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MIMIC-CXR-JPG/2.0.0/files/p16444272/s54476134/b1bbcb3a-0fb39fd9-f2fa9731-440e2252-36f34f8b.jpg
in comparison to exam, there is interval progression of moderate-to-large right and small-to-moderate left pleural effusions. mild pulmonary edema. bibasilar opacities, likely atelectasis.
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slightly increased opacity in the right infrahilar region with a corresponding opacity on lateral view may represent atelectasis, but pneumonia cannot be excluded in the right clinical setting.
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stable pneumothorax on the left.
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normal chest radiograph. specifically, no evidence of pneumonia.
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bilateral upper lobe scarring unchanged without evidence of superimposed acute process.
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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. no evidence of displaced rib fracture; equivocal callus along the right anterior fifth and sixth ribs.
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no acute abnormalities identified that may explain patient's cough and fever.
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no evidence of acute cardiopulmonary process.
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emphysema. left basilar streaky opacity, likely atelectasis, though infection is not completely excluded.
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no previous images. cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. no definite clavicular abnormalities appreciated. if this is of serious clinical concern, coned views or even ct could be obtained.
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minimal strandlike opacity at right base, definitely improved compared with the film obtained earlier the same day. please see comment above. no new infiltrate identified.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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persistent left lung base consolidation, likely atelectasis, and associated small left pleural effusion. left-sided rib fractures.
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previous mild pulmonary edema or vascular congestion on has resolved. lungs are moderately low in volume but essentially clear. heart size top- normal. no pleural abnormality. left pic line can be traced to the origin of the svc. no pleural abnormality.
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multifocal opacities concerning for pneumonia in this patient status post liver transplant. given the high risk nature of this patient, consider ct for further assessment.
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no evidence of acute disease.
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ap chest compared to : consolidation at the base of the left lung which worsened from through at is unchanged. this could be atelectasis alone or aspiration. a small amount of fluid has accumulated in the left hemithorax with persistence of the moderate left pneumothorax, unchanged in volume since it was first detec...
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right lower lobe pneumonia
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hyperinflated lungs without evidence for acute process.
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there is contrast within proximal small bowel loops and there is no residual contrast within the esophagus. there is no pneumothorax, consolidation or chf. aortic calcifications are present. there is borderline cardiomegaly.
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moderate cardiomegaly is a stable. there are low lung volumes. there are minimal atelectasis in the bases. vascular congestion has resolved. there is no pneumothorax or pleural effusion.
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ng appears to enter the stomach; tip is not clearly identified.
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no acute cardiac or pulmonary process. small hiatal hernia.
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in comparison with the study of , the right central catheter is been removed. continued low lung volumes accentuate the transverse diameter of the heart. no evidence of vascular congestion or acute focal pneumonia. mild prominence of opacification at the right base medially most likely represents crowding of vessels wi...
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no acute cardiopulmonary process.
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worsening confluent bilateral airspace opacities, which may be due to progressive multifocal pneumonia with or without superimposed secondary process such as noncardiogenic pulmonary edema, aspiration or hemorrhage.
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hyperinflation without acute cardiopulmonary process. compression deformities in the mid thoracic spine may be chronic but are age indeterminate. clinical correlation is suggested.
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patchy mid left lung opacity worrisome for pneumonia. recommend followup to resolution to exclude an underlying pulmonary lesion. blunting of the right costophrenic angle may be due to a trace pleural effusion or pleural thickening. cardiomegaly. copd.
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near complete resolution of right upper lobe pneumonia with remaining density likely representing residual scarring.
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there are no prior chest radiographs available for review. lungs are hyperinflated, but clear of focal abnormality. this suggests hila possible c opd. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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ap chest compared to chest imaging since , most recently : previous recurrent right lower lobe collapse has improved, but there is bulbous enlargement of the right hilus. the right lower lobe endobronchial obstruction seen on chest cta should be re-evaluated, at least with chest ct. left lower lobe collapse persists, ...
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dobbhoff tube terminating at the ge junction. the initial findings were discussed by dr with dr by telephone at the time of interpretation,.
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no radiographic evidence of pneumonia.
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endotracheal tube terminates in appropriate position. mediastinum appears slightly wider possibly due to the image being obtained on expiration. repeat portable chest radiograph this afternoon at inspiration is recommended. recommendation(s): repeat portable chest radiograph this afternoon at inspiration is recommended...
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left ij catheter appropriate positioning. continued worsening of right middle lobe opacification.
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small right pleural effusion. no focal consolidation. an addendum will be added to this report if comparison films become available.
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new right internal jugular central venous catheter in the low svc. no pneumothorax. stable mild vascular engorgement. stable severe cardiomegaly.
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no acute cardiopulmonary disease.
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interval improvement of mild pulmonary edema.
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normal chest x-ray.
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no acute cardiopulmonary process.
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pa and lateral chest compared to : large left pleural effusion has accumulated, with no appreciable mediastinal shift suggesting its slow accumulation with equivalent atelectasis. right lung is grossly clear. no pneumothorax. dr was paged at <num> when the findings were recognized.
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no acute cardiopulmonary process.
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increasing opacity of the left lower lung is likely a combination of increased pleural effusion and atelectasis, but superimposed pneumonia cannot be excluded. these findings were communicated via telephone by dr to dr at on.
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no frank consolidation. subsegmental atelectasis in the right middle lobe, without definite infiltrate.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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mild pulmonary edema.
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moderate left and small right pleural effusions have progressed since. mild interstitial edema.
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in comparison with the study of , there may be minimal retrocardiac opacification most likely reflecting atelectatic changes. however, in the appropriate clinical setting, it would be difficult to exclude superimposed pneumonia, especially in view of the limited lateral view presented.
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moderate interstitial edema. no focal consolidation.
