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MIMIC-CXR-JPG/2.0.0/files/p11055521/s52130013/7270d61c-a532f55b-550c6074-b8274ff3-21d62f51.jpg
volume of small left apical pneumothorax unchanged since earlier in the day. small left pleural effusion may have increased, and there is greater atelectasis at both lung bases. tiny right apical pneumothorax is stable. cardiomediastinal silhouette is unremarkable. transvenous pacer leads in standard placements unchang...
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no acute intrathoracic process.
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ap chest compared to , : following insertion of the right pigtail pleural drain at the mid level in the right hemithorax, previously large right pneumothorax is now small to moderate, but there is still appreciable right pleural effusion. left lung reflects vascular congestion. heart is normal size, but increased sinc...
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nasogastric tube is coiled in the esophagus. airspace consolidations in the lung bases bilaterally likely represent aspiration or infection in the appropriate clinical setting. findings discussed with dr , at the time of discovery.
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mild interstitial edema with bilateral small pleural effusions, essentially unchanged from the prior exam.
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suggestion of very mild perihilar congestive chnages. moderate elevation of the right hemidiaphragm.
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standard thoracostomy tube has replaced the left pigtail pleural drainage catheter, curving over the apex of the lung, having decrease the pneumothorax from moderate to slightly smaller. previous left lower lobe collapse has resolved and the mediastinum has returned of midline. right lung is clear. heart size normal.
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comparison to ,. no relevant change is noted. the monitoring and support devices are stable. normal size of the cardiac silhouette. no pleural effusions. no pulmonary edema. no pneumothorax.
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in comparison with the study of , the patient has taken a better inspiration. the right subclavian picc line is been removed. there is continued enlargement of the cardiac silhouette without vascular congestion or pleural effusion. specifically, no evidence of acute focal pneumonia.
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no acute cardiopulmonary abnormality.
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interval resolution of small left pleural effusion.
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heart size and mediastinum are stable. post sternotomy wires are stable. lungs are clear. there is no pleural effusion or pneumothorax. there is no evidence of amiodarone lung toxicity.
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<num>) note made of picc line, tip overlying the right scapula, outside the chest wall. <num>) probable slight interval improvement, though bilateral pulmonary opacification persists.
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no acute cardiopulmonary process.
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continued obscuration of the left heart border favors left lower lung atelectatic changes over pneumonia. otherwise, stable chest x-ray.
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no acute cardiopulmonary process. no significant interval change.
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cardiomegaly with pulmonary edema.
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no acute cardiopulmonary abnormality.
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no pneumonia.
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unchanged chronic elevation of the right hemidiaphragm and minimal atelectasis in the lung bases. unchanged <num> mm nodule in the right upper lobe, as seen on prior chest ct. no acute cardiopulmonary abnormality otherwise demonstrated. no displaced rib fractures identified. recommendation(s): if there is continued con...
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probable mild pulmonary edema with bilateral lower lobe opacities, which could represent an early pneumonia. small bilateral effusions, right greater than left. stable cardiomegaly and post-surgical changes in the descending thoracic aorta.
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no acute intrathoracic process.
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no definite rib fractures with possible left-sided fractures as described above. if continued clinical concern, consider dedicated rib views.
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no acute intrathoracic process.
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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. there is striking elevation of the right hemidiaphragmatic contour with a pigtail catheter beneath its. no evidence of acute pneumonia or vascular congestion. right subclavian catheter extends to th...
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ap chest compared to through : mild-to-moderate pulmonary edema improved between and. although it may have continued to clear from the left lung, there is greater pulmonary vascular engorgement on the right, overall little changed. focal areas of peribronchial opacification in the perihilar right upper lobe have impr...
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the left ij central line again courses across mid line and the tip is abutting the superior svc wall. heart size is prominent but stable. there are low lung volumes with atelectasis at the lung bases. there are no pneumothoraces.
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et tube positioned appropriately. ng tube tip positioned at the ge junction. recommend advancement. small left pleural effusion with mild cardiomegaly. hilar opacities, question adenopathy. please correlate clinically, consider ct to further assess.
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new alveolar opacities within the left upper land ower lung fields concerning for pneumonia. patchy right basilar opacity could reflect an reflect additional site of infection or atelectasis.
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moderate thoracic scoliosis. no rib abnormality seen. dedicated rib series could be obtained to further evaluate for subtle chest wall abnormalities in the area of focal clinical tenderness.
