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MIMIC-CXR-JPG/2.0.0/files/p18437673/s58176689/a0d1be74-6333f49c-a83c2f94-c6971c35-733146c0.jpg
normal chest radiograph.
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small right pleural effusion has replaced the previous basal pneumothorax that developed with previous drainage of pleural effusion and placement of <num> thoracostomy tubes. since the upper tube is lower than before and may lower tube is unchanged. moderate to severe cardiomegaly has increased. small left pleural eff...
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overall no substantial change in elevated right hemidiaphragm, distension of the bulk, right loculated pleural effusion and substantial mediastinal widening in the right upper mediastinum demonstrated. no substantial pneumothorax is seen but small amount of pneumothorax in the lung base in particular on the right canno...
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no signs of pneumonia or chf. stable areas of scarring in the lower lungs.
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low lung volumes without evidence of acute intrathoracic abnormality.
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as compared to the previous radiograph, the monitoring and support devices, including the right internal jugular vein catheter, the endotracheal tube and the nasogastric tube are in unchanged position. the lung volumes continue to remain low but increased radiolucency could indicate improved ventilation. there is on go...
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unchanged calcified granuloma in the right upper lobe. no relevant other changes. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia. no pulmonary edema.
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interval retraction of the endotracheal tube which now projects <num> cm from the carina. no other significant interval change from the prior study.
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the swan-ganz has been removed. pacemaker defibrillator hr are in several locations. large left pleural effusion, moderate right pleural effusion, vascular congestion and bibasal areas of atelectasis are unchanged. right pneumothorax appears to be minimally improved.
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status post bypass surgery and permanent pacer, marked cardiomegaly and severe chf. no conclusive evidence for pneumothorax.
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comparison to. no relevant change. the right picc line and the right external pacemaker are in correct position. mild fluid overload but no overt pulmonary edema. moderate cardiomegaly persists. no pneumonia, no pneumothorax.
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moderate pulmonary edema and small bilateral pleural effusions. probable retrocardiac compressive atelectasis, though infection cannot be excluded.
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hardware is seen overlying the lower cervical and upper thoracic spine which obscures the endotracheal tube on this study. a nasogastric tube is seen coursing below the diaphragm. the left subclavian central line has its tip in the distal svc unchanged. patchy opacities are seen throughout the left lung. the right lung...
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worsening right lower opacity in the setting of improving interstitial edema raises concern for concurrent pneumonia.
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ap chest compared to : pleural effusion if any is small on both sides, but not appreciably changed. there is greater opacification at both lung bases today than on , concerning for a developing pneumonia and/or worsening atelectasis, both pointing to aspiration. the upper lungs are clear. the heart is normal size. righ...
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no acute cardiopulmonary abnormality.
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normal chest radiograph
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no acute cardiopulmonary pathology.
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improving right middle and lower lobe opacities compatible with resolving pneumonia. no new focal consolidation. similar trace right pleural effusion.
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minimal improvement of a right basilar atelectasis, caused in part by the elevation of the right hemidiaphragm. no other relevant changes. the nasogastric tube and the left central venous access line are in correct position. mild cardiomegaly persists. mild elongation of the descending aorta.
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chest tube in appropriate position, no pneumothorax.
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comparison from. stable correct position of the right-sided chest tube. the extensive interstitial opacities in both lungs are also stable. normal size of the cardiac silhouette. stable position of the right internal jugular vein catheter and of the feeding tube.
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cardiomegaly is substantial. mediastinal silhouette demonstrate decrease in the distension of the azygos vein. interstitial opacity s are mild, unchanged. no new consolidation demonstrated.
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slight improvement in mild pulmonary edema.
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pulmonary edema and small bilateral pleural effusions. a superimposed infection cannot be excluded in the proper clinical context.
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ap chest compared to : bilateral perihilar pulmonary consolidation is slightly worse today than on , and still more pronounced on the left than the right. nevertheless, the simplest explanation is that this is perihilar distribution of worsening pulmonary edema, rather than invoking a second diagnosis such as pneumonia...
