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MIMIC-CXR-JPG/2.0.0/files/p15973356/s58474897/d064f523-cec67a40-06852a63-8124f057-cffc303a.jpg
no evidence of active or past infection with tuberculosis. stable moderate cardiomegaly.
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as compared to the previous image, the extent of the chronic right pleural effusion has moderately decreased. the effusion is now limited to the area of the costophrenic sinus on the right. the pre-existing perihilar fibrotic changes have minimally increased. there is mild scarring at the lung apices. moderate cardiome...
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in comparison with the study of , the asymmetric opacification in the left mid zone has essentially cleared. again there is hyperexpansion of the lungs with flattening hemidiaphragms consistent with chronic pulmonary disease. enlargement of the cardiac silhouette without vascular congestion, raises the possibility of u...
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no focal consolidation to suggest pneumonia.
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appropriately positioned endotracheal tube. nasogastric tube tip in the distal esophagus, advancement is recommended.
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no convincing evidence for pneumonia. mild left basal platelike atelectasis.
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in comparison with the study of , the monitoring and support devices have been removed. there is again substantial enlargement of the cardiac silhouette with minimal elevation of pulmonary venous pressure. opacification at the left base silhouetting the hemidiaphragm is consistent with pleural fluid and volume loss in ...
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tip of feeding tube terminates in the region of the gastroesophageal junction. exam is otherwise remarkable for removal of pleural catheter with development of right basilar hydropneumothorax.
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improving right lower lobe pneumonia. mild interstitial edema.
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cardiomegaly without acute cardiopulmonary process.
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in comparison with the study , there is little overall change in the diffuse bilateral areas of opacification consistent with the clinical diagnosis of multifocal pneumonia. the medial aspect of the left hemidiaphragm is not seen, suggesting some volume loss in the left lower lobe. some of the generalized opacification...
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decreased conspicuity of previously visualized retrocardiac opacity in the left lower lobe. while this may represent residual scarring and/or atelectasis. no evidence of focal consolidation elsewhere. large hiatus hernia.
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no acute findings in the chest.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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opacities at both lung bases are worrisome for pneumonia; aspiration could also be considered in the appropriate setting. no evidence for congestive heart failure.
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dense consolidation in the left lower lobe is consistent with infection in the correct clinical setting.
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mild pulmonary vascular congestion. cardiomegaly with aneurysmally dilated and tortuous thoracic aorta, better assessed on prior chest cta.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13796211/s57864365/63615ea6-89bc8950-329ca770-ef9c8210-d293e575.jpg
no acute cardiopulmonary abnormality.
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postoperative cardiomediastinal caliber is narrow. moderate cardiomegaly is stable. there is no evidence of active bleeding in the mediastinum. no definite pneumothorax or pleural effusion. left breast prosthesis overlies the left chest. lateral aspect the right lower hemi thorax is excluded from the examination. skin ...
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resolved pulmonary edema versus pneumonia has resolved. mild bilateral pleural effusions are mildly improved.
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the multiplicity of the lesions and characterization is best performed on the prior ct. the largest lesion on the right measures <num> cm on this chest x-ray.
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increased size of moderate left pleural effusion with left basilar compressive atelectasis. unchanged small right pleural effusion and minimal right basilar atelectasis.
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no acute cardiopulmonary process.
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small right apical pneumothorax. increased bibasilar opacification, post endotracheal tube removal is likely related to atelectasis.
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tiny bilateral pleural effusions. otherwise, unremarkable.
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no signs of pneumonia.
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no acute cardiopulmonary process.
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normal chest radiograph. no obvious radiopaque esophageal and tracheal opacity
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no acute cardiopulmonary process. expansile lesion of the right third posterior rib of indeterminate etiology. recommend clinical correlation for any history of osseous malignancy (i. e. multiple myeloma) and comparison with prior imaging to assess stability.
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no evidence of pneumonia.
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low lung volumes with right basilar opacity which is likely atelectasis.
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slightly increased bibasilar opacities may reflect aspiration and/or pneumonia.
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no evidence of acute intrathoracic process.
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in comparison with the study of , the patient has taken a better inspiration. port-a-cath remains in place. there is increased opacification at the left base medially. although this could merely represent atelectatic changes, in the appropriate clinical setting superimposed pneumonia could be considered.
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moderate thoracic scoliosis. no rib abnormality seen. dedicated rib series could be obtained to further evaluate for subtle chest wall abnormalities in the area of focal clinical tenderness.
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interval appearance of mild to moderate pulmonary and interstitial edema. increasing more focal consolidation at the left lung base may be related to the pulmonary edema, although underlying pneumonia or aspiration cannot be excluded. this can be better assessed on followup imaging. the cardiac mediastinal contours rem...
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as compared to chest radiograph, bilateral lower lobe opacities have slightly improved, and they remain more severe in the left lower lobe than the right. left pleural effusion is persistent and small right pleural effusion has nearly resolved. no other relevant changes.
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ap chest compared to , since preceding study, heart size and pulmonary vasculature and the small right pleural effusion have all increased in size consistent with cardiac decompensation. that means the moderate increase in mediastinal caliber in and above the region of the aortic arch could be due to venous engorgemen...
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multifocal airspace disease in the right lung and potentially in the left as well. in the proper clinical setting this could represent multifocal pneumonia.
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no definite pneumothorax. low lung volumes with increased right lower lung and left mid lung atelectasis.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16271378/s58332214/f89ce6a5-83a4616e-4668e5c3-312c481e-d93877fc.jpg
no acute cardiopulmonary process.
