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MIMIC-CXR-JPG/2.0.0/files/p19892539/s53973921/a734cea7-9eb82160-b1e22a94-7eb96164-7c1677ff.jpg
no evidence of acute cardiopulmonary process within the limitations of this study technique. in particular, no evidence of pneumonia. prominence of the left ventricle.
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no pneumothorax. tortuous thoracic aorta.
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no acute cardiopulmonary abnormality.
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lungs are clear aside from mild atelectasis or linear scarring at the bases, left-greater-than-right. the appearance is unchanged over many years. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. transvenous pacer leads round to the right atrium and right ventricle from the left pectoral generat...
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as compared to previous examination there is no substantial change in the right upper lobe nodule, measuring currently <num> x <num> cm. there is on the other hand improvement of the a adjacent nodules in the right upper lobe as well as substantial improvement in still present left upper lobe nodules. no pleural effusi...
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no acute intrathoracic finding.
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improved appearance of the lungs bilaterally with small residual right pleural effusion.
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et tube tip is <num> cm above the carinal. ng tube tip is in the stomach. heart size and mediastinum are stable. ascending aorta is prominent but unchanged. lung volumes are lower and does bibasal opacities most likely represent areas of atelectasis. there is no pulmonary edema. there is no pneumothorax.
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no acute cardiopulmonary process.
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no acute cardiopulmonary disease including pneumonia. findings were relayed to minutes following review by dr by telephone on at approximately.
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known right lower lobe lung nodule not clearly visualized. no signs of pneumonia or other acute intrathoracic process.
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no acute cardiopulmonary process.
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no significant interval change bilateral parenchymal opacities.
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no acute pulmonary process detected. nonvisualization of the soft tissue contour adjacent to the superior edge of the left clavicle. while this could be artifact due to beam angulation, clinical correlation to exclude supraclavicular lymphadenopathy is requested. recommendation(s): clinical correlation to exclude left ...
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ap chest compared to : greater opacification on both sides of the chest is new since. it is difficult to distinguish moderate-to-large posteriorly layering pleural effusions from a combination of some pleural effusion and generalized pulmonary opacification, most commonly edema. there is still severe consolidation in t...
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as compared to the previous radiograph, lung volumes remain low and signs of mild to moderate pulmonary edema are still present. mild cardiomegaly. no larger pleural effusions. no pneumonia, minimal retrocardiac atelectasis.
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no acute cardiopulmonary process.
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enlargement of the cardiomediastinal silhouette again seen. no focal consolidation to suggest pneumonia.
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no acute cardiopulmonary process.
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mild interstitial pulmonary edema and small bilateral pleural effusions are new since , consistent with volume overload. there is likely collapse and/or consolidation at both bases and the possibility of an associated pneumonic infiltrate cannot be excluded.
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clear lungs. right-sided mediastinal lymphadenopathy not excluded, for which could be further assessed for comparing with any prior chest radiograph, if none, possibly follow-up chest ct.
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no acute cardiopulmonary process.
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no acute intrathoracic process
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evidence of volume overload, small retrocardiac consolidation cannot be excluded and repeat radiographs following diuresis would be useful if clinically feasible.
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mild left basilar atelectasis without focal consolidation concerning for pneumonia. no pulmonary edema.
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apparent cavitary lesion in right suprahilar region, concerning for an infectious etiology (including fungal and mycobacterial organisms as well as septic emboli) in the setting of cough and fever. recommendation(s): chest ct for confirmation and further characterization of cavitary lesion.
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no sign of acute cardiopulmonary process. persistent left apical scarring after lung surgery.
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cardiomegaly without overt pulmonary edema. left mid to lower lung atelectasis/scarring. bibasilar atelectasis.
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as compared to the previous image, no relevant change is noted. low lung volumes. no evidence of foreign bodies in the chest or the upper abdomen. borderline size of the cardiac silhouette without pulmonary edema. no pleural effusions. no pneumothorax.
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no significant change in diffuse left lung and right lower lung opacities, most consistent with multifocal pneumonia.
