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MIMIC-CXR-JPG/2.0.0/files/p14303868/s53691311/6f981195-75a15a30-c8046e74-9fa284fe-59f48dd8.jpg
in comparison with study of , there is again substantial hyperexpansion of the lungs consistent with chronic pulmonary disease. however, no acute pneumonia, vascular congestion, or pleural effusion.
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in comparison with the study of , there again are relatively low lung volumes. no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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enlarged cardiac silhouette without overt pulmonary edema.
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in comparison with the earlier study of this day, there is again diffuse bilateral pulmonary opacification, consistent with significant pulmonary edema. there has been placement of a right ij temporary pacer, which extends to the region of the apex of the right ventricle.
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no evidence of acute disease.
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bibasilar atelectasis, otherwise unremarkable.
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no acute cardiopulmonary process.
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cardiomegaly with central vascular engorgement. no overt edema. opacity within the medial aspect of the right lower lung zone is more conspicuous relative to prior examination for which acute infectious process is difficult to exclude.
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no evidence of acute disease; unchanged appearance.
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there is persistent patchy opacity at the right lung base, which may have slightly improved suggesting improving pneumonia. mediastinal and hilar nodes are again seen consistent with prior granulomatous infection. in addition, there are biapical calcified pleural plaques. no pulmonary edema or pleural effusions. no pne...
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pa and lateral chest compared to through , read in conjunction with a chest cta,.
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no evidence of infection or malignancy.
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right-sided chest tubes remain in place, with no visible pneumothorax, although exclusion of right costophrenic sulcus from the radiograph precludes full assessment for basilar pneumothorax. allowing for differences in technique and projection, there is no relevant change in the appearance of the chest.
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nipple markers were not applied, and the previously described nodular density in the left mid lung is again seen. ct could be considered for additional evaluation of this finding, if clinically indicated.
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comparison <num>. stable monitoring and support devices, including the bilateral chest tubes. if any, pneumothoraces are millimetric in extent. moderate cardiomegaly. no larger pleural effusions. no overt pulmonary edema. the swan-ganz catheter is in stable correct position. no mediastinal widening.
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heart size is normal. mediastinum is normal. lungs are clear. there is no pleural effusion or pneumothorax.
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low lung volumes with bibasilar atelectasis. no focal consolidation. mild pulmonary edema. severe compression deformity of the t<num> vertebral body of unknown chronicity. correlate with focal tenderness. apparent inferior subluxation of the right humeral head with respect to the glenoid, but this may be projectional. ...
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no acute cardiopulmonary findings with improved postoperative changes.
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no acute cardiopulmonary process.
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cardiomegaly, hilar congestion. no frank edema or is signs of pneumonia.
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no evidence of acute disease.
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no acute cardiopulmonary process.
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findings suggest small bilateral pleural effusions, pulmonary vascular congestion and bibasilar atelectasis.
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pneumoperitoneum is smaller today than on. moderate to severe atelectasis at the right lung base is unchanged since earlier in the day, but progressed since. heart is normal size. pulmonary vasculature is unremarkable. subcutaneous emphysema in the left thoracoabdominal wall is new, but may have migrated from other loc...
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no focal consolidations concerning for pneumonia identified.
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no previous images. the heart is normal in size and there is no vascular congestion or pleural effusion or acute focal pneumonia. there is prominence of the pulmonary outflow tract, which could be normal in a patient of this age. if there are appropriate murmurs, pulmonic stenosis would have to be considered. dobbhoff ...
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no evidence of pneumonia.
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old right humeral fracture is partially imaged. no focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable.
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compared to prior chest radiographs. heterogeneous opacification in the left lung continues to improve. this may have been due to aspiration or dependent edema or re-expansion edema due to intraoperative left decubitus positioning of the patient or malposition of the endotracheal tube, respectively. there is however a ...
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as compared to , the bilateral predominantly perihilar and basal parenchymal opacities, micronodular and reticular in morphology, are constant. moderate cardiomegaly. the monitoring and support devices are unchanged. unchanged bilateral apical thickening.
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interval improvement at the right greater than left bases and in the chf findings. residual left greater than right basilar abnormalities remain visible. no pneumothorax is identified.
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in comparison with the study of , there are improved lung volumes. however, there is again opacification at the right base consistent with right lower lobe collapse and pleural fluid. otherwise little change.
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no acute cardiopulmonary process.
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interval decrease in the right pleural effusion. persisting patchy bilateral opacities, reflective of multifocal pneumonia.
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mild pulmonary vascular congestion. copd.
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no acute cardiopulmonary process.
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ap chest compared to : moderate consolidation in the left lower lobe developed between and , and a smaller region of consolidation at the right lung base are both subsequently unchanged. if patient has pneumonia today, he should probably had it on as well. there is no pulmonary edema. heart size is normal. there is n...
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no radiographic evidence for pneumonia.
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resolved right upper lobe pneumonia.
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mild venous distention, possibly mild vascular congestion. mild cardiomegaly.
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small bilateral pleural effusions increased since. new left base opacity may be atelectasis associated with increased diffusion the cannot exclude pneumonia. no focal consolidation noted in the right upper lobe. otherwise no significant change since.
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no evidence of acute cardiopulmonary process.
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right lower lobe opacity raises concern for pneumonia.
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clips in comparison with the study of earlier in this date, with the chest tube on water seal, there is little change in the small apical pneumothorax. otherwise little overall change.
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no acute cardiopulmonary abnormality. no subdiaphragmatic free air.
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aside from small band of recurrent left basal atelectasis or sub segmental scarring, lungs are clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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no clear evidence of cardiopulmonary disease. lung bases are not well evaluated due to low lung volumes. findings were relayed to dr telephone at on by dr. dr confirmed with dr will arrange to have patient return to radiology for another attempt at full inspiration chest radiographs.
