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MIMIC-CXR-JPG/2.0.0/files/p17427992/s54774952/a739119e-ca0cfd6a-3b363830-b683a45c-444b8afe.jpg
mild pulmonary vascular congestion. no focal consolidation.
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increased right lung base opacification, likely represents atelectasis, but in the appropriate clinical setting could represent a small developing consolidation.
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no significant change in moderate bilateral pleural effusions.
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mild cardiomegaly stable since. vascular congestion in the lungs and mediastinum slightly worse. focal region of coalescent opacity in the right lower lung projecting over the anterior right fifth rib could be a focus of either early pneumonia or early edema. careful followup is recommended. pleural effusions small if ...
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possible lingular consolidation, could be atelectasis.
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new left upper lung field focal opacity which may reflect pneumonia in the correct clinical setting. follow up radiographs after treatment are recommend to ensure resolution of this finding.
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left lung is still collapsed. left hemi thorax is uniformly opaque aside from small bubbles of retained air in the left pleural space. volume of left pleural effusion is indeterminate, but probably considerable common despite the left pleural drain. a small right pleural effusion persists, pleural drain in place. heter...
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there is extensive right-sided subcutaneous emphysema, which extends up into the neck and crosses the midline and also involves the left neck and the back. this makes it difficult to evaluate the right lung, but no large pneumothorax can be appreciated. the left lung is clear. overall, cardiac and mediastinal contours ...
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findings consistent with left lower lobe pneumonia.
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stable small left pleural effusion with associated left lower lobe opacity likely reflecting atelectasis; although, infection or aspiration is possible.
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swan-ganz catheter ends in the right descending pulmonary artery approximately <num> cm beyond optimal placement. right jugular catheter ends in the mid svc. feeding tube ends in the upper stomach. severe cardiomegaly is chronic, but there is no pulmonary edema or even vascular engorgement. small right pleural effusion...
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in comparison with the study of , the patient has taken a better inspiration. cardiac silhouette is mildly enlarged, but there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. right subclavian catheter appears to extend to the mid to lower portion of the svc.
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no radiographic evidence for pneumonia.
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enlargement of the cardiac silhouette, potentially due to underlying cardiomegaly. pericardial effusion would also be possible. , md
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moderate cardiomegaly stable. upper mediastinal widening, particularly in the right tracheal paratracheal station is unchanged since , but new since earlier on prior to central line placement. this could be hematoma as well as mediastinal venous distention. small right pleural effusion lends increase radiodensity to t...
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new congestive heart failure with increased cardiomegaly and new mild pulmonary edema. telephone notification to dr by dr at on.
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left-sided picc ends at lower svc. compared to , reexpansion of left lung, decreased size of small left pleural effusion, and decreased size of left loculated pleural effusion.
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ng tube tip is in the stomach. et tube tip is <num> cm above the carinal. heart size and mediastinum are stable. left more than right pleural effusions with bibasal opacities appear to be minimally progressed since the prior study. there is no pneumothorax. there is no pulmonary edema.
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no acute intrathoracic process.
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possible trace bilateral pleural effusions. otherwise, no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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there is substantial interval increase in right pleural effusion which is currently large with opacification of the vast majority of the right hemi thorax. there is slight left mediastinal shift as a consequence. left lung is essentially clear. atelectasis of the remainder of the right lung is demonstrated.
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retrocardiac opacity which could be atelectasis however infection cannot be entirely excluded.
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no acute cardiopulmonary process. mediastinal contour unchanged compared to
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no evidence of pneumonia.
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no radiographic evidence of acute cardiopulmonary disease.
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new focal consolidation at the left lower lobe compared to the prior study. this could be concerning for pneumonia or aspiration.
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no mediastinal lymphadenopathy or pneumonia.
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ap chest compared to : right pic line has been withdrawn since , and now ends in the mid svc. mild bibasilar atelectasis and small left pleural effusion are new. heart size is normal. upper lungs clear. transvenous right atrial and right ventricular pacer leads are unchanged in their respective positions. findings were...
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comparison to. no relevant change. moderate cardiomegaly. bilateral areas of atelectasis. minimal right pleural effusion. mild stable pulmonary edema. stable correct alignment of the sternal wires.
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persistent moderate cardiomegaly with loculated moderate right pleural effusion and consolidation in the right mid and lower lung. overall, no significant change from prior exam. port-a-cath positioned appropriately and previous right ij central venous catheter removed in the interval.
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no acute intrathoracic process.
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interval placement of the left chest tube which has its tip at the apex. improved aeration within the left lung, although there continues to be a bilateral diffuse airspace process which is likely without significant interval change. the endotracheal tube, nasogastric tube, right internal jugular introducer catheter, l...
