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MIMIC-CXR-JPG/2.0.0/files/p16302059/s53785005/54dd3d84-11838d42-8e21cb66-b5923ced-038ee464.jpg
et tube terminates in mid to upper trachea.
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scattered nodular opacities as seen on prior ct chest warrant a followup ct to assess for subtle interval changes/stability.
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small persistent bilateral effusions. no confluent consolidation.
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blunting of the right costophrenic angle with small pleural effusion. medial basilar opacities could relate to infectious process. prominence of the right hilum likely relates to lymphadenopathy seen on prior ct.
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transvenous right atrial pacer and right atrial pacer defibrillator leads follow their expected courses, intact from the left pectoral pacemaker generator. there is no pneumothorax, pleural effusion, or mediastinal widening. cardiomegaly is mild, exaggerated by low lung volumes, but there is no pulmonary vascular conge...
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suboptimal study since the mid to lower lateral right chest is not fully included on the image. given this, persistent enlargement of the cardiac silhouette. moderate pulmonary edema/vascular congestion. right base opacity not well assessed, could relate to pulmonary edema or consolidation due to infection or aspiratio...
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allowing for market patient rotation, there has not been an appreciable change in the appearance of the chest since the recent study performed earlier the same date.
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patient is somewhat rotated to the right. patchy right base opacity raises concern for underlying pneumonia, some of which may involve the lateral segment of the right middle lobe. right base atelectasis is also seen.
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in comparison with the study of , there is little overall change in the appearance of the heart and lungs. continued enlargement of cardiac silhouette with substantial pulmonary vascular congestion. specifically, no evidence of pneumothorax given the limitations of plain radiography.
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no evidence of pulmonary edema or pneumonia.
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no evidence of acute cardiopulmonary disease.
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moderate pulmonary edema, likely cardiogenic. this has improved from at. right upper lung opacity is most likely part of the same process, attention at follow-up.
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no acute cardiopulmonary process.
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the opacity in question appears to represent degenerative change at a costovertebral joint.
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compared to chest radiographs through. lung volumes have improved over the past <num> days, and mild pulmonary edema is no longer present, but there is still some engorgement of mediastinal veins and pulmonary vasculature, exaggerated by low lung volumes. heart is not enlarged. if there is pleural effusion it is very ...
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ap chest compared to : large region of consolidation in the right mid and lower lung zone which developed between and is unchanged since , when the patient showed evidence of mild cardiac decompensation and some of the opacity in the right lower chest was probably pleural effusion. heart is top normal size, but centr...
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no acute cardiopulmonary process.
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no pneumothorax. the appearance of the known left upper lobe mass is not significantly changed since. small left pleural effusion.
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no evidence of acute cardiopulmonary abnormality by radiography.
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in comparison with the study of , there is a small apical pneumothorax that appears slightly larger than on the previous examination. small amount of subcutaneous gas is seen in soft tissues. otherwise, little change.
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pa and lateral chest compared to : elevation of the left lung base laterally and mild pleural thickening is due to scarring, not active effusion. lungs are hyperinflated but clear. the heart is mildly enlarged. there is no pulmonary vascular engorgement or edema.
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worsening left lower lobe collapse and pleural effusion. stable right pleural effusion with improving right basilar atelectasis.
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no acute intrathoracic abnormality. lower thoracic vertebral compression deformities can be further evaluated with ct if clinically indicated.
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interval intubation with the endotracheal tube having its tip approximately <num> cm above the carinal. interval placement of nasogastric tube with its tip projecting over the stomach. left-sided pacer and right-sided port-a-cath unchanged in position. bilateral parenchymal process is unchanged being more consolidative...
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increased opacification of the right lung, probably reflecting increasing pleural effusion and lung collapse.
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no evidence of acute cardiopulmonary process.
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in comparison with the study of , there is little overall change. dobhoff tube again extends to the fundus of the stomach. continued low lung volumes, though the atelectatic changes at the bases may be less prominent. cardiac silhouette is within upper limits of normal in size with no evidence of pulmonary edema.
