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MIMIC-CXR-JPG/2.0.0/files/p16702545/s58046418/baeda180-d5f750be-d32ebc14-e145cab4-a6af000c.jpg
previous mild pulmonary edema has cleared and vascular congestion in the lungs and mediastinal venous engorgement have slightly improved. heart size is top-normal. no pneumothorax or appreciable pleural effusion. left subclavian catheter ends at the origin of the svc.
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worsening pneumonia in the left mid and lower lung involving the lingula and left lower lobe.
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no evidence of pneumonia or pulmonary edema. bibasilar subsegmental atelectasis and suggestion of a small left pleural effusion. this preliminary report was reviewed with dr , radiologist.
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postoperative widening of the mediastinal silhouette which increased from to has receded. pneumomediastinum persists, clinically insignificant. no pneumothorax. pleural effusions small if any. bibasilar atelectasis is mild to moderate and unchanged.
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minimal pulmonary vascular congestion, without overt edema. upper most sternal wire has fractured in the interim since. s
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elevated left hemidiaphragm and bibasilar atelectasis. additional focus of opacity in the medial right lung base with possible air bronchograms could be due to infection or aspiration.
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left pic line ends in the low svc. hazy opacification of the lung bases, right greater than left is probably due to posteriorly layering pleural effusions. upper lungs are clear. heart size is normal. no pneumothorax.
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trace bilateral pleural effusions, new since <num> days ago. mild left basilar atelectasis. multiple dilated loops of bowel in a surgical patient suggest ileus. if clinical concern persists, recommend abdominal radiograph for a more complete evaluation of the bowel.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormalities
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no acute cardiopulmonary process.
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ett now terminates <num> cm above the carina. as compared to prior chest radiograph, pulmonary edema is increased.
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improving pneumonia. thin spinal syndesmophytes suggesting the possibility of an inflammatory arthropathy such as could be seen with ankylosing spondylitis; clinical correlation is suggested.
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no acute intrathoracic process
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retrocardiac opacity may represent combination of atelectasis, effusion or possibly infectious consolidation. opacity along the right hilus is not changed from the prior study, however further evaluation with non-urgent ct is recommended for further characterization of these findings.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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vague increased density in the bilateral lower lung zones may represent micro atelectasis (secondary to low lung volumes) or early airspace consolidation. unfortunately a pneumonic process cannot be excluded with absolute certainty and clinical correlation is advised.
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no evidence of acute disease.
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stable mild cardiomegaly. no pneumonia, pulmonary edema or pleural effusion.
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no acute cardiopulmonary abnormality. please note that the previously described <num> mm tubular opacity in the left lower lobe on prior ct is not visualized on this exam. as recommended on the prior ct in , the patient is due for a follow up <num>-month chest ct.
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no evidence of acute cardiopulmonary process. no free air. hyperinflated lungs.
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no evidence of acute disease.
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pleural effusion in the site of the previous collection in the lateral right lung base and the oblique fissure. opacity in the medial right lung base consistent with right lower lobe collapse.
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as compared to the previous examination, the extent of the pleural effusions has decreased. the effusions are now better appreciated on the lateral than on the frontal radiograph. subsequent areas of atelectasis are still seen at both the left and the right lung base. no evidence of pneumonia. unchanged borderline size...
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new extensive bilateral airspace opacities which may be due to noncardiogenic pulmonary edema or ards. stable moderate right and small left pleural effusions. et and enteric tubes in satisfactory position.
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no acute intrathoracic abnormality.
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no acute cardiopulmonary process.
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no evidence of an acute cardiopulmonary process with an opacity again noted in the right upper lobe and better delineated on dedicated ct torso from. the pulmonary vasculature is mildly prominent in the lower lobes and likely physiologic but mild case edema cannot be excluded.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11676232/s51912166/e3d21827-e2e8b325-b71232c3-757fd6f5-b601891c.jpg
limited by patient rotation. low lung volumes and bibasilar atelectasis. a small left pleural effusion, improved.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16403314/s57088415/466680ac-8db23d03-b7fe3579-f64b2c3f-543991ca.jpg
as compared to the previous radiograph, no relevant change is seen. the lung volumes are low. monitoring and support devices are constant. no pleural effusions. no pneumonia, no pulmonary edema.
