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MIMIC-CXR-JPG/2.0.0/files/p18345108/s50316804/db6495ba-b79765c3-13e660c9-275118b5-9a1427a2.jpg
no acute cardiopulmonary abnormality.
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no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13244322/s55689689/bd04dea7-df23ea12-a1c54f08-48496ed6-f75b8ff3.jpg
moderate cardiomegaly is stable. vascular congestion has resolved. residual opacities in the left lower lobe could be atelectasis or pneumonia in the appropriate clinical setting. there is no pneumothorax or large pleural effusions. enlargement of the main pulmonary artery is again noted.
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in comparison with the study of , allowing for difference in obliquity of the patient. there is little overall change. severe bilateral upper lobe consolidation is again seen with bilateral pleural effusions and compressive atelectasis at the bases. severe chronic cardiomegaly is again noted. monitoring and support
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no acute intrathoracic process.
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low bilateral lung volumes with mild pulmonary vascular congestion.
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three frontal views of the chest, all show the complete resolution of the previous moderate right pneumothorax, now with only a tiny apical component. pigtail pleural drain unchanged in position in the right lower chest anterolaterally. both lungs are clear. there is no appreciable pleural effusion, and the cardiomedia...
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no evidence pneumonia or volume overload. findings were relayed by dr to dr by phone at.
MIMIC-CXR-JPG/2.0.0/files/p10339704/s52650669/309831cd-ad612e50-b91883e5-27df1893-a58b2d12.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18502230/s59036807/f915f4b4-84b0eb8e-94e13c7c-ba7b6bd9-9239d10f.jpg
no evidence of acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14243948/s58895705/d5b5fff0-2d096c44-0836ded2-642ecb3a-3e2c47ca.jpg
left lower lobe opacity concerning for pneumonia. possible mild hilar congestion.
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no significant interval change when compared to the earlier study.
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no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14982705/s52971119/4f211ad5-5b6569dc-65543477-b456fda4-cfaed252.jpg
cardiomegaly with mild pulmonary vascular engorgement.
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small left pleural effusion is unchanged. small left apical pneumothorax.
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there is opacity at the right lung base, which is suspicious for pneumonia.
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in comparison to chest radiograph, cardiomegaly is accompanied by pulmonary vascular congestion and a new right perihilar opacity, likely due to asymmetrical edema, although aspiration and infectious pneumonia are additional considerations in the appropriate clinical settings. pre-existing bibasilar opacities have sli...
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no evidence of aspirated tooth or other acute cardiopulmonary process.
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compared to prior chest radiographs since , most recently. severe cardiomegaly is chronic. mediastinal veins were acutely distended and pulmonary edema, exaggerated by low lung volumes, had worsened between and. today lung volumes have improved, edema has decreased, but the severe cardiomegaly and mediastinal venous e...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15518947/s53861615/947d589c-848c9549-c40d217f-ed2b0740-c0f797b0.jpg
ap chest compared to : heart size top normal, decreased since prior studies. no pulmonary vascular congestion. no consolidation, appreciable atelectasis or evidence of airtrapping. mediastinal and hilar silhouettes and pleural surfaces are normal.
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compared to chest radiographs. over the past month there has been substantial involution of what was once a very widespread and very varied pulmonary abnormality. mass like lesion in the axillary region of the right upper lobe is now more like a scar, but medial to it is new consolidation which should be monitored to e...
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streaky linear curvilinear opacities at left lung base are very slightly more pronounced on today's exam, though no frank consolidation is seen. the possibility of an early infectious infiltrate cannot be entirely excluded. known rounded opacity in the right mid lung may be slightly smaller.
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no acute cardiopulmonary process.
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subtle perihilar opacity could represent an atypical pneumonia or airways inflammation. please correlate clinically. no lobar consolidation or convincing signs of chf.
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larger right pleural effusion, increased in size minimally since prior study dated. small left pleural effusion. patchy airspace opacities in the left lung field is predominantly perihilar. etiologies are broad and include infection, pulmonary edema, less likely pulmonary hemorrhage.
