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MIMIC-CXR-JPG/2.0.0/files/p16820620/s57246923/662cb5fc-ceb8a3af-de5bf7aa-3a86f041-0c7beab4.jpg
hazy patchy infiltrate in the central lateral portion of the right lower lobe, new from prior exam and most likely represents intervening superinfection. recommend followup after treatment. these findings were reported to dr by dr telephone on at hours.
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no acute cardiopulmonary abnormality.
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lateral right chest not completely included on the image. multiple displaced left-sided rib fractures with overlying subcutaneous emphysema. the left diaphragm is obscured which may be due to atelectasis, aspiration, pleural effusion, pulmonary contusion. the right lung is not well assessed, but is lower in volume than...
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no short term interval change demonstrated.
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following tracheal extubation lung volumes are smaller as expected, but there has been more than the anticipated degree of increase in caliber of the entire cardiomediastinal silhouette. some of this could be due to increase vascular engorgement but fluid accumulation in the mediastinum or pericardium should be evaluat...
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no acute intrathoracic process.
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in comparison with the study of , there is again substantial enlargement of the cardiac silhouette with tortuosity of the aorta. hyperexpansion of the lungs is seen with coarseness of interstitial markings that could reflect interstitial lung disease, elevated pulmonary venous pressure, or both. the left pleural effusi...
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in comparison with the study of , there is little interval change. postoperative changes on the right are again seen. no evidence of acute pneumonia or vascular congestion.
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no evidence of acute cardiopulmonary process. these findings were communicated to dr by telephone at on at the time of discovery by dr.
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bibasilar airspace opacities which appears mildly increased at the right lung base since and may represent early or developing infection in the appropriate clinical setting. findings discussed with dr by phone at on.
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no lung fibrosis.
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enlargement of the cardiac silhouette is likely accentuated by lower lung volumes. no consolidation worrisome for pneumonia.
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no acute cardiopulmonary abnormality. no acute osseous abnormality.
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no acute cardiopulmonary process.
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no reaccumulation of the pneumothorax. appearances suspicious for left lower lobe consolidation.
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increased patchy opacities in the lung bases may reflect progression of underlying chronic interstitial lung disease, but superimposed atelectasis or infection cannot be completely excluded.
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no acute intrathoracic abnormality.
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right upper lobe pneumonia. possible right upper lobe bronchiectasis, which could be reassessed by followup chest radiograph following antibiotic therapy.
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no acute cardiopulmonary process.
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ap chest compared to : the left axillary pacer pack has been re-positioned. transvenous right atrial and left ventricular pacer and right ventricular pacer defibrillator leads are unchanged in standard placements. lung volumes are lower today which may account for apparent increase in moderate-to-severe cardiomegaly th...
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stable right small pleural effusion and slight increase in small left pleural effusion compared with prior.
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there are low lung volumes. central catheter tip is in the cavoatrial junction. there is no pneumothorax or large effusions. there are small bibasilar atelectasis. cardiomediastinal contours are unchanged
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in comparison with the study of , there is little overall change. bibasilar opacification again could reflect small pleural effusions and compressive atelectasis. cardiac silhouette is at the upper limits of normal in this patient was undergone a previous cabg procedure with intact midline sternal wires. indistinctness...
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comparison to. the monitoring and support devices are in stable correct position. mild to moderate bilateral pleural effusions with areas of atelectasis at both the left and the right lung basis. mild cardiomegaly. no overt pulmonary edema. no newly appeared focal parenchymal opacities.
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moderate cardiomegaly is chronic. there is no longer pulmonary edema but pulmonary vascular congestion is still present. pleural effusions are small if any. no evidence of pneumonia
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ap chest compared to : left basal pleural tube in place, no pneumothorax, decrease in the thickness of the left pleural margin at least inferiorly probably due to drainage of previous hemothorax. marked displacement of rib fractures in the upper chest is noted, and may have implications regarding continued vascular tra...
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interval appearance of mild pulmonary edema. bibasilar streaky opacities suggestive of atelectasis. stable small left effusion.
