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MIMIC-CXR-JPG/2.0.0/files/p16907098/s55452787/5c05b540-9e550813-5f50cf73-b239e18a-b0534dae.jpg
a pacer remains in place. endotracheal tube continues to have its tip at thoracic inlet. a nasogastric tube is seen coursing below the diaphragm with the tip not identified. heart remains stably enlarged. mediastinal contours are unchanged. hilar contours are prominent and when correlated with the recent ct likely refl...
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no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13324082/s59550740/88b08eaa-a78da94a-37547e95-f5ffa28a-dfa48b01.jpg
increased right basilar airspace opacities may be due to worsening bleeding, or developing pneumonia versus aspiration. stable small right pleural effusion. unchanged appearance of multiple acute right rib fractures. extensive right chest wall and cervical subcutaneous emphysema.
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interval continued improvement in diffuse acute and chronic lung abnormalities.
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no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p17287581/s58566238/2cefff9c-440ac383-c821226c-b233dc16-9a8cf92f.jpg
no acute cardiopulmonary abnormalities
MIMIC-CXR-JPG/2.0.0/files/p19537959/s54595205/13d617df-f92672b8-6495d661-301d1267-17a39b26.jpg
severe bilateral pulmonary consolidation, perihilar on the left, more dependent on the right is most likely pulmonary edema. concurrent pneumonia cannot be excluded. bilateral pleural effusions are small. heart is top-normal size, but the contour of the left heart border raises possibility of apical left ventricular an...
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in comparison with the study of , there is now an endotracheal tube with its tip approximately <num> cm above the carina. substantial right pleural effusion and smaller left effusion are again seen. otherwise, little overall change in the appearance of the heart and lungs.
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no acute radiographic intrathoracic pulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p12653962/s53288428/180df930-367b1e3e-70b90691-0b05f074-961224e4.jpg
compared to chest radiographs through. severe cardiomegaly unchanged. lung volumes very low. substantial atelectasis at the right base and left lower lobe atelectasis or pneumonia unchanged since , both increased since. small to moderate bilateral pleural effusions stable. no pulmonary edema. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18436961/s53052683/76278972-cf822f84-d96054e9-9b762956-c19ad8ed.jpg
comparison to. no relevant change is noted. normal lung volumes. mild cardiomegaly. mild elongation of the descending aorta. borderline diameter of the pulmonary vessels and the hilar structures but no overt pulmonary edema. no pleural effusions. no pneumonia.
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similar persistent interstitial abnormality.
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left-sided pacemaker is unchanged. there is unchanged cardiomegaly. there are no focal consolidations, pleural effusion, or pulmonary edema. lungs are hyperinflated. there are no pneumothoraces.
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ng tube tip is in the stomach. progression of left lower lobe. atelectasis is demonstrated. a endotracheal tube tip is approximately <num> cm above the carinal. the apices are unremarkable. right central venous line tip is at the level of mid svc. right basal opacity most likely represents atelectasis but attention to ...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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moderate right pleural effusion has changed in distribution, but not in overall volume since. some of it may now be loculated, particular the non dependent portions in the right upper chest. no pneumothorax. right upper lobe is clear. right lower lobe is restricted by the pleural abnormality, are better evaluated by ei...
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stable moderate-to-large bilateral pleural effusions with no strong evidence for pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p13959042/s58532053/541690b5-4f1aac61-bb9f78c6-f5b8cf71-e1cb4470.jpg
no evidence of acute cardiopulmonary abnormalities.
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bibasilar pneumonic infiltrates, less likely atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p15301233/s56317462/a3e1945f-24798491-79bf0265-7ae43733-d98951d4.jpg
right lower and middle lobe consolidation compatible with pneumonia. recommend repeat after treatment to document resolution.
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normal chest radiograph. these findings were communicated to the ordering physician per his request by dr telephone on immediately upon review of the film.
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as compared to the previous radiograph, the patient has received a left pectoral pacemaker. <num> lead projects over the right atrium and <num> over the right ventricle. the extent and severity of the pre-existing left pleural effusion has slightly improved. mild fluid overload but no overt pulmonary edema. no evidence...
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mild cardiomegaly with probable mild hilar congestion.
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no evidence of pneumonia.
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no significant interval change as compared with , interstitial markings may be minimally more prominent as compared to , likely relating to differences in technique versus a very minimal chronic pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p19439157/s50067270/e926e4c2-6fecfd80-ad1ed81c-33db64a2-70d9f197.jpg
normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p16247826/s50064335/b7c6fdce-f0908c0a-7d9af9cc-c41325ae-72b92805.jpg
ng tube ends in the region of the pylorus with the last side port below the ge junction. mild bibasilar atelectasis.
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subtle lower lobe opacity, likely on the left, concerning for pneumonia. this finding was reported to dr by in person at on after attending radiologist review.
