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MIMIC-CXR-JPG/2.0.0/files/p18781624/s50066882/a155b158-badea6b6-fb2b0533-4d17df0a-2ebc3acc.jpg
no evidence of pneumonia. trace bilateral pleural effusions.
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as compared to the previous radiograph, the swan-ganz catheter has been removed. the other monitoring and support devices are in unchanged position. minimal decrease in extent of the right pleural effusion. otherwise, the bilateral pleural effusions are constant. massive bilateral parenchymal opacities are also unchang...
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no acute cardiopulmonary process. right subclavian port intact and unchanged in position.
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overall no appreciable change from the recent study. left pleural drain projects over the left lung base posteriorly. loculated left pleural effusion and pleural malignant disease is grossly unchanged. this preliminary report was reviewed with dr , radiologist.
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status post removal of mediastinal and pleural drainage catheters, with no evidence of pneumothorax.
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no acute cardiopulmonary process.
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low lung volumes. moderate cardiomegaly with signs of mild fluid overload. elongation of the descending aorta. no pleural effusions. no pneumonia.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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new moderate sized right pleural effusion. underlying pneumonia cannot be excluded. in the setting of the patient with acute chest pain and new pleural effusion, pulmonary embolism should be considered as a possible etiology.
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as compared to the previous radiograph, no relevant change is seen. old right-sided rib fractures. low lung volumes. the pre described opacity at the left lung base is constant in extent and severity. the lack of change regarding this lesion reinforces the previously raised suspicion for pneumonia. no other lung parenc...
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no acute cardiopulmonary process.
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in comparison with the study of , there is little overall change. on the right, there is again extensive opacification in the roux mid zone with worsening opacification in the apical region an continued fluid and atelectasis at the base. little change in the left hemithorax.
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dobbhoff tube has been advanced to the part of the duodenum.
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no acute cardiopulmonary process.
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comparison to , no relevant change. moderate cardiomegaly. stable monitoring and support devices. massive cardiomegaly without evidence of pulmonary edema. the tip of the endotracheal tube continues to project approximately <num> cm above the carinal. no pleural effusions.
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all the monitoring devices are unchanged, except for removal of catheter. there are now bibasilar atelectasis with small pleural effusion at the right base.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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tubes positioned appropriately. extensive lower lobe consolidations concerning for pneumonia. no large pneumothorax though if concern persists, ct advised.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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ap chest compared to : dobbhoff tube with a wire stylet in place ends in the mid stomach. tracheostomy tube is in midline position. right pic line ends in the upper svc. no pneumothorax. borderline interstitial edema is stable, as is mild cardiomegaly.
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new acute fracture in the left posterior eight rib with an associated small pleural effusion and atelectasis.
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as compared to the previous radiograph, the elevation of the left hemidiaphragm has increased. new left pleural effusion. atelectasis at the left lung bases. moderate cardiomegaly. unchanged appearance of the right lung.
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no acute cardiopulmonary process. mild cardiomegaly.
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in comparison with the earlier study of this date, the patient has taken a slightly better inspiration, which may account for the apparent improvement in pulmonary vascular status and pleural effusions. right chest tube remains in place and there is
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mediastinal wires are seen. there is persistent elevation of the right hemidiaphragm. there is improved aeration since the prior study. there is atelectasis and possibly a small pleural effusion at the left base. there is no pulmonary edema or pneumothoraces. heart size is within normal limits.
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no acute cardiac or pulmonary process. left lower lobe lung mass, better evaluated on recent ct from.
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new diffuse bilateral linear opacities, may be due to pulmonary vascular congestion vs. chronic lung disease. cannot rule out underlying right apical mass. recommend trial of diuresis and repeating cxr in days to assess change.
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no new areas of consolidation to suggest the presence of pneumonia.
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no acute cardiopulmonary abnormality.
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compared to chest radiographs through. pulmonary vascular congestion ppm moderate cardiomegaly are unchanged since. no pulmonary edema pleural abnormality. et tube in standard placement. right transjugular temporary pacer lead passes along the floor of the right ventricle, but the tip is out of the field of view. esop...
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mild pulmonary edema, slightly improved
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cardiac and mediastinal silhouettes are stable. basilar interstitial markings are likely chronic. right basilar atelectasis. no definite new focal consolidation. no large pleural effusion or pneumothorax.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease.
