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MIMIC-CXR-JPG/2.0.0/files/p13912373/s56942918/9b18e2c7-fe82ecc1-7be62081-bdad0042-fcb331ba.jpg
the patient is intubated. the tip of the endotracheal tube. projects <num> cm above the carina, the tube should be advanced by approximately <num> cm. the course of a nasogastric tube is unremarkable. the tip is not included on the image. there is no evidence for the presence of a pneumothorax. right basal atelectasis....
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as compared to the previous image, there is unchanged evidence of severe overinflation. a clip is now projecting over the right lung apex. a right pleural effusion is seen but is minimal and limited to the area of the costophrenic sinus. unchanged calcified granuloma in the left lung apex. unchanged alignment of the st...
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endotracheal tube, feeding tube, and right ij central line are unchanged position. heart size is within normal limits. there has been interval development of a left retrocardiac opacity which may be due to focal consolidation or atelectasis. there are bilateral pleural effusions, right greater than left. upper lung fie...
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no acute findings in the chest. no signs of pneumoperitoneum.
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et tube tip is <num> cm above the carinal. right picc line tip is at the level of mid svc. heart size and mediastinum are stable. bibasal consolidations are present but there is overall interval improvement in pulmonary edema with persistent infectious consolidations noted in the lung bases. currently the degree of ede...
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et tube tip is <num> cm above the carinal. ng tube passes below the diaphragm terminating in the stomach. heart size and mediastinum are normal. multifocal consolidations are overall similar to obtained and
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et and og tubes positioned appropriately. increased opacities in the upper lungs, right greater than left, question aspiration.
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standard position of the endotracheal and orogastric tubes. right internal jugular central venous catheter tip in the proximal right atrium. moderate to severe cardiomegaly with mild pulmonary vascular engorgement. bibasilar consolidative opacities concerning for infection. additional ill-defined opacities within the l...
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no acute cardiopulmonary process.
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hyperinflated lungs compatible with chronic obstructive pulmonary disease, but no acute focal consolidation. persistent left upper lobe opacity may represent a parenchymal nodule and further evaluation via non-urgent chest ct should be considered if not already further evaluated.
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in comparison with the study of , there is little change. again there is moderate enlargement of the cardiac silhouette with unchanged pulmonary edema. bibasilar atelectatic changes are again noted.
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compared to prior chest radiographs through at. extensive heterogeneous pulmonary abnormality, probably combination of edema and widespread pneumonia has not changed appreciably. on most preceding examinations there is the distinct suggestion of pulmonary nodules, perhaps even cavitated nodules. ct scanning would be ...
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mild pulmonary edema has improved. increased, but small, bilateral pleural effusions.
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no acute cardiopulmonary pathology.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no pneumonia. doubt but cannot entirely exclude a tiny right effusion. probable artifact in the right paramediastinal region due to patient obliquity. if clinically indicated, pa and lateral views of the chest could help for further assessment.
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no acute intrathoracic process.
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on patient was in mild pulmonary edema with mild cardiomegaly. today although heart has returned to normal size, there has been any increase in pulmonary vascular profusion since and there new small pleural effusions. although role this is not pulmonary edema, it may reflect early cardiac decompensation. very heavy m...
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no pneumonia.
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no acute cardiopulmonary process.
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esophageal drainage tube ends in the upper portion of the nondistended stomach. endotracheal tube is not visible below t<num>, the upper margin of this examination. previous moderate right pleural effusion is smaller and small left pleural effusion unchanged. there is no longer any pulmonary edema. mild to moderate car...
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moderate cardiomegaly and mild pulmonary interstitial edema. no focal consolidation to suggest pneumonia.
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no acute findings, specifically no signs of pneumonia or free air below the right hemidiaphragm.
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new right lower lobe opacity is consistent with pneumonia, though metastatic progression cannot be excluded. unchanged appearance of bulky lymphadenopathy and lung nodules since.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16627183/s59437302/89bd840d-54ba79ab-f2bc88ef-b9545b13-87959e1c.jpg
no acute cardiopulmonary process.
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no definite change since in persistent opacification in the right lower chest due to some combination of consolidation and dependent pleural effusion. lateral chest radiograph would be helpful in distinguishing between the interstitial edema in the left lung has worsened. thickening at the left lung apex is residual o...
