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MIMIC-CXR-JPG/2.0.0/files/p11655773/s53157491/0371fd0c-bb5bd45c-fb71add1-4fde00ac-aedc104f.jpg
no acute cardiopulmonary process.
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basilar opacity, likley on the right, potentially due to atelectasis given lower lung volumes on the lateral view, however infection cannot be excluded. hilar and mediastinal calcified lymph nodes are compatible with treated lymphoma, and are not significantly changed from , allowing for difference in techniques.
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new right lower lobe atelectasis or pneumonia and worsened mild pulmonary edema.
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in comparison with study of , the endotracheal and nasogastric tubes have been removed. there is no evidence of pneumothorax. hazy opacifications at the bases are consistent with layering effusions. the extensive opacification in the retrocardiac region is consistent with substantial volume loss in the left lower lobe....
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esophageal stent is in unchanged position compared to.
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there is no evidence of infectious process.
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cardiomegaly with pulmonary edema. focal opacities in the left mid lung and right upper lung could represent infection in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p14136578/s58976742/40b1e882-dac87002-a68424d6-b27753bf-fd980463.jpg
no acute cardiopulmonary process.
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pulmonary vascular congestion without overt edema or consolidation.
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bibasilar atelectasis. calcified pleural plaques bilaterally compatible with prior asbestos exposure. chronic elevation of the right hemidiaphragm. small to moderate sized hiatal hernia.
MIMIC-CXR-JPG/2.0.0/files/p16896839/s55862677/6561afca-fe4349c2-50267011-a33809b9-2a2eeef0.jpg
no acute cardiopulmonary process.
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ap chest compared to : large left pleural effusion has worsened significantly. previous moderate pulmonary edema has cleared from the right upper lung, and residual edema should be considered as the likely explanation for residual opacification at the right lung base, unless it proves subsequently unresponsive to diure...
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mild cardiomegaly.
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bibasilar opacities are unchanged from prior exam from and likely reflect linear atelectasis. otherwise, no focal lung consolidation. probable trace right pleural effusion.
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no significant interval an right middle lobe atelectasis and bronchiectasis, which raises the concern for recrudescent infection. followup to resolution is advised.
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appropriate placement of dual pacemaker leads. small bilateral pleural effusions in combination with mild pulmonary edema suggest congestive heart failure. left lower lobe volume loss and subsegmental atelectasis.
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bony metastasis with possible pathological fracture, left seventh lateral rib. no pneumonia.
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ap chest compared to : right picc line can be traced to the origin of the svc, but the tip is indistinct. calcification in the ascending thoracic aorta should not be mistaken for the catheter. leftward mediastinal displacement reflects left lower lobe collapse present since at least , accompanied by small-to-moderate l...
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low lung volumes with probable mild bibasilar atelectasis.
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as compared to chest cta of , cardiomediastinal contours are stable in appearance. mild pulmonary vascular congestion is present. subtle scattered small lung opacities are difficult to assess on a portable radiograph. diffuse haziness overlying the left mid and lower lung is probably due to overlying breast tissue, but...
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severely hypoinflated lungs. recommend dedicated pa and lateral radiographs for further evaluation.
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no acute cardiopulmonary process.
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there has not been any appreciable change radiographically since when a chest ct showed collapse of the left upper lobe distal to obstructing hilar mass around a large necrotic upper lobe mass, or in small loculated left pleural effusion inferiorly, even even with <num> left pigtail pleural drainage catheters in place...
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interval increase in heart size with vascular congestion suggests fluid overload or cardiac decompensation. no obvious features to suggest pneumonia, but this cannot be excluded with absolute certainty.
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no evidence of pneumothorax or other procedural complication. smaller right loculated effusion. resolution of mild interstitial pulmonary edema. stable radiographic evidence of copd.
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possible nondisplaced right rib fracture laterally. correlate with site of pain. no evidence of pneumothorax.
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normal chest radiographs.
