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MIMIC-CXR-JPG/2.0.0/files/p14266995/s58418929/5aa57bed-21f00264-a5e3cdc1-0bb1dadf-96db7a80.jpg
status post pacemaker placement with ventricular lead extends somewhat further into the right ventricle than before, but otherwise positioning appears unchanged. patchy new left basilar opacification, suggestive of atelectasis, possibly with a small coinciding pleural effusion.
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slowly developing right perihilar opacity concerning for pneumonia.
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no acute intrathoracic process. no rib fractures identified.
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no evidence of pneumonia.
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no evidence of acute disease.
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small left apical pneumothorax, post chest tube removal. improved pulmonary vascular congestion.
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right lower lobe collapse, most severe on , has improved only minimally. the lower lobe is still severely consolidated, unchanged since. small to moderate right pleural effusion is also unchanged. moderate to severe cardiomegaly is improved slightly. there is no pulmonary vascular congestion or edema. there many healed...
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no acute cardiac or pulmonary process.
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no acute cardiopulmonary process.
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since the prior study there is no substantial change in the left tracheal shift, bilateral pleural effusions and right basal consolidation. air projecting over the mediastinum is related to the distended esophagus.
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no acute cardiopulmonary abnormality.
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as compared to the previous radiograph, there is a minimal decrease in extent of the pre-existing pleural effusions. the right basal opacities minimally improved. the left apical cavitary opacity with an air-fluid level is constant in size and extent. no evidence of pneumothorax. unchanged appearance of the cardiac sil...
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no acute intrathoracic process.
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no radiopaque foreign body identified.
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as compared to the previous radiograph, no relevant change is seen. a mild cardiomegaly with elongation of the descending aorta. no pulmonary edema. no pneumonia, no pleural effusions. no lung nodules or masses.
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no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12746068/s53820600/376f40de-f8724c13-738f839a-37ea238a-2788a899.jpg
no acute cardiopulmonary process.
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in comparison with the study of , the patient has taken a better inspiration. cardiac silhouette is within normal limits and there is no vascular congestion, pleural effusion, or acute focal pneumonia. the right picc line is been removed.
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no acute cardiopulmonary process. unchanged healed left-sided rib fractures with subsequent local pleural thickening.
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no acute cardiopulmonary abnormality. hyperinflated lungs likely reflective of copd.
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no acute cardiopulmonary process. leftward deviation of the trachea at the thoracic inlet could be due to right-sided thyroid enlargement for which correlation with thyroid ultrasound could be performed.
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moderate pulmonary edema, worse in the interval, though developing areas of infection in the right mid lung field and left lung base cannot be completely excluded. followup radiographs after diuresis are recommended. small bilateral pleural effusions.
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normal chest radiograph.
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no significant interval change in the small right pneumothorax. a new nodular opacity, new compared to a prior study from <num> days ago a likely reflects an area of atelectasis, continued attention on followup is recommended.
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subtle opacity in the retrocardiac region, may be secondary to pneumonia.
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no acute cardiopulmonary process.
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no evidence of pneumonia.
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right picc line tip is at the level of lower svc. heart size and mediastinum are stable. bilateral pleural effusions are unchanged. widespread consolidations appear to be even more progressed as compared to previous study.
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there is a large right-sided pneumothorax which has developed since the previous study. endotracheal tube tip has been pulled back and is now <num> cm above the carina. the left side central venous line and nasogastric tube are appropriately positioned. heart size is within normal limits. there are patchy diffuse airsp...
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top normal to mildly enlarged cardiac silhouette. otherwise, no acute cardiopulmonary process.
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interval worsening of decompensated congestive heart failure resulting in more extensive consolidation at the right hilar pneumonia.
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no acute cardiopulmonary process.
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bibasilar opacities favoring atelectasis in the setting of low lung volumes. hoever, pneumonia or aspiration can not be exluded.
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no evidence of acute cardiopulmonary disease.
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in comparison with the study of , there is again enlargement of the cardiac silhouette with pulmonary edema. there is a a right pleural effusion with compressive atelectasis at the base. given the extensive opacifications in the lungs, especially at the right base, it would be extremely difficult to radiographically ex...
