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MIMIC-CXR-JPG/2.0.0/files/p18921966/s59572544/96d90cfe-7c4f7deb-f193601f-08635c9c-7bc81535.jpg
no relevant change as compared to the previous image. the tip of the left picc line projects over the cavoatrial junction. no complications, notably no pneumothorax. no pulmonary edema, no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p17832311/s51366855/5250b4b0-0d42c58a-37eaf3bc-e232effa-ad5cc6c2.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p19881666/s50939486/7c9502cc-3ca64edc-2bf352ef-dd97ae36-23502ca9.jpg
heart size is normal. mediastinum is normal. minimal bibasal linear opacities are present potentially representing areas of atelectasis but infectious process in particular viral or a typical mycoplasma pneumonia cannot be excluded. no pleural effusion or pneumothorax is present. followup of the patient <num> weeks aft...
MIMIC-CXR-JPG/2.0.0/files/p17787541/s51572459/4a883d29-eea7ea41-20dcc338-3bdcbfe3-0b44eba7.jpg
no evidence of acute cardiopulmonary abnormalities.
MIMIC-CXR-JPG/2.0.0/files/p12881887/s50218150/60f15451-fc202329-7e30e6f3-c8c5ce50-469f4baf.jpg
stable appearance of the chest.
MIMIC-CXR-JPG/2.0.0/files/p17302284/s57657819/27ab5cef-ea7fccba-f1291d56-95bd7728-606140ba.jpg
compared to chest radiographs through. moderate bilateral pleural effusions, increased on the right replacing pneumothorax, minimally increased on the left. no residual pneumothorax. severe enlargement cardiac silhouette stable. mild pulmonary edema still present, along with bibasilar atelectasis, moderately severe on...
MIMIC-CXR-JPG/2.0.0/files/p18096934/s57896500/0808f966-fd133a62-41f27c16-3717461d-d2fdd83f.jpg
no significant interval change when compared to the prior study. findings consistent with a multifocal pneumonia, metastatic disease cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p12213176/s53684613/79a27e50-80cb8896-d80bc2e8-a942736a-1df87e5a.jpg
no evidence of pneumonia. trace left basilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p10035631/s50214252/9d60dffc-f13ede2b-c5d87d49-fef90f52-b9f2f656.jpg
as compared to the previous image, the patient is of the bronchoscopy. there is no evidence for pneumothorax. widespread bilateral parenchymal opacities are unchanged in extent and severity. unchanged size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p11678661/s58109023/ba043d41-8ecaa563-964f2981-15eaf9ca-25abc743.jpg
as compared to the previous radiograph, no relevant change is seen. no evidence of foreign body. no pneumonia, no pulmonary edema, no pleural effusions. mild scoliosis with subsequent asymmetry of the ribcage. borderline size of the cardiac silhouette.
MIMIC-CXR-JPG/2.0.0/files/p14206363/s53962262/ffee2be8-0ca0b77d-8f9e8e02-7ad787e3-682689dd.jpg
heart size and mediastinum unremarkable in appearance pacemaker leads terminate in right atrium right ventricle and left ventricle epicardial lead. there is no pneumothorax. azygos vein, anatomical variant is re- demonstrated. lungs are clear. there is no pleural effusion. there is no pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p18510364/s50396139/b807b909-0dad62ce-d1edbf27-ee43214c-5adb5aba.jpg
in comparison with the study of , there is again hyperexpansion of the lungs consistent with chronic pulmonary disease. however, no acute pneumonia, vascular congestion, or pleural effusion.
MIMIC-CXR-JPG/2.0.0/files/p15782217/s57483259/3b97bc8f-1f8c76fe-9f0a7ce1-75201dcc-808b63ef.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18772706/s54307065/a1921f87-795ab580-5d8813e2-118abb79-c1f7b55d.jpg
no acute cardiopulmonary process. unable to assess stent migration since it was not present on the prior radiograph exam.
