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MIMIC-CXR-JPG/2.0.0/files/p15930458/s59418437/71faf0d2-c9269ecf-aac077f0-c4011d82-26a9cbd5.jpg
in comparison with the study of , there is again enlargement of the cardiac silhouette with mild engorgement of pulmonary vessels. the left hemidiaphragm has been excluded from the image. no definite acute focal pneumonia.
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multifocal left-sided pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding.
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no acute cardiopulmonary process.
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minimal bibasilar atelectasis, copd.
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bilateral hilar and mediastinal adenopathy, most likely sarcoidosis. no acute cardiopulmonary process.
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heart size and mediastinum are overall unremarkable. the patient is in pulmonary edema. right internal jugular line tip is at the level of mid svc. shrapnel injury is projecting over the mediastinum.
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no definite acute cardiopulmonary process. sliver of free intraperitoneal air suspected, not unexpected within a few days after intra-abdominal surgery.
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mild left lower lobe atelectasis. no pneumonia.
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moderate cardiomegaly. no focal consolidation.
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mild bibasilar atelectasis, otherwise unremarkable.
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no acute cardiopulmonary abnormality.
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small right pleural effusion is new; however, there is no evidence of pneumonia and no other significant appreciable change. mild cardiomegaly is unchanged. the above results were communicated via telephone by dr to dr at as requested.
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persistent <num> mm focal opacity projecting over the medial aspect of the left upper lobe. nonemergent chest ct is recommended for further assessment.
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no acute cardiothoracic process. right upper lobe opacity likely due to radiation changes or metastatic tumor spread, unchanged since.
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compared to chest radiographs , read in conjunction with abdomen ct today. upper lungs are clear. small residual of consolidation, left lower lobe, is visible only on the images of the lower chest on this morning's abdomen ct. this could be as slowly resolving or even organized pneumonia. upper lungs clear. no pleural...
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small right pleural effusion is unchanged from. right lower lobe opacity likely represents combination of atelectasis and pleural effusion although pneumonia cannot be excluded. no new consolidation. mediastinal contours, hila, and cardiac borders are normal.
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no new pleural effusion. persistent right upper lobe opacity, consistent with pneumonia.
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no significant interval change. no new focal consolidation to suggest pneumonia.
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small right pleural effusion with right basal atelectasis, less likely pneumonia. mild cardiomegaly.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormalities
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no significant change from prior study.
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extremely low lung volumes with bibasilar opacities likely representing atelectasis, though pneumonia cannot be excluded. recommendation(s): consider repeat examination with better inspiration and lateral view, if possible.
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right basilar linear atelectasis. no evidence of pneumonia.
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in comparison with the study of , the patient has taken a better inspiration. features consistent with chronic pulmonary disease are again seen with prominence of interstitial markings and right upper lobe changes. in the right cardiophrenic angle, the opacification could well be due to crowding of vessels and intersti...
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low lung volumes with minimal right lower lung atelectasis. no focal consolidation.
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subtle right infrahilar opacity compatible with pneumonia in the proper clinical setting.
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progressive heart failure or volume overload. et tube <num> cm above optimal position.
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mild silhouetting of the right heart border suggests early right middle lobe pneumonia. recommendation(s): recommend follow-up chest radiograph in weeks to assess resolution.
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mild pulmonary edema and small bilateral pleural effusions
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no acute cardiopulmonary abnormality.
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chest tube in place with no pneumothorax. apparent improvement in right upper lobe opacity. progression of right lower lobe opacity.
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no acute cardiopulmonary process.
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left basilar subsegmental atelectasis. otherwise, no acute cardiopulmonary abnormality.
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subsegmental atelectasis in the left lower lobe. no radiographic evidence for pneumonia.
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pa and lateral chest compared to : lungs are hyperinflated. multiple nodules in both lower lungs are generally larger than in. there is no pneumothorax, pleural effusion, and previous pneumoperitoneum is resolved. cardiomediastinal silhouette is normal.
