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MIMIC-CXR-JPG/2.0.0/files/p11739747/s52604098/2ba504f5-5198234b-b72e53a9-06eccb07-d6ab9ded.jpg
no focal consolidation concerning for pneumonia. unchanged blunting of the left costophrenic angle from likely represents pleural parenchymal scarring.
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there has been interval placement of a nasogastric tube whose tip and side port are below the ge junction. there is again seen atelectasis at the lung bases, right greater than left. there are no pneumothoraces.
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mild cardiomegaly and previous pulmonary vascular engorgement have both improved since earlier in the day. left pic line ends in the region of the superior cavoatrial junction. lungs grossly clear. no appreciable pleural abnormality.
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no pneumonia, edema, or effusion.
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ap chest compared to through : there is no good radiographic evidence for pathophysiologically significant interstitial lung disease. mild interstitial edema has developed since , unchanged, and the left lower lobe has become consolidated. whether this is due to pneumonia or atelectasis is not certain, but leftward sh...
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in comparison with the study of , there has been some decrease in the diffuse bilateral opacification is, clinically consistent with pneumonia. some degree of. vascular congestion could well be present. little change in the monitoring and support devices
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interval resolution of right-sided pleural effusion with placement of new right chest tube. no pneumothorax. newly apparent increased diffuse interstitial markings on the right, concerning for lymphangitic carcinomatosis. increased left lower lung consolidation may represent combination of small left pleural effusion a...
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unremarkable ett position following adjustment. persistent marked cardiomegaly with pulmonary congestion, bilateral pleural effusions in this patient in supine position.
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right pleural effusion and a adjacent consolidation is not excluded.
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endotracheal tube terminating <num> cm from the carina, at the level of the clavicular heads. recommend advancement.
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no evidence of acute disease.
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new moderate right pneumothorax with leftward shift of the mediastinum. a small left pleural effusion is unchanged.
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no acute cardiopulmonary process.
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right-sided port-a-cath terminates in the low svc.
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unchanged extent of a right pleural effusion and the right basal and left basal parenchymal opacity. as noted on the previous report, the changes are suspicious for pneumonia. mild fluid overload but no overt pulmonary edema. unchanged moderate cardiomegaly.
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diffuse opacification suggesting pulmonary edema. patchy more confluent right basilar opacity, probably compatible with an aspect of the same process, but short-term followup radiographs could be considered if developing pneumonia at the latter site is a potential clinical concern.
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subsegmental atelectasis in the lung bases. otherwise no acute cardiopulmonary abnormality.
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large bilateral pleural effusions, increased compared to.
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small right pleural effusion with overlying atelectasis. right mid lung opacity appears slightly increased as compared to the prior study and may represent a combination of atelectasis and evolving consolidation.
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questionable opacity at the right apex is not apparent on these subsequent views and was likely artifact secondary to summation of shadows.
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normal radiograph of the chest.
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top-normal heart size is long-standing, but unchanged. lungs are clear. mediastinal and hilar silhouettes and pleural surfaces are normal. no good evidence for intrathoracic malignancy or infection.
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ap chest compared to through. the pleural fluid component of opacification at the lung bases has decreased, but the precise volume of persistent basal atelectasis is indeterminate and could be substantial on both sides of the chest. upper lungs are clear. no pneumothorax. heart size normal. cardiopulmonary support dev...
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mild left base atelectasis.
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ap chest compared to : right pleural effusion is substantially smaller. inferior displacement of the right major fissure reflects right lower lobe atelectasis. pulmonary and mediastinal vascular congestion have improved, but moderate enlargement of the cardiac silhouette has not, since it was much smaller on. this rais...
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large lobulated left lower lobe mass, similar to prior. no evidence for superimposed acute process.
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low lung volumes.
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dobhoff tube tip is just reaches the region of the gastroesophageal junction, and should be advanced several cm for more optimal positioning. unchanged low lung volumes with bibasilar opacifications, likely a combination of atelectasis and pleural fluid.
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satisfactory right internal jugular dialysis catheter position without pneumothorax. unchanged severe cardiomegaly.
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limited assessment due to low lung volumes. probable bibasilar atelectasis.
