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MIMIC-CXR-JPG/2.0.0/files/p14841168/s55795536/64d1efdb-d52c759d-34559e90-2d0e736e-433ec186.jpg
the patient has been extubated. the nasogastric tube was removed. the left central venous access line persists. lung volumes are stable. mild to moderate fluid overload. improvement of a pre-existing right basal atelectasis.
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clear lungs with no evidence of pneumonia.
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low lung volumes and mild bibasilar atelectasis. no focal consolidation seen.
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bibasilar opacities which likely represent atelectasis, however an infectious etiology cannot be excluded in the correct clinical setting. cardiomegaly grossly unchanged from with mild pulmonary vascular congestion. pulmonary arterial enlargement suggestive of underlying pulmonary arterial hypertension.
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ap chest compared to earliest postoperative study on , at : with the chin partially flexed, tip of the endotracheal tube is no less than <num> mm above the carina. it should be withdrawn to <num> mm to prevent unilateral intubation. right internal jugular line ends in the mid svc. upper enteric feeding tube passes in...
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bilateral apical pneumothoraces have increased, no evidence of tension. increasing small amount of pneumomediastinum.
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mild cardiomegaly unchanged. no acute intrathoracic process.
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no radiographic evidence of traumatic injury. no pneumothorax or mediastinal widening. please note that this exam is not dedicated for imaging of the bones; dedicated films corresponding to the area of focal exam findings is recommended if there is concern of a specific fracture.
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pa and lateral chest compared to : nipple shadow should not be mistaken for lung nodules. calcifications in the left mid chest could be pleural or pulmonary, but of no active clinical concern. lungs are essentially clear. heart size normal. no pleural abnormality or evidence of central adenopathy.
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no acute cardiopulmonary process.
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multifocal pneumonia.
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no acute cardiopulmonary abnormality.
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resolved pleural effusions, almost complete resolution of vascular congestion and improved bibasilar atelectasis
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no acute intrathoracic process.
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lung volumes have improved and pulmonary vasculature is no longer engorged. moderate to severe cardiomegaly is chronic. trans subclavian atrial biventricular pacer defibrillator leads are unchanged, continuous from the left pectoral generator. lungs are clear. no pleural abnormality.
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as compared to prior radiograph of <num> day earlier, a moderate left pleural effusion is unchanged and remainder of the exam also appear similar considering differences in technique between the studies.
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in comparison to exam, there is interval progression of right hemithorax opacification, which likely reflects combination of lung consolidation and pleural fluid.
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as compared to the previous radiograph, the left pleural effusion has completely resolved. on the right, the effusion has decreased but is still clearly visible. subsequent areas of atelectasis are stable. unchanged size of the cardiac silhouette. no new parenchymal opacities suggesting infectious or malignant disease....
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slight increase in size in the small areas of peribronchial infiltration in the left lung base look more like atelectasis than pneumonia. right lung and left upper lung are clear. there is no pleural effusion or evidence of central lymph node enlargement. heart is normal size. chronic scoliosis is moderate to severe, u...
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no acute cardiopulmonary process.
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in comparison to previous radiograph from earlier today, pulmonary edema has slightly improved. allowing for marked leftward patient rotation, exam is otherwise unchanged.
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small bilateral pleural effusions with bibasilar atelectasis. pulmonary vasculature is engorged.
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no evidence of pulmonary masses.
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persistent left lower lobe opacification with layering pleural effusion. while this could be atelectasis, supervening pneumonia should be considered in the appropriate clinical setting.
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comparison to. stable normal alignment of the sternal wires. moderate cardiomegaly with mild fluid overload but no overt pulmonary edema. no pneumonia, no pleural effusions. mild elongation of the descending aorta.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. specifically, no evidence of pulmonary or skeletal metastasis.
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no evidence of pneumonia.
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right internal jugular central venous catheter tip in the upper svc without pneumothorax.
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no acute cardiopulmonary process. emphysema.
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no acute cardiopulmonary process.
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no significant changes since the prior study. no acute radiographic abnormalities.
