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MIMIC-CXR-JPG/2.0.0/files/p12966004/s55553875/d506da5a-b2dad80c-f31e282e-15154de3-b4385bea.jpg
slight improvement of right upper lung opacity with increased bibasilar opacities possibly reflecting atelectasis or aspiration though worsening infection cannot be fully excluded.
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ap chest compared to through at <num>: endotracheal tube is in standard position, right internal jugular line ends low in the svc, and an upper enteric drainage tube passes into the stomach and out of view. mild-to-moderate pulmonary edema, moderate bilateral pleural effusions, and moderate bibasilar atelectasis have...
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no acute cardiopulmonary process.
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persistence of bilateral perihilar opacities which are slightly improved, but indicate ongoing infection.
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no acute cardiopulmonary process. no focal consolidation to suggest pneumonia.
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there no prior chest radiographs available for review. heavy asbestos related pleural calcification obscures the midportion of both lungs. lungs elsewhere are clear. there may be emphysema. heart size top-normal. no pleural abnormality.
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new left lower lobe infiltrate compatible with pneumonia
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new opacification of the right mid and lower hemithorax, likely reflecting a combination of pleural fluid and atelectasis/consolidation. new patchy opacities in the left lung. these findings may reflect edema and/or infection.
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as compared to the previous radiograph, the patient has developed small bilateral pleural effusions, restricted to the level of the costophrenic sinuses. subsequent bilateral atelectasis are seen at the lung bases. the remaining lung parenchyma is unremarkable. normal size of the cardiac silhouette. the tip of the righ...
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in comparison with the study of , the opacification in the region of the lingula is not appreciated at this time. no evidence of acute focal pneumonia. several calcified granulomas are seen, especially in the left upper zone.
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no acute traumatic injury identified.
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following tracheal extubation on lung volumes have decreased substantially, and bb bibasilar atelectasis is moderately severe, accompanied by new or increased small bilateral pleural effusion. pneumoperitoneum persists. vascular crowding in the lungs makes it difficult to exclude early edema but there is mediastinal v...
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in comparison with the study of , there is little change in the substantial pulmonary edema and relatively mild enlargement of the cardiac silhouette. continued bilateral pleural effusions, more prominent on the left, with compressive basilar atelectasis.
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significantly smaller left apical pneumothorax. worsening left lingular and left lower lobe opacity, likely atelectasis versus early pneumonia. persistent left upper mediastinal opacity, likely atelectasis or hematoma.
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no acute cardiopulmonary process.
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previous interstitial edema has resolved. top-normal heart size, slightly larger than preoperatively, the common postoperative phenomenon. small bilateral pleural effusions are inconsequential. lungs are clear. no pneumothorax.
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in comparison to chest radiograph, cardiomediastinal contours are stable in appearance, and lungs and pleural surfaces are clear.
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no acute cardiopulmonary process.
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no acute intrathoracic process
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the heart is moderately enlarged. there is pulmonary vascular redistribution. there are increased interstitial markings with small bilateral effusions compared compatible with fluid overload. there is an old healed the right distal clavicle fracture
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mild cardiomegaly with small left pleural effusion with underlying collapse and/or consolidation. compared with , the effusion is slightly larger.
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mild interstitial pulmonary edema.
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heart size and mediastinum are unchanged. pacemaker leads are unchanged. left ventricular assisting device appears to be unchanged within the limitations of the study technique. no interval development of pulmonary edema is present. left pleural effusion is noted. overall the effusion is most likely small to moderate, ...
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streaky increased opacity in the right lung base likely represents atelectasis, but an early pneumonia cannot be excluded, and short-term followup radiographs may be helpful in this regard if warranted clinically.
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status post right lower lobectomy with increased right pleural fluid.
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in comparison with study of , there is little change. again there is hyperexpansion of the lungs suggesting chronic pulmonary disease. no acute pneumonia, vascular congestion, or pleural effusion. mild atelectatic changes are seen at the bases.