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<num> chest radiographs show ultimate positioning of the esophageal drainage tube in the upper stomach. previous mediastinal venous engorgement and borderline interstitial edema have improved. small bilateral pleural effusions are still present. heart size is top-normal. no pneumothorax. right pic line ends in the mid ...
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no acute cardiopulmonary process.
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no acute cardiac or pulmonary process.
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worsening pulmonary edema, now moderate with small bilateral effusions also increased in the interval.
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no radiographic evidence for large free intraperitoneal air.
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compared to prior chest radiographs through. emphysema is severe. interstitial edema, left lung slightly more pronounced. heterogeneous opacification in the right lung has been variable of the past several days, but not improved, probably a combination of pneumonia, atelectasis and edema, and small right pleural effus...
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the heart size is top-normal. the hilar and mediastinal contours are within normal limits. the central pulmonary vessels are enlarged, however, no pulmonary edema is detected. there is no new focal consolidation, pneumothorax, or pleural effusion. the findings are unchanged in comparison to the examination.
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comparison to. mild decrease in extent of the pre-existing right pleural effusion. moderate cardiomegaly. areas of atelectasis persist. no pulmonary edema. stable position of the right central venous access line and the left icd.
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et tube is at the appropriate level, but the tip abuts the tracheal wall due to severe leftward displacement of the cervical trachea by large right goiter. feeding tube in standard placement. moderate to severe cardiomegaly is chronic. there is no pulmonary edema and pleural effusion if any is small. heterogeneous opac...
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no acute cardiopulmonary abnormalities
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new right ij swan-ganz catheter, with tip over proximal most pulmonary artery. slightly more pronounced bibasilar atelectasis. otherwise, i doubt significant interval change.
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moderate left pleural effusion persists following thoracentesis of the previously large pleural effusion. there is no pneumothorax. cardiac silhouette is probably larger now than it was in raising question of pericardial effusion. the small right pleural effusion layers posteriorly. the upper lungs are clear. the base...
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slight improvement of right pleural effusion. no other significant change.
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mild pulmonary interstitial edema with associated right-sided pleural effusion.
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compared to prior chest radiographs since , most recently through. heterogeneously distributed interstitial pulmonary abnormality has improved slightly over the past several days, suggesting it is either improving edema or resolving interstitial pneumonia. right pleural effusion is small. no pneumothorax. no left pleu...
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in comparison with the study of an, there is continued enlargement of the cardiac silhouette with dual channel pacer in good position. the left hemidiaphragm is better seen, suggesting improved aeration of the lower lobe. opacification along the left lower chest wall is consistent with pleural effusion, some of which ...
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pa and lateral chest compared to and : moderate cardiomegaly, enlargement of the pulmonary arteries suggesting pulmonary hypertension and hyperinflation of the lungs due to emphysema and/or chronic small airways obstruction, but not changed since at least. what has varied is the radiodensity of heterogeneous opacifica...
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chronic likely scarring in the left lower lobe. hazy opacity along the left chest wall is persistent and should be assessed with ct thorax. recommendation(s): ct thorax is recommended to assess the left lower lobe and chest wall.
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no evidence of acute cardiopulmonary disease.
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mild bibasilar atelectasis.
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no evidence of right pneumothorax as a potential cause of pleuritic chest pain. possible small left basilar hydropneumothorax following left pigtail pleural catheter removal. bibasilar atelectasis and/or consolidation accompanied by pleural effusions.
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new focal opacity in the left perihilar region with interval worsening of right sided edema. et tube terminates <num> cm above the carina and enteric tube terminates within gastric fundus.
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no acute intrathoracic process.
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no acute intrathoracic process.
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interval extubation, removal of the nasogastric tube, removal of mediastinal drains and removal of left basilar chest tube. right internal jugular central line has its tip in the distal superior vena cava, unchanged. persistent low lung volumes with patchy bibasilar opacities and a probable layering left effusion. thes...
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left picc line tip is at the level of mid svc. heart size mediastinum are stable. no appreciable pleural effusion is demonstrated on the left. small right pleural effusion is most likely present. no pneumothorax. no new consolidations.
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no evidence of acute disease.
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no evidence of acute disease.
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endotracheal tube is low lying, terminating at the level of the carina. recommend withdrawal by approximately <num> cm. low lung volumes with bibasilar opacities likely atelectasis.
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limited study due to extremely low lung volumes and radiopaque device projecting over the medial right lung base. the et tube ends <num> cm above the carina and should be slightly withdrawn. mild cardiomegaly. bilateral lower lobe opacities most likely represent atelectasis; however, infection or aspiration cannot be e...
