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MIMIC-CXR-JPG/2.0.0/files/p16163176/s57678465/a9b9ca02-3a6f3e2a-7494162c-bb8386b1-49809297.jpg
no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process seen. findings suggestive of copd.
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coarse interstitial marking with basilar predominance, likely reflective of chronic lung disease without evidence of an acute intrathoracic abnormality.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, the extent of pre-existing pulmonary edema, right pleural effusion and moderate cardiomegaly is unchanged. no new focal parenchymal opacities. unchanged position of the left vascular stent. , md, phd
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no focal infiltrate or consolidation identified to suggest pneumonia.
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unchanged chronic interstitial abnormalities with no acute cardiopulmonary process.
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clear lungs. cardiomegaly
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dense right lower lobe consolidation compatible with pneumonia in the proper clinical setting. less confluent left basilar opacity in may be additional focus of infection. repeat after treatment suggested to document resolution.
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no acute cardiopulmonary abnormality.
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no acute intrathoracic process.
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reticular opacities in mid and lower lungs may reflect scarring from prior infection but short term follow up cxr may be helpful to exclude pneumocystis or atypical pneumonia.
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streaky bibasilar airspace opacities, slightly progressed in the interval, could reflect atelectasis or infection with a trace left pleural effusion.
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no acute cardiopulmonary process identified.
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stable cardiomegaly. pulmonary vascular congestion and mild pulmonary edema. small bilateral pleural effusions.
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bibasilar atelectasis.
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a left picc terminates within the axillary region. there is mild cardiomegaly. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion. an ivc filter, upper abdominal surgical clips, and spinal fusion hardware are incompletely visualized.
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in comparison with the study of , there is little overall change. again there is a large right pleural effusion with underlying compressive atelectasis as well as moderate bilateral pulmonary edema and enlargement of the cardiac silhouette. retrocardiac opacification is consistent with some volume loss in left lower lo...
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normal chest radiograph.
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comparison to. minimal improvement of the large consolidation in the right lung apex. the paramediastinal consolidations as well as the enlargement of the right hilus and of the left hilus are stable. no new parenchymal opacities. stable borderline size of the cardiac silhouette. minimal right pleural effusion.
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no acute intrathoracic process.
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streaky bibasilar atelectasis.
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stable moderate for a large left-sided pleural effusion with adjacent atelectasis. in the appropriate clinical setting underlying pneumonia could also be considered. small right pleural effusion and right basilar atelectasis are improved.
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ap chest compared to , : endotracheal tube is in standard placement. nasogastric tube passes into the stomach and out of view. dual-channel right supraclavicular central venous catheter ends in the low svc and at the superior cavoatrial junction, left internal jugular line has been pulled back to the junction of brachi...
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low lung volumes and mild cardiomegaly. no evidence of pulmonary edema or pneumonia. central venous catheter terminates in the proximal svc.
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<num>) slightly low lung volumes, but no pulmonary edema or acute focal infiltrate identified. minimal bibasilar atelectasis. <num>) vague opacity right mid zone seen only on a pa view - ? artifact. recommend shallow oblique views of the chest for further assessment.
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comparison to. substantial increase in severity of the pre-existing parenchymal opacities, the distribution is likely reflecting a combination of pneumonia and pulmonary edema. the presence of small bilateral pleural effusions cannot be excluded. stable borderline size of the cardiac silhouette.
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no evidence of lung nodules or masses.
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minor left basilar atelectasis without definite focal consolidation.
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bilateral mid to lower lung opacities could reflect infection, aspiration or hemorrhage. small bilateral pleural effusions. ng tube terminates within the proximal stomach, and the side port appears approximately at the level of the ge junction. recommend advancement so that it is well within the stomach.
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no acute cardiopulmonary process.
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top normal heart and mild atalectasis at the left base but no convincing evidence of pneumonia.
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no evidence of focal consolidation or mass lesions.
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comparison to. the lung volumes have slightly decreased. borderline size of the cardiac silhouette without pulmonary edema. no pleural effusions. no pneumonia, no pneumothorax.
