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MIMIC-CXR-JPG/2.0.0/files/p10565438/s51933511/b18d80ae-7d2ed75d-74b1f2aa-f7d275d3-4949a072.jpg
no acute cardiopulmonary process.
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normal. no evidence of pneumonia or pneumothorax.
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comparison to. decrease in severity of the pre-existing pulmonary edema. the lung volumes have increased, likely reflecting improved ventilation. stable borderline size of the cardiac silhouette. stable bilateral pleural effusions.
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normal chest radiograph without evidence of intrathoracic malignancy or infection.
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no acute cardiopulmonary process.
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left lower lobe opacity appears decreased and suggestive of resolving pneumonia. no new consolidations are identified.
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no acute cardiopulmonary process.
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mild pulmonary vascular congestion with small bilateral pleural effusions, right greater than left. radiation fibrosis in the right upper lobe and right perihilar region and chronic consolidative opacity in the right lower lobe. streaky left basilar opacity may reflect atelectasis though infection cannot be completely ...
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previously noted small right apical pneumothorax is not clearly seen on the current exam and likely has resolved. patchy right basilar opacity corresponding to the known right lower lobe lesion is better assessed on the previous ct.
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left picc line tip is at the level of mid svc. cardiomegaly and mediastinum are unchanged. right basal opacity has slightly progressed. left retrocardiac atelectasis is unchanged. upper zone re- distribution of the vasculature is unchanged
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no acute intrathoracic abnormality.
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no acute intrathoracic process. stable cardiomegaly
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slight increase in right basilar atelectasis. no pneumothorax.
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no acute intrathoracic abnormality.
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no acute cardiopulmonary process.
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over last <num> hours, right lower lobe collapse is unchanged. any contribution from middle lobe collapse is indeterminate. mild pulmonary vascular and mediastinal congestion, moderately enlarged heart and presumed small bilateral pleural effusions are unchanged.
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left base atelectasis with possible consolidation overlying, which could be due to pneumonia. recommend followup to resolution.
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atrial biventricular pacer leads follow their expected courses, continuous from the left pectoral generator. there is no pneumothorax pleural effusion or mediastinal widening. lungs are clear and the heart size is normal.
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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pneumonia, no pulmonary edema, no pleural effusion. no pneumothorax.
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no acute cardiopulmonary abnormality.
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moderate cardiomegaly with mild pulmonary vascular congestion.
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left apical nodular density of unclear significance; correlation with prior imaging would be helpful.
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no acute cardiopulmonary process.
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ap and lateral chest. normal heart, lungs, hila, mediastinum, and pleural surfaces. no pneumonia.
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no acute intrathoracic process.
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intact left clavicle without fracture. no pneumothorax. no acute cardiopulmonary process.
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in comparison with the study of , cardiac silhouette remains mildly enlarged with possible mild elevation of pulmonary venous pressure. small bilateral pleural effusions but no acute focal pneumonia. port-a-cath extends to the mid portion of the svc. of incidental note is dish in the thoracic spine.
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no radiographic evidence of pneumonia.
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the heart size is within normal limits. the mediastinal contours demonstrate again the trachea takes a tortuous course, although no mass is seen on prior ct to account for that deviation. instead deviation is likely result of severe fibrosis at the right apex. fibrosis is also seen at the bases bilaterally. small bilat...
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as compared to the previous radiograph, the position of the right pigtail catheter is unchanged. however, on today's image, an approximately <num> cm right apical lateral pneumothorax has newly appeared. there is no evidence of tension. unchanged appearance of the known right paramediastinal masses and a bronchial sten...
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compared to chest radiographs since , most recently and. severe pulmonary fibrosis, more pronounced in the left lung, not appreciably changed since. there are no findings of acute pneumonia, separable from the severe distortion by pulmonary fibrosis. heart size is normal. no pleural effusion.
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no acute intrathoracic process. normal chest radiograph.
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cardiac congestion and bilateral pulmonary edema with possible overlying infectious processes. referring physician,. was paged at the time of reporting at <num>:
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limited exam without definite acute cardiopulmonary process.
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compared to chest radiographs since most recently at. severe cardiomegaly is worse. no pulmonary edema or appreciable retained pleural effusion is present. no pneumothorax. cardiopulmonary support devices in standard placements.
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no acute cardiopulmonary process.
