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MIMIC-CXR-JPG/2.0.0/files/p10313272/s54813518/05c06c78-18910036-a8d7a5b4-791606f2-924483b7.jpg
in comparison with study of , there is a dense streak of atelectasis in the right middle lobe. no definite infectious focus or evidence of vascular congestion or pleural effusion.
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bibasilar airspace opacities with air bronchograms may reflect atelectasis or consolidation. mild-to-moderate pulmonary edema. stable moderate cardiomegaly and enlargement of the pulmonary artery.
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ap chest compared to : et tube and nasogastric tube are in standard placements. severe consolidation of the right lung has worsened, consistent with progressive pneumonia. left lung is grossly clear. pleural effusions are small. heart size is normal. no pneumothorax.
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appropriate pacemaker defibrillator position with lead terminating in the right ventricle as expected.
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persistent nodular right upper lobe opacity, for which, as was also recommended on the prior chest radiograph from , ct workup of this opacity is recommended.
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no acute cardiopulmonary process.
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left basilar opacification may reflect atelectasis though infection cannot be excluded. unchanged degree of left inferior lateral pleural thickening.
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no acute change detected.
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persistent moderate right-sided pleural effusion
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no acute cardiopulmonary process.
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small amount of atelectasis in left lung base with small left pleural effusion.
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no acute cardiopulmonary process of. no pulmonary edema.
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irregular opacities in the left could represent aspiration. right lower lobe opacities are stable. there is no pneumothorax or pleural effusion. cardiomegaly is stable. et tube is in standard position. right ij catheter tip is in the mid svc. ng tube tip is out of view below the diaphragm
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in comparison with the study of , there again are low lung volumes the with bilateral atelectatic changes. in cardiac silhouette is within normal limits and there is no evidence of pulmonary vascular congestion. the left picc line again extends to the mid to lower portion of the svc. the dobhoff tube is been removed.
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newly placed right picc line ends in the mid svc. moderate pulmonary edema. retrocardiac atelectasis. moderate layering right pleural effusion.
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findings consistent with copd, but no acute process.
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mild cardiomegaly without acute cardiopulmonary process.
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port-a-cath catheter tip terminates at the level of cavoatrial junction. heart size and mediastinum are stable. lungs are hyperinflated. there is no pleural effusion or pneumothorax. tortuous aorta is demonstrated. old rib fractures are noted. no evidence of pneumonia.
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appropriate pacemaker lead placement with clear lungs.
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severe emphysema with no focal opacity convincing for pneumonia.
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no acute intrathoracic process.
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ap chest compared to : the patient has been extubated and lung volumes are lower. there has been a disproportional increase in caliber of the mediastinum, which could be due to bleeding or vascular engorgement due to cardiac tamponade. lung periphery shows no vascular engorgement, so left heart function is not incrimin...
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no acute cardiopulmonary process.
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ap chest compared to : previous mild pulmonary edema has cleared, and there is no longer pulmonary congestion, although moderate-to-severe cardiomegaly is unchanged. pleural effusion is small if any. moderate cardiomegaly is longstanding. no pneumothorax.
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no acute intrathoracic process.
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mild cardiomegaly and mild pulmonary edema.
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no evidence of acute disease.
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small right pleural effusion. right middle lobe atelectasis/ scarring. no definite focal consolidation.
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no acute findings.
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no acute cardiopulmonary process.
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mild pulmonary vascular congestion. patchy opacities in lung bases may reflect areas of atelectasis, but infection is not completely excluded.
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no acute chest abnormality.
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no evidence of acute process demonstrated.
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persistent sidewall left lower lobe opacity concerning for pneumonia. no definite change.
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severe pulmonary edema.
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low lung volume and subsegmental atelectasis with no evidence of infection or malignancy.
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linear bibasilar opacities likely atelectasis.
