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MIMIC-CXR-JPG/2.0.0/files/p11000566/s54855307/03f3117f-485b0f1c-e9dd7a1c-252ceb61-1db72a51.jpg
in comparison with the study of , there is no evidence of acute focal pneumonia. monitoring and support devices are unchanged.
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no evidence of acute disease.
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as compared to the previous radiograph, the left pneumothorax is unchanged. the right pneumothorax is no longer visualized. no evidence of tension. status post removal of the right venous introduction sheet. borderline size of the cardiac silhouette. minimal increase in severity of the retrocardiac atelectasis.
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comparison to. no relevant change. stable position of the right pectoral port-a-cath. stable size of the cardiac silhouette. no pneumonia, no pulmonary edema, no pleural effusions.
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findings suggest airway inflammation or atelectasis but no convincing evidence for pneumonia.
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endotracheal tube tip in appropriate position ending approximately <num> cm above the carina.
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compare to prior postoperative chest radiographs through. in addition to numerous persistent air and fluid loculations in the right pneumonectomy space, there is now a dominant air-fluid interface. if this does represent an increase in the volume of air in the right pneumonectomy space it is indirect evidence of stump...
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marked cardiac enlargement, absence of advanced pulmonary congestion, no evidence of pulmonary infiltrates or massive pleural effusion.
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pa and lateral chest compared to at : lungs clear, heart size borderline enlarged. no pleural abnormality. no evidence of pneumonia or recent aspiration.
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increasing layering right pleural effusion and basilar atelectasis.
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no significant change since the prior examination.
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limited, negative.
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no acute cardiopulmonary process.
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no evidence of acute cardiopulmonary disease.
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small right apical pneumothorax, increased compared to prior.
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no acute intrathoracic abnormality identified.
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normal chest x-ray, specifically no evidence of infiltrate.
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no acute cardiopulmonary process.
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aspiration pneumonia superimposed on chronic bibasilar lung scarring and atelectasis.
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comparison to. increase in extent of a pre-existing right basal parenchymal opacity. the finding would be consistent with aspiration or pneumonia. moderate cardiomegaly persists. the endotracheal tube has been replaced by a tracheostomy tube. this device is in correct position. no evidence of pneumothorax or pneumomedi...
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limited exam for which repeat is suggested for more detailed evaluation. enlarged right hilum could be due to pulmonary artery enlargement or underlying adenopathy and attention suggested on followup.
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no evidence of pneumonia. right clavicle fracture of undetermined chronicity.
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ap chest compared to , read in conjunction with torso ct, : endotracheal tube has been withdrawn from the level of the carina to the thoracic inlet. a new right pleural tube enters the lateral mid chest and ascends to the posterior apex. there is no appreciable right pleural effusion. there has been a substantial wo...
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no acute cardiopulmonary process.
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unchanged chest radiograph without evidence of pneumonia.
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no acute intrathoracic process.
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unchanged stable chest findings, no evidence of acute infiltrates in this patient with history of persistent cough.
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component of pulmonary edema has improved, unchanged bilateral lower lobe consolidations and pleural effusions.
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improving aeration of bilateral lungs. bilateral pleural effusions, left greater than right, have significantly improved.
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no pneumonia.
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in comparison with the study of , the the tip of the impella device has been pushed forward. otherwise little change.
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removal of left chest tube without evidence of pneumothorax. increasing left basilar atelectasis in comparison to the prior chest radiograph. small left pleural effusion.
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no acute cardiopulmonary pathology.
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pa and lateral chest compared to through. moderate to large right pneumothorax persists with slight decrease in basal components, no appreciable pleural effusion. right apical pleural tube in place. left lung hyperinflated but clear. heart size normal. mediastinum midline.
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no evidence of focal pneumonia.
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as compared to previous radiograph from <num> day earlier, lungs are clear except for slight worsening of a patchy left retrocardiac opacity he, may be due to patchy atelectasis, aspiration, or potentially an early focus of pneumonia. no other relevant changes.
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no acute cardiopulmonary pathology.
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et tube tip is <num> cm above the carinal. left internal jugular line tip is at the level of left subclavian brachycephalic vein. the mediastinal lymphadenopathy, right hilar mass and consolidation are better appreciated on the ct torso obtained the same day later.
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low lying endotracheal tube with tip terminating approximately <num> cm above the carina. orogastric tube courses below the diaphragm. worsening mild pulmonary edema with layering left pleural effusion.
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no acute cardiopulmonary process.
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interval resolution of left lower lobe atelectasis and pleural effusion. mild pulmonary vascular engorgement without frank pulmonary edema.
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basilar atelectasis, without convincing signs of pneumonia.
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right port-a-cath catheter tip terminates in the right cavoatrial junction. left picc line tip is at the level of mid svc. bilateral chest tubes are in place. bilateral pleural effusions are large and in part loculated, unchanged. no definitive pneumothorax is seen. perihilar pulmonary edema is re- demonstrated.
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overall interval improvement of the diffuse bilateral pulmonary edema compared to the prior exam with no evidence of pulmonary edema seen on this exam.
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mild pulmonary edema has increased. stable moderate to severe cardiomegaly. improved left lower lobe atelectasis.
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mild hyperinflation may relate to copd.
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increased left basilar opacity. the appearance and location are fairly typical for atelectasis that is usually seen in conjunction with a large hiatal hernia, although superimposed pneumonia is a possibility to consider.
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normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection, including tuberculosis.
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interval improvement in atelectasis. persistent vascular congestion and bilateral pleural effusions, left greater than right.
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mild cardiomegaly and a lobulated appearance of the mediastinum and hila, consistent with known lymphadenopathy. clear lungs.