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appropriate right pacemaker lead placement. no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p19193810/s58171123/f8779a94-625904f9-7ddabd97-64fb8cd2-12677db6.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12199702/s56575847/d800100e-3c9881c1-749eb770-e1011921-222f1146.jpg
no acute cardiopulmonary process.
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no acute cardiac or pulmonary findings.
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small bilateral pleural effusions and retrocardiac opacity which apart from the hiatal hernia, may represent atelectasis or infection in the appropriate clinical setting.
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no acute intrathoracic process.
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possible right lower lobe pneumonia. follow-up with conventional radiographs including oblique views recommended. small left pleural effusion increased since. unchanged right small right pleural effusion. recommendation(s): possible right lower lobe pneumonia. follow-up with conventional radiographs including oblique v...
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mild left lower lobe atelectasis. no evidence of pneumonia. please refer to same day ct chest for further details. mild cardiomegaly.
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cardiomediastinal contours are normal, and lungs are clear with no focal areas of consolidation to suggest acute pneumonia.
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extensive bilateral calcified pleural plaques suggest prior asbestos exposure. enlarged cardiac silhouette. marked compression of a lower thoracic vertebral body appears increased since.
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ap chest compared to : diffuse infiltrative pulmonary abnormality has grown more extensive. there is certainly moderate pulmonary edema. the severe bibasilar consolidation which has now spread to the anterior segment of the right upper lobe could well be due to concurrent pneumonia. the heart has never been particularl...
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large right pleural effusion is smaller and some of the previously entirely collapsed right lung has re-expanded. mediastinum has returned almost to the midline. left lung clear. no pneumothorax.
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clear lungs.
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right infrahilar consolidation which developed or at least progressed since is unchanged since earlier in the day, most likely pneumonia. pulmonary vasculature is unremarkable. heart size is normal and there is no pleural effusion.
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left basilar atelectasis. no fracture or pneumothorax.
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persistent but improved lung volumes with essential complete resolution of the small left pleural effusion. no focal consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19743788/s51631516/36034610-66d3acc7-ead51ad9-507dd33b-2c969e33.jpg
small left apical pneumothorax.
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no acute cardiopulmonary process.
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ap chest compared to and. the lung volumes have always been low, but severe relative elevation of the right hemidiaphragm has worsened substantially since , improved; however, since with a decrease in right basal atelectasis. the left lung is grossly clear. the heart size is normal. vascular clips and sternal wires d...
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right lower lobe aspiration or early pneumonia. dr was notified on at
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in comparison with the prior study of this day, the patient has taken a slightly better inspiration. atelectatic changes have decreased bilaterally, with moderate residual on the right. nasogastric tube extends to the distal stomach and endotracheal tube tip lies approximately <num> cm above the carina.
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no acute cardiopulmonary abnormality.
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as compared to the previous radiograph, no relevant change is seen. the left picc line is in unchanged position. no pneumothorax. no pleural effusions. no pathologic lung parenchymal process. unchanged borderline size of the cardiac silhouette with mild elongation of the descending aorta.
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intra-aortic balloon pump is unchanged in position but its tip is within the aortic knob which is somewhat high. pull-back of several cm may be indicated. clinical correlation is advised. the cardiac and mediastinal contours appear stably enlarged. there is a small layering right effusion with patchy adjacent opacity l...
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marked cardiomegaly without frank pulmonary edema. consideration should be given to a possible cardiomyopathy or pericardial effusion. mild vascular congestion and streaky bibasilar atelectasis.
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stalbe retrocardiac opacity, now with air-fluid levels which is most likely related to to gastric pull-through.
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compared to chest radiographs through. severe bilateral pneumonia, right worse than left, stable in severity in the right lung, now demonstrating clear cavitation, improved on the left. no appreciable pleural effusion. heart size normal. no pneumothorax. cardiopulmonary support devices in standard placements.
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increased bibasilar airspace opacities are likely due to evolving aspiration or pneumonia. stable moderate layering pleural effusions.
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heart size is enlarged but unchanged since. mild vascular congestion is present but no overt pulmonary edema is seen. no evidence of focal consolidations to suggest infectious process. minimal amount of left pleural effusion is noted, new.
