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MIMIC-CXR-JPG/2.0.0/files/p14470177/s59397677/c4bd33f5-72926f24-c5ff061a-02a3ff08-2974a713.jpg
in comparison with the study of , there is little overall change. again there is some hyperexpansion of the lungs consistent with chronic pulmonary disease. bibasilar atelectatic changes are seen, without definite acute pneumonia. no vascular congestion or pleural effusion. apical pleural changes suggest old tuberculou...
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previous severe left lower lobe atelectasis has improved. marked elevation of the right hemidiaphragm is chronic. mild to moderate cardiomegaly also long-standing. no pulmonary edema or appreciable pleural effusion. et tube and nasogastric tube in standard placements.
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no relevant change as compared to the previous image. moderate cardiomegaly. mild pulmonary edema. small bilateral pleural effusions. no pneumonia. constant alignment of the sternal wires.
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no acute cardiopulmonary process. no displaced rib fractures are seen. if clinical concern for rib fracture is high, dedicated rib series or ct is more sensitive.
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right lower lobe pneumonia. left lower lobe consolidation smaller, unchanged could be either atelectasis or second focus of pneumonia. no appreciable pleural effusion. heart size normal. normal cardiomediastinal silhouette. left subclavian line ends in the mid to low svc. no pneumothorax.
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pa and lateral chest compared to : the extent of peribronchial infiltration in the right middle lobe due to bronchiectasis varies on prior chest radiographs. today, it is slightly more pronounced than it was on. the component in the lingula is more consistent. there are no new areas of abnormality elsewhere in the lung...
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persistent left lower lobe consolidation compatible with pneumonia. no new region of consolidation. as previously advised, follow up is recommended after treatment to document resolution.
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no acute cardiopulmonary abnormality.
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no acute intrathoracic abnormality.
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stable mild cardiomegaly with mild interstitial pulmonary edema and interval increase in small bilateral pleural effusions. mild bibasilar opacities likely reflect atalectasis, less likely pneumonia.
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ap chest compared to : large mass in the right lower hemithorax has grown from <num> x <num> cm in to <num> x <num> cm today, with a greater destruction of adjacent ribs. smaller nodules in the left lung are slightly larger. there is no appreciable pleural effusion or evidence of pneumonia or cardiac decompensation. t...
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no significant change.
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findings suggesting mild pulmonary vascular congestion in the appropriate clinical setting.
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as compared to the previous radiograph, no relevant change is seen. the bony parts of the chest wall appear unremarkable. borderline size of the cardiac silhouette. mild elongation of the descending aorta. the hilar and mediastinal structures are unremarkable. normal appearance of the lung parenchyma. no pleural effusi...
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no new focal consolidation to suggest pneumonia. chronic interstitial abnormality within the left lung base and scarring within the right upper lobe. status post left upper lobectomy.
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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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no evidence of acute cardiopulmonary disease.
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left lower lobe pneumonia or atelectasis. left lower lobe pulmonary nodule is again noted. a radiodensity projects over the proximal left humerus. dedicated humerus radiographs could be considered to definitively identify an osseous lesion. alternatively, a nonurgent bone scan could be considered to evaluate for additi...
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minimal improvement in the left-sided component of multi focal pneumonia since , previously worsened since. cardiac silhouette is largely obscured. small to moderate left pleural effusion is presumed. pulmonary edema and right pleural effusion minimal if any. no pneumothorax. right pic line ends in the right brachiocep...
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the lung volumes are low. there is mild fluid overload but no overt pulmonary edema. the size of the cardiac silhouette is at the upper range of normal. bilateral areas of atelectasis are present at the left and right lung bases. no pneumonia. no larger pleural effusions. no pneumothorax.
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no acute cardiopulmonary process. please note that chest radiography is insensitive for evaluation of thoracic trauma.
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no evidence of pneumothorax.
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subtle wispy opacity in the left upper lobe may represent early pneumonia; recommend follow-up to resolution to exclude underlying mass.
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overall stable appearance of the chest without frank pulmonary edema. probable small pleural effusion on the right with scattered areas of atelectasis.
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in comparison with the study of , there is no interval change or evidence of acute cardiopulmonary disease. specifically, no evidence of skeletal or pulmonary metastases.
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compared to prior chest radiographs since , most recently. severe cardiomegaly is stable. pulmonary vascular engorgement is mild, probably chronic. no pulmonary edema or pleural effusion. none.
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minimally increased moderate left anterior loculated hydropneumothorax. improved lung volumes. persistent trace left apical pneumothorax. worsening opacity at the left lung base, likely atelectasis, though possibly reflecting pneumonia. improved right lower lung opacity, most consistent with atelectasis.
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new left lingular opacity may represent atelectasis or infection in the correct clinical setting.
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no acute cardiopulmonary process. vague opacity in the left upper lung in the same area as identified on the prior chest ct, which should be further evaluated with followup chest ct non-urgently, as recommended previously, to rule out underlying mass.
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ap chest compared to : pigtail pleural drainage catheter in place superiorly, small bore right pleural drain in place inferiorly, both along the lateral chest wall. probable small persistent right pneumothorax. no appreciable pleural effusion. moderately severe infiltrative pulmonary abnormality has been present withou...