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<num>) hyperinflated lungs suggest emphysema. <num>) suspect fat pad accounting for vague opacity at right lung base -- please see comment above. if this corresponds to a site of symptoms, then follow-up radiographs to assess for any interval change would be recommended.
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no acute cardiopulmonary process. , md
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improved aeration at the bilateral lung bases with mild persistent atelectasis. small bilateral pleural effusions and evidence of elevated central venous pressure.
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in comparison with the earlier study of this date, there is probably little overall change in the small to moderate left apical pneumothorax. remainder of the study is unchanged.
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stable mild interstitial edema.
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chronic changes without definite acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease.
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an et tube terminates <num> cm above the carina, below the clavicular heads. otherwise no significant change.
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the patient has a calcific right fibrothorax, in which the lower lung was better aerated on than subsequently. this suggests difficulty clearing secretions. there is no pulmonary edema in the recently well aerated left lung, though there is a small left pleural effusion that developed since and the left pulmonary art...
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no acute cardiopulmonary process.
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vascular engorgement without frank pulmonary edema. bibasilar atelectasis persists aspiration
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in comparison with the study of , there is little overall change. again there is a tiny right apical pneumothorax, but otherwise little change.
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no acute cardiopulmonary abnormalities
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new right lower lobe atelectasis versus aspiration pneumonitis. diffuse vascular prominence, increase in interstitial markings and cardiomegaly likely reflects presence of associated pulmonary edema. widening of superior mediastinum with extrinsic compression over the distal trachea which is deviated to the left-side a...
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no acute intrathoracic process.
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no acute cardiopulmonary process - specifically, no radiographic evidence of pe is seen; if clinical concern for such persists, chest cta or v/q scan may be considered.
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no acute cardiopulmonary abnormality.
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no focal consolidation or pneumothorax. probable asthma.
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low lung volumes with bibasilar atelectasis and small right pleural effusion.
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on with the study of , there is residual moderate pneumothorax on the right that appears to be progressively decreasing. remainder the study is unchanged.
MIMIC-CXR-JPG/2.0.0/files/p17266039/s55773335/d0115bf0-0b41701e-6f78c6d5-28beee56-faecdc7b.jpg
interval improvement in lung volumes and degree of vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p13151205/s50511295/ee78bdbc-c9956933-ec8c6c0c-8af6af71-9ccb4c57.jpg
no acute cardiopulmonary abnormality.
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chf. an underlying infectious infiltrate can't be excluded.
MIMIC-CXR-JPG/2.0.0/files/p18891224/s58234844/246376bf-1564667d-5f120ee9-c4f90999-434b996f.jpg
no acute cardiopulmonary process.
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limited, negative.
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resolved right apical pneumothorax. no acute cardiopulmonary abnormality.
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no significant interval change.
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small bilateral pleural effusions are new since common the chest radiograph demonstrated moderate overinflation. there is no focal pulmonary abnormality in the heart is top-normal size, unchanged. right central venous infusion catheter ends in the low svc.
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faint residual retrocardiac opacity which has significantly improved since and could represent some residual atelectasis. clinical correlation suggested.
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silhouette sign of the left heart border and left basilar opacity may be due to aspiration, given the clinical setting.
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emphysema without superimposed pneumonia.
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no evidence of acute intrathoracic injury.
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rounded opacity projects over the right base, which is likely within pulmonary parenchyma. recommend ct of the chest for additional evaluation. bibasilar atelectasis.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. continued scoliosis of the thoracic spine convex to the right, but no acute pneumonia, vascular congestion, or pleural effusion. specifically, no evidence of prominence of interstitial lung markings.
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no focal consolidations concerning for pneumonia are identified. mild interstitial abnormality may be suggestive of a mild pulmonary edema.
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nasogastric tube below the diaphragm, in the stomach. persistant right basilar and retrocardiac atelectasis with possible left pleural effusion.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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compared to prior chest radiographs through at. left lower lobe collapse between and and is still airless. right middle lobe collapse between and venous partially re-expanded. most likely explanation is mucous retention, but ct scanning would be required for confirmation or other explanation. upper lungs are clea...
