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MIMIC-CXR-JPG/2.0.0/files/p15290079/s59403202/fd80977a-06be7821-ec0adce0-7d8ade57-c989189f.jpg
large bilateral pleural effusions are unchanged. heart size and mediastinum are similar including cardiomegaly. patient continues to be in moderate to severe pulmonary edema.
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radiographic worsening of the small region of right lower lobe pneumonia is probably due to volume shift rather than a progression of infection. larger area of consolidation in the left lower lung extending to the lingula has not improved. large heart and mediastinal widening, due to adenopathy, are all long-standing f...
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no acute cardiopulmonary process.
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left lower lobe pneumonia.
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new right lower lobe opacity could represent early pneumonia. a repeat radiograph is recommended after adequate treatment to ensure resolution.
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compared to prior chest radiographs, through. moderate right pleural effusion is larger today than on. moderate volume of right pleural effusion collected inferiorly is hard to compare. moderate left pleural effusion may reflect splinting from pain. cardiac silhouette is largely obscured. there is no pulmonary and med...
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pa and lateral chest compared to through. previous left lower lobe collapse has resolved. lungs are well expanded and clear. there is no pleural abnormality or evidence of central lymph node enlargement.
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low lung volumes limit the assessment of the lung bases. bibasilar airspace opacities likely reflect atelectasis, but repeat exam with improved inspiratory effort is suggested when the patient is able, to further assess the lung bases.
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no acute radiographic intrathoracic pulmonary disease.
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no acute findings.
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the heart remains enlarged which may reflect cardiomegaly but pericardial effusion should also be considered. lungs are well inflated without evidence of focal airspace consolidation, pleural effusions or pneumothorax. there is an appropriate amount of aeration projecting in the retrosternal region on the lateral view....
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normal chest radiograph without evidence of pneumonia
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right internal jugular central venous catheter terminates at the cavoatrial junction without evidence of pneumothorax. enteric tube has withdrawn somewhat, with side port now in the distal esophagus, distal tip in the proximal stomach. suggested advancement so that the side port is well within the stomach. subtle left ...
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no previous images. cardiac silhouette is within normal limits and there is no vascular congestion or acute focal pneumonia. blunting of the left costophrenic angle is seen on the frontal view, though there is no evidence of posterior opacification on the lateral projection. this suggests pleural thickening rather than...
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no acute intrathoracic process.
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no radiographic evidence of mediastinal free air.
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stable pulmonary edema and bilateral effusions
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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as compared to the previous radiograph, all monitoring and support devices, with the exception of the right internal jugular vein catheter, have been removed. the lung volumes have decreased. minimal left pleural effusion and retrocardiac atelectasis. no overt pulmonary edema. expected postoperative appearance of the c...
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no acute cardiopulmonary abnormality.
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right chest tube is in place with a possible tiny right apical pneumothorax. increased opacity at the right lung base is likely due to postoperative changes in this patient status post recent right lower lobe wedge resection procedure. nonspecific linear scar or atelectasis is demonstrated at the left lung base.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17675382/s55818112/8ef41dcf-6ecbe56a-d9e8388a-af2e9a0c-63a56515.jpg
no acute cardiopulmonary process.
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no acute intrathoracic process.
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no evidence of acute cardiopulmonary process seen to explain patient's generalized seizure.
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no acute cardiopulmonary process.
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compared to prior chest radiographs since , most recently. lungs are well expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. new left pic line ends in the upper svc.
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subtle right mid lung , represent pneumonia. if confirmation of pneumonia is desired, obtain oblique views for further evaluation. recommendation(s): recommend oblique views if confirmation of pneumonia and is desired.
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large hiatal hernia and bibasilar atelectasis, although underlying pneumonia cannot be entirely excluded.
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no acute cardiopulmonary process.
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compared to chest radiographs since , most recently. lordotic positioning makes lung volumes looks smaller and cardiac size local larger, but there has been an increase in pulmonary vascular caliber and of mediastinal veins reflecting volume overload or cardiac decompensation although there is no pulmonary edema or ap...
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indistinct increased opacity at the left mid lung field may represent infectious process or aspiration, depending on the clinical setting. if patient disease antibiotics, followup radiographs in weeks are recommended to ensure resolution.
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large left pleural effusion occupying approximately of the left hemithorax.
