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MIMIC-CXR-JPG/2.0.0/files/p12926838/s59499427/a6a6cac9-5140942b-79aecf2c-cc4364c3-8299fbbd.jpg
no evidence of acute disease.
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comparison to. no relevant change. elongation of the descending aorta. normal size of the heart. normal appearance of the lung parenchyma. there is currently no evidence for the presence of aspiration or pneumonia. no pleural effusions. no pulmonary edema.
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left picc line terminates in the left brachiocephalic vein. no definite pneumothorax. improving right upper lobe consolidation with a persistent component of pulmonary vascular congestion. splenomegaly.
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bilateral predominantly basilar left greater than right opacities, potentially infection or edema as seen on recent ct abdomen performed the same day.
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no previous images. the cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
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no acute cardiopulmonary process.
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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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no acute cardiopulmonary abnormality.
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persistent ill-defined opacity within the right lung base which appears minimally, if at all, progressed from the prior exam, and remains concerning for infection.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18149667/s54667834/afdd1bc8-e94fd63f-8199fdaf-4914cbd4-400092f0.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10870373/s52118049/ce636c1f-2dadaf39-3f7383a8-d8016f1b-e1dc2b25.jpg
large left pleural effusion. left lower lobe collapse.
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nasogastric tube ends in the mid stomach but proximally it is coiled in the hypopharynx. mild edema has improved since earlier in the day. moderate right and small left pleural effusion persist. heart is not enlarged. right supraclavicular dialysis catheter ends deep in the right atrium. left internal jugular line ends...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12947996/s52027975/94926791-8836f999-3abc3b56-47d3d9b6-24c90935.jpg
no acute cardiopulmonary process.
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no convincing signs of intraperitoneal free air. stable bilateral effusions with left lower lobe consolidation.
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no acute cardiopulmonary abnormality.
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retracted central line as described above. otherwise, no acute cardiopulmonary process.
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left pleural effusion is large, similar to. there is most likely substantial element of atelectasis giving the lack of mediastinal shift to the right. right lung is clear. left upper lobe is unremarkable.
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no radiographic evidence for acute cardiopulmonary process.
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perihilar opacities are concerning for underlying pulmonary edema although there are scattered patchy right lung opacities which could represent superimposed multifocal pneumonia versus asymmetric pulmonary edema. previously seen right upper lobe mass and numerous solid ground-glass pulmonary nodules were better assess...
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worsening right basilar opacity is worrisome for pneumonia.
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no acute cardiopulmonary process.
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hazy right middle lobe airspace opacity may simply represent atelectasis, however developing infection should be considered in appropriate clinical setting. otherwise, lungs are grossly clear.
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in comparison with the study of , there is blunting of the right costophrenic angle with increased opacification at the base, consistent with pleural fluid and underlying compressive atelectasis. similarly, there is increased opacification at the left base, consistent with pleural fluid and underlying basilar atelectas...
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severe enlargement of the cardiac silhouette. no priors for comparison. consider follow-up echocardiogram if this has not been previously assessed. mild prominence of the central pulmonary vasculature may be due to underlying pulmonary hypertension. trace pleural effusions.
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no acute intrathoracic abnormality. gaseous distended loops of colon are minimally changed dating back to a chest radiograph.
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no acute cardiopulmonary process.
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comparison to. in the interval, the patient has been extubated and <num> of the <num> feeding tubes has been removed. stable size of the cardiac silhouette. mild fluid overload. minimal right pleural effusion. new left lower lobe retrocardiac atelectasis. no pneumothorax.
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in comparison to study of , there is no evidence of acute pneumonia, vascular congestion, or pleural effusion. port-a-cath extends to the lower svc.
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mild pulmonary edema. findings were paged to dr. pm by dr
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as compared to the prior study there is interval resolution of pulmonary edema. bilateral pleural effusions have developed in the interim as part of the resorption of the pulmonary edema. left retrocardiac atelectasis is unchanged as well as cardiomegaly.
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no acute chest abnormality.
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no evidence of acute cardiopulmonary process. no evidence of free air beneath the diaphragms.
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no acute process
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no definite pneumothorax identified. if there is persistent clinical concern, expiration views can be obtained for further clarification. recommendation(s): expiration views if persistent concern for pneumothorax.
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low lung volumes again seen. there is a persistent left lower lobe airspace opacity, the appearance remain suspicious for infection although atelectasis remains in differential diagnosis.
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increased opacity in the right lower lung without definitive airspace consolidation. correlate with clinical symptoms.
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extensive asbestos related pleural plaque, largely calcified, obscures large areas of the lungs. within the limits of this examination there is no good evidence for infection or cardiac decompensation. heart size normal. no pleural effusion.
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streaky retrocardiac opacities, not significantly changed compared to radiographs from , likely atelectasis, although infection cannot be excluded.
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no acute cardiopulmonary process.
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ill-defined large right upper lobe opacity is concerning for malignancy, and further assessment with chest ct is recommended. finding was discussed with dr at on by phone by dr.
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as compared to the previous radiograph, the right picc line has been removed. unchanged alignment of the sternal wires. massive cardiomegaly with bilateral valvular replacement. signs of mild to moderate pulmonary edema with a small right pleural effusion. small right basilar atelectasis. no pneumonia.
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compared to chest radiographs through. intra-aortic balloon pump has been withdrawn, out of the field of view. patient is rotated to the left exaggerating mediastinal shift, probably genuine, due to left lower lobe collapse. moderate bilateral pleural effusions stable. right upper lung clear. left subclavian infusion ...