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no acute cardiopulmonary process.
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ap chest compared to : moderate cardiomegaly and mild interstitial edema are new accompanied by small left pleural effusion. dr was paged.
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no acute cardiopulmonary process.
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no signs of pneumonia.
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endotracheal tube and feeding tube have been removed. the right ij central line and the pacemaker are unchanged in position. lvad is seen on the edge of the image. there is enlargement of the cardiac silhouette but stable. there are low lung volumes with atelectasis at the lung bases. there is a left-sided pleural effu...
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no pneumonia.
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tip of the dobbhoff tube is in the body of the stomach.
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heart size is within normal limits. there are bilateral pleural effusions, left side worse than right. focal consolidation at the left base is difficult to exclude. the upper lung fields are clear. there are no pneumothoraces or signs for overt pulmonary edema.
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stable appearance of the chest without acute findings.
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no evidence of acute pneumonia. spinal stabilization devices and right jugular port-a-cath are unchanged.
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no evidence of acute cardiopulmonary process.
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multifocal pulmonary consolidations have at additionally progressed as compared to previous examination. it might represent progression of multifocal pneumonia but potentially and element of superimposed pulmonary edema cannot be excluded. cardiomediastinal silhouette is difficult to assess since obscured by the consol...
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in comparison with the study of , there is little change. again there are diffuse bilateral pulmonary opacifications, more prominent on the left, consistent with multifocal infectious process. left pleural effusion with compressive basilar atelectasis is again seen. there may be a small right pleural effusion. drainage...
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right post-pneumonectomy changes. persistent left lower lobe pneumonia and moderate effusion.
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no acute findings.
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no pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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in comparison with the study , there is worsening of the diffuse bilateral heterogeneous pulmonary opacifications, consistent with the recent diagnosis of organizing pneumonia with areas of bronchiectasis.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, all monitoring and support devices are in correct position and are unchanged. unchanged borderline size of the cardiac silhouette. unchanged extensive bilateral enlargement of the hilar structures. the lung parenchyma shows a subtle overall increase in radiodensity, combines to a...
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marked interval improvement in multifocal lung opacities. although a superimposed acute process in the right lower lobe is difficult to exclude, the latter is probably a more chronic appearance.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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compared to chest radiographs through. new opacification base of the left hemi thorax probably combination of consolidation, either atelectasis or pneumonia at new small left pleural effusion. cardiomediastinal silhouette and right hemi thorax are normal. no pneumothorax. esophageal drainage tube ends in the upper sto...
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decreased, now mild, elevation of the right hemidiaphragm.
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right pigtail catheter is in place. basal and to lesser extent staple pneumothorax appears to be increased as compared to previous study. rest of the findings are unchanged. right basal atelectasis is unchanged.
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comparison to. low lung volumes. moderate pulmonary edema. mild cardiomegaly and elongation of the descending aorta. no pleural effusions. no pneumonia. left retrocardiac atelectasis has slightly increased in severity.
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no acute cardiopulmonary pathology.
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no acute cardiopulmonary process. continued fullness of the right hilum could represent underlying lymphadenopathy or mass. ct can be performed for further characterization, if clinically indicated.
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no evidence of acute cardiopulmonary process.
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small right effusion. the possibility of a loculated hydro pneumothorax cannot be excluded, though the size is similar to the film from <num> day earlier. patchy opacity right cardiophrenic region. differential diagnosis includes a focus of aspiration early pneumonic infiltrate. minimal blunting of left costophrenic an...
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ng tube tip is in the stomach. heart size and mediastinum are stable. bibasal areas of atelectasis are moderate, similar to previous study. there is no pneumothorax.
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possible small bilateral effusions. left basilar linear opacities likely due to atelectasis given the low lung volumes noting that infection is not completely excluded.
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pulmonary vascular congestion accompanied by interstitial edema and small pleural effusions. patchy bibasilar opacities most likely represent atelectasis, but aspiration and developing pneumonia are additional considerations.