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compared to prior chest radiographs, through. asymmetric interstitial pulmonary abnormality, right lung greater than left, has increased since , probably asymmetric edema. small right pleural effusion is unchanged. moderate cardiomegaly has worsened. right transjugular dialysis catheter ends low in the right atrium. l...
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no acute intrathoracic process.
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worsening of diffuse interstitial and alveolar opacities, compared with. the appearance is non-specific and could include inflammatory or infectious changes as well as pulmonary edema. nonvisualization of gross pleural effusions makes pulmonary edema somewhat less likely. cardiomediastinal contours are obscured by the ...
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no significant interval change.
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compared to chest radiographs, through at. substantial improvement in the upper lobe component of multifocal pulmonary opacification suggests decrease in concurrent pulmonary edema. extensive pneumonia is still present along with at least a small left pleural effusion. moderate cardiomegaly may have improved, consist...
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no evidence of acute cardiopulmonary abnormality.
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no definite acute cardiopulmonary process.
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slight interval improvement in left apical pneumothorax with stable bilateral pleural effusions.
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normal chest radiograph.
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et tube tip root is <num> cm above the carinal. left picc line tip is at the level of lower svc. overall no substantial change in widespread parenchymal opacities demonstrated
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heart size is upper limits of normal. lungs are clear without evidence of overt pulmonary edema, focal consolidation, or pleural effusions. there are no pneumothoraces.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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bilateral pleural effusions have increased in particular on the left. after removal of the right pigtail catheter there is only minimal increase of the pleural effusion on the right. loculated effusion along the major fissure on the right is unchanged. cardiomediastinal silhouette including cardiomegaly is unchanged.
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no relevant change as compared to the previous examination. normal size of the cardiac silhouette. normal lung volumes. no pneumonia, no pulmonary edema, no pleural effusions. the hilar and mediastinal contours are also normal.
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no pneumonia. emphysema.
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ap chest compared to through , : moderate-to-large right pneumothorax improved between and and has been stable all day, despite presence of two right pleural tubes ending in the upper hemithorax. diffuse interstitial abnormality in the right lung is probably edema reflecting continuous negative pressure in the righ...
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bilateral nodular opacities. while these could be related to underlying calcified pleural plaques, dedicated, nonurgent chest ct is suggested to confirm and exclude an underlying lung lesion. no definite acute cardiopulmonary process.
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no acute cardiopulmonary process.
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cardiac silhouette has decreased in size since , and is now upper limits of normal. lungs are clear except for minor atelectasis at the left lung base adjacent to a probable small left pleural effusion.
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comparison to. no relevant change is noted. no pneumonia, no pulmonary edema, no pleural effusions. normal size of the cardiac silhouette.
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right swan-ganz l catheter tip is in a right lower subsegmental artery, should be withdrawn approximately <num> cm for more standard position. severe cardiomegaly is stable. pacer leads are in standard position. mild vascular congestion has improved. there is no pneumothorax or large effusions
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no acute intrathoracic process. given the patient's history, a chest ct to better delineate nodular opacities and interstitial abnormalities as seen on prior ct should be considered.
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no evidence of pneumonia.
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worsening left upper lobe and lingular pneumonia.
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right basal opacity is worrisome for pneumonia with moderate subpulmonic pleural effusion. no edema. dr the findings with by phone at on.
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no radiographic evidence for persistent cough, however this study does not constitute a thorough evaluation for either central or peripheral airways.
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the tip of the gastric tube projects over the body of the stomach no however the side hole appears at or very close to the ge junction. unchanged findings of pulmonary edema with bilateral pleural effusions
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no acute findings in the chest.
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possible minimal interstitial edema. otherwise, aside from this, no acute cardiopulmonary process seen.
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left lower lobe consolidation compatible with pneumonia in the proper clinical setting. repeat after treatment is recommended to ensure resolution.
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opacity in the right lung base, which would be consistent with pneumonia or aspiration in the right clinical setting.
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no acute cardiopulmonary process. no displaced rib fractures noted.
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no acute cardiopulmonary abnormality.
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ng tube tip in the stomach
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no acute intrathoracic process.