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interval clearing of bibasilar pneumonia. no additional new consolidation. lung findings consistent with severe emphysema, particularly right upper lung zone. bilateral hilar enlargement, likely secondary to underlying pulmonary hypertension.
MIMIC-CXR-JPG/2.0.0/files/p14808796/s57754394/18fbb8e2-750eb29e-b1392d4b-8e60b8a4-d7e1a317.jpg
no acute cardiopulmonary radiographic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14007520/s59292343/cea07bd4-f6656bcd-b96e0939-cc15affb-640e139a.jpg
no acute cardiopulmonary process. no focal consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13656933/s50707812/ebad6662-09c1282f-78a1109c-2a7e4be0-02712cc4.jpg
mild interstitial pulmonary edema. mild-to-moderate cardiomegaly, not significantly changed. findings compatible with renal osteodystrophy.
MIMIC-CXR-JPG/2.0.0/files/p18875742/s51637543/63af0856-6c2b7737-4c8f1821-fc64270e-39caa2f5.jpg
small left pneumothorax, slightly larger than on the prior study.
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no acute intrathoracic process.
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no previous images. there is enlargement of the cardiac silhouette, consistent with the pregnant state of the patient. no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
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bilateral alveolar opacities, left greater than right, most likely asymmetric pulmonary edema but follow up is recommended to exclude other possibilities including aspiration or transfusion related acute lung injury.
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slightly limited evaluation due to patient's body habitus. right lower lobe opacity is new since prior exam, and may represent atelectasis or aspiration in appropriate clinical setting.
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as compared to the previous radiograph, no relevant change is seen. normal lung volumes. no pleural effusions. no pneumonia, no pulmonary edema. normal size of the cardiac silhouette.
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no pneumonia. these results were communicated to the ordering physician's secretary by dr telephone immediately upon review of the radiographs.
MIMIC-CXR-JPG/2.0.0/files/p10305417/s54244448/67086647-0e4cd5ed-26c40553-d9e6e2ea-306f9e71.jpg
no acute cardiopulmonary process.
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interval increase in pulmonary vascular engorgement.
MIMIC-CXR-JPG/2.0.0/files/p16916344/s59797363/ab3a1cef-16ca3e14-47c63d57-d56f5d73-dd216e18.jpg
ett terminating <num> cm above the carina. mild cardiomegaly and moderate pulmonary edema with a small left pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p13492875/s57400190/9fb8d211-7e9a07ab-0d292de6-d99c66a9-10cf61c1.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14194664/s54255730/a2e4e54b-cca637ff-be9cff27-9043695a-424579a8.jpg
cardiomegaly with mild pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p15554865/s58612573/30293fc4-16492c3d-27a6aee8-e2f28fa5-45855120.jpg
new moderate right pleural effusion, with adjacent consolidation, likely secondary to compressive atelectasis however a superimposed infectious process can't be excluded. no evidence of a pneumothorax.
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interval placement of a right internal jugular catheter with tip projecting at the level of the mid superior vena cava. subtle left medial lung opacity, which may represent atelectasis but pneumonia cannot be excluded. dedicated pa and lateral chest radiographs are recommended if clinically feasible. otherwise, attenti...
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as compared to the previous image, a pre-existing left pleural effusion and left basilar atelectasis has almost completely resolved. at the site of the left lower lobe wedge resection clips are visualized. no new focal parenchymal opacities. the sternal wires and clips of the cabg are constant. borderline size of the c...
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right lower lobe volume loss.
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no acute cardiopulmonary process.
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interval resolution of left-sided pleural effusion and atelectasis with no acute cardiopulmonary process.
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mild pulmonary edema and mild cardiomegaly have resolved since.
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in comparison with the study of , there is no interval change or evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural
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no free air below the right hemidiaphragm. bibasilar atelectasis. gas-filled dilated small bowel in the upper abdomen for which dedicated radiograph or ct may be performed to further assess.
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no acute cardiopulmonary process.
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lap band is in appropriate position, unchanged compared to.
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low lung volumes with minimal left lower lobe atelectasis. no displaced fracture is visualized. please note that if there is continued concern for a rib fracture, consider a dedicated rib series.
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mild cardiomegaly and mild pulmonary edema with a small left pleural effusion. bibasilar airspace opacities may reflect edema, aspiration, or potentially superimposed infection.
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trace residual left pleural effusion. otherwise, no acute cardiopulmonary process.
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increased, mild to moderate pulmonary edema. interval removal of an intra-aortic balloon pump and placement of a left ij central venous dialysis catheter, which terminates the lower svc.
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mild cardiomegaly, mild interstitial edema, probable underlying copd.
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subtle nodular opacity projecting over the right lung base on the frontal projection, may represent overlapping structures in the body wall, though true nodule not excluded. consider dedicated chest ct to further assess.
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status post removal of the right pleural catheter. no visible pneumothorax.
