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MIMIC-CXR-JPG/2.0.0/files/p17370807/s59311619/d7bc3924-81fc4f4f-23ecd4cc-f28d24d4-bbdbb8af.jpg
compared to prior chest radiographs through one. severe consolidation and volume loss in the right lung has worsened since. an indeterminate volume of right pleural effusion, at least moderate, has not decreased. subcutaneous emphysema in the right chest wall and perhaps in the right pleural space has decreased. the r...
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small bilateral pneumothoraces
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new retrocardiac density which is likely atelectasis given patient's clinical improvement without therapy as discussed with dr by over the telephone on at.
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comparison to. no relevant change. normal lung volumes. normal size of the cardiac silhouette. no pleural effusions. no pneumonia, no pulmonary edema. the known hamartoma in the left lung shows an unchanged diameter of <num> cm.
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new cardiomegaly with central pulmonary vascular congestion and small bilateral pleural effusions.
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normal. no evidence of pneumonia.
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no acute cardiopulmonary process.
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right internal jugular venous catheter terminates in mid svc. moderate left pleural effusion.
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findings most consistent with pneumonia. short-term followup radiographs are suggested as well as correlation with clinical presentation.
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normal.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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ap chest compared to : moderate right pleural effusion has increased, and could obscure substantial abnormality in the right lower lobe, including collapse or pneumonia. the right hilus appears enlarged. nasogastric tube ends in the stomach. tip of the endotracheal tube is partially obscured, probably <num> cm above th...
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no acute cardiopulmonary process.
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no pneumothorax following recent bronchoscopic procedure. worsening right upper lobe opacity could be related to lavage fluid and or hemorrhage. short-term followup radiographs would be helpful to assess for resolution.
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focal patchy opacity in the mid portion of the left lung that may represent pneumonia.
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persistent low lung volumes with slight interval decrease in the left lower lobe opacity that is most likely atelectasis. no evidence of fracture but this exam is not dedicated for imaging of the ribs. there is clinical concern for fracture, dedicated radiograph should be obtained. recommendation(s): dedicated rib radi...
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comparison to. no relevant change. mild increase in extent of the right basilar atelectasis. increasing atelectasis on the left. stable position of the monitoring and support devices. no pneumothorax. no larger pleural effusions.
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the apparent volume of previously large right pleural effusion has decreased. heart size is normal. equalization of pulmonary blood flow can be explained by supine positioning. bibasilar atelectasis is relatively mild. although no acute fracture or other chest wall lesion is seen, conventional chest radiographs are not...
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no acute cardiopulmonary process.
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cardiomegaly with vascular congestion and small bilateral pleural effusions.
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no acute intrathoracic process.
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as compared to the previous radiograph, no relevant change is seen. the monitoring and support devices are constant. low lung volumes. moderate cardiomegaly. mild pulmonary edema. bilateral mild to moderate pleural effusions with subsequent areas of atelectasis at the lung bases.
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no acute cardiopulmonary radiographic abnormality.
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there has been interval marked decrease in small left pleural effusion and adjacent atelectasis. there is no evident pneumothorax. no other interval change from prior study.
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chronic changes without definite acute cardiopulmonary process.
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no focal pneumonia. top-normal heart size.
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pa and lateral chest compared to through. moderate enlargement of the cardiac silhouette and moderate right pleural effusion have both increased since. pulmonary vascular congestion has remained stable and there is no pulmonary edema or left pleural effusion. change in size of the cardiac silhouette could be due to pr...
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no acute cardiopulmonary process.
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no acute findings in the chest.
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moderate-to-large right-sided pleural effusion with adjacent atelectasis, although underlying consolidation/infection is not excluded.
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airspace abnormality posteriorly on the lateral view, suspect pneumonia. if desired, this could be confirmed with oblique views. right chest mediport with its tip in the right atrium. osseous metastatic disease. findings were called to dr at pm on.
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no acute intrathoracic process.
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status post esophageal stent placement with no evidence of immediate complications such as pneumomediastinum or pneumothorax. cavitary right apical lung nodule has grown since , and may represent a primary lung neoplasm or metastatic disease. small left pleural effusion with adjacent left basilar atelectasis.
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no acute cardiopulmonary process.
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persistent right middle lobe opacity suggestive of atelectasis with similar configuration. no new consolidation. given the persistent volume loss, ct scan should be considered to look for obstructing lesion in the airway.
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no acute cardiopulmonary process.