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no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16736890/s55940778/73c8a1f3-b92fcb09-a1243e52-864c472f-231d99ff.jpg
no acute intrathoracic process.
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large hiatal hernia. otherwise, no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13132088/s53083625/1e9b6baa-b23f30ca-fd776ea4-5f1c25ac-4c7f9c20.jpg
in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. again there is elevation of the left hemidiaphragm, but no acute pneumonia, vascular congestion, or pleural effusion.
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cardiomegaly with left pleural effusion and mild edema.
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normal chest findings in female patient with history of positive ppd.
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no acute intrathoracic abnormality.
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no evidence of pneumonia.
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compared to prior chest radiographs,. pulmonary and mediastinal vascular engorgement are new, reflecting cardiac decompensation. heart size is borderline enlarged. bibasilar atelectasis is mild to moderate and could obscure early edema, but there is no edema in the upper lungs, nor appreciable pleural effusion. no pneu...
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no acute intrathoracic process.
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innumerable pulmonary metastases and osseous sclerotic metastases. small bilateral pleural effusions.
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findings most suggestive of mild vascular congestion. patchy opacities in the left upper and left lower lobes could be seen with pneumonia.
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no acute cardiopulmonary process.
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possible right middle lobe pneumonia in the appropriate clinical context.
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no acute cardiopulmonary process.
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bibasilar atelectasis and low lung volumes. mild pulmonary vascular congestion.
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endotracheal tube terminates <num> cm above the carina. moderate pulmonary edema.
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right perihilar opacity has increased in prominence, likely focal pneumonia.
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cardiomegaly and findings suggesting mild pulmonary vascular hypertension; otherwise unremarkable.
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ap chest reviewed in the absence of prior chest radiograph, compared to chest cta, : severe consolidation, with a component of volume loss in the left lower lobe, suggests post-obstructive atelectasis or pneumonia, accompanied by small-moderate left pleural effusion. right lung is hyperinflated, and oligemia reflects s...
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an ill-defined opacity at the right lung base on the prior radiograph has resolved, reflecting either atelectasis or aspiration.
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moderate cardiomegaly is chronic. lungs are clear. there is no pleural abnormality. biventricular pacer leads are unchanged in their respective positions since at least , continuous from the left pectoral generator.
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findings suggestive of left basilar atelectasis. otherwise, essentially unremarkable chest x-ray.
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small bilateral pleural effusions with bibasilar atelectasis.
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diffuse tiny pulmonary nodules better assessed on prior ct. no superimposed pneumonia.
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in comparison with the study of , the left picc line has been removed. there is again blunting of the costophrenic angles with atelectatic changes at the bases and elevation of the right hemidiaphragmatic contour. however, there is no evidence of vascular congestion or acute focal pneumonia.
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the significant pleural abnormality is a large multiloculated right pleural collection that persists despite the presence of the right pigtail pleural drainage catheter. the right pneumothorax is small and clinically insignificant, loculated at the base. mild edema in the left lung is unchanged. left cardiac contours n...
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in comparison with the study of , there is again substantial elevation of the right hemidiaphragmatic contour. the cardiac silhouette is stable with some enlargement and left ventricular prominence. no evidence of vascular congestion or significant pleural effusion or acute focal pneumonia. the atelectatic changes at t...
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normal chest radiograph.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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limited study due to low lung volumes with likely bibasilar atelectasis and pulmonary vascular congestion. infection cannot be excluded and repeat images with improved inspiration are recommended if infection remains a high clinical concern.
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no acute cardiopulmonary abnormality.
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comparison with the study of , there again is enlargement of the cardiac silhouette with some improvement in the degree of pulmonary edema. atelectatic changes and possible small effusion at the left base. no evidence of focal consolidation.
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the right pneumothorax now has a subpulmonic component and appears slightly larger, although this may be simply due to changes in positioning. the remainder of the exam is unchanged, including a moderate left pleural effusion, left lower lobe opacity, and cardiomegaly.
