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MIMIC-CXR-JPG/2.0.0/files/p13273041/s58431076/610ed5ba-9410a91e-19e51aa9-267c2705-8abe93c8.jpg
since , left lung opacity due to a combination of loculated pleural effusion and left lower lung atelectasis is better with improved aeration of the left lung. mediastinal shift to the left side persists. right lung is clear. no pneumothorax.
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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heart size and mediastinum are unchanged. tubes and lines are unchanged. bilateral basal and mid lung consolidations are extensive, unchanged. the known right aortic arch is re- demonstrated. there is no evidence of pneumothorax.
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ap chest compared to : with the patient's head turned sharply to the left, change in course of the endotracheal tube positions the tip along the right wall. it should be evaluated clinically to see if it is advisable. right jugular line ends low in the svc and upper enteric drainage tube passes into the stomach and out...
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no evidence of pneumonia.
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cardiomegaly and mild pulmonary edema.
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no acute intrathoracic process.
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cardiomediastinal silhouette is within normal limits. there is again seen several left upper chest posterior rib fractures. no pneumothoraces are seen. there is a small left-sided pleural effusion. right lung is clear.
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no evidence of pulmonary edema. persistent probable small right pleural effusion and possible pleural-based scarring. unchanged enlargement of the cardiac silhouette likely in part due to the patient's known pericardial effusion.
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no evidence of acute cardiopulmonary abnormalities.
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the lungs are clear. there is no pneumothorax, effusion, consolidation or chf.
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no acute cardiopulmonary abnormality. recommendation(s):.
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persistent left lower lobe atelectasis is unchanged. endotracheal tube is <num> cm from the carina.
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no evidence of intrathoracic metastatic disease.
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small left pleural effusion, increased compared to the previous radiograph, with left basilar opacity likely reflective of atelectasis.
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triangular peripheral morphology of the left lower lobe, compatible with infarction, as the subsequent abdominal pelvic cta demonstrated a left lower lobe pulmonary embolism. trace left pleural effusion. bibasilar atelectasis. no subdiaphragmatic free air.
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ap chest reviewed in the absence of prior chest imaging: lungs mildly hyperinflated, could be emphysematous. no consolidation or edema. no pleural effusion. heart size normal. no free subdiaphragmatic gas.
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mild prominence of the right hilum is stable, particularly in comparison with. subtle right infrahilar opacity is also stable since and may represent vascular structures slightly prominent given low lung volumes. the right infrahilar opacity appears decreased as compared to the prior study. no new focal consolidation ...
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comparison to. status post left pneumonectomy. expected postoperative air-fluid level. elevation of the left hemidiaphragm. thickening shift of the mediastinum towards the left. right port-a-cath is in unchanged position. unremarkable appearance of the right lung.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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normal radiograph of the chest with no evidence of pneumonia.
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no evidence of pneumonia subtle nodular density projecting over a rib shadow on the lateral projection anteriorly of unknown etiology. consider nonemergent repeat radiograph to clarify or if the patient has risk factors, a nonemergent chest ct could be considered.
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as compared to the previous radiograph, the patient is now off the hernia repair. there is a moderate amount of free intraperitoneal air, associated to the presence of to postoperative drains. low lung volumes. crowding of vascular structures at the lung bases. mild hilar enlargement, vascular in origin. no overt pulmo...
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no focal consolidation to suggest pneumonia. no radiographic evidence of active tb.
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persistent appearance of moderate right pleural effusion and dependent atelectasis. trace right apical pneumothorax.
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no comparison. borderline size of the cardiac silhouette. no pleural effusions. mild fluid overload but no overt pulmonary edema. minimal increase in radiodensity at the bases of the right medial lung. the change should be radiographically monitored within <num> hr to exclude developing pneumonia.
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in comparison with the study of , the cardiac silhouette remains at the upper limits of normal or mildly enlarged and there is again tortuosity of the aorta. hyperexpansion of lungs with flattening hemidiaphragms is consistent with chronic pulmonary disease. no acute pneumonia, vascular congestion, or pleural effusion....
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no acute cardiopulmonary process.
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partial clearing of right middle lobe abnormality. recommend followup chest radiograph in three weeks to ensure complete resolution.
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chest ct on showed that widening of the cardiomediastinal silhouette is due to a combination of a and extremely narrow sagittal diameter of the chest and extensive fat deposition, also explaining thickening of the pleural margins bilaterally. left lower lobe consolidation has improved since , could be resolving pneumo...
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ap chest compared to and , read in conjunction with imaging of the lower chest and abdomen ct : small region of consolidation or scar-like opacity in the right lower lobe laterally is barely visible on the conventional chest radiograph. lungs are otherwise clear. heart size normal. no pleural abnormality or evidence o...
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no acute abnormality.
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trace right pleural effusion. no other change from.
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no acute cardiopulmonary process.
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comparison to. no relevant change is noted. the minimal increase in interstitial structures, best seen on the lateral radiograph, is stable. no new focal parenchymal opacities are visualized. borderline size of the cardiac silhouette. no pleural effusions.
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hazy opacity in the right lung base is nonspecific and could reflect an area of atelectasis, inflammation or infection.
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very large right pleural effusion causing significant compression atelectasis of the right middle and lower lobes. the radiology technologist contacted the reading room at on with concerns that the patient was short of breath. the ordering physician. was contacted min after discovery of the finding. he explained tha...
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low lung volumes without focal consolidation. subtle irregularity at the lateral left third rib is felt to be due to overlap of structures. correlate with focal tenderness at this site for possible nondisplaced fracture.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality. chest cta is recommended for further assessment given the concern for pulmonary embolism.
