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MIMIC-CXR-JPG/2.0.0/files/p15580557/s59870775/0efe7ff3-4cd20c8a-280a0018-8a190cbc-3e189838.jpg
heart size and mediastinum are stable. bibasal opacities have improved in the interim. small amount of pleural effusion is noted. no interval increase in pleural effusion demonstrated. possibility of subpulmonic effusion on the left is relatively high.
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enlarged cardiac silhouette and possible minimal interstitial edema.
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comparison to. stable scoliosis. minimal decrease in extent of the right pleural effusion. moderate decrease in extent of the left pleural effusion. decrease in size of the cardiac silhouette. currently no pulmonary edema is present. areas of bilateral basilar atelectasis, proportional to the degree of effusion.
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compared to prior chest radiographs since , most recently :<num>. small right apical pneumothorax has increased slightly since earlier in the day. pigtail pleural drainage catheter has not be been modified. lungs are clear. heart size normal. no appreciable pleural effusion. dorsal column stimulator placed.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17745031/s58925816/409b156b-2f198045-5db8385c-237999a3-c620f0cf.jpg
no acute cardiopulmonary abnormality.
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no acute intrathoracic process
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cardiomegaly without acute cardiopulmonary process.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10592647/s56684303/357270cf-36f4ff63-6d042b80-2a5c58d3-6cb230a4.jpg
marked cardiomegaly with diffuse pulmonary edema.
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compared to chest radiographs since , most recently. no focal pulmonary consolidation to suggest any pneumonia. heart size top-normal. pulmonary vasculature mildly engorged. pleural effusions small if any.
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lungs are hyperinflated but clear, unchanged since. normal cardiomediastinal and hilar silhouettes and pleural surfaces. should be noted that this does not represent a full evaluation of the airway, but the patient did have a chest ct on which reported no airway lesions.
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postsurgical changes in the right hemi thorax. mild cardiomegaly unchanged. no edema or pneumonia.
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two views of the chest show the sequential repositioning of the feeding tube, with the wire stylet in place, from the mid esophagus to the upper stomach on the most recent image. lungs are clear and there is no pleural effusion or pneumothorax. severe cardiomegaly is unchanged. no pulmonary edema. healed fractures of t...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p17821700/s51688420/7b910401-621ac8d7-dd9ee9ef-74020025-303a3a21.jpg
no acute cardiopulmonary abnormality.
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no evidence of pneumonia.
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no evidence of acute disease.
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new multifocal consolidations concerning for multifocal pneumonia. new mildly prominent left hilus may represent reactive lymphadenopathy. attention on follow-up is recommended.
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heart size and mediastinum are stable. there is persistence of a left lower lobe basal opacity, concerning for infectious process. minimal amount of pleural effusion cannot be excluded. upper lungs are clear. prominence of the left hilus is unchanged. interval resolution of left upper lobe atelectasis is present. there...
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no acute cardiopulmonary abnormality.
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no evidence of acute cardiopulmonary process.
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the endotracheal tube terminates <num> cm above the level the carina.
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probably no pneumonia. if this contradicts clinical evaluation, could obtain oblique views for further evaluation. baseline emphysematous changes. recommendation(s): if high clinical suspicion of pneumonia, consider obtaining oblique views for further evaluation.
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no acute cardiopulmonary process.
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right internal jugular catheter terminates in the region of the distal svc. no pneumothorax. no other significant change from at.
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no acute cardiopulmonary process. linear lucency through the distal right clavicle may be artifactual given patient's history; correlate clinically.
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no evidence of pneumonia.
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no radiographic evidence for pneumonia. results were conveyed via telephoned to dr nurse by dr on at within five minutes of observation of findings.
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interval placement of right internal jugular central venous catheter which terminates at the cavoatrial junction, without evidence of pneumothorax. enteric tube courses below the level of the diaphragm. endotracheal tube terminates approximately <num> cm above the carina. bilateral perihilar opacities persist, and are ...
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in comparison with the earlier study of this date, the left chest tube is been removed and there is no evidence a pneumothorax. subcutaneous gas is again seen along the left lateral chest wall. continued low lung volumes with little change in the appearance of the heart and lungs.
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low lung volumes with bibasilar atelectasis versus scarring. no focal consolidation to suggest pneumonia.