MIMIC-CXR-JPG/2.0.0/files/p11707588/s56551081/d8fc1133-6a816b77-4a7cdbb3-452f7ab7-44744d06.jpg
interval decrease in now small right pleural effusion with adjacent atelectasis and/or scar. moderate hiatal hernia may explain the patient's chest pain.
MIMIC-CXR-JPG/2.0.0/files/p10836444/s55601181/667eeda2-abc47db1-42055696-46f13e69-01f1a0bf.jpg
essentially normal chest radiograph.
MIMIC-CXR-JPG/2.0.0/files/p19741512/s53142452/c0b52ee2-f633992b-2d2d52b2-4ece0c01-42c87aed.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10427568/s53879533/6b05edf7-030bdf39-682a7931-1f5b00ee-ccea167e.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15367414/s57966656/74e3139c-edd6eb80-5fc8a7f5-47d754a3-71b7519f.jpg
in comparison to radiograph, postoperative appearance of cardiomediastinal contours is stable. multifocal atelectasis in the left mid and both lower lungs has decreased in extent. very small bilateral pleural effusions persist, and there is no evidence of pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p11502574/s51084799/7fe36ba3-3ce7c331-1b14b158-d88fa109-c8b370e6.jpg
comparison with. new nasogastric tube. the tip projects over the middle parts of the stomach. no complications, notably no pneumothorax. no relevant changes.
MIMIC-CXR-JPG/2.0.0/files/p16108772/s57131850/d67c7003-99d0c1f6-068cd15a-0e095b28-11f152ce.jpg
in comparison with the earlier study of this date, the patient has taken a better inspiration. no definite evidence of acute focal consolidation after the aspiration event.
MIMIC-CXR-JPG/2.0.0/files/p14318103/s58074265/cb39d9aa-9879015d-df2ee379-cf8eb8d3-f30608c3.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p15485853/s58747390/19c82179-78942e48-e82fd442-75bc5770-56733408.jpg
as compared to the previous radiograph, there is minimal improvement in ventilation of the right lung, with a decrease in extent and severity of the pre-existing opacities. no new parenchymal changes. unchanged pleural thickening on the right. unchanged position of the picc line. mild cardiomegaly. unremarkable left lu...
MIMIC-CXR-JPG/2.0.0/files/p15273049/s58081877/40edeb14-3eff1c0c-7d161e4f-9b54f7e6-bebe8d6a.jpg
stable appearance of the chest was no acute process.
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<num>) mild pulmonary edema with bilateral pleural effusions. <num>) multifocal pneumonia in right lung.
MIMIC-CXR-JPG/2.0.0/files/p17010654/s51046297/6b1b24fb-208c5d11-14790b71-e3c9921d-d1a26eb2.jpg
ap and lateral chest compared to : normal heart, lungs, hila, mediastinum, and pleural surfaces.
MIMIC-CXR-JPG/2.0.0/files/p17498263/s52372346/1e548014-3d731315-863fc713-f023b42c-27f6f752.jpg
numerous abnormalities however relatively stable across multiple prior examinations likely demonstrating return to baseline for this patient. there are ill-defined opacities in right lower lobe again which have been noted on prior studies. it is difficult to entirely exclude an early developing infiltrate however again...
MIMIC-CXR-JPG/2.0.0/files/p13905910/s57452515/78153aea-c61da955-86f86115-8ab28bcd-2040ed20.jpg
ng tube tip over gastric fundus/proximal stomach. the side port lies in the region of the ge junction, but does not definitely extend beyond the ge junction. patchy opacity at left lung base, new compared with chest x-ray hand apparently new compared with abdominal ct from. question atelectasis. in appropriate clinica...
MIMIC-CXR-JPG/2.0.0/files/p17964865/s54940969/213620c5-a776e4be-88b743d0-0eb365ce-1fd582ae.jpg
no evidence of acute cardiopulmonary abnormalities.