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<num> frontal chest radiographs show knee show positioning of the dobbhoff feeding tube in lower esophagus, and advanced to the upper stomach. lung apices are excluded from both studies. mild interstitial pulmonary edema may be present. pleural effusions small on the right if any. heart size top-normal.
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no acute intrathoracic process
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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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low lung volumes. patchy bibasilar airspace opacities could reflect atelectasis but infection is not excluded. ill-defined nodular opacity in the right upper lung field may also represent a site of infection but is nonspecific.
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et tube has been withdrawn now in appropriate position. there is no evident pneumothorax. left lower lobe opacities have increased consistent with increasing atelectasis and small left pleural effusion. there is mild vascular congestion. widening mediastinum has improved. right lower lobe atelectasis have also increase...
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no acute cardiopulmonary abnormality. chronic blunting of the left costophrenic angle suggestive of chronic pleural thickening or trace left pleural effusion.
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no acute cardiopulmonary process.
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moderate cardiomegaly without other signs of heart failure.
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no acute cardiopulmonary process.
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mild pulmonary vascular congestion, bibasal atelectasis and small bilateral pleural effusions.
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ap chest compared to : post-operative widening of the mediastinum is stable in the region of the arch, but there may be an increased caliber to the mediastinum along the right heart border and ascending thoracic aorta, findings suggesting hemopericardium, reflected in leftward displacement of the right transjugular sw...
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hyperinflated lungs, compatible with copd. no acute cardiopulmonary process. lower thoracic compression fracture, new since at least.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. persistent marked elevation of the right hemidiaphragm.
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ap chest compared to : mild pulmonary edema has changed in distribution, now more dependent, and possibly slightly improved compared to. heart is normal sized. small bilateral pleural effusions are presumed and there is worsening atelectasis at the left lung base medially. no pneumothorax. et tube and right subclavian ...
MIMIC-CXR-JPG/2.0.0/files/p17402090/s52755747/483e583a-e8abf6df-f0130610-724e645b-5bda8900.jpg
peribronchial cuffing and, right greater than left, basilar opacities are consistent with pneumonia or aspiration in the correct clinical setting. follow-up radiograph in <num> weeks is recommended to document resolution.
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stable appearance of right pigtail catheter.
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changes consistent with copd with no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13733398/s50258545/178f505a-a557de0e-e95047bb-39a34e38-f98b7657.jpg
no acute cardiopulmonary process.
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the et tube is <num> cm above the carina. the ng tube tip is in the stomach. right ij line tip is in the right atrium. lung volumes are low and i cannot exclude small/early infiltrates in the lower lobes
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normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection, including tuberculosis.
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mild interstitial pulmonary edema and small left pleural effusion.
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normal chest x-ray.
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stable examination.
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hyperexpanded lungs compatible with emphysema. no evidence of pneumonia. no pneumothorax.
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normal radiographs of the chest.
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normal chest radiograph. specifically, no pneumonia.
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no acute cardiopulmonary process
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prominent pulmonary vasculature may be related to pulmonary vascular congestion or relatively low lung volumes. recommend correlation with patient's respiratory status.
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endotracheal tube is <num> cm above the carina. interval worsening of moderate/severe left pleural effusion.
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no evidence of acute cardiopulmonary disease. prior incompletely healed right-sided rib fracture.
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as compared to prior study of <num> day earlier, lung volumes are slightly increased. asymmetrical lead distributed perihilar airspace opacities predominantly involving the right lung have slightly improved and may reflect asymmetrical edema with or without coexisting pneumonia. widespread pulmonary nodules and masses ...
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minimal change in cardiogenic pulmonary edema.
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no evidence of cardiopulmonary process.
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slight interval increase in the left retrocardiac and right lower lobe opacitycan be aspiration.
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no acute cardiopulmonary process.
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there is a small right effusion. there are no new lung abnormalities. known left hilar mass better seen in prior ct.
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no new consolidation. mild left basilar atelectasis. small left pleural effusion.
