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MIMIC-CXR-JPG/2.0.0/files/p12739131/s57304480/8e2fd8f5-6792f5e1-365a7eaf-68e8bed0-4af73f1a.jpg
a moderately large region of left basal consolidation not appreciably changed since. there may be an accompanying small left pleural effusion. there is greater peribronchial opacification in the right lower lobe today. consideration should be given to aspiration pneumonia. upper lungs are hyperlucent, probably due to e...
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new left mid lung/left lung base opacity, suspicious for pneumonia. mild pulmonary vascular congestion.
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minimal right basal atelectasis and small right pleural effusion with no evidence of pneumothorax.
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extensive bilateral pleural plaques suggest prior asbestos exposure and partially obscure the lung fields making it difficult to accurately discern whether there is underlying new underlying opacities, though no definite new focal consolidation. blunting of the right costophrenic angle may be due to a small pleural eff...
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right greater than left small pleural effusions with adjacent atelectasis. in the appropriate clinical setting, superimposed infection would be difficult to exclude at the right lung base.
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no acute cardiopulmonary process.
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the right internal jugular large-bore catheter is unchanged in position. a dual-lead left-sided pacer remains in place. overall cardiac and mediastinal contours are stable status post median sternotomy for cabg. clips in the right upper quadrant consistent with prior cholecystectomy. lungs are unchanged in appearance w...
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no acute cardiopulmonary process.
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in comparison with the study of , the monitoring and support devices are stable. the roux right subclavian picc line again extends well into the right atrium. continued blunting of the costophrenic angles consistent with pleural effusions, more prominent on the right, with compressive atelectasis. cardiac silhouette is...
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pacemaker seen projecting over the left chest with a wire appropriately placed in the right atrium. other than the pacemaker, no radiopaque metallic foreign object is identified. no acute cardiopulmonary process.
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clear lungs.
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no evidence of pneumonia.
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et tube is in standard position. cardiomegaly cannot be assessed. widening mediastinum is stable. vascular congestion is mild. bibasilar opacities are a combination of pleural effusions and large areas of atelectasis, superimposed infection cannot be excluded. there is no pneumothorax. chronic deformity of the left che...
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in comparison with the study of , there is further clearing of the left basilar atelectasis. the left hemidiaphragm is much clearer than on the previous study. otherwise little change.
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possible right hilar mass. recommend ct scan for further evaluation. bibasilar pleural effusions and consolidation concerning for atelectasis or pneumonia.
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no evidence of acute pneumonic infiltrate in a -year-old male patient with cough.
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ap chest compared to : greater caliber to mediastinal veins, hila, and lung vessels suggest volume overload, but i do not see pulmonary edema or pneumonia. chest ct scanning is much more sensitive in detecting early infection. heart size normal. no pneumothorax or appreciable pleural effusion. right subclavian line end...
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status post placement of a right pleural pigtail catheter with interval improvement in the right pneumothorax. persistent tiny right lateral pneumothorax with a possibly loculated component at the right apex. unchanged background pulmonary fibrosis.
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central pulmonary vascular engorgement with possible minimal interstitial edema and moderate layering bilateral pleural effusions. there is leftward mediastinal shift either caused by right sided effusion or left lower lobe collapse/infection. lateral view would be helpful for characterization.
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in comparison with study of , the right ij catheter is been removed. no evidence of acute pneumonia, vascular congestion, or pleural effusion. there is medial displacement of the gastric air bubble, consistent with the splenic enlargement described on the ct study of.
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slight improved aeration bilaterally.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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no significant interval change. stable numerous bilateral pulmonary metastases and left upper lobe collapse.
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no acute findings in the chest.
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no acute cardiopulmonary process.
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no relevant change as compared to the previous image. extensive right pleural effusion. subsequent areas of atelectasis at the right lung base. minimal left basilar atelectasis. otherwise normal left lung. the bilateral central access lines are constant. mild cardiomegaly without pulmonary edema.
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no acute cardiopulmonary abnormality.
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compared to prior radiograph of , pulmonary vascular congestion and minimal interstitial edema are new, as well as small bilateral pleural effusions. patchy right basilar opacity could reflect patchy atelectasis, aspiration, or potentially a developing pneumonia. short-term followup radiographs may be helpful in this r...
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right biapical pleural thickening. streaky opacity in the right upper lung is felt to most likely be chronic possibly due to scarring. however, in the appropriate clinical setting, infectious process cannot be excluded. no priors for comparison. consider ap lordotic view for further evaluation or comparison with any pr...