MIMIC-CXR-JPG/2.0.0/files/p10459488/s56641875/7ecd9b39-a81263b7-c7afca8a-29339bb8-a8244dd5.jpg
as compared to the previous radiograph, the patient has developed small areas of platelike atelectasis. borderline size of the cardiac silhouette. mild elongation of the descending aorta. there is no evidence of pneumonia or pulmonary edema. no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p16616576/s59146365/56abe878-34405bf5-0fe45525-272d3975-2ee49ea6.jpg
low lung volumes but no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p18452418/s57587439/eddf5e37-d0e157eb-75448ceb-d8c3084a-0eb76c2c.jpg
heart size and mediastinum are stable in appearance. extensive calcifications of the descending aorta are present. lungs are essentially clear. there is no pleural effusion or pneumothorax. nodular opacity projecting over the tip of the left scapula is present and might potentially represent summation of shadows but a ...
MIMIC-CXR-JPG/2.0.0/files/p12727378/s50016104/0ac47bfa-c4053d4b-bec38b94-102994ba-8c981c76.jpg
as compared to the previous radiograph, the position of the left-sided picc line is unchanged. the tip continues to project over the cavoatrial junction. there is no pneumothorax. the lung volumes remain low. moderate atelectasis at the left and the right lung bases. borderline size of the cardiac silhouette without pu...
MIMIC-CXR-JPG/2.0.0/files/p15458720/s52879884/acfb743d-80722afd-0bf7f6f3-3dc82c77-094f9ae6.jpg
increasing size of multiple pulmonary metastases.
MIMIC-CXR-JPG/2.0.0/files/p16820620/s50295705/88d8e57a-d9ab73bd-bae08e1d-2c11c86b-0499f7b9.jpg
stable appearance of the chest with chronic scarring in the left lung with volume loss - no superimposed acute process.
MIMIC-CXR-JPG/2.0.0/files/p11788425/s51840344/ce7f7c3f-477fdab4-a10135f4-07ef164d-e9c71e43.jpg
increase in small retrocardiac opacity is worrisome for early pneumonia in the appropriate clinical setting. stable small bilateral pleural effusions. prominence of right hilus due to patient rotation, superimposed atelectasis and scarring.
MIMIC-CXR-JPG/2.0.0/files/p12429414/s59341352/ac44cecf-09e97c27-f89c6bb2-d8ab7c5e-0117804d.jpg
low lung volumes with mild pulmonary vascular congestion. small bilateral effusions and moderate cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p16517343/s50532311/83d55f86-e356b0b5-fab154d7-99842096-1de098a7.jpg
no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p12431768/s50467666/a919e218-4733a6a9-b0b51d1c-9b64c8aa-5d2e75eb.jpg
minimal residual right middle lobe opacity, otherwise clear lungs.
MIMIC-CXR-JPG/2.0.0/files/p14814421/s56451402/0765cbcd-37f5ba32-64883a0c-6d775bde-a40450ae.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10760670/s59575239/40dd9565-ec235179-7d7f7fb9-a705751e-ca9827b1.jpg
<num>) markedly improved right-sided pneumonia with only minimal residual disease. <num>) slow growth of the right upper lobe opacity with associated elevation of adjacent right minor fissue. given it's slow growth over time and appearance on the chest ct from , this is concerning for a slow growing, low-grade lung ade...
MIMIC-CXR-JPG/2.0.0/files/p12621660/s57773706/890e60d4-b3fe08a4-cd8f8ecd-2187d6c2-e25e91f3.jpg
moderate to large hiatal hernia. no acute cardiopulmonary abnormality.
MIMIC-CXR-JPG/2.0.0/files/p14010624/s59109900/09f1d856-fcc3757d-12b378ed-806583c2-a33c6ac8.jpg
no acute intrathoracic abnormality.
