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MIMIC-CXR-JPG/2.0.0/files/p10439484/s50317216/ad49ccf4-ea5a61fc-b5d44881-18ef8a0e-dafb017c.jpg
heart size is top-normal, stable. mediastinum is stable. lungs are essentially clear except for new left basal opacity, potentially representing aspiration or atelectasis, pneumonia less likely. no appreciable pleural effusion or pneumothorax.
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slightly improved aeration at the right lung base with decreased right and stable left pleural effusions and bibasilar subsegmental atelectasis. pneumonia vs atelectl;extgasis radiogrphayically indeterminaete.
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low lung volumes with mild bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p14732063/s51933087/2a1af018-7d5eb716-bc3952fb-81461d4e-e7d3703b.jpg
no acute cardiopulmonary process.
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chest findings within normal limits.
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no traumatic injuries.
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ap chest compared to : left lower lobe collapse is new. poor definition of the bronchial tree below the left main bronchus suggest retained secretions, but mass could be present. small accompanying left pleural effusion is common with lower lobe collapse. right lung clear. at least one right lung nodule is present. hea...
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heart size and mediastinum are stable. lungs are clear. there is no pleural effusion or pneumothorax.
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pulmonary edema and small bilateral pleural effusions. a superimposed infection cannot be excluded in the proper clinical context.
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in comparison with the study of , there is continued substantial left pneumothorax with subcutaneous gas despite the presence of a chest tube. substantial hyperinflation of the lungs is again seen. no definite displacement of the mediastinal structures to the right.
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mild pulmonary edema and small bilateral pleural effusions. bibasilar airspace opacities could reflect atelectasis though infection or aspiration cannot be excluded.
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no pneumonia or pneumothorax.
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normal chest radiograph.
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new multifocal opacities worrisome for pneumonia. increasing right-sided pleural effusion, likely of moderate size with suspected atelectasis.
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low lung volumes. borderline size of the cardiac silhouette. no pulmonary edema. no pneumonia, no pleural effusions. the hilar and mediastinal contours are unremarkable.
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no acute intrathoracic process.
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pa and lateral chest compared to. lungs are clear. there is no pleural effusion or evidence of central adenopathy. ascending aortic endoprosthesis in place. transvenous right ventricular pacer lead in standard placement, continuous from the left pectoral pacemaker. lungs clear. no pleural effusion or evidence of centra...
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there no prior chest radiographs available for review. aside from a linear band of atelectasis or scarring at the right base, lungs are clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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persistent moderate cardiomegaly. no focal consolidation.
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no acute cardiopulmonary process or radiographic evidence of sequelae of ards.
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in comparison with the study of , this and placement of a right ij swan-ganz catheter that extends to the right pulmonary artery. the nasogastric tube has been removed. the patient has taken a better inspiration. there is again substantial enlargement of the cardiac silhouette with pulmonary edema. opacification at the...
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pa and lateral chest compared to through : mild cardiomegaly has improved and interstitial edema has resolved since. small left pleural effusion persists. there are no evident lung nodules or lymph node enlargement. of note, a torso ct on showed a moderate pericardial effusion.
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small right effusion. left basilar opacity likely due to combination of effusion atelectasis and possible consolidation.
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mild pulmonary vascular congestion seen on exam has resolved.
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in comparison with the study of , there is little overall change. cardiac silhouette remains within normal limits and there is some hyperexpansion of the lungs. coarse interstitial markings process along with blunting of both costophrenic angles and atelectatic changes at the bases, more prominent on the right.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12559272/s50845244/c93388f3-713c9c05-4b158680-973c9471-650dd343.jpg
bilateral basal consolidation, left worse than right concerning for bilateral pneumonia in this patient with fever.
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no focal consolidation. enteric tube terminating in the gastric body.
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right-sided picc seen terminating in the area of the cavoatrial junction/lower svc. if clinical concern exists for arrhythmia secondary to picc position, could withdraw the catheter <num> cm. bilateral pleural effusions, similar to prior exam. interval improvement in pulmonary edema. mild vascular engorgement. the find...
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comparison to , as compared to the previous radiograph, the previously placed chest tube has been pulled. a skin fold projects along the left chest wall but no pneumothorax is visualized. air collection in the left soft tissues is stable. stable normal appearance of the right lung.