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low lung volumes with bibasilar atelectasis.
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interval increase in size of moderate, multiloculated right pleural effusion. unchanged appearance of smaller, moderate-sized left pleural effusion.
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a left lateral approach chest tube projects over the mid lung and descends inferiorly. more exact positioning and assessment of the anterior component of previous hydro pneumothorax could be determined if a lateral radiograph is obtained.
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no radiographic explanation for chest pain.
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heart size is most likely normal although it is partially obscured by large bilateral pleural effusions. medius day ago does not enlarged. esophageal stent is in place. no pneumothorax.
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volume loss in the left lower lung but slightly improved appearance compared to. the film from the prior day on the left. the right lung continues to have alveolar infiltrate
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in comparison with the study of , there is again substantial opacification in the left lower zone consistent with pleural effusion and compressive atelectasis at the base. in the appropriate clinical setting, a superimposed pneumonia would have to be considered. otherwise, little change and no evidence of acute abnorma...
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right greater than left pulmonary opacities have increased since <num> days prior, compatible with multifocal pneumonia. a left picc terminates in the right atrium and could be withdrawn approximately <num> cm.
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no acute cardiopulmonary process.
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in comparison with the study of , the cardiac silhouette is unchanged. on the lateral view there is increased opacification in the retrocardiac region that is difficult to define on the frontal projection. in view of the clinical history, the possibility of lower lung pneumonia would have to be considered. there is blu...
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prior right branching hilar opacity consistent with pulmonary vasculature. no acute cardiopulmonary process.
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peripheral opacity in the right upper lobe, which may reflect of pneumonia, however given the somewhat wedge-shaped configuration and peripheral location, cannot completely exclude pulmonary infarct secondary to pulmonary embolism, in the appropriate clinical setting.
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right internal jugular catheter tip is in theright atrium, unchanged. there is no pneumothorax. gaseous distention of a colonic loop in the right upper quadrant is present. there are no other interval changes
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in comparison with the operative study, there is now a fiducial seed in the left upper zone. no evidence of postprocedure pneumothorax.
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no acute cardiopulmonary process.
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mild cardiomegaly without pulmonary edema.
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increasing bilateral pleural effusions with adjacent atelectasis. mild vascular congestion
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mild pulmonary edema and bibasilar atelectasis, perhaps minimally improved in the interval.
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findings suggestive of pulmonary edema. increased prominence of interstitum may be due to edema superimposed on chronic lung disease or less likely due interval worsening of fibrosis.
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ap chest compared to and intervening torso ct on : thickening of the right apical pleural margin, hematoma due to nondisplaced fracture of the right second rib (seen on the torso ct) is no larger today than it was on at lungs are clear aside from mild bibasilar atelectasis. there is no appreciable pleural effusion ...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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mild pulmonary edema worsened slightly in the left lung, improved in the right, overall unchanged compared to. small bilateral pleural effusions are stable. atelectasis probably explains some of the increased density at both lung bases. no pneumothorax. mild relative postoperative enlargement of the cardiac silhouette ...
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as compared to the previous radiograph, the monitoring and support devices are in unchanged correct position. the pre-existing retrocardiac atelectasis as well as the opacity at the right lung base is minimally more severe than on the previous image. no other changes are noted. the appearance of the cardiac silhouette ...
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in comparison with the study of , there is increasing opacification at the left base, consistent with worsening pleural effusion and volume loss in the left lower lobe. the generalized opacification obscures the region of the lung abscess. opacification just above the effusion could represent site of infection.
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no acute cardiopulmonary abnormality.
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no acute cardiopulmonary process.
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cardiomegaly with mild vascular congestion. no overt pulmonary edema. low lung volumes without evidence of pneumonia.
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interval development of mild pulmonary edema with stable small bilateral pleural effusions.
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<num>) allowing for differences in technique, there may be slight worsening of interstitial markings and right base pleural fluid. otherwise, i doubt significant interval change. <num>) please see report of chest ct referring to known lung cancer with confluent right lung nodules and mediastinal lymphadenopathy, as we...
