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MIMIC-CXR-JPG/2.0.0/files/p18815342/s59369293/007563da-89e388d6-02edc81d-9b112a47-7fb020b3.jpg
no acute findings.
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no acute cardiopulmonary abnormality. atelectasis in the left lower lobe with elevation of the left hemidiaphragm, as seen previously.
MIMIC-CXR-JPG/2.0.0/files/p12893459/s54095827/25a6bd18-11dd7f65-639bef14-ef5a32ec-c5b50fbf.jpg
no evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12793562/s57513887/8b280754-e5b7cadb-aff050ca-89ac9cd7-fffcd6c7.jpg
no evidence of acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17728504/s54858998/ec69e878-cf536053-7df6df1f-66ce891f-5ce2985b.jpg
right middle lobe pneumonia. dr the findings with dr by phone on at approximately
MIMIC-CXR-JPG/2.0.0/files/p14398954/s51911270/66ef6910-19613396-a09d56b8-55e0131a-b9d437bf.jpg
increased opacities of the right middle lobe, right lower lobe, and possibly left mid-lung, compatible with infection superimposed on the patient's known lung cancer.
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mild basilar atelectasis. otherwise unremarkable. limited exam due to low lung volumes.
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no significant interval change. no new focal consolidation to suggest pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p13249077/s58953871/f98406d7-0f665930-c4fa3921-b02ebde6-45e02ea4.jpg
right picc line tip is in the right atrium, it is clear position difficult to assess giving the obscure a shin of the right hilar border but pulling and back for <num> cm would secure it position in the cavoatrial junction or above. elevated right hemidiaphragm/right pleural effusion/atelectasis are unchanged. vascular...
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no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p11216730/s59381907/dd7aff66-a11ae07e-3bb4fab4-6c934750-840a66de.jpg
ap chest compared to through : heterogeneous pulmonary opacification has improved since , but heart size is normal, and pulmonary vasculature is not particularly engorged. therefore if this is a persistence of a slowly improving pulmonary edema, i cannot ascribe it to cardiac decompensation and therefore other causes ...
MIMIC-CXR-JPG/2.0.0/files/p12329198/s59912442/532158b6-9a9f50a6-ea225fa8-8522b819-5d47b3fe.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10861671/s54407614/2968e8f6-8481199a-2e40f2e9-b98380fa-c5a39f83.jpg
no radiographic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14270780/s53443717/555c261b-d147fa6f-e33b5af5-f220e30b-f84c7993.jpg
no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15801015/s50679534/8b31a130-44f0de66-15a02451-e51f76a2-20dffa0b.jpg
no evidence of acute cardiopulmonary process or pneumoperitoneum.
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in comparison with chest radiograph, a right subclavian catheter has been removed, with no visible pneumothorax. no other relevant change.
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no focal consolidation concerning for pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p11891010/s52720063/cd15c983-7ae3671b-18f9e4bd-d97d3dc4-ca11b66c.jpg
no pneumothorax detected. cardiomegaly and chf again noted. increased retrocardiac density, consistent with left lower lobe collapse and/or consolidation and possible small left effusion is similar to the prior film.
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endotracheal tube continues to have its tip approximately <num> cm above the carina. the nasogastric tube now has its tip projecting over the stomach. left internal jugular central line with its tip in the proximal svc. patient is status post median sternotomy with stable cardiac enlargement and stable mediastinal cont...
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stable tiny, <num> mm, left apical pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p12637733/s56784933/15f56707-04ba809c-062e07ff-52c3f9c8-76d93e0c.jpg
status post sternotomy and cabg. the alignment of the sternal wires is unremarkable. borderline size of the cardiac silhouette. mild elongation of the descending aorta. minimal platelike atelectasis at the left lung bases. no pleural effusions. no pneumonia, no pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p19708139/s57781901/9d9e0af7-9228084a-999d16c5-b9bae137-2ecd7635.jpg
no evidence of pneumonia
MIMIC-CXR-JPG/2.0.0/files/p13570759/s53277035/3ee4f125-258e07ff-2b3a6e9a-a365bce0-eb0dfdee.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18866973/s57552050/f0a8fe97-8c14e66d-9b9bb977-57868a3d-c165e946.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16774670/s50014865/5e02bf7e-b0f12d63-4b22ac09-6101c0c3-bc6ce4b7.jpg
no radiographic evidence of pneumothorax.
