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MIMIC-CXR-JPG/2.0.0/files/p17424385/s59311795/60869722-da5166ff-cac0729d-eaff1169-ff8a64ae.jpg
in comparison with the study of , there is little change. mild hyperexpansion of the lungs consistent with chronic pulmonary disease. cardiac silhouette is at the upper limits of normal in size and there is no vascular congestion or acute pneumonia. at the limits of plain radiography, there is no evidence of parenchyma...
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minimal bibasilar atelectasis.
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in comparison with the study of , the left subclavian picc line again extends to the mid portion of the svc. there is continued opacification at the left base with poor definition of the hemidiaphragm. this could merely reflect atelectasis, though in the appropriate clinical setting superimposed pneumonia would have to...
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small bilateral pleural effusions with subjacent atelectasis/ consolidation.
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no acute cardiopulmonary process.
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no interval change in small bilateral pleural effusions or bilateral diffuse opacities with air bronchograms suggestive of an alveolar process and likely represents ards.
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low lung volumes with mild bibasilar atelectasis.
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no acute cardiopulmonary abnormality. resolution of previously noted patchy right basilar opacity.
MIMIC-CXR-JPG/2.0.0/files/p13409291/s53657281/ac829f33-f5a5d7c4-b7755428-1f376e86-56836825.jpg
no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12735506/s55314057/750ce901-e3fc195b-10599aed-900ebef0-848bf6a1.jpg
small right pleural effusion unchanged. bibasilar atelectasis, probably moderate in both lower lobes, unchanged. mild cardiomegaly stable. upper lungs clear. no pulmonary edema. no pneumothorax. transvenous right atrial and right ventricular pacer leads unchanged in their standard positions, probably continuous from th...
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compared to chest radiographs since , most recently. emphysema is severe and chronic. it is responsible for the sagittal elongation of the trachea. although the frontal chest radiographs suggests an abnormality in the right lower lung, the appearance of this area is unchanged over series of prior chest radiographs on l...
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mild to moderate cardiomegaly. no focal consolidation concerning for pneumonia.
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heart size is top-normal. mediastinum and cardiac silhouette in size are stable. lungs are clear. there is no pleural effusion or pneumothorax.
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persistent left lower lobe consolidation and large left pleural effusion, unchanged.
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bibasilar atelectasis, but no convincing evidence of pneumonia. mild hyperexpansion of the lung may reflect copd.
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comparison to. no relevant change. normal size of the cardiac silhouette. moderate elongation of the descending aorta. no pleural effusions. no pneumonia, no pulmonary edema. no tb.
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low lung volumes with bibasilar atelectasis.
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no acute cardiopulmonary process.
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bilateral moderate pulmonary edema. please correlate clinically to exclude possibility of infection. repeat after treatment suggested to document resolution.
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mild pulmonary edema.
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large right pleural effusion with adjacent atelectasis. diffuse interstitial opacities most likely due to interstitial edema, but followup radiographs would be helpful after diuresis to ensure resolution and to exclude other causes of diffuse lung disease.
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as compared to the previous examination, the patient has developed mild to moderate pulmonary edema, manifesting as this or apical blood flow redistribution. no pleural effusions. unchanged moderate cardiomegaly. no pneumonia.
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there is no pneumothorax or re-accumulation of pleural fluid since following removal of the right basal pigtail pleural drainage catheter. the size of the right lung abscess and volume of small to moderate right pleural effusion are comparable to the pre drainage radiographs on. there is now a greater volume of fluid ...
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as compared to the previous radiograph, the nasogastric tube has been removed. the tracheostomy tube and the right central venous access line persist. unchanged extent and severity of the pre-existing multifocal parenchymal opacities. moderate cardiomegaly.
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given differences in technique between studies, there is likely no significant interval change in appearance of the right lung where there are more confluent areas of consolidation containing areas of lucency in the right upper and mid lung periphery. no new area of consolidation is appreciated. the heart remains stabl...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10385501/s55638347/b209454a-3a4fe78b-43aa4bbd-dea97dda-9874155e.jpg
large right pleural effusion, increased from prior with compressive right middle and lower lobe atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p15196754/s51396592/42e3ea52-1b65eae2-981db3c0-82efd588-aaa7c9c6.jpg
normal chest radiograph.
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normal chest. no pneumonia.
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as compared to the previous image, no relevant change is seen. normal lung volumes. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pulmonary edema. no pneumonia, no pleural effusions.
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no acute cardiothoracic process.
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appropriate termination of the right-sided picc in the mid svc.
MIMIC-CXR-JPG/2.0.0/files/p15104829/s57174019/a921ac39-569c46c5-793ea0c8-d04365c4-c08ddec2.jpg
no acute cardiopulmonary abnormalities
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in comparison with the study , the dense atelectatic streaks in the left mid zone has decreased. the bilateral chest tubes remain in place and there is no evidence of pneumothorax. in the area of possible increased opacification in the right mid zone is not appreciated. of incidental note, the fractures of the left sc...