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ap chest compared to : there has been little interval change. there is at least a moderate left pleural effusion, and there may be substantial left basal atelectasis that it obscures. left pic line ends in the svc. feeding tube ends in the stomach. the heart is mildly enlarged and unchanged. small left pleural effusion...
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endotracheal tube tip terminates <num> cm above the carina. recommended further advancement for optimal positioning. ngt beneath diaphragm, off film. cardiomegaly. bilateral opacities, likely reflecting mild pulmonary edema. left lower lobe collapse and/or consolidation.
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no acute intrathoracic process.
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heart size and mediastinum are stable. ng tube tip is most likely in the stomach. right subclavian line tip is at the level of mid svc. bibasal areas of opacities are unchanged. no interval development of pneumothorax or pleural effusion demonstrated.
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small bilateral pleural effusions, right greater than left with bibasilar atelectasis.
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in comparison with the study of , there again are relatively low lung volumes that accentuate the transverse diameter of the heart. mild indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure. streaks of atelectasis are again seen at the bases. at the right base medially, there is increase...
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comparison to. decreased lung volumes with subsequent increase in lung density at the lung bases. the changes reflect atelectasis no pneumonia. no pulmonary edema, no larger pleural effusions. borderline size of the cardiac silhouette.
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intervally improved left pleural effusion, and stable to slightly improved pulmonary edema since the prior study. the above findings were communicated to dr , by dr telephone at , five minutes after discovery.
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in comparison with the study of , there has been placement of a: in the right bronchus intermedius. otherwise, little change in the appearance of the heart and lungs with substantial opacification at the right base and less prominent opacification at the left base consistent with multifocal pulmonary hemorrhage or infe...
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ap chest compared to , although the patient has been extubated lung volumes are larger, probably because mild congestive heart failure has nearly cleared. there is no longer pulmonary edema and pulmonary vascular engorgement is improved, heart size, now normal. the presumed temporary pacer lead is unchanged in positi...
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mild cardiomegaly accompanied by mediastinal venous engorgement but no pulmonary vascular distention, edema, or appreciable pleural effusion. lungs grossly clear.
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comparison to the. the normal position of the monitoring and support devices is stable. unchanged alignment of the sternal wires. stable moderate cardiomegaly and stable moderate pulmonary edema, the presence of a small left pleural effusion cannot be excluded. extensive atelectasis on the left. no new focal parenchyma...
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subtly increased opacity in the right infrahilar region may be related to post treatment changes or a focus of infection in the appropriate clinical setting. loculated right pleural effusion is stable. small right apical pneumothorax.
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in comparison to previous study from earlier the same date, a right pleural effusion has been evacuated with a pleural catheter in place. the right lung is entirely collapsed, more fully evaluated on ct from earlier the same date, and a large right pneumothorax is present as well as a small amount of loculated right pl...
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no acute cardiopulmonary process. coronary calcifications in at least the lad are moderate to severe.
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in comparison with the study of , the patient has taken a better inspiration. cardiac silhouette is within normal limits and the leads of a dual-channel pacer are in good position. no vascular congestion, pleural effusion, or acute focal pneumonia. specifically, no evidence of reticular changes to radiographically sugg...
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ap chest compared to on. feeding tube with a wire stylet in place has been advanced further into the stomach, beyond the nasogastric drainage tube which ends in the upper stomach. right internal jugular line ends in the mid-to-low svc. et tube in standard placement at the thoracic inlet. moderate-to-large bilateral p...
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no acute cardiopulmonary process.
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normal chest radiograph.
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no acute cardiopulmonary process.
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interval resolution of the left pleural effusion status post thoracentesis. there is an area of consolidation that obscures the left heart border, and likely represents a lingular pneumonia. vertical line in left hemithorax is unlikely due to a loculated pneumothorax given the presence of pleural markings beyond it.
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port-a-cath terminates in the lower svc. lungs are clear. there is no pleural effusion or pneumothorax. lungs are clear.
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mild pulmonary vascular congestion.
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dobbhoff tube tip is in the stomach. heart size and mediastinum are stable. right internal jugular line is in the superior mediastinum. right lower lobe atelectasis is unchanged. no interval development of pneumothorax is seen.
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there are low lung volumes. there are bibasilar atelectasis. cardiomegaly cannot be assessed. there is no pneumothorax. if any there are small bilateral effusions. there is mild vascular congestion. the sternal wires are unchanged, the upper most sternal wire is fractured
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in comparison with the study of , the the picc line is difficult to see, though it appears to extend to the mid portion of the svc. there are lower lung volumes, but no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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normal chest radiographs. findings were communicated via phone call by dr to dr on at pm.
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no acute cardiopulmonary process.
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mildly displaced fractures of the left and likely lateral ribs. mild left lower lobe atelectasis and probable trace left pleural effusion.
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no evidence of acute cardiopulmonary abnormalities.
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no acute cardiopulmonary process.