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no previous images. we cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. no hilar or mediastinal adenopathy.
MIMIC-CXR-JPG/2.0.0/files/p12144619/s50013902/d332a27c-8a2725cf-dff646c5-a68b86e4-a8ed5327.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12126283/s53069578/a6b6f2b8-85dfc0a9-3b88d4ac-eef0e666-9668f133.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19938264/s58738159/8ac6265b-f957f43a-462c7367-b1118ae3-b4fcc579.jpg
no acute cardiopulmonary process. no displaced fracture seen. if high clinical concern for rib fracture, consider dedicated rib series with bb marker overlying site of concern or chest ct.
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fluid overload. the appearance on the right is much worse compared to prior.
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right lower lobe opacity has improved since. no acute pneumonia or edema.
MIMIC-CXR-JPG/2.0.0/files/p13115959/s56226979/a09ee40d-f3ae4c26-3b45bde6-ff9ac9e6-224ac091.jpg
compared to prior chest radiographs ,. tiny right apical pneumothorax unchanged, right pleural drainage catheter unchanged in position. lungs clear. heart size normal. no pleural effusion.
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diffuse hazy opacifications in the lungs, most pronounced at the lung bases, compatible with a chronic interstitial lung disease. as findings may be slightly increased compared to the prior exam, a superimposed infectious process or exacerbation of the patient's underlying chronic interstitial lung disease cannot be ex...
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no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p12108497/s52846621/91043cc6-7f9370b2-ba86a26d-e91ef3dd-03469ef8.jpg
moderate pulmonary edema is mildly improved. multifocal parenchymal consolidations, most notable in the right lung, are likely worse and may reflect aspiration.
MIMIC-CXR-JPG/2.0.0/files/p12609519/s50803581/fee7cde1-68e1575f-28f44a45-2c3e66f4-f91fead2.jpg
no evidence of pneumomediastinum.
MIMIC-CXR-JPG/2.0.0/files/p19580265/s54476914/f1fce175-719738f5-e7ea3b90-833a8d99-bc9f8adb.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13467645/s53168220/e7233508-39c0621d-af05007b-442643fc-1cc79f72.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16497723/s52460172/8fbc94d1-45e19362-2abd6517-5c4929a5-970b5948.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17155697/s55795927/40a1657e-d6f85cca-f121a58e-c1a4e689-052ae86f.jpg
ild improvement in low lung volumes with bilateral platelike atelectasis, right greater than left. interval increase of small right pleural effusion. no large hemothorax.
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interval improvement of the widespread airspace opacities.
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no evidence of acute disease.
MIMIC-CXR-JPG/2.0.0/files/p12455556/s53573057/d706afff-6597dcc1-1d6ab12f-79a1bc74-b7aff64c.jpg
low lung volumes with linear bibasilar opacities likely representing atelectasis, underlying infectious process not excluded in the appropriate clinical setting.
MIMIC-CXR-JPG/2.0.0/files/p12338003/s54675172/ab40b791-2157d131-84d2cae6-f19e09eb-9dbfb899.jpg
stable consolidation in the right lung and left lower lobe. mild increase in small bilateral effusions.
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large right pleural effusion with overlying atelectasis, underlying consolidation not excluded. additional streaky opacity more superiorly in the right lung could represent atelectasis or infection in the appropriate clinical setting. followup to resolution.
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no significant interval change.
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no radiographic evidence for intrathoracic metastatic disease.
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peribronchial opacities in the right lower lobe and haziness of the left mid lung adjacent to hilum is possibly due to viral pneumonia. ed qa nurses emailed with final impression on at am.
MIMIC-CXR-JPG/2.0.0/files/p13817276/s56150223/5cb180d7-0962b6bd-6713875d-a40e583a-6faa7d72.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12842345/s52561657/9f821229-ad7c5765-c7faeaa9-ca8152ad-6e4508eb.jpg
low lung volumes, otherwise clear lungs. no evidence of rib fracture.
