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MIMIC-CXR-JPG/2.0.0/files/p11809548/s57630972/8fd2495a-d11232a0-6fa3d560-2de4ef6b-de155f94.jpg
pacer seen with leads in good position with a slightly atypical course of the right ventricular lead. otherwise, unremarkable chest radiograph.
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right perihilar opacity, improved from , possibly represents crowding of vessels in the setting of low lung volumes however in the appropriate clinical setting pneumonia is possible.
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chf.
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no evidence of acute intrathoracic process.
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no acute cardiopulmonary process.
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no radiographic evidence for acute cardiopulmonary process.
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moderate pulmonary edema. retrocardiac opacity potentially in part technical although underlying infection can not be excluded. appearance is similar compared to prior. consider pa and lateral if patient is amenable.
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no evidence of pneumonia.
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streaky right basilar opacities, probably associated with elevation of the right hemidiaphragm, although airway inflammation or infection is difficult to entirely exclude.
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no acute cardiopulmonary process. enlargement of the hila compatible with known underlying pulmonary arterial hypertension.
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no acute intrathoracic process.
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comparison to. stable correct position of the monitoring and support devices. the parenchymal opacities are stable in extent and severity. mild elevation of the left hemidiaphragm. no larger pleural effusions.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. partially imaged, there may be an ovoid calcification projecting over the soft tissue lateral to the right humeral head, could relate to calcific tendinosis, not well assessed on this study.
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no acute intrathoracic abnormality.
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no acute cardiopulmonary abnormality.
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no acute cardiac or pulmonary process. moderate cardiomegaly, not significantly changed. massive enlargement of the pulmonary arteries, consistent with pulmonary arterial hypertension, not significantly changed.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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lateral segment right middle lobe pneumonia. recommendation(s): recommend follow-up radiograph in <num> - <num> weeks to assess for resolution.
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no acute cardiopulmonary abnormality. slightly low lung volumes.
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in comparison with the study of , there is an placement of a left ij catheter that extends to the upper to midportion of the svc. no evidence of pneumothorax. remainder the study is within normal limits.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality. previously noted <num> mm right apical spiculated nodule is not well assessed on the current exam, and as recommended on the previous ct, a followup chest ct is suggested for further assessment.
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despite left apical pleural drains, volume of moderate to large left pleural effusion has increased with predominantly posterior and lateral loculations. the volume of any pleural air is small. mild subcutaneous emphysema in the left neck and chest wall is stable. mild interstitial pulmonary edema is stable consolidati...
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no evidence of pneumonia or chf.
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compared to chest radiographs through at. patient has severe emphysema, with most severe vascular deficiency in the lower lungs, especially the left, a distribution which suggests alpha one antitrypsin deficiency. there are no focal pulmonary findings to suggest either pneumonia or edema. however there has been subst...
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no acute cardiopulmonary abnormality.
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increase in size in large right pleural effusion.
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no evidence of acute cardiopulmonary disease.
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ap chest compared to : a somewhat heterogeneous opacification has worsened throughout both lungs most readily explained by pulmonary edema. moderate cardiomegaly and mediastinal vascular engorgement persist. small pleural effusions are presumed. no pneumothorax. et tube in standard placement.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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reaccumulation of large right pleural effusion with mild leftward mediastinal shift. the patient has an appointment with dr the study.
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no focal pneumonia. possible emphysema.
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no definite focal consolidation, however cannot exclude a small opacity in the posterior lung, which could be obscured by the pleural effusions. right upper lobe mass, partially imaged on recent mr and similar to recent prior radiographs but new since radiographs from. further evaluation by ct is recommended.
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pa and lateral chest compared to through : previous subcutaneous emphysema in the left chest wall has almost entirely cleared. heart border is obscured by atelectasis. there is no appreciable left pleural effusion. elevation of the right hemidiaphragm reflecting prior lobectomy, predates recent surgery. lateral view s...