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severe multi focal pulmonary consolidation has worsened since consistent with progressive pneumonia. the unusual geographic definition of regions of consolidation is probably due to severe emphysema. a component of mild pulmonary edema would be difficult to exclude,, particularly since mediastinal veins are not dilate...
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large, layering right pleural effusion likely secondary to known metastatic disease. right port-a-cath terminates in the lower svc.
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limited due to low lung volumes. no evidence of acute cardiopulmonary process.
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bibasilar atelectasis.
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no evidence of pneumonia. stable left basilar bronchiectasis. results were telephoned to dr at on by dr.
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interval increase in the right hilar opacity, superimposed on chronic peripheral, upper lobe predominant opacities. the differential could include eosinophilic pneumonia if there is a history of asthma.
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as compared to the previous radiograph, the lung volumes remain low. moderate cardiomegaly with elongation of the descending aorta. and signs of mild fluid overload but no overt pulmonary edema. no pleural effusions. no pneumonia. the lateral radiograph reveals a moderate to severe scoliosis.
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small bilateral effusions. retrocardiac opacity could be due to left lower lobe atelectasis given the relatively lower lung volumes, however, infectious process such as pneumonia is also possible.
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no acute cardiopulmonary process. right scapula and clavicle appear irregular and suggestive of either post-surgical changes, post-infectious or congenital abnormalities. please correlate with prior history and imaging.
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in comparison with the study of , there is little overall change. no definite evidence of acute pneumonia or vascular congestion. evidence of prior cabg procedure with intact midline sternal wires.
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no signs of pneumonia.
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following the bronchial brushing procedure. there is no evidence of pneumothorax. again there is prominence of interstitial markings, which has previously been ascribed to sarcoidosis.
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as compared to the previous radiograph, the right pleural effusion has moderately increased and now occupies approximately % of the right hemi thorax. the mild to moderate left pleural effusion is constant in appearance. unchanged bilateral areas of atelectasis. unchanged alignment of the sternal wires. unchanged norma...
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no acute cardiopulmonary process.
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ap chest compared to : lung volumes have improved, but less atelectasis at the base of the left lung, and persistence of moderate to severe atelectasis on the right. small bilateral pleural effusions are stable, basal pleural tubes still in place. normal postoperative cardiomediastinal silhouette, midline drains in pla...
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mild cardiomegaly with central pulmonary vascular congestion and mild-to-moderate pulmonary edema.
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no acute cardiopulmonary abnormality.
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normal chest radiograph.
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no acute intrathoracic process.
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right internal jugular central line has its tip in the mid svc, unchanged. there are persistent biapical and bibasilar opacities, with a more consolidative appearance at the right apex. there are associated small layering effusions. overall, the findings have slightly improved, suggesting a resolving, but persistent mi...
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no acute cardiopulmonary process.
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pa and lateral chest compared to : cardiomediastinal and hilar silhouettes and pleural surfaces are normal. generally, the lungs are hyperinflated suggesting small airway obstruction or emphysema. lung apices are hyperlucent but a ct scan in did not show emphysema elsewhere in the imaged portion of the lungs. a small ...
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as compared to the previous radiograph, all monitoring and support devices are in unchanged position. there is unchanged evidence of bilateral pleural effusions as well as of small basal areas of atelectasis as well as moderate cardiomegaly. mild fluid overload but no overt pulmonary edema. no new focal parenchymal opa...
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no acute intrathoracic process.
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no acute intrathoracic process.
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persistent moderate degree of cardiomegaly, most likely related to systemic hypertension. since the preceding examination, the patient has developed an episode of interstitial edema and mild bilateral pleural effusions. this finding indicates mild degree of chronic chf, but there is no evidence of new acute pneumonic i...
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improving miliary bcg infection.
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no radiographic evidence for acute cardiopulmonary disease.
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no rib fracture. if clinical symptoms persist, dedicated rib series radiographs could be obtained.
