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MIMIC-CXR-JPG/2.0.0/files/p14958899/s54637614/b3693219-d29a5250-6a614834-50dc66ca-98666413.jpg
no acute intrathoracic process.
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overall similar appearance of the chest with bilateral separate emboli and left pleural effusion. please refer to subsequent cta chest for further details.
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as compared to the previous image, the lung volumes have decreased. the size of the cardiac silhouette is now borderline. no pneumonia, no pulmonary edema, no pleural effusions. no pneumothorax.
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findings concerning for right basilar pneumonia with increased size of right pleural effusion, now moderate in extent. mild pulmonary edema is also present.
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in comparison to previous radiograph of <num> day earlier, the cardiac silhouette remains enlarged. mild pulmonary vascular congestion is present without overt pulmonary edema. no focal areas of consolidation are evident within the lungs.
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retrocardiac opacity, which likely represents atelectasis but which could reflect pneumonia or aspiration in the right clinical setting. trace bilateral pleural effusions.
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in comparison with the study of , there again are low lung volumes that accentuate the transverse diameter of the heart. there has been the development of moderate pulmonary edema with bilateral basilar opacifications consistent with layering effusions and compressive atelectasis. the given the extensive pulmonary chan...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15290079/s55746519/d7c6ebff-c3919d0b-0303505a-bf0b2120-62ba2a88.jpg
moderate congestive heart failure with moderate pulmonary edema and moderate size bilateral pleural effusions. bibasilar opacities likely reflect compressive atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p11074226/s57913979/1a377508-b94c4fec-05924dd3-9b246de6-80a67bbe.jpg
no acute cardiopulmonary process.
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increased distention of the neoesophagus with an air-fluid level and contrast pooling distally. curvilinear lucency along the contour of neoesophagus persists.
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no evidence of pneumonia. multiple chronic left posterior and right anterior rib fractures.
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as compared to the previous radiograph, a pigtail catheter was inserted into the left pleural space. the extent of the pre-existing left pleural effusion have substantially decreased and the ventilation of the left lung has substantially improved. remnant atelectasis and the small remnant pleural effusion, however, sti...
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probable chronic obstructive pulmonary disease. no pneumonia. no displaced fracture is seen, but if clinical concern for rib fracture is high, rib series or ct is more sensitive.
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no acute findings. picc line positioned appropriately. gastrostomy tube noted.
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et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. left chest tube is in place well as the mediastinal drains. post sternotomy wires are unremarkable. no new consolidations demonstrated. no increase in pleural effusion or development of pneumothorax noted.
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new, moderate pulmonary edema from <num> hr prior. thin, curvilinear lucency seen under the right hemidiaphragm is consistent with free air from peritoneal dialysis.
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prominent pulmonary vasculture, likely accentuated by the low lung volumes. no large confluent consolidation.
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lung volumes are minimally improved, still very compromised by large bilateral pleural effusion, unchanged since at least. left lower lobe is an lingula are still collapsed. heart size is indeterminate because the heart borders are obscured by pleural fluid and atelectasis. no pneumothorax. right supraclavicular centra...
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patchy opacities in the left mid lung worrisome for pneumonia. top-normal to mildly enlarged cardiac silhouette.
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pheresis catheter in satisfactory and unchanged position. discussed with at <num>,.
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left lower lobe is still collapsed accompanied by any indeterminate volume of left pleural fluid, stable since , but probably decreased since. lateral view would be very helpful in making that determination. small amount of right pleural effusion is present, layering posteriorly the extent of right lower lobe consolida...
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no consolidations.
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in comparison with the study of , the pacer device has been removed. lower lung volumes accentuate the transverse diameter of the heart. no evidence of pneumothorax. mild basilar atelectatic changes without definite vascular congestion or acute focal pneumonia.
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no definite acute cardiopulmonary process based on this limited examination.
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no acute cardiopulmonary process.
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normal chest radiograph.
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pulmonary edema slightly worse compared to prior with small effusions. right basilar opacity potentially atelectasis, correlate clinically regarding possibility of superimposed infection.