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there to chest radiographs through. previous severe pulmonary edema has almost cleared. moderate right pleural effusion remains. opacification in the left lower lobe which developed between and is probably atelectasis and there is a small accompanying left pleural effusion. heart size is normal. no pneumothorax. car...
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no free air under the diaphragm. vague density within the right low lung could be better evaluated with a repeat pa and lateral study if desired. findings discussed with dr by dr at on by telephone at the time of discovery.
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no acute intrathoracic process.
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increased size of a right apical pneumothorax measuring <num> cm. no definite evidence of tension. unchanged, severe pneumomediastinum and diffuse subcutaneous emphysema. left basilar atelectasis versus consolidation. right middle lobe collapse. small right pleural effusion. findings were conveyed by dr to dr teleph...
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interval slight increase in size of small right pneumothorax without evidence of left-sided pneumothorax. left greater than right small effusions and atelectasis persist. findings were discussed with of cardiac surgery by dr at on.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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pa and lateral chest compared to : lungs are fully expanded and clear. the heart is normal size and there is no pleural abnormality. right hemidiaphragm is as before, elevated anteriorly with a nodular configuration which could reflect hepatic or right upper quadrant pathology below. there has been a relatively constan...
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in comparison with the study of , patient has taken a better inspiration. cardiac silhouette is within upper limits of normal in size. there may be mild indistinctness of pulmonary vessels, raising the possibility of mild elevation in pulmonary venous pressure. no evidence of pleural effusion or acute focal pneumonia. ...
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bibasilar atelectasis. doubt but cannot entirely exclude early pneumonic infiltrates. small effusions noted posteriorly. air beneath right hemidiaphragm consistent with recent abdominal surgery.
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compared to chest radiographs through at. large right pleural effusion and severe left lower lobe atelectasis, both improved slightly. moderate left pleural effusion increased. mild enlargement cardiac silhouette unchanged. no pneumothorax. right supraclavicular transjugular dialysis catheter ends close to the superi...
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no evidence of pulmonary nodules or malignancy.
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right ij central venous catheter has been pulled back to the confluence of the right subclavian and right internal jugular veins. worsened bibasilar opacities could reflect atelectasis or aspiration. small bilateral pleural effusions are unchanged.
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no previous images. the heart is normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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as compared to the previous radiograph, no relevant change is seen. tracheostomy tube and left picc line are in constant position. unchanged extent and severity of the bilateral pleural effusions and of the signs indicative of moderate pulmonary edema. no new parenchymal opacities. unchanged appearance of the cardiac s...
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no new focal opacity concerning for pneumonia.
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no acute intrathoracic abnormality.
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no acute cardiopulmonary process.
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in comparison with the study of , the left ij catheter is been removed. otherwise, little overall change. again there is some elevation of pulmonary venous pressure with bilateral effusions and compressive basilar atelectasis, more prominent on the right.
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ap chest compared to through : opacification in the left hemithorax has improved, but it is difficult to say whether this is due to a decrease in the generalized infiltrative abnormality or decrease of moderate left pleural effusion. nevertheless, there is still widespread pulmonary abnormality, which could be explain...
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mild pulmonary vascular congestion.
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ap chest compared to : a new esophagus is still severely distended with air. the upper abdomen shows severe generalized intestinal distention. there is no appreciable right pneumothorax or pleural effusion, pleural and soft tissue drains in place. moderate-to-severe right basal atelectasis is unchanged. left lung gross...
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no relevant change. low lung volumes. moderate cardiomegaly, mild pulmonary edema. moderate right pleural effusion with subsequent bilateral areas of atelectasis. no pneumonia.
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as compared to the previous radiograph, no relevant change is seen. moderate scoliosis, low lung volumes. moderate cardiomegaly with enlargement of the left ventricle. small to moderate right pleural effusion with subsequent atelectasis. no pneumonia, no pulmonary edema.
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in comparison with the earlier study of this date, there has been a left thoracentesis with removal of a substantial amount of pleural fluid. there is no evidence of post -procedure pneumothorax. the remainder the study is essentially unchanged except for removal of the nasogastric tube.
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compared to chest radiographs since most recently at. mild pulmonary edema is improving moderate enlargement of cardiac silhouette developed since and has worsened since earlier in the day, subsequently stable. bibasilar consolidation, severe on the left moderately severe on the right, has developed since and worse...
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limited study due to patient rotation in patient's chin overlying the medial lung apices. given this, small right pleural effusion. mild to moderate interstitial edema. right upper to mid lung opacity is not well assessed, but could be due to consolidation due to pneumonia.