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no acute cardiopulmonary abnormality.
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pulmonary vascular congestion with interstitial pulmonary edema. stable cardiomegaly.
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cardiomegaly with interstitial pulmonary edema and tiny bilateral pleural effusions.
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mild bibasilar atelectasis. otherwise, no acute cardiopulmonary abnormality.
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no new consolidation worrisome for pneumonia. left lower lobe atelectasis and left pleural effusion are unchanged.
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no acute cardiopulmonary process.
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ap chest compared to : moderate cardiomegaly is unchanged over the past several days, but pulmonary vascular engorgement has definitely improved. there are no findings to suggest pneumonia. mild interstitial pulmonary abnormality could be edema alone, but alternatively could be due to mild pulmonary fibrosis or minimal...
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normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection, including tuberculosis.
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there is apparent elevation of the right hemidiaphragm, likely due to a subpulmonic effusion.
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bibasilar regions of consolidation compatible with infection in the proper clinical setting. recommend repeat after treatment to document resolution.
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extensive consolidation in the right lung is concerning for pneumonia. possible superimposed mild edema. followup to resolution is recommended.
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no free air. vague opacity at the left lung base obscuring the left heart, of unclear clinical significance.
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cardiomegaly, but no evidence of active failure or consolidation.
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no sign of acute cardiopulmonary processes.
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little change.
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et and og tubes positioned appropriately. coarsened lung markings concerning for pulmonary fibrosis.
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moderate interval improvement of volume overload and pulmonary edema particularly in the bilateral upper lungs since. however, pulmonary vascular congestion, and pulmonary edema persist in the bilateral mid to lower lung. persistent bilateral layering pleural effusion.
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as compared to , note is made of linear bibasilar atelectasis, as well as a new patchy right infrahilar opacity. the latter may reflect atelectasis, aspiration, or a developing infectious pneumonia. short-term followup radiographs may be helpful in this regard.
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ap chest compared to : irregular opacification in the right lower lobe and poor definition of the basal pleural surface suggests increasing pleural effusion and/or atelectasis. lower lung volumes today suggest new opacification in the left lower lobe is atelectasis as well. no pneumothorax. mild cardiomegaly stable. tr...
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no evidence of acute cardiovascular or pulmonary abnormalities on standard pa and lateral chest view. previously existing left lower lobe atelectasis and suspicious pleural effusion is not present anymore.
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in comparison with the study of , there has been placement of a dual chamber pacemaker with leads extending to the right atrium and are right ventricle. no evidence of post procedure pneumothorax. otherwise little change.
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no evidence of acute cardiopulmonary process.
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tracheostomy tip is <num> cm above the carinal. left subclavian line tip is at the level of lower svc. right picc line tip is at the level of lower svc. bilateral pleural effusions are large. right pigtail catheter is projecting over the right lower quadrant. mild vascular congestion appears to be slightly more progres...
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near resolution of prior seen bilateral consolidations.
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unchanged right mid lung pneumonia as seen on recent pet ct.
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no acute cardiopulmonary process.
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<num>) emphysematous changes with minimal bronchiectasis seen in the lung bases. flattening of hemidiaphragms. <num>) large hiatal hernia. <num>) no evidence of infection or malignancy.
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as compared to , the single lead of the left pectoral pacemaker continues to project over the right ventricle. no complications, notably no pneumothorax. unchanged minimal bilateral pleural effusions and moderate cardiomegaly as well as retrocardiac atelectasis, the remaining lung parenchyma, including minimal fibrotic...
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basilar pneumonia.
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right picc tip in the svc. no acute cardiopulmonary abnormality.
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patchy right infrahilar opacity suggestive of atelectasis without definite evidence for pneumonia, although follow-up radiographs could be considered if clinically appropriate.
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ap chest reviewed in the absence of prior chest radiographs: lungs are low in volume, heart is normal size, and pulmonary vasculature is normal as well. suggestion of mild interstitial abnormality in the right lower lung could be resolving edema, based on subsequent improvement in chest radiograph performed three hours...
