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MIMIC-CXR-JPG/2.0.0/files/p11146013/s54670297/c71b2f69-fc7a9232-0b14c74f-d9e035d5-078807ec.jpg
no acute intrathoracic process.
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dobhoff tube tip appears coiled in the stomach, though well not visualized. no other interval change from prior study.
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endotracheal tube in appropriate position. right hemithorax patchy opacities is nonspecific likely reflective of aspiration in correlation with same day ct.
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no evidence of acute cardiopulmonary process.
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slightly increased fluid overload. enteric catheter courses below the left hemidiaphragm and out of view.
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compared to chest radiographs since , most recently. small areas of peribronchial opacification in the in the right middle and lower lobes could be atelectasis or early pneumonia. left lung is clear. moderate cardiomegaly is chronic, pulmonary vascular congestion is mild, but previous edema has resolved and there is no...
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new left chest wall port catheter tip in mid svc. no pneumothorax. scattered opacities are compatible with known lymphoma.
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large hiatal hernia. <num> cm round opacity projecting over the right lung base is not fully localized or characterized. recommendation(s): shallow oblique radiographs to better localize and characterize a round opacity at the right base to exclude the possibility of a lung malignancy at this site.
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bibasilar opacities are most consistent with atelectasis, however pneumonia cannot be excluded in the appropriate clinical setting. mild rightwards tracheal deviation suggests an enlarged left thyroid lobe. recommend non urgent thyroid ultrasound for further evaluation. recommendation(s): recommend non urgent thyroid u...
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in comparison with the study of , the cardiac silhouette remains within normal limits and there is no evidence of vascular congestion or acute focal pneumonia. interval obscuration of the left hemidiaphragm, consistent with pleural effusion and atelectatic changes.
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bilateral pleural effusions. enlarged cardiac silhouette. no definite focal consolidation, although left-sided consolidation would be difficult to exclude.
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no acute intrathoracic process.
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to chest radiographs show the endotracheal tube initially <num> cm from the carina, ultimately between <num> and <num> cm above the carina. it should be withdrawn <num> cm to avoid unilateral intubation. atelectasis of the right lung base is moderately severe, the lungs are otherwise clear. heart size is normal. pleura...
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subtle new confluent opacity in the right perihilar region,? related to subtle progression of chf findings. otherwise, i doubt significant interval change. attention to this area on followup films is requested.
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in comparison with the study of , the post surgical changes at the right base appear less prominent, though still noted. changes in the right paratracheal region are less pronounced. continued enlargement of the cardiac silhouette without definite vascular congestion or acute focal pneumonia. dual-channel pacer device ...
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anterior right lower lobe consolidation, most likely atelectasis. moderately severe cardiomegaly.
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small right apical and lateral pneumothorax has decreased since. pneumoperitoneum is still substantial, and pneumomediastinum is not appreciably changed. upper lungs are clear. opacification at the left lung base is probably atelectasis. heart size normal. no left pneumothorax.
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patchy right middle lobe opacity raises concern for consolidation due to pneumonia given the clinical symptoms.
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no acute cardiopulmonary process, no free intraperitoneal air.
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no acute cardiac or pulmonary process. no evidence of free air under the diaphragm.
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no acute cardiopulmonary abnormality.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no opacity concerning for pneumonia.
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no acute cardiopulmonary process to account for presence of rales.
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no evidence of abnormality demonstrated.
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no acute process
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findings compatible with mild interstitial pulmonary edema. underlying emphysema re-demonstrated.
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ng tube tip is now in the very proximal stomach, more proximal than on the prior study and should be advanced. heart size and mediastinum are unchanged in appearance. lungs are essentially clear except for minimal right basal atelectasis, unchanged since the prior study. no pleural effusion or pneumothorax have been de...
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limited, with no convincing signs of pneumonia.
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prominence of right sided fissures, suggesting a small amount of tracking plerual fluid. prominent hila, unchanged from. consider chest ct to further assess on a nonemergent basis. borderline cardiomegaly, unchanged.
