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MIMIC-CXR-JPG/2.0.0/files/p11742206/s55673867/5535ef12-255ffcdf-cfba9028-6e3c6481-80e0adaf.jpg
no evidence of free air below the right hemidiaphragm.
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heart size and mediastinum are stable. lungs are clear. there is no pleural effusion or pneumothorax. the patient is slightly rotated does assessment of the left lung base for the stages of previous aspiration is limited. no interval development of pulmonary edema seen.
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slightly increased size of a left pleural effusion and atelectasis since.
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no acute cardiopulmonary process.
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compared to chest radiographs through one. increase caliber to mediastinal veins and pulmonary vasculature, accompanying increased mild cardiomegaly, could be due to increased intravascular volume from transfusion. it is difficult therefore to distinguish mild interstitial edema from mild interstitial abnormality that...
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in comparison to chest radiograph, an intra-aortic balloon pump is in place, with tip terminating within <num> cm of the superior aspect of the aortic knob. since the time of this dictation, a subsequently reported chest radiograph documents repositioning of this device. exam is otherwise remarkable for worsening pulm...
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improved small bilateral pleural effusions, left greater than right. mild bibasilar atelectasis.
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no acute cardiopulmonary abnormality.
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as compared to the previous radiograph, there is a decrease in extent of the known pneumoperitoneum. no pneumothorax. monitoring and support devices are constant. retrocardiac atelectasis. platelike atelectasis at the right lung basis. no new focal parenchymal opacities. no pulmonary edema. no pneumonia.
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no acute cardiopulmonary process.
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resolution of right middle and upper lobe pneumonia with persistence of trace right pleural effusion.
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no acute cardiopulmonary abnormality.
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appropriate positioning of all lines, tubes, and devices. mild pulmonary edema and increasing bilateral pleural effusions, with possible loculations on the right.
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near-complete opacification of the right chest is likely a combination of consolidation and effusion. vague opacity at the left lung base could also represent consolidation, possibly aspiration. please refer to outside hospital ct for further details.
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right-sided picc in port-a-cath in appropriate positioning. mild pulmonary edema. unchanged bilateral pleural effusions, right greater than left.
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moderate left-sided effusion persists.
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no evident pneumothorax
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bibasilar atelectasis.
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no pneumonia.
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slightly improved bibasilar airspace opacities, which may be due to pneumonia, atelectasis or aspiration.
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slightly improved right lung aeration. unchanged moderate to large right pleural effusion, likely with superimposed right lower lobe collapse. unchanged pulmonary vascular congestion and mild pulmonary edema in the left lung.
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since the recent radiograph of <num> day earlier, an area of opacification at the right lung base has worsened, likely a combination of consolidation and pleural effusion. previously present left lower lobe collapse has nearly resolved with only minor residual atelectasis remaining. no other relevant change.
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no acute cardiopulmonary process. no displaced rib fracture is seen.
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pa and lateral chest compared to : moderate multiloculated residual of right pleural effusion has changed in distribution, may be minimally larger since , as judged by the volume of fluid in the fissures and loculated in the right upper hemithorax. basal pleural catheter unchanged in position. no pneumothorax. left lun...
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right central venous access catheter terminates in the mid-to-lower svc, unchanged position since at least.
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in comparison with the study of , the opacification at the left base is more coalescent, raising pneumonia in the possibility of developing. cardiac silhouette and pulmonary vascularity are essentially within normal limits. monitoring and support devices are unchanged, with the dobbhoff tube apparently extending to the...
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no acute cardiopulmonary abnormality.
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no focal opacity convincing for pneumonia.
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no acute cardiopulmonary process.
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ap and lateral chest show continued clearing of right lower lobe consolidation, but today, there is greater vascular engorgement suggesting cardiac decompensation or mild volume overload. the region of greatest residual pneumonia is probably the middle lobe, best appreciated on the lateral view. pleural effusions are s...
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no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p19972742/s52076695/a0bd0a03-7809ea2c-bf954a64-d872064d-c4ea23b5.jpg
no acute cardiopulmonary process. no significant interval change.