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in comparison with the study of , the left picc line is been removed. other monitoring and support devices are stable. correspond second of the right with u there are mild atelectatic changes at the left base with possible small effusion. no evidence of vascular congestion or acute focal pneumonia.
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lungs are fully expanded and clear. cardiomediastinal silhouette is remarkable only for left atrial enlargement. the remainder the heart shadow is normal size. pulmonary vasculature is unremarkable and there is no pleural abnormality. healed fracture of the right posterior seventh rib should not be mistaken for more si...
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interval placement of enteric tube with sideholes near the ge junction. tube should be advanced to ensure location of sideholes in the stomach. incomplete visualization of the ventricular assist device. no other changes.
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mildly dilated, tortuous aorta. moderate cardiomegaly. no acute cardiopulmonary abnormality.
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no acute intrathoracic abnormality.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease. stable rib lesion.
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no pneumonia, pleural effusion, or pulmonary edema.
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no acute cardiopulmonary abnormality.
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comparison to. the lung volumes have decreased. there are increasing opacities in the right lung, notably in the right perihilar areas and right paramediastinal areas. the right costophrenic sinuses blunted. to exclude a pathologic process on the right, ct is recommended. borderline size of the cardiac silhouette witho...
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right upper lobe pneumonia and bilateral effusions
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in comparison with the study of , the patient has taken a smaller inspiration. cardiac silhouette remains within normal limits in size and there is no vascular congestion or pleural effusion. mild basilar atelectatic changes are seen bilaterally. no definite acute focal pneumonia.
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no acute cardiopulmonary process. hyperinflated lungs.
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no acute intrathoracic process.
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normal chest radiograph.
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acute increase in size of cardiac shadow, could represent pericardial effusion or pericarditis in the appropriate clinical setting. stable right moderate pleural effusion and consolidation.
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pa and lateral chest reviewed in the absence of prior chest imaging: chronicity of the small-to-moderate right pleural effusion is indeterminate. lungs are clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. there are no findings to suggest pneumonia.
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no acute cardiopulmonary process.
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severe cardiomegaly with mild edema. probable pulmonary fibrosis. large hiatal hernia.
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post left chest tube removal without pneumothorax.
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patchy bibasilar airspace opacities may reflect aspiration or infection.
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no acute intrathoracic process.
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no acute cardiopulmonary process. post-surgical changes in the right hemithorax are unchanged.
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no acute cardiopulmonary process.
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vascular congestion, similar to prior. persistent enlargement of the cardiac silhouette.
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feeding tube with tip in the stomach on the final image. fluid overload.
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on the lateral view only there is a small, vague opacity within the posterior base, which may represent overlap of vascular structures, but consolidation not excluded in the appropriate clinical setting.
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comparison to. moderate cardiomegaly. no pulmonary edema. mild elongation of the descending aorta. the pre-existing opacities in the lung parenchyma, documented on several previous ct examinations, are not well seen on today's radiograph. no pleural effusions.
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no abnormality demonstrated within the limitations of this study technique.
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mild interstitial pulmonary edema with mild to moderate cardiomegaly.
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no acute interval change in diffuse interstitial lung disease.
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no evidence of acute disease.
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mild left base atelectasis.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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persistent enlargement of the right hilum and widening mediastinum suggest the presence of lymphadenopathy ct is recommended
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ap chest compared to , : endotracheal tube, right subclavian line, and feeding tube are in standard placements. right lung is clear. previous vascular congestion has improved. airlessness in the left lower lobe has been relatively constant since , presumably atelectasis, although pneumonia is not excluded. small left p...
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top-normal cardiac silhouette. otherwise, no acute cardiopulmonary process.
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as compared to the recent radiograph from <num> day earlier, bilateral pleural effusions have apparently slightly decreased in size, although positional differences may contribute to this apparent change. adjacent bibasilar atelectasis has also decreased in extent. no other relevant changes.
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no evidence of acute disease. stable compression fractures.
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moderate right pneumothorax. marked decrease in right pleural effusion. increased in right middle lobe atelectasis