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the endotracheal tube, feeding tube, right ij central line, and left basilar chest tube have been removed. no pneumothoraces are seen. heart size is enlarged but stable. there is a persistent left retrocardiac opacity and small bilateral pleural effusions.
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increased opacities in the right lung are concerning for aspiration or infection.
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no acute cardiopulmonary abnormality.
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mild cardiomegaly and upper zone vascular redistribution without overt pulmonary edema.
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no acute cardiopulmonary process.
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in comparison with the study of , there appears to be little overall change in the degree of left apical pneumothorax with left pigtail catheter in place. no evidence of pneumonia or vascular congestion.
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ett is <num> cm above the carina. improved pulmonary venous congestion. recommendation(s): the findings were discussed with , rn by , m. d. on the telephone on at am, <num> minutes after discovery of the findings.
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unremarkable chest radiographs.
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cardiomegaly and significant tortuosity of the descending thoracic aorta. no acute cardiopulmonary process.
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cardiomegaly unchanged with mild pulmonary congestion, new from prior. stable hiatal hernia.
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right middle lobe lung nodule, which has been more fully characterized by prior ct scan of. at that time, a recommendation was issued to either perform a followup chest ct in months or to perform a pet-ct. no radiographic evidence of pneumonia.
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normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection.
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small right pleural effusion has decreased substantially following placement of a right pleural drain extending from the base superiorly along the mediastinum to the upper chest. small right apical pneumothorax is new. small left pleural effusion is stable. generalized interstitial pulmonary abnormality is chronic. app...
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possible consolidation in the right perihilar region could be secondary to pneumonia in the right clinical setting.
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no evidence of pneumonia.
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no pneumonia.
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no significant change from prior. no evidence of pneumonia, rib fracture, or effusion.
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right internal jugular line tip is at the cavoatrial junction. ng tube tip is in the stomach. et tube tip is <num> cm above the carinal. heart size and mediastinum are stable. left basal opacity and overall opacity obscuring the entire lungs has progressed in the interim and might represent layering pleural effusion. n...
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in comparison with the study of for, the patient has taken a better inspiration. continued enlargement of the cardiac silhouette with tortuosity of the aorta. however, the pulmonary vascularity is now essentially within normal limits and there is no evidence of acute focal pneumonia. prominence of the superior mediast...
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in comparison with the earlier study of this date, there has been placement of a left pigtail catheter an removal of a substantial amount of pleural fluid. no evidence of appreciable pneumothorax. otherwise, little change in the appearance of the heart and lungs.
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no acute cardiopulmonary process.
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no significant interval change and severe bilateral multifocal pneumonia when compared to ct from. the degree of infection is markedly worse than on the prior radiograph from. small bilateral pleural effusions, better demonstrated on prior ct. appropriately positioned lines and tubes.
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no acute cardiopulmonary abnormality et tube in appropriate position.
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low lung volumes with accentuated bronchovascular markings. overall unchanged compared to the prior examination without evidence of acute intrathoracic abnormality.
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no acute cardiopulmonary process.
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stable mild cardiomegaly. hilar engorgement without frank edema.
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lungs are clear. cardiomediastinal and hilar silhouettes are normal, and there is no pleural effusion. multiple left rib fractures are chronic. chest ct in showed that many of the left-sided fractures are not united, as well as right lower anterior fractures that are well-healed. chest pain can be produced by a pseudo...
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mild pulmonary edema has decreased since. moderate bilateral pleural effusions left greater than right have increased,. left lower lobe is been entirely airless since at least , presumably collapse. worsening consolidation at the right lung base raises concern for acute pneumonia. heart is mildly enlarged, but unchange...
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no acute cardiopulmonary process.
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ap image of the chest as well as several images of the left ribs demonstrate sclerotic lesion within the left sixth rib (reported as seventh rib) on the prior study the lesion in the eleventh rib is not well seen and better assessed on the prior ct scan. no rib fractures are seen. there is free air underneath the left ...
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complete normalization of previously identified lingular pneumonia.
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some improvement.
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prominent right mediastinal soft tissue while could relate to vasculature, underlying lymphadenopathy or other soft tissue not excluded. recommend further evaluation with ct.