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et tube is in standard position <num> cm above the carina. ng tube tip is out of view below the diaphragm. cardiomegaly is stable. multifocal opacities larger in the right upper lobe sign report are unchanged. there is no pneumothorax or large effusions
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prior chest radiographs through. large right pleural effusions are no smaller. severe atelectasis at the lung bases long-standing. upper lungs, obscured by pleural fluid are grossly clear. heart is normal size. endotracheal tube in standard placement. left jugular line ends at the thoracic inlet.
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mild pulmonary edema.
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right ij sheath at the cavoatrial junction. mild pulmonary edema with atelectasis or infection at the left base and possible small left pleural effusion.
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no acute cardiopulmonary process. known pulmonary nodules are not delineated on this chest x-ray.
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copd, with probable background interstitial changes. chf, overall similar or possibly slightly worse compared with at the possibility of some collapse/consolidation at left base cannot be excluded.
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mild pulmonary edema has improved continuously since and. small left basal residual persists accompanied by possible small left pleural effusion. normal cardiomediastinal silhouette. left subclavian line ends in the low svc, esophageal drainage tube in the distal stomach, tracheostomy tube in standard placement. no pn...
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persistent apical pneumothorax similar appearance of lungs compared to prior.
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no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p14580631/s54400115/b8de7a93-d3160c9e-61256615-0619165d-3badee15.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p16509155/s52607268/8a42b78b-2b017cbf-b4f0f568-32a219d8-f1995b9e.jpg
no acute cardiopulmonary process.
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right middle lobe opacity concerning for early pneumonia.
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mild to moderate cardiomegaly with at evidence of frank pulmonary edema.
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low lung volumes. bibasilar atelectasis. no evidence of acute cardiopulmonary process.
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heart is normal in size. mediastinal contours are likely within normal limits. there is some prominence of both hila which more likely reflect prominent pulmonary vasculature rather than lymphadenopathy. no evidence of pneumothorax. there is a diffuse interstitial abnormality as well as a more patchy opacity in the ret...
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normal chest radiograph without evidence of rib fractures. if high clinical suspicion, consider dedicated rib radiographs.
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no evidence of pneumonia.
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no acute intrathoracic process. stable cardiomegaly. no free air beneath the diaphragms.
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interval removal of bilateral pigtail pleural catheters. on the left, there may be a small loculated left basilar pneumothorax but this can be further assessed on followup imaging. no right pneumothorax is seen. there is streaky patchy opacity in the left mid peripheral lung as well as more focal opacity in the right m...
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no acute intrathoracic process. stable elevation of the left hemidiaphragm.
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findings consistent with pneumonia in the right lower lobe, new since the recent prior examination.
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there is vague opacification in the right middle lobe, which may suggest developing pneumonia in the correct clinical setting.
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no acute cardiopulmonary process.
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extensive metastatic disease. mild cardiomegaly. patchy left basilar opacity, although most likely atelectasis.
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no acute cardiopulmonary process. no evidence of lung lesion identified.
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no evidence of acute cardiopulmonary process. increased heart size, given patien't age, correlate with clinical findings.
MIMIC-CXR-JPG/2.0.0/files/p12093819/s58054975/3c713604-6abaaada-972909d0-feb72715-3ed2d956.jpg
no acute intrathoracic process.
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in comparison with the study of , there is little change and no evidence of acute cardiopulmonary disease. no pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p10259739/s52978690/bcee3786-36c516a0-b25926b5-ea183268-9b790d96.jpg
no acute cardiopulmonary process.
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small left pleural effusion with left basilar opacity likely reflective of atelectasis. infection cannot be completely excluded.
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normal chest radiographs.
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no evidence of pneumonia.
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as compared to the previous radiograph, the right picc line has been minimally pulled back. this maneuver reveals that the tip of the line is positioned in the azygos vein. the lateral radiograph confirms this malposition, showing approximately <num> cm of distal catheter positioned in this vessel. no complications, no...
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comparison to. as compared to the previous image, a pre-existing right basal parenchymal opacity with air bronchograms has increased in extent and severity. the change over time suggests the presence of pneumonia. mild to moderate pulmonary edema persists. moderate cardiomegaly with retrocardiac atelectasis. the monito...
