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MIMIC-CXR-JPG/2.0.0/files/p14808031/s56935055/36e06fb3-16de2273-4e2baf9a-16e4d4ca-b063f30c.jpg
allowing for differences in technique and positioning, there has not been a substantial change in the appearance of the chest since the recent study performed a few hr earlier. apparent increase in extent of subcutaneous emphysema in left chest wall is likely projectional the considering fluctuating appearance on seria...
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no previous images. the cardiac silhouette is within upper limits of normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
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findings suggest mild to moderate pulmonary edema. volume loss and opacification of the left lung base, probably due to a pleural effusion with atelectasis.
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no evidence of pneumonia.
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dobbhoff tube ends in the stomach. mild to moderate pulmonary edema.
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copd. no acute cardiopulmonary process.
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previous moderately severe pulmonary edema has improved. small right pleural effusion remains. heart borderline enlarged unchanged. no pneumothorax.
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no acute cardiopulmonary process.
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slight interval worsening of bilateral perihilar opacities compared to the most recent prior study but stable compared to the initial study from.
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minimally improved moderate pulmonary edema with more confluent retrocardiac opacity, potentially reflecting obscured pneumonia. consider conventional <num> view radiographs after diuresis to better assess this area.
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ap chest compared to : soft tissue of the neck obscures the upper airway. i do not see clear subcutaneous emphysema. findings questioned on the chest radiograph earlier today could indeed have been pneumomediastinum or alternatively air in the esophagus and in the right piriform sinus. if this is a finding of serious c...
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comparison to. no relevant change is seen. stable over distension of the stomach. no pulmonary edema. no pneumonia, no pleural effusions. normal size of the cardiac silhouette.
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no definite acute cardiopulmonary process.
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mild pulmonary edema. nasogastric tube terminates at the level of the ge junction as mentioned on the previous study. could be advanced by <num> cm for optimal positioning.
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in comparison with the study of , there are substantially lower lung volumes. right chest tube remains in place and there is minimal if any residual pneumothorax. blunting of the costophrenic angles could reflect small pleural effusions, though they may merely be a manifestation of low lung volumes. little if any eleva...
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no acute cardiopulmonary process.
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small bilateral pleural effusions, mildly increased from prior.
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interval resolution of the previously documented right middle lobe pneumonia. no radiographic evidence for acute cardiopulmonary process.
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right middle lobe opacity, which may represent atelectasis or pneumonia. short radiographic followup within six to eight weeks is recommended to document resolution, in order to exclude a neoplastic process.
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linear opacity in the left lung base most likely reflective of atelectasis.
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faint opacity in the right mid lung is new since , and likely represents a developing pneumonia, given the clinical history.
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ap chest compared to : new nasogastric tube ends in upper portion of a non-distended stomach. large and small bowel are distended in the imaged portion of the upper abdomen, probably not appreciably changed since earlier in the day. diaphragm elevation contributes to exceedingly low lung volumes. widening of the upper ...
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no significant change compared with.
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no acute cardiopulmonary process.
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comparison to. the patient has undergone left lower lobectomy. no pneumothorax or other complications. no pleural effusions. mild left basal atelectasis.
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moderate pulmonary edema.
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in comparison with the study of , the monitoring and support devices remain in place. no evidence of acute pneumonia or vascular congestion.
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no acute intrathoracic process.
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heart size and mediastinum are difficult to assess due to low lung volumes but overall the appearance is unremarkable. there is potentially left basal pneumonia versus atelectasis. patient has had is obscuring upper chest. the cannot be assessed. overall findings are concerning for left lower lobe pneumonia
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no acute cardiopulmonary abnormality.
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no evidence of acute cardiopulmonary disease.
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no acute intrathoracic process.
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hyperinflated lungs with interstitial prominence most notable in the bilateral lung bases. findings may represent aspiration versus developing pneumonia. no lobar consolidation.
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pa and lateral chest reviewed in the absence of prior chest imaging: i think that a x <num> mm wide rectangular opacity projecting over the left mid lung at the level of the fourth anterior rib is a superimposition of normal structures, including costal calcification, but i can't be sure. shallow oblique views would b...
