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MIMIC-CXR-JPG/2.0.0/files/p14996205/s53623226/dce621d2-2c30ffd3-74fcd95c-4ccd066e-5dc1f987.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17841596/s59295910/45422495-38c7e046-8b6be328-bcb0327f-fb5f71e1.jpg
in comparison with study of , the endotracheal and nasogastric tubes have been removed. the cardiac silhouette is within normal limits and there is minimal if any vascular congestion. opacification at the left base is consistent with volume loss in the left lower lobe and associated pleural effusion. hazy opacification...
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bibasilar opacities likely related to small pleural effusions and atelectasis however superimposed pneumonia cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p11448863/s53592852/f9597461-f30e1d70-824b2396-6eab1c21-a5091e6b.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17161603/s59198476/1e08843a-5c53cb07-859f27c7-b7b5b63a-f9d547c2.jpg
appropriate positioning of the endotracheal tube. right upper lobe opacity compatible with pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p15649581/s53280647/c4816acd-a947fd6b-d6133478-20a487db-23f574d3.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18870233/s51157214/100afebf-00fabc22-3581c41a-c05d569e-7c38e7a8.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11312502/s53612092/d82ef836-de5d7ee4-790b2844-a38eea24-8fa20e9a.jpg
comparison to. no relevant change is noted. the monitoring and support devices, including the endotracheal tube, the left central venous access line and the feeding tube are in stable correct position. borderline size of the cardiac silhouette with atelectasis at the lung bases. mild elongation of the descending aorta....
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heart size and mediastinum are stable. mild interstitial opacity is present, diffuse, concerning for mild volume overload. there is no pleural effusion or pneumothorax. hyperinflation is demonstrated on the lateral view seen as flattening of the diaphragms. no focal consolidations demonstrated. no pleural effusion or p...
MIMIC-CXR-JPG/2.0.0/files/p13474473/s58433169/1af4f614-bb6c35fb-bbfebb81-d39830e8-94522c19.jpg
no evidence of acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18925732/s56457828/28f29ecf-cb1cd71c-999bc7a0-1a633b64-cae65090.jpg
limited exam with indistinct pulmonary vascular markings throughout which could potentially be to extremely low lung volumes, however, atypical infection or edema may have a similar appearance. if desired, repeat with better inspiratory effort on the frontal exam suggested.
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in comparison to chest radiograph, cardiomegaly and pulmonary vascular congestion are persistent findings, as well as a moderate left and small right pleural effusion. allowing for lower lung volumes on the current study, there has not been a relevant change.
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no acute cardiopulmonary process. prominent mediastinal and right hilar lymph nodes are better seen on immediately subsequent chest ct.
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swan catheter pulled back of <num> cm, now with tip in the main pulmonary artery the vascular congestion has improved.
MIMIC-CXR-JPG/2.0.0/files/p15019807/s57114072/e7c306ce-3d9cc4a2-359be88d-a8e33d67-2b50c6dc.jpg
pa and lateral chest compared to : previous left lower lobe consolidation may have improved minimally. pulmonary vasculature is no longer as engorged but cardiac silhouette is still very large. small left pleural effusion is probably still in place. widening of the upper mediastinum is due to a combination of fat depos...
MIMIC-CXR-JPG/2.0.0/files/p19416143/s58010289/894f54b1-62292592-4c4b012f-e9490d2c-fe1e91d0.jpg
no evidence of acute cardiopulmonary disease.
MIMIC-CXR-JPG/2.0.0/files/p15901128/s53061232/08f1fcf2-875f7f9c-d53db783-5f29f118-d7d99a69.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15161606/s54697570/b8fd2417-4903c570-941e8375-f0062d4f-f8e48ee7.jpg
stable chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p15250378/s55165120/508edea5-180cf831-4f2ac6bd-ca5e05aa-c2cb1623.jpg
no acute cardiopulmonary abnormalities
MIMIC-CXR-JPG/2.0.0/files/p12851222/s54835316/a6baa4a4-575260a2-a24288dd-be5f8e8e-1db2623e.jpg
no acute findings.
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as compared to , the alignment of the sternal wires is constant. moderate cardiomegaly. small bilateral pleural effusions are seen on the lateral radiograph only. low lung volumes. no pneumothorax. no pulmonary edema. normal appearance of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p16088020/s53453406/e055ab00-7b2ae958-60ec70ff-c4be7e99-1744a539.jpg
port-a-cath tip ends at the cavoatrial junction.