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in comparison with the study of , the endotracheal tube is approximately <num> cm above the carina. the other monitoring and support devices are stable, as is the cardio mediastinal silhouette. no evidence of acute focal pneumonia or vascular congestion. mild blunting of the costophrenic angles is seen bilaterally.
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low lung volumes with bibasilar atelectasis.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process. no free air below the hemidiaphragms.
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streaky opacities at the right lung base, most consistent with atelectasis, although an early infectious process cannot be excluded. clinical correlation recommended. moderate to large hiatal hernia.
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in comparison with the study of is , the cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. atelectatic changes are seen at the bases, especially on the left. left subclavian catheter extends to the mid portion the svc.
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left chest tube and right internal jugular port-a-cath are unchanged in position. there is expected increasing opacity at the left apex in this patient status post left upper lobectomy. lung volumes have diminished. there is crowding of the pulmonary vasculature but no overt pulmonary edema. however, in the right upper...
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no acute cardiopulmonary process.
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appropriately positioned dual lead left pectoral pacemaker. no acute intrathoracic process.
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two ap views of the chest compared to at : severe bibasilar atelectasis is unchanged. small-to-moderate right pleural effusion has decreased. no pulmonary edema. normal heart size. right subclavian line ends at the junction of brachiocephalic veins. left subclavian line has been removed. feeding tube passes into the ...
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no acute intrathoracic process.
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mild pulmonary edema is new since accounting in part for the worsened radiographic appearance what is probably progressing multifocal pneumonia, and contributing to anincrease in small to moderate left pleural effusion. heart is top-normal size. mediastinal veins are progressively engorged. et tube is in standard plac...
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low lung volumes with bibasilar atelectasis.
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no radiographic evidence of an acute cardiopulmonary process.
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no pneumonia, edema, or effusion. bibasilar atelectasis.
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compared to prior chest radiographs since , most recently. moderate cardiomegaly, and mild engorgement of central veins and pulmonary vessels not changed, and there is no pleural effusion. new predominantly basilar areas of relatively central consolidation, right lung greater than left could be edema, but the sparing o...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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pulmonary vascular engorgement and interstitial edema. patchy left base retrocardiac opacity most likely relates to vascular structures and possible atelectasis however, developing consolidation is not excluded in the appropriate clinical setting.
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no acute intrathoracic process.
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no acute cardiopulmonary process. mild cardiomegaly. large mediastinal thyroid goiter.
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no acute cardiopulmonary process. specifically, no evidence of pneumonia. results were discussed with dr at on via telephone by dr at the time the findings were discovered.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. no pulmonary nodules identified- specifically, a previously described left perihilar nodule is not present on the current examination. ct is more sensitive for the detection of small pulmonary nodules.
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no significant interval change. persistent right midlung opacity as detailed on prior report.
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compared to chest radiographs. top- normal heart size. lungs clear. no pleural abnormality or evidence
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small right apical pneumothorax and slightly improved aeration at the right lung base with persistent moderate right pleural effusion.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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pa and lateral chest compared to and chest radiographs, chest ct on : lungs are low in volume, the only focal abnormalities are regions of persistent scarring or atelectasis at the lung bases. there are no findings to suggest acute pneumonia or cardiac decompensation. osteolytic compression fractures in the mid thora...
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questionable subtle focal left lower lobe opacity could be due to atelectasis or infection.
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no acute intrathoracic process.
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resolution of right middle lobe pneumonia. no new pneumonia is identified. resolution of bilateral pleural effusions. stable curvilinear density in the left mid lung zone, likely a calcified granuloma or avm.
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low lung volumes with bibasilar atelectasis.
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small linear opacity in the left lower lobe is compatible with atelectasis, but pneumonia cannot be excluded.
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no evidence of acute cardiopulmonary process.
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no acute intrathoracic process. large hiatal hernia again noted.
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et tube terminating <num> cm above the carina. mild pulmonary vascular congestion, small left pleural effusion, possible trace right pleural effusion, and cardiomegaly. left base consolidation not excluded.
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no evidence of pneumonia.
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no pneumonia or chf. possible left apical mass, would require ct for elucidation. report was emailed to ed qa nurses for followup of patient discharged prior to final review.
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hyperinflated lungs. no acute cardiac or pulmonary process.
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slight leftward deviation of the head upper trachea could be related to thyroid enlargement, correlate with exam. normal lungs
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mild chf. confluent right infrahilar opacity, which could reflect either asymmetrical edema or developing infection. followup radiograph may be helpful in this regard. worsening basilar lung opacities, probably due to interstitial edema superimposed upon known chronic airways disease. attention to this area at the time...
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no acute cardiopulmonary process.
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there no prior chest radiographs available for review. heart size top-normal. normal pulmonary vasculature. no edema or effusion. lungs clear. no evidence of tuberculosis.
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faint opacity at the left base may reflect aspiration or pneumonia.
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no acute intrathoracic process.
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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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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
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in comparison with the study of , the endotracheal and nasogastric tubes have been removed. continued low lung volumes. the cardiac silhouette remains at the upper limits of normal or mildly enlarged without appreciable vascular congestion. the left hemidiaphragm is more sharply seen, though there is still evidence of ...
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no acute cardiopulmonary process. no displaced rib fracture is identified; however, if high clinical concern for rib fracture persists, dedicated rib series or ct is more sensitive.
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there is hyperinflation. is stable streaky density in both bases likely representing scarring. aortic calcifications and tortuosity are present. degenerative changes are present in the spine and both shoulders. there is probable osteopenia. there is no pneumothorax, effusion, consolidation or chf.
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no acute findings.