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MIMIC-CXR-JPG/2.0.0/files/p14841168/s51322686/4ab443e8-381a282a-dfe41cd5-8edde8bf-72cbeb68.jpg
limited study, but overall grossly stable. the slight engorgement is noted principally in the left hilar region may be in part due to recumbency.
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no previous images. the cardiac silhouette is mildly enlarged and there is tortuosity of the descending aorta. no acute pneumonia, vascular congestion, or pleural effusions. surgical clips are seen in the with right axillary region. no evidence of hilar or mediastinal adenopathy or prominence of interstitial markings t...
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mild pulmonary vascular congestion with tiny left pleural effusion.
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cardiomediastinal silhouette is unchanged. tracheostomy is in place. there is no interval development of pneumothorax. small bilateral pleural effusions are demonstrated. rib fractures are appreciated as well.
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normal chest radiograph without evidence of intrathoracic malignancy.
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previous mild pulmonary edema has resolved. pulmonary vasculature is still engorged. severe cardiomegaly is chronic. no pleural abnormality. vascular clips denote prior coronary bypass grafting.
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no acute intrathoracic process.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, no relevant change is seen. mild fluid overload but no overt pulmonary edema. no pneumonia. no pleural effusions. moderate cardiomegaly. no pneumothorax.
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patchy bibasilar airspace opacities likely reflective of atelectasis in the setting of low lung volumes.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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no evidence for significant change or acute disease.
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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mild cardiomegaly, unchanged hiatal hernia.
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postsurgical changes in the left upper lobe and chest wall. small left pleural effusion. no radiographic evidence for pneumonia.
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no significant interval change when compared to the prior study.
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no acute findings in the chest.
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bibasilar streaky airspace opacities likely represent atelectasis, although superimposed infection is difficult to exclude. mild-to-moderate pulmonary edema and trace bilateral pleural effusions. clustered calcifications at the right lung apex are stable from at least , possibly representing the sequelae of prior infec...
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in comparison with the study of , the monitoring and support devices are stable. hazy opacification at the right base with silhouetting hemidiaphragm is consistent with layering pleural effusion and compressive atelectasis. left basilar changes are much less prominent. cardiac silhouette is within normal limits, though...
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extensive bilateral right greater than left consolidations have worsened. cardiac size cannot be evaluated, is obscured by the parenchymal abnormalities. et tube is in standard position. ng tube tip is in the stomach. there is no evident pneumothorax
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comparison to ,. minimal blunting of the right costophrenic sinus, likely by small pleural effusion but no evidence of a circumscribed parenchymal opacity at the right lung bases. moderate cardiomegaly persists. mild fluid overload but no overt pulmonary edema. moderate overinflation. retrocardiac atelectasis.
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minimally decreased moderate bilateral pleural effusions, right greater than left, with associated atelectasis.
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pa and lateral chest compared to : lungs are chronically hyperinflated. small areas of irregular opacification at the left base on the frontal view and projecting over the cardiac silhouette on the lateral, perhaps in the right lower lobe could be small areas of pneumonia. the patient has had median sternotomy and aort...
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no acute cardiopulmonary process given low lung volumes.
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bilateral pulmonary masses most concerning for metastases in the setting of a known primary malignancy.
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increased right pleural effusion.
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slight improvement in bibasilar atelectasis. persistent small pleural effusions.
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mild cardiomegaly without evidence of congestive heart failure or pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. known left upper lobe lesion is better appreciated on recent ct.
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interval removal of et tube with improvement in pulmonary edema and unchanged moderate left effusion with left lower lobe collapse.
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appropriate placement of all support devices. low volume lungs are clear.
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as compared to the previous radiograph, the radiographic appearance is mildly improved. the right lung base has increased in radiolucency, likely reflecting a decrease in pleural effusion and pulmonary edema. the retrocardiac atelectasis is unchanged, also unchanged is the small left pleural effusion but overall, the s...