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there is no pulmonary edema. moderate cardiomegaly is chronic. lungs are clear of any focal abnormality and there is no appreciable pleural effusion. transvenous right atrial and ventricular pacer leads are continuous from the left pectoral generator. right jugular line ends in the low svc. no pneumothorax.
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no acute cardiopulmonary process.
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pa and lateral chest compared to and : there is a large pneumonia in the right lower lobe accompanied by a small pleural effusion in. the pneumonia substantially cleared leaving behind a large region of right lower lobe atelectasis which persists. small right pleural effusion has recurred since. this could be due to t...
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in comparison with the study of , there is little change. again there is tortuosity of the aorta, though the overall cardiac size is within normal limits and there is no vascular congestion or pleural effusion. streak of atelectasis or fibrosis at the left base, but no evidence of consolidation.
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no acute cardiopulmonary process.
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in comparison with the study , there is little overall change. the current examination again is obtained with the patient obliquely turned towards the right. extensive opacification is again seen on the left. this most likely rib represents continued pneumonia or possible pulmonary hemorrhage, but does not have the ap...
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findings suggest multifocal pneumonia involving the right lung.
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no acute cardiopulmonary process.
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new bilateral small pleural effusions. no evidence of pneumonia. stable leftward deviation of the trachea. this may be due to a thyroid goiter, mass, or prominent vascular structures. would recommend a non-urgent ct of the chest for further evaluation.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, the monitoring and support devices are in constant position. mild retrocardiac atelectasis. minimal opacity at the right lung bases that might be reflecting atelectasis. no pleural effusions. no pulmonary edema. no pneumothorax.
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stable appearance of moderate left apical pneumothorax.
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cardiomegaly with mild pulmonary edema.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence of pneumonia
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in comparison with the study ,with the chest tube on water seal, there has been increase in the left pneumothorax without evidence of mediastinal shift.
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no acute cardiopulmonary process.
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small to moderate bilateral pleural effusions.
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in comparison with the study of , there has been a tracheostomy performed with no evidence of pneumomediastinum or pneumothorax. cardiac silhouette remains enlarged and there is some elevation of pulmonary venous pressure. bibasilar opacification most likely reflects atelectatic changes and pleural effusion. suggestion...
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pa and lateral chest compared to through. mild pulmonary edema has improved since and , but the heart is still severely if not chronically enlarged and hilar vessels are also chronically dilated. there is no appreciable pleural effusion.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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no acute intrapulmonary process.
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left lower lobe pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding.
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comparison to. no relevant change. the patient has been extubated and the nasogastric tube was removed. the right internal jugular vein catheter is constant. constant appearance of the postoperative left hemi thorax. no relevant changes in the normal appearing right lung.
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no acute cardiopulmonary process.
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moderate pulmonary vascular congestion. persistent elevation of the right hemidiaphragm and overlying atelectasis. bilateral rib fractures, some of which are old and some which are new, are better seen on preceding chest ct.
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pulmonary edema which improved between in has worsened again. both lung bases are abnormal. consolidation on the left has been present to variable degrees since , and is much worse today than before. mild right infrahilar consolidation has developed since. small bilateral pleural effusions are new or increased. et tu...
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no evidence of acute cardiopulmonary disease.
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retrocardiac opacity could be due to any combination of atelectasis, infection, or aspiration. attention on followup suggested. ng tube terminates in the stomach with side port <num> cm above the diaphragm. et tube terminates <num> cm from the carina.
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no acute intrathoracic process.
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no pneumonia. mild cardiomegaly.
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no focal consolidation concerning for pneumonia. multiple diffuse bilateral lung nodules better seen on ct dated.
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no evidence of pneumothorax. no other acute cardiopulmonary process to explain patient's symptoms.
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minimal atelectasis in the lung bases without focal consolidation to suggest pneumonia.
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mild cardiomegaly stable. lungs low in volume but grossly clear. no pleural abnormality.
