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MIMIC-CXR-JPG/2.0.0/files/p16645602/s58493629/5bc84e09-21853e95-a4daa558-041357ee-a08460a2.jpg
no acute findings on this limited chest radiograph.
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compared to prior chest radiographs through. <num> frontal images of the chest both exclude the right lateral chest wall. they show sequential advancement of the esophageal feeding tube from the mid esophagus to the upper stomach. lung volumes remain quite low, vascular congestion interstitial abnormality in the left ...
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persistent bibasilar opacities, left greater than right, could reflect sequela of aspiration as previously suggested. if further evaluation is desired a ct of the chest could be obtained.
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interval removal of right ij central venous catheter. persistent small left pleural effusion and left perihilar atelectasis.
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low lung volumes, no acute process.
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mild pulmonary edema, worse on the left, and stable cardiomegaly. no large pleural effusion.
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increased right lower lobe density, which may represent a combination of pleural effusion and consolidation. however, given the patient's clinical presentation, the possibility of a pulmonary embolus should also be considered and further followup is recommended with a chest ct.
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no acute cardiopulmonary process.
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no acute findings in the chest. no displaced fractures. if strong clinical concern for rib fracture, a dedicated rib series is recommended to further assess.
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persistent right lower lung opacity worrisome for pneumonia. superimposed diffuse but predominantly central opacification, which is not entirely specific but most suggestive of pulmonary vascular congestion.
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no radiographic evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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no acute findings in the chest.
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in comparison with the study of , there again is enlargement of the cardiac silhouette without vascular congestion. this discordance raises the possibility of cardiomyopathy and even pericardial effusion. no acute pneumonia or pleural effusion.
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stable appearance of the chest. no evidence of free air.
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no acute cardiopulmonary process or evidence of pneumoperitoneum.
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mild pulmonary edema and retrocardiac atelectasis.
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heart size and mediastinum are stable. right mid and upper lung consolidations are unchanged as well as loculated hydro pneumothorax at the apex. subcutaneous air in the right chest wall is unchanged as well as linear opacities at the a left lower lung associated with pleural effusion and left retrocardiac atelectasis
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no evidence of pneumonia.
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no evidence of acute cardiopulmonary disease or injury.
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heart size is normal. aorta is heavily calcified. bilateral apical opacities are extensive, most likely chronic giving the upwards shift of the hila although infectious process cannot be excluded. a left basal and to lesser extent right basal opacity and noted as well. overall the findings might potentially reflect inf...
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mild pulmonary vascular congestion without frank pulmonary edema. no acute cardiopulmonary process otherwise demonstrated.
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no evidence of acute cardiopulmonary process on this trauma radiograph.
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limited study. interval improvement of mild pulmonary vascular congestion.
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normal chest radiographs.
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triangular area of opacification in the left lower lobe likely reflects sequela of prior necrotizing pneumonia, and is improved compared to the prior radiograph. blunting of the right costophrenic angle may be due to chronic pleural thickening or trace fluid. no new areas of focal consolidation are demonstrated to sugg...
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comparison to. no relevant change. moderate overinflation. loss in lung structure at the level of both lung apices, suggesting the presence of apical pulmonary emphysema. normal size of the cardiac silhouette. no pneumonia, no pulmonary edema, no pleural effusions.
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no evidence of acute cardiopulmonary process.
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in comparison with the study of , the patient is much less oblique. monitoring and support devices are unchanged. continued enlargement of the cardiac silhouette with pulmonary edema. opacification at the left base is consistent with pleural fluid and volume loss in the lower lobe. the indistinctness of the right hemid...
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no acute cardiopulmonary process.
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lower lobe bronchitis.
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mild improvement in left basilar opacity since prior.
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moderate right pleural effusion, extending into the horizontal fissure. mild pulmonary vascular congestion.
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complete collapse of the right lung. et tube is in proper position.
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no acute cardiopulmonary process.
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normal radiographs of the chest.