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heart size and mediastinum are stable. diffuse interstitial opacities have slightly progressed concerning for progression of pulmonary edema. calcifications in the right mid thorax are unchanged. bilateral pleural effusion is moderate in slightly increased since the prior study. there is more conspicuous opacity now at...
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opacity at the right lung base that may represent postsurgical change or possibly acute infectious process. further evaluation can be made if prior chest radiographs are submitted for comparison. enlargement of the left pulmonary artery consistent with pulmonary hypertension. these findings were entered as a wet read i...
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no acute cardiopulmonary process.
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right lower lobe consolidation is concerning for pneumonia/ aspiration. small pleural effusions, right greater than left. large hiatal hernia. spiculated nodularity in the left mid lung peripherally appears similar to multiple prior exams. nonemergent ct may be considered as neoplasm difficult to exclude.
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normal chest.
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stable chest findings in comparison with previous chest examinations of and. there is no evidence of acute pulmonary infiltrates or acute pulmonary congestion.
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mild pulmonary vascular congestion without focal consolidation.
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no definite lung abnormality aside from mild bibasilar atelectasis. stable, severe cardiomegaly.
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no acute cardiopulmonary process.
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normal chest radiograph.
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as compared to the previous radiograph, the previously millimetric pneumothorax on the left has developed into a tension pneumothorax. a urgent tube placement is required. these tube placement to place on the later radiograph, acquired at pm. unchanged appearance of the left hemi thorax.
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multiple healing right posterolateral rib fractures but no pneumomediastinum or subdiaphragmatic free air.
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comparison to. lung volumes have decreased but the extent of the pre-existing bilateral parenchymal consolidations, is stable. unchanged elevation of the left hemidiaphragm. borderline size of the cardiac silhouette.
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as compared to the previous radiograph, the patient has been extubated and the nasogastric tube was removed. the other monitoring and support devices are in unchanged position. unchanged appearance of the left lung and the <num> left chest tubes. constant appearance of the left basal atelectasis. moderate cardiomegaly ...
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spiculated right upper lobe nodule and enlarged ap window lymph node seen on previous ct and pet-ct are not well visualized on the current radiograph. no acute cardiopulmonary abnormality otherwise noted.
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ap chest compared to through at : two esophageal tubes ends at the gastroesophageal junction and both should be advanced several centimeters for improved positioning. et tube in standard placement. swan-ganz catheter ends in the pulmonary outflow tract. mild-to-moderate cardiomegaly, improved. lungs grossly clear. sm...
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copd. no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. chronic interstitial abnormality at the lung bases, similar to the prior ct, which was possibly attributable to chronic aspiration or uip at that time.
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persisting retrocardiac opacity, likely reflecting combination of atelectasis/consolidation and pleural fluid.
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small left basilar pleural effusion with adjacent atelectasis. interstitial edema is mild if present.
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low lung volumes with mild pulmonary vascular congestion. bibasilar airspace opacities could reflect atelectasis but aspiration or infection are not excluded. small left pleural effusion, perhaps minimally increased compared to the previous exam, with resolution of previously noted right pleural effusion. ill defined n...
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no pneumonia.
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bibasilar atelectasis have improved. cardiomediastinal contours are unchanged from prior ct performed <num> hours earlier. there is no evident pneumothorax. small effusions are better seen in prior ct.
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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no pneumonia, no pulmonary edema, no pleural effusion.
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in comparison with the study of , there is again hyperexpansion of the lungs, but no evidence of acute pneumonia, vascular congestion, or pleural effusion.
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the lung volumes are normal. at the medial bases of the right lung, a well-defined area of atelectasis and scarring is visualized on both the frontal and the lateral radiograph. no evidence of active or recent infectious changes. in particular, there is no evidence of tb. normal size of the cardiac silhouette. mild elo...
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clear lungs with no evidence of pneumonia.
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slight improvement in mild pulmonary edema. patchy opacities in the lung bases may reflect atelectasis, but infection particularly in the left lung base cannot be completely excluded.
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no active disease.
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left lower lobe pneumonia.
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faint and ill-defined increased density in the right lower lung, appreciated only on the frontal view and new since has a nonspecific appearance. if there is a clinical concern for pneumonia, this should be appropriately followed up following treatment at six weeks.
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no acute cardiopulmonary process; nonvisualization of previously described right lower lung nodular density, but this may be due to differences in patient potion.
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copd. bibasilar atelectasis.
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no acute intrathoracic abnormality.
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no pneumonia.