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MIMIC-CXR-JPG/2.0.0/files/p16177830/s55751266/53fb9701-b106de25-ce8f29ef-06a98d20-16f0c6ec.jpg
new left lower lobe opacity concerning for pneumonia. findings discussed with icu team during morning case conference on.
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stable chest findings, no evidence of acute infiltrates or pulmonary vascular congestion.
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no acute cardiopulmonary abnormality.
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no acute cardiothoracic process.
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tortuous descending aorta. otherwise normal chest radiograph without evidence of pneumonia
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compared to prior chest radiographs through. previously collapsed left lung has partially re-expanded, but the lower lobe remains atelectatic. severe cardiomegaly is worse compared to and there is new interstitial pulmonary edema. small to moderate left pleural effusion is presumed. et tube and left subclavian centra...
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as compared to the previous radiograph, no relevant change is seen. normal lung volumes. normal appearance of the cardiac silhouette and of the hilar and mediastinal structures. no pneumonia, no pulmonary edema.
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retrocardiac opacity without clear correlate on frontal radiograph of unclear significance. however in the appropriate clinical setting, this can represent pneumonia.
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no acute cardiopulmonary process.
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lungs are normal volume. there is mild atelectasis at the right base but the lungs are otherwise clear. cardiomediastinal and hilar silhouettes are normal. no pneumothorax or appreciable pleural effusion. right internal jugular line ends close to the superior cavoatrial. the upper end subglottic trachea are not easy to...
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mild left lower lobe atelectasis and small bilateral pleural effusions unchanged from <num> days prior.
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small bilateral pleural effusions, not substantially changed in the interval, with mild compressive atelectasis.
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severely limited study due to overpenetration. no obvious acute cardiopulmonary process.
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left lower lobe atelectasis and small left pleural effusion. no pneumothorax.
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no acute cardiopulmonary process.
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findings compatible with a left lingular and upper lobe pneumonia. however, superimposed recurrence of lung cancer cannot be excluded with this appearance and reassessment is recommended after treatment to ensure resolution.
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in comparison with the earlier study of this date, side the patient has taken a better inspiration and there is little change in the cardiomediastinal silhouette. there is some indistinctness of the pulmonary vessels raising the possibility of elevated pulmonary venous pressure. more coalescent opacification at the bas...
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subsegmental atelectasis in the right lung base, but no acute cardiopulmonary abnormality.
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compared to chest radiographs through. mild to moderate pulmonary edema and moderate left pleural effusion have both increased. heart size is obscured. et tube, left subclavian line are in standard placements. esophageal drainage tube passes through the stomach and out of view. no pneumothorax.
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no radiographic evidence of pneumonia.
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in comparison with the study of , the opacification at the left base has decreased, consistent with improving consolidation and probable superimposed atelectasis. curvilinear density overlying the anterior heart is again seen, which could represent dystrophic calcification relating to previous myocardial infarction. ot...
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cardiomegaly without evidence of chf. minor left basilar atelectasis and questionable small left pleural effusion.
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no acute cardiopulmonary process.
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no previous images. the cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
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ng tube tip is in the antrum of the stomach. no other significant changes from a few hours ago.
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left central venous catheter ends at the origin of the left brachiocephalic vein. et tube in standard placement. right lung grossly clear, although pulmonary vasculature is more congested. previous left lower lobe collapse improved minimally. pleural effusion small if any. no pneumothorax. mild cardiomegaly stable. eso...
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dobbhoff tube tip projecting over the gastric bubble. small-to-moderate right pleural effusion with associated atelectasis.
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lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
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no acute cardiopulmonary process.
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bibasilar atelectasis.
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no evidence of pneumonia.
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mild pulmonary edema and small bilateral pleural effusions with bibasilar atelectasis.
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small right pneumothorax is stable. small right pleural effusion has minimally increased. no other interval change from prior study.
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stable or slightly enlarged left upper lobe opacity may represent underlying malignancy, tuberculosis, or less likely a persistent infection. a ct scan is required for further evaluation. no pulmonary edema. stable compression fracture of the lower thoracic vertebral body. results were discussed with dr at pm on via...
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no acute cardiopulmonary process.
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no pneumonia or acute cardiopulmonary process.
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diffuse lung abnormality probably edema has improved since , but not appreciably since. very dense consolidation in the upper lobes, particular the right, continue concerning for pneumonia. pleural effusions are presumed, but small. mild cardiomegaly is stable. no pneumothorax.
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nasogastric tube ends in the stomach.
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bilateral parenchymal opacities, left greater than right with small effusions. findings may be dues to bilateral infectious process or edema.
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stable moderate cardiomegaly and a likely small left pleural effusion. hemodialysis catheter terminating in the right atrium.
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minimal interval decrease in pleural effusions.
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pa and lateral chest compared to and : consolidation in the right upper lobe worsened appreciably between and accompanied by increasing volume loss. the consolidation has improved, but the volume loss has not. chest ct on showed no bronchial obstruction so presumably this is due to organization in atelectasis. smal...
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as compared to the previous radiograph, the lungs are better ventilated, notably on the right. however, relatively diffuse and widespread both interstitial and alveolar opacities persist. the presence of a small right pleural effusion cannot be excluded. unchanged monitoring and support devices. no pneumothorax.
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patchy left lower lobe opacity concerning for infection.
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heart size and mediastinum are stable. left basal consolidation and small amount of left pleural effusion as well as right pleural effusion appear to be progressed since the prior study concerning for infection progression in combination with potential aspiration. there is no pneumothorax. central venous line (port-a-c...
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no evidence of acute disease.
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no acute intrathoracic process.