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left chest tube has been placed with reduction of the bilateral pleural effusion, especially on the left
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as compared to the previous radiograph, the signs indicative of moderate pulmonary edema are virtually unchanged. underlying minimal fibrotic changes are also constant. the double contour along the heart border is likely caused by a large hiatal hernia, as documented on the ct examination from. no pleural effusions. a ...
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innumerable pulmonary metastases, decreased in size compared to the previous chest radiograph, and relatively unchanged compared to the previous chest ct allowing for differences in modalities. no new focal consolidation to suggest pneumonia.
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since the prior study there has been interval progression of left mid and lower lung consolidation associated with pleural effusion. the ng tube has been discontinued. small right pleural effusion is present but there is also new right lower lobe opacity highly concerning for progression of infectious process versus as...
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stable cardiomegaly with hilar congestion.
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no evidence of acute disease.
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interval development of moderate bilateral pleural effusions with mild pulmonary edema. findings were communicated with dr by dr at pm on.
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comparison to. in the interval, the patient has been extubated. moderate overinflation with non characteristic scarring at both the lung apices and the lung bases persists. normal size of the heart. no pulmonary edema. no pneumonia. no larger pleural effusions.
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new acute cardiopulmonary process.
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no relevant change as compared to the previous image. no pneumonia, no pulmonary edema. normal appearance of the cardiac silhouette. normal hilar and mediastinal structures. there is stable mild overinflation.
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no acute cardiopulmonary process.
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left pic catheter tip projects over distal svc. a <num> cm density in the subcutaneous tissues of the back represent a foreign body, correlate clinically and prior imaging.
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mildly enlarged cardiac silhouette. no pulmonary edema or focal consolidation.
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no acute intrathoracic process, specifically normal heart size.
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no acute intrathoracic process.
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as compared to the previous radiograph, no relevant change is seen. status post vats and cabg. small pleural effusions are visualized and better seen on the lateral than on the frontal radiograph. the small cavitary lesion in the left lung apex is constant. moderate cardiomegaly and sternal wires persist.
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no radiographic evidence for pneumonia.
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in comparison with the study of , the left pigtail catheter has been removed. there is little change in the degree of left effusion and compressive atelectasis and no evidence of pneumothorax. the opacification adjacent to the right heart border on the previous study is less prominent and the hemidiaphragm is sharply s...
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trace bilateral pleural effusions. stable pulmonary vascular congestion and cardiomegaly.
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no acute intrathoracic abnormality.
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endotracheal tube continues to have its tip approximately <num> to <num> cm above the carina. a nasogastric tube is seen coursing below the diaphragm with the tip not identified. a dual-lead left-sided pacer remains in place. overall cardiac and mediastinal contours are likely unchanged given marked patient rotation on...
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no evidence of acute disease.
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findings suggestive of pulmonary edema. left basilar opacity likely in part due to effusion with atelectasis. superimposed infection including at the right lung base are possible.
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no acute cardiopulmonary abnormality.
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interval improvement in bilateral interstitial opacities. the side port of an enteric tube is located superior to the ge junction. recommend advancement.
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right pic line ends in the low svc. <num> mm wide opacity projecting over the right lung apex is probably a bone island in the posterior right third rib. lordotic view is recommended for confirmation. lungs are otherwise fully expanded and clear. previous vascular engorgement in the lungs and mediastinum has resolved. ...
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no evidence of pneumonia or acute cardiopulmonary process.
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decrease in size of left pneumothorax.
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in comparison with the study of to , there is little change. cardiac silhouette remains within normal limits and there is no evidence of vascular congestion. minimal blunting of the costophrenic angles with mild atelectatic changes at the left base.
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slight worse appearance to the lower lungs. is unclear if this is all due to volume loss surface there is an underlying infectious infiltrate.
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no signs of pneumonia or chf.
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bibasilar subsegmental atelectasis.
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no acute intrathoracic process.