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normal chest.
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as compared to the feeding tube now shows a normal course. the other monitoring and support devices are unchanged. unchanged appearance of the lung parenchyma and the cardiac silhouette, at slightly lower lung volumes.
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no acute cardiopulmonary process.
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the left-sided picc line is unchanged in position within the distal tip in the mid right atrium. this could be pulled back <num> cm as recommended previously. heart size is prominent but stable. there are bilateral pleural effusions and a left retrocardiac opacity. there is moderate pulmonary edema, stable. there are n...
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no pneumothorax. focal opacity within the periphery of the right upper lobe warrants follow up radiographs for confirmation and further characterization in order to help distinguish is superimposition of normal structures from a discrete pulmonary abnormality such as focal scar or a lung cancer.
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unchanged mediastinal and hilar lymphadenopathy. emphysema. no radiographic findings to suggest pneumonia.
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low lung volumes. no acute cardiopulmonary process. stable chest radiograph
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in comparison with the study of , there is little change. mild prominence of the hila is again appreciated. the cardiac silhouette is at the upper limits of normal in size and there is no evidence of vascular congestion or acute pneumonia.
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no acute cardiopulmonary abnormalities
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no significant change compared to recent prior.
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no evidence of acute process.
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right small pneumothorax has decreased in size. right picc tip is in the mid svc. moderate cardiomegaly and widening mediastinum are stable. right pigtail catheter is not visualized. patient has known large hiatal hernia. small to moderate left effusion is unchanged. if any there is a small right effusion. diffuse bila...
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compared to prior chest radiographs,. <num> sequential frontal chest radiographs show successive repositioning of the esophageal feeding tube, wire stylet in place, from either the mid esophagus or the low trachea, to the upper stomach. left lower lobe is still collapsed, and milder right lower lobe atelectasis has wor...
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no acute pneumonia. findings suggestive of old tuberculosis infection.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease.
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no radiographic findings to explain chest pain. suggest <num> week followup chest radiographs for right apical lesion to exclude reactivation tuberculosis or early lung cancer, unless prior radiographs can be obtained that demonstrate it is inert. dr findings with resident by telephone am.
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no acute cardiopulmonary process. no focal consolidation or pleural effusion.
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no acute cardiopulmonary process.
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no evidence of acute disease. non-displaced lucency in the scapula neck, probably an artifact or nutrient foramen, although additional investigation could be considered if any symptoms or physical signs suggest the potential for trauma to the area.
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as compared to the previous image, the right chest tube remains in unchanged position. also the extent of pleural fluid might have minimally increased, the expansion of the right lung bases has also slightly increased. nevertheless, the collapsed part at the right lung bases is overall unchanged and still has a masslik...
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compared to chest radiographs since , most recently through. patient has been extubated and other cardiopulmonary support devices have also been removed. moderate postoperative widening of the cardiomediastinal silhouette has increased since , due to worsening cardiomegaly or developing mediastinal or pericardial flui...
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no acute intrathoracic process.
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no focal pneumonia.
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stable appearance of small right apical pneumothorax with right-sided chest tube in place.
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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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normal chest radiograph.
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improvement in the pleural effusions the study, with persistent cardiomegaly, pulmonary vascular congestion, and interstitial edema, new since the osh study of.
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as compared to , the postoperative changes at the right lung apex have decreased in extent and severity. the remaining lung parenchyma appears normal. no cardiomegaly. no pulmonary edema, no pleural effusions. normal hilar and mediastinal contours.
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mild pulmonary vascular engorgement and bibasilar atelectasis versus scarring.
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minimal decrease in right pleural effusion; otherwise no significant interval change - severe right lower lung atelectasis. left picc line still ends in right atrium, could pull back about <num> cm. discussed with from the micu at <num> pm.
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no acute intrathoracic process.
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findings suggestive of mild failure. slightly increased left-sided pleural effusion and cardiomegaly. bilateral calcified pleural plaques.
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stable left lung volume loss after left upper lobe lobectomy.