MIMIC-CXR-JPG/2.0.0/files/p10193065/s52593905/4b560080-88248c3f-faadbf6e-54e10d73-5d4b9797.jpg
comparison to. minimal decrease in size of the moderately enlarged cardiac silhouette. elongation of the descending aorta. no pneumonia, no pulmonary edema, no pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p19586200/s56448086/e8624542-155a87b2-db47536b-2386a666-adf356cc.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p12285052/s54231235/d95120d7-8e4abcb9-23d7832c-efcc9b04-46a22885.jpg
large left-sided pneumothorax with rightward displacement of the mediastinum raising concern for tension pneumothorax. supporting devices as described above. more conspicuous opacities in the right lung base are compatible with worsening atelectasis in the setting of right lower lobe pneumonia/aspiration.
MIMIC-CXR-JPG/2.0.0/files/p18417736/s54400260/122850d6-bcdb2fab-8c47b309-ebbbc1e1-decaf8ac.jpg
in comparison to chest radiograph, considering differences in technique and positioning, there has not been a relevant change in the appearance of the chest. swan-ganz catheter remains in a relatively distal position as detailed on the recent report.
MIMIC-CXR-JPG/2.0.0/files/p16204626/s54349853/9839ff96-1028dafb-bc303742-59b05306-2110ba67.jpg
small left apical pneumothorax and small left basilar pneumothorax both improved slightly. stable bilateral mild lower lung atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p13369196/s53308118/3202ff4b-3ea3c836-9d1713c9-6b8cb44a-c8e223b5.jpg
as compared to the previous radiograph, there is unchanged evidence of relatively extensive right pleural thickening, combined to a right pleural effusion with right basilar and perihilar scarring. unchanged extent of the air collection in the right-sided soft tissues. on the left, a rounded metallic particles again se...
MIMIC-CXR-JPG/2.0.0/files/p11257115/s57041629/3f787ff9-0175ddb8-fdf24399-ddd07d56-a0401a19.jpg
no pneumothorax
MIMIC-CXR-JPG/2.0.0/files/p15505091/s52347031/cef19833-4de75571-69947d95-73b9e574-c2aa96d8.jpg
no definite acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p10763573/s53343028/862c22ff-d484d583-a81a7b33-0db692df-41b0bc0e.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p13049990/s53299977/4512db26-98c5ab36-5cf248c4-d00a5f1e-8af43dac.jpg
no pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p10203883/s58447776/b4dc6290-d597e5a7-26a396fd-f7c40ff5-fe29d53f.jpg
fibrosis at the right lung base which is unchanged from. otherwise normal chest radiograph without evidence of pneumonia.
MIMIC-CXR-JPG/2.0.0/files/p16007214/s53064831/c636b34e-7d71ae78-607915a1-6cacf53d-6218328a.jpg
mild pulmonary edema and stable mild cardiomegaly.
MIMIC-CXR-JPG/2.0.0/files/p14193854/s58843504/f52ad334-23692e40-dc36fc77-30b18025-b4f199fd.jpg
ap chest compared to : moderate cardiomegaly has progressed. mediastinal and pulmonary vasculature is still engorged. patient is on the verge of interstitial edema, but abnormality in the lungs is exaggerated by exceedingly low lung volumes. small left pleural effusion and left basal atelectasis are presumed. no pneumo...
MIMIC-CXR-JPG/2.0.0/files/p19385453/s58729619/43d64517-0f339eb6-f2787b43-1b925b94-b461b37c.jpg
as compared to the previous radiograph, the patient has been extubated and the nasogastric tube was removed. the bilateral chest tubes and the right internal jugular vein catheter remain in situ. lung volumes remain low. moderate cardiomegaly. retrocardiac atelectasis. mild fluid overload but no overt pulmonary edema. ...
MIMIC-CXR-JPG/2.0.0/files/p17125981/s55874195/10bdfc8a-8650c167-0bf098f4-44366b88-c12235c6.jpg
right lung base opacity, compatible with pneumonia, in the appropriate clinical setting. findings also suggestive of mild vascular congestion.
MIMIC-CXR-JPG/2.0.0/files/p10216097/s54687008/53e45508-f4ee2395-6275a209-fce65b34-88a03da9.jpg
in comparison with the earlier study of this date, the anterior chest tube has been removed. no evidence of pneumothorax. increasing opacification at the right base is consistent with effusion and atelectasis, though in the appropriate clinical setting superimposed pneumonia would have to be considered. substantial enl...