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heart size and mediastinum are stable including mild cardiomegaly. post sternotomy wires are unremarkable. bibasal atelectasis in small right apical pneumothorax are unchanged.
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the et tube is <num> cm above the carina. ng tube tip is in the stomach. skin are seen over the mid abdomen. ivc filter is visualized. there is residual contrast in the colon. there is some patchy areas of increased alveolar opacity in both lower lungs. it is unclear how much of this is due to volume loss or if early ...
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no acute intrathoracic process.
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previous dependent edema, right lower lobe, and small right pleural effusion have substantially improved. large left pleural effusion has increased. left lower lobe is chronically airless. moderate cardiomegaly is chronic. nasogastric tube ends at the gastroesophageal junction and would need to be advanced <num> cm to ...
MIMIC-CXR-JPG/2.0.0/files/p17219911/s50503315/6d086934-6086a0d6-30a3a640-311bec9f-cb35398b.jpg
mild pulmonary edema and small pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p11231105/s53090802/9a58abda-24564017-6ac1a2ce-0e7ba4f5-2bb66fd1.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15649581/s53972505/41e0387d-91bb749c-025c7419-5df87b02-f45a6dc6.jpg
stable radiographic appearance of the chest with no acute cardiopulmonary findings.
MIMIC-CXR-JPG/2.0.0/files/p10153427/s55231084/78bb1bd3-e07c8ab9-0acb8164-bfaf1c6c-985bf02d.jpg
no acute cardiopulmonary process. no focal consolidation to suggest pneumonia.
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right pigtail catheter is in place. there is interval slight decrease in the right pleural effusion which is still large. cardiomediastinal silhouette is unchanged. upper lungs are essentially clear.
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pa and lateral chest compared to : region of abnormality which on the frontal view projects over the right mid lung above and below the level of the minor fissure, is new since. it could all be due to pneumonia in the superior segment of the right lower lobe, projecting over the spine on the lateral view. there may als...
MIMIC-CXR-JPG/2.0.0/files/p10101282/s58226723/643ddde2-ef644a61-032167f2-af315094-51c60a4b.jpg
no pneumothorax. ill-defined opacities in the right mid lung and left lung base, for which further evaluation with ct is recommended. diagnostic considerations include multifocal infection (including septic emboli and fungal organisms), bland infarcts, and vasculitis. neoplasm is considered less likely but is not exclu...
MIMIC-CXR-JPG/2.0.0/files/p18523146/s51881692/a43de47a-89261c9a-4a8f979f-dcd40faf-6b0383ef.jpg
hyperinflated lungs suggestive of underlying copd. no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15539740/s53371409/645d467d-eab4cbcb-9c771bac-7d345bdf-b1138240.jpg
no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11887177/s57497215/0189df65-8a01c4dc-6c4ddd0c-07ec6039-71d23c33.jpg
the previous radiograph, the right pigtail catheter was removed. the extent of the right pleural effusion has decreased. no pneumothorax. unchanged appearance of the heart and of the left lung.
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pulmonary edema. underlying consolidation is not excluded.
MIMIC-CXR-JPG/2.0.0/files/p11422357/s56119013/e27e6f5c-2f7ed271-82554113-caea969c-5540280f.jpg
mild interstitial pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p11859083/s57637717/45e07c0d-c6102eef-a647d7bb-4b11f91a-a3bbfd61.jpg
no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p17495807/s57950337/8e7eea95-eb13d4b8-cbfa4c65-3123b169-1df208c7.jpg
no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p11826927/s51916413/9327a30c-17ef08c1-64929e8b-a47ac697-0b47940e.jpg
no acute intrathoracic abnormalities identified.
MIMIC-CXR-JPG/2.0.0/files/p13308983/s55875411/04b9586b-de3449bd-7ed47fdc-8140d371-7c482eb4.jpg
no acute cardiopulmonary process.
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as compared to prior radiograph of <num> day earlier, cardiomegaly is accompanied by pulmonary vascular congestion and apparent development of asymmetrical right-sided pulmonary edema. coexisting secondary process in the right lung such as aspiration or developing pneumonia is also possible. right pleural effusion is a...