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no acute cardiopulmonary process.
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no evidnece of pneumonia. ng tube ends in the gastric pull-up within the chest. right pleural effusion, unchanged from.
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no acute cardiopulmonary process.
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cardiomegaly, similar to prior. repositioning of swan-ganz catheter, with tip now overlying main pulmonary artery. retrocardiac opacity is slightly improved. right cardiophrenic patchy opacity, question atelectasis, is unchanged. no new infiltrate identified. upper zone redistribution and mild vascular plethora is mini...
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no significant interval change since the study of <num> days prior, including chronic interstitial abnormality with superimposed right basilar airspace opacity, which is likely due to infection or aspiration.
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no acute cardiopulmonary abnormality. no displaced rib fracture identified. if there is continued concern for a rib fracture, consider a dedicated rib series.
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compared to chest radiographs through. consolidations developed at both lung bases since , moderate and stable on the right, severe and worsening on the left. both of these could be pneumonia alone. there is probably a large component of atelectasis in the left lower lobe. small pleural effusions are likely. moderate ...
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no acute findings in the chest. large hiatal hernia re-demonstrated.
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increased lung hyperinflation. reported to by by phone at on after attending radiologist review.
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bilateral subsegmental atelectasis/scarring. no acute cardiopulmonary process.
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compared to chest radiographs through. mild pulmonary edema persists. pleural effusions are presumed, but not substantial. mild to moderate cardiomegaly stable.
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low lung volumes limit assessment; however, there appears to be prominence of the hila concerning for pulmonary edema. retrocardiac left base opacity could relate to prominent vasculature; however, underlying atelectasis or consolidation not excluded.
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normal chest x-ray.
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increasing right lower and middle lobe opacities concerning for worsening infection or aspiration. slightly increased small right pleural effusion.
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stable <num>-cm left apical pneumothorax.
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ap chest compared to at severe heterogeneous consolidative pulmonary abnormality is new since earlier in the day. it is distinctly heterogeneous and has an almost nodular component, raising possibility of septic emboli. since the radiograph follows pea, there is no way to know whether the accompanying severe pulmonar...
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as compared to chest radiograph, bilateral pleural effusions have apparently decreased in size with residual moderate right and small to moderate left pleural effusions remaining. pulmonary vascular congestion is accompanied by decreasing extent of pulmonary edema. substantial bibasilar atelectasis and or consolidatio...
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ap chest compared to , : both the apex and lateral aspect of the lower left hemithorax are excluded from the examination, so pneumothorax cannot be evaluated in those regions. the imaged portions of the pleural space are normal. mild atelectasis at the left base is stable. lungs are otherwise clear. normal cardiomedias...
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no acute cardiopulmonary process.
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no infiltrate. small left effusion.
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no evidence of acute cardiopulmonary process. right upper lobe focal opacity is decreased in size from prior, compatible with a slowly resolving abscess.
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comparison to. no relevant change. the lung volumes are normal. borderline size of the cardiac silhouette. mild elongation of the descending aorta. no pneumonia, no pulmonary edema, no pleural effusions.
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no acute cardiopulmonary process.
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emphysema without superimposed acute process.
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copd with possible mild pulmonary vascular prominence without overt pulmonary edema. lateral ribs not well assessed due to underpenetration due to overlying soft tissue, no obvious displaced fracture seen, however, dedicated rib series or ct are more sensitive
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new enteric tube tip in the mid stomach. otherwise stable
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the lung volumes are low. moderate cardiomegaly. minimal fluid overload but no overt pulmonary edema. no evidence of pneumonia. no pleural effusions on both the frontal and the lateral radiograph. moderate tortuosity of the thoracic aorta.
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no acute cardiopulmonary process.
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comparison to. the right picc line has been removed. there is unchanged evidence of severe likely emphysematous parenchymal destruction in the mid and lower lung zones. the upper lung zones show increased visibility of normal sized airways and vessels. there is no evidence of focal opacities that have newly appeared in...
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no acute cardiopulmonary process.