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MIMIC-CXR-JPG/2.0.0/files/p14653468/s57829771/e361c7b6-28e66071-29460b5d-200a13a3-ca8aac41.jpg
left lower lobe consolidation compatible with pneumonia in the proper clinical setting. recommend repeat after treatment to document resolution.
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left picc line tip is at the level of mid svc. heart size and mediastinum are stable. right internal jugular line tip is at the level of right internal jugular vein. left pleural effusion is moderate with bibasal atelectasis. no pneumothorax. surgical clips are in the left apex.
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no acute cardiopulmonary abnormality.
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no acute cardiac or pulmonary process.
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moderate right hydropneumothorax after chest tube removal; status post right lower lobectomy. new patchy opacification within the left lower lobe may be due to acute aspiration or atelectasis. recommend short-term interval followup to exclude development of pneumonia if infectious symptoms are present.
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mild cardiomegaly. no acute findings.
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ap chest compared to : moderately severe pulmonary edema and moderate bilateral pleural effusions have worsened since. severe cardiomegaly is chronic. left central venous catheter ends at the origin of the svc. no pneumothorax.
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moderate pulmonary edema. left pleural effusion with adjacent parenchymal opacity, likely atelectasis but pneumonia is not excluded. follow up cxr may be helpful in this regard.
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subtle lower lung opacities are concerning for pneumonia.
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enteric tube in appropriate position. persistent elevation of the right hemidiaphragm. no focal consolidation seen.
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normal chest x-ray.
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slightly low lung volumes. no evidence of aspiration.
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no acute intrathoracic process.
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no acute findings in the chest.
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no acute process in a patient with known non-small cell lung cancer with extensive post treatment changes and emphysema.
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no acute cardiopulmonary abnormality.
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no definite evidence of acute cardiopulmonary disease.
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interval increase in vascular congestion and a right -sided pleural effusion, possibly secondary to aggressive hydration. no definite pneumothorax.
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loculated air-fluid levels in the right pneumonectomy space have decreased. large amount of fluid in the right pleural space has increased. air in the pneumonectomy space is minimally decreased
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compared to chest radiographs through at. no interval change, combination of moderate left pleural effusion and basal atelectasis or consolidation which increased between and is unchanged since earlier in the day. no appreciable right pleural effusion, with a basal pleural drainage tube in place. the very large at ...
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tracheostomy tube, right subclavian port-a-cath and left internal jugular central line are unchanged in position. the heart remains enlarged which may reflect cardiomegaly although pericardial effusion should also be considered. there are layering pleural effusions, right greater than left. bibasilar opacities are agai...
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compared to chest radiographs since , most recently. lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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prior chest radiographs and :<num>. swan-ganz catheter is been advanced to the right pulmonary artery. other cardiopulmonary support devices in standard placement. previous mild left pulmonary edema improved. severe left lower lobe atelectasis stable. right lung grossly clear. pleural effusions small if any, on the le...
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no acute cardiopulmonary process. mild worsening of atelectasis in the right middle lobe since prior exam.
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lungs are fully expanded and clear. normal cardiomediastinal and hilar silhouettes and pleural surfaces.
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decreased right lung opacity compared to likely reflects improving pulmonary edema in setting of pneumonia. stable small bilateral loculated pleural effusions.
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comparison. correct position of the right-sided picc line. the left perihilar and basal opacity is virtually unchanged. moderate cardiomegaly persists. no new opacities. no pleural effusions. no pneumothorax.
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no evidence of pneumonia. possible chronic small airways disease.
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no evidence of pneumonia.
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previously noted moderate pulmonary edema is vastly improved, right moderate partially loculated pleural effusion is decreased, and the left moderate pleural effusion is unchanged since.
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no acute cardiopulmonary process.
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no pneumonia.
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there no prior chest radiographs available for review. granulomatous calcifications in the left upper lobe and centrally in at least the left hilus and lower paratracheal mediastinal lymph nodes, indicate prior infection. there is no evidence of active infection. small region of peribronchial infiltration in the right ...
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no acute cardiac or pulmonary process.
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with the chin elevated, tip of the endotracheal tube only <num> mm from the a is positioned too low and should be withdrawn at least <num> mm <num> ovoid unilateral intubation <num> the position of the head and neck change. nasogastric tube ends in the mid portion of the nondistended stomach. a right pic line tip is i...
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compared to chest radiographs since , most recently through at. mild interstitial edema has developed accompanied by increasing right pleural effusion. right basal consolidation persists. left lower lobe is still collapsed, accompanied by at least small pleural effusion. no pneumothorax. cardiomediastinal silhouette ...
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no evidence of acute cardiopulmonary process. stable mild cardiomegaly and large hiatal hernia.
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allowing the difference in positioning of the patient, there is no interval change with persistent bilateral consolidations, pleural effusions and cardiomegaly. right upper lobe opacity is again noted. lines and tubes are in unchanged position
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persistent small bilateral pleural effusions with associated increased left lower lobe atelectasis.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease.
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in comparison with the study of , the retrocardiac region appears within normal limits, with no evidence of acute pneumonia or vascular congestion.
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no significant interval change given differences in technique.
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left mid lung linear scar versus atelectasis. no pneumonia.
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retrocardiac opacity worrisome for left lower lobe pneumonia. results were discussed over the telephone with , rn by dr at on at time of initial review.
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slight interval increase in left lower lung opacity compatible with slightly worsening pneumonia.
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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.
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worsened chf. an underlying infectious infiltrate on the right cannot be excluded.