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as compared to the previous radiograph, a platelike atelectasis at the right lung bases has developed. on the left, a mild pleural effusion is seen in almost unchanged manner. moderate cardiomegaly. no pulmonary edema. no pleural effusions.
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evidence of chronic lung disease compatible with patient's known fibrosis without definite superimposed acute process.
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persistent right-sided effusion and pulmonary vascular congestion.
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mild pulmonary edema.
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resolution of pneumonia.
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cardiomegaly and mild pulmonary edema. no consolidation.
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moderate to large right pleural effusion increase from through common continues to increase. mild interstitial pulmonary edema is stable. small left pleural effusion is unchanged. mild to moderate cardiomegaly unchanged as well. no pneumothorax.
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no acute cardiopulmonary process.
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markedly low lung volumes. patchy and linear bibasilar opacities most likely reflect atelectasis.
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cardiomegaly with moderate bilateral pleural effusions, mild pulmonary edema, basilar compressive atelectasis.
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in comparison with the study of , there is little change. mild hyperexpansion of the lungs with coarseness of interstitial markings is consistent with chronic pulmonary disease with some basilar scarring. however, no evidence of acute focal pneumonia or vascular congestion.
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increased interstitial markings which could be due to chronic underlying interstitial process. no focal consolidation worrisome for pneumonia.
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persistent left lower lobe pneumonia. new small bilateral pleural effusions.
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compared to chest radiographs and. right pleural drainage catheter is been removed. moderate right pleural effusion is stable or slightly increased. no pneumothorax. right middle and lower lobe lobes are still collapsed. left lung grossly clear. heart size normal and mediastinum midline.
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moderate severe pulmonary edema, small pleural effusions, cardiomegaly.
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significantly improved left pleural effusion and bibasilar atelectasis. stable moderate cardiomegaly. stable appearance of dilated descending thoracic aorta, consistent with known thoracic aortic aneurysm, better characterized on prior ct.
MIMIC-CXR-JPG/2.0.0/files/p14224009/s51234428/a12a4a96-12e8901c-464febf6-51a1590b-ee7548a7.jpg
no acute cardiopulmonary process. no displaced fracture is identified. if there is continued concern for a rib fracture, then a dedicated rib series is recommended.
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subtle opacity projecting over the posterior left seventh rib in the the left lower lung, may be due to overlapping structures, however, small focus of consolidation due to infection or aspiration is not excluded in the appropriate clinical setting. recommend followup to resolution.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19062816/s55622282/23f04801-ffa97514-ca3c21d0-252f0b45-3c7ccf11.jpg
mild overinflation. no evidence of pneumonia. minimal scarring in the apical portions of the right lung apex. no pleural effusions. no pulmonary edema. normal size of the cardiac silhouette.
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no acute cardiopulmonary process. resolution of previously seen left basilar opacity.
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severe bullous emphysema. possible small bilateral effusions. no evidence of superimposed pneumonia.
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small left base opacity, consistent with atelectasis or infection. round left upper lobe lesion concerning for pulmonary mass. nonemergent chest ct is recommended for further evaluation.
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no acute cardiopulmonary process.
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no focal consolidation concerning for pneumonia. unchanged bibasilar bronchial wall thickening may reflect chronic bronchitis or bronchiectasis.
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no evidence of pneumonia.
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increasing right pleural effusion and asymmetric pulmonary edema in the right lung with some improvement in left pleural effusion and left lower lobe aeration.
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no acute cardiopulmonary findings. low lung volumes with bibasilar atelectasis.
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improved pulmonary congestion with no focal consolidations concerning for pneumonia.
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central venous catheter tip in the mid svc. enlargement of the pulmonary artery compatible with pulmonary arterial hypertension.
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no acute intrathoracic process.
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right-sided parenchymal opacities compatible with infection.
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new collapse of left lower lobe and left mediastinal shift.
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left basilar atelectasis.
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no acute cardiopulmonary process.