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ap chest compared to at : nasogastric tube ends in the upper stomach. tracheostomy tube in standard placement. right subclavian line ends in the mid to low svc. greater opacification in the right upper chest is probably due to posteriorly layering pleural effusion. compared to , mild pulmonary edema has improved, thou...
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patchy, somewhat linear right base opacity most likely due to atelectasis, although infectious process is not excluded in the appropriate clinical setting
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no evidence of acute disease.
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bilateral lower lobe pulmonary consolidations, concerning for pneumonia. findings were reported to by in person at on within <num> minutes of discovery of these findings.
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low lung volumes crowd the pulmonary vasculature and give overall a more hazy appearance to the lungs. there is no definite focal parenchymal opacity reflecting pneumonia.
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minimal bibasilar atelectasis.
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chronic changes of pulmonary fibrosis due to underlying sarcoidosis. focal area of increased opacification in the right upper lobe compared to the earlier study of , could represent worsening fibrosis versus superimposed pneumonia. recommended followup chest radiographs after treatment to assess resolution.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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prominent interstitial markings, which may reflect interstitial edema or underlying chronic interstitial lung disease. mild cardiomegaly.
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a feeding tube is seen coursing below the diaphragm with the tip projecting over the proximal stomach. overall cardiac and mediastinal contours are stable. there are residual streaky opacities in the right lower lung likely related to resolving pneumonia. no pulmonary edema. probable small residual right effusion or pl...
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heart failure. needs followup to exclude preexisting pneumonia.
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improved multifocal consolidations. followup in <num> weeks is recommended to assess for resolution
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patient is status post left blebectomy and pleurodesis with no residual pneumothorax seen.
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somewhat diminished lung volumes with prominence of the interstitium which could reflect small airways disease or an underlying interstitial abnormality including atypical infection and/or other interstitial disease. no focal airspace consolidation is seen to suggest a focal pneumonia. enlarged pulmonary artery consist...
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normal chest radiograph.
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in comparison with the study of , there are lower lung volumes. the increased opacification at the bases is consistent with atelectatic changes and pleural fluid. indistinctness of pulmonary vessels again is consistent with elevation of pulmonary venous pressure.
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no acute cardiopulmonary process. no suspicious lung lesions.
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no acute cardiopulmonary abnormality.
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in comparison with the study of , there is little change. stable enlargement of the cardiac silhouette with retrocardiac opacification consistent with some combination of volume loss and pleural fluid. central catheter remains in place.
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<num> cm opacity projecting over the right upper lung field, which could represent costochondral calcification, focus of infection, contusion or lung nodule. apical lordotic view may be helpful. alternatively, non-urgent chest ct could be performed. findings were discussed with by by telephone at on at the time of ...
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11328899/s58627038/ea6cc56d-ce923e9d-b334a9f1-37f8a77e-0134752a.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p11670635/s53545880/6e63ec40-bf0eebc5-07dc02ec-a4443b3e-b5279cc1.jpg
no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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findings which are most suggestive of pulmonary edema, although more confluent in the right lower lobe than elsewhere. in the setting of high clinical suspicion for pneumonia, the possibility this represents a developing focal pneumonia as a second diagnosis could be considered in the appropriate setting.
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no acute cardiopulmonary process.
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ap chest compared to : previous examination showed mild pulmonary edema and probable emphysema accompanied by small left pleural effusion. current examination is rotated to the left and there may be an increase in left lower lobe atelectasis and small left pleural effusion as well as findings of emphysema and persisten...
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no acute cardiopulmonary process. no significant change from recent prior.
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interval increase in size of the left pleural effusion with overlying atelectasis/consolidation. a small right pleural effusion is also noted.
MIMIC-CXR-JPG/2.0.0/files/p15758778/s57540409/64924418-7b587ac3-94c495e3-fe831b4a-a7b831b2.jpg
no acute cardiopulmonary process. no definite displaced rib fracture although this study has low sensitivity for such. if high clinical concern for rib fracture, dedicated rib series or chest ct is more sensitive.
