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possible small right pleural effusion. otherwise, no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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moderate cardiomegaly, moderately severe pulmonary fibrosis, heavy central adenopathy and small pericardial effusion clearly displayed on the chest ct. there has been no subsequent change.
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bilateral perihilar opacities are present, right more than left, with relatively central distribution, that might represent pulmonary edema, interstitial and alveolar. the slight asymmetric appearance in the right mid and lower lung might represent superimposed process such is infection or hemorrhage, reassessment afte...
MIMIC-CXR-JPG/2.0.0/files/p14783458/s59546853/5f7ce8f4-2ee8989b-172269e8-b547912f-51f403c4.jpg
moderate cardiomegaly, with no acute chest abnormality.
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large left upper lobe lung mass for which ct is recommended to further assess.
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worsening left pleural effusion and pulmonary edema consistent with worsening heart failure.
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no acute cardiopulmonary process.
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as compared to the previous image, no relevant change is seen. the bilateral central venous access lines are constant. no pneumothorax. moderate cardiomegaly. minimal left pleural effusion. retrocardiac atelectasis. no overt pulmonary edema. unchanged alignment of the sternal wires. unchanged position of the valvular r...
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no acute cardiopulmonary process.
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no evidence of pneumonia.
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no acute cardiopulmonary process; specifically, no evidence of pneumonia.
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moderate right pleural effusion is responsible for elevation of the apparent right hemidiaphragm. in addition there is a large to region of consolidation in the right lower lung, localized to the middle lobe on the lateral view. small left pleural effusion is unchanged. a large region of atelectasis at the left lung ba...
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as compared to , a right picc continues to loop superiorly at the medial right clavicle before coursing inferiorly within the superior vena cava. cardiomediastinal contours are stable. mild pulmonary vascular congestion is new. new heterogeneous opacities have developed in the right lung as well as a small right pleura...
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ap chest compared to at : right basal pleural drain still in place. small right pleural effusion increased slightly, small right apical pneumothorax decreased over the past eight hours. left subclavian central venous line ends in the low svc. left lung clear. heart size normal. large thoracic aorta has not changed in ...
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no acute cardiopulmonary process.
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findings compatible with congestive failure. no pneumonia.
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stable moderate loculated right pleural effusion.
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heart at the upper limits of normal size. no evidence of acute disease.
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copd without superimposed pneumonia.
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no acute cardiopulmonary process.
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large amount of air continues to overlie the abdomen and could represent distended stomach or possibly pneumoperitoneum. recommend urgent placement of an ng tube for stomach decompression followed by urgent upright chest radiograph to rule out possible pneumoperitoneum. otherwise, unchanged pulmonary and cardiac findin...
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no evidence of acute disease. perihilar nodular focus projecting on the lateral view, probably an artifact associated with hilar structures. however, when clinically appropriate, repeat imaging including a lateral view may be helpful to see whether it were to persist.
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no acute cardiopulmonary pathology.
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no acute cardiopulmonary process.
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<num>) no focal consolidation detected to suggest pneumonia. <num>) minimal prominence of the ascending aorta noted - in the absence of hypertension, this may be an artifact due to mild scoliosis.
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re-demonstrated central left upper lobe pulmonary mass with left hilar and mediastinal lymphadenopathy. equivocal left pneumothorax. consider follow-up radiograph to assess for resolution.
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no radiographic evidence for pneumonia. emphysema. enlargement of the main and left pulmonary arteries, unchanged, for which correlation with echocardiography, if not previously done, is suggested.
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no radiographic evidence of an acute cardiopulmonary process.
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there has been placement of an enteric tube whose distal tip is in the fundus of the stomach. left-sided port-a-cath is unchanged in position. lungs are grossly clear. there are no pneumothoraces.
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lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. previous moderate left pleural effusion has resolved.
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bibasilar atelectasis. mild cardiomegaly. no convincing evidence for pneumonia.
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no acute cardiac or pulmonary process.
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no evidence of acute cardiopulmonary disease.
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left lower lobe pneumonia. no evidence of fracture within the limits of plain radiography.
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no pneumonia. there are mild anterior compression fractures of mid thoracic vertebral bodies (these likely t<num> and t<num>) which are of indeterminate age, but new since. clinical correlation is recommended to assess focal tenderness.
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mild edema on has almost cleared. consolidation at the left lung base adjacent to persistent atelectasis over the elevated left hemidiaphragm has worsened. this should be followed to exclude pneumonia. upper lungs are grossly clear. heart size is top normal.
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minimal opacity at the right lung base most likely atelectasis, though cannot exclude a tiny focus of pneumonia.
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no significant interval change.
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no acute cardiopulmonary process.
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no acute intrathoracic process. elevation of the left hemidiaphragm which is likely secondary to either prior injury or phrenic nerve dysfunction. if there is desire to document diaphragmatic function, ultrasound or fluoroscopic study can be considered.
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multifocal ill-defined opacities are new and consistent with atypical pneumonia. indistinct appearance of the pulmonary vasculature suggests concurrent early heart failure. findings were communicated via phone call by to on at pm.
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no acute cardiopulmonary abnormality.
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pa and lateral chest compared to through : moderate cardiomegaly is unchanged and there is no pulmonary vascular engorgement, edema, or pleural effusion to raise concern for cardiac decompensation. lateral view suggests at least a moderate degree of calcification in the aortic valve, but this need not be pathologic in...
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no acute cardiopulmonary process. moderate hiatal hernia.
