sample_id,patient_id,study_id,image_num,Section,Report,Sentence,Pathology,Position,Label,image_paths,previous_images patient64541_study1_0,patient64541,study1,0,Impression,"1. SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES SLIGHTLY TORTUOUS THORACIC AORTA. CARDIAC SIZE IS UNCHANGED SINCE THE PRIOR STUDY. REDEMONSTRATION OF SMALL LINEAR OPACITY IN THE RETROCARDIAC REGION, WHICH MAY REPRESENT SOME ATELECTASIS. THE REMAINDER OF THE LUNGS ARE CLEAR. NO SIGNIFICANT PLEURAL EFFUSION. OVERALL, NO SIGNIFICANT INTERVAL CHANGE IN CARDIOPULMONARY STATUS.",CARDIAC SIZE IS UNCHANGED SINCE THE PRIOR STUDY.,Cardiac size,,Stable,['valid/patient64541/study1/view1_frontal.jpg'], patient64541_study1_0,patient64541,study1,0,Impression,"1. SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES SLIGHTLY TORTUOUS THORACIC AORTA. CARDIAC SIZE IS UNCHANGED SINCE THE PRIOR STUDY. REDEMONSTRATION OF SMALL LINEAR OPACITY IN THE RETROCARDIAC REGION, WHICH MAY REPRESENT SOME ATELECTASIS. THE REMAINDER OF THE LUNGS ARE CLEAR. NO SIGNIFICANT PLEURAL EFFUSION. OVERALL, NO SIGNIFICANT INTERVAL CHANGE IN CARDIOPULMONARY STATUS.","REDEMONSTRATION OF SMALL LINEAR OPACITY IN THE RETROCARDIAC REGION, WHICH MAY REPRESENT SOME ATELECTASIS.",small linear opacity,retrocardiac region,Stable,['valid/patient64541/study1/view1_frontal.jpg'], patient64541_study1_0,patient64541,study1,0,Impression,"1. SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES SLIGHTLY TORTUOUS THORACIC AORTA. CARDIAC SIZE IS UNCHANGED SINCE THE PRIOR STUDY. REDEMONSTRATION OF SMALL LINEAR OPACITY IN THE RETROCARDIAC REGION, WHICH MAY REPRESENT SOME ATELECTASIS. THE REMAINDER OF THE LUNGS ARE CLEAR. NO SIGNIFICANT PLEURAL EFFUSION. OVERALL, NO SIGNIFICANT INTERVAL CHANGE IN CARDIOPULMONARY STATUS.","OVERALL, NO SIGNIFICANT INTERVAL CHANGE IN CARDIOPULMONARY STATUS.",Cardiopulmonary status,,Stable,['valid/patient64541/study1/view1_frontal.jpg'], patient64542_study1_0,patient64542,study1,0,Impression,"Unchanged left upper extremity PICC line with tip projecting over the cavoatrial junction. Normal heart size and pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax. Bones are unremarkable.",Unchanged left upper extremity PICC line with tip projecting over the cavoatrial junction.,PICC line,left upper extremity,Stable,"['valid/patient64542/study1/view1_frontal.jpg', 'valid/patient64542/study1/view2_lateral.jpg']", patient64543_study1_0,patient64543,study1,0,Impression,"1. THE PREVIOUSLY IDENTIFIED RIGHT APICAL PNEUMOTHORAX, NOW APPEARS TO BE FILLED WITH FLUID. THERE ARE MULTIPLE AREAS OF RETICULAR PARENCHYMAL OPACITIES IN THE RIGHT LUNG THAT SHOW NO SIGNIFICANT INTERVAL CHANGE. THERE ARE ALSO NODULES SEEN IN THE LEFT UPPER LOBE THAT SHOW NO SIGNIFICANT INTERVAL CHANGE.","THE PREVIOUSLY IDENTIFIED RIGHT APICAL PNEUMOTHORAX, NOW APPEARS TO BE FILLED WITH FLUID.",Pneumothorax,Right apical,Worse,['valid/patient64543/study1/view1_frontal.jpg'], patient64543_study1_0,patient64543,study1,0,Impression,"1. THE PREVIOUSLY IDENTIFIED RIGHT APICAL PNEUMOTHORAX, NOW APPEARS TO BE FILLED WITH FLUID. THERE ARE MULTIPLE AREAS OF RETICULAR PARENCHYMAL OPACITIES IN THE RIGHT LUNG THAT SHOW NO SIGNIFICANT INTERVAL CHANGE. THERE ARE ALSO NODULES SEEN IN THE LEFT UPPER LOBE THAT SHOW NO SIGNIFICANT INTERVAL CHANGE.",THERE ARE MULTIPLE AREAS OF RETICULAR PARENCHYMAL OPACITIES IN THE RIGHT LUNG THAT SHOW NO SIGNIFICANT INTERVAL CHANGE.,Reticular parenchymal opacities,Right lung,Stable,['valid/patient64543/study1/view1_frontal.jpg'], patient64543_study1_0,patient64543,study1,0,Impression,"1. THE PREVIOUSLY IDENTIFIED RIGHT APICAL PNEUMOTHORAX, NOW APPEARS TO BE FILLED WITH FLUID. THERE ARE MULTIPLE AREAS OF RETICULAR PARENCHYMAL OPACITIES IN THE RIGHT LUNG THAT SHOW NO SIGNIFICANT INTERVAL CHANGE. THERE ARE ALSO NODULES SEEN IN THE LEFT UPPER LOBE THAT SHOW NO SIGNIFICANT INTERVAL CHANGE.",THERE ARE ALSO NODULES SEEN IN THE LEFT UPPER LOBE THAT SHOW NO SIGNIFICANT INTERVAL CHANGE.,Nodules,Left upper lobe,Stable,['valid/patient64543/study1/view1_frontal.jpg'], patient64544_study1_0,patient64544,study1,0,Findings,"A single portable AP chest radiograph, dated 11/13/2016 demonstrates midline appearance of the trachea. The cardiomediastinal silhouette is unremarkable. There is a small focal left basilar opacity. Elsewhere, the lungs appear clear. No pleural or bony abnormalities are identified.",There is a small focal left basilar opacity.,opacity,left basilar,New,['valid/patient64544/study1/view1_frontal.jpg'], patient64544_study1_0,patient64544,study1,0,Impression,"focal left basilar opacity, which may be consistent with atelectasis or early consolidation.","focal left basilar opacity, which may be consistent with atelectasis or early consolidation.",opacity,left basilar,New,['valid/patient64544/study1/view1_frontal.jpg'], patient64545_study1_0,patient64545,study1,0,Findings,There are low lung volumes. The cardiomediastinal silhouette is within normal limits. There is evidence of trace pulmonary edema with a left pleural effusion. Left retrocardiac atelectasis is noted. There are old bilateral rib fractures.,There are old bilateral rib fractures.,rib fractures,bilateral,Stable,['valid/patient64545/study1/view1_frontal.jpg'], patient64545_study1_0,patient64545,study1,0,Impression,1. TRACE PULMONARY EDEMA WITH LEFT PLEURAL EFFUSION. 2. LOW LUNG VOLUMES AND LEFT LOWER LOBE ATELECTASIS. 3. OLD BILATERAL RIB FRACTURES.,3. OLD BILATERAL RIB FRACTURES.,rib fractures,bilateral,Stable,['valid/patient64545/study1/view1_frontal.jpg'], patient64546_study1_0,patient64546,study1,0,Findings,,PORTABLE AP SEMI-UPRIGHT VIEW OF THE CHEST SHOWS A RIGHT INTERNAL JUGULAR LINE THAT IS UNCHANGED FROM THE PRIOR EXAM.,Internal Jugular Line,Right,Stable,['valid/patient64546/study1/view1_frontal.jpg'], patient64547_study1_0,patient64547,study1,0,Findings,,"THERE IS A GENERALIZED PAUCITY OF LUNG MARKINGS AT THE LEFT APEX, BUT THIS APPEARS UNCHANGED IN COMPARISON TO PRIOR STUDIES.",paucity of lung markings,left apex,Stable,"['valid/patient64547/study1/view1_frontal.jpg', 'valid/patient64547/study1/view3_lateral.jpg', 'valid/patient64547/study1/view2_frontal.jpg']", patient64548_study1_0,patient64548,study1,0,Findings,Interval increase in opacity within the lingula and left lung base compared to the prior examination. Interval increase in opacity along the medial portion of the right lung base compared to the prior examination. Unchanged cardiomediastinal silhouette. No evidence of pneumothorax or pulmonary edema.,Interval increase in opacity within the lingula and left lung base compared to the prior examination.,opacity,lingula,Worse,['valid/patient64548/study1/view1_frontal.jpg'], patient64548_study1_0,patient64548,study1,0,Findings,Interval increase in opacity within the lingula and left lung base compared to the prior examination. Interval increase in opacity along the medial portion of the right lung base compared to the prior examination. Unchanged cardiomediastinal silhouette. No evidence of pneumothorax or pulmonary edema.,Interval increase in opacity within the lingula and left lung base compared to the prior examination.,opacity,left lung base,Worse,['valid/patient64548/study1/view1_frontal.jpg'], patient64548_study1_0,patient64548,study1,0,Findings,Interval increase in opacity within the lingula and left lung base compared to the prior examination. Interval increase in opacity along the medial portion of the right lung base compared to the prior examination. Unchanged cardiomediastinal silhouette. No evidence of pneumothorax or pulmonary edema.,Interval increase in opacity along the medial portion of the right lung base compared to the prior examination.,opacity,medial portion of the right lung base,Worse,['valid/patient64548/study1/view1_frontal.jpg'], patient64548_study1_0,patient64548,study1,0,Findings,Interval increase in opacity within the lingula and left lung base compared to the prior examination. Interval increase in opacity along the medial portion of the right lung base compared to the prior examination. Unchanged cardiomediastinal silhouette. No evidence of pneumothorax or pulmonary edema.,Unchanged cardiomediastinal silhouette.,silhouette,cardiomediastinal,Stable,['valid/patient64548/study1/view1_frontal.jpg'], patient64548_study1_0,patient64548,study1,0,Impression,"1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.","Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia.",opacities,lingular,Worse,['valid/patient64548/study1/view1_frontal.jpg'], patient64548_study1_0,patient64548,study1,0,Impression,"1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.","Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia.",opacities,left lung base,Worse,['valid/patient64548/study1/view1_frontal.jpg'], patient64548_study1_0,patient64548,study1,0,Impression,"1. Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia. I have personally reviewed the images for this examination and agreed with the report transcribed above.","Interval increase in lingular, left lung base, in medial right lung base opacities, which can be seen with aspiration or multifocal pneumonia.",opacities,medial right lung base,Worse,['valid/patient64548/study1/view1_frontal.jpg'], patient64549_study1_0,patient64549,study1,0,Impression,"1. SINGLE FRONTAL VIEW OF THE CHEST AGAIN DEMONSTRATES A RIGHT SUBCLAVIAN CATHETER, HOWEVER, THE TIP IS NOT SEEN ON THE CURRENT STUDY. 2. INTERVAL IMPROVED AERATION OF THE LEFT LUNG BASE WITH RESOLUTION OF PULMONARY EDEMA. THE LUNGS APPEAR CLEAR WITHOUT EVIDENCE OF SIGNIFICANT EFFUSIONS.",2. INTERVAL IMPROVED AERATION OF THE LEFT LUNG BASE WITH RESOLUTION OF PULMONARY EDEMA. THE LUNGS APPEAR CLEAR WITHOUT EVIDENCE OF SIGNIFICANT EFFUSIONS.,aeration,left lung base,Better,['valid/patient64549/study1/view1_frontal.jpg'], patient64549_study1_0,patient64549,study1,0,Impression,"1. SINGLE FRONTAL VIEW OF THE CHEST AGAIN DEMONSTRATES A RIGHT SUBCLAVIAN CATHETER, HOWEVER, THE TIP IS NOT SEEN ON THE CURRENT STUDY. 2. INTERVAL IMPROVED AERATION OF THE LEFT LUNG BASE WITH RESOLUTION OF PULMONARY EDEMA. THE LUNGS APPEAR CLEAR WITHOUT EVIDENCE OF SIGNIFICANT EFFUSIONS.",2. INTERVAL IMPROVED AERATION OF THE LEFT LUNG BASE WITH RESOLUTION OF PULMONARY EDEMA. THE LUNGS APPEAR CLEAR WITHOUT EVIDENCE OF SIGNIFICANT EFFUSIONS.,pulmonary edema,left lung base,Resolve,['valid/patient64549/study1/view1_frontal.jpg'], patient64550_study1_0,patient64550,study1,0,Impression,"1. INTERVAL INSERTION OF A RIGHT-SIDED MEDIPORT WITH NO ASSOCIATED PNEUMOTHORAX. OTHERWISE, STABLE APPEARANCE OF STENTS, WIRES AND CLIPS. 2. THE CARDIOMEDIASTINAL SILHOUETTE SIZE IS WITHIN NORMAL LIMITS. THE LUNGS ARE CLEAR WITHOUT PLEURAL EFFUSION. LOW LUNG VOLUME IS NOTED.","OTHERWISE, STABLE APPEARANCE OF STENTS, WIRES AND CLIPS.",Stents,,Stable,['valid/patient64550/study1/view1_frontal.jpg'], patient64550_study1_0,patient64550,study1,0,Impression,"1. INTERVAL INSERTION OF A RIGHT-SIDED MEDIPORT WITH NO ASSOCIATED PNEUMOTHORAX. OTHERWISE, STABLE APPEARANCE OF STENTS, WIRES AND CLIPS. 2. THE CARDIOMEDIASTINAL SILHOUETTE SIZE IS WITHIN NORMAL LIMITS. THE LUNGS ARE CLEAR WITHOUT PLEURAL EFFUSION. LOW LUNG VOLUME IS NOTED.","OTHERWISE, STABLE APPEARANCE OF STENTS, WIRES AND CLIPS.",Wires,,Stable,['valid/patient64550/study1/view1_frontal.jpg'], patient64550_study1_0,patient64550,study1,0,Impression,"1. INTERVAL INSERTION OF A RIGHT-SIDED MEDIPORT WITH NO ASSOCIATED PNEUMOTHORAX. OTHERWISE, STABLE APPEARANCE OF STENTS, WIRES AND CLIPS. 2. THE CARDIOMEDIASTINAL SILHOUETTE SIZE IS WITHIN NORMAL LIMITS. THE LUNGS ARE CLEAR WITHOUT PLEURAL EFFUSION. LOW LUNG VOLUME IS NOTED.","OTHERWISE, STABLE APPEARANCE OF STENTS, WIRES AND CLIPS.",Clips,,Stable,['valid/patient64550/study1/view1_frontal.jpg'], patient64552_study1_0,patient64552,study1,0,Impression,"1. A LIMITED SINGLE VIEW OF THE CHEST DEMONSTRATES AN ENLARGED CARDIAC SILHOUETTE, BILATERAL ALVEOLAR CONSOLIDATION, AND A LEFT PLEURAL EFFUSION WHICH IS STABLE. 2. NO SIGNIFICANT OSSEOUS LESIONS.","1. A LIMITED SINGLE VIEW OF THE CHEST DEMONSTRATES AN ENLARGED CARDIAC SILHOUETTE, BILATERAL ALVEOLAR CONSOLIDATION, AND A LEFT PLEURAL EFFUSION WHICH IS STABLE.",enlarged,cardiac silhouette,Stable,['valid/patient64552/study1/view1_frontal.jpg'], patient64552_study1_0,patient64552,study1,0,Impression,"1. A LIMITED SINGLE VIEW OF THE CHEST DEMONSTRATES AN ENLARGED CARDIAC SILHOUETTE, BILATERAL ALVEOLAR CONSOLIDATION, AND A LEFT PLEURAL EFFUSION WHICH IS STABLE. 2. NO SIGNIFICANT OSSEOUS LESIONS.","1. A LIMITED SINGLE VIEW OF THE CHEST DEMONSTRATES AN ENLARGED CARDIAC SILHOUETTE, BILATERAL ALVEOLAR CONSOLIDATION, AND A LEFT PLEURAL EFFUSION WHICH IS STABLE.",alveolar consolidation,bilateral,Stable,['valid/patient64552/study1/view1_frontal.jpg'], patient64552_study1_0,patient64552,study1,0,Impression,"1. A LIMITED SINGLE VIEW OF THE CHEST DEMONSTRATES AN ENLARGED CARDIAC SILHOUETTE, BILATERAL ALVEOLAR CONSOLIDATION, AND A LEFT PLEURAL EFFUSION WHICH IS STABLE. 2. NO SIGNIFICANT OSSEOUS LESIONS.","1. A LIMITED SINGLE VIEW OF THE CHEST DEMONSTRATES AN ENLARGED CARDIAC SILHOUETTE, BILATERAL ALVEOLAR CONSOLIDATION, AND A LEFT PLEURAL EFFUSION WHICH IS STABLE.",pleural effusion,left,Stable,['valid/patient64552/study1/view1_frontal.jpg'], patient64555_study1_0,patient64555,study1,0,Findings,"Redemonstration of emphysematous changes of the bilateral lungs. There is extensive right middle and lower lung zone opacities again seen, which have increased compared to prior radiograph on 1-30-09, 9/21/2015. Calcific pleural thickening is seen in the bilateral lung apices. No acute osseous abnormalities.","There is extensive right middle and lower lung zone opacities again seen, which have increased compared to prior radiograph on 1-30-09, 9/21/2015.",opacities,right middle and lower lung zone,Worse,['valid/patient64555/study1/view1_frontal.jpg'], patient64555_study1_0,patient64555,study1,0,Impression,1. Interval increase in right mid- and lower lung zone opacities that could represent infection or aspiration. 2. Mild pulmonary edema I have personally reviewed the images for this examination and agreed with the report transcribed above.,Interval increase in right mid- and lower lung zone opacities that could represent infection or aspiration.,opacities,right mid- and lower lung zone,Worse,['valid/patient64555/study1/view1_frontal.jpg'], patient64557_study1_0,patient64557,study1,0,Impression,"1. LINES AND TUBES GROSSLY UNCHANGED. 2. PERSISTENT MILD-TO-MODERATE PULMONARY EDEMA, GROSSLY UNCHANGED. THE PULMONARY ARTERIES REMAIN PROMINENT. LITTLE INTERVAL CHANGE FROM PRIOR NAME'S EXAM.",1. LINES AND TUBES GROSSLY UNCHANGED.,Lines and tubes,,Stable,['valid/patient64557/study1/view1_frontal.jpg'], patient64557_study1_0,patient64557,study1,0,Impression,"1. LINES AND TUBES GROSSLY UNCHANGED. 2. PERSISTENT MILD-TO-MODERATE PULMONARY EDEMA, GROSSLY UNCHANGED. THE PULMONARY ARTERIES REMAIN PROMINENT. LITTLE INTERVAL CHANGE FROM PRIOR NAME'S EXAM.","2. PERSISTENT MILD-TO-MODERATE PULMONARY EDEMA, GROSSLY UNCHANGED.",Pulmonary edema,,Stable,['valid/patient64557/study1/view1_frontal.jpg'], patient64557_study1_0,patient64557,study1,0,Impression,"1. LINES AND TUBES GROSSLY UNCHANGED. 2. PERSISTENT MILD-TO-MODERATE PULMONARY EDEMA, GROSSLY UNCHANGED. THE PULMONARY ARTERIES REMAIN PROMINENT. LITTLE INTERVAL CHANGE FROM PRIOR NAME'S EXAM.",THE PULMONARY ARTERIES REMAIN PROMINENT.,Prominent pulmonary arteries,,Stable,['valid/patient64557/study1/view1_frontal.jpg'], patient64560_study1_0,patient64560,study1,0,Impression,"1. PA AND LATERAL UPRIGHT VIEWS OF THE CHEST DEMONSTRATE STABLE POSITIONING OF A TUNNELED RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER. 2. INTERVAL DEVELOPMENT OF A DIFFUSE RETICULAR PATTERN AT THE LUNGS, AS WELL AS SMALL BILATERAL PLEURAL EFFUSIONS. THIS FINDING MAY REFLECT INTERVAL DEVELOPMENT OF MILD INTERSTITIAL PULMONARY EDEMA. HOWEVER, ATYPICAL INFECTION MAY HAVE A SIMILAR APPEARANCE. RECOMMEND CLINICAL CORRELATION.",1. PA AND LATERAL UPRIGHT VIEWS OF THE CHEST DEMONSTRATE STABLE POSITIONING OF A TUNNELED RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER.,Central venous catheter,Right internal jugular,Stable,"['valid/patient64560/study1/view1_frontal.jpg', 'valid/patient64560/study1/view2_lateral.jpg']", patient64563_study1_0,patient64563,study1,0,Impression,"1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES LOW LUNG VOLUMES BILATERALLY WITH INCREASED BIBASILAR OPACITIES. MAY BE VOLUME RELATED, CANNOT RULE OUT INFILTRATE. NO PLEURAL EFFUSION DEMONSTRATED. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS.","1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES LOW LUNG VOLUMES BILATERALLY WITH INCREASED BIBASILAR OPACITIES. MAY BE VOLUME RELATED, CANNOT RULE OUT INFILTRATE. NO PLEURAL EFFUSION DEMONSTRATED. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS.",bibasilar opacities,bilaterally,Worse,['valid/patient64563/study1/view1_frontal.jpg'], patient64566_study1_0,patient64566,study1,0,Impression,1.STABLE APPEARANCE OF THE RIGHT CENTRAL CATHETER. 2.RIGHT MIDLUNG SCARRING UNCHANGED. CALCIFIED HILAR AND PARATRACHEAL LYMPH NODES. NO EVIDENCE OF CONSOLIDATION OR PLEURAL EFFUSION. 3.THE CARDIOMEDIASTINAL SILHOUETTE IS NORMAL.,1.STABLE APPEARANCE OF THE RIGHT CENTRAL CATHETER.,Central Catheter,Right,Stable,"['valid/patient64566/study1/view1_frontal.jpg', 'valid/patient64566/study1/view2_lateral.jpg']", patient64566_study1_0,patient64566,study1,0,Impression,1.STABLE APPEARANCE OF THE RIGHT CENTRAL CATHETER. 2.RIGHT MIDLUNG SCARRING UNCHANGED. CALCIFIED HILAR AND PARATRACHEAL LYMPH NODES. NO EVIDENCE OF CONSOLIDATION OR PLEURAL EFFUSION. 3.THE CARDIOMEDIASTINAL SILHOUETTE IS NORMAL.,2.RIGHT MIDLUNG SCARRING UNCHANGED.,Scarring,Right midlung,Stable,"['valid/patient64566/study1/view1_frontal.jpg', 'valid/patient64566/study1/view2_lateral.jpg']", patient64567_study1_0,patient64567,study1,0,Impression,"1. OVERALL, THERE IS NO SIGNIFICANT INTERVAL CHANGE GIVEN SLIGHT ROTATION. 2. A TUNNELED RIGHT INTERNAL JUGULAR DUAL LUMEN CENTRAL VENOUS CATHETER IS AGAIN NOTED. 3. NO ACUTE CARDIOPULMONARY DISEASE. NO PLEURAL EFFUSION OR PNEUMOTHORAX IS IDENTIFIED. NO ACUTE INFILTRATE OR CONSOLIDATION IS SEEN. FAINT LINEAR OPACITIES PROJECTING OVER THE RIGHT MID LUNG ARE UNCHANGED AND MAY REPRESENT SCARRING. THE CARDIOMEDIASTINAL SILHOUETTE IS STABLE. THE PULMONARY VASCULARITY IS WITHIN NORMAL LIMITS. NO ACUTE OSSEOUS ABNORMALITIES ARE IDENTIFIED.",FAINT LINEAR OPACITIES PROJECTING OVER THE RIGHT MID LUNG ARE UNCHANGED AND MAY REPRESENT SCARRING.,faint linear opacities,right mid lung,Stable,"['valid/patient64567/study1/view1_frontal.jpg', 'valid/patient64567/study1/view2_lateral.jpg']", patient64567_study1_0,patient64567,study1,0,Impression,"1. OVERALL, THERE IS NO SIGNIFICANT INTERVAL CHANGE GIVEN SLIGHT ROTATION. 2. A TUNNELED RIGHT INTERNAL JUGULAR DUAL LUMEN CENTRAL VENOUS CATHETER IS AGAIN NOTED. 3. NO ACUTE CARDIOPULMONARY DISEASE. NO PLEURAL EFFUSION OR PNEUMOTHORAX IS IDENTIFIED. NO ACUTE INFILTRATE OR CONSOLIDATION IS SEEN. FAINT LINEAR OPACITIES PROJECTING OVER THE RIGHT MID LUNG ARE UNCHANGED AND MAY REPRESENT SCARRING. THE CARDIOMEDIASTINAL SILHOUETTE IS STABLE. THE PULMONARY VASCULARITY IS WITHIN NORMAL LIMITS. NO ACUTE OSSEOUS ABNORMALITIES ARE IDENTIFIED.",THE CARDIOMEDIASTINAL SILHOUETTE IS STABLE.,cardiomediastinal silhouette,,Stable,"['valid/patient64567/study1/view1_frontal.jpg', 'valid/patient64567/study1/view2_lateral.jpg']", patient64569_study1_0,patient64569,study1,0,Findings,"Chest x-ray 4-5-11 at 455: Removal NG tube; right chest tube remains in place. No pneumothorax identified. Persistent bibasilar parenchymal opacities, left greater than right with associated small, left pleural effusion. Chest x-ray 4-2011 at 1020: Interval removal of right chest tube; small right apical pneumothorax seen with this report displaced 1 cm from chest wall. No mediastinal shift. Minimal improved aeration of left base.",Chest x-ray 4-5-11 at 455: Removal NG tube; right chest tube remains in place.,NG tube,,Resolve,['valid/patient64569/study1/view1_frontal.jpg'], patient64569_study1_0,patient64569,study1,0,Findings,"Chest x-ray 4-5-11 at 455: Removal NG tube; right chest tube remains in place. No pneumothorax identified. Persistent bibasilar parenchymal opacities, left greater than right with associated small, left pleural effusion. Chest x-ray 4-2011 at 1020: Interval removal of right chest tube; small right apical pneumothorax seen with this report displaced 1 cm from chest wall. No mediastinal shift. Minimal improved aeration of left base.","Persistent bibasilar parenchymal opacities, left greater than right with associated small, left pleural effusion.",parenchymal opacities,bibasilar,Stable,['valid/patient64569/study1/view1_frontal.jpg'], patient64569_study1_0,patient64569,study1,0,Findings,"Chest x-ray 4-5-11 at 455: Removal NG tube; right chest tube remains in place. No pneumothorax identified. Persistent bibasilar parenchymal opacities, left greater than right with associated small, left pleural effusion. Chest x-ray 4-2011 at 1020: Interval removal of right chest tube; small right apical pneumothorax seen with this report displaced 1 cm from chest wall. No mediastinal shift. Minimal improved aeration of left base.","Persistent bibasilar parenchymal opacities, left greater than right with associated small, left pleural effusion.",pleural effusion,left,Stable,['valid/patient64569/study1/view1_frontal.jpg'], patient64569_study1_0,patient64569,study1,0,Findings,"Chest x-ray 4-5-11 at 455: Removal NG tube; right chest tube remains in place. No pneumothorax identified. Persistent bibasilar parenchymal opacities, left greater than right with associated small, left pleural effusion. Chest x-ray 4-2011 at 1020: Interval removal of right chest tube; small right apical pneumothorax seen with this report displaced 1 cm from chest wall. No mediastinal shift. Minimal improved aeration of left base.",Chest x-ray 4-2011 at 1020: Interval removal of right chest tube; small right apical pneumothorax seen with this report displaced 1 cm from chest wall.,right chest tube,,Resolve,['valid/patient64569/study1/view1_frontal.jpg'], patient64569_study1_0,patient64569,study1,0,Findings,"Chest x-ray 4-5-11 at 455: Removal NG tube; right chest tube remains in place. No pneumothorax identified. Persistent bibasilar parenchymal opacities, left greater than right with associated small, left pleural effusion. Chest x-ray 4-2011 at 1020: Interval removal of right chest tube; small right apical pneumothorax seen with this report displaced 1 cm from chest wall. No mediastinal shift. Minimal improved aeration of left base.",Minimal improved aeration of left base.,aeration,left base,Better,['valid/patient64569/study1/view1_frontal.jpg'], patient64569_study1_0,patient64569,study1,0,Impression,"1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. ""Physician to Physician Radiology Consult Line: (499) 908-2178""",Small right pneumothorax post chest tube removal.,pneumothorax,right,New,['valid/patient64569/study1/view1_frontal.jpg'], patient64569_study1_0,patient64569,study1,0,Impression,"1. Small right pneumothorax post chest tube removal. 2. Improved aeration of left lower lobe. ""Physician to Physician Radiology Consult Line: (499) 908-2178""",Improved aeration of left lower lobe.,aeration,left lower lobe,Better,['valid/patient64569/study1/view1_frontal.jpg'], patient64570_study1_0,patient64570,study1,0,Impression,1. ALL SUPPORTING DEVICES HAVE BEEN REMOVED. SUBCUTANEOUS EMPHYSEMA REMAINS IN THE LEFT CHEST WALL AND IN THE NECK. STERNOTOMY WIRES ARE UNCHANGED. 2. BETTER SEEN NOW IS AIR SPACE OPACITY IN THE LEFT MID TO LOWER LUNG ZONE WHICH MAY BE RELATED TO ATELECTASIS FROM THE TUBE TRACT. NO PNEUMOTHORAX IS SEEN. 3. THE NATIVE RIGHT LUNG AGAIN SHOWS VOLUME LOSS AND STABLE FIBROTIC CHANGES.,1. ALL SUPPORTING DEVICES HAVE BEEN REMOVED. SUBCUTANEOUS EMPHYSEMA REMAINS IN THE LEFT CHEST WALL AND IN THE NECK.,supporting devices,,Resolve,"['valid/patient64570/study1/view1_frontal.jpg', 'valid/patient64570/study1/view2_lateral.jpg']", patient64570_study1_0,patient64570,study1,0,Impression,1. ALL SUPPORTING DEVICES HAVE BEEN REMOVED. SUBCUTANEOUS EMPHYSEMA REMAINS IN THE LEFT CHEST WALL AND IN THE NECK. STERNOTOMY WIRES ARE UNCHANGED. 2. BETTER SEEN NOW IS AIR SPACE OPACITY IN THE LEFT MID TO LOWER LUNG ZONE WHICH MAY BE RELATED TO ATELECTASIS FROM THE TUBE TRACT. NO PNEUMOTHORAX IS SEEN. 3. THE NATIVE RIGHT LUNG AGAIN SHOWS VOLUME LOSS AND STABLE FIBROTIC CHANGES.,STERNOTOMY WIRES ARE UNCHANGED.,sternotomy wires,,Stable,"['valid/patient64570/study1/view1_frontal.jpg', 'valid/patient64570/study1/view2_lateral.jpg']", patient64570_study1_0,patient64570,study1,0,Impression,1. ALL SUPPORTING DEVICES HAVE BEEN REMOVED. SUBCUTANEOUS EMPHYSEMA REMAINS IN THE LEFT CHEST WALL AND IN THE NECK. STERNOTOMY WIRES ARE UNCHANGED. 2. BETTER SEEN NOW IS AIR SPACE OPACITY IN THE LEFT MID TO LOWER LUNG ZONE WHICH MAY BE RELATED TO ATELECTASIS FROM THE TUBE TRACT. NO PNEUMOTHORAX IS SEEN. 3. THE NATIVE RIGHT LUNG AGAIN SHOWS VOLUME LOSS AND STABLE FIBROTIC CHANGES.,3. THE NATIVE RIGHT LUNG AGAIN SHOWS VOLUME LOSS AND STABLE FIBROTIC CHANGES.,fibrotic changes,right lung,Stable,"['valid/patient64570/study1/view1_frontal.jpg', 'valid/patient64570/study1/view2_lateral.jpg']", patient64571_study1_0,patient64571,study1,0,Impression,"1.SINGLE FRONTAL VIEW OF CHEST DEMONSTRATES STABLE TINY LEFT APICAL PNEUMOTHORAX, MEASURING APPROXIMATELY 7 MM IN WIDTH. NO MEDIASTINAL SHIFT. 2.STABLE PATCHY BIBASILAR AIRSPACE OPACITIES, WITH CONFLUENCE IN THE LEFT RETROCARDIAC REGION. STABLE SMALL LEFT PLEURAL EFFUSION. 3.STABLE HEALED DEFORMITIES OF MULTIPLE RIGHT-SIDED RIBS.","1. SINGLE FRONTAL VIEW OF CHEST DEMONSTRATES STABLE TINY LEFT APICAL PNEUMOTHORAX, MEASURING APPROXIMATELY 7 MM IN WIDTH. NO MEDIASTINAL SHIFT.",Pneumothorax,Left apical,Stable,['valid/patient64571/study1/view1_frontal.jpg'], patient64571_study1_0,patient64571,study1,0,Impression,"1.SINGLE FRONTAL VIEW OF CHEST DEMONSTRATES STABLE TINY LEFT APICAL PNEUMOTHORAX, MEASURING APPROXIMATELY 7 MM IN WIDTH. NO MEDIASTINAL SHIFT. 2.STABLE PATCHY BIBASILAR AIRSPACE OPACITIES, WITH CONFLUENCE IN THE LEFT RETROCARDIAC REGION. STABLE SMALL LEFT PLEURAL EFFUSION. 3.STABLE HEALED DEFORMITIES OF MULTIPLE RIGHT-SIDED RIBS.","2. STABLE PATCHY BIBASILAR AIRSPACE OPACITIES, WITH CONFLUENCE IN THE LEFT RETROCARDIAC REGION. STABLE SMALL LEFT PLEURAL EFFUSION.",Airspace opacities,Bibasilar,Stable,['valid/patient64571/study1/view1_frontal.jpg'], patient64571_study1_0,patient64571,study1,0,Impression,"1.SINGLE FRONTAL VIEW OF CHEST DEMONSTRATES STABLE TINY LEFT APICAL PNEUMOTHORAX, MEASURING APPROXIMATELY 7 MM IN WIDTH. NO MEDIASTINAL SHIFT. 2.STABLE PATCHY BIBASILAR AIRSPACE OPACITIES, WITH CONFLUENCE IN THE LEFT RETROCARDIAC REGION. STABLE SMALL LEFT PLEURAL EFFUSION. 3.STABLE HEALED DEFORMITIES OF MULTIPLE RIGHT-SIDED RIBS.","2. STABLE PATCHY BIBASILAR AIRSPACE OPACITIES, WITH CONFLUENCE IN THE LEFT RETROCARDIAC REGION. STABLE SMALL LEFT PLEURAL EFFUSION.",Airspace opacities confluence,Left retrocardiac,Stable,['valid/patient64571/study1/view1_frontal.jpg'], patient64571_study1_0,patient64571,study1,0,Impression,"1.SINGLE FRONTAL VIEW OF CHEST DEMONSTRATES STABLE TINY LEFT APICAL PNEUMOTHORAX, MEASURING APPROXIMATELY 7 MM IN WIDTH. NO MEDIASTINAL SHIFT. 2.STABLE PATCHY BIBASILAR AIRSPACE OPACITIES, WITH CONFLUENCE IN THE LEFT RETROCARDIAC REGION. STABLE SMALL LEFT PLEURAL EFFUSION. 3.STABLE HEALED DEFORMITIES OF MULTIPLE RIGHT-SIDED RIBS.","2. STABLE PATCHY BIBASILAR AIRSPACE OPACITIES, WITH CONFLUENCE IN THE LEFT RETROCARDIAC REGION. STABLE SMALL LEFT PLEURAL EFFUSION.",Pleural effusion,Left,Stable,['valid/patient64571/study1/view1_frontal.jpg'], patient64571_study1_0,patient64571,study1,0,Impression,"1.SINGLE FRONTAL VIEW OF CHEST DEMONSTRATES STABLE TINY LEFT APICAL PNEUMOTHORAX, MEASURING APPROXIMATELY 7 MM IN WIDTH. NO MEDIASTINAL SHIFT. 2.STABLE PATCHY BIBASILAR AIRSPACE OPACITIES, WITH CONFLUENCE IN THE LEFT RETROCARDIAC REGION. STABLE SMALL LEFT PLEURAL EFFUSION. 3.STABLE HEALED DEFORMITIES OF MULTIPLE RIGHT-SIDED RIBS.",3. STABLE HEALED DEFORMITIES OF MULTIPLE RIGHT-SIDED RIBS.,Healed deformities of ribs,Multiple right-sided,Stable,['valid/patient64571/study1/view1_frontal.jpg'], patient64572_study1_0,patient64572,study1,0,Impression,"1. AP SUPINE CHEST RADIOGRAPH DEMONSTRATES A COMMINUTED FRACTURE OF THE RIGHT MID CLAVICLE. 2. NORMAL CARDIOMEDIASTINAL SILHOUETTE. 3. LOW LUNG VOLUMES, BUT THE LUNGS APPEAR CLEAR, WITH NO DISPLACED RIB FRACTURES PNEUMOTHORAX. 4. VISUALIZED OSSEOUS STRUCTURES OTHERWISE INTACT..",1. AP SUPINE CHEST RADIOGRAPH DEMONSTRATES A COMMINUTED FRACTURE OF THE RIGHT MID CLAVICLE.,Comminuted fracture,Right mid clavicle,New,['valid/patient64572/study1/view1_frontal.jpg'], patient64573_study1_0,patient64573,study1,0,Impression,"1.INTERVAL PLACEMENT OF A RIGHT UPPER EXTREMITY PICC, WITH ITS TIP 10.5 CM BELOW THE CARINA, IN THE RIGHT ATRIUM. ENDOTRACHEAL TUBE AND FEEDING TUBE STANDARD POSITION AND APPEARANCE. 2.THE LUNG VOLUMES REMAIN LOW, WITH MILD DEGREE OF BIBASILAR OPACITIES, LIKELY ATELECTASIS. NO FOCAL CONSOLIDATION, AND NO SIGNIFICANT PULMONARY EDEMA. CARDIAC SIZE AT THE UPPER LIMITS OF NORMAL.","2.THE LUNG VOLUMES REMAIN LOW, WITH MILD DEGREE OF BIBASILAR OPACITIES, LIKELY ATELECTASIS. NO FOCAL CONSOLIDATION, AND NO SIGNIFICANT PULMONARY EDEMA. CARDIAC SIZE AT THE UPPER LIMITS OF NORMAL.",Opacities,Bibasilar,Stable,['valid/patient64573/study1/view1_frontal.jpg'], patient64576_study1_0,patient64576,study1,0,Impression,1. NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY. 2. NONSPECIFIC CRESCENTIC SOFT TISSUE DENSITY TO THE RIGHT OF THE THORACIC SPINE AT THE T6-7 LEVEL WHICH IS INCOMPLETELY EVALUATED ON THIS SINGLE RADIOGRAPH BUT CAN BE SEEN IN THE SETTING OF PARAVERTEBRAL HEMATOMA AND CROSS-SECTIONAL IMAGING WITH CHEST CT IS RECOMMENDED. 3. COILS WITHIN THE LEFT UPPER QUADRANT CONSISTENT WITH THE PATIENT'S HISTORY OF SPLENIC EMBOLIZATION. 4. FINDINGS OF THIS EXAMINATION AND RECOMMENDATIONS FOR CT WERE DISCUSSED WITH dr. beard AT PAGER #(976) 646-2563 ON THE MORNING OF 6/6/2009 AT 1105 HOURS.,NONDIAGNOSTIC IMAGING TO EVALUATE FOR PRESENCE OR ABSENCE OF RIGHT APICAL PNEUMOTHORAX SEEN PREVIOUSLY.,Pneumothorax,Right apical,Stable,['valid/patient64576/study1/view1_frontal.jpg'], patient64577_study1_0,patient64577,study1,0,Findings,,1. SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES PERSISTENT RIGHT PLEURAL EFFUSION THAT IS PROBABLY UNCHANGED IN COMPARISON TO THE PRIOR STUDY GIVEN DIFFERENCES IN TECHNIQUE. THERE IS ALSO ADJACENT ATELECTASIS AND/OR CONSOLIDATION. THE REMAINDER OF THE LUNGS IS CLEAR.,Pleural Effusion,Right,Stable,['valid/patient64577/study1/view1_frontal.jpg'], patient64577_study1_0,patient64577,study1,0,Findings,,1. SINGLE PORTABLE VIEW OF THE CHEST DEMONSTRATES PERSISTENT RIGHT PLEURAL EFFUSION THAT IS PROBABLY UNCHANGED IN COMPARISON TO THE PRIOR STUDY GIVEN DIFFERENCES IN TECHNIQUE. THERE IS ALSO ADJACENT ATELECTASIS AND/OR CONSOLIDATION. THE REMAINDER OF THE LUNGS IS CLEAR.,Atelectasis/Consolidation,Adjacent,Stable,['valid/patient64577/study1/view1_frontal.jpg'], patient64577_study1_0,patient64577,study1,0,Findings,,2. CARDIOMEDIASTINAL SILHOUETTE IS UNCHANGED.,Cardiomediasinal Silhouette,,Stable,['valid/patient64577/study1/view1_frontal.jpg'], patient64579_study1_0,patient64579,study1,0,Impression,"INTERVAL ADVANCEMENT OF RIGHT JUGULAR CENTRAL VENOUS CATHETER TO THE MID SVC. SPINAL HARDWARE AGAIN NOTED. INCREASING RIGHT MEDIAL BASILAR PARENCHYMAL OPACIFICATION, AS WELL AS LEFT BASILAR OPACIFICATION. CONSIDERED DEVELOPING INFECTION OR ASPIRATION. NO PNEUMOTHORAX.","INCREASING RIGHT MEDIAL BASILAR PARENCHYMAL OPACIFICATION, AS WELL AS LEFT BASILAR OPACIFICATION.",Parenchymal opacification,Right medial basilar,Worse,['valid/patient64579/study1/view1_frontal.jpg'], patient64579_study1_0,patient64579,study1,0,Impression,"INTERVAL ADVANCEMENT OF RIGHT JUGULAR CENTRAL VENOUS CATHETER TO THE MID SVC. SPINAL HARDWARE AGAIN NOTED. INCREASING RIGHT MEDIAL BASILAR PARENCHYMAL OPACIFICATION, AS WELL AS LEFT BASILAR OPACIFICATION. CONSIDERED DEVELOPING INFECTION OR ASPIRATION. NO PNEUMOTHORAX.","INCREASING RIGHT MEDIAL BASILAR PARENCHYMAL OPACIFICATION, AS WELL AS LEFT BASILAR OPACIFICATION.",Parenchymal opacification,Left basilar,New,['valid/patient64579/study1/view1_frontal.jpg'], patient64579_study1_0,patient64579,study1,0,Impression,"INTERVAL ADVANCEMENT OF RIGHT JUGULAR CENTRAL VENOUS CATHETER TO THE MID SVC. SPINAL HARDWARE AGAIN NOTED. INCREASING RIGHT MEDIAL BASILAR PARENCHYMAL OPACIFICATION, AS WELL AS LEFT BASILAR OPACIFICATION. CONSIDERED DEVELOPING INFECTION OR ASPIRATION. NO PNEUMOTHORAX.",NO PNEUMOTHORAX.,Pneumothorax,,Resolve,['valid/patient64579/study1/view1_frontal.jpg'], patient64580_study1_0,patient64580,study1,0,Findings,Single frontal view of the chest demonstrates interval increase in pulmonary edema with bilateral pleural effusions and bibasilar atelectasis versus consolidation. Cardiomediastinal silhouette is unchanged and significant for vascular calcification and cardiomegaly. Osseous structures are unchanged.,Single frontal view of the chest demonstrates interval increase in pulmonary edema with bilateral pleural effusions and bibasilar atelectasis versus consolidation.,pleural effusions,bilateral,Worse,['valid/patient64580/study1/view1_frontal.jpg'], patient64580_study1_0,patient64580,study1,0,Findings,Single frontal view of the chest demonstrates interval increase in pulmonary edema with bilateral pleural effusions and bibasilar atelectasis versus consolidation. Cardiomediastinal silhouette is unchanged and significant for vascular calcification and cardiomegaly. Osseous structures are unchanged.,Single frontal view of the chest demonstrates interval increase in pulmonary edema with bilateral pleural effusions and bibasilar atelectasis versus consolidation.,atelectasis versus consolidation,bibasilar,Worse,['valid/patient64580/study1/view1_frontal.jpg'], patient64580_study1_0,patient64580,study1,0,Findings,Single frontal view of the chest demonstrates interval increase in pulmonary edema with bilateral pleural effusions and bibasilar atelectasis versus consolidation. Cardiomediastinal silhouette is unchanged and significant for vascular calcification and cardiomegaly. Osseous structures are unchanged.,Cardiomediastinal silhouette is unchanged and significant for vascular calcification and cardiomegaly.,vascular calcification,,Stable,['valid/patient64580/study1/view1_frontal.jpg'], patient64580_study1_0,patient64580,study1,0,Findings,Single frontal view of the chest demonstrates interval increase in pulmonary edema with bilateral pleural effusions and bibasilar atelectasis versus consolidation. Cardiomediastinal silhouette is unchanged and significant for vascular calcification and cardiomegaly. Osseous structures are unchanged.,Cardiomediastinal silhouette is unchanged and significant for vascular calcification and cardiomegaly.,cardiomegaly,,Stable,['valid/patient64580/study1/view1_frontal.jpg'], patient64580_study1_0,patient64580,study1,0,Findings,Single frontal view of the chest demonstrates interval increase in pulmonary edema with bilateral pleural effusions and bibasilar atelectasis versus consolidation. Cardiomediastinal silhouette is unchanged and significant for vascular calcification and cardiomegaly. Osseous structures are unchanged.,Osseous structures are unchanged.,osseous structures,,Stable,['valid/patient64580/study1/view1_frontal.jpg'], patient64581_study1_0,patient64581,study1,0,Findings,Slightly prominent breast shadows. Heart shadow slightly globular and borderline in size but unchanged from the prior study.,Heart shadow slightly globular and borderline in size but unchanged from the prior study.,Heart shadow slightly globular and borderline in size,,Stable,"['valid/patient64581/study1/view1_frontal.jpg', 'valid/patient64581/study1/view3_lateral.jpg', 'valid/patient64581/study1/view2_frontal.jpg']", patient64582_study1_0,patient64582,study1,0,Impression,1. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR LINE WITH TIP IN THE SUPERIOR VENA CAVA. LEFT SUBCLAVIAN LINE STABLE. 2. INCREASED AERATION OF RIGHT LUNG BASE WITH PERSISTENT LEFT LUNG BASE OPACITY. NO EVIDENCE OF PNEUMOTHORAX.,1. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR LINE WITH TIP IN THE SUPERIOR VENA CAVA.,Line placement,Right internal jugular,New,['valid/patient64582/study1/view1_frontal.jpg'], patient64582_study1_0,patient64582,study1,0,Impression,1. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR LINE WITH TIP IN THE SUPERIOR VENA CAVA. LEFT SUBCLAVIAN LINE STABLE. 2. INCREASED AERATION OF RIGHT LUNG BASE WITH PERSISTENT LEFT LUNG BASE OPACITY. NO EVIDENCE OF PNEUMOTHORAX.,LEFT SUBCLAVIAN LINE STABLE.,Line,Left subclavian,Stable,['valid/patient64582/study1/view1_frontal.jpg'], patient64582_study1_0,patient64582,study1,0,Impression,1. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR LINE WITH TIP IN THE SUPERIOR VENA CAVA. LEFT SUBCLAVIAN LINE STABLE. 2. INCREASED AERATION OF RIGHT LUNG BASE WITH PERSISTENT LEFT LUNG BASE OPACITY. NO EVIDENCE OF PNEUMOTHORAX.,2. INCREASED AERATION OF RIGHT LUNG BASE WITH PERSISTENT LEFT LUNG BASE OPACITY.,Aeration,Right lung base,Worse,['valid/patient64582/study1/view1_frontal.jpg'], patient64582_study1_0,patient64582,study1,0,Impression,1. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR LINE WITH TIP IN THE SUPERIOR VENA CAVA. LEFT SUBCLAVIAN LINE STABLE. 2. INCREASED AERATION OF RIGHT LUNG BASE WITH PERSISTENT LEFT LUNG BASE OPACITY. NO EVIDENCE OF PNEUMOTHORAX.,2. INCREASED AERATION OF RIGHT LUNG BASE WITH PERSISTENT LEFT LUNG BASE OPACITY.,Opacity,Left lung base,Stable,['valid/patient64582/study1/view1_frontal.jpg'], patient64587_study1_0,patient64587,study1,0,Findings,"The distal tip of a left-sided Mediport catheter projects over the left brachiocephalic vein, unchanged in position as compared with the prior study. Degenerative changes are seen within the thoracic spine. A large amount of subcutaneous emphysema within the left chest wall and neck is increased as compared with the prior study. The heart is normal in size. A persistent small to moderate left basilar pneumothorax is similar in appearance to the prior study. Persistent increased retrocardiac opacification likely represents atelectasis. The right lung is clear. Addendum Begins The left-sided chest tube/drain is unchanged in position as compared with the prior study. ""Physician to Physician Radiology Consult Line: (740) 785-9814"" Addendum Ends","The distal tip of a left-sided Mediport catheter projects over the left brachiocephalic vein, unchanged in position as compared with the prior study.",Mediport catheter,left brachiocephalic vein,Stable,['valid/patient64587/study1/view1_frontal.jpg'], patient64587_study1_0,patient64587,study1,0,Findings,"The distal tip of a left-sided Mediport catheter projects over the left brachiocephalic vein, unchanged in position as compared with the prior study. Degenerative changes are seen within the thoracic spine. A large amount of subcutaneous emphysema within the left chest wall and neck is increased as compared with the prior study. The heart is normal in size. A persistent small to moderate left basilar pneumothorax is similar in appearance to the prior study. Persistent increased retrocardiac opacification likely represents atelectasis. The right lung is clear. Addendum Begins The left-sided chest tube/drain is unchanged in position as compared with the prior study. ""Physician to Physician Radiology Consult Line: (740) 785-9814"" Addendum Ends",A large amount of subcutaneous emphysema within the left chest wall and neck is increased as compared with the prior study.,subcutaneous emphysema,left chest wall and neck,Worse,['valid/patient64587/study1/view1_frontal.jpg'], patient64587_study1_0,patient64587,study1,0,Findings,"The distal tip of a left-sided Mediport catheter projects over the left brachiocephalic vein, unchanged in position as compared with the prior study. Degenerative changes are seen within the thoracic spine. A large amount of subcutaneous emphysema within the left chest wall and neck is increased as compared with the prior study. The heart is normal in size. A persistent small to moderate left basilar pneumothorax is similar in appearance to the prior study. Persistent increased retrocardiac opacification likely represents atelectasis. The right lung is clear. Addendum Begins The left-sided chest tube/drain is unchanged in position as compared with the prior study. ""Physician to Physician Radiology Consult Line: (740) 785-9814"" Addendum Ends",A persistent small to moderate left basilar pneumothorax is similar in appearance to the prior study.,pneumothorax,left basilar,Stable,['valid/patient64587/study1/view1_frontal.jpg'], patient64587_study1_0,patient64587,study1,0,Findings,"The distal tip of a left-sided Mediport catheter projects over the left brachiocephalic vein, unchanged in position as compared with the prior study. Degenerative changes are seen within the thoracic spine. A large amount of subcutaneous emphysema within the left chest wall and neck is increased as compared with the prior study. The heart is normal in size. A persistent small to moderate left basilar pneumothorax is similar in appearance to the prior study. Persistent increased retrocardiac opacification likely represents atelectasis. The right lung is clear. Addendum Begins The left-sided chest tube/drain is unchanged in position as compared with the prior study. ""Physician to Physician Radiology Consult Line: (740) 785-9814"" Addendum Ends",The left-sided chest tube/drain is unchanged in position as compared with the prior study.,chest tube/drain,left-sided,Stable,['valid/patient64587/study1/view1_frontal.jpg'], patient64587_study1_0,patient64587,study1,0,Impression,"1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. ""Physician to Physician Radiology Consult Line: (740) 785-9814""","Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study.",pneumothorax,left basilar,Stable,['valid/patient64587/study1/view1_frontal.jpg'], patient64587_study1_0,patient64587,study1,0,Impression,"1. Persistent small to moderate left basilar pneumothorax, similar in appearance to the prior study. 2. Persistent increased retrocardiac opacification, likely representing atelectasis. 3. Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study. ""Physician to Physician Radiology Consult Line: (740) 785-9814""","Large amount of subcutaneous emphysema within the left chest wall and neck, increased as compared with the prior study.",subcutaneous emphysema,left chest wall and neck,Worse,['valid/patient64587/study1/view1_frontal.jpg'], patient64589_study1_0,patient64589,study1,0,Findings,"Frontal and lateral views of the chest demonstrate low lung volumes. There is diffuse prominence of the interstitium with indistinct pulmonary vascular markings, further increased from the prior exam.","There is diffuse prominence of the interstitium with indistinct pulmonary vascular markings, further increased from the prior exam.",prominence of the interstitium,diffuse,Worse,"['valid/patient64589/study1/view1_frontal.jpg', 'valid/patient64589/study1/view2_lateral.jpg']", patient64589_study1_0,patient64589,study1,0,Impression,"1.INCREASED PROMINENCE OF THE INTERSTITIAL MARKINGS, WHICH MAY REFLECT EDEMA OR INFECTION.","INCREASED PROMINENCE OF THE INTERSTITIAL MARKINGS, WHICH MAY REFLECT EDEMA OR INFECTION.",prominence of the interstitial markings,,Worse,"['valid/patient64589/study1/view1_frontal.jpg', 'valid/patient64589/study1/view2_lateral.jpg']", patient64590_study1_0,patient64590,study1,0,Impression,1. THERE IS NEW LEFT ANTERIOR CHEST WALL DUAL LEAD PACEMAKER WITH LEADS IN THE RIGHT ATRIUM AND RIGHT VENTRICLE. 2. NO EVIDENCE OF PNEUMOTHORAX. 3. THE LUNGS ARE CLEAR WITHOUT FOCAL CONSOLIDATION OR PLEURAL EFFUSIONS.,1. THERE IS NEW LEFT ANTERIOR CHEST WALL DUAL LEAD PACEMAKER WITH LEADS IN THE RIGHT ATRIUM AND RIGHT VENTRICLE.,Dual lead pacemaker,Left anterior chest wall,New,"['valid/patient64590/study1/view1_frontal.jpg', 'valid/patient64590/study1/view2_lateral.jpg']", patient64592_study1_0,patient64592,study1,0,Impression,1. ENLARGEMENT OF CARDIO/PERICARDIAL SILHOUETTE AGAIN SEEN. VASCULAR REDISTRIBUTION IS NOTED; INCREASED LEFT RETROCARDIAC ATELECTASIS AND INCREASED SIZE OF LEFT-SIDED PLEURAL EFFUSION. 2. FINDINGS CONSISTENT WITH PERSISTENT PULMONARY EDEMA WITH WORSENING LEFT RETROCARDIAC ATELECTASIS AND LEFT PLEURAL EFFUSION.,1. ENLARGEMENT OF CARDIO/PERICARDIAL SILHOUETTE AGAIN SEEN. VASCULAR REDISTRIBUTION IS NOTED; INCREASED LEFT RETROCARDIAC ATELECTASIS AND INCREASED SIZE OF LEFT-SIDED PLEURAL EFFUSION.,atelectasis,left retrocardiac,Worse,['valid/patient64592/study1/view1_frontal.jpg'], patient64592_study1_0,patient64592,study1,0,Impression,1. ENLARGEMENT OF CARDIO/PERICARDIAL SILHOUETTE AGAIN SEEN. VASCULAR REDISTRIBUTION IS NOTED; INCREASED LEFT RETROCARDIAC ATELECTASIS AND INCREASED SIZE OF LEFT-SIDED PLEURAL EFFUSION. 2. FINDINGS CONSISTENT WITH PERSISTENT PULMONARY EDEMA WITH WORSENING LEFT RETROCARDIAC ATELECTASIS AND LEFT PLEURAL EFFUSION.,1. ENLARGEMENT OF CARDIO/PERICARDIAL SILHOUETTE AGAIN SEEN. VASCULAR REDISTRIBUTION IS NOTED; INCREASED LEFT RETROCARDIAC ATELECTASIS AND INCREASED SIZE OF LEFT-SIDED PLEURAL EFFUSION.,pleural effusion,left-sided,Worse,['valid/patient64592/study1/view1_frontal.jpg'], patient64592_study1_0,patient64592,study1,0,Impression,1. ENLARGEMENT OF CARDIO/PERICARDIAL SILHOUETTE AGAIN SEEN. VASCULAR REDISTRIBUTION IS NOTED; INCREASED LEFT RETROCARDIAC ATELECTASIS AND INCREASED SIZE OF LEFT-SIDED PLEURAL EFFUSION. 2. FINDINGS CONSISTENT WITH PERSISTENT PULMONARY EDEMA WITH WORSENING LEFT RETROCARDIAC ATELECTASIS AND LEFT PLEURAL EFFUSION.,2. FINDINGS CONSISTENT WITH PERSISTENT PULMONARY EDEMA WITH WORSENING LEFT RETROCARDIAC ATELECTASIS AND LEFT PLEURAL EFFUSION.,pulmonary edema,,Stable,['valid/patient64592/study1/view1_frontal.jpg'], patient64592_study1_0,patient64592,study1,0,Impression,1. ENLARGEMENT OF CARDIO/PERICARDIAL SILHOUETTE AGAIN SEEN. VASCULAR REDISTRIBUTION IS NOTED; INCREASED LEFT RETROCARDIAC ATELECTASIS AND INCREASED SIZE OF LEFT-SIDED PLEURAL EFFUSION. 2. FINDINGS CONSISTENT WITH PERSISTENT PULMONARY EDEMA WITH WORSENING LEFT RETROCARDIAC ATELECTASIS AND LEFT PLEURAL EFFUSION.,2. FINDINGS CONSISTENT WITH PERSISTENT PULMONARY EDEMA WITH WORSENING LEFT RETROCARDIAC ATELECTASIS AND LEFT PLEURAL EFFUSION.,atelectasis,left retrocardiac,Worse,['valid/patient64592/study1/view1_frontal.jpg'], patient64592_study1_0,patient64592,study1,0,Impression,1. ENLARGEMENT OF CARDIO/PERICARDIAL SILHOUETTE AGAIN SEEN. VASCULAR REDISTRIBUTION IS NOTED; INCREASED LEFT RETROCARDIAC ATELECTASIS AND INCREASED SIZE OF LEFT-SIDED PLEURAL EFFUSION. 2. FINDINGS CONSISTENT WITH PERSISTENT PULMONARY EDEMA WITH WORSENING LEFT RETROCARDIAC ATELECTASIS AND LEFT PLEURAL EFFUSION.,2. FINDINGS CONSISTENT WITH PERSISTENT PULMONARY EDEMA WITH WORSENING LEFT RETROCARDIAC ATELECTASIS AND LEFT PLEURAL EFFUSION.,pleural effusion,left-sided,Worse,['valid/patient64592/study1/view1_frontal.jpg'], patient64594_study1_0,patient64594,study1,0,Impression,1.FRONTAL LATERAL VIEWS OF THE CHEST SHOW THE LUNGS REMAIN CLEAR. THERE IS NO EVIDENCE OF PLEURAL EFFUSION OR PULMONARY CONSOLIDATION. 2.THE CARDIO MEDIASTINAL SILHOUETTE AND PULMONARY VASCULARITY REMAIN NORMAL. 3.THE OSSEOUS STRUCTURES ARE NOT REMARKABLE.,1.FRONTAL LATERAL VIEWS OF THE CHEST SHOW THE LUNGS REMAIN CLEAR. THERE IS NO EVIDENCE OF PLEURAL EFFUSION OR PULMONARY CONSOLIDATION.,Clear,Lungs,Stable,"['valid/patient64594/study1/view1_frontal.jpg', 'valid/patient64594/study1/view2_lateral.jpg']", patient64594_study1_0,patient64594,study1,0,Impression,1.FRONTAL LATERAL VIEWS OF THE CHEST SHOW THE LUNGS REMAIN CLEAR. THERE IS NO EVIDENCE OF PLEURAL EFFUSION OR PULMONARY CONSOLIDATION. 2.THE CARDIO MEDIASTINAL SILHOUETTE AND PULMONARY VASCULARITY REMAIN NORMAL. 3.THE OSSEOUS STRUCTURES ARE NOT REMARKABLE.,2.THE CARDIO MEDIASTINAL SILHOUETTE AND PULMONARY VASCULARITY REMAIN NORMAL.,Normal silhouette,Cardiomediasinum,Stable,"['valid/patient64594/study1/view1_frontal.jpg', 'valid/patient64594/study1/view2_lateral.jpg']", patient64594_study1_0,patient64594,study1,0,Impression,1.FRONTAL LATERAL VIEWS OF THE CHEST SHOW THE LUNGS REMAIN CLEAR. THERE IS NO EVIDENCE OF PLEURAL EFFUSION OR PULMONARY CONSOLIDATION. 2.THE CARDIO MEDIASTINAL SILHOUETTE AND PULMONARY VASCULARITY REMAIN NORMAL. 3.THE OSSEOUS STRUCTURES ARE NOT REMARKABLE.,2.THE CARDIO MEDIASTINAL SILHOUETTE AND PULMONARY VASCULARITY REMAIN NORMAL.,Normal pulmonary vascularity,Lungs,Stable,"['valid/patient64594/study1/view1_frontal.jpg', 'valid/patient64594/study1/view2_lateral.jpg']", patient64597_study1_0,patient64597,study1,0,Impression,1. INTERVAL REMOVAL OF RIGHT-SIDED MEDIPORT AND PLACEMENT OF A TUNNELED LEFT IJ WITH TIP AT THE CAVOATRIAL JUNCTION. NO PNEUMOTHORAX. 2. NORMAL CARDIOMEDIASTINAL SILHOUETTE AND PULMONARY VASCULATURE. NO FOCAL PULMONARY OPACITIES ARE SEEN. PLEURAL EFFUSIONS ARE ABSENT. 3. OSSEOUS STRUCTURES ARE UNCHANGED.,1. INTERVAL REMOVAL OF RIGHT-SIDED MEDIPORT AND PLACEMENT OF A TUNNELED LEFT IJ WITH TIP AT THE CAVOATRIAL JUNCTION. NO PNEUMOTHORAX.,Mediport,Right-sided,Resolve,"['valid/patient64597/study1/view1_frontal.jpg', 'valid/patient64597/study1/view2_lateral.jpg']", patient64597_study1_0,patient64597,study1,0,Impression,1. INTERVAL REMOVAL OF RIGHT-SIDED MEDIPORT AND PLACEMENT OF A TUNNELED LEFT IJ WITH TIP AT THE CAVOATRIAL JUNCTION. NO PNEUMOTHORAX. 2. NORMAL CARDIOMEDIASTINAL SILHOUETTE AND PULMONARY VASCULATURE. NO FOCAL PULMONARY OPACITIES ARE SEEN. PLEURAL EFFUSIONS ARE ABSENT. 3. OSSEOUS STRUCTURES ARE UNCHANGED.,1. INTERVAL REMOVAL OF RIGHT-SIDED MEDIPORT AND PLACEMENT OF A TUNNELED LEFT IJ WITH TIP AT THE CAVOATRIAL JUNCTION. NO PNEUMOTHORAX.,Tunneled catheter with tip at the cavoatrial junction,Left IJ,New,"['valid/patient64597/study1/view1_frontal.jpg', 'valid/patient64597/study1/view2_lateral.jpg']", patient64597_study1_0,patient64597,study1,0,Impression,1. INTERVAL REMOVAL OF RIGHT-SIDED MEDIPORT AND PLACEMENT OF A TUNNELED LEFT IJ WITH TIP AT THE CAVOATRIAL JUNCTION. NO PNEUMOTHORAX. 2. NORMAL CARDIOMEDIASTINAL SILHOUETTE AND PULMONARY VASCULATURE. NO FOCAL PULMONARY OPACITIES ARE SEEN. PLEURAL EFFUSIONS ARE ABSENT. 3. OSSEOUS STRUCTURES ARE UNCHANGED.,3. OSSEOUS STRUCTURES ARE UNCHANGED.,Osseous structures,,Stable,"['valid/patient64597/study1/view1_frontal.jpg', 'valid/patient64597/study1/view2_lateral.jpg']", patient64598_study1_0,patient64598,study1,0,Impression,"1. INTERVAL REMOVAL OF CENTRAL LINE. 2. INTERVAL DECREASE IN LUNG VOLUMES WITH ASSOCIATED INCREASE IN PATCHY BIBASILAR CONSOLIDATION. CONSOLIDATION MAY REPRESENT AREAS OF INCREASING ATELECTASIS VERSUS AREAS OF AIR SPACE DISEASE. 3. NO PNEUMOTHORAX, PULMONARY EDEMA, OR LARGE PLEURAL EFFUSION.",1. INTERVAL REMOVAL OF CENTRAL LINE.,Central Line,,Resolve,['valid/patient64598/study1/view1_frontal.jpg'], patient64598_study1_0,patient64598,study1,0,Impression,"1. INTERVAL REMOVAL OF CENTRAL LINE. 2. INTERVAL DECREASE IN LUNG VOLUMES WITH ASSOCIATED INCREASE IN PATCHY BIBASILAR CONSOLIDATION. CONSOLIDATION MAY REPRESENT AREAS OF INCREASING ATELECTASIS VERSUS AREAS OF AIR SPACE DISEASE. 3. NO PNEUMOTHORAX, PULMONARY EDEMA, OR LARGE PLEURAL EFFUSION.",2. INTERVAL DECREASE IN LUNG VOLUMES WITH ASSOCIATED INCREASE IN PATCHY BIBASILAR CONSOLIDATION. CONSOLIDATION MAY REPRESENT AREAS OF INCREASING ATELECTASIS VERSUS AREAS OF AIR SPACE DISEASE.,Consolidation,Bibasilar,Worse,['valid/patient64598/study1/view1_frontal.jpg'], patient64598_study1_0,patient64598,study1,0,Impression,"1. INTERVAL REMOVAL OF CENTRAL LINE. 2. INTERVAL DECREASE IN LUNG VOLUMES WITH ASSOCIATED INCREASE IN PATCHY BIBASILAR CONSOLIDATION. CONSOLIDATION MAY REPRESENT AREAS OF INCREASING ATELECTASIS VERSUS AREAS OF AIR SPACE DISEASE. 3. NO PNEUMOTHORAX, PULMONARY EDEMA, OR LARGE PLEURAL EFFUSION.",2. INTERVAL DECREASE IN LUNG VOLUMES WITH ASSOCIATED INCREASE IN PATCHY BIBASILAR CONSOLIDATION. CONSOLIDATION MAY REPRESENT AREAS OF INCREASING ATELECTASIS VERSUS AREAS OF AIR SPACE DISEASE.,Atelectasis or Air Space Disease,Bibasilar,New,['valid/patient64598/study1/view1_frontal.jpg'], patient64599_study1_0,patient64599,study1,0,Impression,"1. STABLE AND UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE WITH BILATERALLY CLEAR LUNGS. 2. BLUNTING OF THE LEFT COSTOPHRENIC ANGLE, WHICH REPRESENTS A SMALL LEFT PLEURAL EFFUSION. 3. REDEMONSTRATION OF HEALED FRACTURES OF RIGHT POSTERIOR RIBS. 4. SEVERAL DISCRETE LYTIC FOCI IN THE RIGHT HUMERAL DIAPHYSIS, LIKELY RELATED TO KNOWN UNDERLYING HISTORY OF MULTIPLE MYELOMA.",1. STABLE AND UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE WITH BILATERALLY CLEAR LUNGS.,Cardiomediasinal silhouette,Cardiomediasinum,Stable,"['valid/patient64599/study1/view1_frontal.jpg', 'valid/patient64599/study1/view2_lateral.jpg']", patient64599_study1_0,patient64599,study1,0,Impression,"1. STABLE AND UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE WITH BILATERALLY CLEAR LUNGS. 2. BLUNTING OF THE LEFT COSTOPHRENIC ANGLE, WHICH REPRESENTS A SMALL LEFT PLEURAL EFFUSION. 3. REDEMONSTRATION OF HEALED FRACTURES OF RIGHT POSTERIOR RIBS. 4. SEVERAL DISCRETE LYTIC FOCI IN THE RIGHT HUMERAL DIAPHYSIS, LIKELY RELATED TO KNOWN UNDERLYING HISTORY OF MULTIPLE MYELOMA.",1. STABLE AND UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE WITH BILATERALLY CLEAR LUNGS.,Lungs clarity,Lungs,Stable,"['valid/patient64599/study1/view1_frontal.jpg', 'valid/patient64599/study1/view2_lateral.jpg']", patient64599_study1_0,patient64599,study1,0,Impression,"1. STABLE AND UNREMARKABLE CARDIOMEDIASTINAL SILHOUETTE WITH BILATERALLY CLEAR LUNGS. 2. BLUNTING OF THE LEFT COSTOPHRENIC ANGLE, WHICH REPRESENTS A SMALL LEFT PLEURAL EFFUSION. 3. REDEMONSTRATION OF HEALED FRACTURES OF RIGHT POSTERIOR RIBS. 4. SEVERAL DISCRETE LYTIC FOCI IN THE RIGHT HUMERAL DIAPHYSIS, LIKELY RELATED TO KNOWN UNDERLYING HISTORY OF MULTIPLE MYELOMA.",3. REDEMONSTRATION OF HEALED FRACTURES OF RIGHT POSTERIOR RIBS.,Healed fractures,Right posterior ribs,Stable,"['valid/patient64599/study1/view1_frontal.jpg', 'valid/patient64599/study1/view2_lateral.jpg']", patient64601_study1_0,patient64601,study1,0,Impression,1. THERE IS PERSISTENT PROMINENCE OF THE CENTRAL VESSELS AND INTERSTITIAL MARKINGS CONSISTENT WITH CONTINUED MILD PULMONARY EDEMA. 2. SLIGHT INTERVAL INCREASE IN LINEAR OPACITIES AT THE BASES CONSISTENT WITH ASPIRATION VERSUS ATELECTASIS.,1. THERE IS PERSISTENT PROMINENCE OF THE CENTRAL VESSELS AND INTERSTITIAL MARKINGS CONSISTENT WITH CONTINUED MILD PULMONARY EDEMA.,mild pulmonary edema,central vessels and interstitial markings,Stable,['valid/patient64601/study1/view1_frontal.jpg'], patient64601_study1_0,patient64601,study1,0,Impression,1. THERE IS PERSISTENT PROMINENCE OF THE CENTRAL VESSELS AND INTERSTITIAL MARKINGS CONSISTENT WITH CONTINUED MILD PULMONARY EDEMA. 2. SLIGHT INTERVAL INCREASE IN LINEAR OPACITIES AT THE BASES CONSISTENT WITH ASPIRATION VERSUS ATELECTASIS.,2. SLIGHT INTERVAL INCREASE IN LINEAR OPACITIES AT THE BASES CONSISTENT WITH ASPIRATION VERSUS ATELECTASIS.,linear opacities,bases,Worse,['valid/patient64601/study1/view1_frontal.jpg'], patient64602_study1_0,patient64602,study1,0,Impression,"1. A PLEURAL LINE IS NOW IDENTIFIED, WHICH DOCUMENTS THE SIZE OF THE LEFT APICAL PNEUMOTHORAX TO BE 6 CM. 2. OTHERWISE, THERE IS NO SIGNIFICANT INTERVAL CHANGE WITH PREVIOUSLY NOTED SCLEROTIC LEFT SECOND RIB LESION AND A 2.5 TO 3.0 CM LEFT UPPER LOBE PULMONARY MASS.","1. A PLEURAL LINE IS NOW IDENTIFIED, WHICH DOCUMENTS THE SIZE OF THE LEFT APICAL PNEUMOTHORAX TO BE 6 CM.",Pneumothorax,Left apical,New,['valid/patient64602/study1/view1_frontal.jpg'], patient64602_study1_0,patient64602,study1,0,Impression,"1. A PLEURAL LINE IS NOW IDENTIFIED, WHICH DOCUMENTS THE SIZE OF THE LEFT APICAL PNEUMOTHORAX TO BE 6 CM. 2. OTHERWISE, THERE IS NO SIGNIFICANT INTERVAL CHANGE WITH PREVIOUSLY NOTED SCLEROTIC LEFT SECOND RIB LESION AND A 2.5 TO 3.0 CM LEFT UPPER LOBE PULMONARY MASS.","2. OTHERWISE, THERE IS NO SIGNIFICANT INTERVAL CHANGE WITH PREVIOUSLY NOTED SCLEROTIC LEFT SECOND RIB LESION AND A 2.5 TO 3.0 CM LEFT UPPER LOBE PULMONARY MASS.",Sclerotic lesion,Left second rib,Stable,['valid/patient64602/study1/view1_frontal.jpg'], patient64602_study1_0,patient64602,study1,0,Impression,"1. A PLEURAL LINE IS NOW IDENTIFIED, WHICH DOCUMENTS THE SIZE OF THE LEFT APICAL PNEUMOTHORAX TO BE 6 CM. 2. OTHERWISE, THERE IS NO SIGNIFICANT INTERVAL CHANGE WITH PREVIOUSLY NOTED SCLEROTIC LEFT SECOND RIB LESION AND A 2.5 TO 3.0 CM LEFT UPPER LOBE PULMONARY MASS.","2. OTHERWISE, THERE IS NO SIGNIFICANT INTERVAL CHANGE WITH PREVIOUSLY NOTED SCLEROTIC LEFT SECOND RIB LESION AND A 2.5 TO 3.0 CM LEFT UPPER LOBE PULMONARY MASS.",Pulmonary mass,Left upper lobe,Stable,['valid/patient64602/study1/view1_frontal.jpg'], patient64603_study1_0,patient64603,study1,0,Impression,"1. INTERVAL INSERTION OF ENDOTRACHEAL TUBE, TIP OF WHICH IS AT THE CARINA. IT SHOULD BE WITHDRAWN 3CM. PERSISTENT RIGHT PLEURAL EFFUSION AND LEFT LOWER LUNG ZONE CONSOLIDATION, UNCHANGED FROM PRIOR. RESULTS OF STUDY WERE DISCUSSED WITH Amber, Mcumber OF THE EMERGENCY DEPARTMENT ON 8/8/2005 AT 1700 HOURS.","PERSISTENT RIGHT PLEURAL EFFUSION AND LEFT LOWER LUNG ZONE CONSOLIDATION, UNCHANGED FROM PRIOR.",pleural effusion,right,Stable,['valid/patient64603/study1/view1_frontal.jpg'], patient64603_study1_0,patient64603,study1,0,Impression,"1. INTERVAL INSERTION OF ENDOTRACHEAL TUBE, TIP OF WHICH IS AT THE CARINA. IT SHOULD BE WITHDRAWN 3CM. PERSISTENT RIGHT PLEURAL EFFUSION AND LEFT LOWER LUNG ZONE CONSOLIDATION, UNCHANGED FROM PRIOR. RESULTS OF STUDY WERE DISCUSSED WITH Amber, Mcumber OF THE EMERGENCY DEPARTMENT ON 8/8/2005 AT 1700 HOURS.","PERSISTENT RIGHT PLEURAL EFFUSION AND LEFT LOWER LUNG ZONE CONSOLIDATION, UNCHANGED FROM PRIOR.",consolidation,left lower lung zone,Stable,['valid/patient64603/study1/view1_frontal.jpg'], patient64604_study1_0,patient64604,study1,0,Findings,"Single frontal view of the chest on 12-18 at 2147 hours demonstrates interval removal of a right chest tube with interval development of a large, right sided pneumothorax. Stable positioning of a left sided chest tube with persistent small, left sided pneumothorax. Retrocardiac opacities may represent atelectasis versus consolidation. The cardiomediastinal silhouette is stable. Follow up exam on 12/18/2014 demonstrates interval placement of a right chest tube with tiny, residual pneumothorax. Otherwise, no significant interval change.","Single frontal view of the chest on 12-18 at 2147 hours demonstrates interval removal of a right chest tube with interval development of a large, right sided pneumothorax.",chest tube,right,Resolve,['valid/patient64604/study1/view1_frontal.jpg'], patient64604_study1_0,patient64604,study1,0,Findings,"Single frontal view of the chest on 12-18 at 2147 hours demonstrates interval removal of a right chest tube with interval development of a large, right sided pneumothorax. Stable positioning of a left sided chest tube with persistent small, left sided pneumothorax. Retrocardiac opacities may represent atelectasis versus consolidation. The cardiomediastinal silhouette is stable. Follow up exam on 12/18/2014 demonstrates interval placement of a right chest tube with tiny, residual pneumothorax. Otherwise, no significant interval change.","Stable positioning of a left sided chest tube with persistent small, left sided pneumothorax.",chest tube,left,Stable,['valid/patient64604/study1/view1_frontal.jpg'], patient64604_study1_0,patient64604,study1,0,Findings,"Single frontal view of the chest on 12-18 at 2147 hours demonstrates interval removal of a right chest tube with interval development of a large, right sided pneumothorax. Stable positioning of a left sided chest tube with persistent small, left sided pneumothorax. Retrocardiac opacities may represent atelectasis versus consolidation. The cardiomediastinal silhouette is stable. Follow up exam on 12/18/2014 demonstrates interval placement of a right chest tube with tiny, residual pneumothorax. Otherwise, no significant interval change.","Stable positioning of a left sided chest tube with persistent small, left sided pneumothorax.",pneumothorax,left,Stable,['valid/patient64604/study1/view1_frontal.jpg'], patient64604_study1_0,patient64604,study1,0,Findings,"Single frontal view of the chest on 12-18 at 2147 hours demonstrates interval removal of a right chest tube with interval development of a large, right sided pneumothorax. Stable positioning of a left sided chest tube with persistent small, left sided pneumothorax. Retrocardiac opacities may represent atelectasis versus consolidation. The cardiomediastinal silhouette is stable. Follow up exam on 12/18/2014 demonstrates interval placement of a right chest tube with tiny, residual pneumothorax. Otherwise, no significant interval change.",The cardiomediastinal silhouette is stable.,cardiomediastinal silhouette,,Stable,['valid/patient64604/study1/view1_frontal.jpg'], patient64604_study1_0,patient64604,study1,0,Findings,"Single frontal view of the chest on 12-18 at 2147 hours demonstrates interval removal of a right chest tube with interval development of a large, right sided pneumothorax. Stable positioning of a left sided chest tube with persistent small, left sided pneumothorax. Retrocardiac opacities may represent atelectasis versus consolidation. The cardiomediastinal silhouette is stable. Follow up exam on 12/18/2014 demonstrates interval placement of a right chest tube with tiny, residual pneumothorax. Otherwise, no significant interval change.","Follow up exam on 12/18/2014 demonstrates interval placement of a right chest tube with tiny, residual pneumothorax.",chest tube,right,New,['valid/patient64604/study1/view1_frontal.jpg'], patient64604_study1_0,patient64604,study1,0,Findings,"Single frontal view of the chest on 12-18 at 2147 hours demonstrates interval removal of a right chest tube with interval development of a large, right sided pneumothorax. Stable positioning of a left sided chest tube with persistent small, left sided pneumothorax. Retrocardiac opacities may represent atelectasis versus consolidation. The cardiomediastinal silhouette is stable. Follow up exam on 12/18/2014 demonstrates interval placement of a right chest tube with tiny, residual pneumothorax. Otherwise, no significant interval change.","Follow up exam on 12/18/2014 demonstrates interval placement of a right chest tube with tiny, residual pneumothorax.",pneumothorax,right,Worse,['valid/patient64604/study1/view1_frontal.jpg'], patient64604_study1_0,patient64604,study1,0,Findings,"Single frontal view of the chest on 12-18 at 2147 hours demonstrates interval removal of a right chest tube with interval development of a large, right sided pneumothorax. Stable positioning of a left sided chest tube with persistent small, left sided pneumothorax. Retrocardiac opacities may represent atelectasis versus consolidation. The cardiomediastinal silhouette is stable. Follow up exam on 12/18/2014 demonstrates interval placement of a right chest tube with tiny, residual pneumothorax. Otherwise, no significant interval change.","Otherwise, no significant interval change.",,,Stable,['valid/patient64604/study1/view1_frontal.jpg'], patient64604_study1_0,patient64604,study1,0,Impression,"1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.","LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE.",pneumothorax,right,Better,['valid/patient64604/study1/view1_frontal.jpg'], patient64604_study1_0,patient64604,study1,0,Impression,"1. LARGE, RIGHT SIDED PNEUMOTHORAX WITH MARKED IMPROVEMENT FOLLOWING PLACEMENT OF A RIGHT CHEST TUBE. 2. LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.","LEFT CHEST TUBE WITH PERSISTENT, TINY VISUAL PNEUMOTHORAX.",pneumothorax,left,Stable,['valid/patient64604/study1/view1_frontal.jpg'], patient64605_study1_0,patient64605,study1,0,Impression,"1. LEFT ANTERIOR CHEST WALL PACEMAKER WITH TWO INTACT LEADS. 2. PROMINENT INTERSTITIAL MARKING WHICH MAY REPRESENT EITHER AGE RELATED CHANGES VERSUS MILD PULMONARY EDEMA. 3. IN ADDITION, THE RIGHT MEDIAL LUNG BASE DEMONSTRATES SLIGHT INCREASE IN AIRSPACE OPACITY WHICH COULD REPRESENT EARLY INFECTION. CLINICAL CORRELATION IS RECOMMENDED.","3. IN ADDITION, THE RIGHT MEDIAL LUNG BASE DEMONSTRATES SLIGHT INCREASE IN AIRSPACE OPACITY WHICH COULD REPRESENT EARLY INFECTION. CLINICAL CORRELATION IS RECOMMENDED.",airspace opacity,right medial lung base,Worse,['valid/patient64605/study1/view1_frontal.jpg'], patient64607_study1_0,patient64607,study1,0,Findings,"AP erect chest radiograph demonstrates interval left sided thoracotomy, with an osteotomy through the left posterior sixth rib and suture material in the left suprahilar region. A left apical chest drain is seen in place, with a tiny pneumothorax along the left lateral chest wall peripherally, as well as subcutaneous emphysema. The previously noted bulla at the left base is not seen on the current radiograph, but this may be positional. The left lung otherwise appears clear. Moderate atelectasis is seen at the right base, which otherwise appears clear. Moderate osteophytosis in the thoracic spine. Visualized osseous structures otherwise unremarkable.","The previously noted bulla at the left base is not seen on the current radiograph, but this may be positional.",bulla,left base,Resolve,['valid/patient64607/study1/view1_frontal.jpg'], patient64608_study1_0,patient64608,study1,0,Impression,1. SMALL BILATERAL PLEURAL EFFUSIONS. NO FOCAL LUNG CONSOLIDATION. 2. INTERVAL REMOVAL OF THE NASOGASTRIC TUBE AND RIGHT INTERNAL JUGULAR VENOUS LINE. REDEMONSTRATION OF AN ABDOMINAL TUBE PROJECTING OVER THE SUPERIOR MID ABDOMEN.,2. INTERVAL REMOVAL OF THE NASOGASTRIC TUBE AND RIGHT INTERNAL JUGULAR VENOUS LINE. REDEMONSTRATION OF AN ABDOMINAL TUBE PROJECTING OVER THE SUPERIOR MID ABDOMEN.,tube,nasogastric,Resolve,"['valid/patient64608/study1/view1_frontal.jpg', 'valid/patient64608/study1/view2_lateral.jpg']", patient64608_study1_0,patient64608,study1,0,Impression,1. SMALL BILATERAL PLEURAL EFFUSIONS. NO FOCAL LUNG CONSOLIDATION. 2. INTERVAL REMOVAL OF THE NASOGASTRIC TUBE AND RIGHT INTERNAL JUGULAR VENOUS LINE. REDEMONSTRATION OF AN ABDOMINAL TUBE PROJECTING OVER THE SUPERIOR MID ABDOMEN.,2. INTERVAL REMOVAL OF THE NASOGASTRIC TUBE AND RIGHT INTERNAL JUGULAR VENOUS LINE. REDEMONSTRATION OF AN ABDOMINAL TUBE PROJECTING OVER THE SUPERIOR MID ABDOMEN.,line,right internal jugular venous,Resolve,"['valid/patient64608/study1/view1_frontal.jpg', 'valid/patient64608/study1/view2_lateral.jpg']", patient64609_study1_0,patient64609,study1,0,Impression,"1.NEW RIGHT IJ SWAN-GANZ CATHETER WITH THE TIP PROJECTING OVER THE INTERLOBAR PULMONARY ARTERY. STABLE PERCUTANEOUS AORTIC VALVE. 2.INCREASED ASYMMETRIC OPACITIES OF THE LUNGS, RIGHT GREATER LEFT, WHICH COULD REFLECT EDEMA OR ASPIRATION. 