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MIMIC-CXR-JPG/2.0.0/files/p15015008/s59455009/23264f09-d02d42c7-12f60df2-3af0855d-4afaddca.jpg
right internal jugular catheter still terminates in the right atrium and withdrawing it <num> cm should place it in the low svc. sidehole still terminates above the diaphragm. these findings were discussed with by phone at on.
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mild increase in the right pleural effusion and right basal atelectasis. stable left basal atelectasis.
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lingular opacity suspicious for pneumonia. recommend repeat after treatment to document resolution.
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no acute cardiopulmonary process.
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lung volumes are slightly lower, exaggerating heart size, but lungs are clear. there is no pleural effusion. fullness in the right lower paratracheal station of the mediastinum is due to venous engorgement.
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no acute cardiopulmonary process. no free intraperitoneal air. a <num> mm nodular opacity projecting over the right upper lung for which nonurgent chest ct is suggested for further characterization.
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heart size is normal to mildly enlarged. mediastinum is stable. there are slightly increased opacities in the left upper lobe, linear potentially representing increase in interstitial lung disease. given the provided history of amiodarone treatment the might reflect are matter likely alternatively much duration of pos...
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moderate pulmonary edema, mildly improved. pleural effusions are unchanged.
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low lung volumes with bibasilar atelectasis and/or consolidation. underlying mild pulmonary edema also noted.
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asymmetry of the right lung base could be merely atelectasis, however given the clinical history, a superimposed pneumonia is considered.
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no acute intrathoracic process.
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normal chest radiograph.
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no acute cardiopulmonary process.
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normal chest radiograph.
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compared to prior chest radiographs since , most recently. worsening consolidation in the right lung could be due to asymmetric edema or pneumonia concurrent with moderate pulmonary edema that is stable elsewhere. mild to moderate cardiomegaly, moderate right and small left pleural effusions unchanged. no pneumothorax....
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loculated linear scar formation of the left inferior pleural space with resolution of prior left pleural effusion. recommend followup imaging to document healing. mild degree of right scoliosis.
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right lower lobe opacity may represent pneumonia in the appropriate clinical context.
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no evidence to suggest active or latent tuberculosis.
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unchanged moderate cardiomegaly with moderate-to-severe pulmonary edema. bibasilar opacities likely secondary to bilateral layering pleural effusions and atelectasis. however, a supervening pneumonia cannot be excluded.
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mild interval increase in blunting of the left costophrenic angle likely related to pleural effusion with associated atelectasis in this patient with sle. findings are better characterized on subsequent chest ct.
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mild pulmonary edema. persistent cardiomegaly. no evidence of displaced fracture.
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no acute intrathoracic process.
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borderline pulmonary edema.
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no acute cardiopulmonary process; specifically, no evidence of pneumonia.
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hyperinflated lungs which may represent underlying obstructive airways disease. clinical correlation is recommended to assess for possible asthma or copd. no evidence of interstitial lung disease or cardiomegaly.
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mild cardiomegaly, hilar congestion, probable mild interstitial pulmonary edema. right-sided pulmonary opacities concerning for pneumonia.
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no evidence of pneumonia.
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no acute cardiopulmonary process
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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consolidative opacification involving the entire left upper lobe is concerning for pneumonia. please note that pulmonary embolism with infarction is not excluded, and if there is concern, a chest ct is recommended. emphysema.
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no acute intrathoracic process.
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normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection, including tuberculosis, or cardiac decompensation.
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previous rapid clearing of relatively severe consolidation in the right lung, and interstitial edema in the left between and suggests that edema was the explanation for abnormalities in both lungs. today there is a return of the widespread interstitial abnormality in both lungs which i think is probably edema, partic...
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stable chest x-ray examination with no acute pulmonary process. no displaced rib fractures visualized.
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the intra-aortic balloon pump is visualized at <num> cm below the transverse area at the level of the left mainstem bronchus. location is stable when compared to study performed at am. ng tube is visualized within the stomach; however, the stomach appears distended. there is interval improvement of the pulmonary vascul...