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ap chest compared to through : worsening of generalized interstitial abnormality since on , accompanied by slight increase in heart size, is probably cardiogenic pulmonary edema exacerbated by tracheal extubation. pulmonary vasculature is engorged and small bilateral pleural effusions are presumed. there are no findi...
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no acute cardiopulmonary process. stable enlargement of the cardiac silhouette.
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minimal atelectasis in the lung bases. no acute cardiopulmonary abnormality. x <num> mm calcification projecting over the medial aspect of the left apex is likely benign, and correlation with previous imaging is recommended.
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as compared to at , the patient has been intubated, with endotracheal tube in standard position. apparent slight worsening of diffuse airspace opacities may reflect a accentuation by lower lung volumes on the current study. small pleural effusions are again demonstrated bilaterally.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease.
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persistent left lower lobe collapse with left pleural effusion. right pleural effusion is resolved, as is pulmonary edema.
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no acute intrathoracic process, specifically no evidence of acute injury.
MIMIC-CXR-JPG/2.0.0/files/p12532801/s58804085/8bc91bf4-53084b63-01fd5ff3-5341dd4f-9bae082a.jpg
no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p16470044/s50496492/05820328-e90c9550-ef777445-79c676c4-59eb144a.jpg
improved right upper lung, but unchanged right lower lung and mid left lung opacities compatible with multifocal pneumonia.
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no evidence of acute cardiopulmonary disease.
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mild cardiomegaly, otherwise unremarkable.
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new left mid and lower lobe opacities, concerning for bronchopneumonia in the appropriate setting. similar marked elevation of the right hemidiaphragm; streaky opacification in the right lower lobe is compatible with associated atelectasis although infection is hard to exclude particularly since there is no direct prio...
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a in comparison with the study of , there is been removal of the right chest through without appreciable pneumothorax. on the right side, there is again widening of the mediastinum most likely related to recent esophagectomy and pull-up procedure with elevation of the hemidiaphragm and streaks of atelectasis at the bas...
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improvement in multifocal pneumonia without complete resolution. no new areas of consolidation noted
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moderate right-sided pleural effusion with increased right basilar opacity, likely atelectasis, though infection is not excluded. a new small air-fluid level in the right lung base suggests a small hydropneumothorax component. worsening left basilar opacity could indicate atelectasis, but infection is also not excluded...
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no acute intrathoracic process
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as compared to the previous radiograph, the patient has been extubated and the nasogastric tube was removed. at the bases of the right lung, there is a new parenchymal opacity, better seen on the lateral than on the frontal radiograph, accompanied by a small right pleural effusion. in the appropriate clinical setting t...
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no acute cardiopulmonary abnormality.
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heart size is top-normal. mediastinum is stable. lungs are clear. no pleural effusion or pneumothorax is seen.
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ap chest compared to at : right pic line has been withdrawn to the mid svc. severe consolidation in the upper lobes, which developed between and has not improved, mild pulmonary edema in the left lower lung and small-to-moderate left pleural effusion are unchanged since earlier in the day. there is no pneumothorax....
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low lung volumes with bibasilar atelectasis. mild prominence of the pulmonary vasculature with no overt pulmonary edema.
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no acute cardiac or pulmonary process.
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as compared to the previous radiograph, no relevant change is seen. the tip of the nasogastric tube is not included on the image. the position of the endotracheal tube is unchanged, with the tip of the ett being located approximately <num> cm above the carina. no other changes.
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as compared to chest radiograph, asymmetrical edema pattern has improved with only mild residual edema remaining. no other relevant changes.
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ap chest compared to through , : paramedian pleural tubes have been removed. large postoperative cardiomediastinal silhouette has not changed appreciably. a small-to-moderate left pleural effusion and even smaller right pleural effusion are stable, and a right apical pneumothorax is minuscule if present. upper lungs ...
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mild cardiomegaly with mild pulmonary vascular congestion. probable bibasilar atelectasis.
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no acute cardiopulmonary abnormality.
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as compared to no relevant change is noted. normal lung volumes. normal size of the cardiac silhouette. the right port-a-cath and the left central venous access line are in unchanged position. no pneumothorax. no pulmonary edema, no pleural effusions. no free intra-abdominal air.
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no acute cardiopulmonary abnormality.