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fracture seen on ct cannot be evaluated on this plain film, normal chest radiograph.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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endotracheal tube, right internal jugular port-a-cath, bilateral chest tubes and nasogastric tube are unchanged in position. stable bilateral diffuse parenchymal abnormality and extensive subcutaneous emphysema and pneumomediastinum does not appear to be significantly changed.
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lung volumes with vascular crowding.
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interval removal of right chest tube, with new large opacity in the right mid-zone and new or increased right base effusion. much of the mid-lung opacity may represent fluid layering in the minor fissure, as suggested on a ct scan from.
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basilar atelectasis without focal consolidation.
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vascular clips denotes prior neck surgery, perhaps thyroidectomy. lungs are well expanded and clear. the heart is top-normal size. thoracic aorta is very tortuous but not clearly dilated. lower esophagus is moderately distended with air, has was in. there may be a small hiatus hernia. there is no pleural abnormality. d...
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ap chest compared to through : pulmonary vascular congestion, moderate cardiomegaly, and mediastinal venous engorgement are all worse today than on , although there is no pulmonary edema. in the left mid lung, there is either a confluence of dilated vasculature or new small area of peribronchial infiltration, but this...
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interval increase in size of left apical pneumothorax. a left pleural pigtail catheter is unchanged in position. decreased gastric distention.
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no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16988043/s57685048/0fd140e9-e6819df5-e7aeb030-10c1cbd1-ecac03f6.jpg
no acute intrathoracic process.
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normal chest x-ray. no pneumonia.
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bullous emphysema. no acute cardiopulmonary abnormality.
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the side hole of the right chest tube lies outside the chest and in the subcutaneous tissue. moderate right loculated hydropneumothorax may be slightly larger compared to.
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mediastinal lucencies concerning for pneumomediastinum; subcutaneous emphysema; subdiaphragmatic free air, all new compared to prior study, and in the setting of recent surgery may reflect air dissecting along the fascial planes. correlate with other history of instrumentation or trauma. an initial report of these find...
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no acute cardiopulmonary process.
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in comparison with the study of earlier in the day, there has been dramatic increase in bilateral pulmonary opacifications, worse on the right, consistent with pulmonary edema. in addition, there is now a large pneumoperitoneum. monitoring and support devices are unchanged.
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partially calcified pleural plaques and pleural thickening without superimposed acute cardiopulmonary process.
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ap view of the abdomen centered at the l<num> level shows a nasogastric tube ending in the upper stomach would need to be advanced at least <num> cm to move all the side ports beyond the gastroesophageal junction. the imaged portion of the intestinal tract is not distended. the widespread but variable abnormality at th...
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compared to chest radiographs. new right central venous catheter ends in the right brachiocephalic vein before the origin of the svc. no pneumothorax pleural effusion or mediastinal widening. lungs clear. no pneumonia.
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interval placement of a right internal jugular port-a-cath with its tip in the right atrium. given differences in technique, the lungs appear well inflated without evidence of focal airspace consolidation to suggest pneumonia. no pleural effusions, pulmonary edema or pneumothorax. overall cardiac and mediastinal contou...
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in comparison to study of , a sequence of films shows the opaque portion of the dobbhoff tube just distal to the esophagogastric junction. it could be pushed forward if clinically possible. the patient has taken a better inspiration the, but otherwise probably little change.
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as compared to chest radiograph, right pigtail pleural catheter remains in place, with persistent moderate loculated right basilar hydro pneumothorax. the amount of fluid relative to gas has slightly increased in the interval. no other relevant changes.
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no acute cardiopulmonary process.
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hyperinflated lungs. no focal consolidation to suggest pneumonia.
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no focal opacity concerning for pneumonia.