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new moderate-to-severe pulmonary edema with probable bilateral pleural effusions.
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lung volumes are normal. skin fold projecting over the right upper chest should not be mistaken for pneumothorax. partial obscuration of the right heart border is probably due to mediastinal fat. no focal pulmonary abnormality seen. pleural surfaces normal. heart size normal. very small hiatus hernia may be present.
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in comparison with the study of , there is little change. again there is hyperexpansion of the lungs consistent with chronic pulmonary disease and a dual-channel pacer with leads in place. no evidence of acute focal pneumonia or vascular congestion or pleural effusion. specifically, no prominence of interstitial markin...
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no acute cardiopulmonary process.
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worsening left lung atelectasis. unchanged left pleural effusion/hemothorax. no evidence of pneumothorax.
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no acute cardiopulmonary process. mild cardiomegaly, stable.
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no pneumonia.
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interval progression of opacification of the right mid and lower lung likely secondary to worsening pneumonia. there has been an interval increase in a small right pleural effusion with adjacent atelectasis. no evidence of a pneumothorax.
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ap chest compared to : small right pleural effusion unchanged. small left pleural effusion, new since. severe cardiomegaly with particularly right atrial and/or right ventricular enlargement is chronic. there are no focal findings to suggest pneumonia. upper lungs are clear. of note is severe gaseous distention of at l...
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cardiomegaly. chf findings are probably slightly worse compared with <num> day earlier. bibasilar opacities are similar to prior. persistent left effusion.
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clear lungs. right sternoclavicular dislocation. no priors for comparison to determine age.
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mildly improved diffuse reticular abnormalities without focal findings to suggest pneumonia.
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support lines and tubes are unchanged in position. heart size and mediastinum is prominent but unchanged. lungs are grossly clear without focal consolidation, large pleural effusions or signs for overt pulmonary edema. there are no pneumothoraces.
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trace right pleural effusion and bibasilar atelectasis are again seen. no acute intrathoracic process.
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no acute cardiopulmonary process.
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ap chest compared to and. mild interstitial abnormality persists at the lung bases, and there is new heterogeneous opacification in the lower lobes, and small regions of abnormality in the upper. heart is normal size and unchanged. mild engorgement of the pulmonary vasculature has been stable since , and there is no m...
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mild prominence and crowding of vascular structures primarily on the left suggestive of pulmonary vascular congestion or mild edema. no clear consolidative process is present.
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no acute cardiopulmonary abnormality.
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stable appearance of small right apical pneumothorax status post pleurx pleural catheter placement.
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no acute cardiopulmonary process.
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status post thoracocentesis. millimetric right apical pneumothorax. almost complete resolution of the pre-existing right pleural effusion. no evidence of tension. position of the fiducial seed is unchanged.
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persistent right pleural effusion without superimposed acute cardiopulmonary process. known right lower lobe mass and perihilar adenopathy is not as clearly seen on today's exam.
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chest tube removed. small focal opacity left lung base laterally probably related to the chest tube site. otherwise, doubt significant interval change. no obvious pneumothorax or gross effusion.
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as compared to , all monitoring and support devices have been removed. there is presence of a small right effusion and the subsequent right lower lobe atelectasis. borderline size of the heart. no pneumonia, no pulmonary edema.
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left picc ending in the proximal right atrium and can be pulled back approximately <num> cm for positioning at the superior cavoatrial junction. no significant change in interstitial edema given differences in lung volumes.
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no acute intrathoracic process.
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no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p10658681/s54024680/376f4da6-51394ee6-68b6f6ce-3413ba0b-d805e929.jpg
no acute cardiopulmonary process.
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in comparison with the study of , there is no definite change. there is suggestion of some increased opacification at the left base, which could possibly represent aspiration. this area should be checked on the subsequent images.
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no acute cardiopulmonary process.
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improving right hydropneumothorax with right lower lung opacifications, atelectasis versus edema are likely.
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mild pulmonary edema, slightly worse in the interval, with increased size of moderate right pleural effusion and similar small left pleural effusion. bibasilar compressive atelectasis.