MIMIC-CXR-JPG/2.0.0/files/p15656571/s55760355/d343eab2-35f09e42-68ef1ef3-b62184fc-cc1e3388.jpg
stable mild pulmonary vascular congestion with small pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p16597662/s58702213/7fa08eb3-861fc36e-9905581d-b8afa3a0-00b52af5.jpg
lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. minimal scoliosis in the mid thoracic spine is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p16841586/s53222642/7e9f2074-d79fd72d-b4a317f5-c8605197-16507548.jpg
mild interstitial edema is new. heart size normal. no pleural effusion or pneumothorax. transvenous right atrial right ventricular pacer leads continuous from the right pectoral generator, unchanged. as before the ventricular lead is oriented superiorly and anteriorly in the proximal right ventricle rather than oriente...
MIMIC-CXR-JPG/2.0.0/files/p15170418/s51148504/636b4dbe-147806a1-8b9e1300-b8aade44-c5880896.jpg
unremarkable chest radiographic examination.
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previous mild to moderate pulmonary edema is nearly resolved, pleural effusions have cleared. moderate cardiomegaly is chronic. no pneumothorax.
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diffuse reticulonodular interstitial opacities are worst at the lung bases. given appearance on recent ct torso, findings concerning for severe aspiration or multifocal infection, including but not limited to endobronchial spread of pneumonia, mycobacterium organisms including tuberculosis, and fungal pneumonia.
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comparison to. stable position of the monitoring and support devices. increasing volume loss at the basis of the right lung, with elevation of the hemidiaphragm and mild right port diaphragmatic shift. the changes are likely caused by atelectasis. the left lung is of stable appearance. stable appearance of the cardiac ...
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right lower lobe pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16493975/s54939014/79978759-23707a9c-450d95d3-7efca65d-6edad96e.jpg
no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18191079/s57164662/6b6db3df-55d0df6a-be012949-5ef9daf7-5bc3274f.jpg
no acute cardiopulmonary process.
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right picc line terminates at the level of mid svc. heart size and mediastinum are unchanged in appearance. bilateral pleural effusion is demonstrated but substantially decreased on the left with the pigtail catheter is in place and small amount of basal air has replaced pleural effusion. no apical pneumothorax is demo...
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patchy bibasilar opacities likely reflect atelectasis. hyperinflated lungs compatible with copd with unchanged right hilar lymphadenopathy.
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increased nodular opacities throughout both lungs compatible with progression of sarcoidosis. no evidence of large lymphadenopathy.
MIMIC-CXR-JPG/2.0.0/files/p14531278/s50695559/2f4808cf-a0d34703-5ab4fcaa-02340e72-90ea8ff9.jpg
no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18652308/s59564074/3fc1daac-3734ccef-c748ac8d-aa574aa3-f2aa8ffe.jpg
in comparison with the study , the patient has taken a much smaller inspiration. pacer leads again extend to the right atrium and apex of the right ventricle. no evidence of acute pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p17700343/s57910993/c7885f5f-8392ced4-7d18ac59-e231da27-7cc1775f.jpg
new left lung base opacity, concerning for either a lingular or left lower lobe pneumonia. recommend repeat cxr in weeks after treatment to document resolution.
MIMIC-CXR-JPG/2.0.0/files/p15447063/s50762374/efd1dcba-9a15dc1b-9b60f9ce-b6b56531-f2cedc2a.jpg
possible mild central pulmonary vascular engorgement. no definite focal consolidation seen.
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no findings suggestive of tuberculosis. borderline cardiomegaly.
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endotracheal tube terminates approximately <num>cm above the carina. advancing by at least <num> cm is recommended. findings consistent with volume overload.
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study limited by patient rotation. slightly low lung volumes, with bibasilar patchy opacities, likely atelectasis, although infection is difficult to exclude.
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intra-aortic balloon pump has been inserted with its tip current allocated to low approximately <num> cm below the roof of the aortic arch and need to be advanced for at least <num> cm. et tube tip is <num> low <num> cm above the carinal and should be pulled back report least <num> cm lung volumes are low. right lower ...
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opacity at the left lung base could reflect pneumonia or atelectasis.
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cardiomegaly, otherwise unremarkable.