MIMIC-CXR-JPG/2.0.0/files/p12593920/s51912882/3a563d05-53622628-59c60be5-ed76eeaa-2b7cc2b7.jpg
as compared to the previous radiograph, the bilateral relatively extensive parenchymal opacities have increased in extent and severity. no opacities have newly occurred. unchanged over distension of the bowel and stomach. no pneumothorax. normal position of the right picc line.
MIMIC-CXR-JPG/2.0.0/files/p14928473/s59091550/93dacff9-73657225-6ff0cf06-50675ab7-5b204d7f.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p15866068/s57345309/782a24b2-18779038-2f10aa3b-58398a58-fec0e152.jpg
as compared to the previous radiograph, no relevant change is seen. the lateral radiograph only shows a minimal left dorsal pleural effusion. <num> lead projects over the right atrium, <num> over the right ventricle and <num> over the coronary sinus. the pacemaker generator is in unchanged left pectoral position. the s...
MIMIC-CXR-JPG/2.0.0/files/p15346809/s51363915/a172d5f1-626f54b5-7b21a3f9-4c8c6c7a-0a88a735.jpg
severe cardiomegaly with left atrial enlargement appears worsened since the prior study. central pulmonary vascular engorgement without overt pulmonary edema.
MIMIC-CXR-JPG/2.0.0/files/p17240652/s55718659/8d387b36-78cf46a3-f2507957-edf90cf1-7d7ab384.jpg
mild pulmonary vascular engorgement and bibasilar atelectasis.
MIMIC-CXR-JPG/2.0.0/files/p16500918/s58003193/5e14755d-a5f431d7-561dd244-4a8ee184-a2a2b635.jpg
no interval change. stable small right and tiny left apical pneumothorax.
MIMIC-CXR-JPG/2.0.0/files/p15642529/s52220307/3648688b-6f135f03-1f1e0c08-bb6aca90-10999b85.jpg
moderate left and small right pleural effusions with associated atelectasis. right perihilar opacity in the region of prior pneumonia. recommend repeat chest radiograph in <num> weeks to assess resolution.
MIMIC-CXR-JPG/2.0.0/files/p17449808/s54700147/071711f8-254dfadc-5e3beae7-20a1e6a6-431fafd9.jpg
no focal consolidation. possible tiny bilateral pleural effusions.
MIMIC-CXR-JPG/2.0.0/files/p18065565/s55221321/9980ad6d-b55ff195-920ad951-63e27b16-8b565405.jpg
no acute intrathoracic process.
MIMIC-CXR-JPG/2.0.0/files/p18033939/s50449625/b8574383-4edafa6c-cf8945e5-605ab4ba-4764d880.jpg
ground-glass opacification in the lungs, while still pleural effusion is small if any. heart and vertically pulmonary arteries are still enlarged. no pneumothorax. moderately severe has definitely improved since
MIMIC-CXR-JPG/2.0.0/files/p12156923/s54401760/ffba94d5-43e5e000-6b6a8c1c-60bb5fd2-241f6e0e.jpg
interval increase in chf. mild increase in atelectasis at the right base. left lower lobe collapse and/or consolidation with small left effusion is similar to the prior film. the possibility of an infectious pneumonic consolidation in the left lower lobe cannot be excluded.
MIMIC-CXR-JPG/2.0.0/files/p11185076/s50054548/df6bea7a-90942a6a-19b7bb15-574b823c-2cfd327a.jpg
no evidence of acute disease.
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as compared to radiograph, the current study is limited by suboptimal positioning. interval decrease in size of left pleural effusion with associated improved aeration at the left lung base. a small right pleural effusion has developed with adjacent right basilar atelectasis. moderate gastric distension is new. no oth...
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bibasilar opacities likely in part due to pleural effusions and atelectasis noting that superimposed infection is entirely possible. nodular opacity projecting over the right lung base for which followup will be necessary and proximally with pa and lateral views if patient is amenable.
