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MIMIC-CXR-JPG/2.0.0/files/p17868461/s52388287/f321370c-fa321231-18861e2f-0d46a7c8-5ef586a5.jpg
no evidence of pneumonia. mild cardiomegaly and mild pulmonary edema concerning for decompensated heart failure.
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enlargement of the aortic knob/ proximal descending aorta, consistent with known aortic aneurysm. bibasilar atelectasis.
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as compared to the scout image from recent chest ct of , postoperative appearance of the left hemi thorax following left upper lobe resection appear similar with persistent left apical cap corresponding to complex pleural fluid on the prior study. known right lower lobe lung nodule is not well demonstrated. overall app...
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no acute cardiopulmonary pathology.
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eft internal jugular line is in unchanged position in the persistent left superior vena cava. cardiomegaly is unchanged, substantial. no interval progression of pulmonary edema. bibasal consolidations is similar to previous examination.
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no acute cardiopulmonary process.
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unremarkable single electrode pacer, no evidence of pneumothorax, right-sided basal peripheral plate atelectasis but no acute infiltrates and no pleural effusion.
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in comparison with the earlier study of this date, the nasogastric tube has been removed and replaced with a dobhoff tube that extends to the upper to mid portion of the stomach. there is increasing opacification at the right base with obscuration of the hemidiaphragm, consistent with collapse of the right lower lobe a...
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bibasilar atelectasis. no focal consolidation.
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no acute cardiopulmonary process.
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near-complete resolution of previously noted lower lung opacities.
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persistent but improving right lower lobe airspace opacity favoring resolving atelectasis rather than infection. no pulmonary edema, pleural effusions or pneumothorax. overall cardiac and mediastinal contours are stable.
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no evidence of acute intrathoracic process.
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multifocal pulmonary consolidation, most pronounced in the right lung, also at the left base, has not worsened. apparent improvement is probably due to decreased atelectasis and perhaps resolution of a component of pulmonary edema and decrease in moderate right pleural effusion. moderate cardiomegaly remains.
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several new, small, ill-defined opacities in the right middle and right lower lung suggest multifocal infection.
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no acute cardiopulmonary process. right apical nodular opacity likely represents summation of rib shadows. lordic view may be obtained for confirmation. findings were communicated via phone call by dr to dr on at.
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mild pulmonary hyperexpansion is nonspecific and could be seen in the setting of asthma. otherwise no acute process.
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top-normal heart size with tiny right pleural effusion.
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moderate, dependent, left pleural effusion comparable to the layering left pleural effusion on pet. fullness in the right paratracheal mediastinum is explained by adenopathy. lungs grossly clear. heart size normal.
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patchy opacity in the right lower lobe could represent atelectasis, though infection is not excluded.
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ap chest compared to through : lung volumes are low, not improved since. left lower lobe findings are probably chronic atelectasis, but the new opacification at the right lung base could be pneumonia. upper lungs are hyperlucent, but since the patient does not have emphysema, this is explained by diminished perfusion....
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in comparison with the study of earlier in this date, there again are diffuse bilateral pulmonary opacifications. monitoring and support devices are unchanged. there has been placement of a nasogastric tube that extends at least to the lower body of the stomach where it crosses the lower margin of the image.
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no sign of acute cardiopulmonary process. persistent left apical scarring after lung surgery.
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no acute cardiopulmonary process.
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in comparison with the study of , there is continued enlargement of the cardiac silhouette. the degree of pulmonary vascular congestion has decreased. no evidence of acute pneumonia. opacification at the left base is consistent with pleural fluid and atelectatic changes.
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no pneumothorax. <num> right-sided chest tubes are in the chest wall.
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no acute cardiopulmonary abnormality.
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comparison to. stable appearance of the substantial and enlarged cardiac silhouette, the left pleural effusion with subsequent atelectasis as well as the pre-existing mild to moderate pulmonary edema. the right pleural effusion has minimally increased in severity. no new focal parenchymal opacities are noted.
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compared to , , the right chest tube has been removed. the extent of the loculated right effusion is unchanged. unchanged moderate to severe cardiomegaly, without evidence of pulmonary edema.
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expected postoperative appearance of the mediastinum. no evidence of acute cardiopulmonary process.
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no focal consolidation to suggest pneumonia. known mediastinal lymphadenopathy.