3.SMALL BILATERAL PLEURAL EFFUSIONS AND ASSOCIATED LEFT LOWER LOBE OPACITY.",1.NEW RIGHT IJ SWAN-GANZ CATHETER WITH THE TIP PROJECTING OVER THE INTERLOBAR PULMONARY ARTERY. STABLE PERCUTANEOUS AORTIC VALVE.,Swan-Ganz catheter,Right IJ,New,['valid/patient64609/study1/view1_frontal.jpg'], patient64609_study1_0,patient64609,study1,0,Impression,"1.NEW RIGHT IJ SWAN-GANZ CATHETER WITH THE TIP PROJECTING OVER THE INTERLOBAR PULMONARY ARTERY. STABLE PERCUTANEOUS AORTIC VALVE. 2.INCREASED ASYMMETRIC OPACITIES OF THE LUNGS, RIGHT GREATER LEFT, WHICH COULD REFLECT EDEMA OR ASPIRATION. 3.SMALL BILATERAL PLEURAL EFFUSIONS AND ASSOCIATED LEFT LOWER LOBE OPACITY.",1.NEW RIGHT IJ SWAN-GANZ CATHETER WITH THE TIP PROJECTING OVER THE INTERLOBAR PULMONARY ARTERY. STABLE PERCUTANEOUS AORTIC VALVE.,Percutaneous aortic valve,,Stable,['valid/patient64609/study1/view1_frontal.jpg'], patient64609_study1_0,patient64609,study1,0,Impression,"1.NEW RIGHT IJ SWAN-GANZ CATHETER WITH THE TIP PROJECTING OVER THE INTERLOBAR PULMONARY ARTERY. STABLE PERCUTANEOUS AORTIC VALVE. 2.INCREASED ASYMMETRIC OPACITIES OF THE LUNGS, RIGHT GREATER LEFT, WHICH COULD REFLECT EDEMA OR ASPIRATION. 3.SMALL BILATERAL PLEURAL EFFUSIONS AND ASSOCIATED LEFT LOWER LOBE OPACITY.","2.INCREASED ASYMMETRIC OPACITIES OF THE LUNGS, RIGHT GREATER LEFT, WHICH COULD REFLECT EDEMA OR ASPIRATION.",Asymmetric opacities,Right greater than left,Worse,['valid/patient64609/study1/view1_frontal.jpg'], patient64610_study1_0,patient64610,study1,0,Impression,1.INTERVAL REMOVAL OF LEFT IJ CATHETER. REMAINDER OF SUPPORT HARDWARE IS STABLE. 2.STABLE MILD CARDIOMEGALY AND INTERSTITIAL EDEMA. 3.STABLE LEFT COSTOPHRENIC ANGLE OPACITY.,1.INTERVAL REMOVAL OF LEFT IJ CATHETER. REMAINDER OF SUPPORT HARDWARE IS STABLE.,IJ Catheter,Left,Resolve,['valid/patient64610/study1/view1_frontal.jpg'], patient64610_study1_0,patient64610,study1,0,Impression,1.INTERVAL REMOVAL OF LEFT IJ CATHETER. REMAINDER OF SUPPORT HARDWARE IS STABLE. 2.STABLE MILD CARDIOMEGALY AND INTERSTITIAL EDEMA. 3.STABLE LEFT COSTOPHRENIC ANGLE OPACITY.,2.STABLE MILD CARDIOMEGALY AND INTERSTITIAL EDEMA.,Cardiomegaly,,Stable,['valid/patient64610/study1/view1_frontal.jpg'], patient64610_study1_0,patient64610,study1,0,Impression,1.INTERVAL REMOVAL OF LEFT IJ CATHETER. REMAINDER OF SUPPORT HARDWARE IS STABLE. 2.STABLE MILD CARDIOMEGALY AND INTERSTITIAL EDEMA. 3.STABLE LEFT COSTOPHRENIC ANGLE OPACITY.,2.STABLE MILD CARDIOMEGALY AND INTERSTITIAL EDEMA.,Interstitial Edema,,Stable,['valid/patient64610/study1/view1_frontal.jpg'], patient64610_study1_0,patient64610,study1,0,Impression,1.INTERVAL REMOVAL OF LEFT IJ CATHETER. REMAINDER OF SUPPORT HARDWARE IS STABLE. 2.STABLE MILD CARDIOMEGALY AND INTERSTITIAL EDEMA. 3.STABLE LEFT COSTOPHRENIC ANGLE OPACITY.,3.STABLE LEFT COSTOPHRENIC ANGLE OPACITY.,Opacity,Left Costophrenic Angle,Stable,['valid/patient64610/study1/view1_frontal.jpg'], patient64612_study1_0,patient64612,study1,0,Impression,"1. CONTOUR OF RIGHT UPPER FIELD MASS IS NOT SIGNIFICANTLY CHANGED. 2. INTERVAL INCREASE IN PULMONARY EDEMA. 3. NO SIGNIFICANT CHANGE OF RETROCARDIAC OPACITY WHICH MAY REPRESENT ATELECTASIS OR CONSOLIDATION. 4. ELEVATION OF RIGHT LUNG BASE IS NOT SIGNIFICANTLY CHANGED. 5. OTHERWISE, NO SIGNIFICANT INTERVAL CHANGE OF THE CHEST.",1. CONTOUR OF RIGHT UPPER FIELD MASS IS NOT SIGNIFICANTLY CHANGED.,Mass,Right Upper Field,Stable,['valid/patient64612/study1/view1_frontal.jpg'], patient64612_study1_0,patient64612,study1,0,Impression,"1. CONTOUR OF RIGHT UPPER FIELD MASS IS NOT SIGNIFICANTLY CHANGED. 2. INTERVAL INCREASE IN PULMONARY EDEMA. 3. NO SIGNIFICANT CHANGE OF RETROCARDIAC OPACITY WHICH MAY REPRESENT ATELECTASIS OR CONSOLIDATION. 4. ELEVATION OF RIGHT LUNG BASE IS NOT SIGNIFICANTLY CHANGED. 5. OTHERWISE, NO SIGNIFICANT INTERVAL CHANGE OF THE CHEST.",2. INTERVAL INCREASE IN PULMONARY EDEMA.,Pulmonary Edema,,Worse,['valid/patient64612/study1/view1_frontal.jpg'], patient64612_study1_0,patient64612,study1,0,Impression,"1. CONTOUR OF RIGHT UPPER FIELD MASS IS NOT SIGNIFICANTLY CHANGED. 2. INTERVAL INCREASE IN PULMONARY EDEMA. 3. NO SIGNIFICANT CHANGE OF RETROCARDIAC OPACITY WHICH MAY REPRESENT ATELECTASIS OR CONSOLIDATION. 4. ELEVATION OF RIGHT LUNG BASE IS NOT SIGNIFICANTLY CHANGED. 5. OTHERWISE, NO SIGNIFICANT INTERVAL CHANGE OF THE CHEST.",3. NO SIGNIFICANT CHANGE OF RETROCARDIAC OPACITY WHICH MAY REPRESENT ATELECTASIS OR CONSOLIDATION.,Opacity,Retrocardiac,Stable,['valid/patient64612/study1/view1_frontal.jpg'], patient64612_study1_0,patient64612,study1,0,Impression,"1. CONTOUR OF RIGHT UPPER FIELD MASS IS NOT SIGNIFICANTLY CHANGED. 2. INTERVAL INCREASE IN PULMONARY EDEMA. 3. NO SIGNIFICANT CHANGE OF RETROCARDIAC OPACITY WHICH MAY REPRESENT ATELECTASIS OR CONSOLIDATION. 4. ELEVATION OF RIGHT LUNG BASE IS NOT SIGNIFICANTLY CHANGED. 5. OTHERWISE, NO SIGNIFICANT INTERVAL CHANGE OF THE CHEST.",4. ELEVATION OF RIGHT LUNG BASE IS NOT SIGNIFICANTLY CHANGED.,Elevation,Right Lung Base,Stable,['valid/patient64612/study1/view1_frontal.jpg'], patient64613_study1_0,patient64613,study1,0,Findings,Small right pleural effusion has diminished. Prior loculated small pneumothorax at the right lung base has cleared. Post thoracotomy findings appear stable. The heart and vessels are unremarkable. Right humerus hardware again noted.,Small right pleural effusion has diminished.,pleural effusion,right,Better,"['valid/patient64613/study1/view1_frontal.jpg', 'valid/patient64613/study1/view2_lateral.jpg']", patient64613_study1_0,patient64613,study1,0,Findings,Small right pleural effusion has diminished. Prior loculated small pneumothorax at the right lung base has cleared. Post thoracotomy findings appear stable. The heart and vessels are unremarkable. Right humerus hardware again noted.,Prior loculated small pneumothorax at the right lung base has cleared.,pneumothorax,right lung base,Resolve,"['valid/patient64613/study1/view1_frontal.jpg', 'valid/patient64613/study1/view2_lateral.jpg']", patient64613_study1_0,patient64613,study1,0,Findings,Small right pleural effusion has diminished. Prior loculated small pneumothorax at the right lung base has cleared. Post thoracotomy findings appear stable. The heart and vessels are unremarkable. Right humerus hardware again noted.,Post thoracotomy findings appear stable.,post thoracotomy findings,,Stable,"['valid/patient64613/study1/view1_frontal.jpg', 'valid/patient64613/study1/view2_lateral.jpg']", patient64613_study1_0,patient64613,study1,0,Impression,1. Decreased fluid and resolved small pneumothorax at the right lung base.,Decreased fluid and resolved small pneumothorax at the right lung base.,fluid,right lung base,Better,"['valid/patient64613/study1/view1_frontal.jpg', 'valid/patient64613/study1/view2_lateral.jpg']", patient64613_study1_0,patient64613,study1,0,Impression,1. Decreased fluid and resolved small pneumothorax at the right lung base.,Decreased fluid and resolved small pneumothorax at the right lung base.,pneumothorax,right lung base,Resolve,"['valid/patient64613/study1/view1_frontal.jpg', 'valid/patient64613/study1/view2_lateral.jpg']", patient64616_study1_0,patient64616,study1,0,Findings,"The cardiomediastinal silhouette is normal. Patchy consolidation in the left retrocardiac area which may represent atelectasis and/or early airspace disease. No evidence of pulmonary edema, pneumothorax or pleural effusions. Elevated right hemidiaphragm again noted. Colonic interposition under the right hemidiaphragm also noted. Degenerative changes of the thoracic spine.",Elevated right hemidiaphragm again noted.,hemidiaphragm,right,Stable,"['valid/patient64616/study1/view1_frontal.jpg', 'valid/patient64616/study1/view3_lateral.jpg', 'valid/patient64616/study1/view2_lateral.jpg']", patient64618_study1_0,patient64618,study1,0,Impression,"1.Chest 2 Views, DEMONSTRATE NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. STABLE OVERALL AERATION AND VOLUME 2.CARDIAC SILHOUETTE AND VASCULARITY ARE MILDLY PROMINENT.","1.Chest 2 Views, DEMONSTRATE NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION. STABLE OVERALL AERATION AND VOLUME",Aeration and Volume,Overall,Stable,"['valid/patient64618/study1/view1_frontal.jpg', 'valid/patient64618/study1/view2_lateral.jpg']", patient64619_study1_0,patient64619,study1,0,Impression,1.SMALL LEFT PLEURAL EFFUSION. NO PNEUMOTHORAX. 2.MILD CHRONIC PULMONARY CHANGES. 3.NO ACUTE CARDIOPULMONARY PROCESS.,1.SMALL LEFT PLEURAL EFFUSION. NO PNEUMOTHORAX.,Pleural Effusion,Left,New,['valid/patient64619/study1/view1_frontal.jpg'], patient64619_study1_0,patient64619,study1,0,Impression,1.SMALL LEFT PLEURAL EFFUSION. NO PNEUMOTHORAX. 2.MILD CHRONIC PULMONARY CHANGES. 3.NO ACUTE CARDIOPULMONARY PROCESS.,1.SMALL LEFT PLEURAL EFFUSION. NO PNEUMOTHORAX.,Pneumothorax,,New,['valid/patient64619/study1/view1_frontal.jpg'], patient64619_study1_0,patient64619,study1,0,Impression,1.SMALL LEFT PLEURAL EFFUSION. NO PNEUMOTHORAX. 2.MILD CHRONIC PULMONARY CHANGES. 3.NO ACUTE CARDIOPULMONARY PROCESS.,2.MILD CHRONIC PULMONARY CHANGES.,Pulmonary Changes,,Stable,['valid/patient64619/study1/view1_frontal.jpg'], patient64619_study1_0,patient64619,study1,0,Impression,1.SMALL LEFT PLEURAL EFFUSION. NO PNEUMOTHORAX. 2.MILD CHRONIC PULMONARY CHANGES. 3.NO ACUTE CARDIOPULMONARY PROCESS.,3.NO ACUTE CARDIOPULMONARY PROCESS.,Acute Cardiopulmonary Process,,New,['valid/patient64619/study1/view1_frontal.jpg'], patient64620_study1_0,patient64620,study1,0,Impression,1. SINGLE VIEW OF CHEST DEMONSTRATES NO SIGNIFICANT INTERVAL CHANGE IN POSITION OF BILATERAL CHEST TUBES. MEDIAN STERNOTOMY WIRES ARE UNCHANGED. 2. PREVIOUSLY DESCRIBED LEFT APICAL PNEUMOTHORAX IS NOT WELL SEEN ON TODAY'S STUDY. NO LARGE PNEUMOTHORAX IS IDENTIFIED. 3. THERE HAS BEEN INTERVAL INCREASE IN THE LEFT PLEURAL EFFUSION WITH PERSISTENT RETROCARDIAC ATELECTASIS. SMALL RIGHT PLEURAL EFFUSION REMAINS.,1. SINGLE VIEW OF CHEST DEMONSTRATES NO SIGNIFICANT INTERVAL CHANGE IN POSITION OF BILATERAL CHEST TUBES. MEDIAN STERNOTOMY WIRES ARE UNCHANGED.,Chest tubes,Bilateral,Stable,['valid/patient64620/study1/view1_frontal.jpg'], patient64620_study1_0,patient64620,study1,0,Impression,1. SINGLE VIEW OF CHEST DEMONSTRATES NO SIGNIFICANT INTERVAL CHANGE IN POSITION OF BILATERAL CHEST TUBES. MEDIAN STERNOTOMY WIRES ARE UNCHANGED. 2. PREVIOUSLY DESCRIBED LEFT APICAL PNEUMOTHORAX IS NOT WELL SEEN ON TODAY'S STUDY. NO LARGE PNEUMOTHORAX IS IDENTIFIED. 3. THERE HAS BEEN INTERVAL INCREASE IN THE LEFT PLEURAL EFFUSION WITH PERSISTENT RETROCARDIAC ATELECTASIS. SMALL RIGHT PLEURAL EFFUSION REMAINS.,1. SINGLE VIEW OF CHEST DEMONSTRATES NO SIGNIFICANT INTERVAL CHANGE IN POSITION OF BILATERAL CHEST TUBES. MEDIAN STERNOTOMY WIRES ARE UNCHANGED.,Median sternotomy wires,,Stable,['valid/patient64620/study1/view1_frontal.jpg'], patient64620_study1_0,patient64620,study1,0,Impression,1. SINGLE VIEW OF CHEST DEMONSTRATES NO SIGNIFICANT INTERVAL CHANGE IN POSITION OF BILATERAL CHEST TUBES. MEDIAN STERNOTOMY WIRES ARE UNCHANGED. 2. PREVIOUSLY DESCRIBED LEFT APICAL PNEUMOTHORAX IS NOT WELL SEEN ON TODAY'S STUDY. NO LARGE PNEUMOTHORAX IS IDENTIFIED. 3. THERE HAS BEEN INTERVAL INCREASE IN THE LEFT PLEURAL EFFUSION WITH PERSISTENT RETROCARDIAC ATELECTASIS. SMALL RIGHT PLEURAL EFFUSION REMAINS.,2. PREVIOUSLY DESCRIBED LEFT APICAL PNEUMOTHORAX IS NOT WELL SEEN ON TODAY'S STUDY. NO LARGE PNEUMOTHORAX IS IDENTIFIED.,Pneumothorax,Left apical,Resolve,['valid/patient64620/study1/view1_frontal.jpg'], patient64620_study1_0,patient64620,study1,0,Impression,1. SINGLE VIEW OF CHEST DEMONSTRATES NO SIGNIFICANT INTERVAL CHANGE IN POSITION OF BILATERAL CHEST TUBES. MEDIAN STERNOTOMY WIRES ARE UNCHANGED. 2. PREVIOUSLY DESCRIBED LEFT APICAL PNEUMOTHORAX IS NOT WELL SEEN ON TODAY'S STUDY. NO LARGE PNEUMOTHORAX IS IDENTIFIED. 3. THERE HAS BEEN INTERVAL INCREASE IN THE LEFT PLEURAL EFFUSION WITH PERSISTENT RETROCARDIAC ATELECTASIS. SMALL RIGHT PLEURAL EFFUSION REMAINS.,3. THERE HAS BEEN INTERVAL INCREASE IN THE LEFT PLEURAL EFFUSION WITH PERSISTENT RETROCARDIAC ATELECTASIS. SMALL RIGHT PLEURAL EFFUSION REMAINS.,Pleural effusion,Left,Worse,['valid/patient64620/study1/view1_frontal.jpg'], patient64620_study1_0,patient64620,study1,0,Impression,1. SINGLE VIEW OF CHEST DEMONSTRATES NO SIGNIFICANT INTERVAL CHANGE IN POSITION OF BILATERAL CHEST TUBES. MEDIAN STERNOTOMY WIRES ARE UNCHANGED. 2. PREVIOUSLY DESCRIBED LEFT APICAL PNEUMOTHORAX IS NOT WELL SEEN ON TODAY'S STUDY. NO LARGE PNEUMOTHORAX IS IDENTIFIED. 3. THERE HAS BEEN INTERVAL INCREASE IN THE LEFT PLEURAL EFFUSION WITH PERSISTENT RETROCARDIAC ATELECTASIS. SMALL RIGHT PLEURAL EFFUSION REMAINS.,3. THERE HAS BEEN INTERVAL INCREASE IN THE LEFT PLEURAL EFFUSION WITH PERSISTENT RETROCARDIAC ATELECTASIS. SMALL RIGHT PLEURAL EFFUSION REMAINS.,Atelectasis,Retrocardiac,Stable,['valid/patient64620/study1/view1_frontal.jpg'], patient64620_study1_0,patient64620,study1,0,Impression,1. SINGLE VIEW OF CHEST DEMONSTRATES NO SIGNIFICANT INTERVAL CHANGE IN POSITION OF BILATERAL CHEST TUBES. MEDIAN STERNOTOMY WIRES ARE UNCHANGED. 2. PREVIOUSLY DESCRIBED LEFT APICAL PNEUMOTHORAX IS NOT WELL SEEN ON TODAY'S STUDY. NO LARGE PNEUMOTHORAX IS IDENTIFIED. 3. THERE HAS BEEN INTERVAL INCREASE IN THE LEFT PLEURAL EFFUSION WITH PERSISTENT RETROCARDIAC ATELECTASIS. SMALL RIGHT PLEURAL EFFUSION REMAINS.,3. THERE HAS BEEN INTERVAL INCREASE IN THE LEFT PLEURAL EFFUSION WITH PERSISTENT RETROCARDIAC ATELECTASIS. SMALL RIGHT PLEURAL EFFUSION REMAINS.,Pleural effusion,Right,Stable,['valid/patient64620/study1/view1_frontal.jpg'], patient64621_study1_0,patient64621,study1,0,Findings,Single view of the chest dated 12-6-2007 at 08:48 redemonstrates right apical chest tube. Persistent low lung volumes. Residual small right apical pneumothorax. Band-like atelectasis at the right lung base which has increased since the prior examination. No additional focal opacities or effusions noted. Single view of the chest dated 12-6-2007 at 15:06 demonstrates interval removal of right sided chest tube. Possible tiny residual right apical pneumothorax. Improved aeration of both lung bases with interval decrease in prior noted atelectasis. Redemonstration of distal clavicle resection and sutures within the humeral head of the left shoulder.,Persistent low lung volumes.,low lung volumes,,Stable,['valid/patient64621/study1/view1_frontal.jpg'], patient64621_study1_0,patient64621,study1,0,Findings,Single view of the chest dated 12-6-2007 at 08:48 redemonstrates right apical chest tube. Persistent low lung volumes. Residual small right apical pneumothorax. Band-like atelectasis at the right lung base which has increased since the prior examination. No additional focal opacities or effusions noted. Single view of the chest dated 12-6-2007 at 15:06 demonstrates interval removal of right sided chest tube. Possible tiny residual right apical pneumothorax. Improved aeration of both lung bases with interval decrease in prior noted atelectasis. Redemonstration of distal clavicle resection and sutures within the humeral head of the left shoulder.,Band-like atelectasis at the right lung base which has increased since the prior examination.,atelectasis,right lung base,Worse,['valid/patient64621/study1/view1_frontal.jpg'], patient64621_study1_0,patient64621,study1,0,Findings,Single view of the chest dated 12-6-2007 at 08:48 redemonstrates right apical chest tube. Persistent low lung volumes. Residual small right apical pneumothorax. Band-like atelectasis at the right lung base which has increased since the prior examination. No additional focal opacities or effusions noted. Single view of the chest dated 12-6-2007 at 15:06 demonstrates interval removal of right sided chest tube. Possible tiny residual right apical pneumothorax. Improved aeration of both lung bases with interval decrease in prior noted atelectasis. Redemonstration of distal clavicle resection and sutures within the humeral head of the left shoulder.,Single view of the chest dated 12-6-2007 at 15:06 demonstrates interval removal of right sided chest tube.,chest tube,right side,Resolve,['valid/patient64621/study1/view1_frontal.jpg'], patient64621_study1_0,patient64621,study1,0,Findings,Single view of the chest dated 12-6-2007 at 08:48 redemonstrates right apical chest tube. Persistent low lung volumes. Residual small right apical pneumothorax. Band-like atelectasis at the right lung base which has increased since the prior examination. No additional focal opacities or effusions noted. Single view of the chest dated 12-6-2007 at 15:06 demonstrates interval removal of right sided chest tube. Possible tiny residual right apical pneumothorax. Improved aeration of both lung bases with interval decrease in prior noted atelectasis. Redemonstration of distal clavicle resection and sutures within the humeral head of the left shoulder.,Improved aeration of both lung bases with interval decrease in prior noted atelectasis.,aeration,both lung bases,Better,['valid/patient64621/study1/view1_frontal.jpg'], patient64623_study1_0,patient64623,study1,0,Findings,"AP semierect chest radiograph demonstrates a nasoenteric tube projecting over the right mediastinum, with the right apical chest drain and epidural catheter, unchanged. Unchanged cardiomegaly. Low lung volumes, with unchanged opacification of the left base and small left pleural effusion. Multilevel osteophytosis of the lower thoracic spine. Mild degenerative change of the right acromioclavicular joint.","AP semierect chest radiograph demonstrates a nasoenteric tube projecting over the right mediastinum, with the right apical chest drain and epidural catheter, unchanged.",nasoenteric tube,right mediastinum,Stable,['valid/patient64623/study1/view1_frontal.jpg'], patient64623_study1_0,patient64623,study1,0,Findings,"AP semierect chest radiograph demonstrates a nasoenteric tube projecting over the right mediastinum, with the right apical chest drain and epidural catheter, unchanged. Unchanged cardiomegaly. Low lung volumes, with unchanged opacification of the left base and small left pleural effusion. Multilevel osteophytosis of the lower thoracic spine. Mild degenerative change of the right acromioclavicular joint.","AP semierect chest radiograph demonstrates a nasoenteric tube projecting over the right mediastinum, with the right apical chest drain and epidural catheter, unchanged.",chest drain,right apical,Stable,['valid/patient64623/study1/view1_frontal.jpg'], patient64623_study1_0,patient64623,study1,0,Findings,"AP semierect chest radiograph demonstrates a nasoenteric tube projecting over the right mediastinum, with the right apical chest drain and epidural catheter, unchanged. Unchanged cardiomegaly. Low lung volumes, with unchanged opacification of the left base and small left pleural effusion. Multilevel osteophytosis of the lower thoracic spine. Mild degenerative change of the right acromioclavicular joint.","AP semierect chest radiograph demonstrates a nasoenteric tube projecting over the right mediastinum, with the right apical chest drain and epidural catheter, unchanged.",epidural catheter,right apical,Stable,['valid/patient64623/study1/view1_frontal.jpg'], patient64623_study1_0,patient64623,study1,0,Findings,"AP semierect chest radiograph demonstrates a nasoenteric tube projecting over the right mediastinum, with the right apical chest drain and epidural catheter, unchanged. Unchanged cardiomegaly. Low lung volumes, with unchanged opacification of the left base and small left pleural effusion. Multilevel osteophytosis of the lower thoracic spine. Mild degenerative change of the right acromioclavicular joint.",Unchanged cardiomegaly.,cardiomegaly,,Stable,['valid/patient64623/study1/view1_frontal.jpg'], patient64623_study1_0,patient64623,study1,0,Findings,"AP semierect chest radiograph demonstrates a nasoenteric tube projecting over the right mediastinum, with the right apical chest drain and epidural catheter, unchanged. Unchanged cardiomegaly. Low lung volumes, with unchanged opacification of the left base and small left pleural effusion. Multilevel osteophytosis of the lower thoracic spine. Mild degenerative change of the right acromioclavicular joint.","Low lung volumes, with unchanged opacification of the left base and small left pleural effusion.",opacification,left base,Stable,['valid/patient64623/study1/view1_frontal.jpg'], patient64623_study1_0,patient64623,study1,0,Findings,"AP semierect chest radiograph demonstrates a nasoenteric tube projecting over the right mediastinum, with the right apical chest drain and epidural catheter, unchanged. Unchanged cardiomegaly. Low lung volumes, with unchanged opacification of the left base and small left pleural effusion. Multilevel osteophytosis of the lower thoracic spine. Mild degenerative change of the right acromioclavicular joint.","Low lung volumes, with unchanged opacification of the left base and small left pleural effusion.",pleural effusion,left,Stable,['valid/patient64623/study1/view1_frontal.jpg'], patient64623_study1_0,patient64623,study1,0,Impression,"1. Stable opacification of the left base, with small pleural effusion.","Stable opacification of the left base, with small pleural effusion.",opacification,left base,Stable,['valid/patient64623/study1/view1_frontal.jpg'], patient64623_study1_0,patient64623,study1,0,Impression,"1. Stable opacification of the left base, with small pleural effusion.","Stable opacification of the left base, with small pleural effusion.",pleural effusion,left,Stable,['valid/patient64623/study1/view1_frontal.jpg'], patient64626_study1_0,patient64626,study1,0,Findings,The trachea is midline. The cardiomediastinal silhouette is within normal limits. The diaphragmatic borders are well visualized. There is no evidence of pneumothorax. There is placement of a left-sided single lead pacemaker. The lungs are clear. New osseous volar soft tissue abnormalities.,New osseous volar soft tissue abnormalities.,soft tissue abnormalities,osseous volar,New,['valid/patient64626/study1/view1_frontal.jpg'], patient64629_study1_0,patient64629,study1,0,Findings,,"1. TWO VIEWS OF THE CHEST DEMONSTRATE RIGHT LATERAL THIRD THROUGH SIXTH RIB FRACTURES, OF INDETERMINATE ACUITY. THE FOURTH RIB FRACTURE APPEARS TO BE MORE ACUTE. NO ASSOCIATED PNEUMOTHORAX OR SUBCUTANEOUS EMPHYSEMA. POSSIBLE OLD LEFT SIDED RIB FRACTURES NOTED. LUNGS APPEAR CLEAR.",fractures,right lateral third through sixth ribs,New,['valid/patient64629/study1/view1_frontal.jpg'], patient64629_study1_0,patient64629,study1,0,Findings,,"1. TWO VIEWS OF THE CHEST DEMONSTRATE RIGHT LATERAL THIRD THROUGH SIXTH RIB FRACTURES, OF INDETERMINATE ACUITY. THE FOURTH RIB FRACTURE APPEARS TO BE MORE ACUTE. NO ASSOCIATED PNEUMOTHORAX OR SUBCUTANEOUS EMPHYSEMA. POSSIBLE OLD LEFT SIDED RIB FRACTURES NOTED. LUNGS APPEAR CLEAR.",fracture,fourth rib,New,['valid/patient64629/study1/view1_frontal.jpg'], patient64630_study1_0,patient64630,study1,0,Impression,1. COMPARED TO THE PRIOR STUDY THE RIGHT UPPER EXTREMITY PICC LINE HAS BEEN RETRACTED. THE TIP IS NOW AT THE JUNCTION OF THE SUBCLAVIAN VEIN AND INTERNAL JUGULAR VEIN. THE TIP IS ABOUT 7 CM ABOVE THE CARINA. 2. NO CHANGE IN CARDIOPULMONARY STATUS WITH PERSISTENT DENSE RETROCARDIAC OPACITY WITH MINIMAL OPACITY OF THE RIGHT LUNG BASE AND A SMALL LEFT PLEURAL EFFUSION.,1. COMPARED TO THE PRIOR STUDY THE RIGHT UPPER EXTREMITY PICC LINE HAS BEEN RETRACTED. THE TIP IS NOW AT THE JUNCTION OF THE SUBCLAVIAN VEIN AND INTERNAL JUGULAR VEIN. THE TIP IS ABOUT 7 CM ABOVE THE CARINA.,PICC line position,Right upper extremity,Worse,['valid/patient64630/study1/view1_frontal.jpg'], patient64630_study1_0,patient64630,study1,0,Impression,1. COMPARED TO THE PRIOR STUDY THE RIGHT UPPER EXTREMITY PICC LINE HAS BEEN RETRACTED. THE TIP IS NOW AT THE JUNCTION OF THE SUBCLAVIAN VEIN AND INTERNAL JUGULAR VEIN. THE TIP IS ABOUT 7 CM ABOVE THE CARINA. 2. NO CHANGE IN CARDIOPULMONARY STATUS WITH PERSISTENT DENSE RETROCARDIAC OPACITY WITH MINIMAL OPACITY OF THE RIGHT LUNG BASE AND A SMALL LEFT PLEURAL EFFUSION.,2. NO CHANGE IN CARDIOPULMONARY STATUS WITH PERSISTENT DENSE RETROCARDIAC OPACITY WITH MINIMAL OPACITY OF THE RIGHT LUNG BASE AND A SMALL LEFT PLEURAL EFFUSION.,Opacity,Retrocardiac,Stable,['valid/patient64630/study1/view1_frontal.jpg'], patient64630_study1_0,patient64630,study1,0,Impression,1. COMPARED TO THE PRIOR STUDY THE RIGHT UPPER EXTREMITY PICC LINE HAS BEEN RETRACTED. THE TIP IS NOW AT THE JUNCTION OF THE SUBCLAVIAN VEIN AND INTERNAL JUGULAR VEIN. THE TIP IS ABOUT 7 CM ABOVE THE CARINA. 2. NO CHANGE IN CARDIOPULMONARY STATUS WITH PERSISTENT DENSE RETROCARDIAC OPACITY WITH MINIMAL OPACITY OF THE RIGHT LUNG BASE AND A SMALL LEFT PLEURAL EFFUSION.,2. NO CHANGE IN CARDIOPULMONARY STATUS WITH PERSISTENT DENSE RETROCARDIAC OPACITY WITH MINIMAL OPACITY OF THE RIGHT LUNG BASE AND A SMALL LEFT PLEURAL EFFUSION.,Minimal opacity,Right lung base,Stable,['valid/patient64630/study1/view1_frontal.jpg'], patient64630_study1_0,patient64630,study1,0,Impression,1. COMPARED TO THE PRIOR STUDY THE RIGHT UPPER EXTREMITY PICC LINE HAS BEEN RETRACTED. THE TIP IS NOW AT THE JUNCTION OF THE SUBCLAVIAN VEIN AND INTERNAL JUGULAR VEIN. THE TIP IS ABOUT 7 CM ABOVE THE CARINA. 2. NO CHANGE IN CARDIOPULMONARY STATUS WITH PERSISTENT DENSE RETROCARDIAC OPACITY WITH MINIMAL OPACITY OF THE RIGHT LUNG BASE AND A SMALL LEFT PLEURAL EFFUSION.,2. NO CHANGE IN CARDIOPULMONARY STATUS WITH PERSISTENT DENSE RETROCARDIAC OPACITY WITH MINIMAL OPACITY OF THE RIGHT LUNG BASE AND A SMALL LEFT PLEURAL EFFUSION.,Small pleural effusion,Left,Stable,['valid/patient64630/study1/view1_frontal.jpg'], patient64633_study1_0,patient64633,study1,0,Findings,There is no change in the right-sided central venous catheter. An NG tube is present. There is no change in the enlargement of the cardiac silhouette. There are bilateral bibasilar opacities compatible with effusions and/or atelectasis that has increased on the right. There is diffuse bronchovascular marking prominence is also present compatible with edema or infection.,There is no change in the right-sided central venous catheter.,central venous catheter,right-sided,Stable,['valid/patient64633/study1/view1_frontal.jpg'], patient64633_study1_0,patient64633,study1,0,Findings,There is no change in the right-sided central venous catheter. An NG tube is present. There is no change in the enlargement of the cardiac silhouette. There are bilateral bibasilar opacities compatible with effusions and/or atelectasis that has increased on the right. There is diffuse bronchovascular marking prominence is also present compatible with edema or infection.,There is no change in the enlargement of the cardiac silhouette.,enlargement of the cardiac silhouette,,Stable,['valid/patient64633/study1/view1_frontal.jpg'], patient64633_study1_0,patient64633,study1,0,Findings,There is no change in the right-sided central venous catheter. An NG tube is present. There is no change in the enlargement of the cardiac silhouette. There are bilateral bibasilar opacities compatible with effusions and/or atelectasis that has increased on the right. There is diffuse bronchovascular marking prominence is also present compatible with edema or infection.,There are bilateral bibasilar opacities compatible with effusions and/or atelectasis that has increased on the right.,bibasilar opacities,right,Worse,['valid/patient64633/study1/view1_frontal.jpg'], patient64633_study1_0,patient64633,study1,0,Impression,1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation and/or atelectasis.,1. Increase in right pleural effusion and otherwise no change in bibasilar opacities compatible with consolidation and/or atelectasis.,pleural effusion,right,Worse,['valid/patient64633/study1/view1_frontal.jpg'], patient64634_study1_0,patient64634,study1,0,Findings,"Interval placement of left PICC line, which terminates at the cavoatrial junction. Unchanged right IJ, NG/OG tube. Suboptimal study due to persistent marked rotation of the patient. Persistent left basilar opacity again seen elevation of the left hemidiaphragm. Low lung volumes. No visualized in the thorax.","Interval placement of left PICC line, which terminates at the cavoatrial junction.",PICC line,left,New,['valid/patient64634/study1/view1_frontal.jpg'], patient64634_study1_0,patient64634,study1,0,Findings,"Interval placement of left PICC line, which terminates at the cavoatrial junction. Unchanged right IJ, NG/OG tube. Suboptimal study due to persistent marked rotation of the patient. Persistent left basilar opacity again seen elevation of the left hemidiaphragm. Low lung volumes. No visualized in the thorax.","Unchanged right IJ, NG/OG tube.",IJ tube,right,Stable,['valid/patient64634/study1/view1_frontal.jpg'], patient64634_study1_0,patient64634,study1,0,Findings,"Interval placement of left PICC line, which terminates at the cavoatrial junction. Unchanged right IJ, NG/OG tube. Suboptimal study due to persistent marked rotation of the patient. Persistent left basilar opacity again seen elevation of the left hemidiaphragm. Low lung volumes. No visualized in the thorax.","Unchanged right IJ, NG/OG tube.",NG/OG tube,,Stable,['valid/patient64634/study1/view1_frontal.jpg'], patient64634_study1_0,patient64634,study1,0,Findings,"Interval placement of left PICC line, which terminates at the cavoatrial junction. Unchanged right IJ, NG/OG tube. Suboptimal study due to persistent marked rotation of the patient. Persistent left basilar opacity again seen elevation of the left hemidiaphragm. Low lung volumes. No visualized in the thorax.",Persistent left basilar opacity again seen elevation of the left hemidiaphragm.,opacity,left basilar,Stable,['valid/patient64634/study1/view1_frontal.jpg'], patient64634_study1_0,patient64634,study1,0,Findings,"Interval placement of left PICC line, which terminates at the cavoatrial junction. Unchanged right IJ, NG/OG tube. Suboptimal study due to persistent marked rotation of the patient. Persistent left basilar opacity again seen elevation of the left hemidiaphragm. Low lung volumes. No visualized in the thorax.",Persistent left basilar opacity again seen elevation of the left hemidiaphragm.,elevation of the hemidiaphragm,left,Stable,['valid/patient64634/study1/view1_frontal.jpg'], patient64634_study1_0,patient64634,study1,0,Impression,"1. Interval placement of left PICC line, which terminates at the cavoatrial junction. No visualized pneumothorax. 2. No other significant interval change. I have personally reviewed the images for this examination and agreed with the report transcribed above.","Interval placement of left PICC line, which terminates at the cavoatrial junction.",PICC line,left,New,['valid/patient64634/study1/view1_frontal.jpg'], patient64635_study1_0,patient64635,study1,0,Impression,"1. INTERVAL PLACEMENT OF RIGHT IJ WITH DISTAL TIP AT THE IJ/BRACHIOCEPHALIC JUNCTION. INTERVAL PLACEMENT OF EPIDURAL CATHETER. 2. INTERVAL DEVELOPMENT OF MILD PULMONARY EDEMA AND BIBASILAR ATELECTASIS, RIGHT GREATER THAN LEFT.",1. INTERVAL PLACEMENT OF RIGHT IJ WITH DISTAL TIP AT THE IJ/BRACHIOCEPHALIC JUNCTION. INTERVAL PLACEMENT OF EPIDURAL CATHETER.,Placement,Right IJ,New,['valid/patient64635/study1/view1_frontal.jpg'], patient64635_study1_0,patient64635,study1,0,Impression,"1. INTERVAL PLACEMENT OF RIGHT IJ WITH DISTAL TIP AT THE IJ/BRACHIOCEPHALIC JUNCTION. INTERVAL PLACEMENT OF EPIDURAL CATHETER. 2. INTERVAL DEVELOPMENT OF MILD PULMONARY EDEMA AND BIBASILAR ATELECTASIS, RIGHT GREATER THAN LEFT.",1. INTERVAL PLACEMENT OF RIGHT IJ WITH DISTAL TIP AT THE IJ/BRACHIOCEPHALIC JUNCTION. INTERVAL PLACEMENT OF EPIDURAL CATHETER.,Placement,IJ/Brachiocephalic junction,New,['valid/patient64635/study1/view1_frontal.jpg'], patient64635_study1_0,patient64635,study1,0,Impression,"1. INTERVAL PLACEMENT OF RIGHT IJ WITH DISTAL TIP AT THE IJ/BRACHIOCEPHALIC JUNCTION. INTERVAL PLACEMENT OF EPIDURAL CATHETER. 2. INTERVAL DEVELOPMENT OF MILD PULMONARY EDEMA AND BIBASILAR ATELECTASIS, RIGHT GREATER THAN LEFT.",1. INTERVAL PLACEMENT OF RIGHT IJ WITH DISTAL TIP AT THE IJ/BRACHIOCEPHALIC JUNCTION. INTERVAL PLACEMENT OF EPIDURAL CATHETER.,Epidural catheter placement,,New,['valid/patient64635/study1/view1_frontal.jpg'], patient64635_study1_0,patient64635,study1,0,Impression,"1. INTERVAL PLACEMENT OF RIGHT IJ WITH DISTAL TIP AT THE IJ/BRACHIOCEPHALIC JUNCTION. INTERVAL PLACEMENT OF EPIDURAL CATHETER. 2. INTERVAL DEVELOPMENT OF MILD PULMONARY EDEMA AND BIBASILAR ATELECTASIS, RIGHT GREATER THAN LEFT.","2. INTERVAL DEVELOPMENT OF MILD PULMONARY EDEMA AND BIBASILAR ATELECTASIS, RIGHT GREATER THAN LEFT.",Pulmonary edema,Bilateral,New,['valid/patient64635/study1/view1_frontal.jpg'], patient64635_study1_0,patient64635,study1,0,Impression,"1. INTERVAL PLACEMENT OF RIGHT IJ WITH DISTAL TIP AT THE IJ/BRACHIOCEPHALIC JUNCTION. INTERVAL PLACEMENT OF EPIDURAL CATHETER. 2. INTERVAL DEVELOPMENT OF MILD PULMONARY EDEMA AND BIBASILAR ATELECTASIS, RIGHT GREATER THAN LEFT.","2. INTERVAL DEVELOPMENT OF MILD PULMONARY EDEMA AND BIBASILAR ATELECTASIS, RIGHT GREATER THAN LEFT.",Atelectasis,Bibasilar,New,['valid/patient64635/study1/view1_frontal.jpg'], patient64636_study1_0,patient64636,study1,0,Impression,1.UNCHANGED TEAR FEEDING TUBE WITH ITS TIP AT THE LIGAMENT OF TREITZ. 2.UNCHANGED STERNAL SUTURE WIRES AND COLONIC INTERPOSITION. 3.PERSISTENT RIGHT GREATER THAN LEFT EFFUSIONS WITH BIBASILAR OPACITIES WHICH LIKELY REFLECT ATELECTASIS. 4.MILD PULMONARY EDEMA. 5.REDEMONSTRATED OSTEOPENIA AND DEGENERATIVE CHANGES OF THE SHOULDERS.,1.UNCHANGED TEAR FEEDING TUBE WITH ITS TIP AT THE LIGAMENT OF TREITZ.,Feeding tube,Ligament of Treitz,Stable,['valid/patient64636/study1/view1_frontal.jpg'], patient64636_study1_0,patient64636,study1,0,Impression,1.UNCHANGED TEAR FEEDING TUBE WITH ITS TIP AT THE LIGAMENT OF TREITZ. 2.UNCHANGED STERNAL SUTURE WIRES AND COLONIC INTERPOSITION. 