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compared to chest radiographs since most recently. combination of moderately severe, diffuse interstitial pulmonary abnormality and emphysema is chronic and unchanged. there are no findings to suggest cardiac decompensation or pneumonia. moderate to large hiatus hernia is chronic. heart size is normal. orientation of ...
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new mild pulmonary edema. interval improvement in the consolidation of the left lung base, compared to the radiograph performed <num> hr prior, is suggestive of atelectasis, however given the mild persistent opacity at the left lung base, an acute infectious process cannot be excluded.
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in comparison with the study of , the monitoring and support devices are unchanged. the opacification at the right base is less prominent, though some of this may merely reflect a more upright position of the patient. again there is substantial volume loss in the right lower lobe and pleural effusion. less prominent ef...
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no pneumonia.
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ng tube extends into the left upper quadrant. tip of picc line poorly visualized. basilar opacities most compatible with atelectasis and or aspiration.
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no acute intrathoracic abnormality.
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improved lung expansion and interval decrease in a small to moderate left and trace right pleural effusions since.
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et tube in appropriate position. left basilar atelectasis. otherwise, unremarkable chest radiograph.
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no evidence of acute disease.
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no acute cardiopulmonary abnormality.
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no acute intrathoracic process.
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ap chest compared to. today, the lung bases as well as the rest of the lungs are clear. heart size is normal. there is no appreciable pleural effusion. dual-channel right supraclavicular central venous line ends in the upper right atrium.
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bibasilar linear opacities, likely represent atelectasis versus scarring.
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as compared to the previous radiograph, the patient has developed an extensive right pleural effusion. the effusion occupies approximately % of the right hemi thorax. subsequent areas of right basilar atelectasis are visualized. on the left, a minimal pleural effusion is present. the left aspect 's of the heart border ...
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peribronchial wall thickening, which can be seen with small airways disease. no focal consolidation or overt pulmonary edema.
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no acute cardiopulmonary process.
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no evidence of pneumonia or pleural abnormality in the right lung to account for the patient's symptoms. if a rib fracture is suspected clinically, dedicated rib radiographs may be considered. small left pleural effusion, decreased since.
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left pacemaker and leads in appropriate position.
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no acute cardiopulmonary process.
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no radiographic evidence of acute cardiopulmonary process.
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no infiltrate or effusion.
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in comparison to exam, moderate right pleural effusion has resolved. stable marked cardiomegaly.
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no pneumothorax identified.
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no acute intrathoracic abnormality.
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large hiatal hernia is re- demonstrated. there is small amount of left pleural effusion, or potentially moderate, partially imaged on these ap radiograph. mediastinal silhouette is overall stable. mild vascular enlargement is noted. no pneumothorax is seen. small right pleural effusion is most likely present as well
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new right ij line. no pneumothorax. no other change.
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mild left basal atelectasis, otherwise unremarkable exam.
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in comparison with the study of , the right picc line and endotracheal tube have been removed. otherwise, little change and no evidence of acute cardiopulmonary disease. the tip of the endotracheal tube is in the mid to lower stomach, with the side port just distal to the esophagogastric junction. pushing the tube forw...
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no acute cardiopulmonary process. no pneumothorax. no evidence of rib or sternal fractures.
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as compared to the previous radiograph, the pre-existing parenchymal opacities have all completely cleared. there signs of mild overinflation but no evidence of larger pleural effusions or of a recent pneumonia. normal size of the cardiac silhouette. mild tortuosity of the thoracic aorta.
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no acute intrathoracic process.
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no evidence of acute cardiopulmonary disease.
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normal chest radiograph. evaluation for rib fractures on chest radiographs is limited. if there is raised clinical concern, bb marker at site of pain and dedicated rib series or ct is recommended.
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mild pulmonary edema. small bilateral effusions with associated atelectasis.
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low lung volumes, mild elevation of the right hemidiaphragm with overlying atelectasis.
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no intrathoracic process.