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extensive opacification involving much of the right hemithorax is grossly unchanged, and likely represents a combination of asymmetric pulmonary edema and pneumonia.
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interval increased density and size of the left upper lobe consolidation. unchanged diffuse bilateral patchy airspace opacities, possibly reflecting pulmonary edema and/or multifocal pneumonia.
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findings suggestive of mild pulmonary vascular congestion.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. mild cardiomegaly.
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reticular interstitial markings with left upper lobe nodular opacities, which could represent viral/atypical infection. enlarged left pulmonary artery. recommendation(s): follow up radiograph in weeks is recommended to document resolution.
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no acute cardiopulmonary process, particularly no pneumonia or overt pulmonary edema.
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no acute cardiopulmonary process. specifically, no appreciable pneumothorax.
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no acute cardiopulmonary process.
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compared to prior chest radiographs. small bilateral pleural effusion is new. this may account for wall of the new opacification projecting over the right lower lung, but that finding also raises question of pneumonia or new atelectasis, since trachea was extubated in the interim and there is new, more readily recogniz...
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since only a small portion of the left lower lobe is re-expanded, the base of the lower lobe and the entire left upper lobe and now final the some do not on doubt he air new heterogeneous opacification has developed the base of the right lung. i suspect this is dependent edema. marked leftward mediastinal shift preven...
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no acute cardiopulmonary process.
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port-a-cath catheter tip terminates at the cavoatrial junction. heart size is normal. tortuous aorta is re- demonstrated. there is left basal opacity, that appears to be improved since the prior study and no other consolidations to suggest infectious process demonstrated. if clinically warranted, correlation with chest...
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marked decrease in right effusion following thoracentesis with no pneumothorax.
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comparison to. no relevant change is noted. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. mild elongation of the descending aorta. no pleural effusions. no pneumonia, no pulmonary edema. no lung nodules or masses.
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as compared to the previous radiograph, the lung volumes have increased, causing improvement of the pre-existing bilateral parenchymal opacities in terms of extent and severity. the monitoring and support devices are constant. unchanged size of the cardiac silhouette.
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no acute cardiopulmonary process.
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bilateral pneumonia
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no pneumothorax.
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no pneumothorax. no acute cardiopulmonary process.
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findings suggesting mild-to-moderate pulmonary vascular congestion with bilateral pleural effusions and opacities at the lung bases likely due to associated atelectasis.
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patchy right base opacity could relate to atelectasis and/or infection. possible trace right pleural effusion. minimal pulmonary vascular congestion. mild cardiomegaly.
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no acute pneumonia.
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no acute intrathoracic process.
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low lung volumes with left basilar atelectasis versus developing infection. conventional radiographs including a lateral radiograph is recommended when the patient is able.
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ap chest compared to , volume of the small residual right pneumothorax is probably unchanged, with some pleural fluid replacing air at the base and small residual of pleural air at the apex. large region of consolidation in the right lower lobe which was not present prior to the exacerbation of pneumothorax and its t...
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no evidence of acute disease.
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doubt significant change compared with <num> day earlier. please see report of chest ct obtained on at
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no acute intrathoracic process.
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ng tube tip isin the stomach. no other interval change from prior study.
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probable slight interval increase in size of bilateral pleural effusions, moderate on the right and small on the left. no significant interval change in the small right apical pneumothorax.
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inverted orientation of left chest wall pacer compared to the prior exam, but stable position of pacer leads. no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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heart size is normal. there is normal. dumbbell shaped opacity projecting over the left mid lung is. <num> by <num> mm and might represent bone island within the anterior portion of the left for strip or potentially pulmonary nodule. correlation with shell oblique views is recommended. there is no pleural effusion or p...
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compared to chest radiographs since , most recently or any ,. left lower lobe atelectasis due to central bronchial obstruction is new since. finding should be correlated with recent chest cta showing left hilar adenopathy and chronic bronchial narrowing. lungs otherwise clear. heart size normal. pleural effusion minim...
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continued decreased in right basilar opacity; otherwise no definite change. dense skeletal metastases are a background finding which may obscure the lung parenchyma, however, to some extent.