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no evidence of acute traumatic injury. <num> mm nodular opacity in the left lower lung may relate to a costochondral junction, however confirmation with anterior shallow oblique radiographs is recommended for confirmation.
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no definite acute cardiopulmonary process to explain patient's symptoms. right base pulmonary nodule may represent a nipple shadow however followup will be necessary.
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continued bibasilar opacity, with possible slight improvement in chf findings. right ij central line has either been retracted or, if replaced, does not extend into the chest. findings discussed with the covering house officer, dr , at the time of discovery at on the day of the exam (, phone).
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new small left apical pneumothorax. were d/w dr by dr by telephone at <num>:p on the day of the exam.
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pulmonary vasculature, including both hila, is engorged but there is no edema. heart size is not enlarged. no consolidation. no appreciable pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p13291172/s52615263/41f9498c-b425d262-b9126911-83be0dae-13a77944.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16968091/s53771844/b58abe21-cba21895-c882ef85-b780ae62-433bb314.jpg
new large left pneumothorax with rightward shift of the mediastinum suggestive of tension. slight increase in right base atelectasis. resolution of a small right apical pneumothorax and unchanged subcutaneous and mediastinal emphysema. these findings were communicated via telephone by , md, to , np, at on , immediatel...
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no acute cardiopulmonary process. no definite fracture based on this nondedicated exam. if desired, dedicated rib series can be obtained.
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resolution of bilateral opacities seen previously
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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pleural effusions. no pneumonia, no pulmonary edema.
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in comparison with the study of , the cardiac silhouette is at the upper limits of normal in size. again there is evidence of bilateral pleural effusions with compressive atelectasis at the bases. indistinctness of pulmonary markings is again seen. on a previous ct examination, a differential diagnosis for this appeara...
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endotracheal and ng tubes in standard placements. low lung volumes.
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no definite acute cardiopulmonary process.
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no acute pulmonary process identified. copd. right upper zone nodule and focally marked thickening of the pleura along the left chest wall, possibly related to an old rib fracture, but not fully characterized. recommend further assessment with chest ct or, alternatively, comparison with remote prior chest x-rays (not o...
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no pneumonia or acute intrathoracic process.
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mildly increased interstitial markings, which may represent acute small airways infection or inflammation in the correct clinical setting. please note that chest radiograph is not sensitive for evaluation of metastatic disease.
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left lower lobe collapse, new on , accompanied by small to moderate left pleural effusion has not improved. today lung volumes are lower, interstitial edema is new along with probable small right pleural effusion and heart size, though a normal, is slightly larger. et tube in standard placement. left internal jugular l...
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no acute findings in the chest.
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findings consistent with lingular pneumonia.
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no findings suggestive of congestive heart failure, but multiple nodular opacities, worrisome for malignancy, although other etiologies could be considered. correlation with clinical history and chest ct are suggested if the etiology for these is unknown. findings discussed with dr at am by telephone on.
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pa and lateral chest compared to and : normal heart, lungs, hila, mediastinum and pleural surfaces. no free subdiaphragmatic air. splenic flexure of the colon is mildly distended with gas.
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hyperinflation suggests emphysema or small airways obstruction, but the lungs are clear. the cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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left base opacity compatible with pneumonia. given history of recent treatment for pneumonia this could potentially be resolving. however, there is no prior exam available for direct comparison of this finding. repeat exam in several weeks is recommended to document complete resolution.
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no acute cardiopulmonary abnormality. no displaced rib fractures identified. if there is continued concern for rib fracture, consider a dedicated rib series.
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there has been interval advancement of the feeding tube which now projects over the stomach. a dual lumen central venous catheter is seen terminating in the distal svc. a left subclavian picc line is seen terminating in the distal svc. the lung apices are not included on the study. the visualized lungs are grossly clea...
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possible minimal pulmonary vascular congestion. no definite focal consolidation. persistent elevation of the right hemidiaphragm.
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no pneumothorax, pleural effusion, or mediastinal widening. right subclavian infusion port ends in the low svc. lungs grossly clear. heart size normal. healed right rib fractures noted.
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linear atelectasis of the left lung base has improved since yesterday. no acute cardiopulmonary process.
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extensive pulmonary abnormality has developed and/or progressed since. <num> consists of consolidation in the lingula, and nodules and small irregular opacities distributed throughout the remainder of both lungs. this is presumably largely multifocal infection, perhaps with more than one pathogen, including pneumocysti...
