8bee75af-c5c452a9-4b43c737-b74d27c1.jpg'],['files/p11/p11413236/s59218667/722a3b68-5254c3ea-469c8294-7e6fb73d-46f35121.jpg\n']
s59735304_30,p11413236,s59735304,30,Findings,AP portable upright view of the chest. Right chest wall Port-A-Cath again noted with catheter tip extending to the upper SVC region. Midline sternotomy wires are again noted. There is a calcified ovoid structure projecting over the mediastinum likely a calcified lymph node. There is mild basilar atelectasis noted bilaterally. No focal consolidation concerning for pneumonia. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable. Bony structures are intact.,Right chest wall Port-A-Cath again noted with catheter tip extending to the upper SVC region.,Port-A-Cath,Right chest wall,Stable,['files/p11/p11413236/s59735304/1a0662d4-8bee75af-c5c452a9-4b43c737-b74d27c1.jpg'],['files/p11/p11413236/s59218667/722a3b68-5254c3ea-469c8294-7e6fb73d-46f35121.jpg\n']
s59735543_6,p12475198,s59735543,6,Findings,"Frontal and lateral views of the chest demonstrate a transsubclavian right atrial and ventricular pacer defibrillator leads in standard position with no pneumothorax, pleural effusion, or mediastinal widening. Lung volumes remain low. The heart is stably enlarged.",Lung volumes remain low.,lung volumes,,Stable,"['files/p12/p12475198/s59735543/92b3ce9d-9a7bb494-1dec6d0b-93cf4386-82995e53.jpg', 'files/p12/p12475198/s59735543/c1badb19-12851ca1-44ca7736-fc1a9f08-bd287f01.jpg']","['files/p12/p12475198/s59310626/9a3cb956-6be6d465-3555e1c4-10913d77-7e86b041.jpg\n', 'files/p12/p12475198/s59310626/b92a4a75-b5345ec3-917fc5be-e7953fb5-d91be228.jpg\n']"
s59735543_6,p12475198,s59735543,6,Findings,"Frontal and lateral views of the chest demonstrate a transsubclavian right atrial and ventricular pacer defibrillator leads in standard position with no pneumothorax, pleural effusion, or mediastinal widening. Lung volumes remain low. The heart is stably enlarged.",The heart is stably enlarged.,heart enlargement,,Stable,"['files/p12/p12475198/s59735543/92b3ce9d-9a7bb494-1dec6d0b-93cf4386-82995e53.jpg', 'files/p12/p12475198/s59735543/c1badb19-12851ca1-44ca7736-fc1a9f08-bd287f01.jpg']","['files/p12/p12475198/s59310626/9a3cb956-6be6d465-3555e1c4-10913d77-7e86b041.jpg\n', 'files/p12/p12475198/s59310626/b92a4a75-b5345ec3-917fc5be-e7953fb5-d91be228.jpg\n']"
s59741915_6,p19907884,s59741915,6,Findings,"The cardiac, hilar, and mediastinal contours are normal. The pulmonary vascularity is normal. Mild elevation of the right hemidiaphragm is unchanged with mild tenting of the diaphragm suggestive of mild volume loss. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.",Mild elevation of the right hemidiaphragm is unchanged with mild tenting of the diaphragm suggestive of mild volume loss.,Mild elevation,Right hemidiaphragm,Stable,"['files/p19/p19907884/s59741915/484ad440-175df0f1-5dfa85f0-c66c85d9-8b671d66.jpg', 'files/p19/p19907884/s59741915/6ecbe4b7-6be8f186-1f3bad81-26ea6dcd-7447ac19.jpg']","['files/p19/p19907884/s59325966/95e1b2d6-d0736b37-a91b2692-1483eba1-40fb9b7f.jpg\n', 'files/p19/p19907884/s59325966/c6db0413-f3266e66-031e9892-2809b536-c13cf9f2.jpg\n']"
s59748962_6,p15840907,s59748962,6,Impression,"Interval improvement in right lower lobe opacity since the prior study, however hazy opacification persists, difficult to discern whether new since the prior study or whether never fully resolved. Infection vs assymetric pulmonary edema. Recommend follow-up to resolution and consider chest CT to exclude an underlying lesion as was also suggested on prior chest radiograph from ___. Cardiac silhouette remains quite enlarged, which may be due to cardiomyopathy or pericardial effusion.","Interval improvement in right lower lobe opacity since the prior study, however hazy opacification persists, difficult to discern whether new since the prior study or whether never fully resolved.",opacity,right lower lobe,Stable,"['files/p15/p15840907/s59748962/1b48006f-f8f13edc-fd0058bf-d9276306-8fa23ee4.jpg', 'files/p15/p15840907/s59748962/1dfc0e48-5089885c-04550c95-ad10c948-f2488a05.jpg']",['files/p15/p15840907/s57339166/38b3b47d-6984aed6-acb1ea60-2c93049b-1ccdfc91.jpg\n']
s59748962_6,p15840907,s59748962,6,Findings,"PA and lateral views of the chest demonstrate moderate-to-severe cardiomegaly, similar in comparison with the prior AP radiograph, but increased since ___. There is interval improvement in right lower lobe opacity since the prior study, however hazy opacification persists, difficult to discern whether new since the prior study or whether never fully resolved. Infection vs assymetric pulmonary edema. The cardiac silhouette remains quite enlarged, which may be due to cardiomyopathy or pericardial effusion. Coronary artery calcification/stenting is seen. There is no pleural effusion or pneumothorax.","The cardiac silhouette remains quite enlarged, which may be due to cardiomyopathy or pericardial effusion.",cardiac silhouette enlargement,,Stable,"['files/p15/p15840907/s59748962/1b48006f-f8f13edc-fd0058bf-d9276306-8fa23ee4.jpg', 'files/p15/p15840907/s59748962/1dfc0e48-5089885c-04550c95-ad10c948-f2488a05.jpg']",['files/p15/p15840907/s57339166/38b3b47d-6984aed6-acb1ea60-2c93049b-1ccdfc91.jpg\n']
s59748962_6,p15840907,s59748962,6,Findings,"PA and lateral views of the chest demonstrate moderate-to-severe cardiomegaly, similar in comparison with the prior AP radiograph, but increased since ___. There is interval improvement in right lower lobe opacity since the prior study, however hazy opacification persists, difficult to discern whether new since the prior study or whether never fully resolved. Infection vs assymetric pulmonary edema. The cardiac silhouette remains quite enlarged, which may be due to cardiomyopathy or pericardial effusion. Coronary artery calcification/stenting is seen. There is no pleural effusion or pneumothorax.","There is interval improvement in right lower lobe opacity since the prior study, however hazy opacification persists, difficult to discern whether new since the prior study or whether never fully resolved.",opacity,right lower lobe,Stable,"['files/p15/p15840907/s59748962/1b48006f-f8f13edc-fd0058bf-d9276306-8fa23ee4.jpg', 'files/p15/p15840907/s59748962/1dfc0e48-5089885c-04550c95-ad10c948-f2488a05.jpg']",['files/p15/p15840907/s57339166/38b3b47d-6984aed6-acb1ea60-2c93049b-1ccdfc91.jpg\n']
s59748962_6,p15840907,s59748962,6,Findings,"PA and lateral views of the chest demonstrate moderate-to-severe cardiomegaly, similar in comparison with the prior AP radiograph, but increased since ___. There is interval improvement in right lower lobe opacity since the prior study, however hazy opacification persists, difficult to discern whether new since the prior study or whether never fully resolved. Infection vs assymetric pulmonary edema. The cardiac silhouette remains quite enlarged, which may be due to cardiomyopathy or pericardial effusion. Coronary artery calcification/stenting is seen. There is no pleural effusion or pneumothorax.","PA and lateral views of the chest demonstrate moderate-to-severe cardiomegaly, similar in comparison with the prior AP radiograph, but increased since ___.",cardiomegaly,,Worse,"['files/p15/p15840907/s59748962/1b48006f-f8f13edc-fd0058bf-d9276306-8fa23ee4.jpg', 'files/p15/p15840907/s59748962/1dfc0e48-5089885c-04550c95-ad10c948-f2488a05.jpg']",['files/p15/p15840907/s57339166/38b3b47d-6984aed6-acb1ea60-2c93049b-1ccdfc91.jpg\n']
s59748962_6,p15840907,s59748962,6,Impression,"Interval improvement in right lower lobe opacity since the prior study, however hazy opacification persists, difficult to discern whether new since the prior study or whether never fully resolved. Infection vs assymetric pulmonary edema. Recommend follow-up to resolution and consider chest CT to exclude an underlying lesion as was also suggested on prior chest radiograph from ___. Cardiac silhouette remains quite enlarged, which may be due to cardiomyopathy or pericardial effusion.","Cardiac silhouette remains quite enlarged, which may be due to cardiomyopathy or pericardial effusion.",cardiac silhouette enlargement,,Stable,"['files/p15/p15840907/s59748962/1b48006f-f8f13edc-fd0058bf-d9276306-8fa23ee4.jpg', 'files/p15/p15840907/s59748962/1dfc0e48-5089885c-04550c95-ad10c948-f2488a05.jpg']",['files/p15/p15840907/s57339166/38b3b47d-6984aed6-acb1ea60-2c93049b-1ccdfc91.jpg\n']
s59749696_1,p15186992,s59749696,1,Findings,"There are changes related to emphysema. There is superimposed mild interstitial pulmonary edema and small bilateral effusions with bibasilar atelectasis. There are no new focally occurring opacities concerning for pneumonia. There is no pneumothorax. The cardiomediastinal and hilar contours are stable demonstrating marked cardiomegaly. There is tortuosity of the thoracic aorta, which contains atherosclerotic calcification.",The cardiomediastinal and hilar contours are stable demonstrating marked cardiomegaly.,cardiomegaly,cardiomediastinal and hilar contours,Stable,['files/p15/p15186992/s59749696/4ce9e5bc-91147696-d0c4b6cd-fc5ffa18-c485b700.jpg'],['files/p15/p15186992/s59053386/d17e21ba-cf76b4d5-e90b2776-43be3667-dacf2f6f.jpg\n']
s59751598_17,p12185775,s59751598,17,Findings,"Swan-Ganz catheter has been advanced beyond the right hilum, and should be withdrawn for standard positioning, as discussed by telephone with Dr. ___ at 9:45 a.m. on ___. New airspace opacity distal to the catheter tip could potentially represent pulmonary hemorrhage, but other etiologies such as atelectasis or aspiration are also possible. Improving atelectasis in left lower lobe and persistent small left pleural effusion. Incidental calcified granulomas within the left upper lobe.",Improving atelectasis in left lower lobe and persistent small left pleural effusion.,small left pleural effusion,left,Stable,['files/p12/p12185775/s59751598/a6ad44a0-61a41d41-a06153a4-5873c31d-f35069fa.jpg'],['files/p12/p12185775/s59700205/b9ff10af-33a535a6-4ffd1888-a0611f65-784a39da.jpg\n']
s59751598_17,p12185775,s59751598,17,Findings,"Swan-Ganz catheter has been advanced beyond the right hilum, and should be withdrawn for standard positioning, as discussed by telephone with Dr. ___ at 9:45 a.m. on ___. New airspace opacity distal to the catheter tip could potentially represent pulmonary hemorrhage, but other etiologies such as atelectasis or aspiration are also possible. Improving atelectasis in left lower lobe and persistent small left pleural effusion. Incidental calcified granulomas within the left upper lobe.","Swan-Ganz catheter has been advanced beyond the right hilum, and should be withdrawn for standard positioning, as discussed by telephone with Dr. ___ at 9:45 a.m. on ___.",Swan-Ganz catheter,beyond the right hilum,Worse,['files/p12/p12185775/s59751598/a6ad44a0-61a41d41-a06153a4-5873c31d-f35069fa.jpg'],['files/p12/p12185775/s59700205/b9ff10af-33a535a6-4ffd1888-a0611f65-784a39da.jpg\n']
s59751598_17,p12185775,s59751598,17,Findings,"Swan-Ganz catheter has been advanced beyond the right hilum, and should be withdrawn for standard positioning, as discussed by telephone with Dr. ___ at 9:45 a.m. on ___. New airspace opacity distal to the catheter tip could potentially represent pulmonary hemorrhage, but other etiologies such as atelectasis or aspiration are also possible. Improving atelectasis in left lower lobe and persistent small left pleural effusion. Incidental calcified granulomas within the left upper lobe.",Improving atelectasis in left lower lobe and persistent small left pleural effusion.,atelectasis,left lower lobe,Stable,['files/p12/p12185775/s59751598/a6ad44a0-61a41d41-a06153a4-5873c31d-f35069fa.jpg'],['files/p12/p12185775/s59700205/b9ff10af-33a535a6-4ffd1888-a0611f65-784a39da.jpg\n']
s59751598_17,p12185775,s59751598,17,Findings,"Swan-Ganz catheter has been advanced beyond the right hilum, and should be withdrawn for standard positioning, as discussed by telephone with Dr. ___ at 9:45 a.m. on ___. New airspace opacity distal to the catheter tip could potentially represent pulmonary hemorrhage, but other etiologies such as atelectasis or aspiration are also possible. Improving atelectasis in left lower lobe and persistent small left pleural effusion. Incidental calcified granulomas within the left upper lobe.","New airspace opacity distal to the catheter tip could potentially represent pulmonary hemorrhage, but other etiologies such as atelectasis or aspiration are also possible.",airspace opacity,distal to the catheter tip,New,['files/p12/p12185775/s59751598/a6ad44a0-61a41d41-a06153a4-5873c31d-f35069fa.jpg'],['files/p12/p12185775/s59700205/b9ff10af-33a535a6-4ffd1888-a0611f65-784a39da.jpg\n']
s59753533_5,p15192710,s59753533,5,Impression,"1. No interval pneumothorax seen; however, the most superior portion of the apices are slightly blurred by the patient's chin. 2. Left lower lobe opacity and subcutaneous are are unchanged.",Left lower lobe opacity and subcutaneous are are unchanged.,Air,Subcutaneous,Stable,['files/p15/p15192710/s59753533/44c181ec-dd95bab1-3354748b-25946877-56a0c2c6.jpg'],"['files/p15/p15192710/s58836461/201ac57d-bf4004d7-41445e4a-91f50e03-e786df90.jpg\n', 'files/p15/p15192710/s58836461/829c6f86-9cb29e7d-e8f6a250-91dc2e24-bf216a9e.jpg\n', 'files/p15/p15192710/s58836461/dc93422b-fd5ec685-19eb4eba-fb31f8d0-b60d8b47.jpg\n']"
s59753533_5,p15192710,s59753533,5,Impression,"1. No interval pneumothorax seen; however, the most superior portion of the apices are slightly blurred by the patient's chin. 2. Left lower lobe opacity and subcutaneous are are unchanged.",Left lower lobe opacity and subcutaneous are are unchanged.,Opacity,Left lower lobe,Stable,['files/p15/p15192710/s59753533/44c181ec-dd95bab1-3354748b-25946877-56a0c2c6.jpg'],"['files/p15/p15192710/s58836461/201ac57d-bf4004d7-41445e4a-91f50e03-e786df90.jpg\n', 'files/p15/p15192710/s58836461/829c6f86-9cb29e7d-e8f6a250-91dc2e24-bf216a9e.jpg\n', 'files/p15/p15192710/s58836461/dc93422b-fd5ec685-19eb4eba-fb31f8d0-b60d8b47.jpg\n']"
s59753533_5,p15192710,s59753533,5,Findings,"One portable AP upright view of the chest. No pneumothorax is seen. Subcutaneous air is unchanged. The left lower lobe opacity is unchanged. Right lung is clear. The cardiac, mediastinal, and hilar contours are normal. The most superior portions of the apices are slightly obscured by patient's chin.",The left lower lobe opacity is unchanged.,Opacity,Left lower lobe,Stable,['files/p15/p15192710/s59753533/44c181ec-dd95bab1-3354748b-25946877-56a0c2c6.jpg'],"['files/p15/p15192710/s58836461/201ac57d-bf4004d7-41445e4a-91f50e03-e786df90.jpg\n', 'files/p15/p15192710/s58836461/829c6f86-9cb29e7d-e8f6a250-91dc2e24-bf216a9e.jpg\n', 'files/p15/p15192710/s58836461/dc93422b-fd5ec685-19eb4eba-fb31f8d0-b60d8b47.jpg\n']"
s59753533_5,p15192710,s59753533,5,Findings,"One portable AP upright view of the chest. No pneumothorax is seen. Subcutaneous air is unchanged. The left lower lobe opacity is unchanged. Right lung is clear. The cardiac, mediastinal, and hilar contours are normal. The most superior portions of the apices are slightly obscured by patient's chin.",Subcutaneous air is unchanged.,Air,Subcutaneous,Stable,['files/p15/p15192710/s59753533/44c181ec-dd95bab1-3354748b-25946877-56a0c2c6.jpg'],"['files/p15/p15192710/s58836461/201ac57d-bf4004d7-41445e4a-91f50e03-e786df90.jpg\n', 'files/p15/p15192710/s58836461/829c6f86-9cb29e7d-e8f6a250-91dc2e24-bf216a9e.jpg\n', 'files/p15/p15192710/s58836461/dc93422b-fd5ec685-19eb4eba-fb31f8d0-b60d8b47.jpg\n']"
s59753947_17,p11413236,s59753947,17,Findings,"Single frontal view of the chest demonstrates a right Port-A-Cath in unchanged position, terminating at the cavoatrial junction. Median sternotomy wires are present, along with surgical clips in the left upper quadrant. The heart is mildly enlarged, but stable compared with prior examinations, with redemonstration of calcified mediastinal lymph nodes. A rounded opacity in the lower left lung likely correlates to a calcified granuloma as seen on CT of the chest from ___. There is no evidence of pneumonia, pleural effusion, pneumothorax or overt pulmonary edema. The lung volumes are low, accentuating bibasilar atelectasis. No subdiaphragmatic free air is present.","Single frontal view of the chest demonstrates a right Port-A-Cath in unchanged position, terminating at the cavoatrial junction.",Port-A-Cath,right,Stable,['files/p11/p11413236/s59753947/8062997c-91b95843-31ddb21e-b92bf46a-73af4721.jpg'],['files/p11/p11413236/s59735304/1a0662d4-8bee75af-c5c452a9-4b43c737-b74d27c1.jpg\n']
s59753947_17,p11413236,s59753947,17,Findings,"Single frontal view of the chest demonstrates a right Port-A-Cath in unchanged position, terminating at the cavoatrial junction. Median sternotomy wires are present, along with surgical clips in the left upper quadrant. The heart is mildly enlarged, but stable compared with prior examinations, with redemonstration of calcified mediastinal lymph nodes. A rounded opacity in the lower left lung likely correlates to a calcified granuloma as seen on CT of the chest from ___. There is no evidence of pneumonia, pleural effusion, pneumothorax or overt pulmonary edema. The lung volumes are low, accentuating bibasilar atelectasis. No subdiaphragmatic free air is present.","The heart is mildly enlarged, but stable compared with prior examinations, with redemonstration of calcified mediastinal lymph nodes.",heart enlargement,,Stable,['files/p11/p11413236/s59753947/8062997c-91b95843-31ddb21e-b92bf46a-73af4721.jpg'],['files/p11/p11413236/s59735304/1a0662d4-8bee75af-c5c452a9-4b43c737-b74d27c1.jpg\n']
s59753947_17,p11413236,s59753947,17,Findings,"Single frontal view of the chest demonstrates a right Port-A-Cath in unchanged position, terminating at the cavoatrial junction. Median sternotomy wires are present, along with surgical clips in the left upper quadrant. The heart is mildly enlarged, but stable compared with prior examinations, with redemonstration of calcified mediastinal lymph nodes. A rounded opacity in the lower left lung likely correlates to a calcified granuloma as seen on CT of the chest from ___. There is no evidence of pneumonia, pleural effusion, pneumothorax or overt pulmonary edema. The lung volumes are low, accentuating bibasilar atelectasis. No subdiaphragmatic free air is present.","The heart is mildly enlarged, but stable compared with prior examinations, with redemonstration of calcified mediastinal lymph nodes.",calcified mediastinal lymph nodes,,Stable,['files/p11/p11413236/s59753947/8062997c-91b95843-31ddb21e-b92bf46a-73af4721.jpg'],['files/p11/p11413236/s59735304/1a0662d4-8bee75af-c5c452a9-4b43c737-b74d27c1.jpg\n']
s59756815_1,p12658584,s59756815,1,Impression,AP chest compared to ___: Previous right pleural effusion has cleared and moderate cardiomegaly has improved to mild. Lungs are clear. Hilar and mediastinal contours and pleural surfaces are unremarkable.,AP chest compared to ___: Previous right pleural effusion has cleared and moderate cardiomegaly has improved to mild.,pleural effusion,right,Resolve,['files/p12/p12658584/s59756815/80e284b5-fdeeb82c-1b888818-0881ac87-eeaaeffa.jpg'],"['files/p12/p12658584/s54766893/65691efb-7f4fd402-46d5effb-ad72d8a4-8f077398.jpg\n', 'files/p12/p12658584/s54766893/d978970a-5331f2f1-940f4bea-9da9bbf3-4724f2cf.jpg\n']"
s59760473_14,p19454978,s59760473,14,Findings,"Lungs are normally expanded. There is no focal airspace opacity to suggest pneumonia. The heart is mildly enlarged, but unchanged. The mediastinal and hilar contours are stable with tortuosity of the aorta and mild prominence of the pulmonary artery, better seen on prior CT of the chest. Small bilateral pleural effusions persist. There is no pneumothorax. Compression deformity of T6 is unchanged.","The heart is mildly enlarged, but unchanged.",heart,,Stable,"['files/p19/p19454978/s59760473/2be3e6f4-47ca559c-4c3c70ec-133cd9d3-40738c4d.jpg', 'files/p19/p19454978/s59760473/92ed1b87-016202fb-06cb6d9b-524f6193-a2cafa9c.jpg']",['files/p19/p19454978/s59405565/dfd72c95-382e12e2-f0574c76-793748ac-3dcf07f0.jpg\n']
s59760473_14,p19454978,s59760473,14,Findings,"Lungs are normally expanded. There is no focal airspace opacity to suggest pneumonia. The heart is mildly enlarged, but unchanged. The mediastinal and hilar contours are stable with tortuosity of the aorta and mild prominence of the pulmonary artery, better seen on prior CT of the chest. Small bilateral pleural effusions persist. There is no pneumothorax. Compression deformity of T6 is unchanged.","The mediastinal and hilar contours are stable with tortuosity of the aorta and mild prominence of the pulmonary artery, better seen on prior CT of the chest.",contours,mediastinal and hilar,Stable,"['files/p19/p19454978/s59760473/2be3e6f4-47ca559c-4c3c70ec-133cd9d3-40738c4d.jpg', 'files/p19/p19454978/s59760473/92ed1b87-016202fb-06cb6d9b-524f6193-a2cafa9c.jpg']",['files/p19/p19454978/s59405565/dfd72c95-382e12e2-f0574c76-793748ac-3dcf07f0.jpg\n']
s59760473_14,p19454978,s59760473,14,Findings,"Lungs are normally expanded. There is no focal airspace opacity to suggest pneumonia. The heart is mildly enlarged, but unchanged. The mediastinal and hilar contours are stable with tortuosity of the aorta and mild prominence of the pulmonary artery, better seen on prior CT of the chest. Small bilateral pleural effusions persist. There is no pneumothorax. Compression deformity of T6 is unchanged.",Small bilateral pleural effusions persist.,pleural effusions,bilateral,Stable,"['files/p19/p19454978/s59760473/2be3e6f4-47ca559c-4c3c70ec-133cd9d3-40738c4d.jpg', 'files/p19/p19454978/s59760473/92ed1b87-016202fb-06cb6d9b-524f6193-a2cafa9c.jpg']",['files/p19/p19454978/s59405565/dfd72c95-382e12e2-f0574c76-793748ac-3dcf07f0.jpg\n']
s59760473_14,p19454978,s59760473,14,Findings,"Lungs are normally expanded. There is no focal airspace opacity to suggest pneumonia. The heart is mildly enlarged, but unchanged. The mediastinal and hilar contours are stable with tortuosity of the aorta and mild prominence of the pulmonary artery, better seen on prior CT of the chest. Small bilateral pleural effusions persist. There is no pneumothorax. Compression deformity of T6 is unchanged.",Compression deformity of T6 is unchanged.,compression deformity,T6,Stable,"['files/p19/p19454978/s59760473/2be3e6f4-47ca559c-4c3c70ec-133cd9d3-40738c4d.jpg', 'files/p19/p19454978/s59760473/92ed1b87-016202fb-06cb6d9b-524f6193-a2cafa9c.jpg']",['files/p19/p19454978/s59405565/dfd72c95-382e12e2-f0574c76-793748ac-3dcf07f0.jpg\n']
s59760473_14,p19454978,s59760473,14,Impression,Stable small bilateral pleural effusions and mildly enlarged cardiac silhouette similar to prior.,Stable small bilateral pleural effusions and mildly enlarged cardiac silhouette similar to prior.,pleural effusions,bilateral,Stable,"['files/p19/p19454978/s59760473/2be3e6f4-47ca559c-4c3c70ec-133cd9d3-40738c4d.jpg', 'files/p19/p19454978/s59760473/92ed1b87-016202fb-06cb6d9b-524f6193-a2cafa9c.jpg']",['files/p19/p19454978/s59405565/dfd72c95-382e12e2-f0574c76-793748ac-3dcf07f0.jpg\n']
s59760473_14,p19454978,s59760473,14,Impression,Stable small bilateral pleural effusions and mildly enlarged cardiac silhouette similar to prior.,Stable small bilateral pleural effusions and mildly enlarged cardiac silhouette similar to prior.,cardiac silhouette,,Stable,"['files/p19/p19454978/s59760473/2be3e6f4-47ca559c-4c3c70ec-133cd9d3-40738c4d.jpg', 'files/p19/p19454978/s59760473/92ed1b87-016202fb-06cb6d9b-524f6193-a2cafa9c.jpg']",['files/p19/p19454978/s59405565/dfd72c95-382e12e2-f0574c76-793748ac-3dcf07f0.jpg\n']