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no acute cardiopulmonary process.
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compared to chest radiographs since , most recently ,. mild pulmonary edema has worsened since earlier in the day. small right pneumothorax slightly smaller, and small right pleural effusion unchanged,, basal pigtail drainage catheter unchanged in position. heart size normal.
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pa and lateral chest compared to : normal heart, lungs, hila, mediastinum and pleural surfaces.
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no acute cardiopulmonary abnormality.
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comparison to. a pre-existing small right pleural effusion has almost completely resolved. lung volumes remain low. moderate cardiomegaly persists. mild elongation of the descending aorta is stable.
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mild pulmonary edema has increased. severe cardiomegaly is chronic, not appreciably changed since despite a configuration suggesting ventricular aneurysm. patient has had median sternotomy and mitral valve replacement. right atrial and <num> right ventricular pacer defibrillator leads, are continuous from the low righ...
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mild cardiomegaly. otherwise, no acute cardiopulmonary process.
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left basilar opacities may reflect atelectasis and/or consolidation.
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no acute cardiopulmonary abnormality.
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in comparison to previous radiograph of <num> day earlier, bilateral lower lobe consolidations have decreased in severity and may potentially be due to resolving aspiration or improving aspiration pneumonia. no other relevant change.
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no acute cardiopulmonary process.
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as recently as the patient had bilateral pneumonia, most severe in the left lung. this has never cleared, and is more pronounced in the left lung today than it was on. a large right pleural effusion which recurred have any after drainage on , is unchanged. the absence of contralateral mediastinal shift demonstrates th...
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pa and lateral chest compared to : severe cardiomegaly has worsened, but the lungs are clear and there is no pulmonary vascular engorgement or edema and no pleural effusion or evidence of central adenopathy.
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interval development of diffuse bilateral interstitial opacities and small bilateral pleural effusions, consistent with mild pulmonary interstitial edema.
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no picc visualized. normal chest radiograph.
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standard positioning of the endotracheal and orogastric tubes.
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lungs are now clear.
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persistent right lower lobe opacity, thought to be pneumonia on ct. recommend follow-up imaging <num> weeks after treatment to ensure resolution and exclude underlying lesion. lower lung volumes. recommendation(s): follow-up imaging <num> weeks after treatment to ensure complete resolution of right lower lobe opacity e...
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in comparison with the study of , there is little change. cardiac silhouette remains within upper limits of normal in size. no vascular congestion, pleural effusion, or acute focal pneumonia.
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no acute intrathoracic process.
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left basilar atelectasis.
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tip of the right-sided picc line is now positioned at the cavoatrial junction.
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no mass is identified. chest ct is more sensitive in detecting small pulmonary lesions if this remains of clinical concern. no acute cardiopulmonary process radiographic plain.
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right pleural effusion has significantly decreased since. there are no new masses or pulmonary nodules.
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no acute cardiopulmonary process.
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status post endotracheal intubation. orogastric tube terminating in the stomach. no definite evidence for injury.
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no radiographic evidence of an acute cardiopulmonary process.
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allowing for differences in technique and projection, there has not been an appreciable change in the appearance of the chest since recent radiograph of <num> day earlier.
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lungs are mildly hyperinflated but clear of any focal abnormality. aside from a small hiatus hernia, cardiomediastinal and hilar silhouettes and pleural surfaces are normal. thoracic aorta is calcified and the descending portion, but not aneurysmal
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no acute intrathoracic process.
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limited film demonstrating vascular engorgement and pulmonary edema. no evidence of pneumonia.
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mild pulmonary edema is unchanged. right ij line ends in the right atrium and may be pulled back <num> cm to be positioned at the cavoatrial junction.
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in comparison with the study of , there is little overall change. multifocal opacifications with layering effusions and compressive basilar atelectasis again seen.
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no acute cardiopulmonary 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 effusions.
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diffuse interstitial abnormality compatible with cystic fibrosis. worsening ill-defined nodular opacities most pronounced within the right upper lobe and left lung base, concerning for infection.