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in comparison with the study of , there is little overall change. right pigtail catheter remains in place with essentially unchanged right pleural effusion and loculated basilar pneumothorax. moderate left pleural effusion is unchanged and there are atelectatic changes at the bases. cardiomediastinal silhouette is unch...
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no evidence of acute disease.
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no evidence of intrathoracic disease.
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no acute cardiopulmonary abnormality
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as compared to the previous radiograph, no relevant change is seen. there is no evidence of pneumothorax. massive scoliosis with asymmetry of the ribcage. borderline size of the cardiac silhouette. no pleural effusions, no pulmonary edema.
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interval reduction in lung volumes with crowding of the vasculature, but no evidence of a focal airspace consolidation to suggest pneumonia. no evidence of pulmonary edema. no large pneumothorax or pleural effusion. overall cardiac and mediastinal contours are likely unchanged given differences in positioning.
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no evidence of acute disease.
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femoral swan-ganz catheter out slightly far on the left
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since , endotracheal tube has been removed and not surprisingly more atelectasis has developed at the lung bases. on the right however the configuration is more concerning for new pneumonia. cardiomediastinal silhouette has a normal postoperative appearance. pulmonary vasculature is engorged but there is no edema. pleu...
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as compared to previous study of <num> day earlier, left pigtail pleural catheter has been replaced or repositioned, with apparent slight decrease in size of small left pleural effusion. small to moderate right pleural effusion appears slightly larger although positional differences may contribute to this apparent chan...
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no acute cardiopulmonary abnormality.
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chronic prominence of the pulmonary vascular markings with upper zone re- distribution, suggestive of chronic mild pulmonary vascular congestion. no focal consolidation to suggest pneumonia.
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left greater than right basal atelectasis without evidence of acute process. right anterior oblique view is recommended on an elective basis to further assess a right infrahilar opacity. finding was emailed to the ed qa nurses on.
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et tube terminates <num> cm above the carina. diffuse bilateral consolidations have progressed since chest radiograph and are further assessed on chest ct of the same date.
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heart size is normal. mediastinum is normal. lungs are clear. there is no pleural effusion or pneumothorax. overall normal chest radiograph.
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new small bilateral pleural effusions.
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pa and lateral chest compared to and : top normal heart size and azygos distention are chronic findings. lungs are clear. pulmonary vasculature is minimally engorged, unchanged and there is no pulmonary edema or pleural effusion.
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no acute cardiopulmonary abnormality.
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as compared to the previous radiograph, the patient is of the reach bronchoscopy. post bronchoscopy call picc opacities, likely reflecting a combination of atelectasis and local bleeding are visualized at the right lung bases. the patient is rotated to the right. no abnormalities at the left lung bases. no evidence of ...
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no acute cardiopulmonary process.
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left subclavian line has not migrated since. the position of the tip is consistent with the upper svc. rightward displacement of the cervical trachea and the left supraclavicular calcification are due to a large goiter. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. lungs are clear.
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no acute cardiopulmonary process.
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new opacity in the retrocardiac region is concerning for pneumonia. mild pulmonary edema. on the day of the exam.
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unchanged position of the left picc line. new nasogastric tube. the tip is not included on the image, the side hole is in the proximal parts of the stomach. no complications.
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moderate to large hiatal hernia. no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process.
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endotracheal tube ends <num> cm from the carina. subtle heterogeneous parenchymal opacities in the upper lobes and right base may relate to aspiration in the setting of intubation.
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in comparison with the operative study of earlier in this date, the left ij pacer wire has its tip in the region of the apex of the right ventricle. no evidence of pneumothorax. endotracheal tube tip lies approximately <num> cm above the carina. nasogastric tube extends at least to the lower body of the stomach. again ...
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no acute cardiopulmonary process.
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patchy right middle lobe opacity raises concern for consolidation due to pneumonia given the clinical symptoms.
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findings suggesting moderate pulmonary vascular congestion.
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cardiomegaly is substantial. mediastinal silhouette is stable. lungs are hyperinflated but essentially clear. left pleural effusion is small, increased since the prior study. atelectasis, bibasal is unchanged. minimal amount of mediastinal air is expected after surgery.
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no acute intrathoracic abnormality. recommendation(s): plain radiographs are limited for evaluation for traumatic injury. if there is persistent concern, films of the symptomatic region can be obtained. alternatively, ct can be considered.