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no acute cardiopulmonary abnormality. large hiatal hernia.
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no focal consolidation to suggest pneumonia. stable severe cardiomegaly with aortic valve calcification, no pulmonary edema.
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peribronchial wall thickening, particularly in the mid to lower lungs, right greater than left, without definite focal consolidation.
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no pneumonia or acute cardiopulmonary process.
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no radiographic evidence for acute cardiopulmonary or chronic granulomatous disease.
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no appreciable change from today.
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cardiomegaly is substantial, unchanged. sternal wires are unchanged. pacemaker leads terminate in right ventricle in right atrium including the defibrillator leads. lungs are clear. no pleural effusion or pneumothorax is seen. there is no pulmonary edema noted. replaced mitral valve is in expected position.
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increased interstitial abnormality suggesting mild-to-moderate pulmonary congestion. similar post-operative changes in the left lower hemithorax, aside from increased fluid in a left lateral loculated hydropneumothorax with a corresponding likely decrease in total air content.
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in comparison with the study of in , there is little overall change. the position of the monitoring and support devices is stable. continued enlargement of the cardiac silhouette with generally stable bilateral pulmonary opacification is consistent with elevated pulmonary venous pressure, layering effusions, and compre...
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in comparison with the study , the right chest tube is been removed and there is no evidence of pneumothorax. otherwise, no appreciable change.
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ap chest compared to , : mild interstitial edema is new, mediastinal and pulmonary vascular caliber have increased, all pointing toward cardiac decompensation. heart size is top normal, is also slightly larger. to look for a focus and explanation of hemoptysis would require chest ct scanning. no appreciable pleural eff...
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slightly decreased moderate-sized right pleural effusion.
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no significant change with persistent cardiomegaly, mild edema and small right pleural effusion.
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moderate left pleural effusion. nodular opacity at the right base is concerning for recurrence as described on the recent ct.
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compared to chest radiographs since , most recently through. tiny left apical pneumothorax unchanged since :<num>. moderate bilateral pleural effusions are larger, in bibasilar atelectasis is worse. heart size top-normal. upper lungs clear. left central venous infusion catheter ends in the upper right atrium. patient ...
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bilateral pleural effusions, left greater than right. no focal consolidation to suggest pneumonia. slight increased vascular prominence at the lung bases without evidence of cardiomegaly.
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low lung volumes with bibasilar atelectasis. pulmonary edema seen on exam has resolved.
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patchy opacities in the lung bases, more so on the right, concerning for pneumonia or aspiration.
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no comparison. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema, no pleural effusions. the lateral radiograph is also unremarkable.
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no evidence of pneumonia.
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left lower lobe pneumonia. of note, small lung nodules seen in prior ct are below the resolution of this radiograph. findings were discussed with covering for dr by phone on at at the time of the discovery of this finding. followup is recommended after treatment in six weeks.
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mild pulmonary edema with small right pleural effusion, overall not significantly changed from prior exam.
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stable mild cardiomegaly. no signs of edema.
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slight improvement in pulmonary edema. persistent bibasilar opacities, better characterized on prior ct.
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no acute intrathoracic process.
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in comparison with the earlier study of this date, there has been an bronchoscopy a with apparent removal of a mucous plugging and substantial re-expansion of the left lung. chest tube remains in place. on the right, there is little change in the substantial pneumothorax.
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et tube <num> cm from the carina. mild pulmonary vascular congestion and probable small bilateral pleural effusions. this preliminary report was reviewed with dr , radiologist.
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some increase in right infrahilar peribronchial opacification could be acute aspiration. lungs are otherwise clear of pneumonia. mild residual interstitial abnormality could be edema, and mediastinal veins are dilated, but the heart is normal size. right jugular line ends in the upper right atrium. no pneumothorax or s...
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miniscule right apical pneumothorax status post thoracentesis. moderate right pleural fluid remains.
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no significant interval change. no acute cardiopulmonary process.
