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MIMIC-CXR-JPG/2.0.0/files/p19396070/s50534773/09583543-6dea5e38-b2034bf2-152dea99-b6b5bbb1.jpg
enlarged heart with interval development of mild pulmonary and interstitial edema.
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in comparison with the study of , there are lower lung volumes. continued enlargement of the cardiac silhouette with increasing pulmonary vascular congestion. haziness at the bases suggest possible small pleural effusions with atelectatic changes at the bases.
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no evidence of free air beneath the diaphragms.
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heart is mildly enlarged, pulmonary vasculature borderline engorged. no pulmonary edema. lungs clear. no pleural effusion. thoracic scoliosis mild. possible lytic lesion medial aspect of the upper right scapula, and in several posterior lower ribs, as seen on the lateral view. chest radiograph is relatively insensitive...
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low lung volumes. moderate pulmonary edema. increased opacity at the right lung base- underlying infection should be considered in the appropriate setting.
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ap and lateral chest compared to : pulmonary vascular engorgement and residual edema have largely cleared since. loculated pleural effusion against the lateral chest wall and in the major fissure as well as a smaller amount layering in the lower hemithorax has not changed. moderate cardiomegaly and left lower lobe atel...
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little change.
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no signs of pneumonia.
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emphysema without superimposed pneumonia.
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mild central venous congestion without frank pulmonary edema. top normal heart size. low lung volumes limits evaluation.
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no acute cardiopulmonary process. no rib fracture identified. if high clinical concern for a rib fracture persists, could consider further evaluation with dedicated rib radiographs.
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no evidence pneumonia.
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no evidence of acute cardiopulmonary process. interstitial lung changes are better seen on ct from. extensive anterior bridging osteophytes in the thoracic spine with preservation of the disc spaces may represent dish.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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endotracheal tube and enteric tube appear in position.
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no evidence of pneumonia.
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findings compatible with pulmonary edema.
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no acute cardiopulmonary abnormality. hyperinflation of lungs suggestive of underlying copd.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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mild elevation of the right hemidiaphragm without focal consolidation or large pleural effusion seen.
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no acute cardiopulmonary process identified. there is severe osteopenia which somewhat limits optimal evaluation for subtle fractures. no displaced fractures identified.
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probable retrocardiac atelectasis.
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clearing of mild vascular congestion. there is interval development of a small left apical pneumothorax. no other significant change.
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new patchy left retrocardiac opacity which may reflect patchy atelectasis, aspiration, or a developing pneumonia. short-term followup radiographs may be helpful in this regard.
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postsurgical changes in the right hemithorax. no acute cardiopulmonary abnormality
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bibasilar bronchopneumonia, likely atypical.
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no significant change in position of the nasogastric tube, which terminates in the distal stomach/proximal duodenum.
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pacemaker defibrillator lead terminates in the right ventricle. heart size and mediastinum are unchanged including cardiomegaly but there is interval progression/worsening of pulmonary edema, currently severe. bibasal opacities might potentially also reflect aspiration although less likely and reassessment after diures...
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no acute cardiopulmonary process. no definite fracture. although no fracture or other bone abnormality is seen, conventional chest radiographs are not appropriate for detection or characterization of chest cage lesions. any focal findings should be clearly marked and imaged with either bone detail views or ct scanning....
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no acute cardiothoracic process.
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no acute cardiopulmonary process.
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cardiomediastinal silhouette is within normal limits. there remains mild pulmonary edema. there is a small right-sided pleural effusion. there is no focal consolidation.
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compared with the recent radiographs, there is possible mild indistinctness of the pulmonary vessels, suggesting mild elevation of the pulmonary venous pressure, in the setting of a mildly enlarged heart.
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postoperative change. no acute disease.
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no acute cardiopulmonary process. right pleural effusion is slightly smaller than on prior study. no pneumothorax or pneumomediastinum.
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compared to chest radiographs. no focal pulmonary abnormality. normal cardiomediastinal and hilar silhouettes and pleural surfaces. chest ct scanning would be required to assess the extent of emphysema if any.
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comparison to. monitoring and support devices, including the endotracheal tube, are in stable correct position. a right middle lobe atelectasis continues to be present, in virtually unchanged manner. a retrocardiac atelectasis is minimally more severe than on the previous image. no larger pleural effusions. no pulmonar...
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decreased loculated air-fluid levels within the right pneumonectomy space. minimally decreased air loculations in the pneumonectomy space. persistent fluid in the right pleural space. left lower lobe opacities are unchanged and could reflect aspiration from the pneumonectomy site. right pic line courses into the neck o...
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no acute cardiopulmonary process.
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emphysema but no acute cardiopulmonary process.
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findings compatible with chf.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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lung volume is low with stable appearance of the left lower lobe <num> mm granuloma. patient has had vertebroplasty of lower thoracic vertebra. cardiac size is minimally enlarged. no pleural effusion or pneumothorax. there is no acute cardio-pulmonary process.
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stable chest findings. no evidence of cardiac enlargement, pulmonary congestion, or acute infiltrates. mild degree of aortic widening and elongation does not appear excessive for patient's age.
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ett terminates <num> cm above the carina. left retrocardiac opacity may represent atelectasis or aspiration.
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no acute cardiopulmonary process.
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interval removal of chest tubes without evidence of pneumothorax. reviewed with dr.
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increased opacity at the left apex, which may represent atelectasis or aspiration.
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no new focal consolidations concerning for pneumonia.