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findings concerning for acute on chronic atypical mycobacterial infection.
MIMIC-CXR-JPG/2.0.0/files/p17988477/s58756276/235b49b5-471c50fe-8cb4fd46-9c5f1c13-ebbd2ee0.jpg
in comparison with the study of , there is little interval change. the mass with fiducial seeds is again seen at the right base. specifically, there is no evidence of post -procedure pneumothorax. the left lung remains clear.
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mild vascular congestion, small bilateral pleural effusions and bibasilar atelectasis are unchanged. cardiomediastinal silhouette is stable. et tube is in standard position. ng tube tip is in the stomach. there is no evident pneumothorax
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enteric tube in appropriate position.
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right dobbhoff tube is noted with upper aspect of the weighted tip at the gastroesophageal junction, and should be advanced further. increased left lower lung opacity is concerning for worsening pneumonia versus pleural effusion on a background of pulmonary edema. stable right perihilar opacification. dr was notified ...
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in comparison with study of , there is even further diffuse bilateral pulmonary opacifications, consistent with aspiration or infectious pneumonia. otherwise, little change.
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heart size and mediastinum are stable. lungs are essentially clear. apical bilateral nodularity is noted. no focal consolidation to suggest infection demonstrated.
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relatively low lung volumes. otherwise, no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p12373976/s54629537/93098af5-94da8fcc-b7faa8d5-f45c77a7-74f033e5.jpg
no focal pneumonia. top-normal/mild cardiomegaly, unchanged.
MIMIC-CXR-JPG/2.0.0/files/p13105864/s56580816/2bbd8e3b-5c9167b6-9d0f33f8-93c84f30-51548cdb.jpg
tip of the tracheostomy tube abuts the left tracheal wall and should be evaluated clinically to see if the tube is appropriately positioned. feeding tube passes beyond the distal stomach and out of view. there is no mediastinal widening or appreciable pneumo mediastinum. consolidation at both lung bases has worsened si...
MIMIC-CXR-JPG/2.0.0/files/p17515905/s52901642/17170f68-681bf2b6-879af032-0874a169-df69a51b.jpg
no acute cardiopulmonary process.
MIMIC-CXR-JPG/2.0.0/files/p16043637/s51392471/c02bdcc0-549bf4f3-5f78b267-f547a2ea-ad315318.jpg
no evidence of acute intrathoracic process.
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no acute intrathoracic process.
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no pneumonia.
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pa and lateral chest compared to : lungs are fully expanded and clear. there is no pleural abnormality or evidence of central adenopathy. cardiomediastinal and hilar silhouettes are normal. moderate thoracic scoliosis is longstanding.
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mild progression of pleural density on the right base, no conclusive evidence of contrast embolization.
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moderate pulmonary edema with bilateral pleural effusions and bibasilar atelectasis. stable appearance of known osseous metastases with chronic rib fractures and upper lumbar spine compression fracture.
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opacification at the medial right lung base overall stable compared to the prior exam. this may reflect crowding of vessels however an infectious process should be considered in the appropriate clinical setting. mild right pulmonary edema.
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enlarged left pleural effusion, now possibly loculated.
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no acute cardiopulmonary process.
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ng tube with tip in the stomach. interval increased mild pulmonary edema. possible small left pleural effusion.
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no acute cardiopulmonary process.
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normal.
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as compared to the recent radiograph of , the appearance of the lungs is improved with better aeration at both lung bases with some residual patchy and linear opacity suggesting atelectasis. pulmonary vascular congestion has also improved in the interval. no new or worsening lung findings.
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new, mild, right apical pneumothorax status-post right upper lobectomy and chest tube placement. mild pulmonary edema.
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bilateral pleural effusions with underlying compressive atelectasis. no significant change.
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stable right basilar subsegmental atelectasis and small right pleural effusion. enlarged globular heart, findings consistent with a pericardial effusion. mild pulmonary vascular congestion though no overt edema.