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MIMIC-CXR-JPG/2.0.0/files/p17295976/s59354421/2758facc-e932ab3f-1e371cc2-8ea4eb63-5d8bb59f.jpg
i cannot see bronchial stents and the bronchial airways are also difficult to define. tracheostomy tube is midline. a new band of atelectasis has developed in the right midlung. lung volumes are low, exaggerating heart size, but mild cardiomegaly is chronic. there is mild pulmonary vascular congestion but no edema. ple...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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in comparison with the study of , there is little change in the severe right upper lung on consolidation with continued opacification also within the left mid an lower lung, all consistent with widespread multifocal pneumonia. monitoring and support devices are unchanged.
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tracheostomy is in place with its tip terminating <num> cm above the carinal. heart size and mediastinum are unchanged. lungs are essentially clear with no radiographic evidence of pulmonary edema. right basal atelectasis and left minimal platelike atelectasis at the lung base are overall stable
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the prior study there has been interval development of pulmonary edema and substantial increase in bilateral pleural effusions. right lower lung opacity appears to be similar to previous examinations and would require further assessment with chest ct to exclude the possibility of obstructing lesion causing right lower ...
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previous mild pulmonary edema has resolved. heart is normal size. there is no appreciable pleural effusion or pneumothorax. left internal jugular line ends at the origin of the svc and an enteric tube passes through the esophagus into the stomach and out of view. fracture of the uppermost <num> sternal wires and misali...
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heart size is normal. widening of the mediastinum is most likely related to the very expiratory nature of the radiograph. no discrete consolidations demonstrated. no appreciable pleural effusion or pneumothorax seen. repeated radiograph with emphasis on full inspiration is recommended
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no acute intrathoracic process.
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moderate left and small right pleural effusions.
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comparison to. the right picc line shows a normal course. the tip now projects over the cavoatrial junction. there is no evidence of complications, notably no pneumothorax.
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stable dense left basilar opacification may represent atelectasis, however pneumonia could be considered in the appropriate clinical setting. no pulmonary edema.
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compared to chest radiographs. new trans vascular right atrial right ventricular pacer leads follow their expected courses from the left pectoral generator. no pneumothorax, pleural effusion, or mediastinal widening. lungs clear. heart size top-normal.
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as compared to the previous radiograph, the device has been removed. the other monitoring and support devices, including the left and right chest tube are in unchanged position. the tip of the right internal jugular vein catheter still projects over the right atrium and should be pulled back. unchanged appearance of t...
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no acute cardiopulmonary abnormality.
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unchanged large right pleural effusion. probable small left pleural effusion. increased ground-glass opacification of the left lung from may reflect interstitial edema or infection.
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interval reduction in lung volumes with appearance of patchy but predominantly linear opacities at both bases, left greater than right, which most likely reflects patchy atelectasis, although bibasilar pneumonia cannot be entirely excluded. no pulmonary edema or pneumothorax. overall, cardiac and mediastinal contours a...
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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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the findings are consistent with pulmonary edema.
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mild cardiomegaly has improved since. bilateral consolidation, in the right upper lobe and left midlung, has worsened concerning for progressive pneumonia. pleural effusions are presumed, but not large. tracheostomy tube in standard placement. feeding tube ends in the upper stomach. a right transjugular dual channel ca...
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no acute intrathoracic process.
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as compared to the previous radiograph, the right internal jugular vein catheter has been removed. the lung volumes remain low and the known retrocardiac atelectasis with air bronchograms is of unchanged extent and severity. the alignment of the sternal wires is constant. moderate cardiomegaly persists. no pulmonary ed...
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improvement in previously seen left lower opacity. worsening right upper and mid-lung heterogeneous opacities concerning for worsening or new atypical or opportunistic pneumonia. stable bilateral lower lung bronchial wall thickening and bronchiectasis.
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no acute cardiopulmonary process.
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ap chest compared to : since , et tube has been removed and lung volumes are consequently slightly smaller, exaggerating the extent of moderate pre-operative cardiomegaly, really unchanged. there is little residual pulmonary edema, though bibasilar atelectasis left more severe than right is persistent. no pneumothorax ...
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no evidence of pneumonia. chronic volume overload and borderline cardiac decompensation.
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no acute cardiopulmonary process. no evidence of displaced fracture on this non-dedicated exam. if desired, dedicated rib series can be performed.