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small residual right basilar region of consolidation potentially due to atelectasis, though infection is not completely excluded. persistently increased interstitial markings throughout the lungs, potentially related to chronic underlying lung disease, unchanged from prior.
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comparison to. the patient has received the new right internal jugular vein catheter. the course of the catheter is unremarkable, the tip of the catheter projects over the mid svc. no pneumothorax or other complications. the other monitoring and support devices are stable. new right lower lung parenchymal opacity that ...
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severe infiltrative pulmonary abnormality worsened substantially between and this admission, but there is substantial preexisting infiltrative lung disease. there is probably combination of chronic heart failure and pulmonary fibrosis since the radiographic severity severity of the lung abnormality and heart size of ...
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no evidence of acute disease.
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emphysema with bibasilar linear and patchy airspace opacities, likely atelectasis or scarring, although infection cannot be excluded in the correct clinical setting. enlargement of the pulmonary arteries bilaterally may suggest underlying pulmonary arterial hypertension.
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no acute cardiopulmonary process.
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slightly worsened left greater than right basilar opacities, likely atelectasis.
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no acute cardiopulmonary process.
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compared to chest radiographs since , most recently. feeding tube with the tip of the wire stylet one cm from full insertion ends barely in the stomach and should be advanced several cm for more secure positioning. heart size is top-normal. no pulmonary edema, pneumothorax, or appreciable pleural effusion. aside from a...
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no acute cardiopulmonary abnormality.
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mild pulmonary edema. no consolidation.
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mild right suprahilar opacity could represent pneumonia in the appropriate clinical setting.
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no previous images. the cardiac silhouette is within upper limits of normal in size and there is no evidence of vascular congestion or pleural effusion. specifically, no acute pneumonia identified.
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the right-sided picc is within the right atrium. the nasogastric tube needs to be advanced approximately <num> cm. increasing subsegmental atelectasis, persistent left retrocardiac opacity with small left-sided effusion.
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left lower lobe opacity, concerning for persistent or recurrent pneumonia. recommend repeat radiographs in <num> weeks to document complete resolution after appropriate therapy.
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unchanged severe cardiomegaly and mild pulmonary vascular congestion. assessment is limited due to low lung volumes, however opacification of the left lung base on lateral view appears mildly increased from prior examination and pneumonia cannot be excluded.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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equivocal retrocardiac opacity, which could represent pneumonia in the right clinical setting or which may be a prominent bronchovascular markings or atelectasis. otherwise unremarkable chest radiographs.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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mild left basal atelectasis. otherwise, unremarkable.
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little interval change compared to the prior exam with mild pulmonary edema superimposed on a background of chronic interstitial lung disease.
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stable massive cardiomegaly. stable small left pleural effusion.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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stable mild cardiomegaly. no pneumonia.
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no relevant change as compared to the previous examination. no lung nodules or masses suspicious for metastatic disease. normal appearance of the lung, the heart and the hilar structures.
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no acute cardiopulmonary process.
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normal chest radiograph.
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in comparison with the study of , the monitoring and support devices are unchanged. continued enlargement of the cardiac silhouette with minimal vascular congestion. retrocardiac opacification is consistent with pleural fluid and volume loss in the left lower lobe. right lung is clear.
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the examination is limited by very low lung volumes. the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion.
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no significant interval change. persistent right pleural thickening. no new focal consolidation to suggest pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence of acute disease.
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no acute cardiopulmonary abnormality.
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no previous images. the heart is normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
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arison with the study of , the cardiac silhouette appears enlarged and there is tortuosity of the aorta. however, no appreciable vascular congestion, pleural effusion, or acute focal pneumonia. prior old rib fractures are again seen.
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no acute intrathoracic process.
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unchanged small-to-moderate right apical pneumothorax and right chest wall subcutaneous air. small bilateral pleural effusions. mass-like opacities in the right lung base.
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no acute cardiopulmonary process.
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no relevant change as compared to the previous image. minimal calcifications in the right upper lobe. mild scoliosis with subsequent asymmetry of the ribcage. normal size of the cardiac silhouette. no evidence of active tb. no pleural effusions. no pneumonia.
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no acute cardiopulmonary process seen.
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no acute chest pathology; there is no radiographic evidence for pulmonary edema.
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unchanged right pleural effusion with subsequent areas of atelectasis, unchanged cardiomegaly without overt pulmonary edema. minimal left pleural effusion.
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no acute cardiopulmonary process.
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right picc in the upper svc.
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patchy right basilar opacity, probably attributed to atelectasis, although not entirely specific.
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in comparison with the study of , the tip of the left subclavian port-a-cath again extends to the mid portion of the svc. little change in the appearance of the heart and lungs, with no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
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comparison to. moderate overinflation. borderline size of the heart. no pulmonary edema. old pleural scars. no pleural effusions. no pneumonia. slight increase in soft radio density at the level of the right lung apex is likely caused by overlying soft tissues.
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no acute cardiopulmonary process.
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compared to chest radiographs through. <num> successive frontal chest radiographs show advancement of the feeding tube from the upper esophagus to the mid stomach to the distal stomach. wire stylet is withdrawn several cm from the tip. small right pleural effusion is decreased since. lungs clear. heart size normal.
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in comparison with the study of earlier in this date, there is little overall change. monitoring and support devices are again seen and there is little change in the appearance of the heart and lungs.
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resolution of the right upper lobe opacification and previously visualized lung nodules compatible with improving infection.