s59761780_7,p19182863,s59761780,7,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding portable AP single view chest examination of ___. The patient is now examined in standing upright position. There is status post sternotomy and significant cardiac enlargement as before. Within the cardiac shadow, metallic portions of three different valve prostheses can be identified. One is a circular metallic ring in the position of the aortic valve, the second one a similar oval-shaped ring formation in the mitral valve position, and the third one an open circle rather typical for a tricuspid valve annuloplasty. Correlating the position of these valves to the outer contours of the heart, one can state that there is remaining marked enlargement of the left atrium, but the increased distance between the tricuspid valvuloplasty and the anterior heart border speaks much in favor of a right ventricular enlargement as well as an enlarged right atrium. Prominence of the ascending aortic contour is moderate. The pulmonary vasculature is presently not congested, and on previous portable examination identified edema pattern as well as evidence of right-sided pleural effusion has normalized. No new parenchymal abnormalities are seen, and no pneumothorax is identified in the apical area. Again observed is a fractured second rib in the left apical area, apparently the result of previous sternotomy and intrathoracic cardiac intervention. When comparison is extended to the next preceding PA and lateral chest examination of ___, the patient is in better condition now as the cardiac enlargement has regressed and the pleural effusion has been absorbed completely.",There is status post sternotomy and significant cardiac enlargement as before,cardiac enlargement,,Stable,"['files/p19/p19182863/s59761780/107d4674-d529a650-60ab04ff-86d99349-837a4289.jpg', 'files/p19/p19182863/s59761780/7f83f5d5-3afe2911-3b666b80-5dbde6e1-f2a9d980.jpg']","['files/p19/p19182863/s59504314/eb29f789-00abb730-5068408c-3f7898d3-a83d4745.jpg\n', 'files/p19/p19182863/s59504314/f04b1aeb-e42a14c0-ad437e4e-dee054c7-e24bbe86.jpg\n']"
s59761780_7,p19182863,s59761780,7,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding portable AP single view chest examination of ___. The patient is now examined in standing upright position. There is status post sternotomy and significant cardiac enlargement as before. Within the cardiac shadow, metallic portions of three different valve prostheses can be identified. One is a circular metallic ring in the position of the aortic valve, the second one a similar oval-shaped ring formation in the mitral valve position, and the third one an open circle rather typical for a tricuspid valve annuloplasty. Correlating the position of these valves to the outer contours of the heart, one can state that there is remaining marked enlargement of the left atrium, but the increased distance between the tricuspid valvuloplasty and the anterior heart border speaks much in favor of a right ventricular enlargement as well as an enlarged right atrium. Prominence of the ascending aortic contour is moderate. The pulmonary vasculature is presently not congested, and on previous portable examination identified edema pattern as well as evidence of right-sided pleural effusion has normalized. No new parenchymal abnormalities are seen, and no pneumothorax is identified in the apical area. Again observed is a fractured second rib in the left apical area, apparently the result of previous sternotomy and intrathoracic cardiac intervention. When comparison is extended to the next preceding PA and lateral chest examination of ___, the patient is in better condition now as the cardiac enlargement has regressed and the pleural effusion has been absorbed completely.","The pulmonary vasculature is presently not congested, and on previous portable examination identified edema pattern as well as evidence of right-sided pleural effusion has normalized",pleural effusion,right,Resolve,"['files/p19/p19182863/s59761780/107d4674-d529a650-60ab04ff-86d99349-837a4289.jpg', 'files/p19/p19182863/s59761780/7f83f5d5-3afe2911-3b666b80-5dbde6e1-f2a9d980.jpg']","['files/p19/p19182863/s59504314/eb29f789-00abb730-5068408c-3f7898d3-a83d4745.jpg\n', 'files/p19/p19182863/s59504314/f04b1aeb-e42a14c0-ad437e4e-dee054c7-e24bbe86.jpg\n']"
s59761780_7,p19182863,s59761780,7,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding portable AP single view chest examination of ___. The patient is now examined in standing upright position. There is status post sternotomy and significant cardiac enlargement as before. Within the cardiac shadow, metallic portions of three different valve prostheses can be identified. One is a circular metallic ring in the position of the aortic valve, the second one a similar oval-shaped ring formation in the mitral valve position, and the third one an open circle rather typical for a tricuspid valve annuloplasty. Correlating the position of these valves to the outer contours of the heart, one can state that there is remaining marked enlargement of the left atrium, but the increased distance between the tricuspid valvuloplasty and the anterior heart border speaks much in favor of a right ventricular enlargement as well as an enlarged right atrium. Prominence of the ascending aortic contour is moderate. The pulmonary vasculature is presently not congested, and on previous portable examination identified edema pattern as well as evidence of right-sided pleural effusion has normalized. No new parenchymal abnormalities are seen, and no pneumothorax is identified in the apical area. Again observed is a fractured second rib in the left apical area, apparently the result of previous sternotomy and intrathoracic cardiac intervention. When comparison is extended to the next preceding PA and lateral chest examination of ___, the patient is in better condition now as the cardiac enlargement has regressed and the pleural effusion has been absorbed completely.","When comparison is extended to the next preceding PA and lateral chest examination of ___, the patient is in better condition now as the cardiac enlargement has regressed and the pleural effusion has been absorbed completely",cardiac enlargement,,Better,"['files/p19/p19182863/s59761780/107d4674-d529a650-60ab04ff-86d99349-837a4289.jpg', 'files/p19/p19182863/s59761780/7f83f5d5-3afe2911-3b666b80-5dbde6e1-f2a9d980.jpg']","['files/p19/p19182863/s59504314/eb29f789-00abb730-5068408c-3f7898d3-a83d4745.jpg\n', 'files/p19/p19182863/s59504314/f04b1aeb-e42a14c0-ad437e4e-dee054c7-e24bbe86.jpg\n']"
s59761780_7,p19182863,s59761780,7,Findings,"PA and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding portable AP single view chest examination of ___. The patient is now examined in standing upright position. There is status post sternotomy and significant cardiac enlargement as before. Within the cardiac shadow, metallic portions of three different valve prostheses can be identified. One is a circular metallic ring in the position of the aortic valve, the second one a similar oval-shaped ring formation in the mitral valve position, and the third one an open circle rather typical for a tricuspid valve annuloplasty. Correlating the position of these valves to the outer contours of the heart, one can state that there is remaining marked enlargement of the left atrium, but the increased distance between the tricuspid valvuloplasty and the anterior heart border speaks much in favor of a right ventricular enlargement as well as an enlarged right atrium. Prominence of the ascending aortic contour is moderate. The pulmonary vasculature is presently not congested, and on previous portable examination identified edema pattern as well as evidence of right-sided pleural effusion has normalized. No new parenchymal abnormalities are seen, and no pneumothorax is identified in the apical area. Again observed is a fractured second rib in the left apical area, apparently the result of previous sternotomy and intrathoracic cardiac intervention. When comparison is extended to the next preceding PA and lateral chest examination of ___, the patient is in better condition now as the cardiac enlargement has regressed and the pleural effusion has been absorbed completely.","When comparison is extended to the next preceding PA and lateral chest examination of ___, the patient is in better condition now as the cardiac enlargement has regressed and the pleural effusion has been absorbed completely",pleural effusion,,Resolve,"['files/p19/p19182863/s59761780/107d4674-d529a650-60ab04ff-86d99349-837a4289.jpg', 'files/p19/p19182863/s59761780/7f83f5d5-3afe2911-3b666b80-5dbde6e1-f2a9d980.jpg']","['files/p19/p19182863/s59504314/eb29f789-00abb730-5068408c-3f7898d3-a83d4745.jpg\n', 'files/p19/p19182863/s59504314/f04b1aeb-e42a14c0-ad437e4e-dee054c7-e24bbe86.jpg\n']"
s59761780_7,p19182863,s59761780,7,Impression,Marked improvement of CHF in patient with history of triple valve replacement.,Marked improvement of CHF in patient with history of triple valve replacement,CHF,,Better,"['files/p19/p19182863/s59761780/107d4674-d529a650-60ab04ff-86d99349-837a4289.jpg', 'files/p19/p19182863/s59761780/7f83f5d5-3afe2911-3b666b80-5dbde6e1-f2a9d980.jpg']","['files/p19/p19182863/s59504314/eb29f789-00abb730-5068408c-3f7898d3-a83d4745.jpg\n', 'files/p19/p19182863/s59504314/f04b1aeb-e42a14c0-ad437e4e-dee054c7-e24bbe86.jpg\n']"
s59762262_25,p15131736,s59762262,25,Impression,"Chronic moderate cardiomegaly and probably pulmonary hypertension, unchanged in appearance when compared to prior examination dated ___. No overt pulmonary edema or pneumonia.","Chronic moderate cardiomegaly and probably pulmonary hypertension, unchanged in appearance when compared to prior examination dated ___.",moderate cardiomegaly and probably pulmonary hypertension,,Stable,"['files/p15/p15131736/s59762262/13abc428-9f713fce-3b977311-23dd2093-f8c0d743.jpg', 'files/p15/p15131736/s59762262/69a388e4-94fb2974-fac79369-7a8ffbfd-0331e4d3.jpg']","['files/p15/p15131736/s59654928/4db0b107-b92cf8bd-4725e810-1ceb5f96-fcbd4d2a.jpg\n', 'files/p15/p15131736/s59654928/8505ed38-cda52817-295c6f27-d2ba4661-1bba1d25.jpg\n']"
s59762262_25,p15131736,s59762262,25,Findings,"AP upright and lateral radiographs of the chest demonstrate low lung volumes. When compared to radiograph dated ___, there has been little interval change. The cardiomediastinal and hilar contours remain unchanged, the heart moderately enlarged. Prominent vasculature and prominence of the hila is suggestive of pulmonary hypertension. Obscuration of the bilateral costophrenic angles is consistent with likely small bilateral pleural effusions versus atelectasis. No acute osseous abnormalities identified.","The cardiomediastinal and hilar contours remain unchanged, the heart moderately enlarged.",moderately enlarged heart,cardiomediastinal and hilar contours,Stable,"['files/p15/p15131736/s59762262/13abc428-9f713fce-3b977311-23dd2093-f8c0d743.jpg', 'files/p15/p15131736/s59762262/69a388e4-94fb2974-fac79369-7a8ffbfd-0331e4d3.jpg']","['files/p15/p15131736/s59654928/4db0b107-b92cf8bd-4725e810-1ceb5f96-fcbd4d2a.jpg\n', 'files/p15/p15131736/s59654928/8505ed38-cda52817-295c6f27-d2ba4661-1bba1d25.jpg\n']"
s59762556_13,p12952223,s59762556,13,Findings,"In comparison with the study of ___, there has been placement of a right basilar chest tube with clearing of almost all of the pleural effusion. No evidence of pneumothorax. The remainder of the study is essentially unchanged.",The remainder of the study is essentially unchanged.,,,Stable,['files/p12/p12952223/s59762556/c9479a79-1b877264-b3222893-a2b4e2b9-8eba1e3f.jpg'],['files/p12/p12952223/s58565744/f7444698-77590d7a-c6202efc-7ebaf856-eb1ee866.jpg\n']
s59763018_15,p18487334,s59763018,15,Impression,"1. Stable mild cardiomegaly. 2. Enteric feeding tube tip in stomach, still containing stylet.",Stable mild cardiomegaly.,mild cardiomegaly,,Stable,['files/p18/p18487334/s59763018/e8f94964-26bbd138-d2b7248a-e4fd514a-35beb87c.jpg'],['files/p18/p18487334/s59001506/37d75746-aa6bbc7a-bbbf7bd9-3bb0f97b-3bd37684.jpg\n']
s59763018_15,p18487334,s59763018,15,Findings,The lungs are clear. No right pleural effusion. No large left pleural effusion. No pneumothorax. Stable mild cardiomegaly. Mediastinal contour and hila are unremarkable. Midline sternotomy wires again demonstrate disruption of the second sternotomy. Additional sternotomy wires are intact. An enteric feeding tube is seen coursing midline with tip in stomach. A left chest wall pacer device lead tips are in the right atrium and right ventricle. Right PICC tip is in the mid SVC.,Midline sternotomy wires again demonstrate disruption of the second sternotomy.,disruption,second sternotomy,Worse,['files/p18/p18487334/s59763018/e8f94964-26bbd138-d2b7248a-e4fd514a-35beb87c.jpg'],['files/p18/p18487334/s59001506/37d75746-aa6bbc7a-bbbf7bd9-3bb0f97b-3bd37684.jpg\n']
s59763018_15,p18487334,s59763018,15,Findings,The lungs are clear. No right pleural effusion. No large left pleural effusion. No pneumothorax. Stable mild cardiomegaly. Mediastinal contour and hila are unremarkable. Midline sternotomy wires again demonstrate disruption of the second sternotomy. Additional sternotomy wires are intact. An enteric feeding tube is seen coursing midline with tip in stomach. A left chest wall pacer device lead tips are in the right atrium and right ventricle. Right PICC tip is in the mid SVC.,Stable mild cardiomegaly.,mild cardiomegaly,,Stable,['files/p18/p18487334/s59763018/e8f94964-26bbd138-d2b7248a-e4fd514a-35beb87c.jpg'],['files/p18/p18487334/s59001506/37d75746-aa6bbc7a-bbbf7bd9-3bb0f97b-3bd37684.jpg\n']
s59787158_3,p13475033,s59787158,3,Findings,"A right-sided hemodialysis catheter terminates at the right atrium. Again seen are reticular interstitial opacities distributed evenly across both lungs, stable over multiple prior radiographs, previously attributed to chronic hypersensitivity pneumonitis on the chest CT from ___. The cardiac and mediastinal silhouettes are unchanged. The central pulmonary vessels appear more prominent since the ___ study. Superimposed mild edema cannot be excluded. There is no focal consolidation, pleural effusion, or pneumothorax.",The cardiac and mediastinal silhouettes are unchanged.,cardiac and mediastinal silhouettes,,Stable,"['files/p13/p13475033/s59787158/0f5eff83-85fc727f-a7691318-ee53b149-e9d6062b.jpg', 'files/p13/p13475033/s59787158/b0a3c7f8-26d03d87-2b85a969-b02fab24-22c44433.jpg']","['files/p13/p13475033/s59669144/41411ed9-2c9f6f41-b31a45f2-2ac7bb8f-2e25c279.jpg\n', 'files/p13/p13475033/s59669144/c93d0863-a6040763-5b9cb677-78a4881b-d698bffb.jpg\n']"
s59787158_3,p13475033,s59787158,3,Findings,"A right-sided hemodialysis catheter terminates at the right atrium. Again seen are reticular interstitial opacities distributed evenly across both lungs, stable over multiple prior radiographs, previously attributed to chronic hypersensitivity pneumonitis on the chest CT from ___. The cardiac and mediastinal silhouettes are unchanged. The central pulmonary vessels appear more prominent since the ___ study. Superimposed mild edema cannot be excluded. There is no focal consolidation, pleural effusion, or pneumothorax.",The central pulmonary vessels appear more prominent since the ___ study. Superimposed mild edema cannot be excluded.,mild edema,,New,"['files/p13/p13475033/s59787158/0f5eff83-85fc727f-a7691318-ee53b149-e9d6062b.jpg', 'files/p13/p13475033/s59787158/b0a3c7f8-26d03d87-2b85a969-b02fab24-22c44433.jpg']","['files/p13/p13475033/s59669144/41411ed9-2c9f6f41-b31a45f2-2ac7bb8f-2e25c279.jpg\n', 'files/p13/p13475033/s59669144/c93d0863-a6040763-5b9cb677-78a4881b-d698bffb.jpg\n']"
s59787158_3,p13475033,s59787158,3,Impression,"Again seen reticular interstitial opacities distributed evenly across both lungs, stable over multiple prior radiographs, previously attributed to chronic hypersensitivity pneumonitis. Mild superimposed fluid overload cannot be excluded No focal consolidation.","Again seen reticular interstitial opacities distributed evenly across both lungs, stable over multiple prior radiographs, previously attributed to chronic hypersensitivity pneumonitis.",chronic hypersensitivity pneumonitis,,Stable,"['files/p13/p13475033/s59787158/0f5eff83-85fc727f-a7691318-ee53b149-e9d6062b.jpg', 'files/p13/p13475033/s59787158/b0a3c7f8-26d03d87-2b85a969-b02fab24-22c44433.jpg']","['files/p13/p13475033/s59669144/41411ed9-2c9f6f41-b31a45f2-2ac7bb8f-2e25c279.jpg\n', 'files/p13/p13475033/s59669144/c93d0863-a6040763-5b9cb677-78a4881b-d698bffb.jpg\n']"
s59787158_3,p13475033,s59787158,3,Findings,"A right-sided hemodialysis catheter terminates at the right atrium. Again seen are reticular interstitial opacities distributed evenly across both lungs, stable over multiple prior radiographs, previously attributed to chronic hypersensitivity pneumonitis on the chest CT from ___. The cardiac and mediastinal silhouettes are unchanged. The central pulmonary vessels appear more prominent since the ___ study. Superimposed mild edema cannot be excluded. There is no focal consolidation, pleural effusion, or pneumothorax.",The central pulmonary vessels appear more prominent since the ___ study. Superimposed mild edema cannot be excluded.,pulmonary vessels prominence,central,Worse,"['files/p13/p13475033/s59787158/0f5eff83-85fc727f-a7691318-ee53b149-e9d6062b.jpg', 'files/p13/p13475033/s59787158/b0a3c7f8-26d03d87-2b85a969-b02fab24-22c44433.jpg']","['files/p13/p13475033/s59669144/41411ed9-2c9f6f41-b31a45f2-2ac7bb8f-2e25c279.jpg\n', 'files/p13/p13475033/s59669144/c93d0863-a6040763-5b9cb677-78a4881b-d698bffb.jpg\n']"
s59787158_3,p13475033,s59787158,3,Findings,"A right-sided hemodialysis catheter terminates at the right atrium. Again seen are reticular interstitial opacities distributed evenly across both lungs, stable over multiple prior radiographs, previously attributed to chronic hypersensitivity pneumonitis on the chest CT from ___. The cardiac and mediastinal silhouettes are unchanged. The central pulmonary vessels appear more prominent since the ___ study. Superimposed mild edema cannot be excluded. There is no focal consolidation, pleural effusion, or pneumothorax.","Again seen are reticular interstitial opacities distributed evenly across both lungs, stable over multiple prior radiographs, previously attributed to chronic hypersensitivity pneumonitis on the chest CT from ___.",chronic hypersensitivity pneumonitis,,Stable,"['files/p13/p13475033/s59787158/0f5eff83-85fc727f-a7691318-ee53b149-e9d6062b.jpg', 'files/p13/p13475033/s59787158/b0a3c7f8-26d03d87-2b85a969-b02fab24-22c44433.jpg']","['files/p13/p13475033/s59669144/41411ed9-2c9f6f41-b31a45f2-2ac7bb8f-2e25c279.jpg\n', 'files/p13/p13475033/s59669144/c93d0863-a6040763-5b9cb677-78a4881b-d698bffb.jpg\n']"
s59790228_12,p14295224,s59790228,12,Findings,"Single portable view of the chest. There is increased opacity in the right lung, particularly projecting over the base. Right lung base nodule is less well seen on the current exam, potentially projectional, and adequate comparison for interval change is not possible on this exam. Post-radiation changes are again seen in the right paratracheal region. There is also subtle opacity at the left lung base in the retrocardiac region. Cardiomediastinal silhouette is stable. No acute osseous abnormalities identified. Bridging of the posterior right ___ and 7th ribs are again seen.",Post-radiation changes are again seen in the right paratracheal region.,post-radiation changes,right paratracheal region,Stable,['files/p14/p14295224/s59790228/dadf469d-f8a75d8f-24e452d6-a7394bb7-ace0708c.jpg'],"['files/p14/p14295224/s58409548/84ee4f3c-27c6c5ff-e84f61b7-1ab68ce3-99820e85.jpg\n', 'files/p14/p14295224/s58409548/9961f085-b04f7f91-4556e341-26c1f4f0-28e741d3.jpg\n']"
s59790228_12,p14295224,s59790228,12,Findings,"Single portable view of the chest. There is increased opacity in the right lung, particularly projecting over the base. Right lung base nodule is less well seen on the current exam, potentially projectional, and adequate comparison for interval change is not possible on this exam. Post-radiation changes are again seen in the right paratracheal region. There is also subtle opacity at the left lung base in the retrocardiac region. Cardiomediastinal silhouette is stable. No acute osseous abnormalities identified. Bridging of the posterior right ___ and 7th ribs are again seen.","There is increased opacity in the right lung, particularly projecting over the base.",opacity,right lung base,Worse,['files/p14/p14295224/s59790228/dadf469d-f8a75d8f-24e452d6-a7394bb7-ace0708c.jpg'],"['files/p14/p14295224/s58409548/84ee4f3c-27c6c5ff-e84f61b7-1ab68ce3-99820e85.jpg\n', 'files/p14/p14295224/s58409548/9961f085-b04f7f91-4556e341-26c1f4f0-28e741d3.jpg\n']"
s59790228_12,p14295224,s59790228,12,Findings,"Single portable view of the chest. There is increased opacity in the right lung, particularly projecting over the base. Right lung base nodule is less well seen on the current exam, potentially projectional, and adequate comparison for interval change is not possible on this exam. Post-radiation changes are again seen in the right paratracheal region. There is also subtle opacity at the left lung base in the retrocardiac region. Cardiomediastinal silhouette is stable. No acute osseous abnormalities identified. Bridging of the posterior right ___ and 7th ribs are again seen.",Bridging of the posterior right ___ and 7th ribs are again seen.,bridging,posterior right and 7th ribs,Stable,['files/p14/p14295224/s59790228/dadf469d-f8a75d8f-24e452d6-a7394bb7-ace0708c.jpg'],"['files/p14/p14295224/s58409548/84ee4f3c-27c6c5ff-e84f61b7-1ab68ce3-99820e85.jpg\n', 'files/p14/p14295224/s58409548/9961f085-b04f7f91-4556e341-26c1f4f0-28e741d3.jpg\n']"
s59790228_12,p14295224,s59790228,12,Impression,"Bibasilar right greater than left opacities, new since prior, which could represent infection or potentially aspiration. No other change since prior.","Bibasilar right greater than left opacities, new since prior, which could represent infection or potentially aspiration.",opacities,bibasilar right greater than left,New,['files/p14/p14295224/s59790228/dadf469d-f8a75d8f-24e452d6-a7394bb7-ace0708c.jpg'],"['files/p14/p14295224/s58409548/84ee4f3c-27c6c5ff-e84f61b7-1ab68ce3-99820e85.jpg\n', 'files/p14/p14295224/s58409548/9961f085-b04f7f91-4556e341-26c1f4f0-28e741d3.jpg\n']"
s59790228_12,p14295224,s59790228,12,Findings,"Single portable view of the chest. There is increased opacity in the right lung, particularly projecting over the base. Right lung base nodule is less well seen on the current exam, potentially projectional, and adequate comparison for interval change is not possible on this exam. Post-radiation changes are again seen in the right paratracheal region. There is also subtle opacity at the left lung base in the retrocardiac region. Cardiomediastinal silhouette is stable. No acute osseous abnormalities identified. Bridging of the posterior right ___ and 7th ribs are again seen.",Cardiomediastinal silhouette is stable.,silhouette,Cardiomediastinal,Stable,['files/p14/p14295224/s59790228/dadf469d-f8a75d8f-24e452d6-a7394bb7-ace0708c.jpg'],"['files/p14/p14295224/s58409548/84ee4f3c-27c6c5ff-e84f61b7-1ab68ce3-99820e85.jpg\n', 'files/p14/p14295224/s58409548/9961f085-b04f7f91-4556e341-26c1f4f0-28e741d3.jpg\n']"
s59791814_35,p15114531,s59791814,35,Impression,"Compared to chest radiographs ___ through ___. New, small region of peribronchial opacification in the left lung just superior and lateral to the left hilus, could be early pneumonia. Lungs elsewhere are clear. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal.","New, small region of peribronchial opacification in the left lung just superior and lateral to the left hilus, could be early pneumonia.",peribronchial opacification,left lung just superior and lateral to the left hilus,New,"['files/p15/p15114531/s59791814/31639564-55c66aa7-7df2435c-cd3f159f-35b723f1.jpg', 'files/p15/p15114531/s59791814/3f51e0cc-57c81b2d-9141e165-0ca2c8c7-b04610ed.jpg']","['files/p15/p15114531/s59688743/09eef487-ce5f18a5-ba553a04-30f2617c-4f4a6692.jpg\n', 'files/p15/p15114531/s59688743/0e446eb6-02bb584e-6ef1f95a-ad6430c9-f5669b5c.jpg\n']"
