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no evidence of acute cardiopulmonary disease.
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in comparison with the earlier study of this date, there is little change in the appearance of the right ij catheter or sheath. no evidence of pneumothorax, acute pneumonia, or vascular congestion.
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no acute cardiopulmonary abnormality.
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unchanged severe cardiomegaly. no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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stable left lung base atelectasis and pleural effusion. lines are unchanged.
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no acute cardiopulmonary process. chronic lung disease.
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assessment of the right lung parenchyma is limited by the presence of calcified pleural plaques, as seen previously, and may be the sequela prior infection or hemothorax. streaky right basilar opacity could reflect atelectasis but infection is not excluded. small right pleural effusion.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18878115/s51998946/2e978fff-f49c8938-007a6d07-598f8523-80892bf2.jpg
no acute cardiopulmonary process.
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as compared to the previous radiograph, the lung volumes have decreased. a right lower lung opacity has newly occurred and would be consistent with aspiration. the extent of a subtle left lower lung parenchymal opacity is unchanged. unchanged size of the cardiac silhouette. no pleural effusions.
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no definite acute cardiopulmonary process. severe compression deformity of a mid thoracic vertebral body, not seen on prior ct from , age indeterminant and clinical correlation regarding pain is suggested.
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no evidence of cardiac enlargement, pulmonary congestion, or acute or chronic pulmonary parenchymal infiltrates. appearance of bilateral old multiple rib fractures and left-sided clavicle fracture apparently of older date.
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in comparison with the study of from an outside facility, the patient has taken a slightly better inspiration with continued elevation of the right hemidiaphragm. atelectatic streaks are seen at the left base. no definite vascular congestion. probable blunting of the left costophrenic angle posteriorly, consistent wit...
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no acute findings. large left fat containing diaphragmatic hernia accounts for opacity in the left lower hemithorax.
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as compared to the previous radiograph, no relevant change is seen. minimally improved ventilation of the left lung bases. the appearance of the heart and of the right hemi thorax, including the right picc line, is constant.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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in comparison with study of , the prominence of central venous structures it as increased, consistent with worsening central pulmonary edema. continued enlargement of the cardiac silhouette. increasing opacification at the left base silhouetting hemidiaphragms suggests possible effusion and atelectatic changes.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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no acute cardiac or pulmonary abnormality.
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the endotracheal tube is now positioned <num> cm above the trachea.
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stable cardiomegaly without pneumonia or edema.
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mild lingular atelectasis. otherwise, no acute cardiopulmonary process.
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linear left basilar atelectasis. no evidence of pneumonia.
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left lower lobe consolidation concerning for pneumonia. a lateral view would be helpful for confirmation.
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tip of the balloon catheter at t<num> level.
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no residual airspace opacification.
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large right pleural effusion has increased since at <num>, worsening severe atelectasis in the right lung. left lung is clear. mediastinum is midline. left jugular line ends in the low svc. right jugular dual channel catheter ends in the right atrium as before. there is no pneumothorax.
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no evidence of acute disease.
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as compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation. the alignment of the sternal wires is constant. constant appearance of the cardiac silhouette. no pleural effusions. no pneumonia, no pulmonary edema.
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no evidence of acute cardiopulmonary process.
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ap chest compared to , : new opacification at the lung bases is probably atelectasis, left more severe than right. upper lungs grossly clear. no pneumothorax or pleural effusion. heart size is normal.
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very low lung volumes. bibasilar opacities are consistent with atelectasis but consolidation cannot be excluded.
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improved left lower lobe atelectasis but are persistent consolidation is concerning for aspiration pneumonia. the same is true for the smaller region can of consolidation in the right lung base medially. ng tube in appropriate position.
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small linear radiopaque foreign bodies projecting over the left upper quadrant, new compared to prior. findings reported to by by telephone at on at the time of discovery of these findings.
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new recurrence of moderate right pleural effusion. if there is subphrenic infection this could be empyema, although prior findings suggest the cause is hemodynamic. new mild cardiac decompensation and/or volume overload, chronic moderate cardiomegaly. findings were discussed over the telephone at the time of dictation ...
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enteric tube tip just distal to the ge junction should be advanced for optimal positioning.
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no opaque foreign body is appreciated. however, on the subsequent ct scan that showed slightly lower in the abdomen, the missing tooth is clearly identified. areas of increased opacification in several portions of the left lung are worrisome for pneumonia, which was confirmed on ct. poor definition of the right heart b...
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since a recent radiograph of , right lower lobe consolidation has slightly worsened and could reflect aspiration or evolving aspiration pneumonia. left lower lobe opacity is difficult to assess in the setting of a large hiatal hernia. interstitial edema is new in the interval, and small bilateral pleural effusions have...
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no acute cardiopulmonary process. unchanged appearance of known mediastinal cyst.
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no acute cardiopulmonary process.
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ap chest compared to : large right pleural effusion is larger, and mild-to-moderate pulmonary edema is more pronounced. severe enlargement of the cardiac silhouette is stable. tracheostomy tube in standard placement. upper enteric drainage tube passes as far as the distal esophagus but the tip is not visible. no pneumo...
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compared to chest radiographs through at. severe pulmonary edema has worsened, accompanied by moderate pleural effusions. heart size normal. mediastinal veins are distended. no pneumothorax. feeding tube with the wire stylet in place has been advanced at least as far as the distal stomach and perhaps into the first p...
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no acute cardiopulmonary process. no focal consolidation to suggest pneumonia.
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interstitial edema, likely cardiogenic in etiology. recommend repeat radiography after appropriate diuresis to assess for underlying infection.
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as compared to the previous radiograph, a previously seen small air-fluid level projecting over the right hemi thorax is no longer visible. however, a minimal left and a moderate right pleural effusion are still present. a mediastinal drain in the midline is new on today's image. the appearance of the cardiac silhouett...