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as compared to the previous image, the extent of the right pleural effusion has decreased to a small degree. the right basal areas of atelectasis are unchanged. the pre-existing left mid and lower lung parenchymal opacity is less extensive and less severe than on the previous image. moderate cardiomegaly persists.
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near complete resolution of multifocal pneumonia.
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comparison to. no relevant change. moderate cardiomegaly. feeding tube and right internal jugular vein catheter are in correct position. the pre-existing signs of mild pulmonary edema are unchanged. mild retrocardiac atelectasis. no pleural effusions.
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findings suggesting mild vascular congestion and probably a trace pleural effusion.
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no acute cardiopulmonary process.
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in comparison with the study , the retrocardiac consolidation has essentially cleared. substantial enlargement of the cardiac silhouette is again seen without vascular congestion, concerning for cardiomyopathy or even pericardial effusion. costophrenic angles are now sharply seen on the lateral view.
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no radiographic findings to suggest pneumonia.
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minimal atelectasis at both lung bases. no definite focal pneumonic infiltrate.
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limited exam with bilateral parenchymal opacities potentially infection or edema.
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et tube tip is <num> cm above the carinal. right internal jugular line tip is at the level of superior svc. heart size and mediastinum are stable. right basal opacities are concerning for areas of atelectasis. there is no evidence of pulmonary edema. there is no appreciable pleural effusion.
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in comparison to chest radiograph, new fiducial marker septum place at the site of a left lower lobe nodule with adjacent focal increased opacity at this site. there is no radiographic evidence of pneumothorax and otherwise no relevant change since the recent study.
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the lung volumes are normal. moderate cardiomegaly with signs of mild fluid overload but no overt pulmonary edema. no evidence of pneumonia. minimal atelectasis at the right and the left lung bases. no pneumothorax.
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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pleural effusions. no pneumonia, no pulmonary edema.
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the appearance of the cardiomegaly, left ventricular assisting devise, pacemaker defibrillator setup is unchanged. lungs overall clear with no evidence of pulmonary edema. no increase in pleural effusion or development of pneumothorax demonstrated.
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left lower lobe opacity concerning for pneumonia.
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cardiomegaly without acute cardiopulmonary process.
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compared to chest radiographs through. lung volumes have improved. lungs are clear. heart size is normal. mediastinal and hilar contours are unremarkable. no pleural abnormality. right subclavian line ends in the mid svc.
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in comparison to the previous radiograph from earlier the same date, the exam is remarkable for interval improved aeration at the lung bases, particularly in the left retrocardiac region. no other relevant change.
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no acute cardiopulmonary process.
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no acute intrathoracic abnormalities identified.
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in comparison with the study of , there has been apparent clearing of mucous plug with improved aeration of the left lower lobe. some residual areas of opacification at the bases probably reflect atelectatic changes. however, in the appropriate clinical setting, a superimposed pneumonia would have to be considered. mon...
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opacities probably due to atelectasis in the lower lungs; however an infectious etiology cannot be excluded by this study and short-term follow-up radiographs may be helpful to assess further if clinically indicated. findings discussed with dr at pm on.
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increasing opacification of the left base may reflect infection, aspiration, lymphangitic spread of the patient's known metastatic disease, or less likely,atelectasis. stable opacifications in the bilateral apices are likely due to metastatic disease or scarring. known metastatic disease.
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mild congestive heart failure with small bilateral pleural effusions. left basilar opacification may reflect pneumonia or atelectasis.
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no acute intrathoracic abnormality.
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substantial bilateral pleural effusions and lower lobe consolidations, underlying pneumonia cannot be excluded.
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interval placement of a cervical spinal hardware projecting over the mid thoracic inlet, incompletely evaluated. low bilateral lung volumes. mild left basilar atelectasis.
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no acute cardiopulmonary abnormality.
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new near-complete opacification of the right hemithorax, consistent with atelectasis in the setting of mucus plugging. partial visualization of known right hydropneumothorax, likely unchanged in size. left lung interstitial opacities consistent with mild-to-moderate pulmonary edema, not significantly changed.