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no suspicious masses.
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left pleural effusion/postsurgical change is stable from most recent prior exam. subtle opacity involving the left lower lobe suggests passive atelectasis.
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no acute process.
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as compared to previous radiograph of <num> day earlier, cardiomediastinal contours are stable. left basilar opacity has nearly resolved in the right lower lobe opacity has improved. such rapid improvement and the presence of adjacent volume loss favor atelectasis over infectious pneumonia. small pleural effusions are ...
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decrease in size of right hilar mass.
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no acute cardiopulmonary abnormality.
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compared to chest radiographs through. severe enlargement of the cardiac silhouette has not changed, with particular left atrial enlargement. nevertheless previous mild pulmonary edema has resolved. there is no appreciable pleural effusion although there is fair amount of right basal atelectasis. minimal right apical ...
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bilateral chest tubes have been removed. tiny right apical pneumothorax is noted. note is made of small bilateral pleural effusions, right greater than left, with adjacent atelectasis.
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no pneumonia.
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comparison to. the patient now shows small to moderate bilateral pleural effusions with subsequent areas of atelectasis at the lung bases. the pre-existing perihilar opacities, however, have decreased in extent, the opacities likely reflect that pulmonary edema. no pneumothorax or new parenchymal changes.
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no pneumonia.
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stent catheters in both brachiocephalic veins, joining at the origin of the svc, have not narrowed or migrated since. severe hyperinflation reflects emphysema. heart size is top-normal, improved since. there is no focal pulmonary abnormality. previous left lower lobe atelectasis has resolved and there is no pleural eff...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. slight prominence of ascending aorta which is likely related to tortuosity but underlying mild prominence/dilatation cannot be excluded. heart size top normal.
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ap chest compared to : moderate to large right pleural effusion has increased substantially. on the left there is a small apical pneumothorax but no appreciable pleural effusion since removal of the left pleural drain. left subclavian line ends in the svc. a bulging mediastinal contour that is superior and lateral to t...
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no definite signs of pneumoperitoneum. bibasilar atelectasis.
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bibasilar opacities are likely atelectasis in the setting of low lung volumes, however, aspiration or infection should be considered in the appropriate clinical setting. a repeat pa and lateral view of the chest maybe helpful for further assessment of the lung bases.
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possible small right apical pneumothorax, if any.
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slight interval improvement in aeration. persistent patchy opacity of the left base and unchanged subcutaneous emphysema. however, there is no evidence of pneumothorax. stable cardiac and mediastinal contours. no evidence of pulmonary edema.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. cardiac and mediastinal silhouettes remain stable in comparison to the recent study. however, on comparison to the prior study from there is an increased opacity in the region of the aroto-pulmonary window which may represent lymphadenopathy, aneurysmal formation, or other etiology. t...
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improving left lower lobe pneumonia.
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no acute cardiopulmonary process.
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no pneumonia or acute cardiopulmonary process.
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no evidence for acute cardiopulmonary process.
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no focal consolidation. if clinical suspicion for atypical infection is high, a dedicated chest ct may be obtained for further characterization.
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a right lower lobe opacity which could represent atelectasis though pneumonia is possible in the proper clinical setting. recommendation(s): clinical correlation for superimposed infection is recommended.
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no acute cardiopulmonary process. emphysema. large hiatal hernia. stable large hiatal hernia.
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calcified mediastinal lymph nodes with calcified granulomas in the left lung stable from. no evidence of pneumonia.
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no acute cardiopulmonary process. lucency projecting under the right hemidiaphragm may represent intraperitoneal free air. recommend clinical correlation and abdominal radiographs for further evaluation. left upper lobe nodular opacity, not present on the prior chest ct. recommend non-urgent chest ct for further evalua...
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no acute intrathoracic process.
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dobbhoff tube likely within the stomach.