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left upper lobe opacities are less conspicuous than before likely due to technique. bibasilar atelectasis are grossly unchanged. there are no new lung abnormalities, pneumothorax or enlarging effusions. left picc tip is in the lower svc.
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interval development of mild interstitial pulmonary edema.
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there is continued decrease in the right-sided pleural effusion. it is nearly resolved. there is a right basilar pigtail catheter. there is a tiny right apical pneumothorax. sutures are seen within the left upper lobe. there is atelectasis at the right base. heart size is within normal limits.
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no significant change from <num> day prior.
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no acute cardiopulmonary process.
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normal chest x-ray.
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normal chest radiograph.
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right-sided port-a-cath tip within the proximal right atrium. no pneumothorax
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ap chest compared to : pulmonary edema worsened from through , and has remained relatively stable since although there is more opacification in the right lower hemithorax which could be posterior pleural effusion layering in the supine patient. supine positioning probably accounts for some increase in pulmonary vascul...
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hyperinflation suggesting copd and platelike atelectasis at left base. no acute pulmonary process detected.
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no acute intrathoracic process.
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left mediastinal shift is consistent with atelectasis. patient seems to be extubated on the current study. tracheostomy is in place. no appreciable pneumothorax is seen. air surrounding the right upper trachea is unchanged. the widening of the superior right mediastinum is unchanged. giving the above described findings...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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substantially improved, now mild, pulmonary edema. supportive devices, tubes, and lines are appropriately positioned as described above.
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no acute cardiac or pulmonary process.
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no acute intrathoracic process.
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interval removal of the gastric tube. bibasilar atelectasis, greater on the left. dilated loops of bowel project over the left upper quadrant.
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appropriate positioning of the et tube, right ij, left picc, and ng tube. bilateral diffuse airspace opacities with mild cardiomegaly and probable small pleural effusions due to fluid overload.
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worsening multifocal pneumonia.
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feeding tube terminates in the stomach.
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ap chest compared to at : right pigtail pleural drainage catheter projects over the right lower lateral hemithorax. right pneumothorax has been almost entirely evacuated, mediastinum has returned to and the right hemidiaphragm to its physiologic position. lung volumes are quite low now, exaggerating what is probably...
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no acute cardiopulmonary process.
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no evidence of acute disease.
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no significant interval change. right lower lung dense atelectasis and loculated right pleural effusion with pleural-based metastases again noted.
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no evidence of chf.
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stable right base opacity representing combination of pleural effusion and atelectasis, underlying consolidation not excluded. possible trace left pleural effusion. interval improvement in previously seen mild interstitial edema.
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no acute intrathoracic process.
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endotracheal tube terminates approximately <num> cm above the carina. nasogastric tube courses to the expected location of the stomach. clear lungs.
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increased conspicuity of opacity in the left lower lung. while the differential includes pneumonia, a nonresolving opacity raises concern for neoplasm. consider nonemergent ct to further assess. minimal scarring in the right mid lung at the site of prior pneumonic consolidation.
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no evidence of acute intrathoracic injury.
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no acute cardiopulmonary abnormality.
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since the previous examination, no relevant change is seen. constant appearance of a right lower lobe scar. unchanged mild bilateral apical thickening, right more than left. no recent changes in the lung parenchyma, notably no evidence of pneumonia or pulmonary edema. normal size of the heart. no pleural effusions.
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no acute cardiopulmonary process.
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multiple pulmonary nodules as described above are grossly stable from chest radiograph. consider nonurgent chest ct for further evaluation when clinically indicated of multiple pulmonary nodules. no acute intra thoracic process identified.
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no acute cardiopulmonary abnormality.
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persistent opacification of the right medial lung consistent with right middle lobe pneumonia or atelectasis. improved mild bibasilar opacification from. small bilateral pleural effusions, slightly increased from. no findings to suggest acute heart failure. findings were discussed by dr with dr by phone at am on.
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bibasilar hazy opacities are thought to be secondary to compressive atelectasis from a large hiatal hernia. however, aspiration should be considered in the appropriate clinical setting. chronically dislocated left shoulder.
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interval decrease in size of the left pleural effusion with a small residual on the present radiograph. right sided chest tube tip terminates at the apex as before. no new parenchymal opacities. mild cardiomegaly, that appears improved compared to.
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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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the small residual left pleural effusion stable, small right pleural effusion increased, with bilateral basal pleural drainage catheters still in place. new consolidation in the right lower lobe could be pneumonia. mild to moderate cardiomegaly stable. vascular engorgement in the upper lungs unchanged. no pulmonary ede...
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findings consistent with left lower lobe pneumonia
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normal chest radiographs. no acute cardiopulmonary abnormality.
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normal chest radiograph.
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no new areas of consolidation to suggest a source of infection.
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normal chest radiographs.
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in comparison with the earlier study of this date, the cardiac silhouette again is at the upper limits of normal or mildly enlarged. indistinctness of pulmonary vessels may beam slightly more prominent than on the previous study, consistent with mild increase in pulmonary vascular congestion. no evidence of acute focal...
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left basal plate-like atelectasis. otherwise normal.
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no acute cardiopulmonary process.
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new reticulonodular right mid-to-lower lung opacities, concerning for infection. increased moderate left pleural effusion with dense left retrocardiac atelectasis. concomitant infection at the left lung base cannot be excluded.
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in comparison to prior radiograph from a few hr earlier, an orogastric tube has been advanced to terminate within the stomach. no other relevant change.
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the curvature of the dobbhoff tube suggests that its tip is within the fourth portion of the duodenum. a radiograph could be considered after injection of contrast into the tube for definite confirmation of tip location.