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MIMIC-CXR-JPG/2.0.0/files/p18312580/s54771909/d3a3dc00-15e41ac7-3be0ae2b-6626d562-3bdfb1fe.jpg
right lower lobe pneumonia. these findings were communicated to dr by telephone at on by dr.
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cardiomegaly.
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in comparison with the study of , there is little interval change and no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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small decrease moderate left pleural effusion, pleural drain in place. no pneumothorax.
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the right-sided picc line shows a normal course, the tip of the line projects over the mid to lower svc, there is no evidence of pneumothorax or other complication. the <num> left-sided pacemaker leads are in unchanged position.
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minimal left basilar atelectasis.
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no acute cardiopulmonary abnormality. no displaced fracture identified.
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no acute cardiopulmonary abnormality.
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no acute intrathoracic process.
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no acute pulmonary process identified. in particular, no evidence of left lower lobe pneumonia identified. suspect background hyperinflation.
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no significant interval change.
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enteric tube tip appears to be within the stomach though side port lies just superior to the gastroesophageal junction. recommend advancement by approximately <num> cm for optimal positioning.
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no acute intrathoracic process.
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comparison to. no relevant change. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema, no pleural
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no acute cardiopulmonary process.
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mild pulmonary edema and moderate cardiomegaly consistent with heart failure. the lungs are hyperinflated.
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endotracheal tube terminating at the thoracic inlet. if clinically indicated, advancing the tube by <num> cm may be appropriate for more optimal positioning. no evidence of acute disease.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process. stable mid thoracic compression fracture.
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normal radiograph of the chest.
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lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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ng tube below the diaphragm. consider advancement to move the side-hole to a more dependent position. slight progression of right infrahilar opacity which may reflect atelectasis or infection.
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no evidence of acute cardiopulmonary abnormality. no significant interval change.
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no active disease.
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no acute intrathoracic abnormalities identified. subtle displaced fractures involving the left seventh and eighth ribs of indeterminate chronicity. if there is further concern for rib fractures, a dedicated rib series would be recommended for further evaluation.
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no pleural effusion.
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type of tube tip is in the proximal stomach. right internal jugular line tip is at the level of mid svc. heart size and mediastinum are stable. patient continues to be in extensive pulmonary edema with large bilateral pleural effusions.
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possible trace left pleural effusion. no focal consolidation to suggest pneumonia.
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compared to chest radiographs through. multifocal pneumonia and borderline interstitial edema unchanged since. small left pleural effusion stable. heart size normal. no mediastinal venous engorgement. no pneumothorax. et tube in standard placement. nasogastric drainage tube ends in the lower stomach. left subclavian i...
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no acute cardiopulmonary process.
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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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enteric tube in the proximal stomach and could be advanced <num> cm for appropriate positioning. no acute cardiopulmonary abnormality.
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low lung volumes with mild pulmonary vascular congestion and patchy opacities in the lung bases, possibly atelectasis. infection or aspiration cannot be excluded in the correct clinical setting. possible trace left pleural effusion.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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compared to chest radiograph, tip of endotracheal tube is now <num> cm above the carina and could be advanced slightly for standard positioning. cardiomediastinal contours are stable. worsening bibasilar patchy and linear opacities favor atelectasis, but coexisting aspiration and infectious pneumonia are possible in t...
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ap chest compared to : pulmonary edema which transiently improved on , and worsened subsequently has improved once again since , now moderate in severity. at the same time consolidation in the right lower lobe is worsened, concerning for pneumonia. moderate cardiomegaly is essentially unchanged over this period. et tub...
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comparison to. today's radiograph shows a new parenchymal opacity at the bases of the right upper lobe. in the appropriate clinical setting this finding is highly suggestive of pneumonia. minimal fluid overload persists. moderate cardiomegaly is stable. mild elongation of the descending aorta.
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persistent increased interstitial markings with more prominent septal lines, consistent with persistent, worsening pulmonary edema.
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patchy right mid lung and bibasilar opacities may be due to overlapping structures although infectious process is not excluded.
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tracheostomy tube remains in satisfactory position. a large-bore right internal jugular dual-lumen catheter is unchanged in position. overall, cardiac and mediastinal contours are likely stable given differences in positioning. there continues to be bilateral diffuse lung opacities which could reflect underlying pneumo...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, no relevant change is seen. normal size of the cardiac silhouette. mild elongation of the descending aorta. no pleural effusions. no pneumonia, no pulmonary edema.
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central pulmonary vascular engorgement without overt pulmonary edema. persistent cardiomegaly.
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right pigtail pleural catheter remains in place, with slight increase in size of moderate right pleural effusion is compared to previous radiograph of. heterogeneous opacities in the right lung are persistent finding, but focal atelectasis in the left lower lobe has substantially improved. no other relevant changes.
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no acute chest pathology.
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new right ij catheter terminating at the low svc. no pneumothorax.
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moderate to large left pleural effusion has increased. combination of moderate right pleural effusion and right lower lobe atelectasis has worsened since. moderate to severe cardiomegaly is persistent accompanied by mediastinal and pulmonary venous engorgement. early interstitial edema would be difficult to detect. et ...
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with the chin down, tip of the new endotracheal tube less than a cm from the carina is <num> cm below appropriate positioning. esophageal drainage tube passes into the stomach and out of view. new left internal jugular line ends in the low svc. transvenous right atrial right ventricular pacer leads continuous from the ...
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unchanged small right hydropneumothorax with pigtail catheter in expected unchanged position. ongoing right lower lobe collapse
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known mediastinal mass is better assessed on previous ct. emphysema. no pneumonia.