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in comparison with the study of , there are slightly improved lung volumes. the endotracheal tube tip is approximately <num> cm above the carina and the nasogastric tube extends well into the stomach. retrocardiac opacification again is consistent with volume loss in the lower lobe and pleural effusion. there is some i...
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lingular pneumonia.
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no acute cardiopulmonary process.
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in comparison with the earlier study of this date, there has apparently been a left thoracentesis with removal of a small amount of pleural effusion. no evidence of pneumothorax. right lung remains clear.
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large left pleural effusion is partially free pleural fluid, but may be partially loculated. if clinical concern persists, a followup ct could be considered for further evaluation.
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the patient is intubated. the tip of the endotracheal tube projects <num> cm above the carinal. the course of the nasogastric tube is unremarkable. the right internal jugular vein catheter is in correct position, with the tip projecting over the mid svc. the lung volumes are low. moderate cardiomegaly and status post c...
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no acute cardiopulmonary process.
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in comparison with the study of , there is little change. hyperexpansion of the lungs is consistent with chronic pulmonary disease. however, there is no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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comparison to. minimally increasing retrocardiac atelectasis. stable right basilar atelectasis. a small right pleural effusion is better appreciated on the lateral than on the frontal radiograph. no new focal parenchymal opacities. stable borderline size of the cardiac silhouette. no pulmonary edema.
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a large volume of fluid is re collected in the left pneumonectomy space. mediastinum is midline. apical drainage tube unchanged in position. aside from mild subsegmental atelectasis, right lung is clear. no right pneumothorax or pleural effusion. right central venous catheter ends in the low svc and upper right atrium....
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence of acute intrathoracic process. bilateral costophrenic angles excluded.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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pa and lateral chest compared to through : mild cardiomegaly unchanged. lungs clear. no pleural effusion. mild left-sided pleural thickening, probably not clinically significant. no evidence of central lymph node enlargement. incidental note is made of atherosclerotic calcification in both carotid arteries present sin...
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left internal jugular central venous catheter tip in the mid svc. no large pneumothorax noted on this supine exam. low lung volumes with mild pulmonary vascular congestion and bibasilar atelectasis.
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mild pulmonary edema in the right lung is unchanged, after improving between and. left lung is fully collapsed. esophageal drainage tube ends in the severely distended stomach. heart size indeterminate. tracheostomy tube midline. cuff chronically distends the trachea at that level. no pneumothorax.
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normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection, including tuberculosis, or cardiac decompensation.
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no acute cardiopulmonary process.
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no comparison. both the frontal and the lateral radiograph show a large masslike consolidation in the right lower lobe. in the appropriate clinical setting, the findings are highly suspicious for pneumonia. however, given the rounded appearance of the lesion, by radiography. no pleural effusions. normal size of the hea...
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heart size and mediastinum are stable. left pigtail catheter is in place. multiple rib fractures on the left are re- demonstrated. no interval increase in pleural effusion or pneumothorax is noted. scapular fracture is partially seen on the current study potentially related to overlapping rib fractures.
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in comparison with the study of , the cardiac silhouette is more prominent and there is worsening pulmonary vascular congestion. the hemidiaphragms are not sharply seen, raising the possibility of pleural fluid and mild basilar atelectasis. although there is no definite focal consolidation, in view of the extensive pul...
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in comparison with the study of , there again is mild enlargement of the cardiac silhouette without vascular congestion, pleural effusion, or acute focal pneumonia. tiny metallic opacifications are projected over the lower cervical spine, of unknown etiology.
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resolution of cardiogenic pulmonary edema and right lower lobe consolidation.
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improved aeration of the lung bases suggesting atelectasis.
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cardiac and mediastinal contours are stable. interval appearance of patchy bibasilar opacities which may reflect atelectasis, although aspiration or pneumonia should also be considered. no pleural effusions. no evidence of pneumothorax. more focal <num> cm nodular opacity in the left hilar region is felt to most likely...
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no acute cardiopulmonary abnormality.
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no acute process
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no evidence of acute cardiopulmonary disease.
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small bilateral pleural effusions and bibasilar streaky opacities, likely atelectasis. no pulmonary edema.
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no evidence of acute cardiopulmonary disease.
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no acute intrathoracic process.
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interval development of bilateral parenchymal opacities throughout the lungs. these findings may represent blossoming of bilateral infection, edema versus ards.
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cardiomegaly with mild pulmonary edema, increased from prior exam of.
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in comparison with the earlier study of this date, there has been placement of a dual-channel pacer with leads extending to the right atrium and right ventricle. no evidence of pneumothorax.
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no acute cardiopulmonary abnormality. no displaced rib fractures are noted, but if there is continued clinical concern for rib fracture, then a dedicated rib series can be obtained.
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compared to chest radiographs since , most recently one. some of the apparent improvement in moderate cardiomegaly is due to difference in patient positioning. pulmonary and mediastinal vasculature are still engorged. there is no definite pulmonary edema or focal pulmonary abnormality. no appreciable pleural effusion o...
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left picc line tip is at the level of mid to lower svc. cardiomediastinal silhouette is stable. duct of tube is coiled in the stomach. left basal opacity is new and might represent infectious process as well as increased right basal opacity. no appreciable pneumothorax or pleural effusion demonstrated.
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slight interval increase in the right basal airspace opacity. while this may reflect asymmetric pulmonary edema, the appearances are suspicious for right lower lobe consolidation.
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left lower lobe atelectasis. moderate cardiomegaly.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary abnormality. no focal airspace opacity to suggest pneumonia.
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no acute cardiopulmonary process or evidence of active or latent tuberculosis.
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heart size and mediastinum are stable. lungs are clear. no pleural effusion or pneumothorax is seen.