MIMIC-CXR-JPG/2.0.0/files/p11665092/s58425720/4913b5bb-6986fdc1-b83d49f7-d9b4856e-a28aa56e.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10637419/s50906995/06a35cc1-03a19e5b-6cd71651-7b949476-8b46416e.jpg
no acute intrathoracic abnormality. mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p13262421/s54093000/58fe5c87-8f98c2df-30fda7c5-83cf7b22-a2ffa33e.jpg
in comparison with the study of , there is continued substantial enlargement of the cardiac silhouette with diffuse bilateral opacifications consistent with pulmonary edema that has decreased somewhat. the questioned loculated pleural effusion on the right is not appreciated, though there may be some fluid within the m...
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patient is over the mid to lower lung field is felt to be due to overlying soft tissue. no displaced rib fracture is seen; if there is high clinical concern for rib fracture, dedicated rib series or ct is more sensitive.
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moderate to severe left lower lobe atelectases and mild right lower lobe atelectasis. no focal opacities concerning for pneumonia.
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as compared to the previous radiograph, there is a dictation catheter a newly inserted into the right pleural space. no evidence of complications, notably no pneumothorax. the pre-existing right pleural effusion has substantially decreased. the signs indicative of centralized pulmonary edema are also improved. moderate...
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extensive scattered bilateral air space opacities are likely multifocal pneumonia. recommend follow up radiographs to resolution. if this does not resolve on radiographs, repeat ct is recommended to exclude underlying malignancy. per the ed notes, there is a prior chest ct, which is not available in our system at this ...
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no evidence of acute disease.
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right ij central venous catheter terminates in the lower right atrium or proximal right ventricle. interval increase in pulmonary vascular congestion with now mild interstitial edema.
MIMIC-CXR-JPG/2.0.0/files/p19762081/s57698387/82b7d983-6d67fac3-0ae1bd6f-e3750250-2858872d.jpg
persistent left effusion and possible left lower lobe atelectasis. improved right lower lung aeration.
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the right-sided picc line has the distal lead tip in the distal svc/cavoatrial junction, unchanged from prior. there are low lung volumes. there is some subsegmental atelectasis at the lung bases. no pneumothoraces are seen.
MIMIC-CXR-JPG/2.0.0/files/p18298331/s53083479/24faab43-916715d7-7a14e62a-476b1bb2-705832e8.jpg
no acute cardiac or pulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18835690/s55607549/fbf3310d-fb72728b-9ff85384-1e950d0f-e27ad88c.jpg
since bilateral, basal pleural drainage catheters have been inserted draining the bulk of previous large left and moderate right pleural effusions. pleural air is mild on the left, even smaller on the right. enlargement of the cardiac silhouette has improved and mediastinal caliber has decreased, nevertheless consider...
MIMIC-CXR-JPG/2.0.0/files/p18342701/s51147241/f3878be6-1dd20c08-7f0c9484-723ab758-8fb3d61c.jpg
possible tiny left pleural effusion. otherwise no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18557848/s58489894/90b4d669-40ada77a-edd29b0b-4221ddcd-f6fb0e28.jpg
low lung volumes with bibasilar atelectasis and possible mild pulmonary vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p16920636/s53212637/7f9d21f8-7ed00b82-2b354062-6aad0c24-2348f767.jpg
hyperinflated lungs suggest chronic obstructive pulmonary disease. no acute cardiopulmonary process seen.
MIMIC-CXR-JPG/2.0.0/files/p11389314/s51866643/bd99a78e-9d00d915-aeb3f4eb-0ba7ea0f-4f042937.jpg
no acute cardiopulmonary process. the mediastinum is not widened.
MIMIC-CXR-JPG/2.0.0/files/p14748360/s59892593/a35c5107-e43a7930-5430fece-549f5464-448549c4.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19216528/s59868365/0fbb161e-e11746b3-f9326f5b-bd1220f2-8c493075.jpg
no evidence of hardware loosening or failure. sternal alignment is maintained.