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comparison to. minimal decrease in extent of the left pleural effusion. the previous right basilar atelectasis is decreased in extent. no new focal parenchymal opacities. the air collections in the cervical soft tissues on the right are stable.
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no evidence of acute disease.
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ap chest compared to : new upper enteric tube ends in the upper portion of a non-distended stomach. dual-channel left supraclavicular hemodialysis catheter set ends in the upper right atrium. lung volumes are quite low, but there is no pulmonary edema, focal atelectasis and no indication of pneumothorax or pleural effu...
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appropriate decrease in size of the right pleural effusion.
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increased posterior right basilar opacities suggesting a pleural effusion with coinciding atelectasis versus consolidation.
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decrease in size of right apical pneumothorax. near complete resolution of bibasilar opacities, with improved inspiratory volumes. right ac joint separation noted. multiple known fractures not well depicted radiographically.
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interval clearing of right lung base pneumonia. mild residual opacity remains.
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subtle linear opacities in the right upper lobe could represent atypical pneumonia or scarring. recommend followup to resolution.
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increased right base and retrocardiac opacification, concerning for multifocal pneumonia.
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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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as compared to the previous radiograph, no relevant change is seen. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pleural effusions. no pneumonia, no pulmonary edema.
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in comparison with the study of , there is the has been the development of increasing opacification at both bases. this is consistent with the clinical diagnosis of bilateral pneumonia, though some of the appearance could reflect atelectatic changes. of incidental note is calcific tendinosis in the region of the rotato...
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mild fluid overload.
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as compared to the previous radiograph, no relevant change is seen. the appearance of the enlarged cardiac silhouette and of the large mediastinum has not substantially changed. moreover, the density of the mediastinum is also unchanged. constant position of the monitoring and support devices. no new focal parenchymal ...
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peripheral triangular opacity within the left lung base could reflect an area of infarction or infection, with small left pleural effusion. a chest cta is suggested for further assessment if there is concern for pulmonary embolism. no displaced rib fractures are seen.
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comparison to. the patient is now intubated. the tip of the endotracheal tube projects <num> cm above the carinal. the patient also carries a nasogastric tube, the tip projects over the proximal parts of the stomach. finally, the patient has received a right internal jugular vein catheter. its tip projects over the mid...
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no previous images. there is huge enlargement of the cardiac silhouette with moderate pulmonary vascular congestion. blunting of the right costophrenic angle could reflect small pleural effusion. no evidence of acute focal pneumonia. however, in view of the extensive changes, it would be very difficult to unequivocally...
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impression new small infiltrate right upper lobe.
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small bilateral pleural effusions with bibasilar atelectasis. vascular congestion has improved bilaterally. if further evaluation is needed, ct chest is the next imaging modality.
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unchanged lung volumes. borderline size of the cardiac silhouette without evidence of pulmonary edema. elevation of the left hemidiaphragm. subsequent minimal atelectasis at the left lung basis. no pleural effusions. no pneumonia, no pulmonary edema.
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no acute cardiopulmonary process.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
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in comparison with the study of , there is little overall change. small right pleural effusion is again seen with the left costophrenic angle clear. cardiac silhouette is within normal limits and there is tortuosity of the aorta. no evidence of acute focal pneumonia. the small pulmonary metastases are below the resolut...
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in comparison with the chest radiograph and ct of , there is increasing opacification at the right base anteriorly, consistent with progressive pneumonia.
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subtle right lower lobe opacity; while this could be atelectasis, a pneumonia is difficult to completely exclude.
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mild pulmonary edema has worsened. cardiomegaly is a stable. swan-ganz catheter tip is in the distal right main pulmonary artery. there is no pneumothorax. if any there is a small right effusion. sternal wires are aligned
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mild pulmonary edema with small bilateral pleural effusions.
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interval increase in right pleural effusion and right lower lobe atelectasis. no masses or lesions identified: lytic lesion of the right <num>th rib is better visualized on rib films taken same day. these findings were reported to dr at , via phone by.
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findings concerning for left lower lobe pneumonia. persistent blunting of the left costophrenic angle. top-normal heart size.
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mild pulmonary vascular congestion.
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mildly enlarged cardiac silhouette; differential includes mild cardiomegaly or small pericardial effusion. resolution of small right pleural effusion. no findings concerning for overt volume overload.
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hazy posterior opacity, probably in the right lower lobe, concerning for pneumonia.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no radiographic evidence for acute cardiopulmonary process.
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lungs clear. heart size normal. no pulmonary vascular abnormality, edema. be a tiny left pleural effusion. no pneumothorax. right jugular line ends in the low svc.
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no evidence of pneumothorax status post chest tube removal. unchanged low lung volumes and left basilar atelectasis. no new focal lung consolidation.
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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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mild cardiomegaly with abnormal mediastinal contour. a chest ct is recommended with contrast to further evaluate.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality. unchanged positioning of the tracheobronchial stent.
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no acute cardiopulmonary process.
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no new areas of consolidation in the lungs to suggest the presence of pneumonia.
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comparison to. unchanged position of the <num> pacemaker leads. no pneumothorax. moderate cardiomegaly persists. no pulmonary edema. no pleural effusions.
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small right pneumothorax minimally increased. right apical chest tube is in unchanged position. consolidations in the right lung and left lower lobe are grossly unchanged. small right effusion has decreased. no other interval change from prior study.
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no acute cardiopulmonary process or evidence of osseous injury, within the limitations of a chest radiograph.
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patchy right infrahilar opacity, which may represent patchy atelectasis, focal aspiration or early pneumonia. followup radiographs may be helpful in this regard.
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overall, no significant change from the prior exam.
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no acute findings.
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no acute cardiopulmonary abnormality.