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ap chest compared to only prior chest radiographs, : patient has had median sternotomy and coronary bypass grafting. moderate cardiomegaly is chronic. pulmonary vascular engorgement is limited to the left upper lung. heterogeneous opacification at the right lung base accompanied by elevation of the hemidiaphragm could ...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. apparent right lung nodule does not persist on view and is not likely within the lung.
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no acute cardiopulmonary abnormality.
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in comparison with the study of , there is little interval change. continued enlargement of the cardiac silhouette with mild tortuosity of the aorta. no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. the mid line opaque sutures are unchanged.
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no acute cardiopulmonary process. no free air noted under the diaphragms.
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normal chest radiograph. no cardiomegaly.
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basilar atelectasis.
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no acute intrathoracic process.
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slight decrease in fluid overload.
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<num>) right lower loculated pneumothorax with adjacent atelectasis. <num>) worsening opacity in left lower lung zone concerning for pneumonia.
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no acute cardiopulmonary process.
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mild pulmonary edema with bilateral pleural effusions with adjacent atelectasis, increased from ct. supervening infection cannot be excluded. recommend repeat radiograph after treatment.
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no radiopaque foreign body identified.
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no interval change to multiple fractured sternal wires. recommend chest ct to localize a posteriorly displaced wire fragment of the superior third sternal wire.
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<num> sequential frontal radiographs of the chest show nasogastric drainage tube advanced from the distal esophagus to the upper stomach. et tube is in standard placement. right subclavian line ends in the region of the superior cavoatrial junction. moderately severe pulmonary edema is unchanged, although previous mode...
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no acute intrathoracic process.
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normal chest radiographs.
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small right pleural effusion.
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no acute chest pathology.
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no comparison. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. mild fluid overload but no overt pulmonary edema. no overinflation. no pneumonia, no pleural effusions. normal course of the nasogastric tube.
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a chest tube is present on the left in the tip is in the left lung base. there is a small pneumothorax in the left apex. there is patchy atelectasis in both lung bases. there is no chf.
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findings consistent with polyserositis with pericardial and bilateral pleural effusions. the patient underwent a pa and lateral chest x-ray on with images taken in upright position. comparison with this study is identifying a now smaller heart shadow and the amount of pleural effusions has clearly increased. further f...
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ap chest compared to : right picc line has been withdrawn slightly, now with the tip projecting over the head of the right clavicle, now at the origin of the right brachiocephalic vein. previous interstitial edema, and mediastinal vascular engorgement have resolved, but new opacification at the base of the left lung co...
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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in comparison with the earlier study of this date, following clamping of the chest tube there again is a small apical pneumothorax on the right that may be slightly larger than on the previous study. otherwise, little change.
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compared to prior chest radiographs small left apical pneumothorax unchanged. moderately extensive subcutaneous emphysema left chest wall may have improved. no appreciable left pleural effusion. apparent heterogeneous opacification in the left lower lobe could be due in part to overlying soft tissue but raises concern ...
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no acute pulmonary process.
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persistent enlargement of the cardiomediastinal silhouette. mild basilar atelectasis.
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cardiac pacing leads following the expected course to the right atrium and ventricle. no pneumothorax.
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endotracheal tube terminates <num> cm from the carina. enteric tube terminates at the ge junction and should be advanced for optimal placement. interval increase in small left pleural effusion. slightly increased in density masslike opacification of the left midlung, previously evaluated by ct at which time biopsy was ...
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new mild pulmonary edema. slight interval increase in cardiac size, likely due to cardiomegaly, although a pericardial effusion is a consideration. right basilar consolidation, possibly due to atelectasis. in the proper clinical setting, a pneumonia cannot be excluded.
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tracheostomy tube in standard placement. right pic line ends in the mid svc. mild residual edema, left lower lung unchanged for several days. pleural effusions small if any. heart size normal. no pneumothorax.
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as compared to the previous radiograph, the right chest tube is in unchanged position. unchanged right lateral air collections in the soft tissues. the right valve 's are also unchanged. the extent of the known small apical fluid or pneumothorax is constant. no evidence of tension. no acute abnormalities in the left he...
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severe cardiomegaly is stable. pacer leads are in standard position. there is mild vascular congestion. there is no overt pulmonary edema. retrocardiac opacities are likely atelectasis. there is no pneumothorax
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as compared to chest radiograph, bibasilar opacities have worsened, and small pleural effusions are not appreciably changed.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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comparison to the preoperative radiograph from. the lung volumes are normal. the patient is in intubated and carries a swan-ganz catheter. the patient also has a nasogastric tube. all monitoring and support devices are in correct position. no pleural effusions. no pneumonia, no pulmonary edema, no pneumothorax.
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comparison to. no relevant change. no pneumonia, no pulmonary edema, no pleural effusions. no lung nodules or masses.
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no acute cardiopulmonary process. stable mild cardiomegaly. stable t<num> compression.
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lung volumes remain low. there are patchy bibasilar opacities, right greater than left, likely representing partial lower lobe atelectasis, although pneumonia or aspiration cannot be entirely excluded. there is a layering right effusion. mild crowding of the vasculature is seen, but no overt pulmonary edema is evident....
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no acute cardiopulmonary process.
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stable, mild cardiomegaly. no evidence of acute cardiopulmonary process.
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as compared to previous study of <num> day earlier, a right pleural effusion has changed in position and is now predominantly subpulmonic. slight improved aeration is noted at both lung bases. no other read relevant changes since the recent study.
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stable cardiac and mediastinal contours. patchy opacity at the right base is again seen, may represent an early pneumonia or patchy atelectasis. clinical correlation is advised. the left lung is clear. no pleural effusions or pneumothoraces. no acute bony abnormality.
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new mild pulmonary vascular congestion and small right pleural effusion. new patchy opacity in the right lower lung may represent pneumonia or atelectasis.