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moderate cardiac enlargement with evidence of mild degree of chronic pulmonary congestion status post bypass surgery. no evidence of acute parenchymal infiltrates or pleural effusion as can be identified on single ap chest view.
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stable moderate right pleural effusion. severe chronic cardiomegaly. increased pulmonary vascular congestion. no pulmonary edema
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normal radiographic study of the chest.
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compared to chest radiographs and. left trans subclavian right atrial pacer and right ventricular pacer defibrillator leads are unchanged in their standard placements since. there is no pneumothorax, pleural effusion or mediastinal widening. cardiomegaly is moderate. epicardial pacer devices are noted. lungs clear. pa...
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as compared to the previous radiograph, the right chest tube is still in position. the dimension of the known right pneumothorax is constant. there is no evidence of tension. unchanged appearance of the heart and of the left lung.
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no acute cardiopulmonary process.
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comparison to. unchanged position of the swan-ganz catheter. moderate cardiomegaly. mild fluid overload but no overt pulmonary edema. no pleural effusions. no pneumothorax.
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in comparison with the study of earlier in this date, the degree of pneumothorax on the right with subpulmonic component has increased. pigtail catheter remains in place.
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no acute cardiothoracic process.
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bibasilar atelectasis. tortuous aorta with likely ascending aortic aneurysm, unchanged, which can better be assessed with contrast-enhanced ct. emphysema.
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right mid lung linear atelectasis/scarring. otherwise, no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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in comparison with the study of , the dobhoff tube is been pulled back so that it straddles the esophagogastric junction. it should be pushed forward about <num> cm for more optimal positioning. continued enlargement of the cardiac silhouette with mild indistinctness of pulmonary vessels suggesting some elevated pulmon...
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no acute cardiac or pulmonary process.
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no acute pulmonary process. in particular, no pneumothorax seen.
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postsurgical changes following right lobectomy. no evidence of pneumonia or pulmonary edema.
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low lung volumes with bibasilar atelectasis and mild pulmonary vascular congestion without definitive evidence for consolidation.
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marked cardiomegaly with mild interstitial edema.
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sternal plates are demonstrated. sternal wires are unchanged in appearance including broken first sternal wire. heart size and mediastinum are stable in appearance. lungs are essentially clear. no pleural effusion or pneumothorax is seen.
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new increased opacity in the left hemi thorax likely in part due to underlying effusion with any combination of consolidation or atelectasis. probable right pleural effusion with pulmonary edema.
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in comparison with the study of , there is again increased opacification at the right base, which may be slightly smaller than on the previous study. otherwise, the lungs are clear and there is no evidence of vascular congestion. monitoring and support devices remain in place.
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low lung volumes with bibasilar opacities likely representing atelectasis. evolving consolidation not excluded in the appropriate clinical setting.
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hyperinflation suggests copd. lungs grossly clear. drainage catheter projects over the right diaphragmatic region. small right pleural effusion or pleural thickening persists. normal cardiomediastinal and hilar silhouettes. no left pleural abnormality. multiple healed right rib fractures.
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no evidence of acute cardiopulmonary disease.
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heart size is normal. prominent mediastinal contours consistent with known lymphadenopathy are unchanged. lungs are clear. no pleural effusion or pneumothorax is seen.
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large right and small left pleural effusions increased since prior.
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no acute cardiopulmonary process.
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no acute cardiopulmonary abnormality.
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small right pleural effusion. no radiographic evidence of metastatic disease.
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gross cardiomegaly. possible small right effusion the left base is difficult to evaluate given the enlarged cardiac silhouette
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no acute cardiopulmonary abnormality.
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right basal nodules as a whole minimally decreased since the prior study. differential for these lesions includes amiodarone toxicity and cryptogenic organizing pneumonia. while chest radiographs are likely suitable for monitoring for change over time, a baseline ct examination can be obtained to allow for better chara...
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small focus of air/gas immediately posterior to the sternum without evidence for bone destruction or dishiscence of sternal wires. although it is hard to exclude the possibility of gas-forming infection, the presence of gas in soft tissues can be anticipated following very sternotomy. improving left basilar opacity and...
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atelectatic changes at the right lung base.