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right lower lobe opacities concerning for pneumonia.
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mild right lower lung atelectasis, less likely infection. mild to moderate cardiomegaly.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, the right pleural effusion is distributed in a different manner, but appears unchanged in extent. the apical portion of the effusion is no longer present. the left pleural effusion might have minimally decreased. also decreased is the subsequent retrocardiac atelectasis. unchange...
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endotracheal tube and feeding tube are unchanged in position. there are bilateral pleural effusions, right greater than left which have increased in size. there is a left retrocardiac opacity. there are no pneumothoraces. heart size is unchanged and within normal limits.
MIMIC-CXR-JPG/2.0.0/files/p18428801/s56658480/b01f529b-99d1e2fc-50f9d2a5-8632d996-d3612f28.jpg
no acute cardiopulmonary abnormality.
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mild pulmonary edema. distended stomach. this may be amenable to ng tube insertion.
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marked cardiomegaly. please correlate clinically for chronicity and possibility of pericardial effusion. no evidence of pneumonia.
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comparison to. the right central venous access line was removed. otherwise stable chest radiograph. normal lung volumes. normal size of the heart. no pneumonia, no pulmonary edema, no pleural effusions. the elongation of the descending aorta is stable.
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no acute cardiopulmonary process.
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moderate left and small right pleural effusions with associated atelectasis. right perihilar opacity in the region of prior pneumonia. recommend repeat chest radiograph in <num> weeks to assess resolution.
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mild left basilar atelectasis without definite focal consolidation.
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no acute cardiopulmonary process.
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post-drainage of a left pleural effusion. no pneumothorax.
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marking cardiomegaly without superimposed acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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mild pulmonary vascular engorgement. persistent elevation of the left hemidiaphragm with adjacent left basilar opacity, likely atelectasis. a trace left pleural effusion may be present.
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interval decrease in the left pleural effusion, and no significant change in the right pleural effusion. numerous pulmonary nodules which are similar in appearance to prior radiographs.
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small left pleural effusion.
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no acute cardiopulmonary process.
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no evidence for acute cardiopulmonary process. chronic findings of mild-moderate cardiomegaly and enlargement of the bilateral pulmonary arteries, suggesting underlying pulmonary hypertension.
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low lung volume. bibasilar opacities, more pronounced on the left, are likely atelectasis, however pneumonia is possible in correct clinical setting.
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interval decrease in lung volumes with no acute cardiopulmonary process.
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low lung volumes and new moderate pulmonary edema.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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comparison to. low lung volumes. mild cardiomegaly. mild pulmonary edema. no pleural effusions. no new focal parenchymal opacities.
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mild pulmonary edema, much less severe than what was seen on prior exam. small bilateral pleural effusions.
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no acute cardiopulmonary process.
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as compared to , no relevant change is seen. minimal thickening of the left major fissure, seen on the lateral radiograph only. no pneumonia, no pulmonary edema, no pleural effusions. normal size of the cardiac silhouette.
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compared to chest radiographs through. new esophageal drainage tube is coiled in the upper esophagus and hypopharynx. left lung is generally more radiodense now than it was yesterday. in some way this is probably a reflection of terminated ecmo, perhaps widespread pneumonia that is more evident with reperfusion. and a...
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findings concerning for right upper lobe pneumonia.
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there is cardiomegaly, upper zone redistribution and blurring of vascular detail suggesting chf. there is linear atelectasis in the left lung base. there is no pneumothorax. these findings have increased as compared to the film.
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as compared to chest radiograph, there are no relevant the new changes when consideration is made of differences in patient positioning between the exams.
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no acute cardiopulmonary abnormality.
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patient has had median sternotomy and mitral valve replacement. moderate to severe cardiomegaly is exaggerated by lower lung volumes, although probably stable since , but there is mild engorgement of the mediastinal veins suggesting increased intravascular volume or pressure. previous cephalization of blood flow in the...
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previously present right middle lobe and left lower lobe abnormalities have resolved. lungs and pleural surfaces are clear. normal cardiomediastinal contours.
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no definite acute cardiopulmonary process.
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small right pleural effusion, improved from.
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no evidence of acute cardiothoracic abnormality, on a technically limited examination.
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no acute cardiopulmonary process.