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of the right-sided vats resection, the right chest tube is in constant position. the lung volumes have slightly decreased. there is no visible pneumothorax. moderate cardiomegaly. the relatively extensive bilateral parenchymal opacities have minimally increased in extent.
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in comparison with the earlier study of this date, there has been placement of an endotracheal tube with its tip at the mid clavicular level, approximately <num> cm above the carina. otherwise little change.
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tracheostomy tube projects appropriately over the midline trachea on the frontal view, however evaluation is limited on the lateral view. additional imaging of the lateral view of the neck or an augmented lateral view may be helpful for further evaluation. updated recommendation was submitted to the nurse by dr on.
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mild pulmonary vascular engorgement with patchy left basilar opacity, likely atelectasis. possible trace bilateral pleural effusions. no pneumothorax.
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unremarkable portable chest x-ray.
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in comparison with the study of , there is little overall change. again there are low lung volumes that accentuate the transverse diameter of the heart. compression deformities are again seen of multiple thoracic vertebral bodies. at the limitation of plain radiography, there is no unequivocal evidence of parenchymal o...
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ap chest compared to through. previous pulmonary vascular engorgement has improved. moderate left basal consolidation and accompanying small pleural effusion are smaller. heart size top-normal. no pneumothorax cardiopulmonary devices in standard placements unchanged.
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widening of the right paratracheal stripe and abnormality of the left mediastinal contours are of uncertain etiology. further evaluation with chest ct is recommended.
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in comparison with the study of , the cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. the atelectatic streaks at the left base is no longer visible.
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low lung volumes with left basilar streaky opacity most likely reflective of atelectasis.
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no acute cardiopulmonary process. normal heart size.
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comparison to ,. the patient is now intubated. the tip of the endotracheal tube projects <num> cm above the carina. no complications, notably no pneumothorax. minimally increasing retrocardiac atelectasis. otherwise the radiograph is unchanged.
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comparison to. the radiograph is not substantially changed. low lung volumes. monitoring and support devices are in stable correct position. retrocardiac atelectasis with small left pleural effusion persists. borderline size of the cardiac silhouette. mild fluid overload but no overt pulmonary edema.
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patchy bibasilar airspace opacities concerning for a small airways infectious process.
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mild pulmonary vascular congestion. minimal patchy bibasilar airspace opacities, improved compared to the prior study, but could reflect atelectasis, infection or aspiration.
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no acute chest pathology.
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smaller lung nodules since the prior radiographs with increased cavitation.
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in comparison with the study of , the atelectatic changes at the left base, best seen on the lateral view, have almost completely cleared. otherwise, no evidence of pneumonia, vascular congestion, or pleural effusion. specifically, no radiographic evidence of hilar or mediastinal adenopathy.
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overall, slight interval worsening of the right-sided moderate pneumothorax compared to the prior exam from.
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pa and lateral chest compared to : pulmonary edema which developed on has essentially resolved. small-to-moderate bilateral pleural effusions, both slightly smaller are residual of the episode of acute cardiac decompensation. mild cardiomegaly unchanged. transvenous right atrial and right ventricular pacer leads follo...
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subtle right basilar patchy opacity may be due to atelectasis, underlying subtle consolidation due to aspiration, contusion, or pneumonia not excluded. no definite rib fracture, although standard chest radiographs are insensitive for a rib fractures. if concern for fracture persists, dedicated rib films with sites of f...
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patient has had median sternotomy for aortic valve replacement, as well as coronary stenting. heart is mildly enlarged, but decreased since. lungs are well expanded if not mildly hyperinflated, but clear, and the pulmonary vasculature is normal. there is no evidence of central adenopathy and no pleural abnormality is s...
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ap chest compared to : moderate cardiomegaly persists and pulmonary vascular engorgement is only mild. bilateral infrahilar pulmonary abnormality could be a combination of early edema and atelectasis, not appreciably changed over the past two days. feeding tube passes into the proximal jejunum. et tube in standard plac...
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no evidence of acute disease.
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no acute cardiopulmonary process. no pneumonia.
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no acute cardiopulmonary process.
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markedly low lung volumes. widened mediastinum is most likely related to recent procedure and recent extubation/ removal of positive pressure ventilatory support. there is no pneumothorax.
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no acute intrathoracic abnormalities identified.
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increasing opacification of the left upper hemithorax, suspected to predominantly represent increasing pleural effusion, without other significant change in pulmonary findings. sclerotic mid thoracic vertebral body; although noting that metastases to the bones are mostly not well characterized, the possibility of incre...
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chest tube in appropriate positioning without any evidence of pneumothorax.
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right lobe opacity, likely right upper lobe collapse, slightly worse compared with most recent prior film.
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compared to prior chest radiographs through. small to moderate residual left pleural effusion and thickening, have decreased further since. associated to a atelectasis in the left lung is probably due to pleural restriction. right lung is clear. no right pleural effusion. heart is probably normal size.
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no acute cardiopulmonary process.
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no radiographic evidence of pneumonia.
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right mid to lower lung opacity, worrisome for pneumonia.
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right basilar patchy opacity concerning for pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding.
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mild pulmonary edema with small bilateral pleural effusions. no evidence of pneumonia.