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hyperexpanded lungs with no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13467921/s50763295/6fa8a9eb-8964b8cb-5a7ea8a6-9e7c581f-e6a7defd.jpg
no acute cardiopulmonary process.
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ap chest compared to : pulmonary edema worsened from , subsequently stable, has now improved since , with only bibasilar residual. heart is mildly enlarged, unchanged. pleural effusions are small if any. no pneumothorax.
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no acute cardiopulmonary process.
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cardiomegaly is unchanged, moderate. mediastinal silhouette is stable. no pulmonary edema is seen by vascular congestion is present, mild. small bilateral pleural effusions are present. there is no pneumothorax.
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stable density over the left mid lung, consistent with calcified tuberculous bronchiectasis as previously described on chest ct from. no acute cardiopulmonary process.
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<num> new epicardial pacer leads project over the left paramedian chest extending roughly to level of the diaphragm. without a lateral view, i cannot localize than. there is no pneumothorax mediastinal widening or pleural effusion. heart size is comparable to the preprocedure study. no pulmonary edema.
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no evidence of acute cardiopulmonary abnormality.
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new left lower lobe consolidation. findings were reported to by by telephone at on at the time of discovery of these findings after attending radiologist review.
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normal radiographic examination of the chest.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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multiple opacities raise concern for pneumonia. nodular opacity adjacent to the right hilum could represent a mass. chest ct is recommended for further evaluation. mild to moderate pulmonary edema. no pleural effusion or pneumothorax.
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findings suggesting mild pulmonary edema; differential considerations include atypical infection however. possible substantial new nodule projecting over the left mid lung versus nipple shadow. right posterior basilar opacities with at least one discrete nodule, difficult to compare to the prior study, but with no clea...
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mild interstitial pulmonary edema is new accompanied by increase in borderline cardiomegaly and small bilateral pleural effusion. left lower lobe atelectasis is severe and unchanged. severe calcific right fibrothorax obscures much of the right lung, but there is no good evidence for pneumonia.
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sub segmental atelectasis in the right middle lobe is long-standing. lungs are otherwise clear. there is no pleural effusion. cardiomediastinal and hilar silhouettes are normal.
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right upper lobe pneumonia. airspace opacities in the left lung base may represent atelectasis or an additional site of consolidation.
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no acute cardiopulmonary process.
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there is consolidative opacification in the right upper lobe and in the left lower lobe, which would be concerning for pneumonia or aspiration. in addition, there is likely airspace opacity within the right middle lobe as the right heart border is obscured. findings are felt to less likely represent pulmonary edema. cl...
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bibasilar opacities reflecting a combination of atelectasis and effusion (left greater than right) are unchanged.
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improving and lesser marked pulmonary congestion but still remaining bilateral pleural effusions and the presence of moderate cardiac enlargement in patient status post sternotomy and bypass surgery. further dehydration measures are recommended and followup examination may be helpful.
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no acute intrathoracic process.
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no evidence for acute cardiopulmonary abnormalities.
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low lung volumes without definite acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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moderate right and small left pleural effusions, both increased in size from. right lower lobe opacity may be compressive atelectasis from the adjacent effusion, though pneumonia is difficult to exclude. vascular congestion, without frank pulmonary edema. unchanged right upper lobe pulmonary nodule, better characterize...
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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new small left pleural effusion and left basilar opacification, potentially reflective of atelectasis or infection.
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findings concerning for small bowel obstruction. small bilateral pleural effusions.
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slight decrease in right pleural effusion.
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no acute intrathoracic process.
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no relevant change as compared to the previous image. minimally improved ventilation of the right lung basis. no pneumothorax of the bronchoscopy. the right basal and right apical parenchymal opacities are constant in extent. unchanged position of the tracheostomy tube.
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interval improvement in post-op appearance. small bilateral effusions. no pneumothorax.
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small right apical pneumothorax. interval removal of the right-sided chest drain.
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mild lingular atelectasis.
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no acute cardiopulmonary abnormality.
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no acute cardiac or pulmonary process. no free air under the diaphragm.