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continuing re-expansion of the right lung, with interval decrease in size of the right apical and right base pneumothoraces and improvement in the right base atelectasis. as before, there is actually a hydro pneumothorax at the right base, with a small right base pleural effusion.
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ap chest compared to and : mild pulmonary edema developed between and. subsequently, the edema has improved somewhat, but there is more consolidation at the right lung base that could be due either to atelectasis or new pneumonia. the heart size is top normal. nasogastric tube passes into the stomach and out of view....
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no acute cardiopulmonary process
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continuing left lower lobe collapse and/or consolidation. new opacity at the left base laterally could reflect a small pleural effusion. otherwise, doubt significant interval change.
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no acute cardiopulmonary process.
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unchanged appearance of the left upper lobe compatible with bronchial atresia. no acute cardiopulmonary process otherwise identified.
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no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18133509/s58467649/6b6b093f-d049ca74-36f195d2-1cfbf7a0-d9889694.jpg
interval removal of the right chest tube without evidence of increasing pneumothorax. all other lines and tubes unchanged in positioning.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13382305/s54317943/b2b877f1-c34ac90a-9bee2aec-dff4d8d2-b822623a.jpg
mild bibasilar atelectasis. no significant interval change.
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heart size and mediastinum are stable. perihilar and lower lobe opacities appear to be improved since the prior study. there is no evidence of pneumothorax. there is small amount of pleural effusion.
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stable left apical pneumothorax.
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bibasilar opacities, greater on the left than right, could represent atelectasis, pneumonia or aspiration.
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in comparison with the study of earlier in this date, there is no evidence of pneumothorax following chest tube removal. other monitoring and support devices remain in place. there are very low lung volumes with apparent layering pleural effusion and compressive atelectasis bilaterally with elevation of pulmonary venou...
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no acute intrathoracic process. no residual pneumothorax seen.
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patient has had median sternotomy. sternal wires are intact and aligned. mild cardiomegaly is more pronounced today than mild cardiomegaly is chronic. there is no pulmonary edema or focal pulmonary abnormality. no evidence of significant central adenopathy. mitral anulus is heavily calcified. multiple right posterior r...
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no acute cardiopulmonary abnormality.
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there is somewhat greater radiodensity to the right lower lung than the remainder of the right lung on the frontal view, but there is no corresponding finding on the lateral, so i hesitate to call this a new pneumonia. left lower lobe atelectasis and pulmonary edema have both improved since and a severe cardiomegaly i...
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in comparison with the study of , there again are bilateral pleural effusions with persistent left mid lung opacification. the monitoring and support devices are unchanged.
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chronic appearing rib fractures, no acute osseous injury identified. however, correlation with site of pain recommended and if necessary dedicated rib views could be obtained. deformity of the left scapula new since which does not necessarily appear acute however pain in this region dedicated imaging can be obtained. ...
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in comparison with the study of , there is little interval change. again there is enlargement of the cardiac silhouette without vascular congestion. small pleural effusions with basilar atelectasis are again seen. no evidence of acute focal pneumonia.
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in comparison with the study of , the areas of increased opacification at the bases r clearing, consistent with the diagnosis of resolving pneumonia. cardiac silhouette is at the upper limits of normal or mildly enlarged with and mild elevation of pulmonary venous pressure.
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persistent opacity in the right upper lobe concerning for infection. persistent bilateral pleural effusions.
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mild pulmonary edema with bibasilar atelectasis.
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no acute cardiopulmonary process.
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since , resolved right lower lobe pneumonia.
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moderate increase in pulmonary edema and slight increase of bibasilar effusions. new fluid in the fissures bilaterally. cardiomediastinal silhouette stable. cardiac pacer again noted. no pneumothorax.
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endotracheal tube terminates <num> cm above the carina, this could be pulled back <num> cm. left-sided picc line terminates in the lower svc. there is worsening of diffuse bilateral patchy opacities, likely secondary to pulmonary edema in the setting of known inflammatory lung condition. small right sided pleural effus...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. please correlate report of subsequent cta-chest.
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no acute cardiopulmonary process.
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comparison to. stable mild pulmonary edema. low lung volumes and mild cardiomegaly. stable retrocardiac atelectasis. the position of the right internal jugular vein catheter is unchanged and correct, with the tip projecting over the cavoatrial junction.
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normal chest radiograph.
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no evidence of acute cardiopulmonary disease.