3.PERSISTENT RIGHT GREATER THAN LEFT EFFUSIONS WITH BIBASILAR OPACITIES WHICH LIKELY REFLECT ATELECTASIS. 4.MILD PULMONARY EDEMA. 5.REDEMONSTRATED OSTEOPENIA AND DEGENERATIVE CHANGES OF THE SHOULDERS.,2.UNCHANGED STERNAL SUTURE WIRES AND COLONIC INTERPOSITION.,Suture wires,Sternal,Stable,['valid/patient64636/study1/view1_frontal.jpg'], patient64636_study1_0,patient64636,study1,0,Impression,1.UNCHANGED TEAR FEEDING TUBE WITH ITS TIP AT THE LIGAMENT OF TREITZ. 2.UNCHANGED STERNAL SUTURE WIRES AND COLONIC INTERPOSITION. 3.PERSISTENT RIGHT GREATER THAN LEFT EFFUSIONS WITH BIBASILAR OPACITIES WHICH LIKELY REFLECT ATELECTASIS. 4.MILD PULMONARY EDEMA. 5.REDEMONSTRATED OSTEOPENIA AND DEGENERATIVE CHANGES OF THE SHOULDERS.,2.UNCHANGED STERNAL SUTURE WIRES AND COLONIC INTERPOSITION.,Interposition,Colonic,Stable,['valid/patient64636/study1/view1_frontal.jpg'], patient64636_study1_0,patient64636,study1,0,Impression,1.UNCHANGED TEAR FEEDING TUBE WITH ITS TIP AT THE LIGAMENT OF TREITZ. 2.UNCHANGED STERNAL SUTURE WIRES AND COLONIC INTERPOSITION. 3.PERSISTENT RIGHT GREATER THAN LEFT EFFUSIONS WITH BIBASILAR OPACITIES WHICH LIKELY REFLECT ATELECTASIS. 4.MILD PULMONARY EDEMA. 5.REDEMONSTRATED OSTEOPENIA AND DEGENERATIVE CHANGES OF THE SHOULDERS.,3.PERSISTENT RIGHT GREATER THAN LEFT EFFUSIONS WITH BIBASILAR OPACITIES WHICH LIKELY REFLECT ATELECTASIS.,Effusions,Right greater than left,Stable,['valid/patient64636/study1/view1_frontal.jpg'], patient64636_study1_0,patient64636,study1,0,Impression,1.UNCHANGED TEAR FEEDING TUBE WITH ITS TIP AT THE LIGAMENT OF TREITZ. 2.UNCHANGED STERNAL SUTURE WIRES AND COLONIC INTERPOSITION. 3.PERSISTENT RIGHT GREATER THAN LEFT EFFUSIONS WITH BIBASILAR OPACITIES WHICH LIKELY REFLECT ATELECTASIS. 4.MILD PULMONARY EDEMA. 5.REDEMONSTRATED OSTEOPENIA AND DEGENERATIVE CHANGES OF THE SHOULDERS.,3.PERSISTENT RIGHT GREATER THAN LEFT EFFUSIONS WITH BIBASILAR OPACITIES WHICH LIKELY REFLECT ATELECTASIS.,Opacities,Bibasilar,Stable,['valid/patient64636/study1/view1_frontal.jpg'], patient64636_study1_0,patient64636,study1,0,Impression,1.UNCHANGED TEAR FEEDING TUBE WITH ITS TIP AT THE LIGAMENT OF TREITZ. 2.UNCHANGED STERNAL SUTURE WIRES AND COLONIC INTERPOSITION. 3.PERSISTENT RIGHT GREATER THAN LEFT EFFUSIONS WITH BIBASILAR OPACITIES WHICH LIKELY REFLECT ATELECTASIS. 4.MILD PULMONARY EDEMA. 5.REDEMONSTRATED OSTEOPENIA AND DEGENERATIVE CHANGES OF THE SHOULDERS.,5.REDEMONSTRATED OSTEOPENIA AND DEGENERATIVE CHANGES OF THE SHOULDERS.,Osteopenia,Shoulders,Stable,['valid/patient64636/study1/view1_frontal.jpg'], patient64636_study1_0,patient64636,study1,0,Impression,1.UNCHANGED TEAR FEEDING TUBE WITH ITS TIP AT THE LIGAMENT OF TREITZ. 2.UNCHANGED STERNAL SUTURE WIRES AND COLONIC INTERPOSITION. 3.PERSISTENT RIGHT GREATER THAN LEFT EFFUSIONS WITH BIBASILAR OPACITIES WHICH LIKELY REFLECT ATELECTASIS. 4.MILD PULMONARY EDEMA. 5.REDEMONSTRATED OSTEOPENIA AND DEGENERATIVE CHANGES OF THE SHOULDERS.,5.REDEMONSTRATED OSTEOPENIA AND DEGENERATIVE CHANGES OF THE SHOULDERS.,Degenerative changes,Shoulders,Stable,['valid/patient64636/study1/view1_frontal.jpg'], patient64637_study1_0,patient64637,study1,0,Findings,Stable cholecystectomy clips. Interval placement of epidural catheter and left chest tube after resection of left upper lung zone nodule. No pneumothorax. No pleural effusions. Lung fields clear. Heart size normal.,Stable cholecystectomy clips.,cholecystectomy clips,,Stable,['valid/patient64637/study1/view1_frontal.jpg'], patient64639_study1_0,patient64639,study1,0,Impression,"1. ENDOTRACHEAL TUBE, RIGHT INTERNAL JUGULAR VENOUS CATHETER, FEEDING TUBE, AND NASOGASTRIC TUBE ARE STABLE. PERSISTENT LARGE LEFT PLEURAL EFFUSION AND LEFT LOWER LOBE ATELECTASIS VERSUS CONSOLIDATION. NO SIGNIFICANT INTERVAL CHANGE.","1. ENDOTRACHEAL TUBE, RIGHT INTERNAL JUGULAR VENOUS CATHETER, FEEDING TUBE, AND NASOGASTRIC TUBE ARE STABLE.",Endotracheal tube,,Stable,['valid/patient64639/study1/view1_frontal.jpg'], patient64639_study1_0,patient64639,study1,0,Impression,"1. ENDOTRACHEAL TUBE, RIGHT INTERNAL JUGULAR VENOUS CATHETER, FEEDING TUBE, AND NASOGASTRIC TUBE ARE STABLE. PERSISTENT LARGE LEFT PLEURAL EFFUSION AND LEFT LOWER LOBE ATELECTASIS VERSUS CONSOLIDATION. NO SIGNIFICANT INTERVAL CHANGE.","1. ENDOTRACHEAL TUBE, RIGHT INTERNAL JUGULAR VENOUS CATHETER, FEEDING TUBE, AND NASOGASTRIC TUBE ARE STABLE.",Internal jugular venous catheter,Right,Stable,['valid/patient64639/study1/view1_frontal.jpg'], patient64639_study1_0,patient64639,study1,0,Impression,"1. ENDOTRACHEAL TUBE, RIGHT INTERNAL JUGULAR VENOUS CATHETER, FEEDING TUBE, AND NASOGASTRIC TUBE ARE STABLE. PERSISTENT LARGE LEFT PLEURAL EFFUSION AND LEFT LOWER LOBE ATELECTASIS VERSUS CONSOLIDATION. NO SIGNIFICANT INTERVAL CHANGE.","1. ENDOTRACHEAL TUBE, RIGHT INTERNAL JUGULAR VENOUS CATHETER, FEEDING TUBE, AND NASOGASTRIC TUBE ARE STABLE.",Feeding tube,,Stable,['valid/patient64639/study1/view1_frontal.jpg'], patient64639_study1_0,patient64639,study1,0,Impression,"1. ENDOTRACHEAL TUBE, RIGHT INTERNAL JUGULAR VENOUS CATHETER, FEEDING TUBE, AND NASOGASTRIC TUBE ARE STABLE. PERSISTENT LARGE LEFT PLEURAL EFFUSION AND LEFT LOWER LOBE ATELECTASIS VERSUS CONSOLIDATION. NO SIGNIFICANT INTERVAL CHANGE.","1. ENDOTRACHEAL TUBE, RIGHT INTERNAL JUGULAR VENOUS CATHETER, FEEDING TUBE, AND NASOGASTRIC TUBE ARE STABLE.",Nasogastric tube,,Stable,['valid/patient64639/study1/view1_frontal.jpg'], patient64639_study1_0,patient64639,study1,0,Impression,"1. ENDOTRACHEAL TUBE, RIGHT INTERNAL JUGULAR VENOUS CATHETER, FEEDING TUBE, AND NASOGASTRIC TUBE ARE STABLE. PERSISTENT LARGE LEFT PLEURAL EFFUSION AND LEFT LOWER LOBE ATELECTASIS VERSUS CONSOLIDATION. NO SIGNIFICANT INTERVAL CHANGE.",PERSISTENT LARGE LEFT PLEURAL EFFUSION AND LEFT LOWER LOBE ATELECTASIS VERSUS CONSOLIDATION.,Pleural effusion,Left,Stable,['valid/patient64639/study1/view1_frontal.jpg'], patient64639_study1_0,patient64639,study1,0,Impression,"1. ENDOTRACHEAL TUBE, RIGHT INTERNAL JUGULAR VENOUS CATHETER, FEEDING TUBE, AND NASOGASTRIC TUBE ARE STABLE. PERSISTENT LARGE LEFT PLEURAL EFFUSION AND LEFT LOWER LOBE ATELECTASIS VERSUS CONSOLIDATION. NO SIGNIFICANT INTERVAL CHANGE.",PERSISTENT LARGE LEFT PLEURAL EFFUSION AND LEFT LOWER LOBE ATELECTASIS VERSUS CONSOLIDATION.,Atelectasis versus consolidation,Left lower lobe,Stable,['valid/patient64639/study1/view1_frontal.jpg'], patient64640_study1_0,patient64640,study1,0,Impression,PORTABLE UPRIGHT AP AND LATERAL VIEWS OF THE CHEST DEMONSTRATE LOW LUNG VOLUMES. SLIGHTLY IMPROVED PULMONARY EDEMA. CONTINUED RETROCARDIAC OPACITY AND LEFT PLEURAL EFFUSION.,SLIGHTLY IMPROVED PULMONARY EDEMA.,Pulmonary edema,,Better,"['valid/patient64640/study1/view1_frontal.jpg', 'valid/patient64640/study1/view2_lateral.jpg']", patient64640_study1_0,patient64640,study1,0,Impression,PORTABLE UPRIGHT AP AND LATERAL VIEWS OF THE CHEST DEMONSTRATE LOW LUNG VOLUMES. SLIGHTLY IMPROVED PULMONARY EDEMA. CONTINUED RETROCARDIAC OPACITY AND LEFT PLEURAL EFFUSION.,CONTINUED RETROCARDIAC OPACITY AND LEFT PLEURAL EFFUSION.,Opacity,Retrocardiac,Stable,"['valid/patient64640/study1/view1_frontal.jpg', 'valid/patient64640/study1/view2_lateral.jpg']", patient64640_study1_0,patient64640,study1,0,Impression,PORTABLE UPRIGHT AP AND LATERAL VIEWS OF THE CHEST DEMONSTRATE LOW LUNG VOLUMES. SLIGHTLY IMPROVED PULMONARY EDEMA. CONTINUED RETROCARDIAC OPACITY AND LEFT PLEURAL EFFUSION.,CONTINUED RETROCARDIAC OPACITY AND LEFT PLEURAL EFFUSION.,Pleural effusion,Left,Stable,"['valid/patient64640/study1/view1_frontal.jpg', 'valid/patient64640/study1/view2_lateral.jpg']", patient64641_study1_0,patient64641,study1,0,Findings,"Lines and tubes unchanged. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion. No evidence of pneumothorax.",Lines and tubes unchanged.,Lines and tubes,,Stable,['valid/patient64641/study1/view1_frontal.jpg'], patient64641_study1_0,patient64641,study1,0,Findings,"Lines and tubes unchanged. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion. No evidence of pneumothorax.",Slight improvement in the aeration of the upper lobes bilaterally.,aeration,upper lobes bilaterally,Better,['valid/patient64641/study1/view1_frontal.jpg'], patient64641_study1_0,patient64641,study1,0,Findings,"Lines and tubes unchanged. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion. No evidence of pneumothorax.",Stable cardiomediastinal silhouette.,cardiomediastinal silhouette,,Stable,['valid/patient64641/study1/view1_frontal.jpg'], patient64641_study1_0,patient64641,study1,0,Impression,"1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.",Slight improvement in the aeration of the upper lobes bilaterally.,aeration,upper lobes bilaterally,Better,['valid/patient64641/study1/view1_frontal.jpg'], patient64641_study1_0,patient64641,study1,0,Impression,"1. Low lung volumes. Slight improvement in the aeration of the upper lobes bilaterally. Stable cardiomediastinal silhouette. Bibasilar consolidation, left greater than right, with small left pleural effusion.",Stable cardiomediastinal silhouette.,cardiomediastinal silhouette,,Stable,['valid/patient64641/study1/view1_frontal.jpg'], patient64642_study1_0,patient64642,study1,0,Findings,"The three-lead permanent pacemaker overlying the left hemithorax with leads in the right atrium, right ventricle, and coronary sinus is not significant change in position or appearance. The moderate cardiomegaly with left atrial enlargement and pulmonary hypertension is stable. There are increased interstitial markings with small bilateral pleural effusions. There is no pneumothorax. The soft tissues and osseous structures are without significant change.",The moderate cardiomegaly with left atrial enlargement and pulmonary hypertension is stable.,cardiomegaly,left atrial,Stable,['valid/patient64642/study1/view1_frontal.jpg'], patient64642_study1_0,patient64642,study1,0,Findings,"The three-lead permanent pacemaker overlying the left hemithorax with leads in the right atrium, right ventricle, and coronary sinus is not significant change in position or appearance. The moderate cardiomegaly with left atrial enlargement and pulmonary hypertension is stable. There are increased interstitial markings with small bilateral pleural effusions. There is no pneumothorax. The soft tissues and osseous structures are without significant change.",The moderate cardiomegaly with left atrial enlargement and pulmonary hypertension is stable.,enlargement,left atrial,Stable,['valid/patient64642/study1/view1_frontal.jpg'], patient64642_study1_0,patient64642,study1,0,Findings,"The three-lead permanent pacemaker overlying the left hemithorax with leads in the right atrium, right ventricle, and coronary sinus is not significant change in position or appearance. The moderate cardiomegaly with left atrial enlargement and pulmonary hypertension is stable. There are increased interstitial markings with small bilateral pleural effusions. There is no pneumothorax. The soft tissues and osseous structures are without significant change.",The moderate cardiomegaly with left atrial enlargement and pulmonary hypertension is stable.,hypertension,pulmonary,Stable,['valid/patient64642/study1/view1_frontal.jpg'], patient64642_study1_0,patient64642,study1,0,Findings,"The three-lead permanent pacemaker overlying the left hemithorax with leads in the right atrium, right ventricle, and coronary sinus is not significant change in position or appearance. The moderate cardiomegaly with left atrial enlargement and pulmonary hypertension is stable. There are increased interstitial markings with small bilateral pleural effusions. There is no pneumothorax. The soft tissues and osseous structures are without significant change.",There are increased interstitial markings with small bilateral pleural effusions.,interstitial markings,bilateral,Worse,['valid/patient64642/study1/view1_frontal.jpg'], patient64642_study1_0,patient64642,study1,0,Findings,"The three-lead permanent pacemaker overlying the left hemithorax with leads in the right atrium, right ventricle, and coronary sinus is not significant change in position or appearance. The moderate cardiomegaly with left atrial enlargement and pulmonary hypertension is stable. There are increased interstitial markings with small bilateral pleural effusions. There is no pneumothorax. The soft tissues and osseous structures are without significant change.",There are increased interstitial markings with small bilateral pleural effusions.,pleural effusions,bilateral,New,['valid/patient64642/study1/view1_frontal.jpg'], patient64643_study1_0,patient64643,study1,0,Impression,"1. UNCHANGED LINES AND TUBES. 2. PERSISTENT LOW LUNG VOLUMES, RIGHT PNEUMOTHORAX, DIFFUSE AIR SPACE OPACITY, AND LOCULATED LATERAL RIGHT PLEURAL EFFUSION. 3. PREVIOUSLY SEEN LEFT PNEUMOTHORAX NOT CLEARLY EVIDENT.",1. UNCHANGED LINES AND TUBES.,Lines and tubes,,Stable,['valid/patient64643/study1/view1_frontal.jpg'], patient64643_study1_0,patient64643,study1,0,Impression,"1. UNCHANGED LINES AND TUBES. 2. PERSISTENT LOW LUNG VOLUMES, RIGHT PNEUMOTHORAX, DIFFUSE AIR SPACE OPACITY, AND LOCULATED LATERAL RIGHT PLEURAL EFFUSION. 3. PREVIOUSLY SEEN LEFT PNEUMOTHORAX NOT CLEARLY EVIDENT.","2. PERSISTENT LOW LUNG VOLUMES, RIGHT PNEUMOTHORAX, DIFFUSE AIR SPACE OPACITY, AND LOCULATED LATERAL RIGHT PLEURAL EFFUSION.",Low lung volumes,,Stable,['valid/patient64643/study1/view1_frontal.jpg'], patient64643_study1_0,patient64643,study1,0,Impression,"1. UNCHANGED LINES AND TUBES. 2. PERSISTENT LOW LUNG VOLUMES, RIGHT PNEUMOTHORAX, DIFFUSE AIR SPACE OPACITY, AND LOCULATED LATERAL RIGHT PLEURAL EFFUSION. 3. PREVIOUSLY SEEN LEFT PNEUMOTHORAX NOT CLEARLY EVIDENT.","2. PERSISTENT LOW LUNG VOLUMES, RIGHT PNEUMOTHORAX, DIFFUSE AIR SPACE OPACITY, AND LOCULATED LATERAL RIGHT PLEURAL EFFUSION.",Pneumothorax,right,Stable,['valid/patient64643/study1/view1_frontal.jpg'], patient64643_study1_0,patient64643,study1,0,Impression,"1. UNCHANGED LINES AND TUBES. 2. PERSISTENT LOW LUNG VOLUMES, RIGHT PNEUMOTHORAX, DIFFUSE AIR SPACE OPACITY, AND LOCULATED LATERAL RIGHT PLEURAL EFFUSION. 3. PREVIOUSLY SEEN LEFT PNEUMOTHORAX NOT CLEARLY EVIDENT.","2. PERSISTENT LOW LUNG VOLUMES, RIGHT PNEUMOTHORAX, DIFFUSE AIR SPACE OPACITY, AND LOCULATED LATERAL RIGHT PLEURAL EFFUSION.",Diffuse air space opacity,,Stable,['valid/patient64643/study1/view1_frontal.jpg'], patient64643_study1_0,patient64643,study1,0,Impression,"1. UNCHANGED LINES AND TUBES. 2. PERSISTENT LOW LUNG VOLUMES, RIGHT PNEUMOTHORAX, DIFFUSE AIR SPACE OPACITY, AND LOCULATED LATERAL RIGHT PLEURAL EFFUSION. 3. PREVIOUSLY SEEN LEFT PNEUMOTHORAX NOT CLEARLY EVIDENT.","2. PERSISTENT LOW LUNG VOLUMES, RIGHT PNEUMOTHORAX, DIFFUSE AIR SPACE OPACITY, AND LOCULATED LATERAL RIGHT PLEURAL EFFUSION.",Pleural effusion,lateral right,Stable,['valid/patient64643/study1/view1_frontal.jpg'], patient64643_study1_0,patient64643,study1,0,Impression,"1. UNCHANGED LINES AND TUBES. 2. PERSISTENT LOW LUNG VOLUMES, RIGHT PNEUMOTHORAX, DIFFUSE AIR SPACE OPACITY, AND LOCULATED LATERAL RIGHT PLEURAL EFFUSION. 3. PREVIOUSLY SEEN LEFT PNEUMOTHORAX NOT CLEARLY EVIDENT.",3. PREVIOUSLY SEEN LEFT PNEUMOTHORAX NOT CLEARLY EVIDENT.,Pneumothorax,left,Resolve,['valid/patient64643/study1/view1_frontal.jpg'], patient64644_study1_0,patient64644,study1,0,Impression,1.SINGLE UPRIGHT VIEW OF THE CHEST DEMONSTRATES A LEFT UPPER EXTREMITY PICC LINE STABLE IN POSITION. 2.NEW LEFT LOWER LUNG OPACITY AND SMALL LEFT PLEURAL EFFUSION.,1.SINGLE UPRIGHT VIEW OF THE CHEST DEMONSTRATES A LEFT UPPER EXTREMITY PICC LINE STABLE IN POSITION.,PICC line,Left upper extremity,Stable,['valid/patient64644/study1/view1_frontal.jpg'], patient64644_study1_0,patient64644,study1,0,Impression,1.SINGLE UPRIGHT VIEW OF THE CHEST DEMONSTRATES A LEFT UPPER EXTREMITY PICC LINE STABLE IN POSITION. 2.NEW LEFT LOWER LUNG OPACITY AND SMALL LEFT PLEURAL EFFUSION.,2.NEW LEFT LOWER LUNG OPACITY AND SMALL LEFT PLEURAL EFFUSION.,Opacity,Left lower lung,New,['valid/patient64644/study1/view1_frontal.jpg'], patient64644_study1_0,patient64644,study1,0,Impression,1.SINGLE UPRIGHT VIEW OF THE CHEST DEMONSTRATES A LEFT UPPER EXTREMITY PICC LINE STABLE IN POSITION. 2.NEW LEFT LOWER LUNG OPACITY AND SMALL LEFT PLEURAL EFFUSION.,2.NEW LEFT LOWER LUNG OPACITY AND SMALL LEFT PLEURAL EFFUSION.,Small pleural effusion,Left,New,['valid/patient64644/study1/view1_frontal.jpg'], patient64645_study1_0,patient64645,study1,0,Findings,Medical devices are stable. Tiny right apical pneumothorax is identified; right chest tube remains in place. Persistent left lower lobe consolidation with associated moderate-sized left-sided pleural effusion.,Tiny right apical pneumothorax is identified; right chest tube remains in place.,pneumothorax,right apical,New,['valid/patient64645/study1/view1_frontal.jpg'], patient64645_study1_0,patient64645,study1,0,Findings,Medical devices are stable. Tiny right apical pneumothorax is identified; right chest tube remains in place. Persistent left lower lobe consolidation with associated moderate-sized left-sided pleural effusion.,Persistent left lower lobe consolidation with associated moderate-sized left-sided pleural effusion.,consolidation,left lower lobe,Stable,['valid/patient64645/study1/view1_frontal.jpg'], patient64645_study1_0,patient64645,study1,0,Findings,Medical devices are stable. Tiny right apical pneumothorax is identified; right chest tube remains in place. Persistent left lower lobe consolidation with associated moderate-sized left-sided pleural effusion.,Persistent left lower lobe consolidation with associated moderate-sized left-sided pleural effusion.,pleural effusion,left-sided,Stable,['valid/patient64645/study1/view1_frontal.jpg'], patient64645_study1_0,patient64645,study1,0,Impression,"1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. ""Physician to Physician Radiology Consult Line: (371) 293-2849""",Tiny right apical pneumothorax.,pneumothorax,right apical,New,['valid/patient64645/study1/view1_frontal.jpg'], patient64645_study1_0,patient64645,study1,0,Impression,"1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. ""Physician to Physician Radiology Consult Line: (371) 293-2849""",Persistent left lower lobe consolidation and effusion.,consolidation,left lower lobe,Stable,['valid/patient64645/study1/view1_frontal.jpg'], patient64645_study1_0,patient64645,study1,0,Impression,"1. Tiny right apical pneumothorax. 2. Persistent left lower lobe consolidation and effusion. ""Physician to Physician Radiology Consult Line: (371) 293-2849""",Persistent left lower lobe consolidation and effusion.,pleural effusion,left-sided,Stable,['valid/patient64645/study1/view1_frontal.jpg'], patient64646_study1_0,patient64646,study1,0,Impression,1. SINGLE RADIOGRAPH OF THE CHEST DEMONSTRATES A SMALL LEFT PLEURAL EFFUSION AND LEFT BASE ATELECTASIS. 2. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 3. NO ACUTE OSSEOUS ABNORMALITIES.,1. SINGLE RADIOGRAPH OF THE CHEST DEMONSTRATES A SMALL LEFT PLEURAL EFFUSION AND LEFT BASE ATELECTASIS.,pleural effusion,left,New,['valid/patient64646/study1/view1_frontal.jpg'], patient64646_study1_0,patient64646,study1,0,Impression,1. SINGLE RADIOGRAPH OF THE CHEST DEMONSTRATES A SMALL LEFT PLEURAL EFFUSION AND LEFT BASE ATELECTASIS. 2. THE CARDIOMEDIASTINAL SILHOUETTE IS WITHIN NORMAL LIMITS. 3. NO ACUTE OSSEOUS ABNORMALITIES.,1. SINGLE RADIOGRAPH OF THE CHEST DEMONSTRATES A SMALL LEFT PLEURAL EFFUSION AND LEFT BASE ATELECTASIS.,atelectasis,left base,New,['valid/patient64646/study1/view1_frontal.jpg'], patient64648_study1_0,patient64648,study1,0,Findings,"Frontal view of the chest from 16:28 on 7/18/2015 demonstrates interval repositioning of the endotracheal tube with the tip approximately 5.8 cm above the carina. Other medical support devices are unchanged in position. Persistent bibasilar opacities, likely atelectasis versus consolidation. Decreased mild pulmonary edema with small bilateral pleural effusions. No pneumothorax. The cardiomediastinal silhouette is within normal limits for size. 7-18-2015 demonstrates interval extubation and interval repositioning of the Swan-Ganz catheter, now terminating in the right pulmonary artery.",Frontal view of the chest from 16:28 on 7/18/2015 demonstrates interval repositioning of the endotracheal tube with the tip approximately 5.8 cm above the carina.,endotracheal tube,5.8 cm above the carina,Stable,['valid/patient64648/study1/view1_frontal.jpg'], patient64648_study1_0,patient64648,study1,0,Findings,"Frontal view of the chest from 16:28 on 7/18/2015 demonstrates interval repositioning of the endotracheal tube with the tip approximately 5.8 cm above the carina. Other medical support devices are unchanged in position. Persistent bibasilar opacities, likely atelectasis versus consolidation. Decreased mild pulmonary edema with small bilateral pleural effusions. No pneumothorax. The cardiomediastinal silhouette is within normal limits for size. 7-18-2015 demonstrates interval extubation and interval repositioning of the Swan-Ganz catheter, now terminating in the right pulmonary artery.",Other medical support devices are unchanged in position.,medical support devices,,Stable,['valid/patient64648/study1/view1_frontal.jpg'], patient64648_study1_0,patient64648,study1,0,Findings,"Frontal view of the chest from 16:28 on 7/18/2015 demonstrates interval repositioning of the endotracheal tube with the tip approximately 5.8 cm above the carina. Other medical support devices are unchanged in position. Persistent bibasilar opacities, likely atelectasis versus consolidation. Decreased mild pulmonary edema with small bilateral pleural effusions. No pneumothorax. The cardiomediastinal silhouette is within normal limits for size. 7-18-2015 demonstrates interval extubation and interval repositioning of the Swan-Ganz catheter, now terminating in the right pulmonary artery.","Persistent bibasilar opacities, likely atelectasis versus consolidation.",opacities,bibasilar,Stable,['valid/patient64648/study1/view1_frontal.jpg'], patient64648_study1_0,patient64648,study1,0,Findings,"Frontal view of the chest from 16:28 on 7/18/2015 demonstrates interval repositioning of the endotracheal tube with the tip approximately 5.8 cm above the carina. Other medical support devices are unchanged in position. Persistent bibasilar opacities, likely atelectasis versus consolidation. Decreased mild pulmonary edema with small bilateral pleural effusions. No pneumothorax. The cardiomediastinal silhouette is within normal limits for size. 7-18-2015 demonstrates interval extubation and interval repositioning of the Swan-Ganz catheter, now terminating in the right pulmonary artery.",Decreased mild pulmonary edema with small bilateral pleural effusions.,pulmonary edema,bilateral,Better,['valid/patient64648/study1/view1_frontal.jpg'], patient64648_study1_0,patient64648,study1,0,Findings,"Frontal view of the chest from 16:28 on 7/18/2015 demonstrates interval repositioning of the endotracheal tube with the tip approximately 5.8 cm above the carina. Other medical support devices are unchanged in position. Persistent bibasilar opacities, likely atelectasis versus consolidation. Decreased mild pulmonary edema with small bilateral pleural effusions. No pneumothorax. The cardiomediastinal silhouette is within normal limits for size. 7-18-2015 demonstrates interval extubation and interval repositioning of the Swan-Ganz catheter, now terminating in the right pulmonary artery.","7-18-2015 demonstrates interval extubation and interval repositioning of the Swan-Ganz catheter, now terminating in the right pulmonary artery.",Swan-Ganz catheter,terminating in the right pulmonary artery,Stable,['valid/patient64648/study1/view1_frontal.jpg'], patient64648_study1_0,patient64648,study1,0,Impression,"1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan-Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.",Interval repositioning of the endotracheal tube followed by interval extubation.,endotracheal tube,,Resolve,['valid/patient64648/study1/view1_frontal.jpg'], patient64648_study1_0,patient64648,study1,0,Impression,"1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan-Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.","Interval repositioning of the Swan-Ganz catheter, now terminating in the right pulmonary artery",Swan-Ganz catheter,terminating in the right pulmonary artery,Stable,['valid/patient64648/study1/view1_frontal.jpg'], patient64648_study1_0,patient64648,study1,0,Impression,"1. Interval repositioning of the endotracheal tube followed by interval extubation. 2. Interval repositioning of the Swan-Ganz catheter, now terminating in the right pulmonary artery 3. Decreased mild pulmonary edema with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.",Decreased mild pulmonary edema with small bilateral pleural effusions.,pulmonary edema,bilateral,Better,['valid/patient64648/study1/view1_frontal.jpg'], patient64649_study1_0,patient64649,study1,0,Impression,1. PORTABLE UPRIGHT CHEST RADIOGRAPH DEMONSTRATES PERSISTENT RIGHT SIDED PLEURAL EFFUSION AND ELEVATION OF THE RIGHT HEMIDIAPHRAGM. OTHERWISE THE REMAINDER OF THE CHEST IS STABLE IN APPEARANCE WITH NO NEW FOCAL AREAS OF CONSOLIDATION.,1. PORTABLE UPRIGHT CHEST RADIOGRAPH DEMONSTRATES PERSISTENT RIGHT SIDED PLEURAL EFFUSION AND ELEVATION OF THE RIGHT HEMIDIAPHRAGM. OTHERWISE THE REMAINDER OF THE CHEST IS STABLE IN APPEARANCE WITH NO NEW FOCAL AREAS OF CONSOLIDATION.,Pleural Effusion,Right,Stable,['valid/patient64649/study1/view1_frontal.jpg'], patient64649_study1_0,patient64649,study1,0,Impression,1. PORTABLE UPRIGHT CHEST RADIOGRAPH DEMONSTRATES PERSISTENT RIGHT SIDED PLEURAL EFFUSION AND ELEVATION OF THE RIGHT HEMIDIAPHRAGM. OTHERWISE THE REMAINDER OF THE CHEST IS STABLE IN APPEARANCE WITH NO NEW FOCAL AREAS OF CONSOLIDATION.,1. PORTABLE UPRIGHT CHEST RADIOGRAPH DEMONSTRATES PERSISTENT RIGHT SIDED PLEURAL EFFUSION AND ELEVATION OF THE RIGHT HEMIDIAPHRAGM. OTHERWISE THE REMAINDER OF THE CHEST IS STABLE IN APPEARANCE WITH NO NEW FOCAL AREAS OF CONSOLIDATION.,Elevation of the Right Hemidiaphragm,Right,Stable,['valid/patient64649/study1/view1_frontal.jpg'], patient64650_study1_0,patient64650,study1,0,Findings,"Moderate alveolar pulmonary edema, with associated small-to-moderate bilateral pleural effusions. Bibasilar pulmonary opacities are nonspecific, and may reflect atelectasis versus less likely consolidation. No pneumothorax. Unchanged moderate cardiomegaly. No acute osseous abnormality.",Unchanged moderate cardiomegaly.,Cardiomegaly,,Stable,['valid/patient64650/study1/view1_frontal.jpg'], patient64651_study1_0,patient64651,study1,0,Impression,"1. LEFT-SIDED PICC LINE TIP ABOUT 3 CM OF THE CAVOATRIAL JUNCTION. INTERVAL REMOVAL OF LEFT SUBCLAVIAN CENTRAL LINE, NO PNEUMOTHORAX. NO FOCAL CONSOLIDATION. REDEMONSTRATION OF BILATERAL BREAST IMPLANTS.","INTERVAL REMOVAL OF LEFT SUBCLAVIAN CENTRAL LINE, NO PNEUMOTHORAX.",Central line,Left subclavian,Resolve,['valid/patient64651/study1/view1_frontal.jpg'], patient64652_study1_0,patient64652,study1,0,Impression,1. LEFT CHEST TUBE IN PLACE WITH TINY RESIDUAL LEFT PNEUMOTHORAX. 2. REDEMONSTRATION OF CHRONIC MEDIASTINAL SHIFT AND SEVERE RIGHT SIDED VOLUME LOSS.,1. LEFT CHEST TUBE IN PLACE WITH TINY RESIDUAL LEFT PNEUMOTHORAX.,Pneumothorax,Left,Stable,['valid/patient64652/study1/view1_frontal.jpg'], patient64652_study1_0,patient64652,study1,0,Impression,1. LEFT CHEST TUBE IN PLACE WITH TINY RESIDUAL LEFT PNEUMOTHORAX. 2. REDEMONSTRATION OF CHRONIC MEDIASTINAL SHIFT AND SEVERE RIGHT SIDED VOLUME LOSS.,2. REDEMONSTRATION OF CHRONIC MEDIASTINAL SHIFT AND SEVERE RIGHT SIDED VOLUME LOSS.,Shift,Mediastinal,Stable,['valid/patient64652/study1/view1_frontal.jpg'], patient64652_study1_0,patient64652,study1,0,Impression,1. LEFT CHEST TUBE IN PLACE WITH TINY RESIDUAL LEFT PNEUMOTHORAX. 2. REDEMONSTRATION OF CHRONIC MEDIASTINAL SHIFT AND SEVERE RIGHT SIDED VOLUME LOSS.,2. REDEMONSTRATION OF CHRONIC MEDIASTINAL SHIFT AND SEVERE RIGHT SIDED VOLUME LOSS.,Volume Loss,Right,Stable,['valid/patient64652/study1/view1_frontal.jpg'], patient64653_study1_0,patient64653,study1,0,Impression,1. NO INTERVAL CHANGE IN SUPPORTING DEVICES. 2. INTERVAL INCREASED OPACIFICATION WITHIN THE LATERAL ASPECT OF THE RIGHT UPPER LOBE. PERSISTENT INTERSTITIAL PULMONARY EDEMA.,1. NO INTERVAL CHANGE IN SUPPORTING DEVICES.,Supporting devices,,Stable,['valid/patient64653/study1/view1_frontal.jpg'], patient64653_study1_0,patient64653,study1,0,Impression,1. NO INTERVAL CHANGE IN SUPPORTING DEVICES. 2. INTERVAL INCREASED OPACIFICATION WITHIN THE LATERAL ASPECT OF THE RIGHT UPPER LOBE. PERSISTENT INTERSTITIAL PULMONARY EDEMA.,2. INTERVAL INCREASED OPACIFICATION WITHIN THE LATERAL ASPECT OF THE RIGHT UPPER LOBE. PERSISTENT INTERSTITIAL PULMONARY EDEMA.,Opacification,Lateral aspect of the right upper lobe,Worse,['valid/patient64653/study1/view1_frontal.jpg'], patient64653_study1_0,patient64653,study1,0,Impression,1. NO INTERVAL CHANGE IN SUPPORTING DEVICES. 2. INTERVAL INCREASED OPACIFICATION WITHIN THE LATERAL ASPECT OF THE RIGHT UPPER LOBE. PERSISTENT INTERSTITIAL PULMONARY EDEMA.,2. INTERVAL INCREASED OPACIFICATION WITHIN THE LATERAL ASPECT OF THE RIGHT UPPER LOBE. PERSISTENT INTERSTITIAL PULMONARY EDEMA.,Interstitial pulmonary edema,,Stable,['valid/patient64653/study1/view1_frontal.jpg'], patient64654_study1_0,patient64654,study1,0,Impression,"1. SMALL RIGHT APICAL PNEUMOTHORAX. 2. LOW LUNG VOLUMES WITH ELEVATED RIGHT HEMIDIAPHRAGM AND PATCHY OPACITIES IN THE RIGHT UPPER LOBE AND BILATERAL LUNG BASES, NOT SIGNIFICANTLY CHANGED FROM PRIOR STUDY.","2. LOW LUNG VOLUMES WITH ELEVATED RIGHT HEMIDIAPHRAGM AND PATCHY OPACITIES IN THE RIGHT UPPER LOBE AND BILATERAL LUNG BASES, NOT SIGNIFICANTLY CHANGED FROM PRIOR STUDY.",patchy opacities,right upper lobe,Stable,['valid/patient64654/study1/view1_frontal.jpg'], patient64654_study1_0,patient64654,study1,0,Impression,"1. SMALL RIGHT APICAL PNEUMOTHORAX. 2. LOW LUNG VOLUMES WITH ELEVATED RIGHT HEMIDIAPHRAGM AND PATCHY OPACITIES IN THE RIGHT UPPER LOBE AND BILATERAL LUNG BASES, NOT SIGNIFICANTLY CHANGED FROM PRIOR STUDY.","2. LOW LUNG VOLUMES WITH ELEVATED RIGHT HEMIDIAPHRAGM AND PATCHY OPACITIES IN THE RIGHT UPPER LOBE AND BILATERAL LUNG BASES, NOT SIGNIFICANTLY CHANGED FROM PRIOR STUDY.",patchy opacities,bilateral lung bases,Stable,['valid/patient64654/study1/view1_frontal.jpg'], patient64655_study1_0,patient64655,study1,0,Impression,"1. SINGLE FRONTAL SEMIUPRIGHT VIEW OF THE CHEST DEMONSTRATES STABLE POSITION OF A NASOGASTRIC TUBE. 2. PERSISTENTLY LOW LUNG VOLUMES, WITH LEFT RETROCARDIAC OPACITY AND A SMALL LEFT PLEURAL EFFUSION, UNCHANGED FROM THE PRIOR EXAMINATION.",1. SINGLE FRONTAL SEMIUPRIGHT VIEW OF THE CHEST DEMONSTRATES STABLE POSITION OF A NASOGASTRIC TUBE.,Nasogastric tube,Position,Stable,['valid/patient64655/study1/view1_frontal.jpg'], patient64655_study1_0,patient64655,study1,0,Impression,"1. SINGLE FRONTAL SEMIUPRIGHT VIEW OF THE CHEST DEMONSTRATES STABLE POSITION OF A NASOGASTRIC TUBE. 2. PERSISTENTLY LOW LUNG VOLUMES, WITH LEFT RETROCARDIAC OPACITY AND A SMALL LEFT PLEURAL EFFUSION, UNCHANGED FROM THE PRIOR EXAMINATION.","2. PERSISTENTLY LOW LUNG VOLUMES, WITH LEFT RETROCARDIAC OPACITY AND A SMALL LEFT PLEURAL EFFUSION, UNCHANGED FROM THE PRIOR EXAMINATION.",Low lung volumes,,Stable,['valid/patient64655/study1/view1_frontal.jpg'], patient64655_study1_0,patient64655,study1,0,Impression,"1. SINGLE FRONTAL SEMIUPRIGHT VIEW OF THE CHEST DEMONSTRATES STABLE POSITION OF A NASOGASTRIC TUBE. 2. PERSISTENTLY LOW LUNG VOLUMES, WITH LEFT RETROCARDIAC OPACITY AND A SMALL LEFT PLEURAL EFFUSION, UNCHANGED FROM THE PRIOR EXAMINATION.","2. PERSISTENTLY LOW LUNG VOLUMES, WITH LEFT RETROCARDIAC OPACITY AND A SMALL LEFT PLEURAL EFFUSION, UNCHANGED FROM THE PRIOR EXAMINATION.",Opacity,Left retrocardiac,Stable,['valid/patient64655/study1/view1_frontal.jpg'], patient64655_study1_0,patient64655,study1,0,Impression,"1. SINGLE FRONTAL SEMIUPRIGHT VIEW OF THE CHEST DEMONSTRATES STABLE POSITION OF A NASOGASTRIC TUBE. 2. PERSISTENTLY LOW LUNG VOLUMES, WITH LEFT RETROCARDIAC OPACITY AND A SMALL LEFT PLEURAL EFFUSION, UNCHANGED FROM THE PRIOR EXAMINATION.","2. PERSISTENTLY LOW LUNG VOLUMES, WITH LEFT RETROCARDIAC OPACITY AND A SMALL LEFT PLEURAL EFFUSION, UNCHANGED FROM THE PRIOR EXAMINATION.",Small pleural effusion,Left,Stable,['valid/patient64655/study1/view1_frontal.jpg'], patient64657_study1_0,patient64657,study1,0,Impression,"1. INTERVAL REMOVAL OF ENDOTRACHEAL TUBE. 2. RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER, LEFT INTERNAL JUGULAR SHEATH, NG TUBE AND FEEDING TUBE WITH NO CHANGE. 3. INTERVAL MILD IMPROVEMENT OF INTERSTITIAL EDEMA PATTERN WITH AGAIN SEEN PERSISTENT BILATERAL PLEURAL EFFUSIONS AND BIBASILAR ATELECTASIS.",1. INTERVAL REMOVAL OF ENDOTRACHEAL TUBE.,Endotracheal tube,,Resolve,['valid/patient64657/study1/view1_frontal.jpg'], patient64657_study1_0,patient64657,study1,0,Impression,"1. INTERVAL REMOVAL OF ENDOTRACHEAL TUBE. 2. RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER, LEFT INTERNAL JUGULAR SHEATH, NG TUBE AND FEEDING TUBE WITH NO CHANGE. 3. INTERVAL MILD IMPROVEMENT OF INTERSTITIAL EDEMA PATTERN WITH AGAIN SEEN PERSISTENT BILATERAL PLEURAL EFFUSIONS AND BIBASILAR ATELECTASIS.","2. RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER, LEFT INTERNAL JUGULAR SHEATH, NG TUBE AND FEEDING TUBE WITH NO CHANGE.",Subclavian central venous catheter,Right,Stable,['valid/patient64657/study1/view1_frontal.jpg'], patient64657_study1_0,patient64657,study1,0,Impression,"1. INTERVAL REMOVAL OF ENDOTRACHEAL TUBE. 2. RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER, LEFT INTERNAL JUGULAR SHEATH, NG TUBE AND FEEDING TUBE WITH NO CHANGE. 