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interval decrease of small right basilar pneumothorax.
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persistent right-sided pleural effusion. re-expansion of the right upper lobe.
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no significant change in bilateral moderate effusions and dependent edema and atelectasis. persistent large pericardial effusion. slight decrease in size of the vascular pedicle suggests a decrease in central venous volume or receding cardiac tamponade.
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no evidence of acute cardiopulmonary disease.
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right lower lobe volume loss versus infiltrate
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no radiographic evidence of acute cardiopulmonary process.
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unchanged left upper lobe consolidation.
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pulmonary vascular congestion and probably early or mild pulmonary interstitial edema. low lung volumes. no definite focal consolidation.
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no acute cardiopulmonary process.
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small bilateral pleural effusions, right greater than left have increased.
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right pleural effusion is moderate, unchanged. mild vascular congestion is present. no pneumothorax is seen.
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normal chest radiograph, no evidence of abnormality that might suggest active or chronic tuberculosis.
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no radiographic evidence of pneumonia.
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perhaps mild interval improvement in the appearance of the increased interstitial markings throughout the lungs which persist. no new consolidation.
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persistent large right pneumothorax following right chest tube removal.
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interval decrease in size of previously seen left pleural effusion. no other significant change.
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the configuration of the chest suggests copd. small pleural effusions or basal pleural scarring are present. heart size is normal and there is no pulmonary edema. the architecture of the pulmonary vessels and bronchi is distorted in several areas. aside from right apical scarring with bronchiectasis, it is difficult to...
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vague bilateral lower lobe opacities, corresponding to ground-glass opacity and interlobular septal thickening seen on the ct, may represent pulmonary edema, however is the lack of vascular engorgement or pleural effusion is somewhat unusual. atypical pneumonia should also be considered.
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no acute intrathoracic process.
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in comparison with the study of , the right pigtail catheter has been removed. there is a small apical pneumothorax. otherwise, little change in the appearance of the heart and lungs, though the left hemidiaphragmatic contour is more sharply seen on this study.
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comparison to. no relevant change. bilateral apical scarring, symmetrical in distribution. known right hilar cancer, with subsequent post treatment changes in these area. normal appearance of the left lung. moderate elongation of the descending aorta. no larger pleural effusions.
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there is bibasilar atelectasis. no acute intrapulmonary process.
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bilateral pleural effusions with associated bibasilar atelectasis, left effusion slightly increased versus redistributed due to differences in patient position. interval removal of a right internal jugular central catheter.
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no acute cardiopulmonary process.
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interval increase in size of the partially loculated right pleural effusion with adjacent compressive atelectasis. small left pleural effusion. interval resolution of the right apical and basilar pneumothorax.
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a left trans subclavian right ventricular pacer defibrillator lead is in place, probably close to the interventricular septum and right ventricular apex. there is no pneumothorax pleural effusion or mediastinal widening. lungs are clear. thoracic scoliosis is mild, but accounts for the position of the heart to the left...
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small left pleural effusion with left basilar opacity likely reflective of atelectasis. infection cannot be completely excluded.
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subtle right lower lobe opacity likely represents crowding of normal bronchovascular structures in the setting of low lung volumes. no pneumothorax or effusion.
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no pneumonia.
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as compared to the previous radiograph, no relevant change is seen. the lung volumes are normal. normal structure and transparency of the lung parenchyma. no evidence of pneumonia, no pulmonary edema. no pleural effusions. mild elongation of the descending aorta.
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moderate cardiomegaly and mild pulmonary vascular congestion, likely chronic.
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compared to chest radiographs through. mild pulmonary edema has worsened. left lower lobe consolidation and moderate cardiomegaly unchanged. small to moderate left pleural effusion is presumed. no pneumothorax.
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retrocardiac opacities are unchanged. there are persistent low lung volumes. cardiomegaly and widening of the mediastinum are stable. probably small right effusion is unchanged. there is no pneumothorax.
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no evidence of acute disease.