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increase in right pleural effusion, now moderate, with underlying atelectasis. mild pulmonary edema. repeat chest radiograph after resolution of right pleural effusion is recommended to reassess the lungs and mediastinum.
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although a new right middle lobe opacity appears somewhat linear on the lateral view thereby suggesting atelectasis, the patchy ill-defined appearance on the frontal view is non-specific, and pneumonia should be considered in this immunocompromised patient. trace right pleural effusion.
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no radiographic evidence of rib fracture.
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in comparison with the study of , the right middle lobe process has cleared. no evidence of cardiomegaly, vascular congestion, pleural effusion, or acute focal pneumonia.
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no focal pneumonia. apparent interval resolution of the right middle lobe pneumonia. unchanged right tracheal deviation at the level of thoracic inlet, likely secondary to the enlarged left thyroid lobe and calcified nodule identified on the recent thyroid ultrasound from.
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ap chest compared to : small volume of residual left pleural effusion has not increased since , one left pleural drain still in place in the left lower chest. mild-to-moderate degree of left basilar atelectasis is stable. the right lung is clear. the heart size is normal.
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in comparison with the study of , the cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. the picc line is been removed.
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ap chest compared to : mediastinal vascular engorgement is more pronounced, and there may be very early interstitial edema. moderate cardiomegaly is exaggerated by ap positioning and low lung volumes. pleural effusions are small if any. no pneumothorax. no pneumonia. deflection of the trachea is due to imaging at relat...
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blunting of the left costophrenic angle may be due to a combination of atelectasis and effusion. no focal consolidation worrisome for infection.
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no acute cardiopulmonary process.
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no significant interval change as compared to.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary abnormality. probable emphysema.
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comparison to. no relevant change is noted. minimal decrease in extent and severity of a platelike atelectasis on the right. no pulmonary edema. no pleural effusions. no pneumothorax.
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minimal pulmonary vascular congestion, without overt pulmonary edema.
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ap chest compared to at : in addition to the mass-like consolidation in the right lower lung, there is a progressive pulmonary vascular engorgement and mediastinal widening suggesting a component of heart failure. chest ct on showed very severe lymphomatous infiltration of both lungs contiguous with central adenopath...
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no acute pulmonary process.
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persistent focal opacities in the right lung base and left mid lung consistent with multi focal pneumonia. small bilateral pleural effusions.
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compared to chest radiographs through at. feeding tube is been removed. et tube in standard placement. elevation left lung base is primarily due to high left hemidiaphragm. there may also be small left pleural effusion. moderate cardiomegaly is chronic. et tube in standard placement. right jugular line ends in the lo...
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no acute abnormalities identified.
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as compared to the previous radiograph, the patient is now rotated. the left picc line is in unchanged position. there is moderate cardiomegaly. the radiographic signs of new more mediastinum and pneumoperitoneum are less obvious than on the previous image but this seems to be any increasing interstitial pattern, likel...
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heart size is normal. aorta is tortuous post ascending and descending. lungs are essentially clear. there is no pleural effusion or pneumothorax.
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overall unchanged appearance of the chest without focal opacities.
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a <num>-cm mass of the right lower lobe as well as a second soft tissue density measuring at least <num> cm in the right upper lobe. recommend obtaining old images to document stability. if these are not available, then additional imaging such as ct scan should be performed for further evaluation. cardiomegaly with bil...
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left lower lobe opacity, concerning for pneumonia. adjacent small pleural effusion.
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new slight thickening of the left paravertebral stripe at the level of a previously identified mild t<num> vertebral body compression deformity raises concern for increasing paravertebral hematoma. dedicated cross-sectional imaging is advised. lines and tubes in appropriate position. clear lungs.
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normal chest radiograph.
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ap chest compared to : lung volumes are lower after tracheal extubation which may explain to some extent the apparent increase in moderately severe pulmonary edema, but this does suggest cardiac decompensation or volume overload. small bilateral pleural effusions are presumed. post-operative cardiac silhouette is sligh...
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no evidence of acute cardiopulmonary process.
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focal increased opacity in the left retrocardiac region which may represent an early pneumonia in the proper clinical setting.
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comparison to. no relevant change. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema, no pleural effusions.
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no acute cardiopulmonary process.
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in comparison to chest radiograph, pulmonary vascular congestion has improved and bilateral pleural effusions have apparently decreased in size, although positional differences limit comparison. adjacent bibasilar atelectasis or consolidation persists.