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improved right lower lobe pneumonia. follow-up in <num> weeks to confirm completeresolution. severe chronic cardiomegaly. probable chronic pulmonary hypertension. recommendation(s): improved right lower lobe pneumonia. follow-up in <num> weeks to confirm interval resolution.
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heart size and mediastinum are stable. lungs are clear. no pleural effusion or pneumothorax is seen. hardware in the neck and right shoulder is unchanged.
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no radiographic evidence of pneumonia. healing right second anterior rib fracture.
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no acute cardiopulmonary process.
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hyperinflation. increased opacity projecting over the left lung base. repeat pa and lateral suggested to further characterize and if persists, ct scan may be necessary.
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no acute process.
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no acute cardiopulmonary process.
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no evidence of pneumonia.
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interval removal of the endotracheal tube and nasogastric tube. multiple right-sided posterolateral rib fractures are again noted. no focal airspace consolidation to suggest pneumonia. no pulmonary edema. overall cardiac and mediastinal contours are unchanged. no pneumothorax.
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no previous images. single view shows the cardiac silhouette at the upper limits of normal in size. no evidence of acute focal pneumonia, vascular congestion, or pleural effusion. if there is strong clinical suspicion for acute pneumonia, a lateral view could be helpful.
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in comparison with study of , there is little overall change. again there is enlargement of the cardiac silhouette with intact sternal wires and pacer device in place. there may be mild elevation of pulmonary venous pressure. no evidence of acute focal pneumonia.
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mild improvement of right mid-to-lower lung opacities, back to baseline appearance. no new finding worrisome for pneumonia. multiple nodular opacities are better appreciated on recent ct torso examination. results were discussed over the telephone with by dr at on at time of initial review.
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endotracheal and upper enteric tubes in appropriate position.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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endotracheal tube terminates <num> cm above the carina. recommend advancing by <num> cm. enteric tube is within the stomach, and left subclavian line terminates in the upper svc. small bilateral pleural effusions with adjacent atelectasis.
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given for differences in projection the right-sided port-a-cath is in similar position with the tip at the mid svc. no definite pneumothorax.
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no evidence of injury. potential lung nodule projecting over the right upper lung; preliminary reading entered while the patient was still in the er. when clinically appropriate, evaluation with chest ct and short-term followup is recommended.
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interval development of a small right-sided pleural effusion, and a trace left-sided effusion. the new bilateral lower lobe predominant interstitial abnormalities, which most likely represent an atypical pneumonia in the absence of ancillary findings of fluid overload.
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crowding of bronchovascular markings in the lower lungs with atelectasis, without convincing signs of pneumonia or edema. stable mild cardiomegaly.
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mild pulmonary edema, but no focal consolidations to suggest pneumonia.
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comparison to. there is no relevant change. stable monitoring and support devices. stable low lung volumes with bilateral pleural effusions and moderate cardiomegaly. mild pulmonary edema is present. no pneumothorax.
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no evidence of acute cardiopulmonary process.
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in comparison with the study of , there are much lower lung volumes. there is substantial enlargement of the cardiac silhouette with increased pulmonary venous pressure. opacification at the bases is consistent with atelectasis effusion, more prominent on the left. in the appropriate clinical setting, it would be diffi...
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as compared to the previous radiograph, the patient has been extubated and the nasogastric tube was removed. the lung volumes have slightly decreased, causing atelectasis at the left lung bases. however, short term followup should be performed to exclude aspiration or developing pneumonia. no pleural effusions. no pulm...
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no acute cardiopulmonary process.
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basilar opacities, probably compatible with atelectasis, although developing pneumonia is not excluded.
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no acute cardiopulmonary process. specifically no pleural effusion or pneumonia. no interval change in fractured first and second sternotomy wires.
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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. specifically, there is only minimal hypertrophic spurring in the thoracic spine, with no evidence of compression fracture.
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no acute findings in the chest.
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status post endotracheal intubation. sidehole marker of orogastric tube projecting at the gastroesophageal junction. if clinically indicated, advancing the tube somewhat may be appropriate. no evidence of acute cardiopulmonary disease.
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no evidence of acute cardiopulmonary process. subtle cystic structures in the mid lung noted (bilat) could reflect summation of bronchovascular markings. consider oblique views to resolve this finding.
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no acute cardiopulmonary process.