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small bilateral pleural effusions, decreased from the prior exam. no focal consolidation to suggest pneumonia.
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comparison to ,. the tracheal stent is barely visualized. mild new left pleural effusion. stable right parenchymal opacity with reactive pleural effusion. no pneumothorax.
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right greater than left bibasilar opacities could reflect aspiration or pneumonia with accompanying left greater than right pleural effusions and mild pulmonary edema.
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unchanged left lung pneumonia. followup in four weeks is recommended to assess for resolution.
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no acute cardiopulmonary process.
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no acute intrathoracic process.
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normal chest.
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multifocal pneumonia involving the right upper and lower lobes.
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stable chest findings with advanced copd, but no new acute infiltrate identified.
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in comparison with the study of , there has been clearing of the opacification at the left base. cardiac silhouette remains within overall normal limits with intact midline sternal wires and previous valve replacement. streaks of atelectasis are seen bilaterally, most prominent on the left. no evidence of acute focal p...
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no acute cardiopulmonary abnormality.
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as compared to the previous radiograph, a right pleural drain has been placed. there is mild decrease in extent of the still substantial right pleural effusion. no pneumothorax or other complications. unchanged appearance of the heart and of the left lung.
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no comparison. the tip of the endotracheal tube projects <num> cm above the carina. the enteric tube is curled within the stomach. large right pleural effusion, large right basal area of consolidation. normal appearance of the left lung. no pneumothorax.
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no acute intrathoracic process.
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pulmonary edema with new bibasilar opacities compatible with left greater than right effusions. underlying atelectasis suspected and infection cannot be totally excluded.
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there is an endotracheal tube whose tip is <num> cm above the carina, appropriately sited. the side port of the nasogastric tube has migrated slightly more proximal and could be advanced <num> cm for more optimal placement. there is a left-sided picc line with the distal lead tip in the mid svc. a right-sided pleural c...
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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left retrocardiac opacity could represent atelectasis, infection or aspiration. the left costophrenic angle is blunted. a small left pleural effusion is not excluded.
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no acute cardiopulmonary process.
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no evidence of pneumonia. rounded density in the left hila likely represents a pulmonary vessel; however, has a slightly different appearance from the prior. could consider oblique radiographs to further clarify.
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subtle right basilar opacity potentially atelectasis noting that in the setting of productive cough, infection would be possible.
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moderate pulmonary edema has worsened. moderate to severe cardiomegaly is unchanged. small bilateral pleural effusions.
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tip tip is <num> cm above the carinal. heart size mediastinum are unchanged. mild vascular congestion is slightly more pronounced than on the prior study and there is a right infrahilar opacity that might potentially represent aspiration. substantially distended stomach is re- demonstrated. no appreciable pneumothorax....
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no acute cardiopulmonary process.
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previous pattern of pulmonary vascular congestion has nearly resolved. no radiographic evidence for pneumonia.
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no acute cardiopulmonary abnormality.
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compared to chest radiographs since , most recently. moderate right pleural effusion increased since. left pleural effusion small if any. no pneumothorax. mild cardiomegaly stable. no pulmonary edema. no pneumothorax.
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unchanged, moderate, right pleural effusion with increased extension into the minor fissure and associated atelectasis. no findings to suggest pneumonia.
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no acute cardiopulmonary abnormality.
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in comparison with the study of , the patient has taken a much better inspiration. the left hemidiaphragm is now sharply seen and there is no evidence of appreciable pleural effusion or atelectasis. cardiac silhouette is stable. there is no definite pulmonary vascular congestion. there is continued opacification at the...
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there are low lung volumes. bibasilar opacities are likely atelectasis larger in the left side. there is no pneumothorax or pleural effusion. mild cardiomegaly is accentuated by the low lung volumes and the projection. the aorta is tortuous.
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no acute cardiopulmonary abnormality. chronic appearing rib fractures on the right anteriorly, recommend clinical correlation.
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mild pulmonary edema, pulmonary and mediastinal vascular engorgement small to moderate left pleural effusion, borderline cardiac enlargement, and bibasilar atelectasis, severe on the left, moderate on the right all unchanged. no pneumothorax. et tube and right subclavian line in standard placements. although no acute f...
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no acute intrathoracic process.
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no acute cardiopulmonary abnormality.
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interval improvement of right pleural effusion, no pneumothorax.
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in comparison with the study of , the endotracheal tube and nasogastric tubes have been removed. the left hemidiaphragm is now a sharply seen and there is no substantial atelectasis in the retrocardiac region. no evidence of acute focal pneumonia.
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no acute cardiac or pulmonary process.
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small effusions, pleural and pericardial. no pneumonia or edema.
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in comparison with the study of , there again are low lung volumes. streaks of atelectasis are seen at both bases. the picc line is been removed.
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no acute intrathoracic process.
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no acute intrathoracic process.
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no acute intrathoracic process.
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diffuse pulmonary interstitial abnormality and right hilar fullness likely relates to patient's underlying sarcoidosis, and is unchanged in appearance in comparison to multiple prior exams. no evidence of superimposed acute process.
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relatively unchanged small to moderate right pleural effusion.
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no evidence of pneumonia. small left pleural effusion stable since.
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new mild right cardiac enlargement and prominence of the superior mediastinal vasculature could relate to a right-sided cardiac process, for which further evaluation with an echocardiogram may be performed. findings and recommendation were discussed with dr by dr via telephone at on the day of the study.
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no pneumothorax or pneumomediastinum status post esophageal dilation. discussed with dr phone at.
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no pneumothorax. prominent soft tissue density along the right paratracheal stripe is incompletely evaluated and could be due to rotation. recommend non-emergent ct chest for further evaluation. metallic density projecting over the upper trachea may lie external to the patient. clinical correlation is recommended.