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in comparison with the study of , there is little change except for mildly decreased lung volumes. cardiac silhouette is at the upper limits of normal in size and there is no evidence of vascular congestion, pleural effusion, or acute pneumonia. spinal stimulator is again seen.
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no signs of pneumonia or other acute intrathoracic process.
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interval development of large right and trace left bilateral pleural effusions. bibasilar airspace opacities may reflect atelectasis though infection cannot be excluded.
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no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p18838491/s56879357/527a9f63-7258673a-0d7a6cc0-b261821b-b9ca00b4.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p14939850/s50191248/0993c7a6-fdc974fc-d54f3347-e7b90a06-7b658927.jpg
bibasilar pneumonia.
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left greater than right bibasilar consolidations again seen, possibly slightly decreased on the right, but are otherwise not significantly changed, may be due to pneumonia. persistent elevation of the left hemidiaphragm with overlying atelectasis.
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interval development of large left lower lobe opacity, likely a large pleural effusion. further evaluation with ct is recommended given the extent and mass effect on the adjacent structures. recommendation(s): further evaluation with ct is recommended given the extent and mass effect on the adjacent structures.
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there is some limitation due to poor inspiratory effort. there are chronic cardiac monitoring leads and transfer device overlying the lower lung fields. there is cardiomegaly, upper zone redistribution and blurring of vascular detail all consistent with chf. this is slightly more pronounced than on the earlier study. t...
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low lung volumes with bibasilar atelectasis. air distended loops of bowel within the left upper quadrant. no air is identified under the right hemidiaphragm. right picc appears to project over the anticipated location of the low superior vena cava.
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bibasilar opacities likely a combination of effusion and atelectasis; although, pneumonia is also possible in the right clinical setting. the recurrent air-fluid loculation in the right upper quadrant is unusual <num> days after surgery, correlate with clinical situation to guide further workup.
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no pneumonia.
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et tube tip is is cm above the carinal. heart size and mediastinum are stable. bilateral pleural effusions and bibasal consolidations are unchanged.
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no acute cardiopulmonary process.
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normal chest radiograph.
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satisfactory orogastric tube placement. interval retraction of the endotracheal tube from <num> to <num> cm above the carina. this change was reported to by by phone at on.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19276095/s54173956/72db9f77-21aecdd9-7a1c8f34-d58837fe-a17b1893.jpg
metastatic lesions within the chest appear similar to prior ct. no signs of superimposed pneumonia.
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opacities in the right middle and lower lobes, most prominent at the latter site, suggesting pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p19073526/s59812502/f05f800d-817625a5-10d67f35-b275e58c-3e3f12f0.jpg
moderate cardiomegaly and mild pulmonary central vascular congestion without evidence of pulmonary edema. unchanged moderate left pleural effusion and left retrocardiac opacity likely representing atelectasis.
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endotracheal tube which on repeat images appears in appropriate position. heart appears enlarged with mild vascular congestion.
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no definite evidence of acute disease. streaky perihilar opacities, which suggest minor atelectasis, best depicted on the lateral view. mild mid thoracic degenerative changes.
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the heart is mildly enlarged. there is central pulmonary vascular congestion with mild interstitial edema and small bilateral pleural effusions. no focal consolidation is present. there is no pneumothorax. the aorta is moderately calcified.
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as compared to the previous radiograph, no relevant change is seen. the position of the right pigtail catheter is constant. the right lung remains well expanded, there currently is no evidence of a right pneumothorax. substantial overinflation persists. unchanged right upper lobe opacities. normal size of the cardiac s...
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there is new faint opacity in the right lower lobe, which could be a developing pneumonia in correct clinical setting.
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interval improvement.
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in comparison to chest radiograph, cardiomediastinal contours are normal. lungs are clear. small pleural effusions are present bilaterally.
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in comparison with the study of , the right ij sheath has been removed. there is no evidence of vascular congestion, acute focal pneumonia, or appreciable atelectasis. on the lateral view, there is some indistinctness of <num> of the costophrenic angles, which could represent a small residual pleural effusion.