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no acute cardiopulmonary process.
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the et tube tip is too high just at the level of the thoracic inlet and above the clavicular heads and should be advanced at pas. <num> cm. heart size and mediastinum are stable. lungs are clear and there is no pleural effusion or pneumothorax.
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tip of endotracheal tube terminates <num> cm above carinal and could be advanced a few cm for standard positioning. swan-ganz catheter terminates in right ventricular outflow track. other devices remain in standard position and cardiomediastinal contours are stable. bibasilar atelectasis is slightly worse on the left a...
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normal chest radiograph.
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pulmonary edema, cardiomegaly, likely pleural effusions.
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no evidence of pneumonia. multiple chronic left posterior and right anterior rib fractures.
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concern for left lower lobe pneumonia.
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no acute intrathoracic process.
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no acute intrathoracic process. no signs of free air below the right hemidiaphragm.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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pulmonary vascular congestion without frank edema, not likely changed given lower inspiratory effort on the current exam.
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as compared to the previous image, the right chest tube has been removed. there is a <num> cm right apical pneumothorax apparent. no evidence of tension. no other relevant changes. known hiatal hernia is constant.
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no evidence of pneumonia. left lower lobe atelectasis. increased prominence of interstitial markings likely represents chronic lung disease. hyperinflation suggests copd.
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mild cardiomegaly, with probable mild pulmonary vascular congestion.
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no acute cardiopulmonary abnormality.
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endotracheal tube and orogastric tubes appear positioned appropriately. findings of pneumomediastinum and left lower lobe consolidation as well as subcutaneous emphysema in the chest wall are better assessed on the subsequent ct performed <num> minutes later.
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right internal jugular central line unchanged in position. interval extubation and removal of the nasogastric tube. interval removal of the left basilar chest tube with possible tiny left apical pneumothorax. this can be better assessed on followup imaging. persistent bilateral small layering effusions with bibasilar p...
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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no evidence of pneumonia, pulmonary edema or pleural effusions. a a small zone of increased radiodensity, at the upper aspect 's of the right hilus is very likely a projection artifact and has no correlate on the ...
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right lower lobe lesion, could be infection, infarction, or mass. mild interstitial pulmonary edema, chronic cardiomegaly and pulmonary hypertension. d/w dr by telephone at am.
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hyperinflation. no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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bibasilar opacities which could be due to atelectasis given lower lung volumes, to be correlated clinicall. interval progression of vertebral body height loss of likely t<num> since.
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no evidence of acute disease.
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no acute cardiopulmonary process.
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endotracheal tube has been removed. there is a persistent right ij central line. <num> right-sided chest tubes are again seen. no pneumothoraces are present. there is some atelectasis at the lung bases. heart size is upper limits of normal. there is no overt pulmonary edema.
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normal chest radiograph.
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previous consolidation in the right midlung laterally has cleared, leaving a small linear scar or atelectasis. both sides of the cardiac silhouette are partially obscured by mediastinal fat, not pulmonary abnormalities. there is no pleural effusion. heart size is normal.
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no lung nodules identified to suggest metastatic disease. dextroscoliosis hiatal hernia
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no acute cardiopulmonary abnormality.
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pulmonary hyperinflation suggests emphysema. there are no focal pulmonary abnormalities. heart is borderline enlarged, but improved since earlier examinations and there is no pulmonary vascular engorgement or edema. 's
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previously seen tiny right apical pneumothorax is no longer seen. persistent basilar and left mid lung atelectasis.
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no evidence of pneumonia.
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no acute intrathoracic process. however, slightly increased bibasilar density warrants further evaluation with ct if fevers persist or worsen.
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low lung volumes without definite acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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comparison to. status post left lung surgery. the previously placed. left hilar mass was resected. there is a new spiculated <num> cm nodule in the left lung apex. however, no evidence of pneumonia is seen on the frontal and the lateral radiograph.
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normal chest x-ray.
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the previously small left apical pneumothorax is increased, small right apical pneumothorax is mildly improved, and previously mild left basal atelectasis increased since.
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linear opacities in right lung base, likely representing atelectasis, without any other focal consolidation to suggest pneumonia.
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there is a left-sided picc line with distal tip in the mid svc. heart size is prominent, stable. there has been increase in the bibasilar opacities. previously felt to represent atelectasis, this may represent developing infiltrate as well. there is a left retrocardiac opacity and left-sided pleural effusion which are ...
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no acute cardiopulmonary process.
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the distal ng tube is coiled. ng tip traverses the diaphragm and projects over the left mid central abdomen over the expected region of the stomach. low lung volumes and atelectasis with possible small left pleural effusion, overall unchanged. no pneumothorax. some tubing device projects over the right neck and right h...
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no opacity concerning for pneumonia.
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no evidence of acute disease.
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right middle lobe opacity worrisome for pneumonia. alternatively, it could be due to aspiration. additional subtle areas of opacity over the right upper lobe could be chronic changes or additional site of infection/aspiration.
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no acute intrathoracic abnormalities identified.
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no acute cardiopulmonary process.
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endotracheal tube placement slightly low. no pneumothorax either side. extensive opacities.
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no acute cardiopulmonary process. a compression fracture of a lower thoracic vertebral body is slightly worse than.
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persistent massive cardiomegaly without evidence of congestive failure.
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moderate pulmonary edema. no pleural effusions. mild cardiomegaly.
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in comparison with the study of , there again are relatively low lung volumes that accentuate the transverse diameter of the heart. bibasilar opacifications could represent a combination of small pleural effusion and atelectasis. specifically, there is no evidence of pneumothorax.