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stable position of right chest tube without appreciable pneumothorax.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, the extent of the bilateral pleural effusions and the subsequent areas of atelectasis at the lung bases are unchanged. unchanged appearance of the cardiac silhouette. in the interval, the patient has received a dobbhoff catheter. the course of the catheter is unremarkable, the ti...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11621672/s51656933/f8cd6e8b-b75fcaba-654dfaa0-7f5df37e-3db34812.jpg
no evidence of pulmonary sarcoid.
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no acute cardiothoracic process.
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in comparison with the study of , there again are relatively low lung volumes that accentuate the transverse diameter of the heart. bibasilar opacifications, especially on the left, are consistent with small pleural effusions and underlying compressive atelectasis. in the appropriate clinical setting, superimposed pneu...
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no acute cardiopulmonary abnormality.
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possible trace right pleural effusion posteriorly. otherwise, no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process. no definite rib fracture.
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persistent elevation of left hemidiaphragm with left basilar opacity likely atelectasis although infection is not entirely excluded.
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no significant interval change.
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previously reported left apical nodular opacity on ct is not clearly visualized radiographically, but ct would be more sensitive than radiographs for evaluating this finding.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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slightly smaller right pleural effusion. no significant change in appearance of the lungs. moderately distended dilated loops of bowel in the upper abdomen for which clinical correlation is suggested.
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no acute cardiopulmonary process.
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new bilateral heterogeneous opacities are likely a combination of atelectasis, aspiration or pneumonia. clinical correlation is requested. no pneumothorax detected. no pneumomediastinum identified. small density in the left upper abdomen adjacent to the spine is compatible with the previously described barium focus. ad...
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as compared to chest radiograph, interval increase in pulmonary vascular congestion accompanied by interstitial edema. development of a more confluent opacity in the right infrahilar region, which could be due to asymmetrical edema or a secondary process such as aspiration or developing infectious pneumonia. small rig...
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large area of masslike peripheral consolidation in the axillary region of the left upper lobe is new since , most likely pneumonia. at the medial aspect of this consolidation the abnormality is distinctly nodular. left hilus may be mildly enlarged. lung elsewhere is clear. there is no pleural effusion. heart is normal....
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interval decrease in pulmonary vascular congestion since the prior study, otherwise no significant interval change; re- demonstrated right base opacity and blunting of the right costophrenic angle. possible effusion and atelectasis, superimposed infectious process not excluded although the appearance similar to year p...
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subtle bibasilar opacities may be due to atelectasis however, infection or aspiration not excluded in the appropriate clinical setting.
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no radiographic evidence for pneumonia.
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as compared to the previous radiograph, the patient is now of the recent surgery. the vertebral stabilization device is unchanged. the lung volumes are low and there signs of mild ulnar pulmonary grossly enlarged cardiac silhouette. retrocardiac atelectasis. no larger pleural effusions.
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moderate to severe pulmonary edema has progressed. there is persistent low lung volumes. there is no pneumothorax. cardiac size cannot be evaluated. bibasilar opacities larger on the right side are likely atelectasis, superimposed infection cannot be excluded. there is also increasing loss of volume in the right middle...
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no acute cardiopulmonary process. no pneumothorax.
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pa and lateral chest compared to : mild cardiomegaly is stable. lungs are clear. pulmonary vasculature, pleural surfaces and mediastinal contours are unremarkable, including a tortuous but not dilated thoracic aorta. lungs remain mildly hyperinflated but clear of any focal abnormality.
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a large right lung base mass similar in appearance to recent ct examination with interval growth of left-sided nodules. overall appearance is similar to that of the ct examination without evidence of concurrent pneumonia. results were discussed over the telephone with dr by dr at on , at the time of initial review....
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new retrocardiac opacity may represent atelectasis but could represent infection in the appropriate clinical setting.
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mild patchy bibasilar atelectasis in the setting of low lung volumes.
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findings compatible with pulmonary edema.
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no acute cardiopulmonary process.
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ap chest compared to , : if there is any right pneumothorax or pleural effusion, each is minimal. mild edema seen earlier today has cleared, but there is still consolidation at the right lung base medially. the abnormal contour of the descending thoracic aorta and the aortic graft are stable. heart is normal size. very...
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palpable of the left lung clear. large right pleural effusion equal to the volume loss due to right middle and lower lobe atelectasis, obscure the previous masses at the right hilus and at the right lung base, and leave the mediastinum midline, and indicating that the ef move fusion is not acute. interval mediastinal w...