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findings consistent with mild-to-moderate pulmonary edema.
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no acute cardiopulmonary process.
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as compared to radiograph, right pigtail pleural catheter continues to course medially with tip terminating in the lower right paraspinal region. moderate to large partially loculated right pleural effusion with substantial interstitial component appears unchanged. interval improved aeration at right lung base. exam i...
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as compared to the previous radiograph, no relevant change is seen. the extensive parenchymal opacities and areas of pleural thickening are constant in extent and severity. unchanged position of the tracheostomy tube, unchanged course of the left picc line. unchanged moderate cardiomegaly.
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type of tube is coiled in the stomach. right picc line tip is at the level of lower svc. heart size and mediastinum are stable. left pleural effusion is moderate. left basal consolidation is unchanged.
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right basilar opacity likely represents atelectasis but could be early or developing pneumonia in the appropriate clinical setting.
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coarse interstitial markings more prominent in the right lower lung field, associated with small bilateral pleural effusions with concurrent bibasilar atelectasis, right worse than left; findings suggest mild vascular congestion.
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no evidence of pneumothorax. otherwise, little change.
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low lung volumes. no focal consolidation.
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no evidence of acute disease.
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in comparison with the study of , of the monitor and support devices are unchanged. there is decreasing opacification at the bases, a still more prominent on the left. this could reflect pleural effusion and atelectatic changes, with the appearance less prominent due to a more upright position of the patient. neverthel...
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no acute cardiopulmonary abnormality.
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the nasogastric tube is too high with the tip and side port in the lower esophagus. this should be readjusted. cardiomediastinal silhouette is within normal limits. there is a new hazy opacity within the left retrocardiac area. there are no pneumothoraces.
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prominence of bibasilar interstitium on the background of chronic lung disease may be exaggerated by low lung volumes, though superimposed mild edema cannot be excluded.
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no significant change
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no evidence of acute disease.
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stable chest findings. no evidence of cardiac enlargement, pulmonary congestion or acute infiltrates as has been assessed on single view examination with patient in supine position.
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in comparison with the study of , there is continued opacification in the infrahilar regions bilaterally, possibly worse on the left, consistent with the diagnosis of multifocal aspiration or pneumonia. the left hemidiaphragm is more sharply seen. this could reflect some improving pleural effusion, but may merely be a ...
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compared to chest radiographs through. severity of the widespread bilateral infiltrative pulmonary abnormality has varied from day to day, probably reflecting volume status and the extent of positive pressure ventilator support, but there does appear to have been real improvement since :<num> on , and heart size is sm...
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in comparison to chest radiograph, right basilar atelectasis has worsened. a new area of more confluent opacity has developed in the left lower lobe and could potentially represent an evolving pneumonia in the appropriate clinical setting. small left pleural effusion is also noted.
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small right-sided pleural effusion. minimal prominence of the central vasculature may represent mild congestion.
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two areas of increased radiodensity, one in the right upper lobe and one in the left upper lobe, which in the correct clinical setting may represent pneumonia. possible left hilar lymphadenopathy. possible emphysema and mild interstitial lung abnormality, probably due to smoking. possible small right lung nodules. ches...
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pacer leads in standard position. mild vascular congestion. no pneumothorax
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no acute pulmonary process identified.
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no radiographic evidence for acute cardiopulmonary process. dr the findings with dr telephone at on , <num> minutes after discovery.
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ng tube tip is in the stomach. heart size and mediastinum are overall stable. lungs are essentially clear. port-a-cath catheter tip is at the level of lower svc.
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no evidence of acute disease.
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stable chest findings in elderly female patient with permanent pacer, dual electrodes in place, borderline heart size but no evidence of pulmonary vascular congestion or any acute infiltrates. extensive aortic wall calcifications and calcium deposits in the aortic valve area already seen on previous examinations.