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heart size is normal. mediastinum is normal. lungs are clear. there is no pleural effusion or pneumothorax. no focal consolidations noted
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status post placement of tunneled left subclavian catheter which may coil at the junction of the right subclavian vein and svc, or curve posteriorly to and to the azygos vein. a repeat pa and lateral radiograph may be obtained for more specific local is the. no pneumothorax.
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low lung volumes without visualized acute cardiopulmonary process.
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no acute cardiopulmonary process.
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<num>) since , probably worsening right lower lobe ground-glass opacities. the possibility of a superimposed pneumonic infiltrate cannot be excluded. <num>) the right lower lobe mass is similar, but may be slightly larger, allowing for technical differerences. <num>) stable left mid-to-lower hemithorax opacities.
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findings suggesting mild fluid overload. new nodular densities projecting over the right lung for which a ct evaluation is suggested when clinically appropriate since these may represent new lung nodules in the setting of known prior malignancy.
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no acute intrathoracic process.
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no radiographic evidence for acute cardiopulmonary process.
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no evidence of pneumothorax or other findings suggestive of acute cardiopulmonary disease.
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retrocardiac opacity, not significantly changed since the prior ct of the chest in , and likely due to superinfection of pulmonary sequestration. results were discussed with dr room resident) at on via telephone by dr at the time the findings were discovered.
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no acute cardiopulmonary process.
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low inspiratory volumes. no pneumothorax detected. patchy opacity right cardiophrenic region.
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small right pleural effusion. no radiographic evidence of metastatic disease.
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comparison to. low lung volumes. the venous introduction sheet on the right was removed. bilateral areas of atelectasis, right more than left. mild cardiomegaly persists. no overt pulmonary edema. no pneumothorax.
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no acute cardiopulmonary process.
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heart size is normal. mediastinum is normal. lungs are clear. there is no pleural effusion or pneumothorax.
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no acute cardiopulmonary process.
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no radiographic evidence for pneumonia.
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in comparison with the study of , the endotracheal tube is been removed and replaced with a tracheostomy tube. no post -procedure pneumothorax. extremely low lung volumes enhance is the transverse diameter of the heart. retrocardiac opacification is consistent with volume loss in the left lower lobe, probably with smal...
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increased right lower lobe opacity, concerning for pneumonia or aspiration pneumonitis. mild cardiomegaly with pulmonary vasculature congestion. elevation of the left hemidiaphragm could be secondary to partial paralysis, rupture, or intra-abdominal process. multiple known left rib fractures, at least one of which is d...
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as compared to chest radiograph, cardiomegaly is now accompanied by pulmonary vascular congestion and interstitial edema. moderate left pleural effusion has apparently slightly increased in size with associated worsening adjacent atelectasis and or consolidation of the left lung base. known left hilar mass and intrath...
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no acute cardiopulmonary process.
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no acute disease.
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opacification of the entire left hemi thorax is re- demonstrated. left chest tube is currently not seen. extensive abnormalities within the right lung are noted, most likely consistent with coexisting bronchiectasis and infectious process. correlation with cross-sectional imaging such as ct of the chest is recommended....
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limited evaluation due to patient discomfort and limited positioning. overall, stable appearance of the chest from. mild pulmonary vascular congestion and interstitial edema. stable severe cardiomegaly.
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no evidence of acute cardiopulmonary disease.
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extensive interstitial opacities may reflect pulmonary edema or worsening underlying sarcoid lung disease, although it is difficult to exclude infection in the right clinical setting. no pneumothorax.
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resolving left basal atelectasis, without acute chest abnormality.
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platelike density in the right upper zone. this most likely represents platelike atelectasis, but early changes of a pneumonic infiltrate would be difficult to exclude. otherwise, no focal infiltrates, chf or gross effusion. minimal blunting of left costophrenic angle is noted. rightward deviation of the trachea is aga...
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the et tube terminates <num> cm above the carina. otherwise unchanged study.
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no pneumonia.