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no acute intrathoracic process
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moderate pulmonary edema with small bilateral pleural effusions, similar compared to the prior exam. bibasilar airspace opacities likely reflect compressive atelectasis but infection cannot be excluded.
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no acute cardiopulmonary process.
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no previous images. cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. of incidental note is extensive calcification in the mitral annulus.
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in comparison with the study , of the monitoring and support devices remain in good position. there is again evidence of elevated pulmonary venous pressure that may be slightly less than on the previous study.
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in comparison with the study of , allowing for decrease in the degree of inspiration, there is probably little overall change in the diffuse bilateral pulmonary opacification is. monitoring and support devices are essentially unchanged.
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widened mediastinum may be secondary to fat deposition, but given the mechanism of injury, aortic injury is not excluded and further evaluation with ct is warranted. no definite fracture.
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mild pulmonary edema has resolved since. bibasilar atelectasis has worsened, and small bilateral pleural effusions are no smaller. the cardiac silhouette is partially obscured by atelectasis but persistently moderately enlarged. no pneumothorax. right picc line ends in the upper svc.
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no evidence of acute cardiopulmonary abnormality.
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lungs are hyperinflated suggestive of underlying emphysema. endotracheal tube has its tip <num> cm above the carina. nasogastric tube is seen coursing below the diaphragm with the tip not identified. no focal airspace consolidation is seen to suggest pneumonia. no pulmonary edema, pleural effusions or pneumothorax. ove...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no pneumothorax. left retrocardiac opacity with associated volume loss may be atelectasis but in the right clinical setting can suggest pneumonia. again noted is the atypical configuration of the left ij catheter likely in a persistent left svc or one of its branches
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stable mild cardiomegaly and central vascular congestion.
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comparison to. unchanged moderate overinflation on the right and elevation of the left hemidiaphragm. healed left-sided rib fractures. right mid lung and right apical calcified granulomas. relatively extensive apical scarring as well as right perihilar scarring. in addition, there is unchanged mild right perihilar nodu...
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in comparison with the earlier study of this date, a right chest catheter is in place and there has been removal of a substantial amount of pleural fluid on the right. nevertheless, the large effusion persists. no evidence of pneumothorax. the left lung remains clear and there is no evidence of pulmonary vascular conge...
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no acute cardiopulmonary abnormality.
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persistent consolidation in lingula, which may be new or recurrent atelectasis or organized pneumonia. severe bronchiectasis and nodular opacities appear stable since , but worse since. given the combination of severe bronchiectasis and emphysema, active suppurative bronchiectasis due to non-tuberculous mycobacterial i...
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low lung volumes with retrocardiac patchy opacity most likely reflective of atelectasis.
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there is substantial interval increase in right pleural effusion with the leftward shift of the mediastinum. no substantial left pleural effusion demonstrated. no definitive pulmonary edema is seen. no pneumothorax is present.
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no acute intrathoracic process.
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no acute intrathoracic process.
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no evidence of pneumonia.
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mild cardiomegaly and mild pulmonary edema.
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ap chest compared to. properly positioned film shows the extent of volume loss in the right hemithorax, not quite as severe. in addition to moderately severe pulmonary edema in the left lung, there is considerably more consolidation on the right. this could be due to combination of atelectasis and edema, but is of seri...
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unremarkable chest radiograph.
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mild pulmonary vascular congestion and edema.
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in comparison to study of , the central catheter is been removed. little change in the postsurgical appearance of the left hemithorax. no definite pneumothorax at this time. the right lung remains essentially clear.
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stable cardiomegaly. no evidence of pneumonia.
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hypoinflated lungs with no acute cardiopulmonary findings.
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compared to chest radiographs since , most recently. mild pulmonary edema persists. left lower lobe is still collapsed. small to moderate bilateral pleural effusions stable. heart size normal. no pneumothorax. et tube in standard placement. drainage tube ends in the mid stomach.
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dr findings and revision of preliminary interpretation witn dr by phone at am.
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findings raise concern for possible early/developing right middle lobe pneumonia.
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no acute intrathoracic process.
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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.