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left lower lobe patchy opacity, likely atelectasis. multiple osseous lesions compatible with known myeloma, better demonstrated on the pet-ct from.
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in comparison with the study of , there again is a opacification at both bases, more prominent on the right, either or both of which could represent pulmonary hemorrhage or aspirated blood or be a manifestation of superimposed pneumonia. hyperexpansion of the lungs is consistent with chronic pulmonary disease. indistin...
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no evidence of acute cardiopulmonary process.
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dual lead pacemaker in situ with the lead tips in the appropriate positions. left lower lobe atelectasis. bilateral small effusions. pulmonary hyperinflation coarsening of the bronchovascular markings suggestive of copd.
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no acute intrathoracic process.
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in comparison with the study of earlier in this date, there are slightly improved lung volumes. otherwise, little overall change. small air-fluid level in the left apical region.
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severe emphysema without focal consolidation to suggest pneumonia.
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as compared to the previous radiograph, no relevant change is seen. normal lung volumes. known <num> cm sclerotic structure in the second right rib. known nodules or masses. no pleural effusions. no pneumonia. normal size of the cardiac silhouette.
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compared to chest radiographs through. moderate right pleural effusion is smaller. mild right basal atelectasis persists. upper lungs clear. heart size top-normal. no pneumothorax. left subclavian infusion port ends in the region of the superior cavoatrial junction.
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compared to chest radiographs through at. right pic line is been repositioned, now ends in the upper to mid svc. lungs clear. heart size normal. no pleural abnormality. esophageal drainage tube passes into the upper stomach and out of view.
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stable appearance of the chest, without evidence for acute disease.
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no acute cardiopulmonary process.
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small bilateral effusions. no definite consolidation.
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left lung base opacity could reflect atelectasis. however, in the appropriate clinical setting, an infectious process cannot be excluded.
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no acute cardiopulmonary process. no definite findings of an acute sternal injury, however, please note that dedicated sternal radiographs or, better ct, is more sensitive for such.
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as compared to , , the right-sided pigtail catheter has been removed. no pneumothorax. unchanged appearance of a small right pleural effusion. unchanged appearance of the left lung and the cardiac silhouette as well as of the monitoring and support devices.
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no evidence of focal pneumonia. central bronchiovascular prominence could represent reactive airways disease.
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no acute cardiopulmonary abnormality.
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lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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no focal consolidation concerning for pneumonia. no evidence of fluid overload. large hiatal hernia. subtle opacity projecting superior to the right clavicle. recommend an ap lordotic view as initial followup and, if the finding persists, ct could be considered for further evaluation at that time.
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normal chest radiograph.
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reaccumulation of small bilateral pleural effusions right greater than left
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compared to chest radiographs through. severe pulmonary edema progressed from through at, improved slightly subsequently. large right pleural effusion is slightly smaller. poor aeration at the base of the left lung could be due to an atelectasis or pneumonia. heart is normal size. mediastinal veins are not particula...
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as compared to chest radiograph, mild cardiomegaly is accompanied by pulmonary vascular congestion and interstitial edema. patchy opacity adjacent to minor fissure may be due to focal atelectasis, aspiration, or an early focus of pneumonia. short-term followup radiographs may be helpful in this regard. acute or subacu...
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interval improvement in mild pulmonary vascular congestion. retrocardiac opacity and small left-sided pleural effusion have marginally improved.
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no acute chest pathology.
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no radiographic explanation for chest pain.
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compared to chest radiographs since , most recently. mild pulmonary edema, accompanied by small left pleural effusion, developed after , has changed somewhat in distribution but not in overall severity since. severe cardiomegaly is chronic. no pneumothorax. transvenous right atrial right ventricular pacer leads in stan...
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dobhoff tube tip isin the stomach. et tube has been repositioned into appropriate position. retrocardiac opacities are new could represent atelectasis or aspiration attention in followup studies is recommended. no other interval change from prior study.
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interval worsening of severe right pneumonia and moderate right pleural effusion. increased mild pulmonary edema.
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low lung volumes. no confluent consolidation.