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very small right pleural effusion, new since , is stable since. small regions of the platelike atelectasis or scarring are present in both lower lungs. there is no pneumonia pulmonary edema. heart size is normal. hilar and mediastinal contours are unremarkable
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likely chronic lobar collapse, alternatively pneumonia. continued follow-up is advised. stable emphysema. resolved pulmonary edema. recommendation(s): <num> month chest x-ray follow-up is recommended to assess for clearance of left lower lobe consolidation/collapse. if there is no substantial clearance at that time, ct...
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no acute cardiopulmonary process. no rib fractures identified. if clinically warranted, dedicated rib films can be obtained with radiopaque markers indicating site of concern.
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no acute cardiopulmonary abnormality.
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no definite acute process.
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moderately severe pulmonary edema accompanied by moderate right pleural effusion was at its worst on. edema has minimally improved today. also of interest is a greater opacification at both lung bases, usually atelectasis on the left but worth evaluating as possible pneumonia on the right. the postoperative appearance ...
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no acute findings. top-normal heart size.
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no acute findings in the chest.
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no acute chest pathology.
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no evidence of pneumonia. pathologic fracture of the sternum appears more prominent which may be related to low lung volumes. this can be assessed clinically for stability.
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increased interstitial markings likely represent mild interstitial edema or atypical infection. bibasilar scarring or atelectasis is similar to prior study.
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no acute cardiopulmonary process. stable cardiomegaly.
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in unchanged manner, postoperative changes in the right breast cause an increase in density of the right lung base on the frontal radiograph. the current image shows no evidence of pneumonia, pulmonary edema or pleural effusions. borderline size of the cardiac silhouette. mild elongation of the descending aorta. no vis...
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small suspected right pleural effusion versus scarring, but including a small rounded posterior density, atelectasis versus infection. follow-up radiographs are recommended to show resolution and exclude a developing mass, although less likely. recommendation discussed with dr on.
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persistent cardiomegaly. slight blunting of the bilateral posterior costophrenic angles can be seen with trace pleural effusions or atelectasis.
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ap chest compared to through : residual mild pulmonary edema and multifocal cavitary septic emboli are unchanged since preceding day. small to moderate bilateral pleural effusion is stable. heart size is indeterminate, but probably not very large. et tube in standard placement. nasogastric tube ends in the distal stom...
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no acute cardiopulmonary abnormality.
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small right pleural effusion is unchanged. left lower lobe is collapse. there is a small right pneumothorax. right basal pigtail catheter remains in place. right lower lobe opacities have increased consistent with increasing atelectasis. component of re-expansion pulmonary edema in the right base is unchanged. left pic...
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heart size and mediastinum are unremarkable. lungs are clear. there is right apical pneumothorax associated with subcutaneous air within the right chest wall. rib fractures are also noted. the extent of the pneumothorax appears to be similar to previous examination.
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no acute cardiopulmonary process. no definite free air beneath the right hemidiaphragm. to exclude free air under the right hemidiaphragm a true upright radiograph or ct could be performed. area of increased opacification projecting over the anterior left first rib may represent degenerative change, however a pulmonary...
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no acute cardiopulmonary process.
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the patient is intubated. the tip of the endotracheal tube projects <num> cm above the carinal. the patient also has a nasogastric tube that is in correct position. finally, a left internal jugular vein catheter is visualized, the tip projects over the mid low svc. the lung volumes are low. there is a postoperative rib...
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no acute cardiopulmonary process
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new large pleural effusion. worsened moderate to severe enlargement of cardiomediastinal silhouette is worrisome for pericardial effusion. no pulmonary edema or pneumonia.
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blunting of the costophrenic angle posteriorly on the left suggesting a trace pleural effusion. no pneumonia.
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right chest tube is in place. heart size and mediastinum are stable. there is minimal left apical pneumothorax, slightly more conspicuous than on the prior study. right basal atelectasis is mild, overall unchanged. there is no increase in pleural effusion or development of pulmonary edema.
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no acute cardiac or pulmonary findings. no evidence of pneumoperitoneum.
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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 acute intrathoracic process.
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normal chest radiograph. the consolidation seen on the prior examination has resolved.
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no acute cardiopulmonary process. known left hilar mass is better assessed on prior chest cta examination.
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cardiomegaly as before. comparison suggests some increase in pulmonary congestion and now bilateral small amounts of pleural effusion in this patient with evidence of chronic chf. followup chest examination with shorter examination interval all may be helpful to monitor appropriate dehydration therapy.
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no acute cardiopulmonary process.
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increased right pleural effusion which is large in extent. associated right basilar atelectasis. probable mild pulmonary vascular congestion and minimal left basilar atelectasis. new lucency overlying the right upper quadrant, adjacent to an abdominal drain. clinical correlation is recommended.