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right-sided pacemaker projecting a lead into the right ventricle.
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bilateral perihilar bronchial wall thickening is suggestive of atypical pneumonia such as viral or mycoplasma pneumonia.
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no signs for acute cardiopulmonary process.
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no acute cardiopulmonary process. emphysema.
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in comparison with the study of , there is little overall change in the bilateral pulmonary opacifications, consistent with the clinical diagnosis of multifocal pneumonia. the right ij catheter extends to about the level of the cavoatrial junction.
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opacity in the right lower lobe, worrisome for pneumonia. atelectasis or aspiration could also be considered. short-term radiographic followup is suggested.
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in comparison with the study of , there is little overall change. again there is substantial enlargement of the cardiac silhouette in a patient with intact midline sternal wires following cabg procedure and pacer device has leads extending to the right atrium, right ventricle, and coronary vein system. little change i...
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small focus of mild peribronchial infiltration in the right lung base. otherwise unremarkable exam.
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no acute cardiopulmonary abnormality.
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no acute intrathoracic process. please refer to findings on same-day ct abdomen pelvis for further details.
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no acute cardiopulmonary process. no significant interval change.
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persistent prominent interstitial markings, which may reflect patient's known history of underlying asthma. no focal consolidation.
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ap chest compared to : a combination of moderate right pleural effusion and right middle and lower lobe atelectasis have all worsened appreciably since. cardiac silhouette also appears to have increased in size with a more mediastinal venous engorgement. left lung is grossly clear. there is no pneumothorax. et tube, an...
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bilateral, right greater than left, pleural effusions and mild pulmonary edema, underlying consolidation due to infection difficult to exclude.
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right basilar opacity potentially atelectasis given relatively low inspiratory effort however infection is entirely possible in the proper clinical setting.
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no signs of aspiration. old right rib cage deformities and dense carotid bulb calcifications noted.
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lung hyperinflation compatible with emphysema. no focal parenchymal opacities to suggest pneumonia. extensive atherosclerotic calcifications of the thoracic aorta as well as vessels within the right neck and right infraclavicular region is observed. endotracheal tube in appropriate position, ending <num> cm above the c...
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no acute intrathoracic process.
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low lung volumes limit assessment of the lung bases. streaky opacities within the lung bases most likely reflect atelectasis but infection cannot be completely excluded.
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no acute cardiopulmonary process.
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chronic severe restrictive pulmonary fibrosis. no evidence of pneumonia, cardiac decompensation or other acute abnormality.
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no evidence of acute cardiopulmonary disease.
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no acute cardiopulmonary process.
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bowel jugular swan-ganz catheter continues to have its tip in the right lower lobe pulmonary artery in the mid lung and should be pulled back approximately <num> cm as previously recommended. the intra-aortic balloon pump has its tip <num> cm below the aortic knob. the endotracheal tube and left internal jugular centra...
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ap chest compared to , : nasogastric tube has been repositioned, reducing the previous loop in the hypopharynx, now passing to the mid stomach. moderate left pleural effusion is stable. increased azygous distention reflects supine positioning. heart is mildly enlarged. bibasilar atelectasis, moderate on the right, sev...
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no evidence of acute cardiopulmonary process.
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small right apical pneumothorax. patchy opacification in right upper and mid lung field, which may represent early pneumonia.
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no evidence of acute cardiopulmonary disease. mild proximal small bowel distension.
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no pneumonia.
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interval resolution of the lingular pneumonia. no acute cardiopulmonary process.
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in comparison with the earlier study of this date, the endotracheal tube has been advanced so that the tip lies approximately <num> cm above the carina. otherwise, there is little change. there is some asymmetry of opacification in the right upper to mid zone. in the appropriate clinical setting, this could possibly re...
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new multifocal alveolar and interstitial opacities in association with small bilateral pleural effusions. the differential diagnosis is broad and includes atypical distribution of pulmonary edema, opportunistic infection, or post transplant lymphoproliferative disorder. considering history of end-stage renal disease, s...
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low lung volumes. no acute process.
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no acute cardiopulmonary process.
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no acute cardiopulmonary process. no evidence of displaced rib fracture on these views. please note that a dedicated rib series is a more sensitive study for the detection of a rib fracture.