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in comparison with the study of , the nasogastric tube has been pulled back so that the tip lies in the esophagus above the level of the carina. an otherwise little change. this information was telephoned to the physician on call.
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no acute intrathoracic process.
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comparison to. no relevant change is noted. low lung volumes. moderate cardiomegaly. elongation of the descending aorta. no pneumonia, no pulmonary edema, no pleural effusions.
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in comparison with the study of , there again are low lung volumes. atelectatic changes are again seen in the right mid and lower lung zones, as well as in the retrocardiac region at the left base. continued elevation of the right hemidiaphragmatic contour and the cardiomediastinal silhouette is unchanged. in the appro...
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no acute intrathoracic process.
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there are small bilateral pleural effusions and moderate bilateral atelectasis.
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no acute cardiopulmonary abnormality. no displaced rib fractures noted. if there is continued clinical concern for a rib fracture, then a dedicated rib series is recommended.
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left picc line tip terminates at the level of mid svc. heart size and mediastinum are stable. perihilar consolidations in right pleural more than left pleural fluid are unchanged. there is no pneumothorax.
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hiatal hernia, otherwise unremarkable study.
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no acute cardiopulmonary process, specifically no findings to suggest pneumonia or pneumothorax.
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comparison to. stable appearance of the heart and the lung parenchyma. no fluid overload. no pulmonary edema. no pleural effusions. no pneumonia. borderline size of the cardiac silhouette. the monitoring and support devices are stable, with the known kinked. right venous introduction sheet.
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no evidence of new acute parenchymal infiltrates in -year-old male patient with history of cough.
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no significant interval change.
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no acute cardiopulmonary abnormalities
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mild cardiomegaly. no evidence of acute disease.
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no evidence of acute cardiopulmonary process.
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persistent appearance of moderate right pleural effusion and dependent atelectasis. trace right apical pneumothorax.
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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worsening pulmonary edema superimposed on what is likely a disseminated infectious process. stable pericardial effusion and cardiomegaly. the endotracheal tube is properly positioned.
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heterogeneous left lung base consolidation worrisome for infection. a wet read was entered into the system by dr on pm.
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subsegmental atelectasis in the lung bases. no pneumonia or pulmonary edema.
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no radiographic evidence pneumonia.
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possible tiny right pleural effusion. otherwise no acute cardiopulmonary abnormality.
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no evidence of acute disease.
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no acute cardiopulmonary process. no visualized rib fracture although if persistent clinical concern, dedicated rib series could be obtained.
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the patient carries a left-sided picc line. the course of the line is unremarkable, the tip of the line projects over the mid svc. no complications, notably no pneumothorax. normal appearance of the lung parenchyma and the cardiac silhouette.
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no acute intrathoracic process
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more conspicuous left midlung opacity concerning for developing pneumonia or septic embolus. improved small left pleural effusion and left greater than right bibasilar atelectasis. findings were discussed by telephone with , np, by dr on at.
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unremarkable chest radiographic examination.
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there continues to be a layering right effusion with partial lower lobe atelectasis. a right sub-diaphragmatic tube remains in place. no pulmonary edema or pneumothorax. cardiac and mediastinal contours are stable. postsurgical changes in the right upper quadrant.
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ap chest compared to : a right central venous catheter ends in the mid-to-low svc unchanged since. lungs are clear, heart size normal. no pleural abnormality.
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no radiographic evidence of an acute cardiopulmonary process.
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as compared to the previous radiograph, the patient has received the new right picc line. the course of the line is unremarkable, the tip of the line projects over the mid svc. no evidence of complications, notably no pneumothorax. status post right thoracocentesis. no pneumothorax. minimal decrease in extent of the ri...
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ap chest compared to , and , most recently : pulmonary vascular congestion and moderate increase in heart size are new, but as yet there is little if any pulmonary edema. the large sail-shaped opacity at the base of the right hemithorax medially is presumably remnants of the diaphragmatic hernia, but there is also li...