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diffuse opacities in the right middle and lower lung consistent with aspiration.
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little change in overall distribution and severity of diffuse interstitial opacities, consistent with patient's known diagnosis of sarcoidosis.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17909181/s55648329/9e804e05-b61c5d79-19a2bcbb-fb05b879-7494622f.jpg
findings concerning for right middle lobe pneumonia. followup radiographs in four to six weeks may be helpful following antibiotic therapy, as entered in radiology communications dashboard on.
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left lower lobe consolidation concerning for pneumonia. mild interstitial pulmonary edema with stable cardiomegaly.
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no acute cardiopulmonary process.
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stable cardiomegaly with pulmonary vascular congestion. dilated and tortous thoracic aorta. acute aortic dissection is not excluded on the basis of this study.
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left lower lobe anterior medial basilar opacity, which could potentially be due to infectious pneumonia in the appropriate clinical setting. adjacent small pleural effusion. mid and lower lung predominant reticular opacities are concerning for chronic interstitial lung disease. if the patient has symptoms of pneumonia,...
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right hilar opacity raises suspicion for malignant disease. no acute cardiopulmonary process otherwise identified.
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no acute cardiopulmonary abnormality.
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findings suggesting mild pulmonary edema; differential considerations include atypical infection however. possible substantial new nodule projecting over the left mid lung versus nipple shadow. right posterior basilar opacities with at least one discrete nodule, difficult to compare to the prior study, but with no clea...
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in comparison with the study of , there is little overall change. no evidence of acute pneumonia, vascular congestion, or pleural effusion. extensive mediastinal and hilar adenopathy is again seen.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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cardiomegaly is at least moderate, increased slightly since , accompanied by increasing pulmonary vascular congestion and perhaps the earliest manifestations of pulmonary edema. marked elevation of the anterior aspect of the right hemi thorax is chronic, either eventration or contained diaphragmatic laceration.
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a retrocardiac opacity may correlate with the abnormality seen on the prior radiograph's lateral view, and in the correct clinical context may reflect pneumonia.
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no acute cardiopulmonary abnormality.
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ng tube tip is in the stomach. right internal jugular line is at the cavoatrial junction. heart size and mediastinum are stable. left retrocardiac consolidation and pleural effusion appear to be slightly progressed. small amount of right pleural effusion is noted, potentially new. surgical clips and potentially drainin...
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left picc tip is in theupper svc. cardiomegaly stable. there stomach distended with a peg. pneumoperitoneum is again noted. bilateral pleural effusions larger on the right side with adjacent opacities are grossly is stable. there is mild vascular congestion. there is no evident pneumothorax. sternal wires are intact. t...
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normal chest.
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et tube tip is at the level of the carina and should be pulled back at least <num> cm. black more tube is in place. stomach is distended. tips is noted. cardiomediastinal silhouette is stable and lungs are essentially clear.
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in comparison with the study of , the tip of the picc line is somewhat difficult to see, though it appears to be in the mid to upper portion of the svc. the left and right hemidiaphragms are much more sharply seen. this could reflect improvement in pleural effusion or merely be a manifestation of a more upright positio...
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no acute cardiopulmonary process.
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overall cardiac and mediastinal contours are stable. left brachiocephalic venous stent remains in place. lungs appear well inflated without evidence of focal airspace consolidation, pleural effusions, pulmonary edema or pneumothorax. if the patient's clinical symptoms persist, followup imaging could be performed.
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no acute process.
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no significant change to widespread pulmonary opacities. no evidence of pneumothorax.
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no acute intrathoracic process.
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previous atelectasis in the left mid lung has largely cleared. new consolidation at the left lung base medially is either more atelectasis or new pneumonia. right lung is grossly clear. heart size is normal. pulmonary vasculature is unremarkable. et tube and esophageal tube are in standard placements. no pneumothorax. ...
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interval decrease in left-sided pleural effusion and apical pneumothorax.
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as compared to the previous radiograph, the venous introduction sheet on the right has been removed. the other monitoring and support devices are in unchanged correct position. minimally improving predominantly perihilar and right peripheral parenchymal opacities. borderline size of the cardiac silhouette persists. no ...
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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stable pulmonary edema
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pulmonary vascular engorgement continues to improve. there is no longer any pulmonary edema. moderate cardiomegaly has decreased over the past several days. no pleural effusion or pneumothorax. right pic line ends in the low svc. , md
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pulmonary edema has substantially cleared in the upper lungs. left lower lobe remains densely consolidated, presumably collapsed,, and there is probably substantial atelectasis in the right lower lobe as well. volume of pleural effusion is difficult to assess, but probably not large. mild cardiac enlargement is new. no...
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increased, moderate, loculated right pleural effusion. essentially unchanged diffuse parenchymal opacities may reflect pulmonary edema or multifocal pneumonia.
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small left pleural effusion, moderate hiatal hernia.