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et and ng tubes in place.
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no relevant change as compared to. the monitoring and support devices are unchanged. massive bilateral parenchymal opacities are constant. no larger pleural effusions. unchanged extent of the severe air inclusions in the soft tissues of the chest wall.
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no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17698218/s52473835/7378acaf-a95e4445-b68006a4-48252fb5-553a20ff.jpg
no evidence of acute cardiopulmonary process. improved pulmonary congestion.
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bilateral thoracostomy tubes. no pneumothorax seen. unchanged minimal right pleural effusion. small left pleural effusion is smaller since the radiograph.
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no acute cardiopulmonary process. chronic right lateral rib fracture with adjacent atelectasis. left-sided picc terminates in the mid svc.
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comparison to. no relevant change. the monitoring and support devices are constant. mild cardiomegaly. minimal left pleural effusion and left retrocardiac parenchymal opacity, unchanged in extent and severity. a minimal opacities also seen at the bases of the right lung. no other relevant changes.
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no acute cardiopulmonary process.
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in comparison to prior radiograph of <num> days earlier, left lower lobe atelectasis has worsened is is accompanied by an apparent small left pleural effusion. no other relevant change.
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unchanged mild to moderate cardiomegaly and mild pulmonary vascular congestion.
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moderate pulmonary vascular congestion without overt edema. no large effusions. no confluent consolidation to suggest pneumonia.
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normal chest radiographs.
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lungs are well expanded and clear of focal abnormality except for a small region of possible bronchiectasis in the right midlung, projecting over the posterior right sixth rib. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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no acute cardiopulmonary process.
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marked improvement of right basal pneumothorax and subcutaneous emphysema of the right chest. persistence of small right pneumothorax. small right pleural effusion.
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similar appearance of the lungs, now with <num> left chest tubes
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no signs of pneumonia.
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left lower lobe pneumonia. results were discussed over the telephone with dr by dr at on at time of initial review.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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new pneumonia or aspiration, likely of the right middle lobe. no other significant interval change since the study of <num> days prior.
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apparent interval increase in the degree of cardiomegaly. suspect background copd. enlarged pulmonary arteries are consistent with pulmonary hypertension. new bilateral effusions with worsening underlying collapse and/or consolidation. previously seen right base opacity is not as well seen, but is probably unchanged. m...
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no evidence of pneumonia.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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constant extensive right lung pneumonia. increase in severity of left pneumonia.
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heart size top- normal. lungs clear of pneumonia. mild atelectasis persists at <num> of the lung bases, seen only on the lateral view. no pleural abnormality.
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no acute cardiopulmonary process.
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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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no acute cardiopulmonary process.
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moderate cardiomegaly, central vascular congestion, and mild interstitial edema, compatible with chf.
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stable massive cardiomegaly. worsening opacities at the lung base on the lateral radiograph may reflect pulmonary edema or pneumonia.
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low lung volumes with bibasilar atelectasis. moderate size hiatal hernia.
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no acute cardiopulmonary process based on this limited exam.
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no evidence of acute disease. mild cardiomegaly. surgical clips projecting along the gastroesophageal junction.
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no acute cardiopulmonary process.
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et tube tip positioned <num> cm above the carina. retraction by at least <num> cm is recommended for more optimal positioning. left basal opacity concerning for aspiration or pneumonia.
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no acute cardiopulmonary process
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no focal consolidation concerning for pneumonia.
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normal chest x-ray without evidence of pneumonia
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ap chest compared to. heart size borderline enlarged. lungs grossly clear. no pleural abnormality or significant mediastinal venous distention. et tube in standard position. upper enteric drainage tube passes into the stomach and out of view. pleural effusions, if present, are not substantial.
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no focal consolidation to suggest pneumonia. minimal reticulation of the lung bases may be due to chronic changes.
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no acute cardiopulmonary process. previously seen deep lucency at the left costophrenic angle is no longer seen and was likely artifactual.
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moderate, partially loculated right pleural effusion has increased in size since chest ct.
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right central venous infusion port catheter ends close to the superior cavoatrial junction. the heart is normal size. lung volumes remain low. pleural effusions small if any. no focal pulmonary abnormality.
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heart size and mediastinum are in unchanged position. loculated left apical pleural effusion is unchanged. there is no pneumothorax. there is also presence of left basal loculated effusion. substantial degenerative changes in the right shoulder are re- demonstrated. the decubitus view demonstrate the evidence of multip...
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in comparison with the study of , the left basilar pneumothorax appears to be further decreased. otherwise, little change.
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no evidence of acute cardiopulmonary process. age-indeterminate height loss of a lower thoracic/ upper lumbar vertebral body since.
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the right basilar pigtail catheter has been removed. there has been interval increase in the right sided pleural effusion at the base. there is a left-sided port-a-cath with is unchanged and position. heart size is enlarged but stable. there remains trace pulmonary edema.
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persistent baseline left worse than right pulmonary fibrosis and left sided mass. no significant interval changes from <num> days ago.
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in comparison with the study of , there is again increased opacification at the left base silhouetting the hemidiaphragm, consistent with a combination of substantial pleural effusion and volume loss in the left lower lung. no acute pneumonia. old healed rib fractures again seen on the right.
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no significant interval change.
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left peak tail thoracostomy catheter remains in place. no pneumothorax is appreciated. overall cardiac and mediastinal contours are stable. there is blunting of both costophrenic angles which are consistent with small effusions as evident on recent chest ct. there is an evolving opacity in the right upper lobe which wo...