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improvement in left pleural effusion with small residual bilateral effusions.
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in addition to progressing vascular distention, peribronchial infiltration in the left mid and lower lung zone is progressing. whether this is disseminated infection or edema is radiographically indeterminate, but accompanying moderate left pleural effusion is increasing. on the right there has been no recent improveme...
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moderate cardiomegaly with central pulmonary vascular engorgement.
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improving bibasilar atelectasis. small bilateral pleural effusions.
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no acute cardiopulmonary process. no pulmonary edema. minimal, if any, vascular congestion predominately on the right.
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limited, negative.
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stable appearance of the chest without evidence for acute cardiopulmonary abnormalities. the large hiatal hernia limits evaluation of the lower lobes, as detailed above.
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the right apical pneumothorax persists, and no evidence of left pneumothorax is able to be detected.
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no acute intrathoracic process.
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as compared to radiograph, worsening opacification is present in the lower left hemi thorax, difficult to fully assess due to marked leftward patient rotation. this likely represents a combination of small left pleural effusion adjacent left lower lobe atelectasis and or consolidation. appearance of the chest is other...
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low lung volumes with suspected atelectasis in the left lung base.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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subtle left upper lobe opacity of uncertain significance. this could represent a small focus of sub-segmental bronchiectasis. if symptoms persist, repeat chest radiographs may be performed with pa, lateral, and bilateral shallow oblique projections. findings were sent to the ed qa nurses via email at after discovery ...
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right internal jugular catheter terminates in the mid svc.
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moderately improved right pleural effusion and adjacent right basilar atelectasis. no pneumothorax.
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new patchy right lower lobe opacity concerning for acute aspiration. short term follow up radiograph may be useful to exclude a developing infectious pneumonia in this region. linear opacities in the left lung most likely represent atelectasis.
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port-a-cath terminates in the lower svc. ng-tube should be advanced by several cm for more optimal placement.
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small bilateral pleural effusions appear increased compared to prior. left upper lobectomy changes including left lung volume loss.
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mild cardiomegaly. platelike lower lung atelectasis.
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<num> small bore pleural drainage tubes are in place. moderate residual right pleural effusion is smaller today than on. there is no pneumothorax. left lung is clear. normal cardiomediastinal silhouette.
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small bilateral pleural effusions, left greater than right, and perhaps slightly decreased in size on the left. left basilar atelectasis.
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ap chest reviewed in conjunction with torso ct on : small left pleural effusion and left basal consolidation have increased slightly since. findings are concerning for either infection or given the appropriate history, trauma to the left hemidiaphragm. if the findings are not understood, i would recommend a repeat ches...
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transvenous rv septal pacer lead; no evidence of complications of insertion. small right pleural effusion and mild right basal atelectasis are new. moderate cardiomegaly, unchanged.
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interval resolution of small left apical pneumothorax. no significant cardiopulmonary abnormalities.
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no acute pulmonary process.
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findings suggest pneumonia in the right upper lobe. follow-up radiographs are recommended to show resolution within weeks. retrocardiac opacity, probable possibly scarring or atelectasis although an additional focus of active pneumonia is not excluded by this examination.
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no acute intrathoracic process.
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no acute cardiopulmonary process. no displaced rib fracture. if clinical concern persists, dedicated rib series or ct are more sensitive.
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all monitoring and support devices have been removed, with the exception of the right internal jugular vein catheter. minimal pleural effusion. minimal left basal atelectasis. moderate cardiomegaly persists. no larger pleural effusions. no pneumothorax.
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no acute cardiopulmonary process.
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compared to previous radiograph of <num> days earlier, cardiomediastinal contours are stable. pulmonary vascular congestion is accompanied by minimal interstitial edema. more confluent right infrahilar opacity probably represents asymmetrical edema given similar distribution on prior radiographs, it is less likely due ...
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no substantial change in the opacity at the left lung base which may represent atelectasis, scarring or aspiration.
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no significant interval change.
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normal chest radiograph.
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no acute cardiopulmonary abnormality. calcified bilateral pleural plaques.