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a dobbhoff tube terminates just beyond the gastroesophageal junction. further advancement by several cm could be considered. an endotracheal tube terminates the <num> cm above the carina. the patient is post cabg. the aorta is moderately tortuous and calcified. there is no pneumothorax or pleural effusion. central pulm...
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low lung volumes. bibasilar opacities, particularly on the lateral view which may be atelectasis noting that infection cannot be entirely excluded.
MIMIC-CXR-JPG/2.0.0/files/p18843099/s52506992/d3176449-118ab462-e202c9da-0711d489-e6dfc063.jpg
as compared to chest radiograph, lung volumes are lower, accentuating the cardiac silhouette and bronchovascular structures. new bibasilar atelectasis and or consolidation as well as probable small bilateral pleural effusions.
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there has been placement of a feeding tube whose distal tip and side port are well below the ge junction in the body of stomach. heart size is normal. lungs are clear. there are no pneumothoraces.
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interstitial edema with associated left-sided pleural effusion in the setting of moderate cardiomegaly. of note, isolated left sided effusion can occur with pericardial effusion. if there is clinical suspicion or precipitating factor for pericardial effusion such as recent thoracic procedure, further assessment with ec...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17182924/s56783574/d96284b7-8022b740-ad794850-dec290e0-4b5c207e.jpg
no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10048001/s57376621/cb38a59a-5220677b-3107745e-7ebd41fc-70e7081c.jpg
slight interval increase in left lower lobe linear opacities that are most likely atelectasis but in the proper clinical setting could represent pneumonia.
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no evidence of acute cardiopulmonary disease.
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no acute intrathoracic process.
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minimal right middle lobe atelectasis without radiographic evidence for acute process.
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interstitial abnormality suggesting mild vascular congestion; although perhaps less likely, particularly noting some asymmetry, widespread inflammatory process involving the airways could be considered as an alternative for coinciding etiology.
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no pneumonia.
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allowing the difference in positioning of the patient cardiomegaly is stable. right lower lobe atelectasis has increased. left lower lobe opacities are stable, a combination of atelectasis and effusion. right effusion is probably unchanged. et tube is in standard position. ng tube tip is out of view below the diaphragm...
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mildly enlarged pulmonary vessels could indicate cardiac decompensation. otherwise, no acute cardiac or pulmonary process.
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no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16100145/s54279730/31fde38d-72383009-1de8f86a-bdc139de-5a97dbeb.jpg
interval increase in ill-defined opacities overlying the lung fields bilaterally is likely secondary to mild pulmonary edema, however an underlying infectious process cannot be excluded. stable large hiatal hernia.
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right picc tip is within the svc.
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small right pneumothorax is unchanged. diffuse bilateral lung opacities have improved in the upper lobes. increasing opacities in the retrocardiac region are likely increasing atelectasis. no other interval change from prior study.
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interval resolution of the left upper lobe pneumonia.
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as compared to the previous radiograph, there is unchanged evidence of bilateral, left more than right post to buckle was changes with relatively extensive areas of pleural thickening, pleural scarring, traction, and calcified granulomas. these changes are stable over time. new, however, is a bilateral relatively diffu...
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persistent near complete opacification of the right hemi thorax likely due to combination of effusion with underlying atelectasis, consolidation and mass.
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no acute cardiopulmonary abnormality.
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no acute intrathoracic process.
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low lung volumes. left pectoral port-a-cath in situ. on the right, the patient has received a swan-ganz catheter. the catheter shows a normal course, the tip is positioned relatively distal in the right lower lobe artery. the tip should be pulled back by approximately <num> cm. no pleural effusions. no pneumothorax. mo...
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no evidence of acute cardiopulmonary process. possible lucencies in left posterior ribs. these could be further evaluated with bony detail radiographs of the posterior ribs. findings discussed with dr at am.
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minimal interstitial engorgement, without frank pulmonary edema. no focal consolidation.
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there no prior chest radiographs available for review. atelectasis is mild at the right base. there is a suggestion of consolidation in the retrocardiac left lower lobe, but this areas much better evaluated on a lateral view which is strongly recommended. upper lungs are clear. pleural effusion minimal if any.
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no acute cardiopulmonary process.