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no evidence of acute disease.
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no acute cardiopulmonary process.
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postoperative changes. no acute cardiopulmonary changes.
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moderate right pleural effusion with compressive right basilar atelectasis. minor left basilar atelectasis. massive enlargement of the pulmonary arteries compatible with pulmonary arterial hypertension.
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no acute cardiopulmonary process.
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subtle right upper lobe anterior segment opacity adjacent to the minor fissure, possibly due to early/focal pneumonia. followup chest radiograph is recommended in four to six weeks to document interval resolution following antibiotic therapy. if this lesion persists, however, further clinical evaluation is recommended ...
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in comparison with the study of , the monitoring and support devices are unchanged. opacification at the right base is unchanged, again consistent with collapse of the middle and lower lobes. the left lung remains clear.
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comparison to ,. lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. in the interval, the patient appears to have undergone abdominal surgery, a miniscule amount of free right subdiaphragmatic air is visualized. minimal retrocardiac atelectasis. normal size of the card...
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low lung volumes with bibasilar atelectasis.
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no significant change from the prior exam. persistent bilateral pleural effusions.
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as compared to the previous radiograph, the patient has developed moderate pulmonary edema as well as a left retrocardiac parenchymal opacity that is consistent with pneumonia. no pleural effusions. low lung volumes and moderate cardiomegaly. at the time of dictation and observation, , on the , the referring physician....
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opacities within the lingula and right lung base medially are more conspicuous relative to prior examination performed. nodular opacities within the with right upper lobe are additionally noted as well. findings together likely reflect bronchocentric abnormality, infectious or inflammatory, more conspicuous compared to...
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no significant change.
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no acute cardiopulmonary abnormality.
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low lung volumes slightly distort view of the heart but no obvious evidence of cardiomegaly. no acute cardiopulmonary process.
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mild pulmonary edema, improved since. small left pleural effusion. left retrocardiac opacity is likely a combination of edema and atelectasis. continued radiographic follow-up recommended.
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mild cardiomegaly is noteworthy in a patient of this age group. no evidence of pneumonia.
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ap chest compared to : et tube and right internal jugular line are in standard placements. lung volumes are low and more focal opacification at both lung bases have worsened since. whether this is atelectasis or pneumonia is radiographically indeterminate but should be evaluated clinically. upper lungs are clear. there...
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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interval placement of an endotracheal tube in appropriate position.
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no radiopaque foreign body.
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small bilateral pleural effusions are new since exam. no pneumothorax.
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ap chest compared to : substantial improvement in opacification in both lungs is due to at least decrease in moderate pulmonary edema. the heterogeneous almost nodular abnormality in the right lung is probably residual of pneumonia and when compared to , before the patient was in pulmonary edema, is somewhat better at ...
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interval worsening of dense right middle and bilateral lower lobe consolidation which could represent hemorrhage, ards or multifocal infection. bilateral, right greater than left, pleural effusions. the endotracheal tube is in stable position <num> cm above the carina. the nasogastric tube loops at the gastroesophageal...
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lingular atelectasis or pneumonia. if the clinical findings do not conform to pneumonia ct scanning would be indicated to detect an endobronchial bleeding source. dr notified by email.
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diffuse interstitial abnormality in the lungs, potentially chronic, with superimposed consolidation at the right lung base worrisome for infection.
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left pleural effusion with overlying atelectasis. left base opacity may be due to combination of pleural effusion and atelectasis, although consolidation is not excluded. mild pulmonary vascular congestion.
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slight interval increase in the size of the moderate right pleural effusion.
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flattening of the diaphragms suggests chronic obstructive pulmonary disease. mild bibasilar opacities may be due to atelectasis or mild aspiration.
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successful drainage right pleural effusion. marked asymmetric elevation of the left hemidiaphragm with interposed bowel.
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linear atelectasis at the left lung base. no focal consolidation.
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small left perihilar density is present and most likely represents a vessel, although a small pulmonary nodule cannot be excluded. finding will be further evaluated on pending chest cta. no evidence of pneumonia or pulmonary edema.
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there is a questionable tiny left apical pneumothorax. cardiomediastinal contours are unchanged. increasing opacities in the left lower chest are a combination of postoperative changes and atelectasis. there are no other interval changes
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no acute cardiopulmonary process.