3. INTERVAL MILD IMPROVEMENT OF INTERSTITIAL EDEMA PATTERN WITH AGAIN SEEN PERSISTENT BILATERAL PLEURAL EFFUSIONS AND BIBASILAR ATELECTASIS.","2. RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER, LEFT INTERNAL JUGULAR SHEATH, NG TUBE AND FEEDING TUBE WITH NO CHANGE.",Internal jugular sheath,Left,Stable,['valid/patient64657/study1/view1_frontal.jpg'], patient64657_study1_0,patient64657,study1,0,Impression,"1. INTERVAL REMOVAL OF ENDOTRACHEAL TUBE. 2. RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER, LEFT INTERNAL JUGULAR SHEATH, NG TUBE AND FEEDING TUBE WITH NO CHANGE. 3. INTERVAL MILD IMPROVEMENT OF INTERSTITIAL EDEMA PATTERN WITH AGAIN SEEN PERSISTENT BILATERAL PLEURAL EFFUSIONS AND BIBASILAR ATELECTASIS.","2. RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER, LEFT INTERNAL JUGULAR SHEATH, NG TUBE AND FEEDING TUBE WITH NO CHANGE.",NG tube,,Stable,['valid/patient64657/study1/view1_frontal.jpg'], patient64657_study1_0,patient64657,study1,0,Impression,"1. INTERVAL REMOVAL OF ENDOTRACHEAL TUBE. 2. RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER, LEFT INTERNAL JUGULAR SHEATH, NG TUBE AND FEEDING TUBE WITH NO CHANGE. 3. INTERVAL MILD IMPROVEMENT OF INTERSTITIAL EDEMA PATTERN WITH AGAIN SEEN PERSISTENT BILATERAL PLEURAL EFFUSIONS AND BIBASILAR ATELECTASIS.","2. RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER, LEFT INTERNAL JUGULAR SHEATH, NG TUBE AND FEEDING TUBE WITH NO CHANGE.",Feeding tube,,Stable,['valid/patient64657/study1/view1_frontal.jpg'], patient64657_study1_0,patient64657,study1,0,Impression,"1. INTERVAL REMOVAL OF ENDOTRACHEAL TUBE. 2. RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER, LEFT INTERNAL JUGULAR SHEATH, NG TUBE AND FEEDING TUBE WITH NO CHANGE. 3. INTERVAL MILD IMPROVEMENT OF INTERSTITIAL EDEMA PATTERN WITH AGAIN SEEN PERSISTENT BILATERAL PLEURAL EFFUSIONS AND BIBASILAR ATELECTASIS.",3. INTERVAL MILD IMPROVEMENT OF INTERSTITIAL EDEMA PATTERN WITH AGAIN SEEN PERSISTENT BILATERAL PLEURAL EFFUSIONS AND BIBASILAR ATELECTASIS.,Interstitial edema pattern,,Better,['valid/patient64657/study1/view1_frontal.jpg'], patient64657_study1_0,patient64657,study1,0,Impression,"1. INTERVAL REMOVAL OF ENDOTRACHEAL TUBE. 2. RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER, LEFT INTERNAL JUGULAR SHEATH, NG TUBE AND FEEDING TUBE WITH NO CHANGE. 3. INTERVAL MILD IMPROVEMENT OF INTERSTITIAL EDEMA PATTERN WITH AGAIN SEEN PERSISTENT BILATERAL PLEURAL EFFUSIONS AND BIBASILAR ATELECTASIS.",3. INTERVAL MILD IMPROVEMENT OF INTERSTITIAL EDEMA PATTERN WITH AGAIN SEEN PERSISTENT BILATERAL PLEURAL EFFUSIONS AND BIBASILAR ATELECTASIS.,Pleural effusions,Bilateral,Stable,['valid/patient64657/study1/view1_frontal.jpg'], patient64657_study1_0,patient64657,study1,0,Impression,"1. INTERVAL REMOVAL OF ENDOTRACHEAL TUBE. 2. RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER, LEFT INTERNAL JUGULAR SHEATH, NG TUBE AND FEEDING TUBE WITH NO CHANGE. 3. INTERVAL MILD IMPROVEMENT OF INTERSTITIAL EDEMA PATTERN WITH AGAIN SEEN PERSISTENT BILATERAL PLEURAL EFFUSIONS AND BIBASILAR ATELECTASIS.",3. INTERVAL MILD IMPROVEMENT OF INTERSTITIAL EDEMA PATTERN WITH AGAIN SEEN PERSISTENT BILATERAL PLEURAL EFFUSIONS AND BIBASILAR ATELECTASIS.,Atelectasis,Bibasilar,Stable,['valid/patient64657/study1/view1_frontal.jpg'], patient64658_study1_0,patient64658,study1,0,Findings,The lung volumes are slightly decreased. Atelectasis is noted at the left lung base with increased opacity noted. Surgical clips are noted overlying the region of the right hemidiaphragm. The heart does not appear enlarged. There is no evidence of pulmonary edema. Some mild pleural thickening is noted at the left apex.,Atelectasis is noted at the left lung base with increased opacity noted.,Atelectasis,left lung base,Worse,['valid/patient64658/study1/view1_frontal.jpg'], patient64659_study1_0,patient64659,study1,0,Impression,1.SUPINE CHEST X-RAY DEMONSTRATES INTERVAL PLACEMENT OF ENDOTRACHEAL TUBE WITH TIP 5.8 CM ABOVE THE CARINA. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR CATHETER WITH TIP IN THE MID SVC. INTERVAL REMOVAL OF A RADIOPAQUE LINE PROJECTING OVER THE RIGHT LUNG APEX. NO PNEUMOTHORAX IDENTIFIED. 2.REDEMONSTRATION OF LOW LUNG VOLUMES WITH INTERVAL INCREASE IN BILATERAL EFFUSIONS AND BIBASILAR OPACITIES.,1.SUPINE CHEST X-RAY DEMONSTRATES INTERVAL PLACEMENT OF ENDOTRACHEAL TUBE WITH TIP 5.8 CM ABOVE THE CARINA.,endotracheal tube,5.8 cm above the carina,New,['valid/patient64659/study1/view1_frontal.jpg'], patient64659_study1_0,patient64659,study1,0,Impression,1.SUPINE CHEST X-RAY DEMONSTRATES INTERVAL PLACEMENT OF ENDOTRACHEAL TUBE WITH TIP 5.8 CM ABOVE THE CARINA. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR CATHETER WITH TIP IN THE MID SVC. INTERVAL REMOVAL OF A RADIOPAQUE LINE PROJECTING OVER THE RIGHT LUNG APEX. NO PNEUMOTHORAX IDENTIFIED. 2.REDEMONSTRATION OF LOW LUNG VOLUMES WITH INTERVAL INCREASE IN BILATERAL EFFUSIONS AND BIBASILAR OPACITIES.,INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR CATHETER WITH TIP IN THE MID SVC.,right internal jugular catheter,mid SVC,New,['valid/patient64659/study1/view1_frontal.jpg'], patient64659_study1_0,patient64659,study1,0,Impression,1.SUPINE CHEST X-RAY DEMONSTRATES INTERVAL PLACEMENT OF ENDOTRACHEAL TUBE WITH TIP 5.8 CM ABOVE THE CARINA. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR CATHETER WITH TIP IN THE MID SVC. INTERVAL REMOVAL OF A RADIOPAQUE LINE PROJECTING OVER THE RIGHT LUNG APEX. NO PNEUMOTHORAX IDENTIFIED. 2.REDEMONSTRATION OF LOW LUNG VOLUMES WITH INTERVAL INCREASE IN BILATERAL EFFUSIONS AND BIBASILAR OPACITIES.,INTERVAL REMOVAL OF A RADIOPAQUE LINE PROJECTING OVER THE RIGHT LUNG APEX.,radiopaque line,right lung apex,Resolve,['valid/patient64659/study1/view1_frontal.jpg'], patient64659_study1_0,patient64659,study1,0,Impression,1.SUPINE CHEST X-RAY DEMONSTRATES INTERVAL PLACEMENT OF ENDOTRACHEAL TUBE WITH TIP 5.8 CM ABOVE THE CARINA. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR CATHETER WITH TIP IN THE MID SVC. INTERVAL REMOVAL OF A RADIOPAQUE LINE PROJECTING OVER THE RIGHT LUNG APEX. NO PNEUMOTHORAX IDENTIFIED. 2.REDEMONSTRATION OF LOW LUNG VOLUMES WITH INTERVAL INCREASE IN BILATERAL EFFUSIONS AND BIBASILAR OPACITIES.,2.REDEMONSTRATION OF LOW LUNG VOLUMES WITH INTERVAL INCREASE IN BILATERAL EFFUSIONS AND BIBASILAR OPACITIES.,effusions,bilateral,Worse,['valid/patient64659/study1/view1_frontal.jpg'], patient64659_study1_0,patient64659,study1,0,Impression,1.SUPINE CHEST X-RAY DEMONSTRATES INTERVAL PLACEMENT OF ENDOTRACHEAL TUBE WITH TIP 5.8 CM ABOVE THE CARINA. INTERVAL PLACEMENT OF RIGHT INTERNAL JUGULAR CATHETER WITH TIP IN THE MID SVC. INTERVAL REMOVAL OF A RADIOPAQUE LINE PROJECTING OVER THE RIGHT LUNG APEX. NO PNEUMOTHORAX IDENTIFIED. 2.REDEMONSTRATION OF LOW LUNG VOLUMES WITH INTERVAL INCREASE IN BILATERAL EFFUSIONS AND BIBASILAR OPACITIES.,2.REDEMONSTRATION OF LOW LUNG VOLUMES WITH INTERVAL INCREASE IN BILATERAL EFFUSIONS AND BIBASILAR OPACITIES.,opacities,bibasilar,Worse,['valid/patient64659/study1/view1_frontal.jpg'], patient64660_study1_0,patient64660,study1,0,Findings,,"ET TUBE, NG TUBE, AND FEEDING TUBE REMOVED.",ET tube,,Resolve,['valid/patient64660/study1/view1_frontal.jpg'], patient64660_study1_0,patient64660,study1,0,Findings,,"ET TUBE, NG TUBE, AND FEEDING TUBE REMOVED.",NG tube,,Resolve,['valid/patient64660/study1/view1_frontal.jpg'], patient64660_study1_0,patient64660,study1,0,Findings,,"ET TUBE, NG TUBE, AND FEEDING TUBE REMOVED.",Feeding tube,,Resolve,['valid/patient64660/study1/view1_frontal.jpg'], patient64660_study1_0,patient64660,study1,0,Findings,,LEFT IJ CATHETER REMAINS IN PLACE.,IJ catheter,Left,Stable,['valid/patient64660/study1/view1_frontal.jpg'], patient64660_study1_0,patient64660,study1,0,Findings,,"PERSISTENTLY LOW LUNG VOLUMES WITH FOCAL RETROCARDIAC OPACITY AND VASCULAR INDISTINCTNESS, CONSISTENT WITH EDEMA.",Low lung volumes,,Stable,['valid/patient64660/study1/view1_frontal.jpg'], patient64660_study1_0,patient64660,study1,0,Findings,,"PERSISTENTLY LOW LUNG VOLUMES WITH FOCAL RETROCARDIAC OPACITY AND VASCULAR INDISTINCTNESS, CONSISTENT WITH EDEMA.",Opacity,Retrocardiac,Stable,['valid/patient64660/study1/view1_frontal.jpg'], patient64660_study1_0,patient64660,study1,0,Findings,,"PERSISTENTLY LOW LUNG VOLUMES WITH FOCAL RETROCARDIAC OPACITY AND VASCULAR INDISTINCTNESS, CONSISTENT WITH EDEMA.",Vascular indistinctness,,Stable,['valid/patient64660/study1/view1_frontal.jpg'], patient64661_study1_0,patient64661,study1,0,Findings,The transesophageal echo probe has been removed. A new enteric tube is present. There is otherwise unchanged positioning of supportive medical devices. Mild pulmonary edema and cardiomegaly. Left basilar opacity. No pneumothorax. No acute bony abnormalities are noted.,The transesophageal echo probe has been removed.,transesophageal echo probe,,Resolve,['valid/patient64661/study1/view1_frontal.jpg'], patient64661_study1_0,patient64661,study1,0,Findings,The transesophageal echo probe has been removed. A new enteric tube is present. There is otherwise unchanged positioning of supportive medical devices. Mild pulmonary edema and cardiomegaly. Left basilar opacity. No pneumothorax. No acute bony abnormalities are noted.,A new enteric tube is present.,enteric tube,,New,['valid/patient64661/study1/view1_frontal.jpg'], patient64661_study1_0,patient64661,study1,0,Findings,The transesophageal echo probe has been removed. A new enteric tube is present. There is otherwise unchanged positioning of supportive medical devices. Mild pulmonary edema and cardiomegaly. Left basilar opacity. No pneumothorax. No acute bony abnormalities are noted.,There is otherwise unchanged positioning of supportive medical devices.,supportive medical devices,,Stable,['valid/patient64661/study1/view1_frontal.jpg'], patient64662_study1_0,patient64662,study1,0,Impression,1. LEFT SIDED PICC HAS BEEN PLACED WITH TIP APPROXIMATELY 3.5 CM ABOVE THE CAVOATRIAL JUNCTION. THE LUNGS ARE CLEAR WITH RESOLUTION OF PREVIOUSLY NOTED RIGHT UPPER LOBE CONSOLIDATION.,THE LUNGS ARE CLEAR WITH RESOLUTION OF PREVIOUSLY NOTED RIGHT UPPER LOBE CONSOLIDATION.,consolidation,right upper lobe,Resolve,['valid/patient64662/study1/view1_frontal.jpg'], patient64663_study1_0,patient64663,study1,0,Impression,A SINGLE FRONTAL VIEW OF THE CHEST ON 11/8/2018 AT 0449 HOURS DEMONSTRATES LOW LUNG VOLUMES. THERE IS A DIFFUSE FINE RETICULAR PATTERN OF BILATERAL LUNGS CONSISTENT WITH ATYPICAL PNEUMONIA. STABLE HEART SIZE.,STABLE HEART SIZE.,Heart size,,Stable,['valid/patient64663/study1/view1_frontal.jpg'], patient64664_study1_0,patient64664,study1,0,Findings,"2 semisupine frontal views of the chest demonstrate no change in medical support devices. A small right pneumothorax is present increased from most recent prior. Heart size is enlarged and lung volumes are further reduced. There is interval increase in bilateral small-to-moderate pleural effusions, as well as increase in associated bibasilar opacities, as well as increased opacity in the right midlung zone. Superimposed pulmonary edema is also likely present. Addendum Begins The original report for this radiograph referred to films obtained on 9/14/2005 at 1456 hours. The report for the radiograph obtained on September 2005 at 0420 hours should have read: Findings: Single supine frontal view of the chest demonstrates no interval change in medical support devices. No pneumothorax is evident. Aeration of the lungs has improved. There is residual bibasilar opacity, greater on the left. Small bilateral pleural effusions are present, also improved from prior. A background of reticular opacities present in the bilateral perihilar regions likely reflects resolving edema.",2 semisupine frontal views of the chest demonstrate no change in medical support devices.,medical support devices,,Stable,['valid/patient64664/study1/view1_frontal.jpg'], patient64664_study1_0,patient64664,study1,0,Findings,"2 semisupine frontal views of the chest demonstrate no change in medical support devices. A small right pneumothorax is present increased from most recent prior. Heart size is enlarged and lung volumes are further reduced. There is interval increase in bilateral small-to-moderate pleural effusions, as well as increase in associated bibasilar opacities, as well as increased opacity in the right midlung zone. Superimposed pulmonary edema is also likely present. Addendum Begins The original report for this radiograph referred to films obtained on 9/14/2005 at 1456 hours. The report for the radiograph obtained on September 2005 at 0420 hours should have read: Findings: Single supine frontal view of the chest demonstrates no interval change in medical support devices. No pneumothorax is evident. Aeration of the lungs has improved. There is residual bibasilar opacity, greater on the left. Small bilateral pleural effusions are present, also improved from prior. A background of reticular opacities present in the bilateral perihilar regions likely reflects resolving edema.",A small right pneumothorax is present increased from most recent prior.,pneumothorax,right,Worse,['valid/patient64664/study1/view1_frontal.jpg'], patient64664_study1_0,patient64664,study1,0,Findings,"2 semisupine frontal views of the chest demonstrate no change in medical support devices. A small right pneumothorax is present increased from most recent prior. Heart size is enlarged and lung volumes are further reduced. There is interval increase in bilateral small-to-moderate pleural effusions, as well as increase in associated bibasilar opacities, as well as increased opacity in the right midlung zone. Superimposed pulmonary edema is also likely present. Addendum Begins The original report for this radiograph referred to films obtained on 9/14/2005 at 1456 hours. The report for the radiograph obtained on September 2005 at 0420 hours should have read: Findings: Single supine frontal view of the chest demonstrates no interval change in medical support devices. No pneumothorax is evident. Aeration of the lungs has improved. There is residual bibasilar opacity, greater on the left. Small bilateral pleural effusions are present, also improved from prior. A background of reticular opacities present in the bilateral perihilar regions likely reflects resolving edema.","There is interval increase in bilateral small-to-moderate pleural effusions, as well as increase in associated bibasilar opacities, as well as increased opacity in the right midlung zone.",pleural effusions,bilateral,Worse,['valid/patient64664/study1/view1_frontal.jpg'], patient64664_study1_0,patient64664,study1,0,Findings,"2 semisupine frontal views of the chest demonstrate no change in medical support devices. A small right pneumothorax is present increased from most recent prior. Heart size is enlarged and lung volumes are further reduced. There is interval increase in bilateral small-to-moderate pleural effusions, as well as increase in associated bibasilar opacities, as well as increased opacity in the right midlung zone. Superimposed pulmonary edema is also likely present. Addendum Begins The original report for this radiograph referred to films obtained on 9/14/2005 at 1456 hours. The report for the radiograph obtained on September 2005 at 0420 hours should have read: Findings: Single supine frontal view of the chest demonstrates no interval change in medical support devices. No pneumothorax is evident. Aeration of the lungs has improved. There is residual bibasilar opacity, greater on the left. Small bilateral pleural effusions are present, also improved from prior. A background of reticular opacities present in the bilateral perihilar regions likely reflects resolving edema.","There is interval increase in bilateral small-to-moderate pleural effusions, as well as increase in associated bibasilar opacities, as well as increased opacity in the right midlung zone.",opacities,bibasilar,Worse,['valid/patient64664/study1/view1_frontal.jpg'], patient64664_study1_0,patient64664,study1,0,Findings,"2 semisupine frontal views of the chest demonstrate no change in medical support devices. A small right pneumothorax is present increased from most recent prior. Heart size is enlarged and lung volumes are further reduced. There is interval increase in bilateral small-to-moderate pleural effusions, as well as increase in associated bibasilar opacities, as well as increased opacity in the right midlung zone. Superimposed pulmonary edema is also likely present. Addendum Begins The original report for this radiograph referred to films obtained on 9/14/2005 at 1456 hours. The report for the radiograph obtained on September 2005 at 0420 hours should have read: Findings: Single supine frontal view of the chest demonstrates no interval change in medical support devices. No pneumothorax is evident. Aeration of the lungs has improved. There is residual bibasilar opacity, greater on the left. Small bilateral pleural effusions are present, also improved from prior. A background of reticular opacities present in the bilateral perihilar regions likely reflects resolving edema.","There is interval increase in bilateral small-to-moderate pleural effusions, as well as increase in associated bibasilar opacities, as well as increased opacity in the right midlung zone.",opacity,right midlung,Worse,['valid/patient64664/study1/view1_frontal.jpg'], patient64664_study1_0,patient64664,study1,0,Impression,"1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. ""Physician to Physician Radiology Consult Line: (746) 583-6584"" Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right-sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. ""Physician to Physician Radiology Consult Line: (746) 583-6584""",No pneumothorax.,pneumothorax,,Resolve,['valid/patient64664/study1/view1_frontal.jpg'], patient64664_study1_0,patient64664,study1,0,Impression,"1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. ""Physician to Physician Radiology Consult Line: (746) 583-6584"" Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right-sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. ""Physician to Physician Radiology Consult Line: (746) 583-6584""","Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions.",opacities,bibasilar,Better,['valid/patient64664/study1/view1_frontal.jpg'], patient64664_study1_0,patient64664,study1,0,Impression,"1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. ""Physician to Physician Radiology Consult Line: (746) 583-6584"" Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right-sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. ""Physician to Physician Radiology Consult Line: (746) 583-6584""","Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions.",pleural effusions,bilateral,Better,['valid/patient64664/study1/view1_frontal.jpg'], patient64664_study1_0,patient64664,study1,0,Impression,"1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. ""Physician to Physician Radiology Consult Line: (746) 583-6584"" Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right-sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. ""Physician to Physician Radiology Consult Line: (746) 583-6584""",Improving pulmonary edema.,pulmonary edema,,Better,['valid/patient64664/study1/view1_frontal.jpg'], patient64664_study1_0,patient64664,study1,0,Impression,"1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. ""Physician to Physician Radiology Consult Line: (746) 583-6584"" Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right-sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. ""Physician to Physician Radiology Consult Line: (746) 583-6584""",Interval increase conspicuity of a small right-sided pneumothorax.,pneumothorax,right-sided,Worse,['valid/patient64664/study1/view1_frontal.jpg'], patient64664_study1_0,patient64664,study1,0,Impression,"1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. ""Physician to Physician Radiology Consult Line: (746) 583-6584"" Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right-sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. ""Physician to Physician Radiology Consult Line: (746) 583-6584""","Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration.",pleural effusions,bilateral,Worse,['valid/patient64664/study1/view1_frontal.jpg'], patient64664_study1_0,patient64664,study1,0,Impression,"1. No pneumothorax. 2. Improving aeration, with residual bibasilar opacities and improved now small bilateral pleural effusions. 3. Improving pulmonary edema. ""Physician to Physician Radiology Consult Line: (746) 583-6584"" Addendum Ends IMPRESSION: 1. Interval increase conspicuity of a small right-sided pneumothorax. 2. Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration. 3. Superimposed pulmonary edema is likely present. ""Physician to Physician Radiology Consult Line: (746) 583-6584""","Interval decrease in already low lung volumes, with increasing small to moderate pleural effusions. Increasing associated mid and lower lung zone opacities, greater on the right, may reflect atelectasis, infection, or aspiration.",opacities,mid and lower lung zones,Worse,['valid/patient64664/study1/view1_frontal.jpg'], patient64665_study1_0,patient64665,study1,0,Impression,"1. SINGLE VIEW OF THE CHEST DEMONSTRATES LOW POSITIONING OF THE ENDOTRACHEAL TUBE, APPROXIMATELY 2 CM ABOVE THE CARINA. OTHERWISE, NO INTERVAL CHANGES IN SUPPORTIVE EQUIPMENT. 2. LOW LUNG VOLUMES WITH POSSIBLE SMALL RIGHT PLEURAL EFFUSION. OVERALL, NO SIGNIFICANT CHANGE IN CARDIOPULMONARY STATUS.","1. SINGLE VIEW OF THE CHEST DEMONSTRATES LOW POSITIONING OF THE ENDOTRACHEAL TUBE, APPROXIMATELY 2 CM ABOVE THE CARINA. OTHERWISE, NO INTERVAL CHANGES IN SUPPORTIVE EQUIPMENT.",,Supportive equipment,Stable,['valid/patient64665/study1/view1_frontal.jpg'], patient64665_study1_0,patient64665,study1,0,Impression,"1. SINGLE VIEW OF THE CHEST DEMONSTRATES LOW POSITIONING OF THE ENDOTRACHEAL TUBE, APPROXIMATELY 2 CM ABOVE THE CARINA. OTHERWISE, NO INTERVAL CHANGES IN SUPPORTIVE EQUIPMENT. 2. LOW LUNG VOLUMES WITH POSSIBLE SMALL RIGHT PLEURAL EFFUSION. OVERALL, NO SIGNIFICANT CHANGE IN CARDIOPULMONARY STATUS.","2. LOW LUNG VOLUMES WITH POSSIBLE SMALL RIGHT PLEURAL EFFUSION. OVERALL, NO SIGNIFICANT CHANGE IN CARDIOPULMONARY STATUS.",,Cardiopulmonary status,Stable,['valid/patient64665/study1/view1_frontal.jpg'], patient64666_study1_0,patient64666,study1,0,Findings,"Stable tubes and lines. Improving retrocardiac airspace opacity. Although the diaphragm is more clearly seen now, there is still some faint residual airspace opacity and perhaps a small left pleural effusion. There is persistent air bronchograms at the right medial lung base as well.",Stable tubes and lines.,tubes and lines,,Stable,['valid/patient64666/study1/view1_frontal.jpg'], patient64666_study1_0,patient64666,study1,0,Findings,"Stable tubes and lines. Improving retrocardiac airspace opacity. Although the diaphragm is more clearly seen now, there is still some faint residual airspace opacity and perhaps a small left pleural effusion. There is persistent air bronchograms at the right medial lung base as well.",Improving retrocardiac airspace opacity.,airspace opacity,retrocardiac,Better,['valid/patient64666/study1/view1_frontal.jpg'], patient64666_study1_0,patient64666,study1,0,Findings,"Stable tubes and lines. Improving retrocardiac airspace opacity. Although the diaphragm is more clearly seen now, there is still some faint residual airspace opacity and perhaps a small left pleural effusion. There is persistent air bronchograms at the right medial lung base as well.",There is persistent air bronchograms at the right medial lung base as well.,air bronchograms,right medial lung base,Stable,['valid/patient64666/study1/view1_frontal.jpg'], patient64666_study1_0,patient64666,study1,0,Impression,1. Improving retrocardiac airspace consolidation.,Improving retrocardiac airspace consolidation.,airspace consolidation,retrocardiac,Better,['valid/patient64666/study1/view1_frontal.jpg'], patient64667_study1_0,patient64667,study1,0,Impression,NASOGASTRIC TUBE TERMINATES IN THE ESOPHAGUS AND NEEDS TO BE ADVANCED. THE PLEURAL EFFUSION NOTED YESTERDAY IS EVEN MORE NOTICEABLE TODAY WITH FLUID VISIBLE IN THE FISSURE. THIS INCREASE IS SLIGHT.,THE PLEURAL EFFUSION NOTED YESTERDAY IS EVEN MORE NOTICEABLE TODAY WITH FLUID VISIBLE IN THE FISSURE.,pleural effusion,in the fissure,Worse,['valid/patient64667/study1/view1_frontal.jpg'], patient64668_study1_0,patient64668,study1,0,Findings,"Stable position of cervical fusion hardware. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs with more confluent airspace opacities in the bilateral lung bases, left greater than right with small bilateral pleural effusions. Stable left apical pneumothorax.",Stable position of cervical fusion hardware.,fusion hardware,cervical,Stable,['valid/patient64668/study1/view1_frontal.jpg'], patient64668_study1_0,patient64668,study1,0,Findings,"Stable position of cervical fusion hardware. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs with more confluent airspace opacities in the bilateral lung bases, left greater than right with small bilateral pleural effusions. Stable left apical pneumothorax.","No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs with more confluent airspace opacities in the bilateral lung bases, left greater than right with small bilateral pleural effusions.",diffuse mildly prominent fine reticulations,bilateral lungs,Stable,['valid/patient64668/study1/view1_frontal.jpg'], patient64668_study1_0,patient64668,study1,0,Findings,"Stable position of cervical fusion hardware. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs with more confluent airspace opacities in the bilateral lung bases, left greater than right with small bilateral pleural effusions. Stable left apical pneumothorax.","No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs with more confluent airspace opacities in the bilateral lung bases, left greater than right with small bilateral pleural effusions.",confluent airspace opacities,bilateral lung bases,Stable,['valid/patient64668/study1/view1_frontal.jpg'], patient64668_study1_0,patient64668,study1,0,Findings,"Stable position of cervical fusion hardware. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs with more confluent airspace opacities in the bilateral lung bases, left greater than right with small bilateral pleural effusions. Stable left apical pneumothorax.","No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs with more confluent airspace opacities in the bilateral lung bases, left greater than right with small bilateral pleural effusions.",small pleural effusions,bilateral,Stable,['valid/patient64668/study1/view1_frontal.jpg'], patient64668_study1_0,patient64668,study1,0,Findings,"Stable position of cervical fusion hardware. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs with more confluent airspace opacities in the bilateral lung bases, left greater than right with small bilateral pleural effusions. Stable left apical pneumothorax.",Stable left apical pneumothorax.,pneumothorax,left apical,Stable,['valid/patient64668/study1/view1_frontal.jpg'], patient64668_study1_0,patient64668,study1,0,Impression,"1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.",Stable small left apical pneumothorax.,small pneumothorax,left apical,Stable,['valid/patient64668/study1/view1_frontal.jpg'], patient64668_study1_0,patient64668,study1,0,Impression,"1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.","No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions.",diffuse mildly prominent fine reticulations likely reflecting pulmonary edema,bilateral lungs,Stable,['valid/patient64668/study1/view1_frontal.jpg'], patient64668_study1_0,patient64668,study1,0,Impression,"1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.","No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions.",confluent airspace opacities which could reflect atelectasis or infection,bilateral lung bases,Stable,['valid/patient64668/study1/view1_frontal.jpg'], patient64668_study1_0,patient64668,study1,0,Impression,"1. Stable small left apical pneumothorax. 2. No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions. I have personally reviewed the images for this examination and agreed with the report transcribed above.","No significant interval change in diffuse mildly prominent fine reticulations in the bilateral lungs likely reflecting pulmonary edema with more confluent airspace opacities in the bilateral lung bases, left greater than right, which could reflect atelectasis as versus infection, with small bilateral pleural effusions.",small pleural effusions,bilateral,Stable,['valid/patient64668/study1/view1_frontal.jpg'], patient64669_study1_0,patient64669,study1,0,Impression,"1. LINES ARE STABLE WHEN COMPARED TO THE PRIOR STUDY. 2. PERSISTENT INCREASED INTERSTITIAL OPACITIES CONSISTENT WITH MILD PULMONARY EDEMA. 3. STABLE BIBASILAR OPACITIES, LEFT GREATER THAN RIGHT, CONSISTENT WITH ATELECTASIS OR OTHER CONSOLIDATIVE PROCESS. 4. STABLE LEFT PLEURAL EFFUSION.",1. LINES ARE STABLE WHEN COMPARED TO THE PRIOR STUDY.,Lines,,Stable,['valid/patient64669/study1/view1_frontal.jpg'], patient64669_study1_0,patient64669,study1,0,Impression,"1. LINES ARE STABLE WHEN COMPARED TO THE PRIOR STUDY. 2. PERSISTENT INCREASED INTERSTITIAL OPACITIES CONSISTENT WITH MILD PULMONARY EDEMA. 3. STABLE BIBASILAR OPACITIES, LEFT GREATER THAN RIGHT, CONSISTENT WITH ATELECTASIS OR OTHER CONSOLIDATIVE PROCESS. 4. STABLE LEFT PLEURAL EFFUSION.",2. PERSISTENT INCREASED INTERSTITIAL OPACITIES CONSISTENT WITH MILD PULMONARY EDEMA.,Opacities,Interstitial,Worse,['valid/patient64669/study1/view1_frontal.jpg'], patient64669_study1_0,patient64669,study1,0,Impression,"1. LINES ARE STABLE WHEN COMPARED TO THE PRIOR STUDY. 2. PERSISTENT INCREASED INTERSTITIAL OPACITIES CONSISTENT WITH MILD PULMONARY EDEMA. 3. STABLE BIBASILAR OPACITIES, LEFT GREATER THAN RIGHT, CONSISTENT WITH ATELECTASIS OR OTHER CONSOLIDATIVE PROCESS. 4. STABLE LEFT PLEURAL EFFUSION.","3. STABLE BIBASILAR OPACITIES, LEFT GREATER THAN RIGHT, CONSISTENT WITH ATELECTASIS OR OTHER CONSOLIDATIVE PROCESS.",Opacities,"Bibasilar, left greater than right",Stable,['valid/patient64669/study1/view1_frontal.jpg'], patient64669_study1_0,patient64669,study1,0,Impression,"1. LINES ARE STABLE WHEN COMPARED TO THE PRIOR STUDY. 2. PERSISTENT INCREASED INTERSTITIAL OPACITIES CONSISTENT WITH MILD PULMONARY EDEMA. 3. STABLE BIBASILAR OPACITIES, LEFT GREATER THAN RIGHT, CONSISTENT WITH ATELECTASIS OR OTHER CONSOLIDATIVE PROCESS. 4. STABLE LEFT PLEURAL EFFUSION.",4. STABLE LEFT PLEURAL EFFUSION.,Pleural effusion,Left,Stable,['valid/patient64669/study1/view1_frontal.jpg'], patient64670_study1_0,patient64670,study1,0,Impression,1. STATUS POST MIDLINE THORACOTOMY WITH MULTIPLE TUBES AND LINES AS DESCRIBED. 2. NEW LEFT BASILAR AIR-SPACE CONSOLIDATION.,NEW LEFT BASILAR AIR-SPACE CONSOLIDATION.,Air-space consolidation,Left basilar,New,['valid/patient64670/study1/view1_frontal.jpg'], patient64671_study1_0,patient64671,study1,0,Impression,"1.NEW LEFT SUBCLAVIAN LINE WITH THE TIP OVERLYING THE MID SUPERIOR VENA CAVA. CONSIDER REPOSITIONING AS TIP APPEARS TO BE UP AGAINST WALL OF SVC. 2.UNREMARKABLE CARDIOMEDIASTINUM. 3.LOWER LUNG VOLUMES. BIBASILAR OPACITIES, RIGHT GREATER THAN LEFT. NO PNEUMOTHORAX.",1.NEW LEFT SUBCLAVIAN LINE WITH THE TIP OVERLYING THE MID SUPERIOR VENA CAVA. CONSIDER REPOSITIONING AS TIP APPEARS TO BE UP AGAINST WALL OF SVC.,Line,Left subclavian,New,['valid/patient64671/study1/view1_frontal.jpg'], patient64672_study1_0,patient64672,study1,0,Impression,"1.STABLE DIFFUSE RETICULAR INTERSTITIAL THICKENING, LIKELY EDEMA. 2.UNCHANGED CARDIOMEGALY. 3.NO NEW CONSOLIDATION.","1.STABLE DIFFUSE RETICULAR INTERSTITIAL THICKENING, LIKELY EDEMA.",Reticular interstitial thickening,Diffuse,Stable,['valid/patient64672/study1/view1_frontal.jpg'], patient64672_study1_0,patient64672,study1,0,Impression,"1.STABLE DIFFUSE RETICULAR INTERSTITIAL THICKENING, LIKELY EDEMA. 2.UNCHANGED CARDIOMEGALY. 3.NO NEW CONSOLIDATION.",2.UNCHANGED CARDIOMEGALY.,Cardiomegaly,,Stable,['valid/patient64672/study1/view1_frontal.jpg'], patient64674_study1_0,patient64674,study1,0,Impression,1. THERE IS A STABLE AND STANDARD APPEARANCE OF MEDICAL SUPPORT DEVICES. 2. AGAIN NOTED ARE LOW LUNG VOLUMES AND AN AREA OF RETROCARDIAC OPACIFICATION. THERE IS INCREASED FLUID IN THE MINOR FISSURE. OTHERWISE NO NEW AREAS OF PARENCHYMAL CONSOLIDATION AND NO PNEUMOTHORAX IS SEEN.,1. THERE IS A STABLE AND STANDARD APPEARANCE OF MEDICAL SUPPORT DEVICES.,Medical support devices,,Stable,['valid/patient64674/study1/view1_frontal.jpg'], patient64674_study1_0,patient64674,study1,0,Impression,1. THERE IS A STABLE AND STANDARD APPEARANCE OF MEDICAL SUPPORT DEVICES. 