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comparison to. no relevant change. borderline size of the cardiac silhouette. mild elongation of the descending aorta. no pleural effusions. no pneumonia, no pulmonary edema. no pneumothorax.
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patchy right upper lobe opacities, as seen on the prior chest ct, and thought to reflect areas of infection. no new focal consolidation. small bilateral pleural effusions, with associated bilateral lower lobe atelectasis.
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no acute cardiopulmonary process.
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mild left base atelectasis. otherwise, no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12114691/s54324008/f4f43570-03914127-078359b1-fbeef58d-db394440.jpg
no acute cardiopulmonary process.
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no acute intrathoracic process.
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ap chest compared to : judging from the appearance of the right lung mild pulmonary edema has improved since. small-to-moderate right pleural effusion has decreased. in contrast, moderate to large left pleural effusion has increased since and there is severe opacification of the left lower lobe. although this could be...
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normal chest radiograph.
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new right lower lobe opacification is likely related to atelectasis/effusion in the postoperative setting.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary abnormality.
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in comparison with study of , the right ij catheter is been removed. slightly improved lung volumes, though still enlargement of the cardiac silhouette with some elevation of pulmonary venous pressure in probable small bilateral effusions with compressive basilar atelectasis.
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the lungs are well expanded with improved but not resolved is right lower lobe opacity consistent with improving pneumonia. pulmonary edema has resolved. mild cardiomegaly is slightly improved. no pleural effusion or pneumothorax. recommendation(s): repeat chest radiographs in <num> weeks is recommended to ensure resol...
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no acute cardiopulmonary abnormality.
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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no evidence of pleural effusions. no pneumothorax. no pulmonary edema. no pneumonia.
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increasing opacity in the anterior right upper lobe best appreciated on the lateral radiograph concerning for developing pneumonia.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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low lung volumes with small right pleural effusion and increased opacity in the right lower lung which may reflect atelectasis or pneumonia.
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volume loss on the right hemithorax. right pleural effusion. increased opacities in the right mid to lower lung, with air bronchograms may be due infection and/or worsening of malignant disease.
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moderate cardiomegaly, with heart size accentuated due to the presence of low lung volumes. left basilar atelectasis.
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no acute cardiac or pulmonary findings.
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increased interstitial markings bilaterally may be secondary to interstitial edema. no focal consolidation seen. tortuous thoracic aorta.
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small bilateral pleural effusions. streaky retrocardiac atelectasis. enlargement of both pulmonary arteries may suggest underlying pulmonary arterial hypertension, unchanged.
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no evidence of acute cardiopulmonary disease. stable left hilar and pulmonary abnormalities.
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in comparison with the study of , there is little overall change in the degree of enlargement of the cardiac silhouette and pulmonary edema. no large effusion is seen or evidence of acute focal pneumonia. retrocardiac opacification suggests some volume loss in the left lower lobe.
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no evidence of acute cardiopulmonary disease. hyperinflation.
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bibasilar atelectasis, without consolidative pneumonia.
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no acute intrathoracic abnormality.
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no evidence of acute disease.
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no acute cardiopulmonary process.
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left lower lung focal patchy opacity concerning for either pneumonia or aspiration.
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in comparison with the study of , there is little change. continued moderate cardiomegaly without vascular congestion or acute pneumonia. port-a-cath tip again is in the mid to low portion of the svc.
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no acute intrathoracic process.
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in comparison with the study of , there again are low lung volumes. monitoring and support devices are unchanged, with the side port of the nasogastric tube above the level of the esophagogastric junction. substantial enlargement of the cardio mediastinal silhouette is unchanged. there is evidence of elevated pulmonary...
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left lower lobe collapse and consolidation of the right base may be secondary to aspiration. the et tube terminates <num> cm from the carina known right upper rib fractures are better seen on concurrent ct of the chest.
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no acute cardiopulmonary process. if there is concern for malignancy, ct of the chest could be performed for further evaluation.
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patchy left basilar opacity raises concern for pneumonia. subtle right base opacity to a lesser extent could be a second site of infection or aspiration.
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left picc tip is still malpositioned in the left ij. there are no other interval changes.
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findings compatible with known bibasilar bronchiectasis which could explain patient's physical exam findings. no superimposed consolidation.
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focal opacity in the left lower lung suggesting pneumonia, potentially aspiration in the appropriate setting.