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heart size is normal. mediastinum to the rectum is unremarkable. lungs are essentially clear. no pleural effusion or pneumothorax is seen lateral view demonstrates potential mild increase of the left ventricle that should be further correlated with echocardiography to exclude minimal degree of left ventricular dilatati...
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worsened chf.
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edema with small bilateral pleural effusions. bibasilar and perihilar opacities may reflect congestion and atelectasis, but infection is not excluded.
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no evidence of acute cardiopulmonary process.
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markedly improved almost completely resolved left lower lobe pneumonia
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in comparison with the study of , there is little change. atelectatic changes are seen bilaterally, more prominent on the left, with small effusions. no vascular congestion or acute focal pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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mild improvement in moderate right pleural effusion. otherwise no significant interval change since.
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right central venous line terminates in the right atrium. there is intervals improvement in bibasal areas of atelectasis. there is no pulmonary edema. there is no pneumothorax.
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likely progression of multifocal lung infection. possible acute chf. left sided catheter ends in the axilla.
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in comparison with the earlier study of this date, there is little change in the diffuse bilateral pulmonary opacifications and the various monitoring and support devices.
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stable mild pulmonary vascular congestion. no focal consolidation.
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no significant interval change.
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small to moderate bilateral pleural effusions, increased. no evidence of edema.
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no previous images. cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
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no acute intrathoracic process.
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no previous images. there is an endotracheal tube with its tip approximately <num> cm above the carina. right ij is catheter extends to the mid to lower portion of the svc. mild blunting of the left costophrenic angle is consistent with small pleural effusion and atelectatic changes at the left base. no vascular conges...
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no acute cardiopulmonary process.
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normal lung volumes. borderline size of the cardiac silhouette. mild elongation of the descending aorta. no pleural effusions. no pneumonia, no pulmonary edema.
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no acute cardiopulmonary process.
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persistent but resolving right upper and lower lobe opacifications.
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no acute intrathoracic abnormality.
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no acute cardiopulmonary process.
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et tube in standard placement. right jugular line ends the region of the superior cavoatrial junction. nasogastric drainage tube passes into the stomach and out of view. severe enlargement of the cardiac silhouette and mediastinal vascular engorgement are unchanged. moderate right pleural effusion is larger, moderate l...
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no acute cardiopulmonary process. no displaced rib fractures identified. note, chest radiography may not detect subtle rib fractures. if suspected clinically, dedicated rib radiographs could be obtained.
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the right picc line terminates in the mid svc. mild bibasilar atelectasis and probable bilateral small pleural effusions.
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no acute cardiopulmonary process.
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no confluent opacity to suggest pneumonia. probable bronchiectasis, right middle lobe. mild interstitial abnormality; previous edema resolved.
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no evidence to suggest aspiration or pneumonia.
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no pneumothorax.
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in comparison with the study of , the monitor and support devices are essentially unchanged. the areas of increased opacification at both bases are improving. the appearance currently would suggest primarily atelectasis, although resolving pneumonia would have to be considered.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process. the right subclavian central venous catheter appears in appropriate position.
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no evidence of acute cardiopulmonary process.
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as compared to chest radiograph, left basilar atelectasis has partially cleared with small adjacent pleural effusion persisting. new heterogeneous right mid and lower lung opacities may reflect asymmetrical edema, developing infection, or aspiration. persistent small to moderate right pleural effusion.
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new mild pulmonary edema
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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linear opacities at the right base are likely atelectasis. no definite aspiration or focal consolidation.
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no radiographic evidence of pneumonia.
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on with the study of , the increased interstitial markings appear less prominent, suggesting that much of this was related to improving pulmonary vascular congestion. otherwise little change.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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there is mild cardiomegaly. the aorta appears elongated and tortuous, could be dilated. the lungs are clear. there is no pneumothorax or pleural effusion