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nasotracheal tube terminates <num> cm above the carina, consider advancing at least <num> cm. no pneumothorax or pnemomediastinum. findings discussed in person with the trauma surgeon on at pm, one minute after discovery.
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no evidence of acute cardiopulmonary abnormalities.
MIMIC-CXR-JPG/2.0.0/files/p13545680/s59438646/6af783fb-14ea6aa7-7d974220-e7289d1b-e9116d28.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15131736/s53318102/5698b16b-b25ed251-4149b897-8f2393c0-1a6fed9b.jpg
moderate to severe cardiomegaly is stable. mild pulmonary edema has improved. retrocardiac opacities have improved consistent with improving atelectasis. there is no evident pneumothorax or increasing effusions.
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no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18748621/s55021950/f96a62fa-f7f3a448-14e7933c-b547439f-b2ff90e5.jpg
as compared to the previous radiograph, the patient appears to be extubated. the course of the dobbhoff catheter is unremarkable, with the tip located in the middle to distal parts of the stomach. unchanged appearance of the lung bases. the lung apices are not included on the image. the size of the cardiac silhouette i...
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no acute cardiopulmonary process. mild cardiomegaly is stable.
MIMIC-CXR-JPG/2.0.0/files/p13150846/s51926030/6947a295-12453bb0-010a7d1f-39f6c6a4-4933078b.jpg
no acute cardiopulmonary process.
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no evidence of pneumonia.
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no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15088216/s52974242/926a926e-419b03f0-de3d81ab-d1ed2569-39dc12c8.jpg
normal heart lungs hila mediastinum and pleural surfaces. no evidence of tuberculosis or other infection.
MIMIC-CXR-JPG/2.0.0/files/p16152603/s55329684/5213fcf9-66fcb0a1-3234e3bf-2935a6d9-b6377e8d.jpg
in comparison with the study of , the right chest tube has been removed. there is again a small apical pneumothorax on this side. opacification at the right base is consistent with a combination of pleural effusion and volume loss. less prominent effusion and atelectasis is seen on the left.
MIMIC-CXR-JPG/2.0.0/files/p10176494/s54188077/0736fc57-f09a09f1-394c2775-25e19448-0f8294f3.jpg
bibasilar opacities are most likely atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p17205768/s56897411/ef74cc13-3cc95a88-6d300802-19478910-84a0b691.jpg
no acute cardiopulmonary abnormalities.
MIMIC-CXR-JPG/2.0.0/files/p18947160/s53729842/955cf3f3-9e3c3d79-f94eecba-0e894afb-d2601a30.jpg
left base consolidation, likely representing pneumonia in the appropriate clinical setting. there are small bilateral pleural effusions. recommend dedicated upright view when clinically able to document resolution. the differential diagnosis includes an obstructive mass, or large pulmonary embolus. mild cardiac decompe...
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interval mild improvement
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support lines and tubes are unchanged in position. heart size is prominent but stable. there is again seen moderate size bilateral pleural effusions. left retrocardiac opacity is again seen. there is mild prominence of the pulmonary interstitial markings, unchanged. no pneumothoraces are seen. there is a left reverse t...
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no acute cardiopulmonary disease.
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low inspiratory volumes. slight increase in opacities at the left lung base.
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mild congestive heart failure with bibasilar atelectasis and small bilateral pleural effusions. cardiomediastinal silhouette consistent with
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bilateral pleural effusions, lower lobe compressive atelectasis, cannot exclude aspiration/pneumonia. mild hilar congestion. mild cardiomegaly.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15606311/s56066799/1c212181-681c94c2-4ffd6da1-1ccd38e6-1b878044.jpg
no relevant change as compared to the prior image. known opacities and consolidations, widespread in distribution, in the right lung. the left lung shows just minimal basal opacities but is otherwise normal. normal appearance of the cardiac silhouette. unchanged monitoring and support devices.
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no acute findings in the chest.
MIMIC-CXR-JPG/2.0.0/files/p12629563/s52979068/48dd5b0b-484bf5e6-aea252ce-b5491b6d-967370bb.jpg
no evidence of acute cardiopulmonary process.
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congestive heart failure with cardiomegaly, mild edema and bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p10866278/s54858020/02c5af46-b2a33f7c-2f0c328a-ee1cdaf6-d6f54af8.jpg
worsening pulmonary edema with stable bilateral pleural effusions.
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no acute cardiopulmonary abnormality.
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no radiographic evidence of pneumonia.
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no evidence of acute disease.
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new right-sided pleural effusion. please see subsequent ct chest report.
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as compared to the previous image, the right-sided chest tube was removed. there is no evidence of pneumothorax. the extensive bilateral parenchymal opacities, left more than right, are unchanged in extent and severity. the lung volumes remain low. moderate cardiomegaly. without pulmonary edema persists.