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ap chest compared to through : region of scarring in the right middle lobe has been present to some degree for several years. there is also a region of chronic atelectasis in the left lower lobe. overall, there are no new focal findings to suggest pneumonia. low lung volumes are probably due in part to vascular dilata...
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normal chest radiograph.
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no acute cardiopulmonary process.
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no acute intrathoracic process. fullness along the right paratracheal stripe could be vascular or reflect lymphadenopathy. suggest non-emergent chest ct.
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no acute process.
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interval decrease in size of right pleural effusion which is now small. no acute cardiopulmonary process.
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moderate cardiomegaly, mild pulmonary edema and small bilateral pleural effusions consistent with chf.
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no acute intrathoracic process.
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relative opacity projecting along the right heart border could be due to a right middle lobe consolidation, however, there appears to be pectus deformity at this location on the lateral view and findings may be artifactual. comparison with prior studies would be helpful for further clarification.
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low lung volumes. no acute cardiopulmonary abnormality.
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tracheostomy tube in unchanged position. right subclavian central line with its tip in the mid-to-distal svc, unchanged. interval placement of a right chest tube, which has its tip crossing the midline approximately <num> cm lateral to the vertebral bodies. repositioning is advised. the patient subsequently had the che...
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ap chest compared to : moderately severe diffuse infiltrative pulmonary abnormality has improved since , after worsening over the preceding two days. the interval change is probably resolving hydrostatic edema. azygous distension persists indicating elevated central venous pressure or volume, and indicates a potential ...
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no acute cardiopulmonary abnormality.
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left basilar atelectasis, though chronic, has increased since ; pe can be considered on the differential. the findings were discussed by dr with dr telephone at on.
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bilateral pleural effusions and cardiomegaly are moderate, however improved from the prior examination.
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patchy left lower lobe opacity may reflect atelectasis, but infection cannot be excluded in the correct clinical setting.
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interval improvement of right lung base ventilation for reduced pleural effusion. stable left lower lobe collapse and pleural effusion.
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no acute cardiopulmonary abnormalities
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chest clear.
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new opacity with volume loss at the left lung base which can probably be attributed to atelectasis although pneumonia is not excluded. short-term follow-up radiographs with pa and lateral technique may be helpful to reassess.
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right internal jugular line tip is at the level of lower svc. et tube tip is approximately <num> cm above the carinal. ng tube tip is in the stomach. basal pneumothorax on the right is seen despite the presence of the right chest tube. there is no appreciable pulmonary edema.
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chest findings are unchanged.
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no acute cardiopulmonary process.
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in comparison with the study of , the there is again blunting of the left costophrenic angle, probably representing pleural thickening. no evidence of acute pneumonia, vascular congestion, or right effusion. no hilar or mediastinal adenopathy. port-a-cath extends to the cavoatrial junction or possibly the upper right a...
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pa and lateral chest compared to : severe cardiomegaly is unchanged. some of the large amount of the cardiac silhouette could be due to pericardial effusion, but there is no indication that this is hemodynamically significant since mediastinal veins are normal caliber. minimal redistribution of pulmonary circulation to...
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as compared to the previous radiograph, the left chest tube is in unchanged position. left basal linear opacity is caused by a skin fold. the tracheostomy tube is also unchanged. unchanged course and position of the left picc line. the pre-existing opacity in the right upper lobe has substantially decreased in extent a...
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possible mild pulmonary edema with femoral catheter terminating in the right atrium as before.
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mild cardiomegaly and mild pulmonary edema. limited exam due to low lung volumes.
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satisfactory placement of left-sided pacemaker with leads in the right ventricle and coronary sinus.
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comparison to. no relevant change. low lung volumes. feeding tube and right picc line are in stable position. moderate cardiomegaly. no pneumonia. no pulmonary edema. unchanged perihilar right atelectasis.
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low lung volumes with bibasilar atelectasis and probable mild pulmonary vascular congestion. probable small right pleural effusion.
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lungs clear. heart size top-normal.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. minimal height loss of a mid thoracic vertebral body, age indeterminate and clinical correlation will be necessary.