2. AGAIN NOTED ARE LOW LUNG VOLUMES AND AN AREA OF RETROCARDIAC OPACIFICATION. THERE IS INCREASED FLUID IN THE MINOR FISSURE. OTHERWISE NO NEW AREAS OF PARENCHYMAL CONSOLIDATION AND NO PNEUMOTHORAX IS SEEN.,THERE IS INCREASED FLUID IN THE MINOR FISSURE.,Fluid,Minor fissure,Worse,['valid/patient64674/study1/view1_frontal.jpg'], patient64675_study1_0,patient64675,study1,0,Impression,"Right neck vascular catheter again noted, with tip projecting above the level of the first rib. Improved aeration of the lungs and decreased conspicuity of a left basilar consolidation, likely due to atelectasis. No new areas of focal consolidation. Normal heart size and pulmonary vascularity. No pleural effusion or pneumothorax.","Right neck vascular catheter again noted, with tip projecting above the level of the first rib.",vascular catheter,Right neck,Stable,['valid/patient64675/study1/view1_frontal.jpg'], patient64675_study1_0,patient64675,study1,0,Impression,"Right neck vascular catheter again noted, with tip projecting above the level of the first rib. Improved aeration of the lungs and decreased conspicuity of a left basilar consolidation, likely due to atelectasis. No new areas of focal consolidation. Normal heart size and pulmonary vascularity. No pleural effusion or pneumothorax.","Improved aeration of the lungs and decreased conspicuity of a left basilar consolidation, likely due to atelectasis.",aeration of the lungs,General,Better,['valid/patient64675/study1/view1_frontal.jpg'], patient64675_study1_0,patient64675,study1,0,Impression,"Right neck vascular catheter again noted, with tip projecting above the level of the first rib. Improved aeration of the lungs and decreased conspicuity of a left basilar consolidation, likely due to atelectasis. No new areas of focal consolidation. Normal heart size and pulmonary vascularity. No pleural effusion or pneumothorax.","Improved aeration of the lungs and decreased conspicuity of a left basilar consolidation, likely due to atelectasis.",consolidation,Left basilar,Better,['valid/patient64675/study1/view1_frontal.jpg'], patient64676_study1_0,patient64676,study1,0,Findings,,A FOCAL OPACITY IS SEEN PROJECTED OVER THE CARDIAC SILHOUETTE WHICH HAS A VERTICAL LINEAR COMPONENT.,focal opacity,over the cardiac silhouette,New,"['valid/patient64676/study1/view1_frontal.jpg', 'valid/patient64676/study1/view2_lateral.jpg']", patient64676_study1_0,patient64676,study1,0,Findings,,FINDING MAY REPRESENT FOCAL CONSOLIDATION OR ATELECTASIS.,focal consolidation or atelectasis,over the cardiac silhouette,New,"['valid/patient64676/study1/view1_frontal.jpg', 'valid/patient64676/study1/view2_lateral.jpg']", patient64678_study1_0,patient64678,study1,0,Impression,"1. INTERVAL REMOVAL OF PREVIOUSLY SEEN SKIN STAPLES. 2. STABLE APPEARANCE OF THE HEART AND LUNGS, WITH NO SIGNIFICANT INTERVAL CHANGE IN PULMONARY EDEMA AND RETROCARDIAC LEFT LOWER LOBE ATELECTASIS, CONSOLIDATION AND/OR EFFUSION.",1. INTERVAL REMOVAL OF PREVIOUSLY SEEN SKIN STAPLES.,Skin Staples,,Resolve,['valid/patient64678/study1/view1_frontal.jpg'], patient64678_study1_0,patient64678,study1,0,Impression,"1. INTERVAL REMOVAL OF PREVIOUSLY SEEN SKIN STAPLES. 2. STABLE APPEARANCE OF THE HEART AND LUNGS, WITH NO SIGNIFICANT INTERVAL CHANGE IN PULMONARY EDEMA AND RETROCARDIAC LEFT LOWER LOBE ATELECTASIS, CONSOLIDATION AND/OR EFFUSION.","2. STABLE APPEARANCE OF THE HEART AND LUNGS, WITH NO SIGNIFICANT INTERVAL CHANGE IN PULMONARY EDEMA AND RETROCARDIAC LEFT LOWER LOBE ATELECTASIS, CONSOLIDATION AND/OR EFFUSION.",Heart,,Stable,['valid/patient64678/study1/view1_frontal.jpg'], patient64678_study1_0,patient64678,study1,0,Impression,"1. INTERVAL REMOVAL OF PREVIOUSLY SEEN SKIN STAPLES. 2. STABLE APPEARANCE OF THE HEART AND LUNGS, WITH NO SIGNIFICANT INTERVAL CHANGE IN PULMONARY EDEMA AND RETROCARDIAC LEFT LOWER LOBE ATELECTASIS, CONSOLIDATION AND/OR EFFUSION.","2. STABLE APPEARANCE OF THE HEART AND LUNGS, WITH NO SIGNIFICANT INTERVAL CHANGE IN PULMONARY EDEMA AND RETROCARDIAC LEFT LOWER LOBE ATELECTASIS, CONSOLIDATION AND/OR EFFUSION.",Lungs,,Stable,['valid/patient64678/study1/view1_frontal.jpg'], patient64678_study1_0,patient64678,study1,0,Impression,"1. INTERVAL REMOVAL OF PREVIOUSLY SEEN SKIN STAPLES. 2. STABLE APPEARANCE OF THE HEART AND LUNGS, WITH NO SIGNIFICANT INTERVAL CHANGE IN PULMONARY EDEMA AND RETROCARDIAC LEFT LOWER LOBE ATELECTASIS, CONSOLIDATION AND/OR EFFUSION.","2. STABLE APPEARANCE OF THE HEART AND LUNGS, WITH NO SIGNIFICANT INTERVAL CHANGE IN PULMONARY EDEMA AND RETROCARDIAC LEFT LOWER LOBE ATELECTASIS, CONSOLIDATION AND/OR EFFUSION.",Atelectasis,Retrocardiac left lower lobe,Stable,['valid/patient64678/study1/view1_frontal.jpg'], patient64678_study1_0,patient64678,study1,0,Impression,"1. INTERVAL REMOVAL OF PREVIOUSLY SEEN SKIN STAPLES. 2. STABLE APPEARANCE OF THE HEART AND LUNGS, WITH NO SIGNIFICANT INTERVAL CHANGE IN PULMONARY EDEMA AND RETROCARDIAC LEFT LOWER LOBE ATELECTASIS, CONSOLIDATION AND/OR EFFUSION.","2. STABLE APPEARANCE OF THE HEART AND LUNGS, WITH NO SIGNIFICANT INTERVAL CHANGE IN PULMONARY EDEMA AND RETROCARDIAC LEFT LOWER LOBE ATELECTASIS, CONSOLIDATION AND/OR EFFUSION.",Consolidation,Retrocardiac left lower lobe,Stable,['valid/patient64678/study1/view1_frontal.jpg'], patient64678_study1_0,patient64678,study1,0,Impression,"1. INTERVAL REMOVAL OF PREVIOUSLY SEEN SKIN STAPLES. 2. STABLE APPEARANCE OF THE HEART AND LUNGS, WITH NO SIGNIFICANT INTERVAL CHANGE IN PULMONARY EDEMA AND RETROCARDIAC LEFT LOWER LOBE ATELECTASIS, CONSOLIDATION AND/OR EFFUSION.","2. STABLE APPEARANCE OF THE HEART AND LUNGS, WITH NO SIGNIFICANT INTERVAL CHANGE IN PULMONARY EDEMA AND RETROCARDIAC LEFT LOWER LOBE ATELECTASIS, CONSOLIDATION AND/OR EFFUSION.",Effusion,Retrocardiac left lower lobe,Stable,['valid/patient64678/study1/view1_frontal.jpg'], patient64679_study1_0,patient64679,study1,0,Impression,1. LEFT-SIDED CHEST TUBE IS UNCHANGED. 2. REDEMONSTRATION OF A LEFT BASILAR PNEUMOTHORAX WITH NO SIGNIFICANT INTERVAL CHANGE IN SIZE. THERE IS NO EVIDENCE OF MEDIASTINAL SHIFT OR TENSION. 3. INCOMPLETE EXPANSION OF THE LEFT LUNG IS ONCE AGAIN NOTED WITH NO SIGNIFICANT INTERVAL CHANGE. 4. PERSISTENT MILD PULMONARY EDEMA.,1. LEFT-SIDED CHEST TUBE IS UNCHANGED.,Chest tube,Left-sided,Stable,['valid/patient64679/study1/view1_frontal.jpg'], patient64679_study1_0,patient64679,study1,0,Impression,1. LEFT-SIDED CHEST TUBE IS UNCHANGED. 2. REDEMONSTRATION OF A LEFT BASILAR PNEUMOTHORAX WITH NO SIGNIFICANT INTERVAL CHANGE IN SIZE. THERE IS NO EVIDENCE OF MEDIASTINAL SHIFT OR TENSION. 3. INCOMPLETE EXPANSION OF THE LEFT LUNG IS ONCE AGAIN NOTED WITH NO SIGNIFICANT INTERVAL CHANGE. 4. PERSISTENT MILD PULMONARY EDEMA.,2. REDEMONSTRATION OF A LEFT BASILAR PNEUMOTHORAX WITH NO SIGNIFICANT INTERVAL CHANGE IN SIZE. THERE IS NO EVIDENCE OF MEDIASTINAL SHIFT OR TENSION.,Pneumothorax,Left basilar,Stable,['valid/patient64679/study1/view1_frontal.jpg'], patient64679_study1_0,patient64679,study1,0,Impression,1. LEFT-SIDED CHEST TUBE IS UNCHANGED. 2. REDEMONSTRATION OF A LEFT BASILAR PNEUMOTHORAX WITH NO SIGNIFICANT INTERVAL CHANGE IN SIZE. THERE IS NO EVIDENCE OF MEDIASTINAL SHIFT OR TENSION. 3. INCOMPLETE EXPANSION OF THE LEFT LUNG IS ONCE AGAIN NOTED WITH NO SIGNIFICANT INTERVAL CHANGE. 4. PERSISTENT MILD PULMONARY EDEMA.,3. INCOMPLETE EXPANSION OF THE LEFT LUNG IS ONCE AGAIN NOTED WITH NO SIGNIFICANT INTERVAL CHANGE.,Incomplete expansion,Left lung,Stable,['valid/patient64679/study1/view1_frontal.jpg'], patient64679_study1_0,patient64679,study1,0,Impression,1. LEFT-SIDED CHEST TUBE IS UNCHANGED. 2. REDEMONSTRATION OF A LEFT BASILAR PNEUMOTHORAX WITH NO SIGNIFICANT INTERVAL CHANGE IN SIZE. THERE IS NO EVIDENCE OF MEDIASTINAL SHIFT OR TENSION. 3. INCOMPLETE EXPANSION OF THE LEFT LUNG IS ONCE AGAIN NOTED WITH NO SIGNIFICANT INTERVAL CHANGE. 4. PERSISTENT MILD PULMONARY EDEMA.,4. PERSISTENT MILD PULMONARY EDEMA.,Pulmonary edema,,Stable,['valid/patient64679/study1/view1_frontal.jpg'], patient64680_study1_0,patient64680,study1,0,Impression,1. SWAN-GANZ CATHETER HAS BEEN REMOVED BUT THE ASSOCIATED SHEATH REMAINS IN THE SUPERIOR VENA CAVA. ENDOTRACHEAL TUBE AND NASOGASTRIC TUBE APPEAR UNCHANGED. 2. PERSISTENT BIBASILAR ATELECTASIS. NO EVIDENCE OF PULMONARY EDEMA.,1. SWAN-GANZ CATHETER HAS BEEN REMOVED BUT THE ASSOCIATED SHEATH REMAINS IN THE SUPERIOR VENA CAVA.,SWAN-GANZ CATHETER,Superior vena cava,Resolve,['valid/patient64680/study1/view1_frontal.jpg'], patient64680_study1_0,patient64680,study1,0,Impression,1. SWAN-GANZ CATHETER HAS BEEN REMOVED BUT THE ASSOCIATED SHEATH REMAINS IN THE SUPERIOR VENA CAVA. ENDOTRACHEAL TUBE AND NASOGASTRIC TUBE APPEAR UNCHANGED. 2. PERSISTENT BIBASILAR ATELECTASIS. NO EVIDENCE OF PULMONARY EDEMA.,ENDOTRACHEAL TUBE AND NASOGASTRIC TUBE APPEAR UNCHANGED.,Endotracheal tube,,Stable,['valid/patient64680/study1/view1_frontal.jpg'], patient64680_study1_0,patient64680,study1,0,Impression,1. SWAN-GANZ CATHETER HAS BEEN REMOVED BUT THE ASSOCIATED SHEATH REMAINS IN THE SUPERIOR VENA CAVA. ENDOTRACHEAL TUBE AND NASOGASTRIC TUBE APPEAR UNCHANGED. 2. PERSISTENT BIBASILAR ATELECTASIS. NO EVIDENCE OF PULMONARY EDEMA.,ENDOTRACHEAL TUBE AND NASOGASTRIC TUBE APPEAR UNCHANGED.,Nasogastric tube,,Stable,['valid/patient64680/study1/view1_frontal.jpg'], patient64680_study1_0,patient64680,study1,0,Impression,1. SWAN-GANZ CATHETER HAS BEEN REMOVED BUT THE ASSOCIATED SHEATH REMAINS IN THE SUPERIOR VENA CAVA. ENDOTRACHEAL TUBE AND NASOGASTRIC TUBE APPEAR UNCHANGED. 2. PERSISTENT BIBASILAR ATELECTASIS. NO EVIDENCE OF PULMONARY EDEMA.,2. PERSISTENT BIBASILAR ATELECTASIS. NO EVIDENCE OF PULMONARY EDEMA.,Atelectasis,Bibasilar,Stable,['valid/patient64680/study1/view1_frontal.jpg'], patient64681_study1_0,patient64681,study1,0,Findings,"Portable chest shows low lung volumes with crowding of the pulmonary vasculature. The lines and tubes are stable, except the endotracheal tube has been pulled back to 7.9 cm above the carina. There is bilateral lower lobe airspace disease with partial clearing of the right lung base. This is the suggestion of small pleural fluid collections Otherwise, there is no change from the prior examination.","The lines and tubes are stable, except the endotracheal tube has been pulled back to 7.9 cm above the carina.",lines and tubes,,Stable,['valid/patient64681/study1/view1_frontal.jpg'], patient64681_study1_0,patient64681,study1,0,Findings,"Portable chest shows low lung volumes with crowding of the pulmonary vasculature. The lines and tubes are stable, except the endotracheal tube has been pulled back to 7.9 cm above the carina. There is bilateral lower lobe airspace disease with partial clearing of the right lung base. This is the suggestion of small pleural fluid collections Otherwise, there is no change from the prior examination.","Otherwise, there is no change from the prior examination.",,,Stable,['valid/patient64681/study1/view1_frontal.jpg'], patient64682_study1_0,patient64682,study1,0,Findings,"AP semierect view of the chest demonstrates low left lung volume, and a moderate left pleural effusion and associated atelectasis persists, unchanged. Right lung remains clear. Postoperative stabilization of the lower cervical and upper thoracic spine are again noted unchanged. Endotracheal tube has been removed.","AP semierect view of the chest demonstrates low left lung volume, and a moderate left pleural effusion and associated atelectasis persists, unchanged.",pleural effusion,left,Stable,['valid/patient64682/study1/view1_frontal.jpg'], patient64682_study1_0,patient64682,study1,0,Findings,"AP semierect view of the chest demonstrates low left lung volume, and a moderate left pleural effusion and associated atelectasis persists, unchanged. Right lung remains clear. Postoperative stabilization of the lower cervical and upper thoracic spine are again noted unchanged. Endotracheal tube has been removed.","AP semierect view of the chest demonstrates low left lung volume, and a moderate left pleural effusion and associated atelectasis persists, unchanged.",atelectasis,left,Stable,['valid/patient64682/study1/view1_frontal.jpg'], patient64682_study1_0,patient64682,study1,0,Findings,"AP semierect view of the chest demonstrates low left lung volume, and a moderate left pleural effusion and associated atelectasis persists, unchanged. Right lung remains clear. Postoperative stabilization of the lower cervical and upper thoracic spine are again noted unchanged. Endotracheal tube has been removed.",Right lung remains clear.,lung clarity,right,Stable,['valid/patient64682/study1/view1_frontal.jpg'], patient64682_study1_0,patient64682,study1,0,Findings,"AP semierect view of the chest demonstrates low left lung volume, and a moderate left pleural effusion and associated atelectasis persists, unchanged. Right lung remains clear. Postoperative stabilization of the lower cervical and upper thoracic spine are again noted unchanged. Endotracheal tube has been removed.",Postoperative stabilization of the lower cervical and upper thoracic spine are again noted unchanged.,postoperative stabilization,lower cervical and upper thoracic spine,Stable,['valid/patient64682/study1/view1_frontal.jpg'], patient64682_study1_0,patient64682,study1,0,Findings,"AP semierect view of the chest demonstrates low left lung volume, and a moderate left pleural effusion and associated atelectasis persists, unchanged. Right lung remains clear. Postoperative stabilization of the lower cervical and upper thoracic spine are again noted unchanged. Endotracheal tube has been removed.",Endotracheal tube has been removed.,Endotracheal tube,,Resolve,['valid/patient64682/study1/view1_frontal.jpg'], patient64682_study1_0,patient64682,study1,0,Impression,1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.,PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.,pleural effusion,left,Stable,['valid/patient64682/study1/view1_frontal.jpg'], patient64682_study1_0,patient64682,study1,0,Impression,1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.,PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.,atelectasis,left,Stable,['valid/patient64682/study1/view1_frontal.jpg'], patient64682_study1_0,patient64682,study1,0,Impression,1.PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.,PERSISTENT LEFT PLEURAL EFFUSION AND ATELECTASIS AND VOLUME LOSS. THESE ARE UNCHANGED DESPITE EXTUBATION.,volume loss,left,Stable,['valid/patient64682/study1/view1_frontal.jpg'], patient64683_study1_0,patient64683,study1,0,Findings,Low lung volumes. Increasing right basilar opacity. Persistent dense left retrocardiac opacity with air bronchograms with some improved aeration noted in the midlung zone. The mid to upper lung zones bilaterally are relatively clear. Decreased left pleural effusion. The cardiomediastinal silhouette is similar in configuration and obscured along the left heart border. Similar perihilar vascular prominence. Degenerative changes of the spine.,Increasing right basilar opacity.,opacity,right basilar,Worse,['valid/patient64683/study1/view1_frontal.jpg'], patient64683_study1_0,patient64683,study1,0,Findings,Low lung volumes. Increasing right basilar opacity. Persistent dense left retrocardiac opacity with air bronchograms with some improved aeration noted in the midlung zone. The mid to upper lung zones bilaterally are relatively clear. Decreased left pleural effusion. The cardiomediastinal silhouette is similar in configuration and obscured along the left heart border. Similar perihilar vascular prominence. Degenerative changes of the spine.,Persistent dense left retrocardiac opacity with air bronchograms with some improved aeration noted in the midlung zone.,opacity with air bronchograms,left retrocardiac,Stable,['valid/patient64683/study1/view1_frontal.jpg'], patient64683_study1_0,patient64683,study1,0,Findings,Low lung volumes. Increasing right basilar opacity. Persistent dense left retrocardiac opacity with air bronchograms with some improved aeration noted in the midlung zone. The mid to upper lung zones bilaterally are relatively clear. Decreased left pleural effusion. The cardiomediastinal silhouette is similar in configuration and obscured along the left heart border. Similar perihilar vascular prominence. Degenerative changes of the spine.,Decreased left pleural effusion.,pleural effusion,left,Better,['valid/patient64683/study1/view1_frontal.jpg'], patient64683_study1_0,patient64683,study1,0,Findings,Low lung volumes. Increasing right basilar opacity. Persistent dense left retrocardiac opacity with air bronchograms with some improved aeration noted in the midlung zone. The mid to upper lung zones bilaterally are relatively clear. Decreased left pleural effusion. The cardiomediastinal silhouette is similar in configuration and obscured along the left heart border. Similar perihilar vascular prominence. Degenerative changes of the spine.,The cardiomediastinal silhouette is similar in configuration and obscured along the left heart border.,silhouette,cardiomediastinal,Stable,['valid/patient64683/study1/view1_frontal.jpg'], patient64683_study1_0,patient64683,study1,0,Findings,Low lung volumes. Increasing right basilar opacity. Persistent dense left retrocardiac opacity with air bronchograms with some improved aeration noted in the midlung zone. The mid to upper lung zones bilaterally are relatively clear. Decreased left pleural effusion. The cardiomediastinal silhouette is similar in configuration and obscured along the left heart border. Similar perihilar vascular prominence. Degenerative changes of the spine.,Similar perihilar vascular prominence.,vascular prominence,perihilar,Stable,['valid/patient64683/study1/view1_frontal.jpg'], patient64683_study1_0,patient64683,study1,0,Impression,"1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.",Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude.,opacity,right basilar,Worse,['valid/patient64683/study1/view1_frontal.jpg'], patient64683_study1_0,patient64683,study1,0,Impression,"1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.","Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone.",opacity with air bronchograms,left retrocardiac,Stable,['valid/patient64683/study1/view1_frontal.jpg'], patient64683_study1_0,patient64683,study1,0,Impression,"1. Low lung volumes. Increasing right basilar opacity which may represent atelectasis and the presence of low lung volumes though infection or aspiration would be difficult to exclude. Additional persistent dense left retrocardiac opacity with evidence of air bronchograms suggesting consolidation, including pneumonia in the appropriate clinical setting, though there is some improved aeration in the left midlung zone. 2. Decreased left pleural effusion.",Decreased left pleural effusion.,pleural effusion,left,Better,['valid/patient64683/study1/view1_frontal.jpg'], patient64684_study1_0,patient64684,study1,0,Findings,AP upright view of the chest demonstrates persistent left pleural effusion and increasing left lower lobe consolidation.,AP upright view of the chest demonstrates persistent left pleural effusion and increasing left lower lobe consolidation.,pleural effusion,left,Stable,['valid/patient64684/study1/view1_frontal.jpg'], patient64684_study1_0,patient64684,study1,0,Findings,AP upright view of the chest demonstrates persistent left pleural effusion and increasing left lower lobe consolidation.,AP upright view of the chest demonstrates persistent left pleural effusion and increasing left lower lobe consolidation.,consolidation,left lower lobe,Worse,['valid/patient64684/study1/view1_frontal.jpg'], patient64684_study1_0,patient64684,study1,0,Impression,"1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.","INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.",consolidation,left lower lobe,Worse,['valid/patient64684/study1/view1_frontal.jpg'], patient64684_study1_0,patient64684,study1,0,Impression,"1.INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.","INCREASING LEFT LOWER LOBE CONSOLIDATION, AND PERSISTENT LEFT PLEURAL EFFUSION.",pleural effusion,left,Stable,['valid/patient64684/study1/view1_frontal.jpg'], patient64685_study1_0,patient64685,study1,0,Impression,1. INTERVAL RESOLUTION OF PULMONARY EDEMA. 2. NO PNEUMOTHORAX OR FRACTURES. NO ACUTE CARDIOPULMONARY PROCESS.,1. INTERVAL RESOLUTION OF PULMONARY EDEMA.,Pulmonary Edema,,Resolve,['valid/patient64685/study1/view1_frontal.jpg'], patient64686_study1_0,patient64686,study1,0,Impression,1. INCREASED LEFT BASILAR OPACITY. 2. NO SIGNIFICANT CHANGE IN LEFT PLEURAL EFFUSION AND LINEAR RIGHT BASE ATELECTASIS.,1. INCREASED LEFT BASILAR OPACITY.,Opacity,Left basilar,Worse,['valid/patient64686/study1/view1_frontal.jpg'], patient64686_study1_0,patient64686,study1,0,Impression,1. INCREASED LEFT BASILAR OPACITY. 2. NO SIGNIFICANT CHANGE IN LEFT PLEURAL EFFUSION AND LINEAR RIGHT BASE ATELECTASIS.,2. NO SIGNIFICANT CHANGE IN LEFT PLEURAL EFFUSION AND LINEAR RIGHT BASE ATELECTASIS.,Pleural effusion,Left,Stable,['valid/patient64686/study1/view1_frontal.jpg'], patient64686_study1_0,patient64686,study1,0,Impression,1. INCREASED LEFT BASILAR OPACITY. 2. NO SIGNIFICANT CHANGE IN LEFT PLEURAL EFFUSION AND LINEAR RIGHT BASE ATELECTASIS.,2. NO SIGNIFICANT CHANGE IN LEFT PLEURAL EFFUSION AND LINEAR RIGHT BASE ATELECTASIS.,Atelectasis,Right base,Stable,['valid/patient64686/study1/view1_frontal.jpg'], patient64687_study1_0,patient64687,study1,0,Impression,"1. INTERVAL PLACEMENT OF AN ENDOTRACHEAL TUBE 2-3 CM ABOVE THE CARINA AND RIGHT IJ SHEATH, NG TUBE, MEDIASTINAL DRAIN AND MEDIAN STERNOTOMY. 2. REDEMONSTRATION OF LOW LUNG VOLUMES WITH PERSISTENT PULMONARY EDEMA AND BIBASILAR ATELECTASIS CONSISTENT WITH HISTORY OF CONGESTIVE HEART FAILURE. 3. NO EVIDENCE OF PNEUMOTHORAX.",2. REDEMONSTRATION OF LOW LUNG VOLUMES WITH PERSISTENT PULMONARY EDEMA AND BIBASILAR ATELECTASIS CONSISTENT WITH HISTORY OF CONGESTIVE HEART FAILURE.,Pulmonary edema,Bilateral,Stable,['valid/patient64687/study1/view1_frontal.jpg'], patient64687_study1_0,patient64687,study1,0,Impression,"1. INTERVAL PLACEMENT OF AN ENDOTRACHEAL TUBE 2-3 CM ABOVE THE CARINA AND RIGHT IJ SHEATH, NG TUBE, MEDIASTINAL DRAIN AND MEDIAN STERNOTOMY. 2. REDEMONSTRATION OF LOW LUNG VOLUMES WITH PERSISTENT PULMONARY EDEMA AND BIBASILAR ATELECTASIS CONSISTENT WITH HISTORY OF CONGESTIVE HEART FAILURE. 3. NO EVIDENCE OF PNEUMOTHORAX.",2. REDEMONSTRATION OF LOW LUNG VOLUMES WITH PERSISTENT PULMONARY EDEMA AND BIBASILAR ATELECTASIS CONSISTENT WITH HISTORY OF CONGESTIVE HEART FAILURE.,Atelectasis,Bilateral,Stable,['valid/patient64687/study1/view1_frontal.jpg'], patient64688_study1_0,patient64688,study1,0,Impression,"1. STABLE AND STANDARD APPEARANCE AND POSITION OF MEDICAL SUPPORT TUBES AND DEVICES. 2. STABLE APPEARANCE OF DIFFUSE HAZY AIRSPACE OPACITIES WITH CONFLUENCE AT BOTH BASES, CONSISTENT WITH ARDS. BILATERAL SMALL PLEURAL EFFUSIONS ARE AGAIN NOTED AND ARE UNCHANGED. NO PNEUMOTHORAX. NO SIGNIFICANT CHANGES IN THE APPEARANCE.",1. STABLE AND STANDARD APPEARANCE AND POSITION OF MEDICAL SUPPORT TUBES AND DEVICES.,Medical support tubes and devices,Standard,Stable,['valid/patient64688/study1/view1_frontal.jpg'], patient64688_study1_0,patient64688,study1,0,Impression,"1. STABLE AND STANDARD APPEARANCE AND POSITION OF MEDICAL SUPPORT TUBES AND DEVICES. 2. STABLE APPEARANCE OF DIFFUSE HAZY AIRSPACE OPACITIES WITH CONFLUENCE AT BOTH BASES, CONSISTENT WITH ARDS. BILATERAL SMALL PLEURAL EFFUSIONS ARE AGAIN NOTED AND ARE UNCHANGED. NO PNEUMOTHORAX. NO SIGNIFICANT CHANGES IN THE APPEARANCE.","2. STABLE APPEARANCE OF DIFFUSE HAZY AIRSPACE OPACITIES WITH CONFLUENCE AT BOTH BASES, CONSISTENT WITH ARDS.",Diffuse hazy airspace opacities,Both bases,Stable,['valid/patient64688/study1/view1_frontal.jpg'], patient64688_study1_0,patient64688,study1,0,Impression,"1. STABLE AND STANDARD APPEARANCE AND POSITION OF MEDICAL SUPPORT TUBES AND DEVICES. 2. STABLE APPEARANCE OF DIFFUSE HAZY AIRSPACE OPACITIES WITH CONFLUENCE AT BOTH BASES, CONSISTENT WITH ARDS. BILATERAL SMALL PLEURAL EFFUSIONS ARE AGAIN NOTED AND ARE UNCHANGED. NO PNEUMOTHORAX. NO SIGNIFICANT CHANGES IN THE APPEARANCE.",BILATERAL SMALL PLEURAL EFFUSIONS ARE AGAIN NOTED AND ARE UNCHANGED.,Small pleural effusions,Bilateral,Stable,['valid/patient64688/study1/view1_frontal.jpg'], patient64689_study1_0,patient64689,study1,0,Impression,1. NO LINES AND TUBES. 2. LOW LUNG VOLUMES WITH PERSISTENT NEAR COMPLETE OPACIFICATION OF THE LEFT HEMITHORAX CONSISTENT WITH LARGE PLEURAL EFFUSION AND ASSOCIATED ATELECTASIS. 3. THE FAINT RIGHT MID LUNG OPACITY SEEN ON THE PRIOR EXAM IS NOT VISUALIZED ON TODAY'S STUDY.,2. LOW LUNG VOLUMES WITH PERSISTENT NEAR COMPLETE OPACIFICATION OF THE LEFT HEMITHORAX CONSISTENT WITH LARGE PLEURAL EFFUSION AND ASSOCIATED ATELECTASIS.,pleural effusion,left hemithorax,Stable,['valid/patient64689/study1/view1_frontal.jpg'], patient64689_study1_0,patient64689,study1,0,Impression,1. NO LINES AND TUBES. 2. LOW LUNG VOLUMES WITH PERSISTENT NEAR COMPLETE OPACIFICATION OF THE LEFT HEMITHORAX CONSISTENT WITH LARGE PLEURAL EFFUSION AND ASSOCIATED ATELECTASIS. 3. THE FAINT RIGHT MID LUNG OPACITY SEEN ON THE PRIOR EXAM IS NOT VISUALIZED ON TODAY'S STUDY.,2. LOW LUNG VOLUMES WITH PERSISTENT NEAR COMPLETE OPACIFICATION OF THE LEFT HEMITHORAX CONSISTENT WITH LARGE PLEURAL EFFUSION AND ASSOCIATED ATELECTASIS.,atelectasis,left hemithorax,Stable,['valid/patient64689/study1/view1_frontal.jpg'], patient64689_study1_0,patient64689,study1,0,Impression,1. NO LINES AND TUBES. 2. LOW LUNG VOLUMES WITH PERSISTENT NEAR COMPLETE OPACIFICATION OF THE LEFT HEMITHORAX CONSISTENT WITH LARGE PLEURAL EFFUSION AND ASSOCIATED ATELECTASIS. 3. THE FAINT RIGHT MID LUNG OPACITY SEEN ON THE PRIOR EXAM IS NOT VISUALIZED ON TODAY'S STUDY.,3. THE FAINT RIGHT MID LUNG OPACITY SEEN ON THE PRIOR EXAM IS NOT VISUALIZED ON TODAY'S STUDY.,opacity,right mid lung,Resolve,['valid/patient64689/study1/view1_frontal.jpg'], patient64690_study1_0,patient64690,study1,0,Findings,"Interval development of moderate bilateral pleural effusions. The heart size remains enlarged, and evaluation is partially obscured by the mildly elevated left hemidiaphragm. Pulmonary vasculature is indistinct, and findings are compatible with mild pulmonary edema. Bibasilar opacities likely also reflect compressive orifices from the bilateral pleural effusions. Fiducial markers projecting over the left lung apex are redemonstrated, with underlying nodule compatible with lesion treated pulmonary malignancy.",Interval development of moderate bilateral pleural effusions.,pleural effusions,bilateral,New,['valid/patient64690/study1/view1_frontal.jpg'], patient64690_study1_0,patient64690,study1,0,Findings,"Interval development of moderate bilateral pleural effusions. The heart size remains enlarged, and evaluation is partially obscured by the mildly elevated left hemidiaphragm. Pulmonary vasculature is indistinct, and findings are compatible with mild pulmonary edema. Bibasilar opacities likely also reflect compressive orifices from the bilateral pleural effusions. Fiducial markers projecting over the left lung apex are redemonstrated, with underlying nodule compatible with lesion treated pulmonary malignancy.","The heart size remains enlarged, and evaluation is partially obscured by the mildly elevated left hemidiaphragm.",enlarged heart size,,Stable,['valid/patient64690/study1/view1_frontal.jpg'], patient64690_study1_0,patient64690,study1,0,Findings,"Interval development of moderate bilateral pleural effusions. The heart size remains enlarged, and evaluation is partially obscured by the mildly elevated left hemidiaphragm. Pulmonary vasculature is indistinct, and findings are compatible with mild pulmonary edema. Bibasilar opacities likely also reflect compressive orifices from the bilateral pleural effusions. Fiducial markers projecting over the left lung apex are redemonstrated, with underlying nodule compatible with lesion treated pulmonary malignancy.","Fiducial markers projecting over the left lung apex are redemonstrated, with underlying nodule compatible with lesion treated pulmonary malignancy.",nodule,left lung apex,Stable,['valid/patient64690/study1/view1_frontal.jpg'], patient64690_study1_0,patient64690,study1,0,Impression,"1. LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS. 2. BIBASILAR AIRSPACE OPACITIES LIKELY REFLECT COMPRESSIVE ATELECTASIS FROM THE PLEURAL EFFUSIONS, ALTHOUGH COEXISTENT ASPIRATION OR INFECTION CAN BE OBSCURED 3. LEFT APICAL NODULE CONTAINING FIDUCIAL MARKERS.",LIKELY DEVELOPMENT OF PULMONARY EDEMA WITH NEW MODERATE BILATERAL PLEURAL EFFUSIONS.,pleural effusions,bilateral,New,['valid/patient64690/study1/view1_frontal.jpg'], patient64691_study1_0,patient64691,study1,0,Impression,"1.SEMIUPRIGHT FRONTAL CHEST RADIOGRAPH DEMONSTRATES A STABLE LEFT PLEURAL PIGTAIL DRAIN. 2.LOW LUNG VOLUMES, LEFT RETROCARDIAC OPACITY AND CALCIFIED BILATERAL AXILLARY LYMPH NODES ARE AGAIN SEEN WITHOUT SIGNIFICANT INTERVAL CHANGE. 3.NO DEFINITE PNEUMOTHORAX.",1.SEMIUPRIGHT FRONTAL CHEST RADIOGRAPH DEMONSTRATES A STABLE LEFT PLEURAL PIGTAIL DRAIN.,Pleural Pigtail Drain,Left,Stable,['valid/patient64691/study1/view1_frontal.jpg'], patient64691_study1_0,patient64691,study1,0,Impression,"1.SEMIUPRIGHT FRONTAL CHEST RADIOGRAPH DEMONSTRATES A STABLE LEFT PLEURAL PIGTAIL DRAIN. 2.LOW LUNG VOLUMES, LEFT RETROCARDIAC OPACITY AND CALCIFIED BILATERAL AXILLARY LYMPH NODES ARE AGAIN SEEN WITHOUT SIGNIFICANT INTERVAL CHANGE. 3.NO DEFINITE PNEUMOTHORAX.","2.LOW LUNG VOLUMES, LEFT RETROCARDIAC OPACITY AND CALCIFIED BILATERAL AXILLARY LYMPH NODES ARE AGAIN SEEN WITHOUT SIGNIFICANT INTERVAL CHANGE.",Low Lung Volumes,General,Stable,['valid/patient64691/study1/view1_frontal.jpg'], patient64691_study1_0,patient64691,study1,0,Impression,"1.SEMIUPRIGHT FRONTAL CHEST RADIOGRAPH DEMONSTRATES A STABLE LEFT PLEURAL PIGTAIL DRAIN. 2.LOW LUNG VOLUMES, LEFT RETROCARDIAC OPACITY AND CALCIFIED BILATERAL AXILLARY LYMPH NODES ARE AGAIN SEEN WITHOUT SIGNIFICANT INTERVAL CHANGE. 3.NO DEFINITE PNEUMOTHORAX.","2.LOW LUNG VOLUMES, LEFT RETROCARDIAC OPACITY AND CALCIFIED BILATERAL AXILLARY LYMPH NODES ARE AGAIN SEEN WITHOUT SIGNIFICANT INTERVAL CHANGE.",Opacity,Left Retrocardiac,Stable,['valid/patient64691/study1/view1_frontal.jpg'], patient64691_study1_0,patient64691,study1,0,Impression,"1.SEMIUPRIGHT FRONTAL CHEST RADIOGRAPH DEMONSTRATES A STABLE LEFT PLEURAL PIGTAIL DRAIN. 2.LOW LUNG VOLUMES, LEFT RETROCARDIAC OPACITY AND CALCIFIED BILATERAL AXILLARY LYMPH NODES ARE AGAIN SEEN WITHOUT SIGNIFICANT INTERVAL CHANGE. 3.NO DEFINITE PNEUMOTHORAX.","2.LOW LUNG VOLUMES, LEFT RETROCARDIAC OPACITY AND CALCIFIED BILATERAL AXILLARY LYMPH NODES ARE AGAIN SEEN WITHOUT SIGNIFICANT INTERVAL CHANGE.",Calcified Lymph Nodes,Bilateral Axillary,Stable,['valid/patient64691/study1/view1_frontal.jpg'], patient64692_study1_0,patient64692,study1,0,Findings,,"INTERVAL INSERTION OF A RIGHT CHEST TUBE, OTHERWISE, THE REMAINING LINES AND TUBES ARE STABLE.",lines and tubes,remaining,Stable,['valid/patient64692/study1/view1_frontal.jpg'], patient64692_study1_0,patient64692,study1,0,Findings,,NO SIGNIFICANT CHANGE IN THE LARGE RIGHT-SIDED PLEURAL EFFUSION WITH ASSOCIATED BASILAR ATELECTASIS.,pleural effusion,right-sided,Stable,['valid/patient64692/study1/view1_frontal.jpg'], patient64692_study1_0,patient64692,study1,0,Findings,,NO SIGNIFICANT CHANGE IN THE LARGE RIGHT-SIDED PLEURAL EFFUSION WITH ASSOCIATED BASILAR ATELECTASIS.,atelectasis,basilar,Stable,['valid/patient64692/study1/view1_frontal.jpg'], patient64692_study1_0,patient64692,study1,0,Findings,,NO SIGNIFICANT CHANGE IN CARDIOPULMONARY STATUS IN COMPARISON TO THE EARLIER STUDY.,cardiopulmonary status,,Stable,['valid/patient64692/study1/view1_frontal.jpg'], patient64692_study1_0,patient64692,study1,0,Findings,,INTERVAL ADJUSTMENT OF RIGHT-SIDED CHEST TUBE WITH DECREASE IN RIGHT-SIDED PLEURAL EFFUSION.,pleural effusion,right-sided,Better,['valid/patient64692/study1/view1_frontal.jpg'], patient64692_study1_0,patient64692,study1,0,Findings,,"HOWEVER, RIGHT BASILAR ATELECTASIS IS AGAIN SEEN.",atelectasis,right basilar,Stable,['valid/patient64692/study1/view1_frontal.jpg'], patient64692_study1_0,patient64692,study1,0,Findings,,"ALONG THE RIGHT CHEST WALL, WITHIN THE THORACIC CAVITY, THERE IS AN OVAL-SHAPED LUCENCY WHICH MAY SUGGEST A LOCULATED PNEUMOTHORAX, BUT IS SMALL.",loculated pneumothorax,"right chest wall, thoracic cavity",New,['valid/patient64692/study1/view1_frontal.jpg'], patient64692_study1_0,patient64692,study1,0,Findings,,LEFT BASILAR ATELECTASIS IS NOW SEEN.,atelectasis,left basilar,New,['valid/patient64692/study1/view1_frontal.jpg'], patient64693_study1_0,patient64693,study1,0,Findings,4/2/2018 at 2019: Endotracheal tube terminates 5.2 cm above the carina. Left chest wall port terminates in the left brachiocephalic vein. NG/OG tube tip is within the stomach. Cardiomediastinal silhouette is normal in size. Lung volumes are low with bibasilar opacities likely reflecting atelectasis or aspiration. Pneumoperitoneum seen on prior CT not visualized in this study. 4-2-18 at 2125: Right IJ central venous catheter terminates 2.2 cm below the level the carina. Persistent bibasilar opacities. No pneumothorax.,Pneumoperitoneum seen on prior CT not visualized in this study.,Pneumoperitoneum,,Resolve,['valid/patient64693/study1/view1_frontal.jpg'], patient64693_study1_0,patient64693,study1,0,Findings,4/2/2018 at 2019: Endotracheal tube terminates 5.2 cm above the carina. Left chest wall port terminates in the left brachiocephalic vein. NG/OG tube tip is within the stomach. Cardiomediastinal silhouette is normal in size. Lung volumes are low with bibasilar opacities likely reflecting atelectasis or aspiration. Pneumoperitoneum seen on prior CT not visualized in this study. 4-2-18 at 2125: Right IJ central venous catheter terminates 2.2 cm below the level the carina. Persistent bibasilar opacities. No pneumothorax.,Persistent bibasilar opacities.,opacities,bibasilar,Stable,['valid/patient64693/study1/view1_frontal.jpg'], patient64693_study1_0,patient64693,study1,0,Impression,"1. Right IJ central venous catheter terminates in the lower SVC. No pneumothorax. 2. Left chest wall port tip in the left brachiocephalic vein. 3. Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique. I have personally reviewed the images for this examination and agreed with the report transcribed above.","Previously seen pneumoperitoneum not visualized in this study, but may be due to differences in technique.",Pneumoperitoneum,,Resolve,['valid/patient64693/study1/view1_frontal.jpg'], patient64696_study1_0,patient64696,study1,0,Impression,"1. LUNG VOLUMES REMAIN LOW, WITH NO FOCAL AREAS OF CONSOLIDATION TO SUGGEST PNEUMONIA. 