s59794465_61,p14851532,s59794465,61,Impression,Comparison to ___. Feeding tube and right internal jugular vein catheter are in correct position. Unchanged moderate cardiomegaly with moderate right pleural effusion and mild to moderate pulmonary edema. No new focal parenchymal opacities. No pneumothorax.,Unchanged moderate cardiomegaly with moderate right pleural effusion and mild to moderate pulmonary edema.,pleural effusion,right,Stable,['files/p14/p14851532/s59794465/e6250467-5024835a-ee6e25b1-59ef82bc-d2a286a5.jpg'],['files/p14/p14851532/s59364971/39922ca1-cb122a2e-5f5f5b94-65973906-45a1b814.jpg\n']
s59794465_61,p14851532,s59794465,61,Impression,Comparison to ___. Feeding tube and right internal jugular vein catheter are in correct position. Unchanged moderate cardiomegaly with moderate right pleural effusion and mild to moderate pulmonary edema. No new focal parenchymal opacities. No pneumothorax.,Unchanged moderate cardiomegaly with moderate right pleural effusion and mild to moderate pulmonary edema.,pulmonary edema,,Stable,['files/p14/p14851532/s59794465/e6250467-5024835a-ee6e25b1-59ef82bc-d2a286a5.jpg'],['files/p14/p14851532/s59364971/39922ca1-cb122a2e-5f5f5b94-65973906-45a1b814.jpg\n']
s59794465_61,p14851532,s59794465,61,Impression,Comparison to ___. Feeding tube and right internal jugular vein catheter are in correct position. Unchanged moderate cardiomegaly with moderate right pleural effusion and mild to moderate pulmonary edema. No new focal parenchymal opacities. No pneumothorax.,Unchanged moderate cardiomegaly with moderate right pleural effusion and mild to moderate pulmonary edema.,cardiomegaly,,Stable,['files/p14/p14851532/s59794465/e6250467-5024835a-ee6e25b1-59ef82bc-d2a286a5.jpg'],['files/p14/p14851532/s59364971/39922ca1-cb122a2e-5f5f5b94-65973906-45a1b814.jpg\n']
s59794546_7,p14744884,s59794546,7,Findings,"The cardiac, mediastinal and hilar contours are within normal limits. Both lungs show mildly low lung volumes with crowding of bronchovascular markings. Bibasilar atelectasis is noted. Subclavian/brachiocephalic venous stent is unchanged in position. No focal consolidation, pleural effusion or pneumothorax is noted.",Subclavian/brachiocephalic venous stent is unchanged in position.,venous stent,Subclavian/brachiocephalic,Stable,"['files/p14/p14744884/s59794546/002ec547-39998a44-001fa06f-b2d03591-048c0d40.jpg', 'files/p14/p14744884/s59794546/abe364f9-4042401f-a780b2fd-91b32996-dcf7b741.jpg']",['files/p14/p14744884/s59397956/ef98f5b9-a2a8261a-8138e17e-bc61edb2-729d5908.jpg\n']
s59798652_0,p11413236,s59798652,0,Findings,"Portable frontal view of the chest demonstrates low lung volumes. There is no pneumothorax. The left costophrenic angle is obscured, suggestive of a small pleural effusion. Retrocardiac opacity is noted, more conspicuous from prior exam. There is no right pleural effusion. There is apparent thickening of the minor fissure. Calcified lymph nodes within the AP window are again noted. The hilar and mediastinal silhouettes are unchanged. The heart size is top normal. There is no pulmonary edema. Port-A-Cath tip projects over cavoatrial junction. Partially imaged upper abdomen is unremarkable.",The hilar and mediastinal silhouettes are unchanged.,silhouettes,hilar and mediastinal,Stable,['files/p11/p11413236/s59798652/09b5b0a8-2cb137c2-240ac597-66295226-2b2af51c.jpg'],['files/p11/p11413236/s59753947/8062997c-91b95843-31ddb21e-b92bf46a-73af4721.jpg\n']
s59798652_0,p11413236,s59798652,0,Impression,"Retrocardiac opacity is more conspicuous from ___ exam, which likely represents atelectasis or infection in the appropriate clinical setting. Possible small left pleural effusion.","Retrocardiac opacity is more conspicuous from ___ exam, which likely represents atelectasis or infection in the appropriate clinical setting.",opacity,Retrocardiac,Worse,['files/p11/p11413236/s59798652/09b5b0a8-2cb137c2-240ac597-66295226-2b2af51c.jpg'],['files/p11/p11413236/s59753947/8062997c-91b95843-31ddb21e-b92bf46a-73af4721.jpg\n']
s59798652_0,p11413236,s59798652,0,Findings,"Portable frontal view of the chest demonstrates low lung volumes. There is no pneumothorax. The left costophrenic angle is obscured, suggestive of a small pleural effusion. Retrocardiac opacity is noted, more conspicuous from prior exam. There is no right pleural effusion. There is apparent thickening of the minor fissure. Calcified lymph nodes within the AP window are again noted. The hilar and mediastinal silhouettes are unchanged. The heart size is top normal. There is no pulmonary edema. Port-A-Cath tip projects over cavoatrial junction. Partially imaged upper abdomen is unremarkable.",Calcified lymph nodes within the AP window are again noted.,Calcified lymph nodes,AP window,Stable,['files/p11/p11413236/s59798652/09b5b0a8-2cb137c2-240ac597-66295226-2b2af51c.jpg'],['files/p11/p11413236/s59753947/8062997c-91b95843-31ddb21e-b92bf46a-73af4721.jpg\n']
s59798652_0,p11413236,s59798652,0,Findings,"Portable frontal view of the chest demonstrates low lung volumes. There is no pneumothorax. The left costophrenic angle is obscured, suggestive of a small pleural effusion. Retrocardiac opacity is noted, more conspicuous from prior exam. There is no right pleural effusion. There is apparent thickening of the minor fissure. Calcified lymph nodes within the AP window are again noted. The hilar and mediastinal silhouettes are unchanged. The heart size is top normal. There is no pulmonary edema. Port-A-Cath tip projects over cavoatrial junction. Partially imaged upper abdomen is unremarkable.","Retrocardiac opacity is noted, more conspicuous from prior exam.",opacity,Retrocardiac,Worse,['files/p11/p11413236/s59798652/09b5b0a8-2cb137c2-240ac597-66295226-2b2af51c.jpg'],['files/p11/p11413236/s59753947/8062997c-91b95843-31ddb21e-b92bf46a-73af4721.jpg\n']
s59798967_14,p18309149,s59798967,14,Impression,Comparison to ___. New platelike atelectasis at the right lung bases. The pre-existing right basal parenchymal opacity is stable. Unchanged appearance of the heart and of the left lung.,Unchanged appearance of the heart and of the left lung.,appearance,left lung,Stable,['files/p18/p18309149/s59798967/4768d670-31d218ed-86c26700-a7daf75d-5fe57928.jpg'],"['files/p18/p18309149/s59608718/81da6609-5b1db1a9-985ed5af-0ea8bff9-d2ae3e08.jpg\n', 'files/p18/p18309149/s59608718/c418a7ea-f382ef9c-a8aa6045-d0ecf7cb-87214437.jpg\n']"
s59798967_14,p18309149,s59798967,14,Impression,Comparison to ___. New platelike atelectasis at the right lung bases. The pre-existing right basal parenchymal opacity is stable. Unchanged appearance of the heart and of the left lung.,Unchanged appearance of the heart and of the left lung.,appearance,heart,Stable,['files/p18/p18309149/s59798967/4768d670-31d218ed-86c26700-a7daf75d-5fe57928.jpg'],"['files/p18/p18309149/s59608718/81da6609-5b1db1a9-985ed5af-0ea8bff9-d2ae3e08.jpg\n', 'files/p18/p18309149/s59608718/c418a7ea-f382ef9c-a8aa6045-d0ecf7cb-87214437.jpg\n']"
s59798967_14,p18309149,s59798967,14,Impression,Comparison to ___. New platelike atelectasis at the right lung bases. The pre-existing right basal parenchymal opacity is stable. Unchanged appearance of the heart and of the left lung.,The pre-existing right basal parenchymal opacity is stable.,parenchymal opacity,right basal,Stable,['files/p18/p18309149/s59798967/4768d670-31d218ed-86c26700-a7daf75d-5fe57928.jpg'],"['files/p18/p18309149/s59608718/81da6609-5b1db1a9-985ed5af-0ea8bff9-d2ae3e08.jpg\n', 'files/p18/p18309149/s59608718/c418a7ea-f382ef9c-a8aa6045-d0ecf7cb-87214437.jpg\n']"
s59798967_14,p18309149,s59798967,14,Impression,Comparison to ___. New platelike atelectasis at the right lung bases. The pre-existing right basal parenchymal opacity is stable. Unchanged appearance of the heart and of the left lung.,New platelike atelectasis at the right lung bases.,platelike atelectasis,right lung bases,New,['files/p18/p18309149/s59798967/4768d670-31d218ed-86c26700-a7daf75d-5fe57928.jpg'],"['files/p18/p18309149/s59608718/81da6609-5b1db1a9-985ed5af-0ea8bff9-d2ae3e08.jpg\n', 'files/p18/p18309149/s59608718/c418a7ea-f382ef9c-a8aa6045-d0ecf7cb-87214437.jpg\n']"
s59799399_2,p15131736,s59799399,2,Findings,Indwelling support and monitoring devices are unchanged in position. Stable cardiomegaly. Slight improvement in pulmonary vascular congestion. Improving aeration in left retrocardiac region with residual patchy atelectasis remaining. Likely small pleural effusions with some extension into the right minor fissure.,Stable cardiomegaly.,cardiomegaly,,Stable,['files/p15/p15131736/s59799399/2859a69d-3c904620-0563745d-d5b11916-72b1151d.jpg'],"['files/p15/p15131736/s59762262/13abc428-9f713fce-3b977311-23dd2093-f8c0d743.jpg\n', 'files/p15/p15131736/s59762262/69a388e4-94fb2974-fac79369-7a8ffbfd-0331e4d3.jpg\n']"
s59799399_2,p15131736,s59799399,2,Findings,Indwelling support and monitoring devices are unchanged in position. Stable cardiomegaly. Slight improvement in pulmonary vascular congestion. Improving aeration in left retrocardiac region with residual patchy atelectasis remaining. Likely small pleural effusions with some extension into the right minor fissure.,Improving aeration in left retrocardiac region with residual patchy atelectasis remaining.,aeration,left retrocardiac,Better,['files/p15/p15131736/s59799399/2859a69d-3c904620-0563745d-d5b11916-72b1151d.jpg'],"['files/p15/p15131736/s59762262/13abc428-9f713fce-3b977311-23dd2093-f8c0d743.jpg\n', 'files/p15/p15131736/s59762262/69a388e4-94fb2974-fac79369-7a8ffbfd-0331e4d3.jpg\n']"
s59799399_2,p15131736,s59799399,2,Findings,Indwelling support and monitoring devices are unchanged in position. Stable cardiomegaly. Slight improvement in pulmonary vascular congestion. Improving aeration in left retrocardiac region with residual patchy atelectasis remaining. Likely small pleural effusions with some extension into the right minor fissure.,Indwelling support and monitoring devices are unchanged in position.,indwelling support and monitoring devices,,Stable,['files/p15/p15131736/s59799399/2859a69d-3c904620-0563745d-d5b11916-72b1151d.jpg'],"['files/p15/p15131736/s59762262/13abc428-9f713fce-3b977311-23dd2093-f8c0d743.jpg\n', 'files/p15/p15131736/s59762262/69a388e4-94fb2974-fac79369-7a8ffbfd-0331e4d3.jpg\n']"
s59799399_2,p15131736,s59799399,2,Findings,Indwelling support and monitoring devices are unchanged in position. Stable cardiomegaly. Slight improvement in pulmonary vascular congestion. Improving aeration in left retrocardiac region with residual patchy atelectasis remaining. Likely small pleural effusions with some extension into the right minor fissure.,Improving aeration in left retrocardiac region with residual patchy atelectasis remaining.,patchy atelectasis,left retrocardiac,Stable,['files/p15/p15131736/s59799399/2859a69d-3c904620-0563745d-d5b11916-72b1151d.jpg'],"['files/p15/p15131736/s59762262/13abc428-9f713fce-3b977311-23dd2093-f8c0d743.jpg\n', 'files/p15/p15131736/s59762262/69a388e4-94fb2974-fac79369-7a8ffbfd-0331e4d3.jpg\n']"
s59799399_2,p15131736,s59799399,2,Findings,Indwelling support and monitoring devices are unchanged in position. Stable cardiomegaly. Slight improvement in pulmonary vascular congestion. Improving aeration in left retrocardiac region with residual patchy atelectasis remaining. Likely small pleural effusions with some extension into the right minor fissure.,Slight improvement in pulmonary vascular congestion.,pulmonary vascular congestion,,Better,['files/p15/p15131736/s59799399/2859a69d-3c904620-0563745d-d5b11916-72b1151d.jpg'],"['files/p15/p15131736/s59762262/13abc428-9f713fce-3b977311-23dd2093-f8c0d743.jpg\n', 'files/p15/p15131736/s59762262/69a388e4-94fb2974-fac79369-7a8ffbfd-0331e4d3.jpg\n']"
s59800551_21,p15131736,s59800551,21,Findings,"Frontal and lateral views of the chest. The lungs are clear of confluent consolidation, effusion, or overt pulmonary edema. Cardiomegaly is stable. Enlarged pulmonary arteries are also seen, unchanged. Atherosclerotic calcifications seen at the aortic arch.","Enlarged pulmonary arteries are also seen, unchanged.",Enlarged pulmonary arteries,,Stable,"['files/p15/p15131736/s59800551/0daf3607-6a65b12a-07f528d4-3c472d61-65dbed90.jpg', 'files/p15/p15131736/s59800551/426bad34-c84321a7-37a7e076-e0395dc2-f2a3123a.jpg', 'files/p15/p15131736/s59800551/f83f160f-ac1a55c0-b03c517c-05c99d7e-931e1444.jpg']",['files/p15/p15131736/s59799399/2859a69d-3c904620-0563745d-d5b11916-72b1151d.jpg\n']
s59800551_21,p15131736,s59800551,21,Findings,"Frontal and lateral views of the chest. The lungs are clear of confluent consolidation, effusion, or overt pulmonary edema. Cardiomegaly is stable. Enlarged pulmonary arteries are also seen, unchanged. Atherosclerotic calcifications seen at the aortic arch.",Cardiomegaly is stable.,Cardiomegaly,,Stable,"['files/p15/p15131736/s59800551/0daf3607-6a65b12a-07f528d4-3c472d61-65dbed90.jpg', 'files/p15/p15131736/s59800551/426bad34-c84321a7-37a7e076-e0395dc2-f2a3123a.jpg', 'files/p15/p15131736/s59800551/f83f160f-ac1a55c0-b03c517c-05c99d7e-931e1444.jpg']",['files/p15/p15131736/s59799399/2859a69d-3c904620-0563745d-d5b11916-72b1151d.jpg\n']
s59804376_1,p16334516,s59804376,1,Findings,A longstanding left upper lobe oval nodule has been present since at least ___ and has not changed since at least ___ when a Chest CT report termed it benign. Sclerosis at the right first costochondral junction as well as post-surgical changes from a wedge resection in the right upper lobe are all stable since ___. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. Mild pulmonary vascular congestion is chronic or recurrent.,Sclerosis at the right first costochondral junction as well as post-surgical changes from a wedge resection in the right upper lobe are all stable since ___.,Sclerosis,right first costochondral junction,Stable,"['files/p16/p16334516/s59804376/582e1166-1525596f-e3aa9071-b64f3476-3edee376.jpg', 'files/p16/p16334516/s59804376/7173b6b4-1d8ed39d-ac70a6ee-5634f026-cb7af67e.jpg', 'files/p16/p16334516/s59804376/ab08af63-948a2416-3f9f6080-5d16badd-02c43b45.jpg', 'files/p16/p16334516/s59804376/d9c359c1-1be4d372-89b1a633-8ae85c64-d875118f.jpg']",['files/p16/p16334516/s59155553/b9835d4b-d30d7c67-ffa9e3ae-98c8543d-e8fc42d8.jpg\n']
s59804376_1,p16334516,s59804376,1,Findings,A longstanding left upper lobe oval nodule has been present since at least ___ and has not changed since at least ___ when a Chest CT report termed it benign. Sclerosis at the right first costochondral junction as well as post-surgical changes from a wedge resection in the right upper lobe are all stable since ___. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. Mild pulmonary vascular congestion is chronic or recurrent.,A longstanding left upper lobe oval nodule has been present since at least ___ and has not changed since at least ___ when a Chest CT report termed it benign.,oval nodule,left upper lobe,Stable,"['files/p16/p16334516/s59804376/582e1166-1525596f-e3aa9071-b64f3476-3edee376.jpg', 'files/p16/p16334516/s59804376/7173b6b4-1d8ed39d-ac70a6ee-5634f026-cb7af67e.jpg', 'files/p16/p16334516/s59804376/ab08af63-948a2416-3f9f6080-5d16badd-02c43b45.jpg', 'files/p16/p16334516/s59804376/d9c359c1-1be4d372-89b1a633-8ae85c64-d875118f.jpg']",['files/p16/p16334516/s59155553/b9835d4b-d30d7c67-ffa9e3ae-98c8543d-e8fc42d8.jpg\n']
s59804376_1,p16334516,s59804376,1,Findings,A longstanding left upper lobe oval nodule has been present since at least ___ and has not changed since at least ___ when a Chest CT report termed it benign. Sclerosis at the right first costochondral junction as well as post-surgical changes from a wedge resection in the right upper lobe are all stable since ___. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. Mild pulmonary vascular congestion is chronic or recurrent.,Sclerosis at the right first costochondral junction as well as post-surgical changes from a wedge resection in the right upper lobe are all stable since ___.,post-surgical changes from a wedge resection,right upper lobe,Stable,"['files/p16/p16334516/s59804376/582e1166-1525596f-e3aa9071-b64f3476-3edee376.jpg', 'files/p16/p16334516/s59804376/7173b6b4-1d8ed39d-ac70a6ee-5634f026-cb7af67e.jpg', 'files/p16/p16334516/s59804376/ab08af63-948a2416-3f9f6080-5d16badd-02c43b45.jpg', 'files/p16/p16334516/s59804376/d9c359c1-1be4d372-89b1a633-8ae85c64-d875118f.jpg']",['files/p16/p16334516/s59155553/b9835d4b-d30d7c67-ffa9e3ae-98c8543d-e8fc42d8.jpg\n']
s59808558_12,p12595991,s59808558,12,Findings,A single portable AP semi-upright view of the chest was obtained. Right IJ central venous catheter projects over the right atrium. An ICD pacing device with biventricular leads appears unchanged in position. Lung volumes remain low with right basilar atelectasis. Cardiomediastinal silhouette is stable. There is no focal consolidation or pleural effusion. No pneumothorax.,An ICD pacing device with biventricular leads appears unchanged in position.,ICD pacing device with biventricular leads,,Stable,['files/p12/p12595991/s59808558/d06735eb-af56afba-fcf0d03b-004b6c6c-93909724.jpg'],['files/p12/p12595991/s59402852/39fd5a3b-600c7c44-8426c20e-dafdd287-f5b59fca.jpg\n']
s59808558_12,p12595991,s59808558,12,Findings,A single portable AP semi-upright view of the chest was obtained. Right IJ central venous catheter projects over the right atrium. An ICD pacing device with biventricular leads appears unchanged in position. Lung volumes remain low with right basilar atelectasis. Cardiomediastinal silhouette is stable. There is no focal consolidation or pleural effusion. No pneumothorax.,Lung volumes remain low with right basilar atelectasis.,atelectasis,right basilar,Stable,['files/p12/p12595991/s59808558/d06735eb-af56afba-fcf0d03b-004b6c6c-93909724.jpg'],['files/p12/p12595991/s59402852/39fd5a3b-600c7c44-8426c20e-dafdd287-f5b59fca.jpg\n']
s59808558_12,p12595991,s59808558,12,Findings,A single portable AP semi-upright view of the chest was obtained. Right IJ central venous catheter projects over the right atrium. An ICD pacing device with biventricular leads appears unchanged in position. Lung volumes remain low with right basilar atelectasis. Cardiomediastinal silhouette is stable. There is no focal consolidation or pleural effusion. No pneumothorax.,Cardiomediastinal silhouette is stable.,Cardiomediastinal silhouette,,Stable,['files/p12/p12595991/s59808558/d06735eb-af56afba-fcf0d03b-004b6c6c-93909724.jpg'],['files/p12/p12595991/s59402852/39fd5a3b-600c7c44-8426c20e-dafdd287-f5b59fca.jpg\n']
s59825509_1,p16319601,s59825509,1,Impression,Equivocal findings of right pneumothorax. Persistent pneumomediastinum or subcutaneous emphysema.,Persistent pneumomediastinum or subcutaneous emphysema.,subcutaneous emphysema,,Stable,['files/p16/p16319601/s59825509/4598aebc-969c6b3b-a13242a3-a9bd01f3-b870c101.jpg'],['files/p16/p16319601/s59680684/2e87f158-0b24dcfb-c1faa72a-75f96efd-3e82f4c4.jpg\n']
s59825509_1,p16319601,s59825509,1,Findings,"On upright portable chest radiograph there is continued increased lucency of the right upper lung; however, the pleural fold is no longer evident. There is persistent bilateral subcutaneous gas in the soft tissues of the neck as well as persistent trace pneumomedistinum at the level of the trachea. Lungs are clear. No pleural effusion. Cardiac and hilar contours are unremarkable.",There is persistent bilateral subcutaneous gas in the soft tissues of the neck as well as persistent trace pneumomedistinum at the level of the trachea.,subcutaneous gas,bilateral,Stable,['files/p16/p16319601/s59825509/4598aebc-969c6b3b-a13242a3-a9bd01f3-b870c101.jpg'],['files/p16/p16319601/s59680684/2e87f158-0b24dcfb-c1faa72a-75f96efd-3e82f4c4.jpg\n']
s59825509_1,p16319601,s59825509,1,Findings,"On upright portable chest radiograph there is continued increased lucency of the right upper lung; however, the pleural fold is no longer evident. There is persistent bilateral subcutaneous gas in the soft tissues of the neck as well as persistent trace pneumomedistinum at the level of the trachea. Lungs are clear. No pleural effusion. Cardiac and hilar contours are unremarkable.","On upright portable chest radiograph there is continued increased lucency of the right upper lung; however, the pleural fold is no longer evident.",lucency,right upper lung,Worse,['files/p16/p16319601/s59825509/4598aebc-969c6b3b-a13242a3-a9bd01f3-b870c101.jpg'],['files/p16/p16319601/s59680684/2e87f158-0b24dcfb-c1faa72a-75f96efd-3e82f4c4.jpg\n']
s59825509_1,p16319601,s59825509,1,Impression,Equivocal findings of right pneumothorax. Persistent pneumomediastinum or subcutaneous emphysema.,Persistent pneumomediastinum or subcutaneous emphysema.,pneumomediastinum,,Stable,['files/p16/p16319601/s59825509/4598aebc-969c6b3b-a13242a3-a9bd01f3-b870c101.jpg'],['files/p16/p16319601/s59680684/2e87f158-0b24dcfb-c1faa72a-75f96efd-3e82f4c4.jpg\n']
s59825509_1,p16319601,s59825509,1,Findings,"On upright portable chest radiograph there is continued increased lucency of the right upper lung; however, the pleural fold is no longer evident. There is persistent bilateral subcutaneous gas in the soft tissues of the neck as well as persistent trace pneumomedistinum at the level of the trachea. Lungs are clear. No pleural effusion. Cardiac and hilar contours are unremarkable.",There is persistent bilateral subcutaneous gas in the soft tissues of the neck as well as persistent trace pneumomedistinum at the level of the trachea.,pneumomedistinum,trachea,Stable,['files/p16/p16319601/s59825509/4598aebc-969c6b3b-a13242a3-a9bd01f3-b870c101.jpg'],['files/p16/p16319601/s59680684/2e87f158-0b24dcfb-c1faa72a-75f96efd-3e82f4c4.jpg\n']
s59826830_24,p16043637,s59826830,24,Findings,"AP portable semi upright view of the chest. Midline sternotomy wires, left chest wall pacer with 2 leads extending to the region of the right atrium and right ventricle and prosthetic cardiac valve are again seen. The lungs are clear. No focal consolidation, large effusion or pneumothorax is seen. The cardiomediastinal silhouette appears grossly unchanged allowing for differences in technique. Bony structures are intact. No free air below the right hemidiaphragm.","Midline sternotomy wires, left chest wall pacer with 2 leads extending to the region of the right atrium and right ventricle and prosthetic cardiac valve are again seen.",Pacer with 2 leads,Left chest wall,Stable,['files/p16/p16043637/s59826830/d531af35-5e195d3a-0756d7c2-7e3aff86-d6c94461.jpg'],"['files/p16/p16043637/s59440363/368f87de-9f5ace1d-685ab2ab-845aa8b8-5fd1e2ed.jpg\n', 'files/p16/p16043637/s59440363/4dd16b7e-2f2d14a6-589fa0e3-f24d8230-874d3c21.jpg\n']"
s59826830_24,p16043637,s59826830,24,Findings,"AP portable semi upright view of the chest. Midline sternotomy wires, left chest wall pacer with 2 leads extending to the region of the right atrium and right ventricle and prosthetic cardiac valve are again seen. The lungs are clear. No focal consolidation, large effusion or pneumothorax is seen. The cardiomediastinal silhouette appears grossly unchanged allowing for differences in technique. Bony structures are intact. No free air below the right hemidiaphragm.","Midline sternotomy wires, left chest wall pacer with 2 leads extending to the region of the right atrium and right ventricle and prosthetic cardiac valve are again seen.",Prosthetic cardiac valve,,Stable,['files/p16/p16043637/s59826830/d531af35-5e195d3a-0756d7c2-7e3aff86-d6c94461.jpg'],"['files/p16/p16043637/s59440363/368f87de-9f5ace1d-685ab2ab-845aa8b8-5fd1e2ed.jpg\n', 'files/p16/p16043637/s59440363/4dd16b7e-2f2d14a6-589fa0e3-f24d8230-874d3c21.jpg\n']"
s59826830_24,p16043637,s59826830,24,Findings,"AP portable semi upright view of the chest. Midline sternotomy wires, left chest wall pacer with 2 leads extending to the region of the right atrium and right ventricle and prosthetic cardiac valve are again seen. The lungs are clear. No focal consolidation, large effusion or pneumothorax is seen. The cardiomediastinal silhouette appears grossly unchanged allowing for differences in technique. Bony structures are intact. No free air below the right hemidiaphragm.","Midline sternotomy wires, left chest wall pacer with 2 leads extending to the region of the right atrium and right ventricle and prosthetic cardiac valve are again seen.",Sternotomy wires,Midline,Stable,['files/p16/p16043637/s59826830/d531af35-5e195d3a-0756d7c2-7e3aff86-d6c94461.jpg'],"['files/p16/p16043637/s59440363/368f87de-9f5ace1d-685ab2ab-845aa8b8-5fd1e2ed.jpg\n', 'files/p16/p16043637/s59440363/4dd16b7e-2f2d14a6-589fa0e3-f24d8230-874d3c21.jpg\n']"