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heart size and mediastinum are unremarkable. pulmonary arteries enlargement, perihilar interstitial markings, perihilar and lower lobe opacities and bilateral pleural effusions in combination with b-lines are concerning for pulmonary edema. he underlying infectious process is a possibility. there is no pneumothorax. r...
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as compared to the previous radiograph, the patient has been extubated, the nasogastric tube and the right internal jugular vein catheter were removed. new right pleural effusion, new small left pleural effusion. in addition, there is a focus of consolidation at the right lung base, consistent with either atelectasis o...
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worsened right basilar opacification with elevated right hemidiaphragm, likely a combination of pleural fluid and atelectasis.
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pa and lateral chest compared to and : mild pulmonary edema has improved. residual heterogeneous opacification in the axillary region of the right upper lobe could be due to pneumonia, particularly aspiration. careful followup advised. heart size is normal. pleural effusions are small, if any. chest radiographs on su...
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small right apical pneumothorax. interval decrease in right pleural effusion.
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normal chest.
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no acute intrathoracic process. probable chronic pulmonary disease. increased aortic valve calcifications. note that conventional chest radiograph is suboptimal for detection of rib fractures. if clinical concern is high, return for dedicated rib films with in region of interest is recommended.
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low lung volumes that accentuate the bronchovascular markings. given this, there may be mild pulmonary vascular congestion. areas of left mid to lower lung atelectasis/scarring.
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comparison to. the extent of the relatively widespread left parenchymal opacities stable. the right apical parenchymal opacity is slightly decreased in extent and severity. no new opacities. no pleural effusions. mild right lateral pleural thickening is unchanged.
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no acute cardiopulmonary process. improved inspiratory lung volumes with mild bibasilar atelectasis.
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the nasogastric tube terminates in the mid esophagus, the device should be advanced by at least -<num> cm. the right picc line tip projects over the right atrium, to repositioned at the level of the cavoatrial junction and needs to be pulled back by about <num> cm. improved left retrocardiac and lower lung atelectasis....
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no acute cardiopulmonary process.
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findings suggest mild pulmonary edema.
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atelectasis adjacent to the neo esophagus is unchanged. pleural effusion on the right is almost completely resolved.
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normal chest.
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probable bibasilar atelectasis. otherwise, doubt acute pulmonary process.
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normal chest findings, no cardiac enlargement, pulmonary congestion or acute pulmonary parenchymal infiltrates.
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no acute cardiopulmonary process.
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mild pulmonary vascular engorgement and small right pleural effusion. mild bibasilar atelectasis.
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unchanged from prior.
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no acute intrathoracic process. unchanged elevation of the right hemidiaphragm.
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apparent minimal interval widening of mediastinum likely exaggerated by patient positioning and low lung volumes though cannot exclude aneurysmal dilatation which could be further evaluated for on chest cta.
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no acute cardiopulmonary abnormality.
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no acute process.
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no acute findings.
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no acute cardiopulmonary process.
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pa and lateral chest compared to : site of local radiation for lung cancer is denoted by a fiducial marker in the right apex. lungs are otherwise clear of focal abnormalities, specifically there are no findings to suggest pneumonia. heart is top normal size. central lymph nodes contain granulomatous calcifications but ...
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moderate size right pneumothorax with mild leftward shift of mediastinal structures worrisome for tension.
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no acute cardiopulmonary pathology.
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no acute cardiopulmonary process.
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findings most consistent with pulmonary edema. short-term radiographic followup is recommended after diuresis to exclude the possibility of coinciding pneumonia.
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pulmonary edema. focal opacity in the left upper lobe may reflect fissural fluid vs. superimposed pneumonia. consider f/u cxr post diuresis.
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no previous images. the cardiac silhouette is at the upper limits of normal in size and there is tortuosity of the aorta. no acute pneumonia, vascular congestion, or pleural effusion.
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no acute intrathoracic process.
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focal consolidative opacity in the right mid lung field is concerning for pneumonia. hazy opacity within the left mid and lower lung fields with vascular indistinctness could reflect asymmetric pulmonary edema though additional areas of pneumonia are not excluded. recommend followup radiographs after diuresis for furth...