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MIMIC-CXR-JPG/2.0.0/files/p18080005/s55441550/a4f6b3ff-0eb2fdaa-72593164-c16b8b48-53504689.jpg
resolution of previously noted pulmonary edema. no evidence of congestive heart failure.
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persistent but mildly improved pulmonary edema. redemonstration of bilateral pleural effusions.
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mild cardiomegaly, tiny left pleural effusion.
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bilateral lower lung consolidations compatible with developing pneumonia. over-distention of stomach secondary to postoperative sequelae.
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lines and tubes as described. as noted, the distal ng tube and picc line are not well delineated. persistent cardiomegaly and left lower lobe collapse and/or consolidation. elsewhere, there is diffuse opacity. in the right lung, this appears increased compared with at , but is not clearly characterized, ? alveolar ede...
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no acute cardiopulmonary process.
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interstitial edema appears slightly improved. no definite focal consolidation.
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low lung volumes with probable bibasilar atelectasis.
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new right suprahilar peribronchial infiltration could be atelectasis. lungs are low in volume but otherwise clear. there is no pneumothorax or pleural effusion. cardiomediastinal and hilar contours are normal.
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low-lying et tube which requires retraction by at least <num> cm for more optimal positioning. findings were posted and flagged to the ed dashboard at the time of this dictation.
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left lung base loculated pleural effusion is stable in size, however there is new air seen within this collection concerning for a small pneumothorax, which may be related to recent pleural catheter removal. new opacity in the left upper hemithorax, concerning for possible additional loculated fluid collection.
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no evidence of acute cardiopulmonary process.
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left subclavian central line is unchanged in position with its tip in the mid svc. a right chest tube remains in place and there continues to be loculated right apical pneumothorax with some adjacent chain sutures and surgical clips in the right suprahilar region, suggestive of a prior right upper lobectomy. subcutaneo...
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right ic catheter tip is in themid svc. cardiac size is top normal. bilateral opacities with large consolidations in the lower lobes are unchanged. et tube is <num> cm above the carina. ng tube tip is in the stomach. low lung volumes are unchanged. small left effusion is new or newly apparent. right effusion is unchang...
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no evidence of acute disease.
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heterogeneous right lung opacifications predominantly relates to large pleural plaques. bibasilar opacities, possibly atelectasis, and a small left pleural effusion.
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no acute cardiopulmonary process. no overt pulmonary edema.
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ap chest compared to at : new feeding tube passes into the stomach as far as the pylorus. tracheostomy tube and right jugular line are in standard placements, unchanged. a generalized pulmonary infiltration, with confluence in the upper lobes has not changed appreciably over the past several days. it has not worsened....
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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bilateral small pleural effusions with bibasal atelectasis. no pulmonary edema.
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normal chest radiographs. no rib fractures; however, if clinical concern, consider dedicated rib series with focal marker at sight of pain.
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persistent left lower lung mass warrants ct scanning. no pneumonia.
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no acute intrathoracic abnormality.
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no definite acute cardiopulmonary process. wedge deformity of the mid thoracic vertebral body, stable from prior.
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no acute cardiopulmonary abnormality.
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the course of the right picc line is unchanged. the tip of the line, however, appears to project over the right atrium. the line should be pulled back by approximately <num> cm. no evidence of complications, notably no pneumothorax. the lateral radiograph shows bilateral pleural effusions of moderate extent, right more...
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lung volumes remain low, and the left lower lobe is persistently opacified. since the left hilus is depressed, this is due to either substantially or exclusively left lower lobe atelectasis. pleural effusions are small if any. moderate enlargement of cardiac silhouette is long-standing but there is no pulmonary edema. ...
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no pneumothorax.
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known posterior right <num>th rib fracture not identified. no pneumothorax. no definite acute cardiopulmonary process.
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dilated azygous vein indicates increased pulmonary vascular pressure. most of the interstitial markings on this exam, however, are more attributable to low lung volumes.