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in comparison with the study of , there is continued mild enlargement of the cardiac silhouette without vascular congestion, pleural effusion, or acute focal pneumonia.
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no acute cardiopulmonary process.
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left lower lobe atelectasis and unlikely to be pneumonia.
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low lung volumes with probable bibasilar atelectasis.
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basilar predominant increased interstitial markings bilaterally, this patient with chronic interstitial lung disease, appears slightly increased in the upper to mid lung zones which may be due to superimposed mild interstitial edema or acute exacerbation of chronic lung disease. no lobar consolidation.
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no acute cardiopulmonary process.
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right-sided large bore hemodialysis catheter is unchanged in position. the widened mediastinal contours persist, although there now appears to be increased right paratracheal soft tissue which raises concern for lymphadenopathy or possibly could represent distended venous structures due to a fluid replete state. the he...
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a right port-a-cath is noted with the tip in the distal svc. the lungs are clear. there is no pneumothorax, effusion, consolidation or chf.
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low lung volumes and bibasilar atelectasis; otherwise normal chest radiograph.
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no acute cardiopulmonary abnormality.
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retrocardiac opacity concerning for pneumonia with small left pleural effusion, new from prior. mild cardiomegaly unchanged.
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comparison to. the previously misplaced picc line has been repositioned. the tip of the line now projects over the mid svc. no complications, notably no pneumothorax. otherwise unchanged image.
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status post pacemaker placement with no evidence of pneumothorax.
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unchanged configuration of a left lingular consolidation. follow-up chest radiographs in weeks to evaluate for resolution are again recommended. low lung volumes causing bibasilar atelectasis. no new area of consolidation identified. recommendation(s): follow-up chest radiographs in weeks are recommended to confirm r...
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compared to chest radiographs since , postoperative chest radiographs. cardiomediastinal silhouette, including moderate cardiomegaly, has the expected postoperative appearance. bibasilar atelectasis, severe on the left, moderate on the right, developed after extubation and has not resolved. pleural effusions are small....
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expected postoperative appearance without evidence of acute cardiopulmonary process.
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no evidence of pneumonia.
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et tube in standard placement. left pic line ends at the origin of the svc. small left pleural effusion decreased, moderate right pleural decreased slightly since. mild cardiomegaly improved. upper lungs clear. lung base is partially obscured by effusion, improving atelectasis on the left. no pneumothorax.
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et tube tip is <num> cm above the carinal. swan-ganz catheter tip is at the level of the right ventricular outflow tract. cardiomegaly is substantial. pulmonary edema has progressed in the interim.
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no evidence of acute disease.
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low lung volumes with mild vascular congestion and trace pleural effusions.
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no evidence of acute disease.
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slightly less pulmonary vascular congestion. no focal consolidation.
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no radiographic evidence for acute cardiopulmonary process.
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in comparison to the prior radiograph of <num> day earlier, apparent pattern of asymmetrical edema involving the right lung to a greater degree than the left has worsened in the interval, accompanied by increasing moderate sized right pleural effusion. no other relevant change.
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right picc tip projects at the cavoatrial junction.
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no acute cardiopulmonary abnormality.
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comparison to , in the interval, the patient has received a nasogastric tube. the course of the tube is unremarkable, the tip projects over the lower third of the esophagus. to be correctly positioned in the stomach, the device needs to be advanced by approximately -<num> cm. no pneumothorax or other complications. dec...
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no acute findings. subtle opacity at the left inferior lung base likely represents a prominent fat pad.
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post-surgical changes with areas of scarring in the bilateral upper lungs in this patient with prior left upper lobectomy. no superimposed consolidation or acute interval changes.
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no acute cardiopulmonary process.
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compared to chest radiographs through. large bilateral pleural effusions with severe secondary atelectasis have worsened. cardiac silhouette is obscured, but still quite large. lung apices of grossly clear. left pic line and right jugular line both end in the low svc. no pneumothorax
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no evidence of acute disease. suitable positioning of endotracheal tube.
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low lung volumes with mild bibasilar atelectasis. widened right paratracheal stripe, unchanged, potentially due to underlying lymphadenopathy or mediastinal fat.