s59826830_24,p16043637,s59826830,24,Findings,"AP portable semi upright view of the chest. Midline sternotomy wires, left chest wall pacer with 2 leads extending to the region of the right atrium and right ventricle and prosthetic cardiac valve are again seen. The lungs are clear. No focal consolidation, large effusion or pneumothorax is seen. The cardiomediastinal silhouette appears grossly unchanged allowing for differences in technique. Bony structures are intact. No free air below the right hemidiaphragm.",The cardiomediastinal silhouette appears grossly unchanged allowing for differences in technique.,Cardiomediastinal silhouette,,Stable,['files/p16/p16043637/s59826830/d531af35-5e195d3a-0756d7c2-7e3aff86-d6c94461.jpg'],"['files/p16/p16043637/s59440363/368f87de-9f5ace1d-685ab2ab-845aa8b8-5fd1e2ed.jpg\n', 'files/p16/p16043637/s59440363/4dd16b7e-2f2d14a6-589fa0e3-f24d8230-874d3c21.jpg\n']"
s59828891_32,p13896515,s59828891,32,Findings,"Patient is status post median sternotomy. Left-sided pacer device is grossly stable in position. There is a moderate left pleural effusion with overlying atelectasis, left base consolidation is not excluded. Similar pulmonary edema persists, possibly asymmetric on the left. No right pleural effusion is seen. There is no pneumothorax. Cardiac and mediastinal silhouettes are stable.",Left-sided pacer device is grossly stable in position.,pacer device,Left-sided,Stable,"['files/p13/p13896515/s59828891/ac8313a2-9e5439a8-e287d978-72c66b71-8d91da34.jpg', 'files/p13/p13896515/s59828891/dfa28d80-2c323234-0b53a9cc-fa22a300-37d9a55c.jpg']",['files/p13/p13896515/s59666373/97d5dca2-592bf7a2-9513cf15-b692dc63-7e494cd2.jpg\n']
s59828891_32,p13896515,s59828891,32,Findings,"Patient is status post median sternotomy. Left-sided pacer device is grossly stable in position. There is a moderate left pleural effusion with overlying atelectasis, left base consolidation is not excluded. Similar pulmonary edema persists, possibly asymmetric on the left. No right pleural effusion is seen. There is no pneumothorax. Cardiac and mediastinal silhouettes are stable.","Similar pulmonary edema persists, possibly asymmetric on the left.",pulmonary edema,left,Stable,"['files/p13/p13896515/s59828891/ac8313a2-9e5439a8-e287d978-72c66b71-8d91da34.jpg', 'files/p13/p13896515/s59828891/dfa28d80-2c323234-0b53a9cc-fa22a300-37d9a55c.jpg']",['files/p13/p13896515/s59666373/97d5dca2-592bf7a2-9513cf15-b692dc63-7e494cd2.jpg\n']
s59828891_32,p13896515,s59828891,32,Findings,"Patient is status post median sternotomy. Left-sided pacer device is grossly stable in position. There is a moderate left pleural effusion with overlying atelectasis, left base consolidation is not excluded. Similar pulmonary edema persists, possibly asymmetric on the left. No right pleural effusion is seen. There is no pneumothorax. Cardiac and mediastinal silhouettes are stable.",Cardiac and mediastinal silhouettes are stable.,Cardiac and mediastinal silhouettes,,Stable,"['files/p13/p13896515/s59828891/ac8313a2-9e5439a8-e287d978-72c66b71-8d91da34.jpg', 'files/p13/p13896515/s59828891/dfa28d80-2c323234-0b53a9cc-fa22a300-37d9a55c.jpg']",['files/p13/p13896515/s59666373/97d5dca2-592bf7a2-9513cf15-b692dc63-7e494cd2.jpg\n']
s59828891_32,p13896515,s59828891,32,Impression,"Moderate left pleural effusion with overlying atelectasis, underlying consolidation not excluded. Similar pulmonary edema.",Similar pulmonary edema.,pulmonary edema,,Stable,"['files/p13/p13896515/s59828891/ac8313a2-9e5439a8-e287d978-72c66b71-8d91da34.jpg', 'files/p13/p13896515/s59828891/dfa28d80-2c323234-0b53a9cc-fa22a300-37d9a55c.jpg']",['files/p13/p13896515/s59666373/97d5dca2-592bf7a2-9513cf15-b692dc63-7e494cd2.jpg\n']
s59836321_27,p16826047,s59836321,27,Findings,"A right-sided chest tube remains in unchanged position. There has been interval increase in extent of opacification of the right hemithorax, compatible with increasing size of a large layering right pleural effusion. Additionally, right basilar atelectasis is noted. Minimal patchy opacity in the left lung base may also reflect atelectasis. The heart size remains moderate to severely enlarged. Mediastinal contours are relatively unchanged. Mild element of pulmonary vascular congestion is likely present. No pneumothorax is identified. No acute osseous abnormalities are seen.",A right-sided chest tube remains in unchanged position.,chest tube,right-sided,Stable,['files/p16/p16826047/s59836321/1452c2ed-ce6c7d7b-02bcde56-a4636a4f-849b5534.jpg'],"['files/p16/p16826047/s59712299/00cab8db-89ed3680-c75f49b1-f4fdd419-f48303e6.jpg\n', 'files/p16/p16826047/s59712299/cfba203e-fe166598-71452568-2adea590-f7158b8f.jpg\n']"
s59836321_27,p16826047,s59836321,27,Impression,Increased size of large layering right pleural effusion with right basilar atelectasis. Probable mild pulmonary vascular congestion and left basilar mild atelectasis. Right-sided chest tube remains in unchanged position.,Right-sided chest tube remains in unchanged position.,chest tube,right-sided,Stable,['files/p16/p16826047/s59836321/1452c2ed-ce6c7d7b-02bcde56-a4636a4f-849b5534.jpg'],"['files/p16/p16826047/s59712299/00cab8db-89ed3680-c75f49b1-f4fdd419-f48303e6.jpg\n', 'files/p16/p16826047/s59712299/cfba203e-fe166598-71452568-2adea590-f7158b8f.jpg\n']"
s59836321_27,p16826047,s59836321,27,Impression,Increased size of large layering right pleural effusion with right basilar atelectasis. Probable mild pulmonary vascular congestion and left basilar mild atelectasis. Right-sided chest tube remains in unchanged position.,Increased size of large layering right pleural effusion with right basilar atelectasis.,basilar atelectasis,right,Worse,['files/p16/p16826047/s59836321/1452c2ed-ce6c7d7b-02bcde56-a4636a4f-849b5534.jpg'],"['files/p16/p16826047/s59712299/00cab8db-89ed3680-c75f49b1-f4fdd419-f48303e6.jpg\n', 'files/p16/p16826047/s59712299/cfba203e-fe166598-71452568-2adea590-f7158b8f.jpg\n']"
s59836321_27,p16826047,s59836321,27,Impression,Increased size of large layering right pleural effusion with right basilar atelectasis. Probable mild pulmonary vascular congestion and left basilar mild atelectasis. Right-sided chest tube remains in unchanged position.,Increased size of large layering right pleural effusion with right basilar atelectasis.,large layering right pleural effusion,right,Worse,['files/p16/p16826047/s59836321/1452c2ed-ce6c7d7b-02bcde56-a4636a4f-849b5534.jpg'],"['files/p16/p16826047/s59712299/00cab8db-89ed3680-c75f49b1-f4fdd419-f48303e6.jpg\n', 'files/p16/p16826047/s59712299/cfba203e-fe166598-71452568-2adea590-f7158b8f.jpg\n']"
s59836321_27,p16826047,s59836321,27,Findings,"A right-sided chest tube remains in unchanged position. There has been interval increase in extent of opacification of the right hemithorax, compatible with increasing size of a large layering right pleural effusion. Additionally, right basilar atelectasis is noted. Minimal patchy opacity in the left lung base may also reflect atelectasis. The heart size remains moderate to severely enlarged. Mediastinal contours are relatively unchanged. Mild element of pulmonary vascular congestion is likely present. No pneumothorax is identified. No acute osseous abnormalities are seen.",Mediastinal contours are relatively unchanged.,mediastinal contours,,Stable,['files/p16/p16826047/s59836321/1452c2ed-ce6c7d7b-02bcde56-a4636a4f-849b5534.jpg'],"['files/p16/p16826047/s59712299/00cab8db-89ed3680-c75f49b1-f4fdd419-f48303e6.jpg\n', 'files/p16/p16826047/s59712299/cfba203e-fe166598-71452568-2adea590-f7158b8f.jpg\n']"
s59836321_27,p16826047,s59836321,27,Findings,"A right-sided chest tube remains in unchanged position. There has been interval increase in extent of opacification of the right hemithorax, compatible with increasing size of a large layering right pleural effusion. Additionally, right basilar atelectasis is noted. Minimal patchy opacity in the left lung base may also reflect atelectasis. The heart size remains moderate to severely enlarged. Mediastinal contours are relatively unchanged. Mild element of pulmonary vascular congestion is likely present. No pneumothorax is identified. No acute osseous abnormalities are seen.",The heart size remains moderate to severely enlarged.,heart size,,Stable,['files/p16/p16826047/s59836321/1452c2ed-ce6c7d7b-02bcde56-a4636a4f-849b5534.jpg'],"['files/p16/p16826047/s59712299/00cab8db-89ed3680-c75f49b1-f4fdd419-f48303e6.jpg\n', 'files/p16/p16826047/s59712299/cfba203e-fe166598-71452568-2adea590-f7158b8f.jpg\n']"
s59836321_27,p16826047,s59836321,27,Findings,"A right-sided chest tube remains in unchanged position. There has been interval increase in extent of opacification of the right hemithorax, compatible with increasing size of a large layering right pleural effusion. Additionally, right basilar atelectasis is noted. Minimal patchy opacity in the left lung base may also reflect atelectasis. The heart size remains moderate to severely enlarged. Mediastinal contours are relatively unchanged. Mild element of pulmonary vascular congestion is likely present. No pneumothorax is identified. No acute osseous abnormalities are seen.","There has been interval increase in extent of opacification of the right hemithorax, compatible with increasing size of a large layering right pleural effusion.",large layering right pleural effusion,right hemithorax,Worse,['files/p16/p16826047/s59836321/1452c2ed-ce6c7d7b-02bcde56-a4636a4f-849b5534.jpg'],"['files/p16/p16826047/s59712299/00cab8db-89ed3680-c75f49b1-f4fdd419-f48303e6.jpg\n', 'files/p16/p16826047/s59712299/cfba203e-fe166598-71452568-2adea590-f7158b8f.jpg\n']"
s59838108_8,p19061282,s59838108,8,Impression,"1. Right IJ sheath position appears slightly proximal to the right subclavian vein at the site where a stent is seen. There is also kinking of the sheath at the skin. Correlation with specifics of clinical presentation is requested.Targeted review of the report from a ___ chest CT refers to occlusion of the left subclavian vein stent. 2. Left lower lobe collapse and/or consolidation and minimal patchy opacity at the right base, unchanged. 3. Extensive calcified granulomas, similar to prior. 4. Diffusely increased osseous density. There is an extensive differential, which should be correlated with the clinical presentation. The differential includes changes due to osteodystrophy. In the appropriate clinical setting, osteosclerosis could have a similar appearance.","2. Left lower lobe collapse and/or consolidation and minimal patchy opacity at the right base, unchanged.",patchy opacity,right base,Stable,"['files/p19/p19061282/s59838108/22bfb9c3-48dc5066-5924828a-23e779f2-11ad6018.jpg', 'files/p19/p19061282/s59838108/82b52867-74eba7eb-689f334c-c20056f2-3590de32.jpg']",['files/p19/p19061282/s59509358/596ada03-4cd1298c-35965d3c-db44850a-0baa9257.jpg\n']
s59838108_8,p19061282,s59838108,8,Impression,"1. Right IJ sheath position appears slightly proximal to the right subclavian vein at the site where a stent is seen. There is also kinking of the sheath at the skin. Correlation with specifics of clinical presentation is requested.Targeted review of the report from a ___ chest CT refers to occlusion of the left subclavian vein stent. 2. Left lower lobe collapse and/or consolidation and minimal patchy opacity at the right base, unchanged. 3. Extensive calcified granulomas, similar to prior. 4. Diffusely increased osseous density. There is an extensive differential, which should be correlated with the clinical presentation. The differential includes changes due to osteodystrophy. In the appropriate clinical setting, osteosclerosis could have a similar appearance.","2. Left lower lobe collapse and/or consolidation and minimal patchy opacity at the right base, unchanged.",collapse and/or consolidation,left lower lobe,Stable,"['files/p19/p19061282/s59838108/22bfb9c3-48dc5066-5924828a-23e779f2-11ad6018.jpg', 'files/p19/p19061282/s59838108/82b52867-74eba7eb-689f334c-c20056f2-3590de32.jpg']",['files/p19/p19061282/s59509358/596ada03-4cd1298c-35965d3c-db44850a-0baa9257.jpg\n']
s59838108_8,p19061282,s59838108,8,Impression,"1. Right IJ sheath position appears slightly proximal to the right subclavian vein at the site where a stent is seen. There is also kinking of the sheath at the skin. Correlation with specifics of clinical presentation is requested.Targeted review of the report from a ___ chest CT refers to occlusion of the left subclavian vein stent. 2. Left lower lobe collapse and/or consolidation and minimal patchy opacity at the right base, unchanged. 3. Extensive calcified granulomas, similar to prior. 4. Diffusely increased osseous density. There is an extensive differential, which should be correlated with the clinical presentation. The differential includes changes due to osteodystrophy. In the appropriate clinical setting, osteosclerosis could have a similar appearance.","3. Extensive calcified granulomas, similar to prior.",calcified granulomas,,Stable,"['files/p19/p19061282/s59838108/22bfb9c3-48dc5066-5924828a-23e779f2-11ad6018.jpg', 'files/p19/p19061282/s59838108/82b52867-74eba7eb-689f334c-c20056f2-3590de32.jpg']",['files/p19/p19061282/s59509358/596ada03-4cd1298c-35965d3c-db44850a-0baa9257.jpg\n']
s59838108_8,p19061282,s59838108,8,Findings,"CHEST, SINGLE AP PORTABLE VIEW The carina is not well delineated. Allowing for this, the ET tube lies approximately 4.6-5.3 cm above the carina. An NG tube is present -- the tip extends beneath diaphragm, off film. Additional tubing is looped over the upper abdomen in the midline. A right IJ sheath is present, tip over distal IJ, proximal to its point of confluence with the subclavian vessel. Of note, a stent is present in this location. An additional stent is seen along the expected course of the left innominate vein. The lungs are hyperinflated. The heart lies to the left of midline, raising the question of some volume loss on the left side. There is increased retrocardiac density. There are prominent interstitial markings in both lungs, of uncertain etiology or significance. The hila are obscured by the interstitial markings. No gross effusion. Innumerable calcific densities in the spleen suggest prior granulomatous disease. Two calcified nodes are also seen along the expected course of the splenic artery. Question also a calcified node in the neck. The bones appear diffusely dense. Compared to ___, no definite change is detected. Increased retrocardiac density consistent with left lower lobe collapse and/or consolidation is again seen.",Increased retrocardiac density consistent with left lower lobe collapse and/or consolidation is again seen.,collapse and/or consolidation,left lower lobe,Stable,"['files/p19/p19061282/s59838108/22bfb9c3-48dc5066-5924828a-23e779f2-11ad6018.jpg', 'files/p19/p19061282/s59838108/82b52867-74eba7eb-689f334c-c20056f2-3590de32.jpg']",['files/p19/p19061282/s59509358/596ada03-4cd1298c-35965d3c-db44850a-0baa9257.jpg\n']
s59839373_1,p14851532,s59839373,1,Impression,1. Incompletely characterized known pulmonary nodules concerning for malignancy. 2. Unchanged subsegmental basilar atelectasis and possible small bilateral pleural effusions. 3. Increased opacity in the right mid lung may reflect pneumonia or possibly asymmetric pulmonary edema.,Unchanged subsegmental basilar atelectasis and possible small bilateral pleural effusions.,small pleural effusions,bilateral,Stable,['files/p14/p14851532/s59839373/2c64848d-cd007bfa-b3e2c794-d206cd7b-26b4ec95.jpg'],['files/p14/p14851532/s59794465/e6250467-5024835a-ee6e25b1-59ef82bc-d2a286a5.jpg\n']
s59839373_1,p14851532,s59839373,1,Impression,1. Incompletely characterized known pulmonary nodules concerning for malignancy. 2. Unchanged subsegmental basilar atelectasis and possible small bilateral pleural effusions. 3. Increased opacity in the right mid lung may reflect pneumonia or possibly asymmetric pulmonary edema.,Unchanged subsegmental basilar atelectasis and possible small bilateral pleural effusions.,subsegmental atelectasis,basilar,Stable,['files/p14/p14851532/s59839373/2c64848d-cd007bfa-b3e2c794-d206cd7b-26b4ec95.jpg'],['files/p14/p14851532/s59794465/e6250467-5024835a-ee6e25b1-59ef82bc-d2a286a5.jpg\n']
s59839373_1,p14851532,s59839373,1,Findings,Known heterogeneous consolidation in the left mid lung is not well seen on this single frontal view. Additional known nodules are also not well characterized on this radiographic examination. Linear opacities in the lung bases are similar compared to prior and likely reflect subsegmental atelectasis. No overt pulmonary edema is identified. Increased attenuation in the right mid-lung could reflect pneumonia or asymmetric pulmonary edema. Mild blunting of the bilateral costophrenic angles is unchanged and possibly due to small effusions or chronic pleural thickening. Cardiomediastinal and hilar contours are within normal limits.,Mild blunting of the bilateral costophrenic angles is unchanged and possibly due to small effusions or chronic pleural thickening.,small effusions or chronic pleural thickening,bilateral costophrenic angles,Stable,['files/p14/p14851532/s59839373/2c64848d-cd007bfa-b3e2c794-d206cd7b-26b4ec95.jpg'],['files/p14/p14851532/s59794465/e6250467-5024835a-ee6e25b1-59ef82bc-d2a286a5.jpg\n']
s59839373_1,p14851532,s59839373,1,Findings,Known heterogeneous consolidation in the left mid lung is not well seen on this single frontal view. Additional known nodules are also not well characterized on this radiographic examination. Linear opacities in the lung bases are similar compared to prior and likely reflect subsegmental atelectasis. No overt pulmonary edema is identified. Increased attenuation in the right mid-lung could reflect pneumonia or asymmetric pulmonary edema. Mild blunting of the bilateral costophrenic angles is unchanged and possibly due to small effusions or chronic pleural thickening. Cardiomediastinal and hilar contours are within normal limits.,Linear opacities in the lung bases are similar compared to prior and likely reflect subsegmental atelectasis.,subsegmental atelectasis,lung bases,Stable,['files/p14/p14851532/s59839373/2c64848d-cd007bfa-b3e2c794-d206cd7b-26b4ec95.jpg'],['files/p14/p14851532/s59794465/e6250467-5024835a-ee6e25b1-59ef82bc-d2a286a5.jpg\n']
s59842151_18,p16508811,s59842151,18,Findings,Lines and Tubes: Stable right IJ line tip position. Lungs: Low lung volumes with mild worsening of pulmonary edema. Pleura: Small left pleural effusion. Mediastinum: Stable cardiomegaly. Bony thorax: No change,Lungs: Low lung volumes with mild worsening of pulmonary edema.,pulmonary edema,,Worse,['files/p16/p16508811/s59842151/430e6100-bae3aa34-d72132a7-2c61b505-8d2056bb.jpg'],['files/p16/p16508811/s59258574/524967a5-136b039a-0f60c1fe-2450be2a-a34378a7.jpg\n']
s59842151_18,p16508811,s59842151,18,Findings,Lines and Tubes: Stable right IJ line tip position. Lungs: Low lung volumes with mild worsening of pulmonary edema. Pleura: Small left pleural effusion. Mediastinum: Stable cardiomegaly. Bony thorax: No change,Mediastinum: Stable cardiomegaly.,cardiomegaly,,Stable,['files/p16/p16508811/s59842151/430e6100-bae3aa34-d72132a7-2c61b505-8d2056bb.jpg'],['files/p16/p16508811/s59258574/524967a5-136b039a-0f60c1fe-2450be2a-a34378a7.jpg\n']
s59842151_18,p16508811,s59842151,18,Impression,Mild interval worsening of pulmonary edema with unchanged left pleural effusion and cardiomegaly.,Mild interval worsening of pulmonary edema with unchanged left pleural effusion and cardiomegaly.,pulmonary edema,,Worse,['files/p16/p16508811/s59842151/430e6100-bae3aa34-d72132a7-2c61b505-8d2056bb.jpg'],['files/p16/p16508811/s59258574/524967a5-136b039a-0f60c1fe-2450be2a-a34378a7.jpg\n']
s59842151_18,p16508811,s59842151,18,Findings,Lines and Tubes: Stable right IJ line tip position. Lungs: Low lung volumes with mild worsening of pulmonary edema. Pleura: Small left pleural effusion. Mediastinum: Stable cardiomegaly. Bony thorax: No change,Lines and Tubes: Stable right IJ line tip position.,line tip,right IJ,Stable,['files/p16/p16508811/s59842151/430e6100-bae3aa34-d72132a7-2c61b505-8d2056bb.jpg'],['files/p16/p16508811/s59258574/524967a5-136b039a-0f60c1fe-2450be2a-a34378a7.jpg\n']
s59842808_1,p12966004,s59842808,1,Findings,Endotracheal tube terminates 2 cm above the carina. Orogastric tube terminates in the stomach. Right internal jugular catheter terminates in the mid SVC. Lungs are low in volume with stable right upper lung opacities which are better assessed on the recent chest CT but suspicious for pneumonia. There is no pneumothorax or pleural effusion. Heart is normal in size. Normal cardiomediastinal silhouette.,Lungs are low in volume with stable right upper lung opacities which are better assessed on the recent chest CT but suspicious for pneumonia.,opacities,right upper lung,Stable,['files/p12/p12966004/s59842808/bbdcb05c-156dd562-ae7470ee-946facfc-07efcfcd.jpg'],['files/p12/p12966004/s57399078/85904052-28d3a26a-9a756f5e-03c7a51b-3a9f5f19.jpg\n']
s59842808_1,p12966004,s59842808,1,Impression,1. Satisfactory position of monitoring and support devices. Aside from ET tube which is 2 cm above the carina and can be slightly withdrawn. This finding was discussed with ICU RN ___ at ___ by phone on ___ by Dr. ___. 2. Unchanged right upper lung pulmonary opacities which could reflect pneumonia.,Unchanged right upper lung pulmonary opacities which could reflect pneumonia.,pulmonary opacities,right upper lung,Stable,['files/p12/p12966004/s59842808/bbdcb05c-156dd562-ae7470ee-946facfc-07efcfcd.jpg'],['files/p12/p12966004/s57399078/85904052-28d3a26a-9a756f5e-03c7a51b-3a9f5f19.jpg\n']
s59847128_28,p19182863,s59847128,28,Findings,Reappearance of moderate right pleural effusion obscures the right heart border. There is elevation of the right hemidiaphragm. The cardiac silhouette continues to be mildly enlarged with no signs of vascular congestion. No focal consolidation is seen. Left internal jugular catheter ends in a known left persistent vena cava.,Reappearance of moderate right pleural effusion obscures the right heart border.,pleural effusion,right,New,['files/p19/p19182863/s59847128/22353454-97e7e0d1-d2711b39-b8159585-512d3c23.jpg'],"['files/p19/p19182863/s59761780/107d4674-d529a650-60ab04ff-86d99349-837a4289.jpg\n', 'files/p19/p19182863/s59761780/7f83f5d5-3afe2911-3b666b80-5dbde6e1-f2a9d980.jpg\n']"
s59847128_28,p19182863,s59847128,28,Findings,Reappearance of moderate right pleural effusion obscures the right heart border. There is elevation of the right hemidiaphragm. The cardiac silhouette continues to be mildly enlarged with no signs of vascular congestion. No focal consolidation is seen. Left internal jugular catheter ends in a known left persistent vena cava.,The cardiac silhouette continues to be mildly enlarged with no signs of vascular congestion.,cardiac silhouette,,Stable,['files/p19/p19182863/s59847128/22353454-97e7e0d1-d2711b39-b8159585-512d3c23.jpg'],"['files/p19/p19182863/s59761780/107d4674-d529a650-60ab04ff-86d99349-837a4289.jpg\n', 'files/p19/p19182863/s59761780/7f83f5d5-3afe2911-3b666b80-5dbde6e1-f2a9d980.jpg\n']"
s59847128_28,p19182863,s59847128,28,Impression,Reappearance of moderate right pleural effusion.,Reappearance of moderate right pleural effusion.,pleural effusion,right,New,['files/p19/p19182863/s59847128/22353454-97e7e0d1-d2711b39-b8159585-512d3c23.jpg'],"['files/p19/p19182863/s59761780/107d4674-d529a650-60ab04ff-86d99349-837a4289.jpg\n', 'files/p19/p19182863/s59761780/7f83f5d5-3afe2911-3b666b80-5dbde6e1-f2a9d980.jpg\n']"
s59862902_52,p13475033,s59862902,52,Findings,"Bilateral interstitial opacities likely represent interstitial edema. There is no new focal consolidation, pleural effusion, or pneumothorax. Cardiomegaly persists. The mediastinal and hilar contours are unchanged. Leftward scoliosis of the thoracic size stable.",Leftward scoliosis of the thoracic size stable.,Leftward scoliosis of the thoracic spine,,Stable,"['files/p13/p13475033/s59862902/02ed59f0-43d0aa6f-4bf3340b-c891b4b8-42ea5f9b.jpg', 'files/p13/p13475033/s59862902/44f95a25-6a2ce6f3-945c8d55-81166fc3-2e583415.jpg']","['files/p13/p13475033/s59787158/0f5eff83-85fc727f-a7691318-ee53b149-e9d6062b.jpg\n', 'files/p13/p13475033/s59787158/b0a3c7f8-26d03d87-2b85a969-b02fab24-22c44433.jpg\n']"