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port-a-cath catheter tip terminates at the level of lower svc. cardiomediastinal silhouette is stable. small bilateral pleural effusion and pleural thickening on the left are unchanged. overall no interval development of the process that may explain patient's symptoms noted on the chest radiograph
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no acute cardiopulmonary process.
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pa and lateral chest compared to and : left upper lobe pneumonia has resolved. aside from calcified granulomas in both lungs are longstanding, lungs are clear. there is no evidence of central adenopathy. no pleural abnormality.
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left basilar patchy opacity likely reflective of atelectasis, though infection cannot be completely excluded.
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no acute cardiopulmonary abnormality.
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unchanged blunting of the left costophrenic and left volume loss since. findings could represent pleural thickening and scarring versus persistent small effusion. no right consolidation.
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no evidence of acute disease.
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slight decrease in size of pleural effusions since.
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in comparison to chest radiograph, increase in heart size is accompanied by worsening pulmonary vascular congestion, mild interstitial edema, slight increase in size of small right pleural effusion and new small left pleural effusion. newdiscoid atelectasis are present in the middle lobe and lingula. no other relevant...
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background copd. upper zone redistribution. no focal infiltrate detect to suggest pneumonic infiltrate. no consolidation. right apical pulmonary nodule identified on cxr from is less apparent on the current study, but could be obscured due to overlying osseous structures. please see report from that study that suggest...
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in comparison with the study of there is no interval change. no pneumonia, vascular congestion, or pleural effusion. specifically, no evidence of interstitial prominence to radiographically suggest amiodarone toxicity.
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streaky right basilar opacities may reflect atelectasis and/or scarring. hyperinflation of the lungs suggestive of underlying copd.
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pa and lateral chest compared to : borderline cardiomegaly is unchanged. there is no pleural abnormality. lungs are clear. mediastinal and hilar silhouettes are unremarkable.
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no lobar consolidation. possible mild pulmonary edema.
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no acute cardiopulmonary process. nodular opacity projecting over the anterior right first rib, potentially within the bone; however, may represent an underlying nodule. apical lordotic view suggested.
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normal chest radiograph. specifically no pneumonia or pleural effusion.
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no acute intrathoracic abnormality.
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nasogastric tube terminating in the stomach.
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new right lower lobe airspace opacity with associated volume loss is likely due to atelectasis, but pneumonia cannot be excluded in the appropriate clinical setting.
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ap chest compared to : picc line still ends low in the right atrium, no less than <num> cm beyond the estimated location of the superior cavoatrial junction. severe cardiomegaly has worsened, and pulmonary vascular congestion may have progressed as well. tracheostomy tube in standard placement. feeding tube passes belo...
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no evidence of acute cardiopulmonary process.
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no acute intrathoracic process.
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right middle lobe atelectasis and right lower lobe collapse is seen. no evidence of aspiration or consolidation noted.
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stable postoperative alterations of right mediastinal contour following esophagogastrectomy procedure. questionable increase in right pleural effusion.
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ap chest compared to : severe scoliosis distorts the thoracic anatomy. lungs are grossly clear and there is no pleural abnormality. heart is moderately enlarged. infusion port catheter ends low in the svc or in the upper right atrium. no pneumothorax or substantial pleural effusion.
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mild residual pulmonary edema.
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low lung volumes without definite focal consolidation.
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unusual appearance of the right hilum, and lymphadenopathy or other lesion cannot be excluded. recommend dedicated ct of the chest for additional evaluation. hyperexpanded lungs.
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new patchy opacity at the left lung base concerning for early pneumonia in the correct clinical setting.
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persistent small pleural effusions bilaterally. left lower lobe atelectasis or consolidation.
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no acute intrathoracic abnormalities identified. no subdiaphragmatic free air.
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pulmonary vascular congestion. right basilar opacity suggestive of effusion with possible associated atelectasis or infection.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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patchy right mid lung zone opacity, most likely pneumonia. recommend repeat radiograph after treatment to ensure resolution.
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stable right pleural effusion. no evidence overt failure however slight redistribution of the vasculature.
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pulmonary vascular congestion with mild interstitial edema, not significantly changed from same day radiograph. no focal consolidation.
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mild bibasilar atelectasis. reported rib lesion not clearly noted on these radiographs, and correlation with outside imaging is recommended.
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no acute cardiopulmonary process.
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no significant interval change from chest radiograph obtained earlier on the same day, with persistent volume loss as a result of of the left suprahilar tumor.
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no acute cardiopulmonary process.
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retrocardiac opacity, new since. this may represent a small left pleural effusion. moderate cardiomegaly. mild vascular congestion.
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final position of the endotracheal tube is <num> cm above the carina. low lung volumes with new bibasilar opacities which may represent atelectasis versus aspiration.
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as compared to the previous radiograph, there is presence of bilateral mild to moderate pleural effusions. the effusions are better appreciated on the lateral than on the frontal image. low lung volumes. moderate cardiomegaly. bilateral areas of atelectasis. no overt pulmonary edema.
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the patient's known right-sided rib fractures are not apparent on these images. no associated pneumothorax.
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no acute cardiopulmonary process.
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mild pulmonary edema.
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compared to prior chest radiographs :<num>. lung volumes are still quite low, left lower lobe is largely collapsed, and moderate right lower lobe atelectasis stable as well. previous mild pulmonary edema and mediastinal venous engorgement have nearly resolved. heart size top-normal. no pneumothorax.