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there is new right basal opacity, concerning for aspiration with subsequent atelectasis. left retrocardiac opacity is present, and concerning for consolidation as well. upper lungs are clear. there is moderate pleural effusion. there is no pneumothorax.
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no acute pneumonia.
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mild bibasilar atelectasis. mild cardiomegaly with mild pulmonary vascular congestion.
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no significant interval change.
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no acute cardiopulmonary process. no evidence of infiltrate.
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in comparison with the study of , the patient has taken a much better inspiration. cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. there is mild degenerative change in the thoracic spine, but no evidence of compression fracture.
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no evidence of acute cardiopulmonary disease.
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no acute findings. if there is strong clinical concern for rib fracture, dedicated rib series is advised.
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there is an endotracheal tube whose tip is <num> cm above the carina. there is a left ij central line with the distal lead tip in the mid svc. the right ij catheter has been removed. there is cardiomegaly. there are large bilateral pleural effusions and pulmonary edema, stable.
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no acute intrathoracic process. no pneumonia.
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pa and lateral chest compared to there is some broncho vascular crowding in the left infrahilar region, but i see no consolidation. if symptoms persist, then ct scanning would be appropriate, but if the patient is asymptomatic, i do not believe that additional imaging is warranted at this time. the lungs are otherwise...
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no acute cardiopulmonary process.
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compared to chest radiographs since most recently. mild interstitial pulmonary edema is new. moderate cardiomegaly and mediastinal vascular engorgement are unchanged. no appreciable pleural effusion. no pneumothorax. no focal findings to suggest pneumonia.
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pa and lateral chest compared to : moderate cardiomegaly has increased, but there is no pulmonary edema or pleural effusion. appearance of the right aortic arch is unchanged from the previous examination, but on both studies, there is suggestion of a moderate degree of impingement on the trachea from behind. i would re...
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consolidation at the lung bases could represent aspiration or pneumonia in the appropriate clinical setting. compression deformities of multiple mid thoracic vertebral bodies are unchanged from.
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bilateral pleural effusions with obscuration of the left hemidiaphragm most most typical of atelectasis.
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as compared to the previous image, there is a substantial improvement in extent and severity of the pre-existing consolidation and opacities on the right. on the left, a pre-existing opacities have minimally improved. the monitoring and support devices are constant. constant moderate cardiomegaly.
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et tube tip <num> cm above the carina, which may be related to position of the head and neck. enteric tube retracted with the tip in the proximal stomach. otherwise, similar appearance of the chest.
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no acute cardiopulmonary process.
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heart size and mediastinum are stable. multifocal consolidations and vascular congestion are moderate, unchanged associated with bilateral pleural effusion. no pneumothorax.
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no acute intrathoracic process. small focal opacity projects over the lateral right lower hemithorax. shallow obliques off the frontal view are recommended for further evaluation. findings and recommendations discussed with dr (covering for dr , by phone at :pm.
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no pneumothorax. stable positioning of et tube. nasogastric tube tip is only seen in the distal esophagus and should be advanced. continued mild congestive heart failure.
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normal chest x-ray.
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no focal pneumonia.
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the tip of the endotracheal tube is in the supraclavicular region, approximately <num> cm above the carina. there is enlargement of the cardiac silhouette with diffuse bilateral pulmonary opacification. this could reflect congestive failure, widespread pneumonia, or heaves and ards. probable bilateral pleural effusions...
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pa and lateral chest compared to and : mild pulmonary edema has improved. residual heterogeneous opacification in the axillary region of the right upper lobe could be due to pneumonia, particularly aspiration. careful followup advised. heart size is normal. pleural effusions are small, if any. chest radiographs on su...
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no acute intrathoracic process.
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no comparison. normal lung volumes. large hiatal hernia with subsequent areas of focal compressive atelectasis. the well ventilated lung parenchyma shows no evidence of pneumonia or pulmonary edema. no pleural effusions. normal to borderline size of the cardiac silhouette.
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nonspecific opacity at right cardiophrenic angle is most likely due to chronic pleural and parenchymal scarring adjacent to a focal region of diaphragmatic eventration. no new areas of consolidation to suggest pneumonia cardiomegaly and pulmonary vascular congestion without frank pulmonary edema
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moderate cardiomegaly. right basal parenchymal opacity with air bronchograms, associated to a small pleural effusion. a minimal pleural effusion is also seen on the left. fluid markings of the interstitial structures is minimal. in the appropriate clinical setting, the described abnormality could be consistent with pne...