s59862902_52,p13475033,s59862902,52,Findings,"Bilateral interstitial opacities likely represent interstitial edema. There is no new focal consolidation, pleural effusion, or pneumothorax. Cardiomegaly persists. The mediastinal and hilar contours are unchanged. Leftward scoliosis of the thoracic size stable.",Cardiomegaly persists.,Cardiomegaly,,Stable,"['files/p13/p13475033/s59862902/02ed59f0-43d0aa6f-4bf3340b-c891b4b8-42ea5f9b.jpg', 'files/p13/p13475033/s59862902/44f95a25-6a2ce6f3-945c8d55-81166fc3-2e583415.jpg']","['files/p13/p13475033/s59787158/0f5eff83-85fc727f-a7691318-ee53b149-e9d6062b.jpg\n', 'files/p13/p13475033/s59787158/b0a3c7f8-26d03d87-2b85a969-b02fab24-22c44433.jpg\n']"
s59862902_52,p13475033,s59862902,52,Findings,"Bilateral interstitial opacities likely represent interstitial edema. There is no new focal consolidation, pleural effusion, or pneumothorax. Cardiomegaly persists. The mediastinal and hilar contours are unchanged. Leftward scoliosis of the thoracic size stable.",The mediastinal and hilar contours are unchanged.,Mediastinal and hilar contours,,Stable,"['files/p13/p13475033/s59862902/02ed59f0-43d0aa6f-4bf3340b-c891b4b8-42ea5f9b.jpg', 'files/p13/p13475033/s59862902/44f95a25-6a2ce6f3-945c8d55-81166fc3-2e583415.jpg']","['files/p13/p13475033/s59787158/0f5eff83-85fc727f-a7691318-ee53b149-e9d6062b.jpg\n', 'files/p13/p13475033/s59787158/b0a3c7f8-26d03d87-2b85a969-b02fab24-22c44433.jpg\n']"
s59870920_2,p12810135,s59870920,2,Findings,"There is moderate pulmonary edema, but no pleural effusion or pneumothorax. Heart size is top-normal, stable. Mediastinal contours are within normal limits. Osseous structures are intact.","Heart size is top-normal, stable.",Heart size,,Stable,['files/p12/p12810135/s59870920/9e0fc31a-ce25b7bc-30362279-d96a0c0c-f6d54e86.jpg'],"['files/p12/p12810135/s54423763/68357b9a-c391fe0e-c46ceb11-56f5225f-0a5da9a3.jpg\n', 'files/p12/p12810135/s54423763/f3d55fb5-65898a76-c35f1782-805b2fd0-ffaa1772.jpg\n']"
s59873070_5,p13352405,s59873070,5,Findings,"As compared to the previous examination from ___, the rounded pleural opacity (should not be mistaken for a mass) on the right, caused by encapsulated pleural effusion, has almost completely resolved. The right pleural effusion has decreased in extent. However, there is elevation of the hemidiaphragm, a small basal pleural effusion and subsequent areas of atelectasis. On the left, the lung parenchyma now appears normal. Healed left rib fractures are visible. Normal size of the cardiac silhouette. Mild tortuosity of the thoracic aorta.",The right pleural effusion has decreased in extent.,pleural effusion,right,Better,"['files/p13/p13352405/s59873070/3c333c52-c86e232a-705001ae-b328c40c-41096f34.jpg', 'files/p13/p13352405/s59873070/54ce3eba-5d2811d9-139815ff-e9051cb4-c932e904.jpg']",['files/p13/p13352405/s59616378/ad2bd086-921f17c8-b1dd649c-09b63b13-1c0ae6e7.jpg\n']
s59873070_5,p13352405,s59873070,5,Findings,"As compared to the previous examination from ___, the rounded pleural opacity (should not be mistaken for a mass) on the right, caused by encapsulated pleural effusion, has almost completely resolved. The right pleural effusion has decreased in extent. However, there is elevation of the hemidiaphragm, a small basal pleural effusion and subsequent areas of atelectasis. On the left, the lung parenchyma now appears normal. Healed left rib fractures are visible. Normal size of the cardiac silhouette. Mild tortuosity of the thoracic aorta.","As compared to the previous examination from ___, the rounded pleural opacity (should not be mistaken for a mass) on the right, caused by encapsulated pleural effusion, has almost completely resolved.",rounded pleural opacity,right,Resolve,"['files/p13/p13352405/s59873070/3c333c52-c86e232a-705001ae-b328c40c-41096f34.jpg', 'files/p13/p13352405/s59873070/54ce3eba-5d2811d9-139815ff-e9051cb4-c932e904.jpg']",['files/p13/p13352405/s59616378/ad2bd086-921f17c8-b1dd649c-09b63b13-1c0ae6e7.jpg\n']
s59873563_23,p12952223,s59873563,23,Findings,"In comparison with the study of ___, there is little overall change in the appearance of the heart and lungs. Continued low lung volumes with bilateral pleural effusions and compressive atelectasis with some elevation of pulmonary venous pressure. In the appropriate clinical setting, supervening pneumonia would have to be considered. There has been removal of the right chest tube with no evidence of pneumothorax. The intestinal tube has also been removed.",There has been removal of the right chest tube with no evidence of pneumothorax.,chest tube,right chest,Resolve,['files/p12/p12952223/s59873563/b3e4ebe4-483b4cbe-499b39c6-b6299065-c14cba2d.jpg'],['files/p12/p12952223/s59762556/c9479a79-1b877264-b3222893-a2b4e2b9-8eba1e3f.jpg\n']
s59873563_23,p12952223,s59873563,23,Findings,"In comparison with the study of ___, there is little overall change in the appearance of the heart and lungs. Continued low lung volumes with bilateral pleural effusions and compressive atelectasis with some elevation of pulmonary venous pressure. In the appropriate clinical setting, supervening pneumonia would have to be considered. There has been removal of the right chest tube with no evidence of pneumothorax. The intestinal tube has also been removed.","In comparison with the study of ___, there is little overall change in the appearance of the heart and lungs.",appearance,heart and lungs,Stable,['files/p12/p12952223/s59873563/b3e4ebe4-483b4cbe-499b39c6-b6299065-c14cba2d.jpg'],['files/p12/p12952223/s59762556/c9479a79-1b877264-b3222893-a2b4e2b9-8eba1e3f.jpg\n']
s59873563_23,p12952223,s59873563,23,Findings,"In comparison with the study of ___, there is little overall change in the appearance of the heart and lungs. Continued low lung volumes with bilateral pleural effusions and compressive atelectasis with some elevation of pulmonary venous pressure. In the appropriate clinical setting, supervening pneumonia would have to be considered. There has been removal of the right chest tube with no evidence of pneumothorax. The intestinal tube has also been removed.",The intestinal tube has also been removed.,tube,intestinal,Resolve,['files/p12/p12952223/s59873563/b3e4ebe4-483b4cbe-499b39c6-b6299065-c14cba2d.jpg'],['files/p12/p12952223/s59762556/c9479a79-1b877264-b3222893-a2b4e2b9-8eba1e3f.jpg\n']
s59875077_6,p14727722,s59875077,6,Impression,"Interval extubation and removal of enteric tube with unchanged severe cardiomegaly, moderate pericardial effusion, and moderate pulmonary edema.","Interval extubation and removal of enteric tube with unchanged severe cardiomegaly, moderate pericardial effusion, and moderate pulmonary edema.",cardiomegaly,,Stable,['files/p14/p14727722/s59875077/1e26d8ef-0ea74c80-7ea8a0b8-18ef7113-3ea5c204.jpg'],['files/p14/p14727722/s59816233/5e2919b3-f5b224d9-f8a61359-61a65dbd-1f996976.jpg\n']
s59875077_6,p14727722,s59875077,6,Findings,"Frontal radiograph of the chest. Compared to the prior study, the patient has been extubated. There is no change in the right internal jugular central venous catheter. Enteric tube has been removed. Marked cardiomegaly is unchanged with pericardial effusion noted on recent CT. Widened mediastinum is unchanged. Degree of bilateral pulmonary vascular congestion and increased interstitial markings indicative of pulmonary edema is unchanged. Left lower lobe ateleftasis or pneumonia, opacity.",There is no change in the right internal jugular central venous catheter.,central venous catheter,right internal jugular,Stable,['files/p14/p14727722/s59875077/1e26d8ef-0ea74c80-7ea8a0b8-18ef7113-3ea5c204.jpg'],['files/p14/p14727722/s59816233/5e2919b3-f5b224d9-f8a61359-61a65dbd-1f996976.jpg\n']
s59875077_6,p14727722,s59875077,6,Findings,"Frontal radiograph of the chest. Compared to the prior study, the patient has been extubated. There is no change in the right internal jugular central venous catheter. Enteric tube has been removed. Marked cardiomegaly is unchanged with pericardial effusion noted on recent CT. Widened mediastinum is unchanged. Degree of bilateral pulmonary vascular congestion and increased interstitial markings indicative of pulmonary edema is unchanged. Left lower lobe ateleftasis or pneumonia, opacity.",Degree of bilateral pulmonary vascular congestion and increased interstitial markings indicative of pulmonary edema is unchanged.,pulmonary vascular congestion,bilateral,Stable,['files/p14/p14727722/s59875077/1e26d8ef-0ea74c80-7ea8a0b8-18ef7113-3ea5c204.jpg'],['files/p14/p14727722/s59816233/5e2919b3-f5b224d9-f8a61359-61a65dbd-1f996976.jpg\n']
s59875077_6,p14727722,s59875077,6,Findings,"Frontal radiograph of the chest. Compared to the prior study, the patient has been extubated. There is no change in the right internal jugular central venous catheter. Enteric tube has been removed. Marked cardiomegaly is unchanged with pericardial effusion noted on recent CT. Widened mediastinum is unchanged. Degree of bilateral pulmonary vascular congestion and increased interstitial markings indicative of pulmonary edema is unchanged. Left lower lobe ateleftasis or pneumonia, opacity.",Widened mediastinum is unchanged.,widened mediastinum,,Stable,['files/p14/p14727722/s59875077/1e26d8ef-0ea74c80-7ea8a0b8-18ef7113-3ea5c204.jpg'],['files/p14/p14727722/s59816233/5e2919b3-f5b224d9-f8a61359-61a65dbd-1f996976.jpg\n']
s59875077_6,p14727722,s59875077,6,Findings,"Frontal radiograph of the chest. Compared to the prior study, the patient has been extubated. There is no change in the right internal jugular central venous catheter. Enteric tube has been removed. Marked cardiomegaly is unchanged with pericardial effusion noted on recent CT. Widened mediastinum is unchanged. Degree of bilateral pulmonary vascular congestion and increased interstitial markings indicative of pulmonary edema is unchanged. Left lower lobe ateleftasis or pneumonia, opacity.",Marked cardiomegaly is unchanged with pericardial effusion noted on recent CT.,cardiomegaly,,Stable,['files/p14/p14727722/s59875077/1e26d8ef-0ea74c80-7ea8a0b8-18ef7113-3ea5c204.jpg'],['files/p14/p14727722/s59816233/5e2919b3-f5b224d9-f8a61359-61a65dbd-1f996976.jpg\n']
s59875077_6,p14727722,s59875077,6,Findings,"Frontal radiograph of the chest. Compared to the prior study, the patient has been extubated. There is no change in the right internal jugular central venous catheter. Enteric tube has been removed. Marked cardiomegaly is unchanged with pericardial effusion noted on recent CT. Widened mediastinum is unchanged. Degree of bilateral pulmonary vascular congestion and increased interstitial markings indicative of pulmonary edema is unchanged. Left lower lobe ateleftasis or pneumonia, opacity.",Enteric tube has been removed.,enteric tube,,Resolve,['files/p14/p14727722/s59875077/1e26d8ef-0ea74c80-7ea8a0b8-18ef7113-3ea5c204.jpg'],['files/p14/p14727722/s59816233/5e2919b3-f5b224d9-f8a61359-61a65dbd-1f996976.jpg\n']
s59875077_6,p14727722,s59875077,6,Findings,"Frontal radiograph of the chest. Compared to the prior study, the patient has been extubated. There is no change in the right internal jugular central venous catheter. Enteric tube has been removed. Marked cardiomegaly is unchanged with pericardial effusion noted on recent CT. Widened mediastinum is unchanged. Degree of bilateral pulmonary vascular congestion and increased interstitial markings indicative of pulmonary edema is unchanged. Left lower lobe ateleftasis or pneumonia, opacity.","Compared to the prior study, the patient has been extubated.",extubation,,Resolve,['files/p14/p14727722/s59875077/1e26d8ef-0ea74c80-7ea8a0b8-18ef7113-3ea5c204.jpg'],['files/p14/p14727722/s59816233/5e2919b3-f5b224d9-f8a61359-61a65dbd-1f996976.jpg\n']
s59875098_2,p17962324,s59875098,2,Findings,"An opacity at the base of the right lung is not similar in appearance to chest radiograph on ___ and may represent overlapping structures. However, an opacity in the retrocardiac clear space on the left is new. Additionally, there is an opacity at the left posterior costophrenic The cardiomediastinal silhouette and hilar contours are normal. There is no pneumothorax. Sternotomy wires and surgical clips are again seen and not significantly changed in appearance.",Sternotomy wires and surgical clips are again seen and not significantly changed in appearance.,Sternotomy wires and surgical clips,,Stable,"['files/p17/p17962324/s59875098/2830f665-0aaa29d2-595be5a7-693ce7bf-c71d0c0b.jpg', 'files/p17/p17962324/s59875098/9188d253-7432f199-b8668189-c4b015e6-24ed4f79.jpg']",['files/p17/p17962324/s58141612/b5f871d3-8702f640-44c08eed-e1b45081-74211f61.jpg\n']
s59875098_2,p17962324,s59875098,2,Findings,"An opacity at the base of the right lung is not similar in appearance to chest radiograph on ___ and may represent overlapping structures. However, an opacity in the retrocardiac clear space on the left is new. Additionally, there is an opacity at the left posterior costophrenic The cardiomediastinal silhouette and hilar contours are normal. There is no pneumothorax. Sternotomy wires and surgical clips are again seen and not significantly changed in appearance.","However, an opacity in the retrocardiac clear space on the left is new.",Opacity,retrocardiac clear space on the left,New,"['files/p17/p17962324/s59875098/2830f665-0aaa29d2-595be5a7-693ce7bf-c71d0c0b.jpg', 'files/p17/p17962324/s59875098/9188d253-7432f199-b8668189-c4b015e6-24ed4f79.jpg']",['files/p17/p17962324/s58141612/b5f871d3-8702f640-44c08eed-e1b45081-74211f61.jpg\n']
s59875098_2,p17962324,s59875098,2,Findings,"An opacity at the base of the right lung is not similar in appearance to chest radiograph on ___ and may represent overlapping structures. However, an opacity in the retrocardiac clear space on the left is new. Additionally, there is an opacity at the left posterior costophrenic The cardiomediastinal silhouette and hilar contours are normal. There is no pneumothorax. Sternotomy wires and surgical clips are again seen and not significantly changed in appearance.",An opacity at the base of the right lung is not similar in appearance to chest radiograph on ___ and may represent overlapping structures.,Opacity,base of the right lung,Stable,"['files/p17/p17962324/s59875098/2830f665-0aaa29d2-595be5a7-693ce7bf-c71d0c0b.jpg', 'files/p17/p17962324/s59875098/9188d253-7432f199-b8668189-c4b015e6-24ed4f79.jpg']",['files/p17/p17962324/s58141612/b5f871d3-8702f640-44c08eed-e1b45081-74211f61.jpg\n']
s59876822_1,p19765968,s59876822,1,Impression,New left lower lobe early pneumonia. These findings were discussed with Dr. ___ at 11:35 a.m. on ___ by telephone.,New left lower lobe early pneumonia.,early pneumonia,left lower lobe,New,"['files/p19/p19765968/s59876822/9f7bb56e-f8a06183-fe21858a-22ed5544-a68af3f8.jpg', 'files/p19/p19765968/s59876822/ab062fe2-bf183eec-059ed8b1-b3b1917c-26fe6fdc.jpg']","['files/p19/p19765968/s58225243/82781fc3-e4107008-274209ea-98d59f1a-120c9113.jpg\n', 'files/p19/p19765968/s58225243/db9e4471-b977972b-27adc624-e77cf1df-13e56a0c.jpg\n']"
s59876822_1,p19765968,s59876822,1,Findings,"PA and lateral views of the chest. A new heterogeneous opacity is seen in the retrocardiac posterior left lower lobe suggestive of early infiltrate. The right lung is clear. The heart size is unchanged. There is no pulmonary edema, pleural effusions or pneumothorax. The cardiac, mediastinal, and hilar contours are normal. The mild compression deformities of two mid thoracic vertebral bodies are stable. No new fractures.",A new heterogeneous opacity is seen in the retrocardiac posterior left lower lobe suggestive of early infiltrate.,heterogeneous opacity,retrocardiac posterior left lower lobe,New,"['files/p19/p19765968/s59876822/9f7bb56e-f8a06183-fe21858a-22ed5544-a68af3f8.jpg', 'files/p19/p19765968/s59876822/ab062fe2-bf183eec-059ed8b1-b3b1917c-26fe6fdc.jpg']","['files/p19/p19765968/s58225243/82781fc3-e4107008-274209ea-98d59f1a-120c9113.jpg\n', 'files/p19/p19765968/s58225243/db9e4471-b977972b-27adc624-e77cf1df-13e56a0c.jpg\n']"
s59876822_1,p19765968,s59876822,1,Findings,"PA and lateral views of the chest. A new heterogeneous opacity is seen in the retrocardiac posterior left lower lobe suggestive of early infiltrate. The right lung is clear. The heart size is unchanged. There is no pulmonary edema, pleural effusions or pneumothorax. The cardiac, mediastinal, and hilar contours are normal. The mild compression deformities of two mid thoracic vertebral bodies are stable. No new fractures.",The mild compression deformities of two mid thoracic vertebral bodies are stable.,vertebral bodies compression deformities,mid thoracic,Stable,"['files/p19/p19765968/s59876822/9f7bb56e-f8a06183-fe21858a-22ed5544-a68af3f8.jpg', 'files/p19/p19765968/s59876822/ab062fe2-bf183eec-059ed8b1-b3b1917c-26fe6fdc.jpg']","['files/p19/p19765968/s58225243/82781fc3-e4107008-274209ea-98d59f1a-120c9113.jpg\n', 'files/p19/p19765968/s58225243/db9e4471-b977972b-27adc624-e77cf1df-13e56a0c.jpg\n']"
s59876822_1,p19765968,s59876822,1,Findings,"PA and lateral views of the chest. A new heterogeneous opacity is seen in the retrocardiac posterior left lower lobe suggestive of early infiltrate. The right lung is clear. The heart size is unchanged. There is no pulmonary edema, pleural effusions or pneumothorax. The cardiac, mediastinal, and hilar contours are normal. The mild compression deformities of two mid thoracic vertebral bodies are stable. No new fractures.",The heart size is unchanged.,heart size,,Stable,"['files/p19/p19765968/s59876822/9f7bb56e-f8a06183-fe21858a-22ed5544-a68af3f8.jpg', 'files/p19/p19765968/s59876822/ab062fe2-bf183eec-059ed8b1-b3b1917c-26fe6fdc.jpg']","['files/p19/p19765968/s58225243/82781fc3-e4107008-274209ea-98d59f1a-120c9113.jpg\n', 'files/p19/p19765968/s58225243/db9e4471-b977972b-27adc624-e77cf1df-13e56a0c.jpg\n']"
s59884344_6,p15192710,s59884344,6,Impression,There is persistent subcutaneous emphysema within the lateral soft tissues. No pneumothorax is appreciated. Left lower lobe pleural-based opacity appears essentially stable. Overall cardiac and mediastinal contours are unchanged in the setting of relatively low lung volumes. No evidence of pulmonary edema.,There is persistent subcutaneous emphysema within the lateral soft tissues.,Emphysema,Subcutaneous,Stable,['files/p15/p15192710/s59884344/927fb781-4f9bc44e-a7fdd883-151703e1-8e450752.jpg'],['files/p15/p15192710/s59753533/44c181ec-dd95bab1-3354748b-25946877-56a0c2c6.jpg\n']
s59884344_6,p15192710,s59884344,6,Impression,There is persistent subcutaneous emphysema within the lateral soft tissues. No pneumothorax is appreciated. Left lower lobe pleural-based opacity appears essentially stable. Overall cardiac and mediastinal contours are unchanged in the setting of relatively low lung volumes. No evidence of pulmonary edema.,Overall cardiac and mediastinal contours are unchanged in the setting of relatively low lung volumes.,,Cardiac and mediastinal contours,Stable,['files/p15/p15192710/s59884344/927fb781-4f9bc44e-a7fdd883-151703e1-8e450752.jpg'],['files/p15/p15192710/s59753533/44c181ec-dd95bab1-3354748b-25946877-56a0c2c6.jpg\n']
s59884344_6,p15192710,s59884344,6,Impression,There is persistent subcutaneous emphysema within the lateral soft tissues. No pneumothorax is appreciated. Left lower lobe pleural-based opacity appears essentially stable. Overall cardiac and mediastinal contours are unchanged in the setting of relatively low lung volumes. No evidence of pulmonary edema.,Left lower lobe pleural-based opacity appears essentially stable.,Pleural-based opacity,Left lower lobe,Stable,['files/p15/p15192710/s59884344/927fb781-4f9bc44e-a7fdd883-151703e1-8e450752.jpg'],['files/p15/p15192710/s59753533/44c181ec-dd95bab1-3354748b-25946877-56a0c2c6.jpg\n']
s59885828_12,p10933609,s59885828,12,Findings,Single frontal radiograph of the chest was performed and reveals no acute cardiopulmonary process. The cardiomediastinal and pleural structures are unremarkable. There is scarring in the upper lungs with superior traction of the hila. There is no pleural effusion or pneumothorax. Heart size is normal. Surgical hardware is seen at the right glenohumeral joint and ___ are seen within the abdomen with cardiophrenic angle may represent a small left pleural effusion as was previously seen approximately one month prior.,Surgical hardware is seen at the right glenohumeral joint and ___ are seen within the abdomen with cardiophrenic angle may represent a small left pleural effusion as was previously seen approximately one month prior.,Surgical hardware,right glenohumeral joint,Stable,"['files/p10/p10933609/s59885828/ec78e0b4-c858f616-11d4e328-ff8d6f90-4a6acef0.jpg', 'files/p10/p10933609/s59885828/f52047f3-b0ba5171-755f7044-afcf59b8-62848096.jpg']",['files/p10/p10933609/s59255047/f7593494-5c5778f8-1083d675-46c20f13-3abd5cb2.jpg\n']
s59886749_6,p18929056,s59886749,6,Findings,"AP upright and lateral views of the chest provided.Left chest wall pacer device is again noted with leads extending into the region of the right atrium and right ventricle. Cardiomediastinal silhouette is unchanged with atherosclerotic calcifications along the aortic knob and unfolded thoracic aorta again noted. The lungs appear clear. No focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. Chronic left ribcage deformities again noted.",Left chest wall pacer device is again noted with leads extending into the region of the right atrium and right ventricle.,pacer device,left chest wall,Stable,"['files/p18/p18929056/s59886749/76ed7948-d76e15f7-2ee71e31-4b988bc0-76e34df8.jpg', 'files/p18/p18929056/s59886749/a31cf547-a85da812-785f9396-ec422967-38d69e1c.jpg']","['files/p18/p18929056/s58958987/0d6db000-b7832a09-4e80e472-89242ef5-20701513.jpg\n', 'files/p18/p18929056/s58958987/5337ec0a-283bf318-55060740-77ac2e55-67b5f668.jpg\n']"
s59886749_6,p18929056,s59886749,6,Findings,"AP upright and lateral views of the chest provided.Left chest wall pacer device is again noted with leads extending into the region of the right atrium and right ventricle. Cardiomediastinal silhouette is unchanged with atherosclerotic calcifications along the aortic knob and unfolded thoracic aorta again noted. The lungs appear clear. No focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. Chronic left ribcage deformities again noted.",Cardiomediastinal silhouette is unchanged with atherosclerotic calcifications along the aortic knob and unfolded thoracic aorta again noted.,silhouette,Cardiomediastinal,Stable,"['files/p18/p18929056/s59886749/76ed7948-d76e15f7-2ee71e31-4b988bc0-76e34df8.jpg', 'files/p18/p18929056/s59886749/a31cf547-a85da812-785f9396-ec422967-38d69e1c.jpg']","['files/p18/p18929056/s58958987/0d6db000-b7832a09-4e80e472-89242ef5-20701513.jpg\n', 'files/p18/p18929056/s58958987/5337ec0a-283bf318-55060740-77ac2e55-67b5f668.jpg\n']"
s59886749_6,p18929056,s59886749,6,Findings,"AP upright and lateral views of the chest provided.Left chest wall pacer device is again noted with leads extending into the region of the right atrium and right ventricle. Cardiomediastinal silhouette is unchanged with atherosclerotic calcifications along the aortic knob and unfolded thoracic aorta again noted. The lungs appear clear. No focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. Chronic left ribcage deformities again noted.",Chronic left ribcage deformities again noted.,deformities,left ribcage,Stable,"['files/p18/p18929056/s59886749/76ed7948-d76e15f7-2ee71e31-4b988bc0-76e34df8.jpg', 'files/p18/p18929056/s59886749/a31cf547-a85da812-785f9396-ec422967-38d69e1c.jpg']","['files/p18/p18929056/s58958987/0d6db000-b7832a09-4e80e472-89242ef5-20701513.jpg\n', 'files/p18/p18929056/s58958987/5337ec0a-283bf318-55060740-77ac2e55-67b5f668.jpg\n']"