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overall improved appearance the lungs with improved aeration bilaterally but with persistent interstitial abnormalities. this could represent edema although infection or interstitial process are possible.
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no acute cardiopulmonary process.
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small left pleural effusion and left basilar atelectasis.
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no acute cardiopulmonary process.
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i irregular dense opacity at left base, increased compared with , associated with an elevated left hemidiaphragm. differential diagnosis includes alveolar processes such as infection and hemorrhage.
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compared to prior chest radiographs through. moderate right pleural effusion has increased. lung volumes remain very low. mild cardiomegaly has increased. no definite pulmonary edema. no pneumothorax. left pic line ends in the upper svc.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. cardiac silhouette is at the upper limits of normal in size and there is some hyperexpansion of the lungs. no evidence of acute pneumonia or vascular congestion. on the lateral view, there is a rounded opacificati...
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bibasilar atelectasis. no focal consolidation.
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suspected small layering left pleural effusion. no discrete pneumothorax identified.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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left subclavian central line has its tip in the proximal svc. the endotracheal tube continues to have its tip at the thoracic inlet. a nasogastric tube is seen coursing below the diaphragm with the tip not identified. overall cardiac and mediastinal contours are stable. persistent bibasilar patchy opacities are again s...
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no acute intrathoracic process.
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comparison to. at better inspiration the previously described lung nodules are no longer clearly identified. no evidence of lung parenchymal abnormalities. normal size of the heart. no pleural effusions. no pulmonary edema.
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ap chest compared to : moderate to severe cardiomegaly and mediastinal vascular engorgement are chronic, unchanged acutely. mild pulmonary edema is stable. small pleural effusions are presumed, but unchanged. there is no pneumothorax. whether there is concurrent pneumonia is radiographically indeterminate and should be...
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stable cardiomegaly with interval improvement in pulmonary edema and no evidence of pneumonia.
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relatively stable small to moderate right pleural effusion. possible trace left pleural effusion. persistent marked enlargement of the cardiac silhouette without overt pulmonary edema.
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improved moderate pulmonary edema with a persistent small right pleural effusion.
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right upper lobe atelectasis has improved, but there may be new collapse of the middle lobe elevated against the minor fissure. right lower lobe consolidation, presumably another region of atelectasis, is stable. left lung remains clear. heart size is normal. small right pleural effusion is likely. feeding tube with th...
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dobhoff tube tip isin the stomach. left lower lobe atelectasis have improved her no other interval change from prior study.
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no pulmonary or osseous lesions appreciable by radiography.
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ap chest compared to and : pulmonary edema has cleared from the left lung. small left pleural effusion or basal atelectasis is responsible for obscuring the descending thoracic aorta, which is slightly more severe today than it was on. the major changes are in the right lung where the multiloculated pleural abnormalit...
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radiation changes in the mid to upper left lung in the perihilar region with retraction of the trachea are seen. mild tenting of the left hemidiaphragm also likely represents radiation changes. a large mediastinal mass is stable from.
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in comparison with the study of , the there is little change in the extensive empyema on very right. postsurgical changes are seen in the right hemithorax with a loculated air- level in the upper zone and mid line. otherwise, little change.
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moderate size right pleural effusion with right basilar compressive atelectasis. small left pleural effusion.
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lower lung volumes on lateral examination may account for atelectasis. no definite pneumonia.
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in comparison with the earlier study of this date, the tip of the nasogastric tube is unchanged. although it lies within the upper stomach, the side port is within the lower esophagus.
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no acute intrathoracic process. unchanged configuration of a right-sided pacemaker.
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as compared to the previous radiograph, the extent of the known right pleural effusion is unchanged. also unchanged are the areas of atelectasis at the right lung bases. the pre described perihilar opacities on the left are no longer visible. unchanged appearance of the cardiac silhouette. unchanged course of the right...
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minimally displaced fracture of the lateral left tenth rib.
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bibasilar atelectasis. no focal consolidation.
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increased interstitial markings particularly in the left mid to upper lung with likely a chronic component given distortion of the left hilum. superimposed acute infection or underlying mass lesion is also possible. correlation with older films should they become available would be of use. otherwise additional imaging ...
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in comparison with the earlier study of this date, the right picc line has been pulled back to approximately the level of the cavoatrial junction. little change in the appearance of the heart and lungs.
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mild improvement in pulmonary edema. small pleural effusions. cardiac enlargement, pulmonary vascular congestion.
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no acute intrathoracic process.
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in comparison with the study of , there has been essentially complete clearing of the middle lobe opacification with some mild residual fibrotic change. no evidence of acute focal pneumonia or vascular congestion.
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no acute cardiopulmonary process.