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normal chest radiographs.
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no acute cardiopulmonary process. mild cardiomegaly is stable.
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as compared to the previous radiograph, the patient has been extubated and the nasogastric tube has been removed. the lung volumes are low. bilateral areas of atelectasis but no evidence of pneumonia or pneumothorax. moderate cardiomegaly without pulmonary edema.
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no acute cardiopulmonary abnormality. no displaced fracture identified. if there is continued concern for a rib fracture, consider a dedicated rib series.
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no pneumonia
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right middle lobe opacification likely represents pneumonia. streaky opacification in left lower lung likely represents atelectasis, though a multifocal infectious process cannot be excluded.
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in comparison with the study of , there is little change. cardiac silhouette remains within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. dual-channel pacer leads are essentially unchanged.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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compared to chest radiographs since , most recently. heterogeneous consolidation at the right lung base is more pronounced and a larger region of consolidation in the left lower lobe is new. how much is atelectasis and how much pneumonia is difficult to distinguish, but the reported clinical findings suggest that pneum...
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mild pulmonary vascular congestion with small bilateral pleural effusions and bibasilar atelectasis.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, a pre-existing small right pleural effusion has completely resolved. on the left, small pleural effusion with subsequent retrocardiac atelectasis remains visible. the right central venous access line as well as the left pectoral pacemaker is unchanged. unchanged mild cardiomegaly...
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orientation of the left pectoral generator has changed, leads are continuous. the intended atrial lead now heads posteriorly toward the inferior vena cava and the ventricular lead, previously oriented upward toward the pulmonary outflow tract now follows the anticipated location of the right ventricular floor. small bi...
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comparison to. the right internal jugular vein catheter was removed. the lung volumes have decreased. mild progression of the pre-existing parenchymal opacities on the right that are now seen throughout the entire right lung. mild elevation of the left hemidiaphragm. mild to moderate cardiomegaly. sternal wires and lef...
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as compared to the previous radiograph, no relevant change is seen. no pleural effusions. no pneumonia, no pulmonary edema. the pacemaker leads are in unchanged position. no pneumothorax.
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no acute cardiopulmonary process.
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new left central line. no pneumothorax.
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new large subdiaphragmatic free intraperitoneal air is concerning for a perforated viscus. increased gaseous distention of the stomach despite ng tube decompression.
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increasing left moderate pneumothorax.
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pa and lateral chest compared to : heterogeneous peribronchial opacification in the right upper and lower lobes is unchanged since , probably pneumonia. small bilateral pleural effusions are new. heart size is normal. thoracic aorta is heavily calcified but not focally dilated. relative enlargement and hyper-attenuatio...
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et tube tip is <num> cm above the carinal. ng tube passes below the diaphragm terminating in the stomach. heart size and mediastinum are stable. bilateral consolidations and bilateral pleural effusions are unchanged. vascular congestion is moderate. , md
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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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unchanged right apical pneumothorax, bibasilar atelectasis and bilateral pleural effusions, right greater than left.
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pa and lateral chest compared to through : moderate residual right pleural effusion and associated pleural thickening and atelectasis in the right middle lobe are all essentially unchanged since. there is no pneumothorax. left lung and left pleural space are normal. moderate cardiomegaly is longstanding, but there is ...
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no acute cardiopulmonary process.
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improved but persistent opacification of the left lower lobe. recommend follow-up to resolution.
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compared to chest radiographs through. left lower lobe was clear on , progressively abnormal since then. the combination of consolidation and micro nodulation is most likely pneumonia. borderline interstitial edema is also present. heart size is normal. no pleural abnormality. nasogastric drainage tube passes into the...
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no definitive evidence of infection. low lung volumes with bibasilar atelectasis.
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mild interstitial abnormality in the left lower lung is unexplained. a thicker somewhat irregular linear opacity, in the left midlung laterally as large is x <num> mm, is indeterminate. it could be a scar or a nodule. ct scanning, and particularly comparison to prior chest imaging, would be required for assessment. re...