s59886749_6,p18929056,s59886749,6,Impression,Stable mild cardiomegaly. No signs of pneumonia or edema.,Stable mild cardiomegaly.,cardiomegaly,Cardiac,Stable,"['files/p18/p18929056/s59886749/76ed7948-d76e15f7-2ee71e31-4b988bc0-76e34df8.jpg', 'files/p18/p18929056/s59886749/a31cf547-a85da812-785f9396-ec422967-38d69e1c.jpg']","['files/p18/p18929056/s58958987/0d6db000-b7832a09-4e80e472-89242ef5-20701513.jpg\n', 'files/p18/p18929056/s58958987/5337ec0a-283bf318-55060740-77ac2e55-67b5f668.jpg\n']"
s59891116_8,p16553329,s59891116,8,Findings,"There is mild enlargement of the cardiac silhouette, increased from prior. Small bilateral pleural effusions have increased from the prior. There is new mild pulmonary edema. Bibasilar opacities likely reflect a combination of effusions and atelectasis; although, underlying infection cannot be excluded.",Small bilateral pleural effusions have increased from the prior.,Pleural Effusions,Bilateral,Worse,"['files/p16/p16553329/s59891116/12564330-3d6b0ab6-568cc9d4-342379e6-c2af1108.jpg', 'files/p16/p16553329/s59891116/17a72ae0-23c30abe-90d2e3d6-03c3c393-2cbeda3d.jpg', 'files/p16/p16553329/s59891116/ec144fec-d36c78ec-3f3a3acd-f39aed67-c75e95ee.jpg']","['files/p16/p16553329/s58737609/62c178b3-0902fd6d-f0c150b1-c6a6cdf2-f914c29c.jpg\n', 'files/p16/p16553329/s58737609/bf3ca23d-9ae54a6f-679d2476-6eb17d30-ee3cf5ee.jpg\n', 'files/p16/p16553329/s58737609/c6daa86b-28de832b-4cdd7e0d-51eca585-d7dad6ce.jpg\n']"
s59891116_8,p16553329,s59891116,8,Findings,"There is mild enlargement of the cardiac silhouette, increased from prior. Small bilateral pleural effusions have increased from the prior. There is new mild pulmonary edema. Bibasilar opacities likely reflect a combination of effusions and atelectasis; although, underlying infection cannot be excluded.","There is mild enlargement of the cardiac silhouette, increased from prior.",Cardiac silhouette,,Worse,"['files/p16/p16553329/s59891116/12564330-3d6b0ab6-568cc9d4-342379e6-c2af1108.jpg', 'files/p16/p16553329/s59891116/17a72ae0-23c30abe-90d2e3d6-03c3c393-2cbeda3d.jpg', 'files/p16/p16553329/s59891116/ec144fec-d36c78ec-3f3a3acd-f39aed67-c75e95ee.jpg']","['files/p16/p16553329/s58737609/62c178b3-0902fd6d-f0c150b1-c6a6cdf2-f914c29c.jpg\n', 'files/p16/p16553329/s58737609/bf3ca23d-9ae54a6f-679d2476-6eb17d30-ee3cf5ee.jpg\n', 'files/p16/p16553329/s58737609/c6daa86b-28de832b-4cdd7e0d-51eca585-d7dad6ce.jpg\n']"
s59891992_2,p15438386,s59891992,2,Findings,"Again, there are low lung volumes. Mild blunting of the costophrenic angles may in part relate to low lung volumes with likely trace pleural effusions. Additional subtle bibasilar opacities likely represent atelectasis. The patient is rotated to the right. The cardiac and mediastinal silhouettes are similar with the cardiac silhouette possibly slightly less prominent as compared to the prior study. No evidence of pneumothorax is seen. Chronic deformity of the right clavicle is again noted.",Chronic deformity of the right clavicle is again noted.,clavicle deformity,right,Stable,"['files/p15/p15438386/s59891992/97e98c24-079ba543-3cfe0fbe-b97b30b8-bbd0e9a5.jpg', 'files/p15/p15438386/s59891992/b6efc4df-c96de5ed-5551d21b-f99936ca-082ca79e.jpg']","['files/p15/p15438386/s59022925/57f7f75e-91517fb3-4071303d-6f325ed5-5daca800.jpg\n', 'files/p15/p15438386/s59022925/d51e424a-a44ba612-1f92bcc5-32008577-36bdedd0.jpg\n']"
s59891992_2,p15438386,s59891992,2,Findings,"Again, there are low lung volumes. Mild blunting of the costophrenic angles may in part relate to low lung volumes with likely trace pleural effusions. Additional subtle bibasilar opacities likely represent atelectasis. The patient is rotated to the right. The cardiac and mediastinal silhouettes are similar with the cardiac silhouette possibly slightly less prominent as compared to the prior study. No evidence of pneumothorax is seen. Chronic deformity of the right clavicle is again noted.","Again, there are low lung volumes.",low lung volumes,,Stable,"['files/p15/p15438386/s59891992/97e98c24-079ba543-3cfe0fbe-b97b30b8-bbd0e9a5.jpg', 'files/p15/p15438386/s59891992/b6efc4df-c96de5ed-5551d21b-f99936ca-082ca79e.jpg']","['files/p15/p15438386/s59022925/57f7f75e-91517fb3-4071303d-6f325ed5-5daca800.jpg\n', 'files/p15/p15438386/s59022925/d51e424a-a44ba612-1f92bcc5-32008577-36bdedd0.jpg\n']"
s59891992_2,p15438386,s59891992,2,Findings,"Again, there are low lung volumes. Mild blunting of the costophrenic angles may in part relate to low lung volumes with likely trace pleural effusions. Additional subtle bibasilar opacities likely represent atelectasis. The patient is rotated to the right. The cardiac and mediastinal silhouettes are similar with the cardiac silhouette possibly slightly less prominent as compared to the prior study. No evidence of pneumothorax is seen. Chronic deformity of the right clavicle is again noted.",The cardiac and mediastinal silhouettes are similar with the cardiac silhouette possibly slightly less prominent as compared to the prior study.,cardiac silhouette prominence,,Better,"['files/p15/p15438386/s59891992/97e98c24-079ba543-3cfe0fbe-b97b30b8-bbd0e9a5.jpg', 'files/p15/p15438386/s59891992/b6efc4df-c96de5ed-5551d21b-f99936ca-082ca79e.jpg']","['files/p15/p15438386/s59022925/57f7f75e-91517fb3-4071303d-6f325ed5-5daca800.jpg\n', 'files/p15/p15438386/s59022925/d51e424a-a44ba612-1f92bcc5-32008577-36bdedd0.jpg\n']"
s59893280_5,p13881772,s59893280,5,Findings,"In comparison with the study of ___, there has been placement of an orogastric tube that extends into the upper stomach. The side hole is just distal to the esophagogastric junction. Other monitoring and support devices remain in place. Little change in the bilateral parenchymal opacification, partly due to atelectasis and partly to pulmonary edema.","In comparison with the study of ___, there has been placement of an orogastric tube that extends into the upper stomach.",orogastric tube,upper stomach,New,['files/p13/p13881772/s59893280/63f5ab00-ca3eaded-279304bf-6d6bfcb6-52295e79.jpg'],"['files/p13/p13881772/s59217830/4959ec06-3033b29d-dd25c873-29db3da3-339923d6.jpg\n', 'files/p13/p13881772/s59217830/959ee516-d090d9d5-a95977ac-303cdde2-c9309e8c.jpg\n']"
s59893280_5,p13881772,s59893280,5,Findings,"In comparison with the study of ___, there has been placement of an orogastric tube that extends into the upper stomach. The side hole is just distal to the esophagogastric junction. Other monitoring and support devices remain in place. Little change in the bilateral parenchymal opacification, partly due to atelectasis and partly to pulmonary edema.","Little change in the bilateral parenchymal opacification, partly due to atelectasis and partly to pulmonary edema.",parenchymal opacification,bilateral,Stable,['files/p13/p13881772/s59893280/63f5ab00-ca3eaded-279304bf-6d6bfcb6-52295e79.jpg'],"['files/p13/p13881772/s59217830/4959ec06-3033b29d-dd25c873-29db3da3-339923d6.jpg\n', 'files/p13/p13881772/s59217830/959ee516-d090d9d5-a95977ac-303cdde2-c9309e8c.jpg\n']"
s59893280_5,p13881772,s59893280,5,Findings,"In comparison with the study of ___, there has been placement of an orogastric tube that extends into the upper stomach. The side hole is just distal to the esophagogastric junction. Other monitoring and support devices remain in place. Little change in the bilateral parenchymal opacification, partly due to atelectasis and partly to pulmonary edema.",Other monitoring and support devices remain in place.,monitoring and support devices,,Stable,['files/p13/p13881772/s59893280/63f5ab00-ca3eaded-279304bf-6d6bfcb6-52295e79.jpg'],"['files/p13/p13881772/s59217830/4959ec06-3033b29d-dd25c873-29db3da3-339923d6.jpg\n', 'files/p13/p13881772/s59217830/959ee516-d090d9d5-a95977ac-303cdde2-c9309e8c.jpg\n']"
s59915934_37,p13475033,s59915934,37,Findings,"Frontal and lateral chest radiograph demonstrates mildly hypoinflated lungs with bilateral perihilar reticular interstitial opacities consistent with vascular crowding and prominence of interstitial markings bilaterally, similar to previous examination and characterized as interstitial lung disease on CT chest dated ___. No pleural effusion or pneumothorax. No new focal opacity. Abnormal contour or of the right hemidiaphragm is stable since ___. The cardiomediastinal silhouette is stable. Limited study of the upper abdomen is unremarkable and visualized osseous structures are notable for diffuse osteopenia and a chronic healed left mid clavicular fracture. Kyphosis is again noted with multiple thoracic compression fractures, unchanged from previous examination.","Kyphosis is again noted with multiple thoracic compression fractures, unchanged from previous examination.",compression fractures,multiple thoracic,Stable,"['files/p13/p13475033/s59915934/4584e73d-af69492e-8ad8e520-97439184-5c788f58.jpg', 'files/p13/p13475033/s59915934/fa2e4a26-86c3fe0c-c6b85c88-07c43e8d-7c8f8fdc.jpg']","['files/p13/p13475033/s59862902/02ed59f0-43d0aa6f-4bf3340b-c891b4b8-42ea5f9b.jpg\n', 'files/p13/p13475033/s59862902/44f95a25-6a2ce6f3-945c8d55-81166fc3-2e583415.jpg\n']"
s59915934_37,p13475033,s59915934,37,Findings,"Frontal and lateral chest radiograph demonstrates mildly hypoinflated lungs with bilateral perihilar reticular interstitial opacities consistent with vascular crowding and prominence of interstitial markings bilaterally, similar to previous examination and characterized as interstitial lung disease on CT chest dated ___. No pleural effusion or pneumothorax. No new focal opacity. Abnormal contour or of the right hemidiaphragm is stable since ___. The cardiomediastinal silhouette is stable. Limited study of the upper abdomen is unremarkable and visualized osseous structures are notable for diffuse osteopenia and a chronic healed left mid clavicular fracture. Kyphosis is again noted with multiple thoracic compression fractures, unchanged from previous examination.",The cardiomediastinal silhouette is stable.,cardiomediastinal silhouette,,Stable,"['files/p13/p13475033/s59915934/4584e73d-af69492e-8ad8e520-97439184-5c788f58.jpg', 'files/p13/p13475033/s59915934/fa2e4a26-86c3fe0c-c6b85c88-07c43e8d-7c8f8fdc.jpg']","['files/p13/p13475033/s59862902/02ed59f0-43d0aa6f-4bf3340b-c891b4b8-42ea5f9b.jpg\n', 'files/p13/p13475033/s59862902/44f95a25-6a2ce6f3-945c8d55-81166fc3-2e583415.jpg\n']"
s59915934_37,p13475033,s59915934,37,Findings,"Frontal and lateral chest radiograph demonstrates mildly hypoinflated lungs with bilateral perihilar reticular interstitial opacities consistent with vascular crowding and prominence of interstitial markings bilaterally, similar to previous examination and characterized as interstitial lung disease on CT chest dated ___. No pleural effusion or pneumothorax. No new focal opacity. Abnormal contour or of the right hemidiaphragm is stable since ___. The cardiomediastinal silhouette is stable. Limited study of the upper abdomen is unremarkable and visualized osseous structures are notable for diffuse osteopenia and a chronic healed left mid clavicular fracture. Kyphosis is again noted with multiple thoracic compression fractures, unchanged from previous examination.",Abnormal contour or of the right hemidiaphragm is stable since ___.,abnormal contour of the hemidiaphragm,right,Stable,"['files/p13/p13475033/s59915934/4584e73d-af69492e-8ad8e520-97439184-5c788f58.jpg', 'files/p13/p13475033/s59915934/fa2e4a26-86c3fe0c-c6b85c88-07c43e8d-7c8f8fdc.jpg']","['files/p13/p13475033/s59862902/02ed59f0-43d0aa6f-4bf3340b-c891b4b8-42ea5f9b.jpg\n', 'files/p13/p13475033/s59862902/44f95a25-6a2ce6f3-945c8d55-81166fc3-2e583415.jpg\n']"
s59915934_37,p13475033,s59915934,37,Findings,"Frontal and lateral chest radiograph demonstrates mildly hypoinflated lungs with bilateral perihilar reticular interstitial opacities consistent with vascular crowding and prominence of interstitial markings bilaterally, similar to previous examination and characterized as interstitial lung disease on CT chest dated ___. No pleural effusion or pneumothorax. No new focal opacity. Abnormal contour or of the right hemidiaphragm is stable since ___. The cardiomediastinal silhouette is stable. Limited study of the upper abdomen is unremarkable and visualized osseous structures are notable for diffuse osteopenia and a chronic healed left mid clavicular fracture. Kyphosis is again noted with multiple thoracic compression fractures, unchanged from previous examination.","Frontal and lateral chest radiograph demonstrates mildly hypoinflated lungs with bilateral perihilar reticular interstitial opacities consistent with vascular crowding and prominence of interstitial markings bilaterally, similar to previous examination and characterized as interstitial lung disease on CT chest dated ___.",reticular interstitial opacities,bilateral perihilar,Stable,"['files/p13/p13475033/s59915934/4584e73d-af69492e-8ad8e520-97439184-5c788f58.jpg', 'files/p13/p13475033/s59915934/fa2e4a26-86c3fe0c-c6b85c88-07c43e8d-7c8f8fdc.jpg']","['files/p13/p13475033/s59862902/02ed59f0-43d0aa6f-4bf3340b-c891b4b8-42ea5f9b.jpg\n', 'files/p13/p13475033/s59862902/44f95a25-6a2ce6f3-945c8d55-81166fc3-2e583415.jpg\n']"
s59915934_37,p13475033,s59915934,37,Impression,"Stable prominence of interstitial markings bilaterally consistent with interstitial lung disease, best assessed on CT chest dated ___. No evidence of pneumonia.","Stable prominence of interstitial markings bilaterally consistent with interstitial lung disease, best assessed on CT chest dated ___.",prominence of interstitial markings,bilaterally,Stable,"['files/p13/p13475033/s59915934/4584e73d-af69492e-8ad8e520-97439184-5c788f58.jpg', 'files/p13/p13475033/s59915934/fa2e4a26-86c3fe0c-c6b85c88-07c43e8d-7c8f8fdc.jpg']","['files/p13/p13475033/s59862902/02ed59f0-43d0aa6f-4bf3340b-c891b4b8-42ea5f9b.jpg\n', 'files/p13/p13475033/s59862902/44f95a25-6a2ce6f3-945c8d55-81166fc3-2e583415.jpg\n']"
s59918608_7,p13475033,s59918608,7,Findings,"There is no definite pleural effusion or pneumothorax. The enlarged cardiomediastinal silhouette with diffuse interstitial markings is unchanged from prior. As previously suggested, this may reflect chronic interstitial lung disease with superimposed pulmonary vascular congestion. A right-side central line terminates in the right atrium. Although the exam is limited by overlying trauma board, there is no displaced rib fracture.",The enlarged cardiomediastinal silhouette with diffuse interstitial markings is unchanged from prior.,silhouette,cardiomediastinal,Stable,['files/p13/p13475033/s59918608/8fd47aef-a0002ac5-00dd791e-784fc4a3-a7bc5026.jpg'],"['files/p13/p13475033/s59915934/4584e73d-af69492e-8ad8e520-97439184-5c788f58.jpg\n', 'files/p13/p13475033/s59915934/fa2e4a26-86c3fe0c-c6b85c88-07c43e8d-7c8f8fdc.jpg\n']"
s59918608_7,p13475033,s59918608,7,Findings,"There is no definite pleural effusion or pneumothorax. The enlarged cardiomediastinal silhouette with diffuse interstitial markings is unchanged from prior. As previously suggested, this may reflect chronic interstitial lung disease with superimposed pulmonary vascular congestion. A right-side central line terminates in the right atrium. Although the exam is limited by overlying trauma board, there is no displaced rib fracture.",The enlarged cardiomediastinal silhouette with diffuse interstitial markings is unchanged from prior.,interstitial markings,diffuse,Stable,['files/p13/p13475033/s59918608/8fd47aef-a0002ac5-00dd791e-784fc4a3-a7bc5026.jpg'],"['files/p13/p13475033/s59915934/4584e73d-af69492e-8ad8e520-97439184-5c788f58.jpg\n', 'files/p13/p13475033/s59915934/fa2e4a26-86c3fe0c-c6b85c88-07c43e8d-7c8f8fdc.jpg\n']"
s59918608_7,p13475033,s59918608,7,Impression,"Unchanged prominent interstitial markings reflecting chronic lung disease with possible superimposed mild pulmonary vascular congestion, although not striking.","Unchanged prominent interstitial markings reflecting chronic lung disease with possible superimposed mild pulmonary vascular congestion, although not striking.",interstitial markings,,Stable,['files/p13/p13475033/s59918608/8fd47aef-a0002ac5-00dd791e-784fc4a3-a7bc5026.jpg'],"['files/p13/p13475033/s59915934/4584e73d-af69492e-8ad8e520-97439184-5c788f58.jpg\n', 'files/p13/p13475033/s59915934/fa2e4a26-86c3fe0c-c6b85c88-07c43e8d-7c8f8fdc.jpg\n']"
s59920150_9,p14295224,s59920150,9,Findings,"Cardiac, mediastinal and hilar contours are stable. The patient is status post esophagectomy and gastric pull-through. Chronic scarring within the medial aspect of the right upper lobe is compatible with post radiation changes. Tenting of the right hemidiaphragm is compatible chronic volume loss in the right lung. Worsening opacification within the right upper lobe is concerning for recurrent pneumonia or aspiration. 8 mm nodular opacity within the right lower lobe is unchanged. The left lung is clear. Blunting of the right costophrenic angle is chronic, and likely reflects a chronic small pleural effusion. No pneumothorax. No acute osseous abnormalities demonstrated.","Cardiac, mediastinal and hilar contours are stable.",Contours,"Cardiac, mediastinal and hilar",Stable,"['files/p14/p14295224/s59920150/33d7c4a7-e8bf129a-21ceae38-44747cd9-eee583d8.jpg', 'files/p14/p14295224/s59920150/802aa49f-a2a5d56e-91eab903-012ba3a8-2bfc4156.jpg']",['files/p14/p14295224/s59790228/dadf469d-f8a75d8f-24e452d6-a7394bb7-ace0708c.jpg\n']
s59920150_9,p14295224,s59920150,9,Findings,"Cardiac, mediastinal and hilar contours are stable. The patient is status post esophagectomy and gastric pull-through. Chronic scarring within the medial aspect of the right upper lobe is compatible with post radiation changes. Tenting of the right hemidiaphragm is compatible chronic volume loss in the right lung. Worsening opacification within the right upper lobe is concerning for recurrent pneumonia or aspiration. 8 mm nodular opacity within the right lower lobe is unchanged. The left lung is clear. Blunting of the right costophrenic angle is chronic, and likely reflects a chronic small pleural effusion. No pneumothorax. No acute osseous abnormalities demonstrated.",Worsening opacification within the right upper lobe is concerning for recurrent pneumonia or aspiration.,Opacification,Right upper lobe,Worse,"['files/p14/p14295224/s59920150/33d7c4a7-e8bf129a-21ceae38-44747cd9-eee583d8.jpg', 'files/p14/p14295224/s59920150/802aa49f-a2a5d56e-91eab903-012ba3a8-2bfc4156.jpg']",['files/p14/p14295224/s59790228/dadf469d-f8a75d8f-24e452d6-a7394bb7-ace0708c.jpg\n']
s59920150_9,p14295224,s59920150,9,Findings,"Cardiac, mediastinal and hilar contours are stable. The patient is status post esophagectomy and gastric pull-through. Chronic scarring within the medial aspect of the right upper lobe is compatible with post radiation changes. Tenting of the right hemidiaphragm is compatible chronic volume loss in the right lung. Worsening opacification within the right upper lobe is concerning for recurrent pneumonia or aspiration. 8 mm nodular opacity within the right lower lobe is unchanged. The left lung is clear. Blunting of the right costophrenic angle is chronic, and likely reflects a chronic small pleural effusion. No pneumothorax. No acute osseous abnormalities demonstrated.",8 mm nodular opacity within the right lower lobe is unchanged.,Nodular opacity,Right lower lobe,Stable,"['files/p14/p14295224/s59920150/33d7c4a7-e8bf129a-21ceae38-44747cd9-eee583d8.jpg', 'files/p14/p14295224/s59920150/802aa49f-a2a5d56e-91eab903-012ba3a8-2bfc4156.jpg']",['files/p14/p14295224/s59790228/dadf469d-f8a75d8f-24e452d6-a7394bb7-ace0708c.jpg\n']
s59920150_9,p14295224,s59920150,9,Impression,1. Worsening opacification within the right upper lobe which is concerning for recurrent pneumonia or aspiration. Follow up radiographs are recommended after treatment to ensure resolution of this finding. 2. Status post esophagectomy and gastric pull-through with right upper lobe medial scarring related to prior radiation treatment. 3. Unchanged 8 mm right lower lobe pulmonary nodule.,1. Worsening opacification within the right upper lobe which is concerning for recurrent pneumonia or aspiration. Follow up radiographs are recommended after treatment to ensure resolution of this finding.,Opacification,Right upper lobe,Worse,"['files/p14/p14295224/s59920150/33d7c4a7-e8bf129a-21ceae38-44747cd9-eee583d8.jpg', 'files/p14/p14295224/s59920150/802aa49f-a2a5d56e-91eab903-012ba3a8-2bfc4156.jpg']",['files/p14/p14295224/s59790228/dadf469d-f8a75d8f-24e452d6-a7394bb7-ace0708c.jpg\n']
s59920150_9,p14295224,s59920150,9,Impression,1. Worsening opacification within the right upper lobe which is concerning for recurrent pneumonia or aspiration. Follow up radiographs are recommended after treatment to ensure resolution of this finding. 2. Status post esophagectomy and gastric pull-through with right upper lobe medial scarring related to prior radiation treatment. 3. Unchanged 8 mm right lower lobe pulmonary nodule.,3. Unchanged 8 mm right lower lobe pulmonary nodule.,Pulmonary nodule,Right lower lobe,Stable,"['files/p14/p14295224/s59920150/33d7c4a7-e8bf129a-21ceae38-44747cd9-eee583d8.jpg', 'files/p14/p14295224/s59920150/802aa49f-a2a5d56e-91eab903-012ba3a8-2bfc4156.jpg']",['files/p14/p14295224/s59790228/dadf469d-f8a75d8f-24e452d6-a7394bb7-ace0708c.jpg\n']
s59924609_8,p15758946,s59924609,8,Findings,Right internal jugular line terminates at the junction of the brachiocephalic trunk and left port-a-catheter ends at lower SVC/cavoatrial junction. Mild-to-moderate left and minimal right pleural effusion associated with lower lung atelectasis are unchanged since ___. Mild pulmonary congestion is similar. Heart size is normal. Mediastinal and hilar contours are unchanged.,Mild-to-moderate left and minimal right pleural effusion associated with lower lung atelectasis are unchanged since ___.,atelectasis,lower lung,Stable,['files/p15/p15758946/s59924609/f92f8eca-d4526790-a1842ee9-1c5b4666-a0e18256.jpg'],['files/p15/p15758946/s58167653/3beddebe-77318989-f0a94514-750bd4e3-c009749d.jpg\n']
s59924609_8,p15758946,s59924609,8,Findings,Right internal jugular line terminates at the junction of the brachiocephalic trunk and left port-a-catheter ends at lower SVC/cavoatrial junction. Mild-to-moderate left and minimal right pleural effusion associated with lower lung atelectasis are unchanged since ___. Mild pulmonary congestion is similar. Heart size is normal. Mediastinal and hilar contours are unchanged.,Mild-to-moderate left and minimal right pleural effusion associated with lower lung atelectasis are unchanged since ___.,pleural effusion,left,Stable,['files/p15/p15758946/s59924609/f92f8eca-d4526790-a1842ee9-1c5b4666-a0e18256.jpg'],['files/p15/p15758946/s58167653/3beddebe-77318989-f0a94514-750bd4e3-c009749d.jpg\n']
s59924609_8,p15758946,s59924609,8,Findings,Right internal jugular line terminates at the junction of the brachiocephalic trunk and left port-a-catheter ends at lower SVC/cavoatrial junction. Mild-to-moderate left and minimal right pleural effusion associated with lower lung atelectasis are unchanged since ___. Mild pulmonary congestion is similar. Heart size is normal. Mediastinal and hilar contours are unchanged.,Mild pulmonary congestion is similar.,pulmonary congestion,,Stable,['files/p15/p15758946/s59924609/f92f8eca-d4526790-a1842ee9-1c5b4666-a0e18256.jpg'],['files/p15/p15758946/s58167653/3beddebe-77318989-f0a94514-750bd4e3-c009749d.jpg\n']
s59924609_8,p15758946,s59924609,8,Findings,Right internal jugular line terminates at the junction of the brachiocephalic trunk and left port-a-catheter ends at lower SVC/cavoatrial junction. Mild-to-moderate left and minimal right pleural effusion associated with lower lung atelectasis are unchanged since ___. Mild pulmonary congestion is similar. Heart size is normal. Mediastinal and hilar contours are unchanged.,Mild-to-moderate left and minimal right pleural effusion associated with lower lung atelectasis are unchanged since ___.,pleural effusion,right,Stable,['files/p15/p15758946/s59924609/f92f8eca-d4526790-a1842ee9-1c5b4666-a0e18256.jpg'],['files/p15/p15758946/s58167653/3beddebe-77318989-f0a94514-750bd4e3-c009749d.jpg\n']