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low lung volumes. given differences in lung volume, no significant interval change since the prior study.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, no relevant change is seen. platelike atelectasis at the right lung bases. no pulmonary edema. no pleural effusions. no pneumonia. no pneumothorax.
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no acute cardiopulmonary abnormality.
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right lower lobe consolidative opacity concerning for pneumonia. patchy opacity in the left lower lobe may also reflect an area of infection or atelectasis. followup radiographs after treatment are recommended to ensure resolution of these findings.
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clear lungs.
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small pneumothorax.
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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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in comparison with the study of , the patient has taken a better inspiration. cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
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as compared to the previous radiograph, no relevant change is seen. extensive bilateral parenchymal opacities. the patient is of the bronchoscopy. there is no evidence of pneumothorax. the nasogastric tube has been pulled back. the tip is now at the gastroesophageal junction. the tip should be advanced by at least <num...
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compared to the heart continues to be moderately enlarged. there is no focal infiltrate or effusion. the previously described mild pulmonary edema has resolved. there is no focal infiltrate.
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bibasilar atelectasis without evidence of pneumonia or pneumothorax.
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no acute or chronic radiographic intrathoracic pulmonary disease.
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small left pleural effusion with bibasilar atelectasis. no other acute cardiopulmonary process.
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pacemaker leads in appropriate position. no pneumothorax.
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small left apical pneumothorax. no shift of mediastinal structures.
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<num>) left rib fractures with adjacent opacity concerning for either pleural or extrapleural mass. in the context of melanoma, this finding raises the concern for possible metastasis. ct or dedicated rib series may be considered if warranted clinically. <num>) marked cardiomegaly with no evidence of acute chf.
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as compared to the previous image, new pacemaker leads have been inserted. the new leads project over the coronary sinus and the right atrium. no evidence of pneumothorax. moderate cardiomegaly with enlargement of the left ventricle persists. no pulmonary edema. no larger pleural effusions.
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lingular pneumonia. recommend followup to resolution.
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as compared to the previous radiograph, there is a marked decrease in extent of the pre-existing pleural effusion. however, on the lateral radiograph, the effusion is still present at the level of the costophrenic sinus. the pre-existing areas of basilar atelectasis have markedly decreased in extent. no pneumonia, no p...
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in comparison with the study , there is little change an improved inspiration. no pneumonia, vascular congestion, or pleural effusion.
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no acute cardiopulmonary process.
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ap chest compared to and : mild pulmonary edema and probable small bilateral pleural effusions worsened since accompanying increased pulmonary vascular congestion. this is presumably due to cardiac decompensation, although heart is not enlarged. et tube is in standard placement, nasogastric tube ends in the upper sto...
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in comparison with the study of , the monitoring and support devices are essentially unchanged. little change in the the bilateral pulmonary opacifications.
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dobbhoff tube ultimately ends in the stomach with the last side port below the ge junction. the second enteric feeding tube courses into a post pyloric position. right-sided picc line ends in the right atrium and should be pulled back <num> cm for positioning at the cavoatrial junction.
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ap chest compared to : new et tube in standard placement. new nasogastric tube ends at or beyond the pylorus. second ascending drainage tube projects over the upper abdomen. mild interstitial edema and vascular engorgement are new. there is no definite pneumothorax or appreciable pleural effusion, though assessment is...
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low lung volumes with bibasilar opacities likely reflecting atelectasis; although, superimposed pneumonia is possible.
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left lateral right base opacity most likely represent atelectasis in combination with overlying soft tissue. if there is high clinical concern for infection, consider pa and lateral views for further and better evaluation.
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no significant pneumothorax.
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no acute findings. ivc access cv catheter terminates in the right atrium.
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ap chest compared to : improvement in the widespread ground-glass opacification, basal predominant, and mild interstitial pulmonary abnormality between and has stalled. the distribution and upper lobe and mild mediastinal vascular engorgement and small pleural effusion, suggest at least a component of cardiogenic or ...
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the left-sided <num> lead pacemaker is unchanged in position and with intact leads. there is minimal atelectasis at the right base. rest of lung fields are clear. there are no pneumothoraces.
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no acute cardiopulmonary abnormality.
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small right apical lateral pneumothorax seen on the previous radiogram is not demonstrated on the current study. moderate left pleural effusion is relatively stable compared to the prior radiograph