2. NORMAL APPEARANCE TO THE CARDIOMEDIASTINAL SILHOUETTE. 3. THE VISUALIZED ABDOMINAL BOWEL GAS PATTERN IS UNREMARKABLE.","1. LUNG VOLUMES REMAIN LOW, WITH NO FOCAL AREAS OF CONSOLIDATION TO SUGGEST PNEUMONIA.",Lung volumes,,Stable,['valid/patient64696/study1/view1_frontal.jpg'], patient64697_study1_0,patient64697,study1,0,Findings,"Single view of the chest dated 3-19-2005 00:21 demonstrating stable position of left IJ catheter, feeding tube. Stable cardiomegaly. Low lung volumes. Stable bibasilar opacities right greater than left. Stable small bilateral pleural effusions. Single view of the chest dated 3-19-2005 00:49 demonstrating stable positioning of feeding tube, left IJ catheter with placement of endotracheal tube 5 cm above the carina. Stable bibasilar opacities. Increasing right pleural effusion. Single view of the chest dated 3-19-2005 demonstrating stable medical support devices with placement of NG tube. Increasing pulmonary edema.","Single view of the chest dated 3-19-2005 00:21 demonstrating stable position of left IJ catheter, feeding tube.",IJ catheter,left,Stable,['valid/patient64697/study1/view1_frontal.jpg'], patient64697_study1_0,patient64697,study1,0,Findings,"Single view of the chest dated 3-19-2005 00:21 demonstrating stable position of left IJ catheter, feeding tube. Stable cardiomegaly. Low lung volumes. Stable bibasilar opacities right greater than left. Stable small bilateral pleural effusions. Single view of the chest dated 3-19-2005 00:49 demonstrating stable positioning of feeding tube, left IJ catheter with placement of endotracheal tube 5 cm above the carina. Stable bibasilar opacities. Increasing right pleural effusion. Single view of the chest dated 3-19-2005 demonstrating stable medical support devices with placement of NG tube. Increasing pulmonary edema.","Single view of the chest dated 3-19-2005 00:21 demonstrating stable position of left IJ catheter, feeding tube.",feeding tube,,Stable,['valid/patient64697/study1/view1_frontal.jpg'], patient64697_study1_0,patient64697,study1,0,Findings,"Single view of the chest dated 3-19-2005 00:21 demonstrating stable position of left IJ catheter, feeding tube. Stable cardiomegaly. Low lung volumes. Stable bibasilar opacities right greater than left. Stable small bilateral pleural effusions. Single view of the chest dated 3-19-2005 00:49 demonstrating stable positioning of feeding tube, left IJ catheter with placement of endotracheal tube 5 cm above the carina. Stable bibasilar opacities. Increasing right pleural effusion. Single view of the chest dated 3-19-2005 demonstrating stable medical support devices with placement of NG tube. Increasing pulmonary edema.",Stable cardiomegaly.,cardiomegaly,,Stable,['valid/patient64697/study1/view1_frontal.jpg'], patient64697_study1_0,patient64697,study1,0,Findings,"Single view of the chest dated 3-19-2005 00:21 demonstrating stable position of left IJ catheter, feeding tube. Stable cardiomegaly. Low lung volumes. Stable bibasilar opacities right greater than left. Stable small bilateral pleural effusions. Single view of the chest dated 3-19-2005 00:49 demonstrating stable positioning of feeding tube, left IJ catheter with placement of endotracheal tube 5 cm above the carina. Stable bibasilar opacities. Increasing right pleural effusion. Single view of the chest dated 3-19-2005 demonstrating stable medical support devices with placement of NG tube. Increasing pulmonary edema.",Stable bibasilar opacities right greater than left.,opacities,bibasilar,Stable,['valid/patient64697/study1/view1_frontal.jpg'], patient64697_study1_0,patient64697,study1,0,Findings,"Single view of the chest dated 3-19-2005 00:21 demonstrating stable position of left IJ catheter, feeding tube. Stable cardiomegaly. Low lung volumes. Stable bibasilar opacities right greater than left. Stable small bilateral pleural effusions. Single view of the chest dated 3-19-2005 00:49 demonstrating stable positioning of feeding tube, left IJ catheter with placement of endotracheal tube 5 cm above the carina. Stable bibasilar opacities. Increasing right pleural effusion. Single view of the chest dated 3-19-2005 demonstrating stable medical support devices with placement of NG tube. Increasing pulmonary edema.",Stable small bilateral pleural effusions.,pleural effusions,bilateral,Stable,['valid/patient64697/study1/view1_frontal.jpg'], patient64697_study1_0,patient64697,study1,0,Findings,"Single view of the chest dated 3-19-2005 00:21 demonstrating stable position of left IJ catheter, feeding tube. Stable cardiomegaly. Low lung volumes. Stable bibasilar opacities right greater than left. Stable small bilateral pleural effusions. Single view of the chest dated 3-19-2005 00:49 demonstrating stable positioning of feeding tube, left IJ catheter with placement of endotracheal tube 5 cm above the carina. Stable bibasilar opacities. Increasing right pleural effusion. Single view of the chest dated 3-19-2005 demonstrating stable medical support devices with placement of NG tube. Increasing pulmonary edema.","Single view of the chest dated 3-19-2005 00:49 demonstrating stable positioning of feeding tube, left IJ catheter with placement of endotracheal tube 5 cm above the carina.",feeding tube,,Stable,['valid/patient64697/study1/view1_frontal.jpg'], patient64697_study1_0,patient64697,study1,0,Findings,"Single view of the chest dated 3-19-2005 00:21 demonstrating stable position of left IJ catheter, feeding tube. Stable cardiomegaly. Low lung volumes. Stable bibasilar opacities right greater than left. Stable small bilateral pleural effusions. Single view of the chest dated 3-19-2005 00:49 demonstrating stable positioning of feeding tube, left IJ catheter with placement of endotracheal tube 5 cm above the carina. Stable bibasilar opacities. Increasing right pleural effusion. Single view of the chest dated 3-19-2005 demonstrating stable medical support devices with placement of NG tube. Increasing pulmonary edema.","Single view of the chest dated 3-19-2005 00:49 demonstrating stable positioning of feeding tube, left IJ catheter with placement of endotracheal tube 5 cm above the carina.",IJ catheter,left,Stable,['valid/patient64697/study1/view1_frontal.jpg'], patient64697_study1_0,patient64697,study1,0,Findings,"Single view of the chest dated 3-19-2005 00:21 demonstrating stable position of left IJ catheter, feeding tube. Stable cardiomegaly. Low lung volumes. Stable bibasilar opacities right greater than left. Stable small bilateral pleural effusions. Single view of the chest dated 3-19-2005 00:49 demonstrating stable positioning of feeding tube, left IJ catheter with placement of endotracheal tube 5 cm above the carina. Stable bibasilar opacities. Increasing right pleural effusion. Single view of the chest dated 3-19-2005 demonstrating stable medical support devices with placement of NG tube. Increasing pulmonary edema.","Single view of the chest dated 3-19-2005 00:49 demonstrating stable positioning of feeding tube, left IJ catheter with placement of endotracheal tube 5 cm above the carina.",endotracheal tube,5 cm above the carina,New,['valid/patient64697/study1/view1_frontal.jpg'], patient64697_study1_0,patient64697,study1,0,Findings,"Single view of the chest dated 3-19-2005 00:21 demonstrating stable position of left IJ catheter, feeding tube. Stable cardiomegaly. Low lung volumes. Stable bibasilar opacities right greater than left. Stable small bilateral pleural effusions. Single view of the chest dated 3-19-2005 00:49 demonstrating stable positioning of feeding tube, left IJ catheter with placement of endotracheal tube 5 cm above the carina. Stable bibasilar opacities. Increasing right pleural effusion. Single view of the chest dated 3-19-2005 demonstrating stable medical support devices with placement of NG tube. Increasing pulmonary edema.",Stable bibasilar opacities.,opacities,bibasilar,Stable,['valid/patient64697/study1/view1_frontal.jpg'], patient64697_study1_0,patient64697,study1,0,Findings,"Single view of the chest dated 3-19-2005 00:21 demonstrating stable position of left IJ catheter, feeding tube. Stable cardiomegaly. Low lung volumes. Stable bibasilar opacities right greater than left. Stable small bilateral pleural effusions. Single view of the chest dated 3-19-2005 00:49 demonstrating stable positioning of feeding tube, left IJ catheter with placement of endotracheal tube 5 cm above the carina. Stable bibasilar opacities. Increasing right pleural effusion. Single view of the chest dated 3-19-2005 demonstrating stable medical support devices with placement of NG tube. Increasing pulmonary edema.",Increasing right pleural effusion.,pleural effusion,right,Worse,['valid/patient64697/study1/view1_frontal.jpg'], patient64697_study1_0,patient64697,study1,0,Findings,"Single view of the chest dated 3-19-2005 00:21 demonstrating stable position of left IJ catheter, feeding tube. Stable cardiomegaly. Low lung volumes. Stable bibasilar opacities right greater than left. Stable small bilateral pleural effusions. Single view of the chest dated 3-19-2005 00:49 demonstrating stable positioning of feeding tube, left IJ catheter with placement of endotracheal tube 5 cm above the carina. Stable bibasilar opacities. Increasing right pleural effusion. Single view of the chest dated 3-19-2005 demonstrating stable medical support devices with placement of NG tube. Increasing pulmonary edema.",Single view of the chest dated 3-19-2005 demonstrating stable medical support devices with placement of NG tube.,medical support devices,,Stable,['valid/patient64697/study1/view1_frontal.jpg'], patient64697_study1_0,patient64697,study1,0,Findings,"Single view of the chest dated 3-19-2005 00:21 demonstrating stable position of left IJ catheter, feeding tube. Stable cardiomegaly. Low lung volumes. Stable bibasilar opacities right greater than left. Stable small bilateral pleural effusions. Single view of the chest dated 3-19-2005 00:49 demonstrating stable positioning of feeding tube, left IJ catheter with placement of endotracheal tube 5 cm above the carina. Stable bibasilar opacities. Increasing right pleural effusion. Single view of the chest dated 3-19-2005 demonstrating stable medical support devices with placement of NG tube. Increasing pulmonary edema.",Single view of the chest dated 3-19-2005 demonstrating stable medical support devices with placement of NG tube.,NG tube,,New,['valid/patient64697/study1/view1_frontal.jpg'], patient64697_study1_0,patient64697,study1,0,Findings,"Single view of the chest dated 3-19-2005 00:21 demonstrating stable position of left IJ catheter, feeding tube. Stable cardiomegaly. Low lung volumes. Stable bibasilar opacities right greater than left. Stable small bilateral pleural effusions. Single view of the chest dated 3-19-2005 00:49 demonstrating stable positioning of feeding tube, left IJ catheter with placement of endotracheal tube 5 cm above the carina. Stable bibasilar opacities. Increasing right pleural effusion. Single view of the chest dated 3-19-2005 demonstrating stable medical support devices with placement of NG tube. Increasing pulmonary edema.",Increasing pulmonary edema.,pulmonary edema,,Worse,['valid/patient64697/study1/view1_frontal.jpg'], patient64697_study1_0,patient64697,study1,0,Impression,"1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA",STABLE CARDIOMEGALY,cardiomegaly,,Stable,['valid/patient64697/study1/view1_frontal.jpg'], patient64697_study1_0,patient64697,study1,0,Impression,"1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA",STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT,opacities,bibasilar,Stable,['valid/patient64697/study1/view1_frontal.jpg'], patient64697_study1_0,patient64697,study1,0,Impression,"1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA",SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT,pleural effusion,right,Worse,['valid/patient64697/study1/view1_frontal.jpg'], patient64697_study1_0,patient64697,study1,0,Impression,"1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA",SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT,pleural effusions,bilateral,Stable,['valid/patient64697/study1/view1_frontal.jpg'], patient64697_study1_0,patient64697,study1,0,Impression,"1.MEDICAL SUPPORT DEVICES INCLUDING LEFT IJ CATHETER, FEEDING TUBE, PLACEMENT OF ENDOTRACHEAL TUBE AND NG TUBE 2.STABLE CARDIOMEGALY 3.STABLE BIBASILAR OPACITIES RIGHT GREATER THAN LEFT 4.SMALL BILATERAL PLEURAL EFFUSIONS INCREASING ON THE RIGHT 5.INCREASING PULMONARY EDEMA",INCREASING PULMONARY EDEMA,pulmonary edema,,Worse,['valid/patient64697/study1/view1_frontal.jpg'], patient64698_study1_0,patient64698,study1,0,Findings,"The cardiopulmonary silhouette is markedly widened. Although the study is limited by rotation, pericardial effusion cannot be excluded. The lungs show low volume. There is increased prominence of pulmonary vessels bilaterally and increased opacities of both lung fields suggestive for pulmonary edema. No gross abnormalities are noted in the bone or soft tissue.",There is increased prominence of pulmonary vessels bilaterally and increased opacities of both lung fields suggestive for pulmonary edema.,prominence of pulmonary vessels,bilaterally,Worse,['valid/patient64698/study1/view1_frontal.jpg'], patient64698_study1_0,patient64698,study1,0,Findings,"The cardiopulmonary silhouette is markedly widened. Although the study is limited by rotation, pericardial effusion cannot be excluded. The lungs show low volume. There is increased prominence of pulmonary vessels bilaterally and increased opacities of both lung fields suggestive for pulmonary edema. No gross abnormalities are noted in the bone or soft tissue.",There is increased prominence of pulmonary vessels bilaterally and increased opacities of both lung fields suggestive for pulmonary edema.,opacities suggestive for pulmonary edema,both lung fields,Worse,['valid/patient64698/study1/view1_frontal.jpg'], patient64700_study1_0,patient64700,study1,0,Findings,Interval removal of right AICD. Interval placement of right IJ approach transvenous pacer. Severe cardiomegaly with enlarged pulmonary arteries reflecting pulmonary hypertension. Mild left basilar opacity. No large pleural effusion. Right costophrenic angle is not included in field of view. No visualized pneumothorax.,Interval removal of right AICD.,AICD,right,Resolve,['valid/patient64700/study1/view1_frontal.jpg'], patient64700_study1_0,patient64700,study1,0,Impression,"1. Interval removal of right ICD with placement of right IJ approach transvenous pacer. No visualized pneumothorax. 2. Severe cardiomegaly with markedly enlarged pulmonary arteries, reflecting pulmonary hypertension. I have personally reviewed the images for this examination and agreed with the report transcribed above.",Interval removal of right ICD with placement of right IJ approach transvenous pacer.,ICD,right,Resolve,['valid/patient64700/study1/view1_frontal.jpg'], patient64701_study1_0,patient64701,study1,0,Impression,"1. LEFT SUBCLAVIAN CATHETER AT THE ATRIOCAVAL JUNCTION, WHICH IS NEW IN COMPARISON TO PRIOR RADIOGRAPH. 2. NG TUBE WHICH IS NEW IN COMPARISON TO PRIOR RADIOGRAPH. INFERIOR TIP IS NOT WELL SEEN. MILD PULMONARY EDEMA WHICH IS INCREASED SINCE PRIOR RADIOGRAPH. 3. STREAKY OPACITY IN THE RIGHT MID LUNG ZONE MOST LIKELY REPRESENTING ATELECTASIS. CANNOT EXCLUDE, HOWEVER, AN EARLY FOCUS OF PNEUMONIA.","1. LEFT SUBCLAVIAN CATHETER AT THE ATRIOCAVAL JUNCTION, WHICH IS NEW IN COMPARISON TO PRIOR RADIOGRAPH.",Catheter,Left subclavian at the atriocaval junction,New,['valid/patient64701/study1/view1_frontal.jpg'], patient64701_study1_0,patient64701,study1,0,Impression,"1. LEFT SUBCLAVIAN CATHETER AT THE ATRIOCAVAL JUNCTION, WHICH IS NEW IN COMPARISON TO PRIOR RADIOGRAPH. 2. NG TUBE WHICH IS NEW IN COMPARISON TO PRIOR RADIOGRAPH. INFERIOR TIP IS NOT WELL SEEN. MILD PULMONARY EDEMA WHICH IS INCREASED SINCE PRIOR RADIOGRAPH. 3. STREAKY OPACITY IN THE RIGHT MID LUNG ZONE MOST LIKELY REPRESENTING ATELECTASIS. CANNOT EXCLUDE, HOWEVER, AN EARLY FOCUS OF PNEUMONIA.",2. NG TUBE WHICH IS NEW IN COMPARISON TO PRIOR RADIOGRAPH. INFERIOR TIP IS NOT WELL SEEN.,Tube,NG tube,New,['valid/patient64701/study1/view1_frontal.jpg'], patient64701_study1_0,patient64701,study1,0,Impression,"1. LEFT SUBCLAVIAN CATHETER AT THE ATRIOCAVAL JUNCTION, WHICH IS NEW IN COMPARISON TO PRIOR RADIOGRAPH. 2. NG TUBE WHICH IS NEW IN COMPARISON TO PRIOR RADIOGRAPH. INFERIOR TIP IS NOT WELL SEEN. MILD PULMONARY EDEMA WHICH IS INCREASED SINCE PRIOR RADIOGRAPH. 3. STREAKY OPACITY IN THE RIGHT MID LUNG ZONE MOST LIKELY REPRESENTING ATELECTASIS. CANNOT EXCLUDE, HOWEVER, AN EARLY FOCUS OF PNEUMONIA.",MILD PULMONARY EDEMA WHICH IS INCREASED SINCE PRIOR RADIOGRAPH.,Pulmonary edema,,Worse,['valid/patient64701/study1/view1_frontal.jpg'], patient64702_study1_0,patient64702,study1,0,Impression,"1. NO SIGNIFICANT INTERVAL CHANGE. 2. PERSISTENT LEFT LOWER LOBE ATELECTASIS WITH MILD PULMONARY INTERSTITIAL EDEMA. 3. PERSISTENT SMALL BILATERAL PLEURAL EFFUSIONS, STABLE. 4. FINDINGS CONSISTENT WITH AORTIC DISSECTION, AS PREVIOUSLY DESCRIBED IN THE AORTIC ARCH REGION.",2. PERSISTENT LEFT LOWER LOBE ATELECTASIS WITH MILD PULMONARY INTERSTITIAL EDEMA.,atelectasis,left lower lobe,Stable,['valid/patient64702/study1/view1_frontal.jpg'], patient64702_study1_0,patient64702,study1,0,Impression,"1. NO SIGNIFICANT INTERVAL CHANGE. 2. PERSISTENT LEFT LOWER LOBE ATELECTASIS WITH MILD PULMONARY INTERSTITIAL EDEMA. 3. PERSISTENT SMALL BILATERAL PLEURAL EFFUSIONS, STABLE. 4. FINDINGS CONSISTENT WITH AORTIC DISSECTION, AS PREVIOUSLY DESCRIBED IN THE AORTIC ARCH REGION.",2. PERSISTENT LEFT LOWER LOBE ATELECTASIS WITH MILD PULMONARY INTERSTITIAL EDEMA.,interstitial edema,pulmonary,Stable,['valid/patient64702/study1/view1_frontal.jpg'], patient64702_study1_0,patient64702,study1,0,Impression,"1. NO SIGNIFICANT INTERVAL CHANGE. 2. PERSISTENT LEFT LOWER LOBE ATELECTASIS WITH MILD PULMONARY INTERSTITIAL EDEMA. 3. PERSISTENT SMALL BILATERAL PLEURAL EFFUSIONS, STABLE. 4. FINDINGS CONSISTENT WITH AORTIC DISSECTION, AS PREVIOUSLY DESCRIBED IN THE AORTIC ARCH REGION.","3. PERSISTENT SMALL BILATERAL PLEURAL EFFUSIONS, STABLE.",pleural effusions,bilateral,Stable,['valid/patient64702/study1/view1_frontal.jpg'], patient64703_study1_0,patient64703,study1,0,Impression,1. STABLE ABNORMAL CHEST WITH INTERSTITIAL EDEMA AND LEFT LOWER LOBE ATELECTASIS. RIGHT CENTRAL LINE IS STABLE IN THE SUPERIOR VENA CAVA AND UNCHANGED FROM 3/11/2021 AT 0510 HOURS.,1. STABLE ABNORMAL CHEST WITH INTERSTITIAL EDEMA AND LEFT LOWER LOBE ATELECTASIS. RIGHT CENTRAL LINE IS STABLE IN THE SUPERIOR VENA CAVA AND UNCHANGED FROM 3/11/2021 AT 0510 HOURS.,Interstitial Edema,Chest,Stable,['valid/patient64703/study1/view1_frontal.jpg'], patient64703_study1_0,patient64703,study1,0,Impression,1. STABLE ABNORMAL CHEST WITH INTERSTITIAL EDEMA AND LEFT LOWER LOBE ATELECTASIS. RIGHT CENTRAL LINE IS STABLE IN THE SUPERIOR VENA CAVA AND UNCHANGED FROM 3/11/2021 AT 0510 HOURS.,1. STABLE ABNORMAL CHEST WITH INTERSTITIAL EDEMA AND LEFT LOWER LOBE ATELECTASIS. RIGHT CENTRAL LINE IS STABLE IN THE SUPERIOR VENA CAVA AND UNCHANGED FROM 3/11/2021 AT 0510 HOURS.,Atelectasis,Left Lower Lobe,Stable,['valid/patient64703/study1/view1_frontal.jpg'], patient64703_study1_0,patient64703,study1,0,Impression,1. STABLE ABNORMAL CHEST WITH INTERSTITIAL EDEMA AND LEFT LOWER LOBE ATELECTASIS. RIGHT CENTRAL LINE IS STABLE IN THE SUPERIOR VENA CAVA AND UNCHANGED FROM 3/11/2021 AT 0510 HOURS.,1. STABLE ABNORMAL CHEST WITH INTERSTITIAL EDEMA AND LEFT LOWER LOBE ATELECTASIS. RIGHT CENTRAL LINE IS STABLE IN THE SUPERIOR VENA CAVA AND UNCHANGED FROM 3/11/2021 AT 0510 HOURS.,Right Central Line,Superior Vena Cava,Stable,['valid/patient64703/study1/view1_frontal.jpg'], patient64704_study1_0,patient64704,study1,0,Findings,,"1.SINGLE AP PORTABLE SEMIUPRIGHT FRONTAL VIEW OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF AN ENDOTRACHEAL TUBE, WITH ITS TIP 6.2 CM ABOVE THE CARINA.",endotracheal tube,6.2 cm above the carina,New,['valid/patient64704/study1/view1_frontal.jpg'], patient64704_study1_0,patient64704,study1,0,Findings,,REMAINING MEDICAL SUPPORT DEVICES APPEAR UNCHANGED.,medical support devices,,Stable,['valid/patient64704/study1/view1_frontal.jpg'], patient64704_study1_0,patient64704,study1,0,Findings,,"2.INTERVAL DEVELOPMENT OF BIBASILAR OPACITIES, GREATER AT THE LEFT LUNG BASE, WITH ASSOCIATED SMALL BILATERAL PLEURAL EFFUSIONS.",opacities,bibasilar,New,['valid/patient64704/study1/view1_frontal.jpg'], patient64704_study1_0,patient64704,study1,0,Findings,,"2.INTERVAL DEVELOPMENT OF BIBASILAR OPACITIES, GREATER AT THE LEFT LUNG BASE, WITH ASSOCIATED SMALL BILATERAL PLEURAL EFFUSIONS.",pleural effusions,bilateral,New,['valid/patient64704/study1/view1_frontal.jpg'], patient64704_study1_0,patient64704,study1,0,Findings,,"BIAPICAL PLEURAL THICKENING AND SUBJACENT PARIETAL SCARRING, GREATER AT THE LEFT LUNG APEX, UNCHANGED.",pleural thickening,biapical,Stable,['valid/patient64704/study1/view1_frontal.jpg'], patient64704_study1_0,patient64704,study1,0,Findings,,"BIAPICAL PLEURAL THICKENING AND SUBJACENT PARIETAL SCARRING, GREATER AT THE LEFT LUNG APEX, UNCHANGED.",parietal scarring,subjacent to biapical,Stable,['valid/patient64704/study1/view1_frontal.jpg'], patient64704_study1_0,patient64704,study1,0,Findings,,3.STABLE PROMINENT HEART SIZE.,heart size,,Stable,['valid/patient64704/study1/view1_frontal.jpg'], patient64705_study1_0,patient64705,study1,0,Findings,,"REDEMONSTRATION OF RIGHT SUBCLAVIAN CENTRAL LINE, UNCHANGED.",Central line,Right subclavian,Stable,"['valid/patient64705/study1/view1_frontal.jpg', 'valid/patient64705/study1/view2_lateral.jpg']", patient64706_study1_0,patient64706,study1,0,Impression,"1.FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF BILATERAL NEW THORACIC AND LUMBAR FUSION HARDWARE AND HIGH DENSITY MATERIAL WITHIN THE LUMBAR VERTEBRAL BODIES, WHICH MAY BE POSTSURGICAL. SURGICAL CLIPS ARE PRESENT WITHIN THE LEFT AXILLA. A RIGHT-SIDED PORT AND CHOLECYSTECTOMY CLIPS ARE STABLE. 2.NO PNEUMOTHORAX IS PRESENT. THE LUNGS ARE CLEAR. THE CARDIOMEDIASTINUM IS UNREMARKABLE, GIVEN LOW LUNG VOLUMES. 3.SCLEROSIS OF THE LEFT HUMERAL HEAD IS AGAIN DEMONSTRATED COME IN KEEPING WITH THE PATIENT'S KNOWN HISTORY OF METASTATIC BREAST CANCER. 4.LEFT MASTECTOMY.","1.FRONTAL RADIOGRAPH OF THE CHEST DEMONSTRATES INTERVAL PLACEMENT OF BILATERAL NEW THORACIC AND LUMBAR FUSION HARDWARE AND HIGH DENSITY MATERIAL WITHIN THE LUMBAR VERTEBRAL BODIES, WHICH MAY BE POSTSURGICAL. SURGICAL CLIPS ARE PRESENT WITHIN THE LEFT AXILLA. A RIGHT-SIDED PORT AND CHOLECYSTECTOMY CLIPS ARE STABLE.",port and cholecystectomy clips,right-sided,Stable,['valid/patient64706/study1/view1_frontal.jpg'], patient64708_study1_0,patient64708,study1,0,Impression,NO INTERVAL CHANGE. NO EVIDENCE OF PNEUMONIA.,NO INTERVAL CHANGE.,,,Stable,['valid/patient64708/study1/view1_frontal.jpg'], patient64709_study1_0,patient64709,study1,0,Impression,1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES STABLE POSITIONING OF THE RIGHT IJ CATHETER. THERE IS NO EVIDENCE OF PNEUMOTHORAX. 2.THE LUNGS REMAIN CLEAR WITHOUT FOCAL CONSOLIDATION OR SIGNIFICANT PLEURAL EFFUSIONS. 3.THE CARDIO MEDIASTINAL SILHOUETTE AND PULMONARY VASCULATURE ARE UNREMARKABLE.,1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES STABLE POSITIONING OF THE RIGHT IJ CATHETER. THERE IS NO EVIDENCE OF PNEUMOTHORAX.,Catheter,Right IJ,Stable,['valid/patient64709/study1/view1_frontal.jpg'], patient64709_study1_0,patient64709,study1,0,Impression,1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES STABLE POSITIONING OF THE RIGHT IJ CATHETER. THERE IS NO EVIDENCE OF PNEUMOTHORAX. 2.THE LUNGS REMAIN CLEAR WITHOUT FOCAL CONSOLIDATION OR SIGNIFICANT PLEURAL EFFUSIONS. 3.THE CARDIO MEDIASTINAL SILHOUETTE AND PULMONARY VASCULATURE ARE UNREMARKABLE.,2.THE LUNGS REMAIN CLEAR WITHOUT FOCAL CONSOLIDATION OR SIGNIFICANT PLEURAL EFFUSIONS.,Clear,Lungs,Stable,['valid/patient64709/study1/view1_frontal.jpg'], patient64709_study1_0,patient64709,study1,0,Impression,1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES STABLE POSITIONING OF THE RIGHT IJ CATHETER. THERE IS NO EVIDENCE OF PNEUMOTHORAX. 2.THE LUNGS REMAIN CLEAR WITHOUT FOCAL CONSOLIDATION OR SIGNIFICANT PLEURAL EFFUSIONS. 3.THE CARDIO MEDIASTINAL SILHOUETTE AND PULMONARY VASCULATURE ARE UNREMARKABLE.,2.THE LUNGS REMAIN CLEAR WITHOUT FOCAL CONSOLIDATION OR SIGNIFICANT PLEURAL EFFUSIONS.,Focal consolidation,Lungs,Stable,['valid/patient64709/study1/view1_frontal.jpg'], patient64709_study1_0,patient64709,study1,0,Impression,1.SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES STABLE POSITIONING OF THE RIGHT IJ CATHETER. THERE IS NO EVIDENCE OF PNEUMOTHORAX. 2.THE LUNGS REMAIN CLEAR WITHOUT FOCAL CONSOLIDATION OR SIGNIFICANT PLEURAL EFFUSIONS. 3.THE CARDIO MEDIASTINAL SILHOUETTE AND PULMONARY VASCULATURE ARE UNREMARKABLE.,2.THE LUNGS REMAIN CLEAR WITHOUT FOCAL CONSOLIDATION OR SIGNIFICANT PLEURAL EFFUSIONS.,Pleural effusions,Pleura,Stable,['valid/patient64709/study1/view1_frontal.jpg'], patient64711_study1_0,patient64711,study1,0,Impression,"1.SINGLE PORTABLE FRONTAL CHEST RADIOGRAPH AT 7:01 A.M. DEMONSTRATES INTERVAL EXTUBATION AND REMOVAL OF NASOGASTRIC TUBE. STABLE APPEARANCE OF RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER AND INFERIOR MIGRATION OF LEFT PLEURAL PIGTAIL DRAIN. LUNGS DEMONSTRATE A SMALL LEFT APICAL PNEUMOTHORAX, SLIGHTLY MORE PROMINENT COMPARED TO PRIOR. PERSISTENT RETROCARDIAC OPACITY, LIKELY REFLECTING ATELECTASIS OR CONSOLIDATION. SMALL LEFT PLEURAL EFFUSION. PARTIAL VISUALIZATION OF SURGICAL CLIPS IN THE LEFT UPPER QUADRANT AND SUBCOSTAL SURGICAL STAPLES. 2.SUBSEQUENT SINGLE PORTABLE FRONTAL CHEST RADIOGRAPH AT 8:48 A.M. DEMONSTRATES STABLE APPEARANCE OF SUPPORTIVE MEDICAL DEVICES. LOWER LUNG VOLUMES. PERSISTENT SMALL LEFT APICAL PNEUMOTHORAX, MINIMALLY DECREASED COMPARED TO PRIOR. OTHER FINDINGS ARE UNCHANGED.",1.SINGLE PORTABLE FRONTAL CHEST RADIOGRAPH AT 7:01 A.M. DEMONSTRATES INTERVAL EXTUBATION AND REMOVAL OF NASOGASTRIC TUBE.,Nasogastric tube,,Resolve,['valid/patient64711/study1/view1_frontal.jpg'], patient64711_study1_0,patient64711,study1,0,Impression,"1.SINGLE PORTABLE FRONTAL CHEST RADIOGRAPH AT 7:01 A.M. DEMONSTRATES INTERVAL EXTUBATION AND REMOVAL OF NASOGASTRIC TUBE. STABLE APPEARANCE OF RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER AND INFERIOR MIGRATION OF LEFT PLEURAL PIGTAIL DRAIN. LUNGS DEMONSTRATE A SMALL LEFT APICAL PNEUMOTHORAX, SLIGHTLY MORE PROMINENT COMPARED TO PRIOR. PERSISTENT RETROCARDIAC OPACITY, LIKELY REFLECTING ATELECTASIS OR CONSOLIDATION. SMALL LEFT PLEURAL EFFUSION. PARTIAL VISUALIZATION OF SURGICAL CLIPS IN THE LEFT UPPER QUADRANT AND SUBCOSTAL SURGICAL STAPLES. 2.SUBSEQUENT SINGLE PORTABLE FRONTAL CHEST RADIOGRAPH AT 8:48 A.M. DEMONSTRATES STABLE APPEARANCE OF SUPPORTIVE MEDICAL DEVICES. LOWER LUNG VOLUMES. PERSISTENT SMALL LEFT APICAL PNEUMOTHORAX, MINIMALLY DECREASED COMPARED TO PRIOR. OTHER FINDINGS ARE UNCHANGED.",STABLE APPEARANCE OF RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER AND INFERIOR MIGRATION OF LEFT PLEURAL PIGTAIL DRAIN.,Central venous catheter,Right internal jugular,Stable,['valid/patient64711/study1/view1_frontal.jpg'], patient64711_study1_0,patient64711,study1,0,Impression,"1.SINGLE PORTABLE FRONTAL CHEST RADIOGRAPH AT 7:01 A.M. DEMONSTRATES INTERVAL EXTUBATION AND REMOVAL OF NASOGASTRIC TUBE. STABLE APPEARANCE OF RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER AND INFERIOR MIGRATION OF LEFT PLEURAL PIGTAIL DRAIN. LUNGS DEMONSTRATE A SMALL LEFT APICAL PNEUMOTHORAX, SLIGHTLY MORE PROMINENT COMPARED TO PRIOR. PERSISTENT RETROCARDIAC OPACITY, LIKELY REFLECTING ATELECTASIS OR CONSOLIDATION. SMALL LEFT PLEURAL EFFUSION. PARTIAL VISUALIZATION OF SURGICAL CLIPS IN THE LEFT UPPER QUADRANT AND SUBCOSTAL SURGICAL STAPLES. 2.SUBSEQUENT SINGLE PORTABLE FRONTAL CHEST RADIOGRAPH AT 8:48 A.M. DEMONSTRATES STABLE APPEARANCE OF SUPPORTIVE MEDICAL DEVICES. LOWER LUNG VOLUMES. PERSISTENT SMALL LEFT APICAL PNEUMOTHORAX, MINIMALLY DECREASED COMPARED TO PRIOR. OTHER FINDINGS ARE UNCHANGED.",STABLE APPEARANCE OF RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER AND INFERIOR MIGRATION OF LEFT PLEURAL PIGTAIL DRAIN.,Pigtail drain,Left pleural,Worse,['valid/patient64711/study1/view1_frontal.jpg'], patient64711_study1_0,patient64711,study1,0,Impression,"1.SINGLE PORTABLE FRONTAL CHEST RADIOGRAPH AT 7:01 A.M. DEMONSTRATES INTERVAL EXTUBATION AND REMOVAL OF NASOGASTRIC TUBE. STABLE APPEARANCE OF RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER AND INFERIOR MIGRATION OF LEFT PLEURAL PIGTAIL DRAIN. LUNGS DEMONSTRATE A SMALL LEFT APICAL PNEUMOTHORAX, SLIGHTLY MORE PROMINENT COMPARED TO PRIOR. PERSISTENT RETROCARDIAC OPACITY, LIKELY REFLECTING ATELECTASIS OR CONSOLIDATION. SMALL LEFT PLEURAL EFFUSION. PARTIAL VISUALIZATION OF SURGICAL CLIPS IN THE LEFT UPPER QUADRANT AND SUBCOSTAL SURGICAL STAPLES. 2.SUBSEQUENT SINGLE PORTABLE FRONTAL CHEST RADIOGRAPH AT 8:48 A.M. DEMONSTRATES STABLE APPEARANCE OF SUPPORTIVE MEDICAL DEVICES. LOWER LUNG VOLUMES. PERSISTENT SMALL LEFT APICAL PNEUMOTHORAX, MINIMALLY DECREASED COMPARED TO PRIOR. OTHER FINDINGS ARE UNCHANGED.","LUNGS DEMONSTRATE A SMALL LEFT APICAL PNEUMOTHORAX, SLIGHTLY MORE PROMINENT COMPARED TO PRIOR.",Pneumothorax,Left apical,Worse,['valid/patient64711/study1/view1_frontal.jpg'], patient64711_study1_0,patient64711,study1,0,Impression,"1.SINGLE PORTABLE FRONTAL CHEST RADIOGRAPH AT 7:01 A.M. DEMONSTRATES INTERVAL EXTUBATION AND REMOVAL OF NASOGASTRIC TUBE. STABLE APPEARANCE OF RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER AND INFERIOR MIGRATION OF LEFT PLEURAL PIGTAIL DRAIN. LUNGS DEMONSTRATE A SMALL LEFT APICAL PNEUMOTHORAX, SLIGHTLY MORE PROMINENT COMPARED TO PRIOR. PERSISTENT RETROCARDIAC OPACITY, LIKELY REFLECTING ATELECTASIS OR CONSOLIDATION. SMALL LEFT PLEURAL EFFUSION. PARTIAL VISUALIZATION OF SURGICAL CLIPS IN THE LEFT UPPER QUADRANT AND SUBCOSTAL SURGICAL STAPLES. 2.SUBSEQUENT SINGLE PORTABLE FRONTAL CHEST RADIOGRAPH AT 8:48 A.M. DEMONSTRATES STABLE APPEARANCE OF SUPPORTIVE MEDICAL DEVICES. LOWER LUNG VOLUMES. PERSISTENT SMALL LEFT APICAL PNEUMOTHORAX, MINIMALLY DECREASED COMPARED TO PRIOR. OTHER FINDINGS ARE UNCHANGED.","PERSISTENT RETROCARDIAC OPACITY, LIKELY REFLECTING ATELECTASIS OR CONSOLIDATION.",Opacity,Retrocardiac,Stable,['valid/patient64711/study1/view1_frontal.jpg'], patient64711_study1_0,patient64711,study1,0,Impression,"1.SINGLE PORTABLE FRONTAL CHEST RADIOGRAPH AT 7:01 A.M. DEMONSTRATES INTERVAL EXTUBATION AND REMOVAL OF NASOGASTRIC TUBE. STABLE APPEARANCE OF RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER AND INFERIOR MIGRATION OF LEFT PLEURAL PIGTAIL DRAIN. LUNGS DEMONSTRATE A SMALL LEFT APICAL PNEUMOTHORAX, SLIGHTLY MORE PROMINENT COMPARED TO PRIOR. PERSISTENT RETROCARDIAC OPACITY, LIKELY REFLECTING ATELECTASIS OR CONSOLIDATION. SMALL LEFT PLEURAL EFFUSION. PARTIAL VISUALIZATION OF SURGICAL CLIPS IN THE LEFT UPPER QUADRANT AND SUBCOSTAL SURGICAL STAPLES. 2.SUBSEQUENT SINGLE PORTABLE FRONTAL CHEST RADIOGRAPH AT 8:48 A.M. DEMONSTRATES STABLE APPEARANCE OF SUPPORTIVE MEDICAL DEVICES. LOWER LUNG VOLUMES. PERSISTENT SMALL LEFT APICAL PNEUMOTHORAX, MINIMALLY DECREASED COMPARED TO PRIOR. OTHER FINDINGS ARE UNCHANGED.",2.SUBSEQUENT SINGLE PORTABLE FRONTAL CHEST RADIOGRAPH AT 8:48 A.M. DEMONSTRATES STABLE APPEARANCE OF SUPPORTIVE MEDICAL DEVICES.,Supportive medical devices,,Stable,['valid/patient64711/study1/view1_frontal.jpg'], patient64711_study1_0,patient64711,study1,0,Impression,"1.SINGLE PORTABLE FRONTAL CHEST RADIOGRAPH AT 7:01 A.M. DEMONSTRATES INTERVAL EXTUBATION AND REMOVAL OF NASOGASTRIC TUBE. STABLE APPEARANCE OF RIGHT INTERNAL JUGULAR CENTRAL VENOUS CATHETER AND INFERIOR MIGRATION OF LEFT PLEURAL PIGTAIL DRAIN. LUNGS DEMONSTRATE A SMALL LEFT APICAL PNEUMOTHORAX, SLIGHTLY MORE PROMINENT COMPARED TO PRIOR. PERSISTENT RETROCARDIAC OPACITY, LIKELY REFLECTING ATELECTASIS OR CONSOLIDATION. SMALL LEFT PLEURAL EFFUSION. PARTIAL VISUALIZATION OF SURGICAL CLIPS IN THE LEFT UPPER QUADRANT AND SUBCOSTAL SURGICAL STAPLES. 2.SUBSEQUENT SINGLE PORTABLE FRONTAL CHEST RADIOGRAPH AT 8:48 A.M. DEMONSTRATES STABLE APPEARANCE OF SUPPORTIVE MEDICAL DEVICES. LOWER LUNG VOLUMES. PERSISTENT SMALL LEFT APICAL PNEUMOTHORAX, MINIMALLY DECREASED COMPARED TO PRIOR. OTHER FINDINGS ARE UNCHANGED.","PERSISTENT SMALL LEFT APICAL PNEUMOTHORAX, MINIMALLY DECREASED COMPARED TO PRIOR.",Pneumothorax,Left apical,Better,['valid/patient64711/study1/view1_frontal.jpg'], patient64713_study1_0,patient64713,study1,0,Impression,1. Left arm PICC terminating 5.2 cm below the carina. 2. Interval resolution of pulmonary edema. I have personally reviewed the images for this examination and agreed with the report transcribed above.,Interval resolution of pulmonary edema.,pulmonary edema,,Resolve,['valid/patient64713/study1/view1_frontal.jpg'], patient64714_study1_0,patient64714,study1,0,Impression,1. INTERVAL PLACEMENT OF AN NG TUBE. AN EPIDURAL CATHETER IS ALSO SEEN. 2. THERE IS INTERVAL DEVELOPMENT OF MODERATE INTERSTITIAL PULMONARY EDEMA/FLUID OVERLOAD. 3. LOW LUNG VOLUMES WITH MILD CROWDING AT THE BASES.,1. INTERVAL PLACEMENT OF AN NG TUBE. AN EPIDURAL CATHETER IS ALSO SEEN.,NG tube,,New,['valid/patient64714/study1/view1_frontal.jpg'], patient64714_study1_0,patient64714,study1,0,Impression,1. INTERVAL PLACEMENT OF AN NG TUBE. AN EPIDURAL CATHETER IS ALSO SEEN. 2. THERE IS INTERVAL DEVELOPMENT OF MODERATE INTERSTITIAL PULMONARY EDEMA/FLUID OVERLOAD. 