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mediastinal and hilar adenopathy with parenchymal nodular densities. there is no definite change in the degree of adenopathy from chest radiograph. for assessment of subtle changes in adenopathy, chest ct is recommended.
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no acute cardiopulmonary abnormality.
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small left pleural effusion stable. lungs grossly clear. heart size normal. extensive blastic metastasis throughout the chest cage.
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ap chest compared to : cardiac decompensation developed between and at reflected in mediastinal venous engorgement and small right pleural effusion and increase in size of still normal size heart. subsequently, a small-to-moderate bilateral pleural effusions have increased slightly, there is now pulmonary vascular ...
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comparison to. status post right pneumonectomy. the left lung is normal. no evidence of pneumonia, pulmonary edema or pleural effusions. the left heart border is unremarkable.
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interstitial edema without superimposed consolidation.
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no acute cardiopulmonary process. two calcific densities projecting over the lungs, <num> at the right lung apex and <num> over the left mid lung suggestive of calcified granulomas in the setting of prior granulomatous disease.
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prominent reticulo-nodular opacities bilaterally, which may represent edema, infection, or a neoplastic process. clinical correlation is advised.
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large hiatal hernia, otherwise unremarkable.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. no radiopaque foreign bodies are visualized.
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no acute cardiopulmonary process.
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in comparison with the study of , there again are low lung volumes. continued enlargement of the cardiac silhouette with elevated pulmonary venous pressure and layering pleural effusions with compressive atelectasis at the bases. in view of all of these changes, it is difficult to assess for possible superimposed pneum...
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no acute cardiopulmonary process.
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no acute intrathoracic process. right lower lobe pulmonary nodule is similar to prior.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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compared to chest radiographs since , most recently. previous mild pulmonary edema has resolved. no evidence of pneumonia. severe cardiomegaly persists. fullness in the right lower paratracheal station of the mediastinum is probably due to a chronically distended azygos vein, demonstrated by chest cta on there is no p...
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right picc with tip in proximal right atrium and could be retracted <num> cm to place in the low svc. possible small right pleural effusion.
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retrocardiac opacity only seen on lateral view is most likely due to overlapping shadows and atelectasis however differential includes pneumonia in the appropriate clinical setting. no pneumothorax or widened mediastinum.
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no evidence for acute cardiopulmonary process.
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no pneumothorax. chronic changes. subtle opacity projecting over the anterior right first rib likely relates to the rib, however, this can be confirmed with apical lordotic view of the chest.
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no acute intrathoracic process.
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several acute appearing left posterior rib fractures involving ribs <num>, <num>, <num>, <num> and no pneumothorax or pleural effusion. mild bibasilar atelectasis.
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no acute intrathoracic abnormality. no air is identified under the right hemidiaphragm.
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as compared to the previous radiograph, the patient has been extubated. the other monitoring and support devices are in constant position. unchanged moderate cardiomegaly without pleural effusions or pulmonary edema. no pneumothorax.
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heart size is enlarged, unchanged. mediastinum is stable. port-a-cath catheter tip is at the level of superior to mid svc. no new consolidations or masses to suggest interval development of infectious process demonstrated. chronic changes in the right lung with subsequent partial volume loss are unchanged
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within normal limits. no evidence of pneumothorax or pneumomediastinum.
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mild cardiomegaly. no focal opacity concerning for pneumonia.
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grossly stable to slightly progressed extensive fibrotic changes bilaterally, in keeping with reported history of sarcoidosis. no definite focal consolidation to suggest pneumonia given the above findings.
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interval progression of bibasal consolidations.
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interval increase in the bilateral pleural effusions.
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mild cardiomegaly. no evidence of pneumonia.
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in comparison with the study of , the monitoring and support devices are essentially unchanged. again there are bilateral layering effusions with substantial volume loss in the left lower lobe. little if any vascular congestion, though continued enlargement of the cardiac silhouette. in view of the extensive pulmonary ...
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in comparison with the study of , the patient has taken a better inspiration. the cardiac silhouette is mildly enlarged, but there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. mild elevation of the right hemidiaphragmatic contour persist.
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multifocal pneumonia. recommend followup to resolution to exclude underlying lesion.
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normal chest radiograph.
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increased reticular markings in the right lung base, which may be projectional due to difference in patient rotation.
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no acute cardiopulmonary abnormality.