MIMIC-CXR-JPG/2.0.0/files/p14257932/s54862274/d62722ef-e8e3f94d-e2a3c954-082bc36a-8cb8672f.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10150911/s55320290/77940624-90cf3872-a2ab471f-73368160-74eea1d3.jpg
no acute cardiopulmonary process.
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compared to chest radiographs through at. previous mild pulmonary edema has improved. severe cardiomegaly and upper mediastinal venous engorgement are unchanged. pleural effusions are small if any. no pneumothorax. left pic line crosses the midline to the right brachiocephalic vein. with the chin down new endotrachea...
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minimal basilar atelectasis. no evidence of multifocal aspiration pneumonitis, as reported previously. the prior exam in question is not available for review.
MIMIC-CXR-JPG/2.0.0/files/p18108822/s50526798/d06d998e-9d8f1a9c-9a314b58-b10c68bd-0a0c5cda.jpg
no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p15550489/s59895449/9947d203-d5e69879-1ea371ea-a67dc302-53bbb0c6.jpg
small left pleural effusion. emphysema. no focal consolidation to indicate pneumonia.
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findings again compatible with pulmonary vascular congestion without frank edema or consolidation.
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mild hilar congestion.
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again seen is near complete opacification of the right lower lobe compatible with volume loss/effusion. superimposed infection would be difficult to exclude. mild pulmonary vascular congestion. left lung is otherwise essentially clear. no pneumothorax.
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in comparison with the study of , the cardiac silhouette is enlarged and there are engorged and indistinct pulmonary vessels consistent with elevated pulmonary venous pressure. no evidence of acute pneumonia or pleural effusion.
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following right thoracentesis, a moderate right pleural effusion has decreased in size. a tiny right lateral pneumothorax is evident. otherwise no relevant changes since the recent study of <num> day earlier.
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no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p13383991/s50700914/98a2aac1-e1fa8699-02e7cb4a-eab2494b-5446c102.jpg
bibasilar opacities in the setting of low lung volumes most likely reflect atelectasis but infection or aspiration cannot be excluded.
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overall volume of the moderate left hydro pneumothorax is unchanged, but the fluid component has increased, best appreciated on the lateral view. the unusual round abnormality in the left lung that developed after left chest surgery is no longer apparent, probably smaller, and therefore probably resolved atelectasis. r...
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in comparison with the study of , there is little overall change. again there is some hyperexpansion of the lungs consistent with chronic pulmonary disease. bibasilar atelectatic changes are seen, without definite acute pneumonia. no vascular congestion or pleural effusion. apical pleural changes suggest old tuberculou...
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no acute intrathoracic process. no definite rib fracture identified.
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hazy opacity in the right upper lung field is not significantly changed and likely represent an area of chronic airspace disease. overlying infection cannot be excluded. nasogastric tube with both side port and the tip above the gastroesophageal junction raised increased risk for aspiration. the tube should be advanced...
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unchanged tiny right apical pneumothorax. decreased size of small right pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p14003129/s59069453/03bbd9d5-6ff5cd8a-26352d77-cda8db99-e4653264.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12527107/s59988584/bedd9fff-8bdd3bfc-1db4a5b8-ecfd944f-6b67726c.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10791554/s58312006/1121cd44-fea49600-68733c6b-7efc50c6-fe117c28.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18379066/s50408052/7d3dce72-a44aecf7-5155f8f0-f5ee1780-c578afef.jpg
no acute intrathoracic process.
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low lung volumes. no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality. unchanged mild cardiomegaly and vascular congestion.
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heart size is enlarged. mediastinum is stable. there is interval improvement of pulmonary edema. no appreciable pleural effusion is demonstrated. no focal consolidations to suggest infection noted.
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new near complete opacification of the right hemithorax is most likely due to new massive aspiration and an indeterminate volume of increased right pleural effusion. new small left pleural effusion. new left basilar atelectasis or aspiration. new mild pulmonary edema.
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no evidence of pneumonia.
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vague left lower lung opacity, possibly pneumonia; short-term follow-up radiographs may be useful to reassess if clinically indicated.
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persistent volume loss in the right upper lobe with slightly decreased right upper lobe opacity suggestive of improving infection. no new focal consolidation identified.