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no acute intrathoracic process.
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overall unchanged chest radiograph with low lung volumes and substantial left lower lobe atelectasis and small, left greater right pleural effusions.
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mild pulmonary edema. left-sided hemodialysis catheter tips are in standard positions within the lower svc and proximal right atrium.
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mild interstitial pulmonary edema.
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support lines and tubes are unchanged in position. heart size is enlarged but stable. there is again seen diffuse airspace opacities throughout both lung fields, stable. there are no pneumothoraces.
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right port-a-cath ends at the low svc. no pneumothorax.
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no focal consolidation to suggest pneumonia.
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streaky left basilar opacity as seen on prior could be related to atelectasis however superimposed acute infection is not excluded. clinical correlation suggested.
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no evidence of acute cardiopulmonary process.
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no acute cardiopulmonary process. no hiatal hernia is identified.
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ap chest compared to : residual right pneumothorax is minimal if any at all, apical pleural tube still in place. lung volumes overall are quite low post-operatively, including a substantial left lower lobe atelectasis and collapse of either the right middle or right lower lobe which developed between and on. moderat...
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in comparison with these study of , there has been placement of a left ij swan- catheter with the tip in right pulmonary artery close to the mediastinal border. endotracheal tube and nasogastric tube have been removed. allowing for low lung volumes, there is little overall change in the appearance of the heart and lung...
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low lung volumes with mild pulmonary vascular congestion and mild bibasilar atelectasis. <num> cm linear radiopaque structure projecting over the soft tissue of the left lateral neck, unclear whether external to the patient. please correlate with direct visualization.
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no acute intrathoracic process.
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endotracheal tube, nasogastric tube, right subclavian picc line and left-sided pacer are all unchanged in position. there continues to be bilateral airspace opacities which are essentially stable. overall cardiac and mediastinal contours are likely unchanged, although somewhat difficult to assess to the diffuse airspac...
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no acute cardiopulmonary process.
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no evidence of pneumonia.
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no acute cardiopulmonary process. no significant interval change.
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no evidence of acute disease. no significant change.
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increased fluid overload cannot exclude infection in the lower lobes
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appropriate bi-ventricular icd lead placement. no pneumothorax.
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stable small to moderate right apical pneumothorax. two successive radiographs show right basilar subsegmental atelectasis with increasing airspace opacities, which may be due to superimposed infection or atelectasis.
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right picc line tip terminates in the right atrium and should be pulled back <num> cm. bilateral pleural effusions are moderate to large. et tube tip is <num> cm above the carinal. ng tube tip is in the stomach.
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improved lower lung volumes. no acute intrathoracic process.
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left port ends in the right atrium. no pneumothorax. findings discussed with dr (surgery) in person at <num>
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low lung volumes with patchy atelectasis in the lung bases. infection is not excluded in the correct clinical setting. there may be a small left pleural effusion.
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ap chest compared to , : endotracheal tube <num> cm above carina in standard placement. upper enteric drainage tube ends in the upper portion of non-distended stomach. lung volumes are still quite low, and very mild interstitial pulmonary edema persists. pleural effusions are small if any and there is no pneumothorax....
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low lung volumes with no strong evidence for pneumonia or pulmonary edema.
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no acute intrathoracic process.
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chf with interstitial and alveolar edema, bibasilar effusions, and underlying collapse and/or consolidation, similar to the prior film. interval removal of ng tube.
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in comparison with the earlier study of this date, there is no evidence of pneumothorax. basilar opacification on the right is worrisome for superimposed consolidation.
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subtle bibasilar opacities may be due to atelectasis however, infection or aspiration not excluded in the appropriate clinical setting.
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as compared to the previous radiograph, the swan-ganz catheter is in unchanged position. the size of the cardiac silhouette has mildly increased but there is no evidence of pulmonary edema. no pleural effusions. no pneumonia.
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interval appearance of a right upper lobe mass measuring approximately <num> x <num> cm, with increased mediastinal width. increased right pleural effusion. these findings were entered into the critical communications dashboard by dr at on.