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slight improvement of right-sided pleural effusion.
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no radiographic evidence for acute cardiopulmonary process. osteopenia is noted.
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small left apicolateral pneumothorax.
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no acute cardiopulmonary abnormality.
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compared to chest radiographs through. the lung volumes have improved. cardiomegaly is severe, pulmonary vasculature is engorged, and left infrahilar consolidation is likely. pleural effusions are presumed, but not large. no pneumothorax. right internal jugular introducer ends at the origin of the svc. et tube in stan...
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status post median sternotomy for cabg with mild cardiac enlargement. the right hemidiaphragm remains elevated, of uncertain the etiology and clinical significance. linear opacities at both bases are consistent with scarring or subsegmental atelectasis. no airspace consolidation is seen to suggest pneumonia. no pulmona...
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no acute cardiopulmonary process.
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vaguely increased opacity of the right hemithorax is suspicious for early or atypical infection. a gross consolidative opacity is not apparent on this examination. this was discussed with by telephone with urgent care at the time of interpretation, ,.
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as compared to the previous radiograph, no relevant change is noted. the lung volumes are low. moderate cardiomegaly and bilateral areas of atelectasis both on the right and the left. the pacemaker generator is unremarkable. no pneumothorax. no larger pleural effusions. no pulmonary edema.
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moderate enlargement of the cardiac silhouette which may reflect a pericardial effusion.
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comparison to. moderate cardiomegaly persists. small bilateral pleural effusions are present. mild bilateral areas of basilar atelectasis. mild fluid overload but no overt pulmonary edema. no evidence of pneumonia in the well inflated parts of the lung parenchyma.
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interval decrease in size of bilateral pleural effusions, which are now small, left larger than right.
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pulmonary edema and left pleural effusion. persistent enlargement of the cardiomediastinal silhouette.
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no pneumonia.
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cardiomegaly with known pericardial effusion. bilateral pleural effusions, moderate on the left and small on the right, with adjacent atelectasis.
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pulmonary edema with tiny pleural effusions and top normal heart size.
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in comparison with the earlier study of this date, the monitoring and support devices are unchanged. the degree of bilateral pulmonary opacifications is also stable.
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no acute cardiopulmonary process.
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no pneumonia.
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no acute intrathoracic process.
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no acute intrathoracic process.
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no evidence of free air beneath the diaphragms.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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early cardiac decompensation. chronic moderate cardiomegaly.
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no pneumothorax based on a supine film. nodular right midlung opacity for which nonurgent chest ct is suggested to further evaluate.
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no evidence of acute disease. similar convexity of the aortopulmonary window, most often seen with enlargement of the main pulmonary artery.
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persistent low lung volumes and unchanged interstitial edema with cardiomegaly. right picc terminates at the cavoatrial junction.
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no evidence of lung nodules or masses.
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no acute cardiopulmonary process.
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no evidence of subdiaphragmatic free air, however, this is not an upright film and therefore has a lower sensitivity for abdominal free-air. if there is further clinical concern, an upright or decubitus view of the abdomen would be more sensitive. unchanged mild bilateral pulmonary edema.
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in comparison with the study of , the right ij catheter is been removed. mild atelectatic changes are seen at the left base, but no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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mild pulmonary vascular congestion. the cause of the patient's hypoxia is not obvious from this radiograph.
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mild left basal atelectasis. no convincing signs of pneumonia.
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moderate-size, predominately basally located right pneumothorax without definite signs tension. extensive chronic fibrotic changes within the lungs with marked emphysema in the upper lobes.
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increased diffuse interstitial abnormality, likely reflecting worsening mild interstitial pulmonary edema. decreased bibasilar minimal atelectasis. no evidence of pneumothorax, status post placement of new right ij central venous catheter.
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right basal consolidation is probably pneumonia. cystic spaces in the right lung is probably due to severe emphysema. heart is moderately enlarged. patient has had midline and right chest surgery, indeterminate. tracheostomy tube is midline. left pic line ends in the mid to low svc.