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no evidence of pneumonia. incidental note is made of multiple air-fluid levels in the upper abdomen, which is a nonspecific finding. recommend correlation with abdominal pain.
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normal chest.
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as compared to the previous radiograph, the patient has received an intra-aortic balloon pump. the tip of the pump projects approximately <num> cm be low the upper most portions of the aortic arch. no evidence of complications. the patient has also been intubated. the tip of the endotracheal tube projects approximately...
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in comparison with the study of , there is extensive opacification in the in the right hemithorax with a small amount of aerated lung. this is consistent with collapse of most of the right lungs secondary to a mucus plug. the left lung is clear. the abnormal appearance of the right lung was telephoned to the referring ...
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hyperinflated lungs without evidence for acute change. mild thoracic compression fractures, as seen previously.
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bibasilar atelectasis. otherwise, unremarkable.
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as compared to the previous radiograph, no relevant change is seen. the lung volumes are low. small bilateral pleural effusions with subsequent areas of atelectasis. mild cardiomegaly. no pneumothorax, no pulmonary edema.
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the patient was extubated in the meantime interval was removal of the dobhoff tube. central axis most likely through the right femoral vein is demonstrated with its tip terminating in the right atrium. vascular stent, most likely in the right brachycephalic vein and svc is present. cardiomediastinal silhouette is stabl...
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no evidence of acute disease. mildly prominent central pulmonary arteries although without change.
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mild pulmonary edema, slightly worse in the interval with slight interval increase in size of moderate right pleural effusion which is partially loculated laterally. relatively unchanged small left pleural effusion. bibasilar atelectasis.
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no focal consolidation concerning for pneumonia.
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increased cardiomegaly with mild engorgement of pulmonary vessels and basilar atelectasis and trace pleural effusion. findings may represent early failure.
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small right pleural effusion with unchanged chest tube position. note is also made of an inferior median sternotomy wire fracture with changed sternotomy wire alignment since , bringing into consideration instability of the sternum. correlation with radiographs between and may be helpful, if available.
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no acute cardiopulmonary process. no displaced rib fracture seen, however, dedicated rib series or ct are more sensitive.
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normal chest radiograph without evidence of pleural effusions.
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no evidence of pneumothorax or acute cardiopulmonary process.
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right lower lobe opacity persists, but is markedly improved from the prior exam. this could represent a persistent focal area of infection in the appropriate clinical setting. right hilar prominence is again demonstrated but unchanged from the prior examination.
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no acute cardiopulmonary abnormality.
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bilateral interstitial opacities are re- demonstrated, which may be due to underlying chronic lung disease, asymmetric pulmonary edema, infectious process not excluded in the appropriate clinical setting. as mentioned on the prior chest radiograph, nonurgent chest ct may be helpful to ed evaluate for interstitial lung ...
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as compared to the previous radiograph, the pre-existing small bilateral pleural effusions are constant. slightly increased in extent and severity is the known platelike atelectasis at the right lung bases. the patient currently displays signs of minimal fluid overload. the diameter of the cardiac silhouette is at the ...
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compared to prior chest radiographs through at. moderate pulmonary edema has worsened. severe cardiomegaly is larger. mediastinal veins remain severely dilated. pleural effusions are presumed, at least moderate. no pneumothorax. et tube in standard placement. right jugular line ends in the low right atrium. esophagea...
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allowing for patient rotation, there has not been an appreciable change in the appearance of the chest since the recent radiograph of <num> days earlier.
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perihilar and bibasilar opacities are most suggestive of pulmonary edema in the setting of pulmonary vascular congestion and pleural effusions. however, followup radiographs after diuresis may be helpful to ensure resolution and to exclude coexisting pneumonia at the right lung base.
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no acute cardiopulmonary process.
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previous mild pulmonary edema has cleared but severe bibasilar atelectasis persists. moderate cardiomegaly is chronic. et tube in standard placement. nasogastric tube passes into the stomach and out of view. right pic line ends in the low svc. pleural effusions are presumed, but not large. no pneumothorax.
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no evidence of acute cardiopulmonary process.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no evidence of acute disease.
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no acute intrathoracic abnormality.
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in comparison with the study of , there is little overall change. monitoring and support devices remain in place. continued enlargement of the cardiac silhouette with bilateral effusions and substantial volume loss in the left lower lobe. suggestion of areas pneumomediastinum, presumably related to previous esophageal ...