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low lung volumes with mild bibasilar atelectasis.
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rapidly worsening bilateral lower lobe opacities likely represent a combination of atelectasis and effusion. differential diagnosis includes aspiration and infectious consolidation. cardiomegaly and mild pulmonary congestion, slightly worse than yesterday
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pre-existing adenopathy has completely resolved. no adenopathy is visible. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pleural effusions. no pulmonary edema. no pneumonia.
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no infiltrates.
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status post right pneumonectomy. no acute findings.
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previous pattern of mild pulmonary vascular congestion appears improved. mild bibasilar atelectasis.
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right-sided pacer device with leads projecting over the right atrium and right ventricle. no pneumothorax. mild improved pulmonary edema.
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no pneumonia
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pleural effusion and pulmonary edema.
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no acute cardiopulmonary process, no focal consolidation.
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in comparison with the study of , there is again enlargement of the cardiac silhouette with some element of elevated pulmonary venous pressure and atelectatic changes and possible small effusion at the left base. no evidence of acute focal pneumonia, though the area behind the heart is difficult to evaluate, especially...
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mild pulmonary edema has improved substantially. residual opacification at the right lung base could be due to persistent edema and atelectasis. followup advised to exclude concurrent consolidation. small bilateral pleural effusions are stable. heart size is normal. tracheostomy tube is midline. right pic line has been...
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no significant interval change from the prior study. no acute cardiopulmonary abnormality. emphysema with chronic scarring in the lung bases and right upper lobe. evidence of prior granulomatous disease.
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moderate cardiomegaly and left hemidiaphragm elevation. no acute cardiopulmonary process.
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unchanged left apical pneumothorax. otherwise stable chest radiograph.
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interval resolution of small pneumoperitoneum. worsening left-sided pleural effusion.
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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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heart size and mediastinum are stable. no interval development of pneumothorax is demonstrated after right lung biopsy. multifocal opacities are re- demonstrated. no pleural effusion has developed in the interim.
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no radiographic evidence for acute cardiopulmonary process.
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no acute cardiopulmonary process.
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there are persistent low lung volumes. no evident pneumothorax. aeration of the lungs has improved. there are no enlarging pleural effusions. cardiomegaly and tortuous aorta are stable. right chest wall subcutaneous emphysema is stable. there is dilatation of small bowel loops projecting in the upper abdomen.
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appropriately positioned endotracheal tube, ending <num> cm above the level of the carina. heterogeneous left lower lung opacities, possibly atelectasis versus aspiration pneumonitis.
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opacity in the right middle lobe anteriorly likely represents pneumonia. recommend followup radiographs after resolution of symptoms.
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subtle left basilar opacity which may represent pneumonia. bilateral posterior rib deformities which appear old and wedge deformities of the mid thoracic spine, of uncertain age and clinical correlation is suggested.
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pa and lateral chest compared to through : there are no rib fractures, subcutaneous emphysema or pneumothorax. the patient has probably had left upper lobectomy, responsible for left pleural thickening. a hiatus hernia is moderate size. heart size is top normal.
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i cannot be sure whether a small vague opacity in the right lung just above the minor fissure at the level of the third anterior rib is new, much less how old is. if it is acute, it is small infection or infarction, but it could be chronic or the residual of a since resolved infection. i would repeat a chest radiograph...
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small right pleural effusion improved since. right upper lobe opacity previously described on is cleared. chronic interstitial changes consistent with emphysema.
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in comparison with the study of , the cardiac silhouette is within normal limits in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
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normal chest radiograph.
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comparison to. no relevant change. status post aortic valve replacement. the right chest tube is in stable position. relatively low lung volumes. no pulmonary edema. no pneumonia.
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endoscopy tube passing through the whole esophagus. clear lungs. trace suspected new pleural effusions.
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mild pulmonary edema.
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no acute cardiopulmonary process.
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no acute findings.
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possibly loculated moderate size right pleural effusion is increased since.
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no acute pulmonary pathology.
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no radiographic evidence of pneumonia.
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increasing moderate right and large left pleural effusion. persistent mild pulmonary edema. moderate cardiomegaly likely due to valvular heart disease, especially aortic stenosis.
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as compared to the previous image, no relevant change is seen. normal lung volumes. no pneumonia, no pulmonary edema. no pleural effusion. normal size of the cardiac silhouette.
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no acute cardiopulmonary process.
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status quo.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. no acute osseous injury. however, if concern for rib fracture, dedicated rib series should be obtained.
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enteric tube with distal tip projecting approximately <num> cm above the carina within the esophagus. no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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feeding tube with the wire stylet in place ends in the mid stomach. lungs clear. heart size normal. no pneumothorax or pleural effusion.
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compared to chest radiographs through read in conjunction with chest cta. recommendation(s): multifocal infiltrative pulmonary abnormality has grown progressively worse, probably worsening pneumonia. heart size normal. pleural effusions small if any. no pneumothorax. et tube in standard placement. nasogastric drainag...
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no evidence of acute pneumonia.
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small linear area of opacity in the left lung base most likely represents atelectasis although underlying consolidation is not excluded. no displaced rib fracture is seen, however, as finding is on side of patient pain, suggest dedicated rib series for further evaluation.
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slight blunting of the left costophrenic angle could be due to overlying soft tissue, but trace pleural effusion is not excluded. no focal consolidation.
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findings compatible with right middle lobe medial segment pneumonia.
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pa and lateral chest compared to : normal heart, lungs, hila, mediastinum and pleural surfaces.
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suspicious left mid lung nodule measuring <num> mm as compared to <num> mm on prior examination dated ; ct is recommended for characterization.