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possible early/developing right lower lobe pneumonia. short-term followup radiographs may be helpful.
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in comparison to radiograph, support and monitoring devices are unchanged in position. stable cardiomegaly accompanied by pulmonary vascular congestion and slight improvement in the extent of pulmonary edema. no other relevant change.
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et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. pulmonary edema is substantial, bilateral associated with large bilateral pleural effusions. no evidence of pneumothorax expressed
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right mid lung opacity may reflect early/developing pneumonia versus crowding of bronchovascular structures. attention on follow-up radiographs. no pulmonary edema.
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small bilateral effusions. right basilar opacity medially only on the frontal view is most likely atelectasis.
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small bilateral pleural effusions and mild pulmonary edema. moderate-to-large hiatal hernia.
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no acute cardiopulmonary process or lesion noted.
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right lower lobe pneumonia.
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compared to chest radiographs were and and. lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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moderate cardiomegaly is stable. there are lower lung volumes with increasing bibasilar atelectasis. mild vascular congestion is stable. there is no pneumothorax or increasing effusion. sternal wires are aligned
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right ij in svc.
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heart size is normal. mediastinum is stable in appearance. lungs are clear. there is no pleural effusion or pneumothorax. note is made that the study neither confirm nor exclude the possibility of vascular abnormality such as pulmonary embolism or aortic dissection and if clinically warranted, correlation with ct angio...
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no pneumonia.
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no acute cardiopulmonary process.
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there is stable free air under the hemidiaphragms as compared to the earlier study. there is bibasilar atelectasis which is unchanged. there is no pneumothorax or pneumomediastinum. there is no chf.
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mild volume overload.
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multifocal bilateral consolidation is concerning for multifocal pneumonia in the appropriate clinical setting. differential diagnosis is broad and also includes non infectious causes such as cryptogenic organizing pneumonia, eosinophilic pneumonia and vasculitis, as well as a pneumonic form of lung adenocarcinoma. mode...
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no acute cardiopulmonary abnormality.
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as compared to the previous radiograph, the right central venous access line has been removed. the lung volumes have substantially decreased, likely caused by atelectasis subsequent ste <num> small new pleural effusions. the atelectasis in the retrocardiac lung regions is constant. constant evidence of moderate pulmona...
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no acute intrathoracic process. satisfactory position of the endotracheal tube.
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interval placement of a nasogastric tube, which appears to have its tip projected over the stomach, and the side port just below the gastroesophageal junction. a right dual-lumen central venous catheter is unchanged in position. a right basilar pigtail pleural catheter is unchanged in position. there has been interval ...
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no acute cardiopulmonary process. no evidence of displaced rib fracture. note, chest radiographs are not sensitive for the detection of subtle or nondisplaced rib fractures. dedicated rib radiographs could be obtained for further assessment if desired.
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comparison to ,. the right chest tube is in unchanged position. however, a relatively substantial right pneumothorax with early signs of tension has redeveloped. normal appearance of the left lung and of the heart. no pleural effusions.
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no acute cardiopulmonary abnormality.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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ap chest compared to : left lower lobe is chronically consolidated, presumably atelectatic, accompanied by at least small left pleural effusion. also longstanding are moderate-to-severe cardiomegaly, pulmonary vascular congestion and borderline interstitial edema. left subclavian line ends low in the svc, and an upper ...
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no acute cardiopulmonary process. no focal consolidation to suggest pneumonia.
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mild improvement of right lower lobe aeration.
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no acute findings.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
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no acute findings in the chest.
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no focal consolidation concerning for pneumonia.
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ap chest compared to : previous pulmonary edema has nearly cleared. left perihilar opacity could be small residual of previously larger consolidation or fissural pleural fluid. there is no other pleural abnormality or substantial residual consolidation in the lungs. cardiomediastinal and hilar silhouettes are normal. e...
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normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection, including tuberculosis. compared to , mild interstitial abnormality has resolved