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no acute intrathoracic process.
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right pigtail catheter is in place. heart size and mediastinum are unchanged. there is interval decrease in small currently right apical pneumothorax. bibasal consolidations have progressed in the interim.
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as compared to the previous radiograph, there is an increase in extent of the bilateral pleural effusion and a mild increase in severity. of the pre-existing pulmonary edema. moderate cardiomegaly with bilateral areas of atelectasis persist.
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small right apical pneumothorax.
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normal chest radiograph. no pneumothorax.
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compared to prior chest radiographs since , most recently. small regions of peribronchial opacification in the axillary region of the right upper lobe than right lung base could be pneumonia, perhaps due to aspiration, but diagnosis depends upon depends on clinical circumstances. cardiomediastinal silhouette is normal....
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no acute cardiopulmonary process.
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no evidence of acute disease. hyperinflation.
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no acute cardiopulmonary process.
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moderate pulmonary edema.
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left internal jugular central venous catheter tip in the upper svc. no pneumothorax. slightly low lying endotracheal tube tip, terminating approximately <num> cm from the carina. slight interval withdrawal is suggested. standard positioning of enteric tube. mild bibasilar atelectasis.
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no acute cardiopulmonary process. a <num> cm nodule is seen on lateral view only, projecting over the cardiac silhouette and abutting the diaphragm. further evaluation with ct is recommended.
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comparison to. low lung volumes persist. moderate cardiomegaly. no pleural effusions, no pulmonary edema, no pneumonia.
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no acute cardiopulmonary process. large hiatal hernia.
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clear lungs. please note that this radiographic study cannot evaluate for cholecystitis or stones as the reason for this examination indicates.
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streaky bibasilar opacities suggestive of atelectasis noting that developing infection cannot be completely excluded.
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no radiographic evidence for pneumonia. bibasilar subsegmental atelectasis.
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mild pulmonary edema and small bilateral effusions. deviation of the trachea to the right at the thoracic inlet could be due to underlying right-sided thyroid enlargement for which nonurgent thyroid ultrasound can be performed.
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no acute intrathoracic process, specifically no signs of pneumonia.
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left lower lung focal patchy opacity concerning for either pneumonia or aspiration.
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no acute cardiopulmonary process.
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normal chest radiograph.
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subtle increase opacity in right middle lobe may reflect early bronchopneumonia. follow-up chest radiograph in <num> to <num> weeks after treatment to ensure resolution. recommendation(s): follow-up chest radiograph in weeks after treatment to ensure resolution.
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persistent hazy bibasilar opacities most likely chronic without definite superimposed acute process although subtle changes are difficult to exclude.
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no acute cardiopulmonary abnormality. please note that the previously demonstrated left lower lobe pulmonary nodules on ct are not well assessed on the current radiograph.
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a right internal jugular line tip terminates in right atrium. cardiomediastinal silhouette is unchanged. right picc line tip terminates at the level of mid svc. ng tube tip is in the stomach. large calcified gallstone is projecting over the right upper quadrant. widespread parenchymal opacities predominantly affecting ...
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no overt pulmonary edema. discoid atelectasis of the bilateral upper lungs. retrocardiac opacities, also likely representing atelectasis. apparent widening of the mediastinum, likely secondary to a combination of vascular congestion and adjacent atelectasis, with an acute mediastinal process felt less likely in the abs...
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left-sided trans subclavian right atrial ventricular pacer leads follow their expected courses from the new left pectoral generator. left apical pneumothorax is small, and the new small left pleural effusion could be due to persistent mild pulmonary edema. heart size normal. mediastinum not widened.
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the mediastinum is not widened. hyperinflated lungs. slight blunting of the posterior costophrenic angles may relate to the hyperinflated lungs, although trace effusions not excluded. opacity projecting just adjacent to the left heart border on the frontal view, not definitively seen on the lateral view may relate to n...
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no acute cardiopulmonary process.
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no conventional radiographic evidence of lung nodule. direct comparison to outside radiograph with reported nodule would be helpful for initial further assessment.