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endotracheal tube tip is <num> cm above the carina. nasogastric tube tip is in the stomach. there has been significant improvement in the pulmonary edema. there is some patchy atelectasis in the left lung base. there is stable small pleural effusions bilaterally. there is no pneumothorax.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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rather stable extensive pulmonary parenchymal infiltrates in right hemithorax. new infiltrate coinciding with some pleural effusion on the left lung base. these radiographic findings match the clinically suggested findings of a pneumonic infiltrate. followup examination is recommended. referring physician, , paged at
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interval removal of right-sided chest tube without definite pneumothorax. increased right basilar opacification may be due to aspiration or possibly pulmonary contusion. new distension of what appears to be te stomach.
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no acute cardiothoracic process.
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as compared to radiograph, the patient remains markedly rotated, accentuating a tortuous and possibly dilated thoracic aorta. cardiac silhouette is enlarged, and pulmonary vascular congestion has improved. or evidence of pneumonia.
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no evidence of acute disease.
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no acute cardiopulmonary process.
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ap chest compared to and : left lung is entirely airless. how much left pleural effusion is radiographically indeterminate, but since mediastinum is shifted ipsilaterally, the loss of volume due to atelectasis exceeds that replaced by pleural effusion. right lung is clear. right pleural effusion is small, layering pos...
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pacer leads in standard position. no pneumothorax. improved vascular congestion
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in comparison with the ct scan of , the compression deformities in the lower thoracic and upper lumbar spine as well as the acute right rib fractures cannot be appreciated. there is no evidence of pneumothorax. there is continued enlargement of the cardiac silhouette with left ventricular prominence. mild elevation of ...
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no acute cardiopulmonary abnormality.
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bibasilar patchy opacities, unchanged compared with. differential diagnosis includes atelectasis, particularly given stability over time. in the appropriate clinical setting, the ddx could include aspiration pneumonitis or early pneumonia, but these are considered less likely.
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as compared to the previous radiograph, the lung volumes have slightly decreased. the patient has developed a new retrocardiac atelectasis. but the right basis is normal. mild pulmonary edema. borderline size of the cardiac silhouette. no larger pleural effusions. unchanged course of the nasogastric tube.
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no acute cardiopulmonary abnormality.
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bilateral effusions with adjacent atelectasis
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a left lower lobe opacity may represent atelectasis versus pneumonia. small bilateral pleural effusions. moderate to severe cardiomegaly and mild vascular congestion.
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no evidence of pneumonia.
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mild pulmonary vascular congestion without frank pulmonary edema.
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no evidence of pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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in comparison with the study of , there are lower lung volumes. the position of the left chest tube is unchanged and there is no evidence of pneumothorax. continued opacification at the left base with blunting of the costophrenic angle, consistent with pleural effusion and underlying atelectasis. the parenchymal opacif...
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no acute cardiopulmonary abnormality.
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a right apical pneumothorax is small in size an may not have been visible previously due to overlapping external structures in the right apex. exam is otherwise remarkable for worsening bilateral asymmetrical pulmonary opacities affecting the right lung to a greater degree than the left, accompanied by persistent left ...
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no acute cardiopulmonary process.
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right subclavian picc line remains in place within the mid svc. lung volumes are somewhat diminished. there is patchy opacity at right medial lung base which may reflect atelectasis, although aspiration or early pneumonia cannot be excluded. followup imaging may be helpful. surgical chain sutures are seen at the left a...
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comparison to. in almost unchanged manner, there is an area of increased radiodensity at the anterior aspect of the right lower lobe, showing air bronchograms and potentially reflecting pneumonia, in the appropriate clinical setting. no pulmonary edema. mild elongation of the descending aorta. no pleural effusions.
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in comparison with the study of , the small left apical pneumothorax is stable. continued enlargement of the cardiac silhouette with relatively mild vascular congestion. bilateral pleural effusions, more prominent on the right, with underlying compressive atelectasis at the bases.
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unchanged marked cardiomegaly and loculated left pleural effusion.
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retrocardiac opacity better seen on subsequent ct which could represent infection and/or aspiration.
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persistent small left pleural effusion.
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mild interval improvement.