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cardiomegaly, mild interstitial pulmonary edema, and probable small bilateral pleural effusions with adjacent atelectasis.
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in comparison with the study of , there is little overall change. cardiac silhouette remains within normal limits and there is some hyperexpansion of the lungs. coarse interstitial markings process along with blunting of both costophrenic angles and atelectatic changes at the bases, more prominent on the right.
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persistent bilateral parenchymal opacities localizing to the middle lobe and lingula compatible with pneumonia. followup after treatment suggested to document resolution.
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heart size is enlarged. there is a left retrocardiac opacity, small bilateral pleural effusions, and water pulmonary interstitial edema. slightly improved from prior there are no pneumothoraces.
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support lines and tubes are unchanged in position. cardiomediastinal silhouette is within normal limits. there is atelectasis at the lung bases, right worse than left. no overt pulmonary edema or focal consolidation is seen. there are no pneumothoraces.
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no acute cardiopulmonary process.
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the lung volumes are low. borderline size of the cardiac silhouette. no pleural effusions. no pneumonia, no pulmonary edema.
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the cardiac silhouette is within normal limits and there is mild tortuosity of the aa descending aorta. no acute pneumonia, vascular congestion, or pleural effusion.
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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as compared to the previous radiograph, the lung volumes have decreased. there is a minimal increase in extent of the known bilateral pleural effusions. moderate cardiomegaly and minimal fluid overload persists. the apical lateral parenchymal opacities are unchanged in appearance.
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no acute intrathoracic process.
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no evidence of acute disease.
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as compared to the previous image, the position of the <num> right-sided drains is unchanged. unchanged appearance of the cardiac silhouette but decrease in extent of the pleural fluid collection on the left. the retrocardiac atelectasis is constant. no pneumothorax. no new opacities in the lung parenchyma.
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mild pulmonary edema, small pleural effusions. lower lobe opacities possibly representing atelectasis though difficult to exclude pneumonia.
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mild pulmonary edema, cardiac or otherwise, atypical infection, and more chronic conditions such as drug induced granulomatosis, dip should all be considered. if findings persist after initial treatment, ct scanning would be useful.
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no acute cardiopulmonary process.
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in comparison to prior radiograph of <num> days earlier, bilateral lower lung airspace opacities have worsened, right greater than left, and are concerning for evolving pneumonia in the appropriate clinical setting. no other relevant change.
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stable right basilar pneumothorax. stable right pleural effusion, basilar consolidation
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no acute cardiopulmonary process.
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no evidence of acute disease.
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no acute cardiopulmonary abnormality.
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no evidence of acute cardiopulmonary disease.
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cardiomegaly and pulmonary edema.
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no evidence of acute cardiopulmonary disease.
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right picc line tip is at the level of mid svc. right internal jugular line tip is at the level of mid to lower svc. the up of tube and ng tube pass below the diaphragm terminating in the stomach. left pigtail catheter is in unchanged position with no substantial change in the left basal component of the pneumothorax. ...
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a x <num> mm oval opacity projecting over the anterior right third rib probably originated as a small ring shadow in the same location on. it is unclear whether this lesion is in the lung or overlying chest wall, particularly the third rib chest ct scanning would be definitive in making this distinction and if the les...
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no pneumonia.
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radiograph obtained for placement of a feeding tube demonstrates the tip of the tube terminating in the expected location of the duodenum. a coexisting nasogastric tube continues to terminate in the region of the distal esophagus above the expected level of the gastroesophageal junction.
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no acute findings in the chest.
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no evidence of pneumonia or other acute cardiopulmonary process.
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no evidence of acute cardiopulmonary process.
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decompensated congestive heart failure, stable from yesterday, which had shown some improvement between and. persistent left lower lobe consolidation, which may be due to atelectasis or pneumonia depending on the clinical setting.
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no significant pulmonary edema or prominence of pulmonary vasculature. moderate cardiomegaly is unchanged from. mild basilar atelectasis is improved from.
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no acute intrathoracic process.
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chest clear.