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minimal opacity at both lung bases. the appearance is compatible with bibasilar atelectasis, but the possibility of an early infectious infiltrate cannot be excluded. no frank consolidation. marked interval improvement in previously seen chf findings.
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heart size and mediastinum are stable. tortuous descending aorta is present. a left lower lobe consolidation a new and although might be secondary to pleural effusion that appears to be increased in the interim, infection is a possibility. lingular atelectasis is unchanged.
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left-sided pneumothorax has decreased in size compared with earlier the same day. suspect faint residua at the lung apex and along the medial aspect of the lung. (this impression differs slightly from the resident wet reading, but is addressed on report from a subsequent radiograph from at , which was issued prior to ...
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mild cardiomegaly. hyperinflated lungs. otherwise, unremarkable.
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new right mid and lower lung consolidation, most consistent with pneumonia. small-to-moderate right pleural effusion. stable small left pleural effusion or pleural thickening.
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in comparison with the study, there is little change in the appearance of the pacer leads on the frontal view. however, on the lateral view that is available only on the current study, what appears to be the ventricular lead extends posteriorly. the output should be checked to make certain that this is truly within the...
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persistent diffuse reticular abnormality, which may represent atypical edema or atypical infection. interstitial lung disease is also a possibility. small bilateral pleural effusions, larger on the left. recommendation(s): given the persistent reticular appearance of the pulmonary parenchyma, chest ct is recommended fo...
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no evidence of pneumonia.
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no evidence of acute disease. nasogastric tube terminating in the stomach. no evidence for free air.
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ap chest compared to. in the interim, pulmonary edema has resolved. small bilateral pleural effusion, left greater than right, is better seen on today's chest radiograph which also shows a moderate amount of left lower lobe atelectasis, lungs are otherwise clear, also as corroborated by the chest ct. moderate-to-severe...
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no pneumothorax or pneumoperitoneum. no pleural effusion. severe emphysema. chronic right upper lobe scarring. normal cardiomediastinal and hilar silhouettes. right subclavian line ends in the low svc.
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mild fullness in the right hila may indicate early developing infection in the correct clinical setting.
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no acute intrathoracic process.
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hyperinflated lungs suggesting chronic obstructive pulmonary disease with likely bibasilar atelectasis. ill-defined nodular opacity projecting over the lateral right lung base on the frontal view could relate to a nipple shadow, thus recommend repeat with nipple markers. if finding does not correlate with the nipple ma...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14989847/s53782643/b8dbaba0-fc309c69-ec41bdd3-07ea39d7-6cc0fff8.jpg
no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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as compared to the previous radiograph, the pre-existing left pleural effusion has slightly increased in extent and severity. a minimal opacity in the right upper lobe is unchanged. unchanged moderate cardiomegaly. no pulmonary edema. no new focal parenchymal opacities have appeared in the interval.
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no evidence of acute intrathoracic process.
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subtle focal opacity projecting over the lateral right mid lung without clear correlate on the lateral view, of unclear clinical significance. suggest shallow oblique radiographs for further assessment.
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right basal atelectasis has improved. a small subpulmonic right pleural effusion persists, elevating the right basal pleural surface anteriorly and laterally. lungs are otherwise clear. there is no left pleural abnormality. heart size is normal. neo esophagus is moderately distended with air, unchanged. no pneumothorax...
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subtle <num> cm opacity projecting over the right lung base may be artifactual; recommend shallow oblique radiographs or follow-up chest ct for confirmation. otherwise, no definite focal consolidation or pulmonary edema. recommendation(s): shallow oblique radiographs or chest ct.
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stable small left pleural effusion and retrocardiac opacity consistent with rounded atelectasis. mild vascular congestion.
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cardiomegaly with moderate pulmonary edema.
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in comparison with the study of , the monitoring and support devices are stable. cardiac silhouette is within normal limits. the pulmonary vessels are less well defined, consistent with some elevation in pulmonary venous pressure. the right hemidiaphragm is now sharply seen, though there is obscuration of the left hemi...
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left lower lung atelectasis persists.
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no acute cardiopulmonary process. no significant interval change.
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no reoccurrence of eosinophilic infiltrates.
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improved interstitial prominence since prior exam, may represent improving edema or improving inflammatory/ infectious process. no new areas of consolidation.
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ap chest compared to : heterogeneous opacification in the left lower lobe is most readily explained by aspiration pneumonia. more uniform opacification in the right lower chest could be moderate right pleural effusion or even right lower lobe atelectasis. upright radiographs would be helpful in distinguishing between t...
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no evidence of acute cardiopulmonary process.
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left basilar opacity, which may represent atelectasis, aspiration or pneumonia. a dedicated pa and lateral view of the chest would be helpful for further evaluation.