s59937017_4,p14969719,s59937017,4,Findings,"There is little change since ___. A right subclavian approach port tip remains in the lower SVC. two chest tubes overlie the right base with lucency demonstrated about one, which may represent a small basilar pneumothorax. There is a moderate right pleural effusion with pleural fluid demonstrated layering along the apex and also demonstrated along medially adjacent to the mediastinum. There is persistent asymmetric opacification with increased asymmetric pulmonary vascularity involving the right lung. There is moderate right lower lobe atelectasis and minimal left basilar atelectasis. There is no evidence of pneumothorax. The cardiomediastinal and hilar contours are stable. A calcified lymph node is demonstrated in the region of the aortopulmonary window, stable since ___. Evaluation of her heart size is limited in the setting of diffuse right-sided central opacification.",A right subclavian approach port tip remains in the lower SVC.,port tip,right subclavian,Stable,['files/p14/p14969719/s59937017/ea9b867c-c8a2b175-f813e34d-9ae7229d-23ab7c24.jpg'],['files/p14/p14969719/s59559249/13000d1f-353d86fd-4af88491-cf6e8f84-153def16.jpg\n']
s59937017_4,p14969719,s59937017,4,Findings,"There is little change since ___. A right subclavian approach port tip remains in the lower SVC. two chest tubes overlie the right base with lucency demonstrated about one, which may represent a small basilar pneumothorax. There is a moderate right pleural effusion with pleural fluid demonstrated layering along the apex and also demonstrated along medially adjacent to the mediastinum. There is persistent asymmetric opacification with increased asymmetric pulmonary vascularity involving the right lung. There is moderate right lower lobe atelectasis and minimal left basilar atelectasis. There is no evidence of pneumothorax. The cardiomediastinal and hilar contours are stable. A calcified lymph node is demonstrated in the region of the aortopulmonary window, stable since ___. Evaluation of her heart size is limited in the setting of diffuse right-sided central opacification.",There is persistent asymmetric opacification with increased asymmetric pulmonary vascularity involving the right lung.,asymmetric opacification,right lung,Stable,['files/p14/p14969719/s59937017/ea9b867c-c8a2b175-f813e34d-9ae7229d-23ab7c24.jpg'],['files/p14/p14969719/s59559249/13000d1f-353d86fd-4af88491-cf6e8f84-153def16.jpg\n']
s59937017_4,p14969719,s59937017,4,Findings,"There is little change since ___. A right subclavian approach port tip remains in the lower SVC. two chest tubes overlie the right base with lucency demonstrated about one, which may represent a small basilar pneumothorax. There is a moderate right pleural effusion with pleural fluid demonstrated layering along the apex and also demonstrated along medially adjacent to the mediastinum. There is persistent asymmetric opacification with increased asymmetric pulmonary vascularity involving the right lung. There is moderate right lower lobe atelectasis and minimal left basilar atelectasis. There is no evidence of pneumothorax. The cardiomediastinal and hilar contours are stable. A calcified lymph node is demonstrated in the region of the aortopulmonary window, stable since ___. Evaluation of her heart size is limited in the setting of diffuse right-sided central opacification.","A calcified lymph node is demonstrated in the region of the aortopulmonary window, stable since ___.",lymph node,aortopulmonary window,Stable,['files/p14/p14969719/s59937017/ea9b867c-c8a2b175-f813e34d-9ae7229d-23ab7c24.jpg'],['files/p14/p14969719/s59559249/13000d1f-353d86fd-4af88491-cf6e8f84-153def16.jpg\n']
s59937017_4,p14969719,s59937017,4,Findings,"There is little change since ___. A right subclavian approach port tip remains in the lower SVC. two chest tubes overlie the right base with lucency demonstrated about one, which may represent a small basilar pneumothorax. There is a moderate right pleural effusion with pleural fluid demonstrated layering along the apex and also demonstrated along medially adjacent to the mediastinum. There is persistent asymmetric opacification with increased asymmetric pulmonary vascularity involving the right lung. There is moderate right lower lobe atelectasis and minimal left basilar atelectasis. There is no evidence of pneumothorax. The cardiomediastinal and hilar contours are stable. A calcified lymph node is demonstrated in the region of the aortopulmonary window, stable since ___. Evaluation of her heart size is limited in the setting of diffuse right-sided central opacification.",The cardiomediastinal and hilar contours are stable.,contours,cardiomediastinal and hilar,Stable,['files/p14/p14969719/s59937017/ea9b867c-c8a2b175-f813e34d-9ae7229d-23ab7c24.jpg'],['files/p14/p14969719/s59559249/13000d1f-353d86fd-4af88491-cf6e8f84-153def16.jpg\n']
s59938198_14,p14236258,s59938198,14,Findings,Again seen is a dual lumen central venous catheter which terminates in the lower SVC coursing through a brachiocephalic/SVC stent. No definite consolidation is identified. There is mild pulmonary vascular congestion. Cardiac silhouette is top normal. There are likely small bilateral pleural effusions. No pneumothorax is present. Mediastinal contour with rightward deviation of the trachea secondary to a thyroid goiter is again noted.,Mediastinal contour with rightward deviation of the trachea secondary to a thyroid goiter is again noted.,Contour with rightward deviation of the trachea due to thyroid goiter,Mediastinal,Stable,"['files/p14/p14236258/s59938198/aab40ef3-41eac8b5-ecbddfef-9c04937c-85c81083.jpg', 'files/p14/p14236258/s59938198/e2a298e7-794b6f39-1efd0c79-f922ddff-2b8f0010.jpg']","['files/p14/p14236258/s59438963/099dc924-692466a3-cd889469-1d9dee6c-3a61f779.jpg\n', 'files/p14/p14236258/s59438963/6196e104-b79ccd0c-14251271-51dad87b-ef6297d4.jpg\n', 'files/p14/p14236258/s59438963/d2ae1900-b7a31dd8-3a7ff502-08e62dd6-51dfb0e5.jpg\n']"
s59941176_13,p19061282,s59941176,13,Findings,"A focal consolidation is noted within the right upper lobe. There is no evidence of pleural effusion, pneumothorax, or pulmonary edema. Mild cardiomegaly is stable. Redemonstrated are right subclavian and left brachiocephalic vascular stents, unchanged in position from prior examination.","Redemonstrated are right subclavian and left brachiocephalic vascular stents, unchanged in position from prior examination.",vascular stents,right subclavian and left brachiocephalic,Stable,"['files/p19/p19061282/s59941176/4798fcf1-50a04443-4ae5a1d4-6ec993a2-6a3640d0.jpg', 'files/p19/p19061282/s59941176/b8dfd605-1122ed45-3fd45f18-5d90932a-5f2dab90.jpg']","['files/p19/p19061282/s59838108/22bfb9c3-48dc5066-5924828a-23e779f2-11ad6018.jpg\n', 'files/p19/p19061282/s59838108/82b52867-74eba7eb-689f334c-c20056f2-3590de32.jpg\n']"
s59941176_13,p19061282,s59941176,13,Findings,"A focal consolidation is noted within the right upper lobe. There is no evidence of pleural effusion, pneumothorax, or pulmonary edema. Mild cardiomegaly is stable. Redemonstrated are right subclavian and left brachiocephalic vascular stents, unchanged in position from prior examination.",Mild cardiomegaly is stable.,Mild cardiomegaly,,Stable,"['files/p19/p19061282/s59941176/4798fcf1-50a04443-4ae5a1d4-6ec993a2-6a3640d0.jpg', 'files/p19/p19061282/s59941176/b8dfd605-1122ed45-3fd45f18-5d90932a-5f2dab90.jpg']","['files/p19/p19061282/s59838108/22bfb9c3-48dc5066-5924828a-23e779f2-11ad6018.jpg\n', 'files/p19/p19061282/s59838108/82b52867-74eba7eb-689f334c-c20056f2-3590de32.jpg\n']"
s59941702_46,p14841168,s59941702,46,Findings,"There has been interval removal of the ETT and dobhoff. There is an orogastric tube seen with the tip and side hole below the diaphragm. There is a right-sided PICC line, which is unchanged in positioning. There are ill-defined opacities at the left base, which likely represent atelectasis, but an underlying lower lobe pneumonia cannot be excluded. The cardiomediastinal silhouette is enlarged but stable. The left hilum is prominent, likely reflecting pulmonary hypertension. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen.",The cardiomediastinal silhouette is enlarged but stable.,Enlarged cardiomediastinal silhouette,,Stable,"['files/p14/p14841168/s59941702/ab15addd-7646ff4c-89b05c13-b4ea8bb6-22be4b16.jpg', 'files/p14/p14841168/s59941702/df381e4e-bf31f79a-d78a3d63-8b19d21e-bf14cc6d.jpg']","['files/p14/p14841168/s59573711/d3c16ec5-f49b8c5b-fafc5fc8-41ec9bca-ca28586a.jpg\n', 'files/p14/p14841168/s59573711/fb8b94a3-98ec59dc-d148e378-62063c90-58baaa12.jpg\n']"
s59941702_46,p14841168,s59941702,46,Findings,"There has been interval removal of the ETT and dobhoff. There is an orogastric tube seen with the tip and side hole below the diaphragm. There is a right-sided PICC line, which is unchanged in positioning. There are ill-defined opacities at the left base, which likely represent atelectasis, but an underlying lower lobe pneumonia cannot be excluded. The cardiomediastinal silhouette is enlarged but stable. The left hilum is prominent, likely reflecting pulmonary hypertension. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen.","There is a right-sided PICC line, which is unchanged in positioning.",PICC line,right-sided,Stable,"['files/p14/p14841168/s59941702/ab15addd-7646ff4c-89b05c13-b4ea8bb6-22be4b16.jpg', 'files/p14/p14841168/s59941702/df381e4e-bf31f79a-d78a3d63-8b19d21e-bf14cc6d.jpg']","['files/p14/p14841168/s59573711/d3c16ec5-f49b8c5b-fafc5fc8-41ec9bca-ca28586a.jpg\n', 'files/p14/p14841168/s59573711/fb8b94a3-98ec59dc-d148e378-62063c90-58baaa12.jpg\n']"
s59941702_46,p14841168,s59941702,46,Findings,"There has been interval removal of the ETT and dobhoff. There is an orogastric tube seen with the tip and side hole below the diaphragm. There is a right-sided PICC line, which is unchanged in positioning. There are ill-defined opacities at the left base, which likely represent atelectasis, but an underlying lower lobe pneumonia cannot be excluded. The cardiomediastinal silhouette is enlarged but stable. The left hilum is prominent, likely reflecting pulmonary hypertension. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen.",There has been interval removal of the ETT and dobhoff.,Dobhoff,,Resolve,"['files/p14/p14841168/s59941702/ab15addd-7646ff4c-89b05c13-b4ea8bb6-22be4b16.jpg', 'files/p14/p14841168/s59941702/df381e4e-bf31f79a-d78a3d63-8b19d21e-bf14cc6d.jpg']","['files/p14/p14841168/s59573711/d3c16ec5-f49b8c5b-fafc5fc8-41ec9bca-ca28586a.jpg\n', 'files/p14/p14841168/s59573711/fb8b94a3-98ec59dc-d148e378-62063c90-58baaa12.jpg\n']"
s59941702_46,p14841168,s59941702,46,Impression,"1. Appropriately positioned orogastric tube and PICC line. 2. Ill-defined left basilar opacities, which likely represent atelectasis, but an underlying left lower lobe pneumonia cannot be excluded. 3. Stable enlargement of the cardiomediastinal silhouette and left hilum.",3. Stable enlargement of the cardiomediastinal silhouette and left hilum.,Enlargement of the cardiomediastinal silhouette,,Stable,"['files/p14/p14841168/s59941702/ab15addd-7646ff4c-89b05c13-b4ea8bb6-22be4b16.jpg', 'files/p14/p14841168/s59941702/df381e4e-bf31f79a-d78a3d63-8b19d21e-bf14cc6d.jpg']","['files/p14/p14841168/s59573711/d3c16ec5-f49b8c5b-fafc5fc8-41ec9bca-ca28586a.jpg\n', 'files/p14/p14841168/s59573711/fb8b94a3-98ec59dc-d148e378-62063c90-58baaa12.jpg\n']"
s59941702_46,p14841168,s59941702,46,Impression,"1. Appropriately positioned orogastric tube and PICC line. 2. Ill-defined left basilar opacities, which likely represent atelectasis, but an underlying left lower lobe pneumonia cannot be excluded. 3. Stable enlargement of the cardiomediastinal silhouette and left hilum.",3. Stable enlargement of the cardiomediastinal silhouette and left hilum.,Hilum,left,Stable,"['files/p14/p14841168/s59941702/ab15addd-7646ff4c-89b05c13-b4ea8bb6-22be4b16.jpg', 'files/p14/p14841168/s59941702/df381e4e-bf31f79a-d78a3d63-8b19d21e-bf14cc6d.jpg']","['files/p14/p14841168/s59573711/d3c16ec5-f49b8c5b-fafc5fc8-41ec9bca-ca28586a.jpg\n', 'files/p14/p14841168/s59573711/fb8b94a3-98ec59dc-d148e378-62063c90-58baaa12.jpg\n']"
s59941702_46,p14841168,s59941702,46,Findings,"There has been interval removal of the ETT and dobhoff. There is an orogastric tube seen with the tip and side hole below the diaphragm. There is a right-sided PICC line, which is unchanged in positioning. There are ill-defined opacities at the left base, which likely represent atelectasis, but an underlying lower lobe pneumonia cannot be excluded. The cardiomediastinal silhouette is enlarged but stable. The left hilum is prominent, likely reflecting pulmonary hypertension. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen.",There has been interval removal of the ETT and dobhoff.,ETT,,Resolve,"['files/p14/p14841168/s59941702/ab15addd-7646ff4c-89b05c13-b4ea8bb6-22be4b16.jpg', 'files/p14/p14841168/s59941702/df381e4e-bf31f79a-d78a3d63-8b19d21e-bf14cc6d.jpg']","['files/p14/p14841168/s59573711/d3c16ec5-f49b8c5b-fafc5fc8-41ec9bca-ca28586a.jpg\n', 'files/p14/p14841168/s59573711/fb8b94a3-98ec59dc-d148e378-62063c90-58baaa12.jpg\n']"
s59947192_0,p13353878,s59947192,0,Findings,"As compared to the previous radiograph, there is unchanged appearance of a left upper lung perihilar 5-cm mass-like opacity. The extent of the opacity is unchanged as compared the previous image. The opacity could represent both pneumonia or malignancy. Repeat followup chest x-ray should document complete resolution. Otherwise, CT of the thorax is advised.",The extent of the opacity is unchanged as compared the previous image.,opacity,left upper lung perihilar,Stable,['files/p13/p13353878/s59947192/a2385584-b046d533-d61a4f1c-28a38feb-2aef2b6c.jpg'],"['files/p13/p13353878/s57540712/8d70fba4-2de961f9-f5a521bd-99e41c4c-65e750ba.jpg\n', 'files/p13/p13353878/s57540712/e90de45f-b12a6a45-721981dc-7df46eae-aa3318e1.jpg\n']"
s59947192_0,p13353878,s59947192,0,Findings,"As compared to the previous radiograph, there is unchanged appearance of a left upper lung perihilar 5-cm mass-like opacity. The extent of the opacity is unchanged as compared the previous image. The opacity could represent both pneumonia or malignancy. Repeat followup chest x-ray should document complete resolution. Otherwise, CT of the thorax is advised.","As compared to the previous radiograph, there is unchanged appearance of a left upper lung perihilar 5-cm mass-like opacity.",5-cm mass-like opacity,left upper lung perihilar,Stable,['files/p13/p13353878/s59947192/a2385584-b046d533-d61a4f1c-28a38feb-2aef2b6c.jpg'],"['files/p13/p13353878/s57540712/8d70fba4-2de961f9-f5a521bd-99e41c4c-65e750ba.jpg\n', 'files/p13/p13353878/s57540712/e90de45f-b12a6a45-721981dc-7df46eae-aa3318e1.jpg\n']"
s59947539_29,p14841168,s59947539,29,Findings,"Portable semi-upright radiograph of the chest demonstrates a stable cardiomediastinal silhouette as seen on prior examinations, with mediastinal widening. An elevated right hemidiaphragm is again seen. The left lung base is not visualized. No focal consolidation is identified in the visualized lung fields. Given supine technique, it is difficult assess for pleural effusion or pneumothorax.",An elevated right hemidiaphragm is again seen.,Hemidiaphragm elevation,Right,Stable,['files/p14/p14841168/s59947539/b90427be-b8e2a5b2-d96a239f-5b791587-230e2fe5.jpg'],"['files/p14/p14841168/s59941702/ab15addd-7646ff4c-89b05c13-b4ea8bb6-22be4b16.jpg\n', 'files/p14/p14841168/s59941702/df381e4e-bf31f79a-d78a3d63-8b19d21e-bf14cc6d.jpg\n']"
s59947539_29,p14841168,s59947539,29,Findings,"Portable semi-upright radiograph of the chest demonstrates a stable cardiomediastinal silhouette as seen on prior examinations, with mediastinal widening. An elevated right hemidiaphragm is again seen. The left lung base is not visualized. No focal consolidation is identified in the visualized lung fields. Given supine technique, it is difficult assess for pleural effusion or pneumothorax.","Portable semi-upright radiograph of the chest demonstrates a stable cardiomediastinal silhouette as seen on prior examinations, with mediastinal widening.",Silhouette,Cardiomediastinal,Stable,['files/p14/p14841168/s59947539/b90427be-b8e2a5b2-d96a239f-5b791587-230e2fe5.jpg'],"['files/p14/p14841168/s59941702/ab15addd-7646ff4c-89b05c13-b4ea8bb6-22be4b16.jpg\n', 'files/p14/p14841168/s59941702/df381e4e-bf31f79a-d78a3d63-8b19d21e-bf14cc6d.jpg\n']"
s59947539_29,p14841168,s59947539,29,Impression,No significant change since recent prior.,No significant change since recent prior.,Condition,General,Stable,['files/p14/p14841168/s59947539/b90427be-b8e2a5b2-d96a239f-5b791587-230e2fe5.jpg'],"['files/p14/p14841168/s59941702/ab15addd-7646ff4c-89b05c13-b4ea8bb6-22be4b16.jpg\n', 'files/p14/p14841168/s59941702/df381e4e-bf31f79a-d78a3d63-8b19d21e-bf14cc6d.jpg\n']"
s59956491_57,p14851532,s59956491,57,Impression,"In comparison with the study of earlier in this date, the endotracheal tube has been removed, as has the nasogastric tube. Continued enlargement of the cardiac silhouette with some element of elevated pulmonary venous pressure. Opacification at the right base is consistent with collapse in the right middle and lower lobe with possible pleural effusion. Less prominent left basilar opacification is consistent with some volume loss in the left lower lobe and probable small effusion.","In comparison with the study of earlier in this date, the endotracheal tube has been removed, as has the nasogastric tube.",endotracheal tube,,Resolve,"['files/p14/p14851532/s59956491/1b1db305-f95b792c-17534a1a-78cbab1c-818bd3aa.jpg', 'files/p14/p14851532/s59956491/721e19bf-893cd83c-ea610180-ee56a931-b0b7c146.jpg']",['files/p14/p14851532/s59839373/2c64848d-cd007bfa-b3e2c794-d206cd7b-26b4ec95.jpg\n']
s59956491_57,p14851532,s59956491,57,Impression,"In comparison with the study of earlier in this date, the endotracheal tube has been removed, as has the nasogastric tube. Continued enlargement of the cardiac silhouette with some element of elevated pulmonary venous pressure. Opacification at the right base is consistent with collapse in the right middle and lower lobe with possible pleural effusion. Less prominent left basilar opacification is consistent with some volume loss in the left lower lobe and probable small effusion.","In comparison with the study of earlier in this date, the endotracheal tube has been removed, as has the nasogastric tube.",nasogastric tube,,Resolve,"['files/p14/p14851532/s59956491/1b1db305-f95b792c-17534a1a-78cbab1c-818bd3aa.jpg', 'files/p14/p14851532/s59956491/721e19bf-893cd83c-ea610180-ee56a931-b0b7c146.jpg']",['files/p14/p14851532/s59839373/2c64848d-cd007bfa-b3e2c794-d206cd7b-26b4ec95.jpg\n']
s59956784_0,p12189285,s59956784,0,Findings,"Dual-lumen dialysis catheter tip is in the right atrium. The previously noted left internal jugular line has since been removed. Moderate cardiomegaly is stable. Patient is status post median sternotomy with fractured median sternotomy wires which appear in disarray representative of sternal nonunion. Again visualized are small bilateral pleural effusions, greater on the right than the left with bibasilar atelectasis.",The previously noted left internal jugular line has since been removed.,line,left internal jugular,Resolve,"['files/p12/p12189285/s59956784/02e0109a-820d6579-26cf0f89-4e81bca1-65cc007f.jpg', 'files/p12/p12189285/s59956784/a4398b56-ec603dc8-a33c3c3b-d4969bf3-6ae3e7b1.jpg']",['files/p12/p12189285/s56010471/37c4fc49-424cf73f-548972b1-dab98549-2ae26c18.jpg\n']
s59956784_0,p12189285,s59956784,0,Findings,"Dual-lumen dialysis catheter tip is in the right atrium. The previously noted left internal jugular line has since been removed. Moderate cardiomegaly is stable. Patient is status post median sternotomy with fractured median sternotomy wires which appear in disarray representative of sternal nonunion. Again visualized are small bilateral pleural effusions, greater on the right than the left with bibasilar atelectasis.",Moderate cardiomegaly is stable.,Moderate cardiomegaly,,Stable,"['files/p12/p12189285/s59956784/02e0109a-820d6579-26cf0f89-4e81bca1-65cc007f.jpg', 'files/p12/p12189285/s59956784/a4398b56-ec603dc8-a33c3c3b-d4969bf3-6ae3e7b1.jpg']",['files/p12/p12189285/s56010471/37c4fc49-424cf73f-548972b1-dab98549-2ae26c18.jpg\n']
s59956784_0,p12189285,s59956784,0,Impression,"1. Small ilateral pleural effusions with bibasilar atelectasis. No focal consolidations. 2. Fractured and misaligned median sternotomy wires are stable, indicating chronic sternal nonunion.","Fractured and misaligned median sternotomy wires are stable, indicating chronic sternal nonunion.",Fractured and misaligned median sternotomy wires,,Stable,"['files/p12/p12189285/s59956784/02e0109a-820d6579-26cf0f89-4e81bca1-65cc007f.jpg', 'files/p12/p12189285/s59956784/a4398b56-ec603dc8-a33c3c3b-d4969bf3-6ae3e7b1.jpg']",['files/p12/p12189285/s56010471/37c4fc49-424cf73f-548972b1-dab98549-2ae26c18.jpg\n']
s59962443_7,p16957952,s59962443,7,Impression,"Stable diffuse increased interstitial markings with an interval increase in opacification in the retrocardiac region, best seen on the lateral view, which could be secondary to overlap of structures, however an acute infectious process is not excluded.","Stable diffuse increased interstitial markings with an interval increase in opacification in the retrocardiac region, best seen on the lateral view, which could be secondary to overlap of structures, however an acute infectious process is not excluded.",opacification,retrocardiac region,Worse,"['files/p16/p16957952/s59962443/93e655d4-f85397d7-f5a5bd25-3ff6da79-c4342fc6.jpg', 'files/p16/p16957952/s59962443/9ee98385-af8a9420-def01c7f-3a68ac80-7bb906d7.jpg', 'files/p16/p16957952/s59962443/ffce664a-4eeb8fbe-401c14eb-0a71b293-c4027078.jpg']",['files/p16/p16957952/s59684377/cc94c95e-0ab572e9-4530d0e6-f22f983e-4b10755a.jpg\n']
s59962443_7,p16957952,s59962443,7,Findings,"The patient is status post CABG with intact sternotomy wires. The hilar and mediastinal contours appear to be stable with evidence of a tortuous aorta. There is stable mild cardiomegaly. There is no pleural effusion or pneumothorax. There appears to be a subtle increase in opacification in the retrocardiac region, superimposed on a stable mild background of interstitial abnormality, best seen on the lateral view.",There is stable mild cardiomegaly.,cardiomegaly,,Stable,"['files/p16/p16957952/s59962443/93e655d4-f85397d7-f5a5bd25-3ff6da79-c4342fc6.jpg', 'files/p16/p16957952/s59962443/9ee98385-af8a9420-def01c7f-3a68ac80-7bb906d7.jpg', 'files/p16/p16957952/s59962443/ffce664a-4eeb8fbe-401c14eb-0a71b293-c4027078.jpg']",['files/p16/p16957952/s59684377/cc94c95e-0ab572e9-4530d0e6-f22f983e-4b10755a.jpg\n']
s59962443_7,p16957952,s59962443,7,Findings,"The patient is status post CABG with intact sternotomy wires. The hilar and mediastinal contours appear to be stable with evidence of a tortuous aorta. There is stable mild cardiomegaly. There is no pleural effusion or pneumothorax. There appears to be a subtle increase in opacification in the retrocardiac region, superimposed on a stable mild background of interstitial abnormality, best seen on the lateral view.","There appears to be a subtle increase in opacification in the retrocardiac region, superimposed on a stable mild background of interstitial abnormality, best seen on the lateral view.",opacification,retrocardiac region,Worse,"['files/p16/p16957952/s59962443/93e655d4-f85397d7-f5a5bd25-3ff6da79-c4342fc6.jpg', 'files/p16/p16957952/s59962443/9ee98385-af8a9420-def01c7f-3a68ac80-7bb906d7.jpg', 'files/p16/p16957952/s59962443/ffce664a-4eeb8fbe-401c14eb-0a71b293-c4027078.jpg']",['files/p16/p16957952/s59684377/cc94c95e-0ab572e9-4530d0e6-f22f983e-4b10755a.jpg\n']