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patchy right infrahilar opacity, concerning for bronchopneumonia.
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lungs are well expanded and essentially clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. left pic line ends in the mid to low svc, unchanged.
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as compared to the previous radiograph, no relevant change is seen with respect to the lung parenchyma. the lateral radiograph, however, shows increasing wedge deformity of <num> vertebral body. in addition, the frontal image shows a zone of increased bone density at the level of the ventral aspect 's of the fourth rib...
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patchy lateral left base opacity could relate to atelectasis and overlying soft tissue however, underlying consolidation not excluded.
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replaced mitral valve is in expected position. mediastinal contours are stable. cardiomegaly is unchanged. there is interval resolution of pulmonary edema. there is small amount of bilateral, left more than right pleural effusion. opacity a adjacent to the aortic arch is new and might potentially reflect atelectasis, a...
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no acute cardiopulmonary process.
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normal chest radiographs.
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interval minimal worsening of right lower lobe pneumonia since the prior examination. mild decompensated congestive heart failure.
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large right hilar mass most likely representing malignancy recommendation(s): ct for further evaluation
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no acute findings detected on this single frontal view.
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status post esophagectomy with an air-fluid level identified within the neoesophagus. note that physiologic function cannot be assessed without dynamic imaging.
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moderately large left pleural effusion with associated left lower lobe atelectasis. the chest drains are not clearly seen on this study.
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no acute cardiopulmonary process. unchanged expected location of left-sided port-a-cath.
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two adjacent nodular opacities along the upper aspect of the left ventricle seen on the lateral view, for which further evaluation is recommended with routine oblique radiographs.
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subtle right base opacity, could be due to atelectasis, vascular structures, or mucoid impaction, although underlying consolidation is not excluded in the appropriate clinical setting.
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no significant change in small pulmonary cystic structures. these could be seen with acute processes such as septic emboli, but could be seen with more chronic processes such as bronchiectasis, pneumatoceles, or potentially cavitating nodules associated with inflammatory processes such as langerhans cell histiocytosis....
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no acute cardiopulmonary process. double density projecting over the right lung apex as detailed above with no abnormality demonstrated on a ct examination from which covered the region of interest.
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in comparison with the study of , the cardiac silhouette remains within upper limits of normal and there is no definite vascular congestion, pleural effusion, or acute focal pneumonia. the dense streak of atelectasis at the left base is no longer seen.
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no acute cardiopulmonary process. ]
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no acute intrathoracic abnormality.
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left lower lobe pneumonia. followup of the patient four weeks after completion of antibiotic therapy is recommended.
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mild pulmonary vascular engorgement.
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no comparison. severe scoliosis with subsequent asymmetry of the ribcage. severe degenerative left shoulder disease. mild cardiomegaly. no pulmonary edema, no pleural effusions. the presence of small calcified granulomas in the right upper lobe cannot be excluded.
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no evidence of acute cardiopulmonary process.
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no radiographic evidence for acute pulmonary edema.
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no unfavorable change, no radiographic evidence of metastatic melanoma in the thorax.
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no evidence of pneumonia.
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small bilateral pleural effusions and bibasilar atelectasis, new in the interval.
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no acute cardiopulmonary process.
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left subclavian picc line has its tip in the proximal svc near the confluence of veins. the right pleural pigtail catheter is unchanged in position positioned within a loculated pleural effusion. small left effusion likely not significantly changed given differences in inspiration. patchy bibasilar opacities, right gre...
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no radiographic evidence of pneumonia.
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no acute cardiopulmonary process.
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findings concerning for pneumonia in the right lower lobe.
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as compared to the previous radiograph, no relevant change is seen. the monitoring and support devices are constant. moderate cardiomegaly persists. normal right lung, no evidence for the presence of a pneumothorax. the known left pleural effusion and the left retrocardiac atelectasis as well as the platelike areas of ...