3. LOW LUNG VOLUMES WITH MILD CROWDING AT THE BASES.,1. INTERVAL PLACEMENT OF AN NG TUBE. AN EPIDURAL CATHETER IS ALSO SEEN.,Epidural catheter,,New,['valid/patient64714/study1/view1_frontal.jpg'], patient64714_study1_0,patient64714,study1,0,Impression,1. INTERVAL PLACEMENT OF AN NG TUBE. AN EPIDURAL CATHETER IS ALSO SEEN. 2. THERE IS INTERVAL DEVELOPMENT OF MODERATE INTERSTITIAL PULMONARY EDEMA/FLUID OVERLOAD. 3. LOW LUNG VOLUMES WITH MILD CROWDING AT THE BASES.,2. THERE IS INTERVAL DEVELOPMENT OF MODERATE INTERSTITIAL PULMONARY EDEMA/FLUID OVERLOAD.,Moderate interstitial pulmonary edema,,New,['valid/patient64714/study1/view1_frontal.jpg'], patient64714_study1_0,patient64714,study1,0,Impression,1. INTERVAL PLACEMENT OF AN NG TUBE. AN EPIDURAL CATHETER IS ALSO SEEN. 2. THERE IS INTERVAL DEVELOPMENT OF MODERATE INTERSTITIAL PULMONARY EDEMA/FLUID OVERLOAD. 3. LOW LUNG VOLUMES WITH MILD CROWDING AT THE BASES.,2. THERE IS INTERVAL DEVELOPMENT OF MODERATE INTERSTITIAL PULMONARY EDEMA/FLUID OVERLOAD.,Fluid overload,,New,['valid/patient64714/study1/view1_frontal.jpg'], patient64715_study1_0,patient64715,study1,0,Impression,"1. PERSISTENT BILATERAL PATCHY AIRSPACE OPACITIES PREDOMINATELY IN THE MID AND LOWER LUNG ZONES LIKELY REPRESENTING ASPIRATION VERSUS INFECTION VERSUS CONSOLIDATION. PERSISTENT, SMALL, BILATERAL, PLEURAL EFFUSIONS. OVERALL DECREASE IN PULMONARY EDEMA OVER THE LAST SEVERAL DAYS.","1. PERSISTENT BILATERAL PATCHY AIRSPACE OPACITIES PREDOMINATELY IN THE MID AND LOWER LUNG ZONES LIKELY REPRESENTING ASPIRATION VERSUS INFECTION VERSUS CONSOLIDATION. PERSISTENT, SMALL, BILATERAL, PLEURAL EFFUSIONS. OVERALL DECREASE IN PULMONARY EDEMA OVER THE LAST SEVERAL DAYS.",patchy airspace opacities,bilateral mid and lower lung zones,Stable,['valid/patient64715/study1/view1_frontal.jpg'], patient64715_study1_0,patient64715,study1,0,Impression,"1. PERSISTENT BILATERAL PATCHY AIRSPACE OPACITIES PREDOMINATELY IN THE MID AND LOWER LUNG ZONES LIKELY REPRESENTING ASPIRATION VERSUS INFECTION VERSUS CONSOLIDATION. PERSISTENT, SMALL, BILATERAL, PLEURAL EFFUSIONS. OVERALL DECREASE IN PULMONARY EDEMA OVER THE LAST SEVERAL DAYS.","1. PERSISTENT BILATERAL PATCHY AIRSPACE OPACITIES PREDOMINATELY IN THE MID AND LOWER LUNG ZONES LIKELY REPRESENTING ASPIRATION VERSUS INFECTION VERSUS CONSOLIDATION. PERSISTENT, SMALL, BILATERAL, PLEURAL EFFUSIONS. OVERALL DECREASE IN PULMONARY EDEMA OVER THE LAST SEVERAL DAYS.",small pleural effusions,bilateral,Stable,['valid/patient64715/study1/view1_frontal.jpg'], patient64718_study1_0,patient64718,study1,0,Impression,"1. INTERVAL SLIGHT INCREASE IN LEFT APICAL EFFUSION, LIKELY HEMOTHORAX RELATED TO TRAUMA. 2. INTERVAL SLIGHT INCREASE IN RETROCARDIAC OPACITY AND POSSIBLE NEW LEFT LOWER LOBE ATELECTASIS VERSUS SOME COMPONENT OF EFFUSION. LUNG CONTUSION IS AN ADDITIONAL POSSIBLE ETIOLOGY. 3. OTHERWISE, STABLE APPEARANCE OF NUMEROUS FRACTURES, WITH NO SIGNIFICANT CHANGE IN DISPLACEMENT OR ANGULATION. 4. NO PULMONARY EDEMA.","1. INTERVAL SLIGHT INCREASE IN LEFT APICAL EFFUSION, LIKELY HEMOTHORAX RELATED TO TRAUMA.",effusion,left apical,Worse,['valid/patient64718/study1/view1_frontal.jpg'], patient64718_study1_0,patient64718,study1,0,Impression,"1. INTERVAL SLIGHT INCREASE IN LEFT APICAL EFFUSION, LIKELY HEMOTHORAX RELATED TO TRAUMA. 2. INTERVAL SLIGHT INCREASE IN RETROCARDIAC OPACITY AND POSSIBLE NEW LEFT LOWER LOBE ATELECTASIS VERSUS SOME COMPONENT OF EFFUSION. LUNG CONTUSION IS AN ADDITIONAL POSSIBLE ETIOLOGY. 3. OTHERWISE, STABLE APPEARANCE OF NUMEROUS FRACTURES, WITH NO SIGNIFICANT CHANGE IN DISPLACEMENT OR ANGULATION. 4. NO PULMONARY EDEMA.",2. INTERVAL SLIGHT INCREASE IN RETROCARDIAC OPACITY AND POSSIBLE NEW LEFT LOWER LOBE ATELECTASIS VERSUS SOME COMPONENT OF EFFUSION. LUNG CONTUSION IS AN ADDITIONAL POSSIBLE ETIOLOGY.,opacity,retrocardiac,Worse,['valid/patient64718/study1/view1_frontal.jpg'], patient64718_study1_0,patient64718,study1,0,Impression,"1. INTERVAL SLIGHT INCREASE IN LEFT APICAL EFFUSION, LIKELY HEMOTHORAX RELATED TO TRAUMA. 2. INTERVAL SLIGHT INCREASE IN RETROCARDIAC OPACITY AND POSSIBLE NEW LEFT LOWER LOBE ATELECTASIS VERSUS SOME COMPONENT OF EFFUSION. LUNG CONTUSION IS AN ADDITIONAL POSSIBLE ETIOLOGY. 3. OTHERWISE, STABLE APPEARANCE OF NUMEROUS FRACTURES, WITH NO SIGNIFICANT CHANGE IN DISPLACEMENT OR ANGULATION. 4. NO PULMONARY EDEMA.",2. INTERVAL SLIGHT INCREASE IN RETROCARDIAC OPACITY AND POSSIBLE NEW LEFT LOWER LOBE ATELECTASIS VERSUS SOME COMPONENT OF EFFUSION. LUNG CONTUSION IS AN ADDITIONAL POSSIBLE ETIOLOGY.,atelectasis,left lower lobe,New,['valid/patient64718/study1/view1_frontal.jpg'], patient64718_study1_0,patient64718,study1,0,Impression,"1. INTERVAL SLIGHT INCREASE IN LEFT APICAL EFFUSION, LIKELY HEMOTHORAX RELATED TO TRAUMA. 2. INTERVAL SLIGHT INCREASE IN RETROCARDIAC OPACITY AND POSSIBLE NEW LEFT LOWER LOBE ATELECTASIS VERSUS SOME COMPONENT OF EFFUSION. LUNG CONTUSION IS AN ADDITIONAL POSSIBLE ETIOLOGY. 3. OTHERWISE, STABLE APPEARANCE OF NUMEROUS FRACTURES, WITH NO SIGNIFICANT CHANGE IN DISPLACEMENT OR ANGULATION. 4. NO PULMONARY EDEMA.",2. INTERVAL SLIGHT INCREASE IN RETROCARDIAC OPACITY AND POSSIBLE NEW LEFT LOWER LOBE ATELECTASIS VERSUS SOME COMPONENT OF EFFUSION. LUNG CONTUSION IS AN ADDITIONAL POSSIBLE ETIOLOGY.,effusion,left lower lobe,New,['valid/patient64718/study1/view1_frontal.jpg'], patient64718_study1_0,patient64718,study1,0,Impression,"1. INTERVAL SLIGHT INCREASE IN LEFT APICAL EFFUSION, LIKELY HEMOTHORAX RELATED TO TRAUMA. 2. INTERVAL SLIGHT INCREASE IN RETROCARDIAC OPACITY AND POSSIBLE NEW LEFT LOWER LOBE ATELECTASIS VERSUS SOME COMPONENT OF EFFUSION. LUNG CONTUSION IS AN ADDITIONAL POSSIBLE ETIOLOGY. 3. OTHERWISE, STABLE APPEARANCE OF NUMEROUS FRACTURES, WITH NO SIGNIFICANT CHANGE IN DISPLACEMENT OR ANGULATION. 4. NO PULMONARY EDEMA.","3. OTHERWISE, STABLE APPEARANCE OF NUMEROUS FRACTURES, WITH NO SIGNIFICANT CHANGE IN DISPLACEMENT OR ANGULATION.",fractures,,Stable,['valid/patient64718/study1/view1_frontal.jpg'], patient64719_study1_0,patient64719,study1,0,Impression,"1.NEW ENTERIC TUBE, WITH TIP AND SIDE PORT IN THE DISTAL ESOPHAGUS. 2.INTERVAL REMOVAL OF A CARDIAC PACER PADS FROM THE CHEST. ENDOTRACHEAL TUBE TIP IS 1 TO 2 CM ABOVE THE CARINA. STABLE LARGE BORE RIGHT INTERNAL JUGULAR LINE, WITH TIP AT THE CAVOATRIAL JUNCTION. 3.SLIGHT BLUNTING OF THE RIGHT COSTOPHRENIC ANGLE, WHICH COULD REPRESENT A SMALL PLEURAL EFFUSION OR PLEURAL THICKENING. OTHERWISE, LUNGS ARE GROSSLY CLEAR WITH NO FOCAL CONSOLIDATION. 4.STABLE MODERATE CARDIOMEGALY. 5.FINDINGS WERE DISCUSSED WITH ICU TEAM ON 10-24-12 AT 1:40 P.M.","1.NEW ENTERIC TUBE, WITH TIP AND SIDE PORT IN THE DISTAL ESOPHAGUS.",Enteric tube,Distal esophagus,New,['valid/patient64719/study1/view1_frontal.jpg'], patient64719_study1_0,patient64719,study1,0,Impression,"1.NEW ENTERIC TUBE, WITH TIP AND SIDE PORT IN THE DISTAL ESOPHAGUS. 2.INTERVAL REMOVAL OF A CARDIAC PACER PADS FROM THE CHEST. ENDOTRACHEAL TUBE TIP IS 1 TO 2 CM ABOVE THE CARINA. STABLE LARGE BORE RIGHT INTERNAL JUGULAR LINE, WITH TIP AT THE CAVOATRIAL JUNCTION. 3.SLIGHT BLUNTING OF THE RIGHT COSTOPHRENIC ANGLE, WHICH COULD REPRESENT A SMALL PLEURAL EFFUSION OR PLEURAL THICKENING. OTHERWISE, LUNGS ARE GROSSLY CLEAR WITH NO FOCAL CONSOLIDATION. 4.STABLE MODERATE CARDIOMEGALY. 5.FINDINGS WERE DISCUSSED WITH ICU TEAM ON 10-24-12 AT 1:40 P.M.",2.INTERVAL REMOVAL OF A CARDIAC PACER PADS FROM THE CHEST.,Cardiac pacer pads,Chest,Resolve,['valid/patient64719/study1/view1_frontal.jpg'], patient64719_study1_0,patient64719,study1,0,Impression,"1.NEW ENTERIC TUBE, WITH TIP AND SIDE PORT IN THE DISTAL ESOPHAGUS. 2.INTERVAL REMOVAL OF A CARDIAC PACER PADS FROM THE CHEST. ENDOTRACHEAL TUBE TIP IS 1 TO 2 CM ABOVE THE CARINA. STABLE LARGE BORE RIGHT INTERNAL JUGULAR LINE, WITH TIP AT THE CAVOATRIAL JUNCTION. 3.SLIGHT BLUNTING OF THE RIGHT COSTOPHRENIC ANGLE, WHICH COULD REPRESENT A SMALL PLEURAL EFFUSION OR PLEURAL THICKENING. OTHERWISE, LUNGS ARE GROSSLY CLEAR WITH NO FOCAL CONSOLIDATION. 4.STABLE MODERATE CARDIOMEGALY. 5.FINDINGS WERE DISCUSSED WITH ICU TEAM ON 10-24-12 AT 1:40 P.M.","STABLE LARGE BORE RIGHT INTERNAL JUGULAR LINE, WITH TIP AT THE CAVOATRIAL JUNCTION.",Large bore line,Right internal jugular,Stable,['valid/patient64719/study1/view1_frontal.jpg'], patient64719_study1_0,patient64719,study1,0,Impression,"1.NEW ENTERIC TUBE, WITH TIP AND SIDE PORT IN THE DISTAL ESOPHAGUS. 2.INTERVAL REMOVAL OF A CARDIAC PACER PADS FROM THE CHEST. ENDOTRACHEAL TUBE TIP IS 1 TO 2 CM ABOVE THE CARINA. STABLE LARGE BORE RIGHT INTERNAL JUGULAR LINE, WITH TIP AT THE CAVOATRIAL JUNCTION. 3.SLIGHT BLUNTING OF THE RIGHT COSTOPHRENIC ANGLE, WHICH COULD REPRESENT A SMALL PLEURAL EFFUSION OR PLEURAL THICKENING. OTHERWISE, LUNGS ARE GROSSLY CLEAR WITH NO FOCAL CONSOLIDATION. 4.STABLE MODERATE CARDIOMEGALY. 5.FINDINGS WERE DISCUSSED WITH ICU TEAM ON 10-24-12 AT 1:40 P.M.",4.STABLE MODERATE CARDIOMEGALY.,Cardiomegaly,,Stable,['valid/patient64719/study1/view1_frontal.jpg'], patient64720_study1_0,patient64720,study1,0,Findings,Stable appearance of endotracheal tube. Interval placement of a left internal jugular central venous catheter with the tip 3.7 cm below the carina. The catheter appears more lateral than expected but confirmed to be within the left internal jugular vein on the subsequent CT angiogram of the head and neck from 6/10/2016. No visible pneumothorax. There is improved aeration of the left lung base suggestive of improving atelectasis. No significant interval changes with stable cardiomediastinal silhouette. No acute osseous abnormalities.,Stable appearance of endotracheal tube.,endotracheal tube,,Stable,['valid/patient64720/study1/view1_frontal.jpg'], patient64720_study1_0,patient64720,study1,0,Findings,Stable appearance of endotracheal tube. Interval placement of a left internal jugular central venous catheter with the tip 3.7 cm below the carina. The catheter appears more lateral than expected but confirmed to be within the left internal jugular vein on the subsequent CT angiogram of the head and neck from 6/10/2016. No visible pneumothorax. There is improved aeration of the left lung base suggestive of improving atelectasis. No significant interval changes with stable cardiomediastinal silhouette. No acute osseous abnormalities.,There is improved aeration of the left lung base suggestive of improving atelectasis.,atelectasis,left lung base,Better,['valid/patient64720/study1/view1_frontal.jpg'], patient64720_study1_0,patient64720,study1,0,Findings,Stable appearance of endotracheal tube. Interval placement of a left internal jugular central venous catheter with the tip 3.7 cm below the carina. The catheter appears more lateral than expected but confirmed to be within the left internal jugular vein on the subsequent CT angiogram of the head and neck from 6/10/2016. No visible pneumothorax. There is improved aeration of the left lung base suggestive of improving atelectasis. No significant interval changes with stable cardiomediastinal silhouette. No acute osseous abnormalities.,No significant interval changes with stable cardiomediastinal silhouette.,cardiomediastinal silhouette,,Stable,['valid/patient64720/study1/view1_frontal.jpg'], patient64720_study1_0,patient64720,study1,0,Impression,1. Interval placement of a left internal jugular central venous catheter with the tip near the cavoatrial junction. No visible pneumothorax. 2. Improved aeration of the left lung base suggestive of improving atelectasis. I have personally reviewed the images for this examination and agreed with the report transcribed above.,Improved aeration of the left lung base suggestive of improving atelectasis.,atelectasis,left lung base,Better,['valid/patient64720/study1/view1_frontal.jpg'], patient64721_study1_0,patient64721,study1,0,Impression,1. SINGLE FRONTAL VIEW OF THE CHEST DEMONSTRATES A STERNAL WIRES AND AN MEDIASTINAL CLIPS. 2. PERSISTENT ELEVATION OF THE RIGHT HEMIDIAPHRAGM. 3. THE HEART SIZE IS WITHIN NORMAL LIMITS. 4. NO FOCAL CONSOLIDATION OR PLEURAL EFFUSION.,2. PERSISTENT ELEVATION OF THE RIGHT HEMIDIAPHRAGM.,Elevation of the hemidiaphragm,Right,Stable,['valid/patient64721/study1/view1_frontal.jpg'], patient64722_study1_0,patient64722,study1,0,Impression,"1. THERE IS FOCAL INCREASED OPACITY AT THE LEFT LUNG BASE PERIPHERALLY. THIS MOST LIKELY REPRESENTS ATELECTASIS, BUT GIVEN THE RADIOGRAPHIC APPEARANCE RECOMMEND CLINICAL CORRELATION TO RULE OUT THE POSSIBILITY OF PULMONARY EMBOLUS. THIS WAS DISCUSSED WITH Cora MD ON 11/2011. 2. TIP OF RIGHT INTERNAL JUGULAR CENTRAL LINE IS AT THE LEVEL OF THE MOST PROXIMAL SUPERIOR VENA CAVA. THERE IS NO EVIDENT PNEUMOTHORAX. NO ADDITIONAL INTERVAL CHANGE.","1. THERE IS FOCAL INCREASED OPACITY AT THE LEFT LUNG BASE PERIPHERALLY. THIS MOST LIKELY REPRESENTS ATELECTASIS, BUT GIVEN THE RADIOGRAPHIC APPEARANCE RECOMMEND CLINICAL CORRELATION TO RULE OUT THE POSSIBILITY OF PULMONARY EMBOLUS.",focal increased opacity,left lung base peripherally,New,['valid/patient64722/study1/view1_frontal.jpg'], patient64722_study1_0,patient64722,study1,0,Impression,"1. THERE IS FOCAL INCREASED OPACITY AT THE LEFT LUNG BASE PERIPHERALLY. THIS MOST LIKELY REPRESENTS ATELECTASIS, BUT GIVEN THE RADIOGRAPHIC APPEARANCE RECOMMEND CLINICAL CORRELATION TO RULE OUT THE POSSIBILITY OF PULMONARY EMBOLUS. THIS WAS DISCUSSED WITH Cora MD ON 11/2011. 2. TIP OF RIGHT INTERNAL JUGULAR CENTRAL LINE IS AT THE LEVEL OF THE MOST PROXIMAL SUPERIOR VENA CAVA. THERE IS NO EVIDENT PNEUMOTHORAX. NO ADDITIONAL INTERVAL CHANGE.",2. TIP OF RIGHT INTERNAL JUGULAR CENTRAL LINE IS AT THE LEVEL OF THE MOST PROXIMAL SUPERIOR VENA CAVA.,central line,right internal jugular,Stable,['valid/patient64722/study1/view1_frontal.jpg'], patient64722_study1_0,patient64722,study1,0,Impression,"1. THERE IS FOCAL INCREASED OPACITY AT THE LEFT LUNG BASE PERIPHERALLY. THIS MOST LIKELY REPRESENTS ATELECTASIS, BUT GIVEN THE RADIOGRAPHIC APPEARANCE RECOMMEND CLINICAL CORRELATION TO RULE OUT THE POSSIBILITY OF PULMONARY EMBOLUS. THIS WAS DISCUSSED WITH Cora MD ON 11/2011. 2. TIP OF RIGHT INTERNAL JUGULAR CENTRAL LINE IS AT THE LEVEL OF THE MOST PROXIMAL SUPERIOR VENA CAVA. THERE IS NO EVIDENT PNEUMOTHORAX. NO ADDITIONAL INTERVAL CHANGE.",THERE IS NO EVIDENT PNEUMOTHORAX.,pneumothorax,,Resolve,['valid/patient64722/study1/view1_frontal.jpg'], patient64723_study1_0,patient64723,study1,0,Findings,A chest wall pacing device with intact leads into the right atrium and right ventricle is unchanged. There is diffuse prominence of the pulmonary vasculature with indistinct margins consistent with mild interstitial pulmonary edema. No air-space pulmonary edema. No segmental consolidation or pleural effusion bilaterally. The cardiomediastinal silhouette is within normal limits and unchanged. Regional osseous structures are unremarkable.,A chest wall pacing device with intact leads into the right atrium and right ventricle is unchanged.,chest wall pacing device with intact leads,right atrium and right ventricle,Stable,['valid/patient64723/study1/view1_frontal.jpg'], patient64723_study1_0,patient64723,study1,0,Findings,A chest wall pacing device with intact leads into the right atrium and right ventricle is unchanged. There is diffuse prominence of the pulmonary vasculature with indistinct margins consistent with mild interstitial pulmonary edema. No air-space pulmonary edema. No segmental consolidation or pleural effusion bilaterally. The cardiomediastinal silhouette is within normal limits and unchanged. Regional osseous structures are unremarkable.,The cardiomediastinal silhouette is within normal limits and unchanged.,cardiomediastinal silhouette,,Stable,['valid/patient64723/study1/view1_frontal.jpg'], patient64725_study1_0,patient64725,study1,0,Impression,1. SINGLE SEMI-ERECT AP VIEW OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF A RIGHT INTERNAL JUGULAR VENOUS CATHETER. INTERVAL PLACEMENT OF A NASOGASTRIC TUBE WITH DISTAL TIP WITHIN THE STOMACH BUT WITH SIDE-PORT AT THE GASTROESOPHAGEAL JUNCTION. 2. PLATE-LIKE ATELECTASIS IN THE RIGHT MIDDLE LOBE AS WELL AS MILD ATELECTASIS AT THE LEFT LUNG BASE. 3. BLUNTING OF THE LEFT COSTOPHRENIC SULCUS WHICH MAY REPRESENT A SMALL PLEURAL EFFUSION VERSUS THICKENING.,1. SINGLE SEMI-ERECT AP VIEW OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF A RIGHT INTERNAL JUGULAR VENOUS CATHETER. INTERVAL PLACEMENT OF A NASOGASTRIC TUBE WITH DISTAL TIP WITHIN THE STOMACH BUT WITH SIDE-PORT AT THE GASTROESOPHAGEAL JUNCTION.,Venous catheter,Right internal jugular,Resolve,['valid/patient64725/study1/view1_frontal.jpg'], patient64725_study1_0,patient64725,study1,0,Impression,1. SINGLE SEMI-ERECT AP VIEW OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF A RIGHT INTERNAL JUGULAR VENOUS CATHETER. INTERVAL PLACEMENT OF A NASOGASTRIC TUBE WITH DISTAL TIP WITHIN THE STOMACH BUT WITH SIDE-PORT AT THE GASTROESOPHAGEAL JUNCTION. 2. PLATE-LIKE ATELECTASIS IN THE RIGHT MIDDLE LOBE AS WELL AS MILD ATELECTASIS AT THE LEFT LUNG BASE. 3. BLUNTING OF THE LEFT COSTOPHRENIC SULCUS WHICH MAY REPRESENT A SMALL PLEURAL EFFUSION VERSUS THICKENING.,1. SINGLE SEMI-ERECT AP VIEW OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF A RIGHT INTERNAL JUGULAR VENOUS CATHETER. INTERVAL PLACEMENT OF A NASOGASTRIC TUBE WITH DISTAL TIP WITHIN THE STOMACH BUT WITH SIDE-PORT AT THE GASTROESOPHAGEAL JUNCTION.,Nasogastric tube tip,Stomach,New,['valid/patient64725/study1/view1_frontal.jpg'], patient64725_study1_0,patient64725,study1,0,Impression,1. SINGLE SEMI-ERECT AP VIEW OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF A RIGHT INTERNAL JUGULAR VENOUS CATHETER. INTERVAL PLACEMENT OF A NASOGASTRIC TUBE WITH DISTAL TIP WITHIN THE STOMACH BUT WITH SIDE-PORT AT THE GASTROESOPHAGEAL JUNCTION. 2. PLATE-LIKE ATELECTASIS IN THE RIGHT MIDDLE LOBE AS WELL AS MILD ATELECTASIS AT THE LEFT LUNG BASE. 3. BLUNTING OF THE LEFT COSTOPHRENIC SULCUS WHICH MAY REPRESENT A SMALL PLEURAL EFFUSION VERSUS THICKENING.,1. SINGLE SEMI-ERECT AP VIEW OF THE CHEST DEMONSTRATES INTERVAL REMOVAL OF A RIGHT INTERNAL JUGULAR VENOUS CATHETER. INTERVAL PLACEMENT OF A NASOGASTRIC TUBE WITH DISTAL TIP WITHIN THE STOMACH BUT WITH SIDE-PORT AT THE GASTROESOPHAGEAL JUNCTION.,Nasogastric tube side-port,Gastroesophageal junction,New,['valid/patient64725/study1/view1_frontal.jpg'], patient64726_study1_0,patient64726,study1,0,Impression,"1. ENLARGED CARDIOMEDIASTINAL SILHOUETTE, MILD PULMONARY VASCULAR CONGESTION, RETROCARDIAC AIR-SPACE CONSOLIDATION, ALL APPEAR STABLE. 2. NO SIGNIFICANT CHANGE IN SUPPORT EQUIPMENT.","1. ENLARGED CARDIOMEDIASTINAL SILHOUETTE, MILD PULMONARY VASCULAR CONGESTION, RETROCARDIAC AIR-SPACE CONSOLIDATION, ALL APPEAR STABLE.",Enlarged cardiomediasinal silhouette,Cardiomediasinum,Stable,['valid/patient64726/study1/view1_frontal.jpg'], patient64726_study1_0,patient64726,study1,0,Impression,"1. ENLARGED CARDIOMEDIASTINAL SILHOUETTE, MILD PULMONARY VASCULAR CONGESTION, RETROCARDIAC AIR-SPACE CONSOLIDATION, ALL APPEAR STABLE. 2. NO SIGNIFICANT CHANGE IN SUPPORT EQUIPMENT.","1. ENLARGED CARDIOMEDIASTINAL SILHOUETTE, MILD PULMONARY VASCULAR CONGESTION, RETROCARDIAC AIR-SPACE CONSOLIDATION, ALL APPEAR STABLE.",Mild pulmonary vascular congestion,Lungs,Stable,['valid/patient64726/study1/view1_frontal.jpg'], patient64726_study1_0,patient64726,study1,0,Impression,"1. ENLARGED CARDIOMEDIASTINAL SILHOUETTE, MILD PULMONARY VASCULAR CONGESTION, RETROCARDIAC AIR-SPACE CONSOLIDATION, ALL APPEAR STABLE. 2. NO SIGNIFICANT CHANGE IN SUPPORT EQUIPMENT.","1. ENLARGED CARDIOMEDIASTINAL SILHOUETTE, MILD PULMONARY VASCULAR CONGESTION, RETROCARDIAC AIR-SPACE CONSOLIDATION, ALL APPEAR STABLE.",Retrocardiac air-space consolidation,Lungs,Stable,['valid/patient64726/study1/view1_frontal.jpg'], patient64726_study1_0,patient64726,study1,0,Impression,"1. ENLARGED CARDIOMEDIASTINAL SILHOUETTE, MILD PULMONARY VASCULAR CONGESTION, RETROCARDIAC AIR-SPACE CONSOLIDATION, ALL APPEAR STABLE. 2. NO SIGNIFICANT CHANGE IN SUPPORT EQUIPMENT.",2. NO SIGNIFICANT CHANGE IN SUPPORT EQUIPMENT.,Support equipment,,Stable,['valid/patient64726/study1/view1_frontal.jpg'], patient64727_study1_0,patient64727,study1,0,Impression,"1. INTERVAL REMOVAL OF THE RIGHT PIGTAIL CATHETER. NO RESIDUAL PNEUMOTHORAX. 2. NO INTERVAL CHANGE OTHERWISE IN THE APPEARANCE OF THE LUNG WITH SUBTLE ILL-DEFINED DENSITY ADJACENT TO THE RIGHT HEART BORDER PROJECTING OVER THE 10TH RIGHT POSTERIOR RIB, WHICH MAY REPRESENT CONFLUENCE OF VASCULAR SHADOWS.",1. INTERVAL REMOVAL OF THE RIGHT PIGTAIL CATHETER. NO RESIDUAL PNEUMOTHORAX.,Pigtail Catheter,Right,Resolve,['valid/patient64727/study1/view1_frontal.jpg'], patient64727_study1_0,patient64727,study1,0,Impression,"1. INTERVAL REMOVAL OF THE RIGHT PIGTAIL CATHETER. NO RESIDUAL PNEUMOTHORAX. 2. NO INTERVAL CHANGE OTHERWISE IN THE APPEARANCE OF THE LUNG WITH SUBTLE ILL-DEFINED DENSITY ADJACENT TO THE RIGHT HEART BORDER PROJECTING OVER THE 10TH RIGHT POSTERIOR RIB, WHICH MAY REPRESENT CONFLUENCE OF VASCULAR SHADOWS.",1. INTERVAL REMOVAL OF THE RIGHT PIGTAIL CATHETER. NO RESIDUAL PNEUMOTHORAX.,Pneumothorax,,Resolve,['valid/patient64727/study1/view1_frontal.jpg'], patient64727_study1_0,patient64727,study1,0,Impression,"1. INTERVAL REMOVAL OF THE RIGHT PIGTAIL CATHETER. NO RESIDUAL PNEUMOTHORAX. 2. NO INTERVAL CHANGE OTHERWISE IN THE APPEARANCE OF THE LUNG WITH SUBTLE ILL-DEFINED DENSITY ADJACENT TO THE RIGHT HEART BORDER PROJECTING OVER THE 10TH RIGHT POSTERIOR RIB, WHICH MAY REPRESENT CONFLUENCE OF VASCULAR SHADOWS.","2. NO INTERVAL CHANGE OTHERWISE IN THE APPEARANCE OF THE LUNG WITH SUBTLE ILL-DEFINED DENSITY ADJACENT TO THE RIGHT HEART BORDER PROJECTING OVER THE 10TH RIGHT POSTERIOR RIB, WHICH MAY REPRESENT CONFLUENCE OF VASCULAR SHADOWS.",Subtle ill-defined density,Adjacent to the right heart border,Stable,['valid/patient64727/study1/view1_frontal.jpg'], patient64729_study1_0,patient64729,study1,0,Impression,"1.FEEDING TUBE AND SPINAL FIXATION RODS AGAIN NOTED IN PLACE. CARDIOMEGALY AGAIN SEEN WITH LOW LUNG VOLUMES. PROMINENT COARSE E RETICULAR PATTERN IN THE LUNGS SUGGESTIVE OF SUPERIMPOSED MILD PULMONARY EDEMA. MORE CONFLUENT OPACITIES IN BASES, UNCHANGED. 2.ABDOMEN 6/5/2000 AT 1122: DEDICATED FILM TO EVALUATE FEEDING TUBE PLACEMENT DEMONSTRATES TIP IN STOMACH.","MORE CONFLUENT OPACITIES IN BASES, UNCHANGED.",Confluent opacities,Bases,Stable,['valid/patient64729/study1/view1_frontal.jpg'], patient64730_study1_0,patient64730,study1,0,Findings,"Portable chest shows no change in the left subclavian catheter with its tip just reaching the superior vena cava, an electronic device over the left hemithorax with its leads terminating in the left neck. Heart and lungs are within normal limits. Otherwise, there is no change from the prior examination.","Portable chest shows no change in the left subclavian catheter with its tip just reaching the superior vena cava, an electronic device over the left hemithorax with its leads terminating in the left neck.",catheter,left subclavian,Stable,['valid/patient64730/study1/view1_frontal.jpg'], patient64731_study1_0,patient64731,study1,0,Impression,"1. AP VIEW OF THE CHEST DEMONSTRATES THE LEFT PICC LINE UNCHANGED. SPINAL HARDWARE AGAIN NOTED BUT ONLY PARTIALLY VISUALIZED. 2. SUPERIMPOSED OVER THE LEFT SCAPULA IS AN INCREASED DENSITY. ALTHOUGH THIS COULD REPRESENT SUMMATION OF SHADOWS, I CANNOT EXCLUDE EARLY AIRSPACE OPACITY IN THIS REGION AS IT APPEARS MORE DENSE THAN ON ALL COMPARISON STUDIES. WOULD RECOMMEND ATTENTION TO THIS REGION ON FOLLOW-UP. REMAINDER OF THE LUNGS APPEAR CLEAR. NO EDEMA OR EFFUSIONS.",1. AP VIEW OF THE CHEST DEMONSTRATES THE LEFT PICC LINE UNCHANGED.,PICC line,Left,Stable,['valid/patient64731/study1/view1_frontal.jpg'], patient64731_study1_0,patient64731,study1,0,Impression,"1. AP VIEW OF THE CHEST DEMONSTRATES THE LEFT PICC LINE UNCHANGED. SPINAL HARDWARE AGAIN NOTED BUT ONLY PARTIALLY VISUALIZED. 2. SUPERIMPOSED OVER THE LEFT SCAPULA IS AN INCREASED DENSITY. ALTHOUGH THIS COULD REPRESENT SUMMATION OF SHADOWS, I CANNOT EXCLUDE EARLY AIRSPACE OPACITY IN THIS REGION AS IT APPEARS MORE DENSE THAN ON ALL COMPARISON STUDIES. WOULD RECOMMEND ATTENTION TO THIS REGION ON FOLLOW-UP. REMAINDER OF THE LUNGS APPEAR CLEAR. NO EDEMA OR EFFUSIONS.",SUPERIMPOSED OVER THE LEFT SCAPULA IS AN INCREASED DENSITY.,Density,Left scapula,Worse,['valid/patient64731/study1/view1_frontal.jpg'], patient64731_study1_0,patient64731,study1,0,Impression,"1. AP VIEW OF THE CHEST DEMONSTRATES THE LEFT PICC LINE UNCHANGED. SPINAL HARDWARE AGAIN NOTED BUT ONLY PARTIALLY VISUALIZED. 2. SUPERIMPOSED OVER THE LEFT SCAPULA IS AN INCREASED DENSITY. ALTHOUGH THIS COULD REPRESENT SUMMATION OF SHADOWS, I CANNOT EXCLUDE EARLY AIRSPACE OPACITY IN THIS REGION AS IT APPEARS MORE DENSE THAN ON ALL COMPARISON STUDIES. WOULD RECOMMEND ATTENTION TO THIS REGION ON FOLLOW-UP. REMAINDER OF THE LUNGS APPEAR CLEAR. NO EDEMA OR EFFUSIONS.","ALTHOUGH THIS COULD REPRESENT SUMMATION OF SHADOWS, I CANNOT EXCLUDE EARLY AIRSPACE OPACITY IN THIS REGION AS IT APPEARS MORE DENSE THAN ON ALL COMPARISON STUDIES.",Airspace opacity,Left scapula region,New,['valid/patient64731/study1/view1_frontal.jpg'], patient64732_study1_0,patient64732,study1,0,Findings,"Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Stable cardiomediastinal silhouette. No focal consolidation. No acute osseous abnormality.",Slight interval decrease in lung volumes.,lung volumes,,Worse,['valid/patient64732/study1/view1_frontal.jpg'], patient64732_study1_0,patient64732,study1,0,Findings,"Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Stable cardiomediastinal silhouette. No focal consolidation. No acute osseous abnormality.",Stable cardiomediastinal silhouette.,cardiomediastinal silhouette,,Stable,['valid/patient64732/study1/view1_frontal.jpg'], patient64732_study1_0,patient64732,study1,0,Impression,"1. Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes. Atypical or viral infection could have a similar appearance. I have personally reviewed the images for this examination and agreed with the report transcribed above.","Slight interval decrease in lung volumes. Increased prominence of the pulmonary vasculature, right lung greater than left, may represent asymmetric pulmonary edema versus secondary to decrease in lung volumes.",lung volumes,,Worse,['valid/patient64732/study1/view1_frontal.jpg'], patient64733_study1_0,patient64733,study1,0,Impression,1.BIBASILAR OPACITIES LIKELY REPRESENTING ATELECTASIS OR CONSOLIDATION REMAIN. 2.UNCHANGED CARDIOMEDIASTINAL SILHOUETTE AND DEGENERATIVE CHANGES OF THE SHOULDERS,1.BIBASILAR OPACITIES LIKELY REPRESENTING ATELECTASIS OR CONSOLIDATION REMAIN.,Atelectasis,Bibasilar,Stable,['valid/patient64733/study1/view1_frontal.jpg'], patient64733_study1_0,patient64733,study1,0,Impression,1.BIBASILAR OPACITIES LIKELY REPRESENTING ATELECTASIS OR CONSOLIDATION REMAIN. 2.UNCHANGED CARDIOMEDIASTINAL SILHOUETTE AND DEGENERATIVE CHANGES OF THE SHOULDERS,1.BIBASILAR OPACITIES LIKELY REPRESENTING ATELECTASIS OR CONSOLIDATION REMAIN.,Consolidation,Bibasilar,Stable,['valid/patient64733/study1/view1_frontal.jpg'], patient64733_study1_0,patient64733,study1,0,Impression,1.BIBASILAR OPACITIES LIKELY REPRESENTING ATELECTASIS OR CONSOLIDATION REMAIN. 2.UNCHANGED CARDIOMEDIASTINAL SILHOUETTE AND DEGENERATIVE CHANGES OF THE SHOULDERS,2.UNCHANGED CARDIOMEDIASTINAL SILHOUETTE AND DEGENERATIVE CHANGES OF THE SHOULDERS,Silhouette,Cardiomediastinal,Stable,['valid/patient64733/study1/view1_frontal.jpg'], patient64733_study1_0,patient64733,study1,0,Impression,1.BIBASILAR OPACITIES LIKELY REPRESENTING ATELECTASIS OR CONSOLIDATION REMAIN. 2.UNCHANGED CARDIOMEDIASTINAL SILHOUETTE AND DEGENERATIVE CHANGES OF THE SHOULDERS,2.UNCHANGED CARDIOMEDIASTINAL SILHOUETTE AND DEGENERATIVE CHANGES OF THE SHOULDERS,Degenerative changes,Shoulders,Stable,['valid/patient64733/study1/view1_frontal.jpg'], patient64735_study1_0,patient64735,study1,0,Findings,,PATCHY LIMITED ATELECTASIS AND/OR CONSOLIDATION IS NOTED INFEROLATERALLY IN THE RIGHT LUNG.,Atelectasis and/or Consolidation,Inferolaterally,New,['valid/patient64735/study1/view1_frontal.jpg'], patient64735_study1_0,patient64735,study1,0,Findings,,"THE LUNGS ARE OTHERWISE CLEAR, WITH NORMAL PULMONARY VASCULARITY.",Lungs,,Stable,['valid/patient64735/study1/view1_frontal.jpg'], patient64735_study1_0,patient64735,study1,0,Findings,,CARDIOMEDIASTINUM IS WITHIN NORMAL LIMITS.,Cardiomediasinum,,Stable,['valid/patient64735/study1/view1_frontal.jpg'], patient64735_study1_0,patient64735,study1,0,Findings,,"NO ACUTE OSSEOUS ABNORMALITY IS IDENTIFIED, WITH POSTTRAUMATIC DEFORMITY OF ONE OR TWO OF THE RIBS BILATERALLY EVIDENT.",Posttraumatic deformity of ribs,Bilaterally,New,['valid/patient64735/study1/view1_frontal.jpg'], patient64737_study1_0,patient64737,study1,0,Impression,"1. INTERVAL REMOVAL OF RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER. INTERVAL REPOSITIONING OR REPLACEMENT OF A LEFT UPPER EXTREMITY PICC LINE WITH THE TIP IN THE DISTAL SUPERIOR VENA CAVA. NO PNEUMOTHORAX IS VISUALIZED. 2. LOW LUNG VOLUMES. 3. MEDIAL BIBASILAR OPACITIES, ATELECTASIS VERSUS CONSOLIDATION. 4. STABLE CARDIOMEDIASTINAL SILHOUETTE.",1. INTERVAL REMOVAL OF RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER.,Central Venous Catheter,Right Subclavian,Resolve,['valid/patient64737/study1/view1_frontal.jpg'], patient64737_study1_0,patient64737,study1,0,Impression,"1. INTERVAL REMOVAL OF RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER. INTERVAL REPOSITIONING OR REPLACEMENT OF A LEFT UPPER EXTREMITY PICC LINE WITH THE TIP IN THE DISTAL SUPERIOR VENA CAVA. NO PNEUMOTHORAX IS VISUALIZED. 2. LOW LUNG VOLUMES. 3. MEDIAL BIBASILAR OPACITIES, ATELECTASIS VERSUS CONSOLIDATION. 4. STABLE CARDIOMEDIASTINAL SILHOUETTE.",INTERVAL REPOSITIONING OR REPLACEMENT OF A LEFT UPPER EXTREMITY PICC LINE WITH THE TIP IN THE DISTAL SUPERIOR VENA CAVA.,PICC Line,Left Upper Extremity,Stable,['valid/patient64737/study1/view1_frontal.jpg'], patient64737_study1_0,patient64737,study1,0,Impression,"1. INTERVAL REMOVAL OF RIGHT SUBCLAVIAN CENTRAL VENOUS CATHETER. INTERVAL REPOSITIONING OR REPLACEMENT OF A LEFT UPPER EXTREMITY PICC LINE WITH THE TIP IN THE DISTAL SUPERIOR VENA CAVA. NO PNEUMOTHORAX IS VISUALIZED. 2. LOW LUNG VOLUMES. 3. MEDIAL BIBASILAR OPACITIES, ATELECTASIS VERSUS CONSOLIDATION. 4. STABLE CARDIOMEDIASTINAL SILHOUETTE.",4. STABLE CARDIOMEDIASTINAL SILHOUETTE.,Silhouette,Cardiomediastinal,Stable,['valid/patient64737/study1/view1_frontal.jpg'], patient64739_study1_0,patient64739,study1,0,Impression,CARDIAC SILHOUETTE REMAINS MILDLY ENLARGED. LUNGS ARE CLEAR. HEALED RIGHT-SIDED RIB FRACTURE IS STABLE.,CARDIAC SILHOUETTE REMAINS MILDLY ENLARGED.,Cardiac silhouette enlargement,,Stable,['valid/patient64739/study1/view1_frontal.jpg'], patient64739_study1_0,patient64739,study1,0,Impression,CARDIAC SILHOUETTE REMAINS MILDLY ENLARGED. LUNGS ARE CLEAR. HEALED RIGHT-SIDED RIB FRACTURE IS STABLE.,HEALED RIGHT-SIDED RIB FRACTURE IS STABLE.,Rib fracture,Right-sided,Stable,['valid/patient64739/study1/view1_frontal.jpg'], patient64740_study1_0,patient64740,study1,0,Impression,"1. THERE HAS BEEN INTERVAL INCREASE IN RETROCARDIAC OPACITIES AND INCREASE IN SIZE IN THE LEFT PLEURAL EFFUSION. REDEMONSTRATION OF MULTIPLE LEFT RIB FRACTURES, WHICH IS UNCHANGED. THERE IS A STABLE SMALL LEFT EFFUSION. 2. THERE IS REDEMONSTRATION OF LARGE TORTUOUS AORTA WITH WIDENING OF THE SUPERIOR MEDIASTINUM. CHEST CT IF CLINICALLY INDICATED.","1. THERE HAS BEEN INTERVAL INCREASE IN RETROCARDIAC OPACITIES AND INCREASE IN SIZE IN THE LEFT PLEURAL EFFUSION. REDEMONSTRATION OF MULTIPLE LEFT RIB FRACTURES, WHICH IS UNCHANGED. THERE IS A STABLE SMALL LEFT EFFUSION.",opacities,retrocardiac,Worse,['valid/patient64740/study1/view1_frontal.jpg'], patient64740_study1_0,patient64740,study1,0,Impression,"1. THERE HAS BEEN INTERVAL INCREASE IN RETROCARDIAC OPACITIES AND INCREASE IN SIZE IN THE LEFT PLEURAL EFFUSION. REDEMONSTRATION OF MULTIPLE LEFT RIB FRACTURES, WHICH IS UNCHANGED. THERE IS A STABLE SMALL LEFT EFFUSION. 2. THERE IS REDEMONSTRATION OF LARGE TORTUOUS AORTA WITH WIDENING OF THE SUPERIOR MEDIASTINUM. CHEST CT IF CLINICALLY INDICATED.","1. THERE HAS BEEN INTERVAL INCREASE IN RETROCARDIAC OPACITIES AND INCREASE IN SIZE IN THE LEFT PLEURAL EFFUSION. REDEMONSTRATION OF MULTIPLE LEFT RIB FRACTURES, WHICH IS UNCHANGED. THERE IS A STABLE SMALL LEFT EFFUSION.",pleural effusion,left,Worse,['valid/patient64740/study1/view1_frontal.jpg'], patient64740_study1_0,patient64740,study1,0,Impression,"1. THERE HAS BEEN INTERVAL INCREASE IN RETROCARDIAC OPACITIES AND INCREASE IN SIZE IN THE LEFT PLEURAL EFFUSION. REDEMONSTRATION OF MULTIPLE LEFT RIB FRACTURES, WHICH IS UNCHANGED. THERE IS A STABLE SMALL LEFT EFFUSION. 2. THERE IS REDEMONSTRATION OF LARGE TORTUOUS AORTA WITH WIDENING OF THE SUPERIOR MEDIASTINUM. CHEST CT IF CLINICALLY INDICATED.","1. THERE HAS BEEN INTERVAL INCREASE IN RETROCARDIAC OPACITIES AND INCREASE IN SIZE IN THE LEFT PLEURAL EFFUSION. REDEMONSTRATION OF MULTIPLE LEFT RIB FRACTURES, WHICH IS UNCHANGED. THERE IS A STABLE SMALL LEFT EFFUSION.",rib fractures,left,Stable,['valid/patient64740/study1/view1_frontal.jpg'], patient64740_study1_0,patient64740,study1,0,Impression,"1. THERE HAS BEEN INTERVAL INCREASE IN RETROCARDIAC OPACITIES AND INCREASE IN SIZE IN THE LEFT PLEURAL EFFUSION. REDEMONSTRATION OF MULTIPLE LEFT RIB FRACTURES, WHICH IS UNCHANGED. THERE IS A STABLE SMALL LEFT EFFUSION. 2. THERE IS REDEMONSTRATION OF LARGE TORTUOUS AORTA WITH WIDENING OF THE SUPERIOR MEDIASTINUM. CHEST CT IF CLINICALLY INDICATED.","1. THERE HAS BEEN INTERVAL INCREASE IN RETROCARDIAC OPACITIES AND INCREASE IN SIZE IN THE LEFT PLEURAL EFFUSION. REDEMONSTRATION OF MULTIPLE LEFT RIB FRACTURES, WHICH IS UNCHANGED. THERE IS A STABLE SMALL LEFT EFFUSION.",small effusion,left,Stable,['valid/patient64740/study1/view1_frontal.jpg'],