s59962443_7,p16957952,s59962443,7,Findings,"The patient is status post CABG with intact sternotomy wires. The hilar and mediastinal contours appear to be stable with evidence of a tortuous aorta. There is stable mild cardiomegaly. There is no pleural effusion or pneumothorax. There appears to be a subtle increase in opacification in the retrocardiac region, superimposed on a stable mild background of interstitial abnormality, best seen on the lateral view.",The hilar and mediastinal contours appear to be stable with evidence of a tortuous aorta.,,hilar and mediastinal contours,Stable,"['files/p16/p16957952/s59962443/93e655d4-f85397d7-f5a5bd25-3ff6da79-c4342fc6.jpg', 'files/p16/p16957952/s59962443/9ee98385-af8a9420-def01c7f-3a68ac80-7bb906d7.jpg', 'files/p16/p16957952/s59962443/ffce664a-4eeb8fbe-401c14eb-0a71b293-c4027078.jpg']",['files/p16/p16957952/s59684377/cc94c95e-0ab572e9-4530d0e6-f22f983e-4b10755a.jpg\n']
s59966980_1,p19549821,s59966980,1,Findings,"Single portable view of the chest. Enteric tube is seen coiled within the stomach, tip off the inferior field of view. The lungs are clear of focal consolidation. The cardiac silhouette is slightly enlarged, unchanged. No acute osseous abnormality detected noting degenerative changes at the right glenohumeral joint and possible post traumatic changes in the proximal left humerus, incompletely visualized.","The cardiac silhouette is slightly enlarged, unchanged.",Cardiac silhouette,,Stable,['files/p19/p19549821/s59966980/c810fda6-49f22def-580efb22-d9ed1837-c3e002b1.jpg'],['files/p19/p19549821/s59953900/a6af277c-9bba350e-4a71b3e8-137d82db-cb01dd0e.jpg\n']
s59968351_0,p13475033,s59968351,0,Impression,1. Mild interstitial pulmonary edema. 2. Unchanged mild cardiomegaly.,Unchanged mild cardiomegaly.,mild cardiomegaly,,Stable,"['files/p13/p13475033/s59968351/9eef23a6-9ec5cac1-17521310-3e505395-c63ed35d.jpg', 'files/p13/p13475033/s59968351/ae032259-83a5d5ec-8bce36ad-8313ec75-f32fb108.jpg']",['files/p13/p13475033/s59918608/8fd47aef-a0002ac5-00dd791e-784fc4a3-a7bc5026.jpg\n']
s59968351_0,p13475033,s59968351,0,Findings,"Lung volumes are slightly low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. Diffuse bilateral interstitial opacities are consistent with mild pulmonary edema. The heart is mildly enlarged, as before. The descending thoracic aorta is slightly tortuous, unchanged. There is a right tunneled IJ catheter ending in the right atrium. No pleural effusions. No pneumothorax. Stable mid-thoracic compression fracture.","The heart is mildly enlarged, as before.",mild cardiomegaly,,Stable,"['files/p13/p13475033/s59968351/9eef23a6-9ec5cac1-17521310-3e505395-c63ed35d.jpg', 'files/p13/p13475033/s59968351/ae032259-83a5d5ec-8bce36ad-8313ec75-f32fb108.jpg']",['files/p13/p13475033/s59918608/8fd47aef-a0002ac5-00dd791e-784fc4a3-a7bc5026.jpg\n']
s59968351_0,p13475033,s59968351,0,Findings,"Lung volumes are slightly low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. Diffuse bilateral interstitial opacities are consistent with mild pulmonary edema. The heart is mildly enlarged, as before. The descending thoracic aorta is slightly tortuous, unchanged. There is a right tunneled IJ catheter ending in the right atrium. No pleural effusions. No pneumothorax. Stable mid-thoracic compression fracture.","The descending thoracic aorta is slightly tortuous, unchanged.",aorta tortuosity,descending thoracic,Stable,"['files/p13/p13475033/s59968351/9eef23a6-9ec5cac1-17521310-3e505395-c63ed35d.jpg', 'files/p13/p13475033/s59968351/ae032259-83a5d5ec-8bce36ad-8313ec75-f32fb108.jpg']",['files/p13/p13475033/s59918608/8fd47aef-a0002ac5-00dd791e-784fc4a3-a7bc5026.jpg\n']
s59968351_0,p13475033,s59968351,0,Findings,"Lung volumes are slightly low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. Diffuse bilateral interstitial opacities are consistent with mild pulmonary edema. The heart is mildly enlarged, as before. The descending thoracic aorta is slightly tortuous, unchanged. There is a right tunneled IJ catheter ending in the right atrium. No pleural effusions. No pneumothorax. Stable mid-thoracic compression fracture.",Stable mid-thoracic compression fracture.,compression fracture,mid-thoracic,Stable,"['files/p13/p13475033/s59968351/9eef23a6-9ec5cac1-17521310-3e505395-c63ed35d.jpg', 'files/p13/p13475033/s59968351/ae032259-83a5d5ec-8bce36ad-8313ec75-f32fb108.jpg']",['files/p13/p13475033/s59918608/8fd47aef-a0002ac5-00dd791e-784fc4a3-a7bc5026.jpg\n']
s59980986_14,p10410641,s59980986,14,Findings,There is a mild-to-moderate left pneumothorax with rightward mediastinal shift more apparent than on portable chest radiograph at 2:26 p.m. The small right pneumothorax is stable. There is also a moderate left pleural effusion. Bilateral pigtail catheters are in place. The heart size remains normal. There is no focal consolidation.,There is a mild-to-moderate left pneumothorax with rightward mediastinal shift more apparent than on portable chest radiograph at 2:26 p.m.,pneumothorax,left,New,"['files/p10/p10410641/s59980986/380fda55-d2283afd-511dcad7-803d3b6a-ed8c6b64.jpg', 'files/p10/p10410641/s59980986/8710a9ad-589288a8-7983c163-56388801-14daa160.jpg']",['files/p10/p10410641/s59669282/e26bcba2-87e8c63d-e3b9b2c2-e679f9e8-0f3c295b.jpg\n']
s59980986_14,p10410641,s59980986,14,Impression,1. New mild-to-moderate left pneumothorax with mild rightward shift of the mediastinum. 2. Stable right pneumothorax. 3. Moderate left pleural effusion. The case was discussed by Dr. ___ with Dr. ___.,2. Stable right pneumothorax.,pneumothorax,right,Stable,"['files/p10/p10410641/s59980986/380fda55-d2283afd-511dcad7-803d3b6a-ed8c6b64.jpg', 'files/p10/p10410641/s59980986/8710a9ad-589288a8-7983c163-56388801-14daa160.jpg']",['files/p10/p10410641/s59669282/e26bcba2-87e8c63d-e3b9b2c2-e679f9e8-0f3c295b.jpg\n']
s59980986_14,p10410641,s59980986,14,Findings,There is a mild-to-moderate left pneumothorax with rightward mediastinal shift more apparent than on portable chest radiograph at 2:26 p.m. The small right pneumothorax is stable. There is also a moderate left pleural effusion. Bilateral pigtail catheters are in place. The heart size remains normal. There is no focal consolidation.,The small right pneumothorax is stable.,pneumothorax,right,Stable,"['files/p10/p10410641/s59980986/380fda55-d2283afd-511dcad7-803d3b6a-ed8c6b64.jpg', 'files/p10/p10410641/s59980986/8710a9ad-589288a8-7983c163-56388801-14daa160.jpg']",['files/p10/p10410641/s59669282/e26bcba2-87e8c63d-e3b9b2c2-e679f9e8-0f3c295b.jpg\n']
s59980986_14,p10410641,s59980986,14,Findings,There is a mild-to-moderate left pneumothorax with rightward mediastinal shift more apparent than on portable chest radiograph at 2:26 p.m. The small right pneumothorax is stable. There is also a moderate left pleural effusion. Bilateral pigtail catheters are in place. The heart size remains normal. There is no focal consolidation.,The heart size remains normal.,heart size,,Stable,"['files/p10/p10410641/s59980986/380fda55-d2283afd-511dcad7-803d3b6a-ed8c6b64.jpg', 'files/p10/p10410641/s59980986/8710a9ad-589288a8-7983c163-56388801-14daa160.jpg']",['files/p10/p10410641/s59669282/e26bcba2-87e8c63d-e3b9b2c2-e679f9e8-0f3c295b.jpg\n']
s59980986_14,p10410641,s59980986,14,Impression,1. New mild-to-moderate left pneumothorax with mild rightward shift of the mediastinum. 2. Stable right pneumothorax. 3. Moderate left pleural effusion. The case was discussed by Dr. ___ with Dr. ___.,1. New mild-to-moderate left pneumothorax with mild rightward shift of the mediastinum.,pneumothorax,left,New,"['files/p10/p10410641/s59980986/380fda55-d2283afd-511dcad7-803d3b6a-ed8c6b64.jpg', 'files/p10/p10410641/s59980986/8710a9ad-589288a8-7983c163-56388801-14daa160.jpg']",['files/p10/p10410641/s59669282/e26bcba2-87e8c63d-e3b9b2c2-e679f9e8-0f3c295b.jpg\n']
s59983953_1,p11212873,s59983953,1,Findings,"An endotracheal tube approximately 7 cm from the carina and at the level of the clavicular head is in proper position. A feeding tube is seen within the stomach with the tip out of the field of view. A left chest tube is present. Mediastinal drains are in place. Sternal wires with a stabilizing device are present. A Swan-Ganz catheter is seen within the right atrium, but the distal tip cannot be traced further due to the overlying structures. The cardiomediastinal silhouette has the normal postoperative appearance. There is mild bibasilar atelectasis and right upper lobe atelectasis. There are no pleural effusions or pulmonary edema. The previously seen pulmonary edema has resolved. There is no pneumothorax.",The previously seen pulmonary edema has resolved.,pulmonary edema,,Resolve,"['files/p11/p11212873/s59983953/138e15e1-82368001-70725244-1ac06c0d-a272de11.jpg', 'files/p11/p11212873/s59983953/3470d736-53ab4170-ab83b760-57a5b839-c7302405.jpg']","['files/p11/p11212873/s53762508/52117609-b59d4ebd-52c7b52f-db36024d-ceb8cb10.jpg\n', 'files/p11/p11212873/s53762508/551bcedc-af6b269e-41826aa7-ff9d0f78-4825ae4f.jpg\n', 'files/p11/p11212873/s53762508/9e6e5d09-41e8a70c-7cd114e9-65dfb470-66d1c2b3.jpg\n']"
s59984376_16,p19759491,s59984376,16,Findings,"There has been previous median sternotomy and mitral valve replacement. A right internal jugular dialysis catheter continues to terminate in the right atrium, and biventricular pacer/ICD leads are unchanged in position as well. Stable cardiomegaly accompanied by worsening interstitial edema. Additionally, a more confluent area of opacity is present in the left lower lobe, partially obscuring the left hemidiaphragm. This is concerning for developing pneumonia. Small pleural effusions are present bilaterally.","A right internal jugular dialysis catheter continues to terminate in the right atrium, and biventricular pacer/ICD leads are unchanged in position as well.",Biventricular pacer/ICD leads,,Stable,"['files/p19/p19759491/s59984376/87f64c4d-93ab83e7-04f10c4b-a9ed71f7-d05889f2.jpg', 'files/p19/p19759491/s59984376/9d7f405a-066460a9-c49592a0-60cb15fe-9dc87b8c.jpg', 'files/p19/p19759491/s59984376/a2c7e2ee-839b9c91-50a774a6-3c49483b-d7189ad3.jpg']","['files/p19/p19759491/s59691119/5ad83d61-44f64350-e0fe61c9-c78a0842-626ecb1f.jpg\n', 'files/p19/p19759491/s59691119/7af7f1bb-df383cf0-cf61ba91-874a1b66-c067492b.jpg\n']"
s59984376_16,p19759491,s59984376,16,Findings,"There has been previous median sternotomy and mitral valve replacement. A right internal jugular dialysis catheter continues to terminate in the right atrium, and biventricular pacer/ICD leads are unchanged in position as well. Stable cardiomegaly accompanied by worsening interstitial edema. Additionally, a more confluent area of opacity is present in the left lower lobe, partially obscuring the left hemidiaphragm. This is concerning for developing pneumonia. Small pleural effusions are present bilaterally.",Stable cardiomegaly accompanied by worsening interstitial edema.,Cardiomegaly,,Stable,"['files/p19/p19759491/s59984376/87f64c4d-93ab83e7-04f10c4b-a9ed71f7-d05889f2.jpg', 'files/p19/p19759491/s59984376/9d7f405a-066460a9-c49592a0-60cb15fe-9dc87b8c.jpg', 'files/p19/p19759491/s59984376/a2c7e2ee-839b9c91-50a774a6-3c49483b-d7189ad3.jpg']","['files/p19/p19759491/s59691119/5ad83d61-44f64350-e0fe61c9-c78a0842-626ecb1f.jpg\n', 'files/p19/p19759491/s59691119/7af7f1bb-df383cf0-cf61ba91-874a1b66-c067492b.jpg\n']"
s59984376_16,p19759491,s59984376,16,Findings,"There has been previous median sternotomy and mitral valve replacement. A right internal jugular dialysis catheter continues to terminate in the right atrium, and biventricular pacer/ICD leads are unchanged in position as well. Stable cardiomegaly accompanied by worsening interstitial edema. Additionally, a more confluent area of opacity is present in the left lower lobe, partially obscuring the left hemidiaphragm. This is concerning for developing pneumonia. Small pleural effusions are present bilaterally.",Stable cardiomegaly accompanied by worsening interstitial edema.,Interstitial edema,,Worse,"['files/p19/p19759491/s59984376/87f64c4d-93ab83e7-04f10c4b-a9ed71f7-d05889f2.jpg', 'files/p19/p19759491/s59984376/9d7f405a-066460a9-c49592a0-60cb15fe-9dc87b8c.jpg', 'files/p19/p19759491/s59984376/a2c7e2ee-839b9c91-50a774a6-3c49483b-d7189ad3.jpg']","['files/p19/p19759491/s59691119/5ad83d61-44f64350-e0fe61c9-c78a0842-626ecb1f.jpg\n', 'files/p19/p19759491/s59691119/7af7f1bb-df383cf0-cf61ba91-874a1b66-c067492b.jpg\n']"
s59984376_16,p19759491,s59984376,16,Findings,"There has been previous median sternotomy and mitral valve replacement. A right internal jugular dialysis catheter continues to terminate in the right atrium, and biventricular pacer/ICD leads are unchanged in position as well. Stable cardiomegaly accompanied by worsening interstitial edema. Additionally, a more confluent area of opacity is present in the left lower lobe, partially obscuring the left hemidiaphragm. This is concerning for developing pneumonia. Small pleural effusions are present bilaterally.","A right internal jugular dialysis catheter continues to terminate in the right atrium, and biventricular pacer/ICD leads are unchanged in position as well.",Right internal jugular dialysis catheter,Right atrium,Stable,"['files/p19/p19759491/s59984376/87f64c4d-93ab83e7-04f10c4b-a9ed71f7-d05889f2.jpg', 'files/p19/p19759491/s59984376/9d7f405a-066460a9-c49592a0-60cb15fe-9dc87b8c.jpg', 'files/p19/p19759491/s59984376/a2c7e2ee-839b9c91-50a774a6-3c49483b-d7189ad3.jpg']","['files/p19/p19759491/s59691119/5ad83d61-44f64350-e0fe61c9-c78a0842-626ecb1f.jpg\n', 'files/p19/p19759491/s59691119/7af7f1bb-df383cf0-cf61ba91-874a1b66-c067492b.jpg\n']"
s59986698_0,p12369221,s59986698,0,Findings,"Left-sided dual-chamber pacemaker is noted with leads terminating in the right atrium and right ventricle. The heart size is normal. The mediastinal and hilar contours are unchanged, with mild calcification of the thoracic aorta. The lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.","The mediastinal and hilar contours are unchanged, with mild calcification of the thoracic aorta.",mild calcification of the thoracic aorta,mediastinal and hilar contours,Stable,['files/p12/p12369221/s59986698/417d5c5e-b521f965-35306684-68e7deb2-cda06f5c.jpg'],"['files/p12/p12369221/s50178679/3821a16d-3dd0338c-8485c8e1-c3cfcd50-05762b8b.jpg\n', 'files/p12/p12369221/s50178679/861f9946-68cebd2f-e11dbfba-aaad1909-7ccc759e.jpg\n']"
s59990602_0,p15370732,s59990602,0,Findings,"Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. The left pectoral pacemaker leads end in the expected locations of the right atrium and right ventricle. There is no focal consolidation, pleural effusion or pneumothorax. Bibasilar atelectasis is seen. The known FDG-avid nodules seen on recent PET-CT are below the threshold of detection on chest radiograph. Heart size is within normal limits allowing for lung volumes. Mediastinal silhouette and hilar contours are stable. Blunting of the right costophrenic sulcus is similar to ___, although no effusion is seen on CT.",Mediastinal silhouette and hilar contours are stable.,,Mediastinal silhouette and hilar contours,Stable,"['files/p15/p15370732/s59990602/20926ce7-7b3d87db-c15f0a3e-556e3a75-1c54be6f.jpg', 'files/p15/p15370732/s59990602/2d5f73c2-9a6138e2-d33b6539-067b7734-2b55b088.jpg', 'files/p15/p15370732/s59990602/9fbb07e2-d260dfd7-0f8132b6-c8b2cabb-6745996f.jpg']",['files/p15/p15370732/s59520354/9f88a220-973e2475-25bf2e6b-501e99f4-65c4c9bd.jpg\n']
s59990602_0,p15370732,s59990602,0,Findings,"Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. The left pectoral pacemaker leads end in the expected locations of the right atrium and right ventricle. There is no focal consolidation, pleural effusion or pneumothorax. Bibasilar atelectasis is seen. The known FDG-avid nodules seen on recent PET-CT are below the threshold of detection on chest radiograph. Heart size is within normal limits allowing for lung volumes. Mediastinal silhouette and hilar contours are stable. Blunting of the right costophrenic sulcus is similar to ___, although no effusion is seen on CT.","Blunting of the right costophrenic sulcus is similar to ___, although no effusion is seen on CT.",,right costophrenic sulcus,Stable,"['files/p15/p15370732/s59990602/20926ce7-7b3d87db-c15f0a3e-556e3a75-1c54be6f.jpg', 'files/p15/p15370732/s59990602/2d5f73c2-9a6138e2-d33b6539-067b7734-2b55b088.jpg', 'files/p15/p15370732/s59990602/9fbb07e2-d260dfd7-0f8132b6-c8b2cabb-6745996f.jpg']",['files/p15/p15370732/s59520354/9f88a220-973e2475-25bf2e6b-501e99f4-65c4c9bd.jpg\n']
s59995358_5,p11569093,s59995358,5,Findings,The patient has been extubated. Parenchymal opacities in the left lung are similar to mildly worsened. A left internal jugular vein catheter terminates in the mid SVC. The NG tube is no longer present. Again seen is the large right subpulmonic effusion. The small left pleural effusion is unchanged. There is no pneumothorax.,The NG tube is no longer present.,NG tube,,Resolve,['files/p11/p11569093/s59995358/51b6ffe9-580e1dd3-9aa94073-a614dd4f-e41809b0.jpg'],"['files/p11/p11569093/s59718086/3e6f368b-a8391960-74c08b06-25d8dafc-0c6e61fe.jpg\n', 'files/p11/p11569093/s59718086/f144b596-88afdc30-0f893661-7b6e1b7c-29b129bf.jpg\n']"
s59995358_5,p11569093,s59995358,5,Findings,The patient has been extubated. Parenchymal opacities in the left lung are similar to mildly worsened. A left internal jugular vein catheter terminates in the mid SVC. The NG tube is no longer present. Again seen is the large right subpulmonic effusion. The small left pleural effusion is unchanged. There is no pneumothorax.,Parenchymal opacities in the left lung are similar to mildly worsened.,Parenchymal opacities,left lung,Worse,['files/p11/p11569093/s59995358/51b6ffe9-580e1dd3-9aa94073-a614dd4f-e41809b0.jpg'],"['files/p11/p11569093/s59718086/3e6f368b-a8391960-74c08b06-25d8dafc-0c6e61fe.jpg\n', 'files/p11/p11569093/s59718086/f144b596-88afdc30-0f893661-7b6e1b7c-29b129bf.jpg\n']"
s59995358_5,p11569093,s59995358,5,Findings,The patient has been extubated. Parenchymal opacities in the left lung are similar to mildly worsened. A left internal jugular vein catheter terminates in the mid SVC. The NG tube is no longer present. Again seen is the large right subpulmonic effusion. The small left pleural effusion is unchanged. There is no pneumothorax.,The patient has been extubated.,endotracheal tube,,Resolve,['files/p11/p11569093/s59995358/51b6ffe9-580e1dd3-9aa94073-a614dd4f-e41809b0.jpg'],"['files/p11/p11569093/s59718086/3e6f368b-a8391960-74c08b06-25d8dafc-0c6e61fe.jpg\n', 'files/p11/p11569093/s59718086/f144b596-88afdc30-0f893661-7b6e1b7c-29b129bf.jpg\n']"
s59995358_5,p11569093,s59995358,5,Findings,The patient has been extubated. Parenchymal opacities in the left lung are similar to mildly worsened. A left internal jugular vein catheter terminates in the mid SVC. The NG tube is no longer present. Again seen is the large right subpulmonic effusion. The small left pleural effusion is unchanged. There is no pneumothorax.,The small left pleural effusion is unchanged.,small pleural effusion,left,Stable,['files/p11/p11569093/s59995358/51b6ffe9-580e1dd3-9aa94073-a614dd4f-e41809b0.jpg'],"['files/p11/p11569093/s59718086/3e6f368b-a8391960-74c08b06-25d8dafc-0c6e61fe.jpg\n', 'files/p11/p11569093/s59718086/f144b596-88afdc30-0f893661-7b6e1b7c-29b129bf.jpg\n']"
s59995405_8,p18512911,s59995405,8,Findings,"Frontal and lateral views of the chest were obtained. Bibasilar opacities are seen, which may relate to atelectasis; however, in the appropriate clinical setting, consolidation due to infection or pneumonia is not excluded. There is also a new opacity projecting over the lateral left mid lung seen on the frontal view, not as well evaluated on the lateral view, which may represent another site of atelectasis/collapse. The cardiac and mediastinal silhouettes are stable.",The cardiac and mediastinal silhouettes are stable.,,cardiac and mediastinal silhouettes,Stable,"['files/p18/p18512911/s59995405/16fd3cf3-d29c1429-19334155-3ffd9fd5-a25b09bf.jpg', 'files/p18/p18512911/s59995405/c638edda-bdf584b4-3c5c7f67-9d0e1a5e-43fecdbd.jpg']",['files/p18/p18512911/s59232798/8f3afa87-cb2c2fec-210903d7-8faa6559-a7b6bf8e.jpg\n']
s59995405_8,p18512911,s59995405,8,Findings,"Frontal and lateral views of the chest were obtained. Bibasilar opacities are seen, which may relate to atelectasis; however, in the appropriate clinical setting, consolidation due to infection or pneumonia is not excluded. There is also a new opacity projecting over the lateral left mid lung seen on the frontal view, not as well evaluated on the lateral view, which may represent another site of atelectasis/collapse. The cardiac and mediastinal silhouettes are stable.","There is also a new opacity projecting over the lateral left mid lung seen on the frontal view, not as well evaluated on the lateral view, which may represent another site of atelectasis/collapse.",opacity,lateral left mid lung,New,"['files/p18/p18512911/s59995405/16fd3cf3-d29c1429-19334155-3ffd9fd5-a25b09bf.jpg', 'files/p18/p18512911/s59995405/c638edda-bdf584b4-3c5c7f67-9d0e1a5e-43fecdbd.jpg']",['files/p18/p18512911/s59232798/8f3afa87-cb2c2fec-210903d7-8faa6559-a7b6bf8e.jpg\n']
s59995405_8,p18512911,s59995405,8,Impression,"Bibasilar opacities may in part relate to atelectasis, although underlying infection, pneumonia and/or aspiration is of concern in the appropriate clinical setting. Additionally, there is new lateral left lung opacity which is nonspecific, but could relate to an additional site of consolidation including pulmonary infarct. Findings were discussed with Dr. ___ at 8:15 p.m. on ___ via telephone.","Additionally, there is new lateral left lung opacity which is nonspecific, but could relate to an additional site of consolidation including pulmonary infarct.",opacity,lateral left lung,New,"['files/p18/p18512911/s59995405/16fd3cf3-d29c1429-19334155-3ffd9fd5-a25b09bf.jpg', 'files/p18/p18512911/s59995405/c638edda-bdf584b4-3c5c7f67-9d0e1a5e-43fecdbd.jpg']",['files/p18/p18512911/s59232798/8f3afa87-cb2c2fec-210903d7-8faa6559-a7b6bf8e.jpg\n']
s59999362_4,p15518538,s59999362,4,Findings,The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The patient is status post median sternotomy with the superior most 2 sternotomy wires again seen to be fractured.,The patient is status post median sternotomy with the superior most 2 sternotomy wires again seen to be fractured.,sternotomy wires fractures,superior most,Stable,"['files/p15/p15518538/s59999362/f1096194-814152f3-c5c14405-305b19d8-0d4eaffb.jpg', 'files/p15/p15518538/s59999362/fb713bef-44a802dc-179def5b-4baaedb7-991610c2.jpg']","['files/p15/p15518538/s59504476/70ad5a5e-35834f2a-a5619c1e-5deaac58-b6657063.jpg\n', 'files/p15/p15518538/s59504476/c3fe2619-5e9d2145-d9f7ccdc-a0bafc7b-6cf0c98d.jpg\n']"
s59999832_10,p15114531,s59999832,10,Findings,"In comparison with study of ___, there is little change and no evidence of acute cardiopulmonary disease. The heart is normal in size, and there is no acute pneumonia, vascular congestion, or pleural effusion. The right PICC line has been removed and the cervical fusion is again seen.","In comparison with study of ___, there is little change and no evidence of acute cardiopulmonary disease.",acute cardiopulmonary disease,,Stable,"['files/p15/p15114531/s59999832/01b9b26f-ff910315-d75bbc0e-5d092e8b-30ae245b.jpg', 'files/p15/p15114531/s59999832/0636d0c0-a771097e-ac0c52a9-9124a5d0-95b0bc51.jpg']","['files/p15/p15114531/s59942551/4e536fbd-1d3c1f99-c3494ba6-918a4177-3e3b72ff.jpg\n', 'files/p15/p15114531/s59942551/63613222-d2216c2e-d4ff5b88-43805695-99256e40.jpg\n']"
s59999832_10,p15114531,s59999832,10,Findings,"In comparison with study of ___, there is little change and no evidence of acute cardiopulmonary disease. The heart is normal in size, and there is no acute pneumonia, vascular congestion, or pleural effusion. The right PICC line has been removed and the cervical fusion is again seen.",The right PICC line has been removed and the cervical fusion is again seen.,PICC line,right,Resolve,"['files/p15/p15114531/s59999832/01b9b26f-ff910315-d75bbc0e-5d092e8b-30ae245b.jpg', 'files/p15/p15114531/s59999832/0636d0c0-a771097e-ac0c52a9-9124a5d0-95b0bc51.jpg']","['files/p15/p15114531/s59942551/4e536fbd-1d3c1f99-c3494ba6-918a4177-3e3b72ff.jpg\n', 'files/p15/p15114531/s59942551/63613222-d2216c2e-d4ff5b88-43805695-99256e40.jpg\n']"