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mild cardiomegaly and tortuous thoracic aorta are unchanged since , as well as a moderate-sized hiatal hernia. lungs are well-expanded and clear except for linear atelectasis at the left lung base. no pleural effusion or pneumothorax.
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pulmonary vascular congestion is mild.
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diffuse interstitial and airspace opacities, most compatible with pulmonary edema. however, superimposed infection cannot be excluded. follow-up after diuresis.
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right internal jugular line tip is at the level of mid svc. in the up of tube passes below the diaphragm with its tip differently distal to the proximal jejunum. cardiomediastinal silhouette is stable. left pleural effusion is moderate. no pneumothorax is seen. mild vascular congestion is present but improved in the in...
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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stable appearance of pulmonary edema with et tube <num> cm from the carina.
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mild edema, stable cardiomegaly, dialysis catheter in place.
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large opacity over the right hemithorax persists, with some interval improvement and increase in aeration of the right lung apex status post thoracentesis. however, the majority of the right hemi thorax remains opacified.
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comparison to ,. millimetric left apical pneumothorax is stable. no evidence of tension. unchanged pericardial drain and left chest tube. the extent of the bilateral pleural effusions is stable.
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ap chest compared to and : right middle and lower lobe collapse and moderate right pleural effusion are unchanged since. left lung shows mild vascular engorgement but no edema and pleural effusion on the left is minimal if any. moderate cardiomegaly is probably unchanged. left pic line ends at the upper svc. no pneumo...
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emphysema. right basilar atelectasis with a small right pleural effusion.
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no evidence of acute disease.
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no acute findings.
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no pneumothorax.
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no acute cardiopulmonary process. left hilum is enlarged and was found to have fdg avid lymph node on pet ct on. suggest chest ct to better assess.
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no acute cardiopulmonary abnormality.
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clear lungs with no evidence of pneumonia.
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bilateral pleural effusion, moderate on the left, increased, small on the right, decreased. mild pulmonary edema stable or decreased since. suggestion of increasing the moderate cardiomegaly and/or pericardial effusion. echocardiography recommended.
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no definite acute cardiopulmonary process. right-sided rib fractures, which appear old; however, clinical correlation is suggested.
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normal chest radiographs.
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heart size is prominent and unchanged. there is a persistent right sided basilar pleural effusion. there is no pulmonary edema. there is some atelectasis at the left lung base, stable. there are no pneumothoraces.
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ap chest compared to at : there is no left subclavian line. an indwelling right subclavian line ends in the mid svc. there is no pneumothorax or appreciable pleural effusion. pulmonary vascular engorgement has improved, mild right lower lobe atelectasis has recurred. heart size is moderately enlarged, but improved si...
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there is unchanged cardiomegaly. there are again seen airspace opacities within the left lung. there is mild improved aeration at the left base. no pneumothoraces are identified. there is no pleural effusion on the right side. pleural effusion on the left side would be difficult to exclude given the overlying parenchym...
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increasing right basilar opacification and volume loss. although pneumonia is difficult to exclude, the findings are fairly typical for atelectasis, although increased. clinical correlation is suggested regarding the significance of increasing right-sided opacification in the right lower lobe; follow-up radiographs cou...
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right chest wall port in appropriate position. no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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mild right middle lobe pneumonia, worsened since.
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no acute cardiopulmonary process.
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left port-a-cath catheter tip is at the level of cavoatrial junction/ proximal right atrium. there is minimal interval improvement in pulmonary edema. still present are bibasal left more than right consolidations and widened mediastinum related to mediastinal lipomatosis. no other substantial change demonstrated
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clear lungs with no evidence of pneumonia.
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findings suggesting slight fluid overload. focal left lower lobe opacity is worrisome for pneumonia.
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pa and lateral chest compared to through : mild pulmonary edema has improved since. there is no evidence of pneumonia. the neoesophagus is distended with fluid. small bilateral pleural effusions are stable. right subclavian infusion port ends in the upper svc. heart size is top normal. no pneumothorax.
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bilateral small pleural effusions, improved since the prior study. bibasal atelectasis.
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no acute cardiopulmonary process.
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mild overinflation. no other relevant changes. no lung nodules or masses suspicious for malignant disease. no hilar or mediastinal lymphadenopathy. no nodules or fibrosis of the lung parenchyma. normal size of the heart.
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left basilar linear and patchy opacities likely reflect atelectasis though infection cannot be completely excluded.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.