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no definite acute cardiopulmonary process. please note that ct is more sensitive for subtle pulmonary opacities.
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no acute cardiopulmonary process. unchanged position of the pacemaker and its leads.
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as compared to chest radiograph, postoperative widening of the mediastinum is similar in this patient status post recent esophagectomy procedure. apparent increase in amount of free intraperitoneal air in the abdomen could reflect positional differences of the patient between the studies. cardiomegaly is accompanied b...
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mild pulmonary vascular congestion.
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cardiomegaly is accompanied by pulmonary vascular congestion and moderate pulmonary edema. moderate right and small left pleural effusions are also demonstrated with adjacent bibasilar opacities which may reflect atelectasis, aspiration, and or developing infectious pneumonia.
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ap chest compared to and at : moderate left pleural effusion is minimally smaller since :<num> left lower lobe is poorly aerated, presumably due to atelectasis, though pneumonia is not excluded. right lung clear. heart size normal. two left apical and a left basal pleural tube are unchanged in their positions. heart ...
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pa and lateral chest reviewed in the absence of prior chest radiographs: lungs are fully expanded and clear. there is no pneumothorax, pleural effusion or pulmonary contusion. mild pectus deformity of the lower sternum is clinically insignificant. i see no displaced rib fracture, but it should be noted that the convent...
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no acute cardiopulmonary process.
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no significant interval change when compared to the prior study.
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pneumonia in the left lung which developed between and has improved since , and small left pleural effusion has decreased. moderate right pleural effusion and right basal atelectasis are unchanged. moderate cardiomegaly is unchanged. no pneumothorax.
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layering left pleural effusion, which is also seen on but difficult to compare due to differences in patient positioning.
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ng tube tip is in the stomach. heart size and mediastinum are stable. there is interval improvement in pulmonary edema. large bilateral pleural effusions are present.
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moderate right and small left pleural effusion are not significantly changed compared to the prior radiograph. right lung base opacity appears more prominent. differential includes atelectasis vs. pulmonary vascular congestion. pneumonia could be considered in the appropriate clinical setting.
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compared to chest radiographs. severe bibasilar consolidation continues to increase, probably pneumonia, particularly aspiration, accompanied by increasing mild pulmonary edema. heart is moderately enlarged. small pleural effusions are likely. no pneumothorax. et tube in standard placement. nasogastric drainage tube pa...
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stable chest findings, thus no evidence of new acute parenchymal infiltrates in immunosuppressed patient with elevated white blood count.
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no acute cardiopulmonary abnormality.
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stable postoperative findings, no evidence of new acute chf or new infiltrates. no pneumothorax.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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ap chest compared to , : chin is down, but nevertheless the endotracheal tube is too low, cannulating the origin of the right main bronchus. it should be withdrawn <num> cm. upper enteric drainage tube is looped in the hypopharynx and ends at the gastroesophageal junction, also needing repositioning. moderate cardiomeg...
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no evidence of pneumonia or decompensated congestive heart failure. small left pleural effusion and mild atelectasis. chronic moderate cardiomegaly. small pericardial effusion.
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interval worsening of now moderate interstitial pulmonary edema. dobbhoff tube tip is demonstrated in the region of the pylorus and a post-pyloric position cannot be confirmed.
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no acute intrathoracic process identified.
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stable appearance of the chest.
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no evidence of acute cardiopulmonary abnormalities.
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mild pulmonary vascular congestion.
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the ng tube has been inserted terminating in the stomach. rest of the findings are unchanged and there is additional interval improvement in pulmonary edema. the swan-ganz catheter tip remains low deep in the right lower lobe pulmonary artery or already its segmental branches and should be pulled back at least <num> cm...
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no acute cardiopulmonary process.
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abnormalities of left third posterior and anterior rib, which could be due to acute or old injury. if warranted clinically, dedicated rib films could be considered. there is no visible pneumothorax.
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linear densities in the bilateral mid and lower lungs, most compatible with atelectasis or scarring.
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resolution of left pleural effusion. decreased right pleural effusion with a persistent but decreased loculated component. no radiographic evidence of pneumonia.
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low lung volumes and bibasilar atelectasis. no convincing evidence of pneumonia on this single projection. stable moderate cardiomegaly and pulmonary artery dilation.
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no acute intrathoracic process. the examination is unchanged since.