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persistent right upper lobe consolidation potentially due to infectious pneumonia. considering discordant clinical future, a neoplasm mimicking an infectious process should also be considered. consider ct for further characterization, particularly if the opacification fails to resolve on short-term followup radiographs
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no radiographic evidence of pneumonia.
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comparison to. mild elevation of the left hemidiaphragm. subsequent mild atelectasis at the left lung bases. no pulmonary edema, no pleural effusions. no pneumonia.
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compared to chest radiographs since most recently at. right middle and lower lobes are still collapsed. congestion has improved in the right upper lobe. left lung grossly clear. heart size stable, probably mildly enlarged. any right pleural effusion is insignificant physiologically. no pneumothorax.
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mild pulmonary edema has improved since , small right pleural effusion persists, small left pleural effusion and mild to moderate bibasilar atelectasis has worsened. heart size top-normal. no pneumothorax. indwelling right subclavian infusion port catheter ends in the right atrium.
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in comparison with the study of , there continued very low lung volumes. the monitoring and support devices are essentially unchanged. bibasilar opacification with poor definition of the hemidiaphragms is consistent with pleural effusions and compressive basilar atelectasis. pulmonary vascular status is difficult to as...
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pa and lateral chest compared to : pulmonary abnormality has improved substantially, compared to the most recent examination. hyperinflation is due to a component of emphysema. heart size is normal. no pleural effusion. healed left lower lateral rib fractures or pleural thickening noted. preliminary findings were relay...
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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persistent moderate cardiomegaly with no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process
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right lower lobe volume loss. an infiltrate in this region can't be excluded.
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ap chest compared to : right apical pneumothorax is miniscule, if any. small right pleural effusion has recurred and right basal atelectasis has worsened since following removal of the right pigtail pleural drain. the moderate left pleural effusion is still present and the shape of the cardiac contour suggests either ...
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persistent abnormality in the left lower lobe, likely atelectasis, but given the history of lymphoma. ct can be considered.
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pa and lateral chest compared to : normal heart, lungs, hila, mediastinum and pleural surfaces. healed left posterior rib fracture. no explanation for clinical abnormalities.
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in comparison with the study of , the cardiac silhouette is at the upper limits of normal or mildly enlarged. however, no vascular congestion, pleural effusion, or acute focal pneumonia.
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no acute cardiopulmonary process.
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cardiomegaly. otherwise, unremarkable chest radiographs.
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unremarkable chest radiographs.
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compared to chest radiographs through. combination of combination of small to moderate pleural effusion and atelectasis, moderate on the right, severe on the left, has not changed. the upper lungs are now clear. heart is normal size. leftward mediastinal shift unchanged. no pneumothorax. right jugular line ends in the...
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no significant interval change since the prior examination.
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mild pulmonary edema has worsened.
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interval withdrawal of chest tube, otherwise appearance of heart and lungs is unchanged.
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interval worsening of bilateral lower lung bronchiectasis with new infrahilar opacification likely due to mucoid impaction.
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cardiomegaly and post-cabg changes, but no evidence of pneumonia or pulmonary edema.
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streaky perihilar opacities, left greater than right may represent an atypical infection though clinical correlation is advised. a nonemergent ct may be performed to further evaluate.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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equivocal minimal increased opacification in the right mid and lower zones. otherwise, i doubt significant interval change.
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mild patchy opacity at the right lung base laterally, which could correspond to findings on the recent ct scan. minimal atelectasis at the left lung base. no overt chf, frank consolidation or gross effusion. mild to moderate cardiomegaly, unchanged compare with.
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the findings suggest mild cardiac decompensation superimposed on patient's known lch. supervening infection, particularly at the right lung base cannot be excluded. recommend repeat radiograph after treatment.
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in comparison with the study of , there again is no evidence of acute focal pneumonia, vascular congestion, or pleural effusion.
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stable chest findings, no evidence of acute pulmonary infectious process.
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no acute findings in the chest.
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unchanged position of the right upper extremity picc.
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bibasilar atelectasis. no definite infiltrate. if there is high suspicion for a pneumonic infiltrate, then a lateral view could help for further assessment.
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no acute cardiothoracic process.
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a left lower lobe opacity, also seen on multiple prior radiographs, likely represents persistent atelectasis or possibly recurrent pneumonia. small right pleural effusion, new since. unchanged small left pleural effusion. mild-to-moderate cardiomegaly is slightly worse since. these findings were communicated via teleph...
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no acute intrathoracic process.
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ap chest read in conjunction with torso ct scan performed five hours earlier. multiple posterolateral fractures of left mid ribs appear well healed. it is possible to miss an acute rib fracture, but there is no pneumothorax, pleural effusion or evidence of pulmonary contusion. the heart is moderately enlarged. right lu...
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no acute intrathoracic process.
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mild pulmonary edema.
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in comparison with the study of , there is again scoliosis of the thoracic spine convex to the right. no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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no evidence of acute cardiopulmonary process. there is mild compression fracture of a lower thoracic vertebral body (likely t<num>) new since the prior study, but otherwise of indeterminate age. recommend clinical correlation for acuity.
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low lung volumes with resultant crowding of lung vasculature without consolidation or pulmonary edema. stable cardiomegaly.
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extensive calcified pleural plaque without definite signs of pneumonia or edema.
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no acute intrathoracic process.
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no radiographic evidence of pneumonia or pulmonary edema. left lower lobe atelectasis and moderate-to-severe cardiomegaly are unchanged.
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within normal limits.
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no acute intrathoracic process.
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limited exam. interval improvement in previous pattern of mild pulmonary edema and decreased size of small right pleural effusion. persistent trace left pleural effusion.